Kentucky Medicaid Managed Care

Kentucky Medicaid Managed Care Statewide Additional Provider Directory excluding Region 3 (Jefferson and surrounding counties)

March 19, 2013 The most current version of the Health Care Provider Directory can be found at MedicaidMC.ky.gov This data is current as of March 19, 2013.

Table of Contents . . . . . . . . . . . . Information Important . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1. CoventryCares of Kentucky . . . . . . . . . . . . . . Surgical . . . . . . . . . .Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. Ambulatory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7. Audiologist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ... Chiropractor . . . . . . . . . . . . . .Mental . . . . . . . .Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 ... Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 ... Dentist . . . . . . . . . .Clinic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 ... Dialysis . . . . . . Supplier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 ... DME . . . . . . . . Special . . . . . . . . .Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 ... EPSDT . . . . . . . . Departments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 ... Health . . . . . . . .Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 ... Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 ... Hospice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 ... Laboratory . . . . . . . .Anesthetist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .144 .... Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162 .... Optometrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 .... Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 .... Podiatrist . . . . . . . . . . . . . Residential . . . . . . . . . . . . .Treatment . . . . . . . . . . . . Facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .203 .... Psychiatric Kentucky Spirit Health Plan . . . . . . . . . . . . . . Surgical . . . . . . . . . .Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204 .... Ambulatory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204 .... Audiologist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .205 .... Chiropractor . . . . . . . . . . . . . .Mental . . . . . . . .Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212 .... Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213 .... Dentist . . . . . . . . . .Clinic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226 .... Dialysis . . . . . . Supplier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .228 .... DME . . . . . . . . Special . . . . . . . . .Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .238 .... EPSDT

. . . . . . . . Departments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .238 .... Health . . . . . . . .Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .239 .... Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .243 .... Hospice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .243 .... Laboratory . . . . . . . .Anesthetist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246 .... Nurse . . . . . . . .Midwife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .256 .... Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .257 .... Optometrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260 .... Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .278 .... Podiatrist WellCare of Kentucky . . . . . . . . . . . . . . Surgical . . . . . . . . . .Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .282 .... Ambulatory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .282 .... Audiologist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .282 .... Chiropractor . . . . . . . . . . . . . .Mental . . . . . . . .Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .287 .... Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .288 .... Dentist . . . . . . . . . .Clinic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .314 .... Dialysis . . . . . . Supplier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .315 .... DME . . . . . . . . Special . . . . . . . . .Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .326 .... EPSDT . . . . . . . . Departments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .332 .... Health . . . . . . . .Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .335 .... Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .338 .... Hospice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .339 .... Laboratory . . . . . . . .Anesthetist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .356 .... Nurse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .366 .... Optometrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .382 .... Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .402 .... Podiatrist . . . . . . . . . . . . . Residential . . . . . . . . . . . . .Treatment . . . . . . . . . . . . Facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .405 .... Psychiatric

Kentucky Medicaid Managed Care Health Care Provider Directory IMPORTANT INFORMATION This health care provider directory may be helpful as you pick the Managed Care Organization (MCO) that is right for you. In the directory are the names, addresses, and telephone numbers of Hospitals, Primary Care Providers (PCPs), and Specialists that have joined the MCOs, thus far. The MCOs are: l l l

CoventryCares of Kentucky; Kentucky Spirit Health Plan; and WellCare of Kentucky Health Plan.

1. As you look at each MCO's list of providers, it is important for you to see if the names, addresses, and telephone numbers of providers used by you (or your family) in the past are in the provider list of the MCO that you prefer. 2. A provider that speaks languages other than English are noted in the directory. 3. This directory may change from week to week, as more providers enroll with MCOs. If your provider is not listed, you may call your provider directly or call Medicaid Member Services at 1-855-446-1245 to see if your provider has recently joined a MCO. We hope this information is helpful. If any part of this directory is too hard to read or understand, please call us toll-free at 1-855-446-1245. We can read this to you, provide free interpreter services, or provide the information in another format. You may also see more information on the Medicaid Member Information Page at http://chfs.ky.gov/dms/member+information.htm. Para ayuda en español, llame al 1-855-446-1245. Las llamadas son gratuitas.

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CoventryCares of Kentucky Ambulatory Surgical Centers Kentucky Adair County Bergins Surgical Clinic 902 Westlake Dr Ste 107 Columbia, KY 42728 (270) 684-9006 Westlake Regional Hospital 901 Westlake Dr Columbia, KY 42728 (270) 384-4753

Allen County Medical Center At Scottsville 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800

Barren County McPeak Surgery Center LLC 108 Bravo Blvd Glasgow, KY 42141 (270) 651-2181 T. J. Samson Community Hospital 1301 N Race St Glasgow, KY 42141 (270) 651-4444

Bell County Pineville Community Hospital Association 850 Riverview Ave Pineville, KY 40977 (606) 337-3051

Boone County St. Elizabeth Healthcare 4900 Houston Rd Florence, KY 41042 (859) 212-5200 The Center for Surgical Care 7575 US Highway 42 Florence, KY 41042 (859) 781-4900

The Urology Center 7370 Turfway Rd Ste 270 Florence, KY 41042 (859) 341-2672

Bourbon County Bourbon Community Hospital 9 Linville Dr Paris, KY 40361 (859) 987-1000

Boyle County Ephraim McDowell Regional Medical Center 217 S 3rd St Danville, KY 40422 (859) 239-1000

Breckinridge County Breckinridge Memorial Hospital 1011 Old Highway 60 Hardinsburg, KY 40143 (270) 756-2124

Caldwell County Caldwell Medical Center 100 Medical Center Dr Princeton, KY 42445 (270) 365-0380

Calloway County Murray-Calloway County Hospital 803 Poplar St Murray, KY 42071 (270) 762-1100

Carroll County

Daviess County

Carroll County Regional Medical Center 309 11th St Carrollton, KY 41008 (502) 732-4321

Owensboro Surgery Center 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 683-2751

Casey County

Estill County

Casey County Hospital 187 Wolford Ave Liberty, KY 42539 (606) 787-6275

Marcum and Wallace Memorial Hospital 60 Mercy Ct Irvine, KY 40336 (606) 723-2115

Clark County Clark Regional Medical Center 175 Hospital Dr Winchester, KY 40391 (859) 745-3500

Clay County Memorial Hospital 210 Marie Langdon Dr Manchester, KY 40962 (606) 598-5104

Clinton County Clinton County Hospital 723 Burkesville Rd Albany, KY 42602 (606) 387-6421

Crittenden County Crittenden County Hospital 520 W Gum St Marion, KY 42064 (270) 965-1012

Campbell County

Cumberland County

St Elizabeth Healthcare 85 N Grand Ave Fort Thomas, KY 41075 (859) 572-3100

Cumberland County Hospital 299 Glasgow Rd Burkesville, KY 42717 (270) 864-2511

The Urology Center 40 N Grand Ave Ste 104 Fort Thomas, KY 41075 (859) 341-2672

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Fayette County Baptist Health Lexington 1740 Nicholasville Rd Lexington, KY 40503 (859) 260-6100 Baptist Physician Surgery Center 1720 Nicholasville Rd Lexington, KY 40503 (859) 260-7037 Cardinal Hill Rehabilitation Hospital 2050 Versailles Rd Lexington, KY 40504 (859) 254-5701

The Pain Treatment Center, INC. 280 Pasadena Dr Lexington, KY 40503 (859) 278-1316 UK Healthcare Chandler Hospital 800 Rose St Lexington, KY 40536 (859) 323-5000

Fleming County Fleming County Hospital 55 Foundation Dr Flemingsburg, KY 41041 (606) 849-5000

Floyd County Highlands Regional Medical Center 5000 Kentucky Route 321 Prestonsburg, KY 41653 (606) 886-7600

Franklin County Frankfort Regional Medical Center 299 Kings Daughters Dr Frankfort, KY 40601 (502) 875-5240

Grant County

Commonwealth Eye Surgicenter 2353 Alexandria Dr Ste 350 Lexington, KY 40504 (859) 410-2520

The Urology Center 238 Barnes Rd Williamstown, KY 41097 (859) 341-2672

Languages: German, French

Graves County

Lexington Surgery Center 1451 Harrodsburg Rd Ste 102 Lexington, KY 40504 (859) 276-2525 Medical Heights Surgery Center 240 Fountain Ct Lexington, KY 40509 (859) 278-1460

Jackson Purchase Medical Center 1099 Medical Center Cir Mayfield, KY 42066 (270) 251-4100

Grayson County Twin Lakes Regional Medical Center 910 Wallace Ave Leitchfield, KY 42754 (270) 259-9400

Ambulatory Surgical Centers

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CoventryCares of Kentucky Green County

Jefferson County

Kenton County

Lincoln County

Jane Todd Crawford Memorial Hospital 202 Milby St Greensburg, KY 42743 (270) 932-4211

Baptist Health Louisville 4000 Kresge Way Louisville, KY 40207 (502) 897-8100

Fort Logan Hospital 110 Metker Trl Stanford, KY 40484 (606) 365-2187

Greenup County

Kosair Children's Hospital 231 E Chestnut St Louisville, KY 40202 (502) 815-1713

St Elizabeth Physicians Endoscopy Center 340 Thomas More Pkwy Ste 160b Ft Mitchell, KY 41017 (859) 331-6466 St. Elizabeth Healthcare 1500 James Simpson Jr Way Covington, KY 41011 (859) 292-4000

Livingston Hospital and Healthcare Services 131 Hospital Dr Salem, KY 42078 (270) 988-2299

1 Medical Village Dr Edgewood, KY 41017 (859) 344-2000

Logan County

Our Lady of Bellefonte Hospital 1000 Saint Christopher Dr Ashland, KY 41101 (606) 833-3333

Hardin County Hardin Memorial Hospital 913 N Dixie Ave Elizabethtown, KY 42701 (270) 737-1212 Surgical Center of Elizabethtown Lp 108 Financial Pl Elizabethtown, KY 42701 (270) 737-5200

Harrison County Harrison Memorial Hospital 1210 KY Highway 36e Cynthiana, KY 41031 (859) 234-2300

Henderson County Methodist Hospital 1305 N Elm St Henderson, KY 42420 (270) 827-7700

Hopkins County Baptist Health Madisonville 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100

Louisville Surgery Center 444 S 1st St Ste 201 Louisville, KY 40202 (502) 238-2878 Norton Audubon Hospital 1 Audubon Plaza Dr Louisville, KY 40217 (502) 636-7111

The Urology Center 20 Medical Village Dr Ste 308 Edgewood, KY 41017 (859) 341-2672

Norton Hospital 200 E Chestnut St Louisville, KY 40202 (502) 815-1713

Tri-State Digestive Disorder Center 425 Centre View Blvd Ft Mitchell, KY 41017 (859) 341-3575

Norton Suburban Hospital 4001 Dutchmans Ln Louisville, KY 40207 (502) 815-1713 University of Louisville Hospital 530 S Jackson St Louisville, KY 40202 (502) 562-3000 Walgreens Infusion Services, Louisville 11403 Bluegrass Pkwy Ste 400 Louisville, KY 40299 (800) 304-0123

Johnson County Paul B. Hall Regional Medical Center 625 James S Trimble Boulevard Paintsville, KY 41240 (606) 789-3511

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Walgreens Infusion Services, Crestview Hills 320 Thomas More Pkwy Crestview Hills, KY 41017 (800) 243-1090

Laurel County Imaging Center of London LLC 148 London Mountain View Dr Ste 1 London, KY 40741 (606) 877-2840

Lawrence County Three Rivers Medical Center 2483 Highway 644 Louisa, KY 41230 (606) 638-9451 Languages: Spanish

Livingston County

Logan Memorial Hospital 1625 Nashville St Russellville, KY 42276 (270) 726-4011

Madison County Baptist Health Richmond 801 Eastern Byp Richmond, KY 40475 (859) 623-3131

Marion County Spring View Hospital 320 Loretto Rd Lebanon, KY 40033 (270) 692-3161 Languages: Spanish

Mason County Eyecare Network Ltd 1360 Medical Park Dr Maysville, KY 41056 (606) 759-5341 Meadowview Regional Medical Center 989 Medical Park Dr Maysville, KY 41056 (606) 759-5311

McCracken County Ambulatory Surgery Center, LLC 2831 Lone Oak Rd Paducah, KY 42003 (270) 554-8373

Baptist Health Paducah 2501 Kentucky Ave Paducah, KY 42003 (270) 575-2100 Eye Surgery Center of Paducah 100 Medical Center Dr Paducah, KY 42003 (270) 442-1024 Lourdes Ambulatory Surgery Center 225 Medical Center Dr Paducah, KY 42003 (270) 441-4550 Lourdes Ambulatory Surgery Center LLC 225 Medical Center Dr Ste 105 Paducah, KY 42003 (270) 441-4500 Lourdes Hospital 1530 Lone Oak Rd Paducah, KY 42003 (270) 444-2444 Walgreens Infusion Services, Paducah 3487 Park Ave Paducah, KY 42001 (800) 511-0063

Mercer County The James B. Haggin Memorial Hospital 464 Linden Ave Harrodsburg, KY 40330 (859) 734-5441

Monroe County Monroe County Medical Center 529 Capp Harlan Rd Tompkinsville, KY 42167 (270) 487-9231

Muhlenberg County Muhlenberg Community Hospital 440 Hopkinsville St Greenville, KY 42345 (270) 338-8000

Ambulatory Surgical Centers

Page 3

CoventryCares of Kentucky Muhlenberg Surgery Center 1008 Medical Center Dr Ste B Powderly, KY 42367 (270) 338-9929

Nicholas County Nicholas County Hospital 2325 Concrete Rd Carlisle, KY 40311 (859) 289-7181

Oldham County Baptist Health La Grange 1025 New Moody Ln La Grange, KY 40031 (502) 222-5388

Owen County New Horizons Health Systems, INC. 330 Roland Ave Owenton, KY 40359 (502) 484-4656 The Urology Center 330 Roland Ave Owenton, KY 40359 (859) 341-2672

Pike County Pikeville Medical Center 911 Bypass Rd Pikeville, KY 41501 (606) 218-3500

Pulaski County Lake Cumberland Regional Hospital 305 Langdon St Somerset, KY 42503 (606) 679-7441 Lake Cumberland Surgery Center Lp 301 Langdon St Somerset, KY 42503 (606) 678-9688

Somerset Surgery Center Lp 30 Medpark Dr Somerset, KY 42503 (606) 679-9322

Rockcastle County Rockcastle Hospital and Respiratory Care Center 145 Newcomb Ave Mount Vernon, KY 40456 (606) 256-2195

Russell County Russell County Hospital 153 Dowell Rd Russell Springs, KY 42642 (270) 866-4141

Scott County Georgetown Community Hospital 1140 Lexington Rd Georgetown, KY 40324 (502) 868-1100

Simpson County The Medical Center At Franklin 1100 Brookhaven Rd Franklin, KY 42135 (270) 586-3253

Trigg County Trigg County Hospital 254 Main St Cadiz, KY 42211 (270) 522-3215

Warren County Greenview Regional Hospital 1801 Ashley Cir Bowling Green, KY 42104 (270) 793-1000

Medical Center-Bowling Green 250 Park St Bowling Green, KY 42101 (270) 745-1000

Wayne County Wayne County Hospital 166 Hospital St Monticello, KY 42633 (606) 348-9343

Whitley County Baptist Health Corbin 1 Trillium Way Corbin, KY 40701 (606) 528-1212 Cumberland Valley Surgical Center 275 Highway 770 Corbin, KY 40701 (606) 526-7874

Woodford County Bluegrass Community Hospital 360 Amsden Ave Versailles, KY 40383 (859) 873-3111

Alabama Coram Specialty Infusion Services 300 Riverhills Business Park Ste 390 Birmingham, AL 35242 (205) 995-8117 Walgreens Infusion Services, Birmingham 140 Oxmoor Blvd Ste 140 Birmingham, AL 35209 (888) 840-9407

Arizona Walgreens Infusion Services Phoenix 9013 N 24th Ave Ste 6 Phoenix, AZ 85021 (602) 426-1490

California † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Coram Healthcare 3101 Sillect Ave Ste 109 Bakersfield, CA 93308 (661) 325-8326 Coram Specialty Infusion Services 3160 Corporate Pl Hayward, CA 94545 (510) 732-8800 2710 Media Center Dr Bldg 6 Ste 150 Los Angeles, CA 90065 (323) 987-1500 4355 E Lowell St Ste C Ontario, CA 91761 (909) 605-1230 9332 Tech Center Dr Ste B Sacramento, CA 95826 (916) 857-7000 5571 Ekwill St Suites A &B Santa Barbara, CA 93111 (805) 692-1200 3002 Dow Ave Ste 104 Tustin, CA 92780 (714) 665-1121 Crescent Healthcare, Costa Mesa 1640 Newport Blvd Ste 435 Costa Mesa, CA 92627 (949) 646-6961 Crescent Healthcare, Glendale 800 S Central Ave Glendale, CA 91204 (818) 937-9223 Crescent Healthcare, Mission Hills 11550 Indian Hills Rd Ste 271 Mission Hills, CA 91345 (818) 361-6060 Crescent Healthcare, Ontario 3200 Inland Empire Blvd Ste 290 Ontario, CA 91764 (909) 483-3344

Crescent Healthcare, Riverside 2020 Iowa Ave Ste 103a Riverside, CA 92507 (951) 686-2398 Crescent Healthcare, Santa Rosa 131 Stony Cir Ste 200 Santa Rosa, CA 95401 (800) 448-7227 Crescent Healthcare, Simi Valley 2655 1st St Ste 345 Simi Valley, CA 93065 (805) 526-7060 Crescent Healthcare, Temecula 44274 George Cushman Ct Ste 204 Temecula, CA 92592 (951) 303-0348 Crescent Healthcare, Vista 2023 W Vista Way Ste S Vista, CA 92083 (760) 630-1858 Crescent Healthcare, West Covina 855 N Lark Ellen Ave West Covina, CA 91791 (626) 339-1133 Walgreens Infusion Services Bakersfield 5800 District Blvd Ste 200 Bakersfield, CA 93313 (661) 615-6000 Walgreens Infusion Services North Los Angeles 9401 Chivers Ave Sun Valley, CA 91352 (818) 351-3000 Walgreens Infusion Services Ventura 4867 Colt St Ventura, CA 93003 (888) 579-0917

Ambulatory Surgical Centers

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CoventryCares of Kentucky Walgreens Infusion Services, Hesperia 15480 Main St Hesperia, CA 92345 (800) 287-3375 Walgreens Infusion Services, Murrieta 27714 Clinton Keith Rd Murrieta, CA 92562 (800) 287-3375 Walgreens Infusion Services, Norco 475 Hidden Valley Pkwy Norco, CA 92860 (951) 774-1844 Walgreens Infusion Services, Reseda 6416 Tampa Ave Reseda, CA 91335 (818) 776-9014 Walgreens Infusion Services, Rialto 2100 N Riverside Ave Rialto, CA 92377 (909) 820-9230

Walgreens Infusion Services, Newark 600 White Clay Center Dr Newark, DE 19711 (302) 355-6100

Florida Coram Alternate Site Services, INC. 3439 N 12th Ave Ste A & B Pensacola, FL 32503 (850) 469-4573 Coram Specialty Infusion Services 11948 Miramar Pkwy Hollywood, FL 33025 (954) 431-3335 3416 Jenks Ave Ste A Panama City, FL 32405 (850) 747-8894 6204 Benjamin Rd Ste 200 Tampa, FL 33634 (813) 639-4500

Walgreens Infusion Services, San Francisco 4129 18th St San Francisco, CA 94114 (415) 551-7837

Walgreens Infusion Services, Fort Myers 11341 Lindbergh Blvd Fort Myers, FL 33913 (239) 561-3456

Walgreens Infusion Services, San Jacinto 1181 N State St San Jacinto, CA 92583 (951) 774-1844

Walgreens Infusion Services, Miramar 11650 Miramar Pkwy Ste 100 Miramar, FL 33025 (800) 683-5252

Walgreens Infusion Services, Sanatee 10512 Mission Gorge Rd Santee, CA 92071 (760) 630-5350

Colorado Walgreens Infusion Services, Denver 345 Inverness Dr S Ste 140 Englewood, CO 80112 (800) 736-9499

Delaware

Walgreens Infusion Services, St. Petersburg 2880 Scherer Dr N Ste 840 & 850 Saint Petersburg, FL 33716 (800) 396-2933

Georgia Walgreens Infusion Services Atlanta 808 Park North Blvd Ste 100 Clarkston, GA 30021 (888) 647-1536

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Idaho Walgreens Infusion Services, Meridian 800 S Industry Way Ste 240 Meridian, ID 83642 (208) 884-0669

Illinois Walgreens Infusion Services, Belleville 100 N Jackson St Belleville, IL 62220 (888) 553-7400

Indiana Deaconess Hospital 600 Mary St Evansville, IN 47747 (812) 450-5000 Eye Care Consultant Surgery Center 101 Nw 1st St Ste 104 Old Post Office Place Evansville, IN 47708 (812) 435-2372 Novamed Eye Surgery Center of New Albany LLC 520 W 1st St New Albany, IN 47150 (312) 780-3230 Select Specialty Hospital - Evansville, LLC 400 Se 4th St Evansville, IN 47747 (812) 421-2300 The Heart Hospital Deaconess 4007 Gateway Blvd Newburgh, IN 47630 (812) 450-5000 The Urology Center 24 Six Pine Ranch Rd Batesville, IN 47006 (513) 891-1710 720 N Lincoln St Greensburg, IN 47240 (513) 891-1710

368 Bielby Rd Lawrenceburg, IN 47025 (859) 341-2672 The Women's Hospital 4199 Gateway Blvd Newburgh, IN 47630 (812) 842-4265 Walgreen Infusion Services, Indianapolis 867 W Carmel Dr Carmel, IN 46032 (866) 846-3979 Walgreens Infusion Services Crown Point 1221 Arrowhead Ct Ste A&B Crown Point, IN 46307 (800) 883-3394

Kansas Walgreens Infusion Services Overland Park 8940 Nieman Rd Overland Park, KS 66214 (800) 475-1101

Maine Coram Specialty Infusion Services 14 Yarmouth Jct Yarmouth, ME 4096 (207) 846-8500

Massachusetts 575 University Ave Ste 2 Norwood, MA 2062 (781) 255-0956 Walgreens Infusion Services, Southborough 257 Turnpike Rd Ste 100 Southborough, MA 1772 (800) 431-4250

Michigan

Walgreens Infusion Services, Ann Arbor 1350 Highland Dr Ann Arbor, MI 48108 (800) 323-6961 Walgreens Infusion Services, Grand Rapids 50 64th Ave S Ste B Coopersville, MI 49404 (800) 867-2611

Minnesota Walgreens Infusion Services Minneapolis/St. Paul 2750 Arthur St Saint Paul, MN 55113 (877) 360-9272 Walgreens Infusion Services St. Cloud 1000 S Benton Dr Ste 405 Sauk Rapids, MN 56379 (800) 939-5666

Mississippi Coram Specialty Infusion Services 2929 Layfair Dr Ste 100 Flowood, MS 39232 (601) 939-4994

Missouri 2900 Falling Leaf Ln Ste 101 Columbia, MO 65201 (573) 256-4713 Walgreens Infusion Services, St. Louis 535 Axminister Dr Fenton, MO 63026 (888) 553-7400

Montana Walgreens Infusion Services, Billings 404 N 31st St Ste 401 Billings, MT 59101 (406) 255-7463

Ambulatory Surgical Centers

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CoventryCares of Kentucky Walgreens Infusion Services, Bozeman 2304 N 7th Ave Ste H Bozeman, MT 59715 (406) 587-1050 682 S Ferguson Ave Suite 1 Bozeman, MT 59718 (406) 587-1050 Walgreens Infusion Services, Butte 401 S Alabama St Ste 1 Butte, MT 59701 (866) 252-9342

Walgreens Infusion Services, Las Vegas 3920 W Charleston Blvd Ste X Las Vegas, NV 89102 (702) 258-0011 Walgreens Infusion Services, Reno 6630 S McCarran Blvd Ste B14 Reno, NV 89509 (775) 828-8200

New Mexico

Walgreens Infusion Services, Helena 1150 11th Ave Helena, MT 59601 (800) 449-1256

Walgreens Infusion Services Albuquerque 4374 Alexander Blvd Ne Ste A-C Albuquerque, NM 87107 (505) 888-4325

Nebraska

New York

Walgreens Infusion Services, Grand Island 2604 Saint Patrick Ave Ste 2 Grand Island, NE 68803 (800) 659-9191

Coram Specialty Infusion Services 45 S Service Rd Plainview, NY 11803 (516) 753-5330

Walgreens Infusion Services, Lincoln 4401 S 70th St Ste 2 Lincoln, NE 68516 (800) 820-1333 Walgreens Infusion Services, Omaha 10924 John Galt Blvd Omaha, NE 68137 (800) 279-0980

Nevada Coram Specialty Infusion Services 1951 Ramrod Ave Ste 110 Henderson, NV 89014 (702) 453-4546 101 N Pecos Rd Ste 106 Las Vegas, NV 89101 (702) 453-4546 6490 S McCarran Blvd Ste 216 Reno, NV 89509 (916) 857-7000

97-77 Queens Blvd Ste 1100 Rego Park, NY 11374 (718) 730-9122

North Carolina Walgreens Infusion Services Morrisville 1015 Aviation Pkwy Ste 700 Morrisville, NC 27560 (800) 948-6606 Walgreens Infusion Services Wilmington 131 Racine Dr Ste 100b Wilmington, NC 28403 (800) 849-4901

Ohio Children's Hosp Medical Center 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-4200

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Christ Hospital 2139 Auburn Ave Cincinnati, OH 45219 (513) 585-2000

2859 Boudinot Ave Ste 206 Cincinnati, OH 45238 (513) 662-0222

Coram Specialty Infusion Services 4060 Business Park Dr Ste 101 Columbus, OH 43204 (614) 351-5953

2450 Kipling Ave Ste 205 Cincinnati, OH 45239 (513) 662-0222

Portsmouth Surgery Center 1400 Gay St Portsmouth, OH 45662 (866) 587-8790 Southern Ohio Medical Center 1805 27th St Portsmouth, OH 45662 (740) 356-8686 The University Hospital 234 Goodman St Cincinnati, OH 45219 (513) 584-1000 The Urology Center 1945 Cei Dr Ste 300 Blue Ash, OH 45242 (513) 891-1710 6350 Glenway Ave Ste 206 Cincinnati, OH 45211 (513) 542-5142 2000 Joseph Sanker Blvd Cincinnati, OH 45212 (513) 841-7400

10700 Montgomery Rd Ste 319 Cincinnati, OH 45242 (513) 793-2835 4420 Aicholtz Rd Ste 120 Cincinnati, OH 45245 (513) 732-6200 12103 Sheraton Ln Cincinnati, OH 45246 (513) 671-4911 7921 Jessies Way Hamilton, OH 45011 (513) 867-1100 608 Reading Rd Ste E Mason, OH 45040 (513) 891-1710 1064 Summitt Dr Middletown, OH 45042 (513) 423-2244 110 N Poplar St Oxford, OH 45056 (513) 867-1100 230 Medical Center Dr Seaman, OH 45679 (513) 542-5142

4700 Smith Rd Ste M Cincinnati, OH 45212 (513) 366-3400

Three Gables Surgery Center 5897 County Road 107 Proctorville, OH 45669 (740) 886-9911

2123 Auburn Ave Ste 201 Cincinnati, OH 45219 (513) 721-2300

Toledo IV Care 4060 Technology Dr Maumee, OH 43537 (419) 471-1527

7794 5 Mile Rd Ste 200 Cincinnati, OH 45230 (513) 793-2835

University Optioncare 7654 Crosswoods Dr Columbus, OH 43235 (888) 291-2273

University Optioncare, Blacklick 7900 E Broad St Blacklick, OH 43004 (888) 291-2273 Walgreens Infusion Services Dayton 8150 Washington Village Dr Dayton, OH 45458 (888) 699-4065 Walgreens Infusion Services, Cincinnati 50 W Techne Center Dr Ste J Milford, OH 45150 (800) 243-1090

Oklahoma Walgreens Infusion and Respiratory Services, Oklah 3401 S Meridian Ave Oklahoma City, OK 73119 (405) 681-8118 Languages: Spanish

Oregon Walgreens Infusion Services At Legacy Health 16195 Sw 72nd Ave Portland, OR 97224 (503) 536-8300

Pennsylvania Coram Specialty Infusion Services 155 N Donerville Rd Ste 1 Mountville, PA 17554 (717) 285-2510 Walgreens Infusion Services, Beaver Falls 2646 Darlington Rd Beaver Falls, PA 15010 (800) 372-8101 Walgreens Infusion Services, Bethlehem 3895 Adler Pl Bldg A Bethlehem, PA 18017 (800) 422-6601

Ambulatory Surgical Centers

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CoventryCares of Kentucky Walgreens Infusion Services, Glenshaw 1701 William Flynn Hwy Glenshaw, PA 15116 (800) 372-8101 Walgreens Infusion Services, Greensburg 1000 Lincoln Pl Greensburg, PA 15601 (800) 372-8101 Walgreens Infusion Services, Monroeville 540 Seco Rd Ste A Monroeville, PA 15146 (800) 372-2784 Walgreens Infusion Services, Murraysville 4667 William Penn Hwy Murrysville, PA 15668 (800) 372-8101 Walgreens Infusion Services, Philadelphia 4000 Chemical Rd Suite 100 Plymouth Meeting, PA 19462 (800) 548-9903 Walgreens Infusion Services, Uniontown 180 W Main St Uniontown, PA 15401 (800) 372-8101

Rhode Island Coram Specialty Infusion Services 1240 Pawtucket Ave Suite B East Providence, RI 2916 (401) 434-2082

South Carolina Coram Healthcare/Carolina Home Therapeutics 720 Gracern Rd Ste 123 Columbia, SC 29210 (803) 731-5076

Coram Specialty Infusion Services 5955 Core Ave Ste 512 Charleston, SC 29406 (877) 503-4453

Vanderbilt University Hospital 1211 Medical Center Dr Nashville, TN 37232 (615) 322-5000

Coram Specialty Infusion Services 520 E North Foothills Dr Spokane, WA 99207 (509) 482-4266

Tennessee

Texas

Children's West Surgery Center 1020 Childrens Way Knoxville, TN 37922 (865) 560-0303

Coram Healthcare Corporation of North Texas 10105 Technology Blvd W Ste 102 Dallas, TX 75220 (214) 902-3600

Walgreens Infusion and Respiratory Services, Belli 477 W Horton Rd Bellingham, WA 98226 (800) 755-0484

Cookeville Surgery Center 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 526-8115 Coram Specialty Infusion Services 1828 Midpark Rd Ste D Knoxville, TN 37921 (865) 450-2380 2970 Sidco Dr Nashville, TN 37204 (615) 445-3098

Walgreens Infusion Services San Antonio 14220 Northbrook Dr Ste 100-B San Antonio, TX 78232 (888) 414-4876 Walgreens Infusion Services, Houston 9030 Kirby Dr Houston, TX 77054 (800) 554-1758

Cumberland River Hospital 100 Old Jefferson St Celina, TN 38551 (931) 243-3581

Walgreens Infusion Services, Irving 6611 N Belt Line Rd Bldg 1 Irving, TX 75063 (800) 294-9003

East Tennessee Children's Hospital 2018 W Clinch Ave Knoxville, TN 37916 (865) 541-8000

Walgreens Infusion Services, San Antonio 8300 Floyd Curl Dr San Antonio, TX 78229 (210) 615-7211

Jamestown Regional Medical Center 436 Central Ave W Jamestown, TN 38556 (931) 879-3352 Northcrest Medical Center 100 Northcrest Dr Springfield, TN 37172 (615) 384-2411 Vanderbilt Hc/Walgreens IV & Rt Services 500 Wilson Pike Cir Ste 115 Brentwood, TN 37027 (877) 726-0776

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Virginia Coram Specialty Infusion Services 4115 Pleasant Valley Rd Ste 200 Chantilly, VA 20151 (703) 631-1611 Walgreens Infusion Services, Chantilly 4170 Lafayette Center Dr Ste 300 Chantilly, VA 20151 (800) 400-8274

Washington

Walgreens Infusion and Respiratory Services, Breme 5885 State Highway 303 Ne Bremerton, WA 98311 (800) 277-5805 Walgreens Infusion and Respiratory Services, Evere 8120 Evergreen Way Everett, WA 98203 (800) 737-0613 Walgreens Infusion and Respiratory Services, Kirkl 12911 120th Ave Ne Ste B10 Kirkland, WA 98034 (800) 737-0613 Walgreens Infusion and Respiratory Services, Lakew 6111 Lakewood Towne Center Blvd Sw Ste L Lakewood, WA 98499 (800) 277-5805 Walgreens Infusion and Respiratory Services, Mount 215 S 13th St Mount Vernon, WA 98274 (800) 755-0484 Walgreens Infusion and Respiratory Services, Seatt 13035 Gateway Dr S Ste 131 Seattle, WA 98168 (800) 277-5805

Walgreens Infusion and Respiratory Services, Vanco 12117 Ne 99th St 1960/1970 Vancouver, WA 98682 (866) 319-3980 12117 Ne 99th St Ste 1970 Vancouver, WA 98682 (800) 277-5805 Walgreens Infusion Services Spokane 1328 N Ash St Spokane, WA 99201 (800) 426-6101 Walgreens Infusion Services, Kennewick 7325 W Deschutes Ave Ste C Kennewick, WA 99336 (509) 783-2273

Wisconsin Walgreens Infusion Services Wauwatosa 1435 N 113th St Wauwatosa, WI 53226 (888) 256-7234

Audiologist Kentucky Boone County Community Services of Northern Kentucky 31 Spiral Dr Florence, KY 41042 (859) 525-1128 Languages: Spanish Dively, Jennifer 31 Spiral Dr Florence, KY 41042 (859) 525-1128 Gateway At Florence Rehabilitation Hospital 5940 Merchant Dr Florence, KY 41042 (859) 426-2400

Ambulatory Surgical Centers

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CoventryCares of Kentucky Hahn, Albert C 31 Spiral Dr Florence, KY 41042 (859) 525-1128 Harr, Megan 31 Spiral Dr Florence, KY 41042 (859) 525-1128 Ryan, Michele 31 Spiral Dr Florence, KY 41042 (859) 525-1128 Straus, Rachel 31 Spiral Dr Florence, KY 41042 (859) 525-1128 Webster, Linda 31 Spiral Dr Florence, KY 41042 (859) 525-1128

Daviess County

Fayette County

Blandford, Nannette 815 Triplett St Owensboro, KY 42303 (270) 683-4517

Adkins, Margaret M 740 S Limestone Lexington, KY 40536 (859) 257-3390

Buford, Samantha 815 Triplett St Owensboro, KY 42303 (270) 683-4517

Brown, Megan B 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545

Clouse, Rose M 815 Triplett St Owensboro, KY 42303 (270) 683-4517

Chastain, Amanda 2039 Regency Rd Ste 6 Lexington, KY 40503 (859) 402-1553

Commission for Children With Special Healthcare Ne 1600 Breckenridge St Owensboro, KY 42303 (270) 687-7038

Cline, Trey A 740 S Limestone Lexington, KY 40536 (859) 257-3390

Mikel, Angela C 740 S Limestone Lexington, KY 40536 (859) 257-3390 Miller, Jeanette 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545 Oliver, Amy C 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545 Ormond, Persis 740 S Limestone St Lexington, KY 40536 (859) 257-3390 Saylor, Ashley N 2039 Regency Rd Ste 6 Lexington, KY 40503 (859) 402-1553

Couch, Rachel 815 Triplett St Owensboro, KY 42303 (270) 683-4517

Commission for Children With Special Healthcare Ne 333 Waller Ave Ste 300 Lexington, KY 40504 (859) 252-3170

Boyle County

Keith, Kristy A 815 Triplett St Owensboro, KY 42303 (270) 683-4517

Denley, Sara 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545

Caldwell, Marion L 3940 S Danville Byp Danville, KY 40422 (859) 236-3865

Likens, Jenny 815 Triplett St Owensboro, KY 42303 (270) 683-4517

Gonzales, Christina 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545

Calloway County

Ray, Casey M 815 Triplett St Owensboro, KY 42303 (270) 683-4517

Guinn, Tara 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545

Commission for Children With Special Healthcare Ne 5000 KY Route 321 Prestonsburg, KY 41653 (606) 889-1761

Riter, Karissa F 815 Triplett St Owensboro, KY 42303 (270) 683-4517

Karam, Carolyn 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545

Manning, Robert D 1428 N Lake Dr Prestonsburg, KY 41653 (859) 277-0491

Wendell Fosters Campus for Developmental Disabilit 815 Triplett St Owensboro, KY 42303 (270) 683-4517

Manning, Robert D 259 Southland Dr Lexington, KY 40503 (859) 277-0491

Newsome, Carol 202 E Main St Stanville, KY 41659 (606) 422-3295

Mattingly, Abby B 740 S Limestone St Lexington, KY 40536 (859) 257-3390

Franklin County

Bourbon County Frazier, Deanna L 24 Clinic Dr Ste B Paris, KY 40361 (859) 623-4458

Hicks, Michael J 300 S 8th St Ste 401e Murray, KY 42071 (270) 761-1567

Campbell County Teague, Timothy 960 Highland Ave Fort Thomas, KY 41075 (859) 572-0660

Clark County Kpi Therapy INC 9 Waveland Ave Winchester, KY 40391 (855) 584-5845 Languages: Spanish

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Shinn, Jennifer B 740 S Limestone Lexington, KY 40536 (859) 257-3390 Young, Allison 740 S Limestone Lexington, KY 40536 (859) 257-3390

Floyd County

Frazier, Deanna L 5 Physicians Park Frankfort, KY 40601 (859) 623-4458

Fulton County Sexton, Michael A 2002 Holiday Ln Ste 400 Fulton, KY 42041 (270) 472-8399 2006 Holiday Ln Fulton, KY 42041 (270) 472-8150 2006 Holiday Ln Ste 400 Fulton, KY 42041 (270) 472-8399

Graves County Sexton, Michael A 113 West Broadway Mayfield, KY 42066 (270) 472-8399

Grayson County Browning, James L 910 Wallace Ave Leitchfield, KY 42754 (270) 259-9580

Greenup County Olbh Pediatric Rehabiliation 1629 Ashland Rd Ste 2 Greenup, KY 41144 (606) 833-3527

Hardin County Commission for Children With Special Healthcare Ne 580 Westport Rd Elizabethtown, KY 42701 (270) 765-6982 Teague, Timothy 599 Rogersville Rd Radcliff, KY 40160 (270) 351-2999

Harrison County Frazier, Deanna L 1210 KY Highway 36 E Cynthiana, KY 41031 (859) 623-4458

Audiologist

Page 8

CoventryCares of Kentucky Hopkins County Browning, James L 200 Clinic Dr Madisonville, KY 42431 (270) 825-7200 Donnelly, Rebekah L 200 Clinic Dr Surgery Madisonville, KY 42431 (270) 825-7200 Driskill, Susan E 200 Clinic Dr Madisonville, KY 42431 (270) 825-7200 Kisler, Nancy C 200 Clinic Dr Madisonville, KY 42431 (270) 825-7200 Stevenson, Cathrine 200 Clinic Dr Madisonville, KY 42431 (270) 825-7200

Jefferson County Alworth, Lynzee N 401 E Chestnut St Ste 710 Louisville, KY 40202 (502) 583-8303 Anderson, Stephanie S 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159 3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760 6801 Dixie HWY Ste 128 Louisville, KY 40258 (502) 995-5525 Ashley, Abigail L 117 E Kentucky St Louisville, KY 40203 (502) 584-3573 Austin, Katie L 117 E Kentucky St Louisville, KY 40203 (502) 584-3573 Bailey, Kelly P 571 S Floyd St #100 Louisville, KY 40202 (502) 852-3797

571 S Floyd St #100 Louisville, KY 40202 (502) 852-5331 Brown II, William J 3999 Dutchmans Ln Ste 4c Louisville, KY 40207 (502) 893-5105 Brown, Shannon M 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159 3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760 6801 Dixie HWY Ste 128 Louisville, KY 40258 (502) 995-5525 Byerly, Michelle L 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159 3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760 6801 Dixie HWY Ste 128 Louisville, KY 40258 (502) 995-5525 Campbell, Mitchell D 117 E Kentucky St Louisville, KY 40203 (502) 584-3573 Chiaventone, Leslie A 571 S Floyd St Ste 100 Louisville, KY 40202 (502) 852-5331 Clark, Mark E 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159 3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760 6807 Dixie Hwy Louisville, KY 40258 (502) 995-5525

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Commission for Children With Special Healthcare Ne 310 Whittington Pkwy Ste 200 Louisville, KY 40222 (502) 429-4430 Coulter, Karen J 571 S Floyd St #100 Louisville, KY 40202 (502) 852-3797 571 S Floyd St #100 Louisville, KY 40202 (502) 852-5331 Cunningham, David R 401 E Chestnut St Ste 710 Louisville, KY 40202 (502) 583-8303 Eisenmenger, Barbara A 401 E Chestnut St Ste 710 Louisville, KY 40202 (502) 583-8303 Emerich, David M 571 S Floyd St #100 Louisville, KY 40202 (502) 852-3797 571 S Floyd St #100 Louisville, KY 40202 (502) 852-5331 Geis, Rose M 571 S Floyd St #100 Louisville, KY 40202 (502) 852-3797

Katzman, Elizabeth A 401 E Chestnut St Ste 710 Louisville, KY 40202 (502) 583-8303 550 S Jackson St Fl 2 Louisville, KY 40202 (502) 562-6511 Kloft, Jennifer K 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159 3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760 6801 Dixie HWY Ste 128 Louisville, KY 40258 (502) 995-5525 Loeffler-Mabe, Joan 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159 3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760 6801 Dixie HWY Ste 128 Louisville, KY 40258 (502) 995-5525 Martis, Janet A 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159 3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760

571 S Floyd St #100 Louisville, KY 40202 (502) 852-5331

6807 Dixie Hwy Louisville, KY 40258 (502) 995-5525

Hynes, Kathryn M 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159

Moats, Shelley R 401 E Chestnut St Ste 710 Louisville, KY 40202 (502) 583-8303

3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760 6801 Dixie HWY Ste 128 Louisville, KY 40258 (502) 995-5525

550 S Jackson St Fl 2 Louisville, KY 40202 (502) 562-6511

906 Lily Creek Rd Ste 102 Louisville, KY 40243 (502) 409-4327 Moller, Elizabeth A 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159 3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760 6801 Dixie HWY Ste 128 Louisville, KY 40258 (502) 995-5525 Mucklow, Mary B 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159 3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760 6801 Dixie HWY Ste 128 Louisville, KY 40258 (502) 995-5525 Robertson, Katherine J 117 E Kentucky St Louisville, KY 40203 (502) 584-3573 Rutledge, Casey A 401 E Chestnut St Ste 710 Louisville, KY 40202 (502) 583-8303 Stewart, Melissa W 4004 Dupont Cir Ste 220 Louisville, KY 40207 (502) 893-0159 3515 Poplar Level Rd Louisville, KY 40213 (502) 459-3760 6801 Dixie HWY Ste 128 Louisville, KY 40258 (502) 995-5525 Weihing, Jeffrey A 401 E Chestnut St Ste 710 Louisville, KY 40202 (502) 583-8303

Audiologist

Page 9

CoventryCares of Kentucky Johnson County Johnson Magoffin Home Health Agency 630 James Trimble Blvd Paintsville, KY 41240 (606) 789-2590

Kenton County Teague, Timothy 630 Viox Dr Erlanger, KY 41018 (859) 727-6700

Knox County Commission for Children With Special Healthcare Ne 110 Johnson Ln Barbourville, KY 40906 (606) 546-5109

Madison County Frazier, Deanna L 1036 Amberley Way Ste A Richmond, KY 40475 (859) 623-4458

Marion County Lawless, Kim 325 W Walnut St Lebanon, KY 40033 (270) 465-3595

McCracken County Amundson, Martin A 2601 Kentucky Ave Ste 201 Paducah, KY 42003 (270) 575-0079 Commission for Children With Special Healthcare Ne 400 Park Ave Building D Paducah, KY 42001 (270) 443-3651 Easter Seals West Kentucky 801 N 29th St Paducah, KY 42001 (270) 444-9687

Griffiths, Christine E 2605 Kentucky Ave Dob 3 Ste 601 Paducah, KY 42003 (270) 408-4368 Henson, Melissa 2605 Kentucky Ave Dob 3 Ste 601 Paducah, KY 42003 (270) 408-4368 Vaughan, Tammy 2605 Kentucky Ave Dob 3 Ste 601 Paducah, KY 42003 (270) 408-4368

Montgomery County Frazier, Deanna L 29 S Maysville St Mount Sterling, KY 40353 (859) 432-8402

Nelson County Anderson, Stephanie S 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122 Brown, Shannon M 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122 Byerly, Michelle L 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122 Clark, Mark E 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122 Hynes, Kathryn M 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122 Kloft, Jennifer K 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Loeffler-Mabe, Joan 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122 Martis, Janet A 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122 Moller, Elizabeth A 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122 Mucklow, Mary B 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122 Stewart, Melissa W 118 Patriot Dr Ste 106 Bardstown, KY 40004 (800) 561-2122

Oldham County Anderson, Stephanie S 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 222-4589 Brown, Shannon M 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 222-4589 Byerly, Michelle L 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 222-4589 Clark, Mark E 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 222-4589 Hynes, Kathryn M 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 222-4589

Kloft, Jennifer K 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 222-4589 Loeffler-Mabe, Joan 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 222-4589 Martis, Janet A 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 222-4589 Moller, Elizabeth A 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 222-4589 Mucklow, Mary B 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 222-4589 Stewart, Melissa W 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 995-5525

Perry County Commission for Children With Special Healthcare Ne 103 Town And Country Ln Hazard, KY 41701 (606) 435-6167

Pulaski County Commission for Children With Special Healthcare Ne 401 Bogle St Ste 104, Professional Plaza Somerset, KY 42503 (606) 678-4454

Rowan County Commission for Children With Special Healthcare Ne 214 W 1st St Morehead, KY 40351 (606) 783-8610

Shelby County Anderson, Stephanie S 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122 Associates In Pediatric Therapy LLC 1900 Midland Trl Shelbyville, KY 40065 (502) 633-1007 Brown, Shannon M 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122 Byerly, Michelle L 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122 Clark, Mark E 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122 Hynes, Kathryn M 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122 Kloft, Jennifer K 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122 Loeffler-Mabe, Joan 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122 Martis, Janet A 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122 Moller, Elizabeth A 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122 Audiologist

Page 10

CoventryCares of Kentucky Mucklow, Mary B 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122 Stewart, Melissa W 731 Hospital Dr Ste 1 Shelbyville, KY 40065 (800) 561-2122

Taylor County Lawless, Kim 105 Greenbriar Dr Ste A Campbellsville, KY 42718 (270) 465-3595

Warren County Commission for Children With Special Healthcare Ne 495 Three Springs Rd Bowling Green, KY 42104 (270) 746-7816

Whitley County Morris, Angela M 1707 Cumberland Falls HWY Ste U7 Corbin, KY 40701 (606) 528-9993

Indiana Anderson, Stephanie S 301 Gordon Gutmann Blvd Ste 402 Jeffersonville, IN 47130 (812) 945-3557 2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557 Brown, Shannon M 301 Gordon Gutmann Blvd Ste 402 Jeffersonville, IN 47130 (812) 945-3557 2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557

Byerly, Michelle L 301 Gordon Gutmann Blvd Ste 402 Jeffersonville, IN 47130 (812) 945-3557 2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557 Clark, Mark E 301 Gordon Gutmann Blvd Ste 402 Jeffersonville, IN 47130 (812) 945-3557 2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557 Frazier, Lynn D 450 E 96th St Suite 500 Indianapolis, IN 46240 (800) 317-0711 Hynes, Kathryn M 301 Gordon Gutmann Blvd Ste 402 Jeffersonville, IN 47130 (812) 945-3557 2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557 Kloft, Jennifer K 301 Gordon Gutmann Blvd Ste 402 Jeffersonville, IN 47130 (812) 945-3557 2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557 Loeffler-Mabe, Joan 301 Gordon Gutmann Blvd Ste 402 Jeffersonville, IN 47130 (812) 945-3557 2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557 Martis, Janet A 301 Gordon Gutmann Blvd Ste 402 Jeffersonville, IN 47130 (812) 945-3557

2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557 Moller, Elizabeth A 2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557 301 Gordon Gutmann Blvd Ste 402 New Albany, IN 47150 (812) 945-3557 Mucklow, Mary B 301 Gordon Gutmann Blvd Ste 402 Jeffersonville, IN 47130 (812) 945-3557 2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557

Schwaber, Donna G 4230 Harding Pike Ste 400 Nashville, TN 37205 (615) 386-2398 4230 Harding Pike Ste 803 Nashville, TN 37205 (615) 386-3395

West Virginia Boggs, Heidi V 1 John Marshall Dr Huntington, WV 25755 (304) 696-3641

Taylor, Kimberly M 2403 Cumberland Ave Middlesboro, KY 40965 (606) 248-1388

Languages: Spanish

Chiropractor Kentucky Adair County Grant, Anthony W 908 Russell Rd Columbia, KY 42728 (270) 384-3271

Ohio

Rogers, Ronald P 920 Russell Rd Columbia, KY 42728 (270) 384-5554

Barren County

Chaffee, Shon 222 Piedmont Ave Cincinnati, OH 45219 (513) 475-8000

Boggs, Jeffrey A 102 W Cherry St Glasgow, KY 42141 (270) 651-7552

Donnellon, Amy E 222 Piedmont Ave Cincinnati, OH 45219 (513) 475-8000

Miles, Robert L 507 S L Rogers Wells Blvd Ste A Glasgow, KY 42141 (270) 834-8922

Grace, Stephanie E 222 Piedmont Ave Cincinnati, OH 45219 (513) 475-8000 Lockhart, Stephanie R 222 Piedmont Ave Cincinnati, OH 45219 (513) 475-8000 Simpson, Molly C 222 Piedmont Ave Cincinnati, OH 45219 (513) 475-8000

Bell County Taylor, James L 2403 Cumberland Ave Middlesboro, KY 40965 (606) 248-1388

Stewart, Melissa W 2125 State St Ste 6 New Albany, IN 47150 (812) 945-3557

Baum, Meredith 222 Piedmont Ave Cincinnati, OH 45219 (513) 475-8000

Tank, Thomas J 215 North L Rogers Wells Blvd Glasgow, KY 42141 (270) 651-2203

Oldenkamp, Derek L 205 Columbia Ave Glasgow, KY 42141 (270) 651-8340 Pelham, Robert F 205 Columbia Ave Glasgow, KY 42141 (270) 651-8340

Boone County Bryngelson, Paul S 8180 Dream St Florence, KY 41042 (859) 647-7950 Didio, Casey A 4971 Houston Rd Florence, KY 41042 (859) 283-0500 Edwards, Melissa A 93 N Main St Walton, KY 41094 (859) 485-9545 King, John K 7309 US Highway 42 Florence, KY 41042 (859) 525-1213 Lang, John P 8459 US Highway 42 Ste E Florence, KY 41042 (859) 283-5070 Meade, Brandon S 73 Cavalier Blvd Ste 207 Florence, KY 41042 (859) 640-6770 Mikkelson, Lawrence R 7560 Burlington Pike Ste B Florence, KY 41042 (859) 525-7117

Tennessee † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Audiologist

Page 11

CoventryCares of Kentucky Ornburn, Aaron W 6082 Limaburg Rd Burlington, KY 41005 (859) 647-6200

Nichols, William E 2000 13th St Ashland, KY 41101 (606) 325-8855

Ornburn, Jamie N 6082 Limaburg Rd Burlington, KY 41005 (859) 647-6200

Porter, Dwain P 717 Wheatley Rd Ashland, KY 41101 (606) 329-1148

Simms, Erik M 9990 Old Union Rd Union, KY 41091 (859) 918-6868

Qualls, Daniel J 4360 13th St Ste 2 Ashland, KY 41101 (606) 326-0100

Tomar, Vincent M 8178 Mall Rd Florence, KY 41042 (859) 746-2222

Scott, Mark K 1317 Montgomery Ave Ashland, KY 41101 (606) 329-9311

Bourbon County

Shelton, Charlie G 1317 Montgomery Ave Ashland, KY 41101 (606) 329-9311

Brooks, Jennifer A 2001 Alverson Dr Ste 106 Paris, KY 40361 (859) 987-2828 Gast, Christopher L 4 E 4th St Ste B Paris, KY 40361 (859) 987-0743 Keding, David J 416 Millersburg Rd Paris, KY 40361 (859) 987-6058

Boyd County Castle, James R 1301 Winchester Ave Ashland, KY 41101 (606) 326-0427 Dillon, Gary D 5936 Swanson Dr Ashland, KY 41102 (606) 929-9667 Eldridge-Keelin, Alicia D 7707 US State Route 60 Ashland, KY 41102 (606) 928-3364 Hamlin, James M 947 Winchester Ave Ashland, KY 41101 (606) 326-1231

Swann, Justin F 613 13th St Ashland, KY 41101 (606) 329-8080

Boyle County Fisher, Edward H 101 Citation Dr Ste A Danville, KY 40422 (859) 236-2295 Garrison-Short, Callie J 434 W Walnut St Danville, KY 40422 (859) 239-0022 Mackey, Craig D 642 E Lexington Ave Danville, KY 40422 (859) 238-9300

Breathitt County

Calloway County

Howard, Steven R 1550 Highway 15 S Ste 24 Jackson, KY 41339 (606) 666-0009

Etherton, Bambi 1103 Chestnut St Murray, KY 42071 (270) 759-0030

Jackson Physical Therapy 695 Highway 15 N Ste 3 Jackson, KY 41339 (606) 666-9293

Breckinridge County Cesarz, Stefan 112 Bank St Hardinsburg, KY 40143 (270) 756-1700 Languages: German Ruskowski, Kent R 143 Old Highway 60 Ste A Hardinsburg, KY 40143 (270) 756-5368

Bullitt County Flynn, Ronald F 1451 HWY 44 E Shepherdsville, KY 40165 (502) 955-5328 Knopp, Russell H 1451 HWY 44 E Shepherdsville, KY 40165 (502) 955-5328 Wolford, Jason R 138 Eastbrooke Ct Ste 130 Mount Washington, KY 40047 (502) 538-0222

Etherton, Virgil W 1103 Chestnut St Murray, KY 42071 (270) 759-0030 Foster, Brian S 1710 State Route 121 Byp N Ste D Murray, KY 42071 (270) 753-6100 Heskett, Dennis L 1703 State Route 121 N Murray, KY 42071 (270) 759-1116 Phillips, Joseph 903 Sycamore St Murray, KY 42071 (270) 753-9030 Thornton, Patrick W 408 S 12th St Murray, KY 42071 (270) 761-7246

Campbell County Bowling, Sheila L 2515 Alexandria Pike Highland Heights, KY 41076 (859) 781-1000 Crowley, Kevin E 7579 Alexandria Pike Alexandria, KY 41001 (859) 635-6666

Butler County

Ehn, Timothy D 1697 Monmouth St Ste A Newport, KY 41071 (859) 292-0123

Short, Dennis R 434 W Walnut St Danville, KY 40422 (859) 239-0022

Lease, Vicky A 1116 S Main St Ste 1 Morgantown, KY 42261 (270) 526-6206

Flora, Julie A 300 Washington St Ste 4 Alexandria, KY 41001 (859) 635-6800

Toon, Stephen M 434 W Walnut St Danville, KY 40422 (859) 239-0022

Vincent, Larry D 105 N Tyler St Morgantown, KY 42261 (270) 526-4613

Schulz, Brian C 434 W Walnut St Danville, KY 40422 (859) 239-0022

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Ganesh, Santosh K 2515 Alexandria Pike Highland Heights, KY 41076 (859) 781-1000 Languages: Persian (Farsi), Hindi Gearhart, Kendall R 1035 Moreland Dr Ste 1 Alexandria, KY 41001 (859) 448-0858 Hay, Christian J 17 Carothers Rd Newport, KY 41071 (859) 581-1010 Homan, Gerald W 52 Carothers Rd Newport, KY 41071 (859) 291-2225 Homan, Tracy A 52 Carothers Rd Newport, KY 41071 (859) 291-2225 Jones, Roger C 2306 Alexandria Pike Southgate, KY 41071 (859) 572-0029 Ornburn, Aaron W 1412 Gloria Terrell Dr Ste 4 Wilder, KY 41076 (859) 442-0999 Ornburn, Jamie N 1412 Gloria Terrell Dr Ste 4 Wilder, KY 41076 (859) 442-0999 Schweitzer, Mark G 20 N Grand Ave Ste 12 Fort Thomas, KY 41075 (859) 441-8800 Sperbeck, Mark J 8333 Alexandria Pike Ste 400 Alexandria, KY 41001 (859) 448-0900 Squicciarini, John J 4 Hidden Valley Dr Ste F Newport, KY 41076 (859) 441-8181 Chiropractor

Page 12

CoventryCares of Kentucky Carroll County Kates, Richard E 2478 US Highway 227 Carrollton, KY 41008 (502) 732-6000

Carter County Fischer, John D 308 Horton St Ste 2 Grayson, KY 41143 (606) 474-6445 Wright, Dustin E 131 S Carol Malone Blvd Ste D Grayson, KY 41143 (606) 475-1366

Casey County Cundiff, K Darin 256 N Willace Wilkinson Blvd Liberty, KY 42539 (606) 787-7900 Hayes, Breece W 417 Middleburg St Liberty, KY 42539 (606) 787-7261 Medina, David A 69 Hustonville St Liberty, KY 42539 (606) 787-2800 Montgomery-Turner, Erica 69 Hustonville St Liberty, KY 42539 (606) 787-2800 Murphy, Ted K 40 Old Waterplant Rd Liberty, KY 42539 (606) 787-9258 Turner, Michael L 69 Hustonville St Liberty, KY 42539 (606) 787-2800

Christian County Grant, Billy D 1483 Marie Dr Hopkinsville, KY 42240 (270) 885-2351

Johnson, Mark R 1600 S Virginia St Hopkinsville, KY 42240 (270) 885-5988 Landrum, John B 130 Hammond Dr Hopkinsville, KY 42240 (270) 886-3136 Perschke, Patrick J 1110 S Main St Ste B Hopkinsville, KY 42240 (270) 886-6046 Pound, Robert J 1202 Skyline Dr Hopkinsville, KY 42240 (270) 881-1005 Pound, Sheila R 1202 Skyline Dr Hopkinsville, KY 42240 (270) 881-1005 Putty, Eric S 260 Burley Ave Hopkinsville, KY 42240 (270) 886-0068

Clark County Barnes, Robert D 140 Redwing Dr Winchester, KY 40391 (859) 744-7319 Dotson, Steve 1145 W Lexington Ave Ste B Winchester, KY 40391 (859) 745-6834 McCallister, Zachary W 1414 W Lexington Ave Ste C Winchester, KY 40391 (859) 737-2225 Williams II, Perry N 124 Professional Ave Winchester, KY 40391 (859) 737-5800

Cumberland County Flannagan, Joseph A 404 Courthouse Sq Burkesville, KY 42717 (270) 864-1774

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Daviess County Clark, Aaron P 507 E Parrish Ave Owensboro, KY 42303 (270) 852-9355 10015 Main St Ste B Whitesville, KY 42378 (270) 233-9355 Edelen, Amy L 507 E Parrish Ave Owensboro, KY 42303 (270) 852-9355 Lamar, Blakeley G 1605 Schurm Rd Ste 1 Owensboro, KY 42301 (270) 685-8308

Tinius, Larry H 1300 Tamarack Rd Owensboro, KY 42301 (270) 926-0941

Fields, Joseph R 4250 Saron Dr Ste 175 Lexington, KY 40515 (859) 273-0310

Edmonson County

Gallentine, Heath 131 Prosperous Pl Ste 15 Lexington, KY 40509 (859) 264-1140

Lindsey, Rodger A 247 Mohawk Rd Brownsville, KY 42210 (270) 597-9024

Estill County Allen, John C 149 Richmond Rd Irvine, KY 40336 (606) 723-2225

Fayette County

Liebenauer, Kara S 820 Chuck Gray Ct Owensboro, KY 42303 (270) 685-5100

Adams, Susan M 3167 Custer Dr Ste 202 Lexington, KY 40517 (859) 271-2285

Merlin Jr, Dan B 1015 Southtown Blvd Owensboro, KY 42301 (270) 685-0101

Bailey, Francis L 80 Codell Dr Ste 150 Lexington, KY 40509 (859) 537-1026

Simone, Robert E 3180 W Parrish Ave Owensboro, KY 42301 (270) 683-1186

Baker, Gerald J 1060 Chinoe Rd Ste 124 Lexington, KY 40502 (859) 335-9355

Simone, Sean R 3180 W Parrish Ave Owensboro, KY 42301 (270) 683-1188

Barber, David R 108 Pasadena Dr Ste 100 Lexington, KY 40503 (859) 278-8000

Sovar, Scott R 2816 Veach Rd Owensboro, KY 42303 (270) 684-4101 Stallings, Brett G 820 Chuck Gray Ct Owensboro, KY 42303 (270) 685-5100 Stallings, Jeffry T 820 Chuck Gray Ct Owensboro, KY 42303 (270) 685-5100 Tinius, Brian W 1300 Tamarack Rd Owensboro, KY 42301 (270) 926-0941

Bullock, Jacob A 152 W Zandala Dr Ste 101 Lexington, KY 40503 (859) 272-0099 Clare Jr, Kenneth J 1165 E New Circle Rd Lexington, KY 40505 (859) 246-0001 Dawson, Brent G 2305 Woodhill Dr Lexington, KY 40509 (859) 255-3777

Kennedy, Rob J 340 Legions Dr Ste 2 Lexington, KY 40504 (859) 275-1962 Leverette, Nicholas E 1890 Starshoot Pkwy Ste 190 Lexington, KY 40509 (859) 263-2774 Lindsay, Grant W 2417 Nicholasville Rd Ste 114 Lexington, KY 40503 (859) 278-5800 Lynch, Kevin H 2505 Larkin Rd Ste 202 Lexington, KY 40503 (859) 266-1999 Martin, Julie A 2909 Richmond Rd Ste 120 Lexington, KY 40509 (859) 268-2273 Mendez, Antonio T 207 E Reynolds Rd Ste 160 Lexington, KY 40517 (859) 273-4455 Millen, Jennifer S 1795 Alysheba Way Ste 4103 Lexington, KY 40509 (859) 335-0419 Nemastil, Michael D 148 W Tiverton Way Ste 140 Lexington, KY 40503 (859) 271-5433

Elswick, Clayton C 3198 Custer Dr Ste 200 Lexington, KY 40517 (859) 273-8111 Chiropractor

Page 13

CoventryCares of Kentucky Pelton, Barry L 1132 Winchester Rd Ste 125 Lexington, KY 40505 (859) 254-0059 Pugh, Michael N 4101 Tates Creek Centre Ste 132 Lexington, KY 40517 (859) 272-5460 Rosevear, Christian T 989 Governors Ln Ste 280 Lexington, KY 40513 (859) 219-1011 Shirar, George T 1057 S Broadway Lexington, KY 40504 (859) 254-5001 Skinner, Brett A 3198 Custer Dr Ste 100 Lexington, KY 40517 (859) 231-6996 Smith, Collin P 3165 Beaumont Center Cir Ste 130a Lexington, KY 40513 (859) 219-1014 Stinson, Jeffrey W 1529 Nicholasville Rd Ste 1 Lexington, KY 40503 (859) 276-1123 Wilson, Stephen L 1412 N Broadway Ste 206 Lexington, KY 40505 (859) 543-0252

Floyd County Burgett, Robert B 90 Triangle St Martin, KY 41649 (606) 285-2639 Hackney, Gregory T 781 S Lake Dr Ste 2 Prestonsburg, KY 41653 (606) 886-6555

Hensley, Johanna L 781 S Lake Dr Ste 2 Prestonsburg, KY 41653 (606) 886-6555

Howell, Douglas K 975 Riverbend Rd Ste A Frankfort, KY 40601 (502) 223-7218

Runyon, Jason W 1448 Diederich Blvd Russell, KY 41169 (606) 833-9355

Maynard, Ryan C 81 Hager Branch Rd East Point, KY 41216 (606) 886-3737

Luking, Jason W 103 Twin Oaks Cir Ste 2 Frankfort, KY 40601 (502) 875-3200

Whittaker, Robert A 905 Bellefonte Rd Flatwoods, KY 41139 (606) 836-2522

Salyers II, Charles R 91 Oak Ridge Ct Prestonsburg, KY 41653 (606) 889-9222

Neukam, Suzanne K 103 Twin Oaks Cir Ste 2 Frankfort, KY 40601 (502) 875-3200

Hancock County

Simpson, Philip R 1938 KY Route 321 Prestonsburg, KY 41653 (606) 886-1416

Garrard County

Slone, Zacharry F 1938 KY Route 321 Prestonsburg, KY 41653 (606) 886-1416

Franklin County Adams, David K 692 Teton Trl Frankfort, KY 40601 (502) 875-1127 Anderson, Kevin D 103 Twin Oaks Cir Ste 2 Frankfort, KY 40601 (502) 875-3200 Cremeans, Todd S 73 C Michael Davenport Blvd Ste 2 Frankfort, KY 40601 (502) 223-2424 Eichorst, Harold A 1303 US Highway 127 S Ste 406 Frankfort, KY 40601 (502) 223-6944 Hillyer, Michael R 320 Kings Daughters Dr Frankfort, KY 40601 (502) 223-3674 Howell, Amanda R 103 Twin Oaks Cir Ste 2 Frankfort, KY 40601 (502) 875-3200

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Cundiff, Robert S 230 Lexington St Ste C Lancaster, KY 40444 (859) 792-1845

Grant County Fennell, Craig A 68 S Main St Dry Ridge, KY 41035 (859) 823-0885 Post, Tessa M 1212 N Main Williamstown, KY 41097 (859) 824-6700

Brockman, Nicholas A 135 Main Cross St Hawesville, KY 42348 (270) 927-1077

Hardin County Boni, Christopher A 701 N Mulberry St Elizabethtown, KY 42701 (859) 623-2877 Eriksen, William C 701 N Mulberry St Elizabethtown, KY 42701 (270) 769-5731

Grayson County

Fulkerson, Adam T 1515 Ring Rd W Ste 5 Elizabethtown, KY 42701 (270) 234-8880

Eriksen, William C 508 William Thomason Byway Leitchfield, KY 42754 (270) 259-9199

Miller, Vaughn S 7024 N Dixie HWY Ste D Elizabethtown, KY 42701 (270) 737-0591

Green County

Owsley, Michael T 585 Westport Rd Ste B Elizabethtown, KY 42701 (270) 982-9440

Slinker, Jason W 863 Campbellsville Rd Greensburg, KY 42743 (270) 932-2030

Greenup County Johnson, Shannon M 2021 Ashland Rd Greenup, KY 41144 (606) 473-5151 McCoy, Gary A 102 Biggs Ln South Shore, KY 41175 (606) 932-4133

Perks IV, William T 125 W Lincoln Trail Blvd Radcliff, KY 40160 (270) 351-6074

Harlan County High, Adam J 99 Eula Gray St Ste 19 Harlan, KY 40831 (606) 573-5010

Harrison County Anderson, Kevin D 1050 US Highway 27s Ste 1 Cynthiana, KY 41031 (859) 508-3200 Anderson, Stephanie S 1050 US Highway 27s Ste 1 Cynthiana, KY 41031 (859) 508-3200 Howell, Amanda R 1050 US Highway 27s Ste 1 Cynthiana, KY 41031 (859) 508-3200 Luking, Jason W 1050 US Highway 27s Ste 1 Cynthiana, KY 41031 (859) 508-3200 Neukam, Suzanne K 1050 US Highway 27s Ste 1 Cynthiana, KY 41031 (859) 508-3200 Schulz, Brian C 1050 US Highway 27s Ste 1 Cynthiana, KY 41031 (859) 508-3200

Hart County Ratusny Jr, John T 300 Main St Munfordville, KY 42765 (270) 524-3499

Henderson County Ferguson, James D 2202 US Highway 41 N Ste B Henderson, KY 42420 (270) 844-8162 Nunez Jr, Baldomero 312 3rd St Henderson, KY 42420 (270) 869-8566

Chiropractor

Page 14

CoventryCares of Kentucky Rashidian, Raysha R 1023 North Elm St Henderson, KY 42420 (270) 826-5737 Reasor-Brann, Lenita J 110 3rd St Ste 200 Henderson, KY 42420 (270) 827-0202 Sciortino, Michael A 2869 US Highway 41 N Ste B Henderson, KY 42420 (270) 844-8100

Henry County Cupp, Bruce F 4824 N Main St Eminence, KY 40019 (502) 845-5482 Hines, Mark E 8172 Main St Campbellsburg, KY 40011 (502) 532-0099

Hopkins County Britt, James E 320 E Arcadia Ave Dawson Springs, KY 42408 (270) 797-8461 Cranor, Robert C 446 E Center St Madisonville, KY 42431 (270) 821-7001 McCay, Marina K 38 Ridgewood Professional Ct Madisonville, KY 42431 (270) 821-9020 McCay, Robert F 920 S Main St Madisonville, KY 42431 (270) 821-2321 Stachurski V, John T 2720 N Main St Madisonville, KY 42431 (270) 825-3995

Jackson County Huser-Taylor, Brenda J 35 Highway 290 McKee, KY 40447 (606) 287-2225 Morgan, Chad E 4527 Highway 30 W Ste 2 Annville, KY 40402 (606) 364-3747

Jefferson County Aros, Sara M 3101 Fern Valley Rd Ste 13 Louisville, KY 40213 (502) 968-7272 3318 Bardstown Rd Louisville, KY 40218 (502) 456-5353 10012 Dixie Hwy Louisville, KY 40272 (502) 937-7000 Baker, Michael W 4452 Dixie Hwy Louisville, KY 40216 (502) 448-5241 Bianco, Frida 7611a Preston Hwy Louisville, KY 40219 (502) 962-2277 Languages: Russian Bianco, Massimo 7611a Preston Hwy Louisville, KY 40219 (502) 962-2277 Languages: Italian Constante, Paul J 3707 Chamberlain Ln Ste 101 Louisville, KY 40241 (502) 426-9200 Crosby, Bing G 4508 Outer Loop Louisville, KY 40219 (509) 969-3121

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Dupont, Leslie S 1889 Old Preston HWY N Louisville, KY 40229 (502) 957-2008

Matts, Robert E 9207 US Highway 42 Ste E Prospect, KY 40059 (502) 228-5552

Emig, Robert E 4614 Outer Loop Louisville, KY 40219 (502) 964-9814

Morris, Phillip J 2815 Bardstown Rd Louisville, KY 40205 (502) 456-1771

Gajeski, Brooke L 3810 Stockridge Rd Louisville, KY 40241 (502) 961-0011

Pavelonis, Kevin T 4640 Dixie Hwy Louisville, KY 40216 (502) 447-3333

Goben, Kevin L 700 Gagel Ave Louisville, KY 40216 (502) 366-7386

Pisani, Michael 3101 Fern Valley Rd Ste 13 Louisville, KY 40213 (502) 456-5353

Graham, Stephen L 205 Moser Rd Louisville, KY 40223 (502) 245-9999 Hapka, Justin J 3707 Chamberlain Ln Ste 101 Louisville, KY 40241 (502) 426-9200 Jacques, Thomas V 3101 Fern Valley Rd Ste 13 Louisville, KY 40213 (502) 968-7272 3318 Bardstown Rd Louisville, KY 40218 (502) 456-5353

3318 Bardstown Rd Louisville, KY 40218 (502) 456-5353 10012 Dixie Hwy Louisville, KY 40272 (502) 937-7000 Preble, Laurence D 6540 Outer Loop Louisville, KY 40228 (502) 966-8281 Languages: German Preble, Margaret E 6540 Outer Loop Louisville, KY 40228 (502) 966-8281

10012 Dixie Hwy Louisville, KY 40272 (502) 937-7000

Quinones, Marcel M 7401 Preston Hwy Louisville, KY 40219 (502) 962-8700

Jones, Steven P 3407 Fern Valley Rd Louisville, KY 40213 (502) 961-9355

Quinones, Matthew J 5538 New Cut Rd Louisville, KY 40214 (502) 380-1210

Kenitzer, Keith W 700 Gagel Ave Louisville, KY 40216 (502) 366-7386

Raley, Joseph P 254 Market Place Dr Louisville, KY 40229 (502) 955-7246

Langschied, Neil P 10131 Taylorsville Rd Louisville, KY 40299 (502) 267-6444

Sharp, Michael R 8015 Bardstown Rd Louisville, KY 40291 (502) 239-3993

Wearsch, Greg S 9500 Tayorsville Rd Louisville, KY 40299 (502) 491-1815 Wohlgemuth, Troy C 3847 Cane Run Rd Louisville, KY 40211 (502) 491-0345 3225 Breckenridge Ln Louisville, KY 40220 (502) 491-0345 Wolter, Todd D 2304 Hurstbourne Village Dr Ste 100 Louisville, KY 40299 (502) 493-2400 Yadon, William R 3707 Chamberlain Ln Ste 101 Louisville, KY 40241 (502) 426-9200

Jessamine County Dawson, Harmony S 197 E Brannon Rd Nicholasville, KY 40356 (859) 971-0370 Evans, Dwayne B 934 S Main St Nicholasville, KY 40356 (859) 881-4325 Fischer, Heather 624 Edgewood Dr Nicholasville, KY 40356 (859) 885-5020 Jeffries, Joseph M 127 Orchard Dr Nicholasville, KY 40356 (859) 887-4900 Ruda, Travis S 206 Orchard Dr Ste A Nicholasville, KY 40356 (859) 885-4797 Smith, Collin P 104 W Oak St Nicholasville, KY 40356 (859) 887-3679

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CoventryCares of Kentucky Thoroughman, Terry C 702 S Main St Nicholasville, KY 40356 (859) 885-2225

Johnson County Dewire, Brian C 705 Broadway St Paintsville, KY 41240 (606) 788-0015 Sheets, Paul M 962 Broadway Plz Paintsville, KY 41240 (606) 789-4631

Kenton County Benjamin, Cyril P 2865 Chancellor Dr Ste 200 Crestview Hills, KY 41017 (859) 491-8300 Callioni, Gary D 618 Buttermilk Pike Fort Mitchell, KY 41017 (859) 331-9566 Cawley, Mark K 926 Donaldson Hwy Erlanger, KY 41018 (859) 525-2222 Clifford, Mark E 3126 Dixie Hwy Erlanger, KY 41018 (859) 331-5400 Feeley, Jonathan M 3027 Dixie HWY Ste 112 Edgewood, KY 41017 (859) 363-3756 Howard, Benjamin J 6565 Taylor Mill Rd Independence, KY 41051 (859) 356-8100 Hutchison, Tonnie L 4444 Dixie Hwy Erlanger, KY 41018 (859) 341-3337

King, Molly J 11939 Taylor Mill Rd Independence, KY 41051 (859) 363-1222 1510 Dixie Hwy Park Hills, KY 41011 (859) 261-4858 King, Sue A 11939 Taylor Mill Rd Independence, KY 41051 (859) 363-1222 Kocan, Klaude 2182 Dixie Hwy Fort Mitchell, KY 41017 (859) 344-6001 Reeves, Robert M 3631 Decoursey Ave Covington, KY 41015 (859) 431-2273 Robison, Dierdra K 2144 Declaration Dr Ste 2140 Independence, KY 41051 (859) 815-9371 Savignano II, Ronald W 638 Main St Covington, KY 41011 (859) 261-9261 Schwartz, James J 926 Donaldson Hwy Erlanger, KY 41018 (859) 525-2222 Skinner, Dean D 1922 Walton Nicholson Pike Independence, KY 41051 (859) 363-1000 Taylor, Hamilton D 2351 Buttermilk Xing Crescent Springs, KY 41017 (859) 578-0550

King, Joseph J 1510 Dixie Hwy Park Hills, KY 41011 (859) 261-2855 † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Knott County

Letcher County

Laferty, Amanda N 792 Highway 160 S Hindman, KY 41822 (606) 785-5300

Bakun, Joshua B 1050 HWY 119 N Whitesburg, KY 41858 (606) 633-9099

Knox County

Lincoln County

Decarlo, Anthony A 225 Parkway Plz Barbourville, KY 40906 (606) 864-3595

Skipper, Sterling L 109 Lily Dr Stanford, KY 40484 (606) 365-0203

Patel, Pinkesh 14 Knox Plz Barbourville, KY 40906 (606) 546-7777

Logan County

Languages: Gujarati

Laurel County Decarlo, Anthony A 164 London Shopping Ctr London, KY 40741 (606) 864-3595 High, Adam J 302 Falls St Ste A London, KY 40741 (606) 878-9300 Miller, Donald E 2619 County Farm Rd London, KY 40741 (606) 862-6986 Morgan, Chad E 321 E 4th St Ste 2 London, KY 40741 (606) 330-0319 Patel, Pinkesh 302 Falls St Ste A London, KY 40741 (606) 878-9300 Languages: Gujarati

Lawrence County Taylor, Tommy D 307 W Madison St Louisa, KY 41230 (606) 638-9898 Wright, Dustin E 4347 Highway 2565 Louisa, KY 41230 (606) 638-0650

Jones, Keith A 178 E 4th St Russellville, KY 42276 (270) 726-3164 Poe, David A 909 W 9th St Ste A Russellville, KY 42276 (270) 726-4600

Lyon County Schoonover, Kent L 38 Church Ln Eddyville, KY 42038 (270) 388-7707

Madison County Anderson, Stephanie S 1048 Ace Dr Berea, KY 40403 (859) 985-0606 Baldwin, Eric J 5021 Atwood Dr Richmond, KY 40475 (859) 625-5777 Boardman, Robert 220 Geri Ln Richmond, KY 40475 (859) 623-4123 Boni, Christopher A 1055 Berea Rd Richmond, KY 40475 (859) 623-2877 Campbell, Patrick S 5008 Atwood Dr Ste 4 Richmond, KY 40475 (859) 626-8833

Huser-Taylor, Brenda J 1048 Ace Dr Berea, KY 40403 (859) 985-0606 McCaslin, Danny M 966 Commercial Dr Richmond, KY 40475 (859) 625-9791 McClellan, John D 1140 Barnes Mill Rd Richmond, KY 40475 (859) 623-3780 O'Dell, David M 2085 Lantern Ridge Dr Ste 100 Richmond, KY 40475 (859) 623-2225 Price, Carl J 1140 Barnes Mill Rd Richmond, KY 40475 (859) 623-3780 Sharpe, Sheldon T 301 Big Hill Ave Richmond, KY 40475 (859) 626-0075 Sipple, John C 502 Richmond Rd N Ste A Berea, KY 40403 (859) 986-0007 Taylor, Hamilton D 2187 Lexington Rd Ste A4 Richmond, KY 40475 (859) 624-9699 Van Winkle, James R 164 Plaza Dr Ste D Berea, KY 40403 (859) 624-1815 2161 Lexington Rd Ste 3 Richmond, KY 40475 (859) 624-1815

Marion County Coxon, Roderick D 116 Lebanon Trade Ctr Lebanon, KY 40033 (270) 699-2323

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CoventryCares of Kentucky Rihman, Rashid 303 W Walnut St Lebanon, KY 40033 (270) 692-2652 Roberts, Jeffrey A 496 W Main St Lebanon, KY 40033 (270) 692-6555 Short, Dennis R 303 W Walnut St Lebanon, KY 40033 (270) 692-2652

Marshall County Barrett, James R 3002 US Highway 641 N Benton, KY 42025 (270) 527-7033 Egner, Kyle D 619 Old Symsonia Rd Benton, KY 42025 (270) 527-0880 Leible, Zachary C 112 E 5th St Benton, KY 42025 (270) 527-2007 Tack, Bradley A 5131 US Highway 62 Calvert City, KY 42029 (270) 395-4540 Tack, Lisa A 5131 US Highway 62 Calvert City, KY 42029 (270) 395-8447 Young, Chad S 1665 Oak Park Blvd Ste A Calvert City, KY 42029 (270) 395-9734

Mason County Day Sr, Mark O 151 E 3rd St Maysville, KY 41056 (606) 564-6831 Goldman, Arnold H 1335 Southgate Plz Maysville, KY 41056 (606) 564-4213 Languages: Italian

Goldman, Rita R 1335 Southgate Plz Maysville, KY 41056 (606) 564-4213 Languages: Italian Lyles, Jerry J 1335 Southgate Plz Maysville, KY 41056 (606) 564-4213 Sargent, Timothy L 399 W Maple Leaf Rd Maysville, KY 41056 (606) 564-9900

McCracken County Atnip, Mark E 2731 Jackson St Paducah, KY 42003 (270) 444-7111 Heisner, Monty C 5649 Benton Rd Paducah, KY 42003 (270) 898-3052 Hoying, Shane C 2769 W Park Dr Paducah, KY 42001 (270) 575-1000 Kahre, Travis W 3333 Irvin Cobb Dr Ste 104 Paducah, KY 42003 (270) 442-2211 Schipp, Heath D 3240 Lone Oak Rd Paducah, KY 42003 (270) 554-7661 Sparks, Rodney L 657 Lone Oak Rd Ste 6 Paducah, KY 42003 (270) 442-4054 Winters, Michael A 2830 Lone Oak Rd Ste 4 Paducah, KY 42003 (270) 554-2141

McCreary County West, Timothy W 242 S Main St Whitley City, KY 42653 (606) 376-2123

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

McLean County Brooks, Andria L 344 State Route 81 N Calhoun, KY 42327 (270) 273-5122

Mercer County Aldridge, Kristi L 507 Joseph Dr Ste 4 Harrodsburg, KY 40330 (859) 734-2800 Garrison-Short, Callie J 507 Joseph Dr Ste 4 Harrodsburg, KY 40330 (859) 734-2800 Nocus, Monte K 999 N College St Harrodsburg, KY 40330 (859) 734-7646 Wentz, Brian W 584 N College St Harrodsburg, KY 40330 (859) 734-9992

Monroe County Keith, Collin G 907 N Main St Tompkinsville, KY 42167 (270) 487-8283

Montgomery County Baker, Beverly G 601 Doe Run Dr Mount Sterling, KY 40353 (859) 498-5540 Knepper, Kevin L 601 Doe Run Dr Mount Sterling, KY 40353 (859) 498-5540 Linton II, Robert J 107 Brandon Wy Mount Sterling, KY 40353 (859) 499-1009

Muhlenberg County Snyder, Howard L 140 S Boggess Ave Greenville, KY 42345 (270) 338-3636 Vincent, Larry D 302 Medical Plz Greenville, KY 42345 (270) 338-3348

Nelson County Dearinger, Beaman N 107 N 5th St Bardstown, KY 40004 (502) 348-3202 Klindt, Bartley J 107 N 5th St Bardstown, KY 40004 (502) 348-3202 Schram, Nicklaus A 625 N 3rd St Bardstown, KY 40004 (502) 331-0001

Ohio County Bennett, Lawrence K 705 S Main St Hartford, KY 42347 (270) 298-9510

Oldham County Brown, Rodney S 6003 Pleasant Colony Ct Ste 1 Crestwood, KY 40014 (502) 243-3334 Preble, Laurence D 102 W Madison St La Grange, KY 40031 (502) 222-7611 Languages: German Preble, Margaret E 102 W Madison St La Grange, KY 40031 (502) 222-7611 Schuler, Mark R 6225 W Highway 146 Ste B Crestwood, KY 40014 (502) 241-1122

Owen County Schwartz, Erin A 106 N Main St Owenton, KY 40359 (502) 484-2319 Schwartz, James J 106 N Main St Owenton, KY 40359 (502) 484-2319

Pendleton County Anderson, Kevin D 941 Ridgeway Ave Falmouth, KY 41040 (859) 654-1797 Flora, Julie A 726 Robbins Ave Falmouth, KY 41040 (859) 635-6800 Howell, Amanda R 941 Ridgeway Ave Falmouth, KY 41040 (859) 654-1797 Luking, Jason W 941 Ridgeway Ave Falmouth, KY 41040 (859) 654-1797 Neukam, Suzanne K 941 Ridgeway Ave Falmouth, KY 41040 (859) 654-1797

Perry County Bakun, Joshua B 3123 N KY Highway 15 Ste 1 Hazard, KY 41701 (606) 439-3399 Burns, Lee W 850 Morton Blvd Hazard, KY 41701 (606) 487-8585 Fugate, Fairlena K 3123 N KY Highway 15 Ste 1 Hazard, KY 41701 (606) 439-3399 Williams, Alan D 148 Tyalor Ridge Rd Hazard, KY 41701 (606) 487-8255 Chiropractor

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CoventryCares of Kentucky Pike County Akers, Adam C 171 Hibbard St Pikeville, KY 41501 (606) 432-8395 Akers, Eric B 451 Hambley Blvd Pikeville, KY 41501 (606) 437-1010 Hackney, Gregory T 153 Weddington Branch Rd Pikeville, KY 41501 (606) 432-2225 Hensley, Johanna L 153 Weddington Branch Rd Pikeville, KY 41501 (606) 432-2225 Hensley, Lura-Beth 135 Central Ave Ste 1 South Williamson, KY 41503 (606) 237-9355 Vaughan, Jefferson K 28209 US Highway 119n Goody, KY 41514 (606) 237-1002

Powell County Barnes, David G 242 Washington St Stanton, KY 40380 (606) 663-2731

Pulaski County Belcher, Jonathan A 10275 N Highway 27 Eubank, KY 42567 (606) 676-0022 112 Southport Dr Somerset, KY 42501 (606) 676-0022 Bramble, Todd A 110 Richie Ln Somerset, KY 42503 (606) 679-1433

Casada, Rodney W 1056 S HWY 27 Ste 5 Somerset, KY 42501 (606) 679-6385 Davis, Wade A 604 Ogden St Ste 202 Somerset, KY 42501 (606) 679-1991 Henderson, Chad C 1056 S HWY 27 Ste 5 Somerset, KY 42501 (606) 679-6385 McNevin, Christopher B 106 College St Somerset, KY 42501 (606) 679-2232 Misinay, Lewis M 8034 S Highway 27 Burnside, KY 42519 (606) 561-4357 Wilson, Angie A 44 Sarahs Ln Somerset, KY 42503 (606) 451-0564

Rockcastle County Smith, Larry R 235 Richmond St Mount Vernon, KY 40456 (606) 256-0242

Rowan County O'Brien, Timothy W 547 W Main St Ste A Morehead, KY 40351 (606) 780-7400 Spurlock, William M 1350 Flemingsburg Rd Morehead, KY 40351 (606) 784-1115 Stamper-Kerns, Dana 1350 Flemingsburg Rd Morehead, KY 40351 (606) 784-1115

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Russell County Meyers, Jeffery S 2329 Lakeway Dr Ste G Russell Springs, KY 42642 (270) 866-5553

Scott County Anderson, Kevin D 107 Frazier Ct Ste 1b Georgetown, KY 40324 (502) 867-0807 Goldman, Arnold H 100 Eastside Dr Georgetown, KY 40324 (502) 868-0097 Languages: Italian Goldman, Rita R 100 Eastside Dr Georgetown, KY 40324 (502) 868-0097 Languages: Italian Howell, Amanda R 107 Frazier Ct Ste 1b Georgetown, KY 40324 (502) 867-0807 Luking, Jason W 107 Frazier Ct Ste 4 Georgetown, KY 40324 (502) 867-0807 Lyles, Jerry J 100 Eastside Dr Georgetown, KY 40324 (502) 868-0097 Neukam, Suzanne K 107 Frazier Ct Ste 1b Georgetown, KY 40324 (502) 867-0807 Rorie, Matthew B 108 Osborne Way Ste 6 Georgetown, KY 40324 (502) 867-0073 Smith, Collin P 104 Lawson Dr Ste 107 Georgetown, KY 40324 (859) 351-8081

Tran, Paul S 205 Champion Wy Ste 8 Georgetown, KY 40324 (502) 867-7478 Languages: Vietnamese

Shelby County Cole, Diana M 30 Stonecrest Ct Ste 102 Shelbyville, KY 40065 (502) 647-4600 Dahlkamp, David E 1713 Midland Trl Shelbyville, KY 40065 (502) 633-1073 Ribenboim, Eric L 26 Mack Walters Rd Shelbyville, KY 40065 (502) 633-1574 Languages: French Stapleton, James P 1713 Midland Trl Shelbyville, KY 40065 (502) 633-1073

Simpson County Crnkic, Sanda 607 S Main St Franklin, KY 42134 (270) 586-8740 Languages: Croatian, Serbian Heinze, Dane D 1248 Nashville Rd Franklin, KY 42134 (270) 586-6900

Spencer County Hall, Danan L 101 Settlers Center Way Taylorsville, KY 40071 (502) 477-5000

Taylor County Gresham, Janna L 100 Greenbriar Dr Campbellsville, KY 42718 (270) 465-5200

Richerson, James K 1997 Old Lebanon Rd Campbellsville, KY 42718 (270) 469-9308 Roberts, Raymond A 108 Lebanon Ave Campbellsville, KY 42718 (270) 789-0060 Shaw, Stephen W 1900 Greensburg Rd Campbellsville, KY 42718 (270) 465-5651 Yoder, Samuel L 101 Winston Way Ste B Campbellsville, KY 42718 (270) 789-0033

Todd County Wyatt, Mark A 120 N Main St Trenton, KY 42286 (931) 802-6711

Trigg County Pound, Robert J 308 Main St Cadiz, KY 42211 (270) 881-1005 Pound, Sheila R 308 Main St Cadiz, KY 42211 (270) 881-1005

Union County Baker, Jeremy R 412 N Main St Sturgis, KY 42459 (270) 333-4641 Baker, Kathryn E 412 N Main St Sturgis, KY 42459 (270) 333-4641 Harmon, Terry D 114 E Main St Morganfield, KY 42437 (270) 389-9696

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CoventryCares of Kentucky Warren County Baity, Leon P 1043 Pedigo Wy Ste 9 Bowling Green, KY 42103 (270) 781-6216 Brumlow, Amy B 2965 N Mill Ave Bowling Green, KY 42104 (270) 904-2639 Clark, Amie C 351 Pascoe Blvd Ste 106 Bowling Green, KY 42104 (270) 843-1930 Languages: French Crnkic, Sanda 165 Natchez Trace Ave Ste 201 Bowling Green, KY 42103 (270) 746-9400 Languages: Croatian, Serbian Elkins, Michael C 824 Broadway Ave Bowling Green, KY 42101 (270) 715-7000 Folk, Chad A 1143 Fairway St Ste 103 Bowling Green, KY 42103 (270) 783-4500 Ghayoumi, Abdol 1074 Pedigo Way Ste 200 Bowling Green, KY 42103 (270) 782-0267 Hawley, Bryan K 2424 Airway Dr Ste B Bowling Green, KY 42103 (270) 746-9400 Owsley, Kyle M 1847 Scottsville Rd Bowling Green, KY 42104 (270) 846-0505

Ratusny Jr, John T 1256 Campbell Ln Ste 103 Bowling Green, KY 42104 (270) 904-3499 Rogers, Adam P 2424 Airway Dr Ste B Bowling Green, KY 42103 (270) 746-9400

Wayne County Catron, Kendra R 470 N Main St Monticello, KY 42633 (606) 278-4131 Smith, Jeffery T 1104 N Main St Monticello, KY 42633 (606) 340-0340

Whitley County Brock, Donald P 1015 Master St Corbin, KY 40701 (606) 528-8659 Christopher, Elizabeth R 410 Sycamore St Williamsburg, KY 40769 (606) 549-4811 Christopher, Terry M 410 Sycamore St Williamsburg, KY 40769 (606) 549-4811 Combs, Samuel T 507 US Highway 25 W Corbin, KY 40702 (606) 528-5822 Ho, Kenneth K 841 S Highway 25 W Williamsburg, KY 40769 (606) 549-0123

Woodford County Gladdis, Scott M 260 Crossfield Dr Versailles, KY 40383 (859) 879-0024

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Gralheer, Scott A 404 Lexington Rd Ste 102 Versailles, KY 40383 (859) 873-0410

Community Mental Health Kentucky Boyd County Pathways, INC 3701 Lansdowne Dr. Ashland, KY 41102 (606) 324-3005

Christian County Pennyroyal Center 607 Hammond Plz Hopkinsville, KY 42240 (270) 886-2205

Fayette County Bluegrass Regional Mh/Mr Board, INC. 1351 Newtown Pike Bldg 1 Lexington, KY 40511 (859) 253-1686

Johnson County Mountain Comprehensive Care Center, INC 104 S Front Ave. East Point, KY 41216 (606) 886-4350

McCracken County Four Rivers Behavioral Health 425 Broadway Paducah, KY 42001 (270) 442-7121

Perry County Kentucky River CMHC 115 Rockwood Ln Hazard, KY 41701 (606) 666-9006

Pulaski County The Adanta Group 259 Parkers Mill Rd. Somerset, KY 42501 (606) 679-4782

Warren County Lifeskills, INC 380 Suwannee Trl. Bowling Green, KY 42102 (270) 901-5000

Whitley County Cumberland River Reg. M.H. Mental Retardation Boar 1203 American Greeting Rd. Corbin, KY 40702 (606) 528-7010

Dentist Kentucky

Kenton County

Anderson County

Northkey Community Care 503 Farrell Dr. Covington, KY 41011 (859) 758-3200

Byers, Christopher 1012 Eagle Lake Dr Lawrenceburg, KY 40342 (502) 839-5991

Mason County

Barren County

Comprehend, INC 611 Forest Ave. Maysville, KY 41056 (606) 564-4016

Clark, Jeffrey M 1214a N Race St Ste A Glasgow, KY 42141 (270) 629-3040 Clark, Jeffrey Marshall 1214 A North Race Glasgow, KY 42141 (270) 629-3040

Coomer, Jason Ryan 203 South Dixie Highway Cave City, KY 42127 (270) 773-3943 Greer, Brandon 1214 North Race Street Suite A Glasgow, KY 42141 (270) 629-3040 Greer, Tony B 1214a N Race St Ste A Glasgow, KY 42141 (270) 629-3040 Inman, Gregory 207 Professional Park Dr Glasgow, KY 42141 (270) 651-9386 Sturgill, Edyee M 1337b N Race St Glasgow, KY 42141 (270) 745-9001 Sutton, James M 1214 North Race Street Suite A Glasgow, KY 42141 (270) 629-3040 1214a N Race St Ste A Glasgow, KY 42141 (270) 629-3040 Thompson, Thomas M 1214 North Race Street Suite A Glasgow, KY 42141 (270) 629-3040 1214a N Race St Ste A Glasgow, KY 42141 (270) 629-3040

Bath County Durbin, Douglas 137 Old 36 Highway Owingsville, KY 40360 (859) 223-3939 Garner, Thomas C 137 Old 36 Highway Owingsville, KY 40360 (859) 223-3939

Chiropractor

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CoventryCares of Kentucky Hamlin, Larry E 135 Suddith Street Owingsville, KY 40360 (606) 674-6305

Wilson, Bruce Taylor 123 N 19th Street Middlesboro, KY 40965 (606) 248-1808

Huang, John 137 Old 36 Highway Owingsville, KY 40360 (859) 223-3939

Boone County

Bell County Barnett, Richard D 106 South 10th Street Middlesboro, KY 40965 (606) 248-7505 Boster, Joseph 2205 Cumberland Avenue Middlesboro, KY 40965 (606) 248-3674 Collier, Deborah D 53 Queendale Center Beverly, KY 40913 (606) 598-5135 Lefevers, Kathryn D 850 Riverview Road 3rd Floor Pineville, KY 40977 (606) 337-6297 Maddox, James G 1517 Cumberland Avenue Middlesboro, KY 40965 (606) 248-7661 Pursifull, Brent B 3604 West Cumberland Avenue Middlesboro, KY 40965 (606) 248-2328 Slusher, Daniel K 121 Virginia Avenue East Pineville, KY 40977 (606) 337-3034 Tolliver, Cordell W 714 Exeter Avenue Middlesboro, KY 40965 (606) 248-5302 Wilson, Bruce T 123 N 19th St Middlesboro, KY 40965 (606) 248-1808

Barth Omosivwe, Charity A 1821 Florence Pike Suite 2 Burlington, KY 41005 (859) 689-7700 Bathiany, Albert E 7400 US Highway 42 Florence, KY 41042 (859) 525-2100

Zimmerman, Curtis R 7033 Burlington Pike Suite 01 Florence, KY 41042 (859) 525-7586

Bourbon County McFarland, Barton C 2020 Alverson Drive Paris, KY 40361 (859) 987-4775 Newman, Anna E 436 Main Street Paris, KY 40361 (856) 987-5550

Boyd County

Moore, Martin J 59 Cavalier Blvd Suite 300 Florence, KY 41042 (859) 525-0507

Beadle, Ralph 16005 US 23 South Catlettsburg, KY 41129 (606) 739-0403

Pagnotto, Matthew 2300 Conner Road Hebron, KY 41048 (859) 586-4825

Frazier, Joseph William 708 13th Street Ashland, KY 41101 (606) 325-4231

Philbrick, James D 8449 US Highway 42 Suite K Florence, KY 41042 (859) 372-6300 Soper, Eric M 5495 North Bend Road Burlington, KY 41005 (859) 534-5640 Stigall, Rodney 2300 Conner Road Hebron, KY 41048 (859) 586-4825 Wallace, Kenneth F 280 Mt Zion Road Suite D Florence, KY 41042 (859) 283-1986 Wong, Angelica P 5495 North Bend Road Burlington, KY 41005 (859) 534-5640

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Stewart, David G 1616 Central Ave Ashland, KY 41101 (606) 329-9929

Boyle County Beto, Louis M 400 S 4th St Ste 201 Danville, KY 40422 (859) 236-1130 400 South Fourth Street Danville, KY 40422 (859) 236-1130 Bogardus, Amy 400 South Fourth Street Danville, KY 40422 (859) 236-1130 Bogardus, Amy J 400 S 4th St Ste 201 Danville, KY 40422 (859) 236-1130 Deaton, Kelley C 359 C South 4th Street Danville, KY 40422 (859) 236-5703

Jordan-Webb, Christina 4330 13th Street Ashland, KY 41102 (606) 326-1234

Hankla, John W 1000 E Lexington Avenue Suite 35 Danville, KY 40422 (859) 236-2243

Mayer, Jerry Alan 400 Saint Christopher Drive Ashland, KY 41101 (606) 833-0303

Iqbal, Sarah 132 North Second Street Danville, KY 40422 (859) 236-2488

Montague, Charles E 1330 Central Avenue Ashland, KY 41101 (606) 329-0919 Shelton, Ronnie 441 21 St Ashland, KY 41101 (606) 324-8366 Smith, Earl 441 21 Street Ashland, KY 41101 (606) 324-8366

Lowdenback, Clifford Joseph 126 Daniel Drive Suite B Danville, KY 40422 (859) 936-9937 Maggard, Michael Brent 126 Daniel Drive Suite B Danville, KY 40422 (859) 936-9937 Neal, Lisa M 132 North 2nd Street Danville, KY 40422 (606) 236-2488

Popplewell, Jessica Lynn 132 North Second Street Danville, KY 40422 (859) 236-2488 Webster, Robert 359- B South Fourth Danville, KY 40422 (859) 236-1912 517 Legion Drive Danville, KY 40422 (859) 236-1912 Webster, William 359- B South Fourth Danville, KY 40422 (859) 236-1912 White, James G 126 Daniel Drive Suite B Danville, KY 40422 (859) 936-9937

Bracken County Jefferson, Tara L 224 Frankfort Street Brooksville, KY 41004 (606) 735-3114 McCord, Gary L 224 Frankfort Street Brooksville, KY 41004 (606) 735-3114

Breathitt County Campbell, Roger D 221 Highway 15 South Jackson, KY 41339 (606) 666-4020 Griffith, Rodney 1462 Highway 15 North Jackson, KY 41339 (606) 666-2966

Breckinridge County Driskell-McCoy, Rebecca 122 West 3rd Street Hardinsburg, KY 40143 (270) 756-7950

Dentist

Page 20

CoventryCares of Kentucky Higginson, Joseph H 124 East 3rd Street Hardinsburg, KY 40143 (270) 756-5589 Owen, Virginia 113 East 2nd Street Hardinsburg, KY 40143 (270) 756-5792

Bullitt County Allen Jr., William R 209 High Point Ct Ste 100 Mount Washington, KY 40047 (502) 957-1250 Baugher, Eric M 111 Lees Valley Road Shepherdsville, KY 40165 (502) 531-9339 Beard, Carl 1746 Highway 44 East Shepherdsville, KY 40165 (502) 955-7102 Derhake, Luke H 11737 South Preston Hwy Lebanon Junction, KY 40150 (502) 833-4664 Isgrigg, Nita 110 Village Lane Mount Washington, KY 40047 (502) 538-3434 Mitchell, Matthew 211 High Point Court Suite 500 Mount Washington, KY 40047 (502) 538-2400 Redman Owens, Jera 1746 Highway 44 East Shepherdsville, KY 40165 (502) 955-7102

Thurman, Thomas 1746 Highway 44 East Shepherdsville, KY 40165 (502) 543-2278 Walters, Nathan F 209 High Point Ct Ste 100 Mount Washington, KY 40047 (502) 957-1250

Butler County Birkenhauer, Meghan T 304 West Ohio Street Morgantown, KY 42261 (270) 526-3346 Birkenhauer, Thomas J 304 West Ohio Street Morgantown, KY 42261 (270) 526-3346 Burt, Andrew M 304 West Ohio Street Morgantown, KY 42261 (270) 526-3346 Campbell, Leslie S 304 West Ohio Street Morgantown, KY 42261 (270) 526-3346 Williams, Tarin Thomas 222 West Porter Street Morgantown, KY 42261 (270) 526-8500

Calloway County Bobo, Michael L 1109 Poplar Street Murray, KY 42071 (270) 759-4063 Fitch, Robert G 1304 Johnson Blvd Murray, KY 42071 (270) 753-1691 Pasco, William N 1653 Calloway Avenue Murray, KY 42071 (270) 753-1914

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Pledger, James 1109 Poplar Street Murray, KY 42071 (270) 759-4063 Pledger, James W 1109 Poplar St Murray, KY 42071 (270) 759-4063 West, Jackie D 1711 121 North Bypass Murray, KY 42071 (270) 759-4242 Young, Burton 111 South 13th Street Murray, KY 42071 (270) 753-1206

Campbell County Bathiany, Albert E 18 North Ft Thomas Avenue Fort Thomas, KY 41075 (859) 781-4100 Bowman, Laura H 14 North Fort Thomas Avenue Fort Thomas, KY 41075 (859) 441-1696 Damron, Stafford Russell 335 York Street Newport, KY 41071 (859) 261-6116 Hill, Buford R 625 6th Avenue Dayton, KY 41074 (859) 261-0101 Jain, Chandana 1809 Alexandria Pike Highland Heights, KY 41076 (859) 781-1500 Jhamb, Sunita 960 Highland Ave Fort Thomas, KY 41075 (859) 572-0660 Pagnotto, Matthew 353 Crossroads Boulevard Cold Spring, KY 41076 (859) 586-4825

Pfeiffer, Mark A 20 North Grand Ave Suite 10 Fort Thomas, KY 41075 (859) 441-1900 Rider, David M 85 North Grand Avenue Fort Thomas, KY 41075 (859) 781-1500 1809 Alexandria Pike Highland Heights, KY 41076 (859) 781-1500 Stigall, Rodney 353 Crossroads Boulevard Cold Spring, KY 41076 (859) 586-4825 Wall, Kevin S 625 6th Avenue Dayton, KY 41074 (859) 261-0101

Carlisle County Boyd, John A 268 Highway 62 Bardwell, KY 42023 (270) 628-3512

Jordan, Kevin R 154 Scott Street Olive Hill, KY 41164 (606) 286-4121

Casey County Neal, Lisa M 44 Liberty Sqaure Liberty, KY 42539 (606) 787-2443 Popplewell, Jessica Lynn 44 Liberty Sqaure Liberty, KY 42539 (606) 787-2443

Christian County Allen, Richard C 520 Noel Avenue Hopkinsville, KY 42240 (270) 885-4156 Chapman, Jeffrey W 1910 South Virginia Street Hopkinsville, KY 42240 (270) 885-7156

Carroll County

Gamble, Marty 115 East Mill Street Crofton, KY 42217 (270) 424-5999

Degeorge, Victor 430 Main Street Carrollton, KY 41008 (502) 732-9026

Miller, Mark D 320 Cool Water Court Hopkinsville, KY 42240 (270) 885-0165

Renslow, Danielle 2482 Highway 227 Carrollton, KY 41008 (502) 732-0333

Nunn, William R 522 B Noel Avenue Hopkinsville, KY 42240 (270) 885-7146

Carter County

White, Tresa C 440 East 18th Street Hopkinsville, KY 42240 (270) 886-0581

Baker, Randall L 131 Jessica Lane Suite D Olive Hill, KY 41164 (606) 286-5980 Howard, Charles D 500 North Carol Malone Blvd Grayson, KY 41143 (606) 474-6655

Clark County Cramer, John R 1303 West Lexinton Avenue Winchester, KY 40391 (859) 744-0677

Dentist

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CoventryCares of Kentucky Durbin, Douglas 505 Shoppers Drive Suite 4 Winchester, KY 40391 (859) 223-3939 Garner, Thomas C 505 Shoppers Drive Suite 4 Winchester, KY 40391 (859) 223-3939 Gray III, John I 1303 W Lexington Ave Winchester, KY 40391 (859) 744-0677 Gray, Anita A 1303 West Lexington Avenue Winchester, KY 40391 (859) 745-4455 Gray, John I 1303 West Lexinton Avenue Winchester, KY 40391 (859) 744-0677 Huang, John 505 Shoppers Drive Suite 4 Winchester, KY 40391 (859) 223-3939 McLaurin, Donald 1303 W Lexington Ave Winchester, KY 40391 (859) 744-0677 McLaurin, Donald R 1303 West Lexinton Avenue Winchester, KY 40391 (859) 744-0677 Pratt, Michael M 244 Redwing Drive Winchester, KY 40391 (859) 355-5140 Tolle, Alisa F 244 West Lexington Avenue Winchester, KY 40391 (859) 745-4867

Varanasi, Gayatri 1303 West Lexington Avenue Winchester, KY 40391 (859) 745-4455

Clay County Bryant, Terry L 1 Fayette Properties Manchester, KY 40962 (606) 599-8856 Hensley, Benny H 269 White Street Manchester, KY 40962 (606) 598-4094 Rice, James Clifford 936 N HWY 421 Manchester, KY 40962 (606) 598-5611

Clinton County Allen, Dawn R 1107 Cross Street Albany, KY 42602 (606) 387-6427 Cash, Susan E 111 Cross Street Albany, KY 42602 (606) 387-8339 Riley, Terry Roger 105 Foothills Ave Albany, KY 42602 (606) 387-8372

Cumberland County Allen, Dawn R 360 Keen Street Burkesville, KY 42717 (270) 864-2889 Stephenson, John G 405 North Main Street Burkesville, KY 42717 (270) 864-3465 Stephenson, Julius M 405 North Main Street Burkesville, KY 42717 (270) 864-3465

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Daviess County Alley - Newton, Teri 610 Carlton Drive Owensboro, KY 42303 (270) 683-6623 Braun, Carol J 2816 Veach Road Suite 201 Owensboro, KY 42303 (270) 683-7114 Brey - Sanford, Misty M 2817 Veach Road Owensboro, KY 42303 (270) 684-2463 Brian, Robert A 610 Carlton Drive Owensboro, KY 42303 (271) 683-6623 Dorroh, Audra S 610 Carlton Drive Owensboro, KY 42303 (270) 683-6623

Pendley, Jason 4921 Goetz Dr Owensboro, KY 42301 (270) 926-0190

Ison, Jennie 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665

Pickrell, Holly M 2817 Veach Road Owensboro, KY 42303 (270) 684-2463

Johnson, Jimmie L 87 Wildwood Place Irvine, KY 40336 (606) 723-3213

Reynolds, Daniel A 2816 Veach Road Bldg 2 Owensboro, KY 42303 (270) 926-0548

Jordan, Jane 161 Richmond Road Irvine, KY 40336 (606) 723-4112

Shaw, Kin 920 Frederica Street Suite 301 Owensboro, KY 42301 (270) 926-7272

Knopp, Tina A 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665

Thompson, David C 3164 Alvey Park Drive East Owensboro, KY 42303 (270) 683-0620

Elliott County

Frey, Vicki L 3164 Alvey Park Drive East Owensboro, KY 42303 (270) 683-0620

Oliver, Garry L 437 South Kentucky Route 706 Isonville, KY 41149 (606) 738-6904

Higdon, Katherine T 2816 Veach Road Suite 201 Owensboro, KY 42303 (270) 683-7114

Estill County

Higginson, Joseph H 2868 Farrell Crescent Owensboro, KY 42303 (270) 684-0822 Jackson, Robert Anthony 2816 Veach Road Unit 305 Owensboro, KY 42303 (270) 683-5344 McAlpin, Roger 610 Carlton Drive Owensboro, KY 42301 (270) 683-6623

Asgari, Sara 161 Richmond Road Irvine, KY 40336 (606) 723-4112 Canter, Dennis G 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665 Ford, Lisa 161 Richmond Road Irvine, KY 40336 (606) 723-4112 Gay, Jason 10 River Drive Irvine, KY 40336 (606) 723-1000

Monson, David T 10 River Drive Irvine, KY 40336 (606) 723-1000 Parsons, John H 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665 Parsons, Lindsey A 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665 Senters, Sherry 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665 Stephens, Mark C 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665 Vose, Charles 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665

Fayette County Adkins, Robert S 2505 Larkin Road Lexington, KY 40503 (859) 278-9575

Henderson, Andrea J 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665 Dentist

Page 22

CoventryCares of Kentucky Adkins, Ruth 2704 Old Rosebud Road Suite 210 Lexington, KY 40509 (859) 543-0333

Boehnlein, Polly 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Burton, Susan Lee 431 South Broadway Suite 112 Lexington, KY 40508 (859) 255-6161

Anderson, Steven A 800 Rose St Lexington, KY 40536 (859) 323-9707

Bogardus, Amy J 800 Rose St Lexington, KY 40536 (859) 323-9707

Arnold, Kelly Ann 2393 Alumni Drive Suite 102 Lexington, KY 40517 (859) 268-8770

Bondra, Kenneth J 2533 Larkin Rd Ste 101 Lexington, KY 40503 (859) 278-9376

Cash, Clark D 535 Wellington Way Suite 180 Lexington, KY 40503 (859) 219-2344

Baldwin, Aaron 4097 Nichols Park Dr Suite 108 Lexington, KY 40503 (859) 971-9298 216 Fountain Court Suite 110 Lexington, KY 40509 (859) 264-1898 Banahan, Jackie L 3141 Beaumont Centre Circle Suite 100 Lexington, KY 40513 (859) 223-4888 Barker, William J 3080 Harrodsburg Rd Ste 275 Lexington, KY 40503 (859) 278-5377 3080 Harrodsburg Road Suite 275 Lexington, KY 40503 (859) 278-5377 1401 Harrodsburg Road Lexington, KY 40504 (859) 278-5377 Beto, Louis M 800 Rose St Lexington, KY 40536 (859) 323-9707 Blackmon, Joshua 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

2533 Larkin Road Suite 101 Lexington, KY 40503 (859) 278-9376 One Saint Joseph Drive Lexington, KY 40504 (859) 277-1579 3141 Beaumont Center Circle Suite 103 Lexington, KY 40513 (859) 219-1913 3141 Beaumont Centre Cir Suite 103 Lexington, KY 40513 (859) 219-1913 Braun, Molly 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679 Brown, Jeffrey 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Buchart, Michael P 540 East Main Street Lexington, KY 40508 (859) 233-1431 698 Perimeter Drive Suite 200 Lexington, KY 40517 (859) 269-2757 Burress, Shanna 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Child, Michael E 2134 Nicholsville Road Suite 13 Lexington, KY 40503 (859) 276-4449 Clark, Robert S 2533 Larkin Rd Ste 101 Lexington, KY 40503 (859) 278-9376 2533 Larkin Road Suite 101 Lexington, KY 40503 (859) 278-9376 One Saint Joseph Drive Lexington, KY 40504 (859) 277-1579 3141 Beaumont Center Circle Suite 103 Lexington, KY 40513 (859) 278-9376 3141 Beaumont Centre Cir Suite 103 Lexington, KY 40513 (859) 219-1913 Cobetto, Gregory A 800 Rose St Ste D104 Lexington, KY 40536 (859) 323-9707 Corder, Christopher 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679 Cramer, John R 1640 Nicholasville Road B103 Lexington, KY 40503 (859) 277-5759

Crum - Stevens, Sandra 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Dahleen, Kathryn F 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Davis, Christopher Scott 1750 Alexandria Drive Lexington, KY 40504 (859) 277-1189 Day, Ronald M 2517 Sir Barton Way Lexington, KY 40509 (859) 543-2456 Dean, Lisa Renee 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Demann, Eric 217 Elm Tree Ln Lexington, KY 40507 (859) 257-8801 Dembo, Jeffrey B 800 Rose St Ste D-104 Lexington, KY 40536 (859) 323-9707 Dillow, Morgan C 2517 Sir Barton Way Lexington, KY 40509 (859) 543-2456 Dowell, Stephanie J 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Durbin, Douglas 860 Corporate Drive Suite 201 Lexington, KY 40503 (859) 223-3939 Edens, Gregory Mark 1750 Alexandria Drive Lexington, KY 40504 (859) 277-1189

Edwards, Jeffrey L 2134 Nicholasville Road Suite #15 Lexington, KY 40503 (859) 230-2174 Erena, Gregory R 620 Perimeter Dr Ste 100 Lexington, KY 40517 (859) 268-4423 Fehr, Xia Y 1500 Leestown Road Suite 100 Lexington, KY 40511 (859) 243-0332 Fifield, Jack R 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Flener, Candace 2333 Alexandria Drive Lexington, KY 40504 (577) 227-9892 650 Newtown Pike Lexington, KY 40508 (859) 252-2371 Ford, Jason 2533 Larkin Road Suite 101 Lexington, KY 40503 (859) 278-9376 3141 Beaumont Center Circle Suite 103 Lexington, KY 40513 (859) 219-1913 Ford, Jason E 2533 Larkin Rd Ste 101 Lexington, KY 40503 (859) 278-9376 3141 Beaumont Centre Cir Suite 103 Lexington, KY 40513 (859) 219-1913 Ford, Kara D 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 258-2552

Dentist

Page 23

CoventryCares of Kentucky Garner, Thomas C 860 Corporate Drive Suite 201 Lexington, KY 40503 (859) 223-3939 Gibson, Marcus A 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Greene, Kathrine B 1081 Dove Run Road Suite 106 Lexington, KY 40502 (859) 269-7135 Haynes, Kathryn D 1135 Red Mile Place Lexington, KY 40504 (606) 439-1559 217 Elm Tree Lane Lexington, KY 40507 (606) 439-1559

Herman, Larry M 228 North Upper Street Lexington, KY 40507 (859) 233-1112

Jordan, Jane 800 Rose Street Lexington, KY 40536 (859) 323-8098

Leslie, Louis 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

3141 Beaumont Centre Cir Suite 103 Lexington, KY 40513 (859) 219-1913

Hobbs-Buchner, Amber 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Khader, Ruba N 800 Rose St Ste D-104 Lexington, KY 40536 (859) 323-9707

Lowdenback, Clifford Joseph 2443 Sir Barton Way Suite 225 Lexington, KY 40509 (859) 543-9200

Mendola, Vincent M 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Hollingsworth, Cherice M 1517 Nicholasville Road Suite 301 Lexington, KY 40503 (859) 278-9977 Huang, Betty 216 Fountain Court Suite 150 Lexington, KY 40509 (859) 543-2242

Hayward, Theresa 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Huang, John 860 Corporate Drive Suite 201 Lexington, KY 40503 (859) 223-3939

Head, Marylou S 3225 Summit Square Place Suite 150 Lexington, KY 40509 (859) 269-5386

Jackson, Megan 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Hedgespeth, Lauren 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Jackson, Rodney A 2517 Sir Barton Way Lexington, KY 40509 (859) 543-2456

Helton, Tonda 4097 Nichols Park Dr Suite 108 Lexington, KY 40503 (859) 971-9298

Jenkins, William Scott 216 Fountain Court Suite 110 Lexington, KY 40509 (859) 264-1898

1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Johanneman, Shaunna Ramsdale 650 Newtown Pike Lexington, KY 40508 (859) 252-2371

Hendricks, Don Michael 1025 Dove Run Road Suite 208 Lexington, KY 40502 (859) 368-8618

Johnson, Jimmie L 650 Newtown Pike Lexington, KY 40508 (859) 288-2425

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kinchen, Gretchen 989 Governors Ln Suite 120 Lexington, KY 40513 (859) 296-0296 King, Jeffrey W 4071 Tates Creek Center Drive Suite 210 Lexington, KY 40517 (859) 273-3139 Kissinger, Phillip 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Kochis, Lisa A 4071 Tates Creek Centre Drive Suite 306 Lexington, KY 40517 (859) 971-1137 Krantz, Richard L 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Kress, Jessica 1636 Nicholasville Road Suite 5 Lexington, KY 40503 (857) 276-4537 Landis, John 650 Newtown Pike Lexington, KY 40508 (859) 252-2371 Larkin, Linda A 624 North Broadway Lexington, KY 40508 (859) 253-0711 Lee, Ashley A 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 258-2552

3141 Beaumont Centre Circle Suite 200 Lexington, KY 40513 (859) 296-4846 Lungu, Virgil R 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 258-2552 Maddox, Raymond 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679 Maggard, Michael Brent 2443 Sir Barton Way Suite 225 Lexington, KY 40509 (859) 543-9200 3141 Beaumont Centre Circle Suite 200 Lexington, KY 40513 (859) 296-4846 Max, Donald P 2533 Larkin Rd Ste 101 Lexington, KY 40503 (859) 278-9376 2533 Larkin Road Suite 101 Lexington, KY 40503 (859) 278-9376 One Saint Joseph Drive Lexington, KY 40504 (859) 277-1579 3141 Beaumont Center Circle Suite 103 Lexington, KY 40513 (859) 278-9376

Mink, John R 1135 Red Mile Pl Lexington, KY 40504 (859) 218-2273 Morris, Robert 1640 Nicholasville Road B103 Lexington, KY 40503 (859) 277-5759 Morris, Robert H 1640 Nicholasville Rd Lexington, KY 40503 (859) 277-5759 Morrow, Nick S 216 Fountain Ct Ste 110a Lexington, KY 40509 (859) 264-1898 Morrow, Nick Samuel 216 Fountain Court Suite 110 Lexington, KY 40509 (859) 264-1898 Munoz, Cindy 428 East New Circle Road Lexington, KY 40505 (859) 225-5281 Murphy, Michael T 800 Rose St Ste D-104 Lexington, KY 40536 (859) 323-9707 Murray, Melissa 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Nelson, Aprille R 556 North Broadway Lexington, KY 40508 (859) 253-3242

Dentist

Page 24

CoventryCares of Kentucky Nicol, Bruce 2533 Larkin Road Suite 101 Lexington, KY 40503 (859) 278-9376

Riley, Tiffany 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

One Saint Joseph Drive Lexington, KY 40504 (859) 277-1579

Rubeling, Richard R 200 East Reynolds Road Lexington, KY 40517 (859) 272-8912

3141 Beaumont Center Circle Suite 103 Lexington, KY 40513 (859) 219-1913

Scott, Michael L 624 North Broadway Lexington, KY 40508 (859) 253-0711

Nicol, Bruce R 2533 Larkin Rd Ste 101 Lexington, KY 40503 (859) 278-9376

Smothers, Anna 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

3141 Beaumont Centre Cir Suite 103 Lexington, KY 40513 (859) 219-1913 Owens, Devert J 131 Cherrybark Drive Lexington, KY 40503 (859) 277-6678 Perez, Cristina 1135 Red Mile Pl Lexington, KY 40504 (859) 218-2273 Phillips, Britney N 1301 Winchester Road Suite 225 Lexington, KY 40505 (770) 916-9000

Stambaugh, James Robert 1750 Alexandria Drive Lexington, KY 40504 (859) 277-1189 Stone, Daria 1135 Red Mile Place Lexington, KY 40504 (606) 439-1559 217 Elm Tree Lane Lexington, KY 40507 (606) 439-1559 Stowe, Adam 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Rasheed, Muhammed 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Stowe, Christina R 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Ray, Andrew 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Sturgeon, Michael 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Rector, Jaimie 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Tummala, Leela 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 258-2552

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Ufomata, Dickson Peter 1600 Leestown Road Suite 138 Lexington, KY 40511 (859) 232-8883

Perkins, Thomas Scott 708 Elizaville Avenue Flemingsburg, KY 41041 (606) 849-2151 Price, Jill S 46 Ashbrook Drive Flemingsburg, KY 41041 (606) 849-1999

Francis, Demetra 781 South Lake Drive Suite 1 Prestonsburg, KY 41653 (606) 886-2676

Floyd County

Hayes, Stanley 292 Highway 550 Box 200 Eastern, KY 41622 (606) 358-4157

Victorino, Sharlette 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Clark, Brent G Us Highway 23 South Hayes Complex Betsy Layne, KY 41605 (606) 478-9290

Herrick, Robert Bradley 274 South Lake Drive Prestonsburg, KY 41653 (606) 886-1095

White, James G 2443 Sir Barton Way Suite 225 Lexington, KY 40509 (859) 543-9200

Clark, Edford L 415 North Lake Drive Suite 201 Prestonsburg, KY 41653 (606) 886-4260

Leslie, Robert K 400 University Drive Suite 110 Prestonsburg, KY 41653 (606) 886-2010

3285 Blazer Parkway Lexington, KY 40509 (859) 543-9200

Clark, Misty 83 Oak Ridge Ct Prestonsburg, KY 41653 (606) 886-0300

McKinney, Veronica D Route 680 Highway 122 Minnie, KY 41651 (606) 377-0170

Crum - Stevens, Sandra 6363 Kentucky Route 1428 Allen, KY 41601 (606) 949-6971

Moore, Kevin B 95 Stone Coal Road Garrett, KY 41630 (606) 358-9135

Van Sickels, Joseph E 800 Rose St Ste D-104 Lexington, KY 40536 (859) 323-9707

3141 Beaumont Centre Circle Suite 200 Lexington, KY 40513 (859) 296-4846 Wix, Solitaire 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679 Young, Nelson E 650 Newtown Pike Lexington, KY 40508 (859) 252-2371 Zakharia, Rana M 2505 Larkin Road Lexington, KY 40503 (859) 278-9575 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Fleming County Kalb, Kent W 813 Elizaville Avenue Flemingsburg, KY 41041 (606) 845-3010

Damron, Mark 7629 KY Route 979 Grethel, KY 41631 (606) 587-2800 Damron, Mark D 7629 Eula Hall Highway Grethel, KY 41631 (606) 886-8546 1709 KY Route 321 Ste 3 Prestonsburg, KY 41653 (606) 886-8546 Elliott, II, Olin 196 KY Highway 3188 Langley, KY 41645 (606) 285-9317 Francis, Bill R 781 South Lake Drive Suite 1 Prestonsburg, KY 41653 (606) 886-2676

Moore, Tandy 95 Stone Coal Road Garrett, KY 41630 (606) 358-9135 Moore-Martin, Stacie 27 Turkey Creek Langley, KY 41645 (606) 285-9444 Sahasi, Preeti 7629 KY Route 979 Grethel, KY 41631 (606) 886-8546 1709 Kentucky Route 321 Suite 3 Prestonsburg, KY 41653 (606) 886-8546 Wallace, Brian D 781 South Lake Drive Suite 1 Prestonsburg, KY 41653 (606) 886-2676

Dentist

Page 25

CoventryCares of Kentucky Whitt, Heather P 7629 Eula Hall Highway Grethel, KY 41631 (606) 886-8546 7629 KY Route 979 Grethel, KY 41631 (606) 587-2800 1709 Kentucky Route 321 Suite 3 Prestonsburg, KY 41653 (606) 886-8546 1709 KY Route 321 Ste 3 Prestonsburg, KY 41653 (606) 886-8546

Franklin County Baluyut, Arlene 630 Comanche Trail Suite A Frankfort, KY 40601 (502) 226-1900 Barrington, Michael 1230 US Highway 127 South Suite 3 Frankfort, KY 40601 (502) 352-2512 Bondra, Kenneth J 105 Diagnostic Dr Frankfort, KY 40601 (502) 875-4608

Daniel, Harold 103 C Michael Davenport Boulevard Suite 3 Frankfort, KY 40601 (502) 352-2510

Mortenson, Brent 103 C Michael Davenport Boulevard Suite 3 Frankfort, KY 40601 (502) 352-2510

Deaton, Brian 630 Comanche Trail Suite A Frankfort, KY 40601 (502) 226-1900

Nicol, Bruce 105 Diagnostic Drive Frankfort, KY 40601 (502) 875-4608

Durbin, Douglas 193 Versailles Road Suite 37 Frankfort, KY 40601 (859) 223-3939 Flener, Candace 630 Comanche Trail Suite A Frankfort, KY 40601 (502) 226-1900 Ford, Jason 105 Diagnostic Drive Frankfort, KY 40601 (502) 875-4608 Ford, Jason E 105 Diagnostic Dr Frankfort, KY 40601 (502) 875-4608

105 Diagnostic Drive Frankfort, KY 40601 (502) 875-4608

Garner, Thomas C 193 Versailles Road Suite 37 Frankfort, KY 40601 (859) 223-3939

Cash, Clark D 635 Comanche Trail Frankfort, KY 40601 (502) 227-1931

Hoover, Taylor 206 West Main Street Frankfort, KY 40601 (502) 223-1303

Clark, Robert S 105 Diagnostic Dr Frankfort, KY 40601 (502) 875-4608

Huang, John 193 Versailles Road Suite 37 Frankfort, KY 40601 (859) 223-3939

105 Diagnostic Drive Frankfort, KY 40601 (502) 875-4608

Max, Donald P 105 Diagnostic Dr Frankfort, KY 40601 (502) 875-4608 105 Diagnostic Drive Frankfort, KY 40601 (502) 875-4608

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Nicol, Bruce R 105 Diagnostic Dr Frankfort, KY 40601 (502) 875-4608 Pape, Richard A 103 C Michael Davenport Boulevard Suite 3 Frankfort, KY 40601 (502) 352-2510 Smith, Darryl V 571 E Main St Ste 4 Frankfort, KY 40601 (502) 227-2740 571 East Main Street Frankfort, KY 40601 (502) 227-2740

Grant County Lenihan, John F 800 Violet Road Crittenden, KY 41030 (706) 769-1945 Rich, William K 139 South Main Street Dry Ridge, KY 41035 (859) 824-7133 Thomas, Thad F 118 South Main Street Suite 5 Dry Ridge, KY 41035 (859) 824-5454

Graves County Dunker, Deborah B 822 Paris Road Mayfield, KY 42066 (270) 247-0751

Freeman, Bryan D 312 Wyatt Drive Mayfield, KY 42066 (270) 247-1966

Badgett, Choctaw 8340 US 60 West Lewisport, KY 42351 (270) 926-1229

Marsh, Daniel C 312 Wyatt Drive Mayfield, KY 42066 (270) 247-1966

Baldwin, Dan W 8631 Kentucky 69 Hawesville, KY 42348 (270) 927-6762

Poat, Salena 315 South 6th St Mayfield, KY 42066 (270) 247-2552

100 State Route 271 S Lewisport, KY 42351 (270) 927-6712

Grayson County Nichols, Jay 2471 Elizabethtown Road Leitchfield, KY 42754 (270) 259-4008 Nichols, Melissa 2471 Elizabethtown Road Leitchfield, KY 42754 (270) 259-4008

Greenup County Baker, Robert L 1121 Seaton Avenue Greenup, KY 41144 (606) 473-5252 Callihan, R. Brooks 219 Main Street Greenup, KY 41144 (606) 473-6322 Dean, Lisa Renee 1592 Diederich Boulevard Russell, KY 41169 (606) 836-9962

330 Frank Luttrell Road Lewisport, KY 42351 (270) 295-6330 80 State Route 271 S Lewisport, KY 42351 (270) 927-6593 Burress, Shanna 8631 Kentucky 69 Hawesville, KY 42348 (270) 927-6762 100 State Route 271 S Lewisport, KY 42351 (270) 927-6712 330 Frank Luttrell Road Lewisport, KY 42351 (270) 295-6330 80 State Route 271 S Lewisport, KY 42351 (270) 927-6593 Eades, William B 8631 Kentucky 69 Hawesville, KY 42348 (270) 927-6762 100 State Route 271 S Lewisport, KY 42351 (270) 927-6712

Wagner, Robert L 1402 Argillite Road Flatwoods, KY 41139 (606) 836-1646

330 Frank Luttrell Road Lewisport, KY 42351 (270) 295-6330

Hancock County

80 State Route 271 S Lewisport, KY 42351 (270) 927-6953

Allen, Walton 140 Main Cross Street Hawesville, KY 42348 (270) 927-6045

Higginson, Joseph H 140 Main Cross Street Hawesville, KY 42348 (270) 927-9000

Dentist

Page 26

CoventryCares of Kentucky Jefferson, Tara L 8631 Kentucky 69 Hawesville, KY 42348 (270) 927-6762

Burress, Shanna 10471 Leitchfield Road Cecilia, KY 42724 (270) 877-0500

100 State Route 271 S Lewisport, KY 42351 (270) 927-6712

100 Country Club Road Vine Grove, KY 40175 (270) 877-2135

330 Frank Luttrell Road Lewisport, KY 42351 (270) 927-6762

309 1st Street Vine Grove, KY 40175 (270) 877-0500

80 State Route 271 S Lewisport, KY 42351 (270) 927-6953

Corder, Christopher 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Hardin County Abang, Roderick 1107 Crown Point Business Center Suite 210 Elizabethtown, KY 42701 (270) 769-3858 Aburob, Sana 2900 Ring Road Elizabethtown, KY 42701 (270) 737-6453 Baldwin, Dan W 100 Country Club Road Vine Grove, KY 40175 (270) 877-2135 309 1st Street Vine Grove, KY 40175 (270) 877-0500 Baldwin, Thomas 520 North Miles Street Elizabethtown, KY 42701 (270) 769-1349 Boehnlein, Polly 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Braun, Molly 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Duplessis, Jr, John 2401 Ring Road Heartland Professional Building Elizabethtown, KY 42701 (270) 765-6502 Eades, William B 100 Country Club Road Vine Grove, KY 40175 (270) 877-2135 309 1st Street Vine Grove, KY 40175 (270) 877-0500 Ford, Kara D 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Graves, David 501 West Poplar St Elizabethtown, KY 42701 (270) 765-6156 Helton, Tonda 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Inman, Gregory 520 North Miles Street Elizabethtown, KY 42701 (270) 769-1349

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Jackson, Megan 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Ray, Andrew 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Jefferson, Tara L 100 Country Club Road Vine Grove, KY 40175 (270) 877-2135

Rector, Jaimie 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

309 1st Street Vine Grove, KY 40175 (270) 877-0500 Jhamb, Sunita 599 Rogersville Rd Radcliff, KY 40160 (270) 351-2999 Lee, Ashley A 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Luckett, Ann 2900 Ring Rd Elizabethtown, KY 42701 (270) 737-6453 Maple, Jennifer 60 Stonecrest Court Suite 200 Shelbyville, KY 40065 (502) 633-1819 Morgan, Matthew 2407 Ring Road Elizabethtown, KY 42701 (502) 360-0480

