OCCUPATIONAL MEDICINE (ALL CARE) 2. Drs. Horenstein, Brigham, & Colton Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia.
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1 REGULATION 32 PENNSYLVANIA WORKERS COMPENSATION ACT DESIGNATED HEALTH CARE PROVIDER PANEL FOR EMPLOYER ZIP CODES (19122, 19123, 19124, 19125, 19130, 19133, 19134, 19137, 19141) WORKHEALTH FRANKFORD AVENUE 1. James U. Barnes, MD WorkHealth, 5000 Frankford Avenue Philadelphia PA HOURS OF OPERATION: MON- FRI 8:30AM-5PM P: F: Drs. Horenstein, Brigham, & Colton Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. PA Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 6. Robert Frederick, MD KNEE Philadelphia. PA Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, PLASTIC/ 10. Mark David Lazarus, MD SHOULDER 11. Matthew Ramsey, MD SHOULDER 12. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 13. Steven M. Raikin, MD FOOT AND ANKLE 14. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 17. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA Jan A. Olenginski, DO General & Vascular Surgical Group, 2701 Holmes Avenue, Philadelphia. PA Philadelphia PA Drs. Bennett & Levin Katz, Bennett and Levin Neurology Associates, Medical Arts Building, Suite 101, 50 East Township Line Road, Elkins Park, PA th 15 th 33. Andrew Miller, DPT NovaCare Rehab, 511 North Broad Street, Philadelphia PA (19123) 34. Luis Hincape, MSPT La Fortaleza Physical Therapy, 133 West Hunting Park Avenue, (19122, 19123, 19125, 19141) Philadelphia, PA Carmen Rivera, PT La Fortaleza Physical Therapy, 3300 Aramingo Ave, Philadelphia, PA (19122, 19123, 19124, 19125, 19130, 19133, 19134, 19137) 36. Lewis Caldwell, MSPT 37. Joshua Barnet, MD Raytel Imaging - For the nearest location please call Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, PSYCHIATRY 39. ScripNet P.O. Box , Las Vegas NV PHARMACY 40. Logos Medical Supply 5070 Parkside Avenue, Suite 2106A Philadelphia. PA DURABLE MEDICAL EQUIPMENT 41. Aria Health Frankford Division 4900 Frankford Avenue, Philadelphia, PA P: F: HOSPITAL (EMERGENCY SERVICES) You must select one of the physicians or physician groups listed above. You must continue to visit one of the physicians listed above or any specialist to which that provider refers you, if you need treatment, for Ninety (90) days from the date of your first visit. This requirement is in conformance with the Pennsylvania Workers Compensation Act, Section 306 (F) (1) (i). After Ninety (90) days, if you still need treatment, you may continue with the same physician or you may choose to go to another physician or health care provider for treatment. If you decide to go to another provider, you must notify your employer of this action within five (5) days of your visit. Your bills will be paid if your physician or health care provider reports as required (within ten days after your first visit and at least once a month as long as treatment continues). You must notify the new provider that these reports are to be submitted to: CompServices, Inc., 1717 Arch Street, 14 th Floor, Philadelphia, PA 19103,
2 REGULATION 32 PENNSYLVANIA WORKERS COMPENSATION ACT DESIGNATED HEALTH CARE PROVIDER PANEL FOR EMPLOYER ZIP CODES WORKHEALTH RED LION ROAD 1. Neil Mallis, MD WorkHealth, Knight & Red Lion Roads, Suite 206, Medical Office Bldg HOURS OF OPERATION: MON, TUE, WED, FRI 8:30AM- 5:00PM, & THURS 8:30AM 7:00PM 2. Drs. Horenstein, Brigham, & Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. Colton PA P: F: Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 6. Robert Frederick, MD KNEE Philadelphia. PA Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, PLASTIC/ 10. Mark David Lazarus, MD SHOULDER 11. Matthew Ramsey, MD SHOULDER 12. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 13. Steven M. Raikin, MD FOOT AND ANKLE 14. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 17. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA Jan A. Olenginski, DO General & Vascular Surgical Group, 2701 Holmes Avenue, Philadelphia. PA Philadelphia PA Drs. Bennett & Levin Katz, Bennett and Levin Neurology Associates, Medical Arts Building, Suite 101, 50 East Township Line Road, Elkins Park, PA th 15 th 33. Mark Human, PT NovaCare Rehabilitation, 6595B Roosevelt Boulevard, Philadelphia, PA Bernadette Wiley, MSPT NovaCare Rehabilitation, 8425B Frankford Avenue, Philadelphia, PA Michelle Friedman, PT NovaCare Rehabilitation, Roosevelt Boulevard, Philadelphia, PA Lewis Caldwell, MSPT 37. Joshua Barnet, MD Raytel Imaging - For the nearest location please call Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, PSYCHIATRY 39. ScripNet P.O. Box , Las Vegas NV PHARMACY 40. Logos Medical Supply 5070 Parkside Avenue, Suite 2106 Philadelphia. PA DURABLE MEDICAL EQUIPMENT 41. Aria Health Torresdale Division Knights & Red Lion Roads, Philadelphia, PA P: F: HOSPITAL (EMERGENCY SERVICES) submitted to:.
3 REGULATION 32 PENNSYLVANIA WORKERS COMPENSATION ACT DESIGNATED HEALTH CARE PROVIDER PANEL FOR EMPLOYER ZIP CODES (19101, 19102, 19106, 19109, 19110) HAHNEMANN 1. Francis X. Burke III, MD U S Regional Occupational Health II DBA Worknet, Broad & Vine Street, Mail Stop 101 HOURS OF OPERATION: MON FRI. 8:30AM 5PM 2. Drs. Horenstein, Brigham, & Colton Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. PA P: F: Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 6. Robert Frederick, MD KNEE 8. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, PLASTIC/ 10. Mark David Lazarus, MD SHOULDER 11. Matthew Ramsey, MD SHOULDER 12. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 13. Steven M. Raikin, MD FOOT AND ANKLE 14. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 17. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA Jan A. Olenginski, DO General & Vascular Surgical Group, 2701 Holmes Avenue, Philadelphia. PA 21. Drs. Bennett & Levin Katz, Bennett and Levin Neurology Associates, Medical Arts Building, Suite 101, 50 East Township Line Road, Elkins Park, PA Kathleen J. Brennan, MD Temple Pulmonary Associates, 3401 N Broad St Philadelphia. PA PULMONARY 33. Robert Molluro, PT NovaCare Rehabilitation, 224 S Broad St, Philadelphia, PA,19102 (19101, 19102, 19106, 19109, 19110) 34. Jen Sauder, PT NovaCare Outpatient Rehab., 2401 Pennsylvania Ave, (19101, 19102, 19106, 19109, 19110) Unit 1D5,Philadelphia,PA, Lewis Caldwell, MSPT 36. Joshua Barnet, MD Raytel Imaging - For the nearest location please call Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, PSYCHIATRY 38. ScripNet P.O. Box , Las Vegas NV PHARMACY 39. Logos Medical Supply 5070 Parkside Avenue, Suite 2106 Philadelphia. PA DURABLE MEDICAL EQUIPMENT 40. Hahnemann University Hospital Broad & Vine Streets,Philadelphia,PA,19102 P: F: HOSPITAL (EMERGENCY SERVICES) You must select one of the physicians or physician groups listed above. You must continue to visit one of the physicians listed above or any specialist to which that provider refers you, if you need treatment, for Ninety (90) days from the date of your first visit. This requirement is in conformance with the Pennsylvania Workers Compensation Act, Section 306 (F) (1) (i). After Ninety (90) days, if you still need treatment, you may continue with the same physician or you may choose to go to another physician or health care provider for treatment. If you decide to go to another provider, you must notify your employer of this action within five (5) days of your visit. Your bills will be paid if your physician or health care provider reports as required (within ten days after your first visit and at least once a month as long as treatment continues). You must notify the new provider that these reports are to be submitted to: CompServices, Inc., 1717 Arch Street, 14 th Floor, Philadelphia, PA 19103, number one (1) above. If you are incapacitated, you may be taken to the closet emergency facility.
