Aetna "Select Provider" Listing - High-Tech Radiology Massachusetts - November, 2011 BERKSHIRE COUNTY

Transcription

1 Aetna "Select Provider" Listing - High-Tech Radiology Massachusetts - November, 2011 MASSACHUSETTS BARNSTABLE COUNTY Bourne Inmed Diagnostic Services of MA LLC , Technology Drive, Suite B Bourne, MA Phone: , CT Harwich Cape Cod PET/CT Services , Long Pond Drive Harwich, MA Phone: / Fax: Hyannis Inmed Diagnostic Services of MA LLC , Quinlan Way Hyannis, MA Phone: , CT BERKSHIRE COUNTY North Adams North Adams Regional Hospital , Hospital Avenue North Adams, MA Phone: / Fax: , CT Pittsfield , Conte Drive Pittsfield, MA Phone: , PET BRISTOL COUNTY Attleboro , Sturdy Memorial Hospital 211 Park Street Attleboro, MA Phone: / Fax: , PET Mashpee Dartmouth Fall River-New Bedford Regional MRI , , Cape Cod PET/CT Imaging 313 Faunce Corner Road 800 Falmouth Road, Somerfield Park Unit 109 Dartmouth, MA Mashpee, MA Phone: Phone: / Fax: , PET Steward PET Imaging, LLC , Sandwich Hawthorn Medical Associates 535 Faunce Corner Road Cape Cod PET/CT Services , Dartmouth, MA Jan Sebastian Drive Phone: / Fax: Sandwich, MA Phone: Fall River , , Jan Sebastian Way Truesdale Clinic Sandwich, MA Presidents Avenue Phone: Fall River, MA 02720, PET Phone: / Fax: , PET South Dennis Lahey Clinic, Inc , Inmed Diagnostic Services of MA LLC , President Avenue, Suite Route 134, Unit C2 Fall River, MA South Dennis, MA Phone: Phone: / Fax: , CT PrimaCare, PC Pleasant Primary Yarmouth Care , Shields MRI and Imaging Center of 289 Pleasant Street Cape Cod, LLC Fall River, MA , Phone: / Fax: Ivanough Road Yarmouth, MA Phone: , CT Steward PET Imaging, LLC , St. Anne's Hospital 795 Middle Street Fall River, MA Phone: / Fax: New Bedford Fall River-New Bedford Regional MRI , Allen Street New Bedford, MA Phone: New Bedford Medical Associates, PC , Kempton Street New Bedford, MA Phone: / Fax: , Orchard Street New Bedford, MA Phone: , Allen Street New Bedford, MA Phone: , Hawthorn Street, Suite R New Bedford, MA Phone: North Dartmouth , Alliance Positron Dartmouth 237 A State Road North Dartmouth, MA Phone: , PET New Bedford Medical Associates, PC , Faunce Corner Road North Dartmouth, MA Phone: , Slocum Road North Dartmouth, MA Phone: , State Road, Suite 101 North Dartmouth, MA Phone: , Hawthorn Street North Dartmouth, MA Phone: MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 1 of 6

2 Aetna "Select Provider" Listing - High-Tech Radiology Massachusetts - November, 2011 Norton , East Main Street Norton, MA Phone: , PET Taunton , Dean Street Taunton, MA Phone: / Fax: ESSEX COUNTY Amesbury Lahey Clinic, Inc , Lahey Amesbury 24 Morrill Place Amesbury, MA Phone: Beverly Beverly Hospital , Herrick Street Beverly, MA Phone: North Shore P.E.T. Imaging Center , Herrick Street Beverly, MA Phone: / Fax: Danvers Lahey Clinic, Inc , Lahey Danvers 5 Federal Street Danvers, MA Phone: Gloucester Addison Gilbert Hospital , Washington Street Gloucester, MA Phone: , CT Haverhill Massachusetts Mobile Pet., PC , Merrimack Valley Hospital 140 Lincoln Avenue Haverhill, MA Phone: / Fax: MRI Center of Haverhill , 413 One Parkway Haverhill, MA Phone: / Fax: Pentucket Medical Associates-Primary Care , Pkwy. Haverhill, MA Phone: Lawrence Merrimack Valley Health Services , One General Street Lawrence, MA Phone: Pentucket Medical At Riverwalk , Riverwalk 500 Merrimack Street Lawrence, MA Phone: Lynnfield Lahey Clinic, Inc , Lahey Lynnfield 6 Kimball Lane Lynnfield, MA Phone: Methuen Merrimack Valley Mri , East Street Methuen, MA Phone: New England PET Imaging System , East Street Methuen, MA Phone: / Fax: , PET Newburyport Anna Jaques Hospital , Highland Avenue Newburyport, MA Phone: Massachusetts Mobile Pet., PC , Highland Avenue Newburyport, MA Phone: / Fax: Merrimack Valley Health Services , Highland Avenue Newburyport, MA Phone: North Andover , Andover Bypass North Andover, MA Phone: , PET Massachusetts Mobile Pet., PC , Sutton Street North Andover, MA Phone: / Fax: Merrimack Valley Health Services , Andover Bypass North Andover, MA Phone: / Fax: Northeast Urology Surgery , Sutton Street, Suite 1D North Andover, MA Phone: / Fax: Peabody Lahey Clinic MRI Services, Inc , Essex Center Drive Peabody, MA Phone: Lahey Clinic, Inc , Essex Center Drive Peabody, MA Phone: MRI Center of Peabody , One Orthopedics Drive Peabody, MA Phone: / Fax: Saugus Metro North MRI , Broadway Route 1 Saugus, MA Phone: / Fax: MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 2 of 6