Rogers, Sara 2407 Ring Road Suite 137 Elizabethtown, KY 42701 (270) 360-0480 Sheroan, Marianne 1107 Crown Point Business Center Suite 210 Elizabethtown, KY 42701 (270) 769-3858 Sturgeon, Michael 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Victorino, Sharlette 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Wix, Solitaire 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Murphy, Nicholas 1107 Crown Point Business Center Suite 210 Elizabethtown, KY 42701 (270) 769-3858

Blair, Clyde Emmitt 1620 East Main St Cumberland, KY 40823 (606) 589-6113

Phillips, Britney N 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Bryson, Stephen C 110 Professional Lane Suite 201 Harlan, KY 40831 (606) 573-6007

Harlan County

Guy, Newton S 303 Mound Street Harlan, KY 40831 (606) 573-4707 McQueen, Clint B 118 South 1st Street Harlan, KY 40831 (606) 574-9000 Sellars, Mia R 101 Chad Street Evarts, KY 40828 (606) 837-2108 Watts, Derek G 106 Railroad Street Harlan, KY 40831 (606) 573-7441

Harrison County Cash, Clark D 109 South Walnut Street Cynthiana, KY 41031 (502) 227-1931 Rush, Neil C 216 South Main Street Cynthiana, KY 41031 (859) 234-1473 Stephens, Kevin C 1606 US Highway 27 North Cynthiana, KY 41031 (859) 234-4323

Hart County Forster, Karl 309 Caldwell Street Munfordville, KY 42765 (270) 524-3008 Shelton, Alan 865 South Dixie Highway Munfordville, KY 42765 (270) 524-5580 Smith, Jason R 663 Main Street Munfordville, KY 42765 (270) 524-5422

Dentist

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CoventryCares of Kentucky 1199 Madison Street Henderson, KY 42420 (270) 831-5081

2424 Zion Road Henderson, KY 42420 (270) 831-8800

9190 US Highway 60 E Henderson, KY 42420 (270) 831-5136

13043 Kentucky 136 Henderson, KY 42420 (270) 831-5142

315 Jackson Street Henderson, KY 42420 (270) 831-5090

920 Bend Gate Road Henderson, KY 42420 (270) 831-5040

10694 US 41a Henderson, KY 42420 (855) 497-6453

1707 Second Sreet Henderson, KY 42420 (270) 831-5060

800 South Alves Street Henderson, KY 42420 (270) 831-5050

1199 Madison Street Henderson, KY 42420 (855) 497-6453

1776 Adams Lane Henderson, KY 42420 (270) 831-5070

9190 US Highway 60 E Henderson, KY 42420 (270) 831-5136

Wagoner, Robert G 801 North Elm Street Henderson, KY 42420 (270) 212-0330

13043 Kentucky 136 Henderson, KY 42420 (270) 831-5142

2424 Zion Road Henderson, KY 42420 (270) 831-8800

920 Bend Gate Road Henderson, KY 42420 (270) 831-5040

1707 Second Sreet Henderson, KY 42420 (270) 831-5060

315 Jackson Street Henderson, KY 42420 (270) 831-5070

1776 Adams Lane Henderson, KY 42420 (270) 831-5070

800 South Alves Street Henderson, KY 42420 (270) 831-5050

Ellis, James 801 N Elm St Henderson, KY 42420 (270) 827-2555

Acord, Timothy S 200 Clinic Dr 3rd Fl Madisonville, KY 42431 (502) 361-0134

2424 Zion Road Henderson, KY 42420 (270) 831-8800

9190 US Highway 60 E Henderson, KY 42420 (270) 831-5136

Jefferson, Tara L 11215 US Highway 60 West Corydon, KY 42406 (270) 831-1760

Agent, Stephen L 308 East Arcadia Avenue Dawson Springs, KY 42408 (270) 797-3319

Sanders, Tammy R 122 South Lee Trover Todd Jr Highway Earlington, KY 42410 (270) 383-5511

315 Jackson Street Henderson, KY 42420 (855) 497-6453

920 Bend Gate Road Henderson, KY 42420 (270) 831-5040

800 South Alves Street Henderson, KY 42420 (270) 831-5050

Eades, William B 11215 US Highway 60 West Corydon, KY 42406 (270) 831-1760

Brown, Terry E 77 E North St Madisonville, KY 42431 (270) 821-2468

Schulten, Thad 200 Clinic Dr Third Floor Madisonville, KY 42431 (270) 825-7441

Henderson County Baldwin, Dan W 11215 US Highway 60 West Corydon, KY 42406 (855) 497-6453

9190 US Highway 60 E Henderson, KY 42420 (270) 831-5136 920 Bend Gate Road Henderson, KY 42420 (270) 831-5040 Beard, Jay P 401 C Hoffman Drive Henderson, KY 42419 (270) 827-1263 Burress, Shanna 11215 US Highway 60 West Corydon, KY 42406 (270) 831-1760 10694 US 41a Henderson, KY 42420 (270) 533-6473

10694 US 41a Henderson, KY 42420 (270) 533-6473 1199 Madison Street Henderson, KY 42420 (270) 831-5081 13043 Kentucky 136 Henderson, KY 42420 (270) 831-5142 1707 Second Sreet Henderson, KY 42420 (270) 831-5060 1776 Adams Lane Henderson, KY 42420 (270) 831-5070

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

10694 US 41a Henderson, KY 42420 (270) 533-6473 1199 Madison Street Henderson, KY 42420 (270) 831-5081 13043 Kentucky 136 Henderson, KY 42420 (270) 831-5142 1707 Second Sreet Henderson, KY 42420 (270) 831-5060 1776 Adams Lane Henderson, KY 42420 (270) 831-5070 2424 Zion Road Henderson, KY 42420 (270) 831-8800 315 Jackson Street Henderson, KY 42420 (270) 831-5090 800 South Alves Street Henderson, KY 42420 (270) 831-5050

Wilson, S Kurtis 716 Second Street Henderson, KY 42420 (270) 826-2092

Hopkins County

Brummer, Vaughn E 1400 Pride Ave Madisonville, KY 42431 (270) 821-7386 Crist, Richard T 1340 South Main Street Madisonville, KY 42431 (270) 825-0696 Haag, James G 1250 Thornberry Dr Madisonville, KY 42431 (270) 825-9616 Harris, W 200 Clinic Dr Third Floor Madisonville, KY 42431 (270) 825-7441

Harris, Warren R 200 Clinic Dr 3rd Fl Madisonville, KY 42431 (502) 361-0134 Hill, Kimberly K 344 East Arch Street Madisonville, KY 42431 (270) 821-8172 King, Timothy J 2100 North Main Street Madisonville, KY 42431 (270) 825-2686 Littlepage, Randall 77 East North Street Madisonville, KY 42431 (270) 825-4030 Roy, John A 1410 C Pride Avenue Madisonville, KY 42431 (270) 821-3423

Segebarth, Ronald 2100 North Main Street Madisonville, KY 42431 (270) 825-2686 Spencer, C. Suzanne 2100 North Main Street Madisonville, KY 42431 (270) 825-2686 Winfrey, Jeffrey L 115 West Munn Street Dawson Springs, KY 42408 (270) 797-4171

Jackson County Canter, Dennis G 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104

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CoventryCares of Kentucky Henderson, Andrea J 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104

Akers-Wilson, Erin 4825 South 3rd Street Louisville, KY 40214 (502) 366-6362

Ison, Jennie 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104

Akridge, Matt 165 Outer Loop Suite 121 Louisville, KY 40214 (502) 367-1595

Knopp, Tina A 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104 Parsons, John H 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104 Parsons, Lindsey A 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104 Senters, Sherry 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104 Vose, Charles 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104

Jefferson County Abang, Roderick 2301 Meadow Drive Louisville, KY 40218 (502) 451-8900 Abrams, Melanie 5100 Outer Loop Suite B Louisville, KY 40219 (502) 969-9264 Ackerman, Regan W 911 Palatka Road Louisville, KY 40214 (502) 366-2448 10640 Dixie Highway Louisville, KY 40272 (502) 933-4427 Acord, Timothy S 4515 Churchman Ave Louisville, KY 40215 (502) 361-0134

12405 Old Shelbyville Road Louisville, KY 40243 (502) 244-0204 Alford, Kenneth D 4801 Outer Loop Suite A204 Louisville, KY 40219 (502) 966-8638 Allen Jr., William R 225 Abraham Flexner Way Ste 302 Louisville, KY 40202 (502) 587-7874 9488 Brownsboro Rd Louisville, KY 40241 (502) 326-0606 Allen, Stephanie 1504 South Seventh Street Louisville, KY 40208 (502) 636-5492 Alpert, Brian 401 E Chestnut St Ste 550 Louisville, KY 40202 (502) 852-5401 401 East Chestnut Street Suite 550 Louisville, KY 40202 (502) 852-5401 Asseff, Pamela 3046 Breckenridge Lane Suite 101 Louisville, KY 40220 (502) 493-4154 Bachali, Sarath 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Baluyut, Arlene 4642 Chamberlain Ln Suite 252 Lyndon, KY 40241 (502) 326-1800 Baugher, Eric M 134 North Evergreen Rd Suite 100 Louisville, KY 40243 (502) 253-2201 Baumann, Donald 4007 Valley View Drive Louisville, KY 40216 (502) 448-3044 Bennett, Beth 1039 East Burnett Avenue Louisville, KY 40217 (502) 634-9005 Bernstein, Mark 401 East Chestnut Street Suite 550 Louisville, KY 40202 (502) 852-5401 501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5096 Bingham, Monica 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442 Board, Jennifer S 3101 Breckenridge Lane Suite 4b Louisville, KY 40220 (502) 451-1020 10500 Fischer Park Drive Louisville, KY 40241 (502) 426-9594 Boehnlein, Polly 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

Boling, Winnie 1100 East Market Street Louisville, KY 40206 (502) 596-1090

Cooper, Robert E 111 Fairfax Avenue Louisville, KY 40207 (502) 895-1171

Bond, Priscilla 1100 East Market Street Louisville, KY 40206 (502) 596-1090

Corder, Christopher 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Braun, Molly 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Brown, Blair 5222 Dixie Highway Louisville, KY 40216 (502) 449-7995 10031 Forest Green Boulevard Louisville, KY 40223 (502) 412-7587 Bult, Craig 4602 Southern Parkway Suite 2 E Louisville, KY 40214 (502) 361-1232 Carman, Michelle 1504 South Seventh Street Louisville, KY 40208 (502) 636-5492

3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Deaton, Brian 4642 Chamberlain Ln Suite 252 Lyndon, KY 40241 (502) 326-1800 Degeorge, Victor 8013 New La Grange Road Suite 3 Louisville, KY 40222 (502) 426-4868 Derhake, Luke H 911 Palatka Road Louisville, KY 40214 (502) 366-2448 Dezarn, Allison 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972 2215 Portland Avenue Louisville, KY 40212 (502) 772-8139

Chandiramani, Sunita 501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103

Dunaway, Juliet 501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103

Clark, Stephen 401 East Chestnut Street Suite 550 Louisville, KY 40202 (502) 852-5401

550 South Jackson Street Louisville, KY 40202 (502) 852-7660

501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103

Durbin, Douglas 2813 North Hurstbourne Parkway Suite 106 Louisville, KY 40223 (502) 326-0011

Dentist

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CoventryCares of Kentucky Ehsani, Nader 12601 Townepark Way Suite 100 Louisville, KY 40243 (502) 384-7000 Elias, James 5222 Dixie Highway Louisville, KY 40216 (502) 449-7995 10031 Forest Green Boulevard Louisville, KY 40223 (502) 412-7587 Engilman, William 134 North Evergreen Road Suite 100 Louisville, KY 40243 (502) 253-2201 Feeney, Donald E 1169 Eastern Parkway Suite 1152 Louisville, KY 40217 (502) 458-1251 Ford, Kara D 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Garner, Thomas C 2813 North Hurstbourne Parkway Suite 106 Louisville, KY 40223 (502) 326-0011 Gerlach, Harold 210 West Woodlawn Avenue Louisville, KY 40214 (502) 368-5529 Gerlach, Joellen 11900 Shelbyville Road Louisville, KY 40243 (502) 244-0333 Gibson, Marcus A 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972

2215 Portland Avenue Louisville, KY 40212 (502) 772-8160 Goldman, Kim 1313 Lyndon Ln Ste 214 Louisville, KY 40222 (502) 582-3750 Greenwell, Ann 501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103 Greenwell, III, Henry 501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103 Hansford, Kimberly 130 North Evergreen Road Suite 100 Louisville, KY 40243 (502) 410-1710 Hardin, Courtney 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972 2215 Portland Avenue Louisville, KY 40212 (502) 772-8139 Hardin, Courtney N 1000 Neighborhood Pl Fairdale, KY 40118 (502) 361-2381 712 E Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972 914 E Broadway Louisville, KY 40204 (502) 583-1981 2215 Portland Ave Louisville, KY 40212 (502) 774-8631 4805 Southside Dr Louisville, KY 40214 (502) 772-8860 4100 Taylor Blvd Louisville, KY 40215 (502) 366-4747

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

9702 Stonestreet Rd Medical Office Bldg 1, Ste 220 Louisville, KY 40272 (502) 995-5051 Harris, W 4515 Churchman Ave Louisville, KY 40215 (502) 361-0134 Harris, Warren R 4515 Churchman Ave Louisville, KY 40215 (502) 361-0134 Hayward, Theresa 1018 South 4 St Suite 250 Louisville, KY 40203 (502) 585-4320 Helton, Tonda 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Hilal, Maryana 2500 West Broadway Suite 100 Louisville, KY 40211 (502) 776-1754 Hobbs-Buchner, Amber 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Holwager, Linel 1800 Bluegrass Avenue Suite A Louisville, KY 40215 (502) 368-2348 Hood, Henry 1800 Bluegrass Avenue Suite A Louisville, KY 40215 (502) 368-2348

Horlander, Nilima M 10640 Dixie Highway Louisville, KY 40272 (502) 933-4427

Kuhn, Jodi 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442

Huang, John 2813 North Hurstbourne Parkway Suite 106 Louisville, KY 40223 (502) 326-0011

Kumar, Shalesh 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442

Hurst, Brent 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972 2215 Portland Avenue Louisville, KY 40212 (502) 772-8160

Kushner, George 401 East Chestnut Street Suite 550 Louisville, KY 40202 (502) 852-5401 550 South Jackson Street Louisville, KY 40202 (502) 852-7660

Jayaweera, Nandaka A 4133 Taylor Boulevard Louisville, KY 40215 (502) 368-8400

Labordeaux, Herbert W 222 Amy Avenue Louisville, KY 40212 (502) 774-2400

Jensen, Jean-Anne 10640 Dixie Highway Louisville, KY 40272 (502) 933-4454

Lawrence, Bryan T 1220 South 28th Street Louisville, KY 40211 (502) 776-2840

Kashlan, Rania 8517 Preston Highway Louisville, KY 40219 (502) 966-4367

Lee, Ashley A 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Keesee, Patrick 2301 Meadow Drive Louisville, KY 40218 (502) 451-8900 Khan, Zafrulla 529 South Jackson Street Suite 125 Louisville, KY 40202 (502) 852-5747

3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Lindman, Mikal 8700 Dixie Highway Louisville, KY 40258 (502) 935-0505

Kidd, Brent D 1100 East Market Street Louisville, KY 40206 (502) 596-1090

Lipoff, Jason A 130 North Evergreen Road Suite 100 Louisville, KY 40243 (502) 410-1710

Klein, Jeffrey M 156 Thierman Lane Louisville, KY 40207 (502) 896-2822

Look, Fred 4825 South 3rd Street Louisville, KY 40214 (502) 361-8988

Dentist

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CoventryCares of Kentucky Lubbe, David 5100 Outer Loop Suite C Louisville, KY 40219 (502) 969-9264

Meeks, Jr, Garry 911 Palatka Road Louisville, KY 40214 (502) 366-2448

10031 Forest Green Blvd Louisville, KY 40223 (502) 412-7587

Lungu, Virgil R 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Mitchell, Gerald 4825 South 3rd Street Louisville, KY 40214 (502) 366-6362

Nguyen, Ngoc An 4825 South 3rd Street Louisville, KY 40214 (502) 366-6362

Mitchell, Jonathan E 1813 West Broadway Louisville, KY 40203 (502) 772-0296

Owen, Kimberly 5201 Commerce Crossings Drive Louisville, KY 40229 (502) 966-8160

Rector, Jaimie 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Pavon, Hugo 1813 West Broadway Louisville, KY 40203 (502) 772-0296

3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

3510 Bardstown Road Louisville, KY 40218 (800) 920-9947 Lyvers, Joseph 3448 Taylor Boulevard Louisville, KY 40215 (502) 366-6821 Maddox, Raymond 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Marshall, Mary Patricia A 1100 East Market Street Louisville, KY 40206 (502) 596-1090 Martin, Mitisha 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442 Mason, John 1504 South Seventh Street Louisville, KY 40208 (502) 636-5492 Mayfield, Theresa 501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103 McLemore, Aaron E 4215 Hillview Avenue Louisville, KY 40216 (502) 447-7313

465 North 26th Street Louisville, KY 40212 (502) 778-0999 Mitchell, Matthew 2301 Meadow Drive Louisville, KY 40218 (502) 451-8900 Mofidi, Mahyar 465 North 26th Street Louisville, KY 40212 (502) 778-0999 Mohan, Maneesh 5100 Outer Loop Suite B Louisville, KY 40219 (502) 966-8660 Mortenson, Brent 134 North Evergreen Road Suite 103 Louisville, KY 40243 (502) 410-1702 Mortenson, Brent W 134 Evergreen Rd Ste 103 Louisville, KY 40243 (502) 410-1702

465 North 26th Street Louisville, KY 40212 (502) 778-0999 Payne, Anne M 4801 Outer Loop Suite 206 Louisville, KY 40219 (502) 961-0351 Peace, Daren 1100 East Market Street Louisville, KY 40206 (502) 596-1090

Rougeux, David A 3934 Dixie Highway Suite 430 Louisville, KY 40216 (502) 449-1723 Schatz, Ronda 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972 2215 Portland Avenue Louisville, KY 40212 (502) 772-8139 Schuler, Elizabeth 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442

4311 Bardstown Road Suite 102 Louisville, KY 40218 (502) 491-0283

Schulten, Thad 1013 Dupont Square North Suite B Louisville, KY 40207 (502) 897-5282

Phillips, William 1001 Dupont Square North Louisville, KY 40207 (502) 897-0625

11708 Main Street Louisville, KY 40243 (502) 245-8627

Poynter, Stephanie 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

3600 Bardstown Road Louisville, KY 40218 (800) 920-9947

Perrero, Tyson 2105 Weber Road Louisville, KY 40205 (502) 473-2011

Mortenson, Mark 4801 Outer Loop Suite A204 Louisville, KY 40219 (502) 966-8638

Mortenson, Matthew 5222 Dixie Highway Louisville, KY 40216 (502) 449-7995

Ray, Andrew 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

2215 Portland Avenue Louisville, KY 40212 (502) 772-8139

4515 Churchman Ave Louisville, KY 40215 (502) 361-0134 300 Middletown Park Place Suite B Louisville, KY 40243 (502) 254-3818 Shumway, Brian 401 East Chestnut Street Suite 550 Louisville, KY 40202 (502) 852-5401

501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5096 Skinner, John 4919 Dixie Highway Suite J Louisville, KY 40216 (502) 449-3400 Smith, Amy L 4814 Preston Highway Suite 1 Louisville, KY 40213 (502) 969-4206 Smothers, Anna 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Snyder, Adam 1100 East Market Street Louisville, KY 40206 (502) 596-1090 Sturgeon, Michael 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Talis, Rachel 8517 Preston Highway Louisville, KY 40219 (502) 966-4367 Thurman, Thomas 911 Palatka Road Louisville, KY 40214 (502) 366-2448 Tummala, Leela 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442 Dentist

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CoventryCares of Kentucky 3510 Bardstown Road Louisville, KY 40218 (800) 920-9947 Underwood, Kelly 130 North Evergreen Road Suite 100 Louisville, KY 40243 (502) 410-1710

Walters, Nathan F 225 Abraham Flexner Way Ste 302 Louisville, KY 40202 (502) 587-7874 9488 Brownsboro Rd Louisville, KY 40241 (502) 326-0606

Victorino, Sharlette 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Watson, Lauren 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972

3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

2215 Portland Avenue Louisville, KY 40212 (502) 772-8139

Vivian, Thomas R 1813 West Broadway Louisville, KY 40203 (502) 772-0296

Waugh, David 1480 Dixie Highway Louisville, KY 40210 (502) 778-7414

465 North 26th Street Louisville, KY 40212 (502) 778-0999

Wickson, Arthur 4825 South 3rd Street Louisville, KY 40214 (502) 361-8988

10515 Meeting Street Suite 104 Prospect, KY 40059 (502) 420-2480 Vlahos, Susan D 4311 Bardstown Road Suite 102 Louisville, KY 40218 (502) 491-0283 Vonnahme, Gwinn 8711 Old Bardstown Road Louisville, KY 40291 (502) 254-8501 Walker, Heather 10031 Forest Green Boulevard Louisville, KY 40223 (502) 412-7587 10640 Dixie Highway Louisville, KY 40272 (502) 933-4427 8711 Old Bardstown Road Louisville, KY 40291 (502) 231-4633

Wix, Solitaire 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Wood, Robert D 3015 Wilson Ave Louisville, KY 40211 (502) 774-4401 Woods, Marcus W 4801 Outer Loop Suite A204 Louisville, KY 40219 (502) 961-0351

Jessamine County Bondra, Kenneth J 203 Fairfield Dr Nicholasville, KY 40356 (859) 885-9139 203 Fairfield Drive Nicholasville, KY 40356 (859) 885-9139

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Clark, Robert S 203 Fairfield Dr Nicholasville, KY 40356 (859) 885-9139

Max, Donald P 203 Fairfield Dr Nicholasville, KY 40356 (859) 885-9139

Connelley, Richard 853 South Mayo Trail Paintsville, KY 41240 (606) 349-5125

203 Fairfield Drive Nicholasville, KY 40356 (859) 278-9376

203 Fairfield Drive Nicholasville, KY 40356 (859) 278-9376

Cox, Brandi 230 North Plaza Drive Suite 230 Nicholasville, KY 40356 (859) 881-9398

Nicol, Bruce 203 Fairfield Drive Nicholasville, KY 40356 (859) 885-9139

Higgins, Howard L 853 South Mayo Trail Paintsville, KY 41240 (606) 789-7694

Durbin, Douglas 100 John Sutherland Drive Suite 5 Nicholasville, KY 40356 (859) 223-3939 Ford, Jason 203 Fairfield Drive Nicholasville, KY 40356 (859) 278-9376 Ford, Jason E 203 Fairfield Dr Nicholasville, KY 40356 (859) 885-9139 Garner, Thomas C 100 John Sutherland Drive Suite 5 Nicholasville, KY 40356 (859) 223-3939 Huang, John 100 John Sutherland Drive Suite 5 Nicholasville, KY 40356 (859) 223-3939 Huffman, Eric F 611 North Main Street Nicholasville, KY 40356 (859) 887-1110 Lowdenback, Clifford Joseph 207 Fairfield Drive Nicholasville, KY 40356 (859) 881-2050 Maggard, Michael Brent 207 Fairfield Drive Nicholasville, KY 40356 (859) 881-2050

Nicol, Bruce R 203 Fairfield Dr Nicholasville, KY 40356 (859) 885-9139 Revel, Pamela A 210 Bellaire Drive Nicholasville, KY 40356 (859) 887-3835 Smith, David E 938 South Main Street Nicholasville, KY 40356 (859) 887-4008 Watkins, Daniel R 704 North Main Street Nicholasville, KY 40356 (859) 881-4633 Werner, Stephanie L 106 Fairfield Dr Nicholasville, KY 40356 (859) 885-0086 White, James G 207 Fairfield Drive Nicholasville, KY 40356 (859) 881-2050 Wilson, Carol Ann 108 Fairfield Drive Nicholasville, KY 40356 (859) 881-8632

Johnson County Castle, James 140 Main St Paintsville, KY 41240 (606) 789-6385 Coleman, Gregory D 816 Fm Stafford Avenue Paintsville, KY 41240 (606) 789-1845

Woody, Lloyd Keith 325 Broadway Paintsville, KY 41240 (606) 789-9092

Kenton County Beck, Michele 640 Scott Street Covington, KY 41011 (859) 261-5852 Butler Ross, Tracey 1044 Scott Street Covington, KY 41011 (859) 291-1818 Collins, Danny L 300 West Pike Street Covington, KY 41011 (859) 491-7453 Haas, Martin A 220 Thomas More Park Crestview Hills, KY 41017 (859) 341-3012 Jhamb, Sunita 630 Viox Dr Erlanger, KY 41018 (859) 727-6700 Kaiser, Jeffrey 2 W Southern Avenue Covington, KY 41015 (859) 431-3863 Kees, Stephen Richard 2370 Grandview Drive Ft Mitchell, KY 41017 (859) 331-4449 Lake, Debra 2500 Madison Avenue Covington, KY 41014 (859) 655-6100 305 Bartlett Avenue Erlanger, KY 41018 (859) 655-6100 Dentist

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CoventryCares of Kentucky Mamari, Maher 2503 Chelsea Drive Fort Mitchell, KY 41017 (859) 426-9666 Neely, Steven W 801 Scott Street Covington, KY 41011 (859) 431-8800 Peavie, Racheal 2500 Madison Avenue Covington, KY 41014 (859) 655-6100 305 Bartlett Avenue Erlanger, KY 41018 (859) 655-6100 Rich, William K 2388 Grandview Drive Fort Mitchell, KY 41017 (859) 341-4264 Schulte, John M 2078 Dixie Highway Fort Mitchell, KY 41011 (859) 331-0763 Tignor, William 2500 Madison Avenue Covington, KY 41014 (859) 655-6100 305 Bartlett Avenue Erlanger, KY 41018 (859) 655-6100 Tomelin, Thomas E 2500 Madison Avenue Covington, KY 41014 (859) 655-6100 305 Bartlett Avenue Erlanger, KY 41018 (859) 655-6100 4307 Winston Avenue Latonia, KY 41015 (859) 655-6100 Wehrman, Mark M 220 Thomas More Park Crestview Hills, KY 41017 (859) 341-3012 Wuerth, Charles L 1900 Madison Avenue Covington, KY 41014 (859) 581-4770

Knott County Haynes, Kathryn D 59 Cowtown Road Hindman, KY 41822 (606) 439-1559 Prattt, Sid 358 Hindman Bypass Hindman, KY 41822 (606) 785-1111 Rollins, David 388 Highway 80 Hindman, KY 41822 (606) 785-3559 Triplett - Short, Lisa 1970 Highway 160 South Hindman, KY 41822 (606) 785-0600

Knox County Bonnell, Robin 119 Pine Street Mobile Barbourville, KY 40906 (606) 627-0629 39 Cumberland Gap Plaza Gray, KY 40734 (606) 627-0629 Bryant, Terry L 16 Winburn Drive Barbourville, KY 40906 (606) 546-8217 Cooper, Jessica B 119 Pine Street Mobile Barbourville, KY 40906 (606) 546-7410 16 Windburn Drive Suite 1 Barbourville, KY 40906 (606) 546-8217 Dunaway, Robert A 240 Cumberland Ave Barbourville, KY 40906 (606) 546-3660 Hays, Henry S 646 Manchester Street Barbourville, KY 40906 (606) 545-6045

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

McDonald, Brent C 608 Knox St Barbourville, KY 40906 (606) 546-6711 Mills, Brook 646 Manchester Street Barbourville, KY 40906 (606) 545-6055 Murray, Melissa 119 Pine Street Mobile Barbourville, KY 40906 (606) 546-7410 16 Windburn Drive Suite 1 Barbourville, KY 40906 (606) 546-7410 39 Cumberland Gap Plaza Gray, KY 40734 (606) 627-0629 Owens, Devert J 16 Winburn Drive Suite 2 Barbourville, KY 40906 (606) 546-8217 Smith, Bobby 119 Pine Street Barbourville, KY 40906 (606) 546-7410 16 Windburn Drive Suite 1 Barbourville, KY 40906 (606) 546-8217 Smith, Edwin 119 Pine Street Mobile Barbourville, KY 40906 (606) 546-7410 16 Windburn Drive Suite 1 Barbourville, KY 40906 (606) 546-8217 39 Cumberland Gap Plaza Gray, KY 40734 (606) 627-0629

Laurel County Allen, Jeremy 908 West 5th Street Suite 114 London, KY 40741 (606) 330-0330 Anderson, Steven A 1675 South Main London, KY 40741 (606) 878-6126 Baldwin, Aaron 200 City Hill Drive Suite 102 London, KY 40741 (859) 264-1898 Bingham, Barry V 1303 South Laurel Road London, KY 40744 (606) 877-2700 Brown, Terri 39 Waco Dr London, KY 40741 (606) 877-8671

Maggard, Michael Brent 200 City Hill Drive London, KY 40741 (606) 877-1900 Morrow, Nick Samuel 200 City Hill Drive Suite 102 London, KY 40741 (859) 264-1898 Parrott, Ernest W 307 North Broad Street London, KY 40741 (606) 878-9755 Petrey, William 2725 US HWY 25 North East Bernstadt, KY 40729 (606) 843-6476 White, James G 200 City Hill Drive London, KY 40741 (606) 877-1900

Lawrence County

Collier, Deborah D 2725 US HWY 25 North East Bernstadt, KY 40729 (606) 843-6476

Arrington, Walter L 203 Water Street Louisa, KY 41230 (606) 638-4689

Couch, Cynthia A 735 Meyers Baker Road London, KY 40741 (606) 864-1441

Sammons, Charles 202 Water Street Louisa, KY 41230 (606) 638-3400

Herren, Michael Christopher 1221 West 5th Street London, KY 40741 (606) 864-4744

Wallace, Brian D 102 North Lock Avenue Louisa, KY 41230 (606) 638-9094

Jenkins, William Scott 200 City Hill Drive Suite 102 London, KY 40741 (606) 877-8811 Lowdenback, Clifford Joseph 200 City Hill Drive London, KY 40741 (606) 877-1900

Woody, Lloyd Keith 102 North Lock Avenue Louisa, KY 41230 (606) 638-9094

Lee County Adkins, Robert S 60 Center Street Beattyville, KY 41311 (606) 464-2447 Daniel, Harold 60 Center Street Beattyville, KY 41311 (606) 464-2447 Dentist

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CoventryCares of Kentucky Zakharia, Rana M 60 Center Street Beattyville, KY 41311 (606) 464-2447

Leslie County Baker, Jr, Gregory 130 Kate Ireland Drive Hyden, KY 41749 (606) 672-2901

Lincoln County Lair, John S 603 Landcaster Street Stanford, KY 40484 (606) 365-7803

Logan County

Letcher County

Clark, Dale W 204 East 4th Street Russellville, KY 42276 (270) 726-7511

Cook, Rebecca L 226 Medical Plaza Lane Whitesburg, KY 41858 (606) 633-4871

Koller, Michael David 288 North Main Street Lewisburg, KY 42256 (270) 755-4899

Narramore, David A 353 Main Street Whitesburg, KY 41858 (606) 633-4854

Sturgill, Edyee M 148 S Summer St Russellville, KY 42276 (270) 745-9001

Quillen, Sam Wiley 861 Highway 317 Suite A Neon, KY 41840 (606) 855-7892

Madison County

Ratliff, Todd 226 Medical Plaza Lane Whitesburg, KY 41858 (606) 633-4871 Roark, Kevin O 172 Parkway Plaza Loop Whitesburg, KY 41858 (606) 633-4251

Lewis County Arnett, Sheila 211 KY 59 Vanceburg, KY 41179 (606) 796-9511 Mays, Ronald D 76 Second Street Vanceburg, KY 41179 (606) 796-2328 O'Cull, John D 570 Clarksburg Road Vanceburg, KY 41179 (606) 796-3811

Baechtold, Leslie L 2006 Merchant Drive Richmond, KY 40475 (859) 626-7977 Bondra, Kenneth J 4097 Atwood Dr Richmond, KY 40475 (859) 623-7711 4097 Atwood Drive Richmond, KY 40475 (859) 623-7711 Canter, Dennis G 104 Legacy Drive Berea, KY 40403 (859) 986-2323 401 Highland Park Drive Richmond, KY 40475 (859) 626-7710 Clark, Robert S 4097 Atwood Dr Richmond, KY 40475 (859) 623-7711 4097 Atwood Drive Richmond, KY 40475 (859) 278-9376

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Cormney, Rhonda H 519 Hampton Way Suite 1 Richmond, KY 40475 (859) 623-7476

Jones, Melissa Jane 201 Pauline Drive Suite H Berea, KY 40403 (859) 985-0201

Durbin, Douglas 2130 Lexington Road Suite D Richmond, KY 40475 (859) 223-3939

Knopp, Tina A 104 Legacy Drive Berea, KY 40403 (859) 986-2323

Ford, Jason 4097 Atwood Drive Richmond, KY 40475 (859) 623-7711 Ford, Jason E 4097 Atwood Dr Richmond, KY 40475 (859) 623-7711 Garner, Thomas C 2130 Lexington Road Suite D Richmond, KY 40475 (859) 223-3939 Henderson, Andrea J 104 Legacy Drive Berea, KY 40403 (859) 986-2323 401 Highland Park Drive Richmond, KY 40475 (859) 626-7700 Huang, Betty 1012 Ival James Blvd Suite C Richmond, KY 40475 (859) 626-9620 Huang, John 2130 Lexington Road Suite D Richmond, KY 40475 (859) 223-3939 Ison, Jennie 104 Legacy Drive Berea, KY 40403 (859) 986-2323 401 Highland Park Drive Richmond, KY 40475 (859) 626-7700

401 Highland Park Drive Richmond, KY 40475 (859) 626-7710 Lowdenback, Clifford Joseph 1012 Ival James Boulevard Richmond, KY 40475 (859) 623-0068 Maggard, Michael Brent 1012 Ival James Boulevard Richmond, KY 40475 (859) 623-0068

Nicol, Bruce R 4097 Atwood Dr Richmond, KY 40475 (859) 623-7711 Parsons, John H 104 Legacy Drive Berea, KY 40403 (859) 986-2323 401 Highland Park Drive Richmond, KY 40475 (859) 626-7710 Parsons, Lindsey A 104 Legacy Drive Berea, KY 40403 (859) 986-2323 401 Highland Park Drive Richmond, KY 40475 (859) 626-7700 Senters, Sherry 104 Legacy Drive Berea, KY 40403 (859) 986-2323

Mattingly, Stephen 805 Eastern By Pass #4 Richmond, KY 40475 (859) 623-0222

401 Highland Park Drive Richmond, KY 40475 (859) 626-7710

Max, Donald P 4097 Atwood Dr Richmond, KY 40475 (859) 623-7711

Vose, Charles 104 Legacy Drive Berea, KY 40403 (859) 986-2323

4097 Atwood Drive Richmond, KY 40475 (859) 278-9376

401 Highland Park Drive Richmond, KY 40475 (859) 626-7710

Murphy, James C 201 Geri Lane Richmond, KY 40475 (859) 623-8622 Ney, Marshall J 527 West Main Street Richmond, KY 40475 (859) 623-3761 Nicol, Bruce 4097 Atwood Drive Richmond, KY 40475 (859) 623-7711

White, James G 1012 Ival James Boulevard Richmond, KY 40475 (859) 623-0068

Magoffin County Adams, Tabatha M 912 East Mountain Parkway Salyersville, KY 41465 (606) 349-4801

Dentist

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CoventryCares of Kentucky Connelley, Richard 761 Parkway Drive Salyersville, KY 41465 (606) 349-5125 Damron, Mark 835 Parkway Drive Salyersville, KY 41465 (606) 349-5126 Higgins, Howard L 761 Parkway Drive Salyersville, KY 41465 (606) 349-5125 Ratliff, Beth A 128 Cardinal Court Salyersville, KY 41465 (606) 349-2812 Ratliff, James E 128 Cardinal Court Salyersville, KY 41465 (606) 349-2812 Sahasi, Preeti 835 Parkway Drive Salyersville, KY 41465 (606) 349-5126 Stambaugh, James Robert 835 Parkway Drive Salyersville, KY 41465 (606) 349-5126 Whitt, Heather P 835 Parkway Drive Salyersville, KY 41465 (606) 349-5126

Marion County Webster, Robert 219 South Proctor Knott Lebanon, KY 40033 (859) 236-1912

Marshall County Pasco, William N 1317 Main Street Benton, KY 42025 (270) 527-3434

Martin County

Adams, James E 19 East 3rd Street Maysville, KY 41056 (606) 564-9033

Johnston, James Dennis 2850 Lone Oak Road Suite 1 Paducah, KY 42003 (270) 554-3131

Burns, John T 1907 Old Main Street Maysville, KY 41056 (606) 759-5401

Largent, Beverly Ann 3008 Oregon Street Paducah, KY 42001 (270) 554-5437

Cramer, John R 399 Maple Leaf Road West Maysville, KY 41056 (606) 564-9495

Hise, Dennis Alan 1028 North College Street Harrodsburg, KY 40330 (859) 734-5437

Rice, Michael Shawn 2850 Lone Oak Road Suite 2 Paducah, KY 42003 (270) 534-1991

Huff, Constance C 135 Collin Drive Harrodsburg, KY 40330 (859) 734-4944

French, Robert Harrison 124 West Third Street Maysville, KY 41056 (606) 564-4024

Sparks, Michael C 1836 Broadway Street Paducah, KY 42001 (270) 442-0256

Reynolds, Kyle W 507 Joseph Drive Suite 3 Harrodsburg, KY 40330 (859) 734-2338

Woods, James M 2307 Kentucky Ave Paducah, KY 42003 (270) 443-7405

Ritchie, Edward S 117 East Lexington Street Harrodsburg, KY 40330 (859) 734-3819

Mason County

Naylor, Rachel H 399 Maple Leaf Road West Maysville, KY 41056 (606) 564-9494

McLean County

Pope-Burns, Sally A 1907 Old Main Street Maysville, KY 41056 (606) 759-5401

Thacker, Ralph W 222 Main Street Livermore, KY 42352 (270) 278-2385

Smith, Ballard C 399 Mapleleaf Road Maysville, KY 41056 (606) 564-9495

Meade County

McCracken County

Denton, William P 1120 High Street Brandenburg, KY 40108 (270) 422-4921

Bohle Jr, Charles J 1836 Broadway Street Paducah, KY 42001 (270) 442-0256

Duplessis, Jr, John 618 River Ridge Plaza Brandenburg, KY 40108 (270) 422-5437

Colgan, John A 3008 Oregon Street Paducah, KY 42001 (270) 554-5437

Miller, Joseph A 1120 High Street Brandenburg, KY 40108 (270) 422-4921

Craft, John D 2136 Broadway Paducah, KY 42001 (270) 442-2310

Menifee County

Neeley, Sharon N 144 Rockcastle Road Inez, KY 41224 (606) 298-7758 † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Graham, David L 732 Highway 36 Frenchburg, KY 40322 (606) 768-2191 732 Highway 36 Frenchburg, KY 40322 (606) 783-7689

Mercer County Cox, Brandi 507 Joseph Drive Suite 3 Harrodsburg, KY 40330 (859) 734-2238

Metcalfe County Froedge, Mark 706 W Stockton St Edmonton, KY 42129 (270) 432-3617 Miller, John W 108 Elmore Street Edmonton, KY 42129 (270) 432-7211

Monroe County Burroughs, Cynthia 101 West 4th Street Tompkinsville, KY 42167 (270) 487-5545 Crabtree, Gregory K 103 East 2nd Street Tompkinsville, KY 42167 (270) 487-6066 Greer, Rebecca Lynn 42 Executive Drive Tompkinsville, KY 42167 (270) 487-5474

Hagan, Crystal 449 Capp Harlan Rd Tompkinsville, KY 42167 (270) 487-8026 McAlpin, Gordon W 110 North Main Street Tompkinsville, KY 42167 (270) 487-6263 Page, John D 204 W Paige St Tompkinsville, KY 42167 (270) 487-5196

Montgomery County Caudill, G 508 N Maysville Rd Mount Sterling, KY 40353 (859) 498-1380 Cramer, John R 25 East High Street Mount Sterling, KY 40353 (859) 498-6204 Durbin, Douglas 105 Bruce Professional Plaza Mount Sterling, KY 40353 (859) 223-3939 Fields, Rickey Phil 225 Windsor Drive Mount Sterling, KY 40353 (859) 498-3400 Garner, Thomas C 105 Bruce Professional Plaza Mount Sterling, KY 40353 (859) 223-3939 Gray III, John I 25 E High St Mount Sterling, KY 40353 (859) 498-6204

Dentist

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CoventryCares of Kentucky Gray, John I 25 East High Street Mount Sterling, KY 40353 (859) 498-6204 Henry, Richard 541 Willin Way Mount Sterling, KY 40353 (859) 498-1347 Huang, John 105 Bruce Professional Plaza Mount Sterling, KY 40353 (859) 223-3939 Johnson, Jon Kelly 100 East High St Mount Sterling, KY 40353 (859) 498-7130 McLaurin, Donald 25 E High St Mount Sterling, KY 40353 (859) 498-6204 McLaurin, Donald R 25 East High Street Mount Sterling, KY 40353 (859) 498-6204 Tackitt, Alisha Dawn 225 Young Lane Mount Sterling, KY 40353 (859) 498-2356

Morgan County Bailey, Jeffrey S 629 Main Street West Liberty, KY 41472 (606) 743-3200 Blevins, Walter 777 Broadway Street West Liberty, KY 41472 (606) 743-1212 Gunnell, Leigh A 903 Main Street West Liberty, KY 41472 (606) 743-7480

Henderson, Robert L 903 Main Street West Liberty, KY 41472 (606) 743-7480

Muhlenberg County

Oldham County Acord, Timothy S 6225 W Highway 146 Crestwood, KY 40014 (502) 361-0134

Eades, William B 132 East Main Cross Greenville, KY 42345 (270) 338-2532

Bednar, Eric 6408 West Highway 146 Unit 10 Crestwood, KY 40014 (502) 243-0123

Morehead, David S 300 West Broad Street Central City, KY 42330 (270) 754-1888

2005 South Highway 53 Suite B Lagrange, KY 40031 (502) 222-4613

Sampson, Steven 132 East Main Cross Street Greenville, KY 42345 (270) 338-2532

Combs, Anastasia 6408 West Highway 146 Unit 10 Crestwood, KY 40014 (502) 243-0123

Nelson County Disponett, John 919 Chambers Boulevard Suite A Bardstown, KY 40004 (502) 348-6404 Haydon, Andrea 202 West Stephen Foster Avenue Suite E Bardstown, KY 40004 (502) 348-0908 Keesee, Patrick 120 West Stephen Foster Avenue Suite 104 Bardstown, KY 40004 (502) 348-5800

Ohio County Alford, Kenneth D 1269 Duvall Road Beaver Dam, KY 42320 (270) 274-4875 McCarty, Joseph S 904 Main Street Hartford, KY 42347 (270) 298-3555 Stevens, Barry K 1221 North Main Street Beaver Dam, KY 42320 (270) 274-3379

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Crush, Albert 7025 West Highway 22 Suite 4 Crestwood, KY 40014 (502) 241-9880 Harris, Warren R 6225 W Highway 146 Crestwood, KY 40014 (502) 361-0134 Schulten, Thad 6225 West Highway 146 Crestwood, KY 40014 (502) 241-0714 Sparks, James 205 North 1st Street La Grange, KY 40031 (502) 222-7070 Thurman, Thomas 6408 West Highway 146 Unit 10 Crestwood, KY 40014 (502) 243-0123

Owen County Ward, Brock R 330 West Seminary St Owenton, KY 40359 (502) 484-0091

Ward, Leigh K 330 West Seminary St Owenton, KY 40359 (502) 484-0091

Owsley County Gay, Jason 706 Courthouse Square Booneville, KY 41314 (606) 593-5100

Pendleton County Verax, William J 211 W Shelby Street Falmouth, KY 41040 (859) 654-5041

Perry County

Gibson, William B 200 Medical Center Dr Site 2-0 Hazard, KY 41701 (606) 487-0088 200 Medical Center Drive Suite 2-0 Hazard, KY 41701 (606) 487-0088 Haynes, Kathryn D 750 Morton Avenue Hazard, KY 41701 (606) 439-1559 Johnson, Shannon 611 West Poplar Street Browns Fork, KY 41701 (502) 854-0407

Baker, Jr, Gregory 100 Medical Center Drive Hazard, KY 41701 (606) 439-1331

Napier, Samantha 116 Veterans Drive Hazard, KY 41701 (606) 439-0577

145 Citizens Lane Suite B Hazard, KY 41702 (606) 435-7676

Newcomb, John 39 Morton Boulevard Hazard, KY 41701 (606) 439-3856

Browning, Anthony S 35 Longfield Circle Vicco, KY 41773 (606) 476-8121

Pennington, Robin L 562 Highway 80 West Combs, KY 41729 (606) 439-3740

Campbell, Mary 145 Citizen Ln Suite B Hazard, KY 41701 (606) 435-7676

Petrey, Joseph 39 Morton Boulevard Hazard, KY 41701 (606) 439-3856

Collier, Deborah D 755 Morton Boulevard Hazard, KY 41701 (606) 436-0845

Stone, Daria 47 Big Creek Road Avawam, KY 41713 (606) 439-1559

Couch-Holliday, Shanna 251 Morton Boulevard Hazard, KY 41701 (606) 439-1079

18392 KY Highway 28 Buckhorn, KY 41721 (606) 439-1559

Gabbard, Jr, Elmer 145 Citizens Lane Suite B Hazard, KY 41702 (606) 435-7676

9165 Highway 15 Happy, KY 41746 (606) 439-1559 750 Morton Avenue Hazard, KY 41701 (606) 439-1559

Dentist

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CoventryCares of Kentucky 250 Chavies School Road Hazard, KY 41727 (606) 439-1559 Watkins, Daniel R 1480 East Main Street Hazard, KY 41701 (606) 439-3522 Watts, Derek G 285 Black Gold Blvd Hazard, KY 41701 (606) 439-0881

Pike County Altman, Susan 419 Town Mountain Rd Suite 200 Pikeville, KY 41501 (606) 437-4848 Anderson, Rebecca J 170 Fifth Street Elkhorn City, KY 41522 (606) 754-7198 Coleman, Bobbi D 184 N Levisa Road Mouthcard, KY 41548 (606) 835-2167 Damron, Mark 119 River Dr Pikeville, KY 41501 (606) 437-5500 Harris -Whitfield, Chonda L 1144 South Mayo Tr Suite 101 Pikeville, KY 41501 (606) 433-0033 Hartsock, Tom 161 College Street Suite 3 Pikeville, KY 41501 (606) 432-3603 Hensley, Jonathan S 126 Trivette Drive Suite 103 Pikeville, KY 41501 (606) 433-1488

Keaton, Andy P 118 Caroline Avenue Suite 1 Pikeville, KY 41501 (606) 432-8165

Pulaski County Alderdice Sr., Ben B 100 Hardin Ln Ste B Somerset, KY 42503 (606) 679-8568

Keaton, Jill E 118 Caroline Avenue Suite 1 Pikeville, KY 41501 (606) 437-7609

Alderdice, Bennie 100 Hardin Lane Suite B Somerset, KY 42503 (606) 679-8568

Lynn, Larry W 919 West Russell Elkhorn City, KY 41522 (606) 754-4536

Bartley, Darrell G 341 Bogle Street Suite D Somerset, KY 42503 (606) 677-0238

Pelphrey, Alfred 300 North Mayo Trail Suite 1 Pikeville, KY 41501 (606) 437-1461

Binder, Gregory D 54 Imaging Drive Somerset, KY 42503 (606) 451-2273

Ratliff, Travis Alan 4159 North Mayo Trail Suite 200 203 Pikeville, KY 41501 (606) 432-0101 Robinette, Quentin T 153 Hibbard Street Pikeville, KY 41501 (606) 437-9942 Sahasi, Preeti 119 River Dr Pikeville, KY 41501 (606) 587-2800 Tackett, Carl E 419 Town Mountain Rd Suite 105 Pikeville, KY 41501 (606) 432-0346 Whitfield, Ben A 1144 South Mayo Tr Suite 101 Pikeville, KY 41501 (606) 433-0033 Whitt, Heather P 119 River Dr Pikeville, KY 41501 (606) 437-5500

Branscum, Rebekah W 8536 West Highway 80 Nancy, KY 42544 (606) 636-4311 Coffey, Henry Dale 313 Langdon Street Somerset, KY 42503 (606) 679-7419 Fisk, Jeffrey Wayne 221 East Somerset Church Road Somerset, KY 42503 (606) 451-1448 Hieronymus, Charles S 125 Barnett Street Somerset, KY 42501 (606) 679-1204 Jayme, Annelee 30 Med Park Drive Somerset, KY 42503 (606) 451-2273 54 Imaging Drive Somerset, KY 42503 (606) 451-2273 Millay, Robert 30 Med Park Drive Somerset, KY 42503 (606) 679-9322

Muse, James R 14 Bogle Office Park Drive Somerset, KY 42503 (606) 678-0579 Newcomb, John 224 Langdon Street Somerset, KY 42501 (606) 451-0771 Petrey, Joseph 224 Langdon Street Somerset, KY 42501 (606) 451-0771 Prather, Brandi A 47 Sarah's Lane Somerset, KY 42503 (606) 679-5437 Saindon, Gina V 501 College Street Suite A Somerset, KY 42501 (606) 679-9289 Saindon, James L 501 College Street Suite A Somerset, KY 42501 (606) 679-9289 Stroud, John M 44 Office Park Drive Somerset, KY 42501 (606) 677-1459 54 Imaging Drive Somerset, KY 42503 (606) 451-2273 Tohill, Thomas A 101 Sarah's Lane Somerset, KY 42503 (606) 679-4450

Rockcastle County Chadwell, Jennifer 325 Richmond Mount Vernon, KY 40456 (606) 256-5812

Rowan County Arnett, Larry N 204 Morehead Plaza Morehead, KY 40351 (606) 784-7033

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Cox, Brandi 750 West Main Street Morehead, KY 40351 (606) 783-0182 Cramer, John R 709 West Main Street Morehead, KY 40351 (606) 784-8983 Frederick, Angela S 309 East Main Street Morehead, KY 40351 (606) 784-6436 Graham, David L 222 Medical Circle Morehead, KY 40351 (606) 783-6500 Hughes, Emily R 255 Beacon Hill Dr Morehead, KY 40351 (606) 784-6631 McLoney, Douglas W 309 East Main Street Morehead, KY 40351 (606) 784-6436 Settle, Emily 255 Beacon Hill Dr Morehead, KY 40351 (606) 784-6631 Shay, Karen E 165 East Main Street Morehead, KY 40351 (606) 784-4762 Smith, Ballard C 709 W Main St Morehead, KY 40351 (606) 784-8983 709 West Main Street Morehead, KY 40351 (606) 784-8983 Tingle, Charles W 255 Beacon Hill Dr Morehead, KY 40351 (606) 784-6631

Russell County Loy Flanagan, Melanie K 43 Fruit Of Loom Drive Jamestown, KY 42629 (270) 343-4422 Dentist

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CoventryCares of Kentucky Popplewell, Howard James 108 Town Square Jamestown, KY 42629 (270) 343-3324

Lowdenback, Clifford Joseph 101 Darby Drive Georgetown, KY 40324 (502) 863-2720

Smith, Henry S 519 Main Street Russell Springs, KY 42642 (270) 866-3560

Maggard, Michael Brent 101 Darby Drive Georgetown, KY 40324 (502) 863-2720

Scott County

McLaurin, Donald 204 Bevins Ln Ste F Georgetown, KY 40324 (502) 863-1402

Baldwin, Aaron 240 Blossom Park Drive Suite 2 Georgetown, KY 40324 (502) 570-8841 Day, Ronald M 208 Bevins Lane Georgetown, KY 40324 (502) 570-2829 Dillow, Morgan C 208 Bevins Lane Georgetown, KY 40324 (502) 570-2829 Gray III, John I 204 Bevins Ln Ste F Georgetown, KY 40324 (502) 863-1402 Gray, John I 204 Bevins Lane Suite F Georgetown, KY 40324 (502) 869-1402 Henderson, Robert W 101 Darby Dr Ste 101 Georgetown, KY 40324 (859) 221-1806 101 Darby Drive Suite 101 Georgetown, KY 40324 (502) 863-5858 Huang, Betty 205 Champion Way Suite 9 Georgetown, KY 40324 (502) 868-9300 Jackson, Rodney A 208 Bevins Lane Georgetown, KY 40324 (502) 570-2829

McLaurin, Donald R 204 Bevins Lane Suite F Georgetown, KY 40324 (502) 863-1402 White, James G 101 Darby Drive Georgetown, KY 40324 (502) 863-2720

Shelby County Engilman, William 1415 Main Street Shelbyville, KY 40065 (502) 633-4613 Eugenio, Jessica 130 Stonecrest Drive Suite 101 Shelbyville, KY 40065 (502) 633-1584 502 Mount Eden Road Shelbyville, KY 40065 (502) 633-1538

502 Mount Eden Road Shelbyville, KY 40065 (502) 633-1538 Jensen, Jean-Anne 1415 Main Street Shelbyville, KY 40065 (502) 633-4613

Simpson County Brian, Robert A 927 Brookhaven Road Franklin, KY 42134 (270) 586-9444 Clark, Jeffrey M 1300 Bluegrass Rd Ste 7 Franklin, KY 42134 (270) 586-5447 Clark, Jeffrey Marshall 1300 Bluegrass Road Unit 7 Franklin, KY 42134 (270) 586-5445

Thompson, Thomas M 1300 Bluegrass Road Unit 7 Franklin, KY 42134 (270) 586-5446

Spencer County Wood, Robert D 311 Reasor Avenue Taylorsville, KY 40071 (502) 477-2248

Taylor County Akridge, Matt 1756 Old Lebanon Road Campbellsville, KY 42718 (270) 465-6570

Dorroh, Audra S 927 Brookhaven Road Franklin, KY 42134 (270) 586-9444

Cox, Ricky Lee 603 Maple Street Campbellsville, KY 42718 (270) 465-8005

Greer, Brandon 1300 Bluegrass Road Unit 7 Franklin, KY 42134 (270) 586-5445

Graves, David 501 Medical Park Drive Campbellsvlle, KY 42718 (270) 789-4540

Greer, Tony B 1300 Bluegrass Rd Ste 7 Franklin, KY 42134 (270) 586-5447

Hastings, Robert L 1870 Old Lebanon Rd Campbellsville, KY 42718 (270) 465-5379

137 Buck Creek Road Simpsonville, KY 40067 (502) 496-0002

Harvey, Jeffrey T 320 McClendon Road Franklin, KY 42134 (270) 598-0508

Hoetker, Kirby 141 Stonecrest Road Shelbyville, KY 40065 (502) 633-4441

McAlpin, Roger 927 Brookhaven Road Franklin, KY 42134 (270) 586-9444

Jackson, Amanda 130 Stonecrest Drive Suite 101 Shelbyville, KY 40065 (502) 633-1584

Sutton, James M 1300 Bluegrass Rd Ste 7 Franklin, KY 42134 (270) 586-5447

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

1300 Bluegrass Road Unit 7 Franklin, KY 42134 (270) 586-5445

Inman, Gregory 105 Medical Park Drive Suit #1 Campbellsvlle, KY 42718 (270) 789-4542 Wilkerson, Harold 227 West Main Street Campbellsvlle, KY 42718 (270) 465-6204

Trigg County Gross, Michael L 51 South Road Cadiz, KY 42211 (270) 522-3484 Rose, Scarlett D 104 Commerce Street Cadiz, KY 42211 (270) 522-7867

Trimble County O'Connor, James 25 Agin Way Milton, KY 40045 (502) 268-3192

Union County Heine, Kember B 1107 North Main Street Sturgis, KY 42459 (270) 333-4030 Rigdon, Nancy E 124 S Brady St Morganfield, KY 42437 (270) 389-2855

Warren County Allen, Mark S 1716 Ashley Circle Bowling Green, KY 42104 (270) 842-0166 Bachali, Sarath 1025 Ashley Street Suite C Bowling Green, KY 42103 (270) 783-3177 Baldwin, Dan W 559 Morgantown Road Bowling Green, KY 42101 (270) 781-2401 6151 Louisville Road Bowling Green, KY 42101 (270) 842-1960 7597 Russellville Road Bowling Green, KY 42101 (270) 843-8437

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CoventryCares of Kentucky 704 Cypress Wood Lane Bowling Green, KY 42104 (270) 843-0165 Barbee, Jeffrey Scott 1830 Destiny Lane Suite 119 Bowling Green, KY 42104 (270) 393-9925 Benson, Charles D 148 Vincent Street Smiths Grove, KY 42171 (270) 563-4706 Benson, Mary H 148 Vincent Street Smiths Grove, KY 42171 (270) 563-4706 Birkenhauer, Meghan T 546 Park Street Suite 400 Bowling Green, KY 42101 (270) 781-6161 141 Main Street Smiths Grove, KY 42171 (270) 451-0071 Birkenhauer, Thomas J 546 Park Street Suite 400 Bowling Green, KY 42101 (270) 781-6161 141 Main Street Smiths Grove, KY 42171 (270) 451-0059 Brian, Robert A 996 Wilkinson Trace Suite B 6 Bowling Green, KY 42103 (270) 782-1128 Buchanan, David 546 Park Street Suite 100 Bowling Green, KY 42101 (270) 781-3133

Burress, Shanna 1109 State Street Bowling Green, KY 42101 (270) 781-8039

Clark, Jeffrey M 1938 Lyda Ave Bowling Green, KY 42104 (270) 783-0064

Elliott, Erin Courtney 120 Callaway Ct Bowling Green, KY 42103 (270) 782-0716

Hubbard, Michael W 740 East Tenth Street Bowling Green, KY 42101 (270) 781-9687

559 Morgantown Road Bowling Green, KY 42101 (270) 781-2401

Clark, Jeffrey Marshall 1938 Lyda Avenue Bowling Green, KY 42104 (270) 783-0064

Elliott, Randall Harley 120 Callaway Ct Bowling Green, KY 42103 (270) 782-0716

Jefferson, Tara L 559 Morgantown Road Bowling Green, KY 42101 (270) 781-2401

Cohron, Jerry E 948 Elm St Bowling Green, KY 42101 (270) 745-0698

Froedge, Mark 1109 State Street Bowling Green, KY 42101 (270) 781-8039

6151 Louisville Road Bowling Green, KY 42101 (270) 842-1960

Coomer, Jason Ryan 1109 State Street Bowling Green, KY 42101 (270) 781-8039

Gaskill, Julie A 546 Park St Ste 500 Bowling Green, KY 42101 (270) 843-6891

Craycroft, James Andrew 1711 Ashley Circle Suite 3 Bowling Green, KY 42104 (270) 781-4997

Greer, Brandon 1938 Lyda Avenue Bowling Green, KY 42104 (270) 783-0064

6151 Louisville Road Bowling Green, KY 42101 (270) 842-1960 7597 Russellville Road Bowling Green, KY 42101 (270) 843-8437 704 Cypress Wood Lane Bowling Green, KY 42104 (270) 843-0165 Burt, Andrew M 546 Park Street Suite 400 Bowling Green, KY 42101 (270) 781-6161 141 Main Street Smiths Grove, KY 42171 (270) 451-0059 Campbell, Leslie S 1109 State Street Bowling Green, KY 42101 (270) 781-8039 546 Park Street Suite 400 Bowling Green, KY 42101 (270) 781-6161 141 Main Street Smiths Grove, KY 42171 (270) 451-0059 Carter, Daniel 1109 State Street Bowling Green, KY 42101 (270) 781-8039

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Davis, Gina R 1720 Destiny Lane Bowling Green, KY 42104 (270) 842-3554 Dorroh, Audra S 996 Wilkinson Trace Suite B6 Bowling Green, KY 42103 (270) 782-1128 Eades, William B 559 Morgantown Road Bowling Green, KY 42101 (270) 781-2401 7597 Russellville Road Bowling Green, KY 42101 (270) 843-8437 704 Cypress Wood Lane Bowling Green, KY 42104 (270) 843-0165

Greer, Staci Nicole 148 Vincent Street Smiths Grove, KY 42171 (270) 563-4706 Greer, Tony B 1938 Lyda Ave Bowling Green, KY 42104 (270) 783-0064 1938 Lyda Ave Bowling Green, KY 42104 (888) 539-0577 Hanes, Christopher Michael 1658 Campbell Lane Bowling Green, KY 42104 (270) 781-4906 Howell, Michael W 952 31 West Bypass Bowling Green, KY 42102 (270) 782-9052

7597 Russellville Road Bowling Green, KY 42101 (270) 843-8437 704 Cypress Wood Lane Bowling Green, KY 42104 (270) 843-0165 McAlpin, Roger 996 Wilkinson Trace Suite B 6 Bowling Green, KY 42103 (270) 782-1128 Neville, Les 1109 State Street Bowling Green, KY 42101 (270) 781-8039 Nuckols, Charles 627 Eastwood Avenue Bowling Green, KY 42103 (270) 843-4341 Smith, Jason R 1109 State Street Bowling Green, KY 42101 (270) 781-8039 Sturgill, Edyee M 895 Wilkinson Trace Suite B Bowling Green, KY 42103 (270) 745-9001

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CoventryCares of Kentucky 895 Wilkinson Trce Ste B Bowling Green, KY 42103 (270) 745-9001

Whiteside, William C 1109 State Street Bowling Green, KY 42101 (270) 781-8039

Greer, James R 1200 Master Street Suite 1 Corbin, KY 40701 (606) 523-1961

Smith, Michael R 821 South Highway 25 West Williamsburg, KY 40769 (606) 549-0374

Marciani, Robert D 222 Piedmont Ave Cincinnati, OH 45219 (513) 475-8000

Sutton, James M 250 Park Street Bowling Green, KY 42101 (270) 745-1000

Wayne County

Greer, Russell P 1200 Master Street Suite 1 Corbin, KY 40701 (606) 523-1961

Wolfe County

222 Piedmont Ave Cincinnati, OH 45219 (513) 475-8783

1938 Lyda Ave Bowling Green, KY 42104 (270) 783-0064 1938 Lyda Avenue Bowling Green, KY 42104 (270) 783-0064 Thompson, Thomas M 1938 Lyda Ave Bowling Green, KY 42104 (270) 783-0064 1938 Lyda Ave Bowling Green, KY 42104 (888) 539-0577 1938 Lyda Avenue Bowling Green, KY 42104 (270) 783-0064

Hardin, Philip A 169 Cumberland Crossing Monticello, KY 42633 (606) 340-8027 Kochis, Lisa A 1225 North Main Street Monticello, KY 42633 (606) 340-0740 Rush, Ronald W 1215 North Main Street Suite 4 Monticello, KY 42633 (606) 348-9358 Tallent, Steven M 1225 North Main Street Monticello, KY 42633 (606) 340-0740

Webster County Warren, Paige P 125 East Main Street Providence, KY 42450 (270) 667-7301

Whitley County

Haines, Steven 1608 Cumberland Falls Highway Corbin, KY 40701 (606) 523-2411 Henderlight, Philip E 1507 South Main St Corbin, KY 40701 (606) 523-1110 Jeffries, John A 317 Main Street Williamsburg, KY 40769 (606) 549-5300 Martin, Jeanne E 406 Master Street Corbin, KY 40701 (606) 528-3540 Mountjoy, John 212 North 4th Street Williamsburg, KY 40769 (606) 549-2344

Vonnahme, Ryan M 1025 Ashley Street Suite C Bowling Green, KY 42103 (270) 842-0025

Brown, Caroline F 821 South Highway 25 West Williamsburg, KY 40769 (606) 549-0374

Murphy, Michael T 1400 Cumberland Falls HWY Ste B Corbin, KY 40701 (606) 528-9402

Walden, Brenda C 725-A Kenton Street Bowling Green, KY 42101 (270) 782-0414

Chumbley, Alvin B 727 West Cumberland Gap Pkwy Suite D Corbin, KY 40701 (606) 523-2000

Newcomb, John 83 Park Hill Road Corbin, KY 40701 (606) 528-8302

Walden, Gary 725-A Kenton Street Bowling Green, KY 42101 (270) 782-0414

Couch, Leroy D 107 Brentwood Place Corbin, KY 40701 (606) 528-5600

Oaks, James Edward 40 Moonbow Plaza Suite 3 Corbin, KY 40701 (606) 528-6104

Gibson, Keith E 213 S Main Street Corbin, KY 40701 (606) 523-1415

Petrey, Joseph 83 Park Hill Road Corbin, KY 40701 (606) 528-8302

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Capps, Richard 261 Plummer Street Campton, KY 41301 (606) 668-3504

Woodford County Child, Michael E 426 Lexington Road Versailles, KY 40383 (859) 276-4449 Quillen, Eric L 156 Frankfort Street Versailles, KY 40383 (859) 879-5045 Watts, Harry M 210 Crossfield Drive Versailles, KY 40383 (859) 873-7101

Indiana Homrighausen, James K 1283 Hillview Dr Corydon, IN 47112 (812) 734-0125 5120 Charlestown Rd Ste 1 New Albany, IN 47150 (812) 944-4000

Languages: Italian

Languages: Italian Phero, James C 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Tennessee Mizukawa, Matthew K 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Smith, Derek K 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Dialysis Clinic Kentucky Barren County Fresenius Medical Care Glasgow 205 Professional Park Dr Glasgow, KY 42141 (270) 651-7776

Gutta, Rajesh 222 Piedmont Ave Cincinnati, OH 45219 (513) 475-8783

Glasgow Kidney Center 205 Professional Park Dr Glasgow, KY 42141 (502) 458-6359

Languages: Telugu, Tamil, Hindi

Boone County

Ohio

Krishnan, Deepak G 222 Piedmont Ave Cincinnati, OH 45219 (513) 475-8783 Languages: Malayalam, Kannada, Hindi

Fresenius Medical Care Boone County 7205 Dixie Hwy Florence, KY 41042 (859) 525-1060 Turfway Dialysis 11 Spiral Dr Ste 15 Florence, KY 41042 (859) 371-1263 Dentist

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CoventryCares of Kentucky Boyd County

Carter County

Bma Ashland 432 16th St Ste A Ashland, KY 41101 (502) 459-5550

Fresenius Medical Care Grayson 286 State Highway 1947 Grayson, KY 41143 (606) 474-0475

Boyle County Fmc Dialysis Services of Danville 975 Hustonville Rd Ste 1 Danville, KY 40422 (859) 236-2214

Breathitt County Fresenius Medical Care of Jackson 1550 Highway 15 S Ste 30 Jackson, KY 41339 (606) 693-4770

Bullitt County Fresenius Medical Care Shepherdsville 421 Adam Shepherd Pkwy Shepherdsville, KY 40165 (502) 921-1097 Shepherdsville Dialysis Center 150 Brooks Way Ste 15 Brooks, KY 40109 (502) 955-2153

Calloway County Rcg Murray 609 S 12th St Murray, KY 42071 (270) 759-3080

Campbell County Cold Springs Dialysis 430 Cross Roads Blvd Cold Spring, KY 41076 (859) 441-3981 South Hill Dialysis 525 Alexandria Pike Ste 120 Newport, KY 41071 (859) 442-5539

Christian County Christian County Dialysis 200 Burley Ave Hopkinsville, KY 42240 (270) 707-0701

Rcg Lexington South 171 N Eagle Creek Dr Ste 110 Lexington, KY 40509 (859) 264-7775

Floyd County Bma Prestonburg 61 Dewey St Prestonsburg, KY 41653 (606) 886-3893

Franklin County

Hardin County Fresenius Medical Care Hardin County 1324 Woodland Dr Ste B Elizabethtown, KY 42701 (270) 763-8130 Radcliff Dialysis 180 E Lincoln Trail Blvd Radcliff, KY 40160 (270) 352-2252

Hopkinsville Dialysis 1914 S Virginia St Hopkinsville, KY 42240 (270) 885-7750

Fresenius Medical Care Frankfort 608 Chamberlin Ave Frankfort, KY 40601 (502) 607-0731

Woodland Dialysis Center 912 Woodland Dr Ste B Elizabethtown, KY 42701 (270) 769-3321

Clark County

Grant County

Harlan County

Fresenius Medical Care Winchester 1145 W Lexington Ave Fl 1 Winchester, KY 40391 (859) 744-0750

Williamstown Dialysis 103 Barnes Rd Ste A Williamstown, KY 41097 (859) 823-0500

FmcNa Dialysis Services of Harlan 136 Village Center Rd Harlan, KY 40831 (606) 574-0005

Graves County

Harrison County

Rcg Mayfield 1029 Medical Center Cir Ste 301 Mayfield, KY 42066 (270) 247-7291

Fresenius Medical Care of Cynthiana 994 US Highway 27 S Ste 6 Cynthiana, KY 41031 (859) 235-0542

Daviess County Owensboro Dialysis Center 1930 E Parrish Ave Owensboro, KY 42303 (270) 926-0120

Fayette County Fresenius Medical Care Nalco Home Program 1591 Winchester Rd Ste 102 Lexington, KY 40505 (859) 299-3379 Hamburg Dialysis 1745 Alysheba Way Lexington, KY 40509 (859) 543-0084 Kentucky Renal Care Lexington East 1101 Winchester Rd Ste 100 Lexington, KY 40505 (859) 225-4922

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Grayson County

Henderson County

Letchfield Dialysis Cntr 912 Wallace Ave Ste 106 Leitchfield, KY 42754 (270) 230-0163

Gardenside Dialysis 70 N Gardenmile Rd Henderson, KY 42420 (270) 830-0050

Greenup County

Hopkins County

Fresenius Medical Care Central Ashland 424 River Hill Dr Ashland, KY 41101 (606) 329-0363

Fresenius Medical Care Madisonville 1020 Waterfall Ct Madisonville, KY 42431 (270) 825-3792

Fresenius Medical Care Greenup 965 Townhill Plz Greenup, KY 41144 (606) 473-0410

Jefferson County Bma East Louisville 5620 Bardstown Rd Louisville, KY 40291 (502) 239-8221

Bma Louisville 720 E Broadway Louisville, KY 40202 (502) 778-5184 Bma South Louisville 1514 Crums Ln Louisville, KY 40216 (502) 449-1892 Bma Suburban 3991 Dutchmans Ln Ste G-02 Louisville, KY 40207 (502) 895-2217 Bma West Louisville 2600 W Broadway Ste 112 Louisville, KY 40211 (502) 772-7363 Fresenius Medical Care Masonic Homes 3701 Frankfort Ave Louisville, KY 40207 (502) 721-1083 Fresenius Medical Care North East Louisville 3701 Chamberlain Ln Louisville, KY 40241 (502) 327-1144 Fresenius Medical Care of Audubon 2355 Poplar Level Rd Ste G2-10 Louisville, KY 40217 (502) 637-1771 Fresenius Medical Care of South Central Louisville 8319 Preston HWY Ste C, D, E Louisville, KY 40219 (502) 968-2225 Louisville Dialysis 8037 Dixie Hwy Louisville, KY 40258 (502) 937-9111 Meadows East Dialysis 2529 Six Mile Ln Louisville, KY 40220 (502) 499-4384

Dialysis Clinic

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CoventryCares of Kentucky Shelbyville Road Dialysis 4600 Shelbyville Rd Ste 310 Louisville, KY 40207 (502) 893-4791 Springhurst Dialysis 10201 Champion Farms Dr Louisville, KY 40241 (502) 425-2131 West Broadway Dialysis 720 W Broadway Louisville, KY 40202 (502) 584-2059

Jessamine County Fresenius Medical Care Nicholasville 115 Orchard Place Nicholasville, KY 40356 (859) 881-0332

Johnson County Fmc Dialysis Services of Paintsville 620 Jefferson Ave Paintsville, KY 41240 (606) 789-2278 Paintville Dialysis 4750 S KY Route 321 Hagerhill, KY 41222 (606) 789-1101

Kenton County 12th Street Covington Dialysis 1500 James Simpson Jr Way Ste 1100 Covington, KY 41011 (859) 261-4345 Crestview Hills Dialysis 400 Centerview Blvd Crestview Hills, KY 41017 (859) 341-5561

Lawrence County Louisa Dialysis 2145 Highway 2565 Louisa, KY 41230 (606) 638-3403

Letcher County Whitesburg Dialysis 222 Hospital Rd Ste D Whitesburg, KY 41858 (606) 633-3232

Lyon County Rcg Kuttawa 95 Lakeshore Dr Kuttawa, KY 42055 (270) 388-0078

Madison County Bma Central Richmond 793 Eastern Byp Bldg 3 Ste G-04 Richmond, KY 40475 (859) 626-5566

Marion County Fresenius Medical Care Lebanon Marion County 703 E Main St Ste 2 Lebanon, KY 40033 (270) 692-1558

Mason County Maysville Dialysis 489 Tucker Dr Maysville, KY 41056 (606) 759-0923

McCracken County Rcg Paducah 1532 Lone Oak Rd Ste G-15 Paducah, KY 42003 (270) 443-0217 Rcg Paducah South 1061 Husband Rd Paducah, KY 42003 (270) 442-5020

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Montgomery County Fmc Dialysis Services of Mt. Sterling 75 Sterling Way Mount Sterling, KY 40353 (859) 499-0630

Muhlenberg County D.S. Central City 222 Phillip Stone Way Central City, KY 42330 (270) 754-4404

Nelson County Bardstown Dialysis 210 W John Fitch Ave Bardstown, KY 40004 (502) 350-1130

Oldham County Fmc Dialysis Services of Oldham County 2100 Button Ln Ste 105 La Grange, KY 40031 (502) 225-6223 Lagrange Dialysis 240 Parker Dr La Grange, KY 40031 (502) 222-5527

Perry County Bma Hazard 516 Village Ln Hazard, KY 41701 (606) 439-3478

Pike County Bma Pike County 146 Adams Ln Pikeville, KY 41501 (606) 432-1707 Eastern Kentucky Dialysis 167 Weddington Branch Rd Pikeville, KY 41501 (606) 432-4477

South Williamson Dialysis 204 Appalachian Plz South Williamson, KY 41503 (606) 237-6221

Dialysis of Warren County 391 Suwannee Trail St Bowling Green, KY 42103 (270) 746-5805

Pulaski County

Fresenius Medical Care Bowling Green Warren County 1834 Lyda Ave Bowling Green, KY 42104 (270) 782-1318

Bma Somerset 119 Tradepark Dr Somerset, KY 42503 (606) 678-9811

Rowan County Bma Morehead 250 Norman Wells Ln Morehead, KY 40351 (606) 780-9501

Shelby County Bma Shelbyville 1900 Midland Trl Shelbyville, KY 40065 (502) 633-6333

Taylor County Fresenius Medical Care Campbellsville 107 Medical Park Dr Campbellsville, KY 42718 (270) 469-0923 Taylor County Dialysis Center 101 Kingswood Dr Campbellsville, KY 42718 (270) 789-4100

Trigg County Fresenius Medical Care Trigg County 2484 Main St Cadiz, KY 42211 (270) 522-0170

Warren County Bowling Green Dialysis Center 1834 Lyda Ave Bowling Green, KY 42104 (502) 458-6359

Woodford County Versailles Dialysis 480 Lexington Rd Versailles, KY 40383 (859) 256-0110

Tennessee Appalachian Dialysis 503 Elm Ave New Tazewell, TN 37825 (423) 626-1242 Clarksville North Dialysis 3071 Clay Lewis Rd Clarksville, TN 37040 (931) 552-0644

DME Supplier Kentucky Adair County Certa Care, INC 937 Campbellsville Rd Ste 907 Columbia, KY 42728 (270) 385-9139 Columbia Medical Equipment 2991 Campbellsville Rd Columbia, KY 42728 (270) 384-5143 92 Joe T Petty Dr Ste 700 Russell Springs, KY 42642 (270) 384-5143

Dialysis Clinic

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CoventryCares of Kentucky Community Medical Services INC 801 Burkesville St Columbia, KY 42728 (270) 384-0750 James Medical Equipment Ltd 1545 Campbellsville Rd Ste A Columbia, KY 42728 (270) 465-8220 James Medical Pharmacy 1545 Campbellsville Rd Ste B Columbia, KY 42728 (270) 385-9600 Mls Medical 1116 INC 375 Office Park Dr Columbia, KY 42728 (270) 384-0076 Russell Springs Pharmacy 92 Joe T Petty Dr Russell Springs, KY 42642 (270) 866-2778

Allen County Carpenter Dent Drugs INC 117 E Public Sq Scottsville, KY 42164 (270) 237-4446 T & K Home Medical INC 1137 Old Glasgow Rd Scottsville, KY 42164 (270) 237-9700

Anderson County Convacare Services INC 753 W Broadway St Lawrenceburg, KY 40342 (502) 839-4557

Barren County Cave City Prescription Center INC 101 S Dixie Hwy Cave City, KY 42127 (270) 773-2252 Ely Drugs, INC. 415 Happy Valley Rd Glasgow, KY 42141 (270) 651-8359 Glasgow O & P 4288 N Jackson Hwy Glasgow, KY 42141 (270) 678-7290 Glasgow Prescription Center 615 S L Rogers Wells Blvd Glasgow, KY 42141 (270) 651-8889

Lincare INC 517 N 15th St Middlesboro, KY 40965 (606) 242-2377 200 W Park Ave Pineville, KY 40977 (606) 337-2402 Medi Home Care 123 N 19th St Middlesboro, KY 40965 (606) 248-6264 Pineville Pharmacy 114 N Pine St Pineville, KY 40977 (606) 337-3335 Rx Discount Pharmacy #7 1841 N 25th St Middlesboro, KY 40965 (606) 248-9330

Lincare INC 952 Happy Valley Rd Glasgow, KY 42141 (270) 651-3753

Southern Orthocare 705 N 12th St Ste 250 Middlesboro, KY 40965 (423) 307-1890

Vann Healthcare Services 1220 N Race St Glasgow, KY 42141 (270) 651-7627

Boone County

Vann Homecare INC 1004 Happy Valley Rd Glasgow, KY 42141 (270) 678-2350

Bath County Bath Hometown Pharmacy 19 Miller Dr Owingsville, KY 40360 (606) 674-2423 Family Discount Drugs 60 Slate Ave Owingsville, KY 40360 (606) 674-6979

Bell County Food City Pharmacy 102 N 12th St Middlesboro, KY 40965 (606) 248-7689

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Advanced Technologies, INC 7570 US Highway 42 Florence, KY 41042 (859) 578-4822 Burlington Pharmacy Health Care 5555 N Bend Rd Burlington, KY 41005 (859) 586-6700 Lincare INC 11 Spiral Dr Ste 6 Florence, KY 41042 (859) 525-0202 Motherhood Express, LLC 7000 Houston Rd Bldg 200 Ste 19 Florence, KY 41042 (859) 746-2460 Ruwe Family Pharmacy-Florence 7220 Burlington Pike Florence, KY 41042 (859) 746-2800

Bourbon County Ablecare Home Oxygen and Medical Equipment 1828 Main St Paris, KY 40361 (859) 253-5353

Boyd County Ashland Community Medical Equipment 2200 Winchester Ave Ashland, KY 41101 (606) 324-1101 Ashland Prosthetic and Orthotic Services 2816 Carter Ave Ashland, KY 41101 (606) 324-5786 Hanger Prosthetics & Orthotics INC. 336 29th St Ste 203 Ashland, KY 41101 (606) 329-0393 Healthy Way Pharmacy Cedar Knoll 1410 Eagle Dr Ashland, KY 41102 (606) 928-1001 Infusion Solutions 200 Mall Rd Ste 3 Ashland, KY 41101 (606) 325-1115 Kinetic Health Care 3313 13th St Ashland, KY 41102 (606) 327-6990 Lincare INC 1514 Greenup Ave Ashland, KY 41101 (606) 329-8089 Pack Medical 1653 Greenup Ave Ashland, KY 41101 (606) 920-9701 We Care Medical LLC 2013 29th St Ashland, KY 41101 (606) 325-0692

2826 Holt St Ashland, KY 41101 (606) 325-0692

Boyle County James Medical Equipment Ltd 455 S 4th St Danville, KY 40422 (270) 465-8220 Lincare INC 104 Ponder Ct Ste F Danville, KY 40422 (859) 936-2063 McDowell Medsource 150 S 3rd St Danville, KY 40422 (859) 239-1691 The Medicine Shoppe #1503 900 Hustonville Rd Danville, KY 40422 (859) 238-0002

Bracken County Reynolds Pharmacy 216 Main St Augusta, KY 41002 (606) 756-2204

Breathitt County Breathitt Prescription Center 1112 Main St Jackson, KY 41339 (606) 666-7574 Jackson Apothecary 842 Highway 15 N Jackson, KY 41339 (606) 666-7060 Lincare INC 66 Jett Dr Jackson, KY 41339 (606) 666-4455 Medi Home Care 726 Highway 15 N North Jackson Plaza Jackson, KY 41339 (606) 666-4062

DME Supplier

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CoventryCares of Kentucky Pacific Pulmonary Services 868 Highway 15 S Jackson, KY 41339 (606) 666-8310

Breckinridge County Towne & Country Pharmacy Florist & Gifts INC 675 E Highway 60 Hardinsburg, KY 40143 (270) 756-1984

Butler County King Drug and Home Care - Morgantown 255 W Gl Smith St Morgantown, KY 42261 (270) 526-6980

Caldwell County Corner Homecare 700 Cassidy Ave Fredonia, KY 42411 (270) 545-3413 108 E Washington St Princeton, KY 42445 (270) 365-3903 Princeton Drug INC 103 W Main St Princeton, KY 42445 (270) 365-5585

Calloway County Drs. Naulty & Lampkin 908b S 12th St Murray, KY 42071 (270) 753-0666 Holland Medical Equipment 905 Arcadia Cir Murray, KY 42071 (270) 753-1465 Medical Arts Home Medical 300 S 8th St Ste 104e Murray, KY 42071 (270) 247-7300

Pharmacy INC 82 Spruce St Murray, KY 42071 (303) 905-8527

Campbell County Alexandria Drugs 7857 US Highway 27 Alexandria, KY 41001 (859) 685-2171 National Prosthetics and Orthotics 4200 Alexandria Pike Ste C Cold Spring, KY 41076 (859) 442-0400 Patient-Aids, INC. 100 Crossing Dr Newport, KY 41076 (859) 441-8876 Ruwe Family Pharmacy-Bellevue 103 Landmark Dr Ste 140 Bellevue, KY 41073 (859) 291-8665

Carlisle County Bardwell Pharmacy 178 US HWY 51 N Bardwell, KY 42023 (270) 628-5445

Carroll County Webster Drug INC 99 Park Ln Carrollton, KY 41008 (502) 732-4331

Carter County Medi Home Care 118 S Hord St Grayson, KY 41143 (606) 474-6684

Casey County Hills Pharmacy INC 33 Trammel St Liberty, KY 42539 (606) 787-8321

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

James Medical Equipment Ltd 140 Liberty Sq Liberty, KY 42539 (270) 465-8220 Medsource of Liberty 68 Hustonville St Liberty, KY 42539 (606) 787-0468

Christian County Advanced Home Medical INC 2212 Fort Campbell Blvd Hopkinsville, KY 42240 (270) 886-2544 Cayce's Eagle Way Pharmacy 211 Burley Ave Hopkinsville, KY 42240 (270) 885-1220 Cayce's Pharmacy INC 1112 W 7th St Hopkinsville, KY 42240 (270) 886-4466 Cooks Orthopedics INC 114 Navaho Trl Hopkinsville, KY 42240 Cook's Orthopedics, INC. 114 Navaho Trl Hopkinsville, KY 42240 (270) 886-9200 King Home Care Hopkinsville 1610 S Main St Hopkinsville, KY 42240 (270) 889-9100 Pennyrile Home Medical 217 Burley Ave Hopkinsville, KY 42240 (270) 885-2500 3127 Canton Pike Hopkinsville, KY 42240 (270) 885-2500

Clark County Corner Drug Winchester INC 4 N Highland St Ste B Winchester, KY 40391 (859) 744-6844 Home Convalescent Aids INC 1113 W Lexington Ave Winchester, KY 40391 (859) 745-4445 New Moon Medical 1210 W Lexington Ave Winchester, KY 40391 (859) 737-5154

Clay County Burning Springs Clinic Pharmacy 11901 N Highway 421 Manchester, KY 40962 (606) 599-8891 Clay Discount Pharmacy 2734 S Highway 421 Manchester, KY 40962 (606) 248-9330 Community Drug of Manchester 1668 S Highway 421 Manchester, KY 40962 (606) 224-0195 La Medical Supply 459 Memorial Dr Manchester, KY 40962 (606) 599-9140

Clinton County Columbia Medical Equipment 258 Burkesville Rd Albany, KY 42602 (270) 384-5143

Crittenden County Glenns Apothecary 520 W Gum St Marion, KY 42064 (270) 965-4101

Holland Medical Equipment 252 Sturgis Rd Marion, KY 42064 (270) 965-5808

Cumberland County Burkesville Medical Supply INC 365 Keen St Burkesville, KY 42717 (270) 864-2230

Daviess County Bluegrass Foot Center 2816 Veach Rd Blgd 1 Owensboro, KY 42303 (270) 684-5252 Cherri Care, Medical Equipment and Supplies 1726 Sweeney St Owensboro, KY 42303 (270) 926-2252 Corner Homecare 5010 Back Square Dr Owensboro, KY 42301 (270) 686-7000 Danhauer Drug Co., INC. 330 Frederica St Owensboro, KY 42301 (270) 684-2341 Happy Feet 510 E Parrish Ave Owensboro, KY 42303 (270) 688-5888 King Drug and Home Care - Owensboro 1156 Carter Rd Owensboro, KY 42301 (270) 683-7010 Lincare INC 3645 Edna Ct Owensboro, KY 42301 (270) 683-3900 Medi Home Care 1202 Triplett St Owensboro, KY 42303 (270) 683-3830

DME Supplier

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CoventryCares of Kentucky Poole's Pharmacy Care 2200 E Parrish Ave Ste 102 Owensboro, KY 42303 (270) 926-6260 Shaws Prosthetics Plus INC 1019 Old Hartford Rd Owensboro, KY 42303 (270) 684-7672 Shoe Stop INC 4650 Frederica St Owensboro, KY 42301 (270) 686-7429

Edmonson County Prescription Shop 1571 KY Highway 259 N Brownsville, KY 42210 (270) 597-2181

Elliott County Healthy Way Pharmacy 432 Kentucky HWY Main St Sandy Hook, KY 41171 (606) 738-4041

Estill County Estill Clinic Pharmacy 275 Court St Irvine, KY 40336 (606) 723-0044 Irvine Health Mart 905 Richmond Rd Irvine, KY 40336 (606) 723-5446 Plaza Pharmacy 1220 Richmond Rd Irvine, KY 40336 (606) 723-5315 Respiration Express INC 171 Broadway St Irvine, KY 40336 (606) 723-2955

Fayette County Ability Prosthetics & Orthotics 329 Elaine Dr Ste 120 Lexington, KY 40504 (859) 277-3700 Ablecare Home Oxygen and Medical Equipment 299 Gold Rush Rd Lexington, KY 40503 (859) 253-5353 Bluegrass Bracing INC 1389 W Main St Lexington, KY 40508 (859) 266-5500 Bluegrass Oxygen INC 399 Waller Ave Ste 110 Lexington, KY 40504 (859) 277-2583 Center for Orthotic & Prosthetic Care 1900 Richmond Rd Lexington, KY 40502 (859) 268-5708 Languages: Spanish 171 N Eagle Creek Dr Ste 102 Lexington, KY 40509 (859) 268-5708 Languages: Spanish Central Brace & Prosthetics, INC 3295 Eagle View Ln Lexington, KY 40509 (859) 263-7712 Commonwealth Podiatry, PLLC 3050 Harrodsburg Rd Ste 201 Lexington, KY 40503 (859) 737-0904 Cooley Medcial Equipment 1316 S Broadway Ste 100 Lexington, KY 40504 (859) 281-6044

Extreme Mobility INC 2551 Regency Rd Ste 105 Lexington, KY 40503 (859) 277-0105

Lincare INC 2514 Regency Rd Ste 101 Lexington, KY 40503 (859) 276-0202

Premier Home Care INC 149 Moore Dr Lexington, KY 40503 (859) 260-1743

Greene Respiratory Services INC 921 Beasley St Ste 110 Lexington, KY 40509 (513) 831-0507

2514 Regency Rd Ste 103 Lexington, KY 40503 (859) 278-7700

Pro2 Respiratory Services 198 Moore Dr Ste 106 Lexington, KY 40503 (859) 277-0029

Grogans INC 1016 S Broadway Lexington, KY 40504 (859) 254-6661 Languages: Spanish Hanger Prosthetics & Orthotics INC. 2025 Leestown Rd Ste Q Lexington, KY 40511 (859) 252-4110 Hi Tech Artificial Limbs INC 1641 Nicholasville Rd Lexington, KY 40503 (859) 278-2389

Medi Home Care 198 Moore Dr Ste 104 Lexington, KY 40503 (859) 277-6266 National Seating & Mobility INC 2025 Leestown Rd Unit L Lexington, KY 40511 (859) 381-1440

Home Medical Equipment, LLC 112 Dennis Dr Lexington, KY 40503 (859) 277-4663

National Seating & Mobility, INC 2025 Leestown Rd Unit L Lexington, KY 40511 (859) 381-1440

Infusion Partners LLC 2025 Regency Rd Lexington, KY 40503 (800) 356-9259

Odom's Prosthetics 745 Troy Trl Lexington, KY 40517 (859) 273-3928

Infusion Partners of Lexington 2025 Regency Rd Lexington, KY 40503 (859) 277-2013

Orthopaedic Specialties of Lexington INC 2909 Richmond Rd Ste 30 Lexington, KY 40509 (859) 268-2525

Josephine's Fayette INC 814 E Euclid Ave Lexington, KY 40502 (859) 269-6222 Kenney Orthopedics 449 Lewis Hargett Cir Ste 110 Lexington, KY 40503 (859) 373-0208 Languages: Spanish

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lovejoy Medical 132 Venture Ct Ste 12 And 13 Lexington, KY 40511 (859) 268-7225

Patient-Aids, INC. 242 Southland Dr Lexington, KY 40503 (859) 441-8876 Pps Orthotic & Prosthetic Services 2591 Palumbo Dr Ste S Lexington, KY 40509 (859) 543-9089

The Healthy Foot Center 312 S Ashland Ave Lexington, KY 40502 (859) 266-0420 United Seating and Mobility 1050 Enterprise Dr Ste 125 Lexington, KY 40510 (859) 225-3624 Viclen INC 607 S Broadway Lexington, KY 40508 (859) 253-6611

Fleming County Total Care Pharmacy 1 209 S Main Cross St Flemingsburg, KY 41041 (606) 845-3421 Total Care Pharmacy 2 118 Clark St Flemingsburg, KY 41041 (606) 845-3421

Floyd County Bluegrass Oxygen INC 1372 N Lake Dr Prestonsburg, KY 41653 (859) 277-2583 Cooley Medical Equipment 1152 Riverside Dr Prestonsburg, KY 41653 (606) 886-0333 1184 S Lake Dr Prestonsburg, KY 41653 (606) 886-9267

DME Supplier

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CoventryCares of Kentucky Food City Pharmacy 429 University Dr Prestonsburg, KY 41653 (606) 889-9572

Empi, INC National Contract Frankfort, KY 40601 (800) 328-2536

Hanger Prosthetics & Orthotics INC. 132 S Lake Dr Prestonsburg, KY 41653 (859) 252-4110

Lincare INC 617 Chamberlin Ave Ste 1 Frankfort, KY 40601 (502) 226-2202

McDowell Professional Pharmacy INC 9549 Kentucky Route 122 McDowell, KY 41647 (606) 377-1088

Lovejoy Medical 106 Diagnostic Dr Ste B Frankfort, KY 40601 (502) 227-9006

Medi Home Care 69 KY Route 306 Bypro, KY 41612 (606) 452-2624 1900 Kentucky Route 321 Prestonsburg, KY 41653 (606) 886-8306 Medzone Pharmacy 5291 KY Route 321 Prestonsburg, KY 41653 (606) 889-9003 Oxygen Plus INC 9350 US Highway 23 S Stanville, KY 41659 (606) 478-6653

Franklin County Capital Pharmacy and Medical Equipment 662 E Main St Frankfort, KY 40601 (502) 223-2827 Center for Orthotics & Prosthetics 279 Kings Daughters Dr Ste 200 Frankfort, KY 40601 (502) 226-6611 Languages: Spanish Ebi, LLC National Contract Frankfort, KY 40601 (949) 916-2127

Graves County Duncan Prescription Center 315 W Broadway Mayfield, KY 42066 (270) 247-3725 Gibson's Pharmacy Home Care 715 E Broadway Mayfield, KY 42066 (270) 247-7300

Women's Center Boutique 1000 Ashland Dr Ashland, KY 41101 (606) 325-0692 Wright Care Home Medical Supply, INC. 74 Biggs Ln South Shore, KY 41175 (606) 932-9205

Hardin County

Orthofix, INC National Contract Frankfort, KY 40601

Stones Health Mart Pharmacy 414 S 9th St Mayfield, KY 42066 (270) 247-3232

21medi Home Care 2408 Ring Rd Elizabethtown, KY 42701 (270) 737-4280

Fulton County

Grayson County

Evans Total Care LLC 208 Lake St Fulton, KY 42041 (270) 472-2984

Embry Medical Supply 10 Industrial Dr Caneyville, KY 42721 (270) 879-9287

Center for Orthotic & Prosthetic Care 914 N Dixie Ave Ste 109 Elizabethtown, KY 42701 (270) 737-2672

Gallatin County

Medi Home Care 2337 Elizabethtown Rd Leitchfield, KY 42754 (270) 259-6347

Beringer Drug Center, INC 102 W Main St Warsaw, KY 41095 (859) 567-4601 Respimed Home Oxygen 102 W Main St Ste D Warsaw, KY 41095 (859) 567-1782

Grant County Bluegrass Orthotics, LLC 1116 N Main St Williamstown, KY 41097 (859) 824-1000 Rothert's Hospital Equipment 103 Barnes Rd Ste 1 Williamstown, KY 41097 (859) 824-0004

Greenup County All Med, LLC 300 Saint Christopher Dr Ashland, KY 41101 Our Lady of Bellefonte Durable Medical Equipment 118 Saint Christopher Dr Ashland, KY 41101 (606) 833-6241 Languages: , Spanish Stultz Pharmacy INC 2420 Argillite Rd Ste A Flatwoods, KY 41139 (606) 834-1052 1615 Ashland Rd Greenup, KY 41144 (606) 473-7346

Languages: Spanish Fisher & Hinnant Prosthetic & Ortho 950 N Mulberry St Ste 100a Elizabethtown, KY 42701 (270) 769-2053 Lincare INC 536 W Dixie Ave Ste 103 Elizabethtown, KY 42701 (270) 737-2900 Mobility Plus Homecare 910 N Dixie Ave Ste 105 Elizabethtown, KY 42701 (270) 360-0486 Premier Home Care INC 1020 N Dixie Ave Elizabethtown, KY 42701 (270) 982-5800

Resp-A-Care 2628 Ring Rd Ste 105 Elizabethtown, KY 42701 (270) 769-1051

Harlan County Cooley Medical Equipment 24 Woodland Hls Harlan, KY 40831 (606) 573-9793 Cumberland Drug Co 1803 E Main St Cumberland, KY 40823 (606) 589-0003 Harland Medical Center Pharmacy 132 Village Center Rd Harlan, KY 40831 (606) 573-2004 Medi Home Care 46 Judy Dr Harlan, KY 40831 (606) 573-2445

Harrison County Clinic Pharmacy 1210 KY Highway 36 E Ste G6 Cynthiana, KY 41031 (859) 234-2777 Sorrell Home Medical Equipment 208 W Pleasant St Ste 3 Cynthiana, KY 41031 (859) 234-4441 Your Pharmacy LLC 208 W Pleasant St Ste 2 Cynthiana, KY 41031 (859) 234-5400

Hart County Hart County Respiratory Care INC 1370 S Dixie St Horse Cave, KY 42749 (270) 786-2997

Total Care Pharmacy #3 40 Broadway St Dry Ridge, KY 41035 (606) 845-3421

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

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CoventryCares of Kentucky Henderson County

Jackson County

Barrys Pharmacy 700 N Green St Henderson, KY 42420 (270) 869-9197

White House Clinic Pharmacy 1010 Main St S Mc Kee, KY 40447 (606) 287-7104

Dunaways Imperial Pharmacy 110 3rd St Henderson, KY 42420 (270) 826-6565 Methodist Hospital Home Medical Equipment 426 N Elm St Henderson, KY 42420 (270) 831-7840 T&T Drug Stores INC 1331 Clay St Henderson, KY 42420 (270) 827-3503

Hopkins County Americas No 1 Health Store INC 728 S Main St Madisonville, KY 42431 (270) 821-8500 Bluegrass Home Medical 1128 N Main St Ste 2 Madisonville, KY 42431 (270) 825-9661 Holland Medical Equipment 215 Clinic Dr Madisonville, KY 42431 (270) 825-0891 King Drug and Home Care -Madisonville 44 McCoy Ave Madisonville, KY 42431 (270) 825-8833 Woodburn Pharmacy LLC 400 E Arcadia Ave Dawson Springs, KY 42408 (270) 797-2761

Jefferson County Accredo Therapeutics, INC. 2115 Stanley Gault Pkwy #150 Louisville, KY 40223 (502) 244-2400 All American Oxygen INC 7901 3rd Street Rd Louisville, KY 40214 (502) 367-4360 Alliance Medical Solutions LLC 6009 Brownsboro Park Blvd #a Louisville, KY 40207 (502) 253-6881 Bluegrass Oxygen INC 842 S 2nd St Louisville, KY 40203 (859) 277-2583 Cardiopulmonary Home Care INC 1300 Envoy Cir Ste 1303 Louisville, KY 40299 (502) 937-0877 Center for Orthotic & Prosthetic Care 315 E Broadway Ste 1400 Louisville, KY 40202 (502) 629-8640 Languages: Spanish

Cooley Medical Equipment 6413 Dutchmans Pkwy Louisville, KY 40205 (502) 459-4500 Cork Medical, LLC 3712 Bishop Ln Louisville, KY 40218 (502) 964-4400 Diabetes Care & Education 2700 Stanley Gault Pkwy Ste 129 Louisville, KY 40223 (502) 253-3615 Diabetic & Medical Resources Corp 4001 Dutchmans Ln Ste 3f Louisville, KY 40207 (502) 376-3979 Discount Medical Supply 5616 Preston Hwy Louisville, KY 40219 (502) 365-4164 Goulds Discount Medical INC 3901 Dutchmans Ln Louisville, KY 40207 (502) 491-2000 Hanger Prosthetics & Orthotics East INC. 1023 E Broadway Louisville, KY 40204 (502) 589-1329 Hanger Prosthetics & Orthotics INC. 100 Executive Park Louisville, KY 40207 (502) 899-5170

Languages: Spanish

Lincare INC 3224 A Commerce Center Pl Louisville, KY 40211 (502) 775-5345

982 Eastern Pkwy Louisville, KY 40217 (502) 637-7717

5694 Shepherdsville Rd Louisville, KY 40228 (502) 515-3500

902 Dupont Rd Ste 100 Louisville, KY 40207 (502) 899-9221

Languages: Spanish

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

11501 Plantside Dr Louisville, KY 40299 (502) 240-0571 Louisville Prosthetics 742 E Broadway Louisville, KY 40202 (502) 584-2959 Medi Home Care 1981 Nelson Miller Pkwy Ste B Louisville, KY 40223 (502) 253-2996 National Seating & Mobility INC 11003 Bluegrass Pkwy Ste 550 Louisville, KY 40299 (502) 266-5213 National Seating & Mobility, INC 2500 Constant Comment Pl Louisville, KY 40299 (502) 266-0092 Pps Orthotic & Prosthetic Services 806 Ulrich Ave Louisville, KY 40219 (502) 966-0823 Pr02 Respiratory Services 4201 Produce Rd Louisville, KY 40218 (502) 962-4770 Premier Home Care INC 4640 Chamberlain Ln Louisville, KY 40241 (502) 742-9700 11530 Electron Dr Louisville, KY 40299 (502) 491-5243 Rehab Medical of Louisville INC 10821 Plantside Dr Ste 105 Louisville, KY 40299 (502) 216-5592

Renaissance Medical LLC 3865 Produce Rd Louisville, KY 40218 (502) 961-9807 Resp-A-Care 6919a Enterprise Dr Louisville, KY 40214 (502) 363-1157 Rx Delivery Now 1850 Taylor Ave Ste 3-B Louisville, KY 40213 (502) 458-4330 Scm Life Oxygen 7955 National Tpke Unit 100 Louisville, KY 40214 (502) 368-0000 Languages: Spanish, Persian (Farsi), Arabic Sleep Management, LLC 6100 Dutchmans Ln Ste 302 Louisville, KY 40205 (502) 479-1073 The Scooter Store-Louisville, LLC 9826 Bluegrass Pkwy Louisville, KY 40299 (800) 771-5449 United Seating and Mobility 11700 Commonwealth Dr Ste 900 Louisville, KY 40299 (502) 266-9061

Jessamine County Convacare Services INC 930 S Main St Nicholasville, KY 40356 (859) 887-2841 Mobile Rehab 1060 Elizabeth St Ste 1 Nicholasville, KY 40356 (859) 881-4444 The Prescription Pad 465 Keene Centre Dr Nicholasville, KY 40356 (859) 887-2841 DME Supplier

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CoventryCares of Kentucky Food City Pharmacy 330 N Mayo Trl Paintsville, KY 41240 (606) 789-7116

Rothert's Hospital Equipment 1850 Augustine Ave Ste A And B Covington, KY 41014 (859) 431-5900

Medi Home Care 1207 912 Broadway St Paintsville, KY 41240 (606) 789-5453

Rsvp Homecare 4300 Boron Dr Latonia, KY 41015 (859) 727-7600

Skyline Medical Equipment 818 S Mayo Trl Paintsville, KY 41240 (606) 789-7730

Ruwe Family Pharmacy-Covington 434 Scott St Covington, KY 41011 (859) 431-3304

Vh Medical Mobility 813 Ridgeway Dr Paintsville, KY 41240 (606) 789-1700

Ruwe Family Pharmacy-Latonia 3712 Winston Ave Latonia, KY 41015 (859) 261-0605

Johnson County

Kenton County Durrett's Orthotic and Prosthetics 20 Medical Village Dr Ste 100 Edgewood, KY 41017 (859) 341-7688 Gaitwell Orthotics and Pedorthics LLC 560 S Loop Rd Edgewood, KY 41017 (859) 301-0727 Nie's Pharmacy, INC, Dba Nie's Pharmacy & Wellness 11745 Madison Pike Independence, KY 41051 (859) 356-3981 Pulmonary Partners LLC 4300 Boron Dr Ste B Latonia, KY 41015 (859) 655-2400 Remke Medical LLC 20 Medical Village Dr Ste 103 Ft Mitchell, KY 41017 (859) 341-3456

The Brace Shop Prosthetic Orthotic Centers INC. 375 Thomas More Pkwy Ste 106 Ft Mitchell, KY 41017 (513) 763-3354

Knox County Creech & Gibbs Pharmacy 13369 N US Highway 25 E Corbin, KY 40701 (606) 523-1911 Knox Professional Pharmacy INC 511 Knox St Barbourville, KY 40906 (606) 546-3171 Medi Home Care 604 Knox St Barbourville, KY 40906 (606) 545-0586 Sav-Rite Home Care INC 1275 Master St Corbin, KY 40701 (606) 528-2515

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Southeastern Medical Supply, LLC 116 E Center St Corbin, KY 40701 (606) 258-0001 Southern Pharmaceutical Corporation U.S. Highway 25 Bldg #20 Mount Vernon, KY 40456 (606) 256-0814

Laurel County Bluegrass Regional Foot and Ankle Associates 1105 W 5th St Ste 3 London, KY 40741 (606) 862-8901 Dove Medical Equipment INC 510 S Main St London, KY 40741 (606) 864-7144 Elite Medical Supply LLC 1826 River Rd London, KY 40744 (606) 330-0570 James Medical Equipment Ltd 749 N Laurel Rd London, KY 40741 (270) 465-8220 Kenney Orthopedics of London LLC 100 London Mountain View Dr Ste 300 London, KY 40741 (606) 862-9000 Plaza Drug 707 N Laurel Rd London, KY 40741 (606) 862-5660 Premier Home Care INC 100 Enterprise Ln London, KY 40741 (606) 878-0009

Thompson Drug Downtown 803 Meyers Baker Rd Ste 110 London, KY 40741 (606) 877-1008 Thompson Drug Saddlebrook 575 W Laurel Rd London, KY 40741 (606) 862-6261

Lawrence County Genesis Respiratory Services, INC 101 E Madison St Louisa, KY 41230 (606) 638-9303 James Medical Equipment Ltd 207 E Madison St Louisa, KY 41230 (270) 465-8220 Medi Home Care 102 E Franklin St Louisa, KY 41230 (606) 638-9482 Rite Value Pharmacy LLC 2673 Highway 644 Ste 1 Louisa, KY 41230 (606) 638-9627

Lee County Jordan Medical LLC 1075 Highway 11 N Beattyville, KY 41311 (606) 464-3901 Stufflebean Pharmacy 1031 Grand Ave Beattyville, KY 41311 (606) 464-3396 Village Apothecary 111 River St Beattyville, KY 41311 (606) 464-3656

Letcher County Boggs Pharmacy and Medical Supplies 9448 Highway 805 Ste 1 Jenkins, KY 41537 (606) 832-0042 Isom Community Pharmacy 93 Isom Dr Isom, KY 41824 (606) 633-9238 Lincare INC 301 Kentucky Highway 119 N Whitesburg, KY 41858 (606) 633-2861 McHc Home Medical 110 Medical Plaza Ln Whitesburg, KY 41858 (606) 632-2800 Medi Home Care 3367 Highway 119 N Ste C Whitesburg, KY 41858 (606) 633-4800 Mountain Medical Equipment INC 1181 Highway 119 N Whitesburg, KY 41858 (606) 632-3553 Parkway Pharmacy 2354 Highway 15 Whitesburg, KY 41858 (606) 633-4435

Lewis County Osman Pharmacy 89 Second St Vanceburg, KY 41179 (606) 796-2932

Lincoln County Colemans Drug Store INC 105 W Main St Stanford, KY 40484 (606) 365-2164 Medsource of Stanford 110 Metker Trl Stanford, KY 40484 (606) 365-4632 DME Supplier

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CoventryCares of Kentucky Livingston County

Madison County

Glenns Prescription Center 119 E Main St Salem, KY 42078 (270) 988-3226

All American Oxygen INC 427 Chestnut St Berea, KY 40403 (859) 986-0002

Salem Clinic Pharmacy INC 141 Hospital Dr Salem, KY 42078 (270) 988-3230

Berea Drug Co, INC 402 Richmond Rd N Ste A Berea, KY 40403 (859) 986-4521

Smithland Pharmacy INC 203 E Adair St Smithland, KY 42081 (270) 928-2161

Berea White House Clinic Pharmacy 104 Legacy Dr Berea, KY 40403 (859) 986-2323

Logan County

Medi Home Care 2006 Corporate Dr Ste 4 Richmond, KY 40475 (859) 626-0864

King Drug and Home Care - Russellville 1405 Nashville St Ste A Russellville, KY 42276 (270) 725-9027 Nations Medicines 432 Hopkinsville Rd Russellville, KY 42276 (270) 726-8451 Resp-Aire INC 432 Hopkinsville Rd Ste B Russellville, KY 42276 (270) 726-6188 Russellville O & P 230 S Franklin St Russellville, KY 42276 (270) 726-1200 Vital Care 153 Nw Park Sq Russellville, KY 42276 (270) 726-7626

Lyon County Lyon Drug Store 201 W Main St Eddyville, KY 42038 (270) 388-2236 McConnell Drug INC 86 Cedar St Kuttawa, KY 42055 (270) 388-7371

Merle Norman Cosmetics 2008 Merchant Dr Ste 9 Richmond, KY 40475 (859) 624-9825 Premier Home Care INC 1060 Center Dr Richmond, KY 40475 (859) 623-5028 370 Highland Park Dr Ste 1 Richmond, KY 40475 (859) 623-4567

Clinic Pharmacy 789 Parkway Dr Salyersville, KY 41465 (606) 349-1700

Marion County Pat's Pharmacy 498 W Main St Lebanon, KY 40033 (270) 692-4950 Southall Pharmacy PLLC 325 W Walnut St Ste 500 Lebanon, KY 40033 (270) 692-3111

Marshall County At Home Medical 837 US Highway 68 W Ste A Benton, KY 42025 (270) 252-0897 Drs. Naulty & Lampkin 815 Birch St Benton, KY 42025 (270) 753-0666 Western Kentucky Home Medical Equiment 2602 Main St Benton, KY 42025 (270) 527-1522

Martin County

Resp-A-Care 956 Commercial Dr Richmond, KY 40475 (859) 623-2202

Fields Medical Supplies 2138 Blacklog Rd Inez, KY 41224 (606) 298-3674

The Medicine Shoppe 654 238 E Main St Richmond, KY 40475 (859) 623-8900

The Medicine Shoppe #1311 3171 Blacklog Rd Inez, KY 41224 (606) 298-7774

Magoffin County

Mason County

Blair Medical Supplies, INC 723 Parkway Dr Salyersville, KY 41465 (606) 349-5157

Genesis Respiratory Services, INC 735 US Highway 68 Maysville, KY 41056 (606) 564-6821

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Homeside Medical Equipment 1315 US Highway 68 Maysville, KY 41056 (606) 563-9400

Medcare Home Medical 2800 Clark St Ste C Paducah, KY 42001 (270) 655-6151

Mason Family Drug 912 Kenton Station Dr Maysville, KY 41056 (606) 759-0700

Orr Medical LLC 3434 Lovelaceville Rd Paducah, KY 42001 (270) 554-7311

McCracken County

Paducah Pharmacy 225 Medical Center Dr Ste 100 Paducah, KY 42003 (270) 441-4390

Corner Homecare 546 Lone Oak Rd Paducah, KY 42003 (270) 443-3311 Davis Drugs 250 Lone Oak Rd Paducah, KY 42001 (270) 443-1442 Davis Drugs of Lone Oak 2855 Lone Oak Rd Paducah, KY 42003 (270) 554-5099 Hanger Prosthetics & Orthotics INC. 4655 Alben Barkley Dr Paducah, KY 42001 (207) 554-5588 Holland Medical Equipment 1914 Broadway St Paducah, KY 42001 (270) 442-6311 Legacy Oxygen and Home Care Equipment 126 Lone Oak Rd Paducah, KY 42001 (270) 442-7887 Lincare INC 326-328 Harrison St Paducah, KY 42001 (270) 443-0957 Marilyns Medical Freedom, INC 4860 Old Mayfield Rd Paducah, KY 42003 (270) 534-9713

Paducah Prosthetics 2232 Broadway St Paducah, KY 42001 (856) 810-7900 Pennyrile Home Medical 2975 Lone Oak Rd Paducah, KY 42003 (270) 554-0830 Rick's Pharmacy 3001 Schneidman Rd Paducah, KY 42003 (270) 443-7200 Walgreens Infusion Services, Paducah 3487 Park Ave Paducah, KY 42001 (800) 511-0063

McCreary County Bluegrass Oxygen INC 25 Medical Ln Whitley City, KY 42653 (859) 277-2583 Daugherty's Drugstore 4160 S Highway 27 Pine Knot, KY 42635 (606) 354-2222

McLean County Poole's Pharmacy Care 311 Henton St Livermore, KY 42352 (270) 278-5537

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CoventryCares of Kentucky Mercer County Convacare Services INC 636 S College St Harrodsburg, KY 40330 (859) 734-4314 The Medicine Shoppe 586 636 S College St Harrodsburg, KY 40330 (859) 734-4314

Metcalfe County Kentucky Medical Supply INC 102 Castle Ridge Dr Edmonton, KY 42129 (270) 432-0957 Nunn Drugs INC 1704 W Stockton St Edmonton, KY 42129 (270) 432-3111

Monroe County King Home Care Tompkinsville 1104 N Main St Tompkinsville, KY 42167 (270) 487-5127

Montgomery County Kenney Orthopedics Mt. Sterling LLC 250 Foxglove Dr Ste 7 Mount Sterling, KY 40353 (859) 498-1888 Sterling Surgical Supply LLC 125 Foxglove Dr Ste 2 Mount Sterling, KY 40353 (859) 498-9711 We Care Medical LLC 627 Maysville Rd Ste A Mount Sterling, KY 40353 (606) 325-0692

Muhlenberg County Community Oxygen & Medical Equipment INC 603 W Everly Brothers Blvd Central City, KY 42330 (270) 754-3187 Convacare Services INC 117 N Main St Greenville, KY 42345 (270) 338-3800 King Home Care Powderly 2227 W Everly Brothers Blvd Powderly, KY 42367 (270) 338-7738 Poole's Pharmacy Care 102 W Broad St Central City, KY 42330 (270) 754-1545

Ohio County King Drug and Home Care - Hartford 1014 S Main St Hartford, KY 42347 (270) 298-3278 Rice Drugs INC 1209 N Main St Beaver Dam, KY 42320 (270) 274-3318 Senior Mobility INC 100 N Main St Hartford, KY 42347 (270) 298-0046

Owsley County Owsley Prescription Center Highway 11 North Booneville, KY 41314 (606) 593-6306

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Perry County Cooley Medical Equipment 500 Village Ln Hazard, KY 41701 (606) 439-4049 Lovejoy Medical 110 Corporate Dr Ste 101 Hazard, KY 41701 (606) 436-2683 Medi Home Care 304 Morton Blvd Hazard, KY 41701 (606) 436-5546 Rx Discount Pharmacy #1 500 Morton Blvd Hazard, KY 41701 (606) 436-2891

Pike County Advocate Medical Services INC. 5157 N Mayo Trl Pikeville, KY 41501 (877) 968-7267 Central Brace & Prosthetics, INC 171 Hibbard St Suite 3 Pikeville, KY 41501 (606) 509-0612 Commonwealth Pharmacy 5425 N Mayo Trl Ste 102 Pikeville, KY 41501 (606) 437-0701 Cooley Medical Equipment 255 Church St Ste 105 Pikeville, KY 41501 (606) 432-0055 Food City Pharmacy 2138 S Mayo Trl Pikeville, KY 41501 (606) 432-2044 215 Cassidy Blvd Pikeville, KY 41501 (606) 437-9209

Kimper Pharmacy 51 Upper Johns Crk Kimper, KY 41539 (606) 631-3327 Lincare INC 763 Chloe Rd Pikeville, KY 41501 (606) 432-0102 Lovejoy Medical INC 1424 S Mayo Trl Pikeville, KY 41501 (606) 437-0608 Medi Home Care 180 Town Mountain Rd Pikeville, KY 41501 (606) 437-9992 1049 Central Ave South Williamson, KY 41503 (606) 237-1007 Nichols Apothecary, INC 220 Elkhorn St Elkhorn City, KY 41522 (606) 754-5076 Nova Pharmacy 1330 S Mayo Trl Ste 102 Pikeville, KY 41501 (606) 432-2274 Pikeville Medical Center, INC 1370 S Mayo Trl Pikeville, KY 41501 (606) 218-4750 911 Bypass Rd Pikeville, KY 41501 (606) 218-3500 Pikeville Medical Equipment & Supplies INC 626 Bypass Rd Pikeville, KY 41501 (606) 432-6011 Premier Home Care INC 404 S Mayo Trl Ste 9 Pikeville, KY 41501 (606) 437-5562

Professional Home Medical Supplies INC 336 Town Mountain Rd Pikeville, KY 41501 (606) 433-0203 Respiratory Plus Healthcare INC 533 Hambley Blvd Ste 3a Pikeville, KY 41501 (606) 437-0207 Saving Grace LLC 300 N Mayo Trl Ste 7 Pikeville, KY 41501 (859) 368-8559 Whitesburg Sleep Center 911 Bypass Rd Pikeville, KY 41501 (606) 218-3500

Powell County Powell Prescription Center 4644 Highway 15 West Clay City, KY 40312 (606) 663-3481

Pulaski County Bellas 705 Correll St Somerset, KY 42503 (606) 678-0033 Blaze Valley Medical 974 Piney Grove Rd Somerset, KY 42501 (606) 274-0156 Bluegrass Oxygen INC 112 Hardin Ln Somerset, KY 42503 (859) 277-2583 Columbia Medical Equipment INC 216 Poplar Ave Ste 100 Somerset, KY 42503 (270) 384-5143 Convacare Services INC 900 E Mount Vernon St Somerset, KY 42501 (606) 679-9227

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CoventryCares of Kentucky Hanger Prosthetics & Orthotics INC. 143 Bogle Office Park Dr Ste B Somerset, KY 42503 (606) 679-3181 Home Medical Equipment LLC 286 Bogle St Somerset, KY 42503 (859) 277-4663 Lincare INC 2835 S Highway 27 Ste 360 Somerset, KY 42501 (606) 451-1102 Lovejoy Medical 81 W Highway 80 Ste D Somerset, KY 42503 (606) 677-9797 Medicine Shoppe of Somerset INC 900 E Mount Vernon St Somerset, KY 42501 (606) 679-9227 Professional Medical Supply LLC 342 Bogle St Somerset, KY 42503 (606) 451-0216 Walgreens Infusion Services, Somerset 83 Bogle Office Park Dr Ste 400 Somerset, KY 42503 (888) 568-1316 Wecare Medical Somerset LLC 310 Langdon St Ste 1 Somerset, KY 42503 (606) 677-9472

Rockcastle County Collins Respiratory Care 35 W Main St Brodhead, KY 40409 (606) 758-3999

Main Street Pharmacy 150 Main St Mount Vernon, KY 40456 (606) 256-0475 Southern Pharmaceutical Corporation 75 Newcomb Ave Bldg 1 Mount Vernon, KY 40456 (606) 256-0814

Rowan County Lincare INC 1019 W Main St Suite 3 Morehead, KY 40351 (606) 780-0002 Morehead Clinic Pharmacy 234 Medical Cir Morehead, KY 40351 (606) 784-6696 St. Claire Medical Equipment 244 Kroger Ctr Morehead, KY 40351 (606) 784-2414

Russell County Grider Medical 2431 Lakeway Dr Russell Springs, KY 42642 (270) 866-7541 Jamestown Valu-Rite Pharmacy INC 1417 N Main St Ste A Jamestown, KY 42629 (270) 343-4443

Scott County Central Kentucky Orthopaedics 101 Windsor Path Georgetown, KY 40324 (502) 868-6106 J & L Home Medical Equipment 705 S Broadway St Georgetown, KY 40324 (502) 863-6774

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Shelby County

Trigg County

Xpress Nebs 1016 Mount Vernon Dr Ste 1 Shelbyville, KY 40065 (888) 721-6893

Pennyrile Home Medical 307 Main St Cadiz, KY 42211 (270) 522-8002

Simpson County

Union County

Sheldons Express Pharmacy #3 212 S Main St Franklin, KY 42134 (270) 586-4471

Clements Discount Drugs 225 N Morgan St Morganfield, KY 42437 (270) 389-2440

Taylor County

Warren County

American Mobility Products, INC 124 Old US 68 Campbellsville, KY 42718 (270) 469-1391

Bowling Green O & P 165 Natchez Trace Ave Ste 202 Bowling Green, KY 42103 (270) 780-0073

Columbia Medical Equipment 111 Wildflower Ln Ste B Campbellsville, KY 42718 (270) 384-5143

Cds# 10 Pharmacy 1308 Ashley Cir Bowling Green, KY 42104 (270) 781-5661

Diabetic Dme Supply LLC 610 W Main St Ste C Campbellsville, KY 42718 (270) 789-9869 Languages: Tagalog, Spanish Green River Medical Equipment INC 327 E Broadway St Campbellsville, KY 42718 (270) 465-2400 James Medical Equipment Ltd 950 Campbellsville Byp Campbellsville, KY 42718 (270) 465-8220

Todd County Weathers Drugs 44 Public Sq Elkton, KY 42220 (270) 265-2155

Cook's Orthopedics, INC. 1711 Destiny Ln Suite 121 Bowling Green, KY 42104 (270) 745-9004 First Choice Home Medical 1945 Scottsville Rd Ste A3 Bowling Green, KY 42104 (270) 393-9393 First Step Prosthetics LLC 1136 US 31w Byp Bowling Green, KY 42101 (270) 904-6130 Hanger Prosthetics & Orthotics East INC 1810 Destiny Ln Bowling Green, KY 42104 (270) 781-2370

Hines Pharmacy INC 1340 KY Highway 185 Bowling Green, KY 42101 (270) 842-4341 Home Oxygen Medical Equipment 901 Lehman Ave Ste 12-B Bowling Green, KY 42101 (270) 843-4901 King Home Care Bowling Green 1203 Ashley Cir Bowling Green, KY 42104 (270) 843-8111 Lincare INC 1027 US 31w Byp Bowling Green, KY 42101 (270) 793-9611 111 Vanderbilt Ct Unit A Bowling Green, KY 42103 (270) 793-9611 Medequip 825 2nd Ave Ste A2 Bowling Green, KY 42101 (270) 780-2655 Medicine Arts Pharmacy LLC 818 US 31w Byp Bowling Green, KY 42101 (270) 843-3202 Priority 1 Medical Equipment 330 31 West Bypass Ste 401 Bowling Green, KY 42101 (270) 746-5745 R-W Vital Care Ii 201 Park St Bowling Green, KY 42101 (270) 781-3095

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CoventryCares of Kentucky Sheldon Express Pharmacy #1 843 Fairview Ave Bowling Green, KY 42101 (270) 842-4515 Sheldon Express Pharmacy #2 760 Campbell Ln Bowling Green, KY 42104 (270) 782-6337 Tomorrow's Woman 2362 Russellville Rd Bowling Green, KY 42101 (270) 781-5171 United Seating and Mobility 1017 Shive Ln Ste E Bowling Green, KY 42103 (270) 904-4934

Wayne County James Medical Equipment Ltd 1215 N Main St Ste 1 Monticello, KY 42633 (270) 465-8220

Webster County Thrifty Home Medical 116 Wallace St Providence, KY 42450 (270) 667-0940

Whitley County Central Brace & Prosthetics, INC 1707 Cumberland Falls HWY Falls Road Plaza Ste 5 Corbin, KY 40701 (606) 528-1960 Cloud Medical Supply 208 N Main St Corbin, KY 40701 (606) 258-8600 Falls Road Pharmacy 40 Moonbow Plz Ste 1 Corbin, KY 40701 (606) 258-0000

Hanger Prosthetics & Orthotics East INC 900 S Kentucky Ave Corbin, KY 40701 (606) 528-7150 Lovejoy Medical INC 1707 Cumberland Falls HWY Ste U8 And U9 Corbin, KY 40701 (606) 523-9777 Medi Home Care 1603 S Main St Corbin, KY 40701 (606) 523-0195 688 S Highway 25 W Ste 4 Williamsburg, KY 40769 (606) 549-1776 Whitley Country Drive In Pharmacy INC 688 S Highway 25 W Williamsburg, KY 40769 (606) 549-0888

Wolfe County Campton Discount Drugs 33 Main St Ste 2 Campton, KY 41301 (606) 668-3153 Wolfe Prescription Center 237 Mountain Parkway Spur Campton, KY 41301 (606) 668-3900

Alabama Accredo Therapeutics INC 2100 Riverchase Ctr Birmingham, AL 35244 (205) 987-0778 All South, A Division of National Rehab, INC 1667 Shug Jordan Pkwy Suite 403 Auburn, AL 36830 (334) 821-2006

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

CVS Caremark Pharmacy-Al National Contract Montgomery, AL 36101 (800) 238-7828 Ebi, LLC National Contract Montgomery, AL 36116 (949) 916-2127 Empi, INC National Contract Montgomery, AL 36116 (800) 328-2536 Hoveround Corporation 129 Clark St Pelham, AL 35124 (800) 701-5781

Orthofix, INC National Contract Juneau, AK 99801

Arizona Accredo Therapeutics, INC. 10400 N 25th Ave Ste 120 Phoenix, AZ 85021 (602) 944-1199 CVS Caremark Pharmacy-Az National Contract Phoenix, AZ 85001 (800) 238-7828 Ebi, LLC National Contract Phoenix, AZ 85020 (949) 916-2127

Empi, INC National Contract Little Rock, AR 72204 (800) 328-2536 Orthofix, INC National Contract Little Rock, AR 72204

California Accredo Health Group, INC. 1660 Riverside Dr Ste 101 Los Angeles, CA 90031 (323) 953-4500 3069 Research Dr San Pablo, CA 94806 (510) 223-1360

Empi, INC National Contract Phoenix, AZ 85020 (800) 328-2536

Accredo Therapeutics, INC. 1831 Commerce St Ste 104 Corona, CA 92880 (951) 737-2355

Hoveround Corporation 437 S 48th St Tempe, AZ 85281 (800) 701-5781

Advanced Home Medical INC 312 Paseo Tesoro Walnut, CA 91789 (909) 569-9013

Orthofix, INC National Contract Phoenix, AZ 85020

Arkansas

Crescent Healthcare Hayward 2547 Barrington Ct Hayward, CA 94545 (800) 824-8400

Comprehensive Decubitus Therapy INC 7003 Valley Ranch Dr Little Rock, AR 72223 (501) 217-9900

Crescent Healthcare San Deigo 10070 Carroll Canyon Rd Ste 100 San Diego, CA 92131 (800) 879-4872

Ebi, LLC National Contract Juneau, AK 99801 (949) 916-2127

CVS Caremark Pharmacy-Ar National Contract Little Rock, AR 72201 (800) 238-7828

Empi, INC National Contract Juneau, AK 99801 (800) 328-2536

Ebi, LLC National Contract Little Rock, AR 72204 (949) 916-2127

Crescent Healthcare San Luis Obispo 2995 McMillan Ave Ste 196 San Luis Obispo, CA 93401 (800) 879-4872

96 Corley St Troy, AL 36081 (800) 701-5781 Hpc LLC 63 S Royal St Ste 710 Mobile, AL 36602 (800) 757-9192 National Rehab Equipment, INC. 1667 Shug Jordan Pkwy Auburn, AL 36830 (800) 451-6510 Orthofix, INC National Contract Montgomery, AL 36116

Alaska CVS Caremark Pharmacy-Ak National Contract Juneau, AK 99801 (800) 238-7828

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CoventryCares of Kentucky Crescent Healthcare Santa Fe Springs (Acute) 11980 Telegraph Rd Ste 100 Santa Fe Springs, CA 90670 (800) 879-4844 Crescent Healthcare Santa Fe Springs (Chronic) 11980 Telegraph Rd Ste 102 Santa Fe Springs, CA 90670 (877) 872-4844 Crescent Healthcare, Riverside 2010 Iowa Ave Ste 110 Riverside, CA 92507 (800) 735-4872 CVS Caremark Pharmacy-Ca National Contract Sacramento, CA 94203 (800) 238-7828 CVS Caremark Specialty Pharmacy 1127 Bryn Mawr Ave Redlands, CA 92374 (909) 796-7171 Djo LLC 1430 Decision St Vista, CA 92081 (800) 321-9549 Ebi, LLC National Contract Sacramento, CA 95820 (949) 916-2127 Empi, INC National Contract Sacramento, CA 95820 (800) 328-2536 Hoveround Corporation 3331 Pegasus Dr Ste 103 Bakersfield, CA 93308 (800) 701-5781

200 Madson Pl Davis, CA 95618 (800) 701-5781 1586 Fayette St El Cajon, CA 92020 (800) 701-5781 351 W Cromwell Ave Ste 102 Fresno, CA 93711 (800) 701-5781 502 Chaney St Ste B Lake Elsinore, CA 92530 (800) 701-5781 827 Arnold Dr Bay 1 Martinez, CA 94553 (800) 701-5781 6415 Alondra Blvd Paramount, CA 90723 (800) 701-5781 4741 Pell Dr Unit 6 Sacramento, CA 95838 (800) 701-5781 741 E Brokaw Rd San Jose, CA 95112 (800) 701-5781 Orthofix, INC National Contract Sacramento, CA 95820 Walgreens Infusion Services Chico 132 Mission Ranch Blvd Chico, CA 95926 (800) 417-1337

Colorado Accredo Therapeutics, INC. 361 Inverness Dr S Ste F Englewood, CO 80112 (303) 799-6550

Cystic Fibrosis Services 7472 S Tucson Way Ste 100d Englewood, CO 80112 (800) 541-4959 Ebi, LLC National Contract Denver, CO 80211 (949) 916-2127 Empi, INC National Contract Denver, CO 80211 (800) 328-2536 Hoveround Corporation 5455 W 59th Ave Unit Y Arvada, CO 80003 (800) 701-5781 Orthofix, INC National Contract Denver, CO 80211

Connecticut Atg Rehab 65 Inwood Rd Ste 102 Rocky Hill, CT 6067 (860) 761-0700 CVS Caremark Pharmacy-Ct National Contract Hartford, CT 6101 (800) 238-7828 Ebi, LLC National Contract Hartford, CT 6134 (949) 916-2127 Empi, INC National Contract Hartford, CT 6134 (800) 328-2536

Ccs Medical 67 Inverness Dr E Ste 150 Englewood, CO 80112 (303) 790-1011

Hoveround Corporation 2 Craftsman Rd Area 4 East Windsor, CT 6088 (800) 701-5781

CVS Caremark Pharmacy-Co National Contract Denver, CO 80201 (800) 238-7828

Orthofix, INC National Contract Hartford, CT 6134

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Delaware

CVS Caremark Pharmacy-De National Contract Dover, DE 19901 (800) 238-7828 Ebi, LLC National Contract Dover, DE 19901 (949) 916-2127 Empi, INC National Contract Dover, DE 19901 (800) 328-2536 Orthofix, INC National Contract Dover, DE 19901

Distr of Columb CVS Caremark Pharmacy-Dc National Contract Washington, DC 20001 (800) 238-7828 Ebi, LLC National Contract Washington, DC 20001 (949) 916-2127 Empi, INC National Contract Washington, DC 20001 (800) 328-2536

Florida Accredo Therapeutics, INC. 5249 Nw 33rd Ave Bldg 6 Fort Lauderdale, FL 33309 (954) 777-1685 Carefree Health Services INC 115 Avenue L Delray Beach, FL 33483 (800) 266-9910 Coram Alternate Site Services, INC. 3439 N 12th Ave Ste A & B Pensacola, FL 32503 (850) 469-4573

Crescent Healthcare Panama City 2911 Martin Luther King Jr Blvd Panama City, FL 32405 (800) 284-7411 CVS Caremark Pharmacy-Fl National Contract Tallahassee, FL 32301 (800) 238-7828 CVS Caremark Specialty Pharmacy 7930 Woodland Center Blvd Ste 500 Tampa, FL 33614 (800) 869-0479 Degc Enterprises (Us), INC., Dba Ccs Medical 14255 49th St N Ste 301 Clearwater, FL 33762 (727) 524-7192 Diabetes Providers INC 880 Jupiter Park Dr Ste 8 Jupiter, FL 33458 (800) 689-4377 Ebi, LLC National Contract Tallahassee, FL 32308 (949) 916-2127 Empi, INC National Contract Tallahassee, FL 32308 (800) 328-2536 Hoveround Corporation 6010 Cattleridge Dr Sarasota, FL 34232 (800) 771-6565 National Rehab Equipment, INC 11 Racetrack Rd Ne E2 Fort Walton Beach, FL 32547 (800) 451-6510 Orthofix, INC National Contract Tallahassee, FL 32308

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CoventryCares of Kentucky Total Emedical INC 3111 Sw 10th St Pompano Beach, FL 33069 (877) 750-5252 Languages: French, Chinese United States Medical Supply, INC. 8260 Nw 27th St Suite 401 Miami, FL 33122 (800) 787-6331 Languages: Spanish Walgreens Infusion Services, Tampa 2700 W Dr Martin Luther King Jr Blvd Ste 400 Tampa, FL 33607 (800) 396-2933

