Provider Directory for WellSpan Provider Network and Other Select Providers and Facilities (Tier 1 Benefit Level) - Beginning January 1, 2020 ...

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Provider Directory for WellSpan Provider Network
and Other Select Providers and Facilities
(Tier 1 Benefit Level)

Beginning January 1, 2020

Please go to the following website to receive the most up-to-date provider listing:
www.WellSpan.org/PopHealth
Glossary of terms

Allergy & Immunology                 Endocrinology                          Gynecology                           Internal Medicine
Allergy and Immunology is the        Endocrinology is the diagnosis and     Gynecology is the examination,       Internal Medicine is the diagnosis
diagnosis and treatment of           treatment of problems stemming         diagnosis and treatment of the       and medical (nonsurgical)
disorders caused by abnormal         from the body’s hormone systems.       female reproductive system.          treatment of the internal problems
reactions of the body’s immune       These include metabolic                                                     of the body, focusing generally on
system. This includes treatment of   malfunctions, such as diabetes         Hematology/ Oncology                 the treatment of adolescents and
people with asthma, hay fever,       and thyroid disorders.                 Oncology is the study, diagnosis     adults.
and certain types of skin diseases                                          and treatment of cancer.
or other allergic reactions.         Family Practice                        Hematology is the study, diagnosis   Maternal & Fetal Medicine
                                     Family Practice focuses on the         and treatment of diseases of the     Maternal & fetal medicine deals
Anesthesiology                       comprehensive care of all              blood and blood-forming tissues.     with pregnant women and unborn
Anesthesiology is the practice of    members of a family.                                                        children.
administering anesthetic to                                                 Hospice and Palliative Care
patients to make them insensitive    Gastroenterology                       Medicine                             Neonatal-Perinatal Medicine
to pain during surgery or certain    Gastroenterology is the diagnosis      The professional organization for    Neonatology focuses on the
medical procedures.                  and treatment of disorders of the      physicians taking care of people     diagnosis, treatment and
                                     digestive organs including the         at the end of                        management of problems in the
Cardiovascular Disease               stomach, bowels, liver, gallbladder    life.                                newborn, such as prematurity or
Cardiovascular Disease is the        and related organs.                                                         respiratory disorders.
study, diagnosis and treatment of                                           Imaging
diseases of the heart, lungs, and    General Surgery                        Imaging is the specialty which       Nephrology
blood vessels, including heart       General surgery includes surgery       focuses on the utilization of        Nephrology is the diagnosis and
attacks, angina, abnormal heart      and management of a broad              radiant substances, to prevent,      treatment of disorders of the
rhythms, rheumatic heart disease,    spectrum of surgical conditions        diagnose and treat diseases          kidney including fluid and mineral
etc.                                 affecting almost any area of the       including cancer.                    imbalances, inadequate kidney
                                     body.                                                                       function and hypertension.
Cardiothoracic Surgery                                                      Imaging and Radiation
Cardiothoracic Surgery focuses       Geriatric Medicine                     Oncology                             Neurology
on surgery of the heart, but also    Geriatric Medicine is the study of     Imaging and Radiation Oncology is    Neurology is the diagnosis and
can include other surgery of the     aging and the treatment of             the specialty which focuses on       treatment of disorders of the
chest area, from the lungs to the    problems in the elderly frequently     the utilization of radiant           nervous system which commonly
esophagus.                           addressing the psychological and       substances, including x-rays and     includes headaches, epilepsy,
                                     social aspects of aging, in addition   radioactive isotopes to prevent,     numbness, movement or memory
Dermatology                          to the physical aspects.               diagnose and treat diseases,         loss.
Dermatology is the study,                                                   including cancer.
diagnosis and treatment of skin      Gynecological Oncology
diseases, including acne,            Gynecological Oncology focuses         Infectious Diseases
psoriasis, warts, skin infections    on the diagnosis and treatment of      Infectious Diseases is the
and skin cancer.                     disorders of the female                specialty which focuses on
                                     reproductive system, including         treatment of a broad range of
                                     tumors and cancer.                     infectious or contagious diseases
                                                                            including HIV/AIDS and
Glossary of terms

Neurological Surgery                  Otolaryngology                         Plastic Surgery                       Urology
Neurological Surgery is the           Otolaryngology is the diagnosis        Plastic Surgery focuses on the        Urology is the study, diagnosis
surgical treatment of disorders of    and treatment of disorders and         repair or reconstruction of defects   and treatment of conditions related
the nervous system, including the     diseases of the ears, nose and         or imperfections caused by injury,    to the kidneys, bladder and
brain, spinal cord and nerves.        throat.                                the aging process, heredity, birth    urethra. Urologists treat both men
                                                                             or disease.                           and women.
Obstetrics & Gynecology               Outpatient Therapy Services
Obstetrics focuses on the             Outpatient Physical, Occupational      Podiatry                              Vascular Surgery
management and treatment of           and Speech Therapy Services            Podiatry is the diagnosis and         Vascular surgery focuses on
pregnant women, including             provide rehabilitation and support     treatment of disorders and            surgery of the veins and arteries.
delivery of infants. Gynecology is    services to persons recovering         diseases of the foot and related
the examination, diagnosis and        from illness, injury or surgery.       structures.                           Wound Care
treatment of the female               (These services may also be                                                  Wound care is a comprehensive
reproductive system.                  obtained at most participating         Pulmonary Disease                     program of specialized wound
                                      hospitals.)                            Pulmonary Medicine focuses on         care management by highly-skilled
Ophthalmology                                                                diagnosis and treatment of            clinicians. Treatment modalities
Ophthalmology is the study,           Pain Management                        disorders of the respiratory          include transcutaneous oxygen
diagnosis and treatment of all eye    (Anesthesiology)                       system, including treatment of        measurement, dressing changes,
and visual problems, as well as       Physicians and other pain experts      pneumonia, cancer, bronchitis,        hyperbaric oxygen therapy, and
medical and surgical disorders of     choose from an extensive series        emphysema and other disorders         wound debridement.
the eye.                              of diagnostic tests to precisely       of the lungs.
                                      identify the source of a patient’s
Optometry                             pain.                                  Rheumatology
A specialist trained to examine the                                          Rheumatology is the diagnosis and
eyes and to prescibe, supply, and     Pediatrics                             treatment of disorders of the
adjust glasses or contact lenses.     Pediatrics is the study, diagnosis     muscles and joints, including
                                      and treatment of medical               arthritis and related disorders.
Oral & Maxillofacial Surgery          conditions in children from birth to
Oral & Maxillofacial Surgery          adolescence.                           Sports Medicine
focuses on the medical and                                                   The field of medicine devoted to
surgical treatment of diseases or     Physical Medicine &                    athletic injuries. Doctors
disorders involving the mouth and     Rehabilitation                         specializing in sports medicine
face.                                 Physical Medicine & Rehabilitation     help patients prevent and recover
                                      is the specialty dealing with the      from a range of injuries.
Orthopaedic Surgery                   treatment and rehabilitation of
Orthopaedic Surgery is the use of     patients with muscular or skeletal     Urogynecology
medical, surgical and physical        injuries or diseases.                  Urogynecology is a surgical
methods to treat problems of the                                             subspecialty of urology and
ligaments, joints, muscles,                                                  gynecology.
tendons, and related structures.
WellSpan Provider Network Participating Providers

 Adams
                                                                  Lyle A Siddoway MD              Talbot L Smith MD
 Advanced Heart Failure &                                         Alva D Smith MD
 Transplant Cardiology                                            Rakhshinda P Zafar MD           Family First Health
                                                                  John P Zornosa MD
                                                                                                  1275 York Rd
 WellSpan Cardiology
                                                                  Dermatology                     Ste 17
 450 S Washington St                                                                              Gettysburg, PA 17325
 Suite A                                                                                          Phone: 717-337-9400
                                                                  Dermatology Associates of
 Gettysburg, PA 17325-2500                                                                        Debra A Bell MD
 Phone: 717-339-3105
                                                                  York                            Wanda D Filer MD
 Adnan S Malik MD                                                 246 Hanover St                  Melanie K Finkenbinder MD
                                                                  Gettysburg, PA 17325-1911       Luis I Garcia MD
 Behavioral Health                                                Phone: 717-741-4666             Asceline S Go MD
                                                                  Steven E Caplan MD              Elizabeth A Horst DO
 WellSpan Philhaven                                               Luciano J Iorizzo MD            Marie L Kellett MD
                                                                  Ninad C Pendharkar MD           Catherine R Mauss DO
 40 V Twin Dr                                                     Heather L Salvaggio MD          Hetal V Patel MD
 Ste 202                                                          Laura S Spears MD               Heather A Rosario PAC
 Gettysburg, PA 17325-7878                                        John G Stoner DO                Junia P Tiruchelvam MD
 Phone: 717-339-2710                                              John G Stoner MD                Oluwatomi O Uwazota MD
 Jennifer L Anderson LCSW
 Deborah A Asper LCSW                                             Diabetes Treatment &            Gettysburg Family Practice
 Brandi M Avery MS, NCC, LPC                                      Education                       524 S Washington St
 Marisa E Barra PhD
                                                                                                  Gettysburg, PA 17325-2594
 Angelo J Fiordimondo PhD                                         WellSpan Endocrinology
                                                                                                  Phone: 717-334-2183
 Pradipta Majumder MD
                                                                  820 Chambersburg Rd.            William J Adair MD
 Syed Z Manzoor MD
                                                                  GETTYSBURG, PA 17325-3310       Douglas E Eyer MD
 Marivi S Mauricio-Tan MD
                                                                  Phone: 717-217-6820             Melissa C Kaminski PAC
 Mija Serrano LPC
                                                                  Barbara E Van Meerbeke LDN      Dwight I Michael MD
 Johar A Shah MD
                                                                  Jennifer M Ruby LDN             Adam I Wasserman MD
 Christopher E Silva PhD
 Nicole K Smith PAC                                               Melissa T Benzon LDN
                                                                                                  Kanagasabapathy
 Julie A Staub LCSW
                                                                  Endocrinology                   Arumugarajah, MD
 Cardiothoracic Surgery                                                                           10 W King St
                                                                  WellSpan Endocrinology          Littlestown, PA 17340
                                                                                                  Phone: 717-359-7114
 WellSpan Thoracic Surgery                                        40 V Twin Dr                    Kanagasabapathy Arumugarajah MD
 40 V-Twin Dr                                                     Ste 205
 Suite 102                                                        Gettysburg, PA 17325-7878       WellSpan Family Medicine -
 Gettysburg, PA 17325-7878                                        Phone: 717-339-2790             Aspers
 Phone: 717-851-6454                                              Jhansi L Ganji MD               2060 Carlisle Rd
 Nikhilesh M Korgaonkar MD                                        Sally M Guise LDN               Aspers, PA 17304-9707
                                                                  Ashok K Kuruvilla MD            Phone: 717-339-2585
 Cardiovascular Disease                                           Peggy B Lovelace LDN
                                                                                                  Emily G Hahn PAC
                                                                  Nazia S Shamsuddin MD
                                                                                                  Orville G McBeth MD
 WellSpan Cardiology                                              820 Chambersburg Rd.            David L Wampler MD
                                                                  GETTYSBURG, PA 17325-3310
 450 S Washington St                                              Phone: 717-217-6820             WellSpan Family Medicine -
 Suite A                                                          Carina Signori DO               East Berlin
 Gettysburg, PA 17325-2500                                        Tiffany L Morton MD             105 4th St
 Phone: 717-339-3105
                                                                                                  PO Box 727
 Kweku A Appau MD                                                 Family Practice                 East Berlin, PA 17316-9638
 Habib Habib MD
                                                                                                  Phone: 717-812-4900
 Richard A Howard MD                                              Apple Ridge Family Medicine     Lauren M Cashman MD
 Doris C Lawson DNP , CRNP
                                                                                                  Stephanie J Ellwood DO
 Jefferson H Lee MD                                               1311 Biglerville Rd
                                                                                                  Annie M Harberger DO
 George N Logothetis MD                                           Gettysburg, PA 17325-8019
                                                                                                  Catherine B Heilman MD
 Momina I Mastoor MD                                              Phone: 717-334-8165
                                                                                                  Amanda L Keller-Smith DO
 Brian T Schuler MD                                               Nora Olson MD
                                                                                                  Rachel B Markey MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                          Page 5 of 52
WellSpan Provider Network Participating Providers

