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
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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
RMH_LBH Prime EPO Specialist Network
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LBH BUC Y SP
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
RMH_LBH Prime EPO Specialist Network
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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
RMH_LBH Prime EPO Specialist Network
FAC
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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
RMH_LBH Prime EPO Specialist Network
FAC
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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
RMH_LBH Prime EPO Specialist Network
FAC
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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
RMH_LBH Prime EPO Specialist Network
FAC
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
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HO
SP B
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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
RMH_LBH Prime EPO Specialist Network
FAC
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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
RMH_LBH Prime EPO Specialist Network
FAC
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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
RMH_LBH Prime EPO Specialist Network
FAC
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PR
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
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YS
Y/N
PH
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CIA
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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
RMH_LBH Prime EPO Specialist Network
FAC
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Y
REG
ION
PR
IME
HO
SP B
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Y/N
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
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D
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YS
Y/N
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CIA
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
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YS
Y/N
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CIA
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
PH
YS
Y/N
PH
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CIA
N T
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Y
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
PH
YS
Y/N
PH
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CIA
N T
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Y
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NU
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
PH
YS
Y/N
PH
YSI
CIA
N T
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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
RMH_LBH Prime EPO Specialist Network
FAC
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REG
ION
PR
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
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REG
ION
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HO
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
PH
YS
Y/N
PH
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CIA
N T
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
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REG
ION
PR
IME
HO
SP B
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D
PH
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Y/N
PH
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CIA
N T
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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
RMH_LBH Prime EPO Specialist Network
FAC
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REG
ION
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
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REG
ION
PR
IME
HO
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Y/N
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
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YS
Y/N
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
PH
YS
Y/N
PH
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CIA
N T
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NU
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
PH
YS
Y/N
PH
YSI
CIA
N T
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SPEC
IALT
Y
SUB
-SP
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GEN
DER
FIR
ST N
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
PH
YS
Y/N
PH
YSI
CIA
N T
YP
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SPEC
IALT
Y
SUB
-SP
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DER
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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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
PH
YS
Y/N
PH
YSI
CIA
N T
YP
E
SPEC
IALT
Y
SUB
-SP
ECIA
LTY
GEN
DER
FIR
ST N
AM
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LAST
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OU
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OFF
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AD
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ESS
CIT
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OFF
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FAX
NU
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ER
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
RMH_LBH Prime EPO Specialist Network
FAC
ILIT
Y
REG
ION
PR
IME
HO
SP B
ASE
D
PH
YS
Y/N
PH
YSI
CIA
N T
YP
E
SPEC
IALT
Y
SUB
-SP
ECIA
LTY
GEN
DER
FIR
ST N
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LAST
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NU
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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