provider add/term report - geisinger health · provider add/term report april 2018 ... medical...
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Provider Add/Term ReportJuly 2018
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Palayekar MD, Meena J 1801060082(412) 359-3355 PittsburghObstetrics & GynecologyChalikonda MD, Sricharan 1568479145(412) 359-3115 PittsburghSurgery
ALLEGHENY COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
1376768366(610) 208-4554 ReadingPediatrics
Provider IDCityPhoneSpecialty
1215172648(610) 944-88001134560071(484) 628-46301134560071(610) 589-25551487663670(484) 628-2445115956(610) 378-2499
FleetwoodWest ReadingWomelsdorfWest ReadingReading
Cardiovascular DiseaseInfectious DiseasesInfectious DiseasesPediatric GastroenterologyVascular Surgery
Provider IDCityPhoneSpecialty
Family Practice (610) 939-1532 Reading 1265500698
Provider IDCityPhone
Providers Joining Network
Primary Care Providers
Name
Venkatesh MD, Priya
Specialty Care Providers
Name
Dusaj MD, Raman SPhulpoto MD, Rameez HPhulpoto MD, Rameez HPall MD, Harpreet Cook MD, Judith W.
Providers Leaving Network
Primary Care Providers
Name
Mannepuli MD, Giri B
Specialty Care Providers
Name
Solanki DO, Rajendra Himat
Specialty
Cardiovascular Disease (610) 685-8500 Reading 83603
BERKS COUNTY
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
Egboh CRNP, Maureen Anne 1902321151(215) 536-0655 QuakertownCert. Reg. Nurse PractitionerLehman CRNP, Ashley Jeanine 1275866030(215) 536-0655 QuakertownCert. Reg. Nurse Practitioner
BUCKS COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Specialty Provider IDCityPhone
Providers Leaving Network
Specialty Care Providers
Name
Esnaola MD, Nestor F. Surgery (215)215) 794 Furlong 1013021666
CAMBRIA COUNTY
Provider IDCityPhone
1629045661(814) 269-9551 Johnstown
Specialty
Family Practice
Provider IDCityPhoneSpecialty
105628(814) 534-9230 Johnstown1427203728(814) 269-5275 Johnstown1760774178(814) 534-9230 Johnstown
Nurse MidwifeNeurologyObstetrics & Gynecology
Providers Joining Network
Primary Care Providers
Name
Dewar MD, James Craik
Specialty Care Providers
Name
Cone CNM, Lisa Lynn
Al Baeer MD, Mohammad
Shemshedini MD, Teuta
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Kraft MD, Joshua D 1598185134(814) 237-3470 State CollegeObstetrics & Gynecology
Centre COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Pratt MD, Loretta A Dermatology (814) 237-6600 State College 1770583320
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
Providers Joining Network
Specialty Care Providers
Name
1790198901(610) 903-62001790198901(610) 903-6200
Sloane MD, Justin Sloane MD, Justin Sloane MD, Justin 1790198901(610) 903-6200
ExtonWest ChesterWest Grove
Obstetrics & GynecologyObstetrics & GynecologyObstetrics & Gynecology
Chester COUNTY
Columbia COUNTY
Specialty Provider IDCityPhone
Dermatology (570) 387-2142 Bloomsburg 1962847152Gynecology (570) 759-1830 Berwick 1013948249
Providers Leaving Network
Specialty Care Providers
Name
Spiker MD, Alison MHockman DO, Sheila FJakkampudi MD, Venkata Vamsy Neurology (570) 416-1847 Bloomsburg 1396754701
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
Sahi MD, Rajinder K 130449(717) 774-1366 LemoyneInternal Medicine
CUMBERLAND COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Spiker MD, Alison M Dermatology (717) 972-4250 Camp Hill 1962847152Jakkampudi MD, Venkata Vamsy Neurology (717) 975-8585 Camp Hill 1396754701Jakkampudi MD, Venkata Vamsy Neurology (717) 245-2226 Carlisle 1396754701
Provider IDCityPhoneSpecialty
1710206057(717) 657-2020 HarrisburgOphthalmology
DAUPHIN COUNTY
Providers Joining Network
Specialty Care Providers
Name
Gauthier MD, Alexandre F
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
121281(814) 849-1382 BrookvilleColon & Rectal Surgery
JEFFERSON COUNTY
Providers Joining Network
Specialty Care Providers
Name
Tang MD, Denny
Provider IDCityPhoneSpecialty
1720429483(717) 436-5578 MifflintownNephrology
JUNIATA COUNTY
Providers Joining Network
Specialty Care Providers
Name
Mukaya MD, Japheth Emmanuel
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Lackawanna COUNTY
Specialty Provider IDCityPhone
Providers Leaving Network
Specialty Care Providers
Name
Jakkampudi MD, Venkata Vamsy Neurology (570) 703-8888 Scranton 1396754701
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