 Adams
 Ashlee G Metzger PAC                                             147 N Washington St             Uzoma Nwakuche MD
 Matthew T Staub PAC                                              Gettysburg, PA 17325            Robert L Rice MD, PhD
 2900 Carlisle Pike                                               Phone: 717-337-2684
                                                                                                  WellSpan Palliative and
 New Oxford, PA 17350-8426                                        Rajesh Bajaj MD
 Phone: 717-812-4900                                                                              Supportive Care
 Lauren M Cashman MD                                              WellSpan Digestive Health       147 Gettys St
 Annie M Harberger DO                                                                             Gettysburg, PA 17325-2534
                                                                  37 N 5th St                     Phone: 717-338-4525
 Catherine B Heilman MD
                                                                  Gettysburg, PA 17325-2004
 Amanda L Keller-Smith DO                                                                         Robert L Rice MD, PhD
                                                                  Phone: 717-339-3125
 Rachel B Markey MD                                                                               423 S Washington St
                                                                  Cara M Davis PAC
 Ashlee G Metzger PAC                                                                             Gettysburg, PA 17325-2526
                                                                  Amber L Diaz PAC
 Matthew T Staub PAC                                                                              Phone: 717-338-4525
                                                                  Rajat P Malik MD
                                                                                                  Robert L Rice MD, PhD
 WellSpan Family Medicine -                                       David N Speranza MD
 Fairfield                                                                                        Imaging
                                                                  General Surgery
 4910 Fairfield Rd
 Ste A
                                                                  WellSpan Bariatric Surgery      Gettysburg Diagnostic Imaging,
 Fairfield, PA 17320-9510
                                                                                                  PC
 Phone: 717-339-3175                                              450 S Washington St             147 Gettys St
 David S Moore MD                                                 3rd Floor, Ste C                Gettysburg, PA 17325-2534
                                                                  Gettysburg, PA 17325-2500       Phone: 717-339-2015
 WellSpan Family Medicine -                                       Phone: 717-741-0733
 Herr's Ridge                                                                                     Tanya G Bromery MD
                                                                  James P Ryan MD                 Wilson S Tan MD
 820 Chambersburg Rd                                              Matthew B Smith MD
 Gettysburg, PA 17325-3310                                                                        Imaging & Radiation Oncology
 Phone: 717-337-4410                                              WellSpan Surgical Specialists
 Audrey C Watts CRNP
                                                                  450 S Washington St             WellSpan Radiology and
 WellSpan Family Medicine -                                       3rd Flr Ste C                   Radiation Oncology
                                                                  Gettysburg, PA 17325-2500
 Littlestown                                                                                      40 V Twin Dr
                                                                  Phone: 717-339-3110             Ste 102
 300 W King St
                                                                  Tara L Assi PAC                 Gettysburg, PA 17325-7878
 Ste C
                                                                  David A Doud DO                 Phone: 717-339-2640
 Littlestown, PA 17340-1446
                                                                  Rajesh Makkenchery MD           Gregory A Fortier MD
 Phone: 717-339-2390
                                                                  Timothy R McKee MD              Lesley A Hughes MD
 Christopher J George MD                                          Roxanna H Nemec PAC
 Kenneth Lepone MD                                                                                Whoon J Kil MD
                                                                  Benjamin J Smith MD             Robena E Medbery MD
 Wetzel Family Medicine                                           Gynecological Oncology
                                                                                                  Reena K Pramanik DO
                                                                                                  Amit B Shah MD
 312 Baltimore St                                                                                 Ori B Shokek MD
 Gettysburg, PA 17325-2526                                        WellSpan Gynecologic            James A Tegeler MD
 Phone: 717-334-9535                                              Oncology                        Michael R Watson MD
 Chris T Wetzel MD                                                450 S Washington St             Sherif F Yacoub MD
                                                                  Ste B
 Female Pelvic Medicine &                                         Gettysburg, PA 17325-2500
                                                                                                  Internal Medicine
 Reconstructive Surgery                                           Phone: 717-337-4487
                                                                  Okechukwu A Ibeanu MD           Family First Health
 WellSpan Urogynecology &                                         Mark A Miller DO
 Pelvic Reconstructive Surgery                                                                    1275 York Rd
                                                                  Hematology/Oncology             Ste 17
 450 S Washington St
                                                                                                  Gettysburg, PA 17325
 Suite B
                                                                                                  Phone: 717-337-9400
 Gettysburg, PA 17325-2500                                        WellSpan Medical Oncology
                                                                                                  Raymond E Mathews MD
 Phone: 717-337-4487                                              and Hematology
 Carlos A Roberts MD                                                                              Wellspan Internal Medicine - V
                                                                  40 V Twin Dr

 Gastroenterology                                                 Suite 104                       Twin Dr
                                                                  Gettysburg, PA 17325-7878
                                                                  Phone: 717-339-2560
 Rajesh Bajaj, MD                                                 Ikechukwu I Akunyili MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                         Page 6 of 52
WellSpan Provider Network Participating Providers

 Adams
 40 V Twin Dr                                                     Joseph P Krzeminski MD
                                                                  Arnold G Salotto MD             Gettysburg Ophthalmology
 Suite 204
 Gettysburg, PA 17325-7878                                        Grant C Sorkin MD               Associates, P.C.
 Phone: 717-339-2424                                              Joel W Winer MD                 455 S Washington St
 Shubha R Acharya MD                                                                              Ste 24
                                                                  Neurology                       Gettysburg, PA 17325-2516
 Abroo T Nawaz MD
 Jason G Rahme MD                                                                                 Phone: 717-334-9159
 Saeeda W Shah MD                                                 WellSpan Neurology              Radhika Patel OD

 WellSpan Internal Medicine                                       40 V Twin Dr                    Orthopaedic Surgery
                                                                  Ste 205
 -Washington Street
                                                                  Gettysburg, PA 17325-7878
 423 S Washington St                                                                              WellSpan Orthopedics
                                                                  Phone: 717-339-2790
 Gettysburg, PA 17325-2526
                                                                  Ravi Dukkipati MD               18 Deatrick Dr
 Phone: 717-339-3165
                                                                  Albert W Heck MD                Gettysburg, PA 17325-6958
 David F Kamsler MD                                               Fengjun Jiang MD                Phone: 717-339-2500
 Kelly P Miller MD                                                Xi Lin MD                       Lawrence D Bailes PAC
 Patrick Quinlan DO                                               Anthony C May MD                Eric M Flickinger PAC
                                                                  Robert L Sterling MD            Robert C Gillis MD
 WellSpan Medical Weight
                                                                                                  Winsor C McBeth PAC
 Management                                                       Obstetrics & Gynecology         Kyle J Messick MD
 450 S Washington St
                                                                                                  Kimberly A Vogan PAC
 Suite B1                                                         WellSpan OB/GYN
 Gettysburg, PA 17325-2500                                                                        Otolaryngology
 Phone: 717-339-2475                                              450 S Washington St
 Elizabeth A Wargo LDN                                            Ste B
                                                                                                  Adams Hanover ENT
                                                                  Gettysburg, PA 17325-2500
 Maternal & Fetal Medicine                                        Phone: 717-337-4487             508 S Washington St
                                                                  Theresa Y Acquaah MD            Gettysburg, PA 17325-2594
 WellSpan Maternal Fetal                                          Christa M Bamburg CNM           Phone: 717-334-8171
 Medicine                                                         Kwadwo B Baryeh MD              James A Manning MD
                                                                  Giovanna R Biles CNM            Bret T Sobota MD
 450 S Washington St
                                                                  Janice M Bollinger CNM
 Ste D
 Gettysburg, PA 17325-2500
                                                                  Emily M Grieve CNM              Pain Management
                                                                  Katherine E Johnson CNM
 Phone: 717-338-3292                                                                              (Anesthesiology)
                                                                  Marianne D Jolin CNM
 Cynthia L Anderson MD
                                                                  Mary O Keperling DO             WellSpan Interventional Pain
 Leonard W Hess MD
                                                                  Charles H Marks DO
 Lucie V Moravia DO, MPH                                                                          Specialists
                                                                  Chelsea Marks DO
 Erik J Smith DO                                                                                  40 V-Twin Dr
                                                                  Susan E Martin CNM
                                                                                                  Ste 205
                                                                  Ann E Orndorff CNM
 Nephrology                                                                                       Gettysburg, PA 17325-7878
                                                                  Renee D Pistilli CNM
                                                                                                  Phone: 717-339-2790
                                                                  Felicia M Rohrbaugh CNM
 WellSpan Nephrology                                              Lauren R Smith-Leed MD          Segun T Dawodu MD, JD, MBA, LL.M, MS
                                                                  Jessica L Tocks DO
 40 V Twin Dr                                                                                     Pediatric Neurology
 Ste 205
                                                                  Ophthalmology
 Gettysburg, PA 17325-7878
                                                                                                  WellSpan Neurology
 Phone: 717-339-2768
                                                                  Gettysburg Ophthalmology
 Kayode C Lawrence MD                                                                             40 V Twin Dr
                                                                  Associates, P.C.                Ste 205
 Neurological Surgery                                             455 S Washington St             Gettysburg, PA 17325-7878
                                                                  Ste 24                          Phone: 717-339-2790
 WellSpan Neurosurgery                                            Gettysburg, PA 17325-2516       Todd F Barron MD
                                                                  Phone: 717-334-9159             Jeremy S Timothy MD
 40 V Twin Dr                                                     Tharmalingam Sivendran MD
 Ste 205                                                          Duane M Whitlock MD             Pediatric Ophthalmology
 Gettysburg, PA 17325-7878
 Phone: 717-339-2790                                              Optometry                       Christianne Schoedel, MD
 Troy J Hamilton PAC

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                         Page 7 of 52
WellSpan Provider Network Participating Providers

