non-participating provider list primary specialty office

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Non-Participating Provider List Primary Specialty Office Address Phone Abbenante Thomas MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004 Abdelghany Mahmoud MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095 Abdullin Marat MD Nephrology Kidney Care & Transplant Services of New England 2150 Main St Springfield,MA 01104 (413)733-0010 Abunasra Nazeeh DMD Oral & Maxillofacial Surgery Aspen Dental 179 Deming St / Unit A Manchester,CT 06042 (860)644-6500 Ackley Michael DPM Podiatry Foot Health Center of Waterbury 714 S Main St Cheshire,CT 06410 (203)271-0556 Adeleke Adebola DPM Podiatric Surgery Orthopedic Associates of Middletown PC 512 Saybrook Rd / Ste 100 Middletown,CT 06457 (860)704-6037 Adlakha Purnima MD Internal Medicine Purnima Adlakha MD 1221 Main St / Ste 216 Holyoke,MA 01040 (413)532-8700 Affenito James DMD Oral & Maxillofacial Surgery OMS Assoc 391 Main St Bristol,CT 06010 (860)589-1055 Agag Richard MD Plastic Surgery Jandali Plastic Surgery 5520 Park Ave / Ste WP-2-300 Trumbull,CT 06611 (203)374-0310 Agrawal Anjali MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327 Ahmed Anum MD Pediatrics Anum Ahmed, MD 580 Burnside Ave / Ste 2 East Hartford,CT 06108 (860)263-3826 Ahmed Mashrafi MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095 Ahn Sungkee MD Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574 Ajayi Oluwatoyin MD Family Medicine Cityblock Medical Practice PC 77 Center St Waterbury,CT 06702 (203)518-4566 Ajemian Carolyn MD Radiology Naugatuck Valley Radiology 385 Main St S / Union Sq Bldg 1 Southbury,CT 06488 (203)267-5800 Akerman Eliyahu MD Pediatrics Child & Adolescent Health Care Assoc 179 Roseland Ave Waterbury,CT 06710 (203)574-4747 Akkireddi Padmalatha MD Psychiatry THONE Dept of Behavioral Health 675 Tower Ave / Ste 301 Hartford,CT 06112 (860)714-4303 Albert Ronald DMD Dentistry Fresh Impressions Dental Care 360 Tolland Turnpike Ste 2B Manchester,CT 06042 (860)649-5000 Albertsen Peter MD Urology UCONN - Health Center-Urology 263 Farmington Ave MC3955 Farmington,CT 06030 (860)679-4100 Aleem Tazeen MD Internal Medicine American Family Care 415 Cooley St / Ste 3 Springfield,MA 01128 (413)489-5528 Alizadeh Kayvon MD Referral Only Starling Physicians 1 Lake St / Ste 110 New Britain,CT 06052 (860)832-4666 Alosco Thomas MD General Surgery Thomas R Alosco MD PC 475 Chase Pkwy Waterbury,CT 06708 (203)574-0400 Alter Jeffrey MD Dermatology Jeffrey N Alter MD 1078 West Main St Waterbury,CT 06708 (203)757-1585 Amsdell Jacqueline PA-C Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)696-5520 Anatol Algernon MD Hospitalist Mercy Medical Center MIMS 271 Carew St Springfield,MA 01104 (413)748-9321 Anban Tamil MD General Surgery General Surgery 253 Tallwood Dr Vernon,CT 06066 (860)454-8760 Anderson Richard MD Neurological Surgery Office of Richard Anderson MD 299 Carew St / Ste 323 Springfield,MA 01104 (413)732-9600 Andrews Karley PA-C Physician Assistant - ENT Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426 Andrews Laura MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100 Anquillare Joseph MD Internal Medicine Starling Physicians 750 New Britain Ave Hartford,CT 06106 (860)666-5689 Ansevin Carl MD Teleneurology NuVasive Clinical Services 10275 Little Patuxent Pkwy / Ste 300 Columbia,MD 21044 (410)740-2370 Anton Ionut MD Internal Medicine Ionut Anton MD 171 Grandview Ave / Ste 204 Waterbury,CT 06708 (203)596-1909 Antonopoulos George MD Internal Medicine Naugatuck Valley Cardiovascular Associates LLC 1625 Straits Turnpike / Ste 209 Middlebury,CT 06762 (866)621-6822 Anwar Mohammed MD Pulmonary/Critical Care Northeastern Pulmonary Assoc 27 Naek Rd / Ste 2 Vernon,CT 06066 (860)875-2444 Aquavia Mary MD Internal Medicine Alliance Medical Group 32 A Poverty Rd Southbury,CT 06488 (203)405-7170 Arbulu Alfredo MD General Surgery Nutmeg Healthcare Associates, PC 15 Palomba Dr / Ste 4 Enfield,CT 06082 (860)253-5586 Arcoleo James DO Cardiovascular Disease Franklin & Hampden County Cardiovascular Assoc 50 Maple St Springfield,MA 01103 (413)748-6484 Ardon Aura MD Psychiatry Mar Y Sol Mental Health Experts LLC 50 Federal Rd / Ste A1 Danbury,CT 06810 (203)456-6989 Arena Charles DPM Podiatry Advanced Podiatric Specialists 1389 W Main St / Ste 222 Waterbury,CT 06708 (203)757-9200 Aribandi Manohar MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327 Aribandi Manohar MD Teleradiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327 Armandi Barry MD Radiology Envision - Rad Advantage, APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574 Aron Michael MD Orthopedic Surgery Connecticut Hand & Orthopedics 1000 Asylum Ave / Ste 3220 Hartford,CT 06105-1702 (860)247-3279 Aronin Steven MD Internal Medicine Waterbury Hospital - Infectious Disease Dept 64 Robbins St Waterbury,CT 06721 (203)573-6000 Aronow Michael MD Orthopedic Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258 Asch William MD Nephrology Yale Nephrology 330 Cedar St / Boardman 114 New Haven,CT 06520 (203)785-4184 Asher Kevin MD Urology Pioneer Valley Urology Group 100 Wason Ave / Ste 120 Springfield,MA 01107 (413)241-2100 Ashwood Michael MD Internal Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004 Athreya Balaji MD Nephrology Renal & Transplant Assoc of NE PC 100 Wason Ave / Ste 200 Springfield,MA 01107 (413)733-9666 Auclair Mary PA-C Internal Medicine Saint Mary's Hospital-Occupational Health 1312 West Main St Waterbury,CT 06708 (203)709-3740 Auletta Raymond MD Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153 Appendix C -Trinity Health Of New England Non-Participating Provider List 2021 Physicians, providers and group practices not covered under the Hospital's Financial Policy

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Page 1: Non-Participating Provider List Primary Specialty Office

Non-Participating Provider List Primary Specialty Office Address Phone

Abbenante Thomas MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Abdelghany Mahmoud MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

Abdullin Marat MD Nephrology Kidney Care & Transplant Services of New England 2150 Main St Springfield,MA 01104 (413)733-0010

Abunasra Nazeeh DMD Oral & Maxillofacial Surgery Aspen Dental 179 Deming St / Unit A Manchester,CT 06042 (860)644-6500

Ackley Michael DPM Podiatry Foot Health Center of Waterbury 714 S Main St Cheshire,CT 06410 (203)271-0556

Adeleke Adebola DPM Podiatric Surgery Orthopedic Associates of Middletown PC 512 Saybrook Rd / Ste 100 Middletown,CT 06457 (860)704-6037

Adlakha Purnima MD Internal Medicine Purnima Adlakha MD 1221 Main St / Ste 216 Holyoke,MA 01040 (413)532-8700

Affenito James DMD Oral & Maxillofacial Surgery OMS Assoc 391 Main St Bristol,CT 06010 (860)589-1055

Agag Richard MD Plastic Surgery Jandali Plastic Surgery 5520 Park Ave / Ste WP-2-300 Trumbull,CT 06611 (203)374-0310

Agrawal Anjali MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Ahmed Anum MD Pediatrics Anum Ahmed, MD 580 Burnside Ave / Ste 2 East Hartford,CT 06108 (860)263-3826

Ahmed Mashrafi MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

Ahn Sungkee MD Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Ajayi Oluwatoyin MD Family Medicine Cityblock Medical Practice PC 77 Center St Waterbury,CT 06702 (203)518-4566

Ajemian Carolyn MD Radiology Naugatuck Valley Radiology 385 Main St S / Union Sq Bldg 1 Southbury,CT 06488 (203)267-5800

Akerman Eliyahu MD Pediatrics Child & Adolescent Health Care Assoc 179 Roseland Ave Waterbury,CT 06710 (203)574-4747

Akkireddi Padmalatha MD Psychiatry THONE Dept of Behavioral Health 675 Tower Ave / Ste 301 Hartford,CT 06112 (860)714-4303

Albert Ronald DMD Dentistry Fresh Impressions Dental Care 360 Tolland Turnpike Ste 2B Manchester,CT 06042 (860)649-5000

Albertsen Peter MD Urology UCONN - Health Center-Urology 263 Farmington Ave MC3955 Farmington,CT 06030 (860)679-4100

Aleem Tazeen MD Internal Medicine American Family Care 415 Cooley St / Ste 3 Springfield,MA 01128 (413)489-5528

Alizadeh Kayvon MD Referral Only Starling Physicians 1 Lake St / Ste 110 New Britain,CT 06052 (860)832-4666

Alosco Thomas MD General Surgery Thomas R Alosco MD PC 475 Chase Pkwy Waterbury,CT 06708 (203)574-0400

Alter Jeffrey MD Dermatology Jeffrey N Alter MD 1078 West Main St Waterbury,CT 06708 (203)757-1585

Amsdell Jacqueline PA-C Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)696-5520

Anatol Algernon MD Hospitalist Mercy Medical Center MIMS 271 Carew St Springfield,MA 01104 (413)748-9321

Anban Tamil MD General Surgery General Surgery 253 Tallwood Dr Vernon,CT 06066 (860)454-8760

Anderson Richard MD Neurological Surgery Office of Richard Anderson MD 299 Carew St / Ste 323 Springfield,MA 01104 (413)732-9600

Andrews Karley PA-C Physician Assistant - ENT Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Andrews Laura MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Anquillare Joseph MD Internal Medicine Starling Physicians 750 New Britain Ave Hartford,CT 06106 (860)666-5689

Ansevin Carl MD Teleneurology NuVasive Clinical Services 10275 Little Patuxent Pkwy / Ste 300 Columbia,MD 21044 (410)740-2370

Anton Ionut MD Internal Medicine Ionut Anton MD 171 Grandview Ave / Ste 204 Waterbury,CT 06708 (203)596-1909

Antonopoulos George MD Internal Medicine Naugatuck Valley Cardiovascular Associates LLC 1625 Straits Turnpike / Ste 209 Middlebury,CT 06762 (866)621-6822

Anwar Mohammed MD Pulmonary/Critical Care Northeastern Pulmonary Assoc 27 Naek Rd / Ste 2 Vernon,CT 06066 (860)875-2444

Aquavia Mary MD Internal Medicine Alliance Medical Group 32 A Poverty Rd Southbury,CT 06488 (203)405-7170

Arbulu Alfredo MD General Surgery Nutmeg Healthcare Associates, PC 15 Palomba Dr / Ste 4 Enfield,CT 06082 (860)253-5586

Arcoleo James DO Cardiovascular Disease Franklin & Hampden County Cardiovascular Assoc 50 Maple St Springfield,MA 01103 (413)748-6484

Ardon Aura MD Psychiatry Mar Y Sol Mental Health Experts LLC 50 Federal Rd / Ste A1 Danbury,CT 06810 (203)456-6989

Arena Charles DPM Podiatry Advanced Podiatric Specialists 1389 W Main St / Ste 222 Waterbury,CT 06708 (203)757-9200

Aribandi Manohar MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Aribandi Manohar MD Teleradiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Armandi Barry MD Radiology Envision - Rad Advantage, APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Aron Michael MD Orthopedic Surgery Connecticut Hand & Orthopedics 1000 Asylum Ave / Ste 3220 Hartford,CT 06105-1702 (860)247-3279

Aronin Steven MD Internal Medicine Waterbury Hospital - Infectious Disease Dept 64 Robbins St Waterbury,CT 06721 (203)573-6000

Aronow Michael MD Orthopedic Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Asch William MD Nephrology Yale Nephrology 330 Cedar St / Boardman 114 New Haven,CT 06520 (203)785-4184

Asher Kevin MD Urology Pioneer Valley Urology Group 100 Wason Ave / Ste 120 Springfield,MA 01107 (413)241-2100

Ashwood Michael MD Internal Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Athreya Balaji MD Nephrology Renal & Transplant Assoc of NE PC 100 Wason Ave / Ste 200 Springfield,MA 01107 (413)733-9666

Auclair Mary PA-C Internal Medicine Saint Mary's Hospital-Occupational Health 1312 West Main St Waterbury,CT 06708 (203)709-3740

Auletta Raymond MD Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Appendix C -Trinity Health Of New England

Non-Participating Provider List 2021

Physicians, providers and group practices not covered under the Hospital's Financial Policy

Page 2: Non-Participating Provider List Primary Specialty Office

Avenia Bryna PA-C Physician Assistant - Occupational Health SFH Center for Occupational Health 1000 Asylum Ave / Ste 4320 Hartford,CT 06105 (860)714-4270

Awais Syeda MD Pediatrics Office of Syeda Awais, MD 299 Carew St / Ste 230 Springfield,MA 01104 (413)733-8129

Awkal-Matisewski May MD Internal Medicine Trinity Health Of New England At Home Massachussetts 200 Hillside Circle / Ste 3 West Springfield,MA 01089 (413)536-0503

Babigian Gregory MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Badara Mircea MD Pulmonary/Critical Care Mircea O Badara MD 300 Kensington Ave New Britain,CT 06051 (860)224-6266

Badwal Jasdeep MD Allergy & Immunology Allergy & Immunology Assoc of New England (Springfield) 2 Medical Center Dr / Ste 406 Springfield,MA 01107 (413)732-1119

Badwal Roger DMD, MD Oral & Maxillofacial Surgery Roger S Badwal DMD MD The 3 Gables 7 Garage Rd / Ste B Southbury,CT 06488 (203)264-4141

Bahgat Christina PA-C Physician Assistant - Plastic Surgery Pioneer Valley Plastic Surgery LLC 734 Longmeadow St / Ste 201 Longmeadow,MA 01106 (413)731-7877

Bahrassa Farhad MD Neurological Surgery Trinity Health Of New England Medical Group 1000 Asylum Ave / Ste 3215 Hartford,CT 06105 (203)737-2096

Bailey Allison CCP Perfusionist St. Francis Cardiovascular Perfusionists 114 Woodland St Hartford,CT 06105 (860)714-9721

Baird Katherine PA-C Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Bajaj Mahesh MD Allergy & Immunology McGovern & Bajaj Allergy Associates 125 Liberty St / Ste 307 Springfield,MA 01103 (413)781-1383

Barcelos Nicole PsyD Neuropsychology Northeast Neuropsychology 609 W Johnson Ave / Ste 104 Cheshire,CT 06410 (203)272-6007

Barchini George MD Internal Medicine Primary Care Center 205 South Main St Thomaston,CT 06787 (860)283-6255

Barnea Eytan MD Obstetrics & Gynecology Naugatuck Valley Womens Health Specialists PC 687 Straits Turnpike / Ste 2A Middlebury,CT 06762 (203)575-1811

Barratt Lisa PA-C Physician Assistant - Acute Care Surg & Critical Care Trinity Health Of New England Medical Group 114 Woodland Street-Surgical Critical Care Hartford,CT 06105 (860)714-7059

Barry Kayse PA-C Critical Care Medicine Mercy Medical Center Critical Care Unit 271 Carew St Springfield,MA 01104-2377 (443)949-0814

Bars Alex PA-C Physician Assistant - Orthopedics Trinity Health Of New England Medical Group 114 Woodland St / Orthopedics CJRI Hartford,CT 06105 (860)714-7708

Bartfeld Ephraim MD Pediatrics Town & Country Pediatrics & Family Medicine 380 Main St Watertown,CT 06795 (860)274-8891

Bartolucci Alise APRN Cardiology Pioneer Valley Cardiology Assoc Inc 2 Medical Center Dr / Ste 410 Springfield,MA 01107 (413)748-7095

Bash Jeffrey MD Orthopedic Surgery Middlesex Orthopedic Surgeons 410 Saybrook Rd / Ste 100 Middletown,CT 06457 (860)685-8940

Bashiruddin Bashir MD Internal Medicine Family Medicine Assoc 75 Springfield Rd / Ste 1 Westfield,MA 01085 (413)562-5173

Bassett Rebecca PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Batlan Susan MD Ophthalmology Hampden Eye Physicians & Surgeons, PC 470 Granby Rd / Ste 103 South Hadley,MA 01075 (413)535-1700

Baylis Allison DMD General Dentistry West Shore Family Dental 141 Captain Thomas Blvd West Haven,CT 06516 (203)932-3675

Bayuk Jonathan DO Allergy & Immunology Allergy & Immunology Assoc of New England (Northampton) 269 Locust St Northampton,MA 01062 (413)586-0769

Beach Cheyenne MD Pediatric Cardiology Yale U School of Medicine-Pediatrics Yale U Sch Med 333 Cedar St / LCI 302 PO Box 208064 New Haven,CT 06520 (203)785-2022

Beam Harold MD Plastic Surgery CT Valley Plastic Surgery 300 Hebron Ave Ste 101 Glastonbury,CT 06033 (860)659-9990

Beauvais Paul MD Orthopedic Surgery Surgical Colleagues Orthopedic Trauma Clinic / 133 Scovill St Ste 308 Waterbury,CT 06706 (203)709-6680

Bedford John MD Internal Medicine John Bedford MD 222 Carew St / Ste 301 Springfield,MA 01104 (413)732-4478

Beierle Stephanie PA-C Neurosurgery NOSS-Neurosurgery 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Belfield Beata MD General Surgery Trinity Health Of New England Medical Group 114 Woodland St / Dept of Surgery Hartford,CT 06105 (860)714-5237

Bell Alistair MD Hospitalist Mercy Medical Center MIMS 271 Carew St Springfield,MA 01104 (413)748-9321

Bell Todd DPM Podiatry Connecticut Podiatry Associates 57 Jolley Dr Bloomfield,CT 06002 (860)286-9161

Bellapu Sowdhamani MD Emergency Medicine Envision Physician Services 3 Century Dr Parsippany,NJ 07054 (973)436-5540

Belmont Ami MD Medicine Saint Mary's Hospital Medical & Pediatric Clinic 133 Scovill St / Ste 306 Waterbury,CT 06706 (203)709-3800

Belmont Arthur MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Belniak Robert MD Orthopedic Surgery Starling Physicians One Lake St / Bldg D Ste 101 New Britain,CT 06052 (860)832-4666

Bendioukova Tatiana MD Pediatrics Baystate Brightwood Clinic 380 Plainfield St Springfield,MA 01107 (413)794-4458

Benthien Ross MD Orthopedic Surgery Orthopedic Assoc of Hartford 499 Farmington Ave / Ste 300 Farmington,CT 06032 (860)549-8262

Benzoni Elisa DO Obstetrics & Gynecology Specialists in Women's Healthcare 134 Grandview Ave / Ste 210 Waterbury,CT 06708 (203)754-2535

Berenberg Thomas MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Berger Steven MD Ophthalmology Baystate Eye Care 275 Bicentennial Hwy / Ste 101 Springfield,MA 01118 (413)783-3100

Berland Robert MD Neurology Neurology Assoc 100 Wells St / Ste 1B Hartford,CT 06103 (860)278-8937

Bernbach Marc DPM Podiatry Waterbury Podiatry Consultants 171 Grandview Ave / Ste 104 Waterbury,CT 06708 (203)753-2048

Bernstein Frederic DO Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Berry Eleanor MD Obstetrics & Gynecology Specialists in Women's Healthcare 134 Grandview Ave / Ste 210 Waterbury,CT 06708 (203)754-2535

Beshi Belinda PA-C Physician Assistant - Surgical Mercy Medical Center - MIMA 271 Carew St Springfield,MA 01104 (413)748-9321

Bhargava Alok MD Neurology Connecticut Neurological Services 134 Grandview Ave / Ste 208 Waterbury,CT 06708 (203)755-3279

Bhatnagar Nitin DO Cardiovascular Disease Hampden & Franklin County Cardiovascular Assoc 146 Federal St Greenfield,MA 01301 (413)774-2222

Bhorania Kush MD Hospitalist Mercy Medical Center MIMS 271 Carew St Springfield,MA 01104 (413)748-9321

Bienia-Kenton Lisa MD Emergency Medicine Mercy Medical Center - Emergency Department 271 Carew St Springfield,MA 01104 (413)748-9670

Bilman Elina DMD Dentistry Pediatric Dental Assoc of Southbury One Pomperaug Office Park / Ste 206 Southbury,CT 06488 (203)264-1497

Birdsey Alison CNM Midwife, Certified Nurse SHE Medical Assoc 449 Farmington Ave Hartford,CT 06105 (860)236-5431

Bishop David MD Hematology/Oncology Mercy Oncology Services 271 Carew St Springfield,MA 01104 (413)748-7370

Bitterman Jeffrey MD Radiation Oncology Harold Leever Regional Cancer Center 1075 Chase Pkwy Waterbury,CT 06708 (203)575-5555

Page 3: Non-Participating Provider List Primary Specialty Office

Black Tammie DPM Podiatric Surgery Valley Podiatry Assoc (South Hadley) 81 Willimansett St South Hadley,MA 01075 (413)536-0912

Blackman Gregory MD Radiology Mercy Medical Center - Radiology 271 Carew St Springfield,MA 01104 (413)748-9200

Blomstrom Glen MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Bloom Justin DMD Dentistry Smiles in Bloom P O Box 806 / 137 Prospect Hill Rd East Windsor,CT 06088 860-254-5840

Bluth Lawrence MD Neurology Hartford Neurology LLC 85 Seymour St Ste 800 Hartford,CT 06106 (860)522-4429

Bocciarelli Paul DMD Oral & Maxillofacial Surgery Greater Harford Orthopedic 506 Cromwell Ave / Ste 101 Rocky Hill,CT 06067 (860)522-1171

Bogursky Sondra MD Internal Medicine Saint Mary's Hospital Medical & Pediatric Clinic 133 Scovill St / Ste 306 Waterbury,CT 06706 (203)709-3800

