Provider Directory

The Health Plan 1110 Main Street, Wheeling, WV 26003 1.800.624.6961 (TTY: 711) healthplan.org

DISCLAIMER: The Health Plan has made every effort to be sure that this list of providers is up-to-date and correct. Please make sure the provider is on our network before you make an appointment. You can ask the provider. You can also ask our Customer Service. You can then be sure that he/she is still a part of our network. Members should refer to their Member Handbook for benefits. Call our Customer Service to see if the provider type is covered. Feel free to ask if the treatment you need from a network provider is covered. Neither The Health Plan nor its Licensees are liable for any losses, damages, or uncovered charges because of using this listing.

REV 1.14.2021 WVU Medicine Employee Benefit Plan – Tier 1 Helpful Information When Using This Provider Directory

This directory lists physicians, hospitals and other 3. NETWORK HOSPITAL: A network hospital is a healthcare facilities/providers that are contracted facility that is contracted with The Health Plan to with The Health Plan as of the date this directory was provide healthcare services to self-funded plan printed. Please take some time to familiarize yourself participants and their dependents. The hospital with the directory, and contact The Health Plan, your listing includes abbreviations for each hospital. self-funded benefits administrator, with any questions These abbreviations appear in both the PCP and you may have. SCP listings, indicating at which hospital(s) the physician has privileges. If you prefer a specific 1. PRIMARY CARE PHYSICIANS (PCP): Whether or hospital, make sure the PCP or SCP you select has not your plan requires you to identify a PCP on privileges at this hospital. Please refer to the listing your enrollment application, a PCP is the doctor of “Participating Hospitals” for an explanation of you choose from our network to provide basic the abbreviation used for each hospital. healthcare. Depending on your plan, your PCP may also be responsible for providing or 4. ANCILLARY SERVICES: Healthcare services authorizing additional covered services under your provided by contracted providers. These providers in-network benefits. Please refer to the section include ambulatory surgery centers, durable entitled “Primary Care Physicians” for a complete medical equipment suppliers, home healthcare listing of PCPs with their addresses and phone providers, laboratory services, skilled nursing and numbers. If you are required to select a PCP, rehabilitation facilities, urgent care centers and selections can be changed once per calendar more. month. If you have any questions regarding the professional qualifications of any participating PLEASE NOTE: Provider changes occur daily. physician please contact The Health Plan at To verify accuracy of information, consider calling 1.800.624.6961 (TTY: 711). the provider’s office directly or our Customer Service Department for further assistance, or you may visit our Non-physician practitioners can be listed as a website at healthplan.org. PCP: certified nurse practitioners

2. SPECIALTY CARE PHYSICIANS (SCP): A doctor who provides healthcare services for a specific disease or part of the body. Depending on your plan, a referral from your PCP may be required to access services from an SCP under your in-network benefits. Please refer to the section entitled “Specialist” for a complete listing of SCPs with their addresses and phone numbers.

Non-physician practitioners can be listed as your SCP: certified nurse midwife HELPFUL INFORMATIONWVU Medicine WHEN USINGEmployee THIS PROVIDERBenefit Plan DIRECTORY – Tier 1 Helpful Information When Using This Provider Directory

The following services under the WVU Medicine The providers included in this directory are Employee Benefits Plan will have cost-sharing that is based upon your listed county of residence and determined by a tiered (Tier 1/Tier 2) provider/facility includes your county and adjacent counties. network: For a complete listing of providers within The • Inpatient Hospital Health Plan network, please refer to our website • Physician Services at healthplan.org or call our our Customer Service Department at the number below. • Outpatient Diagnostic Procedures, Tests • Outpatient Diagnostic Radiological Services CUSTOMER SERVICE • Outpatient X-Rays Services 1.800.624.6961 (TTY: 711) • Outpatient Hospital Services • Outpatient Rehabilitation Services (Occupational, Physical, and Speech Therapy) SYMBOLS TO KNOW • Ambulatory Surgical Centers (ASC) Services # = Accredited Hospital Here is how your coverage will work for these services: * = Board Certified in the specialty indicated • Members will pay Tier 1 cost-sharing for the above @ = Foreign Language spoken services at any WVU Medicine affiliated provider or % = Cultural Competency Training Complete facility. (T1) = Tier 1 Facilities • Members will pay Tier 2 cost-sharing for the above service at any non-Tier 1 contracted provider or TABLE OF CONTENTS facility listed in this directory. Section 1: Participating Hospitals Tier 1 providers/facilities will have (T1) listed after their Section 2: Tertiary Providers name in this Provider Directory. Section 3: Primary Care Physicians Tier 2 facilities will be all other facilities listed in this Section 4: Non-Physician Primary Care Provider Directory. Practitioners Section 5: Secondary Care Physicians Please refer to your Evidence of Coverage (EOC) for more information on the cost-sharing for each tier. Section 6: Non-Physician Secondary Care Practitioners Section 7: Specialists Section 8: Behavioral Medicine & Psychiatry Facilities Section 9: Behavioral Medicine & Psychiatry Section 10: Ancillary Services Section 11: Index

REV 1.14.2021 ﻣﻠﺤﻮظﺔ: إذا ﻛﻨﺖ ﺗﺘﺤﺪث اذﻛﺮ اﻟﻠﻐﺔ، ﻓﺈن ﺧﺪﻣﺎت اﻟﻤﺴﺎﻋﺪة اﻟﻠﻐﻮﯾﺔ ﺗﺘﻮاﻓﺮ ﻟﻚ ﺑﺎﻟﻤﺠﺎن. اﺗﺼﻞ ﺑﺮﻗﻢ 1.877.847.7907 (رﻗﻢ ھﺎﺗﻒ اﻟﺼﻢ واﻟﺒﻜﻢ: 711). Wann du Deitsch (Pennsylvania German / Dutch) Discrimination is Against the Law schwetzscht, kannscht du mitaus Koschte ebber The Health Plan complies with applicable Federal civil gricke, ass dihr helft mit die englisch Schprooch. Ruf rights laws and does not discriminate on the basis of selli Nummer uff: Call 1-877-847-7907 (TTY: 711). race, color, national origin, age, disability, or sex. The ВНИМАНИЕ: Если вы говорите на русском языке, то вам Health Plan does not exclude people or treat them доступны бесплатные услуги перевода. Звоните 1-877-847- differently because of race, color, national origin, age, 7907 ( : 711). disability, or sex. The Plan: телетайп ATTENTION: Si vous parlez français, des services • Provides free aids and services to people with d'aide linguistique vous sont proposés gratuitement. disabilities to communicate effectively with us, Appelez le 1-877-847-7907 (ATS: 711). such as: o Qualified sign language interpreters CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ o Written information in other formats (large ngôn ngữ miễn phí dành cho bạn. Gọi số print, audio, accessible electronic formats, 1-877-847-7907 (TTY: 711). other formats) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila • Provides free language services to people whose gargaarsa afaanii, kanfaltiidhaan ala, ni argama. primary language is not English, such as: Bilbilaa 1-877-847-7907 (TTY: 711). o Qualified interpreters o Information written in other languages 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-877-847-7907 (TTY: If you need these services, contact The Health Plan 711).번으로 전화해 주십시오. Customer Service Department. ATTENZIONE: In caso la lingua parlata sia l’italiano, If you believe that The Plan has failed to provide these sono disponibili servizi di assistenza lingüística services or discriminated in another way on the basis gratuiti. Chiamare il numero 1-877-847-7907 of race, color, national origin, age, disability, or sex, (TTY: 711). you can file a grievance with: The Health Plan Appeals Coordinator, 1110 Main Street, Wheeling, WV 26003, 注意事項：日本語を話される場合、無料の言語支援をご利 Phone: 1.877.847.7907, TTY: 711, Fax 用いただけます。1-877-847-7907 (TTY: 711) まで、お 740.699.6163, Email: [email protected]. You can 電話にてご連絡ください。 file a grievance in person or by mail, fax, or email. If you need help filing a grievance The Health Plan AANDACHT: Als u nederlands spreekt, kunt u gratis Customer Service Department is available to help you. gebruikmaken van de taalkundige diensten. You can also file a civil rights complaint with the U.S. Bel 1-877-847-7907 (TTY: 711). Department of Health and Human Services, Office for УВАГА! Якщо ви розмовляєте українською мовою, ви Civil Rights, electronically through the Office for Civil можете звернутися до безкоштовної служби мовної Rights Complaint Portal, available at . https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by підтримки Телефонуйте за номером mail or phone at: 1-877-847-7907 (телетайп: 711). U.S. Department of Health and Human Services ATENȚIE: Dacă vorbiți limba română, vă stau la 200 Independence Avenue, SW dispoziție servicii de asistență lingvistică, gratuit. Room 509F, HHH Building Sunați la 1-877-847-7907 (TTY: 711). Washington, D.C. 20201 PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari 1.800.368.1019, 1.800.537.7697 (TDD). kang gumamit ng mga serbisyo ng tulong sa wika Complaint forms are available at nang walang bayad. Tumawag sa http://www.hhs.gov/ocr/office/file/index.html. 1-877- 847-7907 （TTY：711). ATTENTION: If you speak English, language assistance เรียน: ถา้ คุณพดู ภาษาไทยคุณสามารถใชบ้ ริการช่วยเหลือทางภาษาไดฟ้ รี โทร services, free of charge, are available to you. Call 1-877-847-7907 (TTY: 711). 1-877-847-7907 (TTY: 711).

ATENCIÓN: Si habla español, tiene a su disposición धान िदनुहोस्: तपाइरले नेपाली बोलुहन भने तपाइरको िनिम भाषा सहायता servicios gratuitos de asistencia lingüística. Llame al सेवाहर िनःशुल रपमा उपलब छ । फोन गनुरहोस् 1-877- 847-7907 1-877-847-7907 (TTY: 711). (िटिटवाइ: 711).। 注意：如果您使用繁體中文，您可以免費獲得語言援助服務 ﺗﻮﺟﮫ: اﮔﺮ ﺑﮫ زﺑﺎن ﻓﺎرﺳﯽ ﮔﻔﺘﮕﻮ ﻣﯽ ﮐﻨﯿﺪ، ﺗﺴﮭﯿﻼت زﺑﺎﻧﯽ ﺑﺼﻮرت راﯾﮕﺎن ﺑﺮای （請致電 1-877- 847-7907（TTY：711。 ﺗﻤﺎس ﺑﮕﯿﺮﯾﺪ.(TTY: 711) 7907-847 -877-1ﺷﻤﺎ ﻓﺮاھﻢ ﻣﯽ ﺑﺎﺷﺪ. ﺑﺎ ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen ﺧﺒﺮدار: اﮔﺮ آپ اردو ﺑﻮﻟﺘﮯ ﮨﯿﮟ، ﺗﻮ آپ ﮐﻮ زﺑﺎن ﮐﯽ ﻣﺪد ﮐﯽ ﺧﺪﻣﺎت ﻣﻔﺖ ﻣﯿﮟ kostenlos sprachliche Hilfsdienstleistungen zur .(TTY: 711) 7907-847 -877-1دﺳﺘﯿﺎب ﮨﯿﮟ ۔ ﮐﺎل ﮐﺮﯾﮟ Verfügung. Rufnummer: 1-877-847-7907 (TTY: 711). Revised 5/2020

Section 1 Participating Hospitals

JEFFERSON COUNTY, WV ALLEGANY COUNTY, MD DIALYSIS CLINIC INC (T1) Ambulatory Surgery JEFFERSON MEDICAL UPMC WESTERN 3412 BABCOCK BLVD Centers CENTER (T1) # MARYLAND (T1) # PITTSBURGH, PA 15237 412 635-0211 WASHINGTON COUNTY, WVU MEDICINE 12502 WILLOWBROOK RD OH 300 S PRESTON ST STE 250 www.dciinc.org OHIO VALLEY RANSON, WV 25438 CUMBERLAND, MD 21502 EAST END PITTSBURGH AMBULATORY SURGERY 304 728-1600 240 964-8600 DIALYSIS (T1)% CENTER (T1) # https://wvumedicine.org/jeffe www.wmhs.com 7714 PENN AVE WVU MEDICINE rson ALLEGHENY COUNTY, PA PITTSBURGH, PA 15221 608 WASHINGTON BLVD 412 241-6790 MINERAL COUNTY, WV ALLEGHENY VALLEY BELPRE, OH 45714 POTOMAC VALLEY DIALYSIS (T1) www.davita.com 740 423-4684 HOSPITAL OF WV INC 1620 PACIFIC AVE ELIZABETH DIALYSIS (T1) (T1) # NATRONA HEIGHTS, PA 201 MCKEESPORT RD Critical Access WVU MEDICINE 15065 ELIZABETH, PA 15037 Facility 100 PIN OAK LN 724 224-4382 412 384-1822 KEYSER, WV 26726 BELMONT COUNTY, OH www.davita.com www.davita.com 304 597-3500 BARNESVILLE HOSPITAL BETHEL PARK DIALYSIS HARMARVILLE DIALYSIS https://wvumedicine.org/poto (T1) #% (T1)% (T1)% mac-valley-hospital 639 W MAIN ST 6000 ALICIA DR 791 FREEPORT RD BARNESVILLE, OH 43713 NICHOLAS COUNTY, WV BETHEL PARK, PA 15102 CHESWICK, PA 15024 740 425-3941 SUMMERSVILLE 412 833-2612 724 274-9281 REGIONAL MEDICAL BRAXTON COUNTY, WV BLOOMFIELD www.davita.com CENTER (T1) PITTSBURGH DIALYSIS HOMESTEAD DIALYSIS BRAXTON COUNTY WVU MEDICINE (T1)% (T1) MEMORIAL HOSPITAL 400 FAIRVIEW HEIGHTS 5171 LIBERTY AVE STE C 207 W 7TH AVE (T1) RD PITTSBURGH, PA 15224 WEST HOMESTEAD, PA WVU MEDICINE SUMMERSVILLE, WV 412 683-3212 15120 100 HOYLMAN DR 26651 www.davita.com 412 476-8700 GASSAWAY, WV 26624 304 872-2891 304 364-5156 www.davita.com https://wvumedicine.org/sum DIALYSIS CLINIC INC (T1) https://wvumedicine.org/brax mersville 100 S JACKSON AVE FL 7 JEFFERSON DIALYSIS ton PITTSBURGH, PA 15202 (T1) UPSHUR COUNTY, WV HARRISON COUNTY, OH 412 766-6590 14 CLAIRTON BLVD ST JOSEPH'S HOSP OF HARRISON COMMUNITY www.dciinc.org PITTSBURGH, PA 15236 BUCKHANNON (T1) # 412 653-6007 HOSPITAL INC (T1) # WVU MEDICINE DIALYSIS CLINIC INC (T1) www.davita.com 951 E MARKET ST 1 AMALIA DR 376 FISK AVE CADIZ, OH 43907 BUCKHANNON, WV 26201 PITTSBURGH, PA 15202 LINCOLN WAY DIALYSIS 740 942-4631 304 473-2000 412 683-2670 (T1) 1303 LINCOLN WAY STE A JACKSON COUNTY, WV https://wvumedicine.org/st-jo www.dciinc.org WHITE OAK, PA 15131 JACKSON GENERAL sephs-hospital DIALYSIS CLINIC INC (T1) 412 673-1191 HOSPITAL (T1) 1603 CARMODY CT STE WVU MEDICINE Dialysis Centers 103 www.davita.com SEWICKLEY, PA 15143 122 PINNELL ST ADAMS COUNTY, OH MCKEESPORT DIALYSIS RIPLEY, WV 25271 878 332-5252 (T1) DIALYSIS CLINIC INC (T1) 304 372-2731 www.dciinc.org 2001 LINCOLN WAY 65 COMMERCE DR WHITE OAK, PA 15131 https://wvumedicine.org/jack SEAMAN, OH 45679 412 678-0183 son-general-hospital 937 386-0818 www.dciinc.org

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 1 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MCKEESPORT WEST ASHLAND COUNTY, OH BERKELEY COUNTY, WV J ROBERT PRITCHARD DIALYSIS (T1) FMC ASHLAND COUNTY BMA MARTINSBURG (T1) HOME THERAPIES (T1) 101 9TH ST (T1) BIOMEDICAL BIOMEDICAL MCKEESPORT, PA 15132 BIOMEDICAL APPLICATIONS OF WV APPLICATIONS OF WV 412 672-3720 APPLICATIONS OF OH 103 MARCLEY DR 1500 17TH ST www.davita.com 1100 REDWOOD DR MARTINSBURG, WV 25401 HUNTINGTON, WV 25701 304 525-8091 MONROEVILLE DIALYSIS ASHLAND, OH 44805 304 263-0964 (T1)% 419 281-7800 www.freseniuskidneycare.co www.freseniuskidneycare.co 2690 MONROEVILLE BLVD www.freseniuskidneycare.co m m MONROEVILLE, PA 15146 m FMC EASTERN COLUMBIANA COUNTY, 412 856-5950 ASHTABULA COUNTY, OH PANHANDLE (T1) OH DIALYSIS CLINIC INC (T1) www.davita.com ANDOVER DIALYSIS (T1) BIOMEDICAL 325 W 6TH ST NORTHSIDE DIALYSIS 488 S MAIN ST APPLICATIONS OF WV EAST LIVERPOOL, OH (T1) ANDOVER, OH 44003 931 FOXCROFT AVE 43920 930 MADISON AVE 440 293-6028 MARTINSBURG, WV 25401 330 382-0835 PITTSBURGH, PA 15212 www.davita.com 304 264-0333 www.freseniuskidneycare.co www.dciinc.org 412 322-2520 ASHTABULA DIALYSIS m www.davita.com (T1) FMC SALEM SOUTH (T1) BOONE COUNTY, WV RENAL CARE GROUP PENN HILLS DIALYSIS 1614 W 19TH ST EASTERN OHIO LLC (T1)% ASHTABULA, OH 44004 GREATER BOONE 2345 E PERSHING ST 202 RODI RD 440 964-9777 DIALYSIS (T1) SALEM, OH 44460 PENN HILLS, PA 15235 www.davita.com 300 4TH ST 330 332-2958 412 371-1102 DANVILLE, WV 25053 KINGSVILLE DIALYSIS www.freseniuskidneycare.co www.davita.com 304 307-6201 (T1) m 5740 DIBBLE RD www.davita.com PITTSBURGH DIALYSIS CRAWFORD COUNTY, PA (T1) KINGSVILLE, OH 44048 BRAXTON COUNTY, WV MEADVILLE DIALYSIS 4312 PENN AVE 440 224-1338 FMC BRAXTON COUNTY (T1) PITTSBURGH, PA 15224 (T1) ATHENS COUNTY, OH 19050 PARK AVE PLZ 412 681-8556 BIOMEDICAL RIVERS EDGE DIALYSIS MEADVILLE, PA 16335 www.davita.com APPLICATIONS OF WV (T1) 814 336-6044 256 SKIDMORE LN PITTSBURGH HOME 1006 E STATE ST STE B SUTTON, WV 26601 www.davita.com MODALITY CENTER (T1)% ATHENS, OH 45701 304 765-2892 CUYAHOGA COUNTY, OH 5171 LIBERTY AVE STE A 740 592-1364 www.freseniuskidneycare.co PITTSBURGH, PA 15224 www.davita.com DETROIT ROAD DIALYSIS 412 605-0415 m (T1) BEAVER COUNTY, PA 7901 DETROIT AVE www.davita.com CABELL COUNTY, WV DIALYSIS CLINIC INC (T1) FRESENIUS MEDICAL CLEVELAND, OH 44102 ROBINSON HOME 2562 CONSTITUTION 216 961-6498 CARE RIVER HILLS (T1) TRAINING (T1) BLVD BIOMEDICAL www.davita.com 5888 STEUBENVILLE PIKE BEAVER FALLS, PA 15010 APPLICATIONS OF WV STE 4 724 891-5044 FRESENIUS KIDNEY CARE 5170 US RTE 60 EAST NORTH RANDALL (T1) MCKEES ROCKS, PA www.dciinc.org 15136 HUNTINGTON, WV 25705 BIOMEDICAL 412 787-0314 BELMONT COUNTY, OH 304 733-0004 APPLICATIONS OF OH 5035 RICHMOND RD STE www.davita.com BELMONT DIALYSIS (T1) www.freseniuskidneycare.co 68639 BANNOCK RD m A THORN RUN DIALYSIS SAINT CLAIRSVILLE, OH J ROBERT PRITCHARD BEDFORD, OH 44146 (T1) 43950 DIALYSIS (T1) 216 591-1364 1136 THORN RUN RD STE 740 699-0220 J1 FMS CABELL HILLIARD DIALYSIS (T1) www.davita.com MOON TOWNSHIP, PA HUNTINGTON DIALYSIS 19133 HILLIARD BLVD 15108 NATIONAL ROAD CENTERS ROCKY RIVER, OH 44116 412 269-2304 DIALYSIS (T1) 1690 MEDICAL CENTER 216 712-4700 DR www.davita.com 703 MAIN ST www.davita.com BRIDGEPORT, OH 43912 HUNTINGTON, WV 25701 740 633-1903 304 399-1290 www.davita.com www.freseniuskidneycare.co m

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 2 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MIDDLEBURG HEIGHTS STRONGSVILLE DIALYSIS MILLCREEK DIALYSIS FRANKLIN COUNTY, OH DIALYSIS (T1) (T1) (T1) CANAL WINCHESTER 7360 ENGLE RD 17792 PEARL RD 2042 EDINBORO RD DIALYSIS (T1) MIDDLEBURG HEIGHTS, STRONGSVILLE, OH 44136 ERIE, PA 16509 3568 GENDER RD OH 44130 440 238-9270 814 866-1930 CANAL WINCHESTER, OH 440 891-5645 www.davita.com WWW.DAVITA.COM 43110 www.davita.com SUBURBAN HOME FAIRFIELD COUNTY, OH 614 834-3564 ORCG EAST (T1) DIALYSIS (T1) FMC HOCKING HILLS (T1) www.davita.com BIOMEDICAL BIOMEDICAL BIOMEDICAL COLUMBUS DIALYSIS APPLICATIONS OF OHIO APPLICATIONS OF OH APPLICATIONS OF OH (T1) 2429 MARTIN LUTHER 20050 HARVARD AVE STE 1550 SHERIDAN DR STE 226 GRACELAND BLVD KING JR DR 103 206 APT STE3-09A CLEVELAND, OH 44104 WARRENSVILLE HEIGHTS, LANCASTER, OH 43130 COLUMBUS, OH 43214 216 368-0004 OH 44122 740 689-0566 614 985-1732 216 491-0600 www.freseniuskidneycare.co www.freseniuskidneycare.co www.davita.com m VILLA OF GREAT m COLUMBUS DOWNTOWN PARMA DIALYSIS NORTHERN (T1) FRESENIUS MEDICAL DIALYSIS (T1) CENTER (T1) 22710 FAIRVIEW CENTER CARE PICKERINGTON 415 E MOUND ST 6735 AMES RD DR STE 100 (T1) COLUMBUS, OH 43215 PARMA, OH 44129 FAIRVIEW PARK, OH 44126 BIOMEDICAL 614 228-1773 440 743-0690 440 734-4630 APPLICATIONS OF OH www.davita.com www.davita.com 1310 HILL RD N DELAWARE COUNTY, OH COLUMBUS EAST PICKERINGTON, OH 43147 PARMA HEIGHTS FRESENIUS MEDICAL DIALYSIS (T1) 614 751-8660 DIALYSIS (T1) CARE DELAWARE (T1) 299 OUTERBELT ST www.freseniuskidneycare.co 9050 N CHURCH DR BIOMEDICAL COLUMBUS, OH 43213 m PARMA HEIGHTS, OH APPLICATIONS OF OH 614 501-7224 44130 36 TROY RD FAYETTE COUNTY, PA www.davita.com 440 842-0895 DELAWARE, OH 43015 FAYETTE COUNTY COLUMBUS WEST www.davita.com 740 363-7171 DIALYSIS (T1) DIALYSIS (T1) www.freseniuskidneycare.co 201 MARY HIGGINSON LN RIDGE PARK DIALYSIS 1395 GEORGESVILLE RD m STE A (T1) COLUMBUS, OH 43228 UNIONTOWN, PA 15401 4805 PEARL RD ERIE COUNTY, PA 614 279-8495 CLEVELAND, OH 44109 724 437-9480 CORRY DIALYSIS (T1) www.davita.com 216 398-6029 300 YORK ST www.davita.com DUBLIN DIALYSIS (T1) www.davita.com CORRY, PA 16407 FAYETTE COUNTY, WV 6770 PERIMETER DR 814 664-7520 ROCKSIDE DIALYSIS (T1) FMC HAWKS NEST (T1) DUBLIN, OH 43016 4801 ACORN DR www.davita.com BIOMEDICAL 614 798-8359 INDEPENDENCE, OH APPLICATIONS OF WV DIALYSIS CENTER OF www.davita.com 44131 ERIE (T1) 506 3RD AVE FRESENIUS KIDNEY CARE 216 525-0990 1641 SASSAFRAS ST MONTGOMERY, WV 25136 NEW ALBANY (T1) www.davita.com ERIE, PA 16502 304 442-5719 BIOMEDICAL 814 455-6455 www.freseniuskidneycare.co SHAKER SQUARE APPLICATIONS OF OH m DIALYSIS (T1) www.davita.com 991 E JOHNSTOWN RD 12800 SHAKER BLVD STE ERIE DIALYSIS (T1) FRESENIUS MEDICAL COLUMBUS, OH 43230 1 350 E BAYFRONT PKWY CARE OAKHILL (T1) 614 855-3677 CLEVELAND, OH 44120 BIOMEDICAL STE A www.freseniuskidneycare.co 216 491-4867 APPLICATIONS OF WV ERIE, PA 16507 m www.davita.com 814 454-0480 185 LAUREL CREEK RD FAYETTEVILLE, WV 25840 ST V QUADRANGLE www.davita.com 304 574-0294 DIALYSIS (T1) LAKE ERIE HOME 2302 COMMUNITY DIALYSIS (T1)% COLLEGE AVENUE 2563 W 8TH ST CLEVELAND, OH 44115 ERIE, PA 16505 216 574-4805 814 838-2849 www.davita.com www.davita.com

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 3 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. FRESENIUS KIDNEY CARE FRESENIUS MEDICAL GROVE CITY DIALYSIS GALLIA COUNTY, OH OLENTANGY RIVER DI CARE GREATER (T1) FMC GALLIPOLIS (T1) (T1) COLUMBUS (T1) 4155 KELNOR DR BIOMEDICAL BIOMEDICAL BIOMEDICAL GROVE CITY, OH 43123 APPLICATIONS OF OH APPLICATIONS OF OH APPLICATIONS OF OH 614 801-0323 137 PINE ST STE 101 758 COMMUNICATIONS 285 E STATE ST STE 170 www.davita.com GALLIPOLIS, OH 45631 PKWY COLUMBUS, OH 43215 HEART OF NEW ALBANY 740 441-9300 COLUMBUS, OH 43214 614 228-9114 DIALYSIS (T1) www.freseniuskidneycare.co 614 538-1060 www.freseniuskidneycare.co 6530 W CAMPUS OVAL m www.freseniuskidneycare.co m STE 100 GILES COUNTY, VA m FRESENIUS MEDICAL NEW ALBANY, OH 43054 GILES COUNTY DIALYSIS FRESENIUS MEDICAL CARE GROVE CITY (T1) 614 855-3445 (T1) CARE CENTRAL OHIO BIOMEDICAL www.davita.com 377 BOXWOOD LN (T1) APPLICATIONS OF OH HILLIARD STATION PEARISBURG, VA 24134 BIOMEDICAL 3149 FARM BANK WAY DIALYSIS (T1) 540 921-1384 APPLICATIONS OF OH GROVE CITY, OH 43123 2447 HILLIARD ROME RD www.davita.com 4661 KARL RD 614 875-2349 HILLIARD, OH 43026 COLUMBUS, OH 43229 GREENBRIER COUNTY, www.freseniuskidneycare.co 614 876-3610 614 840-0012 m WV www.davita.com FRESENIUS MEDICAL www.freseniuskidneycare.co FRESENIUS MEDICAL MID AMERICA DIALYSIS CARE GREENBRIER (T1) m CARE MT CARMEL EAST (T1) BIOMEDICAL FRESENIUS MEDICAL (T1) BIOMEDICAL APPLICATIONS OF WV CARE CENTRAL OHIO BIOMEDICAL APPLICATIONS OF OH 1255 MAPLEWOOD AVE EAST (T1) APPLICATIONS OF OH 2355 S HAMILTON RD LEWISBURG, WV 24901 BIOMEDICAL 85 MCNAUGHTEN RD STE COLUMBUS, OH 43232 304 645-4634 APPLICATIONS OF OH 140 614 367-1679 www.freseniuskidneycare.co 4039 E BROAD ST COLUMBUS, OH 43213 m COLUMBUS, OH 43213 614 322-0433 www.freseniuskidneycare.co 614 338-8202 m GREENE COUNTY, PA FRESENIUS MEDICAL PARK SIDE DIALYSIS (T1) WAYNESBURG DIALYSIS www.freseniuskidneycare.co CARE OSUIM CAMPUS 241 W SCHROCK RD (T1) m (T1) WESTERVILLE, OH 43081 248 ELM DR FRESENIUS MEDICAL BIOMEDICAL 614 882-1734 WAYNESBURG, PA 15370 CARE COLUMBUS APPLICATIONS OF OH 724 627-3997 NORTHWES (T1) 1791 KENNY RD www.davita.com BIOMEDICAL COLUMBUS, OH 43212 RENAL CARE GROUP AT www.davita.com APPLICATIONS OF OH 614 487-9750 MT CARMEL WEST (T1) HARDY COUNTY, WV 6670 PERIMETER DR www.freseniuskidneycare.co BIOMEDICAL RENAL CENTER OF DUBLIN, OH 43016 m APPLICATIONS OF OH MOOREFIELD (T1) 614 718-2863 745 W STATE ST STE 660 FRESENIUS MEDICAL 8 LEE ST FL 2 COLUMBUS, OH 43222 www.freseniuskidneycare.co CARE WESTERVILLE (T1) MOOREFIELD, WV 26836 614 224-2344 m BIOMEDICAL 304 530-1200 FRESENIUS MEDICAL APPLICATIONS OF OH www.freseniuskidneycare.co www.davita.com m CARE GRANT PARK (T1) 477 COOPER RD STE 140 HARRISON COUNTY, WV BIOMEDICAL WESTERVILLE, OH 43081 FREDERICK COUNTY, VA FRESENIUS MEDICAL APPLICATIONS OF OH 614 895-2705 RUTHERFORD CROSSING CARE CLARKSBURG (T1) 393 E TOWN ST STE 111 www.freseniuskidneycare.co DIALYSIS (T1) BIOMEDICAL COLUMBUS, OH 43215 m 141 MARKET ST APPLICATIONS OF WV 614 469-0070 FRESENIUS MEDICAL WINCHESTER, VA 22603 16 STERLING DR www.freseniuskidneycare.co OSUIM CLAYTON TAYLOR 540 665-5169 BRIDGEPORT, WV 26330 m (T1) www.davita.com 304 622-3872 BIOMEDICAL www.freseniuskidneycare.co APPLICATIONS OF OH m 730 TAYLOR AVE COLUMBUS, OH 43219 614 258-5898 www.freseniuskidneycare.co m

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 4 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. HARRISON COUNTY STEUBENVILLE DIALYSIS KNOX COUNTY, OH LEWIS COUNTY, WV DIALYSIS (T1) (T1) APPLE VALLEY DIALYSIS FRESENIUS MEDICAL 95 ROSEBUD PLZ STE 101 1799 SINCLAIR AVE STE 1 (T1) CARE OF WESTON (T1) CLARKSBURG, WV 26301 STEUBENVILLE, OH 43953 1485 COSHOCTON AVE BIOMEDICAL 304 624-0478 740 346-2840 MOUNT VERNON, OH APPLICATIONS OF WV WWW.DAVITA.COM www.davita.com 43050 378 MARKET PLACE MALL HOCKING COUNTY, OH STEUBENVILLE HOME 740 392-3436 STE 1C WESTON, WV 26452 LOGAN DIALYSIS (T1) TRAINING (T1)% www.davita.com 304 269-5147 12880 GREY ST 1799 SINCLAIR AVE STE 2 KNOX COUNTY KIDNEY LOGAN, OH 43138 STEUBENVILLE, OH 43953 CENTER (T1) www.freseniuskidneycare.co 740 380-6049 740 346-2740 BIOMEDICAL m www.davita.com www.davita.com APPLICATIONS OF OH LICKING COUNTY, OH 14 WOODLAKE TRL HOLMES COUNTY, OH JEFFERSON COUNTY, WV CHERRY VALLEY MOUNT VERNON, OH DIALYSIS (T1) MILLERSBURG DIALYSIS FRESENIUS MEDICAL 43050 1627 W MAIN ST (T1) CARE OF CHARLES 740 393-1624 NEWARK, OH 43055 1649 S WASHINGTON ST TOWN (T1) WWW.FRESENIUSKIDNEY 740 522-1699 MILLERSBURG, OH 44654 BIOMEDICAL CARE.COM 330 674-0476 APPLICATIONS OF WV www.davita.com LAKE COUNTY, OH www.davita.com 179 E BURR BLVD PATASKALA DIALYSIS KEARNEYSVILLE, WV NORTH RIDGE DIALYSIS CENTER (T1) JACKSON COUNTY, OH 25430 (T1) 642 E BROAD ST FMC INDIAN HILLS (T1) 304 728-8775 6830 N RIDGE RD PATASKALA, OH 43062 BIOMEDICAL www.freseniuskidneycare.co MADISON, OH 44057 740 964-1306 APPLICATIONS OF OH m 440 428-8377 www.davita.com 820 VETERANS DR KANAWHA COUNTY, WV www.davita.com JACKSON, OH 45640 PREMIERE KIDNEY 740 286-5556 BMA CHARLESTON (T1) LAWRENCE COUNTY, KY CENTER OF NEWARK BIOMEDICAL www.freseniuskidneycare.co LOUISA DIALYSIS (T1) (T1) APPLICATIONS OF WV 65 S TERRACE AVE m 2145 HIGHWAY 2565 2345 CHESTERFIELD AVE LOUISA, KY 41230 NEWARK, OH 43055 MCCARTY LANE DIALYSIS CHARLESTON, WV 25304 606 638-3403 740 522-2955 (T1) 304 345-7322 www.davita.com 500 MCCARTY LN www.davita.org www.freseniuskidneycare.co JACKSON, OH 45640 LAWRENCE COUNTY, OH LOGAN COUNTY, WV m 740 286-1600 FMC IRONTON (T1) WEST VIRGINIA DIALYSIS FRESENIUS MEDICAL www.davita.com BIOMEDICAL (T1) CARE KANAWHA COUNTY 300 PROSPERITY LN STE JACKSON COUNTY, WV APPLICATIONS OF OH (T1) 158 N 2ND ST 150 FRESENIUS MEDICAL BIOMEDICAL IRONTON, OH 45638 LOGAN, WV 25601 CARE RIPLEY (T1) APPLICATIONS OF WV 740 532-3099 304 752-2700 BIOMEDICAL 951 DUNBAR VILLAGE PLZ www.freseniuskidneycare.co www.davita.com APPLICATIONS OF WV APT A07 m 1000 NEW STONE RIDGE DUNBAR, WV 25064 LORAIN COUNTY, OH RD 304 766-1009 LAWRENCE COUNTY AMHERST DIALYSIS (T1) RIPLEY, WV 25271 www.freseniuskidneycare.co DIALYSIS (T1) 3200 COOPER FOSTER 304 373-0420 m 367 COUNTY ROAD 406 PARK RD W UNIT 11 LORAIN, OH 44053 www.freseniuskidneycare.co GREATER CHARLESTON m SOUTH POINT, OH 45680 440 989-1410 DIALYSIS (T1) 740 894-0830 JEFFERSON COUNTY, OH 24 MACCORKLE AVE SW WWW.DAVITA.COM DIALYSIS CLINIC INC (T1) SOUTH CHARLESTON, WV LAWRENCE COUNTY, PA CENTER RIDGE DIALYSIS 4227 MALL DR 25303 ELLWOOD CITY DIALYSIS (T1) STEUBENVILLE, OH 43952 304 720-2222 (T1) 38630 CENTER RIDGE RD 740 266-6687 www.davita.com 807 LAWRENCE AVE NORTH RIDGEVILLE, OH www.dciinc.org ELLWOOD CITY, PA 16117 44039 724 752-1081 440 327-2070 www.davita.com www.davita.com

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 5 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MAHONING COUNTY, OH MARION COUNTY, WV MEDINA COUNTY KIDNEY MONONGALIA COUNTY, FRESENIUS KIDNEY CARE FMC DIALYSIS SERVICES CENTER (T1) WV CORNERSBURG (T1) OF FAIRMONT (T1) BIOMEDICAL BMA MORGANTOWN (T1) BIOMEDICAL BIOMEDICAL APPLICATIONS OF OH MOUNTAINEER MALL APPLICATIONS OF OH APPLICATIONS OF WV 3995 MEDINA RD STE 150 5000 GREENBAG RD 3265 CANFIELD RD UNIT C 31 LANDING LN MEDINA, OH 44256 MORGANTOWN, WV 26501 YOUNGSTOWN, OH 44511 FAIRMONT, WV 26554 330 764-1019 304 284-8738 330 792-6341 304 363-3644 www.freseniuskidneycare.co FMC MONONGALIA www.freseniuskidneycare.co www.freseniuskidneycare.co m COUNTY (T1) m m MEDINA SQUARE BIOMEDICAL RENAL CARE GROUP MASON COUNTY, WV DIALYSIS (T1) APPLICATIONS OF WV 740 N COURT ST 3000 MON HEALTH AUSTINTOWN (T1) POINT PLEASANT MEDINA, OH 44256 MEDICAL PARK DR FRESENIUS MEDICAL DIALYSIS (T1) 330 721-7824 MORGANTOWN, WV 26505 CARE YOUNGSTOWN LLC 3683 OHIO RIVER RD 304 284-8292 139 JAVIT CT POINT PLEASANT, WV www.davita.com AUSTINTOWN, OH 44515 25550 MERCER COUNTY, PA www.freseniuskidneycare.co 330 799-1150 m 304 675-1500 DIALYSIS CLINIC INC (T1) www.freseniuskidneycare.co www.davita.com 631 N BROAD STREET MUSKINGUM COUNTY, OH m MCDOWELL COUNTY, WV EXT ZANESVILLE DIALYSIS RENAL CARE GROUP GROVE CITY, PA 16127 (T1) BMA WELCH DIALYSIS BOARDMAN (T1) 724 458-0877 3120 NEWARK RD CENTER (T1) FRESENIUS MEDICAL ZANESVILLE, OH 43701 BIOMEDICAL www.dciinc.org CARE YOUNGSTOWN LLC 740 454-2011 APPLICATIONS OF WV DIALYSIS CLINIC INC (T1) 257 BOARDMAN 394 MCDOWELL ST 737 BROOKSHIRE DR www.davita.com CANFIELD RD WELCH, WV 24801 HERMITAGE, PA 16148 NICHOLAS COUNTY, WV BOARDMAN, OH 44512 304 436-8428 724 342-3040 330 629-8856 MOUNTAIN RIDGE www.freseniuskidneycare.co www.dciinc.org DIALYSIS (T1) www.freseniuskidneycare.co m BIOMEDICAL m MERCER COUNTY, WV APPLICATIONS OF WV MEDINA COUNTY, OH FMC DIALYSIS SERVICES RENAL CARE GROUP 229 MERCHANTS WALK FMC OF BRUNSWICK (T1) TWO VIRGINIAS (T1) NORTH LIMA (T1) SUMMERSVILLE, WV BIOMEDICAL BIOMEDICAL FRESENIUS MEDICAL 26651 APPLICATIONS OF OH APPLICATIONS OF WV GROUP YOUNGSTOWN 304 872-9206 LLC 2583/2585 CENTER RD 1113 BLUEFIELD AVE 9174 MARKET ST HINCKLEY, OH 44233 BLUEFIELD, WV 24701 OHIO COUNTY, WV NORTH LIMA, OH 44452 330 220-4366 304 324-0816 WHEELING DIALYSIS (T1) 330 729-9061 WWW.FRESENIUSKIDNEY www.freseniuskidneycare.co 500 MEDICAL PARK STE www.freseniuskidneycare.co CARE.COM m 100 m FRESENIUS MEDICAL FRESENIUS MEDICAL WHEELING, WV 26003 304 242-9135 RENAL CARE GROUP CARE WADSWORTH (T1) CARE MERCER COUNTY www.davita.com YOUNGSTOWN (T1) BIOMEDICAL (T1) FRESENIUS MEDICAL APPLICATIONS OF OH BIOMEDICAL PICKAWAY COUNTY, OH 1160 WILLIAMS RESERVE CARE YOUNGSTOWN LLC APPLICATIONS OF WV FRESENIUS MEDICAL BLVD 1340 BELMONT AVE 160 SPRINGHAVEN DR CARE CIRCLEVILLE WADSWORTH, OH 44281 YOUNGSTOWN, OH 44504 PRINCETON, WV 24740 DIALY (T1) 330 336-8070 330 746-2860 304 487-3866 BIOMEDICAL www.freseniuskidneycare.co www.freseniuskidneycare.co www.freseniuskidneycare.co APPLICATIONS OF OH m m m 790 N COURT ST KIDNEY CENTER OF MINERAL COUNTY, WV CIRCLEVILLE, OH 43113 BRUNSWICK (T1) RENAL CENTER OF 740 477-7225 3812 CENTER RD STE 101 KEYSER (T1) www.freseniuskidneycare.co BRUNSWICK, OH 44212 1080 NEW CREEK HWY m 330 220-4502 KEYSER, WV 26726 www.davita.com 304 788-5057 www.davita.com

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 6 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. PIKE COUNTY, KY PRESTON COUNTY, WV RICHLAND COUNTY, OH STARK COUNTY, OH EASTERN KENTUCKY FMC BRUCETON MILLS BMA MANSFIELD (T1) AKRON CANTON KIDNEY DIALYSIS (T1) (T1) BIOMEDICAL CENTER (T1) 167 WEDDINGTON BIOMEDICAL APPLICATIONS OF OH BIOMEDICAL BRANCH RD APPLICATIONS OF WV 647 BALLY ROW APPLICATIONS OF OH PIKEVILLE, KY 41501 856 CASTEEL RD MANSFIELD, OH 44906 1575 CORPORATE 606 432-4477 BRUCETON MILLS, WV 419 775-1730 WOODS PKWY STE 100 26525 UNIONTOWN, OH 44685 www.davita.com FMC DIALYSIS SERVICES 304 379-2770 330 896-6311 SOUTH WILLIAMSON RICHLAND COUNTY (T1) DIALYSIS (T1) www.freseniuskidneycare.co BIOMEDICAL www.freseniuskidneycare.co 204 APPALACHIAN PLZ m APPLICATIONS OF OH m SOUTH WILLIAMSON, KY PUTNAM COUNTY, WV 680 BALLY ROW ALLIANCE COMMUNITY 41503 FMC DIALYSIS SERVICES MANSFIELD, OH 44906 DIALYSIS (T1) 606 237-6221 HURRICANE (T1) 419 774-0180 270 E STATE ST STE 110 www.davita.com BIOMEDICAL www.freseniuskidneycare.co ALLIANCE, OH 44601 330 821-1657 PIKE COUNTY, OH APPLICATIONS OF WV m 3768 TEAYS VALLEY RD www.davita.com PIKE COUNTY DIALYSIS MID OHIO DIALYSIS (T1) HURRICANE, WV 25526 (T1) 2148 W 4TH ST BELDEN COMMUNITY 304 760-2305 609 W EMMITT AVE ONTARIO, OH 44906 DIALYSIS (T1) WAVERLY, OH 45690 www.freseniuskidneycare.co 419 747-4039 4377 WHIPPLE AVE NW 740 941-1688 m www.davita.com CANTON, OH 44718 330 491-9846 www.davita.com RALEIGH COUNTY, WV ROSS COUNTY, OH BMA BECKLEY (T1) www.davita.com PORTAGE COUNTY, OH ADENA DIALYSIS (T1) BIOMEDICAL BOETTLER DIALYSIS (T1) BMA OF KENT (T1) 1180 N BRIDGE ST APPLICATIONS OF WV 1587 BOETTLER RD STE BIOMEDICAL CHILLICOTHE, OH 45601 1737 HARPER RD 130 APPLICATIONS OF OH 740 773-3733 BECKLEY, WV 25801 UNIONTOWN, OH 44685 401 DEVON PL STE 100 www.davita.com 304 252-9270 330 899-0035 KENT, OH 44240 www.freseniuskidneycare.co SCIOTO COUNTY, OH 330 677-0880 www.davita.com m DIALYSIS CLINIC INC (T1) www.freseniuskidneycare.co 1207 17TH ST CANTON DIALYSIS (T1) FMC APPALACHIAN m PORTSMOUTH, OH 45662 2912 TUSCARAWAS ST W DIALYSIS (T1) CANTON, OH 44708 RAVENNA DIALYSIS (T1) 740 351-0596 BIOMEDICAL 600 ENTERPRISE PKWY 330 458-0150 APPLICATIONS OF WV www.dciinc.org RAVENNA, OH 44266 115 SOLAR DR FMC PORTSMOUTH (T1) MASSILLON COMMUNITY 330 297-5846 BECKLEY, WV 25801 BIOMEDICAL DIALYSIS (T1) www.davita.com 304 252-9042 APPLICATIONS OF OH 2112 LINCOLN WAY E MASSILLON, OH 44646 STREETSBORO KIDNEY www.freseniuskidneycare.co 1648 11TH ST 330 837-7730 CENTER (T1) m PORTSMOUTH, OH 45662 740 353-7788 www.davita.com BIOMEDICAL MOUNTAINEER DIALYSIS APPLICATIONS OF OH (T1) WWW.FRESENIUSKIDNEY MASSILLON DIALYSIS 9200 STAPLES DR STE A 2958 ROBERT C BYRD DR CARE.COM CTR (T1) STREETSBORO, OH 44241 BECKLEY, WV 25801 SOMERSET COUNTY, PA BIOMEDICAL 330 422-0160 APPLICATIONS OF OH 304 252-9183 SOMERSET COUNTY www.freseniuskidneycare.co 2474 LINCOLN WAY E www.davita.com DIALYSIS (T1) m MASSILLON, OH 44646 229 S KIMBERLY AVE STE RANDOLPH COUNTY, WV 330 837-2575 100 FMC ELKINS (T1) SOMERSET, PA 15501 www.freseniuskidneycare.co BIOMEDICAL 814 445-6127 m APPLICATIONS OF WV MERCY CANTON 100 MAIN ST www.davita.com DIALYSIS (T1) ELKINS, WV 26241 1320 MERCY DR NW 304 636-6144 CANTON, OH 44708 330 580-4001 www.davita.com

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 7 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. NAVARRE DIALYSIS (T1) MUNROE FALLS DIALYSIS TUSCARAWAS COUNTY, DIALYSIS SPECIALISTS 517 PARK ST NW STE A (T1) OH OF MARIETTA (T1) NAVARRE, OH 44662 265 N MAIN ST DOVER COMMUNITY BIOMEDICAL 330 879-5270 MUNROE FALLS, OH 44262 DIALYSIS (T1) APPLICATIONS OF WV www.davita.com 330 689-1400 899 E IRON AVE 16 ACME ST DOVER, OH 44622 MARIETTA, OH 45750 SUMMIT COUNTY, OH www.davita.com 330 364-6309 740 376-0045 AKRON RENAL CENTER SUMMIT RENAL CENTER www.davita.com www.freseniuskidneycare.co (T1) (T1) m 525 E MARKET ST BLDG 73 MASSILLON RD TUSCARAWAS COUNTY 50 AKRON, OH 44312 KIDNEY CENTER (T1) MARIETTA DIALYSIS (T1) AKRON, OH 44304 330 733-1861 BIOMEDICAL 1019 PIKE ST 330 375-6848 www.davita.com APPLICATIONS OF OH MARIETTA, OH 45750 1260 MONROE ST NW STE 740 376-2622 www.davita.com TWINSBURG DIALYSIS 41T (T1) www.davita.com BMA AKRON EAST (T1) NEW PHILADELPHIA, OH 2592 E AURORA RD STE WASHINGTON COUNTY, BIOMEDICAL 44663 100 PA APPLICATIONS OF OH 330 602-5001 199 PERKINS ST TWINSBURG, OH 44087 DIALYSIS CLINIC INC (T1) www.freseniuskidneycare.co AKRON, OH 44304 330 405-3030 131 HILLPOINTE DR m CANONSBURG, PA 15317 330 376-7600 WHITE PONDS DIALYSIS UPSHUR COUNTY, WV 724 873-1242 COVENTRY DIALYSIS (T1) (T1) FMC UPSHUR COUNTY www.dciinc.org 3235 MANCHESTER RD 791 WHITE POND DR (T1) STE 9 AKRON, OH 44320 DIALYSIS CLINIC INC (T1) BIOMEDICAL AKRON, OH 44319 330 835-9083 280 NORTH AVE APPLICATIONS OF WV WASHINGTON, PA 15301 330 645-9453 TAYLOR COUNTY, WV 4 NORTHRIDGE DR STE 724 229-8834 www.davita.com FRESENIUS MEDICAL 116 www.dciinc.org FMC AKRON HOME (T1) CARE OF GRAFTON (T1) BUCKHANNON, WV 26201 BIOMEDICAL BIOMEDICAL 304 472-9167 OAK SPRINGS DIALYSIS APPLICATIONS OF OH APPLICATIONS OF WV www.freseniuskidneycare.co (T1) 690 WHITE POND DR STE 245 GREENES PLZ STE E7 m 764 LOCUST AVE 201 GRAFTON, WV 26354 WASHINGTON, PA 15301 WASHINGTON COUNTY, AKRON, OH 44320 304 265-9186 724 229-7377 MD 330 836-0985 www.davita.com www.freseniuskidneycare.co EASTERN BOULEVARD www.freseniuskidneycare.co m DIALYSIS (T1) PARIS DIALYSIS (T1) m TRUMBULL COUNTY, OH 246 EASTERN BLVD N STE 32 STEUBENVILLE PIKE FMC WHITE POND (T1) FRESENIUS KIDNEY CARE 105 PARIS, PA 15021 BIOMEDICAL WARREN (T1) HAGERSTOWN, MD 21740 724 729-3350 APPLICATIONS OF OH BIOMEDICAL 301 745-4251 www.davita.com 690 WHITE POND DR STE APPLICATIONS OF OH www.davita.com WAYNE COUNTY, OH 101 4941 ENTERPRISE DR NW WASHINGTON COUNTY WAYNE COUNTY KIDNEY AKRON, OH 44320 WARREN, OH 44481 DIALYSIS (T1) CENTER (T1) 330 835-9047 330 898-0801 246 EASTERN BLVD N STE BIOMEDICAL www.freseniuskidneycare.co www.freseniuskidneycare.co 104 APPLICATIONS OF OH m m HAGERSTOWN, MD 21740 387 W MILLTOWN RD GREATER AKRON RENAL CARE GROUP 301 797-7839 WOOSTER, OH 44691 DIALYSIS CENTER (T1) WARREN (T1) www.davita.com 330 345-2060 BIOMEDICAL FRESENIUS MEDICAL WASHINGTON COUNTY, www.freseniuskidneycare.co APPLICATIONS OF OH CARE WARREN OH m 345 BISHOP ST 2100 MILLENNIUM BLVD BELPRE DIALYSIS (T1) WOOSTER DIALYSIS (T1) AKRON, OH 44307 CORTLAND, OH 44410 2906 WASHINGTON BLVD 4190 BURBANK RD 330 376-4905 330 372-4030 BELPRE, OH 45714 WOOSTER, OH 44691 www.freseniuskidneycare.co www.freseniuskidneycare.co 740 401-0607 330 345-1130 m m www.davita.com

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 8 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. WESTMORELAND WYOMING COUNTY, WV GARRETT COUNTY, MD MINERAL COUNTY, WV COUNTY, PA FRESENIUS MEDICAL GARRETT REGIONAL POTOMAC VALLEY DIALYSIS CLINIC INC (T1) CARE OCEANA (T1) MEDICAL CENTER (T1) # HOSPITAL OF WV INC 722 4TH AVE BIOMEDICAL 251 N 4TH ST (T1) # NEW KENSINGTON, PA APPLICATIONS OF WV OAKLAND, MD 21550 WVU MEDICINE 15068 1777 COOK PKWY 301 533-4000 100 PIN OAK LN 724 339-1772 OCEANA, WV 24870 KEYSER, WV 26726 HARRISON COUNTY, OH www.dciinc.org 304 682-5371 304 597-3500 HARRISON COMMUNITY DIALYSIS CLINIC INC (T1) www.freseniuskidneycare.co https://wvumedicine.org/poto HOSPITAL INC (T1) # 20 E MAIN ST m mac-valley-hospital 951 E MARKET ST MOUNT PLEASANT, PA CADIZ, OH 43907 MONONGALIA COUNTY, 15666 Hospitals 740 942-4631 WV 724 547-6511 ALLEGANY COUNTY, MD J W RUBY MEMORIAL www.dciinc.org HARRISON COUNTY, WV HOSPITAL (T1) # UPMC WESTERN UNITED HOSPITAL WVU MEDICINE DIALYSIS CLINIC INC (T1) MARYLAND (T1) # CENTER (T1) # 1 MEDICAL CENTER DR 1143 INDUSTRIAL PARK 12500 WILLOWBROOK RD WVU MEDICINE MORGANTOWN, WV 26506 RD CUMBERLAND, MD 21502 327 MEDICAL PARK DR 304 598-4000 VANDERGRIFT, PA 15690 240 964-7000 BRIDGEPORT, WV 26330 724 845-3313 https://wvumedicine.org/ruby BELMONT COUNTY, OH 681 342-1000 www.dciinc.org -memorial-hospital BARNESVILLE HOSPITAL https://wvumedicine.org/unit MARY BABB RANDOLPH DIALYSIS CLINIC INC (T1) (T1) #% ed-hospital-center CANCER CENTER (T1) # 6710 STATE ROUTE 30 639 W MAIN ST JACKSON COUNTY, WV 1 MEDICAL CENTER DR JEANNETTE, PA 15644 BARNESVILLE, OH 43713 JACKSON GENERAL MORGANTOWN, WV 26506 724 523-6386 740 425-3941 HOSPITAL (T1) 304 293-4500 www.dciinc.org BERKELEY COUNTY, WV WVU MEDICINE OHIO COUNTY, WV NEW KENSINGTON BERKELEY MEDICAL 122 PINNELL ST DIALYSIS (T1) WHEELING HOSPITAL CENTER (T1) # RIPLEY, WV 25271 1 KENSINGTON SQ (T1) #% WVU MEDICINE 304 372-2731 NEW KENSINGTON, PA 1 MEDICAL PARK 2500 HOSPITAL DR https://wvumedicine.org/jack 15068 WHEELING, WV 26003 MARTINSBURG, WV 25401 son-general-hospital 724 335-2876 304 243-3000 304 264-1000 JEFFERSON COUNTY, WV WETZEL COUNTY, WV UPSHUR COUNTY, WV https://wvumedicine.org/berk JEFFERSON MEDICAL ST JOSEPH'S HOSP OF NEW MARTINSVILLE eley/ CENTER (T1) # BUCKHANNON (T1) # DIALYSIS (T1) BRAXTON COUNTY, WV WVU MEDICINE 1 E BENJAMIN DR WVU MEDICINE BRAXTON COUNTY 300 S PRESTON ST NEW MARTINSVILLE, WV 1 AMALIA DR MEMORIAL HOSPITAL RANSON, WV 25438 26155 BUCKHANNON, WV 26201 (T1) 304 728-1600 304 455-2700 304 473-2000 WVU MEDICINE https://wvumedicine.org/jeffe https://wvumedicine.org/st-jo www.davita.com 100 HOYLMAN DR rson sephs-hospital WOOD COUNTY, WV GASSAWAY, WV 26624 MARSHALL COUNTY, WV 304 364-5156 WETZEL COUNTY, WV GRAND CENTRAL REYNOLDS MEMORIAL WETZEL COUNTY DIALYSIS (T1) https://wvumedicine.org/brax HOSPITAL (T1) # HOSPITAL (T1) # 800 GRAND CENTRAL ton WVU MEDICINE WVU MEDICINE MALL STE 8 FAYETTE COUNTY, PA 800 WHEELING AVE 3 E BENJAMIN DR VIENNA, WV 26105 UNIONTOWN HOSPITAL GLEN DALE, WV 26038 NEW MARTINSVILLE, WV 304 917-4124 (T1) # 304 845-3211 26155 www.davita.com WVU MEDICINE https://wvumedicine.org/reyn 304 455-8000 WOOD COUNTY DIALYSIS 500 W BERKELEY ST olds-memorial https://wvumedicine.org/wetz (T1) UNIONTOWN, PA 15401 MERCER COUNTY, WV el 724 430-5000 214 GIHON VLG PRINCETON COMMUNITY PARKERSBURG, WV 26101 www.uniontownhospital.com HOSPITAL (T1) # 304 422-3687 122 12TH ST www.davita.com PRINCETON, WV 24740 304 487-7000

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 9 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. WOOD COUNTY, WV ST MARYS URGENT CARE JEFFERSON COUNTY, WV MONONGALIA COUNTY, CAMDEN CLARK (T1) UNIVERSITY WV MEDICAL CENTER (T1) # 2815 5TH AVE HEALTHCARE MEDEXPRESS URGENT WVU MEDICINE HUNTINGTON, WV 25702 PHYSICIANS (T1) CARE - MORGANTOWN 800 GARFIELD AVE 304 399-7182 UNIV HEALTHCARE (T1) 956 MAPLE DR PARKERSBURG, WV 26101 GARRETT COUNTY, MD URGENT CARE 304 424-2111 912 SOMERSET BLVD STE MORGANTOWN, WV 26505 WVU URGENT CARE (T1) 102 304 291-5805 https://wvumedicine.org/cam WVU MEDICINE GARRETT CHARLES TOWN, WV www.medexpress.com den-clark MEDICAL GROUP 25414 176 DOUBLE G DR UHA EMERGENCY ROOM 304 725-2273 Skilled Nursing MCHENRY, MD 21541 PHYSICIANS (T1) Facilities 301 387-8718 KANAWHA COUNTY, WV SUNCREST URGENT CARE UHA HARRISON COUNTY, WV GREENBRIER COUNTY, MEDEXPRESS URGENT CARE - CHARLESTON 301 SUNCREST TOWNE UNITED TRANSITIONAL WV (T1) CENTRE DR CARE CENTER (T1) # MEDEXPRESS URGENT 5430 MACCORKLE AVE SE MORGANTOWN, WV 26505 327 MEDICAL PARK DR CARE- LEWISBURG (T1) CHARLESTON, WV 25304 304 599-2273 BRIDGEPORT, WV 26330 1560 JEFFERSON ST N 304 925-3627 681 342-1000 LEWISBURG, WV 24901 WVU URGENT CARE (T1) 304 645-2164 www.medexpress.com 301 SUNCREST TOWN OHIO COUNTY, WV CENTRE DR www.medexpress.com MEDEXPRESS URGENT CONTINUOUS CARE MORGANTOWN, WV 26505 CARE- PATRICK ST BRDG CENTER WHEELING HANCOCK COUNTY, WV 304 599-2273 (T1) HOSPITAL (T1)% MEDEXPRESS URGENT 1416 MACCORKLE AVE WVU URGENT CARE (T1) 236 HULLIHEN PL CARE-WEIRTON (T1) SW WVU HEALTH AND WHEELING, WV 26003 218 THREE SPRINGS DR SOUTH CHARLESTON, WV EDUCATION BUILDING 304 243-3800 WEIRTON, WV 26062 25303 390 BIRCH ST 304 723-3627 304 744-7517 MORGANTOWN, WV 26505 www.medexpress.com Urgent Care Services www.medexpress.com 304 599-2273 HARRISON COUNTY, WV BERKELEY COUNTY, WV MEDEXPRESS URGENT OHIO COUNTY, WV MEDEXPRESS URGENT MEDEXPRESS URGENT CARE- S CHARLESTON MEDEXPRESS URGENT CARE- CLARKSBURG CARE - MARTINSBURG (T1) CARE- WHEELING (T1) (T1) (T1) 4812 MACCORKLE AVE 620 NATIONAL RD STE 300 101 EMILY DR 83 RETAIL COMMONS SW WHEELING, WV 26003 CLARKSBURG, WV 26301 PKWY SOUTH CHARLESTON, WV 304 233-3624 MARTINSBURG, WV 25403 304 623-5094 25309 www.medexpress.com 304 264-9730 www.medexpress.com 304 768-3627 MEDEXPRESS URGENT www.medexpress.com TIMOTHY PEASAK DO www.medexpress.com CARE- WHEELING (T1) (T1) UNIVERSITY MARION COUNTY, WV 10 ELM GROVE BRIDGEPORT EXPRESS HEALTHCARE WVU URGENT CARE (T1) CROSSING MALL CARE PHYSICIANS (T1) WVU MEDICINE WHEELING, WV 26003 1370 JOHNSON AVE FL 1 UNIV HEALTHCARE OUTPATIENT CENTER 304 242-4228 BRIDGEPORT, WV 26330 URGENT CARE 100 STONEY HILL RD 304 842-3330 www.medexpress.com 5047 GERRARDSTOWN FAIRMONT, WV 26554 WHEELING HOSPITAL RD STE A UHA EMERGENCY ROOM 304 599-2273 (T1)% INWOOD, WV 25428 PHYSICIANS (T1) MERCER COUNTY, WV 1 MEDICAL PARK 304 229-2273 DEPARTMENT WHEELING, WV 26003 EMERGENCY MED MEDEXPRESS URGENT CABELL COUNTY, WV 304 243-3000 UNITED HOSPITAL CARE- PRINCETON (T1) MEDEXPRESS URGENT CENTER 277 GREASY RIDGE RD www.wheelinghospital.org CARE - HUNTINGTON W CLARKSBURG, WV 26302 PRINCETON, WV 24739 WHEELING HOSPITAL (T1) 304 425-7615 304 624-2121 URGENT CARE CENTER 10 ADAMS AVE www.medexpress.com (T1)% HUNTINGTON, WV 25701 1025 MARKET ST 304 523-8838 WHEELING, WV 26003 www.medexpress.com 304 231-2100 www.wheelinghospital.org

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 10 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. PUTNAM COUNTY, WV MEDEXPRESS URGENT CARE - TEAYS VALLEY (T1) 563 STATE RT 34 HURRICANE, WV 25526 304 757-5063 www.medexpress.com RALEIGH COUNTY, WV MEDEXPRESS URGENT CARE - BECKLEY (T1) 1709 HARPER RD BECKLEY, WV 25801 304 256-8671 www.medexpress.com WOOD COUNTY, WV MEDEXPRESS URGENT CARE - PARKERSBURG (T1) 1500 GRAND CENTRAL AVE STE 115 VIENNA, WV 26105 304 485-3627 www.medexpress.com MEDEXPRESS URGENT CARE - S PARKERSBURG (T1) 2832 PIKE ST STE 1 PARKERSBURG, WV 26101 304 489-3815 www.medexpress.com

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 11 - # Accredited hospital

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. Section 2 Tertiary Hospitals

When a Participant requires specialty care or services not available through our local in-plan network of providers, then his/ her physician will refer them to one of The Health Plan’s participating tertiary providers. Referrals to non-participating providers will not be authorized by The Health Plan if the required services can be provided by our Tertiary network. All Tertiary services will be referred to participating tertiary facilities unless, of course, the facility is unable to provide a particular service, at which time, The Health Plan may give prior approval for another facility.

Remember, out-of-area referrals to both participating and non-participating facilities must be preauthorized by The Health Plan Medical Department and will not be approved after the fact except for true documented emergencies.

If you have any questions about Tertiary facilities or any other subject, please call us at 1.888.847.7902, TDD/TTY: 1.800.622.3925.

Tertiary Hospitals MONONGALIA COUNTY, WV MARY BABB RANDOLPH CANCER CENTER (T1) # 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 304 293-4500

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 12 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. Section 3 Primary Care Physicians (Your Plan May Require You to Select a Primary Care Physician)

CECIL T HOLBERT MD JOSEPH M DURKALSKI HEATHER ECKENRODE Family Practice (T1)% DO (T1) CNP (T1) ALLEGANY COUNTY, MD MYERS CLINIC BELMONT SHENANDOAH 3 HEALTHCARE DR PROFESSIONAL COMMUNITY HEALTH AYESHA ABID MD (T1) PHILIPPI, WV 26416 ASSOCIATES 99 TAVERN RD Accepts Ages 18 & Older 304 457-2800 100 HOSPITAL DR STE 201 MARTINSBURG, WV 25401 WESTERN MARYLAND BARNESVILLE, OH 43713 304 263-4999 HEALTH SYSTEM WWW.BARBOURHEALTH. 740 425-5150 12502 WILLOWBROOK RD ORG WWW.SHENCOMMHEALT STE 680 PETE J PALKO III DO STACY R MEEKS DO (T1) H.COM CUMBERLAND, MD 21502 (T1)% Not Accepting New Patients DAVID L KULLING MD 240 964-8921 MYERS CLINIC MORRISTOWN FAMILY (T1) 3 HEALTHCARE DR PRACTICE @ GERMAN SHEENA M BUSKIRK DO PO BOX 900 66840 BELMONT SHENANDOAH (T1) PHILIPPI, WV 26416 MORRISTOWN RD COMMUNITY HEALTH WESTERN MARYLAND 304 457-2800 BELMONT, OH 43718 99 TAVERN RD HEALTH SYSTEM 740 782-1031 MARTINSBURG, WV 25401 10701 NEW GEORGES WWW.BARBOURHEALTH. ORG 304 263-4999 CREEK RD SW SHAUN E ROE DO (T1) FROSTBURG, MD 21532 HANNAH A VALENTINE Not Accepting New Patients ZEKEYA V LOFTON CNP 301 689-3229 MD (T1)% MORRISTOWN FAMILY (T1) Practice Limited to Office Office Care Only ANUPAMA S KHANDARE PRACTICE Care Only Accepts Ages 18 & Older MD (T1) 66840 BELMONT BELINGTON CLINIC MORRISTOWN RD SHENANDOAH Accepts Ages 18 & Older 70 N STURMER ST BELMONT, OH 43718 COMMUNITY HEALTH Office Care Only BELINGTON, WV 26250 740 782-1031 99 TAVERN RD UPMC WESTERN 304 823-2800 MARTINSBURG, WV 25401 MARYLAND NANCY A SUKYS MD (T1) WWW.BARBOURHEALTH. 304 263-4999 12502 WILLOWBROOK RD Accepts ages 12 & older ORG WWW.SHENCOMMHEALT STE 680 WHEELING HOSPITAL INC H.COM CUMBERLAND, MD 21502 BELMONT COUNTY, OH 51339 NATIONAL RD 240 964-3799 JOSEPH M BANNON II DO SAINT CLAIRSVILLE, OH KELLY LOPEZ CNP (T1) @ SPANISH BARBOUR COUNTY, WV (T1) *% 43950 WHEELING HOSPITAL 740 695-1210 SHENANDOAH MARK B FARNSWORTH 51339 NATIONAL RD COMMUNITY HEALTH MD (T1) BERKELEY COUNTY, WV SAINT CLAIRSVILLE, OH 99 TAVERN RD BARBOUR CO FAMILY 43950 KALAH J AINSWORTH DO MARTINSBURG, WV 25401 MEDICINE 740 695-1210 (T1) 304 263-4999 14032 BARBOUR COUNTY Office Care Only MARY RUTH M LOPEZ MD HWY JOSEPH M BANNON II DO 61 CAMPUS DR STE 200 (T1) *% (T1) PHILIPPI, WV 26416 MARTINSBURG, WV 25404 WHEELING HOSPITAL Accepts ages 12 & older 304 457-5744 304 274-6343 3000 GUERNSEY ST @ Tagalog JOHN HENDERSON MD BELLAIRE, OH 43906 KALAH J AINSWORTH DO 233 WARM SPRINGS AVE (T1)% 740 676-4623 (T1) MARTINSBURG, WV 25404 Office Care Only Office Care Only 304 262-8686 BELINGTON CLINIC UHP GATEWAY FAMILY RYAN T MILLER DO (T1) 70 N STURMER ST MEDICINE 61 CAMPUS DR STE 200 BELINGTON, WV 26250 2010 DOCTOR OATES DR MARTINSBURG, WV 25404 304 823-2800 STE 102 304 274-6343 WWW.BARBOURHEALTH. MARTINSBURG, WV 25401 ORG 304 596-6290

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 13 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. KAREN K MILLER MD (T1) MICHELLE M SHEETZ CNP BRAXTON COUNTY, WV RACHEL J INWOOD FAMILY (T1) ZANE A DENNISON DO TALAMAN-PEREZ MD (T1) MEDICINE SHENANDOAH (T1) UNIONTOWN PRIMARY 5047 GERRARDSTOWN COMMUNITY HEALTH BRAXTON COUNTY CARE RD STE 2B 99 TAVERN RD MEMORIAL HOSPITAL - 201 MARY HIGGINSON LN INWOOD, WV 25428 MARTINSBURG, WV 25401 RCH STE 1 304 821-1444 304 263-4999 617 RIVER ST UNIONTOWN, PA 15401 724 430-5940 KAREN K MILLER MD (T1) WWW.SHENCOMMHEALT GASSAWAY, WV 26624 UNIV HEALTHCARE PHYS H.COM 304 364-2401 GARRETT COUNTY, MD 61 CAMPUS DR STE 200 JASON B SWALM DO STEPHANIE L FRAME DO ROBERT A GORALSKI MD MARTINSBURG, WV 25404 (T1)% (T1)% (T1) 304 274-6343 430 CERITOS TRL Office Care Only GARRETT MEDICAL MARTINSBURG, WV 25403 KOLAWALE A OSHIYOYE BRAXTON COMMUNITY GROUP PA 304 267-6249 MD (T1) HEALTH CENTER 311 N 4TH ST 202 FOXCROFT AVE REBECCA L THOMPSON 617 RIVER ST OAKLAND, MD 21550 MARTINSBURG, WV 25401 DO (T1) GASSAWAY, WV 26624 301 334-8171 304 350-1087 EAST PRIMARY CARE 304 364-2401 THOMAS G JOHNSON MD SPRINGS MILLS AMANDA C PRINCE MD DARLA K GANT MD (T1) (T1) 61 CAMPUS DR STE 200 (T1) BRAXTON COUNTY GARRETT MEDICAL MARTINSBURG, WV 25404 INWOOD FAMILY MEMORIAL HOSPITAL - GROUP PA 304 274-6343 MEDICINE RCH 311 N 4TH ST 5047 GERRARDSTOWN NGOZI UDE-OSHIYOYE 617 RIVER ST OAKLAND, MD 21550 RD STE 2B MD (T1)% GASSAWAY, WV 26624 301 334-8171 INWOOD, WV 25428 202 FOXCROFT AVE 304 364-2401 GREENBRIER COUNTY, 304 821-1444 MARTINSBURG, WV 25401 BROOKE COUNTY, WV WV 304 350-1087 EDWARD P EDWARD R MARKS III MD MICHAEL S JOHNSON DO QUARANTILLO III MD (T1) ADRIENNE N ZAVALA MD (T1)% (T1) * * (T1) 1006 COMMERCE ST HEALTHCARE 360 PLLC GATEWAY FAMILY 5047 GERRARDSTOWN WELLSBURG, WV 26070 208 DAWKINS DR MEDICINE RD STE 2A 304 737-4435 LEWISBURG, WV 24901 2010 DOCTOR OATES DR INWOOD, WV 25428 681 318-3477 FAYETTE COUNTY, PA STE 102 304 229-2273 HARRISON COUNTY, OH MARTINSBURG, WV 25401 ELENA A ACKAH MD (T1) BOONE COUNTY, WV DANIEL B JONES II DO 304 596-6290 FAYETTE PHYSICIAN CHRISTOPHER P NETWORK (T1)% EDWARD P FLANAGAN DO (T1) 201 MARY HIGGINSON LN WHEELING HOSPITAL INC QUARANTILLO III MD (T1) 701 MADISON AVE UNIONTOWN, PA 15401 951 E MARKET ST STE A * MADISON, WV 25130 724 430-5940 CADIZ, OH 43907 WVU MEDICINE PRIMARY 304 369-1230 740 942-8638 SEAN CONLEY MD (T1) CARE PENDLETON REDA E SHEDEED MD HOWARD LAFFERTY JR Not Accepting New Patients 299 MEDICAL CT (T1) MARTINSBURG, WV 25401 DO (T1) * UNIONTOWN MEDICAL @ ARABIC BOONE MEMORIAL HOSP ASSOCIATES 304 596-6343 HARRISON COMMUNITY 660A S MAIN ST 650 CHERRY TREE LN 951 E MARKET ST EDWARD P MADISON, WV 25130 UNIONTOWN, PA 15401 CADIZ, OH 43907 QUARANTILLO III MD (T1) 304 369-4250 724 438-4364 * 740 942-4116 JAMES R LONG DO (T1) SARAH G LUMLEY DO UNIV HEALTHCARE PHYS REDA E SHEDEED MD BOONE MEMORIAL HOSP (T1) 61 CAMPUS DR STE 200 (T1) 701 MADISON AVE UNIONTOWN PRIMARY MARTINSBURG, WV 25404 @ ARABIC MADISON, WV 25130 CARE -CONNELSVILLE 304 274-6343 HARRISON COMMUNITY 304 369-1230 224 MEMORIAL BLVD 951 E MARKET ST TRAVIS A E SCHILDT MD CONNELLSVILLE, PA LARRY O LUCAS DO (T1) CADIZ, OH 43907 (T1) 15425 BOONE MEMORIAL HOSP 740 942-4631 651 FOXCROFT AVE STE 724 626-7335 110 701 MADISON AVE MARTINSBURG, WV 25401 MADISON, WV 25130 304 264-3660 304 369-1230

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 14 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. HARRISON COUNTY, WV NATALIE R KING-SELARIO LEA A SINGZON MD (T1) JACKSON COUNTY, WV JAMES D BAILEY JR MD DO (T1) * @ Phillipine MURRITA C BOLINGER (T1) Office Care Only CLARKSBURG FAMILY CNP (T1) UPC BRIDGEPORT BRIDGEPORT EXPRESS MEDICINE RIVER VALLEY FAMILY FAMLIY HEALTHCARE CARE 2673 DAVISSON RUN RD CARE 120 MEDICAL PARK DR 1370 JOHNSON AVE FL 1 STE 101 606 WASHINGTON ST STE 300 BRIDGEPORT, WV 26330 CLARKSBURG, WV 26301 RAVENSWOOD, WV 26164 BRIDGEPORT, WV 26330 304 842-3330 681 342-3470 304 273-1033 681 342-3300 JOANN LONGENECKER VICTORICO A SINGZON WWW.COPLINHEALTHSYS WILLIAM G BOWLES DO MD (T1) MD (T1) TEMS.COM (T1) CLARKSBURG FAMILY Not Accepting New Patients STEVEN C ESHENAUR DO CLARKSBURG FAMILY MEDICINE @ Tagalog (T1) MEDICINE 2673 DAVISSON RUN RD 327 MEDICAL PARK DR JACKSON GENERAL 2673 DAVISSON RUN RD STE 101 BRIDGEPORT, WV 26330 CLINIC STE 101 CLARKSBURG, WV 26301 681 342-3600 200 ACADEMY DR CLARKSBURG, WV 26301 681 342-3470 RIPLEY, WV 25271 VICTORICO A SINGZON 681 342-3470 304 372-1050 JOSALYN M MANN DO MD (T1) LANCE D DUBBERKE MD (T1) * @ Tagalog WWW.JACKSONGENERAL. (T1) Not Accepting New Patients UPC BRIDGEPORT COM Accepts birth to 17 yrs of BRIDGEPORT FAMLIY HEALTHCARE STEVEN C ESHENAUR DO age PHYSICIANS CARE 1511 JOHNSON AVE STE (T1) SHINNSTON HEALTH 1511 JOHNSON AVE STE 104 509 CHURCH ST S CARE 104 BRIDGEPORT, WV 26330 RIPLEY, WV 25271 686 S PIKE ST BRIDGEPORT, WV 26330 681 342-3700 304 786-1155 681 342-3700 SHINNSTON, WV 26431 LAUREN J TOMES DO WWW.JACKSONGENERAL. 681 342-3800 MICHAEL T (T1) COM STEPHEN FRYER II DO MONTGOMERY DO (T1) * BRIDGEPORT RONALD E GREER II MD (T1) * UPC MEDPOINTE FAMILY PHYSICIANS CARE (T1)% UNITED HOSPITAL PRACTICE 1511 JOHNSON AVE STE Accepts existing patients CENTER 469 EMILY DR 104 only 120 MEDICAL PARK DR CLARKSBURG, WV 26301 BRIDGEPORT, WV 26330 RIVER VALLEY FAMILY STE 300 304 423-5180 304 848-0702 CARE BRIDGEPORT, WV 26330 606 WASHINGTON ST FRANCES B MURRAY MD LEVI D WICHTERMAN CNP 681 342-3300 RAVENSWOOD, WV 26164 (T1) (T1) 304 273-1033 HAELEY E HARMAN DO UNITED HOSPITAL UHA FAMILY MEDICINE (T1) CENTER 327 MEDICAL PARK DR WWW.COPLINHEALTHSYS TEMS.COM Office Care Only 120 MEDICAL PARK DR BRIDGEPORT, WV 26330 UNITED HOSPITAL STE 300 681 342-1000 TIMOTHY P METZGER DO CENTER BRIDGEPORT, WV 26330 DOMINICK R WOOFTER (T1) 681 342-3300 120 MEDICAL PARK DR MD (T1) COPLIN HEALTH SYSTEMS STE 300 KELLY R NELSON MD @ Hindi 512 CHURCH ST S APT A BRIDGEPORT, WV 26330 (T1) WOOFTER FAMILY RIPLEY, WV 25271 681 342-3300 UPC BRIDGEPORT PRACTICE 304 372-1033 ZACHARY W HENRY DO FAMLIY HEALTHCARE 1664 E PIKE ST WWW.COPLINHEALTHSYS (T1) * 120 MEDICAL PARK DR CLARKSBURG, WV 26301 TEMS.COM 2373 W MAIN ST STE 102 STE 300 304 709-7000 SALEM, WV 26426 BRIDGEPORT, WV 26330 www.msmswv.com TIMOTHY P METZGER DO 681 342-3300 (T1) 304 782-2000 ISHA WOOFTER MD (T1) RIVER VALLEY FAMILY DAVID E HESS MD (T1) ALAN R ROMINE DO (T1) @ Hindi CARE 215 W MAIN ST UPC MEDPOINTE FAMILY WOOFTER FAMILY 606 WASHINGTON ST BRIDGEPORT, WV 26330 PRACTICE PRACTICE RAVENSWOOD, WV 26164 304 842-6645 469 EMILY DR 1664 E PIKE ST 304 273-1033 CLARKSBURG, WV 26301 CLARKSBURG, WV 26301 304 423-5180 304 709-7000 WWW.COPLINHEALTHSYS TEMS.COM www.msmswv.com

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 15 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. LUCY K SHAMBLIN DO BONNIE H TEMPLETON CHRISTOPHER BELLEW ROSEMARIE C (T1) MD (T1) MD (T1) LORENZETTI MD (T1) PRIMARY FAMILY CARE WIRT CO HEALTH ASSOC WOMENS HEALTH & 201 E 5TH AVE STE 1 174 PINNELL ST STE C 562 CHARLESTON DR FAMILY MEDICINE RANSON, WV 25438 RIPLEY, WV 25271 RIPLEY, WV 25271 203 E 4TH AVE 304 728-1812 304 372-1740 304 372-7341 RANSON, WV 25438 AARON M MCLAUGHLIN 304 725-6343 LUCY K SHAMBLIN DO JEFFERSON COUNTY, OH MD (T1) (T1) DANIEL B JONES III DO ANGELA D CHERRY MD HARPERS FERRY FAMILY MORAD-HUGHES HEALTH (T1)% (T1) MED CENTER WHEELING HOSPITAL INC HARPERS FERRY FAMILY 171 TAYLOR ST 122 PINNELL ST 72562 COLERAIN RD RT MEDICINE HARPERS FERRY, WV RIPLEY, WV 25271 250 171 TAYLOR ST 25425 304 373-1578 DILLONVALE, OH 43917 HARPERS FERRY, WV 304 535-6343 25425 LUCY K SHAMBLIN DO 740 738-0020 AMANDA G MICHAEL DO 304 535-6343 (T1) JEFFERSON COUNTY, WV (T1) * JACKSON GENERAL MARK T CUCUZZELLA MD UHP FAMILY PRACTICE DAVID A BALTIERRA MD CLINIC (T1) (T1) 201 E 5TH AVE STE 1 200 ACADEMY DR 60 MACLAINE WAY STE A RANSON, WV 25438 @ SPANISH RIPLEY, WV 25271 SHEPHERDSTOWN, WV 304 728-1812 171 TAYLOR ST 304 372-1050 25443 HARPERS FERRY, WV AFSOUN M SICHANI MD 304 876-6343 LUCY K SHAMBLIN DO 25425 (T1) (T1) 304 535-6343 MARK T CUCUZZELLA MD WOMENS HEALTH & 509 CHURCH ST S (T1) FAMILY MEDICINE DAVID A BALTIERRA MD RIPLEY, WV 25271 300 S PRESTON ST 203 E 4TH AVE (T1) 304 786-1155 RANSON, WV 25438 RANSON, WV 25438 @ SPANISH 304 728-1795 304 725-6343 LANCE P SHINN DO (T1) WVU MEDICINE FAMILY JACKSON PREMIER MEDICINE - CIRCLES MADISON HUMERICK MD AFSOUN M SICHANI MD HEALTH 115 E 3RD AVE (T1) (T1) 146 PINNELL ST STE B RANSON, WV 25438 171 TAYLOR ST 171 TAYLOR ST RIPLEY, WV 25271 304 535-6343 HARPERS FERRY, WV HARPERS FERRY, WV 304 373-1521 25425 25425 DAVID A BALTIERRA MD 304 535-6343 304 535-6343 JENNIFER C SIMON CNP (T1) (T1) @ SPANISH WILLIAM D LEWIS MD (T1) GRETCHEN D SPROUSE MORAD-HUGHES HEALTH UHP FAMILY PRACTICE HARPERS FERRY FAMILY MD (T1) CENTER 201 E 5TH AVE STE 1 MEDICINE 203 E 4TH AVE 122 PINNELL ST RANSON, WV 25438 171 TAYLOR ST RANSON, WV 25438 RIPLEY, WV 25271 304 728-1812 HARPERS FERRY, WV 304 725-6343 304 373-1578 25425 CHRISTOPHER BELLEW GRETCHEN D SPROUSE 304 535-6343 WWW.JACKSONGENERAL. MD (T1) MD (T1) COM FAMILY MEDICINE & ROSEMARIE LORENZETTI UHP INC DBA HARPERS JENNIFER C SIMON CNP PEDIATRICS MD (T1) FERRY FAMILY MED (T1) SHEPHERDSTO HARPERS FERRY FAMILY 171 TAYLOR ST PRIMARY FAMILY CARE 60 MACLAINE WAY STE A MEDICINE HARPERS FERRY, WV 174 PINNELL ST STE C SHEPHERDSTOWN, WV 171 TAYLOR ST 25425 RIPLEY, WV 25271 25443 HARPERS FERRY, WV 304 535-6343 304 372-1740 304 876-6343 25425 REBECCA L THOMPSON 304 535-6343 WWW.JACKSONGENERAL. CHRISTOPHER BELLEW DO (T1) COM MD (T1) ROSEMARIE C FAMILY MEDICINE & BONNIE H TEMPLETON HARPERS FERRY FAMILY LORENZETTI MD (T1) PEDIATRICS MD (T1) MEDICINE 60 MACLAINE WAY STE A SHEPHERDSTO WIRT CO HEALTH ASSOC 171 TAYLOR ST SHEPHERDSTOWN, WV 60 MACLAINE WAY STE A 512 CHURCH ST S APT A HARPERS FERRY, WV 25443 SHEPHERDSTOWN, WV RIPLEY, WV 25271 25425 304 876-6343 25443 304 372-1033 304 535-6343 304 876-6343

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 16 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. RICHARD J WARD MD DARLA K GANT MD (T1) AMANDA K HILL MD (T1) DOUGLAS W MIDCAP DO (T1) UPC FAMILY MEDICAL FAIRMONT EAST CLINIC (T1) * HARPERS FERRY FAMILY CLINIC OF JANE LEW 100 STONEY HILL RD Accepts ages 16 & older MEDICINE 134 INDUSTRIAL PARK RD FAIRMONT, WV 26554 REYNOLDS FAMILY CARE 171 TAYLOR ST STE 200 304 333-8840 210 FAIRMONT PIKE RD HARPERS FERRY, WV JANE LEW, WV 26378 PHILIP H HORNER MD WHEELING, WV 26003 25425 304 884-7880 (T1) 304 221-3030 304 535-6343 ANGELA M MILLS DO FAIRMONT GATEWAY ANDREW M SCHMITT MD TEMBELE (T1)% CENTER (T1) YANGANDAWELE MD (T1) UPC FAMILY PRACTICE 100 STONEY HILL RD REYNOLDS MEMORIAL WVU MEDICINE FAMILY 134 INDUSTRIAL PARK RD FAIRMONT, WV 26554 HOSP MEDICINE CIRCLES STE 200 304 285-5400 426 8TH ST STE 301 115 E 3RD AVE JANE LEW, WV 26378 REAGAN L SIMPSON MD GLEN DALE, WV 26038 RANSON, WV 25438 304 884-7880 (T1) 304 221-4556 304 535-6343 MOHAMED SABBAGH MD UPC WHITEHALL WIJDAN SUWAID MD (T1) TEMBELE (T1) MEDICAL @ ARABIC YANGANDAWELE MD (T1) @ ARABIC 177 MIDDLETOWN RD STE RMH FAMILY MEDICINE HARPERS FERRY FAMILY 29 HOSPITAL PLZ STE E 1 426 8TH ST STE 200 MEDICINE WESTON, WV 26452 FAIRMONT, WV 26554 GLEN DALE, WV 26038 171 TAYLOR ST 304 269-1448 304 363-6600 304 221-9644 HARPERS FERRY, WV CAREY F SWISHER DO RICHARD E VASICEK DO MERCER COUNTY, WV 25425 (T1) (T1) 304 535-6343 NANCY A LOHUIS MD (T1) UPC FAMILY MEDICAL 177 MIDDLETOWN RD STE @ DUTCH, FRENCH TEMBELE CLINIC OF JANE LEW 1 PRINCETON COMMUNITY YANGANDAWELE MD (T1) 134 INDUSTRIAL PARK RD FAIRMONT, WV 26554 HOSPITAL ASSOCIATION WOMENS HEALTH & STE 200 304 363-6600 118 12TH ST FAMILY MEDICINE JANE LEW, WV 26378 DAVID A WATSON MD PRINCETON, WV 24740 203 E 4TH AVE 304 884-7880 (T1) 304 487-7936 RANSON, WV 25438 FRANK D SWISHER DO WEST FAIRMONT 304 725-6343 MARSHALL C LONG DO (T1) PRIMARY CARE (T1) * ADRIENNE N ZAVALA MD 134 INDUSTRIAL PARK RD 1377 LOCUST AVE Accepts ages 2 & older (T1) STE 200 FAIRMONT, WV 26554 PRINCETON COMMUNITY HARPERS FERRY FAMILY JANE LEW, WV 26378 304 363-3500 HOSPITAL ASSOCIATION MEDICINE 304 884-7880 MARSHALL COUNTY, WV 118 12TH ST 171 TAYLOR ST LOGAN COUNTY, WV PRINCETON, WV 24740 HARPERS FERRY, WV KATE O BROWN DO (T1) 304 487-7936 25425 MARK E MCDANIEL DO REYNOLDS MEMORIAL 304 535-6343 (T1)% HOSPITAL JONI M STEPP DO (T1) * Accepts Ages 18 & Older 426 8TH ST STE 301 PRINCETON COMMUNITY KANAWHA COUNTY, WV ASSURANCE HEALTH & GLEN DALE, WV 26038 HOSPITAL ASSOCIATION JENIFER L HADLEY DO RECOVERY 304 905-9634 118 12TH ST (T1) * 50 YUMA RD MARCIA J HAUGHT DO PRINCETON, WV 24740 3100 MACCORKLE AVE SE LOGAN, WV 25601 (T1) 304 487-7936 STE 700 304 688-9860 Accepts Ages 18 & Older CHARLESTON, WV 25304 MARK YOST DO (T1) * MARION COUNTY, WV RMH FAMILY MEDICINE 304 720-7305 MERCER MEDICAL MELINDA F FRAZEE MD 426 8TH ST STE 301 GROUP LEWIS COUNTY, WV (T1) GLEN DALE, WV 26038 401 VERMILLION ST DARLA K GANT MD (T1) FAIRMONT GATEWAY 304 221-4575 ATHENS, WV 24712 UPC FAMILY MEDICAL CENTER TRENT G MASON MD (T1) 304 384-7325 CLINIC OF JANE LEW 100 STONEY HILL RD Accepts Ages 18 & Older 134 INDUSTRIAL PARK RD FAIRMONT, WV 26554 REYNOLDS MEMORIAL STE 200 304 285-5400 HOSP JANE LEW, WV 26378 426 8TH ST STE 301 304 884-7880 GLEN DALE, WV 26038 304 221-4575

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 17 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MINERAL COUNTY, WV JOSEPH E CAPITO MD MICHAEL C MAROON JR SHAYLEE A PECKENS MD CHARLES D BESS MD (T1) DO (T1) (T1) (T1) * UHA SLEETH FAMILY UHA SLEETH FAMILY UHA SLEETH FAMILY Accepts ages 2 & older MEDICINE CTR MEDICINE CTR MEDICINE CTR POTOMAC VALLEY 6040 UNIVERSITY TOWN 6040 UNIVERSITY TOWN 6040 UNIVERSITY TOWN FAMILY PRACTICE CENTRE DR CENTRE DR CENTRE DR 514 NEW CREEK HWY STE MORGANTOWN, WV 26501 MORGANTOWN, WV 26501 MORGANTOWN, WV 26501 1 855 988-2273 304 598-6900 304 598-6900 KEYSER, WV 26726 GLENNA A CATHER MD MICHAEL C MAROON JR SHAYLEE A PECKENS MD 304 788-6462 (T1) DO (T1) (T1) KENNETH D LEFLER MD WVU CHEAT LAKE 250 RETAIL CIR STE 106 MORGANTOWN SOUTH (T1) PHYSICIANS MORGANTOWN, WV 26508 250 RETAIL CIR STE 106 FORT ASHBY MEDICAL 608 CHEAT RD 855 988-2273 MORGANTOWN, WV 26508 MORGANTOWN, WV 26508 855 988-2273 SERVICE CENTER JAMES B MERSING MD 304 594-1313 10261 FRANKFORT HWY (T1) JASON A PEKLINSKY MD FORT ASHBY, WV 26719 RICHARD K DATTOLA MD UHA PHYSICIAN OFFICE (T1) 304 597-3600 (T1) CENTER UHA SLEETH FAMILY MONONGALIA COUNTY, UHA SLEETH FAMILY 6040 UNIVERSITY TOWN MEDICINE CTR WV MEDICINE CTR CENTRE DR 6040 UNIVERSITY TOWN ROBERT B ALLISON II DO 6040 UNIVERSITY TOWN MORGANTOWN, WV 26501 CENTRE DR (T1) * CENTRE DR 855 988-2273 MORGANTOWN, WV 26501 MORGANTOWN, WV 26501 855 988-2273 UNIVERSITY TOWN GAETANO P 855 988-2273 CENTRE MONTELEONE MD (T1) * MELODY M PHILLIPS MD 6040 UNIVERSITY TOWN CYRUS J HAJIRAN MD UHA SLEETH FAMILY (T1) CENTRE DR (T1) MEDICINE CTR 250 RETAIL CIR STE 106 MORGANTOWN, WV 26501 Accepts Ages 18 & Older 6040 UNIVERSITY TOWN MORGANTOWN, WV 26508 855 988-2273 WVU CHEAT LAKE CENTRE DR 855 988-2273 MORGANTOWN, WV 26501 KRISTIN G BLACK DO PHYSICIANS MELODY M PHILLIPS MD 304 598-6900 (T1) 608 CHEAT RD (T1) MORGANTOWN, WV 26508 MORGANTOWN SOUTH GAETANO P UHA SLEETH FAMILY 855 988-2273 250 RETAIL CIR STE 106 MONTELEONE MD (T1) * MEDICINE CTR MORGANTOWN, WV 26508 HOLLY B UHA SLEETH FAMILY 6040 UNIVERSITY TOWN 855 988-2273 HARTMAN-ADAMS MD MEDICINE CTR CENTRE DR KRISTIN G BLACK DO (T1) 6040 UNIVERSITY TOWN MORGANTOWN, WV 26501 (T1) 608 CHEAT RD CENTRE DR 304 598-6900 MORGANTOWN, WV 26501 WVU MEDICINE MORGANTOWN, WV 26508 COURTNEY S PILKERTON 304 598-6900 CRANBERRY SQUARE 855 988-2273 MD (T1) 2601 CRANBERRY SQ CHRISTOPHER E KINCAID AMY R MOYERS MD (T1) UNIVERSITY TOWN MORGANTOWN, WV 26508 MD (T1) SLEETH FAMILY CENTRE 304 285-1702 MORGANTOWN SOUTH MEDICINE 6040 UNIVERSITY TOWN ERIKA B BODKINS MD 250 RETAIL CIR STE 106 6040 UNVERSITY TOWN CENTRE DR (T1) MORGANTOWN, WV 26508 VENTRE DR MORGANTOWN, WV 26501 SUNDALE NURSING 855 988-2273 MORGANTOWN, WV 26501 855 988-2273 304 598-6900 HOME JOHN C KOPKO DO (T1) ERONA REZA MD (T1) 800 JD ANDERSON DR WVU CHEAT LAKE JASON M ORESKOVICH UHA SLEETH FAMILY MORGANTOWN, WV 26505 PHYSICIANS DO (T1) MEDICINE CTR 855 988-2273 608 CHEAT RD UHA SLEETH FAMILY 6040 UNIVERSITY TOWN ALEXIA F BOZEK MD (T1) MORGANTOWN, WV 26508 MEDICINE CTR CENTRE DR CHEAT LAKE PHYSICIANS 855 988-2273 6040 UNIVERSITY TOWN MORGANTOWN, WV 26501 CENTRE DR 855 988-2273 608 CHEAT LAKE EMILY B LARKIN MD (T1) MORGANTOWN, WV 26501 MORGANTOWN, WV 26508 CHEAT LAKE PHYSICIANS 304 598-6900 855 988-2273 608 CHEAT RD MORGANTOWN, WV 26508 855 988-2273

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 18 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JOSEPH B SELBY MD (T1) MONROE COUNTY, OH BRUCE K GREENBERG CATHERINE J EVANS MD * CHARLES J DENUNZIO JR MD (T1) (T1)% UHA SLEETH FAMILY DO (T1) * FAIRVIEW HEALTH 40 MEDICAL PARK STE MEDICINE CTR Accepts Patients 2 and ASSOCIATES 401 6040 UNIVERSITY TOWN Older 350 FAIRVIEW HEIGHTS WHEELING, WV 26003 CENTRE DR @ SPANISH RD 304 243-6390 MORGANTOWN, WV 26501 SUMMERSVILLE, WV WETZEL COUNTY LISA C HILL MD (T1) 304 598-6900 26651 HOSPITAL ASSOCIATION FAMILY MEDICINE 304 872-5090 JASON C STATLER MD 45325 ST RTE 78 CENTER (T1) WOODSFIELD, OH 43793 www.fairviewhealthassociate 58 16TH ST UHA FAMILY MEDICINE 740 472-1879 s.com WHEELING, WV 26003 250 RETAIL CIR STE 106 www.wetzelcountyhospital.c JOHN S SHANK MD (T1) 304 233-8788 MORGANTOWN, WV 26508 om FAIRVIEW HEALTH CLINIC KATHERINE 855 988-2273 350 FAIRVIEW HEIGHTS MORGAN COUNTY, WV KOCHENBACH MD (T1) RD HANNAH L STILLINGS MD ANDREW J BERENS MD SUMMERSVILLE, WV Accepts ages 16 & older (T1) (T1)% 1 MEDICAL PARK STE 702 26651 UHA SLEETH FAMILY @ SPANISH 304 872-5090 WHEELING, WV 26003 MEDICINE CTR FAMILY MEDICINE OF 304 243-2945 6040 UNIVERSITY TOWN BERKELEY SP MICHAEL TAYLOR MD JOSHUA MENA DO (T1) * CENTRE DR 236 N WASHINGTON ST (T1) WHEELING HOSPITAL MORGANTOWN, WV 26501 BERKELEY SPRINGS, WV Accepts Ages 18 & Older URGENT CARE 855 988-2273 25411 SUMMERSVILLE RURAL 1025 MARKET ST 304 258-4408 HEALTH CLINIC KENDRA E UNGER MD WHEELING, WV 26003 400 FAIRVIEW HEIGHTS (T1) AMANDA G MICHAEL DO 304 231-2104 RD UHA SLEETH FAMILY (T1) * SUMMERSVILLE, WV WILLIAM C MERCER MD MEDICINE CTR 2055 VALLEY RD 26651 (T1)% 6040 UNIVERSITY TOWN BERKELEY SPRINGS, WV 304 872-8545 CENTRE DR 25411 Not Accepting New Patients Accepts Ages 18 & Older MORGANTOWN, WV 26501 304 258-8824 MARK L WANTZ MD (T1) 304 598-6900 FAIRVIEW HEALTH CLINIC WHEELING HOSPITAL INC NICHOLAS COUNTY, WV 58 16TH ST FL 3 350 FAIRVIEW HEIGHTS KYLEN P WHIPP MD (T1) BRUCE K GREENBERG WHEELING, WV 26003 1 MEDICAL CENTER DR RD MD (T1) SUMMERSVILLE, WV 304 232-5725 MORGANTOWN, WV 26506 350 FAIRVIEW HEIGHTS 26651 DOUGLAS W MIDCAP DO 855 988-2273 RD 304 872-5090 (T1) * KYLEN P WHIPP MD (T1) SUMMERSVILLE, WV Accepts ages 16 & older 6040 UNIVERSITY TOWN 26651 MARGARET S WANTZ MD REYNOLDS MEMORIAL CENTRE DR 304 872-5090 (T1) HOSP MORGANTOWN, WV 26501 FAIRVIEW HEALTH CLINIC SUNITA P GREENBERG 210 FAIRMONT PIKE RD 304 293-6307 350 FAIRVIEW HEIGHTS MD (T1) RD WHEELING, WV 26003 KYLEN P WHIPP MD (T1) Accepts ages 14 & older SUMMERSVILLE, WV 304 221-3030 250 RETAIL CIR STE 106 FAIRVIEW HEALTH CLINIC 26651 LAURA M MILLER DO MORGANTOWN, WV 26508 350 FAIRVIEW HEIGHTS 304 872-5090 (T1)% 855 988-2273 RD 20 MEDICAL PARK STE SUMMERSVILLE, WV OHIO COUNTY, WV DORIAN J WILLIAMS MD 301 26651 JAMES L COMERCI MD (T1) WHEELING, WV 26003 304 872-5090 (T1)% 304 243-7074 WV UNIVERSITY 7 E COVE AVE PHYSICIAN OFFICE WHEELING, WV 26003 DAVID M NALLY MD (T1) CENTER 304 242-0770 FAMILY MEDICAL CENTER 1 MEDICAL CENTER DR 40 MEDICAL PARK, STE MORGANTOWN, WV 26506 CHERYL H ENTRESS MD 401 304 598-4800 (T1)% WHEELING, WV 26003 Accepts Ages 18 & Older 304 243-3880 WHEELING CLINIC 58 16TH ST FL 2 WHEELING, WV 26003 304 234-2116