3 Aetna "Select Provider" Listing - High-Tech Radiology Massachusetts - November, 2011 FRANKLIN COUNTY Greenfield Franklin MRI Center, LLC , High Street Greenfield, MA Phone: / Fax: Shields MRI of Framingham, LLC , High Street Greenfield, MA Phone: / Fax: HAMPDEN COUNTY Chicopee Western Mass Magnetic Resonance Services, Inc , Montgomery Street Chicopee, MA Phone: / Fax: Holyoke , Beech Street Holyoke, MA Phone: , PET Steward PET Imaging, LLC , Holyoke Medical Center 575 Beech Street Holyoke, MA Phone: / Fax: Palmer UMASS Memorial MRI Center , Wright St Palmer, MA Phone: , PET Springfield Baystate MRI and Imaging Center , Baystate Medical Center 80 Watson Avenue Springfield, MA Phone: , PET Diagnostic Imaging and Medical Center , Liberty Street Springfield, MA Phone: / Fax: Greater Springfield MRI, LP , Carew Street Springfield, MA Phone: , Carew Street Springfield, MA Phone: , PET Mercy Hospital , Carew Street Springfield, MA Phone: Westfield Noble Hospital , West Silver Street Westfield, MA Phone: , CT Steward PET Imaging, LLC , West Silver Street Westfield, MA Phone: / Fax: HAMPSHIRE COUNTY Northampton Steward PET Imaging, LLC , Cooley Dickinson Hospital 30 Locust Street Northampton, MA Phone: / Fax: Ware Baystate MRI and Imaging Center , Mary Lane Hospital 85 South Street Ware, MA Phone: , PET MIDDLESEX COUNTY Arlington Lahey Clinic, Inc , Lahey Arlington 37 Broadway Arlington, MA Phone: Ayer , Groton Street Ayer, MA Phone: / Fax: , PET Burlington Lahey Clinic, Inc , Wall Street Burlington, MA Phone: / Fax: , Mall Road Burlington, MA Phone: / Fax: Cambridge Schatzki Associates, Inc , Concord Avenue Cambridge, MA Phone: / Fax: , CT Chelmsford Open MRI of Chelmsford , Billerica Road Chelmsford, MA Phone: Framingham , MetroWest Wellness Center 761 Worcester Road Framingham, MA Phone: / Fax: , PET Metrowest Imaging Center , Metrowest MRI 761 Worcester Road Framingham, MA Phone: Shields MRI of Framingham, LLC , Cochituate Road Framingham, MA Phone: MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 3 of 6

4 Aetna "Select Provider" Listing - High-Tech Radiology Massachusetts - November, 2011 Lexington Lahey Clinic, Inc , Lahey Lexington 16 Hayden Avenue Lexington, MA Phone: / Fax: , Muzzey Street Lexington, MA Phone: Lowell Merrimack Valley Health Services , Saint John's Campus 1 Hospital Drive Lowell, MA Phone: New England P.E.T. of Greater Lowell , Varnum Avenue, Suite 200 Lowell, MA Phone: / Fax: Marlborough UMass Memorial MRI-Marlborough, LLC , Union Street Marlborough, MA Phone: Medford Metro North MRI , Boston Avenue Medford, MA Phone: Newton Forest Park MRI Associates, PC, d/b/a The MRI Center of Woburn , Walnut Street Newton, MA Phone: Stoneham , ICI, Inc. at Montvale PET/CT 41 Montvale Avenue Stoneham, MA Phone: , PET Inmed Diagnostic Services of MA LLC , Woodland Road, Suite 217 Stoneham, MA Phone: , CT Watertown Schatzki Associates, Inc , Mount Auburn Street Watertown, MA Phone: / Fax: , CT Woburn Forest Park MRI Associates, PC, d/b/a The MRI Center of Woburn , West Cummings Park, Suite 1150 Woburn, MA Phone: / Fax: NORFOLK COUNTY Braintree Harbor Medical Associates/Specialists , Washington Street Braintree, MA Phone: , CT Brookline Coolidge Corner Imaging , Harvard Street Brookline, MA Phone: / Fax: , CT Longwood MRI Specialists, PC , Washington Street Brookline, MA Phone: / Fax: Shields MRI and Imaging Center of Cape Cod, LLC , Cypress Street Brookline, MA Phone: , CT Cohasset Harbor Medical Associates/Specialists , Chief Justice Cushing Hwy. Cohasset, MA Phone: , CT MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography Dedham Open MRI of Dedham , Providence Hwy., Route 1, Suite 210 Dedham, MA Phone: Foxboro Steward PET Imaging, LLC , Caritas Norwood Hospital 70 Walnut Street Foxboro, MA Phone: / Fax: Holbrook , North Franklin Street Holbrook, MA Phone: Milton Milton Hospital , Reedsdale Road Milton, MA Phone: / Fax: , CT Steward PET Imaging, LLC , Milton Hospital 199 Reedsdale Road Milton, MA Phone: / Fax: Norwood Radiology Associates of Norwood , Washington Street, Suite 215 Norwood, MA Phone: , CT Quincy , Whitwell Street Quincy, MA Phone: , PET South Weymouth Harbor Medical Associates/Specialists , Columbian Street, Suite 102 South Weymouth, MA Phone: , CT , Main Street South Weymouth, MA Phone: / Fax: , CT 4 of 6