4 REGULATION 32 PENNSYLVANIA WORKERS COMPENSATION ACT DESIGNATED HEALTH CARE PROVIDER PANEL FOR EMPLOYER ZIP CODES (19111, 19115, 19117, 19118, 19120, 19126, 19135, 19136, 19138, 19149, 19150, ) JEANES HOSPITAL 1. Stephanie Y. Kao, MD Jeanes, Jeanes Phys Office Bldg,7500 Central Ave, Suite 100,Philadelphia,PA,19111 HOURS OF OPERATION: MON FRI. 8:30AM 5PM 2. Drs. Horenstein, Brigham, & Colton Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. PA P: F: Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 6. Robert Frederick, MD KNEE 8. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, PLASTIC/ 10. Mark David Lazarus, MD SHOULDER 11. Matthew Ramsey, MD SHOULDER 12. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 13. Steven M. Raikin, MD FOOT AND ANKLE 14. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 17. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA Jan A. Olenginski, DO General & Vascular Surgical Group, 2701 Holmes Avenue, Philadelphia PA. 21. Drs. Bennett & Levin Katz, Bennett and Levin Neurology Associates, Medical Arts Building, Suite 101, 50 East Township Line Road, Elkins Park, PA Dean Karalis, MD Cardiology Consultants of Phila.., 227 N. Broad St., 2nd FL, Philadelphia. PA Luis Hincape, MSPT (19117, 19118, 19120, 19126, 19138, 19150) 34. Mark Human, PT (19111,19115,19135,19136,19149, ) La Fortaleza Physical Therapy, 133 West Hunting Park Avenue, Philadelphia, PA NovaCare Rehabilitation, 6595B Roosevelt Boulevard, Philadelphia, PA Bernadette Wiley, MSPT NovaCare Rehabilitation, 8832 Frankford Avenue, Philadelphia, PA (19111,19115,19135,19136,19149, ) 36. Michelle Friedman, PT NovaCare Rehabilitation, Roosevelt Boulevard, Philadelphia, PA (19111,19115,19135,19136,19149, ) Lewis Caldwell, MSPT 38. Joshua Barnet, MD Raytel Imaging - For the nearest location please call Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, PSYCHIATRY 40. ScripNet P.O. Box , Las Vegas NV PHARMACY 41. Logos Medical Supply 5070 Parkside Avenue, Suite 2106, Philadelphia. PA DURABLE MEDICAL EQUIPMENT 42. Jeanes Hospital 7600 Central Ave,Philadelphia,PA,19111 P: F: HOSPITAL (EMERGENCY SERVICES) submitted to:. 2011
5 REGULATION 32 PENNSYLVANIA WORKERS COMPENSATION ACT DESIGNATED HEALTH CARE PROVIDER PANEL FOR EMPLOYER ZIP CODES (19104, 19119, 19121, 19127, 19128, 19129, 19131, 19132, 19139, 19144, 19151) ROXBOROUGH 1. Ruben H. Zabaleta, MD Philadelphia Occupational Health, PC dba Worknet, Roxborough Memorial P: Hospital, 5800 Ridge Ave Ste 234,Philadelphia,PA,19128 HOURS OF OPERATION: MON FRI. 8AM 5PM F: Drs. Horenstein, Brigham, & Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. PA Colton Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 6. Robert Frederick, MD KNEE Philadelphia. PA Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, PLASTIC/ Philadelphia. PA Mark David Lazarus, MD SHOULDER 11. Matthew Ramsey, MD SHOULDER 12. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 13. Steven M. Raikin, MD FOOT AND ANKLE 14. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 16. Lee Kirksey, MD Penn Wound Care Center, Penn Presbyterian Medical Center Campus Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA Jan A. Olenginski, DO General & Vascular Surgical Group, 2701 Holmes Avenue, Philadelphia. PA Philadelphia PA Drs. Bennett & Levin Katz, Bennett and Levin Neurology Associates, Medical Arts Building, Suite 101, 50 East Township Line Road, Elkins Park, PA Avenue, Founders Building, Philadelphia. PA th 15 th 30. Dean Karalis, MD Cardiology Consultants of Phila., 227 N. Broad St., 2nd FL, Philadelphia. PA Luis Hincape, MSPT (19121, 19127, 19144) La Fortaleza Physical Therapy, 133 West Hunting Park Avenue, Philadelphia, PA Carmen Rivera, PT La Fortaleza Physical Therapy, 3300 Aramingo Ave, Philadelphia,PA,19134 (19132) 35. Thomas Davis, PT ( 19119, 19128, NovaCare Rehabilitation, N Broad Street, Philadelphia, PA, ) 36. Kelly Duszak, PT Mercy Health System, 5401 South 54 th Street, Philadelphia, PA (19104, 19131, 19139, 19151) 37. Lewis Caldwell, MSPT Philadelphia PA Joshua Barnet, MD Raytel Imaging - For the nearest location please call Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, PSYCHIATRY 40. ScripNet P.O. Box , Las Vegas NV PHARMACY 41. Logos Medical Supply 5070 Parkside Avenue, Suite 2106 Philadelphia. PA DURABLE MEDICAL EQUIPMENT 42. Roxborough Memorial Hospital 5800 Ridge Ave,Philadelphia,PA,19128 P: F: HOSPITAL (EMERGENCY SERVICES) your employer of this action within five (5) days of your visit. Your bills will be paid if your physician or healthcare provider reports as required (within submitted to:.
6 REGULATION 32 PENNSYLVANIA WORKERS COMPENSATION ACT DESIGNATED HEALTH CARE PROVIDER PANEL FOR EMPLOYER ZIP CODES (19112, 19113, 19145, 19147, 19148, 19153) WORKNET - REED STREET 1. Lawrence Axelrod, MD Worknet, 1 Reed Street, Philadelphia, PA HOURS OF OPERATION: MON FRI. 7:30AM 5 PM P: F: Drs. Horenstein, Brigham, & Colton Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. PA Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 5..Charles Leinberry, MD 6. Robert Frederick, MD KNEE 8. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, PLASTIC/ 10. Mark David Lazarus, MD SHOULDER 11. Matthew Ramsey, MD SHOULDER 12. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 13. Steven M. Raikin, MD FOOT AND ANKLE 14. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 16. Lee Kirksey, MD Penn Wound Care Center, Penn Presbyterian Medical Center Campus Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA Jan A. Olenginski, DO General & Vascular Surgical Group, 2701 Holmes Avenue, Philadelphia. PA 21. Drs. Bennett & Levin Katz, Bennett and Levin Neurology Associates, Medical Arts Building, Suite 101, 50 East Township Line Road, Elkins Park, PA Dean Karalis, MD Cardiology Consultants of Philadelphia, 227 North Broad Street 2nd Floor 33. Dean Penuel, PT (19112, 19113, 19147) NovaCare Rehabilitation, 2129 W Oregon Ave, Philadelphia,PA, Daniel Walls PT (19112, 19113, 19147) NovaCare Rehabilitation, 2410 S Broad Street, Suite 101, Philadelphia,PA, Kelly Duszak, PT Mercy Health System, 5401 South 54 th Street, Philadelphia, PA (19145, 19148) 36. Heather Morrison, PT (19153) Mercy Health System, 2821 Island Avenue, Suite 172, Philadelphia, PA Lewis Caldwell, MSPT 38. Joshua Barnet, MD Raytel Imaging - For the nearest