Aetna "Select Provider" Listing - High-Tech Radiology Northern VA - October, 2011

Transcription

1 Aetna "Select Provider" Listing - High-Tech Radiology VIRGINIA ALEXANDRIA CITY COUNTY , Inova Hospital 4320 Seminary Road Phone: , Imaging Ctr Kenmore Avenue, Suite 525 Phone: / Fax: Computed Tomography Associates* 4660 Kenmore Avenue, Suite 608 Phone: / Fax: , ARLINGTON COUNTY Arlington Insight Imaging - Arlington* 2786 South Arlington Mill Drive Arlington, VA Phone: / Fax: Svcs: MR , FAIRFAX COUNTY , Inova Mt. Vernon Hospital 2501 Parker's Lane, VA Phone: / Fax: , Inova Healthplex 6355 Walker Lane, VA Phone: / Fax: , Hinson Farm 8101 Hinson Farm Road, Suite 301, VA Phone: / Fax: Annandale Woodburn Nuclear Medicine* , Woodburn Road, Suite 60 Annandale, VA Phone: / Fax: Svcs: CNM, CT, PET , Inova Fo Hospital 3600 Joseph Siewick Drive, VA Phone: / Fax: Fair Oaks Imaging Center* 4001 Fair Ridge Drive, Suite 103, VA Phone: / Fax: , Falls Church Diagnostic Health, Tyson's* , Leesburg Pike Falls Church, VA Phone: / Fax: Reston MRI of Reston* , Town Center Drive, Suite 115 Phone: / Fax: Pet of Reston LP* 1800 Town Center Drive, Suite 115 Phone: / Fax: Svcs: PET , FAIRFAX CITY COUNTY Access of 4315 Chain Bridge Road, VA , Insight Imaging - * Main Street, Suite G1, VA Phone: / Fax: , LOUDOUN COUNTY Lansdowne Rad. Imag. Lansdowne* Deerfield Avenue, Suites 102 and 103 Lansdowne, VA Phone: , , Deerfield Avenue, Suite 102 Lansdowne, VA Svcs: MR, CNM, CT Leesburg , Riverside Pkwy., Suite 108-B Leesburg, VA Phone: Svcs: MR, CNM, CT Sterling , Radiology Imaging Sterling 4 Pidgeon Hill Drive Sterling, VA Svcs: MR, CNM, CT PRINCE WILLIAM COUNTY Woodbridge , Opitz Blvd., Suite , Sentara Potomac Hospital 2300 Opitz Blvd. Phone: , Prince William Pkwy., Suite 302 Insight Imaging - Woodbridge* 4001 Prince William Pkwy., Suite 104 Phone: / Fax: Svcs: MR , Woodbridge CT* 4001 Prince William Pkwy., Suite 300 / Fax: , Woodbridge PET/CT* 2296 Opitz Blvd., Suite 140 Phone: / Fax: Svcs: PET , MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 1 of 1

2 Aetna "Select Provider" Listing - High-Tech Radiology Note(s): - These procedures may require pre-authorization. Aetna's radiology management vendors may have more current information that will supersede the information contained within this List. - Effective January 1, 2012, Aetna requires all providers administering high-tech radiology services to be accredited by the American College of Radiology and/or the Intersocietal Accreditation Commission. Any provider performing these services who has not been accredited at the time of service will not be eligible for payment. Therefore, Aetna s radiology management vendors will offer alternative providers who have been determined to be accredited in accordance with these standards. MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 2 of 2

3 Aetna "Select Provider" Listing - Low-Tech Radiology VIRGINIA ALEXANDRIA CITY COUNTY , Inova Hospital 4320 Seminary Road Phone: , Imaging Ctr Kenmore Avenue, Suite 525 Phone: / Fax: Ultrasound Assoc of * 5055 Seminary Road, Suite 104, VA Phone: , M , ARLINGTON COUNTY Arlington Metropolitan Radiology Associates* 601 South Carlin Springs Road Arlington, VA Phone: , FAIRFAX COUNTY , Inova Mt. Vernon Hospital 2501 Parker's Lane, VA Phone: / Fax: , Inova Healthplex 6355 Walker Lane, VA Phone: / Fax: , Hinson Farm 8101 Hinson Farm Road, Suite 301, VA Phone: / Fax: Annandale Woodburn Nuclear Medicine* , Woodburn Road, Suite 60 Annandale, VA Phone: / Fax: Svcs: X , Inova Fo Hospital 3600 Joseph Siewick Drive, VA Phone: / Fax: Fair Oaks Imaging Center* 4001 Fair Ridge Drive, Suite 103, VA Phone: / Fax: , M , Reston MRI of Reston* , Town Center Drive, Suite 115 Phone: / Fax: , M Reston Radiology Consultants* 1850 Town Center Pkwy. Phone: / Fax: , Springfield Metropolitan Radiology Associates* , Brandon Avenue, Suite 205 Springfield, VA Phone: Vienna Endocrine and Diabetes Center, P.C.* , Maple Avenue West, Suite 120 Vienna, VA Phone: / Fax: FAIRFAX CITY COUNTY Access of 4315 Chain Bridge Road, VA , Insight Imaging - * Main Street, Suite G1, VA Phone: / Fax: Svcs: X, FL, US , FAUQUIER COUNTY Warrenton Virginia Radiology Associates* 500 Hospital Drive Warrenton, VA Phone: / Fax: , LOUDOUN COUNTY Ashburn Loudoun Imaging Center/Ashburn,LLC* , Professional Plaza, Suite 100 Ashburn, VA Phone: / Fax: , M Reston Radiology Consultants* Filigree Court, Suite 101 Ashburn, VA Phone: / Fax: , Lansdowne , Deerfield Avenue, Suite 102 Lansdowne, VA Leesburg , Riverside Pkwy., Suite 108-B Leesburg, VA Phone: Sterling , Radiology Imaging Sterling 4 Pidgeon Hill Drive Sterling, VA MANASSAS CITY COUNTY Manassas Virginia Radiology Associates* , Dorsey Circle, Suite 101 Manassas, VA Phone: , Sudley Road Manassas, VA Phone: / Fax: X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 1 of 1