Bohan Deborah PA-C Physician Assistant, Medical Mercy Medical Center Critical Care Unit 271 Carew St Springfield,MA 01104-2377 (443)949-0814

Bonacum Julia MD, MPH Critical Care Medicine Mercy Medical Center Critical Care 271 Carew St Springfield,MA 01104 (413)748-9860

Bonde Pramod MD Cardiothoracic Surgery Yale U School of Medicine-Pediatrics Yale U Sch Med 333 Cedar St / LCI 302 PO Box 208064 New Haven,CT 06520-8064 (203)785-2022

Bontempo Nicholas MD Orthopedic Trauma Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Bornstein Linda MD Radiation Oncology Mercy Medical Center 271 Carew St Springfield,MA 01104 (413)748-9000

Borowsky Claude MD Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Borz Baba Carolina MD Internal Medicine Saint Mary's Hospital-Department of Medicine 56 Franklin St Waterbury,CT 06706 (203)709-8685

Bosjolie Angela DO Ophthalmology Opticare 87 Grandview Ave Waterbury,CT 06708 (203)574-2020

Botta Robert MD Surgery Southern Connecticut Vascular Center, LLC 495 Hawley Ln Stratford,CT 06614 (203)210-6302

Bourassa Alisha CRNA Nurse Anesthetist Anesthesiologists of Middletown PC 145 Main St Middletown,CT 06457 (860)347-0720

Bouvier Joseph MD Ophthalmology Baystate Eye Care 275 Bicentennial Hwy / Ste 101 Springfield,MA 01118 (413)783-3100

Bovienzo James DO Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Bowers David MD Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Bowman David MD Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Bradley Jakell APRN Internal Medicine Saint Mary's Hospital-Family Health Center-Adult Medicine 133 Scovill St / Ste 209 Waterbury,CT 06706 (203)709-3800

Brancato Raphael DO Emergency Medicine Saint Francis Emergency Medical Group 114 Woodland St Hartford,CT 06105 (860)714-4001

Branden Peter MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Bredvik Brian MD Ophthalmology Springfield Eye Assoc 3640 Main St / Ste 205 Springfield,MA 01107 (413)739-7367

Breen Christopher MD Orthopedic Surgery Mercy Orthopedic Hospitalists 401 Chestnut St Springfield,MA 01104 (413)452-6152

Brenes Joseph MD Internal Medicine Wound Care Specialists LLC 76 Batterson Park Rd / Ste 106 Farmington,CT 06032 (203)598-6045

Brenes Laura MD Internal Medicine Laura Brenes Dorso MD 145 Grove St Waterbury,CT 06710 (203)753-7205

Brenes Robert MD General Surgery Wound Care Specialists LLC 76 Batterson Park Rd / Ste 106 Farmington,CT 06032 (203)598-6045

Brezenoff Leigh MD Orthopedic Surgery Litchfield Hills Orthopedic Associates 281 North Main St Bristol,CT 06010 (860)482-8539

Britting Kathleen APRN NP - Neonatal Trinity Health Of New England Medical Group 114 Woodland St - NICU Hartford,CT 06105 (860)714-4404

Brooks Daniel MD Neurology Yale Medical 15 York St / LLCI 810 New Haven,CT 06510 (203)785-2791

Brooks Glen MD Plastic Surgery Office of Glen Brooks MD 776 Longmeadow St Longmeadow,MA 01106 (413)565-4400

Brown Kimberly PA-C Physician Assistant - ENT Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Brown Seth MD Otolaryngology ProHealth Physicians Ear Nose & Throat 599 Farmington Ave / Ste 101 Farmington,CT 06032 (860)284-4950

Brown Wilfred MD Plastic Surgery Wilfred Brown MD 530 Middlebury Rd / Ste 201A Middlebury,CT 06762 (203)758-2564

Buffum James MD Cardiology Pioneer Valley Cardiology Assoc Inc 2 Medical Center Dr / Ste 410 Springfield,MA 01107 (413)748-7095

Bugai Terrence MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Bulger Christopher MD Vascular Surgery Vein Clinics of America 95 Glastonbury Blvd Glastonbury,CT 06033 (860)652-8400

Bur Martin MD Pathology New England Pathology Assoc 299 Carew St Springfield,MA 01104 (413)748-9513

Burek Kelly DPM Podiatric Surgery Office of Kelly Burek DPM 150 Southampton Rd Westfield,MA 01086-0123 (413)572-1606

Burgos-Jimenez Denisse PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Burgwardt Kent DO Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Burns Jeffrey MD Orthopedic Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Burstein Eitan MD Ophthalmology Danbury Eye Physicians 69 Sandpit Rd / Ste 101 Danbury,CT 06810 (203)791-2020

Burton Jay DO Internal Medicine Enfield Medical Assoc 701 Enfield St Enfield,CT 06082 (860)741-6058

Busekroos Lauren MD Otolaryngology Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Byrne Robert MD Hematology/Oncology Office of Robert Byrne, MD 1221 Main St / Ste 208 Holyoke,MA 01040 (413)538-9694

Caffyn Sean DO Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Calabrese Bethany DO Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Calle Yael APRN Nurse Anesthetist Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Calvanese Alphonse MD Internal Medicine Alphone Calvanese 299 Carew St / Ste 426 Springfield,MA 01104 (413)732-8060

Camargo Faye Erica MD, PhD Teleneurology Massachusetts General Hospital 55 Fruit St Boston,MA 02114

Camera Karen MD Pediatrics Pioneer Valley Pediatrics 123 Dwight Rd Longmeadow,MA 01106 (413)567-1031

Campbell Brendan MD Pediatric Surgery Connecticut Children's Specialty Group Inc 282 Washington St Hartford,CT 06106 (860)545-9520

Campbell Elisabeth PA-C Physician Assistant - Acute Care Surg & Critical Care Trinity Health Of New England Medical Group 114 Woodland St Hartford,CT 06105 (860)714-5942

Page 4: Non-Participating Provider List Primary Specialty Office

Caporaso Edmund MD Internal Medicine Edumund F Caporaso MD 1567 East Main St Waterbury,CT 06705 (203)597-9778

Cappa Joseph MD Gastroenterology Connecticut GI PC – Glastonbury 300 Western Blvd / Ste A Glastonbury,CT 06033 (860)657-1920

Caprio Kimberly MD General Surgery Hartford Healthcare Medical Group 220 Kennedy Dr Torrington,CT 06790 (860)496-3240

Carangelo Robert MD Orthopedic Surgery Orthopedic Associates of Hartford 201 North Mountain Rd Plainville,CT 06062 860-223-8553

Cardaropoli Amanda APRN Nurse Practitioner Pioneer Valley Cardiology Assoc Inc 2 Medical Center Dr / Ste 410 Springfield,MA 01107 (413)748-7095

Carignan Eva MD Referral Only Greater Hartford Women's Health Assoc 345 North Main St / Ste 201 West Hartford,CT 06117-2529 (860)561-7222

Carlson Joanna MD Radiology Mercy Medical Center - Radiology 271 Carew St Springfield,MA 01104 (413)748-9200

Carney Steven DDS Oral & Maxillofacial Surgery Steven W Carney DDS 583 Saybrook Rd / Fl 2 Middletown,CT 06457 (860)346-6060

Carrens Karen PA-C Physician Assistant – General Surgery Trinity Health Of New England Medical Group 114 Woodland St / Dept of Surgery Hartford,CT 06105 (860)714-5237

Carroll James MD Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Carroll Jennifer CRNA Anesthesiology Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

Carta Angelee MD Internal Medicine Carta Internal Medicine 192 East Center St Manchester,CT 06040 (860)649-3243

Casey David MD Cardiovascular Disease Starling Physicians 2110 Silas Deane Hwy Rocky Hill,CT 06067 (860)258-3477

Casey Lindsey APRN Nurse Practitioner Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

Cassidy Brennan DDS Dentistry Trinity Health Of New England Medical Group 1000 Asylum Ave Ste 3200 / The Dental Center Hartford,CT 06105 (860)714-4995

Catala Edgar MD Internal Medicine Scovill Medical Group 1389 W Main St / Bldg 2 Ste 325 Waterbury,CT 06706 (203)574-1274

Catjakis Renee APRN Occupational Medicine Mercy Medical Center/Occupational Health 233 Carew St Springfield,MA 01104 (413)748-9000

Cavin Lillian MD Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Cennerazzo Albert MD Pediatrics Valley Medical Assoc 3640 Main St / Ste 207 Springfield,MA 01107 (413)739-0669

Chacko Elizabeth CRNA Anesthesiology Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

Chai Raymond MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Chain Jeffrey MD Orthopedic Surgery Mercy Orthopedic Hospitalists 401 Chestnut St Springfield,MA 01104 (413)452-6152

Chan Mark MD Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Chang Victor MD Internal Medicine Smilow Cancer Center-Waterbury 1075 Chase Pkwy Waterbury,CT 06708 (203)755-6311

Chaput Christine DO Pediatrics Pediatric and Adolescent Medicine of Simsbury PO Box 315 33 Canal St Simsbury,CT 06089 (860)658-1058

Charles Janicia APRN Nurse Practitioner Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Cheema Mohiuddin MD Cardiothoracic Surgery Hartford Health Care Medical Group 85 Seymour St Ste 919 Hartford,CT 06106 (860)696-5533

Chew Brittany APRN Nurse Practitioner Kidney Care & Transplant Services of New England 354 Birnie Ave / 1st Floor Springfield,MA 01107 (413)733-0010

Chinchilla Jeannette MD Pediatrics Ped. & Adolescent Med. of Cheshire, LLC 677 South Main St Cheshire,CT 06410 (203)272-2382

Chiravuri Murali MD Cardiac Electrophysiology Cardiac Specialists 1305 Post Rd Fairfield,CT 06824 (203)292-0808

Chiu Sherard MD Bariatric Surgery New York Bariatric Group 140 Sherman St Fairfield,CT 06824 (516)616-5500

Chokshi Moulin MD Cardiology Franklin & Hampden County Cardiovascular Associates 5 Maple St Springfield,MA 01103 (413)748-6484

Choudhry Farah MD Pediatrics Alliance Medical Group PC - Pediatrics 1625 Straits Turnpike Middlebury,CT 06762 (203)759-0666

Christensen Tyler DO Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Christian Michael DMD Prosthodontics Center for Dental Excellence 14 Brace Rd West Hartford,CT 06107 (860)521-7129

Christiano Kathleen LMT Massage Therapist Kathleen Chrisitano, LMT 27 Platt Dr Prospect,CT 06712 (203)527-9778

Chua-Reyes Jesse MD Internal Medicine VITAS Healthcare 199 Park Rd / Ste 102 Middlebury,CT 06762 (203)437-3111

Chugh Priyanka MD Medicine Trinity Health of New England - Gastroenterology 58 Maple St / Ste 300 Naugatuck,CT 06770 (203)709-6646

Chung Juyeon PA-C Cardiac Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)522-7181

Ciampi Marc MD Internal Medicine Connecticut Kidney & Hypertension Specialists LLC 140 Grandview Ave / Ste 101 Waterbury,CT 06708 (203)597-9733

Clarizio Jacqueline PA-C Surgery Jandali Plastic Surgery 5520 Park Ave / Ste WP-2-300 Trumbull,CT 06611 (203)374-0310

Clark Justin MD Teleradiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Clarke Brian PA-C Cardiac Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)696-5520

Clarke Greer MD Pediatrics Redwood Pediatrics & Adolescent Med 15 Vreeland Ave E Longmeadow,MA 01028 (413)787-2555

Coffin Jamie APRN NP - Specialty Care Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Cohen Eric MD Child & Adolescent Psychiatry Eric B. Cohen, MD, LLC 10 North Main St Ste 315 West Hartford,CT 06107 (860)714-9785

Cohen Rachel APRN NP - Occupational Medicine SFH Center for Occupational Health 100 Deerfield Rd Windsor,CT 06095 (860)714-9444

Collinge Janine MD Pediatric Ophthalmology Connecticut Children's Medical Center Eye Care Farmington / 366 Colt Highway Farmington,CT 06032 (860)837-9600

Collins Kevin DO Refer & Follow ProHealth Physicians 19 Woodland St / Ste 42 Hartford,CT 06105 (860)249-9336

Colliton Felice MD Obstetrics & Gynecology Woodland Women's Health Assoc 19 Woodland St / Ste 31 Hartford,CT 06105 (860)728-1212

Competiello Louis MD Gastroenterology Louis S Competiello MD 139 Hazard Ave / Bldg 1 Ste 3 Enfield,CT 06082 (860)763-3434

Concannon Carol APRN NP - Occupational Medicine SFH Center for Occupational Health 1000 Asylum Ave / Ste 4320 Hartford,CT 06105 (860)714-4270

Conley Siobhan PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Conti-Kelly Ann MD Internal Medicine Thomas P Greco MD PC P O Box 398 Cheshire,CT 06410

Conway Stephen MD Neurology Hartford Neurology LLC 85 Seymour St Ste 800 Hartford,CT 06106 (860)522-4429

Cooper Raphael MD Urology Starling Physicians 1 Lake St New Britain,CT 06052 (860)348-4936

Page 5: Non-Participating Provider List Primary Specialty Office

Cooper Scott MD Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Coopersmith Leslie MD Internal Medicine Scovill Medical Group 1389 W Main St / Bldg 2 Ste 325 Waterbury,CT 06706 (203)574-1274

Corl Keith MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Corsetti John MD Orthopedic Surgery New England Orthopedic Surgeons 300 Birnie Ave / Ste 201 Springfield,MA 01107 (413)785-4666

Cosgriff Jo-Anne MD Internal Medicine Alliance Medical Group PC 1625 Straits Turnpike Middlebury,CT 06762 (203)758-1004

Costa Robert MD Obstetrics & Gynecology Fitzpatrick, Moran, Costa & Haag-Rickett 299 Carew St / Ste 215 Springfield,MA 01104 (413)781-6210

Covey Cinthia MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Covici Steven MD Ophthalmology Office of Steven Covici MD 3640 Main St / Ste 203 Springfield,MA 01107 (413)737-7300

Cronin Tara MD Pediatric Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Crowley Joanne MD Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Cucka Michael MD Orthopedic Surgery Bristol Orthopaedics LLC 641 B Clark Ave Bristol,CT 06010 (860)582-6603

Cuniowski Peter MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Cusano Anthony MD Internal Medicine Connecticut Kidney & Hypertension Specialists LLC 140 Grandview Ave / Ste 101 Waterbury,CT 06708 (203)597-9733

Cwass Evan DPM Podiatric Surgery Western Mass Podiatry Assoc 264 N Main St East Longmeadow,MA 01028 (413)525-4373

Cycz John-Michael APRN Cardiology Pioneer Valley Cardiology Assoc Inc 2 Medical Center Dr / Ste 410 Springfield,MA 01107 (413)748-7095

Czarick Brittany PA-C Physician Assistant - Surgical Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Czarsty Craig MD Family Practice ProHealth Physicians - Oakville Family Physicians 314 Main St Oakville,CT 06779 (860)274-3344

Czerkawska-Zydzik Magdalena MD Pediatrics Pediatric Care Assoc 299 Carew St / Ste 210 Springfield,MA 01104 (413)732-5580

Daccache Armand MD Ophthalmology Danbury Eye Physicians 69 Sandpit Rd / Ste 101 Danbury,CT 06810 (203)791-2020

DaCruz Jason PA-C Physician Assistant - Orthopedics Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Daftary Aditya MD Teleradiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

D'Alessandro Michael MD Internal Medicine Mercy Medical Center - Healthcare for Homeless 271 Carew St Springfield,MA 01104 (413)748-9063

Daniel Shaji MD Nephrology Renal & Transplant Assoc of NE PC 100 Wason Ave / Ste 200 Springfield,MA 01107 (413)733-9666

Dao Nhu-Y MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Darling Alisa MD Physical Medicine & Rehabilitation Neurosurgery Orthopedic & Spine Specialists PC 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Darr Umer MD Cardiothoracic Surgery Yale Medicine 330 Cedar St New Haven,CT 06510 (203)785-5000

Dass Punam MD Medicine Waterbury Neurology LLC 1579 Straits Turnpike / Ste 307 Middlebury,CT 06762 (203)758-8995

Dauphinais Karl MD Internal Medicine ProHealth Physicians of Farmington 21 South Rd / Ste 110 Farmington,CT 06032 (860)284-4945

Davey Brooke MD Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Daviau Duncan PA-C Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Davidson Derek DO Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Davies Jeffrey MD Internal Medicine Total Medical Care, Inc. 340 Broad St Windsor,CT 06095 860-688-8888

Davis Aloysius MD Psychiatry Office of Aloysius L. Davis, MD 167 Dwight Rd / Ste 208 Longmeadow,MA 01106 (413)567-6790

Davis Maura APRN Psychiatry CMS Advocates LLC 121 Templewood Dr Duxbury,MA 02332 (888)297-6967x10

Davis Stephen MD Orthopedic Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

De Los Reyes Odin DPM Podiatry Odin Reyes DPM 1 Pomperaug Office Park / Ste 105 Southbury,CT 06488 (203)262-6100

De Peralta Edgar MD Intraoperative Spinal Monitoring NuVasive Clinical Services 10275 Little Patuxent Pkwy / Ste 300 Columbia,MD 21044 (410)740-2370

DeBiase Robert MD Cardiovascular Disease Bristol Hospital Multi-Specialty Group 22 Pine St Bristol,CT 06010 (860)582-3235

DeLessio-Matta Annemarie DMD Pediatric Dentistry Pediatric Dental Assoc of Southbury One Pomperaug Office Park / Ste 206 Southbury,CT 06488 (203)264-1497

Delimon-Beauzile Lourdes MD Pediatrics Trinity Health Of New England Medical Group 230 Main St Agawam,MA 01001 (413)789-6800

Della Badia John MD Neurophysiology SpecialtyCare 3 Maryland Farms / Ste 200 Brentwood,TN 37027 (615)345-5450

DeLuca Joseph MD Internal Medicine Alliance Medical Group PC 1625 Straits Turnpike Middlebury,CT 06762 (203)758-1004

DeLucia David MD Internal Medicine David DeLucia, MD 134 Grandview Ave Waterbury,CT 06708 (203)756-7788

Dematos Jessica PA-C Physician Assistant - Plastic Surgery Trinity Health Of New England Medical Group 114 Woodland St Hartford,CT 06105 (860)714-4000

DeMello Dominic MD Rheumatology Springfield Medical Assoc 2150 Main St Springfield,MA 01104 (413)739-5676

Demesh Daniel MD Surgery Westwood Ear Nose & Throat PC 60 Westwood Ave / Ste 104 Waterbury,CT 06708 (203)574-5997

Demos Peter MD Dermatology Office of Peter Demos MD 125 Liberty St / Ste 403 Springfield,MA 01103 (413)739-6611

Denhart Brett DMD, MD Dentistry Office of Brett Denhart DMD MD 1066 Granby Rd Chicopee,MA 01020 (413)534-4224

Dennis Kathy-Ann MD Rheumatology Trinity Health Of New England Medical Group Adult Primary Clinic / 1000 Asylum Ave Ste 1004 Hartford,CT 06105 (860)714-4532

Desai Nirav MD Bariatric Surgery Surgery 125 Mineola Ave Ste 200 Roslyn Heights,NY 11577 (516)616-5500

DeSesa Christopher DMD Oral & Maxillofacial Surgery McNally Brothers Oral & Maxillofacial Surgery 75 Van Deene Ave / Ste 201 West Springfield,MA 01089 (413)788-9621

Dessieux Rools DDS Oral & Maxillofacial Surgery Dental Care of Stamford 1500 Summer St Stamford,CT 06905 (203)720-6732

Devanney Sean MD Emergency Medicine Saint Francis Emergency Medical Group 114 Woodland St Hartford,CT 06105 (860)714-4001

Dezfoolian Roshanak DMD Dentistry Chase Pkwy Dental 714 Chase Pkwy / Ste 2A Waterbury,CT 06708 (203)757-1455

Diaz Arley MD Nephrology Kidney Care & Transplant Services of New England 2150 Main St Springfield,MA 01104 (413)733-0010

Dickert Benjamin DPM Podiatric Surgery Springfield Podiatry Assoc 222 Carew St Springfield,MA 01107 (413)736-3225

Page 6: Non-Participating Provider List Primary Specialty Office

DiLoreto Albert PA-C Anesthesiology NOSS - Orthopaedics 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Dimario Francis MD Pediatric Neurology Francis DiMario, MD Dept Pediatric Univ of Ct Farmington,CT 06032 (860)679-3535

Dinwoodie Robert DO Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Dissen Ayelet PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Ditzenberger John MD Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

DiVito Catarina CRNA Nurse Anesthetist Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

D'Occhio Marzena CRNA Anesthesiology Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

Doi Kei MD Radiology Northeast Radiology PC 3839 Danbury Rd Brewster,NY 10509 (845)278-6200

Donald Orland MD Emergency Medicine Northeast Emergency Medicine Specialists LLC Windham Hospital / 112 Mansfield Ave Willimantic,CT 06226 (860)456-9116

Donaldson Deirdre MD Neurology Deirdre H Donaldson MD 491 Coolidge Hwy Guilford,VT 05301

Donegan Ryan DPM Surgery Advanced Podiatric Specialists 1389 W Main St / Ste 222 Waterbury,CT 06708 (203)757-9200

Donofrio David CCP Perfusionist St. Francis Cardiovascular Perfusionists 114 Woodland St Hartford,CT 06105 (860)714-9721

Dorak Andrea PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Dorsey Morgan PA-C Physician Assistant - Orthopedics Orthopedic Assoc of Hartford 499 Farmington Ave / Ste 300 Farmington,CT 06032 (860)549-8262

Dottino Ezra DPM Podiatry Dr McHugh & Assoc PC 777 Echo Lake Rd Watertown,CT 06795 (860)274-1773

Doty Elizabeth APRN Allergy & Immunology Starling Physicians PC 1260 Silas Deane Highway / Ste 107 Wethersfield,CT 06109 (860)246-6647

Douyard Andrea PA-C Pediatrics Town & Country Pediatrics & Family Medicine 380 Main St Watertown,CT 06795 (860)274-8891

Dowling Heather MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8126

Downes Deborah MD Ophthalmology Surgical & Medical Ophthalmology 295 East Center St Manchester,CT 06040 (860)646-4083

Downey Megan PA-C Physician Assistant - Cardiology Hampden & Franklin County Cardiovascular Assoc 230 Maple St / Ste 301 Holyoke,MA 01040 (413)534-1800