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 19 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. DAVID M PAXTON MD TAYLOR COUNTY, WV JASON A BARTON DO THOMAS A HERRMANN (T1)% MICHAEL R HESS MD (T1) (T1) MD (T1) WHEELING HOSPITAL INC PINEWOOD MEDICAL MID OHIO VALLEY MID OHIO VALLEY 7 E COVE AVE CLINIC MEDICAL GROUP MEDICAL GROUP WHEELING, WV 26003 401 N PIKE ST 610 WASHINGTON BLVD 610 WASHINGTON BLVD 304 242-0770 GRAFTON, WV 26354 FL 1 FL 1 BELPRE, OH 45714 BELPRE, OH 45714 KEITH A POOLE DO (T1)% 304 265-1350 740 423-5055 740 423-5055 Office Care Only UPSHUR COUNTY, WV JEFFERY T BRAHAM DO RYAN D LOWERS MD (T1) WHEELING HOSPITAL SARA J CHUA DO (T1) (T1) URGENT CARE CENTER ST JOSEPH HOSPITAL MID OHIO VALLEY MID OHIO VALLEY 1025 MARKET ST 94 W MAIN ST MEDICAL GROUP MEDICAL GROUP WHEELING, WV 26003 BUCKHANNON, WV 26201 610 WASHINGTON BLVD 610 WASHINGTON BLVD 304 231-2104 304 473-2200 FL 1 FL 1 BELPRE, OH 45714 WILLIAM S PRZYBYSZ MD MATTHAN JACKSON DO BELPRE, OH 45714 740 423-5055 (T1)% (T1) 740 423-5055 PROFESSIONAL CENTER ST JOSEPH HOSPITAL MICHAEL B MAUZY DO JOHN T CONNER II DO 2 21 AUCTION LN STE C (T1) (T1) 20 MEDICAL PARK STE BUCKHANNON, WV 26201 MID OHIO VALLEY MID OHIO VALLEY 301 304 472-6041 MEDICAL GROUP WHEELING, WV 26003 MEDICAL GROUP 610 WASHINGTON BLVD 304 277-2922 MATTHAN JACKSON DO 610 WASHINGTON BLVD FL 1 (T1) FL 1 BELPRE, OH 45714 EDWIN R ROZARIO MD ST JOSEPHS INTERNAL BELPRE, OH 45714 740 423-5055 (T1) MEDICINE 740 423-5055 @ Bengali, Bangoli 94 W MAIN ST STE 201 STEVEN D RICHARDS MD DARCY M CONNER DO WHEELING HOSPITAL BUCKHANNON, WV 26201 (T1) * (T1) INC. 304 473-6810 MMH DEPT OF FAMILY 58 16TH ST MID OHIO VALLEY MEDICINE WHEELING, WV 26003 GERARD J O'LOUGHLIN MEDICAL GROUP 805 FARSON ST STE 112 304 234-2122 DO (T1) 610 WASHINGTON BLVD BELPRE, OH 45714 Current pts FL 1 740 423-3202 BRADLEY A SCHMITT MD families/newborns BELPRE, OH 45714 www.mhsystem.org (T1)% ST JOSEPH FAMILY 740 423-5055 20 MEDICAL PARK STE KIM M STOOKE MD (T1) MEDICINE 306 VICKIE A COX DO (T1) MID OHIO VALLEY 94 W MAIN ST WHEELING, WV 26003 MID OHIO VALLEY MEDICAL GROUP BUCKHANNON, WV 26201 304 243-7030 MEDICAL GROUP 610 WASHINGTON BLVD 304 473-2200 610 WASHINGTON BLVD FL 1 MICHAEL E WILSON DO ROBERT P ROMANO DO FL 1 BELPRE, OH 45714 (T1) (T1) BELPRE, OH 45714 740 423-5055 Accepts ages 6 & older Accepts ages 4 & older 740 423-5055 WHEELING HOSPITAL SHARILEDA C VANCE MD Office Care Only 58 16TH ST KELLY C FLUHARTY MD (T1) ST JOSEPH FAMILY WHEELING, WV 26003 (T1) MID OHIO VALLEY MEDICINE 304 234-1971 MID OHIO VALLEY MEDICAL GROUP 94 W MAIN ST MEDICAL GROUP 610 WASHINGTON BLVD PLEASANTS COUNTY, WV BUCKHANNON, WV 26201 610 WASHINGTON BLVD FL 1 HEATHER D STRAIGHT 304 473-2200 FL 1 BELPRE, OH 45714 DO (T1) * WASHINGTON COUNTY, BELPRE, OH 45714 740 423-5055 WVU MEDICINE 740 423-5055 OH WEBSTER COUNTY, WV 1861 N PLEASANTS HWY CATHERINE A ADKINS MD ROBERT R HEAVNER MD ANDREW B COOK DO STE 101 (T1) (T1) (T1) SAINT MARYS, WV 26170 MID OHIO VALLEY MID OHIO VALLEY WEBSTER COUNTY 681 612-3600 MEDICAL GROUP MEDICAL GROUP MEMORIAL HOSPITAL 610 WASHINGTON BLVD 610 WASHINGTON BLVD 324 MILLER MOUNTAIN FL 1 FL 1 DR BELPRE, OH 45714 BELPRE, OH 45714 WEBSTER SPRINGS, WV 740 423-5055 740 423-5055 26288 304 847-5682

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 20 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. WESTMORELAND WIRT COUNTY, WV JOHN T CONNER II DO KELLY C FLUHARTY MD COUNTY, PA DARRIN E NICHOLS MD (T1) (T1) PAUL E MEANS JR DO (T1) MID OHIO VALLEY MID OHIO VALLEY (T1) * WIRT CO HEALTH ASSOC MEDICAL GROUP MEDICAL GROUP FAY WEST FAMILY 483 COURT ST 800 GRAND CENTRAL 800 GRAND CENTRAL PRACTICE ELIZABETH, WV 26143 MALL STE 4 MALL STE 4 109 CROSSROADS RD 304 275-3301 VIENNA, WV 26105 VIENNA, WV 26105 STE 201 304 485-3300 304 485-3300 SCOTTDALE, PA 15683 WOOD COUNTY, WV DARCY M CONNER DO STACIE D GUMP MD (T1) 724 887-5989 CATHERINE A ADKINS MD (T1) CAMDEN-CLARK (T1) TIFFANY M PLUTO DO MID OHIO VALLEY PHYSICIAN MID OHIO VALLEY (T1) MEDICAL GROUP CORPORATION MEDICAL GROUP FAY WEST FAMILY 800 GRAND CENTRAL 2838 PIKE ST STE 1 800 GRAND CENTRAL PRACTICE MALL STE 4 PARKERSBURG, WV 26104 MALL STE 4 109 CROSSROADS RD VIENNA, WV 26105 304 865-5070 VIENNA, WV 26105 STE 201 304 485-3300 304 485-3300 ROBERT R HEAVNER MD SCOTTDALE, PA 15683 VICKIE A COX DO (T1) (T1) 724 887-5989 JASON A BARTON DO MID OHIO VALLEY MID OHIO VALLEY (T1) WETZEL COUNTY, WV MEDICAL GROUP MEDICAL GROUP MID OHIO VALLEY 800 GRAND CENTRAL 800 GRAND CENTRAL DONALD A BLUM MD MEDICAL GROUP MALL STE 4 MALL STE 4 (T1) 800 GRAND CENTRAL VIENNA, WV 26105 VIENNA, WV 26105 WETZEL COUNTY MALL STE 4 304 485-3300 304 485-3300 HOSPITAL ASSOCIATION VIENNA, WV 26105 3 ADA DR STE 5 304 485-3300 SIREESHA DASARI MD TRACY L HENDERSHOT NEW MARTINSVILLE, WV (T1) MD (T1) JEFFERY T BRAHAM DO 26155 @ Hindi, Telugu CAMDEN-CLARK 304 455-4332 (T1) MID OHIO VALLEY PARKERSBURG FAMILY PHYSICIAN www.wetzelcountyhospital.c MEDICAL GROUP CARE CORPORATION om 3705 EMERSON AVE 800 GRAND CENTRAL 2838 PIKE ST STE 1 CLIFFORD J MYERS DO MALL STE 4 PARKERSBURG, WV 26104 PARKERSBURG, WV 26101 (T1) * VIENNA, WV 26105 304 917-3530 304 865-5070 Office Care Only 304 485-3300 WWW.COPLINHEALTHSYS TRACY L HENDERSHOT WETZEL PRIMARY CARE TEMS.COM TERRY W CAPEL MD (T1) MD (T1) 3 E BENJAMIN DR STE B * SIREESHA DASARI MD CAMDEN CLARK NEW MARTINSVILLE, WV PATRIOT POINTE (T1) PHYSICIAN GROUP 26155 PRIMARY CARE @ Hindi, Telugu 800 GARFIELD AVE 304 455-8082 2338 PIKE ST STE 1 PARKERSBURG FAMILY PARKERSBURG, WV 26101 www.wetzelcountyhospital.c PARKERSBURG, WV 26101 CARE 304 420-7161 om 2121 7TH ST 304 865-5070 THOMAS A HERRMANN GARY A NICHOLS MD (T1) PARKERSBURG, WV 26101 TERRY W CAPEL MD (T1) MD (T1) WETZEL COUNTY 304 485-1721 * MID OHIO VALLEY HOSPITAL ASSOCIATION WWW.COPLINHEALTHSYS VIENNA PRIMARY CARE MEDICAL GROUP 3 E BENJAMIN DR TEMS.COM 418 GRAND PARK DR STE 800 GRAND CENTRAL NEW MARTINSVILLE, WV 311 SIREESHA DASARI DO MALL STE 4 26155 VIENNA, WV 26105 (T1) VIENNA, WV 26105 304 455-8080 304 865-5120 Accepts Ages 18 & Older 304 485-3300 AMANDA D NICHOLS MD @ Hindi, Telugu WILLIAM E CARTWRIGHT RYAN D LOWERS MD (T1) (T1) PARKERSBURG FAMILY MD (T1) MID OHIO VALLEY WETZEL COUNTY CARE MEDICAL GROUP Accepts existing patients HOSPITAL ASSOCIATION 2610 CAMDEN AVE 800 GRAND CENTRAL only 3 E BENJAMIN DR PARKERSBURG, WV 26101 MALL STE 4 CAMDEN-CLARK NEW MARTINSVILLE, WV 304 917-3733 VIENNA, WV 26105 PHYSICIAN 26155 WWW.COPLINHEALTHSYS 304 485-3300 304 455-8080 CORPORATION TEMS.COM 1907 ANN ST PARKERSBURG, WV 26101 304 424-4205

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 21 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MICHAEL B MAUZY DO SKYLER D TRIBBLE MD ANNA K CORBIN MD (T1) MINERAL COUNTY, WV (T1) (T1) *% JAMES B DEREN MD (T1) MID OHIO VALLEY HARBOR POINT FAMILY VALLEY HEALTH MILTON Accepts ages 17 & older MEDICAL GROUP MEDICINE 1347 HILLVIEW DR WESTERN MARYLAND 800 GRAND CENTRAL 108 OSPREY DR STE A MILTON, WV 25541 HEALTH SYSTEM MALL STE 4 WILLIAMSTOWN, WV 304 743-1407 45 HUNT CLUB DR VIENNA, WV 26105 26187 WWW.VALLEYHEALTH.OR RIDGELEY, WV 26753 304 485-3300 304 865-5101 G MEDHANE H MESGENA SHARILEDA C VANCE MD ANNA K CORBIN MD (T1) PUTNAM COUNTY, WV MD (T1) * (T1) *% ANNA K CORBIN MD (T1) HARBOR POINT FAMILY MID OHIO VALLEY VALLEY HEALTH *% MEDICINE MEDICAL GROUP FOODFAIR VALLEY HEALTH TEAYS 108 OSPREY DR STE A 800 GRAND CENTRAL 6350 US ROUTE 60 E VALLEY WILLIAMSTOWN, WV MALL STE 4 BARBOURSVILLE, WV 1100 HOSPITAL DR 26187 VIENNA, WV 26105 25504 HURRICANE, WV 25526 304 865-5101 304 485-3300 304 399-3350 304 757-8683 WWW.VALLEYHEALTH.OR MEDHANE H MESGENA WWW.VALLEYHEALTH.OR General Medicine G MD (T1) * G CCPC PRIMARY CARE DODDRIDGE COUNTY, WV ALLEGANY COUNTY, MD RITCHIE COUNTY, WV PMC III JAMES B DEREN MD (T1) ARTHUR L CALHOUN MD 418 GRAND PARK DR STE ARTHUR L CALHOUN MD Accepts ages 17 & older (T1)% 321 (T1)% WESTERN MARYLAND @ SPANISH PARKERSBURG, WV 26105 Accepts existing patients HEALTH SYSTEM DODDRIDGE MEDICAL 304 865-5190 only 1050 W INDUSTRIAL BLVD CENTER 104 COLUMBIA ST @ SPANISH FINBAR G POWDERLY MD STE 15 21 MEDICAL CENTER DR (T1) CUMBERLAND, MD 21502 WEST UNION, WV 26456 304 873-2590 PENNSBORO, WV 26415 Accepts existing patients 240 964-9355 304 659-2986 only HARRISON COUNTY, WV WAYNE COUNTY, WV F G POWDERLY MD General Practice TIMOTHY PEASAK DO 1578 ELIZABETH PIKE ANNA K CORBIN MD (T1) BOYD COUNTY, KY (T1) MINERAL WELLS, WV BRIDGEPORT EXPRESS *% STEPHEN C SHY II DO 26150 CARE VALLEY HEALTH WAYNE (T1) *% 304 489-1222 1370 JOHNSON AVE FL 1 42 MCGINNIS DR OVP HEALTH WAYNE, WV 25570 JAMES SPYCHALSKI MD BRIDGEPORT, WV 26330 2550 CARTER AVE 304 272-5136 (T1) 304 842-3330 ASHLAND, KY 41101 WWW.VALLEYHEALTH.OR Accepts existing patients KANAWHA COUNTY, WV 304 429-1088 G only WWW.OVPHEALTH.COM ANNA K CORBIN MD (T1) 2900 EMERSON AVE CABELL COUNTY, WV *% Geriatric Medicine PARKERSBURG, WV 26104 864 OAKWOOD RD ANNA K CORBIN MD (T1) 681 229-3058 CHARLESTON, WV 25314 ALLEGANY COUNTY, MD *% KIM M STOOKE MD (T1) 304 352-1191 BENJAMIN S GOLDSTEIN Office Care Only MID OHIO VALLEY WWW.VALLEYHEALTH.OR MD (T1) VALLEY HEALTH MEDICAL GROUP G WESTERN MARYLAND HUNTINGTON 800 GRAND CENTRAL HEALTH SYSTEM 1301 HAL GREER BLVD MARSHALL COUNTY, WV MALL STE 4 12502 WILLOWBROOK RD HUNTINGTON, WV 25701 GREGORY K WOOD DO VIENNA, WV 26105 STE 300 M 304 525-0572 (T1)% 304 485-3300 MEDICAL ARTS CENTER WWW.VALLEYHEALTH.OR Office Care Only CUMBERLAND, MD 21502 HEATHER D STRAIGHT G Accepts ages 6 & older 240 964-8939 DO (T1) * 1307 LAFAYETTE AVE MID OHIO VALLEY MOUNDSVILLE, WV 26041 MEDICAL GROUP 304 845-2500 800 GRAND CENTRAL MALL STE 4 VIENNA, WV 26105 304 485-3300

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 22 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BERKELEY COUNTY, WV DAVID B JESSUP MD (T1) MUHAMMAD NAEEM MD MARIA N SETLAK DO (T1) CHRIS C QUE MD (T1) * (T1) *% VALLEY HEALTH WESTERN MARYLAND Accepts Ages 18 & Older Accepts ages 16 & older MEDICINE TAVERN ROAD HEALTH SYSTEM @ URDU ROSS PARK 1000 TAVERN ROAD STE 12500 WILLOWBROOK RD WESTERN MARYLAND PROFESSIONAL CNTR 100 CUMBERLAND, MD 21502 HEALTH SYSTEM 109 PLAZA DR MARTINSBURG, WV 25401 240 964-7000 625 KENT AVE STE 204 SAINT CLAIRSVILLE, OH 681 247-1080 DAVID B JESSUP MD (T1) CUMBERLAND, MD 21502 43950 301 777-7300 740 283-7143 MARION COUNTY, WV * WESTERN MARYLAND PETER L ANG MD (T1) * MARY A RILEY DO (T1) BERKELEY COUNTY, WV HEALTH SYSTEM MARION MEDICAL Office Care Only SAYEED AHMED MD (T1) 12502 WILLOWBROOK RD ASSOCIATES Accepts Ages 18 & Older Office Care Only CUMBERLAND, MD 21502 1377 LOCUST AVE WESTERN MARYLAND Accepts Ages 18 & Older 240 964-8740 FAIRMONT, WV 26554 HEALTH SYSTEM @ Telugu, ARABIC, Hindi, 304 363-3500 SHRAVAN 12502 WILLOWBROOK RD URDU, PERSIAN STE 680 MONONGALIA COUNTY, KOORAGAYALU MD (T1) 105 TAVERN RD STE 3 CUMBERLAND, MD 21502 WV UPMC WESTERN MARTINSBURG, WV 25401 MARYLAND 240 964-8921 304 267-8478 ROBERT B ALLISON II DO 12502 WILLOWBROOK RD (T1) * MARK A SAGIN MD (T1) * SARIKA V BAGREE MD STE 280 UNIVERSITY TOWN Accepts Ages 18 & Older (T1) CUMBERLAND, MD 21502 CENTRE WESTERN MARYLAND UHP GATEWAY FAMILY 240 964-8690 6040 UNIVERSITY TOWN HEALTH SYSTEM MEDICINE CENTRE DR CHARLES BORDERS MD 12502 WILLOWBROOK RD 2010 DOCTOR OATES DR MORGANTOWN, WV 26501 (T1) STE 280 STE 102 855 988-2273 UPMC WESTERN CUMBERLAND, MD 21502 MARTINSBURG, WV 25401 MARYLAND 240 964-8750 304 596-6290 RAMIRO O NAVIA MD (T1) 12500 WILLOWBROOK RD * BELMONT COUNTY, OH SARIKA V BAGREE MD CUMBERLAND, MD 21502 33 MEDICAL CENTER DR THOMAS R KETTLEWELL (T1) 240 964-8690 MORGANTOWN, WV 26505 DO (T1) Accepts Ages 18 & Older 304 598-4740 JOSE T LOVERIA MD (T1) Accepts ages 16 & older UNIV HEALTHCARE PHYS RAMIRO O NAVIA MD (T1) Not Accepting New Patients REYNOLDS MEMORIAL 1002 SUSHRUTA DR * Accepts Ages 18 & Older HOSPITAL MARTINSBURG, WV 25401 6040 UNIVERSITY TOWN @ Tagalog 302 W MAIN ST 304 263-0913 WESTERN MARYLAND CTR DR SAINT CLAIRSVILLE, OH SARIKA V BAGREE MD HEALTH SYSTEM MORGANTOWN, WV 26501 43950 (T1) 12502 WILLOWBROOK RD 740 232-6210 855 988-2273 Accepts Ages 18 & Older SUITE 680 MAHESHWAR R UNIV HEALTHCARE PHYS CUMBERLAND, MD 21502 Internal Medicine MUSUNURI MD (T1)% 1002 SUSHRUTA DR 240 964-8921 ALLEGANY COUNTY, MD Accepts ages 16 & older MARTINSBURG, WV 25401 VIRGINIA MAGBOJOS MD 304 263-0913 AYHAM BATAINEH MD @ TEUGA (T1) WHEELING HOSPITAL (T1) RICHARD H CATLETT III Not Accepting New Patients 51339 NATIONAL RD @ ARABIC MD (T1) * Accepts Ages 18 & Older SAINT CLAIRSVILLE, OH WESTERN MARYLAND Accepts ages 16 & older @ Tagalog 43950 HEALTH SYSTEM INTERNAL MEDICINE WESTERN MARYLAND 740 695-1210 12502 WILLOWBROOK RD 1002 SUSHRUTA DR HEALTH SYSTEM CUMBERLAND, MD 21502 MARTINSBURG, WV 25401 12502 WILLOWBROOK RD MAHESHWAR R 240 964-8750 304 263-0913 CUMBERLAND, MD 21502 MUSUNURI MD (T1)% AYHAM BATAINEH MD 240 964-8921 Accepts ages 16 & older CATHY M FUNK MD (T1) (T1) @ TEUGA BLUE RIDGE @ ARABIC WHEELING HOSPITAL HEALTHCARE WESTERN MARYLAND 3000 GUERNSEY ST STE 2000 PROFESSIONAL CT HEALTH SYSTEM 16 STE A 12500 WILLOWBROOK RD BELLAIRE, OH 43906 MARTINSBURG, WV 25401 CUMBERLAND, MD 21502 740 676-4623 304 264-9837 240 964-8750

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 23 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JESSE B JALAZO MD (T1) CHRIS C QUE MD (T1) BUCHANAN COUNTY, VA JOHN D ANGOTTI MD (T1) * VALLEY HEALTH FAMILY CHRIS MCCOY DO (T1) 527 MEDICAL PARK DR UNIVERSITY INTERNAL MED ASSOC OVP HEALTH STE 302 MEDICINE 1008 TAVERN ROAD STE 1520 SLATE CREEK RD BRIDGEPORT, WV 26330 1002 SUSHRUTA DR 202 STE 201 304 622-0294 MARTINSBURG, WV 25401 MARTINSBURG, WV 25401 GRUNDY, VA 24614 LACO L MACE II MD (T1) 304 263-0913 681 247-1075 276 242-2001 327 MEDICAL PARK DR DAWN B JONES MD (T1) CHRIS C QUE MD (T1) CHRIS MCCOY DO (T1) BRIDGEPORT, WV 26330 Accepts Ages 18 & Older VALLEY HEALTH OVP HEALTH 681 342-1000 MEDICINE TAVERN ROAD EAST PRIMARY CARE 1535 SLATE CREEK RD MAZEN NASHED MD 1000 TAVERN ROAD STE SPRING MILLS GRUNDY, VA 24614 (T1)% 61 CAMPUS DR STE 200 100 38338682 Accepts Ages 18 & Older MARTINSBURG, WV 25404 MARTINSBURG, WV 25401 FAYETTE COUNTY, PA @ FRENCH 304 274-6343 681 247-1080 LINDA M BURSTYNOWICZ 527 MEDICAL PARK DR ROBERTO C REYNA MD MICHAEL T LI MD (T1) * MD (T1) STE 204 (T1) SHENANDOAH FAYETTE PHYSICIAN BRIDGEPORT, WV 26330 INTERNAL MEDICINE - COMMUNITY HEALTH NETWORK 304 933-3800 99 TAVERN RD PANHANDLE 201 MARY HIGGINSON LN JEFFERSON COUNTY, OH 65 HEALTH CARE LN MARTINSBURG, WV 25401 STE 1 MARTINSBURG, WV 25401 MARIA N SETLAK DO (T1) 304 263-4999 UNIONTOWN, PA 15401 304 263-6997 *% 724 430-5940 ROBERT J LYNCH MD TRINITY FAMILY CARE COURTNEY STRUTHERS (T1) RICHARD A SIMPSON MD CENTER MD (T1) Accepts ages 13 & older (T1) 4232 MALL DR Accepts Ages 18 & Older DR ROBERT J LYNCH MD Accepts ages 16 & older STEUBENVILLE, OH 43952 UNIVERSITY INTERNAL 311 MEDICAL CT FAYETTE PHYSICIAN 740 695-5200 MEDICINE MARTINSBURG, WV 25401 NETWORK 1002 SUSHRUTA DR JEFFERSON COUNTY, WV 304 263-8989 224 MEMORIAL BLVD MARTINSBURG, WV 25401 VIKRAM DAYAL MD (T1) TINA M MAWING CNP (T1) CONNELLSVILLE, PA 304 263-0913 JEFFERSON MEDICINE & 15425 Accepts Ages 18 & Older PEDIATRICS 724 626-7335 SHENANDOAH SHANOJAN 207 E 5TH AVE COMMUNITY HEALTH THIYAGALINGAM MD (T1) GREENE COUNTY, PA RANSON, WV 25438 Accepts Ages 18 & Older 99 TAVERN RD ALAN CASCIOLA DO (T1) 304 725-6777 MARTINSBURG, WV 25401 UNIVERSITY INTERNAL Accepts ages 16 & older 304 263-4999 MEDICINE ROBERT E JONES III MD WAYNESBURG 1002 SUSHRUTA DR (T1) RYAN T MCCARTHY MD OUTPATIENT CENTER - MARTINSBURG, WV 25401 207 E 5TH AVE (T1) PRIMARY C 304 263-0913 RANSON, WV 25438 UNIV HEALTHCARE PHYS 451 MURTHA DR 304 728-5051 61 CAMPUS DR STE 200 BOONE COUNTY, WV WAYNESBURG, PA 15370 COURTNEY STRUTHERS MARTINSBURG, WV 25404 DAVID S MULLETT MD 724 627-3379 MD (T1) 304 274-6343 (T1) DARRELL L DONLEY MD Accepts Ages 18 & Older Accepts ages 9 and up RYAN T MCCARTHY MD (T1) FAMILY MEDICINE & BMH Medical Clinic (T1) 451 MURTHA DR PEDIATRICS 701 MADISON AVE UNIVERSITY INTERNAL WAYNESBURG, PA 15370 60 MACLAINE WAY STE A MADISON, WV 25130 MEDICINE 304 598-4880 SHEPHERDSTOWN, WV 1002 SUSHRUTA DR 304 369-4250 HARRISON COUNTY, WV 25443 MARTINSBURG, WV 25401 BROOKE COUNTY, WV 304 876-6343 304 263-0913 MICHAEL T ANGOTTI MD SHASHI R URVAL MD (T1) * KANAWHA COUNTY, WV SAMUEL R MORRIS MD (T1)% Accepts Ages 18 & Older ANWAR ABDEEN MD (T1) (T1) Accepts Ages 18 & Older 527 MEDICAL PARK DR Accepts Ages 18 & Older VALLEY HEALTH @ Hindi STE 307 @ FRENCH, ARABIC BERKELEY FAMILY WHEELING HOSP, INC BRIDGEPORT, WV 26330 ABSOLUTE CARE CLINIC MEDICINE 1006 COMMERCE ST 681 342-3850 428 DIVISION ST STE 3B 101 MARCLEY DR WELLSBURG, WV 26070 SOUTH CHARLESTON, WV MARTINSBURG, WV 25401 304 737-4436 304 263-8911 25309 304 205-5848

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 24 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. WITT A DURDEN DO (T1) MAHMOUD I HAMZA MD MINERAL COUNTY, WV BINO T CHACKO MD (T1) Accepts Ages 18 & Older (T1) RABIE H ZALZAL MD (T1) * WVUPC MEDICINE & 384 AIRPORT RD * WVU MEDICINE SPECIALTY OFFICE CHAPMANVILLE, WV Accepts Ages 18 & Older CRANBERRY SQUARE 3100 MACCORKLE AVE SE 25508 @ ARABIC 2601 CRANBERRY SQ STE 700 304 239-8090 RIVERSIDE CLINIC MORGANTOWN, WV 26508 304 285-1702 CHARLESTON, WV 25304 MARION COUNTY, WV 32 2ND ST 304 720-7305 PETER L ANG MD (T1) * PIEDMONT, WV 26750 MACKENZIE CLARKSON YAHIA HOMSI MD (T1) MARION MEDICAL 304 355-2323 MD (T1) 3200 MACCORKLE AVE SE ASSOCIATES MINGO COUNTY, WV 250 RETAIL CIR STE 106 CHARLESTON, WV 25304 MORGANTOWN, WV 26508 1377 LOCUST AVE CHRIS MCCOY DO (T1) 304 388-5590 855 988-2273 FAIRMONT, WV 26554 OVP HEALTH 304 363-3500 F SCOTT MOORE DO (T1) 61 E 3RD AVE LARRY W COOK JR DO * RICHARD A SIMPSON MD WILLIAMSON, WV 25661 (T1) Accepts Ages 18 & Older (T1) * 304 443-0233 UHA INTERNAL MEDICINE 30 MON GENERAL DR Accepts existing patients MARION MEDICAL MONONGALIA COUNTY, MORGANTOWN, WV 26505 only ASSOCIATES UHA WV 304 285-2720 PRESTIGE PRIMARY 1912 LOCUST AVE FREDERICK C BLUM MD CARE FAIRMONT, WV 26554 (T1) * KOKAB C DARBANDI MD 4501 MACCORKLE AVE 304 363-3500 RUBY WVU (T1) * SW STE 301 MARSHALL COUNTY, WV 101 STADIUM DR 6040 UNIVERSITY TOWN SOUTH CHARLESTON, WV CENTRE DR JAMIE P EVICK DO (T1) MORGANTOWN, WV 26506 25309 304 598-4800 MORGANTOWN, WV 26501 Accepts ages 16 & older 304 768-0700 855 988-2273 REYNOLDS MEMORIAL MATTHEW BRUNNER MD AMAL F SAKKAL MD (T1) HOSPITAL (T1) KOKAB C DARBANDI MD Accepts Ages 18 & Older 426 8TH ST STE 202 Not Accepting New Patients (T1) * Not Accepting New Patients GLEN DALE, WV 26038 UHA DEPT OF INT MED UHA PHYSICIAN OFFICE @ ARABIC 304 843-3437 6040 UNIVERSITY TOWN CENTER 331 LAIDLEY ST STE 406 1 MEDICAL CENTER DAVID F HESS MD (T1) CENTRE DR CHARLESTON, WV 25301 DRIVE REYNOLDS MEMORIAL MORGANTOWN, WV 26501 304 346-1410 MORGANTOWN, WV 26506 HOSPITAL 855 988-2273 304 598-4800 AMAL F SAKKAL MD (T1) 108 EOFF ST MATTHEW BRUNNER MD Accepts Ages 18 & Older BENWOOD, WV 26031 (T1) LAURA M DAVISSON MD @ ARABIC 304 221-3014 1 MEDICAL CENTER DR (T1) * CHARLESTON INTERNAL UHA PHYSICIANS OFFICE STACIE L KOONTZ CNP MORGANTOWN, WV 26506 MEDICINE CENTER (T1) 304 598-4000 3701 MACCORKLE AVE SE 1 MEDICAL CENTER DR REYNOLDS RAPID CARE- CHARLESTON, WV 25304 KRISTEN A CATHERMAN MORGANTOWN, WV 26506 MT OLIVET 304 720-2345 MD (T1) 304 598-4000 210 FAIRMONT PIKE RD UHA PHYSICIANS OFFICE LEWIS COUNTY, WV WHEELING, WV 26003 CENTER CHRISTOPHER M DIONNE ABDULMALEK SABBAGH 304 845-3211 1 MEDICAL CENTER DR MD (T1) UHA PHYSICIAN OFFICE MD (T1) * ZAVEEN KUREISHY MD MORGANTOWN, WV 26506 CENTER Accepts ages 14 & older (T1) 304 598-4800 6040 UNIVERSITY TOWN @ ARABIC Accepts ages 14 & older KRISTEN A CATHERMAN 29 HOSPITAL PLZ STE E CENTRE DR @ URDU MD (T1) MORGANTOWN, WV 26501 WESTON, WV 26452 426 8TH ST STE 102 UNIVERSITY TOWN 855 988-2273 304 269-1448 GLEN DALE, WV 26038 CENTRE LOGAN COUNTY, WV 304 845-8444 6040 UNIVERSITY TOWN JOSHUA M DOWER MD CENTRE DR (T1) ANWAR ABDEEN MD (T1) TIMOTHY J WILSON DO MORGANTOWN, WV 26501 608 CHEAT RD Accepts Ages 18 & Older (T1) * 855 988-2273 LITTLE FALLS, WV 26508 @ FRENCH, ARABIC RMH CENTER FOR 304 599-4200 ABSOLUTE CARE CLINIC PRIMARY CARE 112 BRIDGE ST 426 8TH ST STE 301 LOGAN, WV 25601 GLEN DALE, WV 26038 304 896-5025 304 221-4575

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 25 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JOSHUA M DOWER MD MATTHEW D GOLDINGER LINDSAY R KASSON DO NATHAN LERFALD MD (T1) CNP (T1) (T1) (T1) * WVU MEDICAL WEST VIRGINIA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE CORPORATION UNIVERSITY HOSP CENTER CENTER 6040 UNIVERSITY TOWN 1 MEDICAL CENTER 6040 UNIVERSITY TOWN 1 MEDICAL CENTER CETNER DR DRIVE CENTRE DR DRIVE MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 855 988-2273 304 598-4800 855 988-2273 304 598-4800 LORI EDDY MD (T1) * KEVIN A HALBRITTER MD HARPREET KAUR MD (T1) LEONARD R MAIER MD Not Accepting New Patients (T1) * UNIVERSITY TOWN (T1) UHA PHYSICIAN OFFICE Not Accepting New Patients CENTRE UHA PHYSICIAN OFFICE CENTER UHA PHYSICIAN OFFICE 6040 UNIVERSITY TOWN CENTER 1 MEDICAL CENTER CENTER CENTRE DR 1 MEDICAL CENTER DR DRIVE 1 MEDICAL CENTER MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 DRIVE 855 988-2273 304 598-4000 304 598-4800 MORGANTOWN, WV 26506 CHRISTINE R KINCAID MD SHANTHI MANIVANNAN 304 598-4800 LORI EDDY MD (T1) * (T1) * MD (T1) UHA GENERAL INTERNAL KEVIN A HALBRITTER MD UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE MEDICINE (T1) * CENTER CENTER 6040 UNIVERSITY TOWN UHA GENERAL INTERNAL 1 MEDICAL CENTER DR 1 MEDICAL CENTER CENTRE DR MEDICINE MORGANTOWN, WV 26506 DRIVE MORGANTOWN, WV 26501 6040 UNIVERSITY TOWN 304 598-4850 MORGANTOWN, WV 26506 304 598-4800 855 988-2273 CENTRE DR CHRISTINE R KINCAID MD MORGANTOWN, WV 26501 DANIEL L FARMER DO (T1) * SHANTHI MANIVANNAN 855 988-2273 (T1) UNIVERSITY TOWN MD (T1) UHA PHYSICIAN OFFICE MONIKA M HOLBEIN MD CENTRE UHA GENERAL IM CENTER (T1) 6040 UNIVERSITY TOWN 6040 UNIVERSITY TOWN 1 MEDICAL CENTER UHA DEPT OF INT MED CENTRE DR CENTRE DR DRIVE 6040 UNIVERSITY TOWN MORGANTOWN, WV 26501 MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 CENTRE DR 855 988-2273 855 988-2273 304 598-4800 MORGANTOWN, WV 26501 MARIA M KOLAR MD (T1) BENJAMIN D 855 988-2273 JACOB L FUQUA MD (T1) 6040 UNIVERSITY TOWN MOOREHEAD MD (T1) UNIVERSITY TOWN MONIKA M HOLBEIN MD CENTRE DR 608 CHEAT RD CENTRE (T1) MORGANTOWN, WV 26501 MORGANTOWN, WV 26508 6040 UNIVERSITY TOWN UHA DEPT OF INT MED 855 988-2273 855 988-2273 CENTRE DR 1 MEDICAL CENTER TROY M KRUPICA JR MD CHARLES T MUPAMOMBE MORGANTOWN, WV 26501 DRIVE (T1) MD (T1) 855 988-2273 MORGANTOWN, WV 26506 UHA PHYSICIAN OFFICE 6040 UNIVERSITY TOWN 304 293-7618 JACOB L FUQUA MD (T1) CENTER CENTRE DR 1 MEDICAL CENTER DR ERIC T HUANG MD (T1) 1 MEDICAL CENTER MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 UHA DEPT OF INT MED DRIVE 855 988-2273 304 598-4800 1 MEDICAL CENTER MORGANTOWN, WV 26506 H CARLTON PALMER MD DRIVE 304 598-4800 KELLEY M GANNON MD (T1) MORGANTOWN, WV 26506 (T1) ANDREA M LABUS MD UHA PHYSICIAN OFFICE 304 293-1964 6040 UNIVERSITY TOWN (T1) CENTER CENTRE DR AMIR S KAMRAN MD (T1) 6040 UNIVERSITY TOWN 1 MEDICAL CENTER MORGANTOWN, WV 26501 MARY BABB RABDOLPH CENTRE DR DRIVE 855 988-2273 CENTER MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 1 MEDICAL CENTER DR 855 988-2273 304 598-4800 CHELSEA R GIANNI CNP MORGANTOWN, WV 26506 (T1) ANDREA M LABUS MD H CARLTON PALMER MD 304 598-4500 608 CHEAT RD (T1) (T1) MORGANTOWN, WV 26508 PHYSICIAN OFFICE 6040 UNIVERSITY TOWN 855 988-2273 CENTER CENTRE DR 1 MEDICAL CENTER DR MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 855 988-2273 304 598-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 26 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CRISTINA L PASTUCH MD KATHERINE B SEACHRIST LAXMI UPADHYAY MD LEAH J JONES DO (T1) (T1) MD (T1) * (T1) * *% 1 MEDICAL CENTER DR UHA PHYSICIAN OFFICE PHYSICIAN OFFICE WHEELING HOSPITAL MORGANTOWN, WV 26506 CENTER CENTER 40 MEDICAL PARK STE 304 598-4800 1 MEDICAL CENTER DR 1 MEDICAL CENTER DR 400 MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 WHEELING, WV 26003 RONALD J PELLEGRINO 855 988-2273 304 598-4800 304 243-5170 MD (T1) * UHA GENERAL INTERNAL DAVID SHI MD (T1) MARY WARDEN MD (T1) * ANISHA KUMAR DO (T1) * MEDICINE UHA DEPT OF INT MED 6040 UNIVERSITY TOWN WHEELING HOSPITAL 6040 UNIVERSITY TOWN 1 MEDICAL CENTER CENTRE DR URGENT CARE CENTER CENTRE DR DRIVE MORGANTOWN, WV 26501 1025 MARKET ST MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 855 988-2273 WHEELING, WV 26003 855 988-2273 304 598-4000 304 231-2104 MARY WARDEN MD (T1) * RONALD J PELLEGRINO JENNA N SIZEMORE MD UHA GENERAL INTERNAL ANTHONY P MORISE MD MD (T1) * (T1) MEDICINE (T1) * UHA PHYSICIAN OFFICE UNIVERSITY TOWN 1 MEDICAL CENTER Accepts Ages 18 & Older CENTER CENTRE DRIVE WHEELING HOSP 1 MEDICAL CENTER 6040 UNIVERSITY TOWN MORGANTOWN, WV 26506 PHYSICIANS DRIVE CENTRE DR 304 598-4850 58 16TH ST MORGANTOWN, WV 26506 MORGANTOWN, WV 26501 JOEL B YEDNOCK MD WHEELING, WV 26003 304 598-4850 855 988-2273 (T1) 304 242-4800 JOSEPHINE L REECE MD JENNA N SIZEMORE MD 6040 UNIVERSITY TOWN ANTHONY P MORISE MD (T1) * (T1) CENTRE DR (T1) * 6040 UNIVERSITY TOWN PHYSICIAN OFFICE MORGANTOWN, WV 26501 Accepts Ages 18 & Older CENTRE DR CENTER 855 988-2273 PROFESSIONAL CENTER MORGANTOWN, WV 26501 1 MEDICAL CENTER DR JOEL B YEDNOCK MD 2 855 988-2273 MORGANTOWN, WV 26506 (T1) 20 MEDICAL PARK STE 304 598-4800 JOSEPHINE L REECE MD Not Accepting New Patients 105 (T1) * SARAH H SOFKA MD (T1) UHA PHYSICIANS OFFICE WHEELING, WV 26003 UHA PHYSICIAN OFFICE * CENTER 304 242-4800 CENTER 6040 UNIVERSITY TOWN 1 MEDICAL CENTER ANTHONY P MORISE MD 1 MEDICAL CENTER CENTRE DR DRIVE (T1) * DRIVE MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 Accepts Ages 18 & Older MORGANTOWN, WV 26506 855 988-2273 304 598-4850 PROFESSIONAL CENTER 304 598-4800 SARAH SOFKA MD (T1) * NICHOLAS COUNTY, WV 1 10 MEDICAL PARK STE TARA M RICKARD MD UHA PHYSICIAN OFFICE MARVIN J WURTH MD 104 (T1) CENTER (T1) * 1 MEDICAL CENTER DR 1 MEDICAL CENTER WHEELING, WV 26003 Accepts Ages 18 & Older MORGANTOWN, WV 26506 DRIVE 304 242-4800 SUMMERSVILLE RURAL 345984850 MORGANTOWN, WV 26507 HEALTH CLINIC ANTHONY P MORISE MD 304 598-4000 SEAN M ROGERS MD (T1) 400 FAIRVIEW HEIGHTS (T1) * 930 CHESTNUT RIDGE LINDSAY L SUNZERI MD RD Accepts Ages 18 & Older CENTER (T1) SUMMERSVILLE, WV PROFESSIONAL CENTER MORGANTOWN, WV 26505 UNIVERSITY TOWN 26651 1 304 293-2411 CENTRE 304 872-8545 10 MEDICAL PARK STE 6040 UNIVERSITY TOWN 101 SPOORTHI SANKINENI MD OHIO COUNTY, WV CENTRE DR WHEELING, WV 26003 (T1) MORGANTOWN, WV 26501 ANGELO N GEORGES MD 304 242-4800 UNIVERSITY TOWN 855 988-2273 (T1)% CENTRE Not Accepting New Patients SHAWN G STERN DO 6040 UNIVERSITY TOWN LAXMI UPADHYAY MD 1 MEDICAL PARK STE 703 (T1)% CENTRE DR (T1) * WHEELING, WV 26003 Accepts ages 1 & older MORGANTOWN, WV 26501 6040 UNIVERSITY TOWN 304 242-4182 40 MEDICAL PARK STE 855 988-2273 CENTRE DR 501 MORGANTOWN, WV 26501 WHEELING, WV 26003 855 988-2273 304 243-8409

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 27 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. SHASHI R URVAL MD UPSHUR COUNTY, WV WETZEL COUNTY, WV JENNIFER L LEAVITT DO (T1)% BARTLEY R BROWN DO BRADLEY K MILLER DO (T1) Accepts Ages 18 & Older (T1) * (T1) CAMDEN CLARK @ Hindi Accepts Ages 18 & Older Office Care Only MEMORIAL HOSPITAL 58 16TH ST Practice Limited to Office Accepts Ages 18 & Older 800 GARFIELD AVE RM WHEELING, WV 26003 Care Only WETZEL COUNTY G102 304 243-2998 ST JOSEPH HOSPITAL HOSPITAL ASSOCIATION PARKERSBURG, WV 26101 304 424-4575 PIKE COUNTY, KY 94 W MAIN ST STE 201 150 PADUCAH DR BUCKHANNON, WV 26201 NEW MARTINSVILLE, WV CHRIS MCCOY DO (T1) RABINA MALIK-HAMIRANI 304 473-6810 26155 OVP HEALTH MD (T1) 304 455-8190 9613 MILLARD HWY ALI A KHAN MD (T1) *% Requires Referral www.wetzelcountyhospital.c PIKEVILLE, KY 41501 Accepts ages 16 & older Accepts ages 10 & older om 606 552-0400 @ URDU @ Hindi WINCHESTER CITY MID OHIO VALLEY CHRIS MCCOY DO (T1) ASSOCIATED COUNTY, VA NEPHROLOGY ASSOC OHIO VALLEY SPECIALISTS INC MICHAEL T LI MD (T1) * 800 GRAND CENTRAL PHYSICIANS 2 HARTMAN PLZ SHENANDOAH MALL STE 9 9613 MILLARD HWY BUCKHANNON, WV 26201 COMMUNITY HEALTH VIENNA, WV 26105 PIKEVILLE, KY 41501 304 471-3400 1330 AMHERST ST STE C 304 834-3970 304 429-1088 WASHINGTON COUNTY, WINCHESTER, VA 22601 OH STEVAN J MILHOAN MD PRESTON COUNTY, WV 540 722-2369 FREDERIC A HUMPHREY (T1) * HUGO C CARDUCCI DO DO (T1) *% WOOD COUNTY, WV CCPC PRIMARY CARE (T1) PMC III Accepts Ages 18 & Older ORTON C ARMSTRONG KINGWOOD CENTER 418 GRAND PARK DR STE 4727 ST RT 60 MD (T1) 300 MILLER RD 321 MARIETTA, OH 45750 Newborns only KINGWOOD, WV 26537 PARKERSBURG, WV 26105 740 374-4590 RIVER VALLEY MEDICINE 304 366-9100 304 865-5190 AND PEDS MICHAEL S MOSES MD CYNTHIA S CLARKSON 2012 GARFIELD AVE STE 2 STEVAN J MILHOAN MD (T1) * MD (T1) PARKERSBURG, WV 26101 (T1) * MARIETTA HEALTH CARE UHA PRESTON CO PEDS 304 893-9090 CAMDEN CLARK PHYS PHYSICIANS INC & INTERNAL MEDICINE CORP INT MED 807 FARSON ST STE 113 JENNIFER M AUXIER DO 14 COMFORT DRIVE 418 GRAND PARK DR STE BELPRE, OH 45714 (T1) PO BOX 359 311 740 376-6166 CAMDEN CLARK REEDSVILLE, WV 26547 VIENNA, WV 26105 MEMORIAL HOSPITAL 304 864-0015 MICHAEL S MOSES MD 304 865-5120 800 GARFIELD AVE (T1) * MACKENZIE CLARKSON PARKERSBURG, WV 26101 MICHAEL S MOSES MD MARIETTA HEALTH CARE MD (T1) 304 424-2355 (T1) * PHYSICIAN UHA PRESTON CO PEDS 805 FARSON ST STE 115 Accepts ages 16 & older & INTERNAL MEDICINE LINA JACQUES MD (T1) BELPRE, OH 45714 1512 36TH ST 14 COMFORT DRIVE CCPC PRIMARY CARE 740 423-3201 PARKERSBURG, WV 26104 REEDSVILLE, WV 26547 PMC III 418 GRAND PARK DR STE 304 422-5140 304 864-0006 MARCELA C RUGEL 321 AIZPRUA MD (T1) * MARCELA C RUGEL LINDSAY L SUNZERI MD PARKERSBURG, WV 26105 CAMDEN CLARK AIZPRUA MD (T1) * (T1) 304 865-5190 PHYSICIAN CORP Not Accepting New Patients KINGWOOD CENTER 2434 RICHMILLER LN UNIT CAMDEN-CLARK 300 MILLER RD BAIRAVA S C PHYSICIAN KINGWOOD, WV 26537 KUPPUSWAMY MD (T1) BELPRE, OH 45714 CORPORATION 304 329-3195 801 GARFIELD AVE STE 740 315-1030 100 2838 PIKE ST STE 1 RITCHIE COUNTY, WV PARKERSBURG, WV 26101 PARKERSBURG, WV 26101 FREDERIC A HUMPHREY 304 420-7156 304 865-5140 DO (T1) *% BAIRAVA S Accepts Ages 18 & Older KUPPUSWAMY MD (T1) 209 KIMBALL AVE 602 DIVISION ST PENNSBORO, WV 26415 PARKERSBURG, WV 26101 304 659-2925 304 865-5140

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 28 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. DANIEL R SHANK DO (T1) BERKELEY COUNTY, WV REBECCA J LEE MD (T1) MOHAMMAD H SAEED MD HARBOR POINT FAMILY CHERISH L CRAWFORD Accepts ages birth to 18 (T1) MEDICINE MD (T1) UHP PEDIATRICS Accepts ages birth to 18 108 OSPREY DR STE A Accepts ages birth to 18 2000 PROFESSIONAL CT UNIVERSITY PEDIATRIC WILLIAMSTOWN, WV SHENANDOAH STE C ASSOCIATES 26187 COMMUNITY HEALTH MARTINSBURG, WV 25401 61 CAMPUS DR STE 200 304 865-5101 99 TAVERN RD 304 263-8853 MARTINSBURG, WV 25404 304 274-6343 WILLIAM P TOMLINSON MARTINSBURG, WV 25401 REBECCA J LEE MD (T1) 304 263-4999 MD (T1) Accepts ages birth to 18 NIRUPAMA MEDICINE & PEDIATRICS WWW.SHENCOMMHEALT UHP PEDIATRICS SEEMALADINNE MD (T1) 2012 GARFIELD AVE STE 2 H.COM 61 CAMPUS DR STE 200 Accepts birth to age 21 PARKERSBURG, WV 26101 REBECCA FURBY MD (T1) MARTINSBURG, WV 25404 2000 PROFESSIONAL CT 304 893-9090 Accepts birth to age 21 304 274-6343 STE C MARTINSBURG, WV 25401 EAST PRIMARY CARE PAMELA L QUARANTILLO Pediatrics 304 263-8853 SPRING MILLS MD (T1) ALLEGANY COUNTY, MD 61 CAMPUS DR STE 200 UNIV HEALTHCARE PHYS RAJA G SUNKAVALLI MD MARTINSBURG, WV 25404 FRANCIS M MCCAFFREY 61 CAMPUS DR STE 200 (T1) 304 274-6343 MD (T1) * MARTINSBURG, WV 25404 UNIV HEALTHCARE PHYS Accepts ages birth to 18 REBECCA FURBY MD (T1) 304 274-6343 61 CAMPUS DR STE 200 MARTINSBURG, WV 25404 WESTERN MARYLAND UNIVERSITY PEDIATRIC PAMELA L QUARANTILLO 304 274-6343 HEALTH SYSTEM ASSOC MD (T1) 2000 PROFESSIONAL CT 12502 WILLOWBROOK RD Accepts birth to age 21 RAJA G SUNKAVALLI MD STE C CUMBERLAND, MD 21502 UHP PEDIATRICS (T1) MARTINSBURG, WV 25401 240 964-8740 2010 DOCTOR OATES DR UNIVERSITY PEDIATRIC 304 263-8853 BELMONT COUNTY, OH STE 102 ASSOCIATES 2000 PROFESSIONAL CT MARY T HAMMOND MD TIFFANY E MARTINSBURG, WV 25401 STE C (T1)% GUGLIELMO-ROXBY DO 304 596-6290 (T1) MARTINSBURG, WV 25401 Accepts birth to age 21 PAMELA L QUARANTILLO 304 263-8853 222 N 5TH ST STE 101 Accepts newborns to age 16 MD (T1) 99 TAVERN RD MARTINS FERRY, OH Accepts birth to age 21 CABELL COUNTY, WV MARTINSBURG, WV 25401 43935 UHP PEDIATRICS CAROL P PINA PARKER 304 263-4999 740 633-6480 299 MEDICAL CT MD (T1) * WWW.SHENCOMMHEALT LOREN R KAISER MD MARTINSBURG, WV 25401 Accepts ages birth to 18 H.COM (T1)% 304 596-6343 CCPC BELPRE PRIMARY SHANA R KAZNOSKI DO CARE Accepts birth to age 21 PAMELA L QUARANTILLO (T1) *% 2434 RICHMILLER LN STE WHEELING PEDIATRICS MD (T1) C 222 N 5TH ST Office Care Only UHP PEDIATRICS HUNTINGTON, WV 25714 MARTINS FERRY, OH Not Accepting New Patients 2000 PROFESSIONAL CT 740 315-1030 43935 1178 SHEPHERDSTOWN STE C 740 633-6480 RD MARTINSBURG, WV 25401 FAYETTE COUNTY, PA MARTINSBURG, WV 25404 304 263-8853 LINDA M BURSTYNOWICZ SHEELA R RAO MD (T1)% 304 264-9332 Accepts birth to age 21 MOHAMMAD H SAEED MD MD (T1) UROOJ KHAN MD (T1) @ Telugu (T1) FAYETTE PHYSICIAN UHP PEDIATRICS 222 N 5TH ST STE 101 Accepts ages through 18 NETWORK 61 CAMPUS DR STE 200 MARTINS FERRY, OH UNIVERSITY PEDIATRIC 201 MARY HIGGINSON LN MARTINSBURG, WV 25404 43935 ASSOCIATES STE 1 304 274-6343 740 633-6480 2000 PROFESSIONAL CT UNIONTOWN, PA 15401 724 430-5940 UROOJ KHAN MD (T1) STE C BRIAN P VASKE DO (T1)% Accepts ages through 18 MARTINSBURG, WV 25401 Accepts birth to age 21 UHP PEDIATRICS 304 263-8853 222 N 5TH ST STE 101 2000 PROFESSIONAL CT MARTINS FERRY, OH STE C 43935 MARTINSBURG, WV 25401 740 633-6480 304 263-8853

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 29 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. RAFKA CHAIBAN MD (T1) JANANI K NARUMANCHI BRIAN C POLICANO MD MANINDER KAUR MD (T1) * MD (T1) (T1) Accepts ages through 18 Accepts birth to age 21 Accepts birth to age 21 Accepts ages birth to 18 WOMENS HEALTH & WVU MEDICINE UHA PEDIATRICS UPC PEDIATRIC FAMILY MEDICINE UNIONTOWN PEDIATRICS 451 MURTHA DR ASSOCIATES 203 E 4TH AVE 116 MATTHEW DR UNIT WAYNESBURG, PA 15370 7 CHENOWETH DR RANSON, WV 25438 100 304 598-4835 BRIDGEPORT, WV 26330 304 725-6343 UNIONTOWN, PA 15401 304 842-5777 ISABELA V NEGRIN MD MANINDER KAUR MD (T1) 724 912-7530 (T1) JACKSON COUNTY, WV Accepts ages through 18 BREANNA N NOLAN MD UHA PEDIATRICS CATHY A DAILEY DO (T1) FAMILY MEDICINE & (T1) 451 MURTHA DR Accepts ages birth to 18 PEDIATRICS WVU MEDICINE WAYNESBURG, PA 15370 WIRT CO HEALTH SHEPHERDSTO UNIONTOWN PEDIATRICS 304 598-4835 SERVICES 60 MACLAINE WAY STE A 116 MATTHEW DR UNIT HARRISON COUNTY, WV 606 WASHINGTON ST SHEPHERDSTOWN, WV 100 25443 PARTH J BHATT MD (T1) RAVENSWOOD, WV 26164 UNIONTOWN, PA 15401 304 273-1033 304 876-6343 724 912-7530 Accepts ages birth to 18 UNITED BRIDGEPORT CATHY A DAILEY DO (T1) MANINDER KAUR MD (T1) SABAH M SARWARI MD PEDIATRICS Accepts ages birth to 18 Accepts ages through 18 (T1) 900 LODGEVILLE RD WIRT CO HEALTH HARPERS FERRY FAMILY Accepts ages birth to 18 BRIDGEPORT, WV 26330 SERVICES MEDICINE WVU MEDICINE 304 842-3311 512A CHURCH ST S 171 TAYLOR ST UNIONTOWN PEDIATRICS HARPERS FERRY, WV JANET E COGAR MD (T1) RIPLEY, WV 25271 116 MATTHEW DR UNIT 25425 * 304 372-1033 100 304 274-6343 UNIONTOWN, PA 15401 Accepts birth to age 21 CATHY A DAILEY DO (T1) 724 912-7530 900 LODGEVILLE RD Accepts ages birth to 18 SARAH MOERSCHEL MD BRIDGEPORT, WV 26330 WIRT CO HEALTH (T1) FAYETTE COUNTY, WV 304 842-3311 SERVICES Accepts birth to age 21 KASSANDRA J MILAM DO 171 TAYLOR ST JAN M 562 CHARLESTON DR (T1) RIPLEY, WV 25271 HARPERS FERRY, WV MCNEIL-GLASSFORD MD Accepts birth to age 21 25425 (T1) 304 372-7341 SUMMERSVILLE 304 535-6343 CARDINAL PEDIATRICS PEDIATRICS INC ANA MARIA GONZALEZ PLLC NIRUPAMA 101 FLORENCE ST CADAVID MD (T1) 139 CONFERENCE WAY SEEMALADINNE MD (T1) ANSTED, WV 25812 Accepts birth to age 21 STE 113 Accepts birth to age 21 304 872-7063 MORAD-HUGHES HEALTH BRIDGEPORT, WV 26330 CENTER Office Care Only GREENE COUNTY, PA 304 599-8000 122 PINNELL ST WOMENS HEALTH & FAMILY MEDICINE ADRIANA R DIAKIW MD JOSEPH MOMEN MD (T1) RIPLEY, WV 25271 203 E 4TH AVE (T1) * 304 373-1578 RANSON, WV 25438 Accepts birth to age 21 UPC PEDIATRIC JEFFERSON COUNTY, WV 304 725-6343 UHA PEDIATRICS ASSOCIATES VIKRAM DAYAL MD (T1) 451 MURTHA DR 7 CHENOWETH DR NIRUPAMA JEFFERSON MEDICINE & WAYNESBURG, PA 15370 BRIDGEPORT, WV 26330 PEDIATRICS SEEMALADINNE MD (T1) 304 598-4835 304 842-5777 207 E 5TH AVE Accepts birth to age 21 FANNY M MURKEN MD MARY-ANN PHILLIPS MD RANSON, WV 25438 171 TAYLOR ST (T1) (T1) 304 725-6777 HARPERS FERRY, WV Accepts birth to age 21 UPC PEDIATRIC 25425 ROBERT E JONES III MD WAYNESBURG ASSOCIATES 304 535-6343 (T1) OUTPATIENT CENTER - 7 CHENOWETH DR Accepts existing patients ELEANOR A SMITH MD PEDIATRIC BRIDGEPORT, WV 26330 only (T1) 451 MURTHA DR 304 842-5777 207 E 5TH AVE 171 TAYLOR ST WAYNESBURG, PA 15370 HARPERS FERRY, WV 304 598-4835 RANSON, WV 25438 304 728-5051 25425 304 535-6343

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 30 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CHRISTINE M WHITMAN MONONGALIA COUNTY, MATTHEW BRUNNER MD NORMAN D FERRARI III MD (T1) WV (T1) MD (T1) * Accepts birth to age 21 MELISSA A ALLEMAN MD 1 MEDICAL CENTER DR Accepts birth to age 21 HARPERS FERRY FAMILY (T1) MORGANTOWN, WV 26506 UNIVERSITY TOWN MEDICINE WVU CHEAT LAKE 304 598-4000 CENTRE PHYSICIANS 171 TAYLOR ST NANCY BRUNNER MD 6040 UNIVERSITY TOWN 608 CHEAT RD HARPERS FERRY, WV (T1) CENTRE DR MORGANTOWN, WV 26508 25425 UHA PEDIATRICS MORGANTOWN, WV 26501 304 594-1313 304 535-6343 6040 UNIVERSITY TOWN 304 293-6307 MARION COUNTY, WV CHRISTINE A CENTRE DR LINDA A FRIEHLING MD RICHARD W BRANT MD BANVARD-FOX MD (T1) MORGANTOWN, WV 26501 (T1) * (T1) UHA PHYSICIAN OFFICE 855 988-2273 Accepts ages birth to 18 CENTER 1325 LOCUST AVE MACKENZIE CLARKSON UHA PEDIATRICS 1 MEDICAL CENTER FAIRMONT, WV 26554 MD (T1) 1 MEDICAL CENTER DR DRIVE 855 988-2273 250 RETAIL CIR STE 106 MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 MORGANTOWN, WV 26508 304 598-4800 JEFFREY D LANCASTER 304 598-4800 MD (T1) 855 988-2273 BRYCE M HARVEY MD CHRISTINE A FAIRMONT REGIONAL ADRIANA R DIAKIW MD (T1) BANVARD-FOX MD (T1) MEDICAL CENTER (T1) Accepts ages birth to 18 UHA PEDIATRICS 1325 LOCUST AVE Accepts ages birth to 18 UHA PHYSICIAN OFFICE 6040 UNIVERSITY TOWN FAIRMONT, WV 26554 UHA PHYSICIAN OFFICE CENTER CENTRE DR 855 988-2273 CENTER 6040 UNIVERSITY TOWN MORGANTOWN, WV 26501 CENTRE DR KAMAKSHYA P PATRA 6040 UNIVERSITY TOWN 855 988-2273 MORGANTOWN, WV 26501 MD (T1) CENTRE DR 855 988-2273 FAIRMONT REGIONAL JORDAN A BECKETT DO MORGANTOWN, WV 26501 MEDICAL CENTER (T1) 855 988-2273 COLLIN C JOHN MD (T1) * Accepts birth to age 21 1325 LOCUST AVE CHRISTOPHER M DIONNE UHA PHYSICIAN OFFICE CARDINAL PEDIATRICS FAIRMONT, WV 26554 MD (T1) CENTER PLLC 855 988-2273 UHA PHYSICIAN OFFICE 1 MEDICAL CENTER DR 1247 SUNCREST TOWN CENTER MORGANTOWN, WV 26506 MARSHALL COUNTY, WV CENTRE DR 6040 UNIVERSITY TOWN 304 598-4800 MICHELLE L FOX MD (T1) MORGANTOWN, WV 26505 CENTRE DR UPC GLEN DALE 304 599-8000 COLLIN C JOHN MD (T1) * MORGANTOWN, WV 26501 PEDIATRICS UHA PEDIATRICS JORDAN A BECKETT DO 855 988-2273 407 WHEELING AVE 6040 UNIVERSITY TOWN (T1) GLEN DALE, WV 26038 JOSHUA M DOWER MD CENTRE DR 304 845-1500 Accepts birth to age 21 (T1) MORGANTOWN, WV 26501 CARDINAL PEDIATRICS WVU MEDICAL 855 988-2273 MICHELLE L FOX MD (T1) PLLC CORPORATION Accepts ages birth to 18 JEFFREY D LANCASTER 9000 COOMBS FARM RD 6040 UNIVERSITY TOWN REYNOLDS PEDIATRICS MD (T1) STE 102 CETNER DR 100 TELETECH DR STE 5 UHA PHYSICIAN OFFICE MORGANTOWN, WV 26508 MORGANTOWN, WV 26501 MOUNDSVILLE, WV 26041 CENTER 304 599-8000 855 988-2273 304 845-1500 1 MEDICAL CENTER FREDERICK C BLUM MD JOSHUA M DOWER MD DRIVE SARONA MATHWARE MD (T1) * (T1) MORGANTOWN, WV 26506 (T1) * RUBY WVU 608 CHEAT RD 304 598-4800 Accepts birth to age 21 101 STADIUM DR LITTLE FALLS, WV 26508 TIMOTHY P LEFEBER MD REYNOLDS PEDIATRICS MORGANTOWN, WV 26506 304 599-4200 (T1) 100 TELETECH DR STE 5 304 598-4800 6040 UNIVERSITY TOWN MOUNDSVILLE, WV 26041 KRISTINE N BROWN DO CENTRE DR 304 845-1500 (T1) MORGANTOWN, WV 26501 Accepts birth to age 21 855 988-2273 CHEAT LAKE PHYSICIANS 608 CHEAT RD MORGANTOWN, WV 26508 855 988-2273

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 31 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JOSEPH D LYNCH MD MITRA NAZARINIA MD CARA R SHINA CNP (T1) KASSANDRA J MILAM DO (T1) (T1) UHA PHYSICIAN OFFICE (T1) 6040 UNIVERSITY TOWN Accepts ages birth to 18 CENTER Accepts birth to age 21 CENTRE DR 608 CHEAT RD 1 MEDICAL CENTER 400 FAIRVIEW HEIGHTS MORGANTOWN, WV 26501 MORGANTOWN, WV 26508 DRIVE RD 302 855 988-2273 855 988-2273 MORGANTOWN, WV 26506 SUMMERSVILLE, WV 304 598-4800 26651 JAN M MITRA NAZARINIA MD 304 872-7063 MCNEIL-GLASSFORD MD (T1) STACI J THOMAS MD (T1) (T1) UHA PHYSICIAN OFFICE 608 CHEAT RD PURIFICACION SALGADO CARDINAL PEDIATRICS CENTER MORGANTOWN, WV 26508 MD (T1) PLLC 1 MEDICAL CENTER 855 988-2273 Accepts birth to age 21 1247 SUNCREST TOWN DRIVE MEGAN TROISCHT MD 400 FAIRVIEW HEIGHTS CENTRE DR MORGANTOWN, WV 26506 (T1) RD STE 302 MORGANTOWN, WV 26505 304 598-4800 608 CHEAT RD SUMMERSVILLE, WV 304 599-8000 EMILY NEASE MD (T1) MORGANTOWN, WV 26508 26651 JAN M UHA PEDIATRICS 855 988-2273 304 872-7063 MCNEIL-GLASSFORD MD 6040 UNIVERSITY TOWN TAYLOR S TROISCHT MD CHRISTAL R KIRK CNP (T1) CENTRE DR (T1) (T1) CARDINAL PEDIATRICS MORGANTOWN, WV 26501 WVU CHEAT LAKE Office Care Only PLLC 855 988-2273 PHYSICIANS Accepts birth to age 21 9000 COOMBS FARM RD ISABELA V NEGRIN MD 608 CHEAT RD 400 FAIRVIEW HEIGHTS STE 102 (T1) MORGANTOWN, WV 26508 RD STE 302 MORGANTOWN, WV 26508 UHA PEDIATRICS 855 988-2273 SUMMERSVILLE, WV 304 599-8000 26651 1 MEDICAL CENTER DR CHICKAJAJUR S VIJAY HILARY E MORLEY MD 304 872-7063 MORGANTOWN, WV 26506 MD (T1) (T1) 304 598-4800 UHA PHYSICIAN OFFICE MARK M TOMSHO MD UHA PHYSICIAN OFFICE ISABELA V NEGRIN MD CENTER (T1) CENTER (T1) 1 MEDICAL CENTER Accepts birth to age 24 6040 UNIVERSITY TOWN DRIVE 400 FAIRVIEW HEIGHTS CENTRE DR Accepts ages birth to 18 MORGANTOWN, WV 26506 RD STE 302 MORGANTOWN, WV 26501 UHA PHYSICIAN OFFICE 304 598-4800 SUMMERSVILLE, WV 855 988-2273 CENTER 26651 6040 UNIVERSITY TOWN MORGAN COUNTY, WV FANNY M MURKEN MD CENTRE DR 304 872-7063 PAMELA L QUARANTILLO (T1) MORGANTOWN, WV 26501 MD (T1) OHIO COUNTY, WV Accepts birth to age 21 855 988-2273 LAURA R BLOSSER MD UNIVERSITY TOWN Accepts ages 21 and older LINDA S NIELD MD (T1) (T1)% CENTRE WVU MEDICINE FAMILY 6040 INIVERSITY TOWN 6040 UNIVERSITY TOWN MEDICINE BERKELEY SP Accepts ages birth to 18 CENTRE DR CENTRE DR 2055 VALLEY RD 30 MEDICAL PARK STE MORGANTOWN, WV 26501 MORGANTOWN, WV 26501 BERKELEY SPRINGS, WV 202 855 988-2273 855 988-2273 25411 WHEELING, WV 26003 CRISTINA L PASTUCH MD 304 258-8824 304 243-1250 JANANI K NARUMANCHI (T1) MD (T1) NICHOLAS COUNTY, WV MARY T HAMMOND MD 1 MEDICAL CENTER DR UHA PEDIATRICS JENNIFER A HINES DO (T1)% MORGANTOWN, WV 26506 6040 UNIVERSITY TOWN (T1) Accepts birth to age 21 304 598-4800 CENTRE DR Accepts birth to age 21 30 MEDICAL PARK STE MORGANTOWN, WV 26501 DAVID H RICH JR MD (T1) SUMMERSVILLE 221 304 293-6307 Accepts birth to age 21 PEDIATRICS INC WHEELING, WV 26003 400 FAIRVIEW HEIGHTS 304 243-8850 JANANI K NARUMANCHI UHA PEDIATRICS RD STE 302 MD (T1) 6040 UNIVERSITY TOWN SUMMERSVILLE, WV UHA PHYSICIAN OFFICE CENTRE DR 26651 CENTER MORGANTOWN, WV 26501 304 872-7063 1 MEDICAL CENTER 855 988-2273 DRIVE MORGANTOWN, WV 26506 304 598-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 32 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. LOREN R KAISER MD WEBSTER COUNTY, WV CATHY A DAILEY DO (T1) BRETT M WOLFE DO (T1) (T1)% MARK M TOMSHO MD Accepts ages birth to 18 Accepts ages birth to 18 Accepts birth to age 21 (T1) PARKERSBURG FAMILY RIVERVIEW PEDIATRICS WHEELING PEDIATRICS Accepts birth to age 24 CARE B PLLC 30 MEDICAL PARK STE SUMMERSVILLE 3705 EMERSON AVE 1217 BLIZZARD DR 221 PEDIATRICS - WEBSTER PARKERSBURG, WV 26104 PARKERSBURG, WV 26101 WHEELING, WV 26003 142 N COURT SQ 304 917-3530 304 916-1714 304 243-8850 WEBSTER SPRINGS, WV CATHY A DAILEY DO (T1) 26288 MATTHEW W MORRIS MD Accepts ages birth to 18 304 847-2022 (T1)% PARKERSBURG FAMILY Accepts ages birth to 18 WETZEL COUNTY, WV CARE WHEELING HOSPITAL IBANGA M EKANEM MD 2610 CAMDEN AVE PEDIATRICS (T1) PARKERSBURG, WV 26101 30 MEDICAL PARK STE 100 PADUCAH DR STE A 304 917-3733 211 NEW MARTINSVILLE, WV CATHY A DAILEY DO (T1) WHEELING, WV 26003 26155 304 243-6301 Accepts ages birth to 18 304 455-3611 PARKERSBURG FAMILY DAVID A MOSMAN MD WIRT COUNTY, WV CARE WESTBROOK (T1) CATHY A DAILEY DO (T1) 2121 7TH ST Accepts newborns to age 23 PARKERSBURG, WV 26101 Accepts ages birth to 18 30 MEDICAL PARK STE 304 485-1721 WIRT CO HEALTH 211 SERVICES STEVAN J MILHOAN MD WHEELING, WV 26003 483 COURT ST (T1) * 304 243-6301 ELIZABETH, WV 26143 CAMDEN CLARK PHYS CLAIRE E PAXTON MD 304 275-3301 CORP INT MED (T1)% 418 GRAND PARK DR STE CATHY A DAILEY DO (T1) Accepts birth to age 21 311 Accepts ages birth to 18 WHEELING HOSPITAL VIENNA, WV 26105 WIRT CO HEALTH PEDS 304 865-5120 SERVICES 30 MEDICAL PARK STE 461 SCHOOLVIEW ST RUSSELL A MILLER MD 202 ELIZABETH, WV 26143 (T1) *% WHEELING, WV 26003 304 275-3117 Accepts ages birth to 18 304 243-1250 1900 GARFIELD AVE STE WOOD COUNTY, WV BRIAN P VASKE DO (T1)% C 30 MEDICAL PARK SUITE ORTON C ARMSTRONG PARKERSBURG, WV 26101 221 MD (T1) 304 422-6682 WHEELING, WV 26003 2012 GARFIELD AVE STE 2 PRAKASH M PATEL MD 304 243-8850 PARKERSBURG, WV 26101 304 893-9090 (T1) PRESTON COUNTY, WV Accepts ages 1-15 yrs JORDAN A BECKETT DO CYNTHIA S CLARKSON 800 GRAND CENTRAL (T1) MD (T1) MALL STE 6 Accepts birth to age 21 UHA PRESTON CO PEDS VIENNA, WV 26105 CARDINAL PEDIATRICS & INTERNAL MEDICINE 304 424-4531 PLLC 14 COMFORT DRIVE 414 GRAND PARK DR STE CAROL P PINA PARKER PO BOX 359 1 MD (T1) * REEDSVILLE, WV 26547 PARKERSBURG, WV 26105 CCPC PRIMARY CARE 304 864-0015 304 599-8000 PMC III MACKENZIE CLARKSON 418 GRAND PARK DR STE MINIYA BERHANE MD MD (T1) 321 (T1) UHA PRESTON CO PEDS PARKERSBURG, WV 26105 & INTERNAL MEDICINE Accepts newborns to age 16 304 865-5190 14 COMFORT DRIVE 3001 EMERSON AVE REEDSVILLE, WV 26547 PARKERSBURG, WV 26104 304 864-0006 304 893-9906

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 33 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. Section 4 Non-Physician Primary Care Practitioners

RALEIGH COUNTY, WV MISTY D LINGENFELTER HARRISON COUNTY, WV Certified Nurse MICHELLE B CASKEY CNP (T1) DAVID P PEASAK II CNP Midwives (Ob/Gyn) CNP (T1) WESTERN MARYLAND (T1) HEALTH SYSTEM MARION COUNTY, WV DERM ONE PLLC BRIDGEPORT EXPRESS 4130 ROBERT C BYRD DR 1050 W INDUSTRIAL BLVD CARE KAYLA E POMP-STEURER BECKLEY, WV 25801 STE 15 1370 JOHNSON AVE FL 1 CNM (T1) 304 255-9434 CUMBERLAND, MD 21502 BRIDGEPORT, WV 26330 FAIRMONT GATEWAY 240 964-9355 304 842-3330 CENTER TAZEWELL COUNTY, VA ANNA M REINEKE CNP 100 STONEY HILL RD MICHELLE B CASKEY MARIA B SCUDERE NP (T1) FAIRMONT, WV 26554 CNP (T1) (T1) WESTERN MARYLAND 304 285-5400 DERM ONE PLLC BRIDGEPORT EXPRESS HEALTH SYSTEM CARE MONONGALIA COUNTY, 725 S COLLEGE AVE 12502 WILLOWBROOK RD 1370 JOHNSON AVE WV BLUEFIELD, VA 24605 STE 360 BRIDGEPORT, WV 26330 KAYLA E POMP-STEURER 276 326-3376 CUMBERLAND, MD 21502 304 842-3330 CNM (T1) WYTHE COUNTY, VA 240 964-8711 6040 UNIVERSITY TOWN MINERAL COUNTY, WV MELISSA M BUCKNER GELILA G RITCHEY CNP CENTRE DR LOIS HARTMAN CNP (T1) CNP (T1) (T1) MORGANTOWN, WV 26504 Accepts ages 5 & older DERM ONE PLLC WESTERN MARYLAND 855 988-2273 RIVERSIDE CLINIC 150 PEPPERS FERRY RD HEALTH SYSTEM 32 2ND ST KAYLA E POMP-STEURER WYTHEVILLE, VA 24382 12502 WILLOWBROOK RD PIEDMONT, WV 26750 CNM (T1) 276 228-2022 STE 360 304 355-2323 CHEAT LAKE PHYSICIANS CUMBERLAND, MD 21502 608 CHEAT RD Nurse Practitioner 240 964-8711 BREANA L JONES CNP MORGANTOWN, WV 26508 (T1) (General Practice) GELILA G RITCHEY CNP 855 988-2273 RIVERSIDE RURAL ALLEGANY COUNTY, MD (T1) HEALTH CLINIC WESTERN MARYLAND Nurse Practitioner MISTY D LINGENFELTER 100 PIN OAK LN HEALTH SYSTEM CNP (T1) KEYSER, WV 26726 (General Medicine) 12500 WILLOWBROOK RD WESTERN MARYLAND 304 597-3500 MERCER COUNTY, WV HEALTH SYSTEM CUMBERLAND, MD 21502 MICHELLE B CASKEY 10701 NEW GEORGES 240 964-8787 BREANA L JONES CNP (T1) CNP (T1) CREEK RD SW GARRETT COUNTY, MD FROSTBURG, MD 21532 FORT ASHBY MEDICAL DERM ONE PLLC MISTY D LINGENFELTER 301 689-3229 SERVICE CENTER 296 NEW HOPE RD STE 1 CNP (T1) PRINCETON, WV 24740 10261 FRANKFORT HWY MISTY D LINGENFELTER WESTERN MARYLAND 304 425-9448 FORT ASHBY, WV 26719 CNP (T1) HEALTH SYSTEM 304 597-3600 RADFORD CITY COUNTY, WESTERN MARYLAND 23789 GARRETT HWY VA HEALTH SYSTEM MCHENRY, MD 21541 WETZEL COUNTY, WV MICHELLE B CASKEY 1050 W INDUSTRIAL BLVD 240 488-4139 BRIANNE LOGSDON CNP (T1) CNP (T1) STE 17 HARDY COUNTY, WV DERM ONE PLLC CUMBERLAND, MD 21502 Accepts ages 1 & older RHEA SEE CNP (T1) 1804 E MAIN ST STE B 240 964-9300 Office Care Only RADFORD, VA 24141 Accepts ages 1 & older EZCARE NEW 540 633-3015 EZ CARE MARTINSVILLE 747 N MAIN ST STE C 260 RUSSELL AVE MOOREFIELD, WV 26836 NEW MARTINSVILLE, WV 304 538-8000 26155 EZCARECLINICS.COM 304 398-4949

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 34 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. KRISTI MUSILLI CNP (T1) RHONDA A PARKER CNP BELMONT COUNTY, OH Nurse Practitioners WETZEL COUNTY (T1) MEGAN BRITTON CNP HOSPITAL ASSOCIATION (Family Practice) BELINGTON COMMUNITY (T1) 3 EAST BENJAMIN DR STE MEDICAL SERVICES ALLEGANY COUNTY, MD Accepts Ages 18 & Older B 70 N STURMER ST BARNESVILLE MEDICAL NEW MARTINSVILLE, WV CATHY S CHAPMAN CNP BELINGTON, WV 26250 (T1) CENTER 26155 304 457-2800 100 HOSPITAL DR STE 201 304 455-8082 VAVALE MEDICAL CENTER RHONDA A PARKER CNP BARNESVILLE, OH 43713 www.wetzelcountyhospital.c 922 NATIONAL HWY (T1) 740 425-5150 om LAVALE, MD 21502 MYERS CLINIC MARY K MCCRACKEN TRACY P MYERS CNP 240 362-7294 3 HEALTHCARE DR CNP (T1)% (T1) PHILIPPI, WV 26416 APRIL A CROSS CNP (T1) WHEELING HOSPITAL WETZEL COUNTY 304 823-2800 3000 GUERNSEY ST HOSPITAL ASSOCIATION LAVALE MEDICAL JESSICA P SIAS CNP BELLAIRE, OH 43906 12960 SHORTLINE HWY CENTER (T1)% 740 676-4623 PO BOX 418 922 NATIONAL HWY MYERS CLINIC PINE GROVE, WV 26419 LAVALE, MD 21502 MARY K MCCRACKEN 3 HEALTHCARE DR 304 889-3344 240 362-7294 CNP (T1)% PHILIPPI, WV 26416 WHEELING HOSPITAL www.wetzelcountyhospital.c JESSICA GROVE CNP 304 457-2800 om (T1) 4000 CENTRAL AVE WWW.BARBOURHEALTH. WESTERN MARYLAND SHADYSIDE, OH 43947 ORG Nurse Practitioner HEALTH SYSTEM 740 671-9357 LORETTA J WILSON CNP (Geriatric Medicine) 625 KENT AVE SHERYL L MILLER CNP CUMBERLAND, MD 21502 (T1)% (T1)% MONONGALIA COUNTY, 301 777-7121 BRANDON WELLNESS 4000 CENTRAL AVE WV CENTER SHADYSIDE, OH 43947 MINTA A BIBB CNP (T1) LYNN METCALF CNP (T1) 99 HORSESHOE DR 740 671-9357 1 MEDICAL CENTER DR UPMC Western Maryland PHILIPPI, WV 26416 MORGANTOWN, WV 26506 12502 WILLOWBROOK RD 304 457-4000 SHERYL L MILLER CNP STE 330 304 598-4000 WWW.BARBOURHEALTH. (T1)% CUMBERLAND, MD 21502 3000 GUERNSEY ST MARISSA D DAVIS CNP ORG 240 964-8900 BELLAIRE, OH 43906 (T1) LORETTA J WILSON CNP 740 676-4623 WEST VIRGINIA KATIE L RITCHEY CNP (T1)% UNIVERSITY HOSPITALS (T1) MYERS CLINIC SHERYL L MILLER CNP 1 MEDICAL CENTER DR WESTERN MARYLAND 3 HEALTHCARE DR (T1)% MORGANTOWN, WV 26506 HEALTH SYSTEM PHILIPPI, WV 26416 WHEELING HOSP FAMILY 855 988-2273 12502 WILLOWBROOK RD 304 457-2800 HEALTH STE 680 63 HIGHWAY 7 S JENNIFER M VANIN CNP WWW.BARBOURHEALTH. CUMBERLAND, MD 21502 POWHATAN POINT, OH (T1) ORG 240 964-8921 43942 1 MEDICAL CENTER DR LORETTA J WILSON CNP 740 795-4505 MORGANTOWN, WV 26506 BARBOUR COUNTY, WV (T1)% 304 598-4000 RHONDA A PARKER CNP ABU WELLNESS CENTER DOMENIQUE E RIGGLE (T1) 101 COLLEGE HILL DR CNP (T1)% LEAH D WELLS CNP (T1) ABU WELLNESS CENTER PHILIPPI, WV 26416 WHEELING HOSP FAMILY UNIVERSITY TOWN 101 COLLEGE HILL DR 304 457-0400 HEALTH CENTRE PHILIPPI, WV 26416 3000 GUERNSEY ST 6040 UNIVERSITY TOWN WWW.BARBOURHEALTH. 304 457-0400 BELLAIRE, OH 43906 CENTRE DR ORG 740 676-4623 MORGANTOWN, WV 26501 RHONDA A PARKER CNP LORETTA J WILSON CNP 855 988-2273 (T1) (T1)% BERKELEY COUNTY, WV BRANDON WELLNESS BELINGTON CLINIC DENA Y BOWERS CNP CENTER 70 N STURMER ST (T1) 99 HORSESHOE DR BELINGTON, WV 26250 UHP FAMILY PRACTICE PHILIPPI, WV 26416 304 823-2800 2000 FOUNDATION WAY 304 457-4000 WWW.BARBOURHEALTH. STE 2200 ORG MARTINSBURG, WV 25401 304 596-6900

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 35 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. LORA COLE CNP (T1) MICHELLE M SHEETZ CNP CLAY COUNTY, WV CHANDRA D DIEBOLD FAMILY MEDICINE OF (T1) ERIN N KING CNP (T1)% CNP (T1) MARTINSBURG SHENANDOAH BIG OTTER CLINIC JEFFERSON ELEM 651 FOXCROFT AVE STE COMMUNITY HEALTH 797 CLINIC DR SCHOOL PRIMARY CARE 110 99 TAVERN RD IVYDALE, WV 25113 190 MARIE ST MARTINSBURG, WV 25401 MARTINSBURG, WV 25401 304 286-4200 WEST UNION, WV 26456 304 264-3660 304 263-4999 WWW.CCWV.ORG 304 873-1401 WWW.SHENCOMMHEALT TONI A DICHIACCHIO CNP ERIN N KING CNP (T1)% JOANN D NUTTER CNP H.COM (T1) BIG OTTER ELEM (T1)% 299 MEDICAL CT CAROL M THOMAS CNP SCHOOL WELLNESS CTR 104 COLUMBIA ST MARTINSBURG, WV 25401 (T1) 59 OSSIA RD WEST UNION, WV 26456 304 596-6343 UNIVERSITY URGENT DUCK, WV 25063 304 873-2590 CARE - SPRING MILLS HEATHER ECKENRODE 304 286-2838 FAYETTE COUNTY, PA 61 CAMPUS DR STE 106 CNP (T1) WWW.CCWV.ORG MARTINSBURG, WV 25404 CHERIE J DOLAN CNP SHENANDOAH 304 274-2273 ERIN N KING CNP (T1)% (T1) COMMUNITY HEALTH 1 PANTHER DR UNIONTOWN PRIMARY 99 TAVERN RD MELISSA M WELCH CNP CLAY, WV 25043 CARE -COMMELLSVILLE MARTINSBURG, WV 25401 (T1) 304 587-2867 224 MEMORIAL BLVD 304 263-4999 SHENANDOAH WWW.CCWV.ORG CONNELLSVILLE, PA WWW.SHENCOMMHEALT COMMUNITY HEALTH 15425 ERIN N KING CNP (T1)% H.COM CENTER 724 626-7335 99 TAVERN RD CLAY MIDDLE SCHOOL SHERIE KERSHNER CNP MARTINSBURG, WV 25401 WELLNESS CTR KAYTLIN HECKLER PA-C (T1) 304 263-4999 236 CHURCH ST (T1) EAST FAMILY MEDICINE - CLAY, WV 25043 UNIONTOWN PRIMARY WWW.SHENCOMMHEALT MAGNOLIA 304 589-4375 CARE 430 CERITOS TRL H.COM WWW.CCWV.ORG 201 MARY HIGGINSON LN MARTINSBURG, WV 25403 BRAXTON COUNTY, WV STE 1 304 267-6249 JULIE A HADDIX CNP (T1) ERIN N KING CNP (T1)% UNIONTOWN, PA 15401 CLAY ELEM SCHOOL SHERIE KERSHNER CNP COMMUNITY CARE OF 724 430-5940 FLATWOODS WELLNESS CTR (T1) ASHLEY M LUDWIG CNP 266 SKIDMORE LN 168 CHURCH ST EAST PRIMARY CARE (T1) SUTTON, WV 26601 CLAY, WV 25043 SPRINGS MILLS 304 587-6045 UNIONTOWN PRIMARY 61 CAMPUS DR STE 200 304 765-0351 WWW.CCWV.ORG CARE -CONNELSVILLE MARTINSBURG, WV 25404 JULIE A HADDIX CNP (T1) 224 MEMORIAL BLVD 304 274-6343 COMMUNITY CARE OF ERIN N KING CNP (T1)% CONNELLSVILLE, PA FLATWOODS II CLAY PRIMARY CARE 15425 KELLY A MCBEE PA-C 122 CENTER ST (T1) 273 SKIDMORE LN 724 626-7335 SUTTON, WV 26601 CLAY, WV 25043 PEDS SPECIALTY CLINIC - 304 587-7301 TANYA NULL CNP (T1) MARTINSBURG 304 765-4400 WWW.CCWV.ORG FAYETTE PHYSICAIN 309 MEDICAL CT ERIN N KING CNP (T1) NETWORK MARTINSBURG, WV 25401 BRAXTON COMMUNITY ERIN N KING CNP (T1)% 201 MARY HIGGINSON LN 304 598-4835 HEALTH CENTER 501 BOMONT RD UNIONTOWN, PA 15401 BOMONT, WV 25030 KELLI M MORROW CNP 100 HOYLMAN DR 724 430-5940 GASSAWAY, WV 26624 304 548-4006 (T1) GALLIA COUNTY, OH EAST PRIMARY CARE 304 364-1093 WWW.CCWV.ORG IVAN D LAVENDER CNP SPRING MILLS DODDRIDGE COUNTY, WV JERRI A ONEY PA-C (T1)% 61 CAMPUS DR STE 200 (T1)% CHANDRA D DIEBOLD HOPEWELL HEALTH MARTINSBURG, WV 25404 BRAXTON COMMUNITY CNP (T1) CENTERS 304 274-6343 HEALTH CENTE RITCHIE COUNTY 3086 STATE ROUTE 160 617 RIVER ST PRIMARY CARE GALLIPOLIS, OH 45631 GASSAWAY, WV 26624 151 DODDRIDGE SCHOOL 740 446-5500 304 364-2401 RD WWW.HOPEWELLHEALTH. WEST UNION, WV 26456 ORG 304 873-0060

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 36 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. GARRETT COUNTY, MD HARDY COUNTY, WV MICHELLE L RYAN CNP DEBORAH A CASDORPH KENNETH W HAWK CNP SANDRA K SHOCKEY CNP (T1) CNP (T1) (T1) (T1) UNITED SUMMIT CENTER RIPLEY FAMILY CARE GARRETT MEDICAL 747 N MAIN ST SUITE C FAM PRAC 512 CHURCH ST S APT A GROUP MOOREFIELD, WV 26836 120 MEDICAL PARK DR RIPLEY, WV 25271 311 N 4TH ST 304 538-8000 STE 401 304 372-1033 OAKLAND, MD 21550 BRIDGEPORT, WV 26330 WWW.COPLINHEALTHSYS HARRISON COUNTY, OH 301 334-8171 304 848-2000 TEMS.COM MEGAN C BISE CNP (T1) LEVI D WICHTERMAN CNP LAWRENCE KNAPP CNP 951 E MARKET ST ERICA E CONANT CNP (T1) (T1) CADIZ, OH 43907 (T1) UHA FAMILY MEDICINE GARRETT MEDICAL 740 942-8638 JACKSON CO SCHOOLS GROUP 327 MEDICAL PARK DR WELLNESS CTR 250 MAPLE ST MEGAN C BISE CNP (T1) BRIDGEPORT, WV 26330 562 CHARLESTON DR FRIENDSVILLE, MD 21531 Accepts ages 15 & older 681 342-1000 RIPLEY, WV 25271 101 W CHURCH ST 304 372-7341 301 746-4160 JAMIE L WOODS CNP (T1) SCIO, OH 43988 WWW.COPLINHEALTHSYS BRENDA S MORELAND 327 MEDICAL PARK DR 740 945-3655 TEMS.COM CNP (T1) BRIDGEPORT, WV 26330 GARRETT MEDICAL HARRISON COUNTY, WV 681 342-1000 JENNIFER L HUFFMAN CNP (T1) GROUP SHANNA N AKERS CNP JACKSON COUNTY, OH 311 N 4TH ST (T1) RIVER VALLEY FAMILY IVAN D LAVENDER CNP OAKLAND, MD 21550 327 MEDICAL PARK DR CARE (T1)% 301 334-8171 BRIDGEPORT, WV 26330 606 WASHINGTON ST HOPEWELL HEALTH 681 342-1000 RAVENSWOOD, WV 26164 BRENDA S MORELAND CENTERS 304 273-1033 CNP (T1) OLIVIA M COLVIN CNP 500 BURLINGTON RD STE GARRETT MEDICAL (T1) 240 JENNIFER L HUFFMAN GROUP 327 MEDICAL PARK DR JACKSON, OH 45640 CNP (T1) 250 MAPLE ST BRIDGEPORT, WV 26330 740 286-5075 RIPLEY FAMILY CARE FRIENDSVILLE, MD 21531 681 342-1000 WWW.HOPEWELLHEALTH. 512 CHURCH ST S APT A 301 746-4160 ORG RIPLEY, WV 25271 STEPHANIE J FLUHARTY 304 372-1033 ELYZABETH R SAVAGE CNP (T1) JACKSON COUNTY, WV GORALSKI CNP (T1) Office Care Only MURRITA C BOLINGER JENNIFER L HUFFMAN GARRETT MEDICAL UPC FAMILY PRACTICE CNP (T1) CNP (T1) GROUP 1511 JOHNSON AVE STE RIVER VALLEY FAMILY JACKSON CO SCHOOLS 311 N 4TH ST 104 CARE WELLNESS CTR OAKLAND, MD 21550 BRIDGEPORT, WV 26330 606 WASHINGTON ST 562 CHARLESTON DR 301 334-8171 681 342-3700 RAVENSWOOD, WV 26164 RIPLEY, WV 25271 304 273-1033 304 372-7341 MARIAN P THOMAS CNP ERIN C HAWKINS CNP (T1) (T1) WWW.COPLINHEALTHSYS KIMBERLY JIVIDEN (T1) GARRETT MEDICAL UNITED HOSPITAL TEMS.COM 562 CHARLESTON DR GROUP CENTER MIRANDA S BOSO CNP RIPLEY, WV 25271 24441 GARRETT HWY 120 MEDICAL PARK DR (T1) 304 372-7341 MCHENRY, MD 21541 STE 300 Office Care Only KIMBERLY JIVIDEN CNP 301 387-8718 BRIDGEPORT, WV 26330 RIVER VALLEY FAMILY (T1) GREENE COUNTY, PA 681 342-3300 CARE 512A CHURCH ST 606 WASHINGTON ST RIPLEY, WV 25271 EMILY ZAWATSKI CNP MICHELLE L RYAN CNP (T1) (T1) RAVENSWOOD, WV 26164 304 372-1033 304 273-1033 CORNERSTONE CARE UNITED SUMMIT CENTER KIMBERLY CLARK CNP GREENSBORO OFFICE 6 HOSPITAL PLAZA WWW.COPLINHEALTHSYS (T1) 7 GLASSWORKS RD CLARKSBURG, WV 26301 TEMS.COM 606 WASHINGTON ST GREENSBORO, PA 15338 304 623-5661 RAVENSWOOD, WV 26164 724 943-3308 304 273-1033

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 37 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. RICHARD S JONES CNP JENNIFER C SIMON CNP CHAD R MARSH CNP (T1) JUNETTA MAYNARD CNP (T1) (T1) UPC WHITEHALL (T1) PRIMARY FAMILY CARE MORAD-HUGHES HEALTH MEDICAL SOUTHERN LOCAL 174 PINNELL ST STE C CENTER 177 MIDDLETOWN RD STE SCHOOLS WELLNESS RIPLEY, WV 25271 122 PINNELL ST 1 CNTR 304 372-1740 RIPLEY, WV 25271 FAIRMONT, WV 26554 906 ELM ST 304 373-1578 304 363-6600 RACINE, OH 45771 RICHARD S JONES CNP 740 949-2348 (T1) WWW.JACKSONGENERAL. STEPHANIE W 200 ACADEMY DR COM RADABAUGH CNP (T1) WWW.COPLINHEALTHSYS RIPLEY, WV 25271 JENNIFER C SIMON CNP 31 LANDING LN TEMS.COM 304 372-1050 (T1) FAIRMONT, WV 26554 MERCER COUNTY, WV PRIMARY FAMILY CARE 304 598-4855 RICHARD S JONES CNP APRIL A CHRIST CNP (T1) 174 PINNELL ST STE C (T1) STEPHANIE W PRINCETON COMMUNITY RIPLEY, WV 25271 146 PINNELL ST STE B RADABAUGH CNP (T1) HOSPITAL ASSOCIATION 304 372-1740 RIPLEY, WV 25271 FAIRMONT GATEWAY 118 12TH ST 304 373-1521 WWW.JACKSONGENERAL. CENTER PRINCETON, WV 24740 COM 100 STONEY HILL RD 304 487-7936 HEATHER J KAY CNP (T1) KANAWHA COUNTY, WV FAIRMONT, WV 26554 MARY S CURRY CNP (T1) Office Care Only MICHELLE E HUMPHREYS 304 285-5400 FAITH FAMILY HEALTH RIPLEY FAMILY CARE CNP (T1) 617 MERCER ST 512 CHURCH ST S DANIELLE N 830 PENNSYLVANIA AVE PRINCETON, WV 24740 RIPLEY, WV 25271 ROHRBOUGH CNP (T1) STE 304 304 425-2405 304 273-1033 FAIRMONT GATEWAY CHARLESTON, WV 25302 WWW.COPLINHEALTHSYS CENTER AMANDA NEAL CNP (T1) 304 388-1515 TEMS.COM 100 STONEY HILL RD PRINCETON COMMUNITY KIMBERLY PHILLIPS CNP FAIRMONT, WV 26554 HOSPITAL ASSOCIATION CHARLOTTE L LANTZ (T1) 304 285-5400 118 12TH ST CNP (T1) 3110 MACCORKLE AVE SE PRINCETON, WV 24740 WIRT COUNTY HEALTH FRANK WIECHERS CNP CHARLESTON, WV 25304 304 487-7936 SERVICES (T1) 304 388-1515 562 CHARLESTON DR UPC WHITEHALL MINERAL COUNTY, WV RIPLEY, WV 25271 BARBARA RICHARDS MEDICAL LOIS HARTMAN CNP (T1) 177 MIDDLETOWN RD STE 304 372-7341 CNP (T1) Accepts ages 5 & older 1 WWW.COPLINHEALTHSYS LEGACY CARE LLC RIVERSIDE CLINIC FAIRMONT, WV 26554 TEMS.COM 1627 QUARRIER ST 32 2ND ST CHARLESTON, WV 25311 304 363-6600 CHARLOTTE L LANTZ PIEDMONT, WV 26750 757 536-2246 CNP (T1) MARSHALL COUNTY, WV 304 355-2323 WIRT COUNTY HEALTH TAWNA F WHITE CNP (T1) KRISTY L DOBSON CNP MARTIE J HELMICK CNP SERVICES 1000 ASSOCIATION DR (T1) (T1) 512A CHURCH ST S CHARLESTON, WV 25311 WOOD HEALTH CARE Accepts ages 2 & older RIPLEY, WV 25271 304 347-4372 CLINIC POTOMAC VALLEY 304 372-1033 1307 LAFAYETTE AVE LEWIS COUNTY, WV FAMILY PRACTICE WWW.COPLINHEALTHSYS MOUNDSVILLE, WV 26041 JULIE A HADDIX CNP (T1) 514 NEW CREEK HWY STE TEMS.COM 304 845-2500 COMMUNITY CARE OF 1 CHARLOTTE L LANTZ WESTON II JESSICA L FRANKE CNP KEYSER, WV 26726 CNP (T1) 107 STAUNTON DR (T1) 304 788-6462 WIRT COUNTY HEALTH WESTON, WV 26452 Accepts ages 3 & older TERESA D HINES CNP SERVICES 304 269-2022 RMH FAMILY MEDICINE (T1) 606 WASHINGTON ST 426 8TH ST STE 200 MARION COUNTY, WV Accepts ages 5 & older RAVENSWOOD, WV 26164 GLEN DALE, WV 26038 POTOMAC VALLEY 304 273-1033 MICHELE R LILLEY CNP 304 843-3208 FAMILY PRACTICE WWW.COPLINHEALTHSYS (T1) MEIGS COUNTY, OH 514 NEW CREEK HWY STE TEMS.COM Office Care Only 1 177 MIDDLETOWN RD STE KIMBERLY JIVIDEN CNP KEYSER, WV 26726 1 (T1) 304 788-6462 FAIRMONT, WV 26554 920 ELM ST 304 363-6600 RACINE, OH 45771 740 949-2348

