American Health Advantage of Utah HMO Plan Provider Directory
|Provider Type||PCP||Last Name/Facility Name||First Name||Facility Service Type/Specialty||Address||County||City||State||Zip Code||Phone||ID||Facility Name||Last Name||Middle Name||Degree||Group Name||address2||fax||Effective Date||Term Date||Directory||Accepting Patients||Accepts Medicaid||NPI||Credentialed|
|Provider||N||VASIREDDY||SIREESHA||Cardiovascular Disease||4510 MEDICAL CENTER DR STE 100||COLLIN||MCKINNEY||TX||75069||214-726-9292||H6891||VASIREDDY||MD||CARDIOLOGY SPECIALISTS OF NORTH TEXAS PLLC||25/01/2023||Y||Y||1.922.266.683|
|Provider||N||VASQUEZ||REBECCA||Dermatology||5939 HARRY HINES BLVD 4TH FL STE 100||Dallas||Dallas||TX||75235||214-645-2400||H6891||VASQUEZ||MD||UNIVERSITY OF TEXAS DERMATOLOGY||01/06/2021||Y||Y||1.053.639.757|
|Provider||N||VAUGHAN||TERRILL||Physician Assistant||5151 Harry Hines Blvd||Dallas||Dallas||TX||75235||214-645-5555||H6891||VAUGHAN||ANDY||PA||UNIVERSITY OF TEXAS NEUROSURGERY||01/06/2021||Y||Y||1.205.836.038|
|Provider||N||VAUGHAN||TERRILL||Physician Assistant||8230 WALNUT HILL LN STE 514||Dallas||Dallas||TX||75231||214-645-2300||H6891||VAUGHAN||ANDY||PA||UNIVERSITY OF TEXAS NEUROSURGERY||01/06/2021||Y||Y||1.205.836.038|
|Provider||Y||VAUGHN||SHAE||Family Practice||1701 E PFLUGERVILLE PKWY||Travis||Pflugerville||TX||78660||512-259-6000||H6891||VAUGHN||NP||BAYLOR SCOTT & WHITE MEDICAL CENTER -PFLUGERVILLE||16/01/2023||Y||Y||1.841.745.643|
|Provider||Y||VAUGHN||SHAE||Nurse Practitioner||1507 RIVERY BLVD||Williamson||Georgetown||TX||78628||--||H6891||VAUGHN||NP||BAYLOR SCOTT & WHITE CENTER FOR DIAGNOSTIC MEDICINE-TEMPLE||16/01/2023||Y||Y||1.841.745.643|
|Provider||Y||VAZQUEZ ORTIZ||JAVIER||Family Practice||9006 N NAVARRO ST STE B||Victoria||Victoria||TX||77904||361-485-0021||H6891||VAZQUEZ ORTIZ||MD||DETAR ON DEMAND||01/10/2021||Y||Y||1.770.999.377|
|Provider||Y||VAZQUEZ ORTIZ||JAVIER||Family Practice||3301 E MOCKINGBIRD LN||Victoria||Victoria||TX||77904||361-573-3201||H6891||VAZQUEZ ORTIZ||MD||REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC||01/06/2022||Y||Y||1.770.999.377|
|Provider||N||VEATCH||WENDY||Physician Assistant||1110 RAINTREE CIR STE 100||Collin||Allen||TX||75013||214-383-9356||H6891||VEATCH||MACHELLE||PA||TEXAS HEALTH PHYSICIANS GROUP||01/06/2021||Y||Y||1.477.798.304|
|Provider||N||VEATCH||WENDY||Physician Assistant||5858 MAIN ST STE 210||DENTON||FRISCO||TX||75034||469-495-9010||H6891||VEATCH||MACHELLE||PA||TEXAS HEALTH PHYSICIANS GROUP||01/06/2021||Y||Y||1.477.798.304|
|Provider Type||PCP||Last Name/Facility Name||First Name||Facility Service Type/Specialty||County||City||State||ID|
This directory is current as of October 2, 2023
This directory provides a list of American Health Advantage of Utah’s current network providers for the following Utah counties:
Box Elder, Cache, Carbon, Salt Lake, Sanpete, Utah, Weber
To request a hard copy of American Health Advantage of Utah’s provider directory, please call our Member Service Department at 855-521-0627, 8 a.m. to 8 p.m. seven (7) days a week October 1 through March 31, and Monday to Friday April 1 through September 30.
