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MEDICAID AND MEDICARE SURGEONS LIST!

Kathy S.
on 8/31/12 8:33 pm - InTheBurbs, XX
RNY on 08/29/04 with
Hello Members,

On a daily basis we get calls from members in desperate need of surgeons that will accept Medicaid and or Medicare for Bariatric surgery.  It breaks our hearts when we have to say "we don't know of any surgeons in your state we can refer you to". 

Can you please help us? If you know of any surgeons in your state that accepts Medicaid and or Medicare, will you list their:

Name

If they accept Medicare and or Medicaid

Phone number

Facility

Address

This list will remain here for our members to access and use.

Thank you so much!!!

ObesityHelp,

Member Services

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Barbara C.
on 11/29/07 2:41 pm - Raleigh, NC

I hope that this information will be helpful to folks in NC and around the nation.

The program at Duke accepts Medicare. Their website is www.dukewls.org. Duke does their surgery at Durham Region Hospital in Durham NC. (Durham Regional Hospital is now part of the Duke Hospital System).

Their are at least 8 centers in NC that are recognized by Medicare as Centers of Excellence. When someone has Medicare, they must use an ASBS certified COE for Medicare to cover. This is true throughout the US. To find out which programs have obtained the COE designation you can access the Centers for Medicare/Medcaid Services at the following link: http://www.cms.hhs.gov/MedicareApprovedFacilitie/BSF/list.as p?listpage=2 Then plug in the appropriate state to display the centers approved for a particular state. This information is constantly updated, so it provides the most current information available. This is the list that appeared when I did a search for Medicare Approved Facilities in NC:

Facility Name Provider Number Date approved State
Cape Fear Valley Health SystemN/A02/24/2006NC
Durham Regional HospitalN/A05/17/2006NC
FirstHealth Moore Regional Hospital34011509/01/2006NC
Frye Regional Medical CenterN/A02/24/2006NC
New Hanover Regional Medical CenterN/A02/24/2006NC
NorthEast Medical CenterN/A02/24/2006NC
Pitt County Memorial Hospital34004002/20/2007NC
The Presbyterian Hospital34005306/06/2007NC

Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145

Kathy S.
on 11/29/07 2:52 pm - InTheBurbs, XX
RNY on 08/29/04 with
Thank you so much for that information.  They except Medicare and not Medicaid correct? Take care, Kathy Member Services

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Barbara C.
on 11/29/07 3:07 pm - Raleigh, NC

I have medicare and I know that they accept that, but because the are on the CMS list of approved providers/facilities, I believe that they accept both. (The CMS is the Center for Medicare/Medicaid Services.)

Barb

Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145

Kathy S.
on 11/29/07 3:17 pm - InTheBurbs, XX
RNY on 08/29/04 with
Thanks Barb!!!! Take care, Kathy

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mintonbug
on 12/19/07 2:40 pm - NC
I believe that Pitt County Memorial Hospital and ECU Physicians, ( Dr. William Chapman at 252-744-2018) accepts Medicaid also.   Thanks, Bobbie
Emelinda S.
on 12/20/07 7:05 pm - Roanoke Rapids, NC
lovelyncwoman
on 4/5/08 2:16 pm
Hickory Nc Dr. leland Cook accept medicare and medicaid.
See Me
on 12/2/07 5:35 pm - Asheville, NC
Dr. Carl Lowe at Carolina Surgical Clinic accepts Medicaid.