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 38 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JODIE L HOLSTEIN CNP BETH A BECK CNP (T1) ASHLYNN M BENNETT RITA L HUNSUCKER CNP (T1) UHA FAMILY MEDICINE CNP (T1) (T1) FORT ASHBY MEDICAL 6040 UNIVERSITY TOWN UHA MGTN FAMILY WVU MEDICINE STUDENT SERVICE CENTER CENTRE DR MEDICINE HEALTH 10261 FRANKFORT HWY MORGANTOWN, WV 26501 1 MEDICAL CENTER DR 390 BIRCH ST FORT ASHBY, WV 26719 855 988-2273 MORGANTOWN, WV 26506 MORGANTOWN, WV 26505 304 597-3600 304 598-4500 304 285-7200 MICHELLE R BORLAND JODIE L HOLSTEIN CNP CNP (T1) JULIA F GANSOR CNP KYLIE A KIEFER CNP (T1) (T1) UNIVERSITY TOWN (T1) 1075 VAN VOORHIS RD 100 PIN OAK LN CENTRE - SLEETH UHA PHYSICIAN OFFICE STE 150 KEYSER, WV 26726 FAMILY CENTER MORGANTOWN, WV 26505 304 597-3500 6040 UNIVERSITY TOWN 1 MEDICAL CENTER 304 598-6216 CENTRE DR DRIVE BREANA L JONES CNP KYLIE A KIEFER CNP (T1) MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 (T1) UHA PHYSICIAN OFFICE 855 988-2273 304 598-4800 FORT ASHBY MEDICAL CENTER SERVICE CENTER MELISSA M BOURGEOIS CHELSEA R GIANNI CNP 1 MEDICAL CENTER 10261 FRANKFORT HWY CNP (T1) (T1) DRIVE FORT ASHBY, WV 26719 @ SPANISH WVU CHEAT LAKE MORGANTOWN, WV 26506 304 597-3600 SLEETH FAMILY PHYSICIANS 304 598-4800 MEDICINE 608 CHEAT RD STEPHANIE W KYLIE A KIEFER CNP (T1) 6040 UNIVERSITY TOWN MORGANTOWN, WV 26508 RADABAUGH NP (T1) 1 STADIUM DR CENTRE DR 855 988-2273 1080 NEW CREEK HWY MORGANTOWN, WV 26506 MORGANTOWN, WV 26501 KEYSER, WV 26726 MARISSA N GREENE CNP 304 598-4800 855 988-2273 304 598-4800 (T1) ADREA L LEACH CNP DEIRDRE BULIAN CNP UHA PHYSICIAN OFFICE RHEA SEE CNP (T1) (T1) (T1) CENTER Accepts ages 5 & older UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE 1 MEDICAL CENTER ANTHONY A SAWEIKIS CENTER CENTER DRIVE MD 1 MEDICAL CENTER DR 1 MEDICAL CENTER MORGANTOWN, WV 26506 240 NEW CREEK HWY MORGANTOWN, WV 26506 DRIVE 304 598-4800 KEYSER, WV 26726 304 598-4000 MORGANTOWN, WV 26506 304 788-0400 SHARON A GRIFFITH CNP 304 598-4800 TERESA L LEAR CNP (T1) (T1) JANIE T YOUSSEF CNP UHA PHYSICIAN OFFICE LORI A CONSTANTINE UHA PHYSICIAN OFFICE (T1) CENTER CNP (T1) CENTER 100 OIN OAK LN 1 MEDICAL CENTER UHA PHYSICIAN OFFICE 1 MEDICAL CENTER KEYSER, WV 26726 DRIVE CENTER DRIVE 304 597-3500 MORGANTOWN, WV 26506 1 MEDICAL CENTER MORGANTOWN, WV 26506 304 598-4800 MONONGALIA COUNTY, DRIVE 304 598-4800 WV MORGANTOWN, WV 26506 MELODY B LEHOSIT CNP KRISTI E HASIS PA-C (T1) 304 598-4800 (T1) AMELIA R BARBERIO CNP UHA SLEETH FAMILY (T1) UHA FAMILY MEDICINE MARY F CRAFT CNP (T1) MEDICINE CTR UHA FAMILY MEDICINE 390 BIRCH ST UHA FAMILY MEDICINE 6040 UNIVERSITY TOWN 390 BIRCH ST MORGANTOWN, WV 26505 390 BIRCH ST CENTRE DR MORGANTOWN, WV 26505 304 599-2273 MORGANTOWN, WV 26505 MORGANTOWN, WV 26501 304 599-2273 304 293-4749 855 988-2273 STACY B MALTESE CNP EMILY R BARNES CNP (T1) CINDY L DEMNIAK CNP MATRACA R HOVATTER (T1) WVU PHYSICIAN OFFICE (T1) CNP (T1) UHA PHYSICIAN OFFICE CENTER 1 MEDICAL CENTER WVU CHEAT LAKE CENTER 1 MEDICAL CENTER DR DRIVE PHYSICIANS 6040 UNIVERSITY TOWN MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 608 CHEAT RD CENTRE DR 304 598-4800 877 988-4478 MORGANTOWN, WV 26508 MORGANTOWN, WV 26501 855 988-2273 855 988-2273 CINDY L DEMNIAK CNP (T1) 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 304 598-4214

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 39 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. STACY B MALTESE CNP EMILY R OBERTANCE ZACHARIAH C REDMOND BETH M TALLMAN CNP (T1) CNP (T1) CNP (T1) (T1) WVU UNIVERSITY TOWN WVU CHEAT LAKE MORGANTOWN SOUTH 301 SUNCREST TOWN CENTRE PHYSICIANS 250 RETAIL CIR STE 106 CENTRE DR 6040 UNIVERSITY TOWN 608 CHEAT RD MORGANTOWN, WV 26508 MORGANTOWN, WV 26505 CENTRE DR MORGANTOWN, WV 26508 855 988-2273 304 598-8908 MORGANTOWN, WV 26501 855 988-2273 RENEE L BETH M TALLMAN CNP 304 293-6307 JACLYN L PAUGH CNP SCHWERTFEGER CNP (T1) AMELITA E MARTON CNP (T1) (T1) UHA FAMILY MEDICINE (T1) UHA PHYSICIANS OFFICE WUV MEDICINE 390 BIRCH ST UHA FAMILY MEDICINE CENTER SUNCREST TOWNE MORGANTOWN, WV 26505 1 MEDICAL CENTER DR 1 MEDICAL CENTER CENTRE 304 285-7324 MORGANTOWN, WV 26506 DRIVE 600 SUNCREST TOWNE AMANDA M TENNANT 304 598-4800 MORGANTOWN, WV 26506 CENTER CNP (T1) 304 598-4800 MORGANTOWN, WV 26505 RUSSELL MATHEWS CNP WVU CHEAT LAKE 304 598-4478 (T1) MARTHA D POWER CNP PHYSICIANS UHA PHYSICIAN OFFICE (T1) APRIL D SHAY CNP (T1) 608 CHEAT RD CENTER WV EYE INSTITUTE UHA PHYSICIAN OFFICE MORGANTOWN, WV 26508 1 MEDICAL CENTER 1 STADIUM DRIVE CENTER 855 988-2273 DRIVE MORGANTOWN, WV 26506 1 MEDICAL CENTER LAURIE A THEEKE CNP MORGANTOWN, WV 26506 304 598-6900 DRIVE (T1) 304 598-4800 MORGANTOWN, WV 26506 CARRIE A PRATT CNP UHA SLEETH FAMILY 304 598-4800 ELIZABETH MINCHAU (T1) MEDICINE CTR CNP (T1) UHA FAMILY MEDICINE JANAE L SHERER CNP 6040 UNIVERSITY TOWN UHA SLEETH FAMILY 390 BIRCH ST (T1) CENTRE DR MEDICINE CENTER MORGANTOWN, WV 26505 UHA - PHYSICIAN OFFICE MORGANTOWN, WV 26501 6040 UNIVERSITY TOWN 304 599-2273 CTR 304 598-6900 CENTRE DR 1 MEDICAL CENTER NICOLE D PUCCIO CNP SHANNON L THOMPKINS MORGANTOWN, WV 26501 DRIVE (T1) CNP (T1) 304 598-6900 MORGANTOWN, WV 26506 UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE 304 293-2706 ELIZABETH MINCHAU CENTER CENTER CNP (T1) 1 MEDICAL CENTER ANN M SMITHMYER CNP 1 MEDICAL CENTER UHA FAMILY MEDICINE DRIVE (T1) DRIVE 301 SUNCREST TOWN MORGANTOWN, WV 26506 UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 CENTRE DR 304 598-4800 CENTER 304 598-4800 MORGANTOWN, WV 26505 1 MEDICAL CENTER STEPHANIE W LEVI D WICHTERMAN CNP 855 988-2273 DRIVE RADABAUGH CNP (T1) (T1) MORGANTOWN, WV 26506 AMY L MINER CNP (T1) UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE 304 598-4800 UHA FAMILY MEDICINE CENTER CENTER 390 BIRCH ST 1 MEDICAL CENTER DR SARAH E STOCKDALE 1 MEDICAL CENTER MORGANTOWN, WV 26505 MORGANTOWN, WV 26506 CNP (T1) DRIVE 304 599-2273 304 598-4000 UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 CENTER 304 598-4000 AMANDA M NICOLA CNP STEPHANIE W 1 MEDICAL CENTER (T1) RADABAUGH CNP (T1) ASHLEY D WILSON CNP DRIVE UHA PHYSICIAN OFFICE WVU MEDICINE (T1) MORGANTOWN, WV 26506 CENTER SUNCREST TOWNE UHA PHYSICIAN OFFICE 304 598-4800 6040 UNIVERSITY TOWN CENTRE CENTER CENTRE DR 600 SUNCREST TOWNE JAMIE SUSTAKOSKI CNP 1 MEDICAL CENTER MORGANTOWN, WV 26501 CENTER (T1) DRIVE 855 988-2273 MORGANTOWN, WV 26505 WV UNIVERSITY MORGANTOWN, WV 26506 304 598-4478 PHYSICIAN OFFICE 304 598-4800 CENTER 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 304 598-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 40 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MONROE COUNTY, OH SUZANNE M FIGURSKI RANDOLPH COUNTY, WV AMY R COFFMAN CNP JAYNE L VINSKOVICH CNP (T1)% JULIE A HADDIX CNP (T1) (T1) CNP (T1) 616 FAIRMONT PIKE LITTLE MEADOW HEALTH ST JOSEPH HOSPITAL WETZEL COUNTY WHEELING, WV 26003 CENTER 21 AUCTION LN HOSPITAL ASSOCIATION 304 242-3550 100 S PICKENS RD BUCKHANNON, WV 26201 304 472-6041 45325 SR 78 SUZANNE M FIGURSKI HELVETIA, WV 26224 WOODSFIELD, OH 43793 CNP (T1)% 304 924-5453 JULIE A HADDIX CNP (T1) 740 472-1879 FAMILY MEDICINE RITCHIE COUNTY, WV COMMUNITY CARE OF www.wetzelcountyhospital.c BUCKHANNON CENTER CHANDRA D DIEBOLD om 58 16TH ST 35 W MAIN ST STE 37 CNP (T1) BUCKHANNON, WV 26201 NICHOLAS COUNTY, WV WHEELING, WV 26003 RITCHIE COUNTY 304 243-6410 304 473-5600 AMY C MANN CNP (T1) PRIMARY CARE SUMMERSVILLE RURAL MARY K MCCRACKEN 107 RITCHIE COUNTY JULIE A HADDIX CNP (T1) HEALTH CLINIC CNP (T1)% SCHOOL RD TRICOUNTY HEALTH 400 FAIRVIEW HEIGHTS WHEELING HOSPITAL ELLENBORO, WV 26346 CLINIC RD 58 16TH ST 304 643-4005 78 QUEENS ALLEY RD SUMMERSVILLE, WV ROCK CAVE, WV 26234 WHEELING, WV 26003 CHANDRA D DIEBOLD 26651 304 234-2122 304 924-6262 CNP (T1) 304 872-8545 CASSANDRA R SMITH RITCHIE COUNTY KATHERYN S MARSH CNP JENNIFER E POFF CNP CNP (T1) PRIMARY CARE (T1) (T1) UHA PHYSICIAN OFFICE 2330 N PLEASANTS HWY ST JOSEPH FAMILY Accepts ages 2 & older CENTER SAINT MARYS, WV 26170 MEDICINE SUMMERSVILLE RURAL 502 CABELA DR 304 552-8907 94 W MAIN ST BUCKHANNON, WV 26201 HEALTH CLINIC TRIADELPHIA, WV 26059 CHANDRA D DIEBOLD 400 FAIRVIEW HEIGHTS 304 285-1996 304 473-2200 CNP (T1) RD PLEASANTS COUNTY, WV RITCHIE REGIONAL JESSICA E MONGOLD SUMMERSVILLE, WV HEALTH CENTER CNP (T1) 26651 VERONICA L MURPHY 135 S PENN AVE BUSHY FORK CLINIC 304 872-8545 CNP (T1) WVU MEDICINE HARRISVILLE, WV 26362 21 AUCTION LN OHIO COUNTY, WV 1861 N PLEASANTS HWY 304 643-4005 BUCKHANNON, WV 26201 304 473-2200 RENEE BRONGO CNP STE 101 JOANN D NUTTER NP (T1) SAINT MARYS, WV 26170 (T1)% STEPHANIE W Accepts ages 2 & older 681 612-3600 21 MEDICAL CENTER DR RADABAUGH CNP (T1) FAMILY MEDICINE JIN U O PA-C (T1) PENNSBORO, WV 26415 11 N LOCUST ST CENTER MID OHIO VALLEY 304 659-2986 BUCKHANNON, WV 26201 58 16TH ST 304 598-4855 MEDICAL GROUP TAYLOR COUNTY, WV WHEELING, WV 26003 1861 N PLEASANTS HWY ERIC D RICE CNP (T1) 304 233-8788 ALLISON D WATERS CNP STE 101 (T1) ST JOSEPH HOSPITAL SAINT MARYS, WV 26170 PAMELA A CORDER CNP Office Care Only 1 AMALIA DR 304 312-3600 (T1)% UNITED HOSPITAL BUCKHANNON, WV 26201 FAMILY MEDICINE PRESTON COUNTY, WV CENTER 304 473-2000 CENTER KENDRA L BARKER CNP 401 N PIKE ST WESTMORELAND 7 E COVE AVE (T1) GRAFTON, WV 26354 COUNTY, PA WHEELING, WV 26003 411 MORGANTOWN ST 304 265-1350 TARA D HALL CNP (T1) 304 242-0770 KINGWOOD, WV 26537 UPSHUR COUNTY, WV FAY WEST FAMILY MARISSA DUPLAGA CNP 304 329-0555 PRACTICE AMY R COFFMAN CNP (T1)% 109 CROSSROADS RD JENNIFER L TURNER CNP (T1) WHEELING HOSPITAL STE 201 (T1) ST JOSEPH HOSPITAL FAMILY HEALT SCOTTDALE, PA 15683 UHA INTERNAL MEDICINE 1 AMALIA DR 58 16TH ST 724 887-5989 14 COMFORT DR BUCKHANNON, WV 26201 WHEELING, WV 26003 REEDSVILLE, WV 26547 304 473-2000 304 232-5725 304 864-0006

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 41 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. WETZEL COUNTY, WV KIMBERLY JIVIDEN CNP SUSAN R CARR CNP (T1) BRANDI A GIFFIN CNP PATRICIA L BOWMAN (T1) CAMDEN-CLARK (T1) CNP (T1) 461 SCHOOLVIEW ST PHYSICIAN CCPC PRIMARY CARE Accepts Patients 2 and ELIZABETH, WV 26143 CORPORATION PMC III Older 304 275-3117 705 GARFIELD AVE STE 418 GRAND PARK DR STE 220 321 WETZEL PRIMARY CARE KIMBERLY A JIVIDEN CNP PARKERSBURG, WV 26101 PARKERSBURG, WV 26105 3 E BENJAMIN DR STE B (T1) 304 424-2606 304 865-5190 NEW MARTINSVILLE, WV RIVER VALLEY FAMILY 26155 CARE CATHERINE A CHURCH AMANDA B HOLMAN CNP 304 455-8082 483 COURT ST CNP (T1) (T1) www.wetzelcountyhospital.c ELIZABETH, WV 26143 CAMDEN CLARK PHYS MID OHIO VALLEY om 304 275-3301 CORP MEDICAL GROUP 1907 ANN ST 800 GRAND CENTRAL KRISTI MUSILLI CNP (T1) CHARLOTTE L LANTZ PARKERSBURG, WV 26101 MALL STE 4 WETZEL COUNTY CNP (T1) 304 424-4205 VIENNA, WV 26105 HOSPITAL ASSOCIATION WIRT COUNTY HEALTH 304 485-3300 3 EAST BENJAMIN DR STE SERVICES CHERRIE L COWAN CNP B 461 SCHOOLVIEW ST (T1) JENNIFER L HUFFMAN NEW MARTINSVILLE, WV ELIZABETH, WV 26143 Accepts ages 2 & older CNP (T1) 26155 304 275-3117 PARKERSBURG FAMILY PARKERSBURG FAMILY 304 455-8082 WWW.COPLINHEALTHSYS CARE CARE www.wetzelcountyhospital.c TEMS.COM 2610 CAMDEN AVE 2610 CAMDEN AVE om PARKERSBURG, WV 26101 CHARLOTTE L LANTZ PARKERSBURG, WV 26101 304 917-3733 SANDRA K SHOCKEY CNP CNP (T1) 304 917-3733 (T1) WIRT COUNTY HEALTH WWW.COPLINHEALTHSYS JENNIFER L HUFFMAN EZ CARE SERVICES TEMS.COM CNP (T1) 260 RUSSELL AVE 483 COURT ST CHANDRA D DIEBOLD PARKERSBURG FAMILY NEW MARTINSVILLE, WV ELIZABETH, WV 26143 CNP (T1) CARE 26155 304 275-3301 RITCHIE COUNTY 3705 EMERSON AVE 304 398-4949 WWW.COPLINHEALTHSYS PRIMARY CARE PARKERSBURG, WV 26104 JAMES E WEED CNP (T1) TEMS.COM 1513 BLIZZARD DR 304 917-3530 Accepts ages 15 & older STACEY N VALENTINE PARKERSBURG, WV 26101 ANGELA G HUPP CNP WETZEL PRIMARY CARE CNP (T1) 304 699-0809 (T1) 3 E BENJAMIN DR STE B WIRT CO FAMILY CARE CHANDRA D DIEBOLD 705 GARFIELD AVE STE NEW MARTINSVILLE, WV 483 COURT ST CNP (T1) 460 26155 ELIZABETH, WV 26143 RITCHIE COUNTY PARKERSBURG, WV 26101 304 455-8082 304 275-3301 PRIMARY CARE 304 424-2093 WIRT COUNTY, WV WWW.COPLINHEALTHSYS 1200 STEPHENSON AVE KIMBERLY JIVIDEN CNP TEMS.COM PARKERSBURG, WV 26101 JENNIFER L HUFFMAN (T1) 304 699-0506 CNP (T1) WOOD COUNTY, WV 2121 7TH ST WIRT COUNTY FAMILY MIRANDA S BOSO CNP KATIE EDMAN CNP (T1) PARKERSBURG, WV 26101 CARE (T1) CAMDEN CLARK 304 485-1721 483 COURT ST Office Care Only PHYSICIAN GROUP KIMBERLY JIVIDEN CNP ELIZABETH, WV 26143 WIRT CO HEALTH 801 GARFIELD AVE STE (T1) 304 275-3301 SERVICES 200 2610 CAMDEN AVE PARKERSBURG, WV 26101 JENNIFER L HUFFMAN 2121 7TH ST PARKERSBURG, WV 26101 304 424-2165 CNP (T1) PARKERSBURG, WV 26101 304 917-3733 304 485-1721 Office Care Only GINA R GIFFEN CNP (T1) KIMBERLY JIVIDEN CNP WWW.COPLINHEALTHSYS WIRT CO SCHOOLS MID OHIO VALLEY (T1) TEMS.COM WELLNESS CTR MEDICAL GROUP 3705 EMERSON AVE 461 SCHOOLVIEW ST 800 GRAND CENTRAL PARKERSBURG, WV 26104 ELIZABETH, WV 26143 MALL STE 4 304 917-3530 304 275-3117 VIENNA, WV 26105 304 485-3300

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 42 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CHARLOTTE L LANTZ TARA STAATS CNP (T1) KATHRYN COLLETTE CNP CARA BURKER CNP (T1) CNP (T1) Accepts Ages 18 & Older (T1) SHENANDOAH WIRT COUNTY HEALTH CAMDEN-CLARK Accepts ages 16 & older COMMUNITY HEALTH SERVICES PHYSICIAN WESTERN MARYLAND 99 TAVERN RD 2610 CAMDEN AVE CORPORATION HEALTH SYSTEM MARTINSBURG, WV 25401 PARKERSBURG, WV 26101 2838 PIKE ST STE 1 12502 WILLOWBROOK RD 304 263-4999 304 917-3733 PARKERSBURG, WV 26101 CUMBERLAND, MD 21502 WWW.SHENCOMMHEALT WWW.COPLINHEALTHSYS 304 865-5070 240 964-8760 H.COM TEMS.COM JENNIFER L TALLMAN LUCINDA R EVERETT CNP ZEKEYA V LOFTON CNP AMANDA R LYNCH CNP CNP (T1) (T1) (T1) (T1) MID OHIO VALLEY WESTERN MARYLAND Office Care Only Office Care Only MEDICAL GROUP HEALTH SYSTEM Accepts Ages 18 & Older COPLIN HEALTH 800 GRAND CENTRAL 12502 WILLOWBROOK RD SHENANDOAH SYSTEMS MALL STE 4 SUITE 680 COMMUNITY HEALTH 2610 CAMDEN AVE VIENNA, WV 26105 CUMBERLAND, MD 21502 99 TAVERN RD PARKERSBURG, WV 26101 304 485-3300 240 964-8921 MARTINSBURG, WV 25401 304 917-3733 304 263-4999 LINDSAY E TOLER CNP BARBARA PYLE CNP (T1) WWW.COPLINHEALTHSYS WWW.SHENCOMMHEALT (T1) Accepts ages 16 & older TEMS.COM H.COM MID OHIO VALLEY WESTERN MARYLAND JANET E MOYERS CNP MEDICAL GROUP HEALTH SYSTEM KELLY LOPEZ CNP (T1) (T1) 800 GRAND CENTRAL 1313 NATIONAL HWY @ SPANISH CAMDEN CLARK MALL STE 4 LAVALE, MD 21502 SHENANDOAH PHYSICIAN GROUP VIENNA, WV 26105 240 362-0288 COMMUNITY HEALTH 1907 ANN ST 304 485-3300 99 TAVERN RD EMILY B TEETS CNP (T1) PARKERSBURG, WV 26101 MARTINSBURG, WV 25401 JESSICA E WOOTEN CNP WESTERN MARYLAND 304 424-4205 304 263-4999 (T1) HEALTH SYSTEM VERONICA L MURPHY MID OHIO VALLEY 12502 WILLOWBROOK RD TINA M MAWING CNP (T1) CNP (T1) MEDICAL GROUP APT 680 Accepts Ages 18 & Older MID OHIO VALLEY 800 GRAND CENTRAL CUMBERLAND, MD 21502 SHENANDOAH MEDICAL GROUP MALL 240 964-8921 COMMUNITY HEALTH 800 GRAND CENTRAL VIENNA, WV 26105 99 TAVERN RD NANCY L WHITE CNP (T1) MALL STE 4 304 485-3300 MARTINSBURG, WV 25401 WESTERN MARYLAND VIENNA, WV 26105 304 263-4999 HEALTH SYSTEM 304 485-3300 Nurse Practitioners 1313 NATIONAL HWY SANDRA V ROSS CNP PAMELA J PARKER CNP (Internal Medicine) LAVALE, MD 21502 (T1) (T1) ALLEGANY COUNTY, MD 240 362-0288 61 CAMPUS DR STE 106 MID OHIO VALLEY MARTINSBURG, WV 25404 JENNIFER L BARLOW BELMONT COUNTY, OH MEDICAL GROUP 304 274-2273 800 GRAND CENTRAL CNP (T1) PATRICIA L KRAUSE CNP SANDRA V ROSS CNP MALL STE 4 Accepts Ages 18 & Older (T1)% (T1) VIENNA, WV 26105 WESTERN MARYLAND Accepts Ages 18 & Older UNIVERSITY URGENT 304 485-3300 HEALTH SYSTEM 222 N 5TH ST STE 102 1313 NATIONAL HWY MARTINS FERRY, OH CARE TERESA L PHILLIPS CNP LAVALE, MD 21502 43935 5047 GERRARDSTOWN (T1) 240 362-0288 740 232-6104 RD STE 2A CAMDEN CLARK INWOOD, WV 25428 MEMORIAL HOSP TIFFANY BENNETT CNP BERKELEY COUNTY, WV 304 229-2273 800 GARFIELD AVE (T1) JENNIFER L ANDERSON FAYETTE COUNTY, PA PARKERSBURG, WV 26101 Accepts Ages 18 & Older CNP (T1) 304 424-2359 WESTERN MARYLAND SHENANDOAH JENNIFER B CHAIKCIC HEALTH SYSTEM CNP (T1) BETTY J SCHENKEL CNP COMMUNITY HEALTH 12502 WILLOWBROOK RD UNIONTOWN SPECIALTY (T1) 99 TAVERN RD CUMBERLAND, MD 21502 CARE CAMDEN CLARK MARTINSBURG, WV 25401 240 964-8585 304 263-4999 201 MARY HIGGINSON LN PHYSICIAN GROUP STE 1 4 ROSEMAR CIR UNIONTOWN, PA 15401 PARKERSBURG, WV 26104 724 430-5940 304 865-5130

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 43 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JENNIFER B CHAIKCIC MARION COUNTY, WV BRIANNA N LOGSDON MINERAL COUNTY, WV CNP (T1) CATHERINE D CARTER CNP (T1) MARIE A DEL SIGNORE UNIONTOWN SPECIALTY CNP (T1) REYNOLDS MEMORIAL CNP (T1) CARE FAIRMONT GATEWAY HOSPITAL Accepts ages 2 & older 224 MEMORIAL BLVD CENTER 108 EOFF ST FORT ASHBY MEDICAL CONNELLSVILLE, PA 100 STONEY HILL RD BENWOOD, WV 26031 SERVICE CENTER 15425 FAIRMONT, WV 26554 304 221-3014 10261 FRANKFORT HWY 724 626-7335 304 285-5400 BRIANNA N LOGSDON FORT ASHBY, WV 26719 GARRETT COUNTY, MD KARA J TERHUNE CNP CNP (T1) 304 597-3600 SUSAN J ROGERS CNP (T1) REYNOLDS MEMORIAL MARIE A DEL SIGNORE (T1) FAIRMONT GATEWAY HOSPITAL CNP (T1) 215 LAFAYETTE AVE GARRETT CO DIALYSIS CENTER Accepts ages 2 & older MOUNDSVILLE, WV 26041 888 MEMORIAL DR 100 STONEY HILL RD ELK GARDEN CLINIC 304 845-3435 OAKLAND, MD 21550 FAIRMONT, WV 26554 100 PIN OAK LN STE 3 301 334-8465 304 285-5400 HAYGEN E MOWDER CNP KEYSER, WV 26726 SUSAN J ROGERS CNP KIMBERLY A WALLACE (T1) 304 597-3790 RMH RAPID CARE (T1) CNP (T1) MARIE A DEL SIGNORE 215 LAFAYETTE AVE 251 N 4TH ST FAIRMONT GATEWAY CNP (T1) OAKLAND, MD 21550 CENTER MOUNDSVILLE, WV 26041 Accepts ages 2 & older 301 533-4000 100 STONEY HILL RD 304 845-3435 RIVERSIDE CLINIC FAIRMONT, WV 26554 EMILY B TEETS CNP (T1) SARAH E SAMPSON CNP 32 2ND ST 304 285-5400 WESTERN MARYLAND (T1) PIEDMONT, WV 26750 HEALTH SYSTEM MARSHALL COUNTY, WV REYNOLDS MEMORIAL 304 355-2323 23789 GARRETT HWY HOSPITAL CHRISTINA M SUSAN J ROGERS CNP MCHENRY, MD 21541 800 WHEELING AVE FRANKENFIELD CNP (T1) (T1) 240 488-4139 GLEN DALE, WV 26038 REYNOLDS MEMORIAL 1080 NEW CREEK HWY 304 845-3211 GREENE COUNTY, PA HOSP KEYSER, WV 26726 215 LAFAYETTE AVE DEBORAH A WALTER DEBRA L FOX CNP (T1) MOUNDSVILLE, WV 26041 WAYNESBURG CNP (T1) 304 845-3435 RHEA L SEE CNP (T1) OUTPATIENT CENTER - REYNOLDS MEMORIAL HOSPITAL Accepts ages 5 & older PRIMARY C CYNTHIA S HOIT CNP (T1) 800 WHEELING AVE 10261 FRANKFORT HWY 451 MURTHA DR REYNOLDS MEMORIAL GLEN DALE, WV 26038 FORT ASHBY, WV 26719 WAYNESBURG, PA 15370 HOSPITAL 304 845-3211 304 597-3600 724 627-3379 215 LAFAYETTE AVE MOUNDSVILLE, WV 26041 RHEA L SEE CNP (T1) HARDY COUNTY, WV ANN M WATSON CNP (T1) 304 845-3435 REYNOLDS MEMORIAL Accepts ages 5 & older SUSAN J ROGERS CNP HOSPITAL MEDICAL OFFICE (T1) ROBERT C JONES III CNP 800 WHEELING AVE BUILDING MOOREFIELD CKD CLINIC (T1) GLEN DALE, WV 26038 100 PIN OAK LN STE 3 8 LEE ST RMH RAPID CARE 304 845-3211 KEYSER, WV 26726 215 LAFAYETTE AVE MOOREFIELD, WV 26836 304 597-3790 301 598-4855 MOUNDSVILLE, WV 26041 ANN M WATSON CNP (T1) 304 843-3435 REYNOLDS RAPID CARE - SHANNON R SPRENKLE JEFFERSON COUNTY, WV BENWOOD CNP (T1) ROBERT C JONES III CNP SANDRA V ROSS CNP 108 EOFF ST FORT ASHBY MEDICAL (T1) (T1) BENWOOD, WV 26031 SERVICE CENTER REYNOLDS RAPID CARE - 912 SOMERSET BLVD STE 304 221-3014 10261 FRANKFORT HWY BENWOOD 102 FORT ASHBY, WV 26719 108 EOFF ST MERCER COUNTY, WV CHARLES TOWN, WV 304 597-3600 25414 BENWOOD, WV 26031 JESSICA J SHEETS CNP SHANNON R SPRENKLE 304 725-2273 304 221-3014 (T1) CNP (T1) Accepts ages 16 & older LEWIS COUNTY, WV MINERAL COUNTY RURAL BLUE RIDGE INTERNAL HEALTH CLINIC JULIE A HADDIX CNP (T1) MEDICINE 100 PIN OAK LN STE 3 29 HOSPITAL PLZ STE E 407 12TH STREET EXT KEYSER, WV 26726 WESTON, WV 26452 PRINCETON, WV 24740 304 597-3790 304 269-1448 304 487-0232

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 44 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JEREMY STEWARD CNP DANA L FRIEND CNP (T1) KYLENE A LOVEJOY CNP IAN SCUDIERE CNP (T1) (T1) WEST VIRGINIA (T1) UHA PHYSICIAN OFFICE Accepts Ages 18 & Older UNIVERSITY HOSP WEST VIRGINIA CENTER Office Care Only 6040 UNIVERSITY TOWN UNIVERSITY HOSP 1 MEDICAL CENTER WESTERN MARYLAND CENTRE DR 1 MEDICAL CENTER DRIVE HEALTH SYSTEM MORGANTOWN, WV 26501 DRIVE MORGANTOWN, WV 26506 45 HUNT CLUB DR 855 988-2273 MORGANTOWN, WV 26506 304 598-4000 304 598-4000 RIDGELEY, WV 26753 CHELSEA R GIANNI CNP KARA J TERHUNE CNP 240 964-8921 (T1) AMANDA A MAMAJEK (T1) DENA M WROTE-MANN UHA PHYSICIAN OFFICE CNP (T1) UHA PHYSICIAN OFFICE CNP (T1) CENTER 1 MEDICAL CENTER DR CENTER 100 PIN OAK LN 943 MAPLE DR LOWR MORGANTOWN, WV 26506 1 MEDICAL CENTER KEYSER, WV 26726 LEVEL 304 598-4000 DRIVE MORGANTOWN, WV 26505 MORGANTOWN, WV 26506 304 597-3500 AMY L MAUST CNP (T1) 304 598-4830 304 598-4850 MONONGALIA COUNTY, 1 MEDICAL CENTER DR WV CHELSEA R GIANNI CNP MORGANTOWN, WV 26506 RUTH A THOMPSON CNP KRISTINA R BUTLER CNP (T1) 304 598-4000 (T1) 608 CHEAT RD WEST VIRGINIA (T1) CASEY M MOZINGO CNP MORGANTOWN, WV 26508 UNIVERSITY HOSP WVU HEART INSTITUTE (T1) 855 988-2273 1 MEDICAL CENTER 1 MEDICAL CENTER DR UHA PHYSICIAN OFFICE DRIVE MORGANTOWN, WV 26506 MATTHEW D GOLDINGER CENTER MORGANTOWN, WV 26506 304 598-4000 CNP (T1) 1 MEDICAL CENTER DR 304 598-4800 CATHERINE D CARTER WEST VIRGINIA MORGANTOWN, WV 26506 CNP (T1) UNIVERSITY HOSP 304 293-6194 KIMBERLY A WALLACE 1 MEDICAL CENTER CNP (T1) UHA PHYSICIAN OFFICE JADA F POWELL CNP DRIVE 101 STADIUM DRIVE CENTER (T1) MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 1 MEDICAL CENTER PAIN MANAGEMENT 304 598-4800 304 598-4800 DRIVE CENTER MORGANTOWN, WV 26506 BRITTANY T HALLBERG 1075 VAN VOORHIS RD CHAIN-WEN WANG CNP 304 598-4850 CNP (T1) STE 150 (T1) JILLIAN D CONRAD CNP UHA GENERAL IM MORGANTOWN, WV 26505 WEST VIRGINIA (T1) 6040 UNIVERSITY TOWN 304 598-6216 UNIVERSITY HOSP CENTRE DR 1 MEDICAL CENTER CHESTNUT RIDGE SONYA M ROULEAU CNP MORGANTOWN, WV 26501 DRIVE CENTER (T1) 855 988-2273 MORGANTOWN, WV 26506 930 CHESTNUT RIDGE RD 6040 UNIVERSITY TOWN 304 598-4850 MORGANTOWN, WV 26505 JUSTIN C HAYES CNP CENTRE DR 304 598-4214 (T1) MORGANTOWN, WV 26501 OHIO COUNTY, WV GENEVIEVE C WEST VIRGINIA 855 988-2273 DEBRA L BIRCH CNP UNIVERSITY HOSP DOBRUSHIN CNP (T1) MICHELLE (T1)% 1 MEDICAL CENTER WVU MEDICAL SABATINI-GUMP CNP (T1) 1 MEDICAL PARK STE 702 DRIVE CORPORATION WEST VIRGINIA TOWER 5 MORGANTOWN, WV 26506 1 MEDICAL CENTER DR UNIVERSITY HOSP WHEELING, WV 26003 304 598-4000 MORGANTOWN, WV 26506 608 CHEAT RD 304 243-8409 304 598-4000 RACHEL K HUDIK CNP MORGANTOWN, WV 26508 CYNTHIA S HOIT CNP (T1) HEATHER L FRAZER CNP (T1) 855 988-2273 REYNOLDS RAPID CARE - WEST VIRGINIA (T1) MICHELLE MT OLIVET UNIVERSITY HOSP UHA PHYSICIAN OFFICE SABATINI-GUMP CNP (T1) 210 FAIRMONT PIKE RD 1 MEDICAL CENTER DR CENTER 1 MEDICAL CENTER DR WHEELING, WV 26003 MORGANTOWN, WV 26506 1 MEDICAL CENTER MORGANTOWN, WV 26506 304 221-3020 304 598-4000 DRIVE 304 598-4800 MORGANTOWN, WV 26506 BRAD JOHNSON CNP (T1) 304 598-4800 WEST VIRGINIA UNIVERSITY HOSP 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 304 598-4000

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 45 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. ROBERT C JONES III CNP STACEY GREENUP CNP PAMELA V LONGMORE KAYLA R WATSON CNP (T1) (T1) CNP (T1) (T1) REYNOLDS RAPID CARE - MEDICINE & PEDIATRICS Accepts ages birth to 18 Accepts ages birth to 18 MT OLIVET 2012 GARFIELD AVE STE 2 UNIV HEALTHCARE PHYS 900 LODGEVILLE RD 210 FAIRMONT PIKE RD PARKERSBURG, WV 26101 61 CAMPUS DR STE 200 BRIDGEPORT, WV 26330 WHEELING, WV 26003 304 893-9090 MARTINSBURG, WV 25404 304 842-3311 304 221-3020 304 274-6343 SARAH A STALNAKER JEFFERSON COUNTY, WV BRIANNA N LOGSDON CNP (T1) PAMELA V LONGMORE PAMELA V LONGMORE CNP (T1) CAMDEN-CLARK CNP (T1) CNP (T1) REYNOLDS RAPID CARE - PHYSICIAN Accepts ages birth to 18 Accepts ages birth to 18 MT OLIVET CORPORATION 2000 PROFESSIONAL CT 201 E 5TH AVE STE 1 210 FAIRMONT PIKE RD 800 GARFILED AVE STE C RANSON, WV 25438 WHEELING, WV 26003 PARKERSBURG, WV 26101 MARTINSBURG, WV 25401 304 728-1812 304 221-3020 304 420-7161 304 263-8853 KANAWHA COUNTY, WV BRITTNEY VARGO CNP PAMELA V LONGMORE Nurse Practitioners LYA M (T1) CNP (T1) WHEELING HOSPITAL CARTWRIGHT-STROUPE (Pediatrics) Accepts ages birth to 18 1 MEDICAL PARK CNP (T1) BELMONT COUNTY, OH INWOOD FAMILY WHEELING, WV 26003 CHARLESTON PEDIATRIC PRACTICE 304 243-8252 KRISTI M BOLEN CNP CARDIOLOGY CLINIC (T1)% 5047 GERRARDSTOWN 830 PENNSYLVANIA AVE UPSHUR COUNTY, WV WHEELING HOSPITAL RD STE 2B STE 103 AARON R CASTO CNP PEDIATRICS INWOOD, WV 25428 CHARLESTON, WV 25302 (T1) 3000 GUERNSEY ST 304 821-1444 304 598-4835 ST JOSEPH HOSPITAL BELLAIRE, OH 43906 PAMELA V LONGMORE MARION COUNTY, WV 1 AMALIA DR 304 243-6301 CNP (T1) BUCKHANNON, WV 26201 JULIE D MOOREHEAD SARA M HEARNE CNP Accepts ages birth to 18 304 473-2000 CNP (T1) (T1) 2010 DOCTOR OATES DR FAIRMONT REGIONAL AMANDA K JONES CNP 222 N 5TH ST STE 102 MEDICAL CENTER (T1) MARTINS FERRY, OH MARTINSBURG, WV 25401 1325 LOCUST AVE Accepts ages 14 & older 43935 304 596-6290 FAIRMONT, WV 26554 740 633-6480 ST JOSEPH INTERNAL HARRISON COUNTY, WV 855 988-2273 MEDICINE NATALLIE L MCCARDLE JUDIE L KANE CNP (T1) MARSHALL COUNTY, WV 94 W MAIN ST CNP (T1)% 900 LODGEVILLE RD BUCKHANNON, WV 26201 KATRINA S WASMUTH 3000 GUERNSEY ST BRIDGEPORT, WV 26330 304 473-2200 CNP (T1) BELLAIRE, OH 43906 304 842-3311 Accepts ages birth to 18 WASHINGTON COUNTY, 304 243-6301 LANDON LEFEVRE CNP 100 TELETECH DR STE 5 OH BERKELEY COUNTY, WV (T1) MOUNDSVILLE, WV 26041 PAMELA K HAMMOCK RAYNA M AMORENO CNP Accepts ages birth to 18 304 845-1500 CNP (T1) (T1) UPC PEDIATRIC CCPC BELPRE PRIMARY KATRINA S WASMUTH ASSOCIATES CARE Accepts birth to age 21 CNP (T1) SHENANDOAH 7 CHENOWETH DR 2434 RICHMILLER LN UNIT Not Accepting New Patients COMMUNITY HEALTH BRIDGEPORT, WV 26330 C 215 LAFAYETTE AVE CENTER 304 842-5777 BELPRE, OH 45714 MOUNDSVILLE, WV 26041 99 TAVERN RD 740 315-1030 KATHERINE OWENS CNP 304 845-3435 MARTINSBURG, WV 25401 (T1) WOOD COUNTY, WV 304 263-4999 MONONGALIA COUNTY, UNITED PHYSICIANS WV ALISHA S FINK CNP (T1) WWW.SHENCOMMHEALT CARE JESSICA A BULEBUSH Accepts Ages 18 & Older H.COM 7 CHENOWETH DR CNP (T1) MID OHIO VALLEY ABIGAIL A CRAWFORD BRIDGEPORT, WV 26330 UHA PHYSICIAN OFFICE MEDICINE & PEDIATRICS CNP (T1) 304 842-5777 CENTER 2012 GARFIELD AVE STE 2 PEDS SPECIALTY CLINIC - 1 MEDICAL CENTER DR PARKERSBURG, WV 26101 MARTINSBURG MORGANTOWN, WV 26506 304 893-9090 309 MEDICAL CT 304 598-4800 MARTINSBURG, WV 25401 304 598-4835

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 46 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. LYA M CIERRA P KOCHY CNP NICKI RINGLER-GOODWIN OHIO COUNTY, WV CARTWRIGHT-STROUPE (T1) CNP (T1) KRISTI M BOLEN CNP CNP (T1) UHA PHYSICIAN OFFICE UHA RUBY MEMORIAL (T1)% UHA PHYSICIAN OFFRICE CENTER HOSPITAL Accepts ages birth to 18 CENTER 1 MEDICAL CENTER 101 STADIUM DR Office Care Only 1 MEDICAL CENTER DRIVE MORGANTOWN, WV 26506 WHEELING HOSPITAL DRIVE MORGANTOWN, WV 26506 304 598-4000 PEDIATRICS MORGANTOWN, WV 26506 304 598-4800 CARA R SHINA CNP (T1) 30 MEDICAL PARK STE 304 598-4800 COLLEEN M KROLL CNP UHA PHYSICIAN OFFICE 200 TRACY L COUP CNP (T1) (T1) CENTER WHEELING, WV 26003 UHA PHYSICIAN OFFRICE 6040 UNIVERSITY TOWN 1 MEDICAL CENTER 304 243-8808 CENTER CENTRE DR DRIVE SARA M HEARNE CNP 1 MEDICAL CENTER MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 (T1) DRIVE 855 988-2273 304 598-4800 30 MEDICAL PARK STE MORGANTOWN, WV 26506 COLLEEN M KROLL CNP KRISTEN A WIGAL CNP 221 304 598-4800 (T1) (T1) WHEELING, WV 26003 CRYSTAL D DALTON CNP UHA PHYSICIAN OFFICE WVU MEDICINE 304 243-8850 (T1) CENTER CRANBERRY SQUARE NATALLIE L MCCARDLE UHA PHYSICIAN OFFICE 1 MEDICAL CENTER 2601 CRANBERRY SQ CNP (T1)% CENTER DRIVE MORGANTOWN, WV 26508 30 MEDICAL PARK STE 1 MEDICAL CENTER MORGANTOWN, WV 26506 304 285-1702 211 DRIVE 304 598-4800 MEGHAN E WILLIAMS WHEELING, WV 26003 MORGANTOWN, WV 26506 JULIE D MOOREHEAD CNP (T1) 304 243-6301 304 598-4800 CNP (T1) UHA PHYSICIAN OFFICE HOLLY L OCHSENBEIN EMILY DEWITT CNP (T1) Accepts ages through 18 CENTER CNP (T1) 1 MEDICAL CENTER DR UHA PHYSICIAN OFFICE 1 MEDICAL CENTER UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 CENTER DRIVE CENTER 855 988-2273 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 10 MEDICAL PARK STE 304 598-4000 RADINE A GIBSON CNP MORGANTOWN, WV 26506 305 (T1) 304 598-4800 NICHOLAS COUNTY, WV WHEELING, WV 26003 WVU CHEAT LAKE PINAR T NALCAKAN CNP COLLEEN M KROLL CNP 304 598-4835 PHYSICIANS (T1) (T1) WEBSTER COUNTY, WV 608 CHEAT RD MONONGALIA GENERAL 400 FAIRVIEW HEIGHTS KATHRYN D MORRIS CNP MORGANTOWN, WV 26508 HOSPITAL RD (T1) 855 988-2273 1200 J D ANDERSON DR SUMMERSVILLE, WV SUMMERSVILLE MORGANTOWN, WV 26505 STACEY N GILLESPIE CNP 26651 PEDIATRICS INC 888 988-2273 (T1) 844 862-4751 142 N COURT SQ UHA PHYSICIAN OFFICE NICOLE L POZUN CNP KATHRYN D MORRIS CNP WEBSTER SPRINGS, WV CENTER (T1) (T1) 26288 1 MEDICAL CENTER UHA PHYSICIAN OFFICE Accepts birth to age 21 304 847-2022 DRIVE CENTER 400 FAIRVIEW HEIGHTS WOOD COUNTY, WV MORGANTOWN, WV 26506 1 MEDICAL CENTER RD STE 302 GINA M PRUNTY CNP (T1) 304 598-4800 DRIVE SUMMERSVILLE, WV MID OHIO VALLEY MORGANTOWN, WV 26506 26651 CHRISTY L GLASS CNP MEDICAL GROUP 304 598-4800 304 872-7063 (T1) 800 GRAND CENTRAL UHA PHYSICIAN OFFRICE KELLI L QUEEN CNP (T1) CHRISTAL R KIRK CNP MALL CENTER UHA PHYSICIAN OFFICE (T1) VIENNA, WV 26105 1 MEDICAL CENTER CENTER Office Care Only 304 485-3300 DRIVE 1 MEDICAL CENTER Accepts birth to age 21 MORGANTOWN, WV 26506 DRIVE 400 FAIRVIEW HEIGHTS 304 598-4000 MORGANTOWN, WV 26506 RD STE 302 304 598-4800 SUMMERSVILLE, WV 26651 304 872-7063

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 47 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BRAXTON COUNTY, WV HARRISON COUNTY, OH RAETTA L WENTZ PA-C Physician Assistants JERRI A ONEY PA-C ERIKA M WILLIAMS PA-C (T1) (Family Practice) (T1)% (T1) SALEM FAMILY HEALTHCARE ALLEGANY COUNTY, MD BRAXTON COMMUNITY Accepts ages 6 & older HEALTH CENTE 2373 W MAIN ST STE 102 ISAAC Q DUCHARME 951 E MARKET ST 100 HOYLMAN DR SALEM, WV 26426 PA-C (T1) CADIZ, OH 43907 GASSAWAY, WV 26624 304 782-2000 UPMC WESTERN 740 942-4631 304 364-5156 MARYLAND HARRISON COUNTY, WV JACKSON COUNTY, WV 12500 WILLOWBROOK RD JERRI A ONEY PA-C LORI M HALDEMAN PA-C KEVIN S BOYCE PA-C CUMBERLAND, MD 21502 (T1)% (T1) (T1) 240 964-7000 BRAXTON COMMUNITY SALEM FAMILY MORAD-HUGHES HEALTH HEALTH CENTE CENTER ISAAC Q DUCHARME HEALTHCARE 617 RIVER ST 122 PINNELL ST PA-C (T1) 2373 W MAIN ST STE 102 GASSAWAY, WV 26624 RIPLEY, WV 25271 UPMC WESTERN SALEM, WV 26426 304 364-2401 304 373-1578 MARYLAND 304 782-2000 12502 WILLOWBROOK RD BROOKE COUNTY, WV WWW.JACKSONGENERAL. NED A HESS JR PA-C (T1) COM CUMBERLAND, MD 21502 CHELSEA M BRIDGEPORT EXPRESS 240 964-8740 CAMERLENGO CNP (T1) CARE SARA B HAILE PA-C (T1) JACKSON GENERAL JADE A HENSINGER PA-C WHEELING HOSP FAMILY 1370 JOHNSON AVE FL 1 CLINIC (T1) HEALTH BRIDGEPORT, WV 26330 200 ACADEMY DR UPMC WESTERN 1006 COMMERCE ST 304 842-3330 WELLSBURG, WV 26070 RIPLEY, WV 25271 MARYLAND JAMES D MALLETT PA-C 304 737-4435 304 372-1050 12502 WILLOWBROOK RD (T1) CUMBERLAND, MD 21502 FAYETTE COUNTY, PA UPC MEDPOINTE FAMILY SARA B HAILE PA-C (T1) 240 964-8724 MORAD-HUGHES HEALTH KAYTLIN HECKLER PA-C PRACTICE CENTER BRIAN J PRZYBYLOWSKI (T1) 469 EMILY DR 122 PINNELL ST PA-C (T1) UNIONTOWN PRIMARY CLARKSBURG, WV 26301 RIPLEY, WV 25271 UPMC WESTERN CARE 304 423-5180 304 373-1578 201 MARY HIGGINSON LN MARYLAND JAMES D MCDANIEL PA-C STE 1 12500 WILLOWBROOK RD (T1) SARA B HAILE PA-C (T1) UNIONTOWN, PA 15401 CUMBERLAND, MD 21502 UPC MEDPOINTE FAMILY 509 CHURCH ST S 724 430-5940 240 964-8724 PRACTICE RIPLEY, WV 25271 304 786-1155 BRIAN J PRZYBYLOWSKI CHANTEL LACH PA-C 469 EMILY DR PA-C (T1) (T1) CLARKSBURG, WV 26301 LINDSEY A KEENEY PA-C UPMC WESTERN UNIONTOWN PRIMARY 304 423-5180 (T1) CARE MARYLAND ADAM M PENFOLD PA-C Office Care Only 201 MARY HIGGINSON LN 12502 WILLOWBROOK RD (T1) Accepts Ages 18 & Older STE 1 STE 470 SALEM FAMILY RIPLEY FAMILY CARE UNIONTOWN, PA 15401 CUMBERLAND, MD 21502 HEALTHCARE 512 CHURCH ST S 724 430-5940 240 964-8724 2373 W MAIN ST STE 102 RIPLEY, WV 25271 BELMONT COUNTY, OH GARRETT COUNTY, MD SALEM, WV 26426 304 372-1033 304 782-2000 WWW.COPLINHEALTHSYS CARISSA M ALLEN PA-C MARY G DEPRIMIO PA-C TEMS.COM (T1) (T1) PATRICIA L ROSS PA-C 66840 BELMONT GARRETT MEDICAL (T1) LINDSEY A KEENEY PA-C MORRISTOWN RD GROUP PA 215 W MAIN ST (T1) BELMONT, OH 43718 24441 GARRETT HWY STE BRIDGEPORT, WV 26330 Accepts Ages 18 & Older 740 782-1031 A 304 842-6645 RIVER VALLEY FAMILY MCHENRY, MD 21541 CARE BERKELEY COUNTY, WV MONICA SHAFFER PA-C 301 387-8178 606 WASHINGTON ST (T1) KELLY A MCBEE PA-C RAVENSWOOD, WV 26164 BRIDGEPORT EXPRESS (T1) 304 273-1033 PEDS SPECIALTY CLINIC - CARE WWW.COPLINHEALTHSYS MARTINSBURG 1370 JOHNSON AVE FL 1 TEMS.COM 309 MEDICAL CT BRIDGEPORT, WV 26330 MARTINSBURG, WV 25401 304 842-3330 304 598-4835

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 48 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. NICOLE L NIESE PA-C AMANDA K WADE PA-C NICOLE L LUDWIG PA-C JESSICA R SETHMAN (T1) (T1) (T1) PA-C (T1) JACKSON HOSPITAL Accepts ages 16 & older WVU MEDICINE STUDENT UHA FAMILY MEDICINE CLINIC RMH FAMILY PRACTICE HEALTH 390 BIRCH ST 122 PINNELL ST 426 8TH ST STE 204 390 BIRCH ST MORGANTOWN, WV 26505 RIPLEY, WV 25271 GLEN DALE, WV 26038 MORGANTOWN, WV 26505 304 285-7324 304 373-1578 304 285-7200 304 221-4588 NICHOLAS COUNTY, WV MARION COUNTY, WV MERCER COUNTY, WV KELLY A MCBEE PA-C JOHN BAUGHMAN PA-C HALLIE D GUNNOE PA-C NATASHA N BARKER (T1) (T1) (T1) PA-C (T1) UHA SLEETH FAMILY WV HEALTH CARE WEST FAIRMONT 401 VERMILLION ST MEDICINE CTR COOPERATIVE INC PRIMARY CARE ATHENS, WV 24712 390 BIRCH ST 400 FAIRVIEW HEIGHTS 1377 LOCUST AVE 304 384-7325 MORGANTOWN, WV 26506 RD FAIRMONT, WV 26554 855 988-2273 SUMMERSVILLE, WV MONONGALIA COUNTY, 304 363-3500 26651 WV NATALIE J MCCREADY 304 872-2891 MARSHALL COUNTY, WV LANA DHAMIJA PA-C (T1) PA-C (T1) ALLISON V BADGLEY WVU HEART & VASCULAR UHA SLEETH FAMILY KARA D GILLESPIE PA-C MEDICINE CTR PA-C (T1) INSTITUTE SE TOWER (T1) 6040 UNIVERSITY TOWN Accepts ages birth to 18 1 MEDICAL CENTER DR WV HEALTH CARE CENTRE DR REYNOLDS MEMORIAL MORGANTOWN, WV 26506 COOPERATIVE INC MORGANTOWN, WV 26501 HOSP 877 988-4478 400 FAIRVIEW HEIGHTS 304 598-6900 215 LAFAYETTE AVE RD KALA M DIXON PA-C (T1) SUMMERSVILLE, WV MOUNDSVILLE, WV 26041 UHA FAMILY MEDICINE ADAM B PRATT PA-C (T1) 26651 304 845-3435 390 BIRCH ST UHA FAMILY MEDICINE 390 BIRCH ST 304 872-2891 ALLISON V BADGLEY MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 PA-C (T1) 304 599-2273 JUDY M SPENCER PA-C 304 599-2273 (T1) Accepts ages birth to 18 BRETT E GAGE PA-C (T1) SUMMERSVILLE RURAL REYNOLDS PEDIATRICS JEFFREY G PROCOPIO SUNCREST TOWNE HEALTH CLINIC 100 TELETECH DR STE 5 PA-C (T1) CENTER 400 FAIRVIEW HEIGHTS MOUNDSVILLE, WV 26041 UHA PHYSICIAN OFFICE 600 SUNCREST TOWNE RD 304 845-1500 CENTER CENTER 1 MEDICAL CENTER SUMMERSVILLE, WV ALLISON V BADGLEY MORGANTOWN, WV 26505 26651 304 598-4478 DRIVE PA-C (T1) MORGANTOWN, WV 26506 304 872-8545 Accepts ages 16 & older KRISTI E HASIS PA-C (T1) 304 598-4800 OHIO COUNTY, WV REYNOLDS MEMORIAL UHA SLEETH FAMILY ALLISON V BADGLEY HOSPITAL MEDICINE CTR TRAVIS L RANDOLPH PA-C (T1) 426 8TH ST STE 301 6040 UNIVERSITY TOWN PA-C (T1) GLEN DALE, WV 26038 CENTRE DR UHA PHYSICIAN OFFICE Accepts ages through 18 304 221-4575 MORGANTOWN, WV 26501 CENTER REYNOLDS RAPID CARE - 855 988-2273 1 MEDICAL CENTER MT OLIVET ALLISON V BADGLEY DRIVE 210 FAIRMONT PIKE RD PA-C (T1) KILEY J IAMS PA-C (T1) MORGANTOWN, WV 26506 WHEELING, WV 26003 Accepts ages birth to 18 UHA MGTN FAMILY 304 598-4800 304 221-3020 407 WHEELING AVE FL 1 MEDICINE JESSICA R SETHMAN DUANE A BARTSCH PA-C GLEN DALE, WV 26038 1 MEDICAL CENTER PA-C (T1) (T1) 304 845-1500 DRIVE MORGANTOWN, WV 26506 RUBY MEMORIAL WHEELING HOSPITAL KELLY A ROBINSON PA-C 304 598-4800 HOSPITAL PHYSICIANS (T1) 1 MEDICAL CENTER DR 58 16TH ST Accepts ages 10 & older REBECCA J IRWIN PA-C MORGANTOWN, WV 26506 WHEELING, WV 26003 RMH FAMILY MEDICINE (T1) 304 598-4000 304 233-8788 426 8TH ST STE 200 UHA PHYSICIAN OFFICE JESSICA R SETHMAN GLEN DALE, WV 26038 CENTER PA-C (T1) 304 221-9644 1 MEDICAL CENTER DRIVE 301 SUNCREST TOWN MORGANTOWN, WV 26506 CENTRE DR 304 598-4800 MORGANTOWN, WV 26505 304 598-8908

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 49 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CLINT R SHEPARD PA-C MARION COUNTY, WV CHRISTOPHER W Physician Assistants (T1)% SHALEE L SHUMILOFF MILLIGAN PA-C (T1) PROFESSIONAL CENTER (General Practice) PA-C (T1) WVU MEDICAL 2 CORPORATION HARRISON COUNTY, WV Accepts ages 2 & older 20 MEDICAL PARK STE WEST FAIRMONT 1 MEDICAL CENTER DR 306 CRISTOBAL N RIVERA MORGANTOWN, WV 26506 PA-C (T1) PRIMARY CARE WHEELING, WV 26003 1377 LOCUST AVE 855 988-2273 304 243-7030 BRIDGEPORT EXPRESS CARE FAIRMONT, WV 26554 KASSANDRA A OLGERS CHELSEY K TAYLOR PA-C 1370 JOHNSON AVE FL 1 304 363-3500 PA-C (T1) (T1) BRIDGEPORT, WV 26330 MARSHALL COUNTY, WV UHA PHYSICIAN OFFICE Accepts ages 16 & older CENTER 304 842-3330 KATIE J INCLAN PA-C REYNOLDS FAMILY CARE 1 MEDICAL CENTER (T1) 210 FAIRMONT PIKE RD DRIVE Physician Assistants Accepts ages 13 & older WHEELING, WV 26003 MORGANTOWN, WV 26506 (Internal Medicine) REYNOLDS MEMORIAL 304 221-3030 304 598-4800 HOSPITAL BERKELEY COUNTY, WV PLEASANTS COUNTY, WV 426 8TH ST STE 301 KASSANDRA A OLGERS VIOLETA GONZALEZ PA-C JIN U O PA-C (T1) GLEN DALE, WV 26038 PA-C (T1) (T1) MID OHIO VALLEY 304 221-4575 INPATIENT MEDICAL GROUP Accepts Ages 18 & Older 1 STADIUM DR INTERNAL MEDICINE - RYAN F RICO PA-C (T1) MORGANTOWN, WV 26506 1861 N PLEASANTS HWY REYNOLDS RAPID CARE STE 101 PANHANDLE 304 598-4800 65 HEALTH CARE LN 108 EOFF ST SAINT MARYS, WV 26170 KASSANDRA A OLGERS MARTINSBURG, WV 25401 BENWOOD, WV 26031 304 312-3600 PA-C (T1) 304 263-6997 304 221-3014 UPSHUR COUNTY, WV RUBY MEM HOSPITAL GREENE COUNTY, PA RYAN F RICO PA-C (T1) 101 STADIUM DR KARA N BLACK PA-C (T1) REYNOLDS RAPID CARE JAMI L KRULL PA-C (T1) MORGANTOWN, WV 26506 ST JOSEPH FAMILY 215 LAFAYETTE AVE Accepts ages 14 & older 304 598-4000 MEDICINE MOUNDSVILLE, WV 26041 UHA PHYSICIAN OFFICE 21 AUCTION LN 304 843-3435 OLIVIA L PRICE PA-C (T1) BUCKHANNON, WV 26201 CENTER UHA PHYSICIANS OFFICE 304 472-6041 451 MURTHA DR BRITTNEY J SOBOTA CENTER WAYNESBURG, PA 15370 PA-C (T1) 1 MEDICAL CENTER DR AMANDA D SNYDER PA-C 724 627-3379 Accepts ages 16 & older MORGANTOWN, WV 26506 (T1) REYNOLDS MEMORIAL HARRISON COUNTY, WV 304 598-4800 ST JOSEPH FAMILY HOSPITAL MEDICINE KASSANDRA A OLGERS 426 8TH ST STE 202 KAYLEIGH C RAMALEY 94 W MAIN ST PA-C (T1) GLEN DALE, WV 26038 PA-C (T1) BUCKHANNON, WV 26201 WVU HEART & VASCULAR 304 843-3437 RUBY MEMORIAL 304 473-2202 INSTITUTE-BRIDGEPOR HOSPITAL 527 MEDICAL PARK DR MONONGALIA COUNTY, 1 MEDICAL CENTER DR WOOD COUNTY, WV STE 304 WV MORGANTOWN, WV 26506 CATHERINE A CHURCH BRIDGEPORT, WV 26330 PAIGE N BERKHOUSE 304 598-4000 CNP (T1) 304 842-0007 PA-C (T1) CAMDEN CLARK PHYS WEST VIRGINIA GREGORY P SELASKY CORP KASSANDRA A OLGERS UNIVERSITY HOSP PA-C (T1) 1907 ANN ST PA-C (T1) 1 MEDICAL CENTER DR UHA PHYSICIAN OFFICE PARKERSBURG, WV 26101 UNITED HOSPITAL MORGANTOWN, WV 26506 CENTER 304 424-4205 CENTER 304 598-4000 1 MEDICAL CENTER 327 MEDICAL PARK DR DRIVE AMANDA B BRIDGEPORT, WV 26330 CARLY N LIKAR PA-C (T1) MORGANTOWN, WV 26506 SUMMERFIELD PA-C (T1) 681 342-1000 1 MEDICAL CENTER DR 304 293-1964 RIVER VALLEY MEDICINE MORGANTOWN, WV 26506 AND PEDS JEFFERSON COUNTY, WV 304 598-4800 VICTORIA L SELLARO 2012 GARFIELD AVE STE 2 ALICE H FENS PA-C (T1) PA-C (T1) PARKERSBURG, WV 26101 JEFFERSON MEDICINE & UNIVERSITY TOWN 304 893-9090 PEDIATRICS CENTRE 207 E 5TH AVE 6040 UNIVERSITY TOWN RANSON, WV 25438 CENTRE DR 304 725-6777 MORGANTOWN, WV 26501 855 988-2273

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 50 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. KRISTINA L SMITH PA-C RANDOLPH COUNTY, WV CHRISTINA M SAGGIO KATIE M ELLIOTT PA-C (T1) KASSANDRA A OLGERS PA-C (T1) (T1)% RUBY MEMORIAL PA-C (T1) Accepts ages birth to 18 30 MEDICAL PARK STE HOSPITAL WVU HEART & VASCULAR 222 N 5TH ST STE 101 211 1 MEDICAL CENTER INSTITUTE-ELKINS MARTINS FERRY, OH WHEELING, WV 26003 DRIVE 812 GORMAN AVE 43935 304 243-6301 MORGANTOWN, WV 26506 ELKINS, WV 26241 740 633-6480 304 598-4850 304 637-3897 MONONGALIA COUNTY, LORI L STAHARA PA-C TAYLOR COUNTY, WV WV (T1) KASSANDRA A OLGERS SARAH P LECHER PA-C UHA PHYSICIAN OFFICE PA-C (T1) (T1) CENTER CARDIOLOGY CLINIC - UHA PHYSICIAN OFFICE 1 MEDICAL CENTER PINEWOOD MEDICAL CTR CENTER DRIVE 401 N PIKE ST 1 MEDICAL CENTER MORGANTOWN, WV 26506 GRAFTON, WV 26354 DRIVE 304 598-4800 304 265-1350 MORGANTOWN, WV 26506 SUSAN P TUBENS PA-C 304 598-4800 KASSANDRA A OLGERS (T1) PA-C (T1) MICHELE G VIDULICH WVU MEDICAL CARDIOLOGY CLINIC - PA-C (T1) CORPORATION PINEWOOD MEDICAL CTR 1 MEDICAL CENTER DR 1 MEDICAL CENTER DR 401 N PIKE ST MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 GRAFTON, WV 26354 304 598-4800 304 598-4800 304 265-1350 OHIO COUNTY, WV STEVEN J WHITELATCH UPSHUR COUNTY, WV SARAH G BRAMMER PA-C PA-C (T1) (T1)% WEST VIRGINIA KAITLYN S BEESON PA-C (T1) 30 MEDICAL PARK STE UNIVERSITY HOSP 211 1 MEDICAL CENTER DR 94 W MAIN ST BUCKHANNON, WV 26201 WHEELING, WV 26003 MORGANTOWN, WV 26506 304 243-6301 877 988-4478 304 473-2200 JAMES K BURRESS PA-C OHIO COUNTY, WV JAMIE L COX PA-C (T1) 1 AMALIA DR (T1)% ALEXANDRA K TENNANT BUCKHANNON, WV 26201 Accepts birth to age 21 PA-C (T1) 304 473-2303 WHEELING HOSPITAL WHEELING HOSPITAL, PEDIATRICS INC WETZEL COUNTY, WV 30 MEDICAL PARK STE 40 MEDICAL PARK STE JILL B FOWLER PA-C (T1) 211 300 Accepts Ages 18 & Older WHEELING, WV 26003 WHEELING, WV 26003 WETZEL COUNTY 304 243-6301 304 243-6442 HOSPTIAL ASSOCIATION JAMIE S RIGGLE PA-C 150 PADUCAH DR WHEELING HOSPITAL (T1)% NEW MARTINSVILLE, WV EXTENDERS (T1) 30 MEDICAL PARK STE 26155 1 MEDICAL PARK 211 304 455-8190 WHEELING, WV 26003 WHEELING, WV 26003 304 242-3310 www.wetstercountyhospital.c 304 243-6301 om WHEELING HOSPITAL CHRISTINA M SAGGIO HOSPITALISTS (T1) Physician Assistants PA-C (T1) 1 MEDICAL PARK (Pediatrics) Accepts ages through 18 WHEELING, WV 26003 30 MEDICAL PARK SUITE 304 242-3310 BELMONT COUNTY, OH 221 JAMIE S RIGGLE PA-C WHEELING, WV 26003 (T1)% 304 243-8850 3000 GUERNSEY ST BELLAIRE, OH 43906 304 243-6301

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 51 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. Section 5 Secondary Care Physicians Participants May Select a Secondary Care Physician (May Require Referral If Not Listed As Your Secondary Care Physician)

EMILY S GAMMOH MD BERKELEY COUNTY, WV AYESHA JAMEEL MD (T1) Autism Treatment (T1) * JAMES C FIELD MD (T1) Accepts ages 16 & older Provider WESTERN MARYLAND UNIVERSITY BRIDGEPORT HEALTH SYSTEM MONONGALIA COUNTY, ENDOCRINOLOGY ENDOCRINOLOGY 12500 WILLOWBROOK RD WV ASSOCIATES 710 GENESIS BLVD CUMBERLAND, MD 21502 SUSANNAH POE PHD 1001 SUSHRUTA DR STE BRIDGEPORT, WV 26330 240 964-8900 (T1) 100 681 342-3070 MARTINSBURG, WV 25401 Accepts Ages 18 & Older EMILY S GAMMOH MD ADRIANA C 304 596-5038 UHA PHYSICIAN OFFICE (T1) * MALDONADO-BREM MD CENTER WESTERN MARYLAND EMMA B (T1) 1 MEDICAL CENTER HEALTH SYSTEM MORTON-EGGLESTON MD BRIDGEPORT DRIVE 12500 WILLOWBROOK RD (T1) ENDOCRINOLOGY MORGANTOWN, WV 26506 CUMBERLAND, MD 21502 Accepts ages 15 & older 710 GENESIS BLVD 304 598-4800 240 964-8900 UNIVERSITY BRIDGEPORT, WV 26330 681 342-3070 JOSEPH T SHANE BCBA EMILY S GAMMOH MD ENDOCRINOLOGY (T1) (T1) * ASSOCIATES ADRIANA C NEURODEVELOPMENT WESTERN MARYLAND 1001 SUSHRUTA DR STE MALDONADO-BREM MD CENTER HEALTH SYSTEM 100 (T1) 201 BAKERS RIDGE RD 12502 WILLOWBROOK RD MARTINSBURG, WV 25401 BRIDGEPORT MORGANTOWN, WV 26508 STE 330 304 596-5038 ENDOCRINOLOGY 304 598-4300 CUMBERLAND, MD 21502 EMMA B 710 GENESIS BLVD 240 964-8900 BRIDGEPORT, WV 26330 NICOLE L SHRIVER BCBA MORTON-EGGLESTON MD 681 342-3070 (T1) EMILY S GAMMOH MD (T1) NEURODEVELOPMENT (T1) * Accepts ages 15 & older JEFFERSON COUNTY, WV CENTER WESTERN MARYLAND UNIVERSITY JAMES C FIELD MD (T1) 201 BAKERS RIDGE RD HEALTH SYSTEM ENDOCRINOLOGY UNIVERSITY MORGANTOWN, WV 26508 12502 WILLOWBROOK RD ASSOCIATES ENDOCRINOLOGY 304 598-4300 STE 330 1001 SUSHRUTA DR STE ASSOCIATES CUMBERLAND, MD 21502 100 211 E 5TH AVE STE B Endocrinology 240 964-8900 MARTINSBURG, WV 25401 RANSON, WV 25438 304 596-5038 304 596-5035 ALLEGANY COUNTY, MD SMRITI MANANDHAR MD (T1) HARRISON COUNTY, WV SHEBA ASGHAR MD (T1) MONONGALIA COUNTY, WESTERN MARYLAND WESTERN MARYLAND JOHN B EPLING MD (T1) WV HEALTH SYSTEM HEALTH SYSTEM Requires Referral NADIA T BARGHOUTHI 12502 WILLOWBROOK RD 12502 WILLOWBROOK RD Accepts Ages 18 & Older MD (T1) STE 330 CUMBERLAND, MD 21502 BRIDGEPORT WVU MEDICINE CUMBERLAND, MD 21502 240 964-8900 ENDOCRINOLOGY SUNCREST TOWNE 240 964-8900 710 GENESIS BLVD CENTRE SHEBA ASGHAR MD (T1) SMRITI MANANDHAR MD BRIDGEPORT, WV 26330 600 SUNCREST TOWNE WESTERN MARYLAND (T1) 681 342-3070 CENTER HEALTH SYSTEM WESTERN MARYLAND MORGANTOWN, WV 26505 12502 WILLOWBROOK RD AYESHA JAMEEL MD (T1) HEALTH SYSTEM 304 598-4478 CUMBERLAND, MD 21502 Accepts ages 16 & older 12502 WILLOWBROOK RD 240 964-8900 BRIDGEPORT STE 330 ENDOCRINOLOGY CUMBERLAND, MD 21502 710 GENESIS BLVD 240 964-8900 BRIDGEPORT, WV 26330 681 342-3070

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 52 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. NADIA T BARGHOUTHI SMITA J KUMAR MD (T1) * JENNIFER S TURNER MD SINDHURA RAVINDRA MD MD (T1) WVU MEDICINE (T1) * (T1) WVU MEDICINE SUNCREST TOWN UNIVERSITY TOWN Accepts Ages 18 & Older SUNCREST TOWNE CENTRE CENTRE CCPC ENDOCRINOLOGY CENTRE 600 SUNCREST TOWN 6040 UNIVERSITY TOWN & DIABETES 600 SUNCREST TOWNE CENTRE DR CENTRE DR 604 ANN STREET CENTER MORGANTOWN, WV 26505 MORGANTOWN, WV 26501 PARKERSBURG, WV 26101 MORGANTOWN, WV 26505 304 598-4478 855 988-2273 304 424-2400 304 598-4478 SMITA J KUMAR MD (T1) * JENNIFER S TURNER MD FRANK L SCHWARTZ MD JENNIFER M GIORDANO WVU MEDICINE (T1) * (T1) * DO (T1) SUNCREST TOWN UNIVERSITY TOWN Requires Referral PHYSICIAN OFFICE CENTRE CENTRE Not Accepting New Patients CENTER 600 SUNCREST TOWN 6040 UNIVERSITY TOWN CORNWELL CENTER 1 MEDICAL CENTER DR CENTRE DR CENTRE DR 604 ANN STREET MORGANTOWN, WV 26506 MORGANTOWN, WV 26505 MORGANTOWN, WV 26501 PARKERSBURG, WV 26101 304 598-4800 304 598-4478 855 988-2273 304 424-2400 JENNIFER M GIORDANO JESSICA A PERINI MD OHIO COUNTY, WV FRANK L SCHWARTZ MD DO (T1) (T1) JULIE S BUNNER MD (T1) * UHA PHYSICIAN OFFICE PHYSICIAN OFFICE (T1)% Requires Referral CENTER CENTER Accepts ages 16 & older Not Accepting New Patients 1 MEDICAL CENTER DR 1 MEDICAL CENTER 58 16TH ST CORNWELL CENTER MORGANTOWN, WV 26506 DRIVE WHEELING, WV 26003 604 ANN STREET MORGANTOWN, WV 26506 304 598-4800 304 243-6410 PARKERSBURG, WV 26101 304 598-4800 304 424-2400 JENNIFER M GIORDANO JULIE S BUNNER MD JESSICA A PERINI MD DO (T1) (T1)% ABDELWAHAB A WVU MEDICINE (T1) Accepts ages 16 & older SULIMAN MD (T1) * UHA PHYSICIAN OFFICE SUNCREST TOWNE 58 16TH ST 604 ANN STREET CENTRE CENTER WHEELING, WV 26003 PARKERSBURG, WV 26101 600 SUNCREST TOWNE 1 MEDICAL CENTER 304 243-6410 304 424-2400 CENTER DRIVE MORGANTOWN, WV 26505 MORGANTOWN, WV 26506 JAISRI T MAHARAJ MD ABDELWAHAB A 304 598-4478 304 598-4800 (T1)% SULIMAN MD (T1) * Accepts Ages 18 & Older 604 ANN STREET JENNIFER M GIORDANO JEFFREY Z RICO II MD WHEELING HOSPITAL INC PARKERSBURG, WV 26101 DO (T1) (T1) * 58 16TH ST 304 424-2400 WVU MEDICINE WVU MEDICINE WHEELING, WV 26003 SUNCREST TOWNE SUNCREST TOWNE 304 243-6410 CENTRE CENTRE Gynecology 600 SUNCREST TOWNE 600 SUNCREST TOWN JAISRI T MAHARAJ MD BERKELEY COUNTY, WV CENTER CENTRE DR (T1)% DEREK D KAZNOSKI MD MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 Accepts Ages 18 & Older (T1)% 304 598-4478 304 598-4478 WHEELING HOSPITAL INC Office Care Only ADNAN HAIDER MD (T1) JEFFREY Z RICO II MD 58 16TH ST Gyn Care Only RUBY MEMORIAL (T1) * WHEELING, WV 26003 1178 SHEPHERDSTOWN HOSPITAL WVU MEDICINE 304 243-6410 RD 1 MEDICAL CENTER SUNCREST TOWNE WOOD COUNTY, WV MARTINSBURG, WV 25404 CENTRE 304 264-9332 DRIVE SINDHURA RAVINDRA MD 600 SUNCREST TOWN MORGANTOWN, WV 26506 (T1) JACKSON COUNTY, WV 304 598-4000 CENTRE DR Accepts Ages 18 & Older MORGANTOWN, WV 26505 MICHAELA E KESSLER ADNAN HAIDER MD (T1) CCPC ENDOCRINOLOGY 304 598-4478 DO (T1) RUBY MEMORIAL & DIABETES MORAD-HUGHES HEALTH HOSPITAL 604 ANN STREET CENTER 1 MEDICAL CENTER PARKERSBURG, WV 26101 122 PINNELL ST DRIVE 304 424-2400 RIPLEY, WV 25271 MORGANTOWN, WV 26506 304 373-0133 304 598-4000

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 53 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. KANAWHA COUNTY, WV SANAZ N SOLTANI MD LAUREN W VELTRI MD SAM WANKO MD (T1) ROBERT T DEPOND MD (T1) (T1) UHA PHYSICIAN OFFICE (T1) Accepts Ages 18 & Older THE GREENBRIER CLINIC CENTER Gyn Care Only UNIVERSITY 320 W MAIN ST 201 E 5TH AVE 830 PENNSYLVANIA AVE HEMATOLOGY WHITE SULPHUR RANSON, WV 25438 STE 304 ONCOLOGY SPRINGS, WV 24986 304 728-1812 304 598-6127 CHARLESTON, WV 25302 2000 FOUNDATION WAY LEWIS COUNTY, WV STE 2600 304 388-1515 HARRISON COUNTY, WV SHAMSHER ALI MD (T1) MARTINSBURG, WV 25401 ZEESHAN AHMAD MD 304 267-1944 Accepts Ages 18 & Older Hematology/ (T1) UHC ONCOLOGY Oncology SAM WANKO MD (T1) UHC ONCOLOGY 107 STAUNTON DR Accepts Ages 18 & Older 327 MEDICAL PARK DR WESTON, WV 26452 ALLEGANY COUNTY, MD 2000 FOUNDATION WAY BRIDGEPORT, WV 26330 681 342-1842 RAGNEEL R BIIJULA MD STE 2600 681 342-1842 MARION COUNTY, WV (T1) MARTINSBURG, WV 25401 SHAMSHER ALI MD (T1) WESTERN MARYLAND 304 267-1944 SALMAN S OSMAN MD HEALTH SYSTEM Accepts Ages 18 & Older (T1) * 12500 WILLOWBROOK RD FAYETTE COUNTY, PA UHC ONCOLOGY UHC ONCOLOGY CUMBERLAND, MD 21502 MANGA P ATLURI MD (T1) 327 MEDICAL PARK DR 1325 LOCUST AVE STE 15 240 964-7000 * BRIDGEPORT, WV 26330 FAIRMONT, WV 26554 UNIONTOWN - 681 342-1842 681 342-1842 JOHN C DOWNS MD (T1) * ONCOLOGY/INFUSION WESTERN MARYLAND PAUL M BRAGER MD (T1) MARSHALL COUNTY, WV 100 WOODLAWN AVE STE * HEALTH SYSTEM NABIEL ALKHOURI MD 4 UHC ONCOLOGY 12502 WILLOWBROOK RD (T1) UNIONTOWN, PA 15401 327 MEDICAL PARK DR CUMBERLAND, MD 21502 Accepts Ages 18 & Older 724 430-5600 BRIDGEPORT, WV 26330 240 964-8717 WVU CANCER INSTITUTE GARRETT COUNTY, MD 681 342-1842 BLANCHE H AT RMH MAVROMATIS MD (T1) * MICHAEL D CRAIG MD SALMAN S OSMAN MD 901 JEFFERSON AVE (T1) Accepts Ages 18 & Older (T1) * GLEN DALE, WV 26038 GARRETT REGIONAL @ Greek UHC ONCOLOGY 304 843-3302 MEDICAL CENTER WESTERN MARYLAND 327 MEDICAL PARK DR 251 N 4TH ST MONONGALIA COUNTY, HEALTH SYSTEM BRIDGEPORT, WV 26330 OAKLAND, MD 21550 WV 12502 WILLOWBROOK RD 681 342-1842 301 533-4000 RUTA ARAYS MD (T1) STE 440 SWATI VISHWANATHAN MARY BABB RANDOLPH CUMBERLAND, MD 21502 KEVIN J SHANNON MD MD (T1) CANCER CENTER 240 964-8680 (T1) Accepts Ages 18 & Older 1 MEDICAL CENTER BERKELEY COUNTY, WV Accepts Ages 18 & Older UHC ONCOLOGY DRIVE Office Care Only MORGANTOWN, WV 26506 SOWMINI MEDAVARAM 327 MEDICAL PARK DR GARRETT REGIONAL BRIDGEPORT, WV 26330 304 598-4500 MD (T1) MEDICAL CENTER 681 342-1842 MANGA P ATLURI MD (T1) Accepts ages 21 and older 251 N 4TH ST * UNIVERSITY OAKLAND, MD 21550 JEFFERSON COUNTY, WV WVU DEPT OF MEDICINE HEMATOLOGY 304 598-4000 SOWMINI MEDAVARAM ONCOLOGY MD (T1) HEMATOLOGY/ONCOLOG GREENBRIER COUNTY, Y 2000 FOUNDATION WAY Accepts ages 21 and older WV 1 MEDICAL CENTER DR STE 2600 UNIVERSITY SURGICAL MICHAEL D CRAIG MD MORGANTOWN, WV 26506 MARTINSBURG, WV 25401 ASSOCIATES (T1) 304 598-4500 304 267-1944 201 E 5TH AVE STE 1 THE GREENBRIER CLINIC RANSON, WV 25438 MIKLOS L AUBER MD (T1) POOJA SAHNI MD (T1) 320 W MAIN ST 304 728-1812 * UNIVERSITY WHITE SULPHUR @ GERMAN, HUNGARIAN HEMATOLOGY SPRINGS, WV 24986 POOJA SAHNI MD (T1) MARY BABB RANDOLPH ONCOLOGY 304 598-6127 UNIVERSITY SURGICAL CANCER CTR 2000 FOUNDATION WAY ASSOCIATES 1 STADIUM DRIVE STE 2600 201 E 5TH AVE STE 1 MORGANTOWN, WV 26506 MARTINSBURG, WV 25401 RANSON, WV 25438 304 293-4500 304 267-1944 304 728-1812

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 54 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JEAN G BUSTAMANTE SHALU PAHUJA MD (T1) * OHIO COUNTY, WV WETZEL COUNTY, WV ALVAREZ MD (T1) MARY BABB RANDOLPH DAYRA C AVILA LIMA MD NABIEL ALKHOURI MD UHA PHYSICIAN OFFICE CANCER CENTER (T1)% (T1) CENTER 1 MEDICAL CENTER DR Accepts Ages 18 & Older Accepts Ages 18 & Older 1 MEDICAL CENTER MORGANTOWN, WV 26506 @ SPANISH WVU CANCER INSTITUTE DRIVE 304 598-4500 40 MEDICAL PARK STE AT RMH MORGANTOWN, WV 26506 DANH C PHAM MD (T1) 300 3 E BENJAMIN DR 304 598-4500 MARY BABB RANDOLPH WHEELING, WV 26003 NEW MARTINSVILLE, WV MICHAEL D CRAIG MD CANCER CENTER 304 243-6442 26155 304 843-3302 (T1) 1 MEDICAL CENTER DR ZELIA R BOWMAN MD Not Accepting New Patients MORGANTOWN, WV 26506 (T1) * WOOD COUNTY, WV UHA PHYSICIAN OFFICE 304 598-4500 Accepts Ages 18 & Older NIKUNJ SHAH MD (T1) CENTER KONSTANTINOS SDRIMAS WHEELING HOSPITAL 705 GARFIELD AVE STE 1 MEDICAL CENTER DR MD (T1) * ONCOLOGY 220 MORGANTOWN, WV 26506 MARY BABB RANDOLPH 40 MEDICAL PARK STE PARKERSBURG, WV 26101 304 598-4500 CANCER CENTER 300 304 424-2606 RICHARD M GOLDBERG 1 MEDICAL CENTER DR WHEELING, WV 26003 KATY TICONA MD (T1) MORGANTOWN, WV 26506 304 243-6442 MD (T1) * CAMDEN CLARK MEDICAL 304 598-4500 UHA PHYSICIAN OFFICE GURVEEN KAUR MD (T1) ONCOLOGY CENTER KEVIN J SHANNON MD Accepts Ages 18 & Older 705 GARFIELD AVE STE 1 MEDICAL CENTER DR (T1) @ Hindi, PUNJABI 220 MORGANTOWN, WV 26506 UHA WHEELING HOSPITAL PARKERSBURG, WV 26101 304 598-4000 IM/HEMATOLGY/ONCOLO ONCOLOGY 304 424-2606 THOMAS F HOGAN MD GY 40 MEDICAL PARK STE (T1) * 1 MEDICAL CENTER DR 300 Nephrology DEPT OF MEDICINE MORGANTOWN, WV 26506 WHEELING, WV 26003 ALLEGANY COUNTY, MD MBRCC 304 598-4500 304 243-6442 STADIUM DRIVE UMAIR AHMED MD (T1) SONIKPREET UPSHUR COUNTY, WV Accepts Ages 18 & Older MORGANTOWN, WV 26506 SONIKPREET-AULAKH MD ZEESHAN AHMAD MD WESTERN MARYLAND 304 598-4800 (T1) (T1) HEALTH SYSTEM JOANNA A KOLODNEY UHA Accepts Ages 18 & Older 12502 WILLOWBROOK RD MD (T1) IM/HEMATOLGY/ONCOLO ST JOSEPH HOSPITAL STE 470 WVU DEPT OF MEDICINE GY 1 AMALIA DR CUMBERLAND, MD 21502 HEMATOLOGY/ONCOLOG 1 MEDICAL CENTER DR BUCKHANNON, WV 26201 240 964-8910 MORGANTOWN, WV 26506 Y 304 473-2000 1 MEDICAL CENTER DR 304 598-4000 MARY ANN L BISHOP MD PAUL M BRAGER MD (T1) (T1) * MORGANTOWN, WV 26506 ALAN A THOMAY MD (T1) * 304 598-4500 * Accepts Ages 18 & Older Accepts Ages 18 & Older UPMC WESTERN SOBHA KURIAN MD (T1) * UHA PHYSICIAN OFFICE ST JOSEPH HOSPITAL MARYLAND @ Hindi, Malayalam CENTER 1 AMALIA DR 12500 WILLOWBROOK RD WVU DEPT OF MEDICINE 1 MEDICAL CENTER DR BUCKHANNON, WV 26201 CUMBERLAND, MD 21502 HEMATOLGY/ONCOLOGY MORGANTOWN, WV 26506 304 460-7045 240 964-8342 1 MEDICAL CENTER DR 304 598-4800 PAUL M BRAGER MD (T1) MORGANTOWN, WV 26506 LAUREN W VELTRI MD MARY ANN L BISHOP MD * 304 598-4500 (T1) (T1) * ST JOSEPH HOSPITAL UPMC WESTERN MIDHUN MALLA MD (T1) WVU DEPT OF MEDICINE 1 AMALIA DR MARYLAND WVU DEPT OF MEDICINE HEMATOLOGY/ONCOLOG BUCKHANNON, WV 26201 12502 WILLOWBROOK RD HEMATOLOGY/ONCOLOG Y 304 473-2184 CUMBERLAND, MD 21502 Y 1 MEDICAL CENTER DR 240 964-8724 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 304 598-4500 ERIN BOHEN MD (T1) * 304 598-4500 WESTERN MARYLAND HEALTH SYSTEM 12500 WILLOWBROOK RD CUMBERLAND, MD 21502 240 964-7000

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 55 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. NEEHARIK MAREEDU MD BERKELEY COUNTY, WV FAYETTE COUNTY, WV REBECCA A SCHMIDT DO (T1) BABAK BARMAR MD GAYATRI LESSEY MD (T1) (T1) * Accepts Ages 18 & Older (T1)% Accepts ages 15 & older 251 N 4TH ST @ Hindi, Telugu @ PERSIAN, FARSI, CHARLESTON OAKLAND, MD 21550 WESTERN MARYLAND GERMAN NEPHROLOGY 304 598-4855 HEALTH SYSTEM KIDNEY SPECIALISTS 401 6TH AVE REBECCA A SCHMIDT DO 12502 WILLOWBROOK RD 1004 SUSHRUTA DR STE MONTGOMERY, WV 25136 (T1) * STE 400 A 304 400-4700 Accepts Ages 18 & Older CUMBERLAND, MD 21502 MARTINSBURG, WV 25401 MUHAMMAD O SALEEM 888 MEMORIAL DR 240 964-8910 304 449-3778 MD (T1) OAKLAND, MD 21550 NEEHARIK MAREEDU MD ERIC M LOPEZ MD (T1) Accepts ages 15 & older 301 334-8465 (T1) MEADOW KIDNEY CARE CHARLESTON HARDY COUNTY, WV Accepts Ages 18 & Older 103 MARCLEY DR NEPHROLOGY BETHANY S PELLEGRINO @ Hindi, Telugu MARTINSBURG, WV 25401 401 6TH AVE MD (T1) * WESTERN MARYLAND 304 263-0911 MONTGOMERY, WV 25136 8 LEE ST HEALTH SYSTEM BOONE COUNTY, WV 304 400-4700 MOOREFIELD, WV 26836 12500 WILLOWBROOK RD 304 598-4855 CUMBERLAND, MD 21502 MUHAMMAD O SALEEM ABDUL R ZANABLI MD 240 964-8910 MD (T1) (T1) * HARRISON COUNTY, WV Accepts ages 15 & older Accepts ages 15 & older JAMES J DEMARCO MD HASSAAN RASHEED MD CHARLESTON CHARLESTON NEPH (T1) (T1) * NEPHROLOGY HYPERTENSION CLARKSBURG Accepts Ages 18 & Older 467 MAIN ST 401 6TH AVE #303D NEPHROLOGY & WESTERN MARYLAND MADISON, WV 25130 MONTGOMERY, WV 25136 HYPERTENSION HEALTH SYSTEM 304 400-4700 304 400-4700 109 PLATINUM DR STE I 12502 WILLOWBROOK RD STE 400 ABDUL R ZANABLI MD FRANKLIN COUNTY, PA BRIDGEPORT, WV 26330 CUMBERLAND, MD 21502 (T1) * ERIC J LOPEZ MD (T1) 304 842-0800 240 964-8910 Accepts ages 15 & older MEADOW KIDNEY CARE NABEEL GHABRA MD CHARLESTON 27 VISTA DR (T1) * ALLEGHENY COUNTY, PA NEPHROLOGY WAYNESBORO, PA 17268 Accepts ages 16 & older JOSEPH P 712 MADISON AVE 717 765-4117 UHC NEPHROLOGY DEJONCKHEERE MD (T1) MADISON, WV 25130 ERIC J LOPEZ MD (T1) 527 MEDICAL PARK DR * 304 400-4700 STE 402 KIDNEY CARE CENTER MEADOW KIDNEY CARE BRAXTON COUNTY, WV BRIDGEPORT, WV 26330 2727 BANKSVILLE RD 144 S 8TH STE STE 102 681 342-3690 PITTSBURGH, PA 15216 CHIRAG LAVANI MD (T1) CHAMBERSBURG, PA 724 891-5044 256 SKIDMORE LN 17201 CHIRAG LAVANI MD (T1) SUTTON, WV 26601 301 797-9600 16 STERLING DR BEAVER COUNTY, PA 304 765-2892 GARRETT COUNTY, MD BRIDGEPORT, WV 26330 JOSEPH P BROOKE COUNTY, WV 304 598-4855 DEJONCKHEERE MD (T1) CHIRAG LAVANI MD (T1) * JESSIE GANJOO MD (T1) 888 MEMORIAL DR JACKSON COUNTY, WV KIDNEY CARE CENTER WEIRTON MEDICAL BLDG OAKLAND, MD 21550 GAYATRI LESSEY MD (T1) 485 COLLIERS WAY STE A 301 334-8465 2562 CONSTITUTION Accepts ages 15 & older WEIRTON, WV 26062 BLVD CHIRAG LAVANI MD (T1) CHARLESTON BEAVER FALLS, PA 15010 740 266-6771 251 N 4TH ST NEPHROLOGY 724 891-5044 AMIT K NAHATA MD (T1) * OAKLAND, MD 21550 122 PINNELL ST JOSEPH P Accepts ages 16 & older 301 533-4000 RIPLEY, WV 25271 304 400-4700 DEJONCKHEERE MD (T1) @ Hindi BETHANY PELLEGRINO * 485 COLLIERS WAY STE L MD (T1) * MUHAMMAD O SALEEM KIDNEY CARE CENTER WEIRTON, WV 26062 888 MEMORIAL DR MD (T1) 740 266-6771 99 BUS ROAD LOWER OAKLAND, MD 21550 Accepts ages 15 & older ALIQUIPPA, PA 15001 301 334-8465 CHARLESTON 724 891-5044 NEPHROLOGY 122 PINNELL ST BLDG 6 RIPLEY, WV 25271 304 400-4700

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 56 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. ABDUL R ZANABLI MD ABDUL R ZANABLI MD ABBAS EL KHATIB MD CHIRAG LAVANI MD (T1) (T1) * (T1) * (T1) 1160 VAN VOORHIS RD Accepts ages 15 & older Accepts ages 15 & older @ ARABIC MORGANTOWN, WV 26505 CHARLESTON CHARLESTON MERCER MEDICAL 855 988-2273 GROUP NEPHROLOGY NEPHROLOGY NEWPROLOGY CHIRAG LAVANI MD (T1) 160 SPRINGHAVEN DR 122 PINNELL ST 4825 MACCORKLE AVE MOUNTAINEER MALL PRINCETON, WV 24740 RIPLEY, WV 25271 SW STE A 5000 GREENBAG RD 304 487-3866 304 400-4700 SOUTH CHARLESTON, WV MORGANTOWN, WV 26501 25309 JEFFERSON COUNTY, OH ABBAS EL KHATIB MD 304 284-8738 304 400-4700 (T1) JESSIE GANJOO MD (T1) ALVIN H MOSS MD (T1) * @ ARABIC Accepts ages 16 & older LEWIS COUNTY, WV WVU MEDICINE MERCER MEDICAL 4227 MALL DRIVE TRI CHIRAG LAVANI MD (T1) SUNCREST TOWNE GROUP NEPHROLOGY STATE PLAZ 378 MARKET PLACE MALL CENTRE 120 12TH ST STEUBENVILLE, OH 43952 WESTON, WV 26452 600 SUNCREST TOWNE PRINCETON, WV 24740 740 266-6771 304 598-4855 CENTER 304 487-8000 MORGANTOWN, WV 26505 AMIT K NAHATA MD (T1) * REBECCA A SCHMIDT DO MINERAL COUNTY, WV 304 598-4478 Accepts ages 16 & older (T1) * BETHANY S PELLEGRINO @ Hindi Accepts Ages 18 & Older ANTHONY J PARRAVANI 4227 MALL DR 251 W 2ND ST MD (T1) * MD (T1) STEUBENVILLE, OH 43952 WESTON, WV 26452 1080 NEW CREEK HWY WVU MEDICINE 740 266-6771 304 598-4855 KEYSER, WV 26726 SUNCREST TOWNE 304 788-5057 CENTRE JEFFERSON COUNTY, WV LOUDOUN COUNTY, VA MONONGALIA COUNTY, 600 SUNCREST TOWN ERIC J LOPEZ MD (T1) BABAK BARMAR MD WV CENTRE DR MEADOW KIDNEY CARE (T1)% ANAS DIAB MD (T1) * MORGANTOWN, WV 26505 179 E BURR BLVD STE A @ PERSIAN, FARSI, UHA IM/NEPHROLOGY 304 598-4478 KEARNEYSVILLE, WV GERMAN 600 SUNCREST TOWN 25430 KIDNEY SPECIALISTS BETHANY PELLEGRINO CENTRE DR 304 728-4090 PLLC MD (T1) * MORGANTOWN, WV 26505 821 S KING ST STE L UHA PHYSICIAN OFFICE KANAWHA COUNTY, WV 304 598-4478 LEESBURG, VA 20175 CENTER ABDUL R ZANABLI MD 304 449-3778 ANAS DIAB MD (T1) * 1 MEDICAL CENTER (T1) UHA PHYSICIAN OFFICE DRIVE MARION COUNTY, WV Accepts ages 15 & older CENTER MORGANTOWN, WV 26506 CHARLESTON DINESH KANNABHIRAN 1 MEDICAL CENTER 304 598-4800 MD (T1) * NEWPROLOGY DRIVE BETHANY S PELLEGRINO 4825 MACCORKLE AVE FAIRMONT GATEWAY MORGANTOWN, WV 26506 MD (T1) * SW STE A CENTER 304 598-4800 Accepts Ages 18 & Older SOUTH CHARLESTON, WV 100 STONEY HILL RD OULIMATA K GROSSMAN UHA IM/NEPHROLOGY 25309 FAIRMONT, WV 26554 MD (T1) 6040 UNIVERSITY TOWN 304 400-4700 304 285-5400 UHA PHYSICIAN OFFICE CENTRE DR MUHAMMAD O SALEEM CHIRAG LAVANI MD (T1) CENTER MORGANTOWN, WV 26501 MD (T1) 31 LANDING LN 1 MEDICAL CENTER DR 855 988-2273 FAIRMONT, WV 26554 MORGANTOWN, WV 26506 Accepts ages 15 & older BETHANY S PELLEGRINO CHARLESTON 304 598-4855 304 598-4800 MD (T1) * NEPHROLOGY MERCER COUNTY, WV DINESH KANNABHIRAN 1160 VAN VOORHIS RD 4825 MACCORKLE AVE ABBAS EL KHATIB MD MD (T1) * MORGANTOWN, WV 26505 SW STE A (T1) WVU MEDICINE 855 988-2273 SOUTH CHARLESTON, WV @ ARABIC SUNCREST TOWNE 25309 BETHANY S PELLEGRINO MERCER MEDICAL CENTRE 304 400-4700 MD (T1) * GROUP 600 SUNCREST TOWNE 1200 J D ANDERSON DR 296 NEW HOPE RD STE 2 CENTER MORGANTOWN, WV 26505 PRINCETON, WV 24740 MORGANTOWN, WV 26505 888 988-2273 304 425-6525 304 598-4478

