ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP22529 AAKRE KIMBERLY J MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 PEDIATRICS 770YP22529 AAKRE KIMBERLY J MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 PEDIATRICS 770YP28094 ABAIR LYDIA APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDON VT 05849 (802) 748-9501 GERIATRIC NURSE PRACTITIONERS 770YP16108 ABEL SUSAN E MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 770YP05379 ABRAHAM PHILIP MD PHILIP ABRAHAM MD SANFORD ME 04073 (207) 490-7968 INTERNAL MEDICINE 770YP24965 ABREU STEVEN P MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7000 INTERNAL MEDICINE 77009758YP ADAMS FRANCIS M MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP03268 ADAMS GLENN B DO WEEKS MEDICAL CENTER GROVETON NH 03582 (603) 788-2521 FAMILY MEDICINE 770YP02926 ADAMS TODD M MD YORK HOSPITAL MOODY ME 04054 (207) 646-8386 INTERNAL MEDICINE 770YP02926 ADAMS TODD M MD YORK HOSPITAL YORK ME 03909 (207) 351-3530 INTERNAL MEDICINE 770YP20899 ADAMSON KIMBERLY J NP WE CARE PEDIATRICS INC SALEM NH 03079 (603) 893-8030 PEDIATRIC NURSE PRACTITIONERS 770YP12818 AFFLECK KATHERINE R APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3666 FAMILY NURSE PRACTITIONERS 770YP21950 AGARWAL JOYCE E APRN ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY NURSE PRACTITIONERS 77009453YP AGARWAL SANGITA J MD DOVER FAMILY PRACTICE DOVER NH 03820 (603) 742-3174 FAMILY MEDICINE 770YP17978 AGGARWAL NIDHI MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4000 INTERNAL MEDICINE 770YP24683 AHMED ASMA MD DARTMOUTH HITCHCOCK CLINIC HUDSON NH 03051 (603) 577-3410 INTERNAL MEDICINE 770YP23544 AISTON TRICIA L APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 77007498YP AJAMIE JOHN M MD NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY MEDICINE 770YP04771 ALBUSHIES THOMAS M MD CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 770YP11774 ALEXANDER JOHN L MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6337 INTERNAL MEDICINE 77007797YP ALEXANDER SIDNEY MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77003258YP AL-HOJERRY KEENAN M MD KEENAN ALHOJERRY MD PLLC PORTSMOUTH NH 03801 (603) 433-8488 FAMILY MEDICINE 770YP18812 ALI PAMELA S MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 663-8200 INTERNAL MEDICINE 770YP19103 ALLEN CHRISTOPHER E MD CONCORD HOSPITAL INC EPSOM NH 03234 (603) 736-6200 FAMILY MEDICINE 770YP02334 ALLMAN TRICIA MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 INTERNAL MEDICINE 770YP08629 ALVAREZ CONSUELO M MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 INTERNAL MEDICINE 770YP23530 ALVAREZ HILARY K MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP22132 ALVORD VIRGINIA L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP20794 ALWAN SALLY A MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2690 FAMILY MEDICINE 770YP19649 AMES BETHANY L MD SOUTH ROYALTON HEALTH CENTER SOUTH ROYALTON VT 05068 (802) 763-7575 PEDIATRICS 770YP27918 ANDERSON LAURA S APRN CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY NURSE PRACTITIONERS 770YP25580 ANDERSON SUZANNE C APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5461 FAMILY NURSE PRACTITIONERS 770YP02932 ANDRECYK GREGORY P MD WENTWORTH DOUGLASS PHYSICIAN CORP SOMERSWORTH NH 03878 (603) 692-6676 FAMILY MEDICINE 770YP02932 ANDRECYK GREGORY P MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 770YP18588 ANDRUS BRUCE W MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 INTERNAL MEDICINE 770YP10308 ANG HERBERT T MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP27913 ANGIER PIERRE J DO PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-3166 FAMILY MEDICINE 770YP08442 ANTINERELLA NICOLE M DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 770YP26591 ARENA DIANA M DO LAHEY CLINIC INC WILMINGTON MA 01887 (978) 694-9610 INTERNAL MEDICINE 770YP20629 ARNOLD EWA MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 77000503YP ARONSON MARK J DO LRGHEALTHCARE LACONIA NH 03246 (603) 527-2969 FAMILY MEDICINE 77005373YP ARSENAULT DIANE L MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY MEDICINE 770YP04723 ASCH ALEXANDER H DO FRISBIE MEMORIAL HOSPITAL SOMERSWORTH NH 03878 (603) 692-3115 FAMILY MEDICINE 770YP04723 ASCH ALEXANDER H DO FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP14852 ASHRAF SADAF MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE 77003843YP ASTOLFI THOMAS M MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP24548 ATHAR MASOOMA MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 GERIATRIC MEDICINE 770YP28440 ATKINSON LISA MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-6108 FAMILY MEDICINE 770YP25054 AUJLA PARDEEP MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE Page 1 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP04767 AVERY JOHN C DO WEEKS MEDICAL CENTER N STRATFORD NH 03590 (603) 922-5039 FAMILY MEDICINE 77008340YP AVILA DAVID A DO PEDIATRIC PROFESSIONAL ASSOCIATES PC METHUEN MA 01844 (978) 683-1974 PEDIATRICS 770YP25168 AVRAMOV VLADIMIR S MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-0063 INTERNAL MEDICINE 770YP18236 AZKUL BASSEM MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP24953 BABAYAN EMMA S MD EAGLE MEDICINE ASSOCIATES LAWRENCE MA 01841 (978) 725-5913 INTERNAL MEDICINE 770YP15354 BACHELDER SHEILLA M MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP16467 BACKUS ROBERT W MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 77002349YP BACON MARY M APRN PEMBROKE WELLNESS CENTER PEMBROKE NH 03275 (603) 485-7788 FAMILY NURSE PRACTITIONERS 770YP08029 BADAU IOAN C MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE 770YP03113 BADGER M ANGUS MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP25814 BADIEE BEHYAR D DO STEWARD MEDICAL GROUP INC SALEM NH 03079 (978) 687-0151 FAMILY MEDICINE 770YP28221 BADMAN DENNIS MD DENNIS BADMAN MD WAKEFIELD NH 03830 (603) 871-8227 FAMILY MEDICINE 770YP28757 BAKER JUDY A APRN WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 447-8900 FAMILY NURSE PRACTITIONERS 770YP10034 BALL JEAN M APRN FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 ADULT NURSE PRACTITIONERS 770YP10034 BALL JEAN M APRN FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 ADULT NURSE PRACTITIONERS 770YP15888 BALLENTINE STEPHANIE A APRN ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 FAMILY NURSE PRACTITIONERS 770YP00312 BALTUS MARISSA MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP27778 BALUKONIS JENNIFER R APRN SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE NURSE PRACTITIONER 770YP03530 BANNISTER JAY B MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP20500 BARBEAU DELORES A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-1166 FAMILY MEDICINE 770YP21499 BARBER ALFRED J MD NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5174 INTERNAL MEDICINE 770YP27338 BARBER LAURA MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP08999 BARBIER PATRICK P MD PATRICK P BARBIER MD NEWBURYPORT MA 01950 (978) 462-0515 FAMILY MEDICINE 770YP16414 BARKAN SHERYL M NP STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 ADULT NURSE PRACTITIONERS 77004845YP BARKSDALE JOHN F MD CONCORD HOSPITAL INC EPSOM NH 03234 (603) 736-6200 FAMILY MEDICINE 770YP12536 BARLEY PETER A MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP20243 BARLOW BARRY ANNE R DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP20243 BARLOW BARRY ANNE R DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP28297 BARNES ROY M MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-1251 FAMILY MEDICINE 770YP18312 BARNETT KAREN R MD CHILD HEALTH CENTER INC METHUEN MA 01844 (978) 685-0977 PEDIATRICS 77004188YP BARTOLINI J BRUCE MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 INTERNAL MEDICINE 770YP28318 BARUJA BAQUER CESAR L MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03101 (603) 623-3343 FAMILY MEDICINE 770YP23336 BATES BARBARA A MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP13989 BATSIS JOHN A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 770YP28658 BAUM WILLIAM J APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 77001181YP BAYER SUSAN C MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 FAMILY MEDICINE 77000858YP BEAHM PAMELA H MD SJ PHYSICIAN SERVICES MILFORD NH 03055 (603) 673-3870 PEDIATRICS 77000858YP BEAHM PAMELA H MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 77009720YP BEALS BRIAN M MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 PEDIATRICS 770YP05494 BEAUDOIN STEPHEN P MD PARTNERS COMMUNITY PHYS ORGANIZATION INC NEWBURYPORT MA 01950 (978) 499-7200 INTERNAL MEDICINE 770YP26665 BEAUDRY MELISSA APRN NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 FAMILY NURSE PRACTITIONERS 77005271YP BEAUFAIT DAVID W MD DOCTORS WHO CARE LLC ENFIELD NH 03748 (603) 632-5600 FAMILY MEDICINE 770YP02559 BEAULIEU EMILY E APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY NURSE PRACTITIONERS 770YP21766 BEAULIEU LISA C APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 GERIATRIC NURSE PRACTITIONERS 770YP17222 BEAUPRE AMY L APRN DEBORAH A GLAZER, MD LEBANON NH 03766 (603) 448-5886 FAMILY NURSE PRACTITIONERS 770YP18413 BEDELL GINA L APRN WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-2521 FAMILY NURSE PRACTITIONERS 770YP18413 BEDELL GINA L APRN WEEKS MEDICAL CENTER N STRATFORD NH 03590 (603) 922-5039 FAMILY NURSE PRACTITIONERS 770YP03296 BEEHLER II CECIL C MD SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY MEDICINE 77005838YP BELL SANDRA L APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY NURSE PRACTITIONERS Page 2 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77000076YP BELSON ROGER E MD ROGER E BELSON MD HENNIKER NH 03242 (603) 428-3262 INTERNAL MEDICINE 770YP19437 BENCKENDORF SANDRA MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2900 FAMILY MEDICINE 770YP15477 BENDER MARY P MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-6711 PEDIATRICS 770YP18748 BENHAM SIOBHAN K APRN MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY NURSE PRACTITIONERS 770YP03271 BENNETT LYDIA B MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 626-4392 FAMILY MEDICINE 77002343YP BENNETT TERRY M MD TERRY M BENNETT MD ROCHESTER NH 03867 (603) 335-8001 FAMILY MEDICINE 77004537YP BENOIT EDWARD G MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 77004537YP BENOIT EDWARD G MD CONCORD HOSPITAL INC HILLSBORO NH 03244 (603) 464-3434 FAMILY MEDICINE 770YP16822 BENTON LISA M DO PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 770YP16822 BENTON LISA M DO PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC HAMPTON NH 03842 (603) 929-3838 PEDIATRICS 770YP00322 BERARDUCCI MICHAEL C MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP12222 BERGERON-KILLOUGH KATRIN S MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 770YP12222 BERGERON-KILLOUGH KATRIN S MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 770YP12222 BERGERON-KILLOUGH KATRIN S MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP10245 BERKE ETHAN M MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP00323 BERKOBEN JOHN P MD LAHEY CLINIC INC BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP00323 BERKOBEN JOHN P MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 77008570YP BERMAN MARK A MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7338 FAMILY MEDICINE 770YP18270 BERNARD ELLEN E DO CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP02812 BERRIAN SARAH M MD NORTHERN COUNTIES HEALTH CARE INC CONCORD VT 05824 (802) 695-2512 FAMILY MEDICINE 770YP20896 BERRY ANDREA M DO MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY MEDICINE 770YP20896 BERRY ANDREA M DO MID-STATE HEALTH CENTER BRISTOL NH 03222 (603) 744-6200 FAMILY MEDICINE 77006012YP BERRY KEVIN J MD KEVIN J BERRY MD METHUEN MA 01844 (978) 794-0234 CARDIOVASCULAR DISEASE 77002897YP BERRY PAUL T MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3666 INTERNAL MEDICINE 770YP23823 BERTHIAUME BARBARA J APRN CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY NURSE PRACTITIONERS 770YP20481 BERUBE JAYNE T DO WEEKS MEDICAL CENTER WHITEFIELD NH 03598 (603) 837-9005 PEDIATRICS 770YP25193 BETANCUR RESTREPO ILDA M MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4400 INTERNAL MEDICINE 770YP03991 BIBEAU CAROLE E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 INTERNAL MEDICINE 77008950YP BIDGOOD-WILSON MARY M APRN LRGHEALTHCARE LACONIA NH 03246 (603) 527-2847 FAMILY NURSE PRACTITIONERS 77008950YP BIDGOOD-WILSON MARY M APRN LRGHEALTHCARE MOULTONBOROUGH NH 03254 (603) 253-6925 FAMILY NURSE PRACTITIONERS 770YP00332 BILODEAU THOMAS M MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77005963YP BINCZEWSKI BRIAN A MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP27359 BISSON LINDA C MD NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 FAMILY MEDICINE 770YP03149 BIXBY DEBRA J APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-5131 FAMILY NURSE PRACTITIONERS 770YP14899 BLACK CHERYLYN K MD LAHEY CLINIC INC LYNNFIELD MA 01940 (781) 213-4040 FAMILY MEDICINE 770YP27907 BLACK GORDON C APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-1251 FAMILY NURSE PRACTITIONERS 77007944YP BLACKWOOD MARK R MD WENTWORTH DOUGLASS PHYSICIAN CORP DURHAM NH 03824 (603) 868-5080 FAMILY MEDICINE 77007944YP BLACKWOOD MARK R MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 77005113YP BLACKWOOD WILLIAM S MD SJ PHYSICIAN SERVICES NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP20154 BLANK ERIKA S MD CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 INTERNAL MEDICINE 770YP18266 BLATT NANCY A DO FRISBIE MEMORIAL HOSPITAL BARRINGTON NH 03825 (603) 664-9003 FAMILY MEDICINE 77007743YP BLIGHT VICTORIA A APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY NURSE PRACTITIONERS 770YP02650 BLOFSON TONY MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 254-1311 FAMILY MEDICINE 770YP07105 BLOOM STEVEN P MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3230 PEDIATRICS 77006057YP BLOOMER JAMES A MD YOUR MEDICAL HOME LLC EXETER NH 03833 (603) 418-6310 FAMILY MEDICINE 77008769YP BLOOMER KATHLEEN C APRN YOUR MEDICAL HOME LLC EXETER NH 03833 (603) 418-6310 PEDIATRIC NURSE PRACTITIONERS 770YP26915 BLOWEN JOHN M APRN KEENAN ALHOJERRY MD PLLC PORTSMOUTH NH 03801 (603) 433-8488 FAMILY NURSE PRACTITIONERS 770YP23352 BLUMBERG JILL I MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP02847 BOARDMAN MAUREEN B APRN LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 FAMILY NURSE PRACTITIONERS Page 3 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP22983 BOCHMAN MARISA M MD LAHEY CLINIC INC SOUTH HAMILTON MA 01982 (978) 468-7346 FAMILY MEDICINE 770YP18338 BOHEEN ERICA A MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRICS 770YP18677 BOLON CLAIRE E MD UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRICS 770YP19030 BONAFEDE KATHRYN A MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 770YP19030 BONAFEDE KATHRYN A MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 770YP21301 BONIAS CRYSTAL G APRN GOODWIN COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY NURSE PRACTITIONERS 77006037YP BORIE KENNETH G DO GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP16466 BOSS EUGENE J MD LAHEY CLINIC INC IPSWICH MA 01938 (978) 356-5522 INTERNAL MEDICINE 770YP16924 BOTTAZZI TRACEY L APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY NURSE PRACTITIONERS 770YP05148 BOTTNER TAMMY B MD RIVERSIDE PEDIATRICS NEWBURYPORT MA 01950 (978) 465-0322 PEDIATRICS 770YP07176 BOULANGER PAULA W MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 PEDIATRICS 770YP13067 BOURBEAU JOSEE L MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 FAMILY MEDICINE 77006558YP BOURQUE KATHLEEN M APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY NURSE PRACTITIONERS 770YP00342 BOUTHOT BETH A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77007559YP BOWER GEORGE J MD GEORGE J BOWER MD MILFORD NH 03055 (603) 673-8480 INTERNAL MEDICINE 77005125YP BOXER JEFFREY J MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 770YP18361 BOYADZHIEV IVAN Y MD DARTMOUTH HITCHCOCK CLINIC MILFORD NH 03055 (603) 673-2515 FAMILY MEDICINE 770YP27436 BOYD KATHY M APRN MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7197 FAMILY NURSE PRACTITIONERS 770YP27779 BOYLAN MARIA T DO ELLIOT PHYSICIANS NETWORK GOFFSTOWN NH 03045 (603) 497-5661 FAMILY MEDICINE 770YP22418 BRACK VIRGINIA C MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 77005501YP BRACKEN ANN C MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP05202 BRACKETT CHARLES D MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-1070 INTERNAL MEDICINE 770YP15843 BRADEN TREVOR M MD YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP10259 BRADLEY ELIZABETH P MD DARTMOUTH HITCHCOCK CLINIC LYME NH 03768 (603) 650-1070 INTERNAL MEDICINE 770YP28300 BRADO DOREEN J APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDON VT 05849 (802) 748-9501 FAMILY NURSE PRACTITIONERS 77008131YP BRAESE NANCY E DO CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP08419 BRAGA CHRISTOPHER C MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP02114 BRAIMON JENNIFER C MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4000 INTERNAL MEDICINE 770YP22169 BREAU STACY A APRN LACONIA CARDIOLOGY GILFORD NH 03249 (603) 528-8555 FAMILY NURSE PRACTITIONERS 770YP05464 BREAULT TERESA M MD NORTH BERWICK FAMILY MEDICINE NORTH BERWICK ME 03906 (207) 676-8559 FAMILY MEDICINE 77009066YP BREEN ANDREW J MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 77009066YP BREEN ANDREW J MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC HAMPTON NH 03842 (603) 929-3838 PEDIATRICS 770YP07617 BREHIO TERI L MD CONCORD HOSPITAL INC HILLSBORO NH 03244 (603) 464-3434 FAMILY MEDICINE 770YP08755 BRENNAN BEVERLY A MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 INTERNAL MEDICINE 77004854YP BRENNAN STEPHEN R DO STEPHEN R BRENNAN DO PA YORK ME 03909 (207) 363-5437 PEDIATRICS 77007831YP BRESNAHAN H DEAN MD H DEAN BRESNAHAN MD BRATTLEBORO VT 05301 (802) 257-1331 FAMILY MEDICINE 77004046YP BRESS JAMES H MD JAMES H BRESS MD ROCHESTER NH 03867 (603) 332-9090 INTERNAL MEDICINE 770YP00345 BREW ROBERT H MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP27160 BRICKLEY JESPER J DO CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-7920 FAMILY MEDICINE 77009043YP BRISTOL MARLENE M APRN LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 757-2325 FAMILY NURSE PRACTITIONERS 77006746YP BRODERICK THOMAS F DO NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 FAMILY MEDICINE 77006250YP BRODIE EVAN MD CHILD HEALTH CENTER INC METHUEN MA 01844 (978) 685-0977 PEDIATRICS 77006364YP BRODY DAVID S MD DAVID S BRODY MD ST JOHNSBURY VT 05819 (802) 748-2123 INTERNAL MEDICINE 77002336YP BROKAW FRANCES C MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5402 INTERNAL MEDICINE 77005551YP BRONSTEIN ERIC MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP05313 BROOKS ANN M MD WATERBORO VILLAGE PEDIATRICS LLC PA EAST WATERBORO ME 04030 (207) 247-6742 PEDIATRICS 770YP05313 BROOKS ANN M MD WATERBORO VILLAGE PEDIATRICS LLC PA BIDDEFORD ME 04005 (207) 294-8700 PEDIATRICS 770YP05313 BROOKS ANN M MD WATERBORO VILLAGE PEDIATRICS LLC PA SANFORD ME 04073 (207) 247-6742 PEDIATRICS 77007931YP BROOKS MARY ELLEN MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE Page 4 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77007931YP BROOKS MARY ELLEN MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP23858 BROOKS TRISHA M APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY NURSE PRACTITIONERS 77001886YP BROOKS WILLIAM B MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 77001886YP BROOKS WILLIAM B MD DARTMOUTH HITCHCOCK CLINIC LYME NH 03768 (603) 650-1070 INTERNAL MEDICINE 77004899YP BROOKS JR THEODORE T MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77004899YP BROOKS JR THEODORE T MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77004899YP BROOKS JR THEODORE T MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP27459 BROWN ANNIKA M MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP26617 BROWN CAROLYN C APRN LRGHEALTHCARE MOULTONBORO NH 03254 (603) 253-6925 FAMILY NURSE PRACTITIONERS 770YP12147 BROWN PATRICIA C APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY NURSE PRACTITIONERS 770YP12147 BROWN PATRICIA C APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC CHESTER VT 05143 (802) 875-2546 FAMILY NURSE PRACTITIONERS 770YP03151 BROWNE SUSAN MD CHILD HEALTH CENTER INC METHUEN MA 01844 (978) 685-0977 PEDIATRICS 770YP28395 BRUMFIELD AMY MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03060 (603) 424-4713 INTERNAL MEDICINE 770YP08326 BRUMSON APRIL L APRN SOJOURNS COMMUNITY HEALTH CLINIC WESTMINSTER VT 05158 (802) 722-4023 ADULT NURSE PRACTITIONERS 77002481YP BRUNDAGE BARBARA A MD DERRY PEDIATRICS PRACTICE PA DERRY NH 03038 (603) 434-0327 PEDIATRICS 770YP28309 BRUNELLE KERMIT B MD GOODWIN COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 PEDIATRICS 770YP26860 BRUNNER ALLISA A APRN YORK HOSPITAL YORK ME 03909 (207) 698-6700 FAMILY NURSE PRACTITIONERS 77003934YP BUCHANAN ELIZABETH A MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-1436 FAMILY MEDICINE 77006696YP BUCHANAN JOHN T MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 888-5573 FAMILY MEDICINE 770YP03809 BUCHER ERIC D MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP03809 BUCHER ERIC D MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP28213 BUCKLEY HOLLY B APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY NURSE PRACTITIONERS 770YP27189 BUDDENSEE MELISSA M MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC FRANCONIA NH 03580 (603) 823-7078 FAMILY MEDICINE 77001603YP BUDNITZ ALBEE L MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3300 INTERNAL MEDICINE 770YP28114 BUJNO LISA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY NURSE PRACTITIONERS 770YP10740 BUONO DAVID P MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY MEDICINE 770YP24538 BUONOMANO JOANN MD GOODWIN COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 953-0065 FAMILY MEDICINE 770YP28335 BURDICK JULIA F MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE 770YP12568 BURGESS KATHLEEN R MD LIFE CIRCLE FAMILY PRACTICE BRATTLEBORO VT 05301 (802) 254-8300 FAMILY MEDICINE 770YP19425 BURGETT-YANDOW NICOLE C NP CO MED PRO NORTH ANDOVER MA 01845 (978) 685-4925 INTERNAL MEDICINE NURSE PRACTITIONER 770YP13918 BURKE RACHEL DO YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 FAMILY MEDICINE 770YP20672 BURNELL KATHRYN H APRN NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 FAMILY NURSE PRACTITIONERS 770YP03153 BURNS EMILY A MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 626-4392 FAMILY MEDICINE 770YP28396 BURSTEIN SANDERS MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 FAMILY MEDICINE 770YP17307 BURTIS RICHARD T MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 770YP28196 BURZYK JENNIFER L APRN STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 FAMILY NURSE PRACTITIONERS 770YP28197 BURZYK JENNIFER L APRN STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 FAMILY NURSE PRACTITIONERS 770YP20677 BUSTAMANTE CHRISTOPHER D MD FRISBIE MEMORIAL HOSPITAL SOMERSWORTH NH 03878 (603) 692-3115 FAMILY MEDICINE 770YP13595 CADEGAN-PAQUETTE LEAH M APRN ELLIOT PHYSICIANS NETWORK ALLENSTOWN NH 03275 (603) 485-7861 FAMILY NURSE PRACTITIONERS 770YP13817 CALCAGNI JOHNSON KRISTEN W MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 770YP02752 CALEGARI JEFFREY T DO CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 314-4700 INTERNAL MEDICINE 770YP03154 CALHOUN CHRISTOPHER S MD ELLIOT PHYSICIANS NETWORK GOFFSTOWN NH 03045 (603) 497-5661 FAMILY MEDICINE 77006485YP CALORAS DANIEL MD SPRINGFIELD MEDICAL CARE SYSTEMS INC CHARLESTOWN NH 03603 (603) 826-5711 FAMILY MEDICINE 77000619YP CAMMILLERI JR THOMAS J DO GREATER HAMPSTEAD FAMILY MEDICINE PC HAMPSTEAD NH 03841 (603) 329-5222 FAMILY MEDICINE 770YP00351 CAMPAGNA ANTHONY C MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP00351 CAMPAGNA ANTHONY C MD LAHEY CLINIC INC WINCHESTER MA 01890 (781) 756-2260 INTERNAL MEDICINE 770YP00352 CAMPBELL BRUCE B MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 77007821YP CAMPBELL PATRICIA I DO DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRICS 770YP22947 CAMPBELL PHILIP P APRN SJ PHYSICIAN SERVICES NASHUA NH 03063 (603) 883-7970 FAMILY NURSE PRACTITIONERS Page 5 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP21934 CANTIN DANIELLE N APRN CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRIC NURSE PRACTITIONERS 77001515YP CANTLIN TERRY W DO GIFFORD MEDICAL CENTER BETHEL VT 05032 (802) 234-9913 FAMILY MEDICINE 770YP28280 CANZANELLO ERIC J DO DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP17878 CAPOBIANCO JOSEPH J MD DARTMOUTH HITCHCOCK CLINIC WALPOLE NH 03608 (603) 756-3960 FAMILY MEDICINE 770YP17878 CAPOBIANCO JOSEPH J MD DARTMOUTH HITCHCOCK CLINIC JAFFREY NH 03452 (603) 532-8775 FAMILY MEDICINE 770YP17878 CAPOBIANCO JOSEPH J MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-6700 FAMILY MEDICINE 770YP17878 CAPOBIANCO JOSEPH J MD DARTMOUTH HITCHCOCK CLINIC WINCHESTER NH 03470 (603) 239-6351 FAMILY MEDICINE 77009107YP CAPPETTA CHARLES T MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 77009107YP CAPPETTA CHARLES T MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 77001296YP CAPRON THEODORE H MD LRGHEALTHCARE MEREDITH NH 03253 (603) 279-7433 FAMILY MEDICINE 770YP12122 CARDENAS JAVIER D MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 770YP23041 CARLSON MARY I APRN ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3870 PEDIATRIC NURSE PRACTITIONERS 770YP03810 CARMICHAEL THOMAS J MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP03810 CARMICHAEL THOMAS J MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP28333 CARNEY MARK MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP29108 CARPENTER SALLY APRN YORK HOSPITAL MOODY ME 04054 (207) 646-8386 ADULT NURSE PRACTITIONERS 770YP27163 CARPENTIER DOMINIQUE A MD CORE PHYSICIANS LLC DURHAM NH 03824 (603) 778-7975 FAMILY MEDICINE 770YP25234 CARR MICHAEL J DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 77005249YP CARRIER CHARLES F MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE 770YP14304 CARTER JENNIFER M MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 INTERNAL MEDICINE 770YP26608 CARTER LAURA M APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 ADULT NURSE PRACTITIONERS 77008306YP CARTIER MARK P MD MARK P CARTIER MD INC YORK ME 03909 (207) 363-8852 FAMILY MEDICINE 77008321YP CARUSO DON MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP22697 CASENAS RITCHE L MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 624-4380 INTERNAL MEDICINE 770YP07473 CASHMAN MAUREEN E MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY MEDICINE 770YP07473 CASHMAN MAUREEN E MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP07700 CASIO JACINTO P MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE 770YP28064 CASTANTINI SARA D APRN APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY NURSE PRACTITIONERS 770YP08021 CASTOR BELINDA L MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE 77003690YP CATINO DONALD MD SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-1881 INTERNAL MEDICINE 77004509YP CAYER PATRICIA E MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 PEDIATRICS 770YP18238 CHALOORI PRATHIMA MD STEWARD MEDICAL GROUP INC ANDOVER MA 01810 (978) 269-0017 FAMILY MEDICINE 770YP04642 CHAN KENNETH K MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 770YP21654 CHANDRAMOULI SADHANASREE MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-1166 FAMILY MEDICINE 770YP27766 CHANG AMY B MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 770YP13988 CHAPMAN STEVEN H MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 653-9663 PEDIATRICS 770YP24057 CHAPPELL ELAINE M MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 FAMILY MEDICINE 77008433YP CHAREST JEANNE M APRN COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 PEDIATRIC NURSE PRACTITIONERS 77005821YP CHARLE EDWIN L MD PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY MEDICINE 770YP03861 CHASE ELIZABETH A MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 434-1919 INTERNAL MEDICINE 77007979YP CHASTAIN STEPHEN O MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-3023 FAMILY MEDICINE 770YP23538 CHATANI-HINZE MAYUMI MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP25489 CHATFIELD MARCIA C MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3250 INTERNAL MEDICINE 77004615YP CHATTERJEE SUDARSHAN MD SUDARSHAN CHATTERJEE METHUEN MA 01844 (978) 975-0990 INTERNAL MEDICINE 770YP18409 CHEHADE ANNE G MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7555 INTERNAL MEDICINE 770YP12339 CHEN CONNIE Y MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7000 INTERNAL MEDICINE 770YP12575 CHIN WARREN W DO THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP03811 CHIRLIN ROBERT F MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP03811 CHIRLIN ROBERT F MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS Page 6 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP17654 CHOBANIAN MARGARETHE MD LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 PEDIATRICS 770YP17654 CHOBANIAN MARGARETHE MD LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 757-2325 PEDIATRICS 770YP17654 CHOBANIAN MARGARETHE MD LITTLE RIVERS HEALTH CARE INC EAST CORINTH VT 05040 (802) 439-5321 PEDIATRICS 770YP18245 CHOO PETER W MD AUTUMN GRACE MEDICAL ASSOCIATES PC METHUEN MA 01844 (978) 682-3939 INTERNAL MEDICINE 770YP20321 CHOPRA ALPANA MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 626-5113 FAMILY MEDICINE 770YP08439 CHOPRA MANISH MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 INTERNAL MEDICINE 77008437YP CHOW LYNNE C FNP WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY NURSE PRACTITIONERS 770YP26918 CHRISTIANSEN JENNIFER B APRN APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY NURSE PRACTITIONERS 77006098YP CHRISTO STEPHEN T DO APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY MEDICINE 770YP19157 CHUNG RACHEL T APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 626-5113 FAMILY NURSE PRACTITIONERS 770YP04774 CIAK CARL S MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 77001850YP CIGNOLI MICHELINE APRN DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 PEDIATRIC NURSE PRACTITIONERS 770YP07156 CIVITELLA JENNIFER M MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 FAMILY MEDICINE 770YP18755 CLAIRMONT THOMAS P MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 INTERNAL MEDICINE 77002871YP CLANCY PATRICIA E MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 226-3400 FAMILY MEDICINE 77009649YP CLARDY ELIZABETH A MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP03212 CLARK PAUL R MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 770YP27463 CLARK SUSANNAH MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 INTERNAL MEDICINE 77006838YP CLAUSSEN BRIAN E MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 622-6491 FAMILY MEDICINE 77000673YP CLAUSSEN CAROLYN G MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY MEDICINE 77005210Y0 CLAY GARY A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY MEDICINE 77005210YP CLAY GARY A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY MEDICINE 77000551YP CLIFFORD JAMES H MD LRGHEALTHCARE GILFORD NH 03249 (603) 527-2955 FAMILY MEDICINE 770YP27895 CLINE KENDRA APRN CATHOLIC MEDICAL CENTER HOOKSETT NH 03106 (603) 314-5980 FAMILY NURSE PRACTITIONERS 770YP16616 CLOUTIER LEONA S APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY NURSE PRACTITIONERS 77000778YP COBLE SUZANNE MD SUZANNE COBLE MD KEENE NH 03431 (603) 357-9959 FAMILY MEDICINE 77004331YP COCHRAN ROBERT B MD DARTMOUTH HITCHCOCK CLINIC WALPOLE NH 03608 (603) 756-3960 FAMILY MEDICINE 770YP24556 COFFEY JEAN S APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRIC NURSE PRACTITIONERS 77004096YP COHEN MAURICE B MD NORTHEAST GASTROENTEROLOGY ASSOCIATES PC SALEM NH 03079 (603) 898-5082 INTERNAL MEDICINE 77009762YP COHEN MITCHELL G MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 77009226YP COLE BERTRAND P DO PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY MEDICINE 77009226YP COLE BERTRAND P DO PMC MEDICAL GROUP LLC NEWINGTON NH 03801 (603) 431-3166 FAMILY MEDICINE 77000461YP COLE JUDITH W APRN HUGGINS HOSPITAL ALTON NH 03809 (603) 875-6151 FAMILY NURSE PRACTITIONERS 770YP29021 COLLINS ASHLEY E APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 77004604YP COLLINS PAUL S MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 626-5113 FAMILY MEDICINE 770YP21440 COMPAGNA ROBERTA J APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 622-6491 FAMILY NURSE PRACTITIONERS 770YP16899 COMPOS HEIDI R APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 FAMILY NURSE PRACTITIONERS 770YP14926 CONDODEMETRAKY STEPHANIE N APRN CATHOLIC MEDICAL CENTER GOFFSTOWN NH 03045 (603) 314-4700 ADULT NURSE PRACTITIONERS 770YP12543 CONKLING HILLARY M MD RONALD H WITKIN MD LACONIA NH 03246 (603) 524-9201 INTERNAL MEDICINE 770YP23762 CONNELLY DANIELA MD COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 FAMILY MEDICINE 77006550YP CONNOLLY KEVIN J MD LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 INTERNAL MEDICINE 770YP14900 CONNOLLY LISA M MD LAHEY CLINIC INC LYNNFIELD MA 01940 (781) 213-4040 FAMILY MEDICINE 770YP14130 COOK PETER C MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE 770YP14130 COOK PETER C MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 INTERNAL MEDICINE 77006487YP COOLEY ELIZABETH E MD MONADNOCK COMMUNITY HOSPITAL RINDGE NH 03461 (603) 899-9563 FAMILY MEDICINE 77009580YP COOMBS AMY M APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 770YP08516 COOMEY WILLIAM G MD WILLIAM G COOMEY MD ELIOT ME 03903 (207) 439-2774 INTERNAL MEDICINE 77001041YP COOPER-PIELA REBECCA S APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-0063 INTERNAL MEDICINE NURSE PRACTITIONER 770YP15119 CORBETT JEFFREY P DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE Page 7 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP15119 CORBETT JEFFREY P DO DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2572 FAMILY MEDICINE 770YP05087 CORBETT SANDRA L DO YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 77007249YP CORDERO-GOODMAN ELDA APRN DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2572 PEDIATRIC NURSE PRACTITIONERS 770YP00368 CORKERY JOSEPH C MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP26466 CORRIGAN DEBRA J APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 622-6491 FAMILY NURSE PRACTITIONERS 770YP27165 CORRIGAN KATHLEEN M MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-8221 FAMILY MEDICINE 770YP24825 COSTAGLIOLA JOSEPH MD LAHEY CLINIC INC WILMINGTON MA 01887 (978) 694-9610 INTERNAL MEDICINE 770YP03925 COTE JEFFREY T MD WELLS FAMILY PRACTICE LLC WELLS ME 04090 (207) 646-0676 FAMILY MEDICINE 770YP14232 COUNCIL LORA MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 FAMILY MEDICINE 770YP28747 COUPER REBECCA APRN LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 PEDIATRIC NURSE PRACTITIONERS 77000462YP COURTEMANCHE DOLLY R MD CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 770YP19957 COUTINHO-SLEDGE YAMARA MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-5716 PEDIATRICS 77005163YP COVEY MARK E MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 77003485YP COXON MARCUS H MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP15768 COZZI MICHAEL KEVIN J MD DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2572 FAMILY MEDICINE 770YP16685 CRAMER ELIZABETH R MD CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 770YP02702 CRAVEN DONALD E MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP00371 CRAWFORD BETSEY L MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP00373 CRISCITIELLO RONALD P MD LAHEY CLINIC INC BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP00373 CRISCITIELLO RONALD P MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP27989 CROGNALE JANICE E MD LAHEY CLINIC INC SOUTH HAMILTON MA 01982 (978) 468-7346 FAMILY MEDICINE 770YP14585 CROMER DORIS D MD YORK HOSPITAL WELLS ME 04090 (207) 641-6540 FAMILY MEDICINE 77002759YP CROSBY CAROLYN S MD LRGHEALTHCARE MEREDITH NH 03253 (603) 279-7433 FAMILY MEDICINE 770YP15478 CROSS DEBORAH A APRN WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 447-8900 FAMILY NURSE PRACTITIONERS 770YP25817 CROTEAU RACHEL E DO DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 357-3411 FAMILY MEDICINE 77000769YP CRUSBERG HEIDI MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-5605 FAMILY MEDICINE 77000769YP CRUSBERG HEIDI MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP15329 CRUZ MAIRENI R MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 INTERNAL MEDICINE 770YP15329 CRUZ MAIRENI R MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-2060 INTERNAL MEDICINE 770YP16842 CULLEN MARY M DO MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY MEDICINE 770YP25629 CULVERWELL MELISSA APRN LANDMARK FAMILY HEALTHCARE LONDONDERRY NH 03053 (603) 425-6494 FAMILY NURSE PRACTITIONERS 77008137YP CUNIS DAVID J MD DARTMOUTH HITCHCOCK CLINIC PLYMOUTH NH 03264 (603) 536-3700 PEDIATRICS 77007387YP CUNNIFF JOSEPH P MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 434-1919 INTERNAL MEDICINE 770YP19186 CURRIER MICHELLE P DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7245 FAMILY MEDICINE 770YP28694 CURTIN COLEEN L APRN LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 PEDIATRIC NURSE PRACTITIONERS 77000061YP CURTIS H MANNING MD HEARTSAFE LLC NORTH ANDOVER MA 01845 (978) 688-2206 INTERNAL MEDICINE 770YP16376 CURTIS MONICA E NP STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 FAMILY NURSE PRACTITIONERS 770YP00375 CUSHING GARY W MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP27422 CZARNEC KATHLEEN A APRN VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 FAMILY NURSE PRACTITIONERS 77002394YP DACEY LINDA B MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP12119 DACUYCUY MARY ABIGAIL C MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-6562 INTERNAL MEDICINE 77005256YP D'AGOSTINO ROBERT M MD FOUNDATION MEDICAL PARTNERS INC MILFORD NH 03055 (603) 672-7600 FAMILY MEDICINE 770YP24089 DAIGLE MARC MD WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 447-8900 FAMILY MEDICINE 770YP26887 DAIGNEAULT JORDA APRN CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY NURSE PRACTITIONERS 77009438YP DALEY JOHN P MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77009438YP DALEY JOHN P MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77009438YP DALEY JOHN P MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 77005387Y0 DALTON BARBARA J MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-1166 FAMILY MEDICINE 77005387YP DALTON BARBARA J MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-1166 FAMILY MEDICINE Page 8 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP18503 DAMASCO REMELINE C MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP28773 DAMIANI ALDO L MD LAHEY CLINIC INC PEABODY MA 01960 (781) 744-8000 INTERNAL MEDICINE 770YP13828 DAMIANI SUZANNE M MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 PEDIATRICS 770YP00380 DANA NAVA MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77003138YP DANDEKAR RANJAN N MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-5330 PEDIATRICS 770YP25147 DANG ELLEN J APRN SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE NURSE PRACTITIONER 770YP14927 DANIELSON CARYN A DO ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 INTERNAL MEDICINE 770YP28145 DANIELSON VALERIE J MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP00381 DANOWITZ JAY S MD LAHEY CLINIC INC BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP00381 DANOWITZ JAY S MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP18847 DARGIS BRIGITTE F MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDON VT 05851 (802) 748-9501 FAMILY MEDICINE 770YP25287 DARIUS CHARLY P APRN PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 FAMILY NURSE PRACTITIONERS 770YP03887 DAS ANINDITA MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6030 PEDIATRICS 770YP12260 DASARI SANDHYA R MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3080 INTERNAL MEDICINE 77005973YP D'AUTEUIL JENNIFER M APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2750 PEDIATRIC NURSE PRACTITIONERS 770YP23220 DAVE HETAL R MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 INTERNAL MEDICINE 770YP24904 DAVIE EMILY S MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 770YP12110 DAVIES DANIEL L DO APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 433-8434 INTERNAL MEDICINE 77003842YP DAVILA MARIA A MD MARIA A DAVILA MD HOOKSETT NH 03106 (603) 485-4702 INTERNAL MEDICINE 77001072YP DAVIS JULIE S MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP23061 DAVIS JULINE D APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY NURSE PRACTITIONERS 770YP03695 DAVIS SHERRILL A MD PEDIATRIC PROFESSIONAL ASSOCIATES PC METHUEN MA 01844 (978) 683-1974 PEDIATRICS 77007227YP DAWSON SHANTA E APRN CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRIC NURSE PRACTITIONERS 770YP12607 DE VERA ADELA M MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 770YP28023 DE VERA JOSEPH M MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4680 INTERNAL MEDICINE 770YP11807 DEBLASIO BONESHO ALEXANDRA L MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRICS 77003168YP DECKER THOMAS N MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 INTERNAL MEDICINE 770YP26668 DEGE JAY E MD NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY MEDICINE 770YP17914 DEJOHN JAMES P MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRICS 77002465YP DELLA GROTTA GARY T MD DERRY PEDIATRICS PRACTICE PA DERRY NH 03038 (603) 434-0327 PEDIATRICS 770YP26809 DELLDONNA EMILY P APRN DARTMOUTH HITCHCOCK CLINIC WALPOLE NH 03608 (603) 756-3960 FAMILY NURSE PRACTITIONERS 770YP00389 DELOOMY ILHAM MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP29101 DELROSSI KIMBERLY F APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4804 FAMILY NURSE PRACTITIONERS 770YP26224 DELUCA ANNE APRN CATHOLIC MEDICAL CENTER HOOKSETT NH 03106 (603) 663-1990 ADULT NURSE PRACTITIONERS 770YP28229 DEMASI PAUL E DO FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE 770YP20054 DEMATTEO CARL S MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 239-6351 FAMILY MEDICINE 77004796YP DENNIS DEBORAH T MD ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP19176 DERKEVORKIAN NAZARET MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 685-5627 FAMILY MEDICINE 770YP03189 DESENA MATTHEW T MD LONDONDERRY PEDIATRICS PA LONDONDERRY NH 03053 (603) 437-1003 PEDIATRICS 770YP02786 DESIATO JOSEPH W MD COMMUNITY PEDIATRIC OF ANDOVER ANDOVER MA 01810 (978) 475-0300 PEDIATRICS 770YP26417 DESOCIO CRISTI A MD FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY MEDICINE 77008623YP DEVANEY KATHLEEN F MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 77003488YP DEVINE JUDITH A MD JUDITH A DEVINE MD MANCHESTER NH 03102 (603) 622-1004 INTERNAL MEDICINE 77002877YP DEVITO JR GEORGE A MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 225-2711 PEDIATRICS 770YP20572 DEVRIES JENNIFER L APRN LANDMARK FAMILY HEALTHCARE LONDONDERRY NH 03053 (603) 425-6494 FAMILY NURSE PRACTITIONERS 770YP17834 DIAZ GLENN FELIX T MD STEWARD MEDICAL GROUP INC HAVERHILL MA 01830 (978) 521-8377 FAMILY MEDICINE 770YP16494 DIBRIGIDA LISA A MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRICS 77004777YP DICAPUA SAMUEL M DO WELLS FAMILY PRACTICE LLC WELLS ME 04090 (207) 646-0676 FAMILY MEDICINE 770YP28117 DICK LESLIE S MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS Page 9 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP18264 DICKEY KARI L DO BRATTLEBORO MEMORIAL HOSPITAL PUTNEY VT 05346 (802) 387-5581 FAMILY MEDICINE 770YP28340 DICKINSON ARCHIE W MD DARTMOUTH HITCHCOCK CLINIC MERRIMACK NH 03054 (603) 424-4713 FAMILY MEDICINE 77004668YP DIEDERICH GARY D MD MID-STATE HEALTH CENTER BRISTOL NH 03222 (603) 744-6200 FAMILY MEDICINE 770YP11048 DIEDERICHS KATRINA APRN PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY NURSE PRACTITIONERS 77000116YP DIEHL SCOTT J MD SCOTT J DIEHL MD BEDFORD NH 03110 (603) 669-2779 INTERNAL MEDICINE 770YP25223 DILL ALLISON APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY NURSE PRACTITIONERS 770YP27167 DILONE-ARELLANO HELING S MD COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 FAMILY MEDICINE 770YP26448 DINICOLA CHRISTINA I MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 PEDIATRICS 77005356YP DINICOLA LOUIS A MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 PEDIATRICS 77007447YP DIONNE LESLIE S MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4200 INTERNAL MEDICINE 77008096YP DIONNE PIERRE L MD PIERRE L DIONNE MD HUDSON NH 03051 (603) 595-8989 FAMILY MEDICINE 77001021YP DIPASTINA JOHN A DO DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 77008135YP DITULIO MARGARET A APRN ROCKINGHAM FAMILY HLTHCARE COLLABORATIVE INC ATKINSON NH 03811 (603) 362-4444 FAMILY NURSE PRACTITIONERS 770YP28447 DIXIT ROHIT MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8800 INTERNAL MEDICINE 770YP28005 DJALAYER KASRA MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 INTERNAL MEDICINE 77002211YP DOANE PETER G MD LRGHEALTHCARE BRISTOL NH 03222 (603) 744-5441 FAMILY MEDICINE 770YP23332 DOANE PETER G MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-2060 FAMILY MEDICINE 770YP03300 DOBBERTIN JOYCE M MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 FAMILY MEDICINE 77002786YP DOBBINS ANN MD SJ PHYSICIAN SERVICES MILFORD NH 03055 (603) 676-3870 PEDIATRICS 77002786YP DOBBINS ANN MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 770YP25381 DOBERSTEIN KARA C APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY NURSE PRACTITIONERS 770YP27879 DODGE LEA P APRN AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 FAMILY NURSE PRACTITIONERS 770YP28406 DOHERTY JANE M APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY NURSE PRACTITIONERS 770YP17465 DOHERTY KAREN J APRN ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 FAMILY NURSE PRACTITIONERS 770YP26638 DOHERTY PATRICIA A APRN ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 FAMILY NURSE PRACTITIONERS 77006701YP DOLKART KENNETH M MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP26640 DOMBROWSKI ROXANNE A APRN HEALTH FIRST FAMILY CARE CENTER LACONIA NH 03246 (603) 934-0177 FAMILY NURSE PRACTITIONERS 770YP15521 DOMINICK KEITH R MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 770YP25431 DONAHUE CORA APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 770YP25431 DONAHUE CORA APRN LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY NURSE PRACTITIONERS 770YP02556 DONOVAN KATHLEEN B APRN COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY NURSE PRACTITIONERS 770YP05233 DONOVAN KEVIN M DO FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY MEDICINE 770YP05233 DONOVAN KEVIN M DO FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP20275 DOUCET CHRISTEN M MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP24076 DOUCETTE EMILY A APRN CO MED PRO NORTH ANDOVER MA 01845 (978) 685-4925 FAMILY NURSE PRACTITIONERS 770YP07717 DOW ROBERT R DO ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY MEDICINE 770YP24875 DOWNS ELIZABETH A APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE NURSE PRACTITIONER 77004528YP DOWNS RIMA E DO ST JOSEPH HOSPITAL HUDSON NH 03051 (603) 882-6700 FAMILY MEDICINE 770YP05032 DOYLE LISA B MD ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY MEDICINE 770YP04703 DRAKE SUELLEN O APRN ADVANCED NURSE PRACTITIONER SVC LLC NORTHWOOD NH 03261 (603) 942-5694 FAMILY NURSE PRACTITIONERS 770YP25530 DRAKE TANYA E APRN DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRIC NURSE PRACTITIONERS 770YP20017 DREBITKO CLARE N MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 PEDIATRICS 770YP20017 DREBITKO CLARE N MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 PEDIATRICS 770YP02400 DREFFER DOUGLAS R MD CONCORD HOSPITAL INC HILLSBORO NH 03244 (603) 464-3434 FAMILY MEDICINE 770YP02400 DREFFER DOUGLAS R MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 225-2711 FAMILY MEDICINE 770YP21137 DREIBELBIS CHARLES L MD PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY MEDICINE 770YP26521 DRESSEL BRIAN C MD FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY MEDICINE 770YP22760 DRESSEL JENNIFER L MD FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY MEDICINE 770YP20202 DUBE CHRISTINE A APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 FAMILY NURSE PRACTITIONERS Page 10 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP25969 DUBE MINDY APRN NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 FAMILY NURSE PRACTITIONERS 770YP22212 DUBOIS AMANDA L APRN ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY NURSE PRACTITIONERS 770YP17363 DUCHARME KAREN J APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY NURSE PRACTITIONERS 770YP13337 DUCLOS KATHRYN R APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP22873 DUCLOS SHANNON L APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 FAMILY NURSE PRACTITIONERS 770YP17212 DUFFY JOCELYN C MD STEWARD MEDICAL GROUP INC ANDOVER MA 01810 (978) 269-0017 FAMILY MEDICINE 770YP22746 DUGAN LYNNE G APRN HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-1464 FAMILY NURSE PRACTITIONERS 770YP22746 DUGAN LYNNE G APRN HEALTH FIRST FAMILY CARE CENTER LACONIA NH 03246 (603) 934-0177 FAMILY NURSE PRACTITIONERS 770YP23200 DULAC CAITLIN L APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-6562 ADULT NURSE PRACTITIONERS 770YP23200 DULAC CAITLIN L APRN LRGHEALTHCARE ANDOVER NH 03216 (603) 735-4363 ADULT NURSE PRACTITIONERS 770YP25870 DULAC CAITLIN L APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-6562 ADULT NURSE PRACTITIONERS 770YP14269 DUMAIS JESSICA L APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY NURSE PRACTITIONERS 770YP00701 DUNCAN ROBERT A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP26467 DUNCAN TRACY G APRN KEADY FAMILY PRACTICE CHARLESTOWN NH 03603 (603) 826-3434 FAMILY NURSE PRACTITIONERS 770YP23646 DUPLINSKY SARAH A APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-3500 FAMILY NURSE PRACTITIONERS 770YP26083 DUPRE MARY M APRN ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY NURSE PRACTITIONERS 77007503YP DUPREY PATTI L APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY NURSE PRACTITIONERS 77003878YP DUPUIS DENIS P MD BEDFORD INTERNAL MEDICINE, PA BEDFORD NH 03110 (603) 645-6652 INTERNAL MEDICINE 77005166YP DURAND LYNN A MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7245 FAMILY MEDICINE 770YP27102 DUSHAJ AZEM MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-6900 INTERNAL MEDICINE 770YP20872 DUSTIN AMANDA T APRN COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2900 FAMILY NURSE PRACTITIONERS 770YP23932 DUVDEVANY NETA MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-3211 PEDIATRICS 770YP04199 DUXBURY MELISSA A MD FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 FAMILY MEDICINE 77009764YP DZEN JEREMY A DO FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03063 (603) 577-5780 INTERNAL MEDICINE 770YP10095 EATON RAINA C APRN COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2900 FAMILY NURSE PRACTITIONERS 770YP28389 ECKENBERGER SARAH E APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY NURSE PRACTITIONERS 77008112YP EDWARDS PATRICIA M MD CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 77002414YP EDWARDS SUSAN T MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6041 PEDIATRICS 770YP03772 EDWARDS TYLER A MD FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 FAMILY MEDICINE 770YP07954 EGENOLF CRISTI M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP07954 EGENOLF CRISTI M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP07954 EGENOLF CRISTI M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP14601 EISENBERG ELLEN H MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP24966 EISENBERG ERIC W MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP19805 EL BIZRI ISSAM MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 INTERNAL MEDICINE 77005371YP ELGERT STEPHEN D MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY MEDICINE 770YP27632 ELLIOTT JACQUELINE L APRN FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 FAMILY NURSE PRACTITIONERS 770YP02713 ELLIS JAMIE L APRN ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 695-2572 FAMILY NURSE PRACTITIONERS 770YP03384 ELSAMMANI OSAMA A MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-6562 INTERNAL MEDICINE 770YP02806 EMERY ROSS F MD SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 PEDIATRICS 770YP03155 EMMICK GUS G MD ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 INTERNAL MEDICINE 770Y003984 EMMICK JASON G MD ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 INTERNAL MEDICINE 770YP03984 EMMICK JASON G MD ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 INTERNAL MEDICINE 770YP14081 ENGEL MARY K MD ELLIOT PHYSICIANS NETWORK AMHERST NH 03031 (603) 249-3000 FAMILY MEDICINE 770YP25831 ENGLAND LYNNE APRN LANDMARK FAMILY HEALTHCARE LONDONDERRY NH 03053 (603) 425-6494 FAMILY NURSE PRACTITIONERS 770YP25831 ENGLAND LYNNE APRN LANDMARK FAMILY HEALTHCARE DERRY NH 03038 (603) 216-1106 FAMILY NURSE PRACTITIONERS 770YP25224 ENGLUND GREGORY APRN SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-1881 FAMILY NURSE PRACTITIONERS 77002882YP ENTWISLE BEVERLY J MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 INTERNAL MEDICINE 77005106YP ERISMAN SUSAN P MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 INTERNAL MEDICINE Page 11 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP00618 ERLER ANITA A MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4000 INTERNAL MEDICINE 770YP14809 ERLER DANIEL F MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7000 INTERNAL MEDICINE 770YP12629 ESPINOSA ANA J MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 PEDIATRICS 770YP12629 ESPINOSA ANA J MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 PEDIATRICS 770YP21290 EVANS BARBARA W APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8665 FAMILY NURSE PRACTITIONERS 770YP11977 EVANS CAROLINE C APRN LITTLE RIVERS HEALTH CARE INC EAST CORINTH VT 05040 (802) 439-5321 FAMILY NURSE PRACTITIONERS 77000064YP EVANS THOMAS O MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8665 FAMILY MEDICINE 770YP12808 FADER KIMBERLY P APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY NURSE PRACTITIONERS 77007149YP FAGAN DAVID S MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 INTERNAL MEDICINE 770YP24803 FALICON ELIZABETH A APRN LIFE LONG CARE OF NEW LONDON PLLC NEW LONDON NH 03257 (603) 526-4144 FAMILY NURSE PRACTITIONERS 770YP27731 FANBURG SUSAN J MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3300 PEDIATRICS 770YP16862 FARRELL COURTNEY R MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 INTERNAL MEDICINE 77009351YP FARRELL SUSAN A APRN UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRIC NURSE PRACTITIONERS 770YP17541 FARZAN DAVID MD MERRIMACK MEDICAL & WALK IN CENTER, LLC LAWRENCE MA 01841 (978) 688-3100 FAMILY MEDICINE 77007593YP FAULKNER NATHAN W MD CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 770YP14735 FAUST III ROBERT R MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP15495 FAUTEUX JESSICA APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRIC NURSE PRACTITIONERS 77006222YP FAYRE GAIL B MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 77003097YP FEENEY ADELE S APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 77002282YP FELDMANN WILLIAM B MD AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 INTERNAL MEDICINE 77003860YP FELGATE RODNEY MD RODNEY A FELGATE MD LINCOLN NH 03251 (603) 745-8136 FAMILY MEDICINE 770YP03576 FENG MONA P MD GREAT BAY PEDIATRICS NEWMARKET NH 03857 (603) 659-1600 PEDIATRICS 770YP27243 FENTON RANDALL MD MEDICAL CARE OF BOSTON MANAGEMENT CORP SALEM NH 03079 (603) 870-5452 FAMILY MEDICINE 77002983YP FERGUSON AMY E MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-5716 PEDIATRICS 770YP18369 FERGUSON SHARON E DO DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP13749 FERLAN MARK R DO ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 624-4380 INTERNAL MEDICINE 770YP23364 FERNANDEZ IMELYN M MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WHITEFIELD NH 03598 (603) 837-2333 FAMILY MEDICINE 770YP23364 FERNANDEZ IMELYN M MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY MEDICINE 770YP13423 FERRARA LORYN E ARNP MERRIMACK VALLEY MEDICAL ASSOCIATES PC METHUEN MA 01844 (978) 725-4822 ADULT NURSE PRACTITIONERS 770YP25272 FERREIRA ELAINE C APRN CO MED PRO N ANDOVER MA 01845 (978) 685-4925 FAMILY NURSE PRACTITIONERS 770YP04201 FERRERI CHRISTINA L APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 FAMILY NURSE PRACTITIONERS 770YP12061 FERRIS DAVID V DO LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-0116 FAMILY MEDICINE 77007963YP FERRUCCI FERNANDO T MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 PEDIATRICS 770YP03471 FEYRER SHEILA L MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 PEDIATRICS 77002484YP FICHERA PHILLIP P MD PHILLIP P FICHERA MD HUDSON NH 03051 (603) 595-8989 FAMILY MEDICINE 770YP10252 FICHT KAY A MD SEACOAST AFFILIATED GROUP PRACTICE NEWBURYPORT MA 01950 (978) 465-0635 INTERNAL MEDICINE 770YP10288 FINAN TAMAR MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 77006430YP FINE SHARON D MD NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 FAMILY MEDICINE 770YP27776 FINN SARAH H MD DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2500 INTERNAL MEDICINE 77000587YP FINOCCHIARO PHILIP J MD PHIL FINOCCHIARO AND ASSOC LLC NASHUA NH 03063 (603) 577-9090 INTERNAL MEDICINE 770YP22251 FISCHER MICHAEL MD FOUNDATION MEDICAL PARTNERS INC PELHAM NH 03076 (603) 635-5400 PEDIATRICS 770YP21949 FISCHER SARAH E APRN WRIGHT & ASSOC FAM HLTHCARE AT CONCORD PLLC CONCORD NH 03301 (603) 369-4530 FAMILY NURSE PRACTITIONERS 770YP11619 FISCHLER NICOLE V APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY NURSE PRACTITIONERS 770YP07179 FITZGERALD CHRISTINE T MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 880-1440 PEDIATRICS 770YP03156 FITZGERALD JAMES F MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 626-4392 FAMILY MEDICINE 77002451YP FITZGERALD THOMAS M MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRICS 770YP17903 FITZGIBBONS LISA M MD CHILD HEALTH CENTER INC METHUEN MA 01844 (978) 685-0977 PEDIATRICS 77006938YP FITZMAURICE, JR ARTHUR G MD ARTHUR G FITZMAURICE JR MD PA NASHUA NH 03063 (603) 880-0054 INTERNAL MEDICINE 77004333YP FLAMBURIS DIANE M MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 INTERNAL MEDICINE Page 12 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77006029YP FLANAGAN-ROGERS SHARYN APRN WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 447-8900 PEDIATRIC NURSE PRACTITIONERS 77002448YP FLEET STEPHEN J MD HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7588 INTERNAL MEDICINE 77009127YP FLEMING ELAINE L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 INTERNAL MEDICINE 770YP17290 FLETCHER RICHARD A APRN BRATTLEBORO MEMORIAL HOSPITAL PUTNEY VT 05346 (802) 387-5581 FAMILY NURSE PRACTITIONERS 770YP21599 FLINN STACY A APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 FAMILY NURSE PRACTITIONERS 770YP21599 FLINN STACY A APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-8900 FAMILY NURSE PRACTITIONERS 770YP23300 FOGG CATHERINE J APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE NURSE PRACTITIONER 770YP13473 FOLAN UNA M APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7555 FAMILY NURSE PRACTITIONERS 770YP23201 FOLEY BRENDA M MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8880 PEDIATRICS 77006952YP FOLEY JOHN W DO WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 INTERNAL MEDICINE 770YP17270 FOOTE JANINE L DO BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY MEDICINE 77009084YP FOOTE NANCY R APRN UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRIC NURSE PRACTITIONERS 770YP17184 FOOTE PETER J DO BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY MEDICINE 77002708YP FORD JOHN E MD WEEKS MEDICAL CENTER WHITEFIELD NH 03598 (603) 837-9005 FAMILY MEDICINE 77005874YP FORD PATRICIA M APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 770YP19689 FORREST EILEEN C MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 77009354YP FORTIN CELINE M APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 889-3667 FAMILY NURSE PRACTITIONERS 770YP18561 FOSTER-ROBINSON JONI APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-1166 FAMILY NURSE PRACTITIONERS 77005409YP FOTHERGILL JOHN J MD INDIAN STREAM HEALTH CENTER INC COLEBROOK NH 03576 (603) 237-8336 INTERNAL MEDICINE 77007847YP FOULK REBECCA A MD SOUTH ROYALTON HEALTH CENTER SOUTH ROYALTON VT 05068 (802) 763-7575 PEDIATRICS 770YP16427 FOWLER KENNETH P MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 INTERNAL MEDICINE 77005352YP FOWLER MILTON G MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-2428 INTERNAL MEDICINE 77006126YP FOX KATHARINE T MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 226-3400 FAMILY MEDICINE 770YP18525 FOX LAURA J MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 770YP18525 FOX LAURA J MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP18254 FOX PATRICK T MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 226-3400 FAMILY MEDICINE 77006034YP FOX ROGER C MD MOUNTAIN VALLEY HEALTH COUNCIL INC LONDONDERRY VT 05148 (802) 824-6901 INTERNAL MEDICINE 770YP14650 FRAGA POLLY D MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP22817 FRANCIS PATRICK A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP24090 FRANK RACHEL M NP CO MED PRO N ANDOVER MA 01845 (978) 685-4925 FAMILY NURSE PRACTITIONERS 770YP05318 FRANK WILLIAM F MD WILLIAM F FRANK MD SANFORD ME 04073 (207) 324-3226 FAMILY MEDICINE 77004343YP FRECHETTE RICHARD P MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 FAMILY MEDICINE 77004426YP FREDERICK SHIRLEY A MD WENTWORTH DOUGLASS PHYSICIAN CORP SOUTH BERWICK ME 03908 (207) 384-4949 FAMILY MEDICINE 770YP23335 FREEMAN JR EARL R DO SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY MEDICINE 770YP22453 FRENKIEWICH BRIAN J DO NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 FAMILY MEDICINE 77002584YP FRIEDEN ROGER S MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8300 PEDIATRICS 77008514YP FRIEDRICHS PAUL E MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 77008514YP FRIEDRICHS PAUL E MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 77008514YP FRIEDRICHS PAUL E MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 77008947YP FRIEND PAUL K MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY MEDICINE 770YP19260 FRITZ DOUGLAS S MD LAHEY CLINIC INC LYNNFIELD MA 01940 (781) 213-4040 INTERNAL MEDICINE 770YP19260 FRITZ DOUGLAS S MD LAHEY CLINIC INC PEABODY MA 01960 (781) 213-4040 INTERNAL MEDICINE 77001699YP FRUMKIN MITCHELL MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 77000782YP FRY LAURA R MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY MEDICINE 770YP29105 FRY LAURA R MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 FAMILY MEDICINE 770YP23140 FRYDMAN EMILY S MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRICS 770YP24969 FULHAM SARAH MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 770YP12582 FULLER JR JOSEPH E MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY MEDICINE 770YP12582 FULLER JR JOSEPH E MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE Page 13 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77005934YP FULLER-WIESNER DEIRDRE A APRN CONCORD HOSPITAL INC HOPKINTON NH 03229 (603) 228-7575 FAMILY NURSE PRACTITIONERS 770YP23487 FURBER KATHERINE K APRN WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY NURSE PRACTITIONERS 770YP23487 FURBER KATHERINE K APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY NURSE PRACTITIONERS 770YP23487 FURBER KATHERINE K APRN WENTWORTH DOUGLASS PHYSICIAN CORP DURHAM NH 03824 (603) 868-5080 FAMILY NURSE PRACTITIONERS 770YP18432 FURLAN JULIE E DO HUGGINS HOSPITAL MOULTONBORO NH 03254 (603) 476-2216 FAMILY MEDICINE 770YP13606 FURLONG JOANN ARNP PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 FAMILY NURSE PRACTITIONERS 770YP29115 GABAI IVY J APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 ADULT NURSE PRACTITIONERS 770YP27792 GABAREE WARREN J APRN HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-1464 FAMILY NURSE PRACTITIONERS 770YP27281 GABRIELLE CLAUDIA G MD MEDICAL CARE OF BOSTON MANAGEMENT CORP SALEM NH 03079 (603) 870-5452 FAMILY MEDICINE 770YP27228 GADOWSKI AMY S MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 770YP23317 GAGINA MARIANNA MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5461 PEDIATRICS 770YP25984 GAGNON DAVID MD HUGGINS HOSPITAL OSSIPEE NH 03864 (603) 539-6996 FAMILY MEDICINE 77009980YP GAGNON MARY A APRN WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY NURSE PRACTITIONERS 770YP26376 GALANES SARI K MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3121 INTERNAL MEDICINE 770YP23652 GALASSO ANDREA J DO ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 434-1919 INTERNAL MEDICINE 770YP23651 GALBRAITH DAVID W MD GALBRAITH FAMILY MEDICINE LLC LIMERICK ME 04048 (207) 793-9586 FAMILY MEDICINE 770YP23649 GALBRAITH KATHRYN L MD GALBRAITH FAMILY MEDICINE LLC LIMERICK ME 04048 (207) 793-9586 FAMILY MEDICINE 770YP02639 GALIZIO STEPHEN J MD STEPHEN J GALIZIO MD PC NORTH ANDOVER MA 01845 (978) 681-4700 INTERNAL MEDICINE 770YP02555 GALLAGHER MAUREEN A MD APPLEDORE MEDICAL GROUP INC HAMPTON NH 03842 (603) 929-2137 INTERNAL MEDICINE 770YP04238 GANEM DEBORAH J MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6337 INTERNAL MEDICINE 770YP10309 GANZ KAREN A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP14966 GARCIA MARGRET J MD WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY MEDICINE 770YP28212 GARCIA HERNANDEZ YOHANNA A APRN APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY NURSE PRACTITIONERS 770YP23133 GARG MEENAKSHI MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 770YP11080 GARLIN DEBRA L DO FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 FAMILY MEDICINE 77000365YP GAUTHIER MICHAEL N MD YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 77002374YP GEAGAN KATHLEEN A MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 PEDIATRICS 770YP07636 GEFFKEN DOMINIC F MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP03986 GELLER ALEXANDER L MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-8981 INTERNAL MEDICINE 770YP03986 GELLER ALEXANDER L MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 INTERNAL MEDICINE 77000413YP GENDLERMAN JOSEF I MD JOSEF I GENDLERMAN MD LAWRENCE MA 01843 (978) 682-0930 INTERNAL MEDICINE 77005822YP GENDLERMAN MICHAEL MD MICHAEL GENDLERMAN MD LAWRENCE MA 01843 (978) 682-0930 INTERNAL MEDICINE 77009790YP GENEREAUX STEPHEN H MD LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 757-2325 FAMILY MEDICINE 770YP17588 GEORGE ARGILLA R MD YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 770YP20897 GEORGE MARION A MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 663-8200 INTERNAL MEDICINE 770YP23116 GERA AAKANKSHA MD WE CARE PEDIATRICS INC SALEM NH 03079 (603) 893-1521 PEDIATRICS 770YP08448 GERCHMAN ERIC M MD BRIDGTON HOSPITAL FRYEBURG ME 04037 (207) 935-3383 FAMILY MEDICINE 770YP22158 GERRISH ASHLEY K APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 ADULT NURSE PRACTITIONERS 770YP20691 GESSNER WILLIAM J MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 770YP16470 GEURTS MAURICE MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 770YP10261 GIFFORD KIMBERLY A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6041 PEDIATRICS 770YP25458 GIFFORD LAUREN J APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP28025 GILBERT RYAN T APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 77004780YP GILROY III JAMES H MD YORK HOSPITAL MOODY ME 04054 (207) 646-8386 INTERNAL MEDICINE 77004780YP GILROY III JAMES H MD YORK HOSPITAL YORK ME 03909 (207) 351-3530 INTERNAL MEDICINE 770YP25636 GIORDANI JAMES K APRN ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY NURSE PRACTITIONERS 770YP24851 GIORGETTI MICHAEL A MD MERRIMACK MEDICAL & WALK IN S LAWRENCE MA 01841 (978) 688-3100 FAMILY MEDICINE 77004516YP GITLIN JOAN I MD JOAN I GITLIN MD NORTH ANDOVER MA 01845 (978) 683-7770 PEDIATRICS 77004575YP GLAZER DEBORAH A MD DEBORAH A GLAZER, MD LEBANON NH 03766 (603) 448-5886 FAMILY MEDICINE Page 14 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP28394 GLENNEY AARON MD SEACOAST AFFILIATED GROUP PRACTICE AMESBURY MA 01913 (978) 465-7719 INTERNAL MEDICINE 770YP00699 GLICK MICHAEL E MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8385 INTERNAL MEDICINE 77006129YP GLIDDEN JANE L MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 891-0083 PEDIATRICS 770YP25115 GLOVER SARAH T DO DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 224-7575 INTERNAL MEDICINE 77006976YP GLOWA PATRICIA T MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 77002936YP GOGJIAN MICHAEL A MD MICHAEL A GOGJIAN MD NORTH ANDOVER MA 01845 (978) 689-9488 INTERNAL MEDICINE 770YP03636 GOLDBERG CRAIG E DO CRAIG E GOLDBERG DO BRATTLEBORO VT 05301 (802) 254-4545 FAMILY MEDICINE 770YP03192 GOLDBERG MATTHEW J DO WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY MEDICINE 770YP14635 GOLDMAN LESLIE F APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY NURSE PRACTITIONERS 770YP03808 GOLDMAN SAMUEL J DO ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 INTERNAL MEDICINE 770YP14268 GOLDMAN KLINGLER ANGELA P MD CONCORD HOSPITAL INC WARNER NH 03278 (603) 456-6106 FAMILY MEDICINE 770YP23236 GOLLAPUDI SAI N MD PELHAM HEALTHCARE ASSOCIATES PLLC PELHAM NH 03076 (603) 635-2802 FAMILY MEDICINE 77005453YP GOLOSARSKY BORIS MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 770YP03385 GONZALEZ ANGELICA R MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 770YP02541 GOODMAN ERIC APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRIC NURSE PRACTITIONERS 77005316YP GOODRICH JOANNE B APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 INTERNAL MEDICINE NURSE PRACTITIONER 770YP00640 GORDON FREDRIC D MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-2500 INTERNAL MEDICINE 770YP15325 GORDON NICOLE M APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 GERIATRIC NURSE PRACTITIONERS 77006180YP GORELIK BRONIE MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 PEDIATRICS 77007811YP GORN JOEL A MD LAWRENCE FAMILY DOCTORS LLC LAWRENCE MA 01840 (978) 688-1919 FAMILY MEDICINE 770YP17907 GORVEATT VICTORIA A APRN NEUROPATHY COMFORT CENTER OF NEW ENGLAND LLC LONDONDERRY NH 03053 (603) 552-3309 FAMILY NURSE PRACTITIONERS 770YP18895 GOSSELIN SUSAN R APRN ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 FAMILY NURSE PRACTITIONERS 770YP26181 GOTTFREDSEN LEA A DO FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-8981 INTERNAL MEDICINE 770YP22536 GOUBERT ANA M MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 770YP16010 GOULD KRISTA I FNP WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY NURSE PRACTITIONERS 770YP25112 GOYETTE KATHERINE APRN WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JCT VT 05001 (802) 295-6132 FAMILY NURSE PRACTITIONERS 770YP25722 GRANAHAN EILEEN MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP15413 GRAY STEFANIE R APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 626-4392 FAMILY NURSE PRACTITIONERS 770YP00642 GRAY JR ANTHONY W MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP00642 GRAY JR ANTHONY W MD LAHEY CLINIC INC WINCHESTER MA 01890 (781) 756-2260 INTERNAL MEDICINE 77004824YP GRAZIANO MARK F MD YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP17971 GREER LAURA M MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 PEDIATRICS 77009137YP GRESSER SUSAN L MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 FAMILY MEDICINE 770YP02804 GRIFFIN CHARLES D APRN LRGHEALTHCARE BELMONT NH 03220 (603) 267-7017 FAMILY NURSE PRACTITIONERS 77001150YP GROENKE MICHAEL J MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 PEDIATRICS 770YP15125 GROFF TRICIA L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 PEDIATRICS 770YP27860 GRUBER LISA K MD STEWARD MEDICAL GROUP INC N ANDOVER MA 01810 (978) 682-0110 PEDIATRICS 770YP03334 GRUCHOT SHANON H MD LONDONDERRY PEDIATRICS PA LONDONDERRY NH 03053 (603) 437-1003 PEDIATRICS 770YP18509 GRZYSIEWICZ AMY J DO YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP27543 GUERRERO-PAJELA EVE MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 PEDIATRICS 77004762YP GUIRY COLLEEN P MD FOUNDATION MEDICAL PARTNERS INC MILFORD NH 03055 (603) 672-7600 FAMILY MEDICINE 770YP18863 GULLOTTA KELLY E MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-5716 PEDIATRICS 770YP14941 GUPTA NEERA MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 888-5573 INTERNAL MEDICINE 770YP03323 GURKA JOSEPH P MD JOSEPH P GURKA MD SALEM NH 03079 (603) 893-8330 INTERNAL MEDICINE 770YP00647 GUTIERREZ GLENN B MD LAHEY CLINIC INC BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP00647 GUTIERREZ GLENN B MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP05124 GUTNER ROGER N MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 INTERNAL MEDICINE 77004689YP HACKER PETER S MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-5315 INTERNAL MEDICINE 770YP27745 HAEGER ELISABETH B MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE Page 15 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP19831 HAFFNER ARTHUR B MD FAMILY HEALTH MATTERS OF SALEM SALEM NH 03079 (603) 386-0100 FAMILY MEDICINE 77005871YP HAGAN EVELYN D APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WHITEFIELD NH 03598 (603) 837-2333 FAMILY NURSE PRACTITIONERS 770YP25579 HAGAN PHYLLIS A APRN LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY NURSE PRACTITIONERS 770YP25579 HAGAN PHYLLIS A APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 770YP23674 HAHN VANESSA L APRN SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-1881 FAMILY NURSE PRACTITIONERS 770YP10542 HAJDUK MATTHEW J MD ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 685-0150 PEDIATRICS 77004728YP HALEY JOHN J MD MONADNOCK COMMUNITY HOSPITAL NEW IPSWICH NH 03071 (603) 878-1092 FAMILY MEDICINE 770YP10091 HALL ALDEN W MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE 770YP24676 HALL DAPHNE M APRN CONCORD HOSPITAL INC WARNER NH 03278 (603) 456-6106 FAMILY NURSE PRACTITIONERS 77004352YP HALL DAVID N MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-6761 INTERNAL MEDICINE 77006059YP HALL ELIOT R MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 PEDIATRICS 770YP27914 HALL JOHN B APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY NURSE PRACTITIONERS 770YP27914 HALL JOHN B APRN WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY NURSE PRACTITIONERS 770YP02642 HALLQUIST ROBIN A MD ROBIN A HALLQUIST MD TWIN MOUNTAIN NH 03595 (603) 846-2250 FAMILY MEDICINE 770YP19827 HALSTED ARLENE APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 ADULT NURSE PRACTITIONERS 77007205YP HAMILTON MARK C MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-2526 INTERNAL MEDICINE 770YP22170 HAMILTON RACHEL R DO THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5461 FAMILY MEDICINE 77008450YP HAND CHRISTINE M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77008450YP HAND CHRISTINE M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77008450YP HAND CHRISTINE M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP25281 HANDA ASHIMA MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3080 INTERNAL MEDICINE 77005522YP HANDELSMAN ALIX MD RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRICS 770YP28765 HANLON TERRANCE G MD CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 INTERNAL MEDICINE 770YP03945 HANRAHAN MELISSA B MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY MEDICINE 770YP02739 HANSEN DEBORAH R MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRICS 770Y011322 HARKER PHENTON T MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP11322 HARKER PHENTON T MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP02619 HARLAND DAWN L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6181 INTERNAL MEDICINE 770YP02619 HARLAND DAWN L MD DARTMOUTH HITCHCOCK CLINIC HANOVER NH 03755 (603) 646-9400 INTERNAL MEDICINE 770YP24692 HARLOW CHRISTINA R APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY NURSE PRACTITIONERS 77003808YP HARPER PAUL J MD PAUL J HARPER MD LONDONDERRY NH 03053 (603) 434-1591 INTERNAL MEDICINE 770YP02093 HARRIGAN DEBORAH A MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 FAMILY MEDICINE 770YP02093 HARRIGAN DEBORAH A MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP00653 HARRIS GERALD S MD LAHEY CLINIC INC BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP00653 HARRIS GERALD S MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP27245 HARRIS MARK S MD UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRICS 770YP07842 HARRIS STEVEN J MD STEVEN J HARRIS MD PC NORTH ANDOVER MA 01845 (978) 685-9600 PEDIATRICS 770YP27671 HARRIS JR JAMES M APRN DIABETES AND LIFESTYLE MANAGEMENT LLC LONDONDERRY NH 03053 (603) 552-3309 FAMILY NURSE PRACTITIONERS 770YP27671 HARRIS JR JAMES M APRN DIABETES AND LIFESTYLE MANAGEMENT LLC SALEM NH 03079 (603) 552-3309 FAMILY NURSE PRACTITIONERS 770YP23244 HARRISON ELIZABETH I APRN FAMILIES FIRST OF THE GREATER SEACOAST PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP28044 HASAN IMRAN S MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 77005695YP HASSETT WILLIAM E MD DOVER FAMILY PRACTICE DOVER NH 03820 (603) 742-3174 FAMILY MEDICINE 770YP27826 HASSETT WILLIAM E MD WENTWORTH DOUGLASS PHYSICIAN CORP ELIOT ME 03903 (207) 451-9600 FAMILY MEDICINE 770YP02656 HAYDOCK ANNE H MD PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 PEDIATRICS 77007237YP HAYES JR FRANCIS E MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 77004781YP HEATH HARLEY W MD HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7620 PEDIATRICS 770YP13747 HEATHERTON CHRISTOPHER A DO LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 770YP13747 HEATHERTON CHRISTOPHER A DO LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 770YP25735 HECK TINA K APRN NORTHERN COUNTIES HEALTH CARE INC ISLAND POND VT 05846 (802) 723-4300 FAMILY NURSE PRACTITIONERS Page 16 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77003041YP HEDBERG