RMH LBH Prime EPO Specialist Network€¦ · 28/01/2014  · RMH_LBH Prime EPO Specialist Network Y...

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RMH_LBH Prime EPO Specialist Network FACILITY REGION PRIME HOSP BASED PHYS Y/N PHYSICIAN TYPE SPECIALTY SUB-SPECIALTY GENDER FIRST NAME LAST NAME TITLE GROUP NAME OFFICE ADDRESS CITY STATE ZIP OFFICE PHONE FAX NUMBER LBH BUC N SP Allergy & Immunology Asthma Diagnosis & Treatment Plan M Rajan Kavikumar MD Allergy & Asthma Care, P.C. 130 Almshouse Rd., Ste. 105 Richboro PA 18954 (215) 364-3688 (215) 364-1035 LBH BUC N SP Allergy & Immunology Asthma Diagnosis & Treatment Plan M Rajan Kavikumar MD Allergy & Asthma Care, P.C. 10125 Verree Rd., Ste 106 Philadelphia PA 19116 (215) 676-0999 (215) 676-6025 LBH BUC N SP Allergy & Immunology Asthma Diagnosis & Treatment Plan M Norman Koven MD Allergy & Asthma Care, P.C. 130 Almshouse Rd., Ste. 105 Richboro PA 18954 (215) 364-3688 (215) 364-1035 LBH BUC N SP Allergy & Immunology Asthma Diagnosis & Treatment Plan M Norman Koven MD Allergy & Asthma Care, P.C. 10125 Verree Rd., Ste 106 Philadelphia PA 19116 (215) 676-0999 (215) 676-6025 LBH BUC N SP Allergy & Immunology Asthma Diagnosis & Treatment Plan M John Kuryan MD Allergy & Asthma Care, P.C. 130 Almshouse Rd., Ste. 105 Richboro PA 18954 (215) 364-3688 (215) 364-1035 LBH BUC N SP Allergy & Immunology Asthma Diagnosis & Treatment Plan M John Kuryan MD Allergy & Asthma Care, P.C. 10125 Verree Rd., Ste 106 Philadelphia PA 19116 (215) 676-0999 (215) 676-6025 LBH BUC N SP Allergy & Immunology Asthma Diagnosis & Treatment Plan M Steven Smith MD Allergy & Asthma Care, P.C. 130 Almshouse Rd., Ste. 105 Richboro PA 18954 (215) 364-3688 (215) 364-1035 LBH BUC N SP Allergy & Immunology Asthma Diagnosis & Treatment Plan M Steven Smith MD Allergy & Asthma Care, P.C. 10125 Verree Rd., Ste 106 Philadelphia PA 19116 (215) 676-0999 (215) 676-6025 LBH BUC N SP Anesthesiology Affiliated with Bucks Cnty GI Endoscopic Surgical Cntr, LLC & Gastroenterologists Lmtd Woodbourne Anesthesia PC Woodbourne Anesthesia PC Woodbourne Anesthesia PC 1339 Woodbourne Rd. Levittown PA 19057 (215) 547-3441 (215) 547-7172 LBH BUC N SP Anesthesiology Affiliated with Clinical Gastrointestinal Assoc & Endoscopy Cntr of Bucks County Delaware Valley Anesthesia Associates Delaware Valley Anesthesia Associates Delaware Valley Anesthesia Associates 333 N Oxford Valley Rd., Ste. 510 Fairless Hills PA 19030 (215) 785-0145 (215) 785-0161 LBH BUC N SP Anesthesiology Affiliated with Clinical Gastrointestinal Assoc & Endoscopy Cntr of Bucks County Delaware Valley Anesthesia Associates Delaware Valley Anesthesia Associates Delaware Valley Anesthesia Associates 2760 Century Blvd. Wyomissing PA 19610 (610) 376-9607 (610) 676-9662 LBH BUC Y SP Anesthesiology F Lana Ankin DO Liberty Anesthesia Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945 LBH BUC Y SP Anesthesiology M Matthew Bellow DO Liberty Anesthesia Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945 LBH BUC Y SP Anesthesiology M George Chacko MD Liberty Anesthesia Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945 LBH BUC Y SP Anesthesiology F Preeti Joshi MD Liberty Anesthesia Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945 LBH BUC Y SP Anesthesiology M Felix Kremer MD Liberty Anesthesia Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945 LBH BUC Y SP Anesthesiology M James Li MD Liberty Anesthesia Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945 LBH BUC Y SP Anesthesiology F Lakshmi Murthy MD Liberty Anesthesia Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945 LBH BUC Y SP Anesthesiology M Peter Ning MD Liberty Anesthesia Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945 LBH BUC Y SP Anesthesiology M Fred Rosenblum MD Liberty Anesthesia Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945 LBH BUC Y SP Behavioral Health Unit-In Pt Psychiatry M Ranjan Sinhan MD LBH Behavioral Health Unit-In Pt 501 Bath Rd., Ste. 201 Bristol PA 19007 (215) 785-9898 (215) 785-9032 LBH BUC Y SP Behavioral Health Unit- Out Pt Psychiatry F Rajani Patel MD LBH Behavioral Health Unit-Out Pt 501 Bath Rd., Ste. 201 Bristol PA 19007 (215) 785-9005 (215) 785-9098 *Not accepting ne/w patients **Provider Contract accessible only if approved by Prime UR ***Last updated 01/28/2014 1 of 30

Transcript of RMH LBH Prime EPO Specialist Network€¦ · 28/01/2014  · RMH_LBH Prime EPO Specialist Network Y...

Page 1: RMH LBH Prime EPO Specialist Network€¦ · 28/01/2014  · RMH_LBH Prime EPO Specialist Network Y N D E S E Y E E Y E IP R LBH BUC Y SP Cardiovascular Disease Internal Medicine

RMH_LBH Prime EPO Specialist Network

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LBH BUC N SP Allergy & Immunology

Asthma Diagnosis &

Treatment Plan M Rajan Kavikumar MD

Allergy & Asthma Care,

P.C.

130 Almshouse Rd., Ste.

105 Richboro PA 18954 (215) 364-3688 (215) 364-1035

LBH BUC N SP Allergy & Immunology

Asthma Diagnosis &

Treatment Plan M Rajan Kavikumar MD

Allergy & Asthma Care,

P.C.

10125 Verree Rd., Ste

106 Philadelphia PA 19116 (215) 676-0999 (215) 676-6025

LBH BUC N SP Allergy & Immunology

Asthma Diagnosis &

Treatment Plan M Norman Koven MD

Allergy & Asthma Care,

P.C.

130 Almshouse Rd., Ste.

105 Richboro PA 18954 (215) 364-3688 (215) 364-1035

LBH BUC N SP Allergy & Immunology

Asthma Diagnosis &

Treatment Plan M Norman Koven MD

Allergy & Asthma Care,

P.C.

10125 Verree Rd., Ste

106 Philadelphia PA 19116 (215) 676-0999 (215) 676-6025

LBH BUC N SP Allergy & Immunology

Asthma Diagnosis &

Treatment Plan M John Kuryan MD

Allergy & Asthma Care,

P.C.

130 Almshouse Rd., Ste.

105 Richboro PA 18954 (215) 364-3688 (215) 364-1035

LBH BUC N SP Allergy & Immunology

Asthma Diagnosis &

Treatment Plan M John Kuryan MD

Allergy & Asthma Care,

P.C.

10125 Verree Rd., Ste

106 Philadelphia PA 19116 (215) 676-0999 (215) 676-6025

LBH BUC N SP Allergy & Immunology

Asthma Diagnosis &

Treatment Plan M Steven Smith MD

Allergy & Asthma Care,

P.C.

130 Almshouse Rd., Ste.

105 Richboro PA 18954 (215) 364-3688 (215) 364-1035

LBH BUC N SP Allergy & Immunology

Asthma Diagnosis &

Treatment Plan M Steven Smith MD

Allergy & Asthma Care,

P.C.

10125 Verree Rd., Ste

106 Philadelphia PA 19116 (215) 676-0999 (215) 676-6025

LBH BUC N SP Anesthesiology

Affiliated with Bucks Cnty

GI Endoscopic Surgical

Cntr, LLC &

Gastroenterologists Lmtd

Woodbourne

Anesthesia PC

Woodbourne

Anesthesia PC

Woodbourne Anesthesia

PC 1339 Woodbourne Rd. Levittown PA 19057 (215) 547-3441 (215) 547-7172

LBH BUC N SP Anesthesiology

Affiliated with Clinical

Gastrointestinal Assoc &

Endoscopy Cntr of Bucks

County

Delaware Valley

Anesthesia

Associates

Delaware Valley

Anesthesia

Associates

Delaware Valley

Anesthesia Associates

333 N Oxford Valley Rd.,

Ste. 510 Fairless Hills PA 19030 (215) 785-0145 (215) 785-0161

LBH BUC N SP Anesthesiology

Affiliated with Clinical

Gastrointestinal Assoc &

Endoscopy Cntr of Bucks

County

Delaware Valley

Anesthesia

Associates

Delaware Valley

Anesthesia

Associates

Delaware Valley

Anesthesia Associates 2760 Century Blvd. Wyomissing PA 19610 (610) 376-9607 (610) 676-9662

LBH BUC Y SP Anesthesiology F Lana Ankin DO

Liberty Anesthesia

Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945

LBH BUC Y SP Anesthesiology M Matthew Bellow DO

Liberty Anesthesia

Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945

LBH BUC Y SP Anesthesiology M George Chacko MD

Liberty Anesthesia

Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945

LBH BUC Y SP Anesthesiology F Preeti Joshi MD

Liberty Anesthesia

Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945

LBH BUC Y SP Anesthesiology M Felix Kremer MD

Liberty Anesthesia

Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945

LBH BUC Y SP Anesthesiology M James Li MD

Liberty Anesthesia

Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945

LBH BUC Y SP Anesthesiology F Lakshmi Murthy MD

Liberty Anesthesia

Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945

LBH BUC Y SP Anesthesiology M Peter Ning MD

Liberty Anesthesia

Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945

LBH BUC Y SP Anesthesiology M Fred Rosenblum MD

Liberty Anesthesia

Associates, P.C. 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945

LBH BUC Y SP

Behavioral Health Unit-In

Pt Psychiatry M Ranjan Sinhan MD

LBH Behavioral Health

Unit-In Pt 501 Bath Rd., Ste. 201 Bristol PA 19007 (215) 785-9898 (215) 785-9032

LBH BUC Y SP

Behavioral Health Unit-

Out Pt Psychiatry F Rajani Patel MD

LBH Behavioral Health

Unit-Out Pt 501 Bath Rd., Ste. 201 Bristol PA 19007 (215) 785-9005 (215) 785-9098

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 1 of 30

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Cardiovascular & Thoracic

Surgery M Anil Deshpande MD

Delaware Valley

Cardiovascular Surgical

Associates, PC

1203 Langhorne-

Newtown Rd., Ste. 226 Langhorne PA 19047 (215) 752-3330 (215) 752-3036

LBH BUC Y SP

Cardiovascular & Thoracic

Surgery M Jose Maquilan MD

Delaware Valley

Cardiovascular Surgical

Associates, PC

1203 Langhorne-

Newtown Rd., Ste. 226 Langhorne PA 19047 (215) 752-3330 (215) 752-3036

LBH BUC Y SP

Cardiovascular & Thoracic

Surgery M Todd Nixon MD

Delaware Valley

Cardiovascular Surgical

Associates, PC

1203 Langhorne-

Newtown Rd., Ste. 226 Langhorne PA 19047 (215) 752-3330 (215) 752-3036

LBH BUC Y SP

Cardiovascular & Thoracic

Surgery M Haji Shariff MD

Delaware Valley

Cardiovascular Surgical

Associates, PC

1203 Langhorne-

Newtown Rd., Ste. 226 Langhorne PA 19047 (215) 752-3330 (215) 752-3036

LBH BUC Y SP/PC Cardiovascular Disease Internal Medicine M Mukund Sheth

MD,

FACP

Shriji Medical Associates,

PC 5335 Castor Ave. Philadelphia PA 19124 (215) 288-1200 (215) 288-6607

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Kevin Furey DO

Cardiology Consultants of

Philadelphia, PC-Yardley

301 Oxford Valley Rd.,

Ste. 901 A&B Yardley PA 19067 (215) 321-7400 (215) 321-6803

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Kevin Furey DO

Cardiology Consultants of

Philadelphia, PC-Bristol

100 Green Lne., Ste. 3

(and Farragut) Bristol PA 19007 (215) 788-2011 (215) 781-1975

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Steven Goldberg DO

Cardiology Consultants of

Philadelphia, PC-Yardley

301 Oxford Valley Rd.,

Ste. 901 A&B Yardley PA 19067 (215) 321-7400 (215) 321-6803

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Steven Goldberg DO

Cardiology Consultants of

Philadelphia, PC-Bristol

100 Green Lne., Ste. 3

(and Farragut) Bristol PA 19007 (215) 788-2011 (215) 781-1975

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Paul Grena DO

Cardiology Consultants of

Philadelphia, PC-Yardley

301 Oxford Valley Rd.,

Ste. 901 A&B Yardley PA 19067 (215) 321-7400 (215) 321-6803

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Paul Grena DO

Cardiology Consultants of

Philadelphia, PC-Bristol

100 Green Lne., Ste. 3

(and Farragut) Bristol PA 19007 (215) 788-2011 (215) 781-1975

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Christopher Schulze DO

Cardiology Consultants of

Philadelphia, PC-Yardley

301 Oxford Valley Rd.,

Ste. 901 A&B Yardley PA 19067 (215) 321-7400 (215) 321-6803

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Christopher Schulze DO

Cardiology Consultants of

Philadelphia, PC-Bristol

100 Green Lne., Ste. 3

(and Farragut) Bristol PA 19007 (215) 788-2011 (215) 781-1975

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Samuel Stever DO

Cardiology Consultants of

Philadelphia, PC-Yardley

301 Oxford Valley Rd.,

Ste. 901 A&B Yardley PA 19067 (215) 321-7400 (215) 321-6803

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 2 of 30

Page 3: RMH LBH Prime EPO Specialist Network€¦ · 28/01/2014  · RMH_LBH Prime EPO Specialist Network Y N D E S E Y E E Y E IP R LBH BUC Y SP Cardiovascular Disease Internal Medicine

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LBH BUC Y SP Cardiovascular Disease Internal Medicine M Samuel Stever DO

Cardiology Consultants of

Philadelphia, PC-Bristol

100 Green Lne., Ste. 3

(and Farragut) Bristol PA 19007 (215) 788-2011 (215) 781-1975

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Clifford Strauss DO

Cardiology Consultants of

Philadelphia, PC-Yardley

301 Oxford Valley Rd.,

Ste. 901 A&B Yardley PA 19067 (215) 321-7400 (215) 321-6803

LBH BUC Y SP Cardiovascular Disease Internal Medicine M Clifford Strauss DO

Cardiology Consultants of

Philadelphia, PC-Bristol

100 Green Lne., Ste. 3

(and Farragut) Bristol PA 19007 (215) 788-2011 (215) 781-1975

LBH BUC Y SP Cardiovascular Disease Vascular Surgery M Ramesh Adiraju MD

RENU-CA Research

Institute 501 Bath Rd Bristol PA 19007 (215) 785-9578 (215) 785-9579

LBH BUC Y SP Cardiovascular Disease M Srinivas Atri MD

Oxford Valley Cardiology

Association

370 Middletown Blvd.,

Ste. 510, Oxford Square Langhorne PA 19047 (215) 750-6566 (215) 750-7288

LBH BUC Y SP Cardiovascular Disease M Roberto Carvajal MD

Heart Care Associates of

Bucks County PC

240 Middletown Blvd.

Ste. 201 Langhorne PA 19047 (215) 752-9950 (215) 752-9974

LBH BUC Y SP Cardiovascular Disease M Sabu George MD Bristol Cardiology, PC 234 Mill St. Bristol PA 19007 (215) 785-5100 (215) 785-5101