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 57 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MARK A POLING MD (T1) KHALED SHAWWA MD UPSHUR COUNTY, WV JOSEPH P * (T1) BETHANY S PELLEGRINO DEJONCKHEERE MD (T1) UHA PHYSICIAN OFFICE WVU MEDICINE MD (T1) * * CENTER SUNCREST TOWNE 11 N LOCUST ST KIDNEY CARE CENTER 1 MEDICAL CENTER CENTRE BUCKHANNON, WV 26201 280 NORTH AVE DRIVE 600 SUNCREST TOWN 304 598-4855 WASHINGTON, PA 15301 MORGANTOWN, WV 26506 CENTRE DR 724 229-8834 304 598-4800 MORGANTOWN, WV 26505 WASHINGTON COUNTY, JESSIE GANJOO MD (T1) 304 598-4478 MD MARK A POLING MD (T1) ERIC J LOPEZ MD (T1) 131 HILLPOINTE DR * NICHOLAS COUNTY, WV MEADOW KIDNEY CARE CANONSBURG, PA 15317 1160 VAN VOORHIS RD BETHANY S PELLEGRINO 12931 OAK HILL AVE 724 229-8834 MORGANTOWN, WV 26505 MD (T1) * HAGERSTOWN, MD 21742 JESSIE GANJOO MD (T1) 855 988-2273 SUMMERSVILLE 301 797-9600 KIDNEY CARE CENTER SPECIALTY CLINIC ANKIT SAKHUJA MD (T1) ERIC J LOPEZ MD (T1) 280 NORTH AVE 400 FAIRVIEW HEIGHTS * MEADOW KIDNEY CARE WASHINGTON, PA 15301 RD STE 204 UHA PHYSICIAN OFFICE 11110 MEDICAL CAMPUS 724 229-8834 SUMMERSVILLE, WV CENTER RD STE 149 26651 AMIT K NAHATA MD (T1) * 1 MEDICAL CENTER DR HAGERSTOWN, MD 21742 855 988-2273 Accepts ages 16 & older MORGANTOWN, WV 26506 240 313-9620 KIDNEY CARE CENTER 304 598-4478 PRESTON COUNTY, WV WASHINGTON COUNTY, 280 NORTH AVE REBECCA A SCHMIDT DO DINESH KANNABHIRAN OH WASHINGTON, PA 15301 (T1) * MD (T1) * MUHAMMAD O SALEEM 724 229-8834 Accepts Ages 18 & Older 856 CASTEEL RD MD (T1) AMIT K NAHATA MD (T1) * 1200 J D ANDERSON DR BRUCETON MILLS, WV Accepts ages 15 & older KIDNEY CARE CENTER MORGANTOWN, WV 26505 26525 CHARLESTON 131 HILLPOINTE DR 888 988-2273 304 598-4855 NEPHROLOGY CANONSBURG, PA 15317 REBECCA A SCHMIDT DO CHIRAG LAVANI MD (T1) 510 MAIN ST 724 229-8834 (T1) * 856 CASTEEL RD BELPRE, OH 45714 WEBSTER COUNTY, WV Accepts Ages 18 & Older BRUCETON MILLS, WV 304 400-4700 26525 BETHANY S PELLEGRINO UHA PHYSICIAN OFFICE MAHYAR TAHBAZ DO 304 598-4855 MD (T1) * CENTER (T1) * 324 MILLER MOUNTAIN 600 SUNCREST TOWNE RANDOLPH COUNTY, WV DAVITA DIALYSIS DR CENTER RD 2906 WASHINGTON BLVD CHIRAG LAVANI MD (T1) WEBSTER SPRINGS, WV MORGANTOWN, WV 26505 BELPRE, OH 45714 100 MAIN ST 26288 304 598-4478 740 401-0607 ELKINS, WV 26241 REBECCA A SCHMIDT DO 304 598-4855 MAHYAR TAHBAZ DO WINCHESTER CITY (T1) * (T1) * BETHANY S PELLEGRINO COUNTY, VA Accepts Ages 18 & Older 400 MATTHEW ST STE 101 MD (T1) * BABAK BARMAR MD MOUNTAINEER MALL MARIETTA, OH 45750 UHA IM/NEPHROLOGY (T1)% 5000 GREENBAG RD 740 374-4907 201 MAIN ST @ PERSIAN, FARSI, MORGANTOWN, WV 26501 ELKINS, WV 26241 MAHYAR TAHBAZ DO GERMAN 304 284-8738 304 598-4855 (T1) * KIDNEY SPECIALISTS REBECCA A SCHMIDT DO REBECCA A SCHMIDT DO 1019 PIKE ST 480 W JUBAL EARLY DR (T1) * (T1) * MARIETTA, OH 45750 STE 200 MOUNTAINEER MALL 100 MAIN ST 740 376-2622 WINCHESTER, VA 22601 5000 GREENBAG RD 304 449-3778 ELKINS, WV 26241 WASHINGTON COUNTY, MORGANTOWN, WV 26501 304 598-4855 PA 304 284-8738 TAYLOR COUNTY, WV JOSEPH P DEJONCKHEERE MD (T1) CHIRAG LAVANI MD (T1) * 245 GREENES PLZ STE 7 KIDNEY CARE CENTER GRAFTON, WV 26354 131 HILLPOINTE DR 304 265-9186 CANONSBURG, PA 15317 724 229-8834

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 58 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. WOOD COUNTY, WV MEGAN K GORDON CNM JESSICA M HOTT DO (T1) REBECCA E SARICH CNM MIRZA T HAMIRANI MD (T1) Accepts ages 13 & older (T1) (T1) Female Patients Only 880 N TENNESSEE AVE 880 N TENNESSEE AVE Accepts ages 10 & older UPMC WESTERN STE 105 STE 105 Requires Referral MARYLAND MARTINSBURG, WV 25401 MARTINSBURG, WV 25401 @ URDU, Kachee 12502 WILLOWBROOK RD 304 264-8603 304 264-8603 CUMBERLAND, MD 21502 800 GRAND CENTRAL JESSICA M HOTT DO (T1) LORI A TUCKER DO (T1) MALL BLDG B STE 9 240 964-8760 Accepts ages 13 & older Accepts ages 5 & older VIENNA, WV 26105 TOM A HARTSUCH MD 880 N TENNESSEE AVE UHP OB/GYN 304 834-3970 (T1) STE 110 880 N TENNESSEE AVE NEEHARIKA MUDDANA Accepts ages 16 & older MARTINSBURG, WV 25401 STE 105 MD (T1) WESTERN MARYLAND 304 596-6893 MARTINSBURG, WV 25401 WVU MEDICINE HEALTH SYSTEM 304 264-8603 JABIN T JANOO MD (T1) NEPHROLOGY 12500 WILLOWBROOK RD @ GUJARTI, Hindi, CALHOUN COUNTY, WV 418 GRAND PARK DR STE STE 660 Kachee, URDU RICHARD W KING MD (T1) 311 CUMBERLAND, MD 21502 880 N TENNESSEE AVE MINNIE HAMILTON PARKERSBURG, WV 26105 240 964-8760 STE 105 HEALTH SYSTEM 304 865-2026 BETH H JELINEK MD (T1) MARTINSBURG, WV 25401 186 HOSPITAL DR MAHYAR TAHBAZ DO Accepts ages 13 & older 304 264-8603 GRANTSVILLE, WV 26147 (T1) * 304 354-9244 WESTERN MARYLAND GLENDA L KAY CNM (T1) PHYSICIANS OFFICE HEALTH SYSTEM SHENANDOAH FAYETTE COUNTY, PA BDLG 12502 WILLOWBROOK RD COMMUNITY HEALTH 600 18TH ST STE 213 ANNELEE C BOYLE MD STE 660 99 TAVERN RD PARKERSBURG, WV 26101 (T1) CUMBERLAND, MD 21502 MARTINSBURG, WV 25401 304 422-6999 240 964-8760 WVU MEDICINE 304 263-4999 OBSTETRICS AND MAHYAR TAHBAZ DO BELMONT COUNTY, OH WWW.SHENCOMMHEALT GYNECOLOGY (T1) * PETER Z BALA MD (T1)% H.COM 211 EASY ST STE 211 1824 MURDOCH AVE @ POLISH ARIFA KHOKAR MD (T1) UNIONTOWN, PA 15401 PARKERSBURG, WV 26101 51339 NATIONAL RD SHENANDOAH 304 598-4880 304 420-0390 SAINT CLAIRSVILLE, OH COMMUNITY HEALTH LOREN T CUSTER MD 43950 99 TAVERN RD (T1) 304 243-7160 Obstetrics/ MARTINSBURG, WV 25401 WVU MEDICINE Gynecology EMILY MORRIS MD (T1) 304 263-4999 OBSTETRICS AND ALLEGANY COUNTY, MD *% WWW.SHENCOMMHEALT GYNECOLOGY CENTER FOR WOMEN'S H.COM 211 EASY ST STE 211 JORGE ANDRADE MD HEALTH UNIONTOWN, PA 15401 (T1) ERIN E MILLER DO (T1) 3000 GUERNSEY ST 304 598-4880 Female Patients Only 880 N TENNESSEE AVE BELLAIRE, OH 43906 STE 105 @ SPANISH GREENE COUNTY, PA 304 243-8300 MARTINSBURG, WV 25401 WESTERN MARYLAND ROBERTA I 304 264-8603 HEALTH SYSTEM BERKELEY COUNTY, WV RENZELLI-CAIN DO (T1) 12502 WILLOWBROOK RD CONSUELA J TANJOA RATHI DO (T1) UHA OB/GYN CUMBERLAND, MD 21502 CRUDEN-PARHAM MD Office Care Only 451 MURTHA DR 240 964-8760 (T1) @ Hindi WAYNESBURG, PA 15370 304 598-4880 MEGAN K GORDON CNM UHP OB/GYN SHENANDOAH 2000 FOUNDATION WAY (T1) COMMUNITY HEALTH SHON P ROWAN MD (T1) STE 3650 Female Patients Only 99 TAVERN RD WAYNESBURG MARTINSBURG, WV 25401 UPMC WESTERN MARTINSBURG, WV 25401 OUTPATIENT CENTER - 304 350-3274 MARYLAND 304 263-4999 OB/GYN 12500 WILLOWBROOK RD LINDSEY F GRANTHAM WWW.SHENCOMMHEALT 451 MURTHA DR CUMBERLAND, MD 21502 MD (T1) H.COM WAYNESBURG, PA 15370 240 964-7000 880 N TENNESSEE AVE 304 598-4880 STE 105 MARTINSBURG, WV 25401 304 264-8603

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 59 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. ROBERT E SHAPIRO MD KANAWHA COUNTY, WV MATTHEW J HONAKER CAITLIN M KOWCHECK (T1) KARINNA H ANDREWS DO MD (T1) * MD (T1) UHA OB/GYN (T1) FAIRMONT GATEWAY Accepts ages 15 & older 451 MURTHA DR WVUPC OBGYN CENTER RMH GYNECOLOGY WAYNESBURG, PA 15370 830 PENNSYLVANIA AVE 100 STONEY HILL RD 800 WHEELING AVE FL 2 304 598-4880 STE 304 FAIRMONT, WV 26554 GLEN DALE, WV 26038 304 285-5400 HARRISON COUNTY, WV CHARLESTON, WV 25302 304 843-1100 304 388-1515 OMAR F DUENAS MD (T1) RICHARD W KING MD (T1) AARON L SCAIFE MD (T1) 527 MEDICAL PARK DR STEPHEN H BUSH MD WVU MEDICINE OB/GYN - * STE 108 (T1) FAIRMONT RMH OB/GYN BRIDGEPORT, WV 26330 WVUPC OBGYN 177 MIDDLETOWN RD STE 800 WHEELING AVE 304 848-2150 830 PENNSYLVANIA AVE 3 GLEN DALE, WV 26038 STE 304 FAIRMONT, WV 26554 304 843-1100 STEPHANIE A HURST CHARLESTON, WV 25302 304 285-7227 CNM (T1) MERCER COUNTY, WV 304 388-1515 527 MEDICAL PARK DR RICHARD W KING MD (T1) KENNETH BAKER MD (T1) STE 108 DEVIN M CILIBERTI MD FAIRMONT GATEWAY MERCER MEDICAL BRIDGEPORT, WV 26330 (T1) CENTER GROUP WOMENS 304 848-2150 @ SPANISH 100 STONEY HILL RD HEALTH 830 PENNSYLVANIA AVE FAIRMONT, WV 26554 RICHARD W KING MD (T1) 114 UNDERCLIFF TER STE 304 304 285-5400 WVU OB/GYN PRINCETON, WV 24740 CHARLESTON, WV 25302 BRIDGEPORT TYLER J PROUTY MD (T1) 304 425-0025 304 388-1515 527 MEDICAL PARK DR FAIRMONT GATEWAY MONONGALIA COUNTY, STE 108 PAUL D DIETZ MD (T1) CENTER WV BRIDGEPORT, WV 26330 800 PENNSYLVANIA AVE 100 STONEY HILL RD KAREN F ANDERSON 304 848-2150 CHARLESTON, WV 25302 FAIRMONT, WV 26554 CNM (T1) 304 388-1515 304 285-5400 JANELL C MACE MD (T1) UHA OB/GYN 527 MEDICAL PARK DR FRANCIS S HUNTER MD ROBERT E SHAPIRO MD 6040 UNIVERSITY TOWN STE 108 (T1) (T1) CENTRE DR BRIDGEPORT, WV 26330 WVUPC OBGYN FAIRMONT GATEWAY MORGANTOWN, WV 26501 304 598-4800 830 PENNSYLVANIA AVE CENTER 304 293-6307 STE 304 100 STONEY HILL RD TYLER J PROUTY MD (T1) KAREN F ANDERSON CHARLESTON, WV 25302 FAIRMONT, WV 26554 WVU MEDICINE OB/GYN - CNM (T1) 304 388-1515 304 285-5400 BRIDGEPORT UHA PHYSICIAN OFFICE 527 MEDICAL PARK DR MICHAEL R LAO MD (T1) MARSHALL COUNTY, WV CENTER STE 108 WVUPC OBGYN NICOLE L CARLSON MD 608 CHEAT RD BRIDGEPORT, WV 26330 830 PENNSYLVANIA AVE (T1) MORGANTOWN, WV 26508 304 594-1313 304 848-2150 STE 304 Accepts ages 21 and older CHARLESTON, WV 25302 JEFFERSON COUNTY, WV REYNOLDS MEMORIAL MOHAMMED ASHRAF MD 304 388-1515 OBSTETRICS & GYN (T1) * GEOFFREY K BOWMAN 800 WHEELING AVE @ Pakistani MD (T1) EMILY A MONTGOMERY GLEN DALE, WV 26038 MARY BABB RANDOLPH WVU MEDICINE OB/GYN - MD (T1) 304 843-1100 CANCER CTR RANSON WVUPC OBGYN 101 STADIUM DR 201 E 5TH ST AVE 830 PENNSYLVANIA AVE WILLIAM K HAMILTON MD MORGANTOWN, WV 26506 RANSON, WV 25438 STE 304 (T1) 304 293-4500 304 728-2165 CHARLESTON, WV 25302 Accepts ages 12 & older 304 388-1515 RMH OB/GYN MOHAMMED ASHRAF MD CONSUELA J 800 WHEELING AVE (T1) * CRUDEN-PARHAM MD MARION COUNTY, WV GLEN DALE, WV 26038 @ Pakistani (T1) OMAR F DUENAS MD (T1) 304 843-1100 1 MEDICAL CENTER DR WVU MEDICINE OB/GYN - FAIRMONT GATEWAY MORGANTOWN, WV 26506 RANSON CENTER 604 598-4500 201 E 5TH ST AVE 100 STONEY HILL RD RANSON, WV 25438 FAIRMONT, WV 26554 304 728-2165 304 285-5400

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 60 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. ANNELEE C BOYLE MD OSSAMA A ELSACCAR KRISTAN HORNSBY MD ROBERT E SHAPIRO MD (T1) MD (T1) * (T1) (T1) UHA PHYSICIAN OFFICE 6040 UNIVERSITY TOWN UHA PHYSICIAN OFFICE UHA OB/GYN CENTER CENTRE DR CENTER 6040 UNIVERSITY TOWN 1 MEDICAL CENTER MORGANTOWN, WV 26501 608 CHEAT RD CENTRE DR DRIVE 855 988-2273 MORGANTOWN, WV 26508 MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 304 594-1313 855 988-2273 OSSAMA A ELSACCAR 304 598-4800 MD (T1) * KRISTAN HORNSBY MD MEGAN A VARVOUTIS MD KELLY F CUMMINGS MD CHEAT LAKE PHYSICIANS (T1) (T1) (T1) 608 CHEAT RD UHA OB/GYN UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE MORGANTOWN, WV 26508 6040 UNIVERSITY TOWN CENTER CENTER 855 988-2273 CENTRE DR 1 MEDICAL CENTER DR 1 MEDICAL CENTER DR MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 OSSAMA A ELSACCAR MORGANTOWN, WV 26506 855 988-2273 304 598-4800 MD (T1) * 304 598-4800 UHA PHYSICIAN OFFICE KEVIN MCCLUSKEY MD OHIO COUNTY, WV LOREN T CUSTER MD CENTER (T1) PETER Z BALA MD (T1)% (T1) 1 MEDICAL CENTER DR 608 CHEAT RD @ POLISH CHEAT LAKE PHYSICIANS MORGANTOWN, WV 26506 MORGANTOWN, WV 26508 30 MEDICAL PARK STE 608 CHEAT RD 304 598-4800 855 988-2273 219 MORGANTOWN, WV 26508 KAREN D FLUET DO (T1) SARAH MCCOLLESTER WHEELING, WV 26003 855 988-2273 UHA OB/GYN MD (T1) 304 243-7160 SARAH J DOTSON MD 6040 UNIVERSITY TOWN CHEAT LAKE PHYSICIANS ANNELEE C BOYLE MD (T1) CENTRE DR 608 CHEAT RD (T1) * 1 MEDICAL CENTER MORGANTOWN, WV 26501 MORGANTOWN, WV 26508 WHEELING HOSPITAL INC DRIVE 855 988-2273 304 598-1313 30 MEDICAL PARK STE MORGANTOWN, WV 26506 THOMAS F HARMAN MD LAURA J MERRILL MD 203 304 598-4800 (T1) (T1) WHEELING, WV 26003 SARAH J DOTSON MD RUBY MEM HOSPITAL CHEAT LAKE PHYSICIANS 304 243-6314 (T1) 101 STADIUM DR 608 CHEAT RD LEO R BRANCAZIO MD 608 CHEAT RD MORGANTOWN, WV 26506 MORGANTOWN, WV 26508 (T1) * MORGANTOWN, WV 26508 304 598-4800 304 594-1313 WHEELING HOSPITAL 855 988-2273 MAHREEN HASHMI MD LAURA J MERRILL MD 30 MEDICAL PARK STE OMAR F DUENAS MD (T1) (T1) * (T1) 203 UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE UHA OB/GYN WHEELING, WV 26003 CENTER CENTER 6040 UNIVERSITY TOWN 304 243-6413 6040 UNIVERSITY TOWN 1 MEDICAL CENTER CENTRE DR KELLY F CUMMINGS MD CENTRE DR DRIVE MORGANTOWN, WV 26501 (T1) * MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 855 988-2273 WHEELING HOSPITAL INC 855 988-2273 304 598-4800 ROBERTA I 30 MEDICAL PARK STE RAWAN W EL-AMIN DO MAHREEN HASHMI MD RENZELLI-CAIN DO (T1) 203 (T1) (T1) * PHYSICIANS OFFICE WHEELING, WV 26003 608 CHEAT RD CHEAT LAKE PHYSICIANS CENTER 304 242-6413 MORGANTOWN, WV 26508 608 CHEAT RD 6040 UNIVERSITY TOWN EMILY MORRIS MD (T1) 855 988-2273 MORGANTOWN, WV 26508 CENTRE DR *% 855 988-2273 MORGANTOWN, WV 26501 RAWAN W EL-AMIN DO CENTER FOR WOMEN'S 855 988-2273 (T1) CATHERINE M HERWAY HEALTH 6040 UNIVERSITY TOWN MD (T1) SHON P ROWAN MD (T1) 30 MEDICAL PARK STE CENTRE DR UHA PHYSICIAN OFFICE WVU CENTER FOR 230 MORGANTOWN, WV 26504 CENTER REPRODUCTIVE WHEELING, WV 26003 855 988-2273 1 MEDICAL CENTER DR MEDICINE 304 243-8300 MORGANTOWN, WV 26506 1322 PINEVIEW DR 304 598-4800 MORGANTOWN, WV 26505 304 598-3100

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 61 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CHANDRA S SWAMY MD WOOD COUNTY, WV (T1) *% LISA A CASELENUOVO @ Hindi, TAMIL DO (T1) * 30 MEDICAL PARK STE 801 GARFIELD AVE STE 232 200 WHEELING, WV 26003 PARKERSBURG, WV 26101 304 242-9560 304 424-2165 MEGAN A VARVOUTIS MD PETER P FILOZOF MD (T1) * (T1) * Female Patients Only 705 GARFIELD AVE STE WOMEN'S HEALTH 310 SPECIALIST PARKERSBURG, WV 26101 30 MEDICAL PARK STE 304 485-2387 203 HEATHER M IRVIN MD WHEELING, WV 26003 (T1) 304 243-6413 604 ANN ST UPSHUR COUNTY, WV PARKERSBURG, WV 26101 KIMBERLY M FARRY MD 304 865-5065 (T1) ERIC R LOWDEN MD (T1) 100 W MAIN ST CAMDEN CLARK OB/GYN BUCKHANNON, WV 26201 705 GARFIELD AVE STE 304 473-2300 420 CAITLIN A MORGAN CNM PARKERSBURG, WV 26101 (T1) 304 424-2085 WVU MEDICINE OB/GYN MICHAEL C SHOCKLEY BUCKHANNON MD (T1) 100 W MAIN ST Accepts ages 12 & older BUCKHANNON, WV 26201 705 GARFIELD AVE STE 304 598-4880 400 PETER J POWER JR MD PARKERSBURG, WV 26101 (T1) 304 424-2035 4 NORTHRIDGE DR STEPHEN R STANLEY DO BUCKHANNON, WV 26201 (T1) * 304 473-2300 1500 GRAND CENTRAL PETER J POWER JR MD AVE STE 106 (T1) VIENNA, WV 26105 100 W MAIN ST STE B 304 422-6800 BUCKHANNON, WV 26201 304 473-2300 WASHINGTON COUNTY, OH STEPHEN R STANLEY DO (T1) * MMH DEPT OF OBSTETRICS & GYNECOLOGY 320 E 8TH ST STE 142 MARIETTA, OH 45750 740 373-4111 www.mhsystem.org

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 62 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. Section 7 Specialists (Your Plan May Require a Referral From Primary or Secondary Care Physicians)

HARRISON COUNTY, WV WOOD COUNTY, WV HARRISON COUNTY, WV Adolescent Medicine WILLIAM T CORDER MD GREGORY E KRAUSE MD WILLIAM T CORDER MD MONONGALIA COUNTY, (T1) * (T1) *% (T1) * WV MOUNTAIN STATE ENT AND ALLERGY MOUNTAIN STATE JEAN R SOMESHWAR MD MEDICAL SPECIALTIES ASSOC MEDICAL SPECIALTIES (T1) 120 MEDICAL PARK DR 800 GRAND CENTRAL 120 MEDICAL PARK DR 6040 UNIVERSITY TOWN STE 200 MALL STE 11 STE 200 CENTRE DR BRIDGEPORT, WV 26330 VIENNA, WV 26105 BRIDGEPORT, WV 26330 MORGANTOWN, WV 26501 304 624-7200 304 916-1270 304 624-7200 855 988-2273 www.msmswv.com www.msmswv.com JEAN R SOMESHWAR MD JEFFERSON COUNTY, WV Allergy (Pediatric) KANAWHA COUNTY, WV (T1) SOHRAB SHAHAB MD MONONGALIA COUNTY, TARUN M KUMAR MD (T1) CHESTNUT RIDGE (T1) * WV *% CENTER Requires Referral BRIAN P PEPPERS DO ASTHMA & ALLERGY 930 CHESTNUT RIDGE RD WVU MEDICINE EAR (T1) * CENTER MORGANTOWN, WV 26505 NOSE AND THROAT Accepts existing patients 208 MACCORKLE AVE SE 304 598-4214 211 E 5TH AVE only CHARLESTON, WV 25314 JEAN R SOMESHWAR MD RANSON, WV 25438 Accepts ages birth to 18 304 343-4300 (T1) 304 262-9400 UHA PEDIATRICS MERCER COUNTY, WV 1 MEDICAL CENTER DR 608 CHEAT RD MONONGALIA COUNTY, MARK C LENTNER DO MORGANTOWN, WV 26506 MORGANTOWN, WV 26508 WV (T1) * 304 598-4800 855 988-2273 WILLIAM T CORDER MD MERCER MEDICAL ENT (T1) * DAVID P SKONER MD (T1) 122 12TH ST STE A Allergy MOUNTAIN STATE * P O BOX 1369 BERKELEY COUNTY, WV MEDICAL SPECIALTIES 6040 UNIVERSITY TOWN PRINCETON, WV 24740 165 SCOTT AVE STE 102 CENTRE DR 304 487-3407 SOHRAB SHAHAB MD MORGANTOWN, WV 26508 MORGANTOWN, WV 26501 (T1) * MARK A WEITZEL DO (T1) 304 554-0440 855 988-2273 Requires Referral * www.msmswv.com WVU MEDICINE EAR DAVID P SKONER MD (T1) MERCER MEDICAL ENT NOSE AND THROAT PAUL R OGERSHOK MD * 122 12TH ST STE A 2000 FOUNDATION WAY (T1) * UHA PHYSICIAN OFFICE PO BOX 1369 STE 3200 Office Care Only CENTER PRINCETON, WV 24740 MARTINSBURG, WV 25401 MOUNTAIN STATE 1 MEDICAL CENTER DR 304 487-3407 MORGANTOWN, WV 26506 304 262-9400 MEDICAL SPECIALTIES MONONGALIA COUNTY, 165 SCOTT AVE STE 102 304 598-4800 GREENE COUNTY, PA WV MORGANTOWN, WV 26508 WILLIAM T CORDER MD PAUL R OGERSHOK MD 304 554-0400 Allergy/ Immunology (T1) * (T1) * www.msmswv.com MOUNTAIN STATE Office Care Only GREENE COUNTY, PA MEDICAL SPECIALTIES MOUNTAIN STATE WETZEL COUNTY, WV PAUL R OGERSHOK MD 165 SCOTT AVE STE 102 MEDICAL SPECIALTIES GREGORY E KRAUSE MD (T1) * MORGANTOWN, WV 26508 1150 7TH ST (T1) *% Office Care Only 304 554-0440 WAYNESBURG, PA 15370 260 RUSSELL AVENUE MOUNTAIN STATE 724 627-2395 NEW MARTINSVILLE, WV MEDICAL SPECIALTIES www.msmswv.com www.msmswv.com 26155 1150 7TH ST 304 -39-8494 WAYNESBURG, PA 15370 724 627-2395 www.msmswv.com

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 63 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. PAUL R OGERSHOK MD MARION COUNTY, WV CATHERINE INGLE CCC UPSHUR COUNTY, WV (T1) * CATHERINE INGLE CCC (T1) LUANN B HENDERSHOT Office Care Only (T1) WEST VIRGINIA AU (T1) MOUNTAIN STATE UHA AUDIOLOGY UNIVERSITY MEDICAL 94 W MAIN ST MEDICAL SPECIALTIES 1712 LOCUST AVE CORPORA BUCKHANNON, WV 26201 165 SCOTT AVE STE 102 FAIRMONT, WV 26554 1065 SUNCREST TOWN 304 473-2200 MORGANTOWN, WV 26508 304 366-6157 CENTRE DR 304 554-0400 MORGANTOWN, WV 26505 Cardiac SHYLER M KOLBERG CCC 304 598-4825 www.msmswv.com (T1) Electrophysiology BRIAN P PEPPERS DO FAIRMONT ENT CATHERINE INGLE CCC GARRETT COUNTY, MD (T1) * ASSOCIATES (T1) JOHN H LOBBAN MD (T1) Accepts existing patients 1712 LOCUST AVE WEST VIRGINIA only FAIRMONT, WV 26554 UNIVERSITY MEDICAL Accepts Ages 18 & Older Accepts ages birth to 18 304 366-6157 CORPORA 13079 GARRETT HWY UHA PEDIATRICS 1 MEDICAL CENTER DR OAKLAND, MD 21550 ANIKET SAOJI PHD (T1) 608 CHEAT RD MORGANTOWN, WV 26506 844 424-0411 1712 LOCUST AVE 304 598-4000 MORGANTOWN, WV 26508 FAIRMONT, WV 26554 MONONGALIA COUNTY, 855 988-2273 304 366-6157 SHYLER M KOLBERG CCC WV (T1) JOHN H LOBBAN MD (T1) DAVID P SKONER MD (T1) MONONGALIA COUNTY, WEST VIRGINIA Accepts Ages 18 & Older * WV 6040 UNIVERSITY TOWN UNIVERSITY MEDICAL 1 MEDICAL CENTER DR SUSAN H CAPPELLINI AU CORPORA MORGANTOWN, WV 26506 CENTRE DR (T1) MORGANTOWN, WV 26501 1065 SUNCREST TOWN 877 988-4478 1 MEDICAL CENTER CENTRE DR 855 988-2273 STANLEY B SCHMIDT MD DRIVE MORGANTOWN, WV 26505 (T1) * DAVID P SKONER MD (T1) MORGANTOWN, WV 26505 304 598-4800 * 304 598-4800 WVU HEART & VASCULAR UHA PHYSICIAN OFFICE SHYLER M KOLBERG CCC INSTITUE TRACI HAMILTON AU (T1) CENTER (T1) 1 MEDICAL CENTER DR Requires Referral 1 MEDICAL CENTER DR WEST VIRGINIA MORGANTOWN, WV 26506 WEST VIRGINIA MORGANTOWN, WV 26506 UNIVERSITY MEDICAL 877 988-4478 UNIVERSITY MEDICAL CORPORA 304 598-4800 STANLEY B SCHMIDT MD CORP 1 MEDICAL CENTER DR (T1) * 1065 SUNCREST TOWN MORGANTOWN, WV 26506 Audiology UHA PHYSICIAN OFFICE CENTRE DR 304 598-4800 BERKELEY COUNTY, WV MORGANTOWN, WV 26505 CENTER 304 598-4825 DIANE C RICE AU (T1) 1 STADIUM DRIVE BETSY M SEARS AU (T1) WEST VIRGINIA MORGANTOWN, WV 26506 2000 FOUNDATION WAY SERENA A HART AU (T1) UNIVERSITY MEDICAL 304 598-4800 STE 3200 1065 SUNCREST TOWN CORPORA DONALD R SIDDOWAY MD MARTINSBURG, WV 25401 CENTRE DR 1065 SUNCREST TOWN (T1) * 304 262-9400 MORGANTOWN, WV 26505 CENTRE DR WVU HEART & VASCULAR BROOKE COUNTY, WV 304 598-4800 MORGANTOWN, WV 26505 INSTITUTE - SE TOWE 304 598-4800 BRANDON LICHTMAN AU SERENA A HART AU (T1) 1 MEDICAL CENTER DR (T1)% UHA PHYSICIAN OFFICE ANIKET SAOJI PHD (T1) MORGANTOWN, WV 26506 1006 COMMERCE ST CENTER WEST VIRGINIA 877 988-4478 WELLSBURG, WV 26070 1 MEDICAL CENTER UNIVERSITY MEDICAL RANDOLPH COUNTY, WV 304 243-7879 DRIVE CORPORA MORGANTOWN, WV 26506 JOHN H LOBBAN MD (T1) JEFFERSON COUNTY, OH 1 MEDICAL CENTER DR 304 598-4800 MORGANTOWN, WV 26506 Accepts Ages 18 & Older DANIELLE M SMARRELLA 304 598-4800 812 GORMAN AVE AU (T1) ELKINS, WV 26241 ANIKET SAOJI PHD (T1) 2315 SUNSET BLVD STE A 304 637-3897 STEUBENVILLE, OH 43952 600 SUNCREST TOWNE 740 266-7006 CENTER DONALD R SIDDOWAY MD MORGANTOWN, WV 26505 (T1) * 304 598-4478 812 GORMAN AVE ELKINS, WV 26241 304 637-3897

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 64 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. NING JIANG MD (T1) * BELMONT COUNTY, OH SAYEED AHMED MD (T1) Cardiology Accepts Ages 18 & Older DEVENDER K BATRA MD Accepts Ages 18 & Older ALLEGANY COUNTY, MD Office Care Only (T1)% Office Care Only SUSAN BENNETT MD (T1) WESTERN MARYLAND @ Hindi @ Telugu, ARABIC, Hindi, HEALTH SYSTEM Office Care Only WHEELING HOSPITAL INC URDU, PERSIAN 12502 WILLOWBROOK RD 105 TAVERN RD STE 3 Accepts ages 16 & older 92 N 4TH ST STE 10 CUMBERLAND, MD 21502 MARTINSBURG, WV 25401 WESTERN MARYLAND MARTINS FERRY, OH 240 965-8740 304 267-8478 HEALTH SYSTEM 43935 740 526-0100 12502 WILLOWBROOK RD KENNETH JUDSON DO RUNA BHATTACHARYA STE 420 (T1) DEVENDER K BATRA MD MD (T1) CUMBERLAND, MD 21502 Accepts Ages 18 & Older (T1)% Accepts Ages 18 & Older 240 964-8740 WESTERN MARYLAND Accepts Ages 18 & Older 2000 FOUNDATION WAY MICHAEL J CURRAN MD HEALTH SYSTEM @ Hindi STE 3100 (T1) 12502 WILLOWBROOK RD WHEELING HOSPITAL INC MARTINSBURG, WV 25401 STE 400 Accepts ages 16 & older 157 E LAWN AVE 304 350-3273 CUMBERLAND, MD 21502 SAINT CLAIRSVILLE, OH Accepts Ages 18 & Older UMUT GOMCELI MD (T1) 240 964-8740 43950 WESTERN MARYLAND Accepts Ages 18 & Older 740 526-0100 HEALTH SYSTEM PRATIKKUMAR J PATEL WVU HEART & VASCULAR 12502 WILLOWBROOK RD MD (T1) * DEVENDER K BATRA MD INSTITUTE STE 420 Accepts Ages 18 & Older (T1)% 2000 FOUNDATION WAY CUMBERLAND, MD 21502 WESTERN MARYLAND Accepts Ages 18 & Older STE 3100 240 964-8740 HEALTH SYSTEM @ Hindi MARTINSBURG, WV 25401 SUNIL K GUPTA MD (T1) * 12502 WILLOWBROOK RD WHEELING HOSPITAL INC 304 250-3273 STE 420 3000 GUERNSEY ST @ Hindi, PUNJABI MANISH B JHAWAR MD CUMBERLAND, MD 21502 BELLAIRE, OH 43906 WESTERN MARYLAND (T1) * 240 964-8740 740 526-0100 HEALTH SYSTEM WVU HEART & VASCULAR 625 KENT AVE STE 101 FAISAL A SHAMSHAD MD DEVENDER K BATRA MD INSTITUTE CUMBERLAND, MD 21502 (T1) * (T1)% 2000 FOUNDATION WAY 301 724-7117 WESTERN MARYLAND @ Hindi STE 3100 CHRISTOPHER B HAAS HEALTH SYSTEM BARNESVILLE MEDICAL MARTINSBURG, WV 25401 DO (T1) 12500 WILLOWBROOK RD CENTER 304 350-3273 CUMBERLAND, MD 21502 100 HOSPITAL DR WESTERN MARYLAND DAVID C PLITT MD (T1) 240 964-7000 BARNESVILLE, OH 43713 HEALTH SYSTEM Accepts Ages 18 & Older 740 526-0100 12502 WILLOWBROOK RD FAISAL A SHAMSHAD MD WVU HEART & VASCULAR STE 420 (T1) * DAVID M CAMPSEY MD INSTITUTE CUMBERLAND, MD 21502 WESTERN MARYLAND (T1) * 2000 FOUNDATION WAY 240 964-8740 HEALTH SYSTEM 90 N 4TH ST STE 3100 DAVID B JESSUP MD (T1) 12502 WILLOWBROOK RD MARTINS FERRY, OH MARTINSBURG, WV 25401 * CUMBERLAND, MD 21502 43935 304 350-3273 240 964-8740 740 633-1100 WESTERN MARYLAND NIRANJAN SESHADRI MD HEALTH SYSTEM ARTHUR W WILKINSON III BERKELEY COUNTY, WV (T1) * 12502 WILLOWBROOK RD MD (T1) IMAD AHMADO MD (T1) Accepts Ages 18 & Older CUMBERLAND, MD 21502 WESTERN MARYLAND WVU HEART AND WVU HEART & VASCULAR 240 964-8740 HEALTH SYSTEM VASCULAR INSTITUTE INSTITUTE DAVID B JESSUP MD (T1) 12500 WILLOWBROOK RD 2000 FOUNDATION WAY 2000 FOUNDATION WAY * CUMBERLAND, MD 21502 STE 3100 STE 3100 WESTERN MARYLAND 240 964-7000 MARTINSBURG, WV 25401 MARTINSBURG, WV 25401 HEALTH SYSTEM ARTHUR W WILKINSON III 304 350-3273 304 350-3273 12500 WILLOWBROOK RD MD (T1) CUMBERLAND, MD 21502 WESTERN MARYLAND 240 964-7000 HEALTH SYSTEM 12502 WILLOWBROOK RD CUMBERLAND, MD 21502 240 964-8740

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 65 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. AJAY VIRMANI MD (T1) BARBARA M JURIGA DO DONALD R SIDDOWAY MD BARBARA M JURIGA DO Accepts Ages 18 & Older (T1) * (T1) * (T1) * WVU HEART & VASCULAR UNIONTOWN SURGERY Requires Referral Accepts Ages 18 & Older INSTITUTE 100 WOODLAWN AVE STE UNIONTOWN WVU HEART & VASCULAR 2000 FOUNDATION WAY 1 CARDIOLOGY INSTITUTE STE 3100 UNIONTOWN, PA 15401 100 WOODLAWN AVE STE 451 MURTHA DR MARTINSBURG, WV 25401 724 430-5600 2 WAYNESBURG, PA 15370 304 350-3273 DONALD DWOREK DO UNIONTOWN, PA 15401 304 598-4478 724 430-5600 FAYETTE COUNTY, PA (T1) * BRIAN T KAZIENKO MD ABDUL H ABBASI MD (T1) Accepts Ages 18 & Older GEORGE G SOKOS DO (T1) Accepts Ages 18 & Older UNIONTOWN (T1) WVU HEART & VASCULAR @ URDU CARDIOLOGY Accepts Ages 18 & Older INSTITUTE UNIONTOWN - 100 WOODLAWN AVE STE UNIONTOWN 451 MURTHA DR CARDIOLOGY 1 CARDIOLOGY WAYNESBURG, PA 15370 100 WOODLAWN AVE STE UNIONTOWN, PA 15401 100 WOODLAWN AVE STE 304 598-4478 724 430-5600 2 2 GEORGE SOKOS MD (T1) UNIONTOWN, PA 15401 SAMEER RAINA MD (T1) UNIONTOWN, PA 15401 451 MURTHA DR 724 430-5600 401 E MURPHY AVE 724 430-5600 WAYNESBURG, PA 15370 MARCO A CACCAMO DO CONNELLSVILLE, PA GARRETT COUNTY, MD 304 598-4880 15425 (T1) * JOHN H LOBBAN MD (T1) HARRISON COUNTY, OH 844 484-0300 Accepts Ages 18 & Older Accepts Ages 18 & Older DEVENDER K BATRA MD UNIONTOWN SURGERY BRYAN D RAYBUCK MD 13079 GARRETT HWY (T1)% 100 WOODLAWN AVE STE (T1) * OAKLAND, MD 21550 Accepts Ages 18 & Older 1 Requires Referral 844 424-0411 @ Hindi UNIONTOWN, PA 15401 Accepts Ages 18 & Older BRIJESH D PATEL DO WHEELING HOSPITAL INC 724 430-5600 UNIONTOWN (T1) 951 E MARKET ST FRANCIS L ERGINA MD CARDIOLOGY WVU HEART & VASCULAR CADIZ, OH 43907 (T1) * 100 WOODLAWN AVE STE INSTITUTE - OAKLAND 740 526-0100 2 Requires Referral 13079 GARRETT HWY UNIONTOWN, PA 15401 HARRISON COUNTY, WV Accepts Ages 18 & Older OAKLAND, MD 21550 724 430-5600 GERARDO C LOPEZ MD UNIONTOWN SURGERY 844 424-0411 (T1) 100 WOODLAWN AVE STE ANTHONY J GREENE COUNTY, PA WV HEART & VASCULAR 1 RODA-RENZELLI MD (T1) MARCO CACCAMO MD INSTITUTE UNIONTOWN, PA 15401 * (T1) * 527 MEDICAL PARK DR 724 430-5600 Requires Referral 451 MURTHA DR STE 304 AFFAN HALEEM MD (T1) * Accepts Ages 18 & Older WAYNESBURG, PA 15370 BRIDGEPORT, WV 26330 UNIONTOWN UNIONTOWN 304 598-4880 304 842-0007 CARDIOLOLGY CARDIOLOGY DAVID M CAMPSEY MD JOHN A MCKNIGHT MD 100 WOODLAWN AVE STE 100 WOODLAWN AVE STE (T1) * (T1) 2 2 451 MURTHA DR Accepts Ages 18 & Older UNIONTOWN, PA 15401 UNIONTOWN, PA 15401 WAYNESBURG, PA 15370 527 MEDICAL PARK DR 724 430-5600 724 430-5600 304 598-4880 STE 106 DAVID S SCHWARTZMAN VIKRANT JAGADEESAN BRIDGEPORT, WV 26330 AFFAN HALEEM MD (T1) * MD (T1) * MD (T1) * 681 342-3840 WVU HEART & VASCULAR Accepts Ages 18 & Older Accepts Ages 18 & Older INSTITUTE JASON MORELAND MD UNIONTOWN UNIONTOWN SPECIALTY 451 MURTHA DR (T1) CARDIOLOGY CARE WAYNESBURG, PA 15370 527 MEDICAL PARK DR 100 WOODLAWN AVE STE 500 W BERKELEY ST 304 598-4478 STE 304 2 UNIONTOWN, PA 15401 BRIDGEPORT, WV 26330 UNIONTOWN, PA 15401 724 430-5600 YASMIN S HAMIRANI MD 304 842-0007 724 430-5600 (T1) * WVU HEART & VASCULAR INSTITUTE WAYNESBUR 451 MURTHA DR WAYNESBURG, PA 15370 304 598-4478

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 66 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BRYAN D RAYBUCK MD CHRISTOPHER T MILLER DAVID C TINGLER MD PAUL SURI MD (T1) (T1) * MD (T1) * (T1) Accepts Ages 18 & Older WVU HEART & VASCULAR Requires Referral WVU HEART & VASCULAR CAPTURE 107 INSTITUTE 122 PINNELL ST INSTITUTE 508 NEW HOPE RD STE 7 527 MEDICAL PARK DR RIPLEY, WV 25271 1325 LOCUST AVE STE 4B PRINCETON, WV 24740 STE 304 304 424-4574 FAIRMONT, WV 26554 304 431-7200 BRIDGEPORT, WV 26330 304 974-3297 MINERAL COUNTY, WV 304 842-0007 HEMANT C MODI MD (T1) * DEAN E WOLZ MD (T1) BRIJESH D PATEL DO SATHYANARAYAN M 122 PINNELL ST WVU HEART & VASCULAR (T1) REDDY MD (T1) * RIPLEY, WV 25271 INSTITUTE 99 PIN OAK LN Accepts Ages 18 & Older 304 424-4574 1325 LOCUST AVE STE 4B KEYSER, WV 26726 @ TEUGA FAIRMONT, WV 26554 GETACHEW T ZELEKE MD 304 597-3545 CLARKSBURG 304 974-3297 (T1) CARDIOVASCULAR MONONGALIA COUNTY, Requires Referral MARSHALL COUNTY, WV 527 MEDICAL PARK DR WV Accepts ages 16 & older DAVID M CAMPSEY MD STE 306 ROBERT BETO MD (T1) * CAMDEN CLARK PHYS (T1) * BRIDGEPORT, WV 26330 UHA PHYSICIAN OFFICE CORP INT MED WVU HEART & VASCULAR 304 933-3830 CENTER 122 PINNELL ST INSTITUTE 1 MEDICAL CENTER DR DEAN E WOLZ MD (T1) RIPLEY, WV 25271 800 WHEELING AVE FL 3 MORGANTOWN, WV 26506 WVU HEART & VASCULAR 304 424-4574 GLEN DALE, WV 26038 304 598-4800 INSTITUTE 304 845-0100 JEFFERSON COUNTY, WV 527 MEDICAL PARK DR MARCO CACCAMO MD WALID GHARIB MD (T1) STE 304 UMUT GOMCELI MD (T1) (T1) * @ ARABIC BRIDGEPORT, WV 26330 Accepts Ages 18 & Older WVU HEART & VASCULAR WVU HEART & VASCULAR 304 842-0007 FIFTH AVE MEDICAL INSTITUTE INSTITUTE BUILDING 1 MEDICAL CENTER DR JACKSON COUNTY, WV 800 WHEELING AVE FL 3 201 E 5TH AVE MORGANTOWN, WV 26506 GLEN DALE, WV 26038 DAVID A GNEGY MD (T1) * RANSON, WV 25438 304 598-4478 304 845-0100 Accepts ages 16 & older 304 728-1812 DAVID M CAMPSEY MD 122 PINNELL ST LEWIS COUNTY, WV DAKSHINA R MURTHY MD (T1) * RIPLEY, WV 25271 (T1) * WVU HEART & VASCULAR ABDULMALEK SABBAGH 304 424-4574 Accepts Ages 18 & Older INSTITUTE MD (T1) * JOHN A GODDARD MD WVU HEART & VASCULAR 1 MEDICAL CENTER DR Accepts ages 14 & older (T1) INSTITUTE MORGANTOWN, WV 26506 @ ARABIC 122 PINNELL ST 800 WHEELING AVE FL 3 304 598-4478 29 HOSPITAL PLZ STE E RIPLEY, WV 25271 GLEN DALE, WV 26038 WESTON, WV 26452 SAMANTHA J CRITES DO 304 424-4574 304 845-0100 304 269-1448 (T1) MAHESWARA S GOLLA MERCER COUNTY, WV 600 SUNCREST TOWNE MARION COUNTY, WV MD (T1) ELIE GHARIB MD (T1) * CENTER GERARDO C LOPEZ MD Accepts ages 16 & older MERCER MEDICAL MORGANTOWN, WV 26505 (T1) PARKERSBURG GROUP 304 598-4478 WVU HEART & VASCULAR CARDIOLOGY 508 NEW HOPE RD STE 7 INSTITUTE AFFAN HALEEM MD (T1) * 122 PINNELL ST PRINCETON, WV 24740 1325 LOCUST AVE STE 4B WVU HEART & VASCULAR RIPLEY, WV 25271 304 431-7200 FAIRMONT, WV 26554 INSTITUTE 304 424-4574 304 974-3297 GORDON F PRESCOTT 1 MEDICAL CENTER DR SHOWRI M KARNAM MD MD (T1) * MORGANTOWN, WV 26506 DAVID C TINGLER MD (T1)% Accepts Ages 18 & Older 877 988-4478 (T1) 122 PINNELL ST CAPTURE 107 100 STONEY HILL RD YASMIN S HAMIRANI MD RIPLEY, WV 25271 508 NEW HOPE RD STE 7 FAIRMONT, WV 26554 (T1) * 304 424-4574 PRINCETON, WV 24740 304 285-5400 WVU HEART & VASCULAR 304 431-7200 JOHN E MASON MD (T1) INSTITUTE CAMDEN CLARK PHYS 1 MEDICAL CENTER DR CORP MORGANTOWN, WV 26506 122 PINNELL ST 877 988-4478 RIPLEY, WV 25271 304 424-4574

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 67 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MADHAVI KADIYALA MD ANTHONY J KRISTEN E BELL DO (T1) FRANCIS L ERGINA MD (T1) RODA-RENZELLI MD (T1) Accepts Ages 18 & Older (T1) * WVU HEART & VASCULAR * WHEELING HOSP Accepts Ages 18 & Older INSTITUTE UHA PHYSICIAN OFFICE PHYSICIANS PROFESSIONAL CENTER 1 MEDICAL CENTER CENTER 58 16TH ST 2 DRIVE 1 MEDICAL CENTER DR WHEELING, WV 26003 20 MEDICAL PARK STE MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 304 242-4800 105 877 988-4478 877 988-4478 WHEELING, WV 26003 KRISTEN E BELL DO (T1) 304 242-4800 MOHAMMAD A KAWSARA STANLEY B SCHMIDT MD Accepts Ages 18 & Older MD (T1) (T1) * PROFESSIONAL CENTER DEEPAK HOODA MD (T1) WVU HEART & VASCULAR UHA PHYSICIAN OFFICE 2 *% INSTITUTE SE TOWER CENTER 20 MEDICAL PARK STE Accepts Ages 18 & Older 1 MEDICAL CENTER DR 1 STADIUM DRIVE 105 @ Hindi MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 WHEELING, WV 26003 58 16TH ST 877 988-4478 304 598-4800 304 242-4800 WHEELING, WV 26003 304 242-4800 JOHN H LOBBAN MD (T1) GEORGE SOKOS MD (T1) DAVID M CAMPSEY MD Accepts Ages 18 & Older WVU MEDICAL (T1) * DEEPAK HOODA MD (T1) 1 MEDICAL CENTER DR CORPORATION WVU HEART & VASCULAR *% 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 INSTITUTE Accepts Ages 18 & Older MORGANTOWN, WV 26506 877 988-4478 502 CABELA DR @ Hindi 304 598-4000 JAMES D MILLS MD (T1) * TRIADELPHIA, WV 26059 PROFESSIONAL CENTER UHA PHYSICIAN OFFICE DAVID C TINGLER MD 304 285-1996 1 CENTER (T1) DAVID M CAMPSEY MD 10 MEDICAL PARK STE 1 MEDICAL CENTER UHA PHYSICIAN OFFICE (T1) * 104 WHEELING, WV 26003 DRIVE CENTER Accepts Ages 18 & Older 304 242-4800 MORGANTOWN, WV 26506 1 MEDICAL CENTER WHEELING HOSP DRIVE 304 598-4800 PHYSICIANS BARBARA M JURIGA MD MORGANTOWN, WV 26506 58 16TH ST (T1) JASON MORELAND MD 304 598-4800 (T1) WHEELING, WV 26003 Accepts Ages 18 & Older WVU HEART & VASCULAR DEAN E WOLZ MD (T1) 304 242-4800 @ ITALIAN INSTITUTE RUBY MEMORIAL DAVID M CAMPSEY MD WHEELING HOSP 1 MEDICAL CENTER DR HOSPITAL (T1) * PHYSICIANS MORGANTOWN, WV 26506 1 MEDICAL CENTER DR OHIO VALLEY MEDICAL 58 16TH ST 877 988-4478 MORGANTOWN, WV 26506 CENTER WHEELING, WV 26003 304 598-4000 304 242-4800 ANTHONY P MORISE MD 2000 EOFF ST (T1) * IRFAN ZEB MD (T1) * WHEELING, WV 26003 BARBARA M JURIGA MD UHA PHYSICIAN OFFICE WVU HEART & VASCULAR 304 243-0123 (T1) CENTER INSTITUTE DAVID M CAMPSEY MD Accepts Ages 18 & Older 1 MEDICAL CENTER 1 MEDICAL CENTER DR (T1) * @ ITALIAN MORGANTOWN, WV 26506 DRIVE Accepts Ages 18 & Older PROFESSIONAL CENTER 877 988-4478 MORGANTOWN, WV 26506 PROFESSIONAL CENTER 2 304 598-4800 OHIO COUNTY, WV 2 20 MEDICAL PARK STE 105 BRIJESH D PATEL DO KRISTEN E BELL DO (T1) 20 MEDICAL PARK STE WHEELING, WV 26003 (T1) Accepts Ages 18 & Older 105 304 242-4800 WVU HEART & VASCULAR PROFESSIONAL CENTER WHEELING, WV 26003 INSTITUTE 1 304 242-4800 MICHAEL E KELLY MD 1 MEDICAL CENTER DR 10 MEDICAL PARK STE FRANCIS L ERGINA MD (T1) * MORGANTOWN, WV 26506 104 (T1) * WVU MEDICAL 877 988-4478 CORPORATION WHEELING, WV 26003 Accepts Ages 18 & Older 502 CABELA DR SAMEER RAINA MD (T1) 304 242-4800 WHEELING HOSPITAL INC 3RD FLOOR 1 MEDICAL CENTER DR 58 16TH ST TRIADELPHIA, WV 26059 MORGANTOWN, WV 26506 WHEELING, WV 26003 304 285-1996 877 988-4478 304 242-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 68 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. ANTHONY P MORISE MD BRYAN D RAYBUCK MD JOHN A MCKNIGHT MD WARREN COUNTY, VA (T1) * (T1) * (T1) MANISH B JHAWAR MD Accepts Ages 18 & Older WHEELING HOSP Accepts Ages 18 & Older (T1) * PROFESSIONAL CENTER PHYSICIANS 812 GORMAN AVE WVU HEART & VASCULAR 1 58 16TH ST ELKINS, WV 26241 INSTITUTE 10 MEDICAL PARK STE WHEELING, WV 26003 681 342-3840 920 N SHENANDOAH AVE 101 304 242-4800 STE 202 JASON MORELAND MD WHEELING, WV 26003 FRONT ROYAL, VA 22630 BRYAN D RAYBUCK MD (T1) 304 242-4800 540 749-2349 (T1) * WVU HEART & ANTHONY P MORISE MD PROFESSIONAL CENTER VASCULARE WESTMORELAND (T1) * 2 INSTITUTE-ELKINS COUNTY, PA Accepts Ages 18 & Older 20 MEDICAL PARK STE 812 GORMAN AVE BRIAN T KAZIENKO MD PROFESSIONAL CENTER 105 ELKINS, WV 26241 (T1) 1 WHEELING, WV 26003 304 637-3897 WVU HEART & VASCULAR 304 242-4800 INSTITUTE 10 MEDICAL PARK STE ANTHONY P MORISE MD 109 CROSSROADS RD 104 CASSANDRA R SMITH (T1) * SCOTTDALE, PA 15683 WHEELING, WV 26003 CNP (T1) WVU HEART & VASCULAR 304 598-4000 304 242-4800 Accepts Ages 18 & Older INSTITUTE-ELKINS ANTHONY P MORISE MD PROFESSIONAL CENTER 812 GORMAN AVE WETZEL COUNTY, WV (T1) * 2 ELKINS, WV 26241 DAKSHINA R MURTHY MD Accepts Ages 18 & Older 20 MEDICAL PARK STE 304 637-3897 (T1) * 105 PROFESSIONAL CENTER DEAN E WOLZ MD (T1) Accepts Ages 18 & Older WHEELING, WV 26003 2 WVU HEART & VASCULAR WVU HEART & VASCULAR 304 242-4800 20 MEDICAL PARK STE INSTITUTE INSTITUTE 105 CASSANDRA R SMITH 812 GORMAN AVE 100 PADUCAH DR STE B WHEELING, WV 26003 CNP (T1) ELKINS, WV 26241 NEW MARTINSVILLE, WV 304 242-4800 Accepts Ages 18 & Older 304 637-3897 26155 304 815-0050 ANTHONY P MORISE MD WHEELING HOSPITAL INC TAYLOR COUNTY, WV (T1) * 58 16TH ST JAMES D MILLS MD (T1) * WINCHESTER CITY WHEELING, WV 26003 Accepts Ages 18 & Older CARDIOLOGY CLINIC - COUNTY, VA 304 242-4800 WHEELING HOSP PINEWOOD MEDICAL CTR AFSANE PHYSICIANS RANDOLPH COUNTY, WV 401 N PIKE ST HADDAD-MASHAD MD 58 16TH ST (T1) ABBAS S ALI MD (T1) GRAFTON, WV 26354 WHEELING, WV 26003 WVU HEART & VASCULAR 304 265-1350 Accepts Ages 18 & Older 304 242-4800 WVU HEART & VASCULAR INSTITUTE - ELKINS UPSHUR COUNTY, WV BRYAN D RAYBUCK MD 812 GORMAN AVE INSTITUTE ABBAS S ALI MD (T1) (T1) * ELKINS, WV 26241 650 CEDAR CREEK ST JOSEPH'S PROFESSIONAL CENTER 304 637-3897 GRADE STE 100 CARDIOLOGY 1 WINCHESTER, VA 22601 DANIEL BRITO GUZMAN 10 AMALIA DR STE C7 10 MEDICAL PARK STE 540 535-0000 MD (T1) * BUCKHANNON, WV 26201 101 MANISH B JHAWAR MD Accepts Ages 18 & Older 304 460-7979 WHEELING, WV 26003 (T1) * WVU HEART & VASCULAR 304 242-4800 ABBAS S ALI MD (T1) WVU HEART & VASCULAR INSTITUTE 10 AMALIA DR INSTITUTE BRYAN D RAYBUCK MD 812 GORMAN AVE BUCKHANNON, WV 26201 650 CEDAR CREEK (T1) * ELKINS, WV 26241 304 460-7979 GRADE STE 100 PROFESSIONAL CENTER 304 637-3897 1 GERARDO C LOPEZ MD WINCHESTER, VA 22601 JOHN H LOBBAN MD (T1) 10 MEDICAL PARK STE (T1) 540 535-0000 Accepts Ages 18 & Older 104 ST JOSEPH CARDIOLOGY DAVID C PLITT MD (T1) 812 GORMAN AVE WHEELING, WV 26003 10 AMALIA DR STE C7 Accepts Ages 18 & Older ELKINS, WV 26241 304 242-4800 BUCKHANNON, WV 26201 WVU HEART & VASCULAR 304 637-3897 304 460-7979 INSTITUTE 650 CEDAR CREEK GRADE STE 100 WINCHESTER, VA 22601 540 535-0000

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 69 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. AJAY VIRMANI MD (T1) GETACHEW T ZELEKE MD HEMANT C MODI MD (T1) ROBERT A GUSTAFSON Accepts Ages 18 & Older (T1) * MD (T1) * WVU HEART & VASCULAR Requires Referral Accepts ages 16 & older UHA PHYSICIAN OFFICE INSTITUTE Accepts ages 16 & older 1013 GARFIELD AVE CENTER 650 CEDAR CREEK CAMDEN CLARK PHYS PARKERSBURG, WV 26101 1 MEDICAL CENTER DR GRADE STE 100 CORP INT MED 304 424-4574 MORGANTOWN, WV 26506 WINCHESTER, VA 22601 483 COURT ST 304 598-4800 540 535-0000 ELIZABETH, WV 26143 Cardiovascular & BRYAN S BUSH MD (T1) 304 424-4574 WIRT COUNTY, WV Thoracic Surgery WVU HEART & VASCULAR WOOD COUNTY, WV INSTITUTE DAVID A GNEGY MD (T1) * BERKELEY COUNTY, WV 483 COURT ST DAVID A GNEGY MD (T1) * 1 MEDICAL CENTER DR PERCIVAL O ELIZABETH, WV 26143 MORGANTOWN, WV 26506 Accepts ages 16 & older BUENAVENTURA MD (T1) 304 424-4574 877 988-4478 1013 GARFIELD AVE 2000 FOUNDATION AY JOHN A GODDARD MD PARKERSBURG, WV 26101 STE 3100 LAWRENCE M WEI MD (T1) 304 424-4574 MARTINSBURG, WV 25401 (T1) * UHA SURGERY 483 COURT ST JOHN A GODDARD MD 304 350-3273 1 MEDICAL CENTER DR ELIZABETH, WV 26143 (T1) MARSHALL COUNTY, WV MORGANTOWN, WV 26506 304 424-4574 Accepts ages 16 & older PERCIVAL O 877 988-4478 1013 GARFIELD AVE MAHESWARA S GOLLA BUENAVENTURA MD (T1) PARKERSBURG, WV 26101 OHIO COUNTY, WV MD (T1) WVU HEART & VASCULAR 304 424-4574 Accepts ages 16 & older INSTITUTE PERCIVAL O PARKERSBURG MAHESWARA S GOLLA 800 WHEELING AVE FL 3 BUENAVENTURA MD (T1) CARDIOLOGY MD (T1) GLEN DALE, WV 26038 UHA SURGERY 502 CABELA DR 483 COURT ST Accepts ages 16 & older 304 845-0100 ELIZABETH, WV 26143 TRIADELPHIA, WV 26059 PARKERSBURG MONONGALIA COUNTY, 304 424-4574 304 285-1996 CARDIOLOGY WV SHOWRI M KARNAM MD 1013 GARFIELD AVE VINAY BADHWAR MD (T1) WASHINGTON COUNTY, (T1)% PARKERSBURG, WV 26101 WVU HEART & VASCULAR PA 483 COURT ST 304 424-4574 1 MEDICAL CENTER DR PERCIVAL O BUENAVENTURA MD (T1) ELIZABETH, WV 26143 SHOWRI M KARNAM MD MORGANTOWN, WV 26506 304 424-4574 (T1)% 877 988-4478 Accepts Ages 18 & Older 1163 COUNTRY CLUB RD JOHN E MASON MD (T1) Accepts ages 16 & older PERCIVAL O STE 106 CAMDEN CLARK PHYS 1013 GARFIELD AVE BUENAVENTURA MD (T1) MONONGAHELA, PA 15063 CORP PARKERSBURG, WV 26101 UHA PHYSICIAN OFFICE 877 988-4478 483 COURT ST 304 424-4574 CENTER ELIZABETH, WV 26143 WOOD COUNTY, WV JOHN E MASON MD (T1) 1 MEDICAL CENTER DR 304 424-4574 CAMDEN CLARK PHYS MORGANTOWN, WV 26506 VINAY BADHWAR MD (T1) 877 988-4478 CHRISTOPHER T MILLER CORP CAMDEN CLARK MEMORIAL HOSPITAL MD (T1) * 1013 GARFIELD AVE CHRIS C COOK MD (T1) 800 GARFIELD AVE Requires Referral PARKERSBURG, WV 26101 WVU HEART & VASCULAR PARKERSBURG, WV 26101 PHYSICIANS OFFICE 304 424-4574 INSTITUTE 304 424-2111 BDLG CHRISTOPHER T MILLER 1 MEDICAL CENTER 483 COURT ST MD (T1) * DRIVE CHRIS C COOK MD (T1) ELIZABETH, WV 26143 MORGANTOWN, WV 26506 705 GARFIELD AVE STE Requires Referral 304 424-4574 877 988-4478 460 Accepts ages 16 & older PARKERSBURG, WV 26101 HEMANT C MODI MD (T1) PARKERSBURG GEOFFREY R COUSINS 304 424-4763 * CARDIOLOGY MD (T1) * 483 COURT ST 1013 GARFIELD AVE WVU HEART & VASCULAR ELIZABETH, WV 26143 PARKERSBURG, WV 26101 INSTITUTE 304 424-4574 304 424-4574 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 877 988-4478

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 70 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. GEOFFREY R COUSINS JEFFERSON COUNTY, WV PAUL J MCCARTHY MD Critical Care Medicine MD (T1) * PHILLIP B AGUILA MD (T1) CAMDEN CLARK ALLEGANY COUNTY, MD (T1) * WVU HEART & VASCULAR CARDIOTHORACIC INSTITUTE -SE TOWER BRIAN M CUNEO MD (T1) Accepts Ages 18 & Older SURGERY 1 MEDICAL CENTER DR * UNIVERSITY 705 GARFIELD AVE STE MORGANTOWN, WV 26506 WESTERN MARYLAND PULMONOLOGY 460 877 988-4478 HEALTH SYSTEM ASSOCIATES PARKERSBURG, WV 26101 12502 WILLOWBROOK RD 211 E 5TH AVE STE A RAHUL G SANGANI MD 304 424-4763 STE 280 RANSON, WV 25438 (T1) CUMBERLAND, MD 21502 304 596-6868 RUBY MEMORIAL Chiropractic 240 964-8750 FEROZ F NOORI MD (T1) * HOSPITAL 1 MEDICAL CENTER DR MONONGALIA COUNTY, JOHN D MORRISSEY MD Accepts ages 16 & older MORGANTOWN, WV 26506 WV (T1) @ FRENCH, FARSI 304 598-4000 NICHOLAS R Accepts Ages 18 & Older UNIVERSITY MARCHESANI DC (T1) WESTERN MARYLAND PULMONOLOGY SUNIL SHARMA MD (T1) * 1075 VAN VOORHIS RD HEALTH SYSTEM ASSOCIATES UHA PHYSICIAN OFFICE STE 200 12502 WILLOWBROOK RD 211 E 5TH AVE STE A CENTER MORGANTOWN, WV 26505 CUMBERLAND, MD 21502 RANSON, WV 25438 1 MEDICAL CENTER DR 304 598-6216 240 964-8750 304 596-6868 MORGANTOWN, WV 26506 304 598-4800 EDWARD J PRIEM DC (T1) NIMESH S SHAH MD (T1) * KANAWHA COUNTY, WV 1075 VAN VOORHIS RD WESTERN MARYLAND HESHAM E MOHAMED MD STEVEN R TURLEY MD STE 200 HEALTH SYSTEM (T1) (T1) MORGANTOWN, WV 26505 12502 WILLOWBROOK RD 3100 MACCORKLE AVE SE 1 MEDICAL CENTER DR 304 598-6216 CUMBERLAND, MD 21502 STE 700 MORGANTOWN, WV 26506 240 964-8750 CHARLESTON, WV 25304 304 598-4000 Colon & Rectal BERKELEY COUNTY, WV 304 720-7305 RAFIA ZULFIKAR MD (T1) Surgery PHILLIP B AGUILA MD MONONGALIA COUNTY, UHA PHYSICIAN OFFICE MONONGALIA COUNTY, (T1) * WV CENTER WV UHP INT HATIM S AL-JAROUSHI 1 MEDICAL CENTER DR RIAZ CASSIM MD (T1) * MED/PULMONOLOGY MD (T1) * MORGANTOWN, WV 26506 @ URDU 2000 FOUNDATION WAY UHA PHYSICIAN OFFICE 304 598-4800 UHA PHYSICIAN OFFICE STE 3300 CENTER NICHOLAS COUNTY, WV CENTER MARTINSBURG, WV 25401 1 MEDICAL CENTER DR HATIM S AL-JAROUSHI 1 MEDICAL CENTER 304 596-6868 MORGANTOWN, WV 26506 MD (T1) * DRIVE 304 598-4800 FEROZ NOORI MD (T1) * SUMMERSVILLE MORGANTOWN, WV 26506 JAMES M BARDES MD SPECIALTY CLINIC 304 598-4800 Accepts ages 16 & older @ FRENCH, FARSI (T1) * 400 FAIRVIEW HEIGHTS DOUGLAS R MURKEN MD 2000 FOUNDATION WAY 1 MEDICAL CENTER DR RD STE 204 (T1) STE 3300 MORGANTOWN, WV 26506 SUMMERSVILLE, WV UHA PHYSICIAN OFFICE MARTINSBURG, WV 25401 304 598-4800 26651 CENTER 855 988-2273 304 596-6868 STEPHEN P HOFFMANN 1 MEDICAL CENTER MD (T1) RACHEL A LEONARD MD DRIVE HARRISON COUNTY, WV UHA PHYSICIAN OFFICE (T1) MORGANTOWN, WV 26506 PRASHANTH CENTER SUMMERSVILLE 304 598-4800 THALANAYAR 1 MEDICAL CENTER DR SPECIALTY CLINIC MUTHUKRISHNAN MD OHIO COUNTY, WV MORGANTOWN, WV 26506 400 FAIRVIEW HEIGHTS (T1) 304 598-4800 RD STE 20 K STEVEN WILEY MD (T1) Accepts Ages 18 & Older SUMMERSVILLE, WV *% UHC PULMONARY RACHEL A LEONARD MD 26651 Accepts ages 16 & older 527 MEDICAL PARK DR (T1) 855 988-2273 WHEELING HOSPITAL STE 205 UHA PHYSICIAN OFFICE 76 16TH ST STE 100 BRIDGEPORT, WV 26330 CENTER WHEELING, WV 26003 681 342-3730 1 MEDICAL CENTER DR 304 238-0212 MORGANTOWN, WV 26506 304 598-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 71 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. RAHUL G SANGANI MD ROSHEN MATHEW MD HARRISON COUNTY, WV TODD V KREITZER DO (T1) (T1) * DAVID C CARLISLE MD (T1) * SUMMERSVILLE Accepts ages 16 & older (T1) * MOUNTAIN STATE SPECIALTY CLINIC CAMDEN CLARK MOUNTAIN STATE MEDICAL SPECIALITES 400 FAIRVIEW HEIGHTS MEMORIAL HOSPITAL MEDICAL SPECIALTIES 4815 KANAWHA AVE SW RD STE 204 800 GARFIELD AVE RM 120 MEDICAL PARK DR SOUTH CHARLESTON, WV SUMMERSVILLE, WV G101 STE 200 25309 26651 PARKERSBURG, WV 26101 BRIDGEPORT, WV 26330 304 768-4567 855 988-2273 304 424-4721 304 624-7200 MONONGALIA COUNTY, SUNIL SHARMA MD (T1) * BROWNHILDA N SANTO www.msmswv.com WV SUMMERSVILLE MD (T1) JEFFREY A DODSON MD JOSEPH A BLACKMON SPECIALTY CLINIC CAMDEN CLARK (T1) * MD (T1) * 400 FAIRVIEW HEIGHTS MEMORIAL HOSPITAL Practice Limited to Office UHA PHYSICIAN OFFICE RD STE 20 800 GARFIELD AVE RM Care Only CENTER SUMMERSVILLE, WV G101 MOUNTAIN STATE 1 MEDICAL CENTER DR 26651 PARKERSBURG, WV 26101 MEDICAL SPECIALTIES MORGANTOWN, WV 26506 855 988-2273 304 424-4721 120 MEDICAL PARK DR 304 598-4500 RAFIA ZULFIKAR MD (T1) STE 200 DAVID C CARLISLE MD SUMMERSVILLE Dermatology BRIDGEPORT, WV 26330 (T1) * 304 624-7200 SPECIALTY CLINIC FAYETTE COUNTY, PA MOUNTAIN STATE 400 FAIRVIEW HEIGHTS www.msmswv.com MEDICAL SPECIALTIES AMY B NORTON MD (T1) * RD STE 20 165 SCOTT AVE STE 100 MOUNTAIN STATE SHARIFEH FARASAT MD SUMMERSVILLE, WV MORGANTOWN, WV 26508 MEDICAL SPECIALTIES (T1) * 26651 304 554-0400 204 MARY HIGGINSON LN @ PERSIAN 855 988-2273 UNIONTOWN, PA 15401 MOUNTAIN STATE www.msmswv.com WOOD COUNTY, WV 724 438-8300 MEDICAL SPECIALTIES VLAD A CODREA MD (T1) OLUWATOYIN V www.msmswv.com 120 MEDICAL PARK DR * STE 200 UNIVERSITY TOWN ADULOJU-ODUNAIYA CNP GARRETT COUNTY, MD (T1) BRIDGEPORT, WV 26330 CENTRE MICHAEL S KOLODNEY 304 624-7200 Accepts Ages 18 & Older 6040 UNIVERSITY TOWN MD (T1) CAMDEN CLARK www.msmswv.com CENTRE DR 251 N 4TH ST MEMORIAL HOSPITAL MORGANTOWN, WV 26501 OAKLAND, MD 21550 CHARLES B FRANZ MD 800 GARFIELD AVE RM 855 988-2273 304 598-4865 (T1) * G101 MOUNTAIN STATE VLAD A CODREA MD (T1) PARKERSBURG, WV 26101 ROXANN L POWERS MD MEDICAL SPECIALTIES * 304 424-4721 (T1) * 120 MEDICAL PARK DR MARY BABB RANDOLPH WVU MEDICINE ANEEQAH BAIG MD (T1) STE 200 CANCER CENTER DERMATOLOGY BRIDGEPORT, WV 26330 1 MEDICAL CENTER DR Accepts ages 15 & older 251 N 4TH ST 304 624-7200 MORGANTOWN, WV 26506 CCPC PULMONARY OAKLAND, MD 21550 www.msmswv.com 304 598-4500 CLINIC 301 533-4373 800 GARFIELD AVE RM JOHN G HANCOX MD (T1) ERICA R GHAREEB MD G101 GREENE COUNTY, PA * (T1) * PARKERSBURG, WV 26101 SARAH E CAMPBELL MD MOUNTAIN STATE RUBY MEMORIAL 304 424-4721 (T1) MEDICAL SPECIALTIES HOSPITAL WAYNESBURG 120 MEDICAL PARK DR 1 MEDICAL CENTER DR ABIY K KELIL MD (T1) OUTPATIENT CENTER - STE 200 MORGANTOWN, WV 26506 CAMDEN CLARK DERMATOLO BRIDGEPORT, WV 26330 304 598-4000 MEMORIAL HOSPITAL 451 MURTHA DR 304 624-7200 800 GARFIELD AVE RM ERICA R GHAREEB MD WAYNESBURG, PA 15370 G101 www.msmswv.com (T1) * 304 598-4865 PARKERSBURG, WV 26101 KANAWHA COUNTY, WV UHA DERMATOLOGY 304 424-4721 MICHELLE L ENDICOTT 6040 UNIVERSITY TOWN CENTRE DR ABIY K KELIL MD (T1) DO (T1) * MORGANTOWN, WV 26501 1824 MURDOCH AVE 4815 KANAWHA AVE SW 855 988-2273 PARKERSBURG, WV 26101 SOUTH CHARLESTON, WV 304 424-4111 25309 304 768-4567

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 72 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. ROLA M GHARIB MD (T1) ZACHARY A ZINN MD (T1) AMY B NORTON MD (T1) * Office Care Only * MOUNTAIN STATE Dietitian @ ARABIC RUBY MEMORIAL MEDICAL SPECIALTIES ALLEGANY COUNTY, MD HOSPITAL 76 16TH ST STE 100A 600 SUNCREST TOWN JONI BRODE RD (T1) 1 MEDICAL CENTER WHEELING, WV 26003 CENTRE DR STE 115 WESTERN MARYLAND DRIVE 304 238-7600 MORGANTOWN, WV 26505 HEALTH SYSTEM MORGANTOWN, WV 26506 304 598-3888 RANDOLPH COUNTY, WV 12502 WILLOWBROOK RD 304 598-4000 JOHN G HANCOX MD (T1) JEFFREY B JACKSON MD STE 300 * ZACHARY A ZINN MD (T1) (T1) * CUMBERLAND, MD 21502 Practice Limited to Office * MOUNTAIN STATE 240 964-8787 UNIVERSITY TOWN Care Only MEDICAL SPECIALTIES BETHANY HINES RD (T1) CENTRE MOUNTAIN STATE 100 SENECA RD WESTERN MARYLAND 6040 UNIVERSITY TOWN MEDICAL SPECIALTIES ELKINS, WV 26241 HEALTH SYSTEM CENTRE DR 165 SCOTT AVE APT 304 637-2777 12501 WILLOWBROOK RD MORGANTOWN, WV 26501 STE100 www.msmswv.com CUMBERLAND, MD 21502 MORGANTOWN, WV 26508 855 988-2273 WASHINGTON COUNTY, 240 964-8522 304 554-0400 OHIO COUNTY, WV OH ALLISON LUTZ RD (T1) www.msmswv.com DAVID C CARLISLE MD JANELLE M KING MD (T1) WESTERN MARYLAND JEFFREY B JACKSON MD (T1) * * HEALTH SYSTEM (T1) * MOUNTAIN STATE MOUNTAIN STATE 12502 WILLOWBROOK RD MOUNTAIN STATE MEDICAL SPECIALTIES MEDICAL SPECIALTIES STE 300 MEDICAL SPECIALTIES 76 16TH ST STE 100A 400 MATTHEW ST STE 100 CUMBERLAND, MD 21502 165 SCOTT AVE STE 100 WHEELING, WV 26003 MARIETTA, OH 45750 240 964-8787 MORGANTOWN, WV 26508 304 238-7600 740 434-6010 RACHEL SPROAT RD (T1) 304 554-0400 www.msmswv.com JEFFREY A DODSON MD WESTERN MARYLAND www.msmswv.com (T1) * BARRETT A LOUDEN MD HEALTH SYSTEM MICHAEL S KOLODNEY MOUNTAIN STATE MED (T1) * 12501 WILLOWBROOK RD MD (T1) SPECIAITIES MOUNTAIN STATE CUMBERLAND, MD 21502 UHA DERMATOLOGY 76 16TH ST STE 100A MEDICAL SPECIALTIES 240 964-8522 6040 UNIVERSITY TOWN WHEELING, WV 26003 802 WAYNE ST VICKY VRABEL RD (T1) CENTRE DR 304 238-7600 MARIETTA, OH 45750 WESTERN MARYLAND MORGANTOWN, WV 26501 740 434-6010 CHARLES B FRANZ MD HEALTH SYSTEM 855 988-2273 www.msmswv.com (T1) * 12501 WILLOWBROOK RD MICHAEL S KOLODNEY MOUNTAIN STATE WOOD COUNTY, WV CUMBERLAND, MD 21502 MD (T1) MEDICAL SPECIALTIES JANELLE M KING MD (T1) 240 964-8416 UHA DERMATOLOGY 76 16TH ST STE 100A * KRISTIN WILKINS RD (T1) 6040 UNIVERSITY TOWN WHEELING, WV 26003 MOUNTAIN STATE Office Care Only CENTRE DR 304 238-7600 MEDICAL SPECIALTIES WESTERN MARYLAND MORGANTOWN, WV 26501 800 GRAND CENTRAL JOHN G HANCOX MD (T1) HEALTH SYSTEM 304 293-6307 MALL STE 3 * 12502 WILLOWBROOK RD VIENNA, WV 26105 ROXANN L POWERS MD MOUNTAIN STATE STE 300 304 865-0555 (T1) * MEDICAL SPEC CUMBERLAND, MD 21502 WVU MEDICINE 76 16TH ST STE 100A www.msmswv.com 240 964-8717 DERMATOLOGY WHEELING, WV 26003 BARRETT A LOUDEN MD 304 238-7600 6040 UNIVERSITY TOWN (T1) * Ear Nose and Throat CENTRE DR JEFFREY B JACKSON MD MOUNTAIN STATE BERKELEY COUNTY, WV MORGANTOWN, WV 26501 (T1) * MEDICAL SPECIALTIES 855 988-2273 MOUNTAIN STATE 800 GRAND CENTRAL SOHRAB SHAHAB MD (T1) * ANTHONY J VAN MEDICAL SPECIALTIES MALL STE 3 NORMAN MD (T1) * 76 16TH ST VIENNA, WV 26105 Requires Referral UHA PHYSICIAN OFFICE WHEELING, WV 26003 304 865-0555 WVU MEDICINE EAR CENTER 304 238-7600 www.msmswv.com NOSE AND THROAT 1 MEDICAL CENTER 2000 FOUNDATION WAY DRIVE STE 3200 MORGANTOWN, WV 26506 MARTINSBURG, WV 25401 304 598-4800 304 262-9400

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 73 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. FAYETTE COUNTY, PA MARK A WEITZEL DO (T1) MICHAEL K HURST MD STEPHEN J WETMORE MD MATTHEW A OLIVERIO * (T1) * (T1) * MD (T1) * MERCER MEDICAL ENT 1065 SUNCREST TOWNE 1065 SUNCREST TOWNE UNIONTOWN SPECIALTY 122 12TH ST STE A CENTRE DR CENTRE DR CARE PO BOX 1369 MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 500 W BERKELEY ST PRINCETON, WV 24740 304 598-4825 304 598-4825 304 487-3407 ANNEX MICHAEL K HURST MD WETZEL COUNTY, WV UNIONTOWN, PA 15401 MONONGALIA COUNTY, (T1) * GREGORY E KRAUSE MD 724 439-1060 WV UHA PHYSICIAN OFFICE (T1) *% HARRISON COUNTY, WV MARK A ARMENI MD (T1) CENTER 260 RUSSELL AVENUE * 1 MEDICAL CENTER DANIEL J MERENDA MD NEW MARTINSVILLE, WV UHA PHYSICIAN OFFICE DRIVE (T1) * 26155 CENTER MORGANTOWN, WV 26506 527 MEDICAL PARK DR 304 -39-8494 1 MEDICAL CENTER 304 598-4800 STE 401 DRIVE WOOD COUNTY, WV BRIDGEPORT, WV 26330 BRIAN M KELLERMEYER MORGANTOWN, WV 26506 GREGORY E KRAUSE MD 681 342-3570 MD (T1) * 304 598-4800 (T1) *% UHA PHYSICIAN OFFICE KEVIN S OXLEY MD (T1) * ENT AND ALLERGY STEVEN W COUTRAS MD CENTER 527 MEDICAL PARK DR ASSOC (T1) * 1 MEDICAL CENTER DR STE 401 800 GRAND CENTRAL UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 BRIDGEPORT, WV 26330 MALL STE 11 CENTER 304 293-3233 681 342-3570 VIENNA, WV 26105 1 MEDICAL CENTER BRIAN M KELLERMEYER 304 916-1270 WILLIAM A STOKES MD DRIVE MD (T1) * (T1) MORGANTOWN, WV 26506 1065 SUNCREST TOWN LOUIS A JOHNSON VA 304 598-4800 Endocrinology CENTRE DR MEDICAL CENTER BERKELEY COUNTY, WV STEVEN W COUTRAS MD 1 MED CENTER DR MORGANTOWN, WV 26505 (T1) * JAMES C FIELD MD (T1) CLARKSBURG, WV 26301 304 598-4825 1065 SUNCREST TOWNE UNIVERSITY 304 623-3461 JASON P MCCHESNEY MD CENTRE DR ENDOCRINOLOGY (T1) * JEFFERSON COUNTY, WV MORGANTOWN, WV 26505 ASSOCIATES 1065 SUNCREST TOWNE SOHRAB SHAHAB MD 304 598-4825 1001 SUSHRUTA DR STE CENTRE DR (T1) * 100 JOEDY L DARISTOTLE MD MORGANTOWN, WV 26505 MARTINSBURG, WV 25401 Requires Referral (T1) * 304 598-4825 304 596-5038 WVU MEDICINE EAR 1065 SUNCREST TOWNE JASON P MCCHESNEY MD NOSE AND THROAT CENTRE DR HARRISON COUNTY, WV (T1) * 211 E 5TH AVE MORGANTOWN, WV 26505 JOHN B EPLING MD (T1) RANSON, WV 25438 UHA PHYSICIAN OFFICE 304 598-4825 Requires Referral 304 262-9400 CENTER JOEDY L DARISTOTLE 1 MEDICAL CENTER Accepts Ages 18 & Older MARSHALL COUNTY, WV MD (T1) * DRIVE BRIDGEPORT RAYMOND A HINERMAN UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 ENDOCRINOLOGY MD (T1) * CENTER 304 598-4800 710 GENESIS BLVD WVU MEDICINE 1 MEDICAL CENTER BRIDGEPORT, WV 26330 GEORGE E SNIDER MD 800 WHEELING AVE DRIVE 681 342-3070 (T1) * GLEN DALE, WV 26038 MORGANTOWN, WV 26506 JEFFERSON COUNTY, WV 1065 SUNCREST TOWN 304 221-4541 304 598-4825 CENTRE DR JAMES C FIELD MD (T1) MERCER COUNTY, WV TANYA FANCY MD (T1) MORGANTOWN, WV 26505 UNIVERSITY MARK C LENTNER DO UHA PHYSICIAN OFFICE 304 598-4800 ENDOCRINOLOGY CENTER ASSOCIATES (T1) * WILLIAM A STOKES MD 1 MEDICAL CENTER 211 E 5TH AVE STE B MERCER MEDICAL ENT (T1) DRIVE RANSON, WV 25438 122 12TH ST STE A MARY BABB RANDOLPH MORGANTOWN, WV 26506 304 596-5035 P O BOX 1369 CANCER CENTER 304 598-4825 PRINCETON, WV 24740 1 MEDICAL CENTER 304 487-3407 DRIVE MORGANTOWN, WV 26506 304 598-4500

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 74 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. NICHOLAS COUNTY, WV BERKELEY COUNTY, WV MONONGALIA COUNTY, SHAILENDRA SINGH MD JOHN B EPLING MD (T1) DAVID L FISHKIN MD (T1) WV (T1) SUMMERSVILLE RURAL * PAUL N CASSIS MD (T1) * UHA PHYSICIAN OFFICE HEALTH CLINIC Accepts Ages 18 & Older PHYSICIAN OFFICE CENTER 400 FAIRVIEW HEIGHTS 2010 DOCTOR OATES DR CENTER 1 MEDICAL CENTER RD STE 102 1 MEDICAL CENTER DR DRIVE SUMMERSVILLE, WV MARTINSBURG, WV 25401 MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 26651 304 596-6290 304 598-4800 800 988-2273 304 872-8545 TIMOTHY ORPHANIDES JUSTIN T KUPEC MD (T1) STEVEN C SOLIK MD (T1) MD (T1) * * * Gastroenterology 2010 DOCTOR OATES DR UHA IM UHA PHYSICIAN OFFICE GASTROENTEROLOGY CENTER ALLEGANY COUNTY, MD STE 102 1 MEDICAL CENTER DR 1 MEDICAL CENTER CHINTAMANENI P MARTINSBURG, WV 25401 304 596-6290 MORGANTOWN, WV 26506 DRIVE CHOUDARI MD (T1) 304 598-4000 MORGANTOWN, WV 26506 Accepts Ages 18 & Older HARRISON COUNTY, WV 304 598-4800 WILLIAM R HUTSON MD WESTERN MARYLAND DAVID A CIAROLLA MD (T1) * CAITLIN T SULLIVAN DO HEALTH SYSTEM (T1) UHA PHYSICIAN OFFICE (T1) 12502 WILLOWBROOK RD 527 MEDICAL PARK DR CENTER UHA PHYSICIAN OFFICE STE 330 STE 402 1 MEDICAL CENTER CENTER CUMBERLAND, MD 21502 BRIDGEPORT, WV 26330 DRIVE 1 MEDICAL CENTER 240 964-2612 681 342-3690 MORGANTOWN, WV 26506 DRIVE RASHID HANIF MD (T1) KIMBERLY J FAIRLEY DO 304 598-4000 MORGANTOWN, WV 26506 Accepts Ages 18 & Older (T1) * 304 598-4800 MATTHEW R KRAFFT MD @ URDU 527 MEDICAL PARK DR (T1) * SHYAM J THAKKAR MD WESTERN MARYLAND STE 402 UHA IM (T1) HEALTH SYSTEM BRIDGEPORT, WV 26330 GASTROENTEROLOGY UHA PHYSICIAN OFFICE 12505 WILLOWBROOK RD 681 342-3690 1 MEDICAL CENTER DR CENTER STE 330 VENU G GANGIREDDY MD MORGANTOWN, WV 26506 1 MEDICAL CENTER CUMBERLAND, MD 21502 (T1) 855 988-2273 DRIVE 240 964-8717 527 MEDICAL PARK DR MORGANTOWN, WV 26506 JUSTIN T KUPEC MD (T1) NII L LAMPTEY-MILLS MD STE 402 304 598-4800 * (T1) BRIDGEPORT, WV 26330 UHA IM MEGAN D WILLARD MD Accepts ages 16 & older 681 342-3690 GASTROENTEROLOGY (T1) WESTERN MARYLAND TARIQ A HAMMAD MD 1 STADIUM DR UHA IM HEALTH SYSTEM (T1) MORGANTOWN, WV 26506 GASTROENTEROLOGY 12502 WILLOWBROOK RD Accepts ages 16 & older 304 293-4123 1 MEDICAL CENTER DR STE 640 UHC MORGANTOWN, WV 26506 CUMBERLAND, MD 21502 ASAD PERVEZ MD (T1) GASTROENTEROLOGY 304 598-4800 240 964-8717 UHA PHYSICIAN OFFICE 527 MEDICAL PARK DR CENTER OHIO COUNTY, WV VAMSHIDHARD VOOTLA STE 402 1 MEDICAL CENTER JOHN Y NASR MD (T1) MD (T1) * BRIDGEPORT, WV 26330 DRIVE WHEELING HOSPITAL INC Accepts Ages 18 & Older 681 342-3690 MORGANTOWN, WV 26506 40 MEDICAL PARK STE WESTERN MARYLAND MARION COUNTY, WV 304 598-4800 404 HEALTH SYSTEM WHEELING, WV 26003 12502 WILLOWBROOK RD MOHAMMAD ROIDAD MD GORMAN J REYNOLDS 304 243-7928 STE 330 (T1) * MD (T1) CUMBERLAND, MD 21502 Accepts Ages 18 & Older Accepts ages 15 & older WOOD COUNTY, WV FAIRMONT GATEWAY 240 964-8717 1000 MON HEALTH SCOTT M NAUM DO (T1) * CENTER MEDICAL PARK DR STE Accepts ages 15 & older 100 STONEY HILL RD 1101 CAMDEN CLARK FAIRMONT, WV 26554 MORGANTOWN, WV 26505 GASTROENTEROLOGY 304 285-5400 304 598-2700 1905 ANN ST PARKERSBURG, WV 26101 304 424-4120

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 75 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JACKSON COUNTY, WV JOHN S TARAS MD (T1) * Genetics/ Metabolics Hematology/ MICHAELA E KESSLER UHA PHYSICIAN OFFICE MONONGALIA COUNTY, DO (T1) CENTER Oncology 6040 UNIVERSITY TOWN WV MORAD-HUGHES HEALTH ALLEGANY COUNTY, MD NADIA FALAH MD (T1) CENTER CENTRE DR RAGNEEL R BIIJULA MD MARY BABB RANDOLPH 122 PINNELL ST MORGANTOWN, WV 26501 (T1) CANCER CENTER RIPLEY, WV 25271 855 988-2273 WESTERN MARYLAND 1 MEDICAL CENTER DR 304 373-0133 JOHN S TARAS MD (T1) * HEALTH SYSTEM MORGANTOWN, WV 26506 KANAWHA COUNTY, WV UHA ORTHOPEDIC 12500 WILLOWBROOK RD 304 598-4500 SURGERY ROBERT T DEPOND MD CUMBERLAND, MD 21502 1 MEDICAL CENTER DR WOOD COUNTY, WV (T1) 240 964-7000 MORGANTOWN, WV 26506 NADIA FALAH MD (T1) Gyn Care Only 304 598-4800 JOHN C DOWNS MD (T1) * 800 GRAND CENTRAL 830 PENNSYLVANIA AVE WESTERN MARYLAND MALL STE 304 KERRI M WOODBERRY HEALTH SYSTEM VIENNA, WV 26105 CHARLESTON, WV 25302 MD (T1) * 12502 WILLOWBROOK RD 304 485-3300 304 388-1515 UHA PHYSICIAN OFFICE CUMBERLAND, MD 21502 CENTER 240 964-8717 Gynecologic 1 MEDICAL CENTER DR Hand Surgery BLANCHE H Oncology MORGANTOWN, WV 26506 HARRISON COUNTY, WV 304 598-4800 MAVROMATIS MD (T1) * BERKELEY COUNTY, WV WILLIAM J DAHL MD (T1) Accepts Ages 18 & Older KERRI M WOODBERRY NEIL B ROSENSHEIN MD * @ Greek MD (T1) * (T1) * UHC ORTHOPAEDICS WESTERN MARYLAND Not Accepting New Patients 2000 FOUNDATION WAY 227 MEDICAL PARK DR HEALTH SYSTEM UHA SURGERY STE 3650A STE 101 12502 WILLOWBROOK RD 608 CHEAT RD MARTINSBURG, WV 25401 BRIDGEPORT, WV 26330 STE 440 MORGANTOWN, WV 26508 304 596-5167 681 342-3500 CUMBERLAND, MD 21502 855 988-2273 240 964-8680 KANAWHA COUNTY, WV MONONGALIA COUNTY, KERRI M WOODBERRY BERKELEY COUNTY, WV MICHAEL SCHIANO MD WV MD (T1) * (T1) * JACK GELMAN MD (T1) * SOWMINI MEDAVARAM UHA SURGERY 830 PENNSYLVANIA AVE UHA PHYSICIAN OFFICE MD (T1) 6040 UNIVERSITY TOWN STE 304 CENTER Accepts ages 21 and older CENTRE DR CHARLESTON, WV 25302 1 MEDICAL CENTER DR UNIVERSITY MORGANTOWN, WV 26501 304 388-1515 MORGANTOWN, WV 26506 HEMATOLOGY 855 988-2273 304 598-4800 ONCOLOGY MONONGALIA COUNTY, 2000 FOUNDATION WAY WV JACK GELMAN MD (T1) * Hematology STE 2600 KRISTA S PFAENDLER MD UHA SURGERY MONONGALIA COUNTY, MARTINSBURG, WV 25401 (T1) 6040 UNIVERSITY TOWN WV 304 267-1944 1 MEDICAL CENTER DR CENTRE DR MORGANTOWN, WV 26506 MORGANTOWN, WV 26501 SAMUEL A MERRILL MD POOJA SAHNI MD (T1) 304 598-4500 855 988-2273 (T1) UNIVERSITY MARY BABB RANDOLPH ANDREA B LESE MD (T1) HEMATOLOGY CANCER CENTER 6040 UNIVERSITY TOWN ONCOLOGY Gynecology 1 MEDICAL CENTER DR CENTRE DR 2000 FOUNDATION WAY BERKELEY COUNTY, WV MORGANTOWN, WV 26506 MORGANTOWN, WV 26501 STE 2600 304 598-4500 DEREK D KAZNOSKI MD 855 988-2273 MARTINSBURG, WV 25401 (T1)% 304 267-1944 Office Care Only ANDREA B LESE MD (T1) Gyn Care Only WEST VIRGINIA 1178 SHEPHERDSTOWN UNIVERSITY RD 1 MEDICAL CENTER DR MARTINSBURG, WV 25404 MORGANTOWN, WV 26506 304 264-9332 304 598-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 76 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. SANAZ N SOLTANI MD LAUREN W VELTRI MD SAM WANKO MD (T1) MIKLOS L AUBER MD (T1) (T1) (T1) UHA PHYSICIAN OFFICE * Accepts Ages 18 & Older THE GREENBRIER CLINIC CENTER @ GERMAN, HUNGARIAN UNIVERSITY 320 W MAIN ST 201 E 5TH AVE MARY BABB RANDOLPH HEMATOLOGY WHITE SULPHUR RANSON, WV 25438 CANCER CTR ONCOLOGY SPRINGS, WV 24986 304 728-1812 1 STADIUM DRIVE 304 598-6127 MORGANTOWN, WV 26506 2000 FOUNDATION WAY LEWIS COUNTY, WV STE 2600 304 293-4500 HARRISON COUNTY, WV SHAMSHER ALI MD (T1) MARTINSBURG, WV 25401 ZEESHAN AHMAD MD JEAN G BUSTAMANTE 304 267-1944 Accepts Ages 18 & Older (T1) UHC ONCOLOGY ALVAREZ MD (T1) SAM WANKO MD (T1) UHC ONCOLOGY 107 STAUNTON DR UHA PHYSICIAN OFFICE Accepts Ages 18 & Older 327 MEDICAL PARK DR WESTON, WV 26452 CENTER 2000 FOUNDATION WAY BRIDGEPORT, WV 26330 681 342-1842 1 MEDICAL CENTER STE 2600 681 342-1842 DRIVE MARION COUNTY, WV MARTINSBURG, WV 25401 MORGANTOWN, WV 26506 SHAMSHER ALI MD (T1) 304 267-1944 SALMAN S OSMAN MD 304 598-4500 Accepts Ages 18 & Older (T1) * MICHAEL D CRAIG MD FAYETTE COUNTY, PA UHC ONCOLOGY UHC ONCOLOGY (T1) MANGA P ATLURI MD (T1) 327 MEDICAL PARK DR 1325 LOCUST AVE STE 15 * BRIDGEPORT, WV 26330 FAIRMONT, WV 26554 Not Accepting New Patients UNIONTOWN - 681 342-1842 681 342-1842 UHA PHYSICIAN OFFICE ONCOLOGY/INFUSION CENTER PAUL M BRAGER MD (T1) MARSHALL COUNTY, WV 1 MEDICAL CENTER DR 100 WOODLAWN AVE STE * NABIEL ALKHOURI MD MORGANTOWN, WV 26506 4 UHC ONCOLOGY (T1) 304 598-4500 UNIONTOWN, PA 15401 327 MEDICAL PARK DR Accepts Ages 18 & Older 724 430-5600 BRIDGEPORT, WV 26330 RICHARD M GOLDBERG WVU CANCER INSTITUTE GARRETT COUNTY, MD 681 342-1842 MD (T1) * AT RMH UHA PHYSICIAN OFFICE MICHAEL D CRAIG MD SALMAN S OSMAN MD 901 JEFFERSON AVE CENTER (T1) (T1) * GLEN DALE, WV 26038 1 MEDICAL CENTER DR GARRETT REGIONAL UHC ONCOLOGY 304 843-3302 MORGANTOWN, WV 26506 MEDICAL CENTER 327 MEDICAL PARK DR MONONGALIA COUNTY, 304 598-4000 251 N 4TH ST BRIDGEPORT, WV 26330 WV OAKLAND, MD 21550 681 342-1842 THOMAS F HOGAN MD 301 533-4000 MOHAMMED H (T1) * SWATI VISHWANATHAN ALMUBARAK MD (T1) DEPT OF MEDICINE KEVIN J SHANNON MD MD (T1) @ ARABIC MBRCC (T1) Accepts Ages 18 & Older WVU DEPT OF MEDICINE STADIUM DRIVE Accepts Ages 18 & Older UHC ONCOLOGY HEMATOLOGY/ONCOLOG MORGANTOWN, WV 26506 Office Care Only 327 MEDICAL PARK DR Y 304 598-4800 GARRETT REGIONAL BRIDGEPORT, WV 26330 1 MEDICAL CENTER DR MEDICAL CENTER 681 342-1842 MORGANTOWN, WV 26506 JOANNA A KOLODNEY 251 N 4TH ST 304 598-4500 MD (T1) OAKLAND, MD 21550 JEFFERSON COUNTY, WV WVU DEPT OF MEDICINE RUTA ARAYS MD (T1) 304 598-4000 SOWMINI MEDAVARAM HEMATOLOGY/ONCOLOG MD (T1) MARY BABB RANDOLPH Y GREENBRIER COUNTY, CANCER CENTER Accepts ages 21 and older 1 MEDICAL CENTER DR WV 1 MEDICAL CENTER UNIVERSITY SURGICAL MORGANTOWN, WV 26506 MICHAEL D CRAIG MD DRIVE ASSOCIATES 304 598-4500 (T1) MORGANTOWN, WV 26506 201 E 5TH AVE STE 1 THE GREENBRIER CLINIC 304 598-4500 SOBHA KURIAN MD (T1) * RANSON, WV 25438 320 W MAIN ST @ Hindi, Malayalam 304 728-1812 MANGA P ATLURI MD (T1) WHITE SULPHUR WVU DEPT OF MEDICINE * SPRINGS, WV 24986 POOJA SAHNI MD (T1) HEMATOLGY/ONCOLOGY WVU DEPT OF MEDICINE 304 598-6127 UNIVERSITY SURGICAL 1 MEDICAL CENTER DR HEMATOLOGY/ONCOLOG ASSOCIATES MORGANTOWN, WV 26506 Y 201 E 5TH AVE STE 1 304 598-4500 1 MEDICAL CENTER DR RANSON, WV 25438 MORGANTOWN, WV 26506 304 728-1812 304 598-4500