DeVine DO, Michael C 1780067959(717) 898-2900 LancasterFamily Practice
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Miller MD, Christopher Roger 1811333917(717) 393-1771 EphrataUrologyMiller MD, Christopher Roger 1811333917(717) 393-1771 LancasterUrology
LANCASTER COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
1134560071(717) 270-3855 Lebanon
Providers Joining Network
Specialty Care Providers
Name
Phulpoto MD, Rameez HMiller MD, Christopher Roger 1811333917(717) 393-1771 Lebanon
Infectious DiseasesUrology
LEBANON COUNTY
Provider IDCityPhoneSpecialty
Providers Joining Network
Specialty Care Providers
Name
1215172648(610) 969-4470Dusaj MD, Raman SDusaj MD, Raman S 1215172648(610) 402-3110
AllentownLaurys Station
Cardiovascular DiseaseCardiovascular Disease
LEHIGH COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Hockman DO, Sheila F Gynecology (570) 708-1500 Conyngham 1013948249Hockman DO, Sheila F Gynecology (570) 501-6450 Hazleton 1013948249Hockman DO, Sheila F Gynecology (570) 501-4584 Mountain Top 1013948249
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Strawn MD, Dale 1518059427(570) 321-3160 WilliamsportSurgery
LYCOMING COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Bellows DC, Laura Chiropractic (570) 322-1776 Williamsport 1093887697
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
LUZERNE COUNTY
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Mukaya MD, Japheth Emmanuel 1720429483(717) 363-9072 LewistownNephrology
MIFFLIN COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Specialty Provider IDCityPhone
Dermatology (717)717) 242 Lewistown 1962847152
Providers Leaving Network
Specialty Care Providers
Name
Spiker MD, Alison MJakkampudi MD, Venkata Vamsy Neurology (717)717) 248 Lewistown 1396754701
Monroe COUNTY
Specialty Provider IDCityPhone
Providers Leaving Network
Specialty Care Providers
Name
Hunt DC, Peter W Chiropractic (570) 421-3539 Stroudsburg 1982638052
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
Buck CRNP, Andrew 1861740268(215) 679-9321 PennsburgCert. Reg. Nurse PractitionerCarroll CRNP, Debra Mrozinski 1689621146(215) 723-7833 TelfordCertified Registered Nurse PractitionerFesta CRNP, Danielle Marie 1124579792(215) 723-3280 SoudertonCertified Registered Nurse PractitionerHarken CRNP, Brigitte Helga 1124067285(215) 361-5010 LansdaleCertified Registered Nurse PractitionerMininger CRNP, Betty 1518483692(215) 361-5010 LansdaleCert. Reg. Nurse PractitionerSouder CRNP, Eileen 1114285749(215) 723-7833 TelfordCertified Registered Nurse PractitionerChi MD, Jessica P 1700149010(610) 658-0999 Bryn MawrPediatrics
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Newman MD, Andrew S Plastic Surgery (215) 707-6410 Fort Washington 1598812216Esnaola MD, Nestor F. Surgery (888) 369-8427 Norristown 1013021666
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Rafiq MD, Arsalan 1407101991(570) 271-6523 DanvilleCardiovascular DiseaseShafqet MD, Muhammad Ali 1801226873(570) 271-6439 DanvilleGastroenterologyZhang MD, Li 1831337773(570) 271-6045 DanvilleHematologyOlaru MD, Alexandru Vasile 1447592720(570) 271-6472 DanvilleNeurology
Montour COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
MONTGOMERY COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Spiker MD, Alison M Dermatology (570) 271-8050 Danville 1962847152Jakkampudi MD, Venkata Vamsy Neurology (570) 271-6472 Danville 1396754701
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Dusaj MD, Raman S 1215172648(484) 884-2170 BethlehemCardiovascular DiseaseMahmood MD, Tariq 1063676534(310) 438-2976 EastonNeurology
NORTHAMPTON COUNTY
NORTHUMBERLAND COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Provider IDPhone
23914(570) 486-4588
City
Coal Township
Specialty
Family Practice
Provider IDPhone
1801226873(570) 644-4325
City
Coal Township
Specialty
Gastroenterology
Providers Joining Network
Primary Care Providers
Name
Wagner MD, Jere Leroy
Specialty Care Providers
Name
Shafqet MD, Muhammad Ali
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
Quinn DO, Sheila 1023301652(215) 662-2250 PhiladelphiaInternal MedicineColeman MD, Casey I 1083000608(215) 861-8800 PhiladelphiaPediatricsFoley MD, Kathryn C 1174919567(215) 861-8830 PhiladelphiaPediatricsPulcini MD, Christian 1881012052(215) 590-1000 PhiladelphiaPediatrics
