Physician Communication Packet Winter 2015
What’s Inside: 4 – 32
New doctors
Baptist AgeWell Center for Senior Health
Raphael Tito Balbino, MD Baptist Behavioral Health Rachel Bieu, PhD Peter J. Clagnaz, MD Jill Garrett, PsyD
Baptist Endocrinology Sirlys Arcon Rios, MD
Baptist Primary Care Sheena Anderson, DO
Jonathan Balog, DO Aishah Covington Simms, MD Lynsey K. Schlotzer, MD
Baptist Rheumatology Adam Bagley, MD Jacksonville Orthopaedic Institute Carl Freeman, MD
Megan Manthe, MD Gregory Smith, MD
Baptist ENT Specialists
Paul A. Walker, MD, FAAOA
Lyerly Neurosurgery
Baptist Hospitalist Team
Angela Mitchell, MD Kyaw Myint, MD Savita Pai, MD Alejandro Paya, DO, FACP Sam Thomas, MD Sarah Yadon, MD
Baptist MD Anderson Cancer Physicians Joe (Bill) Putnam, MD, FACP Robert Cavaliere, MD Edward Gorak, DO, MBA, MS, FACP Gregory Pennock, MD Jessica Sullivan, DO John Vu, MD
Baptist Neurology Group
Andrey Lima, MD
Devanshi Mody, MD Jason Sebesto, DO
Mohamad Chmayssani, MD Neeraj Naval, MD Amanda Raya, MD
33 – 37
Baptist MD Anderson Cancer Center Referral from Physician Directory
38 – 39
Jacksonville Orthopaedic Institute Physician Directory
40
Physician Services Physician Credentialing - Medicare and Medicaide enrollment
41 – 42
Baptist Wellness Partnerships Wellness Referral
Online Publications Baptist CareConnection Link — September 2015 Link — October 2015 Link — November 2015
Baptist Briefs Link — September 2015 Link — October 2015
PHYSICIAN INTRODUCTION
Welcome Dr. Balbino Geriatrician, Baptist AgeWell Center for Senior Health
The Baptist AgeWell Center for Senior Health is pleased to welcome Raphael Tito Balbino, MD, to their practice. Dr. Balbino connects with his patients in a holistic manner by seeing more than just medical conditions. He also seeks to understand how each ailment affects the whole person: mind, body and spirit. Dr. Balbino
Areas of focus:
administers a sustainable healing experience for patients and their
• Physiology of aging
families through a caring and mutually respectful
• Dementia
patient-doctor relationship.
• Caregiver burden
His education and qualifications include:
• Palliative care
• Medical degree from the University of Illinois at Chicago, Chicago, Ill.
For an appointment, call
• Residency in family medicine, Duke University Hospital, Durham, N.C.
904.202.4600.
• Fellowship in geriatrics, University of North Carolina at Chapel Hill, Chapel Hill, N.C. • Fluent in Spanish and Portuguese
Baptist AgeWell Center for Senior Health 841 Prudential Drive Suite 180 Jacksonville, FL 32207 Phone: 904.202.4243 • Fax: 904.202.4639
D O CTO R I N T R O D UCT I O N
Welcome Dr. Bieu Neuropsychologist, Baptist Behavioral Health Baptist Behavioral Health welcomes Rachel Bieu, PhD, to their location at the Aetna building. Dr. Bieu understands that psychiatric and neurological disorders or injury can leave patients and families with a multitude of questions. In working with adults and geriatric populations, Dr. Bieu acknowledges the anxiety patients and families can encounter in deciding to seek out this information via a comprehensive evaluation. She empathically works with individuals and families in navigating the evaluation and feedback process. Her education and qualifications include: • Doctorate in clinical psychology, Suffolk University, Boston, Mass. • Predoctoral internship in clinical psychology, VA Connecticut Healthcare System, West Haven, Conn. • Postdoctoral fellowship in clinical neuropsychology, VA Connecticut Healthcare System, West Haven, Conn.
Baptist Behavioral Health Aetna Building 841 Prudential Drive, 10th Floor Jacksonville, FL 32207 Phone: 904.376.3800 • Fax: 904.396.8972
• Neuropsychological evaluations • Psychological evaluations • Cognitive rehabilitation To refer a patient, call 904.376.3800
PHYSICIAN INTRODUCTION
Welcome Dr. Clagnaz Psychiatrist, Baptist Behavioral Health Peter J. Clagnaz, MD, has joined Baptist Behavioral Health as Medical Director. In addition to his leadership role within Baptist Behavioral Health, Dr. Clagnaz will also actively practice medicine, providing inpatient consultations at Baptist Medical Center Jacksonville. Dr. Clagnaz’s philosophy of care is based upon the uniqueness of the individual. He maintains that careful listening is essential to gaining understanding of each life in its biological, psychological and social context. He believes the practice of medicine is a “team sport”, communication and collaborating with the entire health care team is essential for safe and effective care. His education and qualifications include: • Medical degree from the University of Rochester School of Medicine and Dentistry, Rochester, N.Y. • Internship in internal medicine, Thomas Jefferson University Hospital, Philadelphia, Pa. • Residency in internal medicine and psychiatry, University of Wisconsin Hospital, Madison, Wis. • Board-certified in psychiatry, geriatric psychiatry and internal medicine
800 Prudential Drive Jacksonville, FL 32207 Phone: 904.202.4552 • Fax: 904.391.0167
To contact Dr. Clagnaz, call 904.202.4552.
D O CTO R I N T R O D UCT I O N
Welcome Dr. Garrett Psychologist, Baptist Behavioral Health Baptist Behavioral Health welcomes Jill Garrett, PsyD, to their downtown location at the Aetna Building. Dr. Garrett believes it is important to work with empathy, authenticity and compassion when working with patients. She strives to create a strong working relationship that is built on trust and collaboration. Dr. Garrett’s philosophy of care is integrative in nature, tailoring treatment to each individual with whom she works. Her education and qualifications include:
• Anxiety and stress management • Depression • Adjustment and phase of life issues
• Master of science in counseling, Pace University, Pleasantville, N.Y. • Doctorate in psychology, school-clinical psychology from Pace University, New York, N.Y. • Post-doctoral residency, health psychology from the University of Florida Shands Hospital, Jacksonville, Fla.