5 Aetna "Select Provider" Listing - High-Tech Radiology Massachusetts - November, 2011 Shields Imaging of Eastern Massachusetts LLC , Fogg Road South Weymouth, MA Phone: / Fax: Wellesley West Suburban Imaging Center , Washington Street Wellesley, MA Phone: , CT Weymouth , Main Street, Suite 4 Weymouth, MA Phone: / Fax: , Main Street Weymouth, MA Phone: , Weymouth Woods 51 Performance Drive Weymouth, MA Phone: / Fax: , PET Metro North MRI 51 Performance Drive Weymouth, MA Phone: , Shields MRI of Weymouth , Rockway Avenue Weymouth, MA Phone: / Fax: Weymouth MRI LLC , Libby Pkwy. Weymouth, MA Phone: / Fax: , CT PLYMOUTH COUNTY Abington , Bedford Street Abington, MA Phone: / Fax: Brockton Brockton Hospital , Centre Street Brockton, MA Phone: / Fax: , CT , Belmont Street, Suite 150 Phone: / Fax: , Centre Street Brockton, MA Phone: , PET Sheilds CT of Brockton, LLC , Westgate Drive, Suite 101 Phone: / Fax: Shields Healthcare Partners , Westgate Drive Phone: Shields MRI Brockton , Westgate Drive Phone: Steward PET Imaging, LLC , Caritas Good Samaritan Medical Ctr. 235 North Pearl Street Phone: / Fax: East Bridgewater , Compass Way East Bridgewater, MA Phone: / Fax: , Compass Way, Suite 105 East Bridgewater, MA Phone: Norwell Harbor Medical Associates/Specialists , Accord Park Drive, Bldg. D4 Norwell, MA Phone: / Fax: , CT Inmed Diagnostic Services of MA LLC , Longwater Drive Norwell, MA Phone: , CT Pembroke Harbor Medical Associates/Specialists , Riverside Drive Pembroke, MA Phone: , CT Plymouth , ICI, Inc. at Southeastern PET/CT 275 Sandwich Street Phone: , PET Seacoast Advanced Diagnostic Imagaing , Cedarhill Park Drive Phone: Scituate Harbor Medical Associates/Specialists , New Driftway Scituate, MA Phone: , CT Inmed Diagnostic Services of MA LLC , Driftway Scituate, MA Phone: , CT Wareham New Bedford Medical Associates, PC , Church Avenue Wareham, MA Phone: Shields MRI and Imaging Center of Cape Cod, LLC , Cranberry Hwy. Wareham, MA Phone: , CT MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 5 of 6

6 Aetna "Select Provider" Listing - High-Tech Radiology Massachusetts - November, 2011 Whitman , Bedford Street Whitman, MA Phone: SUFFOLK COUNTY Boston Massachusetts Bay Regional MRI Center , Granite Avenue Boston, MA Phone: Steward PET Imaging, LLC , Tufts-New England Medical Center 750 Washington Street Boston, MA Phone: / Fax: Brighton Schatzki Associates, Inc , Brighton Avenue Brighton, MA Phone: , CT Shields MRI of Brighton , Western Avenue Brighton, MA Phone: Steward PET Imaging, LLC , St. Elizabeth's Medical Center 736 Cambridge Street Brighton, MA Phone: / Fax: Chelsea MRI Center of Chelsea 100 Everett Avenue, Suite 3 Chelsea, MA Phone: / Fax: , CT , Dorchester Steward PET Imaging, LLC , Caritas Carney Hospital 2100 Dorchester Avenue Dorchester, MA Phone: / Fax: WORCESTER COUNTY Athol Western Mass Magnetic Resonance Services, Inc , Main Street Athol, MA Phone: / Fax: Fitchburg , Crown Point Bldg 76 Summer Street Fitchburg, MA Phone: , PET UMass Memorial Health Alliance MRI Center , Nichols Road Fitchburg, MA Phone: Gardner , Heywood Hospital 242 Green Street Gardner, MA Phone: / Fax: , PET Southbridge Harrington Hospital , South Street Southbridge, MA Phone: , PET Worcester Chadwick Medical Associates , Grove Street Phone: / Fax: , Summer Street Worcester, MA Phone: , PET UMASS Memorial MRI Center , Belmont Street Phone: , PET , Shrewsbury Street Worcester, MA Phone: , PET NEW HAMPSHIRE ROCKINGHAM COUNTY Derry Northeast Urology Surgery , Tsienneto Road, Suite 101 Derry, NH Phone: Salem Northeast Urology Surgery , Stiles Road, Suite 102 Salem, NH Phone: Note(s): These procedures may require pre-authorization. Aetna's radiology management vendors may have more current information that will supersede the information contained within this List. Effective January 1, 2012, Aetna requires all providers administering high-tech radiology services to be accredited by the American College of Radiology and/or the Intersocietal Accreditation Commission. Any provider performing these services who has not been accredited at the time of service will not be eligible for payment. Therefore, Aetna s radiology management vendors will offer alternative providers who have been determined to be accredited in accordance with these standards. MR - Closed MRI OMR - Open MRI CNM - Cardio Nuclear Medicine CT - CAT Scan PET - Positron Emission Tomography 6 of 6

