ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP22529 AAKRE KIMBERLY J MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7337 PEDIATRICS 770YP22529 AAKRE KIMBERLY J MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 PEDIATRICS 770YP34527 ABBOTT CARA L APRN WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY NURSE PRACTITIONERS 770YP30990 ABBOTT MCCALL M APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 226-3400 FAMILY NURSE PRACTITIONERS 770YP16108 ABEL SUSAN E MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 770YP36640 ABELE MICHAEL J MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3270 INTERNAL MEDICINE 770YP33636 ABEYSINGHE CHAMPA D MD HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-0177 INTERNAL MEDICINE 770YP33636 ABEYSINGHE CHAMPA D MD HEALTH FIRST FAMILY CARE CENTER LACONIA NH 03246 (603) 366-1070 INTERNAL MEDICINE 770YP05379 ABRAHAM PHILIP MD PHILIP ABRAHAM MD SANFORD ME 04073 (207) 490-7968 INTERNAL MEDICINE 770YP36196 ABRAMOWITZ BRUCE P DO ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 894-0063 FAMILY MEDICINE 770YP24965 ABREU STEVEN P MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7000 INTERNAL MEDICINE 770YP02926 ADAMS TODD M MD YORK HOSPITAL MOODY ME 04054 (207) 646-8386 INTERNAL MEDICINE 770YP02926 ADAMS TODD M MD YORK HOSPITAL YORK ME 03909 (207) 351-3530 INTERNAL MEDICINE 770YP03268 ADAMS GLENN B DO WEEKS MEDICAL CENTER GROVETON NH 03582 (603) 788-2521 FAMILY MEDICINE 770YP36010 ADJOVU ADELAIDE K APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDON VT 05849 (802) 748-9501 FAMILY NURSE PRACTITIONERS 770YP12818 AFFLECK KATHERINE R APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3666 FAMILY NURSE PRACTITIONERS 770YP12818 AFFLECK KATHERINE R APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 FAMILY NURSE PRACTITIONERS 770YP21950 AGARWAL JOYCE E APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY NURSE PRACTITIONERS 77009453YP AGARWAL SANGITA J MD WENTWORTH DOUGLASS PHYSICIAN CORP NEWMARKET NH 03857 (603) 659-0901 FAMILY MEDICINE 770YP36831 AGARWAL SANGITA J MD MEDICAL CARE OF BOSTON MANAGEMENT CORP METHUEN MA 01844 (978) 688-1220 FAMILY MEDICINE 770YP17978 AGGARWAL NIDHI MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP37065 AHERN KATELYN J APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY NURSE PRACTITIONERS 770YP24683 AHMED ASMA MD DARTMOUTH HITCHCOCK CLINIC HUDSON NH 03051 (603) 577-3410 INTERNAL MEDICINE 770YP33604 AIME NOEL TATIANA BERNDE MD LAHEY CLINIC INC N BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP23544 AISTON TRICIA L APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 77007498YP AJAMIE JOHN M MD NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY MEDICINE 770YP35840 ALBRECHT JASON M DO ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 624-4380 INTERNAL MEDICINE 770YP35840 ALBRECHT JASON M DO ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 314-6500 INTERNAL MEDICINE 770YP04771 ALBUSHIES THOMAS M MD CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 770YP33084 ALDRIDGE MAUDE MD LRGHEALTHCARE BELMONT NH 03220 (603) 528-0995 PEDIATRICS 770YP33084 ALDRIDGE MAUDE MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 PEDIATRICS 770YP11774 ALEXANDER JOHN L MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6337 INTERNAL MEDICINE 77007797YP ALEXANDER SIDNEY MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8461 INTERNAL MEDICINE 770YP32969 ALFANO EMILY J APRN NORTHERN COUNTIES HEALTH CARE INC HARDWICK VT 05843 (802) 472-3300 FAMILY NURSE PRACTITIONERS 770YP32003 ALFARAZ CARLOS R MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP35912 ALFARAZ CARLOS R MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDON VT 05849 (802) 748-9501 FAMILY MEDICINE 77003258YP AL-HOJERRY KEENAN M MD KEENAN ALHOJERRY MD PLLC PORTSMOUTH NH 03801 (603) 433-8488 FAMILY MEDICINE 770YP18812 ALI PAMELA S MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 663-8200 INTERNAL MEDICINE 770YP34368 ALISEO JOYCE A APRN MONADNOCK COMMUNITY HOSPITAL ANTRIM NH 03440 (603) 588-4200 FAMILY NURSE PRACTITIONERS 770YP19103 ALLEN CHRISTOPHER E MD CONCORD HOSPITAL INC EPSOM NH 03234 (603) 736-6200 FAMILY MEDICINE 770YP33900 ALLEN CHRISTOPHER S MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 FAMILY MEDICINE 770YP02334 ALLMAN TRICIA MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 INTERNAL MEDICINE 770YP02334 ALLMAN TRICIA MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 INTERNAL MEDICINE 770YP08629 ALVAREZ CONSUELO M MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 INTERNAL MEDICINE 770YP23530 ALVAREZ HILARY K MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP36131 ALVORD VIRGINIA L MD MASCOM COMMUNITY HEALTHCARE INC CANAAN NH 03741 (603) 523-4343 FAMILY MEDICINE 770YP20794 ALWAN SALLY A MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP33699 AMELL FREDRIK B MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE

Page 1 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP33749 AMIRTHAM DEBORAH MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 626-4392 FAMILY MEDICINE 770YP30525 ANASTASOFF ALLISON M APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 623-3343 FAMILY NURSE PRACTITIONERS 770YP35481 ANDERSON JOHN D MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-7388 PEDIATRICS 770YP33148 ANDERSON KERRY A APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP30920 ANDERSON STACEY APRN LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 FAMILY NURSE PRACTITIONERS 770YP36579 ANDERSON SUZANNE C APRN HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7475 FAMILY NURSE PRACTITIONERS 770YP02932 ANDRECYK GREGORY P MD WENTWORTH DOUGLASS PHYSICIAN CORP SOMERSWORTH NH 03878 (603) 692-6676 FAMILY MEDICINE 770YP02932 ANDRECYK GREGORY P MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 770YP18588 ANDRUS BRUCE W MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 INTERNAL MEDICINE 770YP18588 ANDRUS BRUCE W MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7100 INTERNAL MEDICINE 770YP08442 ANTINERELLA NICOLE M DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 770YP29314 APONTE-RIVERA MAYSABEL MD MEDICAL CARE OF BOSTON MANAGEMENT CORP HAVERHILL MA 01830 (978) 521-2106 INTERNAL MEDICINE 770YP26591 ARENA DIANA M DO LAHEY CLINIC INC WILMINGTON MA 01887 (978) 694-9610 INTERNAL MEDICINE 770YP26591 ARENA DIANA M DO LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-3839 INTERNAL MEDICINE 770YP32736 ARMSTRONG BEVERLY A APRN VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 542-7855 FAMILY NURSE PRACTITIONERS 770YP32736 ARMSTRONG BEVERLY A APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 FAMILY NURSE PRACTITIONERS 770YP32736 ARMSTRONG BEVERLY A APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 FAMILY NURSE PRACTITIONERS 770YP20629 ARNOLD EWA MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 77000503YP ARONSON MARK J DO LRGHEALTHCARE LACONIA NH 03246 (603) 527-2969 FAMILY MEDICINE 77005373YP ARSENAULT DIANE L MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY MEDICINE 770YP04723 ASCH ALEXANDER H DO FRISBIE MEMORIAL HOSPITAL SOMERSWORTH NH 03878 (603) 692-3115 FAMILY MEDICINE 770YP04723 ASCH ALEXANDER H DO FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP14852 ASHRAF SADAF MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE 77003843YP ASTOLFI THOMAS M MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP24548 ATHAR MASOOMA MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 GERIATRIC MEDICINE 770YP29173 ATKINSON LISA MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-6108 FAMILY MEDICINE 770YP30371 ATTIAS JONATHAN L APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY NURSE PRACTITIONERS 770YP04767 AVERY JOHN C DO WEEKS MEDICAL CENTER N STRATFORD NH 03590 (603) 922-5039 FAMILY MEDICINE 770YP25168 AVRAMOV VLADIMIR S MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-0063 INTERNAL MEDICINE 770YP36631 AZKUL BASSEM MD NEW ERA MEDICINE PLLC MANCHESTER NH 03102 (603) 622-8665 FAMILY MEDICINE 770YP24953 BABAYAN EMMA S MD EAGLE MEDICINE ASSOCIATES LAWRENCE MA 01841 (978) 725-5913 INTERNAL MEDICINE 770YP15354 BACHELDER SHEILLA MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP16467 BACKUS ROBERT W MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 770YP33873 BACON MARY M APRN PEMBROKE WELLNESS CENTER PLLC PEMBROKE NH 03275 (603) 485-7788 FAMILY NURSE PRACTITIONERS 770YP08029 BADAU IOAN C MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE 770YP03113 BADGER M ANGUS MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP33375 BADMAN DENNIS S MD WAKEFIELD FAMILY MEDICINE LLC SANBORNVILLE NH 03872 (603) 871-8227 FAMILY MEDICINE 770YP35379 BAILEY LINDA R APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 ADULT NURSE PRACTITIONERS 770YP28757 BAKER JUDY A APRN WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 447-8900 FAMILY NURSE PRACTITIONERS 770YP10034 BALL JEAN M APRN FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 ADULT NURSE PRACTITIONERS 770YP10034 BALL JEAN M APRN FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 ADULT NURSE PRACTITIONERS 770YP33962 BALLENTINE STEPHANIE A APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 578-7400 FAMILY NURSE PRACTITIONERS 770YP32815 BANNERMAN ELANA R MD FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 FAMILY MEDICINE 770YP03530 BANNISTER JAY B MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP33215 BARBARITA CAITLIN N MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 770YP20500 BARBEAU DELORES A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-1166 FAMILY MEDICINE 770YP27338 BARBER LAURA A MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP16414 BARKAN SHERYL M NP STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 ADULT NURSE PRACTITIONERS

Page 2 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77004845YP BARKSDALE JOHN F MD CONCORD HOSPITAL INC EPSOM NH 03234 (603) 736-6200 FAMILY MEDICINE 770YP12536 BARLEY PETER A MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP33511 BARLOW JAMES D DO APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY MEDICINE 770YP33511 BARLOW JAMES D DO APPLEDORE MEDICAL GROUP INC DURHAM NH 03824 (603) 431-2516 FAMILY MEDICINE 770YP20243 BARLOW BARRY ANNE R DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP20243 BARLOW BARRY ANNE R DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP20243 BARLOW BARRY ANNE R DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP28297 BARNES ROY M MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-1251 FAMILY MEDICINE 770YP28297 BARNES ROY M MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 FAMILY MEDICINE 770YP18312 BARNETT KAREN R MD CHILD HEALTH CENTER INC METHUEN MA 01844 (978) 685-0977 PEDIATRICS 770YP30327 BARON KYLE T MD LRGHEALTHCARE MEREDITH NH 03253 (603) 744-5377 FAMILY MEDICINE 770YP33359 BARRETT JULIANN DO VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-6700 FAMILY MEDICINE 770YP33359 BARRETT JULIANN DO VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 FAMILY MEDICINE 770YP33359 BARRETT JULIANN DO VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-6900 FAMILY MEDICINE 770YP37000 BARTLETT MACKENZIE J MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-5860 PEDIATRICS 77004188YP BARTOLINI J BRUCE MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 INTERNAL MEDICINE 770YP32361 BARTON SUSAN W APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-8900 FAMILY NURSE PRACTITIONERS 770YP32361 BARTON SUSAN W APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY NURSE PRACTITIONERS 770YP23336 BATES BARBARA A MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP13989 BATSIS JOHN A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 770YP28658 BAUM WILLIAM J APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 770YP32429 BAXTER-ROGERS CYMANDE A APRN WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 447-8900 FAMILY NURSE PRACTITIONERS 77001181YP BAYER SUSAN C MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 286-3331 FAMILY MEDICINE 77000858YP BEAHM PAMELA H MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 77000858YP BEAHM PAMELA H MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 880-1440 PEDIATRICS 77000858YP BEAHM PAMELA H MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3870 PEDIATRICS 77000858YP BEAHM PAMELA H MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 882-3000 PEDIATRICS 77009720YP BEALS BRIAN M MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 PEDIATRICS 770YP36383 BEAMS MARJORIE E MD GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY MEDICINE 770YP32082 BEARDSLEY JANET R APRN BRIDGTON HOSPITAL NAPLES ME 04055 (207) 693-6106 ADULT NURSE PRACTITIONERS 770YP05494 BEAUDOIN STEPHEN P MD PARTNERS COMMUNITY PHYS ORGANIZATION INC NEWBURYPORT MA 01950 (978) 499-7200 INTERNAL MEDICINE 770YP26665 BEAUDRY MELISSA APRN NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 FAMILY NURSE PRACTITIONERS 770YP30563 BEAUDRY ROBERT J APRN FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 FAMILY NURSE PRACTITIONERS 77005271YP BEAUFAIT DAVID W MD DOCTORS WHO CARE LLC ENFIELD NH 03748 (603) 632-5600 FAMILY MEDICINE 770YP21766 BEAULIEU LISA C APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 GERIATRIC NURSE PRACTITIONERS 770YP02559 BEAULIEU EMILY E APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY NURSE PRACTITIONERS 770YP31011 BEAUPRE AMY L APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY NURSE PRACTITIONERS 770YP18413 BEDELL GINA L APRN WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-2521 FAMILY NURSE PRACTITIONERS 770YP18413 BEDELL GINA L APRN WEEKS MEDICAL CENTER N STRATFORD NH 03590 (603) 922-5039 FAMILY NURSE PRACTITIONERS 770YP18413 BEDELL GINA L APRN WEEKS MEDICAL CENTER COLEBROOK NH 03576 (603) 237-4971 FAMILY NURSE PRACTITIONERS 770Y003296 BEEHLER II CECIL C MD SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY MEDICINE 770YP03296 BEEHLER II CECIL C MD SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY MEDICINE 770Y003296 BEEHLER II CECIL C MD SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY MEDICINE 770YP03296 BEEHLER II CECIL C MD SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY MEDICINE 77005838YP BELL SANDRA L APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY NURSE PRACTITIONERS 77000076YP BELSON ROGER E MD ROGER E BELSON MD HENNIKER NH 03242 (603) 428-3262 INTERNAL MEDICINE 770YP19437 BENCKENDORF SANDRA MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2900 FAMILY MEDICINE 770YP15477 BENDER MARY P MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7337 PEDIATRICS

Page 3 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP15477 BENDER MARY P MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 PEDIATRICS 770YP30919 BENNETT MAEVE D APRN MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY NURSE PRACTITIONERS 770YP31029 BENNETT LYDIA B MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP31029 BENNETT LYDIA B MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 77002343YP BENNETT TERRY M MD TERRY M BENNETT MD ROCHESTER NH 03867 (603) 335-8001 FAMILY MEDICINE 770YP16822 BENTON LISA M DO PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 770YP16822 BENTON LISA M DO PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC HAMPTON NH 03842 (603) 929-3838 PEDIATRICS 770YP00322 BERARDUCCI MICHAEL C MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP30564 BERGER JANET M APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3300 FAMILY NURSE PRACTITIONERS 770YP12222 BERGERON-KILLOUGH KATRIN S MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 770YP12222 BERGERON-KILLOUGH KATRIN S MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 770YP12222 BERGERON-KILLOUGH KATRIN S MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP31578 BERKOWITZ JOSHUA L MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 77008570YP BERMAN MARK A MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7338 FAMILY MEDICINE 770YP18270 BERNARD ELLEN E DO CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP18270 BERNARD ELLEN E DO CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP02812 BERRIAN SARAH M MD NORTHERN COUNTIES HEALTH CARE INC CONCORD VT 05824 (802) 695-2512 FAMILY MEDICINE 77006012YP BERRY KEVIN J MD KEVIN J BERRY MD METHUEN MA 01844 (978) 794-0234 CARDIOVASCULAR DISEASE 77002897YP BERRY PAUL T MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3666 INTERNAL MEDICINE 77002897YP BERRY PAUL T MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 INTERNAL MEDICINE 770YP20896 BERRY ANDREA M DO MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY MEDICINE 770YP20896 BERRY ANDREA M DO MID-STATE HEALTH CENTER BRISTOL NH 03222 (603) 744-6200 FAMILY MEDICINE 770YP20481 BERUBE JAYNE T DO WEEKS MEDICAL CENTER WHITEFIELD NH 03598 (603) 837-9005 PEDIATRICS 770YP25193 BETANCUR RESTREPO ILDA M MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4400 INTERNAL MEDICINE 770YP30689 BETCHART CRAIG F MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 770YP35785 BHULABHAI BHAVIK K MD WENTWORTH DOUGLASS PHYSICIAN CORP BARRINGTON NH 03825 (603) 664-2135 FAMILY MEDICINE 770YP35785 BHULABHAI BHAVIK K MD WENTWORTH DOUGLASS PHYSICIAN CORP NEWMARKET NH 03857 (603) 659-0901 FAMILY MEDICINE 770YP36170 BICKFORD ANDREA M DO ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 626-8652 FAMILY MEDICINE 770YP30817 BILAL SALVA MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY MEDICINE 770YP00332 BILODEAU THOMAS M MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 77005963YP BINCZEWSKI BRIAN A MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP27359 BISSON LINDA C MD NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 FAMILY MEDICINE 770YP03149 BIXBY DEBRA J APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-5131 FAMILY NURSE PRACTITIONERS 770YP36372 BLACK GORDON C APRN COTTAGE HOSPITAL WOODSVILLE NH 03785 (603) 747-2900 FAMILY NURSE PRACTITIONERS 770YP14899 BLACK CHERYLYN K MD LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC LYNNFIELD MA 01940 (781) 213-4040 FAMILY MEDICINE 77007944YP BLACKWOOD MARK R MD WENTWORTH DOUGLASS PHYSICIAN CORP DURHAM NH 03824 (603) 868-5080 FAMILY MEDICINE 77007944YP BLACKWOOD MARK R MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 770YP18266 BLATT NANCY A DO FRISBIE MEMORIAL HOSPITAL BARRINGTON NH 03825 (603) 664-9003 FAMILY MEDICINE 770YP02650 BLOFSON TONY MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 254-1311 FAMILY MEDICINE 770YP07105 BLOOM STEVEN P MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3230 PEDIATRICS 77006057YP BLOOMER JAMES A MD YOUR MEDICAL HOME LLC EXETER NH 03833 (603) 418-6310 FAMILY MEDICINE 77008769YP BLOOMER KATHLEEN C APRN YOUR MEDICAL HOME LLC EXETER NH 03833 (603) 418-6310 PEDIATRIC NURSE PRACTITIONERS 770YP26915 BLOWEN JOHN M APRN KEENAN ALHOJERRY MD PLLC PORTSMOUTH NH 03801 (603) 433-8488 FAMILY NURSE PRACTITIONERS 770YP23352 BLUMBERG JILL I MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP02847 BOARDMAN MAUREEN B APRN LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 FAMILY NURSE PRACTITIONERS 770YP22983 BOCHMAN MARISA M MD LAHEY CLINIC INC SOUTH HAMILTON MA 01982 (978) 468-7346 FAMILY MEDICINE 770YP18338 BOHEEN ERICA A MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRICS 770YP18677 BOLON CLAIRE E MD UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRICS

Page 4 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP19030 BONAFEDE KATHRYN A MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 770YP19030 BONAFEDE KATHRYN A MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 770YP21301 BONIAS CRYSTAL G APRN GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY NURSE PRACTITIONERS 770YP31122 BOORA SOWMYA MD COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 INTERNAL MEDICINE 77006037YP BORIE KENNETH G DO GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP16924 BOTTAZZI TRACEY L APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY NURSE PRACTITIONERS 770YP05148 BOTTNER TAMMY B MD RIVERSIDE PEDIATRICS NEWBURYPORT MA 01950 (978) 465-0322 PEDIATRICS 770YP36543 BOUCHER MARCY K MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY MEDICINE 770YP07176 BOULANGER PAULA W MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 PEDIATRICS 77006558YP BOURQUE KATHLEEN M APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY NURSE PRACTITIONERS 770YP30278 BOURQUE MELISSA N APRN HUGGINS HOSPITAL MOULTONBORO NH 03254 (603) 476-2216 ADULT NURSE PRACTITIONERS 770YP00342 BOUTHOT BETH A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP00342 BOUTHOT BETH A MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP36264 BOUTSELIS HANNAH E APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 623-3343 FAMILY NURSE PRACTITIONERS 77007559YP BOWER GEORGE J MD GEORGE J BOWER MD MILFORD NH 03055 (603) 673-8480 INTERNAL MEDICINE 770YP18361 BOYADZHIEV IVAN Y MD DARTMOUTH HITCHCOCK CLINIC MILFORD NH 03055 (603) 673-2515 FAMILY MEDICINE 770YP27779 BOYLAN MARIA T DO ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY MEDICINE 770YP05202 BRACKETT CHARLES D MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP15843 BRADEN TREVOR M MD YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP28300 BRADO DOREEN APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDON VT 05849 (802) 748-9501 FAMILY NURSE PRACTITIONERS 770YP35576 BRADY DENISE A APRN CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 FAMILY NURSE PRACTITIONERS 770YP31329 BRAESE NANCY E DO WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 770YP31329 BRAESE NANCY E DO WENTWORTH DOUGLASS PHYSICIAN CORP PORTSMOUTH NH 03801 (603) 610-8051 FAMILY MEDICINE 770YP31329 BRAESE NANCY E DO WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 FAMILY MEDICINE 770YP08419 BRAGA CHRISTOPHER C MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP02114 BRAIMON JENNIFER C MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP31363 BRAUN MARY F MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 INTERNAL MEDICINE 770YP05464 BREAULT TERESA M MD NORTH BERWICK FAMILY MEDICINE NORTH BERWICK ME 03906 (207) 676-8559 FAMILY MEDICINE 77009066YP BREEN ANDREW J MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 77009066YP BREEN ANDREW J MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC HAMPTON NH 03842 (603) 929-3838 PEDIATRICS 770YP07617 BREHIO TERI L MD CONCORD HOSPITAL INC HILLSBORO NH 03244 (603) 464-3434 FAMILY MEDICINE 77004854YP BRENNAN STEPHEN R DO STEPHEN R BRENNAN DO PA YORK ME 03909 (207) 363-5437 PEDIATRICS 770YP08755 BRENNAN BEVERLY A MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 INTERNAL MEDICINE 770YP08755 BRENNAN BEVERLY A MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 469-7100 INTERNAL MEDICINE 770YP34791 BRENNAN ALISON R MD UNIVERSITY SYSTEM OF NEW HAMPSHIRE DURHAM NH 03824 (603) 862-9355 INTERNAL MEDICINE 77007831YP BRESNAHAN H DEAN MD H DEAN BRESNAHAN MD BRATTLEBORO VT 05301 (802) 257-1331 FAMILY MEDICINE 770YP36496 BRESS JAMES H MD GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 INTERNAL MEDICINE 770YP00345 BREW ROBERT H MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP35822 BRISSON THERESA M APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 77009043YP BRISTOL MARLENE M APRN LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 757-2325 FAMILY NURSE PRACTITIONERS 770YP23011 BROCKELMAN LAURIE M APRN MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 GERIATRIC NURSE PRACTITIONERS 77006746YP BRODERICK THOMAS F DO NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 FAMILY MEDICINE 77006364YP BRODY DAVID S MD DAVID S BRODY MD ST JOHNSBURY VT 05819 (802) 748-2123 INTERNAL MEDICINE 770YP32837 BROKUS KATHRYN DO YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 77005551YP BRONSTEIN ERIC MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP34094 BROOKS WILLIAM B MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP05313 BROOKS ANN M MD WATERBORO VILLAGE PEDIATRICS LLC PA EAST WATERBORO ME 04030 (207) 247-6742 PEDIATRICS 770YP05313 BROOKS ANN M MD WATERBORO VILLAGE PEDIATRICS LLC PA BIDDEFORD ME 04005 (207) 294-8700 PEDIATRICS

Page 5 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP23858 BROOKS TRISHA M APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY NURSE PRACTITIONERS 77004899YP BROOKS JR THEODORE T MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77004899YP BROOKS JR THEODORE T MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77004899YP BROOKS JR THEODORE T MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP27459 BROWN ANNIKA M MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP12147 BROWN PATRICIA C APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY NURSE PRACTITIONERS 770YP12147 BROWN PATRICIA C APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY NURSE PRACTITIONERS 770YP26617 BROWN CAROLYN C APRN LRGHEALTHCARE MEREDITH NH 03253 (603) 279-7433 FAMILY NURSE PRACTITIONERS 770YP03151 BROWNE SUSAN MD CHILD HEALTH CENTER INC METHUEN MA 01844 (978) 685-0977 PEDIATRICS 770YP08326 BRUMSON APRIL L APRN SOJOURNS COMMUNITY HEALTH CLINIC WESTMINSTER VT 05158 (802) 722-4023 ADULT NURSE PRACTITIONERS 77002481YP BRUNDAGE BARBARA A MD DERRY PEDIATRICS PRACTICE PA DERRY NH 03038 (603) 434-0327 PEDIATRICS 770YP31949 BRUNELLE KERMIT MD SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-3700 PEDIATRICS 770YP26860 BRUNNER ALLISA A APRN YORK HOSPITAL YORK ME 03909 (207) 698-6700 FAMILY NURSE PRACTITIONERS 77006696YP BUCHANAN JOHN T MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 888-5573 FAMILY MEDICINE 77003934YP BUCHANAN ELIZABETH A MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-1436 FAMILY MEDICINE 770YP03809 BUCHER ERIC D MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP03809 BUCHER ERIC D MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP28213 BUCKLEY HOLLY B APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY NURSE PRACTITIONERS 770YP27189 BUDDENSEE MELISSA M MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC FRANCONIA NH 03580 (603) 823-7078 FAMILY MEDICINE 770YP28114 BUJNO LISA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY NURSE PRACTITIONERS 770YP30575 BULAUITAN MANUEL E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP30575 BULAUITAN MANUEL E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP30185 BUONO DAVID P MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP24538 BUONOMANO JOANN MD GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 953-0065 FAMILY MEDICINE 770YP24538 BUONOMANO JOANN MD GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP36407 BURDICK KRISTIN O MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP28335 BURDICK JULIA F MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE 770YP33980 BURGESS KATHLEEN R MD PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 FAMILY MEDICINE 770YP13918 BURKE RACHEL DO YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 FAMILY MEDICINE 770YP20672 BURNELL KATHRYN H APRN NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 FAMILY NURSE PRACTITIONERS 770YP36370 BURNETT ANGELA M APRN ST JOSEPH HOSPITAL HUDSON NH 03051 (603) 882-6700 FAMILY NURSE PRACTITIONERS 770YP17307 BURTIS RICHARD T MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 770YP28196 BURZYK JENNIFER L APRN STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 FAMILY NURSE PRACTITIONERS 770YP28197 BURZYK JENNIFER L APRN STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 FAMILY NURSE PRACTITIONERS 770YP36401 BUSTAMANTE CHRISTOPHER D MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP29969 BYERS WILLIAM MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 PEDIATRICS 770YP34099 CABRERA MIGUEL F MD LAWRENCE HEALTH SOLUTIONS LAWRENCE MA 01841 (978) 258-1057 INTERNAL MEDICINE 770YP13595 CADEGAN-PAQUETTE LEAH M APRN ELLIOT PHYSICIANS NETWORK ALLENSTOWN NH 03275 (603) 485-7861 FAMILY NURSE PRACTITIONERS 770YP13817 CALCAGNI JOHNSON KRISTEN W MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 770YP02752 CALEGARI JEFFREY T DO CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 314-4700 INTERNAL MEDICINE 770YP03154 CALHOUN CHRISTOPHER S MD ELLIOT PHYSICIANS NETWORK GOFFSTOWN NH 03045 (603) 497-5661 FAMILY MEDICINE 77006485YP CALORAS DANIEL MD SPRINGFIELD MEDICAL CARE SYSTEMS INC CHARLESTOWN NH 03603 (603) 826-5711 FAMILY MEDICINE 770YP33003 CAMERON ERIC M APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 623-3343 FAMILY NURSE PRACTITIONERS 77000619YP CAMMILLERI JR THOMAS J DO GREATER HAMPSTEAD FAMILY MEDICINE PC HAMPSTEAD NH 03841 (603) 329-5222 FAMILY MEDICINE 770YP00351 CAMPAGNA ANTHONY C MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8481 INTERNAL MEDICINE 770YP00351 CAMPAGNA ANTHONY C MD LAHEY CLINIC INC WINCHESTER MA 01890 (781) 756-2260 INTERNAL MEDICINE 770YP00351 CAMPAGNA ANTHONY C MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP00351 CAMPAGNA ANTHONY C MD LAHEY CLINIC INC BEVERLY MA 01915 (781) 744-8481 INTERNAL MEDICINE