Georgia Accredo Therapeutics, INC. 5300 Oakbrook Pkwy Ste 320 Norcross, GA 30093 (770) 935-2510 Ccs Medical 3505 Koger Blvd Ste 200 Duluth, GA 30096 (727) 524-7192 CVS Caremark Pharmacy-Ga National Contract Atlanta, GA 30301 (800) 238-7828 Ebi, LLC National Contract Atlanta, GA 30349 (949) 916-2127 Empi, INC National Contract Atlanta, GA 30349 (800) 328-2536

Hoveround Corporation 5060 N Royal Atlanta Dr Ste 5 Tucker, GA 30084 (800) 701-5781 Mp Totalcare Medical, INC., Dba Ccs Medical 2105 Newpoint Pl Ste 600 Lawrenceville, GA 30043 (727) 524-7192 National Rehab Equipment 2918 Professional Pkwy Augusta, GA 30907 (800) 451-6510 National Rehab Equipment, INC 3766 US Highway 17 Ste 201 Richmond Hill, GA 31324 (800) 451-6510 Orthofix, INC National Contract Atlanta, GA 30349 Premier Kids Care INC 221 Plaza Dr Monroe, GA 30655 (888) 892-9001 Languages: Portuguese, Spanish Proline Medical Consultants, INC 102 White Park Dr Ste 300a Dallas, GA 30132 (770) 505-8133 Uromed INC 1095 Windward Ridge Pkwy Ste 170 Alpharetta, GA 30005 (800) 841-1233 Uromed, INC 7340 McGinnis Ferry Rd Suwanee, GA 30024 (800) 841-1233 Languages: Spanish, Portuguese, Hindi

CVS Caremark Pharmacy-Hi National Contract Honolulu, HI 96801 (800) 238-7828 Ebi, LLC National Contract Honolulu, HI 96819 (949) 916-2127 Empi, INC National Contract Honolulu, HI 96819 (800) 328-2536 Orthofix, INC National Contract Honolulu, HI 96819

Idaho CVS Caremark Pharmacy-Id National Contract Boise, ID 83701 (800) 238-7828 Ebi, LLC National Contract Boise, ID 83713 (949) 916-2127 Empi, INC National Contract Boise, ID 83713 (800) 328-2536 Orthofix, INC National Contract Boise, ID 83713

Illinois Accredo Therapeutics, INC. 650 W Grand Ave Ste 102 Elmhurst, IL 60126 (630) 279-7390 CVS Caremark Pharmacy-Il National Contract Springfield, IL 62701 (800) 238-7828

CVS Caremark Specialty Pharmacy 800 Biermann Ct Ste B Mount Prospect, IL 60056 (508) 634-6800 Ebi, LLC National Contract Springfield, IL 62704 (949) 916-2127 Empi, INC National Contract Springfield, IL 62704 (800) 328-2536 Hoveround Corporation 241 S Frontage Rd Ste 24 Willowbrook, IL 60527 (800) 701-5781 Orthofix, INC National Contract Springfield, IL 62704 Walgreens Respiratory Services Crestwood 4721 135th St Ste 2 Crestwood, IL 60445 (800) 323-2828 Walgreens Sleep and Respiratory Services, Bourbonn 1250 Larry Power Rd Bourbonnais, IL 60914 (815) 939-0878 Walgreens Sleep and Respiratory Services, Sycamore 920 W Prairie Dr Ste H Sycamore, IL 60178 (815) 895-0194 Walgreens Sleep and Respiratory Services, Wood Dal 1226 N Michael Dr Ste E Wood Dale, IL 60191 (855) 650-0202

Indiana

Ace Medical Supply 6155 Stoney Creek Dr Fort Wayne, IN 46825 (260) 483-3516 Center for Orthotic and Prosthetic Care 1931 West St New Albany, IN 47150 (812) 941-0966 Corner Homecare 321 N 2nd St Vincennes, IN 47591 (800) 876-6902 CVS Caremark Pharmacy-In National Contract Indianapolis, IN 46201 (800) 238-7828 Ebi, LLC National Contract Indianapolis, IN 46207 (949) 916-2127 Empi, INC National Contract Indianapolis, IN 46207 (800) 328-2536 Hook's Oxygen & Medical Equipment 4482 N 1st Ave Evansville, IN 47710 (812) 422-2365 Hoveround Corporation 2510 N Cullen Ave Unit B Evansville, IN 47715 (800) 701-5781 6856 Hillsdale Ct Indianapolis, IN 46250 (800) 701-5781 4633 S Burnett Dr Unit H-11 South Bend, IN 46614 (800) 701-5781 Med 1st of Evansville P.C. 1401 Washington Ave Evansville, IN 47714 (812) 473-4011

Hawaii † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

DME Supplier

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CoventryCares of Kentucky Medi Home Care 313 Federal Dr Nw Ste 30 Corydon, IN 47112 (812) 738-3097 107 US Highway 66 E Professional Bldg Tell City, IN 47586 (812) 547-5856 Midwest Orthotic Services LLC 3445 W 96th St Indianapolis, IN 46268 (317) 334-1114 National Seating & Mobility, INC. 500 N Congress Ave Unit B Evansville, IN 47715 (812) 471-4244 Orthofix, INC National Contract Indianapolis, IN 46207 Riverside Prosthetics INC 5921 Vogel Rd Evansville, IN 47715 (812) 479-7577 Walgreens Respiratory Services Valparaiso 3020 N Calumet Ave Valparaiso, IN 46383 (219) 531-1343

Iowa Accredo Therapeutics, INC. 2415 Heinz Rd Iowa City, IA 52240 (319) 354-7844 CVS Caremark Pharmacy-Ia National Contract Des Moines, IA 50301 (800) 238-7828 Ebi, LLC National Contract Des Moines, IA 50310 (949) 916-2127

Empi, INC National Contract Des Moines, IA 50310 (800) 328-2536 Orthofix, INC National Contract Des Moines, IA 50310

Kansas Accredo Therapeutics, INC. 12900 Foster St Ste 120 Overland Park, KS 66213 (913) 339-7100 Axela Care Health Soulutions LLC 9730 Pflumm Rd Lenexa, KS 66215 (877) 342-9352 Biopartners In Care, INC. 11411 Strang Line Rd Lenexa, KS 66215 (913) 451-2919 CVS Caremark Pharmacy-Ks National Contract Topeka, KS 66601 (800) 238-7828 CVS Caremark Specialty Pharmacy 11162 Renner Blvd Lenexa, KS 66219 (800) 360-0520 Ebi, LLC National Contract Topeka, KS 66615 (949) 916-2127 Empi, INC National Contract Topeka, KS 66615 (800) 328-2536 Medical Dynamics, LLC 6611 E Central Ave Ste E Wichita, KS 67206 (316) 634-0808 Orthofix, INC National Contract Topeka, KS 66615

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Louisiana Accredo Health Group, INC. 520 Elmwood Park Blvd Ste 145 New Orleans, LA 70123 (504) 731-6113 CVS Caremark Pharmacy-La National Contract Baton Rouge, LA 70801 (800) 238-7828 Ebi, LLC National Contract Baton Rouge, LA 70810 (949) 916-2127 Empi, INC National Contract Baton Rouge, LA 70810 (800) 328-2536 National Rehab Equipment, INC 109 Carter Ln Hammond, LA 70401 (800) 451-6510 109 S Cate Ave Hammond, LA 70401 (800) 451-6510 Orthofix, INC National Contract Baton Rouge, LA 70810 United Medical Providers, INC. 4826 Magazine St New Orleans, LA 70115 (888) 246-7980

Maine CVS Caremark Pharmacy-Me National Contract Augusta, ME 4330 (800) 238-7828 Ebi, LLC National Contract Augusta, ME 4330 (949) 916-2127

Empi, INC National Contract Augusta, ME 4330 (800) 328-2536

Ebi, LLC National Contract Boston, MA 2284 (949) 916-2127

Orthofix, INC National Contract Augusta, ME 4330

Empi, INC National Contract Boston, MA 2284 (800) 328-2536

Maryland CVS Caremark Pharmacy-Md National Contract Annapolis, MD 21401 (800) 238-7828 Ebi, LLC National Contract Annapolis, MD 21401 (949) 916-2127 Empi, INC National Contract Annapolis, MD 21401 (800) 328-2536 Hoveround Corporation 4 Nashua Ct Ste 15 Essex, MD 21221 (800) 701-5781 Orthofix, INC National Contract Annapolis, MD 21401

Massachusetts Accredo Therapeutics, INC. 261 Cedar Hill St Bldg C Ste 120 Marlborough, MA 1752 (508) 460-9813 CVS Caremark Pharmacy-Ma National Contract Boston, MA 2108 (800) 238-7828 CVS Caremark Specialty Pharmacy 25 Birch St Ste 100 Bldg B Milford, MA 1757 (508) 634-6800

Orthofix, INC National Contract Boston, MA 2284

Michigan Accredo Therapeutics, INC. 39625 Lewis Dr Ste 800 Novi, MI 48377 (248) 489-0300 CVS Caremark Pharmacy-Mi National Contract Lansing, MI 48901 (800) 238-7828 Ebi, LLC National Contract Lansing, MI 48901 (949) 916-2127 Empi, INC National Contract Lansing, MI 48901 (800) 328-2536 Hoveround Corporation 3408 Busch Dr Sw Ste N Grandville, MI 49418 (800) 701-5781 J&B Medical Supply Co INC 50496 Pontiac Trl Wixom, MI 48393 (800) 737-0045 Orthofix, INC National Contract Lansing, MI 48901

Minnesota Accredo Health Group 2915 Waters Rd Ste 109 Saint Paul, MN 55121 (651) 681-0885

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CoventryCares of Kentucky CVS Caremark Pharmacy-Mn National Contract St Paul, MN 55101 (800) 238-7828 Ebi, LLC National Contract Saint Paul, MN 55114 (949) 916-2127

Ebi, LLC National Contract Jackson, MS 39211 (949) 916-2127 Empi, INC National Contract Jackson, MS 39211 (800) 328-2536

Empi INC 599 Cardigan Rd Saint Paul, MN 55126 (800) 328-2536

Hoveround Corporation 542 Industrial Dr Ste C Richland, MS 39218 (800) 701-5781

Empi, INC National Contract Saint Paul, MN 55114 (800) 328-2536

Lifeline Diabetic 201 3rd Ave N Ste 1 Amory, MS 38821 (866) 558-8557

599 Cardigan Rd Saint Paul, MN 55126 (612) 415-9000

Orthofix, INC National Contract Jackson, MS 39211

599 Cardigan Rd Saint Paul, MN 55126 (800) 328-2536

Spc Home Medical Equipment 315 Crossgates Blvd Ste J Brandon, MS 39042 (866) 272-2791

Empi, INC. 599 Cardigan Rd Saint Paul, MN 55126 599 Cardigan Rd Saint Paul, MN 55126 (800) 328-2536 Hoveround Corporation 6250 Bunker Lake Blvd Nw Ste 108 Anoka, MN 55303 (800) 701-5781 Orthofix, INC National Contract Saint Paul, MN 55114

Mississippi Canyon Healthcare LLC 1068 Thousand Oaks Dr Hernando, MS 38632 (662) 449-8200 CVS Caremark Pharmacy-Ms National Contract Jackson, MS 39201 (800) 238-7828

Missouri Accredo Therapeutics, INC. 749 Goddard Ave Chesterfield, MO 63005 (636) 530-1514 Biotab, LLC 501 N Lindbergh Blvd Ste 107 Saint Louis, MO 63141 (314) 812-3949 CVS Caremark Pharmacy-Mo National Contract Jefferson City, MO 65101 (800) 238-7828 Ebi, LLC National Contract Jefferson City, MO 65109 (949) 916-2127

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Empi, INC National Contract Jefferson City, MO 65109 (800) 328-2536 Foundation Care 4010 Wedgeway Ct Earth City, MO 63045 (314) 291-1122 Languages: Spanish Hoveround Corporation 1238 Howell St Ste N Kansas City, MO 64116 (800) 701-5781 11154 Lindbergh Business Ct Ste 104 Saint Louis, MO 63123 (800) 701-5781 J&B Medical Supply Co INC 241 Main St Platte City, MO 64079 (816) 858-7016 Orthofix, INC National Contract Jefferson City, MO 65109 St Louis Medical Supply INC 1664 Larkin Williams Rd Fenton, MO 63026 (314) 821-7355 Therapeutic Specialties, INC. 14374 S Outer 40 Rd Chesterfield, MO 63017 (314) 291-9900 Walgreens Infusion and Respiratory Services, Colum 1410 Heriford Rd Columbia, MO 65202 (800) 456-0417

Walgreens Respiratory Services, Jefferson City 1241 W Stadium Blvd Jefferson City, MO 65109 (800) 456-0417

Montana CVS Caremark Pharmacy-Mt National Contract Helena, MT 59601 (800) 238-7828 Ebi, LLC National Contract Helena, MT 59601 (949) 916-2127 Empi, INC National Contract Helena, MT 59601 (800) 328-2536 Orthofix, INC National Contract Helena, MT 59601

Nebraska Accredo Therapeutics, INC. 11329 P St Ste 118 & 119 Omaha, NE 68137 (402) 597-2330 CVS Caremark Pharmacy-Ne National Contract Lincoln, NE 68509 (800) 238-7828 Ebi, LLC National Contract Lincoln, NE 68505 (949) 916-2127 Empi, INC National Contract Lincoln, NE 68505 (800) 328-2536 Orthofix, INC National Contract Lincoln, NE 68505

Nevada

Accredo Therapeutics, INC. 505 E Capovilla Ave Ste 103 Las Vegas, NV 89119 (702) 895-8990 CVS Caremark Pharmacy-Nv National Contract Carson City, NV 89701 (800) 238-7828 Ebi, LLC National Contract Carson City, NV 89701 (949) 916-2127 Empi, INC National Contract Carson City, NV 89701 (800) 328-2536 Hoveround Corporation 3110 Polaris Ave Las Vegas, NV 89102 (800) 701-5781 3230 Polaris Ave Unit 14 Las Vegas, NV 89102 (800) 701-5781 Orthofix, INC National Contract Carson City, NV 89701

New Hampshire CVS Caremark Pharmacy-Nh National Contract Concord, NH 3301 (800) 238-7828 Ebi, LLC National Contract Concord, NH 3301 (949) 916-2127 Empi, INC National Contract Concord, NH 3301 (800) 328-2536 Orthofix, INC National Contract Concord, NH 3301

New Jersey DME Supplier

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CoventryCares of Kentucky Accredo Health Group, INC. 46 US Highway 46 Ste 608 Pine Brook, NJ 7058 (973) 276-0254 Accredo Therapeutics, INC. 45 US Highway 46 E Ste 609 Pine Brook, NJ 7058 (973) 256-1870

1545 Route 37 W Unit 12 Toms River, NJ 8755 (800) 701-5781

Ebi, LLC National Contract Albany, NY 12203 (949) 916-2127

Orthofix, INC National Contract Trenton, NJ 8619

Empi, INC National Contract Albany, NY 12203 (800) 328-2536

Us Healthcare Supply LLC 14 Bridge St Milford, NJ 8848 (800) 408-1480

11a Commerce Way Totowa, NJ 7512 (973) 256-1870

Languages: Spanish

CVS Caremark Pharmacy-Nj National Contract Trenton, NJ 8601 (800) 238-7828

CVS Caremark Pharmacy-Nm National Contract Santa Fe, NM 87501 (800) 238-7828

CVS Caremark Specialty Pharmacy 180 Passaic Ave Ste B 5 Fairfield, NJ 7004 (800) 447-4791

Ebi, LLC National Contract Santa Fe, NM 87505 (949) 916-2127

Ebi LLC 100 Interpace Pkwy Parsippany, NJ 7054 (800) 526-2579 Ebi, LLC National Contract Trenton, NJ 8619 (949) 916-2127 Empi, INC National Contract Trenton, NJ 8619 (800) 328-2536 Hemophilia Resources of America 45 US Highway 46 Ste 609 Pine Brook, NJ 7058 (973) 276-0254 Hoveround Corporation 333 16th St Unit A Carlstadt, NJ 7072 (800) 701-5781

New Mexico

Empi, INC National Contract Santa Fe, NM 87505 (800) 328-2536 Hoveround Corporation 3600 Osuna Rd Ne Ste 306 Albuquerque, NM 87109 (800) 701-5781 Orthofix, INC National Contract Santa Fe, NM 87505

New York Ahg of New York 500 Executive Blvd Elmsford, NY 10523 (914) 592-0333 CVS Caremark Pharmacy-Ny National Contract Albany, NY 12201 (800) 238-7828

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Hoveround Corporation 63 Oliver St Cohoes, NY 12047 (800) 701-5781 Orthofix, INC National Contract Albany, NY 12203

North Carolina Accredo Health Group, INC. 4000 Spring Garden St Ste E Greensboro, NC 27407 (336) 854-3128 Accredo Therapeutics INC 7866 Thorndike Rd Greensboro, NC 27409 (336) 393-0555 Accredo Therapeutics, INC 422 Gallimore Dairy Rd Ste A Greensboro, NC 27409 (336) 393-0555 Aeroflow, INC. 3165 Sweeten Creek Rd Asheville, NC 28803 (828) 277-1400 Caremark Therapeutic Services 543 Pylon Dr Raleigh, NC 27606 (800) 571-3922 CVS Caremark Pharmacy-Nc National Contract Raleigh, NC 27601 (800) 238-7828

CVS Caremark Specialty Pharmacy 10700 World Trade Blvd Ste 110 Raleigh, NC 27617 (919) 474-6421 Ebi, LLC National Contract Raleigh, NC 27614 (949) 916-2127 Empi, INC National Contract Raleigh, NC 27614 (800) 328-2536 Hemophilia Resources of America 4000 Spring Garden St Ste E Greensboro, NC 27407 (336) 854-3128 Hoveround Corporation 4913 Chastain Ave Unit 33 Charlotte, NC 28217 (800) 701-5781 6300 Limousine Dr Ste 118 Raleigh, NC 27617 (800) 701-5781 Medpro Rx, INC 140 Northway Ct Raleigh, NC 27615 (888) 571-3100 Orthofix, INC National Contract Raleigh, NC 27614 Prism Medical Products LLC 112 Church St Ste 101 Elkin, NC 28621 (336) 526-0025 1328 N Bridge St Elkin, NC 28621 (336) 526-0025

Walgreens Respiratory Services, Charlotte 1101 Woodrdg Ctr Dr Ste 100 Charlotte, NC 28217 (888) 410-5781

North Dakota CVS Caremark Pharmacy-Nd National Contract Bismarck, ND 58501 (800) 238-7828 Ebi, LLC National Contract Bismarck, ND 58504 (949) 916-2127 Empi, INC National Contract Bismarck, ND 58504 (800) 328-2536 Orthofix, INC National Contract Bismarck, ND 58504

Ohio A-1 Healthcare 6749 Gilmore Rd Ste B Hamilton, OH 45011 (513) 887-1200 Alliance Medical Solutions LLC 8118 Corporate Way Ste 110 Mason, OH 45040 (513) 229-0872 Atg Rehab 783 Crossroads Ct Vandalia, OH 45377 (937) 890-0885 Bioscrip Pharmacy Services, INC 2787 Charter St Columbus, OH 43228 (877) 842-5097 Bluegrass Oxygen INC 344 Gest St Ste E Cincinnati, OH 45203 (859) 277-2583

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CoventryCares of Kentucky Care Medical INC 8340 Reading Rd Cincinnati, OH 45237 (513) 821-7272 Children's Hospital Medical Center 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-4408 3050 Mack Rd Fairfield, OH 45014 (513) 636-6400 9560 Children Dr Mason, OH 45040 (513) 636-6800 7777 Yankee Rd Ml 16022 Middletown, OH 45044 (513) 803-9740 CVS Caremark Pharmacy-Oh National Contract Columbus, OH 43201 (800) 238-7828 Dasco Home Medical Equipment 375 N West St Westerville, OH 43082 (614) 901-2226 Diabetes Care & Education 5640 Hudson Industrial Pkwy Hudson, OH 44236 (330) 655-8351 Doyle Medical LLC 1397 Commerce Dr Stow, OH 44224 (330) 436-0048 Ebi, LLC National Contract Columbus, OH 43210 (949) 916-2127 Empi, INC National Contract Columbus, OH 43210 (800) 328-2536

Gaitwell Orthotics and Pedorthics LLC 3041 Symmes Rd Unit C Hamilton, OH 45015 (513) 829-2217 Genesis Respiratory Services, INC 419 Marion Pike Coal Grove, OH 45638 (740) 534-0202 600 E State St Georgetown, OH 45121 (937) 378-4499 109 W Main St Hillsboro, OH 45133 (937) 393-4423 420 E Main St Jackson, OH 45640 (740) 286-6737 4132 Gallia St New Boston, OH 45662 (740) 456-4363 600 W Emmitt Ave Waverly, OH 45690 (740) 941-1110 720 E Main St West Union, OH 45693 (937) 544-2783 Hallmark Health Care 1220 Gay St Portsmouth, OH 45662 (740) 353-0202 Hook's Oxygen & Medical Equipment 603 Brooklyn Ave Milford, OH 45150 (513) 965-8511 Hoveround Corperation 165 Ken Mar Industrial Pkwy Broadview Heights, OH 44147 (800) 701-5781 Hoveround Corporation 8157 Green Meadows Dr N Ste N Lewis Center, OH 43035 (800) 701-5781

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

5989 Meijer Dr Ste 8 Milford, OH 45150 (800) 701-5781 802 W Russell Rd Sidney, OH 45365 (800) 701-5781 Infusion Partners LLC 4623 Wesley Ave Ste H Cincinnati, OH 45212 (513) 396-6060 J F Rowley Prosthetic & Orthotic Labs Ins 2729 Vine St Cincinnati, OH 45219 (513) 861-3705 Kelley Med Care INC 210 Center St Ironton, OH 45638 (740) 532-4000

National Rehab Equipment 4630 Richmond Rd Suite 270 Cleveland, OH 44128 (800) 451-6510

CVS Caremark Pharmacy-Ok National Contract Oklahoma City, OK 73101 (800) 238-7828

National Rehab Equipment, INC 8044 Montgomery Rd Ste 700 Cincinnati, OH 45236 (800) 451-6510

Ebi, LLC National Contract Oklahoma City, OK 73165 (949) 916-2127

National Rehab Equipment, INC. 12725 State Route 15 Montpelier, OH 43543 (800) 451-6510 Orthofix, INC National Contract Columbus, OH 43210

Kempf Surgical Appliances, INC 10567 Montgomery Rd Cincinnati, OH 45242 (513) 984-5758

Pro2 Respiratory Services, LLC 5800 Creek Rd Cincinnati, OH 45242 (513) 469-7702

Leading Respiratory Services 75 S Main St Peebles, OH 45660 (937) 587-3384

Rocco Prosthetic and Orthotic Center, INC. 2375 Florence Ave Cincinnati, OH 45206 (513) 281-2800

Lincare INC 1107 Gallia St Portsmouth, OH 45662 (740) 351-0200

The Scooter Store-Dayton, LLC 8131 Uehling Ln Dayton, OH 45424 (800) 771-5449

M.E.D Supplies INC 4005 Bach Buxton Rd Amelia, OH 45102 (513) 965-0999 Medical Service Company 11693 Chesterdale Rd Cincinnati, OH 45246 (440) 735-3089 Mlk Medical 3622 Vineyard Rdg Cincinnati, OH 45241 (513) 742-9698

Oklahoma 180 Medical 5324 W Reno Ave Ste A Oklahoma City, OK 73127 (405) 443-2981 Accredo Therapeutics, INC. 4901 W Reno Ave Ste 950 Oklahoma City, OK 73127 (405) 942-3961

Empi, INC National Contract Oklahoma City, OK 73165 (800) 328-2536 Kelley Medical Equipment & Supply LLC 117 Market Sq Durant, OK 74701 (855) 920-2301 Orthofix, INC National Contract Oklahoma City, OK 73165

Oregon CVS Caremark Pharmacy-Or National Contract Salem, OR 97301 (800) 238-7828 Ebi, LLC National Contract Salem, OR 97301 (949) 916-2127 Empi, INC National Contract Salem, OR 97301 (800) 328-2536 Hoveround Corporation 865 Conger St Unit 4 Eugene, OR 97402 (800) 701-5781 11912 Ne Sumner St Portland, OR 97220 (800) 701-5781

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CoventryCares of Kentucky Orthofix, INC National Contract Salem, OR 97301

Pennsylvania Accredo Health Group, INC. 3000 Ericsson Dr Ste 100 Warrendale, PA 15086 (724) 772-6000 CVS Caremark Specialty Pharmacy 105 Mall Blvd Monroeville, PA 15146 (800) 238-7828 Ebi, LLC National Contract Harrisburg, PA 17104 (949) 916-2127 Empi, INC National Contract Harrisburg, PA 17104 (800) 328-2536 Home Healthcare Resources 800 Clarmont Ave Bensalem, PA 19020 (215) 245-1888 Hoveround Corporation 6333 Winside Dr Bethlehem, PA 18017 (800) 701-5781 101 E Broad St Dallastown, PA 17313 (800) 701-5781 96 Jansen Ave Essington, PA 19029 (800) 701-5781 180 Bilmar Dr Ste V1-B Pittsburgh, PA 15205 (800) 701-5781 Medical Solutions Supplier 9 Lacrue Ave Ste 2 Glen Mills, PA 19342 (800) 734-0422

National Rehab Equipment 1217 E Dubois Ave Dubois Plaza Du Bois, PA 15801 (800) 451-6510 504 Exton Cmns Exton, PA 19341 (800) 451-6510 National Rehab Equipment, INC 137 N Spring Garden St Carlisle, PA 17013 (800) 451-6510 14 Millcreek Sq Erie, PA 16565 (800) 451-6510 500 N Lewis Run Rd Professional Bldg Ste 1 Jefferson Hills, PA 15122 (800) 451-6510

Ebi, LLC National Contract Providence, RI 2903 (949) 916-2127

Ebi, LLC National Contract Pierre, SD 57501 (949) 916-2127

Empi, INC National Contract Providence, RI 2903 (800) 328-2536

Empi, INC National Contract Pierre, SD 57501 (800) 328-2536

Orthofix, INC National Contract Providence, RI 2903

Orthofix, INC National Contract Pierre, SD 57501

South Carolina

Tennessee

CVS Caremark Pharmacy-Sc National Contract Columbia, SC 29201 (800) 238-7828

Accredo Health Group 1640 Century Center Pkwy #101 Memphis, TN 38134 (901) 385-3600

Ebi, LLC National Contract Columbia, SC 29203 (949) 916-2127

Accredo Health Group, INC 201 Great Circle Rd Nashville, TN 37228 (615) 352-2500

540 Lindbergh Dr Moon Township, PA 15108 (800) 451-6510

Empi, INC National Contract Columbia, SC 29203 (800) 328-2536

3524 Blvd Of The Allies Pittsburgh, PA 15213 (800) 451-6510

Hoveround Corporation 342 Vesper Ct Sumter, SC 29150 (800) 701-5781

National Rehab Equipment, INC. 1659 Route 228 Cranberry Twp, PA 16066 (800) 451-6510 3 Franklin Village Mall Kittanning, PA 16201 (800) 451-6510 Orthofix, INC National Contract Harrisburg, PA 17104

Rhode Island CVS Caremark Pharmacy-Ri National Contract Providence, RI 2904 (800) 238-7828

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

3305 Rutherford Rd Ste K Taylors, SC 29687 (800) 701-5781 Langley Drug Company 2820 Augusta Rd Langley, SC 29834 (877) 645-3506 Languages: Spanish Orthofix, INC National Contract Columbia, SC 29203

South Dakota CVS Caremark Pharmacy-Sd National Contract Pierre, SD 57501 (800) 238-7828

Air Affiliates, INC 290 N Main St Jellico, TN 37762 (423) 784-0988 5201 Alabama Ave Nashville, TN 37209 (615) 460-0017 Alexander Prosthetics & Orthotics, INC 1604 Lamons Ln Ste 205 Johnson City, TN 37604 (423) 283-9744 3551 E Stone Dr Kingsport, TN 37660 (423) 288-8599 Alliance Medical Solutions LLC 9736 Dayton Pike Soddy Daisy, TN 37379 (423) 352-5155 Alliance Seating and Mobility 1229 Lakeview Dr Ste A Franklin, TN 37067 (800) 771-5449

American Oxygen Home Care 2687 Highway 25e Tazewell, TN 37879 (423) 526-0670 Amerita 217 W Maplewood Ln Nashville, TN 37207 (615) 277-5900 Ancillary Management Solutions 720 Cool Springs Blvd Ste 600 Franklin, TN 37067 (615) 771-8839 Choice Medical INC 400 Erin Dr Knoxville, TN 37919 (865) 588-1643 Clarksville Limb & Brace & Rehab, INC 980 Professional Park Dr Ste B Clarksville, TN 37040 (931) 648-2155 Contiuumrx, INC 2210 Sutherland Ave Ste 112 Knoxville, TN 37919 (865) 525-4886 Cooks Orthopedics INC 1807 Church St Ste B Nashville, TN 37203 (615) 327-2505 CVS Caremark Pharmacy-TN National Contract Nashville, TN 37201 (800) 238-7828 CVS Caremark Specialty Pharmacy 8370 Wolf Lake Dr Ste 107 Memphis, TN 38133 (901) 385-4100 East Tennessee Children's Hospital 2018 W Clinch Ave Knoxville, TN 37916 (865) 541-8000

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CoventryCares of Kentucky Ebi, LLC National Contract Nashville, TN 37214 (949) 916-2127 Empi, INC National Contract Nashville, TN 37214 (800) 328-2536 Family Respiratory Services LLC 411 Blue Top Rd Ste 3 Tazewell, TN 37879 (423) 626-6451 Food City Pharmacy 1000 Ladd Landing Blvd Kingston, TN 37763 (865) 717-7085 Hoveround Corporation 3110 Henson Rd Ste 3 Knoxville, TN 37921 (800) 701-5781 216 N Irwin St Manchester, TN 37355 (800) 701-5781 2800 Whitten Rd Unit 4 Memphis, TN 38133 (800) 701-5781 8235c W Andrew Johnson Hwy Mosheim, TN 37818 (800) 701-5781 Infusion Partners LLC 220 College St E Ste D Fayetteville, TN 37334 (931) 438-1614 1410 Donelson Pike Nashville, TN 37217 (712) 848-3769 Linde Rss LLC 104b W Court Sq Livingston, TN 38570 (932) 823-3702 Medical Direct Club, LLC 521 8th Ave S Ste 204 Nashville, TN 37203 (615) 371-2996

Nopco of Tennessee INC 1707 State St Nashville, TN 37203 (615) 327-2882

Univita of Tennessee INC 2900 Dodds Ave Chattanooga, TN 37407 (423) 757-9400

Orthofix, INC National Contract Nashville, TN 37214 Oxycare of Tennessee 912 Twin Elms Ct Nashville, TN 37210 (615) 742-3984 Pps Orthotic & Prosthetic Services 3700 Brainerd Rd Chattanooga, TN 37411 (423) 697-0057 2150 N Ocoee St Ste 2 Cleveland, TN 37311 (423) 559-0013 Professional Healing Solutions 2305 N Gateway Ave Unit 3 Harriman, TN 37748 (877) 949-6863 Southern Orthocare 2101 E Andrew Johnson Hwy Morristown, TN 37814 (423) 307-1890 Space Park South Service Center 2 116 Space Park S Dr Nashville, TN 37211 (800) 701-5781 Superior Orthotics & Prosthetics LLC 1823 Charlotte Ave Nashville, TN 37203 (615) 340-0068 The Scooter Store-Knoxville, LLC 8705 Unicorn Dr Ste A102 & A104b Knoxville, TN 37923 (800) 771-5449 Theratech 1109 Myatt Blvd Madison, TN 37115 (615) 865-4000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Orthofix INC 3451 Plano Pkwy Lewisville, TX 75056 (800) 527-0404

Empi, INC National Contract Montpelier, VT 5602 (800) 328-2536

3716 E Stone Dr Kingsport, TN 37660 (423) 392-9900

Orthofix, INC 1720 Bray Central Dr Mc Kinney, TX 75069 (800) 527-0404

Orthofix, INC National Contract Montpelier, VT 5602

947 Woodland St Nashville, TN 37206 (615) 650-8000

250 E Arapaho Rd Richardson, TX 75081 (800) 527-0404

Weaver Mobility Systems 116 Concord Rd Ste 700 Knoxville, TN 37934 (865) 777-6888

Texas Health Pharmacy Resources 8051 Jetstar Dr #175a Irving, TX 75063 (972) 929-6860

Texas

Utah

Accredo Therapeutics, INC. 9307 Kirby Dr Houston, TX 77054 (713) 791-1552

Accredo Therapeutics, INC. 3488 S Main St Salt Lake City, UT 84115 (801) 832-0222

4343 W Royal Ln Ste 124 Irving, TX 75063 (972) 929-6800

CVS Caremark Pharmacy-Ut National Contract Salt Lake City, UT 84101 (800) 238-7828

CVS Caremark Pharmacy-Tx National Contract Austin, TX 73301 (800) 238-7828

Ebi, LLC National Contract Salt Lake City, UT 84124 (949) 916-2127

Ebi, LLC National Contract Austin, TX 78759 (949) 916-2127

Empi, INC National Contract Salt Lake City, UT 84124 (800) 328-2536

Empi, INC National Contract Austin, TX 78759 (800) 328-2536

Orthofix, INC National Contract Salt Lake City, UT 84124

Hoveround Corporation 1340 Post N Paddock St Ste 200 Grand Prairie, TX 75050 (800) 701-5781

CVS Caremark Pharmacy-Vt National Contract Montpelier, VT 5601 (800) 238-7828

9433 Winkler Dr Houston, TX 77017 (800) 701-5781

Ebi, LLC National Contract Montpelier, VT 5602 (949) 916-2127

Vermont

Virginia Accredo Therapeutics, INC. 4125 Lafayette Center Dr Ste 400 Chantilly, VA 20151 (703) 817-7707 Alexander Prosthetics & Orthotics, INC 716 Spring Ave Se Wise, VA 24293 (276) 328-6200 Cooley Medical Equipment 613 Park Ave Sw Norton, VA 24273 (276) 679-8350 CVS Caremark Pharmacy-Va National Contract Richmond, VA 23218 (800) 238-7828 Diamedix Healthcare LLC 4860 Cox Rd Ste 300 Glen Allen, VA 23060 (804) 747-8900 Ebi, LLC National Contract Richmond, VA 23233 (949) 916-2127 Empi, INC National Contract Richmond, VA 23233 (800) 328-2536 Food City Pharmacy 1135 Claypool Hill Mall Rd Cedar Bluff, VA 24609 (276) 964-5748

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CoventryCares of Kentucky 930 E Morgan Ave Pennington Gap, VA 24277 (276) 546-6820 Home Care Delivered, INC 4144 Innslake Dr Glen Allen, VA 23060 (800) 565-5644 Hoveround Corporation 201 Davis Dr Unit Kk Sterling, VA 20164 (800) 701-5781 Medi Home Care 17447 Riverside Dr Vansant, VA 24656 (276) 935-8873 Orthofix, INC National Contract Richmond, VA 23233

Washington Accredo Therapeutics, INC. 22623 68th Ave S Kent, WA 98032 (253) 872-2121 Cascade Medical Supply, INC 14727 Ne 87th St Bldg D Redmond, WA 98052 (615) 771-8834 Cascade Prosthetics and Orthotics, INC. 1360 Sunset Ave Ferndale, WA 98248 (360) 543-9276 CVS Caremark Pharmacy-Wa National Contract Olympia, WA 98051 (800) 238-7828 Ebi, LLC National Contract Olympia, WA 98502 (949) 916-2127

Empi INC (Neuromuscular Stimulators) 19625 62nd Ave S Ste A101 Kent, WA 98032 (800) 328-2536

Walgreens Infusion and Respiratory Services, Lakew 6111 Lakewood Towne Center Blvd Sw Ste L Lakewood, WA 98499 (800) 277-5805

Empi, INC National Contract Olympia, WA 98502 (800) 328-2536

Walgreens Infusion and Respiratory Services, Mount 215 S 13th St Mount Vernon, WA 98274 (800) 755-0484

Hoveround Corporation 19410 E Broadway Ave Unit 410 Greenacres, WA 99016 (800) 701-5781 673 Strander Blvd Bldg F Seattle, WA 98188 (800) 701-5781 Orthofix, INC National Contract Olympia, WA 98502 Walgreens Infusion and Respiratory Services, Belli 477 W Horton Rd Bellingham, WA 98226 (800) 755-0484 Walgreens Infusion and Respiratory Services, Breme 5885 State Highway 303 Ne Bremerton, WA 98311 (800) 277-5805 Walgreens Infusion and Respiratory Services, Evere 8120 Evergreen Way Everett, WA 98203 (800) 737-0613 Walgreens Infusion and Respiratory Services, Kirkl 12911 120th Ave Ne Ste B10 Kirkland, WA 98034 (800) 737-0613

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Walgreens Infusion and Respiratory Services, Seatt 13035 Gateway Dr S Ste 131 Seattle, WA 98168 (800) 277-5805 Walgreens Infusion and Respiratory Services, Vanco 12117 Ne 99th St 1960/1970 Vancouver, WA 98682 (866) 319-3980

West Virginia All Med, LLC 1107 Johnstown Rd Beckley, WV 25801 (877) 567-0775 710 Meadowbrook Rd Bridgeport, WV 26330 (888) 325-0775 406 New Goff Mountain Rd Cross Lanes, WV 25313 (304) 721-0775 410 7th Ave Huntington, WV 25702 211 Cole St Logan, WV 25601 (304) 752-2800 2340 23rd St Nitro, WV 25143 (304) 721-0775

116 Morrison Dr Princeton, WV 24740 (877) 425-0775 602 Appalachian Dr Summersville, WV 26651 (304) 872-0771 Alliance Seating & Mobility 5 Fletcher Sq Dunbar, WV 25064 (800) 771-5449 Cooley Medical Equipment 60 Water St Logan, WV 25601 (304) 752-1740 CVS Caremark Pharmacy-Wv National Contract Charleston, WV 25301 (800) 238-7828 Ebi, LLC National Contract Charleston, WV 25309 (949) 916-2127 Empi, INC National Contract Charleston, WV 25309 (800) 328-2536 Hoveround Corporation 290 Lochgelly Rd Oak Hill, WV 25901 (800) 701-5781 Huntington Comfort Shoes & Orthotics LLC 2516b 5th Ave Huntington, WV 25703 (304) 525-7463 Hurley Drug 3rd Avenue & Logan Williamson, WV 25661 (304) 235-3535 Hurley Drug Home Health 210 Logan St Williamson, WV 25661 (304) 235-3535

National Rehab Equipment, INC 1084 E Bethlehem Blvd Wheeling, WV 26003 (800) 451-6510 Orthofix, INC National Contract Charleston, WV 25309 The Brace Shoppe 4535 US Route 60 Huntington, WV 25705 (304) 733-2245

Wisconsin CVS Caremark Pharmacy-Wi National Contract Madison, WI 53701 (800) 238-7828 Ebi, LLC National Contract Madison, WI 53704 (949) 916-2127 Empi, INC National Contract Madison, WI 53704 (800) 328-2536 Hoveround Corporation 800 Wisconsin St Bldg F13 Ste 11 Eau Claire, WI 54703 (800) 701-5781 740 County Road Kk Kaukauna, WI 54130 (800) 701-5781 Orthofix, INC National Contract Madison, WI 53704

Wyoming CVS Caremark Pharmacy-Wy National Contract Cheyenne, WY 82001 (800) 238-7828 Ebi, LLC National Contract Cheyenne, WY 82003 (949) 916-2127

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CoventryCares of Kentucky Empi, INC National Contract Cheyenne, WY 82003 (800) 328-2536 Orthofix, INC National Contract Cheyenne, WY 82003

EPSDT Special Services Kentucky Adair County Brown, Janella 318 Public Square Columbia, KY 42728 (270) 384-3481 Community Medical Services INC 801 Burkesville St Columbia, KY 42728 (270) 384-0750

Allen County T & K Home Medical INC 1137 Old Glasgow Rd Scottsville, KY 42164 (270) 237-9700

Barren County Ballou, Sheldon Arch 203 South Dixie Highway Cave City, KY 42127 (270) 773-3943 Barrett, Nancy L, L 104 Reynolds Road Glasgow, KY 42141 (270) 678-4801 Myers, William Mark 207 Professional Park Drive Glasgow, KY 42141 (270) 651-3709 Wellman, Robert, G 108 Ensminger Dr. Ste. A Glasgow, KY 42141 (270) 629-4888

Bell County Dixon, Mansfield 121 Virginia Avenue East Pineville, KY 40977 (606) 337-3034 Lancaster, Alison D 2004 Cumberland Avenue Suite 333 Middlesboro, KY 40965 (606) 248-1008 Lancaster, William 2004 Cumberland Avenue Suite 333 Middlesboro, KY 40965 (606) 248-1008 Woolum, Kerry L 121 Virginia Avenue East Pineville, KY 40977 (606) 337-3034

Boone County Alvarez, Anthony W, W 4900 Houston Rd Florence, KY 41042 (859) 212-5200 Jones, Charla, S 4900 Houston Rd Florence, KY 41042 (859) 301-5900

Bourbon County Chambers - Wells, Morgan 2115 Rocky Drive Paris, KY 40361 (859) 987-3290 Mashburn, Amy B 1122 Main St Millersburg, KY 40348 (859) 234-8852 McCauley-Thornberry, Amanda Marie 109 North Middletown Road Paris, KY 40361 (859) 987-7474 McIlvain, Jason 2115 Rocky Drive Paris, KY 40361 (859) 987-3290

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Meade, Jewell R 2115 Rocky Drive Paris, KY 40361 (859) 987-3290 Wilson, Rachel G 2115 Rocky Drive Paris, KY 40361 (859) 987-3290

Boyd County Borders, John, K 1000 Ashland Dr Ste 301 Ashland, KY 41105 (606) 326-0322 Johnson, Edward L 928 State Route 716 Ashland, KY 41102 (606) 928-3866 Lance, Scott J, J 1000 Ashland Dr Ste 301 Ashland, KY 41105 (606) 326-0322 Mussetter, Nancy 1000 Saint Christopher Boulevard Ashland, KY 41101 (606) 833-4069 2000 Carter Avenue Ashland, KY 41101 (606) 329-1440 2201 Lexington Avenue Ashland, KY 41101 (606) 327-4000 Saroch, Sandeep S, S 402 22nd St. Ashland, KY 41101 (606) 329-0408 Spradlin, Glenn D 1000 Saint Christopher Boulevard Ashland, KY 41101 (606) 833-4069 2000 Carter Avenue Ashland, KY 41101 (606) 329-1440 2201 Lexington Avenue Ashland, KY 41101 (606) 327-4000

Boyle County

Calloway County

Johnson, Jeffrey Todd 126 Daniel Dr Suite A Danville, KY 40422 (859) 236-6900

Robertson, Charles 1710 A State Route 121 North Murray, KY 42071 (270) 753-9479

McDowell Home Health Agency, INC 131 Daniel Dr Danville, KY 40422 (859) 236-8946

Sallee, John M, 719 Elm Street Murray, KY 42071 (270) 761-0043

Moody, Carolyn 303 South 4th Street Suite 200 Danville, KY 40422 (859) 236-8448

Wells, James 1712 E State Route 121 N Murray, KY 42071 (270) 753-1572

Zieba, Piotr, 128 Daniel Dr Danville, KY 40422 (859) 238-0018

Campbell County

Breathitt County Breathitt Prescription Center 1112 Main St Jackson, KY 41339 (606) 666-7574 Jackson Apothecary 842 Highway 15 N Jackson, KY 41339 (606) 666-7060

Bullitt County Caretenders Vs of Louisville LLC 1553 Highway 44 E Ste 1 Shepherdsville, KY 40165 (502) 543-2433

Butler County Wellman, Robert, G 213 W. Ohio St. Morgantown, KY 42261 (270) 526-2228

Caldwell County Sitton, Lora D 400 West Washington Princeton, KY 42445 (270) 365-6174

Snider, Bruce, A 4900 Houston Rd Fort Thomas, KY 41075 (859) 212-5200 85 N Grand Ave Fort Thomas, KY 41075 (859) 572-3200 Tangvald, Thor, 103 Landmark Dr Bellevue, KY 41073 (859) 292-3900

Carter County Fannin, Roger D 313 S Carol Malone Blvd Grayson, KY 41143 (606) 474-7833

Christian County Gibson, Steven, 2400 Russellville Rd Hopkinsville, KY 42241 (270) 889-6025 Iqbal, Nayyar, 2400 Russellville Rd Hopkinsville, KY 42241 (270) 889-6025 Khokhar, Ubaid, A 2400 Russellville Rd Hopkinsville, KY 42241 (270) 889-6025

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CoventryCares of Kentucky Lunsford, Richard, 2400 Russellville Rd Hopkinsville, KY 42241 (270) 889-6025 Pennyroyal Center 607 Hammond Plz Hopkinsville, KY 42240 (270) 886-2205 Pro-Care Home Health Limited 1610 S Main St Hopkinsville, KY 42240 (270) 885-1211 Siddiqi, Nusrat, 2400 Russellville Rd Hopkinsville, KY 42241 (270) 889-6025 Stea, John, 2400 Russellville Rd Hopkinsville, KY 42241 (270) 889-6025 Vemula, Vasundhara-Devi, 104 Forbes Dr. Hopkinsville, KY 42240 (270) 632-4666 210 W 17th St. Hopkinsville, KY 42240 (270) 886-1919

Clark County Crisp, Timothy F 11 Canary Lane Winchester, KY 40391 (859) 744-7031 Home Convalescent Aids INC 1113 W Lexington Ave Winchester, KY 40391 (859) 745-4445 McCord, Tammy P 122 Professional Avenue Winchester, KY 40391 (859) 744-0238 Meek, Donna S 2560 Bypass Road Suite 2 Winchester, KY 40391 (859) 737-1000

Peterson, Gilman P 1303 West Lexinton Avenue Winchester, KY 40391 (859) 744-0677

Clay County La Medical Supply 459 Memorial Dr Manchester, KY 40962 (606) 599-9140

Clinton County Brummett, Daniel James 108 Plaza Drive Albany, KY 42602 (606) 557-1023 Brummett, Denny 108 Plaza Drive Albany, KY 42602 (606) 557-1023 Tallent, Steven M 108 Plaza Drive Albany, KY 42602 (606) 557-1023

Cumberland County Burkesville Medical Supply INC 365 Keen St Burkesville, KY 42717 (270) 864-2230

Daviess County Ashby, Suzanna 2315 Mayfield Drive Suite 32 Owensboro, KY 42301 (270) 691-6205 Basit, Shazia, 1100 Walnut St Owensboro, KY 42301 (270) 689-6500 Bradford, Deborah, L 1100 Walnut St Owensboro, KY 42301 (270) 689-6500

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Caretenders Vs of Western KY LLC 2200 E Parrish Ave Bldg D Ste 203 Owensboro, KY 42303 (270) 685-3876 Green River District Home Health 1600 Breckenridge St Owensboro, KY 42303 (270) 686-8123 Hamilton, Celine A, A 1100 Walnut St Owensboro, KY 42301 (270) 689-6500 Harmon, David, L 1100 Walnut St Owensboro, KY 42301 (270) 689-6500 Johnson, James M 722 Harvard Drive Owensboro, KY 42301 (270) 685-5242 Johnson, Matthew L 722 Harvard Drive Owensboro, KY 42301 (220) 685-5242 Kinnaman, Max, C. 1100 Walnut St Owensboro, KY 42301 (270) 689-6500 Malani, Surendar, C 1000 Industrial Dr. Owensboro, KY 42301 (270) 689-6800 1100 Walnut St. Owensboro, KY 42301 (270) 689-6500 1224 Venable Ave. Owensboro, KY 42301 (270) 685-2203 Pro-Care Home Health Limited 1030 Burlew Blvd Owensboro, KY 42303 (270) 686-0033 Stone, James, M 1100 Walnut St Owensboro, KY 42301 (270) 689-6500

Taylor, Brandon W 2315 Mayfield Drive Suite 32 Owensboro, KY 42301 (270) 691-6205 Vance, Marshall, P 1100 Walnut St Owensboro, KY 42301 (270) 689-6500 Young, Phillip Ray 2315 Mayfield Drive Suite 32 Owensboro, KY 42301 (270) 691-6205

Elliott County Buckner, Kimberly Anne Highway 7 & 32 Sandy Hook, KY 41171 (606) 738-5545

Fayette County Abadi, Behruz J 800 Rose Street Lexington, KY 40536 (859) 323-8098 Al-Sabbagh, Mohanad 800 Rose Street Lexington, KY 40536 (859) 323-8098 Anderson, Steven A 800 Rose Street Lexington, KY 40536 (859) 323-9707 Baldwin, Aaron 800 Rose Street Lexington, KY 40536 (859) 323-1345 Beeman, Cynthia S 800 Rose Street Lexington, KY 40536 (859) 323-9707 Benton, Nardos 3475 Richmond Road Suite 100 Lexington, KY 40509 (859) 543-0505

Berre, Edgar L 800 Rose Street Lexington, KY 40536 (859) 323-8098 Bertoli, Elizangela 800 Rose Street Lexington, KY 40536 (859) 323-8098 Bimstein, Enrique G 1135 Red Mile Place Lexington, KY 40504 (859) 218-2273 217 Elm Tree Lane Lexington, KY 40507 (859) 218-5659 740 South Limestone Kentucky Clinic Building Lexington, KY 40536 (859) 323-9707 Bingcang, Cornelia, 2801 Palumbo Dr. Ste. 200 Lexington, KY 40509 (859) 278-8772 Bishop, Susan S 800 Rose Street Lexington, KY 40536 (859) 323-1345 Bogardus, Amy 800 Rose Street Lexington, KY 40536 (859) 323-8098 Bowen, Jeffrey 800 Rose Street Lexington, KY 40536 (859) 323-8098 Branch, Leslie B 2387 Professional Heights Dr Ste 60 Lexington, KY 40503 (859) 277-1137 135 E Maxwell St Lexington, KY 40508 (859) 323-5365 Branson, Shellie A 740 South Limestone Lexington, KY 40536 (859) 323-9707

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CoventryCares of Kentucky Bunge, Robert J, J 3121 Wall St Lexington, KY 40513 (859) 223-6700

Damm, Douglas D 800 Rose Street Lexington, KY 40536 (859) 323-1345

Ferrin, John D 800 Rose Street Lexington, KY 40536 (859) 257-1494

Haskell, Bruce S 800 Rose Street Lexington, KY 40536 (859) 323-8098

Burchett, Heather, 2801 Palumbo Dr 2nd Fl Lexington, KY 40509 (859) 278-8772

Dawson, Dolphus 800 Rose Street Lexington, KY 40536 (859) 323-9707

Findlay, Lillian, 3175 Custer Dr Ste 200 Lexington, KY 40513 (859) 273-1288

Haubenreich, James E 800 Rose Street Lexington, KY 40536 (859) 257-1494

Burt, John 740 South Limestone Lexington, KY 40536 (859) 323-9707

Deleeuw, Rinskje 800 Rose Street Lexington, KY 40536 (859) 323-8098

Fowler, Craig B 800 Rose Street Lexington, KY 40536 (859) 323-5515

Hishmeh, Fahed 2558 Larkin Road Lexington, KY 40503 (859) 277-1151

Byron, Raymond 800 Rose Street Lexington, KY 40536 (859) 323-1345

Demann, Eric 217 Elm Tree Lane Lexington, KY 40507 (859) 257-8801

Fraley, Christian S 2400 Greatstone Pointe Lexington, KY 40536 (859) 323-1345

Huja, Sarandeep S 800 Rose Street Lexington, KY 40536 (859) 323-1345

Caretenders Vs of Western KY LLC 2432 Regency Rd Lexington, KY 40503 (859) 276-5369

740 South Limestone Lexington, KY 40536 (859) 323-9707

Frazer, Robert Q 800 Rose Street Lexington, KY 40536 (859) 323-1345

Humphrey, Wendy 2201 Regency Road Suite 503 Lexington, KY 40503 (859) 277-5437

Caskey, Paula 800 Rose Street Lexington, KY 40536 (859) 323-1345 Chance, Kenneth 800 Rose Street Lexington, KY 40536 (859) 323-8098 Clemens, Justin C 800 Rose Street Lexington, KY 40536 (859) 323-1345

Dembo, Jeffrey 800 Rose Street Lexington, KY 40536 (859) 323-8098 Dingrando, Kelly 800 Rose Street Lexington, KY 40536 (859) 323-9707 Edmonds, Valerie R 4097 Nichols Park Drive Suite 112 Lexington, KY 40503 (859) 971-9238

Fuentealba Hidalgo, Rodrigo E 800 Rose Street Lexington, KY 40536 (859) 323-1345

740 South Limestone St Room A-219 Lexington, KY 40536 (859) 323-9707

Gravil, Ronald A 3111 Wall Street Lexington, KY 40513 (859) 223-1833

Jackson, Rodney A 800 Rose Street Lexington, KY 40536 (859) 323-8098

Hancock-Jones, Laura 800 Rose Street Lexington, KY 40536 (859) 323-9707

Jacobson, Mark S 800 Rose Street Lexington, KY 40536 (859) 323-1345

Haney, Charlotte 740 South Limestone Lexington, KY 40536 (869) 323-6261

Jasper, Samuel J 800 Rose Street Lexington, KY 40536 (859) 323-1345

Clements, John H 800 Rose Street Lexington, KY 40536 (859) 323-1345

Edwards, Sharon, 2801 Palumbo Dr Ste 200 Lexington, KY 40509 (859) 278-8772

Cobetto, Gregory 800 Rose Street Lexington, KY 40536 (859) 323-8098

1055 Wellington Way Ste. 110 Lexington, KY 40513 (859) 219-2822

Harrison, Ershal 800 Rose Street Lexington, KY 40536 (859) 323-8098

Jenkins, Diane 800 Rose Street Lexington, KY 40536 (859) 323-8098

Cornett, Ashley, 2801 Palumbo Dr 2nd Fl Lexington, KY 40509 (859) 278-8772

Emecen Huja, Pinar 800 Rose Street Lexington, KY 40536 (859) 323-1345

Kantor, Mel L 800 Rose Street Lexington, KY 40536 (859) 323-1345

Cunningham, Larry 800 Rose Street Lexington, KY 40536 (859) 323-8098

Fernandez, Andre, N 501 Darby Creek Rd. Ste. 21 Lexington, KY 40509 (859) 263-9305

Hart, Beverly, 151 N Eagle Creek Dr. Ste. 220 Lexington, KY 40509 (859) 259-2635

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Hartsfield, Jr, James 800 Rose Street Lexington, KY 40536 (859) 323-8098

Karim, Farhad 2387 Professional Heights Dr Ste 60 Lexington, KY 40503 (859) 277-1137 Languages: Bengali;Bangla Khader, Ruba 800 Rose Street Lexington, KY 40536 (859) 323-8098 Khalaf, Mohd W 800 Rose Street Lexington, KY 40536 (859) 323-1345 Kluemper, George 800 Rose Street Lexington, KY 40536 (859) 323-8098 Knight, Judson M 800 Rose Street Lexington, KY 40536 (859) 323-1345 Kovarik, Robert E 800 Rose Street Lexington, KY 40536 (859) 323-1345 Kutkut, Ahmad 800 Rose Street Lexington, KY 40536 (859) 323-1345 Landry, Dana, L 3175 Custer Dr. Ste. 200 Lexington, KY 40517 (859) 273-1288 Larkin, Thomas J 800 Rose Street Lexington, KY 40536 (859) 323-1345 Laswell, Harold R 800 Rose Street Lexington, KY 40536 (859) 323-1345 Lester, Harold 800 Rose Street Lexington, KY 40536 (859) 323-8098

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CoventryCares of Kentucky Lindroth, John E 800 Rose Street Lexington, KY 40536 (859) 323-8098

Neuman, Elliot D 800 Rose Street Lexington, KY 40536 (859) 323-8098

Lommel, Karen M, M 245 Fountain Ct Lexington, KY 40509 (859) 323-6021

Nihill, Patricia 800 Rose Street Lexington, KY 40536 (859) 323-8098

740 S Limestone St Lexington, KY 40536 (859) 323-5404 Maggard, Stacie K 800 Rose Street Lexington, KY 40536 (859) 323-1345 Mashburn, Amy B 171 N Eagle Creek Dr Ste 106 Lexington, KY 40509 (859) 277-9112 McConnell, Thomas 800 Rose Street Lexington, KY 40536 (859) 323-8098 Miller, Craig S 800 Rose Street Lexington, KY 40536 (859) 257-1494 Murphy, Michael 800 Rose Street Lexington, KY 40536 (859) 323-1345 Nash, David 1135 Red Mile Place Lexington, KY 40504 (859) 288-4040 740 South Limestone Lexington, KY 40536 (859) 323-9707

Perez Pacheco, Cristina V 1135 Red Mile Place Lexington, KY 40504 (859) 288-4040

Rubino, Thomas G 800 Rose Street Lexington, KY 40536 (859) 323-1345

740 South Limestone Lexington, KY 40536 (859) 323-9707

Sadler, William M 800 Rose Street Lexington, KY 40536 (859) 323-9707

Nusbacher, Kenneth 740 South Limestone Lexington, KY 40536 (859) 323-1345

Peterson, Gilman P 800 Rose Street Lexington, KY 40536 (859) 323-9707

Sallee, John M, 3470 Blazer Pkwy Lexington, KY 40509 (859) 323-6021

800 Rose Street Lexington, KY 40536 (859) 323-1345

Phillips, Hayden R 216 Fountain Court Suite 150 Lexington, KY 40509 (859) 543-2242

Salyer, Richard 216 Fountain Court Suite 150 Lexington, KY 40509 (859) 543-2242

Pinto Sinai, Gitanjali 800 Rose Street Lexington, KY 40536 (859) 323-1345

Sanders, Carla L, L 1021 Majestic Drive Ste 100 Lexington, KY 40513 (859) 278-1162

Okeson, Jeffrey 800 Rose Street Lexington, KY 40536 (859) 323-8098 Oneill, Amy M, M 201 Mechanic St. Lexington, KY 40508 (859) 233-0444 3470 Blazer Pkwy. Lexington, KY 40509 (859) 323-6021 1351 Newtown Pike Bldg. 1 Lexington, KY 40511 Parkinson, Joseph W 800 Rose Street Suite D-104 Lexington, KY 40536 (859) 323-9707 Parlanti, Sherry M 800 Rose Street Lexington, KY 40536 (859) 323-1345

800 Rose Street Lexington, KY 40536 (859) 323-6261

Patel, Ila R, R. 3175 Custer Dr. Ste. 200 Lexington, KY 40517 (859) 273-1288

Neuman, Douglas M 800 Rose Street Lexington, KY 40536 (859) 323-9707

Pepper, Kristy A 800 Rose Street Lexington, KY 40536 (859) 323-8098

Ray, Deborah 800 Rose Street Lexington, KY 40536 (859) 323-8098 Raybould, Ted 740 South Limestone Lexington, KY 40536 (859) 323-9707 Reynolds, Laura, 3470 Blazer Pkwy Lexington, KY 40509 (859) 323-6021 Richardson, Ted M 1757 Alexandria Dr Lexington, KY 40504 (859) 278-4201 Robinette, Catherine D 216 Fountain Court Suite 150 Lexington, KY 40509 (859) 543-2242 Rodriguez, Carla M 800 Rose Street Lexington, KY 40536 (859) 323-8098 Romond, Kelli 800 Rose Street Lexington, KY 40536 (859) 323-8098

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Sharp, Larry B 740 South Limestone Street Lexington, KY 40536 (859) 323-9707 Stein, Pamela S 800 Rose Street Lexington, KY 40536 (859) 323-1345 Stigers, Jenny I 800 Rose Street Lexington, KY 40536 (859) 257-1494 Syndergaard, Benjamin D 800 Rose Street Lexington, KY 40536 (859) 323-9707 Taylor, Robert C 800 Rose Street Lexington, KY 40536 (859) 323-1345 Thacker, James N 800 Rose Street Lexington, KY 40536 (859) 323-1345

The Kidz Club Lexington 1721 Maywick View Ln Ste 75 Lexington, KY 40504 (859) 224-0799 Theiss, Barbara L 800 Rose Street Lexington, KY 40536 (859) 323-9707 Thomas, Charles A 800 Rose Street Lexington, KY 40536 (859) 323-8098 Thompson, James R 2400 Greatstone Pointe Lexington, KY 40536 (859) 323-9707 Thornton, David R 800 Rose Street Lexington, KY 40536 (859) 323-1345 Timmons, James H 800 Rose Street Lexington, KY 40536 (859) 323-1345 Turner, Sharon P 800 Rose Street Lexington, KY 40536 (859) 323-8098 Van Sickels, Joseph E 800 Rose Street Lexington, KY 40536 (859) 323-6357 Wahle, John P 800 Rose Street Lexington, KY 40536 (859) 323-9707 Wehrman, Paul T 800 Rose Street Lexington, KY 40536 (859) 323-1345 White, Dean K 800 Rose Street Lexington, KY 40536 (859) 323-8098 White, Keith L 800 Rose Street Lexington, KY 40536 (859) 323-9707

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CoventryCares of Kentucky Wiemann, Alfred H 800 Rose Street Lexington, KY 40536 (859) 323-1345

Ghanta, Ramesh, 101 Medical Heights Frankfort, KY 40601 (859) 737-0904

Wilkinson, Alan D 800 Rose Street Lexington, KY 40536 (859) 323-5831

Skaff, David 110 Diagnostic Drive Frankfort, KY 40601 (502) 223-7186

Williams, Loren N 800 Rose Street Lexington, KY 40536 (859) 323-1345 Wright, Allison W 800 Rose Street Lexington, KY 40536 (859) 323-9707 Yepes, Juan 1135 Red Mile Place Lexington, KY 40504 (859) 218-2273 740 South Limestone Lexington, KY 40536 (859) 323-9707

Fulton County Regional Home Care Parkway 1000 Elm St Fulton, KY 42041 (270) 472-0070

Grant County Ison, David E 111 Humes Ridge Road Williamstown, KY 41097 (859) 823-1811

Floyd County

McMahon, Timothy 300 Arbor Drive Suite 5 Dry Ridge, KY 41035 (859) 823-0111

Cooley Medical Equipment 1184 S Lake Dr Prestonsburg, KY 41653 (606) 886-9267

Snider, Bruce, A 238 Barnes Rd Williamstown, KY 41097 (859) 824-8240

Hyden, Alan S 38 Grace Drive Prestonsburg, KY 41653 (606) 886-6565

Graves County

McKinney, Michael K Route 680 Highway 122 Minnie, KY 41651 (606) 377-0170 Tackett, Denver D 9759 Kentucky Route 122 McDowell, KY 41647 (606) 377-2801

Franklin County Gentry, Linda, F 101 Medical Heights Frankfort, KY 40601 (857) 737-0904

McNeill, Carly, 229 West Walnut St Mayfield, KY 42066 (270) 251-3666 Purchase Choice Home Care 17 Construction Rd Ste F Mayfield, KY 42066 (270) 247-3155 Smith, Patricia W, W 229 W Walnut St Mayfield, KY 42066 (270) 251-3666

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Greenup County

Harrison County

Hughes, Jennifer 972 Diederich Boulevard Russell, KY 41169 (606) 833-5437

Chambers - Wells, Morgan 111 Kentucky Highway 32 West Suite 2 Cynthiana, KY 41031 (859) 234-9944

Hardin County Aburob, Sana 60 Stonecrest Court Suite 200 Shelbyville, KY 40065 (502) 633-1819 Embry, Charles K, K 107 N Mantle Ave Elizabethtown, KY 42701 (270) 765-2503 Fritz, John F 2900 Ring Road Elizabethtown, KY 42701 (270) 737-6453 Kodali, Suresh, B 708 Westport Rd Ste 103 Elizabethtown, KY 42701 (270) 766-1234 Trombetti, Sara 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Harlan County Nunez, Matthew Garcia 106 Railroad Street Suite 103 Harlan, KY 40831 (606) 573-9944 Risner, Darrell H 110 Meyers Street Cumberland, KY 40823 (606) 589-5112 807 East Main Street Cumberland, KY 40823 (606) 589-5112

Mashburn, Amy B 106 Ladish Rd Cynthiana, KY 41031 (859) 234-8852 McIlvain, Jason 111 Kentucky Highway 32 West Suite 2 Cynthiana, KY 41031 (859) 234-9944 Meade, Jewell R 111 Kentucky Highway 32 West Suite 2 Cynthiana, KY 41031 (859) 234-9944 Peterson, Gilman P 1210 KY Highway 36 East Harrison Mem. Hospital - Outpatient Clinic Cynthiana, KY 41031 (859) 235-3562 Wedco Home Health 302 Oddville Ave Cynthiana, KY 41031 (859) 234-8750

Hart County Wellman, Robert, G 103 S. St. Munfordville, KY 42765 (270) 524-4800

Henderson County Bradford, Deborah, L 618 N Green St Henderson, KY 42420 (270) 826-8314 Caretenders Vs of Western KY LLC 1630 2nd St Henderson, KY 42420 (270) 827-3005

Fulkerson, Brad 700 A Barret Blvd Henderson, KY 42420 (270) 827-5522 Silva, Rogelio, A 1413 N Elm St. Ste. 205 Henderson, KY 42420 (270) 827-5469 Simmons, Lauren T 700 A Barret Blvd Henderson, KY 42420 (270) 827-5522 Vance, Marshall, P 618 N Green St Henderson, KY 42420 (270) 826-8314

Henry County Doerr, Molly W 8282 Main St Campbellsburg, KY 40011 (502) 532-6332

Hopkins County Acord, Timothy 200 Clinic Dr Third Floor Madisonville, KY 42431 (270) 825-7441 Bluegrass Home Medical 1128 N Main St Ste 2 Madisonville, KY 42431 (270) 825-9661 Caretenders Vs of Western KY LLC 325 E Center St Madisonville, KY 42431 (270) 326-5222 Pro-Care Home Health Limited 44 McCoy Street Madisonville, KY 42431 (270) 825-9300 Travis, Randolph 1400 Pride Avenue Madisonville, KY 42431 (270) 821-7386

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CoventryCares of Kentucky Jefferson County Acord, Korie 1100 East Market Street Louisville, KY 40206 (502) 596-1090 2120 High Wickham Place Suite 103 Louisville, KY 40245 (502) 254-6097 Acord, Timothy 4515 Churchman Ave Louisville, KY 40215 (502) 361-0134 Bays, Kevin G, G 3430 Newburg Rd. Ste. 212 Louisville, KY 40218 (502) 454-8800 Becht, Michael 107 North Watterson Trail Suite 103 Middletown, KY 40243 (502) 245-2175 Booker, Varanise C, C 302 E Breckinridge St. Louisville, KY 40203 (502) 561-1112 Brown, Shawn, P 3430 Newburg Rd. Ste. 212 Louisville, KY 40218 (502) 454-8800 Butler, Walter R, R 3430 Newburg Rd. Ste. 212 Louisville, KY 40218 (502) 454-8800 Cannon, Mark 8700 Dixie Highway Louisville, KY 40258 (502) 935-0505 Caretenders Vs of Louisville LLC 1169 Eastern Pkwy Ste 3323 Louisville, KY 40217 (502) 855-4400

9702 Stonestreet Rd Bldg 1 Ste 330 Louisville, KY 40272 (502) 933-2785

Kemper, William 9610 Taylorsville Road Louisville, KY 40299 (502) 267-6419

Center for Orthotic & Prosthetic Care 982 Eastern Pkwy Louisville, KY 40217 (502) 637-7717

Lincare INC 5694 Shepherdsville Rd Louisville, KY 40228 (502) 515-3500

Languages: Spanish Chhibber, Sunil, 2020 Newburg Rd Louisville, KY 40205 (502) 479-4433 Colbert-Trowell, Danya N, N 2020 Newburg Rd. Louisville, KY 40205 (502) 479-4433 Denzik, Cheryl I, I 3430 Newburg Rd. Ste. 212 Louisville, KY 40218 (502) 454-8800 Gupta, Bhupendra K, K 133 Chenoweth Ln. Louisville, KY 40207 (502) 895-6368 Harris, Michael R, R 3430 Newburg Rd. Ste. 212 Louisville, KY 40218 (502) 454-8800 Head, Karen S, S 1951 Bishop Ln. Ste. 204 Louisville, KY 40218 (502) 479-4433 Jain, Audrey E, E 3430 Newburg Rd. Ste. 212 Louisville, KY 40218 (502) 454-8800 Johnson, William 4007 Valley View Drive Louisville, KY 40216 (502) 448-0678

4545 Bishop Ln Ste 200 Louisville, KY 40218 (502) 238-5150 † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Mandadapu, Anitha, 1405 Browns Lane Louisville, KY 40207 (502) 265-0491 8521 Lagrange Rd Louisville, KY 40242 (502) 265-0491 Maxim Healthcare 9300 Shelbyville Rd Ste 701 Louisville, KY 40222 (502) 426-4454 Mian, Mohammad A, A 8521 Lagrange Rd Louisville, KY 40242 (502) 265-0491 Nichols, Alphonso E, E 305 W Broadway Louisville, KY 40202 (502) 585-2924 Renaissance Medical LLC 3865 Produce Rd Louisville, KY 40218 (502) 961-9807 Sullivan, John P, P 3703 Taylorsville Rd. Ste. 202 Louisville, KY 40220 (502) 451-5121 The Kidz Club Portland Neighborhood House 225 N 25th St Louisville, KY 40212 (502) 365-2426 The Kidz Club Preston 7140 Preston Hwy Louisville, KY 40219 (502) 368-9318

Jessamine County Dowlen, Jason S 230 North Plaza Drive Suite 230 Nicholasville, KY 40356 (859) 881-9398 Heckman, Benjamin J 117 Bryant Drive Nicholasville, KY 40356 (859) 885-0100

Caretenders Vs of Northern Kentucky 168 Barnwood Dr Ste A Ft Mitchell, KY 41017 (859) 578-0022 Duval - Austin, Sophie 2765 Chapel Place Drive Suite 250 Crestview Hills, KY 41017 (859) 344-6200

Skaff, David 105 Edgewood Plaza Suite D Nicholasville, KY 40356 (859) 887-2431

Fernandez, Lisa M, M 1 Medical Village Dr Fort Mitchell, KY 41017 (859) 301-5900

Wheeler, Rebecca 106 Fairfield Dr Nicholasville, KY 40356 (859) 885-0086

Hayag-Thomas, Lea C, C 200 Medical Village Dr Fort Mitchell, KY 41017 (859) 301-5900

Johnson County Brown, Gary Douglas 455 Main St Paintsville, KY 41240 (606) 789-5525 Chua, Corazon N, N 636 Jefferson Ave Paintsville, KY 41240 (606) 789-5977 Languages: Chinese Minix, Martin R 253 Hager Branch East Point, KY 41216 (606) 886-0808

Kenton County Alvarez, Anthony W, W 1 Medical Village Dr Fort Mitchell, KY 41017 (859) 301-5900 200 Medical Village Dr Fort Mitchell, KY 41017 (859) 301-5900 Barbara, Mark J, J 1 Medical Village Dr Fort Mitchell, KY 41017 (859) 301-5900

Jones, Charla, S 1 Medical Village Dr Fort Mitchell, KY 41017 (859) 344-5555 200 Medical Village Dr Fort Mitchell, KY 41017 (859) 301-5900 McIntosh, Michael G, G 1717 Dixie HWY. Ste. 200 Covington, KY 41011 (859) 578-4143 Rsvp Homecare 4300 Boron Dr Latonia, KY 41015 (859) 727-7600 Shapiro, Arnold, G 1717 Dixie HWY. Ste. 200 Covington, KY 41011 (859) 341-7453 Snider, Bruce, A 1500 James Simpson Jr Way Covington, KY 41011 (859) 655-8800 1 Medical Village Dr Fort Mitchell, KY 41017 (859) 301-2000

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CoventryCares of Kentucky 20 Medical Village Dr Ste 107 Fort Mitchell, KY 41017 (859) 341-5014

Bingham, Barry V 1303 South Laurel Road London, KY 40744 (606) 877-2700

Stufflebean Pharmacy 1031 Grand Ave Beattyville, KY 41311 (606) 464-3396

Strawn, Jeffrey R, R 1 Medical Village Dr Fort Mitchell, KY 41017 (859) 301-2000

Brown, Kimberly A 1368 East Highway 192 London, KY 40741 (606) 864-6680

Village Apothecary 111 River St Beattyville, KY 41311 (606) 464-3656

200 Medical Village Fort Mitchell, KY 41017 (859) 301-5900

Buskirk, Diana, M. 1320 HWY. 192 E London, KY 40741 (606) 878-1961

Leslie County

The Kidz Club Erlanger 527 Watson Rd Erlanger, KY 41018 (859) 727-0700

Lang, Mary J, J 449 Keavy Rd London, KY 40744 (606) 864-0009

Walden, Martha, 1 Medical Village Dr Fort Mitchell, KY 41017 (859) 301-5900

Mayes, Jerry G 828 South Main Street London, KY 40741 (606) 878-7251

Wofford, Barbara M, M 200 Medical Village Dr Fort Mitchell, KY 41017 (859) 301-5900

McGeorge, Tina Renee 828 South Main Street London, KY 40741 (606) 878-7251

Ziegler, Vincent, E 20 Medical Village Dr. Ste. 301 Fort Mitchell, KY 41017 (859) 341-5074

Powell, Gregory A 828 South Main Street London, KY 40741 (606) 878-7251

Knox County Knox County Health Dept 261 Hospital Dr Barbourville, KY 40906 (606) 546-3486 Mills Messer, Gina A 96 Kentucky 3439 Barbourville, KY 40906 (606) 546-7633 Smith, A J 201 N Allison Avenue Barbourville, KY 40906 (606) 545-7715

Laurel County Ball, Melissa R 356 McWhorter St Ste 1 London, KY 40741 (606) 877-6585

Ram, Prathiba, 202 W 7th St. Ste. 113 London, KY 40741 (606) 864-0510 Wood, Michael Wayne 828 South Main Street London, KY 40741 (606) 878-7251

Gambrel, Jason O 308 Highland Park Drive Richmond, KY 40475 (859) 626-9851 Parikh, Daksha 1007 Ace Drive Berea, KY 40403 (859) 986-5391 Phillips, Hayden R 1012 Ival James Blvd Suite C Richmond, KY 40475 (859) 626-9620

Ratliff, Frederick C 22728 Highway 421 Box 1606 Hyden, KY 41749 (606) 672-3270

Robinette, Catherine D 1012 Ival James Blvd Suite C Richmond, KY 40475 (859) 626-9620

Risner, Darrell H 8 Dogwood Street Hyden, KY 41749 (606) 672-3550

Salyer, Richard 1012 Ival James Blvd Suite C Richmond, KY 40475 (859) 626-9620

Kerr, Paul N 64 Shelton Lane Russellville, KY 42276 (270) 726-9595 Pro-Care Home Health Limited 1405 Nashville St Ste B Russellville, KY 42276 (270) 726-3487

Lyon County Sims, John J 260 Commerce Street Eddyville, KY 42038 (270) 388-9712

Thobaben, John 120 Meridan Way Suite 2 Richmond, KY 40475 (859) 626-1810

Magoffin County Clinic Pharmacy 789 Parkway Dr Salyersville, KY 41465 (606) 349-1700

Marshall County

Madison County

At Home Medical 837 US Highway 68 W Ste A Benton, KY 42025 (270) 252-0897

Lee County

Bowen, Jeffrey 120 Meridan Way Suite 2 Richmond, KY 40475 (859) 626-1810

Ellis, Joe E 109 W 5th St Benton, KY 42025 (270) 527-7421

Knight, Judson M 60 Center Street Beattyville, KY 41311 (606) 464-2447

Coleman, Rodney D 1208 West Main Street Richmond, KY 40475 (859) 625-5522

Lyles, John P 43 Industrial Pkwy Calvert City, KY 42029 (270) 395-8331

Lawrence County Chua, Corazon N, N 2483 HWY 644 Ste 106 Louisa, KY 41230 (606) 638-1154 Languages: Chinese

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Mason County Comprehend, INC 611 Forest Ave. Maysville, KY 41056 (606) 564-4016

Asher-Little, Andrea 120 Highway 80 Hyden, KY 41749 (606) 672-8800

Logan County

Sowell Gibson, Wendy 1512 Main St Benton, KY 42025 (270) 527-0951

Hayswood Home Health 1 W McDonald Pkwy Ste 3c Maysville, KY 41056 (606) 564-9481

McCracken County Davis Drugs 250 Lone Oak Rd Paducah, KY 42001 (270) 443-1442 Marilyns Medical Freedom, INC 4860 Old Mayfield Rd Paducah, KY 42003 (270) 534-9713 Smith, Patricia W, W 100 Fountain Ave Ste 205 Paducah, KY 42001 (270) 251-3666

Mercer County Dowlen, Jason S 507 Joseph Dr # 3 Harrodsburg, KY 40330 (859) 734-2338

Montgomery County Baber, Katherine A 225 Windsor Drive Mount Sterling, KY 40353 (859) 498-3400 Carty, Krisy 105 Brandon Way Suite A Mount Sterling, KY 40353 (859) 497-4444

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CoventryCares of Kentucky Peterson, Gilman P 25 East High Street Mount Sterling, KY 40353 (859) 498-6204

Muhlenberg County Fritsch, Timothy Scott 132 East Main Cross Greenville, KY 42345 (270) 338-2532

Ohio County Basit, Shazia, 1269 Duvall Rd Beaver Dam, KY 42320 (270) 274-0650 Bradford, Deborah, L 1269 Duvall Rd Beaver Dam, KY 42320 (270) 274-0650 Caretenders Vs of Western KY LLC 112 E McMurtry Ave Ste 2 Hartford, KY 42347 (270) 298-0066 Pro-Care Home Health Limited 122 W Union St Hartford, KY 42347 (270) 298-3112

Oldham County Acord, Timothy 1031 New Moody Lane Suite 305 La Grange, KY 40031 (502) 222-0137 Caretenders Vs of Louisville LLC 2206 Commerce Pkwy Ste A La Grange, KY 40031 (502) 225-5838

Pendleton County Braun, Mary Lou, 512 S Maple Ave Falmouth, KY 41040 (859) 572-3500

Perry County Browning, Sandra 35 Longfield Circle Vicco, KY 41773 (606) 476-8121 Farmer, Andrew B 305 Morton Boulevard Hazard, KY 41701 (606) 436-5437 Jolly, James 1724 1/2 North Main St Hazard, KY 41701 (606) 439-4581

Pike County Home Care Health Services INC 1414 S Mayo Trl Pikeville, KY 41501 (606) 432-2111 Justice, James D 155 East Main Street Elkhorn City, KY 41522 (606) 754-0155 Narola, Jay V, V 1330 S Mayo Trl Ste 301 Pikeville, KY 41501 (606) 432-7233

Powell County Powell Prescription Center 4644 Highway 15 West Clay City, KY 40312 (606) 663-3481

Grippe, Robert Brian B 54 Imaging Drive Somerset, KY 42503 (606) 451-2273 King, Katherine L 110 North Central Avenue Somerset, KY 42501 (606) 679-1402 Patel, Piyush D, D 104 Hardin Lane Ste A Somerset, KY 42503 (606) 678-8323 Umar, Syed, A. 110 Hardin Ln. Ste. 1 Somerset, KY 42503 (606) 451-9748

Rockcastle County Rockcastle Hospital and Respiratory Care Center 145 Newcomb Ave Mount Vernon, KY 40456 (606) 256-2195

Rowan County Cruser, Marc C, C 445 Clinic Dr. Morehead, KY 40351 (606) 783-6805

Scott County

Simpson County

Bieneman, James P 240 Blossom Park Drive Suite 1 Georgetown, KY 40324 (502) 570-8778

Fowler, James D 112 Morgantown Road Franklin, KY 42134 (270) 586-0606

Hollen, Joanne 240 Blossom Park Drive Suite 2 Georgetown, KY 40324 (502) 570-8841 Lenox, Paula Kaye 1154 Lexington Road Suite 2 Georgetown, KY 40324 (502) 863-2207 Peterson, Gilman P 204 Bevins Lane Suite F Georgetown, KY 40324 (502) 863-1402 Phillips, Hayden R 205 Champion Way Suite 9 Georgetown, KY 40324 (502) 868-9300 Robinette, Catherine D 205 Champion Way Suite 9 Georgetown, KY 40324 (502) 868-9300

Taylor County Hortillosa, Llewelyn Navarra, 295 Campbellsville Bypass Campbellsville, KY 42718 (270) 465-2023 Wise, Heather 105 Medical Park Drive Suit #1 Campbellsvlle, KY 42718 (270) 469-1403

Trigg County Pennyrile Home Medical 307 Main St Cadiz, KY 42211 (270) 522-8002

Union County Basit, Shazia, 233 N Townsend Morganfield, KY 42437 (270) 389-3240

Dowlen, Jason S 750 West Main Street Morehead, KY 40351 (606) 783-0182

Salyer, Richard 205 Champion Way Suite 9 Georgetown, KY 40324 (502) 868-9300

Thompson, Gary 131 North Main Street Stanton, KY 40380 (606) 663-2133

Loy, Carroll R 255 Beacon Hill Dr Morehead, KY 40351 (606) 784-6631

Warring, Robert T 120b Edwards Avenue Georgetown, KY 40324 (502) 863-1505

Stone, James, M 233 N Townsend Morganfield, KY 42437 (270) 389-3240

Pulaski County

Russell County

Brummett, David 3876 South HWY 27 Somerset, KY 42501 (606) 679-5328

Shelby County

Grippe, Robert Brian B 458 Main Street Russell Springs, KY 42642 (270) 866-7222

Caretenders Vs of Louisville LLC 197 Alpine Dr Shelbyville, KY 40065 (502) 647-0450

Vance, Marshall, P 233 North Townsend Morganfield, KY 42437 (270) 389-3240

Brummett, Denny 3876 South HWY 27 Somerset, KY 42501 (606) 679-5328

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Fritz, John F 60 Stonecrest Court Suite 200 Shelbyville, KY 40065 (502) 633-1819

Bradford, Deborah, L 233 N Townsend Morganfield, KY 42437 (270) 389-3240

Warren County Ballou, Sheldon Arch 1109 State Street Bowling Green, KY 42101 (270) 781-8039

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CoventryCares of Kentucky Buchanan, John 546 Park Street Suite 100 Bowling Green, KY 42101 (270) 781-3133

Pro-Care Home Health Limited 1203 Ashley Cir Bowling Green, KY 42104 (270) 726-3487

Chandler, Mindy, 1035 Porter Pike Rd Bowling Green, KY 42103 (270) 843-1199

Raghuvanshi, Charu R, R 350 Park St Ste 204 Bowling Green, KY 42101 (270) 843-5103

First Choice Home Medical 1945 Scottsville Rd Ste A3 Bowling Green, KY 42104 (270) 393-9393 Grau, Joseph G, G 350 Park St Ste 204 Bowling Green, KY 42101 (270) 843-5103 Hanger Prosthetics & Orthotics East INC 1810 Destiny Ln Bowling Green, KY 42104 (270) 781-2370 Home Oxygen Medical Equipment 901 Lehman Ave Ste 12-B Bowling Green, KY 42101 (270) 843-4901 Kapley, David J, J 611 Old Morgantown Rd Bowling Green, KY 42101 (270) 793-0869 Leeper, Norman L, L 1035 Porter Pike Bowling Green, KY 42103 (270) 843-1199 Mudd, Louis G, G 720 Second Street Suite 300 Bowling Green, KY 42101 (270) 843-5037

1035 Porter Pike Bowling Green, KY 42103 (270) 843-1199 Salyer, Lorna R 1025 Ashley Street Suite C Bowling Green, KY 42103 (270) 842-0025 Wellman, Robert, G 1043 Pedigo Way Ste. 14 Bowling Green, KY 42103 (270) 745-9945

Wayne County Brummett, Daniel James 1225 North Main Street Monticello, KY 42633 (606) 340-0740 Brummett, Denny 1225 North Main Street Monticello, KY 42633 (606) 340-0740 Hishmeh, Fahed 650 North Main Street Monticello, KY 42633 (606) 348-5100

Whitley County Barnhill, Suzanne L 129 South Highway 1223 Corbin, KY 40701 (606) 526-9536

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Cumberland River Reg. M.H. Mental Retardation Boar 1203 American Greeting Rd. Corbin, KY 40702 (606) 528-7010 Johnson, Jeffrey Todd 129 South Highway 1223 Corbin, KY 40701 (606) 526-9636 Murphy, Michael 1400 Cumberland Falls Highway Suite B Corbin, KY 40701 (606) 528-9402 Thobaben, John 129 South Highway 1223 Corbin, KY 40701 (606) 526-9636 Whitley County Home Health 114 N 2nd St Williamsburg, KY 40769 (606) 549-3380

Alaska Maxim Healthcare Services INC 711 H St Ste 100 Anchorage, AK 99501 (907) 770-0862

California 1620 N Carpenter Rd Ste C-19 Modesto, CA 95351 (209) 222-5490 5030 Camino De La Siesta Ste 405 San Diego, CA 92108 (619) 299-9350 735 Tank Farm Rd Ste 135 & 135a San Luis Obispo, CA 93401 (805) 788-0456

Florida

8043 Cooper Creek Blvd Ste 208 University Park, FL 34201 (941) 359-0106 Maxim Healthcare Services, INC. 2699 Lee Rd Ste 512 Winter Park, FL 32789 (407) 647-6555

Illinois Maxim Healthcare Services INC 9701 W Higgins Rd Ste 870 Rosemont, IL 60018 (847) 430-9220

Michigan 4488 W Bristol Rd Flint, MI 48507 (810) 732-8087 4341 S Westnedge Ave Ste 1201 Kalamazoo, MI 49008 (269) 903-4522

Ohio Care Medical INC 8340 Reading Rd Cincinnati, OH 45237 (513) 821-7272 Kelley Med Care INC 210 Center St Ironton, OH 45638 (740) 532-4000 Maxim Healthcare Services INC 34 Triangle Park Dr Ste 3400 Cincinnati, OH 45246 (513) 793-6444 110 W Western Reserve Rd Youngstown, OH 44514 (330) 758-0165

Health Departments Kentucky

Adair County Adair County Elementary School 800 Indian Dr Columbia, KY 42728 (270) 384-2286 Adair County Health Center 801 Westlake Dr Columbia, KY 42728 (270) 384-2286 Adair County High School 526 Indian Dr Columbia, KY 42728 (270) 384-2286 Adair County Middle School 322 General John Adair Dr Columbia, KY 42728 (270) 384-2286 John Adair Intermediate School 202 General John Adair Dr Columbia, KY 42728 (270) 384-2286

Allen County Allen County Health Department 207 E Locust St Scottsville, KY 42164 (270) 237-4423 Allen County Intermediate Center 720 Oliver St Scottsville, KY 42164 (270) 237-4423 Allen County Primary Center 721 New Gallatin Rd Scottsville, KY 42164 (270) 237-4423 Allen County Scottville High School 1545 Bowling Green Rd Scottsville, KY 42164 (270) 237-4423

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CoventryCares of Kentucky James E Bazzell Middle School 201 New Gallatin Rd Scottsville, KY 42164 (270) 237-4423

Anderson County Anderson County Health Department 1180 Glensboro Rd Lawrenceburg, KY 40342 (502) 839-4551 Anderson County High School 1 Bearcat Dr Lawrenceburg, KY 40342 (502) 839-4551 Anderson County Middle School 200 W Woodford St Lawrenceburg, KY 40342 (502) 839-4551 Early Childhood Center-Anderson County 126 N Main St Lawrenceburg, KY 40342 (502) 839-4551 Emma B Ward Elementary School-Anderson County 1150 Bypass N Lawrenceburg, KY 40342 (502) 839-4551 Saffell Street Elementary School-Anderson County 210 Saffell St Lawrenceburg, KY 40342 (502) 839-4551

Turner Elementary School-Anderson County Highway 62 Fox Creek Road Lawrenceburg, KY 40342 (502) 839-4551

Ballard County Ballard Co High School 3465 Paducah Rd Barlow, KY 42024 (270) 665-5432 Ballard County Health Center 198 Bluegrass Dr La Center, KY 42056 (270) 665-5432 Ballard Elementary Sch Clinic 3465 Paducah Rd Barlow, KY 42024 (270) 665-5432

Barren County Austin Tracy Elementary 2477 Austin Tracy Rd Lucas, KY 42156 (270) 651-8321 Barren Co Health Center 318 W Washington St Glasgow, KY 42141 (270) 651-8321 Barren County Middle 550 Trojan Trl Glasgow, KY 42141 (270) 651-8321 Caverna Elementary 1106 N Dixie Hwy Cave City, KY 42127 (270) 651-8321 Eastern Elementary 4601 New Salem Rd Glasgow, KY 42141 (270) 651-8321 Glasgow High 1601 Columbia Ave Glasgow, KY 42141 (270) 651-8321

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Glasgow Middle 105 Scottie Dr Glasgow, KY 42141 (270) 651-8321 Highland Elementary 164 Scottie Dr Glasgow, KY 42141 (270) 651-8321 Hiseville Elementary 149 Cardinal Blvd Hiseville, KY 42152 (270) 651-8321 North Jackson Elementary 2002 N Jackson Hwy Glasgow, KY 42141 (270) 651-8321 Park City Elementary 45 Indian Mill Rd Park City, KY 42160 (270) 651-8321 Red Cross Elementary 215 Parkview Dr Glasgow, KY 42141 (270) 651-8321 South Green Elementary 300 James T Rogers Dr Glasgow, KY 42141 (270) 651-8321 Temple Hill Elementary 8788 Tompkinsville Rd Glasgow, KY 42141 (270) 651-8321

Bath County Middle School Adolescent Health Unit 493 W Main St Owingsville, KY 40360 (606) 674-2731 Bethel Elementary School - Bath 4326 N Highway 11 Sharpsburg, KY 40374 (606) 674-2731

Bell County Health Center Pineville 310 S Cherry St Pineville, KY 40977 (606) 337-7046 Bell County High 9824 US Highway 25 E Pineville, KY 40977 (606) 337-1320

Crossroads Elementary 4755 E Highway 60 Owingsville, KY 40360 (606) 674-2731

Bell County High School Program Bell County Health Department Highway 25 E Pineville, KY 40977 (606) 248-2862

Gateway District Health Department 42 Treadway Dr Owingsville, KY 40360 (606) 674-6396

Bell County Middle School 9821 US Highway 25 E Pineville, KY 40977 (606) 248-2862

Owingsville Elementary School Health Unit 50 Chenault Dr Owingsville, KY 40360 (606) 674-2731

Bell County Middlesboro High School 4404 W Cumberland Ave Middlesboro, KY 40965 (606) 248-2862

Bell County Bell Central School 9821 US Highway 25 E Pineville, KY 40977 (606) 337-9395

Bath County

Bell Co. - Middlesboro Health Dept. 111 N 21st St Middlesboro, KY 40965 (606) 248-2862

Bath County Health Center 68 Oberline Street Owingsville, KY 40360 (606) 674-2731

Bell Co. - Pinville Health Dept. 310 S Cherry St Pineville, KY 40977 (606) 337-7046

Bath County High School Adolescent Health Unit 37 Chenault Dr Owingsville, KY 40360 (606) 674-2731

Bell County Health Center Middlesboro 111 N 21st St Middlesboro, KY 40965 (606) 248-2862

Bell County Pineville School 401 W Virginia Ave Pineville, KY 40977 (606) 248-2862 Frakes Elementary School 29 Henderson Settlement Loop Frakes, KY 40940 (606) 337-2758 Hwy 190 Frakes, KY 40940 (606) 248-2862 Lone Jack Elementary Hwy 25 Junction 92 Pineville, KY 40977 (606) 248-2862 Lone Jack Elementary School 101 Creech Hollow Rd Pineville, KY 40977 (606) 337-2392

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CoventryCares of Kentucky Middlesboro Health Department 111 S 21st St Middlesboro, KY 40965 (606) 248-2862 Middlesboro High School 4404 W Cumberland Ave Middlesboro, KY 40965 (606) 242-2451 Middlesboro Intermediate School 502 Ashbury Ave Middlesboro, KY 40965 (606) 242-8842 Middlesboro Intmed School Bell Health Dept Clinic 502 Ashbury Ave Bell County Health Department Clinic Middlesboro, KY 40965 (606) 248-2862 Middlesboro Middle School 403 West Cumberland Ave Middlesboro, KY 40965 (606) 248-2862 4400 W Cumberland Ave Middlesboro, KY 40965 (606) 248-7170 Middlesboro Primary School 3400 Cumberland Ave Middlesboro, KY 40965 (606) 242-8862 Middlesboro Primary School Bell Health Dept Clinic 3400 Cumberland Ave Middlesboro, KY 40965 (606) 248-2862 Page Elementary School 239 Page School Rd Pineville, KY 40977 (606) 337-0777

Page School Hwy 119 Pineville, KY 40977 (606) 248-2862

Ashland-Boyd County Health Department 2924 Holt St Ashland, KY 41101 (606) 329-9444

Poage Elementary School 3215 S 29th St Ashland, KY 41102 (606) 329-9444

Catlettsburg Elementary 3348 Court St Catlettsburg, KY 41129 (606) 329-9444

Summit Elementary School 830 State Route 716 Ashland, KY 41102 (606) 329-9444

Charles Russell Elementary School Ais 1100 Russell St Ashland, KY 41101 (606) 329-9444

Verity Middle School 2800 Kansas St Ashland, KY 41102 (606) 329-9444

Crabbe Elementary Ashland Independent Schools 520 17th St Ashland, KY 41101 (606) 329-9444

Boyle Co Health Department 448 S 3rd St Danville, KY 40422 (859) 236-2053

Fairview Elementary School 258 McKnight St Ww Ashland, KY 41102 (606) 329-9444

Bracken Co Middle School 167 Parsley Dr Brooksville, KY 41004 (606) 735-2157

Fairview Independent Secondary 2127 Main St W Ashland, KY 41102 (606) 329-9444

Bracken County Health Department 429 Frankfort St Brooksville, KY 41004 (606) 735-2157

Hager Elementary School Ais 1600 Blackburn Ave Ashland, KY 41101 (606) 329-9444

Bracken County High School 350 W Miami St Brooksville, KY 41004 (606) 735-2157

Caldwell Co High Clinic 350 Beckner Ln Princeton, KY 42445 (270) 965-6571

Boyd County

Hatcher Elementary School 1820 Hickman St Ashland, KY 41101 (606) 329-9444

Taylor Elementary 140 Gibson Dr Brooksville, KY 41004 (606) 735-2157

Caldwell Co Middle Clinic 440 Beckner Ln Princeton, KY 42445 (270) 965-6571

Ashland Day Treatment Center 1539 Greenup Ave Ashland, KY 41101 (606) 473-9838

Oakview Elementary School 3111 Blackburn Ave Ashland, KY 41101 (606) 329-9444

Pineville City School 401 W Virginia Ave Pineville, KY 40977 (606) 337-4389 Right Fork Elementary School Hwy 221 Stoney Folk, KY 40988 (606) 248-2862 5296 Highway 221 Stoney Fork, KY 40988 (606) 337-3410 Yellow Creek Elementary School 4840 W Cumberland Ave Middlesboro, KY 40965 (606) 248-0279 Yellow Creek School 4840 W Cumberland Ave Middlesboro, KY 40965 (606) 248-2862

Boone County Boone County Health Center 7505 Burlington Pike Florence, KY 41042 (859) 363-2060

Bourbon County Bourbon County Health Department 341 E Main St Paris, KY 40361 (859) 987-1915

Ashland Head Start 3215 S 29th St Ashland, KY 41102 (606) 329-9444

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Breckinridge County Breckinridge County Health Department 220 S Hardin St Hardinsburg, KY 40143 (270) 756-5121

Bullitt County

Boyle County

Butler County Butler County Health Center 104 N Warren St Morgantown, KY 42261 (270) 526-3221

Bracken County

Breathitt County Breathitt County Health Department 955 Highway 30 W Jackson, KY 41339 (606) 666-8052

Bullitt County Health Department 181 Lees Valley Rd Shepherdsville, KY 40165 (502) 955-7837

Morgantown Elementary 210 Cemetery St Morgantown, KY 42261 (270) 526-3221 North Butler Elementary 5512 Brownsville Rd Morgantown, KY 42261 (270) 526-3221

Caldwell County

Caldwell Co Tiger Pride Clinic 100 Marion Rd Princeton, KY 42445 (270) 965-6571

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CoventryCares of Kentucky Caldwell County Tiger Clinic 105 Educational Dr Princeton, KY 42445 (270) 965-6571 Caldwell County Health Center 310 Hawthorne St Princeton, KY 42445 (270) 965-6571

Calloway County Calloway County Health Department 602 Memory Ln Murray, KY 42071 (270) 753-3381 North Elementary School 2928 Brinn Rd Murray, KY 42071 (270) 753-3381

Campbell County Campbell County Health Center 1098 Monmouth St Newport, KY 41071 (859) 431-1704

Carlisle County Carlisle Co Elementary School 4557 State Route 1377 Bardwell, KY 42023 (270) 628-5431 Carlisle County Health Center 62 John Roberts Bardwell, KY 42023 (270) 628-5431

Carroll County Carroll County Health Center 401 11th St Carrollton, KY 41008 (502) 732-6641

Carter County Carter County Health Center 1710 E US Highway 60 Grayson, KY 41143 (606) 474-5109 East High School Health Center - Carter County 405 Hitchins Rd Grayson, KY 41143 (606) 282-5588 East Middle School Health Center 520 Robert And Mary St Grayson, KY 41143 (606) 282-5588 Elliott County School Clinic Main St Sandy Hook, KY 41171 (606) 738-5205 Heritage Elementary School Health Center 300 W Main St Grayson, KY 41143 (606) 474-6685 Little Sandy District Health Department 300 W Main St Grayson, KY 41143 (606) 474-4115 Olive Hill Elementary School Clinic - Carter Count 825 E Tom T Hall Blvd Olive Hill, KY 41164 (606) 282-5588 Prichard Elementary Carter County 401 E Main St Grayson, KY 41143 (606) 282-5588 West Carter County Health Center 273 Hitchins Ave Olive Hill, KY 41164 (606) 282-5588

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

West Carter Jr High School - Carter County 150 Warrior Dr Olive Hill, KY 41164 (606) 282-5588

Christian County High School 220 Glass Ave Hopkinsville, KY 42240 (270) 887-4160

North Drive Middle School 831 North Dr Hopkinsville, KY 42240 (270) 887-4160

Casey County

Christian County Middle School 210 Glass Ave Hopkinsville, KY 42240 (270) 887-4160

Pembroke Elementary 1600 Pembroke Oak Grove Rd Pembroke, KY 42266 (270) 887-4160

Crofton Elementary 12145 S Madisonville Rd Crofton, KY 42217 (270) 887-4160

Sinking Fork Elementary 5005 Princeton Rd Hopkinsville, KY 42240 (270) 887-4160

Holiday Elementary 3910 Nassau Cir Hopkinsville, KY 42240 (270) 887-4160

South Christian Elementary 12340 Herndon Oak Grove Rd Herndon, KY 42236 (270) 887-4160

Casey County Health Center 199 Adams St Liberty, KY 42539 (606) 787-6911 Casey County High School 1841 E KY 70 Liberty, KY 42539 (606) 787-6911 Casey County Middle School 1673 E KY 70 Liberty, KY 42539 (606) 787-6911 Jones Park Elementary 6295 E KY 70 Liberty, KY 42539 (606) 787-6911 Liberty Elementary Casey County 75 College St Liberty, KY 42539 (606) 787-6911 Walnut Hill Elementary School 2834 S US 127 Liberty, KY 42539 (606) 787-6911

Christian County Belmont Elementary 814 Belmont St Hopkinsville, KY 42240 (270) 887-4160 Christian Co. Day Treatment Center 141 Highland School Rd Hopkinsville, KY 42240 (270) 887-4160 Christian County Health Department 1700 Canton St Hopkinsville, KY 42240 (270) 887-4160

Hopkinsville High School 430 Koffman Dr Hopkinsville, KY 42240 (270) 887-4160 Hopkinsville Middle School 434 Koffman Dr Hopkinsville, KY 42240 (270) 887-4160 Indian Hills Elementary 313 Blane Dr Hopkinsville, KY 42240 (270) 887-4160 Lacy Elementary 12015 Greenville Rd Hopkinsville, KY 42240 (270) 887-4160 Martin Luther King Jr Elementary 14405 Martin Luther King Way Hopkinsville, KY 42240 (270) 887-4160 Millbroke Elementary 415 Millbrooke Dr Hopkinsville, KY 42240 (270) 887-4160

Clark County Central Elementary 330 Mount Sterling Rd Winchester, KY 40391 (859) 744-4482 Clark Co-Fannie Bush Elementary School 250 N Main St Winchester, KY 40391 (859) 744-4482 Clark Co-Shearer Elementary School 244 E Broadway St Winchester, KY 40391 (859) 744-4482 Clark County Health Department 400 Professional Ave Winchester, KY 40391 (859) 744-4482 Clark County Preschool 19 Wainscott Ave Winchester, KY 40391 (859) 744-4482 Clark Middle 1 Educational Plz Winchester, KY 40391 (859) 744-4482

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CoventryCares of Kentucky Conkwright Middle School 360 Mount Sterling Rd Winchester, KY 40391 (859) 744-4482

Clay County Health Center 330 Shamrock Rd Manchester, KY 40962 (606) 598-2425

George Rogers Clark High School 620 Boone Ave Winchester, KY 40391 (859) 744-4482

Cumberland Valley District Health Department 470 Manchester Square Shpg Ctr Manchester, KY 40962 (606) 598-5564

Pilot View Elementary 7501 Ironworks Rd Winchester, KY 40391 (859) 744-4482 Strode Station Elementary 2 Educational Plz Winchester, KY 40391 (859) 744-4482

Clay County Big Creek Elementary Clay County 523 N Highway 66 Oneida, KY 40972 (606) 598-2425 Clay Co Burning Springs Elem 9847 N Highway 421 Manchester, KY 40962 (606) 598-2425 Clay Co Goose Rock Fam Rs Ct 364 Highway 1524 Manchester, KY 40962 (606) 598-2425 Clay Co Middle School 239 Richmond Rd Manchester, KY 40962 (606) 598-2425 Clay Co. Health Dept. 330 Shamrock Rd Manchester, KY 40962 (606) 598-2425 Clay Co. High School 415 Clay County High Rd Manchester, KY 40962 (606) 598-2425

Hacker Elementary 84 Hooker Rd Manchester, KY 40962 (606) 598-2425 Manchester Elementary 1908 N Highway 421 Manchester, KY 40962 (606) 598-2425 Oneida Elementary 435 Newfound Rd Oneida, KY 40972 (606) 598-2425 Paces Creek Elementary 1983 S Highway 421 Manchester, KY 40962 (606) 598-2425

Clinton County Albany Elementary School 819 3rd St Albany, KY 42602 (606) 387-5711 Clinton County Health Center 131 Foothills Ave Albany, KY 42602 (606) 387-5711 Clinton County High School 650 High School Drive Albany, KY 42602 (606) 387-5711 Clinton County Middle School 169 Middle School Rd Albany, KY 42602 (606) 387-5711

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Early Childhood Center - Clinton County 204 King Dr Albany, KY 42602 (606) 387-5711

Crittenden County Crit Co Elementary Star Clinic 120 Autumn Ln Marion, KY 42064 (270) 965-5215 Crittenden Co Health Center 190 Industrial Dr Marion, KY 42064 (270) 965-5215 Crittenden Co Rocket High 519 W Gum St Marion, KY 42064 (270) 965-5215 Crittenden Co Rocket Middle 519 1/2 W Gum St Marion, KY 42064 (270) 965-5215

Cumberland County Cumberland County Elementary School Highway 90 W Burkesville, KY 42717 (270) 864-2206 Cumberland County Health Center 226 Copper Ln Burkesville, KY 42717 (270) 864-2206

Daviess County Apollo High School Health Clinic 2280 Tamarack Rd Owensboro, KY 42301 (270) 686-7744 Burns Elementary School Clinic 4514 Goetz Dr Owensboro, KY 42301 (270) 686-7744

Sorgho Elementary School Clinic 5390 Highway 56 Owensboro, KY 42301 (270) 686-7744 Tamarack Elementary School Clinic 1733 Tamarack Rd Owensboro, KY 42301 (270) 686-7744

Edmonson County

Cravens Elementary School Health Clinic 2471 Cravens Ave Owensboro, KY 42301 (270) 686-7747

Edmonson County Health Center 221 Mammoth Cave Rd Brownsville, KY 42210 (270) 597-2194

Daviess County Health Department 1600 Breckenridge St Owensboro, KY 42303 (270) 686-7744

Elliott County

Daviess County High School Health Clinic 4255 New Hartford Rd Owensboro, KY 42303 (270) 686-7744 Daviess County Middle School 1415 E 4th St Owensboro, KY 42303 (270) 686-7744 Estes Health Center 1675 Leitchfield Rd Owensboro, KY 42303 (270) 686-7744 Foust Health Center 601 Foust Ave Owensboro, KY 42301 (270) 686-7744

Cumberland County High School Highway 90 W Burkesville, KY 42717 (270) 864-2206

Green River District Health Department 1502 Breckenridge St Owensboro, KY 42303 (270) 686-7747

Cumberland County Middle School 908 N Main St Burkesville, KY 42717 (270) 864-2206

Oasis Health Center 2150 E 19th St Owensboro, KY 42303 (270) 686-7744

Elliott County Health Center David Blair Blvd Sandy Hook, KY 41171 (606) 738-5205

Estill County Estill County Health Department 365 River Dr Irvine, KY 40336 (606) 723-5181 Estill Springs Elementary 314 Main St Irvine, KY 40336 (606) 723-5181 South Irvine Elementary 1000 S Irvine Rd Irvine, KY 40336 (606) 723-5181 West Irvine Elementary 155 Riverview Rd Irvine, KY 40336 (606) 723-5181

Fayette County Ashland Elementary 195 N Ashland Ave Lexington, KY 40502 (859) 288-2483

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CoventryCares of Kentucky Athens-Chilesburg Elementary 930 Jouett Creek Dr Lexington, KY 40509 (859) 288-2483 Beaumont Elementary 2080 Georgian Way Lexington, KY 40504 (859) 288-2483 Booker T Washington Elementary School 707 Howard St Lexington, KY 40508 (859) 288-2483 Breckenridge Elementary School 2101 Saint Mathilda Dr Lexington, KY 40502 (859) 288-2483 Bryan Station High School 201 Eastin Rd Lexington, KY 40505 (859) 288-2483 Bryan Station Middle School 1865 Wickland Dr Lexington, KY 40505 (859) 288-2483 Cardinal Valley Elementary 218 Mandalay Rd Lexington, KY 40504 (859) 288-2483 Cassidy Elementary 1125 Tates Creek Rd Lexington, KY 40502 (859) 288-2483 Clays Mill Elementary 2319 Clays Mill Rd Lexington, KY 40503 (859) 288-2483 Crawford Middle 1813 Charleston Dr Lexington, KY 40505 (859) 288-2483 Deep Springs Elementary 1919 Brynell Dr Lexington, KY 40505 (859) 288-2483

Dixie Elementary 1940 Eastland Pkwy Lexington, KY 40505 (859) 288-2483

Lafayette High 401 Reed Ln Lexington, KY 40503 (859) 288-2483

Eastside Technical Enter 2208 Liberty Rd Lexington, KY 40509 (859) 381-3740

Lansdowne Elementary 336 Redding Rd Lexington, KY 40517 (859) 288-2483

Ej Hayes Middle 260 Richardson Pl Lexington, KY 40509 (859) 288-2483

Leestown Middle School 2010 Leestown Rd Lexington, KY 40511 (859) 288-2483

Fayette County Health Department 650 Newtown Pike Lexington, KY 40508 (859) 288-2483 Garden Springs Elementary 2151 Garden Springs Dr Lexington, KY 40504 (859) 288-2483 Glendover Elementary 710 Glendover Rd Lexington, KY 40502 (859) 288-2483 Henry Clay High 2100 Fontaine Rd Lexington, KY 40502 (859) 288-2483 James Lane Allen Elementary 1901 Appomattox Rd Lexington, KY 40504 (859) 288-2483 Jessie Clark Middle 3341 Clays Mill Rd Lexington, KY 40503 (859) 288-2483

Lexington Fayette County Health Department 2433 Regency Rd Lexington, KY 40503 (859) 288-2483 650 Newtown Pike Lexington, KY 40508 (859) 252-2371 805 Newtown Cir Lexington, KY 40511 (859) 288-2483 Lexington Traditional Magnet 350 N Limestone Lexington, KY 40508 (859) 288-2483 Liberty Elementary 2585 Liberty Rd Lexington, KY 40509 (859) 288-2483 Linlee Elementary 2545 Georgetown Rd Lexington, KY 40511 (859) 288-2483

Jr Ewan Elementary 350 Henry Clay Blvd Lexington, KY 40502 (859) 288-2483

Locust Trace Agriscience Farm 3591 Leestown Rd Lexington, KY 40511 (859) 381-3990

Julius Marks Elementary 3277 Pepperhill Rd Lexington, KY 40502 (859) 288-2483

Martin Luther King Jr Academy 2200 Liberty Rd Lexington, KY 40509 (859) 288-2483

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Mary Todd Elementary School 551 Parkside Dr Lexington, KY 40505 (859) 288-2483

Russell Cave Elementary School 3375 Russell Cave Rd Lexington, KY 40511 (859) 288-2483

Maxwell Spanish Immersion Mag 301 Woodland Ave Lexington, KY 40508 (859) 899-2483

Sandersville Elementary 3025 Sandersville Rd Lexington, KY 40511 (859) 288-2483

Meadowthorpe Elementary 1710 N Forbes Rd Lexington, KY 40511 (859) 288-2483

Southern Elementary 340 Wilson Downing Rd Lexington, KY 40517 (859) 288-2483

Millcreek Elementary 1212 Reva Ridge Way Lexington, KY 40517 (859) 288-2483

Southern Middle 400 Wilson Downing Rd Lexington, KY 40517 (859) 288-2483

Morton Middle 1225 Tates Creek Rd Lexington, KY 40502 (859) 288-2483

Southside Public Health Clinic 2433 Regency Rd Lexington, KY 40503 (859) 288-2483

Northern Elementary School 340 Rookwood Pkwy Lexington, KY 40505 (859) 228-2483

Southside Technical Center 1800 Harrodsburg Rd Lexington, KY 40504 (859) 381-3603

Paul Lawrence Dunbar High 1600 Man O War Blvd Lexington, KY 40513 (859) 288-2483

Squires Elementary 3337 Squire Oak Dr Lexington, KY 40515 (859) 288-2483

Picadome Elementary 1642 Harrodsburg Rd Lexington, KY 40504 (859) 288-2483 Project Aim and Rebound 710 E Main St Lexington, KY 40502 (859) 288-2483 Rosa Parks Elementary 1251 Beaumont Centre Ln Lexington, KY 40513 (859) 288-2483

Stonewall Elementary 3215 Cornwall Dr Lexington, KY 40503 (859) 288-2483 Tates Creek High School 1111 Centre Pkwy Lexington, KY 40517 (859) 288-2483 Tates Creek Middle 1105 Centre Pkwy Lexington, KY 40517 (859) 288-2483 Veterans Park Elementary 4351 Clearwater Way Lexington, KY 40515 (859) 288-2483

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CoventryCares of Kentucky Wellingtone Elementary 3280 Keithshire Way Lexington, KY 40503 (859) 381-3000

Floyd Co McDowell Elementary 366 KY Route 680 Mc Dowell, KY 41647 (606) 886-2788

South Floyd High School 299 Mt Raider Dr Hi Hat, KY 41636 (606) 886-2788

Franklin County High School Clinic 1100 E Main St Frankfort, KY 40601 (502) 564-7647

Gallatin County High School 70 Wildcat Cir Warsaw, KY 41095 (859) 567-2844

Winburn Middle School 1060 Winburn Dr Lexington, KY 40511 (859) 288-2483

Floyd Co Wheelwright Branch 155 KY Route 306 Wheelwright, KY 41669 (606) 886-2788

Wd Osborne Elementary School 43 Osborne Br Bevinsville, KY 41606 (606) 886-2788

Hearn Elementary School Clinic 300 Copperleaf Blvd Frankfort, KY 40601 (502) 564-7647

Gallatin County Lower Elementary 25 Boaz Dr Warsaw, KY 41095 (859) 567-2844

Yates Elementary 695 E New Circle Rd Lexington, KY 40505 (859) 288-2483

Floyd County Health Department 283 Goble St Prestonsburg, KY 41653 (606) 886-2788

Franklin County

Peaks Mill Elementary School Clinic 100 Peaks Mill Rd Frankfort, KY 40601 (502) 564-7647

Gallatin County Middle School 88 Pawprint Path Warsaw, KY 41095 (859) 567-2844

Fleming County Fleming County Health Department 194 Windsor Rd Flemingsburg, KY 41041 (606) 845-6511

Floyd County Adams Middle School 2520 S Lake Dr Prestonsburg, KY 41653 (606) 886-2788 Allen Central High School 442 KY Route 550 Eastern, KY 41622 (606) 886-2788 Allen Central Middle School 183 Rebel Rd Eastern, KY 41622 (606) 886-2788 Betsy Lane Elementary 256 School St Betsy Layne, KY 41605 (606) 886-2788 Betsy Lane High School 554 Bobcat Blvd Stanville, KY 41659 (606) 886-2788 Betsy Layne Otpst Clinic-Floyd 433 George Rd Betsy Layne, KY 41605 (606) 886-2788

Floyd County-Allen Family Resource Center 112 Eagle Ln Allen, KY 41601 (606) 886-2788 Floyd County-Duff Family Resource Center New Highway 80 Eastern, KY 41622 (606) 886-2788 Floyd County-May Valley Resource 481 Stephens Branch Rd Martin, KY 41649 (606) 886-2788 John M Stumbo Elementary School 6945 KY Route 979 Grethel, KY 41631 (606) 886-2788 Prestonburg Elementary School 140 Clark Dr Prestonsburg, KY 41653 (606) 886-2788 Prestonburg High School 825 Blackcat Blvd Prestonsburg, KY 41653 (606) 886-2788

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Bondurant Middle School Clinic 300 Bondurant Dr Frankfort, KY 40601 (502) 564-7647 Bridgeport Elementary School Clinic 411 Kings Daughters Dr Frankfort, KY 40601 (502) 564-7647 Collins Lane Elementary School Clinic 1 Cougar Ln Frankfort, KY 40601 (502) 564-7647 Early Learning Village 200 Laralan Ave Frankfort, KY 40601 (502) 564-7647 Elkhorn Elementary School Clinic 928 E Main St Frankfort, KY 40601 (502) 564-7647 Elkhorn Middle School Clinic 1060 E Main St Frankfort, KY 40601 (502) 564-7647 Frankfort High School 328 Shelby St Frankfort, KY 40601 (502) 564-7647

Second Street School 506 W 2nd St Frankfort, KY 40601 (502) 564-7647 Western Hills High School Clinic 100 Doctors Dr Frankfort, KY 40601 (502) 564-7647

Garrard County Garrard County Health Department 89 Farra Dr Lancaster, KY 40444 (859) 792-2153

Grant County

Westridge Elementary School Clinic 200 Pebblebrook Way Frankfort, KY 40601 (502) 564-7647

Grant County Health Center 234 Barnes Rd Williamstown, KY 41097 (859) 824-5074

Graves County

Fulton County Fulton Co Health Ctr Fulton 350 Browder St Fulton, KY 42041 (270) 472-1982 Fulton Co Health Ctr Hickman 402 Troy Ave Hickman, KY 42050 (270) 236-2825

Graves County Health Department 416 Central Ave Mayfield, KY 42066 (270) 247-3553 Mayfield Middle School 112 W College St Mayfield, KY 42066 (270) 247-3553

Grayson County

Gallatin County Gallatin County Health Center 102 W Pearl St Warsaw, KY 41095 (859) 567-2844

Grayson County Health Center 124 E White Oak St Leitchfield, KY 42754 (270) 259-3141

Franklin County Health Department 100 Glenns Creek Rd Frankfort, KY 40601 (502) 564-7647 Health Departments

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CoventryCares of Kentucky Green County Green County Family Resource Center 412 Durham St Greensburg, KY 42743 (270) 932-4341 Green County Health Center 220 Industrial Park Rd Greensburg, KY 42743 (270) 932-4341 Green County High School 302 Brummal Ave Greensburg, KY 42743 (270) 932-4341 Green County Intermediate 401 E Hodgenville Ave Greensburg, KY 42743 (270) 932-4341

South Shore Clinic 425 James E Hannah Dr Ste 2 South Shore, KY 41175 (606) 932-4546 Worthington Elementary 800 Center Ave Worthington, KY 41183 (606) 473-9838 Wurtland Elementary School 611 East St Greenup, KY 41144 (606) 473-9838 Wurtland Middle School 700 Center St Greenup, KY 41144 (606) 473-9838

Hancock County

Green County Middle School 106 Brummal Ave Greensburg, KY 42743 (270) 932-4341

Hancock County Health Center 175 Harrison St Hawesville, KY 42348 (270) 927-8803

Greensburg Elementary 100 Kidz Korner Greensburg, KY 42743 (270) 932-4341

Hancock County High School Clinic 80 State Route 271 S Lewisport, KY 42351 (270) 927-8803

Greenup County

Hancock County Middle School Health 100 State Route 271 S Lewisport, KY 42351 (270) 927-8803

Campbell Elementary 550 Rams Blvd Russell, KY 41169 (606) 473-9838 Greenup County Heatlh Department 806 Seaton Ave Ste 1 Greenup, KY 41144 (606) 473-9838 Raceland Worthington High School 500 Rams Blvd Russell, KY 41169 (606) 473-9838

North Hancock Elementary School Clinic 330 Frank Lutrell Rd Lewisport, KY 42351 (270) 927-8803 South Hancock Elementary Health Clinic 8631 State Route 69 Hawesville, KY 42348 (270) 927-8803

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Hardin County Hardin County Health Deparment 580 Westport Rd Elizabethtown, KY 42701 (270) 765-6196 Hardin County Radcliff Health Center 1463 N Wilson Rd Radcliff, KY 40160 (270) 765-6196 John Hardin High School 384 W A Jenkins Rd Elizabethtown, KY 42701 (270) 769-8906 Lincoln Trail District Health Department 108 New Glendale Rd Elizabethtown, KY 42701 (270) 769-1601

Harlan County Cawood Elementary Harlan 51 Nola St Cawood, KY 40815 (606) 589-2135 Cawood School 279 Ball Park Rd Harlan Hd School Based Clinic Harlan, KY 40831 (606) 589-2135 Greenhills Elementary 123 W Highway 221 Bledsoe, KY 40810 (606) 589-2135 Harlan Co Black Mt Elem 1555 Highway 215 Evarts, KY 40828 (606) 589-2135 Harlan Co Cumberland Elem 322 Golf Course Rd Cumberland, KY 40823 (606) 589-2135

Harlan Co Evarts Elementary Sc 132 Keister St Evarts, KY 40828 (606) 589-2135

Harrison Co Middle School 269 Education Dr Cynthiana, KY 41031 (859) 234-2842

Harlan Co High School 4000 N US Highway 119 Baxter, KY 40806 (606) 589-2135

Northside Elementary School 2415 US Highway 27 N Cynthiana, KY 41031 (859) 234-2842

Harlan Co Hlth Ctr Lynch 1520 E Main St Tri-Cities Branch Cumberland, KY 40823 (606) 589-2135 Harlan Co. Health Dept. 402 E Clover St Harlan, KY 40831 (606) 573-4820

Harlan Independent School 420 E Central St Harlan, KY 40831 (606) 589-2135

Harrison Co Health Center 364 Oddville Ave Cynthiana, KY 41031 (859) 234-2842

Caverna 6-12 2278 S Dixie St Horse Cave, KY 42749 (270) 651-8321 Hart County Health Center 505 Fairgrounds Rd Munfordville, KY 42765 (270) 524-2511

Henderson County

Rosspoint Elementary 132 Highway 522 Baxter, KY 40806 (606) 589-2135

Harrison County

West Side Elementary 1585 KY Highway 356 Cynthiana, KY 41031 (859) 234-2842

Hart County

Harlan County Health Center 402 E Clover St Harlan, KY 40831 (606) 589-2135

Wallins Elementary Resouce Ct 993 Highway 219 Wallins, KY 40873 (606) 589-2135

South Side Elementary 106 Education Dr Cynthiana, KY 41031 (859) 234-2842

Henderson County Health Center 472 Klutey Park Plaza Dr Henderson, KY 42420 (270) 826-3951 Henderson North Jr High 1707 2nd St Henderson, KY 42420 (270) 826-3951 Jefferson Elementary School Clinic 315 Jackson St Henderson, KY 42420 (270) 826-3951

Harrison Co High School 320 Webster Ave Cynthiana, KY 41031 (859) 234-8750

Health Departments

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CoventryCares of Kentucky South Heights Elementary School Clinic 1199 Madison St Henderson, KY 42420 (270) 826-3951 South Middle Health Clinic 800 S Alves St Henderson, KY 42420 (270) 826-3951 Thelma B Johnson Early Learning Health Clinic 631 N Elm St Henderson, KY 42420 (270) 686-7747

Henry County Henry County Health Center 125 N Property Rd New Castle, KY 40050 (502) 845-2882

Hickman County Hickman Co Health Center 370 S Washington St Clinton, KY 42031 (270) 653-6110 Hickman Co High School 301 E Cresap St Clinton, KY 42031 (270) 653-6110 Hickman Elementary Sch Clinic 416 McMorris St Clinton, KY 42031 (270) 653-6110

Hopkins County

Grapevine Elementary School 1150 Hayes Ave Madisonville, KY 42431 (270) 821-5242

Southside Elementary School 9220 Hopkinsville Rd Nortonville, KY 42442 (270) 821-5242

Hanson Elementary School 121 Veterans Dr Hanson, KY 42413 (270) 821-5242

West Broadway Elementary School 127 W Broadway St Madisonville, KY 42431 (270) 821-5242

Jeff Co - Neighborhood Place - Sw 4443 Cane Run Rd Ste 200 Louisville, KY 40216 (502) 937-7277

Hopkins Co Central High School 6625 Hopkinsville Rd Madisonville, KY 42431 (270) 821-5242

West Hopkins Accelerated School 2700 Rabbit Ridge Rd Nebo, KY 42441 (270) 821-5242

Jeff Co Communicative Disord 400 E Gray St Louisville, KY 40202 (502) 937-7277

Neighborhood Place South Center 4255 Hazelwood Ave Louisville, KY 40215 (502) 937-7277

Hopkins Co School Base Clinic 317 Eli St Dawson Springs, KY 42408 (270) 821-5242

Jackson County

Jefferson Co Lead Program 315 E Broadway Louisville, KY 40202 (502) 937-7277

Neighborhood Place TJ Middle School 4401 Rangeland Rd Louisville, KY 40219 (502) 937-7277

400 E Gray St Louisville, KY 40202 (502) 937-7277

Newburg Health Center 4810 Exeter Ave Louisville, KY 40218 (502) 937-7277

Hopkins County Health Department 412 N Kentucky Ave Madisonville, KY 42431 (270) 821-5242 James Madison Middle School 510 Brown Rd Madisonville, KY 42431 (270) 821-5242 Jesse Stuart Elementary School 1710 Anton Rd Madisonville, KY 42431 (270) 821-5242 Madisonville - North Hopkins High School 4515 Hanson Rd Madisonville, KY 42431 (270) 821-5242

Browning Springs Middle School 357 W Arch St Madisonville, KY 42431 (270) 821-5242

Pride Avenue Elementary School 861 Pride Ave Madisonville, KY 42431 (270) 821-5242

Earlington Elementary School 229 W Thompson St Earlington, KY 42410 (270) 821-5242

South Hopkins Middle School 9140 Hopkinsville Rd Nortonville, KY 42442 (270) 821-5242

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Jackson Co High School 3331 Highway 421 N Mc Kee, KY 40447 (606) 287-8421 Jackson Co McKee Elem 1005 Highway 89 N Mc Kee, KY 40447 (606) 287-8421 Jackson Co Middle School 139 Highway 587 Mc Kee, KY 40447 (606) 287-8421 Jackson County Health Center Highway 421 McKee, KY 40447 (606) 287-8421 Tyner Elementary 1340 Highway 30 W Tyner, KY 40486 (606) 287-8421

Jefferson County Bridges of Hope Neighborhood 1411 Algonquin Pkwy Louisville, KY 40210 (502) 937-7277 Dixie Health Center 7219 Dixie Hwy Louisville, KY 40258 (502) 937-7277

Fam Hlth Ctr Portland 2215 Portland Ave Louisville, KY 40212 (502) 937-7277

L & N Neighborhood Place 908 W Broadway Louisville, KY 40203 (502) 937-7277

Neighborhood Place So Jeffers 1000 Neighborhood Pl Fairdale, KY 40118 (502) 937-7277

Speciality Clinic 850 Barret Ave Louisville, KY 40204 (502) 937-7277

Louisville Metro Health Department 400 E Gray St Louisville, KY 40202 (270) 887-4160

Tapp Southpark 9110 National Tpke Fairdale, KY 40118 (502) 937-7277

Middletown Health Center 200 Juneau Dr Louisville, KY 40243 (502) 937-7277

Tapp Westport 8800 Westport Rd Louisville, KY 40242 (502) 937-7277

Neighborhood Place Ujima 3500 Bohne Ave Louisville, KY 40211 (502) 937-7277 Neighborhood Place East 810 Barret Ave Louisville, KY 40204 (502) 937-7277

Neighborhood Place Northwest 4018 W Market St Louisville, KY 40212 (502) 937-7277

Jessamine County Jessamine County Health Department 215 E Maple St Nicholasville, KY 40356 (859) 885-4149

Johnson County Central Elementary 1715 Euclid Ave Paintsville, KY 41240 (606) 789-2590

Health Departments

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CoventryCares of Kentucky Flat Gap Elementary 1450 KY Route 689 Flatgap, KY 41219 (606) 789-2590 Johnson Central High School 257 N Mayo Trl Paintsville, KY 41240 (606) 789-2590 Johnson County Health Department 630 James Trimble Blvd Paintsville, KY 41240 (606) 789-2590 Johnson County Middle School 251 N Mayo Trl Paintsville, KY 41240 (606) 789-2590 Meade Memorial Elementary 8446 KY Route 40 E Williamsport, KY 41271 (606) 789-2590 Paintsville City School 325 2nd St Paintsville, KY 41240 (606) 789-2590 Paintsville High School 225 2nd St Paintsville, KY 41240 (606) 789-2590 Porter Elementary School 7210 S KY Route 321 Hagerhill, KY 41222 (606) 789-2590 W R Castle Elementary 3936 N US Highway 23 Wittensville, KY 41274 (606) 789-2590

Northern KY Ind District Health Department 610 Medical Village Dr Ft Mitchell, KY 41017 (859) 341-4264

Knott County Beaver Creek Elementary School Knott County 8000 Highway 7 S Topmost, KY 41862 (606) 785-3144 Beaver Head Start Knott County 8022 Highway 7 S Topmost, KY 41862 (606) 785-3144 Carr Creek Elementary School Knott County 8596 Highway 160 S Littcarr, KY 41834 (606) 785-3144 Colson Headstart Letcher County 125 Carr Creek Hl Redfox, KY 41847 (606) 633-2945 Cordia High Elem School Knott County 6050 Lotts Creek Rd Hazard, KY 41701 (606) 785-3144 Cowan Headstart Letcher County 125 Carr Creek Hl Redfox, KY 41847 (606) 633-2945

Kenton County

Emmalena Elementary School - Knott County 8343 Highway 550 W Emmalena, KY 41740 (606) 785-3144

Kenton County Health Center 2002 Madison Ave Covington, KY 41014 (859) 431-4355

Hindman Elementary School 875 West Main Street Hindman, KY 41822 (606) 785-3144

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

James Still Learning Center Knott County 254 Highway 160 S Hindman, KY 41822 (606) 785-3144 Jenkins Headstart Letcher County 125 Carr Creek Hl Redfox, KY 41847 (606) 633-2945 Jones Fork Elementary School - Knott County 9795 Highway 550 E Mousie, KY 41839 (606) 785-3144 Knott Co Central High School 76 Patriot Ln Hindman, KY 41822 (606) 785-3144 Knott County Avec 1966 Highway 160 S Hindman, KY 41822 (606) 785-3144 Knox County Health Center 880 West Main Street Hindman, KY 41822 (606) 785-3144 Mayking Headstart Letcher County 125 Carr Creek Hl Redfox, KY 41847 (606) 633-2945 Mt Heritage Headstart Letcher County 125 Carr Creek Hl Redfox, KY 41847 (606) 633-2945 Perkins Head Start Center Knott County 238 Highway 160 S Hindman, KY 41822 (606) 785-3144 Pippa Passes Head Start Knott County 6766 Highway 899 Pippa Passes, KY 41844 (606) 785-3144

Knox County Appalachian Childrens Home 1909 KY 3439 Barbourville, KY 40906 (606) 546-3486 Barbourville Independent School 140 School St Barbourville, KY 40906 (606) 546-3486 Dewitt Elementary School Hwy 223 Dewitt, KY 40930 (606) 546-3486 Flat Lick Elementary School 110 KY 3085 Flat Lick, KY 40935 (606) 546-3486 G R Hampton 60 KY 3441 Barbourville, KY 40906 (606) 546-3486

Lay Elementary School 220 N Allison Ave Barbourville, KY 40906 (606) 546-3486 Lynn Camp High School 100 N KY 830 Corbin, KY 40701 (606) 546-3486

Larue County Larue County Health Center 215 E Main St Hodgenville, KY 42748 (270) 358-3844

Laurel County Bush Elementary School 1382 E Laurel Rd London, KY 40741 (606) 878-7754 1832 E Laurel Rd London, KY 40741 (606) 878-7754 Campground Elementary School 6800 Barbourville Rd London, KY 40744 (606) 878-7754

Girdler Elementary School Hwy 11 North Girdler, KY 40943 (606) 546-3486 Knox Central Elementary School 1000 KY 3439 Barbourville, KY 40906 (606) 546-3486 Knox Central High School 311 N Main St Barbourville, KY 40906 (606) 546-3486 Knox Co Health Dept 261 Hospital Dr Barbourville, KY 40906 (606) 546-3486 Knox County Middle School 311 N Main St Barbourville, KY 40906 (606) 546-3486

Cold Hill Elementary School 4012 W Laurel Rd London, KY 40741 (606) 878-7754 Colony Elementary School 3656 Somerset Rd London, KY 40741 (606) 878-7754 East Bernstadt Elementary School 229 School St East Bernstadt, KY 40729 (606) 878-7754

Health Departments

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CoventryCares of Kentucky Hazel Freen Elementary School 2515 Highway 1394 East Bernstadt, KY 40729 (606) 878-7754 Hunter Hills Elementary School 8325 S US Highway 25 Corbin, KY 40701 (606) 878-7754 Johnson Elementary School 1781 McWhorter Rd London, KY 40741 (606) 878-7754 Keavy Elementary School 598 W Highway 312 Keavy, KY 40737 (606) 878-7754 Laurel County Health Department 525 Whitley St London, KY 40741 (606) 878-7754 London Elementary School 600 N Main St London, KY 40741 (606) 878-7754 North Laurel High School 1300 E Hal Rogers Pkwy London, KY 40741 (606) 878-7754 North Laurel Middle School 101 Johnson Rd London, KY 40741 (606) 878-7754 South Laurel High School 201 S Laurel Rd London, KY 40744 (606) 878-7754 South Laurel Middle School 223 S Laurel Rd London, KY 40744 (606) 878-7754