 Adams
 20 Expedition Trail                                              23 N Main St                    450 S Washington St
 Ste 110-B                                                        PO Box 526                      Suite E
 Gettysburg, PA 17325-2417                                        Biglerville, PA 17307           Gettysburg, PA 17325-2500
 Phone: 717-757-2020                                              Phone: 717-541-8802             Phone: 717-339-3150
 Begona Aristimuno MD                                             Thomas C Beideman DPM           William K Daiber DO
 Christianne Schoedel MD                                          Elizabeth A Hinton DPM          Gregory W LaNouette MD
                                                                  Darrell R Hoppes DPM            Clyde A Strang MD
 Pediatrics                                                       Richard A Rogers DPM
                                                                  Howard L Schake DPM             Vascular Surgery
 Family First Health                                              Ian M Yarger DPM
                                                                                                  WellSpan Vascular Surgery
 1275 York Rd                                                     Pulmonary Disease
 Ste 17                                                                                           450 S Washington St
 Gettysburg, PA 17325                                             WellSpan Pulmonary and Sleep    Suite A
 Phone: 717-337-9400                                                                              Gettysburg, PA 17325-2500
                                                                  Medicine
 Nicole M Toth MD                                                                                 Phone: 717-851-6454
                                                                  40 V Twin Dr
                                                                                                  Oluwafunmi O Awonuga MD
 Gettysburg Pediatrics                                            Ste 205
                                                                                                  Nancy L Harthun MD
                                                                  Gettysburg, PA 17325-7878
                                                                                                  Yaseen A Tomhe MD
 11 Hunters Trail                                                 Phone: 717-339-2790
 Gettysburg, PA 17325-7281                                        Jeffrey C Lazar MD
 Phone: 717-334-7681                                              Lee A Maddox MD
 Carol A Blank MD                                                 Maria A Mayorga MD
 Bradley R Hoch MD                                                Richard J Murray MD
 Scott M Jaeger MD                                                George R Robinson MD
 Mary J Jaromahum-Flaherty MD
 Cathyrn L Karchner MD                                            Reproductive Endocrinology
 David K Nelson MD
                                                                  WellSpan Urogynecology &
 WellSpan Endocrinology
                                                                  Pelvic Reconstructive Surgery
 820 Chambersburg Rd.                                             450 S Washington St
 GETTYSBURG, PA 17325-3310                                        Suite B
 Phone: 717-217-6820                                              Gettysburg, PA 17325-2500
 Kanika Shanker MD                                                Phone: 717-337-4487
                                                                  Melanie E Ochalski MD
 Podiatry
                                                                  Rheumatology
 Atlantic Foot and Ankle
 Specialist                                                       WellSpan Rheumatology
 525 W Middle St
                                                                  40 V Twin Dr
 Gettysburg, PA 17325-2418
                                                                  Ste 205
 Phone: 717-334-1825
                                                                  Gettysburg, PA 17325-7878
 Cara L Dawes DPM                                                 Phone: 717-339-2790
 Scott M Henry DPM
                                                                  Mark P Diehl DO
 Nicole S McCormack DPM
 Baraka K Senzira DPM                                             Sports Medicine
 East Berlin Foot and Ankle
                                                                  WellSpan Orthopedics
 Center, PC
 201 Harrisburg St                                                18 Deatrick Dr
 East Berlin, PA 17316                                            Gettysburg, PA 17325-6958
 Phone: 717-259-8637                                              Phone: 717-339-2500
 Todd A Zeno DPM                                                  Hannah P Leahy DO

 KPMA, PC, d/b/a Biglerville                                      Urology
 Foot & Ankle Center
                                                                  WellSpan Urology

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                         Page 8 of 52
WellSpan Provider Network Participating Providers

 Berkeley

 Pulmonary Disease

 Pulmonary Consultants of
 Hagerstown
 115-1 Aikens Center
 Martinsburg, WV 25401-6210
 Phone: 304-267-5450
 Imtiaz Khurshid MD
 Johny P Alencherry MD
 Kalim Ahmed MD
 Pajman A Danai MD
 Shaheen Iqbal MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                   Page 9 of 52
WellSpan Provider Network Participating Providers

 Berks

 Family Practice

 Penn State Health Medical
 Group - Schuylkill Valley
 5 S Centre Ave, Ste A3
 Leesport, PA 19533-8661
 Phone: 610-926-5707
 Gregory C Tuke MD

 Pediatrics

 Penn State Health Medical
 Group - All About Children
 655 Walnut St
 West Reading, PA 19611-1242
 Phone: 610-372-9222
 Abimbola T Ajayi MD
 Shilu Joshi MD
 Anna Karasik MD
 Abdullah Sakarcan MD
 Desiree M Webb MD
 Amy L Zisa MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                   Page 10 of 52
WellSpan Provider Network Participating Providers

 Cumberland
                                                                                                  97 Progress Boulevard
 Audiology                                                        WellSpan Endocrinology
                                                                                                  SHIPPENSBURG, PA 17257-9053
                                                                  354 Alexander Spring Road       Phone: 717-217-6800
 WellSpan ENT & Hearing                                           Suite 3                         Artem Dyatlov MD
 Services                                                         Carlisle, PA 17015-7451         Collin L Myers MD
 354 Alexander Spring Road                                        Phone: 717-217-6820             David A Guthrie MD
 Suite 3                                                          Carina Signori DO               David S Bryant MD
 CARLISLE, PA 17015-7451                                          Tiffany L Morton MD             Megan M Tasker DO
 Phone: 717-217-6870                                                                              Nadeem A Quazi MD
 Hoo Y Leung AuD                                                  Family Practice
 Kristin N Jones AuD
                                                                                                  Gynecology
                                                                  WellSpan Family Medicine
 Behavioral Health                                                                                WellSpan OB/GYN
                                                                  46 Walnut Bottom Road
                                                                  Suite 200                       97 Progress Boulevard
 WellSpan Counseling Services
                                                                  Shippensburg, PA 17257-8219     SHIPPENSBURG, PA 17257-9053
 46 Walnut Bottom Road                                            Phone: 717-532-4148             Phone: 717-217-6882
 SHIPPENSBURG, PA 17257-8219                                      Adelina L Palade MD             Laurice A Heine MD
 Phone: 717-267-4839                                              Diana J Lyon-Loftus MD
 Satyajit Mukherjee MD                                            Ernest E Charlesworth MD
                                                                                                  Hematology/Oncology
                                                                  Karen F Bryson MD
 Cardiovascular Disease                                           Kashif A Sandhu MD              Penn State Health Medical
                                                                  Laurel P Bailey MD              Group - Andrews Patel
 WellSpan Cardiology                                              Leo Kratz DO                    Hematology Oncology
                                                                  Robert B George MD
                                                                                                  3912 Trindle Rd
 97 Progress Boulevard                                            Stephen B Flack MD
                                                                                                  Camp Hill, PA 17011-4246
 SHIPPENSBURG, PA 17257-9053                                      Timothy T Owolabi MD
                                                                                                  Phone: 717-761-8740
 Phone: 717-217-6944                                              Todd V Peterson MD
                                                                                                  Jihua Cheng MD
 Anthony G Johnson MD                                             William A Kramer MD
                                                                                                  Margarita R Gareis MD
 Arshad M Safi MD
                                                                  WellSpan Urgent Care            Yang Liu MD
 Aylmer C Tang MD
                                                                                                  Mona Patel PAC
 Betsie Figueroa-Cruz MD
                                                                  46 Walnut Bottom Road           Kathryn Peroutka MD
 Bishnu Subedi MD
                                                                  Suite 100                       Kumudini N Rao MD
 Hari Gnanasekeram MD
                                                                  Shippensburg, PA 17257-8219     Saritha Ravella MD
 Madan K Badal MD
                                                                  Phone: 717-477-2764             Lily H Shah MD
 Mallory L McClure MD
                                                                  Brooke E Sheffler MD            Joshua L Shipley MD
 Rajesh S Chintala MD
                                                                  Carlos R Sandoval-Martinez MD   Mary A Simmonds MD
 Shaiful Islam MD
                                                                  Frank E Mozdy MD                Rajesh Surapaneni MD
 Diabetes Treatment &                                             Jacqueline M Fignar DO
                                                                  James A Uslin DO                Internal Medicine
 Education
                                                                  Joseph T McDermott DO
 WellSpan Endocrinology                                           Rebecca L Pound MD              Cumberland Valley Nephrology
                                                                  Tate M Kauffman MD
 354 Alexander Spring Road                                        Teresa M Joy DO                 64 S W St
 Suite 3                                                          Thomas A Steinour MD            Carlisle, PA 17013-2838
 Carlisle, PA 17015-7451                                                                          Phone: 717-245-2291
 Phone: 717-217-6820                                              General Surgery                 Kavitha Ramaswamy MD
 Barbara E Van Meerbeke LDN                                                                       Shalanki Baiswar MD
 Jennifer M Ruby LDN                                              WellSpan Surgical Specialists
                                                                                                  WellSpan Family Medicine
 WellSpan Surgical Specialists                                    46 Walnut Bottom Road
                                                                                                  46 Walnut Bottom Road
                                                                  Suite 200
 97 Progress Boulevard                                                                            Suite 200
                                                                  Shippensburg, PA 17257-8219
 SHIPPENSBURG, PA 17257-9053                                                                      Shippensburg, PA 17257-8219
                                                                  Phone: 717-217-6800
 Phone: 717-217-6800                                                                              Phone: 717-532-4148
                                                                  Artem Dyatlov MD
 Brittany N Baird RD                                                                              Ryan M DeCort DO
                                                                  Collin L Myers MD
                                                                  David A Guthrie MD              WellSpan Pulmonary & Sleep
 Endocrinology                                                    David S Bryant MD
                                                                                                  Medicine
                                                                  Megan M Tasker DO

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                           Page 11 of 52
WellSpan Provider Network Participating Providers

 Cumberland
 354 Alexander Spring Road                                        Richard S Richards MD           97 Progress Boulevard
 Suite 3                                                          Robert P Lyons MD               SHIPPENSBURG, PA 17257-9053
 Carlisle, PA 17015-7451                                          Roger Robertson MD              Phone: 717-264-1600
 Phone: 717-264-1600                                              Shaunette Davey DO              Peter M Jablin MD
 Antony Lixon MD                                                  Theodore J Steelman MD          Santhosh Gheevarghese John MD
 Pratima P Behari MD                                              Thomas A Little MD              Saroj P Kandel MD
                                                                  William M Gunnett DO            Tarkeshwar Tiwary MD
 97 Progress Boulevard
 SHIPPENSBURG, PA 17257-9053                                      Otolaryngology                  Urology
 Phone: 717-264-1600
 Antony Lixon MD
                                                                  WellSpan ENT & Hearing          WellSpan Urology
 Pratima P Behari MD
                                                                  Services
 Ob/Gyn & CNM                                                     354 Alexander Spring Road       354 Alexander Spring Road
                                                                  Suite 3                         Suite 3
                                                                  CARLISLE, PA 17015-7451         Carlisle, PA 17015-7451
 WellSpan OB/GYN                                                                                  Phone: 717-217-6803
                                                                  Phone: 717-217-6870
 97 Progress Boulevard                                            Anna Grigoryeva MD              Ashish Behari MD
 SHIPPENSBURG, PA 17257-9053                                      H. Carter Davidson MD PhD       Christopher Robison DO
 Phone: 717-217-6882                                              Joshua L Dunklebarger MD        Louis L Glass MD
 Selena Neiderer CNM                                                                              Mohan Verghese MD
                                                                  Pediatrics                      Virgilio A Centenera MD
 Obstetrics & Gynecology
                                                                  WellSpan Endocrinology
 WellSpan OB/GYN
                                                                  354 Alexander Spring Road
 97 Progress Boulevard                                            Suite 3
 SHIPPENSBURG, PA 17257-9053                                      Carlisle, PA 17015-7451
 Phone: 717-217-6882                                              Phone: 717-217-6820
 Angelique L Ridore MD                                            Kanika Shanker MD
 Christine A Molloy MD
 Constance I Glass MD                                             Podiatry
 Mawuli J Brosius MD
 Sulang Rosado MD                                                 KPMA, PC, d/b/a West Shore
 Waymee L Conner MD                                               Foot & Ankle Center
 Orthopaedic Surgery                                              5001 Louise Dr
                                                                  Ste 104
                                                                  Mechanicsburg, PA 17055
 WellSpan Orthopedics                                             Phone: 717-458-5611
 46 Walnut Bottom Road                                            Thomas C Beideman DPM
 Suite 200A                                                       Elizabeth A Hinton DPM
 Shippensburg, PA 17257-8219                                      Darrell R Hoppes DPM
 Phone: 717-263-1220                                              Richard A Rogers DPM
 Brad J Conner DO                                                 Howard L Schake DPM
 Michael S Day MD                                                 Ian M Yarger DPM
 Nikola M Dobrasevic MD
                                                                  Pulmonary Disease
 Richard S Richards MD
 Robert P Lyons MD
 Roger Robertson MD                                               WellSpan Pulmonary & Sleep
 Shaunette Davey DO                                               Medicine
 Theodore J Steelman MD                                           354 Alexander Spring Road
 Thomas A Little MD                                               Suite 3
 William M Gunnett DO                                             Carlisle, PA 17015-7451
 97 Progress Boulevard                                            Phone: 717-264-1600
 SHIPPENSBURG, PA 17257-9053                                      Peter M Jablin MD
 Phone: 717-263-1220                                              Santhosh Gheevarghese John MD
 Brad J Conner DO                                                 Saroj P Kandel MD
 Michael S Day MD                                                 Tarkeshwar Tiwary MD
 Nikola M Dobrasevic MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                         Page 12 of 52
WellSpan Provider Network Participating Providers