841 Prudential Drive 10th Floor Phone: 904.376.3800 • Fax: 904.396.8975
• Trauma and stress-related difficulties For an appointment, call 904.376.3800.
PHYSICIAN INTRODUCTION
Welcome Dr. Arcon Rios Endocrinologist, Baptist Endocrinology Mandarin
Melissa Morgan, MD, is pleased to welcome Sirlys Arcon Rios, MD, to her practice at Baptist Endocrinology in Mandarin. Dr. Arcon is passionate about practicing medicine. She strives to establish superb patient-physician communication so that the individual goals can be achieved.
Areas of focus: • Diabetes management
Her education and qualifications include:
• Thyroid disorders
• Medical degree from Universidad Libre de Colombia, Colombia
• Osteoporosis
• Residency in internal medicine, University of Oklahoma Health
• Hyperlipidemia
Sciences Center, Oklahoma City, Okla. • Fellowship in endocrinology and diabetes, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. • Board-certified in internal medicine • Fluent in Spanish
Baptist Endocrinology Mandarin 11945 San Jose Blvd., Ste. 301 Jacksonville, FL 32223 Phone: 904.260.9699 • Fax: 904.260.9695
• Adrenal disorders • Pituitary disorders To refer a patient, call 904.260.9699
PHYSICIAN INTRODUCTION
Welcome Dr. Walker Otolaryngologist, Baptist ENT Specialists
Please join us in welcoming Paul A. Walker, MD, to the newest Baptist ENT Specialists practice located in the Medical Office Building on the Baptist Clay Medical Campus. Dr. Walker is committed to quality care and passionate about service. His approach utilizes state-of-the-art technology in a professional and relaxed environment. His education and qualifications include: • Medical degree from Rush Medical School, Chicago, Ill. • Residency in otolaryngology, Vanderbilt University Medical Center, Nashville, Tenn. • Board-certified in otolaryngology, head and neck surgery • Fellow of the American Academy of Otolaryngic Allergy
Baptist ENT Specialists 1747 Baptist Clay Drive, Suite 310 Fleming Island, FL 32003 Phone: 904.592.1068 • Fax: 904.541.4728
Areas of focus: • Allergy • Nasal and sinus disorders • Minimally invasive sinus procedures • Voice and throat disorders To refer a patient, call 904.592.1068
PHYSICIAN INTRODUCTION
Meet Dr. Mitchell Hospitalist, Baptist Medical Center Beaches Angela Mitchell, MD, has joined the Baptist Hospitalist team and is practicing at Baptist Medical Center Beaches. As a hospitalist, Dr. Mitchell will work very closely with the patient, their family and the patient’s physicians, both primary care and specialists, so everyone knows and understands the
To contact, please call
care plan.
904.348.0974
Her education and qualifications include: • Medical degree from Baylor College of Medicine, Houston, Texas • Residency in internal Medicine, Baylor College of Medicine, Houston, Texas • Board-certified in internal medicine
Baptist Medical Center Beaches 1350 13th Avenue South Jacksonville Beach, FL 32250 Phone: 904.348.0974 • Fax: 904.348.5627
PHYSICIAN INTRODUCTION
Meet Dr. Myint Hospitalist, Baptist Medical Center Jacksonville Kyaw Myint, MD, has joined the Baptist Hospitalist team and is practicing at Baptist Medical Center Jacksonville. As a hospitalist, Dr. Myint will work very closely with the patient, their family and the patient’s physicians, both primary care and specialists, so everyone knows and understands the care plan.
To contact, please call 904.348.0974
His education and qualifications include: • Medical degree from Institute of Medicine 2, Yangon, Myanmar • Residency in internal medicine, Long Island College Hospital, New York City, N.Y. • Board-certified in internal medicine
Baptist Medical Center Jacksonville 800 Prudential Drive Jacksonville FL, 32207 Phone: 904.348.0974 • Fax: 904.348.5627
PHYSICIAN INTRODUCTION
Meet Dr. Pai Hospitalist, Baptist Medical Center Jacksonville Savita Pai, MD, has joined the Baptist Hospitalist team and is practicing at Baptist Medical Center Jacksonville. Dr. Pai believes that it is important to educate her patients so they can fully understand their health conditions and treatment plans. She strives to achieve trust and healthy communication
To contact, please call
with her patients so together they can create an individualized
904.348.0974
treatment plan with achievable goals. Her education and qualifications include: • Medical degree from Florida State University, Tallahassee, Fla. • Residency in internal medicine, University of Cincinnati Medical Center, Cincinnati, Ohio • Chief Resident, University of Cincinnati Medical Center, Cincinnati, Ohio • Board-certified in internal medicine
Baptist Medical Center Jacksonville 800 Prudential Drive Jacksonville FL, 32207 Phone: 904.348.0974 • Fax: 904.348.5627
PHYSICIAN INTRODUCTION
Meet Dr. Paya Physician Advisor and Hospitalist, Baptist Primary Care Alejandro Paya, DO, FACP, has joined Baptist Primary Care as Physician Advisor in the Utilization Management Department. In addition to his leadership role with Baptist Primary Care, Dr. Paya also actively practices medicine as a Baptist Primary Care Hospitalist, providing inpatient care at all Baptist Medical Center campuses.
To contact, please call 904.348.0974
As a hospitalist, Dr. Paya works very closely with the patient, their family and the patient’s physicians, both primary care and specialists, so everyone knows and understands the care plan. His education and qualifications include: • Medical degree from Nova Southeastern College of Osteopathic Medicine, Fort Lauderdale, Fla. • Internship and residency in internal medicine, University of Florida, Gainesville, Fla. • Board-certified in internal medicine
Baptist Medical Center Jacksonville 800 Prudential Drive Jacksonville FL, 32207 Phone: 904.348.0974 • Fax: 904.348.5627
PHYSICIAN INTRODUCTION
Meet Dr. Thomas Hospitalist, Baptist Medical Center Jacksonville
Sam Thomas, MD, has joined the Baptist Hospitalist team and is practicing at Baptist Medical Center Jacksonville. As a hospitalist, Dr. Thomas will work very closely with the patient, their family and the patient’s physicians, both primary care and specialists, so everyone knows and understands the care plan. His education and qualifications include: • Medical Degree from St. George’s University, True Blue, Grenada • Residency in internal Medicine, University of Florida College of Medicine, Jacksonville, Fla. • Member of the American College of Physicians
Baptist Medical Center Jacksonville 800 Prudential Drive Jacksonville, FL 32207 Phone: 904.348.0974 • Fax: 904.348.5627
To contact, call 904.348.0974.