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 77 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MIDHUN MALLA MD (T1) ALAN A THOMAY MD (T1) PAUL M BRAGER MD (T1) BERKELEY COUNTY, WV WVU DEPT OF MEDICINE * * CONNIE L SMITH MD (T1) HEMATOLOGY/ONCOLOG UHA PHYSICIAN OFFICE Accepts Ages 18 & Older INFECTIOUS DISEASE Y CENTER ST JOSEPH HOSPITAL CLINIC 1 MEDICAL CENTER DR 1 MEDICAL CENTER DR 1 AMALIA DR 2010 DOCTOR OATES DR MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 BUCKHANNON, WV 26201 STE 103 304 598-4500 304 598-4800 304 460-7045 MARTINSBURG, WV 25401 304 596-5142 SHALU PAHUJA MD (T1) * LAUREN W VELTRI MD PAUL M BRAGER MD (T1) MARY BABB RANDOLPH (T1) * GARRETT COUNTY, MD CANCER CENTER WVU DEPT OF MEDICINE ST JOSEPH HOSPITAL MATTHEW E SIMMONS MD 1 MEDICAL CENTER DR HEMATOLOGY/ONCOLOG 1 AMALIA DR (T1) * MORGANTOWN, WV 26506 Y BUCKHANNON, WV 26201 WESTERN MARYLAND 304 598-4500 1 MEDICAL CENTER DR 304 473-2184 HEALTH SYSTEM MORGANTOWN, WV 26506 DANH C PHAM MD (T1) WETZEL COUNTY, WV 23789 GARRETT HWY 304 598-4500 MCHENRY, MD 21541 MARY BABB RANDOLPH NABIEL ALKHOURI MD 240 488-4139 CANCER CENTER OHIO COUNTY, WV (T1) 1 MEDICAL CENTER DR DAYRA C AVILA LIMA MD Accepts Ages 18 & Older HARRISON COUNTY, WV MORGANTOWN, WV 26506 (T1)% WVU CANCER INSTITUTE JONATHAN E STANLEY 304 598-4500 Accepts Ages 18 & Older AT RMH MD (T1) * @ SPANISH KONSTANTINOS SDRIMAS 3 E BENJAMIN DR Accepts ages 16 & older 40 MEDICAL PARK STE MD (T1) * NEW MARTINSVILLE, WV UHC INFECTIOUS 300 MARY BABB RANDOLPH 26155 DISEASE SPECIALISTS WHEELING, WV 26003 CANCER CENTER 304 843-3302 527 MEDICAL PARK DR 1 MEDICAL CENTER DR 304 243-6442 WOOD COUNTY, WV STE 302 MORGANTOWN, WV 26506 BRIDGEPORT, WV 26330 ZELIA R BOWMAN MD NIKUNJ SHAH MD (T1) 304 598-4500 681 342-3870 (T1) * 705 GARFIELD AVE STE NILAY A SHAH MD (T1) * Accepts Ages 18 & Older 220 LEWIS COUNTY, WV UHA PHYSICIAN OFFICE WHEELING HOSPITAL PARKERSBURG, WV 26101 JONATHAN E STANLEY CENTER ONCOLOGY 304 424-2606 MD (T1) * 1 MEDICAL CENTER 40 MEDICAL PARK STE UHC INFECTIOUS DRIVE 300 KATY TICONA MD (T1) DISEASE SPECIALISTS MORGANTOWN, WV 26506 WHEELING, WV 26003 CAMDEN CLARK MEDICAL 107 STAUNTON DR 304 293-4229 304 243-6442 ONCOLOGY 705 GARFIELD AVE STE WESTON, WV 26452 KEVIN J SHANNON MD GURVEEN KAUR MD (T1) 220 681 342-3870 (T1) Accepts Ages 18 & Older PARKERSBURG, WV 26101 MONONGALIA COUNTY, UHA @ Hindi, PUNJABI 304 424-2606 WV IM/HEMATOLGY/ONCOLO WHEELING HOSPITAL KRISTINA C ALAAN MD GY ONCOLOGY Infectious Disease (T1) * 1 MEDICAL CENTER DR 40 MEDICAL PARK STE UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 ALLEGANY COUNTY, MD 300 CENTER 304 598-4500 MATTHEW E SIMMONS MD WHEELING, WV 26003 1 MEDICAL CENTER (T1) * SONIKPREET 304 243-6442 DRIVE WESTERN MARYLAND SONIKPREET-AULAKH MD UPSHUR COUNTY, WV MORGANTOWN, WV 26506 HEALTH SYSTEM (T1) 304 598-4800 ZEESHAN AHMAD MD 12502 WILLOWBROOK RD UHA (T1) STE 400 NICOLE B BRYAN MD (T1) IM/HEMATOLGY/ONCOLO Accepts Ages 18 & Older CUMBERLAND, MD 21502 UHA PHYSICIAN OFFICE GY ST JOSEPH HOSPITAL 240 964-8913 CENTER 1 MEDICAL CENTER DR 1 AMALIA DR 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 MATTHEW E SIMMONS MD BUCKHANNON, WV 26201 MORGANTOWN, WV 26506 304 598-4000 (T1) * 304 473-2000 304 598-4800 WESTERN MARYLAND HEALTH SYSTEM 12500 WILLOWBROOK RD CUMBERLAND, MD 21502 240 964-8913

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 78 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CLINTON G COOPER MD ALLISON M LASTINGER MARTIN A ALBORNOZ MD MANISH B JHAWAR MD (T1) MD (T1) (T1) * (T1) * UHA PHYSICIAN OFFICE UHA IM/INFECTIOUS @ SPANISH WVU HEART & VASCULAR CENTER DISEASE WESTERN MARYLAND INSTITUTE 1 MEDICAL CENTER DR 6040 UNIVERSITY TOWN HEALTH SYSTEM 2000 FOUNDATION WAY MORGANTOWN, WV 26506 CENTRE DR 12500 WILLOWBROOK RD STE 3100 304 598-4000 MORGANTOWN, WV 26501 CUMBERLAND, MD 21502 MARTINSBURG, WV 25401 855 988-2273 240 964-8740 304 350-3273 JUDITH FEINBERG MD (T1) * ALLISON M LASTINGER HANI I ALKHATIB MD (T1) ODUNUKAN W WVU MEDICINE MD (T1) * OLUFUNSO MD (T1) * BEHAVIORAL HEALTH UHA PHYSICIAN OFFICE @ ARABIC Accepts Ages 18 & Older 930 CHESTNUT RIDGE RD CENTER WESTERN MARYLAND WVU HEART & VASCULAR MORGANTOWN, WV 26505 1 MEDICAL CENTER DR HEALTH SYSTEM INSTITUTE 304 598-4214 MORGANTOWN, WV 26506 12500 WILLOWBROOK RD 2000 FOUNDATION WAY 304 598-4800 CUMBERLAND, MD 21502 MELANIE A FISHER MD STE 3100 240 964-8740 (T1) * REBECCA M REECE MD MARTINSBURG, WV 25401 UHA PHYSICIAN OFFICE (T1) * HANI I ALKHATIB MD (T1) 304 350-3273 CENTER UHA PHYSICIAN OFFICE * DAVID C PLITT MD (T1) 1 MEDICAL CENTER CENTER @ ARABIC Accepts Ages 18 & Older DRIVE 1 MEDICAL CENTER DR WESTERN MARYLAND WVU HEART & VASCULAR MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 HEALTH SYSTEM INSTITUTE 304 598-4800 304 598-4800 12502 WILLOWBROOK RD 2000 FOUNDATION WAY STE 420 JOHN A GUILFOOSE MD NASIRA ROIDAD MD (T1) STE 3100 CUMBERLAND, MD 21502 (T1) UHA PHYSICIAN OFFICE MARTINSBURG, WV 25401 240 964-8740 UHA PHYSICIAN OFFICE CENTER 304 350-3273 CENTER 1 MEDICAL CENTER SHAWN HOWELL MD (T1) NIRANJAN SESHADRI MD 1 MEDICAL CENTER DR DRIVE WESTERN MARYLAND (T1) * MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 HEALTH SYSTEM Accepts Ages 18 & Older 304 598-4800 304 598-4800 12502 WILLOWBROOK RD WVU HEART & VASCULAR STE 420 JOHN A GUILFOOSE MD ARIF SARWARI MD (T1) INSTITUTE CUMBERLAND, MD 21502 (T1) @ URDU 2000 FOUNDATION WAY 202 466-3000 RUBY MEMORIAL UHA PHYSICIAN OFFICE STE 3100 HOSPITAL CENTER NEIL S SHACHTER MD MARTINSBURG, WV 25401 1 MEDICAL CENTER DR ONE STADIUM DRIVE (T1) * 304 350-3273 MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 WESTERN MARYLAND KHOLA S TAHIR MD (T1) * 304 598-4000 304 598-4800 HEALTH SYSTEM Accepts Ages 18 & Older 12502 WILLOWBROOK RD SALLY L HODDER MD WVU HEART & VASCULAR CUMBERLAND, MD 21502 (T1) * Interventional INSTITUTE 240 964-8740 UHA PHYSICIAN OFFICE Cardiology 2000 FOUNDATION WAY CENTER BERKELEY COUNTY, WV STE 3100 ALLEGANY COUNTY, MD 1 MEDICAL CENTER IMAD AHMADO MD (T1) MARTINSBURG, WV 25401 MARTIN A ALBORNOZ MD DRIVE WVU HEART AND 304 350-3273 (T1) * MORGANTOWN, WV 26506 VASCULAR INSTITUTE @ SPANISH AJAY VIRMANI MD (T1) 304 393-3306 2000 FOUNDATION WAY WESTERN MARYLAND Accepts Ages 18 & Older STE 3100 RASHIDA A KHAKOO MD HEALTH SYSTEM WVU HEART & VASCULAR MARTINSBURG, WV 25401 (T1) * 12502 WILLOWBROOK RD INSTITUTE 304 350-3273 @ Swahili, GUJARTI STE 420 2000 FOUNDATION WAY UHA PHYSICIAN OFFICE CUMBERLAND, MD 21502 PAYAM FALLAHI MD (T1) STE 3100 CENTER 240 964-8354 Accepts Ages 18 & Older MARTINSBURG, WV 25401 1 MEDICAL CENTER WVU HEART & VASCULAR 304 350-3273 DRIVE INSTITUTE MORGANTOWN, WV 26506 2000 FOUNDATION WAY 304 598-4800 STE 3100 MARTINSBURG, WV 25401 304 350-3273

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 79 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BRAXTON COUNTY, WV MAHESWARA S GOLLA MONONGALIA COUNTY, CHRISTOPHER C ALLEN OLAWALE O OLATUNJI MD (T1) WV MD (T1) * MD (T1) * Accepts ages 16 & older ABDUL H ABBASI MD (T1) Accepts Ages 18 & Older 100 HOYLMAN DR PARKERSBURG * PROFESSIONAL CENTER GASSAWAY, WV 26624 CARDIOLOGY Accepts Ages 18 & Older 2 304 473-2300 122 PINNELL ST WVU HEART & VASCULAR 20 MEDICAL PARK STE RIPLEY, WV 25271 INSTITUTE 105 FAYETTE COUNTY, PA 304 424-4574 1 MEDICAL CENTER DR WHEELING, WV 26003 BRYAN D RAYBUCK MD MORGANTOWN, WV 26506 304 242-4800 SHOWRI M KARNAM MD (T1) * 877 988-4478 (T1)% CHRISTOPHER C ALLEN Requires Referral 122 PINNELL ST CHRISTOPHER C ALLEN Accepts Ages 18 & Older MD (T1) * RIPLEY, WV 25271 MD (T1) UNIONTOWN Accepts Ages 18 & Older 304 424-4574 CARDIOLOGY Accepts Ages 18 & Older WHEELING HOSPITAL, 100 WOODLAWN AVE STE JEFFERSON COUNTY, WV WVU HEART & VASCULAR INC INSTITUTE 58 16TH ST 2 ODUNUKAN W 1 MEDICAL CENTER DR WHEELING, WV 26003 UNIONTOWN, PA 15401 OLUFUNSO MD (T1) * 724 430-5600 MORGANTOWN, WV 26506 304 242-4800 Accepts Ages 18 & Older 877 988-4478 ANTHONY J FIFTH AVE MEDICAL RAMESH B DAGGUBATI RODA-RENZELLI MD (T1) BUILDING RAMESH B DAGGUBATI MD (T1) * 201 E 5TH AVE MD (T1) WVU HEART & VASCULAR WVU HEART & VASCULAR Requires Referral RANSON, WV 25438 INSTITUTE -WHEELING INSTITUTE Accepts Ages 18 & Older 304 728-1812 502 CABELA DR 1 MEDICAL CENTER DR UNIONTOWN TRIADELPHIA, WV 26059 KHOLA S TAHIR MD (T1) * MORGANTOWN, WV 26506 CARDIOLOGY 304 285-1996 Accepts Ages 18 & Older 877 988-4478 100 WOODLAWN AVE STE FIFTH AVE MEDICAL RAMESH B DAGGUBATI 2 BUILDING ILIANA S HURTADO MD (T1) UNIONTOWN, PA 15401 201 E 5TH AVE RENDON MD (T1) Accepts Ages 18 & Older 724 430-5600 RANSON, WV 25438 Accepts Ages 18 & Older @ Telugu, Hindi HARRISON COUNTY, WV 304 728-1812 WVU HEART & VASCULAR PROFESSIONAL CENTER INSTITUTE SE TOWER 2 JASON MORELAND MD LEWIS COUNTY, WV 1 MEDICAL CENTER DR 20 MEDICAL PARK STE (T1) EBRAHIM SABBAGH DO MORGANTOWN, WV 26506 105 527 MEDICAL PARK DR (T1) 877 988-4478 WHEELING, WV 26003 STE 304 Accepts ages 14 & older 304 242-4800 BRIDGEPORT, WV 26330 JASON MORELAND MD ABDULMALEK SABBAGH 304 842-0007 (T1) RAMESH B DAGGUBATI MD WVU HEART & VASCULAR MD (T1) BRYAN D RAYBUCK MD 29 HOSPITAL PLZ STE E INSTITUTE (T1) * WESTON, WV 26452 Accepts Ages 18 & Older 1 MEDICAL CENTER DR WVU HEART & VASCULAR 304 269-1448 @ Telugu, Hindi MORGANTOWN, WV 26506 INSTITUTE PROFESSIONAL CENTER MARSHALL COUNTY, WV 877 988-4478 527 MEDICAL PARK DR 1 STE 304 DAVID M CAMPSEY MD OHIO COUNTY, WV 10 MEDICAL PARK STE (T1) * 104 BRIDGEPORT, WV 26330 CHRISTOPHER C ALLEN WVU HEART & VASCULAR WHEELING, WV 26003 304 842-0007 MD (T1) INSTITUTE 304 242-4800 JACKSON COUNTY, WV 800 WHEELING AVE FL 3 Accepts Ages 18 & Older RAMESH B DAGGUBATI JOHN A GODDARD MD GLEN DALE, WV 26038 WVU HEART & VASCULAR MD (T1) (T1) 304 845-0100 INSTITUTE @ Telugu, Hindi 122 PINNELL ST 502 CABELA DR MERCER COUNTY, WV PROFESSIONAL CENTER RIPLEY, WV 25271 TRIADELPHIA, WV 26059 1 304 424-4574 ELIE GHARIB MD (T1) * 304 285-1996 MERCER MEDICAL 10 MEDICAL PARK STE GROUP 101 508 NEW HOPE RD STE 7 WHEELING, WV 26003 PRINCETON, WV 24740 304 242-4800 304 431-7200

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 80 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. RAMESH B DAGGUBATI UPSHUR COUNTY, WV WIRT COUNTY, WV OHIO COUNTY, WV MD (T1) ILIANA S HURTADO JOHN A GODDARD MD TARACHANDRA M Accepts Ages 18 & Older RENDON MD (T1) (T1) NARUMANCHI MD (T1) @ Telugu, Hindi Accepts Ages 18 & Older 483 COURT ST PEDS SPECIALTY CLINIC WHEELING HOSPITAL INC ST JOSEPH CARDIOLOGY ELIZABETH, WV 26143 10 MEDICAL PARK STE 58 16TH ST 10 AMALIA DR STE C7 304 424-4574 305 WHEELING, WV 26003 WHEELING, WV 26003 BUCKHANNON, WV 26201 MAHESWARA S GOLLA 304 242-4800 304 598-4835 304 460-7979 MD (T1) JAMES O D'ANTONIO MD WARREN COUNTY, VA Accepts ages 16 & older (T1) * Neonatology MANISH B JHAWAR MD PARKERSBURG Accepts Ages 18 & Older (T1) * CARDIOLOGY BERKELEY COUNTY, WV PROFESSIONAL CENTER WVU HEART & VASCULAR 483 COURT ST MARK J POLAK MD (T1) * 2 INSTITUTE ELIZABETH, WV 26143 CITY HOSPITAL 20 MEDICAL PARK STE 920 N SHENANDOAH AVE 304 424-4574 2500 HOSPITAL DR 105 STE 202 SHOWRI M KARNAM MD MARTINSBURG, WV 25401 WHEELING, WV 26003 FRONT ROYAL, VA 22630 (T1)% 304 264-1000 304 242-4800 540 749-2349 483 COURT ST MARK C SMITH MD (T1) JAMES O D'ANTONIO MD WASHINGTON COUNTY, ELIZABETH, WV 26143 CITY HOSPITAL (T1) * MD 304 424-4574 2500 HOSPITAL DR Accepts Ages 18 & Older PAYAM FALLAHI MD (T1) WOOD COUNTY, WV MARTINSBURG, WV 25401 WHEELING HOSPITAL INC 304 264-1000 Accepts Ages 18 & Older JOHN A GODDARD MD 58 16TH ST WVU MEDICINE BRAIN (T1) MONONGALIA COUNTY, WHEELING, WV 26003 AND SPINE Accepts ages 16 & older WV 304 242-4800 13 WESTERN MARYLAND 1013 GARFIELD AVE ALICIA A MOISE MD (T1) * PKWY STE 106 LLIANA S HURTADO PARKERSBURG, WV 26101 1 MEDICAL CENTER DR HAGERSTOWN, MD 21740 RENDON MD (T1) 304 424-4574 MORGANTOWN, WV 26506 240 513-4591 Accepts Ages 18 & Older 304 598-4800 MAHESWARA S GOLLA WHEELING HOSPITAL INC WINCHESTER CITY MD (T1) 58 16TH ST COUNTY, VA Nephrology WHEELING, WV 26003 MANISH B JHAWAR MD Accepts ages 16 & older 304 242-4800 (T1) * PARKERSBURG ALLEGANY COUNTY, MD CARDIOLOGY UMAIR AHMED MD (T1) LLIANA S HURTADO WVU HEART & VASCULAR INSTITUTE 1013 GARFIELD AVE Accepts Ages 18 & Older RENDON MD (T1) 650 CEDAR CREEK PARKERSBURG, WV 26101 WESTERN MARYLAND Accepts Ages 18 & Older GRADE STE 100 304 424-4574 HEALTH SYSTEM PROFESSIONAL CENTER WINCHESTER, VA 22601 SHOWRI M KARNAM MD 12502 WILLOWBROOK RD 2 540 535-0000 (T1)% STE 470 20 MEDICAL PARK STE CUMBERLAND, MD 21502 105 DAVID C PLITT MD (T1) Accepts ages 16 & older 240 964-8910 WHEELING, WV 26003 Accepts Ages 18 & Older 1013 GARFIELD AVE 304 242-4800 WVU HEART & VASCULAR PARKERSBURG, WV 26101 MARY ANN L BISHOP MD 304 424-4574 (T1) * RANDOLPH COUNTY, WV INSTITUTE 650 CEDAR CREEK Accepts Ages 18 & Older JASON MORELAND MD GRADE STE 100 Medical Genetics UPMC WESTERN (T1) WINCHESTER, VA 22601 MARYLAND WVU HEART & MONONGALIA COUNTY, 540 535-0000 12500 WILLOWBROOK RD VASCULARE WV CUMBERLAND, MD 21502 INSTITUTE-ELKINS AJAY VIRMANI MD (T1) TARACHANDRA M 240 964-8342 812 GORMAN AVE Accepts Ages 18 & Older NARUMANCHI MD (T1) ELKINS, WV 26241 WVU HEART & VASCULAR UHA PHYSICIAN OFFICE MARY ANN L BISHOP MD 304 637-3897 INSTITUTE CENTER (T1) * 650 CEDAR CREEK 1 MEDICAL CENTER UPMC WESTERN GRADE STE 100 DRIVE MARYLAND WINCHESTER, VA 22601 MORGANTOWN, WV 26506 12502 WILLOWBROOK RD 540 535-0000 304 598-4800 CUMBERLAND, MD 21502 240 964-8724

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 81 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. ERIN BOHEN MD (T1) * JOSEPH P AMIT K NAHATA MD (T1) * BETHANY PELLEGRINO WESTERN MARYLAND DEJONCKHEERE MD (T1) Accepts ages 16 & older MD (T1) * HEALTH SYSTEM * @ Hindi 888 MEMORIAL DR 12500 WILLOWBROOK RD KIDNEY CARE CENTER 485 COLLIERS WAY STE L OAKLAND, MD 21550 CUMBERLAND, MD 21502 2562 CONSTITUTION WEIRTON, WV 26062 301 334-8465 240 964-7000 BLVD 740 266-6771 REBECCA A SCHMIDT DO BEAVER FALLS, PA 15010 NEEHARIK MAREEDU MD FAYETTE COUNTY, WV (T1) * 724 891-5044 (T1) GAYATRI LESSEY MD (T1) 251 N 4TH ST BERKELEY COUNTY, WV OAKLAND, MD 21550 Accepts Ages 18 & Older Accepts ages 15 & older 304 598-4855 @ Hindi, Telugu BABAK BARMAR MD CHARLESTON WESTERN MARYLAND (T1)% NEPHROLOGY REBECCA A SCHMIDT DO HEALTH SYSTEM @ PERSIAN, FARSI, 401 6TH AVE (T1) * 12502 WILLOWBROOK RD GERMAN MONTGOMERY, WV 25136 Accepts Ages 18 & Older STE 400 KIDNEY SPECIALISTS 304 400-4700 888 MEMORIAL DR CUMBERLAND, MD 21502 1004 SUSHRUTA DR STE OAKLAND, MD 21550 240 964-8910 MUHAMMAD O SALEEM A 301 334-8465 MARTINSBURG, WV 25401 MD (T1) NEEHARIK MAREEDU MD Accepts ages 15 & older HARDY COUNTY, WV (T1) 304 449-3778 CHARLESTON BETHANY S PELLEGRINO Accepts Ages 18 & Older ERIC M LOPEZ MD (T1) NEPHROLOGY MD (T1) * @ Hindi, Telugu MEADOW KIDNEY CARE 401 6TH AVE 8 LEE ST WESTERN MARYLAND 103 MARCLEY DR MONTGOMERY, WV 25136 MOOREFIELD, WV 26836 HEALTH SYSTEM MARTINSBURG, WV 25401 304 400-4700 304 598-4855 12500 WILLOWBROOK RD 304 263-0911 CUMBERLAND, MD 21502 ABDUL R ZANABLI MD HARRISON COUNTY, WV BOONE COUNTY, WV (T1) * 240 964-8910 JAMES J DEMARCO MD MUHAMMAD O SALEEM Accepts ages 15 & older (T1) HASSAAN RASHEED MD MD (T1) CHARLESTON NEPH CLARKSBURG (T1) * Accepts ages 15 & older HYPERTENSION NEPHROLOGY & Accepts Ages 18 & Older CHARLESTON 401 6TH AVE #303D HYPERTENSION WESTERN MARYLAND NEPHROLOGY MONTGOMERY, WV 25136 109 PLATINUM DR STE I HEALTH SYSTEM 467 MAIN ST 304 400-4700 BRIDGEPORT, WV 26330 12502 WILLOWBROOK RD MADISON, WV 25130 304 842-0800 STE 400 304 400-4700 FRANKLIN COUNTY, PA CUMBERLAND, MD 21502 ERIC J LOPEZ MD (T1) NABEEL GHABRA MD ABDUL R ZANABLI MD 240 964-8910 MEADOW KIDNEY CARE (T1) * (T1) * 27 VISTA DR Accepts ages 16 & older ALLEGHENY COUNTY, PA Accepts ages 15 & older WAYNESBORO, PA 17268 UHC NEPHROLOGY JOSEPH P CHARLESTON 717 765-4117 527 MEDICAL PARK DR DEJONCKHEERE MD (T1) NEPHROLOGY STE 402 * 712 MADISON AVE ERIC J LOPEZ MD (T1) BRIDGEPORT, WV 26330 KIDNEY CARE CENTER MADISON, WV 25130 MEADOW KIDNEY CARE 681 342-3690 2727 BANKSVILLE RD 304 400-4700 144 S 8TH STE STE 102 PITTSBURGH, PA 15216 CHAMBERSBURG, PA CHIRAG LAVANI MD (T1) BRAXTON COUNTY, WV 724 891-5044 17201 16 STERLING DR CHIRAG LAVANI MD (T1) 301 797-9600 BRIDGEPORT, WV 26330 BEAVER COUNTY, PA 256 SKIDMORE LN GARRETT COUNTY, MD 304 598-4855 JOSEPH P SUTTON, WV 26601 DEJONCKHEERE MD (T1) 304 765-2892 CHIRAG LAVANI MD (T1) JACKSON COUNTY, WV * 251 N 4TH ST GAYATRI LESSEY MD (T1) BROOKE COUNTY, WV KIDNEY CARE CENTER OAKLAND, MD 21550 Accepts ages 15 & older 99 BUS ROAD LOWER JESSIE GANJOO MD (T1) 301 533-4000 CHARLESTON WEIRTON MEDICAL BLDG ALIQUIPPA, PA 15001 CHIRAG LAVANI MD (T1) NEPHROLOGY 485 COLLIERS WAY STE A 724 891-5044 888 MEMORIAL DR 122 PINNELL ST WEIRTON, WV 26062 OAKLAND, MD 21550 RIPLEY, WV 25271 740 266-6771 301 334-8465 304 400-4700

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 82 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MUHAMMAD O SALEEM MUHAMMAD O SALEEM MERCER COUNTY, WV CHIRAG LAVANI MD (T1) MD (T1) MD (T1) ABBAS EL KHATIB MD MOUNTAINEER MALL Accepts ages 15 & older Accepts ages 15 & older (T1) 5000 GREENBAG RD CHARLESTON CHARLESTON @ ARABIC MORGANTOWN, WV 26501 NEPHROLOGY NEPHROLOGY MERCER MEDICAL 304 284-8738 122 PINNELL ST BLDG 6 4825 MACCORKLE AVE GROUP CHIRAG LAVANI MD (T1) RIPLEY, WV 25271 SW STE A 296 NEW HOPE RD STE 2 1160 VAN VOORHIS RD 304 400-4700 SOUTH CHARLESTON, WV PRINCETON, WV 24740 MORGANTOWN, WV 26505 25309 304 425-6525 ABDUL R ZANABLI MD 855 988-2273 304 400-4700 (T1) * ABBAS EL KHATIB MD ALVIN H MOSS MD (T1) * Accepts ages 15 & older ABDUL R ZANABLI MD (T1) WVU MEDICINE CHARLESTON (T1) * @ ARABIC SUNCREST TOWNE NEPHROLOGY Accepts ages 15 & older MERCER MEDICAL CENTRE 122 PINNELL ST CHARLESTON GROUP NEPHROLOGY 600 SUNCREST TOWNE RIPLEY, WV 25271 NEWPROLOGY 160 SPRINGHAVEN DR CENTER 304 400-4700 4825 MACCORKLE AVE PRINCETON, WV 24740 MORGANTOWN, WV 26505 SW STE A 304 487-3866 JEFFERSON COUNTY, OH 304 598-4478 SOUTH CHARLESTON, WV ABBAS EL KHATIB MD JESSIE GANJOO MD (T1) 25309 ANTHONY J PARRAVANI (T1) Accepts ages 16 & older 304 400-4700 MD (T1) 4227 MALL DRIVE TRI @ ARABIC WVU MEDICINE STATE PLAZ LEWIS COUNTY, WV MERCER MEDICAL SUNCREST TOWNE STEUBENVILLE, OH 43952 CHIRAG LAVANI MD (T1) GROUP NEPHROLOGY CENTRE 740 266-6771 378 MARKET PLACE MALL 120 12TH ST 600 SUNCREST TOWN WESTON, WV 26452 PRINCETON, WV 24740 CENTRE DR AMIT K NAHATA MD (T1) * 304 598-4855 304 487-8000 MORGANTOWN, WV 26505 Accepts ages 16 & older MINERAL COUNTY, WV 304 598-4478 @ Hindi REBECCA A SCHMIDT DO 4227 MALL DR (T1) * BETHANY S PELLEGRINO BETHANY S PELLEGRINO STEUBENVILLE, OH 43952 Accepts Ages 18 & Older MD (T1) * MD (T1) * 740 266-6771 251 W 2ND ST 1080 NEW CREEK HWY 1200 J D ANDERSON DR WESTON, WV 26452 KEYSER, WV 26726 MORGANTOWN, WV 26505 JEFFERSON COUNTY, WV 304 598-4855 304 788-5057 888 988-2273 ERIC J LOPEZ MD (T1) MONONGALIA COUNTY, BETHANY S PELLEGRINO MEADOW KIDNEY CARE LOUDOUN COUNTY, VA WV MD (T1) * 179 E BURR BLVD STE A BABAK BARMAR MD ANAS DIAB MD (T1) * 1160 VAN VOORHIS RD KEARNEYSVILLE, WV (T1)% UHA PHYSICIAN OFFICE MORGANTOWN, WV 26505 25430 @ PERSIAN, FARSI, CENTER 855 988-2273 304 728-4090 GERMAN 1 MEDICAL CENTER KIDNEY SPECIALISTS BETHANY S PELLEGRINO KANAWHA COUNTY, WV DRIVE PLLC MD (T1) * ABDUL R ZANABLI MD MORGANTOWN, WV 26506 821 S KING ST STE L Accepts Ages 18 & Older (T1) 304 598-4800 LEESBURG, VA 20175 UHA IM/NEPHROLOGY Accepts ages 15 & older 304 449-3778 ANAS DIAB MD (T1) * 6040 UNIVERSITY TOWN CHARLESTON MARION COUNTY, WV UHA IM/NEPHROLOGY CENTRE DR NEWPROLOGY 600 SUNCREST TOWN DINESH KANNABHIRAN MORGANTOWN, WV 26501 4825 MACCORKLE AVE CENTRE DR MD (T1) * 855 988-2273 SW STE A MORGANTOWN, WV 26505 FAIRMONT GATEWAY SOUTH CHARLESTON, WV 304 598-4478 BETHANY PELLEGRINO 25309 CENTER MD (T1) * 304 400-4700 100 STONEY HILL RD DINESH KANNABHIRAN UHA PHYSICIAN OFFICE FAIRMONT, WV 26554 MD (T1) * CENTER 304 285-5400 WVU MEDICINE 1 MEDICAL CENTER SUNCREST TOWNE CHIRAG LAVANI MD (T1) DRIVE CENTRE 31 LANDING LN MORGANTOWN, WV 26506 600 SUNCREST TOWNE FAIRMONT, WV 26554 304 598-4800 CENTER 304 598-4855 MORGANTOWN, WV 26505 304 598-4478

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 83 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MARK A POLING MD (T1) KHALED SHAWWA MD REBECCA A SCHMIDT DO WASHINGTON COUNTY, * (T1) (T1) * PA UHA PHYSICIAN OFFICE WVU MEDICINE 100 MAIN ST JOSEPH P CENTER SUNCREST TOWNE ELKINS, WV 26241 DEJONCKHEERE MD (T1) 1 MEDICAL CENTER CENTRE 304 598-4855 * DRIVE 600 SUNCREST TOWN KIDNEY CARE CENTER TAYLOR COUNTY, WV MORGANTOWN, WV 26506 CENTRE DR 280 NORTH AVE 304 598-4800 MORGANTOWN, WV 26505 CHIRAG LAVANI MD (T1) WASHINGTON, PA 15301 304 598-4478 245 GREENES PLZ STE 7 724 229-8834 MARK A POLING MD (T1) GRAFTON, WV 26354 * NICHOLAS COUNTY, WV 304 265-9186 JOSEPH P 1160 VAN VOORHIS RD OULIMATA K GROSSMAN DEJONCKHEERE MD (T1) UPSHUR COUNTY, WV MORGANTOWN, WV 26505 MD (T1) * 855 988-2273 SUMMERSVILLE BETHANY S PELLEGRINO KIDNEY CARE CENTER MD (T1) * 131 HILLPOINTE DR ANKIT SAKHUJA MD (T1) REGIONAL MEDICAL CTR 11 N LOCUST ST CANONSBURG, PA 15317 * 400 FAIRVIEW HEIGHTS BUCKHANNON, WV 26201 724 229-8834 UHA PHYSICIAN OFFICE RD 304 598-4855 CENTER SUMMERSVILLE, WV JESSIE GANJOO MD (T1) 1 MEDICAL CENTER DR 26651 WASHINGTON COUNTY, KIDNEY CARE CENTER MORGANTOWN, WV 26506 844 862-4751 MD 280 NORTH AVE 304 598-4478 BETHANY S PELLEGRINO ERIC J LOPEZ MD (T1) WASHINGTON, PA 15301 MEADOW KIDNEY CARE 724 229-8834 REBECCA A SCHMIDT DO MD (T1) * 12931 OAK HILL AVE (T1) * SUMMERSVILLE JESSIE GANJOO MD (T1) SPECIALTY CLINIC HAGERSTOWN, MD 21742 Accepts Ages 18 & Older 301 797-9600 131 HILLPOINTE DR 1200 J D ANDERSON DR 400 FAIRVIEW HEIGHTS CANONSBURG, PA 15317 MORGANTOWN, WV 26505 RD STE 204 ERIC J LOPEZ MD (T1) 724 229-8834 888 988-2273 SUMMERSVILLE, WV MEADOW KIDNEY CARE 26651 11110 MEDICAL CAMPUS AMIT K NAHATA MD (T1) * REBECCA A SCHMIDT DO 855 988-2273 RD STE 149 Accepts ages 16 & older (T1) * KIDNEY CARE CENTER PRESTON COUNTY, WV HAGERSTOWN, MD 21742 Accepts Ages 18 & Older 240 313-9620 280 NORTH AVE UHA PHYSICIAN OFFICE DINESH KANNABHIRAN WASHINGTON, PA 15301 CENTER MD (T1) * WASHINGTON COUNTY, 724 229-8834 600 SUNCREST TOWNE 856 CASTEEL RD OH AMIT K NAHATA MD (T1) * CENTER RD BRUCETON MILLS, WV MUHAMMAD O SALEEM 26525 MD (T1) KIDNEY CARE CENTER MORGANTOWN, WV 26505 131 HILLPOINTE DR 304 598-4855 Accepts ages 15 & older 304 598-4478 CANONSBURG, PA 15317 CHARLESTON CHIRAG LAVANI MD (T1) 724 229-8834 REBECCA A SCHMIDT DO NEPHROLOGY 856 CASTEEL RD (T1) * 510 MAIN ST WEBSTER COUNTY, WV MOUNTAINEER MALL BRUCETON MILLS, WV BELPRE, OH 45714 BETHANY S PELLEGRINO 5000 GREENBAG RD 26525 304 400-4700 MD (T1) * MORGANTOWN, WV 26501 304 598-4855 324 MILLER MOUNTAIN 304 284-8738 RANDOLPH COUNTY, WV MAHYAR TAHBAZ DO (T1) * DR CHIRAG LAVANI MD (T1) REBECCA A SCHMIDT DO DAVITA DIALYSIS WEBSTER SPRINGS, WV 100 MAIN ST (T1) * 2906 WASHINGTON BLVD 26288 ELKINS, WV 26241 Accepts Ages 18 & Older BELPRE, OH 45714 MOUNTAINEER MALL 304 598-4855 740 401-0607 WINCHESTER CITY 5000 GREENBAG RD BETHANY S PELLEGRINO COUNTY, VA MORGANTOWN, WV 26501 MAHYAR TAHBAZ DO MD (T1) * BABAK BARMAR MD 304 284-8738 (T1) * UHA IM/NEPHROLOGY 400 MATTHEW ST STE 101 (T1)% ERIC J SEACHRIST MD 201 MAIN ST MARIETTA, OH 45750 @ PERSIAN, FARSI, (T1) ELKINS, WV 26241 740 374-4907 GERMAN WVU EYE INSTITUTE 304 598-4855 KIDNEY SPECIALISTS 1 MEDICAL CENTER DR MAHYAR TAHBAZ DO 480 W JUBAL EARLY DR MORGANTOWN, WV 26506 (T1) * STE 200 304 598-4820 1019 PIKE ST WINCHESTER, VA 22601 MARIETTA, OH 45750 304 449-3778 740 376-2622

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 84 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. WOOD COUNTY, WV SAIQA S CHOUDHRY MD APOORV PRASAD MD HARRISON COUNTY, WV MIRZA T HAMIRANI MD (T1) (T1) ADNAN ALGHADBAN MD (T1) @ URDU Accepts Ages 18 & Older (T1) *% Accepts ages 10 & older WESTERN MARYLAND UNIVERSITY NEUROLOGY @ ARABIC Requires Referral HEALTH SYSTEM AND NEUROSCIENCE 527 MEDICAL PARK DR @ URDU, Kachee 625 KENT AVE STE 302 156 HEALTH CARE LN STE 204 800 GRAND CENTRAL CUMBERLAND, MD 21502 MARTINSBURG, WV 25401 BRIDGEPORT, WV 26330 MALL BLDG B STE 9 301 777-1930 304 264-0704 304 933-3800 VIENNA, WV 26105 DENNIS D DEY MD (T1) FAYETTE COUNTY, PA ZAID A AL-QUDAH MD 304 834-3970 Accepts Ages 18 & Older DONALD DWOREK DO (T1)% NEEHARIKA MUDDANA @ GERMAN (T1) @ ARABIC MD (T1) WESTERN MARYLAND Requires Referral 527 MEDICAL PARK DR WVU MEDICINE HEALTH SYSTEM Accepts ages 16 & older STE 204 NEPHROLOGY 12500 WILLOWBROOK RD UNIONTOWN SURGERY BRIDGEPORT, WV 26330 418 GRAND PARK DR STE APT FL6 100 WOODLAWN AVE STE 304 933-3800 CUMBERLAND, MD 21502 311 1 KHALDOUN MOZAHEM 240 964-8944 PARKERSBURG, WV 26105 UNIONTOWN, PA 15401 MD (T1)% 304 865-2026 724 430-5600 RIAZ JANJUA MD (T1) Office Care Only MAHYAR TAHBAZ DO Accepts ages 15 & older MELISSA A MOORE MD Accepts ages 12 & older (T1) * WESTERN MARYLAND (T1) @ ARABIC PHYSICIANS OFFICE HEALTH SYSTEM Accepts ages 16 & older ASSOCIATED BDLG 12500 WILLOWBROOK RD UNIONTOWN SPECIALTY SPECIALISTS 600 18TH ST STE 213 APT FL6 CARE 1513 JOHNSON AVE PARKERSBURG, WV 26101 CUMBERLAND, MD 21502 500 W BERKELEY ST BRIDGEPORT, WV 26330 304 422-6999 240 964-6000 UNIONTOWN, PA 15401 304 842-5864 MAHYAR TAHBAZ DO IAKOV N RUDENKO MD 724 430-5600 SHIV NAVADA MD (T1) * (T1) * (T1) GILMER COUNTY, WV Accepts Ages 18 & Older 1824 MURDOCH AVE @ Russian JOHN F BRICK MD (T1) * @ KANNADA PARKERSBURG, WV 26101 WESTERN MARYLAND 921 MINERAL RD 527 MEDICAL PARK DR 304 420-0390 HEALTH SYSTEM GLENVILLE, WV 26351 STE 107 12500 WILLOWBROOK RD 304 598-4800 DR.NAVADA OFFICE Neurology CUMBERLAND, MD 21502 BRIDGEPORT, WV 26330 240 964-7000 GREENBRIER COUNTY, 304 933-3843 ALLEGANY COUNTY, MD WV IAKOV N RUDENKO MD MURTAZA AMIR MD (T1) JOHN F BRICK MD (T1) * MARION COUNTY, WV (T1) Accepts Ages 18 & Older 1464 JEFFERSON ST N KHALDOUN MOZAHEM @ Russian WESTERN MARYLAND LEWISBURG, WV 24901 MD (T1)% WESTERN MARYLAND HEALTH SYSTEM 304 598-6127 Office Care Only HEALTH SYSTEM 12500WILLOWBROOK RD Accepts ages 12 & older 12502 WILLOWBROOK RD JOHN F BRICK MD (T1) * FL 6 @ ARABIC STE 680 THE GREENBRIER CLINIC CUMBERLAND, MD 21502 ASSOCIATED CUMBERLAND, MD 21502 320 W MAIN ST 301 777-1930 SPECIALISTS 240 964-8944 WHITE SULPHUR 100 VILLAGE DR STE SAIQA S CHOUDHRY MD SPRINGS, WV 24986 BERKELEY COUNTY, WV 300-301 (T1) 304 598-6127 ABHISHEK ANAND MD WHITE HALL, WV 26554 @ URDU (T1) MARGARET E JAYNES MD 304 842-5864 WESTERN MARYLAND 156 HEALTH CARE LANE (T1) HEALTH SYSTEM MERCER COUNTY, WV MARTINSBURG, WV 25401 400 N JEFFERSON ST 12500 WILLOWBROOK RD AMELIA K ADCOCK MD 304 264-0704 LEWISBURG, WV 24901 CUMBERLAND, MD 21502 (30 ) 6-5-33 (T1) 301 777-1930 JOHN F BRICK MD (T1) * MERCER MEDICAL 202 LARRY JOE HARLESS GROUP NEUROLOGY DR 122 12TH ST GLENGARY, WV 25421 PRINCETON, WV 24740 304 598-4800 304 487-7000

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 85 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MUHAMMAD M ALVI MD MAZIAR SEYEDIAN MD JOHN F BRICK MD (T1) * ANN M MURRAY MD (T1) (T1) (T1) * WVU EYE INSTITUTE ROCKEFELLER MERCER MEDICAL Accepts Ages 18 & Older 1 MEDICAL CENTER DR NEUROSCIENSE GROUP NEUROLOGY MERCER MEDICAL MORGANTOWN, WV 26506 INSTITUTE 122 12TH ST GROUP NEUROLOGY 304 598-4820 33 MEDICAL CENTER DR PRINCETON, WV 24740 MORGANTOWN, WV 26505 122 12TH ST RYAN C BUZZERD CNP 304 487-3407 304 598-6127 PRINCETON, WV 24740 (T1) JOHN F BRICK MD (T1) * 304 487-3407 1 MEDICAL CENTER DR UMER NAJIB MD (T1) MERCER MEDICAL MATTHEW S SMITH MD MORGANTOWN, WV 26506 ROCKEFELLER GROUP NEUROLOGY (T1) 304 598-4000 NEUROSCIENCE 122 12TH ST INSTITUTE MERCER MEDICAL MARGARET E JAYNES MD PRINCETON, WV 24740 33 MEDICAL CENTER DR GROUP NEUROLOGY (T1) 304 487-7000 MORGANTOWN, WV 26505 122 12TH ST 1 MEDICAL CENTER DR 304 598-6127 THEODORE L KATNER MD PRINCETON, WV 24740 MORGANTOWN, WV 26506 (T1) 304 487-3407 304 598-4000 UMER NAJIB MD (T1) MERCER MEDICAL WVU EYE INSTITUTE MONONGALIA COUNTY, THEODORE L KATNER MD GROUP NEUROLOGY 1 MEDICAL CENTER DR WV (T1) 122 12TH ST MORGANTOWN, WV 26506 AMELIA K ADCOCK MD 1 MEDICAL CENTER DR PRINCETON, WV 24740 304 598-4820 (T1) MORGANTOWN, WV 26506 304 487-7000 RUBY MEMORIAL 304 598-4800 GAURI PAWAR MD (T1) HOSPITAL WILLIAM A MERVA MD Not Accepting New Patients 1 MEDICAL CENTER DR DAVID P LIBELL MD (T1) (T1) * @ Hindi MORGANTOWN, WV 26506 RUBY MEMORIAL Accepts Ages 18 & Older RUBY MEMORIAL 304 598-4820 HOSPITAL CAPTURE 107 1 MEDICAL PARK DR HOSPITAL 508 NEW HOPE RD STE 7 PUNIT AGRAWAL DO (T1) MORGANTOWN, WV 26506 1 MEDICAL PARK DR PRINCETON, WV 24740 * 304 598-4000 MORGANTOWN, WV 26506 304 431-7200 ROCKEFELLER 304 598-4000 NEUROSCIENCE KRISTINA J LOPEZ MD NATHANIEL J MOHNEY JACK E RIGGS MD (T1) * INSTITUTE NEURO (T1) MD (T1) WVU MEDICAL CORP 33 MEDICAL CENTER DR RUBY MEMORIAL MERCER MEDICAL 1 MEDICAL CENTER DR MORGANTOWN, WV 26505 HOSPITAL GROUP NEUROLOGY MORGANTOWN, WV 26506 304 598-6127 1 MEDICAL CENTER DR 122 12TH ST MORGANTOWN, WV 26506 304 598-4820 PRINCETON, WV 24740 MUHAMMAD M ALVI MD 304 598-4000 ZUBEDA B SHEIKH MD 304 487-7000 (T1) (T1) RUBY MEM HOSPITAL MATTHEW MARSHALL MD ANN M MURRAY MD (T1) 1 MEDICAL CENTER DR 101 STADIUM DR (T1) * MERCER MEDICAL MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 PHYSICIAN OFFICE GROUP NEUROLOGY 304 598-4800 304 598-4800 CENTER 122 12TH ST 1 MEDICAL CENTER DR CHERYL A SMITH MD (T1) PRINCETON, WV 24740 MUHAMMAD M ALVI MD MORGANTOWN, WV 26506 1 MEDICAL CENTER DR 304 487-3407 (T1) 800 988-2273 MORGANTOWN, WV 26506 ROCKEFELLER UMER NAJIB MD (T1) 304 598-4800 NEUROSCIENCE NATHANIEL J MOHNEY MERCER MEDICAL INSTITUTE NEURO MD (T1) MATTHEW S SMITH MD GROUP NEUROLOGY 33 MEDICAL CENTER DR ROCKEFELLER (T1) 122 12TH ST MORGANTOWN, WV 26505 NEUROSCIENCE 930 CHESTNUT RIDGE RD PRINCETON, WV 24740 304 598-6127 INSTITUTE MORGANTOWN, WV 26505 304 487-3407 33 MEDICAL CENTER DR 304 598-4214 MOUHANNAD I AZZOUZ ERIC J SEACHRIST MD MORGANTOWN, WV 26505 MD (T1) MATTHEW S SMITH MD (T1) 304 598-6127 @ ARABIC (T1) MERCER MEDICAL WEST VIRGINIA ANN M MURRAY MD (T1) ROCKEFELLER GROUP NEUROLOGY UNIVERSITY 1065 SUNCREST TOWNE NEUROSCIENCE 122 12TH ST 1 MEDICAL CENTER DR CENTRE DR INSTITUTE PRINCETON, WV 24740 MORGANTOWN, WV 26506 MORGANTOWN, WV 26505 33 MEDICAL CENTER DR 304 487-3407 304 598-4800 304 598-4800 MORGANTOWN, WV 26505 304 598-6127

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 86 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. SHITIZ K SRIWASTAVA KIRK C WILHELMSEN MD STEPHEN R TIMMS MD MALCOLM B LOUDEN MD MD (T1) (T1) (T1) *% (T1) 1 MEDICAL CENTER DR UHA NERUOLOGY Accepts ages 2 & older Accepts ages 14 & older MORGANTOWN, WV 26506 33 MEDICAL CENTER DR PROFESSIONAL CENTER 3803 EMERSON AVE 304 598-4820 MORGANTOWN, WV 26505 2 PARKERSBURG, WV 26104 304 598-6127 SHUMAILA SULTAN MD 20 MEDICAL PARK STE 304 485-5041 303 (T1) NICHOLAS COUNTY, WV MICHAEL A MOREHEAD WHEELING, WV 26003 RUBY MEMORIAL MARGARET E JAYNES MD MD (T1) 304 243-8399 HOSPITAL (T1) Accepts ages 14 & older 1 MEDICAL PARK DR 400 FAIRVIEW HEIGHTS WLADIMIR A ZYZNEWSKY 3803 EMERSON AVE MORGANTOWN, WV 26506 RD MD (T1) * PARKERSBURG, WV 26104 304 598-4000 SUMMERSVILLE, WV Accepts Ages 8 and up 304 485-5041 RICHA TRIPATHI MD (T1) 26651 @ SPANISH 1 MEDICAL CENTER DR 844 862-4751 40 MEDICAL PARK STE Neurology (Pediatric) 500 MORGANTOWN, WV 26506 KRISTINA J LOPEZ MD WHEELING, WV 26003 GREENBRIER COUNTY, 304 598-4800 (T1) 304 243-8822 WV RICHA TRIPATHI MD (T1) 400 FAIRVIEW HEIGHTS MARGARET E JAYNES MD ROCKEFELLER RD PRESTON COUNTY, WV (T1) NEUROSCIENCE SUMMERSVILLE, WV KHALDOUN MOZAHEM 400 N JEFFERSON ST INSTITUTE 26651 MD (T1) LEWISBURG, WV 24901 844 862-4751 33 MEDICAL CENTER DR Accepts ages 12 & older (30 ) 6-5-33 MORGANTOWN, WV 26505 CHERYL A SMITH MD (T1) @ ARABIC MONONGALIA COUNTY, 304 598-6127 400 FAIRVIEW HEIGHTS PRESTON MEMORIAL WV MELANIE D WARD MD RD HOSP ALFRED BALASA MD (T1) (T1) SUMMERSVILLE, WV 12302 VETERANS NEURODEVELOPMENT WVU EYE INSTITUTE 26651 MEMORIAL HWY CENTER - MORGANTOWN 1 MEDICAL CENTER DR 844 862-4751 REEDSVILLE, WV 26547 201 BAKERS RIDGE RD 304 864-2290 MORGANTOWN, WV 26506 OHIO COUNTY, WV MORGANTOWN, WV 26508 304 598-4300 304 598-4820 BRENDA L ADAMOVICH RANDOLPH COUNTY, WV DAVID B WATSON MD DO (T1)% MARGARET E JAYNES MD ALFRED BALASA MD (T1) (T1) 10 MEDICAL PARK STE (T1) 1 MEDICAL CENTER DR RUBY MEMORIAL 301 240 ALLEGHENY HWY MORGANTOWN, WV 26506 HOSPITAL WHEELING, WV 26003 ELKINS, WV 26241 304 598-4800 1 MEDICAL PARK DR 304 243-5143 304 598-4835 DAVID G HUSS MD (T1) MORGANTOWN, WV 26506 SRINI GOVINDAN MD WOOD COUNTY, WV Accepts ages birth to 18 304 598-4000 (T1)% JOHN F BRICK MD (T1) * NEURODEVELOPMENT DAVID B WATSON MD DR GOVINDAN DIVISION CAMDEN CLARK CENTER MORGANTOWN (T1) OF WHEELING HOSPITA MEMORIAL HOSPITAL 201 BAKERS RIDGE RD ROCKEFELLER 40 MEDICAL PARK STE 800 GARFIELD AVE MORGANTOWN, WV 26508 NEUROSCIENCE 500 PARKERSBURG, WV 26101 304 598-4300 INSTITUTE NEURO WHEELING, WV 26003 304 424-2111 33 MEDICAL CENTER DR 304 242-2503 DAVID G HUSS MD (T1) MUHAMMAD R HUSAIN MORGANTOWN, WV 26505 Accepts ages birth to 18 MARGARET JAYNES MD MD (T1) 304 598-6127 PHYSICIAN OFFICE (T1) PARKERSBURG CENTER KIRK C WILHELMSEN MD 2000 EOFF ST NEUROLOGICAL 1 MEDICAL CENTER DR (T1) WHEELING, WV 26003 ASSOCIATES MORGANTOWN, WV 26506 PHYSICIAN OFFICE 304 243-8393 3803 EMERSON AVE 304 598-4800 CENTER PARKERSBURG, WV 26104 1 MEDICAL CENTER DR 304 485-5041 MARGARET E JAYNES MD MORGANTOWN, WV 26506 (T1) MARGARET E JAYNES MD 855 988-2273 1 MEDICAL CENTER DR (T1) MORGANTOWN, WV 26506 800 GRAND CENTRAL 304 598-4000 MALL VIENNA, WV 26105 304 485-3300

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 87 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JODI A LINDSEY MD (T1) NICHOLAS COUNTY, WV WOOD COUNTY, WV MARK R LEE MD (T1) * UHA PEDIATRIC ALFRED BALASA MD (T1) MARGARET E JAYNES MD WVU MEDICINE BRAIN NEUROLOGY SUMMERSVILLE (T1) AND SPINE 201 BAKERS RIDGE RD REGIONAL MEDICAL 800 GRAND CENTRAL 880 N TENNESSEE AVE MORGANTOWN, WV 26508 CENTER MALL STE 104 304 598-4300 400 FAIRVIEW HEIGHTS VIENNA, WV 26105 MARTINSBURG, WV 25401 304 596-5160 JODI A LINDSEY MD (T1) RD 304 485-3300 UHA PHYSICIAN OFFICE SUMMERSVILLE, WV MARK A LYERLY MD (T1) CENTER 26651 Neurosurgery WVU MEDICINE BRAIN & 1 MEDICAL CENTER 304 872-8601 SPINE ALLEGANY COUNTY, MD DRIVE DAVID G HUSS MD (T1) 880 N TENNESSEE AVE MORGANTOWN, WV 26506 KHEDER ASHKER MD STE 104 Accepts ages birth to 18 (T1) * 304 598-4800 SUMMERSVILLE MARTINSBURG, WV 25401 Accepts ages 11 & older REGIONAL MEDICAL 304 596-5160 JOHN L MAGRUDER MD @ ARABIC CENTER (T1) WESTERN MARYLAND JONATHAN H SHERMAN 400 FAIRVIEW HEIGHTS UHA PHYSICIAN OFFICE HEALTH SYSTEM MD (T1) * RD CENTER 12500 WILLOWBROOK RD Accepts Ages 18 & Older SUMMERSVILLE, WV 1 MEDICAL CENTER DR CUMBERLAND, MD 21502 WVU MEDICINE BRAIN 26651 MORGANTOWN, WV 26506 240 964-7000 AND SPINE 304 598-4800 304 872-8601 880 N TENNESSEE AVE OR COHEN-INBAR MD MARGARET E JAYNES MD STE 104 JOHN L MAGRUDER MD (T1) (T1) MARTINSBURG, WV 25401 (T1) WESTERN MARYLAND 400 FAIRVIEW HEIGHTS 304 596-5160 205 BAKERS RIDGE RD HEALTH SYSTEM RD MORGANTOWN, WV 26508 12502 WILLOWBROOK RD FAYETTE COUNTY, PA SUMMERSVILLE, WV 304 598-4285 STE 450 DONALD DWOREK DO 26651 CUMBERLAND, MD 21502 (T1) JOHN L MAGRUDER MD 844 862-4751 (T1) 240 964-8944 500 W BERKELEY ST OHIO COUNTY, WV UNIONTOWN, PA 15401 6040 UNIVERSITY TOWN AUGUSTO F FIGUEROA 724 430-5600 CENTRE DR DAVID G HUSS MD (T1) MD (T1) * MORGANTOWN, WV 26501 Accepts ages birth to 18 WESTERN MARYLAND FREDERICK COUNTY, MD 304 293-6307 PEDS SPECIALTY CLINIC HEALTH SYSTEM JONATHAN H SHERMAN 10 MEDICAL PARK STE JOHN L MAGRUDER MD 625 KENT AVE STE 306 MD (T1) * 305 CUMBERLAND, MD 21502 (T1) Accepts Ages 18 & Older WHEELING, WV 26003 301 724-7027 930 CHESTNUT RIDGE RD JAMES M STOCKMAN 304 598-4835 MORGANTOWN, WV 26505 AUGUSTO F FIGUEROA CANCER INSTITUTE 304 598-4214 MARGARET JAYNES MD MD (T1) * 1562 OPOSSUMTOWN SARA A MCGUIRE MD (T1) WESTERN MARYLAND PIKE (T1) 2000 EOFF ST HEALTH SYSTEM FREDERICK, MD 21702 WHEELING, WV 26003 240 566-4100 Accepts ages birth to 18 12500 WILLOWBROOK RD 304 243-8393 UHA PHYSICIAN OFFICE FL 6 HARRISON COUNTY, WV CUMBERLAND, MD 21502 CENTER VINOD VALENTINE MD RICHARD A DOUGLAS MD 240 964-6000 1 MEDICAL CENTER (T1) (T1) * DRIVE Accepts ages birth to 18 BERKELEY COUNTY, WV NEUROSURGERY SPINE MORGANTOWN, WV 26506 PEDS SPECIALTY CLINIC JOHN R CARUSO MD (T1) AND PAIN CENTER 304 598-4800 10 MEDICAL PARK STE * 227 MEDICAL PARK DR VINOD VALENTINE MD 305 Accepts Ages 18 & Older STE 103 (T1) WHEELING, WV 26003 WVU MEDICINE BRAIN BRIDGEPORT, WV 26330 304 598-4835 Accepts ages birth to 18 AND SPINE 681 342-3500 UHA PHYSICIAN OFFICE RANDOLPH COUNTY, WV 880 N TENNESSEE AVE CENTER MARGARET E JAYNES MD STE 104 1 MEDICAL CENTER (T1) MARTINSBURG, WV 25401 DRIVE 240 ALLEGHENY HWY 304 596-5160 MORGANTOWN, WV 26506 ELKINS, WV 26241 304 598-4800 304 598-4835

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 88 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BILL D UNDERWOOD MD PETER E KONRAD MD ALI REZAI MD (T1) * RONALD HARGRAVES MD (T1) * (T1) * ROCKEFELLER (T1) * NEUROSURGERY SPINE PHYSICIAN OFFICE NEUROSCIENCE 40 MEDICAL PARK STE AND PAIN CENTER CENTER INSTITUTE 508 227 MEDICAL PARK DR 1 MEDICAL CENTER DR 33 MEDICAL CENTER DR WHEELING, WV 26003 STE 103 MORGANTOWN, WV 26506 MORGANTOWN, WV 26505 304 243-8916 BRIDGEPORT, WV 26330 304 598-4800 304 598-6127 ROBERT A MARSH MD 681 342-3500 PETER E KONRAD MD ALI REZAI MD (T1) * (T1) * MONONGALIA COUNTY, (T1) * RUBY MEMORIAL UHA NEUROSURGERY WV ROCKEFELLER HOSPITAL 40 MEDICAL PARK STE SANJAY BHATIA MD (T1) NEUROSCIENCE 1 MEDICAL CENTER DR 508 * INSTITUTE MORGANTOWN, WV 26506 WHEELING, WV 26003 WVU NEUROSURGERY 33 MEDICAL CENTER DR 304 598-4000 304 243-8916 1 MEDICAL CENTER DR MORGANTOWN, WV 26505 CARA L SEDNEY MD (T1) JOSEPH L VOELKER MD MORGANTOWN, WV 26506 304 598-6127 UHA PHYSICIAN OFFICE (T1) * 304 598-6127 MARK R LEE MD (T1) * CENTER 40 MEDICAL PARK STE NICHOLAS J BRANDMEIR NEUROSURGERY - 1 MEDICAL CENTER 508 MD (T1) MORGANTOWN DRIVE WHEELING, WV 26003 UHA NEUROSURGERY 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 800 842-3627 33 MEDICAL CENTER DR MORGANTOWN, WV 26506 304 293-3908 JOSEPH L VOELKER MD MORGANTOWN, WV 26505 304 598-6127 MONTGOMERY COUNTY, (T1) * 304 598-6127 JEREMY J LEWIS MD (T1) MD 2101 JACOB ST STE 701 NICHOLAS J BRANDMEIR PHYSICIAN OFFICE JONATHAN H SHERMAN WHEELING, WV 26003 MD (T1) CENTER MD (T1) * 1 MEDICAL CENTER DR 1 MEDICAL CENTER DR Accepts Ages 18 & Older WASHINGTON COUNTY, MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 MARYLAND ONCOLOGY MD 304 598-4000 304 598-4800 HEMATOLOGY JOHN R CARUSO MD (T1) CHRISTOPHER P ROBERT A MARSH MD 12210 PLUM ORCHARD * DR CIFARELLI MD (T1) * (T1) * Accepts Ages 18 & Older SILVER SPRING, MD 20904 WV EYE INSTITUTE WVU NEUROSURGERY WVU MEDICINE BRAIN 301 933-3216 1 STADIUM DR 1 MEDICAL CENTER DR AND SPINE MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 OHIO COUNTY, WV 13 WESTERN MARYLAND 304 598-4800 304 598-6127 SANJAY BHATIA MD (T1) PKWY STE 106 HAGERSTOWN, MD 21740 MILIND S DEOGAONKAR HAL S MELTZER MD (T1) * * 240 513-4591 MD (T1) WVU NEUROSURGERY WVU NEUROSURGERY WVU NEUROSURGERY 1 MEDICAL CENTER DR 40 MEDICAL PARK STE JONATHAN H SHERMAN 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 508 MD (T1) * WHEELING, WV 26003 MORGANTOWN, WV 26506 304 598-4800 Accepts Ages 18 & Older 304 598-4800 304 243-8916 MANISH RANJAN MD (T1) WVU MEDICINE BRAIN MILIND S DEOGAONKAR ROCKEFELLER NICHOLAS J BRANDMEIR AND SPINE MD (T1) NEUROSCIENCE MD (T1) 13 WESTERN MARYLAND UHA NEUROSURGERY INSTITUTE NEURO 40 MEDICAL PARK STE PKWY STE 106 33 MEDICAL CENTER DR 33 MEDICAL CENTER DR 508 HAGERSTOWN, MD 21740 MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 WHEELING, WV 26003 240 513-4591 304 598-6127 304 598-6127 304 243-8916 WASHINGTON COUNTY, KIMBERLY M HAMILTON MANISH RANJAN MD (T1) DAVID B COHEN MD (T1) OH MD (T1) PHYSICIAN OFFICE 40 MEDICAL PARK STE HOUMAN H KHOSROVI PHYSICIAN OFFICE CENTER 508 MD (T1) * CENTER 1 MEDICAL CENTER DR WHEELING, WV 26003 Accepts ages 16 & older 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 304 243-8916 @ PERSIAN, FARSI MORGANTOWN, WV 26506 304 598-4800 2434 RICHMILLER LN UNIT 304 598-4800 E BELPRE, OH 45714 304 865-3600

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 89 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. WOOD COUNTY, WV TOM A HARTSUCH MD JESSICA M HOTT DO (T1) REBECCA E SARICH CNM RAMMY S GOLD MD (T1) * (T1) Accepts ages 13 & older (T1) 1212 GARFIELD AVE STE Accepts ages 16 & older 880 N TENNESSEE AVE 880 N TENNESSEE AVE 300 WESTERN MARYLAND STE 110 STE 105 PARKERSBURG, WV 26101 HEALTH SYSTEM MARTINSBURG, WV 25401 MARTINSBURG, WV 25401 304 865-3600 12500 WILLOWBROOK RD 304 596-6893 304 264-8603 STE 660 HOUMAN H KHOSROVI JESSICA M HOTT DO (T1) LORI A TUCKER DO (T1) CUMBERLAND, MD 21502 MD (T1) * Accepts ages 5 & older 240 964-8760 Accepts ages 13 & older Accepts ages 16 & older 880 N TENNESSEE AVE UHP OB/GYN @ PERSIAN, FARSI BETH H JELINEK MD (T1) STE 105 880 N TENNESSEE AVE 1212 GARFIELD AVE STE Accepts ages 13 & older MARTINSBURG, WV 25401 STE 105 300 WESTERN MARYLAND 304 264-8603 MARTINSBURG, WV 25401 PARKERSBURG, WV 26101 HEALTH SYSTEM 304 264-8603 JABIN T JANOO MD (T1) 304 865-3600 12502 WILLOWBROOK RD @ GUJARTI, Hindi, CALHOUN COUNTY, WV STE 660 Kachee, URDU RICHARD W KING MD (T1) CUMBERLAND, MD 21502 Obstetrics/ 880 N TENNESSEE AVE MINNIE HAMILTON 240 964-8760 Gynecology STE 105 HEALTH SYSTEM BELMONT COUNTY, OH MARTINSBURG, WV 25401 186 HOSPITAL DR ALLEGANY COUNTY, MD PETER Z BALA MD (T1)% 304 264-8603 GRANTSVILLE, WV 26147 JORGE ANDRADE MD @ POLISH 304 354-9244 (T1) GLENDA L KAY CNM (T1) 51339 NATIONAL RD SHENANDOAH FAYETTE COUNTY, PA Female Patients Only SAINT CLAIRSVILLE, OH COMMUNITY HEALTH ANNELEE C BOYLE MD @ SPANISH 43950 99 TAVERN RD (T1) WESTERN MARYLAND 304 243-7160 HEALTH SYSTEM MARTINSBURG, WV 25401 WVU MEDICINE 12502 WILLOWBROOK RD EMILY MORRIS MD (T1) 304 263-4999 OBSTETRICS AND CUMBERLAND, MD 21502 *% WWW.SHENCOMMHEALT GYNECOLOGY 240 964-8760 CENTER FOR WOMEN'S H.COM 211 EASY ST STE 211 HEALTH ARIFA KHOKAR MD (T1) UNIONTOWN, PA 15401 SHERILYN CRIST CNM 3000 GUERNSEY ST 304 598-4880 (T1) SHENANDOAH BELLAIRE, OH 43906 COMMUNITY HEALTH Female Patients Only LOREN T CUSTER MD 304 243-8300 99 TAVERN RD WESTERN MARYLAND (T1) MARTINSBURG, WV 25401 HEALTH SYSTEM BERKELEY COUNTY, WV WVU MEDICINE 304 263-4999 12502 WILLOWBROOK RD CONSUELA J OBSTETRICS AND STE 660 CRUDEN-PARHAM MD WWW.SHENCOMMHEALT GYNECOLOGY CUMBERLAND, MD 21502 (T1) H.COM 211 EASY ST STE 211 240 964-8760 UHP OB/GYN ERIN E MILLER DO (T1) UNIONTOWN, PA 15401 2000 FOUNDATION WAY 880 N TENNESSEE AVE 304 598-4880 MEGAN K GORDON CNM STE 3650 STE 105 (T1) GREENE COUNTY, PA MARTINSBURG, WV 25401 MARTINSBURG, WV 25401 LAWRENCE J GLAD MD Female Patients Only 304 350-3274 304 264-8603 UPMC WESTERN (T1) MARYLAND MARY T DUNN CNM (T1) TANJOA RATHI DO (T1) UHA PHYSICIAN OFFICE 12500 WILLOWBROOK RD @ SPANISH Office Care Only CENTER CUMBERLAND, MD 21502 SHENANDOAH WOMENS @ Hindi 451 MURTHA DR 240 964-7000 HEALTH SHENANDOAH WAYNESBURG, PA 15370 99 TAVERN RD COMMUNITY HEALTH 304 598-4880 MEGAN K GORDON CNM MARTINSBURG, WV 25401 99 TAVERN RD ROBERTA I (T1) 304 263-4999 MARTINSBURG, WV 25401 RENZELLI-CAIN DO (T1) Female Patients Only WWW.SHENCOMMHEALT 304 263-4999 UPMC WESTERN UHA OB/GYN H.COM WWW.SHENCOMMHEALT MARYLAND 451 MURTHA DR H.COM 12502 WILLOWBROOK RD LINDSEY F GRANTHAM WAYNESBURG, PA 15370 CUMBERLAND, MD 21502 MD (T1) 304 598-4880 240 964-8760 880 N TENNESSEE AVE STE 105 MARTINSBURG, WV 25401 304 264-8603

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 90 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. SHON P ROWAN MD (T1) CONSUELA J MARION COUNTY, WV WILLIAM K HAMILTON MD WAYNESBURG CRUDEN-PARHAM MD OMAR F DUENAS MD (T1) (T1) OUTPATIENT CENTER - (T1) FAIRMONT GATEWAY Accepts ages 12 & older OB/GYN WVU MEDICINE OB/GYN - CENTER RMH OB/GYN 451 MURTHA DR RANSON 100 STONEY HILL RD 800 WHEELING AVE WAYNESBURG, PA 15370 201 E 5TH ST AVE FAIRMONT, WV 26554 GLEN DALE, WV 26038 304 598-4880 RANSON, WV 25438 304 285-5400 304 843-1100 304 728-2165 ROBERT E SHAPIRO MD MATTHEW J HONAKER CAITLIN M KOWCHECK (T1) KANAWHA COUNTY, WV MD (T1) * MD (T1) UHA OB/GYN KARINNA H ANDREWS DO FAIRMONT GATEWAY Accepts ages 15 & older 451 MURTHA DR (T1) CENTER RMH GYNECOLOGY WAYNESBURG, PA 15370 WVUPC OBGYN 100 STONEY HILL RD 800 WHEELING AVE FL 2 304 598-4880 830 PENNSYLVANIA AVE FAIRMONT, WV 26554 GLEN DALE, WV 26038 HARRISON COUNTY, WV STE 304 304 285-5400 304 843-1100 CHARLESTON, WV 25302 OMAR F DUENAS MD (T1) RICHARD W KING MD (T1) AARON L SCAIFE MD (T1) 304 388-1515 527 MEDICAL PARK DR FAIRMONT GATEWAY * STE 108 STEPHEN H BUSH MD CENTER RMH OB/GYN BRIDGEPORT, WV 26330 (T1) 100 STONEY HILL RD 800 WHEELING AVE 304 848-2150 WVUPC OBGYN FAIRMONT, WV 26554 GLEN DALE, WV 26038 830 PENNSYLVANIA AVE 304 285-5400 304 843-1100 STEPHANIE A HURST STE 304 CNM (T1) RICHARD W KING MD (T1) MERCER COUNTY, WV CHARLESTON, WV 25302 527 MEDICAL PARK DR WVU MEDICINE OB/GYN - 304 388-1515 KENNETH BAKER MD (T1) STE 108 FAIRMONT MERCER MEDICAL BRIDGEPORT, WV 26330 DEVIN M CILIBERTI MD 177 MIDDLETOWN RD STE GROUP WOMENS 304 848-2150 (T1) 3 HEALTH @ SPANISH FAIRMONT, WV 26554 RICHARD W KING MD (T1) 114 UNDERCLIFF TER 830 PENNSYLVANIA AVE 304 285-7227 WVU OB/GYN PRINCETON, WV 24740 STE 304 BRIDGEPORT TYLER J PROUTY MD (T1) 304 425-0025 CHARLESTON, WV 25302 527 MEDICAL PARK DR FAIRMONT GATEWAY 304 388-1515 MONONGALIA COUNTY, STE 108 CENTER WV BRIDGEPORT, WV 26330 PAUL D DIETZ MD (T1) 100 STONEY HILL RD KAREN F ANDERSON 304 848-2150 800 PENNSYLVANIA AVE FAIRMONT, WV 26554 CNM (T1) CHARLESTON, WV 25302 304 285-5400 JANELL C MACE MD (T1) UHA PHYSICIAN OFFICE 304 388-1515 527 MEDICAL PARK DR ROBERT E SHAPIRO MD CENTER STE 108 FRANCIS S HUNTER MD (T1) 608 CHEAT RD BRIDGEPORT, WV 26330 (T1) FAIRMONT GATEWAY MORGANTOWN, WV 26508 304 598-4800 WVUPC OBGYN CENTER 304 594-1313 830 PENNSYLVANIA AVE 100 STONEY HILL RD TYLER J PROUTY MD (T1) KAREN F ANDERSON STE 304 FAIRMONT, WV 26554 WVU MEDICINE OB/GYN - CNM (T1) CHARLESTON, WV 25302 304 285-5400 BRIDGEPORT UHA OB/GYN 304 388-1515 527 MEDICAL PARK DR MARSHALL COUNTY, WV 6040 UNIVERSITY TOWN CENTRE DR STE 108 MICHAEL R LAO MD (T1) NICOLE L CARLSON MD BRIDGEPORT, WV 26330 WVUPC OBGYN (T1) MORGANTOWN, WV 26501 304 293-6307 304 848-2150 830 PENNSYLVANIA AVE Accepts ages 21 and older STE 304 JEFFERSON COUNTY, WV REYNOLDS MEMORIAL MOHAMMED ASHRAF MD CHARLESTON, WV 25302 (T1) * GEOFFREY K BOWMAN OBSTETRICS & GYN 304 388-1515 @ Pakistani MD (T1) 800 WHEELING AVE MARY BABB RANDOLPH WVU MEDICINE OB/GYN - EMILY A MONTGOMERY GLEN DALE, WV 26038 CANCER CTR RANSON MD (T1) 304 843-1100 101 STADIUM DR 201 E 5TH ST AVE WVUPC OBGYN MORGANTOWN, WV 26506 RANSON, WV 25438 830 PENNSYLVANIA AVE 304 293-4500 304 728-2165 STE 304 CHARLESTON, WV 25302 304 388-1515

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 91 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MOHAMMED ASHRAF MD RAWAN W EL-AMIN DO CATHERINE M HERWAY SHON P ROWAN MD (T1) (T1) * (T1) MD (T1) WVU CENTER FOR @ Pakistani 608 CHEAT RD UHA PHYSICIAN OFFICE REPRODUCTIVE 1 MEDICAL CENTER DR MORGANTOWN, WV 26508 CENTER MEDICINE MORGANTOWN, WV 26506 855 988-2273 1 MEDICAL CENTER DR 1322 PINEVIEW DR 604 598-4500 MORGANTOWN, WV 26506 MORGANTOWN, WV 26505 OSSAMA A ELSACCAR 304 598-4800 304 598-3100 ANNELEE C BOYLE MD MD (T1) * (T1) UHA PHYSICIAN OFFICE KRISTAN HORNSBY MD ROBERT E SHAPIRO MD UHA PHYSICIAN OFFICE CENTER (T1) (T1) CENTER 1 MEDICAL CENTER DR UHA OB/GYN UHA OB/GYN 1 MEDICAL CENTER MORGANTOWN, WV 26506 6040 UNIVERSITY TOWN 6040 UNIVERSITY TOWN DRIVE 304 598-4800 CENTRE DR CENTRE DR MORGANTOWN, WV 26506 MORGANTOWN, WV 26501 MORGANTOWN, WV 26501 OSSAMA A ELSACCAR 304 598-4800 855 988-2273 855 988-2273 MD (T1) * KELLY F CUMMINGS MD CHEAT LAKE PHYSICIANS KRISTAN HORNSBY MD MEGAN A VARVOUTIS MD (T1) 608 CHEAT RD (T1) (T1) UHA PHYSICIAN OFFICE MORGANTOWN, WV 26508 UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE CENTER 855 988-2273 CENTER CENTER 1 MEDICAL CENTER DR 608 CHEAT RD 1 MEDICAL CENTER DR OSSAMA A ELSACCAR MORGANTOWN, WV 26506 MORGANTOWN, WV 26508 MORGANTOWN, WV 26506 MD (T1) * 304 598-4800 304 594-1313 304 598-4800 6040 UNIVERSITY TOWN LOREN T CUSTER MD CENTRE DR KEVIN MCCLUSKEY MD OHIO COUNTY, WV (T1) MORGANTOWN, WV 26501 (T1) PETER Z BALA MD (T1)% CHEAT LAKE PHYSICIANS 855 988-2273 608 CHEAT RD @ POLISH 608 CHEAT RD MORGANTOWN, WV 26508 KAREN D FLUET DO (T1) 30 MEDICAL PARK STE MORGANTOWN, WV 26508 855 988-2273 UHA OB/GYN 219 855 988-2273 6040 UNIVERSITY TOWN SARAH MCCOLLESTER WHEELING, WV 26003 SARAH J DOTSON MD CENTRE DR MD (T1) 304 243-7160 (T1) MORGANTOWN, WV 26501 CHEAT LAKE PHYSICIANS ANNELEE C BOYLE MD 608 CHEAT RD 855 988-2273 608 CHEAT RD (T1) * MORGANTOWN, WV 26508 MORGANTOWN, WV 26508 THOMAS F HARMAN MD WHEELING HOSPITAL INC 855 988-2273 304 598-1313 (T1) 30 MEDICAL PARK STE SARAH J DOTSON MD RUBY MEM HOSPITAL LAURA J MERRILL MD 203 (T1) 101 STADIUM DR (T1) WHEELING, WV 26003 1 MEDICAL CENTER MORGANTOWN, WV 26506 UHA OB/GYN 304 243-6314 DRIVE 304 598-4800 6040 UNIVERSITY TOWN LEO R BRANCAZIO MD MORGANTOWN, WV 26506 CENTRE DR MAHREEN HASHMI MD (T1) * 304 598-4800 MORGANTOWN, WV 26501 (T1) * WHEELING HOSPITAL 855 988-2273 OMAR F DUENAS MD (T1) CHEAT LAKE PHYSICIANS 30 MEDICAL PARK STE UHA PHYSICIAN OFFICE 608 CHEAT RD LAURA J MERRILL MD 203 CENTER MORGANTOWN, WV 26508 (T1) WHEELING, WV 26003 6040 UNIVERSITY TOWN 855 988-2273 CHEAT LAKE PHYSICIANS 304 243-6413 CENTRE DR 608 CHEAT RD MAHREEN HASHMI MD KELLY F CUMMINGS MD MORGANTOWN, WV 26501 MORGANTOWN, WV 26508 (T1) * (T1) * 855 988-2273 304 594-1313 UHA PHYSICIAN OFFICE WHEELING HOSPITAL INC RAWAN W EL-AMIN DO CENTER ROBERTA I 30 MEDICAL PARK STE (T1) 1 MEDICAL CENTER RENZELLI-CAIN DO (T1) 203 6040 UNIVERSITY TOWN DRIVE PHYSICIANS OFFICE WHEELING, WV 26003 CENTRE DR MORGANTOWN, WV 26506 CENTER 304 242-6413 MORGANTOWN, WV 26504 304 598-4800 6040 UNIVERSITY TOWN 855 988-2273 CENTRE DR MORGANTOWN, WV 26501 855 988-2273

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 92 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. EMILY MORRIS MD (T1) WASHINGTON COUNTY, *% OH Occupational Ophthalmic Plastic CENTER FOR WOMEN'S STEPHEN R STANLEY DO Medicine Surgery HEALTH (T1) * MONONGALIA COUNTY, MONONGALIA COUNTY, 30 MEDICAL PARK STE MMH DEPT OF WV WV 230 OBSTETRICS & ROBERT M GERBO MD JOHN NGUYEN MD (T1) WHEELING, WV 26003 GYNECOLOGY (T1) @ Vietnamese 304 243-8300 320 E 8TH ST STE 142 WVU MEDICAL CORP WV EYE INSTITUTE MARIETTA, OH 45750 CHANDRA S SWAMY MD STUDENT HEALTH 1 STADIUM DRIVE 740 373-4111 (T1) *% 390 BIRCH ST MORGANTOWN, WV 26507 @ Hindi, TAMIL www.mhsystem.org MORGANTOWN, WV 26506 304 598-4820 30 MEDICAL PARK STE WOOD COUNTY, WV 304 285-7200 BRADLEY A THURO MD 232 LISA A CASELENUOVO CHUANFANG JIN MD (T1) * WHEELING, WV 26003 DO (T1) * (T1) * WV EYE INSTITUTE 304 242-9560 801 GARFIELD AVE STE @ CHINESE 1 MEDICAL CENTER DR MEGAN A VARVOUTIS MD 200 UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 (T1) * PARKERSBURG, WV 26101 CENTER 304 598-4820 Female Patients Only 304 424-2165 1 MEDICAL CENTER WOMEN'S HEALTH PETER P FILOZOF MD DRIVE Ophthalmology SPECIALIST (T1) * MORGANTOWN, WV 26506 HARRISON COUNTY, WV 30 MEDICAL PARK STE 705 GARFIELD AVE STE 304 598-4000 DAVID A FARIS MD (T1) 203 310 CHUANFANG JIN MD (T1) UHC OPHTHALMOLGY WHEELING, WV 26003 PARKERSBURG, WV 26101 * 1370 JOHNSON AVE STE 304 243-6413 304 485-2387 @ CHINESE 200 390 BIRCH ST UPSHUR COUNTY, WV HEATHER M IRVIN MD BRIDGEPORT, WV 26330 MORGANTOWN, WV 26506 KIMBERLY M FARRY MD (T1) 681 342-4525 (T1) 604 ANN ST 304 293-3693 GHASSAN R GHORAYEB 100 W MAIN ST PARKERSBURG, WV 26101 CHRISTOPHER MARTIN MD (T1) * BUCKHANNON, WV 26201 304 865-5065 MD (T1) * UHC OPHTHALMOLOGY 304 473-2300 ERIC R LOWDEN MD (T1) @ FRENCH 211 S CHESTNUT ST 390 BIRCH ST CAITLIN A MORGAN CNM CAMDEN CLARK OB/GYN CLARKSBURG, WV 26301 MORGANTOWN, WV 26506 (T1) 705 GARFIELD AVE STE 304 624-5212 WVU MEDICINE OB/GYN 420 304 293-3693 SUMEET K GUPTA MD BUCKHANNON PARKERSBURG, WV 26101 CHRISTOPHER MARTIN (T1) 100 W MAIN ST 304 424-2085 MD (T1) * UHC OPHTHALMOLOGY BUCKHANNON, WV 26201 MICHAEL C SHOCKLEY @ FRENCH 1370 JOHNSON AVE STE 304 598-4880 MD (T1) UHA PHYSICIAN OFFICE 200 PETER J POWER JR MD Accepts ages 12 & older CENTER BRIDGEPORT, WV 26330 (T1) 705 GARFIELD AVE STE 1 MEDICAL CENTER DR 681 342-4525 100 W MAIN ST STE B 400 MORGANTOWN, WV 26506 LEAH C LAXSON MD (T1) BUCKHANNON, WV 26201 PARKERSBURG, WV 26101 304 598-4800 UHC OPHTHALMOLOGY 304 473-2300 304 424-2035 Occupational Therapy 1370 JOHNSON AVE STE PETER J POWER JR MD STEPHEN R STANLEY DO 200 (T1) (T1) * MONONGALIA COUNTY, BRIDGEPORT, WV 26330 4 NORTHRIDGE DR 1500 GRAND CENTRAL WV 681 342-4525 BUCKHANNON, WV 26201 AVE STE 106 HEALTHWORKS REHAB JOHN NGUYEN MD (T1) 304 473-2300 VIENNA, WV 26105 AND FITNESS (T1)% UHC OPHTHALMOLOGY 304 422-6800 943 MAPLE DR 1370 JOHNSON AVE STE MORGANTOWN, WV 26505 200 304 599-2515 BRIDGEPORT, WV 26330 www.healthworksrf.com 681 342-4525

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 93 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. EMERSON QUE MD (T1) * KEVIN M HALENDA MD MONIQUE J LEYS MD (T1) LEE A WILEY MD (T1) * UHC OPHTHALMOLOGY (T1) * WV EYE INSTITUTE 1370 JOHNSON AVE STE WV EYE INSTITUTE @ FRENCH, DUTCH 1 MEDICAL CENTER DR 200 1 MEDICAL CENTER DR WV EYE INSTITUTE MORGANTOWN, WV 26506 BRIDGEPORT, WV 26330 MORGANTOWN, WV 26506 1 STADIUM DR 304 598-4820 681 342-4525 304 598-4820 MORGANTOWN, WV 26506 UPSHUR COUNTY, WV 304 598-4820 MONONGALIA COUNTY, DAVID M HINKLE MD (T1) ANNAHITA WV * MONIQUE J LEYS MD (T1) AMIRESKANDARI MD (T1) JAMES E BENJAMIN MD WV EYE INSTITUTE * ST JOSEPH (T1) 1 MEDICAL CENTER DR @ FRENCH, DUTCH OPHTHALMOLOGY WV EYE INSTITUTE MORGANTOWN, WV 26506 UHA OPHTHALMOLOGY 10 AMALIA DR STE C3 1 MEDICAL CENTER DR 304 598-4820 1 MEDICAL CENTER DR BUCKHANNON, WV 26201 MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 JASON D JENSEN MD 304 473-2100 304 598-4820 304 598-4820 (T1) SUMEET GUPTA MD (T1) GEOFFREY E BRADFORD WV EYE INSTITUTE THOMAS F MAUGER MD ST JOSEPH MD (T1) * 1 MEDICAL CENTER DR (T1) * OPHTHALMOLOGY WV EYE INSTITUTE MORGANTOWN, WV 26506 WV EYE INSTITUTE 10 AMALIA DR STE C3 1 STADIUM DRIVE 304 598-4820 1 MEDICAL CENTER DR BUCKHANNON, WV 26201 MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 PHILIP KUROCHKIN MD 304 473-2100 304 598-4820 304 598-4820 (T1) LINGO Y LAI MD (T1) * JUDIE F CHARLTON MD WV EYE INSTITUTE BRIAN D MCMILLAN MD ST JOSEPH (T1) * 1 MEDICAL CENTER DR (T1) * OPHTHALMOLOGY UHA OPHTHALMOLOGY MORGANTOWN, WV 26506 WV EYE INSTITUTE 10 AMALIA DR STE C3 1 MEDICAL CENTER 304 598-4820 1 STADIUM DR BUCKHANNON, WV 26201 MORGANTOWN, WV 26506 MORGANTOWN, WV 26507 LINGO Y LAI MD (T1) * 304 472-2100 304 598-4820 304 598-4820 WVU EYE INSTITUTE LEAH C LAXSON MD (T1) JUDIE F CHARLTON MD 1 MEDICAL CENTER DR CHARLES A MOORE MD ST JOSEPH (T1) * MORGANTOWN, WV 26506 (T1) * OPHTHALMOLOGY WV EYE INSTITUTE 304 598-4820 WV EYE INSTITUTE 10 AMALIA DR STE C3 1 STADIUM DR 1 MEDICAL CENTER LINGO Y LAI MD (T1) * BUCKHANNON, WV 26201 MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 WV EYE INSTITUTE 304 472-2100 304 598-4000 304 598-4820 1 STADIUM DR THOMAS F MAUGER MD SARA B DEACON MD (T1) MORGANTOWN, WV 26506 JOHN NGUYEN MD (T1) (T1) * WV EYE INSTITUTE 304 598-6925 @ Vietnamese ST JOSEPH''S HOSPITAL 1 MEDICAL CENTER DR WV EYE INSTITUTE LEAH C LAXSON MD (T1) 10 AMALIA DR STE C3 MORGANTOWN, WV 26506 1 STADIUM DRIVE WV EYE INSTITUTE BUCKHANNON, WV 26201 304 598-4820 MORGANTOWN, WV 26507 1 MEDICAL CENTER DR 304 473-2100 304 598-4820 BRIAN D ELLIS MD (T1) * MORGANTOWN, WV 26506 THOMAS F MAUGER MD WV EYE INSTITUTE 304 598-4820 JOEL R PALKO MD (T1) (T1) * 1 STADIUM DRIVE WV EYE INSTITUTE ANTHONY P LEONARD ST JOSEPH HOSPITAL MORGANTOWN, WV 26506 1 MEDICAL CENTER DR MD (T1) 1 AMALIA DR 304 598-4820 MORGANTOWN, WV 26506 WV EYE INSTITUTE BUCKHANNON, WV 26201 304 623-3461 GHASSAN R GHORAYEB 1 MEDICAL CENTER DR 304 473-2000 MD (T1) * MORGANTOWN, WV 26506 ANTHONY REALINI MD BRIAN D MCMILLAN MD WVU EYE INSTITUTE 304 598-4820 (T1) (T1) 1 MEDICAL CENTER DR WVU EYE INSTITUTE GRACE A LEVY-CLARKE ST JOSEPH''S HOSPITAL MORGANTOWN, WV 26506 1 STADIUM DRIVE MD (T1) * 10 AMALIA DR STE C3 304 598-4820 MORGANTOWN, WV 26506 WV EYE INSTITUTE BUCKHANNON, WV 26201 304 598-4800 SUMEET K GUPTA MD 1 MEDICAL CENTER DR 304 473-2100 (T1) MORGANTOWN, WV 26506 BRADLEY A THURO MD WV EYE INSTITUTE 304 598-4820 (T1) * 1 MEDICAL CENTER DR WV EYE INSTITUTE MORGANTOWN, WV 26506 1 MEDICAL CENTER DR 304 598-4820 MORGANTOWN, WV 26506 304 598-4820

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 94 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BRIAN D MCMILLAN MD DAVID L MANDEL DDS DWIGHT T KEMP DO (T1) JOSEPH J FAZALARE MD (T1) (T1) * (T1) * ST JOSEPH Not Accepting New Patients 61 CAMPUS DR STE 104 UHC ORTHOPAEDICS OPHTHALMOLOGY WVU DENTAL CLINICS MARTINSBURG, WV 25404 227 MEDICAL PARK DR 94 W MAIN ST 1 MEDICAL CENTER 304 596-5615 STE 101 BUCKHANNON, WV 26201 BRIDGEPORT, WV 26330 DRIVE THOMAS E KNUTSON DO 304 473-2200 681 342-3500 MORGANTOWN, WV 26506 (T1) * JOHN NGUYEN MD (T1) 304 293-5033 CENTER FOR ORTHO JOSHUA B SYKES MD ST JOSEPH WILLIAM A MYERS II DMD EXCELLENCE (T1) OPHTHALMOLOGY (T1) 1008 TAVERN RD STE 102 UHC ORTHOPAEDICS 94 W MAIN ST STE 102 WVU DENTAL CORP MARTINSBURG, WV 25401 227 MEDICAL PARK DR BUCKHANNON, WV 26201 1 MEDICAL CENTER DR 304 263-1637 STE 101 304 472-2100 BRIDGEPORT, WV 26330 MORGANTOWN, WV 26506 CALHOUN COUNTY, WV 304 293-2841 681 342-3500 WOOD COUNTY, WV GEORGE TODKODI DO RONALD D FRAME II MD BRYAN D WEAVER MD (T1) *% DAVID L WAXMAN MD (T1) *% (T1) * MINNIE HAMILTON (T1) * Office Care Only WVU DENTAL CORP HEALTH CARE CENTER UHC ORTHOPAEDICS Accepts Ages 18 & Older 1 MEDICAL CENTER DR INC 227 MEDICAL PARK DR 705 GARFIELD AVE STE MORGANTOWN, WV 26506 186 HOSPITAL DR STE 101 380 304 293-6208 GRANTSVILLE, WV 26147 BRIDGEPORT, WV 26330 PARKERSBURG, WV 26101 304 354-9244 681 342-3500 304 485-9200 Orthopaedic Surgery GREENE COUNTY, PA JACKSON COUNTY, WV BERKELEY COUNTY, WV TIMOTHY R MURPHY MD BRIAN J BROWN MD (T1) Optometry JOHN W BUSCHMAN DO (T1) * @ SPANISH MONONGALIA COUNTY, (T1) * UHA ORTHOPEDIC JACKSON GENERAL WV CENTER FOR ORTHO SURGERY CARE CLINIC ALISON M HIXENBAUGH EXCELLENCE 451 MURTHA DR 509 S CHURCH ST OD (T1) 1008 TAVERN RD STE 102 WAYNESBURG, PA 15370 RIPLEY, WV 25271 WVU EYE INSTITUTE MARTINSBURG, WV 25401 304 598-4478 304 786-1015 WWW.JACKSONGENERAL. 1 STADIUM DR 304 263-5200 JOHN S TARAS MD (T1) * MORGANTOWN, WV 26506 COM JOSEPH P CINCINNATI DO 451 MURTHA DR 304 598-4800 (T1) * WAYNESBURG, PA 15370 BRIAN J BROWN MD (T1) BRITTANY N NEWMAN OD CENTER FOR ORTHO 304 598-4880 @ SPANISH MORAD-HUGHES HEALTH (T1) EXCELLENCE HARRISON COUNTY, OH WVU EYE INSTITUTE 1008 TAVERN RD STE 102 CENTER DEREK H ANDREINI MD 1 MEDICAL CENTER DR MARTINSBURG, WV 25401 122 PINNELL ST (T1)% MORGANTOWN, WV 26506 304 263-5200 RIPLEY, WV 25271 WHEELING HOSPITAL INC 304 598-4820 304 373-1578 TROY D FOSTER DO (T1) 951 E MARKET ST WWW.JACKSONGENERAL. * CADIZ, OH 43907 COM Oral/ Maxillofacial CENTER FOR ORTHO 740 942-6209 Surgery EXCELLENCE BRIAN J BROWN MD (T1) HARRISON COUNTY, WV 1008 TAVERN RD STE 102 @ SPANISH MONONGALIA COUNTY, MARTINSBURG, WV 25401 CHRISTOPHER D JACKSON GENERAL WV 304 263-1637 COURTNEY DO (T1) * HOSPITAL LESTER H BAKOS DDS UHC ORTHOPAEDICS 122 PINNELL ST (T1) * DWIGHT T KEMP DO (T1) 227 MEDICAL PARK DR RIPLEY, WV 25271 WVU DENTAL CORP * STE 101 304 373-0133 1 MEDICAL CENTER DR TRI-STATE SURGICAL BRIDGEPORT, WV 26330 WWW.JACKSONGENERAL. MORGANTOWN, WV 26506 CENTER 681 342-3500 COM 304 293-2841 1006 TAVERN RD MARTINSBURG, WV 25401 WILLIAM J DAHL MD (T1) 304 267-0556 * UHC ORTHOPAEDICS 227 MEDICAL PARK DR STE 101 BRIDGEPORT, WV 26330 681 342-3500