7 MASSACHUSETTS BARNSTABLE COUNTY Bourne Inmed Diagnostic Services of MA LLC , Technology Drive, Suite B Bourne, MA Phone: , US, M InMed Diagnostic Women's Center , Technology Drive, Suite B Bourne, MA Phone: / Fax: , US, M Brewster Cape Gynecology, LLC , Bay State Court Brewster, MA Phone: / Fax: Falmouth Boston Eye Care Consultants , Bramblebush Park Falmouth, MA Phone: Boston Urology Institute, LLC , Bramble Bush Drive Falmouth, MA Phone: / Fax: Orthopedic Specialists, LLC , Bramblebush Park Falmouth, MA Phone: / Fax: Total Orthopedic Care Inc , Gifford Street Falmouth, MA Phone: Hyannis Boston Eye Care Consultants , East Main Street, Suite 4-5 Hyannis, MA Phone: / Fax: Cape Cod Orthopedics & Sports Medicine, PC , North Street Hyannis, MA Phone: / Fax: Coastal Orthopedics and Associates, P.C , Attucks Lane, Suite 1A Hyannis, MA Phone: / Fax: Harbor Health Services, Inc , Mid & Upper Cape Community Hlth Ctr 30 Elm Avenue Hyannis, MA Phone: Inmed Diagnostic Services of MA LLC , Quinlan Way Hyannis, MA Phone: , US, M Medical Affiliates Of Cape Cod , North Street Hyannis, MA Phone: , North Street Hyannis, MA Phone: , Lewis Bay Road Hyannis, MA Phone: / Fax: , Park Street Hyannis, MA Phone: , Quinlan Way, Suite 206 Hyannis, MA Phone: / Fax: , Park Street Hyannis, MA Phone: / Fax: Mid Cape Medical Center , Bearses Way, Unit A4 Hyannis, MA Phone: Urology Associates of Cape Cod, P.C , Main Street Hyannis, MA Phone: Mashpee Post, O'Connor & Kadman Eye Centers, PC , Falmouth Road Mashpee, MA Phone: / Fax: Spine & Pain Institute of NE, P.C , Bates Road, Suite 202 Mashpee, MA Phone: North Falmouth Medical Affiliates Of Cape Cod , Edgerton Drive North Falmouth, MA Phone: Sandwich Associated Eye Surgeons , Route 130 Sandwich, MA Phone: / Fax: John Lewis Medical Center , Jan Sebastian Drive Sandwich, MA Phone: / Fax: Pratt OB/GYN Associates, Inc , Route 130 Sandwich, MA Phone: South Dennis Inmed Diagnostic Services of MA LLC , Route 134, Unit C2 South Dennis, MA Phone: / Fax: , US, M InMed Diagnostic Women's Center , Route 134, Unit C-2 South Dennis, MA Phone: / Fax: , US, M Post, O'Connor & Kadman Eye Centers, PC , Airline Road South Dennis, MA Phone: / Fax: of 21

8 South Yarmouth Eye Health Services , Whites Path South Yarmouth, MA Phone: West Yarmouth Spine & Pain Institute of NE, P.C , East Main Street, 2nd Floor West Yarmouth, MA Phone: / Fax: Yarmouth Port Child Heart Associates , Willow Street Yarmouth Port, MA Phone: / Fax: BERKSHIRE COUNTY Great Barrington Berkshire Faculty Services , Stockbridge Road Great Barrington, MA Phone: Berkshire Hematology-Oncology P.C , Main Street Great Barrington, MA Phone: / Fax: Fairview Hospital ER Physicians , Stockbridge Road Great Barrington, MA Phone: Neighborhood Health Center , Stockbridge Road Great Barrington, MA Phone: , Castle Street Great Barrington, MA Phone: North Adams Berkshire Faculty Services , Hospital Avenue North Adams, MA Phone: / Fax: Berkshire Hematology-Oncology P.C , Hospital Avenue North Adams, MA Phone: Northern Berkshire OB/GYN , Hospital Avenue, Suite 3-E North Adams, MA Phone: / Fax: Orthopedic Associates of Northern Berkshire, P.C , Hospital Avenue, Suite 107 North Adams, MA Phone: / Fax: Pittsfield Advanced Berkshire Medical Imaging, PC , North Street Pittsfield, MA Phone: Berkshire Care, Inc , Charles Street Pittsfield, MA Phone: Berkshire Faculty Services , Tor Court Pittsfield, MA Phone: / Fax: , North Street Pittsfield, MA Phone: Berkshire Hematology-Oncology P.C , Conte Drive Pittsfield, MA Phone: / Fax: Neighborhood Health Center , Neighborhood Health Center 510 North Street Pittsfield, MA Phone: BRISTOL COUNTY Attleboro Masci and Dehm Eye Associates, LLP , Pleasant Street Attleboro, MA Phone: Southern New England Retina Assoc , Pleasant Street Attleboro, MA Phone: Sturdy Radiology Associates, LLC , Park Street Attleboro, MA Phone: Taunton Medical, PC , Park Street Attleboro, MA Phone: Dartmouth Hawthorn Medical Associates , State Road Dartmouth, MA Phone: , US, M Fall River Center For Eye Health, Inc , President Avenue, Room 202 Fall River, MA Phone: / Fax: Center For Sight, INC , North Main Street, Suite 406 Fall River, MA Phone: / Fax: Coastal Orthopaedic Inst , Hanover Street Fall River, MA Phone: / Fax: Lahey Clinic, Inc President Avenue, Suite 3002 Fall River, MA Phone: , US, M , PrimaCare, PC Pleasant Primary Care , Pleasant Street Fall River, MA Phone: / Fax: , US, M Tru Med, Inc , Newton Street Fall River, MA Phone: of 21