 Glitter Text

Kathy S.
on 12/2/07 7:52 pm - InTheBurbs, XX
RNY on 08/29/04 with
I appreciate this so much.  We will add him to your list for any members that call in your state! Thank  you again, Kathy

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SweetGal_Debbie
on 1/4/08 7:10 pm, edited 1/4/08 7:29 pm - Ocean Isle Beach, NC
Dr. Miles in Wilmington, NC accepts Medicaid & he performs the gastric bypass at New Hanover Regional Hospital & they accept Medicaid. Of course you must meet the guidelines of having atleast a 40 BMI & you must have other health problems like sleep apnea, etc that can be helped by the surgery. Let's face it, Medicaid nor Dr.Miles are going to provide this surgery simply for cosmetic reasons of an xtra 50-75 lbs (< I love that face!) *LOL* I have been refered to Dr.Miles from my primary doc in Supply, Dr.Ravi. She has refered others to him, also on Medicaid, & each were preapproved & all went well. I have everything completed but have held off sending it in to him......something is holding me back  Mainly the fact I have severe sleep apnea & I am worried sick I will not come thru the operation. I've almost got myself ready to send it in. I just didn't want to rush myself.  Hope this info helps! ~Debbie~
jlzamora
on 6/18/09 3:07 pm - Mount Olive, NC
Lotawman
on 1/16/08 12:28 pm - Graham, NC
Can't believe this post has been up that long and I hadn't looked @ it!! lol A friend of mine that had Medicaid went through Dr. Tim Farrell at UNC 919-966-8436 He was/is also my surgeon.  I ASSUME if he took it that the rest of the group would too?? Connie


THAT WORM'S GONNA GET IT RIGHT IN THE HEAD SOON!!  
R S
on 1/25/08 2:21 pm
Centenial Health Care's program in Nashville has a surgeon that accepts TennCare. I am not sure which one. Ramona
Ramona
You can make the choice to have joy, to find joy and spread joy.
gordonfamily3
on 2/16/08 5:14 am - Concord, NC
Lap Band on 06/13/05 with
Dr David Voellinger Southeast Bariatrics 2300-A Randolph Rd Charlotte, NC  Accepts both Medicare and medicaid (Note all patients need to do a 6 month supervised diet for both insurance policies at least in NC)
Bonnie B.
on 2/17/08 8:29 pm - Charlotte, NC
There are some few bariatric surgeones in Charlotte that take Medicaid. Dr. Kuwada & Dr. Gersin take Medicaid as well. However, the only weight loss surgery that they can perform is the RNY. They will not do the VSG, or lapband. Does anyone know a bariatric surgeon that can accept Medicaid for the VSG or duodenal switch?
gordonfamily3
on 6/3/08 4:33 pm - Concord, NC
Lap Band on 06/13/05 with
Medicaid at this point only covers the RNY. They are considering others but right now the only one that any bariatric surgeon can do is the RNY. Sorry!
~~Monika is Leaving
the building~~

on 6/3/08 7:28 pm - Wake Forest, NC

The proposed changes to Medicaid are available online,

 Below are the proposed changes in coverage allowing other WLS, PLEASE NOTE THEY ARE PROPOSED AND NOT IN EFFECT, MEDICAID HAS not set a date of when, if at all these changes will be made. 

 

 1. gastric bypass with roux limb 150 cm or less (Roux-en-Y) (CPT code 43846 or 43644), or

2. Adjustable gastric banding, for recipients with a BMI of less than 50 (the open gastric banding is covered only when complications occur during the laparoscopic attempt) Recipients with a BMI greater than or equal to 50 will be considered on a case by case basis when information is provided as to the necessity of this procedure for the specific recipient (CPT code 43770 or 43999); or

3. Biliopancreatic diversion with or without duodenal switch, for the most severely obese recipients (typically with a BMI greater than or equal to 50), to be considered on an individual basis with appropriate documentation of the indications for this procedure under current standards of care (CPT code 43845, 43847, 43645 or 43659); or

4. Gastric bypass, with small intestine reconstruction to limit absorption, with roux limb greater than 150 cm (long limb Roux-en-Y) for recipients with a BMI greater than or equal to 50, to be considered on an individual basis (CPT code 43847 or 43645).

magicalkingdoms.com Ticker
S M.
on 5/8/12 1:14 pm
VSG with
 This is what I am looking for too. VSG
nuke78
on 6/3/08 1:02 am - NC