LBH BUC Y SP Cardiovascular Disease M Syed Hussain MD

Heart Care Associates of

Bucks County PC

240 Middletown Blvd.

Ste. 201 Langhorne PA 19047 (215) 752-9950 (215) 752-9974

LBH BUC Y SP Cardiovascular Disease M Binkukumar Kansupada MD

Heart Care Associates of

Bucks County PC

240 Middletown Blvd.

Ste. 201 Langhorne PA 19047 (215) 752-9950 (215) 752-9974

LBH BUC Y SP Cardiovascular Disease M Mohammed Murtaza MD

Oxford Valley Cardiology

Association

370 Middletown Blvd.,

Ste. 510, Oxford Square Langhorne PA 19047 (215) 750-6566 (215) 750-7288

LBH BUC Y SP Cardiovascular Disease M Mrugesh Patel MD

Heart Care Associates of

Bucks County PC

240 Middletown Blvd.

Ste. 201 Langhorne PA 19047 (215) 752-9950 (215) 752-9974

LBH BUC Y SP Cardiovascular Disease M Ranga Rao MD

Oxford Valley Cardiology

Association

370 Middletown Blvd.,

Ste. 510, Oxford Square Langhorne PA 19047 (215) 750-6566 (215) 750-7288

LBH BUC Y SP Cardiovascular Disease M Rajnikant Shah MD

Heart Care Associates of

Bucks County PC

240 Middletown Blvd.

Ste. 201 Langhorne PA 19047 (215) 752-9950 (215) 752-9974

LBH BUC N SP Chiropractor M Jerry Agasar DC

Bucks County Wellness

Centre

121 Friends Lane, Ste.

100 Newtown PA 18940 (215) 968-1661 (215) 968-7722

LBH BUC N SP Chiropractor M Denise Chranowski DC

Bucks County Wellness

Centre

121 Friends Lane, Ste.

100 Newtown PA 18940 (215) 968-1661 (215) 968-7722

LBH BUC N SP Chiropractor F Janet Costello-Wolf DC

Janet M Costello-Wolf

D.C. 14 Market Plce. New Hope PA 18938 (215) 862-1400 (215) 862-6851

LBH BUC N SP Chiropractor M Dane Donohue DC

Bucks County Wellness

Centre

121 Friends Lane, Ste.

100 Newtown PA 18940 (215) 968-1661 (215) 968-7722

LBH BUC N SP Chiropractor M William (Tony) Gardner DC

Gardner Family

Chiropractic

225 Lincoln Hwy., Ste.

140 Fairless Hills PA 19030 (215) 547-1977 (215) 547-1375

LBH BUC N SP Chiropractor M August Polino DC Delran Chiropractic PA 3001 Bridgeboro Rd. Delran NJ 08070 (856) 461-6262 (856) 461-7798

LBH BUC N SP Chiropractor M Jason Polino DC Delran Chiropractic PA 3001 Bridgeboro Rd. Delran NJ 08070 (856) 461-6262 (856) 461-7798

LBH BUC N SP Chiropractor M David Ramella DC David J. Ramella, D.C.

1609 Woodbourne Rd.,

Ste. 201B, Woodbourne

Campus Levittown PA 19057 (215) 945-2100 (215) 945-2192

LBH BUC N SP Chiropractor M John Sinibaldi DC Delran Chiropractic PA 3001 Bridgeboro Rd. Delran NJ 08070 (856) 461-6262 (856) 461-7798

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 3 of 30

Page 4: RMH LBH Prime EPO Specialist Network€¦ · 28/01/2014  · RMH_LBH Prime EPO Specialist Network Y N D E S E Y E E Y E IP R LBH BUC Y SP Cardiovascular Disease Internal Medicine

RMH_LBH Prime EPO Specialist Network

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LBH BUC N SP Dermatology F Germaine Camishion MD

Moorestown

Dermatology Associates,

P.A.

702 E Main St.

Triangle Medical Arts

Bldg. Moorestown NJ

08057-

3079 (856) 235-6565 (856) 235-6566

LBH BUC N SP Dietitian Nutritionist & RN F Leah Frazee RD

Integrated Nutrition

Therapy L.L.C

385 Oxford Valley Rd.,

Ste. 320-C Yardley PA 19067 (609) 642-1442 (609) 642-1438LBH BUC N SP Dietitian Nutritionist & RN F Susan Rago RD Transcend HealthCare 205 Radcliffe St. Bristol PA 19007 (267) 540-3204 (215) 434-7015LBH BUC N SP Dietitian Nutritionist & RN F Susan Rago RD Transcend HealthCare 100 Green Lne, Ste. B Bristol PA 19007 (267) 540-3204 (215) 434-7015

LBH BUC N SP Dietitian Nutritionist & RN F Susan Rago RD Transcend HealthCare

3554 Hulmeville Rd., Ste.

101 Bensalem PA 19020 (267) 540-3204 (215) 434-7015

LBH BUC N SP

Durable Medical

Equipment (DME) &

Supplies

DME & Orthotic Braces,

Orthotics, Bone

Stimulator Don Joy, LLC Don Joy, LLC Don Joy, LLC 1430 Decision St. Vista CA 92081 (800) 336-6569 (800) 936-6569

LBH BUC N SP

Durable Medical

Equipment (DME) &

Supplies

Electrical Stimulation and

other Orthopedic devices

i.e. TENS

EMPI Recovery

Sciences

EMPI Recovery

Sciences EMPI Recovery Sciences 1430 Decision St. Vista CA 92081 (800) 336-6569 (800) 936-6569

LBH BUC N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic

265 Fernwood Ave.

Parkside Ctr Raritan Ctr Edison NJ 08837 (723) 417-0480 (723) 417-4490

LBH BUC N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic 5100 Belmar Blvd. Farmingdale NJ 07727 (732) 919-7774 (723) 919-0188

LBH BUC N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic 210 New Rd., Ste. 7 Linwood NJ 08221 (609) 653-8323 (609) 653-4295

LBH BUC N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic 703 Mill Creek Rd., Ste. L Manahawkin NJ 08050 (732) 528-3393 (732) 528-9783

LBH BUC N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic

140 Route 17 North, Ste.

115 Paramus NJ 07652 (201) 225-9025 (201) 225-9030

LBH BUC N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic 201 White Horse Rd. Voorhees NJ 08043 (856) 309-0709 (856) 309-2499

LBH BUC N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic 59 Main St. West Orange NJ 07052 (973) 736-0628 (973) 736-1640

LBH BUC Y SP ENT-Otolaryngologist M Brad Millman MD

Ear, Nose and Throat and

Allergy Associates

1336 Bristol Pike, Ste.

201 Bensalem PA 19020 (215) 639-3911 (215) 639-5292

LBH BUC N SP

Gastroenterology

Specialist

Affiliated with Ambulatory

Endoscopic Surgical Cntr

of Bucks Cnty M Andrew Fanelli DO

Regional Gastrointestinal

Consultants of Bucks

County

301 Oxford Valley Rd.,

Ste. 804 Yardley PA 19067 (215) 321-4700 (215) 321-9008

LBH BUC Y SP

Gastroenterology

Specialist

Affiliated with Endoscopy

Cntr of Bucks Cnty &

Delaware Valley

Anesthesia Assoc F Kristin Braun MD

Clinical Gastrointestinal

Associates

1 Cornerstone Dr., Ste.

300 Langhorne PA 19047 (215) 891-9400 (215) 891-9361

LBH BUC Y SP

Gastroenterology

Specialist

Affiliated with Endoscopy

Cntr of Bucks Cnty &

Delaware Valley

Anesthesia Assoc F Joseph Corvasce MD

Clinical Gastrointestinal

Associates

1 Cornerstone Dr., Ste.

300 Langhorne PA 19047 (215) 891-9400 (215) 891-9361

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 4 of 30

Page 5: RMH LBH Prime EPO Specialist Network€¦ · 28/01/2014  · RMH_LBH Prime EPO Specialist Network Y N D E S E Y E E Y E IP R LBH BUC Y SP Cardiovascular Disease Internal Medicine

RMH_LBH Prime EPO Specialist Network

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LBH BUC Y SP

Gastroenterology

Specialist

Affiliated with Endoscopy

Cntr of Bucks Cnty &

Delaware Valley

Anesthesia Assoc M Pawan Sahu MD

Clinical Gastrointestinal

Associates

1 Cornerstone Dr., Ste.

300 Langhorne PA 19047 (215) 891-9400 (215) 891-9361

LBH BUC N SP

Gastroenterology

Specialist

Affiliated with

Woodbourne Anesthesia

PC & Bucks Cnty GI

Endoscopic Surgical Cntr,

LLC M Elliott Frank MD Gastroenterologists LTD 1339 Woodbourne Rd. Levittown PA 19057 (215) 547-3441 (215) 547-7172

LBH BUC N SP

Gastroenterology

Specialist

Affiliated with

Woodbourne Anesthesia

PC & Bucks Cnty GI

Endoscopic Surgical Cntr,

LLC M Robert Goldstein MD Gastroenterologists LTD 1339 Woodbourne Rd. Levittown PA 19057 (215) 547-3441 (215) 547-7172

LBH BUC N SP

Gastroenterology

Specialist F Kimberly Bidwell CRNP

Bucks County

Gastroenterology

Associates, P.C.

301 Oxford Valley Rd.,

Ste. 701 Yardley PA 19067 (215) 321-7221 (215) 321-9109

LBH BUC N SP

Gastroenterology

Specialist M James Bohning MD

Bucks County

Gastroenterology

Associates, P.C.

301 Oxford Valley Rd.,

Ste. 701 Yardley PA 19067 (215) 321-7221 (215) 321-9109

LBH BUC N SP

Gastroenterology

Specialist M Kenneth Breslin MD

Bucks County

Gastroenterology

Associates, P.C.

301 Oxford Valley Rd.,

Ste. 701 Yardley PA 19067 (215) 321-7221 (215) 321-9109

LBH BUC Y SP

Gastroenterology

Specialist M Radhakrishna Kalakuntla

MD,

PC

Radhukrishna Kalakuntla,

MD 1950 Street Rd., Ste. 200 Bensalem PA 19020 (215) 244-1455 (215) 244-1855

LBH BUC N SP

Gastroenterology

Specialist F Jyothi Mekapati MD

Bucks County

Gastroenterology

Associates, P.C.

301 Oxford Valley Rd.,

Ste. 701 Yardley PA 19067 (215) 321-7221 (215) 321-9109

LBH BUC N SP

Gastroenterology

Specialist M David Popper MD

Bucks County

Gastroenterology

Associates, P.C.

301 Oxford Valley Rd.,

Ste. 701 Yardley PA 19067 (215) 321-7221 (215) 321-9109

LBH BUC N SP

Gastroenterology

Specialist M Stephen Rafelson MD

Bucks County

Gastroenterology

Associates, P.C.

301 Oxford Valley Rd.,

Ste. 701 Yardley PA 19067 (215) 321-7221 (215) 321-9109

LBH BUC Y SP General Surgery

Cardiovascular & Thoracic

Surgery M Uday Kunte MD

Delaware Valley

Cardiovascular Surgical

Associates, PC

1203 Langhorne-

Newtown Rd., Ste. 226 Langhorne PA 19047 (215) 752-3330 (215) 752-3036

LBH BUC Y SP General Surgery M Joseph Bednarek MD Joseph M Bednarek, MD 501 Bath Rd., Ste. 208 Bristol PA 19007 (215) 781-9300 (215) 781-9359

LBH BUC Y SP General Surgery M Joseph Bednarek MD Joseph M Bednarek, MD 2407 E Allegheny Ave. Philadelphia PA 19134 (215) 739-2121 (215) 739-2121

LBH BUC Y SP General Surgery M Mark Rayner MD Mark E Rayner, MD

240 Middletown., Ste.

201 Langhorne PA 19047 (215) 752-1333 (215) 752-1334

LBH BUC N SP Geriatric Medicine M Joseph Kipp MD

The Village at Newtown

Medical Center 11 Friends Lane, Ste. 101 Newtown PA 18940 (215) 579-1300 (215) 579-0150

LBH BUC N SP GI Surgery Center

Affiliated with Clinical

Gastrointestinal Assoc &

Delaware Valley

Anesthesia Assoc

Endoscopy Center of

Bucks County, LP

Endoscopy Center

of Bucks County,

LP

Endoscopy Center of

Bucks County, LP

790 Newtown Yardley

Rd., Ste. 415 Newtown PA 18940 (215) 579-2004 (215) 579-6999

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 5 of 30

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LBH BUC N SP GI Surgery Center

Affiliated with Regional

Gastrointestinal

Consultants of Bucks

County M Andrew Fanelli DO

Ambulatory Endoscopic

Surgical Center of Bucks

County

301 Oxford Valley Rd.,

Ste. 804 Yardley PA 19067 (215) 321-4700 (215) 321-9008

LBH BUC N SP GI Surgery Center

Affiliated with

Woodbourne Anesthesia

PC & Gastroenterologists

Lmtd

Bucks County GI

Endoscopic Surgical

Center, LLC

Bucks County GI

Endoscopic

Surgical Center,

LLC

Bucks County GI

Endoscopic Surgical

Center, LLC 1339 Woodbourne Rd. Levittown PA 19057 (215) 547-3441 (215) 547-7172

LBH BUC N SP/PC Gynecology M Eugene Andruczyk DO

Eugene Andruczyk, DO

LLC

9501 Roosevelt Blvd.,

Ste. 404 Philadelphia PA 19114 (215) 464-4800 (215) 247-6883

LBH BUC Y SP Hematology & Oncology Internal Medicine M Michael Guttman MD Michael Guttman, MD

1400 Veteran's Highway,

Ste. 105-106 Levittown PA 19056 (215) 752-5501 (215) 752-0679

LBH BUC Y SP Home Health Care SN-HH, SN, HH, PT, OT, ST LBH Home Health LBH Home Health LBH Home Health 501 Bath Rd. Bristol PA 19007 (215) 785-9300 (215) 785-9173

LBH BUC Y SP Hospitalist

Internal Medicine,

Hospice & Palliative

Medicine M Sanjay Bhatia MD

Mercer Bucks Medical

Associates, PC 501 Bath Rd. Bristol PA 19007 (215) 785-9200 (215) 785-9024

LBH BUC Y SP Hyperbaric Medicine Under Sea Therapy M Peter Molle DO

LBH Physician Group-

Hyperbaric Medicine-Out-

Pt 501 Bath Rd. Bristol PA 19007 (215) 785-9797 (215) 785-9624

LBH BUC Y SP Nephrology Hypertension M Muhammad Anis MD

Nephrology &

Hypertension Associates

PC

240 Middletown Blvd.,

Ste. 200 Langhorne PA 19047 (215) 757-5772 (215) 575-5494

LBH BUC Y SP Nephrology Hypertension M Christopher Frankel MD

Nephrology &

Hypertension Associates

PC

240 Middletown Blvd.,

Ste. 200 Langhorne PA 19047 (215) 757-5772 (215) 575-5494

LBH BUC Y SP Nephrology Hypertension M Gregory Zollner MD

Nephrology &

Hypertension Associates

PC

240 Middletown Blvd.,

Ste. 200 Langhorne PA 19047 (215) 757-5772 (215) 575-5494

LBH BUC Y SP Nephrology

Hypertension, Internal

Medicine M Sushmitha Gandra MD

Nephrology &

Hypertension Associates

PC

240 Middletown Blvd.,

Ste. 200 Langhorne PA 19047 (215) 757-5772 (215) 575-5494

LBH BUC Y SP Neurology EMG M Luis Pearlstein DO

Neurologic and Headache

Associates

3070 Bristol Pike, Ste.

124 Bensalem PA 19020 (215) 245-0272 (215) 244-1005

LBH BUC Y SP Neurology M Ronny Antelo MD

Neurologic Diagnostics

P.C. 501 Bath Rd., Ste. 211 Bristol PA 19007 (215) 785-9750 (215) 785-9906

LBH BUC Y SP/PC Obstetrics & Gynecology F Traci Cook DO

Women's Specialists of

Bucks County, P.C.

