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Name	Gianan, Maria A
Degree	Degree: APRN MSN N
Locations	Locations: 24 Waldo St Dedham, MA 02026 P: 781-724-7348 8.8 mi View Map 1 Union Pl Dedham, MA 02026 P: 508-681-5529 9.7 mi View Map 515 Providence Hwy Dedham, MA 02026 P: 781-724-7348 9.7 mi View Map 275 Millway Barnstable, MA 02630 P: 508-681-5529 59.7 mi View Map
Specialties	Specialties: Behavioral Medicine Pediatric Developmental & Behavioral Health Nurse Practitioner
Gender	Gender: Female
Languages Spoken	Languages Spoken: Filipino Tagalog
Plans Accepted	Plans Accepted: Blue Cross Blue Shield HMO Blue HMO Blue ConnectorCare 1 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) HMO Blue ConnectorCare 2 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) HMO Blue ConnectorCare 3 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) HMO Blue Essential Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Non-Standard Low Gold: HMO Blue Deductible with Copayment Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Bronze: HMO Blue Basic Deductible Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Gold: HMO Blue Copayment Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard Platinum: HMO Blue Premium Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard Silver: HMO Blue Basic II Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Fallon Community Health Plan Community Care Fallon Health ConnectorCare 1 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Fallon Health ConnectorCare 2 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Fallon Health ConnectorCare 3 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Non-Standard Low Gold: Community Care Connector Low Gold Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Bronze: Community Care Connector Bronze #1 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Gold: Community Care Connector High Gold Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard Platinum: Community Care Connector Platinum Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard Silver: Community Care Connector High Silver II Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Harvard Pilgrim Health Care Harvard Pilgrim Health Care Full Network - HMO HPHC ConnectorCare 1 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) HPHC ConnectorCare 2 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) HPHC ConnectorCare 3 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Harvard Pilgrim Health Care Full Network - HMO - FLEX Non-Standard Bronze: HMO 3500 – Flex Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Non-Standard Low Gold: HMO 2000 Low Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Bronze HSA - Flex Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Harvard Pilgrim Health Care Full Network - HMO Standard High Gold Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Harvard Pilgrim Health Care Full Network - HMO - FLEX Standard Platinum - Flex Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Harvard Pilgrim Health Care Full Network - HMO Standard Silver II Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Tufts Health Plan - Direct Tufts Health Direct Metallic Individual Non-Standard Low Gold: Tufts Health Direct Gold 1600 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Bronze: Tufts Health Direct Bronze 2850 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Gold: Tufts Health Direct Gold Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard Platinum: Tufts Health Direct Platinum Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Tufts Health Direct Silver Individual Standard Silver: Tufts Health Direct Silver 2000 II Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Tufts Health Direct Metallic Individual Tufts Health Direct Catastrophic Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Tufts Health Direct Silver Individual Tufts Health Direct ConnectorCare 1 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Tufts Health Direct ConnectorCare 2 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Tufts Health Direct ConnectorCare 3 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) UnitedHealthcare MA IND Navigate Non-Standard Low Gold: UHC Navigate Gold 2000 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Bronze HSA: UHC Navigate HSA Bronze 3600 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Gold: UHC Navigate Gold 0 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard Platinum: UHC Navigate Platinum 0 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard Silver: UHC Navigate Silver 2000 II Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) UHC ConnectorCare 1 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) UHC ConnectorCare 2 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) UHC ConnectorCare 3 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) WellSense Health Plan WellSense Clarity Network Non-Standard Low Gold: WellSense Clarity Gold 1500 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard Silver: WellSense Clarity Silver 2000 II Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Bronze HSA: WellSense Clarity Bronze 3600 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard High Gold: WellSense Clarity Gold 0 Deductible Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) Standard Platinum: WellSense Clarity Platinum 0 Deductible Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) WellSense Clarity ConnectorCare 1 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) WellSense Clarity ConnectorCare 2 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only) WellSense Clarity ConnectorCare 3 Accepting new patients? Yes Coverage Includes: Medical Dental (Child-only)
Remember: This directory aims to show you if your providers participate in the networks of available health and dental plans. While the information in this tool is updated regularly, it may not always be accurate or complete. Before enrolling in a plan or making an appointment: Contact the health insurance company directly to confirm that your provider is in the plan's network. Make sure they will continue to be during the upcoming coverage year, if applicable. You may also need to check if the provider is accepting new patients. By using this directory, you acknowledge that the Center for the Study of Services / Consumers' CHECKBOOK and Massachusetts Health Connector are not liable in any way for errors or omissions in this directory.

Bridges to Excellence (BTE) has recognition programs intended to identify clinicians and practices who deliver high-value care to patients with specific chronic conditions. Recognitions cover major chronic conditions, such as diabetes care, cardiac care, congestive heart failure, and asthma. There are also practice level Office Systems and Medical Home recognitions. While there are close to 30,000 physician recognitions nationally, currently only a fairly small number of physicians in the local Massachusetts and surrounding area have achieved BTE recognition.

Levels of Recognition

Several recognitions have multiple levels of distinction. Clinician recognition levels are generally defined as:

Level I - Program recognition threshold is set to focus on above average performance.
Level II - Program recognition threshold is set to focus on very good performance.
Level III - Program recognition threshold is set to focus on exceptional performance.

Recognitions

Asthma Care - Clinicians must meet benchmarks on measures such as lung function test and monitoring, appropriate medication therapy, smoking cessation, annual influenza vaccination, and patient self-management plan.

Cardiac Care - Clinicians must meet benchmarks on measures such as blood pressure and LDL levels, complete lipoid profile, use of aspirin or other antithrombotic, and smoking cessation.

Cardiology Practice* - Practices must meet benchmarks on measures in treating conditions such as hypertension, coronary artery disease, heart failure, and atrial fibrillation and atrial flutter.

Congestive Heart Failure - Clinicians must meet benchmarks on measures such as Beta blocker therapy, LV function assessment, appropriate ACE-I/ARB therapy, assessment of patient weight and activity level, and patient education.

Coronary Artery Disease Care - Clinicians must meet benchmarks on measures such as blood pressure and lipid management, evaluation of activity level and anginal symptoms, smoking cessation, aspirin/antiplatelet therapy, Beta blocker treatment after a heart attack.

Diabetes - Clinicians must meet benchmarks on measures such as blood pressure, LDL levels, hemoglobin BA1c levels, ophthalmologic and podiatry exams, and nephropathy assessment.

High Blood Pressure/Hypertension - Clinicians must meet benchmarks on measures such as blood pressure and lipid management, aspirin use, diabetes screening, smoking cessation, urine protein test, and counseling for diet and physical activity.

Medical Home* - Clinicians and practices that achieve a combination of BTE's Care Recognition and Physician Office Programs will receive the BTE Medical Home designation since they have demonstrated that they have information systems in place and are using them to achieve improved outcomes in patient care.

Physician Office Systems* - Practices must demonstrate that they have implemented systematic office processes to reduce errors and increase quality.

To learn more about Bridges To Excellence recognitions, visit: http://www.hci3.org/recognition_programs

Cardiology Practice, Physician Office Systems, and Medical Home are practice level recognitions. Providers with these recognitions displayed in this directory may practice at multiple locations but all locations may not be have been awarded these recognitions.