Page 6 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77007821YP CAMPBELL PATRICIA I DO DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRICS 770YP22947 CAMPBELL PHILIP P APRN SJ PHYSICIAN SERVICES NASHUA NH 03063 (603) 883-7970 FAMILY NURSE PRACTITIONERS 770YP00352 CAMPBELL BRUCE B MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP21934 CANTIN DANIELLE N APRN CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRIC NURSE PRACTITIONERS 77001515YP CANTLIN TERRY W DO GIFFORD MEDICAL CENTER BETHEL VT 05032 (802) 234-9913 FAMILY MEDICINE 770YP28280 CANZANELLO ERIC J DO DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 77009107YP CAPPETTA CHARLES T MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 770YP12122 CARDENAS JAVIER D MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 770YP32007 CARDING ERIN B APRN FAMILY HEALTH MATTERS OF SALEM SALEM NH 03079 (603) 386-0100 FAMILY NURSE PRACTITIONERS 770YP33462 CARLISLE STEBENNE SUZANNE APRN IDEAL PRIMARY CARE WHITE RIVER JUNCTION VT 05001 (802) 698-8028 FAMILY NURSE PRACTITIONERS 770YP03810 CARMICHAEL THOMAS J MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP03810 CARMICHAEL THOMAS J MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP28333 CARNEY MARK MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP25569 CARNEY NICOLE L DO YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 FAMILY MEDICINE 770YP29108 CARPENTER SALLY A APRN YORK HOSPITAL MOODY ME 04054 (207) 646-8386 ADULT NURSE PRACTITIONERS 770YP29108 CARPENTER SALLY A APRN YORK HOSPITAL YORK ME 03909 (207) 351-3530 ADULT NURSE PRACTITIONERS 770YP27163 CARPENTIER DOMINIQUE A MD CORE PHYSICIANS LLC DURHAM NH 03824 (603) 778-7975 FAMILY MEDICINE 77005249YP CARRIER CHARLES F MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC KINGSTON NH 03848 (603) 642-3910 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC DURHAM NH 03824 (603) 868-5832 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC STRATHAM NH 03885 (603) 778-1620 INTERNAL MEDICINE 770YP36231 CARTER JENNIFER M MD CORE PHYSICIANS LLC PORTSMOUTH NH 03801 (603) 658-2344 INTERNAL MEDICINE 770YP31024 CARTER HELEN M MD LAHEY CLINIC INC AMESBURY MA 01913 (978) 388-5050 INTERNAL MEDICINE 77008306YP CARTIER MARK P MD MARK P CARTIER MD INC YORK ME 03909 (207) 363-8852 FAMILY MEDICINE 77008321YP CARUSO DON MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP31692 CASELLA STACY L APRN LRGHEALTHCARE LACONIA NH 03246 (603) 524-7042 FAMILY NURSE PRACTITIONERS 770YP22697 CASENAS RITCHE L MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 624-4380 INTERNAL MEDICINE 770YP33337 CASEY JUDITH A APRN LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 ADULT NURSE PRACTITIONERS 770YP07473 CASHMAN MAUREEN E MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY MEDICINE 770YP07473 CASHMAN MAUREEN E MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP07700 CASIO JACINTO P MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE 770YP08021 CASTOR BELINDA L MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE 77004509YP CAYER PATRICIA E MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 PEDIATRICS 770YP35056 CHADEK RICHARD F MD INDIAN STREAM HEALTH CENTER INC COLEBROOK NH 03576 (603) 237-8336 FAMILY MEDICINE 770YP34885 CHALLAGULLA MADHAVI MD PARTNERS COMMUNITY PHYS ORGANIZATION INC ANDOVER MA 01810 (978) 783-5000 INTERNAL MEDICINE 770YP18238 CHALOORI PRATHIMA MD STEWARD MEDICAL GROUP INC ANDOVER MA 01810 (978) 269-0017 FAMILY MEDICINE 770YP04642 CHAN KENNETH K MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 770YP21654 CHANDRAMOULI SADHANASREE MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-1166 FAMILY MEDICINE 770YP13988 CHAPMAN STEVEN H MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 653-9663 PEDIATRICS 770YP24057 CHAPPELL ELAINE M MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 FAMILY MEDICINE

Page 7 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77008433YP CHAREST JEANNE M APRN COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 PEDIATRIC NURSE PRACTITIONERS 77005821YP CHARLE EDWIN L MD PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY MEDICINE 770YP03861 CHASE ELIZABETH A MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 434-1919 INTERNAL MEDICINE 77007979YP CHASTAIN STEPHEN O MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-3023 FAMILY MEDICINE 77007979YP CHASTAIN STEPHEN O MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 FAMILY MEDICINE 770YP23538 CHATANI-HINZE MAYUMI MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP25489 CHATFIELD MARCIA C MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3250 INTERNAL MEDICINE 770YP18409 CHEHADE ANNE G MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7555 INTERNAL MEDICINE 770YP12339 CHEN CONNIE Y MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7000 INTERNAL MEDICINE 770YP36457 CHICHESTER MARTHA M APRN MEDICAL CARE OF BOSTON MANAGEMENT CORP HAVERHILL MA 01830 (978) 373-4400 ADULT NURSE PRACTITIONERS 770YP12575 CHIN WARREN W DO THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP03811 CHIRLIN ROBERT F MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP03811 CHIRLIN ROBERT F MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP18245 CHOO PETER W MD AUTUMN GRACE MEDICAL ASSOCIATES PC METHUEN MA 01844 (978) 682-3939 INTERNAL MEDICINE 770YP08439 CHOPRA MANISH MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 INTERNAL MEDICINE 770YP20321 CHOPRA ALPANA MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 626-5113 FAMILY MEDICINE 770YP35369 CHOU LORETTA Y MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 880-1440 PEDIATRICS 770YP33087 CHOWDHRY SHILPA M MD CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 INTERNAL MEDICINE 770YP30550 CHRANG NONG M APRN PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY NURSE PRACTITIONERS 770YP35885 CHRISEMER JENNIFER M APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY NURSE PRACTITIONERS 770YP33208 CHRISTIANSEN JENNIFER B APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 FAMILY NURSE PRACTITIONERS 770YP33208 CHRISTIANSEN JENNIFER B APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 FAMILY NURSE PRACTITIONERS 770YP31350 CHRISTO STEPHEN T DO CORE PHYSICIANS LLC KINGSTON NH 03848 (603) 642-3910 FAMILY MEDICINE 770YP31350 CHRISTO STEPHEN T DO CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP19157 CHUNG RACHEL T APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 626-5113 FAMILY NURSE PRACTITIONERS 770YP36785 CHUNG EDWARD K MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 770YP36785 CHUNG EDWARD K MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3870 PEDIATRICS 770YP36785 CHUNG EDWARD K MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 880-1440 PEDIATRICS 770YP04774 CIAK CARL S MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 77001850YP CIGNOLI MICHELINE APRN DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 PEDIATRIC NURSE PRACTITIONERS 770YP07156 CIVITELLA JENNIFER M MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 FAMILY MEDICINE 770YP18755 CLAIRMONT THOMAS P MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 INTERNAL MEDICINE 77002871YP CLANCY PATRICIA E MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 226-3400 FAMILY MEDICINE 77009649YP CLARDY ELIZABETH A MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP03212 CLARK PAUL R MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 770YP27463 CLARK SUSANNAH MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 INTERNAL MEDICINE 77000673YP CLAUSSEN CAROLYN G MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY MEDICINE 77006838YP CLAUSSEN BRIAN E MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 622-6491 FAMILY MEDICINE 77005210Y0 CLAY GARY A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY MEDICINE 77005210YP CLAY GARY A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY MEDICINE 770YP26864 CLEARY MICHELLE NP SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 FAMILY NURSE PRACTITIONERS 77000551YP CLIFFORD JAMES H MD LRGHEALTHCARE GILFORD NH 03249 (603) 527-2955 FAMILY MEDICINE 770YP30401 CLIFFORD JAMES H MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 FAMILY MEDICINE 770YP32233 CLINE KENDRA APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 FAMILY NURSE PRACTITIONERS 770YP32233 CLINE KENDRA APRN FRISBIE MEMORIAL HOSPITAL SOMERSWORTH NH 03878 (603) 692-3115 FAMILY NURSE PRACTITIONERS 770YP16616 CLOUTIER LEONA S APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY NURSE PRACTITIONERS 77000778YP COBLE SUZANNE MD SUZANNE COBLE MD KEENE NH 03431 (603) 357-9959 FAMILY MEDICINE 77004096YP COHEN MAURICE B MD NORTHEAST GASTROENTEROLOGY ASSOCIATES PC SALEM NH 03079 (603) 898-5082 INTERNAL MEDICINE

Page 8 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77009762YP COHEN MITCHELL G MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 770YP36463 COHEN PETER J DO MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 INTERNAL MEDICINE 770YP33633 COLBY BENJAMIN S MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 226-3400 FAMILY MEDICINE 77009226YP COLE BERTRAND P DO PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY MEDICINE 77009226YP COLE BERTRAND P DO PMC MEDICAL GROUP LLC NEWINGTON NH 03801 (603) 431-3166 FAMILY MEDICINE 77004604YP COLLINS PAUL S MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 626-5113 FAMILY MEDICINE 770YP29021 COLLINS ASHLEY E APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP32511 COMPAGNA ROBERTA APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY NURSE PRACTITIONERS 770YP16899 COMPOS HEIDI R APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 FAMILY NURSE PRACTITIONERS 770YP36647 CONCEICAO NICOLE A APRN CONCORD HOSPITAL INC WARNER NH 03278 (603) 456-6106 FAMILY NURSE PRACTITIONERS 770YP14926 CONDODEMETRAKY STEPHANIE N APRN CATHOLIC MEDICAL CENTER GOFFSTOWN NH 03045 (603) 314-4700 ADULT NURSE PRACTITIONERS 770YP12543 CONKLING HILLARY M MD LACONIA INTERNAL MEDICINE PLLC LACONIA NH 03246 (603) 524-9201 INTERNAL MEDICINE 770YP23762 CONNELLY DANIELA MD COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 FAMILY MEDICINE 77006550YP CONNOLLY KEVIN J MD LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 INTERNAL MEDICINE 770YP14900 CONNOLLY LISA M MD LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC LYNNFIELD MA 01940 (781) 213-4040 FAMILY MEDICINE 770YP32111 COOK PETER C MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 INTERNAL MEDICINE 770YP32111 COOK PETER C MD APPLEDORE MEDICAL GROUP INC DURHAM NH 03824 (603) 431-2516 INTERNAL MEDICINE 770YP36359 COOK PETER MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03103 (603) 314-5900 INTERNAL MEDICINE 77006487YP COOLEY ELIZABETH E MD MONADNOCK COMMUNITY HOSPITAL RINDGE NH 03461 (603) 899-9563 FAMILY MEDICINE 77009580YP COOMBS AMY M APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 770YP36565 COOMBS RACHEL E MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP08516 COOMEY WILLIAM G MD WILLIAM G COOMEY MD ELIOT ME 03903 (207) 439-2774 INTERNAL MEDICINE 770YP32143 COOPER EMILY R APRN MONADNOCK COMMUNITY HOSPITAL NEW IPSWICH NH 03071 (603) 878-1092 FAMILY NURSE PRACTITIONERS 770YP29427 COOPER KATHERINE E APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-6900 GERIATRIC NURSE PRACTITIONERS 770YP29427 COOPER KATHERINE E APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-6700 GERIATRIC NURSE PRACTITIONERS 770YP29427 COOPER KATHERINE E APRN VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 GERIATRIC NURSE PRACTITIONERS 770YP29427 COOPER KATHERINE E APRN VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 GERIATRIC NURSE PRACTITIONERS 770YP29427 COOPER KATHERINE E APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 GERIATRIC NURSE PRACTITIONERS 77001041YP COOPER-PIELA REBECCA S APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-0063 INTERNAL MEDICINE NURSE PRACTITIONER 770YP15119 CORBETT JEFFREY P DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP15119 CORBETT JEFFREY P DO DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2500 FAMILY MEDICINE 770YP05087 CORBETT SANDRA L DO YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 770YP00368 CORKERY JOSEPH C MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP32753 CORRIGAN DEBRA APRN ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 434-1919 FAMILY NURSE PRACTITIONERS 770YP24825 COSTAGLIOLA JOSEPH MD LAHEY CLINIC INC WILMINGTON MA 01887 (978) 694-9610 INTERNAL MEDICINE 770YP24825 COSTAGLIOLA JOSEPH MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP33719 COSTELLO JAMISON DO HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7500 FAMILY MEDICINE 770YP03925 COTE JEFFREY T MD WELLS FAMILY PRACTICE LLC WELLS ME 04090 (207) 646-0676 FAMILY MEDICINE 770YP31115 COTE-MELENDEZ MONIQUE S APRN ELLIOT PHYSICIANS NETWORK ALLENSTOWN NH 03275 (603) 485-7861 FAMILY NURSE PRACTITIONERS 770YP33970 COULTER SUSAN B MD LRGHEALTHCARE BELMONT NH 03220 (603) 528-0995 PEDIATRICS 770YP33970 COULTER SUSAN B MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 PEDIATRICS 770YP28747 COUPER REBECCA E APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 PEDIATRIC NURSE PRACTITIONERS 770YP28747 COUPER REBECCA E APRN LRGHEALTHCARE BELMONT NH 03220 (603) 528-0995 PEDIATRIC NURSE PRACTITIONERS 77000462YP COURTEMANCHE DOLLY R MD CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 77005163YP COVEY MARK E MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 77003485YP COXON MARCUS H MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP33785 COZZI MICHAEL K MD ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY MEDICINE 770YP37054 CRAIG KRISTEN R APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY NURSE PRACTITIONERS

Page 9 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP16685 CRAMER ELIZABETH R MD CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 770YP31520 CRAWFORD TARA L APRN FOUNDATION MEDICAL PARTNERS INC AMHERST NH 03031 (603) 673-5885 FAMILY NURSE PRACTITIONERS 770YP00371 CRAWFORD BETSEY L MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP32706 CREPPY MICHAEL MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 FAMILY MEDICINE 770YP00373 CRISCITIELLO RONALD P MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP31951 CROCKER NANCY MD SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-3700 PEDIATRICS 770YP14585 CROMER DORIS D MD YORK HOSPITAL WELLS ME 04090 (207) 641-6540 FAMILY MEDICINE 77002759YP CROSBY CAROLYN S MD LRGHEALTHCARE MEREDITH NH 03253 (603) 279-7433 FAMILY MEDICINE 770YP15478 CROSS DEBORAH A APRN WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 447-8900 FAMILY NURSE PRACTITIONERS 770YP25817 CROTEAU RACHEL E DO DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP30862 CROW REBECCA S DO DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 77000769YP CRUSBERG HEIDI MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-5605 FAMILY MEDICINE 77000769YP CRUSBERG HEIDI MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 895-3351 FAMILY MEDICINE 77000769YP CRUSBERG HEIDI MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP16842 CULLEN MARY M DO MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY MEDICINE 770YP16842 CULLEN MARY M DO MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03103 (603) 626-9500 FAMILY MEDICINE 770YP16842 CULLEN MARY M DO MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 FAMILY MEDICINE 770YP16842 CULLEN MARY M DO MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 668-6629 FAMILY MEDICINE 770YP31254 CULLEN AMY M APRN DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 FAMILY NURSE PRACTITIONERS 770YP33752 CULVER JOANNA L MD DARTMOUTH HITCHCOCK CLINIC LYME NH 03768 (603) 650-1070 INTERNAL MEDICINE 770YP25629 CULVERWELL MELISSA APRN LANDMARK FAMILY HEALTHCARE LONDONDERRY NH 03053 (603) 425-6494 FAMILY NURSE PRACTITIONERS 770YP31952 CUNIS DAVID MD SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-3700 PEDIATRICS 77007387YP CUNNIFF JOSEPH P MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 434-1919 INTERNAL MEDICINE 770YP32320 CURRAN CHELSEA N APRN WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 FAMILY NURSE PRACTITIONERS 770YP19186 CURRIER MICHELLE DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7245 FAMILY MEDICINE 770YP00375 CUSHING GARY W MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-2088 INTERNAL MEDICINE 770YP30866 CUTLER MICHELLE A APRN KEADY FAMILY PRACTICE CHARLESTOWN NH 03603 (603) 863-7777 FAMILY NURSE PRACTITIONERS 770YP30866 CUTLER MICHELLE A APRN KEADY FAMILY PRACTICE CLAREMONT NH 03743 (603) 863-7777 FAMILY NURSE PRACTITIONERS 770YP30866 CUTLER MICHELLE A APRN KEADY FAMILY PRACTICE NEWPORT NH 03773 (603) 863-7777 FAMILY NURSE PRACTITIONERS 770YP35577 CZARNEC KATHLEEN A APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 883-7970 FAMILY NURSE PRACTITIONERS 770YP35577 CZARNEC KATHLEEN A APRN ST JOSEPH HOSPITAL HUDSON NH 03051 (603) 882-6700 FAMILY NURSE PRACTITIONERS 77002394YP DACEY LINDA B MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP12119 DACUYCUY MARY ABIGAIL C MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 INTERNAL MEDICINE 77005256YP D'AGOSTINO ROBERT M MD FOUNDATION MEDICAL PARTNERS INC MILFORD NH 03055 (603) 672-7600 FAMILY MEDICINE 770YP26887 DAIGNEAULT JORDA APRN CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY NURSE PRACTITIONERS 77009438YP DALEY JOHN P MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77009438YP DALEY JOHN P MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77009438YP DALEY JOHN P MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 77009438YP DALEY JOHN P MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP18503 DAMASCO REMELINE C MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP13828 DAMIANI SUZANNE M MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 PEDIATRICS 770YP28773 DAMIANI ALDO L MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4300 INTERNAL MEDICINE 770YP00380 DANA NAVA MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP25147 DANG ELLEN J APRN SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE NURSE PRACTITIONER 770YP35919 DANIELSON VALERIE MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY MEDICINE 770YP14927 DANIELSON CARYN A DO ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 INTERNAL MEDICINE 770YP00381 DANOWITZ JAY S MD LAHEY CLINIC INC NORTH BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP00381 DANOWITZ JAY S MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE

Page 10 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP18847 DARGIS BRIGITTE F MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDON VT 05849 (802) 748-9501 FAMILY MEDICINE 770YP25287 DARIUS CHARLY P APRN PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 FAMILY NURSE PRACTITIONERS 770YP03887 DAS ANINDITA MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6030 PEDIATRICS 770YP12260 DASARI SANDHYA R MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3080 INTERNAL MEDICINE 770YP35960 D'AUGUSTA CATHY APRN LAHEY CLINIC INC WILMINGTON MA 01887 (978) 694-9610 FAMILY NURSE PRACTITIONERS 77005973YP D'AUTEUIL JENNIFER M APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2750 PEDIATRIC NURSE PRACTITIONERS 770YP23220 DAVE HETAL R MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 INTERNAL MEDICINE 770YP24904 DAVIE EMILY S MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 770YP12110 DAVIES DANIEL L DO APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 433-8434 INTERNAL MEDICINE 77003842YP DAVILA MARIA A MD MARIA A DAVILA MD HOOKSETT NH 03106 (603) 485-4702 INTERNAL MEDICINE 770YP03695 DAVIS SHERRILL A MD PEDIATRIC PROFESSIONAL ASSOCIATES PC METHUEN MA 01844 (978) 683-1974 PEDIATRICS 77001072YP DAVIS JULIE S MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP23061 DAVIS JULINE D APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY NURSE PRACTITIONERS 770YP35706 DAVIS-SCHAFFER BRITTANY S MD DEEPAK SHARMA MD PC SALEM NH 03079 (603) 893-1521 PEDIATRICS 770YP36108 DAWSON JAMES L DO LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 77007227YP DAWSON SHANTA E APRN CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRIC NURSE PRACTITIONERS 770YP33328 DE LA ROSA CHERYL APRN ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY NURSE PRACTITIONERS 770YP12607 DE VERA ADELA M MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 PEDIATRICS 770YP28023 DE VERA JOSEPH M MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4668 INTERNAL MEDICINE 770YP11807 DEBLASIO BONESHO ALEXANDRA L MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRICS 77003168YP DECKER THOMAS N MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 INTERNAL MEDICINE 77003168YP DECKER THOMAS N MD WENTWORTH DOUGLASS PHYSICIAN CORP PORTSMOUTH NH 03801 (603) 610-8050 INTERNAL MEDICINE 77003168YP DECKER THOMAS N MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 INTERNAL MEDICINE 770YP26668 DEGE JAY E MD NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY MEDICINE 770YP17914 DEJOHN JAMES P MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRICS 77002465YP DELLA GROTTA GARY T MD DERRY PEDIATRICS PRACTICE PA DERRY NH 03038 (603) 434-0327 PEDIATRICS 770YP29101 DELROSSI KIMBERLY F APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4804 FAMILY NURSE PRACTITIONERS 770YP26224 DELUCA ANNE APRN CATHOLIC MEDICAL CENTER HOOKSETT NH 03106 (603) 663-1990 ADULT NURSE PRACTITIONERS 770YP28229 DEMASI PAUL E DO FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE 770YP20054 DEMATTEO CARL S MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 77004796YP DENNIS DEBORAH T MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP31466 DERKEVORKIAN NAZARET MD PARTNERS COMMUNITY PHYS ORGANIZATION INC ANDOVER MA 01810 (978) 783-5000 FAMILY MEDICINE 770YP03189 DESENA MATTHEW T MD LONDONDERRY PEDIATRICS PA LONDONDERRY NH 03053 (603) 437-1003 PEDIATRICS 770YP02786 DESIATO JOSEPH W MD COMMUNITY PEDIATRIC OF ANDOVER ANDOVER MA 01810 (978) 475-0300 PEDIATRICS 770YP26417 DESOCIO CRISTI A MD FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY MEDICINE 770YP30457 DEURELL SHIDEH S MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-5860 PEDIATRICS 770YP34572 DEVEJIAN KATHLEEN N APRN COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 FAMILY NURSE PRACTITIONERS 77002877YP DEVITO JR GEORGE A MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 225-2711 PEDIATRICS 770YP31564 DEVRIES JENNIFER L APRN FOUNDATION MEDICAL PARTNERS INC PELHAM NH 03076 (603) 635-5400 FAMILY NURSE PRACTITIONERS 770YP36757 DHLIWAYO THANDIWE APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY NURSE PRACTITIONERS 770YP36592 DIAMOND CHRISTOPHER R MD UNIVERSITY SYSTEM OF NEW HAMPSHIRE DURHAM NH 03824 (603) 862-9355 FAMILY MEDICINE 770YP16494 DIBRIGIDA LISA A MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRICS 770YP16494 DIBRIGIDA LISA A MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRICS 770YP16494 DIBRIGIDA LISA A MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03103 (603) 626-9500 PEDIATRICS 770YP16494 DIBRIGIDA LISA A MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 PEDIATRICS 77004777YP DICAPUA SAMUEL M DO WELLS FAMILY PRACTICE LLC WELLS ME 04090 (207) 646-0676 FAMILY MEDICINE 770YP30812 DICK MARK L MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3666 INTERNAL MEDICINE 770YP30812 DICK MARK L MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 INTERNAL MEDICINE

Page 11 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP28117 DICK LESLIE S MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP18264 DICKEY KARI L DO BRATTLEBORO MEMORIAL HOSPITAL PUTNEY VT 05346 (802) 387-5581 FAMILY MEDICINE 770YP28340 DICKINSON ARCHIE W MD DARTMOUTH HITCHCOCK CLINIC MERRIMACK NH 03054 (603) 424-4713 FAMILY MEDICINE 77004668YP DIEDERICH GARY D MD MID-STATE HEALTH CENTER BRISTOL NH 03222 (603) 744-6200 FAMILY MEDICINE 770YP29454 DIEDERICHS KATRINA APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3666 FAMILY NURSE PRACTITIONERS 770YP29454 DIEDERICHS KATRINA APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY NURSE PRACTITIONERS 770YP29454 DIEDERICHS KATRINA APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 FAMILY NURSE PRACTITIONERS 770YP35571 DIEHL SCOTT MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 669-2779 INTERNAL MEDICINE 770YP32709 DIETRICH GRETCHEN W MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 FAMILY MEDICINE 770YP34627 DIGEORGE AMANDA APRN WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY NURSE PRACTITIONERS 770YP36497 DIMOU CIARA I APRN LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE NURSE PRACTITIONER 77005356YP DINICOLA LOUIS A MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 PEDIATRICS 770YP26448 DINICOLA CHRISTINA I MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 PEDIATRICS 77008096YP DIONNE PIERRE L MD PIERRE L DIONNE MD HUDSON NH 03051 (603) 595-8989 FAMILY MEDICINE 77007447YP DIONNE LESLIE S MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4200 INTERNAL MEDICINE 77001021YP DIPASTINA JOHN A DO DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 77008135YP DITULIO MARGARET A APRN ROCKINGHAM FAMILY HLTHCARE COLLABORATIVE INC ATKINSON NH 03811 (603) 362-4444 FAMILY NURSE PRACTITIONERS 770YP28447 DIXIT ROHIT MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8800 INTERNAL MEDICINE 770YP28005 DJALAYER KASRA MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 INTERNAL MEDICINE 770YP36866 DJALAYER KASRA MD GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 INTERNAL MEDICINE 770YP35744 DO PONTE LORENA MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 77002211YP DOANE PETER G MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 FAMILY MEDICINE 770YP23332 DOANE PETER G MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY MEDICINE 770YP03300 DOBBERTIN JOYCE M MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 FAMILY MEDICINE 77002786YP DOBBINS ANN MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 770YP31764 DOBSON DAVID C MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 INTERNAL MEDICINE 770YP26638 DOHERTY PATRICIA A APRN ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 FAMILY NURSE PRACTITIONERS 770YP17465 DOHERTY KAREN J APRN ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 FAMILY NURSE PRACTITIONERS 770YP28406 DOHERTY JANE M APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY NURSE PRACTITIONERS 770YP33655 DOLKART KENNETH M MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 672-7300 INTERNAL MEDICINE 770YP15521 DOMINICK KEITH R MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 770YP15521 DOMINICK KEITH R MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC HAMPTON NH 03842 (603) 929-3838 PEDIATRICS 770YP36283 DONAGHEY CARA-JEAN APRN ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3612 ADULT NURSE PRACTITIONERS 770YP36283 DONAGHEY CARA-JEAN APRN ST JOSEPH HOSPITAL HUDSON NH 03051 (603) 882-6700 ADULT NURSE PRACTITIONERS 770YP36283 DONAGHEY CARA-JEAN APRN ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 ADULT NURSE PRACTITIONERS 770YP36283 DONAGHEY CARA-JEAN APRN ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 ADULT NURSE PRACTITIONERS 770YP36283 DONAGHEY CARA-JEAN APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4804 ADULT NURSE PRACTITIONERS 770YP36283 DONAGHEY CARA-JEAN APRN ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 ADULT NURSE PRACTITIONERS 770YP36808 DONAHUE CHONG-AE APRN ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY NURSE PRACTITIONERS 770YP36808 DONAHUE CHONG-AE APRN ST JOSEPH HOSPITAL HUDSON NH 03051 (603) 882-6700 FAMILY NURSE PRACTITIONERS 770YP36808 DONAHUE CHONG-AE APRN ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY NURSE PRACTITIONERS 770YP36808 DONAHUE CHONG-AE APRN ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 FAMILY NURSE PRACTITIONERS 770YP36808 DONAHUE CHONG-AE APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4804 FAMILY NURSE PRACTITIONERS 770YP36808 DONAHUE CHONG-AE APRN ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 FAMILY NURSE PRACTITIONERS 770YP36808 DONAHUE CHONG-AE APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4500 FAMILY NURSE PRACTITIONERS 770YP25431 DONAHUE CORA C APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 770YP25431 DONAHUE CORA C APRN LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY NURSE PRACTITIONERS 770YP02556 DONOVAN KATHLEEN B APRN COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY NURSE PRACTITIONERS

Page 12 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP05233 DONOVAN KEVIN M DO FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY MEDICINE 770YP05233 DONOVAN KEVIN M DO FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP26824 DOPP KATRINA M APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 ADULT NURSE PRACTITIONERS 770YP20275 DOUCET CHRISTEN M MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP34321 DOUGHERTY ROSEMARY H APRN HARBOR HOMES INC NASHUA NH 03060 (603) 821-7788 FAMILY NURSE PRACTITIONERS 770YP07717 DOW ROBERT R DO ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY MEDICINE 770YP24875 DOWNS ELIZABETH A APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE NURSE PRACTITIONER 770YP24875 DOWNS ELIZABETH A APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-8981 INTERNAL MEDICINE NURSE PRACTITIONER 77004528YP DOWNS RIMA E DO ST JOSEPH HOSPITAL HUDSON NH 03051 (603) 882-6700 FAMILY MEDICINE 770YP05032 DOYLE LISA B MD ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY MEDICINE 770YP20017 DREBITKO CLARE N MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 PEDIATRICS 770YP20017 DREBITKO CLARE N MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 PEDIATRICS 770YP32995 DREFFER DOUGLAS R MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP22760 DRESSEL JENNIFER L MD FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY MEDICINE 770YP26521 DRESSEL BRIAN C MD FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY MEDICINE 770YP20202 DUBE CHRISTINE A APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 FAMILY NURSE PRACTITIONERS 770YP30799 DUBE MONICA APRN LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 FAMILY NURSE PRACTITIONERS 770YP31424 DUBEAU CATHERINE E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP17363 DUCHARME KAREN J APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY NURSE PRACTITIONERS 770YP13337 DUCLOS KATHRYN R APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP22873 DUCLOS SHANNON L APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 FAMILY NURSE PRACTITIONERS 770YP17212 DUFFY JOCELYN C MD STEWARD MEDICAL GROUP INC ANDOVER MA 01810 (978) 269-0017 FAMILY MEDICINE 770YP22746 DUGAN LYNNE G APRN HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-1464 FAMILY NURSE PRACTITIONERS 770YP31611 DUHAIME JON M APRN ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY NURSE PRACTITIONERS 770YP23200 DULAC CAITLIN L APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-6562 ADULT NURSE PRACTITIONERS 770YP23200 DULAC CAITLIN L APRN LRGHEALTHCARE ANDOVER NH 03216 (603) 735-4363 ADULT NURSE PRACTITIONERS 770YP25870 DULAC CAITLIN L APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-6562 ADULT NURSE PRACTITIONERS 770YP14269 DUMAIS JESSICA L APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY NURSE PRACTITIONERS 770YP35834 DUNAHAY JARED D DO ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 PEDIATRICS 770YP26467 DUNCAN TRACY G APRN KEADY FAMILY PRACTICE CHARLESTOWN NH 03603 (603) 826-3434 FAMILY NURSE PRACTITIONERS 770YP26467 DUNCAN TRACY G APRN KEADY FAMILY PRACTICE CLAREMONT NH 03743 (603) 863-7777 FAMILY NURSE PRACTITIONERS 770YP00701 DUNCAN ROBERT A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP35479 DUNETZ DANIELLE L DO FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 PEDIATRICS 770YP34620 DUNN CARYN M APRN WENTWORTH DOUGLASS PHYSICIAN CORP SOUTH BERWICK ME 03908 (207) 384-4949 FAMILY NURSE PRACTITIONERS 770YP23646 DUPLINSKY SARAH A APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-3500 FAMILY NURSE PRACTITIONERS 770YP23646 DUPLINSKY SARAH A APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 383-3005 FAMILY NURSE PRACTITIONERS 77003878YP DUPUIS DENIS P MD BEDFORD INTERNAL MEDICINE, PA BEDFORD NH 03110 (603) 645-6652 INTERNAL MEDICINE 770YP36286 DUQUETTE BONNIE E APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3300 FAMILY NURSE PRACTITIONERS 77005166YP DURAND LYNN A MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7245 FAMILY MEDICINE 77005166YP DURAND LYNN A MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP27102 DUSHAJ AZEM MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-6900 INTERNAL MEDICINE 770YP27102 DUSHAJ AZEM MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-6700 INTERNAL MEDICINE 770YP27102 DUSHAJ AZEM MD VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 INTERNAL MEDICINE 770YP27102 DUSHAJ AZEM MD VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 INTERNAL MEDICINE 770YP27102 DUSHAJ AZEM MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 INTERNAL MEDICINE 770YP20872 DUSTIN AMANDA APRN COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2900 FAMILY NURSE PRACTITIONERS 770YP20872 DUSTIN AMANDA APRN COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 FAMILY NURSE PRACTITIONERS 770YP04199 DUXBURY MELISSA A MD FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 FAMILY MEDICINE