VIKING A MD DARTMOUTH HITCHCOCK CLINIC PLYMOUTH NH 03264 (603) 536-3700 PEDIATRICS 77009637YP HEIT ROCHELLE J MD RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRICS 770YP22938 HEITH AGNIESZKA M MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 INTERNAL MEDICINE 770YP04627 HENDRICK DELIA C MD DARTMOUTH HITCHCOCK CLINIC LYME NH 03768 (603) 650-1070 INTERNAL MEDICINE 770YP17072 HENDRICKS JENNIFER L DO ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY MEDICINE 770YP11071 HENNING LYNNE M APRN FAMILIES FIRST OF THE GREATER SEACOAST PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP21471 HENSLEY JENNIFER C MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 770YP25816 HEPLER AMANDA J MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY MEDICINE 770YP05036 HERFORT OLIVER P MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-6900 INTERNAL MEDICINE 770YP03214 HERNDON M BROOKE MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 INTERNAL MEDICINE 770YP22165 HERTFORD JO ANN F MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 77009236YP HERZOG LYNN W MD PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 PEDIATRICS 770YP22003 HEVERN GERARD J MD ELLIOT PHYSICIANS NETWORK ALLENSTOWN NH 03275 (603) 485-7861 FAMILY MEDICINE 770YP11842 HEWITT KAREN B APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE NURSE PRACTITIONER 770YP23212 HILES JR CHARLES H MD HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7588 INTERNAL MEDICINE 770YP23212 HILES JR CHARLES H MD HUGGINS HOSPITAL OSSIPEE NH 03864 (603) 539-6996 INTERNAL MEDICINE 770YP14630 HINDLE LINDA M DO GEORGETOWN FAMILY MEDICINE LLC BOXFORD MA 01921 (978) 887-0222 FAMILY MEDICINE 770YP05469 HINTERMEISTER CHARLES W DO NORTH BERWICK FAMILY MEDICINE NORTH BERWICK ME 03906 (207) 676-8559 FAMILY MEDICINE 770YP08796 HIRSCHFELD CHARISSE N APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY NURSE PRACTITIONERS 770YP27354 HOCKMUTH ROBERT P MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP23169 HODGE RHONDA APRN AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 FAMILY NURSE PRACTITIONERS 77009253YP HODGES KEVIN F MD COASTAL PEDIATRICS PORTSMOUTH NH 03801 (603) 431-7393 PEDIATRICS 77002683YP HOERMAN WALTER A MD LILAC CITY PEDIATRICS PA ROCHESTER NH 03867 (603) 335-4522 PEDIATRICS 770YP14365 HOGAN ELIZABETH H NP STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 FAMILY NURSE PRACTITIONERS 770YP02391 HOLLISTER JOHN R MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 770YP21732 HOLLORAN CYNTHIA L APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY NURSE PRACTITIONERS 770YP12541 HOLT DONNA E APRN ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 894-0063 FAMILY NURSE PRACTITIONERS 77006285YP HOLT JUDITH A APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6030 PEDIATRIC NURSE PRACTITIONERS 770YP28349 HOLUB SMITH CATHERINE F APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRIC NURSE PRACTITIONERS 770YP16950 HOLZINGER JENNIFER M DO ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY MEDICINE 77009285YP HOMAN FAY F MD LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 757-2325 FAMILY MEDICINE 770YP05413 HONG THOMAS MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 770YP05413 HONG THOMAS MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP28699 HOPE TODD D MD WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-4911 INTERNAL MEDICINE 77009186YP HORDIS CAROL R APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 889-3667 ADULT NURSE PRACTITIONERS 770YP19840 HORNIG PATRICK R APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 FAMILY NURSE PRACTITIONERS 770YP13653 HORT SHOSHANA J MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 77007565YP HOUSTON BIRGIT R MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4400 FAMILY MEDICINE 77008725YP HOUSTON KERRY E MD LONDONDERRY PEDIATRICS PA LONDONDERRY NH 03053 (603) 437-1003 PEDIATRICS 770YP13477 HOWE ROBERT J DO CORE PHYSICIANS LLC STRATHAM NH 03885 (603) 778-1620 FAMILY MEDICINE 770YP13477 HOWE ROBERT J DO CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 FAMILY MEDICINE 770YP22191 HOWES CYNTHIA L APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8626 PEDIATRIC NURSE PRACTITIONERS 770YP28006 HOYTE SANDRA M MD SPRINGFIELD MEDICAL CARE SYSTEMS INC LONDONDERRY VT 05148 (802) 824-6904 INTERNAL MEDICINE 770YP22937 HUANG LI LI MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 INTERNAL MEDICINE 770YP27296 HUGHES TARA L APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY NURSE PRACTITIONERS 770YP19435 HUNT DIANNE I APRN HUMANAE VITAE FAMILY HEALTHCARE PLLC HUDSON NH 03051 (603) 432-4005 FAMILY NURSE PRACTITIONERS 770YP17649 HUNT KAREN I MD MERRIMACK MEDICAL & WALK IN CENTER, LLC LAWRENCE MA 01841 (978) 688-3100 FAMILY MEDICINE 77005102YP HUNTER CONVERSE P MD ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 695-2572 PEDIATRICS 770YP23022 HUNTER JILL H APRN ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY NURSE PRACTITIONERS Page 17 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77000323YP HURLEY JAMES M MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 770YP08197 HURLEY NANCY MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 770YP03686 HUSARIK NANCY S MD ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 INTERNAL MEDICINE 77004686YP HYDE WILMA APRN DARTMOUTH HITCHCOCK CLINIC PLYMOUTH NH 03264 (603) 536-3700 PEDIATRIC NURSE PRACTITIONERS 77009871YP HYER KIMBERLY A MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 77009871YP HYER KIMBERLY A MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC HAMPTON NH 03842 (603) 929-3838 PEDIATRICS 770YP22407 IANTOSCA AMANDA N DO WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY MEDICINE 77000563YP IDELKOPE GEORGE A MD GEORGE IDELKOPE, MD HINSDALE NH 03451 (603) 336-5948 FAMILY MEDICINE 770YP26493 INGRAM WILLIAM C MD SEACOAST AFFILIATED GROUP PRACTICE NEWBURYPORT MA 01950 (978) 463-7770 INTERNAL MEDICINE 770YP05480 IOSIF GERMAN MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 INTERNAL MEDICINE 770YP07187 IRWIN BRIAN R DO HUGGINS HOSPITAL TAMWORTH NH 03886 (603) 323-3311 FAMILY MEDICINE 770YP21360 JACKSON WILLIAM G MD WILLIAM G JACKSON MD LLC SALISBURY MA 01952 (978) 462-3009 INTERNAL MEDICINE 770YP21636 JACOBS JESSICA P MD LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-2803 PEDIATRICS 770YP20565 JAMES HOLLY B NP YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY NURSE PRACTITIONERS 77004057YP JAMES JEREMY B MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 77004057YP JAMES JEREMY B MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 77004057YP JAMES JEREMY B MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP20968 JAMES RUTH E MD FAMILIES FIRST OF THE GREATER SEACOAST PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP26810 JAMESON JENNIFER E MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP08552 JAMPANI SUSHAMA MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-5315 INTERNAL MEDICINE 77004541YP JANEWAY BARBARA B APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 77004541YP JANEWAY BARBARA B APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 770YP28397 JANKOWSKA EWA J MD DARTMOUTH HITCHCOCK CLINIC MERRIMACK NH 03054 (603) 424-4713 FAMILY MEDICINE 77006703YP JARAMILLO MARTHA C MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3300 INTERNAL MEDICINE 770YP26965 JAWOROWSKI KAYE E APRN ELLIOT PHYSICIANS NETWORK ALLENSTOWN NH 03275 (603) 485-7861 FAMILY NURSE PRACTITIONERS 770YP27432 JAYNES SCOTT C MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP20628 JEAN NATHAN T DO YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP28852 JEE SUNG B MD DARTMOUTH HITCHCOCK CLINIC MILFORD NH 03055 (603) 673-2515 FAMILY MEDICINE 770YP20461 JEFFCOAT LYDIA MD SEACOAST AFFILIATED GROUP PRACTICE NEWBURYPORT MA 01950 (978) 465-0635 INTERNAL MEDICINE 77005236YP JENDZEJEC STEPHEN M DO YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 77002668YP JENNINGS JORGENSON LAURIE A APRN LRGHEALTHCARE BRISTOL NH 03222 (603) 744-5441 FAMILY NURSE PRACTITIONERS 770YP23343 JENNINGS JORGENSON LAURIE A APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY NURSE PRACTITIONERS 770YP28042 JIMENO LIND ANGELA MD YORK HOSPITAL YORK ME 03909 (207) 351-2478 PEDIATRICS 770YP19007 JO SUNILA MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 INTERNAL MEDICINE 770YP10147 JOHNS MARTIN C MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 INTERNAL MEDICINE 770YP20433 JOHNSEN GALE A APRN SACOPEE VALLEY HEALTH CENTER PORTER ME 04068 (207) 625-8126 FAMILY NURSE PRACTITIONERS 770YP18821 JOHNSON BLAIR R MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP28352 JOHNSON DAVID S MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE 770YP27489 JOHNSON DIANA J APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY NURSE PRACTITIONERS 770YP25028 JOHNSON JESSICA R APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 FAMILY NURSE PRACTITIONERS 77004540YP JOHNSON MARY A APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 77004540YP JOHNSON MARY A APRN LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY NURSE PRACTITIONERS 77004540YP JOHNSON MARY A APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 770YP26895 JOHNSON REIKO K MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 FAMILY MEDICINE 770YP18261 JOHNSON RYAN C MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 77005554YP JOHNSON THOMAS F MD N E ALLERGY ASTHMA IMMUN & PRIMARY CARE PC DERRY NH 03038 (603) 432-7558 INTERNAL MEDICINE 77005554YP JOHNSON THOMAS F MD N E ALLERGY ASTHMA IMMUN & PRIMARY CARE PC SALEM NH 03079 (603) 898-1892 INTERNAL MEDICINE 77005554YP JOHNSON THOMAS F MD N E ALLERGY ASTHMA IMMUN & PRIMARY CARE PC NORTH ANDOVER MA 01845 (978) 683-4299 INTERNAL MEDICINE 77005554YP JOHNSON THOMAS F MD N E ALLERGY ASTHMA IMMUN & PRIMARY CARE PC NEWBURYPORT MA 01950 (978) 465-7815 INTERNAL MEDICINE Page 18 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP18326 JOHNSTON JAMES G MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP18845 JOKONYA CHIEDZA G MD WENTWORTH DOUGLASS PHYSICIAN CORP SOUTH BERWICK ME 03908 (207) 384-4949 FAMILY MEDICINE 770YP26679 JOKONYA CHIEDZA G MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 770YP11990 JONES JENNIFER L MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRICS 77009306YP JONES JENNIFER T DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2600 INTERNAL MEDICINE 770YP21030 JONES PAUL T APRN STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 FAMILY NURSE PRACTITIONERS 77007443YP JONES STEVEN C MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 77007443YP JONES STEVEN C MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 77007319YP JORDAN STEPHEN MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 770YP23897 JOSHI GIRISH C MD FAMILY PRACTICE OF SANFORD SANFORD ME 04073 (207) 324-2955 FAMILY MEDICINE 770YP26100 JOSHI GIRISH C MD FAMILY PRACTICE OF SANFORD SOMERSWORTH NH 03878 (603) 692-4018 FAMILY MEDICINE 77005052YP JOYCE MARY K MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-6711 FAMILY MEDICINE 770YP17308 KAHN AARON J APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY NURSE PRACTITIONERS 77005530YP KAITZ STEVEN H MD PEMBROKE WELLNESS CENTER PEMBROKE NH 03275 (603) 485-7788 FAMILY MEDICINE 770YP21702 KAIZUKA SACHIKO MD SACOPEE VALLEY HEALTH CENTER PORTER ME 04068 (207) 625-8126 FAMILY MEDICINE 770YP20025 KALISH RICHARD L MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 77007607YP KAMINSKI JOHN J MD JOHN J KAMINSKI, MD HAMPTON NH 03842 (603) 926-3399 FAMILY MEDICINE 770YP00686 KANEF MATTHEW S MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP11992 KANTROWITZ JOSHUA D MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC SAINT JOHNSBURY VT 05819 (802) 748-5131 PEDIATRICS 770YP28398 KAPLOE MICHAEL D DO DARTMOUTH HITCHCOCK CLINIC MILFORD NH 03055 (603) 673-2515 FAMILY MEDICINE 77003069YP KARAGIANNIS EMILIANOS N MD EMILIANOS N KARAGIANNIS MD MANCHESTER NH 03104 (603) 624-8085 INTERNAL MEDICINE 770YP13508 KARAVASILIS ANGELA L DO ST JOSEPH HOSPITAL NASHUA NH 03063 (603) 883-7970 FAMILY MEDICINE 770YP22137 KARCHER-BIRT CHRISTINE A APRN JOHN J KAMINSKI, MD HAMPTON NH 03842 (603) 926-3399 FAMILY NURSE PRACTITIONERS 77005888YP KARLSON KRISTINE A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP20941 KARTER ROXANNE S APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 ADULT NURSE PRACTITIONERS 770YP10282 KASSCHAU MICHAEL MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP25604 KATZ DOUGLAS M MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8800 INTERNAL MEDICINE 770YP02722 KAUL SHARDA MD SHARDA KAUL MD PC METHUEN MA 01844 (978) 685-7111 INTERNAL MEDICINE 770YP05037 KAUPP CARA D MD FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 PEDIATRICS 770YP04780 KAUPP GREGORY W MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6337 PEDIATRICS 770YP04173 KAZAL LOUIS A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP23825 KAZMOUZ SAFWAN MD MEDICINE AT YOUR DOOR LLC CONCORD NH 03301 (734) 718-0196 FAMILY MEDICINE 77006272YP KEANE ELIZABETH M MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRICS 770YP28120 KEATON KIM M APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE NURSE PRACTITIONER 770YP27382 KEEFE SANDRA O MD FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 FAMILY MEDICINE 77006355YP KEEFE HASSETT VIRGINIA MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 INTERNAL MEDICINE 770YP04631 KEENAN GAIL M APRN MERRIMACK VALLEY MEDICAL ASSOCIATES PC METHUEN MA 01844 (978) 725-4822 FAMILY NURSE PRACTITIONERS 770YP07200 KEENAN JOEL W MD YORK PRIMARY CARE YORK ME 03909 (207) 571-8504 INTERNAL MEDICINE 770YP11009 KEENAN TIMOTHY G MD CORE PHYSICIANS LLC STRATHAM NH 03885 (603) 778-1620 FAMILY MEDICINE 770YP11009 KEENAN TIMOTHY G MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 770YP28355 KEGEL PATRICIA B MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 770YP11055 KEHAS DAVID J MD ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 624-8652 FAMILY MEDICINE 77000656YP KELLY JAMES H MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4440 FAMILY MEDICINE 77002793YP KELSEY FREDERICK S MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 INTERNAL MEDICINE 770YP16114 KENDALL MARVIN R MD WHITE MOUNTAIN FAMILY HEALTHCARE LITTLETON LITTLETON NH 03561 (603) 444-2010 FAMILY MEDICINE 77007427YP KENDRICK SHEILA J MD RIVERSIDE INTERNAL MEDICINE ASCUTNEY VT 05030 (802) 674-6744 INTERNAL MEDICINE 770YP28356 KENDZIORA VICTORIA L APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY NURSE PRACTITIONERS 77005927YP KENISON MARY E APRN WEEKS MEDICAL CENTER GROVETON NH 03582 (603) 788-2521 FAMILY NURSE PRACTITIONERS 770YP19832 KENNEY ROSALYN J APRN FAMILY HEALTH MATTERS OF SALEM SALEM NH 03079 (603) 386-0100 FAMILY NURSE PRACTITIONERS Page 19 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP23357 KEPLER MARGARET E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 FAMILY MEDICINE 77007140YP KERNAN DONALD MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 77006944YP KERNAN NICOLA E MD ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY MEDICINE 770YP03763 KERSTEN KIMBERLY DO SEACOAST AFFILIATED GROUP PRACTICE NEWBURYPORT MA 01950 (978) 465-7719 INTERNAL MEDICINE 770YP28399 KEYES NANYEE L MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4440 FAMILY MEDICINE 770YP21127 KHAN BUSHRA MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 INTERNAL MEDICINE 770YP28400 KHAN NADIA MD DARTMOUTH HITCHCOCK CLINIC MILFORD NH 03055 (603) 673-2515 FAMILY MEDICINE 770YP27686 KHANNA ROOHI DO COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 FAMILY MEDICINE 77007432YP KIDD LAWRENCE G MD LAWRENCE G KIDD MD PC LAWRENCE MA 01841 (978) 682-3686 INTERNAL MEDICINE 77007535YP KIDDER KATHLEEN M APRN LIFE LONG CARE OF NEW LONDON PLLC NEW LONDON NH 03257 (603) 526-4144 FAMILY NURSE PRACTITIONERS 770YP02396 KIEFFER KELLY A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 77005151YP KILCULLEN MICHAEL J MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 FAMILY MEDICINE 770YP05263 KILROY JONATHAN D DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP05263 KILROY JONATHAN D DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP05263 KILROY JONATHAN D DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 77002412YP KIM GRACE W MD GRACE W KIM MD PC ANDOVER MA 01810 (978) 475-5656 GENERAL PRACTICE 770YP19918 KIM JOOHAHN J MD ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 629-1793 INTERNAL MEDICINE 770YP28963 KINBROOK MICHELLE MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 INTERNAL MEDICINE 770YP10981 KING CYNTHIA G MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 77008595YP KING RAYMOND T MD KING MEDICAL ASSOCIATES NASHUA NH 03060 (603) 595-2300 INTERNAL MEDICINE 770YP14005 KIPROP PETER MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY MEDICINE 770YP02810 KIRBY KIM G APRN CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY NURSE PRACTITIONERS 770YP11809 KIRK JOHN MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 77007834YP KIRK STEPHEN M MD SALEM NH PHYSICIANS NETWORK PC SALEM NH 03079 (603) 898-6363 INTERNAL MEDICINE 77007834YP KIRK STEPHEN M MD SALEM NH PHYSICIANS NETWORK PC METHUEN MA 01844 (978) 685-5627 INTERNAL MEDICINE 770YP03308 KISTLER DIANE L DO LRGHEALTHCARE NEW HAMPTON NH 03256 (603) 744-5377 FAMILY MEDICINE 770YP03308 KISTLER DIANE L DO LRGHEALTHCARE BRISTOL NH 03222 (603) 744-5441 FAMILY MEDICINE 770YP24983 KLECZKOWSKI ALICIA M APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 668-6489 FAMILY NURSE PRACTITIONERS 770YP12963 KLEINERT LISA M MD BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-2311 INTERNAL MEDICINE 770YP08548 KLONEL CARRIE B DO MONADNOCK COMMUNITY HOSPITAL ANTRIM NH 03440 (603) 588-4200 FAMILY MEDICINE 770YP08501 KLONEL STEPHEN G DO MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY MEDICINE 770YP25203 KLOTZBAUGH RALPH J APRN GOODWIN COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 953-0065 FAMILY NURSE PRACTITIONERS 770YP03386 KLUNK L JOHN MD ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 INTERNAL MEDICINE 770YP29122 KNIGHT ERIC L MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-6880 FAMILY MEDICINE 770YP28750 KNOWLES LAUREN F APRN LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-3839 FAMILY NURSE PRACTITIONERS 770YP23698 KNUUTI ERIN E APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-2911 FAMILY NURSE PRACTITIONERS 770YP03277 KODALI SRILATHA MD PELHAM HEALTHCARE ASSOCIATES PLLC PELHAM NH 03076 (603) 635-2802 INTERNAL MEDICINE 770YP00406 KOLB JAMES E MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP25110 KOLPA EMILY M MD PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 PEDIATRICS 770YP04165 KOOP JENNIFER MD FAMILIES FIRST OF THE GREATER SEACOAST PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP12236 KOPP STACEY A MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 77006242YP KORBEY AZAR A MD AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 FAMILY MEDICINE 770YP26158 KOSHOWSKI LORI L APRN NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY NURSE PRACTITIONERS 770YP04164 KOSHY AJAY MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03101 (603) 623-3343 FAMILY MEDICINE 770YP11922 KOSTECKE RITA A MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP25436 KOUSAIE GEORGE R MD YORK HOSPITAL NORTH BERWICK ME 03906 (207) 676-1280 FAMILY MEDICINE 770YP23429 KOVANKO ALEXANDER P DO PARKLAND PHYSICIAN SERVICES INC DERRY NH 03038 (603) 421-9130 FAMILY MEDICINE 770YP23429 KOVANKO ALEXANDER P DO PARKLAND PHYSICIAN SERVICES INC SALEM NH 03079 (603) 894-0500 FAMILY MEDICINE 770YP23429 KOVANKO ALEXANDER P DO PARKLAND PHYSICIAN SERVICES INC LONDONDERRY NH 03053 (603) 434-9666 FAMILY MEDICINE Page 20 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77004196YP KOWALSKI LOUIS A MD LOUIS A KOWALSKI MD NEW LONDON NH 03257 (603) 526-6929 INTERNAL MEDICINE 770YP12586 KRASNOF REBECCA E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP12586 KRASNOF REBECCA E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP12586 KRASNOF REBECCA E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 77008171YP KRAUS DANA C MD NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY MEDICINE 770YP25601 KRECHETOFF IRENE B DO SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-2151 FAMILY MEDICINE 770YP12488 KREMZNER BOGUSLAWA J MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP07195 KRIEBEL GREGORY T MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 77009018YP KROLEWSKI SUSAN M MD SUSAN KROLEWSKI MD PLLC PORTSMOUTH NH 03801 (603) 433-4774 FAMILY MEDICINE 770YP15307 KROPP ERIC A MD CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY MEDICINE 770YP00409 KRUTT KENNETH A MD LAHEY CLINIC INC BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP00409 KRUTT KENNETH A MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP03044 KUCHIPUDI ANITHA R MD FOUNDATION MEDICAL PARTNERS INC PELHAM NH 03076 (603) 635-5400 INTERNAL MEDICINE 770YP23804 KUMIN JENNIFER L APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7338 FAMILY NURSE PRACTITIONERS 770YP23804 KUMIN JENNIFER L APRN WENTWORTH DOUGLASS PHYSICIAN CORP SOMERSWORTH NH 03878 (603) 692-6616 FAMILY NURSE PRACTITIONERS 770YP22622 KUMIN MICHAEL C MD WENTWORTH DOUGLASS PHYSICIAN CORP ELIOT ME 03903 (207) 451-9600 FAMILY MEDICINE 770YP26683 KUMIN MICHAEL C MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 770YP03880 KUNINS LISA R MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 770YP21486 KURISH ADAM MD ATLANTIC INTERNAL MEDICINE & PEDIATRICS INC PORTSMOUTH NH 03801 (603) 373-0096 INTERNAL MEDICINE 77000383YP KVATERNIK DAVOR B MD NEW ENGLAND CARDIOLOGY LLC SALEM NH 03079 (603) 898-7622 INTERNAL MEDICINE 77000383YP KVATERNIK DAVOR B MD NEW ENGLAND CARDIOLOGY LLC LAWRENCE MA 01841 (978) 989-9811 INTERNAL MEDICINE 770YP22641 KYLE DANIEL R MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 770YP16492 LABRECQUE MARY C APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-2428 ADULT NURSE PRACTITIONERS 770YP24554 LACASSE VICTORIA W APRN DARTMOUTH HITCHCOCK CLINIC LYME NH 03768 (603) 650-1070 FAMILY NURSE PRACTITIONERS 770YP28876 LADLEY DAVID F DO SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-3500 FAMILY MEDICINE 77004470YP LAFLEUR RICHARD P MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 77004470YP LAFLEUR RICHARD P MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP28360 LAFORTUNE-GREENBERG TESSA J MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 77003651YP LAKE CHRISTOPHER J MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 GENERAL PRACTICE 770YP17358 LAKE MARGARET S APRN BRATTLEBORO MEMORIAL HOSPITAL PUTNEY VT 05346 (802) 387-5581 FAMILY NURSE PRACTITIONERS 77005061YP LALLY TERRI L MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 770YP23518 LAMB ASHLEY C MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRICS 770YP08141 LAMBERT DANIELLE R APRN CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 PEDIATRIC NURSE PRACTITIONERS 770YP03998 LAMM EVERETT J MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 77002369YP LAMMERS KEITH A MD ELLIOT PHYSICIANS NETWORK AMHERST NH 03031 (603) 249-3000 FAMILY MEDICINE 77004855YP LAMPERT RICHARD P MD YORK HOSPITAL YORK ME 03909 (207) 351-1710 PEDIATRICS 77004855YP LAMPERT RICHARD P MD YORK HOSPITAL WELLS ME 04090 (207) 641-6555 PEDIATRICS 770YP23455 LAMPMAN KRISTYNA P APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 668-6489 INTERNAL MEDICINE NURSE PRACTITIONER 77006351YP LAMSON FRANK B CPNP SOUTH ROYALTON HEALTH CENTER SOUTH ROYALTON VT 05068 (802) 763-7575 PEDIATRIC NURSE PRACTITIONERS 770YP17271 LAMSTEIN MARY C APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 77000613YP LANCASTER LARRY A APRN ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY NURSE PRACTITIONERS 77007284YP LANDMAN MICHAEL J MD MICHAEL J LANDMAN MD PC LAWRENCE MA 01841 (978) 686-2400 INTERNAL MEDICINE 770YP02407 LANDON CAROL A APRN MERRIMACK VILLAGE FAMILY PRACTICE CTR MERRIMACK NH 03054 (603) 424-8120 FAMILY NURSE PRACTITIONERS 77000810YP LANE LEO W DO MERRIMACK VALLEY MEDICAL ASSOCIATES PC METHUEN MA 01844 (978) 725-4822 INTERNAL MEDICINE 770YP25139 LANE TRICIA APRN CO MED PRO N ANDOVER MA 01845 (978) 685-4925 FAMILY NURSE PRACTITIONERS 770YP14349 LANG KENNETH C MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2900 FAMILY MEDICINE 770YP16139 LANGA BRIDGET A APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 770YP28976 LANGE ERWIN MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 770YP13529 LANIER MELANIE E DO CORE PHYSICIANS LLC EXETER NH 03833 (603) 778-2899 INTERNAL MEDICINE Page 21 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP03949 LARACY RICHARD J DO SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 PEDIATRICS 77005531YP LARAMEE RACHEL C MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 770YP02657 LARKIN ROBERT J MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 668-6489 INTERNAL MEDICINE 77004361YP LAROCCA CHRISTOPHER MD DARTMOUTH HITCHCOCK CLINIC WALPOLE NH 03608 (603) 756-3960 FAMILY MEDICINE 770YP26209 LAROCHE JAMIE APRN LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 FAMILY NURSE PRACTITIONERS 77008076YP LAROUCHE MONIQUE M MD CORE PHYSICIANS LLC DURHAM NH 03824 (603) 868-5832 FAMILY MEDICINE 770YP13900 LASPINA RICHARD DO PEDIATRIC PROFESSIONAL ASSOCIATES PC METHUEN MA 01844 (978) 683-1974 PEDIATRICS 770YP08295 LATHAM BRUCE D DO BRUCE D LATHAM DO PA COLEBROOK NH 03576 (603) 237-9800 FAMILY MEDICINE 770YP26950 LATHAM WHITNEY L DO FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRICS 770YP24896 LATHARI AYDIN A MD YORK HOSPITAL YORK ME 03909 (207) 351-3530 INTERNAL MEDICINE 770YP05303 LAU GERALDINE F APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY NURSE PRACTITIONERS 770YP20520 LAUNH JESSICA L APRN FOUNDATION MEDICAL PARTNERS INC AMHERST NH 03031 (603) 673-5885 FAMILY NURSE PRACTITIONERS 770YP14145 LAURENT CHRISTOPHER L APRN WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-2521 ADULT NURSE PRACTITIONERS 770YP14145 LAURENT CHRISTOPHER L APRN WEEKS MEDICAL CENTER WHITEFIELD NH 03598 (603) 837-9005 ADULT NURSE PRACTITIONERS 77003271YP LAUTER M DAVID MD M DAVID LAUTER MD PC PORTSMOUTH NH 03801 (603) 433-7500 FAMILY MEDICINE 