PHYSICIAN INTRODUCTION
Meet Dr. Yadon Hospitalist, Baptist Medical Center Jacksonville Sarah Yadon, MD, has joined the Baptist Hospitalist team and is practicing at Baptist Medical Center Jacksonville. As a hospitalist, Dr. Yadon will work very closely with the patient, their family and the patient’s physicians, both primary care and specialists, so everyone knows and understands the care plan.
To contact, please call 904.348.0974
Her education and qualifications include: • Medical degree from Florida State University College of Medicine, Tallahassee, Fla. • Internship in internal medicine, University of Tennessee Health Sciences Center, Memphis, Tenn. • Residency in internal medicine, University of Tennessee Health Sciences Center, Memphis, Tenn.
Baptist Medical Center Jacksonville 800 Prudential Drive Jacksonville FL, 32207 Phone: 904.348.0974 • Fax: 904.348.5627
PHYSICIAN INTRODUCTION
Welcome Dr. Putnam Medical Director, Baptist MD Anderson Cancer Center Join us in welcoming Joe B. “Bill” Putnam, MD, FACS, who will serve as Medical Director for Baptist MD Anderson Cancer Center opening October 1. In addition to his leadership role within Baptist MD Anderson Cancer Center, Dr. Putnam will actively practice medicine providing oncologic thoracic surgery consultations for patients with known or suspected thoracic malignancy.
Areas of focus:
Dr. Putnam has extensive experience in the surgical management of a
• Lung cancer
wide spectrum of simple and complex thoracic diseases. He has
• Esophageal cancer
expertise in resection of complex thoracic tumors, advanced intrathoracic cancers, reoperative thoracic and esophageal surgery, management of thoracic manifestations of cancer treatment, and the integrated multidisciplinary management of thoracic neoplasms.
• Pulmonary metastases • Benign and malignant pleural diseases
His education and qualifications include:
• Chest wall tumors
• Medical degree from University of North Carolina, Chapel Hill, N.C.
• Mediastinal tumors
• Residency in surgery, Johns Hopkins Hospital, Baltimore, Md.
To refer a patient, call
• Fellowship in surgery, National Cancer Institute, Bethesda, Md.
1.844.MDA.BAPTIST
• Residency in surgery, University of Rochester School of Medicine and Dentistry, Rochester, N.Y. • Residency in thoracic surgery, University of Michigan, Ann Arbor, Mich. • Board-certified in thoracic surgery
Baptist MD Anderson Cancer Center 1235 San Marco Boulevard Jacksonville, FL 32207 Phone: 1.844.MDA.BAPTIST • Fax: 904.202.4980
(1.844.632.2278)
PHYSICIAN INTRODUCTION
Welcome Dr. Cavaliere Neuro Oncologist, Baptist MD Anderson Cancer Center Baptist Health welcomes Robert Cavaliere, MD, to Baptist MD Anderson Cancer Center. Dr. Cavaliere’s primary focus is the diagnosis and management of brain and spine tumors. In addition to the longitudinal care and medical management of patients with these conditions, he is responsible for the coordination of services of a specialized multidisciplinary team. His interests lie in tumors arising primarily from the brain and spine as well as metastatic disease. Dr. Cavaliere is also interested in the neurological complications of cancer.
Areas of focus: • Diagnosis and treatment of brain and spine cancer • Primary and metastatic
His education and qualifications include:
brain tumors
• Medical degree from New York Medical College, Valhalla, N.Y.
• Cancer neurology
• Internship in internal medicine, Westchester Medical Center,
• Survivorship care
Valhalla, N.Y. • Residency in neurology and fellowship in neuro-oncology, University of Virginia, Charlottesville, Va. • Fellowship in neuro-oncology, University of Virginia, Charlottesville, Va. • Board-certified in neurology
Baptist MD Anderson Cancer Center 1235 San Marco Boulevard Jacksonville, FL 32207 Phone: 1.844.MDA.BAPTIST • Fax: 904.202.7377
• Quality of life To refer a patient, call 1.844.MDA.BAPTIST (1.844.632.2278)
PHYSICIAN INTRODUCTION
Welcome Dr. Gorak Hematologist Oncologist, Baptist MD Anderson Cancer Center Baptist Health welcomes Edward J. Gorak, DO, MBA, MS, FACP, to Baptist MD Anderson Cancer Center. Dr. Gorak is deeply committed to the care of patients with cancer. He is equally passionate about providing care for patients with blood cancers and other blood disorders. Dr. Gorak makes a conscious effort to listen to his patients, caregivers, staff and physician colleagues and has a great interest in serving as his patient’s coach throughout their battle with cancer. His education and qualifications include:
Areas of focus: • Multiple myeloma • Leukemia • Lymphoma • Bone marrow
• Medical degree from University of New England College of Osteopathic Medicine, Biddeford, Maine • Internship and residency in internal medicine, Tripler Army Medical Center, Honolulu, Hawaii • Fellowship in hematology-oncology, Walter Reed Army Medical Center, D.C. • Board-certified in hematology, medical oncology and internal medicine
Baptist MD Anderson Cancer Center 1235 San Marco Boulevard Jacksonville, FL 32207 Phone: 1.844.MDA.BAPTIST • Fax: 904.202.4980
transplantation • Non-malignant hematology • Immunodeficiencies To refer a patient, call 1.844.MDA.BAPTIST (1.844.632.2278)
PHYSICIAN INTRODUCTION
Welcome Dr. Pennock Hematologist Oncologist, Baptist MD Anderson Cancer Center Join us in welcoming Gregory K. Pennock, MD, FACP, to the Baptist MD Anderson Cancer Center. Dr. Pennock believes that patients should be offered the best care available which not only includes access to knowledgeable physicians, but also all the supportive care measures our patients deserve. He enjoys spending time with patients and believes that they should be informed participants in their care. Dr. Pennock focuses on the care of patients with rare and complex cancers. His education and qualifications include: • Medical degree from University of Texas Medical Branch, Galveston, Texas • Internship in internal medicine, Tulane University School of Medicine, New Orleans, La. • Residency in internal medicine, Allegheny General Hospital, Pittsburgh, Pa. • Fellowship in hematology-oncology, University of Pittsburgh School of Medicine, Pittsburgh, Pa. • Board-certified in hematology/oncology and internal medicine
Baptist MD Anderson Cancer Center 1235 San Marco Boulevard Jacksonville, FL 32207 Phone: 1.844.MDA.BAPTIST • Fax: 904.202.7377
Areas of focus: • Melanoma • Kidney cancer • Skin cancer • Immunotherapy • Clinical trials To refer a patient, call 1.844.MDA.BAPTIST (1.844.632.2278)
PHYSICIAN INTRODUCTION
Welcome Dr. Sullivan Hematologist Oncologist, Baptist MD Anderson Cancer Center Join us in welcoming Jessica Sullivan, DO, to the Baptist MD Anderson Cancer Center. Dr. Sullivan excels in one-on-one communication, offering compassionate and straightforward explanations which convey the intricacies of each patient’s condition and treatment plan. She is committed to providing up-to-date oncologic and hematologic care to her patients, including novel targeted therapies. Dr. Sullivan believes
Areas of focus: • Breast oncology
that one day cancer will be treated as a chronic illness with combination
• Thoracic oncology
targeted therapies, much like diabetes or heart disease.