1203 Langhorne-

Newtown Rd., Ste. 225

St Clare Bldg Newtown PA 19047 (215) 752-7773 (215) 752-7779

LBH BUC Y SP/PC Obstetrics & Gynecology M Eugene Draganosky MD Buck's County OBGYN 105 Floral Vale Blvd. Yardley PA 19067 (215) 497-4975 (215) 497-4971

LBH BUC Y SP/PC Obstetrics & Gynecology M Aaron Hasiuk MD

Bucks County Women's

Healthcare, Inc 501 Bath Rd., Ste. 202 Bristol PA 19007 (215) 785-9272 (215) 785-9825

LBH BUC Y SP/PC Obstetrics & Gynecology F Jesmin Mitra MD

Women's Specialists of

Bucks County, P.C.

1203 Langhorne-

Newtown Rd., Ste. 225

St Clare Bldg Newtown PA 19047 (215) 752-7773 (215) 752-7779

LBH BUC Y SP/PC Obstetrics & Gynecology M Anil Nerurkar MD

Women's Specialists of

Bucks County, P.C.

1203 Langhorne-

Newtown Rd., Ste. 225

St Clare Bldg Langhorne PA 19047 (215) 752-7773 (215) 752-7779

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 6 of 30

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LBH BUC Y SP/PC Obstetrics & Gynecology M Jay Rothberg MD

Women's Specialists of

Bucks County, P.C.

1203 Langhorne-

Newtown Rd., Ste. 225

St Clare Bldg Langhorne PA 19047 (215) 752-7773 (215) 752-7779

LBH BUC Y SP/PC Obstetrics & Gynecology M Christopher Sliwinski MD Buck's County OBGYN 105 Floral Vale Blvd. Yardley PA 19067 (215) 497-4975 (215) 497-4971

LBH BUC Y SP/PC Obstetrics & Gynecology M Stanley Sliwinski MD Buck's County OBGYN 105 Floral Vale Blvd. Yardley PA 19067 (215) 497-4975 (215) 497-4971

LBH BUC Y SP/PC Obstetrics & Gynecology M Jerrold Snyder DO

Women's Specialists of

Bucks County, P.C.

1203 Langhorne-

Newtown Rd., Ste. 225

St Clare Bldg Langhorne PA 19047 (215) 752-7773 (215) 752-7779

LBH BUC Y SP/PC Obstetrics & Gynecology M Richard Turner DO

Women's Specialists of

Bucks County, P.C.

1203 Langhorne-

Newtown Rd., Ste. 225

St Clare Bldg Newtown PA 19047 (215) 752-7773 (215) 752-7779

LBH BUC N SP Ophthalmology

Cataract & Oculoplastic

surgeries, LASIK refractive

surgery, M Francis Clark MD

Ophthalmology

Physicians & Surgeons, PC 331 N Yord Rd. Hatboro PA 19040 (215) 672-4300 (215) 672-9524

LBH BUC Y SP Ophthalmology

Refractive, Lasik &

Cataract Surgery,

Glaucoma & Anterior

Segent, Diabetic

Procedures, Keratoconus

(INTACS), Multifocal IOL,

ICL F Aaila Chaudhry MD I.C. Laser Eye Care 3046 Knights Rd. Bensalem PA 19020 (215) 639-4500 (215) 604-0355

LBH BUC Y SP Ophthalmology

Refractive, Lasik &

Cataract Surgery,

Glaucoma & Anterior

Segent, Diabetic

Procedures, Keratoconus

(INTACS), Multifocal IOL,

ICL F Aaila Chaudhry MD I.C. Laser Eye Care 1725 Klockner Rd. Hamilton NJ 08690 (609) 586-6700

LBH BUC Y SP Ophthalmology

Refractive, Lasik &

Cataract Surgery,

Glaucoma & Anterior

Segent, Diabetic

Procedures, Keratoconus

(INTACS), Multifocal IOL,

ICL M Iftikhar Chaudhry MD I.C. Laser Eye Care 3046 Knights Rd. Bensalem PA 19020 (215) 639-4500 (215) 604-0355

LBH BUC Y SP Ophthalmology

Refractive, Lasik &

Cataract Surgery,

Glaucoma & Anterior

Segent, Diabetic

Procedures, Keratoconus

(INTACS), Multifocal IOL,

ICL M Iftikhar Chaudhry MD I.C. Laser Eye Care 1725 Klockner Rd. Hamilton NJ 08690 (609) 586-6700

LBH BUC Y SP Ophthalmology

Refractive, Lasik &

Cataract Surgery,

Glaucoma & Anterior

Segent, Diabetic

Procedures, Keratoconus

(INTACS), Multifocal IOL,

ICL M Imtiaz Chaudhry MD I.C. Laser Eye Care 3046 Knights Rd. Bensalem PA 19020 (215) 639-4500 (215) 604-0355

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 7 of 30

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LBH BUC Y SP Ophthalmology

Refractive, Lasik &

Cataract Surgery,

Glaucoma & Anterior

Segent, Diabetic

Procedures, Keratoconus

(INTACS), Multifocal IOL,

ICL M Imtiaz Chaudhry MD I.C. Laser Eye Care 1725 Klockner Rd. Hamilton NJ 08690 (609) 586-6700

LBH BUC Y SP Ophthalmology

Small Incision Cataract &

Glaucoma Management M David Pao MD

Ophthalmology

Physicians & Surgeons, PC

1609 Woodbourne Rd.

Woodbourne Campus Levittown PA 19057 (215) 547-1818 (215) 547-5174

LBH BUC N SP Ophthalmology M Joseph DeVenuto Jr MD Joseph J DeVenuto Jr MD 329 Lincoln Hwy. Fairless Hills PA 19030 (215) 945-0200 (215) 945-2424LBH BUC N SP Ophthalmology M Paul Ezell MD Century Eye Care LTD 216 Mill St. Bristol PA 19007 (215) 781-2020 (215) 785-1230

LBH BUC N SP Ophthalmology M Paul Ezell MD Century Eye Care LTD

670 Woodbourne Rd.,

Ste. 200 Langhorne PA 19047(215) 781-2020 (215) 785-1230

LBH BUC N SP Ophthalmology M Scott Fudemberg MD Century Eye Care LTD 216 Mill St. Bristol PA 19007 (215) 781-2020 (215) 785-1230

LBH BUC N SP Ophthalmology M Scott Fudemberg MD Century Eye Care LTD

670 Woodbourne Rd.,

Ste. 200 Langhorne PA 19047(215) 781-2020 (215) 785-1230

LBH BUC Y SP Ophthalmology M Paul Keenan JR MD Century Eye Care LTD 216 Mill St. Bristol PA 19007 (215) 781-2020 (215) 785-1230

LBH BUC Y SP Ophthalmology M Paul Keenan JR MD Century Eye Care LTD

670 Woodbourne Rd.,

Ste. 200 Langhorne PA 19047(215) 781-2020 (215) 785-1230

LBH BUC Y SP Ophthalmology M Anthony Mannarino MD Century Eye Care LTD 216 Mill St. Bristol PA 19007 (215) 781-2020 (215) 785-1230

LBH BUC Y SP Ophthalmology M Anthony Mannarino MD Century Eye Care LTD

670 Woodbourne Rd.,

Ste. 200 Langhorne PA 19047(215) 781-2020 (215) 785-1230

LBH BUC N SP Ophthalmology M Anand Mantravadi MD Century Eye Care LTD 216 Mill St. Bristol PA 19007 (215) 781-2020 (215) 785-1230

LBH BUC N SP Ophthalmology M Anand Mantravadi MD Century Eye Care LTD

670 Woodbourne Rd.,

Ste. 200 Langhorne PA 19047(215) 781-2020 (215) 785-1230

LBH BUC Y SP Ophthalmology M Mark Montag MD Century Eye Care LTD 216 Mill St. Bristol PA 19007 (215) 781-2020 (215) 785-1230

LBH BUC Y SP Ophthalmology M Mark Montag MD Century Eye Care LTD

670 Woodbourne Rd.,

Ste. 200 Langhorne PA 19047(215) 781-2020 (215) 785-1230

LBH BUC N SP Ophthalmology M Jayrag Patel MD Century Eye Care LTD 216 Mill St. Bristol PA 19007 (215) 781-2020 (215) 785-1230

LBH BUC N SP Ophthalmology M Jayrag Patel MD Century Eye Care LTD

670 Woodbourne Rd.,

Ste. 200 Langhorne PA 19047(215) 781-2020 (215) 785-1230

LBH BUC N SP Ophthalmology M Jon Peet MD

Ophthalmology

Physicians & Surgeons, PC

1609 Woodbourne Rd.

Woodbourne Campus Levittown PA 19057 (215) 547-1818 (215) 547-5174

LBH BUC N SP Optometrist Low Vison Rehabilitation M Arthur Siegel OD Century Eye Care LTD 216 Mill St. Bristol PA 19007(215) 781-2020 (215) 785-1230

LBH BUC N SP Optometrist Low Vison Rehabilitation M Arthur Siegel OD Century Eye Care LTD

670 Woodbourne Rd.,

Ste. 200 Langhorne PA 19047(215) 781-2020 (215) 785-1230

LBH BUC N SP Optometrist M Thomas Phillips ODPC

Dr. Phillips Eye Care

Center 179 York Rd. Warminster PA 18974 (215) 674-2020 (215) 674-4323LBH BUC N SP Optometrist M Ihor Zalipsky OD Century Eye Care LTD 216 Mill St. Bristol PA 19007 (215) 781-2020 (215) 785-1230

LBH BUC N SP Optometrist M Ihor Zalipsky OD Century Eye Care LTD

670 Woodbourne Rd.,

Ste. 200 Langhorne PA 19047(215) 781-2020 (215) 785-1230

LBH BUC Y SP Orthopaedic Surgery M Karl Helmold MD

Lower Bucks Ortho Group-

DBA-Advanced Specialty

Physicians Group 501 Bath Rd. 2nd Flr Bristol PA 19007 (215) 785-9788 (215) 785-9057

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 8 of 30

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LBH BUC Y SP Orthopaedic Surgery M Carl Simons MD

Lower Bucks Ortho Group-

DBA-Advanced Specialty

Physicians Group 501 Bath Rd. 2nd Flr Bristol PA 19007 (215) 785-9788 (215) 785-9057

LBH BUC Y SP Orthopaedic Surgery F Kim Clabbers MD

Lower Bucks Ortho Group-

DBA-Advanced Specialty

Physicians Group 501 Bath Rd. 2nd Flr Bristol PA 19007 (215) 785-9788 (215) 785-9057

LBH BUC Y SP Out Pt-PT & OT

Ortho & Sports Med, Surg

& Non Surg Shoulder,

Spine & Lower extrm, Non

surg elbw, Wrist & Hand

condtn, Sprains & Strains.

LBH Physical

Therapy

LBH Physical

Therapy LBH Physical Therapy 501 Bath Rd. Bristol PA 19007 (215) 785-9300 (215) 785-9173

LBH BUC Y SP Pain Medicine Anesthesiology F Anju Madnani MD

Oxford Valley Pain and

Spine Center, Inc

370 Middletown Blvd.,

Ste. 508, Oxford Square Langhorne PA 19047 (215) 741-4410 (215) 741-4470

LBH BUC Y SP Pain Medicine Interventional Medicine M Sanjay Madnani MD

Oxford Valley Pain and

Spine Center, Inc

370 Middletown Blvd.,

Ste. 508, Oxford Square Langhorne PA 19047 (215) 741-4410 (215) 741-4470

LBH BUC Y SP Pain Medicine

Rehabilitation &

Occupational Medicine M Dennis Bonner MD

Rehabilitation &

Occupational Specialists 1854 Veterans Hwy Levittown PA 19056 (215) 752-1600 (215) 750-7328

LBH BUC Y SP Pain Medicine

Rehabilitation &

Occupational Medicine M Dennis Bonner MD

Rehabilitation &

Occupational Specialists

2804 South Hampton

Rd., Ste 2804 Philadelphia PA 19154 (215) 644-0930 (215) 677-3266

LBH BUC N SP

Pain Medicine-Surgery

Center Surgery Center/Clinic

Oxford Valley Pain

and Surgical Center,

Inc

Oxford Valley Pain

and Surgical

Center, Inc

Oxford Valley Pain and

Surgical Center, Inc

310 Middletown Blvd.,

Ste. 200 Langhorne PA 19047 (215) 741-4410 (215) 741-4470

LBH BUC Y SP Pathology Anatomical Pathology F Tatyana Chernova MD

LBH Physician Group-

Pathology Department-

Out-Pt 501 Bath Rd. Bristol PA 19007 (215) 785-9300 (215) 785-9173

LBH BUC Y SP Pathology Anatomical Pathology M Sang Song MD

LBH Physician Group-

Pathology Department-

Out-Pt 501 Bath Rd. Bristol PA 19007 (215) 785-9300 (215) 785-9173

LBH BUC Y SP

Physical Medicine and

Rehabilitation M Stephen Masceri MD Stephen Masceri, MD 2422 Bristol Rd. Bensalem PA 19020 (215) 750-9060 (215) 752-9708

LBH BUC Y SP

Physical Medicine and

Rehabilitation F Xia Wang MD

Advanced Rehabiliation

Specialists

240 Middletown Blvd.,

Ste. 201 Langhorne PA 19047 (215) 750-2344 (215) 355-4315

LBH BUC Y SP

Plastic & Reconstructive

Surgery

Hand, Head & Neck

Surgery M Jaykumar Patel MD Jay Patel, MD 501 Bath Rd., Ste. 208 Bristol PA 19007 (215) 785-9890 (215) 785-9987

LBH BUC Y SP

Plastic & Reconstructive

Surgery M Amitabha Mitra MD

Hahnemann Center for

Plastic Cosmetic and

Hand Surgery 231 N Broad St., Ste. 300 Philadelphia PA 19107 (215) 557-7227 (215) 557-7384

LBH BUC Y SP Plastic Surgery M Benjamin Lam DO

Bucks County Plastic

Surgery

104 Pheasant Run, Ste.

123 Newtown PA 18940 (215) 702-8600 (215) 633-3480

LBH BUC Y SP Podiatrist Foot & Ankle Surgery F Teresa Propato DPM

Newtown Podiatry

Associates

770 Newtown-Yadley

Rd., Ste. 215 Newtown PA 18940 (215) 968-8700 (215) 968-8700

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 9 of 30

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LBH BUC Y SP Podiatrist Foot & Ankle Surgery F Teresa Propato DPM

Newtown Podiatry

Associates 115 Mill St. Bristol PA 19007 (215) 788-0888 (215) 788-0880

LBH BUC Y SP Podiatrist Foot & Ankle Surgery M Paul Sullivan DPM Dr. Paul Sullivan 135 Bridgeboro St. Riverside NJ 08075 (856) 461-2360 (856) 685-7193

LBH BUC Y SP Podiatrist Foot Surgery M Fred Birnbaum DPM

Bensalem Podiatry

Associates 1950 Street Rd., Ste. 101 Bensalem PA 19020 (215) 245-0873 (215) 245-4011

LBH BUC Y SP Podiatrist

Primary Podiatric

Medicine M Mark Burton DPM Mark Burton DPM PC 603-604 Floral Vale Blvd. Yardley PA 19067 (215) 504-9266 (215) 504-8373

LBH BUC Y SP Podiatrist F Leslie Baeza DPM

Advanced Care Podiatry,

LLC 3046 Knights Rd. Bensalem PA 19020 (215) 639-4500 (215) 604-0355

LBH BUC N SP Podiatrist F Aisha Chaudhry DPM

Advanced Care Podiatry,

LLC 3046 Knights Rd. Bensalem PA 19020 (215) 639-4500 (215) 604-0355

LBH BUC Y SP Podiatrist M Michael Lynde DPM

Newtown Podiatry

Associates

770 Newtown-Yadley

Rd., Ste. 215 Newtown PA 18940 (215) 968-8700 (215) 968-8700

LBH BUC Y SP Podiatrist M Michael Lynde DPM

Newtown Podiatry

Associates 115 Mill St. Bristol PA 19007 (215) 788-0888 (215) 788-0880

LBH BUC Y SP Podiatrist M Gregory Parker DPM Gregory E Parker, DPM 101 Corporate Dr., Ste. E Langhorne PA 19047 (215) 504-1330 (215) 504-4417

LBH BUC N SP Psychologist-Clinical

Behavioral Health,

Individual Therapy

Whitemarsh

Behavioral

Healthcare, Inc

Whitemarsh

Behavioral

Healthcare, Inc

Whitemarsh Behavioral

Healthcare, Inc 600 Germantown Pke Lafayette Hills PA 19444 (610) 825-4450 (610) 941-5532

LBH BUC N SP Psychotherapy F Veronica Owens MD Veronica A Owens PH.D

One Oxford Valley, Ste.

