Addendum to the Keystone 65 Select HMO and Keystone 65 Select with Choice Provider/Pharmacy Directory 2017 Changes as of November 2016 For the most up-to-date list of Keystone 65 Select HMO and Keystone 65 Select with Choice contracted providers and pharmacies, please visit www.ibxmedicare.com. You may also contact our Member Help Team at 1-800-645-3965 (TTY/TDD: 711) for assistance with choosing a provider or pharmacy. Representatives are available 7 days a week, from 8 a.m. to 8 p.m. However, please be aware that on weekends and holidays from February 15 to September 30, your call may be sent to voicemail.

The pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Keystone 65 offers HMO plans with a Medicare contract. Enrollment in Keystone 65 Medicare Advantage plans depends on contract renewal. KS7849 (12/16)

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. BERKS COUNTY

HOME INFUSION PHARMACIES

CHIROPRACTOR TRI COUNTY CHIROPRACTIC OF DOUGLASSVILLE 002818370 990 East Ben Franklin Highway Douglassville, PA 19518 (610) 382-1444 Maybee, Daniel E., DC

HEALTHCARE EVOLUTION, LLC P 207 East Bellevue Avenue Reading, PA 19605 (610) 921-9700 INTERNAL MEDICINE

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP FAMILY PRACTICE 002822977 2600 Paper Mill Road LVPG FAMILY MEDICINE KUTZTOWN Wyomissing, PA 19610 (484) 220-0051 002813955 Kim, David E., MD 333 Norma Avenue Kutztown, PA 19530 LICENSED CLINICAL (610) 683-8363 SOCIAL WORKER Mauro, Florence J., DO ALTRNTV CONSLTNG PATIENT FIRST ENTERPRISES INC MEDICAL GROUP 002989398 002822975 527 East Lancaster 2600 Paper Mill Road Avenue Wyomissing, PA 19610 Shillington, PA 19607 (610) 844-9150 (610) 796-8110 Leblanc, Leanne L., MD Modesto, Salvatore S., MSW PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 2600 Paper Mill Road Wyomissing, PA 19610 (484) 220-0051 Hasan, Nadia, DO Suarez Kobilis, Monica B., MD Tohfafarosh, Nilofer J., MD

BERKSHIRE PSYCHC 002988924 640 Walnut St Ste 303 Reading, PA 19601 (610) 208-8860 Heckman, Irene B., MSW 716 N Park Rd Wyomissing, PA 19610 (610) 375-0544 Heckman, Irene B., MSW DGR MGMT INC 002989277

P - Preferred pharmacy

2201 Ridgewood Rd Ste 400 Wyomissing, PA 19610 (610) 378-9601 Volo, Naomi, MSW GLAD SVCS CNSLNG AND COACHING CTR 003315388 4 Wellington Boulevard Wyomissing, PA 19610 (610) 678-7300 Kennedy Hassel, Linda A., MSW HORIZONZ LLC 002989596 230 N 5th St Ste 310 Reading, PA 19601 (610) 743-5190 Cooper, Pierre V., MSW 4 S 4th Street, Floor 2 Reading, PA 19602 (610) 743-5190 Cooper, Pierre V., MSW MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH ALTRNTV CONSLTNG ENTERPRISES INC 002989398 527 East Lancaster Avenue Shillington, PA 19607 (610) 796-8110 Messner, Linda J., MED ASSOCS OF SPRINGFIELD PSYCHL 002989038 2909 Windmill Road Sinking Spring, PA 19608 (610) 544-2110 Lambert, Olivia, MS

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BERKS CNSLNG ASSOCSPC 002989721 1150 Berkshire Blvd, Ste 250 Wyomissing, PA 19610 (610) 373-7005 Huntzinger, Kristin A., MS BERKS CNSLNG CTR INC 002989514 645 Penn St Reading, PA 19601 (610) 373-4281 Messner, Linda J., MED CONCERN PRO SVCS FOR CHILD YTH FMLY 002989399 1120 Hobart Ave, Ste C Wyomissing, PA 19610 (610) 371-8035 Rodriguez, Michael J., MA 002989400 1 W Main St Fleetwood, PA 19522 (610) 944-0445 Rodriguez, Michael J., MA 1120 Hobart Avenue, Suite C Wyomissing, PA 19610 (610) 371-8035 Rodriguez, Michael J., MA FMLY GUIDNC CTR 002988906 1235 Penn Ave Ste 205 206 Wyomissing, PA 19610 (610) 374-4963 Rimby, Jamie L., BSW HOLCOMB BHVRL HLTH SYST

002989124 1011 Reed Ave Ste 900 Wyomissing, PA 19610 (610) 939-9999 Getz, Tari L., MED PA CNSLNG SVCS INC 002988888 125 S 5th St Reading, PA 19602 (610) 685-2188 Stewart, Christopher R., MA PURPOSEFUL LIVING CNSLNG SVCS 003166987 3992 Penn Ave, Ste 5 Sinking Spring, PA 19608 (610) 678-5000 Lowery, Nickia S., MHS OB-GYNECOLOGY LVPG OBSTETRICS AND GYNECOLOGY ASSOCIATES 002808919 333 Normal Avenue, Suite 202 Kutztown, PA 19530 (610) 683-5522 Bhambhwani, Anmol, MD Greco, Laura, MD OCCUPATIONAL THERAPIST PHOENIX REHAB AND HEALTH SVCS 002813305 16515 Pottsville Pike Hamburg, PA 19526 (484) 660-3139 Neiheiser, Jennifer L., OTR

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. OPHTHALMOLOGY EYE CONSULTANTS OF PENNSYLVANIA 002803825 1 Granite Point Drive, Suite 100 Wyomissing, PA 19610 (610) 378-1344 Shah, Kevin, MD OPTOMETRIST WYOMISSING OPTOMETRIC CENTER 002803854 50 Berkshire Court, Berkshire Court Professional Build Wyomissing, PA 19610 (610) 374-3134 Umlauf, Perry C., OD PHYSICAL THERAPIST ATI PHYSICAL THERAPY 002818151 4304 N. 5th Street Hwy, Unit 4 Temple, PA 19560 (484) 220-2912 4304 North Street Highway, Unit 4 Temple, PA 19560 (484) 220-2912 EXETER PHYSICAL THERAPY 002876224 3933 Perkiomen Ave, Ste 101 Reading, PA 19606 (610) 779-4588

002809867 16515 Pottsville Pike, Suite B Hamburg, PA 19526 (484) 660-3139 PODIATRY PREMIER FOOT AND ANKLE ASSOCIATES PC 002820069 320 Abington Drive Wyomissing, PA 19610 (610) 670-2277 Seiler, Danielle R., DPM ST JOSEPH MEDICAL GROUP 003374201 145 North 6th Street, 1st Floor Reading, PA 19601 (610) 378-2440 Seiler, Danielle R., DPM PSYCHIATRIC SOCIAL WORKER LEHIGH VLY PHYSNS GRP 002988957 14354 Kutztown Rd Fleetwood, PA 19522 (610) 944-8800 Beveridge, Lisa D., MSW 850 Golden Drive, Suite 1 Blandon, PA 19510 (610) 944-5555 Beveridge, Lisa D., MSW

PHOENIX REHABILITATION AND HEALTH SERVICES INC P - Preferred pharmacy

PSYCHIATRY DGR MGMT INC 002989277 2201 Ridgewood Rd Ste 400 Wyomissing, PA 19610 (610) 378-9601 Foster, Gregory A., MD RETAIL PHARMACIES BLANDON PHARMACY 104 Anna Ave, Ste 6 Blandon, PA 19510 (610) 944-8899 HEALTHCARE EVOLUTION, LLC 207 East Bellevue Avenue Reading, PA 19605 (610) 921-9700 RHEUMATOLOGY LVPG RHEUMATOLOGY 002813870 700 Hawk Ridge Road Hamburg, PA 19526 (610) 402-1147 Casey, Carolyn M., DO ROUTINE VISION BERKS COMMUNITY HEALTH CENTER 838 Penn St Reading, PA 19602 (610) 988-4838 Diener, Elizabeth B., OD DR. GLENN CORBIN, OD 50 Berkshire Ct Wyomissing, PA 19610 (610) 374-3134

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Burkhart, Michael D., OD Umlauf, Perry C., OD VISIONWORKS 2733 Papermill Rd, Ste X15 Wyomissing, PA 19610 (610) 373-5108 Druckman, Charles A., OD Huhn, Zachary, OD Martinez, Laura L., OD SKILLED NURSING FACILITY OAK HRC SPRUCE LLC 003191443 220 S 4th Avenue West Reading, PA 19611 (610) 374-5175 BUCKS COUNTY ALLERGY/IMMUNOL OGY ALLERGY ASTHMA AND ARTHRITIS ASSOCIATES 002809587 103 Progress Dr, Ste 100 Doylestown, PA 18901 (215) 345-6332 Patel, Anil, MD 4 Terry Drive, Suite 10A Newtown, PA 18940 (215) 968-6000 Patel, Anil, MD

AMBULANCE SERVICE RODAN AMBULANCE INC 003179611 780 Falcon Cir, Suite 122 Warminster, PA 18974 (215) 672-2707 ANESTHESIOLOGY PAIN MANAGEMENT RA PAIN SERVICES PA 002822210 11 Friends Lane, Suite 101A Newtown, PA 18940 (215) 579-1300 McGrath, Steven W., MD ST LUKES SPINE AND PAIN MEDICINE ASSOCIATES 002818819 1534 Park Avenue, Suite 310 Quakertown, PA 18951 (215) 712-2545 Wert, Joshua M., DO BEHAVIORAL ANALYST EPIC DEVTL SVCS 002989375 4 Neshaminy Interplex, Suite 202 Trevose, PA 19053 (215) 322-8860 Blichasz, Donna, MED Breault, Jacqueline M., MA Gonzalez Lopez, Adriana, EDD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. CARDIOVASCULAR DISEASE LPS AT MERCER BUCKS 002865093 104 Pheasant Run Rd, Ste 128 Newtown, PA 18940 (215) 860-3344 Spadafora, Robert S., DO ST LUKES CARDIOLOGY ASSOCIATES 002816507 1532 Park Ave, Ste 107 Quakertown, PA 18951 (610) 861-0377 Singh, Abhishek, MD CERTIFIED REGISTERED NURSE PRACTITIONER BUXMONT PRIMARY CARE 002819575 501 Street Road, Suite 101 Southampton, PA 18966 (215) 357-5780 Slingsby, Laura E., CRNP

1665 Bustleton Pike Feasterville, PA 19053 (215) 355-9770 Harrigan, Courtney M., CRNP NORTHAMPTON FAMILY PRACTICE 002884091 66 Buck Road Holland, PA 18966 (215) 322-2444 Horton, Melissa R., CRNP TORRESDALE PEDIATRICS 002806363 2217 Bristol Pike Bensalem, PA 19020 (215) 638-0555 Arlick, Sarah, CRNP TRI COUNTY PEDIATRICS INC 002805093 729 Grove St, Ste 1 Southampton, PA 18966 (215) 322-0800 Keldie, Lauren, CRNP Wilson, Rastogi W., CRNP

002805095 205 Newtown Road, Suite 210 DURHAM PHYSICIANS Warminster, PA 18974 (215) 672-7272 002821342 Keldie, Lauren, CRNP 4595 New Falls Road Wilson, Rastogi W., Levittown, PA 19056 CRNP (267) 587-3700 002805096 Horton, Melissa R., CRNP 140 East Butler Avenue Chalfont, PA 18914 FEASTERVILLE (215) 822-1770 FAMILY HEALTH Wilson, Rastogi W., CARE CENTER CRNP 002813201

P - Preferred pharmacy

CHIROPRACTOR CHIRONETICS INTERNATIONAL INC 003131244 8794 Easton Rd Ottsville, PA 18942 (610) 847-9936 Naudascher, Michelle K., DC DERMATOLOGY CHCA DERMATOLOGY 002809376 500 West Butler Ave Chalfont, PA 18914 (215) 997-9610 Streicher, Jenna L., MD FAMILY PRACTICE ARIA HEALTH PHYSICIAN SERVICES SWEETBRIAR 002820699 44 Sweetbriar Lane Levittown, PA 19055 (215) 946-3100 Darnell, Andrea N., DO ARIA HEALTH PHYSICIAN SERVICES BUCKS FAMILY 002820505 5000 Bensalem Blvd Bensalem, PA 19020 (215) 638-4340 Cullura, Michael J., DO WOUND IINTEGRATED I SPECIALISTS OF PENNSYLVANIA 002821527 915 Lawn Avenue, Suite 201 Sellersville, PA 18960 (215) 453-3360 Catalano, Giovanni, DO

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NORTH PENN FAMILY MEDICAL ASSOCIATES 003024832 140 Butler Pk Chalfont, PA 18914 (215) 822-3361 Bonnes, Harmony L., DO PATIENT FIRST MEDICAL GROUP 003109682 75 E Street Road Feastervle Trevose, PA 19053 (267) 684-1047 Leblanc, Leanne L., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 75 East Street Road Feastervle Trevose, PA 19053 (267) 684-1047 Hasan, Nadia, DO Suarez Kobilis, Monica B., MD Tohfafarosh, Nilofer J., MD ST LUKES INTERNAL MEDICINE 002809566 1021 Park Ave Quakertown, PA 18951 (484) 526-6643 Hasa, Jennifer E., MD Hurst, Amy R., DO Pearce, Troy, MD WHALEN AND MCELMOYLE FAMILY MEDICINE 002821702 407 Floral Vale Blvd Yardley, PA 19067 (215) 750-7150

Olabintan, Tolulope M., MD GENERAL PRACTICE FMLY SVC ASSN OF BUCKS CNTY 003131748 4 Cornerstone Dr Langhorne, PA 19047 (215) 757-6916 Mittleman, Randi L., MD FMLY SVC ASSN OF BUSCKS CNTY 002988938 4 Cornerstone Drive, Cornerstone Executive Ste Langhorne, PA 19047 (215) 757-6916 Mittleman, Randi L., MD GENERAL SURGERY CHILDRENS SURGICAL ASSOCIATES LTD 002809722 500 West Butler Pike Chalfont, PA 18914 (215) 997-5730 Russell, Kathryn W., MD Vrecenak, Jesse D., MD DELAWARE VALLEY CARDIOVASCULAR SURGICAL ASSOCIATES PC 002807412 1203 Langhorne Newtown Road, Suite 226 Langhorne, PA 19047 (215) 752-3330 Proto, Alfred, MD TEMPLE CARDIOTHORACIC SURGERY ASSOCIATES

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 002804855 595 West State Street, Doylestown Hospital 1st Floor West Wing Doylestown, PA 18901 (215) 345-2906 Bakhos, Charles, MD GYNECOLOGY GYN ONCOLOGY ASSOCIATES OF FCCC MGI 002822806 2365 Heritage Center Drive Furlong, PA 18925 (215) 794-2700 Jordan, Scott E., MD HOME HEALTH CARE AGENCY AT HOME REHAB, LLC 002801571 542 Street Road Southampton, PA 18966 (215) 230-4140 BAYADA HOME HEALTH CARE INC 002803731 1 South Main Street, Bucks Mill At Perkiomen Creek, The Flume #3 Sellersville, PA 18960 (800) 305-3000 INDEPENDENT LABORATORY LABCORP 002811961 200 Commerce Circle, Unit H 2B Bristol, PA 19007 (267) 878-0933

INFECTIOUS DISEASES

Paparella, Thomas E., DO

GRAND VIEW MEDICAL PRACTICES I 002821028 817 Lawn Avenue Sellersville, PA 18960 (215) 257-8450 Jagga, Shirish, MD

LOFTS MEDICAL ASSOCIATES PC 002819163 170 Middletown Blvd, Ste 101 Langhorne, PA 19047 (215) 757-8100 Thakur, Arun, MD

INTERNAL MEDICINE COMPREHENSIVE CARE MEDICAL ASSOCIATES PC 002889714 1205 Langhorne Newtown Rd, Suite 309 Langhorne, PA 19047 (215) 741-1963 Jalil, Sheema, MD CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC 002822615 1201 Langhorne Newtown Road Langhorne, PA 19047 (215) 750-2000 Punjabi, Vivek, MD LANGHORNE INTERNAL MEDICINE 002821703 1205 Langhorne Newtown Rd, Ste 400 Langhorne, PA 19047 (215) 710-4130 Walsh, Rajani S., MD Wolf, Jaime E., DO LAWN AVENUE MEDICAL ASSOCIATES 002819363 700 Lawn Avenue Sellersville, PA 18960 (215) 453-4139

P - Preferred pharmacy

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 75 East Street Road Feastervle Trevose, PA 19053 (267) 684-1047 Kim, David E., MD PREMIER URGENT CARE AT KENNETT 002823330 1745 S Easton Road Doylestown, PA 18901 (267) 880-4200 Yeung, Pomin, MD

Dumaswala, Komal B., MD Grazioli, Alison V., MD Kevelyuk, Eugenia, MD Parra, Tatiana, MD Rotibi, Beatrice A., MD Saluja, Mandeep S., MD

003131748 4 Cornerstone Dr Langhorne, PA 19047 (215) 757-6916 Turco, Marie V., LCSW Warning, Nicole K., MSW

LICENSED CLINICAL SOCIAL WORKER

FMLY SVC ASSN OF BUSCKS CNTY 002988938 4 Cornerstone Drive, Cornerstone Executive Ste Langhorne, PA 19047 (215) 757-6916 Davis, Alaina M., MSW Gory, Pamela B., MSW Rosenberg, Claudia F., MSW Strouse, Deborah L., MSW Warning, Nicole K., MSW

ABINGTON MEML HOSP 002989037 205 Newtown Rd, Ste 220 Warminster, PA 18974 (215) 481-5450 Albert, Francine H., MSW Arnold, Robert T., MSW Pimble, Nicole J., MSW

2873 S Eagle Road Newtown, PA 18940 (267) 364-6477 Yeung, Pomin, MD

ABINGTON PSYCHC ASSOCS 002989037 225 Newtown Rd Warminster, PA 18974 (215) 481-5450 Albert, Francine H., MSW Arnold, Robert T., MSW Pimble, Nicole J., MSW

003116049 2873 South Eagle Rd Newtown, PA 18940 (267) 364-6477 Yeung, Pomin, MD

225 Newtown Rd, Fl 2 Warminster, PA 18974 (215) 481-5450 Albert, Francine H., MSW

ST LUKES INTERNAL MEDICINE 002809566 1021 Park Ave Quakertown, PA 18951 (484) 526-6643 Adasofunjo, Matthew O., MD Dhesi, Sukhdeep S., DO

205 Newtown Rd, Stein Bldg, Ste 212 Warminster, PA 18974 (215) 481-5450 Albert, Francine H., MSW Arnold, Robert T., MSW Pimble, Nicole J., MSW

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FMLY SVC ASSN OF BUCKS CNTY

JONES AND BLACK JJ CNSLNG LLC 003183856 16 North Franklin Street, Suite 101 Doylestown, PA 18901 (215) 622-2659 Zdziera, Megan I., MSW LENAPE VLY FNDTN 002989259 500 N West St Doylestown, PA 18901 (215) 345-5300 Schlupp, Amanda, MSW NEW VITAE INC 003376273 16 S Main St Quakertown, PA 18951 (215) 538-3403 Diyenno, Armand G., MSW PENN FNDTN INC

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 002988993 807 Lawn Ave Sellersville, PA 18960 (215) 257-6551 Suchniak, Kathryn L., MSW PSYCY ASSOCS 002989139 301 Oxford Valley Rd, Ste 301B Yardley, PA 19067 (215) 321-5780 Feder, Michele, MSW TREVOSE CORPORATE CENTER 002988891 4610 E Street Rd Trevose, PA 19053 (267) 699-3000 Long, Griszel, MSW MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH ABINGTON PSYCHC ASSOCS 002989037 205 Newtown Rd, Stein Bldg, Ste 212 Warminster, PA 18974 (215) 481-5450 Lee, May, MA BUCKS CNTY ANXIETY CTR 003344951 4 Terry Drive, Suite 11 Newtown, PA 18940 (215) 550-1818 Ziergler, Jillian E., MS DOYLESTOWN CNSLNG ASSOCS INC 003370117 62 N Church St Doylestown, PA 18901 (267) 454-2028

McCafferty, Kathleen W., MA Steich, Bonnie M., MA FMLY SVC ASSN OF BUCKS CNTY 003131748 4 Cornerstone Dr Langhorne, PA 19047 (215) 757-6916 Meyers, Pamela A., MA Tull, Maria N., MA FMLY SVC ASSN OF BUSCKS CNTY 002988938 4 Cornerstone Drive, Cornerstone Executive Ste Langhorne, PA 19047 (215) 757-6916 Balogh, Micheline M., MA Meyers, Pamela A., MA HOLY REDEEMER CNSLNG CTR 002989089 1844 Street Rd, Ste 103 Southampton, PA 18966 (215) 914-4190 Hakimi, Nazanin, MA LENAPE VLY FNDTN 002989259 500 N West St Doylestown, PA 18901 (215) 345-5300 Dalessandro, Alicia, MA Thomas, Suzanne, MA 501 Bath Rd Bristol, PA 19007 (215) 785-9444 McCloskey, Briana L., MA 003290808

P - Preferred pharmacy

500 N West St Doylestown, PA 18901 (215) 345-5300 Thomas, Suzanne, MA

Williams, III, Paul W., MS

NEUROLOGY

DOYLESTOWN NEONATOLOGY NEUROLOGY 002811104 CHCA NEONATOLOGY PENN FNDTN INC 599 West State Street, 002805478 002988993 Suite 207A 1201 Langhorne 807 Lawn Ave Doylestown, PA 18901 Newtown Rd. Sellersville, PA 18960 (215) 345-0105 Langhorne, PA 19047 (215) 257-6551 Aggarwal, Sudhir, MD (215) 710-5996 Antczak, Christopher, PENN NEUROLOGIC Balany, Jherna, MD MED ASSOC Strafford, Mallorie J., MA NEPHROLOGY 002803924 PENNDEL MNTL HLTH BUCKS COUNTY 920 Lawn Avenue, Suite CTR 5 KIDNEY SPECIALIST 002989358 Sellersville, PA 18960 002821435 1517 Durham Rd (215) 257-4900 2966 St Rd Penndel, PA 19047 Tropea, Thomas F., DO Bensalem, PA 19020 (267) 587-2345 (215) 860-3520 OB-GYNECOLOGY Dinardo, Elizabeth S., Carpenter, Sweta V., MA ABINGTON PRIMARY MD Silverberg, Samantha WOMENS HEALTH 60 Blacksmith Rd M., MA 002804472 Newtown, PA 18940 11 Friends Lane, Suite PHILADELPHIA (215) 860-3520 101 MENTAL HEALTH Carpenter, Sweta V., CLINIC Newtown, PA 18940 MD 002989572 (215) 366-1160 930 Towncenter Drive, 2288 2nd Street Pike, Cruz, Amy T., MD Suite G100 Ste 6 Ruberg, Tara L., MD Langhorne, PA 19047 Newtown, PA 18940 CENTER FOR (215) 860-3520 (215) 598-0223 WOMENS HEALTH Carpenter, Sweta V., Connolly, Cynthia A., 002812716 MD MA 540 N Woodbourne Rd BUCKS COUNTY ROBIN L BEAUMONT Langhorne, PA 19047 KIDNEY SPECIALISTS (215) 750-6611 PHD LLC PC 003297893 Miranda, Natalia, MD 002821435 628 Juniper St DOYLESTOWN Quakertown, PA 18951 2629 Trenton Road WOMENS HEALTH Levittown, PA 19056 (267) 888-2599 CTR L (215) 860-3520 Tinker, Gail E., MS 002806474 Carpenter, Sweta V., TREVOSE 708 N Shady Retreat MD CORPORATE CENTER Rd, Ste 7 002988891 Doylestown, PA 18901 4610 E Street Rd (215) 340-2229 Trevose, PA 19053 DE Four, Zahra K., MD (267) 699-3000

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THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. OCCUPATIONAL THERAPIST BENCHMARK THERAPIES INC 003184014 1 Shepherds Way, Suite 100 Warminster, PA 18974 (814) 506-8212 Nguyen, Hong Thi T., OTR MERCER BUCKS ORTHOPAEDICS PC 002817107 1203 Langhorne Newtown Road, Suite 220 Langhorne, PA 19047 (215) 860-4274 Hurley, Kimberly A., OTR THERAPLAY INC 002816422 2100 Quaker Pointe Dr, Quaker Pointe Medical Center Quakertown, PA 18951 (215) 804-1002 Carroll, Jacqueline, OTR Heddings, Ashley J., OTR Ilg, Dana L., OTR Kershaw, Ashley, OTR Liu, Samantha J., OTR Swann, Allison M., OTR Weidemoyer, Maria, OTR

Kershaw, Ashley, OTR Liu, Samantha J., OTR Skibinski, Christine L., OTR Swann, Allison M., OTR Weidemoyer, Maria, OTR OPTOMETRIST CENTURY EYE CARE LTD 002814654 216 Mill Street Bristol, PA 19007 (215) 781-2020 Gouda, Suemayah S., OD 670 N Woodbourne Rd, Ste 200 Langhorne, PA 19047 (215) 752-8888 Gouda, Suemayah S., OD OPHTHALMOLOGY PHYSICIANS AND SURGEONS 002814734 1609 Woodbourne Rd, Ste 303 Levittown, PA 19057 (215) 547-1818 Draskovic, Kristie M., OD ORTHOPEDIC HAND SURGERY

THE PHILADELPHIA HAND CENTER PC 790 Newton Yardley 002804843 Road, Newtown Center 240 Middletown Suite 422 Boulevard, Suite 101 A Newtown, PA 18940 Langhorne, PA 19047 (215) 579-8797 (610) 768-5940 Carroll, Jacqueline, OTR Tosti, Richard J., MD Heddings, Ashley J., OTR Ilg, Dana L., OTR P - Preferred pharmacy

ORTHOPEDIC SURGERY CHILDRENS SURGICAL ASSOCIATES LTD 002809721 500 W Butler Ave Chalfont, PA 18914 (215) 997-5730 Deeney, Vincent F., MD ROTHMAN INSTITUTE RECONSTRUCTIVE ORTHOPEDIC ASSOCIATES II PC 002804844 1200 Manor Drive Chalfont, PA 18914 (215) 855-4444 Shakked, Rachel, MD 3300 Tillman Drive, Suite 201 Bensalem, PA 19020 (800) 321-9999 Shakked, Rachel, MD PHYSICAL MEDICINE AND REHABILITATION ST LUKES NEUROLOGY ASSOCIATES 002816549 1534 Park Avenue Quakertown, PA 18951 (484) 426-2626 Tele, Shrikant, MD PHYSICAL THERAPIST ATI PHYSCIAL THERAPY 002818151 2641 Street Road Bensalem, PA 19020 (267) 525-0135

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ATI PHYSICAL THERAPY 002818151 1753 Kendarbren Drive, 610 Jamison, PA 18929 (215) 343-2141 220 Commerce Circle Bristol, PA 19007 (215) 826-8089 682 North West End Blvd Quakertown, PA 18951 (215) 892-1829 7803B New Falls Road Levittown, PA 19055 (215) 949-7985 003308686 770 Newton Yardley Road George School, PA 18940 (215) 860-7031 7803B New Falls Road Levittown, PA 19055 (215) 949-7985 BENCHMARK THERAPIES INC PT 003335448 1 Shepherds Way, Suite 100 Warminster, PA 18974 (814) 506-8212 MK PLUS 003467883 127 State Street Newtown, PA 18940 (215) 968-5151 1432 Easton Road, Suite 5A Warrington, PA 18976 (215) 491-5800

31 Cambridge Lane, Ste A Newtown, PA 18940 (215) 364-5800 4829 East Street Road, Ste 100 Trevose, PA 19053 (215) 364-5800 671 Newtown Yardley Rd Newtown, PA 18940 (215) 968-5800 NOVACARE 002812129 1415 East Lincoln Highway Levittown, PA 19056 (215) 547-4813 PHYSICAL THERAPY SERVICES ASSOCIATE INC 003465286 2221 Galloway Road Bensalem, PA 19020 (215) 938-9317 TRENTON ORTHOPAEDIC GROUP 003322198 111 Floral Vale Blvd, Suite B Yardley, PA 19067 (609) 581-2200 TRENTON ORTHOPAEDIC GROUP, PA 003322198 103 Floral Vale Blvd. Yardley, PA 19067 (267) 757-0560 WELLNESS & REHAB ASSOC 002816678

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 3655 Route 202, Gerorgetown Crossing, Suite 110 Doylestown, PA 18902 (215) 947-1174 PLASTIC SURGERY PLASTIC RECON ASSOC OF FCCC MGI 002822817 2365 Heritage Center Drive Furlong, PA 18925 (215) 794-2700 Ng, Marilyn, MD PODIATRY ARIA 3B PODIATRY 003003232 380 N Oxford Valley Rd, 1st Floor Langhorne, PA 19047 (215) 409-9300 Monaco, Spencer J., DPM HEALTHDRIVE PODIATRY GROUP 002805081 12 Penns Trail, Ste 154 Newtown, PA 18940 (888) 946-6681 Eskarous, Michael N., DPM PSYCHIATRIC SOCIAL WORKER ABINGTON PSYCHC ASSOCS 002989037 205 Newtown Rd, Stein Bldg, Ste 212 Warminster, PA 18974 (215) 481-5450 Chubb, Michele L., MSW Sutton, Aaron M., MSW

FMLY SVC ASSN OF BUCKS CNTY 003131748 4 Cornerstone Dr Langhorne, PA 19047 (215) 757-6916 Marseglia, Diane M., MSW Scholle, May, SW FMLY SVC ASSN OF BUSCKS CNTY 002988938 4 Cornerstone Drive, Cornerstone Executive Ste Langhorne, PA 19047 (215) 757-6916 Feldsher, Dana K., MSW Scholle, May, SW PSYCHIATRY ABINGTON MEML HOSP 002989037 205 Newtown Rd, Ste 220 Warminster, PA 18974 (215) 481-5450 Custer, Diane E., MD Stefanescu Sturz, Raluca, MD Valdez, Karen A., DO ABINGTON PSYCHC ASSOCS 002989037 205 Newtown Rd, Stein Bldg, Ste 212 Warminster, PA 18974 (215) 481-5450 Custer, Diane E., MD Koliasko, Nataliya, MD Stefanescu Sturz, Raluca, MD Valdez, Karen A., DO

P - Preferred pharmacy

225 Newtown Rd Warminster, PA 18974 (215) 481-5450 Custer, Diane E., MD Stefanescu Sturz, Raluca, MD Valdez, Karen A., DO 225 Newtown Rd, Fl 2 Warminster, PA 18974 (215) 481-5450 Custer, Diane E., MD FMLY SVC ASSN OF BUSCKS CNTY 002988938 4 Cornerstone Drive, Cornerstone Executive Ste Langhorne, PA 19047 (215) 757-6916 Paul, Sima C., MD Stella, Joseph H., MD

ST LUKES NEUROLOGY ASSOCIATES 002816549 1534 Park Avenue Quakertown, PA 18951 (484) 426-2626 Demarco, Anthony P., PSYD ST LUKES PSYCHC ASSOCS INC 002989014 1534 Park Ave Quakertown, PA 18951 (484) 426-2626 Demarco, Anthony P., PSYD PULMONARY DISEASES

ST LUKES PULMONARY ASSOCIATES PSYCHOLOGIST 002817568 MARRIAGE AND FMLY 1021 Park Avenue RESOURCE CTR Quakertown, PA 18951 003011798 (484) 526-3890 304 East Pennsylvania Guglielmello, Giuseppe, Boulevard DO Feastervle Trevose, PA 19053 RADIOLOGY (215) 497-0574 Feinstein, Joan A., PHD CENTER FOR VEIN RESTORATION PA PENNDEL MNTL HLTH 003449000 CTR 501 Bath Road, Suite 002989358 215 1517 Durham Rd Bristol, PA 19007 Penndel, PA 19047 (855) 830-8346 (267) 587-2345 LOWER BUCKS Smith, Jonathan D., RADIOLOGY PSYD ASSOCIATES PC ROBERT ISETT 002803933 002986538 280 Middletown 709 Limekiln Rd Boulevard Doylestown, PA 18901 Langhorne, PA 19047 (215) 348-0944 (215) 785-9122 Isett, Robert, PHD

7

PERPHERIAL VASCULAR INSTITUTE 003043051 301 Oxford Valley Road Yardley, PA 19067 (215) 493-8300 REGISTERED DIETICIAN INSPIRE NUTRITION II INC 002885164 650 Durham Rd Wrightstown, PA 18940 (215) 704-4230 Marczuk, Stefanie A., RD RETAIL PHARMACIES CHARLIE'S PHARMACY P 2235 Veterans Hwy Levittown, PA 19056 (215) 269-7000 RICCIO FAMILY PHARMACY P 2217 Bristol Pike Suite # 2 Bensalem, PA 19020 (215) 639-6680 RXDN PHARMACY 2522 Pearl Buck Road, Unit D Bristol, PA 19007 (215) 785-6015 ROUTINE DENTAL A 1 FAMILY DENTAL CARE 001617012 1950 Street Rd, Ste 200 Bensalem, PA 19020 (215) 638-4696 Samara Al Jumaili, DMD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. A PLUS FAMILY DENTAL CARE PC 001431002 1500 Horizon Dr, Ste 104 Chalfont, PA 18914 (215) 997-9980 Mary Y. Lee, DMD Ronald A. Schwartz, DMD

Druckman, Charles A., OD Huhn, Zachary, OD Martinez, Laura L., OD Trump, Michelle R., OD SKILLED NURSING FACILITY OAK HRC LANGHORNE LLC 003304593 350 Manor Avenue Langhorne, PA 19047 (215) 757-7667

SMILE CULTURE DENTAL PC 000475100 532 S Oxford Valley Rd Fairless Hills, PA 19130 OAK HRC (215) 946-3655 STATESMAN LLC Simon S. Oh, DDS 003299545 2620 Trenvon Road ROUTINE VISION Levittown, PA 19056 DR. DAVID L GALIANI (215) 943-7777 14 A Memorial Dr SLEEP DISORDER Doylestown, PA 18901 DIAGNOSTIC (215) 345-5144 CENTER Derham, Elizabeth, MD PHILADELPHIA SLEEP OPHTHALMOLOGY CENTER PHYSICIANS & 002802735 SURGEONS 2701 Bartram Avenue 1018 Street Road Bristol, PA 19007 Southampton, PA (215) 788-2709 18966 (215) 672-4300 Arteaga, Fernando A., OD OPHTHAMOLOGY PHYSICIANS & SURGEONS 1609 Woodbourne Rd, Ste 303 Levittown, PA 19057 (215) 547-1818 Arteaga, Fernando A., OD

SPEECH THERAPIST BENCHMARK THERAPIES INC 003335441 1 Shepherds Way, Suite 100 Warminster, PA 18974 (215) 956-2270 Shpilsky, Laura A., SLP

2100 Quaker Point Drive, Quakertown Center Quakertown, PA 18951 (215) 804-1002 Blumberg, Beverly G., SLP Dougherty, Kelly D., SLP Forgit, Tricia M., MSP Kane, Gina A., SLP Kleeman, Joan A., MA Pecci, Samantha M., SLP Scholder, Leah S., SLP Strackhouse, Carolynn M., SLP Titus, Deborah E., SLP Tome, Portia M., SLP Weiner, Emily N., SLP 790 Newtown Yardley Road, Newtown Center, Suite 422 Newtown, PA 18940 (215) 579-8797 Blumberg, Beverly G., SLP Dougherty, Kelly D., SLP Forgit, Tricia M., MSP Kane, Gina A., SLP Kleeman, Joan A., MA Pecci, Samantha M., SLP Scholder, Leah S., SLP Strackhouse, Carolynn M., SLP Titus, Deborah E., SLP Tome, Portia M., SLP Weiner, Emily N., SLP

THERAPLAY INC 002809904

VISIONWORKS 684 Northwest End Blvd Quakertown, PA 18951 (215) 536-7023 P - Preferred pharmacy

8

UROLOGY CHILDRENS SURGICAL ASSOCIATES LTD 002809715 500 W Butler Avenue Chalfont, PA 18914 (215) 997-5730 Chu, David, MD COMPREHENSIVE UROLOGIC SPECIALIST 003028721 1203 LanghorneNewtown Road, St. Clare Medical Bldg, Suite 336 Langhorne, PA 19047 (215) 710-4490 Bickell, Michael W., DO COMPREHENSIVE UROLOGIC SPECIALISTS 003028721 4595 New Falls Road, Suite A Levittown, PA 19056 (215) 710-4490 Bickell, Michael W., DO ST LUKES CENTER FOR UROLOGY 002816997 1021 Park Ave, Ste 202 Quakertown, PA 18951 (484) 526-2598 Piotrowski, Zachary J., MD UROLOGY CARE ALLIANCE 002820751 825 Town Center, Ste 150 Langhorne, PA 19047 (215) 750-6510 Yamamoto, Akira, MD

VASCULAR SURGERY SURGICAL CARE SPECIALISTS INC 002804447 1500 Horizon Drive, Suite 120 Chalfont, PA 18914 (215) 887-5934 Pineda, Danielle M., MD VIA AFFILIATES 002811104 595 West State Street, 1st Floor West Wing Doylestown, PA 18901 (215) 345-2885 Rao, Atul S., MD CHESTER COUNTY ANESTHESIOLOGY PENN PAIN MEDICINE VALLEY FORGE 002807520 1001 Chesterbrook Boulevard, 3rd Floor Berwyn, PA 19312 (215) 893-7246 Graff, Veena, MD Grosh, Taras, MD Kitt, Arthur, MD WEST CHESTER ANESTHESIA ASSOCIATES 002809445 701 East Marshall Street West Chester, PA 19380 (610) 431-5472 He, Michael, MD 915 Old Fern Hill Road, Suite 100 West Chester, PA 19380 (484) 723-0030 He, Michael, MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. AUDIOLOGIST HEARING HEALTH PA LLC 002811417 30 South Valley Road, Suite 206 Paoli, PA 19301 (610) 296-5857 Fogel, Tara L., AUD CARDIOVASCULAR DISEASE CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 154 Exton Square Parkway Exton, PA 19341 (610) 647-4260 Kuhn, Robert J., MD 255 West Lancaster Avenue, Paoli Hospital Mob II Ste 328 Paoli, PA 19301 (610) 647-2400 Kuhn, Robert J., MD 736 West Lincoln Hwy Exton, PA 19341 (610) 696-2850 Mark Coffin, Sharayne D., MD 915 Old Fern Hill Road, Ste 5 Bldg A West Chester, PA 19380 (610) 696-2850 Mark Coffin, Sharayne D., MD

CERTIFIED REGISTERED NURSE PRACTITIONER ADVOCARE BROOMALL PEDIATRICS ASSOCIATES 002816995 1246 West Chester Pike, Suite 303 West Chester, PA 19382 (610) 692-2605 Stigliano, Jamie N., CRNP CARE NETWORK COATESVILLE 002810217 495 Highlands Blvd, Suite 100 Coatesville, PA 19320 (610) 384-9500 Wenger, Doris, CRNP FAMILY MEDICINE SPECIALISTS OF JENNERSVILLE 002819676 1011 West Baltimore Pike, Suite 102 West Grove, PA 19390 (610) 869-8919 Jarrett, Sharon S., CRNP CHIROPRACTOR ACTIVE FAMILY AND SPORTS CHIRO 002821733 403 W Lincoln Hwy, Suite 108 Exton, PA 19341 (610) 524-6680 Le, Andrew B., DC DOUGLAS R SWEDE DC LLC 002818402

P - Preferred pharmacy

485 Devon Park Dr, Ste 114 Wayne, PA 19087 (610) 995-9355 Hager, Margaret R., DC

1260 Valley Forge Road, Suite 101 Phoenixville, PA 19460 (610) 983-3980 Damavandy, Ali A., MD

FITCHETT CHIROPRACTIC 002812466 1 Commerce Blvd, Suite 202 West Grove, PA 19390 (610) 869-3222 Hollen, Curtis, DC

DURABLE MEDICAL EQUIPMENT SUPPLIER

DERMATOLOGY CHCA DERMATOLOGY 002809376 481 John Young Way Exton, PA 19341 (610) 524-9885 Streicher, Jenna L., MD DERMATOLOGY AND SKIN SURG CTR 002806521 213 Reeceville Road, Suite 35 Coatesville, PA 19320 (610) 594-6660 Margetas, Sevasti P., DO 501 Gordon Drive Exton, PA 19341 (610) 594-6660 Margetas, Sevasti P., DO 701 E Baltimore Pike Kennett Square, PA 19348 (610) 444-0070 Margetas, Sevasti P., DO DERMATOLOGY ASSOC PC 002809017

9

180 MEDICAL INC 002802849 829 Lincoln Avenue, Unit 5 West Chester, PA 19380 (484) 472-6072

FAMILY PRACTICE BRANDYWINE FAMILY PRACTICE OF EXTON 003046374 495 Thomas Jones Way, Ste 100 Exton, PA 19341 (610) 524-4106 Beauparlant, Heather M., DO COLONIAL FAMILY PRACTICE ASSOCIATES 002812709 217 Reeceville Rd, Ste A Coatesville, PA 19320 (610) 269-9448 Rowan, Drew E., MD

COMFORT CARE MEDICAL EQUIPMENT 003162583 579 Cupola Rd Honey Brook, PA 19344 DEVON FAMILY PRACTICE (410) 828-0947 002812144 ORTHOPAEDIC SPINE 139 Berkeley Rd TECHNOLOGIES LLC Devon, PA 19333 003473479 (610) 687-0715 101 South Church Street Lawlor, Kathleen K., MD West Chester, PA 19382 DOWINGTOWN FAMILY MEDICINE (610) 430-2227 003431054 ENDOCRINOLOGY 625 North Pottstown Pike GATEWAY MEDICAL Exton, PA 19341 ASSOCIATES PC (610) 903-0640 002812701 Beauparlant, Heather 795 East Marshall M., DO Street, Suite G2 West Chester, PA DOWNINGTOWN 19380 FAMILY MEDICINE (610) 431-7929 002822742 Somasundaram, Anitha, 77 Manor Ave, Ste 100 MD Downingtown, PA 19335 (610) 269-9570 Beauparlant, Heather M., DO

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. FAMILY MEDICINE OF LIONVILLE 003431053 529 West Uwchian Avenue Exton, PA 19341 (610) 363-7303 Beauparlant, Heather M., DO MAIN LINE HEALTHCARE WESTTOWN 002806565 1601 McDaniel Dr, Ste 50 West Chester, PA 19380 (484) 905-8000 Quintiliani, Jr, Joseph P., DO GENERAL SURGERY

255 W Lancaster Avenue, Jefferson University Department of Surgery, Suite 331 Paoli, PA 19301 (484) 527-2232 Laporta, Matthew W., DO HOME HEALTH CARE AGENCY MAXIM HEALTHCARE SERVICES INC 002802007 748 Springdale Drive, Suite 120 Exton, PA 19341 (610) 363-6044 INTERNAL MEDICINE APOGEE MEDICAL GROUP OF PA 002816163 201 Reeceville Road Coatesville, PA 19320 (610) 383-8351 Amexo, Kwaku, MD Iroha, Simon I., MD Sekhar, Supriya, MD

CHILDRENS SURGICAL ASSOCIATES LTD 002809722 481 John Young Way Exton, PA 19341 (610) 594-9008 Russell, Kathryn W., MD APOGEE MEDICAL Vrecenak, Jesse D., MD GROUP OF PENNSYLVANIA JJEFFERSON J UNIVERSITY DEPT OF 003354914 201 Reeceville Road SURGERY Coatesville, PA 19320 002817185 11 Industrial Blvd, Paoli (610) 383-8351 Pointe Medical Office Khan, Ayesha, MD Bldg, Ste 203 MAIN LINE Paoli, PA 19301 HEALTHCARE (215) 955-1300 002811045 Laporta, Matthew W., 255 West Lancaster DO Avenue, Suite 424, 4 E Paoli, PA 19301 (484) 565-1646 Liu, Jiali, MD

P - Preferred pharmacy

255 West Lancaster Aveune, Paoli Memorial Hospital Paoli, PA 19301 (484) 565-1510 Cruz, Jennifer A., DO Marchiano, Susan M., DO Mizus, Marisa C., MD Spinazzola, Jeremy A., DO Summerville, Sarah G., MD Wang, Daniel S., MD MEDICAL ASSOCIATES OF THE MAIN LINE 002809983 414 Paoli Pike Malvern, PA 19355 (484) 596-3943 Simsovits, Debra, DO PREMIER URGENT CARE AT KENNETT 002823330 300 Old Forge Lane, Suite 302 Kennett Square, PA 19348 (484) 778-8000 Yeung, Pomin, MD LICENSED CLINICAL SOCIAL WORKER DELAWARE CNTY PRO SVCS 002988925 780 E Market St Ste 230 West Chester, PA 19382 (610) 892-3800 Coppens, Michael T., MSW ESTADT PSYCHL SVCS LLC 003364168

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1695 Lenape Road West Chester, PA 19382 (215) 551-6080 Townsend, Maureen A., MSW HOLCOMB BHVRL HLTH SYST 002989124 920 East Baltimore Pike Kennett Square, PA 19348 (610) 388-7400 Massey, Terri J., MSW MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH

002989124 467 Creamery Way Exton, PA 19341 (610) 363-1488 Fox, Melanie, MA LIFE CNSLNG SVCS 002989000 1440 Russell Road Paoli, PA 19301 (610) 644-6464 Smith, Sean T., MS 400 Franklin Avenue, Suite 240 Phoenixville, PA 19460 (610) 644-6464 Mabrey, Timothy, MA

MATTHEW J MAURIELLOMA PC ADDCTN AND PSYCHL 003036479 THRPY INC 139 W Market St, Ste D 002989326 West Chester, PA 811 W Chester Pike 19382 West Chester, PA (814) 934-7960 19382 Mauriello, Matthew J., (610) 696-0325 MA Weiss, Lucille G., MA SADAR PSYCHL AND CHILD GUIDNC SPORTS CTR RESOURCE CTR 002988893 002989116 1288 Valley Forge Rd, 744 E Lincoln Hwy Ste Ste 72 420 Phoenixville, PA 19460 Coatesville, PA 19320 (610) 933-9440 (610) 383-5635 Moore, Sondra R., MA Hackenberg, Lydia B., BSW NEONATOLOGY CORNERSTONE THERAPY AND WELLNESS 003002693 639 Swedesford Rd Malvern, PA 19355 (610) 616-5935 Zawadzkas, Mary C., MC HOLCOMB BHVRL HLTH SYST

CHCA NEONATOLOGY 002805478 701 East Marshall Street West Chester, PA 19380 (610) 431-5376 Balany, Jherna, MD NEMOURS CHILDRENS CLINIC 002811431

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 140 Nutt Road, Phoenixville Hospital Phoenixville, PA 19460 (610) 526-4618 Perlman, Marc B., MD NEUROLOGICAL SURGERY MAIN LINE HEALTHCARE SURGERY 002815934 255 West Lancaster Avenue Paoli, PA 19301 (610) 325-3880 Bailey, Robert L., MD OB-GYNECOLOGY CHESTER COUNTY OB GYN ASSOCS 002822972 11 Industrial Boulevard, Suite 101 Paoli, PA 19301 (610) 993-8200 Toussaint Foster, Yardlie, DO 495 Thomas Jones Way, Suite 210 Exton, PA 19341 (610) 280-3636 Toussaint Foster, Yardlie, DO PENN OB GYN SOUTHERN CHESTER COUNTY 002985967 455 Woodview Road, Suite 105 West Grove, PA 19390 (610) 903-6200 Odell, Lindsay S., MD PENN OBGYN EXTON 002985967

728 West Lincoln Highway, The Commons At the Oaklands Exton, PA 19341 (610) 903-6200 Odell, Lindsay S., MD PENN OBGYN WEST CHESTER 002985967 600 East Marshall Street, Suite 205 West Chester, PA 19380 (610) 903-6200 Odell, Lindsay S., MD WOMENS HEALTH CARE GROUP OF PA 002815885 11 Industrial Boulevard, Ste 203 Paoli, PA 19301 (610) 648-9222 High, Brooke N., DO OCCUPATIONAL THERAPIST ALLEGRETTO THERAPY SERVICES 002823156 694 Wharton Blvd Exton, PA 19341 (610) 715-2702 Karpinski, Christine M., OTR BENCHMARK THERAPIES INC 003184014 One Veterans Drive Spring City, PA 19475 (814) 506-8212 Nguyen, Hong Thi T., OTR

385 Starr Road, Landenberg Center Landenberg, PA 19350 (484) 720-8252 Carroll, Jacqueline, OTR Heddings, Ashley J., OTR Ilg, Dana L., OTR Kershaw, Ashley, OTR Liu, Samantha J., OTR Skibinski, Christine L., OTR Swann, Allison M., OTR Weidemoyer, Maria, OTR 638 Brandywine Parkway, West Chester Center West Chester, PA 19380 (610) 436-3600 Carroll, Jacqueline, OTR Heddings, Ashley J., OTR Ilg, Dana L., OTR Kershaw, Ashley, OTR Liu, Samantha J., OTR Skibinski, Christine L., OTR Swann, Allison M., OTR Weidemoyer, Maria, OTR OPHTHALMOLOGY MUDGIL EYE ASSOCIATES PC 002814063 795 East Marshall Street, Suite 103 West Chester, PA 19380 (610) 429-3004 Simpson, Holly C., MD

THERAPLAY INC 002816422

P - Preferred pharmacy

11

OPTOMETRIST CHESTER COUNTY OPTICIANS 002808595 119 East Swedsford Road Exton, PA 19341 (610) 594-0800 McConville, Megan R., OD 3921 Lincoln Highway Downingtown, PA 19335 (610) 269-9595 McConville, Megan R., OD 923 Paoli Pike West Chester, PA 19380 (610) 692-8300 McConville, Megan R., OD

ORTHOPEDIC SURGERY CHILDRENS SURGICAL ASSOCIATES LTD 002809721 481 John Young Way, Oakland Corporate Park Exton, PA 19341 (610) 594-9008 Deeney, Vincent F., MD PENN ORTHOPAEDICS EXTON 003147221 479 Thomas Jones Way, Suite 300 Exton, PA 19341 (610) 280-9999 Farber, Daniel C., MD

PENN ORTHOPAEDICS SOUTHERN CHESTER MOORE EYE CARE PC COUNTY 003124161 003147221 460 Creamery Way, 105 Vineyard Way, Suite Suite 105 101 Exton, PA 19341 West Grove, PA 19390 (610) 524-3110 (610) 869-4830 D'Alonzo, Angela M., Farber, Daniel C., MD OD PREMIER 826 Main Street, Suite ORTHOPEDICS AND 301 SPORTS MEDICINE Phoenixville, PA 19460 002811055 (610) 422-5000 266 Lancaster Avenue, D'Alonzo, Angela M., Suite 200 OD Malvern, PA 19355 (610) 644-6900 Guastavino, Thomas D., MD 400 McFarlan Road, Suite 100 Kennett Square, PA 19348 (610) 444-1344 Old, Andrew B., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 455 Woodview Road, Suite 205 West Grove, PA 19390 (484) 748-6148 Old, Andrew B., MD 915 Old Fern Hill Road, Suite One Building A West Chester, PA 19380 (610) 692-6280 Old, Andrew B., MD OTORHINOLARYNG OLOGY (ENT) BROKER CRAMER AND SWANSON ENT 002821846 826 Main St, Suite 201 Phoenixville, PA 19460 (610) 415-1100 Nadeau, Daniel P., MD PHYSICAL MEDICINE AND REHABILITATION REHABILITATION ASSOCIATES OF THE MAIN LINE 002809804 414 Paoli Pike Malvern, PA 19355 (484) 596-5981 Cheng, Joyce, MD UNIV OF PENN REHABILITATION MEDICINE 002805227 1001 Chesterbrook Boulevard, 3rd Floor Berwyn, PA 19312 (610) 576-7500 Tingan, Alexis S., MD

PHYSICAL THERAPIST ALLEGRETTO THERAPY SERVICES 003428215 17 Turner Lane West Chester, PA 19380 (610) 715-2702 694 Wharton Boulevard Exton, PA 19341 (610) 715-2702 ATI PHYSICAL THERAPY 002818151 105 Vineyard Way, 100 West Grove, PA 19390 (610) 869-5792 3483 E. Lincoln Hwy, Unit 2 Thorndale, PA 19372 (484) 784-4158 416 Commons Drive Parkesburg, PA 19365 (610) 857-6099 82 Pennsylvania Ave Avondale, PA 19311 (610) 268-5333 PREMIER ORTHOPAEDIC & SPORTS MEDICINE PT 002804441 780 West Lincoln Highway Exton, PA 19341 (610) 873-4856

P - Preferred pharmacy

PODIATRY BRYN MAWR FOOT AND ANKLE CENTER 002817378 1223 West Chester Pike West Chester, PA 19380 (610) 436-6132 Pell, Mark D., DPM FOOT AND ANKLE ASSOCIATES 002805547 1 Commerce Blvd, Ste 102 West Grove, PA 19390 (610) 345-0222 Le, Wendy K., DPM 685 Unionville Road, Suite 2 Kennett Square, PA 19348 (610) 444-6520 Le, Wendy K., DPM PREMIER ORTHOPAEDICS DPM 002811054 266 Lancaster Avenue, Suite 200 Malvern, PA 19355 (610) 644-6900 Hood, Jr, Christopher R., DPM 491 John Young Way, Baxter Bldg, Suite 100 Exton, PA 19341 (610) 280-1559 Hood, Jr, Christopher R., DPM

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PSYCHIATRIC NURSE CHILD GUIDNC RESOURCE CTR 002989116 744 E Lincoln Hwy Ste 420 Coatesville, PA 19320 (610) 383-5635 Park, James Y., MSN PSYCHIATRY HOLCOMB BHVRL HLTH SYST 002989124 467 Creamery Way Exton, PA 19341 (610) 363-1488 Kaplan, Stuart L., MD 920 East Baltimore Pike Kennett Square, PA 19348 (610) 388-7400 Kaplan, Stuart L., MD MAIN LINE AFFLT INC 002989180 479 Thomas Jones Way, Ste 800 Exton, PA 19341 (484) 565-1130 Khorram, Raena A., MD Roytman, Roman, MD MAIN LINE HLTHCR 002989027 255 W Lancaster Ave, Fourth Floor West Paoli, PA 19301 (888) 227-3898 Khorram, Raena A., MD Roytman, Roman, MD

PSYCHOLOGIST HOLCOMB BHVRL HLTH SYST 002989124 920 East Baltimore Pike Kennett Square, PA 19348 (610) 388-7400 Isak, Blerta, PSYD MAIN LINE AFFLT INC 002989180 414 Paoli Pike Malvern, PA 19355 (484) 596-5430 Perno, Maureen, PSYD Richetti, Meghan I., PSYD MATTHEW J MAURIELLOMA PC 003036479 139 W Market St, Ste D West Chester, PA 19382 (814) 934-7960 Stanton, Yolonda T., PHD PULMONARY DISEASES CHESTER COUNTY PULMONARY AND SLEEP SPECIALISTS 002810426 213 Reeceville Road, Ste 36 Coatesville, PA 19320 (610) 383-6033 Patel, Gaurav, MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. RADIOLOGY JEANES RADIOLOGY JJ ASSOCIATES PC 002809692 150 East Pennsylvania Avenue Downingtown, PA 19335 (610) 518-6300 22 Morehall Road Malvern, PA 19355 (610) 251-0500 PENN NEUROSURGERY AT VALLEY FORGE 002804827 1001 Chesterbrook Blvd Berwyn, PA 19312 (610) 576-7705

RENAL DIALYSIS CENTER BIO MEDICAL APPLICATIONS OF PENNSYLVANIA INC 003427072 1380 Enterprise Drive West Chester, PA 19380 (610) 719-0103 RENAL DIALYSIS FACILITIES BIO MEDICAL APPLICATIONS OF PENNSYLVANIA INC 003427072 1380 Enterprise Drive West Chester, PA 19380 (610) 719-0103

REGISTERED DIETICIAN ADVENT NUTRITION 003053139 780 Miles Road, Suite E West Chester, PA 19380 (610) 696-1860 Mattle, Amy, RD BALANCED NUTRITION LLC 003316346 5 Frame Avenue, Building 5, Suite 202 Frazer, PA 19355 (610) 715-4685 Cornwall, Kathryn L., RD WELLNESS NUTRITION AND EDUCATION 002821194 53 Darby Road Paoli, PA 19301 (610) 644-5870 Naegle, Christine S., RD

RETAIL PHARMACIES LA COMUNIDAD HISPANA 731 West Cypruss Street Kennett Square, PA 19348 (610) 444-7550 OCCUPATIONAL HEALTH AND PAIN MANAGEMENT 495 Thomas Jones Way Ste 202 Exton, PA 19341 (610) 524-0770 PATIENT FIRST DEVON 133 Lancaster Ave Devon, PA 19333 (484) 584-2990

P - Preferred pharmacy

RHEUMATOLOGY

Shpilsky, Laura A., SLP

THERAPLAY INC 002809904 385 Starr Road, Landenberg Center Landenberg, PA 19350 (484) 720-8252 Blumberg, Beverly G., SLP Dougherty, Kelly D., SLP Forgit, Tricia M., MSP ROUTINE DENTAL Kane, Gina A., SLP ADVANCED FAMILY Kleeman, Joan A., MA SMILE CARE PC Pecci, Samantha M., 001541368 SLP 8 Ponds Edge Dr, Ste 2 Scholder, Leah S., SLP Chadds Ford, PA 19317 Strackhouse, Carolynn (610) 388-4466 M., SLP Emily B. Ayoki Otieno, Titus, Deborah E., SLP DDS Tome, Portia M., SLP Weiner, Emily N., SLP ROUTINE VISION 638 Brandywine VISIONWORKS Parkway, West Chester 247 N Pottstown Pike Center Exton, PA 19341 West Chester, PA (610) 594-1737 19380 Druckman, Charles A., (610) 436-3600 OD Blumberg, Beverly G., Huhn, Zachary, OD SLP Martinez, Laura L., OD Dougherty, Kelly D., Trump, Michelle R., OD SLP Forgit, Tricia M., MSP SPEECH THERAPIST Kane, Gina A., SLP ALLEGRETTO Kleeman, Joan A., MA THERAPY SERVICES McKenna, Lindsay N., 002822921 SLP 694 Wharton Blvd Pecci, Samantha M., SLP Exton, PA 19341 Scholder, Leah S., SLP (610) 715-2702 Strackhouse, Carolynn Haro, Dana L., SLP M., SLP BENCHMARK Titus, Deborah E., SLP THERAPIES INC Tome, Portia M., SLP 003335441 Weiner, Emily N., SLP 1 Veterans Drive Spring City, PA 19475 (814) 506-8212 UNIV OF PENN RHEUMATOLOGY 002808354 1001 Chesterbrook Boulevard, 3rd Floor Berwyn, PA 19312 (610) 576-7500 George, Michael D., MD Ligon, Colin, MD

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URGENT CARE CENTER PATIENT FIRST MEDICAL GROUP 003448097 133 Lancaster Ave Devon, PA 19333 (484) 581-2990 UROLOGY CHILDRENS SURGICAL ASSOCIATES LTD 002809715 481 John Young Way Exton, PA 19341 (610) 594-9008 Chu, David, MD DELAWARE COUNTY ANESTHESIOLOGY PREMIER ANESTHESIA OF PENNSYLVANIA PC 002821697 1500 Lansdowne Avenue Darby, PA 19023 (610) 237-4000 Liu, Xin, MD Salahuddin, Zohra G., MD 2010 West Chester Pike Havertown, PA 19083 (610) 853-7700 Goldstein, William M., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. AUDIOLOGIST MAIN LINE HEALTHCARE 002814731 3855 West Chester Pike, Bryn Mawr Hospital Health Center, Suite 245 Newtown Square, PA 19073 (610) 527-1436 Clark, Rachel, AUD 830 Old Lancaster Avenue, Suite 209 Bryn Mawr, PA 19010 (610) 527-1436 Clark, Rachel, AUD CARDIOVASCULAR DISEASE CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 One Medical Center Blvd, Suite 224 Pob II Upland, PA 19013 (610) 876-2400 Finkel, Jonathan, MD

Nazarian, Saman, MD CERTIFIED REGISTERED NURSE PRACTITIONER ADVOCARE BROOMALL PEDIATRICS ASSOCIATES 002816994 1991 Sproul Road, Suite 40A Broomall, PA 19008 (610) 325-1400 Stigliano, Jamie N., CRNP BRYN MAWR FAMILY PRACTICE 002806544 1991 Sproul Road, Suite 300 Broomall, PA 19008 (610) 325-1390 Johnson, Gilda A., CRNP

HAN FAMILY PRACTICE 002812416 176 South New Middletown Road MARPLE MEDICAL ASSOCIATES Media, PA 19063 002804171 (610) 627-3690 1999 Sproul Road, Suite Kenny Bernatowicz, 25 and 26 Gretchen, CRNP Broomall, PA 19008 002812424 (610) 353-6400 200 East State Street, Tobin, Michael L., MD Suite 106 PENN MEDICINE AT RADNOR CARDIOLOGY 002808301 250 King of Prussia Road Radnor, PA 19087 (610) 902-5600 Julien, Howard M., MD

Media, PA 19063 (610) 480-5176 Gray, Paula B., CRNP MINUTE CLINIC DIAGNOSTIC OF PENNSYLVANIA LLC 002819482

P - Preferred pharmacy

1218 E Lancaster Avenue Bryn Mawr, PA 19010 (866) 389-2727 Scherpenberg, Julia M., CRNP PROSPECT HEALTH ACCESS NETWORK INC 002812427 3030 Garrett Road Drexel Hill, PA 19026 (610) 622-7933 Gray, Paula B., CRNP McGuinness, Kimberly A., CRNP 002812615 5030 State Road, Suite 2 400 Drexel Hill, PA 19026 (610) 394-1350 Nota, Ellah C., CRNP TAKE CARE HEALTH 002820045 4098 Edgmont Avenue Brookhaven, PA 19015 (866) 825-3227 Caprioli, Stephanie A., CRNP CHIROPRACTOR MUSCLE IINNOVATIVE I THERAPY PAIN 002880737 3100 Duttons Mill Road Aston, PA 19014 (610) 485-5001 Olko, Matthew, DC STRAFFORD CHIROPRACTIC 002821669 136 W Wayne Ave Wayne, PA 19087 (610) 293-1660 Lacava, Joseph A., DC

14

CLINICAL CARDIAC ELECTROPHYSIOLO GY CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 1088 West Baltimore Pike Media, PA 19063 (610) 565-2100 Sharma, Sandeep K., MD One Medical Center Blvd, Suite 224 Pob II Upland, PA 19013 (610) 876-2400 Sharma, Sandeep K., MD DERMATOLOGY ASSOCIATES IN MEDICAL AND COSMETIC DERMATOLOGY PC 002811264 500 Evergreen Dr, Ste 20 Glen Mills, PA 19342 (610) 544-8100 Carroll, Lisa A., MD BRYN MAWR DERMATOLOGY PC 002816875 775 East Lancaster Ave, Ste 200 Villanova, PA 19085 (610) 525-7800 Santa, Erin V., MD CHCA DERMATOLOGY 002809376 100 West Sproul Rd, Hp II Suite 221 Springfield, PA 19064 (610) 328-1600

Streicher, Jenna L., MD DERMATOLOGY LTD 002812445 101 Chesley Drive, The Georgetown Bldg Media, PA 19063 (610) 566-7111 Bronfenbrener, Roman, MD 1790 Route 202 South Glen Mills, PA 19342 (610) 459-1900 Bronfenbrener, Roman, MD DURABLE MEDICAL EQUIPMENT SUPPLIER HOVEROUND CORPORATION 003424973 96 Jansen Avenue Essington, PA 19029 (800) 771-6565 PREMIER ORTHOPEDICS AND SPORTS MEDICINE ASSOC 003478454 1088 W Baltimore Pike, Suite 2302 Media, PA 19063 (610) 565-3145 FAMILY PRACTICE ACADEMIC EMER PHYS MH 003380109 1501 Lansdowne Ave, Ground Floor South Darby, PA 19023 (215) 748-9694 Eisen, Steven, MD FANNING & TRAVERSO 002812413

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 8 Morton Avenue, Suite 303 Ridley Park, PA 19078 (610) 595-6850 Mattheus Kairys, Marah, MD HAN FAMILY PHYSICIANS AT THE PAVILION 002812425 145 Brinton Lake Road, First Floor Glen Mills, PA 19342 (610) 459-1619 Mattheus Kairys, Marah, MD HAN FAMILY PRACTICE 002812415 1220 Chester Pike Sharon Hill, PA 19079 (610) 586-2122 Cer, Diana A., DO Hannan, Allison T., MD Mattheus Kairys, Marah, MD 002812416 176 South New Middletown Road Media, PA 19063 (610) 627-3690 Mattheus Kairys, Marah, MD 002812418 300 Evergreen Drive, Suite 330 Glen Mills, PA 19342 (610) 579-3444 Mattheus Kairys, Marah, MD 002812420 1260 East Woodland Avenue, Suite 200 Springfield, PA 19064 (610) 690-4490

Mattheus Kairys, Marah, PATIENT FIRST MD PENNSYLVANIA MEDICAL GROUP 002812424 002822977 200 East State Street, 417 Baltimore Pike Suite 106 Springfield, PA 19064 Media, PA 19063 (484) 470-2600 (610) 480-5176 Hasan, Nadia, DO Harlin, Mallory A., DO Suarez Kobilis, Monica Mattheus Kairys, Marah, B., MD MD Tohfafarosh, Nilofer J., IINPATIENT I MD CONSULTANTS OF PA PRIMARY CARE AT PC HEALTH THE HEALTHPLEX WELLNESS PAVILION 003139643 002812421 13 St Albans Circle, Ste 5030 State Road, Suite C 2 400 Newtown Square, PA Drexel Hill, PA 19026 19073 (610) 394-1390 (302) 368-2630 Berrang, Joseph A., MD Mattheus Kairys, Marah, MD MAIN LINE HEALTH PROSPECT HEALTH URGENT CARE ACCESS NETWORK 003111227 INC 1991 Sproul Road, Suite 002812411 600 500 Macdade Boulevard Broomall, PA 19008 Milmont Park, PA (484) 421-1669 19033 Daley, Megan V., DO (610) 619-7300 MERCY MEDICAL Cer, Diana A., DO ASSOCIATES AT Mattheus Kairys, Marah, SPRINGFIELD MD 002816848 002812426 1001 Baltimore Pike, 100 W Sproul Rd, Suite Suite 109 120 Springfield, PA 19064 Springfield, PA 19064 (610) 690-1776 (610) 338-1800 Oprea, Anda G., DO Mattheus Kairys, Marah, PATIENT FIRST MD MEDICAL GROUP 002812427 003069238 3030 Garrett Road 417 Baltimore Pike Drexel Hill, PA 19026 Springfield, PA 19064 (610) 622-7933 (484) 470-2600 Mattheus Kairys, Marah, Leblanc, Leanne L., MD MD

P - Preferred pharmacy

15

003304897 1560 Garrett Road, Family Medicine At Barclay Square Upper Darby, PA 19082 (610) 638-1076 Mattheus Kairys, Marah, MD 003390991 30 Lawrence Rd, Ste 500 Broomall, PA 19008 (484) 446-3660 Mattheus Kairys, Marah, MD SUBURBAN PRIMARY CARE ASSOCIATES 002812428 4651 West Chester Pike, Suite 200 Newtown Square, PA 19073 (610) 356-0300 Cer, Diana A., DO Mattheus Kairys, Marah, MD GASTROENTEROLO GY PENN MEDICINE AT RADNOR GASTROENTEROLOG Y 002808607 250 King of Prussia, Suite 1B Radnor, PA 19087 (610) 902-1500 Dasher, Kevin, MD Mehta, Shivan J., MD Ni, Josephine, MD Shivashankar, Raina, MD Tomizawa, Yutaka, MD Wangensteen, Kirk J., MD Weinberg, Ethan M., MD

GENERAL SURGERY CHILDRENS SURGICAL ASSOCIATES LTD 002809722 819 Baltimore Pike Glen Mills, PA 19342 (267) 425-8500 Vrecenak, Jesse D., MD PENN CARDIAC CARE AT MERCY 002820404 1503 Lansdowne Ave, 3003 Darby, PA 19023 (484) 494-6920 Vigilance, Deon, MD HOME INFUSION PHARMACIES AXELACARE HEALTH SOLUTIONS, LLC P 4H Raymond Dr Havertown, PA 19083 (484) 450-0140 ELWYN RX AT FAIR ACRES P 340 N Middletown Rd Lima, PA 19037 (610) 891-6942 ELWYN SPECIALTY CARE P 3070 McCann Farm Dr Ste 101 Garnet Valley, PA 19060 (610) 545-6040 HEALTH PLUS PHARMACY P 805 W Chester Pike Havertown, PA 19083 (610) 853-2393 HOMETECH ADVANCED THERAPIES, INC. P

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 505 Elmwood Ave Sharon Hill, PA 19079 (484) 494-3121 RX P IINFUCARE I 2540 Market Street, Suite 1 Aston, PA 19014 (484) 480-6331 SOLEO HEALTH P 950 Calcon Hook Road, Suite 15 Sharon Hill, PA 19079 (610) 586-2340 US BIOSERVICES P 109 Chelsea Parkway Boothwyn, PA 19061 (800) 400-9549 INTERNAL MEDICINE MAIN LINE HEALTHCARE 002811045 1068 W Baltimore Pike Media, PA 19063 (610) 627-4216 Cruz, Jennifer A., DO Liu, Jiali, MD Marchiano, Susan M., DO Mizus, Marisa C., MD Spinazzola, Jeremy A., DO Summerville, Sarah G., MD Wang, Daniel S., MD 130 South Bryn Mawr Avenue, Wing, Suite H 321 Bryn Mawr, PA 19010 (484) 337-4097 Cruz, Jennifer A., DO Liu, Jiali, MD Marchiano, Susan M., DO Marchica, Amanda, DO Mizus, Marisa C., MD

Spinazzola, Jeremy A., DO Summerville, Sarah G., MD Wang, Daniel S., MD

LICENSED CLINICAL SOCIAL WORKER

ASSOCS OF SPRINGFIELD PSYCHL MERCY MEDICAL 002989038 HEALTH ASSOCIATES 1489 Baltimore Pike, AT PROVIDENCE Bldg 200, Ste 250 002816804 Springfield, PA 19064 925 Providence Rd, Ste (610) 544-2110 8 and 9 Hidalgo, Alba M., MS Secane, PA 19018 Oduor, Jacqueline J., (610) 394-1234 MSW Moore, Edward B., DO Varano, Rita, MSW PATIENT FIRST 920 W Chester Pike PENNSYLVANIA Havertown, PA 19083 MEDICAL GROUP (610) 544-2110 002822977 Oduor, Jacqueline J., 417 Baltimore Pike MSW Springfield, PA 19064 CHILD GUIDNC (484) 470-2600 RESOURCE CTR Kim, David E., MD 002989116 PREMIER URGENT 2000 Old West Chester CARE AT KENNETT Pike 002823330 Havertown, PA 19083 635 Conestoga Road (484) 454-8700 Villanova, PA 19085 Costello Siri, Jennifer, (610) 710-4444 MSW Yeung, Pomin, MD Todd, Renee, MSW 003057164 635 Conestoga Road Villanova, PA 19085 (610) 947-6500 Yeung, Pomin, MD PROSPECT HEALTH ACCESS NETWORK INC 002812616 1553 Chester Pike, Suite 201 Crum Lynne, PA 19022 (610) 499-7180 Wang, Yvette, DO

P - Preferred pharmacy

NHS OF DELAWARE CNTY 002989154 800 Chester Pike Sharon Hill, PA 19079 (610) 534-3636 Pomykacz Frescoln, Diann, MSW Serrano, Natasha E., MSW RESRCS FOR HMN DEV INC 002989679 850 West Lancaster Avenue, Suite 2 Bryn Mawr, PA 19010 (215) 951-0300 Deichman, Sara, MSW

MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH ASSOCS OF SPRINGFIELD PSYCHL 002989038 1489 Baltimore Pike, Bldg 200, Ste 250 Springfield, PA 19064 (610) 544-2110 Lambert, Olivia, MS

CHILD GUIDNC RESOURCE CTR 002989116 2000 Old West Chester Pike Havertown, PA 19083 THE VLG SVCS (484) 454-8700 003376271 Bowers, Ryan, MA 452 S Roberts Rd Diskin, Ian P., MS Bryn Mawr, PA 19010 Hayward, Barbara A., (610) 525-5400 MS Pluss, Lyndsey P., MSW Holdip, Allison B., MS Richmond, Clifford H., LICENSED MA PROFESSIONAL COUNSELOR CMNTY SVCS OF DEVEREUX OF SANARE TODAY LLC CHESTER C 003372768 CMNTY SVCS OF 002989799 1489 Baltimore Pike, DEVEREUX OF 85 Old Eagle School Rd, Building 200, Suite 245 CHESTER C Ste 200 Springfield, PA 19064 002989799 Strafford, PA 19087 85 Old Eagle School Rd, (610) 344-9600 (610) 933-8110 Marshall, Bonnie H., Ste 200 Mabrey, Timothy, MA LPC Strafford, PA 19087 LIFE CNSLNG SVCS (610) 933-8110 002989000 Weiler, Nori A., MSW 107 Chesley Dr, Suite 5 ESTADT PSYCHL Media, PA 19063 SVCS LLC (610) 644-6464 003364168 Adair, Caitlin M., MA 331 W State St Media, PA 19063 (267) 308-3414 Townsend, Maureen A., MSW

16

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. MAXILLO-FACIAL SURGERY

NEUROLOGY

OB-GYNECOLOGY

NEUROLOGICAL PENN MEDICINE AT ASSOCIATES OF RADNOR DELAWARE VALLEY OTORHINOLARYNGOL 002815365 OGY 175 East Chester Pike, 002807122 3rd Floor 250 King of Prussia Ridley Park, PA 19078 Radnor, PA 19087 (610) 595-6272 (610) 902-2000 Aggarwal, Sudhir, MD Shanti, Rabie M., DMD Vendrame, Martina, MD

HAN OBGYN ASSOCIATES OF DELAWARE COUNTY 002808871 2100 Keystone Avenue, Suite 707 Drexel Hill, PA 19026 (610) 626-7070 Cheng, Yun Lin, MD Sproat, Laura A., MD

PENNSYLVANIA ORAL AND MAXILLOFACIAL SURGERY LTD 002813345 26 South Bryn Mawr Avenue Bryn Mawr, PA 19010 (610) 527-3110 Roland, Donald E., DMD

30 Lawrence Road, Suite 500 Broomall, PA 19008 (610) 394-7410 Cheng, Yun Lin, MD Sproat, Laura A., MD

UNIV OF PENN HEALTH SYSTEMS PENN MEDICINE AT RADNOR ORAL MAXILLOFACIAL SURGERY 002811747 250 King of Prussia Radnor, PA 19087 (610) 902-2000 Shanti, Rabie M., DMD Tanaka, Takako I., DDS NEUROLOGICAL SURGERY MAIN LINE HEALTHCARE SURGERY 002815934 3855 West Chester Pike, Suite 245 Newtown Square, PA 19073 (610) 325-3880 Bailey, Robert L., MD

2100 Keystone Avenue, Ste 300 Drexel Hill, PA 19026 (610) 394-4731 Aggarwal, Sudhir, MD 501 North Lansdowne Avenue, Suite 300 Drexel Hill, PA 19026 (610) 394-4733 Vendrame, Martina, MD One Medical Center Boulevard, Ste 533 Upland, PA 19013 (610) 874-1184 Aggarwal, Sudhir, MD Vendrame, Martina, MD NURSE MIDWIFE LIFECYCLE WOMANCARE 002812932 918 County Line Road Bryn Mawr, PA 19010 (610) 525-6086 Deniken, Sheila K., CNM Lakehomer, Hannah, CNM

P - Preferred pharmacy

PROSPECT HEALTH ACCESS NETWORK INC 002812451 1 Bartol Avenue, Suite 15 Ridley Park, PA 19078 (610) 521-4311 Nwabuzor, Ifeoma, MD 196 W Sproul Road, Healthplex Suite 208 Springfield, PA 19064 (610) 521-4311 Nwabuzor, Ifeoma, MD One Medical Center Blvd, Suite Acp 334 Upland, PA 19013 (610) 872-7660 Tran, Tino L., MD One Medical Center Boulevard, Acp Suite 334 Upland, PA 19013 (610) 872-7660 Moravia, Lucie V., DO WOMENS HEALTH CARE GROUP OF PA 002815885

17

3000 Garrett Road Drexel Hill, PA 19026 (610) 642-7714 Brogan, Crystal A., MD 4875 West Chester Pike Newtown Square, PA 19073 (610) 590-1900 High, Brooke N., DO OCCUPATIONAL THERAPIST BENCHMARK THERAPIES INC 003184014 601 North Ithan Avenue Bryn Mawr, PA 19010 (814) 506-8212 Nguyen, Hong Thi T., OTR

OPHTHALMOLOGY SCHEIE EYE ASSOC OPHTHALMOLOGY 002804894 250 King of Prussia Road Radnor, PA 19087 (610) 902-2020 Briceno, Cesar A., MD 601 W State Street Media, PA 19063 (610) 565-6863 Briceno, Cesar A., MD OPTOMETRIST

DR GEOFFREY PATERSON OD PLLC 002822967 1067 West Baltimore Pike Lencrafte PENNSYLVANIA HAND Media, PA 19063 CENTER (610) 566-7026 002819844 Paterson, Geoffrey R., 101 South Bryn Mawr OD Avenue, Suite 300 EYE TO EYE Bryn Mawr, PA 19010 CONTACT (610) 525-1000 002816444 Hove, Patricia A., OTR 1404 West Chester Pike THERAPLAY INC Havertown, PA 19083 002816422 (610) 853-2001 600 Reed Road, Brmall Risoli, Melissa E., OD Center Suite 201 MOORE EYE CARE PC Broomall, PA 19008 003124161 (610) 356-1991 Carroll, Jacqueline, OTR 100 West Sproul Rd, Ste 100 Heddings, Ashley J., Springfield, PA 19064 OTR (610) 690-4900 Ilg, Dana L., OTR D'Alonzo, Angela M., Kershaw, Ashley, OTR OD Liu, Samantha J., OTR Skibinski, Christine L., OTR Swann, Allison M., OTR Weidemoyer, Maria, OTR

THOMAS L DALONZO OD 002814634

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 420 North Springfield Road Clifton Heights, PA 19018 (610) 626-9124 D'Alonzo, Angela M., OD ORTHOPEDIC SURGERY CHILDRENS SURGICAL ASSOCIATES 002809721 819 Baltimore Pike Glen Mills, PA 19342 (267) 425-8500 Deeney, Vincent F., MD PREMIER ORTHOPEDICS AND SPORTS MEDICINE 002811055 1088 West Baltimore Avenue, Suite 2302 Media, PA 19063 (610) 565-3145 Birns, Michael E., MD 200 East State Street, Ste 108 Media, PA 19063 (610) 876-0347 Costanzo, James A., MD 2004 Sproul Road Broomall, PA 19008 (610) 353-0800 Birns, Michael E., MD

300 Evergreen Drive, Crozer Medical Plaza Suite 200 Glen Mills, PA 19342 (610) 876-0347 Costanzo, James A., MD

PHYSICAL MEDICINE AND REHABILITATION

PENN MEDICINE AT RADNOR UNIV OF PENN HEALTH SYSTEM REHABILITATION One Medical Center Lvd, Ccmc Professional MEDICINE Blvd II, Ste 324 002805227 Upland, PA 19013 250 King of Prussia Road (610) 876-0347 Radnor, PA 19087 Costanzo, James A., MD (610) 902-2000 Taher, Reza, MD OTOLARYNGOLOGY Tingan, Alexis S., MD Usman Oyowe, Ibrahim PENN MEDICINE AT A., MD RADNOR OTORHINOLARYNGOL Wei, Edward N., MD OGY ROTHMAN INSTITUTE 002807122 RECONSTRUCTIVE 250 King of Prussia ORTHOPEDIC ASSOCI Radnor, PA 19087 002804844 (610) 902-2000 600 Evergreen Drive, Brant, Jason A., MD Rothman Institute, Suite 201 OTORHINOLARYNG Glen Mills, PA 19342 OLOGY (ENT) (800) 321-9999 BROKER CRAMER Mahon, David M., DO AND SWANSON ENT ROTHMAN INSTITUTE 002821846 RECONSTRUCTIVE 825 Old Lancaster ORTHOPEDIC Road, Suite 300 ASSOCIATES II PC Bryn Mawr, PA 19010 002804844 (610) 520-0900 3855 West Chester Nadeau, Daniel P., MD Pike, Ste 340

30 Lawrence Road, SUITE700 Broomall, PA 19008 (610) 353-0800 Birns, Michael E., MD

P - Preferred pharmacy

Newtown Square, PA 19073 (610) 527-2727 Mahon, David M., DO

PHYSICAL THERAPIST ATI PHYSICAL THERAPY 002818151 779 W. Sproul Road Springfield, PA 19064 (484) 470-2150 EXCEL PHYSICAL THERAPY 002809515 120 East Lancaster Avenue, Suite 106 Ardmore, PA 19003 (484) 297-6491 PLASTIC SURGERY TEMPLE PLASTIC SURGERY ASSOCIATES 002804852 1501 Lansdowne Avenue, Suite 206 Darby, PA 19023 (610) 534-6300 Gassman, Andrew, MD 888 Glenbrook Avenue Bryn Mawr, PA 19010 (610) 525-5003 Gassman, Andrew, MD PODIATRY BRYN MAWR FOOT AND ANKLE CENTER 002817378 934 County Line Rd Bryn Mawr, PA 19010 (610) 527-8655 Pell, Mark D., DPM FOOT AND ANKLE ASSOCIATES 002805547

18

1440 Conchester Highway, Suite 10C Boothwyn, PA 19060 (610) 459-3288 Le, Wendy K., DPM LIFECARE PODIATRY PC 002806472 237 North Aberdeen Avenue Wayne, PA 19087 (610) 293-9383 Habib, Jahangir, DPM MAIN LINE FOOT AND ANKLE CENTER 002808075 121 Coulter Avenue, Suite 109 Ardmore, PA 19003 (610) 645-6314 Winfeld, Brittany E., DPM PSYCHIATRIC SOCIAL WORKER CROZER CHESTER MEDCL CTR 002989186 2600 W 9th St, Community Hospital Chester, PA 19013 (610) 497-7701 McLaughlin, Courtney E., MSW PSYCHIATRY ACADEMIC EMER PHYS MH 003380109 1501 Lansdowne Ave, Ground Floor South Darby, PA 19023 (215) 748-9694 Duggirala, Chandrudu, MD Navarro, Judith T., MD Novitsky, Mark A., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. Pandya, Paresh, MD CHILD GUIDNC RESOURCE CTR 002989116 2000 Old West Chester Pike Havertown, PA 19083 (484) 454-8700 Derstine, Timothy H., MD CROZER CHESTER MEDCL CTR 002989186 2600 W 9th St, Community Hospital Chester, PA 19013 (610) 497-7701 Freeland, Tana E., DO Milburn, Christopher A., MD MAIN LINE AFFLT INC 002989180 600 Abbott Drive Broomall, PA 19008 (484) 476-1800 Khorram, Raena A., MD Roytman, Roman, MD MAIN LINE HLTHCR 002989027 100 Yearsley Mill Rd, Mirmont Treatment Center Media, PA 19063 (888) 227-3898 Khorram, Raena A., MD Roytman, Roman, MD

800 Chester Pike Sharon Hill, PA 19079 (610) 534-3636 Collins, Tracy, MD PSYCHOLOGIST ASSOCS OF SPRINGFIELD PSYCHL 002989038 1489 Baltimore Pike, Bldg 200, Ste 250 Springfield, PA 19064 (610) 544-2110 Delong, Earl E., PHD Lehman, Dana J., PSYD BRANDYWINE NEUROPSYCHOLOGY ASSOCIATES INC 002899306 5 Christy Drive, Suite 102 Chadds Ford, PA 19317 (610) 999-1441 Payne, Michelle A., PSYD CHILD GUIDNC RESOURCE CTR 002989116 2000 Old West Chester Pike Havertown, PA 19083 (484) 454-8700 Giolas, Marina H., PSYD

130 S Bryn Mawr Ave, Psychc Unit Bryn Mawr, PA 19010 (888) 227-3898 Khorram, Raena A., MD Roytman, Roman, MD

CROZER CHESTER MEDCL CTR 002989186 2600 W 9th St, Community Hospital Chester, PA 19013 (610) 497-7701 Bilynsky, Natalie S., PSYD

NHS OF DELAWARE CNTY 002989154

DELAWARE CNTY NEUROBEHAVIORAL 002989152

P - Preferred pharmacy

1088 W Baltimore Pike, Ste 2205 Riddle Meml Hosp Media, PA 19063 (610) 744-2960 Payne, Michelle A., PSYD Seidel, Gregory A., PSYD

Campanile, Kelly, PSYD

DELAWARE CNTY PRO SVCS 002988925 1055 E Baltimore Pike, Ste 300 Media, PA 19063 (610) 892-3800 Baron, Kim P., PHD

PULMONARY DISEASES

1055 E Baltimore Pike, Ste 303 Media, PA 19063 (610) 892-3800 Baron, Kim P., PHD 1204 Holly Lane Glen Mills, PA 19342 (610) 892-3800 Baron, Kim P., PHD 2010 W Chester Pike, Ste 314 3rd Floor Havertown, PA 19083 (610) 892-3800 Baron, Kim P., PHD KELLY CNSLNG AND CONSLTNG LLC 003354978 38 Regency Plz, 871 West Baltimore Pike Glen Mills, PA 19342 (610) 358-2250 Trudel, Leeann H., PHD MAIN LINE HLTHCR 002989027 1991 Sproul Rd Ste 300, Main Line Health Center Broomall, PA 19008 (610) 325-1390

19

SYED M RIZVI MD LLC 002989312 525 W Chester Pike, Ste 305 Havertown, PA 19083 (610) 446-3650 Rooney, Lisa K., PHD

PULMONARY CRITICAL CARE SLEEP 002816774 1098 West Baltimore Pike, Suite 3402 Op Pavilion Media, PA 19063 (610) 565-3250 Patel, Gaurav, MD RADIATION ONCOLOGY PRECISION RADIATION ONCOLOGY PC 002822430 30 Lawrence Road Broomall, PA 19008 (484) 446-3636 Obayomi Davies, Olusola, MD

One Medical Center Blvd, Crozer Chester Medical Center Chester, PA 19013 (610) 447-2740 Obayomi Davies, Olusola, MD RADIOLOGY WOMENS HEALTH CARE GROUP OF PA 002893236 355 West Lancaster Ave, 110 Haverford, PA 19041 (484) 831-0200 RETAIL PHARMACIES ACRO PHARMACEUTICAL SERVICES LLC 313 Henderson Dr Sharon Hill, PA 19079 (484) 494-8212 ALLIED MEDICAL ASSOCIATES LANSDOWNE 318 N Lansdowne Ave Lansdowne, PA 19050 (800) 342-1153

APRIA PHARMACY NETWORK 500 Evergreen Drive, 780 Primos Ave Ste D Crozer Cancer Center At Folcroft, PA 19032 Brinton Lake (800) 860-8511 Glen Mills, PA 19342 GARRETT PHARMACY (610) 579-3600 140 Garrett Rd Obayomi Davies, Olusola, MD Upper Darby, PA 19082 501 N Lansdowne Ave, (610) 352-2477 Delaware County Memorial Hospital Drexel Hill, PA 19026 (610) 284-8285 Obayomi Davies, Olusola, MD

GIANT PHARMACY P 4930 Edgmont Ave Brookhaven, PA 19015 (717) 960-8553

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. HEALTH PLUS PHARMACY 805 W Chester Pike Havertown, PA 19083 (610) 853-2393

550 E Lancaster Ave, Ste C1 Radnor, PA 19087 (610) 687-0364 Druckman, Charles A., OD 8441 W Chester Pike Huhn, Zachary, OD Upper Darby, PA 19082 Martinez, Laura L., OD (610) 446-4900 Trump, Michelle R., OD

Weiner, Emily N., SLP

Khosla, Arjun, MD

PATIENT FIRST MEDICAL GROUP LANCASTER COUNTY URGENT CARE 002822974 CENTER 1625 Oregon Pike CERTIFIED REGISTERED Lancaster, PA 17601 EVEREST URGENT NURSE CARE LLC (717) 925-2995 PRACTITIONER 003475388 Leblanc, Leanne L., MD 6787 Market St, Ste 1 LGHP PENN MEDICINE PATIENT FIRST Upper Darby, PA 19082 FAMILY MEDICINE PENNSYLVANIA SYCAMORE SQUARE MEDICAL GROUP (610) 352-8000 RHEUMATOLOGY SPEECH THERAPIST 002884094 002822977 PENNSYLVANIA PENN MEDICINE AT 99 Masonic Dr, Ste A BENCHMARK 1625 Oregon Pike URGENT CARE CENTE RADNOR UNIV OF Elizabethtown, PA THERAPIES INC Lancaster, PA 17601 002821429 PENN HEALTH 17022 003335441 SYSTEM (717) 925-2995 5024 Pennell Rd (717) 544-5511 601 North Ithan Avenue 002808354 Hasan, Nadia, DO Aston, PA 19014 Thomas, Kimbra D., Bryn Mawr, PA 19010 250 King of Prussia Suarez Kobilis, Monica (610) 228-0707 CRNP (814) 506-8212 B., MD Radnor, PA 19087 URGENT CARE Shpilsky, Laura A., SLP Tohfafarosh, Nilofer J., (215) 902-5600 FAMILY PRACTICE BRANDYWINE MD George, Michael D., MD CCHS CONCORD VALLEY LGHP PENN MEDICINE THERAPY Ligon, Colin, MD 003469668 URGENT CARE HOME INFUSION 003012946 EPHRATA 819 Baltimore Pike PHARMACIES ROUTINE DENTAL 161 Wilmington West 002822920 Glen Mills, PA 19342 HORIZON Chester Pike AMERICAN DENTAL 895 East Main St (267) 425-8500 HEALTHCARE Chadds Ford, PA 19317 CARE PC Ephrata, PA 17522 SERVICES P (302) 623-4059 UROLOGY 000684379 (717) 721-4585 1070 New Holland Ave Gabos, Lynn A., SLP 6 Oriole Ave Amoussou Kpeto, Elom, Lancaster, PA 17601 CHILDRENS Media, PA 19063 MD THERAPLAY INC SURGICAL (717) 544-3590 (610) 891-0940 ASSOCIATES LTD 002809904 LGHP/PENN MEDICINE Johanna L. Palacio, UROLOGY INTERNAL MEDICINE 600 Reed Road, COMPREHENSIVE DMD 002809715 Broomall Center, Suite CARE PATIENT FIRST 819 Baltimore Pike 201 002817128 PENNSYLVANIA ROUTINE VISION Glen Mills, PA 19342 Broomall, PA 19008 554 N Duke St, 3rd MEDICAL GROUP VISIONWORKS (267) 425-8500 (610) 356-1991 Floor 002822977 1006 Baltimore Pike, Ste Blumberg, Beverly G., Chu, David, MD Lancaster, PA 17602 1625 Oregon Pike N-8 SLP (717) 544-4943 Lancaster, PA 17601 UROLOGY HEALTH Springfield, PA 19064 Dougherty, Kelly D., McKenna, Kathryn A., SPECIALISTS LLC (717) 925-2995 SLP (610) 544-3828 MD 002816896 Kim, David E., MD Forgit, Tricia M., MSP Carr, Emily, OD 1088 West Baltimore LITITZ FAMILY Kane, Gina A., SLP Whyte, Heather, OD Park PRACTICE Kleeman, Joan A., MA ASSOCIATES Media, PA 19063 116 Township Line Rd, Pecci, Samantha M., 003436206 Ste 204 (610) 744-2844 SLP 51 Peters Rd, Ste 201 Havertown, PA 19083 Khosla, Arjun, MD Scholder, Leah S., SLP Lititz, PA 17543 (610) 446-1089 2100 Keystone Strackhouse, Carolynn (717) 626-2167 Brown Jr, Chauncey, Boulevard, Suite 307 M., SLP OD Walker, Jessica M., MD Titus, Deborah E., SLP Drexel Hill, PA 19026 DeMarco, Jordan T., OD (610) 259-3000 Tome, Portia M., SLP P - Preferred pharmacy

20

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. Glover, Jennie K., MSW Hutchinson, Joy, MSW Rector, Alaysha M., CMNTY SVCS GRP INC MSW 002988952 MASTER LEVEL 320 Highland Drive, PO THERAPIST Box 597 PSYCHIATRIC/MENT Mountville, PA 17554 AL HEALTH (717) 285-7121 Vanaskie, Barbara J., BHVRL HLTHCR MSW CONSLNT PC 002989372 790 New Holland Ave 1755 Oregon Pike, Ste Lancaster, PA 17602 200 (717) 390-0353 Lancaster, PA 17601 Disarro, Rebecca, MSW (717) 581-5255 Griffith, Abigail A., MSW Zeiders, Amber D., MFT Klunk, Shanna L., MSW CMNTY SVCS GRP INC Mummau, Karen A., MSW 002988952 Vanaskie, Barbara J., 790 New Holland Ave MSW Lancaster, PA 17602 (717) 390-0353 LANCASTER GEN Sechrist, Catherine M., MEDCLGRP BSW 002989046 802 New Holland LANCASTER GEN Avenue, Suite 100 MEDCLGRP Lancaster, PA 17602 002989046 (717) 560-3782 802 New Holland Henry, Kaitlyn N., MSW Avenue, Suite 100 LGHP PENN MEDICINE Lancaster, PA 17602 BEHAVIORAL HEALTH (717) 560-3782 Marinucci, Sara E., MA 002989046 802 New Holland LGHP PENN MEDICINE Avenue BEHAVIORAL HEALTH Lancaster, PA 17602 002989046 (717) 560-3782 2102 Harrisburg Pike Henry, Kaitlyn N., MSW Lancaster, PA 17601 (717) 560-3782 T W PONESSA AND ASSOCS CNSLNG Esposito, Adriane D., SVC BSW 002989252 802 New Holland 410 N Prince St Avenue Lancaster, PA 17603 Lancaster, PA 17602 (717) 560-7917 (717) 560-3782 Bakley, Julie L., MSW Esposito, Adriane D., Dructor, M D, MS BSW LICENSED CLINICAL SOCIAL WORKER

P - Preferred pharmacy

LIFE CNSLNG SVCS 002989000 1725 Oregon Pike 205B Lancaster, PA 17601 (610) 644-6464 Volker, Christine, MS NEW LIFE PSYCHL SVCS 003338590 400 West Main Street Ephrata, PA 17522 (717) 606-7652 Ellsoos, Laurie A., MA T W PONESSA AND ASSOCS CNSLNG SVC 002989252 410 N Prince St Lancaster, PA 17603 (717) 560-7917 Hoppes, Jessica, MA Horst, Dale K., MA Langseth, Christina, MS Markward, Jacqueline M., MS Parker, J S, MS TEAMCARE BHVRL HLTHLLC 002989386 1808 Colonial Village Ln, Ste 103 Lancaster, PA 17601 (717) 391-0172 Beers, Brittany M., MS Corrigan, Leah M., MA Morris, Jessica, MA

OB-GYNECOLOGY LGHP/PENN MEDICINE COMPREHENSIVE CARE 002817128 554 N Duke St, 3rd Floor Lancaster, PA 17602 (717) 544-4943 Stoudt, Susan R., MD PHYSICAL THERAPIST ATI PHYSICAL THERAPY 002818151 118 Townsedge Drive Quarryville, PA 17566 (717) 806-5126

PSYCHOLOGIST BHVRL HLTHCR CONSLNT PC 002989372 1755 Oregon Pike, Ste 200 Lancaster, PA 17601 (717) 581-5255 Kniery, Bernard J., PHD PA CNSLNG SVCS INC 002988888 6079 Main St East Petersburg, PA 17520 (717) 560-1908 Chen, Aliece, PSYD

TEAMCARE BHVRL HLTHLLC 002989386 CMNTY SVCS GRP INC 1808 Colonial Village Ln, Ste 103 002988952 320 Highland Drive, PO Lancaster, PA 17601 Box 597 (717) 391-0172 Mountville, PA 17554 Mackley, Shirley, PSYD (717) 285-7121 RETAIL Heffner, Stephen M., MS PHARMACIES PSYCHIATRY ANDERSON CMNTY SVCS GRP INC PHARMACY 2590 N Reading Rd 002988952 Denver, PA 17517 790 New Holland Ave (717) 484-2649 Lancaster, PA 17602 PSYCHIATRIC NURSE

(717) 390-0353 Benaknin, Jonathan E., DO Foley, Thomas, MD T W PONESSA AND ASSOCS CNSLNG SVC 002989252 410 N Prince St Lancaster, PA 17603 (717) 560-7917

21

Picciotto, Maurice R., MD

HORIZON HEALTHCARE SERVICES 1070 New Holland Ave Lancaster, PA 17601 (717) 544-3590 LANCASTER SURGICAL SUPPLY AND APOTHECARY

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 214 N Duke St Lancaster, PA 17602 (717) 397-2763 LIFECARE PHARMACY 2108 Harrisburg Pike, Ste 314 Lancaster, PA 17601 (717) 544-3154 MCELROY PHARMACY 100 E Main St Lititz, PA 17543 (717) 626-2222 SHADY MAPLE PHARMACY 1324 Main St East Earl, PA 17519 (717) 355-9424 SMITHGALL PHARMACY 536 W Lemon St Lancaster, PA 17603 (717) 397-6218 ROUTINE VISION VISIONWORKS 2350 Lincoln Hwy East, Suite 890 Lancaster, PA 17602 (717) 293-3268 Druckman, Charles A., OD Josefowicz, Michael R., OD Martinez, Laura L., OD Trump, Michelle R., OD 854 Plaza Blvd Lancaster, PA 17601 (717) 295-3111 Tu, Manqian A., OD

