Health Plan Directory by Region

Revised 11-6-2017

AETNA- Health Plan Payer ID: 128VA updated 10/23/17

Nursing facility / Tidewater / Central / Charlottesville/Western
Contracting / Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402

Credentialing / Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400
/ Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400
/ Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400

Authorizations / Dorothy Goins-Manager 959-230-3916 / Marietta Dabney 959-230-3505 / Marietta Dabney 959-230-3505
Claims / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts
Care Coordination / Dorothy Goins-Manager 959-230-3916 / Marietta Dabney 959-230-3505 / Marietta Dabney 959-230-3505
Nursing facility / Roanoke/Alleghany / Southwest / Northern/Winchester
Contracting / Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402

Credentialing / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts
Authorizations / Marietta Dabney 959-230-3505 / Dorothy Goins-Manager 959-230-3916 / Dorothy Goins-Manager 959-230-3916
Claims / Shannon Wijkowski 302-283 -6670

Nicole Teel 302-283-6749
/ Shannon Wijkowski 302-283 -6670

Nicole Teel 302-283-6749
/ Shannon Wijkowski 302-283 -6670

Nicole Teel 302-283-6749

Care Coordination / Marietta Dabney 959-230-3505
/ Dorothy Goins-Manager 959-230-3916 / Dorothy Goins-Manager 959-230-3916

AETNA- Health Plan Payer ID: 128VA updated 10/23/17

Hospice / Tidewater / Central / Charlottesville/Western
Contracting / Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402

Credentialing / Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400
/ Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400
/ Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400

Notifications-Authorizations / Stephanie Hargan 959-299-6312 (w)
804-824-5541 (cell) / Stephanie Hargan 959-299-6312 (w)
804-824-5541 (cell) / Stephanie Hargan 959-299-6312 (w)
804-824-5541 (cell)
Claims / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts
Care Coordination / Dorothy Goins-Manager 959-230-3916 / Marietta Dabney 959-230-3505
/ Marietta Dabney 959-230-3505

Hospice / Roanoke/Alleghany / Southwest / Northern/Winchester
Contracting / Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402

Credentialing / Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400
/ Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400
/ Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400

Notifications-Authorizations / Stephanie Hargan 959-299-6312 (w)
804-824-5541 (cell) / Stephanie Hargan 959-299-6312 (w)
804-824-5541 (cell)
/ Stephanie Hargan 959-299-6312 (w)
804-824-5541 (cell)
Claims / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts
Care Coordination / Marietta Dabney 959-230-3505
/ Dorothy Goins-Manager 959-230-3916 / Dorothy Goins-Manager 959-230-3916

AETNA- Health Plan Payer ID: 128VA updated 10/23/17

LTSS / Tidewater / Central / Charlottesville/Western
Contracting / Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402

Credentialing / Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400
/ Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400
/ Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400

Authorizations / Dorothy Goins-Manager 959-230-3916 / Marietta Dabney 959-230-3505
/ Marietta Dabney 959-230-3505

Claims / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts
Care Coordination / Dorothy Goins-Manager 959-230-3916 / Marietta Dabney 959-230-3505
/ Marietta Dabney 959-230-3505

LTSS / Roanoke/Alleghany / Southwest / Northern/Winchester
Contracting / Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402

Credentialing / Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400
/ Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400
/ Leslie Weatherless-Kerr 959-299-6316

Donnesha Lewis 959-299-6400

Authorizations / Marietta Dabney 959-230-3505
/ Dorothy Goins-Manager 959-230-3916 / Dorothy Goins-Manager 959-230-3916
Claims / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts
Care Coordination / Marietta Dabney 959-230-3505
/ Dorothy Goins-Manager 959-230-3916 / Dorothy Goins-Manager 959-230-3916 .