• GI oncology
Her education and qualifications include:
• Benign hematology
• Medical degree from Nova Southeastern College of Osteopathic Medicine, Fort Lauderdale, Fla. • Residency in internal medicine, University of Florida, Gainesville, Fla. • Fellowship in hematology and oncology, University of Florida, Gainesville, Fla. • Board-certified in hematology oncology
• Lymphomas • Head and neck cancers • Bladder and prostate cancer To refer a patient, call 1.844.MDA.BAPTIST (1.844.632.2278)
Baptist MD Anderson Cancer Center 1235 San Marco Boulevard Jacksonville, FL 32207 Phone: 1.844.MDA.BAPTIST • Fax: 904.202.7377
PHYSICIAN INTRODUCTION
Welcome Dr. Vu Medical Oncologist, Baptist MD Anderson Cancer Center
Join us in welcoming John Vu, MD, to Baptist MD Anderson Cancer Center in October. Dr. Vu practices with the “Golden Rule” in mind, treating patients as he would want himself and his family members to be treated. He prides himself on being present for his patients. Dr. Vu discusses treatment
Areas of focus:
options with his patients in ways that are easy to understand and in
• Breast cancer
doing so relieves feelings of uncertainty that often come with a
• Lung cancer
cancer diagnosis.
• Clinical research
His education and qualifications include:
• Lymphoma
• Medical degree from Ross University School of Medicine,
• Prostate cancer
Portsmouth, Dominica • Residency in internal medicine, University of Florida and Shands Hospital, Jacksonville, Fla. • Residency in internal medicine, University of Florida and Shands Hospital, Jacksonville, Fla. • Board-certified in medical oncology
Baptist MD Anderson Cancer Center 1235 San Marco Boulevard Jacksonville, FL 32207 Phone: 1.844.MDA.BAPTIST • Fax: 904.202.7377
• Malignant melanoma • Malignant hematology • Immunotherapy To refer a patient, call 1.844.MDA.BAPTIST (1.844.632.2278)
PHYSICIAN INTRODUCTION
Welcome Dr. Mody Neurologist, Baptist Neurology Group Baptist Neurology Group is pleased to welcome Devanshi Mody, MD, who will be seeing outpatients at their downtown office in the Aetna Building as well as providing neurological testing services at the Lakewood office. Dr. Mody partners with her patients in their care by taking the time to understand their needs and goals as well as empowering them with health education. She believes that it is ultimately the respect and cooperation between the patient and physician that leads to the best possible results. Her education and qualifications include: • Medical degree from Northeastern Ohio Medical University, Rootstown, Ohio • Residency in neurology, George Washington University Medical Center, D.C. • Fellowship in clinical neurophysiology, Medical University of South Carolina, Charleston, S.C. • Board-certified in neurology
Baptist Neurology Group Aetna Building 841 Prudential Drive, 10th Floor Jacksonville, FL 32207 Phone: 904.398.5404 • Fax: 904.384.1005
Areas of focus: • Neuropshysiology • Neuromuscular disorders • Dementia • Epilepsy and seizure disorders • Multiple sclerosis • Stroke To refer a patient, call 904.398.5404
PHYSICIAN INTRODUCTION
Welcome Dr. Sebesto Neurohospitalist, Baptist Neurology Group Baptist Neurology Group is pleased to welcome Jason Sebesto, DO, to their practice at Baptist Medical Center Beaches. Dr. Sebesto uses state-of-the-art diagnostics and treatments to provide advanced, aggressive care to stroke patients. He is dedicated to making the hospital experience as pleasant as possible and engages his patients in the medical decision making
Areas of focus:
process. Dr. Sebesto advocates for patient education, believing that
• Hospital neurology
with more understanding of what they are up against, patients have
• Emergency neurology
a greater desire to fight the illness. His education and qualifications include:
• Stroke and cerebrovascular disease
• Medical degree from Des Moines University, Des Moines, Iowa
• Seizures
• Internship in internal medicine, Mayo Clinic, Jacksonville, Fla.
To contact, call
• Residency in neurology, Mayo Clinic, Jacksonville, Fla.
Baptist Neurology Group 1370 13th Avenue South Jacksonville Beach, FL 32250 Phone: 904.249.1041 • Fax: 904.249.9764
904.249.1041.