4 PRINCE WILLIAM COUNTY Gainesville Virginia Radiology Associates* Virginia Radiology Assoc, P.C./Cancer Ct 7901 Lake Manassas Drive Gainesville, VA Phone: , Woodbridge , Opitz Blvd., Suite , Sentara Potomac Hospital 2300 Opitz Blvd. Phone: , Prince William Pkwy., Suite 302 Endocrine and Diabetes Center, P.C.* 2200 Opitz Blvd., Suite 250 Phone: / Fax: , Aetna "Select Provider" Listing - Low-Tech Radiology X - X-Ray FL - Fluoroscopy US - Ultrasound S - Sonogram BD - Bone Density M - Mammography 2 of 2

5 Aetna "Select Provider" Listing - Ambulatory Surgery VIRGINIA ALEXANDRIA CITY COUNTY The Endoscopy Center, PLLC 4660 Kenmore Avenue, Suite 810 Phone: / Fax: , FAIRFAX COUNTY Annandale Woodburn Endoscopy Center, LLC* 3301 Woodburn Road, Suite 109 Annandale, VA Phone: , Chantilly Northern VA Center for Gastro/Endoscopy, PLLC , Centreville Road, Suite 350 Chantilly, VA Phone: / Fax: COR Surgical Suites* , Arlington Blvd., Suite 550, VA Phone: / Fax: Colon and Rectal Surgical Center* , Prosperity Avenue, VA Phone: / Fax: Gastroenterology Associates of Northern Virginia , Williams Drive, Suite 302, VA Phone: / Fax: Hospital* Northern Virginia Eye Surgery Center LLC* , Prosperity Avenue, Suite 150, VA Phone: / Fax: Northern Virginia Surgery Center* 3620 Joseph Siewick Drive, Suite 202, VA Phone: / Fax: , Potomac Ambulatory Surgery Center* 8503 Arlington Blvd., Suite 150, VA Phone: / Fax: , Herndon COR Surgical Suites* , Franklin Farm Road, Suite 100 Herndon, VA Phone: / Fax: Reston Reston Surgery Center L.P. - HCA Affiliate* , Town Center Drive, Suite G100 Phone: / Fax: Vienna Skin Cancer Outpatient Surgical , Center for Skin Surgery, PLLC 8301 Old Courthouse Road Vienna, VA Phone: / Fax: FAIRFAX CITY COUNTY Surgical Center - HCA Affiliate* Main Street, VA Phone: , MANASSAS CITY COUNTY Manassas Prince William Ambulatory Surgery Center* , Sudley Road, Suite 201 Manassas, VA Phone: / Fax: Note(s): - Some ambulatory procedures require the physician to notify Aetna prior to performing services (e.g., colonoscopy and other scope procedures). These procedures were not used to determine this listing. 1 of 1

6 Aetna National Provider Directory Home Sleep Testing In home sleep tests, where appropriate, may be a more cost-effective alternative to lab based services. We are including a list of national sleep study providers that are also available to provide sleep studies in the home: Name Phone Fax Number for orders Website Instant Diagnostic Systems, Inc., dba IDS, Inc.* (800) (888) Nationwide Sleep Diagnostics LLC, dba NiteWatch* (800) (800) SleepQuest, Inc* (800) (650) NovaSom, Inc* (877) (866) SunMED Medical Systems/Therapy Solutions* (800) (800) University Services* (215) (267) For more information on home sleep testing You can access more information on home sleep testing on DocFind, our online provider directory, which can be accessed via Once on the homepage, choose Find a Doctor. Once on DocFind enter the appropriate Geographic Information, Provider Category Facilities (such as lab and x-ray), Provider Type National Sleep Study Providers, Plan, and then select Start Search. 1