LEHIGH COUNTY ANESTHESIOLOGY PAIN MANAGEMENT ST LUKES SPINE AND PAIN MEDICINE ASSOCIATES 002818819 501 Cetronia Road, Suite 1400 Allentown, PA 18104 (215) 538-6430 Wert, Joshua M., DO CARDIOVASCULAR DISEASE LEHIGH VALLEY SPECIALTY CARE PHYSICIANS PRACTICE 002820068 401 N 17th St, Suite 105 Allentown, PA 18104 (610) 969-4470 Cheung, Michael E., MD Nazir, Talha F., MD

CERTIFIED REGISTERED NURSE PRACTITIONER SACRED HEART PEDIATRIC ADOLESCENT SERVICES 003442987 450 Chew St, Suite 202 Allentown, PA 18102 (610) 776-4767 Snyder, Lou Ann N., CRNP CRITICAL CARE MEDICINE

ALLENTOWN FAMILY PRACTICE 002815183 450 Chew Street, Suite 101 Allentown, PA 18102 (610) 776-4888 Ahmed, Saima S., MD CHS PROFESSIONAL PRACTICE INC

P - Preferred pharmacy

LVPG FAMILY MEDICINE CASTASAUQUA 002982911 840 Walnut Street Catasauqua, PA 18032 (610) 266-3060 Fliakos, Georgia V., DO

LVPG FAMILY MEDICINE EMMAUS LEHIGH VALLEY 002817076 SPECIALTY CARE 1040 Chestnut Street PHYSICIANS Emmaus, PA 18049 PRACTICE (610) 966-5549 002820068 401 N 17th St, Suite 105 Costa, Jr, Antonio M., DO Allentown, PA 18104 (610) 969-4470 LVPG FAMILY Aslam, Jonaid, MD MEDICINE WHITEHALL LVPG PULMONARY AND CRITICAL CARE 002820636 3691 Crescent Court MEDICINE East, Suite 201 002822991 1250 South Cedar Crest Whitehall, PA 18052 (610) 434-9561 Boulevard, Suite 205 Wilson, Lynn M., DO Allentown, PA 18103

LVPG CARDIOLOGY 1250 CEDAR CREST 002817360 1250 South Cedar Crestt Boulevard, Suite 300 Allentown, PA 18103 (610) 402-3110 (610) 439-8856 Cheung, Michael E., MD Aslam, Jonaid, MD Nazir, Talha F., MD FAMILY PRACTICE ST LUKES CARDIOLOGY ASSOCIATES 002816507 1648 Hamilton St Allentown, PA 18102 (610) 435-5913 Singh, Abhishek, MD

002810088 1503 North Cedar Crest Blvd Allentown, PA 18104 (610) 861-8080 Johnson, Nathan C., MD Oravec, Richard, MD

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PARKLAND FAMILY HEALTH CENTER 002820216 4520 Parkview Drive Schnecksville, PA 18078 (610) 799-4241 Lewis, Sean J., DO PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977

3178 Tilghman St Allentown, PA 18104 (610) 844-9150 Hasan, Nadia, DO Leblanc, Leanne L., MD Suarez Kobilis, Monica B., MD Tohfafarosh, Nilofer J., MD ST LUKES INTERNAL MEDICINE 002809566 1736 Hamilton Street Allentown, PA 18104 (610) 954-3571 Hasa, Jennifer E., MD Hurst, Amy R., DO Pearce, Troy, MD GASTROENTEROLO GY SAINT LUKES GASTROENTEROLOG Y 002822900 501 Cetronia Road, Suite 140 Allentown, PA 18104 (484) 526-6545 Sidhu, Loveleen K., MD GENERAL SURGERY LEHIGH VALLEY SPECIALTY CARE PHYSICIANS PRACTICE 002820068 1627 W Chew St Allentown, PA 18102 (610) 969-4370 Cahill, Catherine E., MD Colpan, Aylin, MD Colpan, Efkan M., MD LVPG INFECTIOUS DISEASED 1250 CEDAR CREST 002817843

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 1250 South Cedar Crest Boulevard, Suite 200 Allentown, PA 18103 (610) 402-8430 Cahill, Catherine E., MD Colpan, Aylin, MD Colpan, Efkan M., MD

GENERAL/ACUTE CARE HOSPITAL

SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH 003022659 LVPG NEUROSUGERY 1405 North Cedar Crest Boulevard 002810052 1250 South Cedar Crest Allentown, PA 18104 (610) 861-8080 Boulevard, Suite 400 Allentown, PA 18103 1621 North Cedar Crest (610) 402-6555 Boulevard Cahill, Catherine E., MD Allentown, PA 18104 Colpan, Aylin, MD (610) 861-8080 Colpan, Efkan M., MD HEMATOLOGY LVPG NEUROSURGERY LVPG HEMATOLOGY ONCOLOGY 002810052 002818820 707 Hamilton Street, Suite 301 1240 South Cedar Crest Boulevard, Suite 401 Allentown, PA 18101 Allentown, PA 18103 (484) 862-3001 Cahill, Catherine E., MD (610) 402-7880 Vasekar, Monali K., MD Colpan, Aylin, MD Colpan, Efkan M., MD LVPG HEMATOLOGY LVPG SURGICAL ONCOLOGY 002804418 1240 South Cedar Crest Boulevard, Suite 205 Allentown, PA 18103 (610) 402-7884 Blackham, Aaron U., MD ST LUKES CRITICAL CARE ASSOCIATES 002815023 1736 Hamilton Street Allentown, PA 18104 (610) 954-2200 Darr, Anthony J., MD

ONCOLOGY ASSOCIATES 002818820 1240 S Cedar Crest, Ste 305 Allentown, PA 18103 (610) 402-9050 Vasekar, Monali K., MD HOME HEALTH CARE AGENCY LEHIGH VALLEY HOME HEALTH 003469428 2166 South 12th Street Allentown, PA 18103 (610) 402-0841

P - Preferred pharmacy

HOME INFUSION PHARMACIES

LVPG GENERAL INTERNAL MEDICINE 002810633 S H PHARMACY P 451 W Chew St, Ste 201 3080 Hamilton Blvd, Suite 350 Allentown, PA 18102 Allentown, PA 18103 (610) 776-4999 (484) 661-4650 INTERNAL MEDICINE Sullivan, Matthew J., DO CHS PROFESSIONAL PRACTICE INC 002810088 1503 North Cedar Crest Blvd Allentown, PA 18104 (610) 861-8080 Patel, Brijesh D., DO

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 3178 Tilghman St Allentown, PA 18104 (610) 844-9150 Kim, David E., MD

LEHIGH VALLEY PRIMARY CARE PHYSICIANS PRACTICE 003194263 17th and Chew Street, Suite 101 Allentown, PA 18102 (610) 969-4370 Sullivan, Matthew J., DO

ST LUKES INTERNAL MEDICINE 002809566 1736 Hamilton Street Allentown, PA 18104 (610) 954-3571 Adasofunjo, Matthew O., MD Dhesi, Sukhdeep S., DO Dumaswala, Komal B., MD Grazioli, Alison V., MD Kevelyuk, Eugenia, MD Parra, Tatiana, MD Rotibi, Beatrice A., MD Saluja, Mandeep S., MD

LVH CC HOSPITALIST PROGRAM 002815306 1200 South Cedar Crest Blvd Allentown, PA 18103 (610) 402-6860 McBrearty Hindson, Ashley M., DO Mulkanoor, Vikranth S., DO Park, Sarah S., DO Cedar Crest Boulevard I 78 Allentown, PA 18105 (610) 402-5369 Doram, Donyell, MD Hossain, Mirmohd M., MD Wemple, Sallie M., MD

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ST LUKES NEPHROLOGY ASSOCIATES 002821252 1901 W Hamilton, Ste 300 Allentown, PA 18104 (610) 628-7920 Narad, Saurabh, MD

LICENSED CLINICAL SOCIAL WORKER HAVEN HOUSE INC 003368017 1411 Union Boulevard Allentown, PA 18109 (610) 433-6181 Daniels, Michael J., MSW Graham, Donald E., MSW PINEBROOK FMLY ANSWERS 003137324 402 N Fulton St Allentown, PA 18102 (610) 432-3919 Fellin, Christine E., MA MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH HAVEN HOUSE INC 003368017 1411 Union Boulevard Allentown, PA 18109 (610) 433-6181 Boyer, Yvonne L., BSW Sedlock, Heather N., MA LEHIGH VLY PHYSNS GRP 002988957 1259 S Cedar Crest Blvd, Ste 230 Allentown, PA 18103 (610) 402-5900 Croft, Valentine, MS SUMMIT VIEW CNSLNG LLC 003304114 1125 S Cedar Crest Blvd, Ste 107 Allentown, PA 18103 (610) 351-3477 Sedlock, Heather N., MA

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. Saminejad, Behang, MD Bhambhwani, Anmol, MD LEHIGH VALLEY LVPG NEONATOLOGY SPECIALTY CARE 3710 Broadway, Suite OFFICE 201 PHYSICIANS 002810631 PRACTICE Allentown, PA 18104 1210 S Cedar Crest 002820068 (610) 398-7700 Blvd, Ste 2400 401 N 17th St, Suite 105 Bhambhwani, Anmol, Allentown, PA 18103 Allentown, PA 18104 MD (610) 402-3888 (610) 969-4470 LVPG OBSTETRICS Kolb, Kendra R., MD Becker, Christopher R., AND GYNECOLOGY DO Cedar Crest Boulevard 002808919 Saminejad, Behang, MD and I78, Jaindl Pavilion 1245 South Cedar Crest 4th Floor Boulervard, Suite 201 LVPG NEUROLOGY Allentown, PA 18103 Allentown, PA 18103 002815969 (610) 402-7632 (610) 402-4870 401 North 17th Street, Kolb, Kendra R., MD Bhambhwani, Anmol, Suite 105 MD Allentown, PA 18104 NEUROLOGICAL Greco, Laura, MD (610) 969-4470 SURGERY He, Wenzhuan, MD 1431 Nursery Street, LVPG NEUROSUGERY Suite 202 OB-GYNECOLOGY 002810052 Fogelsville, PA 18051 1250 South Cedar Crest COORDINATED (484) 273-4377 Boulevard, Suite 400 HEALTH GYN Bhambhwani, Anmol, Allentown, PA 18103 002822211 MD (610) 402-6555 Greco, Laura, MD 1405 N Cedar Crest Tsen, Andrew, MD Blvd 401 N 17th Street, Suite Allentown, PA 18104 LVPG 301 (610) 861-8080 NEUROSURGERY Allentown, PA 18104 Williams, Tasscia M., 002810052 (610) 433-0949 MD 707 Hamilton Street, Bhambhwani, Anmol, Suite 301 LVPG CENTER FOR MD Allentown, PA 18101 WOMENS MEDICINE Greco, Laura, MD (484) 862-3001 002810630 5649 Wynnewood Drive, Tsen, Andrew, MD 1627 W Chew St Suite 101 Allentown, PA 18102 Laurys Station, PA NEUROLOGY (610) 402-1600 18059 LEHIGH NEUROLOGY Bhambhwani, Anmol, (610) 262-9180 OF THE LVPG MD Bhambhwani, Anmol, 002815969 Greco, Laura, MD MD 1250 South Cedar Crest Greco, Laura, MD LVPG OB GYN Boulevard, Suite 405 ASSOCIATES 6900 Hamilton Allentown, PA 18103 002808919 Boulevard, Suite 60 (610) 402-8420 1611 Pond Road, Suite Trexlertown, PA 18087 Becker, Christopher R., 401 (484) 664-2970 DO Allentown, PA 18104 Bhambhwani, Anmol, He, Wenzhuan, MD (610) 398-7700 MD NEONATOLOGY

P - Preferred pharmacy

24

Greco, Laura, MD LVPG OBSTETRICS AND GYNECOLOGY ASSOCIATES 002808919 1611 Pond Road, Suite 300 Allentown, PA 18104 (610) 395-7700 Greco, Laura, MD ST LUKES WOMENS HEALTH CENTER 003295328 1736 Hamilton Street Allentown, PA 18104 (610) 628-8300 Abeysekera, Shenali, MD Talmage, Christine A., MD Ting, Michael, MD 1837 West Linden Street Allentown, PA 18104 (610) 628-8400 Abeysekera, Shenali, MD Talmage, Christine A., MD Ting, Michael, MD OCCUPATIONAL THERAPIST CHS PROFESSIONAL PRACTICE PC 002819989 1503 N Cedar Crest Blvd Allentown, PA 18104 (610) 861-8080 Burns, Evan, OTR 1621 North Cedar Crest Boulevard Allentown, PA 18104 (610) 861-8080 Burns, Evan, OTR Jung, Adrian L., OTR

ONCOLOGY LVPG HEMATOLOGY ONCOLOGY 002818820 1240 South Cedar Crest Boulevard, Suite 401 Allentown, PA 18103 (610) 402-7880 Iqbal, Amber H., DO LVPG HEMATOLOGY ONCOLOGY ASSOCIATES 002818820 1240 S Cedar Crest, Ste 305 Allentown, PA 18103 (610) 402-9050 Iqbal, Amber H., DO OPTOMETRIST MICHAEL BRODSKY OD 002810853 265 Lehigh Valley Mall Whitehall, PA 18052 (610) 266-6666 Stochla, Nicole A., OD OTORHINOLARYNG OLOGY (ENT) LEHIGH VALLEY SPECIALTY CARE PHYSICIANS PRACTICE 002820068 401 N 17th St, Suite 105 Allentown, PA 18104 (610) 969-4470 Kriesel, Kevin J., MD LVPG OTOLARYNGOLOGY 17TH STREET 003332720

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 401 North 17th Street, Suite 105 Allentown, PA 18104 (610) 969-5120 Nayak, Chetan S., MD 401 North 17th Street, Suite 210 Allentown, PA 18104 (610) 969-5120 Kriesel, Kevin J., MD Nayak, Chetan S., MD PHYSICAL MEDICINE AND REHABILITATION CHS PROFESSIONAL PRACTICE INC 002823271 1503 N Cedar Crest Boulevard Allentown, PA 18104 (610) 861-8080 Wood, Troy R., MD 1621 North Cedar Crest Boulevard Allentown, PA 18104 (610) 861-8080 Wood, Troy R., MD ST LUKES NEUROLOGY ASSOCIATES 002816549 240 Cetronia Rd, Suite 210 A Allentown, PA 18104 (484) 426-2626 Tele, Shrikant, MD

PHYSICAL THERAPIST HANDS ON HEALING PHYSICAL THERAPY 002874548 1040 S Cedar Crest Blvd Allentown, PA 18103 (610) 821-9135 PREMIER PHYSICAL THERAPY PC 003055923 2200 Hamilton Street Allentown, PA 18104 (484) 273-0401 PODIATRY PA FOOT AND ANKLE ASOCIATES 002997004 2895 Hamilton Blvd, Ste 101 Allentown, PA 18104 (610) 432-9593 Busch, Elliot L., DPM PSYCHIATRIC NURSE HAVEN HOUSE INC 003368017 1411 Union Boulevard Allentown, PA 18109 (610) 433-6181 Wolfe, Karen L., MSN PSYCHIATRIC SOCIAL WORKER LEHIGH VLY PHYSNS GRP 002988957 1251 S Cedar Crest Blvd, Ste 202A Allentown, PA 18103 (610) 402-5000 Denton, Stephen J., MSW

P - Preferred pharmacy

PSYCHIATRY HOLCOMB BHVRL HLTH SYST 002989124 1405 N Cedar Crest Blvd, Ste 105 Allentown, PA 18104 (610) 435-4151 Berman, Scott I., MD LEHIGH VLY PHYSNS GRP 002988957 1250 S Cedar Crest Blvd, Ste 410 Allentown, PA 18103 (610) 402-3500 Javid, Zeeshan, MD 1251 S Cedar Crest Blvd, Ste 202A Allentown, PA 18103 (610) 402-5000 Javid, Zeeshan, MD PSYCHOLOGIST CTR FOR INTEGRATIVEPSYCTH RPY 002989798 1251 S Cedar Crest Blvd, Ste 211D Allentown, PA 18103 (610) 432-5066 West, Julia A., PHD LEHIGH VLY PHYSNS GRP 002988957 1259 S Cedar Crest Blvd, Ste 230 Allentown, PA 18103 (610) 402-5900 Saborsky, Amy L., PSYD ST LUKES NEUROLOGY ASSOCIATES

25

002816549 240 Cetronia Rd, Suite 210 A Allentown, PA 18104 (484) 426-2626 Demarco, Anthony P., PSYD ST LUKES PSYCHC ASSOCS INC 002989014 240 Cetronia Rd, Ste 210A Allentown, PA 18104 (484) 426-2626 Demarco, Anthony P., PSYD PULMONARY DISEASES ST LUKES CRITICAL CARE ASSOCIATES 002815023 1736 Hamilton Street Allentown, PA 18104 (610) 954-2200 Guglielmello, Giuseppe, DO ST LUKES PULMONARY ASSOCIATES 002817568 1648 Hamilton Street Allentown, PA 18102 (610) 954-3890 Guglielmello, Giuseppe, DO 501 Cetronia Road, Suite 135 Allentown, PA 18104 (484) 526-3890 Guglielmello, Giuseppe, DO

RADIOLOGY CHS PROFESSIONAL PRACTICE INC 002810088 1405 North Cedar Crest Boulevard, Suite 201 Allentown, PA 18104 (610) 861-8080 1621 North Cedar Crest Boulevard Allentown, PA 18104 (610) 861-8080 RENAL DIALYSIS CENTER BIO MEDICAL APPLICATIONS OF PENNSYLVANIA INC 003427518 7310 Tilghman Street, Suite 100 Allentown, PA 18106 (610) 395-1980 RENAL DIALYSIS FACILITIES BIO MEDICAL APPLICATIONS OF PENNSYLVANIA INC 003427518 7310 Tilghman Street, Suite 100 Allentown, PA 18106 (610) 395-1980 RETAIL PHARMACIES COSTCO PHARMACY 791 N Krocks Rd Allentown, PA 18106 (484) 273-7066 CVS PHARMACY P 749 N Krocks Rd Allentown, PA 18106 (401) 765-1500

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. HEALTH SPECTRUM PHARMACY SERVICES P 1637 Chew Street Allentown, PA 18102 (610) 969-2780 RITE AID PHARMACY 06778 27 North 7th Street, Suite 100 Allentown, PA 18101 (610) 437-7261 SOUTH MOUNTAIN PHARMACY 2441 W Emaus Ave Allentown, PA 18103 (610) 791-3917

ROUTINE VISION EYE 2 EYE 4620 Broadway Allentown, PA 18104 (610) 841-7990 Patel, Kirti, OD OPHTHALMOLOGY PHYSICIANS & SURGEONS 1313 Center Street Bethlehem, PA 18018 (610) 868-0130 Arteaga, Fernando A., OD

VISIONWORKS 949 Airport Center Dr Allentown, PA 18109 VITA MEDICAL (610) 264-0891 ASSOCIATES P.C. P 800 Ostrum Street, Suite Belanger, Corinne E., OD 300 Druckman, Charles A., Bethlehem, PA 18015 OD (610) 866-0113 Huhn, Zachary, OD Martinez, Laura L., OD RHEUMATOLOGY Trump, Michelle R., OD LVPG RHEUMATOLOGY UROLOGY 002813870 3080 Hamilton Blvd, Ste LEHIGH VALLEY SPECIALTY CARE 300 PHYSICIANS Allentown, PA 18103 PRACTICE (610) 776-5038 002820068 Casey, Carolyn M., DO 401 N 17th St, Suite 105 401 North 17th Street, Allentown, PA 18104 Suite 105 (610) 969-4470 Allentown, PA 18104 Voznesensky, Maria, (610) 969-4470 MD Casey, Carolyn M., DO LVPG UROLOGY 6900 Hamilton Blvd, PO 002821220 Box 60 1250 South Cedar Crest Trexlertown, PA 18087 Boulevard, Suite 215 (610) 402-1147 Allentown, PA 18103 Casey, Carolyn M., DO (610) 402-6986 Voznesensky, Maria, MD P - Preferred pharmacy

SLPG ST LUKES CENTER FOR UROLOGY 002816997 501 Cetronia Rd, Ste 135 Allentown, PA 18104 (484) 526-2598 Piotrowski, Zachary J., MD ST LUKES PHYSICIAN GROUP 002816997 240 Centronia Road, Suite 100 North Allentown, PA 18104 (610) 882-2598 Piotrowski, Zachary J., MD VASCULAR SURGERY

X-RAY/IMAGING CENTER SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH 003022659 1405 North Cedar Crest Boulevard Allentown, PA 18104 (610) 861-8080 1621 North Cedar Crest Boulevard Allentown, PA 18104 (610) 861-8080 MONTGOMERY COUNTY ALLERGY/IMMUNOL OGY

ANESTHESIOLOGY EINSTEIN PRACTICE PLAN 002805118 559 West Germantown Pike East Norriton, PA 19403 (215) 456-6850 Mahmoud, Saifeldin A., MD 609 W Germantown Pike, Ste 100 East Norriton, PA 19403 (610) 270-0000 Mahmoud, Saifeldin A., MD AUDIOLOGIST

CHCA ALLERGY & IMMUNOLOGY LEHIGH VALLEY 002805328 SPECIALTY CARE 550 S Goddard Blvd. PHYSICIANS King of Prussia, PA PRACTICE 19406 002820068 401 N 17th St, Suite 105 (610) 337-3232 Kazatsky, Ashley M., Allentown, PA 18104 DO (610) 969-4470

CLARK AUDIOLOGY AND HEARING AID CENTER 002821132 401 W Germantown Pk East Norriton, PA 19403 (484) 231-1340 Clark, Rachel, AUD

Ju, Mila H., MD

HEARING HEALTH PA LLC 002811417 1800 East High Street, Suite 330 Pottstown, PA 19464 (610) 326-3044 Fogel, Tara L., AUD

LVPG VASCULAR SURGERY 002822831 1259 S Cedar Crest Blvd, Ste 301 Allentown, PA 18103 (610) 402-9400 Ju, Mila H., MD

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AMBULATORY SURGICAL CENTER

JJEFFERSON J ENDOSCOPY CENTER AT BALA 003475026 130 Presidentioal Boulevard Bala Cynwyd, PA 19004 (615) 397-9187

HEARING TECH ASSOC LLC 002814363 143 Bala Avenue Bala Cynwyd, PA 19004 (610) 747-1100 Maioriello, Amanda M., AUD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. Tuss, Tracie L., AUD MELISSA SCHWARTZ DO LLC 002818372 375 Township Line Road Elkins Park, PA 19027 (215) 887-7380 Frebowitz, Louise B., AUD

TEMPLE CARDIOLOGY ASSOC 002805053 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 707-8484 Brisco, Meredith A., MD CERTIFIED REGISTERED NURSE PRACTITIONER

BEHAVIORAL ANALYST EDUC ALTRNTVS FOR ABA LLC 003376272 296 W Ridge Pike, Ste 205 Limerick, PA 19468 (610) 831-1865 Bilker, Shannon L., MS Esposto, Lisa A., MED Fioravanti, Samantha M., MS Pursell, Julie M., MS Robin, Weigelt L., MED CARDIOVASCULAR DISEASE CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 10000 Shannondell Dr Audubon, PA 19403 (610) 647-2400 Kuhn, Robert J., MD ST LUKES CARDIOLOGY ASSOCIATES 002816507 2793 Geryville Pike, Ste 201 Pennsburg, PA 18073 (610) 435-5913 Singh, Abhishek, MD

COVENTRY PEDIATRICS 002818019 800 Heritage Drive, Suite 820 Pottstown, PA 19464 (610) 326-8660 Varano, Krysten A., MD

821 Huntingdon Pike, Suite 207 Huntingdon Valley, PA 19006 (215) 379-3022 Wilson, Rastogi W., CRNP CHIROPRACTOR BASSION CHIROPRACTIC PC 002815497 939 Horsham Road Montgomeryville, PA 18936 (215) 368-3331 Yeo, Inwook, DC

DOUGLAS R SWEDE DC LLC 002818402 130 West Main Street Trappe, PA 19426 MAIN LINE (610) 831-1650 HEALTHCARE FAMILY Hager, Margaret R., DC MEDICINE IN ROYERSFORD FULLER FAMILY CHIROPRACTIC 003020819 002819789 649 North Lewis Rd, Limerick Professional 909 Sumneytown Pike, Ctr, Ste 130 Ste 107 Royersford, PA 19468 Spring House, PA 19477 (610) 495-8101 (267) 419-8748 Dewire, Kimberly P., CRNP Berg, Brian D., DC TRI COUNTY PEDIATRICS INC 002805092 1939 Cheltenham Avenue Elkins Park, PA 19027 (215) 884-5715 Keldie, Lauren, CRNP Wilson, Rastogi W., CRNP

TEMPLE PULMONARY ASSOCIATES 002805453 450 Cresson Boulevard, Suite 200 Oaks, PA 19456 (610) 630-2222 Gupta, Rohit, MD DERMATOLOGY BRYN MAWR DERMATOLOGY PC 002816875 599 Arcola Rd, Suite 150 206 Collegeville, PA 19426 (610) 525-7800 Santa, Erin V., MD DURABLE MEDICAL EQUIPMENT SUPPLIER NUMOTION 003432364 152 Keystone Drive Montgomeryville, PA 18936 (215) 855-1777 FAMILY PRACTICE

ABINGTON FAMILY MEDICINE REHAB AND PAIN 002811760 CENTER 500 Old York Road, 002817000 3118 Sumneytown Pike Suite 108 Sumneytown, PA 18084 Jenkintown, PA 19046 (215) 481-2725 (215) 234-7342 Carcia, Danielle C., DO Snyder, John J., DC FAMILY MEDICINE GERIATRIC WELLNESS 002812493

002805097

P - Preferred pharmacy

CRITICAL CARE MEDICINE

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714 North Bethlehem Pike, Suite 101 Lower Gwynedd, PA 19002 (215) 540-4411 Ulbrecht, Mark H., MD FAMILY PRACTICE ASSOCIATES OF KING OF PRUSSIA FORNANCE 002821572 625 Clark Avenue, Suite 13 King of Prussia, PA 19406 (610) 265-8566 O Brien, Sharon M., DO GERIATRIC ASSESSMENT OF ABINGTON 002820116 1245 Highland Ave, Ste 305 Abington, PA 19001 (215) 481-5640 Carcia, Danielle C., DO MAIN LINE INTERNAL MEDICINE AND GERIATRICS 002806551 100 East Lancaster Avenue, 467 Lankenau Mob East Wynnewood, PA 19096 (610) 896-7424 Singh, Manjit, MD 002806553 10000 Shannondell Drive Audubon, PA 19403 (610) 728-5241 Singh, Manjit, MD MLH CONSHOHOCKEN 002806558

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 1100 Hector Street, Suite 105 Conshohocken, PA 19428 (610) 828-2608 Lembeck, John J., MD

Hasan, Nadia, DO Suarez Kobilis, Monica B., MD Tohfafarosh, Nilofer J., MD

MLHC CITY LINE FAMILY MEDICINE 003083878 301 E City Avenue, Suite 100 Bala Cynwyd, PA 19004 (610) 617-1300 Daley, Megan V., DO

400 East Germantown Pike East Norriton, PA 19401 (610) 994-0063 Hasan, Nadia, DO Suarez Kobilis, Monica B., MD Tohfafarosh, Nilofer J., MD

NORTH PENN FAMILY MEDICAL ASSOCIATES 003022041 2026 North Broad St Lansdale, PA 19446 (215) 368-4434 Bonnes, Harmony L., DO

713 Bethlehem Pike Montgomeryville, PA 18936 (267) 695-3944 Hasan, Nadia, DO Suarez Kobilis, Monica B., MD Tohfafarosh, Nilofer J., MD

PATIENT FIRST ABINGTON 002996179 938 Old York Road Abington, PA 19001 (267) 620-0237 Leblanc, Leanne L., MD

938 Old York Road Abington, PA 19001 (267) 620-0237 Hasan, Nadia, DO Suarez Kobilis, Monica B., MD Tohfafarosh, Nilofer J., MD

PATIENT FIRST MEDICAL GROUP 002822976 713 Bethlehem Pike Montgomeryville, PA 18936 (264) 695-3944 Leblanc, Leanne L., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 119 Shoemaker Road Pottstown, PA 19464 (610) 427-7919

003038983 119 Shoemaker Road Pottstown, PA 19464 (610) 427-7919 Leblanc, Leanne L., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC 003039000

P - Preferred pharmacy

400 East Germantown Pike East Norriton, PA 19403 (610) 994-0063 Leblanc, Leanne L., MD SAINT LUKES CARE NOW UPPER PERKIOMEN 003165574 2793 Geryville Pike Pennsburg, PA 18073 (267) 424-8005 Cochran, Eric T., DO

GASTROENTEROLO GY GASTROINTESTINAL ASSOCIATES INC 002804557 1095 Rydal Road, Suite 100 Rydal Executive Plaza Rydal, PA 19046 (267) 620-1100 Naumovich Brown, Christina N., MD

JJEFFERSON J GASTROENTEROLOG TEMPLE ORTHOPEDIC Y AND HEPATOLOGY ASSOCIATES AND SPORTS MEDICINE 002810714 ASSOCIATES 225 East City Avenue, 003137949 Suite 109 450 Cresson Boulevard, Bala Cynwyd, PA Suite 200 19004 Oaks, PA 19456 (215) 503-3838 (610) 630-2222 Henry, Christopher H., Schreiter, Ryan D., DO MD

GENERAL SURGERY ABINGTON SURGICAL ASSOCIATES 002984843 1245 Highland Avenue, Suite 401 Abington, PA 19001 (215) 481-7462 Kirton, Orlando C., MD CHILDRENS SURGICAL ASSOCIATES LTD 002809722 550 South Goddard Boulevard King of Prussia, PA 19406 (610) 337-3232 Russell, Kathryn W., MD Vrecenak, Jesse D., MD EINSTEIN PRACTICE PLAN 002804820 609 W Germantown Pk, Ste 270 East Norriton, PA 19403 (484) 622-7100 Bakhos, Charles, MD

PMA MEDICAL SPECIALISTS LLC 002813092 420 W Linfield Trappe Rd, Bldg B Ste 101 Limerick, PA 19468 GENERAL SURGERY (484) 938-4030 VOHRA POST ACUTE Katzen, Nicholas A., MD ASSOCIATES CARE PHYSICIANS OF 002813198 THE NE TEMPLE 60 East Township Line 003130331 GASTROENTEROLOG Road, First Floor Y ASSOC 2630 Woodland Road Elkins Park, PA 19027 002805080 Roslyn, PA 19001 (215) 456-8007 515 Pennsylvania (877) 866-7123 Tholey, Renee M., MD Gray, Jr, Robert J., MD Avenue Fort Washington, PA JEFFERSON JJ 19034 UNIVERSITY DEPT OF SURGERY (215) 641-0700 Sawaya, Ronald A., MD 002817185 100 E Lancaster Avenue, Suite 275 Wynnewood, PA 19096 (610) 642-1908 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 641-0700 Schreiter, Ryan D., DO

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THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. Laporta, Matthew W., DO SUBURBAN MEDICAL SPECIALISTS 003378536 2705 Dekalb Pike, Suite 309 East Norriton, PA 19401 (610) 277-6131 Colpan, Aylin, MD Colpan, Efkan M., MD 500 West Germantown Pike, Suite 1020 Plymouth Meeting, PA 19462 (610) 278-2360 Colpan, Aylin, MD SURGICAL CARE SPECIALISTS INC 002804447 1245 Highland Avenue, Suite 600 Abington, PA 19001 (215) 887-3990 Nolano, Stefania E., DO TEMPLE CARDIOTHORACIC SURGERY ASSOCIATES 002804855 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 707-3601 Bakhos, Charles, MD TRI COUNTY SURGICAL ASSOCIATES 002822382 13 Armand Hammer Blvd Pottstown, PA 19464 (610) 327-7770 Estella, Faustino F., MD

Perrins, Jr, Steven B., MD Singh, Neena K., MD GENERAL/ACUTE CARE HOSPITAL EINSTEIN MEDICAL CENTER MONTGOMERY 002803668 559 West Germantown Pike East Norriton, PA 19403 (484) 622-1000 HOME HEALTH CARE AGENCY PERSONAL TOUCH HOME CARE OF PA INC 002803180 301 City Ave Bala Cynwyd, PA 19004 (610) 667-8060 PSA HEALTHCARE 003431340 120 Beithlehem Pike, Unit 103 Colmar, PA 18915 (215) 887-4009 HOME INFUSION PHARMACIES PROMTPCARE HOME INFUSION P 741 Third Ave., Suite B King of Prussia, PA 19406 (866) 776-6782

P - Preferred pharmacy

INTERNAL MEDICINE ABINGTON ADULT MEDICAL ASSOCIATES 002809560 1235 Old York Road, Suite 214 Abington, PA 19001 (215) 481-4811 Arif, Zulfiqar, MD AMH MEDICAL STAFF SERVICE FUND 002804649 1200 Old York Road, Department of Medicine Abington, PA 19001 (215) 481-2000 Arif, Zulfiqar, MD Bhutani, Suchit K., MD Boorgula, Ravinder, MD Jafri, Syed I., MD ASSOCIATES IN INFECTIOUS DISEA 002816913 1235 Old York Rd, Suite 220 Abington, PA 19001 (215) 481-6350 Kramer, Carolyn J., MD CHESTNUT HILL TEMPLE CARDIOLOGY 002822469 1722 Bethlehem Pike Flourtown, PA 19031 (215) 233-9700 Gangireddy, Chethan R., MD DREXEL HOSPITALISTS 002816281 1200 Old York Road Abington, PA 19001 (215) 481-4213

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Gangemi, Andrew J., MD Hynes, Daniel M., MD Kaur, Navneet, MD Patel, Naitik, MD 003338168 1200 Old York Road Abington, PA 19001 (215) 481-4213 Gangemi, Andrew J., MD ENDOCRINE ASSOCIATES 002822398 633 W Germantown Pike, Ste 105 Plymouth Meeting, PA 19462 (610) 941-6799 Khatiwada, Puniya, MD MAIN LINE HEALTHCARE 002811045 100 East Lancaster Avenue, 4 Pavilion, Suite 4303 Wynnewood, PA 19096 (484) 476-6421 Cruz, Jennifer A., DO Liu, Jiali, MD Marchiano, Susan M., DO Mizus, Marisa C., MD Spinazzola, Jeremy A., DO Summerville, Sarah G., MD Wang, Daniel S., MD MLHC MEDICINE FOR WOMEN 003321290 915 Montgomery Ave, 4th Floor Narberth, PA 19072 (610) 668-7992 Kruger, Kellie E., MD

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 119 Shoemaker Road Pottstown, PA 19464 (610) 427-7919 Kim, David E., MD 400 East Germantown Pike East Norriton, PA 19401 (610) 994-0063 Kim, David E., MD 713 Bethlehem Pike Montgomeryville, PA 18936 (267) 695-3944 Kim, David E., MD 938 Old York Road Abington, PA 19001 (267) 620-0237 Kim, David E., MD PENNCARE BALA CYNWYD ASSOCIATES 002810884 2 Bala Plaza, Suite Il 27 Bala Cynwyd, PA 19004 (610) 668-9999 Gary, David, MD RESPIRATORY ASSOC 002805464 1001 City Line Avenue, Suite Wb 113 Wynnewood, PA 19096 (610) 896-0280 Rujubali, Mohammad F., MD STEPHEN J RENZI MEDICAL PC 002875978

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 10 East Sixth Avenue, Suite 210 Conshohocken, PA 19428 (610) 825-0107 Renzi, Stephen J., MD TEMPLE CARDIOLOGY ASSOC 002805053 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 707-8484 Gangireddy, Chethan R., MD TEMPLE INTERNAL MEDICINE ASSOCIATES 002821538 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 707-5067 Gibson, Gregory T., MD TRI COUNTY HOSPITALISTS LLC 003031310 1600 E High St Pottstown, PA 19464 (610) 327-7710 Tejsinghani, Puneet, MD INTERNAL MEDICINE SPECIALISTS EINSTEIN GASTROENTEROLOG Y ASSOCIATES 002808039 609 West Germantown Pike, Suite 140 Norristown, PA 19403 (215) 456-8242 Kalman, Richard S., MD

INTERVENTIONAL CARDIOLOGY MAIN LINE HEALTHCARE 002820498 100 East Lancaster Ave., Jd Lankenau Pavilion, Mezzanine Wynnewood, PA 19096 (484) 476-1000 Altit, Roi, MD TEMPLE CARDIOLOGY ASSOC 002805053 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 707-8484 Aggarwal, Vikas, MD LACTATION CONSULTANT BREASTFEEDING RESOURCE CENTER 003006898 1355 Old York Road, Ste 101 Abington, PA 19001 (215) 886-2433 Blake, Adara, RLC LICENSED CLINICAL SOCIAL WORKER ABINGTON MEML HOSP 002989037 2500 Maryland Rd, Ste 309 Willow Grove, PA 19090 (215) 481-5450 Arnold, Robert T., MSW Pimble, Nicole J., MSW ABINGTON PSYCHC ASSOCS

P - Preferred pharmacy

002989037 3941 Commerce Ave Willow Grove, PA 19090 (215) 481-5450 Arnold, Robert T., MSW 500 York Rd, Ste 108 Jenkintown, PA 19046 (215) 481-5450 Albert, Francine H., MSW Anela, Louise, MA Arnold, Robert T., MSW Pimble, Nicole J., MSW 500 York Rd, Ste 203 Jenkintown, PA 19046 (215) 481-5450 Pimble, Nicole J., MSW 1245 Highland Ave, Ste 305 Abington, PA 19001 (215) 481-5640 Sklar, Barbara G., MS 1245 Highland Ave, Ste 308 Abington, PA 19001 (215) 481-5450 Albert, Francine H., MSW Arnold, Robert T., MSW Pimble, Nicole J., MSW 212 Girard Ave Glenside, PA 19038 (215) 481-5450 Albert, Francine H., MSW Arnold, Robert T., MSW Pimble, Nicole J., MSW 221 Davisville Rd Willow Grove, PA 19090 (215) 481-5450 Albert, Francine H., MSW Arnold, Robert T., MSW

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Pimble, Nicole J., MSW

595 Bethlehem Pike, Ste 201 ADVNCD BHVRL HTLH Montgomeryville, PA TX CTR INC 18936 003171957 (215) 822-5553 830 Chestnut St, Ste 2 Seneko, Kristen M., Royersford, PA 19468 MSW (610) 948-2200 Borgatta, Ashley A., LICENSED MSW PROFESSIONAL COUNSELOR Stangl Meddaugh, Kelly A., MSW RAMESH B ELURI MD PC COLLABORATIVE PSYCHC ASSOCS PC 002989292 002989001 404 E High St 1369 Old York Road Pottstown, PA 19464 Abington, PA 19001 (484) 973-6661 (215) 884-1776 Copp Strohmier, Erin L., OMPT Long, Griszel, MSW PSYCARE SOLUTIONS INC 002989123 8302 Old York Rd, Suite B12 Elkins Park, PA 19027 (215) 885-9700 Pisani, Teresa A., MSW Purnell, Dannetta L., MSW PSYCY AND CNSLNG ASSOCS PC 002988912 2091 E High St Pottstown, PA 19464 (610) 970-5234 Seneko, Kristen M., MSW 555 Second Ave, Ste D 300 Collegeville, PA 19426 (610) 970-5234 Seneko, Kristen M., MSW

LONG TERM ACUTE CARE HOSPITAL GOOD SHEPHERD PENN PARTNERS 003444656 1800 Pennbrook Parkway, Suite 200 Lansdale, PA 19446 (215) 661-8660 GOOD SHEPHERD PENN PARTNERS PENN THERAPY 002802878 1800 Pennbrook Parkway, Suite 200 Lansdale, PA 19446 (215) 661-8660 LONG-TERM CARE PHARMACIES CONTRACT PHARMACY SERVICES 4000 Fox Hound Drive Lafayette Hill, PA 19444 (215) 402-8767 RXBOX PHARMACY

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 225 Old Soldiers Rd Cheltenham, PA 19012 (267) 579-2692 MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH

CHILD AND FMLY FOCUS INC 002989113 2935 Byberry Rd, Ste 108 Hatboro, PA 19040 (215) 957-9771 Frye, Jeanette I., MA

HOLCOMB BHVRL HLTH SYST 002989124 400 Creekside Drive, Ste 403 Pottstown, PA 19464 (610) 363-1488 Getz, Tari L., MED

003151375 3138 Butler Pike Plymouth Meeting, PA 19462 (610) 649-6344 Mifflin, Kara, MS

MHMO INC 002989125 ABINGTON PSYCHC CNSLNG IINSIGHT I 523 Plymouth Rd Ste CNSLNG CTR AT ASSOCS 002989337 215 HERITAGE LLC 002989037 2 Village Rd Ste 6 Plymouth Meeting, PA 1200 Old York Rd, 1 Toll 002989526 19462 595 Bethlehem Pike, Ste Horsham, PA 19044 Abington, PA 19001 (610) 825-9400 (267) 781-0712 222 (215) 481-5450 Travera, Ashley L., BSW Smith, Patrick M., MS Montgomeryville, PA Lee, May, MA 18936 PSYCARE SOLUTIONS PSYCH IINTERFACE I 125 Medical Campus Dr, (215) 997-7772 INC SVCS INC Medical Arts Bl, Suite Clark, Jonathan M., MA 002989303 002989123 200 Palme, Jill E., MED 8302 Old York Rd, Suite 101 Greenwood Ave Lansdale, PA 19446 Jenkintown, PA 19046 B12 COLLABORATIVE (215) 481-5450 Elkins Park, PA 19027 PSYCHC ASSOCS PC (215) 886-5331 Lee, May, MA 002989001 Wormly, Sharon E., MA (215) 885-9700 221 Davisville Rd Grant Feeley, Lisa, MS 2300 Computer Road, JJPA J CTR FOR Willow Grove, PA Hagen, Jeffrey, MA Building I, Suite 51 INTEGRATIVE HLTH 19090 Willow Grove, PA PSYCY AND CNSLNG LLC (215) 481-5450 19090 ASSOCS PC 003166451 Lee, May, MA (215) 366-5044 002988912 601 Summit Ave Beccaria, Kathryn L., 2651 Huntingdon Pike, Jenkintown, PA 19046 2091 E High St MS Village Center Pottstown, PA 19464 (215) 885-1252 Johnson, Kali A., MA Huntingdon Valley, PA Dicondina, Joseph, MS (610) 970-5234 19006 DENISE CANDIDI LPC Nayar, Kapil, MA LIFE CNSLNG SVCS (215) 481-5450 LLC Wtulich, Lindsay, MA 002989000 Lee, May, MA 003335376 555 Second Ave, Ste D 2605 Egypt Road, Suite 2500 East High Street, 321 York Rd, Ste 214 300 Suite 800 201 Jenkintown, PA 19046 Collegeville, PA 19426 Pottstown, PA 19464 Trooper, PA 19403 (267) 357-1303 (610) 970-5234 (610) 644-6464 (484) 849-1482 Lee, May, MA Nayar, Kapil, MA Solomon, II, Charles L., Oconnell, Kathleen M., Wtulich, Lindsay, MA MA 500 York Rd, Ste 108 MA Jenkintown, PA 19046 595 Bethlehem Pike, Ste GKSW CRYSTAL GRP 801 Old York Road, (215) 481-5450 Suite 310 201 ASSOCS Laster, Sherri S., MS Jenkintown, PA 19046 Montgomeryville, PA 002988916 18936 Lee, May, MA 8200 Flourtown Ave Ste (610) 644-6464 Palaschak, Christina M., (215) 822-5553 8 51 Medical Campus Dr Nayar, Kapil, MA MA Wyndmoor, PA 19038 Lansdale, PA 19446 Wtulich, Lindsay, MA (215) 233-3994 MAIN LINE THRPY (215) 481-5450 SOLUTIONS LLC Obrien, Anna W., MA Lee, May, MA P - Preferred pharmacy

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SPRING FORD CNSLNG SVCS INC 002989489 201 N 4th Ave Ste 101 Royersford, PA 19468 (610) 948-0393 Beccaria, Kathryn L., MS SRI PSYCHL SVCS PC 002989181 93 Old York Rd Ste 203 Jenkintown, PA 19046 (215) 885-3337 Wormly, Sharon E., MA MAXILLO-FACIAL SURGERY PENNSYLVANIA ORAL AND MAXILLOFACIAL SURGERY LTD 002813345 545 West Germantown Pike Plymouth Meeting, PA 19462 (610) 275-0500 Roland, Donald E., DMD 555 Second Avenue, Suite E 100 Collegeville, PA 19426 (610) 409-9660 Roland, Donald E., DMD 860 First Avenue, Suite 3 King of Prussia, PA 19406 (610) 265-2150 Roland, Donald E., DMD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. NEONATOLOGY

OB-GYNECOLOGY

CHCA NEONATOLOGY 002805478 1648 Huntingdon Pike, Newborn Pediatrics Meadowbrook, PA 19046 (215) 938-2903 Ennis, Christine M., MD

ABINGTON PRIMARY WOMENS HEALTH 002804472 1245 Highland Avenue, Suite G01 Abington, PA 19001 (215) 672-2229 Cruz, Amy T., MD Ruberg, Tara L., MD

NEUROLOGY CHCA NEUROLOGY 002805103 210 Mall Blvd King of Prussia, PA 19406 (610) 337-3232 McDonnell, Pamela P., MD EINSTEIN NEUROLOGY ASSOCIATES 002805106 609 W Germantown Pike, Suite 270 East Norriton, PA 19403 (215) 456-7190 DE Jesus Alvelo, Indira, MD PENN NEUROLOGIC ASSOC 002803924 125 Medical Campus Dr, Ste 206 Lansdale, PA 19446 (215) 855-4800 Tropea, Thomas F., DO

1330 Powell Street, Suite 507 Norristown, PA 19401 (610) 279-9003 Bahora, Masuma, MD 633 West Germantown Pike, Suite 203 Norristown, PA 19462 (484) 622-7940 Bahora, Masuma, MD

WOMENS HEALTH 1811 Bethlehem Pike, CARE GROUP OF PA Suite A110 002815885 Flourtown, PA 19031 100 Lancaster Avenue, (215) 836-4463 Lh Mob East, Suite 158 Cruz, Amy T., MD Wynnewood, PA 19096 Ruberg, Tara L., MD (610) 642-7714 2300 Computer Avenue, Brogan, Crystal A., MD Suite E 25 High, Brooke N., DO Willow Grove, PA 19090 OCCUPATIONAL THERAPIST (215) 366-1160 Cruz, Amy T., MD PENNSYLVANIA HAND Ruberg, Tara L., MD CENTER 721 Arbor Way, Suite 106 Blue Bell, PA 19422 (215) 366-1160 Cruz, Amy T., MD Ruberg, Tara L., MD

002819844 1603 East High Street, Suite C Pottstown, PA 19464 (610) 525-1000 Hove, Patricia A., OTR

OB GYN FACULTY ASSOCIATES OF ABINGTON 002820662 1200 Old York Road, Ground Toll Abington, PA 19001 (215) 481-2000 Cruz, Amy T., MD

599 Arcola Road, Main Line Health Building Collegeville, PA 19426 (610) 525-1000 Hove, Patricia A., OTR

WOMENS ASSOCIATES FOR HEALTH CARE 002808651

P - Preferred pharmacy

PHILADELPHIA HAND CENTER 002814262 700 South Henderson Road, Suite 200 King of Prussia, PA 19406 (610) 768-5940 McCaffery, Meredith, OTR Moore, Jane R., OTR

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THERAPLAY INC 002816422 451 West Ridge Pike, Limerick Center Ste 479 Limerick, PA 19468 (484) 369-8935 Carroll, Jacqueline, OTR Heddings, Ashley J., OTR Ilg, Dana L., OTR Kershaw, Ashley, OTR Liu, Samantha J., OTR Skibinski, Christine L., OTR Swann, Allison M., OTR Weidemoyer, Maria, OTR

OPHTHALMOLOGY EYE CONSULTANTS OF PENNSYLVANIA 002803825 293 Armand Hammer Blvd Pottstown, PA 19464 (610) 327-8528 Shah, Kevin, MD

OPHTHALMIC PARTNERS OF PA PC 002805285 100 Presidential Blvd, Ste 200 Bala Cynwyd, PA 19004 (484) 434-2700 555 Business Center Abramowitz, Benjamin Drive, Suite 100 D., MD Horsham, PA 19044 Ahmed, Yasir, MD (215) 293-8882 Naids, Steven, MD Carroll, Jacqueline, OTR Siu, Sophia Y., MD Heddings, Ashley J., Williams, Alice L., MD OTR Yung, Edward, MD Ilg, Dana L., OTR Kershaw, Ashley, OTR 1330 Powell St, Montgomery Prof Bldg Liu, Samantha J., OTR Norristown, PA 19401 Skibinski, Christine L., OTR (610) 668-2086 Swann, Allison M., OTR Williams, Alice L., MD Weidemoyer, Maria, 158 Lankenau Medical OTR Office Buildi Wynnewood, PA 19096 ONCOLOGY (610) 664-8880 MEDICAL JJEFFERSON J Williams, Alice L., MD ONCOLOGY 002808832 OPTOMETRIST 600 West Germantown MOORE EYE CARE PC Pike, Ste 125 003124161 Plymouth Meeting, PA 1245 Highland Avenue 19462 Abington, PA 19001 (610) 277-5186 Rodriguez, Joanna, MD (215) 885-4040 D'Alonzo, Angela M., OD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. OPHTHALMOLOGY PHYSICIANS AND SURGEONS 002814734 1085 South Broad Street, Building F Lansdale, PA 19446 (215) 361-1230 Draskovic, Kristie M., OD 1179 Dekalb Pk, 2nd Fl Blue Bell, PA 19422 (610) 272-1211 Draskovic, Kristie M., OD 331 N York Rd Hatboro, PA 19040 (215) 672-4300 Draskovic, Kristie M., OD 753 Main St, Ste D Trappe, PA 19426 (610) 489-7440 Draskovic, Kristie M., OD 8200 Flourtown Rd, Ste 15 Wyndmoor, PA 19038 (215) 836-2500 Draskovic, Kristie M., OD 909 Sumneytown Pike, Ste 201 Spring House, PA 19477 (215) 542-1522 Draskovic, Kristie M., OD

ORTHOPEDIC HAND SURGERY THE PHILADELPHIA HAND CENTER PC 002804843 2010 Old West Chester Pike, Suite 425 King of Prussia, PA 19406 (610) 768-5940 Strohl, Adam B., MD 700 South Henderson Road, Suite 200 King of Prussia, PA 19406 (610) 768-5940 Strohl, Adam B., MD Tosti, Richard J., MD ORTHOPEDIC SURGERY CHILDRENS SURGICAL ASSOCIATES 002809721 550 South Goddard Boulevard King of Prussia, PA 19406 (610) 337-3232 Deeney, Vincent F., MD ROTHMAN INSTITUTE RECONSTRUCTIVE ORTHOPEDIC ASSOCIATES II PC 002804844 2400 Maryland Road Willow Grove, PA 19090 (215) 830-8700 Shakked, Rachel, MD 400 Enterprise Drive, 2nd Floor Limerick, PA 19468 (800) 321-9999

P - Preferred pharmacy

Bechtel, Christopher P., MD Davis, Daniel E., MD Fraser, James, MD Updegrove, Gary F., MD Wagner, Scott, MD Williamson, Christopher J., MD 400 Enterprise Drive, 3rd Floor Limerick, PA 19468 (484) 932-5060 Morrissey, Patrick B., MD TEMPLE ORTHOPEDIC AND SPORTS MEDICINE ASSOCIATES 003137949 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 641-0700 Abdelfattah, Hesham M., MD

PINNACLE ENT ALLIANCE LLC 002816891 306 West Logan Street Norristown, PA 19401 (610) 275-6153 Gerring, Robert C., MD 909 Sumneytown Pk, Suite 103 Spring House, PA 19477 (215) 646-2118 Gerring, Robert C., MD PHYSICAL MEDICINE AND REHABILITATION MOSS REHAB PHYSICAL MEDICINE ASSOCIATES 002805226 60 E Township Line Rd, Einstein Practice Plan Elkins Park, PA 19027 (215) 663-6600 Noto, Philip, DO

ROTHMAN INSTITUTE RECONSTRUCTIVE ORTHOPEDIC BROKER CRAMER ASSOCIATES II PC AND SWANSON ENT 002804844 002821846 400 Enterprise Drive, 5 South Sunnybrook Rd, 2nd Floor Suite 300 Limerick, PA 19468 Pottstown, PA 19464 (800) 321-9999 (610) 326-3600 Mahon, David M., DO Nadeau, Daniel P., MD ROY M LERMAN MD ENT AND ALLERGY 002805521 SPECIALISTS 700 South Henderson 002821846 Road, Suite 308C 342 West Germantown Merion Building Pike, Suite 320 King of Prussia, PA East Norriton, PA 19406 19403 (610) 337-3111 (610) 415-1100 Dua, Shivani, MD Nadeau, Daniel P., MD OTORHINOLARYNG OLOGY (ENT)

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PHYSICAL THERAPIST ATI PHYSICAL THERAPY 002818151 28 East Ridge Pike A-3 Conshohocken, PA 19428 (484) 533-2692 MK PLUS 003467883 2 Village Rd, Suite 3 Horsham, PA 19044 (215) 830-8870 OSP ORTHOPAEDIC AND SPORT PHYS 002821807 2775 Buck Road, Asplundh Field House Bryn Athyn, PA 19009 (267) 684-6760 PHOENIX REHAB HEALTH SVCS INC 002809867 2605 Egypt Road, Suite 104 Trooper, PA 19403 (610) 666-1702 PHYSICAL THERAPY AND WELLNESS INSTITUTE, INC. 002813620 708 Main Street Harleysville, PA 19438 (267) 932-9177 PHYSICAL THERAPY WELLNESS INST 002813620 594 E. Broad Street Souderton, PA 18964 (215) 855-9871 PINNACLE ENT ALLIANCE PHYSICAL THERAPY 003461225

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 1004 West 9th Avenue King of Prussia, PA 19406 (610) 265-5305

PSYCHIATRIC SOCIAL WORKER

ABINGTON MEML HOSP PREMIER 002989037 ORTHOPAEDIC & 2500 Maryland Rd, Ste SPORTS MEDICINE PT 309 002804441 Willow Grove, PA 1561 Medical Drive 19090 Pottstown, PA 19464 (215) 481-5450 (484) 941-6734 Chubb, Michele L., MSW PLASTIC SURGERY Sutton, Aaron M., MSW TEMPLE PLASTIC ABINGTON PSYCHC SURGERY ASSOCS ASSOCIATES 002989037 002804852 1245 Highland Ave, Ste 515 Pennsylvania 305 Avenue Abington, PA 19001 Fort Washington, PA (215) 481-5640 19034 Maus, Sarah L., MSW (215) 707-6410 Gassman, Andrew, MD 1245 Highland Ave, Ste 308 PODIATRY Abington, PA 19001 (215) 481-5450 PREMIER ORTHOPAEDICS DPM Chubb, Michele L., MSW 002811054 Maus, Sarah L., MSW 599 Arcola Rd, Suite Sutton, Aaron M., MSW 208 Collegeville, PA 19426 212 Girard Ave (610) 489-4745 Glenside, PA 19038 Hood, Jr, Christopher (215) 481-5450 R., DPM Chubb, Michele L., MSW PSYCHIATRIC NURSE 221 Davisville Rd Willow Grove, PA COLLABORATIVE PSYCHC ASSOCS PC 19090 (215) 481-5450 002989001 Chubb, Michele L., 1369 Old York Road MSW Abington, PA 19001 3941 Commerce Ave (215) 884-1776 Willow Grove, PA Donohue Smith, 19090 Maureen, MS (215) 481-5450

P - Preferred pharmacy

Chubb, Michele L., MSW 500 York Rd, Ste 108 Jenkintown, PA 19046 (215) 481-5450 Chubb, Michele L., MSW Sutton, Aaron M., MSW

Koliasko, Nataliya, MD Stefanescu Sturz, Raluca, MD Valdez, Karen A., DO

ABINGTON PSYCHC ASSOCS 002989037 1245 Highland Ave, Ste 308 51 Medical Campus Dr Abington, PA 19001 Lansdale, PA 19446 (215) 481-5450 (215) 481-5450 Abbasi, Omair H., MD Chubb, Michele L., Custer, Diane E., MD MSW Koliasko, Nataliya, MD CREATIVE HLTH SVCS Stefanescu Sturz, INC Raluca, MD 002989117 Valdez, Karen A., DO 11 Robinson St 212 Girard Ave Pottstown, PA 19464 Glenside, PA 19038 (610) 326-9250 (215) 481-5450 Mullen, Nancy, MSW Custer, Diane E., MD HOLY REDEEMER Koliasko, Nataliya, MD CNSLNG CTR Stefanescu Sturz, 002989089 Raluca, MD 821 Huntingdon Pike Valdez, Karen A., DO Huntingdon Valley, PA 221 Davisville Rd 19006 Willow Grove, PA (215) 914-4190 19090 Martinez, Allison B., SW (215) 481-5450 SRI PSYCHL SVCS PC Custer, Diane E., MD 002989181 Koliasko, Nataliya, MD 93 York Road, Suite 203 Stefanescu Sturz, Jenkintown, PA 19046 Raluca, MD (215) 885-3337 Valdez, Karen A., DO Roth, Carol F., MSW 500 York Rd, Ste 108 Jenkintown, PA 19046 PSYCHIATRY (215) 481-5450 ABINGTON MEML Custer, Diane E., MD HOSP Koliasko, Nataliya, MD 002989037 Stefanescu Sturz, 2500 Maryland Rd, Ste Raluca, MD 309 Valdez, Karen A., DO Willow Grove, PA 19090 EINSTEIN PRACTICE PLAN INC (215) 481-5450 002989020 Custer, Diane E., MD

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60 Township Line Rd, 2nd Floor West Elkins Park, PA 19027 (215) 663-6077 Rivera Colon, Jorge A., MD MAIN LINE HLTHCR 002989027 100 E Lancaster Ave Wynnewood, PA 19096 (484) 337-4286 Khorram, Raena A., MD Roytman, Roman, MD MONTGOMERY CNTY EMER SVC INC 003006769 50 Beech Dr Norristown, PA 19403 (610) 279-6100 Javid, Zeeshan, MD PSYCHOLOGIST ASSOCS OF SPRINGFIELD PSYCHL 002989038 491 Allendale Rd, King of Prussia Med Ctr, Ste 320 King of Prussia, PA 19406 (610) 544-2110 Brown, Colleen M., PSYD COLLABORATIVE PSYCHC ASSOCS PC 002989001 100 Presidential Boulevard, G1 Bala Cynwyd, PA 19004 (484) 270-8817 Demarco, Diane M., PSYD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 1369 Old York Road Abington, PA 19001 (215) 884-1776 Demarco, Diane M., PSYD Green, Jilda S., PHD

002989463 452 Germantown Pike Lafayette Hill, PA 19444 (610) 828-4298 Deitch, Mary L., PHD

VISTA MEDCL SVCS ELDERS CNSLNG GRP 002989064 INC 160 Rock Hill Rd, Fl 1 002989090 Bala Cynwyd, PA 349 Meetinghouse Rd 19004 Jenkintown, PA 19046 (610) 667-5460 (215) 886-5331 Rothery, Cheryll, PSYD Winner, Janine M., Shelesky, Kristin, PHD PSYD PULMONARY PSYCH IINTERFACE I DISEASES SVCS INC 002989303 MONTGOMERY CTY ASTHMA AND LUNG 101 Greenwood Ave Jenkintown, PA 19046 002804732 609 W Germantown (215) 886-5331 Pike, Ste 210 Winner, Janine M., East Norriton, PA PSYD 19403 PSYCY AND CNSLNG (610) 275-2446 ASSOCS PC Kalos, David R., MD 002988912 TEMPLE PULMONARY 2091 E High St ASSOCIATES Pottstown, PA 19464 002805453 (610) 970-5234 450 Cresson Boulevard, Caban Pocai, Arlene, Suite 200 PHD Oaks, PA 19456 555 Second Ave, Ste D (610) 630-2222 300 Dhungana, Santosh, MD Collegeville, PA 19426 Duffy, Sean P., MD (610) 970-5234 Rali, Parth M., MD Caban Pocai, Arlene, PHD RADIOLOGY 595 Bethlehem Pike, Ste 201 Montgomeryville, PA 18936 (215) 822-5553 Caban Pocai, Arlene, PHD THE GROWTH AND RECVY CTR

HYPERTENSION NEPHROLOGY ASSOCIATES 003423357 8120 Old York Road, Yorktown Plaza, Suite 250 Elkins Park, PA 19027 (215) 887-1122

P - Preferred pharmacy

RADIOLOGY JJEANES J ASSOCIATES PC 002809692 400 Enterprise Drive, Suite 102 Limerick, PA 19468 (215) 649-0250

JJEFFERSON J RADIOLOGY ASSOCIATES 002810477 3501 Masons Mill Road, Building 5, Suite 502 Huntingdon Valley, PA 19006 (215) 659-4755 SYMPHONY DIAGNOSTIC SERVICES NO 1 LLC PA 003422607 101 Rock Road Horsham, PA 19044 (215) 442-0660 REGISTERED DIETICIAN EATING FOR LIFE NUTRITION COUNSELING 002822513 40 Fox Hollow Dr Gilbertsville, PA 19525 (215) 704-0767 Papsun, Donna, RD FAMILY FOOD LLC 002821442 150 Monument Road, Suite 207 Bala Cynwyd, PA 19004 (800) 203-8657 Fritton, Jessica C., RD Golen, Rebecca B., RD Nicholas, Lynn A., RD

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HEALTH FITNESS CONNECTIONS LLC 003373626 93 Old York Rd, Ste 1 732 Jenkintown, PA 19046 (888) 406-8388 Kim, Jung N., RD WELLNESS NUTRITION AND EDUCATION 002821194 692 W Schuylkill Rd Pottstown, PA 19465 (610) 644-5870 Naegle, Christine S., RD YOUR WELLNESS CONSULTANTS LLC 002898589 1 Presidential Blvd, Suite 203 Bala Cynwyd, PA 19004 (215) 431-8980 Fabian, Ashleigh, RD Killion, Rebecca, RD RETAIL PHARMACIES ALLIED MEDICAL ASSOC-CITY AVE 333 E City Ave 2 Bala Plz # Pl-18 Bala Cynwyd, PA 19004 (800) 342-1153 CONTRACT PHARMACY SERVICES 4000 Fox Hound Drive Lafayette Hill, PA 19444 (215) 402-8767 RXBOX PHARMACY 225 Old Soldiers Rd Cheltenham, PA 19012 (267) 579-2692

SKIPPACK PHARMACY P 4118 W Skippack Pike Skippack, PA 19474 (610) 584-6544 YORKTOWN PHARMACY P 8110 Old York Rd Ste B Elkins Park, PA 19027 (267) 282-0070 ROUTINE DENTAL AMERICAN DENTAL CARE PC 001355846 187 W City Ave Bala Cynwyd, PA 19004 (610) 667-9713 Johanna L. Palacio, DMD CELEBRITY SMILES LLC 001671708 1811 Bethlehem Pike, Ste A102 Flourtown, PA 19031 (215) 233-5811 Scott I. Rothbart, DMD ROUTINE VISION DR. JOHN SLOAT 136 2nd Ave Collegeville, PA 19426 (610) 489-7800 Tinari, Giulia, OD DR. LINDSEY BAROUH 909 Sumneytown Pike, Ste 201 Springhouse, PA 19477 (215) 542-1522 Arteaga, Fernando A., OD DR. STEPHANIE BRIEN

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 8200 Flourtown Ave, Ste #15 Wyndmoor Pk, PA 19038 (215) 836-2500 Arteaga, Fernando A., OD DR. SUSAN R WILTON 753 W Main St, Ste D Trappe, PA 19426 (610) 489-7440 Arteaga, Fernando A., OD LIMERICK EYE ASSOCIATES PC 649 N Lewis Rd, Ste 120 Limerick, PA 19468 (610) 495-6851 Paist, Jason M., OD ON SITE HEALTH SERVICES 482 Norristown Road, Ste 111 Blue Bell, PA 19422 (610) 825-8210 Stoltz, Kurt A., OD OPHTHALMOLOGY PHYSICIANS & SURGEONS 1085 S Broad St, Ste F Lansdale, PA 19446 (215) 361-1230 Arteaga, Fernando A., OD 1179 Dekalb Pike, 2nd Floor Blue Bell, PA 19422 (610) 272-1211 Arteaga, Fernando A., OD

Fitt, Donna M., OD VISIONWORKS 160 N. Gulph Rd., Ste. 2007A King of Prussia, PA 19406 (610) 265-5940 Druckman, Charles A., OD Goldberg, Laura, OD Huhn, Zachary, OD Martinez, Laura L., OD Trump, Michelle R., OD 167 Montgomery Mall North Wales, PA 19454 (215) 361-8549 Druckman, Charles A., OD Huhn, Zachary, OD Martinez, Laura L., OD Trump, Michelle R., OD 1810 Ridge Pike, Ste 100 Royersford, PA 19468 (610) 454-0546 Druckman, Charles A., OD Huhn, Zachary, OD Martinez, Laura L., OD Trump, Michelle R., OD 264 Upland Square Dr Pottstown, PA 19464 (610) 705-1890 Druckman, Charles A., OD Huhn, Zachary, OD Martinez, Laura L., OD Trump, Michelle R., OD

WAL-MART VISION CENTER 620 Gravel Pike PLYMOUTH EYE CARE East Greenville, PA 1019 Germantown Pk 18041 Plymouth Meeting, PA (215) 679-7902 19462 Vient, Lauren, OD (610) 279-8247 P - Preferred pharmacy

SKILLED NURSING FACILITY LUTHER WOODS 003441041 313 West County Line Road Hatboro, PA 19040 (215) 675-5005 SPEECH THERAPIST THERAPLAY INC 002809904 451 West Ridge Pike, Suite 479 Limerick, PA 19468 (484) 369-8953 Blumberg, Beverly G., SLP Dougherty, Kelly D., SLP Forgit, Tricia M., MSP Kane, Gina A., SLP Kleeman, Joan A., MA Pecci, Samantha M., SLP Scholder, Leah S., SLP Strackhouse, Carolynn M., SLP Titus, Deborah E., SLP Tome, Portia M., SLP Weiner, Emily N., SLP 545 West Main Street Trappe, PA 19426 (610) 226-6000 Dougherty, Kelly D., SLP 555 Business Center Drive, Site 100 Horsham, PA 19044 (215) 293-8882 Blumberg, Beverly G., SLP Dougherty, Kelly D., SLP Forgit, Tricia M., MSP Kane, Gina A., SLP

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Kleeman, Joan A., MA Pecci, Samantha M., SLP Scholder, Leah S., SLP Strackhouse, Carolynn M., SLP Titus, Deborah E., SLP Tome, Portia M., SLP Weiner, Emily N., SLP URGENT CARE CENTER GRANDVIEW URGENT CARE AT KULTSVILLE 003481530 1715 Sumneytown Pike Lansdale, PA 19446 (215) 453-5600 PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 938 Old York Road Abington, PA 19001 (267) 620-0237

UROLOGY CHILDRENS SURGICAL ASSOCIATES LTD UROLOGY 002809715 550 South Gulph Road King of Prussia, PA 19406 (610) 337-3232 Chu, David, MD EINSTEIN UROLOGY ASSOCIATES 003011457 50 E Township Line, Ste 202 Elkins Park, PA 19027 (215) 663-6067 Ohmann, Erin L., MD 609 West Germantown Pike, Braemer Bldg, Suite 270 Norristown, PA 19403 (484) 622-7100 Ohmann, Erin L., MD

PENNSYLVANIA URGENT CARE CENTE VASCULAR 002821428 SURGERY 2848 Moreland Rd EINSTEIN PRACTICE Willow Grove, PA PLAN 19090 002804820 (267) 495-5445 633 Germantown Avenue, Suite 200 002821429 Plymouth Meeting, PA 2848 Moreland Road 19462 Willow Grove, PA (215) 456-7000 19090 Awad, Nadia A., MD (267) 495-5455

MLHC VASCULAR SPECIALISTS 002814227 1569 Medical Drive, Suite 203 Pottstown, PA 19464 (610) 565-8564 Meisner, Robert J., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. SURGICAL CARE SPECIALISTS INC 002804447 1200 Old York Road, Carol and Jeffrey Blank Vascular C Abington, PA 19001 (215) 887-5934 Pineda, Danielle M., MD 1245 Highland Avenue, Suite 600 Abington, PA 19001 (215) 887-3990 Pineda, Danielle M., MD X-RAY/IMAGING CENTER EINSTEIN MEDICAL CENTER MONTGOMERY 002803668 559 West Germantown Pike East Norriton, PA 19403 (484) 622-1000 NORTHAMPTON COUNTY ANESTHESIOLOGY PAIN MANAGEMENT ST LUKES SPINE AND PAIN MEDICINE ASSOCIATES 002818819 1700 Riverside Circle Easton, PA 18045 (215) 583-6300 Wert, Joshua M., DO 830 Ostrum St Bethlehem, PA 18015 (215) 538-6430 Wert, Joshua M., DO

CARDIOVASCULAR DISEASE LV HEART SPECIALISTS 002817360 2649 Schoenersville Road, Suite 301 Bethlehem, PA 18017 (610) 969-4470 Nazir, Talha F., MD LVPG CARDIOLOGY MUHLENBERG 002822380 2649 Schoenersville Road, Suite 301 Bethlehem, PA 18017 (484) 884-4799 Cheung, Michael E., MD

801 Ostrum Street Bethlehem, PA 18015 (610) 954-4975 Giampietro, Philip F., MD CRITICAL CARE MEDICINE PULMONARY ASSOCIATES OF LVPG 002822991 1770 Bathgate Drive, Suite 401 Bethlehem, PA 18017 (610) 439-8856 Aslam, Jonaid, MD FAMILY PRACTICE

ST LUKES CARDIOLOGY ASSOCIATES 002816507 1469 8th Avenue Bethlehem, PA 18018 (610) 419-7800 Singh, Abhishek, MD

CHS PROFESSIONAL PRACTICE INC 002810088 1411 Jacobsburg Road Wind Gap, PA 18091 (610) 861-8080 Johnson, Nathan C., MD Oravec, Richard, MD

1700 St Lukes Blvd Easton, PA 18045 (610) 419-7800 Singh, Abhishek, MD

2300 Highland Avenue Bethlehem, PA 18020 (610) 865-4880 Johnson, Nathan C., MD Oravec, Richard, MD

PATIENT FIRST MEDICAL GROUP 003027024 2450 Butler Street Easton, PA 18042 (610) 991-3136 Leblanc, Leanne L., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 2310 Schoenersville Road Bethlehem, PA 18017 (484) 403-7560 Hasan, Nadia, DO Suarez Kobilis, Monica B., MD Tohfafarosh, Nilofer J., MD 2450 Butler Street Easton, PA 18042 (610) 991-3136 Hasan, Nadia, DO Suarez Kobilis, Monica B., MD Tohfafarosh, Nilofer J., MD

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC 487 E Moorestown Road 003038260 3100 Emrick Boulevard Wind Gap, PA 18091 2310 Schoenersville Bethlehem, PA 18020 (484) 526-7800 Road (610) 861-8080 Singh, Abhishek, MD Bethlehem, PA 18017 Johnson, Nathan C., MD (484) 403-7560 CLINICAL GENETICS Oravec, Richard, MD Leblanc, Leanne L., MD (M.D.) LVPG FAMILY ST LUKES INTERNAL SCPA GENETICS MEDICINE EASTON MEDICINE 002811791 AVE 002809566 153 Boadhead Road 002813957 1872 St Lukes Blvd Bethlehem, PA 18017 3024 Easton Ave Easton, PA 18045 (610) 954-4975 Bethlehem, PA 18017 (484) 503-0300 Giampietro, Philip F., (610) 694-1000 Hasa, Jennifer E., MD MD Huang, Christine K., DO Hurst, Amy R., DO

P - Preferred pharmacy

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801 Ostrum Street Bethlehem, PA 18015 (610) 954-4000 Hasa, Jennifer E., MD Hurst, Amy R., DO Pearce, Troy, MD ST LUKES SENIOR CARE ASSOCIATES 002820395 153 Brodhead Rd Bethlehem, PA 18015 (484) 526-7035 Castellanos Mendez, Ana V., MD Singh, Hemlata M., MD ST LUKES SOUTHSIDE MEDICAL CENTER 003177753 511 E 3rd St, Ste 200 Bethlehem, PA 18015 (484) 526-4700 Roth, Raymond D., DO GASTROENTEROLO GY SAINT LUKES GASTROENTEROLOG Y 002822900 701 Ostrum Street, Suite 601 Bethlehem, PA 18015 (484) 526-6545 Sidhu, Loveleen K., MD ST LUKES GASTROENTEROLOG Y SPECIALISTS 002822900 2571 Baglyos Circle, Suite B29 Bethlehem, PA 18020 (610) 252-2222 Sidhu, Loveleen K., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. GENERAL SURGERY LVPG INFECTIOUS DISEASE 002817843 3735 Nazareth Road, Suite 301 Easton, PA 18045 (610) 402-8430 Cahill, Catherine E., MD Colpan, Aylin, MD Colpan, Efkan M., MD LVPG NEUROSUGERY 002810052 1770 Bathgate Road, Suite 402 Bethlehem, PA 18017 (484) 884-8950 Cahill, Catherine E., MD Colpan, Aylin, MD Colpan, Efkan M., MD 2151 Emrick, Shaleen Building, Suite 201 Bethlehem, PA 18020 (610) 625-3355 Cahill, Catherine E., MD Colpan, Aylin, MD Colpan, Efkan M., MD

801 Ostrum St Bethlehem, PA 18015 (610) 954-2200 Darr, Anthony J., MD

2775 Schoenersville Road Bethlehem, PA 18017 (610) 861-8080

ST LUKES ESTES SURGICAL ASSOCIATES 002804446 2545 Schoenersville Rd Bethlehem, PA 18017 (484) 526-2200 Darr, Anthony J., MD

3100 Emrick Boulevard Bethlehem, PA 18020 (610) 861-8080

634 E Broad St Bethlehem, PA 18018 (484) 526-2200 Darr, Anthony J., MD 701 Ostrum St, Ste 202 Bethlehem, PA 18015 (610) 954-2200 Darr, Anthony J., MD ST LUKES SOUTHSIDE SPECIALTY 003189650 511 East 3rd Street, Suite 200 Bethlehem, PA 18015 (484) 526-4700 Darr, Anthony J., MD

LVPG SURGICAL ONCOLOGY 002804418 GENERAL/ACUTE 2597 Schoenersville CARE HOSPITAL Road, 3rd Floor SURGICAL Bethlehem, PA 18017 SPECIALTY CENTER (484) 884-3024 AT COORDINATED Blackham, Aaron U., MD HEALTH ST LUKES CRITICAL 003022659 CARE ASSOCIATES 1411 Jacobsburg Road 002815023 Wind Gap, PA 18091 1872 St Lukes Blvd (610) 861-8080 Easton, PA 18045 2030 Highland Avenue (484) 526-2200 Bethlehem, PA 18020 Darr, Anthony J., MD (610) 861-8080

P - Preferred pharmacy

HEMATOLOGY LVPG HEMATOLOGY ONCOLOGY ASSOCIATES 002818820 1337 Blue Valley Drive, Suite 2 Pen Argyl, PA 18072 (610) 654-1202 Vasekar, Monali K., MD 2545 Schoenersville Road, 3rd Floor Bethlehem, PA 18017 (484) 884-5733 Vasekar, Monali K., MD INTERNAL MEDICINE APOGEE MEDICAL GROUP PENNSYLVANIA PC 003041011 250 South 21st Street Easton, PA 18042 (610) 250-4540 Iroha, Simon I., MD LVH CC HOSPITALIST PROGRAM 002815306 2545 Schoenersville Road Bethlehem, PA 18017 (484) 884-9677 Mulkanoor, Vikranth S., DO Park, Sarah S., DO Wemple, Sallie M., MD

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2645 Schoenersville Road Bethlehem, PA 18017 (484) 844-9677 Doram, Donyell, MD Hossain, Mirmohd M., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 2310 Schoenersville Road Bethlehem, PA 18017 (484) 403-7560 Kim, David E., MD 2450 Butler Street Easton, PA 18042 (610) 991-3136 Kim, David E., MD ST LUKES INTERNAL MEDICINE 002809566 1872 St Lukes Blvd Easton, PA 18045 (484) 503-0300 Adasofunjo, Matthew O., MD Dhesi, Sukhdeep S., DO Dumaswala, Komal B., MD Grazioli, Alison V., MD Kevelyuk, Eugenia, MD Parra, Tatiana, MD Rotibi, Beatrice A., MD Saluja, Mandeep S., MD

Dumaswala, Komal B., MD Grazioli, Alison V., MD Jamaldeen, Mohamed A., MD Kevelyuk, Eugenia, MD Narad, Saurabh, MD Parra, Tatiana, MD Rohatgi, Anuja, MD Rotibi, Beatrice A., MD Ruziev, Shavkat R., MD Saluja, Mandeep S., MD Vinnakota, Ravi, MD LICENSED CLINICAL SOCIAL WORKER BETHLEHEM CNSLNG ASSOCS PC 002988990 2045 Westgate Dr, Gateway Pro Ctr, Ste 304 Bethlehem, PA 18017 (610) 865-8177 Bourdage, Janice A., MSW LEHIGH VLY PHYSNS GRP 002988957 2710 Schoenersville Road Bethlehem, PA 18017 (610) 297-7500 Medina, Tasha L., MSW

METHDST SVCS 003174697 1555 Northampton St 801 Ostrum Street Easton, PA 18042 Bethlehem, PA 18015 (610) 588-9109 (610) 954-4000 McCarter, Alaina L., Adasofunjo, Matthew O., MSW MD PINEBROOK FMLY Begre Egziabher, Aman ANSWERS I., DO 003137324 Chawla, Sonia, MD Dhesi, Sukhdeep S., DO

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 16 South Broadway Wind Gap, PA 18091 (610) 863-8151 Lillie, Coleen A., MSW

NEUROLOGY

SLPG ST LUKES WOMENS HEALTH CENTER 003295328 414 Northampton Street Easton, PA 18042 (610) 559-2175 Talmage, Christine A., MD

LEHIGH NEUROLOGY OF THE LVPG 002815969 1770 Bathgate Drive, MASTER LEVEL Suite 403 THERAPIST PSYCHIATRIC/MENT Bethlehem, PA 18017 AL HEALTH (484) 884-8370 CMNTY SVCS GRP INC Becker, Christopher R., DO ST LUKES OBGYN 002988952 ASSOCIATES He, Wenzhuan, MD 54 South Commerce Saminejad, Behang, MD 002814506 Way, Suite 170 701 Ostrum St, Suite Bethlehem, PA 18017 OB-GYNECOLOGY 203 (570) 323-6944 Bethlehem, PA 18015 Boyer, Yvonne L., BSW COORDINATED (610) 691-3603 HEALTH GYN CONCERN PRO SVCS 002822211 Talmage, Christine A., FOR CHILD YTH FMLY MD 2300 Highland Ave 002989400 Bethlehem, PA 18020 ST LUKES RIVERSIDE 90 S Commerce Way, WOMENS HEALTH (610) 861-8080 Ste 300 002979370 Williams, Tasscia M., Bethlehem, PA 18017 MD 1700 Riverside Circle, (610) 691-8401 Ste 403 Baker, Adrienne J., MS LVPG OBSTETRICS Easton, PA 18045 AND GYNECOLOGY LIFE CNSLNG SVCS (484) 503-0628 002808919 002989000 Abeysekera, Shenali, 1665 Valley Center MD 3400 Bath Pike, Park Parkway, Suite 130 Plaza, Suite 208 Bethlehem, PA 18017 ST LUKES WOMENS Bethlehem, PA 18017 HEALTH CENTER (610) 317-0208 (610) 644-6464 003295328 Bhambhwani, Anmol, Clark, Erin, MA MD 220 Ferry Street Greco, Laura, MD Easton, PA 18042 NEUROLOGICAL SURGERY 2201 Emrick Blvd, Suite (484) 503-8175 Abeysekera, Shenali, 201 LVPG NEUROSUGERY MD Bethlehem, PA 18020 002810052 Talmage, Christine A., (484) 895-3230 1770 Bathgate Road, MD Bhambhwani, Anmol, Suite 402 Ting, Michael, MD MD Bethlehem, PA 18017 Greco, Laura, MD 801 Ostrum Street (484) 884-8950 325 West Broad Street, Bethlehem, PA 18015 Tsen, Andrew, MD (484) 526-4761 3rd Floor 2151 Emrick, Shaleen Abeysekera, Shenali, Bethlehem, PA 18018 Building, Suite 201 MD (484) 626-9250 Bethlehem, PA 18020 Talmage, Christine A., Bhambhwani, Anmol, MD (610) 625-3355 MD Tsen, Andrew, MD Ting, Michael, MD Greco, Laura, MD P - Preferred pharmacy

39

OCCUPATIONAL THERAPIST

OPTOMETRIST

CHS PROFESSIONAL PRACTICE PC 002819989 1411 Jacobsburg Road Wind Gap, PA 18091 (610) 861-8080 Burns, Evan, OTR Jung, Adrian L., OTR

OPHTHALMOLOGY PHYSICIANS AND SURGEONS 002814734 1313 Center St Bethlehem, PA 18018 (610) 868-0130 Draskovic, Kristie M., OD

2030 Highland Ave Bethlehem, PA 18020 (610) 861-8080 Burns, Evan, OTR Jung, Adrian L., OTR

65 East Elizabeth Street Bethlehem, PA 18018 (610) 868-0130 Draskovic, Kristie M., OD

3100 Emrick Boulevard Bethlehem, PA 18020 (610) 861-8080 Burns, Evan, OTR Jung, Adrian L., OTR

OTORHINOLARYNG OLOGY (ENT)

ONCOLOGY LVPG HEMATOLOGY ONCOLOGY ASSOCIATES 002818820 1337 Blue Valley Drive, Suite 2 Pen Argyl, PA 18072 (610) 654-1202 Iqbal, Amber H., DO 2545 Schoenersville Road, 3rd Floor Bethlehem, PA 18017 (484) 884-5733 Iqbal, Amber H., DO

LVPG OTOLARYNGOLOGY 17TH STREET 003332720 2649 Schoenersville Road, Suite 201 Bethlehem, PA 18017 (484) 884-8110 Kriesel, Kevin J., MD Nayak, Chetan S., MD SPECIALTY PHYSICIAN ASSOCIATES 002821518 2851 Baglyos Cir, Ste 201 Bethlehem, PA 18020 (610) 824-5050 Keeler, Jarrod A., MD ST LUKES SOUTHSIDE SPECIALTY 003189650 511 East 3rd Street, Suite 200 Bethlehem, PA 18015 (484) 526-4700 Keeler, Jarrod A., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 1700 St Lukes Blvd, 2nd PSYCHIATRY Floor HOLCOMB BHVRL Easton, PA 18045 HLTH SYST (484) 426-2626 CHS PROFESSIONAL 002989124 Tele, Shrikant, MD PRACTICE INC 929 Northampton St 801 Ostrum Street 002823271 Easton, PA 18042 1411 Jacobsburg Road Bethlehem, PA 18015 (610) 330-9862 (610) 882-0284 Wind Gap, PA 18091 Berman, Scott I., MD Tele, Shrikant, MD (610) 861-8080 LIFE CNSLNG SVCS Wood, Troy R., MD PODIATRY 002989000 2775 Schoenersville 3400 Bath Pike, Park PA FOOT AND ANKLE Road Plaza, Suite 208 ASOCIATES Bethlehem, PA 18017 Bethlehem, PA 18017 002997004 (610) 861-8080 (610) 644-6464 175 South 21st Street, Wood, Troy R., MD Goodwin, Jr, John J., Second Floor MD CHS PROFESSIONAL Easton, PA 18042 PRACTICE PC PACCO LLC (610) 330-9740 002823271 Busch, Elliot L., DPM 002989352 2300 Highland Avenue 2030 Center St Ste 104 602 East 21st St Bethlehem, PA 18020 Northampton, PA 18067 Northampton, PA 18067 (610) 865-4880 (610) 262-6999 (610) 330-9740 Wood, Troy R., MD Yarra, Nirmala K., MD Busch, Elliot L., DPM 3100 Emerick Boulevard ST LUKES PSYCHC ST LUKES Bethlehem, PA 18020 ASSOCS INC SOUTHSIDE (610) 861-8080 002989014 SPECIALTY Wood, Troy R., MD 1107 Eaton Avenue 003189650 Bethlehem, PA 18018 NE REHAB ASSOC PC 511 East 3rd Street, (484) 526-2400 Suite 200 002809762 Levin, Howard C., MD Bethlehem, PA 18015 3400 Bath Pike, Park Plaza 4th Floor Suite (484) 526-4700 PSYCHOLOGIST 400 Bronfenbrenner, Eric S., DPM Bethlehem, PA 18017 PSYCY ASSOCS OF BETHLEHEM (610) 954-9400 PSYCHIATRIC 002988948 Arora, Vikram, DO SOCIAL WORKER 264 E Broad St Ferker, Stella M., MD CONCERN PRO SVCS Bethlehem, PA 18018 ST LUKES FOR CHILD YTH FMLY (610) 866-9311 NEUROLOGY 002989399 Detwiler, Bethany P., ASSOCIATES 90 S Commerce Way, PHD 002816549 Ste 300 1417 Eighth Ave ST LUKES Bethlehem, PA 18017 NEUROLOGY Bethlehem, PA 18018 (610) 691-8401 ASSOCIATES (484) 526-5210 Sebastionelli, Christina 002816549 Tele, Shrikant, MD L., LCSW PHYSICAL MEDICINE AND REHABILITATION

P - Preferred pharmacy

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1417 Eighth Ave Bethlehem, PA 18018 (484) 526-5210 Demarco, Anthony P., PSYD

801 Ostrum St Bethlehem, PA 18015 (610) 954-2200 Guglielmello, Giuseppe, DO

1700 St Lukes Blvd, 2nd Floor Easton, PA 18045 (484) 426-2626 Demarco, Anthony P., PSYD

ST LUKES PULMONARY ASSOCIATES 002817568 1700 Riverside Circle, Suite 200 Easton, PA 18045 (484) 526-3890 Guglielmello, Giuseppe, DO

801 Ostrum Street Bethlehem, PA 18015 (610) 882-0284 Demarco, Anthony P., PSYD ST LUKES PSYCHC ASSOCS INC 002989014 1417 8th Ave Bethlehem, PA 18018 (484) 526-5210 Demarco, Anthony P., PSYD

1872 Riverside Circle Easton, PA 18045 (484) 526-3890 Guglielmello, Giuseppe, DO 709 Delaware Avenue Bethlehem, PA 18015 (610) 954-3890 Guglielmello, Giuseppe, DO

1700 St Lukes Blvd, Fl 2 Easton, PA 18045 RADIOLOGY (484) 426-2626 CHS PROFESSIONAL Demarco, Anthony P., PRACTICE INC PSYD 002810088 801 Ostrum Street 1411 Jacobsburg Road Bethlehem, PA 18015 Wind Gap, PA 18091 (484) 526-4000 (610) 861-8080 Demarco, Anthony P., 2775 Schoenersville PSYD Road Bethlehem, PA 18017 PULMONARY DISEASES (610) 861-8080 ST LUKES CRITICAL CARE ASSOCIATES 002815023 1872 St Lukes Blvd Easton, PA 18045 (484) 526-2200 Guglielmello, Giuseppe, DO

3100 Emrick Boulevard Bethlehem, PA 18020 (610) 861-8080

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. RETAIL PHARMACIES FOUNTAIN HILL PHARMACY INC 1049 51 Broadway Bethlehem, PA 18015 (610) 866-6737 HOMESTAR PHARMACYANDERSON P 1700 St Lukes Blvd Easton, PA 18045 (484) 503-7500 RITTER PHARMACY 115 W 4th St Bethlehem, PA 18015 (610) 867-3701

SKILLED NURSING FACILITY OAK HRC SLATED BELT LLC 003431941 701 Slate Belt Blvd Bangor, PA 18013 (610) 588-6161 UROLOGY LVPG UROLOGY 002821220 2597 Schoenersville Road, Ste 201 Bethlehem, PA 18017 (484) 884-3600 Voznesensky, Maria, MD

RHEUMATOLOGY

ST LUKES PHYSICIAN GROUP LVPG 002816997 RHEUMATOLOGY 1521 8th Avenue, Suite 002813870 201 3445 Highpoint Blvd, Ste Bethlehem, PA 18018 201 (610) 882-2598 Bethlehem, PA 18017 Piotrowski, Zachary J., (610) 297-7800 MD Casey, Carolyn M., DO 1700 Riverside Circle, ROUTINE VISION Suite 300 Easton, PA 18045 VISIONWORKS (610) 882-2598 3714 Easton Nazareth Piotrowski, Zachary J., Hwy, Unit 4 MD Easton, PA 18045 ST LUKES (610) 253-1626 SOUTHSIDE Druckman, Charles A., SPECIALTY OD 003189650 Huhn, Zachary, OD 511 East 3rd Street, Martinez, Laura L., OD Trump, Michelle R., OD Suite 200 Bethlehem, PA 18015 (484) 526-4700 Piotrowski, Zachary J., MD

P - Preferred pharmacy

PENN MEDICINE UNIVERSITY CITY ALLERGY AND LVPG VASCULAR IMMUNOLOGY SURGERY 002807630 002822831 3737 Market Street, 3rd 2597 Schoenersville Rd Floor Bethlehem, PA 18017 Philadelphia, PA 19104 (610) 439-0372 (215) 662-2775 Ju, Mila H., MD Germinaro, Matthew, MD X-RAY/IMAGING Teh, Jiah S., MD CENTER UNIV OF SURGICAL PENNSYLVANIA SPECIALTY CENTER PULMONARY AT COORDINATED 002807838 HEALTH 3400 Civic Center 003022659 Boulevard, West 1411 Jacobsburg Road Pavilion 1st Floor Wind Gap, PA 18091 Philadelphia, PA 19104 (610) 861-8080 (215) 662-3202 Teh, Jiah S., MD 2030 Highland Avenue VASCULAR SURGERY

Bethlehem, PA 18020 (610) 861-8080 2775 Schoenersville Road Bethlehem, PA 18017 (610) 861-8080 3100 Emrick Boulevard Bethlehem, PA 18020 (610) 861-8080 PHILADELPHIA COUNTY ALLERGY/IMMUNOL OGY CHCA ALLERGY AND IMMUNOLOGY 002805328 3401 Civic Center Blvd Philadelphia, PA 19104 (215) 590-1000 Kazatsky, Ashley M., DO

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3400 Spruce Street, 3 Ravdin Building Suite F Philadelphia, PA 19104 (215) 662-3202 Teh, Jiah S., MD AMBULATORY SURGICAL CENTER PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA 003431667 1144 Locust Street Philadelphia, PA 19107 (215) 351-5500 ANESTHESIOLOGY ANESTHESIOLOGY GROUP PRACTICE 002805124 1840 South Street Philadelphia, PA 19146 (215) 893-7246 Graff, Veena, MD

Grosh, Taras, MD Kitt, Arthur, MD 3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 349-8310 Al Ghofaily, Lourdes Frances S., MD Ayubcha, Diana, DO Gaulton, Timothy G., MD Graff, Veena, MD Grosh, Taras, MD Joseph, Thomas T., MD Kitt, Arthur, MD Piedmont, Alexandria Q., MD Sahota, Gurmukh S., MD Shah, Ronak M., MD Zhou, Eliabeth Y., MD 51 N 39th Street Philadelphia, PA 19104 (215) 662-8244 Al Ghofaily, Lourdes Frances S., MD Ayubcha, Diana, DO Gaulton, Timothy G., MD Grosh, Taras, MD Holy, Lyndsay M., MD Joseph, Thomas T., MD Kitt, Arthur, MD Piedmont, Alexandria Q., MD 51 N 39th Street, Presbyterian Medical Center Philadelphia, PA 19104 (215) 662-8244 Graff, Veena, MD Sahota, Gurmukh S., MD Shah, Ronak M., MD Zhou, Eliabeth Y., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. COAST ANESTHESIA PRACTICE PC 002876562 5800 Ridge Ave Philadelphia, PA 19128 (800) 394-4445 Kollmeier, Brett R., MD DEPARTMENT OF ANESTHESIOLOGY AND CRITICAL CARE 002805124 3400 Spruce Street Philadelphia, PA 19104 (215) 349-8310 Al Ghofaily, Lourdes Frances S., MD Ayubcha, Diana, DO Gaulton, Timothy G., MD Graff, Veena, MD Grosh, Taras, MD Joseph, Thomas T., MD Kitt, Arthur, MD Piedmont, Alexandria Q., MD Sahota, Gurmukh S., MD Shah, Ronak M., MD Zhou, Eliabeth Y., MD EINSTEIN PRACTICE PLAN 002805118 5501 Old York Rd, Tower 3 Philadelphia, PA 19141 (215) 456-6850 Mahmoud, Saifeldin A., MD

JJEFFERSON J ANESTHESIOLOGY ASSOCIATES 002809995 111 South 11th Street, Suite 8490 Philadelphia, PA 19107 (215) 955-6161 Berg, Kent B., MD

John, Erica, MD Kaufmann, Marc W., DO Mehta, Amy K., MD Zimmerman, Darin M., MD 900 Walnut Street, Jefferson Hospital For Neurosciences Philadelphia, PA 19107 (215) 955-6161 Berg, Kent B., MD John, Erica, MD Kaufmann, Marc W., DO Mehta, Amy K., MD Zimmerman, Darin M., MD PENN ANESTHESIA UNIVERSITY CITY 002805124 3737 Market Street, 5th Floor Philadelphia, PA 19104 (215) 349-8310 Al Ghofaily, Lourdes Frances S., MD Ayubcha, Diana, DO Gaulton, Timothy G., MD Graff, Veena, MD Grosh, Taras, MD Holy, Lyndsay M., MD Joseph, Thomas T., MD Kitt, Arthur, MD Piedmont, Alexandria Q., MD Sahota, Gurmukh S., MD Shah, Ronak M., MD Zhou, Eliabeth Y., MD PENN PAIN MEDICINE AT UNIVERSITY CITY 002807520 3737 Market Street, 8th Floor Philadelphia, PA 19104 (215) 893-7246 Graff, Veena, MD

P - Preferred pharmacy

Grosh, Taras, MD Kitt, Arthur, MD PREMIER ANESTHESIA OF PENNSYLVANIA PC 002821697 2601 Holme Avenue Philadelphia, PA 19152 (215) 335-6000 O'Flynn, Richard P., MD SHRINERS HOSPITAL FOR CHILDREN 003001050 3551 N Broad St Philadelphia, PA 19140 (215) 430-4000 Gutierrez, Christina L., MD Johansson, Noelle M., DO Parsells, Heather, MD Quiros, Emily M., MD Tazhibi, Golshid, MD TEMPLE PHYSICIANS INCORPORATED 002811543 7600 Central Avenue Philadelphia, PA 19111 (215) 214-4315 Grodofsky, Samuel R., MD UNIVERSITY OF PENNSYLVANIA ANESTHESIA 002807520 1840 South Street, Tuttleman Building Philadelphia, PA 19146 (215) 662-8640 Graff, Veena, MD Grosh, Taras, MD Kitt, Arthur, MD 3400 Spruce Street Philadelphia, PA 19104 (215) 349-8310

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Graff, Veena, MD Grosh, Taras, MD Kitt, Arthur, MD 51 N 39th Street Philadelphia, PA 19104 (215) 662-8640 Graff, Veena, MD Grosh, Taras, MD Kitt, Arthur, MD ANESTHESIOLOGY PAIN MANAGEMENT ADVANCED SPINE AND PAIN LLC 003317076 9815 Roosevelt Boulevard, Unit J Philadelphia, PA 19114 (888) 985-2727 Reyes, Johan E., MD 003321723 9815 Roosevelt Boulevard, Unit J Philadelphia, PA 19114 (888) 985-2727 Puri, Shawn, MD AUDIOLOGIST HEARING TECH ASSOC LLC 002814363 1015 Chestnut St, Ste 300 Philadelphia, PA 19107 (215) 413-0800 Maioriello, Amanda M., AUD Tuss, Tracie L., AUD

CARDIOVASCULAR DISEASE HEART CARE CONSULTANTS LLC 002819384 5600 Chestnut Street Philadelphia, PA 19139 (215) 747-4511 Chandela, Sweta, MD JEFFERSON HEART JJ INSTITUTE 002808695 925 Chestnut Street, Mezzanine Level Philadelphia, PA 19107 (215) 955-5050 Lev, Yair A., MD PENN CARDIOLOGY CCP WASHINGTON SQUARE 002822970 800 Walnut Street, 9th Floor Philadelphia, PA 19107 (267) 479-4180 Ain, David L., MD TEMPLE CARDIOLOGY ASSOCIATES 002805053 255 S 17th St Philadelphia, PA 19103 (215) 707-5800 Brisco, Meredith A., MD 3509 North Broad Sreet Philadelphia, PA 19140 (215) 707-8484 Brisco, Meredith A., MD 7600 Central Avenue, Suite 100 Philadelphia, PA 19111 (215) 722-4600 Brisco, Meredith A., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. UNIV OF PENNSYLVANIA CARDIOLOGY 002808301 33 East Chestnut Hill Avenue Philadelphia, PA 19118 (215) 248-1350 Patel, Parul B., MD

Allen, Sara L., CRNP Lee, Bo Hwa, CRNP

DREXEL PARTNERSHIP CLINIC 003134411 1427 Vine Street, 2nd Floor Philadelphia, PA 19102 (267) 507-6780 3400 Civic Center Aaron, Erika Z., CRNP Boulevard, East Pavilion Allen, Sara L., CRNP 2nd Floor Lee, Bo Hwa, CRNP Philadelphia, PA 19104 FAMILY PRACTICE (215) 615-4949 Goldberg, Jana M., MD AND COUNSELING NETWORK Mazurek, Jeremy A., MD 002862815 Nazarian, Saman, MD 4700 Wissahickon Ave, 3400 Spruce Street Suite 118 Building D Philadelphia, PA 19104 Philadelphia, PA 19144 (215) 662-7700 (267) 597-3600 Goldberg, Jana M., MD Long, Suzie H., CRNP Mazurek, Jeremy A., MD HEALTH ANNEX Nazarian, Saman, MD HEALTH CENTER 51 N 39th St, Phi 2C Philadelphia, PA 19104 (215) 662-9000 Patel, Parul B., MD CERTIFIED REGISTERED NURSE PRACTITIONER DREXEL ID PARTNERSHIP CLINIC 003465190 136 Diamond Street Philadelphia, PA 19122 (215) 426-8100 Aaron, Erika Z., CRNP Allen, Sara L., CRNP Lee, Bo Hwa, CRNP 003465210 3601 A Street Philadelphia, PA 19134 (267) 507-6780 Aaron, Erika Z., CRNP