9 Truesdale Obstetrics and Gynecology, PC , President Avenue, Suite 3002 Fall River, MA Phone: / Fax: Urology, Inc , President Avenue, Suite 3002 Fall River, MA Phone: , South Main Street Fall River, MA Phone: / Fax: New Bedford Advanced Eye Centers Inc , Purchase Street New Bedford, MA Phone: / Fax: Hawthorn Medical Associates , Allen Street New Bedford, MA Phone: / Fax: , US, M North Dartmouth Advanced Eye Centers Inc , Faunce Corner Road, Suite 110 North Dartmouth, MA Phone: / Fax: Dartmouth Medical Walk-In PC III , Faunce Corner Road, Suite 2 North Dartmouth, MA Phone: / Fax: Hawthorn Medical Associates , A State Road North Dartmouth, MA Phone: / Fax: , US, M , Faunce Corner Road North Dartmouth, MA Phone: / Fax: , US, M North Easton Boston Urology Institute, LLC , Roache Brothers Way, Suite 100 North Easton, MA Phone: / Fax: Easton Eye Consultants , Roche Brothers Way, Suite 140 North Easton, MA Phone: Orthopedic Care Specialists, Inc , Roache Brothers Way, Suite 200 North Easton, MA Phone: , FL Raynham Boston University Eye Associates, Inc , New State Hwy. Raynham, MA Phone: / Fax: Signature Medical Group - Specialists , Broadway Raynham, MA Phone: / Fax: , M Tru Med, Inc , Route 44 Raynham, MA Phone: Somerset Coastal Orthopaedic Inst , Wilbur Avenue Somerset, MA Phone: / Fax: Taunton Advanced Eye Centers Inc , Washington Street Taunton, MA Phone: / Fax: Boston University Eye Associates, Inc , Bay Street, Suite 201 Taunton, MA Phone: / Fax: Boston Urology Institute, LLC , Washington Street Taunton, MA Phone: / Fax: Bristol Diabetes & Endocrinology , Bay Street, Suite 204B Taunton, MA Phone: , Dean Street Taunton, MA Phone: / Fax: , US, M Navix Diagnostix, Inc , Myles Standish Blvd. Taunton, MA Phone: Retina Eye Care, P.C , Retina Eye Care, PC 2005 Bay Street, Suite 204A Taunton, MA Phone: / Fax: Saperia Orthopaedics , Washington Street, Suite 2400 Taunton, MA Phone: Taunton Medical, PC , Court Street Taunton, MA Phone: / Fax: Taunton Regional Pain Medicine Center Inc , Washington Street, Suite 303 Taunton, MA Phone: / Fax: ESSEX COUNTY Amesbury Lahey Clinic, Inc , Lahey Amesbury 24 Morrill Place Amesbury, MA Phone: , US, M Andover Andover Surgical Associates, Inc , Haverhill Street Andover, MA Phone: / Fax: Women's Health Imaging Suite , Haverhill Street Andover, MA Phone: , US, M 3 of 21