 Dauphin
                                                                  Rhondey I Harford MD
 Family Practice                                                  Joachim J Huerter MD                              Lebanon Internal Medicine
                                                                  Mark R Labuski MD                                 Associates, PC
 Penn State Medical Group -                                       Maria T Pettinger MD                              34 Northeast Dr Ste 1A
 Cocoa                                                            Todd R Sanders MD                                 Hershey, PA 17033
                                                                  Paul L Stagg MD                                   Phone: 717-273-6706
 1120 Cocoa Ave
                                                                  Scott W Wise MD                                   Ernesto Gutierrez MD
 Hershey, PA 17033-1712
 Phone: 717-533-4141                                                                                                David C Trostle MD
                                                                  Internal Medicine
 Frank J Battista MD
 Melanie R Fleischmann MD
                                                                  Lebanon Internal Medicine
 Dean J Leis MD
 Elizabeth A Meck MD                                              Associates, PC
 Katelynn M Sheaffer DO                                           34 Northeast Dr Ste 1A
 David T Thoryk MD                                                Hershey, PA 17033
                                                                  Phone: 717-273-6706
 Gastroenterology                                                 Edwin M Kase MD

 Penn State Health Medical                                        Outpatient Therapy Services
 Group - Lancaster Specialties
 1120 Cocoa Ave
                                                                  Central PA Rehabilitation
 Hershey, PA 17033-1712                                           Services
 Phone: 717-715-1001                                              100 S First St, Ste B
 Alison Platt DO                                                  Millersburg, PA 17061-1501
                                                                  Phone: 717-692-4708
 Hematology/Oncology                                              Caitlin A Gardner MPT
                                                                  Emily M McKeon 12.2.19 change from DPT to MPT for has master degr
 Penn State Health Medical                                        2850 Commerce Dr Ste 200B
 Group - Andrews Patel                                            Harrisburg, PA 17110-9383
 Hematology Oncology                                              Phone: 717-727-1337

 4518 Union Deposit Rd
                                                                  Michele R Kelley MPT
 Ste 201
                                                                  Podiatry
 Harrisburg, PA 17111
 Phone: 717-526-1030
 Jihua Cheng MD
                                                                  KPMA, PC, d/b/a Londonderry
 Margarita R Gareis MD                                            Foot & Ankle Center
 Yang Liu MD                                                      845 Sir Thomas Court Suite 2
 Mona Patel PAC                                                   Harrisburg, PA 17109
 Kathryn Peroutka MD                                              Phone: 717-652-5811
 Kumudini N Rao MD                                                Thomas C Beideman DPM
 Saritha Ravella MD                                               Elizabeth A Hinton DPM
 Lily H Shah MD                                                   Darrell R Hoppes DPM
 Joshua L Shipley MD                                              Richard A Rogers DPM
 Mary A Simmonds MD                                               Howard L Schake DPM
 Rajesh Surapaneni MD                                             Ian M Yarger DPM

 Imaging                                                          KPMA, PC, d/b/a Paxtonia Foot
                                                                  & Ankle
 Penn State Health Medical                                        6100 Old Jonestown Rd
 Group - Radiology                                                Harrisburg, PA 17112-2632
 4520 Union Deposit Rd                                            Phone: 717-541-0988
 Harrisburg, PA 17112                                             Elizabeth A Hinton DPM
 Phone: 717-909-4139                                              Darrell R Hoppes DPM
 Brian S Bentley DO                                               Richard A Rogers DPM
 Brian P Bloom MD                                                 Howard L Schake DPM
 Stacy J Castaldi DO
 Shervin C Dean MD
                                                                  Rheumatology
 Dennis M Duryea DO

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                                        Page 13 of 52
WellSpan Provider Network Participating Providers

 Franklin
                                                                  Narendra M Pai MD                     Satyajit Mukherjee MD
 Anesthesiology                                                   Norman F Bradford MD
                                                                  Peter D Resnick MD                    WellSpan Counseling Services
 WellSpan Anesthesiology                                          Rajkumar Mongia MD
                                                                                                        12 St. Paul Drive
                                                                  Roger T Weiss DO
 112 N 7th St                                                                                           Suite 101
                                                                  Sandra M Cifor DO
 Chambersburg, PA 17201-1720                                                                            Chambersburg, PA 17201-1035
                                                                  Shauna W Bomer MD
 Phone: 717-267-7164                                                                                    Phone: 717-267-4839
                                                                  Shazia Choudry MD
 Andrew J Boryan MD                                                                                     Satyajit Mukherjee MD
                                                                  Timothy J Sempowski DO
 Bradley W Heffner MD                                             Todd A Price MD                       24 Antrim Commons Drive
 Brian D Bentzen MD                                                                                     GREENCASTLE, PA 17225-1623
 Ewa M Malinowski MD                                              Audiology                             Phone: 717-267-4839
 J. Alex Leckie MD                                                                                      Satyajit Mukherjee MD
 Mary F Nevin MD                                                  WellSpan ENT & Hearing                3106 Philadelphia Avenue
 Meagan Horst MD                                                  Services                              CHAMBERSBURG, PA 17201-8938
 Michael K Idun MD                                                                                      Phone: 717-267-4839
                                                                  22 St Paul Drive
 Narendra M Pai MD                                                                                      Satyajit Mukherjee MD
                                                                  Suite 202
 Norman F Bradford MD
                                                                  Chambersburg, PA 17201-1036
 Peter D Resnick MD
                                                                  Phone: 717-217-6870
                                                                                                        Cardiovascular Disease
 Rajkumar Mongia MD
 Roger T Weiss DO                                                 Christine K Lindeman AuD
                                                                  Hoo Y Leung AuD                       WellSpan Cardiology
 Sandra M Cifor DO
 Shauna W Bomer MD                                                Kristin N Jones AuD
                                                                                                        12 St Paul Dr
 Shazia Choudry MD                                                24 Antrim Commons Drive               Suite 204
 Timothy J Sempowski DO                                           GREENCASTLE, PA 17225-1623            Chambersburg, PA 17201
 Todd A Price MD                                                  Phone: 717-217-6870                   Phone: 717-217-6886
 12 St Paul Drive                                                 Christine K Lindeman AuD              Anthony G Johnson MD
 Suite 100                                                        Hoo Y Leung AuD                       Arshad M Safi MD
 Chambersburg, PA 17201-1035                                      Kristin N Jones AuD                   Aylmer C Tang MD
 Phone: 717-217-6072                                              601 East Main Street                  Daniel J Kosinski MD
 Andrew J Boryan MD                                               Waynesboro, PA 17268-2332             Francis P Day MD
 Bradley W Heffner MD                                             Phone: 717-217-6870                   22 St Paul Drive
 Brian D Bentzen MD                                               Christine K Lindeman AuD              Suite 201
 Ewa M Malinowski MD                                              Hoo Y Leung AuD                       Chambersburg, PA 17201-1036
 J. Alex Leckie MD                                                Kristin N Jones AuD                   Phone: 717-217-6944
 Mary F Nevin MD                                                                                        Anthony G Johnson MD
 Meagan Horst MD                                                  Behavioral Health                     Arshad M Safi MD
 Michael K Idun MD                                                                                      Aylmer C Tang MD
 Narendra M Pai MD                                                WellSpan Behavioral Health            Betsie Figueroa-Cruz MD
 Norman F Bradford MD                                                                                   Bishnu Subedi MD
 Peter D Resnick MD                                               176 South Coldbrook Avenue
                                                                                                        Hari Gnanasekeram MD
 Rajkumar Mongia MD                                               Chambersburg, PA 17201-2714
                                                                                                        Madan K Badal MD
 Roger T Weiss DO                                                 Phone: 717-267-7480
                                                                                                        Mallory L McClure MD
 Sandra M Cifor DO                                                Indranil Chakrabarti MD               Rajesh S Chintala MD
 Shauna W Bomer MD                                                Nathan J Lee MD                       Shaiful Islam MD
 Shazia Choudry MD                                                Satyajit Mukherjee MD
                                                                                                        601 East Main Street
 Timothy J Sempowski DO                                           24 Antrim Commons Drive               Waynesboro, PA 17268-2332
 Todd A Price MD                                                  GREENCASTLE, PA 17225-1623            Phone: 717-765-5060
 501 East Main Street                                             Phone: 717-267-7480
                                                                                                        Anthony G Johnson MD
 WAYNESBORO, PA 17268-2353                                        Indranil Chakrabarti MD               Arshad M Safi MD
 Phone: 717-765-3425                                              Nathan J Lee MD                       Aylmer C Tang MD
 Andrew J Boryan MD                                               Satyajit Mukherjee MD                 Betsie Figueroa-Cruz MD
 Bradley W Heffner MD                                             Chambersburg Hospital 112 North 7th   Bishnu Subedi MD
 Brian D Bentzen MD                                               Street                                Hari Gnanasekeram MD
 Ewa M Malinowski MD                                              Behavioral Health Unit Third Floor    Madan K Badal MD
 J. Alex Leckie MD                                                Chambersburg, PA 17201-1720           Mallory L McClure MD
 Mary F Nevin MD                                                  Phone: 717-267-7771                   Rajesh S Chintala MD
 Meagan Horst MD                                                  Indranil Chakrabarti MD               Shaiful Islam MD
 Michael K Idun MD                                                Nathan J Lee MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                               Page 14 of 52
WellSpan Provider Network Participating Providers

