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(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- FRI 8:30AM-5PM P: 215-831-2211 F: 215-831-2271 2. Paul A. Horenstein, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 3. Mary Colton, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 4. Mark P. Brigham, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 5. Gary W. Muller, MD Jeanes, 7604 Central Ave, Suite 101 Philadelphia PA 19111 215-342-8330 6. Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 8. Robert Frederick, MD KNEE 10. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, 215-557-7227 PLASTIC/ Philadelphia. PA 19102 12. Mark David Lazarus, MD SHOULDER 13. William V. Arnold, MD Rothman Institute, 925 Chestnut Street 5th Floor 267-339-3500 ORTHOPEDIC SURGERY HIP/KNEE 14. Norman A. Johanson, MD University Orthopedic Institute @ Hahnemann, 216 North Broad Street Philadelphia. PA 19102 15. Alyssa A. Schaffer, MD Temple Orthopedic and Sports Medical, 3409 North Broad Street Philadelphia. PA 19140 16. Robert Liebenberg, MD Albert Einstein Medical Center, 5501 Old York Road Suite 4 Philadelphia. PA 19141 215-456-7900 17. Eric Kropf, MD Temple University Hospital, 3401 North Broad Street Philadelphia. PA 19140 215-392-0132 ORTHOPEDIC 18. Magee Rehabilitation Hospital Magee Rehabilitation Hospital, 1600 Race Street # 6 Philadelphia. PA 19103 215-587-3000 HOSPITAL REHAB 19. Matthew Ramsey, MD SHOULDER 20. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 21. Steven M. Raikin, MD FOOT AND ANKLE 22. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 24. Mark Mantell, MD Penn Wound Care Center, Penn Presbyterian Medical Center Campus 51 North 39 th 215-662-8515 25. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA 19134 215-425-2288 27. Constantinos A. Pavlides, MD Hahnemann, 245 North Broad Street, Philadelphia PA 19107 215-568-1015 28. Joseph V. Queenan, MD Temple Neurosurgery Associates, 3401 North Broad, 5 th Floor Parkinson Pavilion, Philadelphia.PA 19140 101, 50 East Township Line Road, Elkins Park, PA 19027 31. Gregory H. Pharo, DO 829 Spruce Street, Suite 308, Philadelphia, PA 19107 215-925-0986 Floor, Floor, Philadelphia, PA, 19107 41. NovaCare Rehabilitation NovaCare Rehabilitation, 511 North Broad Street, Philadelphia PA 19123 (19123) 215-923-6031 42. La Fortaleza Physical Therapy La Fortaleza Physical Therapy, 133 West Hunting Park Avenue, Philadelphia, PA (19122, 19123, 19125, 19140, 19140 215-457-3465 19141) 43. La Fortaleza Physical Therapy La Fortaleza Physical Therapy, 3251 North Cedar Street, Philadelphia, PA 19134 (19122, 19123, 19124, 19125, 215-427-2242 19130, 19133, 19134, 19137) 44. ATI Physical Therapy ATI Physical Therapy, 9475 East Roosevelt Boulevard, Suite B4, Philadelphia PA 19114 45. RIN/One Call Care Management RIN/One Call Care Management - For the nearest location please call 46. Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, 19102 215-569-8736 PSYCHIATRY 47. mymatrixx For the nearest location, please call the toll free number 877-804-4900 PHARMACY 48. Logos Medical Supply 5070 Parkside Avenue, Suite 2106A Philadelphia. PA 19131 DURABLE MEDICAL 215-452-5701 EQUIPMENT 49. Aria Health Frankford Division 4900 Frankford Avenue, Philadelphia, PA 19124 P: 215-831-2086 F: 215-831-5944 HOSPITAL (EMERGENCY 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: AmeriHealth Casualty Services, 1700 Market Street, 7 th Floor, Philadelphia, PA 19103, 1-866-463-2524.