10 Beverly Boston Urology Institute, LLC , Herrick Street, Suite 219 Beverly, MA Phone: / Fax: Coastal Orthopedic Assoc, Inc , The Medical Building 77 Herrick Street, Suite 201 Beverly, MA Phone: / Fax: , US Essex County OB/GYN Associates, Inc , Herrick Street, Suite 2004 Beverly, MA Phone: High Performance Sports Medicine, P.C , Cummings Center, Suite 130U Beverly, MA Phone: / Fax: North Shore Pain Management , Cummings Center, Suite 118U Beverly, MA Phone: / Fax: The Medical Group, Inc , Medical Building 77 Herrick Street, Suite 101 Beverly, MA Phone: / Fax: Vein Institute of the North Shore, LLC , Cummings Center, Suite 109F Beverly, MA Phone: Danvers Essex County OB/GYN Associates, Inc , Commonwealth Avenue, Suite 208 Danvers, MA Phone: Lahey Clinic, Inc , Lahey Danvers 5 Federal Street Danvers, MA Phone: , US, M Navix Diagnostix, Inc , Commonwealth Avenue, Suite 108 Danvers, MA Phone: New England Orthopedic Specialists, LLC , Endicott Street, Suite LL00 Danvers, MA Phone: / Fax: , Maple Street Danvers, MA Phone: / Fax: Northeast Eye Care Inc , Lindall Street Danvers, MA Phone: Salem Orthopedic Surgeons, Inc , Commonwealth Avenue Danvers, MA Phone: / Fax: Urology Consultants of the North Shore, INC , Endicott Street, Suite 303 Danvers, MA Phone: / Fax: , Maple Street Danvers, MA Phone: / Fax: Essex Lahey Essex , Martin Street Essex, MA Phone: Gloucester Essex County OB/GYN Associates, Inc , Washington Street Gloucester, MA Phone: / Fax: New England Orthopedic Specialists, LLC , Blackburn Drive Gloucester, MA Phone: / Fax: Haverhill Associates in Orthopedic Surgery , Groveland Street Haverhill, MA Phone: / Fax: New England Neurological , One Pkwy. Haverhill, MA Phone: Pentucket Medical Associates-Pediatrics , Pkwy. Haverhill, MA Phone: / Fax: , US Pentucket Medical Associates-Primary Care , Pkwy. Haverhill, MA Phone: Pentucket Orthopaedics , Arthroscopy & Sports Medcine Center 61 Brown Street Haverhill, MA Phone: / Fax: Shared Diagnostic Serv , Summer Street, Suite 1 Haverhill, MA Phone: Lawrence Lawrence General Physician Group , General Street Lawrence, MA Phone: , US Merrimack Valley Pain Associates , Prospect Street, Suite 101 Lawrence, MA Phone: New England Neurological 354 Merrimack Street, Suite 1 Lawrence, MA Phone: , Pentucket Medical Associates-Internal Medicine , Riverwalk 500 Merrimack Street Lawrence, MA Phone: of 21

11 Lynn North Shore Women's Center, P.C , Lynnfield Street Lynn, MA Phone: / Fax: Lynnfield Lahey Clinic, Inc , Lahey Lynnfield 6 Kimball Lane Lynnfield, MA Phone: , US, M Manchester Sports Medicine North Orthopaedic Surgery, Inc , School Street, Suite C Manchester, MA Phone: / Fax: , FL Methuen Heartsafe LLC Heartsafe LLC , East Street Methuen, MA Phone: Shared Diagnostic Serv , Merrimack Street Methuen, MA Phone: Newburyport New England Neurological , Cherry Street Newburyport, MA Phone: Pentucket Medical Associates-Pediatrics 260 Merrimac Street Newburyport, MA Phone: / Fax: , Seacoast Orthopedics , Highland Avenue, Suite 16 Newburyport, MA Phone: / Fax: Sports Medicine North Orthopaedic Surgery, Inc , Wallace Bashaw Junior Way Newburyport, MA Phone: / Fax: , FL North Andover Heartsafe LLC Heartsafe LLC , Turnpike Street, Suite 75 North Andover, MA Phone: / Fax: Merrimack Valley Pain Associates , Salem Street North Andover, MA Phone: New England Allergy and Imm , Turnpike Street North Andover, MA Phone: , US Northeast Urology Surgery , Sutton Street, Suite 1D North Andover, MA Phone: / Fax: Orthopaedics Northeast, P.C , Turnpike Street North Andover, MA Phone: / Fax: Pentucket Medical Associates-Primary Care , Tpke. Street North Andover, MA Phone: Peabody Internal Medicine Physicians of the North Shore , Centennial Drive Peabody, MA Phone: / Fax: , US Lahey Clinic, Inc , Essex Center Drive Peabody, MA Phone: , US, M Microsurgical Eye Consultants , Centennial Drive Peabody, MA Phone: / Fax: New England Orthopedic Specialists, LLC , Centennial Drive Peabody, MA Phone: / Fax: Pratt Medical Group, Inc , Brooksby Village Drive Peabody, MA Phone: Sports Medicine North Orthopaedic Surgery, Inc , Orthopedics Drive, 2nd Floor Peabody, MA Phone: / Fax: , FL Salem Eye Center of the North Shore , Highland Avenue, Suite 20 Salem, MA Phone: / Fax: Salem Orthopedic Surgeons, Inc , Colby Street Salem, MA Phone: / Fax: Urology Consultants of the North Shore, INC , Highland Avenue, Suite 6 Salem, MA Phone: / Fax: Swampscott Family Doctors, LLC , Paradise Road Swampscott, MA Phone: / Fax: FRANKLIN COUNTY Greenfield Shields MRI of Framingham, LLC , High Street Greenfield, MA Phone: / Fax: Valley Medical Group, PC , Greenfield Health Center 329 Conway Street Greenfield, MA Phone: , US, M Turners Falls Connecticut River Internists , Burnham Street Turners Falls, MA Phone: / Fax: , M 5 of 21