PHYSICIAN INTRODUCTION
Welcome Dr. Anderson Family Medicine, Baptist Primary Care
Baptist Primary Care welcomes Sheena Anderson, DO, to their location near the River City Marketplace. Dr. Anderson enjoys getting to know her patients personally and feels that having this relationship greatly facilitates the health of her patients. She believes the best care plan is reached through
Areas of focus:
personal knowledge of the patient along with education where the
• Women’s health
physician and the patient communicate openly and honestly about
• Diabetes
the options. Dr. Anderson also emphasizes preventive care as a keystone for health. Her education and qualifications include: • Doctor of medicine from the West Virginia School of Osteopathic Medicine, Lewisburg, W. Va. • Residency in family medicine, Eastern Virginia Medical School, Norfolk, Va. • Board-certified in family medicine
Baptist Primary Care (Located near the airport and River City Marketplace) 524 Skymarks Drive, Suite 1 Jacksonville, FL 32218 Phone: 904.696.7333 • Fax: 904.696.1926
• High blood pressure • High cholesterol To refer a patient, call 904.696.7333
PHYSICIAN INTRODUCTION
Welcome Dr. Balog Family Medicine, Baptist Primary Care
The physicians of Baptist Primary Care Mandarin South are pleased to welcome Jonathan Balog, DO, to their practice. In order to achieve desired outcomes, Dr. Balog combines evidencebased medicine with patient goals. Trust and understanding are at the center of Dr. Balog’s practice and he places emphasis on the patient-
Areas of focus:
doctor relationship in order to ensure high-quality care. Dr. Balog
• Preventive medicine
is dedicated to disease prevention and encourages his patients to
• Men’s health
maintain healthy and happy lifestyles.
• Diabetes management
His education and qualifications include:
• Sports medicine
• Medical degree from Nova Southeastern University College of
For an appointment, call
Osteopathic Medicine, Davie, Fla. • Residency in family medicine, Mayo Clinic, Jacksonville, Fla. • Member of the American Academy of Family Physicians
Mandarin South 11261 San Jose Boulevard Jacksonville, FL 32223 Phone: 904.292.9033 • Fax: 904.292.4127
904.292.9033.
PHYSICIAN INTRODUCTION
Welcome Dr. Schlotzer Family Medicine, Baptist Primary Care
The physicians of Baptist Primary Care Mandarin South are pleased to welcome Lynsey K. Schlotzer, MD, to their practice. Dr. Schlotzer strives to redefine the doctor’s office as a comfortable setting to have a shared discussion that is patient-driven. She combines evidence-based medicine while collaborating with patients to determine
Areas of focus:
which care plans work best for them. Dr. Schlotzer believes in behavior
• Musculoskeletal injuries
modification and non-pharmacologic therapies as initial treatments
• Osteoarthritis
whenever appropriate. Her education and qualifications include: • Medical degree from American University of the Caribbean, St. Maarten, Netherlands Antilles
• Men and women’s wellness exams • Injection therapies • Sports medicine
• Residency in family medicine, Mayo Clinic, Jacksonville, Fla.
For an appointment, call
• Fellowship in sports medicine, University of Louisville, Louisville, Ky.
904.292.9033.
• Board-certified in family and sports medicine
Mandarin South 11261 San Jose Boulevard Jacksonville, FL 32223 Phone: 904.292.9033 • Fax: 904.292.4127
PHYSICIAN INTRODUCTION
Welcome Dr. Bagley Rheumatologist, Baptist Rheumatology Baptist Rheumatology is pleased to welcome Adam Bagley, MD, to their practice downtown at the Reid Medical Building. Dr. Bagley believes that a strong patient and physician partnership is important to improving the overall health and wellness of his patients. He assists each patient in understanding their disease and treatment options working together to develop an individualized care plan. Dr. Bagley considers effective communication with the patient, their family and all health care providers to be essential to the care process.
Areas of focus: • Rheumatoid arthritis • Inflammatory diseases of muscle
His education and qualifications include: • Bachelor degree in biology, Magna Cum Laude, University of Georgia, Athens, Ga. • Medical degree, Medical College of Georgia, Augusta, Ga. • Residency in internal medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colo. • Fellowship in rheumatology, University of Colorado, Anschutz Medical Campus, Aurora, Colo. • Board-certified internal medicine
Reid Medical Building 1325 San Marco Blvd., Ste. 502 Jacksonville, FL 32207 Phone: 904.396.8656 • Fax: 904.396.8621
• Osteoporosis • Lupus • Fibromyalgia To contact, please call 904.396.8656.