Doyle David MD Internal Medicine Urgent Care Physicians, PC 1515 Allen St Springfield,MA 01118 (413)783-9114

Drake Macarthur MD Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Drennan Peter DO Internal Medicine Springfield Medical Assoc 2150 Main St Springfield,MA 01104 (413)739-5676

Drye Adora MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Dua Vipul MD Orthopedic Surgery Vipul Dua MD LLC 2800 Tamarack Ave / Ste 106 South Windsor,CT 06074 (860)644-5972

Duffy Patrick MD Orthopedic Surgery Patrick R Duffy MD 166 Waterbury Rd / Ste 301 Prospect,CT 06712 (203)758-3163

Durkin Louis MD Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Dwomoh Ivy MD Pediatrics Alliance Medical Group PC - Pediatrics 1625 Straits Turnpike Middlebury,CT 06762 (203)759-0666

Dziedzic Mark MD Emergency Medicine Northeast Emergency Medicine Specialists LLC Windham Hospital / 112 Mansfield Ave Willimantic,CT 06226 (860)456-9116

Eccher Matthew MD Neurology NuVasive Clinical Services 10275 Little Patuxent Pkwy / Ste 300 Columbia,MD 21044 (410)740-2370

Eigles Stephen MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Eisler Jesse MD Orthopedic Surgery Connecticut Back Center 460 Hartford Turnpike / Ste B Vernon,CT 06066 (860)872-6241

El Mallah Wael MD Cardiology Starling Physicians 1260 Silas Deane Hwy Wethersfield,CT 06109 (860)258-3477

Elder Ann MD Physical Medicine & Rehabilitation Post Acute Care Clinicians LLC 1 S End Bridge Cir Agawam,MA 01001 (413)304-2501

Elder Robert MD Pediatric Cardiology Yale School of Medicine Pediatrics 333 Cedar St / LMP 3105 New Haven,CT 06520 (203)785-4643

Elser J Michael MD Internal Medicine Alliance Medical Group, PC (Naugatuck) 305 Church St Naugatuck,CT 06770 (203)729-6641

Engelberg Daniel DO Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Enos James MD Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Eppsteiner Robert MD Otolaryngology Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Erdman Trisha PA-C Vascular Surgery The Vascular Experts 1449 Old Waterbury Rd / Ste 101 Southbury,CT 06488 (844)482-7285

Esemuede Iyare MD Colon & Rectal Surgery St. Mary's Hospital - Surgery Dept 133 Scovill St / Ste 303 Waterbury,CT 06706 (203)709-6871

Etherton Mark MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Ettinger Jeffrey MD Internal Medicine ProHealth Physicians 515 West Middle Turnpike Manchester,CT 06040 (860)533-4176

Evales Maria MD Pediatrics Springfield Pediatrics LLC 299 Carew St / Ste 126 Springfield,MA 01104 (413)747-5437

Fadlon Iris MD Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Fahey John MD Pediatric Cardiology Yale University School of Medicine-Ped Department of Pediatrics / 333 Cedar St Ste LCI 302 New Haven,CT 06510 (203)785-2022

Farkas Paul MD Gastroenterology Western Mass GI Assoc 299 Carew St / Ste 419 Springfield,MA 01104 (413)737-7951

Farkhondeh Mina MD Pediatrics Pioneer Valley Pediatrics 123 Dwight Rd Longmeadow,MA 01106 (413)567-1031

Fattahi Pooia MD Neurology Waterbury Neurology LLC 1579 Straits Turnpike / Ste 307 Middlebury,CT 06762 (203)758-8995

Fausey Jonathan PA-C Physician Assistant - Orthopedics Trinity Health Of New England Medical Group 114 Woodland St / Orthopedics CJRI Hartford,CT 06105 (860)714-7708

Feder Henry MD Family Medicine Asylum Hill Family Medicine Center Inc 99 Woodland St Hartford,CT 06105 (860)714-4212

Feldman Thomas MD Gastroenterology Connecticut GI PC – Farmington 21 South Rd / Ste 100 Farmington,CT 06032 (860)409-4567

Felice Patrick MD Plastic Surgery DBA Youthful Images 580 Cottage Grove Rd / Ste 103 Bloomfield,CT 06002 (860)242-0505

Feller Erin MD Pediatrics Pioneer Valley Pediatrics 115 Elm St Enfield,CT 06082 (860)745-3336

Feller Matthew MD Internal Medicine Trinity Health Of New England Medical Group 114 Woodland St Hartford,CT 06105 (860)714-7446

Fenton David MD Internal Medicine Starling Physicians 289 Western Blvd Glastonbury,CT (860)258-3477

Page 7: Non-Participating Provider List Primary Specialty Office

Ferdman Dina MD Pediatric Cardiology Yale U School of Medicine-Pediatrics Yale U Sch Med 333 Cedar St / LCI 302 PO Box 208064 New Haven,CT 06520-8064 (203)785-2022

Ferlan Virginia MD Obstetrics & Gynecology Connecticut Women Obstetrics & Gynecology 1050 Sullivan Ave / Ste A4 South Windsor,CT 06074 (860)648-2748

Fernandes Sophia PA-C Physician Assistant - Surgical Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Ferneini Elie DMD, MD Oral & Maxillofacial Surgery Greater Waterbury OMS LLC 435 Highland Ave / Ste 100 Cheshire,CT 06410 (203)272-7700

Ferrante Peter DPM Podiatry Dr McHugh & Assoc PC 777 Echo Lake Rd Watertown,CT 06795 (860)274-1773

Ferro Keith DMD Prosthodontics Keith Ferro DMD 10 Crossroads Plaza West Hartford,CT 06117 (860)523-8287

Fettinger Patrick DPM Podiatry Patrick Fettinger DPM 415 Middlebury Rd / Middlebury Professional Building Middlebury,CT 06762 (203)598-0357

Fignar Timothy MD Family Medicine Fignar Family Practice LLC 15 Palomba Dr / Ste 5 Enfield,CT 06082 (860)745-0030

Filippi Matthew DPM Wound Care Office of Matthew Filippi DPM 319 Maple St East Longmeadow,MA 01028 (413)525-4311

Filosi Denise PA-C Physician Assistant - Pediatrics Manchester Pediatric Associates 2701 Tamarack AvenuePO Box 8175 South Windsor,CT 06074-8175 (860)647-8282

Finck Christine MD General Surgery Connecticut Children's Specialty Group Inc 282 Washington St Hartford,CT 06106 (860)545-9520

Finn Heather LAc Acupuncture Trinity Health Of New England Medical Group 114 Woodland St - Integrative Medicine Hartford,CT 06105 (860)714-4450

Fisher Marc DPM Podiatric Surgery Office of Marc Fisher DPM – Westfield 48 E Silver St / Ste 3 Westfield,MA 01085 (413)562-5611

Fishman Stephen MD Obstetrics & Gynecology Woodland Women's Health Assoc 19 Woodland St / Ste 31 Hartford,CT 06105 (860)728-1212

Fitzpatrick Robert DO Medicine Family Care Medical Center 1515 Allen St Springfield,MA 01118 (413)783-9114

Fletcher Jonathan MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Florimon Ramirez Aidette MD Pediatrics Caring Health Center Inc 1038 Main St Springfield,MA 01103 (413)739-1100

Flynn William MD Orthopedic Surgery NOSS - Orthopaedics 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Folger Julianne PA-C Physician Assistant - Cardiothoracic Surgery THOfNE Dept of Surgery - Cardiovascular Surgery 114 Woodland St Hartford,CT (860)714-1094

Forman Rachel MD Teleneurology Yale Department of Neurology 15 York St / LCI 1003 New Haven,CT 06520 (203)737-2935

Formica Richard MD Nephrology Yale Transplant Nephrology 114 Woodland St Hartford,CT 06105 (203)785-2565

Forshaw David MD Neurosurgery Neurosurgery Orthopedic & Spine Specialists PC 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Fosdick Gordon DPM Podiatric Surgery Affiliated Foot Care Center 470 Main St - POBox 221 Middlefield,CT 06455 (860)349-8500

Foster Jonathan MD Obstetrics & Gynecology Center for Obstetrics and Gynecology 60 Westwood Ave / Ste 100 Waterbury,CT 06708 (203)578-4609

Fountas Diane MD Pediatrics Diane Fountas MD 110 Woodbury Rd Watertown,CT 06795

Franklin Michael MD Otolaryngology Buckland Ear Nose & Throat 360 Tolland / Turnpike 1-E Manchester,CT 06040 (860)645-6675

Fredericks Carolyn MD Teleneurology Yale Medicine 800 Howard Ave New Haven,CT 06520 (203)785-4085

Freeman James MD Internal Medicine James Freeeman MD 265 Benton Dr / Ste 106 East Longmeadow,MA 01028 (413)318-0011

Fried Jeremy MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Friedman Jeffrey DO Radiology Mercy Medical Center - Radiology 271 Carew St Springfield,MA 01104 (413)748-9200

Fromson Thomas MD Pediatrics West Hartford Pediatrics, LLC 785 Farmington Ave West Hartford,CT 06119 (860)523-4100

Fulco Michael PhD Psychology Michael N Fulco PhD 703 Hebron Ave Glastonbury,CT 06033 (860)430-1602

Fuller Karl PA-C Physician Assistant - Rehab Medicine Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Gabriele Kathleen DO Obstetrics & Gynecology Woodland Women's Health Assoc 19 Woodland St / Ste 31 Hartford,CT 06105 (860)728-1212

Gaffar Majida MD Ophthalmology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Galasso Franco MD Internal Medicine Scovill Medical Group 1389 W Main St / Bldg 2 Ste 325 Waterbury,CT 06706 (203)574-1274

Gallo Stephen MD Urology Pioneer Valley Urology Group 100 Wason Ave / Ste 120 Springfield,MA 01107 (413)241-2100

Garcia Rina MD Referral Only Iora Primary Care 1000 Avery Hts Hartford,CT 06106 (860)840-2622

Garcia-Lopez De Victoria Elizabeth MD Neurophysiology SpecialtyCare 3 Maryland Farms / Ste 200 Brentwood,TN 37027 (615)345-5450

Garvey Holle APRN Family Medicine Mercy Medical Center - Healthcare for Homeless 271 Carew St Springfield,MA 01104 (413)748-9063

Gaskell Alexis PA-C Physician Assistant - Plastic Surgery Plastic Surgery of Greater Hartford One Barnard Lane / Ste 102 Bloomfield,CT 06002 (860)243-1889

Gaudio Alexander MD Ophthalmology Eye Disease Consultants, LLC 85 Seymour St / Ste 522 Hartford,CT 06106 (860)549-2020

Gaudio Paul MD Ophthalmology Surgery 1043 Farmington Ave West Hartford,CT 06107 (860)549-2020

Gaunya Christopher LAc Acupuncture Trinity Health Of New England Medical Group 114 Woodland St - Integrative Medicine Hartford,CT 06105 (860)714-4450

Geffin Joel MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Geirsson Arnar MD Cardiothoracic Surgery Yale Medicine 330 Cedar St New Haven,CT 06510 (203)785-5000

Gelwan Jeffrey MD Gastroenterology Connecticut GI PC – Glastonbury 300 Western Blvd / Ste A Glastonbury,CT 06033 (860)657-1920

Georgantas Natalee PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Gerace James PA-C Pediatrics Saint Mary's Hospital-Pediatrics 56 Franklin St Waterbury,CT 06706 (203)709-3538

Germain Michael MD Nephrology Renal & Transplant Assoc of NE PC 100 Wason Ave / Ste 200 Springfield,MA 01107 (413)733-9666

Germani Sarah DO Pediatrics Pioneer Valley Pediatrics 123 Dwight Rd Longmeadow,MA 01106 (413)567-1031

Gevinski John MD Physical Medicine & Rehabilitation John Gevinski MD 1078 W Main St Waterbury,CT 06708 (203)754-3100

Ghaly Tamer MD Pain Medicine NOSS Physiatry & Pain Medicine 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Giarnese Chyenne APRN Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Gielissen Katherine MD Internal Medicine Yale New Haven at St. Raphael's Hospital 1450 Chapel St / Adult Primary Care New Haven,CT 06511 (203)789-4044

Gilbert Richard MD Ophthalmology Opticare 87 Grandview Ave Waterbury,CT 06708 (203)574-2020

Page 8: Non-Participating Provider List Primary Specialty Office

Gilmore Emily MD Teleneurology Yale Department of Neurology 15 York St / LCI 1003 New Haven,CT 06520 (203)737-2935

Gingold Michael MD Ophthalmology Consulting Ophthalmologists, PC 499 Farmington Ave Farmington,CT 06032-1943 (860)678-0292

Ginsburg Sally MD Pediatrics Pioneer Valley Pediatrics 123 Dwight Rd Longmeadow,MA 01106 (413)567-1031

Gioiella Laura MD Internal Medicine Noble Primary Care 24 North Westfield St Feeding Hills,MA 01030 (413)831-7831

Gjertson Carl MD Urology Trinity Health Of New England Medical Group 19 Woodland St / Ste 23 Hartford,CT 06105 (860)522-2251

Glading-Dilorenzo Lise MD Internal Medicine Valley Medical Assoc 3640 Main St / Ste 207 Springfield,MA 01107 (413)739-0669

Glasser Scott MD Teleradiology Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Glasser Stanley MD Pulmonary Medicine Valley Pulmonary Medical Associates 222 Carew St Springfield,MA 01104 (413)739-5661

Glassman David MD Anesthesiology Active Orthopaedics 1579 Straits Turnpike Middlebury,CT 06762 (203)758-1272

Gleason Megan MD Surgery Valley Orthopaedic Specialists 2 Trap Falls Rd / Ste 404 Shelton,CT 06484 (203)734-7900

Glicklich Mark MD Radiology Northeast Radiology PC 3839 Danbury Rd Brewster,NY 10509 (845)278-6200

Glover Susan MD Urology Urology Group of Western NE 3640 Main St / Ste 103 Springfield,MA 01107 (413)785-5321

Goding Mallory DMD General Dentistry Trinity Health Of New England Medical Group 1000 Asylum Ave Ste 3200 / The Dental Center Hartford,CT 06105 (860)714-4995

Goff Daniel MD Teleradiology Vision Radiology 2825 Oak Lawn Ave / Ste 192749 Dallas,TX 75219-9998 (510)683-9500

Gokturk Suut MD Medicine Saint Mary's Hospital 56 Franklin St Waterbury,CT 06706 (203)709-8820

Goldberg Eric DO Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Golden Alex MD Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Golding Corey MD Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Goldstein Leonard PsyD Psychology Connecticut Resource Group 133 Scovill St / Ste 211 Waterbury,CT 06706 (203)573-9521

Goldstein Max MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 112 Mansfield Ave Willimantic,CT 06226 (860)456-9116

Goldwag David DO Emergency Medicine Northeast Emergency Medicine Specialists LLC 81 Meriden Ave Southington,CT 06489

Gomberg Matthew PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Gonzalez-Perez Rafael DPM Podiatric Surgery Greater Hartford Podiatry 580 Cottage Grove Rd Ste 203 Bloomfield,CT 06002 (860)263-7999

Goodman Margaret MD Teleradiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Gorelick Judith MD Neurosurgery Neurosurgery Orthopaedics & Spine Specialists 2 Ivy Brook Rd / Ste 115 Shelton,CT 06484 (203)553-9666

Gorgan Maria MD Pathology New England Pathology Assoc 299 Carew St Springfield,MA 01104 (413)748-9513

Gork A MD Pediatrics Saint Mary's Hospital-NICU 56 Franklin St Waterbury,CT 06706 (203)709-3117

Gorski Kelly CRNA Nurse Anesthetist Integrated Anesthesia Assoc 99 East River Dr / 5th Fl Hartford,CT 06108 (860)218-2204

Goulart Robert MD Pathology New England Pathology Assoc 299 Carew St Springfield,MA 01104 (413)748-9513

Grable-Esposito Phyllis MD Neurology Hartford Neurology LLC 85 Seymour St Ste 800 Hartford,CT 06106 (860)522-4429

Grady Benson John MD Orthopedic Hand Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Graham Gerard DDS General Dentistry Avon Wellness Center Dental Assoc 100 Simsbury Rd / Ste 201 Avon,CT 06001 (860)606-0066

Greaves Katrina PA-C Waterbury Neurology LLC 1579 Straits Turnpike / Ste 307 Middlebury,CT 06762 (203)758-8995

Greco Barbara MD Nephrology Renal & Transplant Assoc of NE PC 100 Wason Ave / Ste 200 Springfield,MA 01107 (413)733-9666

Greenbaum Jason MD Emergency Medicine Envision Physician Services 3 Century Dr Parsippany,NJ 07054 (973)436-5540

Greenberg Sofiya MD Radiology Northeast Radiology PC 3839 Danbury Rd Brewster,NY 10509 (845)278-6200

Greene Ira DDS Pediatric Dentistry Ira M Greene DDS 34 Dale Rd Avon,CT 06001 (860)674-0874

Gregor Rebecca PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Gregory Andrew APRN NP - Orthopedics Connecticut Back Center 460 Hartford Turnpike / Ste B Vernon,CT 06066 (860)872-6241

Grewal Vikram MD Cardiology Franklin & Hampden County Cardiovascular Assoc 50 Maple St Springfield,MA 01103 (413)748-6484

Grillo Danielle APRN NP - Occupational Medicine SFH Center for Occupational Health 100 Deerfield Rd Windsor,CT 06095 (860)714-9444

Grimes Janet MD Addiction Medicine Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Grogean Claudia MD Obstetrics & Gynecology Specialists in Women's Healthcare 134 Grandview Ave / Ste 210 Waterbury,CT 06708 (203)754-2535

Guardino Paul MD Internal Medicine Personal Care Physicians LLC 501 Farmington Ave Farmington,CT 06032 (860)674-4334

Guerin Adriane PA-C Pediatrics Child & Adolescent Health Care Assoc 179 Roseland Ave Waterbury,CT 06710 (203)574-4747

Guggina Pamela MD, MPH Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Gurpinar Ediz MD Diagnostic Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Guy Cassis MD Emergency Medicine Saint Francis Emergency Medical Group 114 Woodland St Hartford,CT 06105 (860)714-4001

Gygi Kimberly DO Refer & Follow Starling Physicians 375 Willard Ave Newington,CT 06111 (860)666-5167

Haag-Rickert Colette MD Obstetrics & Gynecology Fitzpatrick, Moran, Costa & Haag-Rickett 299 Carew St / Ste 215 Springfield,MA 01104 (413)781-6210

Haber Matthew MD Teleradiology Vision Radiology 2825 Oak Lawn Ave / Ste 192749 Dallas,TX 75219-9998 (510)683-9500

Haddad James MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 Springfield,MA 01104 (413)748-7095

Hafez Ezzat MD Pediatrics Alliance Medical Group PC - Pediatrics 1625 Straits Turnpike Middlebury,CT 06762 (203)759-0666

Hagberg Robert MD Cardiothoracic Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)696-5520

Hahm Sae MD Vascular Surgery The Vascular Experts 1449 Old Waterbury Rd / Ste 101 Southbury,CT 06488 (844)482-7285

Hajati Erika APRN Nurse Practitioner Mercy Medical Center – Psychiatry Consult Group 271 Carew St Springfield,MA 01104 (413)748-9000

Page 9: Non-Participating Provider List Primary Specialty Office

Haley Kalin PA-C Pediatric Cardiology Connecticut Children's Medical Center-Waterbury 56 Franklin St Waterbury,CT 06706 (203)709-3538

Hall Eugene MD Pediatric Cardiology Yale U School of Medicine-Pediatrics Yale U Sch Med 333 Cedar St / LCI 302 PO Box 208064 New Haven,CT 06520 (203)785-2022

Hall Matthew DO Family Medicine UCONN Health One Royce Cir / Ste 104 Storrs Center,CT 06268 860-487-9200

Hallbach Allison PA-C Physician Assistant - Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Hamelin Sona PA-C Ophthalmology Connecticut Children's Medical Center 366 Colt Highway Farmington,CT 06032 (860)837-9612

Hammond Jonathan MD Cardiothoracic Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)696-5520

Handelman William MD Internal Medicine Connecticut Kidney & Hypertension Specialists LLC 30 Peck Rd / Ste 2201 Torrington,CT 06790 (860)489-1984

Hanson Sarah MD Ophthalmology Springfield Eye Assoc 3640 Main St / Ste 205 Springfield,MA 01107 (413)739-7367

Harel Zeev MD Adolescent Medicine Community Health Services, Inc 500 Albany Ave / Pediatrics Hartford,CT 06120 (860)249-9625

Harnisch Brooke MD Urology UCONN - Health Center-Urology 263 Farmington Ave MC3955 Farmington,CT 06030 (860)679-4100

Harriott Andrea MD, PhD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Harris Cory MD Urology Urology Group of Western NE 3640 Main St / Ste 103 Springfield,MA 01107 (413)785-5321

Harris Edmund MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Harris Mariel MD Internal Medicine VITAS Innovative Hospice@ 56 Franklin St Waterbury,CT 06706 (203)709-7700

Harrison Marena PA-C Physician Assistant - Neurosurgery Trinity Health Of New England Medical Group 114 Woodland St / Dept of Surgery Hartford,CT 06105 (860)714-5237

Haskins Pamela CNM Obstetrics & Gynecology Starling Physicians, P.C. Obstetrics/Gynecology / 160 Hazard Ave Enfield,CT 06082 (860)749-7000

Hassett Catherine APRN Nurse Practitioner Urology Group of Western NE 61 Locust St / 1st Floor Northampton,MA 01060 (413)785-5321

Haug Ryan PA-C Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Hauser Stephen MD Radiation Oncology Htfd Radiation Oncology Associates, PC 80 Seymour St / PSteOSte Box 5037 Hartford,CT 06102 (860)972-2803

Hawthorne Tracy PA-C Physician Assistant - Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Hayden Ronald MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Haynes Michael DPM Podiatric Surgery Office of Michael Haynes, DPM Agawam Crossing / 200 Silver St Agawam,MA 01001 (413)786-7522

Hazratji Mohammad MD Neurology Neurology Assoc of Western MA 15 Hospital Dr / Ste 401 Holyoke,MA 01040 (413)534-5135

Healy James MD Pediatric Surgery Connecticut Children's Specialty Group Inc 282 Washington St Hartford,CT 06106 (860)545-9520