813 2300 E Lincoln

Highway Langhorne PA 19047 (215) 741-1345 (609) 239-8974

LBH BUC Y SP Pulmonary Disease Internal Medicine M Bruce Dershaw MD

Institute for Respiratory

& Sleep Medicine 501 Bath Rd., Ste. 217 Bristol PA 19007 (215) 785-9500 (215) 785-9470

LBH BUC Y SP Pulmonary Disease Internal Medicine M Bruce Dershaw MD

Institute for Respiratory

& Sleep Medicine

1205 Langhorne-

Newtown Rd., Ste. 301 Langhorne PA 19047 (215) 757-1414 (215) 757-0604

LBH BUC Y SP Pulmonary Disease Internal Medicine M Bruce Dershaw MD

Institute for Respiratory

& Sleep Medicine

2630 Holme Ave., Ste.

104 Philadelphia PA 19136 (215) 332-9095 (215) 333-8903

LBH BUC Y SP Pulmonary Disease Internal Medicine M Rudolf Khusid MD

Institute for Respiratory

& Sleep Medicine 501 Bath Rd., Ste. 217 Bristol PA 19007 (215) 785-9500 (215) 785-9470

LBH BUC Y SP Pulmonary Disease Internal Medicine M Rudolf Khusid MD

Institute for Respiratory

& Sleep Medicine

1205 Langhorne-

Newtown Rd., Ste. 301 Langhorne PA 19047 (215) 757-1414 (215) 757-0604

LBH BUC Y SP Pulmonary Disease Internal Medicine M Rudolf Khusid MD

Institute for Respiratory

& Sleep Medicine

2630 Holme Ave., Ste.

104 Philadelphia PA 19136 (215) 332-9095 (215) 333-8903

LBH BUC Y SP Pulmonary Disease Internal Medicine M Howard Lee MD

Institute for Respiratory

& Sleep Medicine 501 Bath Rd., Ste. 217 Bristol PA 19007 (215) 785-9500 (215) 785-9470

LBH BUC Y SP Pulmonary Disease Internal Medicine M Howard Lee MD

Institute for Respiratory

& Sleep Medicine

1205 Langhorne-

Newtown Rd., Ste. 301 Langhorne PA 19047 (215) 757-1414 (215) 757-0604

LBH BUC Y SP Pulmonary Disease Internal Medicine M Howard Lee MD

Institute for Respiratory

& Sleep Medicine

2630 Holme Ave., Ste.

104 Philadelphia PA 19136 (215) 332-9095 (215) 333-8903

LBH BUC Y SP Pulmonary Disease Internal Medicine M John Mahan MD

Institute for Respiratory

& Sleep Medicine 501 Bath Rd., Ste. 217 Bristol PA 19007 (215) 785-9500 (215) 785-9470

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 10 of 30

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LBH BUC Y SP Pulmonary Disease Internal Medicine M John Mahan MD

Institute for Respiratory

& Sleep Medicine

1205 Langhorne-

Newtown Rd., Ste. 301 Langhorne PA 19047 (215) 757-1414 (215) 757-0604

LBH BUC Y SP Pulmonary Disease Internal Medicine M John Mahan MD

Institute for Respiratory

& Sleep Medicine

2630 Holme Ave., Ste.

104 Philadelphia PA 19136 (215) 332-9095 (215) 333-8903

LBH BUC Y SP Pulmonary Disease Internal Medicine M Peter Serpico DO

Institute for Respiratory

& Sleep Medicine 501 Bath Rd., Ste. 217 Bristol PA 19007 (215) 785-9500 (215) 785-9470

LBH BUC Y SP Pulmonary Disease Internal Medicine M Peter Serpico DO

Institute for Respiratory

& Sleep Medicine

1205 Langhorne-

Newtown Rd., Ste. 301 Langhorne PA 19047 (215) 757-1414 (215) 757-0604

LBH BUC Y SP Pulmonary Disease Internal Medicine M Peter Serpico DO

Institute for Respiratory

& Sleep Medicine

2630 Holme Ave., Ste.

104 Philadelphia PA 19136 (215) 332-9095 (215) 333-8903

LBH BUC Y SP Pulmonary Disease Internal Medicine M Richard Shusterman MD

Institute for Respiratory

& Sleep Medicine 501 Bath Rd., Ste. 217 Bristol PA 19007 (215) 785-9500 (215) 785-9470

LBH BUC Y SP Pulmonary Disease Internal Medicine M Richard Shusterman MD

Institute for Respiratory

& Sleep Medicine

1205 Langhorne-

Newtown Rd., Ste. 301 Langhorne PA 19047 (215) 757-1414 (215) 757-0604

LBH BUC Y SP Pulmonary Disease Internal Medicine M Richard Shusterman MD

Institute for Respiratory

& Sleep Medicine

2630 Holme Ave., Ste.

104 Philadelphia PA 19136 (215) 332-9095 (215) 333-8903

LBH BUC Y SP Radiology

LBH Radiology Assoc -

Out-Pt

LBH Radiology

Assoc -Out-Pt

LBH Radiology Associates -

Out-Pt 501 Bath Rd. Bristol PA 19007 (215) 785-9944 (215) 785-9945

LBH BUC N SP Rheumatology Internal Medicine M Bruce Hoffman MD The Arthritis Group 7908 Bustleton Ave. Philadelphia PA 19152 (215) 725-7400 (215) 725-5827

LBH BUC N SP Rheumatology Internal Medicine M Bruce Hoffman MD The Arthritis Group

1201 Langhorne-

Newtown, Ste. 408 Langhorne PA 19047 (215) 725-7400 (215) 725-5827

LBH BUC N SP Rheumatology Internal Medicine F Jill Johnson MD The Arthritis Group 7908 Bustleton Ave. Philadelphia PA 19152 (215) 725-7400 (215) 725-5827

LBH BUC N SP Rheumatology Internal Medicine F Jill Johnson MD The Arthritis Group

1201 Langhorne-

Newtown, Ste. 408 Philadelphia PA 19152 (215) 725-7400 (215) 725-5827

LBH BUC N SP Rheumatology Internal Medicine M James Neal Moskowitz MD The Arthritis Group 7908 Bustleton Ave. Philadelphia PA 19152 (215) 725-7400 (215) 725-5827

LBH BUC N SP Rheumatology Internal Medicine M James Neal Moskowitz MD The Arthritis Group

1201 Langhorne-

Newtown, Ste. 408 Langhorne PA 19047 (215) 725-7400 (215) 725-5827

LBH BUC Y SP Rheumatology Internal Medicine M James Udell MD The Arthritis Group

1201 Langhorne-

Newtown, Ste. 408 Langhorne PA 19047 (215) 725-7400 (215) 725-5827

LBH BUC Y SP Rheumatology Internal Medicine M James Udell MD The Arthritis Group 7908 Bustleton Ave. Philadelphia PA 19152 (215) 725-7400 (215) 725-5827

LBH BUC Y SP Rheumatology F Angela Jannelli MD Angela F. Jannelli, MD

1609 Woodbourne Rd.

Ste. 302B, Woodbourne

Campus Levittown PA 19057 (215) 945-1313 (215) 945-4277

LBH BUC Y SP Urology M Ashish Behari MD

Urology Care Alliance

DBA Bucks County

Urology

825 Town Cntr Blvd., Ste.

150 Langhorne PA 19047 (215) 750-6510 (215) 741-6322

LBH BUC Y SP Urology M Drew Hecht DO

Urology Care Alliance

DBA Bucks County

Urology

825 Town Cntr Blvd., Ste.

150 Langhorne PA 19047 (215) 750-6510 (215) 741-6322

LBH BUC Y SP Urology M Ravi Rajan MD

Urology Care Alliance

DBA Bucks County

Urology

825 Town Cntr Blvd., Ste.

150 Langhorne PA 19047 (215) 750-6510 (215) 741-6322

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 11 of 30

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LBH BUC Y SP Urology M Christopher Schaefer DO

Urology Care Alliance

DBA Bucks County

Urology

825 Town Cntr Blvd., Ste.

150 Langhorne PA 19047 (215) 750-6510 (215) 741-6322

LBH BUC Y SP Wound Care Surgery M Federico Peguero MD

LBH Physician Group-

Wound Care Center-Out-

Pt 501 Bath Rd. Bristol PA 19007 (215) 785-9650 (215) 785-9734

RMH PHILA N SP Allergy & Immunology F Carol Actor* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

525 Jamestown Ave.,

Ste. 205 Philadelphia PA 19128 (215) 487-7200 (215) 487-7201

RMH PHILA N SP Allergy & Immunology F Carol Actor* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

825 Old Lancaster Rd.,

Ste. 300 Bryn Mawr PA 19010 (610) 520-0900 (610) 520-0920

RMH PHILA N SP Allergy & Immunology F Carol Actor* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

5 Sunny Brook Dr., Ste.

300 Pottstown PA 19464 (610) 326-3600 (610) 326-4466

RMH PHILA N SP Allergy & Immunology F Carol Actor* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

342 W Germantown

Pike., Ste. 310 East Norriton PA 19403 (610) 415-1100 (610) 415-1101

RMH PHILA N SP Allergy & Immunology F Carol Actor* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 301 City Ave. Bala Cynwyd PA 19004 (610) 415-1100 (610) 415-1101

RMH PHILA N SP Allergy & Immunology F Carol Actor* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 826 Main St., Ste. 201 Phoenixville PA 19460 (610) 415-1100 (610) 415-1101

RMH PHILA N SP

Behavioral Health Unit-In

Pt Psychology M Berry Bell PHD

Prime Healthcare

Services-Roxborough

Providers LLC-Behavioral

Health-In-PT 5800 Ridge Ave. Philadelphia PA 19128 (215) 483-9900

RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease F Maribel Hernandez MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts

100 E Lancaster Ave.,

Ste. 556

Lankenau MOB East Wynnewood PA 19096 (610) 649-6980 (610) 649-6990

RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease F Maribel Hernandez MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts

965 Baltimore Pike, Ste.

2B Springfield PA 19064 (610) 649-6980 (610) 649-6990

RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease M Steven Rothman MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts

100 E Lancaster Ave.,

Ste. 556

Lankenau MOB East Wynnewood PA 19096 (610) 649-6980 (610) 649-6990

RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease M Steven Rothman MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts 1100 Hector St., Ste. 105

Conshohocke

n PA 19428 (610) 828-2608 (610) 828-0102

RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease F Kar-Lai Wong MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts

100 E Lancaster Ave.,

Ste. 556

Lankenau MOB East Wynnewood PA 19096 (610) 649-6980 (610) 649-6990

RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease F Kar-Lai Wong MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts 121 N 9th St. Philadelphia PA 19107 (215) 629-8862 (215) 629-8867

RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease M Gan-Xin Yan MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts

100 E Lancaster Ave.,

Ste. 556

Lankenau MOB East Wynnewood PA 19096 (610) 649-6980 (610) 649-6990

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 12 of 30

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RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease M Douglas Esberg MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts

100 E Lancaster Ave.,

Ste. 556

Lankenau MOB East Wynnewood PA 19096 (610) 649-6980 (610) 649-6990

RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease M Douglas Esberg MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts 7114 Ridge Ave. Philadelphia PA 19128 (610) 649-6980 (610) 649-6990

RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease M Dusan Kocovic MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts

100 E Lancaster Ave.,

Ste. 556

Lankenau MOB East Wynnewood PA 19096 (610) 649-6980 (610) 649-6990

RMH PHILA N SP Cardiac-Electrophysiology Cardiovascular Disease M Peter Kowey MD

Main Line Healthcare

dba MLHC Cardio-

Arrhythmia Consltnts

100 E Lancaster Ave.,

Ste. 556

Lankenau MOB East Wynnewood PA 19096 (610) 649-6980 (610) 649-6990

RMH PHILA N SP

Cardiovascular & Thoracic

Surgery M Francis Ferdinand MD

Main Line Healthcare

dba MLHC Lankenau

Heart Group

100 E Lancaster Ave.,

Ste. 280

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 896-9255 (610) 896-1947

RMH PHILA N SP

Cardiovascular & Thoracic

Surgery M Scott Goldman MD

Main Line Healthcare

dba MLHC

Cardiothoracic Surgeons

100 E Lancaster Ave.,

Ste. 280

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 896-9255 (610) 896-1947

RMH PHILA N SP

Cardiovascular & Thoracic

Surgery M Roberto Rodriguez MD

Main Line Healthcare

dba MLHC

Cardiothoracic Surgeons

100 E Lancaster Ave.,

Ste. 280

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 896-9255 (610) 896-1947

RMH PHILA N SP

Cardiovascular & Thoracic

Surgery M Louis Samuels MD

Main Line Healthcare

dba MLHC

Cardiothoracic Surgeons

100 E Lancaster Ave.,

Ste. 280

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 896-9255 (610) 896-1947

RMH PHILA N SP

Cardiovascular & Thoracic

Surgery M Louis Samuels MD

Main Line Healthcare

dba MLHC

Cardiothoracic Surgeons

255 W Lancaster Ave.,

Ste. 239

Paoli Hosp MOB III Paoli PA 19301 (484) 565-8167 (610) 560-8168

RMH PHILA N SP

Cardiovascular & Thoracic

Surgery M Louis Samuels MD

Main Line Healthcare

dba MLHC

Cardiothoracic Surgeons

830 Old Lancaster Rd.,

Ste. 210

Bryn Mawr Hosp, MOB

North Bryn Mawr PA 19010 (610) 527-1600 (610) 527-1082

RMH PHILA N SP

Cardiovascular & Thoracic

Surgery M Michael Strong MD

Main Line Healthcare

dba MLHC

Cardiothoracic Surgeons

100 E Lancaster Ave.,

Ste. 280

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 896-9255 (610) 896-1947

RMH PHILA N SP

Cardiovascular & Thoracic

Surgery M Francis Sutter MD

Main Line Healthcare

dba MLHC

Cardiothoracic Surgeons

100 E Lancaster Ave.,

Ste. 280

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 896-9255 (610) 896-1947

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 13 of 30

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RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Manoj Khandelwal MD

Harvard Cardiovascular

Inc. 362 Sprague Rd. Penn Valley PA 19072 (609) 922-8258

RMH PHILA N SP Cardiovascular Disease Cardiac CT Angiography M Thomas Phiambolis MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA N SP Cardiovascular Disease Cardiac CT Angiography M Thomas Phiambolis MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 375