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Schoenfeld MD, Jason Marc 1942647078(215) 676-7200 PhiladelphiaDermatologyTeefey MD, Christina P 1891084737(215) 829-2345 PhiladelphiaMaternal & Fetal Medicine
Obstetrics & GynecologyTeefey MD, Christina P 1891084737(215) 829-2345 PhiladelphiaTriebwasser MD, Jourdan E 1134414048(215) 829-2345 PhiladelphiaMaternal & Fetal Medicine
Obstetrics & GynecologyTriebwasser MD, Jourdan E 1134414048(215) 829-2345 PhiladelphiaLafferty MD, Margaret A 1629334289(215) 955-6000 PhiladelphiaNeonatal-Perinatal MedicineTravers MD, Christopher S 1588923940(215) 662-3340 PhiladelphiaOrthopaedic SurgerySedaghat MD, Parisa 1861811978(215) 662-8928 PhiladelphiaPhysical Medicine and Rehab Specialist
Pain ManagementSedaghat MD, Parisa 1861811978(215) 662-8928 PhiladelphiaKalassian MD, Kenneth George 1700897048(215) 728-6900 PhiladelphiaPulmonary Disease
PHILADELPHIA COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Newman MD, Andrew S Plastic Surgery (215) 707-4739 Philadelphia 1598812216Esnaola MD, Nestor F. Surgery (215) 728-3095 Philadelphia 1013021666
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
1821505983(814) 274-7101 CoudersportNurse Midwife
POTTER COUNTY
Providers Joining Network
Specialty Care Providers
Name
Ball CNM, Kristine Noel
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhone
23914( 5) 5) 706 Shenandoah
Specialty
Family Practice
SCHUYLKILL COUNTY
Specialty Provider IDCityPhone
Providers Joining Network
Primary Care Providers
Name
Wagner MD, Jere Leroy
Providers Leaving Network
Specialty Care Providers
Name
Hockman DO, Sheila F Gynecology (570)570) 225 Tamaqua 1013948249
SOMERSET COUNTY
Specialty Provider IDCityPhone
Providers Leaving Network
Specialty Care Providers
Name
Go MD, Peter T. Surgery (814) 445-3469 Somerset 38669
TIOGA COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Woodworth DC, Morgan L. Chiropractic (570) 659-5811 Covington 70332
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
1134416779(570) 253-8100 HonesdaleSurgery
WAYNE COUNTY
Providers Joining Network
Specialty Care Providers
Name
Murphy MD, Daniel Lawrence
Provider IDPhone
1942254297(724) 339-3900
City
New Kensington
Specialty
Family Practice
Provider IDCityPhoneSpecialty
1326046830(877) 345-5300 MurrysvilleDermatology
WESTMORELAND COUNTY
Providers Joining Network
Primary Care Providers
Name
Martinez MD, Joseph A
Specialty Care Providers
Name
Tomeo MD, Michael A
Providers Leaving Network
Primary Care Providers
Specialty Provider IDCityPhoneName
McIntyre MD, John Franklin HMO-POS (570) 869-2988 Laceyville 1198McIntyre MD, John Franklin General Practice (570) 833-8300 Meshoppen 1198
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Schafer MD, Jason Lee 1497068225(717) 851-6231 YorkEndocrinology & MetabolismHewitt DPM, Natasha R 1144614157(717) 632-5264 HanoverPodiatry
YORK COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since July 2018. Please confirm network participation of any provider
before receiving services.
WYOMING COUNTY
Provider Add/Term ReportJune 2018
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Peckham-Devine CNM, Barbara S J 1265412159(412) 267-6600 ClairtonNurse MidwifePeckham-Devine CNM, Barbara S J 1265412159(412) 362-8677 WexfordNurse MidwifeShafton CNM, Amanda M 1477961621(412) 267-6600 ClairtonNurse MidwifeShafton CNM, Amanda M 1477961621(412) 362-8677 WexfordNurse MidwifeBenoit MD, Ronald Martin 1124090386(412) 232-5850 Bethel ParkUrology ServicesBenoit MD, Ronald Martin 1124090386(412) 232-5850 PittsburghUrologyJacobs MD, Bruce L 1205091949(412) 605-3000 PittsburghUrology
ALLEGHENY COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
1487639704(610) 816-2060 Laureldale1962766873(610) 743-3139 Wyomissing
Family PracticeFamily Practice
Provider IDCityPhoneSpecialty
1215172648(610) 944-88001215355755(610) 378-2440
FleetwoodReading
1720345424(610) 372-2222116566(484) 509-1900
West ReadingReading
Cardiovascular DiseaseObstetrics & GynecologyOptometryOrthopaedic Surgery
Provider IDCityPhoneSpecialty
Family Practice (610) 683-7393 Kutztown 52653
Specialty Provider IDCityPhone
Providers Joining Network
Primary Care Providers
Name
McCall MD, David SMcLaughlin DO, Zachary R
Specialty Care Providers
Name
Dusaj MD, Raman SShoemaker MD, Andrew DCho OD, Yoon-Jung DiannaChertow MD, Todd E.