Hegarty Catherine MD Endocrinology, Diabetes & Metabolism Springfield Medical Assoc 2150 Main St Springfield,MA 01104 (413)739-5676

Heller Felice MD Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Hellstrand Karl DO Pediatric Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Helmuth Paul MD Internal Medicine Valley Medical Assoc 3640 Main St / Ste 207 Springfield,MA 01107 (413)739-0669

Hemphill Michael MD Obstetrics & Gynecology Greater Hartford Women's Health Assoc 345 North Main St / Ste 201 West Hartford,CT 06117-2529 (860)561-7222

Henderson David MD Family Medicine Asylum Hill Family Medicine Center Inc 99 Woodland St Hartford,CT 06105 (860)714-4212

Henderson Pamela MD Ophthalmology Henderson Eye Care 299 Carew St / Ste 400 Springfield,MA 01104 (413)733-1818

Hendrikson Robert MD Orthopedic Surgery Northeast Orthopaedic & Hand Surgery PC 60 Westwood Ave / Ste 300 Waterbury,CT 06708 (203)755-9166

Herlands Stuart MD Internal Medicine ProHealth Physicians 320 Western Blvd / Ste 104 Glastonbury,CT 06033 (860)557-1995

Herr David MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Herr J DO Osteopathic Manipulative Medicine J Michael Herr DO LLC 45 S Main St / Ste 212 West Hartford,CT 06107 (860)236-2515

Hershon Kathleen MD Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Hession Melissa MD Internal Medicine Enfield Medical Assoc 701 Enfield St Enfield,CT 06082 (860)741-6058

Heyden Caitlin DO Pediatrics Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Higgins Thomas MD Critical Care Medicine Adfinitas Health LLC 7250 Pkwy Dr / Ste 500 Hanover,MD 21076 (410)999-1130

Hill David MD Internal Medicine Waterbury Pulmonary Assoc 170 Grandview Ave Waterbury,CT 06708 (203)759-3666

Hillgen John DMD Oral & Maxillofacial Surgery GREATER WATERBURY ORAL AND MAXILOFACIAL SURGEONS 1389 WEST MAIN St / Ste 320 WATERBURY,CT 06708 (203)573-1427

Hinckley Ann APRN Nurse Practitioner Kidney Care & Transplant Services of New England 2150 Main St Springfield,MA 01104 (413)733-0010

Hix Claudia DO Occupational Medicine St Francis Medical Group Inc (Dept of Medicine) 114 Woodland St Hartford,CT 06105 (860)714-7446

Hobbie Christopher MD Diagnostic Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Hoberman Dena MD Pediatrics Pioneer Valley Pediatrics 123 Dwight Rd Longmeadow,MA 01106 (413)567-1031

Hobert Eric MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Hochberg Leigh MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Hodgins Spencer MD Internal Medicine Kidney Care & Transplant Services of New England PC 354 Birnie Ave Springfield,MA 01107 (413)733-0010

Hogan Alexander MD Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Hohol Mary-Laura PA-C Physician Assistant - Gastroenterology Western Mass GI Assoc 299 Carew St / Ste 419 Springfield,MA 01104 (413)737-7951

Holland Stephen MD Wound Care Gaylord Hospital PO Box 400 Wallingford,CT 06492 (203)741-3348

Holliday Ruth DO Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Hollis Minoo MD Surgery Surgical Colleagues 133 Scovill St Waterbury,CT 06706 (203)709-6680

Holman Sujata MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

Holtzman Justin MD Hospitalist Mercy Medical Center MIMS 271 Carew St Springfield,MA 01104 (413)748-9321

HONG LIELIE MD Pediatrics Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Page 10: Non-Participating Provider List Primary Specialty Office

Horowitz Sidney PhD Psychology Connecticut Resource Group 133 Scovill St / Ste 211 Waterbury,CT 06706 (203)573-9521

Housman Douglas MD Radiation Oncology Harold Leever Regional Cancer Center 1075 Chase Pkwy Waterbury,CT 06708 (203)575-5555

Howland Shawn MD Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Hsiao Chung-Yu MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Hull Sharon APRN NP - Orthopedics Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Hunter Drew MD Teleradiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Huribal Marsel MD Vascular Surgery Southern Connecticut Vascular Center, LLC 495 Hawley Ln Stratford,CT 06614 (203)210-6302

Hwang David MD Teleneurology Yale New Haven Hospital- Stroke Division 15 York St / LCI1003C New Haven,CT 06520 (203)737-2935

Hwang Jeremy MD Ophthalmology Solinsky EyeCare LLC 1013 Farmington Ave West Hartford,CT 06107 (860)233-2020

Hyder Jennifer MD Radiation Oncology Mercy Medical Center - Oncology 271 Carew St Springfield,MA 01104 (413)748-9230

Hynninen Brett MD Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Ianello Joseph MD Gastroenterology Connecticut GI PC - Enfield 113 Elm St / Ste 303 Enfield,CT 06082 (860)253-6867

Iassogna-Roman Rhianon APRN Surgery Urology Assoc of Waterbury 1320 W Main St / Bldg 2 Waterbury,CT 06708 (203)757-8361

Ijaz Faisal APRN Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Im Hyun MD Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Irizarry Cheryl CRNA Nurse Anesthetist Waterbury Anesthesiology Assoc PC 140 Grandview Ave Waterbury,CT 06708 (203)757-7000

Isakoff Michael MD Pediatric Hematology/Oncology CCMC - Hematology 282 Washington St Hartford,CT 06106 (860)545-9630

Ishak Reda MD Internal Medicine Reda Ishak MD 112 Westfield St / Ste2 West Springfield,MA 01089-2578 (413)733-1900

Izenstein Barry MD Endocrinology, Diabetes & Metabolism Endocrine Associates of Western MA 2 Medical Center Dr / Ste 210 Springfield,MA 01107 (413)734-4661

Jackowitz Mark MD Ophthalmology Springfield Eye Assoc 3640 Main St / Ste 205 Springfield,MA 01107 (413)739-7367

Jackson Deidrya MD Ophthalmology Eye Physicians of Northampton 40 Main St / Ste 106 Florence,MA 01062 (413)584-6422

Jacobs Barry MD Otolaryngology Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Jacobs David MD Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Jacobs Henry MD Referral Only Women's Healthcare of Bloomfield 1 Northwestern Dr / Ste 202 Bloomfield,CT 06002 (860)233-8589

Jacobs Marianne DO Neurophysiology SpecialtyCare 3 Maryland Farms / Ste 200 Brentwood,TN 37027 (615)345-5450

Jacobson Richard MD Neurophysiology SpecialtyCare 3 Maryland Farms / Ste 200 Brentwood,TN 37027 (615)345-5450

Jagadeesan Udaya MD Geriatric Medicine Jewish Nursing Home 770 Converse St Longmeadow,MA 01106 (413)567-6211

Jain Sanjay MD Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Jalil Fatima MD Medicine Diabetes and Endocrinology Center 1389 W Main St / Ste 224 Waterbury,CT 06708 (203)755-7711

Jambor Colleen MD Plastic and Reconstructive Surgery MD Renewal 33 Dale Rd Avon,CT 06001 (860)678-1800

Jandali Shareef MD Plastic Surgery Jandali Plastic Surgery 5520 Park Ave / Ste WP-2-300 Trumbull,CT 06611 (203)374-0310

Jandhyala Chanakya MD Orthopedic Surgery Valley Orthopaedic Specialists 2 Trap Falls Rd / Ste 404 Shelton,CT 06484 (203)734-7900

Jasne Adam MD Teleneurology Yale New Haven Hospital- Stroke Division 15 York St / LCI1003C New Haven,CT 06520 (203)737-2935

Jaworek Amelia MD Infectious Disease Baystate Wing Hospital 40 Wright St Palmer,MA 01069 (413)283-7651

Jedrychowski Jerzy MD Internal Medicine Jerzy Jedrychowski MD 33 Lexington St New Britain,CT 06052 (860)225-7007

Jegathesan K MD Internal Medicine Kanagaratnam Jegathesan MD PC 2271 E Main St Waterbury,CT 06705 (203)753-4131

Jegathesan Kanthimathi MD Internal Medicine Kanagaratnam Jegathesan MD PC 2271 E Main St Waterbury,CT 06705 (203)753-4131

Jeng David MD Ophthalmology Solinsky EyeCare LLC 1013 Farmington Ave West Hartford,CT 06107 (860)233-2020

Jeske Steven APRN Internal Medicine In-House Care, LLC 503 Wolcott Rd Wolcott,CT 06716 (203)819-7220

Jiwa Nasheena MD Internal Medicine Saint Mary's Hospital-Department of Medicine 56 Franklin St Waterbury,CT 06706 (203)709-8685

Joelson John MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 2 Medical Center Dr / Ste 410 Springfield,MA 01107 (413)748-7095

Johar Archna MD Ophthalmology Danbury Eye Physicians 69 Sandpit Rd / Ste 101 Danbury,CT 06810 (203)791-2020

Johar Sandeep DO Sports Medicine NOSS Physiatry & Pain Medicine 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Johnghar Arslan MD Internal Medicine Cardiology Assoc of Waterbury PC 455 Chase Pkwy Waterbury,CT 06708 (203)573-1435

Johnson Alison PA-C Physician Assistant - Hematology/Oncology Trinity Health Of New England Medical Group - Hematology/Oncology 114 Woodland St Hartford,CT 06105 (860)714-4680

Johnson Charysse PA-C Physician Assistant - Occupational Health THONE Occupational Medicine 1000 Asylum Ave / Ste 4320 Hartford,CT 06105 (860)714-9444

Johnson Melissa MD Plastic Surgery Pioneer Valley Plastic Surgery LLC 734 Longmeadow St / Ste 201 Longmeadow,MA 01106 (413)731-7877

Johnson Sandra MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Jolly Sarah PA-C Neurosurgery Neurosurgery Orthopedic & Spine Specialists PC 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Jonathas Sherwood PA-C Physician Assistant - Orthopedics Starling Physicians One Lake St / Bldg D Ste 101 New Britain,CT 06052 (860)832-4666

Jones Barbara MD Obstetrics & Gynecology Trinity Health Of New England Medical Group- Dept of Physiatry 444 Montgomery St Chicopee,MA 01020 (413)594-3111

Jones Melissa DO Pediatrics Child & Adolescent Health Care Assoc 179 Roseland Ave Waterbury,CT 06710 (203)574-4747

Jones Patrick DPM Podiatric Surgery Springfield Podiatry Assoc 222 Carew St Springfield,MA 01107 (413)736-3225

Jones Ruchika MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Josephson Ronald MD Gastroenterology Prime HealthCare PC 30 Jordan Lane Wethersfield,CT 06109 (860)263-0253

Jouandet Marc MD Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Page 11: Non-Participating Provider List Primary Specialty Office

Judson Christopher MD Orthopedic Hand Surgery Orthopedic Associates of Hartford 201 North Mountain Rd Plainville,CT 06062 (860)223-8553

Judson Peter MD Ophthalmology Retina Consultants, PC 43 Woodland St Ste100 Hartford,CT 06105 (860)527-9020

Juersivich Adam MD Neurophysiology SpecialtyCare 3 Maryland Farms / Ste 200 Brentwood,TN 37027 (615)345-5450

Jusko Andrew MD Ophthalmology Eyesight & Surgery Assoc 299 Carew St / Ste 201 Springfield,MA 01104 (413)736-1833

Kaczmarek John MD Obstetrics & Gynecology Specialists in Women's Healthcare 134 Grandview Ave / Ste 210 Waterbury,CT 06708 (203)754-2535

Kadimi Srinath MD Neurology Patronus Neurology 5220 Jimmy Lee Smith Pkwy / Ste 104 – 265 Hiram,GA 30141 (919)551-8114

Kagan Jeffrey MD Internal Medicine Newington IM-Primary Care, LLP 365 Willard Ave 2-D Newington,CT 06111 (860)665-1571

Kahn Sidney MD Vascular & Interventional Radiology New England Endo Vascular Center 86 Ashley Ave West Springfield,MA 01089 (413)693-2852

Kahn Sidney MD Radiology New England Endo Vascular Center 86 Ashley Ave West Springfield,MA 01089 (413)693-2852

Kainkaryam Vasanth MD Internal Medicine Medicine

Kakowski Christian MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Kalbag Neil MD Surgery ReFocus 87 Grandview Avenue / Ste B Waterbury,CT 06708 (203)564-2929

Kale Vasudha MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Kalkbrenner Kathy MD Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Kalyanpur Arjun MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Kamath Sanjay MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Kanjolia Anand MD Internal Medicine Office of Anand Kanjolia MD 299 Carew St / Ste 326 Springfield,MA 01104 (413)507-2070

Kann Amanda APRN Nurse Practitioner Mercy Medical Center - Healthcare for Homeless 271 Carew St Springfield,MA 01104 (413)748-9063

Kaplan Bruce MD Radiation Oncology Connecticut Radiation Oncology PC 94 Woodland St Hartford,CT 06105 (860)714-4568

Kaplan Laura MD Radiology Naugatuck Valley Radiology 385 Main St S / Union Sq Bldg 1 Southbury,CT 06488 (203)267-5800

Kapur Sakshi MD Hematology/Oncology Starling Physicians PC 1260 Silas Deane Highway / Ste 107 Wethersfield,CT 06109 (860)246-6647

Karabinis Vasilios MD General & Vascular Surgery CVGV Surgical Associates, P.C. 115 Elm St / Ste 106 Enfield,CT 06082 (860)741-5619

Karacsonyi Eva MD Endocrinology, Diabetes & Metabolism Springfield Medical Assoc 2150 Main St Springfield,MA 01104 (413)739-5676

Karasik Michael MD Gastroenterology Connecticut GI PC - Hartford 85 Seymour St / Ste 1000 Hartford,CT 06106 (860)246-2571

Kareem Muhammad MD Neurology Neurology Assoc of Western MA 15 Hospital Dr / Ste 401 Holyoke,MA 01040 (413)534-5135

Karim Farhan DO Orthopedic Surgery Starling Physicians 1 Lake St / Ste 110 New Britain,CT 06052 (860)832-4666

Karnasiewicz Michael MD Neurosurgery Neurosurgery Orthopedic & Spine Specialists PC 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Karnik Ruchika MD Pediatric Cardiology Yale U School of Medicine-Pediatrics Yale U Sch Med 333 Cedar St / LCI 302 PO Box 208064 New Haven,CT 06520 (203)785-2022

Karras George MD Critical Care Medicine Mercy Medical Center Critical Care 271 Carew St Springfield,MA 01104 (413)748-9860

Karrenberg Elizabeth DPM Podiatric Surgery Elizabeth Romac Karrenberg, DPM 10 Princeton St West Hartford,CT 06110 (860)233-1978

Kashef Mohammad MD Cardiovascular Disease Franklin & Hampden County Cardiovascular Assoc 50 Maple St Springfield,MA 01103 (413)748-6484

Kassels Steven MD Addiction Medicine Health Care Resource Centers Westfield 125 N Elm St Westfield,MA 01085 (413)568-6600

Katoch Anamika MD Internal Medicine Smilow Cancer Center-Waterbury 1075 Chase Pkwy Waterbury,CT 06708 (203)755-6311

Kaufmann Andrea PA-C Obstetrics & Gynecology Specialists in Women's Healthcare 134 Grandview Ave / Ste 210 Waterbury,CT 06708 (203)754-2535

Kaump Geoffrey MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Kazi Fahim MD Geriatric Medicine Post Acute Care Clinicians 819 Worcester St / Ste 1 Sprinfield,MA 01151 (413)276-6700

Kazi Fawad MD Cardiovascular Disease Bristol Hospital Multi-Specialty Group 22 Pine St Bristol,CT 06010 (860)582-3235

Kazmierczak Magdalena MD Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Kedzierski Katherine MD Neurology Waterbury Neurology LLC 1625 Straits Turnpike / Ste 307 Middlebury,CT 06762 (203)758-8995

Keene Andrew DMD Oral & Maxillofacial Surgery OMS Assoc One Torrington Office Plaza / Ste 103 Torrington,CT 06790 (860)482-5779

Kelley John MD Pediatrics Redwood Pediatrics & Adolescent Med 15 Vreeland Ave E Longmeadow,MA 01028 (413)787-2555

Kelly Edward DMD General Dentistry Trinity Health Of New England Medical Group 1000 Asylum Ave Ste 3200 / The Dental Center Hartford,CT 06105 (860)714-4995

Kenia Shantilal MD Cardiovascular Disease Hampden & Franklin County Cardiovascular Assoc 65 Springfield Rd / Ste 1 Westfield,MA 01085-4581 (413)642-8052

Kennedy Geraldine APRN Nurse Practitioner Health Services for the Homeless 755 Worthington St Springfield,MA 01105 (413)734-7140

Keroack Christopher MD Internal Medicine New England Center for Functional Medicine 2 Medical Center Dr / Ste 202 Springfield,MA 01107 (413)205-1200

Keung Benison MD Teleneurology Yale Department of Neurology 15 York St / LCI 1003 New Haven,CT 06520 (203)737-2935

Khadra Abdul MD Cardiovascular Disease Office of Abdul M. Khadra, MD 954 Westfield St West Springfield,MA 01089 (413)733-2127

Khan Ahmed MD Neurological Surgery Central CT Neurosurgery & Spine 1 Liberty Sq 1A New Britian,CT 06051 (860)225-1227

Khan Nidah MD Internal Medicine Personal Primary Care & Weight Management 299 Carew St / Ste 234 Springfield,MA 01104 (413)787-2575

Khoe Griselda DMD Pediatric Dentistry Griselda Khoe, DMD 76 North Main St Southington,CT 06489 (860)628-8868

Khokhar Babar MD Teleneurology Yale Medicine 800 Howard Ave New Haven,CT 06520 (203)785-4085

Kielb Laura PA-C Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Kilkenny Barbara DPM Podiatry Barbara A. Kilkenny, DPM 2 Pomperaug Office Park / Ste 106 Southbury,CT 06488 (203)264-0800

Kimberly William MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Kireyczyk Kara PA-C Gastroenterology Connecticut GI PC - Hartford 85 Seymour St / Ste 1000 Hartford,CT 06106 (860)246-2571

Kleinhen Ian MD Internal Medicine Windsor Medical Associates 74 Mack St Windsor,CT 06095 (860)298-8830

Page 12: Non-Participating Provider List Primary Specialty Office

Kleinman Jay DO Teleradiology Radiology Assoc of Hartford PC 1000 Asylum Ave / Ste 3201 E Hartford,CT 06105 (860)714-2724

Klopfer Vanessa PA-C Cardiothoracic Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)522-7181

Knapczyk Jason APRN NP - Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Knod Jennifer MD Pediatric Surgery Connecticut Children's Specialty Group Inc 282 Washington St Hartford,CT 06106 (860)545-9520

Koenigs Kenneth MD Gastroenterology Western Mass GI Assoc 299 Carew St / Ste 419 Springfield,MA 01104 (413)737-7951

Koerner Paul MD Orthopedic Surgery Mercy Orthopedic Hospitalists 401 Chestnut St Springfield,MA 01104 (413)452-6152

Kokkat Ajit MD Gastroenterology Windham GI LLC 150 Mansfield Ave / Ste B Willimantic,CT 06226 (860)423-3299

Koliani Leonardi MD Internal Medicine Alliance Medical Group PC 1625 Straits Turnpike Middlebury,CT 06762 (203)758-1004

Komninakas Ignatius MD Surgery Valley Orthopaedic Specialists 2 Trap Falls Rd / Ste 404 Shelton,CT 06484 (203)734-7900

Koo Brian MD Neurology Waterbury Neurology LLC 1579 Straits Turnpike / Ste 307 Middlebury,CT 06762 (203)758-8995

Koorse Robert MD Internal Medicine Medicine 100 Wells St Ste 1B Hartford,CT 06103 (860)231-0622

Kosiv Katherine MD Pediatrics Yale University School of Medicine-Ped Department of Pediatrics / 333 Cedar St Ste LCI 302 New Haven,CT 06510 (203)785-2022

Kostina Yanina MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Kouperschmidt Larisa MD Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Kovalski Adam PA-C Physician Assistant - Occupational Health Johnson Occupational Health Center 155 Hazard Ave / Ste 6 Enfield,CT 06082 (860)763-7668

Kovalski Adam PA-C Occupational Medicine Johnson Occupational Health Center 155 Hazard Ave / Ste 6 Enfield,CT 06082 (860)763-7668

Krason Gloria DPM Podiatric Surgery Office of Gloria J. Krason, DPM 5 Spring St Chicopee,MA 01013 (413)594-4747

Krebs Patricia MD Pathology New England Pathology Assoc 299 Carew St Springfield,MA 01104 (413)748-9513

Krosi Zife MD Internal Medicine Stay Well Health Center 80 Phoenix Ave Ste 201 Waterbury,CT 06702 (203)756-8021

Kugielsky Noah MD Emergency Medicine Envision Physician Services 3 Century Dr Parsippany,NJ 07054 (973)436-5540

Kugler Robert DO Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Kurbanov Aleksandr MD Vascular Surgery Vascular Access Center 208 Ashley Ave West Springfield,MA 01089 (413)747-4170

Kuruvilla Joseph DO Pediatric Cardiology Helen DeVos Children's Hospital - Congenital Heart Center 25 Michigan St NE / Ste 4200 Grand Rapids,MI 49503 (616)267-9150

Kusiak Anthony MD Internal Medicine MVA Center 300 Stafford St / Ste 360 Springfield,MA 01104 (413)734-8440

Kyle Wesley MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

LaChance Michelle PA-C Emergency Medicine Saint Marys Urgent Care 58 Maple St Naugatuck,CT 06770 (203)723-5636

Lachowicz Sabrina PA-C Pediatrics Town & Country Pediatrics & Family Medicine 380 Main St Watertown,CT 06795 (860)274-8891

Lamana Samuel PA-C Physician Assistant - Hematology/Oncology Medical Oncology & Blood Disorders LLP 100 Haynes St / 2nd Fl Manchester,CT 06040 (860)646-0670

Lanao Fausto MD Internal Medicine Scovill Medical Group 1389 W Main St / Bldg 2 Ste 325 Waterbury,CT 06706 (203)574-1274

Landry Arthur MD Obstetrics & Gynecology Specialists in Women's Healthcare 134 Grandview Ave / Ste 210 Waterbury,CT 06708 (203)754-2535

Landry Daniel DO Nephrology Kidney Care & Transplant Services of New England 2150 Main St Springfield,MA 01104 (413)733-0010