 Franklin
                                                                  24 Antrim Commons Drive         12 St. Paul Drive
 Diabetes Treatment &                                             GREENCASTLE, PA 17225-1623      Suite 203
 Education                                                        Phone: 717-217-6820             CHAMBERSBURG, PA 17201-1035
                                                                  Carina Signori DO               Phone: 717-264-6511
 WellSpan Endocrinology                                           Tiffany L Morton MD             Diana J Lyon-Loftus MD
                                                                  601 East Main Street            Ernest E Charlesworth MD
 12 St Paul Dr
 Suite 210                                                        Waynesboro, PA 17268-2332       Kashif A Sandhu MD
 Chambersburg, PA 17201                                           Phone: 717-217-6820             Robert B George MD
 Phone: 717-217-6820                                              Carina Signori DO               Stephen B Flack MD
                                                                  Tiffany L Morton MD             Teresa M Joy DO
 Barbara E Van Meerbeke LDN
                                                                                                  Timothy T Owolabi MD
 Jennifer M Ruby LDN
 Melissa T Benzon LDN                                             Family Practice                 Todd V Peterson MD
                                                                                                  William A Kramer MD
 24 Antrim Commons Drive
 GREENCASTLE, PA 17225-1623                                       Mark A. Swartz, M.D., Family    2 Keefer Drive
                                                                                                  Mercersburg, PA 17236-1732
 Phone: 717-217-6820                                              Practice
                                                                                                  Phone: 717-328-2119
 Barbara E Van Meerbeke LDN                                       761 Park 5th Ave, Ste D
                                                                                                  Diana J Lyon-Loftus MD
 Jennifer M Ruby LDN                                              Chambersburg, PA 17201-4210
                                                                                                  Ernest E Charlesworth MD
 Melissa T Benzon LDN                                             Phone: 717-261-1269
                                                                                                  Joseph T McDermott DO
 601 East Main Street                                             Mark A Swartz MD
                                                                                                  Kashif A Sandhu MD
 Waynesboro, PA 17268-2332                                                                        Leo Kratz DO
 Phone: 717-217-6820                                              Summit Walk-In Care
                                                                                                  Robert B George MD
 Barbara E Van Meerbeke LDN                                       50 Eastern Avenue               Stephen B Flack MD
 Jennifer M Ruby LDN                                              Suite 144                       Timothy T Owolabi MD
 Melissa T Benzon LDN                                             Greencastle, PA 17225-1100      Todd V Peterson MD
                                                                  Phone: 717-597-5553             Vincent J Barnhart MD
 WellSpan Surgical Specialists
                                                                  Frank E Mozdy MD                Wendy Day MSN, RN, CRNP,
 120 North 7th Street                                                                             William A Kramer MD
                                                                  601 East Main Street
 Suite 200                                                        Waynesboro, PA 17268-2332       24 Antrim Commons Drive
 Chambersburg, PA 17201-1795                                      Phone: 717-765-5088             GREENCASTLE, PA 17225-1623
 Phone: 717-217-6800                                              Frank E Mozdy MD                Phone: 717-597-5553
 Brittany N Baird RD                                                                              Diana J Lyon-Loftus MD
 601 East Main Street                                             WellSpan Convenient Care        Jane G Leotaud-Moreno MD
 WAYNESBORO, PA 17268-2332                                                                        Joseph T McDermott DO
                                                                  1015 Philadelphia Avenue        Karen F Bryson MD
 Phone: 717-217-6800
                                                                  CHAMBERSBURG, PA 17201-1279     Kashif A Sandhu MD
 Brittany N Baird RD                                              Phone: 717-264-3278             Leo Kratz DO
 WellSpan Weight Management                                       Carlos R Sandoval-Martinez MD   Robert B George MD
                                                                  Waynesboro High School          Stephen B Flack MD
 1624 Orchard Drive                                               550 E 2nd Street                Timothy T Owolabi MD
 Chambersburg, PA 17201-9206                                      WAYNESBORO, PA 17268-2390       Todd V Peterson MD
 Phone: 717-267-6427                                              Phone: 717-264-3278             William A Kramer MD
 Brittany N Baird RD                                              Carlos R Sandoval-Martinez MD   3106 Philadelphia Avenue
 601 East Main Street                                                                             Chambersburg, PA 17201-8938
 Waynesboro, PA 17268-2332                                        WellSpan Family Medicine        Phone: 717-264-3644
 Phone: 717-267-2427                                                                              Diana J Lyon-Loftus MD
                                                                  12 St Paul Drive
 Brittany N Baird RD                                              Suite 101                       Ernest E Charlesworth MD
                                                                  Chambersburg, PA 17201-1035     Joseph T McDermott DO
 Endocrinology                                                                                    Kashif A Sandhu MD
                                                                  Phone: 717-217-6760
                                                                  Ashley B Martin DO              Leo Kratz DO
 WellSpan Endocrinology                                           H. Wallace Brubaker MD          Robert B George MD
                                                                  Karla D Lowman MD               Stephen B Flack MD
 12 St Paul Dr                                                                                    Timothy T Owolabi MD
                                                                  Kashif A Sandhu MD
 Suite 210                                                                                        Todd V Peterson MD
                                                                  Robert B George MD
 Chambersburg, PA 17201                                                                           William A Kramer MD
                                                                  Stephen B Flack MD
 Phone: 717-217-6820
                                                                  Timothy T Owolabi MD
 Carina Signori DO
                                                                  Todd V Peterson MD
 Tiffany L Morton MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                          Page 15 of 52
WellSpan Provider Network Participating Providers

 Franklin
 50 Eastern Avenue                                                Mahrouf Yusif MD                112 North 7th Street
 Suite 144                                                        Navik S Sodhi MD                Chambersburg, PA 17201-1720
 Greencastle, PA 17225-1100                                       R. Lucas Shelly DO              Phone: 717-262-4546
 Phone: 717-597-5553                                              Richard E Bruner DO             Anna R Kent DO
 Karen F Bryson MD                                                501 East Main Street            Iwona J Janicka MD
 601 East Main Street                                             WAYNESBORO, PA 17268-2353
                                                                                                  601 East Main Street
 Waynesboro, PA 17268-2332                                        Phone: 717-765-4000
                                                                                                  WAYNESBORO, PA 17268
 Phone: 717-765-5085                                              Ansuddin S Hasan MD             Phone: 717-262-4546
 Diana J Lyon-Loftus MD                                           David A Hoffmann DO             Anna R Kent DO
 Jacqueline M Fignar DO                                           Frank E Mozdy MD                Iwona J Janicka MD
 Jane G Leotaud-Moreno MD                                         Hardik G Jani MD
 Joseph T McDermott DO                                            Hassan Albassam MD              WellSpan Urgent Care
 Kashif A Sandhu MD                                               Iwona J Janicka MD
                                                                  Kevin T Scheppke MD             1000 Norland Avenue
 Leo Kratz DO
                                                                  Laszlo I Madaras MD             Chambersburg, PA 17201-4229
 Muhammad M Jawaid MD
                                                                  Mahrouf Yusif MD                Phone: 717-267-6363
 Robert B George MD
                                                                  Navik S Sodhi MD                Brooke E Sheffler MD
 Stephen B Flack MD
                                                                  R. Lucas Shelly DO              Carlos R Sandoval-Martinez MD
 Timothy T Owolabi MD
                                                                  Richard E Bruner DO             Frank E Mozdy MD
 Todd V Peterson MD
                                                                                                  Jacqueline M Fignar DO
 William A Kramer MD
                                                                  WellSpan Internal Medicine      James A Uslin DO
 6155 Anthony Highway                                                                             Joseph T McDermott DO
 Waynesboro, PA 17268-9718                                        1425 Philadelphia Avenue
                                                                                                  Rebecca L Pound MD
 Phone: 717-749-3181                                              The Manor
                                                                                                  Teresa M Joy DO
 Diana J Lyon-Loftus MD                                           Chambersburg, PA 17201-1386
                                                                                                  Thomas A Steinour MD
 Ernest E Charlesworth MD                                         Phone: 717-217-6055
                                                                                                  24 Antrim Commons Drive
 Jonah D Burke DO                                                 Kashif A Sandhu MD
                                                                                                  GREENCASTLE, PA 17225-1623
 Kashif A Sandhu MD                                               Robert B George MD
                                                                                                  Phone: 717-597-5553
 Leo Kratz DO                                                     Stephen B Flack MD
                                                                  Timothy T Owolabi MD            Brooke E Sheffler MD
 Robert B George MD
                                                                  Todd V Peterson MD              Carlos R Sandoval-Martinez MD
 Stephen B Flack MD
                                                                                                  Jacqueline M Fignar DO
 Timothy T Owolabi MD                                             2055 Scotland Avenue
                                                                                                  James A Uslin DO
 Todd V Peterson MD                                               CHAMBERSBURG, PA 17201-1451
                                                                                                  Jane G Leotaud-Moreno MD
 William A Kramer MD                                              Phone: 717-217-6055
                                                                                                  Joseph T McDermott DO
                                                                  Kashif A Sandhu MD              Muhammad M Jawaid MD
 WellSpan FastCare
                                                                  Robert B George MD              Rebecca L Pound MD
 Giant                                                            Stephen B Flack MD              Tate M Kauffman MD
 993 Wayne Avenue                                                 Timothy T Owolabi MD            Teresa M Joy DO
 Chambersburg, PA 17201-3895                                      Todd V Peterson MD              Thomas A Steinour MD
 Phone: 717-264-3278                                              2075 Scotland Avenue            601 East Main Street
 Carlos R Sandoval-Martinez MD                                    Chambersburg, PA 17201-1451     WAYNESBORO, PA 17268-2332
 Frank E Mozdy MD                                                 Phone: 717-217-6055             Phone: 717-765-5088
 Jacqueline M Fignar DO                                           Kashif A Sandhu MD              Brooke E Sheffler MD
 James A Uslin DO                                                 Robert B George MD              Carlos R Sandoval-Martinez MD
 Tate M Kauffman MD                                               Stephen B Flack MD              Jacqueline M Fignar DO
 Teresa M Joy DO                                                  Timothy T Owolabi MD            James A Uslin DO
                                                                  Todd V Peterson MD              Jane G Leotaud-Moreno MD
 WellSpan Hospitalists
                                                                  601 East Main Street            Joseph T McDermott DO
 112 North 7th Street                                             Level 3                         Muhammad M Jawaid MD
 Chambersburg, PA 17201-1720                                      Waynesboro, PA 17268-2332       Rebecca L Pound MD
 Phone: 717-217-4300                                              Phone: 717-765-5087             Tate M Kauffman MD
 Ansuddin S Hasan MD                                              Jane G Leotaud-Moreno MD        Teresa M Joy DO
 David A Hoffmann DO                                              Kashif A Sandhu MD              Thomas A Steinour MD
 Frank E Mozdy MD                                                 Robert B George MD
 Hardik G Jani MD                                                 Todd V Peterson MD              Gastroenterology
 Hassan Albassam MD
                                                                  WellSpan Palliative Care        WellSpan Digestive Health
 Iwona J Janicka MD
 Kevin T Scheppke MD
 Laszlo I Madaras MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                         Page 16 of 52
WellSpan Provider Network Participating Providers