Providers Leaving Network
Primary Care Providers
Name
Kunsman MD, Natalie
Specialty Care Providers
Name
Sotomayor MD, Antonio E Neurology (610) 323-9505 Reading 57360
BERKS COUNTY
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
Blank MD, Jesse M 1073931788(814) 832-3405 WilliamsburgInternal Medicine
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Arbid MD, Elias J 1578561528(814) 889-2328 AltoonaVascular Surgery
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Bossinger MD, Steven Owen Urology (814) 941-7304 Altoona 23464
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
BLAIR COUNTY
Provider IDCityPhone
1093000911(215) 860-0775 Morrisville
Specialty
Family Practice
BUCKS COUNTY
Providers Joining Network
Primary Care Providers
Name
Huang MD, Joseph Chun-Fu
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Jabbar MD, Ali 1578729406(814) 475-8600 JohnstownCardiovascular DiseaseGoldberg DO, Michael E 1285835140(814) 534-1270 JohnstownGastroenterologyThompson MD, Mark K 1427043454(814) 534-5724 JohnstownNeurological SurgeryTemesgen MD, Frehiwot D 1134414667(814) 269-5275 JohnstownNeurologyZeidan MD, Boutros M. 57801(814) 534-3740 JohnstownPulmonary DiseaseWilson MD, Christopher 1760691752(814) 534-7800 JohnstownUrology
CAMBRIA COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Nevarre MD, Daniel R Plastic Surgery (814) 536-9000 Johnstown 67060
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
1790779031(610) 826-3338 PalmertonPodiatry
CARBON COUNTY
Providers Joining Network
Specialty Care Providers
Name
Pancholi DPM, Meeta S.
Provider IDCityPhoneSpecialty
1922341528(610) 935-7300 PhoenixvilleFamily Practice
Provider IDCityPhoneSpecialty
1881942506(610) 902-1500 RadnorGastroenterology1053348367(610) 902-5500 WayneOtolaryngology1164785523(610) 902-5500 WayneOtolaryngology
Chester COUNTY
Providers Joining Network
Primary Care Providers
Name
Chan DO, Benjamin
Specialty Care Providers
Name
Gluckman MD, Craig R
Basu MD, Devraj
Brody MD, Robert M
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhone
1447211545(814) 375-7797 DuBois
Specialty
Orthopaedic Surgery
CLEARFIELD COUNTY
Providers Joining Network
Specialty Care Providers
Name
Jadhav MD, Avinash
Columbia COUNTY
Provider IDCityPhone
Providers Leaving Network
Specialty Care Providers
Name
Kadir MD, Sajid
Specialty
Critical Care Medicine (570) 387-2100 Bloomsburg 1821377953
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Waters DO, Richard Foster 157507(717) 218-9830 CarlisleObstetrics & GynecologyWaters DO, Richard Foster 157507(717) 218-9830 ShippensburgObstetrics & Gynecology
CUMBERLAND COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Long MD, James Downey Obstetrics & Gynecology (717) 763-9880 Camp Hill 51326
DAUPHIN COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
Provider IDPhone
1457611329(717)717) 394
City
Hummelstown
Specialty
Oral-Maxillofacial Surgery
Provider IDCityPhone
Providers Joining Network
Specialty Care Providers
Name
Chambers DMD, Michael Douglas
Providers Leaving Network
Specialty Care Providers
Name
Long MD, James Downey
Specialty
Obstetrics & Gynecology (717)717) 901 Harrisburg 51326
Provider IDCityPhoneSpecialty
1790773323(717) 263-7757 ChambersburgInternal Medicine
Providers Joining Network
Primary Care Providers
Name
Pulivarti MD, Bapurao
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
FRANKLIN COUNTY
Provider IDCityPhone
1073931788(814) 643-0461 Huntingdon
Specialty
Internal Medicine
HUNTINGDON COUNTY
Providers Joining Network
Primary Care Providers
Name
Blank MD, Jesse M
LACKAWANNA COUNTY
Specialty Provider IDCityPhone
(570) 703-8231 Scranton 1821377953(570) 342-5253 Scranton 14345
Providers Leaving Network
Specialty Care Providers
Name
Kadir MD, Sajid Fagerburg MD, Rodger E.Clay MD, Ricky Perry
Critical Care MedicineInfectious DiseasesSurgery (570) 969-7355 Scranton 157199
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
Lee MD, Jung S. 29781(717) 684-3663 ColumbiaFamily Practice