Page 13 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77009764YP DZEN JEREMY A DO FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03063 (603) 577-5780 INTERNAL MEDICINE 770YP10095 EATON RAINA C APRN COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2900 FAMILY NURSE PRACTITIONERS 770YP28389 ECKENBERGER SARAH E APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY NURSE PRACTITIONERS 770YP28389 ECKENBERGER SARAH E APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY NURSE PRACTITIONERS 770YP28389 ECKENBERGER SARAH E APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-2263 FAMILY NURSE PRACTITIONERS 770YP28389 ECKENBERGER SARAH E APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 FAMILY NURSE PRACTITIONERS 770YP28389 ECKENBERGER SARAH E APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 FAMILY NURSE PRACTITIONERS 77008112YP EDWARDS PATRICIA M MD CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 770YP03772 EDWARDS TYLER A MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-7905 FAMILY MEDICINE 770YP07954 EGENOLF CRISTI M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP07954 EGENOLF CRISTI M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP07954 EGENOLF CRISTI M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP07954 EGENOLF CRISTI M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP37056 EHRLICH JAMES M APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY NURSE PRACTITIONERS 770YP31410 EISENBERG ERIC MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE 770YP14601 EISENBERG ELLEN H MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP36422 ELETRIBY RANA MD LAHEY CLINIC INC BURLINGTON MA 01803 (781) 744-7000 INTERNAL MEDICINE 77005371YP ELGERT STEPHEN D MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY MEDICINE 770YP29149 ELGUERO BRIDGETTE M APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 FAMILY NURSE PRACTITIONERS 770YP34304 ELIEZER CAREN B DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 INTERNAL MEDICINE 770YP33651 ELLIOTT KATHY A APRN PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 ADULT NURSE PRACTITIONERS 770YP02713 ELLIS JAMIE L APRN ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 695-2572 FAMILY NURSE PRACTITIONERS 770YP02806 EMERY ROSS F MD SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 PEDIATRICS 770YP03155 EMMICK GUS G MD ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 INTERNAL MEDICINE 770Y003984 EMMICK JASON G MD ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 INTERNAL MEDICINE 770YP03984 EMMICK JASON G MD ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 INTERNAL MEDICINE 770YP31341 ENGLAND LYNNE E APRN FOUNDATION MEDICAL PARTNERS INC PELHAM NH 03076 (603) 635-5400 FAMILY NURSE PRACTITIONERS 77002882YP ENTWISLE BEVERLY J MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 INTERNAL MEDICINE 770YP34369 ERICKSON EMILY MD YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 77005106YP ERISMAN SUSAN P MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 INTERNAL MEDICINE 770YP00618 ERLER ANITA A MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP14809 ERLER DANIEL F MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7100 INTERNAL MEDICINE 770YP12629 ESPINOSA ANA J MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 PEDIATRICS 770YP12629 ESPINOSA ANA J MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 PEDIATRICS 770YP21290 EVANS BARBARA APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8665 FAMILY NURSE PRACTITIONERS 770YP11977 EVANS CAROLINE C APRN LITTLE RIVERS HEALTH CARE INC EAST CORINTH VT 05040 (802) 439-5321 FAMILY NURSE PRACTITIONERS 77000064YP EVANS THOMAS O MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8865 FAMILY MEDICINE 770YP26819 EVERETT CARYN E APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 FAMILY NURSE PRACTITIONERS 770YP12808 FADER KIMBERLY P APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY NURSE PRACTITIONERS 77007149YP FAGAN DAVID S MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 INTERNAL MEDICINE 770YP31459 FAHEY MARY L APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 ADULT NURSE PRACTITIONERS 770YP24803 FALICON ELIZABETH A APRN LIFE LONG CARE OF NEW LONDON PLLC NEW LONDON NH 03257 (603) 526-4144 FAMILY NURSE PRACTITIONERS 770YP27731 FANBURG SUSAN J MD FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 PEDIATRICS 770YP34489 FARHA DURATHUN MD STEWARD MEDICAL GROUP INC LAWRENCE MA 01841 (978) 989-9811 INTERNAL MEDICINE 770YP35944 FARRA RAPHAEL MD RAPHAEL FARRA MD MANCHESTER NH 03104 (603) 645-6566 INTERNAL MEDICINE 77009351YP FARRELL SUSAN A APRN UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRIC NURSE PRACTITIONERS 770YP16862 FARRELL COURTNEY R MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 INTERNAL MEDICINE 770YP17541 FARZAN DAVID MD MERRIMACK MEDICAL & WALK IN CENTER, LLC LAWRENCE MA 01841 (978) 688-3100 FAMILY MEDICINE

Page 14 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77007593YP FAULKNER NATHAN W MD CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 770YP14735 FAUST III ROBERT R MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP15495 FAUTEUX JESSICA APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRIC NURSE PRACTITIONERS 77002282YP FELDMANN WILLIAM B MD AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 INTERNAL MEDICINE 77003860YP FELGATE RODNEY MD RODNEY A FELGATE MD LINCOLN NH 03251 (603) 745-8136 FAMILY MEDICINE 770YP03576 FENG MONA P MD GREAT BAY PEDIATRICS NEWMARKET NH 03857 (603) 659-1600 PEDIATRICS 770YP27243 FENTON RANDALL MD MEDICAL CARE OF BOSTON MANAGEMENT CORP SALEM NH 03079 (603) 870-5452 FAMILY MEDICINE 770YP18369 FERGUSON SHARON E DO DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP13749 FERLAN MARK R DO ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 624-4380 INTERNAL MEDICINE 770YP35528 FERNANDEZ KIEMELE MARISSA C MD CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 FAMILY MEDICINE 770YP13423 FERRARA LORYN E ARNP MERRIMACK VALLEY MEDICAL ASSOCIATES PC METHUEN MA 01844 (978) 725-4822 ADULT NURSE PRACTITIONERS 770YP04201 FERRERI CHRISTINA L APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 FAMILY NURSE PRACTITIONERS 770YP30794 FERRIS DAVID V DO AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY MEDICINE 770YP30526 FERRIS LIZA H APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY NURSE PRACTITIONERS 77007963YP FERRUCCI FERNANDO T MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 PEDIATRICS 770YP03471 FEYRER SHEILA L MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 PEDIATRICS 770YP34112 FICHERA PHILLIP P MD DARTMOUTH HITCHCOCK CLINIC HUDSON NH 03051 (603) 577-3410 FAMILY MEDICINE 770YP31346 FIELDS BETTY J APRN WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 INTERNAL MEDICINE NURSE PRACTITIONER 770YP36071 FIESEHER JAMES G MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP30509 FIGUEREO ATHENA J APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 314-4700 FAMILY NURSE PRACTITIONERS 770YP10288 FINAN TAMAR M MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 77006430YP FINE SHARON D MD NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 FAMILY MEDICINE 770YP33975 FINOCCHIARO DARCI MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 INTERNAL MEDICINE 770YP33159 FISCHER MICHAEL A MD PARTNERS COMMUNITY PHYS ORGANIZATION INC ANDOVER MA 01810 (978) 783-5000 PEDIATRICS 770YP11619 FISCHLER NICOLE V APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY NURSE PRACTITIONERS 770YP25121 FISHBEIN JENNIFER MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 314-4700 INTERNAL MEDICINE 770YP25121 FISHBEIN JENNIFER MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 663-5310 INTERNAL MEDICINE 77002451YP FITZGERALD THOMAS M MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRICS 770YP31031 FITZGERALD JAMES F MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP31031 FITZGERALD JAMES F MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP33667 FITZGERALD CHRISTINE T MD FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 PEDIATRICS 770YP34798 FITZGERALD ANDREA L APRN CONCORD HOSPITAL INC HOPKINTON NH 03229 (603) 228-7575 FAMILY NURSE PRACTITIONERS 770YP33026 FITZGERALD MARGARET R APRN INDIAN STREAM HEALTH CENTER INC COLEBROOK NH 03576 (603) 237-8336 FAMILY NURSE PRACTITIONERS 770YP34362 FITZGIBBONS LISA M MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3230 PEDIATRICS 77002448YP FLEET STEPHEN J MD HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7588 INTERNAL MEDICINE 770YP35996 FLORANCE EMILIJA O MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP23300 FOGG CATHERINE APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE NURSE PRACTITIONER 770YP13473 FOLAN UNA M APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY NURSE PRACTITIONERS 770YP29979 FOLEY CARISSA C APRN AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 FAMILY NURSE PRACTITIONERS 770YP23201 FOLEY BRENDA M MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8880 PEDIATRICS 77009084YP FOOTE NANCY R APRN UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRIC NURSE PRACTITIONERS 77002708YP FORD JOHN E MD WEEKS MEDICAL CENTER WHITEFIELD NH 03598 (603) 837-9005 FAMILY MEDICINE 770YP19689 FORREST EILEEN C MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 77009354YP FORTIN CELINE M APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 889-3667 FAMILY NURSE PRACTITIONERS 770YP18561 FOSTER-ROBINSON JONI APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-1166 FAMILY NURSE PRACTITIONERS 770YP35671 FOTHERGILL JOHN J MD NORTH COUNTRY MEDICAL AND WELLNESS LLC COLEBROOK NH 03576 (603) 331-0500 INTERNAL MEDICINE 77007847YP FOULK REBECCA A MD SOUTH ROYALTON HEALTH CENTER SOUTH ROYALTON VT 05068 (802) 763-7575 PEDIATRICS 77005352YP FOWLER MILTON G MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-2428 INTERNAL MEDICINE

Page 15 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP16427 FOWLER KENNETH P MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 INTERNAL MEDICINE 770YP18525 FOX LAURA J MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 770YP18525 FOX LAURA J MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 77006126YP FOX KATHARINE T MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 226-3400 FAMILY MEDICINE 770YP18254 FOX PATRICK T MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 226-3400 FAMILY MEDICINE 77006034YP FOX ROGER C MD MOUNTAIN VALLEY HEALTH COUNCIL INC LONDONDERRY VT 05148 (802) 824-6901 INTERNAL MEDICINE 770YP14650 FRAGA POLLY D MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP30312 FRANCHI-WINTERS RACHEL K DO MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY MEDICINE 770YP30312 FRANCHI-WINTERS RACHEL K DO MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 FAMILY MEDICINE 770YP30312 FRANCHI-WINTERS RACHEL K DO MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 668-6629 FAMILY MEDICINE 770YP30312 FRANCHI-WINTERS RACHEL K DO MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03103 (603) 626-9500 FAMILY MEDICINE 770YP33154 FRANCIS ASHLEY M APRN SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-3700 PEDIATRIC NURSE PRACTITIONERS 770YP22817 FRANCIS PATRICK A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP05318 FRANK WILLIAM F MD WILLIAM F FRANK MD SANFORD ME 04073 (207) 324-3226 FAMILY MEDICINE 77004343YP FRECHETTE RICHARD P MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 FAMILY MEDICINE 770YP23335 FREEMAN JR EARL R DO SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY MEDICINE 770YP22453 FRENKIEWICH BRIAN J DO NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 FAMILY MEDICINE 77002584YP FRIEDEN ROGER S MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8300 PEDIATRICS 77008514YP FRIEDRICHS PAUL E MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 77008514YP FRIEDRICHS PAUL E MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 77008514YP FRIEDRICHS PAUL E MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 77008947YP FRIEND PAUL K MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY MEDICINE 77008947YP FRIEND PAUL K MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-2060 FAMILY MEDICINE 77008947YP FRIEND PAUL K MD LRGHEALTHCARE GILFORD NH 03249 (603) 524-5816 FAMILY MEDICINE 770YP19260 FRITZ DOUGLAS S MD LAHEY CLINIC INC PEABODY MA 01960 (781) 213-4040 INTERNAL MEDICINE 77001699YP FRUMKIN MITCHELL MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 77000782YP FRY LAURA R MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY MEDICINE 77000782YP FRY LAURA R MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03103 (603) 626-9500 FAMILY MEDICINE 77000782YP FRY LAURA R MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 668-6629 FAMILY MEDICINE 770YP29105 FRY LAURA R MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 FAMILY MEDICINE 770YP31447 FRYDMAN EMILY S MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 770YP31288 FRYDRYK ABIGAIL J APRN STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-3023 FAMILY NURSE PRACTITIONERS 770YP31288 FRYDRYK ABIGAIL J APRN STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 FAMILY NURSE PRACTITIONERS 770YP36276 FUCCI AMANDA J APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY NURSE PRACTITIONERS 770YP24969 FULHAM SARAH MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 77005934YP FULLER-WIESNER DEIRDRE A APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7245 FAMILY NURSE PRACTITIONERS 770YP34573 FUNAIOLI-SHEEHAN JENNIFER DO BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-0341 FAMILY MEDICINE 770YP23487 FURBER KATHERINE K APRN WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY NURSE PRACTITIONERS 770YP23487 FURBER KATHERINE K APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY NURSE PRACTITIONERS 770YP23487 FURBER KATHERINE K APRN WENTWORTH DOUGLASS PHYSICIAN CORP DURHAM NH 03824 (603) 868-5080 FAMILY NURSE PRACTITIONERS 770YP33927 FURBER KATHERINE K APRN WENTWORTH DOUGLASS PHYSICIAN CORP SOUTH BERWICK ME 03908 (207) 384-4949 FAMILY NURSE PRACTITIONERS 770YP18432 FURLAN JULIE E DO HUGGINS HOSPITAL MOULTONBORO NH 03254 (603) 476-2216 FAMILY MEDICINE 770YP13606 FURLONG JOANN ARNP PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 FAMILY NURSE PRACTITIONERS 770YP35963 GABAI IVY J APRN HARBOR HOMES INC NASHUA NH 03060 (603) 821-7788 FAMILY NURSE PRACTITIONERS 770YP27792 GABAREE WARREN J APRN HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-1464 FAMILY NURSE PRACTITIONERS 770YP29552 GADON MARGARET E MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP27228 GADOWSKI AMY S MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 770YP35234 GAGNON DAVID R MD GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY MEDICINE

Page 16 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77009980YP GAGNON MARY A APRN WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY NURSE PRACTITIONERS 770YP26376 GALANES SARI K MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 INTERNAL MEDICINE 770YP23652 GALASSO ANDREA J DO ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 434-1919 INTERNAL MEDICINE 770YP23651 GALBRAITH DAVID W MD GALBRAITH FAMILY MEDICINE LLC LIMERICK ME 04048 (207) 793-9586 FAMILY MEDICINE 770YP23649 GALBRAITH KATHRYN L MD GALBRAITH FAMILY MEDICINE LLC LIMERICK ME 04048 (207) 793-9586 FAMILY MEDICINE 770YP02639 GALIZIO STEPHEN J MD STEPHEN J GALIZIO MD PC NORTH ANDOVER MA 01845 (978) 681-4700 INTERNAL MEDICINE 770YP02555 GALLAGHER MAUREEN A MD APPLEDORE MEDICAL GROUP INC HAMPTON NH 03842 (603) 929-2137 INTERNAL MEDICINE 770YP34367 GAMELIN KRISTINE R APRN ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 FAMILY NURSE PRACTITIONERS 770YP04238 GANEM DEBORAH J MD FOUNDATION MEDICAL PARTNERS INC MILFORD NH 03055 (603) 672-7600 INTERNAL MEDICINE 770YP10309 GANZ KAREN A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP30407 GARABEDIAN TORKOM A MD COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 INTERNAL MEDICINE 770YP14966 GARCIA MARGRET J MD WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY MEDICINE 770YP11080 GARLIN DEBRA L DO FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 FAMILY MEDICINE 770YP36126 GAUDETTE BOWLEY JACLYN R APRN CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY NURSE PRACTITIONERS 77000365YP GAUTHIER MICHAEL N MD YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 77002374YP GEAGAN KATHLEEN A MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7337 PEDIATRICS 770YP07636 GEFFKEN DOMINIC F MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP36026 GELLER ALLISON APRN ALLISON GELLER APRN KITTERY ME 03904 (603) 562-5578 FAMILY NURSE PRACTITIONERS 770YP03986 GELLER ALEXANDER L MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE 770YP03986 GELLER ALEXANDER L MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 INTERNAL MEDICINE 770YP03986 GELLER ALEXANDER L MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE 77005822YP GENDLERMAN MICHAEL MD MICHAEL GENDLERMAN MD LAWRENCE MA 01843 (978) 682-0930 INTERNAL MEDICINE 77000413YP GENDLERMAN JOSEF I MD JOSEF I GENDLERMAN MD LAWRENCE MA 01843 (978) 682-0930 INTERNAL MEDICINE 77009790YP GENEREAUX STEPHEN H MD LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 757-2325 FAMILY MEDICINE 770YP20897 GEORGE MARION A MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 663-8200 INTERNAL MEDICINE 770YP17588 GEORGE ARGILLA R MD YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 770YP08448 GERCHMAN ERIC M MD BRIDGTON HOSPITAL FRYEBURG ME 04037 (207) 935-3383 FAMILY MEDICINE 770YP22158 GERRISH ASHLEY APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 ADULT NURSE PRACTITIONERS 770YP20691 GESSNER WILLIAM J MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 770YP16470 GEURTS MAURICE MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 770YP29312 GHASSIBI BOUTROS M MD MEDICAL CARE OF BOSTON MANAGEMENT CORP NORTH ANDOVER MA 01845 (978) 687-7235 FAMILY MEDICINE 770YP33987 GHIMIRE LAXMI V MD LRGHEALTHCARE BELMONT NH 03220 (603) 528-0995 PEDIATRICS 770YP33987 GHIMIRE LAXMI V MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 PEDIATRICS 770YP25458 GIFFORD LAUREN J APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP36291 GIFFORD LAUREN J APRN WRIGHT & ASSOC FAM HLTHCARE AT CONCORD PLLC CONCORD NH 03301 (603) 369-4530 FAMILY NURSE PRACTITIONERS 770YP10261 GIFFORD KIMBERLY A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP28025 GILBERT RYAN T APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 770YP28025 GILBERT RYAN T APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 77004780YP GILROY III JAMES H MD YORK HOSPITAL MOODY ME 04054 (207) 646-8386 INTERNAL MEDICINE 77004780YP GILROY III JAMES H MD YORK HOSPITAL YORK ME 03909 (207) 351-3530 INTERNAL MEDICINE 770YP24851 GIORGETTI MICHAEL A MD MERRIMACK MEDICAL & WALK IN S LAWRENCE MA 01841 (978) 688-3100 FAMILY MEDICINE 77004516YP GITLIN JOAN I MD JOAN I GITLIN MD NORTH ANDOVER MA 01845 (978) 683-7770 PEDIATRICS 770YP30072 GITTLEMAN COREY W MD ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY MEDICINE 770YP30072 GITTLEMAN COREY W MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP30699 GLAZER DEBORAH A MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP34492 GLENNEY AARON MD LAHEY CLINIC INC AMESBURY MA 01913 (978) 388-5050 FAMILY MEDICINE 77006129YP GLIDDEN JANE L MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 891-0083 PEDIATRICS 770YP25115 GLOVER SARAH T DO DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE

Page 17 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77006976YP GLOWA PATRICIA T MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP35835 GODIN JUSTIN J APRN DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2500 FAMILY NURSE PRACTITIONERS 770YP33150 GOFF KATHY O MD PELHAM HEALTHCARE ASSOCIATES PLLC PELHAM NH 03076 (603) 635-2802 FAMILY MEDICINE 77002936YP GOGJIAN MICHAEL A MD MICHAEL A GOGJIAN MD NORTH ANDOVER MA 01845 (978) 689-9488 INTERNAL MEDICINE 770YP03636 GOLDBERG CRAIG DO CRAIG GOLDBERG DO BRATTLEBORO VT 05301 (802) 254-4545 FAMILY MEDICINE 770YP03192 GOLDBERG MATTHEW J DO WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY MEDICINE 770YP03192 GOLDBERG MATTHEW J DO WENTWORTH DOUGLASS PHYSICIAN CORP NEWMARKET NH 03857 (603) 659-0901 FAMILY MEDICINE 770YP03808 GOLDMAN SAMUEL J DO ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 INTERNAL MEDICINE 770YP14268 GOLDMAN KLINGLER ANGELA P MD CONCORD HOSPITAL INC WARNER NH 03278 (603) 456-6106 FAMILY MEDICINE 770YP31720 GOLOSARSKY BORIS MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 578-7400 INTERNAL MEDICINE 770YP31017 GOLZARI HOUTAN MD SEACOAST MEDICAL ASSOC NEWBURYPORT MA 01950 (978) 462-1555 INTERNAL MEDICINE 770YP02541 GOODMAN ERIC APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRIC NURSE PRACTITIONERS 770YP00640 GORDON FREDRIC D MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP15325 GORDON NICOLE M APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 GERIATRIC NURSE PRACTITIONERS 77006180YP GORELIK BRONIE MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 PEDIATRICS 77006180YP GORELIK BRONIE MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 PEDIATRICS 77007811YP GORN JOEL A MD LAWRENCE FAMILY DOCTORS LLC LAWRENCE MA 01840 (978) 688-1919 FAMILY MEDICINE 770YP32344 GORODETSKY JEFFREY S MD STEWARD MEDICAL GROUP INC ANDOVER MA 01810 (978) 269-0030 FAMILY MEDICINE 770YP18895 GOSSELIN SUSAN R APRN ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 FAMILY NURSE PRACTITIONERS 770YP26181 GOTTFREDSEN LEA A DO FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-8981 INTERNAL MEDICINE 770YP26181 GOTTFREDSEN LEA A DO FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE 770YP22536 GOUBERT ANA M MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 770YP16010 GOULD KRISTA I FNP WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY NURSE PRACTITIONERS 770YP29974 GOULD LURIE CAROL APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY NURSE PRACTITIONERS 770YP25112 GOYETTE KATHERINE APRN WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JCT VT 05001 (802) 295-6132 FAMILY NURSE PRACTITIONERS 770YP25722 GRANAHAN EILEEN MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP31953 GRAY GABRIELLE APRN SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-3700 FAMILY NURSE PRACTITIONERS 770YP15413 GRAY STEFANIE R APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY NURSE PRACTITIONERS 770YP00642 GRAY JR ANTHONY W MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP00642 GRAY JR ANTHONY W MD LAHEY CLINIC INC WINCHESTER MA 01890 (781) 756-2260 INTERNAL MEDICINE 770YP00642 GRAY JR ANTHONY W MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 922-3000 INTERNAL MEDICINE 770YP00642 GRAY JR ANTHONY W MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4654 INTERNAL MEDICINE 77004824YP GRAZIANO MARK F MD YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP34903 GREEN ALISON L MD YORK HOSPITAL SANFORD ME 04073 (207) 608-8425 FAMILY MEDICINE 770YP29466 GREEN STEPHANIE L APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY NURSE PRACTITIONERS 770YP36167 GREENFELD ANDREA H MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 INTERNAL MEDICINE 770YP36197 GREENFIELD ALISE M APRN NATURAE LLC PORTSMOUTH NH 03801 (603) 610-8882 FAMILY NURSE PRACTITIONERS 770YP17971 GREER LAURA M MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 PEDIATRICS 770YP02804 GRIFFIN CHARLES D APRN LRGHEALTHCARE BELMONT NH 03220 (603) 528-0990 FAMILY NURSE PRACTITIONERS 770YP02804 GRIFFIN CHARLES D APRN LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 FAMILY NURSE PRACTITIONERS 770YP15125 GROFF TRICIA L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 PEDIATRICS 770YP27860 GRUBER LISA K MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 PEDIATRICS 770YP03334 GRUCHOT SHANON H MD LONDONDERRY PEDIATRICS PA LONDONDERRY NH 03053 (603) 437-1003 PEDIATRICS 770YP18509 GRZYSIEWICZ AMY J DO YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP27543 GUERRERO-PAJELA EVE MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 PEDIATRICS 770YP29293 GUIDI MICHAEL DO MEDICAL CARE OF BOSTON MANAGEMENT CORP HAVERHILL MA 01830 (978) 521-2106 FAMILY MEDICINE 770YP35347 GUIDI MICHAEL A DO CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 FAMILY MEDICINE 770YP14941 GUPTA NEERA MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 888-5573 INTERNAL MEDICINE

Page 18 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP03323 GURKA JOSEPH P MD JOSEPH P GURKA MD SALEM NH 03079 (603) 893-8330 INTERNAL MEDICINE 770YP34145 GURUNG SUNAMI APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY NURSE PRACTITIONERS 770YP34145 GURUNG SUNAMI APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 663-5382 FAMILY NURSE PRACTITIONERS 770YP34145 GURUNG SUNAMI APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03103 (603) 626-9500 FAMILY NURSE PRACTITIONERS 770YP34145 GURUNG SUNAMI APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 668-6629 FAMILY NURSE PRACTITIONERS 770YP00647 GUTIERREZ GLENN B MD LAHEY CLINIC INC BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 77004689YP HACKER PETER S MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-5315 INTERNAL MEDICINE 770YP19831 HAFFNER ARTHUR B MD FAMILY HEALTH MATTERS OF SALEM SALEM NH 03079 (603) 386-0100 FAMILY MEDICINE 77005871YP HAGAN EVELYN D APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WHITEFIELD NH 03598 (603) 837-2333 FAMILY NURSE PRACTITIONERS 770YP33731 HAHN VANESSA L APRN LRGHEALTHCARE LACONIA NH 03246 (603) 527-2969 FAMILY NURSE PRACTITIONERS 770YP10542 HAJDUK MATTHEW J MD ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 685-0150 PEDIATRICS 770YP35062 HALE DAN C MD COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 683-4000 PEDIATRICS 77004728YP HALEY JOHN J MD MONADNOCK COMMUNITY HOSPITAL NEW IPSWICH NH 03071 (603) 878-1092 FAMILY MEDICINE 770YP10091 HALL ALDEN W MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE 77006059YP HALL ELIOT R MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 PEDIATRICS 770YP27914 HALL JOHN B APRN WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY NURSE PRACTITIONERS 770YP27914 HALL JOHN B APRN WENTWORTH DOUGLASS PHYSICIAN CORP NEWMARKET NH 03857 (603) 659-0901 FAMILY NURSE PRACTITIONERS 770YP34064 HALLQUIST ROBIN A MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WHITEFIELD NH 03598 (603) 837-2333 FAMILY MEDICINE 770YP19827 HALSTED ARLENE APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 ADULT NURSE PRACTITIONERS 77007205YP HAMILTON MARK C MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-2526 INTERNAL MEDICINE 770YP22170 HAMILTON RACHEL R DO THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5461 FAMILY MEDICINE 770YP33826 HAN ANPING MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY MEDICINE 77008450YP HAND CHRISTINE M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77008450YP HAND CHRISTINE M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77008450YP HAND CHRISTINE M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 77008450YP HAND CHRISTINE M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP25281 HANDA ASHIMA MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3080 INTERNAL MEDICINE 770YP28765 HANLON TERRANCE G MD CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 INTERNAL MEDICINE 770YP03945 HANRAHAN MELISSA B MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY MEDICINE 770YP35115 HANRAHAN JENIFER H APRN DARTMOUTH HITCHCOCK CLINIC WINCHESTER NH 03470 (603) 239-6351 INTERNAL MEDICINE NURSE PRACTITIONER 770YP02739 HANSEN DEBORAH R MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRICS 770YP29473 HARALABATOS ANTHONY G APRN EVERCARE MEDICAL ASSOCIATES SALEM NH 03079 (603) 685-4609 FAMILY NURSE PRACTITIONERS 770YP34962 HARKER PHENTON T MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY MEDICINE 770YP24692 HARLOW CHRISTINA R APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY NURSE PRACTITIONERS 770YP02093 HARRIGAN DEBORAH A MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 FAMILY MEDICINE 770YP02093 HARRIGAN DEBORAH A MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP07842 HARRIS STEVEN J MD STEVEN J HARRIS MD PC NORTH ANDOVER MA 01845 (978) 685-9600 PEDIATRICS 770YP31452 HARRIS JONATHAN J APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 FAMILY NURSE PRACTITIONERS 770YP27671 HARRIS JR JAMES M APRN DIABETES AND LIFESTYLE MANAGEMENT LLC LONDONDERRY NH 03053 (603) 552-3309 FAMILY NURSE PRACTITIONERS 770YP27671 HARRIS JR JAMES M APRN DIABETES AND LIFESTYLE MANAGEMENT LLC SALEM NH 03079 (603) 552-3309 FAMILY NURSE PRACTITIONERS 770YP23244 HARRISON ELIZABETH I APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP23244 HARRISON ELIZABETH I APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP23244 HARRISON ELIZABETH I APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP23244 HARRISON ELIZABETH I APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP23244 HARRISON ELIZABETH I APRN GREATER SEACOAST COMMUNITY HEALTH SEABROOK NH 03874 (603) 766-2626 FAMILY NURSE PRACTITIONERS 770YP28044 HASAN IMRAN S MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP33005 HASSAN GHINWA MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 623-3343 FAMILY MEDICINE 77005695YP HASSETT WILLIAM E MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY MEDICINE