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 95 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. GREGORY B KRIVCHENIA MARION COUNTY, WV MINERAL COUNTY, WV SCOTT D DAFFNER MD II MD (T1) ADAM E KLEIN MD (T1) * DOUGLAS S TICE MD (T1) (T1) FIRST SETTLEMENT WVU ORTHOPAEDICS FORT ASHBY MEDICAL UHA PHYSICIAN OFFICE ORTHOPAEDICS 177 MIDDLETOWN RD STE SERVICE CENTER CENTER 122 PINNELL ST BUILDING 1 10261 FRANKFORT HWY 943 MAPLE DR LOWR 6 FAIRMONT, WV 26554 FORT ASHBY, WV 26719 LEVEL PO BOX 270 304 598-4830 304 597-3600 MORGANTOWN, WV 26505 RIPLEY, WV 25271 304 598-4830 740 373-8756 DARIN J LARSON MD (T1) DOUGLAS S TICE MD (T1) FAIRMONT GATEWAY POTOMAC VALLEY JOHN C FRANCE MD (T1) VISITFSO.COM CENTER HOSPITAL OF WV INC * MARK K LANE MD (T1) 100 STONEY HILL RD 100 PIN OAK LN UHA PHYSICIAN OFFRICE FIRST SETTLEMENT FAIRMONT, WV 26554 KEYSER, WV 26726 CENTER ORTHOPAEDICS 304 285-5400 304 597-3500 1 MEDICAL CENTER 122 PINNELL ST BLDG 6 DRIVE MONONGALIA COUNTY, RIPLEY, WV 25271 TIMOTHY R MURPHY MD MORGANTOWN, WV 26506 WV 740 373-8756 (T1) * 304 598-4800 FAIRMONT GATEWAY GEORGE BAL MD (T1) * JEFFERSON COUNTY, WV CENTER UHA ORTHOPEDIC DERIK J GEIST MD (T1) * ERIC B INGERSOLL MD 100 STONEY HILL RD SURGERY UHA ORTHOPEDIC (T1)% FAIRMONT, WV 26554 6040 UNIVERSITY TOWN SURGERY 201 S PRESTON ST STE B 304 285-5400 CENTRE DR 6040 UNIVERSITY TOWN RANSON, WV 25438 MORGANTOWN, WV 26501 CENTRE DR SHAFIC A SRAJ MD (T1) 304 725-7884 855 988-2273 MORGANTOWN, WV 26501 100 STONEY HILL RD 855 988-2273 DAVID P RICHARDS MD FAIRMONT, WV 26554 LOUIS J BIVONA MD (T1) (T1) 304 285-5400 WVU SPORTS MEDICINE DAVID F HUBBARD MD 912 SOMERSET BLVD STE UHA (T1) * MARSHALL COUNTY, WV 101 943 MAPLE DR LOWR UHA PHYSICIAN OFFICE CHARLES TOWN, WV MARY M HAUS MD (T1) * LEVEL CENTER 25414 RMH ORTHOPEDICS & MORGANTOWN, WV 26505 1 MEDICAL CENTER 304 725-2663 SPORTS MEDICINE 304 598-4830 DRIVE 800 WHEELING AVE FL 1 MORGANTOWN, WV 26506 GARTH B WRIGHT MD GLEN DALE, WV 26038 LOUIS J BIVONA MD (T1) 304 598-4800 (T1) * 304 221-4520 PHYSICIAN OFFICE 912 SOMERSET BLVD STE CENTER ADAM E KLEIN MD (T1) * 101 JOHN A MICHALSKI MD 1 MEDICAL CENTER DR UHA PHYSICIAN OFFICE CHARLES TOWN, WV (T1) * MORGANTOWN, WV 26506 CENTER 25414 Accepts ages 12 & older 304 598-4800 1 MEDICAL CENTER 304 725-2663 RMH ORTHOPEDICS & DRIVE SPORTS MEDICINE MICHELLE A BRAMER MD MORGANTOWN, WV 26506 LEWIS COUNTY, WV 800 WHEELING AVE FL 1 (T1) * 304 598-4800 JOSHUA B SYKES MD GLEN DALE, WV 26038 UHA PHYSICIAN OFFICE ADAM E KLEIN MD (T1) * (T1) 304 221-4520 CENTER WVU UNIVERISTY TOWN UHC ORTHOPAEDICS 1 MEDICAL CENTER MICHAEL D MYERS DO CENTRE 107 STAUNTON DR DRIVE (T1) 6040 UNIVERSITY TOWN WESTON, WV 26452 MORGANTOWN, WV 26506 CENTRE DR 681 342-3870 Accepts ages 3 & older 304 598-4800 800 WHEELING AVE MORGANTOWN, WV 26501 SHARI CUI MD (T1) DAVID L WAXMAN MD GLEN DALE, WV 26038 855 988-2273 (T1) * UHA PHYSICIAN OFFICE 304 845-3211 DARIN J LARSON MD (T1) UHC ORTHOPAEDICS CENTER PHYSICIAN OFFICE 107 STAUNTON DR MICHAEL D MYERS DO 1 MEDICAL CENTER CENTER WESTON, WV 26452 (T1) DRIVE 1 MEDICAL CENTER DR 681 342-3870 800 WHEELING AVE FL 1 MORGANTOWN, WV 26506 GLEN DALE, WV 26038 304 293-3908 MORGANTOWN, WV 26506 304 221-4520 304 598-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 96 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. DARIN J LARSON MD (T1) EDWARD B MCDONOUGH BONHOMME J DEREK H ANDREINI MD UNIVERSITY TOWN JR MD (T1) * PRUDHOMME MD (T1) * (T1)% CENTRE UHA ORTHOPEDIC @ SPANISH WHEELING HOSPITAL 6040 UNIVERSITY TOWN SURGERY RUBY MEMORIAL 1 MEDICAL PARK STE 703 CENTRE DR 6040 UNIVERSITY TOWN HOSPITAL WHEELING, WV 26003 MORGANTOWN, WV 26501 CENTRE DR 1 MEDICAL CENTER 304 242-6373 855 988-2273 MORGANTOWN, WV 26501 DRIVE ROANE COUNTY, WV 855 988-2273 MORGANTOWN, WV 26506 ANDREA B LESE MD (T1) 304 598-4000 JASON L GESSEL DO (T1) 6040 UNIVERSITY TOWN EDWARD B MCDONOUGH ROANE GENERAL CENTRE DR JR MD (T1) * BONHOMME J HOSPITAL MORGANTOWN, WV 26501 UHA PHYSICIAN OFFICE PRUDHOMME MD (T1) * 200 HOSPITAL DR 855 988-2273 CENTER @ SPANISH SPENCER, WV 25276 1 MEDICAL CENTER 6040 UNIVERSITY TOWN ANDREA B LESE MD (T1) 304 927-6320 DRIVE CENTRE DR WEST VIRGINIA MORGANTOWN, WV 26506 MORGANTOWN, WV 26501 GREGORY B KRIVCHENIA UNIVERSITY 304 598-4800 855 988-2273 II MD (T1) 1 MEDICAL CENTER DR 200 HOSPITAL DR MORGANTOWN, WV 26506 BENJAMIN D SHAFIC A SRAJ MD (T1) SPENCER, WV 25276 304 598-4800 MOOREHEAD MD (T1) WV UNIVERSITY MEDICAL 304 927-6844 UHA ORTHOPEDIC CORP BROCK A LINDSEY MD SURGERY 1 MEDICAL CENTER DR MARK K LANE MD (T1) (T1) * 6040 UNIVERSITY TOWN MORGANTOWN, WV 26506 ROANE GENERAL UHA ORTHOPEDIC CENTRE DR 304 598-4800 HOSPITAL ORTHO SURGERY MORGANTOWN, WV 26501 300 HOSPITAL DR 6040 UNIVERSITY TOWN SHAFIC A SRAJ MD (T1) 855 988-2273 SPENCER, WV 25276 CENTRE DR 6040 UNIVERSITY TOWN 304 927-6844 MORGANTOWN, WV 26501 TIMOTHY R MURPHY MD CENTRE DR 855 988-2273 (T1) * MORGANTOWN, WV 26501 TYLER COUNTY, WV UHA PHYSICIAN OFFICE 855 988-2273 JOHN S HENRY MD (T1) * BROCK A LINDSEY MD CENTER MHCP PCP (T1) * JOHN S TARAS MD (T1) * 1 MEDICAL CENTER 314 S WELLS ST STE 100 UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE DRIVE SISTERSVILLE, WV 26175 CENTER CENTER MORGANTOWN, WV 26506 304 447-2447 1 MEDICAL CENTER 6040 UNIVERSITY TOWN 304 598-4800 DRIVE CENTRE DR GREGORY B KRIVCHENIA MORGANTOWN, WV 26506 TIMOTHY R MURPHY MD MORGANTOWN, WV 26501 II MD (T1) 304 598-4800 (T1) * 855 988-2273 MHCP PCP UHA ORTHOPEDIC 314 S WELLS ST STE 100 BROCK A LINDSEY MD JOHN S TARAS MD (T1) * SURGERY SISTERSVILLE, WV 26175 (T1) * UHA ORTHOPEDIC 6040 UNIVERSITY TOWN 304 447-2447 ORTHOPEDICS SURGERY CENTRE DR SUNCREST PLAZA 1 MEDICAL CENTER DR MARK K LANE MD (T1) MORGANTOWN, WV 26501 1075 VAN VOORHIS RD MORGANTOWN, WV 26506 MHC PHYSICIANS INC 855 988-2273 STE 100 304 598-4800 314 S WELLS ST STE 100 MORGANTOWN, WV 26505 GRAYSEN SISTERSVILLE, WV 26175 NOBLE COUNTY, OH 304 598-4830 PETERSEN-FITTS MD (T1) 304 447-2447 WVU SPORTS MEDICINE JESSE R ADA MD (T1) * JOHN P LUBICKY MD (T1) UPSHUR COUNTY, WV UHA @ FRENCH, SPANISH * JOSHUA B SYKES MD 943 MAPLE DR LOWR MARIETTA HEALTH CARE @ Lithuanian, GERMAN (T1) LEVEL PHYSICIAN UHA PHYSICIAN OFFICE MORGANTOWN, WV 26505 304 MAIN ST Accepts Ages 18 & Older CENTER 304 598-4830 CALDWELL, OH 43724 UHC ORTHOPAEDICS 1 MEDICAL CENTER 740 732-2339 10 AMALIA DR STE C4 DRIVE BUCKHANNON, WV 26201 OHIO COUNTY, WV MORGANTOWN, WV 26506 304 460-7935 304 598-4800 JEFFREY M ABBOTT DO (T1) *% 10 MEDICAL PARK STE 206 WHEELING, WV 26003 304 243-6534

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 97 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. DAVID L WAXMAN MD GREGORY B KRIVCHENIA GEORGE TOKODI DO (T1) GEORGE E HERRIOTT MD (T1) * II MD (T1) * (T1) * Accepts Ages 18 & Older FIRST SETTLEMENT FIRST SETTLEMENT PARKERSBURG 10 AMALIA DR STE C4 ORTHOPAEDICS ORTHOPAEDICS ORTHOPEDIC ASSOC BUCKHANNON, WV 26201 2434 RICHMILLER LN UNIT 611 2ND ST STE C 800 GRAND CENTRAL 304 460-7935 A MARIETTA, OH 45750 MALL STE 4 BELPRE, OH 45714 740 373-8756 VIENNA, WV 26105 DAVID L WAXMAN MD 740 373-8756 VISITFSO.COM 304 485-3300 (T1) * VISITFSO.COM UHC ORTHOPAEDICS GEORGE TOKODI DO (T1) GEORGE E HERRIOTT MD 94 W MAIN ST GREGORY B KRIVCHENIA * (T1) * BUCKHANNON, WV 26201 II MD (T1) FIRST SETTLEMENT GARFIELD ORTHOPEDICS 981 342-3500 FIRST SETTLEMENT ORTHOPAEDICS 2012 GARFIELD AVE STE 1 ORTHOPAEDICS 2434 RICHMILLER LN UNIT PARKERSBURG, WV 26101 WASHINGTON COUNTY, 611 2ND ST STE C A 304 485-8040 OH MARIETTA, OH 45750 BELPRE, OH 45714 JESSE R ADA MD (T1) * GEORGE E HERRIOTT MD 740 373-8756 740 373-8756 @ FRENCH, SPANISH (T1) * VISITFSO.COM FIRST SETTLEMENT VISITFSO.COM PARKERSBURG ORTHOPAEDICS MARK K LANE MD (T1) WETZEL COUNTY, WV ORTHOPEDIC ASSOC 2434 RICHMILLER LN UNIT FIRST SETTLEMENT MARY M HAUS II MD (T1) * 1600 MURDOCH AVE STE A ORTHOPAEDICS 3 E BENJAMIN DR 100 BELPRE, OH 45714 611 2ND ST STE C NEW MARTINSVILLE, WV PARKERSBURG, WV 26101 740 373-8756 MARIETTA, OH 45750 26155 304 485-8040 VISITFSO.COM 740 373-8756 304 455-8000 J JEFFREY MCELROY MD JESSE R ADA MD (T1) * MARK K LANE MD (T1) MARY M HAUS MD (T1) * (T1) * @ FRENCH, SPANISH FIRST SETTLEMENT RMH ORTHOPEDICS PARKERSBURG FIRST SETTLEMENT ORTHOPAEDICS 3 E BENJAMIN DR ORTHOPEDIC ASSOC ORTHOPAEDICS 2434 RICHMILLER LN UNIT NEW MARTINSVILLE, WV 1600 MURDOCH AVE STE 611 2ND ST A 26155 100 MARIETTA, OH 45750 BELPRE, OH 45714 304 221-4520 PARKERSBURG, WV 26101 740 373-8756 740 373-8756 304 485-8040 GREGORY B KRIVCHENIA VISITFSO.COM MARK K LANE MD (T1) II MD (T1) J JEFFREY MCELROY MD JASON L GESSEL DO (T1) MARIETTA MEMORIAL WETZEL COUNTY (T1) * FIRST SETTLEMENT HOSPITAL HOSPITAL ASSOCIATION GARFIELD ORTHOPEDICS ORTHOPAEDICS 802 WAYNE ST STE 200 3 E BENJAMIN DR 2012 GARFIELD AVE STE 1 611 2ND ST STE C MARIETTA, OH 45750 NEW MARTINSVILLE, WV PARKERSBURG, WV 26101 MARIETTA, OH 45750 740 589-3044 26155 304 485-8040 740 373-8756 NARESH K NAYAK MD 304 455-8288 J JEFFREY MCELROY MD JOHN S HENRY MD (T1) * (T1) * www.wetzelcountyhospital.c (T1) * FIRST SETTLEMENT @ FRENCH om PARKERSBURG ORTHOPAEDICS FIRST SETTLEMENT WOOD COUNTY, WV ORTHOPEDIC ASSOC 800 GRAND CENTRAL 611 2ND ST STE C ORTHOPAEDICS GARY D HARTER MD (T1) MALL STE 4 MARIETTA, OH 45750 2434 RICHMILLER LN UNIT GARFIELD ORTHOPEDICS VIENNA, WV 26105 740 373-8756 A 2012 GARFIELD AVE STE 1 304 485-3300 VISITFSO.COM BELPRE, OH 45714 PARKERSBURG, WV 26101 740 373-8756 JOHN S HENRY MD (T1) * 304 485-8040 VISITFSO.COM Otolaryngology FIRST SETTLEMENT GARY D HARTER MD (T1) ORTHOPAEDICS NARESH K NAYAK MD PARKERSBURG BERKELEY COUNTY, WV 2434 RICHMILLER LN UNIT (T1) * ORTHOPEDIC SOHRAB SHAHAB MD A @ FRENCH ASSOCIATES (T1) * BELPRE, OH 45714 FIRST SETTLEMENT 1600 MURDOCH AVE STE Requires Referral 740 373-8756 ORTHOPAEDICS 100 WVU MEDICINE EAR VISITFSO.COM 611 2ND ST STE C PARKERSBURG, WV 26101 NOSE AND THROAT MARIETTA, OH 45750 304 485-8040 2000 FOUNDATION WAY 740 373-8756 STE 3200 VISITFSO.COM MARTINSBURG, WV 25401 304 262-9400

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 98 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. HARRISON COUNTY, WV MERCER COUNTY, WV JEFFSON C CHUNG MD MONIKA E FREISER MD DANIEL J MERENDA MD MARK C LENTNER DO (T1) (T1) (T1) * (T1) * UHA PHYSICIAN OFFICE WVU MEDICINE 527 MEDICAL PARK DR MERCER MEDICAL ENT CENTER SUNCREST TOWNE STE 401 122 12TH ST STE A 1 MEDICAL CENTER DR CENTRE BRIDGEPORT, WV 26330 P O BOX 1369 MORGANTOWN, WV 26506 600 SUNCREST TOWNE 681 342-3570 PRINCETON, WV 24740 304 598-4800 CENTER MORGANTOWN, WV 26505 304 487-3407 STEVEN W COUTRAS MD KEVIN S OXLEY MD (T1) * 304 598-4478 527 MEDICAL PARK DR MARK A WEITZEL DO (T1) (T1) * STE 401 * UHA PHYSICIAN OFFICE MICHAEL K HURST MD BRIDGEPORT, WV 26330 MERCER MEDICAL ENT CENTER (T1) * 681 342-3570 122 12TH ST STE A 1 MEDICAL CENTER 1065 SUNCREST TOWNE PO BOX 1369 DRIVE CENTRE DR WILLIAM A STOKES MD PRINCETON, WV 24740 MORGANTOWN, WV 26506 MORGANTOWN, WV 26505 (T1) 304 487-3407 304 598-4800 304 598-4825 LOUIS A JOHNSON VA MEDICAL CENTER MONONGALIA COUNTY, STEVEN W COUTRAS MD MICHAEL K HURST MD 1 MED CENTER DR WV (T1) * (T1) * CLARKSBURG, WV 26301 MARK A ARMENI MD (T1) 1065 SUNCREST TOWNE UHA PHYSICIAN OFFICE 304 623-3461 * CENTRE DR CENTER UHA PHYSICIAN OFFICE MORGANTOWN, WV 26505 1 MEDICAL CENTER JEFFERSON COUNTY, WV CENTER 304 598-4825 DRIVE SOHRAB SHAHAB MD MORGANTOWN, WV 26506 1 MEDICAL CENTER JOEDY L DARISTOTLE MD (T1) * 304 598-4800 DRIVE (T1) * Requires Referral MORGANTOWN, WV 26506 1065 SUNCREST TOWNE HUSSEIN JAFFAL MD (T1) WVU MEDICINE EAR 304 598-4800 CENTRE DR WVU MEDICINE NOSE AND THROAT MORGANTOWN, WV 26505 SUNCREST TOWN 211 E 5TH AVE CHRISTOPHER E BAILEY 304 598-4825 CENTRE RANSON, WV 25438 MD (T1) 600 SUNCREST TOWNE 304 262-9400 1065 SUNCREST TOWNE JOEDY L DARISTOTLE CENTER CENTRE DR MD (T1) * MARION COUNTY, WV MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 UHA PHYSICIAN OFFICE 304 598-4478 CHRISTOPHER E BAILEY 304 598-4825 CENTER MD (T1) CHRISTOPHER E BAILEY 1 MEDICAL CENTER HUSSEIN JAFFAL MD (T1) 1712 LOCUST AVE MD (T1) DRIVE UHA PHYSICIAN OFFICE FAIRMONT, WV 26554 UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 CENTER 304 366-6157 CENTER 304 598-4825 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 JOHNATHAN E CASTANO 1 MEDICAL CENTER TANYA FANCY MD (T1) 800 988-2273 MD (T1) DRIVE UHA PHYSICIAN OFFICE FAIRMONT ENT MORGANTOWN, WV 26506 CENTER BRIAN M KELLERMEYER ASSOCIATES 304 598-4800 1 MEDICAL CENTER MD (T1) * 1712 LOCUST AVE JOHNATHAN E CASTANO DRIVE UHA PHYSICIAN OFFICE FAIRMONT, WV 26554 MD (T1) MORGANTOWN, WV 26506 CENTER 304 366-6157 MORGANTOWN ENT 304 598-4825 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 MARSHALL COUNTY, WV CLINIC MONIKA E FREISER MD 304 293-3233 RAYMOND A HINERMAN 1065 SUNCREST TOWN (T1) MD (T1) * CENTRE DR UHA PHYSICIAN OFFICE BRIAN M KELLERMEYER WVU MEDICINE MORGANTOWN, WV 26505 CENTER MD (T1) * 800 WHEELING AVE 304 598-4800 1 MEDICAL CENTER 1065 SUNCREST TOWN GLEN DALE, WV 26038 JOHNATHAN E CASTANO DRIVE CENTRE DR 304 221-4541 MD (T1) MORGANTOWN, WV 26506 MORGANTOWN, WV 26505 PHYSICIANS OFFICE 304 598-4800 304 598-4825 CENTER CHADI A MAKARY MD 1 MEDICAL CENTER (T1) * DRIVE 600 SUNCREST TOWN MORGANTOWN, WV 26506 CENTER 304 598-4800 MORGANTOWN, WV 26505 304 598-4478

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 99 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CHADI A MAKARY MD WETZEL COUNTY, WV MARK A WEITZEL DO (T1) ANNAS SABBAGH DO (T1) * GREGORY E KRAUSE MD * (T1) UHA PHYSICIAN OFFICE (T1) *% MERCER MEDICAL ENT Accepts Ages 18 & Older CENTER 260 RUSSELL AVENUE 122 12TH ST STE A UHC NEUROSURGERY 1 MEDICAL CENTER NEW MARTINSVILLE, WV PO BOX 1369 SPINE AND PAIN CENTER DRIVE 26155 PRINCETON, WV 24740 227 MEDICAL PARK DR MORGANTOWN, WV 26506 304 -39-8494 304 487-3407 STE 103 304 598-4800 BRIDGEPORT, WV 26330 WOOD COUNTY, WV HASSAN H RAMADAN MD Otolaryngology-Head 681 342-3500 GREGORY E KRAUSE MD (T1) * (T1) *% & Neck Surgery GOBIND P SINGH MD (T1) 1065 SUNCREST TOWNE ENT AND ALLERGY MONONGALIA COUNTY, NEUROSURGERY SPINE CENTRE DR ASSOC WV AND PAIN CENTER MORGANTOWN, WV 26505 800 GRAND CENTRAL BRIAN M KELLERMEYER 227 MEDICAL PARK DR 304 598-4825 MALL STE 11 MD (T1) * STE 103 HASSAN H RAMADAN MD VIENNA, WV 26105 UHA PHYSICIAN OFFICE BRIDGEPORT, WV 26330 (T1) * 304 916-1270 CENTER 681 342-3500 UHA PHYSICIAN OFFICE 1 MEDICAL CENTER DR MARK NENOW MD (T1) * JEFFERSON COUNTY, WV CENTER MORGANTOWN, WV 26506 WVU MEDICINE CAMDEN - JOHN W MILES DO (T1) * 1 MEDICAL CENTER 304 293-3233 CLARK ENT UNIVERSITY SURGICAL DRIVE 2010 GARFIELD AVE STE 3 BRIAN M KELLERMEYER ASSOCIATES MORGANTOWN, WV 26506 PARKERSBURG, WV 26101 MD (T1) * 201 E 5TH AVE STE 1 304 598-4800 304 865-5535 1065 SUNCREST TOWN RANSON, WV 25438 GEORGE E SNIDER MD CENTRE DR 304 728-1812 (T1) * Otolaryngology/ Facial MORGANTOWN, WV 26505 MONONGALIA COUNTY, 1065 SUNCREST TOWN Plastic Surgery 304 598-4825 WV CENTRE DR KELSEY BAUER MD (T1) BERKELEY COUNTY, WV MORGANTOWN, WV 26505 Pain Management PAIN MANAGEMENT 304 598-4800 SOHRAB SHAHAB MD CENTER - MORGANTOWN (T1) * GREENE COUNTY, PA WILLIAM A STOKES MD 1075 VAN VOORHIS RD KELSEY BAUER MD (T1) (T1) Requires Referral STE 150 WAYNESBURG MARY BABB RANDOLPH WVU MEDICINE EAR MORGANTOWN, WV 26505 OUTPATIENT CENTER CANCER CENTER NOSE AND THROAT 304 598-6216 451 MURTHA DR 1 MEDICAL CENTER 2000 FOUNDATION WAY WAYNESBURG, PA 15370 YESHVANT A DRIVE STE 3200 MARTINSBURG, WV 25401 304 598-4224 NAVALGUND MD (T1) * MORGANTOWN, WV 26506 @ KANNADA 304 262-9400 HARRISON COUNTY, OH 304 598-4500 WV EYE INSTITUTE SAMY F SAKLA MD (T1) MEGHAN T TURNER MD JEFFERSON COUNTY, WV 1 STADIUM DRIVE (T1) * SOHRAB SHAHAB MD Accepts ages 16 & older MORGANTOWN, WV 26506 UHA PHYSICIAN OFFICE (T1) * @ ARABIC 304 594-4820 951 E MARKET ST CENTER Requires Referral JONATHAN W PRATT MD CADIZ, OH 43907 1 MEDICAL CENTER WVU MEDICINE EAR (T1) * 740 942-3612 DRIVE NOSE AND THROAT PAIN MANAGEMENT MORGANTOWN, WV 26506 211 E 5TH AVE HARRISON COUNTY, WV CENTER-MORGANTOWN 304 598-4800 RANSON, WV 25438 NATHAN C BERRY DO 1075 VAN VOORHIS RD 304 262-9400 STEPHEN J WETMORE MD (T1) STE 150 (T1) * MERCER COUNTY, WV NEUROSURGERY SPINE MORGANTOWN, WV 26505 1065 SUNCREST TOWNE MARK C LENTNER DO AND PAIN CENTER 304 598-6216 227 MEDICAL PARK DR CENTRE DR (T1) * JONATHAN W PRATT MD STE 103 MORGANTOWN, WV 26505 MERCER MEDICAL ENT (T1) * BRIDGEPORT, WV 26330 304 598-4825 122 12TH ST STE A UHA MORGANTOWN 681 342-3500 P O BOX 1369 1 MEDICAL CENTER DR PRINCETON, WV 24740 MORGANTOWN, WV 26506 304 487-3407 304 598-4000

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 100 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. NASHAAT N RIZK MD (T1) SALWA M GENDI MD (T1) PIETER A VERHOEVEN * Palliative Medicine * MD (T1) PAIN MANAGEMENT MONONGALIA COUNTY, Accepts ages birth to 18 Accepts birth to age 21 CENTER WV WVU HEART & VASCULAR UHA PHYSICIAN OFFICE 1075 VAN VOORHIS RD JANNA E BAKER ROGERS INSTITUTE CENTER STE 150 MD (T1) 1 MEDICAL CENTER DR 1 MEDICAL CENTER MORGANTOWN, WV 26506 PHYSICIANS OFFICE MORGANTOWN, WV 26506 DRIVE 304 598-6216 CENTER 877 988-4478 MORGANTOWN, WV 26506 1 MEDICAL CENTER DR 304 598-4800 RICHARD M VAGLIENTI MAGGIE L LIKES MD (T1) MORGANTOWN, WV 26506 MD (T1) * Accepts ages birth to 18 NICHOLAS COUNTY, WV 304 598-4000 1075 VAN VOORHIS RD. UHA PHYSICIAN OFFICE LARRY A RHODES MD STE 150 RAMIRO O NAVIA MD (T1) CENTER (T1) MORGANTOWN, WV 26505 * 1 MEDICAL CENTER DR UHA PEDIATRIC 304 598-6216 6040 UNIVERSITY TOWN MORGANTOWN, WV 26506 CARDIOLOGY OHIO COUNTY, WV CTR DR 304 598-4800 400 FAIRVIEW HEIGHTS MORGANTOWN, WV 26501 RD JONATHAN W PRATT MD CHRISTOPHER W 855 988-2273 SUMMERSVILLE, WV (T1) * MERCER MD (T1) 26651 40 MEDICAL PARK STE RAMIRO O NAVIA MD (T1) 1 MEDICAL CENTER DR 304 293-4451 508 * MORGANTOWN, WV 26506 WHEELING, WV 26003 33 MEDICAL CENTER DR 304 598-4800 OHIO COUNTY, WV 304 243-8916 MORGANTOWN, WV 26505 LEE A PYLES MD (T1) * CHRISTOPHER W 304 598-4740 ADAM D TUNE MD (T1) *% UHA PHYSICIAN OFFICE MERCER MD (T1) 40 MEDICAL PARK STE CENTER 10 MEDICAL PARK STE 507 Pediatric Cardiology 1 MEDICAL CENTER DR 305 WHEELING, WV 26003 BERKELEY COUNTY, WV MORGANTOWN, WV 26506 WHEELING, WV 26003 304 243-3965 304 598-4835 STANLEY EINZIG MD (T1) 304 598-4800 UPSHUR COUNTY, WV * NITA RAY CHAUDHURI MD WOOD COUNTY, WV NATHAN C BERRY DO DOROTHY MCCORMICK (T1) STANLEY EINZIG MD (T1) (T1) CENTER UHA PHYSICIAN OFFICE * ST JOSEPH CLINIC 2500 HOSPITAL DR CENTER CAMDEN CLARK 94 W MAIN ST MARTINSBURG, WV 25401 1 MEDICAL CENTER HOSPITAL BUCKHANNON, WV 26201 304 267-1944 DRIVE 1824 MURDOCH AVE 304 473-2200 KANAWHA COUNTY, WV MORGANTOWN, WV 26506 PARKERSBURG, WV 26101 304 598-4800 304 485-3300 WOOD COUNTY, WV ANJLEE A PATEL MD (T1) DONNA C DAVIS DO (T1) * * LARRY A RHODES MD CHRISTOPHER W (T1) MERCER MD (T1) Accepts Ages 18 & Older Accepts ages birth to 18 UHA PHYSICIAN OFFICE 800 GRAND CENTRAL WVU MEDICINE PAIN @ SPANISH, GUJARTI CENTER MALL MANAGEMENT WVUPC PEDIATRICS 1 MEDICAL CENTER DR VIENNA, WV 26105 1901 ANN ST 830 PENNSYLVANIA AVE MORGANTOWN, WV 26506 304 485-3300 PARKERSBURG, WV 26101 STE 103 304 598-4800 304 865-5530 CHARLESTON, WV 25302 304 388-1552 JEROME P SAUL MD (T1) Pediatric Critical Care GALAL Y GARGODHI MD * (T1) MONONGALIA COUNTY, MONONGALIA COUNTY, UHA PHYSICIAN OFFICE Accepts Ages 18 & Older WV WV CENTER WVU MEDICINE PAIN STANLEY EINZIG MD (T1) CLAUDIU C 1 MEDICAL CENTER MANAGEMENT * FARAON-POGACEANU DRIVE 1901 ANN ST CAMDEN CLARK MD (T1) MORGANTOWN, WV 26506 PARKERSBURG, WV 26101 HOSPITAL 1 MEDICAL CENTER DR 304 598-4800 304 865-5530 600 SUNCREST TOWNE MORGANTOWN, WV 26506 CENTER 304 598-4800 MORGANTOWN, WV 26505 304 598-4478

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 101 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CHARLES MULLETT MD MONONGALIA COUNTY, NICHOLAS COUNTY, WV Pediatric Infectious (T1) WV BRIAN D RIEDEL MD (T1) UHA ADVANCED IMAGING BRIAN A ELY MD (T1) @ SPANISH Disease CENTER UHA PHYSICIAN OFFICE UHA ORTHOPEDIC KANAWHA COUNTY, WV 1 MEDICAL CENTER CENTER SURGERY RAHEEL R KHAN MD (T1) DRIVE 1 MEDICAL CENTER DR 400 FAIRVIEW HEIGHTS WVU PHYSICIANS OF MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 RD CHARLESTON 304 598-4800 304 598-4800 SUMMERSVILLE, WV 830 PENNSYLVANIA AVE 26651 MELVIN WRIGHT DO (T1) BRIAN A ELY MD (T1) STE 408 304 293-4451 @ SPANISH 6040 UNIVERSITY TOWN CHARLESTON, WV 25302 1 MEDICAL CENTER DR CENTRE DR 304 388-1552 MORGANTOWN, WV 26506 MORGANTOWN, WV 26501 Pediatric MONONGALIA COUNTY, 304 598-4000 304 293-6307 Hematology/Oncology WV EVAN A JONES MD (T1) KANAWHA COUNTY, WV KATHRYN S MOFFETT MD Pediatric Development RUBY MEMORIAL MOHAMAD H BADAWI MD (T1) KANAWHA COUNTY, WV HOSPITAL (T1) Not Accepting New Patients 1 MEDICAL CENTER DR BETH B EMRICK MD (T1) WVUPC PEDIATRICS 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 WVU PHYSICIANS OF 830 PENNSYLVANIA AVE MORGANTOWN, WV 26506 304 598-4000 CHARLESTON STE 103 AND 401 304 598-4000 830 PENNSYLVANIA AVE PUTNAM COUNTY, WV CHARLESTON, WV 25302 STE 103 SACHIN V BENDRE MD 304 388-1552 Pediatric Nephrology CHARLESTON, WV 25302 (T1) ASHLEY MEYER DO (T1) KANAWHA COUNTY, WV 304 388-1552 @ Hindi, Marathi WVUPC PEDIATRICS MYRA L CHIANG MD (T1) WVUPC AT CAMC TEAYS MONONGALIA COUNTY, 830 PENNSYLVANIA AVE * VALLEY WV STE 103 AND 401 @ CHINESE 1204 HOSPITAL DR ELIZABETH A MCQUADE CHARLESTON, WV 25302 WVU PHYSICIANS OF HURRICANE, WV 25526 MD (T1) 304 388-1552 CHARLESTON 304 388-1552 Accepts birth to age 21 MONONGALIA COUNTY, 830 PENNSYLVANIA AVE UHA PEDIATRICS WV STE 103 1 MEDICAL CENTER DR Pediatric ASHLEY MEYER DO (T1) CHARLESTON, WV 25302 MORGANTOWN, WV 26506 Gastroenterology UHA PHYSICIAN OFFICE 304 388-1552 304 598-4800 MONONGALIA COUNTY, CENTER MONONGALIA COUNTY, ELIZABETH A MCQUADE WV 1 MEDICAL CENTER WV MD (T1) CORTNEY R BALLENGEE DRIVE OULIMATA K GROSSMAN UHA PEDIATRICS MENCHINI MD (T1) MORGANTOWN, WV 26506 MD (T1) 304 598-4800 201 BAKERS RIDGE RD Accepts ages birth to 18 UHA PHYSICIAN OFFICE MORGANTOWN, WV 26508 1 MEDICAL CENTER DR STEPHAN R PAUL MD CENTER 304 598-4300 MORGANTOWN, WV 26506 (T1) 1 MEDICAL CENTER DR 304 598-4800 UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 Pediatric CENTER 304 598-4800 BRIAN D RIEDEL MD (T1) 1 MEDICAL CENTER Endocrinology @ SPANISH NICHOLAS COUNTY, WV DRIVE UHA PHYSICIAN OFFICE OULIMATA K GROSSMAN KANAWHA COUNTY, WV MORGANTOWN, WV 26506 CENTER MD (T1) SACHIN V BENDRE MD 304 598-4800 1 MEDICAL CENTER (T1) SUMMERSVILLE DRIVE STEPHAN R PAUL MD @ Hindi, Marathi REGIONAL MEDICAL CTR MORGANTOWN, WV 26506 (T1) WVU PHYSICIANS OF 400 FAIRVIEW HEIGHTS 304 598-4835 UHA PHYSICIAN OFFICE CHARLESTON RD CENTER 830 PENNSYLVANIA AVE SUMMERSVILLE, WV 1 MEDICAL CENTER STE 103 26651 DRIVE CHARLESTON, WV 25302 844 862-4751 MORGANTOWN, WV 26506 304 388-1552 304 598-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 102 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CASANDRA SHOJI ISHIGAMI MD (T1) * Pediatric AREVALO-MARCANO MD Pediatric Surgery Accepts Ages 18 & Older Ophthalmology (T1) MONONGALIA COUNTY, WVU MEDICINE BRAIN UHA PHYSICIAN OFFICE MONONGALIA COUNTY, WV AND SPINE CENTER WV DAN W PARRISH MD (T1) 880 N TENNESSEE AVE 1 MEDICAL CENTER DR GEOFFREY E BRADFORD UHA PHYSICIAN OFFICE STE 104 MORGANTOWN, WV 26506 MD (T1) * CENTER MARTINSBURG, WV 25401 304 598-4800 WV EYE INSTITUTE 1 MEDICAL CENTER DR 304 596-5160 1 STADIUM DRIVE MAPLE T LANDVOIGT MD MORGANTOWN, WV 26506 HARRISON COUNTY, WV 304 598-4800 MORGANTOWN, WV 26506 (T1) RUSSELL BIUNDO MD 304 598-4820 UHA PHYSICIAN OFFICE NICHOLAS A SHORTER (T1) CENTER RYAN S MCGUIRE MD MD (T1) * NEUROSURGERY SPINE 1 MEDICAL CENTER (T1) UHA PHYSICIAN OFFICE AND PAIN CENTER DRIVE WV EYE INSTITUTE CENTER 227 MEDICAL PARK DR MORGANTOWN, WV 26506 1 MEDICAL CENTER 1 MEDICAL CENTER STE 103 304 598-4800 MORGANTOWN, WV 26506 DRIVE BRIDGEPORT, WV 26330 304 598-4820 HIREN V MUZUMDAR MD MORGANTOWN, WV 26506 681 342-3500 304 598-4800 (T1) MONONGALIA COUNTY, Pediatric Orthopedics UHA PHYSICIAN OFFICE OHIO COUNTY, WV WV CENTER DAN W PARRISH MD (T1) RUSSELL BIUNDO MD MONONGALIA COUNTY, 1 MEDICAL CENTER UHA UROLOGY (T1) * WV DRIVE 10 MEDICAL PARK STE 1 MEDICAL CENTER DANIEL R GRANT MD (T1) MORGANTOWN, WV 26506 305 DRIVE * 304 598-4800 UHA PHYSICIAN OFFICE WHEELING, WV 26003 MORGANTOWN, WV 26507 CENTER 304 598-4835 304 598-4800 Pediatric 1 MEDICAL CENTER NORA MAY N CROTTY MD DRIVE Rheumatology Pediatric Urology (T1) * MORGANTOWN, WV 26506 KANAWHA COUNTY, WV MONONGALIA COUNTY, Accepts ages 14 & older 304 598-4800 CHARLES M JUSTICE MD WV PHYSICIAN OFFICE DAVID S TAGER MD (T1) (T1) OSAMA AL-OMAR MD CENTER PHYSICIAN OFFICE Accepts birth to age 21 (T1) 1 MEDICAL CENTER DR CENTER WVUPC - PEDIATRICS UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 1 MEDICAL CENTER 830 PENNSYLVANIA AVE CENTER 304 598-4800 DRIVE STE 103 1 MEDICAL CENTER NORA MAY N CROTTY MD MORGANTOWN, WV 26506 CHARLESTON, WV 25302 DRIVE (T1) * 304 598-4800 MORGANTOWN, WV 26506 304 388-1552 Accepts ages 14 & older 304 293-2706 MONONGALIA COUNTY, PHYSICIAN OFFICE Pediatric Pulmonary WV MICHAEL C OST MD (T1) CENTER KANAWHA COUNTY, WV PAUL ROSEN MD (T1) UHA PHYSICIAN OFFICE 6040 UNIVERSITY TOWN CENTER CENTRE DR JOHN B BISHARA MD (T1) UNIVERSITY TOWN CTR 1 MEDICAL CENTER MORGANTOWN, WV 26501 * 6040 UNIVERSITY TOWN CENTRE DR DRIVE 855 988-2273 Accepts birth to age 21 MORGANTOWN, WV 26501 MORGANTOWN, WV 26506 WVUPC PEDIATRICS NORA MAY N CROTTY MD 855 988-2273 304 598-4800 830 PENNSYLVANIA AVE (T1) * STE 408 PAUL ROSEN MD (T1) Accepts Ages 18 & Older CHARLESTON, WV 25302 PHYSICIAN OFFICE Physical Medicine & WVU SPORTS MEDICINE 304 388-1552 CENTER Rehabilitation UHA 1 MEDICAL CENTER DR 943 MAPLE DR MONONGALIA COUNTY, BERKELEY COUNTY, WV MORGANTOWN, WV 26506 MORGANTOWN, WV 26505 WV LESLIE S FOSTER MD 304 598-4800 304 598-4830 SAIF AL-QATARNEH MD (T1) * (T1) 880 N TENNESSEE AVE UNIVERSITY TOWN CTR STE 104 1 MEDICAL CENTER DR MARTINSBURG, WV 25401 MORGANTOWN, WV 26506 304 596-5160 304 598-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 103 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. STEPHANIE L FERIMER WASHINGTON COUNTY, BERKELEY COUNTY, WV LEWIS COUNTY, WV MD (T1) * MD MOHAMED K BARRY MD RONALD W LUETHKE MD PHYSICIAN OFFICE LESLIE S FOSTER MD (T1) (T1) * CENTER (T1) * 2000 FOUNDATION WAY UHC PLASTIC & 1 MEDICAL CENTER DR 13 WESTERN MARYLAND STE 3650 RECONSTRUCTIVE MORGANTOWN, WV 26506 PKWY STE 106 MARTINSBURG, WV 25401 107 STAUNTON DR 304 598-4800 HAGERSTOWN, MD 21740 304 350-3274 WESTON, WV 26452 240 513-4591 681 342-3190 STEPHANIE L FERIMER MOHAMED K BARRY MD MD (T1) * SHOJI ISHIGAMI MD (T1) * (T1) MARION COUNTY, WV WVU SPORTS MEDICINE Accepts Ages 18 & Older 61 CAMPUS DR STE 104 DARIN J LARSON MD (T1) UHA WVU MEDICINE BRAIN MARTINSBURG, WV 25404 FAIRMONT GATEWAY 943 MAPLE DR LOWR AND SPINE 304 596-5615 CENTER LEVEL 13 WESTERN MARYLAND GREENE COUNTY, PA 100 STONEY HILL RD MORGANTOWN, WV 26505 PKWY STE 106 FAIRMONT, WV 26554 LAWRENCE J GLAD MD 304 598-4830 HAGERSTOWN, MD 21740 304 285-5400 240 513-4591 (T1) BETHANY M HONCE MD UHA PHYSICIAN OFFICE MONONGALIA COUNTY, (T1) * WASHINGTON COUNTY, CENTER WV UHA ORTHOPEDICS OH 451 MURTHA DR MARK A ARMENI MD (T1) DEPARTMENT SESHAGIRI RAO WAYNESBURG, PA 15370 * 1160 VAN VOORHIS RD KALAPALA MD (T1) * 304 598-4880 UHA PHYSICIAN OFFICE MORGANTOWN, WV 26505 @ TEUGA CENTER HARRISON COUNTY, WV 855 988-2273 MARIETTA MEMORIAL 1 MEDICAL CENTER RONALD W LUETHKE MD BETHANY M HONCE MD HOSPTIAL DRIVE (T1) * (T1) * 807 FARSON ST STE 203A MORGANTOWN, WV 26506 527 MEDICAL PARK DR 1 MEDICAL CENTER BELPRE, OH 45714 304 598-4800 STE 203 DRIVE 740 401-1930 BRIDGEPORT, WV 26330 SEBASTIAN M BROOKE MORGANTOWN, WV 26507 WOOD COUNTY, WV 681 342-3190 MD (T1) * 304 598-4800 SESHAGIRI RAO UHA PHYSICIAN OFFICE JACKSON COUNTY, WV JOHN D LYNCH JR MD KALAPALA MD (T1) * CENTER (T1) * Accepts Ages 18 & Older MATTHEW B YOAK MD 1 MEDICAL CENTER DR UHA PHYSICIAN OFFICE @ TEUGA (T1) * MORGANTOWN, WV 26506 CENTER 1504 GRAND CENTRAL 146 PINNELL ST STE B 304 598-4800 943 MAPLE DR LOWR AVE RIPLEY, WV 25271 304 373-1521 MATTHEW J DIETZ MD LEVEL VIENNA, WV 26105 (T1) * MORGANTOWN, WV 26505 304 485-7500 MATTHEW YOAK MD (T1) UHA SURGERY 304 598-4830 * 6040 UNIVERSITY TOWN JONATHAN W PRATT MD Plastic & 122 PINNELL ST CENTRE DR (T1) * Reconstructive RIPLEY, WV 25271 MORGANTOWN, WV 26501 PAIN MANAGEMENT Surgery 304 373-1578 855 988-2273 CENTER-MORGANTOWN MATTHEW YOAK MD (T1) ALLEGANY COUNTY, MD BENJAMIN M FRYE MD 1075 VAN VOORHIS RD * (T1) * EMME D STE 150 174 PINNELL ST STE C ORTHOPEDICS CHAPMAN-JACKSON MD MORGANTOWN, WV 26505 RIPLEY, WV 25271 SUNCREST PLAZA (T1) * 304 598-6216 304 372-1740 1075 VAN VOORHIS RD WESTERN MARYLAND JONATHAN W PRATT MD STE 100 HEALTH SYSTEM MATTHEW YOAK MD (T1) (T1) * MORGANTOWN, WV 26505 12502 WILLOWBROOK RD * UHA MORGANTOWN 304 598-4830 STE 450 146 PINNELL ST 1 MEDICAL CENTER DR CUMBERLAND, MD 21502 RIPLEY, WV 25271 BENJAMIN M FRYE MD MORGANTOWN, WV 26506 301 724-5885 304 373-1521 (T1) * 304 598-4000 UHA SURGERY MARY LOUISE RUSSELL 6040 UNIVERSITY TOWN MD (T1) * CENTRE DR 1 MEDICAL CENTER MORGANTOWN, WV 26501 DRIVE 855 988-2273 MORGANTOWN, WV 26507 304 598-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 104 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BENJAMIN M FRYE MD KERRI M WOODBERRY BRAXTON COUNTY, WV Podiatry (T1) * MD (T1) * JEFFREY A MICHAEL DPM UHA PHYSICIAN OFFICE Not Accepting New Patients BELMONT COUNTY, OH (T1) CENTER UHA SURGERY DANNY R FIJALKOWSKI ST JOSEPH HOSPITAL 1 MEDICAL CENTER 608 CHEAT RD DPM (T1) 266 SKIDMORE LN FL 1 DRIVE MORGANTOWN, WV 26508 51339 NATIONAL RD SUTTON, WV 26601 MORGANTOWN, WV 26506 855 988-2273 SAINT CLAIRSVILLE, OH 304 460-7948 304 598-4800 OHIO COUNTY, WV 43950 GREENE COUNTY, PA JACK GELMAN MD (T1) * 740 695-1210 KARL J MUELLER MD RICHARD C HARRIS DPM UHA PHYSICIAN OFFICE (T1) *% DANNY R FIJALKOWSKI (T1) CENTER WHEELING HOSPITAL DPM (T1) WAYNESBURG 1 MEDICAL CENTER DR PHYSICIAN BELMONT COMMUNITY OUTPATIENT CENTER - MORGANTOWN, WV 26506 40 MEDICAL PARK STE HOSPITAL ORTHO 304 598-4800 200 63 HIGHWAY 7 SOUTH 451 MURTHA DR JACK GELMAN MD (T1) * WHEELING, WV 26003 POWHATAN POINT, OH WAYNESBURG, PA 15370 UHA SURGERY 304 242-0590 43942 304 598-4830 740 795-4505 6040 UNIVERSITY TOWN EDWARD P POLACK MD HARRISON COUNTY, WV CENTRE DR (T1) *% DANNY R FIJALKOWSKI BRYAN W DANHIRES DPM MORGANTOWN, WV 26501 PROFESSIONAL CENTER DPM (T1) (T1)% 855 988-2273 1 BELMONT COMMUNITY 300 BUCKHANNON PIKE DARIN J LARSON MD (T1) 1 MEDICAL PARK STE 704 HOSPITAL CLARKSBURG, WV 26301 PHYSICIAN OFFICE WHEELING, WV 26003 3000 GUERNSEY ST 304 623-1991 CENTER 304 243-3134 BELLAIRE, OH 43906 BRYAN W DANHIRES MD 1 MEDICAL CENTER DR 740 676-4623 C ALAN TRACY MD (T1) (T1) MORGANTOWN, WV 26506 *% VINCENT J KOLENICH UHA ORTHOPAEDICS 304 598-4800 PROFESSIONAL CENTER DPM (T1)% 227 MEDICAL PARK DR DARIN J LARSON MD (T1) 3 3000 GUERNSEY ST STE 101 UNIVERSITY TOWN 40 MEDICAL PARK STE BELLAIRE, OH 43906 BRIDGEPORT, WV 26330 CENTRE 200 740 676-7766 681 342-3500 6040 UNIVERSITY TOWN WHEELING, WV 26003 VINCENT J KOLENICH JACKSON COUNTY, WV CENTRE DR 304 242-0590 DPM (T1)% JAMES E PIPES DPM (T1) MORGANTOWN, WV 26501 WASHINGTON COUNTY, 63 HIGHWAY 7 S JACKSON GENERAL 855 988-2273 OH POWHATAN POINT, OH HOSPITAL MATTHEW B YOAK MD DANIEL H STEWART MD 43942 122 PINNELL ST (T1) * (T1) * 740 795-4505 RIPLEY, WV 25271 CAMDEN CLARK Not Accepting New Patients BERKELEY COUNTY, WV 304 -37-3013 UHA PHYSICIAN OFFICE PHYSICAL MED & REHAB SETH G EBERHARDT DPM CENTER 610 WASHINTON BLVD JEFFERSON COUNTY, WV (T1) 1 MEDICAL CENTER DR BELPRE, OH 45714 SETH G EBERHARDT DPM UNIVERSITY MORGANTOWN, WV 26506 740 315-1060 (T1) HEALTHCARE PHYSICIA 304 598-4800 WOOD COUNTY, WV 912 SOMERSET BLVD STE 61 CAMPUS DR STE 104 101 MATTHEW B YOAK MD KERRI M WOODBERRY MARTINSBURG, WV 25404 CHARLES TOWN, WV (T1) * MD (T1) * 304 596-5615 25414 UHA PHYSICIAN OFFICE CAMDEN CLARK SETH G EBERHARDT DPM 304 725-2663 CENTER GASTROENTEROLOGY (T1) 1 MEDICAL CENTER DR 2838 PIKE ST STE 1 LEWIS COUNTY, WV UNIVERSITY MORGANTOWN, WV 26506 PARKERSBURG, WV 26101 JEFFREY A MICHAEL DPM HEALTHCARE 304 598-4800 304 865-5070 (T1) PHYSICIANS ST JOSEPH HOSPITAL KERRI M WOODBERRY 2500 FOUNDATION WAY 107 STAUNTON DR FL 1 MD (T1) * MARTINSBURG, WV 25401 WESTON, WV 26452 UHA SURGERY 304 264-9202 304 460-7948 6040 UNIVERSITY TOWN CENTRE DR MORGANTOWN, WV 26501 855 988-2273

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 105 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JEFFREY A MICHAEL DPM OHIO COUNTY, WV ABBAS OMAIS MD (T1) * Pulmonary Diseases (T1) DANNY R FIJALKOWSKI UPMC WESTERN ST JOSEPH HOSPITAL DPM (T1) ALLEGANY COUNTY, MD MARYLAND 149 STAUNTON DR 12502 WILLOWBROOK RD WOUND CARE CENTER AILIA W ALI MD (T1) * WESTON, WV 26452 CUMBERLAND, MD 21502 40 MEDICAL PARK STE Accepts Ages 18 & Older 304 460-7948 240 964-8750 201 WESTERN MARYLAND MARION COUNTY, WV WHEELING, WV 26003 HEALTH SYSTEM NATVARIAL RAJPARA MD 304 243-7130 RUSTY L CAIN DPM (T1) * 12502 WILLOWBROOK RD (T1) * 100 STONEY HILL RD TUCKER COUNTY, WV STE 280 Accepts Ages 18 & Older FAIRMONT, WV 26554 JEFFREY A MICHAEL DPM CUMBERLAND, MD 21502 @ GUJARTI, Hindi 304 285-5400 (T1) 240 964-8750 WESTERN MARYLAND HEALTH SYSTEM MONONGALIA COUNTY, ST JOSEPH HOSPITAL CHARLES BORDERS MD 12502 WILLOWBROOK RD WV 72 CORTLAND ACRES LN (T1) * STE 280 KATHRYN J BOSIA DPM THOMAS, WV 26292 WESTERN MARYLAND CUMBERLAND, MD 21502 (T1) 304 460-7948 HEALTH SYSTEM 240 964-8750 1 MEDICAL CENTER DR UPSHUR COUNTY, WV 12500 WILLOWBROOK RD MORGANTOWN, WV 26506 CUMBERLAND, MD 21502 NATVARLAL RAJPARA JENNIFER E MICHAEL 304 598-4800 240 964-8515 MD (T1) * DPM (T1) Accepts Ages 18 & Older RICHARD C HARRIS DPM ST JOSEPH PODIATRY CHARLES BORDERS MD (T1) 10 AMALIA DR STE C5 (T1) * @ GUJARTI, Hindi 1 MEDICAL CENTER DR BUCKHANNON, WV 26201 WESTERN MARYLAND WESTERN MARYLAND MORGANTOWN, WV 26506 304 460-7948 HEALTH SYSTEM HEALTH SYSTEM 304 598-4800 12502 WILLOWBROOK RD 12500 WILLOWBROOK RD JEFFREY A MICHAEL DPM STE 280 CUMBERLAND, MD 21502 (T1) CHERIE L KELLY DPM CUMBERLAND, MD 21502 240 964-8750 ST JOSEPH PODIATRY (T1) 240 964-8750 UHA 10 AMALIA DR STE C5 MARK A SAGIN MD (T1) * 6040 UNIVERSITY TOWN BUCKHANNON, WV 26201 MING HUI FAN MD (T1) * Accepts Ages 18 & Older CENTRE DR 304 460-7948 WESTERN MARYLAND WESTERN MARYLAND MORGANTOWN, WV 26501 HEALTH SYSTEM HEALTH SYSTEM WOOD COUNTY, WV 855 988-2273 12502 WILLOWBROOK RD 12502 WILLOWBROOK RD JANA ATIK DPM (T1) CUMBERLAND, MD 21502 STE 280 CHERIE L KELLY DPM PARKERSBURG 240 964-8750 CUMBERLAND, MD 21502 (T1) ORTHOPEDIC 240 964-8750 1 PHYSICIAN OFFICE ASSOCIATES MING HUI FAN MD (T1) * RICHARD G SCHMITT MD CENTER 1600 MURDOCH AVE STE WESTERN MARYLAND (T1) * MORGANTOWN, WV 26506 100 HEALTH SYSTEM WESTERN MARYLAND 304 598-4800 PARKERSBURG, WV 26101 12500 WILLOWBROOK RD HEALTH SYSTEM 304 485-8040 CUMBERLAND, MD 21502 CHERIE L KELLY DPM 240 964-7000 12502 WILLOWBROOK RD (T1) KRISTIN SILINSKI DPM STE 280 SHRAVAN 1 MEDICAL CENTER DR (T1) * CUMBERLAND, MD 21502 MORGANTOWN, WV 26506 PARKERSBURG KOORAGAYALU MD (T1) 240 964-8690 304 598-4000 ORTHOPEDIC UPMC WESTERN MARYLAND BELMONT COUNTY, OH NICHOLAS COUNTY, WV ASSOCIATES 1600 MURDOCH AVE STE 12502 WILLOWBROOK RD STANLEY J MATYASIK DO HSING-HSI J LEE DPM 100 STE 280 (T1) (T1) PARKERSBURG, WV 26101 CUMBERLAND, MD 21502 Accepts Ages 18 & Older Accepts ages 9 and up 304 485-8040 240 964-8690 LUNG CENTER, INC SUMMERSVILLE CHARLES BORDERS MD 51520 NATIONAL RD OUTPATIENT CENTER (T1) SAINT CLAIRSVILLE, OH 400 FAIRVIEW HEIGHTS UPMC WESTERN 43950 RD STE 202 MARYLAND 740 843-5041 SUMMERSVILLE, WV 12500 WILLOWBROOK RD 26651 CUMBERLAND, MD 21502 304 872-8404 240 964-8690

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 106 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MELVIN T SALUDES MD FEROZ NOORI MD (T1) * FEROZ F NOORI MD (T1) * MERCER COUNTY, WV (T1) Accepts ages 16 & older Accepts ages 16 & older CUDDALORE P Accepts ages 17 & older @ FRENCH, FARSI @ FRENCH, FARSI VASUDEVAN MD (T1) * LUNG CENTER INC 2000 FOUNDATION WAY UNIVERSITY Accepts Ages 18 & Older 51520 NATIONAL RD STE 3300 PULMONOLOGY @ TAMIL SAINT CLAIRSVILLE, OH MARTINSBURG, WV 25401 ASSOCIATES CAPTURE 107 43950 304 596-6868 211 E 5TH AVE STE A 508 NEW HOPE RD STE 7 740 843-5041 RANSON, WV 25438 HARRISON COUNTY, WV PRINCETON, WV 24740 304 596-6868 304 425-0403 BERKELEY COUNTY, WV JAMIL AHMED MD (T1) PHILLIP B AGUILA MD Accepts Ages 18 & Older KANAWHA COUNTY, WV MINERAL COUNTY, WV (T1) * @ PUNJABI, URDU HESHAM E MOHAMED MD BOYD SPRENKLE MD (T1) UHP INT 527 MEDICAL PARK DR (T1) FORT ASHBY RURAL MED/PULMONOLOGY STE 102 3100 MACCORKLE AVE SE HEALTH CLINIC 2000 FOUNDATION WAY BRIDGEPORT, WV 26330 STE 700 10261 FRANKFORT HWY STE 3300 304 933-3816 CHARLESTON, WV 25304 FORT ASHBY, WV 26719 MARTINSBURG, WV 25401 304 720-7305 304 597-3600 304 596-6868 JIMMY H DOUMIT MD (T1) UHC PULMONARY MARION COUNTY, WV MONONGALIA COUNTY, ROBERT E BOWEN MD 527 MEDICAL PARK DR ROBERT C STANSBURY WV (T1) * STE 205 MD (T1) * AMIRAHWATY ABDULLAH Accepts ages 6 & older BRIDGEPORT, WV 26330 FAIRMONT GATEWAY MD (T1) * Practice Limited to Office 681 342-3730 CENTER UHA PHYSICIAN OFFICE Care Only 100 STONEY HILL RD CENTER SALAM H RAJJOUB MD 2000 FOUNDATION WAY FAIRMONT, WV 26554 1 MEDICAL CENTER DR (T1) STE 3700 304 285-5400 MORGANTOWN, WV 26506 Accepts Patients 2 and MARTINSBURG, WV 25401 304 598-4800 MARSHALL COUNTY, WV 304 264-9080 Older @ ARABIC STANLEY J MATYASIK DO HATIM S AL-JAROUSHI RICHARD H CATLETT III AMERICAN LUNG CARE (T1) MD (T1) * MD (T1) * INC Accepts Ages 18 & Older UHA PHYSICIAN OFFICE Accepts ages 16 & older 700 GENESIS BLVD LUNG CENTER, INC CENTER UNIV HEALTHCARE PHYS BRIDGEPORT, WV 26330 426 8TH ST STE 305 1 MEDICAL CENTER DR 61 CAMPUS DR STE 200 304 848-2040 GLEN DALE, WV 26038 MORGANTOWN, WV 26506 MARTINSBURG, WV 25404 304 598-4800 PRASHANTH 304 843-5041 304 274-6343 THALANAYAR MELVIN T SALUDES MD BATHMAPRIYA RICHARD H CATLETT III MUTHUKRISHNAN MD (T1) BALAKRISHNAN MD (T1) MD (T1) * UHA PHYSICIAN OFFICE (T1) Accepts ages 17 & older CENTER Accepts ages 16 & older Accepts Ages 18 & Older LUNG CENTER INC 1 MEDICAL CENTER DR INWOOD FAMILY UHC PULMONARY 426 8TH ST STE 305 MORGANTOWN, WV 26506 MEDICINE 527 MEDICAL PARK DR GLEN DALE, WV 26038 304 598-4800 5047 GERRARDSTOWN STE 205 304 843-5041 RD STE 2B BRIDGEPORT, WV 26330 KYLE D CHAPMAN MD MELVIN T SALUDES MD INWOOD, WV 25428 681 342-3730 (T1) (T1) 304 821-1444 UHA PHYSICIAN OFFICE JEFFERSON COUNTY, WV Accepts ages 16 & older FARNAZ HOUSHMAND MD CENTER PHILLIP B AGUILA MD RMH RESPIRATORY & (T1) 1 MEDICAL CENTER DR (T1) * OCCUPATIONAL LUNG MORGANTOWN, WV 26506 Accepts Ages 18 & Older Accepts Ages 18 & Older DISE 304 598-4800 UHP PULMONOLOGY UNIVERSITY 800 WHEELING AVE 2000 FOUNDATION WAY PULMONOLOGY GLEN DALE, WV 26038 SARAH HADIQUE MD (T1) STE 3300 ASSOCIATES 304 843-3307 * MARTINSBURG, WV 25401 211 E 5TH AVE STE A UHA PHYSICIAN OFFICE 304 596-6868 RANSON, WV 25438 CENTER 304 596-6868 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 304 598-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 107 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. STEPHEN P HOFFMANN NICHOLAS COUNTY, WV ROBERT C STANSBURY ANEEQAH BAIG MD (T1) MD (T1) HATIM S AL-JAROUSHI MD (T1) * Accepts ages 15 & older UHA PHYSICIAN OFFICE MD (T1) * SUMMERSVILLE CCPC PULMONARY CENTER SUMMERSVILLE SPECIALTY CLINIC CLINIC 1 MEDICAL CENTER DR SPECIALTY CLINIC 400 FAIRVIEW HEIGHTS 800 GARFIELD AVE RM MORGANTOWN, WV 26506 400 FAIRVIEW HEIGHTS RD STE 20 G101 304 598-4800 RD STE 204 SUMMERSVILLE, WV PARKERSBURG, WV 26101 26651 RACHEL A LEONARD MD SUMMERSVILLE, WV 304 424-4721 26651 855 988-2273 (T1) BHAILAL G GONDALIA MD 855 988-2273 UHA PHYSICIAN OFFICE RAFIA ZULFIKAR MD (T1) (T1) * CENTER BATHMAPRIYA SUMMERSVILLE Accepts ages 12 & older 1 MEDICAL CENTER DR BALAKRISHNAN MD (T1) SPECIALTY CLINIC @ Hindi MORGANTOWN, WV 26506 SUMMERSVILLE 400 FAIRVIEW HEIGHTS 600 18TH ST STE 111 304 598-4800 SPECIALTY CLINIC RD STE 20 PARKERSBURG, WV 26101 SUMMERSVILLE, WV CLAY B MARSH MD (T1) * 400 FAIRVIEW HEIGHTS 304 424-4618 RD STE 20 26651 UHA PHYSICIAN OFFICE ABIY K KELIL MD (T1) SUMMERSVILLE, WV 855 988-2273 CENTER 1824 MURDOCH AVE 26651 1 STADIUM DRIVE OHIO COUNTY, WV PARKERSBURG, WV 26101 855 988-2273 MORGANTOWN, WV 26506 RICHARD E RYNCARZ MD 304 424-4111 304 293-2323 KYLE D CHAPMAN MD (T1) * ABIY K KELIL MD (T1) (T1) 58 16TH ST SUNIL SHARMA MD (T1) * CAMDEN CLARK SUMMERSVILLE WHEELING, WV 26003 UHA PHYSICIAN OFFICE MEMORIAL HOSPITAL SPECIALTY CLINIC 304 234-1935 CENTER 800 GARFIELD AVE RM 400 FAIRVIEW HEIGHTS 1 MEDICAL CENTER DR TYLER COUNTY, WV G101 RD STE 20 MORGANTOWN, WV 26506 PARKERSBURG, WV 26101 SUMMERSVILLE, WV SALAM H RAJJOUB MD 304 598-4800 304 424-4721 26651 (T1) ROBERT C STANSBURY 855 988-2273 Accepts Patients 2 and ROSHEN MATHEW MD MD (T1) * Older (T1) * UHA PHYSICIAN OFFICE SARAH HADIQUE MD (T1) @ ARABIC * Accepts ages 16 & older CENTER 314 WEST WELLS STREET CAMDEN CLARK 1 MEDICAL CENTER DR SUMMERSVILLE SISTERSVILLE, WV 26175 SPECIALTY CLINIC MEMORIAL HOSPITAL MORGANTOWN, WV 26506 304 652-2611 800 GARFIELD AVE RM 304 598-4800 400 FAIRVIEW HEIGHTS RD STE 204 WETZEL COUNTY, WV G101 ROBERT C STANSBURY SUMMERSVILLE, WV MELVIN T SALUDES MD PARKERSBURG, WV 26101 MD (T1) * 26651 (T1) 304 424-4721 WVU SLEEP EVALUATION 855 988-2273 Accepts ages 17 & older DEVANSHI MEHTA MD CENTER 3 E BENJAMIN DR (T1) * 205 BAKERS RIDGE RD RACHEL A LEONARD MD NEW MARTINSVILLE, WV Accepts Ages 18 & Older MORGANTOWN, WV 26508 (T1) 26155 CCPC PULMONARY 304 598-4285 SUMMERSVILLE SPECIALTY CLINIC 304 843-5041 CLINIC DAVID N WEISSMAN MD 400 FAIRVIEW HEIGHTS WOOD COUNTY, WV 800 GARFIELD AVE RM (T1) * G101 RD STE 20 OLUWATOYIN V UHA PHYSICIAN OFFICE PARKERSBURG, WV 26101 SUMMERSVILLE, WV ADULOJU-ODUNAIYA CNP CENTER 304 424-4721 26651 (T1) 1 STADIUM DRIVE 855 988-2273 BROWNHILDA N SANTO MORGANTOWN, WV 26506 Accepts Ages 18 & Older MD (T1) 304 598-4800 SUNIL SHARMA MD (T1) * CAMDEN CLARK SUMMERSVILLE MEMORIAL HOSPITAL CAMDEN CLARK RAFIA ZULFIKAR MD (T1) SPECIALTY CLINIC 800 GARFIELD AVE RM MEMORIAL HOSPITAL UHA PHYSICIAN OFFICE 400 FAIRVIEW HEIGHTS G101 800 GARFIELD AVE RM CENTER RD STE 20 PARKERSBURG, WV 26101 G101 1 MEDICAL CENTER DR SUMMERSVILLE, WV 304 424-4721 PARKERSBURG, WV 26101 MORGANTOWN, WV 26506 26651 304 424-4721 304 598-4800 855 988-2273

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 108 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. TODD C TENENHOLZ MD JEFFREY M RYCKMAN MD GBEMISOLA M OLAYEMI Radiation Oncology (T1) (T1) MD (T1) BERKELEY COUNTY, WV PHYSICIAN OFFICE CAMDEN CLARK Accepts Ages 18 & Older CENTER REGIONAL CANCER EDWARD W KIGGUNDU UHC RHEUMATOLOGY 1 MEDICAL CENTER DR CENTER MD (T1)% 120 MEDICAL PARK DR MORGANTOWN, WV 26506 705 GARFIELD AVE STE STE 100 Accepts ages 16 & older 304 598-4500 180 BRIDGEPORT, WV 26330 KIGGUNDU RADIATION PARKERSBURG, WV 26101 681 342-3490 THERAPY PA VLADIMIR VALAKH MD 304 424-2744 2000 FOUNDATION WAY (T1) JENNIFER M REAMS MD STE 100 MARY BABB RANDLPH (T1) * Reproductive MARTINSBURG, WV 25401 CANCER CENTER Accepts Ages 18 & Older 304 262-8800 1 MEDICAL CENTER DR Endocrinology UHC RHEUMATOLOGY MORGANTOWN, WV 26506 HARRISON COUNTY, WV MONONGALIA COUNTY, 120 MEDICAL PARK DR 304 598-4500 STE 100 MICHAEL A STEWART MD WV BRIDGEPORT, WV 26330 (T1) * OHIO COUNTY, WV RYAN J HEITMANN DO 681 342-3490 @ FRENCH JONDAVID POLLOCK MD (T1) 327 MEDICAL PARK DR (T1)% WVU CENTER FOR MONONGALIA COUNTY, BRIDGEPORT, WV 26330 Accepts Ages 18 & Older REPRODUCTIVE WV 681 342-1824 1 MEDICAL PARK MEDICINE MANDANA HASHEFI MD WHEELING, WV 26003 1322 PINEVIEW DR (T1) MARION COUNTY, WV 304 243-3490 MORGANTOWN, WV 26505 WVU MEDICINE VLADIMIR VALAKH MD 304 598-3100 SUNCREST TOWNE (T1) RANDOLPH COUNTY, WV RICHARD A METER MD CENTRE 1325 LOCUST AVE MARSHALL D SKLAR MD (T1) 600 SUNCREST TOWNE FAIRMONT, WV 26554 (T1) * UHA PHYSICIAN OFFICE CENTER 304 366-9999 @ SPANISH CENTER MORGANTOWN, WV 26505 DAVIS MEDICAL MARSHALL COUNTY, WV 1322 PINEVIEW DR 304 598-4478 CENTER/CANCER MORGANTOWN, WV 26505 JONDAVID POLLOCK MD CENTER JO ANN A HORNSBY MD 304 598-3100 (T1)% 801 GORMAN AVE (T1) * WHEELING ONCOLOGY ELKINS, WV 26241 WVU MEDICINE SPECIALISTS 304 636-3300 Rheumatology SUNCREST TOWNE CTR 800 WHEELING AVE FL 2 600 SUNCREST TOWNE www.davishealthsystem.org BERKELEY COUNTY, WV GLEN DALE, WV 26038 CENTRE MICHAEL M REZAIAN MD 304 843-3340 MARSHALL D SKLAR MD MORGANTOWN, WV 26505 (T1) * (T1) MONONGALIA COUNTY, 304 598-4478 812 GORMAN AVE RURAL OUTREACH WV ELKINS, WV 26241 ARTHRITIS CTRS SAYANIKA KAUR MD (T1) GERALDINE M 304 636-3300 176 HEALTH CARE LN STE WVU MEDICINE JACOBSON MD (T1) * A SUNCREST TOWNE MARY BABB RANDOLPH WOOD COUNTY, WV MARTINSBURG, WV 25401 CENTRE CANCER CENTER GABOR ALTDORFER MD 304 262-0085 600 SUNCREST TOWNE 1 MEDICAL CENTER DR (T1) CENTER HARRISON COUNTY, WV MORGANTOWN, WV 26506 Not Accepting New Patients MORGANTOWN, WV 26505 304 598-4500 705 GARFIELD AVE STE AARADHANA KAUL MD 304 598-4478 180 (T1) ANN M MORRIS MD (T1) UHC RHEUMATOLOGY AMIT P LADANI MD (T1) 1 MEDICAL CENTER DR PARKERSBURG, WV 26101 UHA PHYSICIAN OFFICE 304 424-2744 120 MEDICAL PARK DR MORGANTOWN, WV 26506 STE 100 CENTER 304 598-4500 MICHAEL J KATIN MD BRIDGEPORT, WV 26330 600 SUNCREST TOWNE CENTER PARVEZ P SHAIKH MD (T1) * 681 342-3490 MORGANTOWN, WV 26505 (T1) UHA RADIATIONS 304 598-4478 UHA RADIATIONS ONCOLOGY ONCOLOGY 705 GARFIELD AVE STE 1 MEDICAL CENTER DR 180 MORGANTOWN, WV 26506 PARKERSBURG, WV 26101 304 598-4500 304 424-2744

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 109 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JAMIE C LATOS DO (T1) WINCHESTER CITY MONONGALIA COUNTY, UHA PHYSICIAN OFFICE COUNTY, VA WV Sports Medicine CENTER MICHAEL M REZAIAN MD HEATHER CLAWGES MD BELMONT COUNTY, OH 600 SUNCREST TOWNE (T1) (T1) STACEY L CENTER RURAL OUTREACH UHA PHYSICIAN OFFICE BROWN-BROCKLEHURST MORGANTOWN, WV 26505 ARTHRITIS CTRS CENTER MD (T1) *% 304 598-4478 3050 VALLEY AVE STE 100 1 MEDICAL CENTER 55741 NATIONAL RD WINCHESTER, VA 22601 DRIVE DEVANSHU VERMA MD BRIDGEPORT, OH 43912 540 313-6163 MORGANTOWN, WV 26506 (T1) 740 635-4572 304 598-4800 WVU MEDICINE SUNSET WOOD COUNTY, WV STACEY L TOWNE CENTRE CHRISTOPHER K PHAM ROMY N ABOU MRAD MD BROWN-BROCKLEHURST 600 SUNCREST TOWNE MD (T1) * (T1) * MD (T1) *% CENTER UNIVERSITY TOWN 801 GARFIELD AVE STE 4000 CENTRAL AVE MORGANTOWN, WV 26505 CENTRE 100 SHADYSIDE, OH 43947 304 598-4478 6040 UNIVERSITY TOWN PARKERSBURG, WV 26101 740 671-9357 CENTRE DR COLLEEN M WATKINS 304 424-4249 MORGANTOWN, WV 26501 STACEY L MD (T1) 855 988-2273 BROWN-BROCKLEHURST UHA PHYSICIAN OFFICE Sleep Disorder MD (T1) *% CENTER NICOLE E WILSON-CARR Medicine 63 HIGHWAY 7 S 1 MEDICAL CENTER MD (T1) ALLEGANY COUNTY, MD POWHATAN POINT, OH DRIVE 205 BAKERS RIDGE RD 43942 MORGANTOWN, WV 26506 NATVARLAL RAJPARA MORGANTOWN, WV 26508 740 695-4505 304 598-4800 MD (T1) * 304 598-4285 Accepts Ages 18 & Older STACEY L ELLA M WEBSTER MD NICOLE E WILSON-CARR @ GUJARTI, Hindi BROWN-BROCKLEHURST (T1) MD (T1) WESTERN MARYLAND MD (T1) *% UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE HEALTH SYSTEM 51339 NATIONAL RD CENTER CENTER 12500 WILLOWBROOK RD SAINT CLAIRSVILLE, OH 600 SUNCREST TOWN 1 MEDICAL CENTER DR CUMBERLAND, MD 21502 43950 CENTRE DR MORGANTOWN, WV 26506 240 964-8750 740 695-1210 MORGANTOWN, WV 26505 304 598-4800 304 598-4478 NATVARIAL RAJPARA MD HARRISON COUNTY, WV NICHOLAS COUNTY, WV (T1) * PETER J ALASKY IV DO DAVID J ZELMAN MD (T1) CHRISTOPHER K PHAM Accepts Ages 18 & Older (T1) * * MD (T1) * @ GUJARTI, Hindi UHC ORTHOPAEDICS UHA PHYSICIAN OFFICE SUMMERSVILLE WESTERN MARYLAND 227 MEDICAL PARK DR CENTER SPECIALTY CLINIC HEALTH SYSTEM STE 101 600 SUNCREST TOWNE 400 FAIRVIEW HEIGHTS 12502 WILLOWBROOK RD BRIDGEPORT, WV 26330 CENTER RD STE 20 STE 280 681 342-3500 MORGANTOWN, WV 26505 SUMMERSVILLE, WV CUMBERLAND, MD 21502 304 598-4478 26651 ASHLEY L YELINEK DO 240 964-8750 NICHOLAS COUNTY, WV 855 988-2273 (T1) * HARRISON COUNTY, WV 227 MEDICAL PARK DR AMIT P LADANI MD (T1) OHIO COUNTY, WV JIMMY H DOUMIT MD (T1) STE 101 SUMMERSVILLE JASMINE M ROBERTS MD UHC PULMONARY BRIDGEPORT, WV 26330 SPECIALTY CLINIC (T1) * 527 MEDICAL PARK DR 681 342-3500 400 FAIRVIEW HEIGHTS WHEELING HOSPITAL STE 205 RD STE 204 FAMILY MED JEFFERSON COUNTY, WV BRIDGEPORT, WV 26330 SUMMERSVILLE, WV 980 NATIONAL RD RYAN SPROUSE MD (T1) * 681 342-3730 26651 WHEELING, WV 26003 912 SOMERSET BLVD STE 855 988-2273 304 243-3720 101 CHARLES TOWN, WV 25414 304 725-2663

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 110 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MONONGALIA COUNTY, BELMONT COUNTY, OH HANNAH M MCKEEVER RONALD V PEARSON MD WV FRANK G SCHIEBEL MD DO (T1) * (T1) JUSTIN R LOCKREM MD (T1) * 2000 FOUNDATION WAY BRAXTON COUNTY (T1) Accepts ages 13 & older STE 2200 MEMORIAL HOSPITAL UNIVERSITY TOWN BARNESVILLE MEDICAL MARTINSBURG, WV 25401 100 HOYLMAN DR CENTRE CENTER 304 596-6900 GASSAWAY, WV 26624 6040 UNIVERSITY TOWN 304 364-1153 100 HOSPITAL DR LIVIO ROMANI MD (T1) * CENTRE DR BARNESVILLE, OH 43713 Accepts ages 3 & older FAYETTE COUNTY, PA MORGANTOWN, WV 26501 304 221-4570 855 988-2273 2500 HOSPITAL DR MAGED N ELKHOULY MD FRANK G SCHIEBEL MD MARTINSBURG, WV 25401 (T1) * AARON J MONSEAU MD (T1) * 304 264-1000 Accepts ages 13 & older (T1) * Accepts ages 13 & older LIVIO ROMANI MD (T1) * UNIONTOWN SURGERY 101 STADIUM DR 100 WOODLAWN AVE STE MORRISTOWN CLINIC - Accepts ages 3 & older MORGANTOWN, WV 26506 1 SURGERY 2000 FOUNDATION WAY 304 598-4800 UNIONTOWN, PA 15401 66840 BELMONT STE 2200 724 430-5600 GAETANO P MORRISTOWN RD MARTINSBURG, WV 25401 MONTELEONE MD (T1) * BELMONT, OH 43718 304 596-6900 MAGED N ELKHOULY MD UHA SLEETH FAMILY 304 221-4570 (T1) * MEDICINE CTR MAZIN SHACKOUR MD HOWARD L Accepts ages 13 & older 6040 UNIVERSITY TOWN (T1) * SHACKELFORD MD (T1) UNIONTOWN SPECIALTY CENTRE DR EAST PRIMARY CARE *% CARE MORGANTOWN, WV 26501 SPRING MILLS WHEELING HOSPITAL 500 W BERKELEY ST 304 598-6900 61 CAMPUS DR STE 200 46150 NATIONAL RD MARTINSBURG, WV 25404 UNIONTOWN, PA 15401 BENJAMIN D WEST 304 274-6343 724 430-5600 MOOREHEAD MD (T1) SAINT CLAIRSVILLE, OH JENNIFER M UHA PHYSICIAN OFFICE 43950 JOHN J THOMAS MD (T1) RITTENHOUSE-PUHAK MD CENTER 740 695-2443 2000 FOUNDATION WAY (T1) * 1 MEDICAL CENTER STE 2200 BERKELEY COUNTY, WV Accepts ages 13 & older DRIVE MARTINSBURG, WV 25401 UNIONTOWN MORGANTOWN, WV 26506 JAMES M CARRIER MD 304 596-6900 (T1) * CARDIOLOGY 304 598-4800 JASON L TURNER MD UNIVERSITY SURGICAL 100 WOODLAWN AVE STE (T1) * OHIO COUNTY, WV ASSOCIATES 1 2500 HOSPITAL DR RAYMOND J DE CUBA II 2000 FOUNDATION WAY UNIONTOWN, PA 15401 MARTINSBURG, WV 25401 MD (T1) * STE 2200 724 430-5600 304 596-6869 MARTINSBURG, WV 25401 FAMILY MEDICINE JOSEF J VANEK MD (T1) * CENTER 304 596-6900 JASON L TURNER MD Accepts ages 13 & older 10 MEDICAL PARK STE (T1) * ROBERT E CICCHINO DO UNIONTOWN 203 2000 FOUNDATION WAY (T1) * CARDIOLOGY WHEELING, WV 26003 STE 2200 UNIVERSITY SURGICAL 100 WOODLAWN AVE STE 304 243-8630 MARTINSBURG, WV 25401 ASSOCIATES 1 304 596-6900 2000 FOUNDATION WAY UNIONTOWN, PA 15401 Surgery STE 2200 BRAXTON COUNTY, WV 724 430-5600 MARTINSBURG, WV 25401 ALLEGANY COUNTY, MD BENJAMIN L HENSLEY DO GARRETT COUNTY, MD 304 596-6900 (T1) JULIE F BIELEC MD (T1) EDWARD M ZAGULA MD BRAXTON COUNTY WESTERN MARYLAND ZACHARY T EWART MD (T1) MEMORIAL HOSPITAL HEALTH SYSTEM (T1) GARRET REGIONAL 100 HOYLMAN DR 12502 WILLOWBROOK RD UNIVERSITY SURGICAL HOOSPITAL GASSAWAY, WV 26624 STE 360 ASSOCIATES 251 N 4TH ST 304 564-5156 CUMBERLAND, MD 21502 2000 FOUNDATION WAY OAKLAND, MD 21550 240 964-8711 STE 2200 BANDY B MULLINS MD 304 598-4800 MARTINSBURG, WV 25401 (T1) * 304 596-6900 BRAXTON COUNTY MEMORIAL HOSPITAL 100 HOYLMAN DR GASSAWAY, WV 26624 304 364-5156

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 111 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. HARRISON COUNTY, OH JACKSON COUNTY, WV TIFFANY M LASKY DO ANDREW WALKER MD DANIEL P PALERMO MD CARL L OVERMILLER MD (T1) * (T1) (T1) * (T1) * 1220 LEE ST E STE 208 Accepts ages 6 & older HARRISON COMMUNITY Accepts ages 1 & older CHARLESTON, WV 25301 WVUPC-SUGERY HOSP MORAD-HUGHES HEALTH 304 388-7270 3100 MACCORKLE AVE SE 951 E MARKET ST CENTER FRANK C LUCENTE MD STE 700 CADIZ, OH 43907 122 PINNELL ST (T1) * CHARLESTON, WV 25304 740 942-6395 RIPLEY, WV 25271 1220 LEE ST E STE 208 304 556-3810 HARRISON COUNTY, WV 304 373-0133 CHARLESTON, WV 25301 ANDREW WALKER MD 304 388-7270 MARC L COSTA MD (T1) WWW.JACKSONGENERAL. (T1) COM UHC GENERAL SURGERY FRANK C LUCENTE MD Accepts ages 6 & older 527 MEDICAL PARK DR JEFFERSON COUNTY, WV (T1) * ROBERT C BYRD STE 202 JAN KLETTER MD (T1) WVUPC MED & SPEC CLINICAL TEACHING BRIDGEPORT, WV 26330 201 E 4TH AVE STE 1 OFFICES CENTER 304 933-3850 RANSON, WV 25438 501 MORRIS ST 3200 MACCORKLE AVE SE CHARLESTON, WV 25301 FL 4 JEFFREY W MADDEN MD 304 728-1812 304 388-9677 CHARLESTON, WV 25304 (T1) * JAN KLETTER MD (T1) 304 388-5590 527 MEDICAL PARK DR UNIV HEALTHCARE PHYS SHANE W MONNETT DO STE 202 SURGERY (T1) TODD WITSBERGER MD BRIDGEPORT, WV 26330 203 E 4TH AVE Accepts ages 4 & older (T1) * 681 342-3400 RANSON, WV 25438 WVUPC SURGERY Accepts ages 6 & older WVUPC-SUGERY MARK D MILLER MD (T1) 304 728-1812 3415 MACCORKLE AVE SE CHARLESTON, WV 25304 3100 MACCORKLE AVE SE Accepts ages 16 & older JOHN J THOMAS MD (T1) 304 388-2861 STE 700 UHC GENERAL SURGERY 201 E 5TH AVE STE 1 CHARLESTON, WV 25304 527 MEDICAL PARK DR RANSON, WV 25438 SHANE W MONNETT DO 304 556-3810 STE 202 304 728-1812 (T1) BRIDGEPORT, WV 26330 MARION COUNTY, WV KANAWHA COUNTY, WV Accepts ages 4 & older 681 342-3400 WVUPC SURGERY CYNTHIA F GRAVES MD ALI F ABURAHMA MD (T1) 3200 MACCORKLE AVE SE (T1) SPYRIDON * FL 4 FAIRMONT GATEWAY MONASTIRIOTIS MD (T1) 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 CENTER Office Care Only CHARLESTON, WV 25304 304 388-5590 100 STONEY HILL RD Accepts ages 16 & older 304 388-5590 FAIRMONT, WV 26554 UNITED VASCULAR & SHANE W MONNETT DO NATHANIEL S ADKINS MD 304 285-5400 VEIN CENTER (T1) (T1) 527 MEDICAL PARK DR Accepts ages 4 & older MELISSA LOPINTO MD Accepts Ages 18 & Older STE 501 WVUPC SURGERY (T1) * 1220 LEE ST E STE 208 PO BOX 890 3100 MACCORKLE AVE SE FAIRMONT GATEWAY CHARLESTON, WV 25301 BRIDGEPORT, WV 26330 STE 700 CENTER 304 388-7270 304 842-3993 CHARLESTON, WV 25304 100 STONEY HILL RD FAIRMONT, WV 26554 BENJAMIN A RAYMOND JOHN A DELUCA MD (T1) 304 556-3810 * 304 285-5400 DO (T1) KELLY V RENNIE MD (T1) 1220 LEE ST E STE 208 UHC GENERAL SURGERY 1220 LEE ST E STE 208 MARSHALL COUNTY, WV CHARLESTON, WV 25301 527 MEDICAL PARK DR CHARLESTON, WV 25301 MATTHEW M METZ MD 304 388-7270 STE 202 304 388-7270 (T1) * BRIDGEPORT, WV 26330 BENJAMIN W DYER MD REYNOLDS MEMORIAL BRYAN K RICHMOND MD 681 342-3400 (T1) * HOSPITAL (T1) Accepts ages 6 & older 426 8TH ST STE 204 SUGAM VASANI MD (T1) * 3100 MACCORKLE AVE SE 3100 MACCORKLE AVE GLEN DALE, WV 26038 @ Hindi, KANNADA STE 700 STE 700 304 845-3033 UHC GENERAL SURGERY CHARLESTON, WV 25304 CHARLESTON, WV 25304 527 MEDICAL PARK DR 304 556-3810 STE 202 304 556-3810 RICHARD K UMSTOT JR BRIDGEPORT, WV 26330 MICHAEL D HALL MD (T1) MD (T1) * 681 342-3400 1220 LEE ST E STE 208 1220 LEE ST E STE 208 CHARLESTON, WV 25301 CHARLESTON, WV 25301 304 388-7270 304 388-7270

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 112 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. FRANK G SCHIEBEL MD RIAZ CASSIM MD (T1) * JENNIFER C KNIGHT MD NOVA L SZOKA MD (T1) * (T1) * @ URDU (T1) * 1 MEDICAL CENTER Accepts ages 13 & older UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE DRIVE REYNOLDS MEMORIAL CENTER CENTER MORGANTOWN, WV 26506 HOSPITAL 1 MEDICAL CENTER 1 MEDICAL CENTER 304 598-4800 DRIVE DRIVE 426 8TH ST STE 204 LAWRENCE E TABONE MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 GLEN DALE, WV 26038 MD (T1) * 304 598-4800 304 598-4800 304 221-4570 UHA PHYSICIAN OFFICE HANY M TADROS MD (T1) MICHAEL S COWHER MD MELISSA LOPINTO MD CENTER Accepts ages 6 & older (T1) * (T1) * 1 MEDICAL CENTER REYNOLDS MEMORIAL WV UNIVERSITY MEDICAL UHA PHYSICIAN OFFICE DRIVE HOSPITAL CORPORATION CENTER MORGANTOWN, WV 26506 800 WHEELING AVE FL 4 1 MEDICAL CENTER 1 MEDICAL CENTER 304 598-4800 DRIVE DRIVE GLEN DALE, WV 26038 ALISON M WILSON MD MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 304 221-4570 (T1) * 304 598-4800 304 598-4800 MERCER COUNTY, WV Not Accepting New Patients CONNIE M DELA'O MD JAMES W MARSH MD (T1) ERIC S HOPKINS MD (T1) @ SPANISH (T1) * * UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE UHA PHYSICIAN OFFICE MERCER MEDICAL CENTER CENTER CENTER GROUP 1 MEDICAL CENTER 1 MEDICAL CENTER 1 MEDICAL CENTER 201 12TH STREET EXT DRIVE DRIVE DRIVE PRINCETON, WV 24740 MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 304 425-1852 304 598-4800 304 598-4800 304 598-4800 DAVID A MULLINS MD EDWARD M ZAGULA MD DANIEL J GRABO MD (T1) SAMANTHA D MINC MD (T1) * (T1) (T1) * MERCER MEDICAL Not Accepting New Patients UHA SURGERY UHA PHYSICIAN OFFICE GROUP WV UNIVERSITY MEDICAL 1 MEDICAL CENTER DR CENTER 201 12TH STREET EXT CORPORATION MORGANTOWN, WV 26506 1 MEDICAL CENTER PRINCETON, WV 24740 1 MEDICAL CENTER 304 598-4800 DRIVE DRIVE 304 425-1852 NICHOLAS COUNTY, WV MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 MINERAL COUNTY, WV 304 598-4800 304 598-4000 BENJAMIN L HENSLEY DO JAMES P VIGLIANCO MD (T1) CYNTHIA F GRAVES MD DOUGLAS R MURKEN MD (T1) WV HEALTH CARE (T1) (T1) POTOMAC VALLEY COOPERATIVE INC 1 MEDICAL CENTER DR UHA PHYSICIAN OFFICE HOSPITAL 400 FAIRVIEW HEIGHTS MORGANTOWN, WV 26506 CENTER 100 PIN OAK LN STE 3 RD 304 598-4800 1 MEDICAL CENTER KEYSER, WV 26726 SUMMERSVILLE, WV DRIVE 26651 304 597-3790 HANNAH W HAZARD MD MORGANTOWN, WV 26506 (T1) 304 872-2891 MONONGALIA COUNTY, 304 598-4800 WV Not Accepting New Patients BANDY B MULLINS MD UHA PHYSICIAN OFFICE KELLY G ROSS MD (T1) (T1) SALIM S ABUNNAJA MD UHA PHYSICIAN OFFICE (T1) * CENTER SUMMERSVILLE 1 MEDICAL CENTER CENTER OUTPATIENT CTR UHA PHYSICIANS OFFICE 1 MEDICAL CENTER DR CENTER DRIVE 400 FAIRVIEW HEIGHTS MORGANTOWN, WV 26506 MORGANTOWN, WV 26506 RD 1 MEDICAL CENTER 304 598-4500 DRIVE 304 598-4800 SUMMERSVILLE, WV 26651 MORGANTOWN, WV 26506 MARY KLEDZIK MD (T1) GREGORY P SCHAEFER 304 872-8404 304 598-4800 UHA PHYSICIAN OFFICE DO (T1) CENTER UHA PHYSICIAN OFFICE RICHARD A VAUGHAN MD DAVID C BORGSTROM MD CENTER (T1) * 1 MEDICAL CENTER (T1) DRIVE 1 MEDICAL CENTER UHA SURGERY UHA PHYSICIAN OFFICE DRIVE CENTER MORGANTOWN, WV 26506 400 FAIRVIEW HEIGHTS 304 598-4500 MORGANTOWN, WV 26506 RD 1 MEDICAL CENTER 304 598-4800 DRIVE SUMMERSVILLE, WV MORGANTOWN, WV 26506 26651 304 293-0583 304 293-4451

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 113 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. OHIO COUNTY, WV ROSS M KNOWLES MD JOHN K KOCH MD (T1) Surgical Oncology JOSEPH J COLELLA MD (T1) Accepts Patients 2 and (T1) * ST JOSEPH HOSPITAL Older KANAWHA COUNTY, WV 78 QUEENS ALLEY RD WHEELING HOSPITAL COSTA AND KOCH MICHAEL S ELMORE MD ROCK CAVE, WV 26234 BREAST-SKIN 800 GRAND CENTRAL (T1) 304 473-2303 20 MEDICAL PARK STE MALL STE 2 3100 MACCORKLE AVE SE 102 ROSS M KNOWLES MD VIENNA, WV 26105 STE 700 WHEELING, WV 26003 (T1) 304 865-4345 CHARLESTON, WV 25304 304 243-6530 ST JOSEPH'S GENERAL MICHAEL D ROBERTS MD 304 556-3810 SURGERY ROSEMARIE E HARDIN (T1) MONONGALIA COUNTY, 10 AMALIA DR STE C6 MD (T1)% Accepts ages 16 & older WV BUCKHANNON, WV 26201 PROFESSIONAL CENTER 800 GRAND CENTRAL BRIAN A BOONE MD (T1) 304 473-2303 1 MALL STE 2 * 1 MEDICAL PARK STE 704 SUSAN E LONG MD (T1) VIENNA, WV 26105 UHA PHYSICIAN OFFICE WHEELING, WV 26003 @ FRENCH 304 865-4345 CENTER 304 243-3134 ST JOSEPH HOSPITAL 1 MEDICAL CENTER ROSEMARIE E HARDIN 10 AMALIA DR STE C6 Surgical Critical Care DRIVE BUCKHANNON, WV 26201 MORGANTOWN, WV 26506 MD (T1)% FAYETTE COUNTY, PA WHEELING HOSPITAL 304 473-2303 304 598-4800 CONNIE M DELA'O MD 40 MEDICAL PARK STE WETZEL COUNTY, WV (T1) KRISTIN M LUPINACCI DO 100 FRANK G SCHIEBEL MD UNIONTOWN SPECIALTY (T1) WHEELING, WV 26003 (T1) * CARE 1 MEDICAL CENTER 304 243-3134 DRIVE Accepts ages 13 & older 500 W BERKELEY ST MORGANTOWN, WV 26506 ROBERT D HERRON DO WETZEL COUNTY UNIONTOWN, PA 15401 304 598-4800 (T1) HOSPITAL ASSOCIATION 724 430-5600 Accepts Ages 18 & Older 3 E BENJAMIN DR GREENE COUNTY, PA CARL R SCHMIDT MD (T1) PROFESSIONAL CENTER NEW MARTINSVILLE, WV * DAVID C BORGSTROM MD 1 26155 UHA SURGERY (T1) * 10 MEDICAL PARK STE 304 455-8000 1 MEDICAL CENTER 451 MURTHA DR 104 DRIVE HANY M TADROS MD (T1) WAYNESBURG, PA 15370 WHEELING, WV 26003 MORGANTOWN, WV 26506 Accepts ages 6 & older 304 974-0681 304 242-4800 304 598-4800 REYNOLDS MEMORIAL MARION COUNTY, WV CARLOS VALLADARES HOSP DAVID C BORGSTROM MD DO (T1) *% 3 E BENJAMIN DR Thoracic Surgery (T1) * @ SPANISH NEW MARTINSVILLE, WV ALLEGANY COUNTY, MD WHEELING HOSPITAL 100 STONEY HILL RD 26155 PHILLIP C CORCORAN MD 20 MEDICAL PARK STE FAIRMONT, WV 26554 (T1) * 102 304 285-5400 WOOD COUNTY, WV @ SPANISH WHEELING, WV 26003 MONONGALIA COUNTY, WESTERN MARYLAND 304 243-6530 WILLIAM A CLINE DO (T1) WV 800 GRAND CENTRAL HEALTH SYSTEM AMANDA PALMER MD TUCKER COUNTY, WV MALL STE 2 12502 WILLOWBROOK RD (T1) ROSS M KNOWLES MD VIENNA, WV 26105 CUMBERLAND, MD 21502 WV UNIVERSITY MEDICAL (T1) 304 865-4345 240 964-8740 CORPORATION ST JOSEPH HOSPITAL SHAWNA M GRIMM DO 1 MEDICAL CENTER PHILLIP C CORCORAN MD 72 CORTLAND ACRES LN (T1) * DRIVE (T1) * THOMAS, WV 26292 @ SPANISH Accepts ages 10 & older MORGANTOWN, WV 26506 304 473-2303 WESTERN MARYLAND CCPC PRIMARY CARE 304 598-4800 HEALTH SYSTEM UPSHUR COUNTY, WV PMC III 12500 WILLOWBROOK RD DAVID C FABER MD (T1) * 418 GRAND PARK DR STE CUMBERLAND, MD 21502 ST JOSEPH HOSPITAL 321 240 964-7000 1 AMALIA DR PARKERSBURG, WV 26105 BUCKHANNON, WV 26201 304 865-5190 304 473-2303

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 114 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. RODNEY J LANDRENEAU HOWARD L HARRISON COUNTY, WV JEREMIAH W HAYANGA MD (T1) * SHACKELFORD MD (T1) ADAM J HANSEN MD (T1) MD (T1) * WESTERN MARYLAND *% * 1 MEDICAL CENTER HEALTH SYSTEM WHEELING HOSPITAL Accepts ages 14 & older DRIVE 12502 WILLOWBROOK RD 46150 NATIONAL RD UHC THORACIC MORGANTOWN, WV 26506 STE 470 WEST SURGERY 304 598-4500 CUMBERLAND, MD 21502 SAINT CLAIRSVILLE, OH 527 MEDICAL PARK DR ROBERT D HERRON III DO 240 964-8724 43950 STE 205 (T1) 740 695-2443 MARK G NELSON MD (T1) BRIDGEPORT, WV 26330 Accepts Ages 18 & Older * BERKELEY COUNTY, WV 681 342-3730 WVU HEART & VASCULAR Accepts Ages 18 & Older ROBERT D HERRON III DO MARSHALL COUNTY, WV INSTITUTE SE TOWER WESTERN MARYLAND 1 MEDICAL CENTER (T1) GHULAM ABBAS MD (T1) HEALTH SYSTEM Accepts Ages 18 & Older * DRIVE 12502 WILLOWBROOK RD HVI MARTINSBURG REYNOLDS MEMORIAL MORGANTOWN, WV 26506 STE 470 THORACIC HOSPITAL 877 988-4478 CUMBERLAND, MD 21502 2000 FOUNDATION WAY 800 WHEELING AVE LUIGI F LAGAZZI GARROS 240 964-8724 STE 3650 GLEN DALE, WV 26038 MD (T1) MARTINSBURG, WV 25401 BELMONT COUNTY, OH 304 285-3211 Accepts Ages 18 & Older 304 596-5171 RAJAI T KHOURY MD (T1) RAJAI T KHOURY MD (T1) WVU HEART & VASCULAR * JASON J LAMB MD (T1) * * INSTITUTE -SE TOWER @ ARABIC UHA SURGERY @ ARABIC 1 MEDICAL CENTER DR WHEELING HOSPITAL 2000 FOUNDATION WAY WHEELING HOSPITAL INC MORGANTOWN, WV 26506 68 STATE ROUTE 7 STE 3650 800 WHEELING AVE 877 988-4478 BRIDGEPORT, OH 43912 MARTINSBURG, WV 25401 GLEN DALE, WV 26038 JASON J LAMB MD (T1) * 304 243-3000 304 596-5171 304 242-6464 WVU HEART & VASCULAR RAJAI T KHOURY MD (T1) JASON J LAMB MD (T1) * MONONGALIA COUNTY, INSTITUTE -SE TOWER * DOROTHY MCCORMICK WV 1 MEDICAL CENTER DR @ ARABIC CENTER GHULAM ABBAS MD (T1) MORGANTOWN, WV 26506 WHEELING HOSPITAL INC 2500 HOSPITAL DR * 877 988-4478 639 W MAIN ST MARTINSBURG, WV 25401 1 MEDICAL CENTER CHRISTOPHER E MASCIO BARNESVILLE, OH 43713 304 267-1944 DRIVE MD (T1) * 304 242-6464 GARRETT COUNTY, MD MORGANTOWN, WV 26506 WVU HEART & VASCULAR 304 598-4500 RAJAI T KHOURY MD (T1) GHULAM ABBAS MD (T1) INSTITUTE -SE TOWER * * NIV AD MD (T1) 1 MEDICAL CENTER DR @ ARABIC GARRETT REGIONAL RUBY MEMORIAL MORGANTOWN, WV 26506 WHEELING HOSPITAL INC MEDICAL CENTER HOSPITAL 877 988-4478 51520 NATIONAL RD 251 N 4TH ST 1 MEDICAL CENTER HAROLD G ROBERTS JR SAINT CLAIRSVILLE, OH OAKLAND, MD 21550 DRIVE MD (T1) 43950 301 533-4000 MORGANTOWN, WV 26506 UHA PHYSICIAN OFFICE 740 296-5710 304 598-4000 GHULAM ABBAS MD (T1) CENTER VICTOR MAEVSKY MD * MEHMET S CICEK MD (T1) 1 MEDICAL CENTER (T1)% 13079 GARRETT HWY WVU HEART & VASCULAR DRIVE @ ROMANIAN, Russian OAKLAND, MD 21550 INSTITUTE SE TOWER MORGANTOWN, WV 26506 100 HOSPITAL DR 844 424-0411 1 MEDICAL CENTER DR 304 598-4000 MEDICAL CENTER STE MORGANTOWN, WV 26506 HARRISON COUNTY, OH SEYFI A TOKER MD (T1) 107 877 988-4478 WVU HEART & VASCULAR BARNESVILLE, OH 43713 RAJAI T KHOURY MD (T1) INSTITUTE 304 243-1000 * GEORGE M COMAS MD 1 MEDICAL CENTER @ ARABIC (T1) * DRIVE WHEELING HOSPITAL INC WVU HEART & VASCULAR MORGANTOWN, WV 26506 951 E MARKET ST INSTITUTE -SE TOWER 877 988-4478 CADIZ, OH 43907 1 MEDICAL CENTER DR 304 243-3000 MORGANTOWN, WV 26506 877 988-4478

