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Provider Add/Term Report July 2018 Providers Joining Network Specialty Care Providers Provider ID City Phone Specialty Name Palayekar MD, Meena J 1801060082 (412) 359-3355 Pittsburgh Obstetrics & Gynecology Chalikonda MD, Sricharan 1568479145 (412) 359-3115 Pittsburgh Surgery ALLEGHENY COUNTY For up-to-date information on all network providers, please visit www.thehealthplan.com. This list includes providers who have joined/left the network since July 2018. Please confirm network participation of any provider before receiving services.

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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

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.

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

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.

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

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 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

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

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

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 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

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

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