Sublimity Elementary School 900 Sublimity School Rd London, KY 40744 (606) 878-7754

Lee County Health Center 45 Center St Beattyville, KY 41311 (606) 464-2492

Wyan-Pine Elementary School 2330 Keavy Rd London, KY 40744 (606) 878-7754

Lee County High Middle School 599 Lee Ave Beattyville, KY 41311 (606) 464-2492

Lawrence County

Southside Elementary School Lee County 1700 Highway 11 S Beattyville, KY 41311 (606) 464-2492

Fallsburg Elementary School 6869 N Highway 3 Louisa, KY 41230 (606) 638-4389

Leslie County

Lawrence County Health Department 1080 Meadowbrook Ln Route 2 Louisa, KY 41230 (606) 638-4389

Hayes Lewis Elementary School Leslie County 10130 Cutshin Rd Yeaddiss, KY 41777 (606) 672-2393

Lawrence County High School 100 Bulldog Ln Louisa, KY 41230 (606) 638-4389

Hyden Elementary School Leslie County 160 Maple St Hyden, KY 41749 (606) 672-2393

Louisa Lower Elementary School 201 S Boone St Louisa, KY 41230 (606) 638-4389

Leslie County Health Center 78 Maple St Hyden, KY 41749 (606) 672-2393

Louisa Middle School 9 Bulldog Ln Louisa, KY 41230 (606) 638-4389

Leslie County High School 25 Eagle Ln Hyden, KY 41749 (606) 672-2393

Louisa Upper Elementary School 235 Powhatton Street Louisa, KY 41230 (606) 638-4389

Lee County Beattyville Elementary School Lee County 144 Broadway St Beattyville, KY 41311 (606) 464-2492

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Leslie County Middle School 27 Eagle Ln Hyden, KY 41749 (606) 672-2393 Wb Muncy Elementary School Leslie County 140 Pirate Dr Wooton, KY 41776 (606) 672-2393

Letcher Elementary School Letcher County 435 Cougar Dr Whitesburg, KY 41858 (606) 633-2945

Letcher County Arlie Boggs Elementary School Letcher County 1099 Highway 806 Eolia, KY 40826 (606) 633-2945 Beckham Bates Elementary School Letcher County 6868 Highway 7 N Whitesburg, KY 41858 (606) 633-2945 Burdine Elementary School 11497 HWY 805 Burdine, KY 41517 (606) 439-2361 Cown Elementary School Letcher County 3125 Highway 931 S Whitesburg, KY 41858 (606) 633-2945 Fleming Neon Elementary School Letcher County 50 2nd St Neon, KY 41840 (606) 633-2945

Martha Jane Portter Elem School Letcher County 55 Kona Dr Whitesburg, KY 41858 (606) 633-2945 McRoberts Elementary Letcher County B Ball Drive McRoberts, KY 41835 (606) 633-5945 West Whitesburg Elem School Letcher County 366 Parks St Whitesburg, KY 41858 (606) 633-2945 Whitesburg Middle School Letcher County 366 Parks St Whitesburg, KY 41858 (606) 633-2945

Lewis County

Jenkins Middle High School Letcher County 269 Highway 3086 Jenkins, KY 41537 (606) 633-2945 Letcher Co Area Technology Ctr 185 Circle Dr Whitesburg, KY 41858 (606) 633-2945 Letcher County Central High School 435 Cougar Dr Whitesburg, KY 41858 (606) 633-2945 Letcher County Health Center 115 E Main St Whitesburg, KY 41858 (606) 633-2945

Garrison Elementary School 79 Garrison Elementary Garrison, KY 41141 (606) 796-2632 Laurel Elementary School Highway 59 Vanceburg, KY 41179 (606) 796-2632 Lewis County Central Elementary 86 Walter St Vanceburg, KY 41179 (606) 796-2632 Lewis County Health Department 905 Fairlane Dr Vanceburg, KY 41179 (606) 796-2632

Health Departments

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CoventryCares of Kentucky Lewis County High School 96 Plummers Ln Vanceburg, KY 41179 (606) 796-2632

Lloyd McGuffey 6th Grade Center 342 Education Way Stanford, KY 40484 (606) 365-3106

Lewis County Middle School 51 Middle School Lane Vanceburg, KY 41179 (606) 796-2632

McKinney Elementary 3425 KY Highway 198 W Mc Kinney, KY 40448 (606) 365-3106

Tollesboro Elementary School 2431 W KY 10 Tollesboro, KY 41189 (606) 796-2632

Stanford Elementary 101 Old Fort Rd Stanford, KY 40484 (606) 365-3106

Lincoln County Crab Orchard Elementary 137 Lancaster St Crab Orchard, KY 40419 (606) 365-3106 Fort Logan High (Alternative) 305 Danville Ave Stanford, KY 40484 (606) 365-3106

Waynesburg Elementary 345 KY Highway 328 W Waynesburg, KY 40489 (606) 365-3106

Livingston County Livingston County Health Center 124 State Street Smithland, KY 42081 (270) 928-2193

Highland Elementary 75 Tick Ridge Rd Waynesburg, KY 40489 (606) 365-3106

Livingston County High School Clinic 750 US Highway 60 W Smithland, KY 42081 (270) 928-2193

Hustonville Elementary 93 College St Hustonville, KY 40437 (606) 365-3106

North Livingston Co Cardinal Clinic 1370 US Highway 60 E Burna, KY 42028 (270) 928-2193

Lincoln Co High School 60 Education Way Stanford, KY 40484 (606) 365-3106

South Livingston Co Elementary Mustang Clinic 850 Cutoff Rd Smithland, KY 42081 (270) 928-2193

Lincoln Co Middle School 285 Education Way Stanford, KY 40484 (606) 365-3106 Lincoln County Health Department 44 Health Way Stanford, KY 40484 (606) 365-3106

Logan County Adairville Elementary 226 School St Adairville, KY 42202 (270) 726-8341 Auburn Elementary 221 College St Auburn, KY 42206 (270) 726-8341

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Chandlers Elementary 6000 Morgantown Rd Russellville, KY 42276 (270) 726-8341 Lewisburg Elementary 750 Stacker St Lewisburg, KY 42256 (270) 726-8341 Logan County Health Center 151 S Franklin St Russellville, KY 42276 (270) 726-8341 Logan County High 2200 Bowling Green Rd Russellville, KY 42276 (270) 726-8341 Olmstead Elementary 1170 Olmstead Rd Olmstead, KY 42265 (270) 726-8341 R E Stevenson Elementary 1000 N Main St Russellville, KY 42276 (270) 726-8341 Russellville 7-12 1101 W 9th St Russellville, KY 42276 (270) 726-8341

Lyon County Lyon County Elementary School Clin 201 W Fairview Ave Eddyville, KY 42038 (270) 388-9763 Lyon County Health Center 211 W Fairview Ave Eddyville, KY 42038 (270) 388-9763 Lyon County High School Clinic 209 W Fairview Ave Eddyville, KY 42038 (270) 388-9763

Lyon County Middle School Clinic 111 W Fairview Ave Eddyville, KY 42038 (270) 388-9763

Madison Central High School 705 N 2nd St Richmond, KY 40475 (859) 623-7312

Madison County

Madison Co Health Department/Diabetes Center Excel 2005 Corporate Dr Richmond, KY 40475 (859) 623-7312

Clark-Moores Middle School 1143 Berea Rd Richmond, KY 40475 (859) 623-7312

Madison Co-Berea Community School 1 Pirate Pkwy Berea, KY 40403 (859) 623-7312

Daniel Boone Elementary School Madison 710 N 2nd St Richmond, KY 40475 (859) 623-7312

Madison Co-Kirksville Elementary 664 Kirksville Rd Richmond, KY 40475 (859) 623-7312

Farristown Middle School 751 Farristown Industrial Dr Berea, KY 40403 (859) 623-7312

Madison Co-Silver Creek Elementary 75 Old US 25 N Berea, KY 40403 (859) 623-7312

Foley Middle School 275 Glades Rd Berea, KY 40403 (859) 623-7312

Madison County Health Department 216 Boggs Ln Richmond, KY 40475 (859) 623-7312

Glenn Marshall Elementary Richmond 1442 Dr Robert R Martin Byp Richmond, KY 40475 (859) 623-7312 Jb Michael Caudill Middle School 1428 Robert R Martin Bypass Richmond, KY 40475 (859) 623-7312 Kit Carson Elementary School - Madison 450 Tates Creek Rd Richmond, KY 40475 (859) 623-7312 Madison - Kingston Elementary School 329 Big Hill Rd Berea, KY 40403 (859) 623-7312

Madison Co-Waco Elementary 359 Waco Loop Rd Waco, KY 40385 (859) 623-7312 Madison Middle School 101 Summit St Richmond, KY 40475 (859) 623-7312 Madison Southern High School 279 Glades Rd Berea, KY 40403 (859) 623-7312 Madison-Berea Co Health Department 1001 Ace Dr Berea, KY 40403 (859) 623-7312

Health Departments

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CoventryCares of Kentucky Mayfield Elementary School - Madison 300 Bond St Richmond, KY 40475 (859) 623-7312 Richmond Head Start 301 Bellevue Dr Richmond, KY 40475 (859) 623-7312 Shannon Johnson Elementary School 109 Oakwood Dr Berea, KY 40403 (859) 623-7312 White Hall Elementary School - Madison 2166 Lexington Rd Richmond, KY 40475 (859) 623-7312

Magoffin County Mag Co-Salyersville Grade School 204 Hornet Dr Salyersville, KY 41465 (606) 349-6212 Mag-Co Herald Whitaker Middle School 221 Hornet Dr Salyersville, KY 41465 (606) 349-6212 Magoffin Co High School 201 Hornet Dr Salyersville, KY 41465 (606) 349-6212 Magoffin County Health Department 132 E Mountain Pkwy Salyersville, KY 41465 (606) 349-6212 North Magoffin Elementary School 1991 Highway 460 W Salyersville, KY 41465 (606) 349-6212 South Magoffin Elementary 171 Half Mountain Rd Salyersville, KY 41465 (606) 349-6212

Marion County

Martin County

Marion County Health Center 516 N Spalding Ave Lebanon, KY 40033 (270) 692-3393

Eden Elementary School Clinic 67 W Eden Ln Inez, KY 41224 (606) 298-7752

Marshall County

Inez Elementary School Health Clinic 5000 Elementary Dr Inez, KY 41224 (606) 298-7752

Benton Elementary School 208 W 11th St Benton, KY 42025 (270) 527-1496 Calvert City Elementary School 563 E 5th Ave Calvert City, KY 42029 (270) 527-1496 Central Elementary School 3064 US Highway 641 N Benton, KY 42025 (270) 527-1496 Marshall County Health Center 307 E 12th St Benton, KY 42025 (270) 527-1496 Marshall County High School Us Highway 61 N Benton, KY 42025 (270) 527-1496 Marshall County South Middle School 85 Sid Darnall Rd Benton, KY 42025 (270) 527-1496 Sharpe Elementary School 8400 US Highway 68 W Benton, KY 42025 (270) 527-1496 South Marshall Elementary School 155 Sid Darnall Rd Benton, KY 42025 (270) 527-1496

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Inez Middle School Health Clinic 5001 Middle School Dr Inez, KY 41224 (606) 298-7752

Mason County High School 1320 US Highway 68 Maysville, KY 41056 (606) 564-9447

McCreary County

Mason County Intermediate School 1110 Forest Ave Maysville, KY 41056 (606) 564-9447 Mason County Middle School 1320 US Highway 68 Maysville, KY 41056 (606) 564-9447

McCracken County

Martin County Health Department 136 Rockcastle Rd Inez, KY 41224 (606) 298-7752

Clark Elementary School 3401 Buckner Ln Paducah, KY 42001 (270) 444-9631

Sheldon Clark High School Health Clinic 1825 Blacklog Rd Inez, KY 41224 (606) 298-7752

Concord Elementary 5184 Hinkleville Rd Paducah, KY 42001 (270) 444-9631

Warfield Elementary School 33 Warfield Elementary Loop Warfield, KY 41267 (606) 298-7252 Warfield Middle School Clinic 130 Warfield Middle School Rd Warfield, KY 41267 (606) 298-7752

Mason County Buffalo Trace District Health Department 207 Court St Maysville, KY 41056 (606) 564-9447 Mason County Health Center 130 E 2nd St Maysville, KY 41056 (606) 564-9447

McCracken County Health Center 916 Kentucky Ave Paducah, KY 42003 (270) 444-9631

McCreary Central High School 400 Raider Way Stearns, KY 42647 (606) 376-2412 McCreary County Health Center 119 Medical Ln Whitley City, KY 42653 (606) 376-2412 119 Medical Ln Whitley City, KY 42653 (606) 376-8775 McCreary Intermediate School 6519 S Highway 1651 Pine Knot, KY 42635 (606) 376-2412 McCreary Middle School 180 Raider Way Stearns, KY 42647 (606) 376-2412 McCreary Primary School 119 E Highway 92 Pine Knot, KY 42635 (606) 376-2412 Whitley City Elementary-McCreary 2819 N Highway 27 Whitley City, KY 42653 (606) 376-2412

McNabb Elementary School 2100 Park Ave Paducah, KY 42001 (270) 444-9631

McLean County

Morgan Elementary School 2200 S 28th St Paducah, KY 42003 (270) 444-9631

Calhoun Elementary Health Clinic 755 Main St Calhoun, KY 42327 (270) 273-3062

Paducah-McCracken Co H Cntr 916 Kentucky Ave Paducah, KY 42003 (270) 444-9631

Livermore Elementary School 110 8th Street Livermore, KY 42352 (270) 273-3062

Health Departments

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CoventryCares of Kentucky McLean County Health Center 200 State Route 81 N Ste 101 Calhoun, KY 42327 (270) 273-3062 Sacramento Elementary School 640 Main St Sacramento, KY 42372 (270) 273-3062

Meade County Meade County Health Center 520 Hillcrest Dr Brandenburg, KY 40108 (270) 422-3988

Menifee County Menifee - Botts Elementary School 6882 US Highway 460 E Denniston, KY 40316 (606) 768-2151 Menifee County Elementary School 45 Indian Creek Rd Frenchburg, KY 40322 (606) 768-2151 Menifee County Health Center 1919 Main St Frenchburg, KY 40322 (606) 768-2151 Menifee County High Middle School 59 Indian Creek Rd Frenchburg, KY 40322 (606) 768-2151

Metcalfe County Edmonton Elementary School 104 Hornet Ave Edmonton, KY 42129 (270) 432-3214 Metcalfe Co Health Center 615 W Stockton St Edmonton, KY 42129 (270) 432-3214 Metcalfe County High School 208 Randolph St Edmonton, KY 42129 (270) 432-3214 Metcalfe County Middle School 100 Hornet Ave Edmonton, KY 42129 (270) 432-3214 North Metcalfe Elementary School 1815 N Metcalf School Rd Edmonton, KY 42129 (270) 432-3214 Summer Shade Elementary School 235 Nobob Summer Shade Rd Summer Shade, KY 42166 (270) 432-3214

Monroe County

Mercer County

Gamaliel Elementary School 320 E Main St Gamaliel, KY 42140 (270) 487-6782

Burgin Independent School 440 East Main St Harrodsburg, KY 40330 (859) 734-4522

Joe Harrison Carter 3888 Edmonton Rd Tompkinsville, KY 42167 (270) 487-6782

Mercer County Health Department 900 N College St Harrodsburg, KY 40330 (859) 734-4522

Monroe County Health Department 452 E 4th St Tompkinsville, KY 42167 (270) 487-6782

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Monroe County Middle School 600 S Main St Tompkinsville, KY 42167 (270) 487-6782

Montgomery County Intermediate School 1040 Maysville Rd Mount Sterling, KY 40353 (859) 498-3808

Morgan Middle School Adolescent Health Unit 5991 Highway 191 West Liberty, KY 41472 (606) 743-3744

Tompkinsville Elementary Schoo 420 Elementary School Rd Tompkinsville, KY 42167 (270) 487-6782

Mt Sterling Elementary School 6601 Indian Mound Rd Mount Sterling, KY 40353 (859) 498-3808

Muhlenberg County

Montgomery County Camargo Elementary School 4307 Camargo Rd Mount Sterling, KY 40353 (859) 498-3808 Jb McNabb Middle School 3570 Indian Mound Dr Mount Sterling, KY 40353 (859) 498-3808 Mapleton Elementary School 809 Indian Mound Dr Mount Sterling, KY 40353 (859) 498-3808 Montgomery Co High School 724 Woodford Dr Mount Sterling, KY 40353 (859) 498-3808 Montgomery County Early Learning Center 212 N Maysville St Mount Sterling, KY 40353 (859) 498-3808 Montgomery County Health Department 117 Civic Ctr Mount Sterling, KY 40353 (859) 498-3808

Morgan County East Valley Elementary School Morgan 9199 Highway 172 West Liberty, KY 41472 (606) 743-3744 Ezel Elementary School 31 Walnut St Highway 460 Ezel, KY 41425 (606) 743-3744 Morgan Central Elementary 3201 Highway 460 W West Liberty, KY 41472 (606) 743-3744 Morgan County Health Center 493 Riverside Dr West Liberty, KY 41472 (606) 743-3744 Morgan County High School 150 Road To Success West Liberty, KY 41472 (606) 743-3744 Morgan County West Liberty Elementary School 717 Liberty Rd West Liberty, KY 41472 (606) 743-3744

Bremen Consolidated School 5000 Main St Bremen, KY 42325 (270) 754-4671 Central City Elementary 1501 N 2nd St Central City, KY 42330 (270) 754-4671 Greenville Elementary 201 E Main Cross St Greenville, KY 42345 (270) 754-4671 Longest Elementary 1020 N Main St Greenville, KY 42345 (270) 754-4671 Muhlenberg County Health Department 105 Legion Dr Central City, KY 42330 (270) 754-4671 North High School 501 Highway 189 Byp Greenville, KY 42345 (270) 754-4671 North Middle School 1000 N Main St Greenville, KY 42345 (270) 754-4671 South Elementary 200 Pritchett Dr Greenville, KY 42345 (270) 754-4671 South High School 2900 State Route 176 Greenville, KY 42345 (270) 754-4671

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CoventryCares of Kentucky South Middle School 3300 US Highway 431 S Beechmont, KY 42323 (270) 754-4671

Nelson County Nelson County Health Center 325 S 3rd St Bardstown, KY 40004 (502) 358-3222

Nicholas County Nicholas County Health Center 2320 Concrete Rd Carlisle, KY 40311 (859) 289-2188 Wedco District Health Department 2320 Concrete Rd Carlisle, KY 40311 (859) 289-2188

Ohio County Beaver Dam Elementary School 183 US Highway 62 E Beaver Dam, KY 42320 (270) 298-3663 Fordsville Elementary School 359 W Main St Fordsville, KY 42343 (270) 298-3663 Horse Branch Elementary School 11980 US Highway 62 E Horse Branch, KY 42349 (270) 298-3663 Ohio County Health Center 1336 Clay St Hartford, KY 42347 (270) 298-3663 Ohio County High School Adolescent Health Care Uni 1400 S Main St Hartford, KY 42347 (270) 298-3663

Ohio County Middle School 1404 S Main St Hartford, KY 42347 (270) 298-3663

Owen County Primary School 1925 Highway 22 E Owenton, KY 40359 (502) 484-5736

Pendleton County High School 2359 US Highway 27 N Falmouth, KY 41040 (859) 654-6985

Southern Elementary School 3836 US Highway 231 S Beaver Dam, KY 42320 (270) 298-3663

Three Rivers District Health Department 510 S Main St Owenton, KY 40359 (502) 484-3412

Pendleton County Middle School 35 Wright Rd Butler, KY 41006 (859) 654-6985

Wayland Elementary Health Clinic 1250 Oakwood Dr Hartford, KY 42347 (270) 298-3663

Owsley County

Perry County

Owsley Co Elementary School Ky HWY 28 Booneville, KY 41314 (606) 593-5181

Ab Combs Elementary School Perry County 541 W KY Highway 80 Combs, KY 41729 (606) 439-2361

Oldham County

Owsley Co Headstart Early Headstart Hwy 28 East Booneville, KY 41314 (606) 593-5181

Big Creek Elementary School Perry County 47 Big Creek Rd Hazard, KY 41701 (606) 439-2361

Oldham County Health Department 1786 Commerce Pkwy La Grange, KY 40031 (502) 222-3516

Owsley County Health Center Highway 28 Booneville, KY 41314 (606) 593-5181

Buckhorn Elementary School Perry County 18392 KY Highway 28 Buckhorn, KY 41721 (606) 439-2361

Owen County

Owsley County Middle High School Hwy 28 Shepherds Lane Booneville, KY 41314 (606) 593-5181

Buckhorn High School Perry County 19392 KY Highway 28 Buckhorn, KY 41721 (606) 439-2361

Pendleton County

Chavies Elementary School Perry County 250 Chavies School Rd Chavies, KY 41727 (606) 439-2361

Western Elementary School 4008 State Route 85 E Centertown, KY 42328 (270) 298-3663

Maurice Bowling Middle School 1960 Highway 22 E Owenton, KY 40359 (502) 484-5736 Owen County Elementary School 1945 Highway 22 E Owenton, KY 40359 (502) 484-5736

Pendleton County Elementary School 925 KY Highway 177 E Butler, KY 41006 (859) 654-6985

Owen County Health Center 1005 Highway 22 E Owenton, KY 40359 (502) 484-5736

Pendleton County Elementary School South 900 Woodson Rd Falmouth, KY 41040 (859) 654-6985

Owen County High School 2340 Highway 22 E Owenton, KY 40359 (502) 484-5736

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Pendleton County Health Center 329 KY Highway 330 W Falmouth, KY 41040 (859) 654-6985

Dennis Wooten Elementary School Perry County 41 Runway Ave Hazard, KY 41701 (606) 439-2361 Hazard High School Perry County 157 Bulldog Ln Hazard, KY 41701 (606) 439-2361

Chavies Headstart Perry County 3380 KY HWY 28 Chavies, KY 41727 (606) 439-2361 Community Headstart Perry County 313 3rd St Hazard, KY 41701 (606) 439-2361

Kentucky River District Health Department 441 Gorman Hollow Rd Hazard, KY 41701 (606) 439-2361 Leatherwood Elementary School Perry County 7777 KY Highway 699 Leatherwood, KY 41731 (606) 439-2361 Little Folks Headstart Perry County 8851 KY HWY 451 Yerkes, KY 41778 (606) 439-2361 Lost Creek Elementary School Perry County 3134 Sixteenmile Creek Rd Hazard, KY 41701 (606) 439-2361 Perry Co Central High School 305 Perry Avenue Hazard, KY 41701 (606) 439-2361 Perry County Health Center 239 Lovern St Hazard, KY 41701 (606) 439-2361 Robinson Elementary School Perry County 3311 Pigeonroost Rd Ary, KY 41712 (606) 439-2361

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CoventryCares of Kentucky Roy G Eversole Elem School Perry County 325 Broadway St Hazard, KY 41701 (606) 439-2361 Rw Combs Elementary School Perry County 9165 S KY Highway 15 Happy, KY 41746 (606) 439-2361 Viper Elementary School Perry County 20 Eddington Ln Viper, KY 41774 (606) 439-2361 Walkertown Elementary School Perry County 325 School St Hazard, KY 41701 (606) 439-2361 Willard Elementary School Perry County 625 Big Willard Rd Busy, KY 41723 (606) 439-2361

Pike County Belfry High School 27678 US Highway 119 N Belfry, KY 41514 (606) 437-5500 Belfry Middle School Pike Co 25259 US Highway 119 N Belfry, KY 41514 (606) 437-5500 Blackberry Elementary 40 Big Blue Springs Rd Ransom, KY 41558 (606) 437-5500 Dorton Elementary 217 Dorton Jenkins Highway Dorton, KY 41520 (606) 437-5500

East Ridge High School 19471 Lick Mountain Rd Lick Creek, KY 41540 (606) 437-5500 Elkhorn City Elementary School 180 Cougar Dr Elkhorn City, KY 41522 (606) 437-5500 G.F. Johnson Elementary 2172 Longfork Rd Virgie, KY 41572 (606) 437-5500 Johns Creek Elementary 8302 Meta Hwy Pikeville, KY 41501 (606) 437-5500 Kimper Elementary 8151 State Highway 194 E Kimper, KY 41539 (606) 437-5500 Majestic Elementary 8151 State Highway 194 E Kimper, KY 41539 (606) 437-5500 Millard Elementary 20 Rocky Rd Pikeville, KY 41501 (606) 437-5500 Millard Middle School 8015 Millard Hwy Pikeville, KY 41501 (606) 437-5500 Mullins Elementary School 101 Tiger Way Pikeville, KY 41501 (606) 437-5500 Phelps Elementary 38209 State Highway 194 E Phelps, KY 41553 (606) 437-5500 Phelps High School 11580 HWY 632 Phelps, KY 41553 (606) 437-5500

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Pike County Central High School 100 Winners Circle Dr Pikeville, KY 41501 (606) 437-5500 Pike County Health Department 119 River Dr Pikeville, KY 41501 (606) 437-5500

Meece Middle School Pulaski County 210 Barnett St Somerset, KY 42501 (606) 679-4416

Powell County Bowen Elementary 5099 Campton Rd Stanton, KY 40380 (606) 663-4360 Clay City Elementary School - Powell 4901 Main St Clay City, KY 40312 (606) 663-4360

Pike County Health Department - Belfry 25320 US Highway 119 N Belfry, KY 41514 (606) 437-5500

Powell County Health Department 376 N Main St Stanton, KY 40380 (606) 663-4360

Pikeville Elementary School 105 Bailey Blvd Pikeville, KY 41501 (606) 437-5500

Powell County High School 770 W College Ave Stanton, KY 40380 (606) 663-4360

Pikeville High School 120 Championship Dr Pikeville, KY 41501 (606) 437-5500

Stanton Elementary 651 Breckenridge St Stanton, KY 40380 (606) 663-4360

Robinson Creek Elementary 5820 Robinson Creek Rd Robinson Creek, KY 41560 (606) 437-5500 Runyon Elementary 244 Runyon Branch Rd Pinsonfork, KY 41555 (606) 437-5500 Shelby Valley High School 125 Douglas Park Pikeville, KY 41501 (606) 437-5500 Southside Elementary 2556 Meathouse Frk Canada, KY 41519 (606) 437-5500 Virgie Middle School 1285 KY Highway 610 W Virgie, KY 41572 (606) 437-5500

Nancy Elementary School - Pulaski County 240 Highway 196 Nancy, KY 42544 (606) 679-4416 Northern Elementary School - Pulaski County 6155 Highway 39 Somerset, KY 42503 (606) 679-4416

Pulaski County Burnside Elementary School - Pulaski County 435 Lakeshore Dr Burnside, KY 42519 (606) 679-4416 Eubank Elementary School - Pulaski County 285 W Highway 70 Eubank, KY 42567 (606) 679-4416 Hopkins Elementary School - Pulaski County 210 May St Somerset, KY 42501 (606) 679-4416 Lake Cumberland District Health Department 500 Bourne Ave Somerset, KY 42501 (606) 678-4761

Memorial Learning Pulaski County 222 Langdon St Somerset, KY 42501 (606) 679-4416

Northern Junior High School - Pulaski County 650 Oak Leaf Ln Somerset, KY 42503 (606) 679-4416 Oak Hill Elementary School - Pulaski County 1755 Wtlo Rd Somerset, KY 42503 (606) 679-4416 Pulaski Central Alternative - Pulaski County 500 Chandler St Somerset, KY 42501 (606) 679-4416 Pulaski County Health Center 45 Roberts St Somerset, KY 42501 (606) 679-4416 Pulaski County High School 511 E University Dr Somerset, KY 42503 (606) 679-4416

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CoventryCares of Kentucky Pulaski Elementary School - Pulaski County 107 W University Dr Somerset, KY 42503 (606) 679-4416

Rockcastle Co Middle School 945 W Main St Mount Vernon, KY 40456 (606) 256-2242

Somerset High School Pulaski County 301 College St Somerset, KY 42501 (606) 679-4416

Rockcastle Co Mt Vernon Elem 530 Williams St Mount Vernon, KY 40456 (606) 256-2242

Southern Elementary School - Pulaski County 198 Enterprise Dr Somerset, KY 42501 (606) 679-4416 Southern Jr High School - Adolescent Site - Pulask 200 Enterprise Dr Somerset, KY 42501 (606) 679-4416 Southwestern High School - Pulaski County 1765 Wtlo Rd Somerset, KY 42503 (606) 679-4416

Robertson County

Rockcastle Co Roundstone Elem 6701 N Wilderness Rd Mount Vernon, KY 40456 (606) 256-2242 Rockcastle Co. Health Dept. 120 Richmond St Mount Vernon, KY 40456 (606) 256-2242

Rowan County Clearfiled Elementary School - Rowan 460 McBrayer Rd Clearfield, KY 40313 (606) 784-5792

Robertson County Health Center 45 McDowell St Mt Olivet, KY 41064 (606) 724-5222

McBrayer Elementary School 550 Viking Dr Morehead, KY 40351 (606) 784-5792

Rockcastle County

Rodburn Elementary School Health 91 Christy Crk Morehead, KY 40351 (606) 784-5792

Brodhead Elementary 27 School St Brodhead, KY 40409 (606) 256-2242 Rockcastle Co High School 1545 Lake Cumberland Rd Mount Vernon, KY 40456 (606) 256-2242

Rowan County Health Center 730 W Main St Morehead, KY 40351 (606) 784-5792 Rowan County High School 499 Viking Dr Morehead, KY 40351 (606) 784-5792

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Rowan County Middle School 425 W Sun St Morehead, KY 40351 (606) 784-5792 Rowan County Preschool 455 W Sun St Morehead, KY 40351 (606) 784-5792 Tilden Hogge Elementary School 5955 Cranston Rd Morehead, KY 40351 (606) 784-5792

Russell County Russell County Jamestown Elementary School 343 S Main St Jamestown, KY 42629 (270) 343-2181 Russell County Health Center 251 Fruit Of The Loom Dr Jamestown, KY 42629 (270) 343-2181 69 Herrifords Cir Jamestown, KY 42629 (270) 343-2181 Russell County High School 2166 S Highway 127 Russell Springs, KY 42642 (270) 343-2181 Russell County Middle School 2258 S Highway 127 Russell Springs, KY 42642 (270) 343-2181 Russell Springs/Salem Frc - Russell County 1409 W Highway 76 Russell Springs, KY 42642 (270) 343-2181

Salem Elementary School - Russell County 1409 S Highway 76 Russell Springs, KY 42642 (270) 343-2181

Simpson County Health Center 1131 S College St Franklin, KY 42134 (270) 586-8261

Union Chapel Elementary School Russell County 1085 Highway 1058 Jamestown, KY 42629 (270) 343-2181

Scott County Scott County Health Center 300 E Washington St Georgetown, KY 40324 (502) 863-3971

Shelby County North Central District Health Department 1020 Henry Clay St Shelbyville, KY 40065 (502) 633-1243 Shelby County Health Dept 615 11th St Shelbyville, KY 40065 (502) 633-1231

Simpson County Franklin Elementary 211 S Main St Franklin, KY 42134 (270) 586-8261 Franklin Simpson High 400 S College St Franklin, KY 42134 (270) 586-8261 Franklin Simpson Middle 322 S College St Franklin, KY 42134 (270) 586-8261 Lincoln Elementary 601 John J Johnson Ave Franklin, KY 42134 (270) 586-8261

Simpson Elementary 721 Witt Rd Franklin, KY 42134 (270) 586-8261

Spencer County Spencer County Health Center 88 Spears Dr Taylorsville, KY 40071 (502) 477-8146

Taylor County Campbellsville Elementary School Taylor County 230 W Main St Campbellsville, KY 42718 (270) 465-4191 Campbellsville Middle School - Taylor County 315 Roberts Rd Campbellsville, KY 42718 (270) 465-4191 Taylor County Elementary School 1100 Lebanon Ave Campbellsville, KY 42718 (270) 465-4191 Taylor County Health Center 1880 N Bypass Rd Campbellsville, KY 42718 (270) 465-4191 Taylor County High School 300 Ingram Ave Campbellsville, KY 42718 (270) 465-4191

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CoventryCares of Kentucky Taylor County Middle School 1270 E Broadway St Campbellsville, KY 42718 (270) 465-4191

Todd County North Todd Elementary School 7300 Greenville Rd Elkton, KY 42220 (270) 265-2362 South Todd Elementary School 4115 Guthrie Rd Guthrie, KY 42234 (270) 265-2362 Todd County Central High 804 S Main St Elkton, KY 42220 (270) 265-2362 Todd County Health Department 205 W McReynolds St Elkton, KY 42220 (270) 265-2362 Todd County Middle School 205 Airport Rd Elkton, KY 42220 (270) 265-2362

Trigg County Trigg County Health Center 196 Main St Cadiz, KY 42211 (270) 522-8121 Trigg County High School Clinic 206 Main St Cadiz, KY 42211 (270) 522-8121 Trigg County Middle School Clinic 206 Lafayette St Cadiz, KY 42211 (270) 522-8121

Trigg County Primary School Clinic 205 Main St Cadiz, KY 42211 (270) 522-8121

Bowling Green Jr High 900 Campbell Ln Bowling Green, KY 42104 (270) 781-2490

Trimble County

Dishman-McGinnis Elementary 503 Old Morgantown Rd Bowling Green, KY 42101 (270) 781-2490

Trimble County Health Center 138 Miller Ln Bedford, KY 40006 (502) 255-7701

Parker Bennett Curry Elementary 165 Webb Dr Bowling Green, KY 42101 (270) 781-2490

Wayne County

Webster County

Bell Elementary School - Wayner County 278 Kenny Davis Blvd Monticello, KY 42633 (606) 348-9349

Clay Elementary Health Clinic 210 College St Clay, KY 42404 (270) 298-3663

Monticello Elementary School - Wayne County 131 Cave St Monticello, KY 42633 (606) 348-9349

Dixon Elementary Health Clinic 277 State Route 1340 Dixon, KY 42409 (270) 298-3663

Turner Intermediate School-Wayne County 250 Cardinal Way Monticello, KY 42633 (606) 348-9349

Providence Elementary Health Clinic 470 S Broadway St Providence, KY 42450 (270) 639-9315

Sturgis Elementary School 1101 N Grant St Sturgis, KY 42459 (270) 389-1230

Potter Gray Elementary 610 Wakefield St Bowling Green, KY 42103 (270) 783-2490

Walker Elementary School - Wayne County 605 Albany Rd Monticello, KY 42633 (606) 348-9349

Sebree Elementary Health Clinic 61 N State St Sebree, KY 42455 (270) 298-3663

Union City Middle School 4465 US Highway 60 W Morganfield, KY 42437 (270) 389-1230

Tc Cherry Elementary 1001 Liberty Way Bowling Green, KY 42104 (270) 781-2490

Wayne County Early Childhood Center 99 Lloyd Cir Monticello, KY 42633 (606) 678-4761

Webster County Health Center 80 Clayton Ave Dixon, KY 42409 (270) 639-9315

Union County Health Center 218 W McElroy St Morganfield, KY 42437 (270) 389-1230

Warren Co Health Center 1109 State St Bowling Green, KY 42101 (270) 781-2490

Wayne County Health Center 39 Jim Hill Service Rd Monticello, KY 42633 (606) 348-9340

Whitley County

Union County Morganfield Elementary School 551 S Mart St Morganfield, KY 42437 (270) 389-1230

Union County High School 4464 US Highway 60 W Morganfield, KY 42437 (270) 389-1230 Uniontown Elementary School 401 Walnut Street Uniontown, KY 42461 (270) 389-1230

Warren County Bowling Green High 1801 Rockingham Ave Bowling Green, KY 42104 (270) 781-2490

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Wr McNeil Elementary 1800 Creason St Bowling Green, KY 42101 (270) 781-2490

Washington County Washington County Health Center 302 E Main St Springfield, KY 40069 (859) 336-3980

Wayne County Health Dept 39 Jim Hill Service Rd Monticello, KY 42633 (606) 348-9349

Boston Elementary 3291 Highway 1804 Williamsburg, KY 40769 (606) 528-5613 Central Primary 710 W 8th St Corbin, KY 40701 (606) 528-5613 Corbin High Schools 1901 Snyder St Corbin, KY 40701 (606) 528-5613

Wayne County High School 2 Kenny Davis Blvd Monticello, KY 42633 (606) 348-9349 Wayne County Middle School 314 Albany Rd Monticello, KY 42633 (606) 348-9349

Corbin Middle Schools 706 S Kentucky Ave Corbin, KY 40701 (606) 528-5613 Corbin Primary School 3551 5th Street Rd Corbin, KY 40701 (606) 528-5613

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CoventryCares of Kentucky Lynn Camp School 4300 Poplar Grove Rd Corbin, KY 40701 (606) 546-3486 Oak Grove Elementary - Whitley 4505 Cumberland Falls Hwy Corbin, KY 40701 (606) 528-5613 Pleasant View Element-Whitley 85 Stringtown Rd Williamsburg, KY 40769 (606) 528-5613 Poplar Creek Elem Whitley 13781 HWY 92 E Siler, KY 40763 (606) 528-5613 South Elementary 406 17th St Corbin, KY 40701 (606) 528-5613 Whitley Central Intermediate School 2940 N Highway 25 W Williamsburg, KY 40769 (606) 528-5613 Whitley Co Central Elementary 520 Boulevard Of Champions Rd Williamsburg, KY 40769 (606) 528-5613 Whitley Co Hd-Corbin Cumberland Falls HWY US 25 W & Jct 727 Corbin, KY 40702 (606) 528-5613 Whitley Co High School Adol 50 Boulevard Of Champions Rd Williamsburg, KY 40769 (606) 528-5613

Whitley Co Middle School 351 Boulevard Of Champions Rd Williamsburg, KY 40769 (606) 528-5613 Whitley Co North Elementary 6670 Highway 26 Rockholds, KY 40759 (606) 528-5613 Whitley County Health Department 114 N 2nd St Williamsburg, KY 40769 (606) 549-3380 Wiliamsburg City School - Whit 1000 Main St Williamsburg, KY 40769 (606) 528-5613

Wolfe County Campton Elementary School Wolfe County 161 HWY 2491 Campton, KY 41301 (606) 439-2361 Red River Valley Elem School Wolfe County 11134 Highway 191 Hazel Green, KY 41332 (606) 439-2361 Rogers Elementary School Wolfe County 1750 KY 715 Rogers, KY 41365 (606) 439-2361 Wolfe County Health Center Highway 15 West Campton, KY 41301 (606) 439-2361 Wolfe County High School 189 N Johnson St Campton, KY 41301 (606) 439-2361

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Wolfe County Middle School 195 Johnson St Campton, KY 41301 (606) 439-2361

Boone County

Woodford County

St. Elizabeth Anc Home Care 7627 Ewing Blvd Florence, KY 41042 (859) 283-1500

Woodford County Health Department 229 N Main St Versailles, KY 40383 (859) 873-4541

St. Elizabeth Healthcare 4900 Houston Rd Florence, KY 41042 (859) 212-5200

Home Health

Boyd County

Kentucky

Infusion Solutions 200 Mall Rd Ste 3 Ashland, KY 41101 (606) 325-1115

Adair County Intrepid Usa Healthcare Services 220 Office Park Dr Columbia, KY 42728 (270) 384-6413 Personal Touch Home Care of Kentucky INC 705 Wright Dr Columbia, KY 42728 (270) 384-6800

Allen County Lifeline Home Health of Scottsville 353 Old Gallatin Rd Scottsville, KY 42164 (270) 237-3352

Bell County Bell County Home Health 306 Park Avenue Pineville, KY 40977 (606) 337-9715 Pineville Community Hospital Association 850 Riverview Ave Pineville, KY 40977 (606) 337-3051 Pineville Community Hospital Home Health Agency 850 Riverview Rd Pineville, KY 40977 (606) 337-7205

Breckinridge Home Health 207 Fairgrounds Rd Hardinsburg, KY 40143 (270) 756-2424 Breckinridge Memorial Hospital 1011 Old Highway 60 Hardinsburg, KY 40143 (270) 756-2124

Bullitt County Caretenders Vs of Louisville LLC 1553 Highway 44 E Ste 1 Shepherdsville, KY 40165 (502) 543-2433

Walgreens Infusion Services, Ashland 4380 13th St Ashland, KY 41102 (866) 324-4427

Butler County Lifeline Health Care of Butler 101 Ashley Plaza Cir Morgantown, KY 42261 (270) 526-3495

Boyle County Caretenders Vs of Central KY LLC 116 E Main St Danville, KY 40422 (859) 236-8956

Caldwell County Caldwell County Hospital HHA 1310 US Highway 62 W Princeton, KY 42445 (270) 365-2011

McDowell Home Health Agency, INC 131 Daniel Dr Danville, KY 40422 (859) 236-8946

Breathitt County Breathitt County Home Health Agency 955 Highway 30 W Jackson, KY 41339 (606) 666-8052

Breckinridge County Breckinridge County Office 203 Fairgrounds Rd Hardinsburg, KY 40143 (270) 756-5461

Caldwell Medical Center 100 Medical Center Dr Princeton, KY 42445 (270) 365-0380

Calloway County Intrepid Usa Healthcare Services 1616 HWY 121 N Ste C Murray, KY 42071 (270) 753-1434

Campbell County Personal Touch Home Care of Kentucky INC 20 N Grand Ave Fort Thomas, KY 41075 (859) 441-0200

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CoventryCares of Kentucky Visiting Nurse Association 601 Washington Ave Ste 201 Newport, KY 41071 (513) 345-8005

Carroll County Interim Healthcare of Carrollton 1401 Highland Ave Carrollton, KY 41008 (859) 578-9191

Casey County Lifeline Health Care of Casey 394 N Wallace Wilkinson Blvd Liberty, KY 42539 (606) 787-0007

Christian County Jennie Stuart Medical Center Home Health 320 W 18th St Hopkinsville, KY 42240 (270) 887-0118 Lifeline Health Care of Lincare 2002 S Virginia St Hopkinsville, KY 42240 (270) 885-6353 Pro-Care Home Health Limited 1610 S Main St Hopkinsville, KY 42240 (270) 885-1211

Clark County Clark County Home Health Agency 273 Shoppers Dr Winchester, KY 40391 (859) 744-4482

Clay County Clay County Home Health 470 Manchester Square Shpg Ctr Manchester, KY 40962 (606) 598-3942

Cumberland Valley District Health Department 470 Manchester Square Shpg Ctr Manchester, KY 40962 (606) 598-5564 Memorial Home Health 250 Richmond Rd Manchester, KY 40962 (606) 598-1969

Clinton County Intrepid Usa Healthcare Services 723 Burkesville Rd Ste 110 Albany, KY 42602 (606) 387-6954 Lifeline Health Care of Clinton 96 Foothills Ave Albany, KY 42602 (606) 387-8131

Crittenden County Crittenden County Hospital 520 W Gum St Marion, KY 42064 (270) 965-1012

Cumberland County Lifeline Health Care of Cumberland 349 Keen St Burkesville, KY 42717 (270) 864-3348

Daviess County Caretenders Vs of Western KY LLC 2200 E Parrish Ave Bldg D Ste 203 Owensboro, KY 42303 (270) 685-3876 Community Health Services INC 1635 Triplett St Ste A Owensboro, KY 42303 (270) 685-4663

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Green River District Home Health 1600 Breckenridge St Owensboro, KY 42303 (270) 668-8123 1600 Breckenridge St Owensboro, KY 42303 (270) 686-8123 Intrepid Usa Healthcare Services 920 Frederica St Ste 1009 Owensboro, KY 42301 (270) 926-1408 Lifeline Home Health of Owensboro 810 Princeton Pkwy Ste A Owensboro, KY 42301 (270) 685-5764 Omhs Home Care Services 2211 Mayfair Dr Owensboro, KY 42301 (270) 688-2182 Pro-Care Home Health Limited 1030 Burlew Blvd Owensboro, KY 42303 (270) 686-0033

Fayette County Cardinal Hill Home Care 2050 Versailles Rd Lexington, KY 40504 (859) 367-7149 Caretenders Vs of Central KY LLC 2432 Regency Rd Lexington, KY 40503 (859) 276-5369 Central Baptist Home Infusion 2100 Nicholasville Rd Lexington, KY 40503 (859) 260-6197

Central Baptist Hospital Home Health Agency 2100 Nicholasville Rd Lexington, KY 40503 (859) 260-6569 Cooley Medcial Equipment 1316 S Broadway Ste 100 Lexington, KY 40504 (859) 281-6044 Deaconess Home Care 2025 Regency Rd Ste 201 Lexington, KY 40503 (859) 977-8000 Infusion Partners of Lexington 2025 Regency Rd Lexington, KY 40503 (859) 277-2013 Lifeline Health Care of Fayette 161 N Eagle Creek Dr Suite 200 Lexington, KY 40509 (859) 272-9787 Lincare INC 2514 Regency Rd Ste 103 Lexington, KY 40503 (859) 278-7700 Nurses Registry & Home Health 1401 N Broadway Lexington, KY 40505 (859) 255-4411 Saint Joseph-Anc Home Care Services, LLC 2464 Fortune Dr Ste 110 Lexington, KY 40509 (859) 277-5111 UK Healthcare Chandler Hospital 800 Rose St Lexington, KY 40536 (859) 323-5000

Floyd County Cooley Medical Equipment 1152 Riverside Dr Prestonsburg, KY 41653 (606) 886-0333 1184 S Lake Dr Prestonsburg, KY 41653 (606) 886-9267 Highlands Home Health 121 Oak Ridge Ct Prestonsburg, KY 41653 (606) 889-9967 Highlands Regional Medical Center 5000 Kentucky Route 321 Prestonsburg, KY 41653 (606) 886-7600

Franklin County Caremark, INC. National Contract Frankfort, KY 40601 Caretenders Vs of Central KY LLC 101 Medical Heights Dr Ste O Frankfort, KY 40601 (502) 226-3537 Franklin County Home Health 231 E Main St Frankfort, KY 40601 (502) 564-7383

Fulton County Lifeline Home Healthcare of Fulton 424 Lake St Fulton, KY 42041 (270) 472-2294 Regional Home Care Parkway 1000 Elm St Fulton, KY 42041 (270) 472-0070

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CoventryCares of Kentucky Grant County

Hardin County

Personal Touch Home Care of Kentucky INC 118 S Main St Annex #7 And 8 Dry Ridge, KY 41035 (859) 824-7168

Caretenders Visiting Service of Lincoln Trail 1105 Julianna Ct Ste 3 Elizabethtown, KY 42701 (270) 234-2273

Graves County Intrepid Usa Healthcare Services 1025 Paducah Rd Mayfield, KY 42066 (270) 251-2001 Purchase Choice Home Care 17 Construction Rd Ste F Mayfield, KY 42066 (270) 247-3155

Grayson County Intrepid Usa Healthcare Services 1609 Elizabethtown Rd Leitchfield, KY 42754 (270) 259-2994 Twin Lakes Home Health 810 Wallace Ave Leitchfield, KY 42754 (270) 230-0272

Green County Lifeline Health Care of Green 702 Columbia Hwy Greensburg, KY 42743 (270) 932-7813

Greenup County Bellefonte Home Health Care Agency 1819 Ashland Rd Greenup, KY 41144 (606) 833-3662

Etown Vital Care 914 N Dixie Ave Ste 101 Elizabethtown, KY 42701 (270) 506-2463 Hardin County Office 580 Westport Rd Elizabethtown, KY 42701 (270) 769-6630 Hardin Memorial Hospital 913 N Dixie Ave Elizabethtown, KY 42701 (270) 737-1212 Intrepid Usa Healthcare Services 2411 Ring Rd Ste 106 Elizabethtown, KY 42701 (270) 763-9242 Lifeline Health Care of Hardin 2600 Ring Rd Elizabethtown, KY 42701 (270) 766-1353 Lincoln Trail Home Health 108 New Glendale Rd Elizabethtown, KY 42701 (270) 769-2562

Harlan County Cooley Medical Equipment 24 Woodland Hls Harlan, KY 40831 (606) 573-9793

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Harlan County Home Health 408 E Clover St Harlan, KY 40831 (606) 573-1545

Rmc Home Health Agency 200 Clinic Dr Madisonville, KY 42431 (270) 825-5177

Maxim Healthcare 9300 Shelbyville Rd Ste 701 Louisville, KY 40222 (502) 426-4454

Harrison County

Jackson County

Wedco Home Health 302 Oddville Ave Cynthiana, KY 41031 (859) 234-8750

Jackson County Home Health Us HWY 421 S Lakewood Dr McKee, KY 40447 (606) 287-8424

Senior Helpers of Kentucky LLC 332 W Broadway Ste 902 Louisville, KY 40202 (502) 690-2648

Hart County Lifeline Health Care of Hart 200 Interstate Plaza Rd Munfordville, KY 42765 (270) 524-0744

Henderson County Caretenders Vs of Western KY LLC 1630 2nd St Henderson, KY 42420 (270) 827-3005 Intrepid Usa Healthcare Services 201 Klutey Park Dr Henderson, KY 42420 (270) 827-4842 Methodist Hospital 1305 N Elm St Henderson, KY 42420 (270) 827-7700 Methodist Hospital Homecare 110 2nd St Henderson, KY 42420 (270) 869-1997

Hopkins County Caretenders Vs of Western KY LLC 325 E Center St Madisonville, KY 42431 (270) 326-5222 Pro-Care Home Health Limited 44 McCoy Street Madisonville, KY 42431 (270) 825-9300

Jefferson County Baptist East Home Health Agency 6420 Dutchmans Pkwy Ste 360 Louisville, KY 40205 (502) 454-5656 Baptist Health Louisville 4000 Kresge Way Louisville, KY 40207 (502) 897-8100 Caretenders Vs of Louisville LLC 1169 Eastern Pkwy Ste 3323 Louisville, KY 40217 (502) 855-4400 4545 Bishop Ln Ste 200 Louisville, KY 40218 (502) 238-5150 9702 Stonestreet Rd Bldg 1 Ste 330 Louisville, KY 40272 (502) 933-2785 Cooley Medical Equipment 6413 Dutchmans Pkwy Louisville, KY 40205 (502) 459-4500 Lincare INC 5694 Shepherdsville Rd Louisville, KY 40228 (502) 515-3500

The Family Tree Care Services 13117 Eastpoint Park Blvd Ste H Louisville, KY 40223 (502) 895-9998 Walgreens Infusion Services, Louisville 11403 Bluegrass Pkwy Ste 400 Louisville, KY 40299 (800) 304-0123

Jessamine County Lifeline Health Care of Jessamine 205 Fairfield Dr Nicholasville, KY 40356 (859) 887-8433

Johnson County Johnson Magoffin Home Health Agency 630 James Trimble Blvd Paintsville, KY 41240 (606) 789-2590

Kenton County Caretenders Vs of Northern Kentucky 168 Barnwood Dr Ste A Ft Mitchell, KY 41017 (859) 578-0022 Interim Healthcare of Northern Kentucky 3005 Dixie HWY Ste 130 Edgewood, KY 41017 (859) 578-9191

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CoventryCares of Kentucky Walgreens Infusion Services, Crestview Hills 320 Thomas More Pkwy Crestview Hills, KY 41017 (800) 243-1090

Knox County Knox County Health Department Home Health 261 Hospital Dr Barbourville, KY 40906 (606) 546-5919

Laurel County London Elementary School 600 N Main St London, KY 40741 (606) 878-7754 Seton Home Care 740 E Laurel Rd London, KY 40741 (606) 877-3950

Lawrence County Three Rivers Home Care 505 W Madison St Ste A Louisa, KY 41230 (606) 638-0521 Three Rivers Medical Center 2483 Highway 644 Louisa, KY 41230 (606) 638-9451 Languages: Spanish

Lincoln County Lifeline Health Care of Lincoln 107 Metker Trl Ste B Stanford, KY 40484 (606) 365-9223

Livingston County Lifeline Home Health 503 E Main St Salem, KY 42078 (270) 988-0133

Logan County

Marshall County

Meade County

Oldham County

Lifeline Health Care of Logan 60 Shelton Ln Russellville, KY 42276 (270) 726-2408

Intrepid Usa Healthcare Services 315 W 5th St Ste 600 Benton, KY 42025 (270) 527-3144

Pro-Care Home Health Limited 1405 Nashville St Ste B Russellville, KY 42276 (270) 726-3487

Marshall County Hospital Home Health 501 George McClain Dr Benton, KY 42025 (270) 527-8084

Caretenders Vs of Lincoln Trail LLC 1270 Old Ekron Rd Suite C Brandenburg, KY 40108 (270) 422-1271

Caretenders Vs of Louisville LLC 2206 Commerce Pkwy Ste A La Grange, KY 40031 (502) 225-5838

Monroe County

Owen County

Lyon County

Martin County

Lifeline Healthcare of Lincare 414 Newman Dr Eddyville, KY 42038 (270) 388-8387

Martin County Home Health 1054 E Main St Inez, KY 41224 (606) 298-7748

Monroe County Medical Center Home Health Agency 417 Capp Harlan Rd Tompkinsville, KY 42167 (270) 487-5905

Three Rivers District Home Health Agency 510 S Main St Owenton, KY 40359 (502) 484-3412

Madison County

Mason County

Caretenders Vs or Central KY LLC 5008 Atwood Dr Ste 1 Richmond, KY 40475 (859) 625-9874

Hayswood Home Health 1 W McDonald Pkwy Ste 3c Maysville, KY 41056 (606) 564-9481

Mepco Home Health Agency 216 Boggs Ln Richmond, KY 40475 (859) 623-3441

Magoffin County Johnson Magoffin County Home Health Agency 282 W Maple St Salyersville, KY 41465 (800) 362-0745

Marion County Intrepid Usa Healthcare Services 259 W Walnut St Lebanon, KY 40033 (270) 692-0550 Marion County Office 516 N Spalding Ave Lebanon, KY 40033 (270) 692-9705

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Personal Touch Home Care of Kentucky INC 124 Market St Maysville, KY 41056 (606) 564-8921

McCracken County Lourdes Home Care 911 Joe Clifton Dr Paducah, KY 42001 (270) 415-3600 Lourdes Hospital 1530 Lone Oak Rd Paducah, KY 42003 (270) 444-2444

McCreary County Lifeline Health Care of McCreary 56 Medical Ln Whitley City, KY 42653 (606) 376-5400

Muhlenberg County Muhlenberg Community Hospital 440 Hopkinsville St Greenville, KY 42345 (270) 338-8000

Nelson County Caretenders Vs of Lincoln Trail LLC 935 Chambers Blvd Ste A Bardstown, KY 40004 (502) 849-0050 Intrepid Usa Healthcare Services 700 Portland Ave Ste C Bardstown, KY 40004 (502) 349-1944

Ohio County Caretenders Vs of Western KY LLC 112 E McMurtry Ave Ste 2 Hartford, KY 42347 (270) 298-0066 Pro-Care Home Health Limited 122 W Union St Hartford, KY 42347 (270) 298-3112

Perry County Cooley Medical Equipment 500 Village Ln Hazard, KY 41701 (606) 439-4049 Kentucky River District Health Department Home Hea 441 Gorman Hollow Rd Hazard, KY 41701 (606) 439-2361

Pike County Cooley Medical Equipment 255 Church St Ste 105 Pikeville, KY 41501 (606) 432-0055 Home Care Health Services INC 1414 S Mayo Trl Pikeville, KY 41501 (606) 432-2111 Pikeville Medical Center, INC 1370 S Mayo Trl Pikeville, KY 41501 (606) 218-4570

Pulaski County Intrepid Usa Healthcare Services 1406 S Highway 27 Ste B Somerset, KY 42501 (606) 679-7310

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CoventryCares of Kentucky Lake Cumberland Regional Hospital 305 Langdon St Somerset, KY 42503 (606) 679-7441 Lifeline Health Care of Pulaski 600 1/2 Clifty St Suite 2 &3 Somerset, KY 42503 (606) 679-9245 Lincare INC 246 Poplar Ave Ste B Somerset, KY 42503 (606) 679-0171 30 Jaxsons Cv Somerset, KY 42503 (606) 679-0171 Walgreens Infusion Services, Somerset 83 Bogle Office Park Dr Ste 400 Somerset, KY 42503 (888) 568-1316

Rockcastle County Rockcastle County Home Health 211 Industrial Park Rd Mount Vernon, KY 40456 (606) 256-4916

Russell County Lifeline Health Care of Russell 124 Dowell Rd Medical Arts Bldg, Ste 5 Russell Springs, KY 42642 (270) 866-4100

Shelby County Caretenders Vs of Louisville LLC 197 Alpine Dr Shelbyville, KY 40065 (502) 647-0450

Simpson County Lifeline Health Care of Simpson 1004 Brookhaven Rd Franklin, KY 42134 (270) 588-0141

The Medical Center Home Care Program 1953 Scottsville Rd Ste 200 Bowling Green, KY 42104 (270) 745-1006

Taylor County

Wayne County

Lifeline Health Care of Taylor 200 Nancy Cox Dr Campbellsville, KY 42718 (270) 465-2266

Lifeline Health Care of Wayne 1 S Creek Dr Ste 118 Monticello, KY 42633 (606) 348-6000

Union County Intrepid Usa Healthcare Services 1381 US Highway 60 W Morganfield, KY 42437 (270) 389-4551

Warren County Lifeline Health Care of Warren 165 Natchez Trace Ave Suite 206 Bowling Green, KY 42103 (270) 781-0702 Medical Center-Bowling Green 250 Park St Bowling Green, KY 42101 (270) 745-1000 Pro-Care Home Health Limited 1203 Ashley Cir Bowling Green, KY 42104 (270) 726-3487 R-W Vital Care Ii 201 Park St Bowling Green, KY 42101 (270) 781-3095

Whitley County

6375 E Tanque Verde Rd Ste 50 Tucson, AZ 85715 (520) 290-2112 Walgreens Infusion Services Phoenix 9013 N 24th Ave Ste 6 Phoenix, AZ 85021 (602) 426-1490

Whitley County Home Health 114 N 2nd St Williamsburg, KY 40769 (606) 549-3380

Caremark, INC. National Contract Little Rock, AR 72204

Alabama

California

Caremark, INC. National Contract Montgomery, AL 36116

Caremark Therapeutic Services Department 6175 Los Angeles, CA 90088 (909) 796-7171

Coram Specialty Infusion Services 300 Riverhills Business Park Ste 390 Birmingham, AL 35242 (205) 995-8117 Walgreens Infusion Services, Birmingham 140 Oxmoor Blvd Ste 140 Birmingham, AL 35209 (888) 840-9407

Alaska Caremark, INC. National Contract Juneau, AK 99801 Maxim Healthcare Services INC 711 H St Ste 100 Anchorage, AK 99501 (907) 770-0862

Arizona Caremark, INC. National Contract Phoenix, AZ 85020

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Coram Specialty Infusion Services 4310 E Cotton Center Blvd Ste 110 Phoenix, AZ 85040 (602) 438-7888

Arkansas

Caremark, INC. National Contract Sacramento, CA 95820 Coram Healthcare 3101 Sillect Ave Ste 109 Bakersfield, CA 93308 (661) 325-8326 Coram Specialty Infusion Services 3160 Corporate Pl Hayward, CA 94545 (510) 732-8800 2710 Media Center Dr Bldg 6 Ste 150 Los Angeles, CA 90065 (323) 987-1500 4355 E Lowell St Ste C Ontario, CA 91761 (909) 605-1230 9332 Tech Center Dr Ste B Sacramento, CA 95826 (916) 857-7000

12310 World Trade Dr Ste 100 San Diego, CA 92128 (858) 576-6969 5571 Ekwill St Suites A &B Santa Barbara, CA 93111 (805) 692-1200 3002 Dow Ave Ste 104 Tustin, CA 92780 (714) 665-1121 Crescent Healthcare Palm Desert 38-822 El Desierto Rd Ste B Palm Desert, CA 92211 (800) 226-9765 CVS Caremark Specialty Pharmacy 1127 Bryn Mawr Ave Redlands, CA 92374 (909) 796-7171 Maxim Healthcare Services INC 1620 N Carpenter Rd Ste C-19 Modesto, CA 95351 (209) 222-5490 5030 Camino De La Siesta Ste 405 San Diego, CA 92108 (619) 299-9350 735 Tank Farm Rd Ste 135 & 135a San Luis Obispo, CA 93401 (805) 788-0456 Nufactor INC 41093 County Center Dr Ste B Temecula, CA 92591 (800) 323-6832 Walgreens Infusion Services Bakersfield 5800 District Blvd Ste 200 Bakersfield, CA 93313 (661) 615-6000

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CoventryCares of Kentucky Walgreens Infusion Services North Los Angeles 9401 Chivers Ave Sun Valley, CA 91352 (818) 351-3000 Walgreens Infusion Services Ventura 4867 Colt St Ventura, CA 93003 (888) 579-0917 Walgreens Infusion Services, San Francisco 4129 18th St San Francisco, CA 94114 (415) 551-7837

Colorado Caremark, INC. National Contract Denver, CO 80211 Coram Specialty Infusion Services 12450 E Arapahoe Rd Ste A1 Centennial, CO 80112 (303) 799-0093 Walgreens Infusion Services, Denver 345 Inverness Dr S Ste 140 Englewood, CO 80112 (800) 736-9499

Connecticut Caremark, INC. National Contract Hartford, CT 6134 Coram Specialty Infusion Services 2 Barnes Industrial Park Rd S Ste A Wallingford, CT 6492 (203) 697-4100 Walgreens Infusion Services Stratford 60 Watson Blvd Ste 2 Stratford, CT 6615 (800) 205-5467

Walgreens Infusion Services, East Berlin 80 Clark Dr Unit A-1 East Berlin, CT 6023 (800) 755-1511

Delaware Caremark, INC. National Contract Dover, DE 19901 Walgreens Infusion Services, Newark 600 White Clay Center Dr Newark, DE 19711 (302) 355-6100

Florida Caremark, INC. National Contract Tallahassee, FL 32308 Coram Alternate Site Services, INC. 3439 N 12th Ave Ste A & B Pensacola, FL 32503 (850) 469-4573 Coram Specialty Infusion Services 11948 Miramar Pkwy Hollywood, FL 33025 (954) 431-3335 9143 Philips HWY Ste 300 Jacksonville, FL 32256 (904) 363-3089 3416 Jenks Ave Ste A Panama City, FL 32405 (850) 747-8894 6204 Benjamin Rd Ste 200 Tampa, FL 33634 (813) 639-4500 Crescent Healthcare, Gainsville 3300 Sw Archer Rd Ste C Gainesville, FL 32608 (850) 873-6888

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Maxim Healthcare Services INC 8043 Cooper Creek Blvd Ste 208 University Park, FL 34201 (941) 359-0106 Maxim Healthcare Services, INC. 2699 Lee Rd Ste 512 Winter Park, FL 32789 (407) 647-6555 Walgreens Infusion Services, Fort Myers 11341 Lindbergh Blvd Fort Myers, FL 33913 (239) 561-3456 Walgreens Infusion Services, Miramar 11650 Miramar Pkwy Ste 100 Miramar, FL 33025 (800) 683-5252 Walgreens Infusion Services, Orlando 7680 Universal Blvd Ste 460 Orlando, FL 32819 (727) 592-0045 Walgreens Infusion Services, St. Petersburg 2880 Scherer Dr N Ste 840 & 850 Saint Petersburg, FL 33716 (800) 396-2933 Walgreens Infusion Services, Tampa 2700 W Dr Martin Luther King Jr Blvd Ste 400 Tampa, FL 33607 (800) 396-2933

Georgia Caremark, INC. National Contract Atlanta, GA 30349

Coram Specialty Infusion Services 2140 New Market Pkwy Se Ste 106 Marietta, GA 30067 (770) 952-3021 Walgreens Infusion Services Atlanta 808 Park North Blvd Ste 100 Clarkston, GA 30021 (888) 647-1536

Walgreens Infusion and Respiratory Services, Chica 1226 N Michael Dr Suite A Wood Dale, IL 60191 (800) 551-9355 Walgreens Infusion Pharmacy, Lombard 2050 S Finley Rd Ste 20 Lombard, IL 60148 (630) 495-2899

Hawaii

Indiana

Caremark, INC. National Contract Honolulu, HI 96819

Caremark, INC. National Contract Indianapolis, IN 46207

Idaho

Coram Specialty Infusion Services 1290 Arrowhead Ct Ste A Crown Point, IN 46307 (219) 661-0272

Coram Specialty Infusion Services 5523 W Kendall St Boise, ID 83706 (208) 323-0303 11660 W Executive Dr Boise, ID 83713 (208) 323-0303 Walgreens Infusion Services, Meridian 800 S Industry Way Ste 240 Meridian, ID 83642 (208) 884-0669

Illinois Caremark, INC. National Contract Springfield, IL 62704 Coram Specialty Infusion Services 1471 E Business Center Dr Ste 500 Mount Prospect, IL 60056 (847) 294-6422 Maxim Healthcare Services INC 9701 W Higgins Rd Ste 870 Rosemont, IL 60018 (847) 430-9220

431 Fernhill Ave Fort Wayne, IN 46805 (260) 484-4442 Walgreen Infusion Services, Indianapolis 867 W Carmel Dr Carmel, IN 46032 (866) 846-3979 Walgreens Infusion Services Crown Point 1221 Arrowhead Ct Ste A&B Crown Point, IN 46307 (800) 883-3394 Walgreens Infusion Services, New Albany 1829 E Spring St New Albany, IN 47150 (812) 944-3825

Iowa Biorx, LLC 3821 71st St Ste C Urbandale, IA 50322 (866) 442-4679 Caremark, INC. National Contract Des Moines, IA 50310

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CoventryCares of Kentucky Coram Specialty Infusion Services 3513 Vine Street Ct Davenport, IA 52806 (563) 386-3220

Kansas Caremark, INC. National Contract Topeka, KS 66615 Walgreens Infusion Services Overland Park 8940 Nieman Rd Overland Park, KS 66214 (800) 475-1101

Louisiana Caremark, INC. National Contract Baton Rouge, LA 70810 Coram Specialty Infusion Services 115 James Dr W Ste 100 Saint Rose, LA 70087 (504) 466-5932

Maine Caremark, INC. National Contract Augusta, ME 4330 Coram Specialty Infusion Services 14 Yarmouth Jct Yarmouth, ME 4096 (207) 846-8500

Maryland Caremark, INC. National Contract Annapolis, MD 21401 Coram Specialty Infusion Services 7150 Columbia Gateway Dr Ste E Columbia, MD 21046 (410) 720-6501

Walgreens Infusion Services, Baltimore 5710 Executive Dr Ste 108 Baltimore, MD 21228 (410) 869-0218 Walgreens Infusion Services, Columbia MD 9140 Guilford Rd Ste K Columbia, MD 21046 (800) 241-6163

Massachusetts Biorx, LLC 266 W Cummings Park Woburn, MA 1801 (877) 903-2685 Caremark, INC. National Contract Boston, MA 2284 Coram Specialty Infusion Services 575 University Ave Ste 2 Norwood, MA 2062 (781) 255-0956 Walgreens Infusion Services, Southborough 257 Turnpike Rd Ste 100 Southborough, MA 1772 (800) 431-4250

Michigan Caremark, INC. National Contract Lansing, MI 48901 Coram Specialty Infusion Services 4334 Brockton Dr Se Ste D Grand Rapids, MI 49512 (616) 698-0272 4915 Contec Dr Lansing, MI 48910 (517) 394-0106 28550 Cabot Dr Ste 200 Novi, MI 48377 (248) 324-6300

Maxim Healthcare Services INC 4488 W Bristol Rd Flint, MI 48507 (810) 732-8087 4341 S Westnedge Ave Ste 1201 Kalamazoo, MI 49008 (269) 903-4522

Caremark, INC. National Contract Jackson, MS 39211 Coram Specialty Infusion Services 2929 Layfair Dr Ste 100 Flowood, MS 39232 (601) 939-4994

Missouri

Walgreens Infusion Services Ann Arbor 27003 Hills Tech Ct Farmington, MI 48331 (800) 323-6961

Caremark, INC. National Contract Jefferson City, MO 65109

Walgreens Infusion Services, Grand Rapids 50 64th Ave S Ste B Coopersville, MI 49404 (800) 867-2611

Coram Specialty Infusion Services 2900 Falling Leaf Ln Ste 101 Columbia, MO 65201 (573) 256-4713

Walgreens Infusion Services, Kalamazoo 5360 Holiday Ter Ste 18 Kalamazoo, MI 49009 (269) 372-4880

8248 Lackland Rd Ste 101 Saint Louis, MO 63114 (314) 522-2800

Minnesota Caremark, INC. National Contract Saint Paul, MN 55114 Coram Specialty Infusion Services 2901 S Frontage Rd Ste 7 Moorhead, MN 56560 (218) 233-2210 2345 Waters Dr Saint Paul, MN 55120 (651) 452-5600 Walgreens Infusion Services Minneapolis/St. Paul 2750 Arthur St Saint Paul, MN 55113 (877) 360-9272 Walgreens Infusion Services St. Cloud 1000 S Benton Dr Ste 405 Sauk Rapids, MN 56379 (800) 939-5666

Walgreens Infusion and Respiratory Services, Colum 1410 Heriford Rd Columbia, MO 65202 (800) 456-0417

682 S Ferguson Ave Suite 1 Bozeman, MT 59718 (406) 587-1050 Walgreens Infusion Services, Butte 401 S Alabama St Ste 1 Butte, MT 59701 (866) 252-9342

Nebraska Caremark, INC. National Contract Lincoln, NE 68505 Coram Specialty Infusion Services 2324 S 156th Cir Omaha, NE 68130 (402) 330-5482 Walgreens Infusion Services, Grand Island 2604 Saint Patrick Ave Ste 2 Grand Island, NE 68803 (800) 659-9191 Walgreens Infusion Services, Lincoln 4401 S 70th St Ste 2 Lincoln, NE 68516 (800) 820-1333

Walgreens Infusion Services, St. Louis 535 Axminister Dr Fenton, MO 63026 (888) 553-7400

Walgreens Infusion Services, Omaha 10924 John Galt Blvd Omaha, NE 68137 (800) 279-0980

Montana

Nevada

Caremark, INC. National Contract Helena, MT 59601

Caremark, INC. National Contract Carson City, NV 89701

Walgreens Infusion Services, Billings 404 N 31st St Ste 401 Billings, MT 59101 (406) 255-7463

Coram Specialty Infusion Services 1951 Ramrod Ave Ste 110 Henderson, NV 89014 (702) 453-4546

Walgreens Infusion Services, Bozeman 2304 N 7th Ave Ste H Bozeman, MT 59715 (406) 587-1050

101 N Pecos Rd Ste 106 Las Vegas, NV 89101 (702) 453-4546

Mississippi † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

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CoventryCares of Kentucky 6490 S McCarran Blvd Ste 216 Reno, NV 89509 (916) 857-7000 Walgreens Infusion Services, Las Vegas 3920 W Charleston Blvd Ste X Las Vegas, NV 89102 (702) 258-0011 Walgreens Infusion Services, Reno 6630 S McCarran Blvd Ste B14 Reno, NV 89509 (775) 828-8200

New Hampshire Caremark, INC. National Contract Concord, NH 3301

New Jersey Coram Specialty Infusion Services 11 Commerce Way Ste H Totowa, NJ 7512 (973) 812-9100 Walgreens Infusion Services Eatontown 6 Industrial Way W Ste C Eatontown, NJ 7724 (800) 373-1995

Caremark, INC. National Contract Albany, NY 12203

Caremark, INC. National Contract Raleigh, NC 27614

Coram Specialty Infusion Services 375 N French Rd Ste 108 Buffalo, NY 14228 (888) 345-6983

Coram Specialty Infusion Services 30 Garfield St Ste B Asheville, NC 28803 (828) 258-1150

625 Sawkill Rd Kingston, NY 12401 (945) 336-3333

9401 Southern Pine Blvd Ste J Charlotte, NC 28273 (704) 523-7731

744 Ulster Ave Ste 1 Kingston, NY 12401 (845) 336-3333

507 Airport Blvd Morrisville, NC 27560 (919) 461-5100

45 S Service Rd Plainview, NY 11803 (516) 753-5330

Walgreens Infusion Services Morrisville 1015 Aviation Pkwy Ste 700 Morrisville, NC 27560 (800) 948-6606

97-77 Queens Blvd Ste 1100 Rego Park, NY 11374 (718) 730-9122 2948 Erie Blvd E Ste 103 Syracuse, NY 13224 (315) 425-8028 Coram Specialty Infusion Services Rk 12 Jupiter Ln Albany, NY 12205 (518) 689-2900

Caremark, INC. National Contract Santa Fe, NM 87505

Walgreens Infusion Services, Fairport 242 Willowbrook Office Park Fairport, NY 14450 (585) 385-9215

Coram Specialty Infusion Services 7400 Washington St Ne Albuquerque, NM 87109 (505) 798-3500

Walgreens Infusion Services, Orchard Park 40 Centre Dr Orchard Park, NY 14127 (800) 499-2168

Walgreens Infusion Services Albuquerque 4374 Alexander Blvd Ne Ste A-C Albuquerque, NM 87107 (505) 888-4325

Walgreens Infusion Services, Queens 11402 15th Ave College Point, NY 11356 (800) 691-9979

New Mexico

New York

North Carolina

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Walgreens Infusion Services Wilmington 131 Racine Dr Ste 100b Wilmington, NC 28403 (800) 849-4901

North Dakota Caremark, INC. National Contract Bismarck, ND 58504

Ohio Amerimed INC 9961 Cincinnati Dayton Rd West Chester, OH 45069 (513) 942-3670 Biorx, LLC 10828 Kenwood Rd Cincinnati, OH 45242 (866) 442-4679 Bioscrip Pharmacy Services 2787 Charter St Columbus, OH 43228 (877) 842-5097 Languages: Spanish Caremark, INC. National Contract Columbus, OH 43210

Children's Hospital Medical Center 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-4408 3050 Mack Rd Fairfield, OH 45014 (513) 636-6400

Interim Healthcare of Cinncinnati 7185 Liberty Centre Dr Suite A&B West Chester, OH 45069 (513) 892-3200

9560 Children Dr Mason, OH 45040 (513) 636-6800

Maxim Healthcare Services INC 34 Triangle Park Dr Ste 3400 Cincinnati, OH 45246 (513) 793-6444

7777 Yankee Rd Ml 16022 Middletown, OH 45044 (513) 803-9740

110 W Western Reserve Rd Youngstown, OH 44514 (330) 758-0165

Christ Hospital 2139 Auburn Ave Cincinnati, OH 45219 (513) 585-2000

Somc Home Health Services 724 8th St Portsmouth, OH 45662 (740) 356-5603

Cincinnati Children's Hospital Home Care Pharmacy 615 Elsinore Pl Cincinnati, OH 45202 (513) 636-4663 Coram Specialty Infusion Services 4060 Business Park Dr Ste 101 Columbus, OH 43204 (614) 351-5953 4305 Mulhauser Rd Ste 1 Fairfield, OH 45014 (513) 874-1161 6565 Davis Industrial Pkwy Ste Aa Solon, OH 44139 (440) 836-8900 Infusion Partners LLC 4623 Wesley Ave Ste H Cincinnati, OH 45212 (513) 396-6060 Interim Healthcare of Cincinnati 8050 Hosbrook Rd Ste 406 Cincinnati, OH 45236 (513) 984-1110

Southern Ohio Medical Center 1805 27th St Portsmouth, OH 45662 (740) 356-8686 Toledo IV Care 4060 Technology Dr Maumee, OH 43537 (419) 471-1527 4060 Technology Dr Maumee, OH 43537 (800) 257-2970 University Optioncare 7654 Crosswoods Dr Columbus, OH 43235 (888) 291-2273 Walgreens Infusion Services Cincinnati HHA 50 W Techne Center Dr Ste J Milford, OH 45150 (800) 243-1090 Walgreens Infusion Services Dayton 8150 Washington Village Dr Dayton, OH 45458 (888) 699-4065

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CoventryCares of Kentucky Walgreens Infusion Services, Cincinnati 50 W Techne Center Dr Ste J Milford, OH 45150 (800) 243-1090

Oklahoma Caremark, INC. National Contract Oklahoma City, OK 73165 Coram Specialty Infusion Services 235 N Macarthur Blvd Ste 100 Oklahoma City, OK 73127 (405) 495-2273 Walgreens Infusion and Respiratory Services, Oklah 3401 S Meridian Ave Oklahoma City, OK 73119 (405) 681-8118 Languages: Spanish

Oregon Caremark, INC. National Contract Salem, OR 97301 Coram Specialty Infusion Services 7358 Sw Durham Rd Portland, OR 97224 (503) 684-3046 Walgreens Infusion Services At Legacy Health 16195 Sw 72nd Ave Portland, OR 97224 (503) 536-8300

Pennsylvania Caremark, INC. National Contract Harrisburg, PA 17104

Coram Specialty Infusion Services 220 Executive Dr Ste 500 Cranberry Twp, PA 16066 (724) 772-3701 6 Spring Mill Dr Malvern, PA 19355 (610) 296-4446 155 N Donerville Rd Ste 1 Mountville, PA 17554 (717) 285-2510 Coramrx, LLC 4 Spring Mill Dr Malvern, PA 19355 (484) 615-1000 Walgreens Infusion Services, Bethlehem 3895 Adler Pl Bldg A Bethlehem, PA 18017 (800) 422-6601 Walgreens Infusion Services, Monroeville 540 Seco Rd Ste A Monroeville, PA 15146 (800) 372-2784 Walgreens Infusion Services, Philadelphia 4000 Chemical Rd Suite 100 Plymouth Meeting, PA 19462 (800) 548-9903

Rhode Island Caremark, INC. National Contract Providence, RI 2903 Coram Specialty Infusion Services 1240 Pawtucket Ave Suite B East Providence, RI 2916 (401) 434-2082 Walgreens Infusion Services, Riverside 66 Amaral St Riverside, RI 2915 (800) 431-4250

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

South Carolina Caremark, INC. National Contract Columbia, SC 29203 Coram Healthcare/Carolina Home Therapeutics 720 Gracern Rd Ste 123 Columbia, SC 29210 (803) 731-5076 Coram Specialty Infusion Services 5955 Core Ave Ste 512 Charleston, SC 29406 (877) 503-4453

South Dakota Caremark, INC. National Contract Pierre, SD 57501

Tennessee Amerita 217 W Maplewood Ln Nashville, TN 37207 (615) 277-5900 Caremark, INC. National Contract Nashville, TN 37214 Coram Specialty Infusion Services 1828 Midpark Rd Ste D Knoxville, TN 37921 (865) 450-2380 1680 Century Center Pkwy Ste 12 Memphis, TN 38134 (901) 386-3738 2970 Sidco Dr Nashville, TN 37204 (615) 445-3098 Cumberland River Homecare 100 Old Jefferson St Celina, TN 38551 (931) 243-3581 East Tennessee Children's Hospital 2018 W Clinch Ave Knoxville, TN 37916 (865) 541-8000

Infusion Partners LLC 1410 Donelson Pike Ste B-10 Nashville, TN 37217 (615) 846-0381 Jamestown Regional Medical Center 436 Central Ave W Jamestown, TN 38556 (931) 879-3352 Northcrest Medical Center 100 Northcrest Dr Springfield, TN 37172 (615) 384-2411 Sunbelt Home Care 149 Health Care Ln Jellico, TN 37762 (423) 784-1242 Vanderbilt Hc/Walgreens IV & Rt Services 500 Wilson Pike Cir Ste 115 Brentwood, TN 37027 (877) 726-0776

Texas Caremark, INC. National Contract Austin, TX 78759 Coram Healthcare Corporation of North Texas 10105 Technology Blvd W Ste 102 Dallas, TX 75220 (214) 902-3600 Coram Specialty Infusion Services 1905a Kramer Ln Ste 400 Austin, TX 78758 (512) 832-1330 7365 RemcOn Cir Ste A102 El Paso, TX 79912 (915) 833-0140 10611 S Sam Houston Pkwy W Ste 200 Houston, TX 77071 (713) 667-4010

10118 Huebner Rd San Antonio, TX 78240 (210) 523-0125 Walgreens Infusion Services San Antonio 14220 Northbrook Dr Ste 100-B San Antonio, TX 78232 (888) 414-4876 Walgreens Infusion Services, Houston 9030 Kirby Dr Houston, TX 77054 (800) 554-1758 Walgreens Infusion Services, Irving 6611 N Belt Line Rd Bldg 1 Irving, TX 75063 (800) 294-9003

Utah Accredo Therapeutics, INC. 3488 S Main St Salt Lake City, UT 84115 (801) 832-0222 Caremark, INC. National Contract Salt Lake City, UT 84124 Coram Specialty Infusion Services 120 W Vine St Ste 140 Murray, UT 84107 (801) 713-1800

Vermont Caremark, INC. National Contract Montpelier, VT 5602

Virginia Cooley Medical Equipment 613 Park Ave Sw Norton, VA 24273 (276) 679-8350 Coram Specialty Infusion Services 4115 Pleasant Valley Rd Ste 200 Chantilly, VA 20151 (703) 631-1611 Home Health

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CoventryCares of Kentucky Walgreens Infusion Services, Chantilly 4170 Lafayette Center Dr Ste 300 Chantilly, VA 20151 (800) 400-8274

Walgreens Infusion Services, Kennewick 7325 W Deschutes Ave Ste C Kennewick, WA 99336 (509) 783-2273

Washington

West Virginia

Caremark, INC. National Contract Olympia, WA 98502

Caremark, INC. National Contract Charleston, WV 25309

Coram Specialty Infusion Services 14935 Ne 87th St Ste 101 Redmond, WA 98052 (425) 883-3525

Cooley Medical Equipment 60 Water St Logan, WV 25601 (304) 752-1740

Community Hospice Care Center 2330 Pollard Rd Ashland, KY 41101 (606) 329-1890

Mingo Wayne Home Health 155 E 2nd Ave Williamson, WV 25661 (304) 235-3010

Boyle County

520 E North Foothills Dr Spokane, WA 99207 (509) 482-4266 Walgreens Infusion and Respiratory Services Bellin 477 W Horton Rd Bellingham, WA 98226 (800) 755-0484 Walgreens Infusion and Respiratory Services, Belli 477 W Horton Rd Bellingham, WA 98226 (800) 755-0484 Walgreens Infusion and Respiratory Services, Evere 8120 Evergreen Way Everett, WA 98203 (800) 737-0613 Walgreens Infusion and Respiratory Services, Kirkl 12911 120th Ave Ne Ste B10 Kirkland, WA 98034 (800) 737-0613 Walgreens Infusion Services Spokane 1328 N Ash St Spokane, WA 99201 (800) 426-6101

Preferred Choice Home Care 596 S Main St Chapmanville, WV 25508 (304) 855-2440 Preferred Home Health 211 W 6th St Ceredo, WV 25507 (304) 453-3590

Wisconsin Caremark, INC. National Contract Madison, WI 53704 Coram Specialty Infusion Services 5345 S Moorland Rd Ste 101 New Berlin, WI 53151 (262) 207-1590 Walgreens Infusion Services Wauwatosa 1435 N 113th St Wauwatosa, WI 53226 (888) 256-7234

Wyoming Caremark, INC. National Contract Cheyenne, WY 82003

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Hospice

Fayette County

Hopkins County

Kentucky

Hospice of The Bluegrass INC 2312 Alexandria Dr Lexington, KY 40504 (859) 276-5344

Green River Hospice 418 N Scott St Madisonville, KY 42431 (270) 326-4660

Boone County St. Elizabeth Healthcare 4900 Houston Rd Florence, KY 41042 (859) 212-5200

Boyd County

Heritage Hospice INC 120 Enterprise Dr Danville, KY 40422 (859) 236-2425

Campbell County St Elizabeth Healthcare 85 N Grand Ave Fort Thomas, KY 41075 (859) 572-3100

Christian County Pennyroyal Hospice INC 220 Burley Ave Hopkinsville, KY 42240 (270) 885-6428

Clark County Clark Regional Medical Center 175 Hospital Dr Winchester, KY 40391 (859) 745-3500 Hospice East 407 Shoppers Dr Winchester, KY 40391 (859) 744-9866

Daviess County Hospice of Western Kentucky 3419 Wathens Xing Owensboro, KY 42301 (270) 926-7565

UK Healthcare Chandler Hospital 800 Rose St Lexington, KY 40536 (859) 323-5000

Fleming County Fleming County Hospital 55 Foundation Dr Flemingsburg, KY 41041 (606) 849-5000

Floyd County Highlands Regional Medical Center 5000 Kentucky Route 321 Prestonsburg, KY 41653 (606) 886-7600

Grant County St. Elizabeth Healthcare 238 Barnes Rd Williamstown, KY 41097 (859) 824-8240

Hardin County

Jefferson County Hosparus INC 3532 Ephraim McDowell Dr Louisville, KY 40205 (502) 456-6200 Hosparus Inpatient Care Center 315 E Broadway 6th Fl Louisville, KY 40202 (502) 629-3600

Johnson County Community Hospice Care Center 869 N US Highway 23 Paintsville, KY 41240 (606) 329-1890

Kenton County St. Elizabeth Healthcare 1500 James Simpson Jr Way Covington, KY 41011 (859) 292-4000 1 Medical Village Dr Edgewood, KY 41017 (859) 344-2000

Hospice of Central Kentucky 105 Diecks Dr Elizabethtown, KY 42701 (270) 737-6300

Tri-County Hospice 740 E Laurel Rd London, KY 40741 (606) 877-3950

Henderson County

Lawrence County

Methodist Hospital 1305 N Elm St Henderson, KY 42420 (270) 827-7700

Three Rivers Medical Center 2483 Highway 644 Louisa, KY 41230 (606) 638-9451

St. Anthony's Hospice 2410 S Green St Henderson, KY 42420 (270) 826-2326

Languages: Spanish

Laurel County

Home Health

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CoventryCares of Kentucky Lincoln County

Pike County

Taylor County

Adair County

Boyle County

Fort Logan Hospital 110 Metker Trl Stanford, KY 40484 (606) 365-2187

Appalachian Hospice Care, INC 1414 S Mayo Trl Pikeville, KY 41501 (606) 432-2112

Hospice of Central Kentucky 295 Campbellsville Byp Green River Plaza Ste 5 Campbellsville, KY 42718 (270) 789-4247

Westlake Regional Hospital 901 Westlake Dr Columbia, KY 42728 (270) 384-4753

Ephraim McDowell Regional Medical Center 217 S 3rd St Danville, KY 40422 (859) 239-1000

Madison County Hospice Care Plus INC 208 Kidd Dr Berea, KY 40403 (859) 986-1500

Mason County Hospice of Hope 909 Kenton Station Dr Maysville, KY 41056 (606) 759-4050 Meadowview Regional Medical Center 989 Medical Park Dr Maysville, KY 41056 (606) 759-5311

McCracken County Lourdes Hospice 911 Joe Clifton Dr Paducah, KY 42001 (270) 444-2262 Lourdes Hospital 1530 Lone Oak Rd Paducah, KY 42003 (270) 444-2444

Muhlenberg County Muhlenberg Community Hospital 440 Hopkinsville St Greenville, KY 42345 (270) 338-8000

Ohio County Hospice of Ohio County 107 Gillespie St Hartford, KY 42347 (270) 298-9507

Powell County Hospice East INC 106 W College Ave Stanton, KY 40380 (859) 744-9866

Pulaski County Hospice of Lake Cumberland 100 Parkway Dr Somerset, KY 42503 (606) 679-4389 Lake Cumberland Regional Hospital 305 Langdon St Somerset, KY 42503 (606) 679-7441

Rockcastle County Rockcastle Hospital and Respiratory Care Center 145 Newcomb Ave Mount Vernon, KY 40456 (606) 256-2195

Rowan County St. Claire Medical Homecare Hospice 201 Lyons Ave Morehead, KY 40351 (606) 783-6812

Russell County

Warren County Hosparus Barren River 101 Riverwood Ave Ste B Bowling Green, KY 42103 (270) 782-7258 Hospice of Southern Kentucky 5872 Scottsville Rd Bowling Green, KY 42104 (270) 782-3402 Medical Center-Bowling Green 250 Park St Bowling Green, KY 42101 (270) 745-1000

Ohio Christ Hospital 2139 Auburn Ave Cincinnati, OH 45219 (513) 585-2000 Southern Ohio Medical Center 1805 27th St Portsmouth, OH 45662 (740) 356-8686

Tennessee

Russell County Hospital 153 Dowell Rd Russell Springs, KY 42642 (270) 866-4141

Northcrest Medical Center 100 Northcrest Dr Springfield, TN 37172 (615) 384-2411

Shelby County

Laboratory

Hospice of Louisville 540 Main St Shelbyville, KY 40065 (502) 647-2400 † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kentucky

Allen County Medical Center At Scottsville 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800

Barren County Southern Medical Laboratory 1407 N Race St Ste 3 Glasgow, KY 42141 (270) 651-2989

Laboratory and Biodiagnostics LLC 105 Ponder Ct Ste 101 Danville, KY 40422 (859) 936-6920

Breathitt County Labcorp 95 Jackson Hts Ste 101 Jackson, KY 41339 (606) 666-8103

Caldwell County

T. J. Samson Community Hospital 1301 N Race St Glasgow, KY 42141 (270) 651-4444

Caldwell Medical Center 100 Medical Center Dr Princeton, KY 42445 (270) 365-0380

Bell County

Calloway County

Pineville Community Hospital Association 850 Riverview Ave Pineville, KY 40977 (606) 337-3051

Murray-Calloway County Hospital 803 Poplar St Murray, KY 42071 (270) 762-1100

Boone County

Campbell County

Quest Diagnostics 7370 Turfway Rd Ste 170 Florence, KY 41042 (859) 283-0692

St Elizabeth Healthcare 85 N Grand Ave Fort Thomas, KY 41075 (859) 572-3100

St. Elizabeth Healthcare 4900 Houston Rd Florence, KY 41042 (859) 212-5200

Carroll County

Boyd County Quest Diagnostics 1200 Bath Ave Suite 140 Ashland, KY 41101 (606) 326-0260

Carroll County Regional Medical Center 309 11th St Carrollton, KY 41008 (502) 732-4321

Christian County Solstas Lab Partners Group LLC 1102 S Virginia St Hopkinsville, KY 42240 (270) 886-6336 Hospice

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CoventryCares of Kentucky Clark County Clark Regional Medical Center 175 Hospital Dr Winchester, KY 40391 (859) 745-3500

3475 Richmond Rd Ste 260 Lexington, KY 40509 (859) 543-4105

Crittenden County

1000 Monarch St Ste 180 Lexington, KY 40513 (859) 277-9561

Crittenden County Hospital 520 W Gum St Marion, KY 42064 (270) 965-1012

Laboratory and Biodiagnostics 2628 Wilhite Dr Lexington, KY 40503 (859) 276-0352

Cumberland County

2277 Thunderstick Dr Lexington, KY 40505 (859) 368-8838

Cumberland County Hospital 299 Glasgow Rd Burkesville, KY 42717 (270) 864-2511

Daviess County Mayfair Laboratory LLC 2315 Mayfair Dr Owensboro, KY 42301 (270) 684-6242 Western Kentucky Rheumatology 1102 Triplett St Ste 1400 Owensboro, KY 42303 (270) 688-1200

Fayette County Baptist Health Lexington 1740 Nicholasville Rd Lexington, KY 40503 (859) 260-6100 Labcorp 2620 Wilhite Dr Lexington, KY 40503 (859) 260-1257 1401 Harrodsburg Rd Ste B-195 Lexington, KY 40504 (859) 276-0432 330 Waller Ave Ste 225 Lexington, KY 40504 (859) 226-0754

Landmark Toxicology 1055 Wellington Way Ste 170 Lexington, KY 40513 (859) 554-5502 Quest Diagnostics 141 N Eagle Creek Dr Ste 103 Lexington, KY 40509 (859) 294-0043 989 Governors Ln Ste 140 Lexington, KY 40513 (859) 276-2548 UK Healthcare Chandler Hospital 800 Rose St Lexington, KY 40536 (859) 323-5000

Fleming County Fleming County Hospital 55 Foundation Dr Flemingsburg, KY 41041 (606) 849-5000

Floyd County Highlands Regional Medical Center 5000 Kentucky Route 321 Prestonsburg, KY 41653 (606) 886-7600

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Labcorp 400 University Dr Ste 205 Prestonsburg, KY 41653 (606) 886-6342

Trover Clinic Foundation 900 Hospital Dr Madisonville, KY 42431 (270) 825-7200

Norton Audubon Hospital 1 Audubon Plaza Dr Louisville, KY 40217 (502) 636-7111

Franklin County

Jefferson County

Labcorp 309 Shelby St Frankfort, KY 40601 (502) 223-1999

Baptist Health Louisville 4000 Kresge Way Louisville, KY 40207 (502) 897-8100

Norton Hospital 200 E Chestnut St Louisville, KY 40202 (502) 815-1713

Graves County Jackson Purchase Medical Center 1099 Medical Center Cir Mayfield, KY 42066 (270) 251-4100

Greenup County Our Lady of Bellefonte 122 Saint Christopher Dr Ashland, KY 41101 (606) 833-3333

Hardin County Hardin Memorial Hospital 913 N Dixie Ave Elizabethtown, KY 42701 (270) 737-1212

Harrison County Combined Physicians Lab 469 W Pleasant St Cynthiana, KY 41031 (859) 234-6706

Hopkins County Baptist Health Madisonville 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Multicare Laboratory 444 S Main St Madisonville, KY 42431 (270) 821-4444

Commission for Children With Special Healthcare Ne 310 Whittington Pkwy Ste 200 Louisville, KY 40222 (502) 429-4430 Labcorp 3901 Dutchmans Ln Ste 106 Louisville, KY 40207 (502) 895-5141 4130 Dutchmans Ln Ste 102 Louisville, KY 40207 (502) 893-1389 215 Central Ave Ste 201 Louisville, KY 40208 (502) 637-1127 5601 S 3rd St Basement Louisville, KY 40214 (502) 368-9953 3430 Newburg Rd Ste 110 Louisville, KY 40218 (502) 473-8535 130 Evergreen Rd Ste 103 Louisville, KY 40243 (502) 244-4833 175 S English Station Rd Louisville, KY 40245 (502) 244-4833 Louisville Pathology Assocs, PSC 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4330

Pca Southeast 4040 Dutchmans Ln Ste A Louisville, KY 40207 (931) 388-0777 Quest Diagnostics 6400 Dutchmans Pkwy Ste 155 Louisville, KY 40205 (502) 893-7972 1169 Eastern Pkwy Ste 2343 Louisville, KY 40217 (502) 452-1561 Solstas Lab Partners Group LLC 1700 Bluegrass Ave Louisville, KY 40215 (502) 314-6035 Solstas Lab Partners Group PLLC 9710 Park Plaza Ave Ste 108 Louisville, KY 40241 (502) 425-9217 University of Louisville Hospital 530 S Jackson St Louisville, KY 40202 (502) 562-3000

Kenton County Lab Corp Kentucky 375 Thomas More Pkwy Ste 108 Crestview Hills, KY 41017 (859) 331-1373

Laboratory

Page 99

CoventryCares of Kentucky Labcorp 500 Thomas More Pkwy Ste 8 Crestview Hills, KY 41017 (859) 331-1373

Labcorp 1054 Center Dr Ste 3 Richmond, KY 40475 (859) 626-1818

Quest Diagnostics 2616 Legends Way Ste B Crestview Hills, KY 41017 (859) 344-1180

Laboratory and Biodiagnostics LLC 1054 Center Dr Ste 3 Richmond, KY 40475 (859) 626-1818

St. Elizabeth Healthcare 1 Medical Village Dr Edgewood, KY 41017 (859) 344-2000

Medical Arts Laboratory, INC 1110 Lancaster Rd Ste 1 Richmond, KY 40475 (859) 623-3956

Laurel County

Marshall County

Labcorp 202 W 7th St London, KY 40741 (606) 864-9427

Labcorp 83 Wellness Way Ste B Regional Med Assoc Bldg Benton, KY 42025 (270) 527-0442

803 Meyers Baker Rd Ste 140 London, KY 40741 (606) 330-0498 Nexus Lab INC 148 London Mountain View Dr Ste 4 London, KY 40741 (606) 878-1181

Lawrence County Three Rivers Medical Center 2483 Highway 644 Louisa, KY 41230 (606) 638-9451 Languages: Spanish

Lincoln County Fort Logan Hospital 110 Metker Trl Stanford, KY 40484 (606) 365-2187

Logan County Logan Memorial Hospital 1625 Nashville St Russellville, KY 42276 (270) 726-4011

Madison County

Mason County Labcorp 910 Kenton Station Dr Maysville, KY 41056 (606) 759-0689 Laboratory and Biodiagnostics (Labdx) Maysville PC 927 Kenton Station Dr Maysville, KY 41056 (606) 759-7765 Meadowview Regional Medical Center 989 Medical Park Dr Maysville, KY 41056 (606) 759-5311

McCracken County Baptist Health Paducah 2501 Kentucky Ave Paducah, KY 42003 (270) 575-2100 Labcorp 225 Medical Center Dr Ste 408 Paducah, KY 42003 (270) 441-7480

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lourdes Hospital 1530 Lone Oak Rd Paducah, KY 42003 (270) 444-2444

Monroe County Monroe County Medical Center Reference Laboratory 529 Capp Harlan Rd Tompkinsville, KY 42167 (270) 487-0701

Montgomery County Labcorp 250 Foxglove Dr Ste 4 Mount Sterling, KY 40353 (859) 498-3645 Quest Diagnostics 805 Alexa Dr Ste B Mount Sterling, KY 40353 (859) 498-6859

Muhlenberg County Muhlenberg Community Hospital 440 Hopkinsville St Greenville, KY 42345 (270) 338-8000 Muhlenberg Medical Center 203 N 2nd St Central City, KY 42330 (270) 754-4900 1010 Medical Center Dr Powderly, KY 42367 (270) 377-1600 Western Kentucky Pathology LLC 440 Hopkinsville St Greenville, KY 42345 (270) 338-8370

Nelson County

Rockcastle County

Quest Diagnostics 919 Chambers Blvd Ste E Bardstown, KY 40004 (502) 331-9574

Rockcastle Hospital and Respiratory Care Center 145 Newcomb Ave Mount Vernon, KY 40456 (606) 256-2195

Oldham County Baptist Health La Grange 1025 New Moody Ln La Grange, KY 40031 (502) 222-5388 Quest Diagnostics 111 E Adams St La Grange, KY 40031 (502) 222-0246

Pike County Labcorp 255 Church St Ste 104 Lourdes Medical Pavilion Pikeville, KY 41501 (606) 433-1333 387 Town Mountain Rd Ste 203 Pikeville, KY 41501 (606) 432-1266 Pikeville Medical Center 911 Bypass Rd Pikeville, KY 41501 (606) 218-3500

Pulaski County Labcorp 340 Bogle St Ste 103 Somerset, KY 42503 (606) 451-0453 Lake Cumberland Regional Hospital 305 Langdon St Somerset, KY 42503 (606) 679-7441

Russell County Russell County Hospital 153 Dowell Rd Russell Springs, KY 42642 (270) 866-4141 Russell County Hospital Laboratory 153 Dowell Rd Russell Springs, KY 42642 (270) 866-8867 Rx Drug Monitoring Laboratories, LLC 660 Lakeway Dr Ste A Russell Springs, KY 42642 (606) 546-6862

Scott County Ultra Imaging INC 707 Burton Pike Georgetown, KY 40324 (859) 254-3766

Simpson County The Medical Center At Franklin 1100 Brookhaven Rd Franklin, KY 42135 (270) 586-3253

Warren County Greenview Regional Hospital 1801 Ashley Cir Bowling Green, KY 42104 (270) 793-1000

Laboratory

Page 100

CoventryCares of Kentucky Medical Center-Bowling Green 250 Park St Bowling Green, KY 42101 (270) 745-1000

Wayne County Monticello Medical Associates Laboratory 1 S Creek Dr Ste 102 Monticello, KY 42633 (606) 348-3365

Whitley County Baptist Health Corbin 1 Trillium Way Corbin, KY 40701 (606) 528-1212 Quest Diagnostics 105 Greer Ln Corbin, KY 40701 (606) 526-0032 1321 Cumberland Falls Hwy Corbin, KY 40701 (606) 526-0032

Woodford County Laboratory and Biodiagnostics LLC 206 Crossfield Dr Versailles, KY 40383 (859) 256-0180

Alabama Aperian Laboratory Solutions, LLC 121 N 20th St Bldg 17 Opelika, AL 36801 (334) 528-6900 Associated Clinical Labs Lp - Al National Contract Montgomery, AL 36101 (814) 461-2400 Associated Pathologist Chartered-Al National Contract Montgomery, AL 36101 (800) 433-2750

Berkeley Heartlab INC - Al National Contract Montgomery, AL 36101 (510) 747-1740 Centrex Clinical Laboratories INC - Al National Contract Montgomery, AL 36101 (315) 624-8200 Compunet Clinical Laboratories - Al National Contract Montgomery, AL 36101 (937) 297-8305 Dcl Medical Laboratories INC - Al National Contract Montgomery, AL 36101 (618) 343-0002 Dianon Systems INC Al National Contract Montgomery, AL 36101 (516) 794-4646 Diatherix Laboratories, INC. 601 Genome Way Ste 4208 Huntsville, AL 35806 (866) 979-4242 Dynacare Northwest INC - Al National Contract Montgomery, AL 36101 (206) 861-7000 Dynagene - Al National Contract Montgomery, AL 36101 (713) 798-9500 Esoterix INC - Al National Contract Montgomery, AL 36101 (602) 997-9161 Firstsource Laboratory Solutions INC - Al National Contract Montgomery, AL 36101 (317) 566-9846

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Home Healthcare Laboratory of America LLC - Al National Contract Montgomery, AL 36101 (888) 522-4452 Laboratory Corporation of America - Al National Contract Montgomery, AL 36101 (907) 561-7666 Litholink Corporation - Al National Contract Montgomery, AL 36101 (312) 243-0600 Medical Park Laboratories Ltd - Al National Contract Montgomery, AL 36101 (907) 272-5475 Mid America Clinical Laboratories - Al National Contract Montgomery, AL 36101 (800) 667-5185 National Genetics Institute - Al National Contract Montgomery, AL 36101 (310) 996-0211 Quest - Al National Contract Montgomery, AL 36101 (248) 373-9120

Quest Diagnostics - Al National Contract Montgomery, AL 36101 (303) 899-6000 National Contract Montgomery, AL 36101 (408) 975-1015 National Contract Montgomery, AL 36101 (580) 795-0137 National Contract Montgomery, AL 36101 (800) 488-8890 National Contract Montgomery, AL 36101 (818) 737-5200 National Contract Montgomery, AL 36101 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Al National Contract Montgomery, AL 36101 (303) 899-6000 National Contract Montgomery, AL 36101 (615) 687-2000 National Contract Montgomery, AL 36101 (800) 282-6613 National Contract Montgomery, AL 36101 (800) 669-7525

National Contract Montgomery, AL 36101 (410) 247-9100

National Contract Montgomery, AL 36101 (800) 825-7380

National Contract Montgomery, AL 36101 (800) 433-2750

Quest Diagnostics Clinical Labs INC - Al National Contract Montgomery, AL 36101 (866) 865-2805

National Contract Montgomery, AL 36101 (800) 631-1388 Quest Diag Nichols Institute INC - Al National Contract Montgomery, AL 36101 (703) 802-6900

Quest Diagnostics LLC Ct - Al National Contract Montgomery, AL 36101 (203) 949-5500

Quest Diagnostics LLC Il - Al National Contract Montgomery, AL 36101 (630) 595-3888 Quest Diagnostics LLC Ma - Al National Contract Montgomery, AL 36101 (617) 547-8900 Quest Diagnostics Nichols Institute - Al National Contract Montgomery, AL 36101 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Montgomery, AL 36101 (661) 799-6543 Quest Diagnostics of Pa INC - Al National Contract Montgomery, AL 36101 (800) 837-3177 Quest Ok LLC - Al National Contract Montgomery, AL 36101 (405) 609-2000 Quest Venture LLC - Al National Contract Montgomery, AL 36101 (800) 837-3177 Sonora Quest Laboratories LLC - Al National Contract Montgomery, AL 36101 (602) 685-5382 Us Labs - Al National Contract Montgomery, AL 36101 (949) 450-0145 Viromed Laboratories INC - Al National Contract Montgomery, AL 36101 (952) 563-3300

Alaska

Laboratory

Page 101

CoventryCares of Kentucky Associated Clinical Labs Lp - Ak National Contract Juneau, AK 99801 (814) 461-2400 Associated Pathologist Chartered-Ak National Contract Juneau, AK 99801 (800) 433-2750 Berkeley Heartlab INC - Ak National Contract Juneau, AK 99801 (510) 747-1740 Centrex Clinical Laboratories INC - Ak National Contract Juneau, AK 99801 (315) 624-8200 Compunet Clinical Laboratories - Ak National Contract Juneau, AK 99801 (937) 297-8305 Dcl Medical Laboratories INC - Ak National Contract Juneau, AK 99801 (618) 343-0002 Dianon Systems INC Ak National Contract Juneau, AK 99801 (516) 794-4646 Dynacare Northwest INC - Ak National Contract Juneau, AK 99801 (206) 861-7000 Dynagene - Ak National Contract Juneau, AK 99801 (713) 798-9500 Esoterix INC - Ak National Contract Juneau, AK 99801 (602) 997-9161

Firstsource Laboratory Solutions INC - Ak National Contract Juneau, AK 99801 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ak National Contract Juneau, AK 99801 (888) 522-4452 Laboratory Corporation of America 4100 Lake Otis Pkwy Ste 306 Anchorage, AK 99508 (907) 561-7666 Litholink Corporation - Ak National Contract Juneau, AK 99801 (312) 243-0600 Medical Park Laboratories Ltd 2211 E Northern Lights Blvd Anchorage, AK 99508 (907) 272-5475 Mid America Clinical Laboratories - Ak National Contract Juneau, AK 99801 (800) 667-5185 National Genetics Institute - Ak National Contract Juneau, AK 99801 (310) 996-0211 Quest - Ak National Contract Juneau, AK 99801 (248) 373-9120 National Contract Juneau, AK 99801 (410) 247-9100 National Contract Juneau, AK 99801 (800) 433-2750

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Juneau, AK 99801 (800) 631-1388 Quest Diag Nichols Institute INC - Ak National Contract Juneau, AK 99801 (703) 802-6900 Quest Diagnostics - Ak National Contract Juneau, AK 99801 (303) 899-6000 National Contract Juneau, AK 99801 (408) 975-1015 National Contract Juneau, AK 99801 (580) 795-0137 National Contract Juneau, AK 99801 (800) 488-8890 National Contract Juneau, AK 99801 (818) 737-5200 National Contract Juneau, AK 99801 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ak National Contract Juneau, AK 99801 (303) 899-6000 National Contract Juneau, AK 99801 (615) 687-2000 National Contract Juneau, AK 99801 (800) 282-6613 National Contract Juneau, AK 99801 (800) 669-7525 National Contract Juneau, AK 99801 (800) 825-7380

Quest Diagnostics Clinical Labs INC - Ak National Contract Juneau, AK 99801 (866) 865-2805 Quest Diagnostics LLC Ct - Ak National Contract Juneau, AK 99801 (203) 949-5500 Quest Diagnostics LLC Il - Ak National Contract Juneau, AK 99801 (630) 595-3888 Quest Diagnostics LLC Ma - Ak National Contract Juneau, AK 99801 (617) 547-8900 Quest Diagnostics Nichols Institute - Ak National Contract Juneau, AK 99801 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Juneau, AK 99801 (661) 799-6543

Us Labs - Ak National Contract Juneau, AK 99801 (949) 450-0145 Viromed Laboratories INC - Ak National Contract Juneau, AK 99801 (952) 563-3300

Arizona Associated Clinical Labs Lp - Az National Contract Phoenix, AZ 85001 (814) 461-2400 Associated Pathologist Chartered-Az National Contract Phoenix, AZ 85001 (800) 433-2750 Berkeley Heartlab INC - Az National Contract Phoenix, AZ 85001 (510) 747-1740 Centrex Clinical Laboratories INC - Az National Contract Phoenix, AZ 85001 (315) 624-8200

Quest Diagnostics of Pa INC - Ak National Contract Juneau, AK 99801 (800) 837-3177

Compunet Clinical Laboratories - Az National Contract Phoenix, AZ 85001 (937) 297-8305

Quest Ok LLC - Ak National Contract Juneau, AK 99801 (405) 609-2000

Dcl Medical Laboratories INC - Az National Contract Phoenix, AZ 85001 (618) 343-0002

Quest Venture LLC - Ak National Contract Juneau, AK 99801 (800) 837-3177 Sonora Quest Laboratories LLC - Ak National Contract Juneau, AK 99801 (602) 685-5382

Dianon Systems INC Az National Contract Phoenix, AZ 85001 (516) 794-4646 Dynacare Northwest INC - Az National Contract Phoenix, AZ 85001 (206) 861-7000

Laboratory

Page 102

CoventryCares of Kentucky Dynagene - Az National Contract Phoenix, AZ 85001 (713) 798-9500 Esoterix INC 3930 E Watkins St Ste 300 Phoenix, AZ 85034 (602) 997-9161 Firstsource Laboratory Solutions INC - Az National Contract Phoenix, AZ 85001 (317) 566-9846 Home Healthcare Laboratory of America LLC - Az National Contract Phoenix, AZ 85001 (888) 522-4452 Laboratory Corporation of America - Az National Contract Phoenix, AZ 85001 (907) 561-7666 Litholink Corporation - Az National Contract Phoenix, AZ 85001 (312) 243-0600 Medical Park Laboratories Ltd - Az National Contract Phoenix, AZ 85001 (907) 272-5475 Mid America Clinical Laboratories - Az National Contract Phoenix, AZ 85001 (800) 667-5185 National Genetics Institute - Az National Contract Phoenix, AZ 85001 (310) 996-0211 Quest - Az National Contract Phoenix, AZ 85001 (248) 373-9120

National Contract Phoenix, AZ 85001 (410) 247-9100

National Contract Phoenix, AZ 85001 (800) 825-7380

National Contract Phoenix, AZ 85001 (800) 433-2750

Quest Diagnostics Clinical Labs INC - Az National Contract Phoenix, AZ 85001 (866) 865-2805

National Contract Phoenix, AZ 85001 (800) 631-1388 Quest Diag Nichols Institute INC - Az National Contract Phoenix, AZ 85001 (703) 802-6900 Quest Diagnostics - Az National Contract Phoenix, AZ 85001 (303) 899-6000 National Contract Phoenix, AZ 85001 (408) 975-1015 National Contract Phoenix, AZ 85001 (580) 795-0137 National Contract Phoenix, AZ 85001 (800) 488-8890 National Contract Phoenix, AZ 85001 (818) 737-5200 National Contract Phoenix, AZ 85001 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Az National Contract Phoenix, AZ 85001 (303) 899-6000 National Contract Phoenix, AZ 85001 (615) 687-2000 National Contract Phoenix, AZ 85001 (800) 282-6613 National Contract Phoenix, AZ 85001 (800) 669-7525

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Quest Diagnostics LLC Ct - Az National Contract Phoenix, AZ 85001 (203) 949-5500 Quest Diagnostics LLC Il - Az National Contract Phoenix, AZ 85001 (630) 595-3888 Quest Diagnostics LLC Ma - Az National Contract Phoenix, AZ 85001 (617) 547-8900 Quest Diagnostics Nichols Institute - Az National Contract Phoenix, AZ 85001 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Phoenix, AZ 85001 (661) 799-6543 Quest Diagnostics of Pa INC - Az National Contract Phoenix, AZ 85001 (800) 837-3177 Quest Ok LLC - Az National Contract Phoenix, AZ 85001 (405) 609-2000 Quest Venture LLC - Az National Contract Phoenix, AZ 85001 (800) 837-3177

Sonora Quest 13620 N Saguaro Blvd Ste 150 Fountain Hills, AZ 85268 (480) 837-2152 1848 E Innovation Park Dr Oro Valley, AZ 85755 (520) 825-2143 9250 N 3rd St Ste 2020 Phoenix, AZ 85020 (602) 633-3666 3805 E Bell Rd Ste 1500 Phoenix, AZ 85032 (602) 493-7133 9305 W Thomas Rd Ste 300 Phoenix, AZ 85037 (623) 742-9072 3161 N Windsong Dr Ste B Prescott Valley, AZ 86314 (928) 772-5308 980 Willow Creek Rd Ste 203 Prescott, AZ 86301 (928) 445-5261 1150 S Highway 92 Ste E Sierra Vista, AZ 85635 (520) 515-0710 14300 W Granite Valley Dr Ste D17 Sun City West, AZ 85375 (623) 214-4484 10503 W Thunderbird Blvd Sun City, AZ 85351 (623) 977-1013 1440 W Valencia Rd Tucson, AZ 85746 (520) 322-8264 2270 S Ridgeview Dr Ste 306 Yuma, AZ 85364 (928) 782-1684

Sonora Quest Laboratories LLC 1255 W Washington St Tempe, AZ 85281 (602) 685-5382 Sonora Quest Laboratories LLC - Az National Contract Phoenix, AZ 85001 (602) 685-5382 Us Labs - Az National Contract Phoenix, AZ 85001 (949) 450-0145 Viromed Laboratories INC - Az National Contract Phoenix, AZ 85001 (952) 563-3300

Arkansas Associated Clinical Labs Lp - Ar National Contract Little Rock, AR 72201 (814) 461-2400 Associated Pathologist Chartered-Ar National Contract Little Rock, AR 72201 (800) 433-2750 Berkeley Heartlab INC - Ar National Contract Little Rock, AR 72201 (510) 747-1740 Centrex Clinical Laboratories INC - Ar National Contract Little Rock, AR 72201 (315) 624-8200 Compunet Clinical Laboratories - Ar National Contract Little Rock, AR 72201 (937) 297-8305 Dcl Medical Laboratories INC - Ar National Contract Little Rock, AR 72201 (618) 343-0002

Laboratory

Page 103

CoventryCares of Kentucky Dianon Systems INC Ar National Contract Little Rock, AR 72201 (516) 794-4646

National Genetics Institute - Ar National Contract Little Rock, AR 72201 (310) 996-0211

Dynacare Northwest INC - Ar National Contract Little Rock, AR 72201 (206) 861-7000

Quest - Ar National Contract Little Rock, AR 72201 (248) 373-9120

Dynagene - Ar National Contract Little Rock, AR 72201 (713) 798-9500 Esoterix INC - Ar National Contract Little Rock, AR 72201 (602) 997-9161 Firstsource Laboratory Solutions INC - Ar National Contract Little Rock, AR 72201 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ar National Contract Little Rock, AR 72201 (888) 522-4452 Laboratory Corporation of America - Ar National Contract Little Rock, AR 72201 (907) 561-7666 Litholink Corporation - Ar National Contract Little Rock, AR 72201 (312) 243-0600 Medical Park Laboratories Ltd - Ar National Contract Little Rock, AR 72201 (907) 272-5475 Mid America Clinical Laboratories - Ar National Contract Little Rock, AR 72201 (800) 667-5185

National Contract Little Rock, AR 72201 (410) 247-9100 National Contract Little Rock, AR 72201 (800) 433-2750 National Contract Little Rock, AR 72201 (800) 631-1388 Quest Diag Nichols Institute INC - Ar National Contract Little Rock, AR 72201 (703) 802-6900 Quest Diagnostics - Ar National Contract Little Rock, AR 72201 (303) 899-6000 National Contract Little Rock, AR 72201 (408) 975-1015 National Contract Little Rock, AR 72201 (580) 795-0137 National Contract Little Rock, AR 72201 (800) 488-8890 National Contract Little Rock, AR 72201 (818) 737-5200 National Contract Little Rock, AR 72201 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ar National Contract Little Rock, AR 72201 (303) 899-6000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Little Rock, AR 72201 (615) 687-2000 National Contract Little Rock, AR 72201 (800) 282-6613 National Contract Little Rock, AR 72201 (800) 669-7525 National Contract Little Rock, AR 72201 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Ar National Contract Little Rock, AR 72201 (866) 865-2805 Quest Diagnostics LLC Ct - Ar National Contract Little Rock, AR 72201 (203) 949-5500 Quest Diagnostics LLC Il - Ar National Contract Little Rock, AR 72201 (630) 595-3888 Quest Diagnostics LLC Ma - Ar National Contract Little Rock, AR 72201 (617) 547-8900 Quest Diagnostics Nichols Institute - Ar National Contract Little Rock, AR 72201 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Little Rock, AR 72201 (661) 799-6543 Quest Diagnostics of Pa INC - Ar National Contract Little Rock, AR 72201 (800) 837-3177

Quest Ok LLC - Ar National Contract Little Rock, AR 72201 (405) 609-2000 Quest Venture LLC - Ar National Contract Little Rock, AR 72201 (800) 837-3177 Sonora Quest Laboratories LLC - Ar National Contract Little Rock, AR 72201 (602) 685-5382 Us Labs - Ar National Contract Little Rock, AR 72201 (949) 450-0145 Viromed Laboratories INC - Ar National Contract Little Rock, AR 72201 (952) 563-3300

California Associated Clinical Labs Lp - Ca National Contract Sacramento, CA 94203 (814) 461-2400 Associated Pathologist Chartered-Ca National Contract Sacramento, CA 94203 (800) 433-2750 Berkeley Heartlab INC 960 Atlantic Ave Alameda, CA 94501 (510) 747-1740 Centrex Clinical Laboratories INC - Ca National Contract Sacramento, CA 94203 (315) 624-8200 Dcl Medical Laboratories INC - Ca National Contract Sacramento, CA 94203 (618) 343-0002

Dianon Systems INC Ca National Contract Sacramento, CA 94203 (516) 794-4646 Dynacare Northwest INC - Ca National Contract Sacramento, CA 94203 (206) 861-7000 Dynagene - Ca National Contract Sacramento, CA 94203 (713) 798-9500 Esoterix INC - Ca National Contract Sacramento, CA 94203 (602) 997-9161 Firstsource Laboratory Solutions INC - Ca National Contract Sacramento, CA 94203 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ca National Contract Sacramento, CA 94203 (888) 522-4452 Laboratory Corporation of America - Ca National Contract Sacramento, CA 94203 (907) 561-7666 Litholink Corporation - Ca National Contract Sacramento, CA 94203 (312) 243-0600 Medical Park Laboratories Ltd - Ca National Contract Sacramento, CA 94203 (907) 272-5475 Mid America Clinical Laboratories - Ca National Contract Sacramento, CA 94203 (800) 667-5185 Laboratory

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CoventryCares of Kentucky Millennium Laboratories INC 16981 Via Tazon San Diego, CA 92127 (877) 451-3534 National Genetics Institute 2440 S Sepulveda Blvd Ste 235 Los Angeles, CA 90064 (310) 996-0211 Quest - Ca National Contract Sacramento, CA 94203 (248) 373-9120 National Contract Sacramento, CA 94203 (410) 247-9100 National Contract Sacramento, CA 94203 (800) 433-2750 National Contract Sacramento, CA 94203 (800) 631-1388 Quest Diag Nichols Institute INC - Ca National Contract Sacramento, CA 94203 (703) 802-6900 Quest Diagnostics 3714 Northgate Blvd Sacramento, CA 95834 (916) 927-9900 967 Mabury Rd San Jose, CA 95133 (408) 975-1015 8401 Fallbrook Ave West Hills, CA 91304 (818) 737-5200 Quest Diagnostics - Ca National Contract Sacramento, CA 94203 (303) 899-6000 National Contract Sacramento, CA 94203 (408) 975-1015 National Contract Sacramento, CA 94203 (580) 795-0137

National Contract Sacramento, CA 94203 (800) 488-8890 National Contract Sacramento, CA 94203 (818) 737-5200 National Contract Sacramento, CA 94203 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ca National Contract Sacramento, CA 94203 (303) 899-6000 National Contract Sacramento, CA 94203 (615) 687-2000 National Contract Sacramento, CA 94203 (800) 282-6613 National Contract Sacramento, CA 94203 (800) 669-7525 National Contract Sacramento, CA 94203 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Ca National Contract Sacramento, CA 94203 (866) 865-2805

Quest Diagnostics Nichols Institute - Ca National Contract Sacramento, CA 94203 (949) 940-7456

Associated Clinical Labs Lp - Co National Contract Denver, CO 80201 (814) 461-2400

Quest Diagnostics Nichols Institute of Valencia In 27027 Tourney Rd Valencia, CA 91355 (661) 799-6543

Associated Pathologist Chartered-Co National Contract Denver, CO 80201 (800) 433-2750

Quest Diagnostics of Pa INC - Ca National Contract Sacramento, CA 94203 (800) 837-3177 Quest Ok LLC - Ca National Contract Sacramento, CA 94203 (405) 609-2000 Quest Venture LLC - Ca National Contract Sacramento, CA 94203 (800) 837-3177 Sequenom Center for Molecular Medicine LLC 3595 John Hopkins Ct San Diego, CA 92121 (616) 284-3736 3595 John Hopkins Ct San Diego, CA 92121 (858) 202-9380

Quest Diagnostics LLC Ct - Ca National Contract Sacramento, CA 94203 (203) 949-5500

Sonora Quest Laboratories LLC - Ca National Contract Sacramento, CA 94203 (602) 685-5382

Quest Diagnostics LLC Il - Ca National Contract Sacramento, CA 94203 (630) 595-3888

Us Labs 2601 Campus Dr Irvine, CA 92612 (949) 450-0145

Quest Diagnostics LLC Ma - Ca National Contract Sacramento, CA 94203 (617) 547-8900

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Viromed Laboratories INC - Ca National Contract Sacramento, CA 94203 (952) 563-3300

Colorado

Berkeley Heartlab INC - Co National Contract Denver, CO 80201 (510) 747-1740 Centrex Clinical Laboratories INC - Co National Contract Denver, CO 80201 (315) 624-8200 Dcl Medical Laboratories INC - Co National Contract Denver, CO 80201 (618) 343-0002 Dianon Systems INC Co National Contract Denver, CO 80201 (516) 794-4646 Dynacare Northwest INC - Co National Contract Denver, CO 80201 (206) 861-7000 Dynagene - Co National Contract Denver, CO 80201 (713) 798-9500 Esoterix INC - Co National Contract Denver, CO 80201 (602) 997-9161 Firstsource Laboratory Solutions INC - Co National Contract Denver, CO 80201 (317) 566-9846

Home Healthcare Laboratory of America LLC - Co National Contract Denver, CO 80201 (888) 522-4452 Laboratory Corporation of America - Co National Contract Denver, CO 80201 (907) 561-7666 Litholink Corporation - Co National Contract Denver, CO 80201 (312) 243-0600 Medical Park Laboratories Ltd - Co National Contract Denver, CO 80201 (907) 272-5475 Mid America Clinical Laboratories - Co National Contract Denver, CO 80201 (800) 667-5185 National Genetics Institute - Co National Contract Denver, CO 80201 (310) 996-0211 Quest - Co National Contract Denver, CO 80201 (248) 373-9120 National Contract Denver, CO 80201 (410) 247-9100 National Contract Denver, CO 80201 (800) 433-2750 National Contract Denver, CO 80201 (800) 631-1388 Quest Diag Nichols Institute INC - Co National Contract Denver, CO 80201 (703) 802-6900

Laboratory

Page 105

CoventryCares of Kentucky Quest Diagnostics 695 S Broadway Denver, CO 80209 (303) 899-6000 Quest Diagnostics - Co National Contract Denver, CO 80201 (303) 899-6000 National Contract Denver, CO 80201 (408) 975-1015 National Contract Denver, CO 80201 (580) 795-0137 National Contract Denver, CO 80201 (800) 488-8890 National Contract Denver, CO 80201 (818) 737-5200 National Contract Denver, CO 80201 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Co National Contract Denver, CO 80201 (303) 899-6000 National Contract Denver, CO 80201 (615) 687-2000 National Contract Denver, CO 80201 (800) 282-6613 National Contract Denver, CO 80201 (800) 669-7525 National Contract Denver, CO 80201 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Co National Contract Denver, CO 80201 (866) 865-2805

Quest Diagnostics LLC Ct - Co National Contract Denver, CO 80201 (203) 949-5500

Viromed Laboratories INC - Co National Contract Denver, CO 80201 (952) 563-3300

Quest Diagnostics LLC Il - Co National Contract Denver, CO 80201 (630) 595-3888

Connecticut

Quest Diagnostics LLC Ma - Co National Contract Denver, CO 80201 (617) 547-8900 Quest Diagnostics Nichols Institute - Co National Contract Denver, CO 80201 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Denver, CO 80201 (661) 799-6543 Quest Diagnostics of Pa INC - Co National Contract Denver, CO 80201 (800) 837-3177 Quest Ok LLC - Co National Contract Denver, CO 80201 (405) 609-2000 Quest Venture LLC - Co National Contract Denver, CO 80201 (800) 837-3177 Sonora Quest Laboratories LLC - Co National Contract Denver, CO 80201 (602) 685-5382 Us Labs - Co National Contract Denver, CO 80201 (949) 450-0145

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Associated Clinical Labs Lp - Ct National Contract Hartford, CT 6101 (814) 461-2400 Associated Pathologist Chartered-Ct National Contract Hartford, CT 6101 (800) 433-2750 Berkeley Heartlab INC - Ct National Contract Hartford, CT 6101 (510) 747-1740 Centrex Clinical Laboratories INC - Ct National Contract Hartford, CT 6101 (315) 624-8200 Dcl Medical Laboratories INC - Ct National Contract Hartford, CT 6101 (618) 343-0002 Dianon Systems INC Ct National Contract Hartford, CT 6101 (516) 794-4646 Dynacare Northwest INC - Ct National Contract Hartford, CT 6101 (206) 861-7000 Dynagene - Ct National Contract Hartford, CT 6101 (713) 798-9500 Esoterix INC - Ct National Contract Hartford, CT 6101 (602) 997-9161

Firstsource Laboratory Solutions INC - Ct National Contract Hartford, CT 6101 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ct National Contract Hartford, CT 6101 (888) 522-4452 Laboratory Corporation of America - Ct National Contract Hartford, CT 6101 (907) 561-7666 Litholink Corporation - Ct National Contract Hartford, CT 6101 (312) 243-0600 Medical Park Laboratories Ltd - Ct National Contract Hartford, CT 6101 (907) 272-5475 Mid America Clinical Laboratories - Ct National Contract Hartford, CT 6101 (800) 667-5185 National Genetics Institute - Ct National Contract Hartford, CT 6101 (310) 996-0211 Quest - Ct National Contract Hartford, CT 6101 (248) 373-9120 National Contract Hartford, CT 6101 (410) 247-9100 National Contract Hartford, CT 6101 (800) 433-2750 National Contract Hartford, CT 6101 (800) 631-1388

Quest Diag Nichols Institute INC - Ct National Contract Hartford, CT 6101 (703) 802-6900 Quest Diagnostics - Ct National Contract Hartford, CT 6101 (303) 899-6000 National Contract Hartford, CT 6101 (408) 975-1015 National Contract Hartford, CT 6101 (580) 795-0137 National Contract Hartford, CT 6101 (800) 488-8890 National Contract Hartford, CT 6101 (818) 737-5200 National Contract Hartford, CT 6101 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ct National Contract Hartford, CT 6101 (303) 899-6000 National Contract Hartford, CT 6101 (615) 687-2000 National Contract Hartford, CT 6101 (800) 282-6613 National Contract Hartford, CT 6101 (800) 669-7525 National Contract Hartford, CT 6101 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Ct National Contract Hartford, CT 6101 (866) 865-2805

Laboratory

Page 106

CoventryCares of Kentucky Quest Diagnostics LLC Ct 3 Sterling Dr Wallingford, CT 6492 (203) 949-5500 Quest Diagnostics LLC Ct - Ct National Contract Hartford, CT 6101 (203) 949-5500 Quest Diagnostics LLC Il - Ct National Contract Hartford, CT 6101 (630) 595-3888 Quest Diagnostics LLC Ma - Ct National Contract Hartford, CT 6101 (617) 547-8900 Quest Diagnostics Nichols Institute - Ct National Contract Hartford, CT 6101 (949) 940-7456

Us Labs - Ct National Contract Hartford, CT 6101 (949) 450-0145

Dynagene - De National Contract Dover, DE 19901 (713) 798-9500

Viromed Laboratories INC - Ct National Contract Hartford, CT 6101 (952) 563-3300

Esoterix INC - De National Contract Dover, DE 19901 (602) 997-9161

Delaware Associated Clinical Labs Lp - De National Contract Dover, DE 19901 (814) 461-2400 Associated Pathologist Chartered-De National Contract Dover, DE 19901 (800) 433-2750

Firstsource Laboratory Solutions INC - De National Contract Dover, DE 19901 (317) 566-9846 Home Healthcare Laboratory of America LLC - De National Contract Dover, DE 19901 (888) 522-4452

Berkeley Heartlab INC - De National Contract Dover, DE 19901 (510) 747-1740

Laboratory Corporation of America - De National Contract Dover, DE 19901 (907) 561-7666

Centrex Clinical Laboratories INC - De National Contract Dover, DE 19901 (315) 624-8200

Litholink Corporation - De National Contract Dover, DE 19901 (312) 243-0600

Quest Diagnostics of Pa INC - Ct National Contract Hartford, CT 6101 (800) 837-3177

Compunet Clinical Laboratories - De National Contract Dover, DE 19901 (937) 297-8305

Medical Park Laboratories Ltd - De National Contract Dover, DE 19901 (907) 272-5475

Quest Ok LLC - Ct National Contract Hartford, CT 6101 (405) 609-2000

Dcl Medical Laboratories INC - De National Contract Dover, DE 19901 (618) 343-0002

Mid America Clinical Laboratories - De National Contract Dover, DE 19901 (800) 667-5185

Dianon Systems INC De National Contract Dover, DE 19901 (516) 794-4646

National Genetics Institute - De National Contract Dover, DE 19901 (310) 996-0211

Dynacare Northwest INC - De National Contract Dover, DE 19901 (206) 861-7000

Quest - De National Contract Dover, DE 19901 (248) 373-9120

Quest Diagnostics Nichols Institute of Valencia In National Contract Hartford, CT 6101 (661) 799-6543

Quest Venture LLC - Ct National Contract Hartford, CT 6101 (800) 837-3177 Sonora Quest Laboratories LLC - Ct National Contract Hartford, CT 6101 (602) 685-5382

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Dover, DE 19901 (410) 247-9100

National Contract Dover, DE 19901 (800) 825-7380

National Contract Dover, DE 19901 (800) 433-2750

Quest Diagnostics Clinical Labs INC - De National Contract Dover, DE 19901 (866) 865-2805

National Contract Dover, DE 19901 (800) 631-1388 Quest Diag Nichols Institute INC - De National Contract Dover, DE 19901 (703) 802-6900 Quest Diagnostics - De National Contract Dover, DE 19901 (303) 899-6000 National Contract Dover, DE 19901 (408) 975-1015 National Contract Dover, DE 19901 (580) 795-0137 National Contract Dover, DE 19901 (800) 488-8890 National Contract Dover, DE 19901 (818) 737-5200 National Contract Dover, DE 19901 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - De National Contract Dover, DE 19901 (303) 899-6000 National Contract Dover, DE 19901 (615) 687-2000 National Contract Dover, DE 19901 (800) 282-6613

Quest Diagnostics LLC Ct - De National Contract Dover, DE 19901 (203) 949-5500 Quest Diagnostics LLC Il - De National Contract Dover, DE 19901 (630) 595-3888 Quest Diagnostics LLC Ma - De National Contract Dover, DE 19901 (617) 547-8900 Quest Diagnostics Nichols Institute - De National Contract Dover, DE 19901 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Dover, DE 19901 (661) 799-6543 Quest Diagnostics of Pa INC - De National Contract Dover, DE 19901 (800) 837-3177 Quest Ok LLC - De National Contract Dover, DE 19901 (405) 609-2000 Quest Venture LLC - De National Contract Dover, DE 19901 (800) 837-3177