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Greve DC, Gary J 1255341574(717) 355-5000 EphrataChiropracticMooney MD, Martha L 1902872203(717) 291-6752 LancasterInfectious DiseasesChambers DMD, Michael Douglas 1457611329(717) 394-3033 LancasterOral-Maxillofacial SurgeryChambers DMD, Michael Douglas 1457611329(717) 394-3033 LititzOral-Maxillofacial Surgery
LANCASTER COUNTY
Providers Leaving Network
Primary Care Providers
Specialty Provider IDCityPhoneName
Schrock MD, Jon Harvey Family Practice (717) 544-3737 Lancaster 20933Schrock MD, Jon Harvey Family Practice (717) 786-7383 Quarryville 20933
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
Providers Joining Network
Specialty Care Providers
Name
157507(717) 273-8835 LebanonWaters DO, Richard FosterWaters DO, Richard Foster 157507(717) 832-0554 Palmyra
Obstetrics & GynecologyObstetrics & Gynecology
LEBANON COUNTY
Provider IDCityPhoneSpecialty
1215172648(610) 969-4470 AllentownCardiovascular Disease1215172648(610) 402-3110 Laurys StationCardiovascular Disease116566(484) 723-0401 AllentownOrthopaedic Surgery1740663384(610) 432-9593 AllentownPodiatry Services1710243464(610) 820-6888 AllentownReproductive Endocrinology76248(610) 820-6888 AllentownReproductive Endocrinology
Providers Joining Network
Specialty Care Providers
Name
Dusaj MD, Raman SDusaj MD, Raman SChertow MD, Todd E.Newton DPM, Alexander S Gueye MD, Ndeye-Aicha Schillings MD, Wendy Jane
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
Canseco-Berbano MD, Rachel Cruz 84055(570) 718-0520 KingstonInternal Medicine
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Mecone CNM, Heather M 139173(570) 808-7916 Wilkes BarreNurse MidwifePancholi DPM, Meeta S. 1790779031(570) 455-3668 HazletonPodiatry
Luzerne COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
Lehigh COUNTY
Provider IDCityPhone
Providers Leaving Network
Specialty Care Providers
Name
Kadir MD, Sajid
Specialty
Critical Care Medicine (570)570) 808 Wilkes Barre 1821377953
Provider IDCityPhoneSpecialty
1326302563(570) 321-3160 WilliamsportSurgery
LYCOMING COUNTY
Providers Joining Network
Specialty Care Providers
Name
Pavalonis DO, Albert
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
Providers Joining Network
Specialty Care Providers
Name
Mukaya MD, Japheth Emmanuel 1720429483(717) 363-9072 LewistownNephrology
Mifflin COUNTY
Provider IDCityPhoneSpecialty
Family Practice (717) 242-7340 Lewistown 1861629511
Specialty Provider IDCityPhone
(717) 242-7480 Lewistown 1821377953
Providers Leaving Network
Primary Care Providers
Name
Dsa MD, Joylin G.
Specialty Care Providers
Name
Kadir MD, Sajid Boell DO, Kendra F.
Critical Care MedicineFamily Practice (717) 242-7270 Lewistown 62227
MONROE COUNTY
Providers Leaving Network
Primary Care Providers
Specialty Provider IDCityPhoneName
Shah MD, Chandrakant Chimanlal Internal Medicine (570) 424-1235 Stroudsburg 37020
Specialty Care Providers
Specialty Provider IDCityPhoneName
Khan MD, Arif Ahmad Pain Management (570) 426-2630 East Stroudsburg 1821392986
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before receiving services.
Provider IDCityPhone
116566(833) 372-6637 Jenkintown
Specialty
Orthopaedic Surgery
MONTGOMERY COUNTY
Providers Joining Network
Specialty Care Providers
Name
Chertow MD, Todd E.
Provider IDCityPhoneSpecialty
1407101991(570) 271-6523 Danville1801226873(570) 271-6439 Danville1831337773(570) 271-6045 Danville1578803698(570) 271-6393 Danville
Providers Joining Network
Specialty Care Providers
Name
Rafiq MD, Arsalan Shafqet MD, Muhammad AliZhang MD, Li George DO, Jason ChristopherOlaru MD, Alexandru Vasile 1447592720(570) 271-6472 Danville
Cardiovascular DiseaseGastroenterologyHematologyNephrologyNeurology
Montour COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Greenhouse MD, Irene Neurology (570) 271-6320 Danville 1588811194Lillmars DO, Steven A Orthopaedic Surgery (570) 271-6541 Danville 356
Provider IDCityPhoneSpecialty
1215172648(484) 884-2170 BethlehemCardiovascular Disease1588828230(610) 438-2976 EastonNeurology1487688255(610) 253-3939 EastonOptometry1740663384(610) 330-9740 EastonPodiatry Services1740663384(610) 432-9593 NorthamptonPodiatry
Northampton COUNTY
Providers Joining Network
Specialty Care Providers
Name