AETNA- Health Plan Payer ID: 128VA updated 10/23/17

Community Mental Health Rehabilitation Services / Tidewater / Central / Charlottesville/Western
Contracting / Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402

Credentialing / Leslie Weatherless-Kerr 959-299-6316
/ Leslie Weatherless-Kerr 959-299-6316
/ Leslie Weatherless-Kerr 959-299-6316

Authorizations / Dorothy Goins-Manager 959-230-3916 / Melissa Parent 959-299-6323
/ Vicki A. Brown: 959-230-3782

Claims / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts
Care Coordination / Dorothy Goins-Manager 959-230-3916 / Melissa Parent 959-299-6323
/ Vicki A. Brown: 959-230-3782
Community Mental Health Rehabilitation Services / Roanoke/Alleghany / Southwest / Northern/Winchester
Contracting / Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402
/ Jannette Anderson 804-527-6402

Credentialing / Leslie Weatherless-Kerr 959-299-6316
/ Leslie Weatherless-Kerr 959-299-6316
/ Leslie Weatherless-Kerr 959-299-6316

Authorizations / Jessica Moorman: 959-230-3667
/ Amelia Harris 959-299-6335
/ Darlene Turner 959-230-3829

Claims / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts / Claim Inquiry for Providers
855-652-8249 follow prompts
Care Coordination / Jessica Moorman: 959-230-3667
/ Amelia Harris 959-299-6335
/ Darlene Turner 959-230-3829

ANTHEM (Revised 9-22-17)

For Health Plan Payor ID please contact your respective clearinghouse to obtain the correct ID

Professional-058916206CMSCOS/ Institutional-058916206CMSCOS/ Dental-058916206CMSCOS-only for direct billing to Anthem

Skilled Nursing Facility / Tidewater / Central / Charlottesville/Western
Contracting / Theresa Ruggiero
Email:
Phone: 203.677.8067 / Theresa Ruggiero
Email:
Phone: 203.677.8067 / Theresa Ruggiero
Email:
Phone: 203.677.8067
Credentialing / Vickey Thomas
Email:
Phone: : (757) 274-5512 / Lindsay Mack
Email:
Phone: : (804) 305-5307 / Stephanie Labus
Email:
Phone: : 571-635-5235
Authorizations / Wanda Winston 804-354-2184

Cathy Crews 804-354-2145
/ Wanda Winston 804-354-2184

Cathy Crews 804-354-2145
/ Wanda Winston 804-354-2184

Cathy Crews 804-354-2145

Claims / Vickey Thomas
Email:
Phone: : (757) 274-5512 / Lindsay Mack
Email:
Phone: : (804) 305-5307 / Stephanie Labus
Email:
Phone: : 571-635-5235
Care Coordination / Ebony Basnight 757-473-2737, Ext: 34719
Email:
Phone: 757-473-2737, Ext: 34719
Shanice Gangadeen
Email:
Phone: 757-266-8309
Precious Caravello
Email:
Phone: 757-268-4188 / Jennifer Blount 804-354-3780

Jeanne McGregor
Email:
Phone: 804 624-7463
Saffie Touray-Roane
Email:
Phone: 804-291-7836 / Amanda Louk
Email:
Phone: 540-742-8839

ANTHEM

For Health Plan Payor ID please contact your respective clearinghouse to obtain the correct ID

Professional-058916206CMSCOS/ Institutional-058916206CMSCOS/ Dental-058916206CMSCOS- only for direct billing to Anthem

Skilled Nursing facility / Roanoke/Alleghany / Southwest / Northern/Winchester
Contracting / Theresa Ruggiero
Email:
Phone: 203.677.8067 / Theresa Ruggiero
Email:
Phone: 203.677.8067 / Theresa Ruggiero
Email:
Phone: 203.677.8067
Credentialing / Stephanie Labus
Email:
Phone: : 571-635-5235 / Stephanie Labus
Email:
Phone: : 571-635-5235 / Stephanie Labus
Email:
Phone: : 571-635-5235
Authorizations / Wanda Winston 804-354-2184

Cathy Crews 804-354-2145
/ Wanda Winston 804-354-2184

Cathy Crews 804-354-2145
/ Wanda Winston 804-354-2184

Cathy Crews 804-354-2145

Claims / Shanna Geiger
Email:
Phone: (540) 383-1565 / Janette Comer
Email:
Phone: (276) 469-9425 / Stephanie Labus
Email:
Phone: : 571-635-5235
Care Coordination / In the process of recruiting / In the process of recruiting / In the process of recruiting

ANTHEM

For Health Plan Payor ID please contact your respective clearinghouse to obtain the correct ID