Landry Daniel DO Nephrology Kidney Care & Transplant Services of New England 2150 Main St Springfield,MA 01104 (413)733-0010

Landry Daniel DO Nephrology Kidney Care & Transplant Services of New England 2150 Main St Springfield,MA 01104 (413)733-0010

Landry Jonathan MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Landry Jonathan MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Langlois Marianne PA-C Critical Care Medicine Mercy Medical Center Critical Care 271 Carew St Springfield,MA 01104 (413)748-9860

Lapidus Daniel MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Lapin Craig MD Pediatric Pulmonology CCMC - Pulmonary 282 Washington St Hartford,CT 06106 (860)545-9440

Lapuk Seth MD Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Lapuk Seth MD Pediatrics Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Larochelle Lynn PA-C Physician Assistant - Cardiology Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

LaSala Anthony MD Cardiovascular Disease Starling Physicians 1260 Silas Deane Hwy Wethersfield,CT 06109 (860)258-3477

Lasky Jodi PA-C Physician Assistant - Occupational Health STMH Cheshire Urgent Care 1154 Highland Ave Cheshire,CT 06410 (203)709-4825

Lasky Jodi PA-C Medicine STMH Cheshire Urgent Care 1154 Highland Ave Cheshire,CT 06410 (203)709-4825

Lattanzi Susan APRN Nurse Practitioner Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

Laudano Anthony DMD Oral & Maxillofacial Surgery Torchia Winn & Laudano 75 Van Deene Ave West Springfield,MA 01089 (413)788-9621

Lavi Nimrod MD Cardioelectrophysiology Yale New Haven Health 1450 Chapel St / Ste 5 New Haven,CT 06511 (203)780-3363

Lawlor Brianna PA-C Physician Assistant - Orthopedics Connecticut Hand & Orthopedics 1000 Asylum Ave / Ste 3220 Hartford,CT 06105-1702 (860)247-3279

Lawrence Chelsea PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Lazaroff Stephen DPM Podiatry Performance Foot & Ankle Specialists 714 Chase Pkwy Waterbury,CT 06708 (203)755-0489

LeBlanc Natalie PA-C Physician Assistant - Cardiovascular Trinity Health Of New England Medical Group 114 Woodland St - Cardiology Hartford,CT 06105 (860)714-4019

Lebovitz Sara MD Obstetrics & Gynecology OB Hosptalist Group Department of Obstetrics & Gynecology / Saint Mary's Hospital Waterbury,CT 06706 (203)709-6176

Lederman Eric MD Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Lederman Howard MD Wound Care & Hyperbaric Medicine Mercy Medical Center for Wound Care & Hyperbaric Medicine 233 Carew St Springfield,MA 01104 (413)748-9212

Lee Allana DO Psychiatry Mercy Medical Center – Psychiatry Consult Group 271 Carew St Springfield,MA 01104 (413)748-9000

Lee Edward MD Otolaryngology The Connecticut Sinus Institute 291 Queen St Bristol,CT 06010 (860)583-1845

Page 13: Non-Participating Provider List Primary Specialty Office

Lee Howard MD Radiology Northeast Radiology PC 3839 Danbury Rd Brewster,NY 10509 (845)278-6200

Lee Kihan MD Vascular Surgery K Francis Lee MD PC 3640 Main St / Ste 302 Springfield,MA 01107 (413)732-4242

Lee Lyndon MD Ophthalmology Solinsky EyeCare LLC 1013 Farmington Ave West Hartford,CT 06107 (860)233-2020

Leibowitz Morris MD Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Lemek Beth PA-C NP - Gastroenterology Connecticut GI PC - Hartford 85 Seymour St / Ste 1000 Hartford,CT 06106 (860)246-2571

Lenzy Yolanda MD Dermatology Lenzy Dermatology & Hair Loss Center 1176 Memorial Dr Chicopee,MA 01020 (413)331-3676

Leopold Harris MD Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Levenson Lewis MD Internal Medicine Medicine 150 Hazard Ave C-6 Enfield,CT 06082 (860)763-3569

Leventhal Robert MD Internal Medicine Naugatuck Valley Gastroenterology Consultants LLC 166 Waterbury Rd / Ste 104 Prospect,CT 06712 (203)756-6422

Levheim Lisa MD Family Medicine Bear Mountain Skilled Nursing 42 Prospect Ave West Springfield,MA 01089 (413)733-3151

Levi David MD Anesthesiology Pain & Spine Specialists of Connecticut, LLC 67 Sandpit Rd / Ste 308 Danbury,CT 06810 (203)743-7246

Levin Andrew MD Internal Medicine Andrew S Levin MD 10 Hospital Dr / Ste 307 Holyoke,MA 01040 (413)534-3244

Levrault Richard DO Critical Care Medicine Mercy Medical Center Critical Care 271 Carew St Springfield,MA 01104 (413)748-9860

Lewis Gina PA-C Physician Assistant - Urology Urology Group of Western New England PC 3640 Main St / Ste 103 Springfield,MA 01107 (413)785-5321

Lheureux Julie APRN Nurse Practitioner Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Lieblich Stuart DMD Oral & Maxillofacial Surgery Avon Oral & Maxillofacial Surgery 34 Dale Rd / Ste 105 Avon,CT 06001 (860)674-8079

Lin David MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Lin Hong-Yiou MD, PhD Radiation Oncology Mercy Medical Center - Oncology 271 Carew St Springfield,MA 01104 (413)748-9230

Lindstrom Karen CRNA Anesthesiology Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

Liner Kristina PA-C Surgery Saint Mary's Hospital-Orthopedic PA's 56 Franklin St Waterbury,CT 06706 (203)709-6315

Liriano Humberto MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Lisak Joan MD Cardiovascular Disease Office of Joan W. Lisak, MD - Northhampton 241 King St / Ste 219 Northhamptom,MA 01060 (413)781-2200

Lishnak Timothy MD Family Medicine Asylum Hill Family Medicine Center Inc 99 Woodland St Hartford,CT 06105 (860)714-4212

Littman Emily PhD Psychology Clinical Neuropsychology 1211 West Main St Waterbury,CT 06708 (203)575-9526

Liu Sandy MD Pathology New England Pathology Assoc 299 Carew St Springfield,MA 01104 (413)748-9513

Liu Tong MD Family Medicine Department of Medicine 114 Woodland St / MS 40301 Hartford,CT 06105 (860)714-5789

Lleva Paul MD Teleneurology Yale Medical 15 York St / LLCI 810 New Haven,CT 06510 (203)785-2791

Lleva Paul MD Teleneurology Yale Medical 15 York St / LLCI 810 New Haven,CT 06510 (203)785-2791

Lo Albert MD Neurology St Francis Medical Group Inc 490 Blue Hills Ave Hartford,CT 06112 (860)714-2154

Lohlun John MD General Surgery Kidney Care & Transplant Services of New England 208 Ashley Ave West Springfield,MA 01089 (413)747-1817

Loiacono Laurie MD Critical Care Medicine Mercy Medical Center Critical Care 271 Carew St Springfield,MA 01104 (413)748-9860

Long Lalida APRN NP - General Trinity Health Of New England Medical Group - Primary Care Enfield 140 Hazard Ave / Ste 105 Enfield,CT 06082 (860)714-9733

Longobucco Diane APRN NP - Neonatal Trinity Health Of New England Medical Group 114 Woodland St - NICU Hartford,CT 06105 (860)714-4404

Loomis Caitlin MD Teleneurology Yale Medical 15 York St / LLCI 810 New Haven,CT 06510 (203)785-2791

Loughlin Christopher MD Otolaryngology Westwood Ear Nose & Throat PC 60 Westwood Ave / Ste 104 Waterbury,CT 06708 (203)574-5997

Lowney Donna CNM Obstetrics & Gynecology Assoc for Women's Wellness 72-III West Stafford Rd Stafford Springs,CT 06076 (860)684-5770

Lucey Kimberly MD Ophthalmology Surgery 1699 King St / Ste 102 Enfield,CT 06082 (860)749-6485

Lulla Kiran MD Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Lustig Jacqueline DO Family Practice Town & Country Pediatrics & Family Medicine 380 Main St Watertown,CT 06795 (860)274-8891

Lyapustina Tatyana MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Lyman Samantha PA-C Cardiology Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 Springfield,MA 01104 (413)748-7095

Lynett Jennifer PA-C Physician Assistant, Medical Mercy Medical Center Critical Care 271 Carew St Springfield,MA 01104 (413)748-9860

Machon Timothy MD Obstetrics & Gynecology Women's Health Group 170 Hazard Ave Enfield,CT 06082 (860)763-4001

MacMillan Sharon MD Gynecology Associates in Women's Health Care PC 200 Silver St / Ste 214 Agawam,MA 01001 (413)209-9394

Macomber Kristine MD Referral Only Greater Hartford Women's Health Assoc 345 North Main St / Ste 201 West Hartford,CT 06117-2529 (860)561-7222

Magauran Raymond MD Ophthalmology Office of Raymond Magauran, MD 55 St George Rd Springfield,MA 01104 (413)276-4543

Maggio Vijay MD Medicine NuVasive Clinical Services 10275 Little Patuxent Pkwy / Ste 300 Columbia,MD 21044 (410)740-2370

Maheshwari Narinder MD Internal Medicine Shafa Medical Center 478 Burnside Ave East Hartford,CT 06108 (860)528-7161

Maheu Lisa PA-C Physician Assistant - Cardiology Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 Springfield,MA 01104 (413)748-7095

Makanji Heeren MD Orthopedic Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Malone Marian APRN Pediatrics Trinity Health Of New England Medical Group c/o Johnson Memorial Hospital - OB Unit / 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8119

Mamuya Komsu MD Cardiovascular Disease Starling Physicians 1260 Silas Deane Hwy Wethersfield,CT 06109 (860)258-3477

Mancini Danny PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Mandell Todd MD Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Manikantan Thenu MD Pain Management SV Pain Management 265 Benton Dr Ste 105 East Longmeadow,MA 01028 (413)224-2727

Mann John MD Orthopedic Surgery Orthopedic Care Center 175 Carew St / Ste 250 Springfield,MA 01104 (413)748-7350

Page 14: Non-Participating Provider List Primary Specialty Office

Mannelli Lorenzo MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Mansoor Mohamed MD Cardiovascular Disease Starling Physicians 1260 Silas Deane Hwy Wethersfield,CT 06109 (860)258-3477

Manzo Richard MD Orthopedic Surgery Neurosurgery Orthopedic & Spine Specialists PC 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Marcous Kristin PA-C Gastroenterology Connecticut GI PC - Hartford 85 Seymour St / Ste 1000 Hartford,CT 06106 (860)246-2571

Marenco John MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

Margolis Ron MD Ophthalmology Retina Consultants, PC 191 Main St Manchester,CT 06040 (860)646-7704

Mari Eduardo MD Gastroenterology and Hepatology Eduardo Mari MD 1389 W Main St Waterbury,CT 06708 (203)755-2268

Mariano Nicole DMD Dentistry Tribury Dental 20 Woodside Ave Middlebury,CT 06762 (203)574-1725

Marques Bianca PA-C Physician Assistant - Cardiology Trinity Health Of New England Medical Group - Heart Failure Clinic 114 Woodland St / 5nd Floor Hartford,CT 06105 (860)714-6178

Marra Robert DPM Podiatric Surgery PodiatryCare PC 1379 Enfield St Enfield,CT 06082 (860)741-3041

Marsden Dorothy CRNA Nurse Anesthetist Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

Martel Eliza PA-C Physician Assistant - Cardiovascular Trinity Health Of New England Medical Group 114 Woodland St Hartford,CT 06105 (860)714-4000

Martinucci Erica MD Internal Medicine Saint Mary's Hospital-Occupational Health 1312 West Main St Waterbury,CT 06708 (203)709-3740

Martorell Claudia MD Infectious Disease Office of Claudia Martorell MD 57 Mulberry St Springfield,MA 01105 (413)747-5566

Marvasti Jamshid MD Psychiatry Saint Francis Behavioral Health Group PC 357 East Center St Manchester,CT 06040 (860)643-1166

Mashia Mark DC Chiropractics NOSS - Orthopaedics 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Masia Shawn MD Medicine NuVasive Clinical Services 10275 Little Patuxent Pkwy / Ste 300 Columbia,MD 21044 (410)740-2370

Mason Benjamin MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Mason Theodore MD Otolaryngology Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Massucci Steven DPM Waterbury Podiatry Consultants 171 Grandview Ave / Ste 104 Waterbury,CT 06708 (203)753-2048

Mastella Daniel MD Orthopedic Surgery The Hand Center 195 Eastern Blvd / Ste 200 Glastonbury,CT 06033 (860)781-6299

Master Shahena DO Internal Medicine Windsor Medical Associates 74 Mack St Windsor,CT 06095 (860)298-8830

Mastronunzio Kate PA-C Emergency Medicine Northeast Emergency Medicine Specialists LLC Windham Hospital / 112 Mansfield Ave Willimantic,CT 06226 (860)456-9116

Mathew Linda MD Pediatrics Alliance Medical Group PC - Pediatrics 1625 Straits Turnpike Middlebury,CT 06762 (203)759-0666

Mathur Shishir MD Cardiovascular Disease Starling Physicians 1260 Silas Deane Hwy Wethersfield,CT 06109 (860)258-3477

Matin Shaukat MD Internal Medicine Shifa Comprehensive Health Center 185 West Ave Ludlow,MA 01056 (413)610-2201

Matouk Charles MD Neurological Surgery Yale University, Department of Neurosurgery 333 Cedar St Tompkins 4 New Haven,CT 06510 (203)737-2096

Matson Scott MD Urology Vasectomy and Male Infertility Center 447 Naubuc Ave / Ste 112 Glastonbury,CT 06033 (860)430-5773

Matusz Robert DPM Podiatry Naugatuck Podiatry Associates 156 Meadow St Naugatuck,CT 06770 (203)729-4714

Matza Richard MD Orthopedic Surgery Arthritis Center of Connecticut 1389 W Main St / Ste 123 Waterbury,CT 06708 (203)755-5555

Mazo James MD Occupational Medicine SFH Center for Occupational Health 1000 Asylum Ave / Ste 4320 Hartford,CT 06105 (860)714-4270

Mazzara James MD Orthopedic Surgery Connecticut Center for Orthopedic Surgery 29 Haynes St Manchester,CT 06040 (860)649-2267

Mbewe Alexander MD Geriatric Medicine Trinity Health Of New England Medical Group Department of Geriatric Medicine / 1000 Asylum Ave Ste 1025 Hartford,CT 06105 (860)714-4749

McCarthy Christopher MD Orthopedic Surgery The Hand Center 195 Eastern Blvd / Ste 200 Glastonbury,CT 06033 (860)781-6299

McConnell Nathalie CNM Midwife, Certified Nurse First Choice Health Centers Inc 110 Connecticut Blvd East Hartford,CT 06108 (860)528-1359

McConner April APRN NP - Occupational Medicine St Francis Medical Group Inc (Dept of Medicine) 114 Woodland St Hartford,CT 06105 (860)714-7446

McCrary Christine MD Rheumatology Starling Physicians 1260 Silas Deane Hwy Wethersfield,CT 06109 (860)258-3477

McDermott Allyson MD Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

McDonald Robert MD Internal Medicine Waterbury Pulmonary Assoc 170 Grandview Ave Waterbury,CT 06708 (203)759-3666

McDougall Candace APRN Nurse Practitioner Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

McGillivray Ian MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

McGowan Sara PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

McGuire Barry DMD Oral & Maxillofacial Surgery Connecticut Maxillofacial Surgeons 291 Farmington Ave Farmington,CT 06032 (860)678-7528

McGuire Paul MD Radiology Northeast Radiology PC 3839 Danbury Rd Brewster,NY 10509 (845)278-6200

McHugh Donna MD Internal Medicine Winsted Internal Medicine Associates 115 Spencer St Winsted,CT 06098 (860)379-3339

McHugh John DPM Podiatry Dr McHugh & Assoc PC 777 Echo Lake Rd Watertown,CT 06795 (860)274-1773

McIntyre Melissa APRN Pediatrics Town & Country Pediatrics & Family Medicine 380 Main St Watertown,CT 06795 (860)274-8891

McKay David MD Obstetrics & Gynecology Obstetrics & Gynecology

McKeon Thomas DMD Oral & Maxillofacial Surgery OMS Assoc One Torrington Office Plaza / Ste 103 Torrington,CT 06790 (860)482-5779

McLarney Thomas MD Family Medicine Asylum Hill Family Medicine Center Inc 99 Woodland St Hartford,CT 06105 (860)714-4212

McLaughlin Erin APRN NP – General Surgery Trinity Health Of New England Medical Group 114 Woodland St Hartford,CT 06105 (860)714-5942

McLean Brenda CRNA Anesthesiology Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

McLeod-Labissiere Renika MD Family Practice Prospect Family Medicine 115 Waterbury Rd Prospect,CT 06712 (203)758-5660

McNally Siobhan MD Pediatrics Caring Health Center Inc 1038 Main St Springfield,MA 01103 (413)739-1100

McNeish Julie DMD, MD Oral & Maxillofacial Surgery Lee W. McNeish, DMD 650 Chase Pkwy Waterbury,CT 06708 (203)596-7788

McNeish Lee DMD Oral & Maxillofacial Surgery Lee W. McNeish, DMD 650 Chase Pkwy Waterbury,CT 06708 (203)596-7788

Page 15: Non-Participating Provider List Primary Specialty Office

McPartland Kenneth MD General Surgery Kidney Care & Transplant Services of New England 354 Birnie Ave / 1st Floor Springfield,MA 01107 (413)733-0010

McVay Samantha MD Obstetrics & Gynecology Western Mass Physician Associates Inc d/b/a Holyoke Medical Group 15 Hospital Drive / Ste 501 Holyoke,MA 01040 (413)534-2826

Megas Takis DMD Oral Surgery T John Megas Jr DMD 299 Carew St / Ste 218 Springfield,MA 01104 (413)788-9058

Mehendiratta Vaibhav MD Gastroenterology Connecticut GI PC - Hartford 85 Seymour St / Ste 1000 Hartford,CT 06106 (860)246-2571

Melchionna Emilio MD Neurology Western Mass Neurology 175 Carew St / Ste 140 Springfield,MA 01104 (413)737-4100

Melekote Swathanthra MD Pediatrics Manchester Pediatric Associates 2701 Tamarack Ave South Windsor,CT 06074 (860)647-8282

Meoli Vincent MD Internal Medicine AFC Urgent Care 415 Cooley St / Unit 3 Springfield,MA 01128 (413)782-4878

Mercadante Gino DO Internal Medicine Office of Gino Mercadante DO 200 Center St Ludlow,MA 01056 (413)589-7176

Merkatz Kenneth MD Cardiovascular Disease Starling Physicians 1260 Silas Deane Hwy Wethersfield,CT 06109 (860)258-3477

Mernoff David MD Radiology Mercy Medical Center - Radiology 271 Carew St Springfield,MA 01104 (413)748-9200

Meunier Erik DPM Podiatric Surgery Valley Podiatry Assoc (South Hadley) 81 Willimansett St South Hadley,MA 01075 (413)536-0912

Meyers Tracey PsyD Psychology Connecticut Valley Hospital PO Box 351 Cottage 3ll Middletown,CT 06457 (860)262-5602

Miceli Sara PA-C Emergency Medicine Naugatuck Valley Gastroenterology Consultants LLC 166 Waterbury Rd / Ste 104 Prospect,CT 06712 (203)756-6422

Michaud Deanna PA-C Nephrology Connecticut Kidney & Hypertension Specialists LLC 140 Grandview Ave / Ste 101 Waterbury,CT 06708 (203)597-9733

Mick Charles MD Orthopedic Surgery Pioneer Spine & Sports Physicians (Northampton) 766 N King St Northampton,MA 01060 (413)586-0230

Mihaley-Sobelman Debora MD Pediatrics Trinity Health Of New England Medical Group 114 Woodland St Hartford,CT 06105 (860)714-4000

Millay Scot MD Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Millerick Joseph MD Obstetrics & Gynecology Specialists in Women's Healthcare 134 Grandview Ave / Ste 210 Waterbury,CT 06708 (203)754-2535

Miller-Lewis Donna APRN NP - Psychiatry Saint Francis Behavioral Health Group PC 675 Tower Ave / Ste 301 Hartford,CT 06112 (860)714-2750

Millmond Steven MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Mills Emily MD Obstetrics & Gynecology Greater Hartford Women's Health Assoc 345 North Main St / Ste 201 West Hartford,CT 06117-2529 (860)561-7222

Mintz Joshua MD Family Medicine Paradigm Healthcare 38 Mulberry Street / Suite 204 Leeds,MA 01053 (413)727-3135

Mirabile-Levens E MD Internal Medicine Waterbury Pulmonary Assoc 170 Grandview Ave Waterbury,CT 06708 (203)759-3666

Miranda Michael MD Orthopedic Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Miriyala Varun MD Hospitalist Mercy Medical Center MIMS 271 Carew St Springfield,MA 01104 (413)748-9321

Mitrowski Laura PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Mohani Amir MD Cardiovascular Disease Hampden & Franklin County Cardiovascular Assoc 50 Maple St Springfield,MA 01103 (413)748-6484

Mol Jennifer PA-C Physician Assistant - Internal Medicine Kidney Care & Transplant Services of New England 2150 Main St Springfield,MA 01104 (413)733-0010

Mole Frank DPM Podiatric Surgery Office of Frank Mole DPM 2440 Boston Rd / Unit B Wilbraham,MA 01095 (413)596-8800

Montano Gary MD Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Moonat Sachin MD Emergency Medicine Northeast Emergency Medicine Specialists LLC Windham Hospital / 112 Mansfield Ave Willimantic,CT 06226 (860)456-9116

Moraitis Philip MD Ophthalmology Springfield Eye Assoc 3640 Main St / Ste 205 Springfield,MA 01107 (413)739-7367

Moral Luis MD Pathology New England Pathology Assoc 299 Carew St Springfield,MA 01104 (413)748-9513

Moran Thomas MD Obstetrics & Gynecology Fitzpatrick, Moran, Costa & Haag-Rickett 299 Carew St / Ste 215 Springfield,MA 01104 (413)781-6210

Moreira Joseph MD Intraoperative Spinal Monitoring J J Moreira, MD, PC 319 Willis Ave 2nd Floor Mineola,NY 11501 (917)273-4092