PRACTI C E INT ROD UCT ION
Welcome Dr. Smith and Dr. Manthe Jacksonville Orthopaedic Institute Jacksonville Orthopaedic Institute is pleased to welcome Gregory Smith, MD, and Megan Manthe, MD, to its newest practice at Baptist Medical Center Nassau. Bringing more than 19 years of combined experience, Dr. Smith and Dr. Manthe will provide residents of Nassau County with a wide array of orthopedic services, from ankle fractures to total joint replacements and everything in between. Their areas of focus include: • Sports Medicine
• Fracture management
• Total knee and anterior hip replacement
• Hand surgery
• Shoulder and knee arthroscopy
• General orthopedics
• Pediatric injuries and fracture care
To refer a patient, call 904.JOI.2000
Jacksonville Orthopaedic Institute 1250 South 18th St., Ste. 204 Amelia Island, FL 32034 Phone: 904.JOI.2000 • Fax: 904.996.9412
PHYSICIAN INTRODUCTION
Welcome Dr. Chmayssani Neurocritical Care, Lyerly Neurosurgery Lyerly Neurosurgery is pleased to welcome Mohamad Chmayssani, MD, to their practice at Baptist Medical Center Jacksonville. Dr. Chamyssani’s philosophy of care represents more than a view point; it is a commitment. He has pledged to make the care of his patients a personal responsibility. Dr. Chamyssani thrives to care for his patients with the highest order of compassion, innovation, science and technology. His education and qualifications include: • Medical degree from the American University of Beirut, Beirut, Lebanon • Post-doctoral fellowship in cerebrovascular diseases, Tanebaum Stroke Center at Columbia University, New York, N.Y. • Internship in internal medicine, Baylor College of Medicine, Houston, Texas • Residency in neurology, Baylor College of Medicine, Houston, Texas • Fellowship in neurocritical care, University of California Los Angeles, Los Angeles, Calif. • Board-certified neurology
Lyerly Neurosurgery 800 Prudential Drive Tower B, 11th Floor Jacksonville, FL 32207 Phone: 904.388.6518 • Fax: 904.384.1005
Areas of focus: • Neuromuscular emergencies • Intracerebral and subarachnoid hemorrhage • Ischemic stroke • Traumatic brain injury • Status epilepticus To contact, call 904.388.6518
PHYSICIAN INTRODUCTION
Welcome Dr. Naval Neurocritical Care, Lyerly Neurosurgery Lyerly Neurosurgery is pleased to welcome Neeraj Naval, MD, to their practice at Baptist Medical Center Jacksonville as the new Director of Neurocritical Care and Inpatient Neurology. Dr. Naval’s practice focuses on the management of patients with neurocritical illness, which encompasses a variety of life threatening conditions. His goal is to improve functional neurological outcomes, since quality of life is just as important as survival. His education and qualifications include: • Medical degree from Grant Medical College, Mumbai, India • Internship in internal medicine, Lincoln Medical Center, Bronx, N.Y. • Residency in neurology, Drexel University College of Medicine, Philadelphia, Pa. • Fellowship in neurocritical care, Johns Hopkins Hospital, Baltimore, Md. • Faculty neurointensivist, Director of Johns Hopkins Bayview Medical Center Neurocritical Unit, Baltimore, Md. • Board-certified in neurocritical care and neurology
Lyerly Neurosurgery 800 Prudential Drive Tower B, 11th Floor Jacksonville, FL 32207 Phone: 904.388.6518 • Fax: 904.384.1005
Areas of focus: • Intracerebral hemorrhage • Subarachnoid hemorrhage • Ischemic stroke • Traumatic brain injury • Acute spinal cord injury • Status epilepticus • Neuromuscular emergencies To contact, call 904.388.6518.
PHYSICIAN INTRODUCTION
Welcome Dr. Raya Neurocritical Care, Lyerly Neurosurgery Lyerly Neurosurgery is pleased to welcome Amanda Raya, MD, to their practice at Baptist Medical Center Jacksonville. Dr. Raya is dedicated to giving neurological emergency patients the best medical care available. She is committed to clinical research and furthering understanding of how we can provide better medical and surgical care to patients in the Neuro ICU. By combining her
Areas of focus:
passion for caring for complex patients with her desire to improve
• Neurocritical care
care, Dr. Raya is able to provide dynamic neurocritical care that can
• Subarachnoid hemorrhage
drastically change a patient’s outcome. Her education and qualifications include: • Medical degree from Washington University School of Medicine, St. Louis, Mo. • Residency in neurology, Washington University School of Medicine, St. Louis, Mo. • Fellowship in neurocritical care, Washington University School of Medicine, St. Louis, Mo. • Board-certified in neurology
Lyerly Neurosurgery 800 Prudential Drive Tower B, 11th Floor Jacksonville, FL 32207 Phone: 904.388.6518 • Fax: 904.384.1005
• Ischemic and hemorrhagic stroke • Traumatic brain injury • Peripheral nerve disorders • Post-operative care for spinal surgery and brain tumors To contact, call 904.388.6518
Physician Referral 1.844.MDA.BAPTIST or 904.202.7300 Patient Referral Options. Please select the option below that works best for you to refer or schedule a new patient. FAX
CALL
ONLINE
Fax this form to 904.202.2754 or email this form to BMDAptref@bmcjax.com
Call patient scheduling at 1.844.MDA.BAPTIST or 904.202.7300
Submit an online referral by visiting baptistjax.com/BMDA-referral and clicking the physician referral tab
Patient Profile Name ___________________________________________________________ Date of Birth __________________________________________ Contact Number 1_________________________________________________ Contact Number 2_____________________________________ Address _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________
Insurance Information Referral# _______________________________________ Primary Carrier ________________________________________________________ Subscriber Name _______________________________ Subscriber DOB ________________ Policy Number ________________________ Secondary Carrier ______________________________________________________________________________________________________ Subscriber Name _______________________________ Subscriber DOB ________________ Policy Number ________________________
Referring Physician Information Date of Referral _____________________________ Referring Physician _________________________________________________________ Diagnosis ______________________________________________________________________________________________________________ Contact Name___________________________ Contact Number_________________________ Fax Number___________________________ Patient is being referred for:
o Medical Oncology/Hematology o Radiation Oncology o GYN Oncology o Surgery o Other
Reason for Referral: _____________________________________________________________________________________________________ Is this referral for a second opinion?
o Yes o No
Has patient been informed of the diagnosis:
o Yes o No
Has the patient had any of the following related to this diagnosis?
Is the patient aware of this referral?