location please call Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, PSYCHIATRY 40. ScripNet P.O. Box , Las Vegas NV PHARMACY 41. Logos Medical Supply 5070 Parkside Avenue, Suite 2106 Philadelphia. PA DURABLE MEDICAL EQUIPMENT 42. Methodist Hospital 2301 South Broad Street, Philadelphia, PA P: F: HOSPITAL (EMERGENCY SERVICES) submitted to:. number one (1) and two (2) above. If you are incapacitated, you may be taken to the closet emergency facility E. IF YOU CHOOSE TO TREAT WITH AN OUT OF STATE PROVIDER, YOU MAY BE SUBJECT TO BALANCE BILLING
7 REGULATION 32 PENNSYLVANIA WORKERS COMPENSATION ACT DESIGNATED HEALTH CARE PROVIDER PANEL FOR EMPLOYER ZIP CODES (19103, 19107, 19108, 19140, 19142, 19143, 19146) TEMPLE OCCUPATIONAL HEALTH C. EMPLOYEES ELECTING CIVIL SERVICE REGULATION 32 BENEFITS MUST CONTINUE TO TREAT WITH THE DESIGNATED 1. Evelyn K. Balogun, MD Temple Occupational Health, 3401 North Broad Street, Rock Pavilion Basement, Philadelphia, PA HOURS OF OPERATION: MON FRI. 8:00AM 5PM 2. Drs. Horenstein, Brigham, & Colton Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. PA P: F: Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 6. Robert Frederick, MD KNEE 8. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, PLASTIC/ 10. Mark David Lazarus, MD SHOULDER 11. Matthew Ramsey, MD SHOULDER 12. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 13. Steven M. Raikin, MD FOOT AND ANKLE 14. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 17. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA Jan A. Olenginski, DO General & Vascular Surgical Group, 2701 Holmes Avenue, Philadelphia. PA 21. Drs. Bennett & Levin Katz, Bennett and Levin Neurology Associates, Medical Arts Building, Suite 101, 50 East Township Line Road, Elkins Park, PA Kathleen J. Brennan, MD Temple Pulmonary Associates, 3401 N Broad St Philadelphia. PA PULMONARY 29. Robert N. Kessler, DC 9987 Verree Road CHIROPRACTIC 30. Robert Molluro, PT NovaCare Rehabilitation, 224 S Broad St, Philadelphia, PA,19102 (19103, 19107, 19108) 31. Jen Sauder, PT NovaCare Outpatient Rehab., 2401 Pennsylvania Ave, (19103, 19107, 19108) Unit 1D5,Philadelphia,PA, Luis Hincape, MSPT La Fortaleza Physical Therapy, 133 West Hunting Park Avenue, (19140) Philadelphia, PA Kelly Duszak, PT Mercy Health System, 5401 South 54 th Street, Philadelphia, PA (19142, 19143, 19146) 34. Lewis Caldwell, MSPT 35. Joshua Barnet, MD Raytel Imaging - For the nearest location please call Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, PSYCHIATRY 37. ScripNet P.O. Box , Las Vegas NV PHARMACY 38. Logos Medical Supply 5070 Parkside Avenue, Suite 2106 Philadelphia. PA DURABLE MEDICAL EQUIPMENT 39. Temple University Hospital 3401 North Broad Street, Philadelphia, PA P: F: HOSPITAL (EMERGENCY SERVICES) submitted to:. number one (1) above. If you are incapacitated, you may be taken to the closet emergency facility.
215-561-0809 PA, 19107
(19122, 19123, 19124, 19125, 19130, 19133, 19134, 19137, 19140, 19141) WORKHEALTH FRANKFORD AVENUE 1. Andrew Badulak, MD WorkHealth, 5000 Frankford Avenue Philadelphia PA 19124 HOURS OF OPERATION: MON-
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