Page 19 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP27826 HASSETT WILLIAM E MD WENTWORTH DOUGLASS PHYSICIAN CORP ELIOT ME 03903 (207) 451-9600 FAMILY MEDICINE 770YP30693 HASTINGS KRISTEN A MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP36600 HATCH BARBARA J APRN COTTAGE HOSPITAL WOODSVILLE NH 03785 (603) 747-2900 FAMILY NURSE PRACTITIONERS 770YP33482 HATTAN MARY K MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP31015 HATTON KRISTEN E APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY NURSE PRACTITIONERS 770YP32010 HAYES JOANNE B APRN ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY NURSE PRACTITIONERS 77004781YP HEATH HARLEY W MD HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7620 PEDIATRICS 770YP25735 HECK TINA K APRN NORTHERN COUNTIES HEALTH CARE INC ISLAND POND VT 05846 (802) 723-4300 FAMILY NURSE PRACTITIONERS 770YP32194 HEDBERG VIKING A MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 PEDIATRICS 770YP30665 HEDBERG KATHLEEN APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY NURSE PRACTITIONERS 77009637YP HEIT ROCHELLE J MD RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRICS 770YP05493 HENEGAN MARIKA L MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP21471 HENSLEY JENNIFER C MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 770YP25816 HEPLER AMANDA J MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY MEDICINE 770YP31161 HERFORT OLIVER P MD NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 INTERNAL MEDICINE 770YP31161 HERFORT OLIVER P MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 770YP29972 HERNANDEZ AVILES ANA SILVIA D MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 PEDIATRICS 770YP29972 HERNANDEZ AVILES ANA SILVIA D MD LRGHEALTHCARE BELMONT NH 03220 (603) 528-0995 PEDIATRICS 770YP03214 HERNDON M BROOKE MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 INTERNAL MEDICINE 770YP22165 HERTFORD JO ANN F MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP36945 HESSELSON LEILA MD CONCORD HOSPITAL INC EPSOM NH 03234 (603) 736-6200 FAMILY MEDICINE 770YP22003 HEVERN GERARD J MD ELLIOT PHYSICIANS NETWORK ALLENSTOWN NH 03275 (603) 485-7861 FAMILY MEDICINE 770YP11842 HEWITT KAREN B APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE NURSE PRACTITIONER 770YP23212 HILES JR CHARLES H MD HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7588 INTERNAL MEDICINE 770YP23212 HILES JR CHARLES H MD HUGGINS HOSPITAL OSSIPEE NH 03864 (603) 539-6996 INTERNAL MEDICINE 770YP32875 HILTON STEVEN DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP14630 HINDLE LINDA M DO GEORGETOWN FAMILY MEDICINE LLC BOXFORD MA 01921 (978) 887-0222 FAMILY MEDICINE 770YP05469 HINTERMEISTER CHARLES W DO NORTH BERWICK FAMILY MEDICINE NORTH BERWICK ME 03906 (207) 676-8559 FAMILY MEDICINE 770YP08796 HIRSCHFELD CHARISSE N APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY NURSE PRACTITIONERS 77009253YP HODGES KEVIN F MD COASTAL PEDIATRICS PORTSMOUTH NH 03801 (603) 431-7393 PEDIATRICS 770YP35542 HOERMAN WALTER A MD GREATER SEACOAST COMMUNITY HEALTH ROCHESTER NH 03867 (603) 335-4522 PEDIATRICS 770YP02391 HOLLISTER JOHN R MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 770YP21732 HOLLORAN CYNTHIA L APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY NURSE PRACTITIONERS 770YP12541 HOLT DONNA E APRN ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 894-0063 FAMILY NURSE PRACTITIONERS 77006285YP HOLT JUDITH A APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6030 PEDIATRIC NURSE PRACTITIONERS 770YP28349 HOLUB SMITH CATHERINE F APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRIC NURSE PRACTITIONERS 770YP16950 HOLZINGER JENNIFER M DO ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY MEDICINE 77009285YP HOMAN FAY F MD LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 757-2325 FAMILY MEDICINE 770YP05413 HONG THOMAS MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 770YP05413 HONG THOMAS MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP34066 HONG HYUNOUK DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP34079 HOOVER KAREN L MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 77009186YP HORDIS CAROL R APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 889-3667 ADULT NURSE PRACTITIONERS 770YP19840 HORNIG PATRICK R APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 FAMILY NURSE PRACTITIONERS 770YP13653 HORT SHOSHANA J MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 77008725YP HOUSTON KERRY E MD LONDONDERRY PEDIATRICS PA LONDONDERRY NH 03053 (603) 437-1003 PEDIATRICS 77007565YP HOUSTON BIRGIT R MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4400 FAMILY MEDICINE 770YP33199 HOWARD RUSSELL APRN HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-1464 FAMILY NURSE PRACTITIONERS

Page 20 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP33199 HOWARD RUSSELL APRN HEALTH FIRST FAMILY CARE CENTER LACONIA NH 03246 (603) 366-1070 FAMILY NURSE PRACTITIONERS 770YP13477 HOWE ROBERT J DO CORE PHYSICIANS LLC STRATHAM NH 03885 (603) 778-1620 FAMILY MEDICINE 770YP13477 HOWE ROBERT J DO CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 FAMILY MEDICINE 770YP22191 HOWES CYNTHIA L APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8626 PEDIATRIC NURSE PRACTITIONERS 770YP28006 HOYTE SANDRA M MD SPRINGFIELD MEDICAL CARE SYSTEMS INC LONDONDERRY VT 05148 (802) 824-6904 INTERNAL MEDICINE 770YP22937 HUANG LI LI MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 INTERNAL MEDICINE 770YP30366 HUDSON LAURA E APRN MY FRIENDS GYNECOLOGIST LLC DOVER NH 03820 (603) 516-0000 FAMILY NURSE PRACTITIONERS 770YP35863 HUDSON LAURA E APRN COMPASS FAMILY HEALTH LLC DOVER NH 03820 (603) 749-0001 FAMILY NURSE PRACTITIONERS 770YP29683 HUGGINS ALLISON L APRN CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY NURSE PRACTITIONERS 770YP35876 HUGHES TAYLOR K APRN CATHOLIC MEDICAL CENTER GOFFSTOWN NH 03045 (603) 314-4500 FAMILY NURSE PRACTITIONERS 770YP34806 HULL JESSICA G APRN ELLIOT PHYSICIANS NETWORK AMHERST NH 03031 (603) 249-3000 FAMILY NURSE PRACTITIONERS 770YP17649 HUNT KAREN I MD MERRIMACK MEDICAL & WALK IN CENTER, LLC LAWRENCE MA 01841 (978) 688-3100 FAMILY MEDICINE 77005102YP HUNTER CONVERSE P MD ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 695-2500 PEDIATRICS 770YP23022 HUNTER JILL H APRN ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY NURSE PRACTITIONERS 770YP08197 HURLEY NANCY C MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 77000323YP HURLEY JAMES M MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 770YP03686 HUSARIK NANCY S MD ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 INTERNAL MEDICINE 770YP31252 HUSSAIN KHWAJA A MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 FAMILY MEDICINE 770YP33973 HUSTON LYDIA S APRN LRGHEALTHCARE LACONIA NH 03246 (603) 527-2896 FAMILY NURSE PRACTITIONERS 770YP33973 HUSTON LYDIA S APRN LRGHEALTHCARE LACONIA NH 03246 (603) 527-2946 FAMILY NURSE PRACTITIONERS 770YP31954 HYDE WILMA APRN SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-3700 PEDIATRIC NURSE PRACTITIONERS 77009871YP HYER KIMBERLY A MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 77009871YP HYER KIMBERLY A MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC HAMPTON NH 03842 (603) 929-3838 PEDIATRICS 77000563YP IDELKOPE GEORGE A MD GEORGE IDELKOPE, MD HINSDALE NH 03451 (603) 336-5948 FAMILY MEDICINE 770YP32096 INGRAM WILLIAM C MD HIGHLAND PRIMARY CARE NEWBURYPORT MA 01950 (978) 463-4777 INTERNAL MEDICINE 770YP05480 IOSIF GERMAN MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 INTERNAL MEDICINE 770YP07187 IRWIN BRIAN R DO HUGGINS HOSPITAL TAMWORTH NH 03886 (603) 323-3311 FAMILY MEDICINE 770YP07187 IRWIN BRIAN R DO HUGGINS HOSPITAL OSSIPEE NH 03864 (603) 539-6996 FAMILY MEDICINE 770YP29280 IRZYK JACQUELINE R APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY NURSE PRACTITIONERS 770YP29280 IRZYK JACQUELINE R APRN WENTWORTH DOUGLASS PHYSICIAN CORP PORTSMOUTH NH 03801 (603) 610-8050 FAMILY NURSE PRACTITIONERS 770YP29280 IRZYK JACQUELINE R APRN WENTWORTH DOUGLASS PHYSICIAN CORP BARRINGTON NH 03825 (603) 664-2135 FAMILY NURSE PRACTITIONERS 770YP34363 ITZKOWITZ MARK S MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 GERIATRIC MEDICINE 770YP29251 JABLONKA MARCIO MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 770YP29251 JABLONKA MARCIO MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC BEDFORD NH 03110 (603) 216-0400 INTERNAL MEDICINE 770YP21360 JACKSON WILLIAM G MD WILLIAM G JACKSON MD LLC SALISBURY MA 01952 (978) 462-3009 INTERNAL MEDICINE 770YP21636 JACOBS JESSICA P MD LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-2803 PEDIATRICS 770YP36912 JACQUES REBECCA A APRN DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRIC NURSE PRACTITIONERS 770YP36868 JACQUES JOSEPHINE B APRN FOUNTAINS OF HEALTH LLC NASHUA NH 03060 (603) 943-8923 FAMILY NURSE PRACTITIONERS 770YP29704 JALEEL MOHAMMED A MD TODAY'S WELLNESS PLLC NORTH ANDOVER MA 01845 (978) 687-2273 INTERNAL MEDICINE 770YP20968 JAMES RUTH E MD GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP20968 JAMES RUTH E MD GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP20968 JAMES RUTH E MD GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP20968 JAMES RUTH E MD GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP20968 JAMES RUTH E MD GREATER SEACOAST COMMUNITY HEALTH SEABROOK NH 03874 (603) 766-2626 FAMILY MEDICINE 77004057YP JAMES JEREMY B MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 77004057YP JAMES JEREMY B MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 77004057YP JAMES JEREMY B MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP08552 JAMPANI SUSHAMA MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-5315 INTERNAL MEDICINE

Page 21 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP35366 JANEWAY ELEANOR A MD HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-0177 INTERNAL MEDICINE 770YP29858 JANG SUNG E MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY MEDICINE 770YP28397 JANKOWSKA EWA J MD DARTMOUTH HITCHCOCK CLINIC MERRIMACK NH 03054 (603) 424-4713 FAMILY MEDICINE 77006703YP JARAMILLO MARTHA C MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3300 INTERNAL MEDICINE 770YP26965 JAWOROWSKI KAYE E APRN ELLIOT PHYSICIANS NETWORK ALLENSTOWN NH 03275 (603) 485-7861 FAMILY NURSE PRACTITIONERS 770YP27432 JAYNES SCOTT C MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP20628 JEAN NATHAN T DO YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP28852 JEE SUNG B MD DARTMOUTH HITCHCOCK CLINIC MILFORD NH 03055 (603) 673-2515 FAMILY MEDICINE 770YP20461 JEFFCOAT LYDIA R MD SEACOAST AFFILIATED GROUP PRACTICE NEWBURYPORT MA 01950 (978) 465-0635 INTERNAL MEDICINE 77005236YP JENDZEJEC STEPHEN M DO YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 770YP23043 JENKINS KATHRYN APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 626-4392 FAMILY NURSE PRACTITIONERS 770YP23343 JENNINGS JORGENSON LAURIE A APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY NURSE PRACTITIONERS 770YP33180 JESSOP ELLEN D APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-3500 FAMILY NURSE PRACTITIONERS 770YP31744 JETT LAURA L MD LAHEY CLINIC INC AMESBURY MA 01913 (978) 388-5050 FAMILY MEDICINE 770YP31193 JIMENEZ NILSA M MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE 770YP10147 JOHNS MARTIN C MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 INTERNAL MEDICINE 770YP20433 JOHNSEN GALE A APRN SACOPEE VALLEY HEALTH CENTER PORTER ME 04068 (207) 625-8126 FAMILY NURSE PRACTITIONERS 770YP28352 JOHNSON DAVID S MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE 770YP25028 JOHNSON JESSICA R APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 FAMILY NURSE PRACTITIONERS 770YP36643 JOHNSON REIKO MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 314-4567 FAMILY MEDICINE 770YP18261 JOHNSON RYAN C MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 77005554YP JOHNSON THOMAS F MD N E ALLERGY ASTHMA IMMUN & PRIMARY CARE PC DERRY NH 03038 (603) 432-7558 INTERNAL MEDICINE 77005554YP JOHNSON THOMAS F MD N E ALLERGY ASTHMA IMMUN & PRIMARY CARE PC SALEM NH 03079 (603) 898-1892 INTERNAL MEDICINE 77005554YP JOHNSON THOMAS F MD N E ALLERGY ASTHMA IMMUN & PRIMARY CARE PC NORTH ANDOVER MA 01845 (978) 683-4299 INTERNAL MEDICINE 77005554YP JOHNSON THOMAS F MD N E ALLERGY ASTHMA IMMUN & PRIMARY CARE PC NEWBURYPORT MA 01950 (978) 465-7815 INTERNAL MEDICINE 77004540YP JOHNSON MARY A APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 77004540YP JOHNSON MARY A APRN LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY NURSE PRACTITIONERS 77004540YP JOHNSON MARY A APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 770YP35485 JOHNSTON AUDREY APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY NURSE PRACTITIONERS 770YP18326 JOHNSTON JAMES G MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP18845 JOKONYA CHIEDZA G MD WENTWORTH DOUGLASS PHYSICIAN CORP SOUTH BERWICK ME 03908 (207) 384-4949 FAMILY MEDICINE 770YP26679 JOKONYA CHIEDZA G MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 770YP36250 JONES ALEXANDER M DO ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 626-5113 FAMILY MEDICINE 770YP11990 JONES JENNIFER L MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRICS 77009306YP JONES JENNIFER T DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2600 INTERNAL MEDICINE 770YP21030 JONES PAUL T APRN STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 FAMILY NURSE PRACTITIONERS 77007443YP JONES STEVEN C MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 77007443YP JONES STEVEN C MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 77007319YP JORDAN STEPHEN MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 770YP30632 JORDAN MICHAEL R MD DARTMOUTH HITCHCOCK CLINIC MERRIMACK NH 03054 (603) 424-4713 FAMILY MEDICINE 770YP30090 JOSHI GIRISH C MD PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY MEDICINE 770YP31715 JOYCE MARY K MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 FAMILY MEDICINE 770YP34614 KACHAVOS PETER G MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 469-7100 INTERNAL MEDICINE 770YP36519 KAHANE JOSHUA F MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP17308 KAHN AARON J APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY NURSE PRACTITIONERS 770YP33872 KAITZ STEVEN H MD PEMBROKE WELLNESS CENTER PLLC PEMBROKE NH 03275 (603) 485-7788 FAMILY MEDICINE 770YP20025 KALISH RICHARD L MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP20025 KALISH RICHARD L MD LAHEY CLINIC INC IPSWICH MA 01938 (978) 356-5522 INTERNAL MEDICINE

Page 22 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP31351 KALLMERTEN DANIEL MD LACONIA INTERNAL MEDICINE PLLC LACONIA NH 03246 (603) 524-9201 INTERNAL MEDICINE 770YP32382 KAMINSKI JR JOHN MD CORE PHYSICIANS LLC HAMPTON FALLS NH 03844 (603) 929-1195 FAMILY MEDICINE 770YP00686 KANEF MATTHEW S MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP11992 KANTROWITZ JOSHUA D MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC SAINT JOHNSBURY VT 05819 (802) 748-5131 PEDIATRICS 770YP28398 KAPLOE MICHAEL D DO DARTMOUTH HITCHCOCK CLINIC MILFORD NH 03055 (603) 673-2515 FAMILY MEDICINE 77003069YP KARAGIANNIS EMILIANOS N MD EMILIANOS N KARAGIANNIS MD MANCHESTER NH 03104 (603) 624-8085 INTERNAL MEDICINE 770YP36522 KARALIUS TODD S APRN COTTAGE HOSPITAL WOODSVILLE NH 03785 (603) 747-2900 FAMILY NURSE PRACTITIONERS 770YP32568 KARAVASILIS ANGELA L DO LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 FAMILY MEDICINE 77005888YP KARLSON KRISTINE A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP20941 KARTER ROXANNE APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 ADULT NURSE PRACTITIONERS 770YP10282 KASSCHAU MICHAEL MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP31652 KASSLER WILLIAM MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 INTERNAL MEDICINE 770YP25604 KATZ DOUGLAS M MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8800 INTERNAL MEDICINE 770YP02722 KAUL SHARDA MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 685-7111 INTERNAL MEDICINE 770YP05037 KAUPP CARA D MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 891-0083 PEDIATRICS 770YP04780 KAUPP GREGORY W MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6337 PEDIATRICS 770YP04173 KAZAL LOUIS A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP36302 KAZANOWSKI SARA E APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY NURSE PRACTITIONERS 770YP23825 KAZMOUZ SAFWAN MD MEDICINE AT YOUR DOOR LLC CONCORD NH 03301 (734) 718-0196 FAMILY MEDICINE 77006272YP KEANE ELIZABETH M MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRICS 77006272YP KEANE ELIZABETH M MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03103 (603) 626-9500 PEDIATRICS 77006272YP KEANE ELIZABETH M MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRICS 77006272YP KEANE ELIZABETH M MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 PEDIATRICS 770YP30436 KEARNEY BRITTANY J APRN CATHOLIC MEDICAL CENTER GOFFSTOWN NH 03045 (603) 314-4500 FAMILY NURSE PRACTITIONERS 770YP28120 KEATON KIM M APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE NURSE PRACTITIONER 77006355YP KEEFE HASSETT VIRGINIA MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 INTERNAL MEDICINE 77006355YP KEEFE HASSETT VIRGINIA MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 INTERNAL MEDICINE 770YP07200 KEENAN JOEL W MD YORK PRIMARY CARE YORK ME 03909 (207) 361-4902 INTERNAL MEDICINE 770YP11009 KEENAN TIMOTHY G MD CORE PHYSICIANS LLC STRATHAM NH 03885 (603) 778-1620 FAMILY MEDICINE 770YP11009 KEENAN TIMOTHY G MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP28355 KEGEL PATRICIA B MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 770YP11055 KEHAS DAVID J MD ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY MEDICINE 770YP35636 KELLEY GENEVIEVE M MD WHITE MOUNTAIN FAMILY HEALTHCARE LITTLETON LITTLETON NH 03561 (603) 444-2010 FAMILY MEDICINE 770YP32546 KELLY ROBERT C MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 929-1195 FAMILY MEDICINE 770YP31923 KELSEY FREDERICK MD HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-1464 INTERNAL MEDICINE 770YP16114 KENDALL MARVIN R MD WHITE MOUNTAIN FAMILY HEALTHCARE LITTLETON LITTLETON NH 03561 (603) 444-2010 FAMILY MEDICINE 77005927YP KENISON MARY E APRN WEEKS MEDICAL CENTER GROVETON NH 03582 (603) 788-2521 FAMILY NURSE PRACTITIONERS 770YP33583 KENNEDY MEAGHAN A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP34011 KENNEDY GIANINA F APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC CHARLESTOWN NH 03603 (603) 826-5711 FAMILY NURSE PRACTITIONERS 770YP29062 KENNEDY AMY L APRN WRIGHT & ASSOC FAM HLTHCARE AT CONCORD PLLC CONCORD NH 03301 (603) 369-4530 FAMILY NURSE PRACTITIONERS 770YP36194 KENNEY TARA J APRN GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY NURSE PRACTITIONERS 770YP19832 KENNEY ROSALYN J APRN FAMILY HEALTH MATTERS OF SALEM SALEM NH 03079 (603) 386-0100 FAMILY NURSE PRACTITIONERS 77006944YP KERNAN NICOLA E MD ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY MEDICINE 77007140YP KERNAN DONALD MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 770YP33466 KERSHBAUMER NICHOLAS P APRN ELLIOT PHYSICIANS NETWORK AMHERST NH 03031 (603) 249-3000 FAMILY NURSE PRACTITIONERS 770YP03763 KERSTEN KIMBERLY DO SEACOAST AFFILIATED GROUP PRACTICE NEWBURYPORT MA 01950 (978) 465-7719 INTERNAL MEDICINE 770YP28400 KHAN NADIA MD DARTMOUTH HITCHCOCK CLINIC MILFORD NH 03055 (603) 673-2515 FAMILY MEDICINE 770YP36111 KHERLOPIAN ALEC G MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE

Page 23 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP36111 KHERLOPIAN ALEC G MD LAHEY CLINIC INC PEABODY MA 01960 (781) 744-7000 INTERNAL MEDICINE 77007432YP KIDD LAWRENCE G MD LAWRENCE G KIDD MD PC LAWRENCE MA 01841 (978) 682-3686 INTERNAL MEDICINE 770YP33483 KIDDER GRETCHEN G APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY NURSE PRACTITIONERS 770YP02396 KIEFFER KELLY A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP05263 KILROY JONATHAN D DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP05263 KILROY JONATHAN D DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP05263 KILROY JONATHAN D DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP05263 KILROY JONATHAN D DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP19918 KIM JOOHAHN J MD ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 695-2500 INTERNAL MEDICINE 770YP28963 KINBROOK MICHELLE MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 INTERNAL MEDICINE 770YP33542 KINBROOK MICHELLE MD CATHOLIC MEDICAL CENTER HOOKSETT NH 03106 (603) 314-5980 INTERNAL MEDICINE 770YP10981 KING CYNTHIA G MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 77008595YP KING RAYMOND T MD KING MEDICAL ASSOCIATES NASHUA NH 03060 (603) 595-2300 INTERNAL MEDICINE 770YP14005 KIPROP PETER MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY MEDICINE 770YP14005 KIPROP PETER MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03103 (603) 626-9500 FAMILY MEDICINE 770YP14005 KIPROP PETER MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 FAMILY MEDICINE 770YP14005 KIPROP PETER MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 668-6629 FAMILY MEDICINE 770YP02810 KIRBY KIM G APRN CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY NURSE PRACTITIONERS 77007743YP KIRBY VICTORIA A APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY NURSE PRACTITIONERS 770YP30571 KIRBY ELIZABETH A APRN WENTWORTH DOUGLASS PHYSICIAN CORP NEWMARKET NH 03857 (603) 659-0901 FAMILY NURSE PRACTITIONERS 770YP30571 KIRBY ELIZABETH A APRN WENTWORTH DOUGLASS PHYSICIAN CORP PORTSMOUTH NH 03801 (603) 610-8065 FAMILY NURSE PRACTITIONERS 770YP30571 KIRBY ELIZABETH A APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-2263 FAMILY NURSE PRACTITIONERS 770YP11809 KIRK JOHN MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 77007834YP KIRK STEPHEN M MD SALEM NH PHYSICIANS NETWORK PC SALEM NH 03079 (603) 898-6363 INTERNAL MEDICINE 77007834YP KIRK STEPHEN M MD SALEM NH PHYSICIANS NETWORK PC METHUEN MA 01844 (978) 685-5627 INTERNAL MEDICINE 770YP24983 KLECZKOWSKI ALICIA M APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 668-6489 FAMILY NURSE PRACTITIONERS 770YP08501 KLONEL STEPHEN G DO MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY MEDICINE 770YP08548 KLONEL CARRIE B DO MONADNOCK COMMUNITY HOSPITAL ANTRIM NH 03440 (603) 588-4200 FAMILY MEDICINE 770YP25203 KLOTZBAUGH RALPH J APRN GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 953-0065 FAMILY NURSE PRACTITIONERS 770YP03386 KLUNK L JOHN MD ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 INTERNAL MEDICINE 770YP28750 KNOWLES LAUREN F APRN LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 FAMILY NURSE PRACTITIONERS 770YP23698 KNUUTI ERIN E APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-2911 FAMILY NURSE PRACTITIONERS 770YP03277 KODALI SRILATHA MD PELHAM HEALTHCARE ASSOCIATES PLLC PELHAM NH 03076 (603) 635-2802 INTERNAL MEDICINE 770YP33770 KOESTER BETH L MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP33242 KOKAL KAYLA L APRN KEADY FAMILY PRACTICE CLAREMONT NH 03743 (603) 863-7777 FAMILY NURSE PRACTITIONERS 770YP33242 KOKAL KAYLA L APRN KEADY FAMILY PRACTICE CHARLESTOWN NH 03603 (603) 863-7777 FAMILY NURSE PRACTITIONERS 770YP00406 KOLB JAMES E MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP25110 KOLPA EMILY M MD PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 PEDIATRICS 770YP32191 KOOMSON JUDE H MD MEDICAL CARE OF BOSTON MANAGEMENT CORP SALEM NH 03079 (603) 870-5452 INTERNAL MEDICINE 770YP04165 KOOP JENNIFER MD GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP04165 KOOP JENNIFER MD GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP04165 KOOP JENNIFER MD GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP04165 KOOP JENNIFER MD GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP04165 KOOP JENNIFER MD GREATER SEACOAST COMMUNITY HEALTH SEABROOK NH 03874 (603) 766-2626 FAMILY MEDICINE 770YP12236 KOPP STACEY A MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 77006242YP KORBEY AZAR A MD AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 FAMILY MEDICINE 770YP34539 KORNEGAY-ROUGEAU ROBIN L MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3256 PEDIATRICS 770YP26158 KOSHOWSKI LORI L APRN NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY NURSE PRACTITIONERS