o Yes o No
o Biopsy o Surgery o Chemotherapy o Radiation
Notes: _________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ 11/2015
BMDA_1015_PhysicianReferral_Form_v09.indd 1
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Welcome Baptist MD Anderson Cancer Physicians
Join us in the fight to end cancer #endcancerJAX
BaptistMDAnderson.com
Welcome Baptist MD Anderson Cancer Physicians Dear Colleague,
Bill Putnam, MD Thoracic Surgery
Partnering with you and your patients is a priority for the faculty and team of the new Baptist MD Anderson Cancer Center. As we embark on transforming oncology care in the region, I am committed to staying in close communication with you. Please join me in welcoming our dedicated oncology specialists comprising the growing multidisciplinary practice of Baptist MD Anderson Cancer Physicians. We are grateful for your trust and are committed to working collaboratively to serve you, your patients and their families. Sincerely,
Joe B. (Bill) Putnam, MD Medical Director, Baptist MD Anderson Cancer Center
Medical Oncology
Edward Gorak, DO Hematology Oncology
Gregory Pennock, MD Jessica Sullivan, DO Hematology Oncology Hematology Oncology
John Vu, MD Medical Oncology
Radiation Oncology
Cynthia Anderson, MD Radiation Oncology
Mark Augspurger, MD Radiation Oncology
Robert Zaiden, MD Medical Oncology
Neuro Oncology
Robert Cavaliere, MD Neuro Oncology
Michael Olson, MD Radiation Oncology
Michael Petr, MD Neurosurgery
Referral processes have been designed to make it easy for you to provide your patients with rapid access to appointments. PHONE
904.202.7300 or 1.844.632.2278
FAX
904.202.2754
ONLINE
baptistjax.com/BMDA-referral
Surgical Oncology
Stephen Buckley, MD Gynecologic Oncology Surgery
Charles Cobb, MD Urologic Surgery
Charles D. Cousar, MD Cardiothoracic Surgery
Steven Hodgett, MD General Surgery
Craig Morgenthal, MD General Surgery
David Niemeyer, MD General Surgery
Bill Putnam, MD Thoracic Surgery
Robert Still, MD Cardiothoracic Surgery
Douglas Swartz, MD Urologic Surgery
Ankit Desai, MD Michael Fallucco, MD Theodore S. Felger, MD Plastic & Plastic & General Surgery Reconstructive Surgery Reconstructive Surgery
Paul Nowicki, MD Joseph Parks, MD Gynecologic Oncology Plastic & Surgery Reconstructive Surgery
Apoorva Vashi, MD Urologic Surgery
C. Shawn West, MD Urologic Surgery
Gordon Polley, MD General Surgery
Jenny Whitworth, MD Gynecologic Oncology Surgery
Medical Specialty Physician Leads Gastroenterology & Hepatology
Kyle Etzkorn, MD Gastroenterology
Catherine Manolakis, MD Gastroenterology
Diagnostic Imaging & Interventional Radiology
Jesse Davila, MD Radiology
Douglas Gesner, MD Interventional Radiology
Baptist MD Anderson Cancer Physicians
Pulmonology
Jennifer Fulton, MD Pulmonology
William Gill, MD Pulmonology
Pathology & Lab Medicine
Mark Hanly, MD Pathology
Referral Line 904.202.7300
MD Anderson’s world-renowned approach to cancer care is now available in northeast Florida at Baptist MD Anderson Cancer Center. MAIN CAMPUS 1235 San Marco Blvd. Jacksonville, FL 32207 In our dedicated facility on the campus of Baptist Jacksonville, we are replicating the proven model of care pioneered by the world-renowned MD Anderson Cancer Center more than 70 years ago.
Streamlined patient referrals Referral processes have been designed to make it easy for you to refer how and when you like, while providing your patients with rapid access to appointments.
PHONE
904.202.7300 or 1.844.632.2278
FAX
904.202.2754
ONLINE
baptistjax.com/BMDA-referral
Need assistance? Please call our business development team hotline at 904.202.4980.
Dedicated patient access specialists Baptist MD Anderson accepts most major insurances and has a team of dedicated patient access specialists who will review patient insurance benefits and arrange financial counseling when needed. When your patients arrive for their first appointment with us, we want them to feel confident and relaxed, so we’ve prepared a new patient checklist just for them at baptistjax.com/cancer-patient.
WE ARE JACKSONVILLE’S ORTHOPAEDIC INSTITUTE JOI Appointment Line JOI-2000
Michael L. Adams, MD Hiram A. Carrasquillo, MD Steven M. Crenshaw, MD David A. Doward, MD Sunday U. Ero, MD Carl Freeman, MD Sports Medicine Foot & Ankle Sports Medicine Physical Medicine & Spine Surgery Sports Medicine Minimally Invasive Surgery Sports Medicine Joint Replacement Rehabilitation - Spine Team Orthopaedic Traumatology Joint Replacement Riverside San Marco San Marco Sports Medicine Riverside Back & Neck, Foot & Ankle San Marco San Marco
Brett P. Frykberg, MD Joint Replacement. Hip & Knee, Sports Medicine San Marco
Garry S. Kitay, MD Hand & Upper Extremity Joint Replacement Sports Medicine San Marco
Richard R. Grimsley, MD Joint Replacement Fleming Island & Riverside
Timothy R. Hastings, MD Brandon J. Kambach, MD Kevin Michael Kaplan, MD Gregory C. Keller, MD Sports Medicine Back and Neck Sports Medicine Back & Neck, Joint Replacement Baptist South Joint Replacement Joint Replacement Foot & Ankle, San Marco Sports Medicine Back & Neck, Hand Baptist South & San Marco Baptist Beaches
Robert J. Kleinhans, MD Hand, Joint Replacement Sports Medicine University
Steven J. Lancaster, MD Stanton L. Longenecker, MD Sports Medicine, Joint Replacement Joint Replacement Sports Medicine Foot & Ankle, Hand Riverside Baptist Beaches
Jennifer L.M. Manuel, MD Scott McGinley, MD H. Lynn Norman, MD Hand & Upper Extremity Hand & Upper Sports Medicine Baptist South Extremity, Back & Neck, Sports Joint Replacement Medicine, Joint Replacement Riverside Fleming Island
Gregory Smith, MD Sports Medicine, Upper & Lower Extremity, Pediatrics JOI Nassau
Richard A. Picerno II, MD Sports Medicine Joint Replacement Baptist South
R. Stephen Lucie, MD Sports Medicine Joint Replacement San Marco
Megan Manthe, MD Sports Medicine Joint Replacement Foot & Ankle JOI Nassau
Robert G. Savarese, DO William G. Pujadas, MD Physical Medicine & Sports Medicine, Rehabilitation - Spine Team Joint Replacement Baptist South & San Marco San Marco