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 115 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. PAMELA M ZIMMERMAN JASON J LAMB MD (T1) * JEFFREY G PROCOPIO JOHN F RIORDAN MD (T1) MD (T1) PROFESSIONAL CENTER PA-C (T1) * UHA PHYSICIAN OFFICE 1 Accepts Ages 18 & Older 880 N TENNESSEE AVE CENTER 10 MEDICAL PARK STE WHEELING HEART STE 105 1 MEDICAL CENTER DR 101 INSTITUES INC MARTINSBURG, WV 25401 MORGANTOWN, WV 26506 WHEELING, WV 26003 58 16TH ST 304 596-5757 304 598-4000 304 242-4800 WHEELING, WV 26003 JOHN F RIORDAN MD (T1) OHIO COUNTY, WV VICTOR MAEVSKY MD 304 242-4800 * PERCIVAL O (T1)% JEFFREY G PROCOPIO UNIVERSITY UROLOGY BUENAVENTURA MD (T1) @ ROMANIAN, Russian PA-C (T1) ASSOCIATES Accepts Ages 18 & Older 1021 MOUNT DE CHANTAL Accepts Ages 18 & Older 2500 HOSPITAL DR PROFESSIONAL CENTER RD PROFESSIONAL CENTER MARTINSBURG, WV 25401 1 WHEELING, WV 26003 2 304 264-1000 304 243-1000 10 MEDICAL PARK STE 20 MEDICAL PARK STE ERIC J WHITMAN MD (T1) 104 GANGA PRABHAKAR MD 105 * WHEELING, WV 26003 (T1) * WHEELING, WV 26003 UHP UROLOGY 304 242-4800 Accepts Ages 18 & Older 304 242-4800 880 N TENNESSEE AVE RAJAI T KHOURY MD (T1) @ TAMIL, Telugu LAWRENCE M WEI MD STE 105 * WVU HEART & VASCULAR (T1) * MARTINSBURG, WV 25401 304 596-5757 @ ARABIC INSTITUTE WHEELING HOSPITAL WHEELING HOSPITAL INC 502 CABELA DR 10 MEDICAL PARK STE GARRETT COUNTY, MD TRIADELPHIA, WV 26059 104 58 16TH ST EDWARD M ZAGULA MD 304 285-1996 WHEELING, WV 26003 WHEELING, WV 26003 (T1) 304 242-6464 GANGA PRABHAKAR MD 304 243-4800 GARRETT REGIONAL RAJAI T KHOURY MD (T1) (T1) * RANDOLPH COUNTY, WV MEDICAL CTR * Accepts Ages 18 & Older GHULAM ABBAS MD (T1) 251 N 4TH ST @ ARABIC @ Telugu, TAMIL * OAKLAND, MD 21550 WHEELING HOSPITAL PROFESSIONAL CENTER WVU HEART & VASCULAR 301 533-4000 1 MEDICAL PARK 1 INSTITUTE-ELKINS GREENE COUNTY, PA WHEELING, WV 26003 10 MEDICAL PARK STE 812 GORMAN AVE THOMAS M JAFFE MD 304 233-2455 104 ELKINS, WV 26241 (T1) * WHEELING, WV 26003 JASON J LAMB MD (T1) * 304 637-3897 UHA UROLOGY 304 242-4800 Accepts Ages 18 & Older WASHINGTON COUNTY, 451 MURTHA DR WHEELING HEART JEFFREY G PROCOPIO PA WAYNESBURG, PA 15370 INSTITUES INC PA-C (T1) GHULAM ABBAS MD (T1) 304 974-0681 Accepts Ages 18 & Older 58 16TH ST * HARRISON COUNTY, WV WHEELING, WV 26003 PROFESSIONAL CENTER UHA SURGERY GRANT L FRANKLIN MD 304 242-4800 1 1163 COUNTRY CLUB RD (T1) * 10 MEDICAL PARK STE STE 106 JASON J LAMB MD (T1) * 135 PROFESSIONAL PL 104 MONONGAHELA, PA 15063 BRIDGEPORT, WV 26330 Accepts Ages 18 & Older WHEELING, WV 26003 724 276-7000 PROFESSIONAL CENTER 304 242-4800 681 342-3660 2 VIACHESLAV M 20 MEDICAL PARK STE JEFFREY G PROCOPIO Urology IREMASHVILI MD (T1) 105 PA-C (T1) BERKELEY COUNTY, WV 135 PROFESSIONAL PL WHEELING, WV 26003 Accepts Ages 18 & Older KEITH A RECHT MD (T1) * BRIDGEPORT, WV 26330 304 242-4800 PROFESSIONAL CENTER UNIVERSITY UROLOGY 681 342-3660 1 JASON J LAMB MD (T1) * ASSOCIATES 10 MEDICAL PARK STE MARION COUNTY, WV Accepts Ages 18 & Older 880 N TENNESSEE AVE 101 HENRY FOOKS JR MD PROFESSIONAL CENTER STE 105 WHEELING, WV 26003 (T1) * 1 MARTINSBURG, WV 25401 304 242-4800 UHA UROLOGY 10 MEDICAL PARK STE 304 596-5757 100 STONEY HILL RD 104 FAIRMONT, WV 26554 WHEELING, WV 26003 304 285-5400 304 242-4800

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 116 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CHAD E MORLEY MD (T1) MINERAL COUNTY, WV CHAD E MORLEY MD (T1) WALTER N TAUBENSLAG FAIRMONT GATEWAY EDWARD M ZAGULA MD UHA PHYSICIAN OFFICE MD (T1) * CENTER (T1) CENTER Accepts ages 16 & older 100 STONEY HILL RD POTOMAC VALLEY 1 MEDICAL CENTER PROFESSIONAL CENTER FAIRMONT, WV 26554 HOSPITAL DRIVE 2 304 285-5400 100 PIN OAK LN MORGANTOWN, WV 26506 20 MEDICAL PARK STE 304 598-4800 STANLEY ZASLAU MD KEYSER, WV 26726 201 (T1) * 304 597-3500 MICHAEL C OST MD (T1) WHEELING, WV 26003 304 243-1412 @ SPANISH MONONGALIA COUNTY, UHA PHYSICIAN OFFICE FAIRMONT GATEWAY WV CENTER UPSHUR COUNTY, WV CENTER OSAMA AL-OMAR MD 1 MEDICAL CENTER GRANT L FRANKLIN JR 100 STONEY HILL RD (T1) DRIVE MD (T1) * FAIRMONT, WV 26554 UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 UHC UROLOGY 304 285-5400 CENTER 304 598-4800 94 W MAIN ST MARSHALL COUNTY, WV 1 MEDICAL CENTER MOHAMAD W SALKINI MD BUCKHANNON, WV 26201 DRIVE HUGO J ANDREINI JR MD (T1) 681 342-3660 MORGANTOWN, WV 26506 (T1) WV UNIVERSITY 304 293-2706 GRANT L FRANKLIN MD REYNOLDS MEMORIAL PHYSICIAN OFFICE (T1) * CENTER HOSPITAL JOHN T BARNARD II MD Accepts Ages 18 & Older 1 MEDICAL CENTER DR 800 WHEELING AVE (T1) ST JOSEPH HOSPITAL MORGANTOWN, WV 26506 GLEN DALE, WV 26038 UHA PHYSICIAN OFFICE 94 W MAIN ST 304 598-4800 304 221-4543 CENTER BUCKHANNON, WV 26201 1 MEDICAL CENTER DR MASON COUNTY, WV EDWARD M ZAGULA MD 304 473-2200 MORGANTOWN, WV 26506 (T1) SHRIKANT K VAIDYA MD WASHINGTON COUNTY, 855 988-2273 UHA SURGERY (T1) * OH 1 MEDICAL CENTER DR @ Hindi HENRY FOOKS JR MD PATRICK P DUGAN MD MORGANTOWN, WV 26506 2520 VALLEY DR STE 016 (T1) * (T1) * 304 598-4800 POINT PLEASANT, WV UHA PHYSICIAN OFFICE 608 WASHINGTON BLVD 25550 CENTER STANLEY ZASLAU MD BELPRE, OH 45714 304 675-6060 1 MEDICAL CENTER (T1) * 740 423-4684 DRIVE @ SPANISH MERCER COUNTY, WV DAVID C MENDOZA MD MORGANTOWN, WV 26506 UHA PHYSICIAN OFFICE (T1) * ERIC J SACKNOFF MD 304 598-4800 CENTER (T1) 608 WASHINGTON BLVD THOMAS M JAFFE MD 1 MEDICAL CENTER MERCER MEDICAL BELPRE, OH 45714 (T1) * DRIVE GROUP UROLOGY 740 423-4684 UHA PHYSICIAN OFFICE MORGANTOWN, WV 26506 296 NEW HOPE RD STE 2 CENTER 304 598-4800 WOOD COUNTY, WV PRINCETON, WV 24740 1 MEDICAL CENTER DR PATRICK P DUGAN MD 304 425-6525 NICHOLAS COUNTY, WV MORGANTOWN, WV 26506 (T1) * DAVID F MERIWETHER CAN TALUG MD (T1) * 304 598-4800 CAMDEN CLARK MD (T1) * Accepts ages 13 & older UROLOGY THOMAS M JAFFE MD SUMMERSVILLE MERCER MEDICAL 604 ANN ST (T1) * OUTPATIENT CENTER GROUP UROLOGY PARKERSBURG, WV 26101 UHA UROLOGY 702 PROFESSIONAL PARK 296 NEW HOPE RD STE 2 304 865-5155 1322 PINEVIEW DR DR STE 1 PRINCETON, WV 24740 MORGANTOWN, WV 26505 SUMMERSVILLE, WV ABHINAV KHANNA MD 304 425-6525 304 598-3100 26651 (T1) TAWFIK A ZEIN MD (T1) * 330 872-8424 CCPC UROLOGY STANLEY J KANDZARI @ ARABIC 604 ANN ST MD (T1) * OHIO COUNTY, WV MERCER MEDICAL PARKERSBURG, WV 26101 UHA PHYSICIAN OFFICE GROUP UROLOGY SATBIR SINGH MD (T1) 304 865-5155 CENTER 296 NEW HOPE RD STE 2 *% 1 MEDICAL CENTER DAVID C MENDOZA MD PRINCETON, WV 24740 Accepts Ages 18 & Older DRIVE (T1) * 304 425-6525 40 MEDICAL PARK STE MORGANTOWN, WV 26506 303 604 ANN ST 304 598-4800 WHEELING, WV 26003 PARKERSBURG, WV 26101 304 242-0779 304 865-5155

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 117 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. ANUP A VORA MD (T1) * MERCER COUNTY, WV OMAR NADRA MD (T1) * Vascular Surgery 800 GARFIELD AVE AMELIA K ADCOCK MD Accepts Ages 18 & Older PARKERSBURG, WV 26101 (T1) ALLEGANY COUNTY, MD @ ARABIC, Russian 304 422-0405 MERCER MEDICAL ERIC S HAGER MD (T1) * WVU HEART & VASCULAR INSTITUTE ROBERT C WASKEY MD GROUP NEUROLOGY Accepts Ages 18 & Older 2000 FOUNDATION WAY (T1) 122 12TH ST WESTERN MARYLAND STE 3500 604 ANN ST PRINCETON, WV 24740 HEALTH SYSTEM MARTINSBURG, WV 25401 PARKERSBURG, WV 26101 304 487-7000 12502 WILLOWBROOK RD 304 350-3273 304 422-0405 MUHAMMAD M ALVI MD STE 470 CUMBERLAND, MD 21502 TAWFIK A ZEIN MD (T1) * (T1) GARRETT COUNTY, MD 240 964-8724 CAMDEN CLARK MERCER MEDICAL PAMELA M ZIMMERMAN UROLOGY GROUP NEUROLOGY RICHARD E REDLINGER MD (T1) 604 ANN ST 122 12TH ST MD (T1) * UHA VASCULAR PARKERSBURG, WV 26101 PRINCETON, WV 24740 WESTERN MARYLAND SURGERY 304 865-5155 304 487-3407 HEALTH SYSTEM 251 N 4TH ST JOHN F BRICK MD (T1) * 12502 WILLOWBROOK RD OAKLAND, MD 21550 Vascular Neurology MERCER MEDICAL STE 470 301 533-4000 GROUP NEUROLOGY CUMBERLAND, MD 21502 BERKELEY COUNTY, WV PAMELA M ZIMMERMAN 122 12TH ST 240 964-8724 MD (T1) JOHN F BRICK MD (T1) * PRINCETON, WV 24740 WVU HEART & VASCULAR 202 LARRY JOE HARLESS BELMONT COUNTY, OH 304 487-7000 INSTITUTE DR RAJAI T KHOURY MD (T1) 13079 GARRETT HWY GLENGARY, WV 25421 THEODORE L KATNER MD * OAKLAND, MD 21550 304 598-4800 (T1) @ ARABIC 844 424-0411 MERCER MEDICAL WHEELING HOSPITAL INC FAYETTE COUNTY, PA GROUP NEUROLOGY 639 W MAIN ST GREENE COUNTY, PA LAKSHMIKUMAR PILLAI 122 12TH ST BARNESVILLE, OH 43713 LUKE K MARONE MD (T1) MD (T1) * PRINCETON, WV 24740 304 242-6464 * Requires Referral 304 487-7000 RAJAI T KHOURY MD (T1) GORDON F MURRAY MD UNIONTOWN MONONGALIA COUNTY, * 451 MURTHA DR CARDIOLOGY WV @ ARABIC WAYNESBURG, PA 15370 100 WOODLAWN AVE STE JOHN F BRICK MD (T1) * WHEELING HOSPITAL 304 598-4478 1 WVU EYE INSTITUTE 68 STATE ROUTE 7 UNIONTOWN, PA 15401 LAKSHMIKUMAR PILLAI 1 MEDICAL CENTER DR BRIDGEPORT, OH 43912 724 430-5600 MD (T1) * MORGANTOWN, WV 26506 304 243-3000 UHA VASCULAR GILMER COUNTY, WV 304 598-4820 RAJAI T KHOURY MD (T1) SURGERY JOHN F BRICK MD (T1) * MAZIAR SEYEDIAN MD * 451 MURTHA DR 921 MINERAL RD (T1) @ ARABIC WAYNESBURG, PA 15370 GLENVILLE, WV 26351 1 MEDICAL CENTER DR WHEELING HOSPITAL INC 304 598-4478 304 598-4800 MORGANTOWN, WV 26506 51520 NATIONAL RD HARRISON COUNTY, OH 304 598-4820 SAINT CLAIRSVILLE, OH GREENBRIER COUNTY, RAJAI T KHOURY MD (T1) 43950 WV NICHOLAS COUNTY, WV * JOHN F BRICK MD (T1) * 740 296-5710 JOHN F BRICK MD (T1) * @ ARABIC 1464 JEFFERSON ST N 400 FAIRVIEW HEIGHTS BERKELEY COUNTY, WV WHEELING HOSPITAL INC LEWISBURG, WV 24901 RD OMAR NADRA MD (T1) * 951 E MARKET ST 304 598-6127 SUMMERSVILLE, WV Accepts Ages 18 & Older CADIZ, OH 43907 JOHN F BRICK MD (T1) * 26651 @ ARABIC, Russian 304 243-3000 THE GREENBRIER CLINIC 844 862-4751 WVU HEART & VASCULAR HARRISON COUNTY, WV 320 W MAIN ST WOOD COUNTY, WV INSTITUTE LUKE K MARONE MD (T1) WHITE SULPHUR 2000 FOUNDATION WAY JOHN F BRICK MD (T1) * * SPRINGS, WV 24986 STE 3100 CAMDEN CLARK 527 MEDICAL PARK DR 304 598-6127 MARTINSBURG, WV 25401 MEMORIAL HOSPITAL STE 304 304 350-3273 800 GARFIELD AVE BRIDGEPORT, WV 26330 PARKERSBURG, WV 26101 304 842-0007 304 424-2111

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 118 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. SPYRIDON ALBEIR Y MOUSA MD (T1) DAVID A MULLINS MD PAMELA M ZIMMERMAN MONASTIRIOTIS MD (T1) * (T1) * MD (T1) Office Care Only @ ARABIC MERCER MEDICAL UHA PHYSICIAN OFFICE Accepts ages 16 & older WVUPC MEDICINE & GROUP CENTER UNITED VASCULAR & SPECIALTY CLINIC 201 12TH STREET EXT 1 MEDICAL CENTER DR VEIN CENTER 3100 MACCORKLE AVE SE PRINCETON, WV 24740 MORGANTOWN, WV 26506 527 MEDICAL PARK DR STE 700 304 425-1852 304 598-4000 CHARLESTON, WV 25304 STE 501 MONONGALIA COUNTY, OHIO COUNTY, WV PO BOX 890 304 720-7305 WV RAJAI T KHOURY MD (T1) BRIDGEPORT, WV 26330 ALBEIR Y MOUSA MD (T1) MAXWELL I ALMENOFF * 304 842-3993 * MD (T1) @ ARABIC KANAWHA COUNTY, WV @ ARABIC Accepts Ages 18 & Older WHEELING HOSPITAL INC SHADI J ABU-HALIMAH WVUPC SURGERY WVU HEART & VASCULAR 58 16TH ST MD (T1) * 3200 MACCORKLE AVE SE INSTITUTE SE TOWER WHEELING, WV 26003 @ ARABIC FL 4 1 MEDICAL CENTER DR 304 242-6464 CHARLESTON, WV 25304 MORGANTOWN, WV 26506 WVUPC SURGERY CLINIC RAJAI T KHOURY MD (T1) 304 388-5590 877 988-4478 415 MORRIS ST STE 105 * CHARLESTON, WV 25304 ARAVINDA GARY M GROSS MD (T1) * @ ARABIC 304 388-6412 NANJUNDAPPA MD (T1) WVU HEART & VASCULAR WHEELING HOSPITAL ZACHARY T ABURAHMA @ Hindi, Telugu INSTITUTE- SE TOWER 1 MEDICAL PARK DO (T1) 3200 MACCORKLE AVE SE 1 MEDICAL CENTER DR WHEELING, WV 26003 3200 MACCORKLE AVE SE FL 4 MORGANTOWN, WV 26506 304 233-2455 CHARLESTON, WV 25304 877 988-4478 FL 4 DEAN J WICKEL MD (T1) * CHARLESTON, WV 25304 304 388-5590 LUKE K MARONE MD (T1) Accepts Ages 18 & Older 304 388-5590 MARION COUNTY, WV * PROFESSIONAL CENTER ALI F ABURAHMA MD (T1) ELLIS J SALLOUM MD 1 MEDICAL CENTER DR 1 * (T1) * MORGANTOWN, WV 26506 10 MEDICAL PARK STE 3200 MACCORKLE AVE SE WVU HEART & VASCULAR 877 988-4478 104 CHARLESTON, WV 25304 INSTITUTE SAMANTHA D MINC MD WHEELING, WV 26003 304 388-5590 1325 LOCUST AVE STE 4B (T1) * 304 242-4800 FAIRMONT, WV 26554 UHA PHYSICIAN OFFICE DEAN J WICKEL MD (T1) * ELLIOT M ADAMS MD (T1) 304 974-3297 WVUPC VASCULAR CENTER Accepts Ages 18 & Older SURGERY MARSHALL COUNTY, WV 1 MEDICAL CENTER WVU HEART & VASCULAR 3200 MACCORKLE AVE SE RAJAI T KHOURY MD (T1) DRIVE INSTITUTE SE TOWER FL 4 * MORGANTOWN, WV 26506 502 CABELA DR CHARLESTON, WV 25304 @ ARABIC 304 598-4000 TRIADELPHIA, WV 26059 304 388-5590 WHEELING HOSPITAL INC LAKSHMIKUMAR PILLAI 304 285-1996 800 WHEELING AVE MATTHEW A BEASLEY DO MD (T1) * PUTNAM COUNTY, WV GLEN DALE, WV 26038 UHA PHYSICIAN OFFICE (T1) ZACHARY T ABURAHMA 304 242-6464 CENTER ROBERT C BYRD DO (T1) 1 MEDICAL CENTER CLINICAL TEACHING DEAN J WICKEL MD (T1) * CAMC TEAYS VALLEY DRIVE CENTER Accepts Ages 18 & Older VCOE MORGANTOWN, WV 26506 3200 MACCORKLE AVE SE WVU HEART & VASCULAR 1200 HOSPITAL DR STE 304 598-4800 FL 4 INSTITUTE - RMH 1215 CHARLESTON, WV 25304 800 WHEELING AVE FL 3 ELLIS J SALLOUM MD HURRICANE, WV 25526 304 388-5590 GLEN DALE, WV 26038 (T1) * 304 757-1145 304 845-0100 WVU HEART & VASCULAR STEPHEN M HASS MD ELLIOT M ADAMS MD (T1) INSTITUTE- SE TOWER (T1) MERCER COUNTY, WV WVUPC VASCULAR 3200 MACCORKLE AVE SE 1 MEDICAL CENTER DR ERIC S HOPKINS MD (T1) SURGERY FL 4 MORGANTOWN, WV 26506 * 1200 HOSPITAL DR STE CHARLESTON, WV 25304 877 988-4478 MERCER MEDICAL 1215 304 388-5590 GROUP HURRICANE, WV 25526 201 12TH STREET EXT 304 757-1145 PRINCETON, WV 24740 304 425-1852

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 119 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MATTHEW A BEASLEY DO (T1) CAMC TEAYS VALLEY VCOE 1200 HOSPITAL DR STE 1215 HURRICANE, WV 25526 304 757-1145 WOOD COUNTY, WV DAVID J MUSSER MD (T1) * CAMDEN CLARK CARDIOTHORACIC SURGERY 705 GARFIELD AVE STE 460 PARKERSBURG, WV 26101 304 424-4763

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 120 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. Section 8 Behavioral Medicine & Psychiatry Facilities (May Require Referral or Preauthorization)

SHENANDOAH Autism Treatment Crisis Intervention/ Intensive Outpatient COMMUNITY HEALTH (T1) Centers Stabilization Mental Health #% WINCHESTER FAMILY AUGUSTA LEVY BEHAV HEALTH PAVILION BEHAV HEALTH PAVILION HEALTH CENTER LEARNING CENTER INC OF THE VIRGINIAS (T1) # OF THE VIRGINIAS (T1) # 1330 AMHERST ST (T1)% 1333 SOUTHVIEW DR 1333 SOUTHVIEW DR WINCHESTER, VA 22601 210 ANTHONI AVE STE BLUEFIELD, WV 24701 BLUEFIELD, WV 24701 540 722-2369 300 304 487-7000 304 487-7000 WHEELING, WV 26003 WWW.SHENCOMMHEALT UPMC WESTERN 304 242-6722 H.COM Inpatient Behavioral MARYLAND (T1) # SHENANDOAH www.augustalevy.org Health Facility 12500 WILLOWBROOK RD COMMUNITY HEALTH (T1) CUMBERLAND, MD 21502 CHESTNUT RIDGE #% Chemical Dependency 240 964-7000 HOSPITAL- WVUH (T1) # Programs 106 SAND MINE RD STE 7 Adults, Adolescents & BERKELEY SPRINGS, WV CHESTNUT RIDGE Children Intensive Outpatient 25411 HOSPITAL- WVUH (T1) # 930 CHESTNUT RIDGE RD Substance Abuse 304 263-7023 Adults, Adolescents & MORGANTOWN, WV 26505 CHESTNUT RIDGE WWW.SHENCOMMHEALT Children 304 598-6400 HOSPITAL- WVUH (T1) # H.COM 930 CHESTNUT RIDGE RD PRINCETON COMMUNITY Adults, Adolescents & SHENANDOAH VALLEY MORGANTOWN, WV 26505 HOSPITAL (T1) # Children MEDICAL SYSTEM (T1) 304 598-6400 122 12TH ST 930 CHESTNUT RIDGE RD #% SHENANDOAH PRINCETON, WV 24740 MORGANTOWN, WV 26505 99 TAVERN RD COMMUNITY HEALTH (T1) 304 487-7000 304 598-6400 MARTINSBURG, WV 25401 #% 304 263-7023 UPMC WESTERN 106 SAND MINE RD STE 7 MARYLAND (T1) # Outpatient Behavioral WWW.SHENCOMMHEALT BERKELEY SPRINGS, WV 12500 WILLOWBROOK RD Health Facility H.COM 25411 CUMBERLAND, MD 21502 SHENANDOAH VALLEY 304 263-7023 BEHAV HEALTH PAVILION 240 964-7000 MEDICAL SYSTEM (T1) OF THE VIRGINIAS (T1) # WWW.SHENCOMMHEALT #% 1333 SOUTHVIEW DR H.COM 44 TRIFECTA PL STE 205 Inpatient Detox BLUEFIELD, WV 24701 SHENANDOAH VALLEY CHARLES TOWN, WV 304 487-7000 MEDICAL SYSTEM (T1) CHESTNUT RIDGE 25414 #% HOSPITAL- WVUH (T1) # CHESTNUT RIDGE 304 728-3716 99 TAVERN RD Adults, Adolescents & HOSPITAL- WVUH (T1) # WWW.SHENCOMMHEALT MARTINSBURG, WV 25401 Children Adults, Adolescents & H.COM 304 263-7023 930 CHESTNUT RIDGE RD Children UPMC WESTERN MORGANTOWN, WV 26505 930 CHESTNUT RIDGE RD WWW.SHENCOMMHEALT MARYLAND (T1) # 304 598-6400 MORGANTOWN, WV 26505 H.COM 12500 WILLOWBROOK RD 304 598-6400 SHENANDOAH VALLEY UPMC WESTERN CUMBERLAND, MD 21502 MEDICAL SYSTEM (T1) MARYLAND (T1) # 240 964-7000 #% 12500 WILLOWBROOK RD 44 TRIFECTA PL STE 205 CUMBERLAND, MD 21502 CHARLES TOWN, WV 240 964-7000 25414 304 728-3716 WWW.SHENCOMMHEALT H.COM

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 121 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. Outpatient Substance Abuse Treatment CHESTNUT RIDGE HOSPITAL- WVUH (T1) # Adults, Adolescents & Children 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 304 598-6400 UPMC WESTERN MARYLAND (T1) # 12500 WILLOWBROOK RD CUMBERLAND, MD 21502 240 964-7000

Partial Hospitalization Mental Health BEHAV HEALTH PAVILION OF THE VIRGINIAS (T1) # 1333 SOUTHVIEW DR BLUEFIELD, WV 24701 304 487-7000 CHESTNUT RIDGE HOSPITAL- WVUH (T1) # Adults, Adolescents & Children 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 304 598-6400

Partial Hospitalization Substance Abuse CHESTNUT RIDGE HOSPITAL- WVUH (T1) # Adults, Adolescents & Children 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 304 598-6400

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 122 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. Section 9 Behavioral Medicine & Psychiatry (May Require Referral) Participants may access the listed behavioral health practitioners directly for mental health benefits, or call The Health Plan at 1.877.221.9295 for assistance.

ROBERT W KISER LPC JAMIE L WILSON LPC MELISA FIGUEROA LCSW Addictionology (T1)% (T1)% (T1) KANAWHA COUNTY, WV BELINGTON CLINIC Office Care Only Accepts ages 5-17 only 70 N STURMER ST CHARLESTON BRANDON WELLNESS @ SPANISH BELINGTON, WV 26250 TREATMENT CENTER CENTER SHENANDOAH VALLEY 304 823-2800 (T1) 99 HORSESHOE DR MED CENTER 2157 GREENBRIER ST WWW.BARBOURHEALTH. PHILIPPI, WV 26416 99 TAVERN RD CHARLESTON, WV 25311 ORG 304 457-4000 MARTINSBURG, WV 25401 304 344-5924 ROBERT W KISER LPC WWW.BARBOURHEALTH. 304 263-7023 (T1)% ORG MINGO COUNTY, WV TEDDY A HARRIS LCSW MYERS CLINIC BERKELEY COUNTY, WV (T1) WILLIAMSON TREATMENT 3 HEALTHCARE DR CENTER (T1) LUKE W BADLEY LGSW Accepts ages 13 & older PHILIPPI, WV 26416 (T1) 99 TAVERN RD 1609 W 3RD AVE 304 457-2800 WILLIAMSON, WV 25661 CITY HOSPITAL MARTINSBURG, WV 25401 WWW.BARBOURHEALTH. 304 235-0026 2004 PROFESSIONAL CT 304 263-7023 ORG MARTINSBURG, WV 25401 VANITY E JONES LISW 304 596-5780 Counselor/ Therapist LISA A STEFFICH LPC (T1) (T1)% CHRISTINE R BAKER Accepts ages 9 and up ALLEGANY COUNTY, MD BELINGTON COMM LCSW (T1) SHENANDOAH VALLEY MEDICAL SERVICES CARRIE B MCDONALD 99 TAVERN RD MED CENTER ASSOC LCSW (T1) MARTINSBURG, WV 25401 99 TAVERN RD 3 HEALTHCARE DR Accepts ages 6 & older 304 263-7023 MARTINSBURG, WV 25401 PHILIPPI, WV 26416 LAVALE MEDICAL www.shencommhealth.com 304 263-7023 CENTER 304 457-2800 DIANA COLLINS LGSW AMY C KIDRICK MSW (T1) 922 NATIONAL HWY LISA A STEFFICH LPC (T1) SHENANDOAH VALLEY LAVALE, MD 21502 (T1)% Accepts Ages 18 & Older MED CENTER 240 362-7294 BELINGTON COMM BEHAVIORAL MEDICINE- 99 TAVERN RD MEDICAL SERVICES ANDREA R OPEL LCSW WILSON STREET MARTINSBURG, WV 25401 ASSOC (T1) 415 WILSON ST 304 263-7023 70 N STURMER ST Accepts ages 6 & older MARTINSBURG, WV 25401 BELINGTON, WV 26250 ERIN D LIGHT LISW (T1) LAVALE MEDICAL 304 596-2899 CENTER 304 823-2800 Accepts Ages 18 & Older ROBERT J CUTHBERT SHENANDOAH VALLEY 922 NATIONAL HWY LISA A STEFFICH LPC LPC (T1) MED CENTER LAVALE, MD 21502 (T1)% 99 TAVERN RD 240 362-7294 BARBOUR COMMUNITY Accepts ages 16 & older MARTINSBURG, WV 25401 HEALTH ASSOC 99 TAVERN RD BARBOUR COUNTY, WV 304 263-7023 101 COLLEGE HILL DR MARTINSBURG, WV 25401 VALERIE E CORLEY LPC PHILIPPI, WV 26416 304 263-7023 GISELLE M PERRY LPC (T1)% 304 457-4000 (T1) MYERS CLINIC 2004 PROFESSIONAL CT 3 HEALTHCARE DR LISA A STEFFICH LPC MARTINSBURG, WV 25401 PO BOX 900 (T1)% 304 596-5780 PHILIPPI, WV 26416 BARBOUR COMMUNITY 304 457-2800 HEALTH ASSOC WWW.BARBOURHEALTH. 99 HORSESHOE DR ORG PHILIPPI, WV 26416 304 457-0400

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 123 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. GISELLE M PERRY LPC GARRETT COUNTY, MD JEREMY K WENTZ MSW LESHIA A MCCLURE LPC (T1) DENISE CORRADO LCSW (T1) (T1) 415 WILSON ST (T1) UNITED SUMMIT CENTER WIRT CO HEALTH MARTINSBURG, WV 25401 MINDFULNESS THERAPY 120 MEDICAL PARK DR SERVICES 304 596-2899 3473 CHESTNUT RIDGE STE 401 606 WASHINGTON ST BRIDGEPORT, WV 26330 RAVENSWOOD, WV 26164 SHENANDOAH RD STE 104 304 848-2000 304 273-1033 COMMUNITY HEALTH (T1) GRANTSVILLE, MD 21536 99 TAVERN RD 304 723-2855 RYAN P WILSON LSW JEFFERSON COUNTY, WV MARTINSBURG, WV 25401 HARRISON COUNTY, WV (T1) LUKE W BADLEY LGSW 304 263-7023 UNITED SUMMIT CENTER CHERYL CORNWELL MA (T1) INC www.shencommhealth.com (T1) WVU MEDICINE FAMILY 6 HOSPITAL PLZ BELINDA E SMITH LPC 6 HOSPITAL PLZ MEDICINE CLARKSBURG, WV 26301 (T1) CLARKSBURG, WV 26301 115 E 3RD AVE 304 623-5661 UNIVERSITY 304 623-5661 RANSON, WV 25438 JACKSON COUNTY, WV 304 535-6343 HEALTHCARE KEVIN W FRICK LPC (T1) 61 CAMPUS DR STE 200 120 MEDICAL PARK DR ELIZABETH CRUGER LPC CHRISTINE R BAKER MARTINSBURG, WV 25404 STE 401 (T1) LCSW (T1) 304 274-6343 BRIDGEPORT, WV 26330 WIRT CO HEALTH 44 TRIFECTA PL STE 205 BELINDA E SMITH LPC 304 848-2000 SERVICES CHARLES TOWN, WV (T1) 606 WASHINGTON ST 25414 KEVIN W FRICK LPC (T1) RAVENSWOOD, WV 26164 304 728-3716 BEHAVIORAL MEDICINE - 6 HOSPITAL PLZ 304 273-1033 www.shencommhealth.com WILSON ST CLARKSBURG, WV 26301 415 WILSON ST 304 623-5661 ELIZABETH CRUGER LPC DIANA COLLINS LGSW MARTINSBURG, WV 25401 (T1) (T1) SANDRA K JONES MA 304 596-2899 WIRT CO HEALTH Accepts Ages 18 & Older (T1) SERVICES 171 TAYLOR ST BELINDA E SMITH LPC 6 HOSPITAL PLZ 562 CHARLESTON DR HARPERS FERRY, WV (T1) CLARKSBURG, WV 26301 RIPLEY, WV 25271 25425 299 MEDICAL CT 304 623-5661 MARTINSBURG, WV 25401 304 372-7341 304 535-6343 STANLEY J LANE LSW 304 596-6343 ELIZABETH CRUGER LPC ROBERT J CUTHBERT (T1) DEBORAH L SMITH LPC (T1) LPC (T1) Not Accepting New Patients (T1) WIRT CO HEALTH Accepts ages 16 & older UNITED SUMMIT CTR SHENANDOAH VALLEY SERVICES SHENANDOAH VALLEY PSYCHOLOGY MED CENTER 512 CHURCH ST S APT A MED CENTER 6 HOSPITAL PLZ 99 TAVERN RD RIPLEY, WV 25271 44 TRIFECTA PL STE 205 CLARKSBURG, WV 26301 MARTINSBURG, WV 25401 304 372-1033 CHARLES TOWN, WV 304 623-5661 304 263-7023 LESHIA A MCCLURE LPC 25414 STANLEY J LANE LSW 304 728-3716 BRAXTON COUNTY, WV (T1) (T1) WIRT CO HEALTH AARON C MEDINA LPC MELISA FIGUEROA LCSW UNITED SUMMIT CTR SERVICES (T1) (T1) PSYCHOLOGY 562 CHARLESTON DR UNITED SUMMIT CENTER Accepts ages 5-17 only 800 DAVID AVE RIPLEY, WV 25271 93 SKIDMORE LN @ SPANISH CLARKSBURG, WV 26301 304 372-7341 SUTTON, WV 26601 304 623-0497 SHENANDOAH VALLEY 304 765-2801 LESHIA A MCCLURE LPC MED CENTER LISA C PAUL LISW (T1)% (T1) 44 TRIFECTA PL FAYETTE COUNTY, PA GR & W INC WIRT CO HEALTH CHARLES TOWN, WV GISELLE M PERRY LPC 395 EMILY DR SERVICES 25414 (T1) CLARKSBURG, WV 26301 512 CHURCH ST S APT A 304 728-3716 171 TAYLOR ST 304 460-5123 RIPLEY, WV 25271 CONNELLSVILLE, PA ANDREA J PETERS LGSW 304 372-1033 15425 (T1) 304 535-6343 UNITED SUMMIT CENTER 6 HOSPITAL PLZ CLARKSBURG, WV 26301 304 623-5661

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 124 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. TEDDY A HARRIS LCSW ELIZABETH J KENT LISW SYLVIA DISS LISW (T1) CONSTANCE J BANTA (T1) (T1) Accepts Ages 18 & Older LPC (T1) SHENANDOAH VALLEY 3200 MACCORKLE AVE SE REYNOLDS MEMORIAL HEALTH MINDS CENTER MED CENTER FL 5 HOSP 6 CANYON RD STE 150 44 TRIFECTA PL STE 205 CHARLESTON, WV 25304 407 WHEELING AVE MORGANTOWN, WV 26508 CHARLES TOWN, WV 304 388-1000 GLEN DALE, WV 26038 304 598-4433 25414 BESSIE E 304 221-3012 CONSTANCE J BANTA 304 728-3716 TADLOCK-JIMENEZ MSW MERCER COUNTY, WV LPC (T1) VANITY E JONES LISW (T1) DEBORAH BROWN LPC WVU MEDICINE (T1) Accepts Ages 8 and up (T1) BEHAVIORAL HEALTH SHENANDOAH VALLEY 930 CHESTNUT RIDGE RD CAMC Accepts ages 17 & older MED CENTER MORGANTOWN, WV 26505 3200 MACCORKLE AVE SE THE BEHAVIORAL 44 TRIFECTA PL STE 205 304 598-4214 CHARLESTON, WV 25304 HEALTH PAVILION CHARLES TOWN, WV 304 388-5432 1333 SOUTHVIEW DR BARBARA M BLUMISH 25414 MARION COUNTY, WV BLUEFIELD, WV 24701 LISW (T1) 304 728-3716 JUDITH A BLACK LPC 304 327-9205 WVU MEDICINE AMY C KIDRICK MSW (T1) BEHAVIORAL HEALTH (T1) BETHANY GRAVELY LISW SHENANDOAH VALLEY 6040 UNIVERSITY TOWN Accepts Ages 18 & Older (T1) MED CENTER CENTRE DR APPALACHIAN LIFE THE BEHAVIORAL 44 TRIFECTA PL MORGANTOWN, WV 26501 ENRICHMENT HEALTH PAVILION CHARLES TOWN, WV 855 988-2273 COUNSELING 1333 SOUTHVIEW DR 25414 207 FAIRMONT AVE BLUEFIELD, WV 24701 KRISTEN E BOYCE LISW 304 728-3716 FAIRMONT, WV 26554 304 327-9205 (T1) GISELLE M PERRY LPC 681 404-6869 MONONGALIA COUNTY, WVU MEDICINE (T1) BEHAVIORAL HEALTH DENISE A WAGNER LPC WV 203 E 4TH AVE 930 CHESTNUT RIDGE RD (T1) HOLLY E ACHEE LGSW RANSON, WV 25438 MORGANTOWN, WV 26505 HEALTHY MINDS - (T1) 304 725-6343 304 598-4214 WHITEHALL MEDICAL WVU MEDICINE SHENANDOAH BUILDI BEHAVIORAL HEALTH MATTHEW W BUNNER COMMUNITY HEALTH (T1) 177 MIDDLETOWN RD STE 930 CHESTNUT RIDGE RD LPC (T1) 44 TRIFECTA PL STE 205 4 MORGANTOWN, WV 26505 RUBY MEMORIAL CHARLES TOWN, WV FAIRMONT, WV 26554 304 598-4214 HOSPITAL 25414 304 367-9191 1 MEDICAL CENTER DR DEBRA K AMOS LPC (T1) 304 728-3716 MORGANTOWN, WV 26506 PATRICK WHALEY LPC CHESTNUT RIDGE 304 598-4000 www.shencommhealth.com (T1) CENTER BELINDA E SMITH LPC FAIRMONT GATEWAY 930 CHESTNUT RIDGE RD MATTHEW W BUNNER (T1) CENTER MORGANTOWN, WV 26505 LPC (T1) 171 TAYLOR ST 100 STONEY HILL RD 304 598-4214 WVU MEDICINE HARPERS FERRY, WV FAIRMONT, WV 26554 BRIDGET BAILEY LISW BEHAVIORAL HEALTH 25425 304 285-5400 (T1) 930 CHESTNUT RIDGE RD 304 535-6343 MARSHALL COUNTY, WV CHESTNUT RIDGE MORGANTOWN, WV 26505 304 598-4214 BELINDA E SMITH LPC ROBERT T BOWMAN LISW CENTER (T1) (T1) 930 CHESTNUT RIDGE RD CHERELLE D 203 E 4TH AVE Accepts ages 6 & older MORGANTOWN, WV 26505 CARRINGTON LISW (T1) RANSON, WV 25438 REYNOLDS ADULT AND 304 598-4214 CHESTNUT CENTER 304 725-6343 ADOLESCENT CONSTANCE J BANTA 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 KANAWHA COUNTY, WV PSYCHOLOGY LPC (T1) 407 WHEELING AVE 304 598-4214 RACHEL DASH LSW (T1) RUBY MEMORIAL GLEN DALE, WV 26038 3200 MACCORKLE AVE SE HOSPITAL KATHLEEN M 304 221-3012 FL 5 1 MEDICAL CENTER DR CHIASSON-DOWNS LPC CHARLESTON, WV 25304 MORGANTOWN, WV 26506 (T1) 304 388-1000 304 598-4000 UHA BEHAV MED/PSYCHIATRY 3602 COLLINS FERRY RD MORGANTOWN, WV 26505 304 598-4214

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 125 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. EMILY J CHILKO LGSW LAUREL E JANIE HOWSARE MSW CHRISTOPHER B LOPEZ (T1) FAULKENBERRY LPC (T1) LISW (T1) UHA BEHAV (T1) WVU MEDICINE HEALTHY MINDS - WES MED/PSYCHIATRY RUBY MEMORIAL BEHAVIORAL HEALTH MON PLAZA 3602 COLLINS FERRY RD HOSPITAL 930 CHESTNUT RIDGE RD 34 COMMERCE DR STE MORGANTOWN, WV 26505 1 MEDICAL CENTER DR MORGANTOWN, WV 26505 204 304 598-4214 MORGANTOWN, WV 26506 304 598-4214 MORGANTOWN, WV 26501 304 598-4000 304 598-6066 EMILY J CHILKO LGSW LAURA R LANDER LSW (T1) EMILY G FINOMORE LPC (T1) CHRISTOPHER B LOPEZ WVU MEDICINE (T1) RUBY MEMORIAL LISW (T1) BEHAVIORAL HEALTH CHESTNUT RIDGE HOSPITAL WVU MEDICINE 930 CHESTNUT RIDGE RD CENTER 1 MEDICAL CENTER DR BEHAVIORAL HEALTH MORGANTOWN, WV 26505 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26506 930 CHESTNUT RIDGE RD 304 598-4214 MORGANTOWN, WV 26505 304 598-4000 MORGANTOWN, WV 26505 304 598-4214 304 598-4214 ELIZABETH R COHEN LAURA R LANDER LSW LSW (T1) ZACHARY T FRANCIS (T1) HEATHER M MILAM LPC @ FRENCH LGSW (T1) UHA SOCIAL WORKERS (T1) 1322 PINEVIEW DR 1075 VAN VOORHIS RD 6040 UNIVERSITY TOWN Accepts ages 16 & older MORGANTOWN, WV 26505 STE 200 CENTRE DR Office Care Only 304 598-3100 MORGANTOWN, WV 26505 MORGANTOWN, WV 26501 GR & W INC 304 598-6216 855 988-2273 ELIZABETH R COHEN 1005 WHITE WILLOW WAY LSW (T1) LYNN R GRAINGER LGSW LAURA R LANDER LSW MORGANTOWN, WV 26505 304 460-5123 @ FRENCH (T1) (T1) 101 STADIUM DR MARY BABB RANDOLPH WVU MEDICINE SUSAN A MILLHAM LISW MORGANTOWN, WV 26506 CANCER CENTER BEHAVIORAL HEALTH (T1) 304 598-4800 1 MEDICAL CENTER DR 200 LAKEWOOD CTR STE WVU MEDICINE MORGANTOWN, WV 26506 200 ANDREA M DOYLE LISW BEHAVIORAL HEALTH 304 598-4500 MORGANTOWN, WV 26508 (T1) 930 CHESTNUT RIDGE RD 304 598-4214 930 CHESTNUT RIDGE RD CAITLIN HANNA LPC (T1) MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 CHESTNUT RIDGE LAURA R LANDER LSW 304 598-4214 304 598-4214 CENTER (T1) JENNA R 930 CHESTNUT RIDGE RD WVU MEDICINE ANDREA M DOYLE LISW MOSELY-LOHNES LGSW MORGANTOWN, WV 26505 BEHAVIORAL HEALTH (T1) (T1) 304 598-4214 930 CHESTNUT RIDGE RD 6 CANYON RD STE 150 RESEARCH RIDGE - WVU MORGANTOWN, WV 26505 MORGANTOWN, WV 26508 CAITLIN HANNA LPC (T1) 3602 COLLINS FERRY RD 304 598-4214 304 598-4433 HEALTH MINDS CENTER MORGANTOWN, WV 26505 6 CANYON RD STE 150 SARAH R LEIFHEIT LISW 304 598-4214 ANNE R DULANEY LGSW MORGANTOWN, WV 26508 (T1) (T1) WHITNEY E MYERS LGSW 304 598-4433 RESEARCH RIDGE - WVU HEALTHY MINDS - WES (T1) 3602 COLLINS FERRY RD MON PLAZA KEVIN M HOUGH LISW CHESTNUT RIDGE MORGANTOWN, WV 26505 34 COMMERCE DR STE (T1) CENTER 304 598-4214 204 PHYSICIANS OFFICE 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26501 CENTER CHRISTOPHER B LOPEZ MORGANTOWN, WV 26505 304 598-6066 1 MEDICAL CENTER DR LISW (T1) 304 598-4214 MORGANTOWN, WV 26506 RUBY MEMORIAL LAUREL E WHITNEY E MYERS LGSW 304 598-4800 HOSPITAL FAULKENBERRY LPC (T1) 1 MEDICAL CENTER DR (T1) JANIE L HOWSARE MSW PAIN MANAGEMENT MORGANTOWN, WV 26506 UHA BEHAV (T1) CENTER - MORGANTOWN 304 598-4000 MED/PSYCHIATRY HEALTHY MINDS CENTER 1075 VAN VOORHIS RD 3602 COLLINS FERRY RD 6 CANYON RD STE 150 STE 200 MORGANTOWN, WV 26505 MORGANTOWN, WV 26508 MORGANTOWN, WV 26505 304 598-4214 304 598-4214 304 598-6216

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 126 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. AMANDA M NEWHOUSE FANICA J PAYNE LGSW BONITA STRAYER LGSW OHIO COUNTY, WV LISW (T1) (T1)% (T1) KIMBERLY L 6040 UNIVERSITY TOWN RUBY MEMORIAL CHESTNUT RIDGE JUSTICE-CONLEY MSW CENTRE DR HOSPITAL CENTER (T1)% MORGANTOWN, WV 26501 1 MEDICAL CENTER DR 930 CHESTNUT RIDGE RD WHEELING CLINIC 855 988-2273 MORGANTOWN, WV 26506 MORGANTOWN, WV 26505 58 16TH ST 304 598-4000 304 598-4214 AMANDA M NEWHOUSE WHEELING, WV 26003 LISW (T1) FANICA J PAYNE LGSW SIERRA N STROTHER 304 243-8437 WVU MEDICINE (T1)% LGSW (T1) LISA C PAUL LISW (T1)% BEHAVIORAL HEALTH WVU MEDICINE HEALTHY MINDS - WES BOX OUTSIDE 930 CHESTNUT RIDGE RD BEHAVIORAL HEALTH MON PLAZA 1100 MAIN ST STE 104 MORGANTOWN, WV 26505 930 CHESTNUT RIDGE RD 34 COMMERCE DR STE WHEELING, WV 26003 304 598-4214 MORGANTOWN, WV 26505 204 304 460-5123 304 598-4214 MORGANTOWN, WV 26501 AMANDA M NEWHOUSE 304 598-6066 PAUL C WEIGEL LPC LISW (T1) FANICA J PAYNE LGSW (T1)% RUBY MEMORIAL (T1)% KACIE J TENNANT LGSW Accepts birth to age 21 HOSPITAL WVU MEDICINE (T1) WHEELING CLINIC 1 MEDICAL CENTER DR BEHAVIORAL HEALTH 1 MEDICAL CENTER DR 58 16TH ST MORGANTOWN, WV 26506 200 LAKEWOOD CTR STE MORGANTOWN, WV 26506 WHEELING, WV 26003 304 598-4000 200 304 598-4800 304 243-8437 MORGANTOWN, WV 26508 LISA C PAUL LISW (T1) DENISE A WAGNER LPC 304 598-4214 PLEASANTS COUNTY, WV WVU MEDICINE (T1) WESTBROOK HEALTH BEHAVIORAL HEALTH KATHLEEN R RECKART CHESTNUT RIDGE SERVICES (T1)% 200 LAKEWOOD CTR STE LISW (T1) CENTER 210 2ND ST 200 6 CANYON RD STE 150 930 CHESTNUT RIDGE RD SAINT MARYS, WV 26170 MORGANTOWN, WV 26508 MORGANTOWN, WV 26508 MORGANTOWN, WV 26505 304 684-2656 304 598-4214 304 598-4433 304 598-4214 PRESTON COUNTY, WV LISA C PAUL LISW (T1)% ERIKA D RUCKER LPC PHILLIP J WEST LGSW DENISE CORRADO (T1) Accepts Ages 18 & Older (T1) (T1) 820 FORKY FARM RD CREATIVE MINDFULNESS HEALTHY MINDS CENTER WVU MEDICINE BRUCETON MILLS, WV LLC - LAKEWOOD BEHAVIORAL HEALTH 26525 6000 COOMBS FARM RD 200 LAKEWOOD CTR STE 930 CHESTNUT RIDGE RD 302 723-2855 STE 106 200 MORGANTOWN, WV 26505 MORGANTOWN, WV 26508 MORGANTOWN, WV 26508 304 598-4214 PUTNAM COUNTY, WV 304 598-4214 304 594-8445 HEATHER L KATEE R CONAWAY LPC LISA C PAUL LISW (T1)% JODIE L RUSSELL LPC YOUNG-TENNANT LGSW (T1)% GR & W INC (T1) (T1) VALLEY HEALTH EAST 1005 WHITE WILLOW WAY Office Care Only WVU STUDENT HEALTH HUNTINGTON MORGANTOWN, WV 26505 JODIE RUSSELL LPC CRC 390 BIRCH ST 3729 TEAYS VALLEY RD 304 460-5123 LLC MORGANTOWN, WV 26506 STE 100 7000 COOMBS FARM RD 304 285-7200 HURRICANE, WV 25526 LISA C PAUL LISW (T1) STE 202 304 760-6040 6 CANYON RD STE 150 MORGAN COUNTY, WV MORGANTOWN, WV 26508 MORGANTOWN, WV 26508 SHENANDOAH ROANE COUNTY, WV 304435349 304 598-4214 COMMUNITY HEALTH (T1) WESTBROOK HEALTH RICKY L STAUB LPC (T1) 106 SAND MINE RD STE 7 SERVICES (T1)% LISA C PAUL LISW (T1) CHESTNUT RIDGE BERKELEY SPRINGS, WV 227 CLAY RD WVU MEDICINE CENTER 25411 SPENCER, WV 25276 BEHAVIORAL HEALTH 930 CHESTNUT RIDGE RD 304 263-7023 304 927-5200 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 www.shencommhealth.com 304 598-4214 304 598-4214

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 127 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. UPSHUR COUNTY, WV WOOD COUNTY, WV KAWISH GARG MD (T1) Psychiatry DARRIAN N RANDALL SARAH L CASSEDAY LPC WESTERN MARYLAND LPC (T1) (T1) ALLEGANY COUNTY, MD HEALTH SYSTEM 12502 WILLOWBROOK RD UNITED SUMMIT CENTER Office Care Only SAHAR ALEE KOLOUKANI STE 380 4 NORTHRIDGE DR STE PARKERSBURG FAMILY MD (T1) CUMBERLAND, MD 21502 120 CARE WESTERN MARYLAND 240 964-8585 BUCKHANNON, WV 26201 2610 CAMDEN AVE HEALTH SYSTEM 304 472-0245 PARKERSBURG, WV 26101 12500 WILLOWBROOK RD MOHAMMAD WINCHESTER CITY 304 917-3733 CUMBERLAND, MD 21502 GHAIRATMAL MD (T1) COUNTY, VA WWW.COPLINHEALTHSYS 240 964-7000 WESTERN MARYLAND TEMS.COM HEALTH SYSTEM SHENANDOAH SAHAR ALEE KOLOUKANI 12502 WILLOWBROOK RD COMMUNITY HEALTH (T1) ELIZABETH CRUGER LPC MD (T1) CUMBERLAND, MD 21502 1330 AMHERST ST (T1) WMHS BEHAVIORAL 240 964-8585 WINCHESTER, VA 22601 WIRT CO HEALTH HEALTH SERVICES 540 722-2369 SERVICES 12502 WILLOWBROOK RD HARISH GOYAL MD (T1) www.shencommhealth.com 2610 CAMDEN AVE CUMBERLAND, MD 21502 @ Hindi, PUNJABI PARKERSBURG, WV 26101 WIRT COUNTY, WV 240 964-8585 WMHS BEHAVIORAL 304 917-3733 HEALTH SERVICES ELIZABETH CRUGER LPC ALAN N ARNSON MD (T1) 12502 WILLOWBROOK RD (T1) ELIZABETH CRUGER LPC * STE 380 WIRT CO HEALTH (T1) Accepts Ages 18 & Older CUMBERLAND, MD 21502 SERVICES WIRT CO HEALTH @ GERMAN 240 964-8585 461 SCHOOLVIEW ST SERVICES WMHS BEHAVIORAL ELIZABETH, WV 26143 3705 EMERSON AVE HEALTH SERVICES ANGELA ONWUANIBE MD 304 275-3117 PARKERSBURG, WV 26104 12502 WILLOWBROOK RD (T1) 304 917-3530 WMHS BEHAVIORAL ELIZABETH CRUGER LPC STE 380 HEALTH SERVICES (T1) LESHIA A MCCLURE LPC CUMBERLAND, MD 21502 12502 WILLOWBROOK RD WIRT CO HEALTH (T1) 240 964-8585 STE 380 SERVICES WIRT CO HEALTH http://www.wmhs.com/behav CUMBERLAND, MD 21502 483 COURT ST SERVICES ioral-health.html 240 964-8585 ELIZABETH, WV 26143 2610 CAMDEN AVE EDWARD M EHLERS MD 304 275-3301 PARKERSBURG, WV 26101 (T1) MELANIE ROWSON MD 304 917-3733 (T1) * LESHIA A MCCLURE LPC Accepts Ages 18 & Older WESTERN MARYLAND (T1) WESTBROOK HEALTH WMHS BEHAVIORAL HEALTH SYSTEM WIRT CO HEALTH SERVICES (T1)% HEALTH SERVICES 12502 WILLOWBROOK RD SERVICES 2121 7TH ST 12502 WILLOWBROOK RD STE 380 483 COURT ST PARKERSBURG, WV 26101 STE 380 CUMBERLAND, MD 21502 ELIZABETH, WV 26143 304 485-1721 CUMBERLAND, MD 21502 240 964-8585 304 275-3301 240 964-8585 MELANIE ROWSON MD LESHIA A MCCLURE LPC Neuropsychology LOGAN G FOLTZ MD (T1) (T1) * (T1) MONONGALIA COUNTY, WESTERN MARYLAND WMHS BEHAVIORAL WIRT CO HEALTH WV HEALTH SYSTEM HEALTH SERVICES SERVICES ALEXANDRIA R PERLE 12500 WILLOWBROOK RD 12500 WILLOWBROOK RD 461 SCHOOLVIEW ST PSYD (T1) CUMBERLAND, MD 21502 STE 380 ELIZABETH, WV 26143 CHESTNUT RIDGE 240 964-8151 CUMBERLAND, MD 21502 304 275-3117 CENTER KAWISH GARG MD (T1) 240 964-8585 930 CHESTNUT RIDGE RD WESTERN MARYLAND MORGANTOWN, WV 26505 HEALTH SYSTEM REBECCA E SOKAL MD 304 598-4214 12500 WILLOWBROOK RD (T1) CUMBERLAND, MD 21502 WMHS BEHAVIORAL 240 964-8585 HEALTH SERVICES 12502 WILLOWBROOK RD STE 380 CUMBERLAND, MD 21502 240 964-8585 WWW.WMHS.COM

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 128 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. GRATIELA E ZBARCEA RAJA N MOGALLAPU MD STEVEN CHOI DO (T1) CAROL FREAS MD (T1) MD (T1) (T1) Accepts Ages 18 & Older 3200 MACCORKLE AVE SE Accepts Ages 18 & Older BEHAVIORAL MEDICINE - SHENANDOAH VALLEY FL 5 @ ROMANIAN WILSON ST MED CENTER CHARLESTON, WV 25304 WMHS BEHAVIORAL 415 WILSON ST 44 TRIFECTA PL STE 205 304 388-1000 MARTINSBURG, WV 25401 HEALTH SERVICES CHARLES TOWN, WV YAHIA HOMSI MD (T1) 304 596-2899 12502 WILLOWBROOK RD 25414 WVUPC PSYCHIATRY STE 380 LAWRENCE D OSTROW 304 728-3716 3200 MACCORKLE AVE SE CUMBERLAND, MD 21502 MD (T1) * SAMIRA KHAN MD (T1) FL 5 240 964-8585 SHENANDOAH VALLEY UHP PSYCHIATRY CHARLESTON, WV 25304 BERKELEY COUNTY, WV MEDICAL SYSTEM, INC 205 E 5TH AVE 304 388-1000 99 TAVERN RD MICHAEL B RANSON, WV 25438 HANI NAZHA MD (T1) * MARTINSBURG, WV 25401 304 596-5780 ANG-RABANES MD (T1) * Accepts Ages 18 & Older 304 263-7023 BEHAVIORAL MEDICINE - GIANLUCA LAMONACA @ ARABIC, FRENCH WILSON ST SHENANDOAH MD (T1) DEPARTMENT OF 415 WILSON ST COMMUNITY HEALTH (T1) Accepts Ages 3 To 18 MEDICINE MARTINSBURG, WV 25401 99 TAVERN RD @ ITALIAN 3200 MACCORKLE AVE SE 304 596-2899 MARTINSBURG, WV 25401 SHENANDOAH VALLEY FL 5 ANKIT CHALIA MD (T1) * 304 263-7023 MED CENTER CHARLESTON, WV 25304 BEHAVIORAL MEDICINE & WWW.SHENCOMMHEALT 44 TRIFECTA PL STE 205 304 388-1000 H.COM PSYCHIATRY CHARLES TOWN, WV HANI NAZHA MD (T1) * 2004 PROFESSIONAL CT HARRISON COUNTY, WV 25414 @ ARABIC, FRENCH 304 728-3716 MARTINSBURG, WV 25401 JAMES D ABEL MD (T1) DEPARTMENT OF 304 596-5780 UNITED SUMMIT CENTER www.shencommhealth.com MEDICINE STEVEN CHOI DO (T1) 120 MEDICAL PARK DR LAWRENCE D OSTROW 3200 MACCORKLE AVE SE Accepts Ages 18 & Older STE 401 MD (T1) * FL 4 SHENANDOAH VALLEY BRIDGEPORT, WV 26330 SHENANDOAH VALLEY CHARLESTON, WV 25304 MED CENTER 304 623-5661 MED CENTER 304 388-5590 99 TAVERN RD AUVID MOMEN MD (T1) 44 TRIFECTA PL STE 205 SARAH RAHMAN MD (T1) MARTINSBURG, WV 25401 UNITED SUMMIT CENTER CHARLES TOWN, WV 3200 MACCORKLE AVE SE 304 263-7023 120 MEDICAL PARK DR 25414 FL 5 304 728-3716 SAMIRA KHAN MD (T1) STE 401 CHARLESTON, WV 25304 BEHAVIORAL MEDICINE & BRIDGEPORT, WV 26330 SHENANDOAH 304 388-1000 304 848-2000 PSYCHIATRY COMMUNITY HEALTH (T1) TIFFANY O SPARKS MD 2004 PROFESSIONAL CT AMER M RAHMAN MD 44 TRIFECTA PL STE 205 (T1) * MARTINSBURG, WV 25401 (T1) CHARLES TOWN, WV 3200 MACCORKLE AVE SE 304 596-5780 UNITED SUMMIT CENTER 25414 FL 5 304 728-3716 GIANLUCA LAMONACA 120 MEDICAL PARK DR CHARLESTON, WV 25304 WWW.SHENCOMMHEALT MD (T1) STE 401 304 388-1000 BRIDGEPORT, WV 26330 H.COM Accepts Ages 3 To 18 MARION COUNTY, WV 304 848-2000 KANAWHA COUNTY, WV @ ITALIAN KIRK A RAMSEY MD (T1) SHENANDOAH VALLEY JACKSON COUNTY, WV VEENA K BHANOT MD 100 STONEY HILL RD MED CENTER WESTBROOK HEALTH (T1) * FAIRMONT, WV 26554 99 TAVERN RD SERVICES (T1)% 3200 MACCORKLE AVE SE 304 285-5400 MARTINSBURG, WV 25401 FL 5 3066 CHARLESTON RD MARSHALL COUNTY, WV 304 263-7023 RIPLEY, WV 25271 CHARLESTON, WV 25304 ALBER L GHOBRIAL MD www.shencommhealth.com 304 372-6833 304 388-1000 (T1) RAJA N MOGALLAPU MD ADINA E BOWE MD (T1) JEFFERSON COUNTY, WV Accepts Ages 18 & Older (T1) 3200 MACCORKLE AVE SE MICHAEL B REYNOLDS ADULT AND BEHAVIORAL MEDICINE & CHARLESTON, WV 25304 ANG-RABANES MD (T1) * ADOLESCENT PSYCHIATRY 304 388-5432 UHP PSYCHIATRY PSYCHOLOGY 2004 PROFESSIONAL CT 205 E 5TH AVE 407 WHEELING AVE MARTINSBURG, WV 25401 RANSON, WV 25438 GLEN DALE, WV 26038 304 596-5780 304 596-5780 304 221-3012

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 129 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. NIHIT GUPTA MD (T1) * JAMES H BERRY DO (T1) STEPHEN E DECI MD (T1) JEREMIAH C HOPKINS MD Accepts ages 5 & older UHA BEHAV RESEARCH RIDGE WVU (T1) REYNOLDS ADULT AND MED/PSYCHIATRY 3602 COLLINS FERRY RD WVU MEDICINE ADOLESCENT 3602 COLLINS FERRY RD MORGANTOWN, WV 26505 6 CANYON RD STE 150 PSYCHOLOGY MORGANTOWN, WV 26505 304 598-4214 MORGANTOWN, WV 26508 304 598-4214 304 598-4433 407 WHEELING AVE STEPHEN E DECI MD (T1) GLEN DALE, WV 26038 WALTER R BYRD JR MD CHESTNUT RIDGE JEREMIAH C HOPKINS MD 304 221-3012 (T1) * CENTER (T1) PAUL PAPADIMITRIOU MD WVU MEDICINE 930 CHESTNUT RIDGE RD WVU MEDICINE (T1) BEHAVIORAL HEALTH MORGANTOWN, WV 26505 BEHAVIORAL HEALTH Accepts Ages 18 & Older 930 CHESTNUT RIDGE RD 304 598-4214 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 REYNOLDS ADULT AND DANIEL E ELSWICK MD 304 598-4214 304 598-4214 ADOLESCENT (T1) PSYCHOLOGY WALTER R BYRD JR MD 930 CHESTNUT RIDGE RD JEREMY D HUSTEAD MD 407 WHEELING AVE (T1) * MORGANTOWN, WV 26505 (T1) GLEN DALE, WV 26038 HEALTHY MINDS CENTER 304 598-4214 CHESTNUT RIDGE 304 221-3012 6 CANYON RD STE 150 CENTER DANIEL E ELSWICK MD MORGANTOWN, WV 26508 930 CHESTNUT RIDGE RD MERCER COUNTY, WV (T1) 304 598-4214 MORGANTOWN, WV 26505 EMILY S BOOTHE DO (T1) 6 CANYON RD STE 150 304 598-4214 Accepts Ages 18 & Older WALTER R BYRD JR MD MORGANTOWN, WV 26508 THE BEHAVIORAL (T1) * 304 598-4433 KARI BETH LAW MD (T1) UHA BEHAV WVU MEDICINE HEALTH PAVILION JEREMY A HERSCHLER 1333 SOUTHVIEW DR MED/PSYCHIATRY 6 CANYON RD STE 150 MD (T1) BLUEFIELD, WV 24701 3602 COLLINS FERRY RD MORGANTOWN, WV 26508 PAIN MANAGEMENT 304 327-9205 MORGANTOWN, WV 26505 304 598-4433 CENTER - MORGANTOWN 304 598-4214 JEFFRY T GEE MD (T1) * 1075 VAN VOORHIS RD KARI BETH LAW MD (T1) Accepts ages 10 & older DILIP N CHANDRAN MD STE 200 WVU MEDICINE THE BEHAVIORAL (T1) * MORGANTOWN, WV 26505 BEHAVIORAL HEALTH HEALTH PAVILION 6 CANYON RD STE 150 304 598-6216 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26508 MORGANTOWN, WV 26505 1333 SOUTHVIEW DR JEREMY A HERSCHLER 304 598-4433 304 598-4214 BLUEFIELD, WV 24701 MD (T1) 304 327-9205 DILIP N CHANDRAN MD WVU MEDICINE PATRICK J MARSHALEK MONONGALIA COUNTY, (T1) * BEHAVIORAL HEALTH MD (T1) * WV WVU MEDICINE 930 CHESTNUT RIDGE RD WVUH CHESTNUT RIDGE ALIANA M ABASCAL MD BEHAVIORAL HEALTH MORGANTOWN, WV 26505 HOSP (T1) 930 CHESTNUT RIDGE RD 304 598-4214 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 CHESTNUT RIDGE JEREMY A HERSCHLER 304 598-4214 304 598-4032 CENTER MD (T1) 930 CHESTNUT RIDGE RD DILIP N CHANDRAN MD WVU MEDICINE PATRICK J MARSHALEK MORGANTOWN, WV 26505 (T1) * 6 CANYON RD STE 150 MD (T1) * 304 598-4214 WVU MEDICINE MORGANTOWN, WV 26508 UHA PSYCHOLOGY AHMED S ABORAYA MD BEHAVIORAL HEALTH 304 598-4433 6040 UNIVERSITY TOWN 930 CHESTNUT RIDGE RD CENTRE DR (T1) * CHERYL A HILL MD (T1) MORGANTOWN, WV 26505 MORGANTOWN, WV 26501 @ ARABIC WVU MEDICINE 304 598-4214 855 988-2273 WVU MEDICINE 6 CANYON RD STE 150 BHEAVIORAL HEALTH KALEENA C CHILCOTE MORGANTOWN, WV 26508 PATRICK J MARSHALEK 930 CHESTNUT RIDGE RD MD (T1) 304 598-4433 MD (T1) * MORGANTOWN, WV 26505 WVU MEDICINE WVU HEALTHY MINDS CHERYL A HILL MD (T1) 304 598-4214 BEHAVIORAL HEALTH CENTER WVU MEDICINE 930 CHESTNUT RIDGE RD 6 CANYON RD STE 150 JAMES H BERRY DO (T1) BEHAVIORAL HEALTH MORGANTOWN, WV 26505 MORGANTOWN, WV 26508 WVU MEDICINE 930 CHESTNUT RIDGE RD 304 598-4214 304 598-4433 BEHAVIORAL HEALTH MORGANTOWN, WV 26505 930 CHESTNUT RIDGE RD 304 598-4214 MORGANTOWN, WV 26505 304 598-4214

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 130 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. PATRICK J MARSHALEK BRIAN P QUIGLEY MD KAVARA S VAUGHN MD WINCHESTER CITY MD (T1) * (T1) * (T1) COUNTY, VA WVU PAIN MANAGEMENT WVU MEDICINE WVU MEDICINE SHENANDOAH CENTER BEHAVIORAL HEALTH BEHAVIORAL HEALTH COMMUNITY HEALTH (T1) 1075 VAN VOORHIS RD 930 CHESTNUT RIDGE RD 930 CHESTNUT RIDGE RD WINCHESTER FAMILY STE 200 MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 HEALTH CENTER MORGANTOWN, WV 26505 304 598-4214 304 598-4214 1330 AMHERST ST 304 598-6216 WINCHESTER, VA 22601 BRIAN P QUIGLEY MD JOEL A VOGT MD (T1) 540 722-2369 PATRICK J MARSHALEK (T1) * CHESTNUT RIDGE MD (T1) * HEALTH MINDS CENTER CENTER WWW.SHENCOMMHEALT WVU CHESTNUT RIDGE 390 BIRCH ST 930 CHESTNUT RIDGE RD H.COM CENTER MORGANTOWN, WV 26506 MORGANTOWN, WV 26505 WOOD COUNTY, WV 930 CHESTNUT RIDGE RD 304 598-4214 304 598-4214 RYAN J WAKIM MD (T1) MORGANTOWN, WV 26505 KIRK A RAMSEY MD (T1) WANHONG ZHENG MD Accepts Ages 18 & Older 304 598-4214 WVU MEDICINE (T1) * CAMDEN CLARK PATRICK J MARSHALEK BEHAVIORAL HEALTH @ CHINESE MEMORIAL HOSPITAL MD (T1) * 930 CHESTNUT RIDGE RD HEALTHY MINDS CENTER 800 GARFIELD AVE UHA BEHAV MORGANTOWN, WV 26505 6 CANYON RD STE 150 PARKERSBURG, WV 26101 MED/PSYCHIATRY 304 598-4214 MORGANTOWN, WV 26508 304 422-2359 3602 COLLINS FERRY RD 304 598-4433 KIRK A RAMSEY MD (T1) WESTBROOK HEALTH MORGANTOWN, WV 26505 WVU MEDICINE WANHONG ZHENG MD SERVICES (T1)% 304 598-4214 6 CANYON RD STE 150 (T1) * 2121 7TH ST MARK D MILLER MD (T1) * MORGANTOWN, WV 26508 @ CHINESE PARKERSBURG, WV 26101 WVU MEDICINE 304 598-4433 WVU MEDICINE 304 485-1721 BEHAVIORAL HEALTH BEHAVIORAL HEALTH BRIDGET M SKIDMORE 6 CANYON RD STE 150 930 CHESTNUT RIDGE RD MD (T1) Psychiatry, Child MORGANTOWN, WV 26508 MORGANTOWN, WV 26505 WVU MEDICINE KANAWHA COUNTY, WV 304 598-4214 304 598-4214 BEHAVIORAL HEALTH JESSICA D TALLEY MD MARK D MILLER MD (T1) * 930 CHESTNUT RIDGE RD MORGAN COUNTY, WV (T1) * MORGANTOWN, WV 26505 UHA PSYCHIATRY SHENANDOAH Accepts ages 4 to 18 304 598-4214 33 MEDICAL CENTER DR COMMUNITY HEALTH (T1) 3200 MACCORKLE AVE SE MORGANTOWN, WV 26505 BRIDGET M SKIDMORE 106 SAND MINE RD STE 7 FL 5 304 598-4740 MD (T1) BERKELEY SPRINGS, WV CHARLESTON, WV 25304 MARK D MILLER MD (T1) * WVU MEDICINE 25411 304 388-1000 304 263-7023 WVU MEDICINE 6 CANYON RD STE 150 MARSHALL COUNTY, WV BEHAVIORAL HEALTH MORGANTOWN, WV 26508 WWW.SHENCOMMHEALT NIHIT GUPTA MD (T1) * 930 CHESTNUT RIDGE RD 304 598-4433 H.COM MORGANTOWN, WV 26505 Accepts ages 5 & older EARLENE E STRAYHORN OHIO COUNTY, WV 304 598-4214 REYNOLDS ADULT AND MD (T1) * JILL R BRADSHAW MD ADOLESCENT NATHAN T PEARSON MD CHESTNUT RIDGE (T1) * PSYCHOLOGY (T1) CENTER Ages 4 to age 21 407 WHEELING AVE CHESTNUT RIDGE 930 CHESTNUT RIDGE RD WHEELING CLINIC GLEN DALE, WV 26038 CENTER MORGANTOWN, WV 26505 58 16TH ST 304 221-3012 930 CHESTNUT RIDGE RD 304 598-4214 WHEELING, WV 26003 MORGANTOWN, WV 26505 304 243-8437 MONONGALIA COUNTY, KAVARA S VAUGHN MD 304 598-4214 WV (T1) ROANE COUNTY, WV STEPHEN E DECI MD (T1) BRIAN P QUIGLEY MD HEALTHY MINDS CENTER WESTBROOK HEALTH RESEARCH RIDGE WVU (T1) * 6 CANYON RD STE 150 SERVICES (T1)% 3602 COLLINS FERRY RD 6 CANYON RD STE 150 MORGANTOWN, WV 26508 227 CLAY RD MORGANTOWN, WV 26505 MORGANTOWN, WV 26508 304 598-4433 SPENCER, WV 25276 304 598-4214 304 598-4433 304 927-5200

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 131 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. STEPHEN E DECI MD (T1) KEVIN H PETERSON PHD BRIAN A CREASY PHD BRIAN J SHIELDS PHD CHESTNUT RIDGE (T1) (T1) (T1) CENTER Accepts Ages 18 & Older Accepts ages 2 & older UHP PSYCHOLOGY 930 CHESTNUT RIDGE RD WESTERN MARYLAND UHP PSYCHOLOGY 2500 HOSPITAL DR MORGANTOWN, WV 26505 HEALTH SYSTEM 2004 PROFESSIONAL CT MARTINSBURG, WV 25401 304 598-4214 12502 WILLOWBROOK RD MARTINSBURG, WV 25401 304 264-1000 MURUGA LOGANATHAN STE 380 304 596-5780 BRIAN J SHIELDS PHD CUMBERLAND, MD 21502 MD (T1) BRIAN A CREASY PHD (T1) 240 964-8585 WVU MEDICINE (T1) UHP PSYCHOLOGY BEHAVIORAL HEALTH BARBOUR COUNTY, WV Accepts ages 2 & older 61 CAMPUS DR STE 200 930 CHESTNUT RIDGE RD ANDREW M EVERLY MS 1001 SUSHRUTA DR MARTINSBURG, WV 25404 MORGANTOWN, WV 26505 (T1) MARTINSBURG, WV 25401 304 274-6343 304 598-4214 BARBOUR COMMUNITY 304 596-5038 JOCELYN F STOKES PHD HEALTH ASSOC LAUREN W SWAGER MD JONATHAN DEICHES PHD (T1) 3 HEALTHCARE DR (T1) (T1) 2004 PROFESSIONAL CT PHILIPPI, WV 26416 WVU MEDICINE UHP PSYCHOLOGY MARTINSBURG, WV 25401 304 457-2800 BEHAVIORAL HEALTH 2004 PROFESSIONAL CT 304 596-5780 930 CHESTNUT RIDGE RD ANDREW M EVERLY MS MARTINSBURG, WV 25401 JOCELYN F STOKES PHD MORGANTOWN, WV 26505 (T1) 304 596-5780 (T1) 304 598-4214 BARBOUR COMMUNITY ALEXANDRINA M GOMES 61 CAMPUS DR STE 200 HEALTH ASSOC OHIO COUNTY, WV PSYD (T1) MARTINSBURG, WV 25404 70 N STURMER ST 304 274-6343 JILL R BRADSHAW MD Accepts ages 4 & older BELINGTON, WV 26250 (T1) * SHENANDOAH VALLEY 304 823-2800 KRISTEN WHITMORE Ages 4 to age 21 MED CENTER PSYD (T1) WHEELING CLINIC ANDREW M EVERLY MS 99 TAVERN RD EAST PRIMARY CARE 58 16TH ST (T1) MARTINSBURG, WV 25401 SPRING MILLS WHEELING, WV 26003 BARBOUR COMMUNITY 304 263-7023 61 CAMPUS DR STE 200 304 243-8437 HEALTH ASSOC MARTINSBURG, WV 25404 STEPHANIE N MCGRAW 99 HORSESHOE DR 304 535-6343 PSYD (T1) PHILIPPI, WV 26416 Psychology 2004 PROFESSIONAL CT 304 457-4000 KRISTEN WHITMORE ALLEGANY COUNTY, MD MARTINSBURG, WV 25401 PSYD (T1) ANDREW M EVERLY MS KIMBERLY P FOLEY PHD 304 596-5780 BEHAVIORAL MEDICINE & (T1) PSYCHIATRY (T1) STEPHANIE N MCGRAW BARBOUR COMMUNITY 2004 PROFESSIONAL CT Accepts birth to age 21 PSYD (T1) HEALTH ASSOC MARTINSBURG, WV 25401 CHILDRENS MEDICAL 61 CAMPUS DR STE 200 101 COLLEGE HILL DR 304 596-5780 GROUP MARTINSBURG, WV 25404 PHILIPPI, WV 26416 500 GREENE ST 304 274-6343 304 457-0400 GRETCHEN H WILBER CUMBERLAND, MD 21502 PSYD (T1) IVELISSE MORALES-RIOS 301 724-7616 AARON D WILLIAMS PSYD Accepts ages 4 & older (T1)% PSYD (T1) SUSAN MANDELL PSYD @ SPANISH SHENANDOAH VALLEY Office Care Only (T1) SHENANDOAH VALLEY MED CENTER BELINGTON CLINIC WESTERN MARYLAND MED CENTER 99 TAVERN RD 70 N STURMER ST HEALTH SYSTEM 99 TAVERN RD MARTINSBURG, WV 25401 BELINGTON, WV 26250 12502 WILLOWBROOK RD MARTINSBURG, WV 25401 304 263-7023 304 823-4000 STE 380 304 263-7023 HARRISON COUNTY, WV CUMBERLAND, MD 21502 WWW.BARBOURHEALTH. SHENANDOAH DENNIS J KOJSZA PHD 240 964-8585 ORG COMMUNITY HEALTH (T1) (T1) BERKELEY COUNTY, WV SUSAN MANDELL PSYD 99 TAVERN RD UNITED SUMMIT CTR (T1) BRIAN A CREASY PHD MARTINSBURG, WV 25401 PSYCHOLOGY WESTERN MARYLAND (T1) 304 263-7023 120 MEDICAL PARK DR HEALTH SYSTEM Accepts ages 2 & older WWW.SHENCOMMHEALT STE 401 12500 WILLOWBROOK RD 61 CAMPUS DR STE 200 H.COM BRIDGEPORT, WV 26330 CUMBERLAND, MD 21502 MARTINSBURG, WV 25404 304 848-2000 240 964-8585 304 274-6343

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 132 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JACKSON COUNTY, WV SHENANDOAH PATRICK L KERR PHD MONONGALIA COUNTY, JASEN R NICHOLS MA COMMUNITY HEALTH (T1) (T1) WV (T1) 44 TRIFECTA PL STE 205 WVUPC MED & LAURA AYLWARD PHD RIPLEY FAMILY CARE CHARLES TOWN, WV SPECIALTY OFFICES (T1) 512 CHURCH ST S APT A 25414 3200 MACCORKLE AVE SE CHESTNUT RIDGE RIPLEY, WV 25271 304 728-3716 FL 5 CENTER 304 372-1033 WWW.SHENCOMMHEALT CHARLESTON, WV 25304 930 CHESTNUT RIDGE RD 304 388-1000 MORGANTOWN, WV 26505 WWW.COPLINHEALTHSYS H.COM 304 598-4214 TEMS.COM JOCELYN F STOKES PHD JESSICA L LUZIER PHD JASEN R NICHOLS MA (T1) (T1) CLAIRE H BANIAK PSYD (T1) HARPERS FERRY FAMILY 3200 MACCORKLE AVE SE (T1) RIVER VALLEY FAMILY MEDICINE FL 5 CHESTNUT RIDGE CARE 171 TAYLOR ST CHARLESTON, WV 25304 CENTER 606 WASHINGTON ST HARPERS FERRY, WV 304 388-1000 930 CHESTNUT RIDGE RD 25425 MORGANTOWN, WV 26505 RAVENSWOOD, WV 26164 MELISA C SIRBU PHD 304 535-6343 304 598-4214 304 275-3301 (T1) WWW.COPLINHEALTHSYS KRISTEN WHITMORE 3200 MACCORKLE AVE SE CLAIRE H BANIAK PSYD TEMS.COM PSYD (T1) FL 5 (T1) JEFFERSON COUNTY, WV 60 MACLAINE WAY STE A CHARLESTON, WV 25304 UNIVERSITY TOWN 304 388-5432 CENTRE BRIAN A CREASY PHD SHEPHERDSTOWN, WV 25443 6040 UNIVERSITY TOWN (T1) CHANTEL M 304 876-6343 CENTRE DR Accepts ages 2 & older WEISENMULLER PHD (T1) MORGANTOWN, WV 26501 60 MACLAINE WAY STE A GRETCHEN H WILBER 3200 MACCORKLE AVE SE 855 988-2273 SHEPHERDSTOWN, WV PSYD (T1) FL 5 25443 SHENANDOAH VALLEY CHARLESTON, WV 25304 CLAIRE H BANIAK PSYD 304 876-6343 MED CENTER 304 388-1000 (T1) 44 TRIFECTA PL STE 205 NEURODEVELOPMENT BRIAN A CREASY PHD LAURA WILHELM PHD CHARLES TOWN, WV CENTER - MORGANTOWN (T1) (T1) 25414 201 BAKERS RIDGE RD Accepts ages 2 & older 3200 MACCORKLE AVE SE 304 728-3716 MORGANTOWN, WV 26508 FL 5 HARPERS FERRY FAMILY 304 598-4300 MEDICINE KANAWHA COUNTY, WV CHARLESTON, WV 25304 171 TAYLOR ST RAYMOND DIPINO PSYD 304 388-1000 DILIP N CHANDRAN MD (T1) * HARPERS FERRY, WV (T1) MARION COUNTY, WV 25425 3200 MACCORKLE AVE SE UHA BEHAV DENNIS J KOJSZA PHD 304 535-6343 FL 5 MED/PSYCHIATRY (T1) CHARLESTON, WV 25304 3602 COLLINS FERRY RD STEPHANIE N MCGRAW UNITED SUMMIT CTR 304 388-1000 MORGANTOWN, WV 26505 PSYD (T1) PSYCHOLOGY 304 598-4214 60 MACLAINE WAY STE A NANCY A GEORGES PHD 177 MIDDLETOWN RD STE SHEPHERDSTOWN, WV (T1) 4 STEPHANIE J COX PHD 25443 Accepts ages 13 & older WHITE HALL, WV 26554 (T1) 304 876-6343 CAMC 304 367-9191 930 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 STEPHANIE N MCGRAW 3200 MACCORKLE AVE SE MERCER COUNTY, WV CHARLESTON, WV 25304 304 598-4214 PSYD (T1) CHERYL E TAYLOR MA 304 388-5432 STEPHANIE J COX PHD UHP PSYCHOLOGY (T1) (T1) 171 TAYLOR ST JILLIAN L KEENER PSYD Accepts ages 5 & older RUBY MEMORIAL HARPERS FERRY, WV (T1) THE BEHAVIORAL HOSPITAL 25425 Office Care Only HEALTH PAVILION 1 MEDICAL PARK DR 304 535-6343 3200 MACCORKLE AVE SE 1333 SOUTHVIEW DR MORGANTOWN, WV 26506 FL 5 BLUEFIELD, WV 24701 604 598-4000 CHARLESTON, WV 25304 304 327-9205 304 388-1000

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 133 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BARBARA A CUBIC PHD KIMBERLY P FOLEY PHD STEPHANY C LORA PSYD SUSANNAH POE PHD (T1) (T1) (T1) (T1) UNIVERSITY TOWN UHA SLEETH FAMILY PHYSICIAN OFFICE Accepts Ages 18 & Older CENTRE MEDICINE CTR CENTER UHA PHYSICIAN OFFICE 6040 UNIVERSITY TOWN 6040 UNIVERSITY TOWN 1 MEDICAL CENTER DR CENTER CENTRE DR CENTRE DR MORGANTOWN, WV 26506 1 MEDICAL CENTER MORGANTOWN, WV 26501 MORGANTOWN, WV 26501 800 988-2273 DRIVE 855 988-2273 304 598-6900 STEPHANY C LORA PSYD MORGANTOWN, WV 26506 BARBARA A CUBIC PHD MARC W HAUT PHD (T1) (T1) 304 598-4800 (T1) 930 CHESTNUT RIDGE RD CHESTNUT RIDGE SUSANNAH POE PHD (T1) PHYSICIANS OFFICE MORGANTOWN, WV 26505 CENTER Accepts Ages 18 & Older CENTER 304 598-4214 930 CHESTNUT RIDGE RD UHA PSYCHOLOGY 1 MEDICAL CENTER DR MORGANTOWN, WV 26505 MARC W HAUT PHD (T1) 201 BAKERS RIDGE RD MORGANTOWN, WV 26506 304 598-4214 RUBY MEMORIAL MORGANTOWN, WV 26508 304 598-4800 HOSPITAL JENNIFER L LUDROSKY 304 598-4300 ROMIKA DHAR MD (T1) 1 MEDICAL CENTER DR PHD (T1) KRESTIN J RADONOVICH RUBY MEMORIAL MORGANTOWN, WV 26506 930 CHESTNUT RIDGE RD PHD (T1) HOSPITAL 304 598-4000 MORGANTOWN, WV 26505 NEURODEVELOPMENT 1 MEDICAL CENTER DR 304 598-4214 NICHOLAS JASINSKI CENTER - MORGANTOWN MORGANTOWN, WV 26506 PSYD (T1) JENNIFER L LUDROSKY 201 BAKERS RIDGE RD 304 598-4000 CHESTNUT RIDGE PHD (T1) MORGANTOWN, WV 26508 ROMIKA DHAR MD (T1) CENTER RUBY MEMORIAL 304 598-4300 UNIVERSITY TOWN 930 CHESTNUT RIDGE RD HOSPITAL KRESTIN J RADONOVICH CENTRE MORGANTOWN, WV 26505 1 MEDICAL CENTER DR PHD (T1) 6040 UNIVERSITY TOWN 304 598-4214 MORGANTOWN, WV 26506 CHESTNUT RIDGE CENTRE DR 304 598-4000 CIERRA KEITH PHD (T1) CENTER MORGANTOWN, WV 26501 CHESTNUT RIDGE JAMES J MAHONEY PHD 930 CHESTNUT RIDGE RD 855 988-2273 CENTER (T1) MORGANTOWN, WV 26505 NORMAN D FERRARI III 930 CHESTNUT RIDGE RD UHA PSYCHOLOGY 304 598-4214 MD (T1) MORGANTOWN, WV 26505 33 MEDICAL CENTER DR DAVID M SCARISBRICK UHA PHYSICIAN OFFICE 304 598-4214 MORGANTOWN, WV 26505 PHD (T1) CENTER 304 598-4740 CIERRA KEITH PHD (T1) UHA PSYCHOLOGY 1 MEDICAL CENTER ROCKEFELLER JAMES J MAHONEY PHD 33 MEDICAL CENTER DR DRIVE NEUROSCIENCE (T1) MORGANTOWN, WV 26505 MORGANTOWN, WV 26506 INSTITUTE 930 CHESTNUT RIDGE RD 304 598-4740 304 598-4800 33 MEDICAL CENTER DR MORGANTOWN, WV 26505 DAVID M SCARISBRICK NATHAN P ERNST PSYD MORGANTOWN, WV 26505 304 598-4214 PHD (T1) (T1) 304 598-4740 LIV E MILLER PSYD (T1) UHA PSYCHOLOGY ROCKEFELLER KEVIN T LARKIN PHD (T1) 930 CHESTNUT RIDGE RD 930 CHESTNUT RIDGE RD NEUROSCIENCE RUBY MEMORIAL MORGANTOWN, WV 26505 MORGANTOWN, WV 26505 INSTITUTE HOSPITAL 304 598-4214 304 598-4214 33 MEDICAL CENTER DR 1 MEDICAL CENTER DR MORGANTOWN, WV 26505 LIV E MILLER PSYD (T1) RUBEN A TINAJERO JR MORGANTOWN, WV 26506 304 598-4740 UHA PSYCHOLOGY PHD (T1) 304 598-4000 33 MEDICAL CENTER DR @ SPANISH NATHAN P ERNST PSYD KEVIN T LARKIN PHD MORGANTOWN, WV 26505 UNIVERSITY TOWN (T1) (T1) 304 598-4740 CENTRE - SLEETH CHESTNUT RIDGE UHA PSYCHOLOGY FAMILY M CENTER JONATHAN G PERLE PHD 930 CHESTNUT RIDGE RD 6040 UNIVERSITY TOWN 930 CHESTNUT RIDGE RD (T1) MORGANTOWN, WV 26505 CENTRE DR MORGANTOWN, WV 26505 CHESTNUT RIDGE 304 598-4214 MORGANTOWN, WV 26501 304 598-4214 CENTER 855 988-2273 COLLEEN LILLARD PHD 930 CHESTNUT RIDGE RD KIMBERLY P FOLEY PHD (T1) MORGANTOWN, WV 26505 (T1) 930 CHESTNUT RIDGE RD 304 598-4214 1 MEDICAL CENTER DR MORGANTOWN, WV 26505 MORGANTOWN, WV 26506 304 598-4214 304 598-4000

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 134 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. JENNA E WALLACE PSYD WINCHESTER CITY MINGO COUNTY, WV (T1) COUNTY, VA WILLIAMSON TREATMENT 6040 UNIVERSITY TOWN IVELISSE MORALES-RIOS CENTER (T1) CENTRE DR PSYD (T1) 1609 W 3RD AVE MORGANTOWN, WV 26501 @ SPANISH WILLIAMSON, WV 25661 855 988-2273 SHENANDOAH VALLEY 304 235-0026 MED CENTER JENNA E WALLACE PSYD 1330 AMHERST ST (T1) WINCHESTER, VA 22601 UHA PSYCHOLOGY 540 722-2369 201 BAKERS RIDGE RD MORGANTOWN, WV 26508 SHENANDOAH 304 598-4300 COMMUNITY HEALTH (T1) WINCHESTER FAMILY JENNA E WALLACE PSYD HEALTH CENTER (T1) 1330 AMHERST ST 930 CHESTNUT RIDGE RD WINCHESTER, VA 22601 MORGANTOWN, WV 26505 540 722-2369 304 598-4214 WWW.SHENCOMMHEALT MORGAN COUNTY, WV H.COM SHENANDOAH WIRT COUNTY, WV COMMUNITY HEALTH (T1) JASEN R NICHOLS MA 106 SAND MINE RD STE 7 (T1) BERKELEY SPRINGS, WV WIRT COUNTY FAMILY 25411 CARE 304 263-7023 483 COURT ST WWW.SHENCOMMHEALT ELIZABETH, WV 26143 H.COM 304 275-3301 OHIO COUNTY, WV WWW.COPLINHEALTHSYS NATHAN P ERNST PSYD TEMS.COM (T1) WOOD COUNTY, WV 10 MEDICAL PARK STE AMY L LOUDEN PHD (T1) 305 800 GRAND CENTRAL WHEELING, WV 26003 MALL STE 4 304 598-4835 VIENNA, WV 26105 NATHAN P ERNST PSYD 304 485-3300 (T1) 40 MEDICAL PARK STE Residential Substance 508 Use Treatment Facility WHEELING, WV 26003 304 243-8916 MONONGALIA COUNTY, WV JOHN F MCFADDEN PSYD CENTER FOR HOPE AND (T1)% HEALING (T1) WHEELING HOSPITAL INC 751 BENEFACTOR DR 40 MEDICAL PARK STE MORGANTOWN, WV 26501 401 304 974-3100 WHEELING, WV 26003 304 243-3880 Suboxone Treatment UPSHUR COUNTY, WV Provider JA'ME A BRANDISH MA (T1) KANAWHA COUNTY, WV Accepts Ages 18 & Older CHARLESTON 4 NORTHRIDGE DR STE TREATMENT CENTER 120 (T1) BUCKHANNON, WV 26201 2157 GREENBRIER ST 304 472-0245 CHARLESTON, WV 25311 304 344-5924

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 135 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. Section 10 Ancillary Services (May Require Referral)

WIRT COUNTY, WV BRAXTON COUNTY, WV PRESTON COUNTY, WV Ambulance Services MID OHIO VALLEY WVU MEDICINE HOME WVU MEDICINE HOME MONONGALIA COUNTY, HEALTH DEPARTMENT HEALTH (T1) # HEALTH (T1) # WV (T1)% 64 STATE ST 14 COMFORT DR WEST VIRGINIA WIRT COUNTY GASSAWAY, WV 26624 REEDSVILLE, WV 26547 EMERGENCY PHYSICIANS 90 SENIOR CIRCLE 304 364-5156 681 342-3200 (T1) ELIZABETH, WV 26143 https://wvumedicine.org/hom https://wvumedicine.org/hom 1200 J D ANDERSON DR 304 275-3131 e-health-hospice/ e-health-hospice/ MORGANTOWN, WV 26505 www.movhd.com HARRISON COUNTY, WV WIRT COUNTY, WV 304 598-1200 WOOD COUNTY, WV WVU MEDICINE HOME WVU MEDICINE HOME MID OHIO VALLEY HEALTH (T1) # HEALTH (T1) # Health Department HEALTH DEPARTMENT 2673 DAVISSON RUN RD 69 MAZE PLAZA CALHOUN COUNTY, WV (T1)% CLARKSBURG, WV 26301 ELIZABETH, WV 26143 MID OHIO VALLEY WOOD COUNTY 304 624-2424 304 275-5001 HEALTH DEPARTMENT 211 6TH ST https://wvumedicine.org/hom https://wvumedicine.org/hom (T1)% PARKERSBURG, WV 26101 e-health-hospice/ e-health-hospice/ 304 485-7374 CALHOUN COUNTY JEFFERSON COUNTY, WV 300 MILL ST www.movhd.com Home Infusion WVU MEDICINE HOME GRANTSVILLE, WV 26147 HEALTH (T1) # Therapy - Local 304 354-6101 Home Health Care 130 E BURR BLVD FL 1 MARION COUNTY, WV www.movhd.com KEARNEYSVILLE, WV ALLEGANY COUNTY, MD BIOSCRIP INFUSION PLEASANTS COUNTY, WV 25430 UPMC WESTERN SERVICES (T1) 304 728-1750 MID OHIO VALLEY MARYLAND (T1) # 2600 MIDDLETOWN HEALTH DEPARTMENT 1050 W INDUSTRIAL BLVD https://wvumedicine.org/hom COMMONS STE 131 (T1)% CUMBERLAND, MD 21502 e-health-hospice/ WHITE HALL, WV 26554 PLEASANTS COUNTY 240 964-9100 MARSHALL COUNTY, WV 800 478-2938 605 CHERRY ST www.wmhs.com WVU MEDICINE HOME www.bioscrip.com SAINT MARYS, WV 26170 BELMONT COUNTY, OH HEALTH (T1) # 304 684-2461 BIOSCRIP INFUSION VISITING NURSE SVCS OF 100 TELETECH DR SERVICES (T1) www.movhd.com WHEELING- BELMONT MOUNDSVILLE, WV 26041 2600 MIDDLETOWN RITCHIE COUNTY, WV (T1) #% 304 845-3211 COMMONS STE 131 MID OHIO VALLEY 280 E MAIN ST https://wvumedicine.org/hom WHITE HALL, WV 26554 HEALTH DEPARTMENT SAINT CLAIRSVILLE, OH e-health-hospice/ 800 478-2938 (T1)% 43950 OHIO COUNTY, WV RITCHIE COUNTY 740 671-8580 VISITING NURSE Hospice Services 125 W MAIN ST WVU MEDICINE HOME SERVICES OF WHEELING ALLEGANY COUNTY, MD HARRISVILLE, WV 26362 (T1) #% HEALTH (T1) # UPMC WESTERN 304 643-2917 58 16TH ST 280 E MAIN ST MARYLAND (T1) # www.movhd.com WHEELING, WV 26003 SAINT CLAIRSVILLE, OH 1050 W INDUSTRIAL BLVD 304 243-3124 ROANE COUNTY, WV 43950 CUMBERLAND, MD 21502 MID OHIO VALLEY 740 669-7000 240 964-9000 HEALTH DEPARTMENT https://wvumedicine.org/hom www.wmhs.com (T1)% e-health-hospice/ ROANE COUNTY 200 MAIN ST SPENCER, WV 25276 304 927-1480 www.movhd.com

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 136 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. HARRISON COUNTY, WV UPMC WESTERN GREENE COUNTY, PA DYNAMIC PHYSICAL WVU MEDICINE HOSPICE MARYLAND (T1) HEALTHWORKS REHAB THERAPY (T1) (T1) # 12400 WILLOWBROOK RD AND FITNESS (T1)% 1900 LOCUST AVE STE A 2673 DAVISSON RUN RD CUMBERLAND, MD 21502 160 GREENE PLZ FAIRMONT, WV 26554 CLARKSBURG, WV 26301 240 964-8111 WAYNESBURG, PA 15370 304 333-5222 681 342-1000 www.wmhs.com 724 802-7395 DYNAMIC PHYSICAL MINERAL COUNTY, WV BERKELEY COUNTY, WV www.healthworksrf.com THERAPY (T1) WVU MEDICINE HOSPICE UNIVERSITY HARRISON COUNTY, WV 2048 VIP WAY STE 2 PLEASANT VALLEY, WV (T1) # HEALTHCARE PHYS DYNAMIC PHYSICAL 26554 433 S MINERAL ST PATHOLOGY (T1) THERAPY (T1) 304 363-9595 KEYSER, WV 26726 2500 HOSPITAL DR 109 DOCTORS DR APT B 304 597-3660 MARTINSBURG, WV 25401 BRIDGEPORT, WV 26330 HEALTHWORKS REHAB 304 264-1000 304 842-7720 AND FITNESS (T1)% 1228 COUNTRY CLUB RD Insulin Pumps and MERCER COUNTY, WV MOUNTAIN STATE STE 15 Supplies - Local PRINCETON COMMUNITY PHYSICAL THERAPY FAIRMONT, WV 26554 HOSPITAL (T1) # (T1)% KANAWHA COUNTY, WV 304 366-0461 500 CHERRY ST 461 EMILY DR BIOSCRIP INFUSION BLUEFIELD, WV 24701 CLARKSBURG, WV 26301 www.healthworksrf.com SERVICES (T1) 304 327-1100 304 622-4600 MOUNTAIN STATE 4401 MACCORKLE AVE SE PHYSICAL THERAPY CHARLESTON, WV 25304 MONONGALIA COUNTY, www.mountainstatept.com (T1)% 800 531-2304 WV MOUNTAIN STATE 802 E MAIN ST UNIVERSITY MEDICAL PHYSICAL THERAPY BIOSCRIP INFUSION MANNINGTON, WV 26582 LABS (T1) (T1)% SERVICES (T1) 304 986-9007 3040 UNIVERSITY AVE 33 WALNUT ST 4401 MACCORKLE AVE SE STE 1200 SHINNSTON, WV 26431 www.mountainstatept.com CHARLESTON, WV 25304 MORGANTOWN, WV 26505 304 592-5041 MOUNTAIN STATE 800 531-2304 304 285-7201 www.mountainstatept.com PHYSICAL THERAPY www.bioscrip.com (T1)% JACKSON COUNTY, WV Orthotics FAIRMONT CENTER Laboratory Services JACKSON GENERAL 719 FAIRMONT AVE STE MONONGALIA COUNTY, PHYS THERAPY (T1) ALLEGANY COUNTY, MD 102 WV 511 WASHINGTON ST FAIRMONT, WV 26554 UPMC WESTERN HEALTHWORKS REHAB RAVENSWOOD, WV 26164 304 363-8543 MARYLAND (T1) AND FITNESS (T1)% 304 373-0133 www.mountainstatept.com 10701 NEW GEORGES 943 MAPLE DR LEWIS COUNTY, WV CREEK RD SW STE 2 MORGANTOWN, WV 26505 MONONGALIA COUNTY, FROSTBURG, MD 21532 304 599-2515 DYNAMIC PHYSICAL WV 240 964-8111 THERAPY (T1) DYNAMIC PHYSICAL 174 INDUSTRIAL PARK RD www.wmhs.com Physical Therapy THERAPY (T1) JANE LEW, WV 26378 UPMC WESTERN 1065 GREENBAG RD BROOKE COUNTY, WV 304 884-8237 MORGANTOWN, WV 26508 MARYLAND (T1) WELLSBURG CLINIC 625 KENT AVE MOUNTAIN STATE 304 685-1272 (T1)% CUMBERLAND, MD 21502 PHYSICAL THERAPY DYNAMIC PHYSICAL 1423 COMMERCE ST 240 964-8111 (T1)% THERAPY (T1) WELLSBURG, WV 26070 18 GARTON PLZ 746 FAIRMONT RD www.wmhs.com 304 737-3000 WESTON, WV 26452 MORGANTOWN, WV 26501 UPMC WESTERN FAYETTE COUNTY, PA 304 269-5554 304 225-5222 MARYLAND (T1) www.mountainstatept.com 1050 W INDUSTRIAL BLVD HEALTHWORKS REHAB DYNAMIC PHYSICAL CUMBERLAND, MD 21502 AND FITNESS (T1)% MARION COUNTY, WV THERAPY (T1) 240 964-8111 100 RIDGEVIEW DR UNIT 6 DYNAMIC PHYSICAL 3119 UNIVERSITY AVE SMITHFIELD, PA 15478 www.wmhs.com THERAPY (T1) STE C 724 564-5600 2048 VIP WAY STE 2 MORGANTOWN, WV 26505 www.healthworksrf.com FAIRMONT, WV 26554 954 336-5238 304 363-9595

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 137 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. DYNAMIC PHYSICAL WVU DEPT OF PHYSICAL RITCHIE COUNTY, WV MONONGALIA COUNTY, THERAPY (T1) THERAPY (T1) MOUNTAIN STATE WV 3411 UNIVERSITY AVE UNIVERSITY TOWN PHYSICAL THERAPY ENCOMPASS HEALTH MORGANTOWN, WV 26505 CENTRE (T1)% REHAB HOSP 304 598-2212 6040 UNIVERSITY TOWN 1607 E MAIN ST MORGANTOWN (T1) # CENTRE DR 1160 VAN VOORHIS RD DYNAMIC PHYSICAL HARRISVILLE, WV 26362 MORGANTOWN, WV 26501 MORGANTOWN, WV 26505 THERAPY (T1) 304 804-4555 855 988-2273 304 598-1100 4 EASTGATE PLZ www.mountainstatept.com MORGANTOWN, WV 26508 WVU DEPT OF PHYSICAL UPSHUR COUNTY, WV WVU HOSP DEAN ORNISH 304 225-0910 THERAPY (T1) PROGRAM (T1) DYNAMIC PHYSICAL HEALTH SCIENCES WVU HOSPITAL INC HEALTHWORKS REHAB THERAPY (T1) CENTER MEDICAL CENTER DR AND FITNESS (T1)% 12 HARTMAN PLZ 1 MEDICAL CENTER DR PO BOX 1127 943 MAPLE DR BUCKHANNON, WV 26201 RM 1206 HSC MORGANTOWN, WV 26507 MORGANTOWN, WV 26505 304 473-0531 MORGANTOWN, WV 26506 304 598-4000 304 599-2515 304 293-3600 HEALTHWORKS REHAB & www.healthworksrf.com FITNESS (T1)% WVU DEPT OF PHYSICAL Specialty Pharmacy HEALTHWORKS REHAB 103 PROFESSIONAL ARTS THERAPY (T1) AND FITNESS (T1)% PLAZA DR MONONGALIA COUNTY, MARY BABB RANDOLPH 729 FAIRMONT RD STE BUCKHANNON, WV 26201 WV CANCER CENTER 101 304 472-0181 ALLIED HEALTH 1 MEDICAL CENTER DR MORGANTOWN, WV 26501 SOLUTIONS (T1) MORGANTOWN, WV 26506 www.healthworksrf.com 304 413-4515 3040 UNIVERSITY AVE 304 598-4500 WOOD COUNTY, WV STE 1400 www.healthworksrf.com WVU DEPT OF PHYSICAL WVU DEPT OF PHYSICAL MORGANTOWN, WV 26505 HEALTHWORKS REHAB THERAPY (T1) THERAPY (T1) 304 285-7216 AND FITNESS (T1)% PAIN MANAGEMENT PARKERSBURG CHEAT LAKE OFFICE CENTER ORTHOPEDIC Walk In Clinic 200 FAIRCHANCE RD 1075 VAN VOORHIS RD ASSOCIATES MORGANTOWN, WV 26508 MARSHALL COUNTY, WV STE 200 1600 MURDOCH AVE STE 304 594-1545 MORGANTOWN, WV 26505 100 DAVID F HESS MD (T1) www.healthworksrf.com 304 598-6216 PARKERSBURG, WV 26101 REYNOLDS MEMORIAL 304 485-8040 HOSPITAL HEALTHWORKS REHAB WVU DEPT OF PHYSICAL 215 LAFAYETTE AVE AND FITNESS (T1)% THERAPY (T1) MOUNDSVILLE, WV 26041 5804 MASON DIXON Radiation Therapy ROCKEFELLER 304 845-3435 HIGHWAY NEUROSCIENCE Services PO BOX 73 ROBERT C JONES III CNP INSTITUTE - PT MONONGALIA COUNTY, BLACKSVILLE, WV 26521 (T1) 33 MEDICAL CENTER DR WV 304 879-5000 REYNOLDS RAPID CARE - MORGANTOWN, WV 26505 MARY BABB RANDOLPH BENWOOD www.healthworksrf.com 304 293-3600 CANCER CENTER (T1) # 108 EOFF ST WEST VIRGINIA UNIV 1 MEDICAL CENTER DR WVU DEPT OF PHYSICAL BENWOOD, WV 26031 HOSPITALS (T1) MORGANTOWN, WV 26506 THERAPY (T1) 304 221-3014 NEURODEVELOPMENT WVU MEDICINE 304 293-4500 ROBERT C JONES III CNP CTR SUNCREST TOWNE (T1) 201 BAKERS RIDGE RD CENTRE Rehabilitation RMH RAPID CARE MORGANTOWN, WV 26508 600 SUNCREST TOWN Facilities 215 LAFAYETTE AVE 304 598-4300 CENTRE DR HARRISON COUNTY, WV MOUNDSVILLE, WV 26041 WEST VIRGINIA UNIV MORGANTOWN, WV 26505 ENCOMPASS HEALTH 304 843-3435 HOSPITALS (T1) 304 598-4478 MOUNTAINVIEW BRIANNA N LOGSDON NEURODEVELOPMENT WVU DEPT OF PHYSICAL BRIDGEPORT (T1) # CNP (T1) CTR THERAPY (T1) 327 MEDICAL PARK DR FL REYNOLDS MEMORIAL 201 BAKERS RIDGE RD CHESTNUT RIDGE 7 HOSPITAL MORGANTOWN, WV 26508 CENTER BRIDGEPORT, WV 26330 108 EOFF ST 304 598-4300 930 CHESTNUT RIDGE RD 681 342-7300 BENWOOD, WV 26031 MORGANTOWN, WV 26505 304 221-3014 304 598-4214

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 138 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BRIANNA N LOGSDON BRIANNA N LOGSDON CNP (T1) CNP (T1) REYNOLDS MEMORIAL REYNOLDS RAPID CARE - HOSPITAL MT OLIVET 215 LAFAYETTE AVE 210 FAIRMONT PIKE RD MOUNDSVILLE, WV 26041 WHEELING, WV 26003 304 845-3435 304 221-3020 RYAN F RICO PA-C (T1) REYNOLDS RAPID CARE X-Ray Facility 215 LAFAYETTE AVE ALLEGANY COUNTY, MD MOUNDSVILLE, WV 26041 UPMC WESTERN 304 843-3435 MARYLAND (T1) RYAN F RICO PA-C (T1) 12500 WILLOWBROOK RD REYNOLDS RAPID CARE CUMBERLAND, MD 21502 108 EOFF ST 240 964-8342 BENWOOD, WV 26031 www.wmhs.com 304 221-3014 UPMC WESTERN KATRINA S WASMUTH MARYLAND (T1) CNP (T1) 625 KENT AVE Accepts ages birth to 18 CUMBERLAND, MD 21502 100 TELETECH DR STE 5 240 964-8111 MOUNDSVILLE, WV 26041 www.wmhs.com 304 845-1500 UPMC WESTERN OHIO COUNTY, WV MARYLAND (T1) ALLISON V BADGLEY 1050 W INDUSTRIAL BLVD PA-C (T1) CUMBERLAND, MD 21502 240 964-8111 Accepts ages through 18 REYNOLDS RAPID CARE - www.wmhs.com MT OLIVET UPMC WESTERN 210 FAIRMONT PIKE RD MARYLAND (T1) WHEELING, WV 26003 12400 WILLOWBROOK RD 304 221-3020 CUMBERLAND, MD 21502 DAVID F HESS MD (T1) 301 964-8111 REYNOLDS RAPID CARE - www.wmhs.com MT OLIVET MERCER COUNTY, WV 210 FAIRMONT PIKE RD PRINCETON COMMUNITY WHEELING, WV 26003 HOSPITAL (T1) # 304 221-3020 500 CHERRY ST CYNTHIA S HOIT CNP (T1) BLUEFIELD, WV 24701 REYNOLDS RAPID CARE - 304 327-1100 MT OLIVET 210 FAIRMONT PIKE RD WHEELING, WV 26003 304 221-3020 ROBERT C JONES III CNP (T1) REYNOLDS RAPID CARE - MT OLIVET 210 FAIRMONT PIKE RD WHEELING, WV 26003 304 221-3020

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 139 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. Section 11 Index

(The number following provider name indicates the page in the listing.)