National Contract Dover, DE 19901 (800) 669-7525

Laboratory

Page 107

CoventryCares of Kentucky Sonora Quest Laboratories LLC - De National Contract Dover, DE 19901 (602) 685-5382 Us Labs - De National Contract Dover, DE 19901 (949) 450-0145 Viromed Laboratories INC - De National Contract Dover, DE 19901 (952) 563-3300

Distr of Columb Associated Clinical Labs Lp - Dc National Contract Washington, DC 20001 (814) 461-2400

Dynagene - Dc National Contract Washington, DC 20001 (713) 798-9500 Esoterix INC - Dc National Contract Washington, DC 20001 (602) 997-9161 Firstsource Laboratory Solutions INC - Dc National Contract Washington, DC 20001 (317) 566-9846 Home Healthcare Laboratory of America LLC - Dc National Contract Washington, DC 20001 (888) 522-4452

Associated Pathologist Chartered-Dc National Contract Washington, DC 20001 (800) 433-2750

Laboratory Corporation of America - Dc National Contract Washington, DC 20001 (907) 561-7666

Berkeley Heartlab INC - Dc National Contract Washington, DC 20001 (510) 747-1740

Litholink Corporation - Dc National Contract Washington, DC 20001 (312) 243-0600

Centrex Clinical Laboratories INC - Dc National Contract Washington, DC 20001 (315) 624-8200

Medical Park Laboratories Ltd - Dc National Contract Washington, DC 20001 (907) 272-5475

Dcl Medical Laboratories INC - Dc National Contract Washington, DC 20001 (618) 343-0002

Mid America Clinical Laboratories - Dc National Contract Washington, DC 20001 (800) 667-5185

Dianon Systems INC Dc National Contract Washington, DC 20001 (516) 794-4646

National Genetics Institute - Dc National Contract Washington, DC 20001 (310) 996-0211

Dynacare Northwest INC - Dc National Contract Washington, DC 20001 (206) 861-7000

Quest - Dc National Contract Washington, DC 20001 (248) 373-9120

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Washington, DC 20001 (410) 247-9100

National Contract Washington, DC 20001 (800) 825-7380

National Contract Washington, DC 20001 (800) 433-2750

Quest Diagnostics Clinical Labs INC - Dc National Contract Washington, DC 20001 (866) 865-2805

National Contract Washington, DC 20001 (800) 631-1388 Quest Diag Nichols Institute INC - Dc National Contract Washington, DC 20001 (703) 802-6900 Quest Diagnostics - Dc National Contract Washington, DC 20001 (303) 899-6000 National Contract Washington, DC 20001 (408) 975-1015 National Contract Washington, DC 20001 (580) 795-0137 National Contract Washington, DC 20001 (800) 488-8890 National Contract Washington, DC 20001 (818) 737-5200 National Contract Washington, DC 20001 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Dc National Contract Washington, DC 20001 (303) 899-6000 National Contract Washington, DC 20001 (615) 687-2000 National Contract Washington, DC 20001 (800) 282-6613 National Contract Washington, DC 20001 (800) 669-7525

Quest Diagnostics LLC Ct - Dc National Contract Washington, DC 20001 (203) 949-5500 Quest Diagnostics LLC Il - Dc National Contract Washington, DC 20001 (630) 595-3888 Quest Diagnostics LLC Ma - Dc National Contract Washington, DC 20001 (617) 547-8900 Quest Diagnostics Nichols Institute - Dc National Contract Washington, DC 20001 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Washington, DC 20001 (661) 799-6543 Quest Diagnostics of Pa INC - Dc National Contract Washington, DC 20001 (800) 837-3177 Quest Ok LLC - Dc National Contract Washington, DC 20001 (405) 609-2000 Quest Venture LLC - Dc National Contract Washington, DC 20001 (800) 837-3177

Sonora Quest Laboratories LLC - Dc National Contract Washington, DC 20001 (602) 685-5382 Us Labs - Dc National Contract Washington, DC 20001 (949) 450-0145 Viromed Laboratories INC - Dc National Contract Washington, DC 20001 (952) 563-3300

Florida Associated Clinical Labs Lp - Fl National Contract Tallahassee, FL 32301 (814) 461-2400 Associated Pathologist Chartered-Fl National Contract Tallahassee, FL 32301 (800) 433-2750 Berkeley Heartlab INC - Fl National Contract Tallahassee, FL 32301 (510) 747-1740 Centrex Clinical Laboratories INC - Fl National Contract Tallahassee, FL 32301 (315) 624-8200 Dcl Medical Laboratories INC - Fl National Contract Tallahassee, FL 32301 (618) 343-0002 Dianon Systems INC Fl National Contract Tallahassee, FL 32301 (516) 794-4646 Dynacare Northwest INC - Fl National Contract Tallahassee, FL 32301 (206) 861-7000

Laboratory

Page 108

CoventryCares of Kentucky Dynagene - Fl National Contract Tallahassee, FL 32301 (713) 798-9500 Esoterix INC - Fl National Contract Tallahassee, FL 32301 (602) 997-9161 Firstsource Laboratory Solutions INC - Fl National Contract Tallahassee, FL 32301 (317) 566-9846 Home Healthcare Laboratory of America LLC - Fl National Contract Tallahassee, FL 32301 (888) 522-4452 Laboratory Corporation of America - Fl National Contract Tallahassee, FL 32301 (907) 561-7666 Litholink Corporation - Fl National Contract Tallahassee, FL 32301 (312) 243-0600 Medical Park Laboratories Ltd - Fl National Contract Tallahassee, FL 32301 (907) 272-5475 Mid America Clinical Laboratories - Fl National Contract Tallahassee, FL 32301 (800) 667-5185 National Genetics Institute - Fl National Contract Tallahassee, FL 32301 (310) 996-0211

Oracle Diagnostic Laboratory 4081 Sw 47th Ave Ste 1-4 Davie, FL 33314 (866) 722-5312

Quest Diagnostics Clinical Laboratories INC - Fl National Contract Tallahassee, FL 32301 (303) 899-6000

Quest - Fl National Contract Tallahassee, FL 32301 (248) 373-9120

National Contract Tallahassee, FL 32301 (615) 687-2000

National Contract Tallahassee, FL 32301 (410) 247-9100 National Contract Tallahassee, FL 32301 (800) 433-2750 National Contract Tallahassee, FL 32301 (800) 631-1388 Quest Diag Nichols Institute INC - Fl National Contract Tallahassee, FL 32301 (703) 802-6900 Quest Diagnostics - Fl National Contract Tallahassee, FL 32301 (303) 899-6000 National Contract Tallahassee, FL 32301 (408) 975-1015 National Contract Tallahassee, FL 32301 (580) 795-0137 National Contract Tallahassee, FL 32301 (800) 488-8890 National Contract Tallahassee, FL 32301 (818) 737-5200 National Contract Tallahassee, FL 32301 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC 4225 E Fowler Ave Tampa, FL 33617 (800) 282-6613

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Tallahassee, FL 32301 (800) 282-6613 National Contract Tallahassee, FL 32301 (800) 669-7525 National Contract Tallahassee, FL 32301 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Fl National Contract Tallahassee, FL 32301 (866) 865-2805 Quest Diagnostics LLC Ct - Fl National Contract Tallahassee, FL 32301 (203) 949-5500

Quest Diagnostics of Pa INC - Fl National Contract Tallahassee, FL 32301 (800) 837-3177

Dcl Medical Laboratories INC - Ga National Contract Atlanta, GA 30301 (618) 343-0002

Quest Ok LLC - Fl National Contract Tallahassee, FL 32301 (405) 609-2000

Dianon Systems INC Ga National Contract Atlanta, GA 30301 (516) 794-4646

Quest Venture LLC - Fl National Contract Tallahassee, FL 32301 (800) 837-3177 Sonora Quest Laboratories LLC - Fl National Contract Tallahassee, FL 32301 (602) 685-5382 Us Labs - Fl National Contract Tallahassee, FL 32301 (949) 450-0145 Viromed Laboratories INC - Fl National Contract Tallahassee, FL 32301 (952) 563-3300

Georgia

Quest Diagnostics LLC Il - Fl National Contract Tallahassee, FL 32301 (630) 595-3888

Associated Clinical Labs Lp - Ga National Contract Atlanta, GA 30301 (814) 461-2400

Quest Diagnostics LLC Ma - Fl National Contract Tallahassee, FL 32301 (617) 547-8900

Associated Pathologist Chartered-Ga National Contract Atlanta, GA 30301 (800) 433-2750

Quest Diagnostics Nichols Institute - Fl National Contract Tallahassee, FL 32301 (949) 940-7456

Berkeley Heartlab INC - Ga National Contract Atlanta, GA 30301 (510) 747-1740

Quest Diagnostics Nichols Institute of Valencia In National Contract Tallahassee, FL 32301 (661) 799-6543

Centrex Clinical Laboratories INC - Ga National Contract Atlanta, GA 30301 (315) 624-8200

Doctors Laboratory INCorporated 2906 Julia Dr Valdosta, GA 31602 (229) 244-4468 Dynacare Northwest INC - Ga National Contract Atlanta, GA 30301 (206) 861-7000 Dynagene - Ga National Contract Atlanta, GA 30301 (713) 798-9500 Esoterix INC - Ga National Contract Atlanta, GA 30301 (602) 997-9161 Firstsource Laboratory Solutions INC - Ga National Contract Atlanta, GA 30301 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ga National Contract Atlanta, GA 30301 (888) 522-4452 Laboratory Corporation of America - Ga National Contract Atlanta, GA 30301 (907) 561-7666 Litholink Corporation - Ga National Contract Atlanta, GA 30301 (312) 243-0600 Laboratory

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CoventryCares of Kentucky Medical Park Laboratories Ltd - Ga National Contract Atlanta, GA 30301 (907) 272-5475 Mid America Clinical Laboratories - Ga National Contract Atlanta, GA 30301 (800) 667-5185 National Genetics Institute - Ga National Contract Atlanta, GA 30301 (310) 996-0211 Quest - Ga National Contract Atlanta, GA 30301 (248) 373-9120 National Contract Atlanta, GA 30301 (410) 247-9100 National Contract Atlanta, GA 30301 (800) 433-2750 National Contract Atlanta, GA 30301 (800) 631-1388 Quest Diag Nichols Institute INC - Ga National Contract Atlanta, GA 30301 (703) 802-6900 Quest Diagnostics - Ga National Contract Atlanta, GA 30301 (303) 899-6000 National Contract Atlanta, GA 30301 (408) 975-1015 National Contract Atlanta, GA 30301 (580) 795-0137 National Contract Atlanta, GA 30301 (800) 488-8890

National Contract Atlanta, GA 30301 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ga National Contract Atlanta, GA 30301 (303) 899-6000 National Contract Atlanta, GA 30301 (615) 687-2000 National Contract Atlanta, GA 30301 (800) 282-6613 National Contract Atlanta, GA 30301 (800) 669-7525 National Contract Atlanta, GA 30301 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Ga National Contract Atlanta, GA 30301 (866) 865-2805 Quest Diagnostics LLC Ct - Ga National Contract Atlanta, GA 30301 (203) 949-5500 Quest Diagnostics LLC Il - Ga National Contract Atlanta, GA 30301 (630) 595-3888 Quest Diagnostics LLC Ma - Ga National Contract Atlanta, GA 30301 (617) 547-8900 Quest Diagnostics Nichols Institute - Ga National Contract Atlanta, GA 30301 (949) 940-7456

National Contract Atlanta, GA 30301 (818) 737-5200 † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Quest Diagnostics Nichols Institute of Valencia In National Contract Atlanta, GA 30301 (661) 799-6543 Quest Diagnostics of Pa INC - Ga National Contract Atlanta, GA 30301 (800) 837-3177

Berkeley Heartlab INC - Hi National Contract Honolulu, HI 96801 (510) 747-1740 Medical Park Laboratories Ltd - Hi National Contract Honolulu, HI 96801 (907) 272-5475

Quest Ok LLC - Ga National Contract Atlanta, GA 30301 (405) 609-2000

Mid America Clinical Laboratories - Hi National Contract Honolulu, HI 96801 (800) 667-5185

Quest Venture LLC - Ga National Contract Atlanta, GA 30301 (800) 837-3177

Quest - Hi National Contract Honolulu, HI 96801 (248) 373-9120

Rocky Mountain Tox LLC 1720 Epps Bridge Pkwy Ste 108 Athens, GA 30606 (866) 363-0203

National Contract Honolulu, HI 96801 (410) 247-9100

Sonora Quest Laboratories LLC - Ga National Contract Atlanta, GA 30301 (602) 685-5382 Us Labs - Ga National Contract Atlanta, GA 30301 (949) 450-0145 Viromed Laboratories INC - Ga National Contract Atlanta, GA 30301 (952) 563-3300

Hawaii Associated Clinical Labs Lp - Hi National Contract Honolulu, HI 96801 (814) 461-2400 Associated Pathologist Chartered-Hi National Contract Honolulu, HI 96801 (800) 433-2750

National Contract Honolulu, HI 96801 (800) 433-2750 National Contract Honolulu, HI 96801 (800) 631-1388 Quest Diag Nichols Institute INC - Hi National Contract Honolulu, HI 96801 (703) 802-6900 Quest Diagnostics - Hi National Contract Honolulu, HI 96801 (303) 899-6000 National Contract Honolulu, HI 96801 (408) 975-1015 National Contract Honolulu, HI 96801 (580) 795-0137 National Contract Honolulu, HI 96801 (800) 488-8890

National Contract Honolulu, HI 96801 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Hi National Contract Honolulu, HI 96801 (303) 899-6000 National Contract Honolulu, HI 96801 (615) 687-2000 National Contract Honolulu, HI 96801 (800) 282-6613 National Contract Honolulu, HI 96801 (800) 669-7525 National Contract Honolulu, HI 96801 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Hi National Contract Honolulu, HI 96801 (866) 865-2805 Quest Diagnostics LLC Ct - Hi National Contract Honolulu, HI 96801 (203) 949-5500 Quest Diagnostics LLC Il - Hi National Contract Honolulu, HI 96801 (630) 595-3888 Quest Diagnostics LLC Ma - Hi National Contract Honolulu, HI 96801 (617) 547-8900 Quest Diagnostics Nichols Institute - Hi National Contract Honolulu, HI 96801 (949) 940-7456

National Contract Honolulu, HI 96801 (818) 737-5200 Laboratory

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CoventryCares of Kentucky Quest Diagnostics Nichols Institute of Valencia In National Contract Honolulu, HI 96801 (661) 799-6543 Quest Diagnostics of Pa INC - Hi National Contract Honolulu, HI 96801 (800) 837-3177 Quest Ok LLC - Hi National Contract Honolulu, HI 96801 (405) 609-2000 Quest Venture LLC - Hi National Contract Honolulu, HI 96801 (800) 837-3177 Sonora Quest Laboratories LLC - Hi National Contract Honolulu, HI 96801 (602) 685-5382

Idaho Associated Clinical Labs Lp - Id National Contract Boise, ID 83701 (814) 461-2400

Dianon Systems INC Id National Contract Boise, ID 83701 (516) 794-4646

National Genetics Institute - Id National Contract Boise, ID 83701 (310) 996-0211

Dynacare Northwest INC - Id National Contract Boise, ID 83701 (206) 861-7000

Quest - Id National Contract Boise, ID 83701 (248) 373-9120

Dynagene - Id National Contract Boise, ID 83701 (713) 798-9500 Esoterix INC - Id National Contract Boise, ID 83701 (602) 997-9161 Firstsource Laboratory Solutions INC - Id National Contract Boise, ID 83701 (317) 566-9846 Home Healthcare Laboratory of America LLC - Id National Contract Boise, ID 83701 (888) 522-4452

Associated Pathologist Chartered-Id National Contract Boise, ID 83701 (800) 433-2750

Laboratory Corporation of America - Id National Contract Boise, ID 83701 (907) 561-7666

Berkeley Heartlab INC - Id National Contract Boise, ID 83701 (510) 747-1740

Litholink Corporation - Id National Contract Boise, ID 83701 (312) 243-0600

Centrex Clinical Laboratories INC - Id National Contract Boise, ID 83701 (315) 624-8200

Medical Park Laboratories Ltd - Id National Contract Boise, ID 83701 (907) 272-5475

Dcl Medical Laboratories INC - Id National Contract Boise, ID 83701 (618) 343-0002

Mid America Clinical Laboratories - Id National Contract Boise, ID 83701 (800) 667-5185

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Boise, ID 83701 (410) 247-9100 National Contract Boise, ID 83701 (800) 433-2750 National Contract Boise, ID 83701 (800) 631-1388 Quest Diag Nichols Institute INC - Id National Contract Boise, ID 83701 (703) 802-6900 Quest Diagnostics - Id National Contract Boise, ID 83701 (303) 899-6000 National Contract Boise, ID 83701 (408) 975-1015 National Contract Boise, ID 83701 (580) 795-0137 National Contract Boise, ID 83701 (800) 488-8890 National Contract Boise, ID 83701 (818) 737-5200 National Contract Boise, ID 83701 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Id National Contract Boise, ID 83701 (303) 899-6000

National Contract Boise, ID 83701 (615) 687-2000 National Contract Boise, ID 83701 (800) 282-6613 National Contract Boise, ID 83701 (800) 669-7525 National Contract Boise, ID 83701 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Id National Contract Boise, ID 83701 (866) 865-2805 Quest Diagnostics LLC Ct - Id National Contract Boise, ID 83701 (203) 949-5500 Quest Diagnostics LLC Il - Id National Contract Boise, ID 83701 (630) 595-3888 Quest Diagnostics LLC Ma - Id National Contract Boise, ID 83701 (617) 547-8900 Quest Diagnostics Nichols Institute - Id National Contract Boise, ID 83701 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Boise, ID 83701 (661) 799-6543 Quest Diagnostics of Pa INC - Id National Contract Boise, ID 83701 (800) 837-3177

Quest Ok LLC - Id National Contract Boise, ID 83701 (405) 609-2000 Quest Venture LLC - Id National Contract Boise, ID 83701 (800) 837-3177 Sonora Quest Laboratories LLC - Id National Contract Boise, ID 83701 (602) 685-5382 Us Labs - Id National Contract Boise, ID 83701 (949) 450-0145 Viromed Laboratories INC - Id National Contract Boise, ID 83701 (952) 563-3300

Illinois Associated Clinical Labs Lp - Il National Contract Springfield, IL 62701 (814) 461-2400 Associated Pathologist Chartered-Il National Contract Springfield, IL 62701 (800) 433-2750 Berkeley Heartlab INC - Il National Contract Springfield, IL 62701 (510) 747-1740 Centrex Clinical Laboratories INC - Il National Contract Springfield, IL 62701 (315) 624-8200 Compunet Clinical Laboratories - Il National Contract Springfield, IL 62701 (937) 297-8305

Laboratory

Page 111

CoventryCares of Kentucky Dcl Medical Laboratories INC 1616 Eastport Plaza Dr Collinsville, IL 62234 (618) 343-0002

Mid America Clinical Laboratories - Il National Contract Springfield, IL 62701 (800) 667-5185

Dianon Systems INC Il National Contract Springfield, IL 62701 (516) 794-4646

National Genetics Institute - Il National Contract Springfield, IL 62701 (310) 996-0211

Dynacare Northwest INC - Il National Contract Springfield, IL 62701 (206) 861-7000

Quest - Il National Contract Springfield, IL 62701 (248) 373-9120

Dynagene - Il National Contract Springfield, IL 62701 (713) 798-9500 Esoterix INC - Il National Contract Springfield, IL 62701 (602) 997-9161 Firstsource Laboratory Solutions INC - Il National Contract Springfield, IL 62701 (317) 566-9846 Home Healthcare Laboratory of America LLC - Il National Contract Springfield, IL 62701 (888) 522-4452 Laboratory Corporation of America - Il National Contract Springfield, IL 62701 (907) 561-7666 Litholink Corporation 2250 W Campbell Park Dr Chicago, IL 60612 (312) 243-0600 Medical Park Laboratories Ltd - Il National Contract Springfield, IL 62701 (907) 272-5475

National Contract Springfield, IL 62701 (410) 247-9100 National Contract Springfield, IL 62701 (800) 433-2750

Quest Diagnostics Clinical Laboratories INC - Il National Contract Springfield, IL 62701 (303) 899-6000

Quest Diagnostics Nichols Institute of Valencia In National Contract Springfield, IL 62701 (661) 799-6543

National Contract Springfield, IL 62701 (615) 687-2000

Quest Diagnostics of Pa INC - Il National Contract Springfield, IL 62701 (800) 837-3177

National Contract Springfield, IL 62701 (800) 282-6613 National Contract Springfield, IL 62701 (800) 669-7525 National Contract Springfield, IL 62701 (800) 825-7380

National Contract Springfield, IL 62701 (800) 631-1388

Quest Diagnostics Clinical Labs INC - Il National Contract Springfield, IL 62701 (866) 865-2805

Quest Diag Nichols Institute INC - Il National Contract Springfield, IL 62701 (703) 802-6900

Quest Diagnostics LLC Ct - Il National Contract Springfield, IL 62701 (203) 949-5500

Quest Diagnostics - Il National Contract Springfield, IL 62701 (303) 899-6000

Quest Diagnostics LLC Il 1355 N Mittel Blvd Wood Dale, IL 60191 (630) 595-3888

National Contract Springfield, IL 62701 (408) 975-1015 National Contract Springfield, IL 62701 (580) 795-0137 National Contract Springfield, IL 62701 (800) 488-8890 National Contract Springfield, IL 62701 (818) 737-5200 National Contract Springfield, IL 62701 (916) 927-9900

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Quest Diagnostics LLC Il - Il National Contract Springfield, IL 62701 (630) 595-3888 Quest Diagnostics LLC Ma - Il National Contract Springfield, IL 62701 (617) 547-8900 Quest Diagnostics Nichols Institute - Il National Contract Springfield, IL 62701 (949) 940-7456

Quest Ok LLC - Il National Contract Springfield, IL 62701 (405) 609-2000 Quest Venture LLC - Il National Contract Springfield, IL 62701 (800) 837-3177 Sonora Quest Laboratories LLC - Il National Contract Springfield, IL 62701 (602) 685-5382 Us Labs - Il National Contract Springfield, IL 62701 (949) 450-0145 Viromed Laboratories INC - Il National Contract Springfield, IL 62701 (952) 563-3300

Associated Pathologist Chartered-In National Contract Indianapolis, IN 46201 (800) 433-2750 Berkeley Heartlab INC - In National Contract Indianapolis, IN 46201 (510) 747-1740 Centrex Clinical Laboratories INC - In National Contract Indianapolis, IN 46201 (315) 624-8200 Compunet Clinical Laboratories - In National Contract Indianapolis, IN 46201 (937) 297-8305 Dcl Medical Laboratories INC - In National Contract Indianapolis, IN 46201 (618) 343-0002 Dianon Systems INC In National Contract Indianapolis, IN 46201 (516) 794-4646

Indiana

Dynacare Northwest INC - In National Contract Indianapolis, IN 46201 (206) 861-7000

Ait Laboratories 2265 Executive Dr Indianapolis, IN 46241 (800) 875-3894

Dynagene - In National Contract Indianapolis, IN 46201 (713) 798-9500

Languages: Spanish Anatomic Laboratory of The Tri State, LLC 3700 Bellemeade Ave Ste 102 Evansville, IN 47714 (812) 437-2737 Associated Clinical Labs Lp - In National Contract Indianapolis, IN 46201 (814) 461-2400

Esoterix INC - In National Contract Indianapolis, IN 46201 (602) 997-9161 Firstsource Laboratory Solutions INC 10022 Lantern Rd Ste 600 Fishers, IN 46037 (317) 566-9846

Laboratory

Page 112

CoventryCares of Kentucky Home Healthcare Laboratory of America LLC - In National Contract Indianapolis, IN 46201 (888) 522-4452 Laboratory Corporation of America - In National Contract Indianapolis, IN 46201 (907) 561-7666 Litholink Corporation - In National Contract Indianapolis, IN 46201 (312) 243-0600 Medical Park Laboratories Ltd - In National Contract Indianapolis, IN 46201 (907) 272-5475 Mid America Clinical Laboratories Macl 2560 N Shadeland Ave Indianapolis, IN 46219 (800) 667-5185 National Genetics Institute - In National Contract Indianapolis, IN 46201 (310) 996-0211 Quest - In National Contract Indianapolis, IN 46201 (248) 373-9120

Quest Diagnostics - In National Contract Indianapolis, IN 46201 (303) 899-6000 National Contract Indianapolis, IN 46201 (408) 975-1015 National Contract Indianapolis, IN 46201 (580) 795-0137 National Contract Indianapolis, IN 46201 (800) 488-8890 National Contract Indianapolis, IN 46201 (818) 737-5200 National Contract Indianapolis, IN 46201 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - In National Contract Indianapolis, IN 46201 (303) 899-6000 National Contract Indianapolis, IN 46201 (615) 687-2000 National Contract Indianapolis, IN 46201 (800) 282-6613 National Contract Indianapolis, IN 46201 (800) 669-7525

National Contract Indianapolis, IN 46201 (410) 247-9100

National Contract Indianapolis, IN 46201 (800) 825-7380

National Contract Indianapolis, IN 46201 (800) 433-2750

Quest Diagnostics Clinical Labs INC - In National Contract Indianapolis, IN 46201 (866) 865-2805

National Contract Indianapolis, IN 46201 (800) 631-1388 Quest Diag Nichols Institute INC - In National Contract Indianapolis, IN 46201 (703) 802-6900

Quest Diagnostics LLC Ct - In National Contract Indianapolis, IN 46201 (203) 949-5500

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Quest Diagnostics LLC Il - In National Contract Indianapolis, IN 46201 (630) 595-3888

Viromed Laboratories INC - In National Contract Indianapolis, IN 46201 (952) 563-3300

Quest Diagnostics LLC Ma - In National Contract Indianapolis, IN 46201 (617) 547-8900

Iowa

Quest Diagnostics Nichols Institute - In National Contract Indianapolis, IN 46201 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Indianapolis, IN 46201 (661) 799-6543 Quest Diagnostics of Pa INC - In National Contract Indianapolis, IN 46201 (800) 837-3177 Quest Ok LLC - In National Contract Indianapolis, IN 46201 (405) 609-2000 Quest Venture LLC - In National Contract Indianapolis, IN 46201 (800) 837-3177 Sonora Quest Laboratories LLC - In National Contract Indianapolis, IN 46201 (602) 685-5382 The Heart Hospital Deaconess 4007 Gateway Blvd Newburgh, IN 47630 (812) 450-5000 Us Labs - In National Contract Indianapolis, IN 46201 (949) 450-0145

Associated Clinical Labs Lp - Ia National Contract Des Moines, IA 50301 (814) 461-2400 Associated Pathologist Chartered-Ia National Contract Des Moines, IA 50301 (800) 433-2750 Berkeley Heartlab INC - Ia National Contract Des Moines, IA 50301 (510) 747-1740 Centrex Clinical Laboratories INC - Ia National Contract Des Moines, IA 50301 (315) 624-8200 Dcl Medical Laboratories INC - Ia National Contract Des Moines, IA 50301 (618) 343-0002 Dianon Systems INC Ia National Contract Des Moines, IA 50301 (516) 794-4646 Dynacare Northwest INC - Ia National Contract Des Moines, IA 50301 (206) 861-7000 Dynagene - Ia National Contract Des Moines, IA 50301 (713) 798-9500 Esoterix INC - Ia National Contract Des Moines, IA 50301 (602) 997-9161

Firstsource Laboratory Solutions INC - Ia National Contract Des Moines, IA 50301 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ia National Contract Des Moines, IA 50301 (888) 522-4452 Laboratory Corporation of America - Ia National Contract Des Moines, IA 50301 (907) 561-7666 Litholink Corporation - Ia National Contract Des Moines, IA 50301 (312) 243-0600 Medical Park Laboratories Ltd - Ia National Contract Des Moines, IA 50301 (907) 272-5475 Mid America Clinical Laboratories - Ia National Contract Des Moines, IA 50301 (800) 667-5185 National Genetics Institute - Ia National Contract Des Moines, IA 50301 (310) 996-0211 Quest - Ia National Contract Des Moines, IA 50301 (248) 373-9120 National Contract Des Moines, IA 50301 (410) 247-9100 National Contract Des Moines, IA 50301 (800) 433-2750 National Contract Des Moines, IA 50301 (800) 631-1388 Laboratory

Page 113

CoventryCares of Kentucky Quest Diag Nichols Institute INC - Ia National Contract Des Moines, IA 50301 (703) 802-6900

Quest Diagnostics LLC Ct - Ia National Contract Des Moines, IA 50301 (203) 949-5500

Viromed Laboratories INC - Ia National Contract Des Moines, IA 50301 (952) 563-3300

Quest Diagnostics - Ia National Contract Des Moines, IA 50301 (303) 899-6000

Quest Diagnostics LLC Il - Ia National Contract Des Moines, IA 50301 (630) 595-3888

Kansas

National Contract Des Moines, IA 50301 (408) 975-1015 National Contract Des Moines, IA 50301 (580) 795-0137 National Contract Des Moines, IA 50301 (800) 488-8890 National Contract Des Moines, IA 50301 (818) 737-5200 National Contract Des Moines, IA 50301 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ia National Contract Des Moines, IA 50301 (303) 899-6000 National Contract Des Moines, IA 50301 (615) 687-2000 National Contract Des Moines, IA 50301 (800) 282-6613 National Contract Des Moines, IA 50301 (800) 669-7525 National Contract Des Moines, IA 50301 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Ia National Contract Des Moines, IA 50301 (866) 865-2805

Quest Diagnostics LLC Ma - Ia National Contract Des Moines, IA 50301 (617) 547-8900 Quest Diagnostics Nichols Institute - Ia National Contract Des Moines, IA 50301 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Des Moines, IA 50301 (661) 799-6543 Quest Diagnostics of Pa INC - Ia National Contract Des Moines, IA 50301 (800) 837-3177 Quest Ok LLC - Ia National Contract Des Moines, IA 50301 (405) 609-2000 Quest Venture LLC - Ia National Contract Des Moines, IA 50301 (800) 837-3177 Sonora Quest Laboratories LLC - Ia National Contract Des Moines, IA 50301 (602) 685-5382 Us Labs - Ia National Contract Des Moines, IA 50301 (949) 450-0145

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Associated Clinical Labs Lp - Ks National Contract Topeka, KS 66601 (814) 461-2400 Associated Pathologist Chartered-Ks National Contract Topeka, KS 66601 (800) 433-2750

Esoterix INC - Ks National Contract Topeka, KS 66601 (602) 997-9161 Firstsource Laboratory Solutions INC - Ks National Contract Topeka, KS 66601 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ks National Contract Topeka, KS 66601 (888) 522-4452

Berkeley Heartlab INC - Ks National Contract Topeka, KS 66601 (510) 747-1740

Laboratory Corporation of America - Ks National Contract Topeka, KS 66601 (907) 561-7666

Centrex Clinical Laboratories INC - Ks National Contract Topeka, KS 66601 (315) 624-8200

Litholink Corporation - Ks National Contract Topeka, KS 66601 (312) 243-0600

Compunet Clinical Laboratories - Ks National Contract Topeka, KS 66601 (937) 297-8305

Medical Park Laboratories Ltd - Ks National Contract Topeka, KS 66601 (907) 272-5475

Dcl Medical Laboratories INC - Ks National Contract Topeka, KS 66601 (618) 343-0002

Mid America Clinical Laboratories - Ks National Contract Topeka, KS 66601 (800) 667-5185

Dianon Systems INC Ks National Contract Topeka, KS 66601 (516) 794-4646

National Genetics Institute - Ks National Contract Topeka, KS 66601 (310) 996-0211

Dynacare Northwest INC - Ks National Contract Topeka, KS 66601 (206) 861-7000

Quest - Ks National Contract Topeka, KS 66601 (248) 373-9120

Dynagene - Ks National Contract Topeka, KS 66601 (713) 798-9500

National Contract Topeka, KS 66601 (410) 247-9100

National Contract Topeka, KS 66601 (800) 433-2750 National Contract Topeka, KS 66601 (800) 631-1388 Quest Diag Nichols Institute INC - Ks National Contract Topeka, KS 66601 (703) 802-6900 Quest Diagnostics 10101 Renner Blvd Lenexa, KS 66219 (800) 488-8890 Quest Diagnostics - Ks National Contract Topeka, KS 66601 (303) 899-6000 National Contract Topeka, KS 66601 (408) 975-1015 National Contract Topeka, KS 66601 (580) 795-0137 National Contract Topeka, KS 66601 (800) 488-8890 National Contract Topeka, KS 66601 (818) 737-5200 National Contract Topeka, KS 66601 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ks National Contract Topeka, KS 66601 (303) 899-6000 National Contract Topeka, KS 66601 (615) 687-2000 National Contract Topeka, KS 66601 (800) 282-6613 National Contract Topeka, KS 66601 (800) 669-7525 Laboratory

Page 114

CoventryCares of Kentucky National Contract Topeka, KS 66601 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Ks National Contract Topeka, KS 66601 (866) 865-2805 Quest Diagnostics LLC Ct - Ks National Contract Topeka, KS 66601 (203) 949-5500 Quest Diagnostics LLC Il - Ks National Contract Topeka, KS 66601 (630) 595-3888 Quest Diagnostics LLC Ma - Ks National Contract Topeka, KS 66601 (617) 547-8900 Quest Diagnostics Nichols Institute - Ks National Contract Topeka, KS 66601 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Topeka, KS 66601 (661) 799-6543 Quest Diagnostics of Pa INC - Ks National Contract Topeka, KS 66601 (800) 837-3177 Quest Ok LLC - Ks National Contract Topeka, KS 66601 (405) 609-2000 Quest Venture LLC - Ks National Contract Topeka, KS 66601 (800) 837-3177

Sonora Quest Laboratories LLC - Ks National Contract Topeka, KS 66601 (602) 685-5382

Dynacare Northwest INC - La National Contract Baton Rouge, LA 70801 (206) 861-7000

National Genetics Institute - La National Contract Baton Rouge, LA 70801 (310) 996-0211

Us Labs - Ks National Contract Topeka, KS 66601 (949) 450-0145

Dynagene - La National Contract Baton Rouge, LA 70801 (713) 798-9500

Quest - La National Contract Baton Rouge, LA 70801 (248) 373-9120

Viromed Laboratories INC - Ks National Contract Topeka, KS 66601 (952) 563-3300

Esoterix INC - La National Contract Baton Rouge, LA 70801 (602) 997-9161

National Contract Baton Rouge, LA 70801 (410) 247-9100

Louisiana Associated Clinical Labs Lp - La National Contract Baton Rouge, LA 70801 (814) 461-2400 Associated Pathologist Chartered-La National Contract Baton Rouge, LA 70801 (800) 433-2750

Firstsource Laboratory Solutions INC - La National Contract Baton Rouge, LA 70801 (317) 566-9846 Home Healthcare Laboratory of America LLC - La National Contract Baton Rouge, LA 70801 (888) 522-4452

Berkeley Heartlab INC - La National Contract Baton Rouge, LA 70801 (510) 747-1740

Laboratory Corporation of America - La National Contract Baton Rouge, LA 70801 (907) 561-7666

Centrex Clinical Laboratories INC - La National Contract Baton Rouge, LA 70801 (315) 624-8200

Labtrust LLC 400 River Highlands Blvd Ste 10 Covington, LA 70433 (985) 249-5280

Compunet Clinical Laboratories - La National Contract Baton Rouge, LA 70801 (937) 297-8305

Litholink Corporation - La National Contract Baton Rouge, LA 70801 (312) 243-0600

Dcl Medical Laboratories INC - La National Contract Baton Rouge, LA 70801 (618) 343-0002

Medical Park Laboratories Ltd - La National Contract Baton Rouge, LA 70801 (907) 272-5475

Dianon Systems INC La National Contract Baton Rouge, LA 70801 (516) 794-4646

Mid America Clinical Laboratories - La National Contract Baton Rouge, LA 70801 (800) 667-5185

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Baton Rouge, LA 70801 (800) 433-2750 National Contract Baton Rouge, LA 70801 (800) 631-1388 Quest Diag Nichols Institute INC - La National Contract Baton Rouge, LA 70801 (703) 802-6900 Quest Diagnostics - La National Contract Baton Rouge, LA 70801 (303) 899-6000 National Contract Baton Rouge, LA 70801 (408) 975-1015 National Contract Baton Rouge, LA 70801 (580) 795-0137 National Contract Baton Rouge, LA 70801 (800) 488-8890 National Contract Baton Rouge, LA 70801 (818) 737-5200 National Contract Baton Rouge, LA 70801 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - La National Contract Baton Rouge, LA 70801 (303) 899-6000

National Contract Baton Rouge, LA 70801 (615) 687-2000 National Contract Baton Rouge, LA 70801 (800) 282-6613 National Contract Baton Rouge, LA 70801 (800) 669-7525 National Contract Baton Rouge, LA 70801 (800) 825-7380 Quest Diagnostics Clinical Labs INC - La National Contract Baton Rouge, LA 70801 (866) 865-2805 Quest Diagnostics LLC Ct - La National Contract Baton Rouge, LA 70801 (203) 949-5500 Quest Diagnostics LLC Il - La National Contract Baton Rouge, LA 70801 (630) 595-3888 Quest Diagnostics LLC Ma - La National Contract Baton Rouge, LA 70801 (617) 547-8900 Quest Diagnostics Nichols Institute - La National Contract Baton Rouge, LA 70801 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Baton Rouge, LA 70801 (661) 799-6543 Quest Diagnostics of Pa INC - La National Contract Baton Rouge, LA 70801 (800) 837-3177

Laboratory

Page 115

CoventryCares of Kentucky Quest Ok LLC - La National Contract Baton Rouge, LA 70801 (405) 609-2000 Quest Venture LLC - La National Contract Baton Rouge, LA 70801 (800) 837-3177 Sonora Quest Laboratories LLC - La National Contract Baton Rouge, LA 70801 (602) 685-5382 Us Labs - La National Contract Baton Rouge, LA 70801 (949) 450-0145 Viromed Laboratories INC - La National Contract Baton Rouge, LA 70801 (952) 563-3300

Maine Associated Clinical Labs Lp - Me National Contract Augusta, ME 4330 (814) 461-2400 Associated Pathologist Chartered-Me National Contract Augusta, ME 4330 (800) 433-2750 Berkeley Heartlab INC - Me National Contract Augusta, ME 4330 (510) 747-1740 Centrex Clinical Laboratories INC - Me National Contract Augusta, ME 4330 (315) 624-8200 Compunet Clinical Laboratories - Me National Contract Augusta, ME 4330 (937) 297-8305

Dcl Medical Laboratories INC - Me National Contract Augusta, ME 4330 (618) 343-0002

Mid America Clinical Laboratories - Me National Contract Augusta, ME 4330 (800) 667-5185

Dianon Systems INC Me National Contract Augusta, ME 4330 (516) 794-4646

National Genetics Institute - Me National Contract Augusta, ME 4330 (310) 996-0211

Dynacare Northwest INC - Me National Contract Augusta, ME 4330 (206) 861-7000

Quest - Me National Contract Augusta, ME 4330 (248) 373-9120

Dynagene - Me National Contract Augusta, ME 4330 (713) 798-9500 Esoterix INC - Me National Contract Augusta, ME 4330 (602) 997-9161 Firstsource Laboratory Solutions INC - Me National Contract Augusta, ME 4330 (317) 566-9846 Home Healthcare Laboratory of America LLC - Me National Contract Augusta, ME 4330 (888) 522-4452 Laboratory Corporation of America - Me National Contract Augusta, ME 4330 (907) 561-7666 Litholink Corporation - Me National Contract Augusta, ME 4330 (312) 243-0600 Medical Park Laboratories Ltd - Me National Contract Augusta, ME 4330 (907) 272-5475

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Augusta, ME 4330 (410) 247-9100 National Contract Augusta, ME 4330 (800) 433-2750

Quest Diagnostics Clinical Laboratories INC - Me National Contract Augusta, ME 4330 (303) 899-6000 National Contract Augusta, ME 4330 (615) 687-2000 National Contract Augusta, ME 4330 (800) 282-6613 National Contract Augusta, ME 4330 (800) 669-7525 National Contract Augusta, ME 4330 (800) 825-7380

National Contract Augusta, ME 4330 (800) 631-1388

Quest Diagnostics Clinical Labs INC - Me National Contract Augusta, ME 4330 (866) 865-2805

Quest Diag Nichols Institute INC - Me National Contract Augusta, ME 4330 (703) 802-6900

Quest Diagnostics LLC Ct - Me National Contract Augusta, ME 4330 (203) 949-5500

Quest Diagnostics - Me National Contract Augusta, ME 4330 (303) 899-6000

Quest Diagnostics LLC Il - Me National Contract Augusta, ME 4330 (630) 595-3888

National Contract Augusta, ME 4330 (408) 975-1015 National Contract Augusta, ME 4330 (580) 795-0137 National Contract Augusta, ME 4330 (800) 488-8890 National Contract Augusta, ME 4330 (818) 737-5200 National Contract Augusta, ME 4330 (916) 927-9900

Quest Diagnostics LLC Ma - Me National Contract Augusta, ME 4330 (617) 547-8900 Quest Diagnostics Nichols Institute - Me National Contract Augusta, ME 4330 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Augusta, ME 4330 (661) 799-6543

Quest Diagnostics of Pa INC - Me National Contract Augusta, ME 4330 (800) 837-3177 Quest Ok LLC - Me National Contract Augusta, ME 4330 (405) 609-2000 Quest Venture LLC Me National Contract Augusta, ME 4330 (800) 837-3177 Sonora Quest Laboratories LLC - Me National Contract Augusta, ME 4330 (602) 685-5382 Us Labs - Me National Contract Augusta, ME 4330 (949) 450-0145 Viromed Laboratories INC - Me National Contract Augusta, ME 4330 (952) 563-3300

Maryland Associated Clinical Labs Lp - MD National Contract Annapolis, MD 21401 (814) 461-2400 Associated Pathologist Chartered-Md National Contract Annapolis, MD 21401 (800) 433-2750 Berkeley Heartlab INC - MD National Contract Annapolis, MD 21401 (510) 747-1740 Centrex Clinical Laboratories INC - MD National Contract Annapolis, MD 21401 (315) 624-8200

Laboratory

Page 116

CoventryCares of Kentucky Dcl Medical Laboratories INC - MD National Contract Annapolis, MD 21401 (618) 343-0002

Mid America Clinical Laboratories - MD National Contract Annapolis, MD 21401 (800) 667-5185

Dianon Systems INC MD National Contract Annapolis, MD 21401 (516) 794-4646

National Genetics Institute - MD National Contract Annapolis, MD 21401 (310) 996-0211

Dynacare Northwest INC - MD National Contract Annapolis, MD 21401 (206) 861-7000

Quest - MD National Contract Annapolis, MD 21401 (248) 373-9120

Dynagene - MD National Contract Annapolis, MD 21401 (713) 798-9500 Esoterix INC - MD National Contract Annapolis, MD 21401 (602) 997-9161 Firstsource Laboratory Solutions INC - MD National Contract Annapolis, MD 21401 (317) 566-9846 Home Healthcare Laboratory of America LLC - MD National Contract Annapolis, MD 21401 (888) 522-4452 Laboratory Corporation of America - MD National Contract Annapolis, MD 21401 (907) 561-7666 Litholink Corporation - MD National Contract Annapolis, MD 21401 (312) 243-0600 Medical Park Laboratories Ltd - MD National Contract Annapolis, MD 21401 (907) 272-5475

National Contract Annapolis, MD 21401 (410) 247-9100 National Contract Annapolis, MD 21401 (800) 433-2750

Quest Diagnostics Clinical Laboratories INC - MD National Contract Annapolis, MD 21401 (303) 899-6000

Quest Diagnostics Nichols Institute of Valencia In National Contract Annapolis, MD 21401 (661) 799-6543

National Contract Annapolis, MD 21401 (615) 687-2000

Quest Diagnostics of Pa INC - MD National Contract Annapolis, MD 21401 (800) 837-3177

National Contract Annapolis, MD 21401 (800) 282-6613 National Contract Annapolis, MD 21401 (800) 669-7525 National Contract Annapolis, MD 21401 (800) 825-7380

National Contract Annapolis, MD 21401 (800) 631-1388

Quest Diagnostics Clinical Labs INC - MD National Contract Annapolis, MD 21401 (866) 865-2805

Quest Diag Nichols Institute INC - MD National Contract Annapolis, MD 21401 (703) 802-6900

Quest Diagnostics INCorporated 1901 Sulphur Spring Rd Baltimore, MD 21227 (410) 247-9100

Quest Diagnostics - MD National Contract Annapolis, MD 21401 (303) 899-6000

Quest Diagnostics LLC Ct - MD National Contract Annapolis, MD 21401 (203) 949-5500

National Contract Annapolis, MD 21401 (408) 975-1015 National Contract Annapolis, MD 21401 (580) 795-0137 National Contract Annapolis, MD 21401 (800) 488-8890 National Contract Annapolis, MD 21401 (818) 737-5200 National Contract Annapolis, MD 21401 (916) 927-9900

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Quest Diagnostics LLC Il - MD National Contract Annapolis, MD 21401 (630) 595-3888 Quest Diagnostics LLC Ma - MD National Contract Annapolis, MD 21401 (617) 547-8900 Quest Diagnostics Nichols Institute - MD National Contract Annapolis, MD 21401 (949) 940-7456

Cambridge Biomedical INC 1320 Soldiers Field Rd Brighton, MA 2135 (336) 315-6252 Centrex Clinical Laboratories INC - Ma National Contract Boston, MA 2108 (315) 624-8200

Quest Ok LLC - MD National Contract Annapolis, MD 21401 (405) 609-2000

Dcl Medical Laboratories INC - Ma National Contract Boston, MA 2108 (618) 343-0002

Quest Venture LLC MD National Contract Annapolis, MD 21401 (800) 837-3177

Dianon Systems INC Ma National Contract Boston, MA 2108 (516) 794-4646

Sonora Quest Laboratories LLC - MD National Contract Annapolis, MD 21401 (602) 685-5382

Dynacare Northwest INC - Ma National Contract Boston, MA 2108 (206) 861-7000

Us Labs - MD National Contract Annapolis, MD 21401 (949) 450-0145

Dynagene - Ma National Contract Boston, MA 2108 (713) 798-9500

Viromed Laboratories INC - MD National Contract Annapolis, MD 21401 (952) 563-3300

Esoterix INC - Ma National Contract Boston, MA 2108 (602) 997-9161

Massachusetts Associated Clinical Labs Lp - Ma National Contract Boston, MA 2108 (814) 461-2400 Associated Pathologist Chartered-Ma National Contract Boston, MA 2108 (800) 433-2750 Berkeley Heartlab INC - Ma National Contract Boston, MA 2108 (510) 747-1740

Firstsource Laboratory Solutions INC - Ma National Contract Boston, MA 2108 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ma National Contract Boston, MA 2108 (888) 522-4452 Laboratory Corporation of America - Ma National Contract Boston, MA 2108 (907) 561-7666 Laboratory

Page 117

CoventryCares of Kentucky Litholink Corporation - Ma National Contract Boston, MA 2108 (312) 243-0600 Medical Park Laboratories Ltd - Ma National Contract Boston, MA 2108 (907) 272-5475 Mid America Clinical Laboratories - Ma National Contract Boston, MA 2108 (800) 667-5185 National Genetics Institute - Ma National Contract Boston, MA 2108 (310) 996-0211 Quest - Ma National Contract Boston, MA 2108 (248) 373-9120 National Contract Boston, MA 2108 (410) 247-9100 National Contract Boston, MA 2108 (800) 433-2750 National Contract Boston, MA 2108 (800) 631-1388 Quest Diag Nichols Institute INC - Ma National Contract Boston, MA 2108 (703) 802-6900 Quest Diagnostics - Ma National Contract Boston, MA 2108 (303) 899-6000 National Contract Boston, MA 2108 (408) 975-1015 National Contract Boston, MA 2108 (580) 795-0137

National Contract Boston, MA 2108 (800) 488-8890 National Contract Boston, MA 2108 (818) 737-5200 National Contract Boston, MA 2108 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ma National Contract Boston, MA 2108 (303) 899-6000 National Contract Boston, MA 2108 (615) 687-2000 National Contract Boston, MA 2108 (800) 282-6613 National Contract Boston, MA 2108 (800) 669-7525 National Contract Boston, MA 2108 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Ma National Contract Boston, MA 2108 (866) 865-2805 Quest Diagnostics LLC Ct - Ma National Contract Boston, MA 2108 (203) 949-5500 Quest Diagnostics LLC Il - Ma National Contract Boston, MA 2108 (630) 595-3888 Quest Diagnostics LLC Ma 415 Massachusetts Ave Cambridge, MA 2139 (617) 547-8900

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Quest Diagnostics LLC Ma - Ma National Contract Boston, MA 2108 (617) 547-8900

Associated Pathologist Chartered-Mi National Contract Lansing, MI 48901 (800) 433-2750

Quest Diagnostics Nichols Institute - Ma National Contract Boston, MA 2108 (949) 940-7456

Berkeley Heartlab INC - Mi National Contract Lansing, MI 48901 (510) 747-1740

Quest Diagnostics Nichols Institute of Valencia In National Contract Boston, MA 2108 (661) 799-6543

Centrex Clinical Laboratories INC - Mi National Contract Lansing, MI 48901 (315) 624-8200

Quest Diagnostics of Pa INC - Ma National Contract Boston, MA 2108 (800) 837-3177

Compunet Clinical Laboratories - Mi National Contract Lansing, MI 48901 (937) 297-8305

Quest Ok LLC - Ma National Contract Boston, MA 2108 (405) 609-2000

Dcl Medical Laboratories INC - Mi National Contract Lansing, MI 48901 (618) 343-0002

Quest Venture LLC Ma National Contract Boston, MA 2108 (800) 837-3177

Dianon Systems INC Mi National Contract Lansing, MI 48901 (516) 794-4646

Sonora Quest Laboratories LLC - Ma National Contract Boston, MA 2108 (602) 685-5382

Dynacare Northwest INC - Mi National Contract Lansing, MI 48901 (206) 861-7000

Us Labs - Ma National Contract Boston, MA 2108 (949) 450-0145

Dynagene - Mi National Contract Lansing, MI 48901 (713) 798-9500

Viromed Laboratories INC - Ma National Contract Boston, MA 2108 (952) 563-3300

Esoterix INC - Mi National Contract Lansing, MI 48901 (602) 997-9161

Michigan Associated Clinical Labs Lp - Mi National Contract Lansing, MI 48901 (814) 461-2400

Firstsource Laboratory Solutions INC - Mi National Contract Lansing, MI 48901 (317) 566-9846

Home Healthcare Laboratory of America LLC - Mi National Contract Lansing, MI 48901 (888) 522-4452 Laboratory Corporation of America - Mi National Contract Lansing, MI 48901 (907) 561-7666 Litholink Corporation - Mi National Contract Lansing, MI 48901 (312) 243-0600 Medical Park Laboratories Ltd - Mi National Contract Lansing, MI 48901 (907) 272-5475 Mid America Clinical Laboratories - Mi National Contract Lansing, MI 48901 (800) 667-5185 National Genetics Institute - Mi National Contract Lansing, MI 48901 (310) 996-0211 Quest - Mi National Contract Lansing, MI 48901 (248) 373-9120 National Contract Lansing, MI 48901 (410) 247-9100 National Contract Lansing, MI 48901 (800) 433-2750 National Contract Lansing, MI 48901 (800) 631-1388 Quest Diag Nichols Institute INC - Mi National Contract Lansing, MI 48901 (703) 802-6900

Laboratory

Page 118

CoventryCares of Kentucky Quest Diagnostics - Mi National Contract Lansing, MI 48901 (303) 899-6000 National Contract Lansing, MI 48901 (408) 975-1015 National Contract Lansing, MI 48901 (580) 795-0137 National Contract Lansing, MI 48901 (800) 488-8890 National Contract Lansing, MI 48901 (818) 737-5200

Quest Diagnostics LLC Ct - Mi National Contract Lansing, MI 48901 (203) 949-5500

Sonora Quest Laboratories LLC - Mi National Contract Lansing, MI 48901 (602) 685-5382

Dynacare Northwest INC - Mn National Contract St Paul, MN 55101 (206) 861-7000

National Genetics Institute - Mn National Contract St Paul, MN 55101 (310) 996-0211

Quest Diagnostics LLC Il - Mi National Contract Lansing, MI 48901 (630) 595-3888

Us Labs - Mi National Contract Lansing, MI 48901 (949) 450-0145

Dynagene - Mn National Contract St Paul, MN 55101 (713) 798-9500

Quest - Mn National Contract St Paul, MN 55101 (248) 373-9120

Viromed Laboratories INC - Mi National Contract Lansing, MI 48901 (952) 563-3300

Esoterix INC - Mn National Contract St Paul, MN 55101 (602) 997-9161

National Contract St Paul, MN 55101 (410) 247-9100

Quest Diagnostics LLC Ma - Mi National Contract Lansing, MI 48901 (617) 547-8900

Minnesota

Firstsource Laboratory Solutions INC - Mn National Contract St Paul, MN 55101 (317) 566-9846

National Contract Lansing, MI 48901 (916) 927-9900

Quest Diagnostics Nichols Institute - Mi National Contract Lansing, MI 48901 (949) 940-7456

Quest Diagnostics Clinical Laboratories INC - Mi National Contract Lansing, MI 48901 (303) 899-6000

Quest Diagnostics Nichols Institute of Valencia In National Contract Lansing, MI 48901 (661) 799-6543

National Contract Lansing, MI 48901 (615) 687-2000

Quest Diagnostics of Pa INC - Mi National Contract Lansing, MI 48901 (800) 837-3177

Berkeley Heartlab INC - Mn National Contract St Paul, MN 55101 (510) 747-1740

Laboratory Corporation of America - Mn National Contract St Paul, MN 55101 (907) 561-7666

Quest Ok LLC - Mi National Contract Lansing, MI 48901 (405) 609-2000

Centrex Clinical Laboratories INC - Mn National Contract St Paul, MN 55101 (315) 624-8200

Litholink Corporation - Mn National Contract St Paul, MN 55101 (312) 243-0600

Compunet Clinical Laboratories - Mn National Contract St Paul, MN 55101 (937) 297-8305

Medical Park Laboratories Ltd - Mn National Contract St Paul, MN 55101 (907) 272-5475

Dcl Medical Laboratories INC - Mn National Contract St Paul, MN 55101 (618) 343-0002

Medtox Laboratories INC 402 County Road D W Saint Paul, MN 55112 (800) 832-3244

Dianon Systems INC Mn National Contract St Paul, MN 55101 (516) 794-4646

Mid America Clinical Laboratories - Mn National Contract St Paul, MN 55101 (800) 667-5185

National Contract Lansing, MI 48901 (800) 282-6613 National Contract Lansing, MI 48901 (800) 669-7525 National Contract Lansing, MI 48901 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Mi National Contract Lansing, MI 48901 (866) 865-2805 Quest Diagnostics INCorporated 4444 Giddings Rd Auburn Hills, MI 48326 (248) 373-9120

Quest Venture LLC - Mi National Contract Lansing, MI 48901 (800) 837-3177 Sequenom Center for Molecular Medicine, LLC 301 Michigan St Ne Ste 580 Grand Rapids, MI 49503 (616) 284-3736 Languages: Persian (Farsi), German

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Associated Clinical Labs Lp - Mn National Contract St Paul, MN 55101 (814) 461-2400 Associated Pathologist Chartered-Mn National Contract St Paul, MN 55101 (800) 433-2750

Home Healthcare Laboratory of America LLC - Mn National Contract St Paul, MN 55101 (888) 522-4452

National Contract St Paul, MN 55101 (800) 433-2750 National Contract St Paul, MN 55101 (800) 631-1388 Quest Diag Nichols Institute INC - Mn National Contract St Paul, MN 55101 (703) 802-6900 Quest Diagnostics - Mn National Contract St Paul, MN 55101 (303) 899-6000 National Contract St Paul, MN 55101 (408) 975-1015 National Contract St Paul, MN 55101 (580) 795-0137 National Contract St Paul, MN 55101 (800) 488-8890 National Contract St Paul, MN 55101 (818) 737-5200 National Contract St Paul, MN 55101 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Mn National Contract St Paul, MN 55101 (303) 899-6000

Laboratory

Page 119

CoventryCares of Kentucky National Contract St Paul, MN 55101 (615) 687-2000 National Contract St Paul, MN 55101 (800) 282-6613 National Contract St Paul, MN 55101 (800) 669-7525 National Contract St Paul, MN 55101 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Mn National Contract St Paul, MN 55101 (866) 865-2805 Quest Diagnostics LLC Ct - Mn National Contract St Paul, MN 55101 (203) 949-5500 Quest Diagnostics LLC Il - Mn National Contract St Paul, MN 55101 (630) 595-3888 Quest Diagnostics LLC Ma - Mn National Contract St Paul, MN 55101 (617) 547-8900 Quest Diagnostics Nichols Institute - Mn National Contract St Paul, MN 55101 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract St Paul, MN 55101 (661) 799-6543 Quest Diagnostics of Pa INC - Mn National Contract St Paul, MN 55101 (800) 837-3177

Quest Ok LLC - Mn National Contract St Paul, MN 55101 (405) 609-2000 Quest Venture LLC Mn National Contract St Paul, MN 55101 (800) 837-3177 Sonora Quest Laboratories LLC - Mn National Contract St Paul, MN 55101 (602) 685-5382 Us Labs - Mn National Contract St Paul, MN 55101 (949) 450-0145 Viromed Laboratories INC 6101 Blue Circle Dr Hopkins, MN 55343 (952) 563-3300

Mississippi Associated Clinical Labs Lp - Ms National Contract Jackson, MS 39201 (814) 461-2400 Associated Pathologist Chartered-Ms National Contract Jackson, MS 39201 (800) 433-2750 Berkeley Heartlab INC - Ms National Contract Jackson, MS 39201 (510) 747-1740 Centrex Clinical Laboratories INC - Ms National Contract Jackson, MS 39201 (315) 624-8200 Compunet Clinical Laboratories - Ms National Contract Jackson, MS 39201 (937) 297-8305

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Dcl Medical Laboratories INC - Ms National Contract Jackson, MS 39201 (618) 343-0002

Mid America Clinical Laboratories - Ms National Contract Jackson, MS 39201 (800) 667-5185

Dianon Systems INC Ms National Contract Jackson, MS 39201 (516) 794-4646

National Genetics Institute - Ms National Contract Jackson, MS 39201 (310) 996-0211

Dynacare Northwest INC - Ms National Contract Jackson, MS 39201 (206) 861-7000

Quest - Ms National Contract Jackson, MS 39201 (248) 373-9120

Dynagene - Ms National Contract Jackson, MS 39201 (713) 798-9500 Esoterix INC - Ms National Contract Jackson, MS 39201 (602) 997-9161 Firstsource Laboratory Solutions INC - Ms National Contract Jackson, MS 39201 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ms National Contract Jackson, MS 39201 (888) 522-4452 Laboratory Corporation of America - Ms National Contract Jackson, MS 39201 (907) 561-7666 Litholink Corporation - Ms National Contract Jackson, MS 39201 (312) 243-0600 Medical Park Laboratories Ltd - Ms National Contract Jackson, MS 39201 (907) 272-5475

National Contract Jackson, MS 39201 (410) 247-9100 National Contract Jackson, MS 39201 (800) 433-2750

Quest Diagnostics Clinical Laboratories INC - Ms National Contract Jackson, MS 39201 (303) 899-6000 National Contract Jackson, MS 39201 (615) 687-2000 National Contract Jackson, MS 39201 (800) 282-6613 National Contract Jackson, MS 39201 (800) 669-7525 National Contract Jackson, MS 39201 (800) 825-7380

National Contract Jackson, MS 39201 (800) 631-1388

Quest Diagnostics Clinical Labs INC - Ms National Contract Jackson, MS 39201 (866) 865-2805

Quest Diag Nichols Institute INC - Ms National Contract Jackson, MS 39201 (703) 802-6900

Quest Diagnostics LLC Ct - Ms National Contract Jackson, MS 39201 (203) 949-5500

Quest Diagnostics - Ms National Contract Jackson, MS 39201 (303) 899-6000

Quest Diagnostics LLC Il - Ms National Contract Jackson, MS 39201 (630) 595-3888

National Contract Jackson, MS 39201 (408) 975-1015 National Contract Jackson, MS 39201 (580) 795-0137 National Contract Jackson, MS 39201 (800) 488-8890 National Contract Jackson, MS 39201 (818) 737-5200 National Contract Jackson, MS 39201 (916) 927-9900

Quest Diagnostics LLC Ma - Ms National Contract Jackson, MS 39201 (617) 547-8900 Quest Diagnostics Nichols Institute - Ms National Contract Jackson, MS 39201 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Jackson, MS 39201 (661) 799-6543

Laboratory

Page 120

CoventryCares of Kentucky Quest Diagnostics of Pa INC - Ms National Contract Jackson, MS 39201 (800) 837-3177 Quest Ok LLC - Ms National Contract Jackson, MS 39201 (405) 609-2000 Quest Venture LLC Ms National Contract Jackson, MS 39201 (800) 837-3177 Sonora Quest Laboratories LLC - Ms National Contract Jackson, MS 39201 (602) 685-5382 Us Labs - Ms National Contract Jackson, MS 39201 (949) 450-0145 Viromed Laboratories INC - Ms National Contract Jackson, MS 39201 (952) 563-3300

Missouri Associated Clinical Labs Lp - Mo National Contract Jefferson City, MO 65101 (814) 461-2400 Associated Pathologist Chartered-Mo National Contract Jefferson City, MO 65101 (800) 433-2750 Berkeley Heartlab INC - Mo National Contract Jefferson City, MO 65101 (510) 747-1740

Centrex Clinical Laboratories INC - Mo National Contract Jefferson City, MO 65101 (315) 624-8200 Compunet Clinical Laboratories - Mo National Contract Jefferson City, MO 65101 (937) 297-8305 Dcl Medical Laboratories INC - Mo National Contract Jefferson City, MO 65101 (618) 343-0002 Dianon Systems INC Mo National Contract Jefferson City, MO 65101 (516) 794-4646 Dynacare Northwest INC - Mo National Contract Jefferson City, MO 65101 (206) 861-7000 Dynagene - Mo National Contract Jefferson City, MO 65101 (713) 798-9500 Esoterix INC - Mo National Contract Jefferson City, MO 65101 (602) 997-9161 Firstsource Laboratory Solutions INC - Mo National Contract Jefferson City, MO 65101 (317) 566-9846

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Home Healthcare Laboratory of America LLC - Mo National Contract Jefferson City, MO 65101 (888) 522-4452 Laboratory Corporation of America - Mo National Contract Jefferson City, MO 65101 (907) 561-7666 Litholink Corporation - Mo National Contract Jefferson City, MO 65101 (312) 243-0600 Medical Park Laboratories Ltd - Mo National Contract Jefferson City, MO 65101 (907) 272-5475 Mid America Clinical Laboratories - Mo National Contract Jefferson City, MO 65101 (800) 667-5185 National Genetics Institute - Mo National Contract Jefferson City, MO 65101 (310) 996-0211 Quest - Mo National Contract Jefferson City, MO 65101 (248) 373-9120 National Contract Jefferson City, MO 65101 (410) 247-9100 National Contract Jefferson City, MO 65101 (800) 433-2750

National Contract Jefferson City, MO 65101 (800) 631-1388

National Contract Jefferson City, MO 65101 (615) 687-2000

Quest Diag Nichols Institute INC - Mo National Contract Jefferson City, MO 65101 (703) 802-6900

National Contract Jefferson City, MO 65101 (800) 282-6613

Quest Diagnostics - Mo National Contract Jefferson City, MO 65101 (303) 899-6000 National Contract Jefferson City, MO 65101 (408) 975-1015 National Contract Jefferson City, MO 65101 (580) 795-0137 National Contract Jefferson City, MO 65101 (800) 488-8890 National Contract Jefferson City, MO 65101 (818) 737-5200 National Contract Jefferson City, MO 65101 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC 11636 Administration Dr Saint Louis, MO 63146 (800) 669-7525 Quest Diagnostics Clinical Laboratories INC - Mo National Contract Jefferson City, MO 65101 (303) 899-6000

National Contract Jefferson City, MO 65101 (800) 669-7525 National Contract Jefferson City, MO 65101 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Mo National Contract Jefferson City, MO 65101 (866) 865-2805 Quest Diagnostics LLC Ct - Mo National Contract Jefferson City, MO 65101 (203) 949-5500 Quest Diagnostics LLC Il - Mo National Contract Jefferson City, MO 65101 (630) 595-3888 Quest Diagnostics LLC Ma - Mo National Contract Jefferson City, MO 65101 (617) 547-8900 Quest Diagnostics Nichols Institute - Mo National Contract Jefferson City, MO 65101 (949) 940-7456

Laboratory

Page 121

CoventryCares of Kentucky Quest Diagnostics Nichols Institute of Valencia In National Contract Jefferson City, MO 65101 (661) 799-6543 Quest Diagnostics of Pa INC - Mo National Contract Jefferson City, MO 65101 (800) 837-3177 Quest Ok LLC - Mo National Contract Jefferson City, MO 65101 (405) 609-2000 Quest Venture LLC Mo National Contract Jefferson City, MO 65101 (800) 837-3177 Sonora Quest Laboratories LLC - Mo National Contract Jefferson City, MO 65101 (602) 685-5382 Us Labs - Mo National Contract Jefferson City, MO 65101 (949) 450-0145 Viromed Laboratories INC - Mo National Contract Jefferson City, MO 65101 (952) 563-3300

Montana Associated Clinical Labs Lp - Mt National Contract Helena, MT 59601 (814) 461-2400

Associated Pathologist Chartered-Mt National Contract Helena, MT 59601 (800) 433-2750 Berkeley Heartlab INC - Mt National Contract Helena, MT 59601 (510) 747-1740 Centrex Clinical Laboratories INC - Mt National Contract Helena, MT 59601 (315) 624-8200 Compunet Clinical Laboratories - Mt National Contract Helena, MT 59601 (937) 297-8305 Dcl Medical Laboratories INC - Mt National Contract Helena, MT 59601 (618) 343-0002 Dianon Systems INC Mt National Contract Helena, MT 59601 (516) 794-4646 Dynacare Northwest INC - Mt National Contract Helena, MT 59601 (206) 861-7000 Dynagene - Mt National Contract Helena, MT 59601 (713) 798-9500 Esoterix INC - Mt National Contract Helena, MT 59601 (602) 997-9161 Firstsource Laboratory Solutions INC - Mt National Contract Helena, MT 59601 (317) 566-9846

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Home Healthcare Laboratory of America LLC - Mt National Contract Helena, MT 59601 (888) 522-4452 Laboratory Corporation of America - Mt National Contract Helena, MT 59601 (907) 561-7666 Litholink Corporation - Mt National Contract Helena, MT 59601 (312) 243-0600 Medical Park Laboratories Ltd - Mt National Contract Helena, MT 59601 (907) 272-5475 Mid America Clinical Laboratories - Mt National Contract Helena, MT 59601 (800) 667-5185 National Genetics Institute - Mt National Contract Helena, MT 59601 (310) 996-0211 Quest - Mt National Contract Helena, MT 59601 (248) 373-9120

Quest Diagnostics - Mt National Contract Helena, MT 59601 (303) 899-6000 National Contract Helena, MT 59601 (408) 975-1015 National Contract Helena, MT 59601 (580) 795-0137 National Contract Helena, MT 59601 (800) 488-8890 National Contract Helena, MT 59601 (818) 737-5200 National Contract Helena, MT 59601 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Mt National Contract Helena, MT 59601 (303) 899-6000 National Contract Helena, MT 59601 (615) 687-2000 National Contract Helena, MT 59601 (800) 282-6613 National Contract Helena, MT 59601 (800) 669-7525

National Contract Helena, MT 59601 (410) 247-9100

National Contract Helena, MT 59601 (800) 825-7380

National Contract Helena, MT 59601 (800) 433-2750

Quest Diagnostics Clinical Labs INC - Mt National Contract Helena, MT 59601 (866) 865-2805

National Contract Helena, MT 59601 (800) 631-1388 Quest Diag Nichols Institute INC - Mt National Contract Helena, MT 59601 (703) 802-6900

Quest Diagnostics LLC Ct - Mt National Contract Helena, MT 59601 (203) 949-5500

Quest Diagnostics LLC Il - Mt National Contract Helena, MT 59601 (630) 595-3888 Quest Diagnostics LLC Ma - Mt National Contract Helena, MT 59601 (617) 547-8900 Quest Diagnostics Nichols Institute - Mt National Contract Helena, MT 59601 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Helena, MT 59601 (661) 799-6543 Quest Diagnostics of Pa INC - Mt National Contract Helena, MT 59601 (800) 837-3177 Quest Ok LLC - Mt National Contract Helena, MT 59601 (405) 609-2000 Quest Venture LLC - Mt National Contract Helena, MT 59601 (800) 837-3177 Sonora Quest Laboratories LLC - Mt National Contract Helena, MT 59601 (602) 685-5382 Us Labs - Mt National Contract Helena, MT 59601 (949) 450-0145 Viromed Laboratories INC - Mt National Contract Helena, MT 59601 (952) 563-3300

Nebraska

Laboratory

Page 122

CoventryCares of Kentucky Associated Clinical Labs Lp - Ne National Contract Lincoln, NE 68509 (814) 461-2400 Associated Pathologist Chartered-Ne National Contract Lincoln, NE 68509 (800) 433-2750 Berkeley Heartlab INC - Ne National Contract Lincoln, NE 68509 (510) 747-1740 Centrex Clinical Laboratories INC - Ne National Contract Lincoln, NE 68509 (315) 624-8200 Dcl Medical Laboratories INC - Ne National Contract Lincoln, NE 68509 (618) 343-0002 Dianon Systems INC Ne National Contract Lincoln, NE 68509 (516) 794-4646 Dynacare Northwest INC - Ne National Contract Lincoln, NE 68509 (206) 861-7000 Dynagene - Ne National Contract Lincoln, NE 68509 (713) 798-9500 Esoterix INC - Ne National Contract Lincoln, NE 68509 (602) 997-9161 Firstsource Laboratory Solutions INC - Ne National Contract Lincoln, NE 68509 (317) 566-9846

Home Healthcare Laboratory of America LLC - Ne National Contract Lincoln, NE 68509 (888) 522-4452 Laboratory Corporation of America - Ne National Contract Lincoln, NE 68509 (907) 561-7666 Litholink Corporation - Ne National Contract Lincoln, NE 68509 (312) 243-0600 Medical Park Laboratories Ltd - Ne National Contract Lincoln, NE 68509 (907) 272-5475 Mid America Clinical Laboratories - Ne National Contract Lincoln, NE 68509 (800) 667-5185 National Genetics Institute - Ne National Contract Lincoln, NE 68509 (310) 996-0211 Quest - Ne National Contract Lincoln, NE 68509 (248) 373-9120

Quest Diagnostics - Ne National Contract Lincoln, NE 68509 (303) 899-6000 National Contract Lincoln, NE 68509 (408) 975-1015 National Contract Lincoln, NE 68509 (580) 795-0137 National Contract Lincoln, NE 68509 (800) 488-8890 National Contract Lincoln, NE 68509 (818) 737-5200 National Contract Lincoln, NE 68509 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ne National Contract Lincoln, NE 68509 (303) 899-6000 National Contract Lincoln, NE 68509 (615) 687-2000 National Contract Lincoln, NE 68509 (800) 282-6613 National Contract Lincoln, NE 68509 (800) 669-7525

National Contract Lincoln, NE 68509 (410) 247-9100

National Contract Lincoln, NE 68509 (800) 825-7380

National Contract Lincoln, NE 68509 (800) 433-2750

Quest Diagnostics Clinical Labs INC - Ne National Contract Lincoln, NE 68509 (866) 865-2805

National Contract Lincoln, NE 68509 (800) 631-1388 Quest Diag Nichols Institute INC - Ne National Contract Lincoln, NE 68509 (703) 802-6900

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Quest Diagnostics LLC Ct - Ne National Contract Lincoln, NE 68509 (203) 949-5500

Quest Diagnostics LLC Il - Ne National Contract Lincoln, NE 68509 (630) 595-3888

Associated Clinical Labs Lp - Nv National Contract Carson City, NV 89701 (814) 461-2400

Quest Diagnostics LLC Ma - Ne National Contract Lincoln, NE 68509 (617) 547-8900

Associated Pathologist Chartered 4230 Burnham Ave Las Vegas, NV 89119 (800) 433-2750

Quest Diagnostics Nichols Institute - Ne National Contract Lincoln, NE 68509 (949) 940-7456

Berkeley Heartlab INC - Nv National Contract Carson City, NV 89701 (510) 747-1740

Quest Diagnostics Nichols Institute of Valencia In National Contract Lincoln, NE 68509 (661) 799-6543

Centrex Clinical Laboratories INC - Nv National Contract Carson City, NV 89701 (315) 624-8200

Quest Diagnostics of Pa INC - Ne National Contract Lincoln, NE 68509 (800) 837-3177 Quest Ok LLC - Ne National Contract Lincoln, NE 68509 (405) 609-2000 Quest Venture LLC - Ne National Contract Lincoln, NE 68509 (800) 837-3177 Sonora Quest Laboratories LLC - Ne National Contract Lincoln, NE 68509 (602) 685-5382

Dcl Medical Laboratories INC - Nv National Contract Carson City, NV 89701 (618) 343-0002 Dianon Systems INC Nv National Contract Carson City, NV 89701 (516) 794-4646 Dynacare Northwest INC - Nv National Contract Carson City, NV 89701 (206) 861-7000 Dynagene - Nv National Contract Carson City, NV 89701 (713) 798-9500

Us Labs - Ne National Contract Lincoln, NE 68509 (949) 450-0145

Esoterix INC - Nv National Contract Carson City, NV 89701 (602) 997-9161

Viromed Laboratories INC - Ne National Contract Lincoln, NE 68509 (952) 563-3300

Firstsource Laboratory Solutions INC - Nv National Contract Carson City, NV 89701 (317) 566-9846

Nevada

Laboratory

Page 123

CoventryCares of Kentucky Home Healthcare Laboratory of America LLC - Nv National Contract Carson City, NV 89701 (888) 522-4452 Laboratory Corporation of America - Nv National Contract Carson City, NV 89701 (907) 561-7666 Litholink Corporation - Nv National Contract Carson City, NV 89701 (312) 243-0600 Medical Park Laboratories Ltd - Nv National Contract Carson City, NV 89701 (907) 272-5475 Mid America Clinical Laboratories - Nv National Contract Carson City, NV 89701 (800) 667-5185 National Genetics Institute - Nv National Contract Carson City, NV 89701 (310) 996-0211 Quest - Nv National Contract Carson City, NV 89701 (248) 373-9120

Quest Diagnostics - Nv National Contract Carson City, NV 89701 (303) 899-6000 National Contract Carson City, NV 89701 (408) 975-1015 National Contract Carson City, NV 89701 (580) 795-0137 National Contract Carson City, NV 89701 (800) 488-8890 National Contract Carson City, NV 89701 (818) 737-5200 National Contract Carson City, NV 89701 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Nv National Contract Carson City, NV 89701 (303) 899-6000 National Contract Carson City, NV 89701 (615) 687-2000 National Contract Carson City, NV 89701 (800) 282-6613 National Contract Carson City, NV 89701 (800) 669-7525

National Contract Carson City, NV 89701 (410) 247-9100

National Contract Carson City, NV 89701 (800) 825-7380

National Contract Carson City, NV 89701 (800) 433-2750

Quest Diagnostics Clinical Labs INC - Nv National Contract Carson City, NV 89701 (866) 865-2805

National Contract Carson City, NV 89701 (800) 631-1388 Quest Diag Nichols Institute INC - Nv National Contract Carson City, NV 89701 (703) 802-6900

Quest Diagnostics INC 4230 Burnham Ave Ste 250 Las Vegas, NV 89119 (702) 257-3678

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Quest Diagnostics INCorporated 4230 Burnham Ave Ste 250 Las Vegas, NV 89119 (800) 433-2750 Quest Diagnostics LLC Ct - Nv National Contract Carson City, NV 89701 (203) 949-5500

Us Labs - Nv National Contract Carson City, NV 89701 (949) 450-0145

Dynagene - Nh National Contract Concord, NH 3301 (713) 798-9500

Viromed Laboratories INC - Nv National Contract Carson City, NV 89701 (952) 563-3300

Esoterix INC - Nh National Contract Concord, NH 3301 (602) 997-9161

New Hampshire

Firstsource Laboratory Solutions INC - Nh National Contract Concord, NH 3301 (317) 566-9846

Quest Diagnostics LLC Il - Nv National Contract Carson City, NV 89701 (630) 595-3888

Associated Clinical Labs Lp - Nh National Contract Concord, NH 3301 (814) 461-2400

Quest Diagnostics LLC Ma - Nv National Contract Carson City, NV 89701 (617) 547-8900

Associated Pathologist Chartered-Nh National Contract Concord, NH 3301 (800) 433-2750

Quest Diagnostics Nichols Institute - Nv National Contract Carson City, NV 89701 (949) 940-7456

Berkeley Heartlab INC - Nh National Contract Concord, NH 3301 (510) 747-1740

Laboratory Corporation of America - Nh National Contract Concord, NH 3301 (907) 561-7666

Quest Diagnostics Nichols Institute of Valencia In National Contract Carson City, NV 89701 (661) 799-6543

Centrex Clinical Laboratories INC - Nh National Contract Concord, NH 3301 (315) 624-8200

Litholink Corporation - Nh National Contract Concord, NH 3301 (312) 243-0600

Compunet Clinical Laboratories - Nh National Contract Concord, NH 3301 (937) 297-8305

Medical Park Laboratories Ltd - Nh National Contract Concord, NH 3301 (907) 272-5475

Dcl Medical Laboratories INC - Nh National Contract Concord, NH 3301 (618) 343-0002

Mid America Clinical Laboratories - Nh National Contract Concord, NH 3301 (800) 667-5185

Dianon Systems INC Nh National Contract Concord, NH 3301 (516) 794-4646

National Genetics Institute - Nh National Contract Concord, NH 3301 (310) 996-0211

Dynacare Northwest INC - Nh National Contract Concord, NH 3301 (206) 861-7000

Quest - Nh National Contract Concord, NH 3301 (248) 373-9120

Quest Diagnostics of Pa INC - Nv National Contract Carson City, NV 89701 (800) 837-3177 Quest Ok LLC - Nv National Contract Carson City, NV 89701 (405) 609-2000 Quest Venture LLC - Nv National Contract Carson City, NV 89701 (800) 837-3177 Sonora Quest Laboratories LLC - Nv National Contract Carson City, NV 89701 (602) 685-5382

Home Healthcare Laboratory of America LLC - Nh National Contract Concord, NH 3301 (888) 522-4452

Laboratory

Page 124

CoventryCares of Kentucky National Contract Concord, NH 3301 (410) 247-9100

National Contract Concord, NH 3301 (800) 825-7380

National Contract Concord, NH 3301 (800) 433-2750

Quest Diagnostics Clinical Labs INC - Nh National Contract Concord, NH 3301 (866) 865-2805

National Contract Concord, NH 3301 (800) 631-1388 Quest Diag Nichols Institute INC - Nh National Contract Concord, NH 3301 (703) 802-6900 Quest Diagnostics - Nh National Contract Concord, NH 3301 (303) 899-6000 National Contract Concord, NH 3301 (408) 975-1015 National Contract Concord, NH 3301 (580) 795-0137 National Contract Concord, NH 3301 (800) 488-8890 National Contract Concord, NH 3301 (818) 737-5200 National Contract Concord, NH 3301 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Nh National Contract Concord, NH 3301 (303) 899-6000 National Contract Concord, NH 3301 (615) 687-2000 National Contract Concord, NH 3301 (800) 282-6613 National Contract Concord, NH 3301 (800) 669-7525

Quest Diagnostics LLC Ct - Nh National Contract Concord, NH 3301 (203) 949-5500 Quest Diagnostics LLC Il - Nh National Contract Concord, NH 3301 (630) 595-3888 Quest Diagnostics LLC Ma - Nh National Contract Concord, NH 3301 (617) 547-8900 Quest Diagnostics Nichols Institute - Nh National Contract Concord, NH 3301 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Concord, NH 3301 (661) 799-6543 Quest Diagnostics of Pa INC - Nh National Contract Concord, NH 3301 (800) 837-3177 Quest Ok LLC - Nh National Contract Concord, NH 3301 (405) 609-2000 Quest Venture LLC Nh National Contract Concord, NH 3301 (800) 837-3177

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Sonora Quest Laboratories LLC - Nh National Contract Concord, NH 3301 (602) 685-5382 Us Labs - Nh National Contract Concord, NH 3301 (949) 450-0145 Viromed Laboratories INC - Nh National Contract Concord, NH 3301 (952) 563-3300

New Jersey Associated Clinical Labs Lp - Nj National Contract Trenton, NJ 8601 (814) 461-2400

Dynagene - Nj National Contract Trenton, NJ 8601 (713) 798-9500 Esoterix INC - Nj National Contract Trenton, NJ 8601 (602) 997-9161 Firstsource Laboratory Solutions INC - Nj National Contract Trenton, NJ 8601 (317) 566-9846 Home Healthcare Laboratory of America LLC - Nj National Contract Trenton, NJ 8601 (888) 522-4452

Associated Pathologist Chartered-Nj National Contract Trenton, NJ 8601 (800) 433-2750

Laboratory Corporation of America - Nj National Contract Trenton, NJ 8601 (907) 561-7666

Berkeley Heartlab INC - Nj National Contract Trenton, NJ 8601 (510) 747-1740

Litholink Corporation - Nj National Contract Trenton, NJ 8601 (312) 243-0600

Centrex Clinical Laboratories INC - Nj National Contract Trenton, NJ 8601 (315) 624-8200

Medical Diagnostic Laboratories, LLC 2439 Kuser Rd Hamilton, NJ 8690 (877) 269-0090

Dcl Medical Laboratories INC - Nj National Contract Trenton, NJ 8601 (618) 343-0002

Languages: Spanish, Hebrew

Dianon Systems INC Nj National Contract Trenton, NJ 8601 (516) 794-4646 Dynacare Northwest INC - Nj National Contract Trenton, NJ 8601 (206) 861-7000

Medical Park Laboratories Ltd - Nj National Contract Trenton, NJ 8601 (907) 272-5475 Mid America Clinical Laboratories - Nj National Contract Trenton, NJ 8601 (800) 667-5185

National Genetics Institute - Nj National Contract Trenton, NJ 8601 (310) 996-0211 Quest - Nj National Contract Trenton, NJ 8601 (248) 373-9120 National Contract Trenton, NJ 8601 (410) 247-9100 National Contract Trenton, NJ 8601 (800) 433-2750 National Contract Trenton, NJ 8601 (800) 631-1388 Quest Diag Nichols Institute INC - Nj National Contract Trenton, NJ 8601 (703) 802-6900 Quest Diagnostics - Nj National Contract Trenton, NJ 8601 (303) 899-6000 National Contract Trenton, NJ 8601 (408) 975-1015 National Contract Trenton, NJ 8601 (580) 795-0137 National Contract Trenton, NJ 8601 (800) 488-8890 National Contract Trenton, NJ 8601 (818) 737-5200 National Contract Trenton, NJ 8601 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Nj National Contract Trenton, NJ 8601 (303) 899-6000

Laboratory

Page 125

CoventryCares of Kentucky National Contract Trenton, NJ 8601 (615) 687-2000 National Contract Trenton, NJ 8601 (800) 282-6613 National Contract Trenton, NJ 8601 (800) 669-7525 National Contract Trenton, NJ 8601 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Nj National Contract Trenton, NJ 8601 (866) 865-2805 Quest Diagnostics INCorporated 1 Malcolm Ave Teterboro, NJ 7608 (800) 631-1388 Quest Diagnostics LLC Ct - Nj National Contract Trenton, NJ 8601 (203) 949-5500 Quest Diagnostics LLC Il - Nj National Contract Trenton, NJ 8601 (630) 595-3888 Quest Diagnostics LLC Ma - Nj National Contract Trenton, NJ 8601 (617) 547-8900 Quest Diagnostics Nichols Institute - Nj National Contract Trenton, NJ 8601 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Trenton, NJ 8601 (661) 799-6543

Quest Diagnostics of Pa INC - Nj National Contract Trenton, NJ 8601 (800) 837-3177 Quest Ok LLC - Nj National Contract Trenton, NJ 8601 (405) 609-2000 Quest Venture LLC - Nj National Contract Trenton, NJ 8601 (800) 837-3177 Sonora Quest Laboratories LLC - Nj National Contract Trenton, NJ 8601 (602) 685-5382 Us Labs - Nj National Contract Trenton, NJ 8601 (949) 450-0145 Viromed Laboratories INC - Nj National Contract Trenton, NJ 8601 (952) 563-3300

New Mexico Associated Clinical Labs Lp - Nm National Contract Santa Fe, NM 87501 (814) 461-2400 Associated Pathologist Chartered-Nm National Contract Santa Fe, NM 87501 (800) 433-2750 Berkeley Heartlab INC - Nm National Contract Santa Fe, NM 87501 (510) 747-1740 Centrex Clinical Laboratories INC - Nm National Contract Santa Fe, NM 87501 (315) 624-8200

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Clinical Testing Laboratories INC 3655 Research Dr Msc3arp Las Cruces, NM 88003 (575) 646-3465 Dcl Medical Laboratories INC - Nm National Contract Santa Fe, NM 87501 (618) 343-0002 Dianon Systems INC Nm National Contract Santa Fe, NM 87501 (516) 794-4646 Dynacare Northwest INC - Nm National Contract Santa Fe, NM 87501 (206) 861-7000 Dynagene - Nm National Contract Santa Fe, NM 87501 (713) 798-9500 Esoterix INC - Nm National Contract Santa Fe, NM 87501 (602) 997-9161 Firstsource Laboratory Solutions INC - Nm National Contract Santa Fe, NM 87501 (317) 566-9846 Home Healthcare Laboratory of America LLC - Nm National Contract Santa Fe, NM 87501 (888) 522-4452 Laboratory Corporation of America - Nm National Contract Santa Fe, NM 87501 (907) 561-7666

Litholink Corporation - Nm National Contract Santa Fe, NM 87501 (312) 243-0600 Medical Park Laboratories Ltd - Nm National Contract Santa Fe, NM 87501 (907) 272-5475 Mid America Clinical Laboratories - Nm National Contract Santa Fe, NM 87501 (800) 667-5185 National Genetics Institute - Nm National Contract Santa Fe, NM 87501 (310) 996-0211 Quest - Nm National Contract Santa Fe, NM 87501 (248) 373-9120 National Contract Santa Fe, NM 87501 (410) 247-9100 National Contract Santa Fe, NM 87501 (800) 433-2750 National Contract Santa Fe, NM 87501 (800) 631-1388 Quest Diag Nichols Institute INC - Nm National Contract Santa Fe, NM 87501 (703) 802-6900 Quest Diagnostics - Nm National Contract Santa Fe, NM 87501 (303) 899-6000 National Contract Santa Fe, NM 87501 (408) 975-1015 National Contract Santa Fe, NM 87501 (580) 795-0137

National Contract Santa Fe, NM 87501 (800) 488-8890 National Contract Santa Fe, NM 87501 (818) 737-5200 National Contract Santa Fe, NM 87501 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Nm National Contract Santa Fe, NM 87501 (303) 899-6000 National Contract Santa Fe, NM 87501 (615) 687-2000 National Contract Santa Fe, NM 87501 (800) 282-6613 National Contract Santa Fe, NM 87501 (800) 669-7525 National Contract Santa Fe, NM 87501 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Nm National Contract Santa Fe, NM 87501 (866) 865-2805 Quest Diagnostics LLC Ct - Nm National Contract Santa Fe, NM 87501 (203) 949-5500 Quest Diagnostics LLC Il - Nm National Contract Santa Fe, NM 87501 (630) 595-3888 Quest Diagnostics LLC Ma - Nm National Contract Santa Fe, NM 87501 (617) 547-8900

Laboratory

Page 126

CoventryCares of Kentucky Quest Diagnostics Nichols Institute - Nm National Contract Santa Fe, NM 87501 (949) 940-7456

Berkeley Heartlab INC - Ny National Contract Albany, NY 12201 (510) 747-1740

Quest Diagnostics Nichols Institute of Valencia In National Contract Santa Fe, NM 87501 (661) 799-6543

Centrex Clinical Laboratories INC 1656 Champlin Ave Utica, NY 13502 (315) 624-8200

Quest Diagnostics of Pa INC - Nm National Contract Santa Fe, NM 87501 (800) 837-3177

Compunet Clinical Laboratories - Ny National Contract Albany, NY 12201 (937) 297-8305

Quest Ok LLC - Nm National Contract Santa Fe, NM 87501 (405) 609-2000

Dcl Medical Laboratories INC - Ny National Contract Albany, NY 12201 (618) 343-0002

Quest Venture LLC Nm National Contract Santa Fe, NM 87501 (800) 837-3177

Dianon Systems INC 51 Charles Lindbergh Blvd Ste B Uniondale, NY 11553 (516) 794-4646

Sonora Quest Laboratories LLC - Nm National Contract Santa Fe, NM 87501 (602) 685-5382

Dynacare Northwest INC - Ny National Contract Albany, NY 12201 (206) 861-7000

Us Labs - Nm National Contract Santa Fe, NM 87501 (949) 450-0145

Dynagene - Ny National Contract Albany, NY 12201 (713) 798-9500

Viromed Laboratories INC - Nm National Contract Santa Fe, NM 87501 (952) 563-3300

Esoterix INC - Ny National Contract Albany, NY 12201 (602) 997-9161

New York Associated Clinical Labs Lp - Ny National Contract Albany, NY 12201 (814) 461-2400 Associated Pathologist Chartered-Ny National Contract Albany, NY 12201 (800) 433-2750

Firstsource Laboratory Solutions INC - Ny National Contract Albany, NY 12201 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ny National Contract Albany, NY 12201 (888) 522-4452

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Laboratory Corporation of America - Ny National Contract Albany, NY 12201 (907) 561-7666 Litholink Corporation - Ny National Contract Albany, NY 12201 (312) 243-0600 Medical Park Laboratories Ltd - Ny National Contract Albany, NY 12201 (907) 272-5475 Mid America Clinical Laboratories - Ny National Contract Albany, NY 12201 (800) 667-5185 National Genetics Institute - Ny National Contract Albany, NY 12201 (310) 996-0211 Quest - Ny National Contract Albany, NY 12201 (248) 373-9120 National Contract Albany, NY 12201 (410) 247-9100 National Contract Albany, NY 12201 (800) 433-2750 National Contract Albany, NY 12201 (800) 631-1388 Quest Diag Nichols Institute INC - Ny National Contract Albany, NY 12201 (703) 802-6900 Quest Diagnostics - Ny National Contract Albany, NY 12201 (303) 899-6000

National Contract Albany, NY 12201 (408) 975-1015 National Contract Albany, NY 12201 (580) 795-0137 National Contract Albany, NY 12201 (800) 488-8890 National Contract Albany, NY 12201 (818) 737-5200 National Contract Albany, NY 12201 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC 575 Underhill Blvd Syosset, NY 11791 (866) 865-2805 Quest Diagnostics Clinical Laboratories INC - Ny National Contract Albany, NY 12201 (303) 899-6000 National Contract Albany, NY 12201 (615) 687-2000 National Contract Albany, NY 12201 (800) 282-6613 National Contract Albany, NY 12201 (800) 669-7525 National Contract Albany, NY 12201 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Ny National Contract Albany, NY 12201 (866) 865-2805 Quest Diagnostics LLC Ct - Ny National Contract Albany, NY 12201 (203) 949-5500

Quest Diagnostics LLC Il - Ny National Contract Albany, NY 12201 (630) 595-3888 Quest Diagnostics LLC Ma - Ny National Contract Albany, NY 12201 (617) 547-8900 Quest Diagnostics Nichols Institute - Ny National Contract Albany, NY 12201 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Albany, NY 12201 (661) 799-6543 Quest Diagnostics of Pa INC - Ny National Contract Albany, NY 12201 (800) 837-3177 Quest Ok LLC - Ny National Contract Albany, NY 12201 (405) 609-2000 Quest Venture LLC - Ny National Contract Albany, NY 12201 (800) 837-3177 Sonora Quest Laboratories LLC - Ny National Contract Albany, NY 12201 (602) 685-5382 Us Labs - Ny National Contract Albany, NY 12201 (949) 450-0145 Viromed Laboratories INC - Ny National Contract Albany, NY 12201 (952) 563-3300

North Carolina

Laboratory

Page 127

CoventryCares of Kentucky Associated Clinical Labs Lp - Nc National Contract Raleigh, NC 27601 (814) 461-2400 Associated Pathologist Chartered-Nc National Contract Raleigh, NC 27601 (800) 433-2750 Berkeley Heartlab INC - Nc National Contract Raleigh, NC 27601 (510) 747-1740 Centrex Clinical Laboratories INC - Nc National Contract Raleigh, NC 27601 (315) 624-8200 Compunet Clinical Laboratories - Nc National Contract Raleigh, NC 27601 (937) 297-8305 Dcl Medical Laboratories INC - Nc National Contract Raleigh, NC 27601 (618) 343-0002 Dianon Systems INC Nc National Contract Raleigh, NC 27601 (516) 794-4646 Dynacare Northwest INC - Nc National Contract Raleigh, NC 27601 (206) 861-7000

Firstsource Laboratory Solutions INC - Nc National Contract Raleigh, NC 27601 (317) 566-9846 Home Healthcare Laboratory of America LLC - Nc National Contract Raleigh, NC 27601 (888) 522-4452 Laboratory Corporation of America - Nc National Contract Raleigh, NC 27601 (907) 561-7666 Litholink Corporation - Nc National Contract Raleigh, NC 27601 (312) 243-0600 Medical Park Laboratories Ltd - Nc National Contract Raleigh, NC 27601 (907) 272-5475 Mendenhall Oaks High Point Histology Cytology Lab 4191 Mendenhall Oaks Pkwy Ste 140 High Point, NC 27265 (888) 664-7601 Mid America Clinical Laboratories - Nc National Contract Raleigh, NC 27601 (800) 667-5185

Dynagene - Nc National Contract Raleigh, NC 27601 (713) 798-9500

National Genetics Institute - Nc National Contract Raleigh, NC 27601 (310) 996-0211

Esoterix INC - Nc National Contract Raleigh, NC 27601 (602) 997-9161

Quest - Nc National Contract Raleigh, NC 27601 (248) 373-9120

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Raleigh, NC 27601 (410) 247-9100

National Contract Raleigh, NC 27601 (800) 825-7380

National Contract Raleigh, NC 27601 (800) 433-2750

Quest Diagnostics Clinical Labs INC - Nc National Contract Raleigh, NC 27601 (866) 865-2805

National Contract Raleigh, NC 27601 (800) 631-1388 Quest Diag Nichols Institute INC - Nc National Contract Raleigh, NC 27601 (703) 802-6900 Quest Diagnostics - Nc National Contract Raleigh, NC 27601 (303) 899-6000 National Contract Raleigh, NC 27601 (408) 975-1015 National Contract Raleigh, NC 27601 (580) 795-0137 National Contract Raleigh, NC 27601 (800) 488-8890 National Contract Raleigh, NC 27601 (818) 737-5200 National Contract Raleigh, NC 27601 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Nc National Contract Raleigh, NC 27601 (303) 899-6000 National Contract Raleigh, NC 27601 (615) 687-2000 National Contract Raleigh, NC 27601 (800) 282-6613 National Contract Raleigh, NC 27601 (800) 669-7525

Quest Diagnostics LLC Ct - Nc National Contract Raleigh, NC 27601 (203) 949-5500 Quest Diagnostics LLC Il - Nc National Contract Raleigh, NC 27601 (630) 595-3888 Quest Diagnostics LLC Ma - Nc National Contract Raleigh, NC 27601 (617) 547-8900 Quest Diagnostics Nichols Institute - Nc National Contract Raleigh, NC 27601 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Raleigh, NC 27601 (661) 799-6543 Quest Diagnostics of Pa INC - Nc National Contract Raleigh, NC 27601 (800) 837-3177 Quest Ok LLC - Nc National Contract Raleigh, NC 27601 (405) 609-2000 Quest Venture LLC - Nc National Contract Raleigh, NC 27601 (800) 837-3177

Solstas Laboratory Partners Group, LLC Greensbor 4380 Federal Dr Ste 100 Greensboro, NC 27410 (888) 664-7601 Sonora Quest Laboratories LLC - Nc National Contract Raleigh, NC 27601 (602) 685-5382 Us Labs - Nc National Contract Raleigh, NC 27601 (949) 450-0145 Viromed Laboratories INC - Nc National Contract Raleigh, NC 27601 (952) 563-3300

North Dakota Associated Clinical Labs Lp - Nd National Contract Bismarck, ND 58501 (814) 461-2400 Associated Pathologist Chartered-Nd National Contract Bismarck, ND 58501 (800) 433-2750 Berkeley Heartlab INC - Nd National Contract Bismarck, ND 58501 (510) 747-1740 Centrex Clinical Laboratories INC - Nd National Contract Bismarck, ND 58501 (315) 624-8200 Dcl Medical Laboratories INC - Nd National Contract Bismarck, ND 58501 (618) 343-0002 Dianon Systems INC Nd National Contract Bismarck, ND 58501 (516) 794-4646 Laboratory

Page 128

CoventryCares of Kentucky Dynacare Northwest INC - Nd National Contract Bismarck, ND 58501 (206) 861-7000 Dynagene - Nd National Contract Bismarck, ND 58501 (713) 798-9500 Esoterix INC - Nd National Contract Bismarck, ND 58501 (602) 997-9161 Firstsource Laboratory Solutions INC - Nd National Contract Bismarck, ND 58501 (317) 566-9846 Home Healthcare Laboratory of America LLC - Nd National Contract Bismarck, ND 58501 (888) 522-4452 Laboratory Corporation of America - Nd National Contract Bismarck, ND 58501 (907) 561-7666 Litholink Corporation - Nd National Contract Bismarck, ND 58501 (312) 243-0600 Medical Park Laboratories Ltd - Nd National Contract Bismarck, ND 58501 (907) 272-5475 Mid America Clinical Laboratories - Nd National Contract Bismarck, ND 58501 (800) 667-5185 National Genetics Institute - Nd National Contract Bismarck, ND 58501 (310) 996-0211

Quest - Nd National Contract Bismarck, ND 58501 (248) 373-9120 National Contract Bismarck, ND 58501 (410) 247-9100 National Contract Bismarck, ND 58501 (800) 433-2750 National Contract Bismarck, ND 58501 (800) 631-1388 Quest Diag Nichols Institute INC - Nd National Contract Bismarck, ND 58501 (703) 802-6900 Quest Diagnostics - Nd National Contract Bismarck, ND 58501 (303) 899-6000 National Contract Bismarck, ND 58501 (408) 975-1015 National Contract Bismarck, ND 58501 (580) 795-0137 National Contract Bismarck, ND 58501 (800) 488-8890 National Contract Bismarck, ND 58501 (818) 737-5200 National Contract Bismarck, ND 58501 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Nd National Contract Bismarck, ND 58501 (303) 899-6000 National Contract Bismarck, ND 58501 (615) 687-2000 National Contract Bismarck, ND 58501 (800) 282-6613

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Bismarck, ND 58501 (800) 669-7525 National Contract Bismarck, ND 58501 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Nd National Contract Bismarck, ND 58501 (866) 865-2805 Quest Diagnostics LLC Ct - Nd National Contract Bismarck, ND 58501 (203) 949-5500 Quest Diagnostics LLC Il - Nd National Contract Bismarck, ND 58501 (630) 595-3888 Quest Diagnostics LLC Ma - Nd National Contract Bismarck, ND 58501 (617) 547-8900 Quest Diagnostics Nichols Institute - Nd National Contract Bismarck, ND 58501 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Bismarck, ND 58501 (661) 799-6543 Quest Diagnostics of Pa INC - Nd National Contract Bismarck, ND 58501 (800) 837-3177 Quest Ok LLC - Nd National Contract Bismarck, ND 58501 (405) 609-2000 Quest Venture LLC Nd National Contract Bismarck, ND 58501 (800) 837-3177

Sonora Quest Laboratories LLC - Nd National Contract Bismarck, ND 58501 (602) 685-5382

Dcl Medical Laboratories INC - Oh National Contract Columbus, OH 43201 (618) 343-0002

Us Labs - Nd National Contract Bismarck, ND 58501 (949) 450-0145

Dianon Systems INC Oh National Contract Columbus, OH 43201 (516) 794-4646

Viromed Laboratories INC - Nd National Contract Bismarck, ND 58501 (952) 563-3300

Ohio Associated Clinical Labs Lp - Oh National Contract Columbus, OH 43201 (814) 461-2400 Associated Pathologist Chartered-Oh National Contract Columbus, OH 43201 (800) 433-2750 Berkeley Heartlab INC - Oh National Contract Columbus, OH 43201 (510) 747-1740 Centrex Clinical Laboratories INC - Oh National Contract Columbus, OH 43201 (315) 624-8200 Children's Hosp Medical Center 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-4200

Dynacare Northwest INC - Oh National Contract Columbus, OH 43201 (206) 861-7000 Dynagene - Oh National Contract Columbus, OH 43201 (713) 798-9500 Esoterix INC - Oh National Contract Columbus, OH 43201 (602) 997-9161 Ethos Laboratories 3978 Mack Rd Fairfield, OH 45014 (513) 889-4423 Firstsource Laboratory Solutions INC - Oh National Contract Columbus, OH 43201 (317) 566-9846 Home Healthcare Laboratory of America LLC - Oh National Contract Columbus, OH 43201 (888) 522-4452

Christ Hospital 2139 Auburn Ave Cincinnati, OH 45219 (513) 585-2000

Laboratory Corporation of America - Oh National Contract Columbus, OH 43201 (907) 561-7666

Compunet Clinical Laboratories 2308 Sandridge Dr Dayton, OH 45439 (937) 297-8305

Litholink Corporation - Oh National Contract Columbus, OH 43201 (312) 243-0600

Laboratory

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CoventryCares of Kentucky Medical Park Laboratories Ltd - Oh National Contract Columbus, OH 43201 (907) 272-5475 Mid America Clinical Laboratories - Oh National Contract Columbus, OH 43201 (800) 667-5185

National Contract Columbus, OH 43201 (800) 488-8890 National Contract Columbus, OH 43201 (818) 737-5200 National Contract Columbus, OH 43201 (916) 927-9900

National Genetics Institute - Oh National Contract Columbus, OH 43201 (310) 996-0211

Quest Diagnostics Clinical Laboratories INC - Oh National Contract Columbus, OH 43201 (303) 899-6000

Quest - Oh National Contract Columbus, OH 43201 (248) 373-9120

National Contract Columbus, OH 43201 (615) 687-2000

National Contract Columbus, OH 43201 (410) 247-9100 National Contract Columbus, OH 43201 (800) 433-2750 National Contract Columbus, OH 43201 (800) 631-1388 Quest Diag Nichols Institute INC - Oh National Contract Columbus, OH 43201 (703) 802-6900 Quest Diagnostics 6700 Steger Dr Cincinnati, OH 45237 (800) 488-8890 Quest Diagnostics - Oh National Contract Columbus, OH 43201 (303) 899-6000 National Contract Columbus, OH 43201 (408) 975-1015 National Contract Columbus, OH 43201 (580) 795-0137

National Contract Columbus, OH 43201 (800) 282-6613 National Contract Columbus, OH 43201 (800) 669-7525 National Contract Columbus, OH 43201 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Oh National Contract Columbus, OH 43201 (866) 865-2805 Quest Diagnostics LLC Ct - Oh National Contract Columbus, OH 43201 (203) 949-5500 Quest Diagnostics LLC Il - Oh National Contract Columbus, OH 43201 (630) 595-3888 Quest Diagnostics LLC Ma - Oh National Contract Columbus, OH 43201 (617) 547-8900

Quest Diagnostics Nichols Institute - Oh National Contract Columbus, OH 43201 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Columbus, OH 43201 (661) 799-6543 Quest Diagnostics of Pa INC - Oh National Contract Columbus, OH 43201 (800) 837-3177 Quest Ok LLC - Oh National Contract Columbus, OH 43201 (405) 609-2000 Quest Venture LLC Oh National Contract Columbus, OH 43201 (800) 837-3177 Sonora Quest Laboratories LLC - Oh National Contract Columbus, OH 43201 (602) 685-5382 Southern Ohio Medical Center 1805 27th St Portsmouth, OH 45662 (740) 356-8686 The University Hospital 234 Goodman St Cincinnati, OH 45219 (513) 584-1000 Us Labs - Oh National Contract Columbus, OH 43201 (949) 450-0145 Viromed Laboratories INC - Oh National Contract Columbus, OH 43201 (952) 563-3300

Oklahoma † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Associated Clinical Labs Lp - Ok National Contract Oklahoma City, OK 73101 (814) 461-2400

Dynacare Northwest INC - Ok National Contract Oklahoma City, OK 73101 (206) 861-7000

Associated Pathologist Chartered-Ok National Contract Oklahoma City, OK 73101 (800) 433-2750

Dynagene - Ok National Contract Oklahoma City, OK 73101 (713) 798-9500

Berkeley Heartlab INC - Ok National Contract Oklahoma City, OK 73101 (510) 747-1740 Centrex Clinical Laboratories INC - Ok National Contract Oklahoma City, OK 73101 (315) 624-8200 Compunet Clinical Laboratories - Ok National Contract Oklahoma City, OK 73101 (937) 297-8305 Dcl Medical Laboratories INC - Ok National Contract Oklahoma City, OK 73101 (618) 343-0002 Diagnostic Laboratory of Oklahoma LLC 1001 Cornell Pkwy Oklahoma City, OK 73108 (405) 609-2000 225 Ne 97th St Oklahoma City, OK 73114 (800) 891-2917 Dianon Systems INC Ok National Contract Oklahoma City, OK 73101 (516) 794-4646

Esoterix INC - Ok National Contract Oklahoma City, OK 73101 (602) 997-9161 Firstsource Laboratory Solutions INC - Ok National Contract Oklahoma City, OK 73101 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ok National Contract Oklahoma City, OK 73101 (888) 522-4452 Laboratory Corporation of America - Ok National Contract Oklahoma City, OK 73101 (907) 561-7666 Litholink Corporation - Ok National Contract Oklahoma City, OK 73101 (312) 243-0600 Medical Park Laboratories Ltd - Ok National Contract Oklahoma City, OK 73101 (907) 272-5475

Laboratory

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CoventryCares of Kentucky Mid America Clinical Laboratories - Ok National Contract Oklahoma City, OK 73101 (800) 667-5185 National Genetics Institute - Ok National Contract Oklahoma City, OK 73101 (310) 996-0211 Quest - Ok National Contract Oklahoma City, OK 73101 (248) 373-9120 National Contract Oklahoma City, OK 73101 (410) 247-9100 National Contract Oklahoma City, OK 73101 (800) 433-2750 National Contract Oklahoma City, OK 73101 (800) 631-1388 Quest Diag Nichols Institute INC - Ok National Contract Oklahoma City, OK 73101 (703) 802-6900 Quest Diagnostics 1 Hospital Dr Madill, OK 73446 (580) 795-0137 Quest Diagnostics - Ok National Contract Oklahoma City, OK 73101 (303) 899-6000 National Contract Oklahoma City, OK 73101 (408) 975-1015

National Contract Oklahoma City, OK 73101 (800) 488-8890 National Contract Oklahoma City, OK 73101 (818) 737-5200 National Contract Oklahoma City, OK 73101 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ok National Contract Oklahoma City, OK 73101 (303) 899-6000 National Contract Oklahoma City, OK 73101 (615) 687-2000 National Contract Oklahoma City, OK 73101 (800) 282-6613 National Contract Oklahoma City, OK 73101 (800) 669-7525

Quest Diagnostics LLC Il - Ok National Contract Oklahoma City, OK 73101 (630) 595-3888 Quest Diagnostics LLC Ma - Ok National Contract Oklahoma City, OK 73101 (617) 547-8900 Quest Diagnostics Nichols Institute - Ok National Contract Oklahoma City, OK 73101 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Oklahoma City, OK 73101 (661) 799-6543 Quest Diagnostics of Pa INC - Ok National Contract Oklahoma City, OK 73101 (800) 837-3177

National Contract Oklahoma City, OK 73101 (800) 825-7380

Quest Ok LLC - Ok National Contract Oklahoma City, OK 73101 (405) 609-2000

Quest Diagnostics Clinical Labs INC - Ok National Contract Oklahoma City, OK 73101 (866) 865-2805

Quest Venture LLC Ok National Contract Oklahoma City, OK 73101 (800) 837-3177

Quest Diagnostics LLC Ct - Ok National Contract Oklahoma City, OK 73101 (203) 949-5500

Sonora Quest Laboratories LLC - Ok National Contract Oklahoma City, OK 73101 (602) 685-5382

Us Labs - Ok National Contract Oklahoma City, OK 73101 (949) 450-0145 Viromed Laboratories INC - Ok National Contract Oklahoma City, OK 73101 (952) 563-3300

Oregon Associated Clinical Labs Lp - Or National Contract Salem, OR 97301 (814) 461-2400 Associated Pathologist Chartered-Or National Contract Salem, OR 97301 (800) 433-2750 Berkeley Heartlab INC - Or National Contract Salem, OR 97301 (510) 747-1740 Centrex Clinical Laboratories INC - Or National Contract Salem, OR 97301 (315) 624-8200 Dcl Medical Laboratories INC - Or National Contract Salem, OR 97301 (618) 343-0002 Dianon Systems INC Or National Contract Salem, OR 97301 (516) 794-4646 Dynacare Northwest INC - Or National Contract Salem, OR 97301 (206) 861-7000 Dynagene - Or National Contract Salem, OR 97301 (713) 798-9500

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Esoterix INC - Or National Contract Salem, OR 97301 (602) 997-9161 Firstsource Laboratory Solutions INC - Or National Contract Salem, OR 97301 (317) 566-9846 Home Healthcare Laboratory of America LLC - Or National Contract Salem, OR 97301 (888) 522-4452 Laboratory Corporation of America - Or National Contract Salem, OR 97301 (907) 561-7666 Litholink Corporation - Or National Contract Salem, OR 97301 (312) 243-0600 Medical Park Laboratories Ltd - Or National Contract Salem, OR 97301 (907) 272-5475 Mid America Clinical Laboratories - Or National Contract Salem, OR 97301 (800) 667-5185 National Genetics Institute - Or National Contract Salem, OR 97301 (310) 996-0211 Quest - Or National Contract Salem, OR 97301 (248) 373-9120 National Contract Salem, OR 97301 (410) 247-9100

Laboratory

Page 131

CoventryCares of Kentucky National Contract Salem, OR 97301 (800) 433-2750

National Contract Salem, OR 97301 (800) 669-7525

National Contract Salem, OR 97301 (800) 631-1388

National Contract Salem, OR 97301 (800) 825-7380

Quest Diag Nichols Institute INC - Or National Contract Salem, OR 97301 (703) 802-6900

Quest Diagnostics Clinical Labs INC - Or National Contract Salem, OR 97301 (866) 865-2805

Quest Diagnostics - Or National Contract Salem, OR 97301 (303) 899-6000

Quest Diagnostics LLC Ct - Or National Contract Salem, OR 97301 (203) 949-5500

National Contract Salem, OR 97301 (408) 975-1015 National Contract Salem, OR 97301 (580) 795-0137 National Contract Salem, OR 97301 (800) 488-8890 National Contract Salem, OR 97301 (818) 737-5200

Quest Diagnostics LLC Il - Or National Contract Salem, OR 97301 (630) 595-3888 Quest Diagnostics LLC Ma - Or National Contract Salem, OR 97301 (617) 547-8900

National Contract Salem, OR 97301 (916) 927-9900

Quest Diagnostics Nichols Institute - Or National Contract Salem, OR 97301 (949) 940-7456

Quest Diagnostics Clinical Laboratories INC 6600 Sw Hampton St Portland, OR 97223 (303) 899-6000

Quest Diagnostics Nichols Institute of Valencia In National Contract Salem, OR 97301 (661) 799-6543

Quest Diagnostics Clinical Laboratories INC - Or National Contract Salem, OR 97301 (303) 899-6000

Quest Diagnostics of Pa INC - Or National Contract Salem, OR 97301 (800) 837-3177

National Contract Salem, OR 97301 (615) 687-2000 National Contract Salem, OR 97301 (800) 282-6613

Quest Ok LLC - Or National Contract Salem, OR 97301 (405) 609-2000 Quest Venture LLC - Or National Contract Salem, OR 97301 (800) 837-3177

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Sonora Quest Laboratories LLC - Or National Contract Salem, OR 97301 (602) 685-5382

Dynacare Northwest INC - Pa National Contract Harrisburg, PA 17109 (206) 861-7000

Us Labs - Or National Contract Salem, OR 97301 (949) 450-0145

Dynagene - Pa National Contract Harrisburg, PA 17109 (713) 798-9500

Viromed Laboratories INC - Or National Contract Salem, OR 97301 (952) 563-3300

Esoterix INC - Pa National Contract Harrisburg, PA 17109 (602) 997-9161

Pennsylvania Associated Clinical Laboratories L.P. 1526 Peach St Erie, PA 16501 (814) 461-2400 Associated Clinical Labs Lp - Pa National Contract Harrisburg, PA 17109 (814) 461-2400

Firstsource Laboratory Solutions INC - Pa National Contract Harrisburg, PA 17109 (317) 566-9846 Home Healthcare Laboratory of America LLC - Pa National Contract Harrisburg, PA 17109 (888) 522-4452

Associated Pathologist Chartered-Pa National Contract Harrisburg, PA 17109 (800) 433-2750

Laboratory Corporation of America - Pa National Contract Harrisburg, PA 17109 (907) 561-7666

Berkeley Heartlab INC - Pa National Contract Harrisburg, PA 17109 (510) 747-1740

Litholink Corporation - Pa National Contract Harrisburg, PA 17109 (312) 243-0600

Centrex Clinical Laboratories INC - Pa National Contract Harrisburg, PA 17109 (315) 624-8200

Medical Park Laboratories Ltd - Pa National Contract Harrisburg, PA 17109 (907) 272-5475

Dcl Medical Laboratories INC - Pa National Contract Harrisburg, PA 17109 (618) 343-0002

Mid America Clinical Laboratories - Pa National Contract Harrisburg, PA 17109 (800) 667-5185

Dianon Systems INC Pa National Contract Harrisburg, PA 17109 (516) 794-4646

National Genetics Institute - Pa National Contract Harrisburg, PA 17109 (310) 996-0211

Quest - Pa National Contract Harrisburg, PA 17109 (248) 373-9120 National Contract Harrisburg, PA 17109 (410) 247-9100 National Contract Harrisburg, PA 17109 (800) 433-2750 National Contract Harrisburg, PA 17109 (800) 631-1388 Quest Diag Nichols Institute INC - Pa National Contract Harrisburg, PA 17109 (703) 802-6900 Quest Diagnostics - Pa National Contract Harrisburg, PA 17109 (303) 899-6000 National Contract Harrisburg, PA 17109 (408) 975-1015 National Contract Harrisburg, PA 17109 (580) 795-0137 National Contract Harrisburg, PA 17109 (800) 488-8890 National Contract Harrisburg, PA 17109 (818) 737-5200 National Contract Harrisburg, PA 17109 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC 900 Business Center Dr Horsham, PA 19044 (800) 825-7380 Quest Diagnostics Clinical Laboratories INC - Pa National Contract Harrisburg, PA 17109 (303) 899-6000 Laboratory

Page 132

CoventryCares of Kentucky National Contract Harrisburg, PA 17109 (615) 687-2000 National Contract Harrisburg, PA 17109 (800) 282-6613 National Contract Harrisburg, PA 17109 (800) 669-7525 National Contract Harrisburg, PA 17109 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Pa National Contract Harrisburg, PA 17109 (866) 865-2805 Quest Diagnostics LLC Ct - Pa National Contract Harrisburg, PA 17109 (203) 949-5500 Quest Diagnostics LLC Il - Pa National Contract Harrisburg, PA 17109 (630) 595-3888 Quest Diagnostics LLC Ma - Pa National Contract Harrisburg, PA 17109 (617) 547-8900 Quest Diagnostics Nichols Institute - Pa National Contract Harrisburg, PA 17109 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Harrisburg, PA 17109 (661) 799-6543 Quest Diagnostics of Pa INC - Pa National Contract Harrisburg, PA 17109 (800) 837-3177

Quest Diagnostics of Pennsylvania INC 875 Greentree Rd Pittsburgh, PA 15220 (800) 837-3177

Dcl Medical Laboratories INC - Ri National Contract Providence, RI 2904 (618) 343-0002

Mid America Clinical Laboratories - Ri National Contract Providence, RI 2904 (800) 667-5185

Quest Ok LLC - Pa National Contract Harrisburg, PA 17109 (405) 609-2000

Dianon Systems INC Ri National Contract Providence, RI 2904 (516) 794-4646

National Genetics Institute - Ri National Contract Providence, RI 2904 (310) 996-0211

Dynacare Northwest INC - Ri National Contract Providence, RI 2904 (206) 861-7000

Quest - Ri National Contract Providence, RI 2904 (248) 373-9120

Quest Venture LLC - Pa National Contract Harrisburg, PA 17109 (800) 837-3177 Sonora Quest Laboratories LLC - Pa National Contract Harrisburg, PA 17109 (602) 685-5382 Us Labs - Pa National Contract Harrisburg, PA 17109 (949) 450-0145 Viromed Laboratories INC - Pa National Contract Harrisburg, PA 17109 (952) 563-3300

Rhode Island Associated Clinical Labs Lp - Ri National Contract Providence, RI 2904 (814) 461-2400 Associated Pathologist Chartered-Ri National Contract Providence, RI 2904 (800) 433-2750 Berkeley Heartlab INC - Ri National Contract Providence, RI 2904 (510) 747-1740 Centrex Clinical Laboratories INC - Ri National Contract Providence, RI 2904 (315) 624-8200

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Dynagene - Ri National Contract Providence, RI 2904 (713) 798-9500 Esoterix INC - Ri National Contract Providence, RI 2904 (602) 997-9161 Firstsource Laboratory Solutions INC - Ri National Contract Providence, RI 2904 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ri National Contract Providence, RI 2904 (888) 522-4452 Laboratory Corporation of America - Ri National Contract Providence, RI 2904 (907) 561-7666 Litholink Corporation - Ri National Contract Providence, RI 2904 (312) 243-0600 Medical Park Laboratories Ltd - Ri National Contract Providence, RI 2904 (907) 272-5475

National Contract Providence, RI 2904 (410) 247-9100 National Contract Providence, RI 2904 (800) 433-2750

Quest Diagnostics Clinical Laboratories INC - Ri National Contract Providence, RI 2904 (303) 899-6000 National Contract Providence, RI 2904 (615) 687-2000 National Contract Providence, RI 2904 (800) 282-6613 National Contract Providence, RI 2904 (800) 669-7525 National Contract Providence, RI 2904 (800) 825-7380

National Contract Providence, RI 2904 (800) 631-1388

Quest Diagnostics Clinical Labs INC - Ri National Contract Providence, RI 2904 (866) 865-2805

Quest Diag Nichols Institute INC - Ri National Contract Providence, RI 2904 (703) 802-6900

Quest Diagnostics LLC Ct - Ri National Contract Providence, RI 2904 (203) 949-5500

Quest Diagnostics - Ri National Contract Providence, RI 2904 (303) 899-6000

Quest Diagnostics LLC Il - Ri National Contract Providence, RI 2904 (630) 595-3888

National Contract Providence, RI 2904 (408) 975-1015 National Contract Providence, RI 2904 (580) 795-0137 National Contract Providence, RI 2904 (800) 488-8890 National Contract Providence, RI 2904 (818) 737-5200 National Contract Providence, RI 2904 (916) 927-9900

Quest Diagnostics LLC Ma - Ri National Contract Providence, RI 2904 (617) 547-8900 Quest Diagnostics Nichols Institute - Ri National Contract Providence, RI 2904 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Providence, RI 2904 (661) 799-6543

Laboratory

Page 133

CoventryCares of Kentucky Quest Diagnostics of Pa INC - Ri National Contract Providence, RI 2904 (800) 837-3177

Dcl Medical Laboratories INC - Sc National Contract Columbia, SC 29201 (618) 343-0002

Mid America Clinical Laboratories - Sc National Contract Columbia, SC 29201 (800) 667-5185

Quest Ok LLC - Ri National Contract Providence, RI 2904 (405) 609-2000

Dianon Systems INC Sc National Contract Columbia, SC 29201 (516) 794-4646

National Genetics Institute - Sc National Contract Columbia, SC 29201 (310) 996-0211

Dynacare Northwest INC - Sc National Contract Columbia, SC 29201 (206) 861-7000

Quest - Sc National Contract Columbia, SC 29201 (248) 373-9120

Quest Venture LLC - Ri National Contract Providence, RI 2904 (800) 837-3177 Sonora Quest Laboratories LLC - Ri National Contract Providence, RI 2904 (602) 685-5382 Us Labs - Ri National Contract Providence, RI 2904 (949) 450-0145 Viromed Laboratories INC - Ri National Contract Providence, RI 2904 (952) 563-3300

South Carolina Associated Clinical Labs Lp - Sc National Contract Columbia, SC 29201 (814) 461-2400 Associated Pathologist Chartered-Sc National Contract Columbia, SC 29201 (800) 433-2750 Berkeley Heartlab INC - Sc National Contract Columbia, SC 29201 (510) 747-1740 Centrex Clinical Laboratories INC - Sc National Contract Columbia, SC 29201 (315) 624-8200

Dynagene - Sc National Contract Columbia, SC 29201 (713) 798-9500 Esoterix INC - Sc National Contract Columbia, SC 29201 (602) 997-9161 Firstsource Laboratory Solutions INC - Sc National Contract Columbia, SC 29201 (317) 566-9846 Home Healthcare Laboratory of America LLC - Sc National Contract Columbia, SC 29201 (888) 522-4452 Laboratory Corporation of America - Sc National Contract Columbia, SC 29201 (907) 561-7666 Litholink Corporation - Sc National Contract Columbia, SC 29201 (312) 243-0600 Medical Park Laboratories Ltd - Sc National Contract Columbia, SC 29201 (907) 272-5475

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Columbia, SC 29201 (410) 247-9100 National Contract Columbia, SC 29201 (800) 433-2750

Quest Diagnostics Clinical Laboratories INC - Sc National Contract Columbia, SC 29201 (303) 899-6000 National Contract Columbia, SC 29201 (615) 687-2000 National Contract Columbia, SC 29201 (800) 282-6613 National Contract Columbia, SC 29201 (800) 669-7525 National Contract Columbia, SC 29201 (800) 825-7380

National Contract Columbia, SC 29201 (800) 631-1388

Quest Diagnostics Clinical Labs INC - Sc National Contract Columbia, SC 29201 (866) 865-2805

Quest Diag Nichols Institute INC - Sc National Contract Columbia, SC 29201 (703) 802-6900

Quest Diagnostics LLC Ct - Sc National Contract Columbia, SC 29201 (203) 949-5500

Quest Diagnostics - Sc National Contract Columbia, SC 29201 (303) 899-6000

Quest Diagnostics LLC Il - Sc National Contract Columbia, SC 29201 (630) 595-3888

National Contract Columbia, SC 29201 (408) 975-1015 National Contract Columbia, SC 29201 (580) 795-0137 National Contract Columbia, SC 29201 (800) 488-8890 National Contract Columbia, SC 29201 (818) 737-5200 National Contract Columbia, SC 29201 (916) 927-9900

Quest Diagnostics LLC Ma - Sc National Contract Columbia, SC 29201 (617) 547-8900 Quest Diagnostics Nichols Institute - Sc National Contract Columbia, SC 29201 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Columbia, SC 29201 (661) 799-6543

Quest Diagnostics of Pa INC - Sc National Contract Columbia, SC 29201 (800) 837-3177 Quest Ok LLC - Sc National Contract Columbia, SC 29201 (405) 609-2000 Quest Venture LLC - Sc National Contract Columbia, SC 29201 (800) 837-3177 Respiratory Diagnostics LLC 168 Columbia Club Dr W Blythewood, SC 29016 (803) 786-1588 Sonora Quest Laboratories LLC - Sc National Contract Columbia, SC 29201 (602) 685-5382 Us Labs - Sc National Contract Columbia, SC 29201 (949) 450-0145 Viromed Laboratories INC - Sc National Contract Columbia, SC 29201 (952) 563-3300

South Dakota Associated Clinical Labs Lp - Sd National Contract Pierre, SD 57501 (814) 461-2400 Associated Pathologist Chartered-Sd National Contract Pierre, SD 57501 (800) 433-2750 Berkeley Heartlab INC - Sd National Contract Pierre, SD 57501 (510) 747-1740

Laboratory

Page 134

CoventryCares of Kentucky Centrex Clinical Laboratories INC - Sd National Contract Pierre, SD 57501 (315) 624-8200

Medical Park Laboratories Ltd - Sd National Contract Pierre, SD 57501 (907) 272-5475

Dcl Medical Laboratories INC - Sd National Contract Pierre, SD 57501 (618) 343-0002

Mid America Clinical Laboratories - Sd National Contract Pierre, SD 57501 (800) 667-5185

Dianon Systems INC Sd National Contract Pierre, SD 57501 (516) 794-4646

National Genetics Institute - Sd National Contract Pierre, SD 57501 (310) 996-0211

Dynacare Northwest INC - Sd National Contract Pierre, SD 57501 (206) 861-7000

Quest - Sd National Contract Pierre, SD 57501 (248) 373-9120

Dynagene - Sd National Contract Pierre, SD 57501 (713) 798-9500 Esoterix INC - Sd National Contract Pierre, SD 57501 (602) 997-9161 Firstsource Laboratory Solutions INC - Sd National Contract Pierre, SD 57501 (317) 566-9846 Home Healthcare Laboratory of America LLC - Sd National Contract Pierre, SD 57501 (888) 522-4452 Laboratory Corporation of America - Sd National Contract Pierre, SD 57501 (907) 561-7666 Litholink Corporation - Sd National Contract Pierre, SD 57501 (312) 243-0600

National Contract Pierre, SD 57501 (410) 247-9100 National Contract Pierre, SD 57501 (800) 433-2750 National Contract Pierre, SD 57501 (800) 631-1388 Quest Diag Nichols Institute INC - Sd National Contract Pierre, SD 57501 (703) 802-6900 Quest Diagnostics - Sd National Contract Pierre, SD 57501 (303) 899-6000 National Contract Pierre, SD 57501 (408) 975-1015 National Contract Pierre, SD 57501 (580) 795-0137 National Contract Pierre, SD 57501 (800) 488-8890 National Contract Pierre, SD 57501 (818) 737-5200

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Pierre, SD 57501 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Sd National Contract Pierre, SD 57501 (303) 899-6000 National Contract Pierre, SD 57501 (615) 687-2000 National Contract Pierre, SD 57501 (800) 282-6613 National Contract Pierre, SD 57501 (800) 669-7525 National Contract Pierre, SD 57501 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Sd National Contract Pierre, SD 57501 (866) 865-2805 Quest Diagnostics LLC Ct - Sd National Contract Pierre, SD 57501 (203) 949-5500 Quest Diagnostics LLC Il - Sd National Contract Pierre, SD 57501 (630) 595-3888 Quest Diagnostics LLC Ma - Sd National Contract Pierre, SD 57501 (617) 547-8900 Quest Diagnostics Nichols Institute - Sd National Contract Pierre, SD 57501 (949) 940-7456

Quest Diagnostics Nichols Institute of Valencia In National Contract Pierre, SD 57501 (661) 799-6543 Quest Diagnostics of Pa INC - Sd National Contract Pierre, SD 57501 (800) 837-3177 Quest Ok LLC - Sd National Contract Pierre, SD 57501 (405) 609-2000 Quest Venture LLC - Sd National Contract Pierre, SD 57501 (800) 837-3177 Sonora Quest Laboratories LLC - Sd National Contract Pierre, SD 57501 (602) 685-5382

1701 Century Center Cv Memphis, TN 38134 (901) 432-8602 Languages: Spanish Associated Clinical Labs Lp - TN National Contract Nashville, TN 37201 (814) 461-2400 Associated Pathologist Chartered-TN National Contract Nashville, TN 37201 (800) 433-2750 Athens Regional Medical Center 1114 W Madison Ave Athens, TN 37303 (931) 490-1161 1321 Locust Ave Lawrenceburg, TN 38464 (931) 490-1161

Us Labs - Sd National Contract Pierre, SD 57501 (949) 450-0145

Berkeley Heartlab INC - TN National Contract Nashville, TN 37201 (510) 747-1740

Viromed Laboratories INC - Sd National Contract Pierre, SD 57501 (952) 563-3300

Centrex Clinical Laboratories INC - TN National Contract Nashville, TN 37201 (315) 624-8200

Tennessee

Dcl Medical Laboratories INC - TN National Contract Nashville, TN 37201 (618) 343-0002

Aegis Science Corporation 515 Great Circle Rd Nashville, TN 37228 (615) 760-2863 Aegis Sciences Corporation 345 Hill Ave Nashville, TN 37210 (615) 255-2400 American Esoteric Laboratories 7501 Strawberry Plains Pike Knoxville, TN 37924 (901) 432-8602

Dianon Systems INC TN National Contract Nashville, TN 37201 (516) 794-4646 Dynacare Northwest INC - TN National Contract Nashville, TN 37201 (206) 861-7000

Laboratory

Page 135

CoventryCares of Kentucky Dynagene - TN National Contract Nashville, TN 37201 (713) 798-9500 East Tennessee Children's Hospital 2018 W Clinch Ave Knoxville, TN 37916 (865) 541-8000 Esoterix INC - TN National Contract Nashville, TN 37201 (602) 997-9161 Firstsource Laboratory Solutions INC - TN National Contract Nashville, TN 37201 (317) 566-9846 Home Healthcare Laboratory of America LLC 320 Premier Ct Ste 220 Franklin, TN 37067 (888) 522-4452 Jamestown Regional Medical Center 436 Central Ave W Jamestown, TN 38556 (931) 879-3352 Laboratory Corporation of America - TN National Contract Nashville, TN 37201 (907) 561-7666 Litholink Corporation - TN National Contract Nashville, TN 37201 (312) 243-0600 Medical Park Laboratories Ltd - TN National Contract Nashville, TN 37201 (907) 272-5475 Mid America Clinical Laboratories - TN National Contract Nashville, TN 37201 (800) 667-5185

Molecular Pathology Laboratory Network INC 250 E Broadway Ave Maryville, TN 37804 (865) 380-9746 Languages: Spanish National Genetics Institute - TN National Contract Nashville, TN 37201 (310) 996-0211 Northcrest Campus 100 Northcrest Dr Springfield, TN 37172 (931) 490-1161 Northcrest Medical Center 100 Northcrest Dr Springfield, TN 37172 (615) 384-2411 Pca Southeast 1900 Patterson St Ste 104 Nashville, TN 37203 (931) 490-1161 719 Thompson Ln Ste 26300 Nashville, TN 37204 (931) 490-1161 Quest - TN National Contract Nashville, TN 37201 (248) 373-9120 National Contract Nashville, TN 37201 (410) 247-9100 National Contract Nashville, TN 37201 (800) 433-2750 National Contract Nashville, TN 37201 (800) 631-1388 Quest Diag Nichols Institute INC - TN National Contract Nashville, TN 37201 (703) 802-6900