 Franklin
 24 Antrim Commons Drive                                          David S Bryant MD               260 North 7th Street
 GREENCASTLE, PA 17225-1623                                       Megan M Tasker DO               Chambersburg, PA 17201-1722
 Phone: 717-765-3648                                              Nadeem A Quazi MD               Phone: 717-262-4660
 Fawaz Z Hakki MD                                                 601 East Main Street            Ato O Wright MD
                                                                  WAYNESBORO, PA 17268-2332       Lesley A Hughes MD
 501 East Main Street
                                                                  Phone: 717-217-6800             Max S Laguerre MD
 Waynesboro, PA 17268-2353
 Phone: 717-765-3648                                              Artem Dyatlov MD                Whoon Jong Kil MD
 Fawaz Z Hakki MD                                                 Collin L Myers MD
                                                                  David A Guthrie MD              Internal Medicine
 General Surgery                                                  David S Bryant MD
                                                                  Megan M Tasker DO               Cumberland Valley Nephrology
                                                                  Nadeem A Quazi MD
 WellSpan Breast Care                                                                             765 5th Ave, Ste A
 22 St Paul Drive
                                                                  WellSpan Weight Management      Chambersburg, PA 17201-4228
                                                                                                  Phone: 717-263-8811
 Suite 100                                                        1624 Orchard Drive
 CHAMBERSBURG, PA 17201-1035                                                                      Kavitha Ramaswamy MD
                                                                  Chambersburg, PA 17201-9206
 Phone: 717-217-6020                                                                              Shalanki Baiswar MD
                                                                  Phone: 717-267-6427
 Catherine Plzak MD                                               Nadeem A Quazi MD               WellSpan Family Medicine
 David A Guthrie MD                                               Paul L Klink MD
 Kareen C Ayre MD                                                                                 12 St Paul Drive
                                                                  601 East Main Street
 601 East Main Street                                                                             Suite 101
                                                                  Waynesboro, PA 17268-2332
 Waynesboro, PA 17268-2332                                                                        Chambersburg, PA 17201-1035
                                                                  Phone: 717-267-2427
 Phone: 717-765-5060                                                                              Phone: 717-217-6760
                                                                  Nadeem A Quazi MD
 Catherine Plzak MD                                                                               Carrie L Sun MD
                                                                  Paul L Klink MD
 David A Guthrie MD                                                                               Ryan M DeCort DO
 Kareen C Ayre MD                                                 Gynecology                      12 St. Paul Drive
                                                                                                  Suite 203
 WellSpan Digestive Health                                                                        CHAMBERSBURG, PA 17201-1035
                                                                  WellSpan OB/GYN
                                                                                                  Phone: 717-264-6511
 24 Antrim Commons Drive
 GREENCASTLE, PA 17225-1623                                       12 St Paul Drive                Ryan M DeCort DO
 Phone: 717-765-3648                                              Suite 207                       2 Keefer Drive
                                                                  Chambersburg, PA 17201-1035     Mercersburg, PA 17236-1732
 Megan M Tasker DO
                                                                  Phone: 717-217-6882             Phone: 717-328-2119
 Nadeem A Quazi MD
                                                                  Laurice A Heine MD              Ryan M DeCort DO
 501 East Main Street
 Waynesboro, PA 17268-2353                                        120 North Seventh Street        24 Antrim Commons Drive
 Phone: 717-765-3648                                              Suite 206                       GREENCASTLE, PA 17225-1623
                                                                  CHAMBERSBURG, PA 17201-1795     Phone: 717-597-5553
 Megan M Tasker DO
                                                                  Phone: 717-217-6882
 Nadeem A Quazi MD                                                                                Ryan M DeCort DO
                                                                  Laurice A Heine MD
                                                                                                  3106 Philadelphia Avenue
 WellSpan Surgical Specialists                                    24 Antrim Commons Drive         Chambersburg, PA 17201-8938
                                                                  GREENCASTLE, PA 17225-1623      Phone: 717-264-3644
 120 North 7th Street
                                                                  Phone: 717-597-5553
 Suite 200                                                                                        Ryan M DeCort DO
                                                                  Laurice A Heine MD
 Chambersburg, PA 17201-1795                                                                      601 East Main Street
 Phone: 717-217-6800                                              50 Eastern Avenue               Waynesboro, PA 17268-2332
 Artem Dyatlov MD                                                 GREENCASTLE, PA 17225-1100      Phone: 717-765-5085
 Collin L Myers MD                                                Phone: 717-597-5553
                                                                                                  Ryan M DeCort DO
 David A Guthrie MD                                               Laurice A Heine MD
                                                                                                  6155 Anthony Highway
 David S Bryant MD                                                601 E Main St                   Waynesboro, PA 17268-9718
 Megan M Tasker DO                                                Waynesboro, PA 17268-2332       Phone: 717-749-3181
 Nadeem A Quazi MD                                                Phone: 717-765-5086
                                                                                                  Ryan M DeCort DO
 24 Antrim Commons Drive                                          Laurice A Heine MD
 Floor 2                                                                                          WellSpan Hospitalists
 GREENCASTLE, PA 17225-1623
                                                                  Imaging & Radiation Oncology
 Phone: 717-217-6800                                                                              112 North 7th Street
                                                                  WellSpan Radiation Oncology     Chambersburg, PA 17201-1720
 Artem Dyatlov MD
                                                                                                  Phone: 717-217-4300
 Collin L Myers MD
 David A Guthrie MD                                                                               Basant K Mittal MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                          Page 17 of 52
WellSpan Provider Network Participating Providers

 Franklin
 Benjamin L Schellhase DO                                         Sanjay Dhar MD                  601 East Main Street
 Charles Berko MD                                                 Shalanki Baiswar MD             Waynesboro, PA 17268-2332
 Dany D Morel MD                                                  Sudheer Sanikommu MD            Phone: 717-264-1600
 Frank G Kusi MD                                                  Surekha V Kotapothula MD        Antony Lixon MD
 Furhan Qureshi MD                                                Swetha Areti MD                 Pratima P Behari MD
 Gautam Wadhwa MD
 Geraldine Policard MD                                            WellSpan Internal Medicine      601 Norland Avenue
                                                                                                  Suite 100
 Glenn Bruce G Vanderver MD
                                                                  1425 Philadelphia Avenue        Chambersburg, PA 17201-4235
 Gokhan Gormus MD
                                                                  The Manor                       Phone: 717-264-1600
 Golam Mostofa MD
                                                                  Chambersburg, PA 17201-1386     Antony Lixon MD
 Heewa M Faraj MD
                                                                  Phone: 717-217-6055             Pratima P Behari MD
 Karina A Henriquez MD
                                                                  Basant K Mittal MD
 Karine Karapetyan MD
                                                                  Geraldine Policard MD           Maternal & Fetal Medicine
 Kavitha Ramaswamy MD
                                                                  Lisa K Higginbotham MD
 Kemsha Z Huslin MD
 Ketan V Shah MD
                                                                  Ryan M DeCort DO                WellSpan Maternal Fetal
 Meril George MD                                                  2055 Scotland Avenue            Medicine
 Minh-Thu T Duong DO                                              CHAMBERSBURG, PA 17201-1451     22 St Paul Dr
 Obasi Chukwunenye MD                                             Phone: 717-217-6055             Ste 101
 Pshtiwan A Tahir MD                                              Basant K Mittal MD              Chambersburg, PA 17201-1033
 Rashid Anjum MD                                                  Geraldine Policard MD           Phone: 877-722-1757
 Robert F Goldman MD                                              Lisa K Higginbotham MD          Cynthia L Anderson MD
 Robert J Ternes MD                                               Ryan M DeCort DO                Robert B Gherman MD
 Ryan M DeCort DO                                                 2075 Scotland Avenue            Leonard W Hess MD
 Salman Lateef MD                                                 Chambersburg, PA 17201-1451     Lucie V Moravia DO, MPH
 Sanjay Dhar MD                                                   Phone: 717-217-6055             Erik J Smith DO
 Shalanki Baiswar MD                                              Basant K Mittal MD
 Sudheer Sanikommu MD                                             Geraldine Policard MD           Neonatal - Perinatal Medicine
 Surekha V Kotapothula MD                                         Lisa K Higginbotham MD
 Swetha Areti MD                                                  Ryan M DeCort DO                WellSpan Neonatology
 501 East Main Street                                             601 East Main Street
 WAYNESBORO, PA 17268-2353                                                                        112 N 7th St
                                                                  Level 3
 Phone: 717-765-4000                                                                              Chambersburg, PA 17201-1720
                                                                  Waynesboro, PA 17268-2332
 Basant K Mittal MD                                                                               Phone: 717-851-2613
                                                                  Phone: 717-765-5087
 Benjamin L Schellhase DO                                                                         Elias W Abebe MD
                                                                  Lisa K Higginbotham MD
 Charles Berko MD                                                                                 Michael H Goodstein MD
                                                                  Pamela F Bradford MD
 Dany D Morel MD                                                                                  Puneet Jairath MD
                                                                  Ryan M DeCort DO
 Frank G Kusi MD                                                                                  Misty C McCaig MD
                                                                  Shanta Pandey MD
 Furhan Qureshi MD                                                                                Chinazo O Meniru MD
                                                                  Tehmina Haq MD
 Gautam Wadhwa MD                                                                                 Sheela Moorthy MD
 Geraldine Policard MD                                            WellSpan Palliative Care        501 E Main St
 Glenn Bruce G Vanderver MD                                                                       Waynesboro, PA 17268-2353
 Gokhan Gormus MD                                                 112 North 7th Street            Phone: 717-851-2613
 Golam Mostofa MD                                                 Chambersburg, PA 17201-1720
                                                                                                  Elias W Abebe MD
 Heewa M Faraj MD                                                 Phone: 717-262-4546
                                                                                                  Michael H Goodstein MD
 Karina A Henriquez MD                                            Chitra A Mohan MD               Puneet Jairath MD
 Karine Karapetyan MD                                             Louis E Coda MD                 Misty C McCaig MD
 Kavitha Ramaswamy MD                                             Ryan M DeCort DO                Chinazo O Meniru MD
 Kemsha Z Huslin MD                                               601 East Main Street            Sheela Moorthy MD
 Ketan V Shah MD                                                  WAYNESBORO, PA 17268
 Meril George MD                                                  Phone: 717-262-4546             Neurology
 Minh-Thu T Duong DO                                              Chitra A Mohan MD
 Obasi Chukwunenye MD                                             Louis E Coda MD                 Cumberland Valley
 Pshtiwan A Tahir MD                                              Ryan M DeCort DO                Neurosurgical Consultants
 Rashid Anjum MD
 Robert F Goldman MD                                              WellSpan Pulmonary & Sleep      764 Lincoln Way E
                                                                                                  Chambersburg, PA 17201-2710
 Robert J Ternes MD                                               Medicine
 Ryan M DeCort DO                                                                                 Phone: 717-263-3850
 Salman Lateef MD                                                                                 Stanton E Sollenberger DO

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                         Page 18 of 52
WellSpan Provider Network Participating Providers

 Franklin
                                                                                                  Mawuli J Brosius MD
 WellSpan Neurology                                               WellSpan OB/GYN                 Ronald Pluszczynski MD
                                                                                                  Sulang Rosado MD
 112 North 7th Street                                             12 St Paul Drive
                                                                                                  Tasneem S Ahmed MD
 Chambersburg, PA 17201-1720                                      Suite 207
                                                                                                  Waymee L Conner MD
 Phone: 717-217-4300                                              Chambersburg, PA 17201-1035
 Khatuna Gurgenashvili MD                                         Phone: 717-217-6882             Oncology
 Stanton E Sollenberger DO                                        Angelique L Ridore MD
 22 St Paul Dr                                                    Christine A Molloy MD
                                                                                                  WellSpan Medical Oncology &
 Ste 101                                                          Constance I Glass MD
                                                                  Mawuli J Brosius MD             Hematology
 Chambersburg, PA 17201-1033
 Phone: 717-262-2665                                              Sulang Rosado MD                22 St Paul Drive
                                                                  Waymee L Conner MD              Suite 100
 William B Bossert MD
                                                                                                  Chambersburg, PA 17201-1036
 Sana Q Siddiqi MD                                                120 North Seventh Street
                                                                                                  Phone: 717-217-6020
                                                                  Suite 206
 501 East Main Street
                                                                  CHAMBERSBURG, PA 17201-1795     John F Robinson MD
 Waynesboro, PA 17268-2353
                                                                  Phone: 717-217-6882             Kevin J Lorentsen MD
 Phone: 717-765-4000
                                                                  Angelique L Ridore MD           Mahinur H Khan MD
 Khatuna Gurgenashvili MD                                                                         Michael R Cashdollar MD
 Stanton E Sollenberger DO                                        Christine A Molloy MD
                                                                  Constance I Glass MD            Sri Lakshmi Hyndavi Yeruva MD