Dusaj MD, Raman SKumar MD, Indira Sterling OD, Richard HNewton DPM, Alexander S Newton DPM, Alexander S
NORTHUMBERLAND COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
Provider IDPhone
1801226873(570) 644-4325
City
Coal Township
Specialty
Gastroenterology
Providers Joining Network
Specialty Care Providers
Name
Shafqet MD, Muhammad Ali
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
Hasan DO, Nadia 1467890053(215) 893-6200 PhiladelphiaFamily Practice
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Adusumalli MD, Srinath 1720373418(215) 615-4949 PhiladelphiaCardiovascular DiseaseFiorilli MD, Paul N 1194040436(215) 662-7355 PhiladelphiaCardiovascular DiseaseHyman MD, Matthew C 1508158338(215) 662-7355 PhiladelphiaCardiovascular DiseaseAbraham MD, Barry B 145290(215) 676-7200 PhiladelphiaDermatologyGluckman MD, Craig R 1881942506(215) 662-8900 PhiladelphiaGastroenterologyGeorge MD, Erin 1366734550(215) 662-3318 PhiladelphiaGynecologic Oncology
Obstetrics & GynecologyGeorge MD, Erin 1366734550(215) 662-3318 PhiladelphiaGerson MD, James N 1336406040(215) 615-0063 PhiladelphiaHematology
Medical OncologyGerson MD, James N 1336406040(215) 615-0063 PhiladelphiaWaxman MD, Adam J 1669766275(215) 615-0063 PhiladelphiaHematology
Medical OncologyWaxman MD, Adam J 1669766275(215) 615-0063 PhiladelphiaEads MD, Jennifer R 1487842100(215) 615-0063 PhiladelphiaMedical OncologyFlannery DO, Dustin D 1073802591(215) 662-3228 PhiladelphiaNeonatal-Perinatal MedicinePetrov MD, Dmitriy 1265726079(215) 662-3487 PhiladelphiaNeurologyRamchand MD, Preethi 1669734273(215) 662-3606 PhiladelphiaNeurologyTropea DO, Thomas F 1073806055(215) 662-3606 PhiladelphiaNeurologyChertow MD, Todd E. 116566(267) 639-2555 PhiladelphiaOrthopaedic SurgeryBasu MD, Devraj 1053348367(215) 829-5180 PhiladelphiaOtolaryngologyBrody MD, Robert M 1164785523(215) 662-2777 PhiladelphiaOtolaryngologyGomez MD, Ernest D 1306282595(215) 662-2777 PhiladelphiaOtolaryngologyGohil MD, Sharmil 1962848150(215) 893-7246 PhiladelphiaPain Management
AnesthesiologyGohil MD, Sharmil 1962848150(215) 893-7246 PhiladelphiaGiattino MD, Stephanie L 1598008666(215) 662-4333 PhiladelphiaRheumatology
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before receiving services.
PHILADELPHIA COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Del Rosario MD, Eunice C Dermatology (215) 955-6680 Philadelphia 1811259443Sahu MD, Joya Dermatology (215) 955-6680 Philadelphia 1548471071Sahu MD, Joya Dermatopathology (215) 955-6680 Philadelphia 1548471071Weight DO, Ryan M Hematology (215) 955-8874 Philadelphia 1346553591Weight DO, Ryan M Medical Oncology (215) 955-8874 Philadelphia 1346553591Sood MD, Brij M Radiation Oncology (215) 728-2581 Philadelphia 128022
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before receiving services.
Snyder COUNTY
Specialty Provider IDCityPhone
Providers Leaving Network
Primary Care Providers
Name
Spiller MD, Lora Pediatrics (570) 372-0536 Selinsgrove 147498
SUSQUEHANNA COUNTY
Provider IDCityPhone
Providers Leaving Network
Primary Care Providers
Name
Dobushak DO, Walter Stephen
Specialty
Family Practice (570) 785-3194 Vandling 1417062241
Provider IDCityPhoneSpecialty
1477961621(412) 267-6600 CanonsburgNurse Midwife
WASHINGTON COUNTY
Providers Joining Network
Specialty Care Providers
Name
Shafton CNM, Amanda M
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since June 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhone
1992816615(724) 845-1145 Leechburg
Specialty
Family Practice
Westmoreland COUNTY
Providers Joining Network
Primary Care Providers
Name
Humphrey DO, James A
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
Mathews MD, Raymond E 1710980719(717) 632-9052 HanoverInternal Medicine
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Schafer MD, Jason Lee 1497068225(717) 851-6231 YorkEndocrinology & Metabolism
YORK COUNTY
Providers Leaving Network
Primary Care Providers
Specialty Provider IDCityPhoneName
Higgins DO, Kenneth R. Family Practice (717) 741-3888 York 50119Loss DO, Beth A. Family Practice (717) 741-3888 York 22151
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before receiving services.