770YP03110 LAVALLEE JENNIFER L APRN ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 880-1440 PEDIATRIC NURSE PRACTITIONERS 770YP22714 LAWLESS MELISSA B APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY NURSE PRACTITIONERS 770YP21266 LAWRENCE BRENDA J MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6337 INTERNAL MEDICINE 770YP05174 LAWRENCE MELANIE A MD NEWBURY HEALTH CLINIC PLLC NEWBURY VT 05051 (802) 866-3010 FAMILY MEDICINE 77009995YP LAWRENCE STEPHEN J MD CONCORD HOSPITAL INC HOPKINTON NH 03229 (603) 228-7575 FAMILY MEDICINE 770YP28788 LAWS HARRY F MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-8900 PEDIATRICS 77003063YP LAWSON PHILIP H MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY MEDICINE 770YP20838 LAZAR BARBARA B MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-2428 FAMILY MEDICINE 770YP28865 LAZOTT TAMMY R APRN WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-4911 FAMILY NURSE PRACTITIONERS 77004800YP LEARNER LAWRENCE M MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 880-1440 PEDIATRICS 770YP23121 LEBLANC MEDERIC W MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 FAMILY MEDICINE 770YP03774 LEBLANC SCOTT A DO CATHOLIC MEDICAL CENTER MANCHESTER NH 03104 (603) 668-6489 INTERNAL MEDICINE 77005179YP LEBLANC STEPHAN R MD SJ PHYSICIAN SERVICES MILFORD NH 03055 (603) 673-3870 PEDIATRICS 77005179YP LEBLANC STEPHAN R MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 770YP13044 LEE CLAUDIA E MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 INTERNAL MEDICINE 770YP27690 LEE JANICE MD STEWARD MEDICAL GROUP INC ANDOVER MA 01810 (978) 269-0030 FAMILY MEDICINE 770YP27690 LEE JANICE MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (800) 488-5959 FAMILY MEDICINE 770YP28383 LEE JANICE R DO STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 FAMILY MEDICINE 770YP08546 LEE KAROLYN F MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY MEDICINE 770YP05495 LEE SHERWOOD B MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3230 PEDIATRICS 770YP23524 LEGACY ALLYSON C APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP14490 LEGNER MARGARET A MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 770YP14490 LEGNER MARGARET A MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP13607 LEHAN CATHERINE ARNP PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 FAMILY NURSE PRACTITIONERS 77008143YP LEIGHTON CATHERINE M APRN RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRIC NURSE PRACTITIONERS 770YP12523 LEINAU LISA ANN MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 INTERNAL MEDICINE 77001663YP LEMAITRE PAUL N MD PAUL N LEMAITRE MD ANDOVER MA 01810 (978) 475-7765 INTERNAL MEDICINE 770YP03454 LEMEI SUSAN L MD SUSAN LEMEI MD PC CHESTER VT 05143 (802) 875-5660 FAMILY MEDICINE 770YP00831 LEMKE SHAYNA M DO BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-2311 FAMILY MEDICINE 770YP22948 LENHARDT ANDREW S MD LAHEY CLINIC INC SOUTH HAMILTON MA 01982 (978) 468-7346 FAMILY MEDICINE 77008704YP LEONG PATRICK L DO ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY MEDICINE 77007381Y0 LEPPMAN JOHN A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 INTERNAL MEDICINE 77007381YP LEPPMAN JOHN A MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 INTERNAL MEDICINE 77009050YP LERMAN LAWRENCE M DO PEDIATRIC PROFESSIONAL ASSOCIATES PC METHUEN MA 01844 (978) 683-1974 PEDIATRICS Page 22 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP07586 LERO WILLIAM P MD FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 PEDIATRICS 770YP24731 LESAGE-HORTON HEATHER A MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 254-2253 PEDIATRICS 770YP25242 LESSAC-CHENEN SIMONE R MD LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05033 (802) 757-2325 FAMILY MEDICINE 770YP25242 LESSAC-CHENEN SIMONE R MD LITTLE RIVERS HEALTH CARE INC E CONINTH VT 05040 (802) 439-5321 FAMILY MEDICINE 770YP25242 LESSAC-CHENEN SIMONE R MD LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 FAMILY MEDICINE 77000444YP LESTER SARAH S MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5363 PEDIATRICS 77002785YP LEVI DONALD S MD SJ PHYSICIAN SERVICES MILFORD NH 03055 (603) 673-3870 PEDIATRICS 77002785YP LEVI DONALD S MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 770YP25373 LEVIN IVAN MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE 770YP25373 LEVIN IVAN MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 INTERNAL MEDICINE 77001750YP LEVINE STEVEN S MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 889-3667 INTERNAL MEDICINE 77007125YP LEWIS ERIC C MD HUGGINS HOSPITAL OSSIPEE NH 03864 (603) 539-6996 FAMILY MEDICINE 770YP03174 LEWIS THOMAS W MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 770YP10279 L'HEUREUX MICHELLE M MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 INTERNAL MEDICINE 770YP00427 LIBERMAN ROBERT B MD LAHEY CLINIC INC BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP00427 LIBERMAN ROBERT B MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 641-0100 INTERNAL MEDICINE 77004163YP LICATA RICHARD F MD RICHARD F LICATA MD NASHUA NH 03060 (603) 889-4494 INTERNAL MEDICINE 770YP12661 LILLY KATHARINA F MD APPLEDORE MEDICAL GROUP INC NEWINGTON NH 03801 (603) 430-0060 FAMILY MEDICINE 770YP12661 LILLY KATHARINA F MD APPLEDORE MEDICAL GROUP INC DURHAM NH 03824 (603) 430-0060 FAMILY MEDICINE 770YP05317 LINCOURT MICHAEL R MD MICHAEL R LINCOURT MD PA SANFORD ME 04073 (207) 324-6116 INTERNAL MEDICINE 770YP29001 LINDBERG MICHAEL MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7191 ANESTHESIOLOGY 770YP16397 LINDER ELIZABETH MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 PEDIATRICS 770YP16403 LINDER MOSS J MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 770YP14960 LINDPAINTNER LYN S MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 770YP22574 LINER KIMBERLY P APRN WE CARE PEDIATRICS INC SALEM NH 03079 (603) 893-1521 PEDIATRIC NURSE PRACTITIONERS 770YP15028 LITSCH SARAH M DO CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 FAMILY MEDICINE 770YP03866 LITTLE GAVIN C DO GAVIN C LITTLE DO LLC SALISBURY MA 01952 (978) 462-3433 INTERNAL MEDICINE 770YP07846 LIU SHU W MD AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 FAMILY MEDICINE 770YP25937 LLOYD FRANCES R APRN LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4300 INTERNAL MEDICINE NURSE PRACTITIONER 770YP14898 LO ELIZABETH P MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP26082 LOBER LAURA APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC CHARLESTOWN NH 03603 (603) 826-5711 FAMILY NURSE PRACTITIONERS 770YP21569 LOCKARD GRETCHEN D MD SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY MEDICINE 770YP25928 LOEFFLER MOXIE J DO DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP02887 LOESER PETER C MD CROSSROADS FAMILY MEDICINE PLLC CONCORD NH 03301 (603) 856-8828 FAMILY MEDICINE 77000891YP LOEW CHARLOTTE G MD LOEW FAMILY MEDICAL PRACTICE PLLC SALEM NH 03079 (603) 898-9834 FAMILY MEDICINE 77003668YP LOH STEVEN P MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRICS 77007280YP LOMBARDO BRIAN P MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP12480 LOPEZ-VALLES JO-ANN G MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 PEDIATRICS 770YP28728 LOSKUTOFF ERIN A APRN LITTLE RIVERS HEALTH CARE INC EAST CORINTH VT 05040 (802) 439-5321 ADULT NURSE PRACTITIONERS 770YP17087 LOUD KEITH J MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6041 PEDIATRICS 770YP18992 LOUGHRAN TIMOTHY M MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 433-8434 INTERNAL MEDICINE 770YP25377 LOURIE JEFFREY W APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY NURSE PRACTITIONERS 77005710YP LOW SCOTT J DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77005710YP LOW SCOTT J DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77005710YP LOW SCOTT J DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP17056 LOWDERMILK MARY F MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP08497 LOWNE JOSEPH E DO CONCORD HOSPITAL INC PEMBROKE NH 03275 (603) 485-8441 FAMILY MEDICINE 770YP19409 LOZMAN-OXMAN REBECCA APRN NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 PEDIATRIC NURSE PRACTITIONERS 770YP20613 LU QI MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE Page 23 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP28143 LUCHSINGER JOANNA MD CORE PHYSICIANS LLC KINGSTON NH 03848 (603) 642-3910 FAMILY MEDICINE 770YP27075 LUCIER DEVAN APRN CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-7920 FAMILY NURSE PRACTITIONERS 770YP25457 LUDT MARGARET A APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP17774 LUNDEEN-YOUNG CARRIE A MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP03819 LUNDGREN LARS MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 77009567YP LUNDQUIST PETER D MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 889-3667 INTERNAL MEDICINE 770YP16551 LUNGULESCU OVIDIU A MD CATHOLIC MEDICAL CENTER HOOKSETT NH 03106 (603) 314-5980 INTERNAL MEDICINE 770YP15858 LUNIANSKI DAVID N DO GOODWIN COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY MEDICINE 77004868YP LURIE JONATHAN D MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP21677 LUTTINGER TANYA MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 77008222YP LUTZ STEPHEN S MD MARTIN'S POINT HEALTH CARE PORTSMOUTH NH 03801 (603) 431-5154 FAMILY MEDICINE 770YP27103 LYNCH CHRISTOPHER J MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03101 (603) 625-1655 INTERNAL MEDICINE 77004907YP LYNCH GREGORY M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77004907YP LYNCH GREGORY M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77004907YP LYNCH GREGORY M MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP14083 LYNCH NANCY E APRN MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4680 ADULT NURSE PRACTITIONERS 770YP28786 LYON SEAN APRN RICHER WELLNESS MD PLLC NEW LONDON NH 03257 (603) 877-0325 FAMILY NURSE PRACTITIONERS 77006177YP LYONS MICHAEL L MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP28363 MA HONGBAO MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 770YP26879 MACAULAY SANDRA L APRN CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-1436 FAMILY NURSE PRACTITIONERS 770YP26819 MACDONALD CARYN E APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 FAMILY NURSE PRACTITIONERS 770YP04017 MACDONALD DANIELLE L APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY NURSE PRACTITIONERS 770YP11353 MACDONALD HUGH V MD WENTWORTH DOUGLASS PHYSICIAN CORP NEWMARKET NH 03857 (603) 659-0901 FAMILY MEDICINE 770YP11353 MACDONALD HUGH V MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 770YP28417 MACDONALD KIMBERLY L MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP28365 MACDONALD LAUREN E APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY NURSE PRACTITIONERS 770YP07266 MACDONALD PAUL M MD LAHEY CLINIC INC WILMINGTON MA 01887 (978) 694-9610 INTERNAL MEDICINE 770YP15421 MACGREGOR JILL S APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 FAMILY NURSE PRACTITIONERS 77002152YP MACGREGOR FORD BARBARA F APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC FRANCONIA NH 03580 (603) 823-7078 FAMILY NURSE PRACTITIONERS 770YP02012 MACLEAN KATHLEEN W APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY NURSE PRACTITIONERS 770YP02012 MACLEAN KATHLEEN W APRN FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY NURSE PRACTITIONERS 770YP17226 MACLEOD JESSICA L APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 ADULT NURSE PRACTITIONERS 770YP17226 MACLEOD JESSICA L APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 ADULT NURSE PRACTITIONERS 77008136YP MADDEN ANNE B APRN CORE PHYSICIANS LLC EXETER NH 03833 (603) 773-5200 FAMILY NURSE PRACTITIONERS 77008383YP MADDEN JENNIFER MD DR JENNIFER MADDEN'S FAMILY PRACTICE PLLC AMHERST NH 03031 (603) 769-3308 FAMILY MEDICINE 77007287YP MAGUIRE ELEANOR L APRN DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRIC NURSE PRACTITIONERS 770YP05286 MAHARAJ ADORA MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 INTERNAL MEDICINE 770YP05106 MAHMUDI SHANTA MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4804 FAMILY MEDICINE 77008668YP MAHON PAULA M MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 663-5382 FAMILY MEDICINE 770YP70287 MAITLAND LAURI A DO CONCORD HOSPITAL INC WARNER NH 03278 (603) 456-6106 FAMILY MEDICINE 770YP28614 MAJESKI CAROLANNE APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 FAMILY NURSE PRACTITIONERS 77001478YP MAJOR MICHAEL J MD YORK HOSPITAL MOODY ME 04054 (207) 646-8386 INTERNAL MEDICINE 77001478YP MAJOR MICHAEL J MD YORK HOSPITAL YORK ME 03909 (207) 351-3530 INTERNAL MEDICINE 770YP26391 MALCOLM CHRISTINE M APRN NORTHERN COUNTIES HEALTH CARE INC HARDWICK VT 05843 (802) 472-3300 FAMILY NURSE PRACTITIONERS 770YP00442 MALONE ERIN L MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP18140 MALONEY CRISTINE J MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-2428 INTERNAL MEDICINE 770YP17676 MALONEY MELISSA K APRN SEACOAST AFFILIATED GROUP PRACTICE NEWBURYPORT MA 01950 (978) 465-0635 ADULT NURSE PRACTITIONERS 770YP04707 MALONSO RESTITUTO D MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 INTERNAL MEDICINE 770YP27853 MANDEL MICHELE D MD SJ PHYSICIAN SERVICES NASHUA NH 03062 (603) 880-1440 PEDIATRICS Page 24 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP24880 MANE HEATHER A MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 INTERNAL MEDICINE 770YP24559 MANN HAROLD T MD WILLIAM G JACKSON MD LLC SALISBURY MA 01952 (978) 462-3009 INTERNAL MEDICINE 770YP23810 MANNING CAROL L APRN GLOBAL FAMILY HEALTH LLC NASHUA NH 03060 (603) 943-7064 FAMILY NURSE PRACTITIONERS 770YP04647 MANNING GRIFFIN P APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 FAMILY NURSE PRACTITIONERS 77009863YP MANNS KATHLEEN APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-5131 PEDIATRIC NURSE PRACTITIONERS 770YP08556 MARCH JONATHAN P DO HOLISTIC FAMILY PRACTICE INC NEWBURY MA 01951 (978) 465-9770 FAMILY MEDICINE 770YP05311 MARESCOT KEASHA D MD WATERBORO VILLAGE PEDIATRICS LLC PA EAST WATERBORO ME 04030 (207) 247-6742 PEDIATRICS 770YP05311 MARESCOT KEASHA D MD WATERBORO VILLAGE PEDIATRICS LLC PA BIDDEFORD ME 04005 (207) 294-8700 PEDIATRICS 770YP05311 MARESCOT KEASHA D MD WATERBORO VILLAGE PEDIATRICS LLC PA SANFORD ME 04073 (207) 247-6742 PEDIATRICS 77000095YP MARINO ANTHONY F MD ANTHONY F MARINO MD PC METHUEN MA 01844 (978) 689-2540 INTERNAL MEDICINE 77001179YP MARKERT CRAIG W MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 INTERNAL MEDICINE 770YP08252 MARKS HEATHER L MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP24088 MARQUEZ MA THERESA C MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP05472 MARSHALL NANCY J APRN GOODALL HOSPITAL SANFORD ME 04073 (207) 324-7721 FAMILY NURSE PRACTITIONERS 770YP08642 MARTEL AMY L MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP27505 MARTIN TYLER P DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY MEDICINE 770YP15274 MARTIN III WILLIAM J MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP22749 MARTINEZ JOSEPH A MD WENTWORTH DOUGLASS PHYSICIAN CORP BARRINGTON NH 03825 (603) 664-2135 FAMILY MEDICINE 770YP22749 MARTINEZ JOSEPH A MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 FAMILY MEDICINE 770YP14450 MASELUNAS BARBARA NP STEWARD MEDICAL GROUP INC LAWRENCE MA 01841 (978) 989-9811 ADULT NURSE PRACTITIONERS 77005556YP MASON PETER A MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP12113 MATHER CHERI C MD DARTMOUTH HITCHCOCK CLINIC LYME NH 03768 (603) 650-1070 INTERNAL MEDICINE 770YP23367 MATHEW LIJY NP STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 ADULT NURSE PRACTITIONERS 77004012YP MATHEWS CYNTHIA P APRN PLYMOUTH FAMILY PRACTICE CENTER PLYMOUTH NH 03264 (603) 536-2502 FAMILY NURSE PRACTITIONERS 770YP04782 MATOS MICHAEL E MD HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7620 PEDIATRICS 770YP27479 MATTHEW LEAH G MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP13990 MATTHEWS DIANE E APRN NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 ADULT NURSE PRACTITIONERS 770YP07467 MATTIN MICHAEL MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8060 FAMILY MEDICINE 77007254YP MATTLAGE LINDA M APRN CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRIC NURSE PRACTITIONERS 77003185YP MAULL JOHN M MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 778-2899 INTERNAL MEDICINE 770YP25268 MAXWELL LEISA L DO FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 FAMILY MEDICINE 770YP25123 MAYNARD KATHLEEN B APRN THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5461 FAMILY NURSE PRACTITIONERS 77004373YP MAZANOWSKI DONALD M MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP22584 MCALLISTER LISA S DO BRIDGTON HOSPITAL FRYEBURG ME 04037 (207) 935-3383 FAMILY MEDICINE 770YP15839 MCCAMPBELL NINA K MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP23264 MCCARTEN MICHAEL D DO ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 894-0063 FAMILY MEDICINE 770YP12909 MCCARTHY EILEEN W APRN FAMILIES FIRST OF THE GREATER SEACOAST PORTSMOUTH NH 03801 (603) 422-8208 FAMILY NURSE PRACTITIONERS 770YP26605 MCCARTHY ERIN APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-6900 FAMILY NURSE PRACTITIONERS 77002319YP MCCARTHY GREGORY M MD GUIDANCE MEDICAL ASSOCIATES GILFORD NH 03249 (603) 527-0052 INTERNAL MEDICINE 770YP05295 MCCARTHY GREGORY M MD GUIDANCE MEDICAL ASSOCIATES GILFORD NH 03249 (603) 527-0052 INTERNAL MEDICINE 770YP00459 MCCARTHY JOHN E MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP03964 MCCLINTOCK LORA MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4680 INTERNAL MEDICINE 770YP17117 MCCLURE LAUREN D MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8455 FAMILY MEDICINE 77007547YP MCCLURE LORI R APRN CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRIC NURSE PRACTITIONERS 770YP26369 MCCLURE LYDIA MD FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY MEDICINE 77000276YP MCCOLE JUDITH M DO ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY MEDICINE 770YP22935 MCDERMOTT III FRANCIS V MD LAHEY CLINIC INC IPSWICH MA 01938 (978) 356-5522 INTERNAL MEDICINE 770YP18990 MCELROY CANDICE A MD YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY MEDICINE 770YP18990 MCELROY CANDICE A MD YORK HOSPITAL NORTH BERWICK ME 03906 (207) 676-1280 FAMILY MEDICINE Page 25 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP05451 MCGRAVEY ANN R MD KIDS DR NORTH ANDOVER MA 01845 (978) 682-3300 PEDIATRICS 770YP05315 MCGUCKIN JOHN B MD JOHN B MCGUCKIN MD SANFORD ME 04073 (207) 324-3226 FAMILY MEDICINE 770YP29041 MCGUIRE JAMES G MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 PEDIATRIC DEVELOPMENTAL BEHAVIORAL 770YP10292 MCKEAN KIMBERLY M DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP26661 MCKENNA TARA F APRN PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-3166 FAMILY NURSE PRACTITIONERS 770YP25697 MCKENZIE RICHARD G DO LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-7070 FAMILY MEDICINE 770YP22688 MCKINLEY KARI J APRN UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRIC NURSE PRACTITIONERS 770YP10460 MCLANE ALICE N APRN COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY NURSE PRACTITIONERS 770YP05108 MCLEOD JR MICHAEL M DO CONCORD HOSPITAL INC HOPKINTON NH 03229 (603) 228-7575 FAMILY MEDICINE 77004731YP MCNAMEE SUSAN L APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-7388 PEDIATRIC NURSE PRACTITIONERS 770YP27158 MCNEELY ERIN R MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 INTERNAL MEDICINE 770YP18772 MCQUEEN CLAUDIA F MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 778-2899 INTERNAL MEDICINE 770YP04045 MCQUILLEN DANIEL P MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77007285YP MEAD LINDA M APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY NURSE PRACTITIONERS 770YP26904 MEDEIROS SARAH C APRN CROSSROADS FAMILY MEDICINE PLLC CONCORD NH 03301 (603) 856-8828 PEDIATRIC NURSE PRACTITIONERS 770YP08825 MEDORA CHRISTINE R MD HANOVER CONTINUITY CLINIC LLC HANOVER NH 03755 (603) 643-3320 INTERNAL MEDICINE 770YP17752 MEEGAN JANET A APRN YORK HOSPITAL N BERWICK ME 03906 (207) 676-1280 FAMILY NURSE PRACTITIONERS 770YP25050 MEEK JESSEE L DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY MEDICINE 770YP28419 MEESARAPU DEBORAH N MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 770YP03698 MEHALIK GEORGETTE M APRN DARTMOUTH HITCHCOCK CLINIC PLYMOUTH NH 03264 (603) 536-3700 PEDIATRIC NURSE PRACTITIONERS 77005041YP MEIERDIERCKS FRANK J MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 INTERNAL MEDICINE 77008326YP MELAMED YAIR D MD MY PHYSICIAN PC NASHUA NH 03063 (603) 577-9090 INTERNAL MEDICINE 770YP14959 MELENDY ELIZABETH K MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 257-4000 PEDIATRICS 770YP00464 MELIN JUDITH A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77007269YP MENARD CLAIRE D APRN PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY NURSE PRACTITIONERS 770YP07541 MERCURO ELISA J DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP07541 MERCURO ELISA J DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP07541 MERCURO ELISA J DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP28401 MERKEL MARY DO DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03060 (603) 577-4000 FAMILY MEDICINE 770YP10768 MERKREBS ALICE V MD NEWBURYPORT PEDIATRICS INC NEWBURYPORT MA 01950 (978) 462-7108 PEDIATRICS 770YP22960 MERMER LOUISE B APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRIC NURSE PRACTITIONERS 770YP28226 MERRILL HEATHER M APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRIC NURSE PRACTITIONERS 770YP18487 METSCH LAURA S MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 INTERNAL MEDICINE 770YP23644 MEY SOKHARITH MD STEWARD MEDICAL GROUP INC ANDOVER MA 01810 (978) 269-0017 FAMILY MEDICINE 770YP23644 MEY SOKHARITH MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (800) 488-5959 FAMILY MEDICINE 770YP23644 MEY SOKHARITH MD STEWARD MEDICAL GROUP INC HAVERHILL MA 01830 (978) 478-5058 FAMILY MEDICINE 770YP03614 MEYER HERB T DO HERB T MEYER DO DANVILLE NH 03819 (603) 303-0646 FAMILY MEDICINE 770YP00467 MEYER LAURA P MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77004900YP MICHAUD JANICE J APRN CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 PEDIATRIC NURSE PRACTITIONERS 770YP19937 MICHAUD STEPHEN J MD CATHOLIC MEDICAL CENTER GOFFSTOWN NH 03045 (603) 314-4500 FAMILY MEDICINE 770YP22821 MIGLIORI KRISTIN E APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRIC NURSE PRACTITIONERS 77001777YP MIGOTSKY FAY J MD MONADNOCK COMMUNITY HOSPITAL RINDGE NH 03461 (603) 899-9563 FAMILY MEDICINE 77009642YP MILCHEV VALENTIN I MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 INTERNAL MEDICINE 770YP23717 MILLER ASHLEY A MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5363 PEDIATRICS 770YP23717 MILLER ASHLEY A MD NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 PEDIATRICS 770YP20737 MILLER JOSEPH J APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRIC NURSE PRACTITIONERS 770YP20585 MILLER RASA K MD DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2572 FAMILY MEDICINE 77007452YP MILLIGAN III FRANCIS MD CONCORD HOSPITAL INC HOPKINTON NH 03229 (603) 228-7575 FAMILY MEDICINE 77003194YP MILLS CARA L MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6030 PEDIATRICS Page 26 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP15336 MIN PATRICIA L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 77007787YP MINTZ HOLLY P MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-5860 PEDIATRICS 770YP00471 MIRBACH BRUCE E MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77006879YP MISHCON MERRIT J MD TILTON MEDICAL ASSOCIATES PLLC TILTON NH 03276 (603) 286-8907 FAMILY MEDICINE 770YP05046 MISIASZEK JUDY A APRN NEW CREATION HEALING CENTER INC KINGSTON NH 03848 (603) 642-6700 FAMILY NURSE PRACTITIONERS 77003592YP MISIEWICZ JOSEPH A MD JOSEPH MISIEWICZ FAMILY PRACTICE MEREDITH NH 03253 (603) 279-2267 FAMILY MEDICINE 770YP12769 MITCHELL JUDITH A APRN CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRIC NURSE PRACTITIONERS 770YP24951 MITSCHELE MATTHEW W MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-2263 FAMILY MEDICINE 770YP25670 MITSOPOULOS SPIROS MD SPIROS MITSOPOULOS MD PLLC MANCHESTER NH 03103 (603) 663-8230 INTERNAL MEDICINE 770YP15289 MOHER HEATHER E DO YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP13627 MOLLOY ANNE E APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 FAMILY NURSE PRACTITIONERS 770YP04610 MONAHAN LILA H MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 891-0083 PEDIATRICS 770YP04736 MOORE DEBORAH I APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 INTERNAL MEDICINE NURSE PRACTITIONER 770YP26698 MOOREHEAD MARTHA J APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY NURSE PRACTITIONERS 770YP26698 MOOREHEAD MARTHA J APRN LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 FAMILY NURSE PRACTITIONERS 770YP03684 MORAN DANIEL S APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE NURSE PRACTITIONER 770YP05246 MORAN PETER C MD INDIAN STREAM HEALTH CENTER INC COLEBROOK NH 03576 (603) 237-8336 FAMILY MEDICINE 770YP12040 MORAN TERENCE E MD MERRIMACK VALLEY CHILD & ADOLESCENT HLTH LLC HAVERHILL MA 01830 (978) 521-8108 PEDIATRICS 770YP10241 MORDEN NANCY E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP20484 MORGAN KAREN L DO DERRY PEDIATRICS PRACTICE PA DERRY NH 03038 (603) 434-0327 PEDIATRICS 77001816YP MORRIS DEAN C MD CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 FAMILY MEDICINE 770YP05189 MORRISSETTE LISA E APRN RONALD H WITKIN MD LACONIA NH 03246 (603) 524-9201 FAMILY NURSE PRACTITIONERS 770YP02562 MORRISSEY GREGORY J DO APPLEDORE MEDICAL GROUP INC HAMPTON NH 03842 (603) 929-2137 INTERNAL MEDICINE 770YP14151 MORROW CATHLEEN E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 770YP21050 MORSE JACQUELINE M MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP20321 MOSHEY ANGELA MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4000 FAMILY MEDICINE 770YP26903 MOULTON AMANDA B APRN ELLIOT PHYSICIANS NETWORK AMHERST NH 03031 (603) 249-3000 FAMILY NURSE PRACTITIONERS 770YP15185 MOZUMDER MOUSHUMI MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 FAMILY MEDICINE 