Morine Kevin MD Cardiology Pioneer Valley Cardiology Assoc Inc 2 Medical Center Dr / Ste 410 Springfield,MA 01107 (413)748-7095

Morley Joseph MD Internal Medicine Cardiology Assoc of Waterbury PC 455 Chase Pkwy Waterbury,CT 06708 (203)573-1435

Morosky Christopher MD Obstetrics & Gynecology University of Connecticut Health Center Department of Obstetrics & Gynecology / 263 Farmington Ave Farmington,CT 06030 (860)679-4898

Morosky Jigisha MD Allergy & Immunology Starling Physicians PC 160 Hazard Ave / 2nd Floor Enfield,CT 06082 (860)749-7001

Morosky Michael MD Obstetrics & Gynecology Starling Physicians, P.C. Obstetrics/Gynecology / 160 Hazard Ave Enfield,CT 06082 (860)749-7000

Moseley Jonathan MD Internal Medicine Caring Health Center Inc 1038 Main St Springfield,MA 01103 (413)739-1100

Moskal-Kanz Judith APRN Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Moss Roberta MD Internal Medicine UCONN Health Partners 65 Kane St West Hartford,CT 06119 (860)523-6436

Mostafavi Mohammad MD Urology Urology Group of Western NE 61 Locust St / 1st Floor Northampton,MA 01060 (413)785-5321

Mott Karlyn PA-C Physician Assistant - Cardiovascular Trinity Health Of New England Medical Group 114 Woodland St - Cardiology Hartford,CT 06105 (860)714-4019

Moy York MD Urology Trinity Health Of New England Medical Group Urology 1579 Straits Turnpike / Suite 2A Middlebury,CT 06762 (475)701-0590

Moynahan Paula MD Plastic Surgery Paula Moynahan MD 687 Straits Turnpike / Ste 1A Middlebury,CT 06762 (203)754-4125

Moynihan Neil MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Mroz Caroline PA-C Surgery Neurosurgery Orthopedic & Spine Specialists PC 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Muangman Suphichaya MD Internal Medicine Naugatuck Valley Cardiovascular Associates LLC 1625 Straits Turnpike / Ste 209 Middlebury,CT 06762 (866)621-6822

Mudawwar Fuad MD Allergy & Immunology Allergy & Immunology Assoc of New England (Springfield) 2 Medical Center Dr / Ste 406 Springfield,MA 01107 (413)732-1119

Muldoon Sean PA-C Surgery Valley Orthopaedic Specialists 2 Trap Falls Rd / Ste 404 Shelton,CT 06484 (203)734-7900

Mullen David DPM Podiatry David Mullen, DPM 464 Wolcott Rd Wolcott,CT 06716 (203)879-3646

Mulroy William MD Orthopedic Surgery William Mulroy, MD 385 Broadway St / Ste 201 Revere,MA 02151 (781)235-3992

Munnerlyn Kenneth MD Neurology Trinity Health of New England Medical Group - Neuro Stroke 1000 Asylum Ave / Ste 2112 Hartford,CT 06105 (860)522-3711

Munson Amado PA-C Physician Assistant - Urology Pioneer Valley Urology Group 100 Wason Ave / Ste 120 Springfield,MA 01107 (413)241-2100

Page 16: Non-Participating Provider List Primary Specialty Office

Muppavarapu Raghuveer MD Orthopedic Surgery Mercy Orthopedic Hospitalists 401 Chestnut St Springfield,MA 01104 (413)452-6152

Musolino Patricia MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Myers Kurt MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Nagarkatti Durgesh MD Orthopedic Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Nahm Frederick MD Teleneurology NuVasive Clinical Services Monitoring 10420 Little Patuxent Pkwy / Ste 250 Columbia,MD 21044 (410)740-2370x.3509

Nakhla Essam MD Cardiology Cardiology Assoc of Waterbury PC 455 Chase Pkwy Waterbury,CT 06708 (203)573-1435

Nalaboff Kenneth MD Ultrasound Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Napiello Virginia APRN Internal Medicine Naugatuck Internal Medicine 58 Maple St / Ste 400 2nd Floor Naugatuck,CT 06770 (203)709-5935

Narla Venkateswara MD Cardiovascular Disease Eastern CT Cardiology Associates, LLC 137 West Rd / Ste 200 Ellington,CT 06029 (860)647-9494

Nartey Nathan MD Internal Medicine Saint Mary's Hospital 56 Franklin St Waterbury,CT 06706 (203)709-8820

Narula Reshma MD Teleneurology Yale Stroke Center 15 York St / LCI 10th Floor New Haven,CT 06520 (203)737-2935

Nash Shirin MD Oncology Mercy Medical Center 271 Carew St Springfield,MA 01104 (413)748-9000

Nason Katie MD Thoracic Surgery Trinity Health Of New England Medical Group – Thoracic Surgery 299 Carew St / Ste 410 Springfield,MA 01104 (413)748-9628

Natt Beth MD Pediatrics CCMC-Hospitalists 282 Washington St Hartford,CT 06106 (860)545-8894

Navaratnam Dhasakumar MD Teleneurology Yale New Haven Hospital- Stroke Division 15 York St / LCI1003C New Haven,CT 06520 (203)737-2935

Needleman Andrea MD Family Practice Andrea J Needleman, MD 4 S Pomperaug Ave Woodbury,CT 06798 (203)263-2020

Neenan Kevin DO Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Nelson Andrew MD Orthopedic Surgery Starling Physicians 1 Lake St / Ste 110 New Britain,CT 06052 (860)832-4666

Nelson Philip PA-C Neurosurgery NOSS - Orthopaedics 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Nelson Rache MD Referral Only Greater Hartford Women's Health Assoc 345 North Main St / Ste 201 West Hartford,CT 06117-2529 (860)561-7222

Nelson Wilbur PhD Psychology Wilbur J Nelson Jr PhD 3 Northwestern Dr Bloomfield,CT 06002 (860)243-3477

Neubauer Marta MD Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Neubecker Karl PA-C Physician Assistant - Orthopedics Connecticut Center for Orthopedic Surgery 29 Haynes St Manchester,CT 06040 (860)649-2267

Neuwirth Jerry MD Ophthalmology Retina Consultants, P.C. 399 Farmington Ave / Ste 260 Farmington,CT 06032 (860)409-7800

Nevsky Gregory MD Radiology Northeast Radiology PC 3839 Danbury Rd Brewster,NY 10509 (845)278-6200

Newman Anissa PA-C Physician Assistant Farren Care Center 340 Montague City Rd Turners Falls,MA 01376-1830 (413)774-3111

Nguyen Alexander MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Nguyen Dan PA-C Physician Assistant - Occupational Health SFH Center for Occupational Health 1000 Asylum Ave / Ste 4320 Hartford,CT 06105 (860)714-4270

Nguyen Khoa DPM Podiatric Surgery Vale Foot and Ankle Surgery, PLLC 350 Center Rock Green / Ste 3 Oxford,CT 06478 (203)941-6999

Nguyen Tuyen DMD Oral & Maxillofacial Surgery East Hartford Oral Surgeons 477 Connecticut Blvd / Ste 106 East Hartford,CT 06108 (860)289-4848

Nguyen XuanThao APRN NP - Hematology/Oncology THOfNE Hematology & Oncology 114 Woodland St Hartford,CT 06105 (860)714-4680

Nichols Mary CRNA Anesthesiology Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

Nobrega Jason PA-C Surgery Valley Orthopaedic Specialists 2 Trap Falls Rd / Ste 404 Shelton,CT 06484 (203)734-7900

Nohar Ravendra MD Medicine Saint Mary's Hospital-Hospitalist Program 56 Franklin St Waterbury,CT 06706 (203)709-8820

Nolasco Helena MD Rheumatology Starling Physicians 1260 Silas Deane Hwy Wethersfield,CT 06109 (860)258-3477

Noonan Margaret MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Norwood Christopher MD Dermatology Starling Physicians Dermatology 1111 Cromwell Ave Rocky Hill,CT 06067 (860)801-6741

Nunnelly Anne PA-C Physician Assistant - Internal Medicine Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Obasare Edinrin MD Cardiology Franklin & Hampden County Cardiovascular Assoc 50 Maple St Springfield,MA 01103 (413)748-6484

O'Brien Michael CRNA Anesthesiology Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

O'Brien Sean CCP Perfusionist St. Francis Cardiovascular Perfusionists 114 Woodland St Hartford,CT 06105 (860)714-9721

Odutola Akinniyi MD Pediatrics Rainbow Pediatrics 475 Sumner Ave Springfield,MA 01108 (413)241-6152

O'Grady Daniel PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Okwuosa Chinelo MD Pediatrics Community Health Center 51 N Elm St Waterbury,CT 06702 (203)574-4000

Olayanju Jessica MD Ophthalmology Manchester Ophthalmology 732 Main St Manchester,CT 06040 (860)649-5177

Olbert Sean PA-C Otolaryngology Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Oliveira Lisa APRN Urology Urology Assoc of Waterbury 1320 W Main St / Bldg 2 Waterbury,CT 06708 (203)757-8361

Olsheski Michelle MD Radiation Oncology Mercy Medical Center - Oncology 271 Carew St Springfield,MA 01104 (413)748-9230

Olson Beatriz MD Internal Medicine Beatriz R Olson MD FACP 1625 Straits Turnpike / Ste 207 Middlebury,CT 06762 (203)758-2594

Olszewski Mariusz MD Diagnostic Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Olszewski Mariusz MD Teleradiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

O'Malley Kayla DPM Podiatric Surgery East Point Foot & Ankle PC 250 N Main St East Longmeadow,MA 01116 (413)525-5200

O'Malley Kayla DPM Podiatry East Point Foot & Ankle PC 250 N Main St East Longmeadow,MA 01116 (413)525-5200

O'Neill Darren MD Internal Medicine Enfield Medical Assoc 701 Enfield St Enfield,CT 06082 (860)741-6058

Onyirimba Faustinus MD Pulmonary/Critical Care Northeastern Pulmonary Assoc 27 Naek Rd / Ste 2 Vernon,CT 06066 (860)875-2444

Orenstein Abigail MD, MPH Critical Care Medicine Mercy Medical Center Critical Care 271 Carew St Springfield,MA 01104 (413)748-9860

Page 17: Non-Participating Provider List Primary Specialty Office

Organ Scott MD Orthopedic Surgery Bristol Orthopaedics LLC 641 B Clark Ave Bristol,CT 06010 (860)582-6603

Orr Christopher MD Ophthalmology Solinsky EyeCare LLC 1013 Farmington Ave West Hartford,CT 06107 (860)233-2020

Osterman-Pla Anthony MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 2 Medical Center Dr / Ste 410 Springfield,MA 01107 (413)748-7095

Ouellette Jason MD Internal Medicine Franklin Faculty Practice 133 Scovill St / Ste 102 Waterbury,CT 06706 (203)709-5752

Ouellette Robert MD Ophthalmology Bristol Eye Associates, PC 156 Farmington Ave Bristol,CT 06010 (860)583-2108

Paasch Ronald MD Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Padula Antoinette CRNA Anesthesiology Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

Pagar Joshua MD Urology Pioneer Valley Urology Group 100 Wason Ave / Ste 120 Springfield,MA 01107 (413)241-2100

Pallin Daniel MD Emergency Medicine Saint Francis Emergency Medical Group 114 Woodland St Hartford,CT 06105 (860)714-4001

Panchal Hemant MD Pediatrics Hemant Panchal, MD, PC 170 Hazard Ave Enfield,CT 06082 (860)749-2022

Panetta Andrew PA-C Surgery Hartford Healthcare Medical Group Cardiac Surgery / 85 Seymour St Ste 919 Hartford,CT 06106 (860)696-5520

Panetta Christopher PA-C Cardiothoracic Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)522-7181

Panitch Deborah MD General Surgery HMC General Surgeons 11 Hospital Dr / 3rd Floor Holyoke,MA 01040 (413)532-1411

Panthagani Prasad MD Ophthalmology Greater Hartford Ophthalmology 701 Cottage Grove Rd B-210 Bloomfield,CT 06002 (860)242-9090

Paonessa Kenneth MD Orthopedic Surgery Norwich Orthopedic Group, PC 82 New Park Ave Franklin,CT 06254 (860)889-7345

Papale John MD Ophthalmology Papale Eye Center 1515 Allen St / Ste E Springfield,MA 01118 (413)782-0030

Papamarkakis Kostas MD Nephrology Renal & Transplant Assoc of NE PC 100 Wason Ave / Ste 200 Springfield,MA 01107 (413)733-9666

Pardo Moris MD Psychiatry Office of Moris Pardo, MD 299 Carew St / Ste 207 Springfield,MA 01104 (413)733-2050

Parikh Neil MD Gastroenterology Connecticut GI PC - Hartford 85 Seymour St / Ste 1000 Hartford,CT 06106 (860)246-2571

Paris Yvonne MD Pediatric Cardiology Baystate Pediatric Cardiology 50 Wason Ave / 1st Floor Springfield,MA 01199 (413)794-4441

Park Gregory MD Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Park Hareem MD Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Park Hyoungsup MD Family Medicine ProHealth Physicians of Farmington 21 South Rd / Ste 110 Farmington,CT 06032 (860)284-4945

Park Sung-Min MD Teleneurology Yale New Haven Hospital- Stroke Division 15 York St / LCI1003C New Haven,CT 06520 (203)737-2935

Parnoff John DMD General Dentistry Periodontics 419 Whalley Ave New Haven,CT 06511 (203)777-5385

Parsons Julian MD Internal Medicine Parsons Health Co., Inc. 61 South Main St / 202 West Hartford,CT 06107 (860)521-1264

Pascal Peter MD Orthopedic Surgery Orthopedic Assoc of Northern CT 7 Elm St / Ste 203 Enfield,CT 06082 (860)763-4041

Pascarella Raffaella DPM Podiatric Surgery Conn Foot Care Centers, LLC 506 Cromwell Ave Ste 204 Rocky Hill,CT 06067 (860)563-1200

Patel Akshay DO Otolaryngology Connecticut Ear, Nose & Throat Associates 988 Silas Deane Highway Wethersfield,CT 06109 (860)493-1950

Patel Brimal MD Family Medicine Suhradam Medical Practice LLC 360 N Main St / Ste 2 Southington,CT 06489 (203)729-0200

Patel Nihal MD Gastroenterology Connecticut GI PC - Hartford 85 Seymour St / Ste 1000 Hartford,CT 06106 (860)246-2571

Patel Sarit MD Ophthalmology Starling Physicians, PC Dept of Ophthalmology / 1 Lake St Building C Ste 103 New Britain,CT 06502 (860)826-4460

Patel Sneha MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Patel Vijay MD Internal Medicine Caring Health Center 532 Sumner Ave Springfield,MA 01108 (413)739-1100

Pavain Alexandra PA-C Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Pavlov Andrey MD Critical Care Medicine Mercy Medical Center 271 Carew St Springfield,MA 01104 (413)748-9000

Payne Emily PA-C Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Pearlstone Melissa MD Obstetrics & Gynecology Westwood Women's Health 60 Westwood Ave / Ste 200 Waterbury,CT 06708 (203)574-5501

Peckham Elizabeth APRN Nurse Practitioner Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

Pelletier Jessica PA-C Medicine Naugatuck Valley Gastroenterology Consultants LLC 166 Waterbury Rd / Ste 104 Prospect,CT 06712 (203)756-6422

Penney Keith MD Orthopedic Surgery Center for Advanced Orthopaedics and Sports Medicine PC 538 Litchfield St / Ste G 01 Torrington,CT 06790 (860)496-9877

Pennington Norman MD Diagnostic Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Pennoyer Jennifer MD Dermatology Jennifer Pennoyer MD LLC 47 Jolley Dr Bloomfield,CT 06002 (860)243-3020

Pepe Vincent MD Obstetrics & Gynecology Vincent H Pepe, MD 816 Broad St / Unit 21 Meriden,CT 06450 (203)237-9326

Perica Lauren DPM Podiatric Surgery Valley Podiatry Assoc (South Hadley) 81 Willimansett St South Hadley,MA 01075 (413)536-0912

Perkins Patricia APRN Thoracic Surgery Trinity Health Of New England Medical Group – Thoracic Surgery 299 Carew St / Ste 410 Springfield,MA 01104 (413)748-9628

Perlman Michael MD Psychiatry Office of Michael Perlman, MD 57 Gothic St Northampton,MA 01060 (413)584-6186

Petashnick Daniel MD Ophthalmology Manchester Ophthalmology 732 Main St Manchester,CT 06040 (860)649-5177

Peteros Christopher DPM Podiatric Surgery Office of Christopher Peteros, DPM 1200 Converse St / Ste 103 Longmeadow,MA 01106 (413)567-6860

Peters Victoria DO Geriatric Medicine Landmark Health 1400 Computer Dr / Ste 301 Westborough,MA 01581 (877)255-3259

Petersen Nils MD Teleneurology Yale New Haven Hospital- Stroke Division 15 York St / LCI1003C New Haven,CT 06520 (203)737-2935

Peters-Gee Jill MD Urology Women's Health Specialty Care 499 Farmington Ave / Ste 220 Farmington,CT 06032 (860)678-7300

Peterson Peter DMD General Dentistry Drs Peterson Sorrentino and Grosso – Farmington 291 Farmington Ave Farmington,CT 06032 (860)677-8747

Petitti Meghan PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Phan Loan PA-C Hospitalist Trinity Health Of New England Medical Group c/o Johnson Memorial Hospital - Hospitalist / 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8747

Phatak Sagar MD Urology Urology Assoc of Waterbury 1320 W Main St / Bldg 2 Waterbury,CT 06708 (203)757-8361

Page 18: Non-Participating Provider List Primary Specialty Office

Phillips Aleksandra MD Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Phung Jennifer APRN Cardiology Naugatuck Valley Cardiovascular Associates LLC 1625 Straits Turnpike / Ste 209 Middlebury,CT 06762 (866)621-6822

Piekarsky Mark MD Internal Medicine Starling Physicians 300 Kensington Ave New Britain,CT 06051 (860)832-8150

Pier James PhD Neuropsychology Northeast Neuropsychology 609 W Johnson Ave / Ste 104 Cheshire,CT 06410 (203)272-6007

Pike John PA-C Physician Assistant - Occupational Health Saint Francis Occupational Health 114 Woodland St Hartford,CT 06105 (860)714-4270

Pike John PA-C Occupational Medicine Saint Francis Occupational Health 114 Woodland St Hartford,CT 06105 (860)714-4270

Pinho Jason PA-C Physician Assistant - Orthopedics Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Pinto-Garcia Patricia MD Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Pittari Cara MD Medicine Waterbury Neurology LLC 1579 Straits Turnpike / Ste 307 Middlebury,CT 06762 (203)758-8995

Pizzuto David MD Internal Medicine David Pizzuto MD 1211 W Main St Waterbury,CT 06708 (203)756-6148

Plosky Daniel MD Otolaryngology Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Poindexter Anthony MD Nephrology Kidney Care & Transplant Services of New England 2150 Main St Springfield,MA 01104 (413)733-0010

Poindexter Anthony MD Nephrology Kidney Care & Transplant Services of New England 2150 Main St Springfield,MA 01104 (413)733-0010

Polaski Miranda PA-C Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Porter Paul MD Emergency Medicine Saint Mary's Hospital Administration (CMO) Saint Mary's Hospital / 56 Franklin St Waterbury,CT 06706 (203)709-6094

Posner Michael MD General Surgery Starling Physicians 289 Western Blvd Glastonbury,CT (860)826-4457

Prevelige Jason PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Preysner Linda MD Internal Medicine Nutmeg Medical Group, LLC 40 Dale Rd / Ste 202 Avon,CT 06001 (860)678-7897

Price Arike MD Neurology Hartford Neurology LLC 85 Seymour St Ste 800 Hartford,CT 06106 (860)522-4429

Prince Renee MD Orthopedic Surgery Orthopedic Assoc of Northern CT 7 Elm St / Ste 203 Enfield,CT 06082 (860)763-4041

Provost Joseph PA-C Physician Assistant - Urology Pioneer Valley Urology Group 100 Wason Ave / Ste 120 Springfield,MA 01107 (413)241-2100

Pun Hector MD Internal Medicine Hector R Pun MD PC 134 Grandview Ave Waterbury,CT 06708 (203)756-7788

Puri Parshant MD Radiology Mercy Medical Center - Radiology 271 Carew St Springfield,MA 01104 (413)748-9200

Putnam Jill MD Orthopedic Surgery The Hand Center 195 Eastern Blvd / Ste 200 Glastonbury,CT 06033 (860)781-6299

Quadri Arshad MD Cardiothoracic Surgery Cardiac & Thoracic Surgical Associates 345 North Main St 1st floor West Hartford,CT 06117 (860)244-2300

Quatrocelli Angela MD Pediatrics Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Quink Laura PA-C Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Raad Marc MD Internal Medicine Alliance Medical Group 503 Wolcott Rd Wolcott,CT 06716 (203)879-8003

Rader Christine MD General Surgery Connecticut Children's Specialty Group Inc 282 Washington St Hartford,CT 06106 (860)545-9520

Rae Sandra APRN Nurse Practitioner Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Raftery Charles MD Orthopedic Surgery Connecticut Spine and Disc Institute 1579 Straits Turnpike Middlebury,CT 06762 (203)758-2003

Rajashekar Shilpa MD Refer & Follow ProHealth Physicians of Farmington 21 South Rd / Ste 110 Farmington,CT 06032 (860)284-4945

Raman Thirupaimaruth MD Pulmonary Medicine Valley Pulmonary Medical Associates 222 Carew St Springfield,MA 01104 (413)739-5661

Ramirez Anthony MD Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Rao K.V.R. MD Pulmonary Medicine Valley Pulmonary Medical Associates 222 Carew St Springfield,MA 01104 (413)739-5661

Ravalese Joseph MD Radiation Oncology Harold Leever Regional Cancer Center 1075 Chase Pkwy Waterbury,CT 06708 (203)575-5555

Rawal Harsh MD Hospitalist - Internal Medicine Trinity Health Of New England Medical Group 114 Woodland St Hartford,CT 06105 (860)714-7446

Rebai Leila PA-C Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Reddy Nadavaluru MD Hospitalist Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

Regan Adine MD Urology Women's Health Specialty Care 499 Farmington Ave / Ste 220 Farmington,CT 06032 (860)678-7300

Reilly Jacquelyn MD Otolaryngology Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Reinhard Collin PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Ren-Holzman Jennifer PA-C Physician Assistant - Acute Care Surg & Critical Care Trinity Health Of New England Medical Group 114 Woodland St / Dept of Surgery Hartford,CT 06105 (860)714-5237