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Quest Diagnostics - TN National Contract Nashville, TN 37201 (303) 899-6000 National Contract Nashville, TN 37201 (408) 975-1015 National Contract Nashville, TN 37201 (580) 795-0137 National Contract Nashville, TN 37201 (800) 488-8890 National Contract Nashville, TN 37201 (818) 737-5200

Quest Diagnostics LLC Ct - TN National Contract Nashville, TN 37201 (203) 949-5500

Vanderbilt University Hospital 1211 Medical Center Dr Nashville, TN 37232 (615) 322-5000

Quest Diagnostics LLC Il - TN National Contract Nashville, TN 37201 (630) 595-3888

Viromed Laboratories INC - TN National Contract Nashville, TN 37201 (952) 563-3300

Quest Diagnostics LLC Ma - TN National Contract Nashville, TN 37201 (617) 547-8900

Texas

National Contract Nashville, TN 37201 (916) 927-9900

Quest Diagnostics Nichols Institute - TN National Contract Nashville, TN 37201 (949) 940-7456

Quest Diagnostics Clinical Laboratories INC 525 Mainstream Dr Nashville, TN 37228 (615) 687-2000

Quest Diagnostics Nichols Institute of Valencia In National Contract Nashville, TN 37201 (661) 799-6543

Quest Diagnostics Clinical Laboratories INC - TN National Contract Nashville, TN 37201 (303) 899-6000

Quest Diagnostics of Pa INC - TN National Contract Nashville, TN 37201 (800) 837-3177

National Contract Nashville, TN 37201 (615) 687-2000 National Contract Nashville, TN 37201 (800) 282-6613 National Contract Nashville, TN 37201 (800) 669-7525 National Contract Nashville, TN 37201 (800) 825-7380 Quest Diagnostics Clinical Labs INC - TN National Contract Nashville, TN 37201 (866) 865-2805

Quest Ok LLC - TN National Contract Nashville, TN 37201 (405) 609-2000 Quest Venture LLC TN National Contract Nashville, TN 37201 (800) 837-3177 Sonora Quest Laboratories LLC - TN National Contract Nashville, TN 37201 (602) 685-5382 Us Labs - TN National Contract Nashville, TN 37201 (949) 450-0145

Alere Toxicology Services INC 9417 Brodie Ln Austin, TX 78748 (512) 610-9955 Associated Clinical Labs Lp - Tx National Contract Austin, TX 73301 (814) 461-2400 Associated Pathologist Chartered-Tx National Contract Austin, TX 73301 (800) 433-2750 Berkeley Heartlab INC - Tx National Contract Austin, TX 73301 (510) 747-1740 Centrex Clinical Laboratories INC - Tx National Contract Austin, TX 73301 (315) 624-8200 Dcl Medical Laboratories INC - Tx National Contract Austin, TX 73301 (618) 343-0002 Dianon Systems INC Tx National Contract Austin, TX 73301 (516) 794-4646 Dynacare Northwest INC - Tx National Contract Austin, TX 73301 (206) 861-7000 Laboratory

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CoventryCares of Kentucky Dynagene 7400 Fannin St Ste 1200 Houston, TX 77054 (713) 798-9500

Quest - Tx National Contract Austin, TX 73301 (248) 373-9120

Esoterix INC - Tx National Contract Austin, TX 73301 (602) 997-9161

National Contract Austin, TX 73301 (410) 247-9100

Firstsource Laboratory Solutions INC - Tx National Contract Austin, TX 73301 (317) 566-9846 Home Healthcare Laboratory of America LLC - Tx National Contract Austin, TX 73301 (888) 522-4452 Laboratory Corporation of America - Tx National Contract Austin, TX 73301 (907) 561-7666 Litholink Corporation - Tx National Contract Austin, TX 73301 (312) 243-0600 Medical Park Laboratories Ltd - Tx National Contract Austin, TX 73301 (907) 272-5475 Mid America Clinical Laboratories - Tx National Contract Austin, TX 73301 (800) 667-5185 National Contract - Tx National Contract Austin, TX 73301 (805) 578-8300 National Genetics Institute - Tx National Contract Austin, TX 73301 (310) 996-0211

National Contract Austin, TX 73301 (800) 433-2750 National Contract Austin, TX 73301 (800) 631-1388 Quest Diag Nichols Institute INC - Tx National Contract Austin, TX 73301 (703) 802-6900 Quest Diagnostics - Tx National Contract Austin, TX 73301 (303) 899-6000 National Contract Austin, TX 73301 (408) 975-1015 National Contract Austin, TX 73301 (580) 795-0137 National Contract Austin, TX 73301 (800) 488-8890 National Contract Austin, TX 73301 (818) 737-5200 National Contract Austin, TX 73301 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Tx National Contract Austin, TX 73301 (303) 899-6000 National Contract Austin, TX 73301 (615) 687-2000 National Contract Austin, TX 73301 (800) 282-6613

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

National Contract Austin, TX 73301 (800) 669-7525 National Contract Austin, TX 73301 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Tx National Contract Austin, TX 73301 (866) 865-2805 Quest Diagnostics LLC Ct - Tx National Contract Austin, TX 73301 (203) 949-5500 Quest Diagnostics LLC Il - Tx National Contract Austin, TX 73301 (630) 595-3888 Quest Diagnostics LLC Ma - Tx National Contract Austin, TX 73301 (617) 547-8900 Quest Diagnostics Nichols Institute - Tx National Contract Austin, TX 73301 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Austin, TX 73301 (661) 799-6543 Quest Diagnostics of Pa INC - Tx National Contract Austin, TX 73301 (800) 837-3177 Quest Ok LLC - Tx National Contract Austin, TX 73301 (405) 609-2000 Quest Venture LLC - Tx National Contract Austin, TX 73301 (800) 837-3177

Sonora Quest Laboratories LLC - Tx National Contract Austin, TX 73301 (602) 685-5382 Us Labs - Tx National Contract Austin, TX 73301 (949) 450-0145 Viromed Laboratories INC - Tx National Contract Austin, TX 73301 (952) 563-3300

Utah Associated Clinical Labs Lp - Ut National Contract Salt Lake City, UT 84101 (814) 461-2400

Dynagene - Ut National Contract Salt Lake City, UT 84101 (713) 798-9500 Esoterix INC - Ut National Contract Salt Lake City, UT 84101 (602) 997-9161 Firstsource Laboratory Solutions INC - Ut National Contract Salt Lake City, UT 84101 (317) 566-9846 Home Healthcare Laboratory of America LLC - Ut National Contract Salt Lake City, UT 84101 (888) 522-4452

Associated Pathologist Chartered-Ut National Contract Salt Lake City, UT 84101 (800) 433-2750

Laboratory Corporation of America - Ut National Contract Salt Lake City, UT 84101 (907) 561-7666

Berkeley Heartlab INC - Ut National Contract Salt Lake City, UT 84101 (510) 747-1740

Litholink Corporation - Ut National Contract Salt Lake City, UT 84101 (312) 243-0600

Centrex Clinical Laboratories INC - Ut National Contract Salt Lake City, UT 84101 (315) 624-8200

Medical Park Laboratories Ltd - Ut National Contract Salt Lake City, UT 84101 (907) 272-5475

Dcl Medical Laboratories INC - Ut National Contract Salt Lake City, UT 84101 (618) 343-0002

Mid America Clinical Laboratories - Ut National Contract Salt Lake City, UT 84101 (800) 667-5185

Dianon Systems INC Ut National Contract Salt Lake City, UT 84101 (516) 794-4646

National Genetics Institute - Ut National Contract Salt Lake City, UT 84101 (310) 996-0211

Dynacare Northwest INC - Ut National Contract Salt Lake City, UT 84101 (206) 861-7000

Quest - Ut National Contract Salt Lake City, UT 84101 (248) 373-9120

Laboratory

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CoventryCares of Kentucky National Contract Salt Lake City, UT 84101 (410) 247-9100

National Contract Salt Lake City, UT 84101 (800) 825-7380

National Contract Salt Lake City, UT 84101 (800) 433-2750

Quest Diagnostics Clinical Labs INC - Ut National Contract Salt Lake City, UT 84101 (866) 865-2805

National Contract Salt Lake City, UT 84101 (800) 631-1388 Quest Diag Nichols Institute INC - Ut National Contract Salt Lake City, UT 84101 (703) 802-6900 Quest Diagnostics - Ut National Contract Salt Lake City, UT 84101 (303) 899-6000 National Contract Salt Lake City, UT 84101 (408) 975-1015 National Contract Salt Lake City, UT 84101 (580) 795-0137 National Contract Salt Lake City, UT 84101 (800) 488-8890 National Contract Salt Lake City, UT 84101 (818) 737-5200 National Contract Salt Lake City, UT 84101 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Ut National Contract Salt Lake City, UT 84101 (303) 899-6000 National Contract Salt Lake City, UT 84101 (615) 687-2000 National Contract Salt Lake City, UT 84101 (800) 282-6613

Quest Diagnostics LLC Ct - Ut National Contract Salt Lake City, UT 84101 (203) 949-5500 Quest Diagnostics LLC Il - Ut National Contract Salt Lake City, UT 84101 (630) 595-3888 Quest Diagnostics LLC Ma - Ut National Contract Salt Lake City, UT 84101 (617) 547-8900 Quest Diagnostics Nichols Institute - Ut National Contract Salt Lake City, UT 84101 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Salt Lake City, UT 84101 (661) 799-6543 Quest Diagnostics of Pa INC - Ut National Contract Salt Lake City, UT 84101 (800) 837-3177 Quest Ok LLC - Ut National Contract Salt Lake City, UT 84101 (405) 609-2000 Quest Venture LLC - Ut National Contract Salt Lake City, UT 84101 (800) 837-3177

National Contract Salt Lake City, UT 84101 (800) 669-7525

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Sonora Quest Laboratories LLC - Ut National Contract Salt Lake City, UT 84101 (602) 685-5382 Us Labs - Ut National Contract Salt Lake City, UT 84101 (949) 450-0145 Viromed Laboratories INC - Ut National Contract Salt Lake City, UT 84101 (952) 563-3300

Vermont Associated Clinical Labs Lp - Vt National Contract Montpelier, VT 5601 (814) 461-2400

Dynagene - Vt National Contract Montpelier, VT 5601 (713) 798-9500 Esoterix INC - Vt National Contract Montpelier, VT 5601 (602) 997-9161 Firstsource Laboratory Solutions INC - Vt National Contract Montpelier, VT 5601 (317) 566-9846 Home Healthcare Laboratory of America LLC - Vt National Contract Montpelier, VT 5601 (888) 522-4452

Associated Pathologist Chartered-Vt National Contract Montpelier, VT 5601 (800) 433-2750

Laboratory Corporation of America - Vt National Contract Montpelier, VT 5601 (907) 561-7666

Berkeley Heartlab INC - Vt National Contract Montpelier, VT 5601 (510) 747-1740

Litholink Corporation - Vt National Contract Montpelier, VT 5601 (312) 243-0600

Centrex Clinical Laboratories INC - Vt National Contract Montpelier, VT 5601 (315) 624-8200

Medical Park Laboratories Ltd - Vt National Contract Montpelier, VT 5601 (907) 272-5475

Dcl Medical Laboratories INC - Vt National Contract Montpelier, VT 5601 (618) 343-0002

Mid America Clinical Laboratories - Vt National Contract Montpelier, VT 5601 (800) 667-5185

Dianon Systems INC Vt National Contract Montpelier, VT 5601 (516) 794-4646

National Genetics Institute - Vt National Contract Montpelier, VT 5601 (310) 996-0211

Dynacare Northwest INC - Vt National Contract Montpelier, VT 5601 (206) 861-7000

Quest - Vt National Contract Montpelier, VT 5601 (248) 373-9120

National Contract Montpelier, VT 5601 (410) 247-9100 National Contract Montpelier, VT 5601 (800) 433-2750 National Contract Montpelier, VT 5601 (800) 631-1388 Quest Diag Nichols Institute INC - Vt National Contract Montpelier, VT 5601 (703) 802-6900 Quest Diagnostics - Vt National Contract Montpelier, VT 5601 (303) 899-6000 National Contract Montpelier, VT 5601 (408) 975-1015 National Contract Montpelier, VT 5601 (580) 795-0137 National Contract Montpelier, VT 5601 (800) 488-8890 National Contract Montpelier, VT 5601 (818) 737-5200 National Contract Montpelier, VT 5601 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Vt National Contract Montpelier, VT 5601 (303) 899-6000 National Contract Montpelier, VT 5601 (615) 687-2000 National Contract Montpelier, VT 5601 (800) 282-6613 National Contract Montpelier, VT 5601 (800) 669-7525

Laboratory

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CoventryCares of Kentucky National Contract Montpelier, VT 5601 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Vt National Contract Montpelier, VT 5601 (866) 865-2805 Quest Diagnostics LLC Ct - Vt National Contract Montpelier, VT 5601 (203) 949-5500 Quest Diagnostics LLC Il - Vt National Contract Montpelier, VT 5601 (630) 595-3888 Quest Diagnostics LLC Ma - Vt National Contract Montpelier, VT 5601 (617) 547-8900 Quest Diagnostics Nichols Institute - Vt National Contract Montpelier, VT 5601 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Montpelier, VT 5601 (661) 799-6543 Quest Diagnostics of Pa INC - Vt National Contract Montpelier, VT 5601 (800) 837-3177 Quest Ok LLC - Vt National Contract Montpelier, VT 5601 (405) 609-2000 Quest Venture LLC - Vt National Contract Montpelier, VT 5601 (800) 837-3177

Sonora Quest Laboratories LLC - Vt National Contract Montpelier, VT 5601 (602) 685-5382 Us Labs - Vt National Contract Montpelier, VT 5601 (949) 450-0145 Viromed Laboratories INC - Vt National Contract Montpelier, VT 5601 (952) 563-3300

Carilion Consolidated Laboratory 2900 Tyler Rd Christiansburg, VA 24073 (336) 664-6100 Carilion Giles Community Hospital Lab 159 Hartley Way Pearisburg, VA 24134 (336) 664-6100

Virginia

Carilion Labs - PSC 3707 Brambleton Ave Roanoke, VA 24018 (336) 664-6100

Associated Clinical Labs Lp - Va National Contract Richmond, VA 23218 (814) 461-2400

Carilion Labs, LLC - 3 Riverside 3 Riverside Cir Roanoke, VA 24016 (336) 664-6100

Associated Pathologist Chartered-Va National Contract Richmond, VA 23218 (800) 433-2750

Carilion Roanoke Memorial Hospital 1906 Belleview Ave Se Roanoke, VA 24014 (540) 981-7000

Bedford Memorial Hospital - Main Lab 1613 Oakwood St Bedford, VA 24523 (336) 664-6100

Centrex Clinical Laboratories INC - Va National Contract Richmond, VA 23218 (315) 624-8200

Berkeley Heartlab INC - Va National Contract Richmond, VA 23218 (510) 747-1740

Commonwealth Medical Laboratories, INC 4228 Aiken Dr Warrenton, VA 20187 (540) 428-2909

Big Stone Gap, Cloverleaf 1 Cloverleaf Sq Bldg G Big Stone Gap, VA 24219 (336) 664-6100 Carilion Consolidated Lab/Franklin Memorial Hospit 180 Floyd Ave Rocky Mount, VA 24151 (336) 664-6100

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Community Hospital of Roanoke Valley 101 Elm Ave Se Roanoke, VA 24013 (336) 664-6100 Dcl Medical Laboratories INC - Va National Contract Richmond, VA 23218 (618) 343-0002

Dianon Systems INC Va National Contract Richmond, VA 23218 (516) 794-4646

Mountain View Regional Nc Hospital 310 3rd St Ne Norton, VA 24273 (336) 664-6100

Dynacare Northwest INC - Va National Contract Richmond, VA 23218 (206) 861-7000

National Genetics Institute - Va National Contract Richmond, VA 23218 (310) 996-0211

Dynagene - Va National Contract Richmond, VA 23218 (713) 798-9500

Network At Lonesome Hospital 1990 Holton Ave E Big Stone Gap, VA 24219 (336) 664-6100

Esoterix INC - Va National Contract Richmond, VA 23218 (602) 997-9161 Firstsource Laboratory Solutions INC - Va National Contract Richmond, VA 23218 (317) 566-9846 Home Healthcare Laboratory of America LLC - Va National Contract Richmond, VA 23218 (888) 522-4452 Laboratory Corporation of America - Va National Contract Richmond, VA 23218 (907) 561-7666 Litholink Corporation - Va National Contract Richmond, VA 23218 (312) 243-0600 Medical Park Laboratories Ltd - Va National Contract Richmond, VA 23218 (907) 272-5475 Mid America Clinical Laboratories - Va National Contract Richmond, VA 23218 (800) 667-5185

Prince George Crossing 4421 Crossing Blvd Ste E08 Hopewell, VA 23860 (336) 664-6100 Quest - Va National Contract Richmond, VA 23218 (248) 373-9120 National Contract Richmond, VA 23218 (410) 247-9100 National Contract Richmond, VA 23218 (800) 433-2750 National Contract Richmond, VA 23218 (800) 631-1388 Quest Diag Nichols Institute INC - Va National Contract Richmond, VA 23218 (703) 802-6900 Quest Diag. Nichols Inst 14225 Newbrook Dr Chantilly, VA 20151 (336) 664-6100 Quest Diagnostics - Va National Contract Richmond, VA 23218 (303) 899-6000

Laboratory

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CoventryCares of Kentucky National Contract Richmond, VA 23218 (408) 975-1015 National Contract Richmond, VA 23218 (580) 795-0137 National Contract Richmond, VA 23218 (800) 488-8890 National Contract Richmond, VA 23218 (818) 737-5200 National Contract Richmond, VA 23218 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Va National Contract Richmond, VA 23218 (303) 899-6000 National Contract Richmond, VA 23218 (615) 687-2000 National Contract Richmond, VA 23218 (800) 282-6613 National Contract Richmond, VA 23218 (800) 669-7525 National Contract Richmond, VA 23218 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Va National Contract Richmond, VA 23218 (866) 865-2805 Quest Diagnostics LLC Ct - Va National Contract Richmond, VA 23218 (203) 949-5500

Quest Diagnostics LLC Ma - Va National Contract Richmond, VA 23218 (617) 547-8900 Quest Diagnostics Nichols Institute - Va National Contract Richmond, VA 23218 (949) 940-7456 Quest Diagnostics Nichols Institute INC 14225 Newbrook Dr Chantilly, VA 20151 (703) 802-6900 Quest Diagnostics Nichols Institute of Valencia In National Contract Richmond, VA 23218 (661) 799-6543 Quest Diagnostics of Pa INC - Va National Contract Richmond, VA 23218 (800) 837-3177 Quest Ok LLC - Va National Contract Richmond, VA 23218 (405) 609-2000 Quest Venture LLC - Va National Contract Richmond, VA 23218 (800) 837-3177 Solstas Lab Partners Group LLC 120 Spotswood Dr Lexington, VA 24450 (888) 664-7601 Solstas Laboratory Partners Group, LLC Abington 24530 Falcon Place Blvd Abingdon, VA 24211 (336) 664-6100

Quest Diagnostics LLC Il - Va National Contract Richmond, VA 23218 (630) 595-3888

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Solstas Laboratory Partners Group, LLC Arlington 611 S Carlin Springs Rd Ste 412 Arlington, VA 22204 (336) 664-6100

Solstas Laboratory Partners Group, LLC Norfolk K 855 Kempsville Rd Ste 221 Norfolk, VA 23502 (336) 664-6100

Solstas Laboratory Partners Group, LLC Rockbridg 204 E Washington St Ste C Lexington, VA 24450 (336) 664-6100

Solstas Laboratory Partners Group, LLC Big Stone 1980 Holton Ave E 101 Big Stone Gap, VA 24219 (336) 664-6100

Solstas Laboratory Partners Group, LLC Norton Va 295 Wharton Ln Ne Norton, VA 24273 (336) 664-6100

Solstas Laboratory Partners Group, LLC Salem 1932 Braeburn Dr Salem, VA 24153 (336) 664-6100

Solstas Laboratory Partners Group, LLC Bristol V 410 Old Stage Coach Road Bristol, VA 24201 (336) 664-6100

Solstas Laboratory Partners Group, LLC Penningto 127 Health Care Dr Pennington Gap, VA 24277 (336) 664-6100

Sonora Quest Laboratories LLC - Va National Contract Richmond, VA 23218 (602) 685-5382

Solstas Laboratory Partners Group, LLC Chantilly 2055 South Riding Plaza Chantilly, VA 20152 (336) 664-6100

Solstas Laboratory Partners Group, LLC Radford 200 8th St Radford, VA 24141 (336) 664-6100

Solstas Laboratory Partners Group, LLC Dublin 4655 Cleburne Blvd Dublin, VA 24084 (336) 664-6100

Solstas Laboratory Partners Group, LLC Richmond 8921 Three Chopt Rd Ste 100 Henrico, VA 23229 (336) 664-6100

Solstas Laboratory Partners Group, LLC Falls Chu 6400 Arlington Blvd Ste 940 Falls Church, VA 22042 (336) 664-6100 Solstas Laboratory Partners Group, LLC Harrisonb 2042 Pro Pointe Ln Harrisonburg, VA 22801 (336) 664-6100 Solstas Laboratory Partners Group, LLC Lexington 108 Houston St Ste D Lexington, VA 24450 (336) 664-6100

1807 Huguenot Rd Ste 100 Midlothian, VA 23113 (336) 664-6100 Solstas Laboratory Partners Group, LLC Roanoke 127 McClanahan St Sw Ste 204 Roanoke, VA 24014 (336) 664-6100 Solstas Laboratory Partners Group, LLC Roanoke C 2001 Crystal Spring Ave Sw Ste 120 Roanoke, VA 24014 (336) 664-6100

Stonewall Jackson Hospital 1 Health Cir Lexington, VA 24450 (336) 664-6100 Sw Virginia Cancer Center Stat Lab Norton Cancer 671 Highway 58 E Norton, VA 24273 (336) 664-6100 Tazewell Community Hospital 141 Ben Bolt Ave Tazewell, VA 24651 (336) 664-6100 Us Labs - Va National Contract Richmond, VA 23218 (949) 450-0145 Viromed Laboratories INC - Va National Contract Richmond, VA 23218 (952) 563-3300

Washington Associated Clinical Labs Lp - Wa National Contract Olympia, WA 98051 (814) 461-2400

Laboratory

Page 140

CoventryCares of Kentucky Associated Pathologist Chartered-Wa National Contract Olympia, WA 98051 (800) 433-2750 Berkeley Heartlab INC - Wa National Contract Olympia, WA 98051 (510) 747-1740 Centrex Clinical Laboratories INC - Wa National Contract Olympia, WA 98051 (315) 624-8200 Dcl Medical Laboratories INC - Wa National Contract Olympia, WA 98051 (618) 343-0002 Dianon Systems INC Wa National Contract Olympia, WA 98051 (516) 794-4646 Dynacare Northwest INC 550 17th Ave Ste 310 Seattle, WA 98122 (206) 861-7000 Dynagene - Wa National Contract Olympia, WA 98051 (713) 798-9500 Esoterix INC - Wa National Contract Olympia, WA 98051 (602) 997-9161 Firstsource Laboratory Solutions INC - Wa National Contract Olympia, WA 98051 (317) 566-9846 Home Healthcare Laboratory of America LLC - Wa National Contract Olympia, WA 98051 (888) 522-4452

Laboratory Corporation of America - Wa National Contract Olympia, WA 98051 (907) 561-7666 Litholink Corporation - Wa National Contract Olympia, WA 98051 (312) 243-0600 Medical Park Laboratories Ltd - Wa National Contract Olympia, WA 98051 (907) 272-5475 Mid America Clinical Laboratories - Wa National Contract Olympia, WA 98051 (800) 667-5185 National Genetics Institute - Wa National Contract Olympia, WA 98051 (310) 996-0211 Quest - Wa National Contract Olympia, WA 98051 (248) 373-9120 National Contract Olympia, WA 98051 (410) 247-9100 National Contract Olympia, WA 98051 (800) 433-2750 National Contract Olympia, WA 98051 (800) 631-1388

National Contract Olympia, WA 98051 (408) 975-1015 National Contract Olympia, WA 98051 (580) 795-0137 National Contract Olympia, WA 98051 (800) 488-8890 National Contract Olympia, WA 98051 (818) 737-5200 National Contract Olympia, WA 98051 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Wa National Contract Olympia, WA 98051 (303) 899-6000 National Contract Olympia, WA 98051 (615) 687-2000 National Contract Olympia, WA 98051 (800) 282-6613 National Contract Olympia, WA 98051 (800) 669-7525 National Contract Olympia, WA 98051 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Wa National Contract Olympia, WA 98051 (866) 865-2805

Quest Diag Nichols Institute INC - Wa National Contract Olympia, WA 98051 (703) 802-6900

Quest Diagnostics LLC Ct - Wa National Contract Olympia, WA 98051 (203) 949-5500

Quest Diagnostics - Wa National Contract Olympia, WA 98051 (303) 899-6000

Quest Diagnostics LLC Il - Wa National Contract Olympia, WA 98051 (630) 595-3888

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Quest Diagnostics LLC Ma - Wa National Contract Olympia, WA 98051 (617) 547-8900

Associated Pathologist Chartered-Wv National Contract Charleston, WV 25301 (800) 433-2750

Quest Diagnostics Nichols Institute - Wa National Contract Olympia, WA 98051 (949) 940-7456

Berkeley Heartlab INC - Wv National Contract Charleston, WV 25301 (510) 747-1740

Quest Diagnostics Nichols Institute of Valencia In National Contract Olympia, WA 98051 (661) 799-6543

Centrex Clinical Laboratories INC - Wv National Contract Charleston, WV 25301 (315) 624-8200

Quest Diagnostics of Pa INC - Wa National Contract Olympia, WA 98051 (800) 837-3177

Dcl Medical Laboratories INC - Wv National Contract Charleston, WV 25301 (618) 343-0002

Quest Ok LLC - Wa National Contract Olympia, WA 98051 (405) 609-2000

Dianon Systems INC Wv National Contract Charleston, WV 25301 (516) 794-4646

Quest Venture LLC Wa National Contract Olympia, WA 98051 (800) 837-3177

Dynacare Northwest INC - Wv National Contract Charleston, WV 25301 (206) 861-7000

Sonora Quest Laboratories LLC - Wa National Contract Olympia, WA 98051 (602) 685-5382

Dynagene - Wv National Contract Charleston, WV 25301 (713) 798-9500

Us Labs - Wa National Contract Olympia, WA 98051 (949) 450-0145 Viromed Laboratories INC - Wa National Contract Olympia, WA 98051 (952) 563-3300

West Virginia Associated Clinical Labs Lp - Wv National Contract Charleston, WV 25301 (814) 461-2400

Esoterix INC - Wv National Contract Charleston, WV 25301 (602) 997-9161 Firstsource Laboratory Solutions INC - Wv National Contract Charleston, WV 25301 (317) 566-9846 Home Healthcare Laboratory of America LLC - Wv National Contract Charleston, WV 25301 (888) 522-4452

Laboratory

Page 141

CoventryCares of Kentucky Laboratory Corporation of America - Wv National Contract Charleston, WV 25301 (907) 561-7666 Litholink Corporation - Wv National Contract Charleston, WV 25301 (312) 243-0600 Medical Park Laboratories Ltd - Wv National Contract Charleston, WV 25301 (907) 272-5475 Mid America Clinical Laboratories - Wv National Contract Charleston, WV 25301 (800) 667-5185 National Genetics Institute - Wv National Contract Charleston, WV 25301 (310) 996-0211 Quest - Wv National Contract Charleston, WV 25301 (248) 373-9120 National Contract Charleston, WV 25301 (410) 247-9100 National Contract Charleston, WV 25301 (800) 433-2750

National Contract Charleston, WV 25301 (408) 975-1015 National Contract Charleston, WV 25301 (580) 795-0137 National Contract Charleston, WV 25301 (800) 488-8890 National Contract Charleston, WV 25301 (818) 737-5200 National Contract Charleston, WV 25301 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Wv National Contract Charleston, WV 25301 (303) 899-6000 National Contract Charleston, WV 25301 (615) 687-2000 National Contract Charleston, WV 25301 (800) 282-6613 National Contract Charleston, WV 25301 (800) 669-7525 National Contract Charleston, WV 25301 (800) 825-7380

National Contract Charleston, WV 25301 (800) 631-1388

Quest Diagnostics Clinical Labs INC - Wv National Contract Charleston, WV 25301 (866) 865-2805

Quest Diag Nichols Institute INC - Wv National Contract Charleston, WV 25301 (703) 802-6900

Quest Diagnostics LLC Ct - Wv National Contract Charleston, WV 25301 (203) 949-5500

Quest Diagnostics - Wv National Contract Charleston, WV 25301 (303) 899-6000

Quest Diagnostics LLC Il - Wv National Contract Charleston, WV 25301 (630) 595-3888

Quest Diagnostics LLC Ma - Wv National Contract Charleston, WV 25301 (617) 547-8900

Associated Clinical Labs Lp - Wi National Contract Madison, WI 53701 (814) 461-2400

Quest Diagnostics Nichols Institute - Wv National Contract Charleston, WV 25301 (949) 940-7456

Associated Pathologist Chartered-Wi National Contract Madison, WI 53701 (800) 433-2750

Quest Diagnostics Nichols Institute of Valencia In National Contract Charleston, WV 25301 (661) 799-6543

Berkeley Heartlab INC - Wi National Contract Madison, WI 53701 (510) 747-1740

Quest Diagnostics of Pa INC - Wv National Contract Charleston, WV 25301 (800) 837-3177

Centrex Clinical Laboratories INC - Wi National Contract Madison, WI 53701 (315) 624-8200

Quest Ok LLC - Wv National Contract Charleston, WV 25301 (405) 609-2000

Dcl Medical Laboratories INC - Wi National Contract Madison, WI 53701 (618) 343-0002

Quest Venture LLC Wv National Contract Charleston, WV 25301 (800) 837-3177

Dianon Systems INC Wi National Contract Madison, WI 53701 (516) 794-4646

Sonora Quest Laboratories LLC - Wv National Contract Charleston, WV 25301 (602) 685-5382

Dynacare Northwest INC - Wi National Contract Madison, WI 53701 (206) 861-7000

University Pathology Services 1600 Medical Center Dr Ste B510 Huntington, WV 25701 (304) 697-4497

Dynagene - Wi National Contract Madison, WI 53701 (713) 798-9500

Us Labs - Wv National Contract Charleston, WV 25301 (949) 450-0145 Viromed Laboratories INC - Wv National Contract Charleston, WV 25301 (952) 563-3300

Esoterix INC - Wi National Contract Madison, WI 53701 (602) 997-9161 Firstsource Laboratory Solutions INC - Wi National Contract Madison, WI 53701 (317) 566-9846

Home Healthcare Laboratory of America LLC - Wi National Contract Madison, WI 53701 (888) 522-4452 Laboratory Corporation of America - Wi National Contract Madison, WI 53701 (907) 561-7666 Litholink Corporation - Wi National Contract Madison, WI 53701 (312) 243-0600 Medical Park Laboratories Ltd - Wi National Contract Madison, WI 53701 (907) 272-5475 Mid America Clinical Laboratories - Wi National Contract Madison, WI 53701 (800) 667-5185 National Genetics Institute - Wi National Contract Madison, WI 53701 (310) 996-0211 Quest - Wi National Contract Madison, WI 53701 (248) 373-9120 National Contract Madison, WI 53701 (410) 247-9100 National Contract Madison, WI 53701 (800) 433-2750 National Contract Madison, WI 53701 (800) 631-1388 Quest Diag Nichols Institute INC - Wi National Contract Madison, WI 53701 (703) 802-6900

Wisconsin † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Laboratory

Page 142

CoventryCares of Kentucky Quest Diagnostics - Wi National Contract Madison, WI 53701 (303) 899-6000 National Contract Madison, WI 53701 (408) 975-1015 National Contract Madison, WI 53701 (580) 795-0137 National Contract Madison, WI 53701 (800) 488-8890 National Contract Madison, WI 53701 (818) 737-5200 National Contract Madison, WI 53701 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Wi National Contract Madison, WI 53701 (303) 899-6000 National Contract Madison, WI 53701 (615) 687-2000 National Contract Madison, WI 53701 (800) 282-6613 National Contract Madison, WI 53701 (800) 669-7525 National Contract Madison, WI 53701 (800) 825-7380 Quest Diagnostics Clinical Labs INC - Wi National Contract Madison, WI 53701 (866) 865-2805 Quest Diagnostics LLC Ct - Wi National Contract Madison, WI 53701 (203) 949-5500

Quest Diagnostics LLC Il - Wi National Contract Madison, WI 53701 (630) 595-3888

Associated Clinical Labs Lp - Wy National Contract Cheyenne, WY 82001 (814) 461-2400

Quest Diagnostics LLC Ma - Wi National Contract Madison, WI 53701 (617) 547-8900

Associated Pathologist Chartered-Wy National Contract Cheyenne, WY 82001 (800) 433-2750

Quest Diagnostics Nichols Institute - Wi National Contract Madison, WI 53701 (949) 940-7456

Berkeley Heartlab INC - Wy National Contract Cheyenne, WY 82001 (510) 747-1740

Quest Diagnostics Nichols Institute of Valencia In National Contract Madison, WI 53701 (661) 799-6543

Centrex Clinical Laboratories INC - Wy National Contract Cheyenne, WY 82001 (315) 624-8200

Quest Diagnostics of Pa INC - Wi National Contract Madison, WI 53701 (800) 837-3177

Dcl Medical Laboratories INC - Wy National Contract Cheyenne, WY 82001 (618) 343-0002

Quest Ok LLC - Wi National Contract Madison, WI 53701 (405) 609-2000

Dianon Systems INC Wy National Contract Cheyenne, WY 82001 (516) 794-4646

Quest Venture LLC Wi National Contract Madison, WI 53701 (800) 837-3177

Dynacare Northwest INC - Wy National Contract Cheyenne, WY 82001 (206) 861-7000

Sonora Quest Laboratories LLC - Wi National Contract Madison, WI 53701 (602) 685-5382

Dynagene - Wy National Contract Cheyenne, WY 82001 (713) 798-9500

Us Labs - Wi National Contract Madison, WI 53701 (949) 450-0145 Viromed Laboratories INC - Wi National Contract Madison, WI 53701 (952) 563-3300

Wyoming † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Esoterix INC - Wy National Contract Cheyenne, WY 82001 (602) 997-9161 Firstsource Laboratory Solutions INC - Wy National Contract Cheyenne, WY 82001 (317) 566-9846

Home Healthcare Laboratory of America LLC - Wy National Contract Cheyenne, WY 82001 (888) 522-4452 Laboratory Corporation of America - Wy National Contract Cheyenne, WY 82001 (907) 561-7666 Litholink Corporation - Wy National Contract Cheyenne, WY 82001 (312) 243-0600 Medical Park Laboratories Ltd - Wy National Contract Cheyenne, WY 82001 (907) 272-5475 Mid America Clinical Laboratories - Wy National Contract Cheyenne, WY 82001 (800) 667-5185 National Genetics Institute - Wy National Contract Cheyenne, WY 82001 (310) 996-0211 Quest - Wy National Contract Cheyenne, WY 82001 (248) 373-9120

Quest Diagnostics - Wy National Contract Cheyenne, WY 82001 (303) 899-6000 National Contract Cheyenne, WY 82001 (408) 975-1015 National Contract Cheyenne, WY 82001 (580) 795-0137 National Contract Cheyenne, WY 82001 (800) 488-8890 National Contract Cheyenne, WY 82001 (818) 737-5200 National Contract Cheyenne, WY 82001 (916) 927-9900 Quest Diagnostics Clinical Laboratories INC - Wy National Contract Cheyenne, WY 82001 (303) 899-6000 National Contract Cheyenne, WY 82001 (615) 687-2000 National Contract Cheyenne, WY 82001 (800) 282-6613 National Contract Cheyenne, WY 82001 (800) 669-7525

National Contract Cheyenne, WY 82001 (410) 247-9100

National Contract Cheyenne, WY 82001 (800) 825-7380

National Contract Cheyenne, WY 82001 (800) 433-2750

Quest Diagnostics Clinical Labs INC - Wy National Contract Cheyenne, WY 82001 (866) 865-2805

National Contract Cheyenne, WY 82001 (800) 631-1388 Quest Diag Nichols Institute INC - Wy National Contract Cheyenne, WY 82001 (703) 802-6900

Quest Diagnostics LLC Ct - Wy National Contract Cheyenne, WY 82001 (203) 949-5500

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CoventryCares of Kentucky Quest Diagnostics LLC Il - Wy National Contract Cheyenne, WY 82001 (630) 595-3888 Quest Diagnostics LLC Ma - Wy National Contract Cheyenne, WY 82001 (617) 547-8900 Quest Diagnostics Nichols Institute - Wy National Contract Cheyenne, WY 82001 (949) 940-7456 Quest Diagnostics Nichols Institute of Valencia In National Contract Cheyenne, WY 82001 (661) 799-6543 Quest Diagnostics of Pa INC - Wy National Contract Cheyenne, WY 82001 (800) 837-3177 Quest Ok LLC - Wy National Contract Cheyenne, WY 82001 (405) 609-2000 Quest Venture LLC Wy National Contract Cheyenne, WY 82001 (800) 837-3177 Sonora Quest Laboratories LLC - Wy National Contract Cheyenne, WY 82001 (602) 685-5382 Us Labs - Wy National Contract Cheyenne, WY 82001 (949) 450-0145 Viromed Laboratories INC - Wy National Contract Cheyenne, WY 82001 (952) 563-3300

Nurse Anesthetist

Kentucky Adair County Wimmer, Carl T 901 Westlake Dr Columbia, KY 42728 (270) 384-4753

Allen County

Lynn, Jonathan 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912 Oller, Todd 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

206 W Cherry St Glasgow, KY 42141 (270) 765-3886 Morse, Charles 1301 N Race St Glasgow, KY 42141 (270) 765-3886 206 W Cherry St Glasgow, KY 42141 (270) 765-3886

Childress, Heather 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Rabold, Lisa 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Coates, Vicki 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Rainey, Jennifer 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Davis, Jonathan 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Rainey, Michael 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Dickinson, Amy 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Ritter, Mark 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Dickinson, Jonathan 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Sturgill, Wesley 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Herman, Sherri 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Thomas, Adam 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Humm, Brad 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Weickel, Bruce 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Jackson, Mark 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Weickel, Stacie 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Korgan, Bryan 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Yarbrough, Clarizel 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Barrett, Brent 850 Riverview Rd Pineville, KY 40977 (606) 337-4365

Kranz, Christian 456 Burnley Rd Scottsville, KY 42164 (270) 393-1912

Barren County

Keck, Rhonda M 850 Riverview Rd Pineville, KY 40977 (606) 337-7779

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kendrick, David W 1301 N Race St Glasgow, KY 42141 (270) 765-3886

Parnell, Richard L 1301 N Race St Glasgow, KY 42141 (270) 765-3886 206 W Cherry St Glasgow, KY 42141 (270) 765-3886 Ray, Arjana 1301 N Race St Glasgow, KY 42141 (270) 765-3886 206 W Cherry St Glasgow, KY 42141 (270) 765-3886 Rushing, Courtney L 1301 N Race St Glasgow, KY 42141 (270) 765-3886 206 W Cherry St Glasgow, KY 42141 (270) 765-3886 Scott, Susan C 1301 N Race St Glasgow, KY 42141 (270) 765-3886 206 W Cherry St Glasgow, KY 42141 (270) 765-3886

Bell County

Scearse, Linda F 850 Riverview Rd Pineville, KY 40977 (606) 337-3051

Boyd County Hurst, Fred T 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 McFadden, Patricia A 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 Meyer, Diana L 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708

Boyle County Adams, Susan R 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726 Carpenter, Crystal 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726 Crafton, Robert J 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726 Delahousay, Joan 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726 Duff, David P 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726 Gabehart, Lewis H 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726 Higgins, Tammy R 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726

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CoventryCares of Kentucky Laswell, Roland L 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726

Ponce, Irene 540 Jett Dr Jackson, KY 41339 (606) 666-6479

Lemp, Mary C 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726

Puckett, Terry 540 Jett Dr Jackson, KY 41339 (606) 666-6479

Yaste, Amelia 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726

Smith Jr., William D 540 Jett Dr Jackson, KY 41339 (606) 666-6479

Breathitt County

Bullitt County

Buckingham, Larry G 540 Jett Dr Jackson, KY 41339 (606) 666-6479

Adkins, Beth 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Feemster, Debbie 540 Jett Dr Jackson, KY 41339 (606) 666-6479 Gambrel, John R 540 Jett Dr Jackson, KY 41339 (606) 666-6479 Habimana, Thomas 540 Jett Dr Jackson, KY 41339 (606) 666-6479 Holloway, Matthew 540 Jett Dr Jackson, KY 41339 (606) 666-6479 Hurles, Richard T 540 Jett Dr Jackson, KY 41339 (606) 666-6479 Kirkwood, Susan 540 Jett Dr Jackson, KY 41339 (606) 666-6479 Kristiansen, Stanley A 540 Jett Dr Jackson, KY 41339 (606) 666-6479 Laverty, Jonathan 540 Jett Dr Jackson, KY 41339 (606) 666-6479

Ballard, John 1451 Highway 44 E Shepherdsville, KY 40165 (502) 543-9351 Beiter, Laura 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000 Bridges, Susan 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000 Coffey, Jeanne 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000 Corn, Tammie D 1451 Highway 44 E Shepherdsville, KY 40165 (502) 543-9351 Deener, Joan 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Ehrler, Christopher 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Morrow, Martin 1451 Highway 44 E Shepherdsville, KY 40165 (502) 543-9351

Finerty, Thomas 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Norgello, Aldis 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Frank, Joanne 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Piotrowski, Kathryn 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Habimana, Thomas 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Riddle, Chad D 1451 Highway 44 E Shepherdsville, KY 40165 (502) 543-9351

Heavrin, Samantha 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Rothrock, Tammy 1451 Highway 44 E Shepherdsville, KY 40165 (502) 543-9351

Hestand, Phillip G 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Sautel, Terri 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Hubbard, Sharon M 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Sedlock, Joanne 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Kelty, Anthony 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Shadburne, Jessica 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Kukuck, Todd 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Smith, Travis L 1451 Highway 44 E Shepherdsville, KY 40165 (502) 543-9351

Luckett, Andrea 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Spring, Harris 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Worthington, Sonya 1903 W Hebron Ln Shepherdsville, KY 40165 (502) 955-3000

Christian County Arrington, Mark E 8250 Eagle Way Hopkinsville, KY 42240 (270) 885-6200 Cary, Jamie B 103 W 18th St Hopkinsville, KY 42240 (270) 885-1640 Chalker, Brian 8250 Eagle Way Hopkinsville, KY 42240 (270) 885-6200 Dean, Kenneth K 103 W 18th St Hopkinsville, KY 42240 (270) 885-1640 France, Anthony R 103 W 18th St Hopkinsville, KY 42240 (270) 885-1641 Harold, James F 103 W 18th St Hopkinsville, KY 42240 (270) 885-1640 Krisak, Debra L 8250 Eagle Way Hopkinsville, KY 42240 (270) 885-6200 Maloney, Joseph P 8250 Eagle Way Hopkinsville, KY 42240 (270) 885-6200 May, Brigitte 8250 Eagle Way Hopkinsville, KY 42240 (270) 885-6200 May, George C 8250 Eagle Way Hopkinsville, KY 42240 (270) 885-6200

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CoventryCares of Kentucky McClean-Hall, Tamera M 8250 Eagle Way Hopkinsville, KY 42240 (270) 885-6200 Price, Markena L 103 W 18th St Hopkinsville, KY 42240 (270) 885-1640 Segler, Leesa L 103 W 18th St Hopkinsville, KY 42240 (270) 885-1640 Thomas, Melodie A 103 W 18th St Hopkinsville, KY 42240 (270) 885-1640 Turner, Vicki H 103 W 18th St Hopkinsville, KY 42240 (270) 885-1640 Williams, Keenan C 8250 Eagle Way Hopkinsville, KY 42240 (270) 885-6200

Clay County Barrett, Brent 210 Marie Langdon Dr Manchester, KY 40962 (606) 598-5104 Mwasumbi, Michael G 210 Marie Langdon Dr Manchester, KY 40962 (606) 598-5104 Rawson, Richard 210 Marie Langdon Dr Manchester, KY 40962 (606) 598-5104 Stewart, Jerl 210 Marie Langdon Dr Manchester, KY 40962 (606) 598-5104 Wilson, Jason 210 Marie Langdon Dr Manchester, KY 40962 (606) 598-5104

Clinton County Beaumont, Gary R 723 Burkesville Rd Albany, KY 42602 (606) 387-6421 Coston, David B 723 Burkesville Rd Albany, KY 42602 (606) 387-6421 Depass, Steven C 723 Burkesville Rd Albany, KY 42602 (865) 777-0909 Haynie, Phillip K 723 Burkesville Rd Albany, KY 42602 (606) 387-6421 Morgan, Harry 723 Burkesville Rd Albany, KY 42602 (606) 387-6421 Whiteaker, Jaime 723 Burkesville Rd Albany, KY 42602 (606) 387-6421 Wilkens, Laura D 723 Burkesville Rd Albany, KY 42602 (606) 387-6421 Williams, Michael D 723 Burkesville Rd Albany, KY 42602 (606) 387-6421

Fayette County Anderson, Lori T 800 Rose St Lexington, KY 40536 (859) 323-5956 Arkle, Christina L 800 Rose St Lexington, KY 40536 (859) 323-5956 Barrowman, William 240 Fountain Ct Lexington, KY 40509 (859) 278-1460

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Buckler, Gregory L 800 Rose St Lexington, KY 40536 (859) 323-5956

Hall, Michael J 240 Fountain Ct Lexington, KY 40509 (859) 278-1460

Reymann, Brenda S 800 Rose St Lexington, KY 40536 (859) 323-5956

Caltrider, Randall 800 Rose St Lexington, KY 40536 (859) 323-5956

Hall, William 800 Rose St Room N202 Lexington, KY 40536 (859) 323-6021

Schertz, Jessica R 800 Rose St Lexington, KY 40536 (859) 323-5956

Campbell, Robert C 800 Rose St Lexington, KY 40536 (859) 323-5956

Harper, Irene M 800 Rose St Lexington, KY 40536 (859) 879-1865

Tabor, Jessica L 800 Rose St Lexington, KY 40536 (859) 323-5956

Hazelett, Margaret A 800 Rose St Lexington, KY 40536 (859) 323-5956

Toohey, Eric M 800 Rose St Lexington, KY 40536 (859) 323-5956

Howard, Karen S 800 Rose St Lexington, KY 40536 (859) 257-6596

Vital, Everett 800 Rose St Lexington, KY 40536 (859) 323-5956

Hsieh, Kai-Yi 800 Rose St Room N202 Lexington, KY 40536 (859) 323-5956

Yongbang, Albert N 800 Rose St Lexington, KY 40536 (859) 323-5956

Hubbuch, Robin L 240 Fountain Ct Lexington, KY 40509 (859) 278-1460

Graves County

Languages: Spanish Carpenter, Betty J 240 Fountain Ct Lexington, KY 40509 (859) 278-1460 Centimole, Zohn N 800 Rose St Lexington, KY 40536 (859) 323-5479 Delahousay, Kevin 800 Rose St Lexington, KY 40536 (859) 323-5956 Ely, Brian B 800 Rose St Lexington, KY 40536 (859) 323-5956 English, Robert J 800 Rose St Lexington, KY 40536 (859) 323-5956 Federspiel, Allison 800 Rose St Room N202 Lexington, KY 40536 (859) 625-5235 Fletcher, Charles J 800 Rose St Room N202 Lexington, KY 40536 (859) 257-7910 Gabehart, Lewis H 800 Rose St Lexington, KY 40536 (859) 257-6596 Gibson, Vicki 800 Rose St Rm N202 Lexington, KY 40536 (859) 257-7910

Kraus, Teresa G 240 Fountain Ct Lexington, KY 40509 (859) 278-1460 Lawson, Lonnie S 800 Rose St Lexington, KY 40536 (859) 323-5479 Lesser, Joseph 800 Rose St Lexington, KY 40536 (859) 323-5956 Oakley, Cathy N 800 Rose St Lexington, KY 40536 (859) 323-5479 Parks, Jennifer A 800 Rose St Lexington, KY 40536 (859) 323-5956

Baker, Sharen L 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445 Buckingham, Larry G 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445 Canestrini, Dean G 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445 Dailey, Joseph R 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445 David, Adam S 3451 State Route 94 E Sedalia, KY 42079 (270) 382-3112 Durbin, James D 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445 Nurse Anesthetist

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CoventryCares of Kentucky Guizio Crockett, Mackenzie S 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445

Bryant, Timothy 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Lewis, Ronald 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Strickland, Robert 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Masse, Robert P 1099 Medical Center Cir Mayfield, KY 42066 (270) 251-4509

Carroll, Barbara 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Morrow, Martin 3044 Ring Rd Elizabethtown, KY 42701 (270) 982-2714

Wiltrout, Robert S 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Cartwright, Janet 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Ohler, Scott K 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Henderson County

Corn, Tammie D 3044 Ring Rd Elizabethtown, KY 42701 (270) 982-2714

Priddy, Lisa 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Crouch, Jeremy 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Rhodes, Virginia 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Dixon, Rodney E 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Riddle, Chad D 3044 Ring Rd Elizabethtown, KY 42701 (270) 982-2714

Dossett, Alan T 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Rothrock, Tammy 3044 Ring Rd Elizabethtown, KY 42701 (270) 982-2714

Gibson, Lannette 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Ruby-Canaday, Marlene (Berge) 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Mitchell, Barbara A 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445 Parrish III, Edward S 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445 Patty, Clarence E 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445 Patty, Teena R 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445 Robinson, Katherine M 1099 Medical Center Cir Mayfield, KY 42066 (800) 394-4445

Green County Durham, Ann H 202-206 Milby St Greensburg, KY 42743 (270) 932-4211

Hardin County Ballard, John 3044 Ring Rd Elizabethtown, KY 42701 (270) 982-2714 Bruce, Blair 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Greenwell, Angela O 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600 Lancaster, Mary 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Smith, Travis L 3044 Ring Rd Elizabethtown, KY 42701 (270) 982-2714 Stopher, Julie 639 N Mulberry St Elizabethtown, KY 42701 (270) 737-4600

Lovell, Meredith 1305 N Elm St Henderson, KY 42420 (270) 827-7700 Lovell, Michael L 1305 N Elm St Henderson, KY 42420 (270) 827-7700 Melton II, John 1305 N Elm St Henderson, KY 42420 (270) 827-7700 Storms, Robert W 1305 N Elm St Henderson, KY 42420 (270) 827-7700 Strawn, David 1305 N Elm St Henderson, KY 42420 (270) 827-7700

Hopkins County Arbuckle, Kristen L 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Atherton, Carla A 900 Hospital Dr Madisonville, KY 42431 (270) 326-4520 Borders, Myrna 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Bowen, Christopher P 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100

Bradshaw, Robbie 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Cates, Ladonna 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Chandler, Dana 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Crider, Michael D 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Fishman, Mary S 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Hallman, Steven K 900 Hospital Dr Madisonville, KY 42431 (270) 852-5100 Jones, Darlena 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Katz, Stephen K 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Mills, Christy D 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Nesbitt, Afusat 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Ramsey, Davlina M 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Robertson, Heith W 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100

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CoventryCares of Kentucky Springer, Lorrie E 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Tapp, Melanie L 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Vallarta, John E 900 Hospital Dr Madisonville, KY 42431 (270) 326-4520 Waldron, Ginger R 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Wisehart Johnson, April 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Woodcock, Tina 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100

Jefferson County Adams, Joann 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Adkins, Beth 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Allen, Steven 4001 Dutchmans Ln Louisville, KY 40207 (502) 893-1110

Ballard, John 3999 Dutchmans Ln Ste 4a Louisville, KY 40207 (502) 893-7744 13102 Eastpoint Park Blvd Ste 101 Louisville, KY 40223 (502) 836-1171 Barrowman, William 3924 S Dupont Sq Louisville, KY 40207 (914) 365-6126 Becker, George 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Beiter, Denis 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Beiter, Laura 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Bergstrom, Stephani 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Berry, Brandie D 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Bowen, Christopher P 1800 Bluegrass Ave Louisville, KY 40215 (502) 368-2438 2015 Herr Ln Ste 3 Louisville, KY 40222 (502) 425-9285

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

2809 N Hurstbourne Pkwy Ste 11 Louisville, KY 40223 (502) 526-4161 12010 Shelbyville Rd Louisville, KY 40243 (502) 583-4771 Bower, Ronnie 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Bridges, Donald 4001 Dutchmans Ln Louisville, KY 40207 (812) 866-4520 Bridges, Susan 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Carpenter, Betty J 3924 S Dupont Sq Louisville, KY 40207 (914) 365-6126 Chang, Jake C 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Chiappetta, Catherine M 530 S Jackson St Louisville, KY 40202 (502) 852-8266 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Chilton, Mary C 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000

Coffey, Jeanne 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010

3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400

3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000

Delaluz, Jason L 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Coke, James W 6801 Dixie Hwy Louisville, KY 40258 (502) 587-4203

Desilets, Vicki 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Corn, Tammie D 3999 Dutchmans Ln Ste 4a Louisville, KY 40207 (502) 893-7744

Dockins, Saundra L 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

13102 Eastpoint Park Blvd Ste 101 Louisville, KY 40223 (502) 836-1171

Doyon, Kenneth 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Costabell, Charles M 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

Ehrler, Christopher 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010

Cravens, William D 3991 Dutchmans Ln Ste 208 Louisville, KY 40207 (502) 897-2440

3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000

Culwell, Amy 4001 Dutchmans Ln Louisville, KY 40207 (502) 522-5221 Daily, Lori A 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Deener, Joan 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010

3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Farah, Ian 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Farah, Rochelle 530 S Jackson St Louisville, KY 40202 (502) 852-5851 530 S Jackson St Louisville, KY 40202 (502) 852-8266

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CoventryCares of Kentucky Fazio, Valerie J 225 Abraham Flexner Wy Flr 2 Louisville, KY 40202 (502) 561-3753 Fee, Dana 4001 Dutchmans Ln Louisville, KY 40207 (502) 636-7160 Fields, Raschel 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Finerty, Thomas 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 458-7400 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Fletcher, Marybeth 4001 Dutchmans Ln Louisville, KY 40207 (502) 893-1000 Fogarty, Amber R 1800 Bluegrass Ave Louisville, KY 40215 (502) 368-2438 2015 Herr Ln Ste 3 Louisville, KY 40222 (502) 425-9285 2809 N Hurstbourne Pkwy Ste 11 Louisville, KY 40223 (502) 526-4161 12010 Shelbyville Rd Louisville, KY 40243 (502) 583-4771 Fogarty, Roseanne 1800 Bluegrass Ave Louisville, KY 40215 (502) 368-2438

2015 Herr Ln Ste 3 Louisville, KY 40222 (502) 425-9285 2809 N Hurstbourne Pkwy Ste 11 Louisville, KY 40223 (502) 526-4161 12010 Shelbyville Rd Louisville, KY 40243 (502) 583-4771 Frank, Joanne 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Freiberger, Carrie 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Fulbright, Barbara F 530 S Jackson St Louisville, KY 40202 (502) 562-6503 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Givens, Chelsey 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Givens, Darci K 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Habimana, Thomas 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400

Higgs, David M 4001 Dutchmans Ln Louisville, KY 40207 (502) 636-7449

Hall, Michael J 3924 S Dupont Sq Louisville, KY 40207 (914) 365-6126

Hoover, Kimberly 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Hassfurther, Jaclyn 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Huang, Andrea L 530 S Jackson St Louisville, KY 40202 (502) 562-6503

Hazelett, Margaret A 530 S Jackson St Louisville, KY 40202 (502) 562-6503

530 S Jackson St Louisville, KY 40202 (502) 852-8266

530 S Jackson St Louisville, KY 40202 (502) 852-8266

Hubbard, Sharon M 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Kraus, Teresa G 3924 S Dupont Sq Louisville, KY 40207 (914) 365-6126 Kukuck, Todd 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000

3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000

3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400

3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000

3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400

Laswell, Roland L 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400

Hubbuch, Robin L 3924 S Dupont Sq Louisville, KY 40207 (914) 365-6126

Leavell, Darla C 530 S Jackson St Louisville, KY 40202 (502) 562-6503

Hestand, Phillip G 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Humble, Bradley 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

530 S Jackson St Louisville, KY 40202 (502) 852-8266

Heavrin, Samantha 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010

3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Hettinger, Alisha S 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Hurles, Richard T 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Jones, Carla B 225 Abraham Flexner Way 2nd Floor Louisville, KY 40202 (502) 561-3753 Kelty, Anthony 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010

Lowe, Jennifer 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Luckett, Andrea 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Nurse Anesthetist

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CoventryCares of Kentucky Maher, Lisa F 2020 Newburg Rd Louisville, KY 40205 (502) 451-3330 1850 Bluegrass Ave Louisville, KY 40215 (502) 361-6617 4414 Churchman Ave Louisville, KY 40215 (502) 366-9525 McKechnie, Sara 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Miller, Donald L 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Morris, Roy Alan 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Morrow, Martin 3999 Dutchmans Ln Ste 4a Louisville, KY 40207 (502) 893-7744 13102 Eastpoint Park Blvd Ste 101 Louisville, KY 40223 (502) 836-1171 Mungle, Ashley M 530 S Jackson St Louisville, KY 40202 (502) 562-6503 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Murphy, Elias 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Norgello, Aldis 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010

3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Norris, Tonia B 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404 Ott, Bradley W 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4205 Parker, Cheryl 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Perry, Meeheh K 530 S Jackson St Louisville, KY 40202 (502) 562-6503 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Piotrowski, Kathryn 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Powers, Patricia 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Rafferty, Stephen 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Smith, Travis L 3999 Dutchmans Ln Ste 4a Louisville, KY 40207 (502) 893-7744

Rhodes, Tabitha 6801 Dixie HWY Ste 130 Louisville, KY 40258 (502) 587-4404

Schwiers, Robert 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Riddle, Chad D 3999 Dutchmans Ln Ste 4a Louisville, KY 40207 (502) 893-7744

Sedlock, Joanne 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010

4034 Saint Ives Ct Louisville, KY 40207 (502) 640-8349

3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000

13102 Eastpoint Park Blvd Ste 101 Louisville, KY 40223 (502) 836-1171

3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400

Rothrock, Tammy 3999 Dutchmans Ln Ste 4a Louisville, KY 40207 (502) 893-7744

Seuling, Heidi L 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Shadburne, Jessica 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010

Steinrock, Karen R 225 Abraham Flexner Wy Flr 2 Louisville, KY 40202 (502) 561-3753

3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000

Stillman, Jay N 530 S Jackson St Louisville, KY 40202 (502) 562-6503

13102 Eastpoint Park Blvd Ste 101 Louisville, KY 40223 (502) 836-1171 Sanders, Jason P 1850 Bluegrass Ave Louisville, KY 40215 (502) 361-6617 Sanders, Sarah M 1850 Bluegrass Ave Louisville, KY 40215 (502) 361-6617 Sautel, Terri 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400

13102 Eastpoint Park Blvd Ste 101 Louisville, KY 40223 (502) 836-1171 Spring, Harris 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400

3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400

530 S Jackson St Louisville, KY 40202 (502) 852-8266 Streif, Sharon K 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Shaw, Linda 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Sivert, George 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Smalley, Saundra L 1850 Bluegrass Ave Fl 1 Louisville, KY 40215 (502) 361-6000 Smith, Charlotte B 6801 Dixie HWY Ste 130 Louisville, KY 40258 (502) 587-4404

Thomas, Kelley L 530 S Jackson St Louisville, KY 40202 (502) 562-6503 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Thompson, Natasha L 1850 Bluegrass Ave Fl 1 Louisville, KY 40215 (502) 361-6000

Nurse Anesthetist

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CoventryCares of Kentucky Walters, Brian R 6801 Dixie HWY Ste 130 Louisville, KY 40258 (502) 587-4203

Slone, Kerry 625 James Trimble Blvd Paintsville, KY 41240 (606) 789-6844

Rawson, Richard 80 Hospital Dr Barbourville, KY 40906 (606) 546-4175

Smith, James 275 Highway 770 Corbin, KY 40701 (865) 691-2993

Haynie, Phillip K 305 Estill St Berea, KY 40403 (859) 986-3151

Wells, Artis A 530 S Jackson St Louisville, KY 40202 (502) 562-6503

Stroud, Edna S 625 James Trimble Blvd Paintsville, KY 41240 (606) 789-3511

Smith, Shannon 80 Hospital Dr Barbourville, KY 40906 (606) 546-4175

West, Luann 275 Highway 770 Corbin, KY 40701 (865) 691-2993

Kristiansen, Stanley A 305 Estill St Berea, KY 40403 (859) 986-3151

530 S Jackson St Louisville, KY 40202 (502) 852-8266

Kenton County

Stilner, Joseph C 801 Master St Suite 5 Corbin, KY 40701 (606) 528-7200

Whiteaker, Jaime 275 Highway 770 Corbin, KY 40701 (865) 691-2993

Rudd, Bart 305 Estill St Berea, KY 40403 (859) 986-3151

Walker, James A 80 Hospital Dr Barbourville, KY 40906 (606) 546-4175

Wilkens, Laura D 275 Highway 770 Corbin, KY 40701 (865) 691-2993

West, Luann 305 Estill St Berea, KY 40403 (859) 986-3151

Ward, Brandon K 801 Master St Suite 5 Corbin, KY 40701 (606) 528-7200

Williams, Michael D 275 Highway 770 Corbin, KY 40701 (865) 691-2993

Williams, Michael D 305 Estill St Berea, KY 40403 (859) 986-3151

Watson, Brenda G 801 Master St Suite 5 Corbin, KY 40701 (606) 528-7200

Lawrence County

Windrow, Melody 305 Estill St Berea, KY 40403 (859) 986-3151

Williams, Jeannine 530 S Jackson St Louisville, KY 40202 (502) 562-6503 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Willis, Carrie A 530 S Jackson St Louisville, KY 40202 (502) 562-6503 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Worthington, Sonya 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4010 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6000 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Zhou, Jing 530 S Jackson St Louisville, KY 40202 (502) 562-6503 530 S Jackson St Louisville, KY 40202 (502) 852-8266

Johnson County Hillman, Joseph D 625 James Trimble Blvd Paintsville, KY 41240 (606) 789-6844

Bowen, Christopher P 1984 Walton Nicholson Pike Independence, KY 41051 (859) 363-1616 Fogarty, Amber R 1984 Walton Nicholson Pike Independence, KY 41051 (859) 363-1616 Fogarty, Roseanne 1984 Walton Nicholson Pike Independence, KY 41051 (859) 363-1616

Knox County Barrett, Brent 80 Hospital Dr Barbourville, KY 40906 (606) 546-4175 Gambrel, John R 801 Master St Suite 5 Corbin, KY 40701 (606) 528-7200 Jones, Jennifer S 801 Master St Suite 5 Corbin, KY 40701 (606) 528-7200 Martin, Andy M 80 Hospital Dr Barbourville, KY 40906 (606) 546-4175 Mitchell, Kimberly D 801 Master St Suite 5 Corbin, KY 40701 (606) 528-7200

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

West, Luann 801 Master St Suite 5 Corbin, KY 40701 (606) 528-7200

Laurel County Backus, Paul R 275 Highway 770 Corbin, KY 40701 (865) 691-2993 Haynie, Phillip K 275 Highway 770 Corbin, KY 40701 (865) 691-2993 Horton, Iris 275 Highway 770 Corbin, KY 40701 (606) 526-7874

Hyden, Dianne 2489 Highway 644 Louisa, KY 41230 (606) 638-3813

Marshall County

Roof, Denise 2489 Highway 644 Ste 3 Louisa, KY 41230 (606) 638-1154

David, Adam S 615 Old Symsonia Rd Benton, KY 42025 (270) 527-4800

Lincoln County

David, Bruce S 615 Old Symsonia Rd Benton, KY 42025 (270) 527-4800

Schertz, Jessica R 110 Metker Trl Stanford, KY 40484 (606) 365-4600

Livingston County Deguire, Daryl 131 Hospital Dr Salem, KY 42078 (270) 988-2299

Madison County

Deguire, Daryl 615 Old Symsonia Rd Benton, KY 42025 (270) 527-4800 Jenkins, Gary L 615 Old Symsonia Rd Benton, KY 42025 (270) 527-4800

Ihrke, Steven A 275 Highway 770 Corbin, KY 40701 (865) 777-0909

Backus, Paul R 305 Estill St Berea, KY 40403 (859) 986-3151

Kesler, Michael G 615 Old Symsonia Rd Benton, KY 42025 (270) 527-4800

Rudd, Bart 275 Highway 770 Corbin, KY 40701 (606) 526-7874

Coston, David B 305 Estill St Berea, KY 40403 (859) 986-3151

Wright, Robert L 615 Old Symsonia Rd Benton, KY 42025 (270) 527-4800 Nurse Anesthetist

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CoventryCares of Kentucky McCracken County Addington, Michelle A 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Aydt, Matthew J 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Ayo, Ernest P 225 Medical Center Dr Paducah, KY 42003 (270) 441-4500 2831 Lone Oak Rd Paducah, KY 42003 (270) 554-8373 Banderman, Mark D 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Brown, Steven W 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Bugg, John W 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Canella, Michael G 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Canestrini, Dean G 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Carper, Dianna K 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Cartwright, Phillip 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750

Cole III, James T 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Covington, Kimberly J 225 Medical Center Dr Paducah, KY 42003 (270) 441-4500 2831 Lone Oak Rd Paducah, KY 42003 (270) 554-8373 Dillard, Frank J 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Durbin, James D 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Ellegood, Phillip A 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Freeman, Wendy 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Gay, Julie 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Goff, Lisa R 225 Medical Center Dr Paducah, KY 42003 (270) 441-4500 Hall, Ann D 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Hedges, Calvin L 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Hettler, Thelma O 225 Medical Center Dr Paducah, KY 42003 (270) 441-4500

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kollenberg, John F 2507 Broadway St Paducah, KY 42001 (270) 442-8228

Sasseen, Michael A 2507 Broadway St Paducah, KY 42001 (270) 442-8228

Masse, Robert P 4787 Alben Barkley Dr Paducah, KY 42001 (270) 442-9461

Sherman, Charlotte E 2507 Broadway St Paducah, KY 42001 (270) 442-8228

1530 Lone Oak Rd Paducah, KY 42003 (270) 444-0878

Smiley, Daniel 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750

1530 Lone Oak Rd Paducah, KY 42003 (270) 554-0877 2605 Kentucky Ave Ste 103 Paducah, KY 42003 (270) 442-9461 2831 Lone Oak Rd Paducah, KY 42003 (270) 554-8373 Meals, James M 2507 Broadway St Paducah, KY 42001 (270) 442-8228 O'Neill, Brian E 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Peterson, Jeffry L 4787 Alben Barkley Dr Paducah, KY 42001 (270) 442-9461 2831 Lone Oak Rd Paducah, KY 42003 (270) 554-8373 Ray, Arjana 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Reedy, Laura S 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Sandlin, Betty D 225 Medical Center Dr Paducah, KY 42003 (270) 441-4500

Sorrells, Karla F 2507 Broadway St Paducah, KY 42001 (270) 442-8228 Stewart, Donald K 100 Medical Center Dr Paducah, KY 42003 (573) 686-5550

Williamson, Jana 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Wooten, Craig 2507 Broadway St Paducah, KY 42001 (270) 442-8228

Mercer County Delahousay, Joan 464 Linden Ave Harrodsburg, KY 40330 (859) 734-5441 Delahousay, Kevin 464 Linden Ave Harrodsburg, KY 40330 (859) 734-5441

Muhlenberg County

Stewart, Julie A 2507 Broadway St Paducah, KY 42001 (270) 442-8228

Dukes, Steve 440 Hopkinsville St Greenville, KY 42345 (270) 338-8370

Thurman, Pamela M 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4760

Lacy, Stefanie 440 Hopkinsville St Greenville, KY 42345 (270) 484-0940

Vincent, Gregory C 225 Medical Center Dr Ste 105 Paducah, KY 42003 (270) 441-4125 Whitman, Steven 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Whitney, Kimberly A 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Wientjes, Randy R 225 Medical Center Dr Paducah, KY 42003 (270) 441-4500

Weller, Dan 440 Hopkinsville St Greenville, KY 42345 (270) 338-8370

Ohio County Cates, Ladonna 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480 Colbert, Roger K 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480 Geary, Shana W 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

Nurse Anesthetist

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CoventryCares of Kentucky Hardesty, Kevin L 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

Cathelyn, James L 911 Bypass Rd Pikeville, KY 41501 (606) 218-4800

Swanner, John M 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988

Perry, Julia B 222 Medical Cir Morehead, KY 40351 (606) 783-6500

Dickinson, Amy 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912

Jackson, Dolores J 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

Childress, Jeannie 911 Bypass Rd Pikeville, KY 41501 (606) 218-4800

White, Melissa 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988

Ray, Denita J 222 Medical Cir Morehead, KY 40351 (606) 783-6500

Dickinson, Jonathan 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912

Jenkins, Gary L 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

Clark, Jeffery 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988

Whitt, Michele 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988

Shelby County

Herman, Sherri 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912

Jenkins, Jeffrey K 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

Corbett, Gina M 911 Bypass Rd Pikeville, KY 41501 (606) 218-3500

Pulaski County

Kesler, Michael G 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

Ely, Allison N 911 Bypass Rd Pikeville, KY 41501 (606) 218-3500

Roberts, Jane J 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

Ficklin, Kent C 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988

Sampson, Christopher 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

Grimes, Dwayne A 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988

Wright, Robert L 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

McCoy, Tiffany 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988

Owen County

Perry, Sandy 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988

Slone, Thomas R 330 Roland Ave Owenton, KY 40359 (502) 484-9905

Pike County Altman, Harry C 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988 Benner, Trulena 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988

Shin, Dong H 911 Bypass Rd Pikeville, KY 41501 (606) 218-4800 Slone Jr., Ray 911 Bypass Rd Pikeville, KY 41501 (606) 218-3500 Stamper, Katherine 911 Bypass Rd Pikeville, KY 41501 (606) 218-3988

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Frietch, Stephen 30 Medpark Dr Somerset, KY 42503 (606) 679-9322 McNabb, Lawrence 30 Medpark Dr Somerset, KY 42503 (606) 679-9322 Richards, Wayne 30 Medpark Dr Somerset, KY 42503 (606) 679-9322

Rowan County Blankenship, Cynthia J 222 Medical Cir Morehead, KY 40351 (606) 783-6500 Cibiras, Thomas A 222 Medical Cir Morehead, KY 40351 (606) 783-6500 Dickens, Kristi W 222 Medical Cir Morehead, KY 40351 (606) 783-6500 Hicks, Carrie L 222 Medical Cir Morehead, KY 40351 (606) 783-6500 Mason, Emily S 222 Medical Cir Morehead, KY 40351 (606) 783-6500

Bailey, Jana F 727 Hospital Dr Anesthesia Dept Shelbyville, KY 40065 (502) 647-4085 Bowen, Christopher P 1100 Washington St Shelbyville, KY 40065 (502) 633-1915 Cravens, William D 213 Midland Blvd Shelbyville, KY 40065 (502) 633-9030 Fogarty, Amber R 1100 Washington St Shelbyville, KY 40065 (502) 633-1915 Fogarty, Roseanne 1100 Washington St Shelbyville, KY 40065 (502) 633-1915 Smith Jr., William D 727 Hospital Dr Anesthesia Dept Shelbyville, KY 40065 (502) 647-4085

Simpson County Childress, Heather 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Coates, Vicki 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Davis, Jonathan 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912

Humm, Brad 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Jackson, Mark 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Korgan, Bryan 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Kranz, Christian 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Lynn, Jonathan 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Oller, Todd 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Rabold, Lisa 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Rainey, Jennifer 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Rainey, Michael 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912

Nurse Anesthetist

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CoventryCares of Kentucky Ritter, Mark 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Sturgill, Wesley 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Thomas, Adam 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Weickel, Bruce 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Weickel, Stacie 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912 Yarbrough, Clarizel 1100 Brookhaven Rd Franklin, KY 42134 (270) 393-1912

Taylor County Ashby, Kirsten L 1700 Old Lebanon Rd Campbellsville, KY 42718 (334) 279-1450 Barclay, Gladys E 1700 Old Lebanon Rd Campbellsville, KY 42718 (334) 279-1450 Boils, Jennifer C 1700 Old Lebanon Rd Campbellsville, KY 42718 (334) 279-1450 Dunlap, Michael S 1700 Old Lebanon Rd Campbellsville, KY 42718 (334) 279-1450 Olson, Nicole M 1700 Old Lebanon Rd Campbellsville, KY 42718 (334) 279-1450

Warren County Alessio, Stacy D 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 Brown, Leann 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 Browning, Nancy 1725 Ashley Cir Ste 209a Bowling Green, KY 42104 (270) 782-9994 Chaney, Ladonna J 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 Childress, Heather 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Coates, Vicki 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912

165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912

165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912

Davis, Jonathan 201 Park St Bowling Green, KY 42101 (270) 393-1912

Frost, Christa M 1725 Ashley Cir Ste 209a Bowling Green, KY 42104 (270) 782-9994

Jackson, Mark 201 Park St Bowling Green, KY 42101 (270) 393-1912

250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Dickinson, Amy 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Dickinson, Jonathan 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912

Frost, Clara J 1725 Ashley Cir Ste 209a Bowling Green, KY 42104 (270) 782-9994 Herman, Sherri 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Humm, Brad 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Korgan, Bryan 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Kranz, Christian 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 Nurse Anesthetist

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CoventryCares of Kentucky 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Lux, Brandy R 1725 Ashley Cir Ste 209a Bowling Green, KY 42104 (270) 782-9994 Lynn, Jonathan 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Monroe, Barry K 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 Moss, Larry P 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 Neyland, David A 1725 Ashley Cir Ste 209a Bowling Green, KY 42104 (270) 782-9994 Norman, Robert K 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912

O'Connor, Matthew 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 Oller, Todd 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Rabold, Lisa 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Rainey, Jennifer 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912

165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912

Rainey, Michael 201 Park St Bowling Green, KY 42101 (270) 393-1912

Thomas, Adam 201 Park St Bowling Green, KY 42101 (270) 393-1912

250 Park St Bowling Green, KY 42101 (270) 393-1912

250 Park St Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912

350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912

350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912

165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912

Yarbrough, Clarizel 201 Park St Bowling Green, KY 42101 (270) 393-1912

Ritter, Mark 201 Park St Bowling Green, KY 42101 (270) 393-1912

Thomas, Christopher M 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912

250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912 Sturgill, Wesley 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912

Weickel, Bruce 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912

Weickel, Stacie 201 Park St Bowling Green, KY 42101 (270) 393-1912 250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

250 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Bowling Green, KY 42103 (270) 393-1912

Wayne County Kirksey, Charles M 166 Hospital St Monticello, KY 42633 (606) 348-9343

Indiana Ballard, John 2086 Old Highway 135 Nw Corydon, IN 47112 (812) 724-0303 7145 E Virginia St Ste 5000 Evansville, IN 47715 (812) 476-7111

Nurse Anesthetist

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CoventryCares of Kentucky 590 Missouri Ave Ste 206-1 Jeffersonville, IN 47130 (812) 280-7800

7145 E Virginia St Ste 5000 Evansville, IN 47715 (812) 476-7111

1276 N Plaza Dr Rockport, IN 47635 (812) 430-2051

590 Missouri Ave Ste 206-1 Jeffersonville, IN 47130 (812) 280-7800

Brown, Roger E 801 Saint Marys Dr Ste 205 W Evansville, IN 47714 (800) 394-4445 Corn, Tammie D 2086 Old Highway 135 Nw Corydon, IN 47112 (812) 724-0303

1276 N Plaza Dr Rockport, IN 47635 (812) 430-2051

Rothrock, Tammy 2086 Old Highway 135 Nw Corydon, IN 47112 (812) 724-0303 7145 E Virginia St Ste 5000 Evansville, IN 47715 (812) 476-7111

Gerlach, Micki L 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Cochran, Hugh I 245 S Main St Wolfeboro Office Wolfeboro, NH 3894 (603) 569-0958

Arthur, Karen L 1805 27th St Portsmouth, OH 45662 (740) 356-8008

Green, Dora 7500 State Rd Cincinnati, OH 45255 (859) 341-7246

Bakis, Mary 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Grimes, Franchaska 1805 27th St Portsmouth, OH 45662 (740) 356-8681

Barringer, James D 7500 State Rd Cincinnati, OH 45255 (859) 341-7246

Haemmerle, Holly N 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Bauer, Richard W 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Hamre, Cara M 234 Goodman St Cincinnati, OH 45219 (513) 872-7100

1276 N Plaza Dr Rockport, IN 47635 (812) 430-2051

Brammer, Christina 1805 27th St Portsmouth, OH 45662 (740) 356-8681

Harbert, Roger W 7500 State Rd Cincinnati, OH 45255 (859) 341-7246

Riddle, Chad D 2086 Old Highway 135 Nw Corydon, IN 47112 (812) 724-0303

Tapp, Melanie L 801 Saint Marys Dr Ste 205 W Evansville, IN 47714 (800) 394-4445

Carey, Peter R 1805 27th St Portsmouth, OH 45662 (740) 356-8681

Hayes, Jason L 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

7145 E Virginia St Ste 5000 Evansville, IN 47715 (812) 476-7111

Wygant, Mary E 801 Saint Marys Dr Ste 205 W Evansville, IN 47714 (800) 394-4445

Clayton, Beth A 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Held, Elizabeth A 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Cundiff, Jayme L 7500 State Rd Cincinnati, OH 45255 (859) 341-7246

Hensley, Melinda 1805 27th St Portsmouth, OH 45662 (740) 356-8681

Delatorre, Charlene 234 Goodman St Cincinnati, OH 45219 (513) 584-1000

Henzmann, John B 7500 State Rd Cincinnati, OH 45255 (859) 341-7246

1276 N Plaza Dr Rockport, IN 47635 (812) 430-2051 Smith, Travis L 2086 Old Highway 135 Nw Corydon, IN 47112 (812) 724-0303

590 Missouri Ave Ste 206-1 Jeffersonville, IN 47130 (812) 280-7800

Ramsey, Davlina M 3901 S 7th St Terre Haute, IN 47802 (812) 237-0211

7145 E Virginia St Ste 5000 Evansville, IN 47715 (812) 476-7111

1276 N Plaza Dr Rockport, IN 47635 (812) 430-2051

119 Phoenix Terre Haute, IN 47803 (812) 237-0211

Crow, Theresa A 801 Saint Marys Dr Ste 205 W Evansville, IN 47714 (800) 394-4445

7 N The Meadows Shopping Center Terre Haute, IN 47803 (812) 237-0211

590 Missouri Ave Ste 206-1 Jeffersonville, IN 47130 (812) 280-7800

Morrow, Martin 2086 Old Highway 135 Nw Corydon, IN 47112 (812) 724-0303

New Hampshire

Ohio

Murphy, Nina 801 Saint Marys Dr Ste 205 W Evansville, IN 47714 (800) 394-4445 Priest, Gerald W 801 Saint Marys Dr Ste 205 W Evansville, IN 47714 (800) 394-4445

Mardis, Myra 801 Saint Marys Dr Ste 205 W Evansville, IN 47714 (800) 394-4445

Fortman, Robert J 7500 State Rd Cincinnati, OH 45255 (859) 341-7246

Goetz, Steven H 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

590 Missouri Ave Ste 206-1 Jeffersonville, IN 47130 (812) 280-7800

7145 E Virginia St Ste 5000 Evansville, IN 47715 (812) 476-7111

Harper, Melissa G 801 Saint Marys Dr Ste 205 W Evansville, IN 47714 (800) 394-4445

Depass, Steven C 601 W Leota St North Platte, NE 69101 (308) 696-7041

590 Missouri Ave Ste 206-1 Jeffersonville, IN 47130 (812) 280-7800 1276 N Plaza Dr Rockport, IN 47635 (812) 430-2051

Maryland Storms, Robert W 10710 Charter Dr Ste 110 Columbia, MD 21044 (410) 992-9797

Nebraska † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Nurse Anesthetist

Page 156

CoventryCares of Kentucky Hursh, Barbara J 7500 State Rd Cincinnati, OH 45255 (859) 341-7246

Miller, Angela A 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Ray, William T 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Schoepf, Christopher A 234 Goodman St Cincinnati, OH 45219 (513) 584-1000

Waldvogel, Beth L 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Kirby, Shelly R 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Minton, William A 4452 Eastgate Blvd Ste 304 Cincinnati, OH 45245 (513) 752-5700

Reichard, Regina M 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Shelton, Jacques L 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Walters, Paige L 234 Goodman St Cincinnati, OH 45219 (513) 872-7100

Rhodes, Carolyn 1805 27th St Portsmouth, OH 45662 (740) 356-8681

7500 State Rd Cincinnati, OH 45255 (859) 341-7246

Weishaupt, Beth M 234 Goodman St Cincinnati, OH 45219 (513) 584-1000

Kiser, Marion W 7500 State Rd Cincinnati, OH 45255 (859) 341-7246 Lackey, Wendy K 234 Goodman St Cincinnati, OH 45219 (513) 854-1000 Legault, Damon M 234 Goodman St Cincinnati, OH 45219 (513) 584-1000 Marshall, Bryan C 234 Goodman St Cincinnati, OH 45219 (513) 584-1000 Marshall, Victoria E 234 Goodman St Cincinnati, OH 45219 (513) 854-1000 Martin, Thomas G 7500 State Rd Cincinnati, OH 45255 (859) 341-7246 Martina, Robert A 7500 State Rd Cincinnati, OH 45255 (859) 341-7246 McDermott, Andrea M 7500 State Rd Cincinnati, OH 45255 (859) 341-7246 Medley, Deana 234 Goodman St Cincinnati, OH 45219 (513) 854-1000 Merkel, Andrea L 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Moschel, Kristi A 7500 State Rd Cincinnati, OH 45255 (859) 341-7246 Moschel, Scott D 7500 State Rd Cincinnati, OH 45255 (859) 341-7246 Mueller, Michael J 7500 State Rd Cincinnati, OH 45255 (859) 341-7246 Nicholson, Carolyn J 234 Goodman St Cincinnati, OH 45219 (513) 584-1000 Parrott, Maureen J 234 Goodman St Cincinnati, OH 45219 (513) 854-1000 Pekar, Bunnany C 234 Goodman St Cincinnati, OH 45219 (513) 584-1000 Phelps, Karen S 7500 State Rd Cincinnati, OH 45255 (859) 341-7246 Plogman, Penny L 234 Goodman St Cincinnati, OH 45219 (513) 854-1000 Proffitt, Laura M 7500 State Rd Cincinnati, OH 45255 (859) 341-7246 Rasor, Christina L 234 Goodman St Cincinnati, OH 45219 (513) 584-1000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Richter, Tracee C 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Smith-Steiner, Rachel M 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Riddle, Michael D 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Sokolovich, Sherri K 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Williams, Robert A 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Ridenour, Amy K 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Stacey, Michael E 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Workman, Amanda K 7500 State Rd Cincinnati, OH 45255 (859) 341-7246

Roneker, Sasha L 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Sticca, Dana K 234 Goodman St Cincinnati, OH 45219 (513) 584-1000

Pennsylvania

Rouse, Michael J 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Stolyer, Ellen 1805 27th St Portsmouth, OH 45662 (740) 356-8681

Scheibmeir, Heath D 2600 Navarre Ave Fl 6 Oregon, OH 43616 (419) 698-7701

Strickland, Tracey M 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

3404 W Sylvania Ave Toledo, OH 43623 (419) 251-1206

Taylor, Jeffery 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Agbunag, Arnold 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587

Toon, Thomas 7500 State Rd Cincinnati, OH 45255 (859) 341-7246

100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520

Schmidt, Bethany A 234 Goodman St Cincinnati, OH 45219 (513) 854-1000 Schmittou, Rebecca L 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Vann, Amy R 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Wesley, Melissa T 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Barclay, Gladys E 2500 Bernville Rd St Joseph Medical Center Reading, PA 19605 (610) 378-2813 Wiltrout, Robert S 2112 Harrisburg Pike Lancaster, PA 17601 (800) 951-7850

Tennessee

100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Nurse Anesthetist

Page 157

CoventryCares of Kentucky Aldred, Lindsey N 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Alessio, Stacy D 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Alexander, Joshua K 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Amyx, Warren M 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Anderson, Charlotte A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Anderson, Susan S 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Arrington, Mark E 141 Chesapeake Ln Ste 200 Clarksville, TN 37040 (931) 245-1940 651 Dunlop Ln Clarksville, TN 37040 (931) 502-1000 121 Hillcrest Dr Clarksville, TN 37043 (931) 552-9992 1817a Madison St Ste 1 Clarksville, TN 37043 (931) 551-1795 793 Weatherly Dr Clarksville, TN 37043 (931) 645-1373

5002 Crossings Cir Ste 110 Mount Juliet, TN 37122 (615) 553-9100 545 Stonecrest Pkwy Smyrna, TN 37167 (615) 220-3720 Atwood, Robert W 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Averett, Melissa J 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Barber Anderson, Robbyn R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Barker, Beverly J 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Barnett, Jamie C 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Bell, Jay R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Blanks, Stephen T 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Boggess, James R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Bonner, Paul J 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Burton, Latorya E 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Brandon, Hardison 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587

Butorac Jr., John L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Braswell, Lindsey M 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Brenkman, Shawnee L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Brewer, Charlie T 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Bridges, Natalie K 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Buffington, Denise L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Burns, Kevin R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Cooper, Katherine B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Languages: Spanish Coston, David B 435 2nd St Baptist Hospital Of Cocke County Newport, TN 37821 (423) 625-2200

Languages: French Chalker, Brian 141 Chesapeake Ln Ste 200 Clarksville, TN 37040 (931) 245-1940

Cox, Kelli B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

651 Dunlop Ln Clarksville, TN 37040 (931) 502-1000

Craig, Lara S 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

121 Hillcrest Dr Clarksville, TN 37043 (931) 552-9992

Crotts, Christina M 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

1817a Madison St Ste 1 Clarksville, TN 37043 (931) 551-1795 793 Weatherly Dr Clarksville, TN 37043 (931) 645-1373

Cunningham-Daniel, Linda L 1124 E Weisgarber Rd Ste 110 Knoxville, TN 37909 (865) 588-1037

5002 Crossings Cir Ste 110 Mount Juliet, TN 37122 (615) 553-9100

1706 E Lamar Alexander Pkwy Tennessee Endoscopy Center Maryville, TN 37804 (865) 984-1731

545 Stonecrest Pkwy Smyrna, TN 37167 (615) 220-3720 Clark, Stephanie L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

435 2nd St Baptist Hospital Of Cocke County Newport, TN 37821 (423) 625-2200

Clay, Brett T 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Collins, Ginger 1310 Wolf Park Dr Germantown, TN 38138 (901) 624-5151

Delk, James 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520

Nurse Anesthetist

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CoventryCares of Kentucky 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877

467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007

467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007

Doring, Barbara L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Dickerson, Andrew 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Dickert, Amanda B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Dixner, Susan A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Donegan, Emily J 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Donnell Jr., William K 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Donohue, Michael D 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877

Dryden, Margaret B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Durchsprung, Patricia R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Epps, Lawrence 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Faier, Matthew 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Ford, Jeffrey M 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Fort Jr., Larry M 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Griffin, Eileen M 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Harmon, Sherry M 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Fosnot, Matthew R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Haffey, Mark J 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Hayes, Jeremy T 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Frankenfield, Heather B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Hamilton, Robert 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587

Heck, Michael R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Frankenfield, Whitney T 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Freehling, Tammy H 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Frydenlund, Jacqueline R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Gallant, Bethany R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Gerome, John P 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Golden, Charles S 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704

100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Hammers, Vali N 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Hanson, Charles E 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Hardison, Janet L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Hill, Nathan E 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Hillis, Randy A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 521 Northcrest Dr Springfield, TN 37172 (615) 382-6099 Hobson, Mary E 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Holzapfel, Sally A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Horton, Iris 12752 Kingston Pike Ste E202 Knoxville, TN 37934 (865) 777-0909 Horton, Susanne E 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Nurse Anesthetist

Page 159

CoventryCares of Kentucky Irby, Brad E 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704

Kirk, Anne B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Ishee II, Jerry E 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Koss, Thomas B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Jackson, Vincent A 216 Olive Branch Rd Nashville, TN 37205 (615) 308-6969

Krisak, Debra L 141 Chesapeake Ln Ste 200 Clarksville, TN 37040 (931) 245-1940

3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Jacobs, Ashley A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Juoza Clark, Patricia D 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Keeney, Donna L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Keith, James B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Kelley, Mary C 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Kiepek, Jonathan C 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

651 Dunlop Ln Clarksville, TN 37040 (931) 502-1000 121 Hillcrest Dr Clarksville, TN 37043 (931) 552-9992 1817a Madison St Ste 1 Clarksville, TN 37043 (931) 551-1795 793 Weatherly Dr Clarksville, TN 37043 (931) 645-1373 5002 Crossings Cir Ste 110 Mount Juliet, TN 37122 (615) 553-9100 545 Stonecrest Pkwy Smyrna, TN 37167 (615) 220-3720 Lawless, Melanie D 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Leersnyder, Michael 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Light, Mariah 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lovelace, Christopher L 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Lupear, Susan K 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Lyle, Ricky D 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Magura, Kristy 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Maloney, Joseph P 141 Chesapeake Ln Ste 200 Clarksville, TN 37040 (931) 245-1940 651 Dunlop Ln Clarksville, TN 37040 (931) 502-1000 121 Hillcrest Dr Clarksville, TN 37043 (931) 552-9992 1817a Madison St Ste 1 Clarksville, TN 37043 (931) 551-1795 793 Weatherly Dr Clarksville, TN 37043 (931) 645-1373 5002 Crossings Cir Ste 110 Mount Juliet, TN 37122 (615) 553-9100

545 Stonecrest Pkwy Smyrna, TN 37167 (615) 220-3720

1817a Madison St Ste 1 Clarksville, TN 37043 (931) 551-1795

Marlow, Michael J 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

793 Weatherly Dr Clarksville, TN 37043 (931) 645-1373

Martin, Alison A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 May, Brigitte 141 Chesapeake Ln Ste 200 Clarksville, TN 37040 (931) 245-1940 651 Dunlop Ln Clarksville, TN 37040 (931) 502-1000 121 Hillcrest Dr Clarksville, TN 37043 (931) 552-9992 1817a Madison St Ste 1 Clarksville, TN 37043 (931) 551-1795 793 Weatherly Dr Clarksville, TN 37043 (931) 645-1373 5002 Crossings Cir Ste 110 Mount Juliet, TN 37122 (615) 553-9100 545 Stonecrest Pkwy Smyrna, TN 37167 (615) 220-3720 May, George C 141 Chesapeake Ln Ste 200 Clarksville, TN 37040 (931) 245-1940 651 Dunlop Ln Clarksville, TN 37040 (931) 502-1000 121 Hillcrest Dr Clarksville, TN 37043 (931) 552-9992

5002 Crossings Cir Ste 110 Mount Juliet, TN 37122 (615) 553-9100 545 Stonecrest Pkwy Smyrna, TN 37167 (615) 220-3720 McCarver, Lewis N 601 Benton Ave Nashville, TN 37204 (615) 292-9770 601 Benton Ave Nashville, TN 37204 (615) 329-1470 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 McClean-Hall, Tamera M 141 Chesapeake Ln Ste 200 Clarksville, TN 37040 (931) 245-1940 651 Dunlop Ln Clarksville, TN 37040 (931) 502-1000 121 Hillcrest Dr Clarksville, TN 37043 (931) 552-9992 1817a Madison St Ste 1 Clarksville, TN 37043 (931) 551-1795 793 Weatherly Dr Clarksville, TN 37043 (931) 645-1373 5002 Crossings Cir Ste 110 Mount Juliet, TN 37122 (615) 553-9100 545 Stonecrest Pkwy Smyrna, TN 37167 (615) 220-3720 Nurse Anesthetist

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CoventryCares of Kentucky McKelvey, Judy E 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Murray, Emily C 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Payne, Laura M 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Reynolds, Linda F 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704

Sharp, Bridget C 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

McKelvy, Brian E 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Murray, Rachel L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Pepper, Mark J 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Rushing, Todd W 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Shields Jr., John A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Mitchell, Kathy A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Napiltonia, Cassie T 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Peters, Mary F 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Rutledge, J L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Sitarich, Sheila E 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Moore, James 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587

Newberry, Edith S 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Phillips, Andrew W 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Sames, Katrin 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Smith, Amy A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Nylander, Veronica E 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Porter, Whitney C 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

O Bryan, Shuhanna 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Quandt, Donald E 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

O Kelley, Cynthia A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Rabe, Benjamin C 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Olsen, Annette 216 Olive Branch Rd Nashville, TN 37205 (615) 308-6969

Randall, Mary T 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Moore, Jill M 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Moran, Jason K 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Moran, Melanie H 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Morris, Tricia L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Palmiter, Shawn W 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Reid, Brian L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Reid, Christopher B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Languages: German Sanders, Gwendolyn K 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Scott, Megan P 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Scott, Nathan T 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Sexton, Shannon R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Sharbel, Charles R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Sharkey, Kimberly A 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704

Spencer, Mark S 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Stephan, Elizabeth J 919 Murfreesboro Rd Franklin, TN 37064 (615) 791-7373 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Szmyd Hogan, Henrietta K 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Tanner, John 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Taylor, Lorie R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Nurse Anesthetist

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CoventryCares of Kentucky Thomas, Hilary B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Thomason, Mark 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Thurman, Jeffrey A 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Tucker, Rhonda S 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Vandegrift, James W 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Vanderwall, Aaron 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007

Vandivier, Deana C 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Languages: Spanish Velocci Posey, Dina F 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Vest, Jennifer A 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Walker, James A 1559 Sparta St Mc Minnville, TN 37110 (931) 815-4000

651 Dunlop Ln Clarksville, TN 37040 (931) 502-1000 121 Hillcrest Dr Clarksville, TN 37043 (931) 552-9992 1817a Madison St Ste 1 Clarksville, TN 37043 (931) 551-1795 793 Weatherly Dr Clarksville, TN 37043 (931) 645-1373 5002 Crossings Cir Ste 110 Mount Juliet, TN 37122 (615) 553-9100 545 Stonecrest Pkwy Smyrna, TN 37167 (615) 220-3720

Walsh, Kristen L 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Willis, Danna K 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Will, Christopher 1 Medical Center Blvd Cookeville, TN 38501 (931) 528-5587

Wilson, Paul R 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 100 W 4th St Ste 310 Cookeville, TN 38501 (931) 528-7877 467 N Whitney Ave Cookeville, TN 38501 (931) 528-5007 Williams, Angela L 4230 Harding Road Ste 435 Nashville, TN 37205 (615) 385-3704 Williams, Keenan C 141 Chesapeake Ln Ste 200 Clarksville, TN 37040 (931) 245-1940

Woodcock, Angela M 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 York, Christal H 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 York, Julie D 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Zander, William S 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Alexander, Paul 2900 1st Ave Ste 6019 Huntington, WV 25702 (304) 399-0137

Matthews, John H 2988 Burkesville Rd Columbia, KY 42728 (270) 384-4444

Lusk, Shawn 2900 1st Ave Ste 6019 Huntington, WV 25702 (304) 399-0137

Richardson, Leslie N 2988 Burkesville Rd Columbia, KY 42728 (270) 384-4444

Miller, Kim 2900 1st Ave Ste 6019 Huntington, WV 25702 (304) 399-0137

Silvers, Bob 2988 Burkesville Rd Columbia, KY 42728 (270) 384-4444

Ping, Leslie 2900 1st Ave Ste 6019 Huntington, WV 25702 (304) 399-0137

Allen County

Porter, Carol 2900 1st Ave Ste 6019 Huntington, WV 25702 (304) 399-0137 Rivers, Jed 2900 1st Ave Ste 6019 Huntington, WV 25702 (304) 399-0137 Swiney, Christa R 2900 1st Ave Ste 6019 Huntington, WV 25702 (304) 399-0137 Tabor, David 2900 1st Ave Ste 6019 Huntington, WV 25702 (304) 399-0137 Willis, James S 2900 1st Ave Ste 6019 Huntington, WV 25702 (304) 399-0137

Optometrist Kentucky Adair County Burton, Jacob 301 Burkesville St Columbia, KY 42728 (270) 384-6043 Downey, Max M 301 Burkesville St Columbia, KY 42728 (270) 384-6043

Jeskie, John W 390 Old Gallatin Rd Scottsville, KY 42164 (270) 237-5434 390 Old Gallatin Rd Scottsville, KY 42164 (270) 842-0383 Ross, Mark D 330 Franklin Road Scottsville, KY 42164 (270) 237-3871 Tucker, Joe 390 Old Gallatin Rd Scottsville, KY 42164 (270) 237-5434 Tucker, Joseph C 390 Old Gallatin Rd Scottsville, KY 42164 (270) 842-0383

Anderson County Haire, Samuel Scott 1000 Bypass North Lawrenceburg, KY 40342 (502) 839-9381 Smith, Darren Scott 500 W Broadway Lawrenceburg, KY 40342 (502) 839-5113

Barren County Durham, Terry W 218 S Liberty St Glasgow, KY 42141 (270) 651-3466

West Virginia † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Nurse Anesthetist

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CoventryCares of Kentucky Heffron, Jamison J 507 S L Rogers Wells Blvd # B Glasgow, KY 42141 (270) 629-2015

Johnson, Kristi Michelle 1403 Cumberland Ave Middlesboro, KY 40965 (606) 248-2549

Mayhew, Jarrod A 2345 Happy Valley Rd Glasgow, KY 42141 (270) 678-4338

Karr, Byron D Hwy 441 US 25e Middlesboro, KY 40965 (606) 248-5389

Price, William A 108 Bravo Blvd Glasgow, KY 42141 (270) 651-2181

McGeorge, Todd M 2131 Cumberland Ave Middlesboro, KY 40965 (606) 242-2278

Rooney, George P 108 Bravo Blvd Glasgow, KY 42141 (270) 651-2181

Sanford Howard, Lisa 1403 Cumberland Ave Middlesboro, KY 40965 (606) 248-2549

Wagner, Ronald T 115 Columbia Ave Glasgow, KY 42141 (270) 651-8323 Ward, Stephen D 1407 N Race St Glasgow, KY 42141 (270) 651-6652 Whitlow II, Robert N 705 N Race St Glasgow, KY 42141 (270) 651-2020 Whitlow, Cheryl G 705 N Race St Glasgow, KY 42141 (270) 651-2020

Bell County Barnes, Kyle Matthew 1403 Cumberland Ave Middlesboro, KY 40965 (606) 248-2549 Booth, Holly R 1502 Cumberland Ave Middlesboro, KY 40965 (606) 248-0932 1502 Cumberland Ave Middlesboro, KY 40965 (606) 248-0982 Cain Jr, Lloyd L 2145 US HWY 25e Middlesboro, KY 40965 (606) 248-3582

Boone County Blair, David M 1821 Florence Pike Ste 1 Burlington, KY 41005 (859) 586-3937 Craft, Katy M 7510 US Highway 42 Florence, KY 41042 (859) 525-6215 7510 US Route 42 Florence, KY 41042 (859) 525-6215 Hallforth, Daniel L 6900 Houston Rd Ste 25 Florence, KY 41042 (859) 283-5055

Kies, Philip G 7510 US Highway 42 Florence, KY 41042 (859) 525-6215 7510 US Route 42 Florence, KY 41042 (859) 525-6215

Creech, J L 330 Main St Paris, KY 40361 (859) 987-2292

Metzger, Julie A 6901 Dixie Hwy Florence, KY 41042 (859) 525-1800

Crutchfield, Barbara J 2017 Main St Ste 6 Paris, KY 40361 (859) 987-2200

Metzger, William 6901 Dixie Hwy Florence, KY 41042 (859) 525-1800

2017 S Main St Ste 6 Paris, KY 40361 (859) 987-2200

Ronau, Elizabeth A 6901 Dixie Hwy Florence, KY 41042 (859) 525-1800 Tabeling Jr, Richard 7625 Doering Dr Florence, KY 41042 (859) 282-0881

Bourbon County

9 Linville Dr Paris, KY 40361 (859) 987-3600 9 Lynnville Dr Paris, KY 40361 (859) 987-3600 Hines, Brett A 1543 S Main St Paris, KY 40361 (859) 987-7077

Anders, Michelle P 2017 Main St Ste 6 Paris, KY 40361 (859) 987-2200

Marshall, Gregory W 305 Letton Dr Paris, KY 40361 (859) 263-2020

2017 S Main St Ste 6 Paris, KY 40361 (859) 987-2200

305 Letton Dr Paris, KY 40361 (859) 987-6664

9 Linville Dr Paris, KY 40361 (859) 987-3600

Scifres, Angela M 1543 S Main St Paris, KY 40361 (859) 987-7077

Hudson, Kimberly M 6901 Dixie Hwy Florence, KY 41042 (859) 525-1800

9 Lynnville Dr Paris, KY 40361 (859) 987-3600

5 N Main St Walton, KY 41094 (859) 485-3937

Caudill, Cliff 2017 Main St Ste 6 Paris, KY 40361 (859) 987-2200

Hughes, Glenn H 7510 US Highway 42 Florence, KY 41042 (859) 525-6215

9 Linville Dr Paris, KY 40361 (859) 987-3600

7510 US Route 42 Florence, KY 41042 (859) 525-6215

Caudill, Cliff M 2017 S Main St Ste 6 Paris, KY 40361 (859) 987-2200

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

9 Lynnville Dr Paris, KY 40361 (859) 987-3600

Boyd County Elliott, James W 12504 US Route 60 Ashland, KY 41102 (606) 929-9432 Epling, Kimberly K 2841 Lexington Ave Ashland, KY 41101 (606) 324-2451 Jones, John A 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672

Leadingham, John C 1330 Carter Ave Ashland, KY 41101 (606) 325-9659 Leadingham, William E 1330 Carter Ave Ashland, KY 41101 (606) 325-9659 1330 Carter Ave Ste 3 Ashland, KY 41101 (606) 329-8672 Maroudis, Phillip 1201 13th St Ashland, KY 41101 (606) 329-1404 Maroudis, Socrates P 1201 13th St Ashland, KY 41101 (606) 329-1404 Morton, John W 1201 13th St Ashland, KY 41101 (606) 329-1404 Pearce, Ronald L 1517 1/2 Winchester Ave Ashland, KY 41101 (606) 324-1220 Salee, Sarah E 500 Winchester Ave Ste 810 Ashland, KY 41101 (606) 324-3672

Boyle County Dobbins, Denise M 100 Walton Ave Danville, KY 40422 (859) 236-8093 Kowalik, Barry M 100 Walton Ave Danville, KY 40422 (859) 236-8093 Mayes, S Chris 100 Walton Ave Danville, KY 40422 (859) 236-8093

Optometrist

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CoventryCares of Kentucky Smith, Kimberly Z 104 Smoky Way Ste 100 Danville, KY 40422 (859) 236-8644 Smith, Michael K 104 Smoky Way Ste 100 Danville, KY 40422 (859) 236-8644 Ward, Mark C 359 S 4th St Danville, KY 40422 (859) 236-3121

Breathitt County Ellen, Louis P 540 Jett Dr Jackson, KY 41339 (606) 666-9393 Goodman, Terry L 224 Highway 15 South Jackson, KY 41339 (606) 666-4585 Liu, Sijia S 224 Highway 15 South Jackson, KY 41339 (606) 666-4585 Puckett, Randall 30 Howell Ln Jackson, KY 41339 (606) 666-2849

Breckinridge County Emmick, Rosemary 500 Ballpark Rd Hardinsburg, KY 40143 (270) 756-6202 Sanders, Vaughn G 500 Ballpark Rd Hardinsburg, KY 40143 (270) 756-6202

Bullitt County Byrd, James A 6434 N Preston HWY Ste 2 Louisville, KY 40229 (502) 957-2149

Hathcoat, Gary V 11102 HWY 44 E Mount Washington, KY 40047 (502) 904-9933 Mooney, Matthew L 223 Delaina Dr Ste B Mount Washington, KY 40047 (502) 538-4362 Stroud, Maleah Erin 181 HWY 44 East Shepherdsville, KY 40165 (502) 955-2020 Webb, Larry E 181 HWY 44 East Shepherdsville, KY 40165 (502) 955-2020

Butler County Cohron, Todd 221 W G L Smith St Morgantown, KY 42261 (270) 526-6800

Caldwell County Parker, Sarah C 101 E Shepardson St Princeton, KY 42445 (270) 365-6627 Porter, Adria N 101 E Shepardson St Princeton, KY 42445 (270) 365-6627 Talley, Daniel A 101 E Shepardson St Princeton, KY 42445 (270) 365-6627

Calloway County Adams, Kevin M 308 S 12th St Murray, KY 42071 (270) 759-2500 Hall, Benjamin A 312 N 12th St Murray, KY 42071 (270) 761-4707

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

312 N 12th St Murray, KY 42071 (270) 767-9300 Jaco, James D 106 N 6th St Murray, KY 42071 (270) 753-2842 Jarvis, Reed H 1208 Johnson Blvd Murray, KY 42071 (270) 759-1429 Lyles, Natasha Gwendolyn 106 N 6th St Murray, KY 42071 (270) 753-2842 Payne, Douglas W 506 N 12th St Ste G Murray, KY 42071 (270) 753-5507 Swann, Fred R 809 N 12th St Murray, KY 42071 (270) 753-5444

Campbell County Ernst, James M 7517 Alexandria Pike Alexandria, KY 41001 (859) 635-7600 Garbig, Douglas J 92 Alexandria Pike Fort Thomas, KY 41075 (859) 441-3400 Georgilis, George J 92 Alexandria Pike Fort Thomas, KY 41075 (859) 781-2000 Languages: Greek Hammer, Michael 960 Highland Ave Fort Thomas, KY 41075 (859) 572-0660 Languages: Spanish Kerestan Garbig, Kristine A 92 Alexandria Pike Fort Thomas, KY 41075 (859) 441-3400

Schuck, Richard E 92 Alexandria Pike Fort Thomas, KY 41075 (859) 781-2000

Christian County

Carroll County

Bastin, Robert 1016 S Main St Hopkinsville, KY 42240 (270) 886-2293

Ewing, Vanessa J 309 11th St Carrollton, KY 41008 (502) 732-0066

Cook, Lauren A 205 W 15th St Hopkinsville, KY 42240 (270) 886-2020

Gaddie, Bruce J 2555 Highway 227 Carrollton, KY 41008 (502) 732-5006

Dexter Eaves, Tracey D 209 W 15th St Hopkinsville, KY 42240 (270) 886-8129

Gaddie, Ian B 2555 Highway 227 Carrollton, KY 41008 (502) 732-5006

Heltsley, John W 1620 S Main St Hopkinsville, KY 42240 (270) 886-6316

Lifferth, Austin R 309 11th St Carrollton, KY 41008 (502) 732-0066

Norris, Rebecca M 14800 Fort Campbell Blvd Oak Grove, KY 42262 (270) 640-7670

Peplinski, Lee S 309 11th St Carrollton, KY 41008 (502) 732-0066

Carter County Fannin, Roger D 313 S Carol Malone Blvd Grayson, KY 41143 (606) 474-7833 Kee, Anthony S 166 S Carol Malone Blvd Grayson, KY 41143 (606) 474-2940 McCloud, Jason H 107 E Main Grayson, KY 41143 (606) 474-5149 Payton, Mary C 313 S Carol Malone Blvd Grayson, KY 41143 (606) 474-7833

Casey County Patterson II, Paul L 124 Liberty Sq Liberty, KY 42539 (606) 787-0555

Shafer, Patrick 300 Clinic Dr Hopkinsville, KY 42240 (270) 889-9006

Clark County McClanahan, Karl 1462 W Lexington Ave Winchester, KY 40391 (859) 737-5599 Pippen, Patrick L 2580 Bypass Rd Winchester, KY 40391 (859) 745-3060 Puckett, Randall 1109 McCann Dr Winchester, KY 40391 (859) 744-4429

Clay County Hunsaker, James 231 White St Manchester, KY 40962 (606) 598-2219 Madden, Teresa 231 White St Manchester, KY 40962 (606) 598-2219 Optometrist

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CoventryCares of Kentucky Clinton County Chanthalangsy, Judy 127 Foothills Ave Ste 3 Albany, KY 42602 (606) 387-5612 Jacobs, Mark A 127 Foothills Ave Ste 3 Albany, KY 42602 (606) 387-5612 Upchurch, Gary W 127 Foothills Ave Ste 3 Albany, KY 42602 (606) 387-5612

Crittenden County Parker, Sarah C 111 West Gum St Marion, KY 42064 (270) 965-5280 713 S Main St Marion, KY 42064 (270) 965-5280 Porter, Adria N 111 West Gum St Marion, KY 42064 (270) 965-5280 713 S Main St Marion, KY 42064 (270) 965-5280 Talley, Daniel A 111 West Gum St Marion, KY 42064 (270) 965-5280 713 S Main St Marion, KY 42064 (270) 965-5280

Daviess County Adams, John M 411 Park Plaza Dr Owensboro, KY 42301 (270) 683-2020 Adams, Patricia W 411 Park Plaza Dr Owensboro, KY 42301 (270) 683-2020 Chatham, Kaley H 5220 Frederica St Owensboro, KY 42301 (270) 684-1174

233 Williamsburg Sq Owensboro, KY 42303 (270) 684-3234 Hamilton, Robert A 221 Allen St Owensboro, KY 42303 (270) 685-4966 Heck, Charles D 1705 Frederica St Owensboro, KY 42301 (270) 683-2121 Horton, Davea 3310 Professional Park Owensboro, KY 42303 (270) 683-2101 Horton, Davea A 3310 Professional Park Dr Ste 101 Owensboro, KY 42303 (270) 683-2101 Jones, Roger I 411 Park Plaza Dr Owensboro, KY 42301 (270) 686-1937 Krahwinkel, Jodi 5031 Frederica St Owensboro, KY 42301 (270) 685-0247 3151 Leitchfield Rd Owensboro, KY 42303 (270) 689-1901 Pardon, H R 411 Park Plaza Dr Owensboro, KY 42301 (270) 926-3937 Salee, Sarah E 5220 Frederica St Owensboro, KY 42301 (270) 684-1174 Sanders, Vaughn G 1705 Frederica St Owensboro, KY 42301 (270) 683-2121 Seavers, Amy 5000 Frederica St Ste 35 Owensboro, KY 42301 (270) 688-0786

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Shake, Steven H 3310 Professional Park Owensboro, KY 42303 (270) 683-2101

Ward, Homer A 411 Park Plaza Dr Owensboro, KY 42301 (270) 683-2020

Anders, Michelle P 1720 Nicholasville Rd Lexington, KY 40503 (859) 260-7000

3310 Professional Park Dr Ste 101 Owensboro, KY 42303 (270) 683-2101

Edmonson County

1740 Nicholasville Rd Lexington, KY 40503 (859) 260-6100

Shields, Michael S 221 Allen St Owensboro, KY 42303 (270) 685-4966 Sisley, Joseph N 5031 Frederica St Owensboro, KY 42301 (270) 685-0247 3151 Leitchfield Rd Owensboro, KY 42303 (270) 689-1901

Abney, L Brett 100 Park Place Ste 4 Brownsville, KY 42210 (270) 968-0203 Buckner Jr, James F 100 Park Place Ste 4 Brownsville, KY 42210 (270) 968-0203 Coats, Adam G 100 Park Place Ste 4 Brownsville, KY 42210 (270) 968-0203

Estill County

Skillman, Jon A 233 Williamsburg Sq Owensboro, KY 42303 (270) 684-3234

Burchett, Dwight M 4235 Richmond Rd Irvine, KY 40336 (606) 726-9321

Taylor, Terri L 5220 Frederica St Owensboro, KY 42301 (270) 684-1174

Harris, Anthony C 4235 Richmond Rd Irvine, KY 40336 (606) 726-9321

Terry, Joseph W 5031 Frederica St Owensboro, KY 42301 (270) 685-0247

Lodholz, Lauren R 4235 Richmond Rd Irvine, KY 40336 (606) 726-9321

3151 Leitchfield Rd Owensboro, KY 42303 (270) 689-1901

Reynolds, William T 4235 Richmond Rd Irvine, KY 40336 (606) 726-9321

Traylor, Marty S 3310 Professional Park Owensboro, KY 42303 (270) 683-2101 3310 Professional Park Dr Ste 101 Owensboro, KY 42303 (270) 683-2101 Ward Adams, Patricia G 411 Park Plaza Dr Owensboro, KY 42301 (270) 683-2020 Languages: Spanish

Wachs, William 218 Main St Irvine, KY 40336 (606) 723-2505

Fayette County Adams, Stefani 4051 Nicholasville Rd Lexington, KY 40503 (859) 272-1422 500 West New Circle Rd Lexington, KY 40511 (859) 225-4657

1760 Nicholasville Rd Lexington, KY 40503 (859) 260-6348 1760 Nicholasville Rd Lexington, KY 40503 (859) 275-4001 1401 Harrodsburg Rd Lexington, KY 40504 (859) 278-9393 2400 Greatstone Pt Lexington, KY 40504 (859) 257-2020 2400 Greatstone Pt Lexington, KY 40504 (859) 257-5150 150 N Eagle Creek Dr Lexington, KY 40509 (859) 967-5000 740 S Limestone Lexington, KY 40536 (859) 323-5867 740 S Limestone St Lexington, KY 40536 (859) 323-5867 Arnett, Edsel G 3695 Nicholasville Rd Lexington, KY 40503 (859) 278-2030 Burchett, Dwight M 114 E Reynolds Rd Lexington, KY 40517 (859) 272-2449 Busey, Lannie C 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 2312 Sir Barton Way Lexington, KY 40509 (859) 543-8383

Optometrist

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CoventryCares of Kentucky Carpenter, Kari 4051 Nicholasville Rd Lexington, KY 40503 (859) 272-1422 500 West New Circle Rd Lexington, KY 40511 (859) 225-4657 Caudill, Cliff 1720 Nicholasville Rd Suite 101 Lexington, KY 40503 (859) 260-7000 1740 Nicholasville Rd Lexington, KY 40503 (859) 260-6100 1760 Nicholasville Rd Lexington, KY 40503 (859) 260-6348 1401 Harrodsburg Rd Lexington, KY 40504 (859) 278-9393 2400 Greatstone Pt Lexington, KY 40504 (859) 257-2020 150 N Eagle Creek Dr Lexington, KY 40509 (859) 967-5000

150 N Eagle Creek Dr Lexington, KY 40517 (859) 967-5000

1760 Nicholasville Rd Lexington, KY 40503 (859) 275-4001

740 S Limestone St Lexington, KY 40536 (859) 323-5867

1401 Harrodsburg Rd Lexington, KY 40504 (859) 278-9393

Cecconi Jr., John W 2353 Alexandria Dr Lexington, KY 40504 (859) 224-2655

2400 Greatstone Pt Lexington, KY 40504 (859) 257-2020

Chan, Andrew 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 Colwell, Steven R 2465b Nicholasville Rd Lexington, KY 40503 (859) 278-7462 Costa, Angela F 3288 Eagle View Ln Ste 300 Lexington, KY 40509 (859) 278-9486 138 E Reynolds Rd Ste 101 Lexington, KY 40517 (859) 273-2020

740 S Limestone Lexington, KY 40536 (859) 323-5867

Crockett, Jason E 2350 Regency Rd Lexington, KY 40503 (270) 789-2023

Caudill, Cliff M 1720 Nicholasville Rd Lexington, KY 40503 (859) 260-7000

2720 Old Rosebud Rd Lexington, KY 40509 (859) 373-0300

1740 Nicholasville Rd Lexington, KY 40503 (859) 260-6100

Crum, Howard E 2465b Nicholasville Rd Lexington, KY 40503 (859) 278-7462

1760 Nicholasville Rd Lexington, KY 40503 (859) 275-4001 1401 Harrodsburg Rd Lexington, KY 40504 (859) 278-9393 2400 Greatstone Pt Lexington, KY 40504 (859) 257-5150

Crutchfield, Barbara J 1720 Nicholasville Rd Lexington, KY 40503 (859) 260-7000 1740 Nicholasville Rd Lexington, KY 40503 (859) 260-6100 1760 Nicholasville Rd Lexington, KY 40503 (859) 260-6348

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

2400 Greatstone Pt Lexington, KY 40504 (859) 257-5150 740 S Limestone Lexington, KY 40506 (859) 257-1000 150 N Eagle Creek Dr Lexington, KY 40509 (859) 967-5000 740 S Limestone St Lexington, KY 40536 (859) 323-5867 Diffenbaugh, Tod M 155 Moore Dr Lexington, KY 40503 (859) 275-2030 Findley, Howell M 2353 Alexandria Dr Ste 350 Lexington, KY 40504 (859) 224-2655 Frank, Danielle 340 Meijer Way Lexington, KY 40503 (859) 278-0055 4101 Tates Crk Centre Dr #144 Lexington, KY 40517 (859) 245-3332 Harris, Anthony C 114 E Reynolds Rd Lexington, KY 40517 (859) 272-2449 Hill III, James F 1063 New Circle Rd Lexington, KY 40505 (843) 693-3873

Karpecki, Paul M 120 N Eagle Creek Dr Ste 431 Lexington, KY 40509 (859) 263-4631 Klecker, Steven A 1555 E New Circle Rd Lexington, KY 40509 (859) 269-6921 Ko, Heechung 155 Moore Dr Lexington, KY 40503 (859) 275-2030 Lambirth II, Randall C 340 Meijer Way Lexington, KY 40503 (859) 278-0055 Lane, Allyson 4051 Nicholasville Rd Lexington, KY 40503 (859) 272-1422 500 West New Circle Rd Lexington, KY 40511 (859) 225-4657 Lane, Ashley B 340 Meijer Way Lexington, KY 40503 (859) 278-0055 4101 Tates Crk Centre Dr #144 Lexington, KY 40517 (859) 245-3332 Lodholz, Lauren R 114 E Reynolds Rd Lexington, KY 40517 (859) 272-2449 Long, Lance 2353 Alexandria Dr Lexington, KY 40504 (859) 224-2655 Love, Marcus A 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 2312 Sir Barton Way Lexington, KY 40509 (859) 543-8383

Lynn, Jeffrey D 340 Meijer Way Lexington, KY 40503 (859) 278-0055 4101 Tates Crk Centre Dr #144 Lexington, KY 40517 (859) 245-3332 Marshall, Gregory W 2350 Grey Lag Way Lexington, KY 40509 (859) 263-2020 2350 Grey Lag Wy Lexington, KY 40509 (859) 263-2020 Mattson, Clay 4051 Nicholasville Rd Lexington, KY 40503 (859) 272-1422 500 West New Circle Rd Lexington, KY 40511 (859) 225-4657 McClanahan, Karl 340 Meijer Way Lexington, KY 40503 (859) 278-0055 4101 Tates Crk Centre Dr #144 Lexington, KY 40517 (859) 245-3332 McMillin, Joe P 340 Meijer Way Lexington, KY 40503 (859) 278-0055 4101 Tates Crk Centre Dr #144 Lexington, KY 40517 (859) 245-3332 McMillin, Karen L 340 Meijer Way Lexington, KY 40503 (859) 278-0055 4101 Tates Crk Centre Dr #144 Lexington, KY 40517 (859) 245-3332

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CoventryCares of Kentucky Milby, Michael A 3180 Richmond Rd Lexington, KY 40509 (859) 269-0040 Miller, Larry R 3650 Boston Rd Ste 184 Lexington, KY 40514 (859) 296-5557 Ransdell, Ward R 101 Malabu Dr Lexington, KY 40503 (859) 275-7333 Reynolds, William T 114 E Reynolds Rd Lexington, KY 40517 (859) 272-2449 Rich, Suzannah 4051 Nicholasville Rd Lexington, KY 40503 (859) 272-1422 500 West New Circle Rd Lexington, KY 40511 (859) 225-4657 Richardson, Ted M 1757 Alexandria Dr Lexington, KY 40504 (859) 278-4201 Santos McCloud, Karen T 2716 Old Rosebud Road Lexington, KY 40509 (859) 327-3701 Simpson Jr, John F 340 Meijer Way Lexington, KY 40503 (859) 278-0055 4101 Tates Crk Centre Dr #144 Lexington, KY 40517 (859) 245-3332 Simpson, Monica J 340 Meijer Way Lexington, KY 40503 (859) 278-0055 4101 Tates Crk Centre Dr #144 Lexington, KY 40517 (859) 245-3332

Smith, Robert M 2353 Alexandria Dr Ste 350 Lexington, KY 40504 (859) 224-2655 Snead, Kevin T 2312 Sir Barton Way Lexington, KY 40509 (859) 543-8383 Spear, Steven N 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 Stocke, Kathryn G 1555 E New Circle Rd Lexington, KY 40509 (859) 269-6921 Stratton, Dawn C 155 Moore Dr Lexington, KY 40503 (859) 275-2030 Swartzentruber, Rebecca 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443

Taylor, Gregory E 104 N Main Cross St Flemingsburg, KY 41041 (606) 849-2348

93 C Michael Davenport Blvd Ste 2 Frankfort, KY 40601 (502) 875-9860

Jacob, Stephanie J 20 Ferguson Blvd Dry Ridge, KY 41035 (859) 824-1333

Floyd County

Keplinger, Brian L 15 Grandview Dr Ste D Frankfort, KY 40601 (502) 695-1771

Marshall, Karen E 1114 Fashion Ridge Rd Dry Ridge, KY 41035 (859) 824-4415

Leadingham, James C 112 Vinson Blvd Louisa, KY 41230 (606) 638-4731

Mercado, Jennifer C 1114 Fashion Ridge Rd Dry Ridge, KY 41035 (859) 824-4415

Long, Lance 1303 US 127 S Ste 108 Frankfort, KY 40601 (502) 875-3050

Shewmaker, Lynn C 1114 Fashion Ridge Rd Dry Ridge, KY 41035 (859) 824-4415

1303 US Highway 127 S Ste 108 Frankfort, KY 40601 (502) 875-3050

Subler, Ryan M 1114 Fashion Ridge Rd Dry Ridge, KY 41035 (859) 824-4415

Munson, Karoline L 643 Comanche Trail Frankfort, KY 40601 (502) 227-4508

Graves County

Combs, Jerald F 386 KY Route 122 Martin, KY 41649 (606) 285-3139 Crum, Howard E 212 Glenview Plaza Prestonsburg, KY 41653 (606) 886-3717 67 Glynn View Plz Prestonsburg, KY 41653 (606) 886-3717 Majakey, Lee V 338 N Arnold Ave Prestonsburg, KY 41653 (606) 886-2020 Nordin, Kimberly W 929 N Lake Dr Ste 101 Prestonsburg, KY 41653 (606) 886-6774

2312 Sir Barton Way Lexington, KY 40509 (859) 543-8383

Nordin, Mark E 929 N Lake Dr Ste 101 Prestonsburg, KY 41653 (606) 886-6774

Rabaut, Kristen L 1303 US Highway 127 S Ste 108 Frankfort, KY 40601 (502) 875-3050

Wachs, William 154 Patchen Dr Ste 71 Lexington, KY 40517 (859) 268-1215

Salisbury, Richard D 10870 Main St Martin, KY 41649 (606) 285-0005

Smith, Jeremy V 102 Diagnostic Dr Frankfort, KY 40601 (502) 223-8258

Westin, Elizabeth J 120 N Eagle Creek Dr Ste 211 Lexington, KY 40509 (859) 263-3030

Franklin County

Stallard, Kevin D 1303 US 127 S Ste 108 Frankfort, KY 40601 (502) 875-3050

Fleming County Bisotti, Anthony J 104 N Main Cross St Flemingsburg, KY 41041 (606) 849-2348 Sherman, Keith T 104 N Main Cross St Flemingsburg, KY 41041 (606) 849-2348

Bowling, Joseph R 112 Vinson Blvd Louisa, KY 41230 (606) 638-4731 Desario, Elaine N 112 Vinson Blvd Louisa, KY 41230 (606) 638-4731 Harlan, Aubrey S 93 C Michael Davenport Blvd #2 Frankfort, KY 40601 (502) 875-9860

1303 US Highway 127 S Ste 108 Frankfort, KY 40601 (502) 875-3050

Grant County Jacob, Kevin S 20 Ferguson Blvd Dry Ridge, KY 41035 (859) 824-1333

Batts, Rockatonia 1400 Common Wealth Dr Mayfield, KY 42066 (270) 247-2417 Bugg, Kelly 107 West Broadway Mayfield, KY 42066 (270) 247-5532 Sheridan, Donise B 1400 Common Wealth Dr Mayfield, KY 42066 (270) 247-2417 Smith, Tony Shawn 1225 Paris Rd Mayfield, KY 42066 (270) 251-2020

Grayson County Abney, L Brett 31 Bobby Bland Way Leitchfield, KY 42754 (270) 259-0500 Harned, Anna L 2525 Elizabethtown Rd Leitchfield, KY 42754 (270) 259-2030 Languages: Korean

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

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CoventryCares of Kentucky 2525 Elizabethtown Rd Leitchfield, KY 42754 (270) 259-6329 Simpson, Charles B 2525 Elizabethtown Rd Leitchfield, KY 42754 (270) 259-2020 2525 Elizabethtown Rd Leitchfield, KY 42754 (270) 259-6329

Green County Patterson II, Paul L 212 South Main Street Greensburg, KY 42743 (270) 932-5431

Greenup County Brom, James T 2135 Argillite Rd Ste 118 Flatwoods, KY 41139 (606) 836-8153

Brumit, Michael W 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372

Meyer, Victor M 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372

Cotner, Daphne R 1705 N Dixie Hwy Elizabethtown, KY 42701 (270) 765-2020

Omar, Rashid A 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372

Crawford, Kevin L 1705 N Dixie Hwy Elizabethtown, KY 42701 (270) 765-2020 Ewing, Vanessa J 800 Cardinal Dr Ste 102 Elizabethtown, KY 42701 (270) 769-0099

Brooks, Robert F 1621 Ashland Rd Ste 3 Greenup, KY 41144 (606) 473-5322

Fleshman, Todd E 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372

Lysandrou, Aristotle J 451 River Hill Dr Ashland, KY 41101 (606) 329-2020

Hammer, Michael 599 Rogersville Rd Radcliff, KY 40160 (270) 351-2999

Morris, Richard B 1621 Ashland Rd Ste 3 Greenup, KY 41144 (606) 473-5322

Hancock County Emmick, Rosemary 123 Eastwind Ct Hawesville, KY 42348 (270) 927-8700

Hardin County Bowling, Aja 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372

Languages: Spanish Lawrence, Stephen R 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372 Lifferth, Austin R 800 Cardinal Dr Ste 102 Elizabethtown, KY 42701 (270) 769-0099 Maloney, Chad M 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Peplinski, Lee S 800 Cardinal Dr Ste 102 Elizabethtown, KY 42701 (270) 769-0099 Reynolds, Joseph A 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372 Roberts, John D 472 W Lincoln Trail Blvd Radcliff, KY 40160 (270) 351-8661 Smith, Stephen D 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372 Souleyrette, Dale A 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372 Swartzentruber, Rebecca 1609 N Dixie Ave Ste 100 Elizabethtown, KY 42701 (270) 765-7372

Harlan County Anders, Michelle P 81 Ball Park Rd Harlan, KY 40831 (606) 573-4520

Ball, Nola R 117 N Cumberland Ave Harlan, KY 40831 (606) 573-6928 Booth, Holly R 37 Ball Park Rd Harlan, KY 40831 (606) 248-0932 Caudill, Cliff 81 Ball Park Rd Harlan, KY 40831 (606) 573-4520 Crutchfield, Barbara J 81 Ball Park Rd Harlan, KY 40831 (606) 573-4520 Durant, Michael A 117 N Cumberland Ave Harlan, KY 40831 (606) 573-6928 Henson, Amy D 117 N Cumberland Ave Harlan, KY 40831 (606) 573-6928 Karr, Byron D 37 Ball Park Rd Harlan, KY 40831 (606) 574-8411 Maynard, Todd M 117 N Cumberland Ave Harlan, KY 40831 (606) 573-6928

Harrison County Hines, Brett A 202 W Pleasant St Cynthiana, KY 41031 (859) 234-1424 Marshall, Gregory W 805 US 27 S Cynthiana, KY 41031 (859) 234-2020 805 US Highway 27 S Cynthiana, KY 41031 (859) 263-2020 Scifres, Angela M 202 W Pleasant St Cynthiana, KY 41031 (859) 234-1424

Hart County Andrews, Billy W 1483 S Dixie St Horse Cave, KY 42749 (270) 786-2085 Seadler, Celeste M 815 Main St Munfordville, KY 42765 (270) 524-5444

Henderson County Cottingham, Robert L 1997 Barrett Ct Henderson, KY 42420 (270) 826-9966 Fife, Sally M 300 9th St Henderson, KY 42420 (270) 827-8681 300 9th Street Henderson, KY 42420 (270) 827-8681 Hagedorn, Gregory B 1413 N Elm St Ste 102 Henderson, KY 42420 (270) 826-1500 Heck, Charles D 300 9th Street Henderson, KY 42420 (270) 827-8681 May, Julie K 1993 Barrett Ct Henderson, KY 42420 (270) 831-2010 McWilliams, Brittney 1993 Barrett Ct Henderson, KY 42420 (270) 831-2010 Rossman, Zachary C 1993 Barrett Ct Henderson, KY 42420 (270) 831-2020 Sagez Barnett, Sara L 300 9th Street Henderson, KY 42420 (270) 827-8681

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CoventryCares of Kentucky Schertzinger, John M 1195 Barrett Blvd Henderson, KY 42420 (270) 844-8090 Taddese, Andrea S 1195 Barrett Blvd Henderson, KY 42420 (270) 844-8090 Werkmeister, Kristin 1997 Barrett Ct Henderson, KY 42420 (270) 826-9966

Henry County Doerr, Molly W 8282 Main St Campbellsburg, KY 40011 (502) 532-6332

Hopkins County Crist, Troy W 44 McCoy Ave Madisonville, KY 42431 (270) 825-3937 French, Charles L 1350 S Main St Madisonville, KY 42431 (270) 821-6241 Schertzinger, John M 1756 E Center St Madisonville, KY 42431 (270) 821-6870 1756 East Center St Madisonville, KY 42431 (270) 821-6870 Taddese, Andrea S 1756 E Center St Madisonville, KY 42431 (270) 821-6870 Taylor, Emily B 344 E Arch St Madisonville, KY 42431 (270) 821-2862 Taylor, Terri L 200 Clinic Dr Madisonville, KY 42431 (270) 825-7206

Jackson County Burchett, Dwight M 830 Main St South Mc Kee, KY 40447 (606) 287-8477 Harris, Anthony C 830 Main St South Mc Kee, KY 40447 (606) 287-8477 Lodholz, Lauren R 830 Main St South Mc Kee, KY 40447 (606) 287-8477 Reynolds, William T 830 Main St South Mc Kee, KY 40447 (606) 287-8477

Jefferson County Badillo, Aida I 10639 Dixie Hwy Louisville, KY 40272 (502) 933-9200

3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323

13210 Shelbyville Rd Louisville, KY 40223 (502) 244-9198

Clark, Brian M 6812 Dixie Hwy Louisville, KY 40258 (502) 933-7986

Ewing, Vanessa J 4010 Dupont Circle Ste 380 Louisville, KY 40207 (502) 895-0040

Coker, Troy D 2827 Preston Hwy Louisville, KY 40217 (502) 636-0451 Compton, Renee S 2110 S Hurstbourne Pkwy Louisville, KY 40220 (502) 491-2232 Cora, Eduardo 100 W Market St Louisville, KY 40202 (502) 587-8488 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