Provider Add/Term ReportMay 2018
ALLEGHENY COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since May 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCityPhoneSpecialty
1295729226(412) 930-0908 PittsburghPediatrics1295729226(878) 332-4920 WexfordPediatrics1942262407(412) 596-8408 ClairtonPediatrics1942262407(878) 332-4920 WexfordPediatrics
Provider IDCityPhoneSpecialty
1629341771(412) 442-2522 Pittsburgh1891967634(412) 621-1818 Pittsburgh1891967634(412) 621-1818 Wexford1578661658(412) 276-7022 Pittsburgh
Critical Care MedicineObstetrics & GynecologyObstetrics & GynecologyOrthopaedic Surgery
Providers Joining Network
Primary Care Providers
Name
Donnelly MD, Brian WDonnelly MD, Brian WHyde MD, Bruce IHyde MD, Bruce I
Specialty Care Providers
Name
Cerejo MD, Sushruta DSmith MD, Danielle LSmith MD, Danielle LMolinero DO, Kenneth Gerard
Provider IDCityPhoneSpecialty
1215172648(610) 944-8800 FleetwoodCardiovascular Disease1245213099(610) 376-7365 Reading1992932339(610) 376-7365 Reading1104180769(610) 376-7365 Reading1881634020(610) 376-7365 Reading
NephrologyNephrologyNephrologyNephrology
BERKS COUNTY
Providers Joining Network
Specialty Care Providers
Name
Dusaj MD, Raman SAbtahi MD, Parvaneh Hallinan DO, Brigid Kathleen Kaur MD, Navneet Rubin MD, Adam M
Providers Joining Network
Primary Care Providers
Provider IDCityPhoneSpecialtyName
Naimoli DO, Barbara 1407268766(814) 414-3891 AltoonaFamily PracticeNaimoli DO, Barbara 1407268766(814) 414-3891 HollidaysburgFamily Practice
BUCKS COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since May 2018. Please confirm network participation of any provider
before receiving services.
BLAIR COUNTY
Provider IDCityPhone
1346446663(215) 728-6900 Furlong
Specialty
Gynecologic Oncology1922263979(215) 892-3191 DoylestownNeonatal-Perinatal Medicine1922263979(215) 453-4082 Sellersville1245339589(215) 642-6900 Bensalem1154420206(215) 642-6900 Bensalem
Neonatal-Perinatal MedicineOrthopaedic SurgeryOrthopaedic Surgery
Providers Joining Network
Specialty Care Providers
Name
Mantia Smaldone MD, Gina Wang MD, Andy Chun Yao Wang MD, Andy Chun Yao Corcoran MD, Thomas A Desmond MD, Mark
Provider IDCityPhone
1356751838(814) 534-9104 Johnstown
Specialty
Internal Medicine
Provider IDCityPhoneSpecialty
1790706000(814) 269-5211 Johnstown1841413275(814) 534-7800 Johnstown
Pain ManagementUrology
CAMBRIA COUNTY
Providers Joining Network
Primary Care Providers
Name
Ahmed MD, Ameer N
Specialty Care Providers
Name
Hirshman DO, Bruce L
Osborn MD, David
CARBON COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Cohen DC, Stuart Chiropractic (570) 386-9910 Lehighton 93562
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before receiving services.
Provider IDCityPhoneSpecialty
147476(814) 371-1510 DuBoisPediatrics
CLEARFIELD COUNTY
Providers Joining Network
Primary Care Providers
Name
Purcell DO, Michael Wells
Provider IDPhoneSpecialty
Providers Joining Network
Specialty Care Providers
Name
Zalonis DPM, John J 1104819929(717) 566-1123
City
HummelstownPodiatry
Dauphin COUNTY
Provider IDCityPhone
Providers Leaving Network
Primary Care Providers
Name
Jaiprakash MD, Divya Vodikad
Specialty
Internal Medicine (717) 233-6171 Harrisburg 1861653552
DELAWARE COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Bonney MD, William James Pediatric Cardiology (856) 872-2868 Drexel Hill 1790801371
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before receiving services.
Provider IDCityPhone
Providers Joining Network
Specialty Care Providers
Name
Molinero DO, Kenneth Gerard 1578661658(724) 425-0300 Uniontown
Specialty
Orthopaedic Surgery
FAYETTE COUNTY
Provider IDCityPhoneSpecialty
Providers Joining Network
Specialty Care Providers
Name
McKinney DC, Joshua 1851759054(717) 436-8281 MifflintownChiropractic
JUNIATA COUNTY
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Pileggi DC, Domenic 1558878173(570) 489-4444 OlyphantChiropractic
LACKAWANNA COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Ghigiarelli MD, Christopher Chadwick Orthopaedic Surgery (570) 307-1767 Scranton 65362Gillick MD, Alan P. Orthopaedic Surgery (570) 307-1767 Scranton 954Henderson MD, Christopher P. Orthopaedic Surgery (570) 307-1767 Scranton 134911Henzes MD, Jack Orthopaedic Surgery (570) 307-1767 Scranton 8249Jordan MD, Thomas W Orthopaedic Surgery (570) 307-1767 Scranton 1508023086Metzger MD, P. Christopher Orthopaedic Surgery (570) 307-1767 Scranton 10393Rich MD, John T. Orthopaedic Surgery (570) 307-1767 Scranton 1705Samujh MD, Christopher Orthopaedic Surgery (570) 307-1767 Scranton 1588878904Schmaltz MD, Harry W. Orthopaedic Surgery (570) 307-1767 Scranton 39633Tracy MD, Michael R Orthopaedic Surgery (570) 307-1767 Scranton 123039Grady MD, Eugene P. Rheumatology (570) 307-1767 Scranton 52179
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since May 2018. Please confirm network participation of any provider
before receiving services.
