We are located just outside 1-125 at the Glenridge Drive exit. If you are heading west on I-185 you will turn right off the highway, and eastbound turn left.

If you are getting a full body skin exam, please know that we will look at every skin lesion carefully. It is helpful to bring attention to new or changing moles, but we intend to examine all of you including scalp, genitals, fingernails and toenails. Ideally, patients should wear minimal make-up, so if desired bring your make-up and a comb to the appointment. If you are referred for evaluation of a complex medical condition and have already had biopsies and/or labwork done, please bring printed copies of this information. It is not reliable or efficient to search for it on the phone, nor do we always receive medical records by fax. If you fail to bring this information, you may get unnecessary blood draws or biopsies and/or may have to make a second appointment.

All the doctors and physician assistants at our practice approach medicine with the same integrity and skill. Our PAs have been trained by our doctors, and the doctors are always available to assist them.

We receive a tremendous volume of calls, and every one is important to us. You may use the chatbot on the website to request appointments. Please be advised that some of our employees work from a call center in Kentucky, so you may receive a call from a Kentucky area code (270). Please answer the call and/or listen to your voicemail. The best way to reach us is through the patient portal. Please tell our staff when you are in the office, and we will help you get on board.

Our CFO is from a small town in Kentucky, and we have a research center there. Please answer the call if you receive a call with a Kentucky area code.

A co-pay is the amount the patient is required to pay at every visit and never goes away, even after the deductible is met. There may be different co-pays for emergency care or specialty care. You will need to pay this fee at every visit.
A deductible is the amount of money you must pay before insurance kicks in. The ACA made some medical procedures free independent of the deductible, such as annual physicals, PAP smears and colonoscopies. This does not apply to skin cancer screens. Most insurance plans have two deductibles (some have three), one for office visits and one for surgery (the third may be for prescription drugs). Any procedure is considered surgery, such as freezing a wart or performing a skin biopsy, so even if you have met your medical deductible you may still be required to pay for the procedure. If you have any questions, we are happy to tell you the exact cost of any procedure before we perform it and to discuss the urgency of doing the procedure.

Most (but sadly not all) generic drugs are covered by insurance and easy to obtain. When it is possible to use these inexpensive generic medications we always will, but sometimes newer and more expensive medications may have advantages in terms of safety and/or efficacy. Branded medications almost always require prior authorization- an explanation of why we chose them over the cheaper alternatives, and this form will delay you getting the drug. In addition, even when we complete the prior authorization, your insurance company may refuse to pay for the drug. They will suggest alternatives which we can discuss with you. We can also appeal this decision, but that is also time-consuming and does not guarantee you will get the medication. Insurance companies are more and more aggressive with the use of prior authorization, including requiring them for generic drugs. Here is a link to explain how these policies hurt patients and doctors: https://www.acponline.org/advocacy/state-health-policy/toolkit-addressing-the-administrative-burden-of-prior-authorization

Because we care for medically complex patients for whom expensive procedures and/or medications may be needed, we charge an annual $50 ASF (Administrative Services Fee) to cover the cost of completing appeals for treatments/medications and completion of paperwork (e.g disability, FMLA). If you choose not to pay the fee and subsequently need the service, there is a $150 charge. If you are seeing us for annual skin exams, it is unlikely you need to pay this fee. Conversely, if you are seeing us for severe skin diseases it is likely to help you to pay the fee.

We pride ourselves on thorough skin checks including the use of dermoscopy and counseling on skin care. In order to give you the service you expect from us, we have a policy of limiting the visit to the skin cancer screen and any needed associated treatments. In the same way, skin diseases, like acne, rosacea, psoriasis, atopic dermatitis require time for a full evaluation. In order to give you the care you deserve we limit evaluation of skin evaluations to two problems at a visit. Other practices have a one-size-fits-all to the treatment of skin disease, but each patient is an individual whose skin disease deserves tailored treatment to encourage compliance and good outcome with minimum risk.