Boak, Fiona S 3706 Diann Marie Rd Louisville, KY 40241 (502) 326-3114

Cotner, Daphne R 215 Central Ave Ste 101 Louisville, KY 40208 (502) 636-5766

Bowling, Aja 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015

10639 Dixie Hwy Louisville, KY 40272 (502) 933-9200

3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323 Brumit, Michael W 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston Hwy Louisville, KY 40219 (502) 966-2020 13210 Shelbyville Rd Louisville, KY 40223 (502) 244-9198

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

6828 Bardstown Rd Louisville, KY 40291 (502) 231-2020 Crawford, Kevin L 10232 Westport Rd Louisville, KY 40241 (502) 339-2042 Dankovich, Michael A 1102 Lyndon Ln Ste A Louisville, KY 40222 (502) 426-0307 Dugger, Matthew L 6812 Dixie Hwy Louisville, KY 40258 (502) 933-7986 Edling, Marie 100 W Market St Louisville, KY 40202 (502) 587-8488

Glenn, Jason N 13210 Shelbyville Rd Louisville, KY 40223 (502) 244-9198 Goodman, Terry L 1947 S Hurstbourne Pky Louisville, KY 40220 (502) 499-2020

1935 Bluegrass Ave Ste 200 Louisville, KY 40215 (502) 364-0033

Gossom, Donald J 9474 Brownsboro Rd Louisville, KY 40241 (502) 429-3630

Fleshman, Todd E 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015

Grady, Susan M 4801 Outer Lp Ste D648 Louisville, KY 40219 (502) 968-6860

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

7900 Shelbyville Rd Louisville, KY 40222 (502) 327-8568

3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323

Gunn, Melinda B 1102 Lyndon Ln Ste A Louisville, KY 40222 (502) 426-0307

Gaddie, Bruce J 7635 Shelbyville Rd Louisville, KY 40222 (502) 423-8500 9474 Brownsboro Rd Louisville, KY 40241 (502) 429-3630 Gaddie, Ian B 7635 Shelbyville Rd Louisville, KY 40222 (502) 423-8500 6812 Dixie Hwy Louisville, KY 40258 (502) 933-7986 Gersh, Richard B 100 W Market St Louisville, KY 40202 (502) 587-8488 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015 3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323

Hall, Carolyn W 1102 Lyndon Ln Ste A Louisville, KY 40222 (502) 426-0307 Hall, Kenneth W 6828 Bardstown Rd Louisville, KY 40291 (502) 231-2020 Hammond, Joseph M 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 2110 S Hurstbourne Pkwy Louisville, KY 40220 (502) 491-2232 Harvey, Andrew Morgan 4801 Outer Lp Ste D648 Louisville, KY 40219 (502) 968-6860 7900 Shelbyville Rd Louisville, KY 40222 (502) 327-8568

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CoventryCares of Kentucky 12464 Lagrange Rd Louisville, KY 40245 (502) 243-3733

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

Hickey, Carol L 2110 S Hurstbourne Pkwy Louisville, KY 40220 (502) 491-2232

7815 Preston Hwy Louisville, KY 40219 (502) 966-2020

Hogan, Christopher M 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 4527 Outer Loop Louisville, KY 40219 (502) 968-2015 4527 Outer Loop Louisville, KY 40219 (502) 969-5130 Hudson, Tyler Robert 2303 Hurstbourne Vlg Dr #500 Louisville, KY 40299 (859) 721-0554 Huseman, Brian J 215 Central Ave Ste 101 Louisville, KY 40208 (502) 636-5766 10639 Dixie Hwy Louisville, KY 40272 (502) 933-9200 Huseman, Kimberley M 1536 Story Ave Louisville, KY 40206 (502) 589-1500 2355 Poplar Level Rd Louisville, KY 40217 (502) 637-3036 Hyman, Roy 5202 Preston Hwy Louisville, KY 40213 (502) 966-2148 Johnson, Douglas M 100 W Market St Louisville, KY 40202 (502) 587-8488

13210 Shelbyville Rd Louisville, KY 40223 (502) 244-9198 3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323 Johnson, John R 7815 Preston Hwy Louisville, KY 40219 (502) 966-2020 Keenan IV, Thomas J 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 Lalonde, Thomas E 2110 S Hurstbourne Pkwy Louisville, KY 40220 (502) 491-2232 Lawrence, Stephen R 100 W Market St Louisville, KY 40202 (502) 587-8488 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston Hwy Louisville, KY 40219 (502) 966-2020 13210 Shelbyville Rd Louisville, KY 40223 (502) 244-9198 Lewis, Todd F 5338 S 3rd St Ste 102 Louisville, KY 40214 (502) 366-4530 5338 S 3rd Ste 102 Louisville, KY 40214 (502) 366-4530

1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015 † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lifferth, Austin R 4010 Dupont Circle Ste 380 Louisville, KY 40207 (502) 895-0040 1935 Bluegrass Ave Ste 200 Louisville, KY 40215 (502) 364-0033 Liu, Sijia S 1947 S Hurstbourne Pky Louisville, KY 40220 (502) 499-2020 Luckett, James 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015 Lynn, Mark E 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015 May, Julie K 4801 Outer Lp Ste D648 Louisville, KY 40219 (502) 968-6860 7900 Shelbyville Rd Louisville, KY 40222 (502) 327-8568 Mejia, Guadalupe A 301 E Muhammad Ali Blvd Louisville, KY 40202 (502) 852-5466 Languages: Spanish 301 E Muhammad Ali Blvd Louisville, KY 40202 (502) 852-7665 Languages: Spanish Metzger, William 2303 Hurstbourne Vlg Dr #500 Louisville, KY 40299 (859) 721-0554 Meyer, Victor M 100 W Market St Louisville, KY 40202 (502) 587-8488

1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

7815 Preston Hwy Louisville, KY 40219 (502) 966-2020

7815 Preston Hwy Louisville, KY 40219 (502) 966-2020

13210 Shelbyville Rd Louisville, KY 40223 (502) 244-9198

3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323

Parker, Carol A 1536 Story Ave Louisville, KY 40206 (502) 589-1500

Minton, Beth A 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 12911 Shelbyville Rd Louisville, KY 40243 (502) 254-1100 Montalvo, Noemi S 7815 Preston Hwy Louisville, KY 40219 (502) 966-2020 Morris, Michael J 11901 Standiford Plaza Dr Louisville, KY 40229 (502) 968-2720 Nagatoshi, Raymond T 100 W Market St Louisville, KY 40202 (502) 587-8488 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 Novotny, Patrick J 4801 Outer Lp Ste D648 Louisville, KY 40219 (502) 968-6860 7900 Shelbyville Rd Louisville, KY 40222 (502) 327-8568

2355 Poplar Level Rd Louisville, KY 40217 (502) 637-3036 Partain, Jeffrey L 7815 Preston Hwy Louisville, KY 40219 (502) 966-2020 Peplinski, Lee S 4010 Dupont Circle Ste 380 Louisville, KY 40207 (502) 895-0040 1935 Bluegrass Ave Ste 200 Louisville, KY 40215 (502) 364-0033 Pulliam, Mark 100 W Market St Louisville, KY 40202 (502) 587-8488 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015 7815 Preston Hwy Louisville, KY 40219 (502) 966-2020 13210 Shelbyville Rd Louisville, KY 40223 (502) 244-9198 3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323

Omar, Rashid A 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015 Optometrist

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CoventryCares of Kentucky Rabaut, Kristen L 2110 S Hurstbourne Pkwy Louisville, KY 40220 (502) 491-2232

Schwartz, Eric 2020 Bashford Manor Ln Louisville, KY 40218 (502) 451-2745

12911 Shelbyville Rd Louisville, KY 40243 (502) 244-1559

7101 Cedar Springs Blvd Louisville, KY 40291 (502) 239-9827

Rallo, Rod L 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 Reynolds, Jennifer L 4527 Outer Loop Louisville, KY 40219 (502) 969-5130 Reynolds, Joseph A 4036 Dutchmans Ln Louisville, KY 40207 (502) 894-0322 4747 1/2 Dixie Hwy Louisville, KY 40216 (502) 447-1799 9219 1/2 US HWY 42 Ste F Prospect, KY 40059 (502) 228-1847 Roberts, Keith A 10639 Dixie Hwy Louisville, KY 40272 (502) 933-9200 6828 Bardstown Rd Louisville, KY 40291 (502) 231-2020 Rosengarten, Elliott M 2420 Lime Kiln Ln Louisville, KY 40222 (502) 426-5000

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

13210 Shelbyville Rd Louisville, KY 40223 (502) 244-9198

7815 Preston Hwy Louisville, KY 40219 (502) 966-2020

3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323

3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323

Swearingen, Lindsay M 1102 Lyndon Ln Ste A Louisville, KY 40222 (502) 426-0307

Scott, Patrick A 301 E Muhammad Ali Blvd Louisville, KY 40202 (502) 852-5466

Steller, Rob A 1102 Lyndon Ln Ste A Louisville, KY 40222 (502) 426-0307

301 E Muhammad Ali Blvd Louisville, KY 40202 (502) 852-7665

Stovall, Mark 120 W Market St Louisville, KY 40202 (502) 585-2020

Shelton, Andrea E 6828 Bardstown Rd Louisville, KY 40291 (502) 231-2020

Stroud, Christopher L 4004 Dupont Cir Louisville, KY 40207 (502) 897-1604

Smith, Stephen D 100 W Market St Louisville, KY 40202 (502) 587-8488

Stroud, Maleah Erin 6828 Bardstown Rd Louisville, KY 40291 (502) 231-2020

1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston Hwy Louisville, KY 40219 (502) 966-2020 13210 Shelbyville Rd Louisville, KY 40223 (502) 244-9198

Rubesh, Grant 100 W Market St Louisville, KY 40202 (502) 587-8488

Snipes, Kevin M 4801 Outer Lp Ste D648 Louisville, KY 40219 (502) 968-6860

3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323

7900 Shelbyville Rd Louisville, KY 40222 (502) 327-8568

Schat, Holly R 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015

Stanis, Carl G 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Sydnor, Carl 1102 Lyndon Ln Ste A Louisville, KY 40222 (502) 426-0307 Tabassi, Bita 3563 Springhurst Blvd Louisville, KY 40241 (502) 339-7323 Thompson, Sharon L 7635 Shelbyville Rd Louisville, KY 40222 (502) 423-8500

Wilder Sr., Derek L 12911 Shelbyville Rd Louisville, KY 40243 (502) 254-1100 Wilder, Derek L 12911 Shelbyville Rd Louisville, KY 40243 (502) 244-1559 Wolf, Nicholas L 10232 Westport Rd Louisville, KY 40241 (502) 339-2042 Woodruff, Hayley M 1536 Story Ave Louisville, KY 40206 (502) 589-1500

Jessamine County Adams, Stefani 1024 N Main St Nicholasville, KY 40356 (859) 881-5444

9474 Brownsboro Rd Louisville, KY 40241 (502) 429-3630

Anders, Michelle P 100 John Sutherland Dr Nicholasville, KY 40356 (859) 881-1400

Summers, Seth J 4036 Dutchmans Ln Louisville, KY 40207 (502) 894-0322

Todd, Rebekah E 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020

Carpenter, Kari 1024 N Main St Nicholasville, KY 40356 (859) 881-5444

4747 1/2 Dixie Hwy Louisville, KY 40216 (502) 447-1799

4527 Outer Loop Louisville, KY 40219 (502) 968-2015

9219 1/2 US HWY 42 Ste F Prospect, KY 40059 (502) 228-1847

4527 Outer Loop Louisville, KY 40219 (502) 969-5130

Caudill, Cliff 100 John Sutherland Dr Ste 3 Nicholasville, KY 40356 (859) 881-1400

Swartzentruber, Rebecca 100 W Market St Louisville, KY 40202 (502) 587-8488 1001 Breckenridge Ln Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

Vance, Kathy 120 W Market St Louisville, KY 40202 (502) 585-2020 Webb, Larry E 10232 Westport Rd Louisville, KY 40241 (502) 339-2042 Weinberg, Daniel L 4414 Shelbyville Rd Louisville, KY 40207 (502) 894-4434

Crutchfield, Barbara J 100 John Sutherland Dr Nicholasville, KY 40356 (859) 881-1400 Ditto, David 104 Fairfield Dr Nicholasville, KY 40356 (859) 887-2441 Ditto, David P 104 Fair Field Dr Nicholasville, KY 40356 (859) 887-2441

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CoventryCares of Kentucky Kroggel, Stacey 104 Fair Field Dr Nicholasville, KY 40356 (859) 887-2441 Kroggel, Stacey N 104 Fairfield Dr Nicholasville, KY 40356 (859) 887-2441 Lane, Allyson 1024 N Main St Nicholasville, KY 40356 (859) 881-5444 Mattson, Clay 1024 N Main St Nicholasville, KY 40356 (859) 881-5444 Musick, John 104 Fairfield Dr Nicholasville, KY 40356 (859) 887-2441 Musick, John E 104 Fair Field Dr Nicholasville, KY 40356 (859) 887-2441 Rich, Suzannah 1024 N Main St Nicholasville, KY 40356 (859) 881-5444 Steinhauser, Richard 181 E Brannon Rd Nicholasville, KY 40356 (859) 971-2211

Johnson County Akers, Donnie C 341 Court St Paintsville, KY 41240 (606) 789-4675 Conley, Joe R 341 Court St Paintsville, KY 41240 (606) 789-4675 Costa, Angela Fahey 327 North Mayo Trail Paintsville, KY 41240 (606) 789-2020 Crum, Howard E 1018 Broadway St Paintsville, KY 41240 (606) 789-2020

327 North Mayo Trail Paintsville, KY 41240 (606) 789-2020 Evans, Jason 470 N Mayo Trail Paintsville, KY 41240 (606) 789-0343 Evans, Jason M 470 N Mayo Trl Paintsville, KY 41240 (606) 789-0343 Mann, Randall 341 Court St Paintsville, KY 41240 (606) 789-4675 Nordin, Kimberly W 917 Broadway St Paintsville, KY 41240 (606) 788-0433 Nordin, Mark E 917 Broadway St Paintsville, KY 41240 (606) 788-0433

Kenton County Bertram, Jamie Daniels 705 Buttermilk Pk Ste 100 Crescent Springs, KY 41017 (859) 341-3937 Bertram, Paul T 705 Buttermilk Pk Ste 100 Crescent Springs, KY 41017 (859) 341-3937 Deitz Bertke, Carol 581 Dudley Pike Ste 230 Edgewood, KY 41017 (859) 341-0888 Hammer, Michael 630 Viox Dr Erlanger, KY 41018 (859) 727-6700 Languages: Spanish Herron, Julie A 3450 Valley Plaza Pkwy Ft Wright, KY 41017 (859) 635-0948

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lameier, Kenneth A 3450 Valley Plaza Pkwy Ft Wright, KY 41017 (859) 371-2662

Schaffield, Sharon M 5522 Taylor Mill Rd Taylor Mill, KY 41015 (859) 581-7200

Loesch, Kevin G 3450 Valley Plaza Pkwy Fort Wright, KY 41017 (859) 331-2662

Shewmaker, Lynn C 2174 Dixie Hwy Ft Mitchell, KY 41017 (859) 341-2566

Marshall, Karen E 2174 Dixie Hwy Ft Mitchell, KY 41017 (859) 341-2566

Subler, Ryan M 2174 Dixie Hwy Ft Mitchell, KY 41017 (859) 341-2566

Mercado, Jennifer C 2174 Dixie Hwy Ft Mitchell, KY 41017 (859) 341-2566

Travis, Sarah R 581 Dudley Pike Ste 230 Edgewood, KY 41017 (859) 341-0888

Metzger, Julie A 7 W 7th St Covington, KY 41011 (859) 431-7966

Knott County

Moore, Thomas J 7 W 7th St Covington, KY 41011 (859) 431-7966 Pennell, Craig S 1786 Declaration Dr Independence, KY 41051 (859) 363-3347 Languages: Spanish 1824 Declaration Dr Independence, KY 41051 (859) 363-3347 Ronau, Elizabeth A 7 W 7th St Covington, KY 41011 (859) 431-7966 Saltarelli, Daniele P 2765 Chapel Pl Children's Outpatient N Kentucky Ml 6004 Crestview Hills, KY 41017 (859) 344-5390 Sawyer III, Kenneth N 2220 Grandview Dr Ste 120 Ft Mitchell, KY 41017 (859) 578-0393

Barker, David S 108 Holly Hills Shopping Ctr Hindman, KY 41822 (606) 785-3274 Combs, Jerald F 108 Holly Hills Shopping Ctr Hindman, KY 41822 (606) 785-3274 Sizemore, William D 108 Holly Hills Shopping Ctr Hindman, KY 41822 (606) 785-3274 Sparkman, Timothy A 108 Holly Hills Shopping Ctr Hindman, KY 41822 (606) 785-3274

Knox County Anders, Michelle P 712 N Commonwealth Corbin, KY 40701 (606) 528-1143 712 N Commonwealth Ave Corbin, KY 40701 (606) 528-1143

Brown, Jennifer L 281 N Commonwealth Ave Corbin, KY 40701 (606) 528-1143 Caudill, Cliff 712 N Commonwealth Ave Corbin, KY 40701 (606) 528-1143 Caudill, Cliff M 712 N Commonwealth Corbin, KY 40701 (606) 528-1143 Corbin, Cynthia E 112 N Allison Ave Barbourville, KY 40906 (606) 546-2200 112 N Allison Ave Barbourville, KY 40906 (606) 546-3160 Crutchfield, Barbara J 712 N Commonwealth Corbin, KY 40701 (606) 528-1143 712 N Commonwealth Ave Corbin, KY 40701 (606) 528-1143 Mackey, Robert E 281 N Commonwealth Ave Corbin, KY 40701 (606) 528-1143 Vickers, William H 215 N Allison Barbourville, KY 40906 (606) 546-4166

Larue County Lalonde, Thomas E 109 S Walters Ave Hodgenville, KY 42748 (270) 358-8141 Seadler, Celeste M 109 S Walters Ave Hodgenville, KY 42748 (270) 358-4157

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CoventryCares of Kentucky Simpson, Charles B 109 S Walters Ave Hodgenville, KY 42748 (270) 358-4157

Chitwood, Dana 60 S Stewart Rd Corbin, KY 40701 (606) 258-8888

Sutton, Teshawna B 103 Chera Lynn St London, KY 40741 (606) 878-7500

Sizemore, William D 21937 Main St Hyden, KY 41749 (606) 672-2040

Laurel County

Croley, Debra S 130 Thompson Poynter Rd London, KY 40741 (606) 878-2012

Lawrence County

Sparkman, Timothy A 21937 Main St Hyden, KY 41749 (606) 672-2040

Anders, Michelle P 275 Highway 770 Corbin, KY 40701 (606) 260-6100 275 HWY 770 Corbin, KY 40701 (606) 526-7874 65 E City Dam Rd Corbin, KY 40701 (606) 528-9393 503 N Main St London, KY 40741 (606) 877-1877 Ball, Melissa R 356 McWhorter St Ste 1 London, KY 40741 (606) 877-6585 Ball, Nola R 130 Thompson Poynter Rd London, KY 40741 (606) 878-2012 Caudill, Cliff 275 Highway 770 Corbin, KY 40701 (606) 260-6100 65 E City Dam Rd Corbin, KY 40701 (606) 528-9393 503 N Main St London, KY 40741 (606) 877-1877 Caudill, Cliff M 275 HWY 770 Corbin, KY 40701 (606) 526-7874 65 E City Dam Rd Corbin, KY 40701 (606) 528-9393 503 N Main St London, KY 40741 (606) 877-1877

Crutchfield, Barbara J 275 HWY 770 Corbin, KY 40701 (606) 526-7874 65 E City Dam Rd Corbin, KY 40701 (606) 528-9393 503 N Main St London, KY 40741 (606) 877-1877

Bowling, Joseph 112 S Vinson Blvd Louisa, KY 41230 (606) 638-4731 Desario, Elaine N 112 S Vinson Blvd Louisa, KY 41230 (606) 638-4731

Barker, David S 29 Maple St Whitesburg, KY 41858 (606) 633-5200

Leadingham, James 112 S Vinson Blvd Louisa, KY 41230 (606) 638-4731

Combs, Jerald F 29 Maple St Whitesburg, KY 41858 (606) 633-5200

Lee County

Costa, Angela Fahey 19 Solomon Rd Whitesburg, KY 41858 (606) 633-4481

Durant, Michael A 503 N Main St London, KY 40741 (606) 877-1877

Burchett, Dwight M 1073 Broadway Beattyville, KY 41311 (606) 464-8148

Hendy, Caroline L 1370 W 5th St Ste 2 London, KY 40741 (606) 877-1101

Harris, Anthony C 1073 Broadway Beattyville, KY 41311 (606) 464-8148

Henson, Amy D 503 N Main St London, KY 40741 (606) 877-1877

Lodholz, Lauren R 1073 Broadway Beattyville, KY 41311 (606) 464-8148

Magee, Henry M 103 Chera Lynn St London, KY 40741 (606) 878-7500

Reynolds, William T 1073 Broadway Beattyville, KY 41311 (606) 464-8148

Maynard, Todd M 503 N Main St London, KY 40741 (606) 877-1877

Leslie County

Morton, Teresa P 2647 N US HWY 25 East Bernstadt, KY 40729 (606) 843-6060 Overley, Alison M 975 S Laurel Rd Ste B London, KY 40744 (606) 878-2020

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Letcher County

Barker, David S 21937 Main St Hyden, KY 41749 (606) 672-2040 Combs, Jerald F 21937 Main St Hyden, KY 41749 (606) 672-2040 Holbrook, Donald I 21937 Main St Hyden, KY 41749 (606) 672-2040

Johnson, Kristi Michelle 19 Solomon Rd Whitesburg, KY 41858 (606) 633-4481

King, Eric N 101 US Highway 150 Byp Ste 117 Stanford, KY 40484 (606) 365-2195 101 US HWY 150 Byp Ste 117 Stanford, KY 40484 (606) 365-2195 Nichols, Joshua E 713 E Main St Stanford, KY 40484 (606) 365-3220 Silvers, Bob 713 E Main St Stanford, KY 40484 (606) 365-3220

Logan County Barrow, Darla S 709 E 4th St Russellville, KY 42276 (270) 725-8382 Higdon, Amanda S 709 E 4th St Russellville, KY 42276 (270) 725-8382

Sizemore, William D 29 Maple St Whitesburg, KY 41858 (606) 633-5200

Stanley, Anna Faye 120 Sam Walton Dr Russellville, KY 42276 (270) 776-9135

Sparkman, Timothy A 29 Maple St Whitesburg, KY 41858 (606) 633-5200

Webb, Bill D 603 E 4th St Russellville, KY 42276 (270) 726-2434

Williams, Debbie K 19 Solomon Rd Whitesburg, KY 41858 (606) 633-4481

Wells, Thad 105 Robins Way Ste 206 Russellville, KY 42276 (270) 726-2022

Lewis County

Madison County

Bertram, Louis M 185 Commercial Dr Vanceburg, KY 41179 (606) 796-2632

Anders, Michelle P 789 Eastern Byp Richmond, KY 40475 (859) 624-1707

Lincoln County

789 Eastern Bypass Richmond, KY 40475 (859) 624-1707

Brown Murray, Tamela 713 E Main St Stanford, KY 40484 (606) 365-3220

920 Barnes Mill Rd Richmond, KY 40475 (859) 257-9787 Optometrist

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CoventryCares of Kentucky 920 Barnes Mill Rd Ste D Richmond, KY 40475 (859) 624-3937

Durant, Michael A 116 Mini Mall Dr Berea, KY 40403 (859) 985-0078

Reynolds, William T 201 Glades Rd Berea, KY 40403 (859) 986-1060

Burchett, Dwight M 201 Glades Rd Berea, KY 40403 (859) 986-1060

Fields, Mark J 820 Eastern Bypass Richmond, KY 40475 (859) 625-0042

1020 Gibson Bay Dr Richmond, KY 40475 (859) 623-3358

1020 Gibson Bay Dr Richmond, KY 40475 (859) 623-3358

Harris, Anthony C 201 Glades Rd Berea, KY 40403 (859) 986-1060

205 Geri Lane Richmond, KY 40475 (859) 623-6643 Busey, Lannie C 2115 Lantern Ridge Dr Richmond, KY 40475 (859) 625-1004

1020 Gibson Bay Dr Richmond, KY 40475 (859) 623-3358

205 Geri Lane Richmond, KY 40475 (859) 623-6643 Shearer, Thea T 5019 Atwood Dr Richmond, KY 40475 (859) 624-2015

205 Geri Lane Richmond, KY 40475 (859) 623-6643

Snead, Kevin T 2115 Lantern Ridge Dr Richmond, KY 40475 (859) 625-1004

Caudill, Cliff 789 Eastern Byp Richmond, KY 40475 (859) 624-1707

King, Gary E 109 Boone St Berea, KY 40403 (859) 986-7027

Spear, Steven N 2115 Lantern Ridge Dr Richmond, KY 40475 (859) 625-1004

920 Barnes Mill Rd Ste D Richmond, KY 40475 (859) 624-3937

Lemay, Sara E 1020 Gibson Bay Dr Richmond, KY 40475 (859) 623-3358

Steinhauser, Richard 2008 Merchant Dr Ste 3 Richmond, KY 40475 (859) 623-3911

205 Geri Lane Richmond, KY 40475 (859) 623-6643

Swartzentruber, Rebecca 2115 Lantern Ridge Dr Richmond, KY 40475 (859) 625-1004

Caudill, Cliff M 789 Eastern Bypass Richmond, KY 40475 (859) 624-1707 920 Barnes Mill Rd Ste D Richmond, KY 40475 (859) 624-3937 Coleman, David B 523 Leighway Dr Richmond, KY 40475 (859) 623-6812 Crutchfield, Barbara J 789 Eastern Byp Richmond, KY 40475 (859) 624-1707 789 Eastern Bypass Richmond, KY 40475 (859) 624-1707 920 Barnes Mill Rd Ste D Richmond, KY 40475 (859) 624-3937

Lodholz, Lauren R 201 Glades Rd Berea, KY 40403 (859) 986-1060 1020 Gibson Bay Dr Richmond, KY 40475 (859) 623-3358 205 Geri Lane Richmond, KY 40475 (859) 623-6643 Love, Marcus A 2115 Lantern Ridge Dr Richmond, KY 40475 (859) 625-1004 Pippen, Patrick L 305 Estill St Berea, KY 40403 (859) 986-0090

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Magoffin County Mann, Randall 738 Old Burning Fork Rd Salyersville, KY 41465 (606) 349-8628 Nordin, Kimberly W 910 E Mountain Pkwy Salyersville, KY 41465 (606) 349-2020 Nordin, Mark E 910 E Mountain Pkwy Salyersville, KY 41465 (606) 349-2020

Marion County Ballard, Amanda M 325 W Walnut St Ste 400 Lebanon, KY 40033 (270) 867-8200 Cotner, Daphne R 325 W Walnut St Ste 400 Lebanon, KY 40033 (270) 867-8200 Crawford, Kevin L 325 W Walnut St Ste 400 Lebanon, KY 40033 (270) 867-8200 Hall, Kenneth W 325 W Walnut St Ste 400 Lebanon, KY 40033 (270) 867-8200 Hollingsworth Cecconi, Patricia M 310 W High St Lebanon, KY 40033 (270) 692-1871 Taylor, Paul G 310 W High St Lebanon, KY 40033 (270) 692-1871 Webb, Larry E 325 W Walnut St Ste 400 Lebanon, KY 40033 (270) 867-8200

Marshall County Ellis, Joe E 109 W 5th St Benton, KY 42025 (270) 527-7421

Lyles, Aaron J 109 W 5th St Benton, KY 42025 (270) 527-7421 Lyles, John P 43 Industrial Ln Calvert City, KY 42029 (270) 395-8331 43 Industrial Pkwy Calvert City, KY 42029 (270) 395-8331 Sowell Gibson, Wendy 1512 Main St Benton, KY 42025 (270) 527-0951 Van Horn, Laurel L 109 W 5th St Benton, KY 42025 (270) 527-7421

Martin County Maynard, Todd M 64 Kirk Plaza Inez, KY 41224 (606) 298-7768

Mason County Anders, Michelle P 1360 Medical Park Dr Maysville, KY 41056 (606) 759-5341 1360 Medical Park Plz Maysville, KY 41056 (606) 759-5341 Awosika, Idowu 240 Wal Mart Way Maysville, KY 41056 (606) 759-0030 240 Walmart Way Ste 5 Maysville, KY 41056 (606) 759-0030

Hayes Optometry 310 W 5th St Benton, KY 42025 (270) 527-9983

Bertram, Louis M 240 Wal Mart Way Maysville, KY 41056 (606) 759-0068

Hayes, Michael 310 W 5th St Benton, KY 42025 (270) 527-9983

Bisotti, Anthony J 15 E 3rd St Maysville, KY 41056 (606) 564-3650

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CoventryCares of Kentucky Caudill, Cliff 1360 Medical Park Dr Maysville, KY 41056 (606) 759-5341

Grogan, Kenneth B 1748 Broadway St Paducah, KY 42001 (270) 443-9955

McKinley, Lindsay K 19 Medical Loop Whitley City, KY 42653 (606) 376-5258

Klosterman, Jeffrey A 101 S Main St Harrodsburg, KY 40330 (859) 734-3697

Caudill, Cliff M 1360 Medical Park Plz Maysville, KY 41056 (606) 759-5341

Howell, Linda K 3910 Hinkleville Rd Paducah, KY 42001 (270) 443-2090

McKinley, Stephen M 19 Medical Loop Whitley City, KY 42653 (606) 376-5258

Metcalfe County

Crutchfield, Barbara J 1360 Medical Park Dr Maysville, KY 41056 (606) 759-5341

Klutts, Fred W 3910 Hinkleville Rd Paducah, KY 42001 (270) 443-2090

McLean County

1360 Medical Park Plz Maysville, KY 41056 (606) 759-5341

Martin, Greg 3220 Irvin Cobb Paducah, KY 42003 (270) 442-5342

Gregory, Harold C 1360 Medical Park Dr Maysville, KY 41056 (606) 759-5341 Sherman, Keith T 15 E 3rd St Maysville, KY 41056 (606) 564-3650 Taylor, Gregory E 15 E 3rd St Maysville, KY 41056 (606) 564-3650

McCracken County Batts, Greg E 1900 Broadway St Ste 1 Paducah, KY 42001 (270) 443-2020 1900 Broadway Ste 2 Paducah, KY 42001 (270) 443-2020 Beliles, Christopher 5130 Hinkleville Rd Paducah, KY 42001 (270) 443-0401 Gamblin, Steven D 3215 Irvin Cobb Dr Ste 100 Paducah, KY 42003 (270) 441-7332 Gibson, Jennifer L 649 Lone Oak Rd Paducah, KY 42003 (270) 415-5080

Newberry, Daniel W 60 Lakeview Dr Paducah, KY 42001 (270) 554-2000 Owens, Mark L 1748 Broadway St Paducah, KY 42001 (270) 443-9955 Price, Martin G 3910 Hinkleville Rd Paducah, KY 42001 (270) 443-2090 Robertson, Paul E 3910 Hinkleville Rd Paducah, KY 42001 (270) 443-2090 Tucker, David N 1748 Broadway St Paducah, KY 42001 (270) 443-9955 Ward, Anita A 2302 Kentucky Ave Paducah, KY 42003 (270) 575-0977

McCreary County Chanthalangsy, Judy 19 Medical Loop Whitley City, KY 42653 (606) 376-5258 Martin, Frederick W 19 Medical Loop Whitley City, KY 42653 (606) 376-5258

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Sanderfur Roberts, Mallory N 255 Main St Calhoun, KY 42327 (270) 273-3000

Meade County Abney, L Brett 664 Bypass Rd Brandenburg, KY 40108 (270) 422-7766 Dankovich, Michael A 732 High St Brandenburg, KY 40108 (270) 422-4241 Gunn, Melinda B 732 High St Brandenburg, KY 40108 (270) 422-4241 Hall, Carolyn W 732 High St Brandenburg, KY 40108 (270) 422-4241 Steller, Rob A 732 High St Brandenburg, KY 40108 (270) 422-4241 Swearingen, Lindsay M 732 High St Brandenburg, KY 40108 (270) 422-4241 Sydnor, Carl 732 High St Brandenburg, KY 40108 (270) 422-4241

Mercer County Hoskins, Tammy G 201 S Main St Harrodsburg, KY 40330 (859) 734-3155

Whitlow II, Robert N 1406 W Stockton St Edmonton, KY 42129 (270) 432-0123 Whitlow, Cheryl G 1405 W Stockton St Edmonton, KY 42129 (270) 432-0123

Monroe County Birge, Steven 22 Executive Dr Tompkinsville, KY 42167 (270) 487-5741 Ross Jr, W Fowler 22 Executive Dr Tompkinsville, KY 42167 (270) 487-5741 Stephens, Heather R 22 Executive Dr Tompkinsville, KY 42167 (270) 487-5741

Montgomery County Crockett, Ryan L 25 Sterling Way Ste C Mount Sterling, KY 40353 (859) 498-4800 Helderman, Wayne A 1 N Maysville St Mount Sterling, KY 40353 (859) 498-6001 Jacobs, Edward T 1 N Maysville St Mount Sterling, KY 40353 (859) 498-6001

Schleter, Rebecca A 1 N Maysville St Mount Sterling, KY 40353 (859) 498-6001 Wolke, Ellen M 25 Sterling Way Ste C Mount Sterling, KY 40353 (859) 498-4800

Morgan County Nickell, Joel K 905 Main St West Liberty, KY 41472 (606) 743-4111 Steele Jr, Harry R 905 Main St West Liberty, KY 41472 (606) 743-4111

Muhlenberg County Mayes, Freddie M 1601 W Everly Bros Blvd Central City, KY 42330 (270) 754-4515 1601 W Everly Brothers Blvd Central City, KY 42330 (270) 754-4515 Mayes, Tyler N 1601 W Everly Bros Blvd Central City, KY 42330 (270) 754-4515 1601 W Everly Brothers Blvd Central City, KY 42330 (270) 754-4515 Schertzinger, John M 1725 W Everly Brothers Blvd Central City, KY 42330 (270) 754-4483 Soderling, John M 136 E Main Cross St Greenville, KY 42345 (270) 338-9636

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CoventryCares of Kentucky Tarter, L Kelly 224 Hopkinsville St Greenville, KY 42345 (270) 338-2400

Shrewsbury, Jonathan 1303 N Main St Beaver Dam, KY 42320 (270) 274-3294

Schuck, Richard E 92 Alexandria Pike Fort Thomas, KY 41075 (859) 781-2000

Salisbury, Richard D 230 Village Ln Hazard, KY 41701 (606) 436-0001

Myers, Mark R 109 Caroline Ave Pikeville, KY 41502 (606) 437-7587

Wood, Stephen 609 W Main St Powderly, KY 42367 (270) 338-4091

Oldham County

Seadler, Celeste M 109 South Walters Ave Hodgenville, KY 42748 (270) 358-8141

Sizemore, William D 161 Citizens Ln Hazard, KY 41701 (606) 436-3313

Osborne, J S 3469 N Mayo Trl Pikeville, KY 41501 (606) 437-7702

Sellers, Keith L 59 Carothers Rd Newport, KY 41071 (859) 491-1010

Sparkman, Timothy A 161 Citizens Ln Hazard, KY 41701 (606) 436-3313

Osborne, J Shane 3469 N Mayo Trail Pikeville, KY 41501 (606) 437-0334

Young, Josiah W 59 Carothers Rd Newport, KY 41071 (859) 491-1010

Watkins, Thomas W 120 Daniel Boone Plz Hazard, KY 41701 (606) 487-8489

Price, Noel B 254 Cassidy Blvd Pikeville, KY 41501 (606) 432-0238

Owen County

120 Daniel Boone Plz Hazard, KY 41701 (606) 487-8949

Reed, Meredith 254 Cassidy Blvd Pikeville, KY 41501 (606) 432-0077

Nelson County

Gaddie, Ian B 1917 S Highway 53 La Grange, KY 40031 (502) 225-0301

Brelage, Thomas G 206 W John Fitch Ave Bardstown, KY 40004 (502) 348-1107

Thompson, Sharon L 1917 S Highway 53 La Grange, KY 40031 (502) 225-0301

Cecil, Leslie W 115 S 5th St Bardstown, KY 40004 (502) 348-5125

Out of State County

McClellan, Robert L 115 S 5th St Bardstown, KY 40004 (502) 348-5125 Patrick, Cristina V 115 S 5th St Bardstown, KY 40004 (502) 348-5125 Patrick, Darren M 115 S 5th St Bardstown, KY 40004 (502) 348-5125 Schat, Holly R 115 S 5th St Bardstown, KY 40004 (502) 348-5125 Woody, Lisa S 311 N 3rd St Bardstown, KY 40004 (502) 348-8584

Ohio County Cohron, Todd 112 McMurtry Ave Ste 101 Hartford, KY 42347 (270) 298-7623 Sanderfur Roberts, Mallory N 1303 N Main St Beaver Dam, KY 42320 (270) 274-3294

Cartwright, Ehryn B 7517 Alexandria Pike Alexandria, KY 41001 (859) 635-7600 Ernst, James M 7517 Alexandria Pike Alexandria, KY 41001 (859) 635-7600 Garbig, Douglas J 92 Alexandria Pike Fort Thomas, KY 41075 (859) 441-3400 Garbig, Kristine K 92 Alexandria Pike Fort Thomas, KY 41075 (859) 441-3400 Georgilis, George J 92 Alexandria Pike Fort Thomas, KY 41075 (859) 781-2000 Herron, Julie A 6711 Alexandria Pike Alexandria, KY 41001 (859) 635-0948 Lameier, Kenneth A 6711 Alexandria Pike Alexandria, KY 41001 (859) 635-1848 Loesch, Kevin G 6711 Alexandria Pike Alexandria, KY 41001 (859) 635-1848

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Metzger, William 120 Progress Wy Owenton, KY 40359 (502) 484-9905

Pendleton County Ernst, James M 251 KY Highway 330 W Falmouth, KY 41040 (859) 654-2541

Pike County Belcher, Mary A 20 Spring Ave Elkhorn City, KY 41522 (606) 754-5775

Perry County

Cecil, James K 255 Church St Ste 102 Pikeville, KY 41501 (606) 432-5800

Avery, Dwight L 941 N Main St Hazard, KY 41701 (606) 439-4010

Clark III, Orville M 237 2nd St Pikeville, KY 41501 (606) 437-4285

941 North Main Street Hazard, KY 41701 (606) 439-4010

28402 US Highway 119 South Williamson, KY 41503 (606) 237-9823

Barker, David S 161 Citizens Ln Hazard, KY 41701 (606) 436-3313 Combs, Jerald F 161 Citizens Ln Hazard, KY 41701 (606) 436-3313 Hunsaker, James S 161 Citizens Ln Hazard, KY 41701 (606) 436-3313

Compton, Regina C 4219 N Mayo Trail Pikeville, KY 41501 (606) 432-3576 Lambert, Don H 28531 US Highway 119 South Williamson, KY 41503 (606) 237-7196 McCoy, Ronald G 419 Town Mountain Rd Pikeville, KY 41501 (606) 432-5543

Smith, Gary T 79 Mall Rd Ste A South Williamson, KY 41503 (606) 237-4551

Powell County Helderman, Wayne A 325 E College Ave Stanton, KY 40380 (606) 663-9998 Jacobs, Edward T 325 E College Ave Stanton, KY 40380 (606) 663-9998 Schleter, Rebecca A 325 E College Ave Stanton, KY 40380 (606) 663-9998

Pulaski County Anders, Michelle P 303 Langdon St Somerset, KY 42503 (606) 679-7461 Brown Murray, Tamela 165 Parkers Mill Way Somerset, KY 42503 (606) 677-0377

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CoventryCares of Kentucky Brown, Jennifer L 1005 W Columbia St Ste B Somerset, KY 42503 (606) 677-2020 Brown-Murray, Tamela M 165 Parkers Mill Way Somerset, KY 42503 (606) 677-0377 Caudill, Cliff 303 Langdon St Somerset, KY 42503 (606) 679-7461 Chanthalangsy, Judy 3810 S HWY 27 Ste 1 Somerset, KY 42501 (606) 678-4551 Crutchfield, Barbara J 303 Langdon St Somerset, KY 42503 (606) 679-7461 Eads, David M 177 Washington Dr Somerset, KY 42501 (606) 674-0033

Richardson, Don L 246 Poplar Ave Ste 1 Somerset, KY 42503 (606) 679-5588 Robinson Jr, William E 709 E Mount Vernon St Somerset, KY 42501 (606) 679-5177 Robinson, Philip A 3810 S HWY 27 Ste 1 Somerset, KY 42501 (606) 678-4551 Schleter, Harvey 709 E Mount Vernon St Somerset, KY 42501 (606) 679-5177

Rockcastle County Cain Jr, Lloyd L 205 Richmond St Mount Vernon, KY 40456 (606) 256-3937 Keltner, Margena L 205 Richmond St Mount Vernon, KY 40456 (606) 256-3937

Steele Jr, Harry R 333 Beacon Hill Rd Ste 200 Morehead, KY 40351 (606) 784-3393

Russell County Keltner, Margena L 1503 W Steve Wariner Dr Russell Springs, KY 42642 (270) 866-3177 Patterson II, Paul L 310 Steve Dr Ste 1 Russell Springs, KY 42642 (270) 866-4414 Watkins, T Susanne 1503 W Steve Wariner Dr Russell Springs, KY 42642 (270) 866-3177

Scott County

Rowan County

Burchett, Dwight M 201 Champion Way Ste 1 Georgetown, KY 40324 (502) 863-2020

Henson, Amy D 303 Langdon St Somerset, KY 42503 (606) 679-7461

Cole, Christa 200 Walmart Wy Morehead, KY 40351 (606) 784-3937

Cole, Christa 112 Osborne Way Georgetown, KY 40324 (502) 863-9777

Jacobs, Mark A 3810 S HWY 27 Ste 1 Somerset, KY 42501 (606) 678-4551

Mayo, Anthony J 129 W Main St Morehead, KY 40351 (606) 784-5355

McKinley, Lindsay K 3810 S HWY 27 Ste 1 Somerset, KY 42501 (606) 678-4551

McHugh, Robert T 137 E First St Morehead, KY 40351 (606) 783-1575

Habash, Kefah 107 Cross Winds Center Path Georgetown, KY 40324 (502) 863-6393

McKinley, Stephen M 3810 S HWY 27 Ste 1 Somerset, KY 42501 (606) 678-4551

Muha, Kevin M 200 Walmart Way Morehead, KY 40351 (606) 784-3937

177 Washington Dr Somerset, KY 42501 (606) 679-0033

Nichols, Joshua E 165 Parkers Mill Way Somerset, KY 42503 (606) 677-0377

200 Walmart Wy Morehead, KY 40351 (606) 784-3937

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Habash, Tessa R 107 Cross Winds Center Path Georgetown, KY 40324 (502) 863-6393 Harris, Anthony C 201 Champion Way Ste 1 Georgetown, KY 40324 (502) 863-2020

Keplinger, Brian L 110 Pocahontas Trail Georgetown, KY 40324 (502) 570-5770 Lodholz, Lauren R 201 Champion Way Ste 1 Georgetown, KY 40324 (502) 863-2020 McPeek, Christa 112 Osbourne Way Georgetown, KY 40324 (502) 863-9777 Muha, Kevin M 112 Osborne Way Georgetown, KY 40324 (502) 863-9777 Reynolds, William T 201 Champion Way Ste 1 Georgetown, KY 40324 (502) 863-2020 Schutte, Meghan A 1002 S Broadway St Georgetown, KY 40324 (502) 868-0422

Shelby County Bowersox, Daniel M 403 Washington St Shelbyville, KY 40065 (502) 647-3937 Cecil, Leslie W 500 Taylorsville Rd Shelbyville, KY 40065 (502) 647-7190 Keenan IV, Thomas J 1627 Midland Trail Shelbyville, KY 40065 (502) 633-2985 Keenan, Thomas J 1627 Midland Trl Shelbyville, KY 40065 (502) 633-2988 Rabaut, Kristen L 1627 Midland Trail Shelbyville, KY 40065 (502) 633-2985

1627 Midland Trl Shelbyville, KY 40065 (502) 633-2985 Wilder Sr., Derek L 1627 Midland Trl Shelbyville, KY 40065 (502) 633-2985 Wilder, Derek L 1627 Midland Trail Shelbyville, KY 40065 (502) 633-2985

Simpson County Bray, Rhonda K 1550 Nashville Rd Franklin, KY 42134 (270) 598-8755 Compton, Steven L 403 N College St Franklin, KY 42134 (270) 586-5181

Taylor County Anders, Michelle P 1886 Old Lebanon Rd Campbellsville, KY 42718 (270) 465-9237 Caudill, Cliff 1886 Old Lebanon Rd Campbellsville, KY 42718 (270) 465-9237 Crockett, Jason E 1800 Old Lebanon Rd Campbellsville, KY 42718 (270) 789-2023 Crutchfield, Barbara J 1886 Old Lebanon Rd Campbellsville, KY 42718 (270) 465-9237 Haley, Arthur A 399 Campbellsville Byp Campbellsville, KY 42718 (270) 469-4393

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CoventryCares of Kentucky Matthews, John H 725 Campbellsville Byp Campbellsville, KY 42718 (270) 465-3669

Union County Sagez Barnett, Sara L 104 S Court St Morganfield, KY 42437 (270) 389-2021

Duvall, Robert B 760 Campbell Ln Ste 120 Bowling Green, KY 42104 (270) 781-3937

Rooney, George P 1403 Andrea St Bowling Green, KY 42104 (270) 781-4909

Gaskin, Whitney L 3200 Ken Bale Blvd Bowling Green, KY 42103 (270) 745-0038

Tade, Darrell L 760 Campbell Ln Ste 120 Bowling Green, KY 42104 (270) 781-3937

738 Chestnut St Bowling Green, KY 42101 (606) 330-0055

Heltsley III, Russell K 2425 Scottsville Rd Bowling Green, KY 42104 (270) 846-2500

Tucker, Joe 335 New Towne Rd Bowling Green, KY 42103 (270) 842-0383

Segree, Joseph W 725 Campbellsville Byp Campbellsville, KY 42718 (270) 465-3669

Avery, O L 738 Chestnut St Bowling Green, KY 42101 (270) 781-6366

Henderson, Richard B 2608 Scottsville Rd Bowling Green, KY 42104 (270) 782-2025

Tucker, Joseph C 335 New Towne Rd Bowling Green, KY 42103 (270) 842-0383

Todd County

Breiwa, John N 335 New Towne Rd Bowling Green, KY 42103 (270) 842-0383

Jackson, Kevin 2608 Scottsville Rd Bowling Green, KY 42104 (270) 782-2025

Buckner Jr, James F 2608 Scottsville Rd Bowling Green, KY 42104 (270) 782-2025

Jeskie, John W 335 New Towne Rd Bowling Green, KY 42103 (270) 842-0383

Warden, Trina R 1256 Campbell Lane Ste 106 Bowling Green, KY 42104 (270) 796-6021

Burt, Kevin L 2608 Scottsville Rd Bowling Green, KY 42104 (270) 782-2025

Love, Tammy H 1256 Campbell Lane Ste 106 Bowling Green, KY 42104 (270) 796-6021

Coats, Adam G 760 Campbell Ln Ste 120 Bowling Green, KY 42104 (270) 781-3937

Price, William A 1403 Andrea St Bowling Green, KY 42104 (270) 781-4909

Coats, Chad M 952 Fairview Ave Bowling Green, KY 42101 (270) 781-2220

Raley, James A 150 Walton Ave Bowling Green, KY 42104 (270) 781-1923

Patterson II, Paul L 295 Campbellsville Byp Campbellsville, KY 42718 (270) 465-4677 Richardson, Leslie N 725 Campbellsville Bypass Campbellsville, KY 42718 (270) 465-3669

Murray, Brian R 81 Public Sq Elkton, KY 42220 (270) 265-9036 81 Public Square Elkton, KY 42220 (270) 265-9036 Murray, Paula P 81 Public Sq Elkton, KY 42220 (270) 265-9036 81 Public Square Elkton, KY 42220 (270) 265-9036

Trigg County Bostick, David B 13 Hospital St Cadiz, KY 42211 (270) 522-1234 Sutherland, Scott B 304 E Main St Cadiz, KY 42211 (270) 522-3263

Warren County Avery, Dwight L 738 Chestnut St Bowling Green, KY 42101 (270) 781-6366

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Ware, Lowell C 952 Fairview Ave Bowling Green, KY 42101 (270) 781-2220 Wilkins, Justin C 2625 Scottsville Rd Bowling Green, KY 42104 (270) 846-0131

Washington County Cecconi Jr, John W 108 Commercial Ave Springfield, KY 40069 (859) 336-9388 Hollingsworth Cecconi, Patricia M 108 Commercial Ave Springfield, KY 40069 (859) 336-9388

Taylor, Paul G 108 Commercial Ave Springfield, KY 40069 (859) 336-9388

Wayne County Breeding, Robert M 175 Walmart Plaza Dr Monticello, KY 42633 (606) 348-8000 80 Crawford St Monticello, KY 42633 (606) 348-8000 Hesse, Matthew J 211 Cumberland Xing Monticello, KY 42633 (606) 348-3355 Sawyer, James H 150 N Main St Monticello, KY 42633 (606) 348-9392

Whitley County Karr, Byron D 686 S HWY 25 W Ste 1 Williamsburg, KY 40769 (606) 549-2030 McKinley, Stephen M 207 Main St Williamsburg, KY 40769 (606) 549-0464 Overley, Eric T 207 Main St Williamsburg, KY 40769 (606) 549-0464 Watkins, Thomas W 1707 Falls HWY Ste U4 Corbin, KY 40701 (606) 528-7336 1707 Falls Rd Plaza Corbin, KY 40701 (606) 528-7336

Woodford County Brown, Jennifer L 105 Crossfield Dr Versailles, KY 40383 (859) 879-3665

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CoventryCares of Kentucky Callihan, Regina L 105 Crossfield Dr Versailles, KY 40383 (859) 879-3665 Drayer, Richard 149 Frankfort St Versailles, KY 40383 (859) 873-7805 Graebe, Richard S 105 Crossfield Dr Versailles, KY 40383 (859) 879-3665 105 Crossfield Dr Ste B Versailles, KY 40383 (859) 879-0089 Harlan, Aubrey S 202 Frankfort St Ste 107 Versailles, KY 40383 (502) 875-9860

Indiana Compton, Renee S 600 S Main St Salem, IN 47167 (812) 883-2700 Dankovich, Michael A 302 W 14th St Ste 100 Jeffersonville, IN 47130 (812) 284-0660 1919 State St Ste 140 New Albany, IN 47150 (812) 948-4680 1350 S Jackson St Salem, IN 47167 (812) 896-1717 Downing, Donn B 279 N Gardner St Ste 2 Scottsburg, IN 47170 (812) 752-5106 321 N Walnut St Seymour, IN 47274 (812) 522-4444 631 E Tipton St Seymour, IN 47274 (812) 522-4444 Egenmaier, Walter H 101 N W First St Evansville, IN 47708 (812) 426-2020

101 Nw 1st St Ste 112 Evansville, IN 47708 (812) 426-2020 Ewing, Vanessa J 55 Quartermaster Ct Jeffersonville, IN 47130 (812) 284-0077 Gunn, Melinda B 302 W 14th St Ste 100 Jeffersonville, IN 47130 (812) 284-0660 1919 State St Ste 140 New Albany, IN 47150 (812) 948-4680 1350 S Jackson St Salem, IN 47167 (812) 896-1717 Hall, Carolyn W 302 W 14th St Ste 100 Jeffersonville, IN 47130 (812) 284-0660 1919 State St Ste 140 New Albany, IN 47150 (812) 948-4680 1350 S Jackson St Salem, IN 47167 (812) 896-1717 Hedrick, Jack T 600 S Main St Salem, IN 47167 (812) 883-2700 Hickey, Carol L 4326 Charlestown Rd Ste 2 New Albany, IN 47150 (812) 945-0023 Lifferth, Austin R 55 Quartermaster Ct Jeffersonville, IN 47130 (812) 284-0077 Loehr, Thomas M 421 Chestnut St Evansville, IN 47713 (812) 426-9483 4233 Gateway Blvd Newburgh, IN 47630 (812) 474-7116

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Pelsor, Nathaniel J 201 W Iowa St Evansville, IN 47710 (812) 424-2020

Vancleve, Stephan A 101 Nw 1st St Ste 112 Evansville, IN 47708 (812) 426-2020

Peplinski, Lee S 55 Quartermaster Ct Jeffersonville, IN 47130 (812) 284-0077

Weyer, Eric J 421 Chestnut St Evansville, IN 47713 (812) 426-9483

Reynolds, Jennifer L 4326 Charlestown Rd Ste 2 New Albany, IN 47150 (812) 945-0023

4233 Gateway Blvd Newburgh, IN 47630 (812) 474-7116

Springston, Ashley L 201 W Iowa St Evansville, IN 47710 (812) 424-2020 Steller, Rob A 302 W 14th St Ste 100 Jeffersonville, IN 47130 (812) 284-0660 1919 State St Ste 140 New Albany, IN 47150 (812) 948-4680

Williams, Mark A 279 N Gardner St Ste 2 Scottsburg, IN 47170 (812) 752-5106 321 N Walnut St Seymour, IN 47274 (812) 522-4444 Woods, Larry D 421 Chestnut St Evansville, IN 47713 (812) 426-9483 4233 Gateway Blvd Newburgh, IN 47630 (812) 474-7116

8760 Union Centre Blvd West Chester, OH 45069 (513) 454-0544 Kies, Philip G 6779 Colerain Ave Cincinnati, OH 45239 (513) 741-1313 4452 Eastgate Blvd Ste 305 Cincinnati, OH 45245 (513) 752-5700 8760 Union Centre Blvd West Chester, OH 45069 (513) 454-0544 Lopper, Sarah 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-4751 Midwest Eye Center 4452 Eastgate Blvd Ste 305 Cincinnati, OH 45245 (513) 752-5700

Ohio

Raies, Michael W 1915 Scioto Trl Portsmouth, OH 45662 (740) 354-2821

Swearingen, Lindsay M 302 W 14th St Ste 100 Jeffersonville, IN 47130 (812) 284-0660

Bodack, Marie 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-4751

Saltarelli, Daniele 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-4751

1919 State St Ste 140 New Albany, IN 47150 (812) 948-4680

Craft, Katy M 6779 Colerain Ave Cincinnati, OH 45239 (513) 741-1313

1350 S Jackson St Salem, IN 47167 (812) 896-1717

1350 S Jackson St Salem, IN 47167 (812) 896-1717 Todd, Rebekah E 4826 Charlestown Rd Ste 2 New Albany, IN 47150 (812) 945-0023 600 S Main St Salem, IN 47167 (812) 883-2700 Van Cleve, Stephan A 101 N W First St Evansville, IN 47708 (812) 426-2020

4452 Eastgate Blvd Ste 305 Cincinnati, OH 45245 (513) 752-5700 8760 Union Centre Blvd West Chester, OH 45069 (513) 454-0544 Hughes, Glenn H 6779 Colerain Ave Cincinnati, OH 45239 (513) 741-1313

Tennessee Bugg, Alan K 1022 S Miles Ave Union City, TN 38261 (731) 885-1049 Byars Jr., William T 300 Broadway St South Fulton, TN 38257 (731) 479-3697 Davis, Fred D 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

4452 Eastgate Blvd Ste 305 Cincinnati, OH 45245 (513) 752-5700 Optometrist

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CoventryCares of Kentucky Drew, Matthew T 1111 Fort Campbell Blvd Clarksville, TN 37042 (931) 645-0346 1111a Fort Campbell Blvd Clarksville, TN 37042 (931) 645-0346 Kehler, Karl B 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Kehler, Lori Ann F 4601 Carothers Pkwy Franklin, TN 37067 (615) 791-0060 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Mathe, Dora S 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Rice, Charles A 207 W State Line St South Fulton, TN 38257 (731) 479-1334 Sonsino, Jeffrey 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Virginia Sawyer, Rob D 516 Powell Ave E Big Stone Gap, VA 24219 (276) 523-2424

Pharmacy Kentucky Adair County Certacare INC 937 Campbellsville Rd Ste 907 Columbia, KY 42728 (270) 385-9139

Languages: Hungarian

Columbia Pharmacy 803 Burkesville St Columbia, KY 42728 (270) 384-2117

McKinley, Lindsay K 16605 Alberta St Oneida, TN 37841 (423) 569-9339

Nation's Medicines 706 Jamestown St Columbia, KY 42728 (270) 384-5874

McKinley, Stephen M 467 Sunset Trail Jellico, TN 37762 (423) 784-2020

Prescription Shoppe 808 Jamestown St Columbia, KY 42728 (270) 384-2132

16605 Alberta St Oneida, TN 37841 (423) 569-9339

R & S Pulmonary Pharmacy 1545 Campbellsville Rd Columbia, KY 42728 (270) 385-9600

Mysliwiec, Kevin A 16605 Alberta St Oneida, TN 37841 (423) 569-9339 Overley, Eric T 467 Sunset Trail Jellico, TN 37762 (423) 784-2020

Allen County Carpenter Dent Drug INC 117 E Public Sq Scottsville, KY 42164 (270) 237-4446

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Medical Center At Scottsville 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800

Ely INC #0002 415 Happy Valley Rd Glasgow, KY 42141 (270) 651-8359

Medical Center Phcy @ Scottsville 456 Burnley Rd Scottsville, KY 42164 (270) 622-2846

Glasgow Prescription Ctr, 615 S L Rogers Wells Blvd Glasgow, KY 42141 (270) 651-8889

Pharmacy Arts 31 Burnley Rd Scottsville, KY 42164 (270) 618-4444

Highland Pharmacy 301 Rogers Rd Glasgow, KY 42141 (270) 629-4300

Stovalls Presc Shop 202 S Court St Scottsville, KY 42164 (270) 237-5402

Med Care Pharmacy Glasgow 110 Physicians Blvd Glasgow, KY 42141 (270) 651-2796

Anderson County Medstop Medical Pharmacy 753 W Broadway St Lawrenceburg, KY 40342 (502) 839-3418

Ballard County Sutton Drugs of La Center 234 Broadway La Center, KY 42056 (270) 665-5192 Wickliffe Pharmacy INC 409 Court St Wickliffe, KY 42087 (270) 335-3172

Barren County Cave City Prescription Center INC 101 S Dixie Hwy Cave City, KY 42127 (270) 773-2252 Ely Drugs, INC. 415 Happy Valley Rd Glasgow, KY 42141 (270) 651-8359

Medical Arts Pharmacy 1220 N Race St Glasgow, KY 42141 (270) 651-7030 Park Avenue Pharmacy 131 Park Ave Glasgow, KY 42141 (270) 651-5156 Parkland Drugs 209 N Dixie Hwy Cave City, KY 42127 (270) 773-3152 Pharmacy Express 415 S L Rogers Wells Blvd Glasgow, KY 42141 (270) 651-7948 Pharmerica #7059 301 Industrial Dr Glasgow, KY 42141 (800) 727-5514 Vann Healthcare 1220 N Race St Glasgow, KY 42141 (270) 651-7627

Bath County Bath Hometown Pharmacy 19 Miller Dr Owingsville, KY 40360 (606) 674-2423 Family Disc Drugs 60 Slate Ave Owingsville, KY 40360 (606) 674-6979 Owingsville Drugs 53 Miller Shopping Plaza Owingsville, KY 40360 (606) 674-6334

Bell County Family Discount Drugs 3603 Cumberland Ave Middlesboro, KY 40965 (606) 248-8900 Jeffs Pharmacy 120 Lothbury Ave Middlesboro, KY 40965 (606) 248-0171 Mikel's Pharmacy 1928 Cumberland Ave Middlesboro, KY 40965 (606) 248-1052 Peoples Choice Pharmacy 3004 Cumberland Ave Ste 101 Middlesboro, KY 40965 (606) 246-2001 Pineville Community Hospital Association 850 Riverview Ave Pineville, KY 40977 (606) 337-3051 Pineville Hosp O/P Phcy 850 Riverview Rd Pineville, KY 40977 (606) 337-4240 Pineville Pharmacy LLC 114 Pine Street Pineville, KY 40977 (606) 337-3335

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CoventryCares of Kentucky Rx Disount Pharmacy #7 1841 N 25th St Middlesboro, KY 40965 (606) 248-9330 Value Rx Pharmacy 251 S Pine St Pineville, KY 40977 (606) 337-3784

Boone County Burlington Pharmacy Health Care 5555 N Bend Rd Burlington, KY 41005 (859) 586-6700 Gary Shearer MD 7210 Turfway Rd Ste B Florence, KY 41042 (904) 739-1309 Med Care Pharmacy LLC 350 Aristocrat Dr Ste B Florence, KY 41042 (859) 689-7130 Remke Pharmacy #10 6920 Burlington Pike Florence, KY 41042 (859) 283-2730 Remke Pharmacy #11 1952 N Bend Rd Hebron, KY 41048 (859) 689-6416 Ruwe Family Pharmacy Florence 7220 Burlington Pike Florence, KY 41042 (859) 746-2800 St. Elizabeth Healthcare 4900 Houston Rd Florence, KY 41042 (859) 212-5200 Walton Family Pharmacy 305 Mary Grubbs Hwy Walton, KY 41094 (859) 485-7733

Bourbon County Medicine Stop Pharmacy 1339 Main St Paris, KY 40361 (859) 987-4023 Wilson Drug INC 2015b Main St Paris, KY 40361 (859) 987-5255

Boyd County Ashland Bellefonte Cancer Center 122 Saint Christopher Dr Ashland, KY 41101 (606) 836-0202 Ashland Center for Womens Hlth PLLC 617 23rd St Ste 415 Ashland, KY 41101 (606) 325-6888 Ashland Children's Clinic 700 13th St Ashland, KY 41101 (606) 329-0204 Body Mind Spirit Podiatric Center 500 14th St Ashland, KY 41101 (606) 324-3668 Boyd Co Pharmacy 12544 US Route 60 Ashland, KY 41102 (606) 929-5301 Gallaher's Pharmacy 2914 Blackburn Ave Ashland, KY 41101 (606) 329-2122 Healthy Way Pharmacy Cedar Knoll 1410 Eagle Dr Ashland, KY 41102 (606) 928-1001 Home Care Phcy of Ashland 720 Greenup Ave Ashland, KY 41101 (606) 325-1483

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Infusion Solutions 200 Mall Rd Ste 3 Ashland, KY 41101 (606) 325-1115 King's Daughters Family Pharmacy 613 23rd St Ste 110 Ashland, KY 41101 (606) 324-0092 McMeans Pharmacy 2920 Carter Ave Ashland, KY 41101 (606) 325-8400 Med Care Pharmacy 12270 Kevin Ave Ashland, KY 41102 (606) 929-9633 Medical Plaza Pharmacy 700 Saint Christopher Dr Ashland, KY 41101 (606) 833-3510 Tri-State Hematology Oncology PSC 617 23rd St Ste 19 Ashland, KY 41101 (606) 325-2221

Boyle County Bluegrass Drug Store 104 Ponder Ct Danville, KY 40422 (859) 236-3535 Danville Drug Company 135 E Main St Ste A Danville, KY 40422 (859) 236-5750 Danville Good Neighbor 60 Cassidy Way Ste 3 Danville, KY 40422 (859) 936-1222 Ephraim McDowell Reg Med Ctr Op Phy 217 S 3rd St Danville, KY 40422 (859) 239-1706

Ephraim McDowell Regional Medical Center 217 S 3rd St Danville, KY 40422 (859) 239-1000 The Medicine Shoppe #1503 900 Hustonville Rd Danville, KY 40422 (859) 238-0002

Bracken County Deans Pharmacy 109 Locust St Brooksville, KY 41004 (606) 735-2322 Reynolds Pharmacy 216 Main St Augusta, KY 41002 (606) 756-2204

Breathitt County Breathitt Prescription 1112 Main St Jackson, KY 41339 (606) 666-7574 Family Phcy of Jackson 265 HWY 155 Ste 2 Jackson, KY 41339 (606) 666-5519 Hometown Pharmacy 95 Jackson Hts Jackson, KY 41339 (606) 666-5500 Jackson Apothecary 842 Highway 15 N Jackson, KY 41339 (606) 666-7060 The Plaza Pharmacy 1389 Highway 15 N Jackson, KY 41339 (606) 666-4444

Breckinridge County Breckinridge Memorial Hospital Phcy 1011 Old Highway 60 Hardinsburg, KY 40143 (270) 756-6557

Save-Rite Drug 14020 E Highway 60 Irvington, KY 40146 (270) 547-2855 Taylor Pharmacy 109 Fairgrounds Rd Hardinsburg, KY 40143 (270) 756-5222 Towne & Country Phcy 675 US Highway 60 Byp Hardinsburg, KY 40143 (270) 756-2151

Bullitt County Beelers Drug Store 11715 S Preston Hwy Lebanon Jctn, KY 40150 (502) 833-4831 The Medica Pharmacy 181 Highway 44 E Ste 5 Shepherdsville, KY 40165 (502) 543-2423 Value Market #46 205 Oakbrooke Dr Mount Washington, KY 40047 (502) 955-1262

Butler County King Drug and Home Care 255 W G L Smith St Morgantown, KY 42261 (270) 526-6980 King Drug and Home Care - Morgantown 255 W Gl Smith St Morgantown, KY 42261 (270) 526-6980 Morgantown Rx Center INC 214 S Main St Morgantown, KY 42261 (270) 526-3332

Caldwell County Caldwell Medical Center 100 Medical Center Dr Princeton, KY 42445 (270) 365-0380 Pharmacy

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CoventryCares of Kentucky Corner Homecare 108 E Washington St Princeton, KY 42445 (270) 365-3903 Pharmacy Corner 700 Cassidy Ave Fredonia, KY 42411 (270) 545-3413 Princeton Drug 103 W Main St Princeton, KY 42445 (270) 365-5585

Fort Thomas Drug Center 26 N Fort Thomas Ave Fort Thomas, KY 41075 (859) 441-1140 Good Health Pharmacy PLLC 100 Crossing Dr Wilder, KY 41076 (859) 442-0900

Calloway County

Newport Drug Center 948 York St Newport, KY 41071 (859) 291-2578

Express Pharmacy INC 2800 Radio Rd Almo, KY 42020 (270) 753-3634

Remke Drugstore #9 82 Carothers Rd Newport, KY 41071 (859) 655-2241

Medical Arts Pharmacy 300 S 8th St Murray, KY 42071 (270) 753-2011

Ruwe Family Pharmacy Bellevue 103 Landmark Dr Bellevue, KY 41073 (859) 291-8665

Murray Calloway County Hospital Rx 803 Poplar St Murray, KY 42071 (270) 762-1197

St Elizabeth Healthcare 85 N Grand Ave Fort Thomas, KY 41075 (859) 572-3100

Walter's Family Pharmacy 604 S 12th St Murray, KY 42071 (270) 753-7688

Carlisle County

Campbell County

Arlington Pharmacy INC Highway 51 Arlington, KY 42021 (270) 655-6151

Alexandria Drugs 7857 US Highway 27 Alexandria, KY 41001 (859) 635-2171

Bardwell Pharmacy 178 US HWY 51 N. Bardwell, KY 42023 (270) 628-5445

Avenue Pharmacy 118 6th Ave Dayton, KY 41074 (859) 491-1700 Flagg Springs Pharmacy 3501 Shortcut Rd California, KY 41007 (859) 448-0309

Carroll County Webster Drug 99 Parklane Shopping Ctr Carrollton, KY 41008 (502) 732-4331 Webster Drug INC 99 Park Ln Carrollton, KY 41008 (502) 732-4331

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Carter County Carter Family Pharmacy 136 Jessica Ln Ste E Olive Hill, KY 41164 (606) 286-2029 Grayson Family Drug 131 S Carol Malone Blvd Ste E Grayson, KY 41143 (606) 475-0232 Horton Brothers & Brown Phcy LLC 128 E Main St Grayson, KY 41143 (606) 474-5655 Medicine Cabinet Pharmacy 230 State Highway 2 Olive Hill, KY 41164 (606) 286-2035

Casey County Hill's Valu-Rite Phcy 33 Trammel St Liberty, KY 42539 (606) 787-8321 Wesley Drug Co INC 535 Middlebrug St Liberty, KY 42539 (606) 787-6181

Christian County Cayce's Eagle Way Pharmacy 211 Burley Ave Hopkinsville, KY 42240 (270) 885-1220 Cayces Pharmacy 1112 W 7th St Hopkinsville, KY 42240 (270) 886-4466 Crofton Pharmacy 110 E Main St Crofton, KY 42217 (270) 424-8965 Jennie Stuart Medical 1724 Kenton St Ste 1e Hopkinsville, KY 42240 (270) 887-0348

Save More Drugs 2208 Fort Campbell Blvd Hopkinsville, KY 42240 (270) 885-5515 Tom's Family Pharmacy 815 Country Club Ln Hopkinsville, KY 42240 (270) 885-1524 Town & Country Dsct Drugs 3217 Lafayette Rd Hopkinsville, KY 42240 (270) 885-6131 Western State Hospital Pharmacy 2400 Russellville Rd Hopkinsville, KY 42240 (270) 889-6025

Clark County Clark County Pharmacy 1520b Boonesboro Rd Winchester, KY 40391 (859) 744-3350 Clark Regional Medical Center 175 Hospital Dr Winchester, KY 40391 (859) 745-3500 Corner Drug Store 4 N Highland St Winchester, KY 40391 (859) 744-6844 Feet First Podiatry 172 Pedro Way Winchester, KY 40391 (859) 745-7890 Home Convalescent Aids, INC. 1113 W Lexington Ave Winchester, KY 40391 (859) 745-4445

Clay County Burning Spings Clinic Pharmacy 11901 N Highway 421 Manchester, KY 40962 (606) 599-8891

Clay Discount Drug 2734 S Highway 421 Manchester, KY 40962 (606) 598-0330 Community Drug of Maanchester INC 1668 S Highway 421 Manchester, KY 40962 (606) 599-0505 Family Drug #0003 214 Bridge St Manchester, KY 40962 (606) 598-6737 Family Drug Center 110 Manchester S/C Manchester, KY 40962 (606) 598-8831 H & N Drug INC 515 Memorial Dr Ste 2 Manchester, KY 40962 (606) 598-3674 Hometown PharamcY of Manchester LLC 397 Old US Highway 421 Manchester, KY 40962 (606) 598-6337 Medi Center Drugs 509 Memorial Dr Ste 1 Manchester, KY 40962 (606) 598-7933

Clinton County Dyer Drug 100 W Cumberland St Albany, KY 42602 (606) 387-6444 Shearer Drug 127 Foothills Ave Ste 2 Albany, KY 42602 (606) 387-6616

Crittenden County Crittenden County Hospital 520 W Gum St Marion, KY 42064 (270) 965-1012

Pharmacy

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CoventryCares of Kentucky Glenns Apothecary 520 W Gum St Marion, KY 42064 (270) 965-4102 Kb Pharmacy 320 S Main St Marion, KY 42064 (270) 967-9007

Cumberland County Capps Pharmacy 331 Keen St Burkesville, KY 42717 (270) 864-1606 Cumberland County Hospital 299 Glasgow Rd Burkesville, KY 42717 (270) 864-2511 Morgan's Medicine PLLC 360 Keen St Burkesville, KY 42717 (270) 864-2222

Daviess County Danhauer Drug Long Term 328 Frederica St Owensboro, KY 42301 (270) 684-0129 Danhauer Drug Store INC 330 Frederica St Owensboro, KY 42301 (270) 684-2341 Emory Centre Pharmacy 527 Emory Dr Owensboro, KY 42301 (270) 684-0649 King Drug & Home Care 1156 Carter Rd Owensboro, KY 42301 (270) 683-7010

Medshop Pharmacy & Wellness Center 720 W Byers Ave Owensboro, KY 42303 (270) 683-2400

Healthy Way Pharmacy Rt 7 Main Street Sandy Hook, KY 41171 (606) 738-4041

Corner Pharmacy LLC 1701 Alexandria Dr Ste C Lexington, KY 40504 (859) 309-1230

Pasadena Pharmacy LLC 280 Pasadena Dr Lexington, KY 40503 (859) 260-2469

Mills Drug Store 1000 E 4th St Owensboro, KY 42303 (270) 683-1571

Estill County

Family Practice Assoc of Lexington 1775 Alysheka Way Suite 201 Lexington, KY 40509 (859) 977-2123

Pharmacare INC 921 Beasley St Ste 102 Lexington, KY 40509 (859) 299-2161

Nation's Medicines 3000 Alvey Park Dr W Owensboro, KY 42303 (270) 926-4080 Nations Medicines # C2 415 Carter Rd Owensboro, KY 42301 (270) 685-0557 Poole's Pharmacy Care 2200 E Parrish Ave Owensboro, KY 42303 (270) 926-6260

Estill Clinical Pharmacy 275 Court St Irvine, KY 40336 (606) 723-0044 Irvine Healthmart Pharmacy 905 Richmond Rd Irvine, KY 40336 (606) 723-5446 Plaza Pharmacy 1220 Richmond Rd Irvine, KY 40336 (606) 723-5315 River Drive Pharmacy LLC 223 River Dr Irvine, KY 40336 (606) 723-0265

Genoa Healthcare of Kentucky LLC 1351 Newtown Pike Bldg 5 Lexington, KY 40511 (859) 554-4187 Hubbard & Curry Pharmacy 2387 Professional Heights Dr Lexington, KY 40503 (859) 278-8408

Professional Arts 1401 Harrodsburg Rd Ste B155 Lexington, KY 40504 (859) 276-3905 Professional Plz Phcy 3050 Harrodsburg Rd Lexington, KY 40503 (859) 278-6449 The Pharmacy Shop 455 Southland Dr Ste A Lexington, KY 40503 (859) 278-7282

Kentucky Clinic Pharmacy 740 S Limestone #j-134 Lexington, KY 40536 (859) 323-6016

UK Healthcare Chandler Hospital 800 Rose St Lexington, KY 40536 (859) 323-5000

Fayette County

Lexington Clinic E Phcy 100 N Eagle Creek Dr Lexington, KY 40509 (859) 258-5562

Wheeler Pharmacy 336 Romany Rd Lexington, KY 40502 (859) 266-1131

Edmonson Drug Company INC. 432 S Main St Brownsville, KY 42210 (270) 597-2386

Bluegrass Pharmacy LLC 395 Elaine Dr Ste 110 Lexington, KY 40504 (859) 233-0731

Lexington Clinic Phcy 1221 S Broadway Lexington, KY 40504 (859) 258-4794

Prescription Shoppe 1571 KY Highway 259 N Brownsville, KY 42210 (270) 597-2181

C&C Pharmacy 3122 Mapleleaf Dr Lexington, KY 40509 (859) 263-1220

Lexington Fayette Co Health Dept 650 Newtown Pike Lexington, KY 40508 (859) 288-2389

Elliott County

Centeral Baptist Home Infusion 278 Southland Dr Ste 100 Lexington, KY 40503 (800) 286-6197

Whitesville Drug Store 10053 Main St Whitesville, KY 42378 (270) 233-4166

Edmonson County Alford's Pharmacy 210 S Main St Ste 100 Brownsville, KY 42210 (270) 597-1044

Discount Drug Mart 121 S KY 7 Sandy Hook, KY 41171 (606) 738-5111

Lincoln Pharmacy INC 2816 Veach Rd Owensboro, KY 42303 (270) 684-7278

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

White House Clinic Pharmacy 30 Stacy Lane Rd Irvine, KY 40336 (606) 723-0665

Lexington Foot Ankle Center PSC 1401 Harrodsburg Rd Ste C115 Lexington, KY 40504 (859) 278-8855

Fleming County Colonial Village Pharmacy 209 S Main Cross St Flemingsburg, KY 41041 (606) 845-2101 Fleming County Hospital 55 Foundation Dr Flemingsburg, KY 41041 (606) 849-5000 Flemingsburg Family Health Ctr Phcy 520 Elizaville Ave Flemingsburg, KY 41041 (606) 845-0402

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CoventryCares of Kentucky Plaza Pharmacy 118 Clark St Flemingsburg, KY 41041 (606) 845-3421

Floyd County Antoin Hana 4851 KY Route 321 Prestonsburg, KY 41653 (606) 886-1173 Archer Clinic Pharmacy 400 University Dr Ste 100 Prestonsburg, KY 41653 (606) 886-1202 Betsy Layne Pharmacy INC 11105 US Highway 23 S Betsy Layne, KY 41605 (606) 478-9474 Cme Iv 1152 Riverside Dr Prestonsburg, KY 41653 (606) 886-0333 Cooley Apothecary INC 128 N Lake Dr Prestonsburg, KY 41653 (606) 886-8106 Downtown Drug 90 Triangle St Martin, KY 41649 (606) 285-0786 East Kentucky Drug INC 160 Conn St Ste 2 Ivel, KY 41642 (606) 478-3784 Family Drg of Wheelwright 107 KY Route 306 Bypro, KY 41612 (606) 452-4134 Harold Clinic Pharmacy 24 Pinhook Road Harold, KY 41647 (606) 478-1600

Highlands Regional Medical Center 5000 Kentucky Route 321 Prestonsburg, KY 41653 (606) 886-7600 Howard Family Pharmacy INC 327 KY Route 550 Eastern, KY 41622 (606) 358-4800 Lackey Pharmacy Route 550 At Millard Lackey, KY 41643 (606) 358-2661 McDowell Professional Phy 9549 Kentucky Route 122 Mc Dowell, KY 41647 (606) 377-1088 Med Express Pharmacy LLC 487 University Dr Prestonsburg, KY 41653 (606) 886-9320 Medical Center Pharmacy 5000 KY Route 321 Prestonsburg, KY 41653 (606) 886-7685 Medicine Market Pharmacy 10870 Main St Martin, KY 41649 (606) 285-9280

Parkview Pharmacy INC 8274 KY Route 122 Minnie, KY 41651 (606) 377-2117 Value Med Pharmacy INC 334 N Lake Dr Prestonsburg, KY 41653 (606) 886-3030

Franklin County Capital Pharmacy & Med Equipment 662 E Main St Frankfort, KY 40601 (502) 223-2827 Caremark, INC. National Contract Frankfort, KY 40601 Wayne's Pharmacy 1230 US Highway 127 S Frankfort, KY 40601 (502) 875-2550

Fulton County Evans Rexall Drug Co 212 Lake St Fulton, KY 42041 (270) 472-2421 Medcare Pharmacy & Home Medical 2009 S 7th St Hickman, KY 42050 (270) 236-2588

Gallatin County

Medzone Pharmacy 5291 KY Route 321 Prestonsburg, KY 41653 (606) 889-9003

Beringer Drug Center 102 W Main St Warsaw, KY 41095 (859) 567-4601

Mud Creek Clinic Pharmacy 7629 Eula Hall Hwy Grethel, KY 41631 (606) 587-2200

Garrard County

Neighborhood Pharmacy 5230 KY Route 321 Ste 5 Prestonsburg, KY 41653 (606) 889-8570

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Sutton Pharmacy 330 W Maple Ave Lancaster, KY 40444 (859) 792-4703

Grant County Grant County Drugs INC 24 S Main St Dry Ridge, KY 41035 (859) 823-5271 Grant County Drugs North 375 Violet Rd Ste A Crittenden, KY 41030 (859) 428-3784 Grant County Drugs Williamstown 302 Barnes Rd Williamstown, KY 41097 (859) 824-4239 Total Care Pharmacy #3 40 Broadway St Dry Ridge, KY 41035 (859) 823-0200 Total Care Pharmacy #4 105 Spears Ln Crittenden, KY 41030 (859) 428-0900

Graves County Apothecary Shoppe 1520 Cuba Rd Mayfield, KY 42066 (270) 247-3111 Duncan Clinic Pharmacy 1111 Medical Center Cir Mayfield, KY 42066 (270) 247-7000 Duncan Prescription Cntr 315 W Broadway Mayfield, KY 42066 (270) 247-3345 Gibson Discount Pharmacy 715 E Broadway Mayfield, KY 42066 (270) 247-7300

Jackson Purchase Medical Center 1099 Medical Center Cir Mayfield, KY 42066 (270) 251-4100 Stones Pharmacy 414 S 9th St Mayfield, KY 42066 (270) 247-3232 Western KY Family Hlthcare INC 318 S 7th St Mayfield, KY 42066 (270) 251-3223

Grayson County Clarkson Drug Store INC 201 Millerstown St Clarkson, KY 42726 (270) 242-3811 Midway Pharmacy 408 E Maple St Caneyville, KY 42721 (270) 879-6355 627 W Main St Clarkson, KY 42726 (270) 242-2331 908 Wallace Ave Ste 105 Leitchfield, KY 42754 (270) 259-8400 Montgomery Drugs 201 S Main St Leitchfield, KY 42754 (270) 259-3125

Green County Eastridge Phelps Phcy Greensburg 1915 Campbellsville Rd Greensburg, KY 42743 (270) 299-2333 Health First Pharmacy PSC 111 S Main St Greensburg, KY 42743 (270) 299-2467

Pharmacy

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CoventryCares of Kentucky Greenup County Mc Donald Pharmacy INC 437 James E Hannah Dr South Shore, KY 41175 (606) 932-3614 Stultz Flatwoods Pharmacy 2420 Argillite Rd Ste A Flatwoods, KY 41139 (606) 834-1052 Stultz Pharmacy INC 1615 Ashland Rd Greenup, KY 41144 (606) 473-7346 The Wright Pharmacy INC 82 Biggs Ln South Shore, KY 41175 (606) 932-2202

Hardin County Adio Pharmacy 150 Raleigh Dr Elizabethtown, KY 42701 (270) 234-8111 Apothecare Pharmacy Of 1239 Woodland Dr Ste 102 Elizabethtown, KY 42701 (270) 739-0303 Apothecary Pharmacy II @ Cardinal 908 Woodland Dr Elizabethtown, KY 42701 (270) 982-0303 Etown Pharmacy 914 N Dixie Ave Ste 103 Elizabethtown, KY 42701 (270) 900-1583 Jeffs Prescription Shop 2415 Ring Rd Elizabethtown, KY 42701 (270) 765-2157

Kentucky Footland Ankle Specialists 1239 Woodland Dr Elizabethtown, KY 42701 (270) 737-3338 Nation's Medicines Phcy 790 N Dixie Ave Ste 1100 Elizabethtown, KY 42701 (270) 737-7880 Save-Rite Drugs Radcliff 990 S Pixie Ave Ste 6 Radcliff, KY 40160 (270) 351-3784 Syed Z Ahmed MD 1009 N Dixie Ave Elizabethtown, KY 42701 (270) 765-4361

Harlan County Cloverfork Clinic Phcy 101 Chad St Evarts, KY 40828 (606) 837-2100 Cumberland Drug Co INC 1803 E Main St Cumberland, KY 40823 (606) 589-0003 Donell's Pharmacy 40 W Highway 72 Baxter, KY 40806 (606) 573-4550 Food City Pharmacy 2478 Woodland Plaza Harlan, KY 40831 (606) 573-7200 Harlan Medical Ctr Phcy 132 Village Center Rd Harlan, KY 40831 (606) 573-2004

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Harrison County Clinic Pharmacy 1210 KY Highway 36 E Ste G6 Cynthiana, KY 41031 (859) 234-2777 Eastside Pharmacy 430 E Pleasant St Ste 2 Cynthiana, KY 41031 (859) 234-6800 Hometown Pharmacy of Cynthiana 1134 US Highway 27 S Cynthiana, KY 41031 (859) 234-5600 Your Pharmacy LLC 208 W Pleasant St Ste 2 Cynthiana, KY 41031 (859) 234-5400

Hart County

T & T Drug Store INC 1331 Clay St Henderson, KY 42420 (270) 827-3503 United Phcy Associates 1900 US Highway 41 N Unit 4 Henderson, KY 42420 (270) 826-6790

Henry County Cooks #0001 42 S Penn Ave Eminence, KY 40019 (502) 845-4217 Cooks #0002 8154 Main St Campbellsburg, KY 40011 (502) 532-7388

Hickman County

Branstetter Discount Phcy 141 E Main St Horse Cave, KY 42749 (270) 786-2466

Byassee Drug Co 107 E Clay St Clinton, KY 42031 (270) 653-2151

Clarks Drug INC 232 Main St Munfordville, KY 42765 (270) 524-3669

Perkins Pharmacy 119 E Clay St Ste 199 Clinton, KY 42031 (270) 653-5361

Henderson County

Hopkins County

Barrys Pharmacy 700 N Green St Henderson, KY 42420 (270) 826-3957

America's #1 Health Store 728 S Main St Madisonville, KY 42431 (270) 821-8500

Dunaway Drug Stores 110 3rd St Henderson, KY 42420 (270) 826-6565 Dunaways Imperial Pharmacy 110 3rd St Henderson, KY 42420 (270) 826-6565 Methodist Hospital 1305 N Elm St Henderson, KY 42420 (270) 827-7700

Blue Grass Ltc Pharmacy 1128 N Main St Ste 3 Madisonville, KY 42431 (270) 821-7335 Don Peeler Pharmacy 127 E North St Madisonville, KY 42431 (270) 821-5440 Hanson Pharmacy & Wellness Cntr LLC 7455 Hanson Rd Hanson, KY 42413 (270) 322-1234

King Drug and Home Care 444 S Main St Madisonville, KY 42431 (270) 821-4999 King Drug and Home Care -Madisonville 44 McCoy Ave Madisonville, KY 42431 (270) 825-8833 Madisonville Pharmacy 200 Clinic Dr Ste 101 Madisonville, KY 42431 (270) 824-2261 Nations Medicines 1128 N Main St Madisonville, KY 42431 (270) 825-2775 Nortonville Pharmacy 102 Greenville Rd Nortonville, KY 42442 (270) 676-8268 Woodburn Pharmacy 400 E Arcadia Ave Dawson Spgs, KY 42408 (270) 797-2761

Jackson County Annville Pharmacy Kentucky HWY 3444 Annville, KY 40402 (606) 364-3113 Hometown Pharmacy of McKee INC 581 Main St N Mc Kee, KY 40447 (606) 287-4719 White House Clinic Phcy 1010 Main St S Mc Kee, KY 40447 (606) 287-7104

Jefferson County Accredo Therapeutics, INC. 2115 Stanley Gault Pkwy #150 Louisville, KY 40223 (502) 244-2400

Pharmacy

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CoventryCares of Kentucky Audubon Pharmacy 2355 Poplar Level Rd Ste 101 Louisville, KY 40217 (502) 371-1002

East End Primary Care PLLC 907 Lyndon Ln Louisville, KY 40222 (502) 412-1904

Medical Towers Pharmacy 234 E Gray St Ste 140 Louisville, KY 40202 (502) 583-6777

University of Louisville 530 S Jackson St Louisville, KY 40202 (502) 562-3571

Baptist Health Louisville 4000 Kresge Way Louisville, KY 40207 (502) 897-8100

Efillrx #2 6400 Dutchmans Pkwy Ste 140 Louisville, KY 40205 (502) 259-5050

Pca Pharmacy 2701 Chestnut Station Ct Louisville, KY 40299 (502) 526-0051

Commons Commnuity Pharmacy 9404 Norton Commons Blvd Prospect, KY 40059 (502) 614-7325

Hazelwood Facility Pharmacy 1800 Bluegrass Ave Louisville, KY 40215 (502) 361-2301

Pharmacy Alternatives LLC 1620 Eastpoint Pkwy Louisville, KY 40223 (502) 245-4239

University of Louisville Hospital 401 E Chestnut St Unit 180 Louisville, KY 40202 (502) 813-6100

Hctc Pharmacy 1009 Dupont Sq N # A Louisville, KY 40207 (502) 894-9951

Pharmacy Plus 220 Abraham Flexner Way Louisville, KY 40202 (502) 561-3905

Compound Care Pharmacy LLC 12121 Shelbyville Rd Ste 107 Louisville, KY 40243 (502) 244-6500 Cox Pharmacy INC 5005 Preston HWY Ste 104 Louisville, KY 40213 (502) 969-2341 Cox's Variety & Pharmacy #5 9843 3rd Street Rd Louisville, KY 40272 (502) 933-8444 Cox's Variety Pharmacy 4934 Manslick Rd Louisville, KY 40216 (502) 364-0901 D & R Pharmacare 4400 Ole Brickyard Cir Louisville, KY 40218 (502) 454-0803 E Fill Rx LLC 100 E Liberty St Ste 700 Louisville, KY 40202 (502) 568-8830 East Broadway Pharmacy 2304 Hurstbourne Village Dr Louisville, KY 40299 (502) 589-1828

Hume Pharmacy 10216 Taylorsville Rd Ste 800 Louisville, KY 40299 (502) 267-7453 James R Wharton 13802 Lake Point Cir Louisville, KY 40223 (502) 245-4450 Kentuckiana Pain Specialists 2831 S Hurstbourne Pkwy Ste A Louisville, KY 40220 (502) 995-4004 L Peters Pain Management 4402 Churchman Ave Ste 404 Louisville, KY 40215 (502) 368-9591 Md2u PLLC 105 Crescent Ave Louisville, KY 40206 (502) 327-9100 Med Care Pharmacy 11420 Watterson Ct Ste 600 Jeffersontown, KY 40299 (502) 297-8802

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

1850 Bluegrass Ave Louisville, KY 40215 (502) 363-3791 Phcy Corp of Amer #4117 12100 Plantside Dr Louisville, KY 40299 (502) 266-0811 Robert Zax 444 S 1st St Ste 100 Louisville, KY 40202 (502) 814-1970 Simons Prospect Apoth 9217 US Highway 42 Prospect, KY 40059 (502) 228-4161 The Family Health Centers Pharmacy 2215 Portland Ave Louisville, KY 40212 (502) 772-0889 The State Pharmacy 825 S 6th St Louisville, KY 40203 (502) 562-5636 The Village Pharmacy 1100 E Market St Louisville, KY 40206 (502) 596-1232

Valu Market #43 315 Whittington Pkwy Louisville, KY 40222 (502) 327-8894 Valu Market Pharmacy 7519 Outer Loop Louisville, KY 40228 (502) 231-2424 Vna Nazareth Home Care 5000 Commerce Crossings Dr Louisville, KY 40229 (502) 585-7677 Wagner Pharmacy INC 3113 S 4th St Louisville, KY 40214 (502) 375-3800 Whitehead Drug Store INC 1502 S 7th St Louisville, KY 40208 (502) 637-1489 Wish's Drugs #1 INC 9615 Whipps Mill Rd Louisville, KY 40242 (502) 425-1146

Jessamine County Drug Mart 104 Edgewood Plaza Dr Nicholasville, KY 40356 (859) 885-6056 Sims Drug 319 E Main St Wilmore, KY 40390 (859) 858-2453

The Prescription Pad 465 Keene Centre Dr Nicholasville, KY 40356 (859) 887-2841

Johnson County Highlands Medical Office 713 Broadway St Ste 101 Paintsville, KY 41240 (606) 789-3670 Medicine Cabinet Pharmacy 515 Broadway St Paintsville, KY 41240 (606) 789-9988 Mountain Apothecary 834 S Mayo Trl Paintsville, KY 41240 (606) 789-6150 Value Med INC 209 N Mayo Trl Ste B Paintsville, KY 41240 (606) 789-5995

Kenton County Blanks Pharmacy INC 272 Pike St Covington, KY 41011 (859) 261-1313 Boeckley Community Phcy 3712 Winston Ave Covington, KY 41015 (859) 261-0605 Cherokee Drug Shoppe 6439 Taylor Mill Rd Independence, KY 41051 (859) 356-3121 Crestville Drugs 2446 Anderson Rd Crescent Springs, KY 41017 (859) 341-1660 Drug Shoppe INC 2515 Dixie Hwy Fort Mitchell, KY 41017 (859) 341-2000

Pharmacy

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CoventryCares of Kentucky Ludlow Pharmacy 130 Elm St Ludlow, KY 41016 (859) 261-2210

Napier Family Drug 47 Main St E Hindman, KY 41822 (606) 785-3143

Nie's Independence Phcy 11745 Madison Pike Independence, KY 41051 (859) 356-3941

Uk-June Bucahanan Pharmacy 59 Cowtown Rd Hindman, KY 41822 (606) 785-3178

Pauls Pharmacy 434 Scott St Covington, KY 41011 (859) 431-3304 Remke Pharmacy #4 5016 Old Taylor Mill Rd Taylor Mill, KY 41015 (859) 655-3901 Remke Pharmacy #7 560 Clock Tower Way Crescent Springs, KY 41017 (859) 578-4623 Save Discount Drugs 716 Madison Ave Covington, KY 41011 (859) 431-2857 Semc Medical Village Phcy 20 Medical Village Dr Edgewood, KY 41017 (859) 301-9025 St Elizabeth O/P Pharmacy 1 Medical Village Dr Edgewood, KY 41017 (859) 301-2036

Knott County East Kentucky Pharmacy INC 566 Highway 899 Hindman, KY 41822 (606) 785-3784 Knott Prescription Center 59 Highway 80 E Ste 1 Hindman, KY 41822 (606) 785-0889

Knox County Bowling Family Pharmacy 315 Hospital Dr Barbourville, KY 40906 (606) 545-6530 Creech & Gibbs Pharmacy 13369 N US Highway 25 E Corbin, KY 40701 (606) 523-1911 Hinkle Hometown Drug Store INC 590 Old 25 E Barbourville, KY 40906 (606) 546-8860 Knox Professional Phcy 511 Knox St Barbourville, KY 40906 (606) 546-3171 Parkway Pharmacy 7265 S US Highway 25 E Barbourville, KY 40906 (606) 546-3464

Larue County Lincoln Parkway Pharmacy 117 Lincoln Dr Hodgenville, KY 42748 (270) 358-2117 Smith Drug Company INC 104 N Lincoln Blvd Hodgenville, KY 42748 (270) 358-3306

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Laurel County Laurel Heights N/H Phcy 208 W 12th St London, KY 40741 (606) 864-4155 Med-Mart Pharmacy 87 Cvb Dr London, KY 40741 (606) 878-1200 Plaza Drug 707 N Laurel Rd London, KY 40741 (606) 864-2600 Thompson Disc Drug 810 E 4th St London, KY 40741 (606) 878-7713 Thompson Drug 803 Meyers Baker Rd Ste 110 London, KY 40741 (606) 877-1008

Riverview Pharmacy 201 S Water St Louisa, KY 41230 (606) 638-9218

Family Drug of Neon 972 Highway 317 Neon, KY 41840 (606) 855-4428

Three Rivers Medical Center 2483 Highway 644 Louisa, KY 41230 (606) 638-9451

Isom Community Pharmacy 93 Isom Dr Isom, KY 41824 (606) 633-9238

Languages: Spanish Town Hill Pharmacy 115 Town Hill Rd Ste 19 Louisa, KY 41230 (606) 638-0370

Lee County Stufflebean Pharmacy 1031 Grand Ave Beattyville, KY 41311 (606) 464-3396 Three Fork Pharmacy 111 River St Beattyville, KY 41311 (606) 464-3656

Kyva Pharmacy 109 E Main St Whitesburg, KY 41858 (606) 633-4488 Parkway Pharmacy 2354 Highway 15 Whitesburg, KY 41858 (606) 633-4435 Superior Drug Center 251 Medical Plaza Ln Ste C Whitesburg, KY 41858 (606) 633-0197 Whitesburg Pharmacy 246 Medical Plaza Ln Ste B Whitesburg, KY 41858 (606) 633-1335

Thompson Drug E Bernstadt 1088 Highway 490 East Bernstadt, KY 40729 (606) 843-2211

Three Forks Limited 1075 Broadway St Beattyville, KY 41311 (606) 464-0941

Thompson Drug South 975 S Laurel Rd Ste A London, KY 40744 (606) 864-6324

Home Town Pharmacy 130 Highway 80 Hyden, KY 41749 (606) 672-3084

Lewis County Primary Care Center 211 KY 59 Vanceburg, KY 41179 (606) 796-2686

Windham Drug 575 W Laurel Rd London, KY 40741 (606) 862-6261

King Pharmacy Hyden 22320 Main St Hyden, KY 41749 (606) 672-2210

Noble's Pharmacy Garrison Lane Garrison, KY 41141 (606) 757-3535

Lawrence County

Medicine Shoppe #1495 22044 Main St Hyden, KY 41749 (606) 672-8705

Osman Pharmacy 89 Second St Vanceburg, KY 41179 (606) 796-2932

Louisa Drug Store 408 N Lock Ave Louisa, KY 41230 (606) 638-4155 Rite Value Pharmacy 2673 Highway 644 Louisa, KY 41230 (606) 638-9627

Leslie County

Letcher County Boggs Pharmacy 9500 Highway 805 Jenkins, KY 41537 (606) 832-2121

Lewis County

Professional Care Phy INC 207 Plummers Ln Ste A Vanceburg, KY 41179 (606) 796-6100 Tollesboro Clinic Phcy 17521 W KY 9 Tollesboro, KY 41189 (606) 798-2072 Pharmacy

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CoventryCares of Kentucky Lincoln County Colemans Drug Store 105 W Main St Stanford, KY 40484 (606) 365-2164

Whitley's Pharmacy 501 N Main St Russellville, KY 42276 (270) 726-9592

Lyon County

Fort Logan Hospital 110 Metker Trl Stanford, KY 40484 (606) 365-2187

Lyon Drug Store 201 W Main St Eddyville, KY 42038 (270) 388-2236

Stanford Drug 107 Metker Trl Ste D Stanford, KY 40484 (606) 365-2100

Mc Connell Drug INC 86 Cedar St Kuttawa, KY 42055 (270) 388-7371

Livingston County

McConnell Drug INC 86 Cedar St Kuttawa, KY 42055 (270) 388-7371

Clinic Pharmacy 141 Hospital Dr Salem, KY 42078 (270) 988-3230 Glenns Prescription Ctr 119 E Main St Salem, KY 42078 (270) 988-3226 Smithland Pharmacy INC 203 E Adair St Smithland, KY 42081 (270) 928-2161

Logan County Gower Drug Store 328 N Main St Lewisburg, KY 42256 (270) 755-4831 King Drug and Home Care - Russellville 1405 Nashville St Ste A Russellville, KY 42276 (270) 725-9027 Nation's Medicines 432 Hopkinsville Rd Russellville, KY 42276 (270) 726-8451 Riley White #0001 153 Nw Park Sq Russellville, KY 42276 (270) 726-7626

Madison County Berea Drug Co INC 402 Richmond Rd N Berea, KY 40403 (859) 986-4521 Berea White House Clinic 104 Legacy Dr Berea, KY 40403 (859) 986-2323 Bluegrass Family Pharmacy 2187 Lexington Rd Ste 1 Richmond, KY 40475 (859) 624-9797 College Square Pharmacy 191 Glades Rd Berea, KY 40403 (859) 986-0500 Madison South Pharmacy 405 Richmond Rd N Ste D Berea, KY 40403 (859) 228-0010 Professional Center 793 Eastern Byp Ste G01 Richmond, KY 40475 (859) 626-0076

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Richmond White House Clinic Phcy 401 Highland Park Dr Richmond, KY 40475 (859) 626-7700 Rx Discount of Berea PLLC 102 Prince Royal Dr Ste 2 Berea, KY 40403 (859) 985-7283 The Medicine Shoppe #0654 238 E Main St Richmond, KY 40475 (859) 623-8900

Magoffin County Clinic Phcy of Salyersvle 789 Parkway Dr Salyersville, KY 41465 (606) 349-1700 Frazier's Praters Drugs 200 Church Street Salyersville, KY 41465 (606) 349-3135 Garry's Pharmacy 441 Parkway Dr Salyersville, KY 41465 (606) 349-6135 Hope Family Pharmacy 835 Parkway Dr Salyersville, KY 41465 (606) 349-5124

Marion County Adams Pharmacy 125 W Main St Lebanon, KY 40033 (270) 692-9115 Pats Pharmacy 498 W Main St Lebanon, KY 40033 (270) 692-4950 Pat's Pharmacy 498 W Main St Lebanon, KY 40033 (270) 692-4950

Southall Pharmacy 325 W Walnut St Ste 500 Lebanon, KY 40033 (270) 692-3111

Marshall County Benton Discount Pharmacy 2602 Main St Benton, KY 42025 (270) 527-1409 Calvert City Pharmacy 888 E 5th Ave Calvert City, KY 42029 (270) 395-4350 Draffenville Pharmacy 153 US Highway 68 E Benton, KY 42025 (270) 527-1404 J&R Pharmacy 504 E 9th St Benton, KY 42025 (270) 527-9374 Nelson Valurite Phcy 1112 Main St Benton, KY 42025 (270) 527-3616

Martin County Hometown Pharmacy 2160 Blacklog Rd Ste 100 Inez, KY 41224 (606) 298-7283 Inez Drug Store 38 Old Middle Frk Inez, KY 41224 (606) 298-3800 The Medicine Shoppe #1311 3171 Blacklog Rd Inez, KY 41224 (606) 298-7774 Warfield Prescription Ctr Rt 40 Box 304 Warfield, KY 41267 (606) 395-6477

Mason County Mason Family Drug 912 Kenton Station Dr Maysville, KY 41056 (606) 759-0700 Maysville Ob/Gyn Fmly Hlth Ctr Phcy 927 Kenton Station Dr Maysville, KY 41056 (606) 759-1189 Meadowview Regional Medical Center 989 Medical Park Dr Maysville, KY 41056 (606) 759-5311 Medical Arts Phcy of Maysville Ky 1 W McDonald Pkwy Maysville, KY 41056 (606) 564-5485

McCracken County Arcadia Rx 3524 Park Plaza Rd Paducah, KY 42001 (270) 442-4579 Baptist Health Paducah 2501 Kentucky Ave Paducah, KY 42003 (270) 575-2100 Davis Drug 250 Lone Oak Rd Paducah, KY 42001 (270) 443-1442 Davis Drug Lone Oak 2855 Lone Oak Rd Paducah, KY 42003 (270) 554-5099 Four Rivers Pharmacy 415 Broadway St Paducah, KY 42001 (270) 538-0772 G & O Pharmacy 2338 Broadway St Paducah, KY 42001 (270) 442-3571

Pharmacy

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CoventryCares of Kentucky James Gould MD 2603 Kentucky Ave Ste 403 Paducah, KY 42003 (270) 444-3930 Katterjohn Drug Store 1100 Caldwell St Paducah, KY 42003 (270) 442-2990 Lone Oak Pharmacy 3535 Lone Oak Rd Paducah, KY 42003 (270) 554-7944 Nps Pharmacy At Heartland Cares 619 N 30th St Paducah, KY 42001 (270) 933-1960 Paducah Pharmacy 225 Medical Center Dr Ste 100 Paducah, KY 42003 (270) 441-4390 Purchase Cancer Group 100 Kiana Ct Paducah, KY 42001 (270) 554-6534 Reidland Pharmacy 5433 Reidland Rd Paducah, KY 42003 (270) 898-7313 Rick's Pharmacy 2700 Hc Mathis Dr Paducah, KY 42001 (270) 444-2022 3001 Schneidman Rd Paducah, KY 42003 (270) 443-7200 Strawberry Hills Pharmacy 2700 New Holt Rd Apt D Paducah, KY 42001 (270) 444-7070 West Towne Pharmacy INC 2755 W Park Dr Paducah, KY 42001 (270) 443-0909

McCreary County Burgess #0002 19 Medical Loop Whitley City, KY 42653 (606) 376-5043

The Medicine Shoppe 586 636 S College St Harrodsburg, KY 40330 (859) 734-4314

644 N Maysville St Suite 2 Mount Sterling, KY 40353 (859) 498-3141

Daugherty's Drugstore, INC. 4160 S Highway 27 Pine Knot, KY 42635 (606) 354-2222

Metcalfe County

Morgan County

Metcalfe Drugs 115 E Stockton St Edmonton, KY 42129 (270) 432-3051

Clinic Pharmacy 412 Liberty Rd West Liberty, KY 41472 (606) 743-4957

Hometown Pharmacy 1182 N Highway 27 Whitley City, KY 42653 (606) 376-3300

Nunn Drugs INC 1704 W Stockton St Edmonton, KY 42129 (270) 432-3111

Peytons Pharmacy INC 414 Main St West Liberty, KY 41472 (606) 743-3163

Wynn Express Pharmacy 43 Medical Ln Whitley City, KY 42653 (606) 376-1535

Monroe County

Muhlenberg County

McLean County Poole's Pharmacy Care 311 Henton St Livermore, KY 42352 (270) 278-5537

Meade County Brandenburg Pharmacy Care 455 Bypass Rd Ste D Brandenburg, KY 40108 (270) 422-2422

Menifee County Frenchburg Pharmacy 732 Highway 36 Frenchburg, KY 40322 (606) 768-6610 Menifee County Pharmacy 70 Main St Frenchburg, KY 40322 (606) 768-2161

Mercer County Medicine Shoppe #0586 636 S College St Harrodsburg, KY 40330 (859) 734-4314

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Harrison Pharmacy 606 N Main St Tompkinsville, KY 42167 (270) 487-6408 Tompkinsville Drug Co 200 N Crawford St Tompkinsville, KY 42167 (270) 487-6155

Montgomery County Camargo Pharmacy 3404 Camargo Rd Mount Sterling, KY 40353 (859) 497-0009 Carrington Drug INC 506 Maysville Rd Mt Sterling, KY 40353 (859) 498-3464 Northview Pharmacy 638 Northview Dr Mt Sterling, KY 40353 (859) 498-7700 Ross Drugs 125 Foxglove Dr Mt Sterling, KY 40353 (859) 498-1004 Whitaker Pharmacy 644 Maysville Rd Ste 2 Mount Sterling, KY 40353 (859) 498-3141

Brands Corner Drug 102 W Broad St Central City, KY 42330 (270) 754-1545 Clinic Pharmacy 203 N 2nd St Central City, KY 42330 (270) 754-4300 Clinic Pharmacy South 3959 US Highway 431 S Beechmont, KY 42323 (270) 476-3600 Greenville Pharmacy 117 N Main St Greenville, KY 42345 (270) 338-7300 Medical Center Pharmacy 1010 Medical Center Dr Powderly, KY 42367 (270) 338-9993

Nelson County Crume Drug Store INC 111 W Flaget St Bardstown, KY 40004 (502) 348-3938 Hurst Walgreen Drugs 102 N 3rd St Bardstown, KY 40004 (502) 348-9261 Medica Pharmacy 202 W Stephen Foster Ave Bardstown, KY 40004 (502) 348-6623 Snider Drugs INC 101 Taylorsville Rd Bloomfield, KY 40008 (502) 252-8242

Nicholas County Carlisle Drug INC 126 E Main St Carlisle, KY 40311 (859) 289-2528 Hopkins Drug 116 E Main St Carlisle, KY 40311 (859) 289-5122 Sopers Family Drug 102 S Broadway St Carlisle, KY 40311 (859) 289-8501

Ohio County King Drug and Home Care - Hartford 1014 S Main St Hartford, KY 42347 (270) 298-3278

Muhlenberg Community Hospital 440 Hopkinsville St Greenville, KY 42345 (270) 338-8000

King Drug Home Care 312 S Main St Hartford, KY 42347 (270) 298-3278

440 Hopkinsville St Greenville, KY 42345 (270) 338-8406

Rice Drugs 1209 N Main St Beaver Dam, KY 42320 (270) 274-3318 Rice's Pharmacy 44 W Main St Fordsville, KY 42343 (270) 276-3150 Pharmacy

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CoventryCares of Kentucky Oldham County Baptist Health La Grange 1025 New Moody Ln La Grange, KY 40031 (502) 222-5388

Owen County North Park Pharmacy 327 N Main St Owenton, KY 40359 (502) 484-3113

Owsley County Booneville Discount Drugs Highway 11 North Booneville, KY 41314 (606) 593-0382 Owsley Prescription Ctr Highway 11 North Booneville, KY 41314 (606) 593-6306

Pendleton County Total Care Pharmacy #5 1100 W Shelby St Falmouth, KY 41040 (859) 654-3232

Perry County Complete Care Phcy PLLC 572 Morton Blvd Hazard, KY 41701 (606) 487-1910 East Main Street Pharmacy 279 E Main St Hazard, KY 41701 (606) 487-0107 Family Pharmacy 747 Morton Blvd Hazard, KY 41701 (606) 487-1150 King Pharmacy INC 900 Morton Blvd Hazard, KY 41701 (606) 435-1067

L B Clinic Pharmacy 464 KY Highway 699 Cornettsville, KY 41731 (606) 476-2863 Mountain Clinic Pharmacy LLC 233 E Main St Ste B Hazard, KY 41701 (606) 436-0045 Professional Phcy of Hazard PLLC 124 Grandview Plaza Unit 6 Hazard, KY 41701 (606) 435-0168 Rx Discount Pharmacy 500 Morton Blvd Hazard, KY 41701 (606) 436-2891 Rx Pharmacy In Food City 50 Morton Blvd Hazard, KY 41701 (606) 435-2355 Specialty Care Centers of Et KY LLC 10897 S KY Highway 15 Scuddy, KY 41760 (606) 476-2333 The Medicine Shoppe #1479 145 Citizens Ln Ste 200 Hazard, KY 41701 (606) 435-2020 UK North Fork Valley Community Ctr 750 Morton Blvd Hazard, KY 41701 (606) 435-0469

Pike County Care More Pharmacy 151 Dorton Jenkins Hwy Dorton, KY 41520 (606) 639-2273 Cedar Trace Pharmacy INC 95 Weddington Branch Rd Pikeville, KY 41501 (606) 432-2424

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Commonwealth Pharmacy 5425 N Mayo Trl Ste 102 Pikeville, KY 41501 (606) 437-0701 Economy Drug Co INC 180 Town Mt Rd Ste 115 Pikeville, KY 41501 (606) 437-7333 Elkhorn Drug 105 E Elkhorn St Elkhorn City, KY 41522 (606) 754-0221 Faith Pharmacy INC 140 Adams Ln Ste 500 Pikeville, KY 41501 (606) 509-6337 Family Drug Center 284 Town Mountain Rd Pikeville, KY 41501 (606) 432-5588 Family Pharmacy 412 Central Ave South Williamson, KY 41503 (606) 237-7430 Hospital Phcy Outlet #3 911 Bypass Rd Pikeville, KY 41501 (606) 437-3576 Johns Creek Drug Center 6162 Zebulon Hwy Pikeville, KY 41501 (606) 631-9137 Kimper Pharmacy 51 Upper Johns Crk Kimper, KY 41539 (606) 631-3327 Marrowbone Clinic Phcy Us 460 Route 80 Regina, KY 41559 (606) 754-7085 Marrowbone Hometown Pharmacy 9613 Millard Hwy Pikeville, KY 41501 (606) 754-4633

Mayo Drug #0002 13380 Phelps 632 Rd Phelps, KY 41553 (606) 456-3446 Nichols Apothecary INC 220 E Elkhorn St Elkhorn City, KY 41522 (606) 754-5076 Nova Pharmacy 1330 S Mayo Trl Ste 102 Pikeville, KY 41501 (606) 432-2274 Parker Professional Phcy 8857 Meta HWY Ste 1 Pikeville, KY 41501 (606) 631-9999 Pikeville Discount Drugs 1098 S Mayo Trl Ste 105 Pikeville, KY 41501 (606) 432-0018 Pikeville Medical Center 911 Bypass Rd Pikeville, KY 41501 (606) 218-3500 Professional Pharmacy 419 Town Mountain Rd Ste 101 Pikeville, KY 41501 (606) 432-0196 Shelby Valley Clinic Pharmacy 178 Douglas Pkwy Pikeville, KY 41501 (606) 639-9045 Total Pharmacy Care 533 Hambley Blvd Ste 6 Pikeville, KY 41501 (606) 433-0555 Total Pharmacy Care of Belfry 20 State Highway 319 Belfry, KY 41514 (606) 237-0555

Upper Levisa Clinic Phcy 137 N Levisa Rd # 117 Mouthcard, KY 41548 (606) 835-4991 Virgie Clinic Pharmacy 6758 US Highway 23 S Ste 7 Pikeville, KY 41501 (606) 639-2415

Powell County Billings Drugs 163 E College Ave Stanton, KY 40380 (606) 663-2848 Powell Prescription Ctr 4644 Highway 15 W Clay City, KY 40312 (606) 663-3481 Stanton Drugs 638 E College Ave Stanton, KY 40380 (606) 663-8990

Pulaski County Cumberland Foot Ankle Center 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773 King Pharmacy Somerset 311 Bogle St Somerset, KY 42503 (606) 451-2112 Lake Cumberland Regional Hospital 305 Langdon St Somerset, KY 42503 (606) 679-7441 Lakeshore Pharmacy INC 51 W Lakeshore Dr Pob 508 Burnside, KY 42519 (606) 561-7104 Nancy Pharmacy 9734 W Highway 80 Nancy, KY 42544 (606) 636-4444 Pharmacy

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CoventryCares of Kentucky Nation's Medicines Phcy 875 S Highway 27 Somerset, KY 42501 (606) 677-0073 Oakwood Pharmacy 2441 S Highway 27 Somerset, KY 42501 (606) 677-4068 Professional Phcy of Somerset LLC 342 Bogle St Somerset, KY 42503 (606) 679-1169 Science Hill Drug 5775 N Highway 27 Science Hill, KY 42553 (606) 423-9959 Somerset Pharmacy 101 S Main St Somerset, KY 42501 (606) 679-1571 The Medicine Shoppe #0534 900 E Mount Vernon St Somerset, KY 42501 (859) 679-9227 West Somerset Phcy INC 647 W Highway 80 Somerset, KY 42503 (606) 677-1922

Rockcastle County Brodhead Pharmacy 54 W Main St Brodhead, KY 40409 (606) 758-4373 Main Street Pharmacy 150 Main St Mount Vernon, KY 40456 (606) 256-0475 Mt Vernon Drug INC 410 Richmond St Mount Vernon, KY 40456 (606) 256-3447

Rockcastle Hospital and Respiratory Care Center 145 Newcomb Ave Mount Vernon, KY 40456 (606) 256-2195 Rockcastle Hospital Pharmacy 145 Newcomb Ave Mount Vernon, KY 40456 (606) 256-7738 Rockcastle Professional Pharmacy 110 Newcomb Ave Mount Vernon, KY 40456 (606) 256-4613

Rowan County Cave Run Pharmacy 425 Clinic Dr Morehead, KY 40351 (606) 783-1511 Holbrook Drug 208 E Main St Morehead, KY 40351 (606) 784-4784 Morehead Clinic Pharmacy 234 Medical Cir Morehead, KY 40351 (606) 784-6696 Total Care Pharmacy #7 206 W Main St Morehead, KY 40351 (606) 784-4491

Russell County Jamestown Valu-Rite Pharmacy INC 1417 N Main St Ste A Jamestown, KY 42629 (270) 343-4443 Lake Cumberland Pharmacy 2431c Lakeway Dr Russell Springs, KY 42642 (270) 858-6400

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Russell County Hospital 153 Dowell Rd Russell Springs, KY 42642 (270) 866-4141 Russell Springs Pharmacy 92 Joe T Petty Dr Russell Springs, KY 42642 (270) 866-2778

Scott County Bakers Pharmacy 3399 Main St Stamping Ground, KY 40379 (502) 535-4466 Hometown Pharmacy 1502 Oxford Dr Ste 150 Georgetown, KY 40324 (502) 863-3784 J & L Pharmacy 705 S Broadway St Georgetown, KY 40324 (502) 863-9823

Shelby County Smith McKinney #2 141 Buck Creek Rd Simpsonville, KY 40067 (502) 722-8115 Smith-McKenney #1 16 Village Plz Shelbyville, KY 40065 (502) 633-2115

Simpson County Sheldons Express Pharmacy 212 S Main St Franklin, KY 42134 (270) 586-4471 The Drugstore of Franklin 420 N Main St Franklin, KY 42134 (270) 586-9591

The Medical Center At Franklin 1100 Brookhaven Rd Franklin, KY 42135 (270) 586-3253

Trigg County

Spencer County

Hospital Street Pharmacy 11 Hospital St Cadiz, KY 42211 (270) 522-3442

Wt Froman Drug Co 847 Taylorsville Rd Taylorsville, KY 40071 (502) 477-2267

Save On Drugs 266 Main St Cadiz, KY 42211 (270) 522-3211

Your Hometown Pharmacy-Taylorsville 913 Taylorsville Rd Taylorsville, KY 40071 (502) 477-1973

Trimble County

Taylor County Central Drug Center INC 102 Central Plz Campbellsville, KY 42718 (270) 465-4137 East Ridge-Phelps Pharmacy LLC 101 Winston Way Ste A Campbellsville, KY 42718 (270) 789-0577 Medicine Centre Pharmacy 325 E Broadway St Campbellsville, KY 42718 (270) 465-3784 Nation's Medicines 1608 Old Lebanon Rd Campbellsville, KY 42718 (270) 789-4734

Todd County Weathers Drugs 44 Public Sq Elkton, KY 42220 (270) 265-2155

Bluegrass Drug Center 325 Highway 42 E Bedford, KY 40006 (502) 255-3540 Morgan Drug Store 325 Highway 42 E Bedford, KY 40006 (502) 255-3540

Union County Clements Drug 225 N Morgan St Morganfield, KY 42437 (270) 389-2440 Corner Drug Store 424 N Adams St Sturgis, KY 42459 (270) 333-5341 Sturgis Pharmacy 523 N Adams St Sturgis, KY 42459 (270) 333-4672

Warren County Cds #0010 Drug 1308 Ashley Circle Bowling Green, KY 42104 (270) 781-5661 Cds# 10 Pharmacy 1308 Ashley Cir Bowling Green, KY 42104 (270) 781-5661 Clinic Pharmacy 201 Park St Bowling Green, KY 42101 (270) 781-3095

Pharmacy

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CoventryCares of Kentucky Downing Drugs 4863a Scottsville Rd Bowling Green, KY 42104 (270) 846-3007

Riverside Pharmacy 825 2nd Ave Ste A1 Bowling Green, KY 42101 (270) 780-2650

Greenview Regional Hospital 1801 Ashley Cir Bowling Green, KY 42104 (270) 793-1000

R-W Vital Care Ii 201 Park St Bowling Green, KY 42101 (270) 781-3095

Hines Pharmacy 1340 KY Highway 185 Bowling Green, KY 42101 (270) 842-4341

Sheldons Express Pharmacy 843 Fairview Ave Bowling Green, KY 42101 (270) 842-4515

165 Natchez Trace Ave Ste 101 Bowling Green, KY 42103 (270) 796-1988

760 Campbell Ln Ste 121 Bowling Green, KY 42104 (270) 782-6337

Joseph Allen 990 Wilkinson Trce Ste 100 Bowling Green, KY 42103 (270) 781-4043

Smiths Grove Rx Shop 124 N Main St Smiths Grove, KY 42171 (270) 563-2180

Medical Center-Bowling Green 250 Park St Bowling Green, KY 42101 (270) 745-1000 Medicine Arts Pharmacy 818 US 31w Byp Bowling Green, KY 42101 (270) 843-3202 Nation's Medicines #t3 2435 Nashville Rd Bowling Green, KY 42101 (270) 783-8834 Northgate Pharmacy 3158 Louisville Rd Bowling Green, KY 42101 (270) 842-6161

Springhill Pharmacy 2305 Russellville Rd Bowling Green, KY 42101 (270) 796-3909

Washington County The Medicine Shoppe #1456 100 W Depot St Springfield, KY 40069 (859) 336-7071

Wayne County Crowley's Pharmacy 45 Park Ave Monticello, KY 42633 (606) 340-3000 Daffron Kwik Script 1316 Columbia Ave Monticello, KY 42633 (606) 348-4455 F and H Drug Store INC 70 N Main St Monticello, KY 42633 (606) 348-9263

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

South Creek Drug 1 S Creek Dr Ste 122 Monticello, KY 42633 (606) 348-1800

Webster County Bells Drugs INC 7107 State Route 56 E Sebree, KY 42455 (502) 835-7544 Clay Drugstore INC 9055 Street Rt 132 W Clay, KY 42404 (270) 664-2418 Thrifty Pharmacy 127 E Main St Providence, KY 42450 (270) 667-2049

Whitley County Baptist Health Corbin 1 Trillium Way Corbin, KY 40701 (606) 528-1212 Baptist Regional Apothecary 1 Trillium Way Corbin, KY 40701 (606) 526-8334

Doctors Park Apothecary 121 Bishop St Ste 1 Corbin, KY 40701 (606) 528-1932 Drive In Pharmacy INC 688 S Highway 25 W Williamsburg, KY 40769 (606) 549-0888 Falls Road Pharmacy 40 Moonbow Plz Ste 1 Corbin, KY 40701 (606) 258-0000 Forcht Pharmacy 108 E 6th St Corbin, KY 40701 (606) 528-4830 Kim's Hometown Pharmacy 865 South Highway 23 West Williamsburg, KY 40769 (606) 549-8700 Maiden Drug 327 Main St Williamsburg, KY 40769 (606) 549-0449

Brentwood Pharmacy 108 Brentwood Pl Corbin, KY 40701 (606) 258-9110

Mortons Discount Drug 10 Dempsey Ln Corbin, KY 40701 (606) 258-0445

Corbin Pharmacy 60 Bryan Blvd Ste 201 Corbin, KY 40701 (606) 523-5585

Prescription Shoppe 200 W Gordon St Corbin, KY 40701 (606) 528-9305

Corner Prescription Shop 401 Sycamore St Williamsburg, KY 40769 (606) 549-0884

Sav-Rite Family Pharmacy 1150 Master St Corbin, KY 40701 (606) 528-7770

Cottongi Drug 300 S Main St Corbin, KY 40701 (606) 528-1304

Stephenies Down Home Pharmacy INC 1220 Master St Ste 5 Corbin, KY 40701 (606) 261-7877

Creech & Gibbs Drug 13369 N US Highway 25 E Corbin, KY 40701 (606) 523-1911

Whitley Pharmacy 475 N Highway 25 W Williamsburg, KY 40769 (606) 549-4300

Windham Drug 1605 S Highway 25 W Williamsburg, KY 40769 (606) 549-3636

Wolfe County Campton Discounts Drugs 33 Main St Ste 2 Campton, KY 41301 (606) 668-3153 Wolfe Family Pharmacy 797 KY 15 S Campton, KY 41301 (606) 668-2273 Wolfe Prescription Center 217 Mountain Parkway Spur Rd Campton, KY 41301 (606) 668-3900

Woodford County Cornerstone Pharmacy 100 S Main St Versailles, KY 40383 (859) 873-3007 Railroad Drug Oldtime Soda Fountain 115 E Main St Midway, KY 40347 (859) 846-4146 St Joseph Pharmacy At Taylor Manor 300 Berry Ave Versailles, KY 40383 (859) 873-0841

Alabama Accredo Therapeutics INC 2100 Riverchase Ctr Birmingham, AL 35244 (205) 987-0778 American's Best Care Plus INC 1825 Everett Dr W Fort Payne, AL 35968 (256) 997-1770

Pharmacy

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CoventryCares of Kentucky Caremark, INC. National Contract Montgomery, AL 36116 Coram Specialty Infusion Services 300 Riverhills Business Park Ste 390 Birmingham, AL 35242 (205) 995-8117 CVS Caremark Pharmacy-Al National Contract Montgomery, AL 36101 (800) 238-7828

Alaska Caremark, INC. National Contract Juneau, AK 99801 CVS Caremark Pharmacy-Ak National Contract Juneau, AK 99801 (800) 238-7828

Arizona Accredo Therapeutics, INC. 10400 N 25th Ave Ste 120 Phoenix, AZ 85021 (602) 944-1199

Accredo Health Group, INC. 1660 Riverside Dr Ste 101 Los Angeles, CA 90031 (323) 953-4500 3069 Research Dr San Pablo, CA 94806 (510) 223-1360 Accredo Therapeutics, INC. 1831 Commerce St Ste 104 Corona, CA 92880 (951) 737-2355 Caremark, INC. National Contract Sacramento, CA 95820 Coram Healthcare 3101 Sillect Ave Ste 109 Bakersfield, CA 93308 (661) 325-8326 Coram Specialty Infusion Services 3160 Corporate Pl Hayward, CA 94545 (510) 732-8800 2710 Media Center Dr Bldg 6 Ste 150 Los Angeles, CA 90065 (323) 987-1500

Caremark, INC. National Contract Phoenix, AZ 85020

4355 E Lowell St Ste C Ontario, CA 91761 (909) 605-1230

CVS Caremark Pharmacy-Az National Contract Phoenix, AZ 85001 (800) 238-7828

9332 Tech Center Dr Ste B Sacramento, CA 95826 (916) 857-7000

Arkansas Caremark, INC. National Contract Little Rock, AR 72204 CVS Caremark Pharmacy-Ar National Contract Little Rock, AR 72201 (800) 238-7828

5571 Ekwill St Suites A &B Santa Barbara, CA 93111 (805) 692-1200 3002 Dow Ave Ste 104 Tustin, CA 92780 (714) 665-1121

California † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

CVS Caremark Pharmacy-Ca National Contract Sacramento, CA 94203 (800) 238-7828

CVS Caremark Pharmacy-Ct National Contract Hartford, CT 6101 (800) 238-7828

CVS Caremark Specialty Pharmacy 1127 Bryn Mawr Ave Redlands, CA 92374 (909) 796-7171

Delaware

Factor Support Network 900 Avenida Acaso Ste A Camarillo, CA 93012 (805) 388-9336 Nufactor INC 41093 County Center Dr Ste B Temecula, CA 92591 (800) 323-6832 Rox San Pharmacy 465 N Roxbury Dr Beverly Hills, CA 90210 (310) 273-1644

Colorado Accredo Therapeutics, INC. 361 Inverness Dr S Ste F Englewood, CO 80112 (303) 799-6550 Caremark, INC. National Contract Denver, CO 80211 CVS Caremark Pharmacy-Co National Contract Denver, CO 80201 (800) 238-7828 Cystic Fibrosis Services INC 7472 S Tucson Way Ste 100 Centennial, CO 80112 (800) 541-4959

Connecticut Caremark, INC. National Contract Hartford, CT 6134

Caremark, INC. National Contract Dover, DE 19901 CVS Caremark Pharmacy-De National Contract Dover, DE 19901 (800) 238-7828

Distr of Columb Florida Accredo Therapeutics, INC. 5249 Nw 33rd Ave Bldg 6 Fort Lauderdale, FL 33309 (954) 777-1685 American Pharmaceutical 975 Florida Central Pkwy Longwood, FL 32750 (407) 261-5863

3416 Jenks Ave Ste A Panama City, FL 32405 (850) 747-8894 6204 Benjamin Rd Ste 200 Tampa, FL 33634 (813) 639-4500 CVS Caremark Pharmacy-Fl National Contract Tallahassee, FL 32301 (800) 238-7828 Davita Rx 2616 Commerce Park Dr Ste 500 Orlando, FL 32819 (407) 264-5100 Fmc Pharmacy Services INC 11001 Danka Way N Ste 2 Saint Petersburg, FL 33716 (727) 568-9404 Parenteral Therapy 376 S Northlake Blvd Altamonte Springs, FL 32701 (407) 830-8820

Georgia

Axium Healthcare Pharmacy 550 Technology Park Ste 1000 Lake Mary, FL 32746 (407) 865-7795

Accredo Therapeutics, INC. 5300 Oakbrook Pkwy Ste 320 Norcross, GA 30093 (770) 935-2510

Bay Pharmacy Institutional 2 E Magnolia Ave Ste 201 Eustis, FL 32726 (352) 357-4341

Caremark, INC. National Contract Atlanta, GA 30349

Caremark, INC. National Contract Tallahassee, FL 32308 Coram Specialty Infusion Services 11948 Miramar Pkwy Hollywood, FL 33025 (954) 431-3335

CVS Caremark Pharmacy-Ga National Contract Atlanta, GA 30301 (800) 238-7828 Premier Care INC 221 Plaza Dr Monroe, GA 30655 (888) 892-9001

Pharmacy

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CoventryCares of Kentucky Quick Rx Drugs INC Po Box 7709 Garden City, GA 31418 (912) 966-1416

The Medicine Shoppe 207 E Main St Du Quoin, IL 62832 (618) 542-2575

Hawaii

Indiana

Caremark, INC. National Contract Honolulu, HI 96819

Caremark, INC. National Contract Indianapolis, IN 46207

CVS Caremark Pharmacy-Hi National Contract Honolulu, HI 96801 (800) 238-7828

CVS Caremark Pharmacy-In National Contract Indianapolis, IN 46201 (800) 238-7828

Idaho

Dailymed Pharmacy 9320 Priority Way West Dr Indianapolis, IN 46240 (317) 573-0045

Caremark, INC. National Contract Boise, ID 83713 CVS Caremark Pharmacy-Id National Contract Boise, ID 83701 (800) 238-7828

Illinois Accredo Therapeutics, INC. 650 W Grand Ave Ste 102 Elmhurst, IL 60126 (630) 279-7390 Caremark, INC. National Contract Springfield, IL 62704 CVS Caremark Pharmacy-Il National Contract Springfield, IL 62701 (800) 238-7828 Pharmacy Solutions 100 Abbott Park Rd Bldg Ap5 Ne Abbott Park, IL 60064 (888) 857-0668 Riverview Pharmacy INC 475 Brown Blvd Ste 105 Bourbonnais, IL 60914 (815) 933-3370

Madison Apothecary 835 W Main St Madison, IN 47250 (812) 265-4621 Prn Pharmaceutical Service's 8351 Rockville Rd Indianapolis, IN 46234 (317) 273-1552 Statscript Pharmacy 342 Massachusetts Ave Ste 10 Indianapolis, IN 46204 (317) 631-6000 Werner Drug Co INC 1134 Washington St Tell City, IN 47586 (812) 547-5586 Westmoreland Pharmacy 2125 State St Ste 17 New Albany, IN 47150 (812) 944-6500

Iowa Accredo Therapeutics, INC. 2415 Heinz Rd Iowa City, IA 52240 (319) 354-7844

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Caremark, INC. National Contract Des Moines, IA 50310 CVS Caremark Pharmacy-Ia National Contract Des Moines, IA 50301 (800) 238-7828

Kansas Accredo Therapeutics, INC. 12900 Foster St Ste 120 Overland Park, KS 66213 (913) 339-7100 Axelacare Health Solutions 9730 Pflumm Rd Lenexa, KS 66215 (877) 342-9352 Biopartners In Care, INC. 11411 Strang Line Rd Lenexa, KS 66215 (913) 451-2919 Caremark, INC. National Contract Topeka, KS 66615 CVS Caremark Pharmacy-Ks National Contract Topeka, KS 66601 (800) 238-7828 Global Medical 14309 W 95th St Lenexa, KS 66215 (913) 422-1666

Louisiana Accredo Health Group, INC. 520 Elmwood Park Blvd Ste 145 New Orleans, LA 70123 (504) 731-6113 Caremark, INC. National Contract Baton Rouge, LA 70810

CVS Caremark Pharmacy-La National Contract Baton Rouge, LA 70801 (800) 238-7828

Royal Palm Specialty Pharmacy LLC 118 Main St Webster, MA 1570 (508) 461-4045

Maine

Michigan

Caremark, INC. National Contract Augusta, ME 4330

Accredo Therapeutics, INC. 39625 Lewis Dr Ste 800 Novi, MI 48377 (248) 489-0300

Coram Specialty Infusion Services 14 Yarmouth Jct Yarmouth, ME 4096 (207) 846-8500

Caremark, INC. National Contract Lansing, MI 48901

CVS Caremark Pharmacy-Me National Contract Augusta, ME 4330 (800) 238-7828

CVS Caremark Pharmacy-Mi National Contract Lansing, MI 48901 (800) 238-7828

Maryland

Diplomat Specialty Pharmacy 4100 S Saginaw St Ste D Flint, MI 48507 (810) 768-9000