 Ob/Gyn & CNM                                                     Mawuli J Brosius MD             601 East Main Street
                                                                  Sulang Rosado MD                Waynesboro, PA 17268-2332
                                                                  Waymee L Conner MD              Phone: 717-765-5025
 WellSpan OB/GYN
                                                                  24 Antrim Commons Drive         John F Robinson MD
 12 St Paul Drive                                                 GREENCASTLE, PA 17225-1623      Kevin J Lorentsen MD
 Suite 207                                                        Phone: 717-597-5553             Mahinur H Khan MD
 Chambersburg, PA 17201-1035                                      Allan O Anyumba DO              Michael R Cashdollar MD
 Phone: 717-217-6882                                              Angelique L Ridore MD           Sri Lakshmi Hyndavi Yeruva MD
 Selena Neiderer CNM                                              Christine A Molloy MD
                                                                                                  Orthopaedic Surgery
 120 North Seventh Street                                         Constance I Glass MD
 Suite 206                                                        Erik C Smith MD
 CHAMBERSBURG, PA 17201-1795                                      M D Leonard DO                  WellSpan Orthopedics
 Phone: 717-217-6882                                              Mawuli J Brosius MD
                                                                                                  120 North 7th Street
 Selena Neiderer CNM                                              Ronald Pluszczynski MD
                                                                                                  Suite 101
                                                                  Sulang Rosado MD
 24 Antrim Commons Drive                                                                          Chambersburg, PA 17201-1795
                                                                  Tasneem S Ahmed MD
 GREENCASTLE, PA 17225-1623                                                                       Phone: 717-263-1220
                                                                  Waymee L Conner MD
 Phone: 717-597-5553                                                                              Brad J Conner DO
 Jacqueline Y Sullivan CNM                                        50 Eastern Avenue               Michael S Day MD
 Julie A Szymanski CNM                                            GREENCASTLE, PA 17225-1100      Nikola M Dobrasevic MD
 Kimberly Amsley-Camp CNM                                         Phone: 717-597-5553             Richard S Richards MD
 Nylene Brittain CNM                                              Allan O Anyumba DO              Robert P Lyons MD
 Selena Neiderer CNM                                              Angelique L Ridore MD           Roger Robertson MD
                                                                  Christine A Molloy MD           Shaunette Davey DO
 50 Eastern Avenue
                                                                  Constance I Glass MD            Theodore J Steelman MD
 GREENCASTLE, PA 17225-1100
                                                                  Erik C Smith MD                 Thomas A Little MD
 Phone: 717-597-5553
                                                                  Mawuli J Brosius MD             William M Gunnett DO
 Jacqueline Y Sullivan CNM
                                                                  Ronald Pluszczynski MD
 Julie A Szymanski CNM                                                                            24 Antrim Commons Drive
                                                                  Sulang Rosado MD
 Nylene Brittain CNM                                                                              GREENCASTLE, PA 17225-1623
                                                                  Tasneem S Ahmed MD
                                                                                                  Phone: 717-263-1220
 601 E Main St                                                    Waymee L Conner MD
 Waynesboro, PA 17268-2332                                                                        Brad J Conner DO
                                                                  601 E Main St                   Michael S Day MD
 Phone: 717-765-5086
                                                                  Waynesboro, PA 17268-2332       Nikola M Dobrasevic MD
 Jacqueline Y Sullivan CNM                                        Phone: 717-765-5086             Richard S Richards MD
 Julie A Szymanski CNM
                                                                  Allan O Anyumba DO              Robert P Lyons MD
 Kimberly Amsley-Camp CNM
                                                                  Angelique L Ridore MD           Roger Robertson MD
 Nylene Brittain CNM
                                                                  Christine A Molloy MD           Shaunette Davey DO
 Selena Neiderer CNM
                                                                  Constance I Glass MD            Theodore J Steelman MD
                                                                  Erik C Smith MD
 Obstetrics & Gynecology                                                                          Thomas A Little MD
                                                                  M D Leonard DO                  William M Gunnett DO

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                         Page 19 of 52
WellSpan Provider Network Participating Providers

 Franklin
 601 East Main Street                                                                             1920 Scotland Avenue
                                                                  WellSpan Physiatry
 Waynesboro, PA 17268-2332                                                                        Chambersburg, PA 17201-1450
 Phone: 717-765-5060                                              12 St Paul Drive                Phone: 717-264-5211
 Brad J Conner DO                                                 Suite 208                       John M Sekel DPM
 Michael S Day MD                                                 Chambersburg, PA 17201-1035     Katherine E Cashdollar DPM
 Nikola M Dobrasevic MD                                           Phone: 717-217-6072             Lisa A Price DPM
 Richard S Richards MD                                            Michal Glinianski MD            Michael R Cashdollar DPM
 Robert P Lyons MD                                                                                Michael S Husar DPM
 Roger Robertson MD                                               Pediatrics                      Nicholas A Amalfetano DPM
 Shaunette Davey DO                                                                               Peter J Holdaway DPM
 Theodore J Steelman MD                                           WellSpan Endocrinology          24 Antrim Commons Drive
 Thomas A Little MD                                                                               GREENCASTLE, PA 17225-1623
 William M Gunnett DO                                             12 St Paul Dr                   Phone: 717-264-5211
                                                                  Suite 210                       John M Sekel DPM
 Otolaryngology                                                   Chambersburg, PA 17201          Katherine E Cashdollar DPM
                                                                  Phone: 717-217-6820             Lisa A Price DPM
 WellSpan ENT & Hearing                                           Kanika Shanker MD               Michael R Cashdollar DPM
 Services                                                         24 Antrim Commons Drive         Michael S Husar DPM
 22 St Paul Drive                                                 GREENCASTLE, PA 17225-1623      Nicholas A Amalfetano DPM
 Suite 202                                                        Phone: 717-217-6820             Peter J Holdaway DPM
 Chambersburg, PA 17201-1036                                      Kanika Shanker MD               601 East Main Street
 Phone: 717-217-6870                                              601 East Main Street            Third Floor
 Anna Grigoryeva MD                                               Waynesboro, PA 17268-2332       Waynesboro, PA 17268-2332
 H. Carter Davidson MD PhD                                        Phone: 717-217-6820             Phone: 717-264-5211
 Joshua L Dunklebarger MD                                         Kanika Shanker MD               John M Sekel DPM
 24 Antrim Commons Drive                                                                          Katherine E Cashdollar DPM
 GREENCASTLE, PA 17225-1623                                       Physical Medicine &             Lisa A Price DPM
 Phone: 717-217-6870                                              Rehabilitation                  Michael R Cashdollar DPM
 Anna Grigoryeva MD                                                                               Michael S Husar DPM
 H. Carter Davidson MD PhD                                        WellSpan Physiatry              Nicholas A Amalfetano DPM
 Joshua L Dunklebarger MD                                                                         Peter J Holdaway DPM
                                                                  12 St Paul Drive
 601 East Main Street                                                                             Pulmonary Disease
                                                                  Suite 208
 Waynesboro, PA 17268-2332
                                                                  Chambersburg, PA 17201-1035
 Phone: 717-217-6870
                                                                  Phone: 717-217-6072             Pulmonary Consultants of
 Anna Grigoryeva MD                                               Matthew C Pauli DO
 H. Carter Davidson MD PhD                                                                        Hagerstown
 Joshua L Dunklebarger MD                                         Plastic Surgery                 1823 East Main St, Suite A
                                                                                                  Waynesboro, PA 17268-1878
 Pain Management                                                                                  Phone: 717-762-3353
                                                                  Cosmetic Plastic Surgery and
 (Anesthesiology)                                                                                 Imtiaz Khurshid MD
                                                                  Laser Center                    Johny P Alencherry MD
 WellSpan Interventional Pain                                     49 St. Paul Drive               Kalim Ahmed MD
 Specialists                                                      Chambersburg, PA 17201-1020     Pajman A Danai MD
                                                                  Phone: 717-261-1620             Shaheen Iqbal MD
 12 St Paul Dr
                                                                  Salvatore DiMercurio MD         825 Fifth Avenue
 Suite 208
 Chambersburg, PA 17201                                                                           Suite 204
                                                                  WellSpan Plastic Surgery and
 Phone: 717-217-6072                                                                              Chambersburg, PA 17201-4213
                                                                  Skin Care Center                Phone: 717-496-8163
 Heather A Pauli DO
 Malgorzata Sidor MD                                              12 St Paul Drive                Imtiaz Khurshid MD
 Michal Glinianski MD                                             Suite 104                       Johny P Alencherry MD
                                                                  Chambersburg, PA 17201-1035     Kalim Ahmed MD
 24 Antrim Commons Drive
                                                                  Phone: 717-263-8463             Pajman A Danai MD
 GREENCASTLE, PA 17225-1623
                                                                  Wayne Ledinh MD                 Shaheen Iqbal MD
 Phone: 717-217-6072
 Heather A Pauli DO                                               Podiatry                        WellSpan Pulmonary & Sleep
 Malgorzata Sidor MD
                                                                                                  Medicine
 Michal Glinianski MD
                                                                  WellSpan Podiatry

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                          Page 20 of 52
WellSpan Provider Network Participating Providers

 Franklin
 601 East Main Street
 Waynesboro, PA 17268-2332
 Phone: 717-264-1600
 Peter M Jablin MD
 Santhosh Gheevarghese John MD
 Saroj P Kandel MD
 Tarkeshwar Tiwary MD
 601 Norland Avenue
 Suite 100
 Chambersburg, PA 17201-4235
 Phone: 717-264-1600
 Peter M Jablin MD
 Santhosh Gheevarghese John MD
 Saroj P Kandel MD
 Tarkeshwar Tiwary MD

 Urology

 WellSpan Urology
 120 North 7th Street
 Suite 200
 Chambersburg, PA 17201-1795
 Phone: 717-217-6803
 Ashish Behari MD
 Christopher Robison DO
 Louis L Glass MD
 Mohan Verghese MD
 Virgilio A Centenera MD
 24 Antrim Commons Drive
 GREENCASTLE, PA 17225-1623
 Phone: 717-217-6803
 Ashish Behari MD
 Christopher Robison DO
 Louis L Glass MD
 Mohan Verghese MD
 Virgilio A Centenera MD
 601 East Main Street
 Waynesboro, PA 17268-2332
 Phone: 717-217-6803
 Ashish Behari MD
 Christopher Robison DO
 Louis L Glass MD
 Mohan Verghese MD
 Virgilio A Centenera MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                   Page 21 of 52
WellSpan Provider Network Participating Providers

 Frederick

 Family Practice

 WellSpan Family Medicine -
 Thurmont
 52 Water St
 Thurmont, MD 21788-1912
 Phone: 301-271-3535
 Mary E DeMino DO

 Podiatry

 Atlantic Foot and Ankle
 Specialist
 7101 Guilford Dr Ste 204
 Frederick, MD 21704-5217
 Phone: 301-694-8880
 Cara L Dawes DPM
 Scott M Henry DPM
 Nicole S McCormack DPM

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                   Page 22 of 52
WellSpan Provider Network Participating Providers

 Fulton

 Gynecology

 WellSpan OB/GYN
 214 Peach Orchard Rd
 Mc Connellsburg, PA 17233-8559
 Phone: 717-485-6125
 Laurice A Heine MD