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 896-4646 (610) 896-3768

RMH PHILA Y SP Cardiovascular Disease

Clinical Cardiac-

Electrophysiology,

Internal Medicine M Scott Hessen MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP North

Broad 227 N Broad St., Ste. 200 Philadelphia PA 19107 (215) 564-3050 (215) 564-3398

RMH PHILA Y SP Cardiovascular Disease

Clinical Cardiac-

Electrophysiology,

Internal Medicine M Scott Hessen MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP

Penn Cardiology CCP

Spruce St.,

Garfield Duncan Bldg.,

700 Spruce St., Ste. 507 Philadelphia PA 19106 (267) 479-4180 (215) 873-0201

RMH PHILA Y SP Cardiovascular Disease

Clinical Cardiac-

Electrophysiology,

Internal Medicine M Suman Jaswal MD

Cardiology Consultants of

Philadelphia, PC-

Roxborough

525 Jamestown Ave.,

Ste. 108 Philadelphia PA 19128 (215) 482-1607 (215) 482-3768

RMH PHILA Y SP Cardiovascular Disease

Clinical Cardiac-

Electrophysiology,

Internal Medicine M Suman Jaswal MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP

Penn Cardiology CCP

Spruce St.,

Garfield Duncan Bldg.,

700 Spruce St., Ste. 507 Philadelphia PA 19106 (267) 479-4180 (215) 873-0201

RMH PHILA Y SP Cardiovascular Disease

Clinical Cardiac-

Electrophysiology,

Internal Medicine M Suman Jaswal MD

Cardiology Consultants of

Philadelphia, PC-Cottman

700 Cottman Ave., Ste.

102 Philadelphia PA 19148 (215) 745-4100 (215) 745-9565

RMH PHILA N SP Cardiovascular Disease

Echocardiography, Nuc-

Cardio M Jason Bradley MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA N SP Cardiovascular Disease

Echocardiography, Nuc-

Cardio M Steven Domsky MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA Y SP Cardiovascular Disease

Echocardiography, Nuc-

Cardio F Erin O'Malley Tysko MD

Main Line Healthcare

dba MLHC Cardiology in

Roxborough 7114 Ridge Ave. Philadelphia PA 19128 (215) 298-5000 (215) 298-5001

RMH PHILA N SP Cardiovascular Disease

Echocardiography, Nuc-

Cardio M Jeffrey Wuhl MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA N SP Cardiovascular Disease

Echocardiography, Nuc-

Cardio M Jeffrey Wuhl MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 375

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 896-4646 (610) 896-3768

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 14 of 30

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RMH PHILA Y SP Cardiovascular Disease

Electrophysiology,

Internal Medicine M Suman Jaswal MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP South

Broad 1703 S Broad St., 3rd Fl Philadelphia PA 19148 (215) 463-5333 (215) 463-8085

RMH PHILA Y SP Cardiovascular Disease

Electrophysiology,

Internal Medicine M Suman Jaswal MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP Oregon-

Nestico 1809-13 Oregon Ave. Philadelphia PA 19145 (215) 389-3890 (215) 551-0368

RMH PHILA N SP Cardiovascular Disease

Heart Failure/Transplant

Cardiology M Christopher Droogan MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA N SP Cardiovascular Disease Internal Medicine M Robert Belasco MD

Cardiology Consultants of

Philadelphia, PC-

Roxborough

525 Jamestown Ave.,

Ste. 108 Philadelphia PA 19128 (215) 482-1607 (215) 482-3768

RMH PHILA N SP Cardiovascular Disease Internal Medicine M Robert Belasco MD

Cardiology Consultants of

Philadelphia, PC-

Collegeville 555 2nd Ave., B100 Collegeville PA 19426 (610) 831-0300 (610) 831-1334

RMH PHILA N SP Cardiovascular Disease Internal Medicine M Robert Belasco MD

Cardiology Consultants of

Philadelphia, PC-East

Norriton

609 W Germantown

Pike, Ste. 120 East Norriton PA 19403 (610) 279-1370 (610) 279-1372

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Howard Cobert MD

Cardiology Consultants of

Philadelphia, PC-Cottman

700 Cottman Ave., Ste.

102 Philadelphia PA 19111 (215) 745-4100 (215) 745-9565

RMH PHILA Y SP Cardiovascular Disease Internal Medicine F Veronica Covalesky MD

Cardiology Consultants of

Philadelphia, PC-

Roxborough

525 Jamestown Ave.,

Ste. 108 Philadelphia PA 19128 (215) 482-1607 (215) 482-3768

RMH PHILA Y SP Cardiovascular Disease Internal Medicine F Veronica Covalesky MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP South

Broad 1703 S Broad St., 3rd Fl Philadelphia PA 19148 (215) 463-5333 (215) 463-8085

RMH PHILA Y SP Cardiovascular Disease Internal Medicine F Veronica Covalesky MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP

Penn Cardiology CCP

Spruce St.,

Garfield Duncan Bldg.,

700 Spruce St., Ste. 507 Philadelphia PA 19106 (267) 479-4180 (215) 873-0201

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Scott Fredd MD

Cardiology Consultants of

Philadelphia, PC-Blue Bell

676 DeKalb Pike., Ste.

101 Blue Bell PA 19422 (610) 279-7696 (610) 279-7782

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Scott Fredd MD

Cardiology Consultants of

Philadelphia, PC-East

Norriton

609 W Germantown

Pike, Ste. 120 East Norriton PA 19403 (610) 279-1370 (610) 279-1372

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 15 of 30

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RMH PHILA Y SP Cardiovascular Disease Internal Medicine F Santosh Gupta-Bala MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP North

Broad 227 N Broad St., Ste. 200 Philadelphia PA 19107 (215) 564-3050 (215) 564-3398

RMH PHILA Y SP Cardiovascular Disease Internal Medicine F Santosh Gupta-Bala MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP

Penn Cardiology CCP

Spruce St.,

Garfield Duncan Bldg.,

700 Spruce St., Ste. 507 Philadelphia PA 19107 (215) 479-4180 (215) 873-0201

RMH PHILA Y SP Cardiovascular Disease Internal Medicine F Santosh Gupta-Bala MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP South

Broad 1703 S Broad St., 3rd Fl Philadelphia PA 19148 (215) 463-5333 (215) 463-8085

RMH PHILA N SP Cardiovascular Disease Internal Medicine M Albert Janke DO

Cardiology Consultants of

Philadelphia, PC-East

Norriton

609 W Germantown

Pike, Ste. 120 East Norriton PA 19403 (610) 279-1370 (610) 279-1372

RMH PHILA N SP Cardiovascular Disease Internal Medicine M Albert Janke DO

Cardiology Consultants of

Philadelphia, PC-Blue Bell

676 DeKalb Pike., Ste.

101 Blue Bell PA 19422 (610) 279-7969 (215) 279-7782

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Dean Karalis MD

Cardiology Consultants of

Philadelphia, PC-

Roxborough

525 Jamestown Ave.,

Ste. 108 Philadelphia PA 19128 (215) 482-1607 (215) 482-3768

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Dean Karalis MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP

Penn Cardiology CCP

Spruce St.,

Garfield Duncan Bldg.,

700 Spruce St., Ste. 507 Philadelphia PA 19106 (267) 479-4180 (215) 873-0201

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Dean Karalis MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP South

Broad 1703 S Broad St., 3rd Fl Philadelphia PA 19148 (215) 463-5333 (215) 463-8085

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Dean Karalis MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP North

Broad 227 N Broad St., Ste. 200 Philadelphia PA 19107 (215) 564-3050 (215) 564-3398

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Kevin Kasper* MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP North

Broad 227 N Broad St., Ste. 200 Philadelphia PA 19107 (215) 564-3050 (215) 564-3398

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Mark Victor MD

Cardiology Consultants of

Philadelphia, PC-East

Norriton

609 W Germantown

Pike, Ste. 120 Philadelphia PA 19403 (610) 279-1370 (610) 279-1372

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 16 of 30

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RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Mark Victor MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP North

Broad 227 N Broad St., Ste. 200 Philadelphia PA 19107 (215) 564-3050 (215) 564-3398

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Mark Victor MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP

Penn Cardiology CCP

Spruce St.,

Garfield Duncan Bldg.,

700 Spruce St., Ste. 507 Philadelphia PA 19106 (267) 479-4180 (215) 873-0201

RMH PHILA Y SP Cardiovascular Disease Internal Medicine M Mark Victor MD

Cardiology Consultants of

Philadelphia, PC-Penn

Cardiology CCP South

Broad 1703 S Broad St., 3rd Fl Philadelphia PA 19148 (215) 463-5333 (215) 463-8085

RMH PHILA Y SP Cardiovascular Disease

Interventional Cardiology,

Internal Medicine M Steve Vaganos MD

Cardiology Consultants of

Philadelphia, PC-

Roxborough

525 Jamestown Ave.,

Ste. 108 Philadelphia PA 19128 (215) 482-1607 (215) 482-3768

RMH PHILA Y SP Cardiovascular Disease

Interventional Cardiology,

Internal Medicine M Steve Vaganos MD

Cardiology Consultants of

Philadelphia, PC-East

Norriton

609 W Germantown

Pike, Ste. 120 Philadelphia PA 19403 (610) 279-1370 (610) 279-1372

RMH PHILA Y SP Cardiovascular Disease

Interventional Cardiology,

Internal Medicine M Steve Vaganos MD

Cardiology Consultants of

Philadelphia, PC-

Collegeville 555 2nd Ave., B100 Philadelphia PA 19426 (610) 831-0300 (610) 831-1334

RMH PHILA N SP Cardiovascular Disease Nuc-Cardio M James Burke MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA N SP Cardiovascular Disease Nuc-Cardio M Donald Ferrari MD

Main Line Healthcare

dba MLHC Cardiology in

Lionville

80 W Welsh Pool Rd.,

Ste. 105 North Exton

Medical Arts Bldg. Exton PA 19341 (484) 876-2160 (484) 876-2164

RMH PHILA N SP Cardiovascular Disease Vascular Surgery M David Naide MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA N SP Cardiovascular Disease F Sandra Abramson MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA N SP Cardiovascular Disease F Andrea Becker MD

Main Line Healthcare

dba MLHC Cardiology in

Conshohocken 1100 Hector St., Ste. 105

Conshohocke

n PA 19428 (610) 828-2608 (610) 828-0102

RMH PHILA N SP Cardiovascular Disease M George Chamoun MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA Y SP Cardiovascular Disease M Michael DeAngelis MD

Main Line Healthcare

dba MLHC Cardiology in

Roxborough 7114 Ridge Ave. Philadelphia PA 19128 (215) 298-5000 (215) 298-5001

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 17 of 30

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RMH PHILA N SP Cardiovascular Disease M Matthew Goldstein MD

Main Line Healthcare

dba MLHC Cardiology in

Roxborough 7114 Ridge Ave. Philadelphia PA 19128 (215) 298-5000 (215) 298-5001

RMH PHILA N SP Cardiovascular Disease M Irving Herling MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 450 Lankenau MOB

East Wynnewood PA 19096 (484) 572-0112 (484) 572-0185

RMH PHILA Y SP Cardiovascular Disease M Bruce Kornberg DO

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA Y SP Cardiovascular Disease F Riti Patel MD

Main Line Healthcare

dba MLHC Cardiology in

Roxborough 7114 Ridge Ave. Philadelphia PA 19128 (215) 298-5000 (215) 298-5001

RMH PHILA N SP Cardiovascular Disease F Jeanine Romanelli MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA N SP Cardiovascular Disease F Jeanine Romanelli MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 375

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 896-4646 (610) 896-3768

RMH PHILA N SP Cardiovascular Disease M Henry Sawin MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA N SP Cardiovascular Disease M Henry Sawin MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 375

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 896-4646 (610) 896-3768

RMH PHILA N SP Cardiovascular Disease M Donald Yih MD

Main Line Healthcare

dba MLHC Kelly

Cardiovascular Grp

100 E Lancaster Ave.,

Ste. 356 Lankenau MOB

East Wynnewood PA 19096 (610) 649-7625 (610) 649-3362

RMH PHILA Y SP/PC

Cardiovascular Disease-

Geriatric Medicine Internal Medicine M Andrew Woldow MD

Lawrence J Kessel MD

and Associates, PC 8200 Henry Ave., Ste G1 Philadelphia PA 19128 (215) 482-2336 (215) 483-4389

RMH PHILA N SP Dermatology M Samy Badawy MD

Tasker Healthcare Group

dba Skinsmart

Dermatology

910 E Willow Grove

Avenue Wyndmoor PA 19038

(888) SKN-MART

or

(215) 836-7212 (215) 836-7715

RMH PHILA Y SP Dermatology F Merle Bari MD

Merle Bari, MD and

Associates, Inc 525 Jamestown Street Philadelphia PA 19128 (215) 487-9060 (610) 896-2154

RMH PHILA Y SP Dermatology F Merle Bari MD

Merle Bari, MD and

Associates, Inc 944 Merion Square Rd. Gladwyne PA 19035 (610) 649-5001 (610) 896-2154

RMH PHILA Y SP Dermatology F Merle Bari MD

Merle Bari, MD and

Associates, Inc 815 Fayette St.

Conshohocke

n PA 19428 (610) 828-4401 (610) 896-2154

RMH PHILA Y SP Dermatology M Harold Milstein MD

Family Dermatology of

Roxborough

525 Jamestown St., Ste.

206 Philadelphia PA 19128 (215) 483-3666 (215) 483-4207

RMH PHILA N SP Dermatology F Neh Onumah MD

Tasker Healthcare Group

dba Skinsmart

Dermatology

910 E Willow Grove

Avenue Wyndmoor PA 19038

(888) SKN-MART

or

(215) 836-7212 (215) 836-7715

RMH PHILA Y SP Dermatology F Toby Shawe MD

Tasker Healthcare Group

dba Skinsmart

Dermatology

910 E Willow Grove

Avenue Wyndmoor PA 19038

(888) SKN-MART

or

(215) 836-7212 (215) 836-7715

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 18 of 30

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RMH PHILA N SP

Durable Medical

Equipment (DME) &

Supplies

DME & Orthotic Braces,

Orthotics, Bone

Stimulator Don Joy, LLC Don Joy, LLC Don Joy, LLC 1430 Decision St. Vista CA 92081 (800) 336-6569 (800) 936-6569

RMH PHILA N SP

Durable Medical

Equipment (DME) &

Supplies

Electrical Stimulation and

other Orthopedic devices

i.e. TENS

EMPI Recovery

Sciences

EMPI Recovery

Sciences EMPI Recovery Sciences 1430 Decision St. Vista CA 92081 (800) 336-6569 (800) 936-6569

RMH PHILA N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic 8104 Roosevelt Blvd. Philadelphia PA 19152 (215) 543-1125 (215) 543-1130

RMH PHILA N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic 605 Spring Garden St. Philadelphia PA 19152 (215) 627-3400 (215) 922-6801

RMH PHILA N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic 3015 Island Ave. Philadelphia PA 19153 (215) 365-1532 (215) 492-9894

RMH PHILA N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic

230 W Washington

Square

5th Floor Philadelphia PA 19106 (215) 829-6955 (215) 829-6899

RMH PHILA N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic 3400 Spruce Street Philadelphia PA 19104 (215) 662-3616 (215) 662-7621

RMH PHILA N SP

Durable Medical

Equipment (DME) &

Supplies Prosthetics & Orthotics Hanger Clinic Hanger Clinic Hanger Clinic 3110 Grant Ave. Philadelphia PA 19114 (215) 464-4550 (215) 464-4880

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine F Mihaela Biscoveanu MD

Endocrine Metabolic

Assoc PC 555 E City Ave., Ste. 930 Bala Cynwyd PA 19004 (610) 667-7525 (610) 667-9970

