PROVIDERS
03 / 19
GENERAL OVERVIEW
• Place of service
• Providers
• Providers - Specialists
• Providers - Nurse and Physician Assistants
• Sanitas Providers
• Type of panel providers
• Medical directors
• What is a Care team?
• Locum and resident providers
• Per diem providers
PLACE OF SERVICE
DOCTOR'S OFFICE
PROVIDERS
PRIMARY CARE PHYSICIAN
Our Medical Team:
• General Practice
• Family Medicine
• Internal Medicine
• Pediatrics
GENERAL PRACTICE
01 See patients of any age but do not typically
specialize in a particular area
FAMILY MEDICINE
02 Meeting the needs of the entire family
INTERNAL MEDICINE
03 Focused on the care of adults
PEDIATRICIANS
04 Specializes in caring for infants, children, and
young adults (Kids under 0-17 years old).
PROVIDERS
SPECIALISTS
A PRIMARY CARE PHYSICIAN MAY REFER A
PATIENT TO A SPECIALIST WHEN NECESSARY,
SUCH AS:
• Cardiologist -> heart disorders
• Dermatologist -> skin disorders
• Neurologist -> nervous system disorders
• Oncologist -> cancer treatment
• Psychiatrist -> emotional or mental disorders
• Pulmonologist (lung) -> respiratory tract disorders
PROVIDERS
NURSE AND PHYSICIAN ASSISTANTS
1. NURSE 2. PHYSICIAN ASSISTANTS
Certified registered nurse anesthetists A physician assistant (PA) is a licensed medical professional who
(CRNAs) Advanced Registered Nurse holds an advanced degree and can provide direct patient care.
Practitioner (ARNP)
SANITAS PROVIDERS
PRIMARY CARE TEAM PEDIATRICIAN NUTRITIONISTS
We can identify the primary care We can identify the pediatrician’s agenda Before scheduling, you must check the patient
provider’s agenda with this header with this header have a referral on system. Authorization is not
Pediatricians required
Only see patients from 0 to 17 years old
You will see their names in lowercase letters.
TYPE OF PANELS PROVIDERS
AV
NON-SENIOR SENIOR PROVIDERS
ADULT PROVIDERS
65 and above
19 to 64 years old
MEDICARE
PEDIATRIC PROVIDERS
PROVERS Medicare Insurance
0-18 years old
EMPLOYER MODEL
Employer Insurance
MEDICAL DIRECTORS
Each location has a Medical Director in charge, but they DO NOT take
New Patient just establish patients.
Be aware do not scheduling New patients on their agendas
EMPLOYER MODEL PROVIDERS
CARE TEAM
A care team is a group of healthcare professionals who work together to provide care for a patient
Use Lucerna/consumer
360 in all calls to
review PCP assigned
and the Care Team.
VIRTUAL PROVIDERS
These providers are part of the Virtual Medical Center (VMC) and they're seeing patients through Telehealth visit (virtual
appointments), you can find the agenda on eCW.
MIAMI-DADE & BROWARD SOUTHWEST /TALLAHASSEE
• Liz Laguardia: Boynton Beach, West Palm Beach, Boca Raton,
Miramar, Broward-Central, Broward, Tamarac, Wellington, Palm Beach Manny Gonzalez: Cape Coral, North Port, Collierd Boulevard, North Naples,
Gardens, Lake Worth. South Ft Myers, North Monroe, Killearn, Apalachee, South Tallahassee.
TAMPA / HILLSBOROUGH
• Yoryelys Turienzo: Homestead, West Kendall, Doral, Country Walk,
North Miami, Buena Vista, Palmetto Bay.
Johanna Pedraza: Tampa, Temple Terrace, Grove Park, Lakeland, Citrus Park,
Lake Magdalene, Riverview, Crosswinds, Winter haven, Countryside, Largo.
• Dana Geberovich: Kendall, Lauderdale Lakes, Hollywood, Coral
Springs, Pompano Beach, Fort Lauderdale, Coral Way, Westchester, CENTRAL / ORLANDO
South Miami, Hialeah.
Melissa Camero: Apopka, Clermont, Hunter Creek, E Osceola Pkwy, NW
• Iliana Hernandez: Main Street, Lakes on the Green, Southwest Ocala, Kissimmee, Longwood, Metro West, E Colonial Dr, Chickasaw, Poinciana, St. Cloud
Central Ocala, Windy Hill, Duclay. and Ocoee.
• Virtual appointment (Telehealth): These providers are
part of the Care Team; you can see these providers in
Lucerna and we can schedule a virtual appointment
through eCW but we need to respect the visit type and
respect the location. .
WHAT'S THE
DIFFERENCE BETWEEN
A VIRTUAL
• TV OnDemand: We cannot schedule this type of appointment, the
APPOINTMENT AND patient needs to access through My Sanitas app (get care now).
TV ONDEMAND?
LOCUM PROVIDERS RESIDENT PROVIDERS
A resident doctor is a medical
A locum tenens physician takes
school graduate and doctor in
the place of a provider when
training who's taking part in a
they are absent — a substitute
graduate medical education
PER DIEM PROVIDERS
Per diem provider works on an as-needed basis, usually filling in for another provider or covering shifts for
specific periods, such as day-to-day or short-term assignments.