ABASCAL, ALIANA....130 AHMED, SAYEED....65 ALMUBARAK, ARNSON, ALAN....128 ABBAS, GHULAM....115, AHMED, SAYEED....23 MOHAMMED....77 ASGHAR, SHEBA....52 AL-OMAR, OSAMA....103, 116 AHMED, UMAIR....55, 81 ASHKER, KHEDER....88 ABBASI, ABDUL....80 117 AHMED, JAMIL....107 AL-QATARNEH, SAIF....103 ASHRAF, ABBASI, ABDUL....66 MOHAMMED....60, 91, 92 AINSWORTH, KALAH....13 AL-QUDAH, ZAID....85 ABBOTT, JEFFREY....97 ASHTABULA DIALYSIS....2 AKERS, SHANNA....37 ALTDORFER, ABDEEN, ANWAR....24, 25 ATIK, JANA....106 AKRON CANTON KIDNEY GABOR....109 ABDULLAH, CENTER....7 ALVI, MUHAMMAD....86, ATLURI, MANGA....54, 77 AMIRAHWATY....107 AKRON RENAL 118 ATLURI, MANGA....54, 77 ABEL, JAMES....129 CENTER....8 ALVI, MUHAMMAD....86 AUBER, MIKLOS....54, 77 ABID, AYESHA....13 ALAAN, KRISTINA....78 AMHERST DIALYSIS....5 AUGUSTA LEVY ABORAYA, AHMED....130 ALASKY, PETER....110 AMIR, MURTAZA....85 LEARNING CENTER INC....121 ABOU MRAD, ROMY....110 ALBORNOZ, MARTIN....79 AMIRESKANDARI, ABU-HALIMAH, ALEE KOLOUKANI, ANNAHITA....94 AUXIER, JENNIFER....28 SHADI....119 SAHAR....128 AMORENO, RAYNA....46 AVILA LIMA, DAYRA....55, 78 ABUNNAJA, SALIM....113 ALGHADBAN, ADNAN....85 AMOS, DEBRA....125 AYLWARD, LAURA....133 ABURAHMA, ALI....112, 119 ALI, SHAMSHER....54, 77 ANAND, ABHISHEK....85 AZZOUZ, ABURAHMA, ALI, ABBAS....69 ANDERSON, KAREN....60, MOUHANNAD....86 ZACHARY....119 ALI, ABBAS....69 91 ACHEE, HOLLY....125 BADAWI, MOHAMAD....102 ALI, AILIA....106 ANDERSON, ACKAH, ELENA....14 JENNIFER....43 BADGLEY, ALLISON....49 AL-JAROUSHI, HATIM....71, ANDOVER DIALYSIS....2 BADGLEY, ALLISON....139 AD, NIV....115 107, 108 ADA, JESSE....97, 98 ALKHATIB, HANI....79 ANDRADE, JORGE....59, 90 BADHWAR, VINAY....70 ADAMOVICH, ALKHOURI, NABIEL....54, ANDREINI, DEREK....95, 97 BADLEY, LUKE....123, 124 BRENDA....87 55, 77, 78 ANDREINI, HUGO....117 BAGREE, SARIKA....23 ADAMS, ELLIOT....119 ALLEGHENY VALLEY ANDREWS, KARINNA....60, BAIG, ANEEQAH....72, 108 DIALYSIS....1 ADCOCK, AMELIA....85, 91 BAILEY, BRIDGET....125 118 ALLEMAN, MELISSA....31 ANG, PETER....23, 25 BAILEY, JAMES....15 ADCOCK, AMELIA....86 ALLEN, ANGOTTI, MICHAEL....24 BAILEY, ADENA DIALYSIS....7 CHRISTOPHER....80 ANGOTTI, JOHN....24 CHRISTOPHER....99 ALLEN, ADKINS, NATHANIEL....112 CHRISTOPHER....80 ANG-RABANES, BAKER, KENNETH....60, 91 ADKINS, CATHERINE....20, ALLEN, CARISSA....48 MICHAEL....129 BAKER, CHRISTINE....123, 21 APPLE VALLEY 124 ALLIANCE COMMUNITY ADULOJU-ODUNAIYA, DIALYSIS....5 DIALYSIS....7 BAKER ROGERS, OLUWATOYIN....72, 108 ARAYS, RUTA....54, 77 JANNA....101 ALLIED HEALTH AGRAWAL, PUNIT....86 SOLUTIONS....138 AREVALO-MARCANO, BAKOS, LESTER....95 AGUILA, PHILLIP....71, 107 ALLISON, ROBERT....18, 23 CASANDRA....103 BAL, GEORGE....96 ARMENI, MARK....74, 99, AHMAD, ZEESHAN....54, ALMENOFF, BALA, PETER....59, 61, 90, 104 55, 77, 78 MAXWELL....119 92 AHMADO, IMAD....65, 79 ARMSTRONG, ORTON....28, 33

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 140 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BALAKRISHNAN, BENDRE, SACHIN....102 BMA AKRON EAST....8 BRAHAM, JEFFERY....20, BATHMAPRIYA....107, 108 BENJAMIN, JAMES....94 BMA BECKLEY....7 21 BALASA, ALFRED....87, 88 BRAMER, MICHELLE....96 BENNETT, TIFFANY....43 BMA CHARLESTON....5 BALLENGEE MENCHINI, BRAMMER, SARAH....51 BENNETT, SUSAN....65 BMA MANSFIELD....7 CORTNEY....102 BRANCAZIO, LEO....61, 92 BALTIERRA, DAVID....16 BERENS, ANDREW....19 BMA MARTINSBURG....2 BRANDISH, JA'ME....135 BANIAK, CLAIRE....133 BERHANE, MINIYA....33 BMA MORGANTOWN....6 BRANDMEIR, BERKELEY MEDICAL BMA OF KENT....7 BANNON, JOSEPH....13 NICHOLAS....89 CENTER....9 BANTA, BMA WELCH DIALYSIS BRANT, RICHARD....31 BERKHOUSE, PAIGE....50 CENTER....6 CONSTANCE....125 BRAXTON COUNTY BERRY, JAMES....130 BODKINS, ERIKA....18 BANVARD-FOX, MEMORIAL HOSPITAL....1, CHRISTINE....31 BERRY, NATHAN....100, BOETTLER DIALYSIS....7 9 BARBERIO, AMELIA....39 101 BOHEN, ERIN....55, 82 BRICK, JOHN....85, 86, 87, BESS, CHARLES....18 118 BARDES, JAMES....71 BOLEN, KRISTI....46, 47 BETHEL PARK BRICK, JOHN....86, 118 BARGHOUTHI, NADIA....52, BOLINGER, MURRITA....15, DIALYSIS....1 53 37 BRITO GUZMAN, BETO, ROBERT....67 DANIEL....69 BARKER, NATASHA....49 BOONE, BRIAN....114 BHANOT, VEENA....129 BRITTON, MEGAN....35 BARKER, KENDRA....41 BOOTHE, EMILY....130 BHATIA, SANJAY....89 BRODE, JONI....73 BARLOW, JENNIFER....43 BORDERS, BARMAR, BABAK....56, 57, BHATT, PARTH....30 CHARLES....106 BRONGO, RENEE....41 58, 82, 83, 84 BHATTACHARYA, BORGSTROM, BROOKE, BARNARD, JOHN....117 RUNA....65 DAVID....113, 114 SEBASTIAN....104 BARNES, EMILY....39 BIBB, MINTA....35 BORLAND, MICHELLE....39 BROWN, BRIAN....95 BARNESVILLE BIELEC, JULIE....111 BOSIA, KATHRYN....106 BROWN, KATE....17 HOSPITAL....1, 9 BIIJULA, RAGNEEL....54 BOSO, MIRANDA....37, 42 BROWN, DEBORAH....125 BARRY, MOHAMED....104 BIIJULA, RAGNEEL....76 BOURGEOIS, BROWN, BARTLEY....28 BARTON, JASON....20, 21 BIOSCRIP INFUSION MELISSA....39 BROWN, KRISTINE....31 BOWE, ADINA....129 BARTSCH, DUANE....49 SERVICES....136, 137 BROWN-BROCKLEHURST, BATAINEH, AYHAM....23 BIRCH, DEBRA....45 BOWEN, ROBERT....107 STACEY....110 BATRA, DEVENDER....65, BISE, MEGAN....37 BOWERS, DENA....35 BRUNNER, MATTHEW....25, 31 66 BISHARA, JOHN....103 BOWLES, WILLIAM....15 BRUNNER, NANCY....31 BAUER, KELSEY....100 BISHOP, MARY ANN....55, BOWMAN, PATRICIA....42 BRYAN, NICOLE....78 BAUGHMAN, JOHN....49 81 BOWMAN, BEASLEY, BIUNDO, RUSSELL....103 GEOFFREY....60, 91 BUENAVENTURA, PERCIVAL....70 MATTHEW....119, 120 BIUNDO, RUSSELL....103 BOWMAN, ROBERT....125 BECK, BETH....39 BUENAVENTURA, BIVONA, LOUIS....96 BOWMAN, ZELIA....55, 78 PERCIVAL....116 BECKETT, JORDAN....31, BLACK, KRISTIN....18 BOYCE, KRISTEN....125 BULEBUSH, JESSICA....46 33 BLACK, KARA....50 BOYCE, KEVIN....48 BEESON, KAITLYN....51 BULIAN, DEIRDRE....39 BLACK, JUDITH....125 BOYLE, ANNELEE....61, 92 BEHAV HEALTH PAVILION BUNNER, JULIE....53 OF THE VIRGINIAS....121, BLACKMON, JOSEPH....72 BOYLE, ANNELEE....59, 61, BUNNER, MATTHEW....125 90, 92 122 BLOOMFIELD BURKER, CARA....43 BELDEN COMMUNITY PITTSBURGH BOZEK, ALEXIA....18 BURRESS, JAMES....51 DIALYSIS....7 DIALYSIS....1 BRADFORD, BELL, KRISTEN....68 BLOSSER, LAURA....32 GEOFFREY....94, 103 BURSTYNOWICZ, LINDA....24, 29 BELLEW, BLUM, DONALD....21 BRADSHAW, JILL....131, BUSCHMAN, JOHN....95 CHRISTOPHER....16 132 BLUM, FREDERICK....25, BRAGER, PAUL....54, 55, BUSH, STEPHEN....60, 91 BELMONT DIALYSIS....2 31 77, 78 BELPRE DIALYSIS....8 BLUMISH, BARBARA....125 BUSKIRK, SHEENA....13

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 141 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. BUSTAMANTE ALVAREZ, CASTO, AARON....46 CIAROLLA, DAVID....75 COOK, LARRY....25 JEAN....55, 77 CATHER, GLENNA....18 CICCHINO, ROBERT....111 COOPER, CLINTON....79 BUTLER, KRISTINA....45 CATHERMAN, CICEK, MEHMET....115 CORBIN, ANNA....22 BUZZERD, RYAN....86 KRISTEN....25 CIFARELLI, CORCORAN, BYRD, WALTER....130 CATLETT, RICHARD....107 CHRISTOPHER....89 PHILLIP....114 CACCAMO, MARCO....66 CATLETT, RICHARD....23 CILIBERTI, DEVIN....60, 91 CORDER, WILLIAM....63 CACCAMO, MARCO....66, CENTER FOR HOPE AND CINCINNATI, JOSEPH....95 CORDER, PAMELA....41 67 HEALING....135 CLARKSON, CORLEY, VALERIE....123 CAIN, RUSTY....106 CENTER RIDGE CYNTHIA....28, 33 CORNWELL, DIALYSIS....5 CALHOUN, ARTHUR....22 CLARKSON, CHERYL....124 CHACKO, BINO....25 CAMDEN CLARK MEDICAL MACKENZIE....25, 28, 31, CORRADO, DENISE....124, CENTER....10 CHAIBAN, RAFKA....30 33 127 CAMERLENGO, CHAIKCIC, JENNIFER....43, CLAWGES, CORRY DIALYSIS....3 HEATHER....110 CHELSEA....48 44 COSTA, MARC....112 CAMPBELL, SARAH....72 CHALIA, ANKIT....129 CLINE, WILLIAM....114 COUP, TRACY....47 CAMPSEY, DAVID....65, 66, CHANDRAN, DILIP....130, CODREA, VLAD....72 COURTNEY, 67, 68, 80 133 COFFMAN, AMY....41 CHRISTOPHER....95 CANAL WINCHESTER CHAPMAN, KYLE....107, COGAR, JANET....30 COUSINS, DIALYSIS....3 108 COHEN, ELIZABETH....126 GEOFFREY....70, 71 CANTON DIALYSIS....7 CHAPMAN, CATHY....35 COHEN, DAVID....89 COUTRAS, STEVEN....74, CAPEL, TERRY....21 CHAPMAN-JACKSON, 99 COHEN-INBAR, OR....88 CAPITO, JOSEPH....18 EMME....104 COVENTRY DIALYSIS....8 CHARLESTON COLE, LORA....36 CAPPELLINI, SUSAN....64 COWAN, CHERRIE....42 TREATMENT COLELLA, JOSEPH....114 CARDUCCI, HUGO....28 CENTER....123 COWHER, MICHAEL....113 COLLETTE, KATHRYN....43 CARLISLE, DAVID....72, 73 CHARLESTON COX, VICKIE....20, 21 TREATMENT COLLINS, DIANA....123, CARLSON, NICOLE....60, COX, STEPHANIE....133 CENTER....135 124 91 CHARLTON, JUDIE....94 COLUMBUS DIALYSIS....3 COX, JAMIE....51 CARR, SUSAN....42 CHERRY, ANGELA....16 COLUMBUS DOWNTOWN CRAFT, MARY....39 CARRIER, JAMES....111 DIALYSIS....3 CHERRY VALLEY CRAIG, MICHAEL....54, 55, CARRINGTON, DIALYSIS....5 COLUMBUS EAST 77 CHERELLE....125 DIALYSIS....3 CHESTNUT RIDGE CRAWFORD, ABIGAIL....46 CARTER, HOSPITAL- WVUH....121, COLUMBUS WEST CRAWFORD, CATHERINE....44, 45 122 DIALYSIS....3 CHERISH....29 CARTWRIGHT, CHIANG, MYRA....102 COLVIN, OLIVIA....37 CREASY, BRIAN....132, 133 WILLIAM....21 COMAS, GEORGE....115 CARTWRIGHT-STROUPE, CHIASSON-DOWNS, CRIST, SHERILYN....90 KATHLEEN....125 LYA....46, 47 COMERCI, JAMES....19 CRITES, SAMANTHA....67 CARUSO, JOHN....88, 89 CHILCOTE, CONANT, ERICA....37 KALEENA....130 CROSS, APRIL....35 CASALENUOVO, LISA....62, CONAWAY, KATEE....127 CHILKO, EMILY....126 CROTTY, NORA MAY....103 93 CONLEY, SEAN....14 CRUDEN-PARHAM, CASCIOLA, ALAN....24 CHOI, STEVEN....129 CONNER, JOHN....20, 21 CONSUELA....59, 60, 90, 91 CASDORPH, CHOUDARI, CHINTAMANENI....75 CONNER, DARCY....20, 21 CRUGER, DEBORAH....37 ELIZABETH....124, 128 CHOUDHRY, SAIQA....85 CONRAD, JILLIAN....45 CASKEY, MICHELLE....34 CUBIC, BARBARA....134 CHRIST, APRIL....38 CONSTANTINE, LORI....39 CASSEDAY, SARAH....128 CUCUZZELLA, MARK....16 CHUA, SARA....20 CONTINUOUS CARE CASSIM, RIAZ....71, 113 CUI, SHARI....96 CHUNG, JEFFSON....99 CENTER WHEELING CASSIS, PAUL....75 HOSPITAL....10 CUMMINGS, KELLY....61, CHURCH, CASTANO, COOK, ANDREW....20 92 JOHNATHAN....99 CATHERINE....42, 50 COOK, CHRIS....70

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 142 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. CUMMINGS, KELLY....61, DEOGAONKAR, DUBBERKE, LANCE....15 ENCOMPASS HEALTH 92 MILIND....89 DUBLIN DIALYSIS....3 MOUNTAINVIEW CUNEO, BRIAN....71 DEPOND, ROBERT....54 BRIDGEPORT....138 DUCHARME, ISAAC....48 CURRAN, MICHAEL....65 DEPOND, ROBERT....76 ENDICOTT, DUCKWORTH, MICHELLE....72 CURRY, MARY....38 DEPRIMIO, MARY....48 ADRIENNE....39 ENTRESS, CHERYL....19 CUSTER, LOREN....59, 61, DEREN, JAMES....22 DUENAS, OMAR....60, 61, EPLING, JOHN....52, 75 90, 92 DETROIT ROAD 91, 92 EPLING, JOHN....74, 75 CUTHBERT, DIALYSIS....2 DUGAN, PATRICK....117 ROBERT....123, 124 DEWITT, EMILY....47 DULANEY, ANNE....126 ERGINA, FRANCIS....66 DAFFNER, SCOTT....96 DEY, DENNIS....85 DUNCAN, ERGINA, FRANCIS....68 DAGGUBATI, DHAMIJA, LANA....49 CHRISTINA....134 ERIE DIALYSIS....3 RAMESH....80, 81 DUNN, MARY....90 ERNST, NATHAN....134, DAGGUBATI, DHAR, ROMIKA....134 DUPLAGA, MARISSA....41 135 RAMESH....80 DIAB, ANAS....57, 83 DURDEN, WITT....25 ESHENAUR, STEVEN....15 DAHL, WILLIAM....76, 95 DIAKIW, ADRIANA....30, 31 DURKALSKI, JOSEPH....13 EVANS, CATHERINE....19 DAILEY, CATHY....30, 33 DIALYSIS CENTER OF EVERETT, LUCINDA....43 DALTON, CRYSTAL....47 ERIE....3 DWOREK, DONALD....85 EVERLY, ANDREW....132 DANHIRES, BRYAN....105 DIALYSIS CLINIC INC....2, 5 DWOREK, DONALD....88 EVICK, JAMIE....25 DANHIRES, BRYAN....105 DIALYSIS CLINIC INC....1, DYER, BENJAMIN....112 2, 6, 7, 8, 9 EWART, ZACHARY....111 D'ANTONIO, JAMES....81 DYNAMIC PHYSICAL DIALYSIS SPECIALISTS OF THERAPY....137, 138 FABER, DAVID....114 DARBANDI, KOKAB....25 MARIETTA....8 EAST END PITTSBURGH FAIRLEY, KIMBERLY....75 DARISTOTLE, JOEDY....74, DICHIACCHIO, TONI....36 DIALYSIS....1 FALAH, NADIA....76 99 DIEBOLD, CHANDRA....36, EASTERN BOULEVARD DASARI, SIREESHA....21 41, 42 DIALYSIS....8 FALLAHI, PAYAM....79, 81 DASH, RACHEL....125 DIETZ, MATTHEW....104 EASTERN KENTUCKY FAN, MINGHUI....106 DATTOLA, RICHARD....18 DIETZ, PAUL....60, 91 DIALYSIS....7 FANCY, TANYA....74, 99 EBERHARDT, SETH....105 DAVIS, DONNA....101 DIONNE, FARAON-POGACEANU, ECKENRODE, CLAUDIU....101 DAVIS, MARISSA....35 CHRISTOPHER....25, 31 DIPINO, RAYMOND....133 HEATHER....13, 36 FARASAT, SHARIFEH....72 DAVISSON, LAURA....25 EDDY, LORI....26 DISS, SYLVIA....125 FARIS, DAVID....93 DAYAL, VIKRAM....24, 30 EDMAN, KATIE....42 DIXON, KALA....49 FARMER, DANIEL....26 DE CUBA, EHLERS, EDWARD....128 RAYMOND....111 DOBRUSHIN, FARNSWORTH, MARK....13 EINZIG, STANLEY....101 DEACON, SARA....94 GENEVIEVE....45 FARRY, KIMBERLY....62, DOBSON, KRISTY....38 EKANEM, IBANGA....33 93 DECI, STEPHEN....130, 131, 132 DODSON, JEFFREY....72, EL KHATIB, ABBAS....57, 83 FAULKENBERRY, LAUREL....126 DEICHES, 73 EL-AMIN, RAWAN....61, 92 DOLAN, CHERIE....36 FAYETTE COUNTY JONATHAN....132 ELIZABETH DIALYSIS....1 DIALYSIS....3 DEJONCKHEERE, DONLEY, DARRELL....24 ELKHOULY, MAGED....111 FAZALARE, JOSEPH....95 JOSEPH....56, 58, 82, 84 DOTSON, SARAH....61, 92 DEL SIGNORE, MARIE....44 ELLIS, BRIAN....94 FEINBERG, JUDITH....79 DOUGLAS, RICHARD....88 DELA'O, CONNIE....113 ELLWOOD CITY FENS, ALICE....50 DOUMIT, JIMMY....107, 110 DIALYSIS....5 DELA'O, CONNIE....114 FERIMER, DOVER COMMUNITY ELMORE, MICHAEL....114 STEPHANIE....104 DELUCA, JOHN....112 DIALYSIS....8 ELSACCAR, OSSAMA....61, FERRARI, NORMAN....31 DEMARCO, JAMES....56, DOWER, JOSHUA....25, 26, 92 FIELD, JAMES....52 82 31 ELSWICK, DANIEL....130 DEMNIAK, CINDY....39 DOWNS, JOHN....76 FIELD, JAMES....74 ELY, BRIAN....102 DENNISON, ZANE....14 DOWNS, JOHN....54 FIGUEROA, EMRICK, BETH....102 AUGUSTO....88 DENUNZIO, CHARLES....19 DOYLE, ANDREA....126

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 143 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. FIGUEROA, MELISA....123, FOLEY, KIMBERLY....134 FRESENIUS MEDICAL GANGIREDDY, VENU....75 124 FOLTZ, LOGAN....128 CARE GREATER GANJOO, JESSIE....58, 84 FIGURSKI, SUZANNE....41 COLUMBUS....4 FOOKS, HENRY....116, 117 GANJOO, JESSIE....56, 57, FRESENIUS MEDICAL FIJALKOWSKI, 82, 83 FOSTER, TROY....95 CARE GREENBRIER....4 DANNY....105, 106 GANNON, KELLEY....26 FILOZOF, PETER....62, 93 FOSTER, LESLIE....103, FRESENIUS MEDICAL 104 CARE GROVE CITY....4 GANSOR, JULIA....39 FINK, ALISHA....46 FOWLER, JILL....51 FRESENIUS MEDICAL GANT, DARLA....14, 17 FINOMORE, EMILY....126 CARE KANAWHA FOX, MICHELLE....31 GARG, KAWISH....128 FISHER, MELANIE....79 COUNTY....5 FOX, DEBRA....44 FRESENIUS MEDICAL GARGODHI, GALAL....101 FISHKIN, DAVID....75 FRAME, RONALD....95 CARE MERCER GARRETT REGIONAL FLANAGAN, COUNTY....6 FRAME, STEPHANIE....14 MEDICAL CENTER....9 CHRISTOPHER....14 FRESENIUS MEDICAL GAYAM, SWAPNA....75 FLUET, KAREN....61, 92 FRANCE, JOHN....96 CARE MT CARMEL GEE, JEFFRY....130 FLUHARTY, FRANCIS, ZACHARY....126 EAST....4 GEIST, DERIK....96 STEPHANIE....37 FRANKE, JESSICA....38 FRESENIUS MEDICAL CARE OAKHILL....3 GELMAN, JACK....76, 105 FLUHARTY, KELLY....20, 21 FRANKENFIELD, FRESENIUS MEDICAL FMC AKRON HOME....8 CHRISTINA....44 GENDI, SALWA....101 CARE OCEANA....9 FRANKLIN, GRANT....116, GEORGES, NANCY....133 FMC APPALACHIAN FRESENIUS MEDICAL 117 DIALYSIS....7 CARE OF CHARLES GEORGES, ANGELO....27 FRANZ, CHARLES....72, 73 FMC ASHLAND TOWN....5 GERBO, ROBERT....93 COUNTY....2 FRAZEE, MELINDA....17 FRESENIUS MEDICAL GESSEL, JASON....97, 98 FMC BRAXTON FRAZER, HEATHER....45 CARE OF GRAFTON....8 GHABRA, NABEEL....56, 82 COUNTY....2 FRESENIUS MEDICAL FREAS, CAROL....129 FMC BRUCETON CARE OF WESTON....5 GHAIRATMAL, FREISER, MONIKA....99 MILLS....7 FRESENIUS MEDICAL MOHAMMAD....128 FMC DIALYSIS SERVICES FRESENIUS KIDNEY CARE CARE OSUIM CAMPUS....4 GHAREEB, ERICA....72 HURRICANE....7 CORNERSBURG....6 FRESENIUS MEDICAL GHARIB, ROLA....73 FMC DIALYSIS SERVICES FRESENIUS KIDNEY CARE CARE PICKERINGTON....3 GHARIB, WALID....67 OF FAIRMONT....6 NEW ALBANY....3 FRESENIUS MEDICAL FMC DIALYSIS SERVICES FRESENIUS KIDNEY CARE CARE RIPLEY....5 GHARIB, ELIE....67, 80 RICHLAND COUNTY....7 NORTH RANDALL....2 FRESENIUS MEDICAL GHOBRIAL, ALBER....129 FMC DIALYSIS SERVICES FRESENIUS KIDNEY CARE CARE RIVER HILLS....2 GHORAYEB, TWO VIRGINIAS....6 OLENTANGY RIVER DI....4 FRESENIUS MEDICAL GHASSAN....93 FMC EASTERN FRESENIUS KIDNEY CARE CARE WADSWORTH....6 GHORAYEB, PANHANDLE....2 WARREN....8 FRESENIUS MEDICAL GHASSAN....94 FMC ELKINS....7 FRESENIUS MEDICAL CARE WESTERVILLE....4 GIANNI, CHELSEA....39 FMC GALLIPOLIS....4 CARE CENTRAL OHIO....4 FRESENIUS MEDICAL GIANNI, CHELSEA....26, 45 FRESENIUS MEDICAL OSUIM CLAYTON FMC HAWKS NEST....3 CARE CENTRAL OHIO TAYLOR....4 GIBSON, RADINE....47 FMC HOCKING HILLS....3 EAST....4 FRICK, KEVIN....124 GIFFEN, GINA....42 FMC INDIAN HILLS....5 FRESENIUS MEDICAL FRIEHLING, LINDA....31 GIFFIN, BRANDI....42 CARE CIRCLEVILLE FMC IRONTON....5 DIALY....6 FRIEND, DANA....45 GILES COUNTY FMC MONONGALIA FRESENIUS MEDICAL FRYE, BENJAMIN....104, DIALYSIS....4 COUNTY....6 CARE CLARKSBURG....4 105 GILLESPIE, STACEY....47 FMC OF BRUNSWICK....6 FRESENIUS MEDICAL FRYER, STEPHEN....15 GILLESPIE, KARA....49 FMC PORTSMOUTH....7 CARE COLUMBUS FUNK, CATHY....23 GIORDANO, NORTHWES....4 FMC SALEM SOUTH....2 FUQUA, JACOB....26 JENNIFER....53 FRESENIUS MEDICAL FMC UPSHUR COUNTY....8 GLAD, LAWRENCE....90, CARE DELAWARE....3 FURBY, REBECCA....29 104 FMC WHITE POND....8 FRESENIUS MEDICAL GAGE, BRETT....49 GLASS, CHRISTY....47 FOLEY, KIMBERLY....132 CARE GRANT PARK....4 GAMMOH, EMILY....52 GNEGY, DAVID....67, 70

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 144 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. GODDARD, JOHN....67, 70, GROSSMAN, HAMZA, MAHMOUD....25 HEART OF NEW ALBANY 80, 81 OULIMATA....57, 84, 102 DIALYSIS....4 HANCOX, JOHN....72, 73 GOLD, RAMMY....90 GROVE, JESSICA....35 HEAVNER, ROBERT....20, HANIF, RASHID....75 GOLDBERG, GROVE CITY DIALYSIS....4 21 HANNA, CAITLIN....126 HECKLER, KAYTLIN....36, RICHARD....55, 77 GUGLIELMO-ROXBY, 48 GOLDINGER, TIFFANY....29 HANSEN, ADAM....115 HEITMANN, RYAN....109 MATTHEW....26, 45 GUILFOOSE, JOHN....79 HARDIN, GOLDSTEIN, ROSEMARIE....114 HELMICK, MARTIE....38 GUMP, STACIE....21 BENJAMIN....22 HARGRAVES, HENDERSHOT, GUNNOE, HALLIE....49 GOLLA, RONALD....89 TRACY....21 MAHESWARA....67, 70, 80, GUPTA, NIHIT....130, 131 HARMAN, THOMAS....61, HENDERSHOT, 81 GUPTA, SUNIL....65 92 LUANN....64 GOMCELI, UMUT....65, 67 HARMAN, HAELEY....15 GUPTA, SUMEET....93 HENDERSON, JOHN....13 GOMES, HARMARVILLE GUPTA, SUMEET....94 HENRY, JOHN....97, 98 ALEXANDRINA....132 DIALYSIS....1 GUPTA, SUMEET....94 HENRY, ZACHARY....15 GONDALIA, BHAILAL....108 HARRIS, TEDDY....123, 125 GUSTAFSON, HENSINGER, JADE....48 GONZALEZ, VIOLETA....50 HARRIS, RICHARD....105, ROBERT....70 HENSLEY, GONZALEZ CADAVID, ANA 106 HAAS, CHRISTOPHER....65 BENJAMIN....111 MARIA....30 HARRISON COMMUNITY HENSLEY, GORALSKI, ROBERT....14 HADDAD-MASHAD, HOSPITAL INC....1, 9 AFSANE....69 BENJAMIN....113 GORDON, MEGAN....59, 90 HARRISON COUNTY HADDIX, JULIE....36, 38, DIALYSIS....5 HERRIOTT, GEORGE....98 GOVINDAN, SRINI....87 41, 44 HART, SERENA....64 HERRMANN, GOYAL, HARISH....128 HADIQUE, SARAH....107, THOMAS....20, 21 HARTER, GARY....98 GRABO, DANIEL....113 108 HERRON, ROBERT....114 HARTMAN, LOIS....34, 38 HADLEY, JENIFER....17 GRAINGER, LYNN....126 HERRON, ROBERT....115 HARTMAN-ADAMS, HAGER, ERIC....118 GRAND CENTRAL HOLLY....18 HERSCHLER, HAIDER, ADNAN....53 JEREMY....130 DIALYSIS....9 HARTSUCH, TOM....59, 90 GRANT, DANIEL....103 HAILE, SARA....48 HERWAY, HARVEY, BRYCE....31 CATHERINE....61, 92 GRANTHAM, HAJIRAN, CYRUS....18 HASHEFI, MANDANA....109 HESS, DAVID....15 LINDSEY....59, 90 HALBRITTER, KEVIN....26 GRAVELY, BETHANY....125 HASHMI, MAHREEN....61, HESS, DAVID....138, 139 HALDEMAN, LORI....48 92 GRAVES, CYNTHIA....112, HESS, DAVID....25, 139 HALEEM, AFFAN....66 HASIS, KRISTI....39, 49 113 HESS, NED....48 HALEEM, AFFAN....66, 67 HASS, STEPHEN....119 GREATER AKRON HESS, MICHAEL....20 DIALYSIS CENTER....8 HALENDA, KEVIN....94 HAUGHT, MARCIA....17 HILL, LISA....19 GREATER BOONE HALL, TARA....41 HAUS, MARY....96, 98 DIALYSIS....2 HILL, CHERYL....130 HALL, MICHAEL....112 HAUT, MARC....134 GREATER CHARLESTON HILL, AMANDA....17 DIALYSIS....5 HALLBERG, HAWK, KENNETH....37 HILLIARD DIALYSIS....2 GREENBERG, BRUCE....19 BRITTANY....45 HAWKINS, ERIN....37 HAMILTON, TRACI....64 HILLIARD STATION GREENBERG, SUNITA....19 HAYANGA, DIALYSIS....4 HAMILTON, JEREMIAH....115 GREENBERG, BRUCE....19 HINERMAN, KIMBERLY....89 HAYES, JUSTIN....45 GREENE, MARISSA....39 RAYMOND....74, 99 HAMILTON, WILLIAM....60, HAZARD, HANNAH....113 HINES, BETHANY....73 GREENUP, STACEY....46 91 HEALTHWORKS REHAB HINES, JENNIFER....32 GREER, RONALD....15 HAMIRANI, MIRZA....59, 85 AND FITNESS....137 HAMIRANI, YASMIN....66, HINES, TERESA....38 GRIFFITH, SHARON....39 HEALTHWORKS REHAB 67 HINKLE, DAVID....94 GRIMM, SHAWNA....114 AND FITNESS....137, 138 HAMMAD, TARIQ....75 HIXENBAUGH, GROSS, GARY....119 HEALTHWORKS REHAB HAMMOCK, PAMELA....46 AND FITNESS....93, 138 ALISON....95 HAMMOND, MARY....29, 32 HEARNE, SARA....46, 47 HODDER, SALLY....79

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 145 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. HOFFMANN, HURTADO RENDON, JEFFERSON MEDICAL KARNAM, SHOWRI....67, STEPHEN....71, 108 ILIANA....80 CENTER....1, 9 70, 80, 81 HOGAN, THOMAS....55, 77 HURTADO RENDON, JELINEK, BETH....59, 90 KASSON, LINDSAY....26 HOIT, CYNTHIA....139 LLIANA....81 JENSEN, JASON....94 KATIN, MICHAEL....109 HURTADO RENDON, HOIT, CYNTHIA....44, 45 JESSUP, DAVID....23 KATNER, THEODORE....86 ILIANA....81 HOLBEIN, MONIKA....26 HUSAIN, MUHAMMAD....87 JESSUP, DAVID....65 KATNER, THEODORE....86, 118 HOLBERT, CECIL....13 HUSS, DAVID....87, 88 JHAWAR, MANISH....65, 69, 79, 81 KAUL, AARADHANA....109 HOLMAN, AMANDA....42 HUSTEAD, JEREMY....130 JIANG, NING....65 KAUR, SAYANIKA....109 HOLSTEIN, JODIE....39 HUTSON, WILLIAM....75 JIN, CHUANFANG....93 KAUR, HARPREET....26 HOMESTEAD DIALYSIS....1 IAMS, KILEY....49 JIVIDEN, KIMBERLY....37, KAUR, MANINDER....30 HOMSI, YAHIA....25 INCLAN, KATIE....50 38, 42 KAUR, GURVEEN....55, 78 HOMSI, YAHIA....129 INGERSOLL, ERIC....96 JOHN, COLLIN....31 KAWSARA, HONAKER, INGLE, CATHERINE....64 JOHNSON, THOMAS....14 MOHAMMAD....68 MATTHEW....60, 91 IREMASHVILI, JOHNSON, BRAD....45 KAY, GLENDA....59, 90 HONCE, BETHANY....104 VIACHESLAV....116 JOHNSON, MICHAEL....14 KAY, HEATHER....38 HOODA, DEEPAK....68 IRVIN, HEATHER....62, 93 JONES, DANIEL....14, 16 KAZIENKO, BRIAN....66, 69 HOPKINS, ERIC....113, 119 IRWIN, REBECCA....49 JONES, ROBERT....44, 46, KAZNOSKI, DEREK....53 HOPKINS, ISHIGAMI, SHOJI....103, 139 JEREMIAH....130 KAZNOSKI, SHANA....29 104 JONES, BREANA....34, 39 HORNER, PHILIP....17 J ROBERT PRITCHARD KAZNOSKI, DEREK....76 JONES, RICHARD....38 HORNSBY, KRISTAN....61, DIALYSIS....2 KEENER, JILLIAN....133 JONES, EVAN....102 92 J ROBERT PRITCHARD KEENEY, LINDSEY....48 HORNSBY, JO ANN....109 HOME THERAPIES....2 JONES, AMANDA....46 KEITH, CIERRA....134 HOTT, JESSICA....59, 90 J W RUBY MEMORIAL JONES, LEAH....27 HOSPITAL....9 KELIL, ABIY....72, 108 HOUGH, KEVIN....126 JONES, DAWN....24 JACKSON, MATTHAN....20 KELLERMEYER, HOUSHMAND, JONES, VANITY....123, 125 JACKSON, JEFFREY....73 BRIAN....74, 99, 100 FARNAZ....107 JONES, SANDRA....124 KELLY, MICHAEL....68 HOVATTER, JACKSON GENERAL JONES, ROBERT....24, 30 KELLY, CHERIE....106 MATRACA....39 HOSPITAL....1, 9 HOWELL, SHAWN....79 JACKSON GENERAL PHYS JONES, ROBERT....138, KEMP, DWIGHT....95 THERAPY....137 139 HOWSARE, JANIE....126 KENT, ELIZABETH....125 JACOBSON, JUDSON, KENNETH....65 HUANG, ERIC....26 GERALDINE....109 KERR, PATRICK....133 JURIGA, BARBARA....66 HUBBARD, DAVID....96 JACQUES, LINA....28 KERSHNER, SHERIE....36 JURIGA, BARBARA....66 HUDIK, RACHEL....45 JAFFAL, HUSSEIN....99 KESSLER, MICHAELA....76 JURIGA, BARBARA....68 HUFFMAN, JENNIFER....37, JAFFE, THOMAS....116, KESSLER, MICHAELA....53 JUSTICE, CHARLES....103 42 117 KETTLEWELL, HUMERICK, MADISON....16 JAGADEESAN, JUSTICE-CONLEY, THOMAS....23 VIKRANT....66 KIMBERLY....127 HUMPHREY, KHAKOO, RASHIDA....79 JALAZO, JESSE....24 KADIYALA, MADHAVI....68 FREDERIC....28 KHAN, SAMIRA....129 JAMEEL, AYESHA....52 KAISER, LOREN....29, 33 HUMPHREYS, KHAN, UROOJ....29 MICHELLE....38 JANJUA, RIAZ....85 KALAPALA, KHAN, ALI....28 HUNSUCKER, RITA....39 SESHAGIRI....104 JANOO, JABIN....59, 90 KHAN, RAHEEL....102 HUNTER, FRANCIS....60, KAMRAN, AMIR....26 JASINSKI, 91 KHANDARE, NICHOLAS....134 KANDZARI, HUPP, ANGELA....42 STANLEY....117 ANUPAMA....13 JAYNES, MARGARET....85, KHANNA, ABHINAV....117 HURST, STEPHANIE....60, 86, 87, 88 KANE, JUDIE....46 91 JEFFERSON DIALYSIS....1 KANNABHIRAN, KHOKAR, ARIFA....59, 90 HURST, MICHAEL....74, 99 DINESH....57, 58, 83, 84

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 146 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. KHOSROVI, HOUMAN....89, KOPKO, JOHN....18 LAO, MICHAEL....60, 91 LIKAR, CARLY....50 90 KOWCHECK, CAITLIN....60, LARKIN, EMILY....18 LIKES, MAGGIE....101 KHOURY, RAJAI....115, 91 LARKIN, KEVIN....134 LILLARD, COLLEEN....134 116, 118, 119 KRAFFT, MATTHEW....75 KIDNEY CENTER OF LARSON, DARIN....96, 97, LILLEY, MICHELE....38 KRAUSE, GREGORY....63, BRUNSWICK....6 104, 105 74, 100 LINCOLN WAY KIDRICK, AMY....123, 125 LASKY, TIFFANY....112 DIALYSIS....1 KRAUSE, PATRICIA....43 KIEFER, KYLIE....39 LASTINGER, ALLISON....79 LINDSEY, BROCK....97 KREITZER, TODD....72 KIGGUNDU, LATOS, JAMIE....110 LINDSEY, JODI....88 KRIVCHENIA, EDWARD....109 GREGORY....96, 97, 98 LAVANI, CHIRAG....56, 57, LINGENFELTER, KINCAID, CHRISTINE....26 58, 82, 83, 84 MISTY....34 KROLL, COLLEEN....47 KINCAID, LAVENDER, IVAN....36, 37 LOBBAN, JOHN....64, 66, KRULL, JAMI....50 CHRISTOPHER....18 LAW, KARI BETH....130 68, 69 KING, ERIN....36 KRUPICA, TROY....26 LOCKREM, JUSTIN....111 LAWRENCE COUNTY KING, RICHARD....59, 60, KULLING, DAVID....13 DIALYSIS....5 LOFTON, ZEKEYA....13, 43 90, 91 KUMAR, ANISHA....27 LAXSON, LEAH....93, 94 LOGAN DIALYSIS....5 KING, JANELLE....73 KUMAR, SMITA....53 LAXSON, LEAH....94 LOGANATHAN, KING-SELARIO, KUMAR, TARUN....63 LEACH, ADREA....39 MURUGA....132 NATALIE....15 LOGSDON, KUPEC, JUSTIN....75 LEAR, TERESA....39 KINGSVILLE DIALYSIS....2 BRIANNA....138, 139 KUPPUSWAMY, KISER, ROBERT....123 LEAVITT, JENNIFER....28 LOGSDON, BRIANNE....34 BAIRAVA....28 LECHER, SARAH....51 LOGSDON, BRIANNA....44, KLEDZIK, MARY....113 KUREISHY, ZAVEEN....25 LEE, REBECCA....29 46, 139 KLEIN, ADAM....96 KURIAN, SOBHA....55, 77 LEE, MARK....88, 89 LOHUIS, NANCY....17 KLETTER, JAN....112 KUROCHKIN, PHILIP....94 LEE, HSING-HSI....106 LONG, MARSHALL....17 KNAPP, LAWRENCE....37 LABUS, ANDREA....26 LEFEBER, TIMOTHY....31 LONG, SUSAN....114 KNIGHT, JENNIFER....113 LACH, CHANTEL....48 LEFEVRE, LANDON....46 LONG, JAMES....14 KNOWLES, ROSS....114 LADANI, AMIT....109, 110 LEFLER, KENNETH....18 LONGENECKER, KNOX COUNTY KIDNEY LAFFERTY, HOWARD....14 JOANN....15 CENTER....5 LEHOSIT, MELODY....39 LAGAZZI GARROS, LONGMORE, PAMELA....46 KNUTSON, THOMAS....95 LEIFHEIT, SARAH....126 LUIGI....115 LOPEZ, GERARDO....69 KOCH, JOHN....114 LAI, LINGO....94 LENTNER, MARK....63, 74, LOPEZ, KRISTINA....86, 87 99, 100 KOCHENBACH, LAI, LINGO....94 KATHERINE....19 LEONARD, ANTHONY....94 LOPEZ, GERARDO....66, 67 LAKE ERIE HOME KOCHY, CIERRA....47 LOPEZ, KELLY....13, 43 DIALYSIS....3 LEONARD, RACHEL....71, 108 LOPEZ, MARY RUTH....13 KOJSZA, DENNIS....132, LAMB, JASON....116 133 LERFALD, NATHAN....26 LOPEZ, ERIC....56, 57, 58, LAMB, JASON....115 KOLAR, MARIA....26 LESE, ANDREA....76, 97 82, 83, 84 LAMONACA, KOLBERG, SHYLER....64 LOPEZ, GIANLUCA....129 LESSEY, GAYATRI....56, 57, 82, 83 CHRISTOPHER....126 KOLENICH, VINCENT....105 LAMPTEY-MILLS, NII....75 LOPINTO, MELISSA....112, KOLODNEY, JOANNA....55, LEVY-CLARKE, LANCASTER, GRACE....94 113 77 JEFFREY....31 LEWIS, JEREMY....89 LORA, STEPHANY....134 KOLODNEY, LANDER, LAURA....126 MICHAEL....72, 73 LEWIS, WILLIAM....16 LORENZETTI, LANDRENEAU, ROSEMARIE....16 KONRAD, PETER....89 LEYS, MONIQUE....94 RODNEY....115 LOUDEN, AMY....135 KOONTZ, STACIE....25 LANDVOIGT, MAPLE....103 LI, MICHAEL....24, 28 LOUDEN, BARRETT....73 KOORAGAYALU, LANE, MARK....96, 97, 98 LIBELL, DAVID....86 SHRAVAN....23 LOUDEN, MALCOLM....87 LANE, STANLEY....124 LICHTMAN, KOORAGAYALU, LOUISA DIALYSIS....5 BRANDON....64 LANTZ, CHARLOTTE....38, SHRAVAN....106 LOVEJOY, KYLENE....45 42, 43 LIGHT, ERIN....123

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 147 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. LOVERIA, JOSE....23 MANN, AMY....41 MCBEE, KELLY....36, 48, 49 MEDAVARAM, LOWDEN, ERIC....62, 93 MARCHESANI, MCCAFFREY, SOWMINI....54, 76, 77 MEDEXPRESS URGENT LOWERS, RYAN....20, 21 NICHOLAS....71 FRANCIS....29 MAREEDU, MCCARDLE, CARE - LUBICKY, JOHN....97 NEEHARIK....56, 82 NATALLIE....46, 47 MARTINSBURG....10, 11 LUCAS, LARRY....14 MARIETTA DIALYSIS....8 MCCARTHY, RYAN....24 MEDINA, AARON....124 LUCENTE, FRANK....112 MARKS, EDWARD....14 MCCARTHY, PAUL....71 MEDINA COUNTY KIDNEY CENTER....6 LUDROSKY, MARONE, LUKE....118, 119 MCCARTY LANE MEDINA SQUARE JENNIFER....134 DIALYSIS....5 MAROON, MICHAEL....18 DIALYSIS....6 LUDWIG, NICOLE....49 MCCHESNEY, JASON....74 MARSH, KATHERYN....41 MEEKS, STACY....13 LUDWIG, ASHLEY....36 MCCLURE, LESHIA....124, MARSH, CHAD....38 MEHTA, DEVANSHI....108 LUETHKE, RONALD....104 128 MARSH, ROBERT....89 MELTZER, HAL....89 LUMLEY, SARAH....14 MCCLUSKEY, KEVIN....61, MARSH, JAMES....113 92 MENA, JOSHUA....19 LUPINACCI, KRISTIN....114 MARSH, CLAY....108 MCCOLLESTER, MENDOZA, DAVID....117 LUTZ, ALLISON....73 SARAH....61, 92 MARSHALEK, MERCER, LUZIER, JESSICA....133 MCCOY, CHRIS....24, 25, PATRICK....130, 131 CHRISTOPHER....101 28 LYERLY, MARK....88 MARSHALL, MERCER, WILLIAM....19 MCCRACKEN, MARY....35, MATTHEW....86 LYNCH, JOHN....104 41 MERCY CANTON MARTIN, DIALYSIS....7 LYNCH, AMANDA....43 MCCREADY, NATALIE....49 CHRISTOPHER....93 MERENDA, DANIEL....74, LYNCH, ROBERT....24 MCDANIEL, JAMES....48 MARTON, AMELITA....40 99 LYNCH, JOSEPH....32 MARY BABB RANDOLPH MCDANIEL, MARK....17 MERIWETHER, MACE, LACO....24 CANCER CENTER....9, 12 MCDONALD, CARRIE....123 DAVID....117 MACE, JANELL....60, 91 MARY BABB RANDOLPH MCDONOUGH, MERRILL, LAURA....61, 92 CANCER CENTER....138 MADDEN, JEFFREY....112 EDWARD....97 MERRILL, SAMUEL....76 MASCIO, MCELROY, J MAEVSKY, VICTOR....115, MERSING, JAMES....18 CHRISTOPHER....115 JEFFREY....98 116 MERVA, WILLIAM....86 MASON, TRENT....17 MCFADDEN, JOHN....135 MAGBOJOS, VIRGINIA....23 MESGENA, MEDHANE....22 MASON, JOHN....67, 70 MCGRAW, MAGRUDER, JOHN....88 MASSILLON COMMUNITY STEPHANIE....132, 133 METCALF, LYNN....35 MAHARAJ, JAISRI....53 DIALYSIS....7 MCGUIRE, RYAN....103 METER, RICHARD....109 MAHONEY, JAMES....134 MASSILLON DIALYSIS MCGUIRE, SARA....88 METZ, MATTHEW....112 CTR....7 MAIER, LEONARD....26 MCKEESPORT METZGER, TIMOTHY....15 MATHEW, ROSHEN....72, MAKARY, CHADI....99, 100 DIALYSIS....1 108 MEYER, ASHLEY....102 MCKEESPORT WEST MALDONADO-BREM, MATHEWS, RUSSELL....40 MEYER, ASHLEY....102 ADRIANA....52 DIALYSIS....2 MATHWARE, SARONA....31 MICHAEL, JEFFREY....105, MALIK-HAMIRANI, MCKEEVER, 106 RABINA....28 MATYASIK, HANNAH....111 MICHAEL, JENNIFER....106 MALLA, MIDHUN....55, 78 STANLEY....106, 107 MCKNIGHT, JOHN....66, 69 MAUGER, THOMAS....94 MICHAEL, AMANDA....16, MALLETT, JAMES....48 MCLAUGHLIN, 19 MAUGER, THOMAS....94 AARON....16 MALTESE, STACY....39, 40 MICHALSKI, JOHN....96 MAUST, AMY....45 MCMILLAN, BRIAN....94 MAMAJEK, AMANDA....45 MID AMERICA MAUZY, MICHAEL....20, 22 MCMILLAN, BRIAN....94, 95 MANANDHAR, SMRITI....52 DIALYSIS....4 MAVROMATIS, MCNEIL-GLASSFORD, MANDEL, DAVID....95 MID OHIO DIALYSIS....7 BLANCHE....54 JAN....30, 32 MID OHIO VALLEY MANDELL, SUSAN....132 MAVROMATIS, MCQUADE, HEALTH BLANCHE....76 ELIZABETH....102 MANIVANNAN, DEPARTMENT....136 SHANTHI....26 MAWING, TINA....24, 43 MEADVILLE DIALYSIS....2 MIDCAP, DOUGLAS....17, MANN, JOSALYN....15 MAYNARD, JUNETTA....38 MEANS, PAUL....21 19

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 148 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. MIDDLEBURG HEIGHTS MONNETT, SHANE....112 MOSS, ALVIN....57, 83 MYERS, CLIFFORD....21 DIALYSIS....3 MONROEVILLE MOUNTAIN RIDGE MYERS, WHITNEY....126 MILAM, HEATHER....126 DIALYSIS....2 DIALYSIS....6 NADRA, OMAR....118 MILAM, KASSANDRA....30, MONSEAU, AARON....111 MOUNTAIN STATE NAEEM, MUHAMMAD....23 32 PHYSICAL MONTELEONE, THERAPY....137, 138 NAHATA, AMIT....56, 57, 82, MILES, JOHN....100 GAETANO....111 MOUNTAINEER 83 MILHOAN, STEVAN....28, MONTELEONE, DIALYSIS....7 NAHATA, AMIT....58, 84 33 GAETANO....18 MOUSA, ALBEIR....119 NAJIB, UMER....86 MILLCREEK DIALYSIS....3 MONTGOMERY, MILLER, SHERYL....35 MICHAEL....15 MOWDER, HAYGEN....44 NAJIB, UMER....86 MONTGOMERY, MILLER, ERIN....59, 90 MOYERS, JANET....43 NALCAKAN, PINAR....47 EMILY....60, 91 MILLER, MOYERS, AMY....18 NALLY, DAVID....19 MOORE, CHARLES....94 CHRISTOPHER....67, 70 MOZAHEM, NANJUNDAPPA, MOORE, MELISSA....85 MILLER, BRADLEY....28 KHALDOUN....85, 87 ARAVINDA....119 MOORE, FRANKLIN....25 MILLER, LAURA....19 MOZINGO, CASEY....45 NARUMANCHI, MOOREHEAD, JULIE....46, JANANI....30, 32 MILLER, RUSSELL....33 MUDDANA, 47 NEEHARIKA....59, 85 NARUMANCHI, MILLER, MARK....112 MOOREHEAD, MUELLER, KARL....105 TARACHANDRA....81 MILLER, RYAN....13 BENJAMIN....26, 111 NASHED, MAZEN....24 MULLETT, CHARLES....102 MILLER, KAREN....14 MOOREHEAD, NASR, JOHN....75 MULLETT, DAVID....24 BENJAMIN....97, 111 MILLER, LIV....134 NATIONAL ROAD MULLINS, BANDY....111 MORALES-RIOS, DIALYSIS....2 MILLER, MARK....131 IVELISSE....132, 135 MULLINS, DAVID....113, NAUM, SCOTT....75 MILLERSBURG MOREHEAD, 119 NAVADA, SHIV....85 DIALYSIS....5 MICHAEL....87 MULLINS, BANDY....113 MILLHAM, SUSAN....126 NAVALGUND, MORELAND, JASON....66, MUNROE FALLS YESHVANT....100 MILLIGAN, 68, 69, 80, 81 DIALYSIS....8 NAVARRE DIALYSIS....8 CHRISTOPHER....50 MORELAND, BRENDA....37 MUPAMOMBE, MILLS, JAMES....68, 69 MORGAN, CAITLIN....62, 93 CHARLES....26 NAVIA, RAMIRO....23 MILLS, ANGELA....17 MORISE, ANTHONY....27 MURELLO, DAVID....66 NAVIA, RAMIRO....101 MILLS, STACEY....42 MORISE, ANTHONY....69 MURKEN, DOUGLAS....71, NAYAK, NARESH....98 113 MINC, SAMANTHA....113, MORISE, ANTHONY....68, NAZARINIA, MITRA....32 MURKEN, FANNY....30, 32 119 69 NAZHA, HANI....129 MINCHAU, MORLEY, HILARY....32 MURPHY, TIMOTHY....95, NEAL, AMANDA....38 ELIZABETH....40 96, 97 MORLEY, CHAD....117 MINER, AMY....40 MURPHY, VERONICA....41, NEASE, EMILY....32 MORRIS, EMILY....59, 61, 43 NEGRIN, ISABELA....30, 32 MODI, HEMANT....67, 70 90, 93 MURRAY, FRANCES....15 MOERSCHEL, SARAH....30 MORRIS, MATTHEW....33 NELSON, MARK....115 MURRAY, ANN....86 MOFFETT, KATHRYN....102 MORRIS, SAMUEL....24 NELSON, KELLY....15 MURRAY, ANN....86 MOGALLAPU, RAJA....129 MORRIS, ANN....109 NENOW, MARK....100 MURTHY, DAKSHINA....67, NEW KENSINGTON MOHAMED, HESHAM....71, MORRIS, KATHRYN....47 69 107 DIALYSIS....9 MORRISSEY, JOHN....71 MUSILLI, KRISTI....35, 42 MOHNEY, NATHANIEL....86 NEW MARTINSVILLE MORROW, KELLI....36 MUSSER, DAVID....120 DIALYSIS....9 MOHNEY, NATHANIEL....86 MORTON-EGGLESTON, MUSUNURI, NEWHOUSE, MOISE, ALICIA....81 EMMA....52 MAHESHWAR....23 AMANDA....127 MOMEN, JOSEPH....30 MOSELY-LOHNES, MUZUMDAR, HIREN....103 NEWMAN, BRITTANY....95 JENNA....126 MOMEN, AUVID....129 MYERS, MICHAEL....96 NGUYEN, JOHN....95 MOSES, MICHAEL....28 MONASTIRIOTIS, MYERS, WILLIAM....95 NGUYEN, JOHN....93, 94 SPYRIDON....112, 119 MOSMAN, DAVID....33 MYERS, TRACY....35 NGUYEN, JOHN....93 MONGOLD, JESSICA....41

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 149 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. NICHOLS, JASEN....133, OSTROW, PECKENS, SHAYLEE....18 POINT PLEASANT 135 LAWRENCE....129 DIALYSIS....6 PEKLINSKY, JASON....18 NICHOLS, GARY....21 OVERMILLER, CARL....112 POLACK, EDWARD....105 PELLEGRINO, NICHOLS, AMANDA....21 OWENS, KATHERINE....46 RONALD....27 POLAK, MARK....81 NICHOLS, DARRIN....21 OXLEY, KEVIN....74, 99 PELLEGRINO, POLICANO, BRIAN....30 NICOLA, AMANDA....40 PAHUJA, SHALU....55, 78 BETHANY....56, 57, 58, 82, POLING, MARK....58, 84 83, 84 NIELD, LINDA....32 PALERMO, DANIEL....112 POLLOCK, PENFOLD, ADAM....48 NIESE, NICOLE....49 PALKO, PETE....13 JONDAVID....109 PENN HILLS DIALYSIS....2 POMP-STEURER, NOLAN, BREANNA....30 PALKO, JOEL....94 PEPPERS, BRIAN....63, 64 KAYLA....34 NOORI, FEROZ....71, 107 PALMER, AMANDA....114 PERINI, JESSICA....53 POOLE, KEITH....20 NORTH RIDGE PALMER, H CARLTON....26 PERLE, JONATHAN....134 POTOMAC VALLEY DIALYSIS....5 PAPADIMITRIOU, HOSPITAL OF WV INC....1, PERRY, GISELLE....123, NORTHSIDE DIALYSIS....2 PAUL....130 9 124, 125 NORTON, AMY....72, 73 PARIS DIALYSIS....8 POWDERLY, FINBAR....22 PERVEZ, ASAD....75 NULL, TANYA....36 PARK SIDE DIALYSIS....4 POWELL, JADA....45 PETERS, ANDREA....124 NUTTER, JOANN....36, 41 PARKER, RHONDA....35 POWER, MARTHA....40 PETERSEN-FITTS, O, JIN....41, 50 PARKER, PAMELA....43 GRAYSEN....97 POWER, PETER....62, 93 OAK SPRINGS PARMA DIALYSIS PETERSON, KEVIN....132 POWERS, ROXANN....72, DIALYSIS....8 CENTER....3 73 PFAENDLER, KRISTA....76 OBERTANCE, EMILY....40 PARMA HEIGHTS POZUN, NICOLE....47 PHAM, DIALYSIS....3 OCHSENBEIN, HOLLY....47 CHRISTOPHER....110 PRABHAKAR, PARRAVANI, GANGA....116 OGERSHOK, PAUL....63, 64 PHAM, DANH....55, 78 ANTHONY....57, 83 PRABHAKAR, OHIO VALLEY PARRISH, DAN....103 PHILLIPS, MELODY....18 GANGA....116 AMBULATORY SURGERY PASTUCH, CRISTINA....27, PHILLIPS, MARY-ANN....30 PRASAD, APOORV....85 CENTER....1 32 PHILLIPS, KIMBERLY....38 OLATUNJI, OLAWALE....80 PRATT, ADAM....49 PATASKALA DIALYSIS PHILLIPS, TERESA....43 PRATT, CARRIE....40 OLAYEMI, CENTER....5 GBEMISOLA....109 PIKE COUNTY PATEL, ANJLEE....101 PRATT, JONATHAN....100, OLGERS, DIALYSIS....7 101, 104 PATEL, KASSANDRA....50, 51 PILKERTON, PREMIERE KIDNEY PRATIKKUMAR....65 OLIVERIO, MATTHEW....74 COURTNEY....18 CENTER OF NEWARK....5 PATEL, BRIJESH....66, 67, PILLAI, O'LOUGHLIN, PRESCOTT, GORDON....67 68 LAKSHMIKUMAR....118, GERARD....20 PRICE, OLIVIA....50 PATEL, PRAKASH....33 119 OLUFUNSO, PATRA, KAMAKSHYA....31 PILLAI, PRIEM, EDWARD....71 ODUNUKAN....79, 80 LAKSHMIKUMAR....118 PRINCE, AMANDA....14 OMAIS, ABBAS....106 PAUGH, JACLYN....40 PINA PARKER, PRINCETON COMMUNITY ONEY, JERRI....36, 48 PAUL, STEPHAN....102 CAROL....29, 33 HOSPITAL....9, 139 PAUL, LISA....127 ONWUANIBE, PIPES, JAMES....105 PRINCETON COMMUNITY ANGELA....128 PAUL, LISA....124, 127 PITTSBURGH HOSPITAL....137, 139 OPEL, ANDREA....123 PAWAR, GAURI....86 DIALYSIS....2 PRINCETON COMMUNITY HOSPITAL....121, 139 ORCG EAST....3 PAXTON, CLAIRE....33 PITTSBURGH HOME MODALITY CENTER....2 PROCOPIO, ORESKOVICH, JASON....18 PAXTON, DAVID....20 PLITT, DAVID....65, 69, 79, JEFFREY....116 ORPHANIDES, PAYNE, FANICA....127 81 PROCOPIO, JEFFREY....49 TIMOTHY....75 PEARSON, NATHAN....131 PLUTO, TIFFANY....21 OSHIYOYE, PROUTY, TYLER....60, 91 KOLAWALE....14 PEARSON, RONALD....111 POE, SUSANNAH....52 PRUDHOMME, OSMAN, SALMAN....54, 77 PEASAK, TIMOTHY....10, POE, SUSANNAH....134 BONHOMME....97 OST, MICHAEL....103, 117 22 POFF, JENNIFER....41 PRUNTY, GINA....47 PEASAK, DAVID....34

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 150 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. PRZYBYLOWSKI, REAMS, JENNIFER....109 RICO, RYAN....139 ROWAN, SHON....59, 61, BRIAN....48 91, 92 RECHT, KEITH....116 RICO, RYAN....50 PRZYBYSZ, WILLIAM....20 ROWSON, MELANIE....128 RECKART, RIDGE PARK DIALYSIS....3 PUCCIO, NICOLE....40 KATHLEEN....127 ROZARIO, EDWIN....20 RIEDEL, BRIAN....102 PYLE, BARBARA....43 REDDY, RUCKER, ERIKA....127 RIGGLE, DOMENIQUE....35 PYLES, LEE....101 SATHYANARAYAN....67 RUDENKO, IAKOV....85 REDLINGER, RIGGLE, JAMIE....51 QUARANTILLO, RUGEL AIZPRUA, RICHARD....118 EDWARD....14 RIGGS, JACK....86 MARCELA....28 REDMOND, QUARANTILLO, RILEY, MARY....23 RUSSELL, JODIE....127 ZACHARIAH....40 PAMELA....29, 32 REECE, JOSEPHINE....27 RINGLER-GOODWIN, RUSSELL, MARY QUE, CHRIS....23, 24 NICKI....47 LOUISE....104 REECE, REBECCA....79 QUE, EMERSON....94 RIORDAN, JOHN....116 RUTHERFORD CROSSING REINEKE, ANNA....34 QUEEN, KELLI....47 RITCHEY, KATIE....35 DIALYSIS....4 RENAL CARE GROUP AT RYAN, MICHELLE....37 QUIGLEY, BRIAN....131 RITCHEY, GELILA....34 MT CARMEL WEST....4 RYCKMAN, JEFFREY....109 RADABAUGH, RENAL CARE GROUP RITTENHOUSE-PUHAK, RYNCARZ, RICHARD....108 STEPHANIE....38, 39, 40, AUSTINTOWN....6 JENNIFER....111 41 RENAL CARE GROUP RIVERA, CRISTOBAL....50 SABATINI-GUMP, RADONOVICH, BOARDMAN....6 RIVERS EDGE MICHELLE....45 KRESTIN....134 RENAL CARE GROUP DIALYSIS....2 SABBAGH, RAHMAN, SARAH....129 NORTH LIMA....6 RIZK, NASHAAT....101 ABDULMALEK....67 SABBAGH, EBRAHIM....80 RAHMAN, AMER....129 RENAL CARE GROUP ROBERTS, HAROLD....115 WARREN....8 SABBAGH, RAINA, SAMEER....66, 68 ROBERTS, MICHAEL....114 RENAL CARE GROUP ABDULMALEK....25 RAJJOUB, SALAM....107, YOUNGSTOWN....6 ROBERTS, JASMINE....110 SABBAGH, ANNAS....100 108 RENAL CENTER OF ROBINSON, KELLY....49 RAJPARA, SABBAGH, MOHAMED....17 KEYSER....6 NATVARLAL....106, 110 ROBINSON HOME SACKNOFF, ERIC....117 RENAL CENTER OF RAMADAN, HASSAN....100 TRAINING....2 MOOREFIELD....4 SAEED, MOHAMMAD....29 ROCKSIDE DIALYSIS....3 RAMALEY, KAYLEIGH....50 RENNIE, KELLY....112 SAGGIO, CHRISTINA....51 RODA-RENZELLI, RAMSEY, KIRK....129, 131 RENZELLI-CAIN, ANTHONY....68 SAGIN, MARK....106 ROBERTA....59, 61, 90, 92 RANDALL, DARRIAN....128 RODA-RENZELLI, SAGIN, MARK....23 REYNA, ROBERTO....24 ANTHONY....66, 80 RANDOLPH, TRAVIS....49 SAKHUJA, ANKIT....58, 84 REYNOLDS, GORMAN....75 ROE, SHAUN....13 RANJAN, MANISH....89 SAKKAL, AMAL....25 RANKIN, JAMES....70 REYNOLDS MEMORIAL ROGERS, SEAN....27 HOSPITAL....9 SAKLA, SAMY....100 RAO, SHEELA....29 ROGERS, SUSAN....44 REZA, ERONA....18 SALEEM, RASHEED, HASSAAN....56, ROHRBOUGH, MUHAMMAD....56, 57, 58, REZAI, ALI....89 82 DANIELLE....38 82, 83, 84 RATHI, TANJOA....59, 90 REZAIAN, MICHAEL....109, ROIDAD, NASIRA....79 SALGADO, 110 RAVENNA DIALYSIS....7 ROIDAD, MOHAMMAD....75 PURIFICACION....32 RHODES, LARRY....101 SALKINI, MOHAMAD....117 RAVINDRA, ROMANI, LIVIO....111 RICE, ERIC....41 SINDHURA....53 ROMANO, ROBERT....20 SALLOUM, ELLIS....119 RICE, DIANE....64 RAY CHAUDHURI, ROMINE, ALAN....15 SALUDES, MELVIN....107 NITA....101 RICH, DAVID....32 ROSEN, PAUL....103 SALUDES, MELVIN....107, RAYBUCK, BRYAN....66, 80 RICHARDS, STEVEN....20 108 ROSENSHEIN, NEIL....76 RAYBUCK, BRYAN....67, 80 RICHARDS, DAVID....96 SAMPSON, SARAH....44 ROSS, PATRICIA....48 RAYBUCK, BRYAN....69 RICHARDS, BARBARA....38 SANGANI, RAHUL....71, 72 ROSS, KELLY....113 RAYMOND, RICHMOND, BRYAN....112 SANKINENI, BENJAMIN....112 ROSS, SANDRA....43, 44 SPOORTHI....27 RICKARD, TARA....27 REALINI, ANTHONY....94 ROULEAU, SONYA....45 SANTO, RICO, JEFFREY....53 BROWNHILDA....72, 108

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 151 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. SAOJI, ANIKET....64 SESHADRI, SHEPARD, CLINT....50 SMITH, BELINDA....124, NIRANJAN....65, 79 125 SARICH, REBECCA....59, SHERER, JANAE....40 SETHMAN, JESSICA....49 SMITH, DEBORAH....124 90 SHERMAN, SARWARI, SABAH....30 SETLAK, MARIA....23, 24 JONATHAN....88, 89 SMITH, CASSANDRA....69 SARWARI, ARIF....79 SEYEDIAN, MAZIAR....86 SHI, DAVID....27 SMITH, CHERYL....86, 87 SAUL, JEROME....101 SEYEDIAN, MAZIAR....118 SHIELDS, BRIAN....132 SMITH, MATTHEW....86 SAVAGE GORALSKI, SHACHTER, NEIL....79 SHINA, CARA....32, 47 SMITH, MATTHEW....86 ELYZABETH....37 SHACKELFORD, SHINN, LANCE....16 SMITH, KATIE....51 SCAIFE, AARON....60, 91 HOWARD....111, 115 SHOCKEY, SANDRA....37, SMITH, ELEANOR....30 SCARISBRICK, SHACKOUR, MAZIN....111 42 SMITHMYER, ANN....40 DAVID....134 SHAFFER, MONICA....48 SHOCKLEY, SNIDER, GEORGE....74, SCHAEFER, MICHAEL....62, 93 SHAH, NILAY....78 100 GREGORY....113 SHORTER, SHAH, NIKUNJ....55, 78 SNYDER, AMANDA....50 SCHENKEL, BETTY....43 NICHOLAS....103 SHAH, NIMESH....71 SOBOTA, BRITTNEY....50 SCHIANO, MICHAEL....76 SHRIVER, NICOLE....52 SHAHAB, SOHRAB....63, SOFKA, SARAH....27 SCHIEBEL, FRANK....111, SHUMILOFF, SHALEE....50 73, 74, 98, 99, 100 113, 114 SHY, STEPHEN....22 SOKAL, REBECCA....128 SHAIKH, PARVEZ....109 SCHILDT, TRAVIS....14 SIAS, JESSICA....35 SOKOS, GEORGE....66 SHAKER SQUARE SCHMIDT, STANLEY....64, SOKOS, GEORGE....66, 68 DIALYSIS....3 SICHANI, AFSOUN....16 68 SHAMBLIN, LUCY....16 SIDDOWAY, DONALD....64 SOLIK, STEVEN....75 SCHMIDT, CARL....114 SHAMSHAD, FAISAL....65 SIDDOWAY, DONALD....66 SOLTANI, SANAZ....54, 77 SCHMIDT, REBECCA....56, 57, 58, 82, 83, 84 SHANE, JOSEPH....52 SILINSKI, KRISTIN....106 SOMERSET COUNTY DIALYSIS....7 SCHMITT, ANDREW....17 SHANK, DANIEL....29 SIMMONS, MATTHEW....78 SOMESHWAR, JEAN....63 SCHMITT, BRADLEY....20 SHANK, JOHN....19 SIMON, JENNIFER....16, 38 SONIKPREET-AULAKH, SCHMITT, RICHARD....106 SHANNON, KEVIN....54, 55, SIMPSON, REAGAN....17 SONIKPREET....55, 78 SCHWARTZ, FRANK....53 77, 78 SIMPSON, RICHARD....25 SOUTH WILLIAMSON SHAPIRO, ROBERT....60, SCHWARTZMAN, SIMPSON, RICHARD....24 DIALYSIS....7 61, 91, 92 DAVID....66 SPARKS, TIFFANY....129 SHARMA, SUNIL....71, 72, SINGH, SHAILENDRA....75 SCHWERTFEGER, SPENCER, JUDY....49 108 RENEE....40 SINGH, SATBIR....117 SHAWWA, KHALED....58, SPRENKLE, BOYD....107 SCUDERE, MARIA....34 SINGH, GOBIND....100 84 SPRENKLE, SCUDIERE, IAN....45 SINGZON, LEA....15 SHAY, APRIL....40 SHANNON....44 SDRIMAS, SINGZON, SHEDEED, REDA....14 SPROAT, RACHEL....73 KONSTANTINOS....55, 78 VICTORICO....15 SHEETS, JESSICA....44 SPROUSE, RYAN....110 SEACHRIST, ERIC....84 SIRBU, MELISA....133 SPROUSE, SHEETZ, MICHELE....14, 36 SIZEMORE, JENNA....27 SEACHRIST, ERIC....86 GRETCHEN....16 SHEIKH, ZUBEDA....86 SEACHRIST, SKIDMORE, SPYCHALSKI, JAMES....22 KATHERINE....27 SHENANDOAH BRIDGET....131 SRAJ, SHAFIC....96, 97 SEARS, BETSY....64 COMMUNITY SKLAR, MARSHALL....109 HEALTH....129, 131 SRIWASTAVA, SHITIZ....87 SEDNEY, CARA....89 SKLAR, MARSHALL....109 SHENANDOAH ST JOSEPH'S HOSP OF SKONER, DAVID....63, 64 SEE, RHEA....34, 39 COMMUNITY BUCKHANNON....1, 9 SEE, RHEA....44 HEALTH....132, 133, 135 SMARRELLA, ST MARYS URGENT DANIELLE....64 SEEMALADINNE, SHENANDOAH CARE....10 NIRUPAMA....29, 30 COMMUNITY SMITH, CASSANDRA....41 ST V QUADRANGLE HEALTH....124, 125, 127, SELASKY, GREGORY....50 SMITH, CONNIE....78 DIALYSIS....3 128 STAATS, TARA....43 SELBY, JOSEPH....19 SHENANDOAH SMITH, MARK....81 STAHARA, LORI....51 SELLARO, VICTORIA....50 COMMUNITY SMITH, KRISTINA....51 HEALTH....121 STALNAKER, SARAH....46

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 152 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. STANLEY, JONATHAN....78 SUMMIT RENAL THALANAYAR TWINSBURG DIALYSIS....8 CENTER....8 MUTHUKRIS, STANLEY, STEPHEN....62, UDE-OSHIYOYE, PRASHANTH....71, 107 93 SUNKAVALLI, RAJA....29 NGOZI....14 THEEKE, LAURIE....40 STANSBURY, SUNZERI, LINDSAY....27, UHA EMERGENCY ROOM ROBERT....107, 108 28 THIYAGALINGAM, PHYSICIANS....10 STARK, CHRISTAL....32, 47 SURI, PAUL....67 SHANOJAN....24 UMSTOT, RICHARD....112 THOMAS, STACI....32 STATLER, JASON....19 SUSTAKOSKI, JAMIE....40 UNDERWOOD, BILL....89 THOMAS, JOHN....111, 112 STAUB, RICKY....127 SUWAID, WIJDAN....17 UNGER, KENDRA....19 THOMAS, CAROL....36 STEFFICH, LISA....123 SWAGER, LAUREN....132 UNIONTOWN THOMAS, MARIAN....37 HOSPITAL....9 STEPP, JONI....17 SWALM, JASON....14 UNITED HOSPITAL SWAMY, CHANDRA....62, THOMAY, ALAN....55, 78 STERN, SHAWN....27 CENTER....9, 10 93 THOMPKINS, STEUBENVILLE UNIVERSITY SWISHER, CAREY....17 SHANNON....40 DIALYSIS....5 HEALTHCARE PHYS THOMPSON, STEUBENVILLE HOME SWISHER, FRANK....17 PATHOLOGY....137 REBECCA....14, 16 TRAINING....5 SYKES, JOSHUA....95, 96, UNIVERSITY THOMPSON, RUTH....45 STEWARD, JEREMY....45 97 HEALTHCARE THORN RUN DIALYSIS....2 PHYSICIANS....10 STEWART, MICHAEL....109 SZOKA, NOVA....113 UNIVERSITY MEDICAL TABONE, THURO, BRADLEY....93, 94 STEWART, DANIEL....105 LABS....137 LAWRENCE....113 TICE, DOUGLAS....96 STILLINGS, HANNAH....19 UPADHYAY, LAXMI....27 TADLOCK-JIMENEZ, TICONA, KATY....55, 78 STOCKDALE, SARAH....40 BESSIE....125 UPMC WESTERN TIMMS, STEPHEN....87 STOKES, WILLIAM....74, 99, TADROS, HANY....113, 114 MARYLAND....137 100 TINAJERO, RUBEN....134 UPMC WESTERN TAGER, DAVID....103 STOKES, JOCELYN....132, TINGLER, DAVID....67, 68 MARYLAND....136 133 TAHBAZ, MAHYAR....58, UPMC WESTERN TODKODI, GEORGE....95, 59, 84, 85 MARYLAND....136 STOOKE, KIM....20, 22 98 TAHIR, KHOLA....79, 80 UPMC WESTERN STRAIGHT, TOKER, SEYFI....115 MARYLAND....139 HEATHER....20, 22 TALAMAN-PEREZ, RACHEL....14 TOLER, LINDSAY....43 UPMC WESTERN STRAYER, BONITA....127 TALLEY, JESSICA....131 TOMBOC, PATRICK....102 MARYLAND....9, 122 STRAYHORN, TALLMAN, JENNIFER....43 TOMES, LAUREN....15 UPMC WESTERN EARLENE....131 MARYLAND....121, 122 TALLMAN, BETH....40 TOMLINSON, WILLIAM....29 STREETSBORO KIDNEY UPMC WESTERN CENTER....7 TALUG, CAN....117 TOMSHO, MARK....32, 33 MARYLAND....1 STRONGSVILLE TARAS, JOHN....76, 95, 97 TRACY, C ALAN....105 URVAL, SHASHI....24, 28 DIALYSIS....3 TAUBENSLAG, TRIBBLE, SKYLER....22 VAGLIENTI, STROTHER, SIERRA....127 RICHARD....101 WALTER....117 TRIPATHI, RICHA....87 STRUTHERS, TAYLOR, CHELSEY....50 VAIDYA, SHRIKANT....117 COURTNEY....24 TROISCHT, MEGAN....32 TAYLOR, CHERYL....133 VALAKH, VLADIMIR....109 SUBURBAN HOME TROISCHT, TAYLOR....32 DIALYSIS....3 TAYLOR, MICHAEL....19 VALENTINE, HANNAH....13 TUBENS, SUSAN....51 SUKYS, NANCY....13 TEETS, EMILY....43, 44 VALENTINE, VINOD....88 TUCKER, LORI....59, 90 SULIMAN, TEMPLETON, BONNIE....16 VALLADARES, ABDELWAHAB....53 TUNE, ADAM....101 CARLOS....114 TENENHOLZ, TODD....109 SULLIVAN, CAITLIN....75 TURLEY, STEVEN....71 VAN NORMAN, TENNANT, TURNER, JASON....111 ANTHONY....73 SULTAN, SHUMAILA....87 ALEXANDRA....51 VANCE, SHARILEDA....20, SUMMERFIELD, TURNER, JENNIFER....53 TENNANT, KACIE....127 22 AMANDA....50 TURNER, MEGHAN....100 TENNANT, AMANDA....40 VANEK, JOSEF....111 SUMMERSVILLE TURNER, JENNIFER....41 REGIONAL MEDICAL TERHUNE, KARA....44, 45 VANIN, JENNIFER....35 TUSCARAWAS COUNTY CENTER....1 THAKKAR, SHYAM....75 VARGO, BRITTNEY....46 KIDNEY CENTER....8

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 153 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. VARVOUTIS, MEGAN....62, WANKO, SAM....54, 77 WESTBROOK HEALTH WILSON, ALISON....113 93 WANTZ, MARK....19 SERVICES....129, 131 WILSON, LORETTA....35 VARVOUTIS, MEGAN....61, WETMORE, WANTZ, MARGARET....19 WILSON, JAMIE....123 92 STEPHEN....74, 100 VASANI, SUGAM....112 WARD, MELANIE....87 WETZEL COUNTY WILSON, ASHLEY....40 VASICEK, RICHARD....17 WARD, RICHARD....17 HOSPITAL....9 WILSON, TIMOTHY....25 WHALEY, PATRICK....125 VASKE, BRIAN....29, 33 WARDEN, MARY....27 WILSON, RYAN....124 WHEELING DIALYSIS....6 VASUDEVAN, WASHINGTON COUNTY WILSON, MICHAEL....20 CUDDALORE....107 DIALYSIS....8 WHEELING HOSPITAL....10 WILSON-CARR, VAUGHAN, RICHARD....113 WASKEY, ROBERT....118 WHEELING HOSPITAL....9 NICOLE....110 VAUGHN, KAVARA....131 WASMUTH, KATRINA....139 WHEELING HOSPITAL WITSBERGER, TODD....112 VELTRI, LAUREN....54, 55, WASMUTH, KATRINA....46 EXTENDERS....51 WOLFE, BRETT....33 77, 78 WATERS, ALLISON....41 WHEELING HOSPITAL HOSPITALISTS....51 WOLZ, DEAN....67, 68, 69 VERHOEVEN, WATKINS, COLLEEN....110 PIETER....101 WHIPP, KYLEN....19 WOOD, GREGORY....22 WATSON, KAYLA....46 VERMA, DEVANSHU....110 WHITE, TAWNA....38 WOOD COUNTY WATSON, ANN....44 VIDULICH, MICHELE....51 WHITE, NANCY....43 DIALYSIS....9 WATSON, DAVID....87 VIGLIANCO, JAMES....113 WHITE PONDS WOODBERRY, KERRI....76, WATSON, DAVID....17 105 VIJAY, CHICKAJAJUR....32 DIALYSIS....8 WAXMAN, DAVID....95, 96, WHITELATCH, WOODS, JAMIE....37 VILLA OF GREAT 98 STEVEN....51 WOOFTER, NORTHERN....3 WAYNE COUNTY KIDNEY WHITMAN, DOMINICK....15 VINSKOVICH, JAYNE....41 CENTER....8 CHRISTINE....31 WOOFTER, ISHA....15 VIRMANI, AJAY....66, 70, WAYNESBURG WHITMAN, ERIC....116 WOOSTER DIALYSIS....8 79, 81 DIALYSIS....4 WHITMORE, VISHWANATHAN, WOOTEN, JESSICA....43 WEAVER, BRYAN....95 KRISTEN....132, 133 SWATI....54, 77 WRIGHT, GARTH....96 WEBSTER, ELLA....110 WICHTERMAN, LEVI....15, VISITING NURSE 37, 40 WRIGHT, MELVIN....102 SERVICES OF WEED, JAMES....42 WICKEL, DEAN....119 WROTE-MANN, DENA....45 WHEELING....136 WEI, LAWRENCE....70, 116 VISITING NURSE SVCS OF WICKEL, DEAN....119 WURTH, MARVIN....27 WEIGEL, PAUL....127 WHEELING- WIECHERS, FRANK....38 WVU DEPT OF PHYSICAL WEISENMULLER, BELMONT....136 THERAPY....138 CHANTEL....133 WIGAL, KRISTEN....47 VOELKER, JOSEPH....89 WVU HOSP DEAN ORNISH WEISSMAN, DAVID....108 WILBER, PROGRAM....138 VOGT, JOEL....131 GRETCHEN....132, 133 WEITZEL, MARK....63, 74, VOOTLA, WVU MEDICINE HOME 99, 100 WILEY, K STEVEN....71 VAMSHIDHARD....75 HEALTH....136 WELCH, MELISSA....36 WILEY, LEE....94 VORA, ANUP....118 WVU MEDICINE WELLS, LEAH....35 WILHELM, LAURA....133 HOSPICE....137 VRABEL, VICKY....73 WELLSBURG CLINIC....137 WILHELMSEN, KIRK....87 WVU URGENT CARE....10 WADE, AMANDA....49 WENTZ, RAETTA....48 WILKINS, KRISTIN....73 YANGANDAWELE, WAGNER, DENISE....125, TEMBELE....17 WENTZ, JEREMY....124 WILKINSON, ARTHUR....65 127 YEDNOCK, JOEL....27 WAKIM, RYAN....131 WEST, PHILLIP....127 WILLARD, MEGAN....75 YELINEK, ASHLEY....110 WALKER, ANDREW....112 WEST VIRGINIA WILLIAMS, AARON....132 YOAK, MATTHEW....104, DIALYSIS....5 WALLACE, JENNA....135 WILLIAMS, MEGHAN....47 105 WEST VIRGINIA WALLACE, WILLIAMS, ERIKA....48 YOST, MARK....17 EMERGENCY KIMBERLY....44, 45 PHYSICIANS....136 WILLIAMS, DORIAN....19 YOUNG-TENNANT, WALTER, DEBORAH....44 WEST VIRGINIA UNIV WILLIAMSON TREATMENT HEATHER....127 WANG, CHAIN-WEN....45 HOSPITALS....138 CENTER....135 YOUSSEF, JANIE....39 WANKO, SAM....54, 77 WESTBROOK HEALTH WILLIAMSON TREATMENT ZAGULA, EDWARD....111, SERVICES....127, 128 CENTER....123 113, 116, 117

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 154 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status. ZALZAL, RABIE....25 ZANABLI, ABDUL....56, 57, 82, 83 ZANESVILLE DIALYSIS....6 ZASLAU, STANLEY....117 ZAVALA, ADRIENNE....14, 17 ZAWATSKI, EMILY....37 ZBARCEA, GRATIELA....129 ZEB, IRFAN....68 ZEIN, TAWFIK....117 ZEIN, TAWFIK....118 ZELEKE, GETACHEW....67, 70 ZELMAN, DAVID....110 ZHENG, WANHONG....131 ZIMMERMAN, PAMELA....116, 118, 119 ZINN, ZACHARY....73 ZULFIKAR, RAFIA....71, 72, 108 ZYZNEWSKY, WLADIMIR....87

Date Created: 8/28/2021 www.healthplan.org

% Cultural Competency Training Complete - 155 - @ Foreign language * Board certified

NOTE: Provider List is subject to change. Please check website at www.healthplan.org or contact Customer Service at 1.800.624.6961 if you have questions or need further information regarding provider participating status.