McClure, Meredith, CRNP JEFFERSON JJ INTERNAL MEDICINE ASSOCIATES 002808540 833 Chestnut Street East, Suite 701 702 Philadelphia, PA 19107 (215) 955-6180 Burden, Gaye R., CRNP Decastro, Michele J., CRNP Hudock, Regina M., CRNP Skymba, Julie L., CRNP

PHMC CARE CLINIC 002815479 1200 Callowhill Street, Suite 101 Philadelphia, PA 19123 (215) 825-8220 Boyd, Takiya M., CRNP Carter, Rhonda A., 002815050 CRNP 6120 Woodland Avenue, Enright, Margaret M., B 2nd Floor CRNP Philadelphia, PA 19142 Hinmon, Chenelle R., (215) 727-4721 CRNP Long, Suzie H., CRNP Jelencovich, Regina, CRNP HEALTH CARE Rexer, Patricia A., CENTER 5 CRNP PEDIATRICS 002805246 PHMC CONGRESO 1900 N 20th Street 003164999 Philadelphia, PA 19121 412 W Lehigh (215) 685-2933 Philadelphia, PA 19195 McClure, Meredith, (215) 763-8870 CRNP Boyd, Takiya M., CRNP HEALTH CARE CENTER 6 INTERNAL MEDICINE 002805244 321 West Girard Avenue Philadelphia, PA 19123 (215) 685-3803

P - Preferred pharmacy

Enright, Margaret M., CRNP PHMC CONGRESO HEALTH CENTER 002868271

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412 West Lehigh Philadelphia, PA 19195 (215) 763-8870 Carter, Rhonda A., CRNP Hinmon, Chenelle R., CRNP Rexer, Patricia A., CRNP PHMC HEALTH CONNECTION 002815478 1900 N 9th Street, Suite 104 Philadelphia, PA 19122 (215) 765-6690 Boyd, Takiya M., CRNP Carter, Rhonda A., CRNP Enright, Margaret M., CRNP Hinmon, Chenelle R., CRNP Rexer, Patricia A., CRNP PHMC MARY HOWARD HEALTH CENTER 002815477 125 S 9th St Philadelphia, PA 19107 (215) 592-4500 Boyd, Takiya M., CRNP Carter, Rhonda A., CRNP Enright, Margaret M., CRNP Rexer, Patricia A., CRNP PHMC RISING SUN HEALTH CENTER 002815476 5675 N Front Street Philadelphia, PA 19120 (215) 279-9666 Boyd, Takiya M., CRNP

Carter, Rhonda A., CRNP Enright, Margaret M., CRNP Hinmon, Chenelle R., CRNP Rexer, Patricia A., CRNP Williams, Lydia A., CRNP QCARE RETAIL CLINIC 002996974 2800 Fox Street, Shop Rite, Unit A Philadelphia, PA 19129 (267) 597-3610 Long, Suzie H., CRNP REDICLINIC OF PA LLC 003185572 2000 Hamilton Street Philadelphia, PA 19130 (215) 567-2017 Caprioli, Peter L., CRNP Nguyen, Phuong, CRNP Robinson, Ritaann, CRNP Schmidt, Mercedes E., CRNP RESOURCES FOR HUMAN DEVELOPMENT DBA FAMILY PRACTICE AND COUNSELING NETWORK 002815049 850 North 11th Street Philadelphia, PA 19123 (215) 769-1100 Long, Suzie H., CRNP TRI COUNTY PEDIATRICS INC 002805094

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 9150 Marshall Street, Northeast Med Ctr Suite 14-15 Philadelphia, PA 19114 (215) 676-5577 Keldie, Lauren, CRNP Wilson, Rastogi W., CRNP CHIROPRACTOR TRI STATE SPORT AND SPINE PLLC 003129059 9331 Old Bustleton Avenue, Suite 101 Philadelphia, PA 19115 (215) 251-8526 Lacava, Joseph A., DC CLINICAL GENETICS (M.D.) CHCA GENETICS AND METABOLISM 002809370 3401 Civic Center Philadelphia, PA 19104 (215) 590-1000 Izumi, Kosuke, MD SCPA GENETICS 002811791 160 East Erie Avenue Philadelphia, PA 19134 (215) 427-8413 Giampietro, Philip F., MD CRITICAL CARE MEDICINE ANESTHESIOLOGY GROUP PRACTICE 002805124 1840 South Street Philadelphia, PA 19146 (215) 893-7246 Ko, Hanjo A., MD Werlhof, Hazel K., MD

3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 349-8310 Ko, Hanjo A., MD Werlhof, Hazel K., MD 51 N 39th Street Philadelphia, PA 19104 (215) 662-8244 Ko, Hanjo A., MD Werlhof, Hazel K., MD DEPARTMENT OF ANESTHESIOLOGY AND CRITICAL CARE 002805124 3400 Spruce Street Philadelphia, PA 19104 (215) 349-8310 Ko, Hanjo A., MD Werlhof, Hazel K., MD DEPARTMENT OF EMERGENCY MEDICINE 002805261 3400 Spruce Street, Ground Silverstein Building Philadelphia, PA 19104 (215) 662-6698 Chelluri, Jayaram, MD DIV OF TRAUMA AND SURGICAL CRITICAL CARE 002807060 3400 Spruce Street, 2 Dulles Philadelphia, PA 19104 (215) 662-7320 Raza, Shariq S., MD Shiroff, Adam M., MD HARRON LUNG CENTER UNIVERSITY CITY 002807838

P - Preferred pharmacy

3737 Market Street, 10th Floor Philadelphia, PA 19104 (215) 662-8766 Brenner, Jacob S., MD HARRON LUNG CENTER WASHINGTON SQUARE 002807838 800 Walnut Street, Washington Square, 9th Floor Philadelphia, PA 19107 (215) 829-5027 Brenner, Jacob S., MD Catalano, Lauren M., MD CARE IINTENSIVE I ASSOC 002805128 3400 Spruce Street Philadelphia, PA 19104 (215) 662-7500 Werlhof, Hazel K., MD CARE IINTENSIVE I ASSOCIATES 002805128 3400 Spruce St Philadelphia, PA 19104 (215) 349-8310 Raza, Shariq S., MD

JJEFFERSON J UNIVERSITY DEPARTMENT OF SURGERY 002817185 1100 Walnut Street, Suite 500 Philadelphia, PA 19107 (215) 955-6750 Kohli, Anirudh, MD

002805128 3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 349-8310 Ko, Hanjo A., MD PENN ANESTHESIA UNIVERSITY CITY 002805124 3737 Market Street, 5th Floor Philadelphia, PA 19104 (215) 349-8310 Ko, Hanjo A., MD Werlhof, Hazel K., MD PENN MEDICINE UNIVERSITY CITY TRAUMA ASSOCIATES 002807060 3737 Market Street, 4th Floor Philadelphia, PA 19104 (215) 662-7320 Raza, Shariq S., MD Shiroff, Adam M., MD PENN TRAUMA ASSOC 002807060 51 N 39th Street, Medical Office Bldg 1st Floor, Ste 120 Philadelphia, PA 19104 (215) 662-7320 Raza, Shariq S., MD PULM ASSOC OF FCCC MGI 002822818 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 Manley, Christopher, MD

PENN ANESTHESIA AT PERELMAN TEMPLE CRITICAL CENTER FOR CARE SCC ADVANCED MEDICINE 002805326

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3401 North Broad Street, 4th Floor Parkinson Pavilion Philadelphia, PA 19140 (215) 707-3133 Mason, III, Leonard L., MD TEMPLE PULMONARY ASSOCIATES 002805453 3401 North Broad St, 7th Fl Parkinson Pavilion Philadelphia, PA 19140 (215) 707-3336 Gupta, Rohit, MD 7500 Central Avenue, Suite 201 Philadelphia, PA 19111 (215) 214-4100 Gupta, Rohit, MD 8815 Germantown Avenue Philadelphia, PA 19118 (215) 707-5864 Gupta, Rohit, MD UNIV OF PENNSYLVANIA PULMONARY 002807838 3400 Civic Center Boulevard, West Pavilion 1st Floor Philadelphia, PA 19104 (215) 662-3202 Brenner, Jacob S., MD Catalano, Lauren M., MD Crespo, Maria M., MD Kassutto, Stacey M., MD 3400 Spruce Street, 3 Ravdin Building Suite F Philadelphia, PA 19104 (215) 662-3202 Brenner, Jacob S., MD Catalano, Lauren M., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. Crespo, Maria M., MD DREXEL Kassutto, Stacey M., MD DERMATOLOGY ASSOCIATES 51 N 39th Street 002808154 Philadelphia, PA 19104 219 North Broad Street, (215) 662-8767 4th Floor Brenner, Jacob S., MD Philadelphia, PA 19107 UPHS PRESBYTERIAN (215) 762-2550 Moon, Amanda T., MD DEPT OF ANES INTENSIVE CARE HUP DEPT 002805128 PATHOLOGY LAB 51 North 39th St MED Philadelphia, PA 19104 002805213 (215) 349-8310 51 North 39th Street Ko, Hanjo A., MD Philadelphia, PA 19104 Raza, Shariq S., MD (215) 662-8963 Werlhof, Hazel K., MD McFalls, Jeanne, MD UPHS PRESBYTERIAN DEPT OF EMERGENCY MEDICINE 002805261 51 N 39th Street Philadelphia, PA 19104 (215) 662-8214 Chelluri, Jayaram, MD DERMATOLOGY CHCA DERMATOLOGY 002809376 3550 Market St, 2nd Floor Philadelphia, PA 19104 (215) 590-3000 Streicher, Jenna L., MD DERM ASSOC OF FCCC MGI 002822801 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 Aphale, Abhishek N., MD

800 Spruce Street Philadelphia, PA 19107 (215) 829-3000 McFalls, Jeanne, MD

JJEFF J DERMATOLOGY ASSOCIATES 002810327 833 Chestnut Street East, Suite 740 Philadelphia, PA 19107 (215) 955-6680 Del Rosario, Eunice C., MD TEMPLE DERMATOLOGY ASSOCIATES 003021495 3401 North Broad Philadelphia, PA 19140 (215) 707-3376 Aphale, Abhishek N., MD UNIV OF PENNSYLVANIA DERMATOLOGY PATHOLOGY ASSOCIATES 002807689

P - Preferred pharmacy

3400 Civic Center Boulevard, 1 330S Perelman Center Philadelphia, PA 19104 (215) 662-2737 Sasha, Stephen, MD Simpson, Cory L., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2737 Sasha, Stephen, MD Simpson, Cory L., MD

DURABLE MEDICAL EQUIPMENT SUPPLIER PREMIER ORTHO SPORTS MED 003365534 525 Jamestown St, Suite 105 Philadelphia, PA 19128 (215) 482-6693

Kroopnick, Jeffrey M., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2300 Kroopnick, Jeffrey M., MD

UNIV OF PENNSYLVANIA DIABETES 002808110 ENDOCRINOLOGY 3400 Civic Center Boulevard, 4th Floor 3737 Market Street, 11th PENN MEDICINE Suite 4 900 W UNIVERSITY CITY Floor Philadelphia, PA 19104 Philadelphia, PA 19104 002808777 (215) 662-2300 3737 Market Street, (215) 662-8060 Kroopnick, Jeffrey M., Division of Sasha, Stephen, MD Endocrinology 3rd Floor MD Simpson, Cory L., MD Philadelphia, PA 19104 FAMILY PRACTICE 51 N 39th St, Medical (215) 662-9905 Arts Bldg Ste 106 Kroopnick, Jeffrey M., ACADEMIC EMER Philadelphia, PA 19104 MD PHYS MH (215) 662-8229 003380109 TJH Haun, Paul L., MD 501 S 54th St, Ste 126 ENDOCRINOLOGY Sasha, Stephen, MD Philadelphia, PA 19143 DIABETES Simpson, Cory L., MD ASSOCIATES (215) 748-9694 002807910 Eisen, Steven, MD UPPL UNIV OF 211 South 9th Street, PENNSYLVANIA ANDREA D PEDANO Suite 600 PATHOLOGY LABS DO PC Philadelphia, PA 19107 002821528 002815516 (215) 955-1925 3400 Spruce Street 5458 Ridge Avenue Philadelphia, PA 19104 Gragnoli, Claudia, MD Philadelphia, PA 19128 (215) 662-6503 2301 S. Broad Street (215) 487-1887 McFalls, Jeanne, MD Philadelphia, PA 19148 Current Patients Only (215) 952-5050 Skochko, Gregory A., DEVELOPMENTAL DO Gragnoli, Claudia, MD BEHAVIORAL PEDIATRICS DREXEL FAMILY UNIV OF PENN PRACTICE ASSOC ENDOCRINOLOGY CHCA 003390304 002808777 DEVELOPMENTAL 219 N Broad St, 1st Fl 3400 Civic Center PEDIATRICS Boulevard, West Philadelphia, PA 19107 002809847 Pavillion 4th Floor (215) 762-5145 3550 Markey St Philadelphia, PA 19104 Corcoran, Blake C., MD Philadelphia, PA 19104 (215) 662-2300 Ow, Andrew, MD (215) 590-3000 Borensztein, Alejandra Jackel, Carissa R., MD G., MD

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THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. DREXEL FAMILY PRACTICE ASSOC MANAYUNK 002808236 10 Shurs Lane, Jamestown Street Entrance Philadelphia, PA 19127 (215) 482-1234 Corcoran, Blake C., MD Ow, Andrew, MD

Divers, Rebecca, MD

002808967 760 Carpenter Lane GPHA HUNTING PARK Philadelphia, PA 19119 HEALTH CENTER (215) 848-6880 002811850 1999 West Hunting Park Kummer, Lauren, MD Avenue NAZARETH Philadelphia, PA 19140 PHYSICIAN SERVICES (215) 228-9300 002816866 Divers, Rebecca, MD 2601 Holme Ave Philadelphia, PA 19152 GPHA WOODLAND (215) 335-6141 AVENUE HEALTH EINSTEIN ARAMINGO CENTER Woods, Patricia E., MD FAMILY MEDICINE 002805317 003401408 002812114 5000 Woodland Avenue 9815 Roosevelt Blvd 3300 Aramingo Avenue Philadelphia, PA 19143 Philadelphia, PA 19114 Philadelphia, PA 19134 (215) 726-9807 (215) 637-9400 (215) 634-5110 Divers, Rebecca, MD Bertha, Melissa M., DO Reid, Gillian S., MD JJEFFERSON J OLEG ANTONOV MD GHPA SOUTHEAST COMMUNITY PC HEALTH CENTER PHYSICIANS KAIRYS 003117678 002805275 003366245 11400 Bustleton Ave 800 Washington Avenue 2422 South Broad Philadelphia, PA 19116 Philadelphia, PA 19147 Street, 2nd Floor (215) 339-5100 Philadelphia, PA 19145 (267) 788-1424 Antonov, Oleg, MD Divers, Rebecca, MD (215) 952-9100 McGrath, Kathryn A., ON DEMAND URGENT GPHA CARL MOORE MD CARE HEALTH CENTER 003138804 002805263 FAMILY JJEFFERSON J 3356 Aramingo Avenue 1401 S 31st Street MEDICINE Philadelphia, PA 19134 Philadelphia, PA 19146 ASSOCIATES (215) 739-6600 002805294 (215) 755-7700 Divers, Rebecca, MD 3 Crescent Drive, Suite Clemons, Robin M., MD 100 6060 Ridge Ave, Ste GPHA CHINATOWN Philadelphia, PA 19112 100 MEDICAL CENTER (215) 503-3300 Philadelphia, PA 19128 003142710 Marschilok, Christine A., (215) 483-6600 930 Washington Avenue MD Clemons, Robin M., MD Philadelphia, PA 19147 MAZZONI CENTER (215) 627-8000 PENN FAMILY CARE 002816479 Divers, Rebecca, MD UNIVERSITY CITY 809 Locust St 002808842 GPHA FRANKFORD Philadelphia, PA 19107 3737 Market Street, 9th HEALTH CENTER (215) 563-0658 Floor 002805319 Winn, Robert J., MD Philadelphia, PA 19104 4510 Frankford Avenue (215) 662-8777 Philadelphia, PA 19124 MT AIRY FAMILY Becker, James N., MD PRACTICE (215) 744-1302 Harris, Rebecca A., MD P - Preferred pharmacy

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Jennings, Anne, MD Rosenthal, Michael P., MD Ross, David A., MD PMG HOSPITALIST AT PPMC 002804974 51 North 39th Street Philadelphia, PA 19104 (215) 662-9436 Ross, David A., MD ROXBOROUGH EXPRESS CARE 003182814 8500 Henry Avenue, Suite 11 Philadelphia, PA 19128 (800) 322-5193 Shabazz, Shakeilla, MD TEMPLE ORTHOPEDIC AND SPORTS MEDICINE ASSOCIATES 003137949 11000 Roosevelt Boulevard Philadelphia, PA 19116 (215) 214-6655 Schreiter, Ryan D., DO 1200 Constitution Avenue, Building 489 Philadelphia, PA 19112 (267) 592-3200 Schreiter, Ryan D., DO 3401 North Broad Street, 5th Floor Philadelphia, PA 19140 (215) 707-2111 Schreiter, Ryan D., DO 3509 Noth Broad Street, 5th Floor Philadelphia, PA 19140 (215) 707-2111 Schreiter, Ryan D., DO

8815 Germantown Avenue Philadelphia, PA 19118 (215) 248-8947 Schreiter, Ryan D., DO TPI LIBERTY SQUARE ADULT MEDICINE 002811549 1300 West Lehigh Avenue, Ste A Philadelphia, PA 19132 (215) 226-8800 Meltontate, Delia C., MD TPS III OF PA LLC 002814885 1008 Arch Street Philadelphia, PA 19107 (215) 268-7755 Brooks, Howard N., DO UPHS PRESBYTERIAN DEPT OF EMERGENCY MEDICINE 002805261 51 N 39th Street Philadelphia, PA 19104 (215) 662-8214 Savul, Sajjad A., MD GASTROENTEROLO GY GASTRO ASSOC OF FCCC MGI 002822805 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 Bartel, Michal J., MD JEFFERSON JJ GASTROENTEROLOG Y AND HEPATOLOGY ASSOCIATES 002810714

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 132 South 10th Street, Suite 480 Philadelphia, PA 19107 (215) 955-8900 Henry, Christopher H., MD

Shivashankar, Raina, MD Tomizawa, Yutaka, MD Wangensteen, Kirk J., MD Weinberg, Ethan M., MD

NORTHEASTERN GASTROENTEROLOG Y 002819345 2301 East Allegheny Avenue, Suite 190B Philadelphia, PA 19134 (215) 926-3120 Sawaya, Ronald A., MD

3400 Spruce Street, 3 Dulles Building Philadelphia, PA 19104 (215) 349-8222 Dasher, Kevin, MD Mehta, Shivan J., MD Ni, Josephine, MD Shivashankar, Raina, MD Tomizawa, Yutaka, MD Wangensteen, Kirk J., MD Weinberg, Ethan M., MD

TEMPLE GASTROENTEROLOG Y ASSOC 002805080 255 South 17th Street Philadelphia, PA 19103 (215) 707-9900 Sawaya, Ronald A., MD 3401 N Broad Street, 3rd Floor Ambulatory Care Center Philadelphia, PA 19140 (215) 707-9900 Sawaya, Ronald A., MD UNIV OF PENN GASTROENTEROLOG Y 002808607 230 W Washington Square Fl 4, Farm Journal Building Philadelphia, PA 19106 (215) 829-3561 Mehta, Shivan J., MD 3400 Civic Center Boulevard, 4th Floor Philadelphia, PA 19104 (215) 349-8222 Dasher, Kevin, MD Mehta, Shivan J., MD Ni, Josephine, MD

GENERAL SURGERY CHILDRENS SURGICAL ASSOCIATES LTD 002809722 3401 Civic Center Boulevard Philadelphia, PA 19104 (215) 590-2730 Russell, Kathryn W., MD Vrecenak, Jesse D., MD

CHILDRENS SURGICAL ASSOCIATES LTD GENERAL SURGERY 002809722 3500 Civic Center Boulevard Philadelphia, PA 19104 UPHS PRESBYTERIAN (215) 590-2730 DEPT OF Russell, Kathryn W., MD GASTROENTEROLOG Vrecenak, Jesse D., MD Y DIV OF TRAUMA AND 002808607 SURGICAL CRITICAL 51 N 39th Street, Suite CARE 218 Ws Philadelphia, PA 19104 002807060 3400 Spruce Street, 2 (215) 662-8900 Dulles Dasher, Kevin, MD Philadelphia, PA 19104 Mehta, Shivan J., MD (215) 662-7320 Ni, Josephine, MD Beard, Jessica H., MD Shivashankar, Raina, Prakash, Priya S., MD MD Tomizawa, Yutaka, MD Resnick, Shelby, MD Smith, Randi N., MD Wangensteen, Kirk J., MD DIVISION OF Weinberg, Ethan M., MD SURGICAL ONCOLOGY AT HUP GENERAL 002818547 PRACTICE 3400 Spruce Street, 4 Silverstein Building EXCEL MEDICAL CENTER LLC Philadelphia, PA 19104 003436115 (215) 615-5858 5604 North Broad Street Anderson, David N., MD Philadelphia, PA 19141 EINSTEIN PRACTICE (215) 927-7806 PLAN Twersky, Melvin Z., DO 002804820

P - Preferred pharmacy

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5401 Old York Rd, Klein 101 Philadelphia, PA 19141 (215) 456-6178 Bakhos, Charles, MD CARE IINTENSIVE I ASSOC 002805128 3400 Spruce Street Philadelphia, PA 19104 (215) 662-7500 Beard, Jessica H., MD Prakash, Priya S., MD 51 North 39th Street Philadelphia, PA 19104 (215) 949-8310 Prakash, Priya S., MD Resnick, Shelby, MD Shiroff, Adam M., MD Smith, Randi N., MD CARE IINTENSIVE I ASSOCIATES 002805128 3400 Spruce St Philadelphia, PA 19104 (215) 349-8310 Resnick, Shelby, MD JEFFERSON JJ UNIVERSITY DEPARTMENT OF SURGERY 002817185 1100 Walnut Street, Suite 500 Philadelphia, PA 19107 (215) 955-6750 Laporta, Matthew W., DO

3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 349-8310 Shiroff, Adam M., MD Smith, Randi N., MD PENN MEDICINE UNIVERSITY CITY TRAUMA ASSOCIATES 002807060 3737 Market Street, 4th Floor Philadelphia, PA 19104 (215) 662-7320 Beard, Jessica H., MD Prakash, Priya S., MD Resnick, Shelby, MD Smith, Randi N., MD PENN SURGERY DIVISION OF SURGICAL ONCOLOGY AT WASHINGTON SQUARE 002818547 800 Walnut Street, 20th Fl Philadelphia, PA 19106 (215) 829-8461 Anderson, David N., MD

PENN TRAUMA ASSOC 002807060 51 N 39th Street, Medical Office Bldg 1st Floor, Ste 120 Philadelphia, PA 19104 (215) 662-7320 Beard, Jessica H., MD PENN ANESTHESIA Prakash, Priya S., MD AT PERELMAN Resnick, Shelby, MD CENTER FOR ADVANCED MEDICINE Smith, Randi N., MD 002805128 TEMPLE CARDIOTHORACIC SURGERY ASSOC 002804855

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 255 South 17th Street Philadelphia, PA 19103 (215) 875-2200 Bakhos, Charles, MD

51 North 39th St Philadelphia, PA 19104 (215) 349-8310 Beard, Jessica H., MD

TEMPLE CARDIOTHORACIC SURGERY ASSOCIATES 002804855 3401 North Broad Street, 3rd Floor Parkinson Pavilion Philadelphia, PA 19140 (215) 707-3601 Bakhos, Charles, MD

GERIATRICS UNIVERSITY OF PENN GERIATRICS 002819913 3615 Chestenut Street, Ralston House Penn Center Philadelphia, PA 19104 (215) 662-2746 Grant, Shakira J., MD

3509 North Broad St Philadelphia, PA 19140 (215) 707-8484 Bakhos, Charles, MD

51 N 39th St Philadelphia, PA 19104 (215) 662-2746 Grant, Shakira J., MD

7500 Central Avenue, Jeanes Physicians Building Suite 2 Philadelphia, PA 19111 (215) 214-4100 Bakhos, Charles, MD

GYNECOLOGIC ONCOLOGY

8815 Germantown Avenue Philadelphia, PA 19118 (215) 707-8484 Bakhos, Charles, MD TEMPLE GENERAL SURGERY ASSOCIATES 002805236 3401 North Broad Street, 4th Floor Parkinson Pavillion Philadelphia, PA 19140 (215) 707-3133 Mason, III, Leonard L., MD

DIVISION OF GYNECOLOGIC ONCOLOGY PERELMAN CENTER FOR ADVANCED MEDICINE 003292185 3400 Civic Center Boulevard, 3rd Floor Philadelphia, PA 19104 (215) 662-3318 Latif, Nawar A., MD GYNECOLOGY

GYN ONCOLOGY ASSOCIATES OF FCCC MGI 002822806 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 UPHS PRESBYTERIAN Jordan, Scott E., MD DEPT OF ANES INTENSIVE CARE 002805128

P - Preferred pharmacy

HEMATOLOGY ALLIANCE CANCER SPECIALISTS PC 002822472 3998 Red Lion Road, Suite 130 Philadelphia, PA 19114 (215) 612-5250 Abou Hussein, Ahmed Kamel F., MD

51 N 39th Street, 103A Medical Arts Building Philadelphia, PA 19104 (215) 662-4867 Narayan, Vivek K., MD HOME HEALTH CARE AGENCY

HOME JJEANES J HEALTH 002803531 PENN MEDICINE 7600 Central Avenue ONCOLOGY Philadelphia, PA 19111 EVALUATION CENTER (215) 728-3303 002808800 3400 Civic Center Blvd, MAXIM HEALTHCARE SERVICES, INC 3rd Fl West Pavilion Philadelphia, PA 19104 002802008 9815 Roosevelt (215) 615-5858 Boulevard, Unit E Aakhus, Erin O., MD Philadelphia, PA 19114 Linette, Gerald P., MD (215) 613-9216 Narayan, Vivek K., MD UNIV OF PENN HEMATOLOGY ONCOLOGY 002808800 3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 615-0063 Aakhus, Erin O., MD Diamond, Mark S., MD Husseinzadeh, Holleh O., MD Narayan, Vivek K., MD Orlowski, Robert J., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 615-0063 Aakhus, Erin O., MD Diamond, Mark S., MD Husseinzadeh, Holleh O., MD Linette, Gerald P., MD Narayan, Vivek K., MD Orlowski, Robert J., MD

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HOSPICE AND END OF LIFE MEDICINE CHCA PALLIATIVE CARE 003060621 3401 Civic Center Blvd Philadelphia, PA 19104 (215) 590-1000 Johnson, Victoria, DO INFECTIOUS DISEASES DREXEL INFECTIOUS DISEASE 002808121 216 N Broad Street, 5th Floor Philadelphia, PA 19102 (215) 762-6555 Gancher, Elizabeth A., MD 219 North Broad Street, 6th Floor Philadelphia, PA 19107 (215) 762-6555

Gancher, Elizabeth A., MD PENN INFECTIOUS DISEASES MACGREGOR CLINICAL PRACTICES 002808770 3400 Civic Center Blvd, South Pavilion, 4th Floor Philadelphia, PA 19104 (215) 662-6932 Coppock, Dagan, MD UNIV OF PENN INFECTIOUS DISEASE 002808770 3400 Spruce Street Philadelphia, PA 19104 (215) 662-6932 Coppock, Dagan, MD 51 N 39th St, 3910 Building 2nd Floor Philadelphia, PA 19104 (215) 662-9990 Coppock, Dagan, MD INTERNAL MEDICINE ARIA HEALTH PHYSICIAN SERVICES INTENSIVIST 003076725 3998 Red Lion Road Philadelphia, PA 19114 (215) 612-4095 Leather, Samuel G., MD CCA DELANCEY MEDICAL ASSOCIATES 002810878 800 Walnut St, 17th Fl Philadelphia, PA 19106 (215) 829-3523 Agarwal, Neha, MD CCP J EDWIN WOOD CLINIC 002810877

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 700 Spruce Street, Suite 304 Philadelphia, PA 19106 (215) 829-3521 Cherath, Lata, MD DREXEL HOSPITALISTS 002816281 230 North Broad Street Philadelphia, PA 19102 (215) 762-1025 Carter, Jordan S., MD Hynes, Daniel M., MD Patel, Naitik, MD 003338243 230 North Broad Street Philadelphia, PA 19102 (215) 762-2514 Carter, Jordan S., MD DREXEL INFECTIOUS DISEASE 002808121 219 North Broad Street, 6th Floor Philadelphia, PA 19107 (215) 762-6555 Epstein, Shara L., MD Sheffer, Ian G., MD DREXEL INTERNAL MEDICINE 002808329 1427 Vine St, 6th Fl Philadelphia, PA 19102 (215) 762-6900 Gangemi, Andrew J., MD Lau, Kenneth C., MD 002808332 2126 Fairmount Avenue Philadelphia, PA 19130 (215) 236-4600 Lau, Kenneth C., MD 002808333

205 North Broad Street, Suite 100 Philadelphia, PA 19107 (215) 587-8008 Kaushal, Sunaina K., MD

GPHA CARL MOORE HEALTH CENTER 002805263 1401 S 31st Street Philadelphia, PA 19146 (215) 755-7700 Zachary, Dalila A., MD

1999 West Hunting Park Avenue, Greater Philadelphia Health Action Philadelphia, PA 19140 (215) 228-9300 Quint, Andrew R., MD

McBride, Amanda B., MD Pan, Jonathan, MD Wing, Aimee, MD

JEFFERSON JJ INTERNAL MEDICINE ASSOCIATES 003461064 003295252 002811850 1427 Vine Street, 6th GPHA CHINATOWN Floor 833 Chestnut Street, 1999 West Hunting Park HEALTH CENTER Suite 701 Avenue Philadelphia, PA 19102 002805321 (215) 762-6565 930 Washington Avenue Philadelphia, PA 19140 Philadelphia, PA 19107 (215) 955-6180 Kaushal, Sunaina K., Philadelphia, PA 19147 (215) 228-9300 Azam, Irfan, MD Zachary, Dalila A., MD MD (215) 627-8000 Brewer, Melody L., MD Quint, Andrew R., MD DREXEL GPHA WOODLAND Brotman, Joshua J., MD PARTNERSHIP CLINIC AVENUE HEALTH GPHA CHINATOWN Greco, Allison A., MD CENTER 003134411 MEDICAL CENTER Keiffer, Gina M., MD 002805317 1427 Vine Street, 2nd 003142684 Floor 5000 Woodland Avenue Kubey, Alan, MD 5000 Woodland Avenue Philadelphia, PA 19102 Philadelphia, PA 19143 Martin, Aaron P., MD Philadelphia, PA 19143 Patel, Nihal, MD (267) 507-6780 (215) 726-9807 (215) 726-9807 Wickersham, Alexis I., Sheffer, Ian G., MD Quint, Andrew R., MD Zachary, Dalila A., MD MD EINSTEIN PRACTICE IIMI DRU ASSOC OF Wrobel, Piotr, MD 003142710 PLAN FCCC MGI 930 Washington Avenue JEFFERSON SLEEP JJ 002805030 002822833 Philadelphia, PA 19147 DISORDERS CENT 5501 Old York Road 333 Cottman Avenue (215) 627-8000 Philadelphia, PA 19141 Philadelphia, PA 19111 002818626 Zachary, Dalila A., MD 211 S 9th St, Ste 500 (215) 456-6500 (215) 728-6900 Philadelphia, PA 19107 003142723 Curet, Karla M., DO Manley, Kristen, MD (215) 955-6175 4510 Frankford Avenue 002805031 IINT I MED ASSOC OF Fast, Zhanna, MD Philadelphia, PA 19124 FCCC MGI 5501 Old York Road, JEFFERSON WOMENS JJ Cpc Building Klein Bldg (215) 744-1302 002822809 Zachary, Dalila A., MD PRIMARY CARE 363 333 Cottman Avenue Philadelphia, PA 19141 GPHA FRANKFORD Philadelphia, PA 19111 003040514 211 South 9th Street, (215) 456-6500 HEALTH CENTER (215) 728-6900 Walnut Towers, Suite Solano Loran, Carlos L., 002805319 Manley, Kristen, MD 401 MD 4510 Frankford Avenue JJEFFERSON J Philadelphia, PA 19107 Philadelphia, PA 19124 HOSPITALIST GROUP GHPA SOUTHEAST (215) 503-4779 (215) 744-1302 HEALTH CENTER 002822066 Fast, Zhanna, MD Quint, Andrew R., MD 002805275 111 S 11th St MAHC INTENSIVIST 800 Washington Avenue GPHA HUNTING PARK Philadelphia, PA 19107 GROUP Philadelphia, PA 19147 HEALTH CENTER (215) 503-2455 002817245 (215) 339-5100 002805322 Chen, Jason, MD 2301 South Broad Quint, Andrew R., MD Kim, Jaehee, MD Street, 2nd Floor Zachary, Dalila A., MD Lai, Chunwei W., MD Philadelphia, PA 19148 (215) 952-9936

P - Preferred pharmacy

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THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. Kerner, Rachel A., DO NAZARETH PHYSICIAN SERVICES 002816866 2601 Holme Ave Philadelphia, PA 19152 (215) 335-6141 Begre Egziabher, Aman I., DO Ledvin, Veronica, MD Lewis, Zoe A., MD Masood, Qazi N., MD Patton, Paula C., MD Singh, Braj N., MD

PENNCARE EDWARD S COOPER MD INTERNAL MEDICINE 002807478 3701 Market Street, Suite 640 Philadelphia, PA 19104 (215) 662-2250 Feiler, Alana M., MD Lu, Paul M., MD Rhodes, Corinne M., MD

002805053 255 S 17th St Philadelphia, PA 19103 (215) 707-5800 Gangireddy, Chethan R., MD 3509 North Broad Sreet Philadelphia, PA 19140 (215) 707-8484 Gangireddy, Chethan R., MD

TEMPLE INTERNAL MEDICINE ASSOCIATES 002805017 100 E Lehigh Ave Philadelphia, PA 19125 (215) 707-1800 Montouris, Elaine A., MD 3401 N Broad St Philadelphia, PA 19140 (215) 707-5900 Montouris, Elaine A., MD

Durrani, Jibran, MD Gordon, Matthew, MD Kalra, Kriti, MD Khurram, Irfan M., MD Kousha, Mohammad, MD Mulhall, Patrick D., MD Parashar, Kamesh, MD Ukpong, Daniel E., DO

TRI COUNTY HOSPITALISTS LLC PENNCARE INTERNAL 003031310 7600 Central Avenue, MEDICINE 8835 Germantown Suite 100 ASSOCIATES Avenue Philadelphia, PA 19111 002807479 Philadelphia, PA 19118 002821538 (215) 722-4600 003010860 3701 Market Street, 100 East Lehigh Avenue (215) 248-8200 Gangireddy, Chethan 2601 Holme Avenue Suite 741 7th Floor Philadelphia, PA 19125 Tejsinghani, Puneet, MD Philadelphia, PA 19152 Philadelphia, PA 19104 R., MD (215) 707-1800 UNIVERSITY OF PA (215) 335-6445 (215) 349-5200 TEMPLE GENERAL MEDICAL GROUP Gibson, Gregory T., MD INTERNAL MED Abraham, Boban P., MD Murphy, Kathleen M., 002804974 Shahsavari, Dariush, ASSOC MD Baffoe Bonnie, George MD 3400 Spruce Street 003092238 H., MD RESPIRATORY Philadelphia, PA 19104 3322 North Broad Street 255 South 17th Street ON DEMAND URGENT ASSOC Philadelphia, PA 19140 Philadelphia, PA 19103 (215) 662-4000 CARE 002805464 Baillie, Charles, MD (215) 707-1800 003138804 231 North Broad Street, (215) 707-1800 Schmidt, Ryan B., MD Gibson, Gregory T., MD Buckley, Ryan J., MD 3356 Aramingo Avenue 1 Floor Butler, Rita M., MD Philadelphia, PA 19134 Philadelphia, PA 19107 TEMPLE GENERAL 3401 N Broad Street Feiler, Alana M., MD (610) 896-0280 INTERNAL MEDICINE Philadelphia, PA 19140 (215) 739-6600 Haley, Erin M., MD Rujubali, Mohammad F., ASSOCIATES Longo, Nicole L., DO (215) 707-9900 Hall, Christopher N., MD MD 002805018 Castillo, Eduardo D., MD Hussain, Farah N., MD 6060 Ridge Ave, Ste 1316 W Ontario Street, 5735 Ridge Avenue, Gibson, Gregory T., MD Kim, Joyce, MD 100 1st Floor Jones Hall Philadelphia, PA 19128 Suite 102 Shahsavari, Dariush, Maley, Jason H., MD Philadelphia, PA 19140 Philadelphia, PA 19128 MD (215) 483-6600 Murphy, Kathleen M., (215) 707-1800 (215) 483-8244 Longo, Nicole L., DO MD 3509 North Broad Rujubali, Mohammad F., Burke, Daniel J., MD Philadelphia, PA 19140 Nandiwada, Deepa R., PENN CENTER FOR Pandya, Aloknath A., MD MD PRIMARY CARE (215) 707-1800 MD RONALD PHILIP 002804976 Gibson, Gregory T., MD Quimson, Laarni, DO Schmidt, Ryan B., MD REDNOR MD Truchil, Rachael S., MD 51 N 39th St, Medical Senner, Jillian M., DO TEMPLE PHYSICIANS Wallace, Paul J., MD 003423130 Arts Building Suite 102 3322 North Braod Street INCORPORATED Wang, Flint Y., MD Philadelphia, PA 19104 7503 Brous Avenue Philadelphia, PA 19140 002811543 Philadelphia, PA 19152 (215) 662-9990 UPHS DIVISION OF 7600 Central Avenue (215) 707-1800 (215) 386-3556 Nandiwada, Deepa R., Philadelphia, PA 19111 RENAL Rednor, Ronald P., MD Burke, Daniel J., MD MD ELECTROLYTE (215) 214-4315 Pandya, Aloknath A., Truchil, Rachael S., MD TEMPLE 002807758 Aleem, Sarah Y., MD MD CARDIOLOGY Chang, Kenneth, MD Senner, Jillian M., DO ASSOCIATES Devine, Mary Ann, MD P - Preferred pharmacy

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THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 662-2638 Schrauben, Sarah J., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2638 Schrauben, Sarah J., MD 51 N 39th Street, Presbyterian Medical Center Philadelphia, PA 19104 (215) 662-8000 Schrauben, Sarah J., MD

INTERNAL MEDICINE SPECIALISTS EINSTEIN GASTROENTEROLOG Y ASSOCIATES 002808039 5401 Old York Road, Klein Suite 505 Philadelphia, PA 19141 (215) 456-8242 Kalman, Richard S., MD INTERVENTIONAL CARDIOLOGY

TEMPLE CARDIOLOGY ASSOCIATES 002805053 255 S 17th St UPHS PRESBYTERIAN Philadelphia, PA 19103 DEPT OF INTERNAL (215) 707-5800 MEDICINE HOSP Aggarwal, Vikas, MD BASE 002804974 3509 North Broad Sreet 51 N 39th Street, Mab, Philadelphia, PA 19140 Suite 102 (215) 707-8484 Philadelphia, PA 19104 Aggarwal, Vikas, MD (215) 662-9990 7600 Central Avenue, Baillie, Charles, MD Suite 100 Buckley, Ryan J., MD Philadelphia, PA 19111 Butler, Rita M., MD (215) 722-4600 Feiler, Alana M., MD Aggarwal, Vikas, MD Haley, Erin M., MD Hall, Christopher N., MD Hussain, Farah N., MD Kim, Joyce, MD Lu, Paul M., MD Maley, Jason H., MD Murphy, Kathleen M., MD Nandiwada, Deepa R., MD Quimson, Laarni, DO Rhodes, Corinne M., MD Truchil, Rachael S., MD Wallace, Paul J., MD Wang, Flint Y., MD

LICENSED CLINICAL SOCIAL WORKER BELMONT BHVRL HOSP LLC 002989174 4200 Monument Road Philadelphia, PA 19131 (215) 877-2000 Vena, Roberta I., MSW DELAWARE CNTY PRO SVCS 002988925

P - Preferred pharmacy

1500 Walnut Street, Suite 601 Philadelphia, PA 19102 (610) 892-3800 Coppens, Michael T., MSW ESTADT PSYCHL SVCS LLC 003364168 1930 South Broad Street Philadelphia, PA 19145 (215) 551-6080 Townsend, Maureen A., MSW 2201 Pine St Philadelphia, PA 19103 (267) 304-3414 Townsend, Maureen A., MSW GRTR PHILADELPHIA HLTH ACTION INC 002989766 1999 W Hunting Park Ave Philadelphia, PA 19140 (215) 228-9300 Weaver, Rebecca A., MSW

IINTERCOMMUNITY I ACTION INC 002989258 6122 Ridge Ave Philadelphia, PA 19128 (215) 487-1330 Carter, Deborah A., MSW PHILADELPHIA SCHOOLOF PSYCHOANALYS 002988908 313 S 16th St Philadelphia, PA 19102 (215) 732-8244 Becker, Stephen, MSW Hidalgo, Alba M., MS PSYCARE SOLUTIONS INC 002989123 1015 Chestnut St Ste 403 Philadelphia, PA 19107 (215) 885-9700 Pisani, Teresa A., MSW

255 S 17th St Ste 2407 Philadelphia, PA 19103 (215) 885-9700 4510 Frankford Ave, Fl 2 Pisani, Teresa A., MSW Philadelphia, PA 19124 PUB HLTH MGMT (215) 831-9882 CORP Weaver, Rebecca A., 003377475 MSW 1200 Callowhill St, Ste 5501 Woodland Ave Philadelphia, PA 19143 (215) 724-4700 Weaver, Rebecca A., MSW HORNSTEIN PLATT AND ASSOCIATES 002989088 255 S 17th St, Ste 1010 Philadelphia, PA 19103 (215) 732-6308 Bezick, Ashley L., MSW

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Stoffey, Janine M., MSW Vena, Roberta I., MSW 1900 N 9th St Ste 104 Philadelphia, PA 19122 (215) 765-6690 Castanos, Leigh B., MSW Stoffey, Janine M., MSW Vena, Roberta I., MSW 412 W Lehigh Ave Philadelphia, PA 19133 (215) 765-2272 Castanos, Leigh B., MSW Stoffey, Janine M., MSW Vena, Roberta I., MSW 5675 N Front St Philadelphia, PA 19120 (215) 279-9666 Castanos, Leigh B., MSW Stoffey, Janine M., MSW Vena, Roberta I., MSW THE LADIPO GRP PSYCTHRPY 003174245 255 S 17th St Ste 2704 Philadelphia, PA 19103 (267) 908-6363 Sherman, Andrea D., MSW

THE VLG SVCS 003376271 101 Philadelphia, PA 19123 6517 Chester Ave Philadelphia, PA 19142 (215) 825-8220 (215) 730-2240 Castanos, Leigh B., Greenspan, Maxwell J., MSW Stoffey, Janine M., MSW MSW Vena, Roberta I., MSW 125 S 9th St Philadelphia, PA 19107 (215) 592-4500 Castanos, Leigh B., MSW

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH

1518 Walnut St Ste 307 Philadelphia, PA 19102 (215) 625-9655 Finch, Andrea R., MA

BEST BHVRL HLTHCR 002989333 5043 Frankford Ave Philadelphia, PA 19124 (215) 744-4343 Manoharan, Christy J., MA

EQUILIBRIA PSYCHL AND CONSLTN SVCS 003077382 525 S 4th St Ste 471 Philadelphia, PA 19147 (267) 861-3685 Polansky, Dawn A., MS

CHILD CRISIS TRTMNTCTR 002989177 1080 N Delaware Ave, Ste 600 Philadelphia, PA 19125 (215) 496-0707 Becton, Leslie N., EDD

GRTR PHILADELPHIA HLTH ACTION INC 002989766 1401 S 4th St Philadelphia, PA 19147 (215) 339-1070 Capomacchio, Amy C., MA Owens, Courtney I., MA

CHILD GUIDNC RESOURCE CTR 002989116 2901 Island Ave Philadelphia, PA 19153 (484) 454-8700 Hochbaum, Melissa, MS Miller, Jill, MS Richmond, Clifford H., MA DELAWARE CNTY PRO SVCS 002988925 1500 Walnut Street, Suite 601 Philadelphia, PA 19102 (610) 892-3800 Coley, Doran S., MED 3700 Market Street, Suite 301 Philadelphia, PA 19104 (610) 892-3800 Coley, Doran S., MED DR ROBIN LOWEY AND ASSOCS LLC 002989029

4510 Frankford Ave, Fl 2 Philadelphia, PA 19124 (215) 831-9882 Capomacchio, Amy C., MA Owens, Courtney I., MA 5501 Woodland Ave Philadelphia, PA 19143 (215) 724-4700 Capomacchio, Amy C., MA Owens, Courtney I., MA

Cross, Gwen J., MC 003120049 6122 Ridge Avenue Philadelphia, PA 19128 (215) 487-0907 Cross, Gwen J., MC PRO PSYCY SVCS 002989035 250 S 17th St Ste 101 Philadelphia, PA 19103 (215) 545-7895 Aicher, Cristina, MS PSYCARE SOLUTIONS INC 002989123 1015 Chestnut St Ste 403 Philadelphia, PA 19107 (215) 885-9700 Grant Feeley, Lisa, MS 255 S 17th St Ste 2407 Philadelphia, PA 19103 (215) 885-9700 Grant Feeley, Lisa, MS THE LADIPO GRP PSYCTHRPY 003174245 255 S 17th St Ste 2704 Philadelphia, PA 19103 (267) 908-6363 Bolding, Cassandra R., MHS Jackson, Carmella C., MC Johnson, Kali A., MA

HORNSTEIN PLATT AND ASSOCIATES 002989088 255 S 17th St, Ste 1010 3900 Ford Rd, Suite E Philadelphia, PA 19103 Philadelphia, PA 19131 (215) 732-6308 (267) 388-1881 Hochbaum, Melissa, MS Jackson, Carmella C., MC IINTERCOMMUNITY I ACTION INC Johnson, Kali A., MA 002989755 6122 Ridge Ave Philadelphia, PA 19128 (215) 487-0907

P - Preferred pharmacy

52

MAXILLO-FACIAL SURGERY ORAL AND MAXILLOFACIAL SURGERY PCAM 002811747 3400 Civic Center Blvd, South Pavilion, 4th Floor Philadelphia, PA 19104 (215) 662-3580 Shanti, Rabie M., DMD Tanaka, Takako I., DDS ORAL MEDICINE ASSOCIATES 002816047 240 South 40th Street Philadelphia, PA 19104 (215) 898-5344 Shanti, Rabie M., DMD Tanaka, Takako I., DDS PENN MED UNIV CITY DEPT OF OTORHINOLARYNGOL OGY HNS 002807122 3737 Market Street, 3rd Floor Philadelphia, PA 19104 (215) 829-5180 Shanti, Rabie M., DMD PENN MEDICINE OTOHINOLARYNGOL OGY HEAD AND NECK SURGERY 002807122 3400 Civic Center Blvd, South Pavilion 3rd Floor Philadelphia, PA 19104 (215) 662-2777 Shanti, Rabie M., DMD PENNSYLVANIA ORAL AND MAXILLOFACIAL SURGERY LTD 002813345

10800 Knights Road, Suite 125 Philadelphia, PA 19114 (844) 667-4968 Roland, Donald E., DMD 1601 Walnut St, Ste 215 Philadelphia, PA 19102 (215) 557-7949 Roland, Donald E., DMD 207 N Broad St, First Flr Philadelphia, PA 19107 (215) 557-0557 Roland, Donald E., DMD UPHS PRESBYTERIAN DEPARTMENT OF MAXILOFACIAL 002811747 51 N 39th Street Philadelphia, PA 19104 (215) 662-8000 Shanti, Rabie M., DMD NEONATOLOGY CHCA NEONATOLOGY 002805478 3401 Civic Center Boulevard Philadelphia, PA 19104 (215) 590-1000 Eichenwald, Eric C., MD UNIV OF PENNA NEONATOLOGY 002811867 3400 Spruce Street, 8 Radvin Philadelphia, PA 19104 (215) 662-3228 Eichenwald, Eric C., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 51 N 39th Street, Presbyterian Medical EDWARD J FILIPPONE Center MD PC Philadelphia, PA 19104 002805442 (215) 662-8000 2228 South Broad St Bahrainwala, Jehan Z., Philadelphia, PA 19145 MD (215) 467-8955 Leonberg Yoo, Amanda K., MD Nugent, Melinda, MD NEPHROLOGY

RENAL JJEFFERSON J ASSOCIATES 002808546 833 Chestnut Street East, Suite 700 Philadelphia, PA 19107 (215) 503-3000 Maarouf, Omar H., MD UPHS DIVISION OF RENAL ELECTROLYTE 002807758 3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 662-2638 Bahrainwala, Jehan Z., MD Kohli, Jatinder, MD Leonberg Yoo, Amanda K., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2638 Bahrainwala, Jehan Z., MD Kohli, Jatinder, MD Leonberg Yoo, Amanda K., MD 51 N 39th Street Philadelphia, PA 19104 (215) 662-0691 Bahrainwala, Jehan Z., MD Leonberg Yoo, Amanda K., MD

NEUROLOGICAL SURGERY

JJEFFERSON J NEUROSURGERY ASSOCIATES 002809535 909 Walnut Street, Second Floor Philadelphia, PA 19107 (215) 955-7000 Zarzour, Hekmat K., MD PENN MEDICINE UNIVERSITY CITY NEUROSURGERY 002804827 3737 Market Steet, 8 Th Floor Philadelphia, PA 19182 (215) 662-3487 Ali, Zarina S., MD UNIV OF PENN NEUROSURGERY 002804827 235 South 8th St Philadelphia, PA 19106 (215) 829-6700 Ali, Zarina S., MD 3400 Civic Center Boulevard, 2nd Floor South Pavilion Philadelphia, PA 19104 (215) 662-3487 Ali, Zarina S., MD

P - Preferred pharmacy

3400 Spruce Street, 3 Silverstein Building Philadelphia, PA 19104 (215) 662-3487 Ali, Zarina S., MD 51 N 39th Street Philadelphia, PA 19104 (215) 294-9456 Ali, Zarina S., MD NEUROLOGY CHCA NEUROLOGY 002805103 3401 Civic Center Blvd, Childrens Hospital of Philadelphia Philadelphia, PA 19104 (215) 590-1000 Beslow, Lauren A., MD Fung, France W., MD Khaytin, Ilya, MD EINSTEIN NEUROLOGY ASSOCIATES 002805106 5401 Old York Rd, Klein 404 Philadelphia, PA 19141 (215) 456-7190 DE Jesus Alvelo, Indira, MD

JJEFFERSON J HOSPITAL FOR NEUROSCIENCE 002809524 909 Walnut Street, Cob 2nd Floor Philadelphia, PA 19107 (215) 955-1234 Weiss, Shennan A., MD JEFFERSON JJ NEUROLOGY ASSOCIATES DEPT OF NEUROSURGERY 002809523

53

909 Walnut Street Philadelphia, PA 19107 (215) 955-7000 Ambrose, Timothy M., MD Byrne, Richard E., MD McCall, Joseph C., MD Ratliff, Jeffrey B., MD

Galpern, Wendy R., MD Kheder, Ammar, MD Kimbaris, Grace C., MD Stein, Laura A., MD

NEUROSCIENCE CENTER 002805105 3400 Civic Center Boulevard, 2nd Fl South Pavilion Philadelphia, PA 19104 (215) 662-3606 Amado, Defne A., MD

Mob Suite 106 Philadelphia, PA 19114 (215) 612-4143 Pradhan, Sabeena, MD

PENN MEDICINE NEUROLOGY AT RITTENHOUSE 002805105 1800 Lombard Street NEUROLOGY ASSOCIATES UNIV OF Philadelphia, PA 19146 PENNSYLVANIA (215) 662-7810 002805105 Diaz Arrastia, Ramon 235 South 8th Street R., MD Philadelphia, PA 19106 Galpern, Wendy R., MD (215) 622-3606 Kheder, Ammar, MD Kimbaris, Grace C., MD Kimbaris, Grace C., MD Stein, Laura A., MD 3400 Spruce Street, 2 Ravdin PENN MEDICINE Philadelphia, PA 19104 UNIVERSITY CITY NEUROSCIENCE (215) 662-3606 CENTER Amado, Defne A., MD 002805105 Diaz Arrastia, Ramon 3737 Market Street, 8th R., MD Galpern, Wendy R., MD Floor Philadelphia, PA 19104 Kheder, Ammar, MD Kimbaris, Grace C., MD (215) 662-3606 Diaz Arrastia, Ramon Stein, Laura A., MD R., MD 800 Spruce Street Galpern, Wendy R., MD Philadelphia, PA 19107 Kheder, Ammar, MD (215) 829-6500 Kimbaris, Grace C., MD Amado, Defne A., MD Stein, Laura A., MD Diaz Arrastia, Ramon R., MD OB-GYNECOLOGY Galpern, Wendy R., MD ARIA PHYSICIAN Kheder, Ammar, MD SERVICES SNIKB Kimbaris, Grace C., MD 002813552 Stein, Laura A., MD 10800 Knights Road,

3998 Red Lion Rd Philadelphia, PA 19114 (215) 615-4000 Pradhan, Sabeena, MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 3998 Red Lion Road, Suite 106 Philadelphia, PA 19114 (215) 612-4711 Pradhan, Sabeena, MD 7526 Frankford Ave Philadelphia, PA 19136 (215) 612-4143 Pradhan, Sabeena, MD DELAWARE VALLEY COMMUNITY 002818883 841 East Hunting Park Avenue, 2nd Floor Philadelphia, PA 19124 (215) 537-7695 Stearns, Todd A., DO DIVISION OF REPRODUCTIVE GENETICS SCIENCE CENTER 002804865 3701 Market Street, 3rd Floor Philadelphia, PA 19104 (215) 662-3232 Kinson, Michael S., MD CENTER JJEFFERSON J FOR WOMENS MEDICAL SPECIATIES 002804882 833 Chesnut St Philadelphia, PA 19107 (215) 955-5000 Anastasio, Hannah B., MD Khalifeh, Adeeb, MD Ward, Andrew, MD

MARIA DE LOS SANTOS HEALTH CENTER 002805301 401 55 West Allegheny Avenue Philadelphia, PA 19133 (215) 291-2500 Stearns, Todd A., DO OBGYN UNIVERSITY OF PENNSYLVANIA 002804865 3400 Spruce Street, One West Gates Philadelphia, PA 19104 (215) 662-2730 Edelson, Paula K., MD Kinson, Michael S., MD 555 South 43rd Street Philadelphia, PA 19104 (215) 685-7521 Kinson, Michael S., MD 800 Spruce Street Philadelphia, PA 19107 (215) 829-2345 Latif, Nawar A., MD PENN OBGYN 002985967 800 Walnut Street, 14th Floor Philadelphia, PA 19107 (215) 829-8000 Edelson, Paula K., MD

PENNCARE LABORISTS @ PAH 002985967 801 Spruce St, Suite LUDMIR CENTER FOR 200 Philadelphia, PA 19107 WOMEN HEALTH (215) 829-3396 002985967 700 Spruce Street, Suite Edelson, Paula K., MD 200 PENNSYLVANIA Philadelphia, PA 19106 HOSPITAL PENN (215) 829-3525 HEALTH FOR WOMAN AT WASH SQUARE Edelson, Paula K., MD P - Preferred pharmacy

002804865 800 Walnut Street, 10th Floor Philadelphia, PA 19107 (215) 829-2345 Latif, Nawar A., MD OCCUPATIONAL THERAPIST BENCHMARK THERAPIES INC 003184014 2701 Southampton Road Philadelphia, PA 19154 (814) 506-8212 Nguyen, Hong Thi T., OTR

002808832 925 Chestnut Street, Suite 320A Philadelphia, PA 19107 (215) 955-8874 Abu-Khalaf, Maysa M., MD Rodriguez, Joanna, MD Ryan, Weight, DO MED ONC ASSOCIATES OF FCCC MGI 002822811 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-5690 Pancari, Philip A., MD

7600 Central Avenue Philadelphia, PA 19111 MEDICAL (215) 728-6900 JJEFFERSON J Pancari, Philip A., MD ONCOLOGY 002808832 OPHTHALMOLOGY 1100 Walnut Street, Mob 3rd Floor CATARACT AND Philadelphia, PA 19107 PRIMARY EYECARE 002807002 (215) 955-8874 840 Walnut Street, Suite Silver, Daniel P., MD 1250 834 Walnut St, Suite Philadelphia, PA 19107 110 (215) 928-3900 Philadelphia, PA 19107 Ifantides, Cristos, MD (215) 955-6039 Palmisiano, Neil D., MD CORNEAL ASSOCIATES PC 8815 Germantown Ave, 002804913 Suite 16 840 Walnut Street, Suite Philadelphia, PA 19118 920 (215) 242-1159 Philadelphia, PA 19107 Rodriguez, Joanna, MD (215) 928-3180 925 Chestnut Street, 3rd Ahmed, Yasir, MD Floor Suite 320A Naids, Steven, MD Philadelphia, PA 19107 Siu, Sophia Y., MD (215) 955-8874 DREXEL EYE Silver, Daniel P., MD PHYSICIANS MEDICAL 002816340 JJEFFERSON J ONCOLOGY ASSOCIATES ONCOLOGY

54

219 N Broad Street, 3rd Floor Philadelphia, PA 19107 (215) 762-3937 Williamson, Kelly A., MD KEYSTONE EYE ASSOC LLC 002815407 9126 Blue Grass Road Philadelphia, PA 19114 (215) 552-8331 Hesham, Nadia, MD MID ATLANTIC RETINA 002804901 840 Walnut St, Ste 1020 Philadelphia, PA 19107 (215) 928-3300 Aderman, Michael, MD Ali, Ferhina S., MD Talcott, Katherine E., MD MOORE EYE CARE 002809569 2301 South 12th Street Philadelphia, PA 19148 (610) 690-4900 Brader, Hilary S., MD MOORE EYE CARE PC 002809569 219 N Broad St, 3rd Floor Philadelphia, PA 19107 (215) 762-5612 Brader, Hilary S., MD NEMOURS DUPONT PEDIATRICS 002818761 833 Chestnut Street East, Suite 300 Philadelphia, PA 19107 (215) 861-8830 Reid, Julia E., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. NEURO OPHTHALMOLOGIC ASSOC 002805238 840 Walnut Street, Suite 930 Philadelphia, PA 19107 (215) 928-3130 Debusk, Adam A., DO Temnogorod, Jenny, MD

51 North 39th Street Philadelphia, PA 19104 (215) 662-8100 Briceno, Cesar A., MD Kohli, Anita A., MD Kolomeyer, Anton M., MD

Temnogorod, Jenny, MD Williams, Alice L., MD Yung, Edward, MD Zhang, Matthew M., MD OPTOMETRIST

BISCARDI VISION P C 002819060 THE EYE INSTITUTE 1420 Walnut Street, OPHTHALMOLOGICAL Suite 600 GROUP OPHTHALMIC Philadelphia, PA 19102 002804907 PARTNERS OF PA PC (215) 735-6300 1200 West Godfrey 002805285 Will, Linden R., OD Avenue 125 S 9th St, Ste 400 Philadelphia, PA 19141 EYE INSTITUTE Philadelphia, PA 19107 OPTOMETRIC (215) 276-6000 (215) 922-2455 Ackert, Jessica M., MD 003170567 Williams, Alice L., MD 1200 West Godfrey 3300 Henry Avenue, Avenue 840 Walnut St Suite 104 Philadelphia, PA 19107 Philadelphia, PA 19129 Philadelphia, PA 19141 (215) 276-6000 (484) 434-2700 (215) 276-6000 Leburg, Stephanie M., Williams, Alice L., MD Ackert, Jessica M., MD OD RITTENHOUSE EYE 7630 Germantown 3300 Henry Avenue, ASSOC Avenue Suite 104 002805310 Philadelphia, PA 19118 Philadelphia, PA 19129 2000 Hamilton Street, (215) 276-6000 (215) 991-4794 Ste 306 Rodin Place Ackert, Jessica M., MD Leburg, Stephanie M., Philadelphia, PA 19130 OD WILLS EYE (215) 545-5001 Williamson, Kelly A., MD OPHTHALMOLOGY 7630 Germantown CLINIC Avenue, Suite 4 SCHEIE EYE ASSOC 002812447 Philadelphia, PA 19118 OPHTHALMOLOGY 840 Walnut Street, Suite (215) 276-6000 002804894 1230 Leburg, Stephanie M., 3400 Civic Center Philadelphia, PA 19107 OD Boulevard, West (215) 928-3041 Pavilion 3rd Floor Suite EYE INSTITUTE Abramowitz, Benjamin Philadelphia, PA 19104 D., MD OPTOMETRIC GROUP (215) 614-4100 002805487 Aderman, Michael, MD Briceno, Cesar A., MD 1200 West Godfrey Ahmed, Yasir, MD Avenue Kohli, Anita A., MD Ali, Ferhina S., MD Philadelphia, PA 19141 Kolomeyer, Anton M., Debusk, Adam A., DO MD (215) 276-6000 Ifantides, Cristos, MD Bernatsky, Rachel S., 3615 Chestnut Street, Lim, Renelle, MD OD Suite 141 Naids, Steven, MD Chawla, Harshpreet S., Philadelphia, PA 19104 Siu, Sophia Y., MD OD (215) 662-2600 Talcott, Katherine E., Demarco, Jordan, OD Briceno, Cesar A., MD MD P - Preferred pharmacy

55

Franz, Tara I., OD Hans, Sulman S., OD Hvezda, Carrie K., OD Nowicki-Duczeminski, Sarah M., OD Sherman, Justin C., OD Tannen, Noah M., OD Whyte, Heather D., OD 7630 Germantown Avenue, Suite 4 Philadelphia, PA 19118 (215) 248-6040 Bernatsky, Rachel S., OD Chawla, Harshpreet S., OD Demarco, Jordan, OD Franz, Tara I., OD Hans, Sulman S., OD Hvezda, Carrie K., OD Nowicki-Duczeminski, Sarah M., OD Sherman, Justin C., OD Tannen, Noah M., OD Whyte, Heather D., OD

Chawla, Harshpreet S., OD Demarco, Jordan, OD Franz, Tara I., OD Hans, Sulman S., OD Hvezda, Carrie K., OD Nowicki-Duczeminski, Sarah M., OD Sherman, Justin C., OD Tannen, Noah M., OD Whyte, Heather D., OD WILLS EYE OPHTHALMOLOGY CLINIC 002812447 840 Walnut Street, Suite 1230 Philadelphia, PA 19107 (215) 928-3041 Clare, Kathryn E., OD ORTHOPEDIC HAND SURGERY

THE PHILADELPHIA HAND CENTER PC 002804843 MOORE EYE CARE PC 834 Chestnut Street, 003124161 Suite G114 219 N Broad St, 3rd Fl Philadelphia, PA 19107 Philadelphia, PA 19107 (215) 521-3001 (215) 762-5612 Strohl, Adam B., MD D'Alonzo, Angela M., OD ORTHOPEDIC SURGERY 2301 S 13th St Philadelphia, PA 19148 CHILDRENS SURGICAL (610) 690-4900 ASSOCIATES LTD D'Alonzo, Angela M., 002809721 OD 3401 Civic Center Blvd THE EYE INSTITUTE Philadelphia, PA 19104 002805487 (215) 590-1527 3300 Henry Ave, Ste Deeney, Vincent F., MD 104 Philadelphia, PA 19129 3500 Civic Center Boulevard (215) 991-4794 Philadelphia, PA 19104 Bernatsky, Rachel S., OD (215) 590-1527 Deeney, Vincent F., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. PREMIER ORTHOPEDICS AND SPORTS MEDICINE 002811055 525 Jamestown Ave Philadelphia, PA 19128 (215) 482-6693 Birns, Michael E., MD ROTHMAN INSTITUTE RECONSTRUCTIVE ORTHOPEDIC ASSOCIATES II PC 002804844 2630 Holme Avenue, Suite 200 Philadelphia, PA 19152 (215) 992-4960 Hampton, David M., MD 925 Chestnut Street, 5th Floor Philadelphia, PA 19107 (267) 339-3500 Bechtel, Christopher P., MD Danoff, Jonathan R., MD Davis, Daniel E., MD Fraser, James, MD Henderson, Robert A., MD Kaye, Ian D., MD Morrissey, Patrick B., MD Sebastian, Arjun S., MD Updegrove, Gary F., MD Williamson, Christopher J., MD

Sebastian, Arjun S., MD Wagner, Scott, MD TEMPLE ORTHOPEDIC AND SPORTS MEDICINE ASSOCIATES 003137949 11000 Roosevelt Boulevard Philadelphia, PA 19116 (215) 214-6655 Abdelfattah, Hesham M., MD 333 Cottman Avenue Philadelphia, PA 19111 (215) 707-2111 Abdelfattah, Hesham M., MD 3401 North Broad Street, 5th Floor Philadelphia, PA 19140 (215) 707-2111 Abdelfattah, Hesham M., MD

JJEFFERSON J OTOLARYNGOLOGY PENN MED UNIV CITY ASSOCIATES DEPT OF 002809537 OTORHINOLARYNGOL 3 Crescent Dr, Ste 100 OGY HNS Philadelphia, PA 19112 002807122 (215) 503-3300 3737 Market Street, 3rd Fitzgerald, Dennis C., Floor MD Philadelphia, PA 19104 925 Chestnut, 6th Floor (215) 829-5180 Philadelphia, PA 19107 Brant, Jason A., MD (215) 955-6760 PENN MEDICINE Fitzgerald, Dennis C., OTOHINOLARYNGOL MD OGY HEAD AND NECK Gleysteen, John P., MD SURGERY Rangarajan, Sanjeet V., 002807122 MD 3400 Civic Center Blvd, South Pavilion 3rd Floor PENN MED UNIV CITY Philadelphia, PA 19104 DEPT OF OTORHINOLARYNGOL (215) 662-2777 OGY HNS Brant, Jason A., MD 002807122 UNIV OF PENN 3737 Market Street, 3rd OTORHINOLARYNGOL Floor OGY Philadelphia, PA 19104 002807122 (215) 829-5180 3400 Spruce Street Glicksman, Jordan T., Philadelphia, PA 19104 MD (215) 662-2777 Parasher, Arjun, MD Brant, Jason A., MD Thakkar, Punam, MD OTOLARYNGOLOGY

3509 Noth Broad Street, 5th Floor Philadelphia, PA 19140 (215) 707-2111 Abdelfattah, Hesham M., MD 800 Walnut Street, 18th Gokcen, Eric C., MD Floor Philadelphia, PA 19107 8815 Germantown (215) 829-5180 Avenue Philadelphia, PA 19118 Brant, Jason A., MD (215) 248-8947 OTORHINOLARYNG Abdelfattah, Hesham M., OLOGY (ENT) ROTHMAN RECON MD ORTHO SPINE BROKER CRAMER TEMPLE 002809638 AND SWANSON ENT 925 Chestnut Street, 5th ORTHOPEDICS AND 002821846 SPORTS MEDICINE Floor 525 Jamestown Ave, Philadelphia, PA 19107 002804834 Suite 205 3509 North Broad Street (267) 339-3500 Philadelphia, PA 19128 Philadelphia, PA 19140 Kaye, Ian D., MD (215) 487-7200 (215) 707-6430 Morrissey, Patrick B., Nadeau, Daniel P., MD Lu, Min, MD MD P - Preferred pharmacy

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3400 Spruce Street Philadelphia, PA 19104 (215) 662-2777 Glicksman, Jordan T., MD Parasher, Arjun, MD Thakkar, Punam, MD 800 Walnut Street, 18th Floor Philadelphia, PA 19107 (215) 829-5180 Glicksman, Jordan T., MD Parasher, Arjun, MD Thakkar, Punam, MD PHYSICAL MEDICINE AND REHABILITATION JEFF J J REHAB MEDICINE ASSOCIATES 002809533 25 S 9th Street, First Floor Philadelphia, PA 19107 (215) 955-1200 Peterson, Shawn M., DO

900 Walnut Street Philadelphia, PA 19107 PENN MEDICINE OTOHINOLARYNGOL (215) 955-1234 OGY HEAD AND NECK Najafi, Shervin, MD SURGERY JEFFERSON JJ 002807122 NEUROSURGERY 3400 Civic Center Blvd, ASSOCIATES South Pavilion 3rd Floor 002809535 Philadelphia, PA 19104 909 Walnut Street, (215) 662-2777 Second Floor Glicksman, Jordan T., Philadelphia, PA 19107 MD (215) 955-7000 Parasher, Arjun, MD Najafi, Shervin, MD Thakkar, Punam, MD MOSS REHAB UNIV OF PENN PHYSICAL MEDICINE OTORHINOLARYNGOL ASSOCIATES OGY 002805226 002807122

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 1200 West Tabor Road Philadelphia, PA 19141 (215) 456-9470 Noto, Philip, DO 9880 Bustleton Avune, Suite 309 Philadelphia, PA 19115 (215) 827-1668 Noto, Philip, DO ORTHOPAEDICS PENN MEDICINE UNIVERSITY CITY 002811250 3737 Market Street, 8th Floor Philadelphia, PA 19104 (215) 662-3340 Taher, Reza, MD Tingan, Alexis S., MD Usman Oyowe, Ibrahim A., MD Wei, Edward N., MD 3737 Market Street, 7th Flr Philadelphia, PA 19104 (215) 662-3340 Taher, Reza, MD Tingan, Alexis S., MD Usman Oyowe, Ibrahim A., MD Wei, Edward N., MD TEMPLE REHAB ASSOC 002805218 3401 North Broad Street, Bsmt Rock Pavillon Philadelphia, PA 19140 (215) 707-3646 Williams, Reed C., MD

UNIV OF PENN REHABILITATION MEDICINE 002805227 1800 Lombard Street, Ground Floor Philadelphia, PA 19146 (215) 893-2600 Taher, Reza, MD Tingan, Alexis S., MD Usman Oyowe, Ibrahim A., MD Wei, Edward N., MD 3400 Spruce Street, 1 Ground White Building Philadelphia, PA 19104 (215) 662-3261 Taher, Reza, MD Tingan, Alexis S., MD Usman Oyowe, Ibrahim A., MD Wei, Edward N., MD 51 North 39th Street Philadelphia, PA 19104 (215) 662-8928 Taher, Reza, MD Tingan, Alexis S., MD Usman Oyowe, Ibrahim A., MD Wei, Edward N., MD 800 Spruce Street Philadelphia, PA 19107 (215) 829-7923 Taher, Reza, MD Tingan, Alexis S., MD Usman Oyowe, Ibrahim A., MD Wei, Edward N., MD

7604 Central Avenue, Suite 100 Jeans Hospital Friends H Philadelphia, PA 19111 (215) 214-6655 Williams, Reed C., MD P - Preferred pharmacy

PHYSICAL THERAPIST ATI PHYSICAL THERAPY 002818151 1100 S. Christopher Columbus Blvd, 25 Philadelphia, PA 19147 (267) 592-4508 9475 E. Roosevelt Blvd, B4 Philadelphia, PA 19114 (215) 464-6200 DREXEL UNIVERSITY PHYSICAL THERAPY SERVICES 002821264 1601 Cherry St, 2nd Flr Philadelphia, PA 19102 (215) 553-7019 MED IINTEGRATED I CARE LLC 002814182 4518 City Avenue Philadelphia, PA 19131 (215) 742-7033 KUTEST KIDS EARLY INTERVENTION COMPANY 003482754 3502 Scotts Lane, Unit 821 Philadelphia, PA 19129 (908) 202-4145 MK PLUS 003467883 9140 Academy Rd, Ste G Philadelphia, PA 19114 (215) 624-7333

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PLASTIC SURGERY COPIT PLASTIC SURGERY ASSOCIATES LTD 002804848 840 Walnut Street, 15th Floor Philadelphia, PA 19107 (215) 546-2100 Jenkins, Matthew P., MD DIVISION OF PLASTIC SURGERY AT HUP 003149962 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2096 Au, Alexander F., MD Butler, Paris D., MD DIVISION OF PLASTIC SURGERY AT PPMC 003149962 51 North 39th Street, 266 Wright Saunders Philadelphia, PA 19104 (215) 662-9195 Au, Alexander F., MD Butler, Paris D., MD PENN MEDICINE MEDICINE UNIVERSITY CITY PLASTIC SURGERY 003149962 3737 Market Street, 4th Floor Philadelphia, PA 19104 (215) 662-7300 Au, Alexander F., MD Butler, Paris D., MD PENN MEDICINE PLASTIC SURGERY BRYN MAWR 003149962

230 West Washington Square, Suite 101 Philadelphia, PA 19106 (215) 829-6320 Au, Alexander F., MD Butler, Paris D., MD 3400 Civic Center Boulevard, Advanced Would Healing and Lower Extremith Reconstruction, 4th Floor Philadelphia, PA 19104 (215) 662-7300 Au, Alexander F., MD Butler, Paris D., MD 3737 Market Street, Penn Medicine University City Plastic Surgery, Suite 701 Philadelphia, PA 19104 (215) 662-7300 Au, Alexander F., MD Butler, Paris D., MD PENN PLASTIC SURGERY WASHINGTON SQUARE 003149962 800 Walnut Street, 20th Floor Philadelphia, PA 19107 (215) 662-7300 Au, Alexander F., MD Butler, Paris D., MD PLASTIC RECON ASSOC OF FCCC MGI 002822817 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 Ng, Marilyn, MD TEMPLE PLASTIC SURGERY ASSOC 002804852

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 255 South 17th Street Philadelphia, PA 19103 (215) 875-2200 Gassman, Andrew, MD 2601 Holme Avenue Philadelphia, PA 19152 (215) 707-3933 Gassman, Andrew, MD

9880 Buslteton Avenue, Ste 308 Philadelphia, PA 19115 (215) 342-9554 Baker, Shaun S., DO PODIATRY

ARIA 3B PODIATRY 003003232 TEMPLE PLASTIC 3110 Grant Ave, 1st Fl SURGERY Philadelphia, PA 19114 ASSOCIATES (215) 807-8330 002804852 3401 North Broad Street Monaco, Spencer J., Philadelphia, PA 19140 DPM (215) 707-3935 PSYCHIATRIC Gassman, Andrew, MD NURSE 7500 Central Avenue, Suite 201 Philadelphia, PA 19111 (215) 214-4100 Gassman, Andrew, MD

PUB HLTH MGMT CORP 003377475 1200 Callowhill St, Ste 101 Philadelphia, PA 19123 (215) 825-8220 Deangelis, Denise, MSN Enright, Margaret M., CRNP

5675 N Front St Philadelphia, PA 19120 (215) 279-9666 Deangelis, Denise, MSN Enright, Margaret M., CRNP PSYCHIATRY ACADEMIC EMER PHYS MH 003380109 501 S 54th St, Ste 126 Philadelphia, PA 19143 (215) 748-9694 Duggirala, Chandrudu, MD Navarro, Judith T., MD Novitsky, Mark A., MD Pandya, Paresh, MD

BELMONT BHVRL HOSP LLC 002989174 4200 Monument Road 8815 Germantown Philadelphia, PA 19131 Avenue, Medical Office Building 36 (215) 877-2000 Philadelphia, PA 19118 Cosgrove, Douglas S., MD (215) 247-7740 Cruz Luna, Norma A., Gassman, Andrew, MD 125 S 9th St MD Philadelphia, PA 19107 UNIVERSITY Daubon, Vasco J., MD OTOLARYNGOLOGY (215) 592-4500 Johnson, Shaneek D., ASSOCIATES PC Enright, Margaret M., MD 002808022 CRNP Lazaroff, Justin M., DO 205 N Broad Street, 1900 N 9th St Ste 104 Mehta, Sachin N., MD Suite 401 Philadelphia, PA 19122 Richardson, Thomas B., Philadelphia, PA 19107 DO (215) 765-6690 (215) 762-4600 Deangelis, Denise, MSN Siragavarapu, Baker, Shaun S., DO Raghavendra R., MD Enright, Margaret M., 5501 Old York Rd, Paley CRNP EINSTEIN PRACTICE Building, 2361 PLAN INC 412 W Lehigh Ave Philadelphia, PA 19124 Philadelphia, PA 19133 002989020 (215) 456-7140 1 Penn Blvd Fl 3, Crisis (215) 765-2272 Baker, Shaun S., DO Response Ctr Deangelis, Denise, MSN Philadelphia, PA 19144 8350 Roosevelt Blvd Enright, Margaret M., (215) 951-8300 Philadelphia, PA 19152 CRNP Cruz Luna, Norma A., (215) 331-6878 MD Baker, Shaun S., DO P - Preferred pharmacy

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4200 Monument Rd Philadelphia, PA 19131 (215) 877-2000 Cruz Luna, Norma A., MD 5501 Old York Rd Philadelphia, PA 19141 (215) 456-9850 Cruz Luna, Norma A., MD Rivera Colon, Jorge A., MD GRTR PHILADELPHIA HLTH ACTION INC 002989766 5501 Woodland Ave Philadelphia, PA 19143 (215) 724-4700 Sta Romana, Josefina M., MD

IINTERCOMMUNITY I ACTION INC 002989755 6122 Ridge Ave Philadelphia, PA 19128 (215) 487-0907 Brendel, Erica M., MD 003120049 6122 Ridge Avenue Philadelphia, PA 19128 (215) 487-0907 Brendel, Erica M., MD TEMPLE PSYCHIATRY ASSOCIATES 003144194 3509 N Broad St, Boyer, 6th Fl Philadelphia, PA 19140 (215) 707-8496 Braun, Sarah J., MD Graham, III, James J., DO TEMPLE PSYCHIATRY ASSOCS 002989206

100 E Lehigh Ave, Mab Bldg Ste 105 Philadelphia, PA 19125 (215) 707-8496 Braun, Sarah J., MD Graham, III, James J., DO 1316 W Ontario St Philadelphia, PA 19140 (215) 707-8496 Graham, III, James J., DO 3509 N Broad St, 6th Fl Boyer Philadelphia, PA 19140 (215) 707-8496 Braun, Sarah J., MD Graham, III, James J., DO PSYCHOLOGIST CARE CONNECTION 002989133 8001 Roosevelt Blvd, Ste 301 Philadelphia, PA 19152 (215) 331-3200 Moldovan Friedman, Jamie L., PSYD DELAWARE CNTY PRO SVCS 002988925 1420 Walnut St, Ste 1350 Philadelphia, PA 19102 (610) 892-3800 Baron, Kim P., PHD 1500 Walnut Street, Suite 601 Philadelphia, PA 19102 (610) 892-3800 Baron, Kim P., PHD 3440 Market St Ste 450 Philadelphia, PA 19104 (610) 892-3800

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. Baron, Kim P., PHD HORNSTEIN PLATT AND ASSOCIATES 002989088 255 S 17th St, Ste 1010 Philadelphia, PA 19103 (215) 732-6308 Fask, David L., PHD

IINTERCOMMUNITY I ACTION INC 002989258 6122 Ridge Ave Philadelphia, PA 19128 (215) 487-1330 La Valle, William D., MD MEDNET HLTHCR SYST INC 002989494 9150 Marshall St, Ste 5 Philadelphia, PA 19114 (215) 294-6790 Myers, Robert L., PHD PUB HLTH MGMT CORP 003377475 1200 Callowhill St, Ste 101 Philadelphia, PA 19123 (215) 825-8220 Andriole, Rebecca L., PSYD Cos, Travis A., PHD 125 S 9th St Philadelphia, PA 19107 (215) 592-4500 Andriole, Rebecca L., PSYD Cos, Travis A., PHD 1900 N 9th St Ste 104 Philadelphia, PA 19122 (215) 765-6690 Andriole, Rebecca L., PSYD Cos, Travis A., PHD

412 W Lehigh Ave Philadelphia, PA 19133 (215) 765-2272 Andriole, Rebecca L., PSYD Cos, Travis A., PHD 5675 N Front St Philadelphia, PA 19120 (215) 279-9666 Andriole, Rebecca L., PSYD Cos, Travis A., PHD PULMONARY DISEASES HARRON LUNG CENTER UNIVERSITY CITY 002807838 3737 Market Street, 10th Floor Philadelphia, PA 19104 (215) 662-8766 Al Naamani, Nadine, MD Hong, Gina J., MD

3401 North Broad St, 7th Fl Parkinson Pavilion Philadelphia, PA 19140 (215) 707-3336 Dhungana, Santosh, MD Duffy, Sean P., MD Krachman, Samuel, DO Rali, Parth M., MD

51 N 39th Street Philadelphia, PA 19104 (215) 662-8767 Al Naamani, Nadine, MD Hong, Gina J., MD

7500 Central Avenue, Suite 201 Philadelphia, PA 19111 (215) 214-4100 Dhungana, Santosh, MD Duffy, Sean P., MD Krachman, Samuel, DO Rali, Parth M., MD

DEPT OF RADIATION ONCOLOGY 002815430 3400 Civic Center Boulevard, Concourse Level Philadelphia, PA 19104 (215) 662-2428 Rwigema, Jean Claude M., MD Shabason, Jacob E., MD

8815 Germantown Avenue Philadelphia, PA 19118 (215) 707-5864 Duffy, Sean P., MD Krachman, Samuel, DO Rali, Parth M., MD

UNIV OF PENNSYLVANIA JJEFFERSON J PULMONARY PULMONARY ASSOC 002807838 002807905 1800 Lombard Street 834 Walnut Street, Suite Philadelphia, PA 19146 650 Philadelphia, PA 19107 (215) 893-2543 Al Naamani, Nadine, MD (215) 955-5161 Hong, Gina J., MD West, Frances M., MD TEMPLE PHYSICIANS 3400 Civic Center Boulevard, West INCORPORATED Pavilion 1st Floor 002811543 Philadelphia, PA 19104 7600 Central Avenue (215) 662-3202 Philadelphia, PA 19111 Al Naamani, Nadine, MD (215) 214-4315 Hong, Gina J., MD Cosentino, James P., DO 3400 Spruce Street, 3 Ravdin Building Suite F TEMPLE PULMONARY Philadelphia, PA 19104 ASSOCIATES (215) 662-3202 002805453 Al Naamani, Nadine, MD Hong, Gina J., MD

P - Preferred pharmacy

59

RADIATION ONCOLOGY

3400 Spruce Street Philadelphia, PA 19104 (215) 662-2428 Rwigema, Jean Claude M., MD Shabason, Jacob E., MD RADIOLOGY DREXEL RADIATION ONCOLOGY 002808256 207 North Broad Street, 6th Floor Philadelphia, PA 19107 (215) 762-8409 216 North Broad St, Feinstein Bldg, 1st Floor Philadelphia, PA 19102 (215) 762-8409 218 North Broad Street, 8th Floor Philadelphia, PA 19102 (215) 762-8409

840 Walnut St Philadelphia, PA 19107 (215) 825-2435 PENN MEDICINE UNIVERSITY CITY NEUROSURGERY 002804827 3737 Market Steet, 8 Th Floor Philadelphia, PA 19182 (215) 662-3487 PERPHERIAL VASCULAR INSTITUTE 003043051 1304 Rhawn Street Philadelphia, PA 19111 (215) 742-1225 RADIOLOGY ASSOCIATES OF CHOP INC 002805143 3500 Civic Center Boulevard Philadelphia, PA 19104 (215) 590-1000 800 Spruce Street Philadelphia, PA 19107 (215) 829-3191 REGISTERED DIETICIAN NUTRITION UNLIMITED 002822125 1512 South St Philadelphia, PA 19146 (267) 239-5637 Zanikos, Lauren K., RD YOUR WELLNESS CONSULTANTS LLC 002898589 30 S 15th St Philadelphia, PA 19102 (215) 431-8980 Killion, Rebecca, RD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. RENAL DIALYSIS CENTER BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC 003413313 5201 Old York Road, Unit 2 Philadelphia, PA 19141 (215) 457-4159 RENAL DIALYSIS FACILITIES BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC 003413313 5201 Old York Road, Unit 2 Philadelphia, PA 19141 (215) 457-4159

COORDINATED CARE NETWORK PHARMACY 340 N 12th St Philadelphia, PA 19107 (267) 928-4381 CURE DISCOUNT PHARMACY P 2310 N Broad St Spc A Philadelphia, PA 19132 (215) 223-5700 CVS PHARMACY P 1122 Chestnut St #38 Philadelphia, PA 19107 (401) 765-1500 1919 Market St, Suite 150 Philadelphia, PA 19103 (401) 765-1500

RETAIL PHARMACIES

501 N 22nd St Philadelphia, PA 19130 (215) 587-0271

65TH & WOODLAND PHARMACY 6548 Woodland Ave Philadelphia, PA 19142 (215) 727-9501

DREAM PHARMACY 9808 Bustleton Ave Unit F Philadelphia, PA 19115 (215) 904-5548

APOLLO PHARMACY 460 W Lehigh Ave Philadelphia, PA 19133 (215) 426-5100

EDISON SQUARE PHARMACY 701 W Lehigh Ave Philadelphia, PA 19133 (267) 687-2085

BLESSED PHARMACY 2445 Ridge Avenue Philadelphia, PA 19121 (215) 765-2983 BUENA SALUD PHARMACY P 3119 Frankford Ave, First Floor Philadelphia, PA 19134 (215) 426-5181

E-GLAM PHARMACY 746 East Chelten Ave Philadelphia, PA 19144 (215) 849-4272 E-Z CARE PHARMACY 7622 Ogontz Ave Philadelphia, PA 19150 (267) 331-8417 GPHA PHARMACY

4500 Frankford Ave, Gpha Pharmacy Philadelphia, PA 19124 (215) 743-4106 HAHNEMANN APOTHECARY INC P 230 N Broad St Philadelphia, PA 19102 (215) 762-8901 HEALTH CENTER #1 PHARMACY 500 S Broad St Philadelphia, PA 19146 (215) 685-6513 HEALTH FIRST PHARMACY 2820 W Girard Ave Philadelphia, PA 19130 (215) 769-4979 HUNTING PARK JJAY'S J PHARMACY 2001 W Hunting Park Ave Philadelphia, PA 19140 (215) 226-0140 KEWAN PHARMACY 7157 Ogontz Ave Philadelphia, PA 19138 (215) 929-1354 LIBERTY PHARMACY INC 1926 E Washington Ln Philadelphia, PA 19138 (215) 927-4467 LN PHARMACY 5929 Lansdowne Ave Philadelphia, PA 19151 (215) 473-0750 METRO CARE PHARMACY INC 2018 Cottman Ave Philadelphia, PA 19149 (215) 342-8400 ODU PHARMACY

P - Preferred pharmacy

60

1618 W Olney Ave Philadelphia, PA 19141 (267) 297-5046

555 S 43rd St Philadelphia, PA 19104 (215) 685-7511

PHARMACY @ RIDGE & MIDVALE 4219 Ridge Ave Philadelphia, PA 19129 (267) 385-6024

PHILLY DRUGSTORE 2729 N 5th Street Philadelphia, PA 19133 (215) 423-1368

PHARMACY OF AMERICA VII INC. 4654 N 5th St Philadelphia, PA 19140 (267) 237-1188 PHARMACY STRAWBERRY MANSION HEALTH CENTER 2840 W Dauphin St Philadelphia, PA 19132 (215) 685-2419 PHILADELPHIA HEALTH CENTER PHARMACY 131 E Chelten Ave Philadelphia, PA 19144 (215) 685-5714 1900 N 20th St Philadelphia, PA 19121 (215) 685-2936 1930 S Broad St Philadelphia, PA 19145 (215) 685-1834 2230 Cottman Ave Philadelphia, PA 19149 (215) 685-0616 321 W Girard Ave Philadelphia, PA 19123 (215) 685-3822 4400 Haverford Ave Philadelphia, PA 19104 (215) 685-7626

PHILLY METRO PHARMACY 25 E Walnut Ln Philadelphia, PA 19144 (267) 331-5626 PRIMARY CHOICE PHARMACY II 11880 Bustleton Ave Suite 307 Philadelphia, PA 19116 (347) 782-5974 RENA'S PHARMACY 2904 S 70th St Unit 3 Philadelphia, PA 19142 (267) 457-4555 RITECHOICE PHARMACY AT 11TH STREET P 850 N 11th St Fl 1 Rm 148 Philadelphia, PA 19123 (215) 769-2155 SOUTH PHILLY PHARMACY 2101 S 19th St Philadelphia, PA 19145 (267) 773-8007 SUNRAY DRUGS GERMANTOWN AVE P 3635-37 Germantown Ave Philadelphia, PA 19140 (215) 223-2033 TORRESDALE PHARMACY

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. 3998 Red Lion Rd, Ste 105 Mob Philadelphia, PA 19114 (215) 612-5400 UNITED PHARMACY UPPER DARBY INC 206B W Chelten Ave Philadelphia, PA 19144 (215) 438-3880 WELLCARE PHARMACY 3 3621 N Broad St Philadelphia, PA 19140 (267) 538-2685 RHEUMATOLOGY PENN MEDICINE UNIVERSITY CITY 002808354 3737 Market Street, Div of Rheumatology Penn Musculoskeletal Cntr, 8th Floor Philadelphia, PA 19104 (215) 662-4333 Ligon, Colin, MD Moore, Timothy S., MD UNIV OF PENN RHEUMATOLOGY 002808354 3400 Civic Center Boulevard, 1st Floor Philadelphia, PA 19104 (215) 662-2454 George, Michael D., MD Ligon, Colin, MD 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2454 George, Michael D., MD Ligon, Colin, MD

3300 Henry Ave, Ste SKILLED NURSING 104 FACILITY A 1 FAMILY DENTAL Philadelphia, PA 19129 MEADOWVIEW CARE (215) 276-6111 REHAB NURSING 003188714 DeMarco, Jordan T., OD CENTER 8355 Loretto Ave, Ste Whyte, Heather, OD SNYDER AVENUE 003473330 104 DENTAL CENTER THE EYE INSTITUTE 9209 Ridge Pike Philadelphia, PA 19152 000860028 1200 W Godfrey Ave Philadelphia, PA 19128 (215) 342-5750 640 Snyder Ave Philadelphia, PA 19141 (610) 825-6560 Emily B. Ayoki Otieno, Philadelphia, PA 19148 (215) 276-6000 DDS SLEEP MEDICINE (215) 334-4900 DeMarco, Jordan T., OD CHINATOWN DENTAL Current Patients Only Whyte, Heather, OD UNIVERSITY OF PA CENTER Samara Al Jumaili, DMD MEDICAL GROUP 002581785 7630 Germantown Ave 002804974 930 Washington Ave Philadelphia, PA 19118 ROUTINE VISION 3400 Spruce Street Philadelphia, PA 19147 (215) 276-6000 DR. CARTER LIOTTA Philadelphia, PA 19104 (215) 339-3000 DeMarco, Jordan T., OD 160 E Erie Ave (215) 662-4000 Samara Al Jumaili, DMD Whyte, Heather, OD Philadelphia, PA 19134 Doshi, Neil R., MD CHIZOBAM N. TREND EYE CARE II (215) 427-8120 UPHS PRESBYTERIAN IDAHOSA, DDS LLC Bailey, Joann T., OD DEPT OF INTERNAL 002634682 1501 N Broad St, Suite MEDICINE HOSP DR. RICHARD NAIDS 7 3223 N Broad St BASE Philadelphia, PA 19122 Philadelphia, PA 19140 1st Fl, 2314 E York St 002804974 Philadelphia, PA 19125 (215) 866-1742 (215) 707-2912 51 N 39th Street, Mab, (215) 291-2194 Tempesta, Angela, OD Chizobam N. Idahosa, Suite 102 Arteaga, Fernando A., DDS Philadelphia, PA 19104 VISIONWORKS OD DENTAL & 2118 Cottman Ave, Ste (215) 662-9990 OPHTHALMOLOGY BEHAVIORAL 8 Doshi, Neil R., MD PHYSICIAN & HEALTHCARE Philadelphia, PA 19149 SURGEONS 002581787 SPEECH THERAPIST (215) 725-1209 511 W Courtland Street 5501 Woodland Ave Dorfman, Elina, OD BENCHMARK Philadelphia, PA 19143 Philadelphia, PA 19140 THERAPIES INC 2250 Christopher (215) 455-1010 (215) 724-0919 003335441 Columbus Blvd Samara Al Jumaili, DMD Arteaga, Fernando A., Philadelphia, PA 19148 2701 Southampton OD Road FRANKFORD AVENUE (215) 339-5341 OPHTHALMOLOGY Philadelphia, PA 19154 DENTAL CENTER Lesniewski, Jennifer, PHYSICIANS & (814) 506-8212 002065013 OD SURGEONS Shpilsky, Laura A., SLP 4510 Frankford Ave 3586 Aramingo Ave 4231 N 5th St Philadelphia, PA 19124 Philadelphia, PA 19140 Philadelphia, PA 19134 EFFECTIVE (215) 535-1990 COMMUNICATION (215) 535-4264 (215) 455-1010 Samara Al Jumaili, DMD SOLUTIONS Chen, Min Q., OD Arteaga, Fernando A., 002817577 HUNTING PARK OD 14500 Bustleton AVENUE DENTAL SALUS UNIVERSITY Avenue, Suite 1A CENTER Philadelphia, PA 19116 001860797 (215) 613-6523 ROUTINE DENTAL

P - Preferred pharmacy

1999 W Hunting Park Ave Philadelphia, PA 19140 (215) 229-1390 Samara Al Jumaili, DMD

61

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE JOINED THE KEYSTONE 65 SELECT HMO NETWORK. Busler, Alexa H., SLP McKenna, Gail F., SLP Tillman, Brittanie A., SLP SPORTS MEDICINE DREXEL FAMILY PRACTICE SPORTS MEDICINE 002815237 10 Shurs Lane, Suite 203 Philadelphia, PA 19127 (215) 482-1234 Corcoran, Blake C., MD UROLOGY CHILDRENS SURGICAL ASSOCIATES LTD 002809715 3401 Civic Center Boulevard Philadelphia, PA 19104 (215) 590-2754 Chu, David, MD CHILDRENS SURGICAL ASSOCIATES LTD UROLOGY 002809715 3500 Civic Center Boulevard Philadelphia, PA 19104 (215) 590-2754 Chu, David, MD

002809534 833 Chestnut Street, Suite 703 Philadelphia, PA 19107 (215) 955-1000 Mark, James R., MD TEMPLE UROLOGY ASSOCIATES 002804933 3401 North Broad Street, 3rd Floor Parkinson Pavillion Philadelphia, PA 19140 (215) 707-3375 Waldorf, Benjamin T., MD VASCULAR SURGERY EINSTEIN PRACTICE PLAN 002804820 5401 Old York Rd, Klein 101 Philadelphia, PA 19141 (215) 456-6178 Awad, Nadia A., MD VEIN CLINIC OF PHILADELPHIA LLC 002900821 8350 Bustleton Avenue Philadelphia, PA 19152 (215) 809-1445 Difiore, Richard, MD

EINSTEIN UROLOGY ASSOCIATES 003011457 1200 Tabor Road, Moss 3 Sley Philadelphia, PA 19141 (215) 456-4600 Ohmann, Erin L., MD

JJEFFERSON J UROLOGY ASSOCIATES P - Preferred pharmacy

62

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. BERKS COUNTY BEHAVIORAL ANALYST CONCERN PRO SVCS FOR CHILD YTH FML 002989400 24 N Franklin St Ste 22 Fleetwood, PA 19522 (610) 944-0445 Jones, Simone B., MA CONCERN PRO SVCS FOR CHILD YTH FMLY 002989400 1 W Main St Fleetwood, PA 19522 (610) 944-0445 Jones, Simone B., MA DERMATOLOGY TARA H LAWLOR DERMATOLOGY INC 003296553 2901 St Lawrence Avenue, Suite 200 Reading, PA 19606 (610) 301-0306 Lawlor, Tara, DO FAMILY PRACTICE ANTHONY J MELA SR DO 003322705 2201 Ridgewood Rd, Suite 160 Wyomissing, PA 19610 (484) 509-1900 Mela, Sr, Anthony J., DO LVPG FAMILY MEDICINE BLANDON 002820980 850 Golden Dr, Ste 1 Blandon, PA 19510 (610) 944-5555 Charney, Colleen M., MD

Katz, Aaron D., MD 002820982 501 Hoch Rd Blandon, PA 19510 (610) 944-5555 Charney, Colleen M., MD Spinosa, Wendy R., MD Truscott, Jr, Kenneth D., MD Widmer, Suzanne L., DO LVPG FAMILY MEDICINE HAMBURG 002812248 700 Hawk Ridge Road Hamburg, PA 19526 (610) 562-3066 Katz, Aaron D., MD

2600 Paper Mill Road Wyomissing, PA 19610 (484) 220-0051 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD READING HOSPITAL OCCUPATIONAL HEALTH SERVICES 003430572 1000 Tuckerton Court Reading, PA 19605 (484) 682-4000 Tomassi, Anthony, MD GENERAL PRACTICE

LVPG FAMILY MEDICINE BLANDON 002820980 LVPG FAMILY 850 Golden Dr, Ste 1 MEDICINE KUTZTOWN Blandon, PA 19510 002813955 (610) 944-5555 333 Norma Avenue Shay, W William, DO Kutztown, PA 19530 002820982 (610) 683-8363 501 Hoch Rd Katz, Aaron D., MD Blandon, PA 19510 PATIENT FIRST (610) 944-5555 MEDICAL GROUP Shay, W William, DO 002822975 2600 Paper Mill Road INTERNAL MEDICINE Wyomissing, PA 19610 PATIENT FIRST (610) 844-9150 MEDICAL GROUP McGinley, Gregory J., 002822975 DO 2600 Paper Mill Road Ortiz Evans, Ileana, MD Wyomissing, PA 19610 002996179 (610) 844-9150 2600 Paper Mill Road Latona, Sandra J., MD Wyomissing, PA 19610 002996179 (484) 220-0051 2600 Paper Mill Road McGinley, Gregory J., Wyomissing, PA 19610 DO (484) 220-0051 PATIENT FIRST Latona, Sandra J., MD PENNSYLVANIA MEDICAL GROUP 002822977