Gregory Solis, MD Foot & Ankle Sports Medicine Baptist South
Nigel W. Sparks, MD Sports Medicine, General Orthopaedics Fleming Island
Maxwell W. Steel III, MD Sports Medicine, Foot & Ankle Joint Replacement University
Bruce Steinberg, MD Hand & Upper Extremity Joint Replacement Sports Medicine Baptist South & San Marco
M. John Von Thron, MD Sports Medicine Joint Replacement Foot & Ankle, Hand Baptist Beaches
Dale A. Whitaker, MD Sports Medicine Joint Replacement Foot & Ankle, Hand Baptist Beaches
Michael Yorio, M.D. Internal Medicine Sports Medicine San Marco
Edward D. Young, MD Sports Medicine Joint Replacement Foot & Ankle, Hand Baptist Beaches
Carlos R. Tandron, MD Sports Medicine Joint Replacement San Marco
Cumberland Island
4
6/G
5
7/G
JOI Appointment Line JOI-2000 – Fax: 996-9412
Office Locations 1
Baptist Beaches 1577 Roberts Dr., Suite 225 - Jacksonville Beach, FL 32250 P: 904.241.1204 • F: 241.7331
5
Riverside 2 Shircliff Way, DePaul Bldg, Suite 300 - Jacksonville, FL 32204 P: 904.388.1400 • F: 388.9644
2
Baptist South 14540 Old St. Augustine Rd., Suite 2201 - Jacksonville, FL 32258 P: 904.880.1260 • F: 880.1210
6
San Marco 1325 San Marco Blvd, Suite 200 - Jacksonville, FL 32207 P: 904.858.6400 • Main 904.346.3465 • F: 396.0388
3
Fleming Island/Clay County 1845 Town Center Blvd., Suite 405 - Fleming Island, FL 32003 P: 904.276.5776 • F: 276.5958
7
University 5737 Barnhill Dr., Suite 102 - Jacksonville, FL 32207 P: 904.739.3319 • F: 448.1416
4
JOI Nassau 1250 S 18th St., Suite 204 - Fernandina Beach, FL 32034 P: 904.261.8787 • F: 261.9353
Rehabilitation Centers A
Baptist Beaches 1577 Roberts Dr., Suite 320 - Jacksonville Beach, FL 32250 P: 904.247.3324 • F: 247.3926
F
Westside 5393 Roosevelt Blvd, Suite 17 - Jacksonville, FL 32210 P: 904.389.8570 • F: 389.8599
B
Mandarin 12276 San Jose Blvd., Suite 716 & 717 - Jacksonville, FL 32223 P : 904.288.9604 • F: 288.9643
G
San Marco 1325 San Marco Blvd., Suite 102 - Jacksonville, FL 32207 P: 904.858.7045 • F: 858.7047
C
North 12961 North Main St., Suite 201 & 202 - Jacksonville, FL 32218 P: 904.757.2474 • F: 757.5541
H
South (Spine Center) 14985 Old St. Augustine Rd., Suite 106 - Jacksonville, FL 32258 P: 904.288.9491 • F: 288.9698
D
Fleming Island 1845 Town Center Blvd. Suite 410 - Fleming Island, FL 32003 P: 904-621-0396 • F: 621.0397
I
University 5737 Barnhill Dr., Suite 204 - Jacksonville, FL 32207 P: 904.733.9948 • F: 733.9984
E
Point Meadows 7740 Point Meadows Dr., Suite 1 & 2 - Jacksonville, FL 32256 P: 904.564.9594 • F: 564.9687
Sports Medicine Provider
8/2015
Your Medicare and Medicaid Enrollment Paperwork When you receive enrollment paperwork, similar to these examples here, forward it immediately to BPE Credentialing. Often times, the paperwork comes in a yellow envelope like this one pictured. BPE Credentialing handles all re-enrollment in Medicare and Medicaid programs, but we need you to send us your forms. Fax, mail or interoffice your paperwork to: BPE Credentialing 3563 Philips Highway, Ste. 106-A Jacksonville, FL 32207 904.391.5001 Fax If you have questions, please email credentialing.specialists@bmcjax.com or call 904.376.3707.
Dr. Sample A. Sample Address City, State
Dr. Sample A. Address City, State
Sample
Wellness Referral To place a wellness coach consult: 1. Open up the ACI in the patient’s chart 2. Click on FU/Ref under the orders tab and type WELLNESS COACH into the search bar 3. Right click the consult order to edit 4. In the “Recipient” field click the search binoculars and when the popup appears, type Wellness into the “First Name” field. (Referral to Wellness Coach will appear.) 5. In the questions section under “Reason” please type one of the following: Reason
Jewish Community Alliance (JCA)
Baptist Health Wolfson Wellness Center
Y Healthy Living Center
Health coaching (Lifestyle modification/behavior change)
3
3
3
Weight management
3
3
3
Exercise (cardio, strength, flexibility)
3$
3$
3$
Meet with dietitian
3$
*
3$
Support groups
3
Baptist Health (medical fitness) – diabetes
3$
3 3$
Diabetes Prevention Program™ $ = cost associated with program
3$
* Offered through Baptist Health clinical nutrition therapy. Refer appropriately.
6. Under “Authorization Number” can type N/A Consult can then be faxed manually or electronically to 904.391.5168. The patient will receive a call from a Baptist wellness coach within five (5) business days. An initial phone call will be used to assess your patient’s needs and goals (unless otherwise specified) and then they will be directed to the appropriate services based on your patient’s location or nearest facility. The patient will be offered an in-person free consultation with a wellness coach. For questions, call 904.202.5367.
What is Health Coaching? Health coaching is a partnership with the patient. Throughout the partnership, the health coach will be a supportive mentor, motivating him or her to make positive health choices that will impact his or her overall wellbeing. The health coach will educate, support and guide to help the patient achieve personal health goals. The patient will be connected to appropriate resources, programs, and tools. Who are the health coaches? Baptist Health staff at the Y Healthy Living Centers, JCA Wellness Connexion, or Wolfson Wellness with a bachelor or master’s degree in health education and/or registered nurses with training in behavior change. What type of patient should be referred? n
Overweight/obese
n
18 years or older
n
Pre-diabetic or managed diabetic
n
Needs help with nutrition and exercise
n
Needs a coach to keep them on track with lifestyle changes before the next office visit
What locations offer wellness/health coaching? JCA 8505 San Jose Blvd, Jacksonville, FL 32217 YMCA 10415 San Jose Blvd, Jacksonville, FL 32257 170 Landrum Ln, Ponte Vedra Beach, FL 32082 Wolfson Wellness Center 800 Prudential Drive, Baptist Heart Hospital, 2nd Floor, Jacksonville, FL 32207