ADDENDUM TO FINANCIAL ASSISTANCE POLICY (FAP)
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1 ADDENDUM TO FINANCIAL ASSISTANCE POLICY (FAP) SPECIFICATION OF PROVIDERS COVERED BY FAP: The purpose of this Provider Listing is to disclose which services provided at Manchester Memorial Hospital are covered by the Financial Assistance Policy and which are not. All services and care for emergency and other medically necessary care provided by the Hospital and by any licensed health care practitioners and physicians directly employed by the Adventist Health System hospital facility (see physician listing below) will be covered by the Financial Assistance Policy: Practitioner - Name Kobkit Putrakul Michael Donnelly Aaron Frye Angela Rice Annette Jones Ashlei Beverly Ashley Munn Betty Sizemore Bijaya Ghimire Cynthia Maggard David Farler Denise Kilburn Donna Sandlin Edna Stewart Eugenia Wilson Gail Harkins Ginger Smith Gloria Zerbee Jeffrey Newswanger Johnnie Dell Judy Hacker Karla Maggard Kristina Burchfield Laura Faughn Nina Hensley Sam Vorkpor Sherri Smith Suzann Smith Teresa Cole Tracy Sizemore Facility - Expertise 2 nd Quarter 2018 Manchester Memorial Physician Financial Assistance 1
2 Crystal Smith Amanda Brandon Miranda Hollen Ray Hays Stephanie Collins Zaman Shah Anita Cornett Rajiv Naval Srinivas Emily Henson Justin Hoskins James Dawson Shawn Gorden Giriraj Gupta Barry Williams Jayme Turner Paul Ellis Osman Mahdi Babikir Suvas Desai General Practice Licensed Clinical Social Worker (LCSW) Nurse Practitioner Orthopaedic Surgery Pediatrics Pediatrics Surgery - General Urology All other physicians and other licensed health care practitioners providing emergency or other medically necessary care listed below are not covered by the Financial Assistance Policy. Practitioner - Name Aaron Jones James Smith Michael Mwasumbi Rebecca Rippetoe Susan Kirkwood Tammy Hargens William Moran Ashwini Anand Cristina Pauig Lynda Otalvaro Orozco Oluwole Abe Satyabrata Chatterjee Joshua Kadetz Le Thu Victoria Draper Ashley Mittlesteadt Facility - Expertise 2 nd Quarter 2018 Manchester Memorial Physician Financial Assistance 2
3 Randall Mills Rebecca Green Raju Vora Gastroenterology Lauren Serey Neeraj Mahboob Syed Tayyab Ashutosh Lohe Nephrology Sahil Garg Nephrology Syed Hasni Nephrology Jeffrey Chamberlain Mary Mays Stephanie Hutchison James Huffman Ophthalmology Mark Huffman Ophthalmology Victor Lawson Otolaryngology Anne Marshall Christine Meece Elizabeth Settembre Fred Picklesimer Jason Clark Patrick Crowe Richard Lozano Terry Clark Heather Jones Podiatry Mousab Almusaddy Pulmonary Disease Gregory Fairchok J. Clark Kevin Wright Lokesh Khanna Matthew Hoffman Rajesh Gogia Victor Rodriguez Akshay Mahadevia Sleep Medicine Dana Edwards Surgery - General Eva Edwards Surgery - General Adarsh Sahni Akram Zaaqoq Anthony Migura Ashwin Mani Bala Prakash Beth Fisher 2 nd Quarter 2018 Manchester Memorial Physician Financial Assistance 3
4 Charles Mullican Cheryl Woolsey Chilene Pierre-Louis Christopher Malynowski David Eshak David Nierman Dellice Dickhaus Elizabeth Stewart Faisal Khasawneh Francis Ntimba Guy De Gent Hao-Chih Ho Hari Reddy Hope Cranston-D'Amato Iman Hassan Isabelle Kopec Jennifer Cunningham-Farbstein Jennifer Ferris Jeremy Berg Jesse Chang John Kazianis Lisa Rho Lisa Vianna Madhu Bajaj Mark Smith Michael Walter Myung Nam Nagarajan Ramakrishnan Nicole Cassell Rachel Sackrowitz Rael Sundy Ramesh Venkataraman Seth Glodowski Sriraman Srinivasan Stephanie Esparza Steven Branham Sunah Connors Suresh Manickavel Susan Herena Thomas Kalb Timothy Stock 2 nd Quarter 2018 Manchester Memorial Physician Financial Assistance 4
5 Vanessa Kitzis Shanti Thirumalai Alison Robinette Audrey McCarron Barbara Taylor Bonnie Anderson Bruce Reiner Charles Pappas Chikaodili Logie Christine Lamoureux Cynthia Lyle David Clopton David Krausz David St John Donald Nicell Donald Schultz Elaine Khatod Eric Postal Gregory Wolfe Jason DiPoce Jeffrey Behar Jerome Klein Johannes Buiteweg John Krol Jonathan Foral Julie Shaffrey Justin Boe Kirsten Menn Laurie Gutstein Lisa Rubenstein Mark Guilfoyle Martin Ruocco Maurice Yoskin Melissa Johnson Michael Cobb Michelle Goni Navid Ardakani Norman Jones Paul Yates Philip Marino Phoebe Dann Teleneurology 2 nd Quarter 2018 Manchester Memorial Physician Financial Assistance 5
6 Richard Rossin Rolf Vrla Samir Shah Sanjam Dhillon Sara Banerjee Stephen Adams Tabassum Ahmad Terri Snow Thomas Vreeland Timothy Braatz Umamaheswari Mukkamalla Vibhu Kapoor Vincent Lombardi Wayne Liou Yair Chaya Yulia Bronstein 2 nd Quarter 2018 Manchester Memorial Physician Financial Assistance 6
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