LANCASTER COUNTY
Specialty Provider IDCityPhone
Chiropractic (717) 397-5700 Lancaster 116940
Providers Leaving Network
Specialty Care Providers
Name
Wasilewski DC, Elaine F.Laskoski DPM, Chester A. Podiatry (717) 354-6100 New Holland 22985
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Dusaj MD, Raman S 1215172648(610) 969-4470 AllentownCardiovascular DiseaseDusaj MD, Raman S 1215172648(610) 402-3110 Laurys StationCardiovascular Disease
LEHIGH COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Jimenez DPM, Philip J Podiatry (610) 434-7000 Allentown 1528381274
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before receiving services.
Provider IDCityPhoneSpecialty
14965(570) 235-1470 Wilkes BarrePediatrics
LUZERNE COUNTY
Providers Joining Network
Primary Care Providers
Name
Sudo DO, Michelle Kunec
MONROE COUNTY
Provider IDPhone
Providers Leaving Network
Specialty Care Providers
Name
Feinstein MD, Steven J.
Specialty
Maternal & Fetal Medicine (570) 426-2830
City
East Stroudsburg 38335
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Mantia Smaldone MD, Gina 1346446663(888) 369-2487 NorristownGynecologic Oncology
MONTGOMERY COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Bonney MD, William James Pediatric Cardiology (484) 476-2000 Wynnewood 1790801371
Montour COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Koehler MD, Matthew P Ophthalmology (570) 271-6531 Danville 1164652178
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since May 2018. Please confirm network participation of any provider
before receiving services.
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Dusaj MD, Raman S 1215172648(484) 884-2170 BethlehemCardiovascular Disease
NORTHAMPTON COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Feinstein MD, Steven J. Maternal & Fetal Medicine (610) 867-4740 Bethlehem 38335Jimenez DPM, Philip J Podiatry (610) 797-1003 Walnutport 1528381274
NORTHUMBERLAND COUNTY
Providers Leaving Network
Specialty Care Providers
Specialty Provider IDCityPhoneName
Koehler MD, Matthew P Ophthalmology (570) 644-9001 Coal Twp 1164652178Koehler MD, Matthew P Ophthalmology (570) 286-3054 Sunbury 1164652178
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before receiving services.
Providers Joining Network
Specialty Care Providers
Provider IDCityPhoneSpecialtyName
Mantia Smaldone MD, Gina 1346446663(215) 728-6900 PhiladelphiaGynecologic OncologyWilliams MD, Basil K 1942578356(215) 928-3041 PhiladelphiaOphthalmologyDesmond MD, Mark 1154420206(215) 992-4960 PhiladelphiaOrthopaedic Surgery
PHILADELPHIA COUNTY
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since May 2018. Please confirm network participation of any provider
before receiving services.
Specialty Provider IDCityPhone
(215)215) 728 Philadelphia 91536(215)215) 955 Philadelphia 1194016154
Providers Leaving Network
Specialty Care Providers
Name
Wong MD, Yu-Ning Godwin MD, James LBonney MD, William James
HematologyMedical OncologyPediatric Cardiology (215)215) 829 Philadelphia 1790801371
Schuylkill COUNTY
Specialty Provider IDPhone
Providers Leaving Network
Primary Care Providers
Name
Singh MD, Gursharan HMO-POS (570) 773-2301
City
Mahanoy City 20333
Provider IDCityPhoneSpecialty
1578661658(724) 648-3862 California1578661658(724) 483-4880 Charleroi
Orthopaedic SurgeryOrthopaedic Surgery
WASHINGTON COUNTY
Providers Joining Network
Specialty Care Providers
Name
Molinero DO, Kenneth Gerard Molinero DO, Kenneth Gerard
Provider IDCityPhoneSpecialty
1578661658(724) 379-5802 Belle VernonOrthopaedic Surgery1710934260(724) 539-7050 LatrobePodiatry
Westmoreland COUNTY
Providers Joining Network
Specialty Care Providers
Name
Molinero DO, Kenneth Gerard Markantone DPM, Gregory S
For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includesproviders who have joined/left the network since May 2018. Please confirm network participation of any provider
before receiving services.
Provider IDCity
1497068225
Specialty Phone
Endocrinology & Metabolism (717) 851-6231 York
YORK COUNTY
Providers Joining Network
Specialty Care Providers
Name
Schafer MD, Jason Lee