12 HAMPDEN COUNTY Brimfield Harrington Physician Services , Old Sturbridge Road Brimfield, MA Phone: / Fax: , US Chicopee Riverbend Medical Group , Montgomery Street Chicopee, MA Phone: / Fax: , US, M Valley Pulmonary and Medical Associates, PC , Broadway Street Chicopee, MA Phone: East Longmeadow Counseling and Gynecology Group , Maple Street East Longmeadow, MA Phone: , US Holyoke Providence Diagnostic Imaging, Inc , Main Street Holyoke, MA Phone: Riverbend Medical Group , High Street Holyoke, MA Phone: / Fax: , US, M Springfield Diagnostic Imaging and Medical Center , Liberty Street Springfield, MA Phone: / Fax: Mercy Hospital , Carew Street Springfield, MA Phone: , US, M Mercy Inpatient Medical Associates, Inc , Mercy Inpatient Medical Assocs. 271 Carew Street Springfield, MA Phone: / Fax: , US Providence Diagnostic Imaging, Inc , Carew Street Springfield, MA Phone: / Fax: , Liberty Street Springfield, MA Phone: Sonography Associates Inc , Chestnut Street, Suite 4 Springfield, MA Phone: Valley Pulmonary and Medical Associates, PC , Carew Street Springfield, MA Phone: Westfield Noble Hospital , West Silver Street Westfield, MA Phone: , US, M Riverbend Medical Group-Internal Medicine , Southampton Road Westfield, MA Phone: / Fax: HAMPSHIRE COUNTY Amherst Hampshire OB/GYN Associates, Inc , University Drive Amherst, MA Phone: Northampton Hampshire OB/GYN Associates, Inc , Locust Street, Suite 1 Northampton, MA Phone: / Fax: MIDDLESEX COUNTY Arlington Eye Associates, PC , Massachussets Avenue Arlington, MA Phone: / Fax: Lahey Arlington/Billerica , Broadway Arlington, MA Phone: / Fax: Lahey Clinic, Inc , Lahey Arlington 37 Broadway Arlington, MA Phone: , US, M Ayer Nashoba Radiology Group, LLC , Groton Road Ayer, MA Phone: / Fax: SPN-Nashoba Valley Healthcare , Groton Road Ayer, MA Phone: / Fax: , US Valley Eye Physicians and Surgeons, PC , Groton Road, Suite 240 Ayer, MA Phone: / Fax: Billerica Burlington Medical Group, LLC 790 Boston Road Billerica, MA Phone: / Fax: , Burlington Burlington Ob/Gyn Associates , Cambridge Street Burlington, MA Phone: / Fax: Eye Associates, PC , Cambridge Street Burlington, MA Phone: Lahey Clinic, Inc , Wall Street Burlington, MA Phone: / Fax: , US, M , Mall Road Burlington, MA Phone: / Fax: , US, M 6 of 21

13 Cambridge Belmont Medical Associates , Concord Avenue, Suite 4100 Cambridge, MA Phone: / Fax: , US New England Spine Care Associates , Concord Avenue Cambridge, MA Phone: / Fax: Pro Sports Orthopedics , Mt. Auburn Street, Suite 505 Cambridge, MA Phone: / Fax: , US Schatzki Associates, Inc , Concord Avenue Cambridge, MA Phone: / Fax: Shared Diagnostic Serv , Concord Avenue Cambridge, MA Phone: Chelmsford Merrimack Urology Assoc , Village Square Chelmsford, MA Phone: / Fax: Open MRI of Chelmsford , Billerica Road Chelmsford, MA Phone: Saints Medical Center, Inc , Parkhurst Road Chelmsford, MA Phone: Shaila Associates , Court House Lane Chelmsford, MA Phone: / Fax: Everett North Suburban Cardiology Associates, PC , Garland Street Everett, MA Phone: North Suburban Orthopedic , North Suburban Orthopedic Asc 602 Broadway Everett, MA Phone: , FL Northeast Eye Care Inc , Broadway Everett, MA Phone: Women's Healthcare Associates, P.C , Garland Street Everett, MA Phone: Framingham All About Women - Specialists in OB/Gyn, PC , Lincoln Street, Suite 1 Phone: / Fax: Boston Urology Institute, LLC , Lincoln Street Phone: / Fax: , Worcester Road, Suite 601 Framingham, MA Phone: / Fax: Fallon Clinic, Inc , Cochituate Road Framingham, MA Phone: , US, M Framingham Orthopedics , Worcester Road Phone: Imaging Associates Inc , Edgell Road Framingham, MA Phone: / Fax: , US Metrowest Physician Services , Lincoln Street Phone: , Lincoln Street Phone: , Lincoln Street Phone: , Cochituate Road Framingham, MA Phone: , Waverly Street Phone: , Lincoln Street Phone: , Union Avenue Phone: , Lincoln Street, Suite 101 Phone: , Franklin Street Phone: , Worcester Road Framingham, MA Phone: , Lincoln Street Phone: , Lincoln Street Phone: New England Hand Associates PC , Worcester Road Framingham, MA Phone: / Fax: of 21