Page 24 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP04164 KOSHY AJAY MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 623-3343 FAMILY MEDICINE 770YP25436 KOUSAIE GEORGE R MD YORK HOSPITAL NORTH BERWICK ME 03906 (207) 676-1280 FAMILY MEDICINE 770YP35239 KOUSAIE GEORGE R MD WENTWORTH DOUGLASS PHYSICIAN CORP PORTSMOUTH NH 03804 (603) 610-8050 FAMILY MEDICINE 770YP35239 KOUSAIE GEORGE R MD WENTWORTH DOUGLASS PHYSICIAN CORP NEWMARKET NH 03857 (603) 659-0901 FAMILY MEDICINE 770YP29186 KOVANKO ALEXANDER P DO MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 FAMILY MEDICINE 770YP29186 KOVANKO ALEXANDER P DO MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY MEDICINE 77004196YP KOWALSKI LOUIS A MD LOUIS A KOWALSKI MD NEW LONDON NH 03257 (603) 526-6929 INTERNAL MEDICINE 770YP12586 KRASNOF REBECCA E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP12586 KRASNOF REBECCA E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP12586 KRASNOF REBECCA E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP12586 KRASNOF REBECCA E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 77008171YP KRAUS DANA C MD NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY MEDICINE 770YP34564 KRECHETOFF IRENE B DO NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 FAMILY MEDICINE 770YP07195 KRIEBEL GREGORY T MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 77009018YP KROLEWSKI SUSAN M MD SUSAN KROLEWSKI MD PLLC PORTSMOUTH NH 03801 (603) 433-4774 FAMILY MEDICINE 770YP00409 KRUTT KENNETH A MD LAHEY CLINIC INC BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP00409 KRUTT KENNETH A MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP03044 KUCHIPUDI ANITHA R MD FOUNDATION MEDICAL PARTNERS INC PELHAM NH 03076 (603) 635-5400 INTERNAL MEDICINE 770YP30523 KUMARI PRARTHANA APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY NURSE PRACTITIONERS 770YP22622 KUMIN MICHAEL C MD WENTWORTH DOUGLASS PHYSICIAN CORP SOUTH BERWICK ME 03908 (207) 384-4949 FAMILY MEDICINE 770YP22622 KUMIN MICHAEL C MD WENTWORTH DOUGLASS PHYSICIAN CORP ELIOT ME 03903 (207) 451-9600 FAMILY MEDICINE 770YP26683 KUMIN MICHAEL C MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 770YP23804 KUMIN JENNIFER L APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7338 FAMILY NURSE PRACTITIONERS 770YP23804 KUMIN JENNIFER L APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY NURSE PRACTITIONERS 770YP23804 KUMIN JENNIFER L APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-2263 FAMILY NURSE PRACTITIONERS 770YP21486 KURISH ADAM MD ATLANTIC INTERNAL MEDICINE & PEDIATRICS INC PORTSMOUTH NH 03801 (603) 373-0096 INTERNAL MEDICINE 77000383YP KVATERNIK DAVOR B MD NEW ENGLAND CARDIOLOGY LLC SALEM NH 03079 (603) 898-7622 INTERNAL MEDICINE 77000383YP KVATERNIK DAVOR B MD NEW ENGLAND CARDIOLOGY LLC LAWRENCE MA 01841 (978) 989-9811 INTERNAL MEDICINE 770YP22641 KYLE DANIEL R MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 770YP16492 LABRECQUE MARY C APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-2428 ADULT NURSE PRACTITIONERS 770YP24554 LACASSE VICTORIA W APRN DARTMOUTH HITCHCOCK CLINIC LYME NH 03768 (603) 650-1070 FAMILY NURSE PRACTITIONERS 77004470YP LAFLEUR RICHARD P MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 77004470YP LAFLEUR RICHARD P MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP28360 LAFORTUNE-GREENBERG TESSA J MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP23364 LAHEY IMELYN F MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WHITEFIELD NH 03598 (603) 837-2333 FAMILY MEDICINE 770YP23364 LAHEY IMELYN F MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY MEDICINE 77003651YP LAKE CHRISTOPHER J MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 GENERAL PRACTICE 77005061YP LALLY TERRI L MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 770YP30160 LAM SARA APRN UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRIC NURSE PRACTITIONERS 770YP23518 LAMB ASHLEY K MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRICS 770YP08141 LAMBERT DANIELLE R APRN CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRIC NURSE PRACTITIONERS 77002369YP LAMMERS KEITH A MD ELLIOT PHYSICIANS NETWORK AMHERST NH 03031 (603) 249-3000 FAMILY MEDICINE 77004855YP LAMPERT RICHARD P MD YORK HOSPITAL YORK ME 03909 (207) 351-1710 PEDIATRICS 77004855YP LAMPERT RICHARD P MD YORK HOSPITAL WELLS ME 04090 (207) 641-6555 PEDIATRICS 770YP23455 LAMPMAN KRISTYNA P APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 668-6489 INTERNAL MEDICINE NURSE PRACTITIONER 770YP17271 LAMSTEIN MARY C APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 770YP30801 LANAGAN TAD P DO CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY MEDICINE 770YP30450 LANAGAN SARAH A APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY NURSE PRACTITIONERS

Page 25 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77000613YP LANCASTER LARRY A APRN ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY NURSE PRACTITIONERS 77007284YP LANDMAN MICHAEL J MD MICHAEL J LANDMAN MD PC LAWRENCE MA 01841 (978) 686-2400 INTERNAL MEDICINE 770YP02407 LANDON CAROL A APRN MERRIMACK VILLAGE FAMILY PRACTICE CTR MERRIMACK NH 03054 (603) 424-8120 FAMILY NURSE PRACTITIONERS 770YP33967 LANDRY TERESE F MD LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC LYNNFIELD MA 01940 (781) 213-4040 FAMILY MEDICINE 77000810YP LANE LEO W DO MERRIMACK VALLEY MEDICAL ASSOCIATES PC METHUEN MA 01844 (978) 725-4822 INTERNAL MEDICINE 770YP14349 LANG KENNETH C MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2900 FAMILY MEDICINE 770YP16139 LANGA BRIDGET A APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 770YP16139 LANGA BRIDGET A APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 770YP28976 LANGE ERWIN MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP13529 LANIER MELANIE E DO CORE PHYSICIANS LLC EXETER NH 03833 (603) 778-2899 INTERNAL MEDICINE 770YP03949 LARACY RICHARD J DO SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 PEDIATRICS 77005531YP LARAMEE RACHEL C MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 770YP02657 LARKIN ROBERT J MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 668-6489 INTERNAL MEDICINE 77004361YP LAROCCA CHRISTOPHER MD DARTMOUTH HITCHCOCK CLINIC WALPOLE NH 03608 (603) 756-3960 FAMILY MEDICINE 770YP26209 LAROCHE JAMIE APRN LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 FAMILY NURSE PRACTITIONERS 77008076YP LAROUCHE MONIQUE M MD CORE PHYSICIANS LLC DURHAM NH 03824 (603) 868-5832 FAMILY MEDICINE 770YP13900 LASPINA RICHARD DO PEDIATRIC PROFESSIONAL ASSOCIATES PC METHUEN MA 01844 (978) 683-1974 PEDIATRICS 770YP35054 LATHAM BRUCE D DO SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-3500 FAMILY MEDICINE 770YP05303 LAU GERALDINE F APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY NURSE PRACTITIONERS 770YP20520 LAUNH JESSICA L APRN FOUNDATION MEDICAL PARTNERS INC AMHERST NH 03031 (603) 673-5885 FAMILY NURSE PRACTITIONERS 770YP14145 LAURENT CHRISTOPHER L APRN WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-2521 ADULT NURSE PRACTITIONERS 770YP14145 LAURENT CHRISTOPHER L APRN WEEKS MEDICAL CENTER WHITEFIELD NH 03598 (603) 837-9005 ADULT NURSE PRACTITIONERS 77003271YP LAUTER M DAVID MD M DAVID LAUTER MD PC PORTSMOUTH NH 03801 (603) 433-7500 FAMILY MEDICINE 770YP33668 LAVALLEE JENNIFER L APRN FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 PEDIATRIC NURSE PRACTITIONERS 770YP33614 LAVARNWAY LISA A APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 622-6491 FAMILY NURSE PRACTITIONERS 770YP05174 LAWRENCE MELANIE A MD NEWBURY HEALTH CLINIC PLLC NEWBURY VT 05051 (802) 866-3010 FAMILY MEDICINE 77009995YP LAWRENCE STEPHEN J MD CONCORD HOSPITAL INC HOPKINTON NH 03229 (603) 228-7575 FAMILY MEDICINE 77003063YP LAWSON PHILIP H MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY MEDICINE 770YP28865 LAZOTT TAMMY R APRN WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-4911 FAMILY NURSE PRACTITIONERS 770YP34400 LEARNER LAWRENCE M MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 PEDIATRICS 770YP35953 LEARSON DEBORAH A MD WENTWORTH DOUGLASS PHYSICIAN CORP NEWMARKET NH 03857 (603) 659-0901 FAMILY MEDICINE 77005179YP LEBLANC STEPHAN R MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 770YP03774 LEBLANC SCOTT A DO CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 668-6489 INTERNAL MEDICINE 770YP03774 LEBLANC SCOTT A DO CATHOLIC MEDICAL CENTER HOOKSETT NH 03106 (603) 314-5980 INTERNAL MEDICINE 770YP36340 LECLERC MICHELLE L APRN DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2500 ADULT NURSE PRACTITIONERS 770YP05495 LEE SHERWOOD B MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3230 PEDIATRICS 770YP13044 LEE CLAUDIA E MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 INTERNAL MEDICINE 770YP08546 LEE KAROLYN F MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY MEDICINE 770YP28383 LEE JANICE R DO STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 FAMILY MEDICINE 770YP29442 LEE JANICE R DO STEWARD MEDICAL GROUP INC SALEM NH 03079 (978) 269-0030 FAMILY MEDICINE 770YP37031 LEFER THEODORE B MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 770YP13607 LEHAN CATHERINE ARNP PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 FAMILY NURSE PRACTITIONERS 77008143YP LEIGHTON CATHERINE M APRN RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRIC NURSE PRACTITIONERS 770YP12523 LEINAU LISA ANN MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 INTERNAL MEDICINE 77001663YP LEMAITRE PAUL N MD PAUL N LEMAITRE MD ANDOVER MA 01810 (978) 475-7765 INTERNAL MEDICINE 770YP34739 LEMAY DANIELLE M APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 FAMILY NURSE PRACTITIONERS 770YP03454 LEMEI SUSAN L MD SUSAN LEMEI MD PC CHESTER VT 05143 (802) 875-5660 FAMILY MEDICINE 770YP00831 LEMKE SHAYNA M DO BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-2311 FAMILY MEDICINE

Page 26 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77008704YP LEONG PATRICK L DO ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY MEDICINE 77007381Y0 LEPPMAN JOHN A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 INTERNAL MEDICINE 77007381YP LEPPMAN JOHN A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 INTERNAL MEDICINE 77009050YP LERMAN LAWRENCE M DO PEDIATRIC PROFESSIONAL ASSOCIATES PC METHUEN MA 01844 (978) 683-1974 PEDIATRICS 770YP24731 LESAGE-HORTON HEATHER A MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8626 PEDIATRICS 770YP25242 LESSAC-CHENEN SIMONE R MD LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 757-2325 FAMILY MEDICINE 770YP25242 LESSAC-CHENEN SIMONE R MD LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 FAMILY MEDICINE 77000444YP LESTER SARAH S MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5363 PEDIATRICS 770YP34695 LEVESQUE PAMELA R APRN FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 FAMILY NURSE PRACTITIONERS 770YP34695 LEVESQUE PAMELA R APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY NURSE PRACTITIONERS 770YP34695 LEVESQUE PAMELA R APRN FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 FAMILY NURSE PRACTITIONERS 770YP34695 LEVESQUE PAMELA R APRN FRISBIE MEMORIAL HOSPITAL BARRINGTON NH 03825 (603) 664-9003 FAMILY NURSE PRACTITIONERS 770YP25373 LEVIN IVAN MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE 770YP25373 LEVIN IVAN MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 INTERNAL MEDICINE 77007125YP LEWIS ERIC C MD HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7574 FAMILY MEDICINE 770YP29676 LEWIS BRYAN C MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7555 INTERNAL MEDICINE 770YP03174 LEWIS THOMAS W MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 770YP00427 LIBERMAN ROBERT B MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP36594 LIBMAN MATTHEW K DO CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 314-4700 INTERNAL MEDICINE 770YP36594 LIBMAN MATTHEW K DO CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 663-8743 INTERNAL MEDICINE 770YP12661 LILLY KATHARINA F MD APPLEDORE MEDICAL GROUP INC DURHAM NH 03824 (603) 430-0060 FAMILY MEDICINE 770YP12661 LILLY KATHARINA F MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY MEDICINE 770YP29265 LIM ANDREW S MD MEDICAL CARE OF BOSTON MANAGEMENT CORP ANDOVER MA 01810 (978) 409-1137 FAMILY MEDICINE 770YP05317 LINCOURT MICHAEL R MD MICHAEL R LINCOURT MD PA SANFORD ME 04073 (207) 324-6116 INTERNAL MEDICINE 770YP29906 LINDEN EVA J APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY NURSE PRACTITIONERS 770YP16397 LINDER ELIZABETH MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 PEDIATRICS 770YP16403 LINDER MOSS J MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 770YP14960 LINDPAINTNER LYN S MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 770YP15028 LITSCH SARAH M DO CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 FAMILY MEDICINE 770YP03866 LITTLE GAVIN C DO GAVIN C LITTLE DO LLC SALISBURY MA 01952 (978) 462-3433 INTERNAL MEDICINE 770YP33792 LIU STEPHEN K MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP07846 LIU SHU W MD AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 FAMILY MEDICINE 770YP14898 LO ELIZABETH P MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP02887 LOESER PETER C MD CROSSROADS FAMILY MEDICINE PLLC CONCORD NH 03301 (603) 856-8828 FAMILY MEDICINE 77000891YP LOEW CHARLOTTE G MD LOEW FAMILY MEDICAL PRACTICE PLLC SALEM NH 03079 (603) 898-9834 FAMILY MEDICINE 770YP22821 LOGAN KRISTIN E APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRIC NURSE PRACTITIONERS 770YP22821 LOGAN KRISTIN E APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRIC NURSE PRACTITIONERS 770YP22821 LOGAN KRISTIN E APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 PEDIATRIC NURSE PRACTITIONERS 770YP22821 LOGAN KRISTIN E APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03103 (603) 626-9500 PEDIATRIC NURSE PRACTITIONERS 77003668YP LOH STEVEN P MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 77007280YP LOMBARDO BRIAN P MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP29294 LOPES ANAVERA MD MEDICAL CARE OF BOSTON MANAGEMENT CORP AMESBURY MA 01913 (978) 388-1400 FAMILY MEDICINE 770YP12480 LOPEZ-VALLES JO-ANN G MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 PEDIATRICS 770YP12480 LOPEZ-VALLES JO-ANN G MD LRGHEALTHCARE BELMONT NH 03220 (603) 528-0995 PEDIATRICS 770YP33362 LOPRESTI LEIGH S MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP30616 LORAH JAY A DO ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 695-2500 FAMILY MEDICINE 770YP30367 LORD MONICA M APRN GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY NURSE PRACTITIONERS 770YP30367 LORD MONICA M APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS

Page 27 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP36857 LORD-VOSHELL PAMELA APRN WENTWORTH DOUGLASS PHYSICIAN CORP SOMERSWORTH NH 03878 (603) 692-6676 FAMILY NURSE PRACTITIONERS 770YP28728 LOSKUTOFF ERIN APRN LITTLE RIVERS HEALTH CARE INC EAST CORINTH VT 05040 (802) 439-5321 ADULT NURSE PRACTITIONERS 770YP17087 LOUD KEITH J MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP18992 LOUGHRAN TIMOTHY M MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 433-8434 INTERNAL MEDICINE 770YP25377 LOURIE JEFFREY W APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY NURSE PRACTITIONERS 77005710YP LOW SCOTT J DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77005710YP LOW SCOTT J DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77005710YP LOW SCOTT J DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 77005710YP LOW SCOTT J DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP08497 LOWNE JOSEPH E DO CONCORD HOSPITAL INC PEMBROKE NH 03275 (603) 485-8441 FAMILY MEDICINE 770YP35562 LOZIER VALERIE APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY NURSE PRACTITIONERS 770YP19409 LOZMAN-OXMAN REBECCA APRN NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 PEDIATRIC NURSE PRACTITIONERS 770YP20613 LU QI MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE 770YP28143 LUCHSINGER JOANNA MD CORE PHYSICIANS LLC KINGSTON NH 03848 (603) 642-3910 FAMILY MEDICINE 770YP28143 LUCHSINGER JOANNA MD CORE PHYSICIANS LLC STRATHAM NH 03885 (603) 778-1620 FAMILY MEDICINE 770YP32641 LUNDEEN-YOUNG CARRIE A MD FOUNDATION MEDICAL PARTNERS INC MILFORD NH 03055 (603) 672-7600 FAMILY MEDICINE 770YP03819 LUNDGREN LARS MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 77009567YP LUNDQUIST PETER D MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 889-3667 INTERNAL MEDICINE 770YP16551 LUNGULESCU OVIDIU A MD CATHOLIC MEDICAL CENTER HOOKSETT NH 03106 (603) 314-5980 INTERNAL MEDICINE 770YP15858 LUNIANSKI DAVID N DO GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY MEDICINE 770YP31617 LUONGO DOROTHY L APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-5860 PEDIATRIC NURSE PRACTITIONERS 77004868YP LURIE JONATHAN D MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 77008222YP LUTZ STEPHEN S MD MARTIN'S POINT HEALTH CARE PORTSMOUTH NH 03801 (603) 431-5154 FAMILY MEDICINE 77004907YP LYNCH GREGORY M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77004907YP LYNCH GREGORY M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77004907YP LYNCH GREGORY M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 77004907YP LYNCH GREGORY M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP34562 LYON SEAN APRN LIFE LONG CARE OF NEW LONDON PLLC NEW LONDON NH 03257 (603) 526-4144 FAMILY NURSE PRACTITIONERS 77006177YP LYONS MICHAEL L MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP28363 MA HONGBAO MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 770YP26879 MACAULAY SANDRA L APRN CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-1436 FAMILY NURSE PRACTITIONERS 770YP33288 MACDERMOTT KIMBERLY APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY NURSE PRACTITIONERS 770YP07266 MACDONALD PAUL M MD LAHEY CLINIC INC WILMINGTON MA 01887 (978) 694-9610 INTERNAL MEDICINE 770YP04017 MACDONALD DANIELLE L APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY NURSE PRACTITIONERS 770YP33430 MACDONALD LAUREN E APRN LANDMARK FAMILY HEALTHCARE LONDONDERRY NH 03053 (603) 425-6494 FAMILY NURSE PRACTITIONERS 770YP35483 MACE ASHLEY E APRN YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY NURSE PRACTITIONERS 770YP15421 MACGREGOR JILL S APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 FAMILY NURSE PRACTITIONERS 770YP32118 MACGREGOR LESLIE S APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 FAMILY NURSE PRACTITIONERS 77002152YP MACGREGOR FORD BARBARA F APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC FRANCONIA NH 03580 (603) 823-7078 FAMILY NURSE PRACTITIONERS 770YP36477 MACKWOOD MATTHEW B MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP02012 MACLEAN KATHLEEN W APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY NURSE PRACTITIONERS 770YP02012 MACLEAN KATHLEEN W APRN FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY NURSE PRACTITIONERS 770YP17226 MACLEOD JESSICA L APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 ADULT NURSE PRACTITIONERS 770YP17226 MACLEOD JESSICA L APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 ADULT NURSE PRACTITIONERS 77008383YP MADDEN JENNIFER E MD DR JENNIFER MADDEN'S FAMILY PRACTICE PLLC AMHERST NH 03031 (603) 769-3308 FAMILY MEDICINE 77007287YP MAGUIRE ELEANOR L APRN DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRIC NURSE PRACTITIONERS 770YP05106 MAHMUDI SHANTA MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4804 FAMILY MEDICINE 77008668YP MAHON PAULA M MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 663-5382 FAMILY MEDICINE

Page 28 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP28614 MAJESKI CAROLANNE APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 FAMILY NURSE PRACTITIONERS 77001478YP MAJOR MICHAEL J MD YORK HOSPITAL MOODY ME 04054 (207) 646-8386 INTERNAL MEDICINE 77001478YP MAJOR MICHAEL J MD YORK HOSPITAL YORK ME 03909 (207) 351-3530 INTERNAL MEDICINE 770YP33634 MALCOLM JOHN F MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 FAMILY MEDICINE 770YP26391 MALCOLM CHRISTINE APRN NORTHERN COUNTIES HEALTH CARE INC HARDWICK VT 05843 (802) 472-3300 FAMILY NURSE PRACTITIONERS 770YP31757 MALIK NEHA MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP00442 MALONE ERIN L MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP04707 MALONSO RESTITUTO D MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 INTERNAL MEDICINE 770YP04707 MALONSO RESTITUTO D MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 INTERNAL MEDICINE 770YP33705 MANCHERJE MICHELLE S MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY MEDICINE 770YP33500 MANDEL MICHELE MD ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 685-0150 PEDIATRICS 770YP24880 MANE HEATHER A MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 INTERNAL MEDICINE 770YP23810 MANNING CAROL L APRN GLOBAL FAMILY HEALTH LLC NASHUA NH 03060 (603) 943-7064 FAMILY NURSE PRACTITIONERS 770YP04647 MANNING GRIFFIN P APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 FAMILY NURSE PRACTITIONERS 770YP05311 MARESCOT KEASHA D MD WATERBORO VILLAGE PEDIATRICS LLC PA EAST WATERBORO ME 04030 (207) 247-6742 PEDIATRICS 770YP05311 MARESCOT KEASHA D MD WATERBORO VILLAGE PEDIATRICS LLC PA BIDDEFORD ME 04005 (207) 294-8700 PEDIATRICS 77000095YP MARINO ANTHONY F MD ANTHONY F MARINO MD PC METHUEN MA 01844 (978) 689-2540 INTERNAL MEDICINE 77001179YP MARKERT CRAIG W MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 INTERNAL MEDICINE 770YP08252 MARKS HEATHER L MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP24088 MARQUEZ MA THERESA C MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP30655 MARQUIS HENSON CARLY A APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 ADULT NURSE PRACTITIONERS 770YP08642 MARTEL AMY L MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP08642 MARTEL AMY L MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY MEDICINE 770YP27505 MARTIN TYLER P DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY MEDICINE 770YP33965 MARVASTI FATHYEH F MD LAHEY CLINIC INC N BILLERICA MA 01862 (978) 663-6666 FAMILY MEDICINE 770YP34549 MARVIN MEGHANN APRN LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 FAMILY NURSE PRACTITIONERS 770YP34549 MARVIN MEGHANN APRN LAHEY CLINIC INC PEABODY MA 01960 (781) 744-8000 FAMILY NURSE PRACTITIONERS 770YP31297 MARVINSMITH BRIDGET MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY MEDICINE 77005556YP MASON PETER A MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP35521 MASURE KATRINA M APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY NURSE PRACTITIONERS 770YP12113 MATHER CHERI C MD DARTMOUTH HITCHCOCK CLINIC LYME NH 03768 (603) 650-1070 INTERNAL MEDICINE 77004012YP MATHEWS CYNTHIA P APRN PLYMOUTH FAMILY PRACTICE CENTER PLYMOUTH NH 03264 (603) 536-2502 FAMILY NURSE PRACTITIONERS 770YP04782 MATOS MICHAEL E MD HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7620 PEDIATRICS 770YP33383 MATTA DANIEL MD BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-2311 FAMILY MEDICINE 770YP27479 MATTHEW LEAH G MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 77003185YP MAULL JOHN M MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 778-2899 INTERNAL MEDICINE 770YP25268 MAXWELL LEISA L DO FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 FAMILY MEDICINE 77004373YP MAZANOWSKI DONALD M MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP32146 MAZUR JON MD HARBOR HOMES INC NASHUA NH 03060 (603) 821-7788 INTERNAL MEDICINE 770YP22584 MCALLISTER LISA S DO BRIDGTON HOSPITAL FRYEBURG ME 04037 (207) 935-3383 FAMILY MEDICINE 770YP33999 MCCALL NADINE M APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 770YP15839 MCCAMPBELL NINA K MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP23264 MCCARTEN MICHAEL D DO ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 894-0063 FAMILY MEDICINE 770YP12909 MCCARTHY EILEEN W APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP12909 MCCARTHY EILEEN W APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP12909 MCCARTHY EILEEN W APRN GREATER SEACOAST COMMUNITY HEALTH SEABROOK NH 03874 (603) 766-2626 FAMILY NURSE PRACTITIONERS 77002319YP MCCARTHY GREGORY M MD GUIDANCE MEDICAL ASSOCIATES GILFORD NH 03249 (603) 527-0052 INTERNAL MEDICINE 770YP05295 MCCARTHY GREGORY M MD GUIDANCE MEDICAL ASSOCIATES GILFORD NH 03249 (603) 527-0052 INTERNAL MEDICINE

Page 29 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP00459 MCCARTHY JOHN E MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP03964 MCCLINTOCK LORA MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 INTERNAL MEDICINE 77007547YP MCCLURE LORI R APRN CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRIC NURSE PRACTITIONERS 770YP17117 MCCLURE LAUREN D MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY MEDICINE 770YP33169 MCCORMACK AMY M APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY NURSE PRACTITIONERS 770YP30322 MCCORMACK DAVID M APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY NURSE PRACTITIONERS 770YP34984 MCCORMACK DAVID M APRN CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY NURSE PRACTITIONERS 770YP36168 MCCOY ANNAMARIA MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY MEDICINE 770YP31569 MCCREEDY SAMUEL J MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 770YP34609 MCDOWELL JOHN MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 770YP37096 MCELRONE KIERA M DO ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 INTERNAL MEDICINE 770YP18990 MCELROY CANDICE A MD YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 770YP18990 MCELROY CANDICE A MD YORK HOSPITAL NORTH BERWICK ME 03906 (207) 676-1280 FAMILY MEDICINE 770YP36292 MCGEE CYNTHIA J APRN WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 447-8900 FAMILY NURSE PRACTITIONERS 770YP32567 MCGRATH TIMOTHY APRN LAHEY CLINIC INC PEABODY MA 01960 (781) 744-7000 INTERNAL MEDICINE NURSE PRACTITIONER 770YP33723 MCGRATH LAUREN M APRN CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY NURSE PRACTITIONERS 770YP05451 MCGRAVEY ANN R MD KIDS DR NORTH ANDOVER MA 01845 (978) 682-3300 PEDIATRICS 770YP05315 MCGUCKIN JOHN B MD JOHN B MCGUCKIN MD SANFORD ME 04073 (207) 324-3226 FAMILY MEDICINE 770YP10292 MCKEAN KIMBERLY M DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP33862 MCKENNA TARA APRN FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY NURSE PRACTITIONERS 770YP33904 MCKENNA TARA F APRN FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY NURSE PRACTITIONERS 770YP25697 MCKENZIE RICHARD G DO LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-7070 FAMILY MEDICINE 770YP10460 MCLANE ALICE N APRN COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY NURSE PRACTITIONERS 770YP05108 MCLEOD JR MICHAEL M DO CONCORD HOSPITAL INC HOPKINTON NH 03229 (603) 228-7575 FAMILY MEDICINE 770YP33468 MCMULLEN LAUREN J APRN APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY NURSE PRACTITIONERS 77004731YP MCNAMEE SUSAN L APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-7388 PEDIATRIC NURSE PRACTITIONERS 770YP27158 MCNEELY ERIN R MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 INTERNAL MEDICINE 770YP27158 MCNEELY ERIN R MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3121 INTERNAL MEDICINE 770YP18772 MCQUEEN CLAUDIA F MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 778-2899 INTERNAL MEDICINE 770YP04045 MCQUILLEN DANIEL P MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8608 INTERNAL MEDICINE 770YP36366 MCWHA KENNETH P MD SEACOAST AFFILIATED GROUP PRACTICE NEWBURYPORT MA 01950 (978) 465-0635 FAMILY MEDICINE 770YP35012 MCWILLIAMS SAMUEL B MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 PEDIATRICS 770YP36240 MCWILLIAMS SAMUEL B MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP26904 MEDEIROS SARAH C APRN CROSSROADS FAMILY MEDICINE PLLC CONCORD NH 03301 (603) 856-8828 PEDIATRIC NURSE PRACTITIONERS 770YP08825 MEDORA CHRISTINE R MD HANOVER CONTINUITY CLINIC LLC HANOVER NH 03755 (603) 643-3320 INTERNAL MEDICINE 770YP25050 MEEK JESSEE L DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY MEDICINE 77008326YP MELAMED YAIR D MD MY PHYSICIAN PC NASHUA NH 03063 (603) 577-9090 INTERNAL MEDICINE 770YP14959 MELENDY ELIZABETH K MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 257-4000 PEDIATRICS 770YP00464 MELIN JUDITH A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP29191 MELLISH TODD D DO SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 770YP29191 MELLISH TODD D DO SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC BEDFORD NH 03110 (603) 216-0400 INTERNAL MEDICINE 77007269YP MENARD CLAIRE D APRN PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY NURSE PRACTITIONERS 770YP36500 MENDONCA FEITOSA RUIVO FABIOLA MD COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 INTERNAL MEDICINE 770YP25457 MEREDITH MARGARET A APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP28401 MERKEL MARY DO DARTMOUTH HITCHCOCK CLINIC MERRIMACK NH 03054 (603) 424-4713 FAMILY MEDICINE 770YP10768 MERKREBS ALICE V MD NEWBURYPORT PEDIATRICS INC NEWBURYPORT MA 01950 (978) 462-7108 PEDIATRICS 770YP22960 MERMER LOUISE B APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRIC NURSE PRACTITIONERS 770YP22960 MERMER LOUISE B APRN ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 880-1440 PEDIATRIC NURSE PRACTITIONERS