WORKHEALTH RED LION ROAD 1. Jerome Trachtenberg, DO WorkHealth, Knight & Red Lion Roads, Suite 206, Medical Office Bldg Philadelphia PA 19114 HOURS OF OPERATION: MON, TUE, WED, FRI 8:30AM- 5:00PM, & THURS 8:30AM 7:00PM P: 215-612-4836 F: 215-612-4904 2. Paul A. Horenstein, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. PA 19128 AND ANKLE/HIP AND KNEE 3. Mary Colton, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. PA 19128 4. Mark P. Brighman, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. PA 19128 5. Gary W. Muller, MD Jeanes, 7604 Central Ave, Suite 101 Philadelphia PA 19111 215-342-8330 6. Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 8. Robert Frederick, MD KNEE 10. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, 215-557-7227 PLASTIC/ 12. Mark David Lazarus, MD 267-339-3500 SHOULDER 13. William V. Arnold, MD Rothman Institute, 925 Chestnut Street 5th Floor 267-339-3500 ORTHOPEDIC SURGERY HIP/KNEE 14. Norman A. Johanson, MD University Orthopedic Institute @ Hahnemann, 216 North Broad Street 15. Alyssa A. Schaffer, MD Temple Orthopedic and Sports Medical, 3409 North Broad Street Philadelphia. PA 19140 16.Robert Liebenberg, MD Albert Einstein Medical Center, 5501 Old York Road Suite 4 Philadelphia. PA 215-456-7900 19141 17. Eric Kropf, MD Temple University Hospital, 3401 North Broad Street Philadelphia. PA 19140 215-392-0132 ORTHOPEDIC 18. Magee Rehabilitation Hospital Magee Rehabilitation Hospital, 1600 Race Street # 6 Philadelphia. PA 19103 215-587-3000 HOSPITAL REHAB 19. Matthew Ramsey, MD SHOULDER 20. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 21. Steven M. Raikin, MD FOOT AND ANKLE 22. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 24. Mark Mantell, MD Penn Wound Care Center, Penn Presbyterian Medical Center Campus 51 North 39 th 215-662-8515 25. Harvey J. Lerner, MD 2302 East Allegheny Avenue, Philadelphia. PA 19134 215-425-2288 27 Constantinos A. Pavlides, MD Hahnemann, 245 North Broad Street, Philadelphia PA 19107 215-568-1015 31. Gregory H. Pharo, DO 829 Spruce Street, Suite 308, Philadelphia, PA 19107 215-925-0986 41. NovaCare Rehabilitation NovaCare Rehabilitation, 6595B Roosevelt Boulevard, Philadelphia, PA 19149 42. NovaCare Rehabilitation NovaCare Rehabilitation, 8425B Frankford Avenue, Philadelphia, PA 19136 43. NovaCare Rehabilitation NovaCare Rehabilitation, 9815 Roosevelt Boulevard, Philadelphia, PA 19114 44. ATI Physical Therapy ATI Physical Therapy, 9475 East Roosevelt Boulevard, Suite B4, Philadelphia PA 19114 45. RIN/One Call Care Management RIN/One Call Care Management - For the nearest location please call 215-743-2332 215-338-0440 215-677-8200 () () 46. Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, 19102 215-569-8736 PSYCHIATRY 47. mymatrixx For the nearest location, please call the toll free number 877-804-4900 PHARMACY 48. Logos Medical Supply 5070 Parkside Avenue, Suite 2106 Philadelphia. PA 19131 215-452-5701 DURABLE MEDICAL EQUIPMENT 49. Aria Health Torresdale Division Knights & Red Lion Roads, Philadelphia, PA 19114 P: 215-612-4056 F: 215-612-4284

(19101, 19102, 19106, 19109, 19110) WORKNET @ 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 P: 215-762-8525 F: 215-762-1448 2. Paul A. Horenstein, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 3. Mary Colton, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 4. Mark P. Brigham, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 5. Gary W. Muller, MD Jeanes, 7604 Central Ave, Suite 101 Philadelphia PA 19111 215-342-8330 6. Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 8. Robert Frederick, MD KNEE 10. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, 215-557-7227 PLASTIC/ 12. William V. Arnold, MD Rothman Institute, 925 Chestnut Street 5th Floor 267-339-3500 ORTHOPEDIC SURGERY HIP/KNEE 13. Norman A. Johanson, MD University Orthopedic Institute @ Hahnemann, 216 North Broad Street 14. Alyssa A. Schaffer, MD Temple Orthopedic and Sports Medical, 3409 North Broad Street Philadelphia. PA 19140 15. Robert Liebenberg, MD Albert Einstein Medical Center, 5501 Old York Road Suite 4 Philadelphia. 215-456-7900 PA 19141 18. Mark David Lazarus, MD SHOULDER 19. Matthew Ramsey, MD SHOULDER 20. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 21. Steven M. Raikin, MD FOOT AND ANKLE 22. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 24. Mark Mantell, MD Penn Wound Care Center, Penn Presbyterian Medical Center Campus 51 North 39 th 215-662-8515 25. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA 19134 215-425-2288 27. Constantinos A. Pavlides, MD Hahnemann, 245 North Broad Street, Philadelphia PA 19107 215-568-1015 30. Thomas P. Costello, Jr., DO Eastern Regional Pain Management @ Jeanes Hospital, 7600 Central Avenue, 31. Gregory H. Pharo, DO 829 Spruce Street, Suite 308, Philadelphia, PA 19107 215-925-0986 39. Kathleen J. Brennan, MD Temple Pulmonary Associates, 3401 N Broad St Philadelphia. PA 19140 215-707-2237 PULMONARY 41. NovaCare Rehabilitation (19101, 19102, 19106, 19109, 19110) 42. NovaCare Rehabilitation (19101, 19102, 19106, 19109, 19110) 43. ATI Physical Therapy NovaCare Rehabilitation, 224 S Broad St, Philadelphia, PA,19102 215-985-9390 NovaCare Rehabilitation, 2401 Pennsylvania Ave, Unit 1D5,Philadelphia,PA,19130 215-236-3700 ATI Physical Therapy, 9475 East Roosevelt Boulevard, Suite B4, Philadelphia PA 19114 44. RIN/One Call Care Management RIN/One Call Care Management - For the nearest location please call 45. Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, 19102 215-569-8736 PSYCHIATRY 46. mymatrixx For the nearest location, please call the toll free number 877-804-4900 PHARMACY 47. Logos Medical Supply 5070 Parkside Avenue, Suite 2106 Philadelphia. PA 19131 215-452-5701 DURABLE MEDICAL EQUIPMENT 48. Hahnemann University Hospital Broad & Vine Streets,Philadelphia,PA,19102 P: 215-762-7963 F: 215-246-5793 number one (1) above. If you are incapacitated, you may be taken to the closet emergency facility.

(19111, 19115, 19117, 19118, 19120, 19126, 19135, 19136, 19138, 19149, 19150, ) JEANES HOSPITAL 1. Stephanie Y. Kao, MD BusinessHealth @ Jeanes, Jeanes Phys Office Bldg,7500 Central Ave, Suite 100,Philadelphia,PA,19111 P: 215-728-2020 HOURS OF OPERATION: MON FRI. 8:30AM 5PM F: 215-728-2044 2. Paul A. Horenstein, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 3. Mary Colton, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 4. Mark P. Brigham, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 5. Gary W. Muller, MD Jeanes, 7604 Central Ave, Suite 101 Philadelphia PA 19111 215-342-8330 6. Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 8. Robert Frederick, MD KNEE 10. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, 215-557-7227 PLASTIC/ Philadelphia. PA 19102 12. William V. Arnold, MD Rothman Institute, 925 Chestnut Street 5th Floor 267-339-3500 ORTHOPEDIC SURGERY HIP/KNEE 13. Norman A. Johanson, MD University Orthopedic Institute @ Hahnemann, 216 North Broad Street Philadelphia. PA 19102 14. Alyssa A. Schaffer, MD Temple Orthopedic and Sports Medical, 3409 North Broad Street Philadelphia. PA 19140 15. Robert Liebenberg, MD Albert Einstein Medical Center, 5501 Old York Road Suite 4 Philadelphia. PA 19141 215-456-7900 18. Mark David Lazarus, MD SHOULDER 19. Matthew Ramsey, MD SHOULDER 20. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 21. Steven M. Raikin, MD FOOT AND ANKLE 22. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 24. Mark Mantell, MD Penn Wound Care Center, Penn Presbyterian Medical Center Campus 51 North 39 th 215-662-8515 25. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA 19134 215-425-2288 26. Jan A. Olenginski, DO General & Vascular Surgical Group, 2701 Holmes Avenue, Philadelphia PA. 27. Constantinos A. Pavlides, MD Hahnemann, 245 North Broad Street, Philadelphia PA 19107 215-568-1015 Pavilion, Philadelphia.PA 19140 101, 50 East Township Line Road, Elkins Park, PA 19027 31. Gregory H. Pharo, DO 829 Spruce Street, Suite 308, Philadelphia, PA 19107 215-925-0986 Floor, Floor, Philadelphia, PA, 19107 38. Dean Karalis, MD Cardiology Consultants of Phila.., 227 N. Broad St., 2nd FL, 41. La Fortaleza Physical Therapy (19117, 19118, 19120, 19126, 19138, 19150) 42. NovaCare Rehabilitation (19111,19115,19135,19136,19149, ) 43. NovaCare Rehabilitation (19111,19115,19135,19136,19149, ) 44. NovaCare Rehabilitation (19111,19115,19135,19136,19149, La Fortaleza Physical Therapy, 133 West Hunting Park Avenue, Philadelphia, PA 19140 215-457-3465 NovaCare Rehabilitation, 6595B Roosevelt Boulevard, Philadelphia, PA 19149 NovaCare Rehabilitation, 8425B Frankford Avenue, Philadelphia, PA 19136 NovaCare Rehabilitation, 9815 Roosevelt Boulevard, Philadelphia, PA 19114 45. ATI Physical Therapy ATI Physical Therapy, 9475 East Roosevelt Boulevard, Suite B4, Philadelphia PA 19114 46. RIN/One Call Care Management RIN/One Call Care Management - For the nearest location please call 215-743-2332 215-338-0440 215-677-8200 () () 47. Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, 19102 215-569-8736 PSYCHIATRY 48. mymatrixx For the nearest location, please call the toll free number 877-804-4900 PHARMACY 49. Logos Medical Supply 5070 Parkside Avenue, Suite 2106, Philadelphia. PA 19131 215-452-5701 DURABLE MEDICAL EQUIPMENT 50. Jeanes Hospital 7600 Central Ave,Philadelphia,PA,19111 P: 215-728-2169 F: 215-728-3364 HOSPITAL (EMERGENCY 2011

(19104, 19119, 19121, 19127, 19128, 19129, 19131, 19132, 19139, 19144, 19151) WORKNET @ ROXBOROUGH 1. Charles J. Roman, DO Philadelphia Occupational Health, PC dba Worknet, Roxborough Memorial Hospital, 5800 Ridge Ave Ste 234,Philadelphia,PA,19128 P: 215-487-4540 HOURS OF OPERATION: MON FRI. 8AM 5PM F: 215-487-4544 2. Paul A. Horenstein, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 3. Mary Colton, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 4. Mark P. Brigham, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 5. Gary W. Muller, MD Jeanes, 7604 Central Ave, Suite 101 Philadelphia PA 19111 215-342-8330 6. Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 8. Robert Frederick, MD KNEE 9. James Raphael, MD Einstein Regional Orthopedic Specialist, 9880 Bustleton Avenue, Suite 220, 10. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, 215-557-7227 PLASTIC/ Philadelphia. PA 19102 12. William V. Arnold, MD Rothman Institute, 925 Chestnut Street 5th Floor 267-339-3500 ORTHOPEDIC SURGERY HIP/KNEE 13. Norman A. Johanson, MD University Orthopedic Institute @ Hahnemann, 216 North Broad Street Philadelphia. PA 19102 14. Alyssa A. Schaffer, MD Temple Orthopedic and Sports Medical, 3409 North Broad Street Philadelphia. PA 19140 15. Robert Liebenberg, MD Albert Einstein Medical Center, 5501 Old York Road Suite 4 Philadelphia. PA 19141 215-456-7900 18. Mark David Lazarus, MD SHOULDER 19. Matthew Ramsey, MD SHOULDER 20. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 21. Steven M. Raikin, MD FOOT AND ANKLE 22. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 24. Mark Mantell, MD Penn Wound Care Center, Penn Presbyterian Medical Center Campus 51 North 39 th 215-662-8515 25. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA 19134 215-425-2288 27. Constantinos A. Pavlides, MD Hahnemann, 245 North Broad Street, Philadelphia PA 19107 215-568-1015 Pavilion, Philadelphia.PA 19140 101, 50 East Township Line Road, Elkins Park, PA 19027 Founders Building, Philadelphia. PA 19111 31. Gregory H. Pharo, DO 829 Spruce Street, Suite 308, Philadelphia, PA 19107 215-925-0986 Floor, Floor, Philadelphia, PA, 19107 38. Dean Karalis, MD Cardiology Consultants of Phila., 227 N. Broad St., 2nd FL, 41. La Fortaleza Physical Therapy (19121, 19127, 19144) 42. La Fortaleza Physical Therapy (19132) 43. NovaCare Rehabilitation ( 19119, 19128, 19129) La Fortaleza Physical Therapy, 133 West Hunting Park Avenue, Philadelphia, PA 19140 La Fortaleza Physical Therapy, 3251 North Cedar Street, Philadelphia,PA,19134 NovaCare Rehabilitation, 2301-03 N Broad Street, Philadelphia, PA,19132 215-457-3465 215-427-2242 215-228-2656 44. Mercy Physical Therapy Mercy Physical Therapy, 5401 South 54 th Street, Philadelphia, PA 19143 215-748-9160 (19104, 19131, 19139, 19151) 45. ATI Physical Therapy ATI Physical Therapy, 9475 East Roosevelt Boulevard, Suite B4, Philadelphia PA 19114 46. RIN/One Call Care Management RIN/One Call Care Management - For the nearest location please call 47. Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, 19102 215-569-8736 PSYCHIATRY 48. mymatrixx For the nearest location, please call the toll free number 877-804-4900 PHARMACY 49. Logos Medical Supply 5070 Parkside Avenue, Suite 2106 Philadelphia. PA 19131 DURABLE MEDICAL 215-452-5701 EQUIPMENT 50. Roxborough Memorial Hospital 5800 Ridge Avenue, Philadelphia,PA,19128 P: 215-487-4334 F: 215-487-4333 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 healthcare 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: AmeriHealth Casualty Services, 1700 Market Street, 7 th Floor, Philadelphia, PA 19103, 1-866-463-2524.

(19103, 19107, 19108, 19143, 19146, 19147, 19153) WORKNET - REED STREET 1. Lawrence Axelrod, MD Worknet, 1 Reed Street, Philadelphia, PA 19147 HOURS OF OPERATION: MON FRI. 7:30AM 5 PM P: 215-467-5800 F: 215-467-2022 2. Paul A. Horenstein, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 3. Mary Colton, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 4. Mark P. Brigham, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 5. Gary W. Muller, MD Jeanes, 7604 Central Ave, Suite 101 Philadelphia PA 19111 215-342-8330 6. Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 8. Robert Frederick, MD KNEE 9. James Raphael, MD Einstein Regional Orthopedic Specialist, 9880 Bustleton Avenue, Suite 220, 10. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, 215-557-7227 PLASTIC/ 12. William V. Arnold, MD Rothman Institute, 925 Chestnut Street 5th Floor 267-339-3500 ORTHOPEDIC SURGERY HIP/KNEE 13. Norman A. Johanson, MD University Orthopedic Institute @ Hahnemann, 216 North Broad Street 14. Alyssa A. Schaffer, MD Temple Orthopedic and Sports Medical, 3409 North Broad Street Philadelphia. PA 19140 15. Robert Liebenberg, MD Albert Einstein Medical Center, 5501 Old York Road Suite 4 Philadelphia. PA 215-456-7900 19141 18. Mark David Lazarus, MD SHOULDER 19. Matthew Ramsey, MD SHOULDER 20. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 21. Steven M. Raikin, MD FOOT AND ANKLE 22. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 24. Mark Mantell, MD Penn Wound Care Center, Penn Presbyterian Medical Center Campus 51 North 39 th 215-662-8515 25. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA 19134 215-425-2288 27. Constantinos A. Pavlides, MD Hahnemann, 245 North Broad Street, Philadelphia PA 19107 215-568-1015 31. Gregory H. Pharo, DO 829 Spruce Street, Suite 308, Philadelphia, PA 19107 215-925-0986 41. NovaCare Rehabilitation (19103, 19107, NovaCare Rehabilitation, 224 S Broad St, Philadelphia, PA,19102 19108) 42. NovaCare Rehabilitation NovaCare Outpatient Rehab., 2401 Pennsylvania Ave, (19103, 19107, 19108) Unit 1D5,Philadelphia,PA,19130 43. NovaCare Rehabilitation (19147, 19153) NovaCare Rehabilitation, 1 Reed Street, Philadelphia, PA 19147 44. Mercy Physical Therapy Mercy Physical Therapy, 5401 South 54 th Street, Philadelphia, PA 19143 (19143, 19146) 45. ATI Physical Therapy ATI Physical Therapy, 9475 East Roosevelt Boulevard, Suite B4, Philadelphia PA 19114 46. RIN/One Call Care Management RIN/One Call Care Management - For the nearest location please call 215-985-9390 215-236-3700 215-467-5800 215-748-9160 47. Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, 19102 215-569-8736 PSYCHIATRY 48. mymatrixx For the nearest location, please call the toll free number 877-804-4900 PHARMACY 49. Logos Medical Supply 5070 Parkside Avenue, Suite 2106 Philadelphia. PA 19131 215-452-5701 DURABLE MEDICAL EQUIPMENT 50. Methodist Hospital 2301 South Broad Street, Philadelphia, PA 19148 P: 215-952-9130 F: 215-952-5193

(19112, 19113, 19142, 19145, 19148) HEALTHMARK INCORPORATED 1. Gouri Atri, MD Healthmark Incorporated, One Crescent Drive, Navy Yard Corporate Center, Suite 100, Philadlephia, PA 19112 HOURS OF OPERATION: MON FRI. 7:30 AM 5PM P: 215-952-9900 F: 215-952-9977 2. Paul A. Horenstein, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 3. Mary Colton, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 4. Mark P. Brigham, MD Premier Surgical Orthopedics, 525 Jamestown Ave, Suite 105, Philadelphia. 5. Gary W. Muller, MD Jeanes, 7604 Central Ave, Suite 101 Philadelphia PA 19111 215-342-8330 6. Steven Cohen, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA 8. Robert Frederick, MD KNEE 9. James Raphael, MD Einstein Regional Orthopedic Specialist, 9880 Bustleton Avenue, Suite 220, 10. Amitabha Mitra, MD Hahnemann, 231 North Broad Street, 3 rd Floor, 215-557-7227 PLASTIC/ 12. William V. Arnold, MD Rothman Institute, 925 Chestnut Street 5th Floor 267-339-3500 ORTHOPEDIC SURGERY HIP/KNEE 13. Norman A. Johanson, MD University Orthopedic Institute @ Hahnemann, 216 North Broad Street 14. Joseph Milo Sewards, MD Temple Orthopedic and Sports Medical, 3409 North Broad Street Philadelphia. PA 19140 15. Robert Liebenberg, MD Albert Einstein Medical Center, 5501 Old York Road Suite 4 Philadelphia. PA 215-456-7900 19141 18. Mark David Lazarus, MD SHOULDER 19. Matthew Ramsey, MD SHOULDER 20. David Greg Anderson, MD Rothman Institute, 2630 Holme Avenue, Suite 200, Philadelphia PA BACK AND SPINE 21. Steven M. Raikin, MD FOOT AND ANKLE 22. Jamal Ahmad, MD Rothman Institute, 2630 Holme Avenue, Philadelphia PA FOOT AND ANKLE 24. Mark Mantell, MD Penn Wound Care Center, Penn Presbyterian Medical Center Campus 51 North 39 th 215-662-8515 25. Harvey J. Lerner, MD 2300 East Allegheny Avenue, Philadelphia. PA 19134 215-425-2288 27. Constantinos A. Pavlides, MD Hahnemann, 245 North Broad Street, Philadelphia PA 19107 215-568-1015 31. Gregory H. Pharo, DO 829 Spruce Street, Suite 308, Philadelphia, PA 19107 215-925-0986 41. NovaCare Rehabilitation (19112, 19113) NovaCare Rehabilitation, 2129 W Oregon Ave, Philadelphia,PA,19145 42. NovaCare Rehabilitation (19112, 19113) NovaCare Rehabilitation, 2410 S Broad Street, Suite 101, Philadelphia,PA,19148 43. Mercy Physical Therapy Mercy Physical Therapy, 5401 South 54 th Street, Philadelphia, PA 19143 (19142, 19145, 19148) 44. ATI Physical Therapy ATI Physical Therapy, 9475 East Roosevelt Boulevard, Suite B4, Philadelphia PA 19114 215-336-6630 215-334-4400 215-748-9160 45. RIN / One Call Care Management RIN/One Call Care Management - For the nearest location please call 46. Burton Weiss, MD 1601 Walnut Street, Suite 1422, Philadelphia, PA, 19102 215-569-8736 PSYCHIATRY 47. mymatrixx For the nearest location, please call the toll free number 877-804-4900 PHARMACY 48. Logos Medical Supply 5070 Parkside Avenue, Suite 2106 Philadelphia. PA 19131 215-452-5701 DURABLE MEDICAL EQUIPMENT 49. Methodist Hospital 2301 South Broad Street, Philadelphia, PA 19148 P: 215-952-9130 F: 215-952-5193