 Ob/Gyn & CNM

 WellSpan OB/GYN
 214 Peach Orchard Rd
 Mc Connellsburg, PA 17233-8559
 Phone: 717-485-6125
 Jacqueline Y Sullivan CNM
 Julie A Szymanski CNM
 Nylene Brittain CNM
 Selena Neiderer CNM

 Obstetrics & Gynecology

 WellSpan OB/GYN
 214 Peach Orchard Rd
 Mc Connellsburg, PA 17233-8559
 Phone: 717-485-6125
 Allan O Anyumba DO
 Angelique L Ridore MD
 Christine A Molloy MD
 Constance I Glass MD
 Erik C Smith MD
 M D Leonard DO
 Mawuli J Brosius MD
 Ronald Pluszczynski MD
 Sulang Rosado MD
 Tasneem S Ahmed MD
 Waymee L Conner MD

 Pulmonary Disease

 Pulmonary Consultants of
 Hagerstown
 214 Peach Orchard Road
 Mc Connellsburg, PA 17233-8559
 Phone: 301-733-0300
 Imtiaz Khurshid MD
 Johny P Alencherry MD
 Kalim Ahmed MD
 Pajman A Danai MD
 Shaheen Iqbal MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                   Page 23 of 52
WellSpan Provider Network Participating Providers

 Lancaster
                                                                  561 West Trout Run Road         Scott T Riebel MD
 Acupuncture                                                      Ephrata, PA 17522               Tatjana Sljapic MD
                                                                  Phone: 717-733-4891             446 N Reading Rd
 WellSpan Family Health -                                         Amanda N Arnold AUD             Suite 302
 Georgetown                                                       Elizabeth E Blackburn AUD       Ephrata, PA 17522-9802
 1135 Georgetown Rd                                               Jessica D Jackson AUD           Phone: 717-738-0167
 Suite 201                                                        Tami L Shea AUD                 Monodeep Biswas MD
 Christiana, PA 17509-9543                                        Arys M Yunque AUD               Patrick J Fitzsimmons MD
 Phone: 717-466-2462                                              810 Plaza Blvd                  Umesh C Mishra MD
 Keith J Wright MD                                                Lancaster, PA 17601             Scott T Riebel MD
                                                                  Phone: 717-394-5088             Tatjana Sljapic MD
 WellSpan Family Medicine -                                       Amanda N Arnold AUD
 Trout Run                                                                                        Endocrinology
                                                                  Elizabeth E Blackburn AUD
 808 Pleasant View Dr                                             Jessica D Jackson AUD
 Ephrata, PA 17522-9604                                           Tami L Shea AUD                 Pennsylvania Institute of
 Phone: 717-733-9090                                                                              Endocrinology, LLC
 Joseph G Degenhard MD
                                                                  Behavioral Health               1575 Highlands Drive
                                                                                                  Suite 206
 Allergy & Immunology                                             Philhaven                       Lititz, PA 17543
                                                                                                  Phone: 717-568-8886
                                                                  354 N Reading Rd
 Allergy & Asthma Center                                                                          Saba Faiz MD
                                                                  Ephrata, PA 17522-1651
                                                                                                  Tipufaiz M Saleem MD
 2445 Marietta Ave                                                Phone: 717-738-1125
                                                                                                  175 Martin Avenue
 Lancaster, PA 17601-1942                                         Franklin D Deguzman MD
                                                                                                  Suite 340
 Phone: 717-393-1365
                                                                  Cardiothoracic Surgery          Ephrata, PA 17522
 Stephen D Lockey MD
                                                                                                  Phone: 717-568-8886
 Robin L Rochow PAC
                                                                                                  Saba Faiz MD
 Kayla Wirth PAC                                                  WellSpan Cardiology
                                                                                                  Tipufaiz M Saleem MD
 63-65 W. Church St
                                                                  446 N Reading Rd
 Ste 75
                                                                  Suite 302
                                                                                                  Family Practice
 Stevens, PA 17578-9203
                                                                  Ephrata, PA 17522-9802
 Phone: 717-336-0329                                                                              Family First Health
                                                                  Phone: 717-738-0167
 Stephen D Lockey MD
                                                                  Martin LeBoutillier MD
 Robin L Rochow PAC                                                                               369 Locust St
 Kayla Wirth PAC                                                  Cardiovascular Disease          1st FL
                                                                                                  Columbia, PA 17512
 Anesthesiology                                                                                   Phone: 717-342-2577
                                                                  ECH-Cardiology
                                                                                                  Wanda D Filer MD
 Anesthesia & Pain Associates                                     169 Martin Ave                  Melanie K Finkenbinder MD
 of Northern Lancaster County                                     Ephrata, PA 17522-1724          Luis I Garcia MD
                                                                  Phone: 717-738-6423             Asceline S Go MD
 169 Martin Ave
                                                                  Umesh C Mishra MD               Elizabeth A Horst DO
 Ephrata, PA 17522-1724
                                                                                                  Marie L Kellett MD
 Phone: 717-738-6782
                                                                  WellSpan Cardiology             Catherine R Mauss DO
 Alan R Berkowitz MD
                                                                                                  Hetal V Patel MD
 Robert A Garvin DO                                               140 North Pointe Blvd           Heather A Rosario PAC
 Scott R Griffith MD                                              Lancaster, PA 17601-4132        Junia P Tiruchelvam MD
 Michael G Katos MD                                               Phone: 717-291-0700             Oluwatomi O Uwazota MD
 Brian R Melamed MD                                               Monodeep Biswas MD
 Matthew E Midcap MD                                              Patrick J Fitzsimmons MD        Penn State Health Medical
 Jeffrey B Musser DO                                              Umesh C Mishra MD               Group - Lime Spring
                                                                  Scott T Riebel MD
 Audiology                                                                                        2221 Noll Dr Ste 2000
                                                                  Tatjana Sljapic MD              Lancaster, PA 17603-7610
                                                                  435 S Kinzer Ave                Phone: 717-715-1001
 Otolaryngology Physicians of
                                                                  Suite 7                         Kimberly M Brown PAC
 Lancaster                                                        New Holland, PA 17557-8706      Candice M Cavicchia Miller MD
                                                                  Phone: 717-354-6676             Michael C DeVine DO
                                                                  Umesh C Mishra MD               Thomas M Mextorf DO

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                             Page 24 of 52
WellSpan Provider Network Participating Providers

 Lancaster
 Danielle J Miller MD                                             Catherine J Edmonds MD
 Garry L Mueller MD                                               David H Emmert MD                WellSpan Family Medicine -
 Stanley S Paist MD                                               Chelsea D Fought PAC             Crossroads
 Adam P Schnupp PAC                                               Lindsay Lafferty MD              4131 Oregon Pike
 Susanne M Scott MD                                               Elizabeth L Messick PAC          Brownstown, PA 17508-0489
 Thomas C Scott MD                                                Timothy V Weaver MD              Phone: 717-859-1123
 Scott G Snyder MD                                                                                 Asima Ahmad DO
 Elizabeth S Van Aulen MD                                         WellSpan Family & Pediatric
                                                                                                   Cary L Campanella MD
 Michael W Warren MD                                              Medicine - Rothsville            John T Coates DO
 Linda S Wenger PA                                                2320 Rothsville Rd               Peter S Oh DO
                                                                  Suite 200                        Elsy L Santizo Deleon MD
 Penn State Health Medical                                        Lititz, PA 17543-8217            Jonathan A Sneller DO
 Group - Propect                                                  Phone: 717-721-4800              James E Stephenson MD
 3985 Columbia Ave Ste 8                                          Steven C Bade MD                 Jonathan A Youngwirth DO
 Columbia, PA 17512-9037                                          Nicholas A Buckwalter MD
 Phone: 717-285-3144                                              John E Conwell MD                WellSpan Family Medicine -
 Louis J Aikens PAC                                               Jaclyn E Hepworth PAC            Granite Run
 James A Bernheisel MD                                            Jonathan D Lehman PAC            264 Granite Run Dr
 Diane K Donnelly MD                                              Regina M Martin PAC              Lancaster, PA 17601-6804
 Riley J Manion DO                                                Janis K Stone PAC                Phone: 717-721-8205
 Stacy M Spence PAC                                               Paul E Vassil MD                 Stephanie J Ashbaugh MD
 Randy R Westgate MD                                                                               James M Elia MD
                                                                  WellSpan Family & Sports
 Penn State Medical Group -                                       Medicine - Cocalico              WellSpan Family Medicine -
 Cornerstone                                                      30 W Swartzville Rd              Lake Street
 6 W Newport Rd                                                   Reinholds, PA 17569-9641         Brossman Center for Health
 Lititz, PA 17543                                                 Phone: 717-484-4347              136 Lake St
 Phone: 717-627-2108                                              Joanna E Brelvi MD               Ephrata, PA 17522-2415
 Carolyn S Esterly PAC                                            Zachary A Geidel MD              Phone: 717-721-7718
 Charles R Mershon MD                                             Sana Hanafi MD                   Paul G Avadanian DO
 Ruth A Mershon PAC                                               Rajiv Kalra DO
 Douglas R Morrissey MD                                           Julianne D Rees-Swartz DO        WellSpan Family Medicine -
 Scott C Osborn DO                                                Mary G Tierney MD                Meadowbrook
 Kyle A Russell PAC
                                                                  WellSpan Family Health -         337 W Main St
 Penn State Medical Group -                                                                        Suite 100
                                                                  Georgetown
                                                                                                   Leola, PA 17540-2109
 Eastbrook                                                        1135 Georgetown Rd               Phone: 717-656-6122
 29 Eastbrook Rd                                                  Suite 201                        David J Gasperack DO
 Ronks, PA 17572-0309                                             Christiana, PA 17509-9543
                                                                                                   Lindsey A Goetz MD
 Phone: 717-299-5711                                              Phone: 717-466-2462
                                                                                                   Robert L Good MD
 Vera N Guertler MD                                               Keith J Wright MD                Ashlee F Weaver PAC
 John C Hess MD                                                                                    Kaitlyn E Wieland PAC
 Kathleen A Kreider MD                                            WellSpan Family Medicine - 207
                                                                  W Fulton St                      WellSpan Family Medicine -
 Penn State Medical Group -                                       207 W Fulton Street              Terre Hill
 Kissel Hill                                                      Ephrata, PA 17522-1902           770 Broad St
 116B W Airport Rd                                                Phone: 717-738-2468              East Earl, PA 17519-9752
 Lititz, PA 17543                                                 Joseph J Irwin MD                Phone: 717-445-4576
 Phone: 717-581-9000                                                                               Christopher G McCarty DO
 John D Ginder DO                                                 WellSpan Family Medicine - 222
                                                                                                   Bruce C Waskowicz MD
                                                                  W Fulton St
 Penn State Medical Group -                                       222 W Fulton Street              WellSpan Family Medicine -
 Manor                                                            Ephrata, PA 17522-1901           Trout Run
 16A Manor Avenue                                                 Phone: 717-733-2324              808 Pleasant View Dr
 Millersville, PA 17551                                           Christopher D Brabazon DO        Ephrata, PA 17522-9604
 Phone: 717-872-5444                                              John F Brabazon DO               Phone: 717-733-9090
 Niladri Das MD                                                   Joseph J Irwin MD                Joseph G Degenhard MD
 Melissa A DeStefano PAC                                                                           Mandy R Fannin MD

1/1/2020 Tier 1 WellSpan Provider Network Partcipatng Provider Listng                                                           Page 25 of 52
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