P - Preferred pharmacy

63

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 2600 Paper Mill Road Wyomissing, PA 19610 (484) 220-0051 Latona, Sandra J., MD LICENSED CLINICAL SOCIAL WORKER HORIZONZ LLC 002989596 4 S 4th Street, Floor 2 Reading, PA 19602 (610) 743-5190 Knaut, Natalya V., MSW

538 Penn Ave West Reading, PA 19611 (610) 375-4366 MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH CONCERN PRO SVCS FOR CHILD YTH FML 002989400 24 N Franklin St Ste 22 Fleetwood, PA 19522 (610) 944-0445 Sanchez, Paula N., PHD

PURPOSEFUL LIVING CNSLNG SVCS LONG-TERM CARE 003166987 PHARMACIES 3992 Penn Ave, Ste 5 DIAMOND PHARMACY Sinking Spring, PA 19608 SERVICES 7 Cherry St (610) 678-5000 Leesport, PA 19533 Clinton, Adrianne L., MA (888) 441-0001 READING HOSP CTR FOR MNTL HLTH OUTLOOK 002989719 PHARMACY SERVICES 6th Ave and Spruce St, K Building 301 S 7th Ave Ste 146 West Reading, PA West Reading, PA 19611 19611 (484) 628-8070 (610) 376-6542 Witt Browder, Amy S., THE MEDICINE MA SHOPPE PHARMACY READING HOSPITAL 2 E Philadelphia Ave CENTER FOR MENTAL Boyertown, PA 19512 HEALTH (610) 369-3888 002989719 WERNERSVILLE 420 S 5th Avenue, K STATE HOSPITAL Building PHARMACY Reading, PA 19611 160 Main Street (484) 628-8070 Wernersville, PA 19565 Orzech, Gregory L., MA (610) 670-4115 WEST READING DRUG STORE

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. OPHTHALMOLOGY EYE CONSULTANTS OF PENNSYLVANIA 002803825 1 Granite Point Drive, Suite 100 Wyomissing, PA 19610 (610) 378-1344 Nemani, Abhishek K., MD PHYSICAL THERAPIST PREMIER PHYSICAL THERAPY PC 003055923 2201 Ridgewood Road, Ste 160 Wyomissing, PA 19610 (484) 509-1900 PLASTIC SURGERY READING DERMATOLOGY ASSOCIATES 002820407 3317 Penn Ave Reading, PA 19609 (610) 750-7891 Burget, Jr, Dean E., MD PODIATRY BERKSHIRE PODIATRY CENTER LTD 002803850 3057A Main Street, PO Box 422 Morgantown, PA 19543 (610) 373-4154 Stache, Cassandra A., DPM Weisberg, Alan, DPM

PSYCHIATRIC NURSE BERKSHIRE PSYCHC 002988924 640 Walnut St Ste 303 Reading, PA 19601 (610) 208-8860 Clark, Elizabeth J., RN 716 N Park Rd Wyomissing, PA 19610 (610) 375-0544 Clark, Elizabeth J., RN PSYCHIATRY CONCERN PRO SVCS FOR CHILD YTH FML 002989400 24 N Franklin St Ste 22 Fleetwood, PA 19522 (610) 944-0445 Vizcaino, Edgar, MD CONCERN PRO SVCS FOR CHILD YTH FMLY 002989400 1120 Hobart Avenue, Suite C Wyomissing, PA 19610 (610) 371-8035 Ercole, Mario A., MD Vizcaino, Edgar, MD

DIAMOND PHARMACY SERVICES DGR MGMT INC 7 Cherry St 002989277 Leesport, PA 19533 2201 Ridgewood Rd Ste (888) 441-0001 400 Wyomissing, PA 19610 ESTERBROOK PHARMACY P (610) 378-9601 301 S 7th Ave, Ste 145 Carter, Andrea R., West Reading, PA PSYD 19611 (610) 376-6542 RENAL DIALYSIS CENTER KMART PHARMACY3136 READING DIALYSIS 1 Parkside Ave CENTER LLC Shillington, PA 19607 002803038 965 Berkshire Boulevard (610) 775-5262 Wyomissing, PA 19610 OUTLOOK (610) 370-5323 PHARMACY SERVICES RENAL DIALYSIS 301 S 7th Ave Ste 146 FACILITIES West Reading, PA 19611 READING DIALYSIS CENTER LLC (610) 376-6542 002803038 PRECISION CARE 965 Berkshire Boulevard PHARMACY P Wyomissing, PA 19610 360 E Wyomissing Ave (610) 370-5323 Ste H PSYCHOLOGIST

RETAIL PHARMACIES

BERKS DISCOUNT PHARMACY P DGR MGMT INC 500 Penn St Ste B 002989277 Reading, PA 19602 2201 Ridgewood Rd Ste (610) 373-1800 400 Wyomissing, PA 19610 CVS PHARMACY P (610) 378-9601 2769 Papermill Rd Foster, Lisa M., MD Wyomissing, PA 19610 Jenkins, Robert A., MD (610) 374-9942 4220 N 5th Street Hwy Temple, PA 19560 (610) 921-5141 4599 Perkiomen Ave Reading, PA 19606 (484) 651-1921

P - Preferred pharmacy

64

Mohnton, PA 19540 (610) 743-3132 ST. JOSEPH AMBULATORY PHARMACY P 2500 Bernville Rd, First Floor Reading, PA 19605 (610) 378-2862 THE COMMUNITY PHARMACY P 145 North 6th St Reading, PA 19601 (610) 208-4660 THE MEDICINE SHOPPE PHARMACY P

101 W Lancaster Ave Shillington, PA 19607 (610) 777-2313 1170 Perkiomen Ave Reading, PA 19602 (610) 378-1396 2 E Philadelphia Ave Boyertown, PA 19512 (610) 369-3888 WEST READING DRUG STORE P 538 Penn Ave West Reading, PA 19611 (610) 375-4366 BUCKS COUNTY ANESTHESIOLOGY OXYGEN THERAPURITY LLC 003130793 848 Town Center Dr Langhorne, PA 19047 (315) 352-3720 Fall, Patrick C., DO SE PA PAIN MANAGEMENT LTD 003019086 2346 Trenton Rd, Suite A Levittown, PA 19056 (855) 235-7246 Sasso, Philip J., MD Sundararajan, Venkatesh, MD SOUTHEAST PA PAIN MANAGEMENT LTD 002809377 2346 Trenton Rd Levittown, PA 19056 (855) 235-7246 Anigati, Juan C., MD Atkins, Robert F., MD Etter, Mark, MD Kline, Matthew T., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. Kurien, Karimpumanil M., MD ANESTHESIOLOGY PAIN MANAGEMENT

Shah, Rakesh R., MD Trivedi, Atul D., MD

CHIROPRACTOR

PENN CARDIOLOGY 002810466 777 Township Line Road, 1st Floor Yardley, PA 19067 (215) 860-0775 Malik, Manish G., MD Zhang, Janet C., MD

EASTERN PA CHIRO FUNC REHAB 002814923 312 Juniper St Quakertown, PA 18951 (215) 536-4333 Weismantel, Craig W., DC

AMERICAN PAIN TREATMENT 003054212 280 Middletown Boulevard Langhorne, PA 19047 (267) 572-3168 PERPHERIAL Chekemian, Beth A., DO VASCULAR INSTITUTE 003043051 RA PAIN SERVICES 301 Oxford Valley Road PA Yardley, PA 19067 002822210 (215) 493-8300 11 Friends Lane, Suite Meltzer, Arthur H., MD 101A Newtown, PA 18940 (215) 579-1300 Chekemian, Beth A., DO Innerfield, Caitlin E., MD

CERTIFIED REGISTERED NURSE PRACTITIONER

BUCKS COUNTY GERIATRICS 002821456 ARIA OXFORD 1205 LanghorneVALLEY CARDIOLOGY Newtown Road, Suite 002823170 102 370 Middletown Blvd, Langhorne, PA 19047 Oxford Square Ste 510 (215) 710-4480 Langhorne, PA 19047 Misnik, Sherry S., CRNP (215) 750-6566 DURHAM PHYSICIANS Rao, Adiraju V., MD 002821342 COMPREHENSIVE 4595 New Falls Road CARDIOLOGY Levittown, PA 19056 CONSULTANTS (267) 587-3700 002822847 Ward, Donna C., CRNP 4595 New Falls Road, CARDIOVASCULAR DISEASE

Suite A Levittown, PA 19056 (215) 750-7037 Ammaturo, Frank, MD Fields, Ronald H., MD Gold, Jonathan, MD Haridas, Anand, MD Hussain, Syed A., MD Scheiring, Kristy L., DO

MINUTE CLINIC DIAGNOSTIC OF PENNSYLVANIA LLC 002819482 1034 2nd Street Pike Richboro, PA 18954 (866) 389-2727 Hackbart, Cynthia S., CRNP

P - Preferred pharmacy

ELITE CHIROPRACTIC LLC 002822923 842 Durham Road Wrightstown, PA 18940 (215) 598-3266 Kochanski, Brian J., DC

105 Terry Drive, Suite 114 Newtown, PA 18940 (215) 860-9798 Lyons, David C., DC Oatman, Jamie L., DC TAMI R HERMAN DC 002813728 591 Durham Rd Newtown, PA 18940 (215) 598-9789 Herman, Tami R., DC

TECHNOLOGY AND HEALTH INC 002816231 781 Second Street Pike Southampton, PA 18966 JJAMISON J CHIROPRACTIC CORP (215) 673-9500 002900402 Jacobson, Sande R., DC 1703 Almshouse Road WELLNESS Jamison, PA 18929 STRATEGIES (215) 343-4036 002816615 Doyle, Kristen P., DC 312 W Butler Ave Feeney, Mark J., DC New Britain, PA 18901

ENDOCRINOLOGY ARVIND R CAVALE MD 002813541 1234 Bridgetown Pike, Suite 310 Feasterville, PA 19053 (215) 953-6804 Cavale, Arvind, MD BUCKS THYROID AND ENDOCRINE CARE LLC 003360822 301 Oxford Valley Road, 1803A Yardley, PA 19067 (215) 754-5050 Paparsenos, Achilles T., MD FAMILY PRACTICE

ARIA FAMILY PRACTICE AT MAKEFIELD QUARTERS 003173139 (215) 345-4559 JJKM J HEALTH LLC 301 Oxford Valley Rd, Brady, Michael S., DC 002818582 Makefield Executive Quarters, STE1000 102 Progress Drive, COLON & RECTAL Suite 202 Yardley, PA 19067 SURGERY Doylestown, PA 18901 (267) 503-0130 CENTER FOR COLON Adler, Patrick M., DO (215) 345-8141 AND RECTAL HEALTH Heller, Marc J., DO Kallelis, John P., DC INC Johnson, Margi L., DO LEWANDOWSKI 002820098 Lee, Brittania L., MD FAMILY 708 North Shady Lindenbaum, Jeffry, DO CHIROPRACTIC PC Retreat Road, Suite 8 002816128 Doylestown, PA 18901 ARIA NESHAMINY 1125 Cental Avenue MEDICAL (215) 348-7600 Fstrvl Trvose, PA 19053 002821057 Goldstein, Richard S., (215) 396-7388 2426 Bristol Rd MD Lewandowski, Bruce E., Marcoux, Anne Marie, Bensalem, PA 19020 DC MD (215) 757-1533 Adler, Patrick M., DO SYNERGY REHABILITATION AND Heller, Marc J., DO CHIROPRACTIC Shah, Sarah R., DO 003371329

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THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. BUCKINGHAM PRIMARY HEALTHCARE 003462338 2325 Heritage Center Dr Furlong, PA 18925 (267) 406-4422 Marino, Louis C., MD BUCKS COUNTY FAMILY PRACTICE 003352951 1205 LanghorneNewtown Road, Suite 411 Langhorne, PA 19047 (215) 710-7075 Ciccotelli, Aldo A., MD McAdams, Christina A., MD

833 Durham Road Langhorne, PA 19047 (215) 752-5433 Current Patients Only Hidalgo, Jr, Horacio A., MD LPLS BUCKS COIUNTY FAMILY PRACTICE 003126865 106 Corporate Drive East, Suite 207 Langhorne, PA 19047 (215) 504-5253 Murphy Cook, Caroline A., MD Schwartz, Milton A., MD

LPS BUCKS COUNTY FAMILY PRACTICE 003126865 CAPITAL HEALTH PRIMARY CARE 106 Corporate Drive East, Suite 107 003013205 Langhorne, PA 19047 1050 Stonyhill Road Yardley, PA 19067 (215) 504-5253 Ciccotelli, Aldo A., MD (215) 504-1756 Flynn Abdalla, Jane, DO McAdams, Christina A., MD DURHAM PHYSICIANS Murphy Cook, Caroline 002821342 A., MD 4595 New Falls Road Schwartz, Milton A., MD Levittown, PA 19056 PATIENT FIRST (267) 587-3700 MEDICAL GROUP Hidalgo, Jr, Horacio A., 002996179 MD 75 East Street Road HOLLAND FAMILY Feastervle Trevose, PA PRACTICE 19053 002821463 (267) 684-1047 295 Buck Rd, Ste 204 McGinley, Gregory J., Holland, PA 18966 DO (215) 355-7074 003109682 Current Patients Only 75 E Street Road Feinman, Craig S., DO Feastervle Trevose, PA LANGHORNE 19053 PHYSICIAN SERVICES (267) 684-1047 003409477 McGinley, Gregory J., DO P - Preferred pharmacy

Ortiz Evans, Ileana, MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 75 East Street Road Feastervle Trevose, PA 19053 (267) 684-1047 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD PINNACLE STOLTZ HAHN 002885973 339 East Street Road Trevose, PA 19053 (267) 574-8100 Hahn, Larry S., DO Stoltz, Bradley J., DO PREMIER URGENT CARE AT KENNETT 003116049 2873 South Eagle Rd Newtown, PA 18940 (267) 364-6477 Cellucci, John M., MD ST MARY FAMILY PRACTICE 003432502 4595 New Falls Road, Suite A Levittown, PA 19056 (267) 587-3700 Rossi, James C., DO

GENERAL PRACTICE

HOME HEALTH CARE AGENCY

ARIA FAMILY PRACTICE AT MAKEFIELD QUARTERS 003173139 301 Oxford Valley Rd, Makefield Executive Quarters, STE1000 Yardley, PA 19067 (267) 503-0130 Gosciniak, Leon E., DO

FIDELITY HOME HEALTH LLC 003006876 139 Bustleton Pike, Suite 101 Feasterville, PA 19053 (215) 710-0515

GENERAL SURGERY BMC SPECIALTY PHYSICIANS INC 003031442 501 Bath Rd, 2nd Fl Bristol, PA 19007 (215) 785-9788 Bednarek, Joseph M., MD PERPHERIAL VASCULAR INSTITUTE 003043051 301 Oxford Valley Road Yardley, PA 19067 (215) 493-8300 Ahmadinejad, Ali S., MD VIA AFFILIATES 002811104 595 West State Street, 1st Floor West Wing Doylestown, PA 18901 (215) 345-2885 Crivaro, Michael A., MD

HOSPICE AND END OF LIFE MEDICINE PALLATIVE CARE 003342574 1203 Newtown Langhorne Road, St Claire Building Holistic Center, Ste M20 Langhorne, PA 19047 (215) 710-5510 Bertucci, Maria J., MD INTERNAL MEDICINE ARIA PHYSICIAN SERVICES HOSPITALISTS 002818693 380 North Oxford Valley Road Langhorne, PA 19047 (215) 949-5000 Sefah, Angela O., MD BMC PRIMARY CARE PHYSICIANS LLC 002808194 501 Bath Road, Suite 503 Bristol, PA 19007 (215) 785-9601 Mersky, Martin R., MD BUCKS COUNTY GERIATRICS 002821456

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THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 1205 LanghorneNewtown Road, Suite 102 Langhorne, PA 19047 (215) 710-4480 Scannapieco, Michelle A., MD BUXMONT PRIMARY CARE 002819575 501 Street Road, Suite 101 Southampton, PA 18966 (215) 357-5780 Brecher, Jeffrey A., MD Knapp, Michael A., MD CENTER FOR MEDICAL CARE PC 003170361 2742 Knights Road Bensalem, PA 19020 (215) 244-9894 Current Patients Only Dave, Ashesh S., MD COMPREHESIVE INTERNAL MEDICINE 003146001 95 Almshouse Rd, Suite 103 Richboro, PA 18954 (215) 357-5760 Kleeman, Audrey, MD DANA L KERNER DO 002821051 283 2nd Street Pike, Suite 145 Southampton, PA 18966 (215) 322-2213 Kerner, Dana L., DO PATIENT FIRST MEDICAL GROUP 002996179

75 East Street Road Feastervle Trevose, PA 19053 (267) 684-1047 Latona, Sandra J., MD 003109682 75 E Street Road Feastervle Trevose, PA 19053 (267) 684-1047 Latona, Sandra J., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 75 East Street Road Feastervle Trevose, PA 19053 (267) 684-1047 Latona, Sandra J., MD PINNACLE STREET RD 002876779 2938 Knights Road Bensalem, PA 19020 (215) 639-1460 Sandhu, Bakhshish S., MD

595 West State Street, 1st Floor West Wing Doylestown, PA 18901 (215) 345-2885 Chapnick, Michel, DO Fridman, Henrietta, MD Gallant, Jane T., MD Htay, Soe, MD Karp, Joshua M., MD Mirsky, Robert S., MD Pelletier, Maryellen, MD Polsani, Srilatha, MD Ravetz, Larry A., MD Reddy, Siddavatavam, MD Syamala, Jiji, MD Urffer, Peter H., MD Vinnikov, Oleg, MD YURAMED LLC 003097207 826 Bustleton Pike, Unit 101A Feasterville, PA 19053 (215) 305-8206 Current Patients Only Iikovych, Yuriy F., MD LICENSED CLINICAL SOCIAL WORKER

PREMIER URGENT CARE AT KENNETT 003116049 2873 South Eagle Rd Newtown, PA 18940 (267) 364-6477 Mozumdar, Shaymal, MD

ABINGTON MEML HOSP 002989037 205 Newtown Rd, Ste 220 Warminster, PA 18974 (215) 481-5450 Carey, Jan T., MSW

VIA AFFILIATES 002811104 595 West State Street Doylestown, PA 18901 (215) 345-2885 Mirsky, Robert S., MD

ABINGTON PSYCHC ASSOCS 002989037 205 Newtown Rd, Stein Bldg, Ste 212 Warminster, PA 18974 (215) 481-5450 Carey, Jan T., MSW Shapiro, Diane M., MSW

P - Preferred pharmacy

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225 Newtown Rd Warminster, PA 18974 (215) 481-5450 Shapiro, Diane M., MSW

003131748 4 Cornerstone Dr Langhorne, PA 19047 (215) 757-6916 Baker, Angela, MS Larr, Eileen E., MA

225 Newtown Rd, Fl 2 Warminster, PA 18974 HOLY REDEEMER (215) 481-5450 Shapiro, Diane M., MSW CNSLNG CTR 002989089 DOYLESTOWN 1844 Street Rd, Ste 103 CNSLNG ASSOCS INC Southampton, PA 003370117 18966 62 N Church St (215) 914-4190 Doylestown, PA 18901 Small, Kristle J., MED (267) 454-2028 23 Bustleton Pike Knochenhauer, Fstrvl Trvose, PA 19053 Christine, MSW (215) 914-4190 PENN FNDTN INC Small, Kristle J., MED 002988993 3300 Tillman Drive 807 Lawn Avenue Bensalem, PA 19020 Sellersville, PA 18960 (215) 914-4190 (215) 453-5162 Small, Kristle J., MED Grochowiak, Dawn M., MSW IVYLAND CNSLNG II CTR LONG-TERM CARE 002989350 PHARMACIES 1210 Old York Rd Ste THE MEDICINE 202 SHOPPE PHARMACY Warminster, PA 18974 95 York Rd (215) 444-9204 Warminster, PA 18974 Dickinson, Jay, MA (215) 675-0777 Grossman, Barry I., MS MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH ABINGTON PSYCHC ASSOCS 002989037 205 Newtown Rd, Stein Bldg, Ste 212 Warminster, PA 18974 (215) 481-5450 Zeigler, Fern, ACS FMLY SVC ASSN OF BUCKS CNTY

4 Village Sq Ste 12 New Hope, PA 18938 (215) 444-9204 Dickinson, Jay, MA Grossman, Barry I., MS LENAPE VLY FNDTN 002989259 500 N West St Doylestown, PA 18901 (215) 345-5300 Achille, Stephan, MA TREVOSE CORPORATE CENTER

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 002988891 4610 E Street Rd Trevose, PA 19053 (267) 699-3000 Pullan, Margaret R., MA NEONATOLOGY CHCA NEONATOLOGY 002805478 1201 Langhorne Newtown Rd. Langhorne, PA 19047 (215) 710-5996 Qayyum, Imran, MD NEUROLOGY VIA AFFILIATES 002811104 595 West State Street, 1st Floor West Wing Doylestown, PA 18901 (215) 345-2885 Gould, Jeffrey D., MD NURSE MIDWIFE MOTHER BACHMAN MATERNITY CTR 002820365 2560 Knights Rd Bensalem, PA 19020 (215) 245-8875 McCalley Sunday, Patricia A., CNM OB-GYNECOLOGY LPS WOMENS HEALTH ASSOCIATES OF BUCKS COUNTY 002818965 2189 Second St Pike, Wrightstown, Suite 200 Wrightstown, PA 18940 (215) 710-5610 Tyree, Laura L., MD MOTHER BACHMAN MATERNITY CTR

002820365 2560 Knights Rd Bensalem, PA 19020 (215) 245-8875 Tannenbaum, David S., MD ST. MARY OB/GYN BUCKS COUNTY 003365808 4595 New Falls Road, Suite A Levittown, PA 19056 (267) 587-3700 Mintah, Afua, MD VALLEY OB GYN ASSOCIATION 002814987 200 Apple Street Quakertown, PA 18951 (215) 538-1424 Riedel, William C., DO Tuazon, Hazel A., MD WOMEN'S HEALTH ASSOC OF BUCKS COUNTY 002818965 4595 New Falls Road, Suite A Levittown, PA 19056 (215) 710-5610 Cleary, Stephen P., MD Defilippis, David J., MD Halpern, Lee S., MD Scott, Diana L., MD Tyree, Laura L., MD OCCUPATIONAL THERAPIST FOR HAND IINSTITUTE I AND UPPER EXTREMITY REHAB 002813006 400 Broad Street Quakertown, PA 18951 (215) 538-1303 Mock, Jason D., OTR

P - Preferred pharmacy

65 E Butler Ave, Suite 101 New Britain, PA 18901 (215) 348-3549 Mock, Jason D., OTR MERCER BUCKS ORTHOPAEDICS PC 002817107 1203 Langhorne Newtown Road, Suite 220 Langhorne, PA 19047 (215) 860-4274 Streeter, Natania J., OTR OPHTHALMOLOGY CENTURY EYE CARE LTD 002814653 216 Mill Street Bristol, PA 19007 (215) 781-2020 Lee, Daniel, MD 2189 2nd St Pike Newtown, PA 18940 (215) 781-2020 Lee, Daniel, MD 670 Woodbourne Road, Ste 200 Langhorne, PA 19047 (215) 752-8888 Lee, Daniel, MD OPHTHALMOLOGY PHYSICIANS AND SURGEONS 002814735 1018 St Rd Southampton, PA 18966 (215) 322-8338 Morrison, Robert E., MD

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1382 Newton Langhorne ORTHOPEDIC HAND Rd SURGERY Newtown, PA 18940 MERCER BUCKS (215) 504-1153 ORTHOPAEDICS PC Morrison, Robert E., MD 002817107 1400 Old Jordan Rd 1203 Langhorne Holland, PA 18966 Newtown Road, Suite 220 (215) 968-9110 Morrison, Robert E., MD Langhorne, PA 19047 (215) 860-4274 1609 Woodbourne Rd, Armbruster, Edward J., Ste 303 DO Levittown, PA 19057 Crivello, Keith, MD (215) 547-1818 Zambito, Kimberly L., Morrison, Robert E., MD MD 2325 Heritage Center Dr ORTHOPEDIC Furlong, PA 18925 SURGERY (215) 794-4550 Morrison, Robert E., MD MERCER BUCKS ORTHOPAEDICS PC OPTOMETRIST 002811128 EYE ASSOCIATES OF 2189 Second Street Pike RICHBORO Wrightstown, PA 18940 002820880 (609) 896-0444 56 Newtown Richboro Nolan, Jr, John P., MD Road Richboro, PA 18954 (215) 355-5818 Patel, Minal G., OD OPHTHALMOLOGY PHYSICIANS AND SURGEONS 002814734 1609 Woodbourne Rd, Ste 303 Levittown, PA 19057 (215) 547-1818 Brignola, Guy R., OD SPECTRUM VISION CARE PC 003323771 521 West Butler Pike Chalfont, PA 18914 (267) 875-3937 Richard, Melissa A., OD

002817107 1203 Langhorne Newtown Road, Suite 220 Langhorne, PA 19047 (215) 860-4274 Ast, Michael P., MD Bills, Thomas K., MD Cairone, Stephen S., DO Codjoe, Paul W., MD Eingorn, David S., MD Ford, Edward J., MD Kleinbart, Fredric A., MD Nolan, Jr, John P., MD 2189 Second Street Pike, 2nd Floor Newtown, PA 18940 (609) 896-0444 Kleinbart, Fredric A., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. TRENTON ORTHOPAEDIC GROUP, PA 002898062 103 Floral Vale Blvd. Yardley, PA 19067 (267) 757-0560 Caruso, Steven A., MD Conte, Evan J., MD Fletcher, Daniel J., MD Hornstein, Joshua S., MD Levine, Marc J., MD Pagliaro, Andre J., MD Saxena, Arjun, MD Schnell, John R., MD ORTHOTICS AND PROSTHETICS FITTER FEET FIRST, INC. 002803129 607 Louis Drive, Ste A2 Warminster, PA 18974 (215) 794-2600 PHYSICAL MEDICINE AND REHABILITATION DOYLESTOWN NEUROLOGY 002811104 599 West State Street, Suite 207A Doylestown, PA 18901 (215) 345-0105 Young, David J., DO MERCER BUCKS ORTHOPAEDICS PC 002817107 103 Floral Vale Boulevard Yardley, PA 19067 (215) 860-4274 Kothari, Gautam, DO Patel, Rikin J., DO

1203 Langhorne Newtown Road, Suite 220 Langhorne, PA 19047 (215) 860-4274 Kothari, Gautam, DO Patel, Rikin J., DO RA PAIN SERVICES PA 002822210 11 Friends Lane, Suite 101A Newtown, PA 18940 (215) 579-1300 Lisko, Trina M., DO Scholl, Seth D., DO ST LUKES NEUROLOGY ASSOCIATES 002816549 1534 Park Avenue Quakertown, PA 18951 (484) 426-2626 Sathe, Geeta G., MD TRENTON ORTHOPAEDIC GROUP, PA 002898062 103 Floral Vale Blvd. Yardley, PA 19067 (267) 757-0560 Roman, Jr, Stephen J., MD VIA AFFILIATES 002811104 595 West State Street Doylestown, PA 18901 (215) 345-2885 Young, David J., DO

P - Preferred pharmacy

PHYSICAL THERAPIST BOWERS REHABILITATION SERVICES 002808170 905 Floral Vale Boulevard Yardley, PA 19067 (215) 741-9315 DAVID L BOWERS 002810712 905 Floral Vale Boulevard Yardley, PA 19067 (215) 741-9315 NOVACARE REHABILITATION 002812129 1040 Mill Creek Road Fstrvl Trvose, PA 19053 (215) 357-2363 SHLOBIN ANATOLY 002813820 1248 Heritage Circle Feasterville, PA 19053 (215) 464-6104 WELLNESS REHAB ASSOCIATES 002816678 3655 Swamp Road, Suite 110 Doylestown, PA 18901 (215) 947-1174

LANGHORNE PLASTIC AND RECONSTRUCTIVE SURGERY 002822965 1203 LanghorneNewtown Road, Suite 334 Langhorne, PA 19047 (215) 710-5234 Holzman, Nathaniel L., MD PODIATRY HARIETT B LEVINSON GREENBERG DPM 002803968 140 Buck Hill Drive Holland, PA 18966 (215) 968-6800 Levinson Greenber, Hariett B., DPM PSYCHIATRY ABINGTON MEML HOSP 002989037 205 Newtown Rd, Ste 220 Warminster, PA 18974 (215) 481-5450 Chambliss, Jr, Robert B., MD

ABINGTON PSYCHC ASSOCS 002989037 205 Newtown Rd, Stein PLASTIC SURGERY Bldg, Ste 212 Warminster, PA 18974 GODWIN PLASTIC (215) 481-5450 SURGERY CTN LLC Chambliss, Jr, Robert 003071058 B., MD 301 Oxford Valley Road, Waldfogel, Shimon S., Suite 901 MD Morrisville, PA 19067 225 Newtown Rd (267) 399-9930 Godwin, Kenneth A., DO Warminster, PA 18974 (215) 481-5450

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Chambliss, Jr, Robert B., MD FMLY SVC ASSN OF BUCKS CNTY 003131748 4 Cornerstone Dr Langhorne, PA 19047 (215) 757-6916 Velagapudi, Vijaya L., MD OMNI HLTH SVCS INC 002989430 582 S West End Blvd, Ste 2 Quakertown, PA 18951 (267) 347-4453 Deeney, Gerard, MD Dunlop, Lance R., MD Garcia Caraballo, Nohazarahit M., MD PENN FNDTN INC 002988993 807 Lawn Ave Sellersville, PA 18960 (215) 257-6551 Kissel, Olga, MD ST LUKES PSYCHC ASSOCS INC 002989014 1021 Park Avenue Quakertown, PA 18951 (215) 538-4500 Anokwuru, Ebere A., MD Diaz Burney, Carmen E., MD Gerstman, Robert, DO Khan, Mohammad K., MD Marchionni, Christine, MD Singh, Harvinder, MD Vedeniapin, Andrei B., MD TREVOSE CORPORATE CENTER 002988891

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 4610 E Street Rd Trevose, PA 19053 (267) 699-3000 Komisarof, Jerome H., MD PSYCHOLOGIST KARPF RONALD J PHD 002986721 201 Woolston Drive, Ste 1D Morrisville, PA 19067 (610) 834-8212 Karpf, Ronald J., PHD KOMAL CHAND SARAF 002987173 82 N Pennsylvania Ave Morrisville, PA 19067 (215) 736-2240 Saraf, Komal C., PHD PENN FNDTN INC 002988993 807 Lawn Ave Sellersville, PA 18960 (215) 257-6551 Worley, Julie A., PHD PENNDEL MNTL HLTH CTR 002989358 1517 Durham Rd Penndel, PA 19047 (267) 587-2345 Johnson, Dione N., PHD

206 Corporate Dr E, Luxembourg Corp Ctr Langhorne, PA 19047 (267) 357-7322 Reichert, Robyn M., PHD SKOLNICK, JAY F PSYD 002987328 705 Floral Vale Boulevard Yardley, PA 19067 (215) 497-3132 Skolnick, Jay F., PSYD PULMONARY DISEASES SEGAL AARONSON PULMONARY ASSOC 002806405 240 Middletown Boulevard, Suite 101C Langhorne, PA 19047 (215) 612-8500 Sutter, Jacqueline B., DO RADIATION ONCOLOGY DEPT OF RADIATION ONCOLOGY 002815430 599 West State Street, Suite 103 Doylestown, PA 18901 (215) 880-2710 Krisch, Robert E., MD

PSYCY ASSOCS 002989139 301 Oxford Valley Rd, Ste 301B Yardley, PA 19067 (215) 321-5780 Lower, Stephen C., PHD REICHERT, ROBYN M PHD 002986844 P - Preferred pharmacy

REGISTERED DIETICIAN DIAMOND NUTRITION COUNSELING LLC 003098765 777 Township Line Road Yardley, PA 19067 (215) 240-7883 Smith, Suzanne H., RD NOURISH ME NUTRITION THERAPY 003009852 4616 E Street Road Feastervle Trevose, PA 19053 (215) 716-1650 Demirjian, Jenna, RD RETAIL PHARMACIES CVS PHARMACY P 2331 E Lincoln Hwy Langhorne, PA 19047 (215) 269-0750 401 Easton Rd Warrington, PA 18976 (215) 491-5377 610 N West End Blvd Quakertown, PA 18951 (215) 529-2721 800 Rock Hill Dr Bensalem, PA 19020 (215) 364-9630 KMART PHARMACY3028 176 W Street Road Feasterville, PA 19053 (215) 355-1267 LIFESTREAM PHARMACY P 847 Easton Rd Warrington, PA 18976 (215) 491-0999

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MAX WELL PHARMACY SERVICES P 375 West Street Rd Warminster, PA 18974 (215) 956-9280 NU WAY PHARMACY P 1639 Haines Rd Levittown, PA 19055 (215) 547-0250

SPEECH THERAPIST PEDIATRIC THERAPY CENTER OF BUCKS COUNTY LLC 003193759 202 Farm Lane Doylestown, PA 18901 (215) 340-9555 Scott, Kathleen C., MA

THERAPLAY INC 002809904 PARKWOOD STREET 2100 Quaker Point ROAD PHARMACY INC Drive, Quakertown 3532 Street Rd Center Bensalem, PA 19020 Quakertown, PA 18951 (215) 639-1950 (215) 804-1002 Alexander, Elizabeth P., PENN - MORRIS MS PHARMACY 364 W Trenton Ave, Ste Bancroft, Christina M., MS C Beachler, Jeanne C., Morrisville, PA 19067 SLP (267) 797-5030 Collins, Emma L., MSP THE MEDICINE DE Almo, Shannon K., SHOPPE PHARMACY MA P Denton, Jessica L., SLP 95 York Rd Edwards, Katrina M., Warminster, PA 18974 SLP (215) 675-0777 Egan, Janice E., MS YORKE PHARMACY P Elsasser, Katherine M., SLP 5524 New Falls Rd Graham, Sara C., MS Levittown, PA 19056 Haigh, Jennifer H., SLP (215) 945-5700 Hosford, Courtney A., MA ROUTINE DENTAL Iffland, Erica, MS ROBERT A ARCIUOLO Joyce, Jacquelyne A., DMD MA 000717557 Kaplowitz, Jenna L., 10 S Clinton St, Ste 206 SLP Doylestown, PA 18901 King, Amy E., MA (215) 345-4452 Klesmer Dipasquale, Current Patients Only Jessica L., SLP Klinger, Courtney R., MS Litton, Sarah J., MS Manley, Caitlyn E., MA

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. Marion, Kelly, MA McGeever, Emily E., MA McGrath, Victoria R., MA Mintz, Hallie E., SLP Moore, Jennifer L., MA Moyer, Christine L., MA O Connor, Kelsey E., SLP O Sullivan, Molly J., SLP Omelko, Amanda R., MA Rasmussen, Alyce M., MA Scott, Kathleen C., MA Van Jaeckel, Christine G., MA Watson, Laura C., MS Webb, Deborah A., SLP Weiland, Kathleen A., MA Williams, Komal S., SLP THORACIC SURGERY LANGHORNE TRAUMA SERVICES 002814301 1201 Langhorne Newton Road, St Mary Medical Center Langhorne, PA 19047 (215) 710-5092 Frick, Jr, Edward J., MD VIA AFFILIATES 002811104 595 West State Street, 1st Floor West Wing Doylestown, PA 18901 (215) 345-2885 Auteri, Joseph S., MD McClurken, James B., MD

UROLOGY COMPREHENSIVE UROLOGIC SPECIALIST 003028721 1203 LanghorneNewtown Road, St. Clare Medical Bldg, Suite 336 Langhorne, PA 19047 (215) 710-4490 Harmon, Justin, DO Jaffe, Jamison S., DO COMPREHENSIVE UROLOGIC SPECIALISTS 003028721 4595 New Falls Road, Suite A Levittown, PA 19056 (215) 710-4490 Harmon, Justin, DO Jaffe, Jamison S., DO UROLOGY CARE ALLIANCE 002820751 1205 Langhorne Newtown Rd, Ste 104 Langhorne, PA 19047 (215) 757-6931 Orland, Steven M., MD UROLOGY HEALTH SPECIALISTS LLC 002816896 599 West State Street, Ste 303 Doylestown, PA 18901 (215) 230-9070 Reich, Jeffrey D., MD

P - Preferred pharmacy

701 East Marshall Street CHIROPRACTOR West Chester, PA ANESTHESIOLOGY 19380 EAGLE CHIROPRACTIC AT (610) 431-5472 CENTER FOR GLENMOORE INTERVENTIONAL Davis, Scott, MD 002816765 PAIN CARDIOVASCULAR 4 Andover Road 002821730 DISEASE Glenmoore, PA 19343 105 Vineyard Way, Suite (610) 942-9990 101 CARDIOLOGY D'Alessandro, Andrew, West Grove, PA 19390 CONSULTANTS OF DC (610) 282-0380 PHILADELPHIA D'Alessandro, Desiree Kim, Philip Sung, MD 002805068 N., DC Sundararajan, 154 Exton Square Venkatesh, MD Parkway FRESHOUR Woo, Chee H., MD Exton, PA 19341 CHIROPRACTIC 002815143 (610) 647-4260 460 Creamery Way, Sewell, Matthew D., MD 120 E. Uwchlan Ave, Suite 102 Suite 102 Exton, PA 19341 255 W Lancaster Exton, PA 19341 (610) 280-0380 Avenue, Paoli Memorial (610) 873-9610 Bldg 3 Ste 234 Kim, Philip Sung, MD Freshour, Keri L., DC Paoli, PA 19301 Sundararajan, Venkatesh, MD (610) 647-4260 120 E. Uwchlan Ave., Woo, Chee H., MD Movsowitz, Colin M., MD Suite 102 Exton, PA 19341 744 West Lancaster 255 West Lancaster (610) 873-9610 Avenue, Suite 110 Avenue, Mob I Ste 104 Freshour, Keri L., DC Wayne, PA 19087 Paoli, PA 19301 CHESTER COUNTY

(302) 766-5368 Kim, Philip Sung, MD Sundararajan, Venkatesh, MD Woo, Chee H., MD PENN PAIN MEDICINE VALLEY FORGE 002807520 1001 Chesterbrook Boulevard, 3rd Floor Berwyn, PA 19312 (215) 893-7246 Godfrey, Wayne A., MD WEST CHESTER ANESTHESIA ASSOCIATES 002809445

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(610) 939-1451 Goldstein, Matthew A., MD 455 Woodview Road West Grove, PA 19390 (610) 696-2850 Falcone, Rita A., MD Mallya, Raghuram G., MD Warnick, William C., MD 915 Old Fern Hill Road, Ste 5 Bldg A West Chester, PA 19380 (610) 696-2850 Baldi, Christopher L., DO

INNOVATIVE MUSCLE II THERAPY AND PAIN CENTER 002880737 1646 West Chester Pike, Unit #20 West Chester, PA 19382 (484) 999-8142 Mathews, Steven A., DC DERMATOLOGY BURGOON MACKAY AND SCHULER PC 002805877 266 Lancaster Avenue, Suite 304 Malvern, PA 19355 (610) 647-4161 Mackay, Donna J., MD Schuler, Shelley S., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. DURABLE MEDICAL EQUIPMENT SUPPLIER ABILITY PROSTHETICS AND ORTHOTIC 002802904 660 West Lincoln Highway Exton, PA 19341 (610) 873-6733 ENDOCRINOLOGY GATEWAY MEDICAL ASSOCIATES PC 002812701 795 East Marshall Street, Suite G2 West Chester, PA 19380 (610) 431-7929 Patel, Arti A., MD

500 Vineyard Way West Grove, PA 19390 (610) 869-0953 Knaub, Marilyn A., MD MAIN LINE HEALTH URGENT CARE AT EXTON SQUARE 003111227 154 Exton Square Parkway Exton, PA 19341 (484) 421-1669 Hannaway, Barbara A., MD Kadkhoda, Ali, DO Sikirica, Alison A., MD

150 E Pennsylvania Ave, Ste 140 Downingtown, PA 19335 (610) 518-1060 Schmidt, Robert H., DO PREMIER URGENT CARE AT KENNETT 002823330 300 Old Forge Lane, Suite 302 Kennett Square, PA 19348 (484) 778-8000 Cellucci, John M., MD GASTROENTEROLO GY

FAMILY PRACTICE

MAIN LINE HEALTHCARE 002811045 255 Lancaster Avenue, Paoli Memorial Hospital Paoli, PA 19301 (484) 565-1510 Ubina, Gilfred C., MD

BRANDYWINE FAMILY PRACTICE OF EXTON 003046374 495 Thomas Jones Way, Ste 100 Exton, PA 19341 (610) 524-4106 Keah, Jennifer H., MD Robb, III, Leo, DO

255 West Lancaster Aveune, Paoli Memorial Hospital Paoli, PA 19301 (484) 565-1510 Fazili, Sabeena S., MD Streletz, Deborah A., MD Ubina, Gilfred C., MD

CHESTER COUNTY FAMILY MEDICAL AND GERIATRICS 003478865 29 North Third Street Oxford, PA 19363 (610) 932-6386 Knaub, Marilyn A., MD

MONARCH INTEGRATIVE MEDICINE LLC 003468307 267 Schuykill Rd Phoenixville, PA 19460 (610) 935-4745 Kuhns, Stacey J., MD

JJENNERSVILLE J FAMILY MEDICINE LLC 002819830

PENNSYLVANIA URGENT CARE CENTE WOMANS SPECIALTY CENTER 002821429 002820244

P - Preferred pharmacy

MAIN LINE GASTROENTEROLOG Y ASSOCIATES PC 002811473 325 Central Ave, Ste 200 Malvern, PA 19355 (610) 644-6755 Albert, Nicole E., DO GENERAL SURGERY DIVISION OF TRANSPLANT SURGERY 002818544 440 Marshall Street, Suite 100 West Chester, PA 19380 (215) 662-6200 Abt, Peter L., MD Levine, Matthew H., MD Olthoff, Kim M., MD Porrett, Paige M., MD Shaked, Abraham, MD

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915 Old Fern Hill Road, Suite 503 Bldg D West Chester, PA 19380 (610) 423-4556 Chang, Susan S., MD

600 Paoli Pointe Drive Paoli, PA 19301 (610) 296-7100 Kataria, Vinod K., MD

MAIN LINE HEALTH URGENT CARE AT INTERNAL MEDICINE EXTON SQUARE 003111227 BRANDYWINE FAMILY 154 Exton Square PRACTICE OF EXTON Parkway 003046374 Exton, PA 19341 495 Thomas Jones (484) 421-1669 Way, Ste 100 Adewale, Ezekiel F., DO Exton, PA 19341 MAIN LINE (610) 524-4106 HEALTHCARE Rao, Sailaja S., MD 002811045 BRANDYWINE 255 Lancaster Avenue, INTERNAL MEDICINE Paoli Memorial Hospital LLC Paoli, PA 19301 002816443 (484) 565-1510 507 Orchard Avenue Davidheiser, Sharon E., Kennett Square, PA MD 19348 255 West Lancaster (610) 444-5630 Quraishi, Uzma A., MD Aveune, Paoli Memorial Hospital CCA SPECIALTY Paoli, PA 19301 GROUP (484) 565-1510 002821207 Abramova, Victoriya K., 701 E Marshall Street, MD Chester County Hospital Adewale, Ezekiel F., DO West Chester, PA Barton, Grant W., MD 19380 Bera, Caroline B., DO (610) 431-5000 Bezak, Karl B., MD Rothkopf, Jay E., MD Bhogal, Daljit K., MD Vasiliadis, Maria, DO Carnish, Erin R., MD CHRISTINE MEYER Cifelli, Enrico A., MD MD LLC Comerci, Thomas R., 002815935 MD 750 W Lincoln Hwy Dalal, Nidhi S., MD Exton, PA 19341 Danley, Joshua E., DO (610) 363-0100 Desai, Ravi Y., MD Heaney, Madeleine E., Desposito, Lia G., DO MD Dhillon, Jasdeep S., MD Diamandi, Mihai V., MD GEPS PHYSICIAN Donohue, Joshua M., GROUP OF PA PC DO 002984211

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. Elbaum, Philip J., DO Ellis, Lauren M., DO Engler, Conrad F., DO Farshidi, Ali, MD Fisher, Jacquelyn E., DO Gournani, Karthik, MD Hemperly, Michael C., DO Hutchison, Stephanie A., DO Iqbal, Amir, DO Karajala Subramanyam, Vijay Sridhar, MD Katikineni, Anita V., MD Kazi, Saifullah N., DO Kim, Isaac, MD Kyada, Jatin B., MD Lennon, James G., DO Ligato, Nicholas W., DO Longarini, Ricardo, MD Malhotra, Meera L., MD Marquet, Emily P., MD Mayilvaganan, Barani S., MD Montemuro, Philip M., MD Paniagua, Elizabeth W., MD Park, Sarah C., MD Pelberg, Justin A., DO Penna, Sivaranjani, MD Portnoy, Klarina, MD Reber, Ryan D., DO Salt, Jessica, MD Schenk, Meghann L., MD Shen, Wei, MD Shori, Amit K., MD Stefanelli, Gina M., DO Surkis, William D., MD Tatusov, Alexey P., MD Terry, Raya D., MD Thingalaya, Nita K., MD Thom, Colleen M., DO Ward, Stephanie H., MD Yacono, Kelli E., DO

Zhang, Luyi, MD PENN PRIMARY CARE AND INTEGRATIVE MEDICINE WHITELAND 003102372 724 West Lincoln Highway, The Commons At Oaklands, 2nd Floor Exton, PA 19341 (610) 269-3790 Zhang, Lei O., MD PENNCARE ADOLESCENT AND YOUNG ADULT ASSOC AT VALLEY FORGE 003467353 1001 Chesterbrook Blvd Berwyn, PA 19312 (610) 576-7636 Michener, Jennifer L., MD PREMIER URGENT CARE AT KENNETT 002823330 300 Old Forge Lane, Suite 302 Kennett Square, PA 19348 (484) 778-8000 Mozumdar, Shaymal, MD ROSS PODELL MD 002812979 250 West Lancaster Avenue, Suite 200 Paoli, PA 19301 (610) 889-7530 Current Patients Only Podell, Ross D., MD SUBURBAN GERIATRICS INC 002808974

P - Preferred pharmacy

824 Main St, Mob 1 Ste 200 Phoenixville, PA 19460 (610) 359-8607 Sinkoff, Michael, DO LICENSED CLINICAL SOCIAL WORKER

MEREDITH POOL BURNETT 002987543 330 Limestone Rd Oxford, PA 19363 (484) 885-8624 Burnett, Meredith P., MSW

BURNETT , MEREDITH MASTER LEVEL P MSW THERAPIST 002987543 PSYCHIATRIC/MENT 80 Western Ter AL HEALTH Oxford, PA 19363 COLLEGEVILLE (484) 885-8624 PSYCHLCTR INC Burnett, Meredith P., 002988943 MSW 601 Gay St CATH CLINCL Phoenixville, PA 19460 CONSLNTS (610) 917-2200 002989484 Depolo, Deborah A., MA 151 Woodbine Rd HOLCOMB BHVRL Downingtown, PA HLTH SYST 19335 002989124 (855) 518-2058 Dugan, Thomas F., MA 920 East Baltimore Pike Kaltenbach, Michael D., Kennett Square, PA 19348 MSW (610) 388-7400 Massa, Linda A., MSW Capone, Nicole A., MA Pinhak, Joseph E., MA Lady Auld, Jan M., MS CORNERSTONE THERAPY AND LIFE CNSLNG SVCS WELLNESS 002989000 003002693 1440 Russell Road 639 Swedesford Rd Paoli, PA 19301 Malvern, PA 19355 (610) 644-6464 (610) 616-5935 Holt, Bradley R., LPC Shuchter Gomez, Stacy, SANARE TODAY LLC MSW 003372768 HOLCOMB BHVRL 21 W Washington St, HLTH SYST Ste B 002989124 West Chester, PA 920 East Baltimore Pike 19380 Kennett Square, PA (484) 459-4512 19348 Smolenski, Jr, Michael (610) 388-7400 J., MS Onorato, Dolores M., MSW

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NURSE MIDWIFE BIRTH CENTER 002812932 2000 Eagle Rd, Bldg Two, Ste 208 Wayne, PA 19087 (610) 525-6086 Beshore Hayden, Jane, CNM Harrick, Jamesina, CNM Lange, Gazelle G., CNM Sudtelgte, Carol J., CNM Wilf, Ruth, CNM LIFECYCLE WOMANCARE 002812932 200 Eagle Rd, Ste 208 Wayne, PA 19087 (610) 525-6086 Lange, Gazelle G., CNM Nelson, Autumn V., CNM Wilf, Ruth, CNM OCCUPATIONAL THERAPIST ATI PHYSICAL THERAPY 002818151 3483 E. Lincoln Hwy, Unit 2 Thorndale, PA 19372 (484) 784-4158 Popiel, Kathryn R., OTR PHILADELPHIA HAND CENTER 002814262 266 West Lancaster Avenue, Barr Building, Suite 303 Malvern, PA 19355 (610) 768-5940 Morris, Roberta F., OTR

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. OPHTHALMOLOGY PHOENIXVILLE EYE CARE SPECIALISTS PC 002812346 720 South Main Street Phoenixville, PA 19460 (610) 933-3498 Wilton, Susan R., MD OPTOMETRIST CHESTER COUNTY EYE CARE ASSOC 002810982 455 Woodview Rd, Ste 125 West Grove, PA 19390 (610) 696-1230 Schaedler, Matthew J., OD 002810984 740 W Lincoln Hwy, Commons At Oaklands Exton, PA 19341 (610) 696-1230 Schaedler, Matthew J., OD 002810985 915 Old Fern Hill Road, Building B Suite 200 West Chester, PA 19380 (610) 696-1230 Schaedler, Matthew J., OD SINGER SPECS STERLING OPT 002813812 211 W Lincoln Hwy Exton, PA 19341 (610) 524-8886 Karagiannopoulos, Barbara, OD

ORTHOPEDIC SURGERY PHOENIXVILLE ORTHOPEDIC SPECIALISTS LLC 002823013 254 Lancaster Ave Paoli, PA 19301 (610) 064-4775 Rosenfeld, Karl, MD 826 Main Street, Ste 302 Mob II Phoenixville, PA 19460 (610) 279-8686 Rosenfeld, Karl, MD UNIV OF PENNSYLVANIA ORTHOPAEDIC SURGERY 002811250 1001 Chesterbrook Boulevard Berwyn, PA 19312 (610) 576-7600 Kelly, John D., MD Lyons, Christopher J., MD Weber, Kristin L., MD ORTHOTICS AND PROSTHETICS FITTER ABILITY PROSTHETICS AND ORTHOTIC 002802904 660 West Lincoln Highway Exton, PA 19341 (610) 873-6733

P - Preferred pharmacy

PHYSICAL MEDICINE AND REHABILITATION RJK MEDICAL ASSOCIATES LTD 002805223 701 East Marshall Street West Chester, PA 19380 (610) 565-3748 Kreb, III, Robert J., MD Stevens, Philip J., DO UNIV OF PENN REHABILITATION MEDICINE 002805227 1001 Chesterbrook Boulevard, 3rd Floor Berwyn, PA 19312 (610) 576-7500 Casey, Ellen K., MD PODIATRY STEVEN B CHEN DPM 002811582 1223 West Chester Pike West Chester, PA 19382 (610) 436-6132 Chen, Steven B., DPM PSYCHIATRIC NURSE HOLCOMB BHVRL HLTH SYST 002989124 920 East Baltimore Pike Kennett Square, PA 19348 (610) 388-7400 Weissflog, Laura O., MSN

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PSYCHIATRIC SOCIAL WORKER SABADISH PSYCTHRPY INC 003382578 47 Marchwood Road, Suite 2A 8 Exton, PA 19341 (610) 347-5799 Sabadish, Ronald J., MSW PSYCHIATRY HOLCOMB BHVRL HLTH SYST 002989124 467 Creamery Way Exton, PA 19341 (610) 363-1488 Kaufman, Ralph M., MD Thomas, John J., MD 920 East Baltimore Pike Kennett Square, PA 19348 (610) 388-7400 Ali, Tasneem, MD Bhagat, Urvashi, MD Corrado, Gail C., MD Kaufman, Ralph M., MD Lifrak, Patricia D., MD LESTER FOGELSANGER LLC 003331615 303 W Lancaster Ave, Suite 2A Wayne, PA 19087 (215) 760-4461 Fogelsanger, Lester N., MD MAIN LINE AFFLT INC 002989180 479 Thomas Jones Way, Ste 800 Exton, PA 19341 (484) 565-1130

Newman, Karen G., MD MAIN LINE HLTHCR 002989027 255 W Lancaster Ave, Fourth Floor West Paoli, PA 19301 (888) 227-3898 Cohen, Michael S., MD Cooney, Marina J., MD Hanson, Robin E., DO Izzo, Philip M., MD Martin, Elaine M., MD Murray, Andrea N., MD Newman, Karen G., MD Shah, Margi C., MD Silverberg, Michael B., MD Starner, Meghan N., MD Su, Michael X., MD 255 W Lancaster Avenue, Suite 201 Paoli, PA 19301 (484) 337-4286 Izzo, Philip M., MD PSYCHOLOGIST AYO MARIA GOODEN LLC 003293514 1210 Cheyney Rd West Chester, PA 19382 (610) 453-2849 Gooden, Ayo M., PHD CATH CLINCL CONSLNTS 002989484 151 Woodbine Rd Downingtown, PA 19335 (855) 518-2058 Friedlander, Laurie J., PSYD Karney, Ronald J., PHD Marchese, Kami R., PSYD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. CHAUNCEY, DEBORAH L PHD 002987441 217 W State St Kennett Square, PA 19348 (610) 925-3637 Chauncey, Deborah L., PHD

RETAIL PHARMACIES

KMART PHARMACY3418 704 Lancaster Avenue Devon S Wayne, PA 19087 (610) 687-2541

BRANDYWINE PHARMACY P 2503 Conestoga Ave Honey Brook, PA 19344 KMART (610) 273-3900 PHARMACY9409 CVS PHARMACY P 1000 Nutt Road HOLCOMB BHVRL 180 Eagleview Blvd Phoenixville, PA 19460 HLTH SYST Exton, PA 19341 (610) 935-0387 002989124 (484) 713-0151 PAOLI APOTHECARY 920 East Baltimore Pike 201 Sunrise Blvd P Kennett Square, PA Exton, PA 19341 255 W Lancaster Ave, 19348 Mob 1 Ste 107 (610) 280-7276 (610) 388-7400 Paoli, PA 19301 Lewis, Carmen J., PSYD 455 Carnegie Blvd (610) 251-2295 Malvern, PA 19355 PSYCHL SVCS OF QUIK STOP CHESMONT (484) 913-3751 PHARMACY P 002989697 DOUGS FAMILY 3506 E Lincoln Hwy 402 McFarlan Rd, Ste PHARMACY P Thorndale, PA 19372 102 101 Darby Square (610) 384-6100 Kennett Square, PA Morgantown, PA 19520 19348 RITE AID PHARMACY (610) 286-0496 (215) 353-3159 01144 Johnson, Richard P., EXTON PHARMACY 500 Chesterbrook PHD AT MARCHWOOD P Boulevard, Suite 2 1 Marchwood Rd Chesterbrook, PA REGISTERED Exton, PA 19341 19087 DIETICIAN (610) 363-9444 (610) 647-4490 BALANCED GATEWAY SOUTHERN CHESTER NUTRITION LLC PHARMACY P COUNTY PHARMACY 003316346 165 Nutt Rd P 534 Beaumont Circle Phoenixville, PA 19460 1011 W Baltimore Pike, West Chester, PA Ste 109 (610) 933-2609 19380 West Grove, PA 19390 (610) 715-4685 HONEY BROOK (610) 869-3200 PHARMACY P Stankiewicz, Amy M., RD 35 Village Square THE MEDICINE SHOPPE PHARMACY Honey Brook, PA 19344 STEFANIE SUZANNE P (610) 273-7300 WILLIAMS 1169 Horseshoe Pike 003125068 HOPEWELL ROAD Downingtown, PA 2898 Flowing Spring Rd PHARMACY P 19335 Spring City, PA 19475 1199 Horseshoe Pike (610) 269-7368 (484) 880-6987 Downingtown, PA 19335 Williams, Stefanie S., RD (610) 269-0002 P - Preferred pharmacy

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SKILLED NURSING FACILITY POND INC JJENNER'S J 002802033 2000 Greenbriar Ln West Grove, PA 19390 (610) 869-6801 SPEECH THERAPIST ALLEGRETTO THERAPY SERVICES 002822921 17 Turner Lane West Chester, PA 19380 (610) 715-2702 Horstmann, Tara, SLP 694 Wharton Blvd Exton, PA 19341 (610) 715-2702 Kelly, Moira A., MA PINNACLE ENT SPEECH 002818248 15 Industrial Boulevard, Suite 102 Paoli, PA 19301 (610) 296-5600 Morris, Jennifer L., MA Ruiz, Cesar E., MA Schriver, Cathleen M., MS Schwartz, Sandra A., MA Shappell, Joyce E., MA 460 Creamery Way, Suite 103 Exton, PA 19341 (610) 384-8300 Morris, Jennifer L., MA Ruiz, Cesar E., MA Schriver, Cathleen M., MS Schwartz, Sandra A., MA

Shappell, Joyce E., MA THERAPLAY INC 002809904 385 Starr Road, Landenberg Center Landenberg, PA 19350 (484) 720-8252 Bair, Lauren B., MA Barczyk, Jessica R., MS Beachler, Jeanne C., SLP Bignault, Amy C., MS Blohm, Andrea L., MS Brackin, Erin T., MA Brumbach, Andrea C., MS Collins, Emma L., MSP DE Almo, Shannon K., MA Denton, Jessica L., SLP Edwards, Katrina M., SLP Egan, Janice E., MS Elsasser, Katherine M., SLP File, Kari S., MA Goldstein, Sarah F., MA Haigh, Jennifer H., SLP Hosford, Courtney A., MA Iffland, Erica, MS Jackson, Irene S., MA Joyce, Jacquelyne A., MA Kaplowitz, Jenna L., SLP Kelly, Moira A., MA Kerns, Danielle M., MA King, Amy E., MA Klesmer Dipasquale, Jessica L., SLP Klinger, Courtney R., MS Kulp, Krista M., MA Litton, Sarah J., MS Madanat, Krystal, MA

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. Magee Greene, Kelly E., MA Maher, Michele D., MA Malliard, Kristine L., MA Manley, Caitlyn E., MA Marion, Kelly, MA Martinez, Christina, MA McGrath, Victoria R., MA Mintz, Hallie E., SLP Moore, Jennifer L., MA Moyer, Christine L., MA Nguyen, Linda L., MS O Connor, Kelsey E., SLP O Sullivan, Molly J., SLP Omelko, Amanda R., MA Pender, Elizabeth A., MS Rasmussen, Alyce M., MA Reed, Sarah C., MS Sampath, Anupama T., MA Schnell, Kristin M., SLP Scott, Kathleen C., MA Sharer, Erin B., MA Stief, Janice M., MS Van Jaeckel, Christine G., MA Watson, Laura C., MS Weathers, Elisabeth A., MA Webb, Deborah A., SLP Weiland, Kathleen A., MA Williams, Komal S., SLP SPORTS MEDICINE SMITH MEDICINE PC 002822802 163 Pottstown Pike Chester Springs, PA 19425 (610) 896-0647 Smith, Bradley J., MD

THORACIC SURGERY PENN THORACIC SURGERY AT CHESTER COUNTY 002818545 440 East Marshall Street, Suite 201 West Chester, PA 19380 (610) 738-2500 Jarrar, Doraid, MD PENN THORACIC SURGERY VALLEY FORGE 002818545 1001 Chesterbrook Blvd, 2nd Floor West, Suite 200 Berwyn, PA 19312 (215) 662-9195 Jarrar, Doraid, MD UROLOGY UROLOGY HEALTH SPECIALIST LLC 002816896 1450 E Boot Road, Bldg 6, Suite B West Chester, PA 19380 (610) 696-5227 Kulp Hugues, Deborah A., MD UROLOGY HEALTH SPECIALISTS LLC 002816896 1011 West Baltimore Pike, Suite 312 West Grove, PA 19390 (610) 869-6851 Kulp Hugues, Deborah A., MD

P - Preferred pharmacy

VASCULAR SURGERY SURGICAL SPECIALISTS PC 002808255 213 Reeceville Rd, Ste 23 Coatesville, PA 19320 (610) 647-3077 Hayes, Jr, Daniel J., MD DELAWARE COUNTY ANESTHESIOLOGY ASSOCIATES IN ANESTHESIA INC 002804191 30 Medical Center Boulevard, Suite 305 Chester, PA 19013 (610) 874-6448 Romisher, Marc, MD 30 Medical Center Boulevard, Suite 305 Upland, PA 19013 (610) 874-6448 Romisher, Marc, MD 300 Evergreen Drive Glen Mills, PA 19342 (610) 874-6448 Romisher, Marc, MD CENTER FOR INTERVENTIONAL PAIN 002821730 1260 East Woodland Avenue, Suite 107 Springfield, PA 19064 (610) 280-0360 Hu, Melody, MD Kim, Philip Sung, MD Sundararajan, Venkatesh, MD Woo, Chee H., MD

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130 South Bryn Mawr Ave Bryn Mawr, PA 19010 (302) 766-5368 Kim, Philip Sung, MD Sundararajan, Venkatesh, MD Woo, Chee H., MD MAIN LINE HEALTH AND FITNESS CNTR 002821730 931 E Haverford Rd, Ste 202 Bryn Mawr, PA 19010 (610) 525-8200 Sundararajan, Venkatesh, MD PREMIER ANESTHESIA OF PENNSYLVANIA PC 002821697 1500 Lansdowne Avenue Darby, PA 19023 (610) 237-4000 Winston, Nutan P., MD ANESTHESIOLOGY PAIN MANAGEMENT ADVANCED SPINE AND PAIN LLC 003321723 501 North Lansdowne Avenue Drexel Hill, PA 19026 (888) 985-2727 Purewal, Uplekh S., MD CENTER FOR INTERVENTIONAL PAIN 002821730 1260 East Woodland Avenue, Suite 107 Springfield, PA 19064 (610) 280-0360 Fishman, Michael A., MD

CARDIOVASCULAR DISEASE CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 1088 West Baltimore Pike Media, PA 19063 (610) 565-2100 Bulgarelli, Robert J., DO 196 W Sproul Road, Healthplex Medical Office Pavilion Springfield, PA 19064 (610) 543-4000 Campbell, Kimberly L., MD Kleinman, David, MD Kornienko, Walter A., MD Laporta, Edward W., MD Raff, Barry H., MD 2100 Keystone Avenue, Suite 200 Drexel Hill, PA 19026 (610) 259-0240 Kleinman, David, MD 30 Lawrence Road, Suite 800 Broomall, PA 19008 (610) 848-7000 Campbell, Kimberly L., MD Godfrey, John T., DO Kornienko, Walter A., MD Laporta, Edward W., MD Raff, Barry H., MD 300 Evergreen Drive, Suite 140 Glen Mills, PA 19342 (610) 579-3579 Mesmer, Roselle D., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. One Medical Center Blvd, Suite 224 Pob II Upland, PA 19013 (610) 876-2400 Jones, Ancil A., MD LANKENAU HEART GROUP NEWTOWN SQUARE 002820655 3855 West Chester Pike, Ste 240 Newtown Square, PA 19073 (484) 476-1000 Coady, Paul M., MD MAHC JEFFERSON HEARTCARE AT METHODIST 002812993 789 E Lancaster Avenue, Suite 110 Villanova, PA 19085 (215) 755-5449 Olex, Stephen T., MD MAIN LINE HEALTHCARE CARDIOLOGY 002819601 1088 West Baltimore Pike, Riddle Health Center II, Suite 2500 Media, PA 19063 (484) 234-0579 Hanley, Colleen M., MD MERCY EKG ASSOCIATES PC 002809909 1500 Lansdowne Ave Darby, PA 19023 (610) 649-2068 Albizem, Haytham A., MD Blannett, John D., MD Chang, Gene, MD Conroy, Joseph T., DO Finley, John J., MD

Gasperetti, Christine M., MD Groh, William H., MD Hunn, Richard H., MD Khandhar, Sameer J., MD Levine, Adam M., DO Li, Robert H., MD Matthai, Jr, William H., MD Moak, Alan S., MD Oriordan, Martin, MD PENN MEDICINE AT RADNOR CARDIOLOGY 002808301 250 King of Prussia Road Radnor, PA 19087 (610) 902-5600 Kini, Vinay U., MD

Ombima, Sonya L., CRNP

DERMATOLOGY

BRYN MAWR CHIROPRACTOR DERMATOLOGY PC 002816875 ABSOLUTE 775 East Lancaster Ave, CHIROPRACTIC PC Ste 200 002816207 Villanova, PA 19085 3605 Edgemont Avenue, (610) 525-7800 Building A Brookhaven, PA 19015 Barak, Orr G., MD Stanko, Christine S., MD (610) 876-6180 Weigner, Jason N., DC DURABLE MEDICAL EQUIPMENT CASTERIOTO FAMILY SUPPLIER CHIRO PC 002810684 HEALTH CARE 5050 Fairway Rd, Unit 1 SOLUTIONS Drexel Hill, PA 19026 002802076 (610) 853-1515 500 B Abbott Drive Casterioto, Joseph P., Broomall, PA 19008 DC (610) 544-6023 HEALTH ONE PA 002811855 526 Kennett Pike Chadds Ford, PA 19317 (302) 798-7033 McIlrath, Matthew J., DC

864 County Line Rd, Ste 17 Bryn Mawr, PA 19010 (484) 222-6222 Ho, David M., MD FAMILY MEDICINE AT HAVERTOWN 003470886 403 West Chester Pike, 3rd Flr Havertown, PA 19083 (610) 245-2170 Kropp, Dennis W., DO Ott, Anita M., DO MAIN LINE HEALTH 002806550 933 Haveford Road Bryn Mawr, PA 19010 (610) 649-6400 Klinzing, Gerard F., MD

MAIN LINE HEALTH URGENT CARE MAIN LINE 003111227 HEALTHCARE 1991 Sproul Road, Suite 002815751 600 1991 Sproul Rd, Ste 300 CROZER MEDICAL Broomall, PA 19008 Broomall, PA 19008 ASSOCIATES (484) 421-1669 KING OF PRUSSIA 002812620 (610) 649-1922 FAMILY WELLNES Csaszar, Daniel J., DO El Hajj, Rita J., MD 1553 Chester Pike, 002814871 George, Winson T., DO Suite 201 Green, Dina E., MD 992 Old Eagle School Wirshup, Mary B., MD Chester, PA 19022 Popii, Violeta B., MD Road, Suite 902 MAIN LINE (610) 499-7180 Wayne, PA 19087 HEALTHCARE FAMILY PRACTICE Tucker Hill, Kathleen, (610) 337-7463 002805529 CRNP Brennan, Robert E., DC BRYN MAWR FAMILY 736 Baltimore Pike, IINPATIENT I Nemchenko, Arthur, DC PRACTICE Suite 5 Concord CONSULTANTS OF PA Nemchenko, Brandie E., 002806544 Commons Profession PC HEALTH 1991 Sproul Road, Suite DC Glen Mills, PA 19342 WELLNESS 300 (610) 891-6240 STRAFFORD 003139643 Broomall, PA 19008 Giuliani, Nicholas A., 13 St Albans Circle, Ste CHIROPRACTIC (610) 325-1390 MD 002821669 C Bingaman, Beth A., DO Mulvaney, Denise A., 136 W Wayne Ave Newtown Square, PA MD DAVID HO MD Wayne, PA 19087 19073 CERTIFIED REGISTERED NURSE PRACTITIONER

(302) 368-2630 Falvey, Rosemary E., CRNP

P - Preferred pharmacy

(610) 293-1660 Dubinsky Londer, Irene, DC

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ENDOCRINOLOGY

003461845

002811045

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 1068 W Baltimore Pike Media, PA 19063 (610) 627-4216 Fazili, Sabeena S., MD Ubina, Gilfred C., MD 130 South Bryn Mawr Avenue, Wing, Suite H 321 Bryn Mawr, PA 19010 (484) 337-4097 Fazili, Sabeena S., MD

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 417 Baltimore Pike Springfield, PA 19064 (484) 470-2600 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD

Mousaw, Christie O., DO FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY

MAIN LINE HEALTHCARE 002805529 1098 West Baltimore PENNSYLVANIA Pike, #3106 URGENT CARE CENTE Media, PA 19063 MLHC PRIMARY CARE 002821429 (610) 891-6240 AT RIDDLE HOSPITAL 5024 Pennell Rd Claydon, Crisanta S., 003379705 Aston, PA 19014 MD 1088 West Baltimore (610) 228-0707 Pike, Riddle Health Care GASTROENTEROLO Cellucci, John M., MD II, Suite 2104 GY Cherukuri, Madhavi V., Media, PA 19063 MD (484) 234-5200 NOBLE MEDICAL Sax, Leonard D., MD GROUP Decaro, Mary M., MD 003144191 PREMIER URGENT 003458946 CARE AT KENNETT 1098 Baltimore Pike, 1088 West Baltimore Suite 2302 003057164 Pike, Main Line Media, PA 19063 Healthcare Medicine At 635 Conestoga Road (610) 734-0790 Villanova, PA 19085 Riddle Hospital, Ste Khurana, Vikas, MD (610) 947-6500 2208 Cellucci, John M., MD Media, PA 19063 PENN MEDICINE AT (484) 234-5201 RADNOR PRIMARY CARE AT Decaro, Mary M., MD GASTROENTEROLOG THE HEALTHPLEX Y MVP RECOVERY LLC PAVILION 002808607 002812421 002804333 5030 State Road, Suite 250 King of Prussia, 2412 Providence Suite 1B 2 400 Avenue Radnor, PA 19087 Drexel Hill, PA 19026 Chester, PA 19013 (610) 902-1500 (610) 394-1390 (484) 343-1323 Current Patients Only Aberra, Faten N., MD Weiss, Keith H., DO Tepper, Suzanne E., MD Ahmad, Nuzhat A., MD PATIENT FIRST Buchner, Anna M., MD SUBURBAN PRIMARY Carr, Rotonya M., MD MEDICAL GROUP CARE ASSOCIATES 003069238 Falk, Gary W., MD 002812428 417 Baltimore Pike Fisher, Laurel R., MD 4651 West Chester Springfield, PA 19064 Forde, Kimberly A., MD Pike, Suite 200 (484) 470-2600 Ginsberg, Gregory, MD Newtown Square, PA McGinley, Gregory J., Goldberg, David S., MD 19073 DO Green, Jesse A., MD (610) 356-0300 Ortiz Evans, Ileana, MD Birardi, Theresa S., DO Ho, Immanuel K., MD P - Preferred pharmacy

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Hoteit, Maarouf A., MD Hsu, Christine C., MD Jaffe, David L., MD Katz, Jonathan, MD Kerner, Caroline, MD Klapproth, Jan Michael A., MD Kochman, Michael L., MD Lewis, James D., MD Lichtenstein, Gary R., MD Linevsky, Joanne K., MD Lipshutz, William H., MD Lynch, John P., MD Lynch, Kristle L., MD Makar, George, MD Metz, David C., MD Nunes, Frederick, MD Osterman, Mark T., MD Pack, Michael, MD Panganamamula, Kashyap V., MD Porat, Gail M., MD Rajala, Michael W., MD Rashid, Farzana, MD Reddy, Kuchikulla R., MD Reynolds, James C., MD Rustgi, Anil K., MD Scott, Frank I., MD Shen, Ting Chin D., MD Shirodkar, Manoj A., MD Solga, Steven F., MD Stanger, Ben Z., MD Stein, Robert, MD Strauss, Robert M., MD Tomov, Vesselin, MD Twyman Saint Victor, Christina A., MD Wells, Rebecca G., MD Wu, Gary D., MD Yang, Yu Xiao, MD Zhao, Xiao, MD

GENERAL PRACTICE CHESTER FAMILY PRACTICE 002863102 3303 A Edgemont Avenue Brookhaven, PA 19015 (610) 872-0565 Mudrick, Marylyn, MD GENERAL SURGERY MERCY MANAGEMENT OF SEPA 002821665 1501 Landowne Ave, Mob 308 Darby, PA 19023 (610) 534-6142 Clarke, Leon, MD HEMATOLOGY HAN INTERNAL MEDICINE ASSOCIATES 002812614 1 Medical Center Boulevard, Acp 532 Upland, PA 19013 (610) 447-6788 Soojian, Michael M., MD UNIV OF PENN HEALTH SYSTEM 002811185 250 King of Prussia Radnor, PA 19087 (610) 902-5600 Kakani, Chandana, MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. INFERTILITY MAIN LINE FERTILITY 002815900 825 Old Lancaster Rd, Suite 170 Bryn Mawr, PA 19010 (610) 527-0800 Gocial, Benjamin, MD INTERNAL MEDICINE

MAIN LINE HEALTHCARE 002805529 736 Baltimore Pike, Suite 5 Concord Commons Profession Glen Mills, PA 19342 (610) 891-6240 McCann, Tomi J., MD 002811045 1068 W Baltimore Pike Media, PA 19063 (610) 627-4216 Davidheiser, Sharon E., MD

EVEREST MEDICAL CARE LLC 002817455 6787 Market Street, Suite 1 Upper Darby, PA 19082 130 South Bryn Mawr (610) 352-8000 Avenue, Wing, Suite H 321 Li, Xiaobin, MD Bryn Mawr, PA 19010 INPATIENT II CONSULTANTS OF PA (484) 337-4097 Davidheiser, Sharon E., PC HEALTH MD WELLNESS 003139643 MERCY EKG 13 St Albans Circle, Ste ASSOCIATES PC C 002809909 Newtown Square, PA 1500 Lansdowne Ave 19073 Darby, PA 19023 (302) 368-2630 (610) 649-2068 McWilliams, Caroline K., Frankil, Craig A., DO MD MERCY FITZ MAIN LINE HEALTH CARDIOLOGY ASSOC 002806550 002820665 933 Haveford Road 1503 Lansdowne Ave, Bryn Mawr, PA 19010 Ste 3001 (610) 649-6400 Darby, PA 19023 Ashby, Bonnie L., MD (610) 586-4100 Olah, Matthew N., MD Menetrey, Jammie E., Sharma, Anuradha, MD DO MAIN LINE HEALTH NOW 002806566 1991 Sproul Rd, Suite 625 Broomall, PA 19008 (484) 421-1669 Ditrolio, Robert N., DO

MERCY MEDICAL ASSOCIATES AT DARBY 002819039 1503 Lansdowne Avenue, Suite 3003 Darby, PA 19023 (610) 534-6310

P - Preferred pharmacy

Shahzad, Farnaz A., MD 635 Conestoga Road Villanova, PA 19085 Szabo, Patricia E., MD (610) 947-6500 MLHC PRIMARY CARE AT RIDDLE HOSPITAL Mozumdar, Shaymal, MD 003379705 1088 West Baltimore SUBURBAN PRIMARY Pike, Riddle Health Care CARE ASSOCIATES II, Suite 2104 002812428 Media, PA 19063 4651 West Chester Pike, Suite 200 (484) 234-5200 Bucco, Maria C., DO Newtown Square, PA 19073 PATIENT FIRST (610) 356-0300 MEDICAL GROUP Flynn, Christopher S., 003069238 DO 417 Baltimore Pike Kakarala, Renuka, MD Springfield, PA 19064 (484) 470-2600 INTERVENTIONAL Latona, Sandra J., MD CARDIOLOGY PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 417 Baltimore Pike Springfield, PA 19064 (484) 470-2600 Latona, Sandra J., MD PENN MEDICINE AT RADNOR GASTROENTEROLOG Y 002808607 250 King of Prussia, Suite 1B Radnor, PA 19087 (610) 902-1500 Bewtra, Meenakshi, MD Chandrasekhara, Vinay, MD Maddipati, Ravikanth, MD Pickett Blakely, Octavia E., MD Serper, Marina, MD PREMIER URGENT CARE AT KENNETT 003057164

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CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 30 Lawrence Road, Suite 800 Broomall, PA 19008 (610) 848-7000 Raza, Muhammad, MD LICENSED CLINICAL SOCIAL WORKER ASSOCS OF SPRINGFIELD PSYCHL 002989038 1489 Baltimore Pike, Bldg 200, Ste 250 Springfield, PA 19064 (610) 544-2110 Ribeiro DE Sa, Jenny, MSW CROZER CHESTER MEDCL CTR 002989186 1 Medical Center Blvd Chester, PA 19013 (610) 447-2773

Riordan, Suzanne M., MSW 2600 W 9th St, Community Hospital Chester, PA 19013 (610) 497-7701 Riordan, Suzanne M., MSW DEBORA ROSE DOLAN BLUBAUGH 002987214 205 North Monroe Street Media, PA 19063 (610) 891-6846 Dolan Blubaugh, Debora R., MSW DELAWARE CNTY PRO SVCS 002988925 1055 E Baltimore Pike, Ste 303 Media, PA 19063 (610) 892-3800 Galbraith, David W., MSW Gill, Stacey M., MSW Glover, Richard M., MSW Hill, John C., MA Simmer, Kaitlin T., MSW Stoulis, Paree, MSW MELANIE MARIE EDDY 003377471 13 W Third St Media, PA 19063 (484) 437-1320 Eddy, Melanie M., MSW OMNI HLTH SVCS INC 002989430 35 E 5th St, Fl 1 Chester, PA 19013 (484) 480-6284 Millman, Joshua A., MSW Watts, J O, MSW

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. RESRCS FOR HMN DEV INC 002989679 850 West Lancaster Avenue, Suite 2 Bryn Mawr, PA 19010 (215) 951-0300 Zappalorta, George, MSW MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH ASSOCS OF SPRINGFIELD PSYCHL 002989038 1489 Baltimore Pike, Bldg 200, Ste 250 Springfield, PA 19064 (610) 544-2110 Del Pesco, Nicholas P., MA CROZER CHESTER MEDCL CTR 002989186 1 Medical Center Blvd Chester, PA 19013 (610) 447-2773 Walsh, Rosanne P., MA 2600 W 9th St, Community Hospital Chester, PA 19013 (610) 497-7701 Francisco, Joseph P., MA Reid, Dorothy T., MA Walsh, Rosanne P., MA 2600 W 9th Ste, Cmnty Hosp of Chester, Ste 106C Chester, PA 19013 (610) 497-7639 Francisco, Joseph P., MA

DELAWARE CNTY PRO SVCS 002988925 1055 E Baltimore Pike, Ste 300 Media, PA 19063 (610) 892-3800 Filippino, Claudia, PHD 1055 E Baltimore Pike, Ste 303 Media, PA 19063 (610) 892-3800 Brown, Daniel F., MA Palladino, Robert J., MED Williams, Julie C., MS 2010 W Chester Pike, Ste 314 3rd Floor Havertown, PA 19083 (610) 892-3800 Brown, Daniel F., MA Raimondi, Jane M., MA PSYCH CHOICES OF THE DELAWARE VLY 002989803 5060 State Rd, Fl 2 Drexel Hill, PA 19026 (610) 626-8085 Irby, Damani P., MS NEUROLOGICAL SURGERY MMS RICHARD KANOFF 002814903 1501 Lansdowne Ave, 210 Darby, PA 19023 (610) 534-6142 Andrews, David W., MD Farrell, Christopher J., MD Judy, Kevin D., MD Kesler, Henry N., MD

P - Preferred pharmacy

NEUROLOGY ADVANCED SPINE AND PAIN LLC 003317076 2100 Keystone Ave Drexel Hill, PA 19026 (888) 985-2727 Abrams, Russell I., MD MMS RICHARD KANOFF 002814903 1501 Lansdowne Ave, 210 Darby, PA 19023 (610) 534-6142 Beken, Ferhan, MD Hedayat, Tina, MD Mahmood, Ayesha, MD Wali, Salman A., MD NURSE MIDWIFE LIFECYCLE WOMANCARE 002812931 918 County Line Road Bryn Mawr, PA 19010 (610) 525-6086 Cristol, Julie E., CNM OB-GYNECOLOGY CK WOMENS HEALTH AT BROOMALL 002812507 30 Lawrence Road, Suite 500 Broomall, PA 19008 (484) 446-3660 Louka, Elizabeth, MD Mackaronis, Anthony C., MD CK WOMENS HEALTH AT DREXEL HILL 002812507

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2100 Keystone Avenue, Suite 707 Drexel Hill, PA 19026 (610) 626-7070 Louka, Elizabeth, MD Mackaronis, Anthony C., MD CK WOMENS HEALTH AT SAXER AVE 002812507 723 Saxer Avenue Springfield, PA 19064 (610) 543-9343 Louka, Elizabeth, MD Mackaronis, Anthony C., MD OCCUPATIONAL THERAPIST BENCHMARK THERAPIES INC 003184014 601 North Ithan Avenue Bryn Mawr, PA 19010 (814) 506-8212 Kennedy, Colleen A., OTR PHILADELPHIA HAND CENTER 002814262 2010 Old West Chester Pike, Suite 425 Havertown, PA 19083 (610) 768-5940 Morris, Roberta F., OTR 2010 West Chester Pike, Suite 330 Mercy Wellness Center Havertown, PA 19083 (610) 789-9815 Morris, Roberta F., OTR

OPHTHALMOLOGY OPHTHALMIC SURGICAL ASSOC INC 002811721 300 Evergreen Drive, Suite 100 Glen Mills, PA 19342 (610) 874-5261 Mantravadi, Anand V., MD SCHEIE EYE ASSOC OPHTHALMOLOGY 002804894 250 King of Prussia Road Radnor, PA 19087 (610) 902-2020 Cui, Qi N., MD 601 W State Street Media, PA 19063 (610) 565-6863 Cui, Qi N., MD SINCLAIR RETINA ASSOCIATES 002811863 200 E State St, Ste 301 Media, PA 19063 (610) 892-1708 Saxon, Andrea M., MD STARER RIZZO RUFFINI OPHTHALMIC ASSOCIATE PC 002809889 8 Morton Avenue, Suite 101 Ridley Park, PA 19078 (610) 521-2111 Zhang, Monica S., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. OPTOMETRIST ABRAHAM EYE ASSOCIATES LLC 003147350 1149 W Lancaster Ave, Suite U5 Rosemont, PA 19010 (484) 380-3864 Abraham, Mark J., OD SPRINGFIELD OPTICIANS 002803855 2350 Macdade Blvd Holmes, PA 19043 (610) 461-7353 Piorkowski, Thomas, OD ORTHOPEDIC SURGERY CHILDRENS SURGICAL ASSOCIATES 002809721 819 Baltimore Pike Glen Mills, PA 19342 (267) 425-8500 Wells, Lawrence, MD COOPER SURGICAL ASSOCIATES 002813919 3740 West Chester Pike Newtown Square, PA 19073 (610) 356-9410 Beaver, Andrew B., MD NEMOURS DUPONT PEDIATRICS 002813638 101 Applied Bank Boulevard, Nemours Dupont Pediatrics Glen Mills, Suite 11 Glen Mills, PA 19342 (484) 800-8630 Atanda, Alfred W., MD

PREMIER ORTHOPEDICS AND SPORTS MEDICINE 002811055 30 Lawrence Road, Premier Orthopedics and Sports Medicine, Suite 900 Broomall, PA 19008 (610) 789-7767 Benner, John H., MD ROTHMAN INSTITUTE RECONSTRUCTIVE ORTHOPEDIC ASSOCI 002804844 600 Evergreen Drive, Rothman Institute, Suite 201 Glen Mills, PA 19342 (800) 321-9999 Beredjiklian, Pedro K., MD Cohen, Steven B., MD Getz, Charles L., MD Smith, Eric B., MD UNIV OF PENN HEALTH SYSTEM 002811250 250 King of Prussia Rd Radnor, PA 19087 (610) 902-5600 Kelly, John D., MD PHYSICAL THERAPIST PREMIER ORTHOPAEDIC & SPORTS MEDICINE PT 002804441 30 Lawrence Road, Suite 900 Broomall, PA 19008 (610) 449-8400 SPRINGFIELD PHYSICAL THERAPY 002814867

P - Preferred pharmacy

PLASTIC SURGERY

130 S Bryn Mawr Ave, Psychc Unit Bryn Mawr, PA 19010 (888) 227-3898 Kucher, Christina M., CNS

CHILDRENS SURGICAL ASSOCIATES LTD 002809719 819 Baltimore Pike Glen Mills, PA 19342 (215) 590-2208 Jackson, Oksana A., MD

PSYCH CHOICES OF THE DELAWARE VLY 002989803 5060 State Rd, Fl 2 Drexel Hill, PA 19026 (610) 626-8085 Palacios, Deanna J., MSN

4 East Woodland Avenue Springfield, PA 19064 (610) 328-3330

PODIATRY ROBBY J WIEMER 002811168 850 West Chester Pike, Suite 200 Havertown, PA 19083 (484) 453-6154 Wiemer, Robby J., DPM ROTHMAN RECON ORTH PODIATRY 002811731 600 Evergreen Drive, Rothman Institute, Suite 201 Glen Mills, PA 19342 (800) 321-9999 Dua, Reema, DPM PSYCHIATRIC NURSE MAIN LINE HLTHCR 002989027 100 Yearsley Mill Rd, Mirmont Treatment Center Media, PA 19063 (888) 227-3898 Kucher, Christina M., CNS

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PSYCHIATRIC SOCIAL WORKER ASSOCS OF SPRINGFIELD PSYCHL 002989038 1489 Baltimore Pike, Bldg 200, Ste 250 Springfield, PA 19064 (610) 544-2110 Winger, Matthew M., MSW MAIN LINE THRPY SOLUTIONS LLC 003151375 26 Summit Grove Avenue, Suite 211 Bryn Mawr, PA 19010 (610) 649-6344 Greene, Angela M., SW PSYCHIATRY ASSOCS OF SPRINGFIELD PSYCHL 002989038 1489 Baltimore Pike, Bldg 200, Ste 250 Springfield, PA 19064 (610) 544-2110 Malhi, Narpinder K., PHD

Patel, Ushama P., MD Pobre So, Josephine A., MD CROZER CHESTER MEDCL CTR 002989186 1 Medical Center Blvd Chester, PA 19013 (610) 447-2773 Abraham, Dara B., DO Adegbola, Omopariola, MD Cespon, Ruben R., MD Cooperman, Elliot M., MD Elliott, Lauren J., MD Falgowski, Sarah E., MD Johnson, Bruce M., MD Kasmani, Altaf S., MD Khin, Khin, MD Mahajan, Deepak S., MD Meyer, Peter J., MD Newman, Karen G., MD Roben, George B., MD Smith, Buster D., MD Smith, Shaun E., MD Steinberg, Susanne I., MD Stockton, Kevin L., MD Tariq, Khwaja K., MD 2600 W 9th St, Community Hospital Chester, PA 19013 (610) 497-7701 Adegbola, Omopariola, MD Babayants, Alexander R., MD Bennett, Rachel A., MD Caputo, Kevin P., MD Cespon, Ruben R., MD Cooperman, Elliot M., MD Eker, Deniz, MD Elliott, Lauren J., MD Falgowski, Sarah E., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. Farooqi, Abdulbari K., MD Gan, Juan J., MD Glushakow, Adam L., MD Johnson, Bruce M., MD Kaicher, David C., MD Khin, Khin, MD Lappalainen, Jaakko, MD Mahajan, Deepak S., MD McLafferty, Laura P., MD Meyer, Peter J., MD Newman, Karen G., MD Pachikara, Abraham S., MD Roben, George B., MD Sabol, Deana M., DO Sarasti, Ana M., MD Smith, Buster D., MD Soloway, Andrew S., MD Speller, Marsha L., MD Steinberg, Susanne I., MD Stockton, Kevin L., MD Stokes, Sudhir, MBBC Stolar, Neal M., MD Summers, Jane M., MD Tariq, Khwaja K., MD Withington, Amelia M., MD

HOLCOMB BHVRL HLTH SYST 002989124 225 S 69th St Upper Darby, PA 19082 (610) 352-8943 Kaufman, Ralph M., MD Koblenzer, Frances E., MD MAIN LINE AFFLT INC 002989180 600 Abbott Drive Broomall, PA 19008 (484) 476-1800 Newman, Karen G., MD MAIN LINE HLTHCR 002989027 100 Yearsley Mill Rd, Mirmont Treatment Center Media, PA 19063 (888) 227-3898 Hanson, Robin E., DO Izzo, Philip M., MD Murray, Andrea N., MD Newman, Karen G., MD Rosen, Howard B., MD Rubenstein, Elyse S., MD Shah, Margi C., MD Silverberg, Michael B., MD Starner, Meghan N., MD

DELAWARE CNTY PRO SVCS 002988925 1055 E Baltimore Pike, Ste 300 Media, PA 19063 (610) 892-3800 Glacken, Michael F., MD

130 S Bryn Mawr Ave, Psychc Unit Bryn Mawr, PA 19010 (888) 227-3898 Burock, Marc A., MD Cohen, Michael S., MD Cooney, Marina J., MD Hanson, Robin E., DO Izzo, Philip M., MD 1204 Holly Lane Martin, Elaine M., MD Glen Mills, PA 19342 Murray, Andrea N., MD (610) 892-3800 Glacken, Michael F., MD Newman, Karen G., MD Rosen, Howard B., MD P - Preferred pharmacy

Shah, Margi C., MD Silverberg, Michael B., MD Starner, Meghan N., MD Su, Michael X., MD Switzky, Martin B., MD MERCY PSYCHY ASSOCS 002988902 1503 Lansdowne Ave, Ste 3005 Darby, PA 19023 (610) 237-4122 Dekret, Jeffrey J., MD NHS OF DELAWARE CNTY 002989154 800 Chester Pike Sharon Hill, PA 19079 (610) 534-3636 Malhi, Narpinder K., PHD Meyer, Peter J., MD OMNI HLTH SVCS INC 002989430 35 E 5th St, Fl 1 Chester, PA 19013 (484) 480-6284 Deeney, Gerard, MD Dunlop, Lance R., MD Garcia Caraballo, Nohazarahit M., MD Meyer, Peter J., MD

SANARE TODAY LLC 003372768 1489 Baltimore Pike, Ste 250 Springfield, PA 19064 (484) 459-4512 Dattu, Mohamed R., MD PSYCHIATRY, NEUROLOGY CROZER CHESTER MEDCL CTR 002989186 2600 W 9th St, Community Hospital Chester, PA 19013 (610) 497-7701 Adler, Jessica W., MD Devon, Eric, MD PSYCHOLOGIST ASSOCS OF SPRINGFIELD PSYCHL 002989038 1489 Baltimore Pike, Bldg 200, Ste 250 Springfield, PA 19064 (610) 544-2110 Haber, Karen G., PHD Trevethan, Theresa A., PSYD Wiley, Justin R., PHD

BRANDYWINE NEUROPSYCHOLOGY 6930 Market St Fl 2 ASSOCIATES INC Upper Darby, PA 19082 002899306 (215) 997-2000 5 Christy Drive, Suite Deeney, Gerard, MD 102 RIDDLE PSYCHY LLC Chadds Ford, PA 19317 (610) 999-1441 002989604 1088 W Baltimore Pike, Kennedy, Daniel, PSYD Hhc II Suite 2201 CHILD GUIDNC Media, PA 19063 RESOURCE CTR (484) 444-2151 002989116 Gopalakrishnan, Raman N., MD

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2000 Old West Chester Pike Havertown, PA 19083 (484) 454-8700 Hiralall, Andrea S., PHD COHEN, JO A PHD 003077037 1216 Darby Rd Havertown, PA 19083 (610) 446-9669 Cohen, Jo A., PHD DELAWARE CNTY PRO SVCS 002988925 1055 E Baltimore Pike, Ste 303 Media, PA 19063 (610) 892-3800 Holsinger, Kyle B., PSYD 2010 W Chester Pike, Ste 314 3rd Floor Havertown, PA 19083 (610) 892-3800 Suzuki, Takako, PHD GOULD, JAMES M PHD 002986672 2743 Morris Rd Ardmore, PA 19003 (610) 642-4421 Gould, James M., PHD MG THERAPEUTIC SVCSLLC 003139891 100 W Sixth St, Ste 305 Media, PA 19063 (484) 445-4147 Gramatges, Marc A., PHD Lee, Robert M., PHD MORELLO, VINCENT J PHD 002986884

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 987 Old Eagle School REGISTERED Rd DIETICIAN Wayne, PA 19087 BALANCED (717) 203-6628 NUTRITION LLC Morello, Vincent J., PHD 003316346 NANCY LOUISE 5046 West Chester SAUNDERS Pike, A 002986724 Newtown Square, PA 501 North Providence 19073 Road, Apartment 103 (610) 715-4685 Media, PA 19063 Loschiavo, Natalie M., (610) 543-3418 RD Saunders, Nancy L., Stankiewicz, Amy M., PHD RD

ADVANCED RX PHARMACY 031 P 407 Baltimore Pike Ste B Morton, PA 19070 (925) 621-2918

OMNI HLTH SVCS INC 002989430 6930 Market St Fl 2 Upper Darby, PA 19082 (215) 997-2000 Watson, Andre S., PSYD

600 Hatton Dr Glen Mills, PA 19342 (610) 808-9055

PULMONARY DISEASES SUBURBAN PULMONARY MEDICINE PC 002809932 1 Bartol Avenue, Suite 14 Ridley Park, PA 19078 (610) 521-1300 Sayeed, Mohammad A., MD 196 West Sproul Road, Suite 207 Springfield, PA 19064 (610) 604-4400 Sayeed, Mohammad A., MD

BRYN MAWR MED SPEC ASSN 003078274 825 Old Lancaster Road, Suite 320 Bryn Mawr, PA 19010 (610) 527-3800 Phillips, Colette N., RD DIAMOND NUTRITION COUNSELING LLC 003098765 605 West State Street Media, PA 19063 (215) 240-7883 Diamond, Andrea S., RD RICHARDS, SAMANTHA RD 003045463 2406 Georgian Lane Broomall, PA 19008 (610) 662-5732 Richards, Samantha, RD RETAIL PHARMACIES ADVANCED PHARMACY CONCEPTS P 412 Elmwood Ave Sharon Hill, PA 19079 (484) 494-6130

P - Preferred pharmacy

CVS PHARMACY P 100 Maris Grove Wy Glen Mills, PA 19342 (610) 387-4540 1200 Baltimore Pike Springfield, PA 19064 (484) 470-2321

857 Baltimore Pike Springfield, PA 19064 (610) 338-0548 ELWYN PHARMACY P 194 S Middletown Rd Elwyn, PA 19063 (610) 566-2226 HOMETECH ADVANCED THERAPIES, INC. P 505 Elmwood Ave Sharon Hill, PA 19079 (484) 494-3121 RX P IINFUCARE I 2540 Market Street, Suite 1 Aston, PA 19014 (484) 480-6331 KATZ PHARMACY P 2 E Eagle Rd Havertown, PA 19083 (610) 446-4040 MARCUS HOOK PHARMACY P

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26 E. 10th Street Marcus Hook, PA 19061 (610) 485-7750 MURRAY-OVERHILL PHARMACY P 32 W State St Media, PA 19063 (610) 566-2345 RIOS PHARMACY P 35 S Morton Ave Morton, PA 19070 (610) 543-1858 SOLEO HEALTH P 950 Calcon Hook Road, Suite 15 Sharon Hill, PA 19079 (610) 586-2340 SPRINGFIELD PHARMACY P 1154 Baltimore Pike Springfield, PA 19064 (610) 544-4645

RHEUMATOLOGY NOBLE MEDICAL GROUP 003144191 1098 Baltimore Pike, Suite 2302 Media, PA 19063 (610) 734-0790 Khurana, Ritu, MD ROUTINE DENTAL AMERICAN DENTAL CARE PC 000650401 151 S 69th St Upper Darby, PA 19082 (610) 352-7600 Current Patients Only CIVILLICO FAMILY DENTISTRY 000119599 626 Burmont Rd Drexel Hill, PA 19026 (610) 352-6560 Current Patients Only

UPPER DARBY PHARMACY P 119 Long Lane SPEECH THERAPIST Upper Darby, PA 19082 PINNACLE ENT (610) 352-3010 SPEECH 002818248 WALGREENS #4487 301 West Chester Pike, 3620 Concord Rd Suite 101 Aston, PA 19014 Havertown, PA 19083 (610) 485-8102 (610) 446-6900 WESTBROOK PARK Shappell, Joyce E., MA PHARMACY P 244 W Baltimore Ave Clifton Heights, PA 19018 (610) 626-2949 WOODLYN PHARMACY P 1301 Jefferson Ave Woodlyn, PA 19094 (610) 833-5600

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. SPORTS MEDICINE PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES LTD 002822888 931 Haverford Avenue, Ste 200 Bryn Mawr, PA 19010 (610) 520-6170 Stellabotte, Joseph M., MD SPORTS MEDICINE 002804028 1260 East Woodland Avenue Springfield, PA 19064 (610) 690-4490 Collina, Steven J., MD 196 West Sproul Road, Suite 110 Springfield, PA 19064 (610) 328-8830 Collina, Steven J., MD SUBSTANCE ABUSE DISORDER REHABILITATION FACILITY WOMENS EMOTIONAL WELLNESS CTR 003392279 3855 West Chester Pk, Suite 160 Newtown Square, PA 19073 (484) 337-6300