14 PCHC - Charles River Medical Associates , Charles River Medical Associates 236 Central Street Framingham, MA Phone: / Fax: , Franklin Street Phone: / Fax: , Union Avenue Phone: / Fax: Shields MRI of Framingham, LLC , Cochituate Road Framingham, MA Phone: Spine & Pain Institute of NE, P.C , Worcester Road, Suite 205 Framingham, MA Phone: / Fax: The Vanishing Vein, Inc , Lincoln Street Phone: Groton Groton Medical Associates , Boston Road Groton, MA Phone: / Fax: SPN-Nashoba Valley Healthcare , Main Street, Suite 4B Groton, MA Phone: / Fax: , US Hudson PCHC - Charles River Medical Associates , Washington Street Hudson, MA Phone: / Fax: Lexington Lahey Clinic, Inc , Lahey Lexington 16 Hayden Avenue Lexington, MA Phone: / Fax: , US, M , Muzzey Street Lexington, MA Phone: , US, M Reproductive Science Center , Forbes Road Lexington, MA Phone: / Fax: Lincoln PCHC - Charles River Medical Associates , Concord Road Lincoln, MA Phone: Lowell LGH Cancercare Associates, Inc , Varnum Avenue Lowell, MA Phone: / Fax: , US Mill City Medical Group LTD , Palmer Street Lowell, MA Phone: New England Neurological , George Street, Suite 300 Lowell, MA Phone: / Fax: Saints Medical Center, Inc , Bridge Street, Suite 5 Lowell, MA Phone: , One Hospital Drive Lowell, MA Phone: Malden Hallmark Imaging Associates, P.C , Hospital Road Malden, MA Phone: Malden Medical Center , Hospital Road Malden, MA Phone: North Suburban Orthopedic , Pearl Street Malden, MA Phone: / Fax: , FL Orthopedic Surgery Inc , Pleasant Street Malden, MA Phone: / Fax: Marlborough Imaging Associates Inc , Lord Road Marlborough, MA Phone: / Fax: , US Mass Lung and Allergy P.C , Union Avenue, Suite 102 Marlborough, MA Phone: Orthopedic Associates of Marlboro , Fremont Street Marlborough, MA Phone: PCHC - Charles River Medical Associates , Maple Street Marlborough, MA Phone: UMass Memorial Medical Group, Inc , Union Street Marlborough, MA Phone: , FL, US , Union Street Marlborough, MA Phone: / Fax: , FL, US , Maple Street Marlborough, MA Phone: , FL, US Medford Commonwealth Surgical Associates , Main Street, Suite 211 Medford, MA Phone: / Fax: of 21

15 Hallmark Imaging Associates, P.C , Main Street Medford, MA Phone: , Governers Avenue Medford, MA Phone: Orthopedic Surgery Inc , Main Street Medford, MA Phone: / Fax: Winchester Physician Associates , Riverside Avenue Medford, MA Phone: Melrose Hallmark Health Medical Associates, Inc , East Emerson Street Melrose, MA Phone: Hallmark Imaging Associates, P.C , Rowe Street, Suite 500 Melrose, MA Phone: , Lebanon Street Melrose, MA Phone: , Rowe Street Melrose, MA Phone: , Main Street Melrose, MA Phone: Health Diagnostics , Porter Street Melrose, MA Phone: , US, M North Suburban Cardiology Associates, PC , Lebanon Street Melrose, MA Phone: Orthopedic Surgery Inc , City Hall Plz Melrose, MA Phone: / Fax: Women's Healthcare Associates, P.C , Rowe Street, Suite 400 Melrose, MA Phone: / Fax: Natick Alexander Kopp, M.D., PC , Union Street, Suite 407 Natick, MA Phone: / Fax: Boston University Eye Associates, Inc , Union Street, Suite 407 Natick, MA Phone: / Fax: Boston Urology Institute, LLC , Union Street, Suite 303 Natick, MA Phone: Imaging Associates Inc , North Main Street Natick, MA Phone: / Fax: , US Metrowest Physician Services , Union Street, Suite 407 Natick, MA Phone: PCHC - Charles River Medical Associates , Union Street, Suite 206 Natick, MA Phone: / Fax: , Union Street, Suite 407 Natick, MA Phone: / Fax: Retina Eye Care, P.C , West Central Street, Suite 102 Natick, MA Phone: Spine & Pain Institute of NE, P.C , Leonard Morse Hospital 67 Union Street Natick, MA Phone: / Fax: Newton Eye Care & Laser Surgery of Newton Wellesley, LLC , Washington Street, Suite 548 Newton, MA Phone: / Fax: Lawrence General Physician Group , Winchester Street, Suite 5 Newton, MA Phone: / Fax: , US Newton-Wellesley Urology Associates , Washington Street, Suite 443 Newton, MA Phone: / Fax: Newton Lower Falls Alexander Kopp, M.D., PC , Washington Street, Suite 542 Newton Lower Falls, MA Phone: / Fax: North Billerica Lahey Arlington/Billerica 267 Boston Road North Billerica, MA Phone: / Fax: , North Chelmsford Chelmsford Family Practice , Adams Street North Chelmsford, MA Phone: / Fax: Reading Advanced Glaucoma Specialists , Reading Health Center 20 Pond Meadow Drive, Suite 204 Reading, MA Phone: Excel Orthopedic Specialists, Inc , Pond Meadow Drive Reading, MA Phone: of 21