77005023YP MUELLO WENDY G MD WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-2521 INTERNAL MEDICINE 77003355YP MUIR J GAVIN MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY MEDICINE 770YP23468 MULLAH FARAH DO STEWARD MEDICAL GROUP INC HAVERHILL MA 01830 (978) 521-8377 FAMILY MEDICINE 770YP23468 MULLAH FARAH DO STEWARD MEDICAL GROUP INC METHUEN MA 01844 (800) 488-5959 FAMILY MEDICINE 770YP03211 MULLANEY STEVEN MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 FAMILY MEDICINE 770YP24978 MULLEN LAURA R APRN CROSSROADS FAMILY MEDICINE PLLC CONCORD NH 03301 (603) 856-8828 FAMILY NURSE PRACTITIONERS 770YP28911 MULLINS ANN F APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-6900 FAMILY NURSE PRACTITIONERS 770YP28911 MULLINS ANN F APRN VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 FAMILY NURSE PRACTITIONERS 770YP12183 MUNROE CHRISTINE DO YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 INTERNAL MEDICINE 770YP12152 MURAI SARAH E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP12152 MURAI SARAH E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP12152 MURAI SARAH E MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 77003985YP MURAKAMI NOBORU MD LRGHEALTHCARE LACONIA NH 03246 (603) 934-5500 GENERAL PRACTICE 77003985YP MURAKAMI NOBORU MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-5500 GENERAL PRACTICE 770YP28421 MURALI PUSHKALA MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE 770YP27560 MURCIN SCOTT J MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 435-7171 PEDIATRICS 770YP05433 MURPHY MARY E APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2600 FAMILY NURSE PRACTITIONERS 77003061YP MURPHY III MICHAEL J MD MICHAEL J MURPHY III MD MANCHESTER NH 03102 (603) 624-6978 INTERNAL MEDICINE 770YP21362 MURRAY KYLE R MD FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 FAMILY MEDICINE 77003106YP MURRAY SUSAN A MD APPLEDORE MEDICAL GROUP INC NEWINGTON NH 03801 (603) 430-0060 FAMILY MEDICINE 77003106YP MURRAY SUSAN A MD APPLEDORE MEDICAL GROUP INC DURHAM NH 03824 (603) 430-0060 FAMILY MEDICINE Page 27 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP14007 MUSHTAQ SAFANA MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 FAMILY MEDICINE 770YP26693 MYERS LORI L APRN SUSAN KROLEWSKI MD PLLC PORTSMOUTH NH 03801 (603) 433-4774 FAMILY NURSE PRACTITIONERS 77005807YP MYERS MARK D MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-5860 PEDIATRICS 770YP02977 NABI-TREMBLAY SUZANNE F MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 77007423YP NACKMAN LOUIS J MD ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 685-0150 PEDIATRICS 770YP17728 NADIR CHERESSE L APRN ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 894-0063 FAMILY NURSE PRACTITIONERS 770YP13863 NAGARAJ VASUKI MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP24956 NAHAR SHAMSUN MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 77009204YP NAIVA DENISE L APRN LRGHEALTHCARE BELMONT NH 03220 (603) 267-7017 FAMILY NURSE PRACTITIONERS 770YP00477 NAPOLITANA GUY T MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP03762 NASEER-GHIASUDDIN SAIRA MD SEACOAST AFFILIATED GROUP PRACTICE NEWBURYPORT MA 01950 (978) 465-7719 INTERNAL MEDICINE 770YP17705 NASRIN MUBINA MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY MEDICINE 770YP28422 NATH ARURU R MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 FAMILY MEDICINE 770YP23767 NATHANSON DAWN M NP STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 PEDIATRIC NURSE PRACTITIONERS 770YP04691 NAVARRA GUIDO A MD SEACOAST MEDICAL ASSOC NEWBURYPORT MA 01950 (978) 462-1555 INTERNAL MEDICINE 770YP26677 NAZARIAN ROCHELLE APRN CO MED PRO N ANDOVER MA 01845 (978) 685-4925 INTERNAL MEDICINE NURSE PRACTITIONER 770YP20575 NEEL KERRI I NP YORK HOSPITAL YORK ME 03909 (207) 363-8430 FAMILY NURSE PRACTITIONERS 77004631YP NEILLEY GREGORY S MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4671 INTERNAL MEDICINE 77006477YP NELKEN ROBERT P MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 770YP03956 NELSON DAVID L DO AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY MEDICINE 770YP21048 NELSON MELISSA M APRN NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 FAMILY NURSE PRACTITIONERS 77009650YP NELSON RICHARD S MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP22385 NETH JENNA E APRN ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY NURSE PRACTITIONERS 770YP23647 NEUPANEY ANJANA MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 PEDIATRICS 770YP29031 NEVES HOLLY A APRN CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 FAMILY NURSE PRACTITIONERS 770YP27964 NEWTON ELIZABETH J APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY NURSE PRACTITIONERS 770YP14006 NGUYEN PATRICK P DO FOUNDATION MEDICAL PARTNERS INC MERRIMACK NH 03054 (603) 429-3155 FAMILY MEDICINE 770YP02055 NGUYEN PHAT C DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 77005490YP NIEGISCH CAROL MD CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY MEDICINE 77005528YP NIEGISCH ROBERT W MD CONCORD HOSPITAL INC PEMBROKE NH 03275 (603) 485-8441 FAMILY MEDICINE 77008991YP NIEMELA LARA K MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 770YP03375 NIGBOROWICZ THADDEUS J MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP14683 NILSON ELIZABETH G MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP26212 NIMS-LARGY JUSTINE T APRN WRIGHT & ASSOC FAM HLTHCARE AT CONCORD PLLC CONCORD NH 03301 (603) 369-4530 FAMILY NURSE PRACTITIONERS 77002598YP NITZBERG MARK C MD MARK C NITZBERG PC METHUEN MA 01844 (978) 681-1977 INTERNAL MEDICINE 770YP13921 NOBLE ALEXANDRIA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY NURSE PRACTITIONERS 770YP13921 NOBLE ALEXANDRIA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WARREN NH 03279 (603) 764-5704 FAMILY NURSE PRACTITIONERS 770YP13921 NOBLE ALEXANDRIA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WHITEFIELD NH 03598 (603) 837-2333 FAMILY NURSE PRACTITIONERS 770YP13921 NOBLE ALEXANDRIA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY NURSE PRACTITIONERS 770YP13921 NOBLE ALEXANDRIA L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC FRANCONIA NH 03580 (603) 823-7078 FAMILY NURSE PRACTITIONERS 77003948YP NOLAN COLLEEN A APRN LRGHEALTHCARE MEREDITH NH 03253 (603) 279-7433 FAMILY NURSE PRACTITIONERS 770YP08253 NOONAN-TIMMERMAN JULIANNE APRN MERRIMACK VILLAGE FAMILY PRACTICE CTR MERRIMACK NH 03054 (603) 424-8120 FAMILY NURSE PRACTITIONERS 77004640YP NORTHCUTT ALBERT C MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77004640YP NORTHCUTT ALBERT C MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77004640YP NORTHCUTT ALBERT C MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP23722 NOSSIFF JOSEPH E MD PMC MEDICAL GROUP LLC NEWINGTON NH 03801 (603) 436-9100 FAMILY MEDICINE 770YP15629 NOWRIN SAZIA MD ST JOSEPH HOSPITAL HUDSON NH 03051 (603) 882-6700 FAMILY MEDICINE 770YP23879 NUGENT DIANE M DO WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY MEDICINE 770YP05350 OBERTI III FRANK A DO FRANK A OBERTI III DO BRADFORD MA 01835 (978) 374-1700 FAMILY MEDICINE Page 28 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP03540 O'BRIEN MAUREEN M MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP27127 O'BRIEN MICHAEL E DO NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 77007919YP O'BRIEN JR RICHARD J MD LRGHEALTHCARE BELMONT NH 03220 (603) 267-7017 FAMILY MEDICINE 770YP04709 OCONNOR ALISON J APRN LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 275-2325 FAMILY NURSE PRACTITIONERS 770YP04785 O'DONNELL CAITLIN C MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WARREN NH 03279 (603) 764-5704 FAMILY MEDICINE 770YP23034 O'DONNELL CATHY APRN ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY NURSE PRACTITIONERS 770YP28988 O'DONNELL DANIEL E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 FAMILY MEDICINE 770YP05377 OETTINGER JANA T MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 INTERNAL MEDICINE 770YP24976 O'HARA TRACY A MD YORK HOSPITAL YORK ME 03909 (207) 351-3530 INTERNAL MEDICINE 77004582YP OIDTMANN ERNST M MD FAMILY HEALTH CENTER LEBANON NH 03766 (603) 448-1941 FAMILY MEDICINE 770YP16620 OLDEN ABIGAIL L APRN LRGHEALTHCARE MEREDITH NH 03253 (603) 279-7433 FAMILY NURSE PRACTITIONERS 770YP08320 OLIVE STEVEN T MD FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 FAMILY MEDICINE 770YP08320 OLIVE STEVEN T MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP28424 OLIVEIRA THERESA M MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP27321 OLIVERI BRIDGET M MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 77006918YP OLKEN DAVID C DO FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-8981 INTERNAL MEDICINE 77006918YP OLKEN DAVID C DO FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 INTERNAL MEDICINE 770YP22435 OLSEN BRIDGET L MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 891-0083 PEDIATRICS 770YP28975 OLSEN SUSAN H MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDON VT 05849 (802) 748-9501 INTERNAL MEDICINE 77002599YP OLSON ARDIS L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6041 PEDIATRICS 770YP07929 OLSON ELIZABETH H MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2750 PEDIATRICS 770YP27655 OLSSON JEREMY D APRN DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 FAMILY NURSE PRACTITIONERS 770YP23141 ONALEYE KOFOWOROLA M MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP23141 ONALEYE KOFOWOROLA M MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP18557 ONG MARICHI O MD ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 629-1793 FAMILY MEDICINE 770YP00488 OOI WINNIE W MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77007478YP OREILLY JAMES M MD SJ PHYSICIAN SERVICES NASHUA NH 03060 (603) 889-6671 PEDIATRICS 77007478YP OREILLY JAMES M MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3870 PEDIATRICS 770YP21086 ORENT-NATHAN JACQUELYN R APRN DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY NURSE PRACTITIONERS 770YP21086 ORENT-NATHAN JACQUELYN R APRN DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY NURSE PRACTITIONERS 770YP00489 ORFANOS GERRY MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP14135 ORZANO A JOHN MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP24792 OSENTON JESSICA APRN HARBOR HOMES INC NASHUA NH 03060 (603) 882-3616 FAMILY NURSE PRACTITIONERS 770YP05493 OSTROSKI MARIKA H MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP07526 OTERI-AHMADPOUR CONCETTA R DO WHOLISTIC FAMILY WELLNESS CENTER PLLC AMHERST NH 03031 (603) 673-1181 FAMILY MEDICINE 770YP22147 OUTWATER KRISTAN MD PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 PEDIATRICS 770YP26846 OUYANG XIAOXI MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 770YP25639 OWEN REBECCA C DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 770YP12966 OWENS CHRISTINA M NP BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-2311 ADULT NURSE PRACTITIONERS 77000082YP OXNARD SARAH C MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 PEDIATRICS 77000082YP OXNARD SARAH C MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 PEDIATRICS 770YP02641 PAASCHE DENISE E MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 254-1311 FAMILY MEDICINE 770YP21961 PACE MARK V DO PARKLAND PHYSICIAN SERVICES INC SALEM NH 03079 (603) 894-0500 FAMILY MEDICINE 770YP13258 PACIULAN PAULINE B APRN FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 ADULT NURSE PRACTITIONERS 770YP20768 PACKARD JENNIFER MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 INTERNAL MEDICINE 77007327YP PAGE JENNIFER A MD SJ PHYSICIAN SERVICES MILFORD NH 03055 (603) 673-3870 PEDIATRICS 77007327YP PAGE JENNIFER A MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 889-6671 PEDIATRICS 77008354YP PAICOPOLIS MARY-CLAIRE S MD LACONIA CARDIOLOGY GILFORD NH 03249 (603) 528-8555 INTERNAL MEDICINE 770YP02328 PAJELA REX C MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-6355 PEDIATRICS Page 29 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP17175 PALMER KAREN L DO APPLEDORE MEDICAL GROUP INC NEWINGTON NH 03801 (603) 430-0060 FAMILY MEDICINE 770YP17175 PALMER KAREN L DO APPLEDORE MEDICAL GROUP INC DURHAM NH 03824 (603) 430-0060 FAMILY MEDICINE 770YP19010 PALUMBO ANDREA MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-5860 PEDIATRICS 770YP16487 PANDEY RAJESH MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 PEDIATRICS 770YP12073 PANESAR MAHENDRA S MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 PEDIATRICS 770YP02390 PANGAN MICHAEL A MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP02551 PANGAN PATRICIA MD CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 INTERNAL MEDICINE 770YP04696 PAPANICOLAOU GEORGE J DO CORNERSTONE FAMILY PRACTICE PC ROWLEY MA 01969 (978) 948-3902 FAMILY MEDICINE 770YP16767 PARE DONNA K APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7222 FAMILY NURSE PRACTITIONERS 770YP22870 PARE KATIE B DO DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 770YP07223 PARK DAVID J MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP19110 PARKER-MELLO KELLY G MD YORK HOSPITAL WELLS ME 04090 (207) 641-6555 PEDIATRICS 770YP19110 PARKER-MELLO KELLY G MD YORK HOSPITAL YORK ME 03909 (207) 351-1710 PEDIATRICS 770YP25253 PASCU DIANA MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP11092 PASHA MUHAMMAD S MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 FAMILY MEDICINE 770YP21613 PASKOWSKI VIVIAN F APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03063 (603) 577-5780 ADULT NURSE PRACTITIONERS 770YP10307 PASTEL LISA C MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP05314 PATEL HARENDRABABU N MD HARENDRABABU N PATEL MD SANFORD ME 04073 (207) 324-7126 INTERNAL MEDICINE 770YP14957 PATEL KALPESH MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE 770YP28191 PATEL NEHA MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP20468 PATEL SUNIT H MD LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-7070 PEDIATRICS 770YP07814 PATIL SAVITA S MD LAHEY CLINIC INC N BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 77002934YP PATNO KARYN M MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-8141 PEDIATRICS 77008206YP PATTAVINA MARIA APRN ADVANCED FOOT AND ANKLE SPECIALISTS PC KEENE NH 03431 (603) 352-2944 FAMILY NURSE PRACTITIONERS 77000568YP PATTISON DAVID G MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-2428 INTERNAL MEDICINE 77007187YP PAUL STEVEN D MD STEVEN D PAUL PA PORTSMOUTH NH 03801 (603) 436-9241 INTERNAL MEDICINE 770YP22795 PAUL SUSAN D MD BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-2311 INTERNAL MEDICINE 770YP10207 PAYTON JESSICA MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRICS 770YP21284 PEARSON KATHLEEN E DO LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-0116 FAMILY MEDICINE 77002142YP PEARSON MARY G DO NEW CREATION HEALING CENTER INC KINGSTON NH 03848 (603) 642-6700 FAMILY MEDICINE 770YP18788 PELLETIER CAROL A APRN CAROL A PELLETIER, APRN, DNP NASHUA NH 03062 (603) 577-1613 FAMILY NURSE PRACTITIONERS 770YP05070 PELLETIER JOSEPH C MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 PEDIATRICS 77006199YP PELLETIER MARJORIE A APRN PMC MEDICAL GROUP LLC SOMERSWORTH NH 03878 (603) 692-4018 FAMILY NURSE PRACTITIONERS 770YP12391 PEREZ ALFREDO J MD CATHOLIC MEDICAL CENTER HOOKSETT NH 03106 (603) 663-1990 INTERNAL MEDICINE 770YP15027 PERNYESZI GABOR MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 FAMILY MEDICINE 770YP15027 PERNYESZI GABOR MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 FAMILY MEDICINE 77007429YP PETERSON CHRISTOPHER J MD LONDONDERRY PEDIATRICS PA LONDONDERRY NH 03053 (603) 437-1003 PEDIATRICS 770YP22942 PETERSON JAMES M MD FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY MEDICINE 77003770YP PETRIE RICHARD A MD RICHARD A PETRIE MD DOVER NH 03820 (603) 742-3243 INTERNAL MEDICINE 770YP17804 PETRON ALEXANDER W DO ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8300 PEDIATRICS 77007753YP PETTERSON JEAN M DO LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 PEDIATRICS 77005592YP PETTINARI NANCY MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7222 INTERNAL MEDICINE 770YP22329 PHANEUF CHARLOTTE APRN DR SULS FAMILY & SPORTS MEDICINE BEDFORD NH 03110 (603) 622-2112 FAMILY NURSE PRACTITIONERS 770YP24107 PHILIP SARAH K APRN FOUNDATION MEDICAL PARTNERS INC AMHERST NH 03031 (603) 673-5885 FAMILY NURSE PRACTITIONERS 770YP03904 PHO KEVIN Y MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4400 INTERNAL MEDICINE 770YP28856 PIERCE STEPHANIE L APRN HEALTH FIRST FAMILY CARE CENTER LACONIA NH 03246 (603) 366-1070 FAMILY NURSE PRACTITIONERS 770YP24576 PIETTE PEGGY W APRN COTTAGE HOSPITAL WOODSVILLE NH 03785 (603) 747-9297 ADULT NURSE PRACTITIONERS 770YP22951 PIKUS ANTHONY A MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 INTERNAL MEDICINE 770YP05162 PILZ MICHAEL A MD RIVERSIDE PEDIATRICS NEWBURYPORT MA 01950 (978) 465-0322 PEDIATRICS Page 30 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP07872 PINARD JENNIFER A APRN HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7588 FAMILY NURSE PRACTITIONERS 77004327YP PINKERTON CHARLES C MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 INTERNAL MEDICINE 77005862YP PINTO POWELL ROSHINI C MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 77009985YP PIPAS CATHERINE F MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 77000216YP PITTS LESLIE T MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP08498 PIVOR MITCHELL N MD LILAC CITY PEDIATRICS PA ROCHESTER NH 03867 (603) 335-4522 PEDIATRICS 770YP07507 PLOTNIK LISA M MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP18372 PLOURDE RENEE A DO DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 770YP25264 POFCHER ERIC R MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 275-3674 INTERNAL MEDICINE 77007230YP POLLAK ERIC F MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP15483 PORADOWSKI YOLANDA D MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 INTERNAL MEDICINE 770YP11340 POREMBA HELEN G MD RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRICS 770YP10233 PORET TODD M MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 653-9662 PEDIATRICS 77000157YP PORTER SUSAN D MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP23796 PORTER WILLIAM H MD LITTLE RIVERS HEALTH CARE INC E CORINTH VT 05040 (802) 439-5321 FAMILY MEDICINE 770YP23796 PORTER WILLIAM H MD LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 FAMILY MEDICINE 770YP23796 PORTER WILLIAM H MD LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05081 (802) 757-2325 FAMILY MEDICINE 77000338YP POTTER JAMES D MD MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY MEDICINE 770YP05378 POULIOS CASEY M APRN ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4400 FAMILY NURSE PRACTITIONERS 770YP18327 POWELL KENTON E MD DARTMOUTH HITCHCOCK CLINIC LYME NH 03768 (603) 650-1070 INTERNAL MEDICINE 77008932YP PRASAD ANIL K MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 595-0063 INTERNAL MEDICINE 77004616YP PRATT PATRICIA M MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY MEDICINE 770YP29042 PRAZAR GREGORY E MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03102 (603) 626-9500 PEDIATRICS 770YP23111 PRESCOTT JEANNE R APRN LRGHEALTHCARE MEREDITH NH 03253 (603) 279-7433 FAMILY NURSE PRACTITIONERS 77008539YP PRICE MARK J MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC SAINT JOHNSBURY VT 05819 (802) 748-5131 PEDIATRICS 77000397YP PRIMEAU ROBERT E MD NORTHERN COUNTIES HEALTH CARE INC ISLAND POND VT 05846 (802) 723-4300 FAMILY MEDICINE 770YP23225 PRISCH STEPHANIE B MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE 770YP10535 PRITCHARD ELIZABETH B MD ANDOVER PEDIATRICS PC ANDOVER MA 01810 (978) 475-4522 PEDIATRICS 770YP23612 PROFETTO LISA A APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY NURSE PRACTITIONERS 77004954YP PROULX BONNIE APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRIC NURSE PRACTITIONERS 770YP21484 PRUETTE DAVID F MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRICS 770YP12651 PRZYDZIELSKI ALICIA M APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 FAMILY NURSE PRACTITIONERS 770YP27724 PUCKHABER DEBORAH J MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE 77004098YP PULASKI MARY E MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8350 PEDIATRICS 77005503YP PULLIN DEBORAH A APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRIC NURSE PRACTITIONERS 770YP16442 PURIMETLA VENKATA M MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 INTERNAL MEDICINE 770YP25739 PUROHIT SAROJ N MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 687-0151 PEDIATRICS 770YP23574 QUINTERO NANCY DO WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE 770YP23574 QUINTERO NANCY DO WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 INTERNAL MEDICINE 77008095YP QUIRBACH ROBERT C MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3014 FAMILY MEDICINE 77001190YP RAHMAN SAYEEDA MD PARTNERS COMMUNITY PHYS ORGANIZATION INC ANDOVER MA 01810 (978) 783-5000 INTERNAL MEDICINE 770YP25004 RAJANNA PREETHI MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP28402 RAJANNA SUMATHI MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4440 FAMILY MEDICINE 770YP13328 RAJCHEL LINDA M APRN HEALTHY LIVING FAMILY PRACTICE PA RAYMOND NH 03077 (603) 895-1658 FAMILY NURSE PRACTITIONERS 770YP28616 RAMANATHAN SHEILA D DO DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP28779 RAMENENI ANURADHA MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8800 INTERNAL MEDICINE 77004445YP RAMEY LISA S MD MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY MEDICINE 770YP27176 RANCIER-PEREZ MOSHE A MD PENTUCKET MEDICAL ASSOCIATES LLC LAWRENCE MA 01843 (978) 557-8700 INTERNAL MEDICINE 770YP05534 RANDALL CHARLES S MD PARTNERS COMMUNITY PHYS ORGANIZATION INC NEWBURYPORT MA 01950 (978) 499-7200 INTERNAL MEDICINE Page 31 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP20783 RANSDELL MYTHILI R MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 INTERNAL MEDICINE 770YP07131 RAO DURGA E MD NORTHEAST NEPHROLOGY AND INTERNAL MEDICINE METHUEN MA 01844 (978) 689-2500 INTERNAL MEDICINE 770YP25652 RAY CHAYA D MD LAHEY CLINIC INC MERRIMAC MA 01860 (978) 346-9733 FAMILY MEDICINE 770YP10033 RAY JEFFREY S DO SACOPEE VALLEY HEALTH CENTER PORTER ME 04068 (207) 625-8126 FAMILY MEDICINE 770YP02406 REALL DAVID H MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY MEDICINE 770YP02406 REALL DAVID H MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP08600 REAPE DONALD E MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 77006732YP REDDI VANI S MD ESSEX MEDICAL ASSOCIATES PLLC NORTH ANDOVER MA 01845 (978) 725-3636 INTERNAL MEDICINE 770YP25154 REDFIELD NANCY J APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 FAMILY NURSE PRACTITIONERS 770YP16968 REED LAURA B APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE NURSE PRACTITIONER 77007981YP REED LINDA H APRN CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY NURSE PRACTITIONERS 770YP05456 REEDER MARK L MD CORE PHYSICIANS LLC KINGSTON NH 03848 (603) 642-3910 FAMILY MEDICINE 770YP05456 REEDER MARK L MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 772-8900 FAMILY MEDICINE 770YP05456 REEDER MARK L MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 382-4972 FAMILY MEDICINE 770YP25079 REES PETER L MD STEWARD MEDICAL GROUP INC HAVERHILL MA 01830 (978) 521-8377 FAMILY MEDICINE 770YP08440 REEVES REBEKAH L MD LITTLETON INTERNAL MEDICINE PC LITTLETON NH 03561 (603) 444-2002 INTERNAL MEDICINE 770YP28862 REGAN STEPHEN J MD WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-4911 INTERNAL MEDICINE 770YP00415 REHM JENNIFER A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 77004165YP REID KATHLEEN K APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7338 FAMILY NURSE PRACTITIONERS 770YP17820 REID SUZANNE APRN SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 FAMILY NURSE PRACTITIONERS 77004385YP REILLY BRIAN J MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP02346 REIMER ALEXIS B MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8300 PEDIATRICS 770YP23327 REINHOLD LARS E MD LAHEY CLINIC INC PEABODY MA 01960 (978) 977-6336 INTERNAL MEDICINE 770YP20865 REISERT JEFFREY T DO LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-7070 INTERNAL MEDICINE 770YP12229 REMBISZ NICOLE S APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY NURSE PRACTITIONERS 770YP11255 REMILLONG ELIZABETH L MD MARTIN'S POINT HEALTH CARE PORTSMOUTH NH 03801 (603) 431-5154 FAMILY MEDICINE 770YP20451 REN YUEER APRN LAFAYETTE FAMILY CARE PLLC PORTSMOUTH NH 03801 (603) 433-3636 FAMILY NURSE PRACTITIONERS 770YP08817 RENNER TUESDAY M MD FRISBIE MEMORIAL HOSPITAL SOMERSWORTH NH 03878 (603) 692-3115 FAMILY MEDICINE 770YP08817 RENNER TUESDAY M MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP13746 REYNOLDS JESSIE MD LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 FAMILY MEDICINE 770YP02070 RHYNE STACEY L APRN WENTWORTH DOUGLASS PHYSICIAN CORP SOMERSWORTH NH 03878 (603) 692-6676 FAMILY NURSE PRACTITIONERS 770YP15631 RIBNER CAROL S MD CAROL S RIBNER MD JEFFERSON NH 03583 (603) 586-4482 FAMILY MEDICINE 770YP11618 RICCARDI CHRISTINE D MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP11618 RICCARDI CHRISTINE D MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP07154 RICCIO CHRISTOPHER MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6337 INTERNAL MEDICINE 770YP19962 RICH DAVID L MD DOVER PEDIATRICS PLLC DOVER NH 03820 (603) 742-4048 PEDIATRICS 77009600YP RICHARD MARK B MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 77009600YP RICHARD MARK B MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP12099 RICHARDS ELIZABETH M MD PRIMARY CARE HEALTH PARTNERS - VERMONT LLP BRATTLEBORO VT 05301 (802) 258-3905 PEDIATRICS 770YP00949 RICHARDS JENNIFER A APRN ST JOSEPH HOSPITAL NASHUA NH 03061 (603) 595-3722 FAMILY NURSE PRACTITIONERS 770YP16659 RICHARDSON RORY D MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP11808 RICHER LORI D MD RICHER WELLNESS MD PLLC NEW LONDON NH 03257 (603) 877-0325 FAMILY MEDICINE 770YP27353 RICHTER DEBORAH A MD GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY MEDICINE 77000561YP RIEDEL JOHN S MD JOHN S RIEDEL MD EXETER NH 