Professional-058916206CMSCOS/ Institutional-058916206CMSCOS/ Dental-058916206CMSCOS- only for direct billing to Anthem

Custodial / Tidewater / Central / Charlottesville/Western
Contracting / Vickey Thomas
Email:
Phone: : (757) 274-5512 / Lindsay Mack
Email:
Phone: : (804) 305-5307 / Stephanie Labus 571-635-5235

Credentialing / Vickey Thomas
Email:
Phone: : (757) 274-5512 / Lindsay Mack
Email:
Phone: : (804) 305-5307 / Stephanie Labus 571-635-5235

Authorizations / Vickey Thomas
Email:
Phone: : (757) 274-5512 / Lindsay Mack
Email:
Phone: : (804) 305-5307 / Stephanie Labus 571-635-5235

Claims / Vickey Thomas
Email:
Phone: : (757) 274-5512 / Lindsay Mack
Email:
Phone: : (804) 305-5307 / Stephanie Labus 571-635-5235

Care Coordination / Ebony Basnight 757-473-2737, Ext: 34719
Email:
Phone: 757-473-2737, Ext: 34719
Shanice Gangadeen
Email:
Phone: 757-266-8309
Precious Caravello
Email:
Phone: 757-268-4188 / Jennifer Blount 804-354-3780

Jeanne McGregor
Email:
Phone: 804 624-7463
Saffie Touray-Roane
Email:
Phone: 804-291-7836 / Amanda Louk
Email:
Phone: 540-742-8839

ANTHEM

For Health Plan Payor ID please contact your respective clearinghouse to obtain the correct ID

Professional-058916206CMSCOS/ Institutional-058916206CMSCOS/ Dental-058916206CMSCOS- only for direct billing to Anthem

Custodial / Roanoke/Alleghany / Southwest / Northern/Winchester
Contracting / Shanna Geiger
Email:
Phone: (540) 383-1565 / Janette Comer
Email:
Phone: (276) 469-9425 / Stephanie Labus 571-635-5235

Credentialing / Shanna Geiger
Email:
Phone: (540) 383-1565 / Janette Comer
Email:
Phone: (276) 469-9425 / Stephanie Labus 571-635-5235

Authorizations / Shanna Geiger
Email:
Phone: (540) 383-1565 / Janette Comer
Email:
Phone: (276) 469-9425 / Stephanie Labus 571-635-5235

Claims / Shanna Geiger
Email:
Phone: (540) 383-1565 / Janette Comer
Email:
Phone: (276) 469-9425 / Stephanie Labus 571-635-5235

Care Coordination / In the process of recruiting / In the process of recruiting / In the process of recruiting

ANTHEM

For Health Plan Payor ID please contact your respective clearinghouse to obtain the correct ID

Professional-058916206CMSCOS/ Institutional-058916206CMSCOS/ Dental-058916206CMSCOS -only for direct billing to Anthem

Hospice/Home Health/PDN / Tidewater / Central / Charlottesville/Western
Contracting / Sara Fager
Email:
Phone: (804) 354-2338 / Sara Fager
Email:
Phone: (804) 354-2338 / Sara Fager
Email:
Phone: (804) 354-2338
Credentialing / Sara Fager
Email:
Phone: (804) 354-2338 / Sara Fager
Email:
Phone: (804) 354-2338 / Sara Fager
Email:
Phone: (804) 354-2338
Notifications- Authorizations / Cathy Crews
Email:
Phone: 804-354-2145
TaShundra Peoples
Email:
Phone: (804)354-3863 / Cathy Crews
Email:
Phone: 804-354-2145
TaShundra Peoples
Email:
Phone: (804)354-3863 / Cathy Crews
Email:
Phone: 804-354-2145
TaShundra Peoples
Email:
Phone: (804)354-3863
Claims / Brandon Hutchins
Email:
Phone: (757) 272-2593 / Lindsay Mack
Email:
Phone: : (804) 305-5307 / Lori Pernell Email: Phone:
Care Coordination / Ebony Basnight
Email:
Phone: 757-473-2737, Ext: 34719
Shanice Gangadeen
Email:
Phone: 757-266-8309
Precious Caravello
Email:
Phone: 757-268-4188 / Jennifer Blount
Email:
Phone: 804-354-3780
Jeanne McGregor
Email:
Phone: 804 624-7463
Saffie Touray-Roane
Email:
Phone: 804-291-7836 / Amanda Louk
Email:
Phone: 540-742-8839