Page 30 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP22960 MERMER LOUISE B APRN ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3870 PEDIATRIC NURSE PRACTITIONERS 770YP35943 MERRILL HEATHER M APRN ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3870 PEDIATRIC NURSE PRACTITIONERS 770YP36187 MESSIER MARK N MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP36187 MESSIER MARK N MD ST JOSEPH HOSPITAL HUDSON NH 03051 (603) 882-6700 FAMILY MEDICINE 770YP36187 MESSIER MARK N MD ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY MEDICINE 770YP36187 MESSIER MARK N MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 FAMILY MEDICINE 770YP36187 MESSIER MARK N MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4804 FAMILY MEDICINE 770YP36187 MESSIER MARK N MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 FAMILY MEDICINE 770YP18487 METSCH LAURA S MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 770YP23644 MEY SOKHARITH MD STEWARD MEDICAL GROUP INC ANDOVER MA 01810 (978) 269-0017 FAMILY MEDICINE 770YP23644 MEY SOKHARITH MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (800) 488-5959 FAMILY MEDICINE 770YP23644 MEY SOKHARITH MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 416-6000 FAMILY MEDICINE 770YP23644 MEY SOKHARITH MD STEWARD MEDICAL GROUP INC HAVERHILL MA 01830 (978) 478-5058 FAMILY MEDICINE 770YP03614 MEYER HERB T DO HERB T MEYER DO DANVILLE NH 03819 (603) 303-0646 FAMILY MEDICINE 77004900YP MICHAUD JANICE J APRN CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRIC NURSE PRACTITIONERS 770YP19937 MICHAUD STEPHEN J MD CATHOLIC MEDICAL CENTER GOFFSTOWN NH 03045 (603) 314-4500 FAMILY MEDICINE 77001777YP MIGOTSKY FAY J MD MONADNOCK COMMUNITY HOSPITAL RINDGE NH 03461 (603) 899-9563 FAMILY MEDICINE 77009642YP MILCHEV VALENTIN I MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 INTERNAL MEDICINE 770YP32588 MILLER LAURA S DO FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 PEDIATRICS 770YP20737 MILLER JOSEPH J APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRIC NURSE PRACTITIONERS 77007452YP MILLIGAN III FRANCIS MD CONCORD HOSPITAL INC HOPKINTON NH 03229 (603) 228-7575 FAMILY MEDICINE 77003194YP MILLS CARA L MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6030 PEDIATRICS 770YP15336 MIN PATRICIA L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 77007787YP MINTZ HOLLY P MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-5860 PEDIATRICS 770YP00471 MIRBACH BRUCE E MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 77006879YP MISHCON MERRIT J MD TILTON MEDICAL ASSOCIATES PLLC TILTON NH 03276 (603) 286-8907 FAMILY MEDICINE 770YP05046 MISIASZEK JUDY A APRN NEW CREATION HEALING CENTER INC KINGSTON NH 03848 (603) 642-6700 FAMILY NURSE PRACTITIONERS 77003592YP MISIEWICZ JOSEPH A MD JOSEPH MISIEWICZ FAMILY PRACTICE MEREDITH NH 03253 (603) 279-2267 FAMILY MEDICINE 770YP12769 MITCHELL JUDITH A APRN CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRIC NURSE PRACTITIONERS 770YP35241 MITCHELL-BEAM MICHAEL P APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY NURSE PRACTITIONERS 770YP24951 MITSCHELE MATTHEW W MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-2263 FAMILY MEDICINE 770YP25670 MITSOPOULOS SPIROS MD SPIROS MITSOPOULOS MD PLLC MANCHESTER NH 03103 (603) 663-8230 INTERNAL MEDICINE 770YP36297 MOBLEY KIM-LY M APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-5315 FAMILY NURSE PRACTITIONERS 770YP15289 MOHER HEATHER E DO YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP13627 MOLLOY ANNE E APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 FAMILY NURSE PRACTITIONERS 770YP33160 MOLNAR-GABOR STEVEN MD GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY MEDICINE 770YP04610 MONAHAN LILA H MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 891-0083 PEDIATRICS 770YP04736 MOORE DEBORAH I APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 INTERNAL MEDICINE NURSE PRACTITIONER 770YP36089 MOORE JERRI MD YORK HOSPITAL YORK ME 03909 (207) 351-1710 PEDIATRICS 770YP26698 MOOREHEAD MARTHA J APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY NURSE PRACTITIONERS 770YP26698 MOOREHEAD MARTHA J APRN LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 FAMILY NURSE PRACTITIONERS 770YP26698 MOOREHEAD MARTHA J APRN LRGHEALTHCARE BELMONT NH 03220 (603) 528-0990 FAMILY NURSE PRACTITIONERS 770YP03684 MORAN DANIEL S APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE NURSE PRACTITIONER 770YP34179 MORAN PETER C MD INDIAN STREAM HEALTH CENTER INC COLEBROOK NH 03576 (603) 237-8336 FAMILY MEDICINE 770YP32916 MORGAN KAREN L DO FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-7388 PEDIATRICS 770YP36314 MORGAN ERIN E APRN YORK HOSPITAL YORK ME 03909 (207) 363-4321 FAMILY NURSE PRACTITIONERS 770YP29838 MORISSETTE SABINA A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-8900 FAMILY MEDICINE 770YP22385 MORRILL JENNA E APRN ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY NURSE PRACTITIONERS

Page 31 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP29892 MORRIS DEAN C MD DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2500 FAMILY MEDICINE 770YP30329 MORRISON JEREMY DO BRATTLEBORO MEMORIAL HOSPITAL PUTNEY VT 05346 (802) 387-5581 FAMILY MEDICINE 770YP35137 MORRISON MELISSA M APRN LRGHEALTHCARE BELMONT NH 03220 (603) 528-0990 FAMILY NURSE PRACTITIONERS 770YP36353 MORRISON JULIE A MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY MEDICINE 770YP05189 MORRISSETTE LISA M APRN LACONIA INTERNAL MEDICINE PLLC LACONIA NH 03246 (603) 524-9201 FAMILY NURSE PRACTITIONERS 770YP02562 MORRISSEY GREGORY J DO APPLEDORE MEDICAL GROUP INC HAMPTON NH 03842 (603) 929-2137 INTERNAL MEDICINE 770YP14151 MORROW CATHLEEN E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP21050 MORSE JACQUELINE M MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP35645 MOULTON LISA A APRN CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY NURSE PRACTITIONERS 770YP26903 MOULTON AMANDA B APRN ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 FAMILY NURSE PRACTITIONERS 770YP15185 MOZUMDER MOUSHUMI MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 FAMILY MEDICINE 77005023YP MUELLO WENDY G MD WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-2521 INTERNAL MEDICINE 77003355YP MUIR J GAVIN MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY MEDICINE 77003355YP MUIR J GAVIN MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03103 (603) 626-9500 FAMILY MEDICINE 77003355YP MUIR J GAVIN MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 FAMILY MEDICINE 77003355YP MUIR J GAVIN MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 668-6629 FAMILY MEDICINE 770YP36991 MULCHANDANI NEETU MD LAHEY CLINIC INC BURLINGTON MA 01803 (855) 934-4488 INTERNAL MEDICINE 770YP36991 MULCHANDANI NEETU MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4033 INTERNAL MEDICINE 770YP23468 MULLAH FARAH DO STEWARD MEDICAL GROUP INC HAVERHILL MA 01830 (978) 521-8377 FAMILY MEDICINE 770YP23468 MULLAH FARAH DO STEWARD MEDICAL GROUP INC METHUEN MA 01844 (800) 488-5959 FAMILY MEDICINE 770YP03211 MULLANEY STEVEN MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 FAMILY MEDICINE 770YP24978 MULLEN LAURA R APRN CROSSROADS FAMILY MEDICINE PLLC CONCORD NH 03301 (603) 856-8828 FAMILY NURSE PRACTITIONERS 770YP34568 MULLINS SARAH APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7555 FAMILY NURSE PRACTITIONERS 770YP12183 MUNROE CHRISTINE DO YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 INTERNAL MEDICINE 770YP12152 MURAI SARAH E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP12152 MURAI SARAH E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP12152 MURAI SARAH E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP12152 MURAI SARAH E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 77003985YP MURAKAMI NOBORU MD LRGHEALTHCARE LACONIA NH 03246 (603) 934-5500 GENERAL PRACTICE 77003985YP MURAKAMI NOBORU MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-5500 GENERAL PRACTICE 770YP28421 MURALITHARAN PUSHKALA MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE 770YP27560 MURCIN SCOTT J MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 770YP35815 MURPHY REBECCA H MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 770YP33820 MURPHY MEREDITH K APRN DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 PEDIATRIC NURSE PRACTITIONERS 770YP32566 MURPHY ERIN P APRN LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4300 INTERNAL MEDICINE NURSE PRACTITIONER 770YP32566 MURPHY ERIN P APRN LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE NURSE PRACTITIONER 770YP05433 MURPHY MARY E APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2600 FAMILY NURSE PRACTITIONERS 770YP36008 MURPHY BRENDAN S MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-2263 FAMILY MEDICINE 77003061YP MURPHY III MICHAEL J MD MICHAEL J MURPHY III MD MANCHESTER NH 03102 (603) 624-6978 INTERNAL MEDICINE 77003106YP MURRAY SUSAN A MD APPLEDORE MEDICAL GROUP INC DURHAM NH 03824 (603) 430-0060 FAMILY MEDICINE 77003106YP MURRAY SUSAN A MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY MEDICINE 770YP21362 MURRAY KYLE R MD FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 FAMILY MEDICINE 770YP14007 MUSHTAQ SAFANA MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 FAMILY MEDICINE 770YP32658 MUSSHORN EMMA L MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY MEDICINE 77005807YP MYERS MARK D MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-5860 PEDIATRICS 770YP30257 MYERS SAMANTHA G APRN APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 FAMILY NURSE PRACTITIONERS 770YP26693 MYERS LORI L APRN SUSAN KROLEWSKI MD PLLC PORTSMOUTH NH 03801 (603) 433-4774 FAMILY NURSE PRACTITIONERS 770YP33854 MYRTER THOMAS DO NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 FAMILY MEDICINE

Page 32 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP02977 NABI-TREMBLAY SUZANNE F MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 77007423YP NACKMAN LOUIS J MD ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 685-0150 PEDIATRICS 770YP34563 NADEAU KATE A APRN CAROL A PELLETIER, APRN, DNP NASHUA NH 03062 (603) 577-1613 FAMILY NURSE PRACTITIONERS 770YP17728 NADIR CHERESSE L APRN ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 894-0063 FAMILY NURSE PRACTITIONERS 770YP13863 NAGARAJ VASUKI MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP13863 NAGARAJ VASUKI MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP24956 NAHAR SHAMSUN MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 77009204YP NAIVA DENISE L APRN LRGHEALTHCARE BELMONT NH 03220 (603) 528-0990 FAMILY NURSE PRACTITIONERS 77009204YP NAIVA DENISE L APRN LRGHEALTHCARE LACONIA NH 03246 (603) 527-2946 FAMILY NURSE PRACTITIONERS 770YP30793 NANKOOLE PAMELA R APRN LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 FAMILY NURSE PRACTITIONERS 770YP00477 NAPOLITANA GUY T MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP03762 NASEER-GHIASUDDIN SAIRA MD SEACOAST AFFILIATED GROUP PRACTICE NEWBURYPORT MA 01950 (978) 465-7719 INTERNAL MEDICINE 770YP28422 NATH ARURU R MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 770YP35827 NAUGHTON REBECCA M APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY NURSE PRACTITIONERS 770YP04691 NAVARRA GUIDO A MD SEACOAST MEDICAL ASSOC NEWBURYPORT MA 01950 (978) 462-1555 INTERNAL MEDICINE 770YP20575 NEEL KERRI I NP YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY NURSE PRACTITIONERS 77004631YP NEILLEY GREGORY S MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 INTERNAL MEDICINE 77006477YP NELKEN ROBERT P MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 770YP21048 NELSON MELISSA M APRN NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 FAMILY NURSE PRACTITIONERS 77009650YP NELSON RICHARD S MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP03956 NELSON DAVID L DO AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY MEDICINE 770YP23647 NEUPANEY ANJANA MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 PEDIATRICS 770YP23647 NEUPANEY ANJANA MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 PEDIATRICS 770YP29031 NEVES HOLLY A APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 FAMILY NURSE PRACTITIONERS 770YP27964 NEWTON ELIZABETH J APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY NURSE PRACTITIONERS 770YP14006 NGUYEN PATRICK P DO FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 FAMILY MEDICINE 770YP02055 NGUYEN PHAT C DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 77005490YP NIEGISCH CAROL MD CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY MEDICINE 77005528YP NIEGISCH ROBERT W MD CONCORD HOSPITAL INC PEMBROKE NH 03275 (603) 485-8441 FAMILY MEDICINE 77008991YP NIEMELA LARA K MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 770YP03375 NIGBOROWICZ THADDEUS J MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP14683 NILSON ELIZABETH G MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP26212 NIMS-LARGY JUSTINE T APRN WRIGHT & ASSOC FAM HLTHCARE AT CONCORD PLLC CONCORD NH 03301 (603) 369-4530 FAMILY NURSE PRACTITIONERS 77002598YP NITZBERG MARK C MD MARK C NITZBERG PC METHUEN MA 01844 (978) 681-1977 INTERNAL MEDICINE 770YP13921 NOBLE ALEXANDRIA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY NURSE PRACTITIONERS 770YP13921 NOBLE ALEXANDRIA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WARREN NH 03279 (603) 764-5704 FAMILY NURSE PRACTITIONERS 770YP13921 NOBLE ALEXANDRIA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WHITEFIELD NH 03598 (603) 837-2333 FAMILY NURSE PRACTITIONERS 770YP13921 NOBLE ALEXANDRIA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY NURSE PRACTITIONERS 770YP13921 NOBLE ALEXANDRIA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC FRANCONIA NH 03580 (603) 823-7078 FAMILY NURSE PRACTITIONERS 770YP08253 NOONAN-TIMMERMAN JULIANNE APRN MERRIMACK VILLAGE FAMILY PRACTICE CTR MERRIMACK NH 03054 (603) 424-8120 FAMILY NURSE PRACTITIONERS 770YP29949 NORMAN MAUREEN E DO MEDICAL CARE OF BOSTON MANAGEMENT CORP METHUEN MA 01844 (978) 688-1220 FAMILY MEDICINE 77004640YP NORTHCUTT ALBERT C MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77004640YP NORTHCUTT ALBERT C MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77004640YP NORTHCUTT ALBERT C MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 77004640YP NORTHCUTT ALBERT C MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP23722 NOSSIFF JOSEPH E MD PMC MEDICAL GROUP LLC NEWINGTON NH 03801 (603) 436-9100 FAMILY MEDICINE 770YP15629 NOWRIN SAZIA MD ST JOSEPH HOSPITAL HUDSON NH 03051 (603) 882-6700 FAMILY MEDICINE 770YP31758 NUGENT KARA A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE

Page 33 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP05350 OBERTI III FRANK A DO FRANK A OBERTI III DO BRADFORD MA 01835 (978) 374-1700 FAMILY MEDICINE 770YP32959 O'BRIEN GAIL M MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7100 INTERNAL MEDICINE 770YP03540 O'BRIEN MAUREEN M MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 77007919YP O'BRIEN JR RICHARD J MD LRGHEALTHCARE BELMONT NH 03220 (603) 528-0990 FAMILY MEDICINE 77007919YP O'BRIEN JR RICHARD J MD LRGHEALTHCARE GILFORD NH 03249 (603) 524-5816 FAMILY MEDICINE 770YP04709 OCONNOR ALISON J APRN LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 275-2325 FAMILY NURSE PRACTITIONERS 770YP31942 O'CONNOR BRAND ANNA P APRN LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY NURSE PRACTITIONERS 770YP28988 O'DONNELL DANIEL E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 FAMILY MEDICINE 770YP04785 O'DONNELL CAITLIN C MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WARREN NH 03279 (603) 764-5704 FAMILY MEDICINE 770YP23034 O'DONNELL CATHY APRN ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY NURSE PRACTITIONERS 770YP33753 O'DONOVAN JADE APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 GERIATRIC NURSE PRACTITIONERS 770YP33753 O'DONOVAN JADE APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 GERIATRIC NURSE PRACTITIONERS 770YP05377 OETTINGER JANA T MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 INTERNAL MEDICINE 770YP37079 OGDEN SAMUEL J MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 444-3122 PEDIATRICS 77004582YP OIDTMANN ERNST M MD FAMILY HEALTH CENTER LEBANON NH 03766 (603) 448-1941 FAMILY MEDICINE 770YP34780 OJUGBELE OLUTOSIN MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP16620 OLDEN ABIGAIL L APRN LRGHEALTHCARE MEREDITH NH 03253 (603) 279-7433 FAMILY NURSE PRACTITIONERS 770YP08320 OLIVE STEVEN T MD FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 FAMILY MEDICINE 770YP08320 OLIVE STEVEN T MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP32847 OLIVEIRA CHRISTINE M APRN CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY NURSE PRACTITIONERS 770YP28424 OLIVEIRA THERESA M MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP33080 OLLENDIECK MICHAEL C MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 889-3667 INTERNAL MEDICINE 770YP22435 OLSEN BRIDGET L MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 891-0083 PEDIATRICS 770YP28975 OLSEN SUSAN H MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDON VT 05849 (802) 748-9501 INTERNAL MEDICINE 770YP07929 OLSON ELIZABETH H MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2750 PEDIATRICS 77002599YP OLSON ARDIS L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP27655 OLSSON JEREMY D APRN DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 FAMILY NURSE PRACTITIONERS 770YP30537 O'MAHONEY KIMBERLEY M APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP30537 O'MAHONEY KIMBERLEY M APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP30537 O'MAHONEY KIMBERLEY M APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP30537 O'MAHONEY KIMBERLEY M APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP30537 O'MAHONEY KIMBERLEY M APRN GREATER SEACOAST COMMUNITY HEALTH SEABROOK NH 03874 (603) 766-2626 FAMILY NURSE PRACTITIONERS 770YP23141 ONALEYE KOFOWOROLA M MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP23141 ONALEYE KOFOWOROLA M MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP18557 ONG MARICHI O MD ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 629-1793 FAMILY MEDICINE 770YP00488 OOI WINNIE W MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP00488 OOI WINNIE W MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 77007478YP OREILLY JAMES M MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 770YP00489 ORFANOS GERRY MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP14135 ORZANO A JOHN MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP22147 OUTWATER KRISTAN MD PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 PEDIATRICS 770YP36741 OUYANG XIAOXI MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 532-8775 INTERNAL MEDICINE 770YP25639 OWEN REBECCA DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 770YP02641 PAASCHE DENISE E MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 254-1311 FAMILY MEDICINE 770YP34127 PACE MARK V DO STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 893-3900 FAMILY MEDICINE 770YP13258 PACIULAN PAULINE B APRN FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 ADULT NURSE PRACTITIONERS 770YP20768 PACKARD JENNIFER MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 INTERNAL MEDICINE 77007327YP PAGE JENNIFER A MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS

Page 34 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP32066 PAGE AMY B APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WHITEFIELD NH 03598 (603) 837-2333 FAMILY NURSE PRACTITIONERS 77008354YP PAICOPOLIS MARY-CLAIRE S MD LACONIA CARDIOLOGY GILFORD NH 03249 (603) 528-8555 INTERNAL MEDICINE 770YP02328 PAJELA REX C MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 PEDIATRICS 770YP02328 PAJELA REX C MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 PEDIATRICS 770YP17175 PALMER KAREN L DO APPLEDORE MEDICAL GROUP INC DURHAM NH 03824 (603) 430-0060 FAMILY MEDICINE 770YP17175 PALMER KAREN L DO APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY MEDICINE 770YP36390 PALMER TRAVIS APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 770YP19010 PALUMBO ANDREA MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-5860 PEDIATRICS 770YP16487 PANDEY RAJESH MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 PEDIATRICS 770YP12073 PANESAR MAHENDRA S MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 PEDIATRICS 770YP02390 PANGAN MICHAEL A MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP02551 PANGAN PATRICIA MD CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 INTERNAL MEDICINE 770YP04696 PAPANICOLAOU GEORGE J DO CORNERSTONE FAMILY PRACTICE PC ROWLEY MA 01969 (978) 948-3902 FAMILY MEDICINE 770YP16767 PARE DONNA K APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 FAMILY NURSE PRACTITIONERS 770YP22870 PARE KATIE B DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 770YP35720 PARIKH KRUTI P MD COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 INTERNAL MEDICINE 770YP07223 PARK DAVID J MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP31519 PARKER STACY A APRN LRGHEALTHCARE LACONIA NH 03246 (603) 527-2776 FAMILY NURSE PRACTITIONERS 770YP31519 PARKER STACY A APRN LRGHEALTHCARE LACONIA NH 03246 (603) 527-2819 FAMILY NURSE PRACTITIONERS 770YP31519 PARKER STACY A APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-2060 FAMILY NURSE PRACTITIONERS 770YP19110 PARKER-MELLO KELLY G MD YORK HOSPITAL WELLS ME 04090 (207) 641-6555 PEDIATRICS 770YP19110 PARKER-MELLO KELLY G MD YORK HOSPITAL YORK ME 03909 (207) 351-1710 PEDIATRICS 770YP35680 PARKER-MELLO KELLY G MD RIVERSIDE PEDIATRICS NEWBURYPORT MA 01950 (978) 465-0322 PEDIATRICS 770YP25253 PASCU DIANA MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP11092 PASHA MUHAMMAD S MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 FAMILY MEDICINE 770YP10307 PASTEL LISA C MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP05314 PATEL HARENDRABABU N MD HARENDRABABU N PATEL MD SANFORD ME 04073 (207) 324-7126 INTERNAL MEDICINE 770YP20468 PATEL SUNIT H MD LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-7070 PEDIATRICS 770YP14957 PATEL KALPESH MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE 770YP07814 PATIL SAVITA S MD LAHEY CLINIC INC N BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 77002934YP PATNO KARYN M MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-8141 PEDIATRICS 77008206YP PATTAVINA MARIA A APRN ADVANCED FOOT AND ANKLE SPECIALISTS PC KEENE NH 03431 (603) 352-2944 FAMILY NURSE PRACTITIONERS 770YP36886 PATTERSON WHITNEY L APRN KEADY FAMILY PRACTICE CHARLESTOWN NH 03603 (603) 863-7777 FAMILY MEDICINE 770YP36886 PATTERSON WHITNEY L APRN KEADY FAMILY PRACTICE NEWPORT NH 03773 (603) 863-7777 FAMILY MEDICINE 770YP36886 PATTERSON WHITNEY L APRN KEADY FAMILY PRACTICE CLAREMONT NH 03743 (603) 863-7777 FAMILY MEDICINE 770YP22795 PAUL SUSAN D MD BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-2311 INTERNAL MEDICINE 770YP33475 PAYSON JAIME E APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 387-5581 FAMILY NURSE PRACTITIONERS 770YP10207 PAYTON JESSICA MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRICS 770YP21284 PEARSON KATHLEEN E DO LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-0116 FAMILY MEDICINE 770YP31864 PEARSON JENNIFER M APRN LRGHEALTHCARE MEREDITH NH 03253 (603) 527-2792 FAMILY NURSE PRACTITIONERS 770YP32901 PEARSON JENNIFER APRN LRGHEALTHCARE LACONIA NH 03246 (603) 527-2946 FAMILY NURSE PRACTITIONERS 770YP32901 PEARSON JENNIFER APRN LRGHEALTHCARE LACONIA NH 03246 (603) 527-2969 FAMILY NURSE PRACTITIONERS 770YP32901 PEARSON JENNIFER APRN LRGHEALTHCARE LACONIA NH 03246 (603) 527-2792 FAMILY NURSE PRACTITIONERS 770YP32901 PEARSON JENNIFER APRN LRGHEALTHCARE MEREDITH NH 03253 (603) 279-7464 FAMILY NURSE PRACTITIONERS 77002142YP PEARSON MARY G DO NEW CREATION HEALING CENTER INC KINGSTON NH 03848 (603) 642-6700 FAMILY MEDICINE 770YP05070 PELLETIER JOSEPH C MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 PEDIATRICS 770YP18788 PELLETIER CAROL A APRN CAROL A PELLETIER, APRN, DNP NASHUA NH 03062 (603) 577-1613 FAMILY NURSE PRACTITIONERS 770YP12391 PEREZ ALFREDO J MD CATHOLIC MEDICAL CENTER HOOKSETT NH 03106 (603) 663-1990 INTERNAL MEDICINE

Page 35 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP15027 PERNYESZI GABOR MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 FAMILY MEDICINE 770YP15027 PERNYESZI GABOR MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP15027 PERNYESZI GABOR MD CORE PHYSICIANS LLC KINGSTON NH 03848 (603) 642-3910 FAMILY MEDICINE 770YP32077 PETER JOANIE T MD LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-9000 FAMILY MEDICINE 77007429YP PETERSON CHRISTOPHER J MD LONDONDERRY PEDIATRICS PA LONDONDERRY NH 03053 (603) 437-1003 PEDIATRICS 770YP17804 PETRON ALEXANDER W DO ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8300 PEDIATRICS 77005592YP PETTINARI NANCY J MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 INTERNAL MEDICINE 770YP22329 PHANEUF CHARLOTTE APRN DR SULS FAMILY & SPORTS MEDICINE BEDFORD NH 03110 (603) 622-2112 FAMILY NURSE PRACTITIONERS 770YP03904 PHO KEVIN Y MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4400 INTERNAL MEDICINE 770YP36982 PICCONE MATTHEW J DO DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP22951 PIKUS ANTHONY A MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 INTERNAL MEDICINE 770YP05162 PILZ MICHAEL A MD RIVERSIDE PEDIATRICS NEWBURYPORT MA 01950 (978) 465-0322 PEDIATRICS 770YP29231 PILZER ANNA APRN YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 FAMILY NURSE PRACTITIONERS 770YP07872 PINARD JENNIFER A APRN HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7588 FAMILY NURSE PRACTITIONERS 770YP33426 PINEO CHERYL A APRN MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY NURSE PRACTITIONERS 770YP33426 PINEO CHERYL A APRN MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7191 FAMILY NURSE PRACTITIONERS 770YP34222 PINEO CHERYL A APRN MONADNOCK COMMUNITY HOSPITAL NEW IPSWICH NH 03071 (603) 878-1092 FAMILY NURSE PRACTITIONERS 770YP34222 PINEO CHERYL A APRN MONADNOCK COMMUNITY HOSPITAL RINDGE NH 03461 (603) 899-9563 FAMILY NURSE PRACTITIONERS 770YP34222 PINEO CHERYL A APRN MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7191 FAMILY NURSE PRACTITIONERS 770YP30761 PINTO SUZETTE S MD LAHEY CLINIC INC IPSWICH MA 01938 (978) 356-5522 FAMILY MEDICINE 77005862YP PINTO POWELL ROSHINI C MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 77009985YP PIPAS CATHERINE F MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 77000216YP PITTS LESLIE T MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP35541 PIVOR MITCHELL N MD GREATER SEACOAST COMMUNITY HEALTH ROCHESTER NH 03867 (603) 335-4522 PEDIATRICS 770YP29980 PLAUM JUSTIN M DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP29980 PLAUM JUSTIN M DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP07507 PLOTNIK LISA M MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP37090 PLUMB ELLEN J MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP25264 POFCHER ERIC R MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 275-3674 INTERNAL MEDICINE 770YP30296 POITRAS NICOLE C APRN ELLIOT PHYSICIANS NETWORK GOFFSTOWN NH 03045 (603) 497-5661 FAMILY NURSE PRACTITIONERS 77007230YP POLLAK ERIC F MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP31576 POLLARD DOUGLAS MD YORK HOSPITAL YORK ME 03909 (207) 351-3530 INTERNAL MEDICINE 770YP30320 POOL-KROK-HORTON KARA E APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-5131 FAMILY NURSE PRACTITIONERS 770YP30299 PORBUNDERWALA DANIELLE A DO CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 668-6489 INTERNAL MEDICINE 770YP11340 POREMBA HELEN G MD RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRICS 770YP33839 PORET TODD M MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 77000157YP PORTER SUSAN D MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP23796 PORTER WILLIAM H MD LITTLE RIVERS HEALTH CARE INC E CORINTH VT 05040 (802) 439-5321 FAMILY MEDICINE 770YP23796 PORTER WILLIAM H MD LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 FAMILY MEDICINE 770YP23796 PORTER WILLIAM H MD LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 757-2325 FAMILY MEDICINE 77000338YP POTTER JAMES D MD MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY MEDICINE 770YP05378 POULIOS CASEY M APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4400 FAMILY NURSE PRACTITIONERS 770YP30787 POULOSE SINI N DO LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC LYNNFIELD MA 01940 (781) 213-4040 FAMILY MEDICINE 770YP18327 POWELL KENTON E MD DARTMOUTH HITCHCOCK CLINIC LYME NH 03768 (603) 650-1070 INTERNAL MEDICINE 77008932YP PRASAD ANIL K MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-0063 INTERNAL MEDICINE 77004616YP PRATT PATRICIA M MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY MEDICINE 770YP29042 PRAZAR GREGORY E MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 PEDIATRICS 770YP29042 PRAZAR GREGORY E MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 668-6629 PEDIATRICS

Page 36 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP34590 PRAZAR KAREN E APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 770YP23111 PRESCOTT JEANNE R APRN LRGHEALTHCARE MEREDITH NH 03253 (603) 279-7433 FAMILY NURSE PRACTITIONERS 77008539YP PRICE MARK J MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC SAINT JOHNSBURY VT 05819 (802) 748-5131 PEDIATRICS 770YP36595 PRICE CHRISTOPHER M MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 624-4380 INTERNAL MEDICINE 770YP23225 PRISCH STEPHANIE B MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 770YP10535 PRITCHARD ELIZABETH B MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 770YP23612 PROFETTO LISA A APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY NURSE PRACTITIONERS 770YP21484 PRUETTE DAVID F MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRICS 770YP36887 PRUETTE DAVID MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRICS 770YP12651 PRZYDZIELSKI ALICIA M APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY NURSE PRACTITIONERS 77004098YP PULASKI MARY E MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 PEDIATRICS 77005503YP PULLIN DEBORAH A APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRIC NURSE PRACTITIONERS 770YP25739 PUROHIT SAROJ N MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-0151 PEDIATRICS 770YP32821 QUINTERO NANCY DO SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-1881 INTERNAL MEDICINE 77008095YP QUIRBACH ROBERT C MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 FAMILY MEDICINE 770YP28402 RAJANNA SUMATHI MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4440 FAMILY MEDICINE 770YP25004 RAJANNA PREETHI MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP13328 RAJCHEL LINDA M APRN HEALTHY LIVING FAMILY PRACTICE PA RAYMOND NH 03077 (603) 895-1658 FAMILY NURSE PRACTITIONERS 770YP36688 RAJI RAJAE APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 770YP28616 RAMANATHAN SHEILA D DO DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP29954 RAMAS MARIE-ELIZABETH MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP29954 RAMAS MARIE-ELIZABETH MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP28779 RAMENENI ANURADHA MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8800 INTERNAL MEDICINE 770YP27176 RANCIER-PEREZ MOSHE A MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 INTERNAL MEDICINE 770YP05534 RANDALL CHARLES S MD PARTNERS COMMUNITY PHYS ORGANIZATION INC NEWBURYPORT MA 01950 (978) 499-7200 INTERNAL MEDICINE 770YP31052 RANSMEIER PETER C MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 770YP07131 RAO DURGA E MD NORTHEAST NEPHROLOGY AND INTERNAL MEDICINE METHUEN MA 01844 (978) 689-2500 INTERNAL MEDICINE 770YP30065 RASER JOHN M MD NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY MEDICINE 770YP35119 RATTE MARC-OLIVIER MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY MEDICINE 770YP10033 RAY JEFFREY S DO SACOPEE VALLEY HEALTH CENTER PORTER ME 04068 (207) 625-8126 FAMILY MEDICINE 770YP29322 RAY CHAYA D MD MEDICAL CARE OF BOSTON MANAGEMENT CORP HAVERHILL MA 01830 (978) 521-2106 FAMILY MEDICINE 770YP35627 RAYMAN SHANNON M DO CORE PHYSICIANS LLC STRATHAM NH 03885 (603) 778-1620 FAMILY MEDICINE 770YP02406 REALL DAVID H MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY MEDICINE 770YP02406 REALL DAVID H MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP08600 REAPE DONALD E MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 77006732YP REDDI VANI S MD ESSEX MEDICAL ASSOCIATES PLLC NORTH ANDOVER MA 01845 (978) 725-3636 INTERNAL MEDICINE 770YP25154 REDFIELD NANCY J APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 FAMILY NURSE PRACTITIONERS 77007981YP REED LINDA H APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY NURSE PRACTITIONERS 770YP32450 REED CLAIRE H MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY MEDICINE 770YP16968 REED LAURA B APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE NURSE PRACTITIONER 770YP05456 REEDER MARK L MD CORE PHYSICIANS LLC KINGSTON NH 03848 (603) 642-3910 FAMILY MEDICINE 770YP05456 REEDER MARK L MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 FAMILY MEDICINE 770YP05456 REEDER MARK L MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 999-9999 FAMILY MEDICINE 770YP05456 REEDER MARK L MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 FAMILY MEDICINE 770YP05456 REEDER MARK L MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 658-0190 FAMILY MEDICINE 770YP25079 REES PETER L MD STEWARD MEDICAL GROUP INC HAVERHILL MA 01830 (978) 521-8377 FAMILY MEDICINE 770YP08440 REEVES REBEKAH L MD LITTLETON INTERNAL MEDICINE PC LITTLETON NH 03561 (603) 444-2002 INTERNAL MEDICINE 770YP32091 REGAN JENNIFER APRN YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY NURSE PRACTITIONERS

