CareFirst BlueCross BlueShield
840 First Street, NE
Washington, DC
• Telephone: (202) 479-8000
Web site: www.carefirst.com
Key Staff
• General Manager - David Wolf
• Medical Director - Jon Shematek, MD
• Director of Provider Relations - Bruce Edwards
• Government Relations - Julie Hatton
Other Contacts
• General Company Information - Jeffrey Valentine
• Grievance/Appeals Procedures - Lisa Kraus
• Quality Improvement - John Shemetak, MD
• Pharmacy Benefits - Winston Wong, PharmaD
| Specialized Health Care Services | ||
|---|---|---|
| Service | In-House | Contracted |
| X | ||
| X |
| Market Segment | ||
|---|---|---|
| HMO/POS | PPO | |
| X | ||
| X | X | |
| X | X | |
| X | X |
| Network Providers Under Contract (numbers are combined HMO/PPO) | |||
|---|---|---|---|
| HMO | PPO | PAR | |
| 4631 | 6692 | ||
| 18843 | 23974 | ||
| 72 | 78 | ||
| 1015 | 1110 |
| 35145 | |
| 37873 | |
| 137985 | |
| 3135 |
Virginia HMO Service Area:
Counties
Arlington, Fairfax, Loudoun, Prince William
Cities
Alexandria, Fairfax, Falls Church, Leesburg, Manassas, Manassas Park