American Health Advantage of Utah will mail a hard copy of the provider directory to you within three (3) business days of your request. American Health Advantage of Utah may ask whether your request for a hard copy is a one-time request or if you are requesting to receive the provider directory in hard copy permanently.
If you request it, your request for hard copies of the provider directory remains until you leave American Health Advantage of Utah or request that hard copies be discontinued.
American Health Advantage of Utah will also provide information to individuals in alternate formats (i.e. Large Print), upon request and thereafter, as outlined in Section 504 of the Rehabilitation Act of 1973.
You will have to choose one of our network providers listed in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care services from your PCP.
Since we are a Health Maintenance Organization (HMO), it is necessary for you to select a PCP to utilize while on the plan. Your PCP will get to know you and your health, and you can establish a trusting and long-lasting relationship. Your PCP can help you arrange or coordinate your covered services. This includes x-rays, laboratory tests, therapies, specialists, skilled nursing facility admissions, hospital admissions, and follow-up care. Your PCP also contacts other plan providers for updates about your care and/or treatment. In some cases, your PCP or provider will need to get prior authorization (prior approval).
The network providers listed in this directory have agreed to provide you with your health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral or prior authorization. If you have been going to one Network
Provider, you are not required to continue to go to that same Network Provider. We do not guarantee that each provider is still accepting new members. Please contact the provider to determine if he or she is accepting new patients.
In some cases, you may get covered services from non-network providers. If you get a bill from a non-network provider, you should not pay the bill but should submit it to American Health Advantage of Utah for processing. We can help determine how much you are responsible for paying, if any.
Emergency care can always be obtained in or out of the service area from the nearest available provider. When in the service area, you must use network providers for urgent care. When out of the service area or when network providers are unavailable, urgent care may be obtained from the first available qualified provider. In addition, when out of the service area, you can obtain dialysis treatment from any Medicare certified dialysis provider.
Emergency care can always be obtained in or out of the service area from the nearest available provider. When out of the service area or when network providers are unavailable, urgent care may be obtained from any qualified provider. In addition, when out of the service area, you can obtain dialysis treatment from any Medicare qualified dialysis provider.
You must use network providers except in emergency, urgent care situations, or for out-of-area dialysis, as described above. If you obtain routine care from out-of-network providers, neither Medicare nor American Health Advantage of Utah will be responsible for the costs.
What is the service area for American Health Advantage of Utah?
The counties in our service area are listed below.
Box Elder, Cache, Carbon, Salt Lake, Sanpete, Utah, Weber
How do you find American Health Advantage of Utah providers that serve your area?
This is a searchable online document and is updated monthly. You can enter areas in the fields to narrow down your search. For example, if you enter “Utah” in the state field, and “Box Elder” in the county field, the search engine will generate a list of all providers, hospitals and skilled nursing facilities in Box Elder, Utah. You can also search by provider name, city, or specialty.
If you have questions about American Health Advantage of Utah, require assistance in selecting a PCP, or need to report errors in this directory, please call our Member Service Department at 855-521-0627, from 8 a.m. to 8 p.m. seven (7) days a week October 1 through March 31, and
Monday to Friday April 1 through September 30. TTY/TDD users should call 711. You can also visit ut.amhealthplans.com.
This page was Last Updated on March 4, 2022
American Health Advantage of Utah, offered by American Health Plan of Utah, Inc., is a Health Maintenance Organization (HMO) with a Medicare contract. Enrollment in American Health Advantage of Utah depends on contract renewal.
The provider network may change at any time. You will receive notice when necessary.