ANTHEM

For Health Plan Payor ID please contact your respective clearinghouse to obtain the correct ID

Professional-058916206CMSCOS/ Institutional-058916206CMSCOS/ Dental-058916206CMSCOS -only for direct billing to Anthem

Hospice/Home Health/PDN / Roanoke/Alleghany / Southwest / Northern/Winchester
Contracting / Sara Fager
Email:
Phone: (804) 354-2338 / Sara Fager
Email:
Phone: (804) 354-2338 / Sara Fager
Email:
Phone: (804) 354-2338
Credentialing / Sara Fager
Email:
Phone: (804) 354-2338 / Sara Fager
Email:
Phone: (804) 354-2338 / Sara Fager
Email:
Phone: (804) 354-2338
Notifications-Authorizations / Cathy Crews
Email:
Phone: 804-354-2145
TaShundra Peoples
Email:
Phone: (804)354-3863 / Cathy Crews
Email:
Phone: 804-354-2145
TaShundra Peoples
Email:
Phone: (804)354-3863 / Cathy Crews
Email:
Phone: 804-354-2145
TaShundra Peoples
Email:
Phone: (804)354-3863
Claims / Shanna Geiger
Email:
Phone: (540) 383-1565 / Janette Comer
Email:
Phone: (276) 469-9425 / Stephanie Labus
Email:
Phone: : 571-635-5235
Care Coordination / In the process of recruiting / In the process of recruiting / In the process of recruiting

ANTHEM

For Health Plan Payor ID please contact your respective clearinghouse to obtain the correct ID

Professional-058916206CMSCOS/ Institutional-058916206CMSCOS/ Dental-058916206CMSCOS- only for direct billing to Anthem

LTSS / Tidewater / Central / Charlottesville/Western
Contracting / Vickey Thomas
Email:
Phone: : (757) 274-5512 / Andrea Peterson
Email: Andrea.
Phone: 757-685-6994 / Lori Pernell Email: Phone:
Credentialing / Vickey Thomas
Email:
Phone: : (757) 274-5512 / Andrea Peterson
Email: Andrea.
Phone: 757-685-6994 / Lori Pernell Email: Phone:
Authorizations / Andrea Peterson
Email: Andrea.
Phone: 757-685-6994 / Andrea Peterson
Email: Andrea.
Phone: 757-685-6994 / Lori Pernell Email: Phone:
Claims / Andrea Peterson
Email: Andrea.
Phone: 757-685-6994 / Andrea Peterson
Email: Andrea.
Phone: 757-685-6994 / Lori Pernell Email: Phone:
Care Coordination / Ebony Basnight
Email:
Phone: 757-473-2737, Ext: 34719
Shanice Gangadeen
Email:
Phone: 757-266-8309
Precious Caravello
Email:
Phone: 757-268-4188 / Jennifer Blount
Email:
Phone: 804-354-3780
Jeanne McGregor
Email:
Phone: 804 624-7463
Saffie Touray-Roane
Email:
Phone: 804-291-7836 / Amanda Louk
Email:
Phone: 540-742-8839

ANTHEM

For Health Plan Payor ID please contact your respective clearinghouse to obtain the correct ID

Professional-058916206CMSCOS/ Institutional-058916206CMSCOS/ Dental-058916206CMSCOS- only for direct billing to Anthem

LTSS / Roanoke/Alleghany / Southwest / Northern/Winchester
Contracting / Shanna Geiger
Email:
Phone: (540) 383-1565 / Janette Comer
Email:
Phone: (276) 469-9425 / Stephanie Labus
Email:
Phone: : 571-635-5235
Credentialing / Shanna Geiger
Email:
Phone: (540) 383-1565 / Janette Comer
Email:
Phone: (276) 469-9425 / Stephanie Labus
Email:
Phone: : 571-635-5235
Authorizations / Shanna Geiger
Email:
Phone: (540) 383-1565 / Janette Comer
Email:
Phone: (276) 469-9425 / Stephanie Labus
Email:
Phone: : 571-635-5235
Claims / Shanna Geiger
Email:
Phone: (540) 383-1565 / Janette Comer
Email:
Phone: (276) 469-9425 / Stephanie Labus
Email:
Phone: : 571-635-5235
Care Coordination / In the process of recruiting / In the process of recruiting / In the process of recruiting

