Health Plan Directory by Region Revised 12-20-2017 aetna



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Health Plan Directory by Region


Revised 12-20-2017

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

Nursing facility

Tidewater

Central

Charlottesville/Western

Contracting

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopment-VAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopment-VAContact@aetna.com

Credentialing

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Authorizations

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com

Marietta Dabney 959-230-3505 dabneym@aetna.com

Marietta Dabney 959-230-3505 dabneym@aetna.com

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 goinsd@aetna.com

Marietta Dabney 959-230-3505 dabneym@aetna.com

Marietta Dabney 959-230-3505 dabneym@aetna.com




Nursing facility

Roanoke/Alleghany

Southwest

Northern/Winchester

Contracting

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopment-VAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopment-VAContact@aetna.com

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 dabneym@aetna.com

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com

Claims

Shannon Wijkowski 302-283 -6670
smwijkowski@aetna.com
Nicole Teel 302-283-6749
TeelN@Aetna.com

Shannon Wijkowski 302-283 -6670
smwijkowski@aetna.com
Nicole Teel 302-283-6749
TeelN@Aetna.com

Shannon Wijkowski 302-283 -6670
smwijkowski@aetna.com
Nicole Teel 302-283-6749
TeelN@Aetna.com

Care Coordination

Marietta Dabney 959-230-3505
dabneym@aetna.com

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com



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

Hospice__Tidewater__Central'>Hospice

Tidewater

Central

Charlottesville/Western

Contracting

Jannette Anderson 804-527-6402

NetworkDevelopmentVAContact@aetna.com



Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopment-VAContact@aetna.com

Credentialing

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Notifications-Authorizations

Stephanie Hargan 959-299-6312 (w)
hargans@aetna.com 804-824-5541 (cell)

Stephanie Hargan 959-299-6312 (w)
hargans@aetna.com 804-824-5541 (cell)

Stephanie Hargan 959-299-6312 (w)
hargans@aetna.com 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 goinsd@aetna.com

Marietta Dabney 959-230-3505
dabneym@aetna.com

Marietta Dabney 959-230-3505
dabneym@aetna.com




Hospice

Roanoke/Alleghany

Southwest

Northern/Winchester

Contracting

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopment-VAContact@aetna.com

Credentialing

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Notifications-Authorizations

Stephanie Hargan 959-299-6312 (w)
hargans@aetna.com 804-824-5541 (cell)

Stephanie Hargan 959-299-6312 (w)
hargans@aetna.com 804-824-5541 (cell)



Stephanie Hargan 959-299-6312 (w)
hargans@aetna.com 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
dabneym@aetna.com

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com


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

LTSS

Tidewater

Central

Charlottesville/Western

Contracting

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopment-VAContact@aetna.com

Credentialing

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Authorizations

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com

Marietta Dabney 959-230-3505
dabneym@aetna.com

Marietta Dabney 959-230-3505
dabneym@aetna.com

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 goinsd@aetna.com

Marietta Dabney 959-230-3505
dabneym@aetna.com

Marietta Dabney 959-230-3505
dabneym@aetna.com




LTSS

Roanoke/Alleghany

Southwest

Northern/Winchester

Contracting

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopment-VAContact@aetna.com

Credentialing

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com
Donnesha Lewis 959-299-6400
VAcredentialing-aetna@aetna.com

Authorizations

Marietta Dabney 959-230-3505
dabneym@aetna.com

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com

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
dabneym@aetna.com

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com.

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
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopment-VAContact@aetna.com

Credentialing

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com

Authorizations

Dorothy Goins-Manager 959-230-3916 goinsd@aetna.com

Melissa Parent 959-299-6323

parentm@aetna.com



Vicki A. Brown:  959-230-3782

BrownV5@aetna.com



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 goinsd@aetna.com

Melissa Parent 959-299-6323

parentm@aetna.com



Vicki A. Brown:  959-230-3782 BrownV5@aetna.com




Community Mental Health Rehabilitation Services

Roanoke/Alleghany

Southwest

Northern/Winchester

Contracting

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopmentVAContact@aetna.com

Jannette Anderson 804-527-6402
NetworkDevelopment-VAContact@aetna.com

Credentialing

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com

Leslie Weatherless-Kerr 959-299-6316
VAcredentialing-aetna@aetna.com

Authorizations

Jessica Moorman:  959-230-3667

MoormanJ@aetna.com



Amelia Harris 959-299-6335

HarrisA6@AETNA.com

Darlene Turner 959-230-3829

turnerD4@aetna.com



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

MoormanJ@aetna.com



Amelia Harris 959-299-6335

HarrisA6@AETNA.com

Darlene Turner 959-230-3829

turnerD4@aetna.com




AETNA- Health Plan Payer ID: 128VA added 12/4/17


DME AT and EM

Tidewater

Central

Charlottesville/Western

Contracting

DME Contracting – application requests & submission
Aetnabetterhealth-VAProviderRelations@aetna.com

Same as Tidewater

Same as Tidewater

Credentialing

DME Credentialing  - application status inquiries


vacredentialing-aetna@AETNA.com
For escalated issues only:

Leslie Weatherless-Kerr

(E)  Weatherless-KerrL@aetna.com (T)  959-299-6316
Donnesha Lewis

(E)  LewisD10@aetna.com (T)  959-299-6400



Same as Tidewater

Same as Tidewater

Authorizations

(T)  855-652-8249  (F)  855-661-1828



For escalated issues only:

Stephanie Hargan, Manager Utilization Management


(T)  959-299-6312 (M)  804-824-5541 E)  HarganS@aetna.com

Same as Tidewater

Same as Tidewater

Claims

DME Claims inquiry statuses


855-652-8249, prompt 4 & the prompt 5
For escalated issues only:

Bernice Mcgee

(E)  BMcgee@aetna.com (T)   804-368-7206
Shade Redd

(E)  ReddS@aetna.com (T)  959-230-3608




Same as Tidewater

Same as Tidewater

Care Coordination

DME Coordinator Tidewater:

Dorothy Goins (T)  959-230-3916 (M)  757-418-0034


(E)  GoinsD@aetna.com

DME Coordinator

Central Region: Melissa Parent

(T)  959-299-6323 (M) 866-261-0581

(E)  ParentM@aetna.com



DME Coordinator

Charlottesville Region: Vickie Brown

(T)  959-230-3782 (M) 804-819-9427l

(E) BrownV5@aetna.com




AETNA- Health Plan Payer ID: 128VA added 12/4/17


DME AT and EM

Roanoke/Alleghany

Southwest

Northern/Winchester

Contracting

Same as Tidewater

Same as Tidewater

Same as Tidewater

Credentialing

Same as Tidewater

Same as Tidewater

Same as Tidewater

Authorizations

Same as Tidewater


Same as Tidewater

Same as Tidewater

Claims

Same as Tidewater

Same as Tidewater

Same as Tidewater

Care Coordination

DME Coordinator

Roanoke Region:

Jessie Morgan

(T)  959-230-3667

(M)  540-655-0220

(E)  MoormanJ@aetna.com




DME Coordinator

Southwest Region:

Amelia Harris

(T)  959-299-6335


(M)  276-780-0004
(E)  HarrisA6@aetna.com


DME Coordinator:

Northern Virginia/Winchester:

Darlene Turner

(T)  959-230-3829

(E)  TurnerD4@aetna.com





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