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine F Mihaela Biscoveanu MD

Endocrine Metabolic

Assoc PC

9501 Roosevelt Blvd.,

Ste. 314 Philadelphia PA 19114 (215) 969-9511 (215) 969-9512

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine F Karen Chang-Chen MD

Endocrine Metabolic

Assoc PC 555 E City Ave., Ste. 930 Bala Cynwyd PA 19004 (610) 667-7525 (610) 667-9970

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine F Karen Chang-Chen MD

Endocrine Metabolic

Assoc PC

9501 Roosevelt Blvd.,

Ste. 314 Philadelphia PA 19114 (215) 969-9511 (215) 969-9512

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine F Joan Lit MD

Endocrine Metabolic

Assoc PC 555 E City Ave., Ste. 930 Bala Cynwyd PA 19004 (610) 667-7525 (610) 667-9970

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine F Joan Lit MD

Endocrine Metabolic

Assoc PC

9501 Roosevelt Blvd.,

Ste. 314 Philadelphia PA 19114 (215) 969-9511 (215) 969-9512

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine M Steven Nagelberg MD

Endocrine Metabolic

Assoc PC 555 E City Ave., Ste. 930 Bala Cynwyd PA 19004 (610) 667-7525 (610) 667-9970

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine M Steven Nagelberg MD

Endocrine Metabolic

Assoc PC

9501 Roosevelt Blvd.,

Ste. 314 Philadelphia PA 19114 (215) 969-9511 (215) 969-9512

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine M Achilles Paparsenos MD

Endocrine Metabolic

Assoc PC 555 E City Ave., Ste. 930 Bala Cynwyd PA 19004 (610) 667-7525 (610) 667-9970

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine M Achilles Paparsenos MD

Endocrine Metabolic

Assoc PC

9501 Roosevelt Blvd.,

Ste. 314 Philadelphia PA 19114 (215) 969-9511 (215) 969-9512

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 19 of 30

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RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine F Erin Saltzman MD

Endocrine Metabolic

Assoc PC 555 E City Ave., Ste. 930 Bala Cynwyd PA 19004 (610) 667-7525 (610) 667-9970

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine F Erin Saltzman MD

Endocrine Metabolic

Assoc PC

9501 Roosevelt Blvd.,

Ste. 314 Philadelphia PA 19114 (215) 969-9511 (215) 969-9512

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine M Neil Streisfield MD

Endocrine Metabolic

Assoc PC 555 E City Ave., Ste. 930 Bala Cynwyd PA 19004 (610) 667-7525 (610) 667-9970

RMH PHILA Y SP Endocrinology

Diabetes & Metabolism,

Internal Medicine M Neil Streisfield MD

Endocrine Metabolic

Assoc PC

9501 Roosevelt Blvd.,

Ste. 314 Philadelphia PA 19114 (215) 969-9511 (215) 969-9512

RMH PHILA Y SP ENT-Otolaryngologist F Marta Becker MD

Berger Henry ENT

Specialty Group, P.C. 60 W Germantown Pike E Norriton PA 19401 (610) 279-7878 (610) 279-1680

RMH PHILA Y SP ENT-Otolaryngologist F Marta Becker MD

Berger Henry ENT

Specialty Group, P.C.

525 Jamestown Ave.,

Ste. 104 Philadelphia PA 19128 (215) 482-3100 (215) 482-5693

RMH PHILA Y SP ENT-Otolaryngologist M Alan Berger MD

Berger Henry ENT

Specialty Group, P.C. 60 W Germantown Pike E Norriton PA 19401 (610) 279-7878 (610) 279-1680

RMH PHILA Y SP ENT-Otolaryngologist M Alan Berger MD

Berger Henry ENT

Specialty Group, P.C.

525 Jamestown Ave.,

Ste. 104 Philadelphia PA 19128 (215) 482-3100 (215) 482-5693

RMH PHILA Y SP ENT-Otolaryngologist M Todd Morehouse DO

Berger Henry ENT

Specialty Group, P.C. 60 W Germantown Pike E Norriton PA 19401 (610) 279-7878 (610) 279-1680

RMH PHILA Y SP ENT-Otolaryngologist M Todd Morehouse DO

Berger Henry ENT

Specialty Group, P.C.

525 Jamestown Ave.,

Ste. 104 Philadelphia PA 19128 (215) 482-3100 (215) 482-5693

RMH PHILA Y SP ENT-Otolaryngologist M Donald Sesso MD

Berger Henry ENT

Specialty Group, P.C. 60 W Germantown Pike E Norriton PA 19401 (610) 279-7878 (610) 279-1680

RMH PHILA Y SP ENT-Otolaryngologist M Donald Sesso MD

Berger Henry ENT

Specialty Group, P.C.

525 Jamestown Ave.,

Ste. 104 Philadelphia PA 19128 (215) 482-3100 (215) 482-5693

RMH PHILA Y SP ENT-Otolaryngologist M Brian Broker* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

525 Jamestown Ave,

Suite 205 Philadelphia PA 19128 (215) 487-7200 (215) 487-7201

RMH PHILA Y SP ENT-Otolaryngologist M Brian Broker* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

825 Old Lancaster Rd.,

Ste. 300 Bryn Mawr PA 19010 (610) 520-0900 (610) 520-0920

RMH PHILA Y SP ENT-Otolaryngologist M Brian Broker* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

5 Sunny Brook Dr., Ste.

300 Pottstown PA 19464 (610) 326-3600 (610) 326-4466

RMH PHILA Y SP ENT-Otolaryngologist M Brian Broker* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

342 W Germantown

Pike., Ste. 310 East Norriton PA 19403 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Brian Broker* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 301 City Ave. Bala Cynwyd PA 19004 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Brian Broker* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 826 Main St., Ste. 201 Phoenixville PA 19460 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Laurence Cramer* DO

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

525 Jamestown Ave,

Suite 205 Philadelphia PA 19128 (215) 487-7200 (215) 487-7201

RMH PHILA Y SP ENT-Otolaryngologist M Laurence Cramer* DO

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

825 Old Lancaster Rd.,

Ste. 300 Bryn Mawr PA 19010 (610) 520-0900 (610) 520-0920

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 20 of 30

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RMH PHILA y SP ENT-Otolaryngologist M Laurence Cramer* DO

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

5 Sunny Brook Dr., Ste.

300 Pottstown PA 19464 (610) 326-3600 (610) 326-4466

RMH PHILA Y SP ENT-Otolaryngologist M Laurence Cramer* DO

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

342 W Germantown

Pike., Ste. 310 East Norriton PA 19403 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Laurence Cramer* DO

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 301 City Ave. Bala Cynwyd PA 19004 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Laurence Cramer* DO

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 826 Main St., Ste. 201 Phoenixville PA 19460 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Vivek Gurdutt* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

525 Jamestown Ave,

Suite 205 Philadelphia PA 19128 (215) 487-7200 (215) 487-7201

RMH PHILA Y SP ENT-Otolaryngologist M Vivek Gurdutt* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

825 Old Lancaster Rd.,

Ste. 300 Bryn Mawr PA 19010 (610) 520-0900 (610) 520-0920

RMH PHILA Y SP ENT-Otolaryngologist M Vivek Gurdutt* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

5 Sunny Brook Dr., Ste.

300 Pottstown PA 19464 (610) 326-3600 (610) 326-4466

RMH PHILA Y SP ENT-Otolaryngologist M Vivek Gurdutt* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

342 W Germantown

Pike., Ste. 310 East Norriton PA 19403 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Vivek Gurdutt* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 301 City Ave. Bala Cynwyd PA 19004 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Vivek Gurdutt* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 826 Main St., Ste. 201 Phoenixville PA 19460 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Paul Swanson* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

525 Jamestown Ave,

Suite 205 Philadelphia PA 19128 (215) 487-7200 (215) 487-7201

RMH PHILA Y SP ENT-Otolaryngologist M Paul Swanson* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

825 Old Lancaster Rd.,

Ste. 300 Bryn Mawr PA 19010 (610) 520-0900 (610) 520-0920

RMH PHILA Y SP ENT-Otolaryngologist M Paul Swanson* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

5 Sunny Brook Dr., Ste.

300 Pottstown PA 19464 (610) 326-3600 (610) 326-4466

RMH PHILA Y SP ENT-Otolaryngologist M Paul Swanson* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

342 W Germantown

Pike., Ste. 310 East Norriton PA 19403 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Paul Swanson* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 301 City Ave. Bala Cynwyd PA 19004 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Paul Swanson* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 826 Main St., Ste. 201 Phoenixville PA 19460 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Stephen Tai* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

525 Jamestown Ave,

Suite 205 Philadelphia PA 19128 (215) 487-7200 (215) 487-7201

RMH PHILA Y SP ENT-Otolaryngologist M Stephen Tai* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

825 Old Lancaster Rd.,

Ste. 300 Bryn Mawr PA 19010 (610) 520-0900 (610) 520-0920

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 21 of 30

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RMH PHILA Y SP ENT-Otolaryngologist M Stephen Tai* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

5 Sunny Brook Dr., Ste.

300 Pottstown PA 19464 (610) 326-3600 (610) 326-4466

RMH PHILA Y SP ENT-Otolaryngologist M Stephen Tai* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai

342 W Germantown

Pike., Ste. 310 East Norriton PA 19403 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Stephen Tai* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 301 City Ave. Bala Cynwyd PA 19004 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP ENT-Otolaryngologist M Stephen Tai* MD

Broker, Cramer, Swanson,

Goldberg, Actor & Tai 826 Main St., Ste. 201 Phoenixville PA 19460 (610) 415-1100 (610) 415-1101

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Raynard Cheung MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Raynard Cheung MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Raynard Cheung MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Matthew Cohen MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Matthew Cohen MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Matthew Cohen MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP/PC

Gastroenterology

Specialist Internal Medicine M William Gilhool DO

PCOM Lancaster Ave

Healthcare Center 4148 Lancaster Ave. Philadelphia PA 19131 (215) 662-0119 (215) 662-5339

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Alexander Harmatz MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Alexander Harmatz MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Alexander Harmatz MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine F Jamie Kasper MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine F Jamie Kasper MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine F Jamie Kasper MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Harvey Lefton MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Harvey Lefton MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Harvey Lefton MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine F Jenifer Lehrer MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine F Jenifer Lehrer MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine F Jenifer Lehrer MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Jeffrey Pilchman MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Jeffrey Pilchman MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 22 of 30

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RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Jeffrey Pilchman MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Anthony Rosa MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Anthony Rosa MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Anthony Rosa MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Gregory Schapiro MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Gregory Schapiro MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Gregory Schapiro MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Paul Weisberg MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Paul Weisberg MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Paul Weisberg MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Larry Borowsky MD

Philadelphia

Gastroenterology Group,

P.C. 1811 S Broad St. Philadelphia PA 19148 (215) 463-1483 (215) 463-1334

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Larry Borowsky MD

Philadelphia

Gastroenterology Group,

P.C.

525 Jamestown Ave.,

Ste. 208 Philadelphia PA 19148 (215) 483-1083 (215) 463-1334

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Geoffrey Braden MD

Gastrointestinal

Specialists Inc

10 Presidential Blvd., Ste.

124 Bala Cynwyd PA 19004 (610) 664-9700 (610) 664-6391

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Geoffrey Braden MD

Gastrointestinal

Specialists Inc

3998 Red Lion Rd., Ste.

124 Philadelphia PA 19114 (215) 632-3500 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Geoffrey Braden MD

Gastrointestinal

Specialists Inc

825 Town Cntr Blvd., Ste.

148 Langhorne PA 19047 (215) 702-7090 (215) 612-0355

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Richard Gambescia MD

Philadelphia

Gastroenterology Group,

P.C. 1811 S Broad St. Philadelphia PA 19148 (215) 463-1483 (215) 463-1334

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine M Richard Gambescia MD

Philadelphia

Gastroenterology Group,

P.C.

525 Jamestown Ave.,

Ste. 208 Philadelphia PA 19148 (215) 483-1083 (215) 463-1334

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine F Nancy Graboyes-Leopold MD

Philadelphia

Gastroenterology Group,

P.C. 1811 S Broad St. Philadelphia PA 19148 (215) 463-1483 (215) 463-1334

RMH PHILA Y SP

Gastroenterology

Specialist Internal Medicine F Nancy Graboyes-Leopold MD

Philadelphia

Gastroenterology Group,

P.C.

525 Jamestown Ave.,

Ste. 208 Philadelphia PA 19148 (215) 483-1083 (215) 463-1334

RMH PHILA Y SP General Surgery Colon & Rectal Surgery M David Stein MD

Drexel University College

of Medicine

245 N 15th St. MS 413,

Ste. 7150 Philadelphia PA 19102 (215) 762-1750 (215) 762-8389

RMH PHILA Y SP General Surgery Medical Surgery M Arthur Sesso DO PCOM Surgery 4190 City Ave. Ste. 518 Philadelphia PA 19131 (215) 871-6941 (215) 871-6943

RMH PHILA Y SP General Surgery Vascular Surgery M David Lind MD

Drexel University College

of Medicine

245 N 15th St. MS 413,

Ste. 7150 Philadelphia PA 19102 (215) 762-4157 (215) 762-6275

RMH PHILA Y SP General Surgery M Wilbur Bowne MD

Drexel University College

of Medicine

245 N 15th St. MS 413,

Ste. 7150 Philadelphia PA 19102 (215) 762-1647 (215) 762-8389

RMH PHILA Y SP General Surgery M Andres Castellanos MD

Drexel University College

of Medicine

245 N 15th St. MS 413,

Ste. 7150 Philadelphia PA 19102

(215) 762-1545

Ext 4890 (215) 762-8389

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 23 of 30

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RMH PHILA Y SP General Surgery M Michael Marcucci MD

Drexel University College

of Medicine

245 N 15th St. MS 413,

Ste. 7150 Philadelphia PA 19102 (215) 762-3430 (215) 762-4647

RMH PHILA Y SP Geriatric Medicine F Katherine Galluzzi DO PCOM Geriatrics 4190 City Ave., Ste. 315 Philadelphia PA 19131 (215) 871-6844 (215) 871-6381

RMH PHILA Y SP Gynecology

Reproductive

Endocrinology M David Goldberg DO

David N. Goldberg, DO

FACOOG P.C. One Bala Ave., Ste. 120 Bala Cynwyd PA 19004 (610) 664-6550 (610) 660-0199

RMH PHILA Y SP Hematology & Oncology Internal Medicine M Eugene Choi MD

Rittenhouse

Hematology/Oncology 207 N Broad St., 6th Fl. Philadelphia PA 19107 (215) 561-0809 (866) 555-1112

RMH PHILA y SP Hematology & Oncology Internal Medicine F Jean Marie Kane MD

Rittenhouse

Hematology/Oncology 207 N Broad St., 6th Fl. Philadelphia PA 19107 (215) 561-0809 (866) 555-1112

RMH PHILA Y SP Hematology & Oncology Internal Medicine F Sally Lane MD Sally D Lane MD 5735 Ridge Ave., Ste. 103 Philadelphia PA 19128 (215) 487-3070 (215) 487-2362

RMH PHILA y SP Hematology & Oncology Internal Medicine M Michael Rachshtut MD

Rittenhouse

Hematology/Oncology 207 N Broad St., 6th Fl. Philadelphia PA 19107 (215) 561-0809 (866) 555-1112

RMH PHILA Y SP Hematology & Oncology Internal Medicine F Rene Rubin MD

Rittenhouse

Hematology/Oncology 207 N Broad St., 6th Fl. Philadelphia PA 19107 (215) 561-0809 (866) 555-1112

RMH PHILA Y SP Infectious Disease Internal Medicine F Jennifer Aldrich MD

Delaware Valley I.D.

Associates, P.C.