Page 37 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP00415 REHM JENNIFER A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP00415 REHM JENNIFER A MD LAHEY CLINIC INC IPSWICH MA 01938 (978) 356-5522 INTERNAL MEDICINE 770YP17820 REID SUZANNE APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY NURSE PRACTITIONERS 77004165YP REID KATHLEEN K APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7338 FAMILY NURSE PRACTITIONERS 77004165YP REID KATHLEEN K APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-2263 FAMILY NURSE PRACTITIONERS 770YP02346 REIMER ALEXIS B MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8300 PEDIATRICS 770YP23327 REINHOLD LARS E MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP20865 REISERT JEFFREY T DO LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-7070 INTERNAL MEDICINE 770YP12229 REMBISZ NICOLE S APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY NURSE PRACTITIONERS 770YP11255 REMILLONG ELIZABETH L MD MARTIN'S POINT HEALTH CARE PORTSMOUTH NH 03801 (603) 431-5154 FAMILY MEDICINE 770YP08817 RENNER TUESDAY M MD FRISBIE MEMORIAL HOSPITAL SOMERSWORTH NH 03878 (603) 692-3115 FAMILY MEDICINE 770YP08817 RENNER TUESDAY M MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP13746 REYNOLDS JESSIE MD LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 FAMILY MEDICINE 770YP32760 RHODES JAMIE A DO PARTNERS COMMUNITY PHYS ORGANIZATION INC NEWBURYPORT MA 01950 (978) 499-7200 INTERNAL MEDICINE 770YP02070 RHYNE STACEY L APRN WENTWORTH DOUGLASS PHYSICIAN CORP SOMERSWORTH NH 03878 (603) 692-6676 FAMILY NURSE PRACTITIONERS 770YP02070 RHYNE STACEY L APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 610-8095 FAMILY NURSE PRACTITIONERS 770YP36846 RHYNE STACEY L APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 610-8095 FAMILY NURSE PRACTITIONERS 770YP15631 RIBNER CAROL S MD CAROL S RIBNER MD JEFFERSON NH 03583 (603) 586-4482 FAMILY MEDICINE 770YP11618 RICCARDI CHRISTINE D MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP11618 RICCARDI CHRISTINE D MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP07154 RICCIO CHRISTOPHER MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6337 INTERNAL MEDICINE 770YP19962 RICH DAVID L MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 77009600YP RICHARD MARK B MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 77009600YP RICHARD MARK B MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP34178 RICHARDS JACLYN MD YORK HOSPITAL WELLS ME 04090 (207) 646-5211 PEDIATRICS 770YP12099 RICHARDS ELIZABETH M MD PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 PEDIATRICS 770YP16659 RICHARDSON RORY D MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP34497 RICITELLI DIANA APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY NURSE PRACTITIONERS 77004076YP RIFORGIATO MARGARET M APRN WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 447-8900 INTERNAL MEDICINE NURSE PRACTITIONER 770YP30804 RIGALI LESLIE J DO LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4300 INTERNAL MEDICINE 770YP30514 RILEY COURTNEY MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-2237 PEDIATRICS 77000345YP RISS DAVID C MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-4949 FAMILY MEDICINE 770YP25435 RISTIC VIOLETA K MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 77007272YP RIZKALLA-HANNA MAGUED Y MD MAGUED Y RIZKALLA-HANNA MD PORTSMOUTH NH 03801 (603) 436-5533 INTERNAL MEDICINE 770YP26835 ROBERTS ALEXANDRA APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 FAMILY NURSE PRACTITIONERS 77009370YP ROBINSON ELAINE L APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 FAMILY NURSE PRACTITIONERS 77002569YP ROBINSON ELISABETH S APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 770YP22867 ROBINSON ELIZABETH DO YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 770YP14219 RODRIGUEZ MARIA L MD WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY MEDICINE 770YP23480 ROGERS ALAN C DO VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 FAMILY MEDICINE 770YP23480 ROGERS ALAN C DO VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-6700 FAMILY MEDICINE 770YP23480 ROGERS ALAN C DO VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 542-7855 FAMILY MEDICINE 770YP23480 ROGERS ALAN C DO VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 FAMILY MEDICINE 770YP23480 ROGERS ALAN C DO VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 FAMILY MEDICINE 770YP32707 ROGERS GREGG L APRN WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 448-8900 FAMILY NURSE PRACTITIONERS 77001067YP ROMANOWSKY MICHAEL P MD MICHAEL P ROMANOWSKY MD HAMPSTEAD NH 03841 (603) 329-4040 FAMILY MEDICINE 77001067YP ROMANOWSKY MICHAEL P MD MICHAEL P ROMANOWSKY MD SALEM NH 03079 (603) 893-4119 FAMILY MEDICINE 77004482YP ROMBOLI JOAN E APRN LANDMARK FAMILY HEALTHCARE LONDONDERRY NH 03053 (603) 425-6494 FAMILY NURSE PRACTITIONERS

Page 38 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP15770 ROMBOLI-HILL JOANNE APRN LANDMARK FAMILY HEALTHCARE LONDONDERRY NH 03053 (603) 425-6494 FAMILY NURSE PRACTITIONERS 770YP05275 ROOKS SUSAN L APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY NURSE PRACTITIONERS 770YP05275 ROOKS SUSAN L APRN FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY NURSE PRACTITIONERS 77005020YP ROONEY VALERIE A MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8626 PEDIATRICS 77004902YP RORK DENNIS G MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77004902YP RORK DENNIS G MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77004902YP RORK DENNIS G MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 77004902YP RORK DENNIS G MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP31456 ROSADO RODRIGUEZ ALIDA M MD PARTNERS COMMUNITY PHYS ORGANIZATION INC ANDOVER MA 01810 (978) 783-5000 INTERNAL MEDICINE 770YP04089 ROSE JR DONALD R MD HUGGINS HOSPITAL ALTON NH 03809 (603) 875-6151 FAMILY MEDICINE 770YP31036 ROSEBERRY LISA K APRN APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 FAMILY NURSE PRACTITIONERS 770YP28296 ROSEN BERNARD A MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-1251 FAMILY MEDICINE 770YP28296 ROSEN BERNARD A MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 FAMILY MEDICINE 770YP02564 ROSEN ANDREW R MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 INTERNAL MEDICINE 770YP32000 ROSEN PAMELA APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY NURSE PRACTITIONERS 77007526YP ROSEN ALAN E MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY MEDICINE 770YP31025 ROSENBAUM DANIEL J MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP31025 ROSENBAUM DANIEL J MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP24968 ROSENBERG BRIAN G MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 77004802YP ROSENFELD MICHAEL MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 770YP35885 ROSIC GREGORY G MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 77005215YP ROSSIGNOL MONIQUE D APRN LIFE LONG CARE OF NEW LONDON PLLC NEW LONDON NH 03257 (603) 526-4144 FAMILY NURSE PRACTITIONERS 770YP00508 ROTHCHILD JOSEPH MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP32302 ROTNER KENNETH A MD CORE PHYSICIANS LLC DURHAM NH 03824 (603) 868-5832 FAMILY MEDICINE 770YP04163 ROY JACKIE M APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY NURSE PRACTITIONERS 770YP04163 ROY JACKIE M APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-1166 FAMILY NURSE PRACTITIONERS 770YP12962 ROY III HENRY MD BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-2311 INTERNAL MEDICINE 770YP12039 ROY-BORNSTEIN CAROLYN MD MERRIMACK VALLEY CHILD & ADOLESCENT HLTH LLC HAVERHILL MA 01830 (978) 521-8108 PEDIATRICS 770YP12967 ROYER GENE M DO BRIDGTON HOSPITAL FRYEBURG ME 04037 (207) 935-3383 FAMILY MEDICINE 77006298YP RUBIN GERALDINE MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRICS 770YP36733 RURY SARAH E APRN PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 FAMILY NURSE PRACTITIONERS 77003715YP RUSH LAWRENCE MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 INTERNAL MEDICINE 77001541YP RUSSELL ERICA M CNM LRGHEALTHCARE GILFORD NH 03249 (603) 527-2955 FAMILY NURSE PRACTITIONERS 77001541YP RUSSELL ERICA M CNM LRGHEALTHCARE LACONIA NH 03246 (603) 527-2847 FAMILY NURSE PRACTITIONERS 770YP31380 RUSSELL KIMBERLEY A APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 ADULT NURSE PRACTITIONERS 770YP12972 RYAN LISA DO BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-4232 PEDIATRICS 770YP35880 RYER ELIZABETH A DO LAHEY CLINIC INC PEABODY MA 01960 (781) 744-7000 INTERNAL MEDICINE 770YP29710 SACCO MARIE APRN TODAY'S WELLNESS PLLC NORTH ANDOVER MA 01845 (978) 687-2273 INTERNAL MEDICINE NURSE PRACTITIONER 770YP20832 SACHS MARLENE MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE 770YP36090 SADEGHI ERIKA MD ELLIOT PHYSICIANS NETWORK AMHERST NH 03031 (603) 249-3000 FAMILY MEDICINE 770YP00514 SAINI PRITINDER MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP37035 SAIYED SHAMILA S MD LAHEY CLINIC INC PEABODY MA 01960 (781) 744-8000 INTERNAL MEDICINE 770YP36841 SALIE ELIZABETH M APRN ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY NURSE PRACTITIONERS 770YP36841 SALIE ELIZABETH M APRN ST JOSEPH HOSPITAL HUDSON NH 03051 (603) 882-6700 FAMILY NURSE PRACTITIONERS 770YP36841 SALIE ELIZABETH M APRN ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY NURSE PRACTITIONERS 770YP36841 SALIE ELIZABETH M APRN ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 FAMILY NURSE PRACTITIONERS 770YP36841 SALIE ELIZABETH M APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4804 FAMILY NURSE PRACTITIONERS 770YP30475 SALLOWAY RACHEL P APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY NURSE PRACTITIONERS

Page 39 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP33743 SALMON OLIVER J DO SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-3700 PEDIATRICS 77004799YP SALTER BARRY M MD BARRY M SALTER MD YORK ME 03909 (207) 363-6008 INTERNAL MEDICINE 77009657YP SALVATORE DONALD E MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8300 PEDIATRICS 770YP22580 SANCHEZ DANIEL MD COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 FAMILY MEDICINE 77001066YP SARKIS MARLENE S MD COTTAGE HOSPITAL WOODSVILLE NH 03785 (603) 747-9297 INTERNAL MEDICINE 770YP36267 SARRIS SHARI L APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 FAMILY NURSE PRACTITIONERS 770YP14283 SATHAMBAKAM DILIP R MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP28403 SATHYANARAYANAGOWDA RAVI G MD DARTMOUTH HITCHCOCK CLINIC HUDSON NH 03051 (603) 577-3410 FAMILY MEDICINE 770YP12971 SAUNDERS WENDA L MD BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-4232 PEDIATRICS 770YP26676 SAVAGE JOSEPH B MD EXPRESSMED LLC MANCHESTER NH 03101 (603) 627-4215 INTERNAL MEDICINE 770YP10971 SAWYER MATTHEW M MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY MEDICINE 770YP28789 SAXTON ELIZABETH A APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY NURSE PRACTITIONERS 770YP32816 SCAGNELLI KATELYN A APRN SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 FAMILY NURSE PRACTITIONERS 770YP24618 SCANLAN VICTORIA F MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP31244 SCANLON MICHAEL L APRN MICHAEL L SCANLON APRN LITTLETON NH 03561 (603) 236-9230 FAMILY NURSE PRACTITIONERS 770YP16556 SCARPONI KYLA J DO YORK HOSPITAL YORK ME 03909 (207) 351-1710 PEDIATRICS 770YP16556 SCARPONI KYLA J DO YORK HOSPITAL WELLS ME 04090 (207) 641-6555 PEDIATRICS 770YP31074 SCHACHTNER SHANNON C APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 FAMILY NURSE PRACTITIONERS 770YP31074 SCHACHTNER SHANNON C APRN NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 FAMILY NURSE PRACTITIONERS 770YP02472 SCHEIB LISA M MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 889-3667 INTERNAL MEDICINE 770YP14211 SCHERPA MALINDA MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRICS 77009083YP SCHIAVONI JR EDMUND S MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 77009083YP SCHIAVONI JR EDMUND S MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP17861 SCHISSEL STEPHEN A MD LAHEY CLINIC INC AMESBURY MA 01913 (978) 388-5050 FAMILY MEDICINE 77008032YP SCHISSEL LAWRENCE A MD NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 FAMILY MEDICINE 770YP20890 SCHMIDT AMBER R DO WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-2521 FAMILY MEDICINE 770YP10634 SCHNEEBAUM RONALD J MD DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2500 PEDIATRICS 770YP30681 SCHNEIDER ERIC MD YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 770YP25983 SCHNEIDER AMY MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-2911 FAMILY MEDICINE 770YP02566 SCHOEL SUZANNE M MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 770YP05504 SCHOONMAKER JESSICA R MD PARTNERS COMMUNITY PHYS ORGANIZATION INC NEWBURYPORT MA 01950 (978) 499-7200 INTERNAL MEDICINE 770YP02534 SCHREIBER L JOCELYN APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6041 PEDIATRIC NURSE PRACTITIONERS 770YP29471 SCHROEDER JODI A APRN CONCORD HOSPITAL INC EPSOM NH 03234 (603) 736-6200 FAMILY NURSE PRACTITIONERS 770YP16063 SCHUERMAN GABRIELLE APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY NURSE PRACTITIONERS 770YP29325 SCHULMAN RISA MD MEDICAL CARE OF BOSTON MANAGEMENT CORP AMESBURY MA 01913 (978) 388-1400 FAMILY MEDICINE 77005633YP SCHULTZE PAMELA R MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 INTERNAL MEDICINE 77005633YP SCHULTZE PAMELA R MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 INTERNAL MEDICINE 770YP18519 SCHUMAN ANDREW J MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 PEDIATRICS 770YP14541 SCHWARTZ MARY T MD PARTNERS COMMUNITY PHYS ORGANIZATION INC GEORGETOWN MA 01833 (978) 352-8375 INTERNAL MEDICINE 77004334YP SCHWARTZ IRA S MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 INTERNAL MEDICINE 770YP08494 SCHWARTZ ROBERT J MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY MEDICINE 77007897YP SCHWARTZBERG MARTIN E MD RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRICS 77003815YP SCHWARZ ADAM J MD HANOVER CONTINUITY CLINIC LLC HANOVER NH 03755 (603) 643-3320 INTERNAL MEDICINE 770YP22710 SCOTT TATIANA N MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8900 INTERNAL MEDICINE 770YP18754 SCOTT MARY R APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 ADULT NURSE PRACTITIONERS 770YP16060 SCOTT JOHN MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 FAMILY MEDICINE 770YP24865 SCOVILLE KATHRYN L APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY NURSE PRACTITIONERS 770YP25570 SCULL MELISSA L MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE

Page 40 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP25570 SCULL MELISSA L MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 663-7377 INTERNAL MEDICINE 770YP35370 SCZESNY-ALESHNICK MARTINA MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY MEDICINE 770YP27387 SEABORG BARBARA J MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP14510 SEBASTYAN ANDREW J MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4804 FAMILY MEDICINE 770YP14037 SEGAL LORISSA C MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE 770YP32711 SEIBERT RYAN G MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP32711 SEIBERT RYAN G MD LAHEY CLINIC INC PEABODY MA 01960 (781) 744-8000 INTERNAL MEDICINE 770YP18405 SEICHEPINE KELLY J MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 770YP36890 SERAFIN JENNIFER A APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 77001494YP SEYMOUR MARK G DO GIFFORD MEDICAL CENTER BETHEL VT 05032 (802) 234-9913 FAMILY MEDICINE 770YP35448 SHADALLAH SARAH L APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 882-3000 GERIATRIC NURSE PRACTITIONERS 770YP02835 SHAFER TIMOTHY P MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 770YP36467 SHAFER HEATHER I MD FOUNDATION MEDICAL PARTNERS INC MILFORD NH 03055 (603) 672-7600 FAMILY MEDICINE 770YP28438 SHAH JASMINE A MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE 770YP16692 SHAH BHUMI T MD LAHEY CLINIC INC N BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP31955 SHAMANSKY ERIC MD SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-3700 PEDIATRICS 77001716YP SHARMA DEEPAK MD DEEPAK SHARMA MD PC SALEM NH 03079 (603) 893-8030 PEDIATRICS 770YP03823 SHEEHAN STACEY L MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP03823 SHEEHAN STACEY L MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP24526 SHEEHAN CARLY R APRN FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 ADULT NURSE PRACTITIONERS 770YP13892 SHESSLER ERIK MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 770YP26739 SHIH SHIAO-ANG MD HAVERHILL FAMILY PRACTICE HAVERHILL MA 01830 (978) 521-6555 INTERNAL MEDICINE 770YP27192 SHILLING TAMARA L DO FRISBIE MEMORIAL HOSPITAL BARRINGTON NH 03825 (603) 664-9003 FAMILY MEDICINE 770YP20220 SHIPLEY SARA A APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 888-5573 FAMILY NURSE PRACTITIONERS 770YP08628 SHIPPEE LUCAS D DO MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 INTERNAL MEDICINE 770YP36981 SHOEMAKER ALENA K MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP36629 SHOLLENBERGER ANNABELLE L APRN HARBOR HOMES INC NASHUA NH 03060 (603) 821-7788 FAMILY NURSE PRACTITIONERS 770YP13987 SHUBKIN CATHERINE D MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP13369 SHUGOL MARGARITA DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 226-3400 FAMILY MEDICINE 770YP28439 SHULMAN ERIC A MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP05116 SHUMAN KENNETH R MD WENTWORTH DOUGLASS PHYSICIAN CORP SOUTH BERWICK ME 03908 (207) 384-4949 FAMILY MEDICINE 770YP05116 SHUMAN KENNETH R MD WENTWORTH DOUGLASS PHYSICIAN CORP DURHAM NH 03824 (603) 868-5080 FAMILY MEDICINE 770YP19131 SHUMAN JOLENE J MD MARTIN'S POINT HEALTH CARE PORTSMOUTH NH 03801 (603) 431-5154 FAMILY MEDICINE 770YP29013 SHUPE MARY B APRN RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRIC NURSE PRACTITIONERS 77000984YP SHUTE PATRICIA B APRN COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 FAMILY NURSE PRACTITIONERS 77009410YP SHUTE KEITH M MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2900 FAMILY MEDICINE 770YP34106 SIDDIQUI SOHAIB MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP31948 SIGMAN LAURA J MD SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-3700 PEDIATRICS 770YP23281 SILANG RIETA P MD INTERNAL MEDICINE & KIDNEY PARTNERS PA NASHUA NH 03060 (603) 880-3122 INTERNAL MEDICINE 770YP05048 SILVA KEVIN A MD LITTLETON INTERNAL MEDICINE PC LITTLETON NH 03561 (603) 444-2002 INTERNAL MEDICINE 770YP34902 SILVERI PAUL D MD YORK HOSPITAL WELLS ME 04090 (207) 646-5211 FAMILY MEDICINE 770YP22783 SILVERMAN MARIANNA T DO LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP28706 SILVERMAN ELAINE M MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 770YP07506 SILVERSTEIN MARNI A MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-6666 PEDIATRICS 770YP34790 SIRONICH-KALKAN GRACIELA-SILVIA MD HARBOR HOMES INC NASHUA NH 03060 (603) 821-7788 GENERAL PRACTICE 770YP34787 SITZER ALON MD PARTNERS COMMUNITY PHYS ORGANIZATION INC NEWBURYPORT MA 01950 (978) 499-7200 FAMILY MEDICINE 770YP05178 SIXON JONATHAN W MD FOUNDATION MEDICAL PARTNERS INC MILFORD NH 03055 (603) 672-7600 FAMILY MEDICINE 770YP07190 SKORUPKA MIROSLAWA MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 INTERNAL MEDICINE

Page 41 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP36387 SLATE TALLEY E APRN PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY NURSE PRACTITIONERS 770YP14282 SLAYTON ERIC DO BRIDGTON HOSPITAL NAPLES ME 04055 (207) 693-6106 FAMILY MEDICINE 770YP14282 SLAYTON ERIC DO BRIDGTON HOSPITAL FRYEBURG ME 04037 (207) 935-3383 FAMILY MEDICINE 77003548YP SLOWINSKI SUSAN S MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8626 PEDIATRICS 770YP31282 SLYNE TAI C APRN AMODEUS HEALTHCARE LONDONDERRY NH 03053 (603) 305-7076 FAMILY NURSE PRACTITIONERS 770YP34059 SLYNE TAI APRN CATHOLIC MEDICAL CENTER HOOKSETT NH 03106 (603) 663-7852 FAMILY NURSE PRACTITIONERS 770YP12969 SMITH JENNIFER L DO BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-9021 FAMILY MEDICINE 770YP35644 SMITH JENNIFER DO SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-3500 FAMILY MEDICINE 770YP27428 SMITH IRVING S DO LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-7070 INTERNAL MEDICINE 77005930YP SMITH W KENT MD CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY MEDICINE 77001543YP SMITH ROSEMARY A APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 INTERNAL MEDICINE NURSE PRACTITIONER 77001543YP SMITH ROSEMARY A APRN LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 INTERNAL MEDICINE NURSE PRACTITIONER 77001543YP SMITH ROSEMARY A APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 INTERNAL MEDICINE NURSE PRACTITIONER 770YP13710 SMITH STEVEN B MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 INTERNAL MEDICINE 770YP36491 SMITH JENNY L APRN ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY NURSE PRACTITIONERS 770YP36491 SMITH JENNY L APRN ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 FAMILY NURSE PRACTITIONERS 770YP36658 SMITH RACHAEL K APRN DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 FAMILY NURSE PRACTITIONERS 770YP03047 SMITH JOAN D MD WENTWORTH DOUGLASS PHYSICIAN CORP BARRINGTON NH 03825 (603) 664-2135 FAMILY MEDICINE 770YP03047 SMITH JOAN D MD WENTWORTH DOUGLASS PHYSICIAN CORP PORTSMOUTH NH 03801 (603) 610-8050 FAMILY MEDICINE 770YP12970 SMITH CRAIG M DO BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-9021 FAMILY MEDICINE 770YP36864 SMITH CRAIG DO THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP19908 SMITH MATTHEW G APRN FAMILY HEALTH CENTER LEBANON NH 03766 (603) 448-1941 FAMILY NURSE PRACTITIONERS 770YP21439 SMITH KATHLEEN J MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY MEDICINE 770YP34990 SMITH DE CHERIF TERESA K MD MID-STATE HEALTH CENTER BRISTOL NH 03222 (603) 536-4000 INFECTIOUS DISEASE 77007231YP SOBELSON GARY A MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 77007231YP SOBELSON GARY A MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP22939 SODERLAND CARL A MD LAHEY CLINIC INC IPSWICH MA 01938 (978) 356-5522 INTERNAL MEDICINE 770YP18177 SODERLAND PETER A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8430 INTERNAL MEDICINE 770YP03567 SOKUL CYNTHIA A APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 FAMILY NURSE PRACTITIONERS 77009392YP SOLNIT LOREN L MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 PEDIATRICS 77009286YP SOLNIT AARON D MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY MEDICINE 770YP29712 SOMESWARANANTHAN JANARTHANAN MD TODAY'S WELLNESS PLLC NORTH ANDOVER MA 01845 (978) 687-2273 INTERNAL MEDICINE 77002610YP SONG LIJUN MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP05143 SORSCHER ADAM J MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP34202 SOTTAK MEGAN M APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY NURSE PRACTITIONERS 770YP36331 SOTTAK MEGAN M APRN LRGHEALTHCARE GILFORD NH 03249 (603) 527-7114 FAMILY NURSE PRACTITIONERS 770YP35642 SOUCY JR ROBERT G DO INDIAN STREAM HEALTH CENTER INC COLEBROOK NH 03576 (603) 237-8336 FAMILY MEDICINE 770YP24146 SOVETSKY-CHABOT NATACHA J APRN YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 FAMILY NURSE PRACTITIONERS 77002999YP SPENCER MICHELLE T MD CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY MEDICINE 770YP23104 SPIEGELMAN DAVID M MD FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY MEDICINE 77006021YP SPIELER PHYLLIS N MD PHYLLIS N SPIELER MD ANDOVER MA 01810 (978) 470-1902 INTERNAL MEDICINE 770YP30399 SPIRES ANN B MD KRONOS HEALTH PLLC LAWRENCE MA 01843 (978) 655-6652 FAMILY MEDICINE 770YP35044 SPIRITO LINDSAY C APRN DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 PEDIATRIC NURSE PRACTITIONERS 770YP03528 SPIRO AMANDA J MD ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 695-2572 PEDIATRICS 770YP25319 SRIVASTAVA TAPASYA MD PARTNERS COMMUNITY PHYS ORGANIZATION INC ANDOVER MA 01810 (978) 783-5000 INTERNAL MEDICINE 770YP32412 ST PIERRE GRACE L APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC CHARLESTOWN NH 03603 (603) 826-5711 FAMILY NURSE PRACTITIONERS 770YP34254 STACY LAUREN M APRN MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY NURSE PRACTITIONERS 770YP16876 STADLER DANIEL S MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE

Page 42 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77009561YP STAHL KEITH A MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 INTERNAL MEDICINE 770YP28244 STAHL JAMES E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP33712 STALEY PATRICIA E MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 PEDIATRICS 770YP31802 STAMEGNA PAMELA MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 INTERNAL MEDICINE 770YP36569 STANFORD KARL APRN WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY NURSE PRACTITIONERS 770YP30580 STANLEY NICOLE APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-4949 FAMILY NURSE PRACTITIONERS 77004122YP STARK JOHN C MD MARTIN'S POINT HEALTH CARE PORTSMOUTH NH 03801 (603) 431-5154 FAMILY MEDICINE 770YP30468 STARK CHRISTINA E APRN APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 433-8434 FAMILY NURSE PRACTITIONERS 770YP30468 STARK CHRISTINA E APRN APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 FAMILY NURSE PRACTITIONERS 77000451YP STASNY ELAINE V MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-8141 PEDIATRICS 77000251YP STEBBINS PHILIP C MD AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 FAMILY MEDICINE 770YP28193 STEELE TAMMY L APRN STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 FAMILY NURSE PRACTITIONERS 770YP28194 STEELE TAMMY L APRN STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 FAMILY NURSE PRACTITIONERS 770YP31719 STEIN MICHAEL MD PINNACLE PERSONALIZED HEALTHCARE SALEM NH 03079 (603) 458-2233 FAMILY MEDICINE 770YP22004 STEIN ALAN M MD ELLIOT PHYSICIANS NETWORK ALLENSTOWN NH 03275 (603) 485-7861 FAMILY MEDICINE 770YP36869 STEPHANI PASCALE APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY NURSE PRACTITIONERS 77007410YP STEPHENS MARGARET D MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP32216 STETTMEIER MARY MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY MEDICINE 770YP08801 STEVENS MICHAEL J DO CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP08801 STEVENS MICHAEL J DO CORE PHYSICIANS LLC PORTSMOUTH NH 03801 (603) 658-2344 FAMILY MEDICINE 770YP14296 STEVENS KRISTEN E APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 ADULT NURSE PRACTITIONERS 770YP19914 STEWART BRENDA D APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC SAINT JOHNSBURY VT 05819 (802) 748-5131 PEDIATRIC NURSE PRACTITIONERS 770YP31119 STEWART JULIE A APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-6700 FAMILY NURSE PRACTITIONERS 770YP31119 STEWART JULIE A APRN VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 FAMILY NURSE PRACTITIONERS 770YP31119 STEWART JULIE A APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-6900 FAMILY NURSE PRACTITIONERS 770YP31119 STEWART JULIE A APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 FAMILY NURSE PRACTITIONERS 77008642YP STIDWILL ROBB J MD CONCORD HOSPITAL INC PEMBROKE NH 03275 (603) 485-8441 FAMILY MEDICINE 77001192YP STONE DEBORAH A APRN HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7620 PEDIATRIC NURSE PRACTITIONERS 770YP31450 STRESSENGER MARITA K APRN NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 FAMILY NURSE PRACTITIONERS 770YP29977 STRZALKA ALEXIA E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77006134YP STUCKER HEIDI A APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 INTERNAL MEDICINE NURSE PRACTITIONER 77006134YP STUCKER HEIDI A APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 740-3330 INTERNAL MEDICINE NURSE PRACTITIONER 770YP14097 STUPNYTSKYI OLEKSANDR MD EAGLE MEDICINE ASSOCIATES LAWRENCE MA 01841 (978) 725-5913 INTERNAL MEDICINE 770YP32425 STUTTS HANNAH D APRN HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-1464 FAMILY NURSE PRACTITIONERS 770YP25456 SU MARK L MD PERSONAL CARE PHYSICIANS PC NEWBURYPORT MA 01950 (978) 225-0378 FAMILY MEDICINE 770YP35628 SULLIVAN JAMES C DO FOUNDATION MEDICAL PARTNERS INC AMHERST NH 03031 (603) 673-5885 FAMILY MEDICINE 770YP31393 SULLIVAN MONICA APRN LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 FAMILY NURSE PRACTITIONERS 770YP23155 SULLIVAN CORINNE K MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 PEDIATRICS 770YP23155 SULLIVAN CORINNE K MD VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 PEDIATRICS 770YP23155 SULLIVAN CORINNE K MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-6700 PEDIATRICS 770YP23155 SULLIVAN CORINNE K MD VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 PEDIATRICS 770YP23155 SULLIVAN CORINNE K MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 PEDIATRICS 770YP31765 SULLIVAN KATHRYN E APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP31765 SULLIVAN KATHRYN E APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP31765 SULLIVAN KATHRYN E APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP31765 SULLIVAN KATHRYN E APRN GREATER SEACOAST COMMUNITY HEALTH PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP31765 SULLIVAN KATHRYN E APRN GREATER SEACOAST COMMUNITY HEALTH SEABROOK NH 03874 (603) 766-2626 FAMILY NURSE PRACTITIONERS 770YP26141 SULLIVAN MITCHELL J MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 FAMILY MEDICINE