THORACIC SURGERY PENN CARDIAC CARE AT MERCY 002820404 1501 Lansdowne Ave, Ste 305 Darby, PA 19023 (484) 494-6862 Martella, Arthur T., MD 1503 Lansdowne Ave, 3003 Darby, PA 19023 (484) 494-6920 Martella, Arthur T., MD UROLOGY UROLOGY HEALTH SPECIALISTS LLC 002816896 1088 West Baltimore Pike Hcc II, Suite 2304 Media, PA 19063 (610) 744-2844 Ghayad, Pierre Y., MD Landow, Craig A., MD McGowan, William E., MD Salva, Steven M., MD 2100 Keystone Boulevard, Suite 307 Drexel Hill, PA 19026 (610) 259-3000 Ghayad, Pierre Y., MD Landow, Craig A., MD McGowan, William E., MD Salva, Steven M., MD

P - Preferred pharmacy

LANCASTER COUNTY Cohen, Donna, MD Conley, Scott C., MD ANESTHESIOLOGY Fife, William A., MD ASSOCIATES IN Fogleman, Corey D., ANESTHESIA INC MD 002804191 Freedman, Beth E., MD 2160 Noll Drive Hermansen, Christian L., MD Lancaster, PA 17603 Kilbourn, Cynthia L., MD (610) 876-6448 Kirchner, Jeffrey T., DO Romisher, Marc, MD Kistler, Heidi T., MD CHIROPRACTOR Lawrence, Yolanda G., MD CHIROPRACTIC Martin, Jeffrey R., MD ASSOCIATES Olin, Stephen T., MD 002804350 Peterson, Alan S., MD 70 South Main Street Rast, Mark L., MD Rear Ratcliffe, Stephen D., Manheim, PA 17545 MD (717) 664-2900 Hazlett, Stephen R., DC Ripchinski, Michael R., MD Lasko, Kevin J., DC Schrock, Jon H., MD Stabler, Christine M., FAMILY PRACTICE MD LGHP PENN MEDICINE Stewart, Jonathan D., FAMILY MEDICINE MD DOWNTOWN Vnenchak, Pamela A., 003480793 MD 445 N Reservoir St Wood, John C., MD Lancaster, PA 17602 Zervanos, Nikitas J., MD (717) 544-9021 LITITZ FAMILY Cohen, Donna, MD PRACTICE Hermansen, Christian ASSOCIATES L., MD 003436206 Rast, Mark L., MD 51 Peters Rd, Ste 201 Ratcliffe, Stephen D., Lititz, PA 17543 MD (717) 626-2167 LGHP/PENN MEDICINE Andersen, Thomas W., COMPREHENSIVE MD CARE Kelly, James M., MD 002817128 Russo, Marc S., MD 554 N Duke St, 3rd Sailer, Dale W., MD Floor Superdock, David T., Lancaster, PA 17602 MD (717) 544-4943 PATIENT FIRST Brighter, Jennifer M., MEDICAL GROUP MD 002822974 Coco, Andrew S., MD

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1625 Oregon Pike Lancaster, PA 17601 (717) 925-2995 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD 002996179 1625 Oregon Pike Lancaster, PA 17601 (717) 925-2995 McGinley, Gregory J., DO PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 1625 Oregon Pike Lancaster, PA 17601 (717) 925-2995 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD GENERAL SURGERY DIVISION OF TRANSPLANT SURGERY 002818544 554 N Duke Street, Penn Medicine Transplant Surgery Lgh, 3rd Floor Lancaster, PA 17602 (215) 662-6200 Abt, Peter L., MD INTERNAL MEDICINE LITITZ FAMILY PRACTICE ASSOCIATES 003436206 51 Peters Rd, Ste 201 Lititz, PA 17543 (717) 626-2167 Nguyen, Jennifer L., DO

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. PATIENT FIRST MEDICAL GROUP 002822974 1625 Oregon Pike Lancaster, PA 17601 (717) 925-2995 Latona, Sandra J., MD 002996179 1625 Oregon Pike Lancaster, PA 17601 (717) 925-2995 Latona, Sandra J., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 1625 Oregon Pike Lancaster, PA 17601 (717) 925-2995 Latona, Sandra J., MD LICENSED CLINICAL SOCIAL WORKER ADVNCD CNSLNG AND TEST SOLUTIONS 003376270 2121 Oregon Pike, Ste 201 Lancaster, PA 17601 (717) 208-6599 Thompson, Kali L., MSW LANCASTER GEN HOSP 002989731 2100 Harrisburg Pike Lancaster, PA 17601 (717) 544-3172 Bradley, Rachel G., MSW

694 Good Drive, Suite 23 Lancaster, PA 17601 (717) 560-3782 Barnhart, Caroline M., MSW Bramley, Karen M., MSW

Levin, David P., MS LANCASTER GEN MEDCLGRP 002989046 931 Harrisburg Ave Lancaster, PA 17603 (717) 291-4082 Panjaitan, Katharina B., MA

OB-GYNECOLOGY

LGHP/PENN MEDICINE COMPREHENSIVE CARE 002817128 554 N Duke St, 3rd Floor Lancaster, PA 17602 LONG-TERM CARE (717) 544-4943 PHARMACIES LGHP PENN MEDICINE Faizon, Robert A., MD DIAMOND PHARMACY BEHAVIORAL HEALTH Hamblin, Cherise Y., MD Martin, Pamela A., DO 002989046 SERVICES 415 Harrisburg Avenue, Sieber, Rebecca A., MD 900 E King St PO Box 3003 Turnamian, Richard J., Lancaster, PA 17602 MD Lancaster, PA 17603 (717) 299-7875 Whitman, Kristy L., MD (717) 291-4082 GENOA, A QOL Panjaitan, Katharina B., HEALTHCARE OPHTHALMOLOGY MA COMPANY, LLC EYE DOCTORS OF LIFE CNSLNG SVCS 790 New Holland Ave LANCASTER Ste 102-A 002989000 002807383 Lancaster, PA 17602 1725 Oregon Pike 205B 485 Royer Drive, Ste (717) 723-9910 Lancaster, PA 17601 102 (610) 644-6464 Lancaster, PA 17601 MASTER LEVEL Levin, David P., MS THERAPIST (717) 560-4020 PSYCHIATRIC/MENT PSYCHL ASSOCS OF Bene, Catherine H., MD AL HEALTH LANCASTER INC Donnelly, Steven J., MD 002989065 Nelson, Leonard B., MD ADVNCD CNSLNG 2741 Lititz Pike, Apt 1 AND TEST OPTOMETRIST Lancaster, PA 17601 SOLUTIONS (717) 569-8511 003376270 EYE DOCTORS OF Leisure, Victoria P., MS LANCASTER 2121 Oregon Pike, Ste 201 002807383 NEONATOLOGY Lancaster, PA 17601 485 Royer Drive, Ste (717) 208-6599 CHCA NEONATOLOGY 102 Cupelli Knight, Jordan Lancaster, PA 17601 002805478 E., MS (717) 560-4020 555 North Duke Street Holmes, Eric S., MA Andrews, Jonathan D., Lancaster, PA 17602 Lucas, Joseph H., MED (717) 544-5511 OD

BHVRL HLTHCR CONSLNT PC 002989372 LGHP PENN MEDICINE 1755 Oregon Pike, Ste BEHAVIORAL HEALTH 200 002989046 Lancaster, PA 17601 (717) 581-5255 P - Preferred pharmacy

Mahajan, Anand B., MD

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PSYCHIATRY LANCASTER GEN MEDCLGRP 002989046 690 Good Dr Lancaster, PA 17601 (717) 544-5511 Selhi, Zoe, MD 802 New Holland Avenue, Suite 100 Lancaster, PA 17602 (717) 560-3782 Selhi, Zoe, MD LGHP PENN MEDICINE BEHAVIORAL HEALTH 002989046 2102 Harrisburg Pike Lancaster, PA 17601 (717) 560-3782 Selhi, Zoe, MD 694 Good Drive, Suite 23 Lancaster, PA 17601 (717) 560-3782 Selhi, Zoe, MD PSYCHOLOGIST ADVNCD CNSLNG AND TEST SOLUTIONS 003376270 2121 Oregon Pike, Ste 201 Lancaster, PA 17601 (717) 208-6599 Lord, Gary L., PHD FRIEDMAN, GARY PHD 002988057 2461 Lititz Pike Lancaster, PA 17601 (717) 560-3525 Friedman, Gary, PHD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. LANCASTER GEN MEDCLGRP 002989046 51 Peters Rd Lititz, PA 17543 (717) 544-5511 Phillips, Anna J., PSYD

2600 North Willow Street Pike Willow Street, PA 17584 (717) 464-4399

KMART PHARMACY3911 LGHP PENN MEDICINE 3975 Columbia Ave BEHAVIORAL HEALTH Columbia, PA 17512 (717) 285-2623 002989046 2102 Harrisburg Pike KMART Lancaster, PA 17601 PHARMACY3963 (717) 560-3782 1605 South Market Phillips, Anna J., PSYD Street Elizabethtown, PA NEW LIFE PSYCHL 17022 SVCS (717) 361-8024 003338590 KMART 1025 S Cocalico Rd PHARMACY4373 Denver, PA 17517 1890 Fruitville Pike (717) 606-7652 Lancaster, PA 17601 Pugh, John E., PHD (717) 560-3465 RETAIL KMART PHARMACIES PHARMACY9662 CVS PHARMACY P 1127 S State Street 2385 Covered Bridge Dr Ephrata, PA 17522 Lancaster, PA 17602 (717) 721-9021 (717) 390-9925 LONGENECKER PHARMACY P 960 Lititz Pike 5360 Lincoln Highway, Lititz, PA 17543 Suite 10 (717) 627-8250 Gap, PA 17527 DIAMOND PHARMACY (717) 442-9523 SERVICES SAVEMART P 900 E King St 241 W Roseville Road Lancaster, PA 17602 Lancaster, PA 17601 (717) 299-7875 (717) 569-0825 GENOA, A QOL HEALTHCARE SAVEMART COMPANY, LLC PHARMACY P 790 New Holland Ave 241 W Roseville Rd Ste 102-A Lancaster, PA 17601 Lancaster, PA 17602 (717) 569-0825 (717) 723-9910 THE MEDICINE KMART SHOPPE PHARMACY PHARMACY3810 P P - Preferred pharmacy

625 S. Duke Street Lancaster, PA 17602 (717) 208-3415 960 Lancaster Avenue, Ste 2 Columbia, PA 17512 (717) 684-5808 WILLIAMS APOTHECARY P 201 E Chestnut St Lancaster, PA 17602 (717) 393-3814 LEHIGH COUNTY ANESTHESIOLOGY ORTHOPAEDIC ASSOCIATES OF ALLENTOWN 002804377 250 Cetronia Rd, Suite 303 Allentown, PA 18104 (610) 973-6200 Corba, Robert, DO Wertz, Robert E., MD CHIROPRACTOR MANION CHIROPRACTIC 002811756 4969 Hamilton Square, Unit 1 Allentown, PA 18106 (610) 821-1044 Kmiecik, Jessica E., DC DERMATOLOGY DERMATOLOGY SKIN CANCER CTR P 002821196 798 Hausman Road, 310 Allentown, PA 18104 (610) 432-0200 Brady, John G., DO

86

FAMILY PRACTICE ALLENTOWN FAMILY PRACTICE 002815183 450 Chew Street, Suite 101 Allentown, PA 18102 (610) 776-4888 Buckley, Ronald J., MD Patel, Darshan B., MD CEDAR CREST EMERGICENTER 002804412 1101 S Cedar Crest Blvd Allentown, PA 18103 (610) 435-3111 Shingles, David J., DO LVPG FAMILY MEDICINE 1251 CEDAR CREST 002820606 1251 S Cedar Crest Blvd, Suite 102A Allentown, PA 18103 (610) 402-3940 Katz, Aaron D., MD LVPG FAMILY MEDICINE 3080 HAMILTON BOULIVARD 002813956 3080 Hamilton Boulivard, Suite 250 Allentown, PA 18103 (610) 437-0739 Katz, Aaron D., MD LVPG FAMILY MEDICINE CASTASAUQUA 002982911 840 Walnut Street Catasauqua, PA 18032 (610) 266-3060 Katz, Aaron D., MD

LVPG FAMILY MEDICINE CENTRONIA ROAD 002893394 250 Cetronia Rd, Suite 115 Allentown, PA 18104 (610) 395-0307 Katz, Aaron D., MD LVPG FAMILY MEDICINE EMMAUS 002817076 1040 Chestnut Street Emmaus, PA 18049 (610) 966-5549 Jones, Kristen L., DO Katz, Aaron D., MD LVPG FAMILY MEDICINE LAURYS STATION 002814156 5649 Wynnewood Drive, Suite 203 Laurys Station, PA 18059 (610) 261-1123 Brouse, Noel D., DO Chu, Chin C., MD Ciecko, Joseph, DO Deangelis, Patricia A., DO Katz, Aaron D., MD Nguyen, Chau H., DO Tomcho, Gregory S., DO LVPG FAMILY MEDICINE OREFIELD 002820634 5074 Kernsville Rd Orefield, PA 18069 (610) 395-1993 Katz, Aaron D., MD LVPG FAMILY MEDICINE SOUTHSIDE 002814002

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 141 East Emaus Avenue Allentown, PA 18103 (610) 791-5930 Katz, Aaron D., MD LVPG FAMILY MEDICINE WHITEHALL 002820636 3691 Crescent Court East, Suite 201 Whitehall, PA 18052 (610) 434-9561 Brouse, Noel D., DO 002820637 3691 Crescent Court East, Suite 100 Whitehall, PA 18052 (610) 434-9561 Brouse, Noel D., DO LVPG FAMILY PRACTICE OFFICE 002810634 1730 Chew Street Allentown, PA 18104 (610) 969-3500 Katz, Aaron D., MD ORTHOPAEDIC ASSOCIATES OF ALLENTOWN 002804377 250 Cetronia Rd, Suite 303 Allentown, PA 18104 (610) 973-6200 Crosson, Jill R., DO PATIENT FIRST MEDICAL GROUP 002996179 3178 Tilghman St Allentown, PA 18104 (610) 844-9150 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 3178 Tilghman St Allentown, PA 18104 (610) 844-9150 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD GENERAL PRACTICE ADULT MEDICINE AND GERIATRICS 002820219 798 Hausman Road, Ste 220 Allentown, PA 18104 (610) 871-3400 Current Patients Only Hartzell, Jr, George W., MD

INTERNAL MEDICINE

Latona, Sandra J., MD

ADULT MEDICINE AND GERIATRICS 002820219 798 Hausman Road, Ste 220 Allentown, PA 18104 (610) 871-3400 Current Patients Only Brandecker, Thomas G., MD Fogelman Mackenzi, Sandra, MD

ROSENFELD VANWIRT PC 003020797 3140 B Tilghman St, Pmb 144 Allentown, PA 18101 (610) 509-7481 Urffer, Peter H., MD

LVPG GERIATRIC MEDICINE 002810632 17th and Chew Street, Ground Floor Allentown, PA 18104 (610) 969-3390 Shedlock, Caroline J., MD

LVPG FAMILY MEDICINE LAURYS STATION 002814156 5649 Wynnewood Drive, Suite 203 Laurys Station, PA 18059 (610) 261-1123 Bren, Deborah A., DO

LVPG INTERNAL MEDICINE 1230 CEDAR CREST 003150037 1230 S Cedar Crest Blvd, Ste 204 Allentown, PA 18103 (610) 402-8950 Kowalyshyn, Theodore J., MD

GENERAL/ACUTE CARE HOSPITAL

PATIENT FIRST MEDICAL GROUP 002996179 3178 Tilghman St Allentown, PA 18104 (610) 844-9150 Latona, Sandra J., MD

SURGICAL SPECIALTY CENTER AT COORDINATED HEALTH 003022659 1503 N Cedar Crest Blvd Allentown, PA 18104 (610) 861-8080

P - Preferred pharmacy

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 3178 Tilghman St Allentown, PA 18104 (610) 844-9150

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LICENSED CLINICAL SOCIAL WORKER HOLLAND CNSLNG ASSOCS PC 002989795 14 Macungie Ave Emmaus, PA 18049 (610) 504-2199 Holland, III, Clay, MSW LEHIGH VLY PHYSNS GRP 002988957 1259 S Cedar Crest Blvd, Ste 230 Allentown, PA 18103 (610) 402-5900 Miller, Judith M., MSW PSYCHC AND CNSLNG ASSOCS 002989141 555 Harrison St Emmaus, PA 18049 (610) 965-6418 Rooth Fogel, Robin J., MSW ST LUKES PSYCHC ASSOCS INC 002989014 3760 Brookside Rd Macungie, PA 18062 (484) 526-3012 Evans, Hillary P., MSW VALLIERE AND CNSLNGASSOCS INC 002989349

726 Church St, P O Box 864 Fogelsville, PA 18051 (610) 530-8392 Dimmig, Rana N., MS LONG-TERM CARE PHARMACIES THE GOOD SHEPHERD REHABLITATION HOSPITAL PHARMACY Good Shepherd Plaza, 850 S 5th St Allentown, PA 18103 (610) 776-3284 MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH DEVELOPING APEX INC 003370115 1150 Glenlivet Drive, Suite A15 Allentown, PA 18106 (484) 269-6572 Gensemer, Colleen A., MA HAVEN HOUSE INC 003368017 1411 Union Boulevard Allentown, PA 18109 (610) 433-6181 Venskytis, Nicole, MA VALLIERE AND CNSLNGASSOCS INC 002989349 1501 E Pennsylvania St Allentown, PA 18109 (610) 530-8392 Beckwith, Bradley R., MS

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 726 Church St, P O Box 864 Fogelsville, PA 18051 (610) 530-8392 Beckwith, Bradley R., MS Welter, Krista L., MA MATERNAL FETAL MEDICINE LVPG MATERNAL FETAL MEDICINE 002809937 3900 Hamilton Blvd, Ste 201 Allentown, PA 18103 (484) 664-7555 Whitley, Kari A., MD OB-GYNECOLOGY ST LUKES WOMENS HEALTH CENTER 003295328 1736 Hamilton Street Allentown, PA 18104 (610) 628-8300 Abbruzzi, Kristin, DO Cisek, Emily L., DO Spurlock, John W., MD Willis, Johnnie S., MD

OCCUPATIONAL THERAPIST FOR HAND IINSTITUTE I AND UPPER EXTREMITY REHAB 002813006 798 Hausman Road, Suite 200 Allentown, PA 18104 (610) 391-9000 Mock, Jason D., OTR OPHTHALMOLOGY PROGRESSIVE VISION INST OF INSTUTE 002822848 5201 Hamilton Blvd Allentown, PA 18106 (610) 530-4444 Lee, Daniel, MD ORTHOPEDIC SURGERY

ORTHOPAEDIC ASSOCIATES OF ALLENTOWN 002804377 250 Cetronia Rd, Suite 303 Allentown, PA 18104 1837 West Linden Street (610) 973-6200 Anbari, Kevin K., MD Allentown, PA 18104 Battista, Richard D., MD (610) 628-8400 Brislin, Kenneth J., MD Abbruzzi, Kristin, DO Falatyn, Stephen P., MD Cisek, Emily L., DO Spurlock, John W., MD Fayyazi, Amir H., MD Hawk, Gregor M., MD Willis, Johnnie S., MD Hawkins, Christopher A., VALLEY OB GYN MD ASSOCIATION McConnell, Jeffrey R., 002814987 MD 322 South 17th St McDaid, Patrick J., MD Allentown, PA 18104 Palumbo, Robert C., MD (610) 434-4015 Pollice, Paul F., MD Riedel, William C., DO Talsania, Jay S., MD Tuazon, Hazel A., MD Weis, James C., MD Weiss, Lawrence E., MD P - Preferred pharmacy

PHYSICAL MEDICINE AND REHABILITATION ORTHOPAEDIC ASSOCIATES OF ALLENTOWN 002804377 250 Cetronia Rd, Suite 303 Allentown, PA 18104 (610) 973-6200 Millet, Brent, MD ST LUKES NEUROLOGY ASSOCIATES 002816549 240 Cetronia Rd, Suite 210 A Allentown, PA 18104 (484) 426-2626 Sathe, Geeta G., MD PODIATRY ALLENTOWN FAMILY FOOT CARE 002805541 2414 Walbert Avenue Allentown, PA 18104 (610) 434-7000 Anderson, Ann C., DPM Baker, Lora, DPM Fritz, Jr, Raymond A., DPM Smargiassi, Randy, DPM ORTHOPAEDIC ASSOCIATES OF ALLENTOWN 002804377 250 Cetronia Rd, Suite 303 Allentown, PA 18104 (610) 973-6200 Kaufman, Jay H., DPM Sorrento, Dean L., DPM

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STAHL FOOT & ANKLE 002822395 5930 Hamilton Blvd, 103 Allentown, PA 18106 (610) 438-8899 Stahl, Brian G., DPM PSYCHIATRY LEHIGH VLY PHYSNS GRP 002988957 1243 S Cedar Crest Blvd, Suite 300 Allentown, PA 18103 (610) 402-2567 Primelo, Ralph A., MD 1251 S Cedar Crest Blvd, Ste 202A Allentown, PA 18103 (610) 402-5000 Norris, Edward R., MD NEW VITAE INC 003376273 555 Harrison Street Emmaus, PA 18049 (484) 664-1400 Behar, David, MD ST LUKES PSYCHC ASSOCS INC 002989014 1736 Hamilton Street Allentown, PA 18104 (610) 628-8300 Anokwuru, Ebere A., MD Diaz Burney, Carmen E., MD Gerstman, Robert, DO Khan, Mohammad K., MD Marchionni, Christine, MD Shah, Muniza, MD Singh, Harvinder, MD Vedeniapin, Andrei B., MD

2895 Hamilton Boulevard, Suite 104 Allentown, PA 18104 (610) 435-8986 Sholevar, Farhad, MD PSYCHOLOGIST GOOD SHEPHERD PSYCYGRP 002989244 850 S 5th St Allentown, PA 18103 (610) 776-3214 Diorio, Martin J., PHD THE GROWTH AND RECVY CTR 002989463 6201 Hamilton Blvd, Ste 107 Allentown, PA 18106 (610) 828-4298 Griffin Shelley, Sr, Eric E., PHD VALLIERE AND CNSLNGASSOCS INC 002989349 1501 E Pennsylvania St Allentown, PA 18109 (610) 530-8392 Valliere, Veronique N., PSYD 726 Church St, P O Box 864 Fogelsville, PA 18051 (610) 530-8392 Valliere, Veronique N., PSYD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. RENAL DIALYSIS CENTER ST LUKES ALLENTOWN DIALYSIS 003185142 1901 Hamilton Street, Suite 100 Allentown, PA 18104 (610) 628-7470 RENAL DIALYSIS FACILITIES ST LUKES ALLENTOWN DIALYSIS 003185142 1901 Hamilton Street, Suite 100 Allentown, PA 18104 (610) 628-7470 RETAIL PHARMACIES CVS PHARMACY P 1600 N Cedar Crest Blvd Allentown, PA 18104 (610) 398-6617 749 N Krocks Rd Allentown, PA 18106 (610) 366-1103 912 Airport Center Dr Allentown, PA 18109 (610) 573-5711 EXPRESS CARE PHARMACY P 1727 W Liberty Street, Unit 2 Allentown, PA 18104 (610) 351-2273 HEALTH SPECTRUM PHARMACY SERVICES P

1202 S Cedar Crest Blvd, Cedar Crest Campus Allentown, PA 18103 (610) 402-8444 1637 W Chew St Allentown, PA 18102 (610) 969-2780 2545 Schoenersville Rd Bethlehem, PA 18017 (484) 884-7004 KMART PHARMACY3361 1502 South Fourth St Allentown, PA 18103 (610) 791-4672 KMART PHARMACY3643 2520 Mac Arthur Road Whitehall, PA 18052 (610) 821-9250 KMART PHARMACY4344 4701 Tilghman St Ext Allentown, PA 18104 (610) 395-2329

RHEUMATOLOGY ORTHOPAEDIC ASSOCIATES OF ALLENTOWN 002804377 250 Cetronia Rd, Suite 303 Allentown, PA 18104 (610) 973-6200 Seetharaman, Mythili, MD SPORTS MEDICINE ORTHOPAEDIC ASSOCIATES OF ALLENTOWN 002804377 250 Cetronia Rd, Suite 303 Allentown, PA 18104 (610) 973-6200 Dunne, Laura M., MD Krafczyk, Michael A., MD X-RAY/IMAGING CENTER

SURGICAL MEDICAP PHARMACY SPECIALTY CENTER AT COORDINATED P 5924 Tilghman St, Suite HEALTH 003022659 A 1503 N Cedar Crest Allentown, PA 18104 Blvd (610) 336-9033 Allentown, PA 18104 WALTERS PHARMACY (610) 861-8080 P MONTGOMERY 401 N 17th Street, Suite COUNTY 102 Allentown, PA 18104 ALCOHOL REHAB (610) 435-4706 MALVERN INSTITUTE 002801685 240 Fitzwatertown Road Willow Grove, PA 19090 (610) 647-0330

P - Preferred pharmacy

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ALLERGY/IMMUNOL OGY ABS MEDICINE LLC 003141791 701 Limekiln Pike Ambler, PA 19002 (267) 416-0212 Simpson, Alyson B., MD CSB MEDICINE DBA NARBERTH ALLERGY & ASTHMA 002888172 822 Montgomery Ave, Suite 318 Narberth, PA 19072 (484) 270-8584 Bowser, Corinna S., MD ANESTHESIOLOGY ASSOCIATES IN ANESTHESIA INC 002804191 2701 Blair Mill Rd, Suite 30 Willow Grove, PA 19090 (610) 874-6448 Romisher, Marc, MD CENTER FOR INTERVENTIONAL PAIN 002821730 2325 Maryland Rd, Suite 200 Willow Grove, PA 19090 (302) 477-1706 Kim, Philip Sung, MD Sundararajan, Venkatesh, MD Woo, Chee H., MD 2701 Blair Mill Road Willow Grove, PA 19090 (302) 766-5368 Kim, Philip Sung, MD

Sundararajan, Venkatesh, MD Woo, Chee H., MD 555 Second Ave, Suite D 102 Collegeville, PA 19426 (866) 637-5681 Hu, Melody, MD Kim, Philip Sung, MD Sundararajan, Venkatesh, MD Woo, Chee H., MD CENTER FOR INTERVENTIONAL PAIN SPINE LLC 002821730 2701 Blair Mills Road, Suite 3 Willow Grove, PA 19090 (215) 357-1108 Kim, Philip Sung, MD Sundararajan, Venkatesh, MD Woo, Chee H., MD ANESTHESIOLOGY PAIN MANAGEMENT CENTER FOR INTERVENTIONAL PAIN 002821730 555 Second Ave, Suite D 102 Collegeville, PA 19426 (866) 637-5681 Fishman, Michael A., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. CARDIOVASCULAR DISEASE CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 100 Market Street, Suite 400 Collegeville, PA 19426 (610) 831-0300 Belasco, Robert N., MD Belber, Arthur D., MD Casey, Jr, Paul R., MD Fredd, Scott H., MD Mercier, Richard J., MD Schwartz, Gary R., MD Sharma, Harinder, MD 1330 Powell Street, Suite 301 Norristown, PA 19401 (610) 279-1370 Buonocore, Edward R., MD Casey, Jr, Paul R., MD 210 Mall Blvd, Suite 101 King of Prussia, PA 19406 (610) 279-1370 Mercier, Richard J., MD Sharma, Harinder, MD 599 Arcola Rd Collegeville, PA 19426 (610) 647-4260 Mehta, Nirav N., MD 609 W Germantown Pike, Medical Arts Bldg Ste 120 East Norriton, PA 19403 (610) 279-1370 Cobert, Howard S., MD Fredd, Scott H., MD Goldstein, Philip R., MD Nalini, Chakram S., MD

676 Dekalb Pike, Suite 106 Blue Bell, PA 19422 (610) 279-7696 Fredd, Scott H., MD Goldstein, Philip R., MD Janke, III, Albert E., DO Lipshutz, Hugh, MD Nalini, Chakram S., MD Quinn, Vincent J., MD Vaganos, Steve A., MD COMPREHENSIVE HEART FAILURE PROGRAM AT ABINGTON 002818212 125 Medical Campus Drive Lansdale, PA 19446 (215) 481-4100 Haas, Donald, MD TEMPLE CARDIOLOGY ASSOC 002805053 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 707-8484 Vaidya, Anjali V., MD VIA AFFILIATES 002811104 1648 Huntington Pike Meadowbrook, PA 19046 (215) 933-0259 Harding, John D., MD Sangrigoli, Robert M., MD

P - Preferred pharmacy

CERTIFIED REGISTERED NURSE PRACTITIONER CHESTNUT HILL FAMILY CARE ASSOCIATES 002996075 500 Willow Ave Ambler, PA 19002 (215) 646-6743 Sands, Brittany A., CRNP GVHMP HARLEYSVILLE 003141716 270 Main Street Harleysville, PA 19438 (215) 513-3987 Goldmacher, Kimberly A., CRNP

JJEFFERSON J INTERNAL MEDICINE ASSOCIATES AT BALA 002810506 225 E City Ave, Ste 109 Bala Cynwyd, PA 19004 (610) 664-0134 Clancy, Christine N., CRNP

599 Arcola Rd Collegeville, PA 19426 (484) 565-8440 McLuckie, Andrew W., CRNP

2621 North Broad Street Colmar, PA 18915 (267) 308-8197 Perry, Joseph P., DC DERMATOLOGY

CHIROPRACTOR AMBLER CHIROPRACTIC CLINIC 002816359 1005 Penllyn Pike Spring House, PA 19477 (215) 643-2250 Coppola, Michael A., DC COLLEGEVILLE MED CTN PC 003104004 753 W Main St Trappe, PA 19426 (610) 489-8645 Vanina, Scott D., DC FULLER FAMILY CHIROPRACTIC 002819789 909 Sumneytown Pike, Ste 107 Spring House, PA 19477 (267) 419-8748 Fuller, David S., DC

ADVANCED DERMATOLOGY OF PENNSYLVANIA PC 003180769 2705 Dekalb Pike, Suite 108 Norristown, PA 19401 (610) 272-7546 Milstein, Harold J., MD 301 East City Avenue, Suite 100 Bala Cynwyd, PA 19004 (610) 617-1300 Goldman, Howard M., DO Milstein, Harold J., MD 500 West Germantown Pike, Suite 1020 Plymouth Meeting, PA 19462 (610) 272-7546 Milstein, Harold J., MD

MONTGOMERY DERMATOLOGY LLC 002820145 860 First Avenue, Ste MAIN LINE KIM CHIROPRACTIC 8B HEALTHCARE FAMILY AND REHAB CEN MEDICINE IN King of Prussia, PA 002816766 ROYERSFORD 704 Dekalb Pike, Suite 3 19406 003020819 (610) 265-1166 Blue Bell, PA 19422 649 North Lewis Rd, Chung, Christina L., MD (610) 313-3185 Limerick Professional Kim, Jhan D., DC Ctr, Ste 130 Kim, Sang H., DC Royersford, PA 19468 Lee, Hyoyoung, DC (610) 495-8101 Park, Jun S., DC Shackelford, Hillary E., CRNP PERRY JOSEPH UPPER PROVIDENCE 002819494 FAMILY MEDICINE 002806542

90

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. ENDOCRINOLOGY MAIN LINE ENDOCRINOLOGY 002815751 1100 East Hector Street, Suite 105A Conshohocken, PA 19428 (610) 649-1922 El Hajj, Rita J., MD Green, Dina E., MD Popii, Violeta B., MD TEMPLE ENDOCRINOLOGY ASSOCIATES 002805014 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 707-4600 Adlin, Victor, MD Anolik, Jonathan R., MD Criner, Kristin E., MD Rao, Ajaykumar D., MD Rubin, Daniel J., MD Siraj, Elias S., MD Sirisena, Imali, MD Vaz, Cherie L., MD Williams, Kevin J., MD FAMILY PRACTICE BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION 003464610 6 Lancaster Ave Wynnewood, PA 19096 (484) 416-3800 Kenis, Lisa A., DO CHESTNUT HILL FAMILY CARE ASSOCIATES 002818000

2827 West Cheltenham Avenue Wyncote, PA 19095 (215) 884-8815 Johnson, Kristi D., DO CONSHOHOCKEN FAMILY PRACTICE 002810502 612 Fayette Street, 2nd Floor Conshohocken, PA 19428 (610) 828-8500 Srinivasan, Mahalakshmi, MD EINSTEIN PHYSICIAN NORRITON 002804624 342 W Germantown Pike, Suite 200 Norristown, PA 19403 (610) 279-1500 Srinivasan, Mahalakshmi, MD FAMILY PRACTICE ASSOCIATES OF UPPER DUBLIN 002820816 1244 Fort Washington Ave, Ste E Fort Washington, PA 19034 (215) 646-1686 Moscow, Daniel M., MD GVHMP HARLEYSVILLE 003141716 270 Main Street Harleysville, PA 19438 (215) 513-3987 Mahosky Ukropec, Dusty I., MD Patel, Falguni C., DO KING OF PRUSSIA FAMILY MEDICINE 002809262

P - Preferred pharmacy

210 Mall Boulevard, Suite 102 King of Prussia, PA 19406 (610) 265-0726 Fischer, Mark B., MD Keim, Jon A., MD Myers, Charissa G., MD Nicholas, Angela M., MD Richardson, Kimberly A., MD Saacks, Dennis L., MD

Aggarwal, Ritu, MD PATIENT FIRST ABINGTON 002996179 938 Old York Road Abington, PA 19001 (267) 620-0237 McGinley, Gregory J., DO

PATIENT FIRST MEDICAL GROUP 002822976 LANKENAU MEDICAL 713 Bethlehem Pike ASSOCIATES Montgomeryville, PA 002806548 18936 100 East Lancaster Ave, (264) 695-3944 Ste B11 McGinley, Gregory J., Wynnewood, PA 19096 DO (484) 476-2658 Ortiz Evans, Ileana, MD Finley, Kathryn R., MD 002996179 MAIN LINE 400 East Germantown HEALTHCARE Pike 002811045 East Norriton, PA 100 East Lancaster 19403 Avenue, 4 Pavilion, (610) 994-0063 Suite 4303 McGinley, Gregory J., Wynnewood, PA 19096 DO (484) 476-6421 Fazili, Sabeena S., MD 713 Bethlehem Pike Montgomeryville, PA MEDICAL CENTER AT 18936 GWYNEDD (267) 695-3944 002809190 McGinley, Gregory J., 605 North Bethlehem DO Pike, Suite 205 PATIENT FIRST Lower Gwynedd, PA PENNSYLVANIA 19002 MEDICAL GROUP (215) 643-2403 002822977 Wolfert, Irwin, MD 119 Shoemaker Road MONTGOMERY Pottstown, PA 19464 FAMILY PRACTICE (610) 427-7919 GROUP McGinley, Gregory J., 002804625 DO 1330 Powell Street, Ortiz Evans, Ileana, MD Suite 409 Norristown, PA 19401 (610) 277-0964

91

400 East Germantown Pike East Norriton, PA 19401 (610) 994-0063 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD 713 Bethlehem Pike Montgomeryville, PA 18936 (267) 695-3944 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD 003038983 119 Shoemaker Road Pottstown, PA 19464 (610) 427-7919 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC 003039000 400 East Germantown Pike East Norriton, PA 19403 (610) 994-0063 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD PENNSYLVANIA URGENT CARE CENTE 002821428 2848 Moreland Rd Willow Grove, PA 19090 (267) 495-5445 Bajwa, Hania, MD Cherukuri, Madhavi V., MD Demedio, William J., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. Kirksey, Katherine H., DO Sax, Leonard D., MD Schaller, Vincent E., MD Schmidt, Robert H., DO 002821429 2848 Moreland Road Willow Grove, PA 19090 (267) 495-5455 Cherukuri, Madhavi V., MD Sax, Leonard D., MD PMA AT SUBURBIA SQUARE 002813100 66 Glocker Way Pottstown, PA 19465 (610) 819-6601 Olinick, Wendy S., DO SPRINGFIELD MEDICAL ASSOCIATES 002818301 1811 Bethlehem Pike, Suite B232 Flourtown, PA 19031 (215) 233-1500 Johnson, Kristi D., DO SUBURBAN FAMILY MEDICINE AT NORRISTOWN 002813744 1437 Dekalb Street, Ste 101 Norristown, PA 19401 (610) 275-7240 Bidey, Peter F., DO Kouyoumdjian, Michael, DO Mayer, Jessica R., DO TEMPLE FAMILY MEDICINE AT ELKINS PARK 003166443

8380 Old York Road, Suite 100 Elkins Park, PA 19027 (215) 517-5000 Spector, Harvey M., DO

GASTROENTEROLO GY

002810502 612 Fayette Street, 2nd Floor Conshohocken, PA 19428 (610) 828-8500 Wasserman, Charles M., DO

JJEFFERSON J GASTROENTEROLOG Y AND HEPATOLOGY ASSOCIATES TEMPLE FAMILY MEDICINE AT FORT 002810714 WASHINGTON 1095 Rydal Road, Rydal 002811563 Executive Plaza GENERAL SURGERY 515 Pennsylvania Ave, Rydal, PA 19046 CHILDRENS 2nd Fl Ste A (267) 620-1100 SURGICAL Fort Washington, PA Sass, David A., MD ASSOCIATES LTD 19034 TEMPLE 002809719 (215) 540-8408 GASTROENTEROLOG 550 South Goddard Blvd Sanderson, Jason J., Y ASSOC King of Prussia, PA DO 002805080 19406 TEMPLE PHYSICIANS 515 Pennsylvania (610) 337-3232 AT LAFAYETTE HILL Avenue Nguyen, Phuong D., MD 002811224 Fort Washington, PA MLHC VASCULAR 509 Germantown Pike 19034 SPECIALISTS Lafayette Hill, PA 19444 (215) 641-0700 002814227 (610) 828-7570 Heller, Stephen J., MD 1569 Medical Drive, Sanderson, Jason J., Tokar, Jeffrey L., MD Suite 203 DO TRI COUNTY Pottstown, PA 19464 TEMPLE READY CARE SURGICAL (610) 565-8564 JENKINTOWN ASSOCIATES Digiovanni, Vincent M., 002863415 002822382 DO 261 Old York Road, 13 Armand Hammer TRI COUNTY Suite 216 Blvd SURGICAL Jenkintown, PA 19046 Pottstown, PA 19464 ASSOCIATES (215) 884-3800 (610) 327-7770 002822382 Vansant, Monika T., DO Hameed, Burhan, MD 13 Armand Hammer TRIVALLEY PRIMARY Blvd GENERAL CARE LOWER Pottstown, PA 19464 PRACTICE SALFORD (610) 327-7770 ALL ABOUT FAMILY 002811508 Behr, Edith, MD MEDICINE OF 682 Main St Yuan, Xiang, MD FORNANCE Harleysville, PA 19438 003088477 (215) 256-8040 4 W Township Line Rd Carlier, Curt C., MD East Norriton, PA Topakas, Deborah A., 19401 DO (484) 416-0800 Ulasewicz, Joseph T., Wasserman, Charles M., MD DO Underwood, Susan K., MD CONSHOHOCKEN FAMILY PRACTICE

P - Preferred pharmacy

92

INTERNAL MEDICINE ABINGTON ADULT MEDICAL ASSOCIATES 002809560 1235 Old York Road, Suite 214 Abington, PA 19001 (215) 481-4811 Collins, Sara J., MD ABINGTON CANCER CARE SPECIALISTS 002811750 1200 Old York Road, 1 Widener Building, 1 Widener Building Abington, PA 19001 (215) 481-2400 Cohen, Steven J., MD CARRIAGE HOUSE MEDICAL GROUP LLC 002818124 1811 Bethlehem Pike, Ste 211 Flourtown, PA 19031 (215) 261-7117 Okolo, Emmanuel C., MD DETWEILER FAMILY MEDICINE ASSOCIATES 002806260 1970 North Broad Street Lansdale, PA 19446 (215) 368-1900 Kim, Su Jung, MD EINSTEIN PRACTICE PLAN 002805031 60 East Township Line Road Elkins Park, PA 19027 (215) 663-6000 Siadatan, Amir, MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. ELKINS PARK MEDICAL ASSOCIATES 002804536 8302 Old York Road Elkins Park, PA 19027 (215) 885-8550 Rothkopf, Jay E., MD

210 Mall Boulevard, Suite 102 King of Prussia, PA 19406 (610) 265-0726 Ecker, Andrew M., MD

119 Shoemaker Road Pottstown, PA 19464 (610) 427-7919 Latona, Sandra J., MD

400 East Germantown Pike PALLIATIVE MEDICINE East Norriton, PA ASSOCIATES 19401 002818489 FORNANCE HOSPITAL (610) 994-0063 1200 Old York Rd, Suite Latona, Sandra J., MD SERVICE 201 002811135 713 Bethlehem Pike Abington, PA 19001 559 W Germantown Montgomeryville, PA (215) 481-6839 Pike 18936 Rajpathak, Rupali, MD East Norriton, PA (267) 695-3944 19403 PATIENT FIRST Latona, Sandra J., MD (610) 270-2451 ABINGTON Bitetto, Daniel P., MD 938 Old York Road 002996179 Abington, PA 19001 938 Old York Road GERIATRIC (267) 620-0237 ASSESSMENT OF Abington, PA 19001 Latona, Sandra J., MD ABINGTON (267) 620-0237 002820116 Latona, Sandra J., MD 003038983 1245 Highland Ave, Ste 119 Shoemaker Road PATIENT FIRST 305 Pottstown, PA 19464 MEDICAL GROUP Abington, PA 19001 (610) 427-7919 002822976 (215) 481-5640 Latona, Sandra J., MD 713 Bethlehem Pike Collins, Sara J., MD Montgomeryville, PA PATIENT FIRST GVHMP 18936 PENNSYLVANIA HARLEYSVILLE (264) 695-3944 MEDICAL GROUP 003141716 PLLC Latona, Sandra J., MD 270 Main Street 003039000 Harleysville, PA 19438 002996179 400 East Germantown 400 East Germantown (215) 513-3987 Pike Pike Duong, David H., MD East Norriton, PA East Norriton, PA 19403 A MORRIS MD 19403 JJAMES J (610) 994-0063 LLC (610) 994-0063 Latona, Sandra J., MD 003406049 Latona, Sandra J., MD 100 East Lancaster SEAVY AND SESTITO 713 Bethlehem Pike Avenue, Suite 250 INTERNAL MEDICINE ASSOCIATES Wynnewood, PA 19096 Montgomeryville, PA 18936 002822933 (610) 642-7500 (267) 695-3944 115 E Broad Street Morris, Jr, James A., MD Latona, Sandra J., MD Hatfield, PA 19440 KING OF PRUSSIA PATIENT FIRST (215) 368-3456 FAMILY MEDICINE PENNSYLVANIA Seavy, George N., DO 002809262 MEDICAL GROUP Sestito, Maureen A., DO 002822977 P - Preferred pharmacy

93

SUBURBAN GERIATRICS INC 002808972 190 W Germantown Pike, Ste 100 East Norriton, PA 19401 (610) 272-8221 Sinkoff, Michael, DO VICTORY PRIMARY CARE LLC 003442925 100 East Lancaster Avenue, Medical Office Building West, Suite 432 Wynnewood, PA 19096 (610) 896-7172 Sardanopoli, Lisa A., MD LICENSED CLINICAL SOCIAL WORKER ABINGTON MEML HOSP 002989037 2500 Maryland Rd, Ste 309 Willow Grove, PA 19090 (215) 481-5450 Carey, Jan T., MSW Shapiro, Diane M., MSW ABINGTON PSYCHC ASSOCS 002989037 1200 Old York Rd, 1 Toll Abington, PA 19001 (215) 481-5450 Shapiro, Diane M., MSW

212 Girard Ave Glenside, PA 19038 (215) 481-5450 Shapiro, Diane M., MSW 3941 Commerce Ave Willow Grove, PA 19090 (215) 481-5450 Shapiro, Diane M., MSW 500 York Rd, Ste 108 Jenkintown, PA 19046 (215) 481-5450 Carey, Jan T., MSW Shapiro, Diane M., MSW COLLABORATIVE PSYCHC ASSOCS PC 002989001 100 Presidential Boulevard, G1 Bala Cynwyd, PA 19004 (484) 270-8817 Buckley, Micheal S., MSW Deguida, Ellyn, MSW DENISE CANDIDI LPC LLC 003335376 2605 Egypt Road, Suite 201 Trooper, PA 19403 (484) 849-1482 Fitzpatrick, Michelle, MS GATEWAY CNSLNG SVCSLLC 002989747 634 King St Pottstown, PA 19464 (610) 323-8866 Sorrell, William A., MA

1245 Highland Ave, Ste 308 Abington, PA 19001 HOLY REDEEMER (215) 481-5450 CNSLNG CTR Carey, Jan T., MSW Shapiro, Diane M., MSW 002989089

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 521 Moredon Rd Huntingdon Valley, PA 19006 (215) 914-4190 Richner, Timothy D., MSW

595 Bethlehem Pike, Ste MASTER LEVEL 201 THERAPIST Montgomeryville, PA PSYCHIATRIC/MENT 18936 AL HEALTH (215) 822-5553 ABINGTON MEML Wiley, Sandra K., MA HOSP SRI PSYCHL SVCS PC 002989037 002989181 2500 Maryland Rd, Ste 309 200 Jenkintown Commons Willow Grove, PA Jenkintown, PA 19046 19090 (215) 481-5450 (215) 885-3337 Carlock, Dawn M., MSW Zeigler, Fern, ACS

INSIGHT CNSLNG II 002989337 2 Village Rd Ste 6 Horsham, PA 19044 (267) 781-0712 Kennedy, Sharon M., MSW Pascucci, Cynthia, MSW 93 Old York Rd Ste 203 Reich, Emily L., MSW Jenkintown, PA 19046 PSYCHC (215) 885-3337 IINSTNL I CNSLTN SVCS Maebius, Ann B., MSW 002989298 Reddish, Megan H., 1305 Lafayette Road MSW Gladwyne, PA 19035 Tufts, Adrienne G., MA (610) 651-0657 LONG-TERM CARE Panzer, Nina B., MSW PHARMACIES PSYCARE SOLUTIONS CPS ABRAMSON INC CENTER PHARMACY 002989123 1425 Horsham Rd, 2nd 8302 Old York Rd, Suite Fl B12 North Wales, PA 19454 Elkins Park, PA 19027 (215) 371-1380 (215) 885-9700 Fitzpatrick, Michelle, MS FOULKEWAYS AT GWYNEDD PSYCY AND CNSLNG PHARMACY INC ASSOCS PC 1120 Meetinghouse Rd 002988912 Gwynedd, PA 19436 2091 E High St (215) 283-7057 Pottstown, PA 19464 GENOA, A QOL (610) 970-5234 HEALTHCARE Wiley, Sandra K., MA COMPANY, LLC 555 Second Ave, Ste D 11 Robinson St 300 Pottstown, PA 19464 Collegeville, PA 19426 (610) 970-6970 (610) 970-5234 Wiley, Sandra K., MA

MHMO INC 002989125 523 Plymouth Rd Ste 215 Plymouth Meeting, PA 19462 (610) 825-9400 Cook, John, MA McMullin, Alison B., MA

555 Second Ave, Ste D 300 Collegeville, PA 19426 (610) 970-5234 Andreoni, Leah E., MA SANARE TODAY LLC 003372768 491 Allendale Road, Suite 320 King of Prussia, PA 19406 (610) 344-9600 Lubas, Jennifer L., MS

ABINGTON PSYCHC ASSOCS 002989037 1245 Highland Ave, Ste 308 Abington, PA 19001 (215) 481-5450 Zeigler, Fern, ACS

PHILMONT GUIDNC CTR 002989110 727 Welsh Rd Ste 202 Huntingdon Valley, PA 19006 (215) 914-2119 Ettelson, Cori A., MA

002989747 634 King St Pottstown, PA 19464 (610) 323-8866 Ritsick, Lee, MA

8302 Old York Rd, Suite B12 Elkins Park, PA 19027 (215) 885-9700 Rossius, Milena A., MA

Norristown, PA 19403 (484) 888-0091 Abaluck, Brian K., MD

HOLY REDEEMER CNSLNG CTR 002989089 821 Huntingdon Pike Huntingdon Valley, PA 19006 (215) 914-4190 Small, Kristle J., MED

PSYCY AND CNSLNG ASSOCS PC 002988912 2091 E High St Pottstown, PA 19464 (610) 970-5234 Andreoni, Leah E., MA

VALLEY OB GYN ASSOCIATION 002814987 2793 Geryville Pike, Ste 201 Pennsburg, PA 18073 (215) 538-6493 Riedel, William C., DO Tuazon, Hazel A., MD

MAXILLO-FACIAL SURGERY

MARK J FUNT DMD PC 002812004 401 Township Line Road, Suite C Elkins Park, PA 19027 (215) 379-5520 COLLEGEVILLE PSYCARE SOLUTIONS Jaffery, Fizza A., DMD PSYCHLCTR INC INC 002988943 002989123 NEUROLOGY 3774 Ridge Pike 111 Presidential Blvd, BRIAN K ABALUCK Collegeville, PA 19426 East Lobby Suite 237 MD LLC (610) 489-3333 Bala Cynwyd, PA 003003534 Depolo, Deborah A., MA 19004 10000 Shannondell (215) 885-9700 GATEWAY CNSLNG Drive, Ashcroft Rossius, Milena A., MA Clubhouse Ground Floor SVCSLLC

CNSLNG IINSIGHT I 002989337 P - Preferred pharmacy

2 Village Rd Ste 6 Horsham, PA 19044 (267) 781-0712 Truchel, Anna J., MA

94

OB-GYNECOLOGY

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. WOMENS HEALTH CARE GROUP OF PA 003041188 1610 Medical Drive, Suite 105 Pottstown, PA 19464 (484) 925-0500 Brown, Allyson M., MD

Morris, Roberta F., OTR

OPHTHALMOLOGY

PROGRESS PHYSICAL THERAPY 003126828 1603 East High Street, Suite A Pottstown, PA 19464 (484) 624-3096 Aggio, Luisa B., OTR Gabriele, Michele L., OTR Kopcha, Erica L., OTR

DELAWARE VALLEY VISION ASSOC GROUP 002816446 200 Mall Blvd King of Prussia, PA 19406 (610) 337-1580 Cohn, Aaron D., MD

Khan, Mohammed A., MD Sridhar, Jayanth S., MD

OPHTHALMIC PARTNERS OF PA PC 002805285 100 Presidential Blvd, Ste 200 Bala Cynwyd, PA 609 W Germantown 19004 Ave, Suite 270 (484) 434-2700 East Norriton, PA EYE CONSULTANTS Aminlari, Ardalan E., MD 19403 OF PENNSYLVANIA Ayres, Brandon D., MD (610) 233-3350 PROGRESS PHYSICAL 002803825 Brown, Allyson M., MD Beck, Sylvia R., MD THERAPY LLC 293 Armand Hammer Cheung, Natalie, MD 003051120 Blvd OCCUPATIONAL Cui, Qi N., MD 1603 East High Street, THERAPIST Pottstown, PA 19464 Dale, Elizabeth A., MD Suite A (610) 327-8528 GENESIS ELDERCARE Pottstown, PA 19464 Gupta, Shipra, MD Nemani, Abhishek K., REHAB SERVICES Lee, Daniel, MD (484) 624-3096 MD 003371744 Lee, Stephen, MD Kopcha, Erica L., OTR 300 Perkiomen Avenue EYE KEY RETINA Lichtenstein, Stephen THE PHILADELPHIA CENTER Schwenksville, PA B., MD HAND CENTER 19473 003064949 Mayer, Jason R., MD 002814262 (610) 287-2571 1100 Heritage Dr Moster, Marlene R., MD 125 Medical Campus Machacek, Cheryl A., Pottstown, PA 19464 Nelson, Leonard B., MD Drive, Suite 100 OTR (610) 326-2754 Pro, Michael J., MD Lansdale, PA 19446 Aikey, Jeremy L., DO Raber, Irving M., MD PHILADELPHIA HAND (215) 855-4658 CENTER Schmidt, Jr, Courtland Morris, Roberta F., OTR 1806 Swamp Pike, Suite M., MD 002814262 400 420 West Linfield Gilbertsville, PA 19525 Schrack, Katie E., MD ONCOLOGY Trappe Road, Suite Tipperman, Richard, MD (610) 628-9988 AMH MEDICAL STAFF 1100 Aikey, Jeremy L., DO OPHTHALMOLOGY SERVICE FUND Limerick, PA 19468 PHYSICIANS AND 002804649 925 Horsham Road (610) 495-3200 SURGEONS Horsham, PA 19044 Morris, Roberta F., OTR 1200 Old York Road, 002814735 Department of Medicine (610) 628-9988 10106 Valley Forge 609 West Germantown Abington, PA 19001 Aikey, Jeremy L., DO Road Pike, Suite 220 (215) 481-2000 King of Prussia, PA MID ATLANTIC East Norriton, PA Cohen, Steven J., MD 19406 RETINA 19403 (610) 783-0615 002804901 (610) 783-4690 Morrison, Robert E., MD 4060 Butler Pike, Ste Morris, Roberta F., OTR 200 1085 South Broad 700 South Henderson Plymouth Meeting, PA Street, #F Road, Suite 200 19462 Lansdale, PA 19446 King of Prussia, PA (800) 331-6634 19406 (215) 361-1230 Hong, Bryan K., MD (610) 768-5940 Morrison, Robert E., MD P - Preferred pharmacy

95

1179 Dekalb Pike, 2nd Floor Blue Bell, PA 19422 (610) 272-1211 Morrison, Robert E., MD 1188 Dekalb Pike Blue Bell, PA 19422 (610) 272-1211 Morrison, Robert E., MD 1245 Highland Avenue, Suite 506PRICE Medical Office Buil Abington, PA 19001 (215) 886-0330 Morrison, Robert E., MD 303 Horsham Road Horsham, PA 19044 (215) 672-4300 Morrison, Robert E., MD 331 North York Road Hatboro, PA 19040 (215) 672-4300 Morrison, Robert E., MD 491 Allendale Road, Suite 120 King of Prussia, PA 19406 (610) 265-7770 Morrison, Robert E., MD 753 Main St, Ste D Trappe, PA 19426 (610) 489-7440 Morrison, Robert E., MD 8200 Flourtown Ave, Ste 15 Wyndmoor, PA 19038 (215) 836-2500 Morrison, Robert E., MD 909 Sumneytown Pike Spring House, PA 19477 (215) 542-1522 Morrison, Robert E., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. OPTOMETRIST OPHTHALMOLOGY PHYSICIANS AND SURGEONS 002814734 1085 South Broad Street, Building F Lansdale, PA 19446 (215) 361-1230 Brignola, Guy R., OD 1179 Dekalb Pk, 2nd Fl Blue Bell, PA 19422 (610) 272-1211 Brignola, Guy R., OD 331 N York Rd Hatboro, PA 19040 (215) 672-4300 Brignola, Guy R., OD 753 Main St, Ste D Trappe, PA 19426 (610) 489-7440 Brignola, Guy R., OD 8200 Flourtown Rd, Ste 15 Wyndmoor, PA 19038 (215) 836-2500 Brignola, Guy R., OD 909 Sumneytown Pike, Ste 201 Spring House, PA 19477 (215) 542-1522 Brignola, Guy R., OD SKIPPACK EYECARE 002813333 3990 Ashland Dr Skippack, PA 19474 (610) 410-5290 Lim, Jane H., OD TIMOTHY KIM PLLC 002821557

2321 Huntingdon Pike Huntingdon Valley, PA 19006 (215) 485-2840 Kim, Timothy D., OD ORTHOPEDIC SURGERY EINSTEIN PRACTICE PLAN 002811311 210 Mall Boulevard, Suite 3 King of Prussia, PA 19406 (215) 456-7900 Menkowitz, B J, MD Puleo, Samuel M., MD PHOENIXVILLE ORTHOPEDIC SPECIALISTS LLC 002823013 420 Linfield Trappe Road, Suite 2000 Limerick, PA 19468 (610) 279-6868 Rosenfeld, Karl, MD

Hammoud, Sommer, MD 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 641-0700 Hammoud, Sommer, MD OTORHINOLARYNG OLOGY (ENT) DEPT OF JJEFFERSON J OTOLARYNGOLOGY HEAD AND NECK SURGERY THE ROSENFELD CANCER CTR 002809537 1200 Old York Road, Ground Widener Abington, PA 19001 (215) 481-2800 Cognetti, David M., MD Curry, Joseph, MD Luginbuhl, Adam J., MD

MELISSA SCHWARTZ DO LLC 649 N Lewis Rd 002818372 Limerick, PA 19468 1650 Huntingdon Pike, (610) 495-0099 Ste 214 Rosenfeld, Karl, MD Meadowbrook, PA TEMPLE ORTHOPEDIC 19046 (215) 938-8400 AND SPORTS MEDICINE Schwartz, Melissa N., ASSOCIATES DO 003137949 375 Township Line 414 Commerce Drive Road Fort Washington, PA Elkins Park, PA 19027 19034 (215) 887-7380 (215) 641-0700 Saull, Sondra C., MD Hammoud, Sommer, MD 450 Cresson Boulevard, Suite 200 Oaks, PA 19456 (610) 630-2222

P - Preferred pharmacy

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PHYSICAL MEDICINE AND REHABILITATION L MATTHEW SCHWARTZ MD LLC 002819048 1108 E Willow Grove Ave Wyndmoor, PA 19038 (215) 233-6226 Schwartz, Linden M., MD PHYSICAL THERAPIST DONNEFIT PHYSICAL THERAPY 003175044 707 Bethlehem Pike, Suite C Montgomeryville, PA 18936 (215) 647-3141 JOHN R REYNOLDS JJ 002807334 18 Green St Souderton, PA 18964 (215) 723-9069 MCPHILEMY SACHS AND AVART PTRS 002813172 2 Bala Plaza, Ste Il 1 Bala Cynwyd, PA 19004 (610) 661-7922

NORTH PENN PHYSICAL THERAPY LLC 003092865 227 South Broad Street Lansdale, PA 19446 (215) 872-7822 PREMIER ORTHOPAEDIC & SPORTS MEDICINE PT 002804441 599 Arcola Road, Suite 208 Collegeville, PA 19426 (610) 409-2454 SACCO JOHN 002808114 59 Rockland Avenue Bala Cynwyd, PA 19004 (610) 664-0579 WILLOW GROVE PHYSICAL THERAPY 002814004 1003 Easton Road, 105 Chateau Willow Grove, PA 19090 (215) 659-7759 PLASTIC SURGERY CHILDRENS SURGICAL ASSOCIATES LTD 002809719 550 Goddard Boulevard King of Prussia, PA 19406 (610) 337-3232 Jackson, Oksana A., MD

NEUROLOGY PSYCHIATRY AND BALANCE THERAPY CENTER LL 003106228 725 Skippack Ave, Suite MELISSA SCHWARTZ DO LLC 130 002818372 Blue Bell, PA 19422 (267) 419-8413

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 1650 Huntingdon Pike, Ste 214 Meadowbrook, PA 19046 (215) 938-8400 Ondik, Michael P., MD

404 E High St Pottstown, PA 19464 (484) 973-6661 ADVNCD BHVRL HTLH Hagerich, Jillian M., TX CTR INC MSN 003171957 YONG SHIK SHIN AND 830 Chestnut St, Ste 2 SUBURBAN ASSOCS LLC Royersford, PA 19468 MULTISPECIALTY LTD 002989218 (610) 948-2200 003153062 1630 East High Street, Weissflog, Laura O., 1 Belmont Ave, Gsb Building 4 MSN Bldg, Ste 416 Pottstown, PA 19464 COLLABORATIVE Bala Cynwyd, PA (610) 327-1631 PSYCHC ASSOCS PC 19004 Donmoyer, Jane L., 002989001 (610) 667-4080 MSN 100 Presidential Corrado, Anthony C., Boulevard, G1 PSYCHIATRIC DO SOCIAL WORKER Bala Cynwyd, PA PODIATRY 19004 GRECCO C NINA (484) 270-8817 ANKLE AND FOOT 003304028 Miller, Michele J., MSN SURGICAL 708 South Bethlehem ASSOCIATES 2300 Computer Road, Pike 002809355 Building I, Suite 51 Ambler, PA 19002 1650 Huntingdon Pike, Willow Grove, PA (857) 957-1833 Suite 105 19090 Grecco, Nina C., MSW Meadowbrook, PA (215) 366-5044 SLOCUM, GILLIAN M 19046 Roarty, Thomas M., MSW (215) 947-9338 MSN 002991035 Chaudhry, Aisha S., PSYCY AND CNSLNG 543 Walnut Street DPM ASSOCS PC Pottstown, PA 19464 VALLEY IINDIAN I 002988912 (484) 433-1963 PODIATRY ASSOCS 2091 E High St Slocum Ross, Gillian, 002804687 Pottstown, PA 19464 MSW 484 Harleysville Pike, (610) 970-5234 Suite B YONG SHIK SHIN AND Mulligan, Christine M., ASSOCS LLC Harleysville, PA 19438 MSN 002989218 (215) 256-1060 555 Second Ave, Ste D 1630 East High Street, Kalyan, Liliya N., DPM 300 Building 4 RICHARD K RETTIG Collegeville, PA 19426 Pottstown, PA 19464 002804683 (610) 970-5234 (610) 327-1631 821 Huntingdon Pike, Mulligan, Christine M., Sabadish, Ronald J., Suite 206 MSN MSW Huntingdon Valley, PA RAMESH B ELURI MD 19006 PC (215) 379-2535 002989292 Grimes, Keith M., DPM Rettig, Richard K., DPM

P - Preferred pharmacy

PSYCHIATRIC NURSE

97

PSYCHIATRY ABINGTON MEML HOSP 002989037 2500 Maryland Rd, Ste 309 Willow Grove, PA 19090 (215) 481-5450 Chambliss, Jr, Robert B., MD Waldfogel, Shimon S., MD ABINGTON PSYCHC ASSOCS 002989037 1245 Highland Ave, Ste 308 Abington, PA 19001 (215) 481-5450 Chambliss, Jr, Robert B., MD 212 Girard Ave Glenside, PA 19038 (215) 481-5450 Chambliss, Jr, Robert B., MD 221 Davisville Rd Willow Grove, PA 19090 (215) 481-5450 Chambliss, Jr, Robert B., MD 500 York Rd, Ste 108 Jenkintown, PA 19046 (215) 481-5450 Chambliss, Jr, Robert B., MD Waldfogel, Shimon S., MD ASSOCS OF SPRINGFIELD PSYCHL 002989038

2321 N Broad St Colmar, PA 18915 (610) 544-2110 Pobre So, Josephine A., MD CREATIVE HEALTH SERVICES, INC 003164444 929 Willow St Pottstown, PA 19464 (610) 326-7734 Ercole, Mario A., MD CTRL BHVRL HLTH 002989115 2500 Maryland Road, Suite 130 Willow Grove, PA 19090 (267) 818-2220 Glass, Guy F., MD INDIK, JONATHAN H II MD 002986528 112 Bala Ave Bala Cynwyd, PA 19004 (215) 806-1211 Indik, Jonathan H., MD 426 Pennsylvania Avenue, Suite 2 Fort Washington, PA 19034 (215) 806-1211 Indik, Jonathan H., MD JOSEPH C DANTONIO JJ MD PC 002989230 615 W Main St, Fl 2 Lansdale, PA 19446 (610) 940-2604 Shainsky, Marina, MD JUTTA VOGT PC JJ 003029610

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 1013 W 9th Ave, Ste C King of Prussia, PA 19406 (484) 685-0965 Monheit, David, MD Pobre So, Josephine A., MD MAIN LINE HLTHCR 002989027 100 E Lancaster Ave Wynnewood, PA 19096 (484) 337-4286 Izzo, Philip M., MD Newman, Karen G., MD

2 Village Rd Ste 6 Horsham, PA 19044 (267) 781-0712 Horowitz, Jennifer L., PHD KARPF RONALD J PHD 002986721 103 S Main St Hatfield, PA 19440 (215) 610-8348 Karpf, Ronald J., PHD

MHMO INC 002989125 OMNI HLTH SVCS INC 523 Plymouth Rd Ste 215 002989430 595 Bethlehem Pike, Ste Plymouth Meeting, PA 19462 106 (610) 825-9400 Montgomeryville, PA Reichenbach, Lilyana 18936 D., PSYD (215) 997-2000 Deeney, Gerard, MD OMNI HLTH SVCS INC PSYCARE SOLUTIONS INC 002989123 8302 Old York Rd, Suite B12 Elkins Park, PA 19027 (215) 885-9700 Abraham, Dara B., DO PSYCHOLOGIST ASSOCS OF SPRINGFIELD PSYCHL 002989038 491 Allendale Rd, King of Prussia Med Ctr, Ste 320 King of Prussia, PA 19406 (610) 544-2110 Wiley, Justin R., PHD CNSLNG IINSIGHT I 002989337

THE GROWTH AND RECVY CTR 002989463 4079 Oak Ln Lafayette Hill, PA 19444 (610) 828-4298 Griffin Shelley, Sr, Eric E., PHD 452 Germantown Pike Lafayette Hill, PA 19444 (610) 828-4298 Griffin Shelley, Sr, Eric E., PHD PULMONARY DISEASES TEMPLE PULMONARY ASSOCIATES 002805453 450 Cresson Boulevard, Suite 200 Oaks, PA 19456 (610) 630-2222 Stewart, Jeffrey I., MD

002989430 595 Bethlehem Pike, Ste 106 REGISTERED Montgomeryville, PA DIETICIAN 18936 DIAMOND NUTRITION (215) 997-2000 COUNSELING LLC Watson, Andre S., 003098765 PSYD 2 Bala Plaza, Suite Il 27 PHILMONT GUIDNC Bala Cynwyd, PA CTR 19004 002989110 (215) 240-7883 717 Bethlehem Pike, Ste Smith, Suzanne H., RD 300 420 West Linfield Erdenheim, PA 19038 Trappe Road, Suite (215) 223-2425 1000 A Tendler, Rebecca J., Limerick, PA 19468 PHD (215) 240-7883 SRI PSYCHL SVCS PC Diamond, Andrea S., RD 002989181 Smith, Suzanne H., RD 93 Old York Rd Ste 203 Jenkintown, PA 19046 HEALTH FITNESS CONNECTIONS LLC (215) 885-3337 003373626 Alexander, Elaine S., EDD

P - Preferred pharmacy

98

93 Old York Rd, Ste 1 732 Jenkintown, PA 19046 (888) 406-8388 Kochenour, Kristen L., RD Levin, Tara J., RD Mills, Elizabeth, RD NOURISH ME NUTRITION THERAPY 003009852 2701 Blair Mill Rd, Suite 20 Willow Grove, PA 19090 (215) 716-1650 Demirjian, Jenna, RD WHOLISTIC FITNESS LLC 002823010 217 Church Rd, Ste B North Wales, PA 19454 (267) 613-8246 Marger, Kathryn J., RD Weiss Natko, Carly B., RD RETAIL PHARMACIES CPS ABRAMSON CENTER PHARMACY 1425 Horsham Rd, 2nd Fl North Wales, PA 19454 (215) 371-1380 CVS PHARMACY P 100 Upland Square Dr Pottstown, PA 19464 (484) 654-3581 125 Witchwood Dr North Wales, PA 19454 (215) 699-7767 1495 Old York Rd Abington, PA 19001 (215) 572-8085

160 W Dekalb Pike King of Prussia, PA 19406 (610) 312-0057 1824 E Ridge Pike Royersford, PA 19468 (610) 226-2152 200 Mill Road Phoenixville, PA 19460 (610) 650-3927 2250 Chemical Rd Plymouth Meeting, PA 19462 (610) 276-0043 2450 Shoppers Ln Philadelphia, PA 19150 (267) 628-3281 EVERGREEN PHARMACY P 1222 Welsh Rd, Ste C 1 North Wales, PA 19454 (215) 393-0902 FOULKEWAYS AT GWYNEDD PHARMACY INC 1120 Meetinghouse Rd Gwynedd, PA 19436 (215) 283-7057 GENOA, A QOL HEALTHCARE COMPANY, LLC 11 Robinson St Pottstown, PA 19464 (610) 970-6970 LANSDALE RX PHARMACY P 1801 N Broad St Ste 14 Lansdale, PA 19446 (215) 855-7500 MYERS DRUG STORE P 328 Dekalb St Norristown, PA 19401 (610) 272-0637

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. PARVIN'S PHARMACY P 30 N Bryn Mawr Ave Bryn Mawr, PA 19010 (610) 525-0443 PMC PHARMACY P 1250 Easton Rd, Suite 201N Horsham, PA 19044 (215) 922-2502 POTTSTOWN PHARMACY P 1501 E High St Pottstown, PA 19464 (484) 644-3120 PROFESSIONAL PHARMACY OF PENNSBURG P 931 Main St Pennsburg, PA 18073 (215) 679-9700

Rockledge Plaza, 400 A Huntingdon Pike Rockledge, PA 19046 (215) 663-1755 WALGREENS 699 W Germantown Pike East Norriton, PA 19403 (610) 630-5819 WALGREENS #7224 119 Dekalb Pike King of Prussia, PA 19406 (610) 962-9627 RHEUMATOLOGY

POTTSTOWN MED SPECIALIST INC 002813665 1566 Medical Drive, Suite 104 Pottstown, PA 19464 ROXY DRUG (484) 945-0075 STORE,INC. P 400 E Germantown Pike Fitch, Stacey L., DO Lafayette Hill, PA 19444 ROUTINE DENTAL (610) 828-5200 AMDENT LTD SHOPRITE PHARMACY OF EAST 000454443 2810 Dekalb Pike NORRITON P Norristown, PA 19401 55 East Germantown Pike (610) 277-7374 E Norriton, PA 19401 Current Patients Only (610) 313-5507 DENNIS E YANKOSKY DDS THE MEDICINE SHOPPE PHARMACY 000160616 P 2009 Butler Pike 206 N Charlotte St Conshohocken, PA Pottstown, PA 19464 19428 (610) 326-9690 (610) 828-1027 Current Patients Only 2113 West Main Street Jeffersonville, PA LOVIN DENTAL INC 19403 000047223 (610) 539-7282

P - Preferred pharmacy

10 Shady Ln Jenkintown, PA 19046 (215) 663-1431 Current Patients Only SLEEP MEDICINE MONTGOMERY CTY ASTHMA AND LUNG 002804732 609 W Germantown Pike, Ste 210 East Norriton, PA 19403 (610) 275-2446 Patel, Hiral, DO SPEECH THERAPIST THERAPLAY INC 002809904 451 West Ridge Pike, Suite 479 Limerick, PA 19468 (484) 369-8953 Alexander, Elizabeth P., MS Bancroft, Christina M., MS Barczyk, Jessica R., MS Beachler, Jeanne C., SLP Collins, Emma L., MSP Denton, Jessica L., SLP Edwards, Katrina M., SLP Egan, Janice E., MS Elsasser, Katherine M., SLP Haigh, Jennifer H., SLP Hosford, Courtney A., MA Iffland, Erica, MS Jackson, Lindsay G., SLP Joyce, Jacquelyne A., MA Kaplowitz, Jenna L., SLP King, Amy E., MA

99

Kulp, Krista M., MA Litton, Sarah J., MS Magee Greene, Kelly E., MA Manley, Caitlyn E., MA Marion, Kelly, MA McGeever, Emily E., MA McGrath, Victoria R., MA Mintz, Hallie E., SLP Moore, Jennifer L., MA Nguyen, Linda L., MS O Connor, Kelsey E., SLP O Sullivan, Molly J., SLP Omelko, Amanda R., MA Rasmussen, Alyce M., MA Scott, Kathleen C., MA Van Jaeckel, Christine G., MA Watson, Laura C., MS Webb, Deborah A., SLP Weiland, Kathleen A., MA Williams, Komal S., SLP SPORTS MEDICINE ST CHRISTOPHERS PEDIATRIC URGENT CARE CENTER LLC 002822910 500 Old York Road, Suite 250 Jenkintown, PA 19046 (215) 572-5300 Wolf, Michael J., MD 500 Old York Road, Suite 500 Jenkintown, PA 19046 (215) 572-5300 Wolf, Michael J., MD

SUBSTANCE ABUSE DISORDER REHABILITATION FACILITY MALVERN INSTITUTE 002801685 240 Fitzwatertown Road Willow Grove, PA 19090 (610) 647-0330 THORACIC SURGERY AMH CARDIAC SURGICAL SPECIALISTS 002816749 1200 Old York Road, Toll 5 Abington, PA 19001 (215) 481-4200 Scott, Walter J., MD MLHC VASCULAR SPECIALISTS 002814227 1569 Medical Drive, Suite 203 Pottstown, PA 19464 (610) 565-8564 Ross, Jr, Patrick, MD TRI COUNTY SURGICAL ASSOCIATES 002822382 13 Armand Hammer Blvd Pottstown, PA 19464 (610) 327-7770 Singer, Raymond L., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 511 E 3rd St, Suite 200 Bethlehem, PA 18015 EINSTEIN UROLOGY (610) 954-4700 ASSOCIATES Current Patients Only 003011457 Averbach, Marcus A., 100 Market Street, Suite MD 300 Burt, Francis X., MD Collegeville, PA 19426 Cutitta, Christopher J., (484) 622-6400 DO Sterious, Steven N., MD Dale, Jr, Thompson H., MD 210 Mall Boulevard, Durkin, Michael, MD Suite 101 Durkin, Raymond A., King of Prussia, PA MD 19406 Gallagher, James G., (610) 233-3693 Sterious, Steven N., MD MD Giamber, Sam R., MD VASCULAR Kara, Aoun B., MD SURGERY Kodali, Sobhan, MD Kolecki, Richard S., MD GRAND VIEW Mannisi, John A., MD SURGICAL ASSOCIATES Marais, Jake R., MD 002819142 Moran, Lynn N., DO 101 West Seventh Nguyen, Minh Q., MD Street, Suite 2A Persin, George A., DO Pennsburg, PA 18073 Puleo, Peter R., MD (215) 257-4866 Sarnoski, Christopher L., Olivero Ramirez, Eric V., DO MD Scoblionko, David P., MD NORTHAMPTON Sundlof, Deborah W., COUNTY DO CARDIOVASCULAR Tejada, Luis A., MD DISEASE Thomas, Dwithiya K., MD ST LUKES SOUTHSIDE CERTIFIED SPECIALTY REGISTERED 003189650 NURSE 511 East 3rd Street, PRACTITIONER Suite 200 Bethlehem, PA 18015 MINUTE CLINIC DIAGNOSTIC OF (484) 526-4700 PENNSYLVANIA LLC Dave, Devang M., MD 002819482 ST LUKES 2434 Catasauqua Rd SOUTHSIDE Bethlehem, PA 18018 SPECIALTY CLINIC (866) 389-2727 002813408 Burgon, Tara I., CRNP UROLOGY

P - Preferred pharmacy

COLON & RECTAL SURGERY CAMILLE EYVAZZADEH MD PC 002812694 1700 St Lukes Blvd, Ste 405 Easton, PA 18045 (610) 866-2600 Bowers, Daniel J., MD Eyvazzadeh, Camille, MD Eyvazzadeh, Daniel J., MD Reilly, W Terence, MD ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Bowers, Daniel J., MD Dippolito, Anthony, MD Eyvazzadeh, Daniel J., MD CRITICAL CARE MEDICINE ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Keeney, Scott A., DO

DERMATOLOGY ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Zaladonis, Jr, Joseph J., MD ENDOCRINOLOGY ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Bhatt, Bankim A., MD Choudhry, Sara, MD Doll, Jr, Robert B., MD FAMILY PRACTICE HEALTH IINTEGRATED I PC 002813564 2445 Lawnherst Ave Easton, PA 18045 (610) 252-9053 Delisser, Lawton O., MD LVPG FAMILY MEDICINE BANGOR 003480707 1337 Blue Valley Dr, Ste 7 Pen Argyl, PA 18072 (610) 654-1270 Cinelli, Philip J., DO LVPG FAMILY MEDICINE BATH 002820867

100

6649 Chrisphalt Drive, Suite 103 Bath, PA 18014 (484) 287-1111 Corpora, Cara L., DO Katz, Aaron D., MD LVPG FAMILY MEDICINE EASTON AVE 002813957 3024 Easton Ave Bethlehem, PA 18017 (610) 694-1000 Katz, Aaron D., MD Kvarta Brohm, Veronica M., DO Letcher, Abby S., MD LVPG FAMILY MEDICINE HELLERTOWN 002814064 1072 Main Street Hellertown, PA 18055 (610) 838-7069 Katz, Aaron D., MD LVPG FAMILY MEDICINE NAZARETH 003008092 863 Easton Nazareth Highway Nazareth, PA 18064 (484) 373-3260 Katz, Aaron D., MD LVPG INTERNAL MEDICINE MUHLENBERG 003316912 2649 Schoenersville Road, Suite 100 Bethlehem, PA 18017 (484) 884-8110 Gopal, Jyoti G., MD LVPG LEHIGH VALLEY FAMILY HEALTH CENTER 003373592

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 2604 Schoenersville Rd, 2nd Floor Bethlehem, PA 18017 (484) 788-0260 Dostal, Julie, MD Hunter, Carol A., MD PATIENT FIRST MEDICAL GROUP 003027024 2450 Butler Street Easton, PA 18042 (610) 991-3136 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD 2468 Butler Street Easton, PA 18042 (610) 991-3136 McGinley, Gregory J., DO PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 2310 Schoenersville Road Bethlehem, PA 18017 (484) 403-7560 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD 2450 Butler Street Easton, PA 18042 (610) 991-3136 McGinley, Gregory J., DO Ortiz Evans, Ileana, MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC 003038260 2310 Schoenersville Road Bethlehem, PA 18017 (484) 403-7560

McGinley, Gregory J., DO Ortiz Evans, Ileana, MD ST LUKES FAMILY PRACTICE AT PALMER 002815638 3213 Nazareth Road Palmer Township, PA 18045 (610) 559-2060 Strohm, Lauren E., DO GASTROENTEROLO GY ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Boylan, James J., MD Chen, Edward C., MD Geme, Berhanu M., MD Kaza, Chatargy S., MD Matin, Ayaz, MD Niewiarowski, Tomasz J., MD Solga, Steven F., MD TEMPLE INTERNAL MEDICINE ASSOCIATES 002821538 701 Ostrum Street Fountain Hill, PA 18015 (215) 707-5067 Peng, Lee F., MD

P - Preferred pharmacy

GENERAL SURGERY

LVPG INTERNAL MEDICINE MUHLENBERG 003316912 2649 Schoenersville Road, Suite 100 Bethlehem, PA 18017 (484) 884-8110 Augelli Hodor, Linda P., DO Barr, G C, MD Ehrig, Michael J., MD Holumzer, Clinton C., MD Kowalyshyn, Theodore J., MD Levin, Larry L., MD McWilliams, Wayne F., MD Pettine, John P., MD Twaddle, Hugo, MD Wertz, James T., DO

ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Cipolla, James, MD Conron, Jr, Richard W., DO Estrada, Fernando P., MD Hoey, Brian A., MD Hoff, William S., MD Lukaszczyk, John J., MD McDonald, Marian P., MD Morrow, Gerald J., MD Moseson, Jordan S., DO PATIENT FIRST Rosenfeld, Joel C., MD MEDICAL GROUP Thomas, Peter G., DO 003027024 2450 Butler Street INFECTIOUS Easton, PA 18042 DISEASES (610) 991-3136 ST LUKES Latona, Sandra J., MD SOUTHSIDE SPECIALTY CLINIC 2468 Butler Street 002813408 Easton, PA 18042 511 E 3rd St, Suite 200 (610) 991-3136 Bethlehem, PA 18015 Latona, Sandra J., MD (610) 954-4700 PATIENT FIRST Current Patients Only PENNSYLVANIA Jahre, Jeffrey A., MD MEDICAL GROUP INTERNAL MEDICINE APOGEE MEDICAL GROUP OF PA 002816163 250 South 21st Street Easton, PA 18042 (610) 250-4540 Malayala, Srikrishna V., MD

101

002822977 2310 Schoenersville Road Bethlehem, PA 18017 (484) 403-7560 Latona, Sandra J., MD 2450 Butler Street Easton, PA 18042 (610) 991-3136 Latona, Sandra J., MD

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC 003038260 2310 Schoenersville Road Bethlehem, PA 18017 (484) 403-7560 Latona, Sandra J., MD ST LUKES INTERNAL MEDICINE 002809566 801 Ostrum Street Bethlehem, PA 18015 (610) 954-4000 Mehta, Sagar V., MD Patel, Nikul A., DO Ruziev, Annamaria, MD ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Ender, Peter T., MD Gray Yoder, Nicole D., DO Phillips, James E., DO Ruggeri, Cara E., DO Steele, Kirth, DO Traub, Darren M., DO TEMPLE INTERNAL MEDICINE ASSOCIATES 002821538 701 Ostrum Street Fountain Hill, PA 18015 (215) 707-5067 Al Osaimi, Abdullah M., MD Qureshi, Kamran U., MD Yaseen Alsabbagh, Mohammed Eyad, MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. LICENSED CLINICAL SOCIAL WORKER HOLLAND CNSLNG ASSOCS PC 002989795 2030 Lehigh St Ste 110 Easton, PA 18042 (610) 330-9980 Holland, III, Clay, MSW REAGAN, MARJORIE W MSW 002987999 108 North Broadway Wind Gap, PA 18091 (484) 547-8898 Reagan, Marjorie W., MSW ST LUKES PSYCHC ASSOCS INC 002989014 1107 Eaton Avenue Bethlehem, PA 18018 (484) 526-2400 Boyer, Lee A., MSW Illingworth, Judith M., MSW Schlegel, David W., MSW Slough, Audrey L., MSW 4311 Easton Avenue Bethlehem, PA 18020 (484) 526-2400 Illingworth, John W., MSW Illingworth, Judith M., MSW 4379 Easton Avenue, Suite 101 Bethlehem, PA 18020 (484) 526-2400 Illingworth, John W., MSW

MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH BETHLEHEM CNSLNG ASSOCS PC 002988990 2045 Westgate Dr, Gateway Pro Ctr, Ste 304 Bethlehem, PA 18017 (610) 865-8177 Borsos, David P., PHD CONCERN PRO SVCS FOR CHILD YTH FMLY 002989400 90 S Commerce Way, Ste 300 Bethlehem, PA 18017 (610) 691-8401 Sanchez, Paula N., PHD MATERNAL FETAL MEDICINE LVPG MATERNAL FETAL MEDICINE 002809937 3101 Emrick Blvd, Ste 209 Bethlehem, PA 18020 (610) 867-4740 Whitley, Kari A., MD NEPHROLOGY VALLEY KIDNEY SPECIALISTS PC 002822054 2014 City Line Road, Ste 103 Bethlehem, PA 18017 (610) 432-4529 Guzzo, Joseph C., MD Kintzel, James E., MD Reichart, II, James P., MD

P - Preferred pharmacy

NEUROLOGY NEUROLOGY OF BETHLEHEM PC 002818391 406 Delaware Ave Bethlehem, PA 18015 (610) 867-5260 Beckhard, Sharon A., MD ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Beckhard, Sharon A., MD Malik, Bushra I., MD OB-GYNECOLOGY LVPG OBSTETRICS AND GYNECOLOGY 002808919 325 West Broad Street, 3rd Floor Bethlehem, PA 18018 (484) 626-9250 Haas, Susan I., MD SLPG ST LUKES WOMENS HEALTH CENTER 003295328 414 Northampton Street Easton, PA 18042 (610) 559-2175 Abbruzzi, Kristin, DO Cisek, Emily L., DO Spurlock, John W., MD Willis, Johnnie S., MD ST LUKES WOMENS HEALTH CENTER 003295328

102

220 Ferry Street Easton, PA 18042 (484) 503-8175 Abbruzzi, Kristin, DO Cisek, Emily L., DO Spurlock, John W., MD Willis, Johnnie S., MD 801 Ostrum Street Bethlehem, PA 18015 (484) 526-4761 Abbruzzi, Kristin, DO Cisek, Emily L., DO Spurlock, John W., MD Willis, Johnnie S., MD

ORTHOPEDIC SURGERY ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Brogle, Patrick J., MD Carolan, Gregory F., MD Falatyn, Stephen P., MD George, Brian P., MD Matullo, Kristofer S., MD

OPHTHALMOLOGY OPHTHALMOLOGY PHYSICIANS AND SURGEONS 002814735 1313 Center St Bethlehem, PA 18018 (610) 868-0130 Morrison, Robert E., MD 65 E Elizabeth Avenue, Suite 300 Bethlehem, PA 18018 (610) 868-0130 Morrison, Robert E., MD OPTOMETRIST OPHTHALMOLOGY PHYSICIANS AND SURGEONS 002814734 1313 Center St Bethlehem, PA 18018 (610) 868-0130 Brignola, Guy R., OD 65 E Elizabeth Avenue, Ste 300 Bethlehem, PA 18018 (610) 868-0130 Brignola, Guy R., OD

OTORHINOLARYNG OLOGY (ENT) LVPG OTOLARYNGOLOGY 17TH STREET 003332720 2649 Schoenersville Road, Suite 201 Bethlehem, PA 18017 (484) 884-8110 Sirotnak, III, John J., MD ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Brown, David M., MD Greenspan, Bruce M., MD Haytmanek, Craig T., MD Kaye, Glenn M., MD Uribe, Jose I., MD Yen, David M., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. PHYSICAL MEDICINE AND REHABILITATION ST LUKES NEUROLOGY ASSOCIATES 002816549 1417 Eighth Ave Bethlehem, PA 18018 (484) 526-5210 Sathe, Geeta G., MD

PSYCHIATRY ANIL SAXENA 002987003 307 E 4th St Bethlehem, PA 18015 (610) 849-2291 Saxena, Anil, MD

LEHIGH VLY PHYSNS GRP 002988957 2545 Schoenersville Rd 1700 St Lukes Blvd, 2nd Bethlehem, PA 18017 Floor (484) 895-4440 Easton, PA 18045 Primelo, Ralph A., MD (484) 426-2626 SAXENA, ANIL MD Sathe, Geeta G., MD 002987003 801 Ostrum Street 3005 Brodhead Rd Ste Bethlehem, PA 18015 120 (610) 882-0284 Bethlehem, PA 18020 Sathe, Geeta G., MD (610) 866-4966 Saxena, Anil, MD PODIATRY ST LUKES SOUTHSIDE SPECIALTY 003189650 511 East 3rd Street, Suite 200 Bethlehem, PA 18015 (484) 526-4700 Solimeo, Maggie U., DPM ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Kramer, Neal, DPM McCarroll, Raymond E., DPM

ST LUKES PSYCHC ASSOCS INC 002989014 1107 Eaton Avenue Bethlehem, PA 18018 (484) 526-2400 Diaz Burney, Carmen E., MD Espaillat, Stacey G., MD Fulinska, Elzbieta, MD Marchionni, Christine, MD Shah, Muniza, MD Sholevar, Farhad, MD 1872 Riverside Circle Easton, PA 18045 (484) 503-3000 Anokwuru, Ebere A., MD Elfatah, Mahmoud A., MD Espaillat, Stacey G., MD Gerstman, Robert, DO Khan, Mohammad K., MD

P - Preferred pharmacy

Marchionni, Christine, MD Sholevar, Farhad, MD Singh, Harvinder, MD 1872 Street Lukes Boulevard Easton, PA 18045 (484) 503-3000 Diaz Burney, Carmen E., MD Vedeniapin, Andrei B., MD 4311 Easton Avenue Bethlehem, PA 18020 (484) 526-2400 Diaz Burney, Carmen E., MD Espaillat, Stacey G., MD Fulinska, Elzbieta, MD 4379 Easton Avenue, Suite 101 Bethlehem, PA 18020 (484) 526-2400 Diaz Burney, Carmen E., MD Fulinska, Elzbieta, MD 801 Ostrum Street Bethlehem, PA 18015 (484) 526-4000 Anokwuru, Ebere A., MD Espaillat, Stacey G., MD Gerstman, Robert, DO Khan, Mohammad K., MD Marchionni, Christine, MD Singh, Harvinder, MD Vedeniapin, Andrei B., MD

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PSYCHOLOGIST CONCERN PRO SVCS FOR CHILD YTH FMLY 002989400 90 S Commerce Way, Ste 300 Bethlehem, PA 18017 (610) 691-8401 Miller, Nancy E., PSYD PULMONARY DISEASES ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Burlew, Brian P., MD Jimenez Serrano, Manuel J., MD Kintzer, Jr, John S., MD Stahlnecker, Deborah M., DO Turki, Mohamed A., MD REGISTERED DIETICIAN DREXEL NUTRITIONAL COUNSELING 002819174 153 Broadhead Rd Bethlehem, PA 18017 (215) 762-5511 Breeding, Zachari R., RD EAT WELL WITH GINA LLC 003053031 337 Cattell Street Easton, PA 18042 (908) 892-1482 Consalvo, Gina M., RD

RETAIL PHARMACIES BELL PHARMACY P 2045 Fairview Ave Easton, PA 18042 (610) 258-2311 CVS PHARMACY P 3835 Dryland Way Easton, PA 18045 (610) 250-5281 KMART PHARMACY3949 803 Male Road Wind Gap, PA 18091 (610) 863-7535 KMART PHARMACY3954 400 North Best Avenue Walnutport, PA 18088 (610) 767-2541 KMART PHARMACY7192 320 South 25th St Easton, PA 18042 (610) 258-9227 NEWHARD PHARMACY P 1001 Main St Northampton, PA 18067 (610) 262-6721 YOUNGS PHARMACY P 3708 Freemansburg Ave Bethlehem, PA 18020 (610) 866-4552

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. PHILADELPHIA COUNTY

UROLOGY ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Anderson, John R., MD Bingham, Jonathan B., MD Lennert, Joseph B., MD Mayer, Eric, MD Rosenthal, Jarrod E., MD Steinbook, Melvin L., MD Tamarkin, Frank J., MD VASCULAR SURGERY ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Current Patients Only Balshi, James D., MD Granson, Marc A., MD Ivarsson, Bengt L., MD

ALLERGY/IMMUNOL OGY PENN MEDICINE OTOHINOLARYNGOL OGY HEAD AND NECK SURGERY 002807122 3400 Civic Center Blvd, South Pavilion 3rd Floor Philadelphia, PA 19104 (215) 662-2777 Bosso, John V., MD ANESTHESIOLOGY

900 Walnut Street, Jefferson Hospital For Neurosciences Philadelphia, PA 19107 (215) 955-6161 Wyler, David A., MD JEFFERSON JJ HOSPITALIST GROUP 002822066 111 S 11th St Philadelphia, PA 19107 (215) 503-2455 Wyler, David A., MD PAIN MANA ASSOC OF FCCC MGI 002822816 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 McCaughan, Stephen A., DO Trehan, Gaurav, MD

ADVANCED SPINE AND PAIN LLC 003321723 9815 Roosevelt Boulevard, Unit J Philadelphia, PA 19114 (888) 985-2727 Pryzbylkowski, Peter G., PHARO PAIN MGMT ASSOC PC MD 003131943 COAST ANESTHESIA 3340 South Broad Street PRACTICE PC Philadelphia, PA 19145 002876562 (215) 463-1900 5800 Ridge Ave Pharo, Gregory H., DO Philadelphia, PA 19128 829 Spruce Street, Suite (800) 394-4445 308 Leung, Dolan C., MD Livezey, Heather K., DO Philadelphia, PA 19107 (215) 829-3867 Soccio, Paul S., MD Pharo, Gregory H., DO Williams, Charles D., MD 8815 Germantown Ave,

JJEFFERSON J ANESTHESIOLOGY ASSOCIATES 002809995 111 South 11th Street, Suite 8490 Philadelphia, PA 19107 (215) 955-6161 Wyler, David A., MD

P - Preferred pharmacy

Ste 33 Philadelphia, PA 19118 (215) 248-8200 Pharo, Gregory H., DO SHRINERS HOSPITAL FOR CHILDREN 003001050 3551 N Broad St Philadelphia, PA 19140 (215) 430-4000

104

Chen, Lita W., MD Fazi, Lisa, MD McClung, Heather A., MD Rastogi, Mala, DO Schwartz, Roy E., MD Shevchenko, Yuri O., MD ANESTHESIOLOGY PAIN MANAGEMENT ADVANCED SPINE AND PAIN LLC 003321723 9815 Roosevelt Boulevard, Unit J Philadelphia, PA 19114 (888) 985-2727 Purewal, Uplekh S., MD AUDIOLOGIST BROKER CRAMER AND SWANSON ENT 002821849 525 Jamestown Ave, Suite 205 Philadelphia, PA 19128 (610) 415-1100 Isayev, Jennifer C., AUD Mencken, Lauri K., AUD O'Donnell, Colleen R., AUD Real, Karen K., MA Small, Audrey G., AUD TRU TONE HEARING AID CENTER 002818491 1416 Snyder Avenue Philadelphia, PA 19145 (215) 465-5878 Skowronski, George J., MA

BEHAVIORAL ANALYST FAIRMOUNT BHVRL HLTH SYST 002989652 561 Fairthorne Ave Philadelphia, PA 19128 (215) 487-4032 Lee, Lesley H., MD CARDIOVASCULAR DISEASE CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 1809-13 W Oregon Ave, 2nd Floor Philadelphia, PA 19145 (215) 465-3435 Rosner, Howard M., DO 700 Cottman Ave, Bldg B, Suite 101 Philadelphia, PA 19111 (215) 745-4100 Sturm, Eron R., MD HEALTH SMART MED CTR 002813436 9922 Roosevelt Blvd Philadelphia, PA 19115 (215) 464-6040 Schlesinger, Robert, MD PERPHERIAL VASCULAR INSTITUTE 003043051 1304 Rhawn Street Philadelphia, PA 19111 (215) 742-1225 Meltzer, Arthur H., MD TEMPLE CARDIOLOGY ASSOCIATES 002805053

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 255 S 17th St Philadelphia, PA 19103 (215) 707-5800 Vaidya, Anjali V., MD 3509 North Broad Sreet Philadelphia, PA 19140 (215) 707-8484 Vaidya, Anjali V., MD 7600 Central Avenue, Suite 100 Philadelphia, PA 19111 (215) 722-4600 Vaidya, Anjali V., MD UNIV OF PENNSYLVANIA CARDIOLOGY 002808301 51 N 39th St, Phi 2C Philadelphia, PA 19104 (215) 662-9000 Rame, Jesus E., MD

ESPERANZA HEALTH CENTER HUNTING PARK 002806102 4417 N 6th Street Philadelphia, PA 19140 (215) 302-3600 Current Patients Only Montalvo, Antonette A., CRNP Moss, Deborah R., CRNP Romeo, Kristin M., CRNP GPHA CARL MOORE HEALTH CENTER 002805263 1401 S 31st Street Philadelphia, PA 19146 (215) 755-7700 Chan, Yuk Mui, CRNP

ARIA HELATH PHYSICIAN SERVICES CENTRAL SQUARE MEDI 002807883 3998 Red Lion Rd, Ste 209 Philadelphia, PA 19114 (215) 331-2405 Smink, Ashley M., CRNP

FAMILY JJEFFERSON J MEDICINE ASSOCIATES 002805289 833 Chestnut Street East, Suite 301 Philadelphia, PA 19107 (215) 955-7190 Clancy, Christine N., CRNP Cruz, Jennifer L., CRNP Guthrie, Morton R., CRNP Hanson, Molly M., CRNP Maloney, Christine H., CRNP

EINSTEIN PRACTICE PLAN 003336366 9892 Bustleton Avenue, Ste 202 Philadelphia, PA 19115 (267) 672-2281 Fey, Janice L., CRNP

JJEFFERSON J PALLIATIVE CARE PROGRAM 003304980 925 Chestnut Street, Suite 420 Philadelphia, PA 19107 (215) 955-8874

CERTIFIED REGISTERED NURSE PRACTITIONER

P - Preferred pharmacy

Clancy, Christine N., CRNP Cruz, Jennifer L., CRNP Guthrie, Morton R., CRNP Hanson, Molly M., CRNP Maloney, Christine H., CRNP PHMC 003362550 500 Adams Avenue Philadelphia, PA 19120 (215) 279-9666 Current Patients Only Greco, M Magdalene, CRNP PHMC CARE CLINIC 002815479 1200 Callowhill Street, Suite 101 Philadelphia, PA 19123 (215) 825-8220 Kelly, Megan P., CRNP PHMC CONGRESO HEALTH CENTER 002868271 412 West Lehigh Philadelphia, PA 19195 (215) 763-8870 Kelly, Megan P., CRNP QCARE RETAIL CLINIC 002996974 2800 Fox Street, Shop Rite, Unit A Philadelphia, PA 19129 (267) 597-3610 Wolff, Kathleen C., CRNP WILSON PARK MEDICAL 002805262

105

1401 S 31st Street, CLINICAL GENETICS Gpha Carl Moore Health (M.D.) Center Philadelphia, PA 19146 CHCA GENETICS AND METABOLISM (215) 755-7700 Fitch, Hannah L., CRNP 002809370 3401 Civic Center Philadelphia, PA 19104 CHIROPRACTOR (215) 590-1000 CARFELLO DOMINICK Kallish, Staci M., DO 002805415 PRESBYTERIAN 520 North Columbus MULTISPECIALTY Boulevard, Suite 204 Philadelphia, PA 19123 GROUP 002811185 (215) 239-3097 51 North 39th Street, Carfello, Dominick G., Medical Office Building, DC Suite 103A GREAT LIFE Philadelphia, PA 19104 CHIROPRACTIC (215) 662-4867 002816882 Kallish, Staci M., DO 7953 Ridge Avenue Philadelphia, PA 19128 UNIV OF PENN HEMATOLOGY (215) 483-6550 ONCOLOGY Loos, Theodore B., DC 002808800 MINSOP LEE DC 51 N 39th Street, 103A 002814604 Medical Arts Building 431 West Chew Avenue Philadelphia, PA 19104 Philadelphia, PA 19120 (215) 662-4867 (267) 471-9777 Kallish, Staci M., DO Lee, Minsop, DC DERMATOLOGY SCOTT SILVERMAN ADVANCED 002804309 DERMATOLOGY OF 6921 Frankford Avenue, PENNSYLVANIA Suite A 003180769 Philadelphia, PA 19135 10159 Verree Road (215) 708-8887 Philadelphia, PA 19116 Silverman, Scott J., DC (215) 677-1155 WYNNEWOOD Batta, Mari M., DO CHIROPRACTIC Milstein, Harold J., MD CENTER ADVANCED 002816402 7708 City Ave, Ste 208 DERMATOLOGY OF PENNSYLVANIA PC Philadelphia, PA 19151 003180769 (610) 452-5382 Vernille, Stephen J., DC