100 E Lancaster Ave.,

Lankenau MOBE 164 Wynnewood PA 19096 (610) 896-0210 (610) 896-5101

RMH PHILA Y SP Infectious Disease Internal Medicine F Bevin Dolan MD

Delaware Valley I.D.

Associates, P.C.

100 E Lancaster Ave.,

Lankenau MOBE 164 Wynnewood PA 19096 (610) 896-0210 (610) 896-5101

RMH PHILA Y SP Infectious Disease Internal Medicine M Brett Gilbert MD

Delaware Valley I.D.

Associates, P.C.

100 E Lancaster Ave.,

Lankenau MOBE 164 Wynnewood PA 19096 (610) 896-0210 (610) 896-5101

RMH PHILA Y SP Infectious Disease Internal Medicine M Mark Ingerman MD

Delaware Valley I.D.

Associates, P.C.

100 E Lancaster Ave.,

Lankenau MOBE 164 Wynnewood PA 19096 (610) 896-0210 (610) 896-5101

RMH PHILA Y SP Infectious Disease Internal Medicine M Lawrence Livornese Jr. MD

Delaware Valley I.D.

Associates, P.C.

100 E Lancaster Ave.,

Lankenau MOBE 164 Wynnewood PA 19096 (610) 896-0210 (610) 896-5101

RMH PHILA Y SP Infectious Disease Internal Medicine M Jerome Santoro MD

Delaware Valley I.D.

Associates, P.C.

100 E Lancaster Ave.,

Lankenau MOBE 164 Wynnewood PA 19096 (610) 896-0210 (610) 896-5101

RMH PHILA N SP Interventional Cardiology Cardiovascular Disease M Paul Coady MD

Main Line Healthcare

dba MLHC Interventional

Cardiology

100 E Lancaster Ave.,

Ste. 380

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 649-8599 (610) 649-8680

RMH PHILA N SP Interventional Cardiology Cardiovascular Disease M Eric Gnall DO

Main Line Healthcare

dba MLHC Interventional

Cardiology

100 E Lancaster Ave.,

Ste. 380

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 649-8599 (610) 649-8680

RMH PHILA N SP Interventional Cardiology Cardiovascular Disease M Amid Khan MD

Main Line Healthcare

dba MLHC Interventional

Cardiology

100 E Lancaster Ave.,

Ste. 380

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 649-8599 (610) 649-8680

RMH PHILA N SP Interventional Cardiology Cardiovascular Disease M Frank McGeehin III MD

Main Line Healthcare

dba MLHC Interventional

Cardiology

100 E Lancaster Ave.,

Ste. 450 Lankenau MOB

East Wynnewood PA 19096 (484) 572-0112 (484) 572-0185

RMH PHILA N SP Interventional Cardiology Cardiovascular Disease M Timothy Shapiro MD

Main Line Healthcare

dba MLHC Interventional

Cardiology

100 E Lancaster Ave.,

Ste. 380

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 649-8599 (610) 649-8680

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 24 of 30

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RMH PHILA Y SP Nephrology Internal Medicine F Maria Largoza MD

Medical Associates of

Drexel Hill Inc 510 W Darby Rd., 2nd Fl. Havertown PA 19083 (610) 789-6320 (610) 789-6325

RMH PHILA Y SP Nephrology Internal Medicine M Salvatore Lofaro MD

Medical Associates of

Drexel Hill Inc 510 W Darby Rd., 2nd Fl. Havertown PA 19083 (610) 789-6320 (610) 789-6325

RMH PHILA Y SP Nephrology Internal Medicine F Hye-Ran Park MD

Medical Associates of

Drexel Hill Inc 510 W Darby Rd., 2nd Fl. Havertown PA 19083 (610) 789-6320 (610) 789-6325

RMH PHILA Y SP Nephrology Internal Medicine M Faahud Yafai MD

Medical Associates of

Drexel Hill Inc 510 W Darby Rd., 2nd Fl. Havertown PA 19083 (610) 789-6320 (610) 789-6325

RMH PHILA Y SP Nephrology M Theodora Bernardini DO

Metropolitan Nephrology

Associates 4453 Castor Ave., Ste. B Philadelphia PA 19124 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology M Theodora Bernardini DO

Metropolitan Nephrology

Associates 5735 Ridge Ave., Ste. 107 Philadelphia PA 19128 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology M John Fontanilla MD

Metropolitan Nephrology

Associates 4453 Castor Ave., Ste. B Philadelphia PA 19124 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology M John Fontanilla MD

Metropolitan Nephrology

Associates 5735 Ridge Ave., Ste. 107 Philadelphia PA 19128 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology M John Fontanilla MD

Metropolitan Nephrology

Associates 4190 City Ave., Ste. 104 Philadelphia PA 19131 (215) 871-1907 (215) 743-9247

RMH PHILA Y SP Nephrology F Kelly Heiland DO

Metropolitan Nephrology

Associates 4453 Castor Ave., Ste. B Philadelphia PA 19124 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology F Kelly Heiland DO

Metropolitan Nephrology

Associates 5735 Ridge Ave., Ste. 107 Philadelphia PA 19128 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology F Kelly Heiland DO

Metropolitan Nephrology

Associates 4190 City Ave., Ste. 104 Philadelphia PA 19131 (215) 871-1907 (215) 743-9247

RMH PHILA Y SP Nephrology M Kenneth Knowles DO

Metropolitan Nephrology

Associates 4453 Castor Ave., Ste. B Philadelphia PA 19124 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology M Kenneth Knowles DO

Metropolitan Nephrology

Associates 5735 Ridge Ave., Ste. 107 Philadelphia PA 19128 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology M Kenneth Knowles DO

Metropolitan Nephrology

Associates 4190 City Ave., Ste. 104 Philadelphia PA 19131 (215) 871-1907 (215) 743-9247

RMH PHILA Y SP Nephrology M Michael Levin DO

Metropolitan Nephrology

Associates 4453 Castor Ave., Ste. B Philadelphia PA 19124 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology M Michael Levin DO

Metropolitan Nephrology

Associates 5735 Ridge Ave., Ste. 107 Philadelphia PA 19128 (215) 744-2266 (215) 743-9247

RMH PHILA N SP Nephrology M Stephen Levin DO

Metropolitan Nephrology

Associates 4453 Castor Ave., Ste. B Philadelphia PA 19124 (215) 744-2266 (215) 743-9247

RMH PHILA N SP Nephrology M Stephen Levin DO

Metropolitan Nephrology

Associates 5735 Ridge Ave., Ste. 107 Philadelphia PA 19128 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology F Lissa Levin-Mizrahi MD

Metropolitan Nephrology

Associates 4453 Castor Ave., Ste. B Philadelphia PA 19124 (215) 744-2266 (215) 743-9247

RMH PHILA Y SP Nephrology F Lissa Levin-Mizrahi MD

Metropolitan Nephrology

Associates 4190 City Ave., Ste. 104 Philadelphia PA 19131 (215) 871-1907 (215) 743-9247

RMH PHILA Y SP Nephrology M William Nickey DO

Metropolitan Nephrology

Associates 4453 Castor Ave., Ste. B Philadelphia PA 19124 (215) 744-2266 (215) 743-9247

RMH PHILA N SP Neurology M Bryan DeSouza MD Bryan X. DeSouza, MD

100 E Lancaster Ave.,

Ste. 312 Wynnewood PA 19096 (610) 649-6090 (610) 640-6087

RMH PHILA N SP

Neuromusculskeletal

Medicine

Osteopathic Manipulative

Medicine M Donald Allison DO

PCOM Osteopathic

Manipulative Medicine

(OMM)

4190 City Lane Ave., Ste.

320 Philadelphia PA 19131 (215) 871-6425 (215) 871-6490

RMH PHILA Y SP

Neuromusculskeletal

Medicine

Osteopathic Manipulative

Medicine M David Fuller DO

PCOM Osteopathic

Manipulative Medicine

(OMM)

4190 City Lane Ave., Ste.

320 Philadelphia PA 19131 (215) 871-6425 (215) 871-6490

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 25 of 30

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RMH PHILA N SP

Neuromusculskeletal

Medicine

Osteopathic Manipulative

Medicine M Darren McAuley DO

PCOM Osteopathic

Manipulative Medicine

(OMM)

4190 City Lane Ave., Ste.

320 Philadelphia PA 19131 (215) 871-6425 (215) 871-6490

RMH PHILA Y SP

Neuromusculskeletal

Medicine

Osteopathic Manipulative

Medicine M Alexander Nicholas DO

PCOM Osteopathic

Manipulative Medicine

(OMM)

4190 City Lane Ave., Ste.

320 Philadelphia PA 19131 (215) 871-6425 (215) 871-6490

RMH PHILA N SP

Neuromusculskeletal

Medicine

Osteopathic Manipulative

Medicine M Evan Nicholas DO

PCOM Osteopathic

Manipulative Medicine

(OMM)

4190 City Lane Ave., Ste.

320 Philadelphia PA 19131 (215) 871-6425 (215) 871-6490

RMH PHILA Y SP

Neuromusculskeletal

Medicine

Osteopathic Manipulative

Medicine F Lauren Noto Bell DO

PCOM Osteopathic

Manipulative Medicine

(OMM)

4190 City Lane Ave., Ste.

320 Philadelphia PA 19131 (215) 871-6425 (215) 871-6490

RMH PHILA N SP/PC Obstetrics & Gynecology Advance Practice Midwife F Betsy Batejan CNM

Drexel University College

of Medicine 10 Shurs Lne., Ste. 204 Philadelphia PA 19127 (215) 477-4960 (215) 477-6107

RMH PHILA N SP/PC Obstetrics & Gynecology Nurse Practitioner F Crystal Bianchi NP

Drexel University College

of Medicine 10 Shurs Lne., Ste. 204 Philadelphia PA 19127 (215) 477-4960 (215) 477-6107

RMH PHILA N SP/PC Obstetrics & Gynecology M Gregg Alleyne MD

Drexel University College

of Medicine 10 Shurs Lne., Ste. 204 Philadelphia PA 19127 (215) 477-4960 (215) 477-6107

RMH PHILA N SP/PC Obstetrics & Gynecology F Karen Berkowitz MD

Drexel University College

of Medicine 10 Shurs Lne., Ste. 204 Philadelphia PA 19127 (215) 477-4960 (215) 477-6107

RMH PHILA N SP/PC Obstetrics & Gynecology M Daniel Guilfoil MD

Drexel University College

of Medicine 10 Shurs Lne., Ste. 204 Philadelphia PA 19127 (215) 477-4960 (215) 477-6107

RMH PHILA N SP/PC Obstetrics & Gynecology F Ryan Offer MD

Drexel University College

of Medicine 10 Shurs Lne., Ste. 204 Philadelphia PA 19127 (215) 477-4960 (215) 477-6107

RMH PHILA Y SP/PC Obstetrics & Gynecology M Saul Jeck DO PCOM GYN 4190 City Ave., Ste. 315 Philadelphia PA 19131 (215) 871-6789 (215) 871-6381

RMH PHILA Y SP Ophthalmology M Anthony Antonello Jr. MD

Bloom Eye Associates,

LTD

525 Jamestown St., Ste.

207 Philadelphia PA 19128 (215) 483-8444 (215) 482-8456

RMH PHILA Y SP Ophthalmology M Lawrence Bloom MD

Bloom Eye Associates,

LTD

525 Jamestown St., Ste.

207 Philadelphia PA 19128 (215) 483-8444 (215) 482-8456

RMH PHILA N SP Ophthalmology M Joshua Greene MD

Bloom Eye Associates,

LTD

525 Jamestown St., Ste.

207 Philadelphia PA 19128 (215) 483-8444 (215) 482-8456

RMH PHILA Y SP Ophthalmology F Suzanne Pesce MD

Bloom Eye Associates,

LTD

525 Jamestown St., Ste.

207 Philadelphia PA 19128 (215) 483-8444 (215) 482-8456

RMH PHILA N SP Optometrist M Andrew Pritchard MD

Bloom Eye Associates,

LTD

525 Jamestown St., Ste.

207 Philadelphia PA 19128 (215) 483-8444 (215) 482-8456

RMH PHILA Y SP Orthopaedic Spine M Richard Levenberg MD

Surgical Orthopedic

Associates 2004 Sproul Rd., 1st Flr Broomall PA 19008 (610) 353-0800 (610) 353-1686

RMH PHILA Y SP Orthopaedic Spine M Richard Levenberg MD

Surgical Orthopedic

Associates

525 Jamestown Ave.,

Ste. 105 Philadelphia PA 19128 (215) 482-6693 (215) 482-2522

RMH PHILA Y SP Orthopaedic Surgery

Artho-Surgery, Sports

Medicine M Mark Brigham MD

Surgical Orthopedic

Associates

525 Jamestown Ave.,

Ste. 105 Philadelphia PA 19128 (215) 482-6693 (215) 482-2522

RMH PHILA Y SP Orthopaedic Surgery Foot & Ankle Surgery M Paul Horenstein MD

Surgical Orthopedic

Associates 2004 Sproul Rd., 1st Flr Broomall PA 19008 (610) 353-0800 (610) 353-1686

RMH PHILA Y SP Orthopaedic Surgery Foot & Ankle Surgery M Paul Horenstein MD

Surgical Orthopedic

Associates

525 Jamestown Ave.,

Ste. 105 Philadelphia PA 19128 (215) 482-6693 (215) 482-2522

RMH PHILA Y SP Orthopaedic Surgery Joint Replacement M Curt Miller MD

Surgical Orthopedic

Associates 2004 Sproul Rd., 1st Flr Broomall PA 19008 (610) 353-0800 (610) 353-1686

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 26 of 30

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RMH PHILA Y SP Orthopaedic Surgery Medical Surgery M Joseph Guagliardo DO PCOM Surgery 4190 City Ave. Ste. 518 Philadelphia PA 19131 (215) 871-6941 (215) 871-6943

RMH PHILA Y SP Orthopaedic Surgery Sports Medicine M Michael Mandarino MD

Michael J. Mandarino,

M.D., P.C. 2832 Belmont Ave. Philadelphia PA 19131 (215) 878-1212 (215) 878-1810

RMH PHILA Y SP Orthopaedic Surgery F Anne Colton MD

Surgical Orthopedic

Associates 2004 Sproul Rd., 1st Flr Broomall PA 19008 (610) 353-0800 (610) 353-1686

RMH PHILA Y SP Orthopaedic Surgery F Anne Colton MD

Surgical Orthopedic

Associates

525 Jamestown Ave.,

Ste. 105 Philadelphia PA 19128 (215) 482-6693 (215) 482-2522

RMH PHILA Y SP Orthopaedic Surgery Joint Replacement M Curt Miller MD

Surgical Orthopedic

Associates

525 Jamestown Ave.,

Ste. 105 Philadelphia PA 19128 (215) 482-6693 (215) 482-2522

RMH PHILA Y SP Orthopaedic Surgery Shoulder & Knee M Dean Trevlyn MD

Surgical Orthopedic

Associates

525 Jamestown Ave.,

Ste. 105 Philadelphia PA 19128 (215) 482-6693 (215) 482-2522

RMH PHILA Y SP Orthopaedics

Orthopaedic Surgery,

Artho-Surgery, Sports

Medicine M Mark Brigham MD

Surgical Orthopedic

Associates 2004 Sproul Rd., 1st Flr Broomall PA 19008 (610) 353-0800 (610) 353-1686

RMH PHILA Y SP Orthopaedics M Dean Trevlyn MD

Surgical Orthopedic

Associates 2004 Sproul Rd., 1st Flr Broomall PA 19008 (610) 353-0800 (610) 353-1686

RMH PHILA Y SP Pain Medicine Anesthesiology M Neil Anand MD Neil Anand

Roxborough Medical

Office Building

5800 Ridge Ave, Ste. 107 Philadelphia PA 19128 (215) 310-8087 (215) 940-9690

RMH PHILA Y SP/PC Palliative Care

Family Medicine-Geriatric

Medicine F Nicol Joseph DO PCOM Geriatrics 4190 City Ave., 315 Philadelphia PA 19131 (215) 871-6844 (215) 871-6381

RMH PHILA Y SP Pathology M Pradeep Bhagat MD

Newtown Square

Pathology Associates 5800 Ridge Ave. Philadelphia PA 19128 (215) 487-4398 (215) 487-4349

RMH PHILA Y SP

Physical Medicine and

Rehabilitation F Aisa Lopez MD Aisa G. Lopez

(RMH Rehabilitation

Dept.)