Page 43 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77002955YP SULS HOWARD L MD DR SULS FAMILY & SPORTS MEDICINE BEDFORD NH 03110 (603) 622-2112 FAMILY MEDICINE 770YP03906 SUTTON SHAWN I MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP21378 SWAN ANNA O APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 770YP23941 SWEENEY ELIZABETH R DO INDIAN STREAM HEALTH CENTER INC COLEBROOK NH 03576 (603) 237-8336 FAMILY MEDICINE 770YP31101 SWIFT-CROFT CINDI K DO NEW DIMENSIONS FAMILY CARE CONCORD NH 03301 (603) 938-2527 FAMILY MEDICINE 770YP19544 SYKES TIFFANY C APRN LIFE LONG CARE OF NEW LONDON PLLC NEW LONDON NH 03257 (603) 526-4144 FAMILY NURSE PRACTITIONERS 770YP12086 SYLVAN JR GOSLYN R MD PARTNERS COMMUNITY PHYS ORGANIZATION INC NORTH ANDOVER MA 01845 (978) 794-2112 INTERNAL MEDICINE 770YP28797 SYNAN THOMAS J MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 770YP35000 SZCZESNY MARIE C APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY NURSE PRACTITIONERS 77001824YP SZNYCER LILIANE MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 770YP08818 TAFT LEESA L APRN WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE NURSE PRACTITIONER 77009797YP TAN SHIRLEY N MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-6700 PEDIATRICS 77009797YP TAN SHIRLEY N MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 PEDIATRICS 77006947YP TANEY SUSAN G APRN NORTHERN COUNTIES HEALTH CARE INC CONCORD VT 05824 (802) 695-2512 ADULT NURSE PRACTITIONERS 770YP05352 TANGUAY WILLIAM A MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 INTERNAL MEDICINE 77006676YP TANNER TIMOTHY H MD NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 INTERNAL MEDICINE 770YP08569 TANSKI SUSANNE E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6041 PEDIATRICS 770YP35371 TANUR MARCIA V MD HARBOR HOMES INC NASHUA NH 03060 (603) 821-7788 FAMILY MEDICINE 770YP34422 TAPPER DAVID I APRN LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE NURSE PRACTITIONER 770YP34422 TAPPER DAVID I APRN LAHEY CLINIC INC PEABODY MA 01960 (781) 744-8000 INTERNAL MEDICINE NURSE PRACTITIONER 770YP08975 TARAS MALGORZATA M MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03103 (603) 314-5900 INTERNAL MEDICINE 770YP30841 TARAS MALGORZATA MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03103 (603) 663-8716 INTERNAL MEDICINE 770YP30841 TARAS MALGORZATA MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03103 (603) 663-8718 INTERNAL MEDICINE 770YP17193 TARASEVICH DMITRY S MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 INTERNAL MEDICINE 770YP28129 TAYLOR JENNIFER L APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 ADULT NURSE PRACTITIONERS 770YP36074 TEABOLDT BRIANNE M MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 FAMILY MEDICINE 77009545YP TEDESCO RICHARD F MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 663-8200 INTERNAL MEDICINE 77004866YP TEMME THOMAS J MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 77007018YP TENNEY SUETTA M MD KRONOS HEALTH PLLC LAWRENCE MA 01843 (978) 655-6652 INTERNAL MEDICINE 770YP29940 TETLER DEVIN S APRN YORK HOSPITAL MOODY ME 04054 (207) 646-8386 ADULT NURSE PRACTITIONERS 770YP29940 TETLER DEVIN S APRN YORK HOSPITAL YORK ME 03909 (207) 351-3530 ADULT NURSE PRACTITIONERS 77004827YP THALER FREDERICK K MD YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP21558 THATCHER ANNE M APRN SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-1881 INTERNAL MEDICINE NURSE PRACTITIONER 77001137YP THAVASEELAN PERIN S MD PLEASANT VALLEY INTERNISTS METHUEN MA 01844 (978) 689-0869 INTERNAL MEDICINE 77002655YP THERIAULT ROBERT A DO ROBERT A THERIAULT DO PLLC NASHUA NH 03063 (603) 880-1511 FAMILY MEDICINE 770YP20669 THERMITUS SERAPHINE A MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3870 PEDIATRICS 77003007YP THESING GREGORY J MD CONCORD HOSPITAL INC HILLSBORO NH 03244 (603) 464-3434 FAMILY MEDICINE 77002245YP THIBODEAU JESSICA A APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WARREN NH 03279 (603) 764-5704 ADULT NURSE PRACTITIONERS 77002245YP THIBODEAU JESSICA A APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 ADULT NURSE PRACTITIONERS 77002245YP THIBODEAU JESSICA A APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 ADULT NURSE PRACTITIONERS 77002245YP THIBODEAU JESSICA A APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC FRANCONIA NH 03580 (603) 823-7078 ADULT NURSE PRACTITIONERS 770YP28440 THIBODEAU SUSAN APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRIC NURSE PRACTITIONERS 770YP03551 THIEVON SUSAN L APRN HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7574 FAMILY NURSE PRACTITIONERS 770YP08299 THIIM MICHAEL MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3235 INTERNAL MEDICINE 77005248YP THOMAS KENNETH D MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 622-7548 INTERNAL MEDICINE 770YP02569 THOMAS JOHN P MD ELLIOT PHYSICIANS NETWORK GOFFSTOWN NH 03045 (603) 497-5661 FAMILY MEDICINE 770YP25362 THOMASSEN ANNE M APRN SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE NURSE PRACTITIONER 770YP27409 THOMPSON JANNA L APRN HARBOR HOMES INC NASHUA NH 03060 (603) 821-7788 PEDIATRIC NURSE PRACTITIONERS

Page 44 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP27409 THOMPSON JANNA L APRN HARBOR HOMES INC NASHUA NH 03063 (603) 821-7788 PEDIATRIC NURSE PRACTITIONERS 770YP05535 THOMPSON JANE A MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 INTERNAL MEDICINE 770YP04013 THOMPSON MICHAEL F MD GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY MEDICINE 770YP12520 THOMPSON KATHLEEN APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2750 PEDIATRIC NURSE PRACTITIONERS 77009069YP THOMSON GEORGE G MD GEORGE G THOMSON MD PETERBOROUGH NH 03458 (603) 924-3644 FAMILY MEDICINE 770YP03828 THUMSER CAROLYN P MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP03828 THUMSER CAROLYN P MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 77001818YP THYNG DARLA L MD DARTMOUTH HITCHCOCK CLINIC MILFORD NH 03055 (603) 673-2515 FAMILY MEDICINE 770YP28405 THYNG JONATHAN B MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4440 FAMILY MEDICINE 77003422YP TIMMERMAN MARK L MD MERRIMACK VILLAGE FAMILY PRACTICE CTR MERRIMACK NH 03054 (603) 424-8120 FAMILY MEDICINE 770YP22965 TKACZYK ANN GIRLIE R APRN ST JOSEPH HOSPITAL NASHUA NH 03061 (603) 595-3722 ADULT NURSE PRACTITIONERS 770YP22965 TKACZYK ANN GIRLIE R APRN ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 ADULT NURSE PRACTITIONERS 770YP03183 TLUCKO ALENA C MD LAHEY CLINIC INC AMESBURY MA 01913 (978) 388-5050 INTERNAL MEDICINE 770YP22345 TODD JOHN W APRN BRATTLEBORO MEMORIAL HOSPITAL PUTNEY VT 05346 (802) 387-5581 FAMILY NURSE PRACTITIONERS 770YP18811 TOKA FRANCOIS N APRN GLOBAL FAMILY HEALTH LLC NASHUA NH 03060 (603) 943-7064 FAMILY NURSE PRACTITIONERS 770YP29952 TOLBERT CYNTHIA R MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 622-6491 FAMILY MEDICINE 770YP32343 TOLENTINO NICHOLAS J APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY NURSE PRACTITIONERS 770YP32343 TOLENTINO NICHOLAS J APRN ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 FAMILY NURSE PRACTITIONERS 770YP29334 TOLL JOSHUA A MD DARTMOUTH HITCHCOCK CLINIC WALPOLE NH 03608 (603) 756-3960 FAMILY MEDICINE 770YP02633 TOMS ANGELA M MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP33366 TOSHACH DENISE M MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 770YP33234 TOUSSAINT CAROLINE A APRN FOUNDATION MEDICAL PARTNERS INC AMHERST NH 03031 (603) 673-8558 FAMILY NURSE PRACTITIONERS 770YP34937 TRACY JODI L APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY NURSE PRACTITIONERS 770YP35783 TRAMPOSCH HELEN MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 77005647YP TRANCHEMONTAGNE TERESA W DO FOUNDATION MEDICAL PARTNERS INC AMHERST NH 03031 (603) 673-5885 INTERNAL MEDICINE 770YP18372 TRAVASSOS RENEE A DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 770YP02978 TREMBLAY ANDREW MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP12182 TREMBLAY CHRISTINE DO WELLS FAMILY PRACTICE LLC WELLS ME 04090 (207) 646-0676 FAMILY MEDICINE 770YP35955 TRIFILO NANCY E APRN FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY NURSE PRACTITIONERS 770YP05298 TRUEBE SANDRA F MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8300 PEDIATRICS 770YP35082 TRULAND JACLYN APRN ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY NURSE PRACTITIONERS 77009029YP TSYPKIN LUBA MD LUBA TSYPKIN MD NORTH ANDOVER MA 01845 (978) 975-2300 INTERNAL MEDICINE 77006760YP TURIANO ANTHONY E MD STEWARD MEDICAL GROUP INC ANDOVER MA 01810 (978) 269-0017 FAMILY MEDICINE 770YP21094 TURKINGTON NANCY M MD MONTSHIRE PEDIATRICS PC WEST LEBANON NH 03784 (603) 643-6700 PEDIATRICS 77004988YP TURNER HENRY D MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 77004988YP TURNER HENRY D MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC HAMPTON NH 03842 (603) 929-3838 PEDIATRICS 77009442YP TZVETANOV TZVETAN MD TZVELAN TZVELANOV INTERNAL MEDICINE LLC N ANDOVER MA 01845 (978) 258-3355 INTERNAL MEDICINE 770YP26361 UDOMPRASERT PAMELA S MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRICS 770YP33771 UITERWYK SEAN MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 FAMILY MEDICINE 770YP18511 ULLAL RITU G MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4440 FAMILY MEDICINE 770YP05388 UPADRASTA VIJAYA L MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 77007170YP URBAN MICHELLE A MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 FAMILY MEDICINE 770YP34592 VAID SMRITI MD CATHOLIC MEDICAL CENTER GOFFSTOWN NH 03045 (603) 314-4500 INTERNAL MEDICINE 770YP36860 VALDES ERNESTO R MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP20949 VALERAS ANDREW S DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP36499 VALLARIO RONALD D MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 GERIATRIC MEDICINE 770YP34466 VALMASSOI JANICE MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 PEDIATRICS 77005030YP VAN DER LAAN PANCRAS H MD WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-2521 INTERNAL MEDICINE

Page 45 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77005030YP VAN DER LAAN PANCRAS H MD WEEKS MEDICAL CENTER WHITEFIELD NH 03598 (949) 852-3400 INTERNAL MEDICINE 77005030YP VAN DER LAAN PANCRAS H MD WEEKS MEDICAL CENTER GROVETON NH 03582 (603) 788-6213 INTERNAL MEDICINE 770YP34046 VAN SICKLE DOUGLAS APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY NURSE PRACTITIONERS 770YP33795 VAN VRANKEN NANCY J MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 77004688YP VANDERLINDE TANJA MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 77005521YP VANTUIL SHARON L MD RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRICS 770YP03448 VELAZQUEZ-EVANS MARIA MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE 77004543YP VELLA JR SALVATORE J DO FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3300 INTERNAL MEDICINE 770YP25340 VENMAN-CLAY CLAIRE APRN SOJOURNS COMMUNITY HEALTH CLINIC WESTMINSTER VT 05158 (802) 722-4023 FAMILY NURSE PRACTITIONERS 770YP31089 VENO DANIEL A MD LAHEY CLINIC INC SOUTH HAMILTON MA 01982 (978) 468-7346 FAMILY MEDICINE 77005124YP VERANI DANIELA E MD DANIELA E VERANI, MD PA LONDONDERRY NH 03053 (603) 434-4363 FAMILY MEDICINE 770YP36842 VESEY JACLYN APRN HARBOR HOMES INC NASHUA NH 03060 (603) 821-7788 FAMILY NURSE PRACTITIONERS 770YP20862 VICUNA-KEADY CECILIA M APRN KEADY FAMILY PRACTICE CHARLESTOWN NH 03603 (603) 826-3434 FAMILY NURSE PRACTITIONERS 770YP20862 VICUNA-KEADY CECILIA M APRN KEADY FAMILY PRACTICE NEWPORT NH 03773 (603) 863-7777 FAMILY NURSE PRACTITIONERS 770YP20862 VICUNA-KEADY CECILIA M APRN KEADY FAMILY PRACTICE CLAREMONT NH 03743 (603) 863-7777 FAMILY NURSE PRACTITIONERS 770YP30685 VIEL KARA M APRN FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY NURSE PRACTITIONERS 770YP00579 VILLANUEVA ANDREW G MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP00579 VILLANUEVA ANDREW G MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4654 INTERNAL MEDICINE 770YP00579 VILLANUEVA ANDREW G MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 922-3000 INTERNAL MEDICINE 770YP29806 VITALE JOYCE A APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 INTERNAL MEDICINE NURSE PRACTITIONER 770YP27317 VOGT CHRISTOPHER T DO DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP10885 VORE JON MICHAEL B DO FOUNDATION MEDICAL PARTNERS INC AMHERST NH 03031 (603) 673-5885 FAMILY MEDICINE 770YP35702 WADAS ERICA D MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP25755 WAGEMAN KATE APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 FAMILY NURSE PRACTITIONERS 770YP17577 WAGGETT IAN W MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7555 INTERNAL MEDICINE 770YP20793 WAGNER TRACI L MD LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-7070 PEDIATRICS 770YP31386 WAGNER TRACI MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 PEDIATRICS 770YP35484 WAITT ANN APRN YORK HOSPITAL YORK ME 03909 (207) 351-1710 PEDIATRIC NURSE PRACTITIONERS 770YP33819 WAJID FAIZA DO WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 FAMILY MEDICINE 770YP35500 WALLACE CHRISTI MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP25828 WALROD MARK D MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP29625 WALSH MARY DO WATERBORO VILLAGE PEDIATRICS LLC PA EAST WATERBORO ME 04030 (207) 247-6742 PEDIATRICS 770YP02388 WALSHE EDWARD D MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8430 INTERNAL MEDICINE 770YP02388 WALSHE EDWARD D MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP00584 WARNER ANDREW S MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8740 INTERNAL MEDICINE 770YP00584 WARNER ANDREW S MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP31718 WARNER ASHLEY A MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 FAMILY MEDICINE 770YP26612 WARREN TAMMY M APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-8900 ADULT NURSE PRACTITIONERS 77004997YP WARREN JOANN M MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 77004997YP WARREN JOANN M MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC HAMPTON NH 03842 (603) 929-3838 PEDIATRICS 770YP33523 WARRICK CHRISTINE APRN BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-2311 FAMILY NURSE PRACTITIONERS 770YP02769 WASZKOWSKI DANIEL A MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP02769 WASZKOWSKI DANIEL A MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP02769 WASZKOWSKI DANIEL A MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP02769 WASZKOWSKI DANIEL A MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP28090 WATKINS KELLEY APRN MID-STATE HEALTH CENTER BRISTOL NH 03222 (603) 744-6200 ADULT NURSE PRACTITIONERS 770YP28090 WATKINS KELLEY APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 ADULT NURSE PRACTITIONERS 770YP25453 WATSON SABINE APRN NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY NURSE PRACTITIONERS

Page 46 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP30771 WATTERSON DALE E APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-0063 FAMILY NURSE PRACTITIONERS 770YP27783 WATTO MICHAEL B DO SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-1881 FAMILY MEDICINE 770YP36466 WAX JENNE R MD MEDICAL CARE OF BOSTON MANAGEMENT CORP AMESBURY MA 01913 (978) 388-1400 FAMILY MEDICINE 770YP36184 WEBBER CARRIE M MD COTTAGE HOSPITAL WOODSVILLE NH 03785 (603) 747-2900 FAMILY MEDICINE 770YP12487 WEBER DENISE A MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 770YP30353 WEIDHAAS SARAH A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-8900 PEDIATRICS 770YP30353 WEIDHAAS SARAH A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-5155 PEDIATRICS 770YP30353 WEIDHAAS SARAH A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-5154 PEDIATRICS 770YP30353 WEIDHAAS SARAH A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-7901 PEDIATRICS 770YP30353 WEIDHAAS SARAH A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-8490 PEDIATRICS 77007467YP WEINSTEIN MICHAEL P MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 770YP22093 WEISS GERRI APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3300 ADULT NURSE PRACTITIONERS 770YP03546 WELTER JOHN F DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP03546 WELTER JOHN F DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP03546 WELTER JOHN F DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP03546 WELTER JOHN F DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC BEDFORD NH 03110 (603) 537-1300 FAMILY MEDICINE 770YP04040 WERNER ALAIN-MARC MD HIGHLAND PRIMARY CARE NEWBURYPORT MA 01950 (978) 463-7770 INTERNAL MEDICINE 770YP33379 WERTH JEREMY B MD CONCORD HOSPITAL INC WARNER NH 03278 (603) 456-6106 FAMILY MEDICINE 77001986YP WESTINGHOUSE ANDREA L MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 257-4000 PEDIATRICS 770YP36507 WETHERBEE KATHARINE DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77008451YP WHEELER JOHN H DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77008451YP WHEELER JOHN H DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77008451YP WHEELER JOHN H DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP26207 WHITE STEPHANIE L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP16050 WHITE KELLY APRN CONCORD HOSPITAL INC EPSOM NH 03234 (603) 736-6200 FAMILY NURSE PRACTITIONERS 770YP14353 WHITE KELLEY J MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 PEDIATRICS 770YP31891 WHITFIELD MARTHA M APRN NORTHERN COUNTIES HEALTH CARE INC HARDWICK VT 05843 (802) 472-3300 FAMILY NURSE PRACTITIONERS 770YP19094 WIDNESS CRAIG P MD ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 INTERNAL MEDICINE 770YP26012 WIEMER KELLY A APRN CONCORD HOSPITAL INC WARNER NH 03278 (603) 456-6106 FAMILY NURSE PRACTITIONERS 770YP29449 WILDER PAIGE E APRN GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 953-0065 FAMILY NURSE PRACTITIONERS 770YP14477 WILLARD JENNIFER H APRN WENTWORTH DOUGLASS PHYSICIAN CORP BARRINGTON NH 03825 (603) 664-2135 ADULT NURSE PRACTITIONERS 770YP14477 WILLARD JENNIFER H APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 ADULT NURSE PRACTITIONERS 770YP14477 WILLARD JENNIFER H APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-2263 ADULT NURSE PRACTITIONERS 77001497YP WILLIAMS LINDA A MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6030 PEDIATRICS 77004124YP WILLIAMSON DOUGLAS E MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 PEDIATRICS 770YP33436 WILLIFORD SARA E MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP36298 WILSON TOLLER DO BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 770YP33662 WILSON LINDA J APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-8900 FAMILY NURSE PRACTITIONERS 770YP33662 WILSON LINDA J APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY NURSE PRACTITIONERS 770YP33662 WILSON LINDA J APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY NURSE PRACTITIONERS 770YP34123 WILSON JANET D APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-5131 FAMILY NURSE PRACTITIONERS 770YP17178 WILT III RAY E DO FRISBIE MEMORIAL HOSPITAL BARRINGTON NH 03825 (603) 664-9003 FAMILY MEDICINE 770YP02578 WINGER CHRISTINE E MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7000 INTERNAL MEDICINE 770YP15282 WINIECKI MARC A DO MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY MEDICINE 770YP29203 WINN GARY S DO PROVIDERS CARE PA BIDDEFORD ME 04005 (207) 286-2273 FAMILY MEDICINE 770YP29203 WINN GARY S DO PROVIDERS CARE PA SANFORD ME 04073 (207) 459-7768 FAMILY MEDICINE 770YP05180 WISE JENNIFER R MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 624-4380 INTERNAL MEDICINE 77000132YP WITKIN RONALD H MD LACONIA INTERNAL MEDICINE PLLC LACONIA NH 03246 (603) 524-9201 INTERNAL MEDICINE

Page 47 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77003014YP WOLFE TIMOTHY MD NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 INTERNAL MEDICINE 770YP14770 WOO KINGSON J MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP33635 WOOD REBECCA M MD NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 INTERNAL MEDICINE 770YP33635 WOOD REBECCA M MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 77001232YP WOOD LORI A APRN FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 FAMILY NURSE PRACTITIONERS 77001232YP WOOD LORI A APRN FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY NURSE PRACTITIONERS 770YP11396 WOOD-FRIEND AMANDA L APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 770YP11396 WOOD-FRIEND AMANDA L APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 770YP29356 WOOD-FRIEND AMANDA L APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 994-7679 FAMILY NURSE PRACTITIONERS 770YP00601 WOODS BARTHOLOMEW O MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8470 INTERNAL MEDICINE 770YP00601 WOODS BARTHOLOMEW O MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP36893 WOODSIDE TERESA M APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY NURSE PRACTITIONERS 770YP36692 WORDEN JILL M APRN LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY NURSE PRACTITIONERS 77007491YP WORRELL KAREEN A DO YOUR MEDICAL HOME LLC EXETER NH 03833 (603) 418-6310 FAMILY MEDICINE 770YP13454 WRIGHT ERINN H MD BRIDGTON HOSPITAL NAPLES ME 04055 (207) 693-6106 FAMILY MEDICINE 77009808YP WRIGHT WENDY L APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP20216 WRIGHT VIRGINIA L APRN CROSSROADS FAMILY MEDICINE PLLC CONCORD NH 03301 (603) 856-8828 FAMILY NURSE PRACTITIONERS 770YP27770 WRIGHT WILLIAMS HEATHER MD DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2500 PEDIATRICS 770YP12177 WU MICHAEL C MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 778-2899 FAMILY MEDICINE 770YP00603 WU TIMOTHY R MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP00603 WU TIMOTHY R MD LAHEY CLINIC INC WINCHESTER MA 01890 (781) 756-2260 INTERNAL MEDICINE 770YP00603 WU TIMOTHY R MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4654 INTERNAL MEDICINE 770YP00603 WU TIMOTHY R MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 922-3000 INTERNAL MEDICINE 770YP04244 YAGER ROBERT D MD KING MEDICAL ASSOCIATES NASHUA NH 03060 (603) 595-2300 FAMILY MEDICINE 77002659YP YARIAN DAVID O MD YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 FAMILY MEDICINE 77001014YP YEGHIAZARIANS VARTAN MD SALEM NH PHYSICIANS NETWORK PC METHUEN MA 01844 (978) 685-5627 INTERNAL MEDICINE 77001014YP YEGHIAZARIANS VARTAN MD SALEM NH PHYSICIANS NETWORK PC SALEM NH 03079 (603) 898-6363 INTERNAL MEDICINE 770YP05083 YEH KEVIN J MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP03075 YEH CHIH Y MD AUTUMN GRACE MEDICAL ASSOCIATES PC METHUEN MA 01844 (978) 682-3939 INTERNAL MEDICINE 770YP24777 YEHLING HILARY A MD ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 PEDIATRICS 770YP08848 YERDON MCLEOD ANGELA M DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP00606 YING CHRISTOPHER Y MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP00606 YING CHRISTOPHER Y MD LAHEY CLINIC INC PEABODY MA 01960 (781) 744-8000 INTERNAL MEDICINE 770YP31013 YONG-YOW SABRINA MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 FAMILY MEDICINE 770YP34049 YOUNG KEVIN MD SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-1881 FAMILY MEDICINE 770YP30397 YOUNG CHRISTINE E MD KRONOS HEALTH PLLC LAWRENCE MA 01843 (978) 655-6652 INTERNAL MEDICINE 77002325YP YOUNG MITCHELL R MD DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2940 FAMILY MEDICINE 77002325YP YOUNG MITCHELL R MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4188 FAMILY MEDICINE 770YP36490 YOUNG RICHARD APRN HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-1464 FAMILY NURSE PRACTITIONERS 770YP29506 YOUNG JANET A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP03582 YOUNG-XU SARAH P MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY MEDICINE 77008637YP YOURTEE EDWARD L MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 77008637YP YOURTEE EDWARD L MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP04111 YOUSSEF DENISE E MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 770YP14099 YOUSSEF RULA M MD NEW ENGLAND PRIMARY CARE ASSOCIATES PC LAWRENCE MA 01843 (978) 685-2455 FAMILY MEDICINE 77003259YP YUIL GABRIEL MD YUIL MEDICAL ASSOCIATES PLLC LAWRENCE MA 01841 (978) 682-3233 FAMILY MEDICINE 770YP27246 YUKICA REBECCA L DO UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRICS 77000386YP ZACHOS SARAH C MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE

Page 48 of 49 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2020 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77000386YP ZACHOS SARAH C MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 77000386YP ZACHOS SARAH C MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP24850 ZAHEEN ASIA MD MERRIMACK MEDICAL & WALK IN S LAWRENCE MA 01841 (978) 688-3100 FAMILY MEDICINE 770YP16025 ZAKORCHEMNY LAURA L APRN HEALTH FIRST FAMILY CARE CENTER LACONIA NH 03246 (603) 366-1070 FAMILY NURSE PRACTITIONERS 770YP30678 ZAKORCHEMNY LAURA APRN YORK HOSPITAL WELLS ME 04090 (207) 646-5211 FAMILY NURSE PRACTITIONERS 770YP03165 ZANGARA RICHARD J MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7100 INTERNAL MEDICINE 770YP19694 ZDRNJA VLASTA MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE 77004263YP ZEGANS CLAUDIA C MD DARTMOUTH HITCHCOCK CLINIC HANOVER NH 03755 (603) 650-4000 PEDIATRICS 77004263YP ZEGANS CLAUDIA C MD DARTMOUTH HITCHCOCK CLINIC HANOVER NH 03755 (603) 646-9400 PEDIATRICS 770YP18423 ZENT KEVIN B MD GREATER SEACOAST COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY MEDICINE 770YP12542 ZHAO CHUN-RUI R MD ST JOSEPH HOSPITAL NASHUA NH 03061 (603) 595-3722 FAMILY MEDICINE 770YP12542 ZHAO CHUN-RUI R MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 FAMILY MEDICINE 770YP12535 ZIADA IHAB MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 770YP10869 ZIELINSKA ANNA M MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 888-5573 FAMILY MEDICINE 77009235YP ZIELINSKI RANDALL S MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7222 INTERNAL MEDICINE 77009235YP ZIELINSKI RANDALL S MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6800 INTERNAL MEDICINE 770YP14507 ZILBER DMITRIY A MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 INTERNAL MEDICINE 77001848YP ZINNES ROBERT M MD FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 FAMILY MEDICINE 770YP05271 ZUSER LYDIA MD LYDIA ZUSER MD HAVERHILL MA 01830 (978) 373-1591 INTERNAL MEDICINE 77003291YP ZWAAN ANTHONY C MD ANTHONY C ZWAAN MD PLLC EXETER NH 03833 (603) 773-2225 FAMILY MEDICINE

Page 49 of 49