ANTHEM

For Health Plan Payor ID please contact your respective clearinghouse to obtain the correct ID

Professional-058916206CMSCOS/ Institutional-058916206CMSCOS/ Dental-058916206CMSCOS- only for direct billing to Anthem

Community Mental Health Rehabilitation Services / Tidewater / Central / Charlottesville/Western
Contracting / Annette Powell

804-393-6763 / Beth Condyles
Email:
Phone: 804.354.2503 John Bachand Email. Phone 804.354.2503 / John Bachand

804-354-4063
Credentialing / Annette Powell

804-393-6763 / Beth Condyles
Email:
Phone: 804.354.2503 John Bachand Email. Phone 804.354.2503 / John Bachand

804-354-4063
Authorizations / Keven Schock
804-354-2156 / Keven Schock
804-354-2156 / Keven Schock
804-354-2156
Claims / Annette Powell

804-393-6763 / Beth Condyles
Email:
Phone: 804.354.2503 John Bachand Email. Phone 804.354.2503 / John Bachand

804-354-4063
Care Coordination / Irene Temple
804-354-5665 / Irene Temple
804-354-5665 / Irene Temple
804-354-5665

ANTHEM

For Health Plan Payor ID please contact your respective clearinghouse to obtain the correct ID

Professional-058916206CMSCOS/ Institutional-058916206CMSCOS/ Dental-058916206CMSCOS- only for direct billing to Anthem

Community Mental Health Rehabilitation Services / Roanoke/Alleghany / Southwest / Northern/Winchester
Contracting / Deborah Tankersly / Deborah Tankersly / Beth Condyles

804-516-2499
Credentialing / Deborah Tankersly / Deborah Tankersly / Beth Condyles

804-516-2499
Authorizations / Keven Schock
804-354-2156
/ Keven Schock
804-354-2156 / Keven Schock
804-354-2156
Claims / Deborah Tankersly / Deborah Tankersly / Beth Condyles

804-516-2499
Care Coordination / Irene Temple
804-354-5665 / Irene Temple
804-354-5665 / Irene Temple
804-354-5665

MAGELLAN- Health Plan Payor ID: MCCVA

Nursing facility / Tidewater / Central / Charlottesville/Western
Contracting / Ciara Noble 757-407-7457
/ Kishwar Johnson 571-232-9127
/ Anthony Girgenti 480.243.5978

Credentialing / Ciara Noble 757-407-7457
/ Kishwar Johnson 571-232-9127
/ Anthony Girgenti 480.243.5978

Authorizations / Jamie Barton 937-620-4227
/ Jamie Barton 937-620-4227
/ Jamie Barton 937-620-4227

Claims / Kristine Brady 720-253-8182
/ Kristine Brady 720-253-8182
/ Kristine Brady 720-253-8182

Care Coordination / Amy Carpenter 757-406-4034
/ Tracy Maitland-Martin 804-720-8082
/ Cheryl Stoddard 937-301-2945

Nursing facility / Roanoke/Alleghany / Southwest / Northern/Winchester
Contracting / Kenya Onley 804-366-6339 / Carrie Becker 314-387-5346
/ Kishwar Johnson 571-232-9127

Credentialing / Kenya Onley 804-366-6339 / Carrie Becker 314-387-5346
/ Kishwar Johnson 571-232-9127

Authorizations / Jamie Barton 937-620-4227
/ Jamie Barton 937-620-4227
/ Jamie Barton 937-620-4227

Claims / Kristine Brady 720-253-8182
/ Kristine Brady 720-253-8182
/ Kristine Brady 720-253-8182

Care Coordination / Cheryl Stoddard 937-301-2945
/ Cheryl Stoddard 937-301-2945
/ Cheryl Stoddard 937-301-2945

MAGELLAN- Health Plan Payor ID: MCCVA