5800 Ridge Avenue Philadelphia PA 19128 (215) 487-4718 (215) 487-4328

RMH PHILA Y SP

Physical Medicine and

Rehabilitation F Manzoor Mohiuddin MD

Manzoor Nayeema

Mohiuddin 5800 Ridge Ave. Philadelphia PA 19128 (215) 487-4718 (215) 487-4328

RMH PHILA Y SP Podiatrist Foot & Ankle Surgery M Albert Giagnacova III DPM

Center for Foot & Ankle

Excellance 2075 E Allegheny Ave. Philadelphia PA 19134 (215) 425-3700 (215) 425-5233

RMH PHILA Y SP Podiatrist Foot & Ankle Surgery M Albert Giagnacova III DPM

Center for Foot & Ankle

Excellance 1246 W Main St. Philadelphia PA 19134 (215) 272-6554

RMH PHILA Y SP Podiatrist Foot & Ankle Surgery M Larry Goss DPM

Center for Foot & Ankle

Excellance 5735 Ridge Ave., Ste. 104 Philadelphia PA 19128 (215) 483-2006 (215) 483-2066

RMH PHILA Y SP Podiatrist Foot & Ankle Surgery M Larry Goss DPM

Center for Foot & Ankle

Excellance 2075 E Allegheny Ave. Philadelphia PA 19134 (215) 425-3700 (215) 425-5233

RMH PHILA Y SP Podiatrist Foot & Ankle Surgery F Sabrina Minhas DPM

Center for Foot & Ankle

Excellance 5735 Ridge Ave., Ste. 104 Philadelphia PA 19128 (215) 483-2006 (215) 483-2066

RMH PHILA Y SP Podiatrist Foot & Ankle Surgery F Sabrina Minhas DPM

Center for Foot & Ankle

Excellance 2429 Brown St. Philadelphia PA 19130 (215) 236-4088 (215) 236-0755

RMH PHILA Y SP Podiatrist Foot & Ankle Surgery F Sabrina Minhas DPM

Center for Foot & Ankle

Excellance 1246 W Main St. Philadelphia PA 19134 (215) 272-6554

RMH PHILA Y SP Podiatrist Foot & Ankle Surgery F Josephine DePalma DPM Josephine DePalma, DPM 5735 Ridge Ave., Ste. 210 Philadelphia PA 19128 (215) 483-9610 (215) 483-9679

RMH PHILA Y SP Podiatrist

Foot & Ankle Surgery,

Wound Healing M Cornelius Donohue DPM

Cornelius M Dononhue,

DPM 748 Camp Woods Rd. Villanova PA 19085 (610) 293-1969 (610) 293-1969

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 27 of 30

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RMH PHILA Y SP Podiatrist Podiatric Medicine M Steven Schutzbank DPM Steven Schutzbank, DPM 7341 Brookhaven Rd. Philadelphia PA 19151 (215) 473-1070 (215) 871-3668

RMH PHILA Y SP Podiatrist

Podiatric Medicine &

Surgery M Kenneth D' Ortone DPM

Center for Foot & Ankle

Excellance 5735 Ridge Ave., Ste. 104 Philadelphia pa 19128 (215) 483-2006 (215) 483-2066

RMH PHILA Y SP Podiatrist

Podiatric Medicine &

Surgery M Kenneth D' Ortone DPM

Center for Foot & Ankle

Excellance 2429 Brown St. Philadelphia PA 19130 (215) 236-4088 (215) 236-0755

RMH PHILA Y SP Podiatrist

Podiatric Medicine &

Surgery M Joseph Hylinski DPM

Center for Foot & Ankle

Excellance 5735 Ridge Ave., Ste. 104 Philadelphia PA 19128 (215) 483-2006 (215) 483-2066

RMH PHILA Y SP Podiatrist Podiatric Surgery M Steven Myerson DPM A Foot and Ankle, PC 4910 City Ave., Ste. 422 Philadelphia PA 19131 (215) 887-5061(215) 887-1996

RMH PHILA Y SP Podiatrist M John DeGovann DPM

John J DeGovann, DPM,

PC 601 Walnut Lne. Philadelphia PA 19128 (215) 487-1510(215) 487-0540

RMH PHILA Y SP Podiatrist M Marcus Goldbacher DPM Marcus M Goldbacher 2361 E Allegheny Ave. Philadelphia PA 19134 (215) 423-8001 (215) 423-8001

RMH PHILA Y SP Podiatrist M Michael Litman DPM Michael Litman, DPM 1330 Cottman Ave. Philadelphia PA 19111 (215) 728-9100 (215) 728-9101

RMH PHILA Y SP Podiatrist M John Mangano

RPH,

DPM John Mangano RPH DPM 7348 Hiola Rd. Philadelphia PA 19128 (215) 482-1122 (215) 482-1122

RMH PHILA Y SP Podiatrist M Alan Snyder DPM Alan J Snyder, DPM 185 Vermeer Dr.

Upper

Holland PA 19053 (215) 741-1667 (215) 741-1667

RMH PHILA Y SP Podiatrist M David Vanderlyke DPM David S Vanderlyke, DPM 10802 Bustleton Ave. Philadelphia PA 19116 (215) 673-7036 (215) 673-9670

RMH PHILA Y SP Psychiatry M Roy Augusthy MD Roy K Augusthy MD 5735 Ridge Ave., Ste. 210 Philadelphia PA 19128 (215) 483-8605 (215) 583-3497

RMH PHILA Y SP Psychiatry M Larrry Durlofsky DO Vista Medical Services 160 Rock Hill Rd., 1st Fl. Bala Cynwyd PA 19004 (610) 667-6080 (610) 668-1580

RMH PHILA Y SP Psychiatry M Bruce Lief MD Bruce A Lief, MD

2701 Holme Ave., Ste.

204 Philadelphia PA 19152 (215) 938-4915 (215) 335-6483

RMH PHILA Y SP Pulmonary Disease

Critical Care, Internal

Medicine M Daniel Parenti DO

PCOM Internal Medicine

Associates 4190 City Ave., Ste. 330 Philadelphia PA 19131 (215) 871-6337 (215) 871-6347

RMH PHILA Y SP Pulmonary Disease

Critical Care, Internal

Medicine M Michael Venditto DO

PCOM Internal Medicine

Associates 4190 City Ave., Ste. 330 Philadelphia PA 19131 (215) 871-6337 (215) 871-6347

RMH PHILA Y SP Pulmonary Disease Internal Medicine M John Simelaro DO

PCOM Internal Medicine

Associates 4190 City Ave., Ste. 330 Philadelphia PA 19131 (215) 871-6337 (215) 871-6347

RMH PHILA Y SP/PC

Pulmonary Disease,

Critical Care Medicine Internal Medicine M Gerald Diefes MD

Respiratory Associates,

LTD

1001 City Line Ave., WB

113 Wynnewood PA 19096 (610) 896-0280 (610) 896-0286

RMH PHILA Y SP/PC

Pulmonary Disease,

Critical Care Medicine Internal Medicine M Gerald Diefes MD

Respiratory Associates,

LTD 5735 Ridge Ave. Ste. 102 Philadelphia PA 19128 (215) 483-8244

RMH PHILA Y SP/PC

Pulmonary Disease,

Critical Care Medicine Internal Medicine M Gregory Lenchner MD

Respiratory Associates,

LTD 5735 Ridge Ave. Ste. 102 Philadelphia PA 19128 (215) 483-8244

RMH PHILA Y SP/PC

Pulmonary Disease,

Critical Care Medicine Internal Medicine M Robert Promisloff DO

Respiratory Associates,

LTD

1001 City Line Ave., WB

113 Wynnewood PA 19096 (610) 896-0280 (610) 896-0286

RMH PHILA Y SP/PC

Pulmonary Disease,

Critical Care Medicine Internal Medicine M Robert Promisloff DO

Respiratory Associates,

LTD 5735 Ridge Ave. Ste. 102 Philadelphia PA 19128 (215) 483-8244

RMH PHILA Y SP/PC

Pulmonary Disease,

Critical Care Medicine

Internal Medicine-

Geriatric Medicine M Gregory Lenchner MD

Respiratory Associates,

LTD

1001 City Line Ave., WB

113 Wynnewood PA 19096 (610) 896-0280 (610) 896-0286

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 28 of 30

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RMH PHILA Y SP Radiology

Gen-CT, Diag-Rad, Nuc-

Med, DEXA-Scan,

Mammo, Dig-Mammo,

Diag-Stud, Needle-Loc,

Inter-Rad, All MRI/MRA

w/Except to Cardio MRI,

no Ped's MRI, All US

w/Except to Transrectal,

3D/4D US, Seq OB, Hi-Rsk

OB or Transcranial,

Diagnostic Imaging

Inc**

Diagnostic

Imaging Inc** Diagnostic Imaging Inc 5800 Ridge Ave. Philadelphia PA 19128 (215) 483-9900

RMH PHILA Y SP Radiology

Gen-CT, Diag-Rad, Nuc-

Med, DEXA-Scan,

Mammo, Dig-Mammo,

Diag-Stud, Needle-Loc,

Inter-Rad, All MRI/MRA

w/Except to Cardio MRI,

no Ped's MRI, All US

w/Except to Transrectal,

3D/4D US, Seq OB, Hi-Rsk

OB or Transcranial,

RMH Out-Pt

Radiology

RMH Out-Pt

Radiology RMH Out-Pt Radiology 5800 Ridge Ave. Philadelphia PA 19128 (215) 483-9900

RMH PHILA Y SP

Radiology- V-RAD

Nights and Weekends

Gen-CT, Diag-Rad, Nuc-

Med, DEXA-Scan,

Mammo, Dig-Mammo,

Diag-Stud, Needle-Loc,

Inter-Rad, All MRI/MRA

w/Except to Cardio MRI,

no Ped's MRI, All US

w/Except to Transrectal,

3D/4D US, Seq OB, Hi-Rsk

OB or Transcranial

Virtual Radiologic

Professionals, LLC

Virtual Radiologic

Professionals, LLC

Virtual Radiologic

Professionals, LLC 5800 Ridge Ave. Philadelphia PA 19128 (215) 483-9900

RMH PHILA Y SP

Rehab Therapy-

In-PT

In Pt-Pt ,OT, ST, SLT, Soc-

Services, Recreational

Therapy &

Multidisciplinary Rehab RMH In Pt-PT RMH In Pt-PT

Roxborough Memorial

Hospital 5800 Ridge Ave. Philadelphia PA 19128 (215) 483-9900

RMH PHILA Y SP

Rehab Therapy-

Out-PT

Out Pt-Pt, PT, OT, ST SLT-

Pathology RMH Out Pt-PT RMH Out Pt-PT

Roxborough Memorial

Hospital 5800 Ridge Ave. Philadelphia PA 19128 (215) 483-9900

RMH PHILA Y SP Rheumatology Internal Medicine M Bruce Hoffman MD The Arthritis Group 7908 Bustleton Ave. Philadelphia PA 19152 (215) 725-7400 (215) 725-5827

RMH PHILA Y SP Rheumatology Internal Medicine M Bruce Hoffman MD The Arthritis Group

1201 Langhorne-

Newtown, Ste. 408 Langhorne PA 19047 (215) 725-7400 (215) 725-5827

RMH PHILA Y SP Rheumatology Internal Medicine F Jill Johnson MD The Arthritis Group 7908 Bustleton Ave. Philadelphia PA 19152 (215) 725-7400 (215) 725-5827

RMH PHILA Y SP Rheumatology Internal Medicine F Jill Johnson MD The Arthritis Group

1201 Langhorne-

Newtown, Ste. 408 Philadelphia PA 19152 (215) 725-7400 (215) 725-5827

RMH PHILA Y SP Rheumatology Internal Medicine M James Neal Moskowitz MD The Arthritis Group 7908 Bustleton Ave. Philadelphia PA 19152 (215) 725-7400 (215) 725-5827

RMH PHILA Y SP Rheumatology Internal Medicine M James Neal Moskowitz MD The Arthritis Group

1201 Langhorne-

Newtown, Ste. 408 Langhorne PA 19047 (215) 725-7400 (215) 725-5827

RMH PHILA Y SP Rheumatology Internal Medicine M Richard Pascucci DO PCOM Rheumatology 4190 City Ave., Ste. 330 Philadelphia PA 19131 (215) 871-6337 (215) 871-6437

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 29 of 30

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RMH PHILA Y SP Rheumatology Internal Medicine M James Udell MD The Arthritis Group 7908 Bustleton Ave. Philadelphia PA 19152 (215) 725-7400 (215) 725-5827

RMH PHILA Y SP Rheumatology Internal Medicine M James Udell MD The Arthritis Group

1201 Langhorne-

Newtown, Ste. 408 Langhorne PA 19047 (215) 725-7400 (215) 725-5827

RMH PHILA N SP Urgent Care Emergency Medicine M Monte Grossman MD Doctors Express Care LLC 737 W Chester Pike Havertown PA 19083 (610) 853-9900 (610) 853-0169

RMH PHILA N SP Urology Urosurgical F Kristene Whitmore MD

Philadelphia Urosurgical

Associates

207 N Broad St., 4th

Floor Philadelphia PA 19107 (215) 863-8100 (215) 587-6252

RMH PHILA Y SP Urology F Melanie Amster MD

Philadelphia Urology

Associates, PC 1216 Arch St., Ste. 3B Philadelphia PA 19107 (215) 563-1199 (215) 563-1783

RMH PHILA Y SP Urology M Patrick Lenahen MD

Urology Health Specialist,

LLC 5735 Ridge Ave., Ste. 206 Philadelphia PA 19128 (215) 482-1141 (215) 482-9758

RMH PHILA Y SP Urology M Bruce Sloane MD

Philadelphia Urology

Associates, PC 1216 Arch St., Ste. 3B Philadelphia PA 19107 (215) 563-1199 (215) 563-1783

RMH PHILA N SP Vascular Surgery M David Bigatel MD

Main Line Healthcare

dba MLHC Vascular

Specialists

100 E Lancaster Ave. Ste.

275

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 642-1908 (610) 642-6808

RMH PHILA N SP Vascular Surgery M Robert DiGiovanni MD

Main Line Healthcare

dba MLHC Vascular

Specialists

1098 W Baltimore Pike.,

Ste. 3308

Riddle Hlth CTR 3 Media PA 19063 (610) 565-8564 (610) 565-3064

RMH PHILA N SP Vascular Surgery M Vincent DiGiovanni MD

Main Line Healthcare

dba MLHC Vascular

Specialists

100 E Lancaster Ave. Ste.

275

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 642-1908 (610) 642-6808

RMH PHILA N SP Vascular Surgery M Alexander Uribe MD

Main Line Healthcare

dba MLHC Vascular

Specialists

100 E Lancaster Ave. Ste.

275

Lankenau Med Science

Bldg. Wynnewood PA 19096 (610) 642-1908 (610) 642-6808

*Provider not accepting new patients** Provider Contract accessible only if approved by Prime UR ***Last updated 01/28/2014

*Not accepting ne/w patients

**Provider Contract accessible only if approved by Prime UR

***Last updated 01/28/2014 30 of 30