03833 (603) 772-2600 INTERNAL MEDICINE 77004076YP RIFORGIATO MARGARET MARY APRN WHITE MOUNTAIN COMMUNITY HEALTH CENTER CONWAY NH 03818 (603) 447-8900 INTERNAL MEDICINE NURSE PRACTITIONER 77000345YP RISS DAVID C MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP25435 RISTIC VIOLETA K MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 77007272YP RIZKALLA-HANNA MAGUED Y MD MAGUED Y RIZKALLA-HANNA MD PORTSMOUTH NH 03801 (603) 436-5533 INTERNAL MEDICINE 770YP23832 RIZOS DEMETRIUS P DO SALEM NH PHYSICIANS NETWORK PC METHUEN MA 01844 (978) 685-5627 INTERNAL MEDICINE Page 32 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP16671 ROAN EMILY G MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP26835 ROBERTS ALEXANDRA APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 FAMILY NURSE PRACTITIONERS 770YP18645 ROBERTS BLAIR C MD LAHEY CLINIC INC AMESBURY MA 01913 (978) 388-5050 FAMILY MEDICINE 770YP18645 ROBERTS BLAIR C MD LAHEY CLINIC INC BURLINGTON MA 01805 (855) 934-4488 FAMILY MEDICINE 770YP18645 ROBERTS BLAIR C MD LAHEY CLINIC INC PEABODY MA 01960 (855) 934-4488 FAMILY MEDICINE 77004798YP ROBEY CAROL W MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 880-1440 PEDIATRICS 77009370YP ROBINSON ELAINE L APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 FAMILY NURSE PRACTITIONERS 77002569YP ROBINSON ELISABETH S APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 770YP22867 ROBINSON ELIZABETH S DO YORK HOSPITAL YORK BEACH ME 03910 (207) 363-8430 FAMILY MEDICINE 770YP14219 RODRIGUEZ MARIA L MD WENTWORTH DOUGLASS PHYSICIAN CORP LEE NH 03861 (603) 868-3300 FAMILY MEDICINE 770YP04006 ROEMMELT MARNEY D MD SAGE INTEGRATIVE MEDICINE STRATHAM NH 03885 (603) 583-4780 FAMILY MEDICINE 770YP23480 ROGERS ALAN C DO VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 FAMILY MEDICINE 77001067YP ROMANOWSKY MICHAEL P MD MICHAEL P ROMANOWSKY MD HAMPSTEAD NH 03841 (603) 329-4040 FAMILY MEDICINE 77001067YP ROMANOWSKY MICHAEL P MD MICHAEL P ROMANOWSKY MD SALEM NH 03079 (603) 893-4119 FAMILY MEDICINE 77004482YP ROMBOLI JOAN APRN LANDMARK FAMILY HEALTHCARE LONDONDERRY NH 03053 (603) 425-6494 FAMILY NURSE PRACTITIONERS 770YP15770 ROMBOLI-HILL JOANNE APRN LANDMARK FAMILY HEALTHCARE LONDONDERRY NH 03053 (603) 425-6494 FAMILY NURSE PRACTITIONERS 770YP05275 ROOKS SUSAN L APRN FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 335-2401 FAMILY NURSE PRACTITIONERS 770YP05275 ROOKS SUSAN L APRN FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY NURSE PRACTITIONERS 77005020YP ROONEY VALERIE A MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8626 PEDIATRICS 77006216YP ROOT HEIDI MD SACO RIVER MEDICAL GROUP PC CONWAY NH 03818 (603) 447-2555 INTERNAL MEDICINE 77004902YP RORK DENNIS G MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77004902YP RORK DENNIS G MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77004902YP RORK DENNIS G MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP04089 ROSE JR DONALD R MD HUGGINS HOSPITAL ALTON NH 03809 (603) 875-6151 FAMILY MEDICINE 77007526YP ROSEN ALAN E MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 FAMILY MEDICINE 770YP02564 ROSEN ANDREW R MD ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 INTERNAL MEDICINE 770YP28296 ROSEN BERNARD A MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-1251 FAMILY MEDICINE 770YP02759 ROSENBAUM DANIEL J MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 626-4392 FAMILY MEDICINE 770YP24968 ROSENBERG BRIAN G MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-7000 INTERNAL MEDICINE 770YP05489 ROSENBLOOM CARL F MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 PEDIATRICS 77004802YP ROSENFELD MICHAEL MD SJ PHYSICIAN SERVICES NASHUA NH 03060 (603) 889-6671 PEDIATRICS 77004802YP ROSENFELD MICHAEL MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3870 PEDIATRICS 77008972YP ROSENWASSER CHRISTINE K MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 77005215YP ROSSIGNOL MONIQUE D APRN LIFE LONG CARE OF NEW LONDON PLLC NEW LONDON NH 03257 (603) 526-4144 FAMILY NURSE PRACTITIONERS 770YP14994 ROTH CATHERINE M DO WE CARE PEDIATRICS INC SALEM NH 03079 (603) 893-1521 PEDIATRICS 770YP00508 ROTHCHILD JOSEPH MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77000099YP ROTNER KENNETH A MD APPLEDORE MEDICAL GROUP INC NEWINGTON NH 03801 (603) 430-0060 FAMILY MEDICINE 77000099YP ROTNER KENNETH A MD APPLEDORE MEDICAL GROUP INC DURHAM NH 03824 (603) 430-0060 FAMILY MEDICINE 770YP04163 ROY JACKIE M APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY NURSE PRACTITIONERS 770YP04163 ROY JACKIE M APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-1166 FAMILY NURSE PRACTITIONERS 770YP12962 ROY III HENRY MD BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-2311 INTERNAL MEDICINE 770YP12039 ROY-BORNSTEIN CAROLYN MD MERRIMACK VALLEY CHILD & ADOLESCENT HLTH LLC HAVERHILL MA 01830 (978) 521-8108 PEDIATRICS 770YP12967 ROYER GENE M DO BRIDGTON HOSPITAL FRYEBURG ME 04037 (207) 935-3383 FAMILY MEDICINE 77006298YP RUBIN GERALDINE MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRICS 770YP22416 RUBIN GERARD L DO FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRICS 770YP21605 RUDD II KENNETH W MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 FAMILY MEDICINE 77003715YP RUSH LAWRENCE MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 INTERNAL MEDICINE 77001541YP RUSSELL ERICA M CNM LRGHEALTHCARE GILFORD NH 03249 (603) 527-2955 FAMILY NURSE PRACTITIONERS 77001541YP RUSSELL ERICA M CNM LRGHEALTHCARE LACONIA NH 03246 (603) 527-2847 FAMILY NURSE PRACTITIONERS Page 33 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77005361YP RUSSELL JEFFREY MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3174 FAMILY MEDICINE 770YP13022 RUSSELL KIMBERLEY A APRN YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY NURSE PRACTITIONERS 770YP12972 RYAN LISA DO BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-4232 PEDIATRICS 77009556YP RYAN PATRICIA R APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6041 PEDIATRIC NURSE PRACTITIONERS 770YP20832 SACHS MARLENE MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE 77009962YP SAGER BARBARA A APRN LITTLE RIVERS HEALTH CARE INC EAST CORINTH VT 05040 (802) 439-5321 FAMILY NURSE PRACTITIONERS 770YP00514 SAINI PRITINDER MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77004799YP SALTER BARRY M MD BARRY M SALTER MD YORK ME 03909 (207) 363-6008 INTERNAL MEDICINE 77009657YP SALVATORE DONALD E MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8300 PEDIATRICS 770YP23393 SAMUEL ERIC B MD FAMILIES FIRST OF THE GREATER SEACOAST PORTSMOUTH NH 03801 (603) 422-8208 FAMILY MEDICINE 770YP10983 SANCHEZ ANA C MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 PEDIATRICS 770YP22580 SANCHEZ DANIEL MD COMMUNITY MEDICAL ASSOCIATES INC LAWRENCE MA 01841 (978) 946-8550 FAMILY MEDICINE 77009766YP SANDERS ELIZABETH A MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 224-7575 FAMILY MEDICINE 77001066YP SARKIS MARLENE S MD COTTAGE HOSPITAL WOODSVILLE NH 03785 (603) 747-9297 INTERNAL MEDICINE 770YP14283 SATHAMBAKAM DILIP R MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4000 INTERNAL MEDICINE 770YP28403 SATHYANARAYANAGOWDA RAVI G MD DARTMOUTH HITCHCOCK CLINIC HUDSON NH 03051 (603) 577-3410 FAMILY MEDICINE 770YP12971 SAUNDERS WENDA L MD BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-4232 PEDIATRICS 770YP26676 SAVAGE JOSEPH B MD EXPRESSMED LLC MANCHESTER NH 03101 (603) 627-4215 INTERNAL MEDICINE 770YP10971 SAWYER MATTHEW M MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY MEDICINE 770YP28789 SAXTON ELIZABETH A APRN GIFFORD MEDICAL CENTER RANDOLPH VT 05060 (802) 728-7000 FAMILY NURSE PRACTITIONERS 770YP24618 SCANLAN VICTORIA F MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP07902 SCANLON MICHAEL L APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY NURSE PRACTITIONERS 770YP16556 SCARPONI KYLA J DO YORK HOSPITAL YORK ME 03909 (207) 351-1710 PEDIATRICS 770YP16556 SCARPONI KYLA J DO YORK HOSPITAL WELLS ME 04090 (207) 641-6555 PEDIATRICS 770YP02472 SCHEIB LISA M MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 889-3667 INTERNAL MEDICINE 770YP02760 SCHERER MAGDALENA J MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE 770YP02760 SCHERER MAGDALENA J MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 INTERNAL MEDICINE 770YP14211 SCHERPA MALINDA MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 PEDIATRICS 77009083YP SCHIAVONI JR EDMUND S MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 77009083YP SCHIAVONI JR EDMUND S MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 77008032YP SCHISSEL LAWRENCE A MD NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 FAMILY MEDICINE 770YP17861 SCHISSEL STEPHEN A MD LAHEY CLINIC INC AMESBURY MA 01913 (978) 388-5050 FAMILY MEDICINE 770YP20890 SCHMIDT AMBER R DO WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-2521 FAMILY MEDICINE 770YP10634 SCHNEEBAUM RONALD J MD DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2572 PEDIATRICS 770YP25983 SCHNEIDER AMY MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-2911 FAMILY MEDICINE 770YP02566 SCHOEL SUZANNE M MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-7101 PEDIATRICS 770YP05504 SCHOONMAKER JESSICA R MD PARTNERS COMMUNITY PHYS ORGANIZATION INC NEWBURYPORT MA 01950 (978) 499-7200 INTERNAL MEDICINE 770YP02534 SCHREIBER L JOCELYN APRN DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6041 PEDIATRIC NURSE PRACTITIONERS 770YP16063 SCHUERMAN GABRIELLE APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY NURSE PRACTITIONERS 770YP17866 SCHULMAN RISA G MD LAHEY CLINIC INC AMESBURY MA 01913 (978) 388-5050 FAMILY MEDICINE 77005633YP SCHULTZE PAMELA R MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 INTERNAL MEDICINE 770YP18519 SCHUMAN ANDREW J MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 PEDIATRICS 77004334YP SCHWARTZ IRA S MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 436-6115 INTERNAL MEDICINE 770YP03078 SCHWARTZ LYNN S MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP14541 SCHWARTZ MARY T MD PARTNERS COMMUNITY PHYS ORGANIZATION INC GEORGETOWN MA 01833 (978) 352-8375 INTERNAL MEDICINE 770YP08494 SCHWARTZ ROBERT J MD SPRINGFIELD MEDICAL CARE SYSTEMS INC CHESTER VT 05143 (802) 875-2546 FAMILY MEDICINE 770YP08494 SCHWARTZ ROBERT J MD SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY MEDICINE 77007897YP SCHWARTZBERG MARTIN E MD RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRICS 77003815YP SCHWARZ ADAM J MD HANOVER CONTINUITY CLINIC LLC HANOVER NH 03755 (603) 643-3320 INTERNAL MEDICINE Page 34 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77008790YP SCOTT DEBORAH J MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE 770YP16060 SCOTT JOHN MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 FAMILY MEDICINE 770YP18754 SCOTT MARY R APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5500 ADULT NURSE PRACTITIONERS 770YP22710 SCOTT TATIANA N MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8900 INTERNAL MEDICINE 770YP24865 SCOVILLE KATHRYN L APRN DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5454 FAMILY NURSE PRACTITIONERS 770YP25570 SCULL MELISSA L MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE 77006055YP SCZESNY-ALESHNICK MARTINA MD MARTINA SCZESNY-ALESHNICK MD BRATTLEBORO VT 05301 (802) 258-4922 FAMILY MEDICINE 770YP27387 SEABORG BARBARA J MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 770YP14510 SEBASTYAN ANDREW J MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4804 FAMILY MEDICINE 770YP14037 SEGAL LORISSA C MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE 770YP18405 SEICHEPINE KELLY J MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 77001494YP SEYMOUR MARK G DO GIFFORD MEDICAL CENTER BETHEL VT 05032 (802) 234-9913 FAMILY MEDICINE 770YP21886 SHADALLAH SARAH L APRN STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 FAMILY NURSE PRACTITIONERS 770YP22647 SHAFEH REEM I MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-5315 INTERNAL MEDICINE 770YP13995 SHAFER HEATHER MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP02835 SHAFER TIMOTHY P MD CARLOS G OTIS HEALTHCARE CTR TOWNSHEND VT 05353 (802) 365-4331 FAMILY MEDICINE 770YP23180 SHAFFER KRISTEN G NP WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 FAMILY NURSE PRACTITIONERS 770YP16692 SHAH BHUMI T MD LAHEY CLINIC INC BILLERICA MA 01862 (978) 663-6666 INTERNAL MEDICINE 770YP16692 SHAH BHUMI T MD LAHEY CLINIC INC ARLINGTON MA 02474 (781) 744-8000 INTERNAL MEDICINE 770YP28438 SHAH JASMINE A MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 INTERNAL MEDICINE 770YP25941 SHAHZAD AHMAD MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 INTERNAL MEDICINE 770YP10258 SHAMANSKY ERIC MD DARTMOUTH HITCHCOCK CLINIC PLYMOUTH NH 03264 (603) 536-3700 PEDIATRICS 77001716YP SHARMA DEEPAK MD DEEPAK SHARMA MD PC SALEM NH 03079 (603) 893-8030 PEDIATRICS 770YP24526 SHEEHAN CARLY R APRN FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 ADULT NURSE PRACTITIONERS 770YP03823 SHEEHAN STACEY L MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP03823 SHEEHAN STACEY L MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 770YP25090 SHEPARD MICHELLE T MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-5131 PEDIATRICS 770YP13892 SHESSLER ERIK MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 770YP26739 SHIH SHIAO-ANG MD HAVERHILL FAMILY PRACTICE HAVERHILL MA 01830 (978) 521-6555 INTERNAL MEDICINE 770YP27192 SHILLING TAMARA L DO FRISBIE MEMORIAL HOSPITAL BARRINGTON NH 03825 (603) 664-9003 FAMILY MEDICINE 770YP18936 SHILLINGFORD AMELIA G APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC LUDLOW VT 05149 (802) 228-8867 ADULT NURSE PRACTITIONERS 770YP20220 SHIPLEY SARA A APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 888-5573 FAMILY NURSE PRACTITIONERS 770YP10219 SHIPMAN SCOTT A MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6041 PEDIATRICS 770YP08628 SHIPPEE LUCAS D DO MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4680 INTERNAL MEDICINE 770YP13987 SHUBKIN CATHERINE D MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP13369 SHUGOL MARGARITA DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 226-3400 FAMILY MEDICINE 770YP28439 SHULMAN ERIC A MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 770YP19131 SHUMAN JOLENE J MD MARTIN'S POINT HEALTH CARE PORTSMOUTH NH 03801 (603) 431-5154 FAMILY MEDICINE 770YP05116 SHUMAN KENNETH R MD WENTWORTH DOUGLASS PHYSICIAN CORP SOUTH BERWICK ME 03908 (207) 384-4949 FAMILY MEDICINE 770YP05116 SHUMAN KENNETH R MD WENTWORTH DOUGLASS PHYSICIAN CORP DURHAM NH 03824 (603) 868-5080 FAMILY MEDICINE 770YP29013 SHUPE MARY B APRN RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRIC NURSE PRACTITIONERS 77009410YP SHUTE KEITH M MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2900 FAMILY MEDICINE 77000984YP SHUTE PATRICIA B APRN COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 FAMILY NURSE PRACTITIONERS 770YP26393 SIDDIQUI SOHAIB MD COOS COUNTY FAMILY HEALTH SERVICES INC BERLIN NH 03570 (603) 752-2040 FAMILY MEDICINE 770YP23281 SILANG RIETA P MD INTERNAL MEDICINE & KIDNEY PARTNERS PA NASHUA NH 03060 (603) 880-3122 INTERNAL MEDICINE 770YP05048 SILVA KEVIN A MD LITTLETON INTERNAL MEDICINE PC LITTLETON NH 03561 (603) 444-2002 INTERNAL MEDICINE 770YP28706 SILVERMAN ELAINE M MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 770YP22783 SILVERMAN MARIANNA T DO LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 770YP07506 SILVERSTEIN MARNI A MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-6666 PEDIATRICS Page 35 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP27700 SIMANGAN YOUSSEFI LENORE R MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 PEDIATRICS 770YP25121 SIROIS JENNIFER N MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 314-4700 INTERNAL MEDICINE 770YP25121 SIROIS JENNIFER N MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 663-5310 INTERNAL MEDICINE 77009677YP SIROTY WILLIAM C MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4400 INTERNAL MEDICINE 770YP05178 SIXON JONATHAN W MD FOUNDATION MEDICAL PARTNERS INC MILFORD NH 03055 (603) 672-7600 FAMILY MEDICINE 770YP07190 SKORUPKA MIROSLAWA MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 INTERNAL MEDICINE 770YP14282 SLAYTON ERIC DO BRIDGTON HOSPITAL NAPLES ME 04055 (207) 693-6106 FAMILY MEDICINE 770YP14282 SLAYTON ERIC DO BRIDGTON HOSPITAL FRYEBURG ME 04037 (207) 935-3383 FAMILY MEDICINE 770YP24770 SLOCUM ROBERT E DO SEACOAST AFFILIATED GROUP PRACTICE NEWBURY MA 01951 (978) 465-9770 FAMILY MEDICINE 77003548YP SLOWINSKI SUSAN S MD BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 251-8626 PEDIATRICS 770YP18536 SLYNE TAI C APRN CATHOLIC MEDICAL CENTER GOFFSTOWN NH 03045 (603) 314-4500 FAMILY NURSE PRACTITIONERS 770YP13103 SMAIL JULIE C MD LAHEY CLINIC INC IPSWICH MA 01938 (978) 356-5522 INTERNAL MEDICINE 770YP12970 SMITH CRAIG M DO BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-9021 FAMILY MEDICINE 770YP27428 SMITH IRVING DO LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-7070 SLEEP MEDICINE 770YP12969 SMITH JENNIFER L DO BRIDGTON HOSPITAL BRIDGTON ME 04009 (207) 647-9021 FAMILY MEDICINE 770YP03047 SMITH JOAN D MD WENTWORTH DOUGLASS PHYSICIAN CORP BARRINGTON NH 03825 (603) 664-2135 FAMILY MEDICINE 770YP21439 SMITH KATHLEEN J MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 FAMILY MEDICINE 770YP19908 SMITH MATTHEW G APRN FAMILY HEALTH CENTER LEBANON NH 03766 (603) 448-1941 FAMILY NURSE PRACTITIONERS 77001543YP SMITH ROSEMARY A APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 INTERNAL MEDICINE NURSE PRACTITIONER 77001543YP SMITH ROSEMARY A APRN LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 INTERNAL MEDICINE NURSE PRACTITIONER 77001543YP SMITH ROSEMARY A APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 INTERNAL MEDICINE NURSE PRACTITIONER 770YP13710 SMITH STEVEN B MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 INTERNAL MEDICINE 77005930YP SMITH W KENT MD CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY MEDICINE 770YP26864 SMYTH MICHELLE NP SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 FAMILY NURSE PRACTITIONERS 77007231YP SOBELSON GARY A MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 77007697YP SOBRADO ALBERTO MD CO MED PRO NORTH ANDOVER MA 01845 (978) 685-4925 INTERNAL MEDICINE 770YP22939 SODERLAND CARL A MD LAHEY CLINIC INC IPSWICH MA 01938 (978) 356-5522 INTERNAL MEDICINE 770YP18177 SODERLAND PETER A MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8430 INTERNAL MEDICINE 770YP03567 SOKUL CYNTHIA A APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03104 (603) 663-7030 FAMILY NURSE PRACTITIONERS 77004302YP SOLLEE ALISON M MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7222 INTERNAL MEDICINE 77009286YP SOLNIT AARON D MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY MEDICINE 77009392YP SOLNIT LOREN L MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 PEDIATRICS 77002610YP SONG LIJUN MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 770YP05143 SORSCHER ADAM J MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-4000 FAMILY MEDICINE 77005411YP SOUCY ROBERT G DO ROBERT SOUCY DO COLEBROOK NH 03576 (603) 237-4579 FAMILY MEDICINE 770YP24146 SOVETSKY-CHABOT NATACHA J APRN YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 FAMILY NURSE PRACTITIONERS 770YP23861 SPECTOR LAWRENCE S APRN CATHOLIC MEDICAL CENTER MANCHESTER NH 03103 (603) 314-5900 FAMILY NURSE PRACTITIONERS 770YP22154 SPEER DANIELLE L APRN COTTAGE HOSPITAL WOODSVILLE NH 03785 (603) 747-9297 ADULT NURSE PRACTITIONERS 77002999YP SPENCER MICHELLE T MD CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY MEDICINE 770YP11354 SPICER JOHN H MD WHITE MOUNTAIN FAMILY HEALTHCARE LITTLETON LITTLETON NH 03561 (603) 444-2010 FAMILY MEDICINE 770YP23104 SPIEGELMAN DAVID M MD FOUNDATION MEDICAL PARTNERS INC PEPPERELL MA 01463 (978) 433-6317 FAMILY MEDICINE 77006021YP SPIELER PHYLLIS N MD PHYLLIS N SPIELER MD ANDOVER MA 01810 (978) 470-1902 INTERNAL MEDICINE 770YP03528 SPIRO AMANDA J MD ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 695-2572 PEDIATRICS 77001790YP SPIVACK PAUL S MD ALLIANCE HEALTH SERVICES BEDFORD NH 03110 (603) 695-2500 PEDIATRICS 770YP25209 SPIVEY CAMERON A APRN VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 FAMILY NURSE PRACTITIONERS 770YP25209 SPIVEY CAMERON A APRN VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 543-6700 FAMILY NURSE PRACTITIONERS 770YP15222 SPONSELLER BRIAN R MD THE MEMORIAL HOSPITAL NORTH CONWAY NH 03860 (603) 356-5472 FAMILY MEDICINE 770YP25319 SRIVASTAVA TAPASYA MD PARTNERS COMMUNITY PHYS ORGANIZATION INC ANDOVER MA 01810 (978) 783-5000 INTERNAL MEDICINE 770YP16876 STADLER DANIEL S MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-9500 INTERNAL MEDICINE Page 36 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP28244 STAHL JAMES E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 INTERNAL MEDICINE 77009561YP STAHL KEITH A MD CATHOLIC MEDICAL CENTER BEDFORD NH 03110 (603) 663-8052 INTERNAL MEDICINE 770YP25355 STAMBOVSKY MARSHALL K MD HUGGINS HOSPITAL OSSIPEE NH 03864 (603) 539-6996 FAMILY MEDICINE 77004122YP STARK JOHN C MD MARTIN'S POINT HEALTH CARE PORTSMOUTH NH 03801 (603) 431-5154 FAMILY MEDICINE 77000451YP STASNY ELAINE V MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-8141 PEDIATRICS 77000251YP STEBBINS PHILIP C MD AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 FAMILY MEDICINE 770YP28193 STEELE TAMMY L APRN STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 FAMILY NURSE PRACTITIONERS 770YP28194 STEELE TAMMY L APRN STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 683-9177 FAMILY NURSE PRACTITIONERS 770YP22004 STEIN ALAN M MD ELLIOT PHYSICIANS NETWORK ALLENSTOWN NH 03275 (603) 485-7861 FAMILY MEDICINE 770YP17076 STEIN MICHAEL J MD STEWARD MEDICAL GROUP INC HAMPSTEAD NH 03841 (603) 329-5079 FAMILY MEDICINE 770YP17076 STEIN MICHAEL J MD STEWARD MEDICAL GROUP INC SALEM NH 03079 (603) 685-6977 FAMILY MEDICINE 770YP23005 STEIN MICHAEL J MD STEWARD MEDICAL GROUP INC METHUEN MA 01844 (978) 416-6000 FAMILY MEDICINE 770YP23005 STEIN MICHAEL J MD STEWARD MEDICAL GROUP INC HAVERHILL MA 01830 (978) 478-5058 FAMILY MEDICINE 77007410YP STEPHENS MARGARET D MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY MEDICINE 770YP14296 STEVENS KRISTEN E APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 ADULT NURSE PRACTITIONERS 770YP08801 STEVENS MICHAEL J DO CORE PHYSICIANS LLC EXETER NH 03833 (603) 775-0000 FAMILY MEDICINE 770YP19914 STEWART BRENDA D APRN NORTHEASTERN VERMONT REGIONAL HOSPITAL INC SAINT JOHNSBURY VT 05819 (802) 748-5131 PEDIATRIC NURSE PRACTITIONERS 77008642YP STIDWILL ROBB J MD CONCORD HOSPITAL INC PEMBROKE NH 03275 (603) 485-8441 FAMILY MEDICINE 770YP11579 STOLL NANCY MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-2263 FAMILY MEDICINE 77001192YP STONE DEBORAH A APRN HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7620 PEDIATRIC NURSE PRACTITIONERS 770YP28404 STONE MICHAEL O MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4440 FAMILY MEDICINE 77005491YP STORO WILLIAM R MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 77005547YP STRACESKI ANTHONY J MD NEW ENGLAND CARDIOLOGY LLC LAWRENCE MA 01841 (978) 989-9811 INTERNAL MEDICINE 770YP28047 STRYSKO BRENDA M APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC LONDONDERRY VT 05148 (802) 824-6901 FAMILY NURSE PRACTITIONERS 77006134YP STUCKER HEIDI A APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-3664 INTERNAL MEDICINE NURSE PRACTITIONER 770YP14097 STUPNYTSKYI OLEKSANDR MD EAGLE MEDICINE ASSOCIATES LAWRENCE MA 01841 (978) 725-5913 INTERNAL MEDICINE 770YP25456 SU MARK L MD PERSONAL CARE PHYSICIANS PC NEWBURYPORT MA 01950 (978) 225-0378 FAMILY MEDICINE 770YP20224 SUAREZ JULIE MD YORK HOSPITAL YORK ME 03909 (207) 351-3530 INTERNAL MEDICINE 770YP20224 SUAREZ JULIE MD YORK HOSPITAL MOODY ME 04054 (207) 646-8387 INTERNAL MEDICINE 770YP23155 SULLIVAN CORINNE K MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-7771 PEDIATRICS 770YP23155 SULLIVAN CORINNE K MD VALLEY REGIONAL HOSPITAL NEWPORT NH 03773 (603) 863-6400 PEDIATRICS 770YP26141 SULLIVAN MITCHELL J MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC LYNDONVILLE VT 05851 (802) 748-9501 FAMILY MEDICINE 770YP07337 SULLIVAN SARAH B MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 330-3404 INTERNAL MEDICINE 770YP07337 SULLIVAN SARAH B MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 INTERNAL MEDICINE 77002955YP SULS HOWARD L MD DR SULS FAMILY & SPORTS MEDICINE BEDFORD NH 03110 (603) 622-2112 FAMILY MEDICINE 770YP08087 SUNDARAM MALATHY MD MALATHY SUNDARAM MD SANFORD ME 04073 (207) 850-1079 FAMILY MEDICINE 770YP03906 SUTTON SHAWN I MD CONCORD HOSPITAL INC WARNER NH 03278 (603) 456-6106 FAMILY MEDICINE 770YP21378 SWAN ANNA O APRN WHOLE LIFE HEALTH CARE NEWINGTON NH 03801 (603) 431-6677 FAMILY NURSE PRACTITIONERS 770YP15692 SWAN JACQUELINE A MD LAHEY CLINIC INC IPSWICH MA 01938 (978) 356-5522 INTERNAL MEDICINE 770YP23941 SWEENEY ELIZABETH R DO INDIAN STREAM HEALTH CENTER INC COLEBROOK NH 03576 (603) 237-8336 FAMILY MEDICINE 770YP18979 SWIFT-CROFT CINDI K DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7400 FAMILY MEDICINE 770YP19544 SYKES TIFFANY C APRN LIFE LONG CARE OF NEW LONDON PLLC NEW LONDON NH 03257 (603) 526-4144 FAMILY NURSE PRACTITIONERS 770YP12086 SYLVAN JR GOSLYN R MD PARTNERS COMMUNITY PHYS ORGANIZATION INC NORTH ANDOVER MA 01845 (978) 794-2112 INTERNAL MEDICINE 770YP28797 SYNAN THOMAS J MD ST JOSEPH HOSPITAL NASHUA NH 03061 (603) 595-3614 INTERNAL MEDICINE 77001824YP SZNYCER LILIANE MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 770YP18621 TABBAH HALA S MD LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 PEDIATRICS 770YP18621 TABBAH HALA S MD LRGHEALTHCARE LACONIA NH 03246 (603) 527-2711 PEDIATRICS 770YP08818 TAFT LEESA L APRN WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 INTERNAL MEDICINE NURSE PRACTITIONER 77009797YP TAN SHIRLEY N MD VALLEY REGIONAL HOSPITAL CLAREMONT NH 03743 (603) 542-9505 PEDIATRICS Page 37 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP02018 TAN VINCENT Y MD APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH 03801 (603) 431-2516 FAMILY MEDICINE 77006947YP TANEY SUSAN G APRN NORTHERN COUNTIES HEALTH CARE