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 252 Jamestown Street, Suite 206 Philadelphia, PA 19128 (215) 482-7546 Batta, Mari M., DO Goldman, Howard M., DO Milstein, Harold J., MD UNIV OF PENNSYLVANIA DERMATOLOGY PATHOLOGY ASSOCIATES 002807689 3737 Market Street, 11th Floor Philadelphia, PA 19104 (215) 662-8060 Ogunleye, Temitayo A., MD Pugliese, Douglas J., MD Uberti Benz, Marie O., MD Wan, Joy, MD 51 N 39th St, Medical Arts Bldg Ste 106 Philadelphia, PA 19104 (215) 662-8229 Bechtel, Mark A., MD James, William D., MD Ming, Michael E., MD Payne, Aimee S., MD FAMILY PRACTICE ABBOTTSFORD FALLS FAMILY PRACTICE AND COUNSELING NETWORK 002815051 4700 Wissahickon Avenue, Suite 119 Philadelphia, PA 19144 (267) 597-3654 Kaleka, Amanjeet K., MD

ARIA HELATH PHYSICIAN SERVICES CENTRAL SQUARE MEDI 002807883 3998 Red Lion Rd, Ste 209 Philadelphia, PA 19114 (215) 331-2405 Johnson, Margi L., DO Levin, Anthony S., DO Palat, Herman W., DO ARIA PHYSICIAN SERVICES DZS 002807673 10101 Academy Road, Suite 104 Philadelphia, PA 19114 (215) 632-4000 Shah, Sarah R., DO DEDICATED DOCTORS PC 002880604 1800 Jackson Street Philadelphia, PA 19145 (215) 271-3600 Belletieri, Christopher M., DO Fischer, Michael B., DO

208 W Chelten Ave Philadelphia, PA 19144 (215) 849-3553 Tran, Brian M., DO GHPA SOUTHEAST HEALTH CENTER 002805275 800 Washington Avenue Philadelphia, PA 19147 (215) 339-5100 Mahaniah, Wakengo, MD GPHA CARL MOORE HEALTH CENTER 002805263 1401 S 31st Street Philadelphia, PA 19146 (215) 755-7700 Amendola McCafferty, Diedra E., DO Edde, Peter B., MD Elcock Vengen, Julia A., MD Mahaniah, Wakengo, MD Powell, Courtney M., MD Rom, Adam R., MD

002805319 4510 Frankford Avenue Philadelphia, PA 19124 (215) 744-1302 Mahaniah, Wakengo, MD

9551 Bustleton Ave, 2nd Floor Philadelphia, PA 19115 (215) 698-9440 Current Patients Only Montague, Barry, DO

GPHA HUNTING PARK HEALTH CENTER 002811850 1999 West Hunting Park Avenue Philadelphia, PA 19140 (215) 228-9300 Mahaniah, Wakengo, MD

MAZZONI CENTER 002816479 809 Locust St Philadelphia, PA 19107 (215) 563-0658 Brisbon, Nancy E., MD Gross, Shanin R., DO

GPHA WOODLAND AVENUE HEALTH CENTER 002805317 5000 Woodland Avenue Philadelphia, PA 19143 (215) 726-9807 Mahaniah, Wakengo, MD

DREXEL FAMILY PRACTICE ASSOC 003390304 219 N Broad St, 1st Fl Philadelphia, PA 19107 (215) 762-5145 Evans, Susanna G., MD

HEALTH CENTER 2 002805253 1700 South Broad St, Health Center 2 Philadelphia, PA 19145 GPHA CHINATOWN MEDICAL CENTER (215) 685-1800 003142667 Johnson Parker, Stacey 1999 West Hunting Park W., DO Avenue INT I I MED ASSOC OF Philadelphia, PA 19140 FCCC MGI (215) 228-9300 002822809 Rom, Adam R., MD 333 Cottman Avenue

EXCEL MEDICAL CENTER LLC 002821187 7515 Stenton Avenue Philadelphia, PA 19150 (267) 335-5264 Penn, Carol A., DO Tran, Brian M., DO

GPHA CHINATOWN MEDICAL SERVICES 002815743 930 Washington Avenue Philadelphia, PA 19147 (215) 627-8000 Mahaniah, Wakengo, MD

002821191

GPHA FRANKFORD HEALTH CENTER

P - Preferred pharmacy

106

Philadelphia, PA 19111 (215) 728-6900 Ikediobi, Okwuolisa A., MD L AND M MEDICAL ASSOCIATES 002813392

MIA STRAZZERI DO 002816862 2682 Welsh Road Philadelphia, PA 19152 (215) 464-0816 Strazzeri, Mia D., DO NAZARETH PHYSICIAN SERVICES 002816866 2601 Holme Ave Philadelphia, PA 19152 (215) 335-6141 Lacorazza, John W., DO Lopez, Florita C., MD Vansant, Monika T., DO 003401408 9815 Roosevelt Blvd Philadelphia, PA 19114 (215) 637-9400 Bender, Carrie L., DO NORTHEASTERN READYCARE 002820142 2301 E Allegheny Ave, Suite 150 Philadelphia, PA 19134 (215) 926-3535 Vansant, Monika T., DO PENNCARE CHESTNUT HILL FAMILY MED 002810883

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 33 E Chestnut Hill Avenue, Suite 201 Philadelphia, PA 19118 (215) 247-0900 Nolt, Curtis L., DO PINNACLE ASHTON 002885816 2981 Grant Avenue Philadelphia, PA 19114 (215) 632-4550 Kenig, Melissa R., MD Loehrig, Tricia M., DO Mandel, Richard S., DO PINNACLE FAFP 002885736 8846 Frankford Avenue Philadelphia, PA 19136 (215) 332-8221 Franzi, Joseph J., MD Miller, Paul H., DO Stein, Franklin M., MD Wohl, Allan M., DO RESOURCES FOR HUMAN DEVELOPMENT DBA FAMILY PRACTICE AND COUNSELING NETWORK 002815049 850 North 11th Street Philadelphia, PA 19123 (215) 769-1100 Kaleka, Amanjeet K., MD RESOURCES FOR HUMAN DEVELOPMENT ELEVENTH STREET FAMILY HEALTH SERVICE OF DREXEL 002815052 850 North 11th Street Philadelphia, PA 19123 (215) 685-2684 Kaleka, Amanjeet K., MD

ROXBOROUGH EXPRESS CARE 003182814 8500 Henry Avenue, Suite 11 Philadelphia, PA 19128 (800) 322-5193 Dietrick, Richard F., MD Yeh, Julie A., MD

GASTROENTEROLO GY

DREXEL GASTROENTEROLOG Y ASSOCIATES 002808111 219 North Broad Street, 5th Floor Philadelphia, PA 19102 TEMPLE ORTHOPEDIC (215) 762-3900 AND SPORTS Ahmad, Asyia S., MD MEDICINE Lieb, II, John G., MD ASSOCIATES Morgenstern, Ricardo, 003137949 MD 1800 North Broad Street Philadelphia, PA 19122 219 North Broad Street, 8th Floor (215) 707-2111 Philadelphia, PA 19107 Keller, Cory J., DO (215) 762-6071 TEMPLE READY CARE Nandi, Neilanjan, MD BOULEVARD PLAZA GASTROINTESTINAL 002823036 SPECIALISTS INC 11000 Roosevelt Blvd, 002804556 Unit 360 Philadelphia, PA 19116 5000 Frankford Ave, Ste S1A (215) 926-3535 Philadelphia, PA 19124 Vansant, Monika T., DO (215) 632-3500 VANSANT MEDICINE Braden, Geoffrey L., MD INC Cheung, Raynard J., MD 003190169 Cohen, Matthew S., MD 901 E Passyunk Ave Harmatz, Alexander J., Philadelphia, PA 19147 MD (215) 551-0200 Kasper, Jamie A., MD Vansant, Monika T., DO Lefton, Harvey B., MD Lehrer, Jenifer K., MD WILSON PARK Pilchman, Jeffrey, MD MEDICAL Rosa, Anthony L., MD 002805262 Schapiro, Gregory D., 1401 S 31st Street, Gpha Carl Moore Health MD Center Weisberg, Paul B., MD Philadelphia, PA 19146 TEMPLE (215) 755-7700 GASTROENTEROLOG Ahmed, Ainee F., MD Y ASSOC Rom, Adam R., MD 002805080

P - Preferred pharmacy

255 South 17th Street Philadelphia, PA 19103 (215) 707-9900

107

Heller, Stephen J., MD Tokar, Jeffrey L., MD UNIV OF PENN GASTROENTEROLOG Y 002808607 3400 Civic Center Boulevard, 4th Floor Philadelphia, PA 19104 (215) 349-8222 Reynolds, James C., MD Solga, Steven F., MD 3400 Spruce Street, 3 Dulles Building Philadelphia, PA 19104 (215) 349-8222 Reynolds, James C., MD Solga, Steven F., MD

7500 Central Avenue, Suite 107A Philadelphia, PA 19111 (215) 379-6444 Woodward, John P., MD GENERAL SURGERY DIV OF TRAUMA SURGICAL CRITICAL CARE AT PPMC 002807060 51 N 39th Street Philadelphia, PA 19104 (215) 662-7320 Madbak, Firas G., MD

DIVISION OF TRANSPLANT SURGERY 002818544 3400 Spruce Street Philadelphia, PA 19104 UPHS PRESBYTERIAN (215) 662-2050 DEPT OF GASTROENTEROLOG Abt, Peter L., MD Levine, Matthew H., MD Y Olthoff, Kim M., MD 002808607 Porrett, Paige M., MD 51 N 39th Street, Suite 218 Ws Shaked, Abraham, MD Philadelphia, PA 19104 DREXEL SURGICAL (215) 662-8900 ASSOCIATES Reynolds, James C., 002808243 MD 1427 Vine St, 2nd Fl Solga, Steven F., MD Philadelphia, PA 19102 (215) 762-2530 GENERAL Woodworth, Amanda M., PRACTICE MD MAX E MERCADO MD 230 N Broad St, 12th 002816861 Floor 7500 Central Avenue, Philadelphia, PA 19102 Suite 203 Philadelphia, PA 19111 (215) 563-9383 Woodworth, Amanda M., (215) 289-4434 MD Current Patients Only INTENSIVE CARE Oviedo, Nimidia, MD II ASSOC TEMPLE PRIMARY 002805128 CARE AT JEANES 003390370

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 51 North 39th Street Philadelphia, PA 19104 (215) 949-8310 Madbak, Firas G., MD Ong, Adrian W., MD MERCY FITZGERALD SURGICAL ASSOCIATES 002816546 2701 Holme Ave, Ste 100 Philadelphia, PA 19152 (610) 237-7950 Cheeyandira, Abhiman B., MD NAZARETH PHYSICIAN SERVICES 002816867 2701 Holme Ave, Ste 100 Philadelphia, PA 19152 (215) 331-3871 Cheeyandira, Abhiman B., MD PENN MEDICINE GASTROINTESTINAL SURGERY CHESTNUT HILL 003158668 33 E Chestnut Hill Avenue, Suite 201 Philadelphia, PA 19118 (215) 829-8455 Soriano, Ian S., MD GERIATRICS NEWCOURTLAND PRIMARY CARE 003404979 6950 Germantown Avenue Philadelphia, PA 19119 (215) 951-4304 Guda, Sivakoti N., MD Ramos Bonner, Luz S., MD

PENN MEDICINE ONCOLOGY EVALUATION CENTER 002808800 3400 Civic Center Blvd, 3rd Fl West Pavilion Philadelphia, PA 19104 (215) 615-5858 Teitelbaum, Ursina R., MD UNIV OF PENN HEMATOLOGY ONCOLOGY 002808800 3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 615-0063 Teitelbaum, Ursina R., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 615-0063 Teitelbaum, Ursina R., MD GYNECOLOGIC ONCOLOGY TEMPLE GYN ONCOLOGY ASSOC 002815279 255 South 17th Street Philadelphia, PA 19103 (215) 707-3008 Houck, Karen L., MD 3322 N Broad Street Philadelphia, PA 19140 (215) 707-4000 Houck, Karen L., MD 3401 N Broad Street, 7th Floor Philadelphia, PA 19140 (215) 707-3008 Houck, Karen L., MD

P - Preferred pharmacy

Clark, Amy, MD Cohen, Adam D., MD DREXEL OBGYN Cohen, Roger B., MD ASSOCIATES Evans, Tracey L., MD 002808263 Fox, Kevin R., MD 1427 Vine St, 5th Flo Frey, Noelle V., MD Philadelphia, PA 19102 Garfall, Alfred L., MD (215) 762-7824 Gill, Saar, MD Podolsky, Michael L., Hexner, Elizabeth O., MD MD 1427 Vine Street, 7th Hoxie, James A., MD Floor Klein, Peter S., MD Philadelphia, PA 19102 Kumar, Pallavi, MD (215) 762-7824 Landsburg, Daniel J., Podolsky, Michael L., MD MD Langer, Corey J., MD Loaina Bonilla, Arturo, HEMATOLOGY MD CHCA HEMATOLOGY Loren, Alison W., MD AND ONCOLOGY Luger, Selina, MD 002805423 Mamtani, Ronac, MD 3401 Civic Center Mangan, James K., MD Boulevard Martin, Mary E., MD Philadelphia, PA 19104 Mato, Anthony R., MD (215) 590-1000 Matro, Jennifer M., MD Friedman, David F., MD Maxwell, Kara N., MD High, Katherine A., MD Nasta, Sunita D., MD O Hara, Mark H., MD 3500 Civic Center Paralkar, Vikram R., MD Boulevard Philadelphia, PA 19104 Porter, David L., MD Reiss Binder, Kim A., (215) 590-1000 Friedman, David F., MD MD High, Katherine A., MD Sayani, Farzana, MD Schuchter, Lynn, MD PENN MEDICINE Schuster, Stephen J., ONCOLOGY MD EVALUATION CENTER Shulman, Lawrence N., 002808800 MD 3400 Civic Center Blvd, Stadtmauer, Edward A., 3rd Fl West Pavilion MD Philadelphia, PA 19104 Svoboda, Jakub, MD (215) 615-5858 Vaughn, David J., MD Aggarwal, Charu, MD Vogl, Dan T., MD Amaravadi, Ravi K., MD Weiss, Brendan M., MD Babushok, Daria V., MD Beatty, Gregory L., MD PRESBYTERIAN MULTISPECIALTY Ciunci, Christine A., MD GROUP GYNECOLOGY

108

002811185 51 North 39th Street, Medical Office Building, Suite 103A Philadelphia, PA 19104 (215) 662-4867 Feldman, Arthur M., MD Gabriel, Courtney A., MD Hanna, Gamil S., MD UNIV OF PENN HEMATOLOGY ONCOLOGY 002808800 3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 615-0063 Abrams, Charles S., MD Aggarwal, Charu, MD Alley, Evan W., MD Amaravadi, Ravi K., MD Babushok, Daria V., MD Bach, Tami L., MD Beatty, Gregory L., MD Bennett, Joel S., MD Brass, Lawrence, MD Carty, Shannon A., MD Chiang, Elaine, MD Cines, Douglas B., MD Ciunci, Christine A., MD Clark, Amy, MD Cohen, Adam D., MD Cohen, Roger B., MD Cuker, Adam, MD Damjanov, Nevena, MD Dancis, Andrew B., MD D'Entremont, Tracy S., MD Evans, Tracey L., MD Fox, Kevin R., MD Frey, Noelle V., MD Gabriel, Courtney A., MD Garfall, Alfred L., MD Gill, Saar, MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. Hexner, Elizabeth O., MD Hirsh, Rebecca L., MD Hoxie, James A., MD Kallenbach, Lisa R., MD Keefe, Stephen M., MD Klein, Peter S., MD Kosteva, John A., MD Kumar, Pallavi, MD Landsburg, Daniel J., MD Langer, Corey J., MD Loaina Bonilla, Arturo, MD Loren, Alison W., MD Luger, Selina, MD Mamtani, Ronac, MD Mangan, James K., MD Martin, Mary E., MD Mato, Anthony R., MD Matro, Jennifer M., MD Maus, Marcela V., MD Maxwell, Kara N., MD Nasta, Sunita D., MD O Hara, Mark H., MD Paralkar, Vikram R., MD Porter, David L., MD Reiss Binder, Kim A., MD Sayani, Farzana, MD Schuchter, Lynn, MD Schuster, Stephen J., MD Shulman, Lawrence N., MD Stadtmauer, Edward A., MD Svoboda, Jakub, MD Vaughn, David J., MD Vogl, Dan T., MD Weiss, Brendan M., MD Wissel, Paul S., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 615-0063 Abrams, Charles S., MD Aggarwal, Charu, MD

Alley, Evan W., MD Amaravadi, Ravi K., MD Babushok, Daria V., MD Bach, Tami L., MD Beatty, Gregory L., MD Bennett, Joel S., MD Brass, Lawrence, MD Carty, Shannon A., MD Chiang, Elaine, MD Cines, Douglas B., MD Ciunci, Christine A., MD Clark, Amy, MD Cohen, Adam D., MD Cohen, Roger B., MD Cuker, Adam, MD Damjanov, Nevena, MD Dancis, Andrew B., MD D'Entremont, Tracy S., MD Evans, Tracey L., MD Fox, Kevin R., MD Frey, Noelle V., MD Gabriel, Courtney A., MD Garfall, Alfred L., MD Gill, Saar, MD Hexner, Elizabeth O., MD Hirsh, Rebecca L., MD Hoxie, James A., MD Kallenbach, Lisa R., MD Keefe, Stephen M., MD Klein, Peter S., MD Kosteva, John A., MD Kumar, Pallavi, MD Landsburg, Daniel J., MD Langer, Corey J., MD Loaina Bonilla, Arturo, MD Loren, Alison W., MD Luger, Selina, MD Mamtani, Ronac, MD Mangan, James K., MD Manz, Christopher R., MD Martin, Mary E., MD

P - Preferred pharmacy

Mato, Anthony R., MD Matro, Jennifer M., MD Maus, Marcela V., MD Maxwell, Kara N., MD Min, Sang H., MD Nasta, Sunita D., MD O Hara, Mark H., MD Paralkar, Vikram R., MD Porter, David L., MD Reiss Binder, Kim A., MD Sayani, Farzana, MD Schuchter, Lynn, MD Schuster, Stephen J., MD Shulman, Lawrence N., MD Stadtmauer, Edward A., MD Svoboda, Jakub, MD Vaughn, David J., MD Vogl, Dan T., MD Weiss, Brendan M., MD Wissel, Paul S., MD 51 N 39th Street, 103A Medical Arts Building Philadelphia, PA 19104 (215) 662-4867 Ciunci, Christine A., MD Evans, Tracey L., MD Kallenbach, Lisa R., MD Kosteva, John A., MD Langer, Corey J., MD INFECTIOUS DISEASES DREXEL INFECTIOUS DISEASE 002808121 219 North Broad Street, 6th Floor Philadelphia, PA 19107 (215) 762-6555 Baranoski, Amy S., MD Fuchs, Amy C., MD Lee, Dong H., MD Schlecht, Hans P., MD

109

Schultz, Sara K., MD Szep, Zsofia, MD Trooskin, Stacey B., MD Wolf, Judith E., MD GPHA CARL MOORE HEALTH CENTER 002805263 1401 S 31st Street Philadelphia, PA 19146 (215) 755-7700 Van Uitert, Bonnie L., MD BELL HEALTH JJOHN J CENTER 003193742 1207 Chestnut St, 3rd Philadelphia, PA 19107 (215) 564-6388 Trooskin, Stacey B., MD PENN INFECTIOUS DISEASES MACGREGOR CLINICAL PRACTICES 002808770 3400 Civic Center Blvd, South Pavilion, 4th Floor Philadelphia, PA 19104 (215) 662-6932 Longworth, Sarah A., MD Nunez, Jonathan J., MD PHILADELPHIA FIGHT 002810470 1233 Locust Street, 4th 5th Floors Philadelphia, PA 19107 (215) 985-4448 Trooskin, Stacey B., MD UNIV OF PENN INFECTIOUS DISEASE 002808770 3400 Spruce Street Philadelphia, PA 19104 (215) 662-6932 Longworth, Sarah A., MD

51 N 39th St, 3910 Building 2nd Floor Philadelphia, PA 19104 (215) 662-9990 Nunez, Jonathan J., MD YHEP FAMILY CARE CENTER 003194154 1417 Locust St, 2nd Fl Philadelphia, PA 19102 (215) 344-1632 Trooskin, Stacey B., MD INTERNAL MEDICINE ALTHEA V HANKINS MD 002805667 5801 Germantown Ave Philadelphia, PA 19144 (215) 842-1075 Hankins, Althea V., MD ARIA CENTRAL SQUARE MEDICAL OFFICE 002807884 5000 Frankford Ave, Ste 1 Philadelphia, PA 19124 (215) 831-2049 Penza, Amy E., DO ARIA HELATH PHYSICIAN SERVICES CENTRAL SQUARE MEDI 002807883 3998 Red Lion Rd, Ste 209 Philadelphia, PA 19114 (215) 331-2405 Abbruzzi, Anthony J., DO Baughn, Steven P., MD ARIA PHYSICIAN SERVICES HOSPITALISTS 002818693

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 3998 Red Lion Rd Philadelphia, PA 19114 (215) 612-4000 Sefah, Angela O., MD 4900 Frankford Ave Philadelphia, PA 19124 (215) 831-2000 Sefah, Angela O., MD CCA DELANCEY MEDICAL ASSOCIATES 002810878 800 Walnut St, 17th Fl Philadelphia, PA 19106 (215) 829-3523 Brady, William, MD CITYLIFE NEIGHBORHOOD CLINIC 003304781 3945 Chestnut Street, 2nd Floor Philadelphia, PA 19104 (267) 819-1800 Sargeant, Delwyn H., MD DAVID M FINKEL MD 002816013 51 N 39th St, Mab Ste # 103A Philadelphia, PA 19104 (215) 662-8874 Finkel, David M., MD 002816014 51 N 39th St, Mab Ste # 103A Philadelphia, PA 19104 (215) 662-8874 Finkel, David M., MD DR SARWAT JAHAN 003478029 5600 Chestnut Street Philadelphia, PA 19139 (215) 747-4511 Jahan, Sarwat, MD

DREXEL ID PARTNERSHIP CLINIC 003465190 136 Diamond Street Philadelphia, PA 19122 (215) 426-8100 Szep, Zsofia, MD

EXCEL MEDICAL CENTER LLC 002821187 7515 Stenton Avenue Philadelphia, PA 19150 (267) 335-5264 Michel, John S., DO Oommen, George, MD

1999 West Hunting Park Avenue, Greater Philadelphia Health Action Philadelphia, PA 19140 (215) 228-9300 Hassan, Zamir U., MD

GPHA WILSON PARK MEDICAL CENTER GHPA SOUTHEAST 002805324 HEALTH CENTER 1401 S 31st Street, Carl 002805275 Moore Health Center 800 Washington Avenue Gpha Philadelphia, PA 19147 Philadelphia, PA 19146 (215) 339-5100 (215) 755-7700 Hassan, Zamir U., MD Sefah, Angela O., MD GPHA CARL MOORE GPHA WOODLAND HEALTH CENTER AVENUE HEALTH DREXEL INFECTIOUS 002805263 CENTER DISEASE 1401 S 31st Street 002805317 002808121 Philadelphia, PA 19146 5000 Woodland Avenue 219 North Broad Street, (215) 755-7700 6th Floor Philadelphia, PA 19143 Brown, Jayne H., MD Philadelphia, PA 19107 (215) 726-9807 Gadea, Ramon A., MD (215) 762-6555 Hassan, Zamir U., MD Hassan, Zamir U., MD Althoff, Amy L., MD GREENHOUSE Bamford, Laura P., MD Kotoh, Samuel Y., MD INTERNISTS PC Lee, Alan V., MD Bruno, Christopher J., 002808118 Young, Janet E., MD MD 345 East Mount Airy Momplaisir, Florence M., GPHA CHINATOWN Avenue MD HEALTH CENTER Philadelphia, PA 19119 002805321 EINSTEIN PRACTICE (215) 242-5000 PLAN 930 Washington Avenue Armstrong, Maureen, 002805031 Philadelphia, PA 19147 DO 5501 Old York Road (215) 627-8000 Benson, Naiema A., DO Philadelphia, PA 19141 Hassan, Zamir U., MD Fabens, Elizabeth L., MD (215) 456-6500 GPHA FRANKFORD Peterson, Daniel J., MD Siadatan, Amir, MD HEALTH CENTER Schiffman, Melissa G., ESPERANZA HEALTH 002805319 MD CENTER HUNTING 4510 Frankford Avenue PARK Philadelphia, PA 19124 HEALTH CENTER 2 002806102 002805253 (215) 744-1302 4417 N 6th Street 1700 South Broad St, Hassan, Zamir U., MD Health Center 2 Philadelphia, PA 19140 GPHA HUNTING PARK Philadelphia, PA 19145 (215) 302-3600 HEALTH CENTER (215) 685-1800 Current Patients Only 002805322 Dean, James L., MD Gadea, Ramon A., MD 003465210 3601 A Street Philadelphia, PA 19134 (267) 507-6780 Baranoski, Amy S., MD Lee, Dong H., MD Momplaisir, Florence M., MD Szep, Zsofia, MD

P - Preferred pharmacy

110

Kwakwa, Helena A., MD Mayro, Leslie B., MD Shepard, James, MD Storey, Thomas P., MD Vittorio, Nino, MD IM I I DRU ASSOC OF FCCC MGI 002822833 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-6900 Vemula, William C., MD INT I I MED ASSOC OF FCCC MGI 002822809 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-6900 Neeli, Hemanth Babu, MD Vemula, William C., MD JEFFERSON JJ GASTROENTEROLOG Y AND HEPATOLOGY ASSOCIATES 002810714 132 South 10th Street, Suite 480 Philadelphia, PA 19107 (215) 955-8900 Smith, Colin L., MD JEFFERSON JJ HOSPITAL AMBULATORY PRACTICE 002813999 833 Chestnut East, Suite 220 Philadelphia, PA 19107 (215) 955-8465 Current Patients Only Babula, Bracken P., MD Chen, Loren, MD Truong, Susan, MD JEFFERSON URGENT JJ CARE

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 003154689 700 Walnut Street Philadelphia, PA 19106 (215) 503-7300 Kagan, Allen, MD Ronnermann, Drew P., MD

002816866 2601 Holme Ave Philadelphia, PA 19152 (215) 335-6141 George, Bassem R., MD Habibullah, Najeem F., MD Ofosu, Andrew, MD JEFFERSON WOMENS JJ Ucheya, Blessings C., PRIMARY CARE MD 003040514 211 South 9th Street, NEWCOURTLAND Walnut Towers, Suite PRIMARY CARE 401 003404979 Philadelphia, PA 19107 6950 Germantown Avenue (215) 503-4779 Kaplan, Rosalind D., MD Philadelphia, PA 19119 Russo, Stefani A., MD (215) 951-4304 Sherif, Katherine D., MD Hutchinson Clarke, Soutendijk, Christine V., Claudine, MD MD PENN MEDICINE KAMRAN TAREEN MD ONCOLOGY EVALUATION CENTER 002816864 002808800 2821 Island Avenue, 3400 Civic Center Blvd, Suite 264 Philadelphia, PA 19153 3rd Fl West Pavilion Philadelphia, PA 19104 (215) 863-6140 Current Patients Only (215) 615-5858 Bauml, Joshua M., MD Tareen, Kamran, MD Domchek, Susan M., MARIA FOGATA MD MD PC Gangadhar, Tara C., MD 003449801 Ranganathan, Anjana, 6500 Tabor Rd MD Philadelphia, PA 19111 PERELMAN CNTR (215) 697-8000 FOR ADVANCED MED Fogata, Maria, MD 002804974 MAX E MERCADO MD 3400 Civic Center Blvd, 1st Flr East Pavilion 002816861 Philadelphia, PA 19104 7500 Central Avenue, Suite 203 (215) 615-5252 Philadelphia, PA 19111 Aizenberg, David J., MD (215) 289-4434 Bar, Katharine J., MD Current Patients Only Barden Maja, Aba Y., MD Bossbaly, Jose A., MD Ende, Jack, MD NAZARETH Gluckman, Stephen J., PHYSICIAN SERVICES MD P - Preferred pharmacy

Meyer, Carl A., MD Rusk, Matthew H., MD PHILADELPHIA HYPERTENSION AND NEPHROLOGY CONSULTANTS PC 002809378 2701 Holme Avenue, Suite 203 Philadelphia, PA 19152 (215) 331-0515 Venkatachalam, Thiagavathi, MD PINNACLE STEIN 002886680 3790 Morrell Avenue, Suite B Philadelphia, PA 19114 (215) 637-6901 Stein, Brian K., DO PRESBYTERIAN MULTISPECIALTY GROUP 002811185 51 North 39th Street, Medical Office Building, Suite 103A Philadelphia, PA 19104 (215) 662-4867 Alley, Evan W., MD Ciunci, Christine A., MD Damjanov, Nevena, MD Robinson, Kyle W., MD STRAWBERRY MANSION HEALTH CENTER 002805255 2840 West Dauphin Street Philadelphia, PA 19132 (215) 685-2400 Dean, James L., MD Storey, Thomas P., MD TEMPLE GENERAL INTERNAL MEDICINE ASSOCIATES

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002805016 1316 W Ontario St, 1st Floor Jones Hall Philadelphia, PA 19140 (215) 707-7901 Aldrich, Jennifer L., MD Lee, Elizabeth L., MD 3322 N Broad St Philadelphia, PA 19140 (215) 707-3461 Cacciamani, John D., MD Lee, Elizabeth L., MD Patel, Vishal, MD 002805018 1316 W Ontario Street, 1st Floor Jones Hall Philadelphia, PA 19140 (215) 707-1800 Aldrich, Jennifer L., MD 003461887 100 E Lehigh Ave Philadelphia, PA 19125 (215) 707-1800 Brady, Brian M., MD Cacciamani, John D., MD Chisty, Alia, MD Darrah, Justin M., MD

Idahosa, Osamudiamen, MD UNIV OF PENN HEMATOLOGY ONCOLOGY 002808800 3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 615-0063 Bajor, David L., MD Bauml, Joshua M., MD Bittermann, Theresa, MD Domchek, Susan M., MD Gangadhar, Tara C., MD Ibrahim, Nageatte, MD McAuley, Ryan J., MD Ranganathan, Anjana, MD

3400 Spruce Street Philadelphia, PA 19104 (215) 615-0063 Bajor, David L., MD Bauml, Joshua M., MD Bittermann, Theresa, MD Domchek, Susan M., MD Dougherty, Michael K., TEMPLE INTERNAL MD MEDICINE Gangadhar, Tara C., MD ASSOCIATES Ibrahim, Nageatte, MD 002804972 McAuley, Ryan J., MD 3401 North Broad Street Ranganathan, Anjana, Philadelphia, PA 19140 MD (215) 707-3609 Robinson, Kyle W., MD Aldrich, Jennifer L., MD 51 N 39th Street, 103A TEMPLE PHYSICIANS Medical Arts Building INCORPORATED Philadelphia, PA 19104 002811543 (215) 662-4867 7600 Central Avenue Robinson, Kyle W., MD Philadelphia, PA 19111 UNIV OF (215) 214-4315 Chaudhary, Archana S., PENNSYLVANIA CARDIOLOGY MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 002808301 3400 Spruce Street Philadelphia, PA 19104 (215) 662-7700 Sturm, Eron R., MD UNIV OF PENNSYLVANIA PULMONARY 002807838 3400 Spruce Street, 3 Ravdin Building Suite F Philadelphia, PA 19104 (215) 662-3202 Courtright, Katherine R., MD

Harbin, Jennifer A., MSW Hoffman, Erica R., MSW Wolfe, Cassie S., MSW COMHAR INC 002989209 2055 E Allegheny Ave Philadelphia, PA 19134 (215) 427-5800 Zuniga, Jessica A., MSW GRTR PHILADELPHIA HLTH ACTION INC 002989766 1401 S 4th St Philadelphia, PA 19147 (215) 339-1070 Nanavati, Ashna S., MSW

003018473 1415 North Broad Street, Suite 221C Philadelphia, PA 19122 (215) 588-5629 Hanowitz, Michael, MSW

3900 Ford Rd, Suite E Philadelphia, PA 19131 (267) 388-1881 Ladipo, Tonya, MSW

PSYCARE SOLUTIONS INC 002989123 1015 Chestnut St Ste 403 Philadelphia, PA 19107 (215) 885-9700 Fitzpatrick, Michelle, MS

GENOA, A QOL HEALTHCARE COMPANY, LLC 2600 N American St Philadelphia, PA 19133 (215) 426-1007

LONG-TERM CARE PHARMACIES

MEDICINE SHOPPE 6950 Germantown Ave, 255 S 17th St Ste 2407 Ste 326 Centennial UNIVERSITY OF PA Wing, Germantown MEDICAL GROUP Philadelphia, PA 19103 Home 002804974 (215) 885-9700 Philadelphia, PA 19119 3400 Spruce Street Fitzpatrick, Michelle, MS (267) 428-5187 Philadelphia, PA 19104 4510 Frankford Ave, Fl 2 RICE, BETTY C MSW OLDE PHILLY (215) 662-4000 Philadelphia, PA 19124 002987343 PHARMACY Macheret, Fima, MD 100 S Broad St Ste (215) 831-9882 FISHTOWN Ryskina, Kira L., MD 1114 Nanavati, Ashna S., 3140 Willits Rd WILSON PARK MSW Philadelphia, PA 19110 Philadelphia, PA 19136 MEDICAL (215) 567-5953 (267) 686-2454 5501 Woodland Ave 002805262 Rice, Betty C., MSW Philadelphia, PA 19143 1401 S 31st Street, MASTER LEVEL SRI PSYCHL SVCS PC Gpha Carl Moore Health (215) 724-4700 THERAPIST 002989181 Nanavati, Ashna S., Center PSYCHIATRIC/MENT 2824 Cottman Ave Ste Philadelphia, PA 19146 MSW AL HEALTH 19 (215) 755-7700 HORNSTEIN PLATT Philadelphia, PA 19149 BELMONT BHVRL AND ASSOCIATES Kotoh, Samuel Y., MD HOSP LLC (215) 885-3337 002989088 Lee, Alan V., MD 002989174 255 S 17th St, Ste 1010 Carlock, Dawn M., MSW 4200 Monument Road Zhang, Lei O., MD Philadelphia, PA 19103 Kinkead, Patricia M., MA Philadelphia, PA 19131 Siegel, Debra R., MSW LICENSED CLINICAL (215) 732-6308 (215) 877-2000 SOCIAL WORKER Gross, Alex W., MSW 2824 Cottman Ave Ste Brooks, Philip A., MA 21 BELMONT BHVRL IINTERCOMMUNITY I HOSP LLC Philadelphia, PA 19149 DELAWARE CNTY ACTION INC PRO SVCS 002989174 (215) 885-3337 002989755 002988925 4200 Monument Road Siegel, Debra R., MSW 6122 Ridge Ave 3440 Market St Ste 450 Philadelphia, PA 19131 Philadelphia, PA 19128 Tufts, Adrienne G., MA Philadelphia, PA 19104 (215) 877-2000 (215) 487-0907 THE LADIPO GRP (610) 892-3800 Domers, Hillary S., Hoskins, Ruth, MSW PSYCTHRPY Raimondi, Jane M., MA MSW 003174245 MICHAEL HANOWITZ Freed, Judy P., MSW P - Preferred pharmacy

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3700 Market Street, Suite 301 Philadelphia, PA 19104 (610) 892-3800 Filippino, Claudia, PHD GRTR PHILADELPHIA HLTH ACTION INC 002989766 1401 S 4th St Philadelphia, PA 19147 (215) 339-1070 Kirk, Alyssa R., MA 4510 Frankford Ave, Fl 2 Philadelphia, PA 19124 (215) 831-9882 Kirk, Alyssa R., MA 5501 Woodland Ave Philadelphia, PA 19143 (215) 724-4700 Kirk, Alyssa R., MA INTERCOMMUNITY II ACTION INC 002989258 6122 Ridge Ave Philadelphia, PA 19128 (215) 487-1330 Hixenbaugh, Lisa S., MA THE VLG SVCS 003376271 6517 Chester Ave Philadelphia, PA 19142 (215) 730-2240 Mayo, Jeanne F., MFT WIVES SELF HELP FNDTN INC 002988894 8001 Roosevelt Blvd, Smylie Times Bldg 205 207 Philadelphia, PA 19152 (215) 332-1914 Green, Lauren, MA

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. MATERNAL FETAL MEDICINE DREXEL UNIV COLLEGE OF MED 002811846 1427 Vine St, 5th Floor Philadelphia, PA 19102 (215) 762-7824 Croft, Damien J., MD Plante, Lauren A., MD OBGYN JJEFFERSON J AT METHODIST 002804882 1302 Wolf Street Philadelphia, PA 19148 (215) 952-5999 Birsner, Meredith L., MD

DREXEL NEPHROLOGY 002808113 10 Shurs Lane Philadelphia, PA 19127 (215) 842-7435 Levin, Lissa B., MD 1241 North Taney Street, Fairmount Philadelphia, PA 19121 (215) 236-6634 Levin, Lissa B., MD 1427 Vine Street, 2DN Floor Philadelphia, PA 19102 (215) 762-2530 Levin, Lissa B., MD

150 South Independence West, 101 Public Ledger UPHS PRESBYTERIAN Building DEPARTMENT OF Philadelphia, PA 19106 MAXILOFACIAL (215) 627-3259 002811747 Levin, Lissa B., MD 51 N 39th Street Philadelphia, PA 19104 216 North Broad Street, Feinstein Building, 5th (215) 662-8000 Floor Panchal, Neeraj, DDS Philadelphia, PA 19102 (215) 762-7105 NEONATOLOGY Levin, Lissa B., MD CHCA NEONATOLOGY 219 N Broad St, 9th Flr 002805478 Philadelphia, PA 19107 3401 Civic Center (215) 762-6070 Boulevard Philadelphia, PA 19104 Levin, Lissa B., MD (215) 590-1000 219 North Broad Street, Mahajan, Anand B., MD 5th Floor MAXILLO-FACIAL SURGERY

NEPHROLOGY DREXEL NEPHROLLOGY 002808113 1740 South Street Philadelphia, PA 19102 (215) 546-2183 Levin, Lissa B., MD

Philadelphia, PA 19107 (215) 762-6070 Levin, Lissa B., MD 230 N Broad St, 18th Fl Philadelphia, PA 19102 (215) 762-7038 Levin, Lissa B., MD

P - Preferred pharmacy

230 N Broad Street, Hahnemann University Hospital Philadelphia, PA 19102 (215) 762-7038 Levin, Lissa B., MD 230 North Broad Street, 12th Floor Philadelphia, PA 19102 (215) 563-9383 Levin, Lissa B., MD 313 Callowhill Street Philadelphia, PA 19123 (215) 629-3580 Levin, Lissa B., MD 3300 Henry Avenue Philadelphia, PA 19129 (215) 848-3127 Levin, Lissa B., MD 3300 Henry Avenue, Heritage Building, 4th Floor Philadelphia, PA 19129 (215) 842-6989 Levin, Lissa B., MD 3401 Fox Street Philadelphia, PA 19129 (215) 221-3120 Levin, Lissa B., MD 4216 Market Street, West Philadelphia Philadelphia, PA 19104 (215) 662-5990 Levin, Lissa B., MD 449 North Broad Street Philadelphia, PA 19123 (215) 238-1201 Levin, Lissa B., MD DREXEL NEUROLOGY 002808233 219 N Broad St, 7th Floor Philadelphia, PA 19107 (215) 762-6915

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Levin, Lissa B., MD 841 East Hunting Park Avenue, Suite 210 Philadelphia, PA 19124 (215) 762-6915 Levin, Lissa B., MD PHILADELPHIA HYPERTENSION AND NEPHROLOGY CONSULTANTS PC 002809378 2701 Holme Avenue, Suite 203 Philadelphia, PA 19152 (215) 331-0515 Venkatachalam, Thiagavathi, MD NEUROLOGICAL SURGERY

JJEFFERSON J NEUROSURGERY ASSOCIATES 002809535 909 Walnut Street, Second Floor Philadelphia, PA 19107 (215) 955-7000 Smith, Michelle J., MD NEUROLOGY ADVANCED SPINE AND PAIN LLC 003317076 9815 Roosevelt Boulevard, Unit J Philadelphia, PA 19114 (888) 985-2727 Abrams, Russell I., MD CHCA HEMATOLOGY AND ONCOLOGY 002805423 3401 Civic Center Boulevard Philadelphia, PA 19104 (215) 590-1000 Phillips, Peter C., MD

3500 Civic Center Boulevard Philadelphia, PA 19104 (215) 590-1000 Phillips, Peter C., MD DREXEL NEUROLOGY 002808233 2813 Cottman Ave Philadelphia, PA 19149 (215) 762-6915 Giordano Farmer, Jill M., DO HEALTH SMART MED CTR 002813436 9922 Roosevelt Blvd Philadelphia, PA 19115 (215) 464-6040 Biniaurishvilli, Raoul G., MD NEURO OPHTHALMOLOGIC ASSOC 002805238 840 Walnut Street, Suite 930 Philadelphia, PA 19107 (215) 928-3130 Moster, Mark L., MD NEUROSCIENCE CENTER 002805105 3400 Civic Center Boulevard, 2nd Fl South Pavilion Philadelphia, PA 19104 (215) 662-3606 Chahin, Salim, MD Wallack, Eliot, MD PENN MEDICINE UNIVERSITY CITY NEUROSCIENCE CENTER 002805105

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 3737 Market Street, 8th Floor Philadelphia, PA 19104 (215) 662-3606 Chahin, Salim, MD NURSE MIDWIFE DREXEL NURSE MIDWIFERY SERVICE 002808521 1427 Vine St, 5th Fl Philadelphia, PA 19102 (215) 762-7824 Batejan, Betsy, CNM Fitzgerald, Rosemary, CNM Hayward, Rachel L., CNM McMahon, Margaret E., CNM Mora, Dorothy H., CNM Ragone, Patricia, CNM Thompson, Jennifer, CNM Visk, Julie K., CNM Waldman, Elsa J., CNM DREXEL OBGYN ASSOCIATES 002808263 3401 Market St, Ste 105B Philadelphia, PA 19104 (215) 220-4700 Fitzgerald, Rosemary, CNM OB-GYNECOLOGY DREXEL OBGYN ASSOCIATES 002808263 1427 Vine St, 5th Flo Philadelphia, PA 19102 (215) 762-7824 Alleyne, Gregg D., MD Beausang, Jasjit K., MD Brannon, Ryan K., MD Cullen, Danielle B., MD

Delvadia, Dipak R., DO Ekbladh, Lamar E., MD Farabaugh, Dana C., MD Galdi, Luisa, DO Green, Minda A., MD Guilfoil, Daniel S., MD Montgomery, Owen C., MD Offer, Ryan E., MD Wolf, Sandra M., MD 3001 Walnut St, Jfk Medical Ctr 4th Flr Philadelphia, PA 19104 (215) 386-3556 Brannon, Ryan K., MD EINSTEIN PRACTICE PLAN 002804874 5501 Old York Road, Paley Building Third Floor Philadelphia, PA 19141 (215) 456-7180 Gurney, Elizabeth P., MD EINSTEIN PRACTICE PLAN EINSTEIN OBGYN ASSOCIATES 002804874 5401 Old York Road, Klein 410 Philadelphia, PA 19141 (215) 456-6990 Gurney, Elizabeth P., MD CENTER JJEFFERSON J FOR WOMENS MEDICAL SPECIATIES 002804882 833 Chesnut St Philadelphia, PA 19107 (215) 955-5000 Echols, Karolynn T., MD OBGYN JJEFFERSON J AT METHODIST

P - Preferred pharmacy

002804882 1302 Wolf Street Philadelphia, PA 19148 (215) 952-5999 Davids, Shannon, MD Dayaratna, Sandra D., MD Echols, Karolynn T., MD Jackson, Rebecca, MD Lackritz, Katherine D., MD Liveright, Elizabeth S., MD McCurdy, Rebekah J., MD Mercier, Rebecca J., MD Perriera, Lisa K., MD Schwartz, Beth I., MD Teefey, Patrick R., MD Wolf, Abigail, MD

3400 Spruce Street, 1000 Courtyard Philadelphia, PA 19104 (215) 615-5234 Frarey, Alhambra, MD 800 Spruce Street Philadelphia, PA 19107 (215) 829-2345 Frarey, Alhambra, MD PENN OBGYN 002985967 800 Walnut Street, 15th Floor Philadelphia, PA 19107 (215) 829-8000 Krauss, Richard K., MD

PENNCARE LABORISTS @ PAH 002985967 LUDMIR CENTER FOR 801 Spruce St, Suite 200 WOMEN HEALTH Philadelphia, PA 19107 002985967 700 Spruce Street, Suite (215) 829-3396 200 Mehta, Aasta D., MD Philadelphia, PA 19106 PENNSYLVANIA (215) 829-3525 HOSPITAL PENN Anderson, Renee T., DO HEALTH FOR WOMAN Folit Weinberg, Sara A., AT WASH SQUARE MD 002804865 Ludmir, Jack, MD 800 Walnut Street, 10th Mehta, Aasta D., MD Floor Paige, Tara R., MD Philadelphia, PA 19107 Stechna, Sharon B., MD (215) 829-2345 Frarey, Alhambra, MD NAZARETH PHYSICIAN SERVICES 002816866 2701 Holme Ave, Ste 305 Philadelphia, PA 19152 (215) 333-4834 Robinson, Diane S., MD OBGYN UNIVERSITY OF PENNSYLVANIA 002804865

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REED STREET HEALTH CENTER 002805265 33rd Street, 1325 49S 3rd Floor Philadelphia, PA 19146 (215) 471-2761 Bolton, Gregory C., MD Hong, Sunwha, MD

OCCUPATIONAL THERAPIST ATI PHYSICAL THERAPY 002818151 9475 E. Roosevelt Blvd, B4 Philadelphia, PA 19114 (215) 464-6200 Mosley, Myron E., OTR BENCHMARK THERAPIES INC 003184014 2701 Southampton Road Philadelphia, PA 19154 (814) 506-8212 Kennedy, Colleen A., OTR Mulraney, Jennifer L., OTR Weisman, Janet I., OTR EFFECTIVE COMMUNICATION SOLUTIONS 002820593 14500 Bustleton Avenue, Suite 1A Philadelphia, PA 19116 (215) 613-6523 Redmond, Nora A., OTR PHILADELPHIA HAND CENTER 002814262 834 Chestnut Street, Suite G114 Philadelphia, PA 19107 (215) 521-3025 Morris, Roberta F., OTR

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. UNIV OF PENN HEMATOLOGY CHCA HEMATOLOGY ONCOLOGY AND ONCOLOGY 002808800 002805423 3400 Civic Center 3401 Civic Center Boulevard Boulevard Philadelphia, PA 19104 Philadelphia, PA 19104 (215) 615-0063 (215) 590-1000 Balzer, Naomi S., MD Mosse, Yael, MD Bradbury, Angela R., Skolnik, Jeffrey M., MD MD Brose, Marcia S., MD 3500 Civic Center Dang, Chi Van, MD Boulevard Philadelphia, PA 19104 Demichele, Angela M., MD (215) 590-1000 Desai, Arati, MD Mosse, Yael, MD Giantonio, Bruce J., MD Skolnik, Jeffrey M., MD Glick, John H., MD MEDICAL Odwyer, Peter J., MD JJEFFERSON J ONCOLOGY Perl, Alexander, MD ASSOCIATES Russell, James E., MD 002808832 Shah, Payal D., MD 925 Chestnut Street, Tsai, Donald E., MD Suite 320A Vonderheide, Robert H., Philadelphia, PA 19107 MD (215) 955-8874 3400 Spruce Street Cohen, Steven J., MD Philadelphia, PA 19104 PENN MEDICINE (215) 615-0063 ONCOLOGY EVALUATION CENTER Balzer, Naomi S., MD Bradbury, Angela R., 002808800 MD 3400 Civic Center Blvd, Brose, Marcia S., MD 3rd Fl West Pavilion Philadelphia, PA 19104 Dang, Chi Van, MD Demichele, Angela M., (215) 615-5858 MD Balzer, Naomi S., MD Desai, Arati, MD Bradbury, Angela R., Giantonio, Bruce J., MD MD Glick, John H., MD Demichele, Angela M., Odwyer, Peter J., MD MD Perl, Alexander, MD Desai, Arati, MD Giantonio, Bruce J., MD Russell, James E., MD Shah, Payal D., MD Glick, John H., MD Tsai, Donald E., MD Odwyer, Peter J., MD Vonderheide, Robert H., Perl, Alexander, MD MD Shah, Payal D., MD Tsai, Donald E., MD ONCOLOGY

P - Preferred pharmacy

Crawford, Nancy W., MD CATARACT AND Dyckman, Sharon, MD PRIMARY EYECARE Ginsburg, Leonard, MD 002807002 Heist, Kenneth C., DO 840 Walnut Street, Suite Patel, Ravi D., MD 1250 Piccone, Michele R., MD Philadelphia, PA 19107 Rawat, Deepta V., MD (215) 928-3900 Shah, Angana N., MD Derham, Elizabeth, MD Sumlin, Bruce J., MD DREXEL EYE Vo, An T., MD PHYSICIANS NEMOURS DUPONT 002816340 PEDIATRICS 219 N Broad Street, 3rd 002818761 Floor 833 Chestnut Street Philadelphia, PA 19107 East, Suite 300 (215) 762-3937 Philadelphia, PA 19107 Crawford, Nancy W., (215) 861-8830 MD Salvin, Jonathan H., MD DREXEL GASTROENTEROLOG NEURO OPHTHALMOLOGIC Y ASSOCIATES ASSOC 002808111 002805238 219 North Broad Street, 840 Walnut Street, Suite 5th Floor 930 Philadelphia, PA 19102 Philadelphia, PA 19107 (215) 762-3900 (215) 928-3130 Kumar, Anand R., MD Bilyk, Jurij R., MD KEYSTONE EYE Sergott, Robert C., MD ASSOC LLC OPHTHALMOLOGY 002815407 PHYSICIANS AND 9126 Blue Grass Road SURGEONS Philadelphia, PA 19114 002814735 (215) 552-8331 4231 N 5th St Fudemberg, Scott J., Philadelphia, PA 19140 MD (215) 455-1010 Myers, Jonathan S., MD Morrison, Robert E., MD MOORE EYE CARE PC 511 W Courtland St 002809569 Philadelphia, PA 19140 219 N Broad St, 3rd (215) 455-1010 Floor Philadelphia, PA 19107 Morrison, Robert E., MD (215) 762-5612 PHILADELPHIA VISION ASSOC GROU Alley, Cynthia L., MD 002816478 Bhatt, Nirali P., MD OPHTHALMOLOGY

115

1516 Locust Street Philadelphia, PA 19102 (215) 546-0493 Cohn, Aaron D., MD PREMIERVISION LASER CENTER 002806188 3212 West Cheltenham Ave, Premiervision Laser Center Philadelphia, PA 19150 (215) 657-5044 Uddoh, Cordelia N., MD SCHEIE EYE ASSOC OPHTHALMOLOGY 002804894 3400 Civic Center Boulevard, West Pavilion 3rd Floor Suite Philadelphia, PA 19104 (215) 614-4100 Cui, Qi N., MD 3615 Chestnut Street, Suite 141 Philadelphia, PA 19104 (215) 662-2600 Cui, Qi N., MD 51 North 39th Street Philadelphia, PA 19104 (215) 662-8100 Brucker, Allison, MD Cui, Qi N., MD WEST PHILADELPHIA EYE ASSOC IN 002813156 501 South 54th Street, Suite 25 Mhop Philadelphia, PA 19143 (215) 748-0185 Young, Vincent, MD WILLS EYE OPHTHALMOLOGY CLINIC 002812447

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 840 Walnut Street, Suite ORTHOPEDIC 1230 SURGERY Philadelphia, PA 19107 ORTHOPAEDICS (215) 928-3041 PENN MEDICINE Derham, Elizabeth, MD UNIVERSITY CITY 002811250 OPTOMETRIST 3737 Market Street, 8th DRS. PAGE AND Floor WARD Philadelphia, PA 19104 003337709 (215) 662-3340 1015 Chestnut Street, Kelly, John D., MD Suite 417 Philadelphia, PA 19107 3737 Market Street, 7th Flr (215) 627-4448 Philadelphia, PA 19104 Ward, Scott C., OD (215) 662-3340 HSHC VISION Kelly, John D., MD SERVICES TEMPLE EAST 003083644 ORTHOPEDICS 1843 S Broad St Philadelphia, PA 19148 002819469 2301 East Allegheny (215) 629-1353 Avenue, First Floor Thieu, Thanh Thao T., Philadelphia, PA 19134 OD (215) 291-3777 KAY AND TABAS MED Muller, Gary W., MD OPHTHALMOLOGY TEMPLE ORTHOPEDIC 002808851 AND SPORTS MED 601 Walnut St, Curtis 002804832 Center, Ste 210 W Philadelphia, PA 19106 333 Cottman Ave Philadelphia, PA 19111 (215) 925-6402 (215) 728-6900 Brignola, Guy R., OD Ehrgood Perry, Amanda, Hammoud, Sommer, MD OD

Hammoud, Sommer, MD 3401 North Broad Street, 5th Floor Philadelphia, PA 19140 (215) 707-2111 Hammoud, Sommer, MD 3509 Noth Broad Street, 5th Floor Philadelphia, PA 19140 (215) 707-2111 Hammoud, Sommer, MD 8815 Germantown Avenue Philadelphia, PA 19118 (215) 248-8947 Hammoud, Sommer, MD UNIV OF PENNSYLVANIA ORTHOPAEDIC SURGERY 002811250 235 South 33rd Street, University of Pennsylvania Health Philadelphia, PA 19104 (215) 615-4406 Kelly, John D., MD

301 S 8th Street, The Garfield Duncan Bldg Suite 2C TEMPLE ORTHOPEDIC MOORE EYE CARE PC AND SPORTS Philadelphia, PA 19106 003124161 MEDICINE (215) 662-3340 219 N Broad St, 3rd Fl ASSOCIATES Kelly, John D., MD Philadelphia, PA 19107 003137949 (215) 762-5612 3400 Spruce Street, 2 1001 Diamond Street Brilliant, Richard L., OD Philadelphia, PA 19122 Silverstein Building Crozier, Georgia, OD Philadelphia, PA 19104 (215) 707-2111 (215) 662-3340 Thoder, Joseph J., MD Kelly, John D., MD 11000 Roosevelt Boulevard Philadelphia, PA 19116 (215) 214-6655 P - Preferred pharmacy

116

OTORHINOLARYNG OLOGY (ENT) CHILDRENS SURGICAL ASSOCIATES LTD 002809720 3401 Civic Center Boulevard, First Floor Wood Philadelphia, PA 19104 (215) 590-3440 Buzi, Adva, MD Handler, Steven D., MD Jacobs, Ian N., MD Javia, Luv R., MD Kazahaya, Ken, MD Potsic, William P., MD Rizzi, Mark D., MD Sobol, Steven E., MD Tom, Lawrence W., MD Wetmore, Ralph F., MD PENN MEDICINE OTOHINOLARYNGOL OGY HEAD AND NECK SURGERY 002807122 3400 Civic Center Blvd, South Pavilion 3rd Floor Philadelphia, PA 19104 (215) 662-2777 Rajasekaran, Karthik, MD UNIVERSITY OTOLARYNGOLOGY ASSOCIATES PC 002808022 9880 Buslteton Avenue, Ste 308 Philadelphia, PA 19115 (215) 342-9554 Lesser, Raymond W., MD

PHYSICAL MEDICINE AND REHABILITATION INTEGRATED II MEDICAL CARE 002811051 4518 City Avenue Philadelphia, PA 19131 (215) 742-7033 Zingerman, Zena M., MD JEFFERSON JJ CONCUSSION CENTER 002809533 4050 South 26th Street, Suite 140 Philadelphia, PA 19112 (267) 463-2300 Mallow, Michael K., MD MEETA D PEER MD 002810401 3400 Aramingo Avenue, Suite 6 Philadelphia, PA 19134 (215) 426-8866 Peer, Meeta D., MD RDS REHAB ASSOC 002810198 8131 Roosevelt Blvd Philadelphia, PA 19152 (215) 836-3383 Scharf, Renee D., MD REHAB DIAGNOSTIC AND PAIN MED 003168515 9523 Bustleton Avenue Philadelphia, PA 19115 (267) 428-6454 Gouda, M Y, MD Guthrie, Michael A., MD ROTHMAN INSTITUTE RECONSTRUCTIVE ORTHOPEDIC ASSOCIATES II PC

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 002804844 925 Chestnut Street, 5th Floor Philadelphia, PA 19107 (267) 339-3500 Nutini, Dennis N., MD

003149962 230 West Washington Square, Suite 101 Philadelphia, PA 19106 (215) 829-6320 Wahrman, Aron D., MD

8001 Roosevelt Blvd, Suite 203 Philadelphia, PA 19152 (215) 332-5300 McCandless Dougherty, Amy, DPM

UNIV OF PENNSYLVANIA ORTHOPAEDIC SURGERY 002811250 800 Spruce Street, 1 Cathcart Philadelphia, PA 19107 (215) 662-3340 Temme, Kate E, MD

3400 Civic Center Boulevard, Advanced Would Healing and Lower Extremith Reconstruction, 4th Floor Philadelphia, PA 19104 (215) 662-7300 Wahrman, Aron D., MD

FRANKFORD PODIATRY 002805393 3998 Red Lion Rd, Ste 212 Philadelphia, PA 19124 (215) 824-4141 Kothari, Ketan H., DPM

PLASTIC SURGERY DIVISION OF PLASTIC SURGERY AT HUP 003149962 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2096 Wahrman, Aron D., MD DIVISION OF PLASTIC SURGERY AT PPMC 003149962 51 North 39th Street, 266 Wright Saunders Philadelphia, PA 19104 (215) 662-9195 Wahrman, Aron D., MD PENN MEDICINE MEDICINE UNIVERSITY CITY PLASTIC SURGERY 003149962 3737 Market Street, 4th Floor Philadelphia, PA 19104 (215) 662-7300 Wahrman, Aron D., MD PENN MEDICINE PLASTIC SURGERY BRYN MAWR

3737 Market Street, Penn Medicine University City Plastic Surgery, Suite 701 Philadelphia, PA 19104 (215) 662-7300 Wahrman, Aron D., MD PENN PLASTIC SURGERY WASHINGTON SQUARE 003149962 800 Walnut Street, 20th Floor Philadelphia, PA 19107 (215) 662-7300 Wahrman, Aron D., MD PODIATRY FOOT AND ANKLE CTR OF PHILA 002818617 2424 E York St, C117 Philadelphia, PA 19125 (215) 568-3510 Miglani, Naitali H., DPM FOOT AND ANKLE GROUP PC 002810969

P - Preferred pharmacy

KENNETH J MARTIN DPM 002805378 1641 W Girard Ave, Kenneth J Martin Dpm Philadelphia, PA 19130 (215) 232-3200 Martin, Kenneth J., DPM PSYCHIATRIC NURSE DREXEL UNIV COLG OFMEDCL 002989047 1601 Cherry St, Fl 2 Philadelphia, PA 19102 (267) 282-1455 Posmontier, Barbara E., PHD PSYCHIATRY ACADEMIC EMER PHYS MH 003380109 501 S 54th St, Ste 126 Philadelphia, PA 19143 (215) 748-9694 Tran, Judith T., MD ANDREW D PESHEK MD 003291702

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128 Chesnut St, Suite 104 Philadelphia, PA 19106 (215) 928-1280 Peshek, Andrew D., MD ANDREW DONALD PESHEK 003291702 128 Chestnut Street, Suite 104 Philadelphia, PA 19106 (215) 928-1280 Peshek, Andrew D., MD BELMONT BHVRL HOSP LLC 002989174 4200 Monument Road Philadelphia, PA 19131 (215) 877-2000 El Gabalawi, Fayez, MD Kim, Chong H., MD COMPASSIONATE CARE CTR LLC 002989344 10151 Bustleton Ave, Unit C Philadelphia, PA 19116 (215) 676-6393 Stolyarova, Polina, MD DELAWARE CNTY PRO SVCS 002988925 1500 Walnut Street, Suite 601 Philadelphia, PA 19102 (610) 892-3800 Levy, Steven H., MD DREXEL UNIV COLG OFMEDCL 002989047 230 N Broad St Philadelphia, PA 19102 (215) 831-7800 Ries, Rose M., MD

245 North 15th Street Philadelphia, PA 19102 (215) 831-7800 Ries, Rose M., MD EINSTEIN PRACTICE PLAN INC 002989020 1 Penn Blvd Fl 3, Crisis Response Ctr Philadelphia, PA 19144 (215) 951-8300 Oxenhorn, Shelley, MD 5501 Old York Rd Philadelphia, PA 19141 (215) 456-9850 Oneill, Hilary L., MD 5501 Old York Rd, Korman Bldg, Ste 202 Philadelphia, PA 19141 (215) 456-9850 George, Gibson T., MD Oxenhorn, Shelley, MD FAIRMOUNT BHVRL HLTH SYST 002989652 561 Fairthorne Ave Philadelphia, PA 19128 (215) 487-4032 Aledo, Frances M., MD Bautista, Brigid B., MD Della Badia, Jr, Eugene, DO Dhillon, Manvir S., MD Gill, Jasmine K., MD Moore, Edward M., MD Morley, Jonathan, MD Musthaq, Mohamado S., MD Velagapudi, Vijaya L., MD HORNSTEIN PLATT AND ASSOCIATES 002989088

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 255 S 17th St, Ste 1010 Philadelphia, PA 19103 (215) 732-6308 Abraham, Dara B., DO INTERCOMMUNITY II ACTION INC 002989258 6122 Ridge Ave Philadelphia, PA 19128 (215) 487-1330 Casiano, Delane E., MD 002989755 6122 Ridge Ave Philadelphia, PA 19128 (215) 487-0907 Sabol, Deana M., DO MAZZONI CTR 002989285 21 S 12th St Fl 8 Philadelphia, PA 19107 (215) 563-0663 Sarkar, Priyankar P., MD MEDCL PSYCH ASSOCS OF DELAWARE VLY 002988919 4900 Frankford Ave Philadelphia, PA 19124 (215) 831-7932 Smith, Timothy C., MD SRI PSYCHL SVCS PC 002989181 2824 Cottman Ave Ste 19 Philadelphia, PA 19149 (215) 885-3337 Herman, II, Ira N., MD TEMPLE PSYCHIATRY ASSOCS 002989206 100 E Lehigh Ave, Mab Bldg Ste 105 Philadelphia, PA 19125 (215) 707-8496

Faden, Justin B., DO PSYCHOLOGIST BELMONT BHVRL HOSP LLC 002989174 4200 Monument Road Philadelphia, PA 19131 (215) 877-2000 Abrams, Scott J., PHD Filmore, Adria, PSYD Friedman, Marsha J., PHD Lawson, Carlene E., PSYD DELAWARE CNTY PRO SVCS 002988925 3700 Market Street, Suite 301 Philadelphia, PA 19104 (610) 892-3800 Suzuki, Takako, PHD GRIFFIN, LAWRENCE R PHD 002987082 1800 Jfk Blvd, Suite 605 Philadelphia, PA 19103 (215) 640-0600 Griffin, Lawrence R., PHD SRI PSYCHL SVCS PC 002989181 2824 Cottman Ave Ste 19 Philadelphia, PA 19149 (215) 885-3337 Damaraju, Sharada, PSYD 2824 Cottman Ave Ste 21 Philadelphia, PA 19149 (215) 885-3337 Damaraju, Sharada, PSYD

P - Preferred pharmacy

THRIVE CNSLNG LLC 002989475 1800 John F Kennedy Blvd, Ste 1404 Philadelphia, PA 19103 (215) 399-9764 Isaacs, Johanna R., PSYD

7500 Central Avenue, Suite 201 Philadelphia, PA 19111 (215) 214-4100 Stewart, Jeffrey I., MD

8815 Germantown Avenue Philadelphia, PA 19118 WATSON ANDRE S (215) 707-5864 PSYD Brennan, Kathleen J., 002991920 MD 340 S 16th St Chatila, Wissam M., MD Philadelphia, PA 19102 Ciccolella, David E., MD Cordova, Francis C., MD (215) 732-8244 Criner, Gerard J., MD Watson, Andre S., PSYD Desai, Parag B., MD Dupuis, Jr, Richard, MD PULMONARY Garfield, Jamie L., MD DISEASES Jaffe, Fredric, DO RESPIRATORY Kelsen, Steven G., MD ASSOC Kim, Victor, MD 002805464 Kueppers, Friedrich, MD 231 North Broad Street, Mamary, Albert J., MD 1 Floor Marchetti, Nathaniel, DO Philadelphia, PA 19107 Narewski, Erin R., DO (610) 896-0280 Salerno, Daniel A., MD Diefes, Gerard J., MD Sanchez, Maria Elena Lenchner, Gregory S., V., MD MD Satti, Aditi P., MD TEMPLE PULM Shenoy, Kartik V., MD CRITICAL CARE Silkoff, Philip E., MD 002810016 Simcsak, Jr, Gilbert E., 3401 North Broad St, DO 7th Fl Parkinson Pavilion Stewart, Jeffrey I., MD Philadelphia, PA 19140 Travaline, John M., MD (215) 707-3336 Weaver, Sheila E., DO Dupuis, Jr, Richard, MD RADIATION TEMPLE PULMONARY ONCOLOGY ASSOCIATES CHCA HEMATOLOGY 002805453 AND ONCOLOGY 3401 North Broad St, 7th Fl Parkinson Pavilion 002805423 Philadelphia, PA 19140 3401 Civic Center Boulevard (215) 707-3336 Philadelphia, PA 19104 Stewart, Jeffrey I., MD (215) 590-1000 Silber, Jeffrey H., MD

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3500 Civic Center Boulevard Philadelphia, PA 19104 (215) 590-1000 Silber, Jeffrey H., MD DEPT OF RADIATION ONCOLOGY 002815430 3400 Civic Center Boulevard, Concourse Level Philadelphia, PA 19104 (215) 662-2428 Goldsmith, Benjamin E., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2428 Goldsmith, Benjamin E., MD DREXEL RADIATION ONCOLOGY 002808256 207 North Broad Street, 6th Floor Philadelphia, PA 19107 (215) 762-8409 Babaria, Usha A., MD 218 North Broad Street, 8th Floor Philadelphia, PA 19102 (215) 762-8409 Babaria, Usha A., MD MNAP DIAGNOSTIC IMAGING LLC 003353583 9908 East Roosevelt Boulevard Philadelphia, PA 19115 (215) 464-3300 Styles, Terry J., MD TEMPLE RADIATION ONCOLOGY ASSOCIATES 003003115

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. 3401 N Broad Street Philadelphia, PA 19140 (215) 707-4233 Micaily, Bizhan, MD Miyamoto, Curtis T., MD Valakh, Vladimir, MD UNIV OF PENN HEMATOLOGY ONCOLOGY 002808800 51 N 39th Street, 103A Medical Arts Building Philadelphia, PA 19104 (215) 662-4867 Goldsmith, Benjamin E., MD Rate, William R., MD RADIOLOGY

IINDEPENDENCE I IMAGING LLC 003021996 1200 Constitution Ave, Ste 120 Philadelphia, PA 19112 (215) 755-1076 REGISTERED DIETICIAN B KOMPLETE LLC 003128017 201 North 8th Street, Unit 801, Suite 801 Philadelphia, PA 19106 (215) 764-9651 Deahl-Greenlaw, Amy L., RD Fogelson, Arthur, RD Hasse, Audrey M., RD Krinsky, Beryl F., RD DIAMOND NUTRITION COUNSELING 003098765 4623 Spruce Street Philadelphia, PA 19139 (215) 240-7883

Diamond, Andrea S., RD 1010 N Hancock St Philadelphia, PA 19123 DREXEL (267) 538-4390 NUTRITIONAL Perez Soto, Dalina, RD COUNSELING 002819174 YOUR WELLNESS 1427 Vine St, 6th Flo CONSULTANTS LLC Philadelphia, PA 19102 002898589 (215) 762-6565 30 S 15th St Breeding, Zachari R., Philadelphia, PA 19102 RD (215) 431-8980 219 N Broad St, 6th Flo Accardi, II, Samuel J., Philadelphia, PA 19107 RD Coleman, Zoe, RD (215) 762-5181 Nguyen, My Ha, RD Breeding, Zachari R., Rickards, John F., RD RD

516 W Erie Ave Philadelphia, PA 19140 (215) 225-0998

2600 N American St Philadelphia, PA 19133 (215) 426-1007

CVS PHARMACY P 1 Mifflin St Philadelphia, PA 19148 (215) 463-3301

GPHA PHARMACY P 5501 Woodland Ave Philadelphia, PA 19143 (215) 729-3912

11000 Roosevelt Blvd Ste 3 Philadelphia, PA 19116 (215) 305-0001

HENDRIX PHARMACY P 11685 Bustleton Ave Philadelphia, PA 19116 (215) 969-3900

230 N Broad St, 15th Flo RETAIL Philadelphia, PA 19102 PHARMACIES (215) 762-7735 BELL APOTHECARY, Breeding, Zachari R., INC. P RD 4014 Lancaster Ave 255 S 17th St, 3rd Flo Philadelphia, PA 19104 Philadelphia, PA 19103 (215) 387-9100 (215) 735-8504 BELL EDGE Breeding, Zachari R., PHARMACY P RD 5401 Chester Ave FOR IINSTITUTE I Philadelphia, PA 19143 DIABETIC MGMT (215) 729-4139 002821897 BELLS PHARMACY P 9126 Blue Grass Rd, 8508 Bustleton Ave Ste 101 Philadelphia, PA 19114 Philadelphia, PA 19152 (215) 745-5700 (215) 330-0550 Demirjian, Jenna, RD BRIDESBURG PHARMACY P LISA M RUDI DAVIS 2608 Orthodox St RD Philadelphia, PA 19137 003161245 (215) 744-2277 7323 Merganser Place

2701 Castor Ave Philadelphia, PA 19134 (215) 305-9051

Philadelphia, PA 19153 (215) 834-9463 Rudi Davis, Lisa M., RD NUTRITIOUSLY YOURS LLC 003374789

P - Preferred pharmacy

BRIGHT MEDICAL TECHNOLOGY INC 2020 2040 Napfle St Philadelphia, PA 19152 (215) 725-6337 CENTER PHARMACY OF ERIE AVENUE INC

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1117 Walnut St Philadelphia, PA 19107 (215) 627-2143

4000 Monument Rd Philadelphia, PA 19131 (267) 233-5021 7400 Bustleton Ave Philadelphia, PA 19152 (267) 350-9481 DAVIS PHARMACY INC P 4523 Baltimore Ave Philadelphia, PA 19143 (215) 222-3349 DELUXE PHARMACY P 8749 Frankford Ave Philadelphia, PA 19136 (215) 941-7689 ELLIS PRESCRIPTION PHARMACY P 2441 Brown St Philadelphia, PA 19130 (215) 765-1903 GENOA, A QOL HEALTHCARE COMPANY, LLC

HOPKINS PHARMACY P 7700 Ridge Avenue Philadelphia, PA 19128 (215) 483-0900 KMART PHARMACY3527 7101 Roosevelt Blvd Philadelphia, PA 19149 (215) 338-9637 MAYFAIR DRUG STORE P 7522 Frankford Ave Philadelphia, PA 19136 (215) 338-2626 MD PHARMACY P 1641 N Franklin St Philadelphia, PA 19122 (215) 763-1875 MEDICINE SHOPPE 6950 Germantown Ave, Ste 326 Centennial Wing, Germantown Home Philadelphia, PA 19119 (267) 428-5187 NOVA STAR PHARMACY P 301 E Girard Ave Philadelphia, PA 19125 (215) 739-3900

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE RECENTLY CHANGED INFORMATION ABOUT THEIR PRACTICE OR LOCATION. OLDE PHILLY PHARMACY FISHTOWN P 3140 Willits Rd Philadelphia, PA 19136 (267) 686-2454 PHILADELPHIAN PHARMACY P 2401 Pennsylvania Ave Philadelphia, PA 19130 (215) 232-0533 PHILLY PHARMACY 1900F Grant Ave Philadelphia, PA 19115 (215) 969-5180 RESES PHARMACY INC P 5739 Chester Ave Philadelphia, PA 19143 (215) 726-1224 RIDGE DISCOUNT PHARMACY P 1406A Ridge Ave Philadelphia, PA 19130 (267) 519-3387 SAMUEL J ROBINSON PHARMACY INC P 2848 W Lehigh Ave Philadelphia, PA 19132 (215) 228-7177

SOMERTON PHARMACY P 10806 Bustleton Ave Philadelphia, PA 19116 (215) 969-9700 SUN RAY DRUGS P 142 S 52nd St Philadelphia, PA 19139 (215) 474-4615 THE APPLE PHARMACY P Erie Ave At Front St Philadelphia, PA 19134 (215) 427-6527 TWIN DRUG P 5304 N 5th St Philadelphia, PA 19120 (215) 455-2411 RHEUMATOLOGY ARTHUR S HUPPERT MD 002804979 231 N Broad St, Suite 100 Philadelphia, PA 19107 (215) 762-7800 Huppert, Arthur S., MD

JJEFFERSON J RHEUMATOLOGY ASSOC SAV- MOR 002808086 PHARMACY, INC 211 South 9th Street, 2232 South 7th Street, 1 Suite 600 Fl Philadelphia, PA 19107 Philadelphia, PA 19148 (215) 955-8430 (215) 467-1220 Pullman Mooar, Sally SMITH'S PHARMACY P W., MD 133 W Hunting Park Ave Ste 200 Philadelphia, PA 19140 (215) 324-5100 841 E Hunting Park Ave Philadelphia, PA 19124 (215) 537-3000 P - Preferred pharmacy

ROUTINE DENTAL JONI J J R MARCUS & ASSOCIATES 002065585 7216 Passyunk Ave Philadelphia, PA 19142 (215) 365-2424 Current Patients Only SPORTS MEDICINE DREXEL SPORTS MEDICINE 003339159 10 Shurs Lane Philadelphia, PA 19127 (215) 967-1627 Hong, Eugene S., MD Trojian, Thomas H., MD

700 Spruce Street, Suite 305 Philadelphia, PA 19106 (215) 829-2092 Jarrar, Doraid, MD DIVISION OF THORACIC SURGERY AT PPMC UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM 002818545 51 North 39th Street, 266 Wright Saunders Building Philadelphia, PA 19104 (215) 662-9195 Jarrar, Doraid, MD

JJEFFERSON J UNIVERSITY DEPARTMENT OF TEMPLE ORTHOPEDIC SURGERY AND SPORTS 002817185 MEDICINE 1100 Walnut Street, ASSOCIATES Suite 500 003137949 1800 North Broad Street Philadelphia, PA 19107 Philadelphia, PA 19122 (215) 955-6750 Samuels, Louis E., MD (215) 707-2111 Noreski, Michelle A., DO PENN LUNG CENTER THORACIC SURGERY THORACIC AT PCAM UNIVERSITY SURGERY OF PENNSYLVANIA HEALTH SYSTEM DIVISION OF THORACIC SURGERY 002818545 3400 Civic Center AT HUP UNIVERSITY Boulevard, West OF PENNSYLVANIA Pavilion 1st Floor HEALTH SYSTEM Philadelphia, PA 19104 002818545 (215) 615-5864 3400 Spruce Street, 6 Silverstein Building Jarrar, Doraid, MD Philadelphia, PA 19104 PENN MEDICINE (215) 662-9195 UNIVERSITY CITY Jarrar, Doraid, MD THORACIC SURGERY DIVISION OF THORACIC SURGERY AT PAH 002818545

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002818545 3737 Market Street, 4th Floor Philadelphia, PA 19104 (215) 662-9195

Jarrar, Doraid, MD PENN SURGERY DIVISION OF THORACIC SURGERY AT WASHINGTON SQUARE 002818545 800 Walnut Street, 20th Floor Philadelphia, PA 19107 (215) 829-2092 Jarrar, Doraid, MD URGENT CARE CENTER JEFFERSON URGENT JJ CARE 003154689 700 Walnut Street Philadelphia, PA 19106 (215) 503-7300 UROLOGY SCPA UROLOGY 002811786 160 East Erie Avenue Philadelphia, PA 19134 (215) 427-5434 Steckler, Robert E., MD VASCULAR SURGERY HEALTH SMART MED CTR 002813436 9922 Roosevelt Blvd Philadelphia, PA 19115 (215) 464-6040 Mohan, Chittur R., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. BERKS COUNTY ANESTHESIOLOGY NOVA ANESTHESIA PROFESSIONALS 002812216 1011 Reed Ave, Ste 600 Wyomissing, PA 19610 (610) 228-3229 Logue, James G., MD Mahadeviah, Ann S., MD Marcelo, Edmund, DO SURGICAL INSTITUTE OF READING 003293102 2752 Century Boulevard Wyomissing, PA 19610 (610) 372-8031 Gonzalez, Rene M., MD BEHAVIORAL ANALYST CONCERN PRO SVCS FOR CHILD YTH FML 002989400 22 24 N Franklin Street Fleetwood, PA 19522 (610) 944-0445 Fox, Marle I., MA Wonnie, Miriam A., MA CONCERN PRO SVCS FOR CHILD YTH FMLY 002989400 22 N Franklin St, Ste 24 Fleetwood, PA 19522 (610) 944-0445 Fox, Marle I., MA Wonnie, Miriam A., MA

CARDIOVASCULAR DISEASE READING PROFESSIONAL SERVICES 003402591 1320 Broadcasting Road, Suite 100 Wyomissing, PA 19610 (610) 375-6565 Feldman, Adam H., MD Hope, Earl J., MD Koslow, Michael, MD Licata, Anthony, MD Mochon, Agnieszka E., MD Scollan, David F., MD Will, Peter M., MD 301 South 7th Avenue, Suite 2020 Reading, PA 19611 (610) 375-6565 Feldman, Adam H., MD Hope, Earl J., MD Koslow, Michael, MD Licata, Anthony, MD Mochon, Agnieszka E., MD Scollan, David F., MD Will, Peter M., MD

DERMATOLOGY

INTERNAL MEDICINE

Tighe, Jessica R., MSW

READING DERMATOLOGY ASSOCIATES 002820407 2208 Quarry Dr, Ste 206 Reading, PA 19609 (610) 750-7891 Schleicher, Stephen, MD

PATIENT FIRST MEDICAL GROUP 002822975 2600 Paper Mill Road Wyomissing, PA 19610 (610) 844-9150 Ahsan, Shagufta, MD

CONCERN PRO SVCS FOR CHILD YTH FMLY 002989400 1 W Main St Fleetwood, PA 19522 (610) 944-0445 Reinstein, Adam T., MSW Tighe, Jessica R., MSW

FAMILY PRACTICE LVPG FAMILY MEDICINE HAMBURG 002812248 700 Hawk Ridge Road Hamburg, PA 19526 (610) 562-3066 Odorizzi, Rebecca J., DO Srinivasan, Raji, MD

PATIENT FIRST MEDICAL GROUP 002822975 2600 Paper Mill Road Wyomissing, PA 19610 (610) 844-9150 Eckhardt, Linda D., MD Kachhadiya, Govindbhai P., MD 31 Industrial Drive, Suite Otero, Victor M., MD Weinstein, Richard J., 150 MD Hamburg, PA 19526 (610) 375-6565 002996179 Feldman, Adam H., MD 2600 Paper Mill Road Hope, Earl J., MD Wyomissing, PA 19610 Koslow, Michael, MD (484) 220-0051 Licata, Anthony, MD Jensen, Rose C., MD Mochon, Agnieszka E., Weinstein, Richard J., MD MD Scollan, David F., MD Zlotnick, Jeffrey A., MD Will, Peter M., MD

READING PROFESSIONAL SERVICES 003402591 1320 Broadcasting Road, Suite 100 Wyomissing, PA 19610 (610) 375-6565 Serrian, John L., MD Wilson, Gregory T., DO 301 South 7th Avenue, Suite 2020 Reading, PA 19611 (610) 375-6565 Serrian, John L., MD Wilson, Gregory T., DO

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HOLCOMB BHVRL HLTH SYST 002989124 1011 Reed Ave Ste 900 Wyomissing, PA 19610 (610) 939-9999 Seitzinger, Veronica S., MSW

31 Industrial Drive, Suite MASTER LEVEL 150 THERAPIST Hamburg, PA 19526 PSYCHIATRIC/MENT (610) 375-6565 AL HEALTH Serrian, John L., MD Wilson, Gregory T., DO CONCERN PRO SVCS FOR CHILD YTH FML LICENSED CLINICAL 002989400 SOCIAL WORKER 22 24 N Franklin Street BERKSHIRE PSYCHC Fleetwood, PA 19522 (610) 944-0445 002988924 McCloskey, Patricia M., 716 N Park Rd Wyomissing, PA 19610 MA (610) 375-0544 CONCERN PRO SVCS Fluck, Deborah A., MSW FOR CHILD YTH FMLY 002989399 CONCERN PRO SVCS 1120 Hobart Ave, Ste C FOR CHILD YTH FML Wyomissing, PA 19610 002989400 22 24 N Franklin Street (610) 371-8035 Galanti, Joyce A., MA Fleetwood, PA 19522 (610) 944-0445

P - Preferred pharmacy

22 N Franklin St, Ste 24 Fleetwood, PA 19522 (610) 944-0445 Katchan, Anastasia G., MSW Reinstein, Adam T., MSW

002989400

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 1 W Main St Fleetwood, PA 19522 (610) 944-0445 McCloskey, Patricia M., MA 22 N Franklin St, Ste 24 Fleetwood, PA 19522 (610) 944-0445 Galanti, Joyce A., MA Morgan, Monir F., PHD

PHYSICAL THERAPIST IN MOTION JJOINTS J 002820791 2758 Century Boulevard, Ste 3 Wyomissing, PA 19610 (610) 376-5646

001617012 1950 Street Rd, Ste 200 Bensalem, PA 19020 (215) 638-4696 Janele L Graziano, DMD Jikyung Park, DDS Kunal Parikh, DMD Lyusya R. Badishyan, DMD Maral I. Seroon, DMD Neha P. Khandhadiya, DDS Ramesh M. Shah, DDS

4 S 4th St, Fl 1 Reading, PA 19602 (610) 375-9501 Daniel F. Derosa, DMD BUCKS COUNTY

12 Penns Trail, Suite 141 Newtown, PA 18940 (215) 636-0125 Rogevich, Joseph, DO

SOCIETY HILL ANESTHESIA CONSULTANTS PC 002809589 ALERT AMBULANCE 401 North York Road PSYCHIATRY 002803122 Warminster, PA 18974 1327 Adams Road, PA CNSLNG SVCS INC READING HOSP CTR (800) 297-4722 Suite F FOR MNTL HLTH 002988888 Anderson, James P., Bensalem, PA 19020 002989719 1733 Penn Ave MD (215) 245-4545 560 Van Reed Rd Ste A PLUS FAMILY Reading, PA 19609 Ascher, Andrew S., MD 301 DENTAL CARE PC (610) 670-7270 AMBULATORY Bailey, Philip D., DO Wyomissing, PA 19610 000269156 SURGICAL CENTER Banov, David W., MD Reinoehl, Steven S., MA (484) 628-4947 24 S 14th St Daidone, Dana E., DO 40 Berkshire Ct Lewis, Brian T., MD Quakertown, PA 18951 ABC DIABETES Deratzou, Benjamin, MD PROGRAMS Wyomissing, PA 19610 (215) 536-3210 560 Van Reed Rd Ste Ferrara, Frank M., MD 002801836 (610) 671-7270 Janele L Graziano, DMD 308 Goldstein, Allan, MD 501 Bath Road Reinoehl, Steven S., MA Wyomissing, PA 19610 Jikyung Park, DDS Goldstein, Richard L., Bristol, PA 19007 Kunal Parikh, DMD (484) 628-4980 MD OB-GYNECOLOGY (215) 699-4001 Lyusya R. Badishyan, Lewis, Brian T., MD Haas, Allen B., MD LVPG OBSTETRICS DMD ANESTHESIOLOGY Hemlick, John, MD 6th Ave and Spruce St, Maral I. Seroon, DMD AND GYNECOLOGY Mahadeviah, Ann S., Bldg K, PO Box 14564 ANESTHESIA 002808919 Neha P. Khandhadiya, MD Reading, PA 19612 ASSOCIATES OF 260 State Street DDS Maistrow, Marla G., MD (484) 628-8070 Hamburg, PA 19526 Ramesh M. Shah, DDS ABINGTON Minarcik, Brian A., DO 002804578 Lewis, Brian T., MD (610) 562-3066 001431002 Morrow, Neil E., MD 225 Newtown Rd Uxer, Jennifer B., DO ROUTINE DENTAL 1500 Horizon Dr, Ste Warminster, PA 18974 O'Connor, Patrick, MD 104 333 Normal Avenue Shropshire, Diane M., (215) 441-6600 A 1 FAMILY DENTAL Chalfont, PA 18914 MD Kutztown, PA 19530 Le, Phong Q., DO CARE (215) 997-9980 Weiss, Jonathan H., DO (610) 683-5522 001566592 MID ATLANTIC PAIN Janele L Graziano, DMD Wells, Courtney M., MD Uxer, Jennifer B., DO 404 Middletown Blvd, SPECIALIST LLC Jikyung Park, DDS Yazdipour, Mariam, MD Ste 300 003396933 ORTHOPEDIC Kunal Parikh, DMD Young, Marie, MD Langhorne, PA 19047 333 North Oxford Valley, Zentner, Miriam L., MD SURGERY Lyusya R. Badishyan, (215) 757-4400 Oxford Crossing, Ste DMD SCPA PEDIATRIC Janele L Graziano, DMD 104 SOUTHEAST PA PAIN Maral I. Seroon, DMD ASSOCIATES LLC Jikyung Park, DDS Fairless Hills, PA 19030 MANAGEMENT LTD Neha P. Khandhadiya, 003407688 Kunal Parikh, DMD 002809377 (856) 896-2814 DDS 301 South Seventh Lyusya R. Badishyan, 225 Newton Rd Ramesh M. Shah, DDS Chapdelaine, Robert T., Avenue, Suite 3120 DMD MD Warminster, PA 18974 West Reading, PA GENTLE DENTAL OF Maral I. Seroon, DMD (215) 441-6600 RESOURCE ANES 19611 READING Mark B. Hoang, DMD Le, Phong Q., DO ASSOC OF PA PC (484) 388-2445 000861513 Neha P. Khandhadiya, 002815732 Gattuso, Alison L., DO DDS P - Preferred pharmacy

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AMBULANCE SERVICE

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. BEHAVIORAL ANALYST EPIC DEVTL SVCS 002989375 4 Neshaminy Interplex, Suite 202 Trevose, PA 19053 (215) 322-8860 Kim, Sook H., MA CARDIOVASCULAR DISEASE ARIA CCP OXFORD 003387287 301 Oxford Valley Rd, Ste 901B Yardley, PA 19067 (215) 321-7400 Goldberg, Steven P., MD ARIA CCP2 GREEN LANE 003387287 100 Green Lane, Ste 3 Bristol, PA 19007 (215) 788-2011 Goldberg, Steven P., MD LPS AT MERCER BUCKS 002865093 104 Pheasant Run Rd, Ste 128 Newtown, PA 18940 (215) 860-3344 Singhal, Shalabh, MD PENNSYLVANIA HEART AND VASCULAR GROUP TEMPLE HEALTH 002890539 10000 Annes Choice Way Warminster, PA 18974 (215) 885-4700

Brandimarto, Anthony, DO Hess, Steven G., MD Marinchak, Roger A., MD Wint, Roger M., MD CERTIFIED REGISTERED NURSE PRACTITIONER ARIA HEALTH FASTCARE 002867663 4001 New Falls Road Levittown, PA 19056 (215) 949-2913 Giorgio, Catherine H., CRNP Lee, Kelly A., CRNP Shah, Pooja V., CRNP Slade, Lauren A., CRNP DR BRAD S FREIDMANN 002821983 380 Middletown Blvd, Ste 700 Langhorne, PA 19047 (215) 752-8860 Hafner, Lauren A., CRNP MINUTE CLINIC DIAGNOSTIC OF PENNSYLVANIA LLC 002819482 200 S Lincoln Avenue Newtown, PA 18940 (866) 389-2727 Peleckis, Amy J., CRNP

P - Preferred pharmacy

CHIROPRACTOR BACK IN BALANCE CHIROPRACTIC 002813342 2325 Heritage Center Dr, Ste 115 Furlong, PA 18925 (215) 794-7997 Howell, Karen G., DC CARONE CHIROPRACTIC PC 002815533 1300 Horizon Drive, Suite 111 Chalfont, PA 18914 (215) 822-0071 Gearhart, Leslie A., DC LATRONICA ALBERT 002806021 740 Edison Furlong Road Furlong, PA 18925 (267) 454-7158 Latronica, Albert, DC NORTHAMPTON FAMILY PRACTICE PC 002814224 66 Buck Road Holland, PA 18966 (215) 322-2444 Fox, Mark J., DC

CRITICAL CARE MEDICINE GROUP IINTENSIVIST I OF PA PC 002815753 700 Lawn Ave Sellersville, PA 18960 (866) 344-0543 Gray, Edward H., DO DIABETIC EDUCATION CENTER ABC DIABETES PROGRAMS 002801836 501 Bath Road Bristol, PA 19007 (215) 699-4001 FAMILY PRACTICE ARIA NESHAMINY MEDICAL 002821057 2426 Bristol Rd Bensalem, PA 19020 (215) 757-1533 Holmes, Allison B., DO

ARIA PHYSICIAN SERVICES HOSPITALISTS 002818693 380 North Oxford Valley OPTIMAL HEALTH Road CENTER Langhorne, PA 19047 002813231 301 Oxford Valley Road, (215) 949-5000 Posner, Andre B., DO Suite 1405 Yardley, PA 19067 BUCKINGHAM FAMILY (215) 493-4463 MEDICINE Petrucci, Kathleen K., 002809547 DC 4897 York Road, P O Box 278 Buckingham, PA 18912 (215) 794-7471 Horn, Michelle E., DO

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002809549 8 Logan Square, York Road New Hope, PA 18938 (215) 862-4766 Horn, Michelle E., DO NORTHAMPTON FAMILY PRACTICE 002884091 66 Buck Road Holland, PA 18966 (215) 322-2444 Cohen, Larry W., MD 003147900 833 Durham Rd Penndel, PA 19047 (215) 752-5433 Cohen, Larry W., MD PATIENT FIRST MEDICAL GROUP 003109682 75 E Street Road Feastervle Trevose, PA 19053 (267) 684-1047 Eckhardt, Linda D., MD Jensen, Rose C., MD Kachhadiya, Govindbhai P., MD Otero, Victor M., MD Weinstein, Richard J., MD Yoon, David A., MD Zlotnick, Jeffrey A., MD PENNCARE MEDICAL ASSOCIATES OF BUCKS COUNTY 002810890 777 Township Line Road, Suite 200 Yardley, PA 19067 (215) 860-0775 Brace, Matthew J., MD THOMAS E MACKELL MD LTD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 003027785 800 W State St, Suite 204 Doylestown, PA 18901 (215) 348-3068 Current Patients Only Horn, Michelle E., DO 003027874 847 Easton Road, Ste 2750 Warrington, PA 18976 (215) 918-5600 Current Patients Only Horn, Michelle E., DO GASTROENTEROLO GY GASTROINTESTINAL ASSOCIATES INC 002804557 708 Shady Retreat Road, Ste 9 Doylestown, PA 18901 (215) 348-7238 Shaw, Ellen W., MD GI HEALTH PROFESSIONALS PC 002812137 817 Lawn Ave Sellersville, PA 18960 (215) 257-5071 Kucer, Frank T., MD GENERAL PRACTICE ANTHONY J ROCK DO 002803934 134 Mill Street Bristol, PA 19007 (215) 788-5553 Current Patients Only Rock, Anthony J., DO

GYNECOLOGY CENTER FOR WOMENS HEALTH 002812716 540 N Woodbourne Rd Langhorne, PA 19047 (215) 750-6611 Ruppersberger, Lester A., DO

700 Lawn Avenue Sellersville, PA 18960 (215) 453-4139 Cohen, Jonathan, MD INTERNAL MEDICINE

ARIA PHYSICIAN SERVICES HOSPITALISTS 002818693 380 North Oxford Valley HOME HEALTH Road CARE AGENCY Langhorne, PA 19047 AT HOME REHAB, LLC (215) 949-5000 002801571 Sawyer, Melissa L., DO 800 West State Street, CAPITAL HEALTH Suite 103 Doylestown, PA 18901 PRIMARY CARE 003013205 (215) 230-4140 1050 Stonyhill Road BAYADA HOME Yardley, PA 19067 HEALTH CARE INC (215) 504-1756 002803731 Aiello, Stephen, MD 90 North Main Street CARDIOLOGY Sellersville, PA 18960 CONSULTANTS OF (800) 305-3000 PHILADELPHIA MAXIM HEALTHCARE 002805068 SERVICES, INC 301 Oxford Valley Road, 002802008 Unit 901A 6 Neshamity Interplex, Yardley, PA 19067 Suite 111 (215) 321-7400 Trevose, PA 19053 Ghauri, Baber, MD (215) 638-0729 COMPREHENSIVE INTERNAL MEDICINE INFECTIOUS 003148556 DISEASES 95 Almshouse Rd, Ste GRAND VIEW 103 MEDICAL PRACTICES Richboro, PA 18954 I (215) 357-5760 002821028 Current Patients Only 817 Lawn Avenue Goppold, Ronald W., Sellersville, PA 18960 MD (215) 257-8450 PATIENT FIRST Cohen, Jonathan, MD MEDICAL GROUP LAWN AVENUE 003109682 MEDICAL ASSOCIATES 002819363

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75 E Street Road Feastervle Trevose, PA 19053 (267) 684-1047 Ahsan, Shagufta, MD PENNSBURY INPATIENT SERVICES LLC 002982145 380 North Oxford Avenue Langhorne, PA 19047 (215) 949-5260 Abraham, Andrew J., MD Babu, Benson A., MD Brown, Steven M., MD Hanes, David P., MD Okon, Emmanuel E., MD Patel, Jignesh, MD Patel, Khushboo, MD LICENSED CLINICAL SOCIAL WORKER PENN FNDTN INC 002988993 807 Lawn Ave Sellersville, PA 18960 (215) 257-6551 Anthony, Nicole E., MSW Nyce, Heiki L., MSW PSYCY ASSOCS 002989139 301 Oxford Valley Rd, Ste 301B Yardley, PA 19067 (215) 321-5780 Botelho, Joseph C., MSW 6 Penns Trl Newtown, PA 18940 (215) 321-5780 Botelho, Joseph C., MSW

ROBIN L BEAUMONT PHD LLC 003297893 628 Juniper St Quakertown, PA 18951 (267) 888-2599 Gorkos, Tiffani M., MSW MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH LENAPE VLY FNDTN 002989259 500 N West St Doylestown, PA 18901 (215) 345-5300 Thiers, Cynthia R., MA 003290808 500 N West St Doylestown, PA 18901 (215) 345-5300 Thiers, Cynthia R., MA NEPHROLOGY BUCKS COUNTY KIDNEY SPECIALIST 002821435 60 Blacksmith Rd Newtown, PA 18940 (215) 860-3520 Harvey, Sean, DO 930 Towncenter Drive, Suite G100 Langhorne, PA 19047 (215) 860-3520 Harvey, Sean, DO

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. NEUROLOGY UNIV OF PENNSYLVANIA PULMONARY 002807839 599 West State Street, Suite 101 Pavillion Doylestown, PA 18901 (215) 662-7797 Scharf, Matthew T., MD NUCLEAR MEDICINE PENN RADIOLOGY PENN MEDICINE AT BUCKS COUNTY 002812226 777 Township Line Road, Suite 150 Yardley, PA 19067 (215) 860-3360 Overbeck, John R., MD OB-GYNECOLOGY DOYLESTOWN WOMENS HEALTH CTR L 002806474 708 N Shady Retreat Rd, Ste 7 Doylestown, PA 18901 (215) 340-2229 Le, Tuan A., MD GRAND VIEW MED PRACTICES OBGYN 002808663 700 Horizon Circle, Suite 102 Chalfont, PA 18914 (215) 822-3130 Adibi, Fereydoon, MD 002808664 700 Lawn Ave, Professional Bldg 2FL Sellersville, PA 18960 (215) 536-3200 Adibi, Fereydoon, MD

LANGHORNE PHYSICIAN SERVICES 002818965 1203 Langhorne Newtown Road, Suite 125 Langhorne, PA 19047 (215) 710-5610 O'Malley, Jr, Thomas F., MD

202 Farm Lane Doylestown, PA 18901 (215) 340-9555 Trisch, Marianne L., OTR

THERAPLAY INC 002816422 790 Newton Yardley Road, Newtown Center Suite 422 7 Upper Holland Road Newtown, PA 18940 Richboro, PA 18954 (215) 579-8797 (215) 710-5610 Durkin, Kaitin M., OTR O'Malley, Jr, Thomas F., Fargo, Jennifer, OTR MD ONCOLOGY WE CARE MEDICAL GROUP PC MICHAEL GUTTMAN 003390971 MD 826 Bustleton Pike, Unit 002804006 101A 1400 Veterans Highway, Fstrvl Trvose, PA 19053 Suite 106 Levittown, PA 19056 (215) 631-3873 Ivanov, Gennadiy, MD (215) 752-5501 Guttman, Michael, MD OCCUPATIONAL THERAPIST OPTOMETRIST ADVANCED LYMPHEDEMA THERAPY SERVICES LLC 002817544 3 Corner Stone Drive, Suite 700 Langhorne, PA 19047 (215) 750-0501 Calhoun, Lorraine B., OTR

CENTURY EYE CARE LTD 002814654 216 Mill Street Bristol, PA 19007 (215) 781-2020 Levashvili, Alexandra, OD Siegel, Arthur L., OD

670 N Woodbourne Rd, Ste 200 NOVACARE Langhorne, PA 19047 002809528 (215) 752-8888 100 Green Lane, Suite 1 Siegel, Arthur L., OD Bristol, PA 19007 DALESSANDRO (215) 826-0166 LILLIAN Goren, Mark S., OTR 002804018 PEDIATRIC THERAPY 38 West Road CTR OF BUCKS Newtown, PA 18940 002820648 (215) 968-5219