Rice Kayla PA-C Urology Urology Group of Western NE 3640 Main St / Ste 103 Springfield,MA 01107 (413)785-5321

Richards Kyle MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 2 Medical Center Dr / Ste 410 Springfield,MA 01107 (413)748-7095

Richardson Dawn MD Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Richardson Loretta CNM Obstetrics & Gynecology Trinity Health Of New England Medical Group (Westfield) 395 Southampton Rd Westfield,MA 01085 (413)533-2900

Richo Gary MD Orthopedic Surgery Valley Orthopaedic Specialists 2 Trap Falls Rd / Ste 404 Shelton,CT 06484 (203)734-7900

Rickevicius Sophia APRN Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Ristau Benjamin MD Urology UConn Health 263 Farmington Ave Ste MC-8036 Farmington,CT 06030 (860)679-4100

Rivera-Competiello Nelza MD Physical Medicine & Rehabilitation Nelza Rivera-Competiello MD 139 Hazard Ave / Bldg 1 Ste 3 Enfield,CT 06082 (860)763-3434

Ro Howard MD Internal Medicine Enfield Medical Assoc 701 Enfield St Enfield,CT 06082 (860)741-6058

Roach Philip PA-C Pediatrics Connecticut Children's Medical Center-Waterbury 56 Franklin St Waterbury,CT 06706 (203)709-3538

Robbins Langan DO Diagnostic Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Robertson David MD Allergy & Immunology Allergy & Immunology Assoc of New England (Northampton) 269 Locust St Northampton,MA 01062 (413)586-0769

Robinson Charles MD Ophthalmology Bristol Eye Associates, PC 156 Farmington Ave Bristol,CT 06010 (860)583-2108

Page 19: Non-Participating Provider List Primary Specialty Office

Robles Liliana MD Teleneurology NuVasive Clinical Services Monitoring 10420 Little Patuxent Pkwy / Ste 250 Columbia,MD 21044 (410)740-2370x.3509

Rockoff Thomas MD Internal Medicine Naugatuck Valley Gastroenterology Consultants LLC 166 Waterbury Rd / Ste 104 Prospect,CT 06712 (203)756-6422

Rogan Emily PA-C Physician Assistant – Bariatric Surgery New York Bariatric Group 140 Sherman St Fairfield,CT 06824 (516)616-5500

Rohrbacher Jayne MD Pediatrics Caring Health Center 532 Sumner Ave Springfield,MA 01108 (413)739-1100

Rokosky Michael MD Pediatrics Alliance Medical Group PC - Pediatrics 1625 Straits Turnpike Middlebury,CT 06762 (203)759-0666

Romito Rosemarie APRN Nurse Practitioner Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Rordorf Guy MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Rose Aron MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Rosen Karen PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Rosenberg Mark MD Internal Medicine Nuvance Health 1389 West Main St / Ste 106 Waterbury,CT 06708 (203)591-1998

Roshon Michael MD Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Ross Jordan CRNA Anesthesiology Saint Mary's Hospital - Dept of Anesthesiology 56 Franklin St Waterbury,CT 06706 (203)709-6196

Rossen Michael MD Neurology Hampshire Neurology 234 Russell St / Ste 206 Hadley,MA 01035 (413)406-3033

Rost Natalia MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Roter Eric MD Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Roussel Gayle APRN NP - Neurology Trinity Health Of New England Medical Group 1000 Asylum Ave / Gengras Ste 4304 Hartford,CT 06105 (860)522-3711

Roy Shumita PhD Neuropsychology Northeast Neuropsychology 609 W Johnson Ave / Ste 104 Cheshire,CT 06410 (203)272-6007

Rubin Daniel MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Ruchman Mark MD Ophthalmology Mark C Ruchman MD 1449 Old Waterbury Rd / Ste 203 Southbury,CT 06488 (203)264-4000

Ruddat Michael MD Ophthalmology Retina Consultants, PC 191 Main St Manchester,CT 06040 (860)646-7704

Rudich Danielle MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Rudnick Melanie MD Pediatric Hospitalist Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Rudolph Jane MD Pediatrics Child & Adolescent Health Care Assoc 179 Roseland Ave Waterbury,CT 06710 (203)574-4747

Ruegg Emily PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Ruggiero Mark MD Internal Medicine Cardiology Assoc of Waterbury PC 455 Chase Pkwy Waterbury,CT 06708 (203)573-1435

Rupert Gina PA-C Medicine Southbury Internal Medicine 385 Main St S / Ste 106 Southbury,CT 06488 (203)262-4600

Ruppel Keith MD Pediatrics Redwood Pediatrics & Adolescent Med 15 Vreeland Ave E Longmeadow,MA 01028 (413)787-2555

Russo Anna PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Russo Christopher MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

Russolillo Gary MD Plastic Surgery Cosmetic Plastic Surgery 970 Farmington Ave / Ste 21 West Hartford,CT 06107 (860)521-2200

Rutherford Kimberley MD Otolaryngology ProHealth Physicians Ear Nose & Throat 599 Farmington Ave / Ste 101 Farmington,CT 06032 (860)284-4950

Rychwalski Paul MD Pediatric Ophthalmology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Rymer Barbara APRN Obstetrics & Gynecology Specialists in Women's Healthcare 134 Grandview Ave / Ste 210 Waterbury,CT 06708 (203)754-2535

Saad Hannan MD Teleradiology Vision Radiology 2825 Oak Lawn Ave / Ste 192749 Dallas,TX 75219-9998 (510)683-9500

Sabbath Kert MD Hematology Smilow Cancer Center-Waterbury 1075 Chase Pkwy Waterbury,CT 06708 (203)755-6311

Sachdeva Geetika MD Geriatric Medicine Mercy Life PACE 2112 Riverdale St / Ste 1 West Springfield,MA 01089 (413)748-7223

Sacramento Ferreira Isis MD Referral Only ProHealth Physicians 8 D Canal Ct Avon,CT 06001 (860)674-9686

Sadeghipour Roodsari Gholamreza MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Sadowski Kevin APRN Neurological Surgery Howard Lantner MD PC 1000 Asylum Ave / Ste 3208 Hartford,CT 06105 (860)522-7121

Safvi Amjad MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Sahakian Anush MD Hospitalist Mercy Medical Center MIMS 271 Carew St Springfield,MA 01104 (413)748-9321

Sahakyan Marine MD Referral Only Greater Hartford Women's Health Assoc 345 North Main St / Ste 201 West Hartford,CT 06117-2529 (860)561-7222

Sakal Angela CCP Cardiothoracic Surgery St. Francis Cardiovascular Perfusionists 114 Woodland St Hartford,CT 06105 (860)714-9721

Salkeld Kaitlin PA-C Plastic Surgery Pomperaug Plastic Surgery LLC 22 Poverty Rd Southbury,CT 06488 (203)262-6200

Salvador Katherine PA-C Physician Assistant - Psychiatry The Root Center for Advanced Recovery 335 Broad St Manchester,CT 06040 (860)643-3210

Sam Kweku MD Pediatrics Alliance Medical Group PC - Pediatrics 1625 Straits Turnpike Middlebury,CT 06762 (203)759-0666

Sampson Joanna MD Gastroenterology Western Mass GI Assoc 299 Carew St / Ste 419 Springfield,MA 01104 (413)737-7951

Sankar Wael MD Hospitalist Mercy Medical Center MIMS 271 Carew St Springfield,MA 01104 (413)748-9321

Sankaran Ramkumar MD Nephrology Medicine

Sansing Lauren MD Teleneurology Yale New Haven Hospital- Stroke Division 15 York St / LCI1003C New Haven,CT 06520 (203)737-2935

Santos Jose MD Psychiatry CADTC Partners, LLP 1031 Farmington Ave Farmington,CT 06032 (860)677-2550

Sanvie Bernard PA-C Hospitalist Mercy Medical Center MIMS 271 Carew St Springfield,MA 01104 (413)748-9321

Sarage Anthony DPM Podiatric Surgery Western Mass Podiatry Assoc 264 N Main St East Longmeadow,MA 01028 (413)525-4373

Sassi Dorothy APRN Gastroenterology Western Mass GI Assoc 299 Carew St / Ste 419 Springfield,MA 01104 (413)737-7951

Sastre Anna MD Family Medicine UConn Health – Family Medicine Practice 117 Albany Turnpike Canton,CT 06109 (860)658-3444

Savarese Michael MD Internal Medicine MDServices, LLC 10 North Benson Rd Middlebury,CT 06762 (203)758-1977

Page 20: Non-Participating Provider List Primary Specialty Office

Savinelli Thomas MD Referral Only Starling Physicians 1260 Silas Deane Hwy Wethersfield,CT 06109 (860)721-5731

Scarlett Richard MD Orthopedic Surgery Starling Physicians One Lake St / Bldg D Ste 101 New Britain,CT 06052 (860)832-4666

Scarnati Ernest MD Teleradiology Radiology Assoc of Hartford PC 1000 Asylum Ave / Ste 3201 E Hartford,CT 06105 (860)714-2724

Scartozzi Richard MD Ophthalmology Danbury Eye Physicians 69 Sandpit Rd / Ste 101 Danbury,CT 06810 (203)791-2020

Schein Ian MD Internal Medicine Health Care Resource Centers Westfield 125 N Elm St Westfield,MA 01085 (413)568-6600

Schindler Joseph MD Teleneurology Yale Medical 15 York St / LLCI 810 New Haven,CT 06510 (203)785-2791

Schmidt Megan MD Obstetrics & Gynecology Trinity Health Of New England Medical Group - OB/GYN & Nurse Midwifery 1000 Asylum Ave / Ste 1026 Hartford,CT 06105 (860)714-4440

Schned Eli MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Schoenfeld Mark MD Cardiology Mark H Schoenfeld MD 56 Franklin St Waterbury,CT 06706 (203)709-7223

Schore Anthony MD Gastroenterology and Hepatology Naugatuck Valley Gastroenterology Consultants LLC 166 Waterbury Rd / Ste 104 Prospect,CT 06712 (203)756-6422

Schreiber Jonathan MD Plastic Surgery Plastic Surgery of Greater Hartford One Barnard Lane / Ste 102 Bloomfield,CT 06002 (860)243-1889

Schreibstein Jerry MD Otolaryngology Ear Nose & Throat Surgeons of Western New England LLC 100 Wason Ave / Ste 100 Springfield,MA 01107 (413)732-7426

Schutzer Steven MD Orthopedic Surgery Orthopedic Assoc of Hartford 499 Farmington Ave / Ste 300 Farmington,CT 06032 (860)549-8262

Schwamm Lee MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Schwartz Carolyn APRN NP - General Starling Physicians 1260 Silas Deane Hwy Wethersfield,CT 06109 (860)258-3477

Schwartz Doniel PA-C Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians (Northampton) 766 N King St Northampton,MA 01060 (413)586-0230

Schwartz Paul MD Neurological Surgery Neurosurgeons of Central Connecticut 100 Retreat Ave Ste 705 Hartford,CT 06106-2565 (860)278-0070

Scibelli Laura APRN Internal Medicine Starling Physicians, P.C. Internal Medicine / 160 Hazard Ave Enfield,CT 06082 (860)253-5330

Scliopou James PA-C Physician Assistant - Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

ScottoDicarlo Josephine MD Pediatrics Trinity Health of New England Medical Group 305 Bicentennial Hwy Springfield,MA 01118 (413)733-4101

Seeger Laurie PA-C Physician Assistant - Pediatrics Trinity Health Of New England Medical Group 114 Woodland St Hartford,CT 06105 (860)714-4000

Segalman Joel DPM Podiatry Chase Parkway Podiatry Group 714 Chase Pkwy Waterbury,CT 06708 (203)755-0489

Segool Richard MD Pediatrics Pioneer Valley Pediatrics 115 Elm St Enfield,CT 06082 (860)745-3336

Sekaran Anand MD Pediatrics CCMC-Hospitalists 282 Washington St Hartford,CT 06106 (860)545-8894

Sekhar Nikhilesh MD Bariatric Surgery New York Bariatric Group 140 Sherman St Fairfield,CT 06824 (516)616-5500

Selden Steven MD Orthopedic Surgery Orthopedic Assoc of Central CT 510 Cottage Grove Rd Bloomfield,CT 06002 (060)243-1414

Semaan Elie MD Vascular Surgery Mercy Vascular Services 300 Stafford St Ste 210 Springfield,MA 01104 (413)748-9378

Senatus Patrick MD Neurological Surgery Dr. Patrick Senatus 35 Talcottville Rd Vernon,CT 06066 (860)870-6388

Seyedjavady Houman MD Hospitalist Mercy Medical Center MIMS 271 Carew St Springfield,MA 01104 (413)748-9321

Shaban Eric MD Internal Medicine VITAS Healthcare 199 Park Rd / Ste 102 Middlebury,CT 06762 (203)437-3111

Shad Asfa DO Intraoperative Spinal Monitoring NuVasive Clinical Services 10275 Little Patuxent Pkwy / Ste 300 Columbia,MD 21044 (410)740-2370

Shah Darshan MD Internal Medicine Medicine 139 Hazard Ave / Ste 4 Enfield,CT 06082 (860)763-0208

Shaker Leonard MD Urology Pioneer Valley Urology Group 100 Wason Ave / Ste 120 Springfield,MA 01107 (413)241-2100

Shaker Marisa PA-C Pediatrics Saint Mary's Hospital-Pediatrics 56 Franklin St Waterbury,CT 06706 (203)709-3538

Shangold Gregory MD Emergency Medicine Northeast Emergency Medicine Specialists LLC Windham Hospital / 112 Mansfield Ave Willimantic,CT 06226 (860)456-9116

Shapiro Paul MD Gastroenterology Connecticut GI PC – Bloomfield 6 Northwestern Dr / Ste 302 Bloomfield,CT 06002 (860)243-5600

Sharma Richa MD Teleneurology Yale Medical 15 York St / LLCI 810 New Haven,CT 06510 (203)785-2791

Shastri Gaurang CCP Perfusionist St. Francis Cardiovascular Perfusionists 114 Woodland St Hartford,CT 06105 (860)714-9721

Shatz Lauren MD Ophthalmology Eye Physicians of Northampton 40 Main St / Ste 106 Florence,MA 01062 (413)584-6422

Shea Michael APRN NP - Occupational Medicine MedWorks LLC 375 E Cedar St Newington,CT 06111 (860)667-4418

Shekhman Mark MD Orthopedic Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Shepherd Jonathan MD Female Pelvic Medicine & Reconstructive Surgery Trinity Health Of New England Medical Group - Urogynecology 114 Woodland St / CWHC Hartford,CT 06105 (860)286-2996

Shepherd Warren MD Radiology Mercy Medical Center - Radiology 271 Carew St Springfield,MA 01104 (413)748-9200

Sheth Kevin MD Teleneurology Yale New Haven Hospital 20 York St New Haven,CT 06520 (203)737-4382

Shield David MD Ophthalmology Eye Physicians of Northampton 40 Main St / Ste 106 Florence,MA 01062 (413)584-6422

Shin Frank MD Radiology Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Shin Yeo MD Radiology Naugatuck Valley Radiology 385 Main St S / Union Sq Bldg 1 Southbury,CT 06488 (203)267-5800

Shoup Richard MD Sleep Medicine Sleep Medicine Assoc LLC 112 Spencer St Manchester,CT 06040 (860)432-5600

Shue Bing MD Vascular Surgery The Vascular Experts 1449 Old Waterbury Rd / Ste 101 Southbury,CT 06488 (844)482-7285

Silbert Jonathan MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Silver Steven MD Wound Care Wound Care Program (Carew) 222 Carew St Springfield,MA 01104 (413)781-5432

Silverman Isaac MD Neurology Hartford Neurology LLC 85 Seymour St Ste 800 Hartford,CT 06106 (860)522-4429

Silverman Karianne MD Obstetrics & Gynecology Trinity Health Of New England Medical Group - Maternal Fetal Medicine 114 Woodland St / 4th Floor Hartford,CT 06105 (860)714-4378

Silverman Richard MD Internal Medicine Waterbury Pulmonary Assoc 170 Grandview Ave Waterbury,CT 06708 (203)759-3666

Silverman Scott MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Silvis Timothy MD Internal Medicine Timothy Robert Silvis MD 24 Battle St Somers,CT 06071 (860)763-4024

Page 21: Non-Participating Provider List Primary Specialty Office

Singh Arminder MD Internal Medicine Arminder Singh MD PC 299 Carew St / Ste 404 Springfield,MA 01104 (413)333-2064

Singhal Aneesh MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Sirota Megan MD Pediatric Cardiology The Children's Heart Center of Western MA 1754 Northampton St Holyoke,MA 01040 (413)315-3117

Sklar Craig MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Skurkis Christine MD Pediatrics CCMC-Hospitalists 282 Washington St Hartford,CT 06106 (860)545-8894

Slater Jonathan MD Nephrology Renal & Transplant Assoc of NE PC 100 Wason Ave / Ste 200 Springfield,MA 01107 (413)733-9666

Slemmens Meghan MD Obstetrics & Gynecology Specialists in Women's Healthcare 134 Grandview Ave / Ste 210 Waterbury,CT 06708 (203)754-2535

Slitzky Barry MD Gastroenterology Western Mass GI Assoc 299 Carew St / Ste 419 Springfield,MA 01104 (413)737-7951

Smedley Michelle MD Gastroenterology Connecticut GI PC – Farmington 21 South Rd / Ste 100 Farmington,CT 06032 (860)409-4567

Smith Kathryn PA-C Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Smith Paul DDS General Dentistry Trinity Health Of New England Medical Group 1000 Asylum Ave Ste 3200 / The Dental Center Hartford,CT 06105 (860)714-4995

Smith Sharon PA-C Pediatrics Saint Mary's Hospital-Pediatrics 56 Franklin St Waterbury,CT 06706 (203)709-3538

Solinsky Alan MD Ophthalmology Solinsky EyeCare LLC 1013 Farmington Ave West Hartford,CT 06107 (860)233-2020

Somanath Bidarkote MD Pediatrics Bidarkote Somanath MD 140 Grandview Ave / Ste 206 Waterbury,CT 06708 (203)753-6413

Soni Prashant MD Plastic Surgery Advanced Specialty Care 107 Newtown Rd Danbury,CT 06810 (203)791-9661

Sonn Donald MD Urology Urology Group of Western NE 61 Locust St / 1st Floor Northampton,MA 01060 (413)785-5321

Sorrell Michael MD Neurology Western Mass Neurology 175 Carew St / Ste 140 Springfield,MA 01104 (413)737-4100

Soucier Donald DO Cardiovascular Disease Trinity Health Of New England Medical Group 50 Hospital Hill Rd PO Box 789 Sharon,CT 06069 (860)364-4505

Spagnoli Bernita MD Radiology Mercy Medical Center - Radiology 271 Carew St Springfield,MA 01104 (413)748-9200

Spielberg Melvin MD Internal Medicine Melvin I Spielberg MD PC 148 North Rd East Windsor,CT 06088 (860)627-9423

Spinella Anthony MD Orthopedic Surgery Spinella Orthopaedic Assoc Inc PO Box 310471 Newington,CT 06131 (860)246-2541

Spinella Anthony MD Orthopedic Surgery Spinella Orthopaedic Assoc Inc PO Box 310471 Newington,CT 06131 (860)246-2541

Splain James MD Pediatrics Trinity Health Of New England Medical Group 230 Main St Agawam,MA 01001 (413)789-6800

Squillace Steven OD Optometry Somers Vision Clinic 48 South Rd / Ste 8, PO Box 801 Somers,CT 06071 (860)763-4733

St Jacques Jayson MD Radiology Mercy Medical Center - Radiology 271 Carew St Springfield,MA 01104 (413)748-9200

St Onge Cindy MD Pediatrics Farmington Valley Pediatrics 30 W Avon Rd / Ste D Avon,CT 06001 (860)678-0484

Stacer Christopher PA-C Physician Assistant - Orthopedics Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Stanat Scott MD Orthopedic Surgery Norwich Orthopedic Group, PC 82 New Park Ave Franklin,CT 06254 (860)889-7345

Stanislaw Paul MD Plastic Surgery within the Head & Neck Stanislaw Facial Plastic Surgery Center 35 Nod Rd / Ste 204 Avon,CT 06001 (860)409-1515

Starkey Noah MD Internal Medicine Starling Physicians, P.C. Internal Medicine / 160 Hazard Ave Enfield,CT 06082 (860)253-5330

Starkman Jonathan MD Urology Pioneer Valley Urology Group 100 Wason Ave / Ste 120 Springfield,MA 01107 (413)241-2100

Stasulis Craig DMD Oral & Maxillofacial Surgery Connecticut Maxillofacial Surgeons 415 Silas Deane Highway Wethersfield,CT 06109 (860)529-5394

Stauber Ziva MD Neurophysiology SpecialtyCare 3 Maryland Farms / Ste 200 Brentwood,TN 37027 (615)345-5450

Steadman Ursula MD Obstetrics & Gynecology Progressive Women's Health 499 Farmington Ave / Ste 220 Farmington,CT 06032 (860)676-8111

Steele Jeremy MD Pediatrics Yale New Haven Hospital 20 York St New Haven,CT 06520 (203)737-4382

Steele Jeri APRN Nurse Practitioner Occupational Health Dept/Workwise 233 Carew St Springfield,MA 01104 (413)748-6870

Steele Jeri APRN Occupational Medicine Occupational Health Dept/Workwise 233 Carew St Springfield,MA 01104 (413)748-6870

Stein Jeffrey MD Radiology Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Steinberg Gerald MD Internal Medicine Post Acute Care Clinicians 819 Worcester St / Ste 1 Sprinfield,MA 01151 (413)276-6700

Stemp Leo MD Critical Care Medicine Adfinitas Health LLC 7250 Pkwy Dr / Ste 500 Hanover,MD 21076 (410)999-1130

Stempel Dylan PA-C Physician Assistant - Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Stevens Mark PA-C Emergency Medicine STMH Cheshire Urgent Care 1154 Highland Ave Cheshire,CT 06410 (203)709-4825

Stevenson Christina MD General Surgery UCONN - Carole and Ray Neag Comp Cancer Center 263 Farmington Ave MC 2212 Farmington,CT 06030 (860)679-4973