INC CONCORD VT 05824 (802) 695-2512 ADULT NURSE PRACTITIONERS 770YP23006 TANGREDI CHRISTINA M APRN ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 ADULT NURSE PRACTITIONERS 770YP05352 TANGUAY WILLIAM A MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (888) 227-3762 INTERNAL MEDICINE 77006676YP TANNER TIMOTHY H MD NORTHERN COUNTIES HEALTH CARE INC DANVILLE VT 05828 (802) 684-2275 INTERNAL MEDICINE 770YP08569 TANSKI SUSANNE E MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 653-6041 PEDIATRICS 770YP08975 TARAS MALGORZATA MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03103 (603) 314-5900 INTERNAL MEDICINE 770YP17193 TARASEVICH DMITRY S MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4671 INTERNAL MEDICINE 770YP28049 TARBI ELISE APRN LIFE LONG CARE OF NEW LONDON PLLC NEW LONDON NH 03257 (603) 526-4144 INTERNAL MEDICINE NURSE PRACTITIONER 770YP28129 TAYLOR JENNIFER APRN NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 ADULT NURSE PRACTITIONERS 77009545YP TEDESCO RICHARD F MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 663-8200 INTERNAL MEDICINE 77004866YP TEMME THOMAS J MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 77007018YP TENNEY SUETTA M MD SHAWSHEEN MEDICAL ASSOCIATES PC ANDOVER MA 01810 (978) 475-8989 INTERNAL MEDICINE 770YP29062 TEWKSBURY AMY L APRN WRIGHT & ASSOC FAM HLTHCARE AT CONCORD PLLC CONCORD NH 03301 (603) 369-4530 FAMILY NURSE PRACTITIONERS 77004827YP THALER FREDERICK K MD YORK HOSPITAL KITTERY ME 03904 (207) 439-4430 FAMILY MEDICINE 770YP21558 THATCHER ANNE M APRN SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-6355 INTERNAL MEDICINE NURSE PRACTITIONER 77001137YP THAVASEELAN PERIN S MD PLEASANT VALLEY INTERNISTS METHUEN MA 01844 (978) 689-0869 INTERNAL MEDICINE 77002655YP THERIAULT ROBERT A DO ROBERT A THERIAULT DO PLLC NASHUA NH 03063 (603) 880-1511 FAMILY MEDICINE 770YP20669 THERMITUS SERAPHINE A MD ST JOSEPH HOSPITAL MILFORD NH 03055 (603) 673-3870 PEDIATRICS 770YP25277 THEROUX ASHLEY P APRN AZAR A KORBEY MD PLLC SALEM NH 03079 (603) 893-7905 FAMILY NURSE PRACTITIONERS 770YP22173 THERRIAULT SUSAN L MD HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7574 FAMILY MEDICINE 77003007YP THESING GREGORY J MD CONCORD HOSPITAL INC HILLSBORO NH 03244 (603) 464-3434 FAMILY MEDICINE 77002245YP THIBODEAU JESSICA A APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WARREN NH 03279 (603) 764-5704 ADULT NURSE PRACTITIONERS 77002245YP THIBODEAU JESSICA A APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC LITTLETON NH 03561 (603) 444-2464 ADULT NURSE PRACTITIONERS 77002245YP THIBODEAU JESSICA A APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 ADULT NURSE PRACTITIONERS 77002245YP THIBODEAU JESSICA A APRN AMMONOOSUC COMMUNITY HEALTH SERVICES INC FRANCONIA NH 03580 (603) 823-7078 ADULT NURSE PRACTITIONERS 770YP28440 THIBODEAU SUSAN APRN DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRIC NURSE PRACTITIONERS 770YP03551 THIEVON SUSAN L APRN HUGGINS HOSPITAL WOLFEBORO NH 03894 (603) 569-7574 FAMILY NURSE PRACTITIONERS 770YP08299 THIIM MICHAEL MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3235 INTERNAL MEDICINE 770YP02569 THOMAS JOHN P MD ELLIOT PHYSICIANS NETWORK GOFFSTOWN NH 03045 (603) 497-5661 FAMILY MEDICINE 77005248YP THOMAS KENNETH D MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 622-7548 INTERNAL MEDICINE 770YP25362 THOMASSEN ANNE M APRN SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE NURSE PRACTITIONER 770YP05535 THOMPSON JANE A MD PARTNERS COMMUNITY PHYS ORGANIZATION INC LAWRENCE MA 01843 (978) 557-8700 INTERNAL MEDICINE 770YP27409 THOMPSON JANNA L APRN HARBOR HOMES INC NASHUA NH 03060 (603) 882-3616 PEDIATRIC NURSE PRACTITIONERS 770YP12520 THOMPSON KATHLEEN APRN DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2750 PEDIATRIC NURSE PRACTITIONERS 770YP27082 THOMPSON MAUREEN A APRN CORE PHYSICIANS LLC KINGSTON NH 03848 (603) 642-3910 FAMILY NURSE PRACTITIONERS 770YP04013 THOMPSON MICHAEL F MD GOODWIN COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY MEDICINE 77009069YP THOMSON GEORGE G MD GEORGE G THOMSON MD PETERBOROUGH NH 03458 (603) 924-3644 FAMILY MEDICINE 77009283YP THOMSON LINDA M APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC BELLOWS FALLS VT 05101 (802) 463-9000 FAMILY NURSE PRACTITIONERS 77009283YP THOMSON LINDA M APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 885-5716 FAMILY NURSE PRACTITIONERS 770YP03828 THUMSER CAROLYN P MD CHILDRENS HEALTHCARE HAVERHILL MA 01830 (978) 373-6557 PEDIATRICS 770YP03828 THUMSER CAROLYN P MD CHILDRENS HEALTHCARE NEWBURYPORT MA 01950 (978) 465-7121 PEDIATRICS 77001818YP THYNG DARLA L MD DARTMOUTH HITCHCOCK CLINIC MILFORD NH 03055 (603) 673-2515 FAMILY MEDICINE 770YP28405 THYNG JONATHAN B MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4440 FAMILY MEDICINE 770YP25108 TIERNEY CHELSEA L APRN KEADY FAMILY PRACTICE NEWPORT NH 03773 (603) 863-7777 FAMILY NURSE PRACTITIONERS 770YP25108 TIERNEY CHELSEA L APRN KEADY FAMILY PRACTICE CHARLESTOWN NH 03603 (603) 826-3434 FAMILY NURSE PRACTITIONERS 770YP25687 TIERNEY KRISTIN APRN MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 FAMILY NURSE PRACTITIONERS 770YP25637 TIKOO PRAGATI MD PARTNERS COMMUNITY PHYS ORGANIZATION INC HAVERHILL MA 01830 (978) 521-3270 INTERNAL MEDICINE 77003422YP TIMMERMAN MARK L MD MERRIMACK VILLAGE FAMILY PRACTICE CTR MERRIMACK NH 03054 (603) 424-8120 FAMILY MEDICINE Page 38 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP22965 TKACZYK ANN GIRLIE R APRN ST JOSEPH HOSPITAL NASHUA NH 03061 (603) 595-3722 ADULT NURSE PRACTITIONERS 770YP03183 TLUCKO ALENA C MD LAHEY CLINIC INC AMESBURY MA 01913 (978) 388-5050 INTERNAL MEDICINE 770YP22345 TODD JOHN W APRN BRATTLEBORO MEMORIAL HOSPITAL PUTNEY VT 05346 (802) 387-5581 FAMILY NURSE PRACTITIONERS 770YP18811 TOKA FRANCOIS N APRN GLOBAL FAMILY HEALTH LLC NASHUA NH 03060 (603) 943-7064 FAMILY NURSE PRACTITIONERS 770YP22110 TOLBERT CYNTHIA R MD CORE PHYSICIANS LLC HAMPTON NH 03842 (603) 929-1195 FAMILY MEDICINE 770YP25280 TOLL JOSHUA A MD YORK HOSPITAL BERWICK ME 03901 (207) 384-9212 FAMILY MEDICINE 770YP02633 TOMS ANGELA M MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP23372 TORCHETTI MELISSA L NP MICHAEL P ROMANOWSKY MD SALEM NH 03079 (603) 898-4142 FAMILY NURSE PRACTITIONERS 77007454YP TORTOLANI ROBERT E MD ROBERT E TORTOLANI MD BRATTLEBORO VT 05301 (802) 254-1113 FAMILY MEDICINE 770YP26556 TOUSSAINT CAROLINE A APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP19956 TOWNES KATHLEEN A MD LAHEY CLINIC INC IPSWICH MA 01938 (978) 356-5522 INTERNAL MEDICINE 77004864YP TRACY SHERRILL A MD COOS COUNTY FAMILY HEALTH SERVICES INC GORHAM NH 03581 (603) 466-2741 FAMILY MEDICINE 77005647YP TRANCHEMONTAGNE TERESA W DO FOUNDATION MEDICAL PARTNERS INC AMHERST NH 03031 (603) 673-5885 INTERNAL MEDICINE 770YP02978 TREMBLAY ANDREW MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 FAMILY MEDICINE 770YP12182 TREMBLAY CHRISTINE DO WELLS FAMILY PRACTICE LLC WELLS ME 04090 (207) 646-0676 FAMILY MEDICINE 770YP27942 TRIFILO NANCY E APRN FOUNDATION MEDICAL PARTNERS INC MILFORD NH 03055 (603) 627-7600 FAMILY NURSE PRACTITIONERS 770YP05298 TRUEBE SANDRA F MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 663-8300 PEDIATRICS 770YP20612 TSANG SO-FAI MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-8000 INTERNAL MEDICINE 77009029YP TSYPKIN LUBA MD LUBA TSYPKIN MD NORTH ANDOVER MA 01845 (978) 975-2300 INTERNAL MEDICINE 77006760YP TURIANO ANTHONY E MD STEWARD MEDICAL GROUP INC ANDOVER MA 01810 (978) 269-0017 FAMILY MEDICINE 770YP21094 TURKINGTON NANCY M MD MONTSHIRE PEDIATRICS PC HANOVER NH 03755 (603) 643-6700 PEDIATRICS 77004988YP TURNER HENRY D MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 770YP22436 TYLER MICHELLE D MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 77009442YP TZVETANOV TZVETAN MD TZVELAN TZVELANOV INTERNAL MEDICINE LLC N ANDOVER MA 01845 (978) 258-3355 INTERNAL MEDICINE 770YP26361 UDOMPRASERT PAMELA S MD FRISBIE MEMORIAL HOSPITAL ROCHESTER NH 03867 (603) 332-0238 PEDIATRICS 770YP12189 UITERWYK SEAN MD WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION VT 05001 (802) 295-6132 FAMILY MEDICINE 770YP14233 ULLAH SANA MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 FAMILY MEDICINE 770YP18511 ULLAL RITU G MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4440 FAMILY MEDICINE 770YP05388 UPADRASTA VIJAYA L MD DARTMOUTH HITCHCOCK CLINIC MANCHESTER NH 03104 (603) 695-2500 INTERNAL MEDICINE 77007170YP URBAN MICHELLE A MD MONADNOCK COMMUNITY HOSPITAL PETERBOROUGH NH 03458 (603) 924-4664 FAMILY MEDICINE 770YP26127 VALAPARLA GRACE A APRN ELLIOT PHYSICIANS NETWORK LONDONDERRY NH 03053 (603) 552-1400 FAMILY NURSE PRACTITIONERS 770YP20949 VALERAS ANDREW S DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 77005030YP VAN DER LAAN PANCRAS H MD WEEKS MEDICAL CENTER LANCASTER NH 03584 (603) 788-2521 INTERNAL MEDICINE 77005030YP VAN DER LAAN PANCRAS H MD WEEKS MEDICAL CENTER WHITEFIELD NH 03598 (949) 852-3400 INTERNAL MEDICINE 77005030YP VAN DER LAAN PANCRAS H MD WEEKS MEDICAL CENTER GROVETON NH 03582 (603) 788-6213 INTERNAL MEDICINE 770YP14919 VAN DYCK ALEXANDRA J MD DARTMOUTH HITCHCOCK CLINIC KEENE NH 03431 (603) 354-5400 INTERNAL MEDICINE 770YP28444 VAN VRANKEN NANCY J MD DARTMOUTH HITCHCOCK CLINIC CONCORD NH 03301 (603) 226-2200 PEDIATRICS 77004688YP VANDERLINDE TANJA MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 224-4003 INTERNAL MEDICINE 77005521YP VANTUIL SHARON L MD RIVER ROAD PEDIATRICS PLLC BEDFORD NH 03110 (603) 622-8619 PEDIATRICS 77009563YP VAUGHAN KRISTIN DO CORE PHYSICIANS LLC EXETER NH 03833 (603) 773-5200 FAMILY MEDICINE 770YP17224 VAUGHN JANICE E APRN LRGHEALTHCARE BRISTOL NH 03222 (603) 744-5441 FAMILY NURSE PRACTITIONERS 770YP17224 VAUGHN JANICE E APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY NURSE PRACTITIONERS 770YP23330 VAUGHN JANICE E APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY NURSE PRACTITIONERS 770YP03448 VELAZQUEZ-EVANS MARIA MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE 77004543YP VELLA JR SALVATORE J DO FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3300 INTERNAL MEDICINE 770YP25340 VENMAN-CLAY CLAIRE APRN SOJOURNS COMMUNITY HEALTH CLINIC WESTMINSTER VT 05158 (802) 722-4023 FAMILY NURSE PRACTITIONERS 77005124YP VERANI DANIELA E MD DANIELA E VERANI, MD PA LONDONDERRY NH 03053 (603) 434-4363 FAMILY MEDICINE 770YP26824 VICENTE KATRINA M APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 ADULT NURSE PRACTITIONERS 770YP20862 VICUNA-KEADY CECILIA M APRN KEADY FAMILY PRACTICE CHARLESTOWN NH 03603 (603) 826-3434 FAMILY NURSE PRACTITIONERS Page 39 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP20862 VICUNA-KEADY CECILIA M APRN KEADY FAMILY PRACTICE NEWPORT NH 03773 (603) 863-7777 FAMILY NURSE PRACTITIONERS 770YP20727 VIEL KARA M APRN FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 FAMILY NURSE PRACTITIONERS 770YP00579 VILLANUEVA ANDREW G MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP20600 VIVEIROS CAROLYN M APRN LONDONDERRY PEDIATRICS PA LONDONDERRY NH 03053 (603) 437-1003 PEDIATRIC NURSE PRACTITIONERS 770YP27317 VOGT CHRISTOPHER T DO DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03766 (603) 650-5000 FAMILY MEDICINE 770YP10885 VORE JON MICHAEL B DO FOUNDATION MEDICAL PARTNERS INC AMHERST NH 03031 (603) 673-5885 FAMILY MEDICINE 770YP26917 WADDELL ISABELLE D APRN CONCORD HOSPITAL INC PENACOOK NH 03303 (603) 753-4302 FAMILY NURSE PRACTITIONERS 770YP25755 WAGEMAN KATE APRN BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO VT 05301 (802) 257-2611 FAMILY NURSE PRACTITIONERS 770YP17577 WAGGETT IAN W MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7555 INTERNAL MEDICINE 770YP20793 WAGNER TRACI L MD LITTLETON HOSPITAL ASSOCIATION LITTLETON NH 03561 (603) 444-7070 PEDIATRICS 770YP25828 WALROD MARK D MD CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-0071 FAMILY MEDICINE 770YP23285 WALSH SARA E APRN LILAC CITY PEDIATRICS PA ROCHESTER NH 03867 (603) 335-4522 PEDIATRIC NURSE PRACTITIONERS 770YP02388 WALSHE EDWARD D MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77004408YP WALTER JR JOHN N MD DARTMOUTH HITCHCOCK CLINIC WINCHESTER NH 03470 (603) 239-6351 FAMILY MEDICINE 770YP02771 WAREN JILL M MD ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 472-7233 FAMILY MEDICINE 770YP00584 WARNER ANDREW S MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP10770 WARNER ASHLEY A MD BELKNAP FAMILY HEALTH CTR BELMONT NH 03220 (603) 267-7017 FAMILY MEDICINE 770YP10770 WARNER ASHLEY A MD LRGHEALTHCARE GILFORD NH 03249 (603) 527-7114 FAMILY MEDICINE 770YP10770 WARNER ASHLEY A MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 FAMILY MEDICINE 77004997YP WARREN JOANN M MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC PORTSMOUTH NH 03801 (603) 436-7171 PEDIATRICS 77004997YP WARREN JOANN M MD PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC HAMPTON NH 03842 (603) 929-3838 PEDIATRICS 770YP25569 WARREN NICOLE L DO YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 FAMILY MEDICINE 770YP26612 WARREN TAMMY M APRN SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-8900 ADULT NURSE PRACTITIONERS 770YP02769 WASZKOWSKI DANIEL A MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP02769 WASZKOWSKI DANIEL A MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP02769 WASZKOWSKI DANIEL A MD DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP25085 WATERMAN RANDALL L MD STEWARD MEDICAL GROUP INC HAVERHILL MA 01830 (978) 521-8377 GENERAL PRACTICE 770YP28090 WATKINS KELLEY L APRN MID-STATE HEALTH CENTER BRISTOL NH 03222 (603) 744-6200 ADULT NURSE PRACTITIONERS 770YP28090 WATKINS KELLEY L APRN MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 ADULT NURSE PRACTITIONERS 770YP28566 WATKINS TONYA L APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 770YP25453 WATSON SABINE APRN NORTHERN COUNTIES HEALTH CARE INC ST JOHNSBURY VT 05819 (802) 748-5041 FAMILY NURSE PRACTITIONERS 770YP27783 WATTO MICHAEL B DO SPEARE MEMORIAL HOSPITAL PLYMOUTH NH 03264 (603) 536-1881 FAMILY MEDICINE 770YP23816 WEBBER CARRIE M MD WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 FAMILY MEDICINE 770YP23816 WEBBER CARRIE M MD WINDSOR HOSPITAL CORP WOODSTOCK VT 05091 (802) 457-3030 FAMILY MEDICINE 770YP12487 WEBER DENISE A MD NEW LONDON HOSPITAL ASSOCIATION NEW LONDON NH 03257 (603) 526-5544 INTERNAL MEDICINE 77008846YP WEEMAN PAULA A APRN CONCORD HOSPITAL INC EPSOM NH 03234 (603) 736-6200 FAMILY NURSE PRACTITIONERS 770YP24144 WEHBI FADI S MD ST JOSEPH HOSPITAL MERRIMACK NH 03054 (603) 424-4181 FAMILY MEDICINE 77007467YP WEINSTEIN MICHAEL P MD ST JOSEPH HOSPITAL NASHUA NH 03060 (603) 891-4400 PEDIATRICS 770YP22093 WEISS GERRI APRN FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 577-3300 ADULT NURSE PRACTITIONERS 770YP03546 WELTER JOHN F DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 770YP03546 WELTER JOHN F DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 770YP03546 WELTER JOHN F DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP04040 WERNER ALAIN-MARC MD HIGHLAND PRIMARY CARE NEWBURYPORT MA 01950 (978) 463-7770 INTERNAL MEDICINE 77001986YP WESTINGHOUSE ANDREA L MD CORE PHYSICIANS LLC PLAISTOW NH 03865 (603) 257-4000 PEDIATRICS 770YP25505 WETHERBEE KATHARINE L DO ELLIOT PHYSICIANS NETWORK WINDHAM NH 03087 (603) 894-0063 FAMILY MEDICINE 77008451YP WHEELER JOHN H DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC DERRY NH 03038 (603) 537-1300 FAMILY MEDICINE 77008451YP WHEELER JOHN H DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC LONDONDERRY NH 03053 (603) 537-1300 FAMILY MEDICINE 77008451YP WHEELER JOHN H DO DERRY MEDICAL CENTER PROFESSIONAL ASSOC WINDHAM NH 03087 (603) 537-3053 FAMILY MEDICINE 770YP28790 WHETSELL SCOTT J MD SPRINGFIELD MEDICAL CARE SYSTEMS INC SPRINGFIELD VT 05156 (802) 886-8900 PEDIATRICS Page 40 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 770YP14353 WHITE KELLEY J MD MID-STATE HEALTH CENTER PLYMOUTH NH 03264 (603) 536-4000 PEDIATRICS 770YP16050 WHITE KELLY APRN CONCORD HOSPITAL INC EPSOM NH 03234 (603) 736-6200 FAMILY NURSE PRACTITIONERS 770YP26207 WHITE STEPHANIE L MD DARTMOUTH HITCHCOCK CLINIC LEBANON NH 03756 (603) 650-5000 PEDIATRICS 770YP24025 WHITMORE DURRELLE T APRN LITTLE RIVERS HEALTH CARE INC E CORINTH VT 05040 (802) 439-5321 FAMILY NURSE PRACTITIONERS 770YP24025 WHITMORE DURRELLE T APRN LITTLE RIVERS HEALTH CARE INC BRADFORD VT 05033 (802) 222-9317 FAMILY NURSE PRACTITIONERS 770YP24025 WHITMORE DURRELLE T APRN LITTLE RIVERS HEALTH CARE INC WELLS RIVER VT 05033 (802) 757-2325 FAMILY NURSE PRACTITIONERS 770YP23043 WHITTEMORE KATHRYN APRN ELLIOT PHYSICIANS NETWORK BEDFORD NH 03110 (603) 626-4392 FAMILY NURSE PRACTITIONERS 77008111YP WICKSMAN ROGER H DO CONCORD PEDIATRICS PA CONCORD NH 03301 (603) 224-1929 PEDIATRICS 770YP19094 WIDNESS CRAIG P MD ELLIOT PHYSICIANS NETWORK HOOKSETT NH 03106 (603) 641-5386 INTERNAL MEDICINE 770YP26770 WIEGAND MARGARET MD MANCHESTER COMMUNITY HEALTH CENTER MANCHESTER NH 03101 (603) 626-9500 PEDIATRICS 770YP26012 WIEMER KELLY A APRN CONCORD HOSPITAL INC PEMBROKE NH 03275 (603) 485-8441 FAMILY NURSE PRACTITIONERS 770YP14477 WILLARD JENNIFER H APRN WENTWORTH DOUGLASS PHYSICIAN CORP BARRINGTON NH 03825 (603) 664-2135 ADULT NURSE PRACTITIONERS 770YP14477 WILLARD JENNIFER H APRN WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 609-6930 ADULT NURSE PRACTITIONERS 77005348YP WILLETT LEE R MD LRGHEALTHCARE LACONIA NH 03246 (603) 524-5151 PEDIATRICS 770YP02767 WILLIAMS GREGORY R MD SJ PHYSICIAN SERVICES MERRIMACK NH 03054 (603) 424-4181 FAMILY MEDICINE 77001497YP WILLIAMS LINDA A MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03060 (603) 594-6030 PEDIATRICS 77005089YP WILLIAMS SUICH CAROL APRN ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 FAMILY NURSE PRACTITIONERS 77004124YP WILLIAMSON DOUGLAS E MD ALICE PECK DAY MEMORIAL HOSPITAL LEBANON NH 03766 (603) 448-3122 PEDIATRICS 770YP26658 WILSON JENNIFER L APRN ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03103 (603) 626-5113 FAMILY NURSE PRACTITIONERS 770YP26891 WILSON LINDA J APRN WINDSOR HOSPITAL CORP WINDSOR VT 05089 (802) 674-7300 FAMILY NURSE PRACTITIONERS 770YP17178 WILT III RAY E DO FRISBIE MEMORIAL HOSPITAL BARRINGTON NH 03825 (603) 664-9003 FAMILY MEDICINE 770YP02578 WINGER CHRISTINE E MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7000 INTERNAL MEDICINE 770YP15282 WINIECKI MARC A DO MONADNOCK COMMUNITY HOSPITAL JAFFREY NH 03452 (603) 532-8775 FAMILY MEDICINE 770YP05180 WISE JENNIFER R MD ELLIOT PHYSICIANS NETWORK MANCHESTER NH 03109 (603) 624-4380 INTERNAL MEDICINE 77000132YP WITKIN RONALD H MD RONALD H WITKIN MD LACONIA NH 03246 (603) 524-9201 INTERNAL MEDICINE 77004100YP WOLCOTT CHARLES J MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC FRANCONIA NH 03580 (603) 823-7078 FAMILY MEDICINE 77003014YP WOLFE TIMOTHY MD NEW LONDON HOSPITAL ASSOCIATION NEWPORT NH 03773 (603) 863-4100 INTERNAL MEDICINE 770YP14770 WOO KINGSON J MD FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY MEDICINE 770YP19182 WOOD ASHLEY L MD CONCORD HOSPITAL INC EPSOM NH 03234 (603) 736-6200 FAMILY MEDICINE 770YP18075 WOOD BARBARA H APRN LRGHEALTHCARE FRANKLIN NH 03235 (603) 934-4259 FAMILY NURSE PRACTITIONERS 770YP22148 WOOD BARBARA H APRN LRGHEALTHCARE NEW HAMPTON NH 03256 (603) 744-5377 FAMILY NURSE PRACTITIONERS 770YP22148 WOOD BARBARA H APRN LRGHEALTHCARE MOULTONBORO NH 03254 (603) 253-6925 FAMILY NURSE PRACTITIONERS 77001232YP WOOD LORI A APRN FRISBIE MEMORIAL HOSPITAL FARMINGTON NH 03835 (603) 755-9801 FAMILY NURSE PRACTITIONERS 77001232YP WOOD LORI A APRN FRISBIE MEMORIAL HOSPITAL SANBORNVILLE NH 03872 (603) 522-0186 FAMILY NURSE PRACTITIONERS 770YP11396 WOOD-FRIEND AMANDA L APRN LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY NURSE PRACTITIONERS 770YP11396 WOOD-FRIEND AMANDA L APRN LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY NURSE PRACTITIONERS 770YP00601 WOODS BARTHOLOMEW O MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 77007491YP WORRELL KAREEN A DO YOUR MEDICAL HOME LLC EXETER NH 03833 (603) 418-6310 FAMILY MEDICINE 770YP13454 WRIGHT ERINN H MD BRIDGTON HOSPITAL NAPLES ME 04055 (207) 693-6106 FAMILY MEDICINE 770YP27148 WRIGHT MELISSA J APRN ST JOSEPH HOSPITAL NASHUA NH 03061 (603) 595-3614 INTERNAL MEDICINE NURSE PRACTITIONER 770YP20216 WRIGHT VIRGINIA L APRN CROSSROADS FAMILY MEDICINE PLLC CONCORD NH 03301 (603) 856-8828 FAMILY NURSE PRACTITIONERS 77009808YP WRIGHT WENDY L APRN WRIGHT & ASSOCIATES FAMILY HEALTHCARE PLLC AMHERST NH 03031 (603) 249-8883 FAMILY NURSE PRACTITIONERS 770YP27770 WRIGHT WILLIAMS HEATHER MD DARTMOUTH HITCHCOCK CLINIC PLYMOUTH NH 03264 (603) 536-7000 PEDIATRICS 770YP12177 WU MICHAEL C MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 778-2899 FAMILY MEDICINE 770YP00603 WU TIMOTHY R MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP00603 WU TIMOTHY R MD LAHEY CLINIC INC WINCHESTER MA 01890 (781) 756-2260 INTERNAL MEDICINE 770YP23321 YAGER MARIANA B MD CORE PHYSICIANS LLC EXETER NH 03833 (603) 778-2899 INTERNAL MEDICINE 770YP04244 YAGER ROBERT D MD KING MEDICAL ASSOCIATES NASHUA NH 03060 (603) 595-2300 FAMILY MEDICINE 77002659YP YARIAN DAVID O MD YORK HOSPITAL SOUTH BERWICK ME 03908 (207) 384-9212 FAMILY MEDICINE Page 41 of 42 ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2016 This list includes PCPs who participate with Anthem BCBS in New Hampshire. Please note this is not an all-inclusive list for Access Blue New England, BlueChoice New England or HMO Blue New England plans. To search for participating PCPs or providers in other New England states, visit www.healthtrustnh.org and click on the orange Medical icon, then follow the simple instructions located under Medical Plan Provider Directories in the box on the right side of the page. PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY 77001014YP YEGHIAZARIANS VARTAN MD SALEM NH PHYSICIANS NETWORK PC METHUEN MA 01844 (978) 685-5627 INTERNAL MEDICINE 77001014YP YEGHIAZARIANS VARTAN MD SALEM NH PHYSICIANS NETWORK PC SALEM NH 03079 (603) 898-6363 INTERNAL MEDICINE 770YP03075 YEH CHIH Y MD AUTUMN GRACE MEDICAL ASSOCIATES PC METHUEN MA 01844 (978) 682-3939 INTERNAL MEDICINE 770YP05083 YEH KEVIN J MD LAHEY CLINIC INC PEABODY MA 01960 (978) 538-4000 INTERNAL MEDICINE 770YP24777 YEHLING HILARY A MD ELLIOT PHYSICIANS NETWORK RAYMOND NH 03077 (603) 895-8000 PEDIATRICS 770YP08848 YERDON-MCLEOD ANGELA M DO CONCORD HOSPITAL INC CONCORD NH 03301 (603) 228-7200 FAMILY MEDICINE 770YP00606 YING CHRISTOPHER Y MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP09002 YOUNG CHRISTINE E MD CORE PHYSICIANS LLC EPPING NH 03042 (603) 693-2100 INTERNAL MEDICINE 77008074YP YOUNG KEVIN I MD PLYMOUTH FAMILY PRACTICE CENTER PLYMOUTH NH 03264 (603) 536-2502 FAMILY MEDICINE 77002325YP YOUNG MITCHELL R MD DARTMOUTH HITCHCOCK CLINIC BEDFORD NH 03110 (603) 695-2940 FAMILY MEDICINE 77002325YP YOUNG MITCHELL R MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4188 FAMILY MEDICINE 770YP02865 YOUNG RICHARD M APRN LRGHEALTHCARE MOULTONBORO NH 03254 (603) 253-6925 FAMILY NURSE PRACTITIONERS 770YP13992 YOUNGS STEVEN W DO HEALTH FIRST FAMILY CARE CENTER LACONIA NH 03246 (603) 366-1070 FAMILY MEDICINE 770YP13992 YOUNGS STEVEN W DO HEALTH FIRST FAMILY CARE CENTER FRANKLIN NH 03235 (603) 934-1464 FAMILY MEDICINE 770YP03582 YOUNG-XU SARAH P MD AMMONOOSUC COMMUNITY HEALTH SERVICES INC WOODSVILLE NH 03785 (603) 747-3740 FAMILY MEDICINE 77008637YP YOURTEE EDWARD L MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC DERRY NH 03038 (603) 216-0400 INTERNAL MEDICINE 77008637YP YOURTEE EDWARD L MD SOUTHERN NEW HAMPSHIRE INTERNAL MED ASSOC WINDHAM NH 03087 (603) 216-0400 INTERNAL MEDICINE 770YP04111 YOUSSEF DENISE MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4400 PEDIATRICS 770YP14099 YOUSSEF RULA M MD NEW ENGLAND PRIMARY CARE ASSOCIATES PC LAWRENCE MA 01843 (978) 685-2455 FAMILY MEDICINE 77003259YP YUIL GABRIEL MD YUIL MEDICAL ASSOCIATES PLLC LAWRENCE MA 01841 (978) 682-3233 FAMILY MEDICINE 770YP27246 YUKICA REBECCA L DO UPPER VALLEY PEDIATRICS PLLC BRADFORD VT 05033 (802) 222-4722 PEDIATRICS 77000386YP ZACHOS SARAH C MD LAMPREY HEALTH CARE INC RAYMOND NH 03077 (603) 895-3351 FAMILY MEDICINE 77000386YP ZACHOS SARAH C MD LAMPREY HEALTH CARE INC NEWMARKET NH 03857 (603) 659-3106 FAMILY MEDICINE 77000386YP ZACHOS SARAH C MD LAMPREY HEALTH CARE INC NASHUA NH 03060 (603) 883-1626 FAMILY MEDICINE 770YP24850 ZAHEEN ASIA MD MERRIMACK MEDICAL & WALK IN S LAWRENCE MA 01841 (978) 688-3100 FAMILY MEDICINE 770YP16025 ZAKORCHEMNY LAURA L APRN HEALTH FIRST FAMILY CARE CENTER LACONIA NH 03246 (603) 366-1070 FAMILY NURSE PRACTITIONERS 770YP03165 ZANGARA RICHARD J MD LAHEY CLINIC INC LEXINGTON MA 02421 (781) 372-7000 INTERNAL MEDICINE 770YP25744 ZAVOD ABIGAIL MD DARTMOUTH HITCHCOCK CLINIC NASHUA NH 03063 (603) 577-4000 INTERNAL MEDICINE 770YP25746 ZAVOD ABIGAIL MD DARTMOUTH HITCHCOCK CLINIC MERRIMACK NH 03054 (603) 424-4713 INTERNAL MEDICINE 770YP19694 ZDRNJA VLASTA MD CATHOLIC MEDICAL CENTER MANCHESTER NH 03102 (603) 625-6198 INTERNAL MEDICINE 77004263YP ZEGANS CLAUDIA C MD DARTMOUTH HITCHCOCK CLINIC HANOVER NH 03755 (603) 650-4000 PEDIATRICS 770YP18423 ZENT KEVIN B MD GOODWIN COMMUNITY HEALTH SOMERSWORTH NH 03878 (603) 749-2346 FAMILY MEDICINE 770YP12542 ZHAO CHUN-RUI R MD ST JOSEPH HOSPITAL NASHUA NH 03061 (603) 595-3722 FAMILY MEDICINE 770YP12535 ZIADA IHAB MD ST JOSEPH HOSPITAL NASHUA NH 03062 (603) 595-3614 INTERNAL MEDICINE 770YP00609 ZIDE RUSSELL S MD LAHEY CLINIC INC BURLINGTON MA 01805 (781) 744-5100 INTERNAL MEDICINE 770YP10869 ZIELINSKA ANNA M MD FOUNDATION MEDICAL PARTNERS INC NASHUA NH 03062 (603) 888-5573 FAMILY MEDICINE 77009235YP ZIELINSKI RANDALL S MD WENTWORTH DOUGLASS PHYSICIAN CORP DOVER NH 03820 (603) 742-7222 INTERNAL MEDICINE 770YP14507 ZILBER DMITRIY MD LAHEY CLINIC INC BEVERLY MA 01915 (978) 927-1919 INTERNAL MEDICINE 77001848YP ZINNES ROBERT M MD FOUNDATION MEDICAL PARTNERS INC HUDSON NH 03051 (603) 886-3979 FAMILY MEDICINE 77005039YP ZIOBROWSKI THOMAS F MD NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY VT 05819 (802) 748-7500 INTERNAL MEDICINE 770YP05271 ZUSER LYDIA MD LYDIA ZUSER MD HAVERHILL MA 01830 (978) 373-1591 INTERNAL MEDICINE 77003291YP ZWAAN ANTHONY C MD ANTHONY C ZWAAN MD PLLC EXETER NH 03833 (603) 773-2225 FAMILY MEDICINE Page 42 of 42
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