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Dalessandro, Lillian, OD MANCO LOUIS 002805496 671 Second Street Pike Southampton, PA 18966 (215) 357-5772 Manco, Louis J., OD OPHTHALMOLOGY PHYSICIANS AND SURGEONS 002814734 1018 Street Rd Southampton, PA 18966 (215) 322-8338 Arteaga, Fernando A., OD 1382 Newtown Langhorne Rd Newtown, PA 18940 (215) 504-1153 Arteaga, Fernando A., OD 1400 Old Jordan Rd Holland, PA 18966 (215) 968-9110 Arteaga, Fernando A., OD 1609 Woodbourne Rd, Ste 303 Levittown, PA 19057 (215) 547-1818 Arteaga, Fernando A., OD 2325 Heritage Center Dr, Suite 311 Furlong, PA 18925 (215) 794-4550 Arteaga, Fernando A., OD

ORTHOPEDIC SURGERY CHILDRENS SURGICAL ASSOCIATES LTD 002809721 500 W Butler Ave Chalfont, PA 18914 (215) 997-5730 Dormans, John P., MD Drummond, Denis S., MD ST LUKES ORTHOPAEDIC SPECIALISTS 002812315 1534 Park Avenue, Suite 210 Quakertown, PA 18951 (267) 424-8850 Strzelecki, Zigmund F., MD OTORHINOLARYNG OLOGY (ENT) DANIEL A NESI MD 002803881 800 West State Street, Suite 200 Doylestown, PA 18901 (215) 345-5494 Nesi, Daniel A., MD DANIEL A NESI MD ASSOCIATES 002811966 800 West State Street, Ste 200 Doylestown, PA 18901 (215) 345-5494 Nesi, Daniel A., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. PHYSICAL MEDICINE AND REHABILITATION MERCER BUCKS ORTHOPAEDICS PC 002817107 1203 Langhorne Newtown Rd, Ste 220 Langhorne, PA 19047 (215) 860-4274 Colarusso, Frank J., DO PHYSICAL THERAPIST DAVID L BOWERS 002810712 1077 2 River Road Washington Xing, PA 18977 (215) 493-2666 SPORTS AND BACK PT LLC 002822989 1385 Eagle Road New Hope, PA 18938 (215) 752-4553 SPORTS BACK REHABILITATION 002809304 370 E Maple Ave, Ste 103 Langhorne, PA 19047 (215) 752-4553 TRENTON ORTHOPAEDIC GROUP 003322198 111 Floral Vale Blvd, Suite B Yardley, PA 19067 (609) 581-2200 WELLNESS REHAB ASSOCIATES 002816678

408 2nd Street Pike Southampton, PA 18966 (215) 947-1174 PODIATRY HEALTHDRIVE PODIATRY GROUP 002805081 12 Penns Trail, Ste 154 Newtown, PA 18940 (888) 946-6681 Marques, Roger M., DPM

PULMONARY DISEASES CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC 002822615 700 Lawn Ave Sellersville, PA 18960 (866) 344-0543 Cowen, Jay S., MD Haffar, Abdul Karim Y., MD Italiano, Frank T., MD

RADIOLOGY RADADVANTAGE A PROFESSIONAL CORPORATION 003322987 380 North Oxford Valley Road Langhorne, PA 19047 (586) 412-4245 RETAIL PHARMACIES

RITE AID PHARMACY 01004 PULMONARY NEW BRITAIN 1033 West County Line ALLERGY AND SLEEP Road, Rosemore PODIATRY MED ASSOCIATES Shopping Center 003145858 002818275 Hatboro, PA 19040 817 Lawn Avenue, Suite 902 Town Center (215) 672-1177 New Britain, PA 18901 4 Sellersville, PA 18960 RHEUMATOLOGY (215) 348-1970 Bevard, Warren E., DPM (215) 257-8391 ANGELA JJANNELLI J Sawicki, Rafal W., MD 002804007 PODIATRY ASSOC OF PULMONARY 1609 Woodbourne THE LV LLC ALLERGY AND SLEEP Road, Suite 302 B 002819025 MEDICINE A GRAND Levittown, PA 19057 1534 Park Avenue, VIEW MEDICAL (215) 945-1313 Suite 230 PRACTICE Jannelli, Angela F., MD Quakertown, PA 18951 003145858 (215) 529-5222 920 Lawn Avenue, Suite ROUTINE DENTAL Lam, Huoi T., DPM 6 PAUL J RAVIN DDS QUAKERTOWN FOOT Sellersville, PA 18960 000438316 CARE CENTER INC (215) 257-8391 1202 Pond St 002901155 Sawicki, Rafal W., MD Bristol, PA 19007 511 West Broad St PULMONARY AND (215) 785-2601 Quakertown, PA 18951 ALLERGY ASSPC PC (215) 538-3668 002809539 ROUTINE VISION Ziskowski, Stacy L., 920 Lawn Ave, Ste 6 DPM GLASSES GALORE Sellersville, PA 18960 INC (215) 257-8391 PSYCHIATRY 451 S Oxford Valley Rd Sawicki, Rafal W., MD Fairless Hills, PA 19030 BIJU BASIL (215) 547-5470 002988255 Consiglio, Cindy L., OD 203 Floral Vale Blvd Yardley, PA 19067 GLASSES GALORE OF (215) 968-7600 BUCKS COUNTY Basil, Biju, MD

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2842 S Eagle Road Newtown, PA 18940 (215) 579-1190 Consiglio, Cindy L., OD VISIONWORKS 684 Northwest End Blvd Quakertown, PA 18951 (215) 536-7023 Consiglio, Cindy L., OD SPEECH THERAPIST EFFECTIVE COMMUNICATION SOLUTIONS 002817577 7137 Old Easton Rd Pipersville, PA 18947 (215) 613-6523 Saul, Lauren R., MA THERAPLAY INC 002809904 2100 Quaker Pointe Drive Quakertown, PA 18951 (215) 804-1002 Keiser, Heather R., MS WOODBOURNE SPEECH AND LANGUAGE 002819107 10 Glen Drive Yardley, PA 19067 (215) 310-8033 Sabourin, Kim Banso N., MA SPORTS MEDICINE CHILDRENS SURGICAL ASSOCIATES LTD 002809721 500 W Butler Ave Chalfont, PA 18914 (215) 997-5730 Goodman, Arlene M., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. THORACIC SURGERY THOR SURG ASSOC OF FCCC MGI 002822827 2365 Heritage Center Drive Furlong, PA 18925 (215) 794-2700 Shah, Prashant C., MD UROLOGY CHILDRENS SURGICAL ASSOCIATES LTD 002809715 500 W Butler Avenue Chalfont, PA 18914 (215) 997-5730 Snyder, III, Howard M., MD CHESTER COUNTY ANESTHESIOLOGY MELISSA L DELANEY DO 003293102 606 East Marshall Street, Suite S205 West Chester, PA 19380 (610) 429-9101 Gonzalez, Rene M., MD SEPA DEVON 003156335 860 Lancaster Ave Devon, PA 19333 (855) 235-7246 Le, Phong Q., DO Shum, Park C., MD SOCIETY HILL ANESTHESIA CONSULTANTS PC 002809589

140 Nutt Road Phoenixville, PA 19460 (610) 983-1278 Anderson, James P., MD Bailey, Philip D., DO Berman, David B., MD Cercega, Mircea, MD Deratzou, Benjamin, MD Ekbatani, Ali Reza, DO Garcia Munoz, Richard, MD Haas, Allen B., MD Langevin, Paul B., MD Leftow, Stewart R., MD Lippman, Deborah S., MD Mahadeviah, Ann S., MD Maistrow, Marla G., MD Minarcik, Brian A., DO Morrow, Neil E., MD O'Connor, Patrick, MD Shropshire, Diane M., MD Sirianni, Archie J., MD Weiss, Jonathan H., DO Wells, Courtney M., MD Wilson, Earl W., MD Yazdipour, Mariam, MD SOUTHEAST PA PAIN MANAGEMENT LTD 002809377 450 Cresson Blvd, Ste 101 Phoenixville, PA 19460 (215) 481-2000 Le, Phong Q., DO

WEST CHESTER ANESTHESIA ASSOCIATES 002809445 915 Old Fern Hill Road, Suite 100 West Chester, PA 19380 (484) 723-0030 Levin, Russell L., MD CARDIOVASCULAR DISEASE CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 255 W Lancaster Ave, Mob 1, Ste 104 Paoli, PA 19301 (610) 647-4260 Kramer, Jeffrey H., MD 915 Old Fern Hill Road, Ste 5 Bldg A West Chester, PA 19380 (610) 696-2850 Seaman, Christopher B., MD CHRISTIANA CARE CARDIOLOGY OF SOUTHERN CHESTER COUNTY 002819192 1011 W Baltimore Pike, Ste 304 West Grove, PA 19390 (610) 869-1278 Horton, Heather L., MD

744 West Lancaster Ave, The Surgery Center of Main Line, Ste 10 Wayne, PA 19087 (855) 235-7246 Le, Phong Q., DO

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CERTIFIED REGISTERED NURSE PRACTITIONER MINUTE CLINIC DIAGNOSTIC OF PENNSYLVANIA LLC 002819482 105 E Uwchlan Avenue Exton, PA 19341 (866) 389-2727 Peleckis, Amy J., CRNP 1776 East Lancaster Avenue Paoli, PA 19301 (866) 389-2727 Peleckis, Amy J., CRNP 3015 E Lincoln Highway Thorndale, PA 19372 (866) 389-2727 Peleckis, Amy J., CRNP 870 E Baltimore Pike Kennett Square, PA 19348 (866) 389-2727 Peleckis, Amy J., CRNP CHIROPRACTOR

IINLINE I CHIROPRACTIC REHAB AND MASSAGE 002808081 1067 Township Line Road Phoenixville, PA 19460 (610) 935-6400 Bacskai, Ronald J., DC 80 West Welsh Pool Road, Suite 10 Exton, PA 19341 (610) 363-8525 Bacskai, Ronald J., DC

DERMATOLOGY PENN MEDICINE AT RADNOR DERMATOLOGY 002807616 1001 Chesterbrook Blvd Berwyn, PA 19312 (610) 576-7500 Nguyen, Jennifer V., MD FAMILY PRACTICE CCA SPECIALTY GROUP 002821207 701 E Marshall Street, Chester County Hospital West Chester, PA 19380 (610) 431-5000 Posner, Andre B., DO MAIN LINE HEALTHCARE 002811045 255 Lancaster Avenue, Paoli Memorial Hospital Paoli, PA 19301 (484) 565-1510 Posner, Andre B., DO 255 West Lancaster Avenue, Paoli Memorial Hospital Paoli, PA 19301 (484) 565-1510 Posner, Andre B., DO HOME INFUSION PHARMACIES CORAM CVS/SPECIALTY INFUSION SERVICES P 6 Spring Mill Dr Malvern, PA 19355 (610) 296-4446 EAST GOSHEN PHARMACY P

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THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 1220 Ward Ave Ste 250, Ste 250 West Chester, PA 19380 (610) 344-0450 INTERNAL MEDICINE CCA SPECIALTY GROUP 002821207 701 E Marshall Street, Chester County Hospital West Chester, PA 19380 (610) 431-5000 Solondz, Marcie H., MD EXTON PRIMARY CARE PC 002818892 130 Pendula Ct West Chester, PA 19380 (610) 363-6433 Thangada, Parineetha G., MD GEPS PHYSICIAN GROUP OF PA PC 002984211 600 Paoli Pointe Drive Paoli, PA 19301 (610) 296-7100 Santiago, Waleska, MD MAIN LINE HEALTHCARE 002811045 255 Lancaster Avenue, Paoli Memorial Hospital Paoli, PA 19301 (484) 565-1510 Abraham, Jenson, MD Flaim, Anthony A., DO Hutchinson, Rebecca N., MD

255 West Lancaster Avenue, Paoli Memorial Hospital Paoli, PA 19301 (484) 565-1510 Hutchinson, Rebecca N., MD Valtsis, Vladislav, MD 414 Paoli Pike Malvern, PA 19355 (484) 596-5400 Hutchinson, Rebecca N., MD

LACTATION CONSULTANT ADVOCARE BROOMALL PEDIATRIC ASSOCIATES 003386525 1246 West Chester Pike, Suite 303 West Chester, PA 19382 (610) 692-2605 Sweeney, Christine, RLC

HOLCOMB BHVRL HLTH SYST 002989124 467 Creamery Way Exton, PA 19341 (610) 363-1488 McLaughlin, Corinne A., MSW

MHMO INC 002989125 740 Springdale Drive Exton, PA 19341 (610) 524-0780 Osullivan, Shannon, MA NEUROLOGY

UNIV OF PENNSYLVANIA PULMONARY 002807838 12 East Swedesford DELAWARE CNTY Road PENN FAMILY PRO SVCS Malvern, PA 19355 MEDICINE SOUTHERN LICENSED CLINICAL 002988925 (215) 662-7772 CHESTER COUNTY 780 E Market St Ste 230 SOCIAL WORKER Scharf, Matthew T., MD 003093526 West Chester, PA CHILD GUIDNC 455 Woodview Road, 19382 NUCLEAR MEDICINE RESOURCE CTR Suite 100 (610) 892-3800 COMMUNITY West Grove, PA 19390 002989116 McBratnie, Dawn M., 744 E Lincoln Hwy Ste RADIOLOGY OF HUP (610) 345-1900 OMPT 420 002811866 Baird, Karen K., MD EXTON BHVRL HLTH Coatesville, PA 19320 701 East Marshall PENN PRIMARY CARE (610) 383-5635 AND REHAB LLC Street, Chester County AND INTEGRATIVE Hospital Kropp, Cynthia M., MSW 002989771 MEDICINE 183 W Lancaster Ave Fl West Chester, PA WHITELAND DELAWARE CNTY 1 19380 PRO SVCS 003102372 Paoli, PA 19301 (610) 431-5131 002988925 724 West Lincoln (610) 873-2233 Overbeck, John R., MD Highway, The Commons 780 E Market St, Ste Smith, Dana A., MA At Oaklands, 2nd Floor 225 915 Fern Hill Road, Ste 766 W Lincoln Hwy 400 Bldg D Exton, PA 19341 West Chester, PA 19382 Exton, PA 19341 West Chester, PA (610) 269-3790 19380 (610) 892-3800 (610) 873-2233 Staid, Rashna K., MD (610) 431-5131 Japko, Sheila, MSW Smith, Dana A., MA Overbeck, John R., MD 780 E Market St Ste 230 LIFE CNSLNG SVCS 002812226 West Chester, PA 002989000 19382 402 McFarland Rd, 400 Franklin Avenue, Penn Medicine (610) 892-3800 Suite 240 Japko, Sheila, MSW Phoenixville, PA 19460 Radiology Kennett Square, Ste 201 (610) 644-6464 GINGRAS, SARAH S Kennett Square, PA McNelis, Nicole V., MED MSW 19348 003408659 491 John Young Way, (610) 444-2665 7 W Central Ave Ste 1A Suite 300 Overbeck, John R., MD Paoli, PA 19301 Exton, PA 19341 (610) 716-2258 (610) 644-6464 Gingras, Sarah S., MSW Gavin, Thomas J., MA

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MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. COMMUNITY RADIOLOGY OF UPHS EXTON PENN MEDICINE RADIOLOGY EXTON 002812226 700 West Lincoln Highway, Commons At Oakland Exton, PA 19341 (610) 431-5131 Overbeck, John R., MD CUMMUNITY RADIOLOGY OF HUP PENN MEDICINE RADIOLOGY PHOENIXVILLE 002812226 140 Nutt Rd Phoenixville, PA 19460 (610) 983-1100 Overbeck, John R., MD PENN MEDICINE RADIOLOGY CHESTER COUNTY HOSPITAL 002812226 701 East Marshall St West Chester, PA 19380 (610) 431-5131 Overbeck, John R., MD PENN MEDICINE RADIOLOGY FERN HILL 002812226 915 Old Fern Hill Road, Bldg D, Ste 400 West Chester, PA 19380 (610) 431-5131 Overbeck, John R., MD PENN RADIOLOGY PENN MEDICINE AT VALLEY FORGE 002812226

1001 Chesterbrook Boulevard, Suite 100 Berwyn, PA 19312 (610) 576-7500 Overbeck, John R., MD

101 North Monroe Street, 2nd Floor Paoli, PA 19301 (484) 444-0135 Singer, Amy F., OTR

PENN RADIOLOGY PENN MEDICINE PAOLI 002812226 250 West Lancaster Avenue, Suite 180 Paoli, PA 19301 (610) 651-0104 Overbeck, John R., MD

PREMIER ORTHOPAEDIC OT 002808415 1161 McDermott Drive West Chester, PA 19380 (484) 356-9401 Cichanowsky, Kimberly A., OTR Pitonyak, Louis J., OTR

OB-GYNECOLOGY CHERYL R BELLAIRE MD 002807705 296 Main Street Exton, PA 19341 (610) 363-9206 Bellaire, Cheryl R., MD DANIEL BENINATI MD 002813732 495 Thomas Jones Way, Suite 204 Exton, PA 19341 (610) 269-9010 Beninati, Daniel D., MD OCCUPATIONAL THERAPIST EBS CHILDREN'S INSTITUTE, INC 002887850 200 Skiles Blvd West Chester, PA 19382 (610) 455-4040 Voltz, Ashleigh L., OTR

400 McFarlan Rd, Suite 100 Kennett Square, PA 19348 (610) 925-4901 Cichanowsky, Kimberly A., OTR THERAPLAY INC 002816422 385 Starr Road, Landenberg Center Landenberg, PA 19350 (484) 720-8252 Durkin, Kaitin M., OTR Fargo, Jennifer, OTR Kelius, Alyssa M., OTR Morris, Martha E., OTR Todd, Kelly A., OTR 638 Brandywine Parkway, West Chester Center West Chester, PA 19380 (610) 436-3600 Morris, Martha E., OTR

MAIN LINE HAND CENTER LLC 002813978

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OPHTHALMOLOGY PHOENIXVILLE EYE CARE SPECIALISTS PC 002812346 720 South Main Street Phoenixville, PA 19460 (610) 933-3498 Patel, Seema R., MD OPTOMETRIST SINGER SPECS STERLING OPT 002813812 211 W Lincoln Hwy Exton, PA 19341 (610) 524-8886 Stocksdale, Laura A., OD VILLAGE OPTICAL 002812594 706 Village At Eland Phoenixville, PA 19460 (610) 917-9999 Fuchs, Erin, OD ORTHOPEDIC SURGERY CHILDRENS SURGICAL ASSOCIATES LTD 002809721 481 John Young Way, Oakland Corporate Park Exton, PA 19341 (610) 594-9008 Drummond, Denis S., MD ORTHOPAEDIC SPECIALISTS PC 002806403 235 West Lancaster Avenue, Suite 100 Devon, PA 19333 (610) 688-6767 Eremus, Joseph L., MD

OTORHINOLARYNG OLOGY (ENT) ENT ASSOCIATES OF CHESTER COUNTY 002812030 600 East Marshall Street, Suite 101 West Chester, PA 19380 (610) 363-2532 Mauriello, II, Alfred J., MD PHYSICAL MEDICINE AND REHABILITATION PERFORMANCE SPINE AND SPORTS PHYSICIANS PC 002808282 824 Main St, Medical Office Bldg 1, Ste 201 Phoenixville, PA 19460 (610) 935-0719 Sanderson, Sean O., MD PUSHPA TTHAKARAR MD 002804072 902 Madison Drive Malvern, PA 19355 (610) 647-0591 Thakarar, Pushpa T., MD PHYSICAL THERAPIST KEYSTONE REHABILIATION SYSTEMS INC 002812103 446 Lancaster Ave, Ste A Frazer, PA 19355 (610) 644-4168

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. PODIATRY

PSYCHOLOGIST

EAGLE FOOT AND ANKLE SPECIALISTS LLC 002815863 1230 Pottstown Pike, Suite 3 Glenmoore, PA 19343 (610) 458-0752 Bevard, Warren E., DPM

HOLCOMB BHVRL HLTH SYST 002989124 467 Creamery Way Exton, PA 19341 (610) 363-1488 Sutton, Maryann C., PHD Wheeler, Tara C., PSYD

153 Exton Square Mall RADIATION Exton, PA 19341 ONCOLOGY (610) 458-0752 Bevard, Warren E., DPM DEPT OF RADIATION ONCOLOGY 491 John Young Way, 002815430 Ste 200 1001 Chesterbrook Blvd Exton, PA 19341 Berwyn, PA 19312 (610) 458-0752 (610) 576-7500 Bevard, Warren E., DPM Tochner, Zelig A., MD 855 Springdale Dr, Ste RADIOLOGY 120 Exton, PA 19341 COMMUNITY (610) 458-0752 RADIOLOGY OF UPHS Bevard, Warren E., DPM SOUTHER CHESTER COUNTY FOOT AND ANKLE 002811866 ASSOCIATES 455 Woodview Road 002805547 West Grove, PA 19390 685 Unionville Road, (610) 345-1970 Suite 2 Kennett Square, PA PENN MEDICINE 19348 RADIOLOGY PHOENIXVILLE (610) 444-6520 HOSPITAL Denenberg, Benjamin 002811866 R., DPM Kattler, Steven J., DPM 140 Nutt Road Walpole, Sean M., DPM Phoenixville, PA 19460 (610) 983-1100 PSYCHIATRY PENN MEDICINE EXTON BHVRL HLTH RADIOLOGY AND REHAB LLC SOUTHERN CHESTER COUNTY 002989771 002811866 766 W Lincoln Hwy 455 Woodview Road Exton, PA 19341 West Grove, PA 19390 (610) 873-2233 Nam, Theodore S., MD (610) 345-1970 P - Preferred pharmacy

PENN RADIOLOGY PENN MEDICINE PAOLI 002811866 250 West Lancaster Avenue, Suite 180 Paoli, PA 19301 (610) 651-0104 REGISTERED DIETICIAN ALL STAR PEDIATRICS LLC 002813085 702 Gordon Dr Exton, PA 19341 (610) 363-1330 Ranalli, Jennifer S., RD WELLNESS NUTRITION AND EDUCATION 002821194 53 Darby Road Paoli, PA 19301 (610) 644-5870 Morgan, Caitlin M., RD RETAIL PHARMACIES CORAM CVS/SPECIALTY INFUSION SERVICES P 6 Spring Mill Dr Malvern, PA 19355 (610) 296-4446 EAST GOSHEN PHARMACY P 1220 Ward Ave Ste 250, Ste 250 West Chester, PA 19380 (610) 344-0450 GATEWAY INTERNAL MEDICINE OF WEST CHESTER

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520 Maple Ave West Chester, PA 19380 (610) 430-8200 ROUTINE DENTAL ADVANCED FAMILY SMILE CARE PC 001541368 8 Ponds Edge Dr, Ste 2 Chadds Ford, PA 19317 (610) 388-4466 Janele L Graziano, DMD Jikyung Park, DDS Kunal Parikh, DMD Lyusya R. Badishyan, DMD Maral I. Seroon, DMD Neha P. Khandhadiya, DDS Ramesh M. Shah, DDS

LANDENBERG THERAPLAY 002809904 385 Starr Rd Landenberg, PA 19350 (484) 720-8252 Keiser, Heather R., MS Reinert, Julie M., MS Rowland, Rebecca L., MA SPORTS MEDICINE CHILDRENS SURGICAL ASSOCIATES LTD 002809721 481 John Young Way, Oakland Corporate Park Exton, PA 19341 (610) 594-9008 Goodman, Arlene M., MD

ROUTINE VISION CHESTER COUNTY EYE CARE 740 W Lincoln Hwy Exton, PA 19341 (610) 696-1230 Kuc, Christopher J., OD DR. BRUCE STARK 915 Old Fern Hill Rd Bldg B, Ste 200 West Chester, PA 19380 (610) 696-1230 Kuc, Christopher J., OD SPEECH THERAPIST EBS CHILDRENS INSTITUTE INC 002823094 200 Skiles Blvd West Chester, PA 19382 (610) 455-4040 Vaselli, Patricia M., SLP

URGENT CARE CENTER SPUC LLC 003131812 150 E Pennsylvania Ave Downingtown, PA 19335 (610) 518-1060 UROLOGY ACADEMIC UROLOGY OF PA LLC 002822901 824 Main Street, Suite 301 Phoenixville, PA 19460 (610) 935-9010 Rose, Robert M., MD CHILDRENS SURGICAL ASSOCIATES LTD 002809715

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 481 John Young Way Exton, PA 19341 (610) 594-9008 Snyder, III, Howard M., MD DELAWARE COUNTY ALLERGY/IMMUNOL OGY MAIN LINE ALLERGY LLP 002804661 233 East Lancaster Avenue, Suite 200 Ardmore, PA 19003 (610) 642-1643 Wodell, Ruthven A., MD ANESTHESIOLOGY NOVA ANESTHESIA PROFESSIONALS 002812216 1501 Mount Pleasant Road Villanova, PA 19085 (610) 527-1400 Goldman, Gary L., MD Mahadeviah, Ann S., MD Marcelo, Edmund, DO Rogevich, Joseph, DO Rosenberger, Melissa D., MD Stein, Walter, MD PREMIER ANESTHESIA OF PENNSYLVANIA PC 002821697 1500 Lansdowne Avenue Darby, PA 19023 (610) 237-4000 Galvez, Marietta L., MD 2010 West Chester Pike Havertown, PA 19083 (610) 853-7700

Galvez, Marietta L., MD SOCIETY HILL ANESTHESIA CONSULTANTS PC 002809589 1068 West Baltimore Pike Media, PA 19063 (610) 891-3229 Anderson, James P., MD Bailey, Philip D., DO Cercega, Mircea, MD Chakhbazov, Abdoulla A., MD Deratzou, Benjamin, MD Goldstein, Allan, MD Haas, Allen B., MD Leftow, Stewart R., MD Lewis, Allan A., MD Lippman, Deborah S., MD Mahadeviah, Ann S., MD Minarcik, Brian A., DO Morrow, Neil E., MD O'Connor, Patrick, MD Sedlack, Jeanianne T., MD Shropshire, Diane M., MD Sirianni, Archie J., MD Springstead, James M., MD Thornton, Anthony M., MD Veloso, Patricia M., MD Weiss, Jonathan H., DO Wells, Courtney M., MD Wilson, Earl W., MD Yazdipour, Mariam, MD Young, Marie, MD

Deratzou, Benjamin, MD Morrow, Neil E., MD O'Connor, Patrick, MD Weiss, Jonathan H., DO Wells, Courtney M., MD Yazdipour, Mariam, MD 1118 W Baltimore Pike Media, PA 19063 (484) 931-2270 Anderson, James P., MD Minarcik, Brian A., DO O'Connor, Patrick, MD Weiss, Jonathan H., DO Yazdipour, Mariam, MD 501 North Lansdowne Avenue Drexel Hill, PA 19026 (610) 259-2333 Anderson, James P., MD Bailey, Philip D., DO Chakhbazov, Abdoulla A., MD Deratzou, Benjamin, MD Goldstein, Allan, MD Haas, Allen B., MD Haiken, Jeffrey A., MD Lippman, Deborah S., MD Minarcik, Brian A., DO Morrow, Neil E., MD O'Connor, Patrick, MD Sirianni, Archie J., MD Thornton, Anthony M., MD Weiss, Jonathan H., DO Wells, Courtney M., MD Yazdipour, Mariam, MD

1098 West Baltimore Pike, Suite 3306 Media, PA 19063 (610) 566-7787 Bailey, Philip D., DO

P - Preferred pharmacy

AUDIOLOGIST MAIN LINE AUDIOLOGY CONSULTANT 002813038 100 E Chester Pike Ridley Park, PA 19078 (610) 667-3277 Gerhart, Megan J., AUD MAIN LINE HEALTHCARE 002814731 3855 West Chester Pike, Bryn Mawr Hospital Health Center, Suite 245 Newtown Square, PA 19073 (610) 527-1436 Clark, Rachel, AUD 830 Old Lancaster Avenue, Suite 209 Bryn Mawr, PA 19010 (610) 527-1436 Clark, Rachel, AUD CARDIOVASCULAR DISEASE CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 1088 West Baltimore Pike Media, PA 19063 (610) 565-2100 Goodkin, Michael B., MD 2100 Keystone Avenue, Suite 200 Drexel Hill, PA 19026 (610) 259-0240 Schaaf, Richard D., MD MAIN LINE HEALTHCARE KELLY CARDIOLOGY GROUP

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002820655 1088 West Baltimore Pike, Riddle Health Care Center II, Ste 2500 Media, PA 19063 (484) 565-1640 Ice, Daniel S., MD PENN MEDICINE AT RADNOR CARDIOLOGY 002805050 250 King of Prussia Road Radnor, PA 19087 (610) 902-5600 Kirkpatrick, James N., MD RMH PHYSICIAN SERVICES 002811853 1068 West Baltimore Pike, Echocardiology Media, PA 19063 (610) 891-3388 Goodkin, Michael B., MD WALTER SCHWARTZ ASSOCIATES PC 002804169 891 Baltimore Pike Springfield, PA 19064 (610) 604-4800 Schwartz, Walter, DO CERTIFIED REGISTERED NURSE PRACTITIONER HAN CROZER MEDICAL ASSOCIATES 002812616 1553 Chester Pike, Suite 201 Crum Lynne, PA 19022 (610) 499-7180 Hogan, Carla J., CRNP

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. HAN CROZER MEDICAL ASSOCIATES 002812620 200 East State Street, Suite 100 Media, PA 19063 (610) 499-7180 Hogan, Carla J., CRNP HAN FAMILY PRACTICE CRNP PCP 003403422 3030 Garrett Road, 3rd Floor Drexel Hill, PA 19026 (610) 622-7933 Price, Brenda S., MD MINUTE CLINIC DIAGNOSTIC OF PENNSYLVANIA LLC 002819482 1218 E Lancaster Avenue Bryn Mawr, PA 19010 (866) 389-2727 Peleckis, Amy J., CRNP 3 South Pennell Road Media, PA 19063 (866) 389-2727 Peleckis, Amy J., CRNP 795 Baltimore Pike Springfield, PA 19064 (866) 389-2727 Peleckis, Amy J., CRNP TAKE CARE HEALTH 002820045 4098 Edgmont Avenue Brookhaven, PA 19015 (866) 825-3227 Guenst, Barbara J., CRNP

CHIROPRACTOR DENISE L DEFRIES DC 002806098 2870 Concord Road, Unit 3 Aston, PA 19014 (484) 480-4544 Defries, Denise L., DC CRITICAL CARE MEDICINE CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC 002822615 1500 Lansdowne Ave and Bailey Rd Darby, PA 19023 (866) 344-0543 Gray, Edward H., DO DERMATOLOGY PENN MEDICINE AT RADNOR DERMATOLOGY 002807616 250 King of Prussia Radnor, PA 19087 (610) 902-2400 Nguyen, Jennifer V., MD ROY R KINDER JR MD PC 002818153 35 Brandon Rd Upper Darby, PA 19082 (610) 352-9021 Kinder, Jr, Roy R., MD

P - Preferred pharmacy

DURABLE MEDICAL EQUIPMENT SUPPLIER 180 MEDICAL INC 002802849 225 South Chester Road, Suite 2 Swarthmore, PA 19081 (484) 472-6072 ENDOCRINOLOGY BRYN MAWR MEDICAL SPECIALIST ASSOCIATION 002804645 825 Old Lancaster Ave, Ste 320 Bryn Mawr, PA 19010 (610) 527-3800 Djerassi, Ady L., MD FAMILY PRACTICE CARESTAT URGENT CARE CENTER 002822607 103 Baltimore Pike Springfield, PA 19064 (610) 482-4949 Jensen, Rose C., MD 1305 West Chester Pike Havertown, PA 19083 (610) 482-4949 Jensen, Rose C., MD 213 Morton Ave Folsom, PA 19033 (610) 482-4949 Jensen, Rose C., MD CHESPENN HEALTH SERVICES 002804247 5 South State Rd Upper Darby, PA 19082 (610) 352-6585 Borgia, Victoria M., MD

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CROZER KEYSTONE CENTER FOR FAMILY HEALTH 002812420 1260 East Woodland Avenue, Suite 200 Springfield, PA 19064 (610) 690-4490 Emeche, Uchenna D., MD

INPATIENT II CONSULTANTS OF PA PC 003139643 13 St Albans Circle, Ste C Newtown Square, PA 19073 (484) 422-8647 Jones, David R., DO

GATEWAY FAMILY PRACTICE OF NEWTOWN 002981233 4667 West Chester Pike, Suite D Newtown Square, PA 19073 (610) 356-7870 Heller, Joy L., DO

MAIN LINE HEALTHCARE 002811045 130 South Bryn Mawr Avenue, Suite H-321 Bryn Mawr, PA 19010 (484) 337-4097 Posner, Andre B., DO

HAN FAMILY PHYSICIANS AT MIDDLETOWN 002812416 176 South New Middletown Road Media, PA 19063 (610) 627-3690 McCafferty, William R., DO HAN FOLCROFT FAMILY PRACTICE 002812415 1220 Chester Pike Sharon Hill, PA 19079 (610) 586-2122 McCafferty, William R., DO HAN GLENN R ORTLEY DO 002812421 5030 State Road, Suite 2 400 Drexel Hill, PA 19026 (610) 394-1390 Ortley, Glenn R., DO

PATIENT FIRST MEDICAL GROUP 003069238 417 Baltimore Pike Springfield, PA 19064 (484) 470-2600 Otero, Victor M., MD PENN DEL MEDICAL ASSOCIATES INC 002805783 1541 Chichester Avenue Linwood, PA 19061 (610) 485-1176 Teano, Dan A., MD PENNCARE RADNOR ADOLESCENT YOUNG ADULT ASSOCIATES 002813248 250 King of Prussia Road, Suite 2J Radnor, PA 19087 (610) 902-2450 Thapar, Deepti, MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. GASTROENTEROLO GY

GENERAL PRACTICE

HOME HEALTH CARE AGENCY

ALAN J SEARS MD PC 002808392 1010 W Chester Pike, Ste 303 Havertown, PA 19083 (610) 449-3423 Sears, Alan J., MD

HAN FAMILY PRACTICE 002812428 4651 West Chester Pike, Suite 200 Newtown Square, PA 19073 (610) 356-0300 Cincotta, Anthony J., DO

DELAWARE COUNTY MEMORIAL HOSPITAL 002803207 200 West Sproul Road Springfield, PA 19064 (610) 284-0700

MAIN LINE GASTROENTEROLOG Y ASSOCIATES PC 002811473 2050 West Chester Pike, 3rd Floor Havertown, PA 19083 (610) 449-1525 Thornton, III, James J., MD PENN MEDICINE AT RADNOR GASTROENTEROLOG Y 002808607 250 King of Prussia Radnor, PA 19087 (610) 902-5600 Ahtaridis, George, MD Bahirwani, Ranjeeta R., MD Das, Koushik K., MD Tabibian, James H., MD UNIV OF PENN GASTROENTEROLOG Y 002808607 47 Copley Road Upper Darby, PA 19082 (610) 352-4426 Ahtaridis, George, MD

ROSE TREE MEDICAL ASSOCIATES 002816407 1098 West Balitmore Pike, Suite 3101 Media, PA 19063 (610) 891-9277 Current Patients Only Kiotis, Alexander I., DO GENERAL SURGERY HAN GENERAL SURGERY ASSOCIATES 002813070 One Medical Center Boulevard, Pob II Ste 326 Upland, PA 19013 (610) 619-8450 Katz, Leon V., MD UNIV OF PENN HEALTH SYSTEM GENERAL SURGERY 002818543 250 King of Prussia Road Radnor, PA 19087 (610) 902-5600 Cha, Amy I., MD

INTERNAL MEDICINE GURPREET KOCHAR MD PC 002807938 101 Dutton Street Ridley Park, PA 19078 (610) 521-8450 Choudhry, Vijay L., MD 002807939 685 Fern Blvd Drexel Hill, PA 19026 (610) 259-9900 Choudhry, Vijay L., MD

HAN INTERNAL MEDICINE 002812613 1553 Chester Pike, Ste 201 Health Access Network Crum Lynne, PA 19022 (610) 499-7180 Dorokhine, Igor, MD 200 E State St, Ste 100 Media, PA 19063 (610) 480-5194 Dorokhine, Igor, MD 2700 Chestnut Pkwy Chester, PA 19013 (610) 499-7180 Dorokhine, Igor, MD

HAN CROZER MEDICAL ASSOCIATES 002812616 1553 Chester Pike, Suite 201 Crum Lynne, PA 19022 (610) 499-7180 Dorokhine, Igor, MD White, Caitlin A., MD

MAIN LINE HEALTHCARE 002811045 1068 W Baltimore Pike Media, PA 19063 (610) 627-4216 Flaim, Anthony A., DO Hutchinson, Rebecca N., MD Valtsis, Vladislav, MD

HAN CROZER MEDICAL ASSOCIATES 002812620 200 East State Street, Suite 100 Media, PA 19063 (610) 499-7180 Dorokhine, Igor, MD White, Caitlin A., MD

130 South Bryn Mawr Avenue, Suite H-321 Bryn Mawr, PA 19010 (484) 337-4097 Abraham, Jenson, MD Flaim, Anthony A., DO Hutchinson, Rebecca N., MD Valtsis, Vladislav, MD

002812621

P - Preferred pharmacy

2700 Chestnut Parkway Chester, PA 19013 (610) 499-7180 Dorokhine, Igor, MD White, Caitlin A., MD

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MAIN LINE HEALTHCARE KELLY CARDIOLOGY GROUP 002820655

1088 West Baltimore Pike, Riddle Health Care Center II, Ste 2500 Media, PA 19063 (484) 565-1640 Garton, Alex B., MD 2901 Dutton Mill Rd, Ste 110 Aston, PA 19014 (610) 565-4107 Garton, Alex B., MD 965 Baltimore Pike, Main Line Health Center In Springfield, Ste 2B Springfield, PA 19064 (610) 565-4107 Garton, Alex B., MD MAIN LINE INTERNAL MEDICINE IN LAWRENCE PARK 002806561 1991 Sproul Road, Suite 625 Broomall, PA 19008 (610) 325-0309 Deleon, Joseph A., MD LACTATION CONSULTANT ADVOCARE BROOMALL PEDIATRIC ASSOCIATES 003386525 1991 Sproul Road, Suite 40A Broomall, PA 19008 (610) 325-1400 Sweeney, Christine, RLC LISA MANDELL IBCLC 003383245 789 Lancaster Avenue, Suite 10 Villanova, PA 19085 (610) 517-9552

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. Mandell, Lisa, RLC LICENSED CLINICAL SOCIAL WORKER CHILD GUIDNC RESOURCE CTR 002989116 2000 Old West Chester Pike Havertown, PA 19083 (484) 454-8700 Unrath, Lauren A., MSW CROZER CHESTER MEDCL CTR 002989186 2600 W 9th St, Community Hospital Chester, PA 19013 (610) 497-7700 Patterson, Nina M., MSW

246 E Leamy Ave Springfield, PA 19064 (610) 543-0686 Harris, Donna J., MSW LAMBERT, PATRICIA A MSW 002988821 26 Summit Grove Ave, Ste 211 Bryn Mawr, PA 19010 (484) 318-1219 Lambert, Patricia A., MSW 733 Creekside Dr Brookhaven, PA 19015 (484) 318-1219 Lambert, Patricia A., MSW

TAYLOR, BARBARA K MA 003408657 1001 Darby Rd Havertown, PA 19083 (267) 250-6809 Taylor, Barbara K., MA MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH ASSOCS OF SPRINGFIELD PSYCHL 002989038 1489 Baltimore Pike, Bldg 200, Ste 250 Springfield, PA 19064 (610) 544-2110 Asher, Tammy, MS Gratz, Sharon A., MS

LIFE CNSLNG SVCS 002989000 107 Chesley Dr, Suite 5 DELAWARE CNTY CHILD GUIDNC Media, PA 19063 PRO SVCS RESOURCE CTR (610) 644-6464 002988925 Gregory, Leslie S., MSW 002989116 1204 Holly Lane 2000 Old West Chester Glen Mills, PA 19342 175 King of Prussia Pike Road (610) 892-3800 Havertown, PA 19083 Radnor, PA 19087 Japko, Sheila, MSW (484) 454-8700 (610) 644-6464 Connor, Abby L., MS 2010 W Chester Pike, Guido, Julie A., MSW Ste 314 3rd Floor Greenbaum, Jennifer L., BSW Havertown, PA 19083 MG THERAPEUTIC SVCSLLC (610) 892-3800 DELAWARE CNTY 003139891 Japko, Sheila, MSW PRO SVCS 20 S Olive St Ste 204 002988925 EXTON BHVRL HLTH Media, PA 19063 1055 E Baltimore Pike, AND REHAB LLC (610) 314-7478 Ste 300 002989771 Castner, Kimberly A., Media, PA 19063 135 Commons Ct PSYD (610) 892-3800 Chadds Ford, PA 19317 Gratz, Kristin K., MS OAKEY, RICHARD S (610) 873-2233 MSW Rosinsky, Stefanie P., 1055 E Baltimore Pike 1, 002987169 MSW Ste 303 321 Farnum Rd Media, PA 19063 HARRIS, DONNA J Media, PA 19063 (610) 892-3800 MSW (610) 892-2906 Harris, Lofton H., MS 003403985 Oakey, III, Richard S., MSW P - Preferred pharmacy

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1204 Holly Lane Glen Mills, PA 19342 (610) 892-3800 Gratz, Kristin K., MS Harris, Lofton H., MS EXTON BHVRL HLTH AND REHAB LLC 002989771 135 Commons Ct Chadds Ford, PA 19317 (610) 873-2233 Smith, Dana A., MA HORNSTEIN PLATT AND ASSOCIATES 002989088 14 S Bryn Mawr Ave, Ste 106 Bryn Mawr, PA 19010 (215) 732-6308 Scheifley, Tara L., MS LIFE CNSLNG SVCS 002989000 175 King of Prussia Road Radnor, PA 19087 (610) 644-6464 Pedrick, George R., MA

280 N Providence Rd, Ste 2 Media, PA 19063 (484) 472-8712 Rowan, Virginia S., MS MAXILLO-FACIAL SURGERY NEAL E BOZENTKA DMD PC 002815532 944 Haverford Road Bryn Mawr, PA 19010 (484) 380-2393 Fishbein, Gary T., DDS NEPHROLOGY PENN MEDICINE AT RADNOR DIALYSIS CLINIC 002807758 250 King of Prussia Rd Radnor, PA 19087 (610) 902-5600 Grossman, Robert A., MD

PENN MEDICINE AT RADNOR RENAL ELECTROLYTE 31 Regency Plaza, Suite HYPERTENSION 32 002807758 Glen Mills, PA 19342 250 King of Prussia (610) 644-6464 Radnor, PA 19087 Roche, Andrea, MA (610) 902-5600 NHS OF DELAWARE Bansal, Amar, MD CNTY Grossman, Robert A., 002989154 MD 800 Chester Pike NEUROLOGY Sharon Hill, PA 19079 (610) 534-3636 HAN NEUROLOGY Gerety, Hiromi, MA 002815365 SPECTRA SPPRT SVCS LLC 002999580

175 East Chester Pike, Crozer Sleep Disorder Center At Ta Ridley Park, PA 19078 (610) 595-6272 Grayum, Bradley P., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. Lal, Neeta, MD 2100 Keystone Avenue, Ste 300 Drexel Hill, PA 19026 (610) 394-4731 Lal, Neeta, MD 300 Evergreen Drive, Suite 150 Glen Mills, PA 19342 (610) 874-1184 Lal, Neeta, MD

NURSE MIDWIFE HAN MIDWIVES OF DELAWARE COUNT 002810377 2100 Keystone Avenue, Suite 707 Drexel Hill, PA 19026 (610) 626-7070 Smith, Moon E., CNM 723 Saxer Avenue Springfield, PA 19064 (610) 284-3300 Smith, Moon E., CNM

One Medical Center Boulevard, Acp 533 Upland, PA 19013 OB-GYNECOLOGY (610) 874-1184 Grayum, Bradley P., MD HAN OBGYN Lal, Neeta, MD 002812451 1 Bartol Avenue, Suite PENN MEDICINE AT RADNOR DIVISION OF 15 Ridley Park, PA 19078 SLEEP (610) 521-4311 002807839 Moranz, Joel G., MD 250 King of Prussia Road Rubin, Stacey L., MD Radnor, PA 19087 196 W Sproul Road, (610) 902-5600 Healthplex Suite 208 Scharf, Matthew T., MD Springfield, PA 19064 NUCLEAR MEDICINE PENN RADIOLOGY PENN MEDICINE RADNOR A FACILITY OF HUP 002812226 250 King of Prussia Saint Davids, PA 19087 (610) 902-1800 Overbeck, John R., MD

(610) 521-4311 Moranz, Joel G., MD Rubin, Stacey L., MD 204 East Chester Pike Ridley Park, PA 19078 (610) 872-4900 Raunio, Anne, MD 2100 Keystone Avenue, Suite 206 Drexel Hill, PA 19026 (610) 394-4710 Nalla, Srijaya S., MD 30 Lawrence Rd, Han Delaware County Womens Care Broomall, PA 19008 (610) 394-7410 Nalla, Srijaya S., MD

P - Preferred pharmacy

300 Evergreen Drive, Suite 170 Glen Mills, PA 19342 (610) 521-4311 Moranz, Joel G., MD Rubin, Stacey L., MD One Medical Center Blvd, Acp Suite 333 Upland, PA 19013 (610) 872-4900 Raunio, Anne, MD OPHTHALMOLOGY MAINLINE EYE SPECIALISTS 002815927 124 Bloomingdale Ave Wayne, PA 19087 (610) 687-6888 Roth, Richard E., DO SINCLAIR RETINA ASSOCIATES 002811863 200 E State St, Ste 301 Media, PA 19063 (610) 892-1708 Kaplan, Jason A., MD OPTOMETRIST DR GEOFFREY PATERSON OD PLLC 002822967 1067 West Baltimore Pike Lencrafte Media, PA 19063 (610) 566-7026 Paterson, Geoffrey R., OD MIELCAREK EYE ASSOCIATES 002813681 319 West State Street Media, PA 19063 (610) 566-1227 Feinberg, Bruce L., OD

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ORTHOPEDIC SURGERY ORTHOPAEDIC SPECIALISTS PC 002806403 27 S Bryn Mawr Avenue Bryn Mawr, PA 19010 (610) 527-2727 Eremus, Joseph L., MD PHYSICAL MEDICINE AND REHABILITATION THE INJURY CARE CENTER LLC 002984837 901 West Ashland Avenue Glenolden, PA 19036 (610) 461-6450 Rosin, Eric S., DO PHYSICAL THERAPIST COLLINS MICHAEL 002811623 200 West Lancaster Avenue Wayne, PA 19087 (610) 688-6767 OHALLORAN BRYAN 002810781 203 E Baltimore Pike Media, PA 19063 (610) 565-0670

PODIATRY A FOOT ABOVE PODIATRY INC 002814118 1120 Township Line, Suite 300 Havertown, PA 19083 (610) 446-1392 Monaco, Stephen A., DPM Rondeau, Joseph D., DPM DPMKENTNERPRPA LLC 002818711 3209 Edgmont Avenue Brookhaven, PA 19015 (610) 876-7419 Kentner, Bryan E., DPM FOOT AND ANKLE ASSOCIATES 002805547 1440 Conchester Highway, Suite 10C Boothwyn, PA 19060 (610) 459-3288 Denenberg, Benjamin R., DPM Walpole, Sean M., DPM PSYCHIATRY

CROZER CHESTER MEDCL CTR 002989186 1 Medical Center Blvd RICHARD L STILES JR Chester, PA 19013 (610) 497-7700 002806698 Kazeminezhad, Zhabiz, 1974 Sproul Road MD Broomall, PA 19008 2600 W 9th St, (610) 353-5330 Community Hospital Chester, PA 19013 (610) 497-7700 Kazeminezhad, Zhabiz, MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. HLTH ACCESS NTWRK PSYCHY HAN 003002780 1 Medical Center Boulevard Chester, PA 19013 (810) 674-5257 Bronstein, Jeffrey B., MD Burkat, Paul M., MD Kazeminezhad, Zhabiz, MD Papa Molter, Andrea E., DO Rackow, David L., MD Rivera, Rommel L., MD 1260 E Woodland Ave, Ste 201 Springfield, PA 19064 (610) 938-2280 Bowen, Andrea E., MD Kwiatkowski, Katherine A., MD 2600 W 9th St Chester, PA 19013 (610) 497-7540 Kwiatkowski, Katherine A., MD HLTH ACCESS NTWRK PSYCY HAN 003002780 1 Medical Center Blvd, Ste 407 Chester, PA 19013 (610) 874-5257 Bai, Jean Y., MD Bronstein, Jeffrey B., MD Burkat, Paul M., MD Kwiatkowski, Katherine A., MD Muppa, Madhav R., MD Papa Molter, Andrea E., DO Pepe, Deanna A., DO Piechota, Darren F., MD Roberts, Inna A., MD

Schlessel, Richard B., MD NHS OF DELAWARE CNTY 002989154 800 Chester Pike Sharon Hill, PA 19079 (610) 534-3636 Kazeminezhad, Zhabiz, MD STREIFF, KATRINA MD 002987954 107 Rutgers Ave, PO Box 421 Swarthmore, PA 19081 (610) 604-4488 Streiff, Katrina, MD PSYCHOLOGIST BARBARA A KAPLAN 002986682 417 Haverford Pl Swarthmore, PA 19081 (610) 328-7742 Kaplan, Barbara A., PHD HLTH ACCESS NTWRK PSYCHY HAN 003002780 1260 E Woodland Ave, Ste 201 Springfield, PA 19064 (610) 938-2280 Jacobs, Barry J., PSYD HLTH ACCESS NTWRK PSYCY HAN 003002780 1 Medical Center Blvd, Ste 407 Chester, PA 19013 (610) 874-5257 Jacobs, Barry J., PSYD

P - Preferred pharmacy

PULMONARY DISEASES CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC 002822615 1500 Lansdowne Ave and Bailey Rd Darby, PA 19023 (866) 344-0543 Cowen, Jay S., MD Italiano, Frank T., MD REGISTERED DIETICIAN BRYN MAWR FAMILY PRACTICE 003400916 1991 Sproul Road, Suite 300 Broomall, PA 19008 (610) 325-1390 Rodkey-Matusky, Judith A., RD KANE HELEN 002821595 102 Boot Road Newtown Square, PA 19073 (610) 613-1765 Kane, Helen M., RD RENAL DIALYSIS CENTER FRESENIUS MEDICAL CARE SOUTHEAST DELCO 003002467 700 Chester Pike Sharon Hill, PA 19079 (610) 532-2935

RETAIL PHARMACIES BURMANS COMMUNITY PHARMACY INC 3400 Edgmont Ave Brookhaven, PA 19015 (610) 872-5418 BURMANS SPECIALTY PHARMACY 3413 Edgmont Ave Ste B Brookhaven, PA 19015 (610) 876-6068 CORUS PHARMACY AND HEALTHCARE PRODUCTS INC 1246 Township Line Rd Drexel Hill, PA 19026 (484) 452-8082 EXTRACARE PHARMACY 1442A Chester Pike Sharon Hill, PA 19079 (484) 540-7917 HEALTHFAVOR PHARMACY LLC 712 Church Lane Yeadon, PA 19050 (484) 461-9055 HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA RADNOR PHARMACY P 250 King of Prussia Rd, Room 202 Radnor, PA 19087 (610) 902-1700 PHARMACY IIMPALA I 11 Ridge Blvd Brookhaven, PA 19015 (484) 482-6274 MACDADE PHARMACY P

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637 Macdade Blvd Collingdale, PA 19023 (610) 522-5200 MILLENNIUM PHARMACY SYSTEMS LLC 340 N. Middletown Road Lima, PA 19037 (724) 940-2490 PUBLIC DRUG OF DARBY 913 Main St Darby, PA 19023 (610) 586-9600 ROUTINE DENTAL ABOUT YOUR SMILE 000401786 6776 Market St Upper Darby, PA 19082 (610) 734-0115 Current Patients Only ADVANCED FAMILY SMILE CARE PC 000753936 35 Woodland Ave Morton, PA 19070 (610) 544-3630 Janele L Graziano, DMD Jikyung Park, DDS Kunal Parikh, DMD Lyusya R. Badishyan, DMD Maral I. Seroon, DMD Neha P. Khandhadiya, DDS Ramesh M. Shah, DDS ROUTINE VISION FOR EYES 601 Macdade Blvd Milmont Park, PA 19033 (610) 522-0686 Posner, Rebecca, OD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. VISIONWORKS 550 E Lancaster Ave, Ste C1 Radnor, PA 19087 (610) 687-0364 Consiglio, Cindy L., OD

One Medical Center Blvd, Ambulatory Care Pavillion Suite 23 Upland, PA 19013 (610) 874-4870 Davis, William E., MD VASCULAR SURGERY

SPEECH THERAPIST THERAPLAY INC 002809904 600 Reed Road, Suite 201 Broomall, PA 19008 (610) 356-1991 Keiser, Heather R., MS SPORTS MEDICINE

HAN SURGERY 002812347 1 Medical Center Boulevard, Vivacqua Pavilion Acp Suite 233 Upland, PA 19013 (610) 499-0400 Graham, Alan M., MD

NEMOURS DUPONT PEDIATRICS GLEN MILLS 003349221 101 Applied Bank Boulevard, Suite 11 Glen Mills, PA 19342 (484) 800-8630 Hoffman, Sarah C., DO

MAIN LINE HEALTHCARE 002812891 1098 West Baltimore Pike, Suite 3308 Riddle Health Center II Media, PA 19063 (610) 565-8564 Bigatel, David A., MD

UROLOGY ACADEMIC UROLOGY OF PA LLC 002822901 100 Granite Drive, Suite 104 Media, PA 19063 (610) 565-2776 Davis, William E., MD 100 Maris Grove Way Glen Mills, PA 19342 (610) 521-4112 Davis, William E., MD 23 Chester Pike, Suite 101 Ridley Park, PA 19078 (610) 521-4112 Davis, William E., MD

FAMILY PRACTICE LGH URGENT CARE EPHRATA 002822920 895 East Main St Ephrata, PA 17522 (717) 721-4585 Hager, Christopher L., MD PATIENT FIRST MEDICAL GROUP 002822974 1625 Oregon Pike Lancaster, PA 17601 (717) 925-2995 Eckhardt, Linda D., MD Kachhadiya, Govindbhai P., MD Otero, Victor M., MD Weinstein, Richard J., MD

002996179 1625 Oregon Pike Lancaster, PA 17601 (717) 925-2995 LANCASTER COUNTY Jensen, Rose C., MD Weinstein, Richard J., ANESTHESIOLOGY MD LANCASTER PHY FOR Zlotnick, Jeffrey A., MD WOMEN SYCAMORE SQUARE 003293102 FAMILY MEDICINE 694 Good Drive, Suite 002884094 203 99 Masonic Dr, Ste A Lancaster, PA 17601 Elizabethtown, PA (717) 544-3788 17022 Gonzalez, Rene M., MD (717) 544-5511 CHIROPRACTOR

Brubaker, Paul E., MD

LANCASTER SPINAL HEALTH CENTER 002820734 504 W Orange St Lititz, PA 17543 (717) 627-3009 Stitzel, Clayton J., DC

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137

INTERNAL MEDICINE PATIENT FIRST MEDICAL GROUP 002822974 1625 Oregon Pike Lancaster, PA 17601 (717) 925-2995 Ahsan, Shagufta, MD LICENSED CLINICAL SOCIAL WORKER SAMARITAN CNSLNG CTR 003386807 1803 Oregon Pike Lancaster, PA 17601 (717) 560-9969 Kanagy, Ellen H., MSW Landis, Herbert E., MSW Meckley, Debra M., MSW Rapisardo, Diane E., MSW Ressler, Gerald J., MSW T W PONESSA AND ASSOCS CNSLNG SVC 002989252 410 N Prince St Lancaster, PA 17603 (717) 560-7917 Holder, Alexandra C., MSW White Monos, Elizabeth P., MSW 8 N Queen St, Griest Bldg, Ste M 2 Lancaster, PA 17603 (717) 392-4322 Fry, Theresa E., MSW White Monos, Elizabeth P., MSW

MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH SAMARITAN CNSLNG CTR 003386807 1803 Oregon Pike Lancaster, PA 17601 (717) 560-9969 Allgyer, Anne K., MA Clemmer, Dean A., MA Digarbo, Joseph R., MA Huff, Lesley A., PSYD Kennedy, Judith A., MA Mount, Katie H., MA Myers, Rhonda L., MA Patrick, Serenity J., MA Villbrandt, Teresa A., MA Vogt, Laurie A., MS T W PONESSA AND ASSOCS CNSLNG SVC 002989252 410 N Prince St Lancaster, PA 17603 (717) 560-7917 Greineder, Jennifer L., MBS Walheim, Kimberly A., MA WINNER CIRCLE CTR INC 003383172 2256 New Danville Pike Lancaster, PA 17603 (484) 643-9568 Black, Catherine V., MA

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. OB-GYNECOLOGY LGHP CARE CONNECTIONS 003394147 555 North Duke Street, 1st Floor Lancaster, PA 17602 (717) 544-2273 Langmuir, Holly M., MD LGHP COMPREHENSIVE CARE 003394134 554 North Duke Street, 3rd Floor Lancaster, PA 17602 (717) 544-4943 Langmuir, Holly M., MD LGHP DOWNTOWN FAMILY MEDICINE 003394155 540 North Duke Street, 3rd Floor Lancaster, PA 17602 (717) 544-4950 Langmuir, Holly M., MD OTORHINOLARYNG OLOGY (ENT) NEMOURS CHILDRENS CLINIC 002815142 2128 Embassy Drive, Suite A Lancaster, PA 17603 (717) 481-8771 Cook, Steven P., MD PSYCHOLOGIST SAMARITAN CNSLNG CTR 003386807 1803 Oregon Pike Lancaster, PA 17601 (717) 560-9969 Mull, Beth A., PSYD

TEAMCARE BHVRL HLTHLLC 002989386 1808 Colonial Village Ln, Ste 103 Lancaster, PA 17601 (717) 391-0172 Nesbitt Fernandez, Jennifer A., PHD LEHIGH COUNTY AMBULANCE SERVICE WHITEHALL MEDICAL TRANSPORT SERVICES 002802898 4119 Redbud Drive West Whitehall, PA 18052 (610) 262-2403 ANESTHESIOLOGY ADVANCED GYNECOLOGIC CARE 003293102 250 Centronia Road, Suite 305 Allentown, PA 18104 (484) 223-3279 Gonzalez, Rene M., MD COORDINATED HEALTH HOSPITAL OF ALLENTOWN 003293102 1503 North Cedar Crest Boulevard Allentown, PA 18104 (610) 861-8080 Gonzalez, Rene M., MD TIRUN A GOPAL MD 003293102 250 Centronia Road, Suite 305 Allentown, PA 18104 (484) 223-3279

P - Preferred pharmacy

Gonzalez, Rene M., MD FAMILY PRACTICE LVPG FAMILY MEDICINE CASTASAUQUA 002982911 840 Walnut Street Catasauqua, PA 18032 (610) 266-3060 Toney, Melinda Q., MD LVPG FAMILY MEDICINE WHITEHALL 002820636 3691 Crescent Court East, Suite 201 Whitehall, PA 18052 (610) 434-9561 Toney, Melinda Q., MD 002820637 3691 Crescent Court East, Suite 100 Whitehall, PA 18052 (610) 434-9561 Toney, Melinda Q., MD PATIENT FIRST MEDICAL GROUP 002996179 3178 Tilghman St Allentown, PA 18104 (610) 844-9150 Jensen, Rose C., MD Weinstein, Richard J., MD Zlotnick, Jeffrey A., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 3178 Tilghman St Allentown, PA 18104 (610) 844-9150 Otero, Victor M., MD Weinstein, Richard J., MD

138

ST LUKES MACUNGIE MEDICAL GROUP 002821645 3760 Brookside Rd Macungie, PA 18062 (610) 966-4646 Bendit, Hal S., DO GENERAL SURGERY LVPG TRANSPLANT SURGERY 1250 CEDAR CREST 002810635 1250 South Cedar Crest Blvd, 2nd Fl, Suite 210 Allentown, PA 18103 (610) 402-8506 Biondi Smith, Lynsey A., MD ST LUKES CRITICAL CARE ASSOCIATES 002815023 1736 Hamilton Street Allentown, PA 18104 (610) 954-2200 Kheirbek, Tareq, MD Wright, Corey J., MD INTERNAL MEDICINE CHS PROFESSIONAL PRACTICE INC 002810088 1503 North Cedar Crest Blvd Allentown, PA 18104 (610) 861-8080 Saraceni, Christine, DO LEHIGH VALLEY PRIMARY CARE PHYSICIANS PRACTICE PC 002820087 1627 W Chew St Allentown, PA 18102 (610) 969-4370 Zukas, Jeanne L., DO

LVH CC HOSPITALIST PROGRAM 002815306 Cedar Crest Boulevard I 78 Allentown, PA 18105 (610) 402-5369 Burke, Bryan T., MD Yannuzzi Frankhouser, Shavon S., DO LVPG GENERAL INTERNAL MEDICINE 002810633 3080 Hamilton Blvd, Suite 350 Allentown, PA 18103 (484) 661-4650 Zukas, Jeanne L., DO PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 002822977 3178 Tilghman St Allentown, PA 18104 (610) 844-9150 Ahsan, Shagufta, MD ST LUKES INTERNAL MEDICINE 002809566 1736 Hamilton Street Allentown, PA 18104 (610) 954-3571 Lapkovsky, Maksim, MD LICENSED CLINICAL SOCIAL WORKER HAVEN HOUSE INC 003368017 1411 Union Boulevard Allentown, PA 18109 (610) 433-6181 Lech, Allison S., MSW Moore, Erma F., MSW NATION, ANDREA L MSW 002993603

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 211 S Route 100 Allentown, PA 18106 (610) 400-3122 Nation, Andrea L., MSW WHITE, GWEN M MSW 002987088 1600 Lehigh Pkwy E Allentown, PA 18103 (610) 432-6897 White, Gwen M., MSW NEUROLOGY LVPG PEDIATRIC NEUROLOGY 002817292 1210 S Cedar Crest Blvd, Ste 2400 Allentown, PA 18103 (610) 402-3888 Corbo, Elizabeth T., MD OB-GYNECOLOGY LVPG CENTER FOR WOMENS MEDICINE 002810630 1627 W Chew St Allentown, PA 18102 (610) 402-1600 Uxer, Jennifer B., DO LVPG OBSTETRICS AND GYNECOLOGY 002808919 1245 South Cedar Crest Boulervard, Suite 201 Allentown, PA 18103 (610) 402-4870 Uxer, Jennifer B., DO 1431 Nursery Street, Suite 202 Fogelsville, PA 18051 (484) 273-4377 Uxer, Jennifer B., DO

1611 Pond Road, Suite 301 Allentown, PA 18104 (610) 398-7700 Uxer, Jennifer B., DO

PHYSICAL MEDICINE AND REHABILITATION

MOSS REHAB PHYSICAL MEDICINE 401 N 17th Street, Suite ASSOCIATES 301 002805226 Allentown, PA 18104 421 W Chew St (610) 433-0949 Allentown, PA 18102 Uxer, Jennifer B., DO (610) 776-4921 Pelensky, Jeanne M., 5649 Wynnewood Drive, MD Suite 101 Laurys Station, PA PHYSICAL 18059 THERAPIST (610) 262-9180 NEW VALLEY REHAB Uxer, Jennifer B., DO 002814641 6900 Hamilton 4136 West Tilghman Boulevard, Suite 60 Street Trexlertown, PA 18087 Allentown, PA 18104 (484) 664-2970 (610) 530-2363 Uxer, Jennifer B., DO NEW VALLEY REHAB LLC OCCUPATIONAL THERAPIST 002820625 4136 Tilghman St, Ste 5 NEW VALLEY REHAB Allentown, PA 18104 LLC (610) 530-2363 002820625 4136 Tilghman St, Ste 5 PODIATRY Allentown, PA 18104 SLPG ST LUKES (610) 530-2363 Deisher, Mirella S., OTR PODIATRY 003188726 ORTHOPEDIC 1501 Lehigh Street, SURGERY Suite 103 Allentown, PA 18103 ST LUKES (610) 628-8380 ORTHOPAEDIC Lam, Huoi T., DPM SPECIALISTS 002812315 ST LUKES FAMILY 1648 Hamilton Street HEALTH CENTER Allentown, PA 18102 002816740 (610) 954-2140 1501 Lehigh Street, Strzelecki, Zigmund F., Suite 103 MD Allentown, PA 18103 (610) 628-8380 Lam, Huoi T., DPM

P - Preferred pharmacy

139

PSYCHIATRY HAVEN HOUSE INC 003368017 1411 Union Boulevard Allentown, PA 18109 (610) 433-6181 Pinnamaneni, Sreenivasa R., MD Ravi, Sasikala, MD PINEBROOK FMLY ANSWERS 003137324 402 N Fulton St Allentown, PA 18102 (610) 432-3919 Ravi, Sasikala, MD

PULMONARY DISEASES LVPG PULMONARY AND CRITICAL CARE MEDICINE 002822991 1250 South Cedar Crest Boulevard, Suite 205 Allentown, PA 18103 (610) 439-8856 Mahalingashetty, Arpana P., MD RADIOLOGY

CHS PROFESSIONAL PRACTICE INC 002810088 SCHILKE, CLIFFORD H 250 Centronia Rd, Ste 302 MD Allentown, PA 18104 002986545 (610) 861-8080 1251 S Cedar Crest Blvd, Ste 103B PROGRESSIVE Allentown, PA 18103 PHYSICIAN (610) 433-9080 ASSOCIATES INC Schilke, Clifford H., MD 002806216 1736 Hamilton Street, PSYCHOLOGIST Saint Lukes Hospital Radiology Dep HOLCOMB BHVRL Allentown, PA 18104 HLTH SYST (610) 628-8300 002989124 1405 N Cedar Crest Blvd, Ste 105 Allentown, PA 18104 (610) 435-4151 Sutton, Maryann C., PHD

REGISTERED DIETICIAN LVPG REGISTERED NUTRITIONISTS 002822549 1243 S Cedar Crest Blvd, Suite 2200 Allentown, PA 18103 (610) 402-5000 Butler, Whitney J., RD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 2701 Dekalb Pike East Norriton, PA 19401 CEDAR CREST DELAWARE VALLEY (610) 278-2000 PHARMACY P ORTHOPEDIC & SPINE Galvez, Marietta L., MD SURGICENTER 1251 S Cedar Crest SOCIETY HILL 002801845 Blvd, Ste 104 ROUTINE VISION ANESTHESIA 100 North Presidential Allentown, PA 18103 VISIONWORKS CONSULTANTS PC Boulevard, 4th Floor (484) 223-0215 949 Airport Center Dr 002809589 Bala Cynwyd, PA LEHIGH DRUG STORE Allentown, PA 18109 1528 Bethlehem Pike, 19004 207 N 6th St Suite 300 Building C (610) 264-0891 (610) 664-2122 Allentown, PA 18102 Flourtown, PA 19031 Consiglio, Cindy L., OD (610) 351-3900 ANESTHESIOLOGY (215) 402-0600 URGENT CARE Bailey, Philip D., DO 540 N. 7th St. ANESTHESIA CENTER Banov, David W., MD ASSOCIATES OF Allentown, PA 18102 Berman, David B., MD SCHC URGENT CARE ABINGTON (484) 223-0261 CENTER Chakhbazov, Abdoulla 002804578 LEHIGH ONE A., MD 002997872 1200 Old York Road PHARMACY INC Daidone, Dana E., DO 501 Cetronia Rd, Ste Abington, PA 19001 1444 Hamilton St Ste 1 100 Deratzou, Benjamin, MD (215) 481-2336 Allentown, PA 18102 Allentown, PA 18104 Ferrara, Frank M., MD Le, Phong Q., DO (610) 351-3003 (215) 427-8593 Goldstein, Allan, MD 2701 Blair Mill Road, Goldstein, Richard L., LEHIGH TWO MONTGOMERY Suite 35 MD PHARMACY INC COUNTY Willow Grove, PA Hemlick, John, MD 347 N 2nd St ALLERGY/IMMUNOL 19090 Leftow, Stewart R., MD Allentown, PA 18102 (215) 443-8505 OGY Lewis, Allan A., MD (610) 435-9933 Le, Phong Q., DO MAIN LINE ALLERGY Lippman, Deborah S., ROUTINE DENTAL LLP 450 Cresson Blvd, Ste MD 100 002804661 Mahadeviah, Ann S., AMERICAN FAMILY Oaks, PA 19456 MD 2300 Computer Avenue, DENTISTRY PC Suite K56 (215) 443-0505 Maistrow, Marla G., MD 001566614 Willow Grove, PA Le, Phong Q., DO Morrow, Neil E., MD 1901 Union Blvd 19090 O'Connor, Patrick, MD Allentown, PA 18109 PHYSICIANS CARE (215) 657-8150 Sedlack, Jeanianne T., HOSPITAL (610) 437-5353 Wodell, Ruthven A., MD MD 003293102 Janele L Graziano, DMD Shropshire, Diane M., 491 Allendale Road, 454 Enterprise Drive Jikyung Park, DDS MD Suite 223 Royersford, PA 19468 Lyusya R. Badishyan, Sirianni, Archie J., MD King of Prussia, PA DMD (610) 495-3332 Weiss, Jonathan H., DO 19406 Maral I. Seroon, DMD Gonzalez, Rene M., MD Wells, Courtney M., MD (610) 768-9323 Neha P. Khandhadiya, Wilson, Earl W., MD Wodell, Ruthven A., MD PREMIER DDS ANESTHESIA OF Yazdipour, Mariam, MD Ramesh M. Shah, DDS PENNSYLVANIA PC Young, Marie, MD 002821697 SUBURBAN DENTAL Zentner, Miriam L., MD ASSOCIATES 000414531 RETAIL PHARMACIES

1651 N Cedar Crest Blvd, Ste 206 Allentown, PA 18104 (610) 820-9900 Kunal Parikh, DMD

P - Preferred pharmacy

AMBULATORY SURGICAL CENTER

140

1591 Medical Drive, Pottstown Endoscopy Center Pottstown, PA 19464 (800) 394-4445 Anderson, James P., MD Ascher, Andrew S., MD Bailey, Philip D., DO Banov, David W., MD Berman, David B., MD Cercega, Mircea, MD Chakhbazov, Abdoulla A., MD Daidone, Dana E., DO Deratzou, Benjamin, MD Ekbatani, Ali Reza, DO Ferrara, Frank M., MD Forzley, Paul E., MD Garcia Munoz, Richard, MD Goldstein, Allan, MD Goldstein, Richard L., MD Haas, Allen B., MD Hemlick, John, MD Kalariya, Rupal S., MD Langevin, Paul B., MD Leftow, Stewart R., MD Lewis, Allan A., MD Lippman, Deborah S., MD Mahadeviah, Ann S., MD Maistrow, Marla G., MD Minarcik, Brian A., DO Morrow, Neil E., MD Sedlack, Jeanianne T., MD Shropshire, Diane M., MD Sirianni, Archie J., MD Springstead, James M., MD Thornton, Anthony M., MD Veloso, Patricia M., MD Weiss, Jonathan H., DO

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 625 Ridge Pike, Building B Conshohocken, PA 19428 (610) 834-9700 Bailey, Philip D., DO 1600 East High Street, Deratzou, Benjamin, MD Pottstown Memorial Garcia Munoz, Richard, Medical Center MD Pottstown, PA 19464 Morrow, Neil E., MD (215) 829-3867 O'Connor, Patrick, MD Anderson, James P., Sirianni, Archie J., MD MD Weiss, Jonathan H., DO Bailey, Philip D., DO Wells, Courtney M., MD Deratzou, Benjamin, MD Yazdipour, Mariam, MD Ekbatani, Ali Reza, DO Garcia Munoz, Richard, 625 Ridge Pike, Suite B MD Conshohocken, PA 19428 Haiken, Jeffrey A., MD Langevin, Paul B., MD (610) 834-9700 Anderson, James P., Minarcik, Brian A., DO MD O'Connor, Patrick, MD Weiss, Jonathan H., DO Ascher, Andrew S., MD Wells, Courtney M., MD Banov, David W., MD Yazdipour, Mariam, MD Berman, David B., MD Daidone, Dana E., DO 420 W. Linfield Trappe Deratzou, Benjamin, MD Road Ferrara, Frank M., MD Limerick, PA 19468 Forzley, Paul E., MD (610) 495-1620 Goldstein, Allan, MD Anderson, James P., Goldstein, Richard L., MD MD Bailey, Philip D., DO Haas, Allen B., MD Berman, David B., MD Hemlick, John, MD Cercega, Mircea, MD Lewis, Allan A., MD Deratzou, Benjamin, MD Lippman, Deborah S., Ekbatani, Ali Reza, DO MD Garcia Munoz, Richard, Maistrow, Marla G., MD MD Minarcik, Brian A., DO Leftow, Stewart R., MD Morrow, Neil E., MD Maistrow, Marla G., MD O'Connor, Patrick, MD Minarcik, Brian A., DO Shropshire, Diane M., O'Connor, Patrick, MD MD Weiss, Jonathan H., DO Weiss, Jonathan H., DO Wells, Courtney M., MD Yazdipour, Mariam, MD Wilson, Earl W., MD Zentner, Miriam L., MD Yazdipour, Mariam, MD SOUTHEAST PA PAIN MANAGEMENT LTD Wells, Courtney M., MD Wilson, Earl W., MD Yazdipour, Mariam, MD Young, Marie, MD Zentner, Miriam L., MD

P - Preferred pharmacy

002809377 2701 Blair Mill Rd, Suite 35 Willow Grove, PA 19090 (215) 576-2336 Le, Phong Q., DO

CARDIOVASCULAR DISEASE

HEART JJEFFERSON J INSTITUTE 002808695 401 City Avenue, Suite 525 721 Dresher Road, Suite Bala Cynwyd, PA 2500 19004 Horsham, PA 19044 (610) 667-5555 (215) 481-2000 Segal, Bernard L., MD Le, Phong Q., DO PENNSYLVANIA HEART AND AUDIOLOGIST VASCULAR GROUP CLARK AUDIOLOGY ARIA HEALTH AND HEARING AID 003396944 CENTER 261 Old York Road, 002821132 Suite 214 401 W Germantown Pk Jenkintown, PA 19046 East Norriton, PA (215) 885-4700 19403 Marinchak, Roger A., (484) 231-1340 MD Clark, Rachel, AUD PENNSYLVANIA MAIN LINE HEART AND AUDIOLOGY VASCULAR GROUP CONSULTANT TEMPLE HEALTH 002813038 002890539 505 Old York Road 1650 Huntingdon Pike, Jenkintown, PA 19046 Suite 350 Meadowbrook, PA (610) 667-3277 19046 Albright, Keith J., AUD (215) 885-4700 NORTHLAND Bacik, Bradley M., DO HEARING CENTERS Hess, Steven G., MD INC Marinchak, Roger A., 002821911 MD 1107 Bethlehem Pike, Pfeffer, Scott H., DO Suite 211 Uricchio, Francis J., MD Flourtown, PA 19031 Wint, Roger M., MD (215) 836-0322 Staller, Mindy B., MA 261 Old York Rd, Suite 214 500 Old York Road, Jenkintown, PA 19046 Suite 104 (215) 885-4700 Jenkintown, PA 19046 Bacik, Bradley M., DO (215) 886-2268 Brandimarto, Anthony, Staller, Mindy B., MA DO Hess, Steven G., MD

141

Marinchak, Roger A., MD Pfeffer, Scott H., DO Richerts, Jr, Joseph L., MD Uricchio, Francis J., MD Wint, Roger M., MD CERTIFIED REGISTERED NURSE PRACTITIONER MINUTE CLINIC DIAGNOSTIC OF PENNSYLVANIA LLC 002819482 312 South Henderson Road King of Prussia, PA 19406 (866) 389-2727 Peleckis, Amy J., CRNP 55 Park Avenue Collegeville, PA 19426 (856) 389-2727 Peleckis, Amy J., CRNP 835 Old York Road Jenkintown, PA 19046 (866) 389-2727 Murray, Louise G., CRNP Peleckis, Amy J., CRNP 840 Valley Forge Road Lansdale, PA 19446 (866) 389-2727 Peleckis, Amy J., CRNP TAKE CARE HEALTH 002820045 710 N Wales Road North Wales, PA 19454 (866) 825-3227 Feggans Haynes, Leslie R., MSN

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. CHIROPRACTOR BACSKAI RONALD 002812283 109 Second Avenue Collegeville, PA 19426 (610) 489-8800 Bacskai, Ronald J., DC

301 City Avenue, Suite 230 Bala Cynwyd, PA 19004 (610) 949-9577 Diamond, Andrew M., DC

599 Arcola Road Collegeville, PA 19426 (610) 495-6500 Katchman, Stacy D., MD Scola, Filomena M., DO

342 W Germantown Pike, Suite 200 Norristown, PA 19403 (610) 279-1500 Kane, Patrick A., DO

FAMILY PRACTICE ASSOCIATES OF REHAB AND PAIN UPPER DUBLIN CENTER 002820816 EMPIRE HEALTHCARE 002817000 MOTION MEDICAL INC 1244 Fort Washington SYSTEM PC 3118 Sumneytown Pike 002803400 Ave, Ste E 002815985 Sumneytown, PA 18084 709 Spring Mill Avenue Fort Washington, PA 928 Township Line 19034 (215) 234-7342 Conshohocken, PA Road (215) 646-1686 19428 Elkins Park, PA 19027 Snyder, John J., DC Mulligan, Margaret A., (610) 943-2348 (215) 782-3891 SPINAL CARE AND MD Gonzon, Michael D., DC JOINT REHAB PC FAMILY PRACTICE Marcus, Matthew B., DC 003163855 KING OF PRUSSIA BROAD AXE FAMILY FAMILY MEDICINE Segal, Larry S., DC 109 2nd Ave MEDICINE 002809262 Collegeville, PA 19426 IINLINE I 002808320 700 S. Henderson Road, (610) 489-8800 CHIROPRACTIC 721 Skippack Pike, Suite 306 REHAB AND Zarzeka, David A., DC Suite 3 King of Prussia, PA MASSAGE Blue Bell, PA 19422 19406 COLON & RECTAL 002808081 (215) 793-0600 (610) 265-0726 SURGERY 109 Second Avenue Kane, Patrick A., DO Collegeville, PA 19426 MARKS COLORECTAL Kane, Patrick A., DO (610) 489-8800 CARESTAT URGENT PATIENT FIRST SURGICAL CARE CENTER ABINGTON Bacskai, Ronald J., DC ASSOCIATES 002808640 002822607 002996179 A STILLEY DC JJAMES J 100 East Lancaster 1468 Old York Road 938 Old York Road 002804704 Avenue, Suite 375 Abington, PA 19001 Abington, PA 19001 901 Germantown Pike Wynnewood, PA 19096 (610) 482-4949 (267) 620-0237 Plymouth Meeting, PA (610) 645-9093 Jensen, Rose C., MD Eckhardt, Linda D., MD 19462 Frenkel, Joseph L., MD Jensen, Rose C., MD (610) 279-1915 CONSHOHOCKEN Kachhadiya, Govindbhai FAMILY PRACTICE Stilley, James A., DC DERMATOLOGY P., MD 002810502 NEW HANOVER Otero, Victor M., MD DERMATOLOGY 612 Fayette Street, 2nd CHIROPRACTIC PC SPECIALISTS PC Weinstein, Richard J., Floor 002818207 MD 002807762 Conshohocken, PA 1810 Swamp Pike, Suite 410 West Linfield Zlotnick, Jeffrey A., MD 19428 100 Trappe, Suite 240 (610) 828-8500 PATIENT FIRST Gilbertsville, PA 19525 Limerick, PA 19468 Woodbury, Deborah, MEDICAL GROUP (610) 327-3363 (610) 495-6500 MD 002822976 Slomkowski, Joshua M., Katchman, Stacy D., MD EINSTEIN PHYSICIAN 713 Bethlehem Pike DC Scola, Filomena M., DO Montgomeryville, PA NORRITON PRESTIGE 18936 002804624 REHABILITATION (264) 695-3944 002817890 P - Preferred pharmacy

DURABLE MEDICAL EQUIPMENT SUPPLIER

142

Eckhardt, Linda D., MD Kachhadiya, Govindbhai P., MD Otero, Victor M., MD Weinstein, Richard J., MD 002996179 400 East Germantown Pike East Norriton, PA 19403 (610) 994-0063 Eckhardt, Linda D., MD Jensen, Rose C., MD Kachhadiya, Govindbhai P., MD Weinstein, Richard J., MD Zlotnick, Jeffrey A., MD 713 Bethlehem Pike Montgomeryville, PA 18936 (267) 695-3944 Jensen, Rose C., MD Weinstein, Richard J., MD Zlotnick, Jeffrey A., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 003038983 119 Shoemaker Road Pottstown, PA 19464 (610) 427-7919 Otero, Victor M., MD Weinstein, Richard J., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC 003039000 400 East Germantown Pike East Norriton, PA 19403 (610) 994-0063

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. Otero, Victor M., MD Weinstein, Richard J., MD PENNCARE ROYERSFORD MEDICAL ASSOCIATES 002810892 420 West Linfield Trappe Road, Suite 1000 Limerick, PA 19468 (610) 495-2650 Stitt, Susan E., MD PLYMOUTH MEETING FAMILY MEDICINE ASSOCIATES 002804631 4070 Butler Pk, Ste 200 Plymouth Meeting, PA 19462 (610) 825-5741 Kane, Patrick A., DO GASTROENTEROLO GY AMH MEDICAL STAFF SERVICE FUND 002804649 1200 Old York Road, Department of Medicine Abington, PA 19001 (215) 481-2000 Shaw, Ellen W., MD GASTROINTESTINAL ASSOCIATES INC 002804557 1095 Rydal Road, Suite 100 Rydal Executive Plaza Rydal, PA 19046 (267) 620-1100 Shaw, Ellen W., MD

GENERAL PRACTICE CHESTNUT HILL FAMILY CARE ASSOCIATES 002818001 801 Ridge Ave Lafayette Hill, PA 19444 (215) 646-6743 Shomer, Gerald L., DO 002818002 110 Wissahickon Ave Flourtown, PA 19031 (215) 646-6743 Current Patients Only Shomer, Gerald L., DO 002996075 500 Willow Ave Ambler, PA 19002 (215) 646-6743 Shomer, Gerald L., DO STOWE MEDICAL GROUP 002804492 555 Glassgow Street Stowe, PA 19464 (484) 945-0770 Geissen, Cornelius M., DO GENERAL SURGERY MAIN LINE SURGEONS 002819457 100 Lancaster Avenue, 275 Lankenau Medical Science Build Wynnewood, PA 19096 (610) 642-1908 Bigatel, David A., MD

GENERAL/ACUTE CARE HOSPITAL EINSTEIN MEDICAL CENTER MONTGOMERY 002803668 559 West Germantown Pike East Norriton, PA 19403 (484) 622-1000 HOME HEALTH CARE AGENCY

PROFESSIONAL HOME CARE SERVICE P 911 N Charlotte St Pottstown, PA 19464 (610) 323-8750 HOSPICE, INPATIENT

BAYADA HOME HEALTH CARE, INC. 003014666 319 West County Line Road, Suite 1 Hatboro, PA 19040 (800) 305-3000

LIFE CHOICE HOSPICE 002985251 200 Dryden Road, Suite 3300 Dresher, PA 19025 (800) 557-7570

PERSONAL TOUCH HOME CARE OF PA 002803180 19 Bala Avenue Bala Cynwyd, PA 19004 (610) 667-8060

INFERTILITY

HOME INFUSION PHARMACIES ABINGTON MEMORIAL HOSPITAL HOME INFUSION PHARMACY P 2500 Maryland Rd, Ste G30 Willow Grove, PA 19090 (610) 481-6900 HOME SOLUTIONS P 2 Walnut Grove Drive, Ste 140 Horsham, PA 19044 (215) 849-5500 OPTION CARE P

P - Preferred pharmacy

4000 Chemical Rd Ste 100 Plymouth Meeting, PA 19462 (610) 941-0129

143

COOPER INSTITUTE FOR REPRO HOR 002817009 7447 Old York Road Elkins Park, PA 19027 (215) 635-4400 Check, Jerome H., MD INTERNAL MEDICINE BROOKSIDE FAMILY PRACTICE AND PEDIATRICS 002804496 1555 Medical Drive Pottstown, PA 19464 (610) 326-7820 Heisman Rifkin, Nicole J., DO CHESTNUT HILL TEMPLE CARDIOLOG 002822469 1722 Bethlehem Pike Flourtown, PA 19031 (215) 233-9700

Gangireddy, Chethan R., MD GEPS PHYSICIAN GROUP OF PA PC 002984211 1113 North Easton Road, Garden Spring Center Willow Grove, PA 19090 (218) 830-5400 Santiago, Waleska, MD LNNMAIN LINE HEALTHCARE 002811046 100 Lancaster Avenue, Pew Building, 3 Southwest Wynnewood, PA 19096 (484) 476-6421 Current Patients Only Marrero, Dana, MD MAIN LINE HEALTHCARE 002811045 100 East Lancaster Avenue, 3 Southwest Pew Building Wynnewood, PA 19096 (610) 645-6421 Hutchinson, Rebecca N., MD 100 East Lancaster Avenue, Area B15 Wynnewood, PA 19096 (484) 476-2658 Hutchinson, Rebecca N., MD Marrero, Dana, MD 100 East Lancaster Avenue, 4 Pavilion, Suite 4303 Wynnewood, PA 19096 (484) 476-6421 Flaim, Anthony A., DO Valtsis, Vladislav, MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 100 Lancaster Avenue, Clinic D Wynnewood, PA 19096 (484) 476-2658 Hutchinson, Rebecca N., MD MAIN LINE HEALTHCARE KELLY CARDIOLOGY GROUP 002820655 100 E Lancaster Ave, 356 Lankenau Medical Office Bldg E Wynnewood, PA 19096 (610) 896-4646 Garton, Alex B., MD MAIN LINE MEDICAL GROUP 002804646 857 Montgomery Avenue Narberth, PA 19072 (610) 664-2951 Alexander, Alison J., MD MAINLINE HEALTH ASSOCIATES 002982924 2 Bala Plaza, Suite Il 50 Bala Cynwyd, PA 19004 (610) 667-1115 Kidwai, Mohammed S., MD MERCY INTERNAL MEDICINE ASSOCIATES 002814895 2705 Dekalb Pike, Suite 309 Norristown, PA 19401 (610) 275-0200 Current Patients Only Magro, Jr, Michael A., DO

002806556 300 East Lancaster Ave, Wynnewood House Ste 304 Wynnewood, PA 19096 (610) 642-2002 Deleon, Joseph A., MD PATIENT FIRST MEDICAL GROUP 002822976 713 Bethlehem Pike Montgomeryville, PA 18936 (264) 695-3944 Ahsan, Shagufta, MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP 003038983 119 Shoemaker Road Pottstown, PA 19464 (610) 427-7919 Ahsan, Shagufta, MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC 003039000 400 East Germantown Pike East Norriton, PA 19403 (610) 994-0063 Ahsan, Shagufta, MD PENNSYLVANIA HEART AND VASCULAR GROUP TEMPLE HEALTH 002890539 261 Old York Rd, Suite 214 Jenkintown, PA 19046 (215) 885-4700 Khan, Abigail D., MD

MLHC PRIMARY CARE STOWE MEDICAL IN WYNNEWOOD GROUP P - Preferred pharmacy

002804492 555 Glassgow Street Stowe, PA 19464 (484) 945-0770 Heisman Rifkin, Nicole J., DO TEMPLE CARDIOLOGY ASSOC 002805053 515 Pennsylvania Avenue Fort Washington, PA 19034 (215) 707-8484 Gangireddy, Chethan R., MD LACTATION CONSULTANT ERICA DIEHL IBCLC 003404471 24 Wensel Circle Schwenksville, PA 19473 (215) 275-3603 Diehl, Erica, RLC LICENSED CLINICAL SOCIAL WORKER BLANCHE, FRANK B MSW 002987099 491 Allen Dale Rd, Ste 304 B King of Prussia, PA 19406 (610) 337-2291 Blanche, Frank B., MSW CHILD AND FMLY FOCUS INC 002989113 2935 Byberry Rd, Ste 108 Hatboro, PA 19040 (215) 957-9771 Cooper, Krystiane M., MSW

144

FMLY SVCS OF MONTGOMERY CNTY 002988899 1715 Sumneytown Pik # 203A Kulpsville, PA 19443 (610) 630-2111 Patel, Shushma V., MSW

King Butler, Dana D., LCSW

FONASH, JOSEPH A MSW 002988581 55 N York Rd Ste 300 Hatboro, PA 19040 (215) 675-8300 Fonash, Joseph A., MSW

PSYCY AND CNSLNG ASSOCS PC 002988912 595 Bethlehem Pike, Ste 201 Montgomeryville, PA 18936 (215) 822-5553 Aiello, Sylvia M., MSW

N JJEREMIAH J GOLDBERG 003392066 500 Office Center Dr Fort Washington, PA 19034 (267) 225-3093 Goldberg, Jeremiah N., MSW SAWYER JJETTY J 002986435 110 Cascades Ct Blue Bell, PA 19422 (973) 945-1002 Sawyer, Jetty, MSW LEONIS MARIE PERONELCSW LLC 003392717 1717 Swede Rd Blue Bell, PA 19422 (610) 639-1158 Perone, Leonis M., MSW MHMO INC 002989125 523 Plymouth Rd Plymouth Meeting, PA 19462 (610) 825-9400

523 Plymouth Rd Ste 215 Plymouth Meeting, PA 19462 (610) 825-9400 King Butler, Dana D., LCSW

SRI PSYCHL SVCS PC 002989181 93 Old York Rd Ste 203 Jenkintown, PA 19046 (215) 885-3337 Dougherty, Christina M., MSW YASKIN, JOSEPH C MSW 003386803 4 East Germantown Pike, Suite 204 Plymouth Meeting, PA 19462 (484) 278-1755 Yaskin, Joseph C., MSW LICENSED PROFESSIONAL COUNSELOR CTRL BHVRL HLTH 002989115 1201 Dekalb Street Norristown, PA 19401 (610) 279-9270 Moyer, Daniel R., MA

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH ASSOCS OF SPRINGFIELD PSYCHL 002989038 2321 N Broad St Colmar, PA 18915 (610) 544-2110 Gratz, Sharon A., MS CTRL BHVRL HLTH 002989115 1201 Dekalb Street Norristown, PA 19401 (610) 279-9270 Benson, Sara M., MA Davis, Minna G., MA CUMMINGS AND TANNENBAUM ASSOCS 002989160 915 Montgomery Ave, Ste 210 Narberth, PA 19072 (610) 667-9830 Markowitz, Alan B., MS FMLY SVCS OF MONTGOMERY CNTY 002988899 3125 Ridge Pike Eagleville, PA 19403 (610) 630-2111 Dimarco, Barbara J., MED MHMO INC 002989125 523 Plymouth Rd Plymouth Meeting, PA 19462 (610) 825-9400 Osullivan, Shannon, MA

523 Plymouth Rd Ste 215 Plymouth Meeting, PA 19462 (610) 825-9400 Osullivan, Shannon, MA Snyder, Joshua E., MA NHS MONTGOMERY CNTY 002989301 400 N Broad St Lansdale, PA 19446 (215) 362-7955 Michaels, Laura C., MA

WHITEMARSH BHVRL HLTHCR 002988992 600 Germantown Pike Lafayette Hill, PA 19444 (610) 825-4450 Fay, Jeffrey D., BSW Finizio, Maria T., MS Guidice, Thomas M., MA Webster, Jessica L., MS MAXILLO-FACIAL SURGERY

MORICONI STEVEN 002804699 PSYCARE SOLUTIONS 609 Harper Avenue INC Jenkintown, PA 19046 002989123 (215) 884-8263 8302 Old York Rd, Suite Moriconi, Steven E., B12 DMD Elkins Park, PA 19027 (215) 885-9700 NEONATOLOGY Brendley, Beau C., MS EINSTEIN PRACTICE Hayes, Molly S., MS PLAN PSYCY AND CNSLNG 002805087 ASSOCS PC 559 West Germantown 002988912 Pike, Suite 2242 2091 E High St East Norriton, PA Pottstown, PA 19464 19403 (610) 970-5234 (215) 456-6695 Hennessey, Michelle C., Behme, Renee M., MD MS MHMC PEDIATRICS Shabot, Cari L., MA 002816815 555 Second Ave, Ste D 1301 Powell Street 300 Norristown, PA 19401 Collegeville, PA 19426 (610) 270-2771 (610) 970-5234 Sangam, Subhasri L., Hennessey, Michelle C., MD MS NEWBORN SPECIAL 595 Bethlehem Pike, Ste CARE ASSOCIATES 201 PC Montgomeryville, PA 002813815 18936 1200 Old York Road (215) 822-5553 Abington, PA 19001 Hennessey, Michelle C., (215) 481-4174 MS Schrager, Ralph M., MD

P - Preferred pharmacy

145

NEPHROLOGY

OB-GYNECOLOGY

EINSTEIN PRACTICE PLAN 002805437 60 E Township Line Rd Elkins Park, PA 19027 (215) 663-6000 Kung, Shiang Cheng, MD

ABINGTON OBGYN CLINIC 002812224 1200 Old York Road, Ground Flr Toll Bldg Abington, PA 19001 (215) 481-6784 O'Malley, Jr, Thomas F., MD Polin, Joel I., MD

NEUROLOGY UNIV OF PENNSYLVANIA PULMONARY 002807839 681 Shannondell Boulvebard, Suite 127 Audubon, PA 19403 (215) 662-7975 Scharf, Matthew T., MD NUCLEAR MEDICINE PENN MEDICINE RADILOGY LIMERICK 002812226 420 W Linfield Trappe Road Royersford, PA 19468 (610) 495-2370 Overbeck, John R., MD PENN RADIOLOGY PENN MEDICINE KING OF PRUSSIA 002812226 491 Allendale Road, Suite 104 King of Prussia, PA 19406 (610) 265-6510 Overbeck, John R., MD

GRAND VIEW MED PRACTICES OBGYN 002808665 101 West Seventh Street, Suite 2A Pennsburg, PA 18073 (215) 541-1780 Adibi, Fereydoon, MD POLIN JOEL 002804739 1200 York Road, Suite 109 M.O.B Abington, PA 19001 (215) 572-6222 Polin, Joel I., MD TEMPLE OBGYN ASSOCIATES 002804868 515 Pennsylvania Ave Fort Washington, PA 19034 (215) 641-0700 Brown, Raymond D., MD OCCUPATIONAL THERAPIST COLLAGE 002815800 712 Penllyn Pike Spring House, PA 19477 (610) 356-7355 Pieninck, Mark L., OTR

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. THERAPLAY INC 002816422 451 West Ridge Pike, Limerick Center Ste 479 Limerick, PA 19468 (484) 369-8935 Kelius, Alyssa M., OTR 555 Business Center Drive, Suite 100 Horsham, PA 19044 (215) 293-8882 Durkin, Kaitin M., OTR Fargo, Jennifer, OTR Kelius, Alyssa M., OTR Morris, Martha E., OTR Todd, Kelly A., OTR

1600 E High St Pottstown, PA 19464 (610) 353-1662 Swaab, Ronald L., MD OPHTHALMOLOGY AMIRAM SHAPIRO MD 002804902 1115 Rose Glen Road Gladwyne, PA 19035 (610) 896-8870 Shapiro, Amiram, MD

MAINLINE EYE SPECIALISTS 002815927 633 West Germantown Pike, Suite 100 ONCOLOGY Plymouth Meeting, PA MEDICAL 19462 JJEFFERSON J ONCOLOGY (610) 397-1937 002808832 Roth, Richard E., DO 1330 Powell Street, OPTOMETRIST Suite 308 Norristown, PA 19401 COMPLETE FAMILY (610) 277-5186 EYECARE LTD Tropea, Joseph N., DO 002819449 1806 Swamp Pike, Suite 2701 Dekalb Pike 400 Norristown, PA 19401 Gilbertsville, PA 19525 (610) 278-7967 (610) 323-4445 Tropea, Joseph N., DO Patel, Vishal R., OD POTTSTOWN OPHTHALMOLOGY MEDICAL PHYSICIANS AND SPECIALISTS SURGEONS HEMATOLOGY 002814734 ONCOLOGY 1085 South Broad 002812443 Street, Building F 1591 Medical Drive Lansdale, PA 19446 Pottstown, PA 19464 (215) 361-1230 (610) 326-8005 Arteaga, Fernando A., Swaab, Ronald L., MD OD POTTSTOWN 1179 Dekalb Pk, 2nd Fl ONCOLOGY Blue Bell, PA 19422 ASSOCIATES (610) 272-1211 002816048 Arteaga, Fernando A., OD P - Preferred pharmacy

1245 Highland Avenue, Suite 503 Abington, PA 19001 (215) 886-0330 Arteaga, Fernando A., OD 303 Horsham Rd Horsham, PA 19044 (215) 672-4300 Arteaga, Fernando A., OD 331 N York Rd Hatboro, PA 19040 (215) 672-4300 Arteaga, Fernando A., OD 753 Main St, Ste D Trappe, PA 19426 (610) 489-7440 Arteaga, Fernando A., OD 8200 Flourtown Rd, Ste 15 Wyndmoor, PA 19038 (215) 836-2500 Arteaga, Fernando A., OD 909 Sumneytown Pike, Ste 201 Spring House, PA 19477 (215) 542-1522 Arteaga, Fernando A., OD TRAPPE FAMILY EYECARE 002810970 115 W Main Street, Suite A Trappe, PA 19426 (610) 831-8060 Fuchs, Erin, OD