Stevenson Margo DO Pediatric Allergy and Immunology Allergy & Immunology Assoc of New England LLC (Wilbraham) 2377 Boston Rd / Ste 1 Wilbraham,MA 01095 (413)596-4943

Stinson Ellana MD Emergency Medicine Mercy Medical Center - Emergency Dept 271 Carew St Springfield,MA 01104 (413)748-9670

Stoj Marion MD Ophthalmology Retina Consultants, PC 43 Woodland St Ste100 Hartford,CT 06105 (860)527-9020

Strachan Jaime MD Vascular Surgery The Vascular Experts 1449 Old Waterbury Rd / Ste 101 Southbury,CT 06488 (844)482-7285

Streletz Leopold MD Neurology Trinity Health of New England Medical Group - Neuro Stroke 1000 Asylum Ave / Ste 2112 Hartford,CT 06105 (860)522-3711

Strickland Jason APRN NP - Occupational Medicine SFH Center for Occupational Health 114 Woodland St / Gengras 4320 Hartford,CT 06105 (860)714-5339

Strugar John MD Neurosurgery Neurosurgery Orthopedic & Spine Specialists PC 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Stumbras Carol PA-C Physician Assistant - Occupational Health SFH Center for Occupational Health 1000 Asylum Ave / Ste 4320 Hartford,CT 06105 (860)714-4270

Stutz Stanley MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Sudol Jonathan DMD Oral Surgery Torchia Winn & Laudano 75 Van Deene Ave West Springfield,MA 01089 (413)788-9621

Sugin Stephanie MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Sullivan Raymond MD Orthopedic Surgery Orthopedic Assoc of Hartford 499 Farmington Ave / Ste 300 Farmington,CT 06032 (860)549-8262

Sullivan Sarah PA-C Physician Assistant - Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Page 22: Non-Participating Provider List Primary Specialty Office

Sunny Pazhayattil George MD Internal Medicine Connecticut Kidney & Hypertension Specialists LLC 30 Peck Rd / Ste 2201 Torrington,CT 06790 (860)489-1984

Sury Krishna MD Medicine Connecticut Kidney & Hypertension Specialists LLC 140 Grandview Ave / Ste 101 Waterbury,CT 06708 (203)597-9733

Suski Edmund MD Ophthalmology Hartford Ophthalmology Assoc 19 Woodland St Ste 44 Hartford,CT 06105 (860)247-2169

Sutton Robert PhD Psychology Center for Geriatric & Family Psychiatry 55 Nye Rd / Ste 102 Glastonbury,CT 06033 (860)657-3056

Swanson William MD Urology Pioneer Valley Urology, P.C. 100 Wason Ave / Ste 120 Springfield,MA 01107 (413)241-2100

Sweezy Kimberly PA-C Physician Assistant - Neurosurgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Swords Robert MD Psychiatry Dr Robert F Swords 140 Glastonbury Blvd Glastonbury,CT 06033 (860)368-7778

Sylvia Jaclyn PA-C Otolaryngology Westwood Ear Nose & Throat PC 60 Westwood Ave / Ste 104 Waterbury,CT 06708 (203)574-5997

Szenk Monika PA-C Cardiothoracic Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)696-5520

Szerszen Marta PA-C Physician Assistant – Bariatric Surgery Trinity Health Of New England Medical Group 220 Farmington Ave 1st Floor - Bariatric Center Farmington,CT 06032-1912 (860)714-7128

Szynkowicz Peter DC Chiropractics Peter Szynkowicz DC 75 Old Town Farm Rd Woodbury,CT 06798

Tamulis Samantha CNM Midwife, Certified Nurse First Choice Health Centers Inc 110 Connecticut Blvd East Hartford,CT 06108 (860)528-1359

Tarail Mary MD Psychiatry Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Tatoian Robert DPM Podiatry Bay State Family Podiatry 74 Palomba Dr Enfield,CT 06082 (860)253-9190

Teferra Ethiopia MD Radiology Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Teiger Michael MD Pulmonary Disease Michael B Teiger MD PC 345 North Main St / 1st Floor West Hartford,CT 06117 (860)278-3812

Tejeda Marcia MD Obstetrics & Gynecology Westwood Women's Health 60 Westwood Ave / Ste 200 Waterbury,CT 06708 (203)574-5501

Tessema Belachew MD Otolaryngology ProHealth Physicians Ear Nose & Throat 599 Farmington Ave / Ste 101 Farmington,CT 06032 (860)284-4950

Testani Jeffrey MD Cardiology Trinity Health Of New England Medical Group - Heart Failure Clinic 114 Woodland St / 5nd Floor Hartford,CT 06105 (860)714-6178

Tetrault Alexi PA-C Physician Assistant - Surgical Trinity Health Of New England Medical Group - Acute Care Surgery 1000 Asylum Ave / Ste 4302 Hartford,CT 06105 (860)714-5237

Thomas Stephen MD Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Thornquist Steven MD Ophthalmology The Eye Care Group 1201 W Main St / Ste 100 Waterbury,CT 06708 (203)597-9100

Thorpe Dahlia DO Emergency Medicine Envision Physician Services 3 Century Dr Parsippany,NJ 07054 (973)436-5540

Tingey Ian DDS Oral & Maxillofacial Surgery Connecticut Maxillofacial Surgeons 291 Farmington Ave Farmington,CT 06032 (860)678-7528

Tinna Harmandeep MD Hospitalist - Internal Medicine Trinity Health Of New England Medical Group 114 Woodland St Hartford,CT 06105 (860)714-7446

Tinnesz Peter CRNA Anesthesiology Yale New Haven Hospital 20 York St New Haven,CT 06520 (203)737-4382

Tirpaeck Heather DO Pediatrics Pioneer Valley Pediatrics 123 Dwight Rd Longmeadow,MA 01106 (413)567-1031

Tiyyagura Sandeep MD Internal Medicine Connecticut Kidney & Hypertension Specialists LLC 140 Grandview Ave / Ste 101 Waterbury,CT 06708 (203)597-9733

Tokarz Sharon PA-C Physician Assistant - Neurosurgery Dr. Patrick Senatus 35 Talcottville Rd Vernon,CT 06066 (860)870-6388

Toombs Casey DO Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Toro-Salazar Olga MD Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Toro-Salazar Olga MD Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Toscano Robert MD Pediatrics Pediatrics and Adolescent Medicine 33 Canal St Weatogue,CT 06089 (860)658-1058

Toto Julia MD Plastic Surgery ProHealth Physicians Plastic Surgery 599 Farmington Ave Farmington,CT 06032 (860)284-4950

Townsend Ashley PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Trager Michael MD Internal Medicine Associated Physicians of Southbury PC 385 Main St S / Ste 301 Southbury,CT 06488 (203)264-3319

Tran William MD Urology Urology Group of Western NE 3640 Main St / Ste 103 Springfield,MA 01107 (413)785-5321

Tremaglio Ralph MD Internal Medicine Scovill Medical Group (Naugatuck) 305 Church St Naugatuck,CT 06770 (203)729-5271

Troiano Isaac DO Emergency Medicine Northeast Emergency Medicine Specialists LLC 201 Chestnut Hill Rd Stafford Springs,CT 06076 (860)684-8111

Trymbulak Helen MD Obstetrics & Gynecology Greater Hartford Women's Health Assoc 345 North Main St / Ste 201 West Hartford,CT 06117-2529 (860)561-7222

Tsang Alexander MD Ophthalmology ERiCare CT 11 Mountain Ave / Ste 308 Bloomfield,CT 06002 (860)943-1997

Tsao Kuang-Wen MD Internal Medicine VITAS Healthcare 199 Park Rd / Ste 102 Middlebury,CT 06762 (203)437-3111

Tsirka Anna MD Pediatric Cardiology Baystate Pediatric Cardiology 50 Wason Ave / 1st Floor Springfield,MA 01199 (413)794-4441

Tucker Joseph MD Pediatric Genetics UCONN - Division of Human Genetics 65 Kane St MC7120 West Hartford,CT 06119 (860)523-6464

Tyminska-Paluchowska Beata MD Pediatrics Pediatric Care Assoc 299 Carew St / Ste 210 Springfield,MA 01104 (413)732-5580

Tynan MacDara MD Pediatrics CCMC-Hospitalists 282 Washington St Hartford,CT 06106 (860)545-8894

Tyson Adam MD Urology Urology Group of Western New England PC 3640 Main St / Ste 103 Springfield,MA 01107 (413)785-5321

Uddeen Jameel MD Pulmonary/Critical Care Waterbury Pulmonary Assoc 170 Grandview Ave Waterbury,CT 06708 (203)759-3666

Umar Muhammad MD Hospitalist Baystate Medical Center 759 Chestnut St Springfield,MA 01199

Upadhyay Shailendra MD Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Uphoff Dean MD Neuropathology Hartford Hospital 80 Seymour St Hartford,CT 06102 (860)545-2780

Urbano Ferdinando MD Internal Medicine Waterbury Pulmonary Assoc 170 Grandview Ave Waterbury,CT 06708 (203)759-3666

Valdez-Arroyo Sherley MD Neurophysiology NuVasive Clinical Services 10275 Little Patuxent Pkwy / Ste 300 Columbia,MD 21044 (410)740-2370

Van Niel David PA-C Cardiothoracic Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)696-5520

Van Stee Vanessa MD Allergy & Immunology Allergy & Immunology Assoc of New England (Northampton) 269 Locust St Northampton,MA 01062 (413)586-0769

Vanasse Jeffrey CCP Perfusionist St. Francis Cardiovascular Perfusionists 114 Woodland St Hartford,CT 06105 (860)714-9721

Page 23: Non-Participating Provider List Primary Specialty Office

Vanson David MD Radiology Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Velasco John-Paul MD Interventional Radiology Mercy Medical Center - Radiology 271 Carew St Springfield,MA 01104 (413)748-9200

Venkatesh Jayashree MD Pediatrics Manchester Pediatric Associates 2701 Tamarack Ave South Windsor,CT 06074 (860)647-8282

Venti Rozann MD Internal Medicine Hebron Medical Associates 269 Church St Amston,CT 06231 (860)228-9463

Vermette David MD Medicine Saint Mary's Hospital-Family Health Center-Med/Peds 133 Scovill St / Ste 306 Waterbury,CT 06706 (203)709-3800

Vidan Erez MD Teleradiology Envision - Rad Advantage APC 645 E Missouri Ave / Ste 300 Phoenix,AZ 85012 (480)500-2574

Vidhun Raghuraman MD Cardiology Cardiology Assoc of Waterbury PC 455 Chase Pkwy Waterbury,CT 06708 (203)573-1435

Viola Chelsea DPM Podiatric Surgery Vale Foot and Ankle Surgery, PLLC 350 Center Rock Green / Ste 3 Oxford,CT 06478 (203)941-6999

Viswanathan Anand MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Vithala Anil MD Internal Medicine Anil Vithala, MD 477 Connecticut Blvd Ste 117 East Hartford,CT 06108 (860)289-0623

Wable Sumathi MD Radiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Wable Sumathi MD Teleradiology TeleRadiology Solutions 22 Llanfair Rd / Unit 6 Ardmore,PA 19003 (610)785-6327

Waddington Erica DO Family Medicine Asylum Hill Family Medicine Center Inc 99 Woodland St Hartford,CT 06105 (860)714-4212

Waitze Alan MD Neurosurgery Neurosurgery Orthopedic & Spine Specialists PC 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Waitze Seung-Yeun MD Plastic Surgery Pomperaug Plastic Surgery LLC 22 Poverty Rd Southbury,CT 06488 (203)262-6200

Waldman William MD Family Medicine William J Waldman MD 7 Magauran Dr / Ste 3 Stafford Springs,CT 06076 (860)684-5438

Waller Scott MD Surgery Valley Orthopaedic Specialists 2 Trap Falls Rd / Ste 404 Shelton,CT 06484 (203)734-7900

Walsh Gregory MD Internal Medicine Prime HealthCare PC 20 Isham Rd / Ste 150 West Hartford,CT 06107 (860)527-1669

Walsh Trishna PA-C Medicine Associated Physicians of Southbury PC 385 Main St S / Ste 301 Southbury,CT 06488 (203)264-3319

Walter Scott MD Ophthalmology Retina Consultants, PC 43 Woodland St Ste100 Hartford,CT 06105 (860)527-9020

Wandel Erika MD Ophthalmology ReFocus 87 Grandview Avenue / Ste B Waterbury,CT 06708 (203)564-2929

Wang Alicia MD Pediatric Cardiology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Wang Hailun MD Otolaryngology ProHealth Physicians Ear Nose & Throat 599 Farmington Ave / Ste 101 Farmington,CT 06032 (860)284-4950

Waqar Sadaf DO Dermatology Farmington Valley Dermatology 120 Simsbury Rd / Ste A Avon,CT 06001 (860)674-9900

Wargo Catherine PsyD Neuropsychology Northeast Neuropsychology 609 W Johnson Ave / Ste 104 Cheshire,CT 06410 (203)272-6007

Wark Heather MD Internal Medicine Mount St Vincent Nursing Home 35 Holy Family Rd Holyoke,MA 01040 (413)532-3246

Watson Erin DO Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Watson Frederick MD Orthopedic Surgery NOSS - Orthopaedics 500 Chase Pkwy Waterbury,CT 06708 (203)755-6677

Waxman Peter MD Radiology Northeast Radiology PC 3839 Danbury Rd Brewster,NY 10509 (845)278-6200

Waynik Ilana MD Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Webster-Lake Carissa MD Vascular Surgery Trinity Health Of New England Medical Group - Vascular Surgery 114 Woodland St Hartford,CT 06105 (860)246-4000

Weinstein Peter MD Gastroenterology Western Mass GI Assoc 299 Carew St / Ste 419 Springfield,MA 01104 (413)737-7951

Weinstock Robert DDS Oral & Maxillofacial Surgery Torchia Winn & Laudano 75 Van Deene Ave West Springfield,MA 01089 (413)788-9621

Weiss Richard MD General Surgery Connecticut Children's Specialty Group Inc 282 Washington St Hartford,CT 06106 (860)545-9520

Wellner Murray MD Internal Medicine Murray I Wellner MD PC 10 Dale St West Hartford,CT 06107 (860)521-9451

West-Buxton Shannon APRN Nurse Practitioner Redwood Pediatrics & Adolescent Med 15 Vreeland Ave E Longmeadow,MA 01028 (413)787-2555

Westerling Pamela MD Medicine Optum Health 15 Campus Blvd Newtown Square,PA 19073 (610)550-7158

Weyman Brett DDS, MD Oral & Maxillofacial Surgery Connecticut Maxillofacial Surgeons 291 Farmington Ave Farmington,CT 06032 (860)678-7528

Whalen Christine DPM Podiatric Surgery Office of Christine Whalen DPM 1005 Elm St West Springfield,MA 01089 (413)736-0947

Whitaker-Worth Diane MD Dermatology UCONN - Dermatology Associates 263 Farmington Ave MC6231 Farmington,CT 06030-6231 (860)679-4600

White Stephanie PA-C Physician Assistant - Orthopedics Norwich Orthopedic Group, PC 82 New Park Ave Franklin,CT 06254 (860)889-7345

Whyte Andrew DO Family Practice Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Widman Stephen MD Internal Medicine Cardiology Assoc of Waterbury PC 455 Chase Pkwy Waterbury,CT 06708 (203)573-1435

Willers Michael MD Pediatric Cardiology The Children's Heart Center of Western MA 1754 Northampton St Holyoke,MA 01040 (413)315-3117

Williams James MD Otolaryngology Naugatuck Valley Ear Nose & Throat Associates LLC 171 Grandview Ave / Ste 201 Waterbury,CT 06708 (203)578-4630

Williamson Jonathan MD Gastroenterology Connecticut GI PC - Hartford 85 Seymour St / Ste 1000 Hartford,CT 06106 (860)246-2571

Winicki Raymond MD Otolaryngology Naugatuck Valley Ear Nose & Throat Associates LLC 171 Grandview Ave / Ste 201 Waterbury,CT 06708 (203)578-4630

Winkel S DO Occupational Medicine Saint Francis Occupational Health 100 Deerfield Rd Windsor,CT 06095 (860)714-9444

Winslow Robert MD Cardiac Electrophysiology Cardiac Specialists 1305 Post Rd Fairfield,CT 06824 (203)292-0808

Wint Jeffrey MD Orthopedic Surgery The Hand Center of Western Massachusetts 3550 Main St / Ste 204 Springfield,MA 01107 (413)733-2204

Wint Jeffrey MD Orthopedic Surgery The Hand Center of Western Massachusetts 3550 Main St / Ste 204 Springfield,MA 01107 (413)733-2204

Winter Ma'ayan APRN Nurse Practitioner Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Wintman Bruce MD Orthopedic Surgery The Hand Center of Western Massachusetts 3550 Main St / Ste 204 Springfield,MA 01107 (413)733-2204

Wintman Bruce MD Orthopedic Surgery The Hand Center of Western Massachusetts 3550 Main St / Ste 204 Springfield,MA 01107 (413)733-2204

Wisniewski John MD Referral Only Starling Physicians 85 Seymour St Ste 900 Hartford,CT 06106 (860)241-0700

Wolf Walter DPM Podiatric Surgery Valley Podiatry Assoc (South Hadley) 81 Willimansett St South Hadley,MA 01075 (413)536-0912

Page 24: Non-Participating Provider List Primary Specialty Office

Wolfe Stephen MD Otolaryngology ProHealth Physicians 4 Northwestern Dr / Ste 300 Bloomfield,CT 06002 (860)243-8997

Wolfgruber Hayley MD Pediatrics Connecticut Childrens Medical Center 282 Washington St Hartford,CT 06106 (860)545-9400

Wong Matthew MD Neurophysiology SpecialtyCare 3 Maryland Farms / Ste 200 Brentwood,TN 37027 (615)345-5450

Woo Si Hyung MD Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Woods Michael DO Physical Medicine & Rehabilitation Pioneer Spine & Sports Physicians 271 Park St West Springfield,MA 01089 (413)785-1153

Woznica Zbigniew MD Internal Medicine ProHealth Physicians 673 Maple Ave Hartford,CT 06114 (860)525-1904

Wycherly Benjamin MD Otolaryngology ProHealth Physicians Ear Nose & Throat 599 Farmington Ave / Ste 101 Farmington,CT 06032 (860)284-4950

Wychowski Adam MD Pediatrics Valley Medical Assoc 3640 Main St / Ste 207 Springfield,MA 01107 (413)739-0669

Yadav Rajwardhan MD Rheumatology Trinity Health Of New England Medical Group - Rheumatology 1000 Asylum Ave / Ste 2115 Hartford,CT 06105 (860)714-5816

Yaffee David MD Cardiothoracic Surgery Hartford Healthcare Medical Group Cardiac Surgery 85 Seymour St / Ste 919 Hartford,CT 06106 (860)696-5520

Yetil Turgut MD Internal Medicine Newington IM-Primary Care, LLP 365 Willard Ave 2-D Newington,CT 06111 (860)665-1571

Yi Bin Bin FNP Medicine Trinity Health of New England - Gastroenterology 58 Maple St / Ste 300 Naugatuck,CT 06770 (203)709-6646

Yimoyines Dean MD Ophthalmology Opticare 87 Grandview Ave Waterbury,CT 06708 (203)574-2020

Yu Yi-Lo MD Obstetrics & Gynecology Mercy Medical-Family Life Center 271 Carew St Springfield,MA 01102 (413)748-7400

Yuan Andrew DO Physical Medicine & Rehabilitation Andrew Yuan DO LLC 1735 Post Rd / Ste 7 Fairfield,CT 06824 (203)256-4733

Yunis Joseph MD Pediatrics Pioneer Valley Pediatrics 123 Dwight Rd Longmeadow,MA 01106 (413)567-1031

Zabit Jill APRN Pediatrics Alliance Medical Group PC - Pediatrics 1625 Straits Turnpike Middlebury,CT 06762 (203)759-0666

Zafar Sahar MD Teleneurology Mass General Hospital 125 Nashua St / Ste 660 Boston,MA 02114 (617)724-3999

Zalewski Luke PA-C Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Zalneraitis Edwin MD Pediatric Neurology Connecticut Children's Specialty Group 282 Washington St / Ste 2B Hartford,CT 06106 (860)545-9400

Zande Michael PA-C Addiction Medicine Providence Behavioral Health Hospital 1233 Main St Holyoke,MA 01040 (413)536-5111

Zanoria Sheila MD Pulmonary/Critical Care Waterbury Pulmonary Assoc 170 Grandview Ave Waterbury,CT 06708 (203)759-3666

Zapatka Jennifer PA-C Plastic Surgery Jandali Plastic Surgery 5520 Park Ave / Ste WP-2-300 Trumbull,CT 06611 (203)374-0310

Zarif Abdulmasih MD General Surgery Abdulmasih Zarif MD 16 Merrill St Waterbury,CT 06708 (203)757-1113

Zatman Marina MD Psychiatry Marina Zatman MD PC 122 S Pomperaug Ave / Unit 2B Woodbury,CT 06798 (203)262-8448

Zavaski Michael MD Urology Pioneer Valley Urology Group 100 Wason Ave / Ste 120 Springfield,MA 01107 (413)241-2100

Zelman Marvin MD Psychiatry Marvin Zelman MD PC 31 Woodland St Hartford,CT 06105 (860)522-0426

Zerbe Marc MD Obstetrics & Gynecology Western Mass Physician Associates Inc d/b/a Holyoke Medical Group 15 Hospital Drive / Ste 501 Holyoke,MA 01040 (413)534-2826

Zhang Jianhui MD Neurology Alliance Medical Group (Middlebury) 1625 Straits Turnpike Middlebury,CT 06762 (203)568-2959

Zhang Yufeng MD Cardiovascular Disease Pioneer Valley Cardiology Assoc Inc 300 Stafford St / Ste 101 102 154 161 Springfield,MA 01104 (413)748-7095

Zhao Jun MD Neurophysiology SpecialtyCare 3 Maryland Farms / Ste 200 Brentwood,TN 37027 (615)345-5450

Zhou Hanbing MD Spine Surgery Orthopedic Assoc of Hartford 31 Seymour St / Ste 100 Hartford,CT 06106 (860)549-8258

Zimmerman David DO Emergency Medicine Saint Mary's Hospital Emergency Dept 56 Franklin St Waterbury,CT 06706 (203)709-6004

Zozulin Mary MD Obstetrics & Gynecology Westwood Women's Health 60 Westwood Ave / Ste 200 Waterbury,CT 06708 (203)574-5501