ORTHOPEDIC SURGERY CHILDRENS SURGICAL ASSOCIATES LTD 002809721 210 Mall Boulevard, The General Lafayette Building King of Prussia, PA 19406 (610) 337-3232 Drummond, Denis S., MD Horstmann, Helen M., MD EINSTEIN PRACTICE PLAN 002811311 60 East Township Line Rd, Ground Flr Elkins Park, PA 19027 (215) 663-6800 Liebenberg, Robert E., MD Williams, John T., MD LEFKOE ROY 002804829 301 E City Ave, Ste 235 Bala Cynwyd, PA 19004 (610) 667-4403 Lefkoe, Roy T., MD ROTHMAN RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II PC 003193938 400 Enterprise Drive, Third Floor Limerick, PA 19468 (484) 932-5022 Seigerman, Daniel A., MD ROY T LEFKOE MD PC 002818339

146

301 E City Ave, Ste 235 Bala Cynwyd, PA 19004 (610) 667-4403 Lefkoe, Roy T., MD TEMPLE ORTHOPEDICS AND SPORTS MEDICINE 002804835 220 Commerce Street Fort Washington, PA 19034 (215) 641-0700 Eremus, Joseph L., MD 414 Commerce Drive Fort Washington, PA 19034 (215) 641-0700 Eremus, Joseph L., MD 515 Pennsylvania Ave Fort Washington, PA 19034 (215) 641-0700 Eremus, Joseph L., MD ORTHOTICS AND PROSTHETICS FITTER ABLE MEDICAL EQUIPMENT COMPANY 002802670 21 West Fornance Street Norristown, PA 19401 (610) 277-3939 FAITH AND HOPE BOUTIQUE LLC 002803394 1915 Guernsey Avenue Abington, PA 19001 (215) 885-1143

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 1 Belmont Avenue, Suite 416 Bala Cynwyd, PA ABINGTON PEDIATRIC 19004 OTOLARYNGOLOLOG (610) 667-4080 Y Kirschner, Ronald A., 002821240 DO 1077 Rydal Road PHYSICAL MEDICINE Rydal, PA 19046 AND (215) 885-1398 REHABILITATION Solomon, Donald H., OTORHINOLARYNG OLOGY (ENT)

MD

IINFORMED I DIAGNOSTICS INC DANIEL A NESI MD 002804799 002803881 2303 North Broad Street 2600 Philmont Avenue, Suite 118 Colmar, PA 18915 Huntingdon Valley, PA (215) 997-9211 19006 Nesi, Daniel A., MD (215) 947-5508 DANIEL A NESI MD Bhumi, Srinivas A., MD ASSOCIATES MOSS REHAB 002811966 PHYSICAL MEDICINE 2303 North Broad Street ASSOCIATES Colmar, PA 18915 002805226 (215) 997-9211 60 E Township Line Rd, Nesi, Daniel A., MD Einstein Practice Plan EAR NOSE THROAT FACIAL PLASTIC 003012518 723 Fitzwatertown Rd Willow Grove, PA 19090 (215) 659-8808 Cooper, Jeffrey, MD OTOLARYNGOLOGY PLASTIC SURGERY ASSOCIATES 002804482 2100 North Broad Street, Suite 102 Lansdale, PA 19446 (215) 368-5290 Buckwalter, Jeffrey A., MD

Elkins Park, PA 19027 (215) 663-6600 Taylor, Lanvin F., DO 60 Township Line Road, Ste 220 Elkins Park, PA 19027 (215) 663-6677 Pelensky, Jeanne M., MD PHILADELPHIA REHAB MEDC 002815078 213 Hazeltine Circle Blue Bell, PA 19422 (215) 527-7907 Bhumi, Srinivas A., MD

SUBURBAN ENT GROUP LTD 002814181 P - Preferred pharmacy

PHYSICAL THERAPIST EDWARD ORUCH 002807184 1045 First Avenue King of Prussia, PA 19406 (610) 265-6955 B ALLEN JJOEL J 002806321 1603 East High Street, Building C Pottstown, PA 19464 (610) 970-4700 PERFORMANCE SPINE AND SPORTS PHYSICIANS PC 002819539 1603 East High St, Ste A Pottstown, PA 19464 (610) 970-4700 342 W Germantown Pike East Norriton, PA 19403 (610) 275-7013 555 2nd Ave, Suite G101 Collegeville, PA 19426 (610) 935-0719 PSYCHIATRIC SOCIAL WORKER PHILMONT GUIDNC CTR 002989110 727 Welsh Rd Ste 202 Huntingdon Valley, PA 19006 (215) 914-2119 Katz, Alisha S., LCSW YONG SHIK SHIN AND ASSOCS LLC 002989218

147

1630 East High Street, Building 4 Pottstown, PA 19464 (610) 327-1631 Soderberg, Erica D., MSW PSYCHIATRY CORBMAN, GENE R MD 003408656 8302 Old York Rd Ste B14 Elkins Park, PA 19027 (215) 572-7212 Corbman, Gene R., MD CTRL BHVRL HLTH 002989115 1201 Dekalb Street Norristown, PA 19401 (610) 279-9270 Dadvand, Mahmood, MD Ogbonna, Kelechi O., MBBC RON LEWIS ASSOCS 002989002 1811 Bethlehem Pike, Suite 214 Flourtown, PA 19031 (215) 643-0200 Mann, Stephan C., MD SHARE, ISAIAH A MD 002988762 100 E Lancaster Ave, Ste 441 Lankenau Med Bldg Wynnewood, PA 19096 (610) 642-8555 Share, Isaiah A., MD

PSYCHOLOGIST BERNSTEIN, ARTHUR J PHD 003392068 25 Washington Ln Ste 6A2 Wyncote, PA 19095 (215) 817-4406 Bernstein, Arthur J., PHD DR SEWARD LLC 003404414 505 York Rd Ste 110 Jenkintown, PA 19046 (215) 630-4958 Seward, Janet M., PHD HOLY REDEEMER CNSLNG CTR 002989089 521 Moredon Rd Huntingdon Valley, PA 19006 (215) 914-4190 Sergi, Frank, PHD PHILMONT GUIDNC CTR 002989110 727 Welsh Rd Ste 202 Huntingdon Valley, PA 19006 (215) 914-2119 Goldblatt, Michael, PHD PSYCY AND CNSLNG ASSOCS PC 002988912 2091 E High St Pottstown, PA 19464 (610) 970-5234 Gaines, I, Williams M., PHD RAMESH B ELURI MD PC 002989292

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 404 E High St Pottstown, PA 19464 (484) 973-6661 Davis, Kathryn B., PSYD VISTA MEDCL SVCS 002989064 160 Rock Hill Rd, Fl 1 Bala Cynwyd, PA 19004 (610) 667-5460 Genetta, Ann H., PSYD

PULMONARY AND ALLERGY ASSPC PC 002809539 601 E Main Street, Suite 1 Lansdale, PA 19446 (215) 362-6565 Sawicki, Rafal W., MD RADIATION ONCOLOGY

RADIOLOGY RADADVANTAGE A PROFESSIONAL CORPORATION 003322987 1648 Huntington Pike Meadowbrook, PA 19046 (215) 938-3555

RITTENHOUSE SQUARE IMAGING UROLOGIC WHITEMARSH BHVRL CONSULTANTS OF 002808662 HLTHCR SOUTHEASTERN PA 1561 Medical Dr, Ste A 002988992 002822091 Pottstown, PA 19464 600 Germantown Pike 1 Presidential Boulevard (610) 970-0290 Lafayette Hill, PA 19444 Bala Cynwyd, PA 8 East Mill Road (610) 825-4450 19004 Flourtown, PA 19031 Beaumont, Danielle, (610) 632-4100 (215) 836-9010 PSYD Mehta, Nalini, MD VIRTUAL RADIOLOGIC 600 Germantown Pike, 1 Presidential PROFESSIONALS Ste D Boulevard, Suite 100 003362328 Lafayette Hill, PA 19444 Bala Cynwyd, PA 1600 East High Street (610) 825-4450 19004 Pottstown, PA 19464 Lacombe, Joseph B., (610) 667-3020 PHD (952) 595-1301 Mehta, Nalini, MD PULMONARY DISEASES CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC 002822615 2701 Dekalb Pike Norristown, PA 19401 (866) 344-0543 Cowen, Jay S., MD Italiano, Frank T., MD PULMONARY ALLERGY AND SLEEP MED 003145858 601 East Main Street, Suite 1 Lansdale, PA 19446 (215) 257-8391 Sawicki, Rafal W., MD

125 Medical Campus Dr Lansdale, PA 19446 (215) 361-2304 Mehta, Nalini, MD 2705 Dekalb Pike, Suite 302 Norristown, PA 19401 (610) 277-0313 Mehta, Nalini, MD UROLOGIC CONSULTANTS OF SOUTHEASTERN PA LLP 002818075 1 Presidential Blvd, Suite 100 Bala Cynwyd, PA 19004 (610) 667-3020 Mehta, Nalini, MD

P - Preferred pharmacy

REGISTERED DIETICIAN ACHIEVING BETTER CONTROL INC 003005217 714 North Bethlehem Pike, Suite 300 Lower Gwynedd, PA 19002 (215) 283-2833 Agamy, Amanda M., RD Carney, Trish A., RD McMenamin, Mary M., RD Micahnik, Helene H., RD Richardson, Kianna T., RD Roman, Jolanta E., RD Solt, Laura A., RD

148

PRO LIFESTYLE NUTRITION 002868071 405 Lodges Lane Elkins Park, PA 19027 (215) 264-2574 Micahnik, Helene H., RD WELLNESS NUTRITION AND EDUCATION 002821194 692 W Schuylkill Rd Pottstown, PA 19465 (610) 644-5870 Morgan, Caitlin M., RD RETAIL PHARMACIES APOTHECARY OF HARLEYSVILLE P 345 Main St Ste 7 Harleysville, PA 19438 (267) 932-8157 HOME SOLUTIONS P 2 Walnut Grove Drive, Ste 140 Horsham, PA 19044 (215) 849-5500 OPTION CARE P 4000 Chemical Rd Ste 100 Plymouth Meeting, PA 19462 (610) 941-0129 PROFESSIONAL HOME CARE SERVICE P 911 N Charlotte St Pottstown, PA 19464 (610) 323-8750

ROUTINE DENTAL A PLUS FAMILY DENTAL CARE PC 001431004 456 School Ln, Ste 104 Harleysville, PA 19438 (215) 513-7172 Janele L Graziano, DMD Jikyung Park, DDS Kunal Parikh, DMD Lyusya R. Badishyan, DMD Maral I. Seroon, DMD Neha P. Khandhadiya, DDS Ramesh M. Shah, DDS AMERICAN FAMILY DENTISTRY PC 001566614 301 E City Ave, Ste G5 Bala Cynwyd, PA 19004 (610) 660-9510 Hal L. Cohen, DDS Janele L Graziano, DMD Jikyung Park, DDS Parrissa Yazdanpanah DDS Ramesh M. Shah, DDS Raymond Abrams, DMD ROUTINE VISION DR. DEBORAH HUSSON 755 Bethlehem Pk, Ste 2A Montgomeryville, PA 18936 (215) 361-6904 Posner, Rebecca, OD DR. SUKUMAR PANDIT 1150 1st Ave, Ste 805 King of Prussia, PA 19406 (484) 681-2249

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. Ritter, Emilie P., OD FOR EYES 1211 W Lancaster Ave Rosemont, PA 19010 (610) 525-2580 Posner, Rebecca, OD VISIONWORKS 167 Montgomery Mall North Wales, PA 19454 (215) 361-8549 Consiglio, Cindy L., OD 1810 Ridge Pike, Ste 100 Royersford, PA 19468 (610) 454-0546 Consiglio, Cindy L., OD SKILLED NURSING FACILITY LUTHER WOODS CONVALESCENT CENT 002802954 313 County Line Road Hatboro, PA 19040 (215) 675-5005 SLEEP DISORDER DIAGNOSTIC CENTER EINSTEIN MEDICAL CENTER MONTGOMERY 002803668 559 West Germantown Pike East Norriton, PA 19403 (484) 622-1000

SPORTS MEDICINE CHILDRENS SURGICAL ASSOCIATES LTD 002809721 210 Mall Boulevard, The General Lafayette Building King of Prussia, PA 19406 (610) 337-3232 Goodman, Arlene M., MD UROLOGY ACADEMIC UROLOGY OF PA LLC 002822901 125 Medical Campus Drive, Suite 305 Lansdale, PA 19446 (215) 361-2304 Kremer, Stuart M., DO 20 Sunnybrook Road Pottstown, PA 19464 (610) 323-5550 Rose, Robert M., MD CHILDRENS SURGICAL ASSOCIATES LTD 002809715 210 Mall Blvd King of Prussia, PA 19406 (610) 337-3232 Snyder, III, Howard M., MD UROLOGIC CONSULTANTS OF SOUTHEASTERN PA LLP 002818075

P - Preferred pharmacy

1 Presidential Blvd, Suite 100 Bala Cynwyd, PA 19004 (610) 667-3020 Weissman, Joel M., MD

X-RAY/IMAGING CENTER

EINSTEIN MEDICAL CENTER MONTGOMERY 002803668 125 Medical Campus Dr, 559 West Germantown Medical Arts Bldg Pike Lansdale, PA 19446 East Norriton, PA (215) 361-2304 19403 Kremer, Stuart M., DO (484) 622-1000 325 W Germantown Pike, Ste 100 East Norriton, PA 19403 (610) 272-1881 Kremer, Stuart M., DO VASCULAR SURGERY DELAWARE VALLEY NEPHROLOGY AND HYPERTENSION ASSOCIATES PC 003172845 125 Medical Campus Drive, Suite 300 Lansdale, PA 19446 (215) 362-7125 Jen, James, MD

NORTHAMPTON COUNTY ALLERGY/IMMUNOL OGY SPECIALTY PHYSICIAN ASSOCIATES LLC 003384058 3445 High Point Boulevard, Suite 400 Bethlehem, PA 18017 (610) 866-5555 Kearney, Shannon, DO ANESTHESIOLOGY

COORDINATED HEALTH HOSPITAL OF BETHLEHEM 003293102 HYPERTENSION 2310 Highland Avenue NEPHROLOGY ASSOC Bethlehem, PA 18020 003153518 (610) 861-8080 250 Yorktown Plaza Gonzalez, Rene M., MD Elkins Park, PA 19027 ST LUKES (215) 887-1122 OBSTERTRICS AND Jen, James, MD GYNECOLOGY ASSOCIATES 003293102 750 Ostrum Street, Suite 203 Bethlehem, PA 18015 (610) 691-3603 Gonzalez, Rene M., MD

149

CHIROPRACTOR ALVES AMY 002819684 2308 Forest Street Easton, PA 18042 (315) 945-7779 Alves, Amy L., DC GILROY FAMILY CHIROPRACTIC CEN 002819414 364 S Walnut St Bath, PA 18014 (610) 837-1041 Stoos, Melissa K., DC FAMILY PRACTICE NORTHAMPTON URGENT CARE 002822357 951 Male Road Wind Gap, PA 18091 (610) 654-5454 Eckhardt, Linda D., MD PATIENT FIRST MEDICAL GROUP 003027024 2450 Butler Street Easton, PA 18042 (610) 991-3136 Otero, Victor M., MD Weinstein, Richard J., MD 2468 Butler Street Easton, PA 18042 (610) 991-3136 Weinstein, Richard J., MD Yoon, David A., MD PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC 003038260

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 2310 Schoenersville Road Bethlehem, PA 18017 (484) 403-7560 Otero, Victor M., MD Weinstein, Richard J., MD

701 Ostrum St, Ste 202 Bethlehem, PA 18015 (610) 954-2200 Kheirbek, Tareq, MD Wright, Corey J., MD

SOUTH MOUNTAIN FAMILY PRACTICE 002812290 1545 Broadway Bethlehem, PA 18015 (610) 865-6112 Lamphere, Chad E., DO

SALIB HAYMAN 002821217 3465 Nazareth Rd, Ste 102 Easton, PA 18045 (610) 330-2630 Salib, Hayman S., MD

PATIENT FIRST MEDICAL GROUP 003027024 2450 Butler Street Easton, PA 18042 (610) 991-3136 Ahsan, Shagufta, MD

GENERAL SURGERY

65 East Elizabeth Avenue, Suite 304 Bethlehem, PA 18018 (610) 317-2040 Salib, Hayman S., MD

PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC 003038260 2310 Schoenersville Road Bethlehem, PA 18017 (484) 403-7560 Ahsan, Shagufta, MD

ST LUKES CRITICAL CARE ASSOCIATES 002815023 1872 St Lukes Blvd Easton, PA 18045 (484) 526-2200 Kheirbek, Tareq, MD Wright, Corey J., MD 801 Ostrum St Bethlehem, PA 18015 (610) 954-2200 Kheirbek, Tareq, MD Wright, Corey J., MD ST LUKES ESTES SURGICAL ASSOCIATES 002804446 2545 Schoenersville Rd Bethlehem, PA 18017 (484) 526-2200 Kheirbek, Tareq, MD Wright, Corey J., MD 634 E Broad St Bethlehem, PA 18018 (484) 526-2200 Kheirbek, Tareq, MD Wright, Corey J., MD

HEMATOLOGY

HOME INFUSION PHARMACIES OPTION CARE P 3895 Adler Place, Bldg A Bethlehem, PA 18017 (610) 867-7774 INTERNAL MEDICINE CHS PROFESSIONAL PRACTICE INC 002810088 2300 Highland Avenue Bethlehem, PA 18020 (610) 865-4880 Saraceni, Christine, DO 2775 Schoenersville Road Bethlehem, PA 18017 (610) 861-8080 Saraceni, Christine, DO

2545 Schoenersville Road Bethlehem, PA 18017 (484) 884-9677 Burke, Bryan T., MD Yannuzzi Frankhouser, Shavon S., DO

ST LUKES INTERNAL MEDICINE 002809566 1872 St Lukes Blvd Easton, PA 18045 (484) 503-0300 Lapkovsky, Maksim, MD NEONATOLOGY BETHLEHEM NEONATAL ASSOCS 002810968 801 Ostrum Street Bethlehem, PA 18015 (610) 954-4434 Sangam, Subhasri L., MD

OCCUPATIONAL THERAPIST

LVPG PEDIATRIC NEUROLOGY 002817292 2545 Schoenersville Road Bethlehem, PA 18017 (484) 884-3333 Corbo, Elizabeth T., MD

NEW VALLEY REHAB 002814641 3213 Nazareth Road Easton, PA 18045 (610) 438-8093 Hedlund, Lesley C., OTR

OB-GYNECOLOGY

OPTOMETRIST

LVPG OBSTETRICS AND GYNECOLOGY 002808919 1072 Main Street Hellertown, PA 18055 (610) 437-1931 Uxer, Jennifer B., DO 1665 Valley Center Parkway, Suite 130 Bethlehem, PA 18017 (610) 317-0208 Uxer, Jennifer B., DO 2201 Emrick Blvd, Suite 201 Bethlehem, PA 18020 (484) 895-3230 Uxer, Jennifer B., DO 325 West Broad Street, 3rd Floor Bethlehem, PA 18018 (484) 626-9250 Uxer, Jennifer B., DO 6649 Chrisphalt Drive Bath, PA 18014 (610) 437-1931 Uxer, Jennifer B., DO

OPHTHALMOLOGY PHYSICIANS AND SURGEONS 002814734 1313 Center St Bethlehem, PA 18018 (610) 868-0130 Arteaga, Fernando A., OD PODIATRY HUOI THI LAM DPM 002985935 303 West Broad Street Bethlehem, PA 18018 (610) 865-0311 Lam, Huoi T., DPM 850 South 5th Street Bethlehem, PA 18018 (610) 778-1050 Lam, Huoi T., DPM NORTHWOOD HEALTH SERVICES P C 002818535 701 Slate Belt Boulevard Bangor, PA 18013 (610) 588-0498 Starinski, John S., DPM PODIATRY ASSOCIATES OF THE LEHIGH VALLEY LLC 002819025

LVH CC HOSPITALIST PROGRAM 002815306

P - Preferred pharmacy

NEUROLOGY

150

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 303 W Broad St Bethlehem, PA 18018 (610) 865-0311 Lam, Huoi T., DPM SLPG ST LUKES PODIATRY 003188726 511 East 3rd Street, Suite 200 Bethlehem, PA 18015 (484) 526-4700 Lam, Huoi T., DPM ST LUKES SOUTHSIDE SPECIALTY CLINIC 002813408 511 E 3rd St, Suite 200 Bethlehem, PA 18015 (610) 954-4700 Lam, Huoi T., DPM STAHL FOOT AND ANKLE 002822395 2690 Kingston Road, Suite 103 Easton, PA 18045 (610) 438-8899 Pancholi, Meeta S., DPM

RADIOLOGY PROGRESSIVE PHYSICIAN ASSOCIATES INC 002806216 425 Brighton St, Suite 303 Bethlehem, PA 18016 (610) 868-1100 RETAIL PHARMACIES OPTION CARE P 3895 Adler Place, Bldg A Bethlehem, PA 18017 (610) 867-7774 SLATE BELT PHARMACY 435 Blue Valley Dr Bangor, PA 18013 (610) 863-6001 SOUTH BETHLEHEM PHARMACY INC 817 E 4th St Bethlehem, PA 18015 (610) 419-0700

ABC DIABETES PROGRAMS 002801836 2301 Allegheny Avenue Philadelphia, PA 19134 (215) 669-4001 5800 Ridge Avenue Philadelphia, PA 19128 (215) 699-4001 8835 Germantown Avenue Philadelphia, PA 19118 (215) 248-8200 ANESTHESIOLOGY ANESTHESIOLOGY GROUP PRACTICE 002805124 1840 South Street Philadelphia, PA 19146 (215) 893-7246 Ahmed, Moustafa, MD

GULFSTREAM AMBULANCE LLC 002801574 11301 Norcom Road Philadelphia, PA 19154 (215) 677-3625

3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 349-8310 Ahmed, Moustafa, MD Barnett, Rebecca A., MD Gaiser, Robert R., MD House, Terry M., MD Jackson, Maisie L., MD Peacher, Dionne F., MD Perrin Pulos, Bridget, MD

NORTHWEST CARE LLC 002998242 11880 Bustleton Avenue, Suite 204 Philadelphia, PA 19116 (215) 310-9666

51 N 39th Street Philadelphia, PA 19104 (215) 662-8244 Ahmed, Moustafa, MD Barnett, Rebecca A., MD Gaiser, Robert R., MD

PHILADELPHIA COUNTY

PSYCHOLOGIST HOLCOMB BHVRL HLTH SYST 002989124 929 Northampton St Easton, PA 18042 (610) 330-9862 Sutton, Maryann C., PHD

AMBULATORY SURGICAL CENTER

AMBULANCE SERVICE

P - Preferred pharmacy

151

Perrin Pulos, Bridget, MD 51 N 39th Street, Presbyterian Medical Center Philadelphia, PA 19104 (215) 662-8244 Jackson, Maisie L., MD Peacher, Dionne F., MD BRUCE H LEVIN MD 002808904 3 N 2nd St Philadelphia, PA 19106 (215) 776-6404 Levin, Bruce H., MD DEPARTMENT OF ANESTHESIOLOGY AND CRITICAL CARE 002805124 3400 Spruce Street Philadelphia, PA 19104 (215) 349-8310 Jackson, Maisie L., MD Peacher, Dionne F., MD Perrin Pulos, Bridget, MD CARE IINTENSIVE I ASSOC 002805128 3400 Spruce Street Philadelphia, PA 19104 (215) 662-7500 Barnett, Rebecca A., MD Gaiser, Robert R., MD House, Terry M., MD 3400 Spruce Street, 10 Silverstein Philadelphia, PA 19104 (215) 349-8310 Ahmed, Moustafa, MD 51 North 39th Street Philadelphia, PA 19104 (215) 949-8310 Ahmed, Moustafa, MD

800 Spruce Street Philadelphia, PA 19107 (215) 349-8310 Ahmed, Moustafa, MD JEFFERSON JJ ANESTHESIOLOGY ASSOCIATES 002809995 111 South 11th Street, Suite 8490 Philadelphia, PA 19107 (215) 955-6161 Nia, Sam, MD 900 Walnut Street, Jefferson Hospital For Neurosciences Philadelphia, PA 19107 (215) 955-6161 Nia, Sam, MD NOVA ANESTHESIA PROFESSIONALS 002812216 219 North Broad Street Philadelphia, PA 19107 (215) 762-6070 Goldman, Gary L., MD Mahadeviah, Ann S., MD Marcelo, Edmund, DO Stein, Walter, MD PENN ANESTHESIA UNIVERSITY CITY 002805124 3737 Market Street, 5th Floor Philadelphia, PA 19104 (215) 349-8310 Jackson, Maisie L., MD Peacher, Dionne F., MD Perrin Pulos, Bridget, MD PREMIER ANESTHESIA OF PENNSYLVANIA PC 002821697

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 240 Geiger Road Philadelphia, PA 19115 (215) 676-2232 Galvez, Marietta L., MD

230 West Washington Square, 4th Floor Farm Journal Building Philadelphia, PA 19106 (215) 828-3561 Bailey, Philip D., DO Deratzou, Benjamin, MD Lewis, Allan A., MD Morrow, Neil E., MD O'Connor, Patrick, MD Weiss, Jonathan H., DO Wells, Courtney M., MD Yazdipour, Mariam, MD

Young, Marie, MD Zentner, Miriam L., MD

8400 Roosevelt Boulevard Philadelphia, PA 19152 800 Spruce Street Philadelphia, PA 19107 (215) 332-7500 Anderson, James P., (215) 829-3867 2601 Holme Avenue MD Anderson, James P., Philadelphia, PA 19152 Ascher, Andrew S., MD MD (215) 335-6000 Ascher, Andrew S., MD Bailey, Philip D., DO Galvez, Marietta L., MD Banov, David W., MD Bailey, Philip D., DO 501 S 54th Street Berman, David B., MD Banov, David W., MD Philadelphia, PA 19143 Daidone, Dana E., DO Berman, David B., MD (215) 748-9000 Deratzou, Benjamin, MD Cercega, Mircea, MD Galvez, Marietta L., MD Goldstein, Allan, MD Chakhbazov, Abdoulla Goldstein, Richard L., 3340 South Broad Street A., MD PREMIER PAIN AND MD REHAB CARE PC Philadelphia, PA 19145 Daidone, Dana E., DO 003388590 Deratzou, Benjamin, MD Haas, Allen B., MD (215) 463-1900 Maistrow, Marla G., MD 10184 Verree Road Ferrara, Frank M., MD Anderson, James P., Minarcik, Brian A., DO Philadelphia, PA 19116 MD Forzley, Paul E., MD Morrow, Neil E., MD Ascher, Andrew S., MD (215) 934-6665 Goldstein, Allan, MD O'Connor, Patrick, MD Bailey, Philip D., DO Patel, Manan K., MD Goldstein, Richard L., Sedlack, Jeanianne T., MD Banov, David W., MD SOCIETY HILL MD Haas, Allen B., MD Berman, David B., MD ANESTHESIA Shropshire, Diane M., Kalariya, Rupal S., MD Daidone, Dana E., DO CONSULTANTS PC MD Deratzou, Benjamin, MD Langevin, Paul B., MD 002809589 Leftow, Stewart R., MD Sirianni, Archie J., MD 1200 Constitution Drive, Ferrara, Frank M., MD Weiss, Jonathan H., DO Lewis, Allan A., MD Vincera Surgery Center, Forzley, Paul E., MD Wells, Courtney M., MD Suite 100 Lippman, Deborah S., Goldstein, Allan, MD Yazdipour, Mariam, MD MD Philadelphia, PA 19112 Goldstein, Richard L., Young, Marie, MD Mahadeviah, Ann S., MD (800) 394-4445 Zentner, Miriam L., MD MD Haas, Allen B., MD O'Connor, Patrick, MD Maistrow, Marla G., MD Hemlick, John, MD 8835 Germantown 230 West Washington Minarcik, Brian A., DO Lewis, Allan A., MD Avenue Square Morrow, Neil E., MD Philadelphia, PA 19118 Philadelphia, PA 19106 Lippman, Deborah S., O'Connor, Patrick, MD MD (215) 248-8200 (215) 829-3561 Maistrow, Marla G., MD Sedlack, Jeanianne T., Anderson, James P., Bailey, Philip D., DO MD Minarcik, Brian A., DO MD Daidone, Dana E., DO Shropshire, Diane M., Morrow, Neil E., MD Bailey, Philip D., DO Deratzou, Benjamin, MD MD O'Connor, Patrick, MD Banov, David W., MD Leftow, Stewart R., MD Sirianni, Archie J., MD Sedlack, Jeanianne T., Berman, David B., MD Maistrow, Marla G., MD MD Springstead, James M., Daidone, Dana E., DO Morrow, Neil E., MD MD Shropshire, Diane M., Deratzou, Benjamin, MD O'Connor, Patrick, MD Weiss, Jonathan H., DO MD Ferrara, Frank M., MD Shropshire, Diane M., Wells, Courtney M., MD Sirianni, Archie J., MD Forzley, Paul E., MD MD Veloso, Patricia M., MD Wilson, Earl W., MD Weiss, Jonathan H., DO Weiss, Jonathan H., DO Yazdipour, Mariam, MD Goldstein, Allan, MD Goldstein, Richard L., Wells, Courtney M., MD Wells, Courtney M., MD Young, Marie, MD MD Yazdipour, Mariam, MD Yazdipour, Mariam, MD Zentner, Miriam L., MD P - Preferred pharmacy

152

Haas, Allen B., MD Hemlick, John, MD Leftow, Stewart R., MD Lewis, Allan A., MD Lippman, Deborah S., MD Minarcik, Brian A., DO Morrow, Neil E., MD O'Connor, Patrick, MD Sedlack, Jeanianne T., MD Shropshire, Diane M., MD Sirianni, Archie J., MD Springstead, James M., MD Weiss, Jonathan H., DO Wells, Courtney M., MD Wilson, Earl W., MD Yazdipour, Mariam, MD Young, Marie, MD Zentner, Miriam L., MD Three Crescent Drive, Suite 310 Philadelphia, PA 19112 (267) 419-3604 Anderson, James P., MD Daidone, Dana E., DO Deratzou, Benjamin, MD Lewis, Allan A., MD Minarcik, Brian A., DO O'Connor, Patrick, MD Veloso, Patricia M., MD Weiss, Jonathan H., DO Wells, Courtney M., MD Yazdipour, Mariam, MD Zentner, Miriam L., MD UNIVERSITY OF PENNSYLVANIA ANESTHESIA 002807520 51 N 39th Street Philadelphia, PA 19104 (215) 662-8640 Gaiser, Robert R., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. AUDIOLOGIST A HEARING HEALTHCARE CENTER 002812229 1900 Rittenhouse Square, Suite C1 Philadelphia, PA 19103 (215) 985-4964 Blackman, Lisa A., AUD 2120 S 17th St Philadelphia, PA 19145 (215) 334-8774 Blackman, Lisa A., AUD 8040 Roosevelt Blvd Philadelphia, PA 19149 (215) 332-7677 Blackman, Lisa A., AUD CARDIOVASCULAR DISEASE ARIA PHYSICIAN SERVICES CARDIOLOGY 002819919 3998 Red Lion Road Philadelphia, PA 19114 (215) 612-5000 Uricchio, Francis J., MD CARDIOLOGY CONSULTANTS OF PHILADELPHIA 002805068 1703 South Broad Street, Suite 300 Philadelphia, PA 19148 (215) 463-5333 Girardo, Salvatore P., MD Procacci, Pat M., MD 227 N Broad Street, Ste 200 Philadelphia, PA 19107 (215) 762-7350 Procacci, Pat M., MD

ESPERANZA HEALTH CENTER 002806100 3156 Kensington Avenue Philadelphia, PA 19134 (215) 831-1100 Current Patients Only Kirkpatrick, James N., MD MAIN LINE HEALTHCARE KELLY CARDIOLOGY GROUP 002820655 7114 Ridge Ave Philadelphia, PA 19128 (215) 298-5000 Shaw, Brian R., DO PENNSYLVANIA HEART AND VASCULAR GROUP ARIA HEALTH 003396944 9501 Roosevelt Boulevard, Suite 501 Philadelphia, PA 19114 (215) 673-5000 Bacik, Bradley M., DO Brandimarto, Anthony, DO Hess, Steven G., MD Pfeffer, Scott H., DO Richerts, Jr, Joseph L., MD Wint, Roger M., MD

Hess, Steven G., MD Marinchak, Roger A., MD Pfeffer, Scott H., DO Uricchio, Francis J., MD Wint, Roger M., MD TEMPLE CARDIOLOGY ASSOCIATES 002805053 7500 Central Avenue, Suite 107 Philadelphia, PA 19111 (215) 722-3366 Uricchio, Francis J., MD UNIV OF PENNSYLVANIA CARDIOLOGY 002808301 3400 Civic Center Boulevard, East Pavilion 2nd Floor Philadelphia, PA 19104 (215) 615-4949 Reilly, Muredach P., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 662-7700 Reilly, Muredach P., MD 51 N 39th St, Phi 2C Philadelphia, PA 19104 (215) 662-9000 Reilly, Muredach P., MD

PENNSYLVANIA HEART AND VASCULAR GROUP TEMPLE HEALTH 002890539 9501 Roosevelt Blvd, Suite 501 Philadelphia, PA 19114 (215) 673-5000 Bacik, Bradley M., DO Brandimarto, Anthony, DO

P - Preferred pharmacy

CERTIFIED REGISTERED NURSE PRACTITIONER ABBOTTSFORD FALLS FAMILY PRACTICE AND COUNSELING NETWORK 002815051 4700 Wissahickon Avenue, Suite 119 Philadelphia, PA 19144 (267) 597-3654 Altman, Rebecca J., CRNP Golato, Patricia M., CRNP ARIA HEALTH FASTCARE 002867663 9910 Frankford Avenue, Morell Plaza Philadelphia, PA 19114 (215) 632-2636 Giorgio, Catherine H., CRNP Lee, Kelly A., CRNP Shah, Pooja V., CRNP Slade, Lauren A., CRNP EINSTEIN COMMUNITY HEALTH ASSOCIATES INC 002822639 2385 Cheltenham Avenue Philadelphia, PA 19150 (215) 576-1681 Syllien, Catiana A., CRNP

Altman, Rebecca J., CRNP MINUTE CLINIC DIAGNOSTIC OF PENNSYLVANIA LLC 002819482 6501 Harbison Avenue Philadelphia, PA 19149 (866) 389-2727 Peleckis, Amy J., CRNP 6701 Ridge Ave, Ste 1 Philadelphia, PA 19128 (866) 389-2727 Williams, Natasha L., CRNP PHMC HEALTH CONNECTION 002815478 1900 N 9th Street Philadelphia, PA 19122 (215) 765-6690 Brian, Donna B., CRNP 002817124 1035 W Berks Street Philadelphia, PA 19122 (215) 765-6690 Current Patients Only Brian, Donna B., CRNP PHMC MARY HOWARD HEALTH CENTER 002815477 125 S 9th St Philadelphia, PA 19107 (215) 592-4500 Jackson, Shawn D., MSN

QCARE RETAIL CLINIC HEALTH ANNEX 002996974 HEALTH CENTER 2800 Fox Street, Shop 002815050 6120 Woodland Avenue, Rite, Unit A Philadelphia, PA 19129 B 2nd Floor Philadelphia, PA 19142 (267) 597-3610 (215) 727-4721

153

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. Altman, Rebecca J., CRNP Golato, Patricia M., CRNP CHIROPRACTOR ADVANCED SPINAL CARE CENTER PC 002817745 1129 Pine Street Philadelphia, PA 19107 (215) 922-6422 Valarik, Craig P., DC EASTERN APPROACH REHAB CENTER 002815567 10125 Verree Road, Suite 100 Philadelphia, PA 19116 (215) 676-3870 Yang, Yun S., DC EMPIRE HEALTHCARE SYSTEM PC 002815985 1420 Locust St, Ste 220 Philadelphia, PA 19102 (215) 546-0100 Marcus, Matthew B., DC Segal, Larry S., DC HEALTH BRIDGE CHIROPRACTIC 002815303 1216 East Hunting Park Avenue Philadelphia, PA 19124 (267) 672-1262 Craven, David J., DC Gonzon, Michael D., DC Panucci, Jon M., DC 1909 East Washington Lane Philadelphia, PA 19138 (267) 672-1260 Craven, David J., DC

PASSYUNK CHIROPRACTIC AND REHA 002820354 1509 E Passyunk Ave Philadelphia, PA 19147 (215) 467-1143 Howell, Karen G., DC WEST PHILLY CHIROPRACTIC LLC 002820824 6648 Lansdowne Ave Philadelphia, PA 19151 (267) 292-9200 Craven, David J., DC Marcus, Matthew B., DC Panucci, Jon M., DC Segal, Larry S., DC CRITICAL CARE MEDICINE CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC 002822615 2601 Holme Ave Philadelphia, PA 19152 (866) 344-0543 Chua, Lee C., MD 501 South 54th St Philadelphia, PA 19143 (215) 748-9000 Chua, Lee C., MD DIV OF TRAUMA AND SURGICAL CRITICAL CARE 002807060 3400 Spruce Street, 2 Dulles Philadelphia, PA 19104 (215) 662-7320 Asfaw, Sofya, MD DIV OF TRAUMA SURGICAL CRITICAL CARE AT PPMC 002807060

P - Preferred pharmacy

51 N 39th Street Philadelphia, PA 19104 (215) 662-7320 Asfaw, Sofya, MD CARE IINTENSIVE I ASSOCIATES 002805128 3400 Spruce St Philadelphia, PA 19104 (215) 349-8310 Asfaw, Sofya, MD GROUP IINTENSIVIST I OF PA PC 002815753 501 South 54th Street Philadelphia, PA 19143 (215) 748-9000 Chua, Lee C., MD PENN MEDICINE UNIVERSITY CITY TRAUMA ASSOCIATES 002807060 3737 Market Street, 4th Floor Philadelphia, PA 19104 (215) 662-7320 Asfaw, Sofya, MD

FAMILY DERMATOLOGY OF PA PC 002817700 525 Jamestown Avenue, Suite 206 Philadelphia, PA 19128 (215) 483-3666 Kinder, Jr, Roy R., MD UNIV OF PENNSYLVANIA DERMATOLOGY PATHOLOGY ASSOCIATES 002807689 3400 Civic Center Boulevard, 1 330S Perelman Center Philadelphia, PA 19104 (215) 662-2737 Nguyen, Jennifer V., MD

DIABETIC EDUCATION CENTER ABC DIABETES PROGRAMS 002801836 2301 Allegheny Avenue Philadelphia, PA 19134 (215) 669-4001 5800 Ridge Avenue Philadelphia, PA 19128 (215) 699-4001 8835 Germantown Avenue Philadelphia, PA 19118 (215) 248-8200 ENDOCRINOLOGY

INT I I MED ASSOC OF FCCC MGI 3400 Spruce Street 002822809 Philadelphia, PA 19104 333 Cottman Avenue (215) 662-2737 Philadelphia, PA 19111 Nguyen, Jennifer V., MD (215) 728-6900 Ni, David, MD DEVELOPMENTAL BEHAVIORAL PENN CENTER FOR PEDIATRICS ENDOCRINOLOGY AT PERELMAN CENTER CHCA UPHS PRESBYTERIAN FOR ADVANCED DEVELOPMENTAL DEPT OF ANES MEDICINE PEDIATRICS INTENSIVE CARE 003160504 002809847 002805128 3400 Civic Center Blvd, 3401 Civic Center 51 North 39th St West Pavillion 4th Flr Boulevard Philadelphia, PA 19104 Philadelphia, PA 19104 Philadelphia, PA 19104 (215) 349-8310 (215) 662-2300 (215) 590-2522 Asfaw, Sofya, MD Ahima, Rexford S., MD Bennett, Amanda E., DERMATOLOGY DERM ASSOC OF FCCC MGI 002822801 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 Mathes, Barbara M., MD

154

MD 3550 Markey St Philadelphia, PA 19104 (215) 590-3000 Bennett, Amanda E., MD

PENN MEDICINE UNIVERSITY CITY 002808777 3737 Market Street, Division of Endocrinology 3rd Floor Philadelphia, PA 19104 (215) 662-9905 Guttenberg, Katie B., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. UNIV OF PENNSYLVANIA DIABETES 002808110 3400 Civic Center Boulevard, 4th Floor Suite 4 900 W Philadelphia, PA 19104 (215) 662-2300 Ahima, Rexford S., MD 3401 North Broad Street Guttenberg, Katie B., Philadelphia, PA 19140 MD (215) 707-4080 FAMILY PRACTICE Kozera, Richard J., MD Ni, David, MD ARIA PHYSICIAN SERVICES TEMPLE PHYSICIANS HOSPITALISTS DIABETES CARE 002818693 002822451 3998 Red Lion Rd 2301 E Allegheny Philadelphia, PA 19114 Avenue, Suite 140 A (215) 612-4000 Philadelphia, PA 19134 Posner, Andre B., DO (215) 926-3780 Goldstein, Henry H., MD 4900 Frankford Ave Philadelphia, PA 19124 UNIV OF PENN (215) 831-2000 ENDOCRINOLOGY Posner, Andre B., DO 002808777 TEMPLE ENDOCRINOLOGY ASSOCIATES 002805014 3322 North Broad Street, 1st Floor Mob Philadelphia, PA 19140 (215) 707-4600 Ni, David, MD

3400 Civic Center Boulevard, West Pavillion 4th Floor Philadelphia, PA 19104 (215) 662-2300 Ahima, Rexford S., MD Guttenberg, Katie B., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2300 Ahima, Rexford S., MD Guttenberg, Katie B., MD 003160504 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2300 Ahima, Rexford S., MD

EINSTEIN CENTER ONE FAMILY MEDICINE 002812112 9880 Bustleton Ave, Suite 301 Philadelphia, PA 19115 (215) 827-1666 Fontanilla, Arnold G., DO FAMILY JJEFFERSON J MEDICINE ASSOCIATES 002805289 833 Chestnut Street East, Suite 301 Philadelphia, PA 19107 (215) 955-7190 Mautner, Dawn B., MD Plumb, Ellen J., MD Roy, Vibin, MD

P - Preferred pharmacy

J BOWDEN JR JJOHN J DO PC 002805166 1738 W Cheltenham Ave Philadelphia, PA 19126 (215) 548-3390 Current Patients Only Bowden, Jr, John J., DO 002899396 205 North Broad Street, Suite 500 Philadelphia, PA 19107 (215) 977-7721 Current Patients Only Bowden, Jr, John J., DO MAZZONI CENTER 002816479 809 Locust St Philadelphia, PA 19107 (215) 563-0658 Goodman, Andrew W., MD MT AIRY FAMILY PRACTICE 002808967 760 Carpenter Lane Philadelphia, PA 19119 (215) 848-6880 Good, Linda W., MD OLEG ANTONOV MD PC 003117678 11400 Bustleton Ave Philadelphia, PA 19116 (267) 788-1424 Antonov, Oleg, MD PCOM CAMBRIA NORTH DIVISION 002810825 2100 West Cambria St Philadelphia, PA 19132 (215) 578-3300 Davis, Sheila E., DO Gilhool, William J., DO

155

PCOM LANCASTER AVENUE 002810826 4148 Lancaster Avenue Philadelphia, PA 19104 (215) 662-0119 Davis, Sheila E., DO Gilhool, William J., DO PENN FAMILY CARE AT ST LEONARDS COURT OB 002804865 3819 Chestnut Street, Ste 205 Philadelphia, PA 19104 (215) 662-8777 Dhanota, Arsh S., MD PENN FAMILY CARE OB 002804865 51 North 39th Street, Mutch Bldg, 7 Floor Philadelphia, PA 19104 (215) 662-8777 Dhanota, Arsh S., MD PENN FAMILY CARE UNIVERSITY CITY 002808842 3737 Market Street, 9th Floor Philadelphia, PA 19104 (215) 662-8777 Dhanota, Arsh S., MD PHILA COLLEGE OF OSTEO MEDICINE 003164541 5735 Ridge Ave, Medical Ofc Bldg Mob, Ste 105 Philadelphia, PA 19128 (215) 482-4542 Davis, Sheila E., DO Gilhool, William J., DO

PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE 002810820 4190 City Avenue, Pcom City Avenue Hcc Philadelphia, PA 19131 (215) 871-6380 Davis, Sheila E., DO Gilhool, William J., DO TEMPLE EMERGENCY MEDICINE ASSOCIATES 002805311 100 E Lehigh Avenue, Temple Hosp Episcopal Campus Philadelphia, PA 19125 (215) 707-4000 Barbetta, Stephanie, MD 3401 North Broad Street Philadelphia, PA 19140 (215) 707-2000 Barbetta, Stephanie, MD WARREN MARK COHEN DO 003016605 525 Jamestown Street, Suite 107 Philadelphia, PA 19128 (215) 205-2260 Cohen, Warren M., DO GASTROENTEROLO GY AASOP INC 002816491 9501 Roosevelt Blvd, Suite 103 Philadelphia, PA 19114 (215) 671-9900 Freilich, Howard S., MD GASTRO ASSOC OF FCCC MGI 002822805

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 Kothari, Truptesh H., MD

JJEFFERSON J GASTROENTEROLOG Y AND HEPATOLOGY ASSOCIATES 002810714 132 S 10th Street, 480 Main Building Philadelphia, PA 19107 (215) 955-8900 Mounzer, Rawad H., MD

Bahirwani, Ranjeeta R., MD Das, Koushik K., MD Tabibian, James H., MD 3400 Spruce Street, 3 Dulles Building Philadelphia, PA 19104 (215) 349-8222 Ahtaridis, George, MD Bahirwani, Ranjeeta R., MD Das, Koushik K., MD

51 N 39th Sreet Philadelphia, PA 19104 (215) 662-8900 132 South 10th Street, Ahtaridis, George, MD Suite 480 Bahirwani, Ranjeeta R., Philadelphia, PA 19107 MD (215) 955-8900 Das, Koushik K., MD Mounzer, Rawad H., MD Tabibian, James H., MD TEMPLE GENERAL GASTROENTEROLOG PRACTICE Y ASSOC 002805080 MELVIN Z TWERSKY DO PC 3401 North Broad Street, 8th Floor 002805158 Parkinson Pavilion 5604 North Broad Street Philadelphia, PA 19140 Philadelphia, PA 19141 (215) 707-3435 (215) 927-7806 Haluszka, Oleh, MD Twersky, Melvin Z., DO UNIV OF PENN GASTROENTEROLOG Y 002808607 2116 2132 Chestnut St, Sidney Hillman Medical Center Philadelphia, PA 19103 (215) 568-4080 Ahtaridis, George, MD 3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 349-8222 Ahtaridis, George, MD

PCOM CAMBRIA NORTH DIVISION 002810825 2100 West Cambria St Philadelphia, PA 19132 (215) 578-3300 Bullock, Oliver C., DO ZHANNA GALPERIN MD PC 002806945 1822 Benton Avenue Philadelphia, PA 19152 (215) 745-8838 Current Patients Only Galperin, Zhanna, MD

P - Preferred pharmacy

GENERAL SURGERY ARIA HEALTH SERVICES BREAST SURGERY GROUP 002813797 3998 Red Lion Road, Suite 301 Philadelphia, PA 19114 (215) 612-4884 Ziolkowski, Thomas C., DO CHILDRENS SURGICAL ASSOCIATES LTD 002809722 3401 Civic Center Boulevard Philadelphia, PA 19104 (215) 590-2730 Fenton, Stephen J., MD DIV OF TRAUMA AND SURGICAL CRITICAL CARE 002807060 3400 Spruce Street, 2 Dulles Philadelphia, PA 19104 (215) 662-7320 Hersperger, Stephen G., MD Mathew, Sarah J., MD

3400 Spruce Street, 4 Silverstein Philadelphia, PA 19104 (215) 662-2626 Cha, Amy I., MD DIVISION OF GI SURGERY AT PERELMAN WEST 003158668 3400 Civic Center Boulevard, Center For Advanced Medicine, 4th Floor Philadelphia, PA 19104 (215) 662-2626 Cha, Amy I., MD DIVISION OF GI SURGERY AT PPMC 003158668 51 North 39th Street, 266 Wright Saunders Philadelphia, PA 19104 (215) 662-9195 Cha, Amy I., MD

PENN MEDICINE UNIVERSITY CITY TRAUMA ASSOCIATES 002807060 3737 Market Street, 4th Floor Philadelphia, PA 19104 (215) 662-7320 Hersperger, Stephen G., MD Mathew, Sarah J., MD PENN TRAUMA ASSOC 002807060 51 N 39th Street, Medical Office Bldg 1st Floor, Ste 120 Philadelphia, PA 19104 (215) 662-7320 Mathew, Sarah J., MD UPHS PRESBYTERIAN DEPT OF ANES INTENSIVE CARE 002805128 51 North 39th St Philadelphia, PA 19104 (215) 349-8310 Mathew, Sarah J., MD

CARE IINTENSIVE I ASSOC 002805128 3400 Spruce Street Philadelphia, PA 19104 (215) 662-7500 GERIATRICS Hersperger, Stephen G., INTENSIVIST GROUP II MD DIV OF TRAUMA OF PA PC 51 North 39th Street SURGICAL CRITICAL 002815753 CARE AT PPMC Philadelphia, PA 19104 501 South 54th Street 002807060 (215) 949-8310 Philadelphia, PA 19143 51 N 39th Street Hersperger, Stephen G., (215) 748-9000 Philadelphia, PA 19104 MD Cowen, Jay S., MD (215) 662-7320 CARE IINTENSIVE I UNIV OF PENN Hersperger, Stephen G., ASSOCIATES GERIATRICS MD 002805128 002808298 Mathew, Sarah J., MD 3400 Spruce St 3615 Chestnut Street, Philadelphia, PA 19104 Ralston House Pen DIVISION OF GI SURGERY AT HUP (215) 349-8310 Center 003158668 Mathew, Sarah J., MD Philadelphia, PA 19104 (215) 662-2746 Pignolo, Robert J., MD

156

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. GYNECOLOGY MONA M SHANGOLD MD PC 002817902 1601 Walnut Street, Suite 1200 Philadelphia, PA 19102 (215) 851-0999 Shangold, Mona M., MD HEMATOLOGY

JJEFFERSON J HEMATOLOGY ASSOC 002808085 1015 Chestnut Street, Suite 1321 Philadelphia, PA 19107 (215) 955-4730 Nagalla, Srikanth, MD HOME HEALTH CARE AGENCY HOME JJEANES J HEALTH 002803531 8101 Castor Avenue Philadelphia, PA 19152 (215) 728-4200 INTERNAL MEDICINE ARIA FRANKFORD HEALTH CARE CLINIC 002819527 5000 Frankford Avenue, First Floor Philadelphia, PA 19124 (215) 831-2355 Ogden, Andrew R., DO BELLARMINO GIAMPETRO AND SCHEUERMAN PC 002804973 1411 Wolf Street Philadelphia, PA 19145 (215) 334-8780

Giampetro, Anthony M., MD DREXEL PARTNERSHIP CLINIC 002808123 219 North Broad Street, 5th Floor Philadelphia, PA 19107 (215) 762-6555 Vinnard, Christopher L., MD

Nguyen, Ha C., MD HEALTH CARE CENTER 4 002805254 4400 Haverford Avenue Philadelphia, PA 19104 (215) 685-7600 Williams, Gregory D., MD HPS OF PA LLC 003066845 2100 W Girard Ave Philadelphia, PA 19130 (215) 685-0800 Newton, Gene R., MD

EHR CLINICAL STAFFING SOLUTION 002816046 7600 Central Avenue Philadelphia, PA 19111 JEFFERSON JJ (215) 728-3253 Randleman, Brandon S., HOSPITAL AMBULATORY DO PRACTICE EINSTEIN INTERNAL 002813999 MEDICINE 833 Chestnut East, ASSOCIATES Suite 220 002805032 Philadelphia, PA 19107 5401 Old York Rd, Klein (215) 955-8465 363 Westerhaus, Barbara F., Philadelphia, PA 19141 MD (215) 456-8220 J Alexander, Alison J., MD JJEFFERSON HOSPITALIST GROUP EINSTEIN PRACTICE 002822066 PLAN 111 S 11th St 002805030 Philadelphia, PA 19107 5401 Old York Road, (215) 503-2455 Suite 331 Dunn, Jonathan A., MD Philadelphia, PA 19141 Mandaliya, Rohan, MD (215) 456-8220 J Alexander, Alison J., MD JJEFFERSON INTERNAL MED 002805031 ASSOC 5401 Old York Road, 002808539 Suite 331 833 Chestnut East Philadelphia, PA 19141 Street, Suite 701 (215) 456-8220 Philadelphia, PA 19107 Alexander, Alison J., MD (215) 955-6180 Baratam, Praneeth, MD 5501 Old York Road Philadelphia, PA 19141 (215) 456-6500

P - Preferred pharmacy

157

JJEFFERSON J INTERNAL MEDICINE ASSOCIATES 002808540 833 Chestnut Street East, Suite 701 702 Philadelphia, PA 19107 (215) 955-6180 Baratam, Praneeth, MD Majmundar, Krupa, MD Meyer, Kari, MD Nam, Ji Young, MD Ravindran, Lakshmi B., MD Subedi, Ananta, MD Westerhaus, Barbara F., MD 003295252 833 Chestnut Street, Suite 701 Philadelphia, PA 19107 (215) 955-6180 Lapinsky, Evan M., MD Liquori, Michael E., MD Rhoades, Ruben W., MD

JJEFFERSON J NEUROSURGICAL ASSOCIATES 002822066 909 Walnut Street Philadelphia, PA 19107 (215) 955-7000 Mandaliya, Rohan, MD LILIA GOROVITS MD PC 002810349 9867B Bustleton Avenue Philadelphia, PA 19115 (215) 698-9295 Gorovits, Lilia, MD NAZARETH PHYSICIAN SERVICES 002816866

2601 Holme Ave Philadelphia, PA 19152 (215) 335-6141 Newkirk, Christine L., MD PENN CENTER FOR PRIMARY CARE 002804976 51 N 39th St, Medical Arts Building Suite 102 Philadelphia, PA 19104 (215) 662-9990 Wu, Tianshi, MD PENN PALLIATIVE CARE AT PERELMAN 002823054 3400 Civic Center Blvd, Pcamn 4 Philadelphia, PA 19104 (215) 614-1618 Casarett, David J., MD PENNCARE EDWARD S COOPER MD INTERNAL MEDICINE 002807478 3701 Market Street, Suite 640 Philadelphia, PA 19104 (215) 662-2250 Buckner, Briana, MD Liu, Jonathan, MD Pugliese, Daniel, MD Wu, Tianshi, MD PENNCARE INTERNAL MEDICINE ASSOCIATES 002807479 3701 Market Street, Suite 741 7th Floor Philadelphia, PA 19104 (215) 349-5200 Buckner, Briana, MD PENNSBURY INPATIENT SERVICES LLC 002982145

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 3998 Red Lion Road Philadelphia, PA 19114 (215) 612-4963 Abraham, Andrew J., MD Babu, Benson A., MD Brown, Steven M., MD Hanes, David P., MD Okon, Emmanuel E., MD Patel, Jignesh, MD Patel, Khushboo, MD 4900 Frankford Avenue Philadelphia, PA 19124 (215) 831-2086 Abraham, Andrew J., MD Babu, Benson A., MD Brown, Steven M., MD Hanes, David P., MD Okon, Emmanuel E., MD Patel, Jignesh, MD Patel, Khushboo, MD PENNSYLVANIA HEART AND VASCULAR GROUP TEMPLE HEALTH 002890539 9501 Roosevelt Blvd, Suite 501 Philadelphia, PA 19114 (215) 673-5000 Khan, Abigail D., MD Shreenivas, Satya S., MD PHILADELPHILA HEALTH ASSOCIATES ADULT MEDICINE 002805661 1740 South Street, Suite 300 Philadelphia, PA 19146 (215) 732-0876 Karim, Shahana N., MD PULAB INC

002810348 1411 Wolf Street Philadelphia, PA 19145 (215) 334-8780 Giampetro, Anthony M., MD SOMERTON FAMILY MEDICAL ASSOCIATES 003035697 14425 Bustleton Ave, Ste 205 Philadelphia, PA 19116 (215) 464-9599 Rudin, Robert L., MD TEMPLE CARDIOLOGY ASSOCIATES 002805053 255 S 17th St Philadelphia, PA 19103 (215) 707-5800 Gangireddy, Chethan R., MD 3509 North Broad Sreet Philadelphia, PA 19140 (215) 707-8484 Gangireddy, Chethan R., MD Shreenivas, Satya S., MD 7600 Central Avenue, Suite 100 Philadelphia, PA 19111 (215) 722-4600 Gangireddy, Chethan R., MD TEMPLE GENERAL INTERNAL MEDICINE ASSOCIATES 002805018 1316 W Ontario Street, 1st Floor Jones Hall Philadelphia, PA 19140 (215) 707-1800 Caroline, Mara F., MD

P - Preferred pharmacy

Rathi, Shikha, MD Zack, Chad J., MD 002805019 3401 North Broad Street, 4th Floor Parkinson Pavilion Philadelphia, PA 19140 (215) 707-1800 Caroline, Mara F., MD Rathi, Shikha, MD Zack, Chad J., MD TEMPLE INTERNAL MEDICINE ASSOCIATES 002804972 3401 North Broad Street Philadelphia, PA 19140 (215) 707-3609 Patel, Bina B., MD Shahzad, Fowad, MD

Gowda, Charitha, MD UNIVERSITY OF PA MEDICAL GROUP 002804974 3400 Spruce Street Philadelphia, PA 19104 (215) 662-4000 Agarwal, Pallak, MD Buckner, Briana, MD Dekosky, Allison S., MD Liu, Jonathan, MD Pugliese, Daniel, MD Vij, Navin K., MD Wu, Tianshi, MD

525 S 4th St Ste 240B Philadelphia, PA 19147 (215) 694-2383 Closs, Cynthia, DSW HORNSTEIN PLATT AND ASSOCIATES 002989088 255 S 17th St, Ste 1010 Philadelphia, PA 19103 (215) 732-6308 Klavens, Carole L., MSW

INTERCOMMUNITY II ACTION 6122 RIDGE UPHS PRESBYTERIAN 002989258 6122 Ridge Ave DEPT OF INTERNAL Philadelphia, PA 19128 MEDICINE HOSP BASE (215) 487-1330 002804974 Frager, Susan S., MSW 51 N 39th Street, Mab, JETTY SAWYER JJ Suite 102 002821538 Philadelphia, PA 19104 002986435 3401 N Broad Street 2213 Race St (215) 662-9990 Philadelphia, PA 19140 Philadelphia, PA 19103 Agarwal, Pallak, MD (215) 707-9900 (973) 945-1002 Buckner, Briana, MD Khiani, Komal, MD Dekosky, Allison S., MD Sawyer, Jetty, MSW Patel, Miral, MD Liu, Jonathan, MD MAZZONI CTR TEMPLE PHYSICIANS Pugliese, Daniel, MD 002989285 INCORPORATED Vij, Navin K., MD 21 S 12th St Fl 8 002811543 Philadelphia, PA 19107 LICENSED CLINICAL 7600 Central Avenue (215) 563-0663 SOCIAL WORKER Philadelphia, PA 19111 Gottlieb, Julia, MSW (215) 214-4315 CHRISTINA Liem, Jasper Y., MSW Randleman, Brandon S., DOUGHERTYLCSW Richman, Ilysa H., MSW DO 003392719 MICHAEL TYLER 3120 W Penn St UNIV OF PENN RAMOSLLC INFECTIOUS DISEASE Philadelphia, PA 19129 003395389 (267) 331-6799 002808770 822 Pine St 2-E Dougherty, Christina M., 3400 Spruce Street Philadelphia, PA 19107 Philadelphia, PA 19104 MSW (267) 702-4426 (215) 662-6932 EMPOWERMENT AND Ramos, Michael T., Gowda, Charitha, MD RECVY PSYCTHRPY MSW LLC 51 N 39th St, 3910 SAWYER, JETTY 003386809 Building 2nd Floor MSW Philadelphia, PA 19104 002986435 (215) 662-9990

158

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 219 Logan Ct Philadelphia, PA 19103 (267) 861-0862 Sawyer, Jetty, MSW

MASTER LEVEL THERAPIST PSYCHIATRIC/MENT AL HEALTH

TALIA KAPADIA LLC 003386810 110 S 20th St Ste 200 Philadelphia, PA 19103 (929) 400-7783 Kapadia, Talia G., MSW

BELMONT CTR FOR COMPRHNSV TRTMNT 002989174 4200 Monument Rd Philadelphia, PA 19131 (215) 581-3930 Kim, Eun M., MA

124 Chestnut St Ste 16 Philadelphia, PA 19106 (267) 788-1008 McCue, Heather L., MBS HORNSTEIN PLATT AND ASSOCIATES 002989088 255 S 17th St, Ste 1010 Philadelphia, PA 19103 (215) 732-6308 Osullivan, Shannon, MA Scheifley, Tara L., MS

MAXILLO-FACIAL SURGERY SICILIA RONALD 002805397 5170 Oxford Ave Philadelphia, PA 19124 (215) 535-2255 Sicilia, Ronald F., DMD

5501 Old York Road, Levy Ground Flr Philadelphia, PA 19141 (215) 456-6500 Jasti, Sravan K., MD

UPHS DIVISION OF RENAL ELECTROLYTE 002807758 3400 Civic Center NEONATOLOGY Boulevard TEMPLE 255 S 17th St Ste 1601 Philadelphia, PA 19104 NEONATOLOGY Philadelphia, PA 19103 003389853 (215) 662-2638 002805479 1 Penn Boulevard (929) 400-7783 Bansal, Amar, MD BHVRL I 3401 North Broad Street Grossman, Robert A., Kapadia, Talia G., MSW Philadelphia, PA 19144 IINTERNET CARE Philadelphia, PA 19140 MD (215) 951-7132 THE LADIPO GRP 002988891 (215) 707-6606 Lutz, John P., MA Patel, Nikunjkumar, MD PSYCTHRPY 3300 Henry Avenue, Friss, Helena E., MD Weitz, Cathy A., MA 003174245 3400 Spruce Street Suite 302 CHILD GUIDNC 255 S 17th St Ste 2704 Philadelphia, PA 19104 Philadelphia, PA 19129 NEPHROLOGY Philadelphia, PA 19103 RESOURCE CTR (215) 662-2638 (215) 924-0684 EINSTEIN 002989116 (267) 908-6363 Bansal, Amar, MD Maat, Nzingha A., MS NEPHROLOGY 2901 Island Ave Corbin, Cynthia J., MSW Grossman, Robert A., ASSOCIATES Philadelphia, PA 19153 PSYCARE SOLUTIONS MD 002805437 YASKIN, JOSEPH C INC (484) 454-8700 Patel, Nikunjkumar, MD MSW 330 Aramingo Ave 002989123 Connor, Abby L., MS 003386803 Philadelphia, PA 19134 3701 Market Street, 1st 1015 Chestnut St Ste DELAWARE CNTY Floor 6833 Wayne Avenue, 403 (215) 456-6970 PRO SVCS Care of Mount Airy Philadelphia, PA 19104 Philadelphia, PA 19107 Jasti, Sravan K., MD Cnsnlng Center 002988925 (215) 387-2658 (215) 885-9700 Kung, Shiang Cheng, Philadelphia, PA 19119 1420 Walnut St, Ste Grossman, Robert A., MD Hayes, Molly S., MS 1350 (484) 278-1755 MD Philadelphia, PA 19102 255 S 17th St Ste 2407 5501 Old York Road, Yaskin, Joseph C., Philadelphia, PA 19103 Moss Building 4th Floor 4126 Walnut Street MSW (610) 892-3800 Philadelphia, PA 19141 Philadelphia, PA 19104 (215) 885-9700 Gratz, Kristin K., MS (215) 387-0500 (215) 456-6970 LONG-TERM CARE Hayes, Molly S., MS Harris, Lofton H., MS PHARMACIES Grossman, Robert A., Kung, Shiang Cheng, McBratnie, Dawn M., WIVES SELF HELP MD MD OMPT GRACE PHARMACY FNDTN INC 51 N 39th Street INC 9880 Bustleton Ave, 3440 Market St Ste 450 002988894 Suite 220 Philadelphia, PA 19104 4040 Market St, Rm 226 Philadelphia, PA 19104 8001 Roosevelt Blvd, Philadelphia, PA 19104 Smylie Times Bldg 205 Philadelphia, PA 19115 (215) 662-0691 (610) 892-3800 (215) 456-6970 Grossman, Robert A., (215) 895-5594 207 Gratz, Kristin K., MS MD Philadelphia, PA 19152 Jasti, Sravan K., MD Harris, Lofton H., MS Kung, Shiang Cheng, (215) 332-1914 51 N 39th Street, MD HEATHER MCCUE LLC Jensky, Arnold B., MA Presbyterian Medical 003352279 Center EINSTEIN PRACTICE Philadelphia, PA 19104 PLAN (215) 662-8000 002805437 P - Preferred pharmacy

159

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. Bansal, Amar, MD NEUROLOGY CHCA NEUROLOGY 002805103 3401 Civic Center Blvd, Childrens Hospital of Philadelphia Philadelphia, PA 19104 (215) 590-1000 Chadehumbe, Madeline A., MD NEUROLOGY ASSOCIATES 002810024 1015 Chestnut Street, Suite 810 Philadelphia, PA 19107 (215) 574-0075 Manon Espaillat, Ramon, MD

3400 Spruce Street, 11 Gates Philadelphia, PA 19104 (215) 662-7772 Scharf, Matthew T., MD 3549 Chestnut Street, 9th Floor Philadelphia, PA 19104 (215) 662-7772 Scharf, Matthew T., MD 3624 Market Street, 2nd Floor Philadelphia, PA 19104 (215) 662-7772 Scharf, Matthew T., MD NUCLEAR MEDICINE

PENN RADIOLOGY PENNSYLVANIA HOSPITAL 002812226 NEUROLOGY 800 Spruce Street ASSOCIATES UNIV OF Philadelphia, PA 19107 PENNSYLVANIA (215) 829-3201 002805105 Overbeck, John R., MD 3400 Spruce Street, 2 PENNSYLVANIA Ravdin Philadelphia, PA 19104 HOSPITAL OUTPATIENT (215) 662-3606 RADIOLOGY Gross, Rachel G., MD 002812226 800 Spruce Street 1840 South Street, Philadelphia, PA 19107 Tuttleman Center, 3rd Floor (215) 829-6500 Philadelphia, PA 19146 Gross, Rachel G., MD (215) 829-6670 UNIV OF Overbeck, John R., MD PENNSYLVANIA PULMONARY UNIV OF 002807839 PENNSYLVANIA 3400 Civic Center Blvd, CARDIOLOGY 1 West Pavilion 002808301 Philadelphia, PA 19104 3400 Civic Center Boulevard, East Pavilion (215) 615-5864 Scharf, Matthew T., MD 2nd Floor Philadelphia, PA 19104 (215) 615-4949 Overbeck, John R., MD P - Preferred pharmacy

3400 Spruce Street Philadelphia, PA 19104 (215) 662-7700 Overbeck, John R., MD UNIVERSITY OF PENN MEDICAL GROUP DEPARTMENT OF RADIOLOGY 002812226 3400 Civic Center Blvd, Perelman Center Advanced Medicine, Ground Floor Philadelphia, PA 19104 (215) 662-3051 Overbeck, John R., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 662-3000 Overbeck, John R., MD NURSE MIDWIFE GPHA CHINATOWN MEDICAL SERVICES 003293198 930 Washington Avenue Philadelphia, PA 19147 (215) 627-8000 Nishida, Kathleen M., CNM GPHA MIDWIFERY SERVICES 002816585 5000 Woodland Avenue Philadelphia, PA 19143 (215) 726-9807 Nishida, Kathleen M., CNM

4510 Frankford Avenue, Frankford Avenue Health Center Philadelphia, PA 19124 (215) 744-1302 Nishida, Kathleen M., CNM 003293178 1999 W Hunting Park Avenue, Hunting Park Health Center Philadelphia, PA 19140 (215) 228-9300 Nishida, Kathleen M., CNM 003293191 2520 Snyder Avenue, Wilson Park Medical Center Philadelphia, PA 19145 (215) 755-7700 Nishida, Kathleen M., CNM OB-GYNECOLOGY DEPT OBGYN UNIVERSITY OF PENNSYLVANIA 002804863 555 South 43rd Street Philadelphia, PA 19104 (215) 685-7521 Denicola, Nathaniel G., MD

DIVISION OF REPRODUCTIVE GENETICS SCIENCE CENTER 002804865 3701 Market Street, 3rd 003293106 800 Washington Avenue Floor Philadelphia, PA 19147 Philadelphia, PA 19104 (215) 662-3232 (215) 339-5100 Denicola, Nathaniel G., Nishida, Kathleen M., MD CNM 003293169

160

JEFFERSON CENTER JJ FOR WOMENS MEDICAL SPECIATIES 002804882 1300 Wolf Street Philadelphia, PA 19148 (215) 952-1482 Nijjar, Jugnu B., MD 833 Chestnut Street, 1st Floor Philadelphia, PA 19107 (215) 955-5000 Gimovsky, Alexis C., MD Nijjar, Jugnu B., MD Schoen, Corina N., MD 834 Chestnut Street, Suite 300 Philadelphia, PA 19107 (215) 955-5000 Nijjar, Jugnu B., MD LUDMIR CENTER FOR WOMENS HEALTH 002812662 700 Spruce Street, Suite 200 Philadelphia, PA 19106 (215) 829-3525 Rana, Ramneek K., MD OBGYN UNIVERSITY OF PENNSYLVANIA 002804865 3400 Spruce Street, One West Gates Philadelphia, PA 19104 (215) 662-2730 Denicola, Nathaniel G., MD 555 South 43rd Street Philadelphia, PA 19104 (215) 685-7521 Denicola, Nathaniel G., MD PENN OBGYN 002985967

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 800 Walnut Street, 12th Floor Philadelphia, PA 19107 (215) 829-8000 Rana, Ramneek K., MD 801 Spruce St Philadelphia, PA 19107 (215) 829-3396 Deluca, Samantha, DO SANTIAGO STANLEY 002809301 100 East Lehigh Avenue, CHC2 East Philadelphia, PA 19125 (215) 707-1118 Santiago, Stanley, MD TEMPLE OBGYN ASSOCIATES 002804868 3401 North Broad Street, 7th Floor Philadelphia, PA 19140 (215) 707-3008 Brown, Raymond D., MD TEMPLE PHYSICIANS INC 002809404 100 E Lehigh Avenue, CHC2, Stanley Rivera Santiago MD Philadelphia, PA 19125 (215) 707-1118 Santiago, Stanley, MD 2301 E Allegheny Avenue, Northeastern Hospital Philadelphia, PA 19134 (215) 707-1118 Santiago, Stanley, MD 002809405 2301 East Allegheny Avenue, Ste 180 Philadelphia, PA 19134 (215) 291-3700

Ajayi, Fadeke, MD ONCOLOGY Christophe, Kathleen M., JEFFERSON MEDICAL JJ MD ONCOLOGY WOMEN AND 002808832 CHILDRENS 3 Crescent Drive, Suite 002808532 100 700 Spruce St, Suite Philadelphia, PA 19112 200 (215) 503-3300 Philadelphia, PA 19106 Lin, Jianqing, MD (215) 829-3525 Weiss, Mark A., MD Fleisher, Jonah D., MD 834 Walnut St, Suite Grover, Joseph, MD 110 Shepherd, Amanda L., Philadelphia, PA 19107 MD (215) 955-6039 OCCUPATIONAL Tropea, Joseph N., DO THERAPIST 8815 Germantown Ave, EFFECTIVE Suite 16 COMMINUCATION Philadelphia, PA 19118 SOLUTIONS (215) 242-1159 003292687 Tropea, Joseph N., DO 14500 Bustleton 925 Chestnut Street, 3rd Avenue, Suite 1 A Philadelphia, PA 19116 Floor Suite 320A Philadelphia, PA 19107 (215) 613-6523 Raffel, Alanna C., OTR (215) 955-8874 Lin, Jianqing, MD NOVACARE Tropea, Joseph N., DO 002809528 Weiss, Mark A., MD 511 North Broad Street MEDICAL J Philadelphia, PA 19123 JJEFFERSON ONCOLOGY (215) 923-6031 ASSOCIATES Goren, Mark S., OTR 002808832 PROGRESS PHYSICAL 925 Chestnut Street, THERAPY LLC Suite 320A 003126828 Philadelphia, PA 19107 8015 Frankford Ave, Ste (215) 955-8874 104 Austin, Laura K., MD Philadelphia, PA 19136 MED ONC (215) 338-8900 ASSOCIATES OF Laws, Andrew G., BS FCCC MGI Walker, Leslie D., OTR 002822811 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-5690 Boumber, Yanis, MD Levy, Michael H., MD

P - Preferred pharmacy

161

Ryan, Paula D., MD MEDICAL ONCOLOGY ASSOCIATES OF FCCC 002805436 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 Levy, Michael H., MD Ryan, Paula D., MD NAZARETH ONCOLOGY 003028536 2701 Holme Avenue, Suite 302 Philadelphia, PA 19152 (215) 567-5336 Tropea, Joseph N., DO PAIN MANA ASSOC OF FCCC MGI 002822816 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 Levy, Michael H., MD PAIN MANAGEMENT ASSOCIATES OF FCCC 002806087 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 Levy, Michael H., MD OPHTHALMOLOGY AMIRAM SHAPIRO MD 002804902 1200 W Godfrey Avenue, Module 6 Philadelphia, PA 19141 (215) 276-6000 Shapiro, Amiram, MD DREXEL EYE PHYSICIANS 002816340

10 Shurs Lane, Ste 204 Philadelphia, PA 19127 (215) 477-4960 Orkubi, Ghada A., MD 219 N Broad Street, 3rd Floor Philadelphia, PA 19107 (215) 762-3937 Orkubi, Ghada A., MD SCHEIE EYE ASSOC OPHTHALMOLOGY 002804894 3400 Civic Center Boulevard, West Pavilion 3rd Floor Suite Philadelphia, PA 19104 (215) 614-4100 Wu, I Hui, MD 51 North 39th Street Philadelphia, PA 19104 (215) 662-8100 Wu, I Hui, MD SPAETZ KATZ MYERS PC 002806195 840 Walnut Street, Suite 1110 Philadelphia, PA 19107 (215) 928-3197 Spaeth, George L., MD THE EYE INSTITUTE OPHTHALMOLOGICAL GROUP 002804907 1200 West Godfrey Avenue Philadelphia, PA 19141 (215) 276-6000 Shapiro, Amiram, MD WEOC ER INC 002820605 900 Walnut St Philadelphia, PA 19107 (215) 503-8080 Beyer, Mark W., DO

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. Houston, Samuel K., MD 002814734 Kim, Tim I., MD 511 Courtland St Philadelphia, PA 19140 WILLS EYE (215) 455-1010 OPHTHALMOLOGY Arteaga, Fernando A., CLINIC OD 002812447 840 Walnut Street, Suite THE EYE INSTITUTE 1230 002805487 Philadelphia, PA 19107 3300 Henry Ave, Ste (215) 928-3041 104 Beyer, Mark W., DO Philadelphia, PA 19129 Spaeth, George L., MD (215) 991-4794 Abdou, Mariem A., OD OPTOMETRIST Balachandran, Utham P., OD EYE INSTITUTE OPTOMETRIC GROUP Chang, Clark, OD 002805487 Keppol, Stacey M., OD 1200 West Godfrey Luna, Rossana Z., OD Avenue Simpson, David M., OD Philadelphia, PA 19141 Street, Mark E., OD (215) 276-6000 WEST PHILA EYE Balachandran, Utham ASSOC P., OD 002817403 Chang, Clark, OD 501 South 54th Street Keppol, Stacey M., OD Philadelphia, PA 19143 Luna, Rossana Z., OD (215) 748-0185 Patel, Pooja J., OD Duong, Dat B., OD Rotan, Lisa M., OD Simpson, David M., OD ORTHOPEDIC Street, Mark E., OD SURGERY

5501 Old York Rd, Willowcrest Bamberger 4th Flr Philadelphia, PA 19141 (215) 456-7900 Liebenberg, Robert E., MD Williams, John T., MD

7630 Germantown Avenue, Suite 4 Philadelphia, PA 19118 (215) 248-6040 Chang, Clark, OD Street, Mark E., OD

NAZARETH PHYSICIAN SERVICES 002816867 2701 Holme Ave, /, Ste 100 Philadelphia, PA 19152 (215) 331-3871 Paiste, Mark R., DO

CHILDRENS SURGICAL ASSOCIATES LTD 002809721 3401 Civic Center Blvd Philadelphia, PA 19104 (215) 590-1527 Drummond, Denis S., MD

MAYFAIR EYE 002805485 6921 Frankford Ave, Ste EINSTEIN PRACTICE D Philadelphia, PA 19135 PLAN 002811311 (215) 624-0416 Luna, Rossana Z., OD

9880 Bustleton Avenue, Suite 220 Philadelphia, PA 19115 (215) 673-8700 Liebenberg, Robert E., MD MERCY MGMT OF SEPA 002814892 501 South 54th Street Philadelphia, PA 19143 (215) 748-9822 Lee, Brian K., MD MERCY ORTHOPAEDIC ASSOCIATES 002814892 501 South 54th Street, Suite 27 Philadelphia, PA 19143 (215) 748-9822 Seidl, Adam J., MD

ROTHMAN INSTITUTE RECONSTRUCTIVE ORTHOPEDIC ASSOCIATES II PC 002804844

OPHTHALMOLOGY PHYSICIANS AND SURGEONS P - Preferred pharmacy

162

2630 Holme Avenue, Suite 200 Philadelphia, PA 19152 (215) 992-4960 Ahmad, Jamal, MD

1800 Lombard Street, Atrium Suite Philadelphia, PA 19146 (215) 893-7401 Eremus, Joseph L., MD

925 Chestnut Street, 5th Floor Philadelphia, PA 19107 (267) 339-3500 Ahmad, Jamal, MD Krystal, Jonathan, MD

3401 N Broad St, 5th Floor Outpatient Building Philadelphia, PA 19140 (215) 707-2111 Eremus, Joseph L., MD

TEMPLE ORTHOPEDICS AND SPORTS MEDICINE 002804832 11000 Roosevelt Blvd Philadelphia, PA 19116 (215) 214-6655 Eremus, Joseph L., MD 002804833 7500 Central Avenue Philadelphia, PA 19111 (215) 214-6655 Eremus, Joseph L., MD 8815 Germantown Avenue Philadelphia, PA 19118 (215) 707-2111 Eremus, Joseph L., MD 9331 Old Bustleton Avenue, 1st Floor Philadelphia, PA 19115 (215) 969-9100 Eremus, Joseph L., MD 002804834 3509 North Broad Street, 5th Floor Temple Children's Philadelphia, PA 19140 (215) 707-6430 Eremus, Joseph L., MD 002804836

OTORHINOLARYNG OLOGY (ENT) JEFFERSON JJ OTOLARYNGOLOGY ASSOCIATES 002809537 925 Chestnut, 6th Floor Philadelphia, PA 19107 (215) 955-6760 Baker, Adam M., MD Hotaling, Jeffrey M., MD PENN MED UNIV CITY DEPT OF OTORHINOLARYNGOL OGY HNS 002807122 3737 Market Street, 3rd Floor Philadelphia, PA 19104 (215) 829-5180 Hatten, Kyle M., MD Hodnett, Benjamin L., MD Tajudeen, Bobby A., MD PHILADELPHIA ENT SURGICAL ASSOCIATES PC 002804924 2340 E Allegheny Avenue Philadelphia, PA 19134 (215) 423-6670 Rowe, Lee D., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. UNIV OF PENN OTORHINOLARYNGOL OGY 002807122 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2777 Hatten, Kyle M., MD Hodnett, Benjamin L., MD Tajudeen, Bobby A., MD 800 Walnut Street, 18th Floor Philadelphia, PA 19107 (215) 829-5180 Hatten, Kyle M., MD Hodnett, Benjamin L., MD Tajudeen, Bobby A., MD PHYSICAL MEDICINE AND REHABILITATION MOSS REHAB PHYSICAL MEDICINE ASSOCIATES 002805226 1200 West Tabor Road Philadelphia, PA 19141 (215) 456-9470 Pelensky, Jeanne M., MD PCOM OSTEO MANIPULATIVE MED 002812070 4190 City Avenue, Suite 320 Philadelphia, PA 19131 (215) 871-6425 McAuley, Darren C., DO THE INJURY CARE CENTER LLC 002984837 3300 Grant Avenue Philadelphia, PA 19114 (215) 647-9601 Rosin, Eric S., DO

UNIV OF PENN REHABILITATION MEDICINE 002805227 1800 Lombard Street, Ground Floor Philadelphia, PA 19146 (215) 893-2600 Buzanowska, Marzena, MD 3400 Spruce Street, 1 Ground White Building Philadelphia, PA 19104 (215) 662-3261 Buzanowska, Marzena, MD 51 North 39th Street Philadelphia, PA 19104 (215) 662-8928 Buzanowska, Marzena, MD 800 Spruce Street Philadelphia, PA 19107 (215) 829-7923 Buzanowska, Marzena, MD PHYSICAL THERAPIST EDWARD ORUCH 002807184 2 Penn Boulevard, Suite 220 Philadelphia, PA 19144 (215) 848-4444 EXCEL PHYSICAL THERAPY 003115874 250 West Lancaster Ave, Ste 205 Philadelphia, PA 19130 (610) 651-8282 PENUEL DEAN 002811332

P - Preferred pharmacy

2129 Oregon Avenue Philadelphia, PA 19145 (215) 336-6630 TEMPLE EMERGENCY MEDICINE ASSOCIATES 002805311 3401 North Broad Street Philadelphia, PA 19140 (215) 707-2000 WOODLYN PHYSICAL THERAPY INC 002812516 4012 Ridge Ave Philadelphia, PA 19129 (610) 583-1133 PODIATRY ANKLE AND FOOT MEDICAL CENTERS OF THE DELAWARE VALLEY PC 002807530 3801 Market Street, Suite 111 Philadelphia, PA 19104 (215) 662-9563 Ziskowski, Stacy L., DPM DEGOVANN JOHN 002805371 601 Walnut Lane Philadelphia, PA 19128 (215) 487-1510 Degovann, John J., DPM DPMKENTNERPRPA LLC 002818711 1923 Welsh Road Philadelphia, PA 19115 (215) 677-3222 Kentner, Bryan E., DPM FRANKFORD PODIATRY

163

002805393 1546 Pratt Street Philadelphia, PA 19124 (215) 533-8555 Kentner, Bryan E., DPM HEALTH CARE CENTER 4 002805254 4400 Haverford Avenue Philadelphia, PA 19104 (215) 685-7600 Ibanez, Maria T., DPM HEALTH CARE CENTER 4 PEDIATRICS 002805257 4400 Haverford Avenue Philadelphia, PA 19104 (215) 685-7600 Ibanez, Maria T., DPM HYLINSKI JJOSEPH J DPM 002805341 5735 Ridge Avenue, Suite 104 Philadelphia, PA 19128 (215) 482-7966 Hylinski, Joseph H., DPM PHILA DEPT OF PUBLIC HEALTH 002805243 1720 S Broad Street Philadelphia, PA 19145 (215) 685-1843 Ibanez, Maria T., DPM SERENITY FOOT AND ANKLE CTR LL 002821245 624 East Girard Avenue Philadelphia, PA 19125 (215) 425-0211 Ibanez, Maria T., DPM

PSYCHIATRIC SOCIAL WORKER BELMONT CTR FOR COMPRHNSV TRTMNT 003389992 10360 Drummond Road, Suite 6 Philadelphia, PA 19154 (215) 632-6400 Namir, Mika, MSW PSYCHIATRY BELMONT CTR FOR COMPRHNSV TRTMNT 003389992 10360 Drummond Road Philadelphia, PA 19154 (215) 581-3884 Ali, Freddy M., MD CONSORTIUM INC 002989165 137 S 58th St Philadelphia, PA 19139 (215) 495-1792 Chang, Alice G., MD 3751 Island Ave Ste 303 Philadelphia, PA 19153 (215) 596-8100 Chang, Alice G., MD 451 S University Ave Philadelphia, PA 19104 (215) 596-8100 Chang, Alice G., MD Schaefer, Paul M., MD NEUROLOGY ASSOCIATES UNIV OF PENNSYLVANIA 002805105 3400 Spruce Street, 2 Ravdin Philadelphia, PA 19104 (215) 662-3606 Chen, Stephanie H., MD

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 51 N39th Street, 305 Medical Office Building Philadelphia, PA 19104 (215) 662-8570 Chen, Stephanie H., MD

002989047 219 N Broad Street, Floor 7 Philadelphia, PA 19107 (215) 762-6915 Libon, David J., PHD

800 Spruce Street Philadelphia, PA 19107 EILEEN FRANCES BOROWSKI PHD PC (215) 829-6500 Chen, Stephanie H., MD 003386808 1845 Walnut St Ste 945 TEMPLE PSYCHY Philadelphia, PA 19103 ASSOCS (215) 789-6256 002989206 Borowski, Eileen F., 100 E Lehigh Ave, Mab PHD Bldg Ste 105 Philadelphia, PA 19125 GRUNDY, CHRISTOPHER A (215) 707-8496 PSYD Kersun, Jonathan M., 003408658 MD 255 S 17th St Ste 2408 PSYCHOLOGIST Philadelphia, PA 19103 (215) 356-0340 BEGLAU, KAYCEE M Grundy, Christopher A., PSYD PSYD 003398241 128 Chestnut St Ste 304 PULMONARY Philadelphia, PA 19106 DISEASES (267) 702-3678 ALTSHULER Beglau, Kaycee M., GELFAND BENJAMIN PSYD ASSOCIATES LTD BELMONT CTR FOR 002805456 COMPRHNSV TRTMNT 9501 Roosevelt Blvd, 002989174 Suite 208 4200 Monument Rd Philadelphia, PA 19114 Philadelphia, PA 19131 (215) 969-2300 (215) 581-3930 Gelfand, Jonathan L., Bernstein, Brad, PSYD MD BRYCE AMORY CARTER 003398243 1845 Walnut St Ste 2323 Philadelphia, PA 19103 (415) 206-1127 Carter, Bryce A., PHD DREXEL UNIV COLG OFMEDCL

CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC 002822615 2601 Holme Ave Philadelphia, PA 19152 (866) 344-0543 Cowen, Jay S., MD Italiano, Frank T., MD

P - Preferred pharmacy

501 South 54th St Philadelphia, PA 19143 (215) 748-9000 Cowen, Jay S., MD Italiano, Frank T., MD HARRON LUNG CENTER WASHINGTON SQUARE 002807838 800 Walnut Street, Washington Square, 9th Floor Philadelphia, PA 19107 (215) 829-5027 Lugano, Eugene, MD

JJEFFERSON J PULMONARY ASSOC 002807905 834 Walnut Street, Suite 650 Philadelphia, PA 19107 (215) 955-5161 Kavuru, Mani S., MD Manoff, David R., MD PENN JERSEY PULMONARY ASSOC 002805460 8815 Germantown Avenue, Suite 12 Philadelphia, PA 19118 (215) 247-8070 Rosenberg, Scott B., MD 002805461 8815 Germantown Avenue, Suite 12 Philadelphia, PA 19118 (215) 247-8070 Rosenberg, Scott B., MD

RADIATION ONCOLOGY DEPT OF RADIATION ONCOLOGY 002815430 3400 Civic Center Boulevard, Concourse Level Philadelphia, PA 19104 (215) 662-2428 Tochner, Zelig A., MD 3400 Spruce Street Philadelphia, PA 19104 (215) 662-2428 Tochner, Zelig A., MD 800 Sprucestreet Philadelphia, PA 19107 (215) 829-3873 Tochner, Zelig A., MD 8835 Germantown Avenue Philadelphia, PA 19118 (215) 248-8712 Tochner, Zelig A., MD RADONC ASSOC OF FCCC MGI 002822819 333 Cottman Avenue Philadelphia, PA 19111 (215) 728-2570 Chang, Lynn, MD UROLOGIC CONSULTANTS OF SOUTHEASTERN PA 002822091 2301 East Allegheny Ave, Suite 302 Philadelphia, PA 19134 (215) 623-2900 Mehta, Nalini, MD 231 N Broad St, 2nd Floor Philadelphia, PA 19107 (215) 762-3200

164

Mehta, Nalini, MD 5401 Old York Rd, Suite 200 Philadelphia, PA 19141 (215) 456-1177 Mehta, Nalini, MD 7604 Central Avenue, Suite 104 Philadelphia, PA 19111 (215) 745-4130 Mehta, Nalini, MD 9880 Bustleton Avenue, Suite 311 Philadelphia, PA 19115 (215) 677-0667 Mehta, Nalini, MD RADIOLOGY CENTER CITY IMAGING 002808662 1800 Spring Garden Street Philadelphia, PA 19130 (215) 557-0121 PENN MEDICINE UNIVERSITY CITY RADIOLOGY DEPT 7TH FL 002811866 3737 Market Street, 7th Floor Philadelphia, PA 19104 (215) 294-9502 PENN MEDICINE UNIVERSITY CITY RADIOLOGY DEPT 8TH FL 002811866 3737 Market Street, 8th Floor Philadelphia, PA 19104 (215) 294-9522 PRESBYTERIAN RADIOLOGY

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 002811866 51 N 39th Street Philadelphia, PA 19104 (215) 349-5454 RADADVANTAGE A PROFESSIONAL CORPORATION 003322987 10800 Knights Road Philadelphia, PA 19114 (215) 612-4000 4900 Frankford Avenue Philadelphia, PA 19124 (215) 831-2000 5800 Ridge Avenue Philadelphia, PA 19128 (215) 483-9900 REGISTERED DIETICIAN FAMILY FOOD LLC 002821442 1839 Manton St Philadelphia, PA 19146 (800) 203-8657 Boostrom, Amanda L., RD HAUPTMAN FAMILY HEALTH CENTER 002818792 2601 Pennsylvania Ave, Unit CU6 Philadelphia, PA 19130 (215) 564-4880 Richardson, Kianna T., RD KATHERINE MARY MOORE RD 003405842 250 Farragut Street Philadelphia, PA 19139 (610) 756-7724 Moore, Katherine, RD

RETAIL PHARMACIES AMIGOS PHARMACY 3027 Kensington Ave Philadelphia, PA 19134 (215) 426-0250 CENTER APOTHECARY 800 W Moyamensing Ave Philadelphia, PA 19148 (215) 334-1833 E-GLAM PHARMACY II 1412 W Susquehanna Ave Philadelphia, PA 19122 (215) 232-1639 GRACE PHARMACY INC 4040 Market St, Rm 226 Philadelphia, PA 19104 (215) 895-5594

908 Walnut St Philadelphia, PA 19107 (215) 503-1135 KMART PHARMACY 9382 8800 Frankford Ave Philadelphia, PA 19136 (215) 332-5426 LA FAMILIA PHARMACY P 2945 N 5th St Philadelphia, PA 19133 (215) 425-4303 MAGEE PHARMACY P 6604 Frankford Ave Philadelphia, PA 19135 (267) 343-5701 NORTHEAST PHILADELPHIA PHARMACY P 1916 Welsh Rd, Unit 4 Philadelphia, PA 19115 (215) 464-7600

PENNSYLVANIA HOSPITAL OUTPATIENT PHARMACY P 800 Spruce St Philadelphia, PA 19107 (215) 829-5873 WALGREENS #7151 901 Market St Philadelphia, PA 19107 (215) 922-0890 RHEUMATOLOGY DREXEL RHEUMATOLOGY 002807954 219 North Broad Street, 9th Floor Philadelphia, PA 19107 (215) 762-2688 Pappu, Ramesh, MD ROUTINE DENTAL

A 1 FAMILY DENTAL HOSPITAL OF THE CARE PENN MEDICINE AT UNIVERSITY OF 000966248 UNIVERSITY CITYPENNSYLVANIA8539 Bustleton Ave APOTHECARY P PERELMAN Philadelphia, PA 19152 PHARMACY P 3737 Market St, Ground (215) 342-5740 3400 Civic Center Blvd # Floor 101W Philadelphia, PA 19104 Janele L Graziano, DMD Jikyung Park, DDS Philadelphia, PA 19104 (215) 294-9375 Kunal Parikh, DMD (215) 662-6260 PENN PRESBYTERIAN Lyusya R. Badishyan, APOTHECARY P HOSPITAL DMD UNIVERSITY OF 51 North 39th Street, Maral I. Seroon, DMD PENNSYLVANIA 3910 Building Mark B. Hoang, DMD OUTPATIENT Philadelphia, PA 19104 Neha P. Khandhadiya, PHARMACY P (215) 662-9496 DDS 3400 Spruce St, Ramesh M. Shah, DDS PENN PRESBYTERIAN Basement Silverstern Philadelphia, PA 19104 MEDICAL CENTER003188714 PHARMACY P (215) 662-2920 8355 Loretto Ave, Ste 51 N 39th St 104 JJEFFERSON J Philadelphia, PA 19104 Philadelphia, PA 19152 PHARMACY - WALNUT (215) 662-9494 ST. P (215) 342-5750 Janele L Graziano, DMD Jikyung Park, DDS

P - Preferred pharmacy

165

Kunal Parikh, DMD Lyusya R. Badishyan, DMD Maral I. Seroon, DMD Mark B. Hoang, DMD Neha P. Khandhadiya, DDS Ramesh M. Shah, DDS ELIOT S. WEITZ, DDS 000060058 12401 Academy Rd, Ste 214 Philadelphia, PA 19154 (215) 824-2762 Eliot S. Weitz, DDS PEDIATRIC DENTAL ASSOCIATES LTD 000978237 6404 Roosevelt Blvd Philadelphia, PA 19149 (215) 743-3700 Joana Lastres, DMD 000990762 3509 N Broad St, Fl 6 Philadelphia, PA 19140 (215) 707-6411 Joana Lastres, DMD 003185208 2301 E Allegheny Ave, Ste 201 Philadelphia, PA 19134 (215) 282-8000 Joana Lastres, DMD ROUTINE VISION DR. JACOB PARKER 8595 Bustleton Ave Philadelphia, PA 19152 (215) 722-1133 Parker, Jacob, OD DREXEL UNIVERSITY DEPARTMENT OF OPHTHALMOLOGY

THE FOLLOWING PROVIDERS AND PHARMACIES HAVE LEFT THE KEYSTONE 65 SELECT HMO NETWORK. 219 N Broad St 3rd Fl Philadelphia, PA 19107 (215) 762-3937 Orkubi, Ghada A., MD EYE CANDY VISION 218 S 20th St Philadelphia, PA 19103 (215) 568-3937 Bernstein, Ariann, OD MAYFAIR EYE ASSOC 6921 Frankford Ave, Suite D Philadelphia, PA 19135 (215) 624-0416 Luna, Rossana, OD SALUS UNIVERSITY 3300 Henry Ave, Ste 104 Philadelphia, PA 19129 (215) 276-6111 Ezumi, Hitomi, OD Luna, Rossana, OD Rivera, Giezel M., OD THE EYE INSTITUTE 1200 W Godfrey Ave Philadelphia, PA 19141 (215) 276-6000 Ezumi, Hitomi, OD Luna, Rossana, OD Rivera, Giezel M., OD 7630 Germantown Ave Philadelphia, PA 19118 (215) 276-6000 Ezumi, Hitomi, OD Luna, Rossana, OD Rivera, Giezel M., OD VISIONWORKS 2118 Cottman Ave, Ste 8 Philadelphia, PA 19149 (215) 725-1209 Witt, Irene M., OD

3586 Aramingo Ave Philadelphia, PA 19134 (215) 535-4264 Witt, Irene M., OD

THORACIC SURGERY

TEMPLE CARDIOTHORACIC SURGERY SLEEP DISORDER ASSOCIATES DIAGNOSTIC 002804855 CENTER 3509 North Broad St PHILADELPHIA SLEEP Philadelphia, PA 19140 CENTER (215) 707-8484 002802735 Shiose, Akira, MD 2324 South Broad Street Philadelphia, PA 19145 7500 Central Avenue, Jeanes Physicians (215) 952-0752 Building Suite 2 SPEECH THERAPIST Philadelphia, PA 19111 (215) 214-4100 EFFECTIVE Shiose, Akira, MD COMMUNICATION SOLUTIONS THOR SURG ASSOC 002817577 OF FCCC MGI 125 N 8th St, Ste 1R 002822827 Philadelphia, PA 19106 333 Cottman Avenue Philadelphia, PA 19111 (215) 613-6523 Ardonetto, Giovanna F., (215) 728-2570 MS Shah, Prashant C., MD Saul, Lauren R., MA THORACIC SURGERY ASSOCIATES FCCC SPORTS MEDICINE 002805624 CHILDRENS 333 Cottman Avenue SURGICAL Philadelphia, PA 19111 ASSOCIATES LTD (215) 728-2570 002809721 Shah, Prashant C., MD 3401 Civic Center Blvd Philadelphia, PA 19104 UROLOGY (215) 590-1527 CHILDRENS Goodman, Arlene M., SURGICAL MD ASSOCIATES LTD 002809715 3401 Civic Center Boulevard, First Floor Wood Philadelphia, PA 19104 (215) 590-2754 Snyder, III, Howard M., MD UNIV OF PENN UROLOGY

P - Preferred pharmacy

166

002804934 3400 Civic Center Boulevard Philadelphia, PA 19104 (215) 662-2891 Yezdani, Mona, MD 51 N 39th Street Philadelphia, PA 19104 (215) 662-2891 Yezdani, Mona, MD 800 Walnut Street, 19th Floor Philadelphia, PA 19107 (215) 829-3409 Yezdani, Mona, MD UROLOGIC CONSULTANTS OF SOUTHEASTERN PA LLP 002818075 2301 East Allegheny Ave, Ste 302 Philadelphia, PA 19134 (215) 623-2900 Weissman, Joel M., MD 231 N Broad Street, 2nd Floor Philadelphia, PA 19107 (215) 762-3200 Weissman, Joel M., MD 5401 Old York Road, Suite 200 Philadelphia, PA 19141 (215) 456-1177 Weissman, Joel M., MD 9880 Bustleton Avenue, Suite 311 Philadelphia, PA 19115 (215) 677-0667 Weissman, Joel M., MD

VASCULAR SURGERY DELAWARE VALLEY NEPHROLOGY AND HYPERTENSION ASSOCIATES PC 003172845 10 E Moreland Ave, Ste 100 Philadelphia, PA 19118 (267) 385-5538 Jen, James, MD