Caremark, INC. National Contract Annapolis, MD 21401 CVS Caremark Pharmacy-Md National Contract Annapolis, MD 21401 (800) 238-7828

Massachusetts Accredo Therapeutics, INC. 261 Cedar Hill St Bldg C Ste 120 Marlborough, MA 1752 (508) 460-9813 Caremark, INC. National Contract Boston, MA 2284 Coram Specialty Infusion Services 575 University Ave Ste 2 Norwood, MA 2062 (781) 255-0956 CVS Caremark Pharmacy-Ma National Contract Boston, MA 2108 (800) 238-7828

Gabe Care Direct Rx INC 1179 Maplelawn Dr Troy, MI 48084 (800) 422-3227

Minnesota Accredo Health Group 2915 Waters Rd Ste 109 Saint Paul, MN 55121 (651) 681-0885 Caremark, INC. National Contract Saint Paul, MN 55114 CVS Caremark Pharmacy-Mn National Contract St Paul, MN 55101 (800) 238-7828

Mississippi Advanced Infusion Solutions 132 Fairmont St Ste B Clinton, MS 39056 (601) 988-1700

Pharmacy

Page 194

CoventryCares of Kentucky Caremark, INC. National Contract Jackson, MS 39211 Coram Specialty Infusion Services 2929 Layfair Dr Ste 100 Flowood, MS 39232 (601) 939-4994 CVS Caremark Pharmacy-Ms National Contract Jackson, MS 39201 (800) 238-7828 Southern Pharmaceutical 168 Rosecrest Dr Columbus, MS 39701 (800) 274-7492 Transcript Pharmacy INC 2506 Lakeland Dr Ste 201 Flowood, MS 39232 (601) 420-4041

Missouri Accredo Therapeutics, INC. 749 Goddard Ave Chesterfield, MO 63005 (636) 530-1514 Caremark, INC. National Contract Jefferson City, MO 65109 Centric Health Resources INC 17877 Chesterfield Airport Rd Chesterfield, MO 63005 (800) 305-7881 Centric Health Resources LLC 17877 Chesterfield Airport Rd Chesterfield, MO 63005 (866) 849-4481

Coram Specialty Infusion Services 2900 Falling Leaf Ln Ste 101 Columbia, MO 65201 (573) 256-4713 CVS Caremark Pharmacy-Mo National Contract Jefferson City, MO 65101 (800) 238-7828 Express Scripts Services INC 8931 Springdale Ave Ste A Saint Louis, MO 63134 (314) 587-4050 Foundation Care 4010 Wedgeway Ct Earth City, MO 63045 (877) 291-1122 Healing Arts Pharmacy 3250 Gordonville Rd Ste 101 Cape Girardeau, MO 63703 (573) 339-0999 Johns Pharmacy 2001 Independence St Cape Girardeau, MO 63703 (573) 334-1300 Specialty Distribution 8931 Springdale Ave Ste A St Louis, MO 63134 (314) 587-4050 St Louis Children's Hosp 1 Childrens Pl Saint Louis, MO 63110 (314) 454-6123

Montana Caremark, INC. National Contract Helena, MT 59601

CVS Caremark Pharmacy-Mt National Contract Helena, MT 59601 (800) 238-7828

CVS Caremark Pharmacy-Nh National Contract Concord, NH 3301 (800) 238-7828

Nebraska

New Jersey

Accredo Therapeutics, INC. 11329 P St Ste 118 & 119 Omaha, NE 68137 (402) 597-2330

Accredo Health Group, INC. 46 US Highway 46 Ste 608 Pine Brook, NJ 7058 (973) 276-0254

Amber Pharmacy 10004 S 152nd St Ste A Omaha, NE 68138 (402) 896-5000

Accredo Therapeutics, INC. 45 US Highway 46 E Ste 609 Pine Brook, NJ 7058 (973) 256-1870

Caremark, INC. National Contract Lincoln, NE 68505 CVS Caremark Pharmacy-Ne National Contract Lincoln, NE 68509 (800) 238-7828

Nevada Accredo Therapeutics, INC. 505 E Capovilla Ave Ste 103 Las Vegas, NV 89119 (702) 895-8990 Caremark, INC. National Contract Carson City, NV 89701 Coram Specialty Infusion Services 1951 Ramrod Ave Ste 110 Henderson, NV 89014 (702) 453-4546 CVS Caremark Pharmacy-Nv National Contract Carson City, NV 89701 (800) 238-7828

New Hampshire Caremark, INC. National Contract Concord, NH 3301

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

11a Commerce Way Totowa, NJ 7512 (973) 256-1870

Caligor Pharmacy 1226 Lexington Ave New York, NY 10028 (212) 369-6000 Caremark, INC. National Contract Albany, NY 12203 Coram Specialty Infusion Services 375 N French Rd Ste 108 Buffalo, NY 14228 (888) 345-6983 45 S Service Rd Plainview, NY 11803 (516) 753-5330 97-77 Queens Blvd Ste 1100 Rego Park, NY 11374 (718) 730-9122

Caremark, INC. National Contract Trenton, NJ 8619

2948 Erie Blvd E Ste 103 Syracuse, NY 13224 (315) 425-8028

CVS Caremark Pharmacy-Nj National Contract Trenton, NJ 8601 (800) 238-7828

Coram Specialty Infusion Services Rk 12 Jupiter Ln Albany, NY 12205 (518) 689-2900

Hemophilia Resources of America 45 US Highway 46 Ste 609 Pine Brook, NJ 7058 (973) 276-0254

CVS Caremark Pharmacy-Ny National Contract Albany, NY 12201 (800) 238-7828

New Mexico Caremark, INC. National Contract Santa Fe, NM 87505 CVS Caremark Pharmacy-Nm National Contract Santa Fe, NM 87501 (800) 238-7828

New York

Oncomed Pharmaceutical 225 Community Dr Great Neck, NY 11021 (516) 869-0921

North Carolina Accredo Health Group, INC. 4000 Spring Garden St Ste E Greensboro, NC 27407 (336) 854-3128

Ahg of New York 500 Executive Blvd Elmsford, NY 10523 (914) 592-0333

Pharmacy

Page 195

CoventryCares of Kentucky Accredo Therapeutics INC 7866 Thorndike Rd Greensboro, NC 27409 (336) 393-0555

Amerimed INC 9961 Cincinnati Dayton Rd West Chester, OH 45069 (513) 942-3670

CVS Caremark Pharmacy-Oh National Contract Columbus, OH 43201 (800) 238-7828

Southern Ohio Medical Center 1805 27th St Portsmouth, OH 45662 (740) 356-8686

Advanced Pharmacy Services LLC 220 S River St Plains, PA 18705 (570) 208-0277

Accredo Therapeutics, INC 422 Gallimore Dairy Rd Ste A Greensboro, NC 27409 (336) 393-0555

Apothecary Shop of Columbus 4830 Knightsbridge Blvd Ste C Columbus, OH 43214 (614) 360-2800

Gahm's Pharmacy II INC 1565 Galena Pike West Portsmouth, OH 45663 (740) 858-5000

The University Hospital 234 Goodman St Cincinnati, OH 45219 (513) 584-1000

Boothwyn Pharmacy 2341 Chichester Ave Upper Chichester, PA 19061 (610) 485-1130

Biologics INC 120 Weston Oaks Ct Cary, NC 27513 (919) 546-9810

Bio Rx LLC 10828 Kenwood Rd Blue Ash, OH 45242 (513) 792-7080

Heritage Healthcare 622 W Fair Ave Lancaster, OH 43130 (740) 653-0942

Toledo IV Care 4060 Technology Dr Maumee, OH 43537 (419) 471-1527

Caremark, INC. National Contract Harrisburg, PA 17104

Caremark, INC. National Contract Raleigh, NC 27614

Caremark, INC. National Contract Columbus, OH 43210

CVS Caremark Pharmacy-Nc National Contract Raleigh, NC 27601 (800) 238-7828

Center for Advanced Spine Tech 4555 Lake Forest Dr Blue Ash, OH 45242 (513) 281-2278

Home Care Pharmacy 5549 Spellmire Dr West Chester, OH 45246 (513) 874-0009

Hemophilia Resources of America 4000 Spring Garden St Ste E Greensboro, NC 27407 (336) 854-3128

Children's Hospital 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-8808

Medpro Rx INC 140 Northway Ct Raleigh, NC 27615 (888) 571-3100 Neil Medical Group Phcy 2545 Jetport Rd Ste 1 Kinston, NC 28504 (252) 522-3030

North Dakota Caremark, INC. National Contract Bismarck, ND 58504 CVS Caremark Pharmacy-Nd National Contract Bismarck, ND 58501 (800) 238-7828

Ohio

Christ Hospital 2139 Auburn Ave Cincinnati, OH 45219 (513) 585-2000 Coal Grove Pharmacy INC 600 Marion Pike Coal Grove, OH 45638 (740) 533-2479 Complete Pharmacy Solutions LLC 9874 Windisch Rd West Chester, OH 45069 (513) 644-1600 Coram Specialty Infusion Services 4060 Business Park Dr Ste 101 Columbus, OH 43204 (614) 351-5953 Csi Infusion Services 6955 Treeline Dr Brecksville, OH 44141 (440) 717-1700

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Infusion Partners 4623 Wesley Ave Ste H Cincinnati, OH 45212 (513) 396-6060 Lifeline Institutional Pharmacy 3699 Symmes Rd Ste 1 Hamilton, OH 45015 (513) 746-5800 McMeans Pharmacy 708 4th St E South Point, OH 45680 (740) 377-2677 Oncology Hematology Care Phcy LLC 4350 Malsbary Rd Ste 203 Blue Ash, OH 45242 (513) 936-5376 Scrip Pharmacy INC 2787 Charter St Columbus, OH 43228 (614) 850-6700 Skilled Care Pharmacy #0301 6175 Hi Tek Ct Mason, OH 45040 (513) 459-7455 Smith Drug Company 745 2nd St Portsmouth, OH 45662 (740) 354-5622

Oklahoma Accredo Therapeutics, INC. 4901 W Reno Ave Ste 950 Oklahoma City, OK 73127 (405) 942-3961 Caremark, INC. National Contract Oklahoma City, OK 73165 CVS Caremark Pharmacy-Ok National Contract Oklahoma City, OK 73101 (800) 238-7828

Oregon Caremark, INC. National Contract Salem, OR 97301 CVS Caremark Pharmacy-Or National Contract Salem, OR 97301 (800) 238-7828

Pennsylvania Accredo Health Group, INC. 3000 Ericsson Dr Ste 100 Warrendale, PA 15086 (724) 772-6000

Coordinated Care Network 300 Penn Center Blvd Ste 405 Pittsburgh, PA 15235 (412) 349-6300 Coram Specialty Infusion Services 155 N Donerville Rd Ste 1 Mountville, PA 17554 (717) 285-2510 CVS Caremark Specialty Pharmacy 105 Mall Blvd Monroeville, PA 15146 (800) 238-7828 Diamond Pharmacy Services 645 Kolter Dr Indiana, PA 15701 (724) 349-1111 Home Healthcare Resources 800 Clarmont Ave Bensalem, PA 19020 (215) 245-1888 Ihs Infusion Services 109 Chelsea Pkwy Boothwyn, PA 19061 (800) 400-9579 Personal Support Pharmacy 270 Geiger Rd Bldg F Philadelphia, PA 19115 (215) 464-7304

Rhode Island Pharmacy

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CoventryCares of Kentucky Caremark, INC. National Contract Providence, RI 2903 Coram Specialty Infusion Services 1240 Pawtucket Ave Suite B East Providence, RI 2916 (401) 434-2082 CVS Caremark Pharmacy-Ri National Contract Providence, RI 2904 (800) 238-7828

South Carolina Caremark, INC. National Contract Columbia, SC 29203 Coram Healthcare/Carolina Home Therapeutics 720 Gracern Rd Ste 123 Columbia, SC 29210 (803) 731-5076 Coram Specialty Infusion Services 5955 Core Ave Ste 512 Charleston, SC 29406 (877) 503-4453 CVS Caremark Pharmacy-Sc National Contract Columbia, SC 29201 (800) 238-7828 Good Pharmacy 1237 Ebenezer Rd Rock Hill, SC 29732 (803) 327-2081

South Dakota Caremark, INC. National Contract Pierre, SD 57501 CVS Caremark Pharmacy-Sd National Contract Pierre, SD 57501 (800) 238-7828

Marcums Pharmacy 121 E Ravine Rd Kingsport, TN 37660 (423) 246-6166

Accredo Health Group 1640 Century Center Pkwy #101 Memphis, TN 38134 (901) 385-3600

CVS Caremark Pharmacy-TN National Contract Nashville, TN 37201 (800) 238-7828

Accredo Health Group, INC 201 Great Circle Rd Nashville, TN 37228 (615) 352-2500

Danny's Drugs INC 20029 Alberta St Oneida, TN 37841 (423) 569-8652

Mark's Family Pharmacy 279 Underpass Dr Oneida, TN 37841 (423) 569-7800

Davidsons Discount Drugs 110 Hillcrest Dr Byrdstown, TN 38549 (931) 864-3166

Medical Arts Pharmacy 1211 21st Ave S Nashville, TN 37212 (615) 936-1040

Family Drug Center INC 248 S Main St Jellico, TN 37762 (423) 784-8880

Middle Tennessee Pharmacy Services 336 S Cannon Blvd Shelbyville, TN 37160 (931) 684-9987

Fresenius Medical Care Rx LLC 220 Athens Way Ste 150 Nashville, TN 37228 (800) 947-3131

Network Healthcare 145 Se Parkway Ste 170 Franklin, TN 37064 (615) 591-1101

Amerita 217 W Maplewood Ln Nashville, TN 37207 (615) 277-5900 Andy's Pharmacy 801 N 2nd St Clarksville, TN 37040 (931) 802-5386 Atrium Pharmacy 260 W Main St Ste 103 Hendersonville, TN 37075 (615) 824-3911 Briovarx LLC 1897 General George Patton Dr Franklin, TN 37067 (615) 791-8679 Caremark, INC. National Contract Nashville, TN 37214 Clay County Xpress Pharmacy,Llc 1022 E Lake Ave Celina, TN 38551 (931) 243-3784 Continuumrx INC 2210 Sutherland Ave Ste 112 Knoxville, TN 37919 (865) 525-4886 Coram Specialty Infusion Services 1828 Midpark Rd Ste D Knoxville, TN 37921 (865) 450-2380 2970 Sidco Dr Nashville, TN 37204 (615) 445-3098

Tennessee † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Garretts Drug Center 8456 Highway 111 Byrdstown, TN 38549 (931) 864-3136 Infusion Partners 1410 Donelson Pike Ste B10 Nashville, TN 37217 (615) 846-0381 Iv Solutions INC 217 W Maplewood Ln Nashville, TN 37207 (615) 277-5900 Jamestown Regional Medical Center 436 Central Ave W Jamestown, TN 38556 (931) 879-3352 Jellico Drug Store INC 229 S Main St Jellico, TN 37762 (423) 784-6226 Kizer Pharmacy LLC 1117 S Miles Ave Ste 1 Union City, TN 38261 (731) 885-2226

Pharmacare Prescription Shoppe 1097 Weston Dr Mount Juliet, TN 37122 (615) 758-4750 Restore Rx INC 5197 Brunswick Rd Brunswick, TN 38014 (901) 388-0507 St Jude Hospital Pharmacy 262 Danny Thomas Pl Memphis, TN 38105 (901) 595-2237 Statscripts #45 1424 Union Ave Memphis, TN 38104 (901) 725-7828 The Medicine Shoppe #0563 1500 Madison St Clarksville, TN 37040 (931) 552-2552 The Pharmacy 1100 Elm Hill Pike Ste 150 Nashville, TN 37210 (615) 255-5758

The Prescription Shop 7030 Cumberland Gap Pkwy Harrogate, TN 37752 (423) 869-4707 Tri Med Pharmacy 260 W Main St Ste 217 Hendersonville, TN 37075 (615) 826-9393 Value Rx 1613 N Broad St Tazewell, TN 37879 (423) 626-7455 Vanderbilt Children's Hosp Pharmacy 2200 Childrens Way Rm 2106a Nashville, TN 37232 (615) 343-6421 Vanderbilt O/P Pharmacy 1815 The Vanderbilt Nashville, TN 37232 (615) 322-6480

Texas Accredo Therapeutics, INC. 9307 Kirby Dr Houston, TX 77054 (713) 791-1552 4343 W Royal Ln Ste 124 Irving, TX 75063 (972) 929-6800 Caremark, INC. National Contract Austin, TX 78759 College Park Pharmacy 3115 College Park Dr Ste 103a Conroe, TX 77384 (936) 321-4011 Coram Healthcare Corporation of North Texas 10105 Technology Blvd W Ste 102 Dallas, TX 75220 (214) 902-3600 Pharmacy

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CoventryCares of Kentucky CVS Caremark Pharmacy-Tx National Contract Austin, TX 73301 (800) 238-7828

CVS Caremark Pharmacy-Ut National Contract Salt Lake City, UT 84101 (800) 238-7828

Medical Park Pharmacy 1503 Slate Creek Rd Grundy, VA 24614 (276) 935-6455

Coram Specialty Infusion Services 520 E North Foothills Dr Spokane, WA 99207 (509) 482-4266

The Medicine Shoppe #0290 2402 Adams Ave Huntington, WV 25704 (304) 429-6716

Davita Rx LLC 1234 Lakeshore Dr Ste 200 Coppell, TX 75019 (972) 538-8100

Vermont

National Diabetic Phcy 2157 Apperson Dr Salem, VA 24153 (800) 467-8546

CVS Caremark Pharmacy-Wa National Contract Olympia, WA 98051 (800) 238-7828

Tug Valley Pharmacy 54 W 2nd Ave Williamson, WV 25661 (304) 235-1699

Maxor Pharmacy 216 S Polk St Amarillo, TX 79101 (806) 324-5587 Oncology Rx Care Advantage 13501 Park Vista Blvd Ste 150 Fort Worth, TX 76177 (888) 479-6337 Pro Med Pharmacies 701 N Taylor St Amarillo, TX 79107 (806) 376-8245 Texas Health Pharmacy Resources 8051 Jetstar Dr #175a Irving, TX 75063 (972) 929-6860 Us Bioservices 3200 Internet Blvd Frisco, TX 75034 (888) 518-7246

Utah Accredo Therapeutics, INC. 3488 S Main St Salt Lake City, UT 84115 (801) 832-0222 Caremark, INC. National Contract Salt Lake City, UT 84124 Coram Specialty Infusion Services 1149 W 2240 S Ste A Salt Lake City, UT 84119 (801) 973-9797

Caremark, INC. National Contract Montpelier, VT 5602 CVS Caremark Pharmacy-Vt National Contract Montpelier, VT 5601 (800) 238-7828

Virginia Accredo Therapeutics, INC. 4125 Lafayette Center Dr Ste 400 Chantilly, VA 20151 (703) 817-7707 Caremark, INC. National Contract Richmond, VA 23233 Coram Specialty Infusion Services 4115 Pleasant Valley Rd Ste 200 Chantilly, VA 20151 (703) 631-1611 Cornerstone Pharmacy 205 Kilbourne Ave Appalachia, VA 24216 (276) 565-3434 CVS Caremark Pharmacy-Va National Contract Richmond, VA 23218 (800) 238-7828 Family Drug 1755 Lovers Gap Road Vansant, VA 24256 (276) 597-2520 Hurley Community Pharmacy Rt 650 Main St Hurley, VA 24620 (276) 566-4488

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Plaza Pharmacy LLC 1123 Plaza Dr Grundy, VA 24614 (276) 935-7332 Pound Discount Pharmacy 11133 Indian Creek Rd Pound, VA 24279 (276) 796-5500 Rose Hill Pharmacy 5462 Dr Thomas Walker Rd Rose Hill, VA 24281 (276) 445-5026 The Big Stone Gap Phcy 1980 Holton Ave E Ste 201 Big Stone Gap, VA 24219 (276) 523-8702 Westwood Pharmary 24505 Riverside Dr Grundy, VA 24614 (276) 935-4040 Wildcat Pharmacy 8461 Main St Pound, VA 24279 (276) 796-2200

Washington

West Virginia Caremark, INC. National Contract Charleston, WV 25309 Comprecare 1308 4th Ave Huntington, WV 25701 (304) 529-2143 CVS Caremark Pharmacy-Wv National Contract Charleston, WV 25301 (800) 238-7828 Griffith & Feil Drug INC 1405 Chestnut St Kenova, WV 25530 (304) 453-4192 Hurley Drug 210 Logan St Williamson, WV 25661 (304) 235-3535 Med Fusion Rx 206 Roxalana Business Park Dunbar, WV 25064 (304) 720-6970

Accredo Therapeutics, INC. 22623 68th Ave S Kent, WA 98032 (253) 872-2121

Medicine Cabinet Pharmacy 3476 US Route 60 E Barboursville, WV 25504 (304) 733-3784

Caremark, INC. National Contract Olympia, WA 98502

50 Lincoln St Kermit, WV 25674 (304) 393-3386

Wisconsin Caremark, INC. National Contract Madison, WI 53704 CVS Caremark Pharmacy-Wi National Contract Madison, WI 53701 (800) 238-7828

Wyoming Caremark, INC. National Contract Cheyenne, WY 82003 CVS Caremark Pharmacy-Wy National Contract Cheyenne, WY 82001 (800) 238-7828

Podiatrist Kentucky Boone County Connolly, Matthew J 7388 Turfway Rd Ste 101 Florence, KY 41042 (859) 212-5500 Enzweiler, Matthew G 1125 Boone Aire Rd Florence, KY 41042 (859) 746-7461 7210 Turfway Rd Florence, KY 41042 (859) 746-7461 Ginney, Patrick J 1125 Boone Aire Rd Florence, KY 41042 (859) 746-7461

Pharmacy

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CoventryCares of Kentucky 7210 Turfway Rd Ste D Florence, KY 41042 (859) 525-9960 Mielech, Stephen F 1125 Boone Aire Rd Florence, KY 41042 (859) 746-7461 7210 Turfway Rd Florence, KY 41042 (859) 746-7461 Nielson, William M 1125 Boone Aire Rd Florence, KY 41042 (859) 371-4020 7210 Turfway Rd Florence, KY 41042 (859) 746-7461 Sugarman, Charles J 1125 Boone Aire Rd Florence, KY 41042 (859) 746-7461 7210 Turfway Rd Florence, KY 41042 (859) 746-7461 Worley, Gregory A 1125 Boone Aire Rd Florence, KY 41042 (859) 371-4020

Boyd County Bailey, Brian K 500 14th St Ashland, KY 41101 (606) 324-3668

Zimmermann, Charles 105 Citation Dr Ste D Danville, KY 40422 (859) 236-5140

Nielson, William M 525 Alexandria Pike Southgate, KY 41071 (859) 746-7461

Breathitt County

Porter, Roger D 7579 Alexandria Pike Alexandria, KY 41001 (859) 635-6666

Yen, Chih J 424 Jett Dr Jackson, KY 41339 (606) 666-5354

Bullitt County Patel, Vipul R 421 Adam Shepherd Pkwy Ste 100 Shepherdsville, KY 40165 (502) 543-1553

Calloway County Lampkin Jr., Roger D 908b S 12th St Murray, KY 42071 (270) 753-0666 Naulty, Stuart A 908b S 12th St Murray, KY 42071 (270) 753-0666

Campbell County Connolly, Matthew J 525 Alexandria Pike Southgate, KY 41071 (859) 441-0534

Boyle County

Enzweiler, Matthew G 525 Alexandria Pike Southgate, KY 41071 (859) 746-7461

Bryant, Chris N 1077 E Lexington Ave Danville, KY 40422 (859) 278-7313

Ginney, Patrick J 525 Alexandria Pike Southgate, KY 41071 (859) 746-7461

Jensen Stanley, Pamela M 478 Whirlaway Dr Ste 200 Danville, KY 40422 (859) 236-3208 Languages: Spanish King, Thomas E 1077 E Lexington Ave Danville, KY 40422 (859) 236-3142

Jenkins, Daryl K 960 Highland Ave Fort Thomas, KY 41075 (859) 572-0660 Mielech, Stephen F 525 Alexandria Pike Ste 230 South Gate, KY 41071 (859) 441-4334

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Simon, Sheldon D 1915 W Parrish Ave Ste 300 Owensboro, KY 42301 (270) 683-4844 Languages: Hebrew, French, Greek

Fayette County

Sugarman, Charles J 525 Alexandria Pike Ste 230 South Gate, KY 41071 (859) 441-4334

Allen, Michael C 1401 Harrodsburg Rd Lexington, KY 40504 (859) 278-8855

Christian County

3292 Eagle View Ln Lexington, KY 40509 (859) 278-8855

Edmunds, Mark J 1610 S Main St Ste 9 Hopkinsville, KY 42240 (270) 885-1203

Clark County Farrer, Ann K 172 Pedro Way Winchester, KY 40391 (859) 745-7890 Kincaid, Crystal L 172 Pedro Way Winchester, KY 40391 (859) 745-7890

Daviess County Ballard, Anna L 1200 Breckenridge St Owensboro, KY 42303 (270) 685-8230 Block, Steven M 2816 Veach Rd Owensboro, KY 42303 (270) 684-5252 Doll, Peter J 922 Triplett St Ste 2 Owensboro, KY 42303 (270) 684-7773 Languages: Tagalog Goldstein, Lee H 509 E 18th St Owensboro, KY 42303 (270) 684-1660

Languages: Spanish

Languages: Spanish Ambroziak, Donald L 141 Prosperous Pl Ste 22 Lexington, KY 40509 (859) 263-2230 Bolton, Mary 1401 Harrodsburg Rd Ste C115 Lexington, KY 40504 (859) 278-8855 3292 Eagle View Ln Lexington, KY 40509 (859) 278-8855 Braudis, James B 1236 Gainesway Dr Lexington, KY 40517 (859) 576-1524 Bryant, Chris N 2130 Nicholasville Rd Ste 1 Lexington, KY 40503 (859) 278-7313 Fine, Bradford M 1401 Harrodsburg Rd Ste C115 Lexington, KY 40504 (859) 278-8855 3292 Eagle View Ln Lexington, KY 40509 (859) 278-8855

Freels, Nicole G 216 Fountain Ct Ste #160 Lexington, KY 40509 (859) 264-1141 King, Thomas E 2130 Nicholasville Rd Ste 1 Lexington, KY 40503 (859) 278-7313 Lawrence, Steven J 740 S Limestone St Lexington, KY 40536 (859) 323-5533 Outsa, Judy N 1401 Harrodsburg Rd Ste C115 Lexington, KY 40504 (859) 278-8855 Languages: Laothian 3292 Eagle View Ln Lexington, KY 40509 (859) 278-8855 Languages: Laothian Richardson, Jeffrey S 1401 Harrodsburg Rd Ste C115 Lexington, KY 40504 (859) 278-8855 Rodes, Vivian S 3050 Harrodsburg Rd Ste 201 Lexington, KY 40503 (859) 296-4272 Tull, Carie A 1401 Harrodsburg Rd Ste C115 Lexington, KY 40504 (859) 278-8855 3292 Eagle View Ln Lexington, KY 40509 (859) 278-8855 Whitesel, Heather L 740 S Limestone St Lexington, KY 40536 (859) 323-5533

Podiatrist

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CoventryCares of Kentucky Zimmermann, Charles 3050 Harrodsburg Rd Ste 201 Lexington, KY 40503 (859) 296-4272

Floyd County Miller, Robert R 5230 KY Rt 321 Ste 1 Prestonsburg, KY 41653 (606) 889-0095 Webb, Timothy A 5230 KY Rt 321 Ste 1 Prestonberg, KY 41653 (606) 889-0095

Franklin County Altamirano Fricker, Irma L 5 Physicians Park Ste 3 Frankfort, KY 40601 (502) 227-7569 Bolton, Mary 103 Diagnostic Dr Ste B Frankfort, KY 40601 (859) 278-8855 Fine, Bradford M 103 Diagnostic Dr Ste B Frankfort, KY 40601 (859) 278-8855 Outsa, Judy N 103 Diagnostic Dr Ste B Frankfort, KY 40601 (859) 278-8855 Languages: Laothian Tull, Carie A 103 Diagnostic Dr Ste B Frankfort, KY 40601 (859) 278-8855

Grant County Beach, Brian J 106 S Main St Dry Ridge, KY 41035 (859) 824-1444 Tirone, Charles M 238 Barnes Rd Williamstown, KY 41097 (859) 341-9000

Graves County Adams II, William R 1029 Medical Center Cir Ste 308 Mayfield, KY 42066 (270) 251-4545 1111 Medical Center Cir Mayfield, KY 42066 (270) 251-4543 Richardson, Jeffrey S 1029 Medical Center Cir Mayfield, KY 42066 (270) 251-4545

Greenup County Dowdy Jr., Phillip R 1000 Ashland Dr Ste 105 Ashland, KY 41101 (606) 833-6260 Murray, Michelle A 1000 Ashland Dr Ste G1 Ashland, KY 41101 (606) 833-4043 1101 Saint Christopher Dr Ste 280 Ashland, KY 41101 (606) 638-7427

Hardin County Ahmed, Syed 1239 Woodland Dr Ste 101 Elizabethtown, KY 42701 (270) 737-3338 Chou, Jeffrey V 1360 Rogersville Rd Radcliff, KY 40160 (270) 352-0859 Languages: Chinese Ferro, Nicholas P 1239 Woodland Dr Ste 101 Elizabethtown, KY 42701 (270) 737-3338 Jenkins, Daryl K 599 Rogersville Rd Radcliff, KY 40160 (270) 351-2999

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Khader, Syed A 1239 Woodland Dr Ste 101 Elizabethtown, KY 42701 (270) 737-3338

Henderson County Anderson, Edward G 411 Letcher St Henderson, KY 42420 (513) 829-9333 Block, Steven M 110 3rd St Ste 370 Henderson, KY 42420 (270) 684-5252 Doll, Peter J 323 8th St Henderson, KY 42420 (270) 827-2548 Languages: Tagalog

Hopkins County Hehemann, Dave 200 Clinic Dr Madisonville, KY 42431 (270) 825-7200 Henning, Glenn A 200 Clinic Dr Madisonville, KY 42431 (270) 825-7200

Jefferson County Ahmed, Syed 4612 Outer Loop Louisville, KY 40219 (502) 968-2233 Beasley, William T 4602 Southern Pkwy Ste 1b Louisville, KY 40214 (502) 366-1479 Chou, Jeffrey V 117 S Hubbards Ln Ste 102 Louisville, KY 40207 (502) 895-3840 Languages: Chinese

Didyk, Angela B 10301 Champion Farms Dr Louisville, KY 40241 (502) 426-4228 Ferro, Nicholas P 4612 Outer Loop Louisville, KY 40219 (502) 968-2233 Ford, Timothy C 401 E Chestnut St Ste 420 Louisville, KY 40202 (502) 543-4100 550 S Jackson St Fl 1 Louisville, KY 40202 (502) 562-6501 550 S Jackson St Fl 2 Louisville, KY 40202 (502) 562-6511 142 Chenoweth Ln Louisville, KY 40207 (502) 543-4100 Goldstein, Lee H 8062 New Lagrange Rd Louisville, KY 40222 (502) 339-1200 Hicks, Adam B 401 E Chestnut St Ste 240 Louisville, KY 40202 (502) 459-3338 401 E Chestnut St Ste 710 Louisville, KY 40202 (812) 491-1426 550 S Jackson St Fl 1 Louisville, KY 40202 (502) 562-6501 550 S Jackson St Fl 2 Louisville, KY 40202 (502) 562-6511 1915 Bishop Ln Louisville, KY 40218 (502) 459-3338 9110 Leesgate Rd Louisville, KY 40222 (502) 426-7222

Jackson, Jessica S 15014 Bircham Rd Louisville, KY 40245 (513) 829-9111 Khader, Syed A 4612 Outer Loop Louisville, KY 40219 (502) 968-2233 Kovatch, Luke W 401 E Chestnut St # 710 Louisville, KY 40202 (502) 583-8303 Languages: Spanish 550 S Jackson St Fl 1 Louisville, KY 40202 (502) 562-6501 Languages: Spanish 550 S Jackson St Fl 2 Louisville, KY 40202 (502) 562-6511 Languages: Spanish 4642 Chamberlain Ln Ste 249 Louisville, KY 40241 (502) 572-7269 Languages: Spanish Michels, Dawn 4119 Browns Ln Bldg 2 Louisville, KY 40220 (270) 433-5806 Onosode, Nere B 4602 Southern Pkwy Ste 1b Louisville, KY 40214 (502) 366-1479 Outsa, Judy N 3906 S Dupont Sq Louisville, KY 40207 (859) 321-5271 Languages: Laothian 6407 Preston HWY Ste 1 Louisville, KY 40219 (502) 409-5580 Languages: Laothian Potter, Daryl K 10216 Taylorsville Rd Ste 500 Louisville, KY 40299 (812) 949-1002

Podiatrist

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CoventryCares of Kentucky Preuss Jr., Howard F 2905 Dixie Hwy Louisville, KY 40216 (502) 778-9666 6323 Bardstown Rd Louisville, KY 40291 (502) 231-1206 Przystawski, Brian T 4119 Browns Ln Bldg 2 Louisville, KY 40220 (502) 454-4187 Pyatak Hugar, Kathleen M 401 E Chestnut St Ste 420 Louisville, KY 40202 (502) 543-4100 Languages: Spanish 142 Chenoweth Ln Louisville, KY 40207 (502) 897-1616 Languages: Spanish Ulfe, Gerardo M 317 B Guthrie Green St Louisville, KY 40202 (502) 543-4100 Languages: Spanish

Kenton County

Gates, Nicholas T 560 S Loop Rd Edgewood, KY 41017 (859) 301-2663 Languages: Spanish Ginney, Patrick J 4327 Winston Ave Covington, KY 41015 (859) 746-7461 Grant, Michael J 1852 Ashwood Cir Fort Wright, KY 41011 (859) 907-5517 6 Greenbriar Ave Ft Mitchell, KY 41017 (859) 737-0904 Jenkins, Daryl K 630 Viox Dr Erlanger, KY 41018 (859) 727-6700 Mielech, Stephen F 4327 Winston Ave Covington, KY 41015 (859) 261-8608 Nielson, William M 4327 Winston Ave Covington, KY 41015 (859) 261-8608

Connolly, Matthew J 560 S Loop Rd Edgewood, KY 41017 (859) 301-2663

Sugarman, Charles J 4327 Winston Ave Covington, KY 41015 (859) 746-7461

Di Iulio, Darren P 2865 Chancellor Dr Ste 205 Crestview Hills, KY 41017 (859) 341-9900

Tirone, Charles M 2865 Chancellor Dr Ste 205 Crestview Hills, KY 41017 (859) 341-9900

Enzweiler, Matthew G 4327 Winston Ave Covington, KY 41015 (859) 746-7461

Titko, Kristin K 3215 Dixie Hwy Erlanger, KY 41018 (513) 729-4455

Fallis, Bryan V 2300 Chamber Center Dr Ste 100 Ft Mitchell, KY 41017 (859) 331-2440

Languages: Spanish Worley, Gregory A 4327 Winston Ave Covington, KY 41015 (859) 261-8608

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Knox County Schnell, Jeffrey T 215 Treuhaft Blvd Ste 3b Barbourville, KY 40906 (606) 546-2259

322 Highland Park Dr Ste 9 Richmond, KY 40475 (859) 623-3550

Laurel County

Fine, Bradford M 202 Kidd Dr Ste 1 Berea, KY 40403 (859) 278-8855

Krestik, Paul K 1105 W 5th St Ste 3 London, KY 40741 (606) 862-9900

Hall, Randall W 305 Estill St Ste B Berea, KY 40403 (859) 623-3550

Lawrence County

322 Highland Park Dr Ste 9 Richmond, KY 40475 (859) 623-3550

Murray, Michelle A 2483 Highway 644 Three Rivers Medical Center, Ste 204 Louisa, KY 41230 (606) 638-7427 92 Torchlight Rd Louisa, KY 41230 (606) 673-3300

Lincoln County Jensen Stanley, Pamela M 124 Portman Ave Stanford, KY 40484 (606) 365-4612 Languages: Spanish

Logan County

Outsa, Judy N 202 Kidd Dr Ste 1 Berea, KY 40403 (859) 278-8855 Languages: Laothian Tull, Carie A 202 Kidd Dr Ste 1 Berea, KY 40403 (859) 278-8855

Marshall County Lampkin Jr., Roger D 815 Birch St Benton, KY 42025 (270) 527-7014

Benge, Jennifer A 1405 Nashville St Russellville, KY 42276 (270) 598-4910

Naulty, Stuart A 815 Birch St Benton, KY 42025 (270) 527-7014

Madison County

McCracken County

Ambroziak, Donald L 509 Hampton Way Richmond, KY 40475 (859) 623-6157

Adams II, William R 4787 Alben Barkley Dr Paducah, KY 42001 (270) 442-9461

Bolton, Mary 202 Kidd Dr Ste 1 Berea, KY 40403 (859) 278-8855

2605 Kentucky Ave Ste 103 Paducah, KY 42003 (270) 450-7221

Demaria, Anthony P 305 Estill St Ste B Berea, KY 40403 (859) 623-3550

Slatick, Ronald S 131 Nahm St Ste 2 Paducah, KY 42001 (270) 443-1110

McCreary County Brennan, Nate A 71 Medical Ln Whitley City, KY 42653 (423) 286-7850 Schnell, Shannon R 49 Medical Loop Whitley City, KY 42653 (606) 679-2773

Montgomery County Bolton, Mary 805 Alexa Dr Ste C Mount Sterling, KY 40353 (859) 278-8855 Fine, Bradford M 805 Alexa Dr Ste C Mount Sterling, KY 40353 (859) 278-8855 Lause, Federico V 112 W High St Mount Sterling, KY 40353 (859) 498-5151 Languages: Spanish Outsa, Judy N 805 Alexa Dr Ste C Mount Sterling, KY 40353 (859) 278-8855 Languages: Laothian Tull, Carie A 805 Alexa Dr Ste C Mount Sterling, KY 40353 (859) 278-8855

Oldham County Kovatch, Luke W 1023 New Moody Ln Ste 202 La Grange, KY 40031 (502) 572-7269 Languages: Spanish Preuss Jr., Howard F 311 La Grange Rd Pewee Valley, KY 40056 (502) 241-0011 Podiatrist

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CoventryCares of Kentucky Schnell, Jeffrey T 117 Tradepark Dr Somerset, KY 42503 (606) 678-5708

Rodes, Vivian S 1156 Lexington Rd Georgetown, KY 40324 (502) 867-0244

Shelby County

Pendleton County

Schnell, Shannon R 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773

Connolly, Matthew J 211 W Shelby St Falmouth, KY 41040 (859) 301-2663

Settles Carter, Jamie N 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773

Pike County

Skurka, Joseph E 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773

Owen County Outsa, Judy N 120 Progress Way Owenton, KY 40359 (502) 484-9905 Languages: Laothian

Avery, Kenneth B 28531 US Highway 119 Lambert Professional Bldg, Ste 202 South Williamson, KY 41503 (606) 237-5000 Chaney, Bradwell S 126 Trivette Dr Ste 101 Pikeville, KY 41501 (606) 432-0003 Gstalder-Chaney, Sheryl L 126 Trivette Dr Ste 101 Pikeville, KY 41501 (606) 432-0003

Pulaski County Jensen Stanley, Pamela M 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773 Languages: Spanish Kleman, Judy A 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773 Miller, Christopher J 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773 Moore, Jonathan E 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773

Rowan County Clayton, Clarence G 1028 E Main St Morehead, KY 40351 (606) 783-6866

Russell County Jensen Stanley, Pamela M 92 Joe T. Pettey Dr Russell Springs, KY 42642 (606) 679-2773 Languages: Spanish

Scott County Bolton, Mary 1138 Lexington Rd Ste 210 Georgetown, KY 40324 (859) 278-8855 Fine, Bradford M 1138 Lexington Rd Ste 210 Georgetown, KY 40324 (859) 278-8855 Outsa, Judy N 1138 Lexington Rd Ste 210 Georgetown, KY 40324 (859) 278-8855 Languages: Laothian

Languages: Spanish

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Adams, Heiko B 1701 Midland Trl Shelbyville, KY 40065 (502) 633-3338 Languages: German Hord, Jacob A 1701 Midland Trl Shelbyville, KY 40065 (502) 633-3338

Simpson County Benge, Jennifer A 1030 Brookhaven Rd Franklin, KY 42134 (270) 303-3787

Taylor County Risen, Mark A 1003 Old Greensburg Rd Campbellsville, KY 42718 (270) 789-4342

Warren County Young, Richard R 1830 Destiny Ln Ste 110 Bowling Green, KY 42104 (270) 846-3338

475 US HWY 25w Williamsburg, KY 40769 (606) 549-2930

Woodford County Bryant, Chris N 195 S Main St Versailles, KY 40383 (859) 278-7313

Blanchard, Anthony J 4260 Glendale Milford Rd Ste 103 Cincinnati, OH 45242 (513) 769-4408

King, Thomas E 195 S Main St Versailles, KY 40383 (859) 278-7313

3731 S Dixie Hwy Franklin, OH 45005 (513) 423-0672

Indiana Ferro, Nicholas P 1263 Hospital Dr Nw Ste 100 Corydon, IN 47112 (812) 752-7542 1425 State St Ste 200 New Albany, IN 47150 (812) 752-7542 Khader, Syed A 1263 Hospital Dr Nw Ste 100 Corydon, IN 47112 (812) 752-7542 1425 State St Ste 200 New Albany, IN 47150 (812) 725-7542

Wayne County

Potter, Daryl K 207 Sparks Ave Ste 404 Jeffersonville, IN 47130 (812) 949-1002

Kleman, Judy A 49 Gregory St Monticello, KY 42633 (606) 343-0289

2315 Green Valley Rd #200 New Albany, IN 47150 (812) 949-1002

Moore, Jonathan E 49 Gregory St Monticello, KY 42633 (606) 343-0289

Preuss Jr., Howard F 3684 Highway 150 Ste 3 Floyds Knobs, IN 47119 (812) 923-9837

Languages: Spanish

Whitley County Schnell, Jeffrey T 1007 Cumberland Falls Hwy Corbin, KY 40701 (606) 258-8637

4260 Glendale Milford Rd Ste 103 Cincinnati, OH 45242 (513) 769-4408

Ohio Ash, Renee L 2450 Kipling Ave Ste 209 Cincinnati, OH 45239 (513) 769-4408

Cwikla, Paul S 1605 11th St Portsmouth, OH 45662 (740) 354-3883 Fallis, Bryan V 1380 Compton Rd Cincinnati, OH 45231 (513) 931-0083 Plumley, Eric J 222 Piedmont Ave Ste 7000 Cincinnati, OH 45219 (513) 769-4408 3731 S Dixie Hwy Franklin, OH 45005 (513) 423-0672 Rizzo, Dominic A 4260 Glendale Milford Rd Ste 103 Cincinnati, OH 45242 (513) 769-4408 Titko, Kristin K 7344 Hamilton Ave Mount Healthy, OH 45231 (513) 729-4455 Languages: Spanish Vinegar, Barbara A 234 Goodman St Cincinnati, OH 45219 (513) 854-1000

Tennessee Breeden, Richard A 2009 Mallory Ln Ste 230 Franklin, TN 37067 (615) 771-7580

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CoventryCares of Kentucky 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Brennan, Nate A 433 Central Ave W Jamestown, TN 38556 (423) 286-7850 20463 Alberta St Oneida, TN 37841 (423) 286-7850 Burns, Lawrence E 4230 Harding Rd Ste G 12 Nashville, TN 37205 (615) 301-7054 Chatelain, Ryan J 325 N State Of Franklin Rd 3rd Floor Johnson City, TN 37604 (423) 439-7201 Davis, Kevin W 312 Northcrest Dr Springfield, TN 37172 (615) 384-3112 Deeter, Kirby H 324 Cool Springs Blvd Franklin, TN 37067 (615) 771-7265 Languages: Spanish Gardner, Timothy L 10810 Parkside Dr Ste 202 Knoxville, TN 37934 (865) 218-7474

Psychiatric Residential Treatment Facility Kentucky Christian County Fhc Sivley House Dba Abs of Kentucky 303 W 15th St Hopkinsville, KY 42240 (270) 889-2149

Daviess County First Place - Green River PRTF 1224 Venable Ave Owensboro, KY 42301 (270) 685-2203 PRTF - Rudy Rd 360 Rudy Rd Owensboro, KY 42302 (270) 691-0786

Perry County Buckhorn Childrens Ctr I 1 Buckhorn Ln Buckhorn, KY 41721 (606) 398-7000

Indiana Deaconess Cross Pointe Center 7200 E Indiana St Evansville, IN 47715 (812) 476-7200

Trenner, David B 324 Cool Springs Blvd Franklin, TN 37067 (615) 771-7265

West Virginia Brown, Kevin D 2828 1st Ave Suite 400 Huntington, WV 25702 (304) 525-6905 Tankersley, Zach J 1600 Medical Center Dr Ste 2500 Huntington, WV 25701 (304) 691-1200

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

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Kentucky Spirit Health Plan Ambulatory Surgical Centers Kentucky Barren County The Downing McPeak Surgery Center LLC 108 Bravo Boulevard Glasgow, KY 42141 (270) 651-2181

Boone County The Center for Surgical Care 7575 US Highway 42 Florence, KY 41042 (859) 283-9100

Fayette County Baptist Physicians Surgery Center 1720 Nicolasville Road Lexington, KY 40503 (859) 260-7000 Kentucky Surgery Center 240 Fountain Court Lexington, KY 40509 (859) 278-1460 Lexington Surgery Center 1451 Harrodsburg Road Suite 102 Lexington, KY 40544 (859) 276-2525 The Pain Treatment Center, INC 280 Pasadena Drive Lexington, KY 40503 (859) 278-1316

Hardin County Surgical Center of Elizabethtown 108 Financial Drive Elizabethtown, KY 42701 (270) 737-5200

Jefferson County Louisville Surgery Center 444 S First Street Suite 201 Louisville, KY 40202 (502) 238-2888

Kenton County St. Elizabeth Physicians Endoscopy Center 340 Thomas Moore Parkway Suite 160b Crestview Hills, KY 41017 (859) 331-6466

Somerset Surgery Center-Healthsouth Somerset Surge 30 Medical Park Drive Somerset, KY 42503 (606) 679-9322

Whitley County Cumberland Valley Surgical Center, LLC 275 Highway 770 Corbin, KY 40701 (606) 526-7874

Indiana

Mason County

Ecc Surgery Center 101 Nw 1st Street Evansville, IN 47708 (812) 435-2372

Eyecare Network 1360 Medical Park Drive Maysville, KY 41056 (606) 759-5341

Novamed Eye Surgery Center New Albany 520 W 1st Street New Albany, IN 47150 (812) 948-0616

McCracken County

Ohio

Ambulatory Surgery Center - Paducah 2831 Lone Oak Road Paducah, KY 42003 (270) 554-8373

The Urology Center LLC 4700 Smith Road Suite M Cincinnati, OH 45212 (513) 366-3400

Lourdes Ambulatory Surgery Center LLC 225 Medical Center Drive Suite 105 Paducah, KY 42003 (270) 538-5573

Tennessee

Muhlenberg County

Knoxville Eye Surgery Center LLC 140 Capital Drive Suite 2 Knoxville, TN 37922 (865) 251-0338

Muhlenberg Surgery Center 1008 Medical Center Drive Suite B Powderly, KY 42367 (270) 338-9929

The Cookeville Surgery Center 100 W 4th Street Suite 100 Cookeville, TN 38501 (931) 526-8115

Pulaski County

West Virginia

Lake Cumberland Surgery Center Lp 301 Langdon Street Somerset, KY 42503 (606) 678-9688

Cabell Huntington Surgery Center 1201 Hal Greer Boulevard Huntington, WV 25701 (304) 523-1885

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Audiologist Kentucky Boone County Hahn, Albert 31 Spiral Avenue Florence, KY 41042 (859) 525-1128 Languages: Spanish

Bourbon County High, Stacey A 24 Clinic Drive Suite B Paris, KY 40361 (859) 987-0409

Boyle County Caldwell, Marion 3940 S Danville Bypass Danville, KY 40422 (859) 236-3865 Galloway, Tracy 120 Daniel Drive Danville, KY 40423 (859) 236-0903

Fayette County Adkins, Margaret M 740 South Limestone Street Lexington, KY 40536 (859) 257-5536 Denley, Sara Elizabeth 350 Henry Clay Boulevard Lexington, KY 40502 (859) 268-4545 Guinn, Tara Dawn 350 Henry Clay Boulevard Lexington, KY 40502 (859) 268-4545 High, Stacey A 150 N Eagle Creek Drive Lexington, KY 40509 (859) 623-4458 Mattingly, Abby B 740 South Limestone Street Lexington, KY 40536 (859) 257-5536

Mikel, Angela 740 South Limestone Street Lexington, KY 40536 (859) 257-5536 Miller, Jeanette K 350 Henry Clay Boulevard Lexington, KY 40502 (859) 268-4545 Mobley, Kari Lynn 740 South Limestone Street Lexington, KY 40536 (859) 257-5536 Oliver, Amy 350 Henry Clay Boulevard Lexington, KY 40502 (859) 268-4545 Ormond, Persis 740 South Limestone Street Lexington, KY 40536 (859) 323-5000 Shinn Pettyjohn, Jennifer 740 S Limestone Street Lexington, KY 40536 (859) 323-5661 740 South Limestone Street Lexington, KY 40536 (859) 257-5536

Franklin County High, Stacey A 5 Physician Par Frankfort, KY 40601 (502) 227-9911

Fulton County Sexton, Michael 2002 Holiday Lane Suite 400 Fulton, KY 42041 (270) 472-8399

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Kentucky Spirit Health Plan Graves County Sexton, Michael 113 W Broadway Mayfield, KY 42066 (270) 472-8399

Grayson County Browning, James 910 Wallace Avenue Leitchfield, KY 42754 (270) 259-2714

Hopkins County Browning, James 200 Clinic Drive Madisonville, KY 42431 (270) 825-7200 Driskill, Susan A 200 Clinic Drive Madisonville, KY 42431 (270) 825-7200 Stevenson, Cathrine 200 Clinic Drive Madisonville, KY 42431 (270) 825-7200

Jefferson County Alworth, Lynzee N 401 East Chestnut Street Suite 710 Louisville, KY 40202 (502) 583-8303 Ashley, Abigail L 117 E Kentucky Street Louisville, KY 40203 (502) 584-3573

Campbell, Mitchell D 117 E Kentucky Street Louisville, KY 40203 (502) 584-3573 Clark, Mark E 4004 Dupont Circle Suite 220 Louisville, KY 40207 (502) 540-7318 Cunningham, David R 401 East Chestnut Street Suite 710 Louisville, KY 40202 (502) 583-8303

Moats, Shelley R 970 Breckenridge Lane Suite 102 Louisville, KY 40207 (502) 895-7220 Mucklow, Mary B 4004 Dupont Circle Suite 220 Louisville, KY 40207 (502) 540-7318 Robertson, Katherine 117 E Kentucky Street Louisville, KY 40203 (502) 584-3573

Dyer, Barbara Jane 4004 Dupont Circle Suite 220 Louisville, KY 40207 (502) 540-7318

Rutledge, Casey A 401 East Chestnut Street Suite 710 Louisville, KY 40202 (502) 583-8303

Edwards, Ingrid 117 E Kentucky Street Louisville, KY 40203 (502) 584-3573

Shuman, Marci L 117 E Kentucky Street Louisville, KY 40203 (502) 584-3573

Eisenmenger, Barbara A 401 E Chestnut Street Suite 710 Louisville, KY 40202 (502) 583-8303

Weihing, Jeffrey A 401 East Chestnut Street Suite 710 Louisville, KY 40202 (502) 583-8303

Hynes, Kathryn M 4004 Dupont Circle Suite 220 Louisville, KY 40207 (502) 540-7318

Wheelock, Jennifer D 117 E Kentucky Street Louisville, KY 40203 (502) 584-3573

Madison County

Pulaski County

Allen County

Lukat, Roy 647 W Highway 80 Suite 4 Somerset, KY 42503 (606) 679-3866

Watkins, Grant G 1598 Old Gallatin Road Scottsville, KY 42164 (270) 237-3304

Taylor County Lawless, Kim 105 Greenbriar Drive Suite A Campbellsville, KY 42718 (270) 465-3595

Tennessee Nelson, Samantha L 4230 Harding Road Suite 400 Nashville, TN 37205 (615) 386-2300 Shupe, Samantha L 4230 Harding Road Suite 400 Nashville, TN 37205 (615) 386-2300

West Virginia Cottrell, Jodi C 1 John Marshall Drive Huntington, WV 25755 (304) 696-3641

Chiropractor Kentucky Adair County

Kloft, Jennifer K 4004 Dupont Circle Suite 220 Louisville, KY 40207 (502) 540-7318

Frazier, Deanna Lynn 1036 Amberly Way Suite A Richmond, KY 40475 (859) 623-4458

Beach, Angela M 117 E Kentucky Street Louisville, KY 40203 (502) 584-3573

Kohler, Ann E 4004 Dupont Circle Suite 220 Louisville, KY 40207 (502) 540-7318

High, Stacey A 1036 Amberly Way Suite A Richmond, KY 40475 (859) 623-4458

Cooper-Henson, Jaclyn 117 Merchant Street Columbia, KY 42728 (270) 384-5772

Brown, Shannon Michelle 4004 Dupont Circle Suite 220 Louisville, KY 40207 (502) 540-7318

Martis, Janet Ann 4004 Dupont Circle Suite 220 Louisville, KY 40207 (502) 540-7318

Montgomery County

Grant, Anthony 908 Russell Road Columbia, KY 42728 (270) 384-3271

Austin, Katie L 117 E Kentucky Street Louisville, KY 40203 (502) 584-3573

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

High, Stacey A 50 Sterling Avenue Mount Sterling, KY 40353 (859) 497-7726

Cooper, Victor H 117 Merchant Street Columbia, KY 42728 (270) 384-5772

Anderson County Bierly, Kevin Jay 236 East Woodford Street Lawrenceburg, KY 40342 (502) 859-9075 Drury, Patricia A 103 Hawkins Street Lawrenceburg, KY 40342 (502) 839-3200 Pangemanan, Arthur A 1028 Eagle Lake Drive Lawrenceburg, KY 40342 (502) 839-7171

Barren County Boggs, Jeffrey 102 W Cherry Street Glasgow, KY 42141 (270) 651-7552 Jones, John 209 E Main Street Glasgow, KY 42141 (270) 651-7465 Miles, Robert 507 S L Rogers Wells Boulevard Suite A Glasgow, KY 42141 (270) 834-8922 Oldenkamp, Derek 205 Columbia Avenue Glasgow, KY 42141 (270) 651-8340 Tank, Thomas 215 North L Rogers Wells Boulevard Glasgow, KY 42141 (270) 651-2203

Rogers, Ronald 920 Russell Road Columbia, KY 42728 (270) 384-5554 Audiologist

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Kentucky Spirit Health Plan Boone County

Boyd County

Boyle County

Bullitt County

Broeg, Richard A 1029 Burlington Pike Florence, KY 41042 (859) 525-2020

Alicia, Eldridge-Keelin Dawn 7707 US State Route 60 Ashland, KY 41102 (606) 928-3365

Arnold, Craig 1420 Hustonville Road Danville, KY 40422 (859) 236-5562

Flynn, Ronald 1451 Highway 44e Shepherdsville, KY 40165 (502) 955-5328

Didio, Casey A 4971 Houston Road Florence, KY 41042 (859) 283-0500 Hartung, Bradley 7560 Burlington Pike Florence, KY 41042 (859) 525-7117 Koester, Brett M 7346 Highway 42 Florence, KY 41042 (859) 746-1511 Mikkelson, Lawrence 7560 Burlington Pike Florence, KY 41042 (859) 525-7117 Thompson, Tristin 2950 Hebron Park Drive Suite E Hebron, KY 41048 (859) 586-9777 Tomar, Vincent M 8178 Mall Road Florence, KY 41042 (859) 746-2222 Wagner, Michael P 7309 US 42 Florence, KY 41042 (859) 525-1213

Dillon, Gary D 5936 Swanson Drive Ashland, KY 41102 (606) 929-9667 Hamlin, James M 947 Winchester Avenue Ashland, KY 41101 (606) 326-1231 Holmes, Jeremiah 155 W Central Avenue Ashland, KY 41101 (606) 326-1132 Porter, Dwain 717 Wheatley Road Ashland, KY 41101 (606) 329-1148 Qualls, Daniel 4360 13th Street Suite 2 Ashland, KY 41102 (606) 326-0100 Razak, Muhummad Asif 155 W Central Avenue Ashland, KY 41101 (606) 326-1132

Fisher, Edward H 101 Citation Drive Danville, KY 40422 (859) 236-2295 Garrison, Callie 434 W Walnut Street Danville, KY 40422 (859) 239-0022 Mackey, Craig 642 E Lexington Avenue Danville, KY 40423 (859) 238-9300 Short, Dennis 434 W Walnut Street Danville, KY 40422 (859) 239-0022 Toon, Stephen M 434 West Walnut Street Danville, KY 40422 (859) 239-0022 True, Vance 100 Brenda Avenue Danville, KY 40422 (859) 236-6994

Breathitt County

Bourbon County

Scott, Mark K 1317 Montgomery Avenue Ashland, KY 41101 (555) 555-5555

Howard, Steven Ray 1550 Highway 15 S Suite 24 Jackson, KY 41339 (606) 666-0009

Brooks, Jennifer A 2001 Alverson Drive 106 Paris, KY 40361 (999) 999-9999

Shelton, Charlie G 1317 Montgomery Avenue Ashland, KY 41101 (555) 555-5555

Breckinridge County

Gast, Christopher L 4 East 4th Street Paris, KY 40361 (859) 987-0743

Swann, Justin F 613 13th Street Ashland, KY 41101 (606) 329-8000

Keding, David 416 Millersburg Road Paris, KY 40361 (859) 987-6058

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Cesarz, Stefan 112 Bank Street Hardinsburg, KY 40143 (270) 756-1700 Ruskowski, Kent 143a Old US Highway 60e Hardinsburg, KY 40143 (270) 756-5368

Knopp, Russell 1451 Highway 44e Shepherdsville, KY 40165 (502) 955-5328

Butler County Lease, Vicky 725 S Main Street Suite 1 Morgantown, KY 42261 (270) 526-6206 Rogers, Adam 725 S Main Street Suite 1 Morgantown, KY 42261 (270) 526-6206 Vincent, Larry Dean 105 North Tyler Street Morgantown, KY 42261 (270) 526-4613

Calloway County Etherton, Bambi 1103 Chestnut Street Murray, KY 42071 (270) 759-0030 Etherton, Virgil 1103 Chestnut Street Murray, KY 42071 (270) 759-0030 Foster, Brian Scott 1710 Highway 121 N Bypass Suite D Murray, KY 42071 (270) 753-6100 Heskett, Dennis 1703 Highway 121 N Bypass Murray, KY 42071 (270) 759-1116

Thornton, Patrick 408 S 12th Street Murray, KY 42071 (270) 293-5266

Campbell County Bowling, Sheila Lynn 2515 Alexandria Pike Highland Heights, KY 41076 (859) 781-1000 Languages: Tamil, Hindi, Malayalam Cook, Barbara S 613 6th Avenue Dayton, KY 41074 (859) 431-3624 Crowley, Kevin E 7579 Alexandria Pike Alexandria, KY 41001 (859) 635-6666 Ehn, Timothy D 1697 A Monmouth Street Newport, KY 41071 (859) 292-0123 Ganesh, Santosh K 2515 Alexandria Pike Highland Heights, KY 41076 (859) 781-1000 Gearhart, Kendall Rae 8333 Alexandria Pike Alexandria, KY 41001 (859) 448-0900 Homan, Gerald 52 Carothers Road Newport, KY 41071 (859) 291-2225 Homan, Tracy 52 Carothers Road Newport, KY 41071 (859) 291-2225 Jones, Roger C 2306 Alexandria Pike Southgate, KY 41071 (859) 572-0029

Phillips, Joseph 903 Sycamore Street Murray, KY 42071 (270) 753-9030 Chiropractor

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Kentucky Spirit Health Plan Schweitzer, Mark 20 N Grand Avenue Suite 12 Fort Thomas, KY 41075 (859) 441-8800 Sperbeck, Mark Jason 8333 Alexandria Pike Suite 400 Alexandria, KY 41001 (859) 448-0900 Squicciarini, John 4 Hidden Valley Drive Suite F Highland Heights, KY 41076 (859) 441-8181

Johnson, Mark 1600 S Virginia Street Hopkinsville, KY 42240 (270) 885-5988 Landrum, John B 130 Hammond Drive Hopkinsville, KY 42240 (270) 348-1307 Perschke, Patrick 1110 S Main Street Suite B Hopkinsville, KY 42240 (270) 886-6046

Clinton County Osborne, Michael 701 Burkesville Road Albany, KY 42602 (606) 387-5793 True, Matthew 701 Burkesville Road Albany, KY 42602 (606) 387-5793

Simone, Robert 3180 W Parrish Avenue Owensboro, KY 42301 (270) 683-1188 Simone, Sean 3180 W Parrish Avenue Owensboro, KY 42301 (270) 683-1188

Cumberland County

Stallings, Brett 820 Chuck Gray Court Owensboro, KY 42303 (270) 685-5100

Cooper-Henson, Jaclyn 121 E Church Street Burkesville, KY 42717 (270) 864-2403

Stallings, Jeffrey 820 Chuck Gray Court Owensboro, KY 42303 (270) 685-5100

Flannagan, Joseph 404 Courthouse Square Burkesville, KY 42717 (270) 864-1774

Tinius, Brian 1300 Tamarack Road Owensboro, KY 42301 (270) 926-0941

Daviess County

Tinius, Larry H 1300 Tamarack Road Owensboro, KY 42301 (270) 926-0941

Carter County

Pound, Robert 1202 Skyline Drive Hopkinsville, KY 42240 (270) 881-1005

Bond, Ryan M 128 Interstate Drive Grayson, KY 41143 (606) 475-0000

Pound, Sheila 1202 Skyline Drive Hopkinsville, KY 42240 (270) 881-1005

Casey County

Putty, Eric 611 Hammond Plaza Hopkinsville, KY 42240 (270) 886-0068

Clark, Aaron 507 E Parrish Avenue Owensboro, KY 42303 (270) 852-9355

Clark County

10015 Main Street Suite B Whitesville, KY 42378 (999) 999-9999

Wittwer, Lance 920 Frederica Street Suite 306 Owensboro, KY 42301 (270) 852-1630

Edelen, Amy L 507 E Parrish Avenue Owensboro, KY 42303 (270) 852-9355

Yates, Andrew 507 E Parrish Avenue Owensboro, KY 42303 (270) 852-9355

10015 Main Street Suite B Whitesville, KY 42378 (999) 999-9999

10015 Main Street Suite B Whitesville, KY 42378 (999) 999-9999

Lamar, Blakeley 1605 Scherm Road Owensboro, KY 42301 (270) 316-6347

Edmonson County

Cundiff, Kerry 256 N Wallace Wilkinson Boulevard Liberty, KY 42539 (606) 787-7900 Hayes, Breece 417 Middleburg Street Liberty, KY 42539 (606) 787-7261 511 Middleburg Street Liberty, KY 42539 (606) 787-5963 Montgomery-Turner, Erica 69 Hustonville Street Liberty, KY 42539 (606) 787-2800 Turner, Michael L 69 Hustonville Street Liberty, KY 42539 (606) 787-2800

Christian County Grant, Billy 1483 Marie Drive Hopkinsville, KY 42240 (270) 885-2351

Barnes, Robert Dean 140 Redwing Drive Winchester, KY 40391 (859) 744-7319 Dotson, Steven 1145 W Lexington Avenue Suite B Winchester, KY 40391 (849) 745-6834 Williams, Perry 124 Professional Avenue Winchester, KY 40391 (859) 737-5800

Clay County Martin, Julie Ann 108 Main Street Manchester, KY 40962 (606) 596-0665

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Liebenhauer, Kara 820 Chuck Gray Court Owensboro, KY 42303 (270) 685-5100 Martin, Eric 2756 Veach Road Owensboro, KY 42303 (270) 688-0234

Lindsey, Rodger Allen 247 Mohawk Road Brownsville, KY 42210 (270) 597-9024

Estill County Allen, John C 149 Richmond Road Irvine, KY 40336 (606) 723-2225

Fayette County Bailey, Francis 80 Codell Drive Suite 150 B Lexington, KY 40509 (859) 494-8322 Baker, Gerald J 1060 Chinoe Road Suite 124 Lexington, KY 40502 (859) 335-9355 Bullock, Jacob A 152 W Zandale Drive Suite 101 Lexington, KY 40503 (859) 272-0099 Clare, Kenneth J 1165 East New Circle Road Lexington, KY 40505 (859) 246-0001 Daniels, Tiffany M 427 Redding Road Lexington, KY 40517 (859) 245-2000 Dawson, Brent G 1301 Winchester Road Suite 149 Lexington, KY 40505 (859) 255-3777 Languages: Spanish Dawson, Harmony Susan 1301 Winchester Road Suite 149 Lexington, KY 40505 (859) 255-3777 Fields, Joseph Robert 4250 Saron Drive Suite 175 Lexington, KY 40515 (999) 999-9999 Gallentine, Heath 131 Prosperous Place Suite 15 Lexington, KY 40509 (859) 264-1140

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Kentucky Spirit Health Plan Garrison, Callie 185 Pasadena Drive Suite 110 Lexington, KY 40503 (859) 239-0022 Kennedy, Rob J 340 Legion Drive Suite 2 Lexington, KY 40504 (859) 275-1962 Leverette, Nicholas Eugene 1890 Starshoot Parkway Suite 190 Lexington, KY 40509 (999) 999-9999

Skinner, Brett Anthony 3198 Custer Drive Suite 100 Lexington, KY 40517 (859) 231-6996 Slavik, Andrew 427 Redding Road Lexington, KY 40517 (859) 245-2000 Smith, Collin P 3165 Beaumont Center Circle Suite 130 Lexington, KY 40513 (859) 219-1014

Lindsay, Grant W 2417 Nicholasville Road Suite 114 Lexington, KY 40503 (859) 278-5800

Walker, Lauren 3801 Dylan Place Suite 110 Lexington, KY 40514 (999) 999-9999

Martin, Julie Ann 2909 Richmond Road Suite 120 Lexington, KY 40509 (859) 268-2273

Floyd County

Mendez, Antonio T 207 E Reynolds Road Suite 160 Lexington, KY 40517 (859) 273-4455 Millen, Jennifer Sue 1795 Alysheba Way Suite 6103 Lexington, KY 40509 (859) 335-0419 Pelton, Barry Leon 1132 Winchester Road Suite 125 Lexington, KY 40505 (859) 254-0059 Languages: Spanish Rosevear, Christian 89 Governors Lane Suite 280 Lexington, KY 40513 (606) 326-0866 Shirar, George 1057 S Broadway Lexington, KY 40504 (859) 254-5001

Burgett, Robert B 90 Triangle Street Martin, KY 41649 (606) 285-2639 Salyers, Charles R 91 Oak Ridge Court Prestonsburg, KY 41653 (606) 889-9222 Simpson, Philip R 1938 KY Route 321 Prestonsburg, KY 41653 (606) 886-1416 Slone, Zacharry F 1938 KY Route 321 Prestonsburg, KY 41653 (606) 886-1416

Franklin County Anderson, Kevin D 103 Twin Oak Circle Frankfort, KY 40601 (502) 875-3200 Cremeans, Todd S 73 C Michael Davenport Boulevard Suite 2 Frankfort, KY 40601 (502) 223-2424

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

David, Christopher L 1100 US Highway 127 South Suite C Frankfort, KY 40601 (502) 223-2001

Nohr, Adrian 1506 N Dixie Avenue Elizabethtown, KY 42701 (270) 765-2244

Eichorst, Harold A 1303 US Highway 127 Suite 406 Frankfort, KY 40601 (502) 223-6944

Owsley, Michael 585 B Westport Road Elizabethtown, KY 42701 (270) 982-9440

Garrard County

Perks, William 125 W Lincoln Trail Boulevard Radcliff, KY 40160 (270) 351-6074

Cundiff, Robert 230 Lexington Street Suite C Lancaster, KY 40444 (859) 792-1845

Grant County Post, Tessa M 1212 N Main Williamstown, KY 41097 (859) 824-6700

Graves County Farr, Daniel 339 Charles Drive Mayfield, KY 42066 (270) 251-0908

Grayson County Walker, Michael 113 W Main Street Leitchfield, KY 42754 (270) 259-9890

Hardin County Colwell, Felty 815 A W Lincoln Trail Boulevard Radcliff, KY 40160 (270) 351-3736 Eriksen, Paul W 1007 N Dixie Highway Elizabethtown, KY 42701 (270) 735-9090 Fulkerson, Adam 1515 Ring Road W Suite 5 Elizabethtown, KY 42701 (270) 234-8880

Henderson County Nunez, Baldomero 312 Third Street Henderson, KY 42420 (270) 869-8566 Languages: Spanish Rashidian, Raysha Renee 1023 N Elm Street Henderson, KY 42420 (270) 826-5737

Harrison County

Reasor-Brann, Lenita J 110 Third Street Suite 200 Henderson, KY 42420 (270) 827-0202

Anderson, Kevin D 1050 Highway US 27 S Suite 1 Cynthiana, KY 41031 (859) 508-3200

Sciortino, Michael 2869 US Highway 41n Suite B Henderson, KY 42420 (270) 844-8100

Goldman, Arnold H 1050 US Highway 27 South Suite 1 Cynthiana, KY 41031 (859) 234-1605

Henry County

Languages: Italian Goldman, Rita R 1050 US Highway 27 South Suite 1 Cynthiana, KY 41031 (859) 234-1605 Languages: Italian Lyles, Jerry Jason 1050 US Highway 27 South Suite 1 Cynthiana, KY 41031 (859) 234-1605

Hart County Campbell, Paul 1132 B Main Street Munfordville, KY 42765 (270) 524-5240 Ratusny, John 300 Main Street PO Box 447 Munfordville, KY 42765 (270) 524-3499

Day, Travis D 8172 Main Street Campbellsburg, KY 40011 (502) 532-0099 Hines, Mark 8172 Main Street Campbellsburg, KY 40011 (502) 532-0099

Hopkins County Britt, James 320 E Arcadia Avenue Dawson Springs, KY 42408 (270) 797-8461 Cranor, Robert 446 E Center Street Madisonville, KY 42431 (270) 821-7001 Kington, James 258 S Main Street Madisonville, KY 42431 (270) 825-4100

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Kentucky Spirit Health Plan McCay, Marina 38 Ridgewood Professional Court Madisonville, KY 42431 (270) 821-9020 McCay, Robert 920 S Main Street Madisonville, KY 42431 (270) 821-2321 Seibert, Michael 38 Ridgewood Professional Court Madisonville, KY 42431 (270) 821-9020 Stachurski, John 2720 N Main Street Madisonville, KY 42431 (270) 825-3995

Jackson County Huser-Taylor, Brenda J 35 Highway 290 Mc Kee, KY 40447 (606) 287-2225 Lapoint, Cory Wayne 35 Highway 290 Mc Kee, KY 40447 (606) 287-2225

Jefferson County Aros, Sara 3318 Bardstown Road Louisville, KY 40218 (502) 456-5353 10012 Dixie Highway Louisville, KY 40272 (502) 937-7000 Byers-Abston, Terri 105 N Lyndon Lane Suite 102 Louisville, KY 40222 (502) 426-6715 Carter, Steven 4311 Bardstown Road Louisville, KY 40218 (502) 491-7652 Crosby, Bing 4508 Outer Loop Louisville, KY 40219 (502) 969-3121

Eriksen, William C 7304 Dixie Highway Louisville, KY 40258 (502) 933-2225 Goben, Kevin 700 Gagel Avenue Louisville, KY 40216 (502) 366-7386 Hostutler, Todd 8701 B Old Bardstown Road Louisville, KY 40291 (502) 231-4003 Kenitzer, Keith 700 Gagel Avenue Louisville, KY 40216 (502) 366-7386 Kuperus, Rachael 1810 Brownsboro Road Louisville, KY 40206 (502) 366-3090 Preble, Laurence 6540 Outer Loop Louisville, KY 40228 (502) 966-8281

Jessamine County Dawson, Brent G 197 E Brannon Road Nicholasville, KY 40356 (999) 999-9999 Languages: Spanish Dawson, Harmony Susan 197 E Brannon Road Nicholasville, KY 40356 (999) 999-9999 Evans, Dwayne Boyd 934 South Main Street Nicholasville, KY 40356 (859) 881-4325 Languages: Spanish Fischer, Heather 624 Edgewood Drive Nicholasville, KY 40356 (999) 999-9999 Jeffries, Joseph M 127 Orchard Drive Nicholasville, KY 40356 (859) 887-4900

Preble, Margaret 6540 Outer Loop Louisville, KY 40228 (502) 966-8281

Ruda, Travis 206 Orchard Drive Suite A Nicholasville, KY 40356 (859) 885-4797

Quigley, Keegan 8211 Shelbyville Road Louisville, KY 40222 (502) 412-4915

Thoroughman, Terry C 702 South Main Street Nicholasville, KY 40356 (859) 885-2225

Raley, Thomas 1265 Goss Avenue Louisville, KY 40217 (502) 635-6191 Sharp, Michael R 8015 Bardstown Road Louisville, KY 40291 (502) 239-3993 Languages: Spanish Trenary, Patrick Robert 7304 Dixie Highway Louisville, KY 40258 (502) 933-2225

Languages: Spanish † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Johnson County Sheets, Paul M 962 Broadway Plaza Paintsville, KY 41240 (606) 789-4631

Kenton County Allen, Nanci 2351 Buttermilk Xing Edgewood, KY 41017 (859) 578-0550 Cawley, Mark Kevin 926 Donaldson Highway Erlanger, KY 41018 (859) 525-2222

Clifford, Mark E 3126 Dixie Highway Erlanger, KY 41018 (859) 331-5400 Hutchison, Tonnie L 4444 Dixie Highway Erlanger, KY 41018 (859) 341-3337 King, Joseph J 1510 Dixie Highway Park Hills, KY 41011 (859) 261-2855 King, Sue Anne 11939 Taylor Mill Road Independence, KY 41051 (859) 363-1222 King, William A 1510 Dixie Highway Park Hills, KY 41011 (859) 261-4243 Kocan, Klaude P Lifstyle Resumption Ft Mitchell, KY 41017 (859) 344-6001 Meade, Brandon 25 Town Center Boulevard Suite 102 Crestview Hills, KY 41017 (859) 640-6770 Reeves, Robert M 3631 Decoursey Avenue Covington, KY 41015 (859) 431-2273 Robison, Dierdra K 2144 Declaration Drive Suite 2140 Independence, KY 41051 (859) 815-9371 Schwartz, Erin A 926 Donaldson Highway Erlanger, KY 41018 (859) 525-2222 Skinner, Dean David 1922 Walton Nicholson Road Independence, KY 41051 (854) 363-1000

Larue County Eriksen, Paul W 631 Tanner Road Hodgenville, KY 42748 (270) 358-7070

Laurel County Decarlo, Anthony A 164 London Shopping Center London, KY 40741 (606) 864-3595 High, Adam J 302 Falls Street Suite A London, KY 40741 (606) 878-9300 Oakley, Johnathan W 130 Thompson Poynter Road London, KY 40741 (606) 864-1444 Patel, Pinkesh 302 Falls Street Suite A London, KY 40741 (606) 878-9300 Smith, Larry R 1106 A S Main Street London, KY 40741 (606) 864-2011

Lawrence County Taylor, Tommy D 307 W Madison Street Louisa, KY 41230 (606) 638-9898

Lincoln County Skipper, Sterling 109 Lily Drive Stanford, KY 40484 (606) 365-0203

Logan County Poe, David 909 W 9th Street Suite A Russellville, KY 42276 (270) 726-4600 Languages: Spanish

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Kentucky Spirit Health Plan Lyon County Schoonover, Kent 38 Church Lane Eddyville, KY 42038 (270) 388-7707

Madison County Baldwin, Eric James 5021 Atwood Drive Richmond, KY 40475 (859) 625-5777 Boardman, Robert 220 Geri Lane Richmond, KY 40475 (859) 623-4123 Boni, Christopher Allen 1055 Berea Road Richmond, KY 40475 (270) 737-7597 Campbell, Patrick Scott 5008 Atwood Drive Suite 4 Richmond, KY 40475 (859) 626-8833 Eriksen, William C 1055 Berea Road Richmond, KY 40475 (270) 737-7597 Holmes, Jeremiah 2085 Lantern Ridge Drive Suite 100 Richmond, KY 40475 (859) 623-2225 Huser-Taylor, Brenda J 1048 Ace Drive Berea, KY 40403 (859) 985-0606 McCaslin, Danny M 966 Commercial Drive Richmond, KY 40475 (859) 625-9791 Morgan, Chad E 1505 Lexington Road Richmond, KY 40475 (606) 330-0319

Odell, David 2085 Lantern Ridge Drive Suite 100 Richmond, KY 40475 (859) 623-2225 Price, Carl Jason 1140 Barnes Mill Road Richmond, KY 40475 (859) 623-3780 Price, Stephanie Sue 1048 Ace Drive Berea, KY 40403 (859) 985-0606 Schmalenberger, Adam Phillip 1048 Ace Drive Berea, KY 40403 (859) 985-0606 Sharpe, Sheldon Thomas 301 Big Hill Avenue Richmond, KY 40475 (859) 626-0075 Sipple, John C 502 Richmond Road Suite A Berea, KY 40403 (999) 999-9999 Taylor, Hamilton D 2187 Lexington Road A-4 Richmond, KY 40475 (859) 624-9699 Van Winkle, James R 2161 Lexington Road Suite 3 Richmond, KY 40475 (941) 650-9453

Marion County Coxon, Roderick 116 Lebanon Trade Center Lebanon, KY 40033 (270) 699-2323 Roberts, Jeffrey 496 W Main Street Lebanon, KY 40033 (270) 692-6555

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Short, Dennis 303 W Walnut Street Lebanon, KY 40033 (270) 692-2652

Marshall County Adams, Joshua 112 E 5th Street Benton, KY 42025 (270) 252-5840 Barrett, James 3002 US Highway 641 N Benton, KY 42025 (270) 527-7033 Egner, Kyle 6190 Symsonia Highway Suite B Benton, KY 42025 (270) 527-0880 Epstein, Charles 5131 US Highway 62 Calvert City, KY 42029 (270) 395-8447 Leible, Zachary 112 E 5th Street Benton, KY 42025 (270) 252-5840 Pitman, Jeffrey 1201 Birch Street Benton, KY 42025 (270) 527-5898 Snodgrass, Derek 112 E 5th Street Benton, KY 42025 (270) 252-5840 Tack, Bradley 5131 US Highway 62 Calvert City, KY 42029 (270) 395-8447 Tack, Lisa 5131 US Highway 62 Calvert City, KY 42029 (270) 395-8447 Young, Chad 1665 Oak Park Boulevard Calvert City, KY 42029 (270) 575-1000

Mason County

McCreary County

Goldman, Arnold H 1335 Southgate Plaza Maysville, KY 41056 (606) 564-4213

West, Timothy 242 S Main Street Whitley City, KY 42653 (606) 376-2123

Languages: Italian Goldman, Rita R 1335 Southgate Plaza Maysville, KY 41056 (606) 564-4213 Languages: Italian Lyles, Jerry Jason 1335 Southgate Plaza Maysville, KY 41056 (606) 564-4213 Sargent, Timothy L 399 W Maple Leaf Road Maysville, KY 41056 (606) 564-9900

McCracken County Canter, Jamie 5164 Hinkleville Road Paducah, KY 42001 (270) 442-0110 Hoying, Shane 2769 W Park Drive Paducah, KY 42001 (270) 575-1000 Kahre, Travis 3333 Irvin Cobb Drive Suite 104 Paducah, KY 42003 (270) 442-2211 Schipp, Heath 3240 Lone Oak Road Suite C Paducah, KY 42003 (270) 554-7661 Sparks, Rodney 657 Lone Oak Road Suite 6 Paducah, KY 42003 (270) 442-4054 Young, Chad 2769 W Park Drive Paducah, KY 42003 (270) 575-1000

McLean County Brooks, Andria 344 State Route 81 N Calhoun, KY 42327 (270) 273-5122

Mercer County Aldridge, Kristi 507 Joseph Drive Suite 4 Harrodsburg, KY 40330 (859) 734-2800 Garrison, Callie 507 Joseph Drive Suite 4 Harrodsburg, KY 40330 (859) 734-2800 Nocus, Monte 999 N College Harrodsburg, KY 40330 (859) 734-7646 Wentz, Brian Wayne 584 North College Street Harrodsburg, KY 40330 (859) 734-9992

Metcalfe County McMurtrey, Kelly 106 West Stockton Street Edmonton, KY 42129 (270) 432-5656

Monroe County Keith, Collin 907 N Main Street Tompkinsville, KY 42167 (270) 487-8283 Poynter, Nicholas 200 E 4th Street Suite C Tompkinsville, KY 42167 (270) 487-6254

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Kentucky Spirit Health Plan Montgomery County Knepper, Kevin L 601 Doe Run Drive Suite 5 Mount Sterling, KY 40353 (859) 498-5540 Linton, Robert J 107 Brandon Way Mt Sterling, KY 40353 (859) 499-1009 Tolson, Tamera L 104 Commonwealth Drive Suite 100 Mt Sterling, KY 40353 (859) 498-7200

Morgan County Smith, Clifford 389 Glenn Avenue West Liberty, KY 41472 (606) 743-3617

Muhlenberg County Joines, Gerald 1731 W Everly Brothers Boulevard Central City, KY 42330 (270) 754-1335 Snyder, Howard 140 Boggess Avenue Greenville, KY 42345 (270) 338-3636

Nelson County Eriksen, William C 625 N 3rd Street Bardstown, KY 40004 (502) 331-0001 Schram, Nicklaus August 625 N 3rd Street Bardstown, KY 40004 (502) 331-0001

Ohio County

Pike County

Bennett, Lawrence Keith 705 South Main Street Hartford, KY 42347 (270) 298-9510

Akers, Adam C 171 Hibbard Street Suite 1 Pikeville, KY 41501 (606) 432-8395

Embry, Eddie 1211 N Main Street Beaver Dam, KY 42320 (270) 274-0888

Akers, Eric Brandon 451 Hambley Boulevard Pikeville, KY 41501 (606) 437-1010

Oldham County

Hackney, Gregory T 153 Weddington Branch Road Pikeville, KY 41501 (606) 432-2225

Preble, Laurence 102 W Madison Street La Grange, KY 40031 (502) 222-7611 Preble, Margaret 102 W Madison Street La Grange, KY 40031 (502) 222-7611

Pendleton County

Hensley, Johanna L 153 Weddington Branch Road Pikeville, KY 41501 (606) 432-2225

Henderson, Chad 1056 S Highway 27 Suite 5 Somerset, KY 42501 (606) 679-6385 Misinay, Lewis Martin 8034 S Highway 27 PO Box 178 Burnside, KY 42519 (606) 561-4357 True, Matthew 111 W Highway 27 Suite D Somerset, KY 42503 (606) 676-0040 Wilson, Angie 4044 Sarah's Lane Somerset, KY 42503 (606) 451-0564

Rowan County

Anderson, Kevin D 941 Ridgeway Avenue Falmouth, KY 41040 (859) 654-1797

Hensley, Lura-Beth 135 Central South Williamson, KY 41503 (606) 237-9355

Ginter, Christopher T 259 Old Flemingsburg Road Morehead, KY 40351 (606) 783-0233

Perry County

Powell County

Bakun, Joshua Brett 3123 N KY Highway 15 Suite 1 Hazard, KY 41701 (606) 439-3399

Barnes, David G 242 Washington Street Stanton, KY 40380 (606) 663-2731

O'Brien, Timothy 547 A West Main Street Morehead, KY 40351 (606) 780-7400

Burns, Lee W 850 Morton Boulevard Hazard, KY 41701 (606) 487-8585

Belcher, Jonathan A 112 Southport Drive Somerset, KY 42501 (606) 676-0022

Fugate, Fairlena K 3123 N KY Highway 15 Suite 1 Hazard, KY 41701 (606) 439-3399

Bramble, Todd A 110 Richie Lane Suite B Somerset, KY 42503 (606) 679-1433

Williams, Alan 148 Taylor Ridge Road Hazard, KY 41701 (606) 487-8255

Casada, Rodney 1056 S Highway 27 Suite 5 Somerset, KY 42501 (606) 679-6385

Pulaski County

Davis, Wade 604 Ogden Street Public, KY 42501 (606) 679-1991

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Potts, Justin 336 Pine Crest Road Morehead, KY 40351 (606) 784-2520 Spurlock, William M 1350 Flemingsburg Road Morehead, KY 40351 (606) 784-1115 Stamper Kerns, Dana 1350 Flemingsburg Road Morehead, KY 40351 (606) 784-1115 Whitt, Matthew K 259 Old Flemingsburg Road Morehead, KY 40351 (606) 783-0233

Russell County Cooper, Victor H 350 Lakeway Drive Russell Spgs, KY 42642 (270) 866-3543 Cooper-Henson, Jaclyn 350 Lakeway Drive Russell Springs, KY 42642 (270) 866-3543 Meyers, Jeffery S 2329 Lakeway Drive Russell Spgs, KY 42642 (270) 866-5553

Scott County Anderson, Kevin D 107 Frazier Court 1b Georgetown, KY 40324 (502) 867-0807 Bell, Kelley A 107 Frazier Court 1b Georgetown, KY 40324 (502) 867-0807 Goldman, Arnold H 100 Eastside Drive Georgetown, KY 40324 (502) 868-0097 Languages: Italian Goldman, Rita R 100 Eastside Drive Georgetown, KY 40324 (502) 868-0097 Languages: Italian Howell, Amanda Rae 107 Frazier Court 1b Georgetown, KY 40324 (502) 867-0807 Luking, Jason 107 Frazier Court 1b Georgetown, KY 40324 (502) 867-0807 Lyles, Jerry Jason 100 Eastside Drive Georgetown, KY 40324 (502) 868-0097 Neukam, Suzanne Kay 107 Frazier Court 1b Georgetown, KY 40324 (502) 867-0807 Chiropractor

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Kentucky Spirit Health Plan Roberts, Raymond 108 Lebanon Avenue Campbellsville, KY 42718 (270) 789-0060

Brumlow, Amy 2965 N Milll Avenue Bowling Green, KY 42104 (270) 904-2639

Shelby County

Shaw, Stephen 1900 Greensburg Road Campbellsville, KY 42719 (270) 465-5651

Ribenboim, Eric Leonard 26 Mack Walters Road Shelbyville, KY 40065 (502) 633-1574

Yoder, Samuel 108 Lebanon Avenue Campbellsville, KY 42718 (270) 789-0060

Clark, Amie 351 Pascoe Boulevard Suite 106 Bowling Green, KY 42104 (270) 843-1930

Schulz, Brian C 107 Frazier Court 1b Georgetown, KY 40324 (502) 867-0807 Walther, Bryan 107 Frazier Court 1b Georgetown, KY 40324 (502) 867-0807

Languages: French, Siswati, French,Spanish

Trigg County

Stapleton, James 1713 Midland Trail Shelbyville, KY 40065 (502) 633-1073

Pound, Robert 308 Main Street Cadiz, KY 42211 (270) 522-1800

Simpson County

Pound, Sheila 308 Main Street Cadiz, KY 42211 (270) 522-1800

Crnkic, Sanda 607 S Main Street Franklin, KY 42134 (270) 586-8740 Languages: Croatian, Serbo-Croatian, Serbian Heinze, Dane 1248 Nashville Road Franklin, KY 42134 (270) 586-6900

Taylor County Gresham, Janna 100 Greenbriar Drive Campbellsville, KY 42718 (270) 465-5200 Richerson, James 1997 Old Lebanon Road Campbellsville, KY 42718 (270) 469-9308 202 Nancy Cox Drive Campbellsville, KY 42718 (270) 469-9308

Union County Baker, Jeremy R 412 N Mainst Sturgis, KY 42459 (270) 333-4641 Baker, Kathryn Elizabeth 412 N Mainst Sturgis, KY 42459 (270) 333-4641 Harmon, Terry 114 E Main Street Morganfield, KY 42437 (270) 389-9696

Warren County Baity, Leon 1043 Pedigo Way Suite 9 Bowling Green, KY 42103 (270) 781-6216

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Crnkic, Sanda 165 Natchez Trace Suite 201 Bowling Green, KY 42103 (270) 746-9400 Languages: Croatian, Serbo-Croatian, Serbian Elkins, Michael 824 Broadway Avenue Bowling Green, KY 42101 (270) 776-1861 Folk, Chad 1143 Fairway Street Suite 103 Bowling Green, KY 42103 (270) 783-4500 Languages: Spanish Hawley, Bryan 165 Natchez Trace Suite 201 Bowling Green, KY 42103 (270) 746-9400 Owsley, Kyle 1847 Scottsville Road Bowling Green, KY 42104 (270) 846-0505 Rogers, Adam 165 Natchez Trace Suite 201 Bowling Green, KY 42103 (270) 746-9400

Vonnahme, William 165 Natchez Trace Suite 201 Bowling Green, KY 42103 (270) 746-9400 Woodward, Mark 1048 31 W Bypass Bowling Green, KY 42101 (270) 781-5644

Wayne County Buckley, Lynn 127 High Street Monticello, KY 42633 (606) 348-7931 Catron, Kendra 153 High Street Number One, KY 42633 (502) 974-3474 Smith, Jeffery T 1104 North Main Street Monticello, KY 42633 (606) 340-0340

Whitley County Brock, Donald Patrick 1015 Master Street Corbin, KY 40701 (606) 528-8659 Christopher, Elizabeth 410 Sycamore Street Williamsburg, KY 40769 (606) 549-4811 Christopher, Terry Matthew 410 Sycamore Street Williamsburg, KY 40769 (606) 549-4811 Combs, Samuel 507 US Highway 25 W Corbin, KY 40701 (606) 528-5822 Ho, Kenneth 841 US Highway 25 W S Suite 5 Williamsburg, KY 40769 (606) 549-0123

Woodford County Wood, Brandon Lucas 220 Frankfort Street Suite 4 Versailles, KY 40383 (859) 873-2077

Illinois Rorie, Matthew Brent 3482 Solutions Center 773482 Chicago, IL 60677 (999) 999-9999

Indiana Sovar, Scott R 882 Sycamore Street Suite C Rockport, IN 47635 (270) 684-4101 Wittwer, Lance 873 Third Avenue Jasper, IN 47546 (812) 482-3133

Ohio Homan, Tracy 4380 Glen-Este Withamsville Road Cincinnati, OH 45245 (513) 753-6325

Tennessee West, Timothy 18895 Alberta Street Oneida, TN 37841 (423) 569-2225

Community Mental Health Kentucky Boone County Northkey Community Care 7075 Industrial Road Florence, KY 41042 (859) 331-3292 7459 Burlington Pike Florence, KY 41042 (859) 331-3292

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Kentucky Spirit Health Plan Bracken County

Grant County

Owen County

Comprehend, INC. 134 Grandview Drive Brooksville, KY 41004 (606) 735-3611

Northkey Community Care 308 Barnes Road Williamstown, KY 41097 (859) 331-3292

Northkey Community Care 155 W Seminary Street Owenton, KY 40359 (859) 331-3292

Caldwell County Pennyroyal Regional Mh-Mr Board 1350 US Highway 62 W Princeton, KY 42445 (270) 365-2008

Campbell County Northkey Community Care 718 Columbia Street Newport, KY 41071 (859) 331-3292

Carroll County Northkey Community Care 1714 Highland Avenue Carrollton, KY 41008 (859) 331-3292

Christian County

Hopkins County Pennyroyal Regional Mh-Mr Board 1303 W Noel Avenue Madisonville, KY 42431 (270) 821-8874

Kenton County Northkey Community Care 19 E Pike Street Covington, KY 41011 (859) 331-3292 502 Farrell Drive Covington, KY 41011 (859) 578-3200 513 Madison Avenue Covington, KY 41011 (859) 331-3292

Pennyroyal Regional Mh-Mr Board 735 North Drive Hopkinsville, KY 42240 (270) 886-5163

722 Scott Street Covington, KY 41011 (859) 331-3292

739 North Drive Hopkinsville, KY 42240 (270) 886-9371

Comprehend, INC. 83 Second Street Vanceburg, KY 41179 (606) 796-3021

Fleming County Comprehend, INC. 610 Elizaville Avenue Flemingsburg, KY 41041 (606) 849-2212

Gallatin County Northkey Community Care 203 W Main Street Warsaw, KY 41095 (859) 331-3292

Lewis County

Mason County Comprehend, INC. 611 Forest Avenue Maysville, KY 41056 (606) 564-4016

Muhlenberg County Pennyroyal Regional Mh-Mr Board 506 Hopkinsville Street Greenville, KY 42345 (270) 338-5211

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Robertson County Comprehend, INC. 8150 Blue Licks Pike Mount Olivet, KY 41064 (606) 724-5214

W Mark Myers Dmd 207 Professional Park Drive Glasgow, KY 42141 (270) 651-3709

Richard D Barnett, Dmd, PSC 106 S 10 Street Middlesboro, KY 40965 (606) 248-7505

Bath County

Boone County

Dr Larry E Hamlin 135 Suddith Street Owingsville, KY 40360 (606) 674-6305

Albert E Bathiany, IV, Dmd 7400 Highway 42 Florence, KY 41042 (859) 525-2100

Bell County A Brent Chumbley, PSC 2120 Cumberland Avenue Middlesboro, KY 40965 (606) 523-2000

Dave Philbrick, Dmd, PSC 8449 US Highway 42 Suite K Florence, KY 41042 (859) 372-6300

Adair County

Dr Brent B Pursifull, Dmd 3602 W Cumberland Avenue Middlesboro, KY 40965 (606) 248-2328

Family Dental Care, PSC 6616 Dixie Highway Suite 1 Florence, KY 41042 (859) 371-3950

Janella F Brown, Dmd, PSC 318 Public Square Columbia, KY 42728 (270) 384-3481

Dr Kathryn Lefevers, Dmd 850 Riverview Avenue Pineville, KY 40977 (606) 337-6297

Allen County

Drs Woolum & Dixon Family Dentistry 121 Virginia Avenue Pineville, KY 40977 (606) 337-3034

Moore Dental Services, INC 59 Cavalier Boulevard 300 Florence, KY 41042 (859) 525-0507

Tennessee Sanders, Kevin B 3601 The Vanderbilt Clinic Nashville, TN 37203 (615) 322-3000

Dentist Kentucky

J Mark Huntsman, Dmd 199 W Main Scottsville, KY 42164 (270) 237-3655

Barren County Inman Orthodontics, PSC - Glasgow 207 Professional Park Drive Glasgow, KY 42141 (270) 651-9386 James Thurman, Dmd, INC 101 State Avenue Glasgow, KY 42141 (270) 651-5939 Sheldon A Ballou Dentistry 203 S Dixie Highway Cave City, KY 42127 (270) 773-3943

James G Maddox, PSC 1517 Cumberland Avenue Middlesboro, KY 40965 (606) 248-7661 Joseph M Boster, Dmd 2205 Cumberland Avenue Middlesboro, KY 40965 (606) 248-3674 Mountain Dental Care, PLLC 2004 Cumberlan Avenue Middlesboro, KY 40965 (606) 248-1008

Mortenson Family Dental Center Florence, PLLC 7033 Burlington Pike Suite 01 Florence, KY 41042 (859) 525-7586 Pediatric Dental Center 5495 N Bend Road Suite 102 Burlington, KY 41005 (859) 534-5640

Bourbon County Amanda McCauley-Thornberry Dmd PLLC 109 N Middletown Road Paris, KY 40361 (859) 987-7474

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Kentucky Spirit Health Plan Dental Health Associates, PSC 2115 Rocky Drive Paris, KY 40361 (859) 987-3290

Pediatric Dentistry, PSC 2000 Carter Avenue Ashland, KY 41101 (606) 329-1440

Downtown Dentistry/Anna E Newman Dmd PSC 436 Main Street Paris, KY 40361 (859) 987-5550

R M Shelton, Dmd, PLLC 441 21 Street Ashland, KY 41101 (606) 324-8366

Dr Barton C McFarland 2020 Alverson Drive Paris, KY 40361 (859) 987-4775

William Thorner, Dmd, PSC 1800 Carter Avenue Ashland, KY 41101 (606) 324-3552

Boyd County

Boyle County

23 Beadle Dentistry 16005 US 23 South Catlettsburg, KY 41129 (606) 739-0403

Carolyn S Moody, Dmd 303 S 4 Street Suite 200 Danville, KY 40422 (859) 236-8448

Charles E Montague, III, Dmd, PSC 1330 Central Avenue Ashland, KY 41101 (606) 329-0919

Corky Deaton, Dmd, PSC 359c S 4 Street Danville, KY 40422 (859) 236-5703

Christina L Jordan-Webb, Dmd 4330 13 Street Ashland, KY 41102 (606) 326-1234

Danville Family Dentistry, PLLC 132 N Second Street Danville, KY 40422 (859) 236-2488

David G Stewart, Dmd 1616 Central Avenue Ashland, KY 41102 (606) 329-9929

Danville Pediatric Dentistry 126 Daniel Drive Suite A Danville, KY 40422 (859) 236-6900

Earl F Smith, Dmd 441 21 Street Ashland, KY 41101 (606) 324-8366 Edward L Johnson, Dmd 928 State Route 716 Ashland, KY 41102 (606) 928-3866 Joseph W Frazier, Dmd 708 13 Street Ashland, KY 41101 (606) 325-4231

John W Hankla, Dmd 1000 E Lexington Avenue Suite 35 Danville, KY 40422 (859) 236-2243 Webster Orthodontics, PSC 359 S 4 Street Suite B Danville, KY 40422 (859) 236-1912 White & Maggard Orthodontics 126 Daniel Drive Danville, KY 40422 (859) 936-9937

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Bracken County Gary L McCord, Dmd 224 Frankfort Street Brooksville, KY 41004 (606) 735-3114

Breckinridge County Aaron C Powers, Dmd 124 E 3 Street Hardinsburg, KY 40143 (270) 756-5581 Dr Robert A Young, Jr 413 Highway 60 E Irvington, KY 40146 (270) 547-2911 Rebecca Driskell-McCoy, Dmd, PSC 122 W 3 Street Hardinsburg, KY 40143 (270) 756-7950 Virginia C Owen, Dmd 113 E 2 Street Hardinsburg, KY 40143 (270) 756-5792

Bullitt County Braces Braces Braces 111 Lees Valley Road Shepherdsville, KY 40165 (502) 531-9339 Jennings Orthodontics PLLC 209 High Point Court Mount Washington, KY 40047 (502) 538-6555 Kentuckiana Pediatric Dentistry 211 High Point Court Suite 500 Mount Washington, KY 40047 (502) 538-2400

Mortenson Family Dental Ctr Shepherdsville, PLLC 1746 Highway 44 E Shepherdsville, KY 40165 (502) 955-7102 Mount Washington Family Dentistry 110 Village Lane Mount Washington, KY 40047 (502) 538-3434 North Bullitt Family Dental 3564 Willow Way Shepherdsville, KY 40165 (502) 955-1606

James B Pickens, Dmd 706 Main Street Murray, KY 42071 (270) 753-5052 Robert Graham Fitch, Dmd 1304 Johnson Boulevard Murray, KY 42071 (270) 753-1691 West Family Dentistry 1711 N 121 Bypass Murray, KY 42071 (270) 759-4242 William N Pasco, Dmd 1653 Calloway Avenue Murray, KY 42071 (270) 753-1914

Butler County

Campbell County

Bluegrass Oral Health of Morgantown 304 W Ohio Street Morgantown, KY 42261 (270) 526-3346

Albert E Bathiany, Iv 18 N Fort Thomas Avenue Fort Thomas, KY 41075 (859) 781-4100

Tarin Thomas Williams, Dmd Family Dentistry, PLLC 222 Porter Street Morgantown, KY 42261 (270) 526-8500

David M Rider, Dmd 1809 Alexandria Pike Suite A Highland Heights, KY 41076 (859) 781-1500

Caldwell County Lora D Sitton, Dmd 400 W Washington Street Princeton, KY 42445 (270) 365-6174

Calloway County Burton R Young Dmd INC 111 South 13th Street Murray, KY 42071 (270) 753-1206 Charles B Robertson, Dmd, INC 1710a State Route 121 N Murray, KY 42071 (270) 753-9479

Dayton-Bellevue Family Dentistry 625 6 Avenue Dayton, KY 41074 (859) 261-0101 Healthpoint Family Care, INC 103 Landmark Drive Suite Ll2 Bellevue, KY 41073 (859) 655-6100 Newport Family Dentistry, PSC 1847 A Monmonth Street Newport, KY 41071 (859) 581-7678

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Kentucky Spirit Health Plan S Russell Damron, Dmd 335 York Street Newport, KY 41071 (859) 261-6116 Thomas F Goeke, Dmd 23 E 8 Street Newport, KY 41071 (859) 431-5234

Carlisle County John A Boyd, Dds 268 Highway 62 Bardwell, KY 42023 (270) 628-3512

Carroll County Mortenson Family Dental Ctr - Carrollton, PLLC 2482 Highway 227 Carrollton, KY 41008 (502) 732-0333 Victor S Degeorge, Dmd, PSC 430 Main Street Carrollton, KY 41008 (502) 732-9026

Carter County Kevin R Jordan, Dmd, INC 154 Scott Street Olive Hill, KY 41164 (606) 286-4121 Randall L Baker, Dmd 131 Jessica Lane Suite D Olive Hill, KY 41164 (606) 286-5980

Casey County Dr Michele Beeler , Dmd, PLLC 650 Whipp Avenue Liberty, KY 42539 (606) 787-5222

Christian County Crofton Dental Center 115 E Mill Street Crofton, KY 42217 (270) 424-5999

R Craig Allen, PSC 520 Noel Avenue Hopkinsville, KY 42240 (270) 885-4156 Tresa C White, Dmd 440 E 18 Street Hopkinsville, KY 42240 (270) 886-0581 William R Nunn, Dmd, PSC 522 B Noel Avenue Hopkinsville, KY 42240 (270) 885-7146

Clark County Alisa F Tolle, Dmd 244 W Lexington Avenue Winchester, KY 40391 (859) 745-4867 Anita A Gray, Dds, PLLC 1303 W Lexington Avenue Winchester, KY 40391 (859) 745-4455 Buchart and Pratt Orthodontics 244 Redwing Drive Winchester, KY 40391 (859) 355-5140 James Edward Oaks Dmd 1300 W Lexington Avenue Winchester, KY 40391 (859) 744-7590 McLaurin, Donald R 1303 W Lexington Avenue Winchester, KY 40391 (859) 744-0677 Pediatric Dentistry of Winchester 2560 Bypass Road Suite 2 Winchester, KY 40391 (859) 737-1000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Peterson, Gilman P 1303 W Lexington Avenue Winchester, KY 40391 (859) 744-0677 Tim F Crisp, Dmd 11 Canary Lane Winchester, KY 40391 (859) 744-7031

Clay County Ben H Hensley, PSC 269 White Street Manchester, KY 40962 (606) 598-4094 James C Rice, Dmd 936 N Highway 421 Manchester, KY 40962 (606) 598-5611 Terry L Bryant, Dmd Family Dentistry 1 Fayette Properties Suite 1b Manchester, KY 40962 (606) 599-8856

Clinton County Terry R Riley, Dds 105 Foothills Avenue Albany, KY 42602 (606) 387-8372

Cumberland County John G Stephenson, Dmd 405 N Main Street Burkesville, KY 42717 (270) 864-3465

Daviess County Bluegrass Dental Associates 920 Frederica Street Suite 301 Owensboro, KY 42301 (270) 926-7272 Carol J Braun, Dds 2816 Veach Road Owensboro, KY 42303 (270) 683-7114

Daniel A Reynolds, Dmd 2816 Veach Road Building 2 Owensboro, KY 42303 (270) 926-0548 Higginson, Joseph H 2868 Farrell Crescent Owensboro, KY 42303 (270) 684-0822 Johnson Family Dentistry 722 Harvard Drive Owensboro, KY 42301 (270) 685-5242 Joseph H Higginson, Dmd, Mso 2868 Farrell Crescent Owensboro, KY 42303 (270) 684-0822 Misty M Brey Sanford, Dmd 2817 Veach Road Owensboro, KY 42303 (270) 684-2463 Owensboro Daviess County Regional Community Dental 2315 Mayfair Drive Suite 32 Owensboro, KY 42301 (270) 691-6205 Owensboro Family Dentistry 4921 Goetz Drive Owensboro, KY 42301 (270) 926-0190

Edmonson County Brently H Stice, Dmd 1427 Highway 259 N Brownsville, KY 42210 (270) 597-3711

Garry L Oliver, Dmd 437 South KY 706 Isonville, KY 41149 (606) 738-6904 Kimberly A Buckner, Dmd Highway 7 And 32 PO Box 85 Sandy Hook, KY 41171 (606) 738-5545

Estill County Irvine Family Dentistry, PSC 10 River Drive PO Box 86 Irvine, KY 40336 (606) 723-1000 Kentucky River Dentistry, PSC 161 Richmond Road Irvine, KY 40336 (606) 723-4112 White House Clinics 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665

Fayette County Adkins Family & Cosmetic Dentistry 2704 Old Rosebud Road Suite 210 Lexington, KY 40509 (859) 543-0333 Beaumont Centre Dental Group 3111 Wall Street Lexington, KY 40513 (859) 223-1833

Elliott County

Bluegrass Dentistry 3475 Richmond Road Suite 100 Lexington, KY 40509 (859) 543-0505

Galen W Conley, Dmd John F Greene Street PO Box 730 Sandy Hook, KY 41171 (606) 738-5545

Broadway Family & Cosmetic Dentistry 556 N Broadway Lexington, KY 40508 (859) 253-3242

Dentist

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Kentucky Spirit Health Plan Cherice McLaurin-Hollingswor th, Dmd, PSC 1517 Nicholasville Road Suite 301 Lexington, KY 40503 (859) 278-9977 Chris Davis, PSC 1750 Alexandria Drive Lexington, KY 40504 (859) 277-1189 Damm, Douglas D 802 Rose Street D-104 Lexington, KY 40536 (859) 323-5515 803 Rose Street D-104 Lexington, KY 40536 (859) 323-5515 Dentistry for Children 216 Fountain Court Suite 150 Lexington, KY 40509 (859) 543-2242 Devert J Owens Dmd 131 Cherry Bank Drive Lexington, KY 40503 (859) 277-6678 2313clubside Court Lexington, KY 40513 (859) 278-9180 Fowler, Craig B 802 Rose Street D-104 Lexington, KY 40536 (859) 323-5515 803 Rose Street D-104 Lexington, KY 40536 (859) 323-5515 Gental Care Cosmetic & Family Dentistry 2558 Larkin Road Lexington, KY 40503 (859) 277-1151 Health First Bluegrass, INC 650 Newtown Pike Lexington, KY 40508 (859) 252-2371

Hendricks Family and Cosmetic Dentistry 1025 Dove Run Road Suite 208 Lexington, KY 40502 (859) 368-8618

Leestown Dental Center 1600 Leestown Road Suite 138 Lexington, KY 40511 (859) 232-8883

Herman & Herman, PSC 228 North Upper Street Lexington, KY 40507 (859) 233-1112

Lexington-Fayette Cnty Health Dept Primary Care 650 Newtown Pike Lexington, KY 40508 (859) 252-2371

Immediadent Lexington 2358 Nicholasville Road Suite 155 Lexington, KY 40503 (859) 381-0680 Jackie L Banahan Dmd 3141 Beaumont Centre Circle Suite 100 Lexington, KY 40513 (859) 223-4888 James A Chandler, Dmd 1640 Nicholasville Road Lexington, KY 40503 (859) 277-8633 Jeffrey L Edwards, Dmd, PSC 2134 Nicholasville Road Suite 15 Lexington, KY 40503 (859) 278-0428 Kathrine B Greene, Dmd 1081 Dove Run Road Suite 106 Lexington, KY 40502 (859) 269-7135 Kelly Arnold, Dmd, INC 2393 Alumni Drive Suite 102 Lexington, KY 40517 (859) 268-8770 Kool Smiles, PSC Winchester 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 258-2552

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lisa A Kochis, PSC 4071 Tates Creek Centre Drive Suite 306 Lexington, KY 40517 (859) 971-1137 Marylou S Head, Dmd, PSC 3225 Summit Square Place Suite 150 Lexington, KY 40509 (859) 269-5386 Masterson Dentistry, PSC 1500 Leestown Road Suite 100 Lexington, KY 40511 (854) 243-0332 Michael E Child, Dmd, Msd 2134 Nicholasville Road Lexington, KY 40503 (859) 276-4449 Pediatric Dentistry of Hamburg 2517 Sir Barton Way Suite 200 Lexington, KY 40509 (859) 543-2456 Peterson, Gilman P 620 Perimeter Drive Suite 100 Lexington, KY 40517 (859) 268-4423 800 Rose Street D-104 Lexington, KY 40536 (859) 323-9707

Richard R Rubeling, Dmd 200 E Reynolds Road Lexington, KY 40517 (859) 272-8912

Univ of Kentucky South Clinic 2400 Greatstone Point Lexington, KY 40504 (859) 257-9272

Robert S Adkins, Dmd, PSC 2505 Larkin Road Lexington, KY 40503 (859) 278-9575

Univ of Kentucky Clinic N-Polk Dalton Fam Care Ctr 1135 Red Mile Place Lexington, KY 40504 (859) 288-4040

Scott-Larkin, Dmd, PSC 624 N Broadway Lexington, KY 40508 (859) 253-0711 South Farm Family Dentistry 4097 Nichols Park Drive Suite 112 Lexington, KY 40503 (859) 971-9238 Susan Walmer Burton, Dmd 431 S Broadway Suite 112 Lexington, KY 40508 (859) 255-6161 Tates Creek Dental 4071 Tates Creek Centre Drive Suite 210 Lexington, KY 40517 (859) 273-3139 The Kentucky Center for Orthodontics, PSC 860 Corporate Drive Suite 201 Lexington, KY 40503 (859) 223-3939

Univ of Kentucky South Clinic 2400 Greatstone Point Lexington, KY 40504 (859) 257-9272 Univ of Kentucky-Polk Dalton 217 Elm Tree Lane Lexington, KY 40507 (859) 257-8801 Wendy K Humphrey, Dmd, PLLC 2201 Regency Road Suite 503 Lexington, KY 40503 (859) 277-5437 White & Maggard Orthodontics 2443 Sir Barton Way Suite 225 Lexington, KY 40509 (859) 543-9200 3141 Beaumont Centre Circle Suite 200 Lexington, KY 40513 (859) 296-4846

8602 Corporate Drive Suite 201 Lexington, KY 40503 (859) 223-3939

White, Dean K 802 Rose Street D-104 Lexington, KY 40536 (859) 323-5515

Univ of Kentucky June Buchanan Medical Ctr 59 Cowtown Road Lexington, KY 40588 (606) 785-3175

803 Rose Street D-104 Lexington, KY 40536 (859) 323-5515 William E Shores, Jr, Dmd, PSC 3122 Custer Drive Suite B Lexington, KY 40517 (859) 273-2224

Dentist

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Kentucky Spirit Health Plan Yepes, Juan 1135 Red Mile Place Lexington, KY 40504 (859) 288-4066

Fleming County Kent W Kalb, Dmd 813 Elizaville Avenue Flemingsburg, KY 41041 (606) 845-3010 Thomas Scott Perkins, Dmd 708 Elizaville Avenue Flemingsburg, KY 41041 (606) 849-2151

Floyd County Andy Elliott, Dmd, PSC 196 KY Highway 3188 Langley, KY 41645 (606) 285-9317 Big Sandy Health Care, INC-Mud Creek Clinic 7629 KY Route 979 Grethel, KY 41631 (606) 587-2800 Brian Wallace, Dmd 102 N Lock Avenue Prestonsburg, KY 41653 (606) 638-9094 781 S Lake Drive Suite 1 Prestonsburg, KY 41653 (606) 886-2676 Demetra Francis, Dmd 781 S Lake Drive Suite 1 Prestonsburg, KY 41653 (606) 886-2676 Dr Brent G Clark, Dmd Us Highway 23 S Hayes Complex Betsy Layne, KY 41605 (606) 478-9290 Edford L Clark, Jr Dmd, PSC 415 N Lake Drive Suite 201 Prestonsburg, KY 41653 (606) 886-4260

Healthy Smiles Family & Cosmetic Dentistry PSC 83 Oak Ridge Court Prestonsburg, KY 41653 (606) 886-0300 Hyden Pediatric Dentistry 38 Grace Drive Prestonsburg, KY 41653 (606) 886-6565 Kevin B Moore, Dmd 95 Stonecoal Road Garrett, KY 41630 (606) 358-9135 Martin Dentistry 27 Turkey Creek Road Langley, KY 41645 (606) 285-9444 Robert B Herrick, Dmd 274 S Lake Drive Prestonsburg, KY 41653 (606) 886-1095 Robert Keith Leslie, Dmd 400 University Drive Suite 110 Prestonsburg, KY 41653 (606) 886-2010 Tackett Family Dentistry 9759 Kt Route 122 Mc Dowell, KY 41647 (606) 377-2801

Franklin County Darryl V Smith, Dds Family Dentistry 571 E Main Street Frankfort, KY 40601 (502) 227-2740 David M Skaff, Dds 110 Diagnostic Drive Frankfort, KY 40601 (502) 223-7186 Designing Smiles Comanche Trail 630 Comanche Trail Suite A Frankfort, KY 40601 (502) 226-1900

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Early Years Orthodontics PLLC 635 Comanche Trail Frankfort, KY 40601 (502) 227-1931 Mortenson Family Dental Ctr - Frankfort, PLLC 1230 US Highway 127 Suite 03 Frankfort, KY 40601 (502) 352-2512 Taylor H Hoover, Dmd 206 W Main Street Frankfort, KY 40601 (502) 223-1303

Grant County Comfort Dentistry 300 Arbor Drive Suite 5 Dry Ridge, KY 41035 (859) 823-0111 Ouchless Dental 111 Humes Ridge Road Williamstown, KY 41097 (859) 823-1811 Thad F Thomas, Dmd 118 S Main Street Suite 5 Dry Ridge, KY 41035 (859) 824-5454

Graves County Donald B Dowdy, PSC 236 N 6 Street Mayfield, KY 42066 (270) 247-7173 Salena Poat, Dmd 315 S 6 Street Mayfield, KY 42066 (270) 247-2552

Grayson County Nichols Dental Center 2471 Elizabethtown Road Leitchfield, KY 42754 (270) 259-4008

Twin Lakes Family Dental, PLLC 1919 Elizabethtown Road Leitchfield, KY 42754 (270) 259-3232

Greenup County Bellefonte Family Dental Care, PSC 1592 Diederich Boulevard Russell, KY 41169 (606) 836-9962

Elizabethtown Dentistry for Children 1107 Crown Pointe Drive Suite 210 Elizabethtown, KY 42701 (270) 769-3858 Inman Orthodontics, PSC - Elizabethtown 520 N Miles Street Elizabethtown, KY 42701 (270) 769-1349

R Brooks Callihan, Dmd, PSC 219 Main Street Greenup, KY 41144 (606) 473-6322

John J Duplessis, Jr, Dmd, PSC 2401 Ring Road Elizabethtown, KY 42701 (270) 765-6502

Robert L Baker, Dmd, PSC 1121 Seaton Avenue Greenup, KY 41144 (606) 473-5252

Kool Smiles, PSC 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Robert L Wagner, Dmd 1402 Argillited PO Box 825 Flatwoods, KY 41139 (606) 836-1646

Mortenson Family Dental Ctr Elizabethtown, PLLC 2407 Ring Road Suite 137 Elizabethtown, KY 42701 (270) 360-0480

Hancock County Allen & Allen Dentistry 140 Main Cross Street Hawesville, KY 42348 (270) 927-6045 Badgett Dental Clinic 8340 US 60 W Lewisport, KY 42351 (270) 926-1229

Hardin County Bright Smile Dental Care, PSC 2900 Ring Road Elizabethtown, KY 42701 (270) 737-6453

Proctor Cosmetic & Family Dentistry 2110 N Dixie Highway Suite 100 Elizabethtown, KY 42701 (270) 982-4433 Univ of Louisville Miller Dental Clinic 611 W Poplar Street Elizabethtown, KY 42701 (502) 854-0407

Harlan County Clover Fork Outpatient Clinic 101 Chad Street PO Box 39 Evarts, KY 40828 (606) 837-2108 Dentist

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Kentucky Spirit Health Plan Clyde E Blair, Dmd 1620 E Main Street Cumberland, KY 40823 (606) 589-6113 Harlan Dental Clinic, PSC 106 Railroad Street Suite 103 Harlan, KY 40831 (606) 573-9944 Harlan Family Dentistry, INC 118 S 1 Street Harlan, KY 40831 (606) 574-9000 Stephen C Bryson, Dmd, PLLC 110 Professional Lane Harlan, KY 40831 (606) 573-6007

Harrison County Dentistry Tommorrow, PSC 1606 US 27 N Cynthiana, KY 41031 (859) 234-4323

Henderson County Bradley T Fulkerson, Dmd 700-A Barret Boulevard Henderson, KY 42420 (270) 827-5522

Henry County John E Jaeger, Dmd, PSC 105 Eminence Terr Eminence, KY 40019 (502) 845-5338

Hopkins County J Greg Haag, Dmd, PSC 1250 Thornberry Drive Madisonville, KY 42431 (270) 825-9616 Jeffrey L Winfrey, Dmd 115 W Munn Street Dawson Springs, KY 42408 (270) 797-4171

Vaughn E Brummer, Dds 1400 Pride Avenue Madisonville, KY 42431 (270) 821-7386

Jackson County White House Clinics 1010 Main Street S Mc Kee, KY 40447 (606) 287-7104

Jefferson County 3rd Street Family Dental, LLC 3911 S 3 Street Louisville, KY 40214 (502) 368-5575 A Winning Smile Dental 5417 Robbs Lane Louisville, KY 40219 (502) 969-9897

10500 Fischer Park Drive Louisville, KY 40241 (502) 426-9594 Amy L Smith, Dmd, LLC 4814 Preston Highway Suite 1 Louisville, KY 40213 (502) 969-4206 Beth A Bennett, Dmd, PLLC 1039 E Burnett Avenue Louisville, KY 40217 (502) 634-9005 Brett Leucht, Dmd 4544 Taylorsville Road Louisville, KY 40220 (502) 491-3323 Broadway Dental 1813 W Broadway Louisville, KY 40203 (502) 772-0296

Advanced Dental Center, INC 8517 Preston Highway Louisville, KY 40219 (502) 966-4367

Burnette Family Dentistry 4645 Outer Loop Louisville, KY 40219 (502) 962-3337

Randy L. Littlepage 77 East North Street Madisonville, KY 42431 (270) 825-4030

Akridge Orthodontics 165 Outer Loop Suite 121 Louisville, KY 40214 (502) 367-1595

Cane Run Smile Center, INC 4516 Cane Run Road Louisville, KY 40216 (502) 448-1003

Alan T Shelton, Dmd 865 S Dixie Highway Munfordville, KY 42765 (270) 524-5580

Randy Travis, Dmd 1400 Pride Avenue Madisonville, KY 42431 (270) 821-7386

12405 Old Shelbyville Road Louisville, KY 40243 (502) 244-0204

Dr Steven P Neville, Dmd, PSC 311 S Dixie Street Horse Cave, KY 42749 (270) 786-2547

Stephen L Agent, Dmd 308 E Arcadia Avenue Dawson Springs, KY 42408 (270) 797-3319

Jason R Smith, Dmd 663 Main Street Munfordville, KY 42765 (270) 524-5422

Tammy R M Sanders, Dmd, PSC 122 S Lee Trover Todd Jr Highway Earlington, KY 42410 (270) 383-5511

Alliance Family Dental Center 3000 Breckenridge Lane Suite A Louisville, KY 40220 (502) 458-2600

Neil C Rush, Dmd 216 S Main Street Cynthiana, KY 41031 (859) 234-1473

Hart County

Karl M Forster, Dds 309 Caldwell Street Munfordville, KY 42765 (270) 524-3008

John A Roy, Dmd, PSC 1410 C Pride Avenue Madisonville, KY 42431 (270) 821-3423

Terry E Brown, Dmd 77 E North Street Madisonville, KY 42431 (270) 821-2468

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

American Family Pediatric Dentistry 3101 Breckenridge Lane Suite 4b Louisville, KY 40220 (502) 451-1020

Children's Special Care Dentistry 2301 Meadow Drive Louisville, KY 40218 (502) 451-8900 Comfort Dental Dixie Highway 8700 Dixie Highway Louisville, KY 40258 (502) 935-0505 Craig B Bult, Dmd 4602 Southern Parkway Suite 2e Louisville, KY 40214 (502) 361-1232

David A Rougeux, Dmd 3934 Dixie Highway Suite 430 Louisville, KY 40216 (502) 449-1723 Dental Center One 4919-J Dixie Highway Louisville, KY 40216 (502) 449-3400 Dental Plan Managers, INC 8013 New Lagrange Road Suite 5a Louisville, KY 40222 (502) 425-0293 Derby City Pediatric Dentistry, PLLC 2120 High Wickham Place Suite 103 Louisville, KY 40245 (502) 254-6097 Designing Smiles Chamberlain Ln 4642 Chamberlain Lane Suite 252 Louisville, KY 40241 (502) 326-1800 Dixie Dental Center, PSC 1480 Dixie Highway Louisville, KY 40210 (502) 778-7414 Donald T Baumann, Dmd 4007 Valley View Drive Louisville, KY 40216 (502) 448-3044 Dr Heidi D Yang, Dmd, INC 2015 Herr Lane Suite D Louisville, KY 40222 (502) 426-0705 Dr Robert A Young, Jr 4906 Bardstown Road Suite 106 Louisville, KY 40291 (502) 499-9770 Dr Werner Dental Spa 4436 Dixie Highway Louisville, KY 40216 (502) 449-1412 Dentist

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Kentucky Spirit Health Plan Dupont Pediatric Dentistry 1001 Dupont Square N Louisville, KY 40207 (502) 897-0625

Gentle Excellence Dental, PLLC 4133 Taylor Boulevard Louisville, KY 40215 (502) 368-8400

Jere L Painter, Dmd 3934 Dixie Highway Suite 430 Louisville, KY 40216 (502) 449-1723

Louisville Dream Dentistry 3803 Preston Highway Louisville, KY 40213 (502) 366-7388

Engilman Orthodontics Evergreen 134 N Evergreen Road Suite 100 Louisville, KY 40243 (502) 253-2201

Gerlach Family Dentistry 210 W Woodlawn Avenue Louisville, KY 40214 (502) 368-5529

Joseph Darrell Lyvers, Dmd 3448 Taylor Boulevard Louisville, KY 40215 (502) 366-6821

Marion Wayne Hardison III, Dmd 7203 Preston Highway Louisville, KY 40219 (502) 966-5777

Kenneth H Reeves, Dmd, PSC 5057 Poplar Level Road Suite 7 Louisville, KY 40219 (502) 969-8229

Mark J Schulte, Dmd 4515 Churchman Avenue Louisville, KY 40215 (502) 361-0637

Engilman Orthodontics Jefferson Mall 4801 Outer Loop Suite A206 Louisville, KY 40219 (502) 961-0351 Ernest M Entin, Dmd 607 W Ormsby Avenue Louisville, KY 40203 (502) 637-2588 Family Health Centers, INC-Phoenix Health Ctr 712 E Muhammad Ali Boulevard Louisville, KY 40202 (502) 568-6972 Family Health Centers, INC-Portland & Phoenix Hc 2215 Portland Avenue Louisville, KY 40212 (502) 772-8139 2215 Portland Avenue Louisville, KY 40212 (502) 772-8160 Fourth Street Dental Center 1018 S 4 Street Suite 250 Louisville, KY 40203 (502) 585-4320 Frederick R Swain, Dds 4010 Dupont Circle Suite 529 Louisville, KY 40207 (502) 897-3239

Harris & Harris Dmd PSC 5014 B Preston Highway Louisville, KY 40213 (502) 966-0188 Harris, Warren Ronald 4515 Churchman Avenue Louisville, KY 40215 (502) 361-0134 Highlands Family Dentistry 1250 Bardstown Road Louisville, KY 40204 (502) 459-2424 Highview Family Dental 7230 Peppermill Lane Louisville, KY 40228 (502) 239-1345 Home of The Innocents, INC 1100 E Market Street Louisville, KY 40206 (502) 596-1090 Immediadent - Dixie Hwy 4420 Dixie Highway Suite 110 Louisville, KY 40216 (502) 447-3323 J Taylor Hazard, Dmd & Associates 347 W Kenwood Way Louisville, KY 40214 (502) 366-4121

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kids Dentistree 130 N Evergreen Road Suite 100 Louisville, KY 40243 (502) 410-1710 Kids Dentistry -Jefferson Mall, PLLC 5100 Outer Loop Suite C Louisville, KY 40219 (502) 969-9264 Klein Dental Group 156 Thierman Lane Louisville, KY 40207 (502) 896-2822 Kool Smiles, PSC Bardstown Rd 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Kool Smiles, PSC Broadway 1211 W Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 Le & Nichols, Dmd, PSC 3500 Bardstown Road Louisville, KY 40218 (502) 452-2855 Lord Family Dental, PLLC 3841 Ruckriegel Parkway Suite 100 Louisville, KY 40299 (502) 267-4141

Market Street Dental, PSC 2410 W Market Street Louisville, KY 40212 (502) 778-5141 Maxillofacial Oncologic Dentistry, James Graham Br 529 S Jackson Street Louisville, KY 40202 (502) 852-5747 Michael J Wahl, Dmd 129 Evergreen Road Suite A Louisville, KY 40243 (502) 245-8855 Michael R Arnett, Dmd 8401 Shelbyville Road Suite 120 Louisville, KY 40222 (502) 412-1124 9847 Old Third Street Road Louisville, KY 40272 (502) 937-8581 Middletown Dental Center, PLLC 12601 Town Pike Way Louisville, KY 40243 (502) 384-7000 12601 Townepark Way Suite 100 Louisville, KY 40243 (502) 384-7000

Mortenson Family Dental Center 4801 Outer Loop Suite 206 Louisville, KY 40219 (502) 961-0351 Mortenson Family Dental Center Buechel, PLLC 4311 Bardstown Road Suite 102 Louisville, KY 40218 (502) 491-0283 Mortenson Family Dental Center Glenmary, PLLC 8711 Old Bardstown Road Louisville, KY 40291 (502) 231-4633 Mortenson Family Dental Center Hillview, PLLC 5201 Commerce Crossing Drive Louisville, KY 40229 (502) 966-8160 Mortenson Family Dental Center-Prospect, PLLC 9217 US Highway 42 Prospect, KY 40059 (502) 228-2709 Mortenson Family Dental Ctr - Dixie, PLLC 5222 Dixie Highway Suite B Louisville, KY 40216 (502) 449-7995 Mortenson Family Dental Ctr - Forest Green, PLLC 10031 Forest Green Boulevard Louisville, KY 40223 (502) 412-7587 Mortenson Family Dental Ctr - Highlands, PLLC 2105 Weber Avenue Louisville, KY 40205 (502) 473-2011 Dentist

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Kentucky Spirit Health Plan Mortenson Family Dental Ctr - Iroquois Park, PLLC 911 Palatka Road Louisville, KY 40214 (502) 366-2448 Mortenson Family Dental Ctr - Jefferson Mall, PLLC 4801 Outer Loop Suite A204 Louisville, KY 40219 (502) 966-8638 Mortenson Family Dental Ctr - Valley Station, PLLC 10640 Dixie Highway Louisville, KY 40272 (502) 933-4427 Ocean Dental 3977 Seventh Street Louisville, KY 40216 (502) 447-5699 Ochs & Herman, Dmd, PSC 5349 Mitscher Avenue Louisville, KY 40214 (502) 368-6852 Pamela J Asseff, Dds, PC 3046 Breckenridge Lane Suite 101 Louisville, KY 40220 (502) 493-4154 Park Duvalle Community Health Center, INC 3015 Wilson Avenue Louisville, KY 40211 (502) 774-4401 Parkland Dental Center 1220 S 28 Street Louisville, KY 40211 (502) 776-2840 Pediatric Dentistry of Prospect, PLLC 12927 W Highway 42 Prospect, KY 40059 (502) 292-1160

Pierce and Mitchell, PSC 4825 S 3 Street Louisville, KY 40214 (502) 366-6362 Portland Dental Center 465 N 26 Street Louisville, KY 40212 (502) 778-0999 Premier Dental Care 12563 Shelbyville Road Louisville, KY 40243 (502) 253-9675 Ray C McMillon, Dmd 3023 Crums Lane Louisville, KY 40216 (502) 447-3962 Scott J Eberle, Dmd, Ms, PSC 13913 Shelbyville Road Louisville, KY 40245 (502) 245-3112 Seventh & Hill Family Dental Center 1504 S 7 Street Louisville, KY 40208 (502) 636-5492

Underwood and Lee Clinic 1800 Bluegrass Avenue Suite A Louisville, KY 40215 (502) 368-2348 Univ of Louisville School of Dentistry 501 S Preston Street Louisville, KY 40202 (502) 852-5103 Univ of Louisville School of Dentistry Ambulatory 550 S Jackson Street Louisville, KY 40202 (502) 852-7660 Victor S Degeorge, Dmd, PSC 8013 New Lagrange Road Suite 3 Louisville, KY 40222 (502) 426-4868 West Louisville Dental Center 2500 W Broadway Louisville, KY 40211 (502) 776-1754

Shawnee Dental, PLLC 222 Amy Avenue Louisville, KY 40212 (502) 774-2400

William E Kemper, Dmd 9610 Taylorsville Road Louisville, KY 40299 (502) 267-6419

Small Smiles of Louisville, PSC 3438 Taylor Boulevard Louisville, KY 40215 (502) 366-4442

William R Johnson, Dmd 4007 Valley View Drive Louisville, KY 40216 (502) 448-0678

Smile Designers Usa, INC 1169 Eastern Parkway Suite 1152 Louisville, KY 40217 (502) 458-1251

Jessamine County

The Kentucky Center for Orthodontics, PSC 2813 N Hurstbourne Parkway Suite 106 Louisville, KY 40223 (502) 326-0011

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Central KY Smiles 611 N Main Street Nicholasville, KY 40356 (859) 887-1110 David A Murphy, Dmd 113 E Main Street Wilmore, KY 40390 (859) 858-3335

David E Smith, Dmd, PSC, INC 938 S Main Street Nicholasville, KY 40356 (859) 887-4008

Dr Gregory D Coleman, Dmd, PSC 816 Fm Stafford Avenue Paintsville, KY 41240 (606) 789-1845

David M Skaff, Dds 105 D Edgewood Plaza Nicholasville, KY 40356 (859) 887-2431

Family Practice of Dentistry 140 Main Street Paintsville, KY 41240 (606) 789-6385

Dowlen Family Dentistry 230 N Plaza Drive Suite 230 Nicholasville, KY 40356 (859) 881-9398 Family Dentistry, INC 704 N Main Street Nicholasville, KY 40356 (859) 881-4633 Jessamine Dental 100 Lake Street Nicholasville, KY 40356 (859) 885-5703 100 Lalse Street Nicholasville, KY 40356 (859) 885-5703 Rebecca T Wheeler, Dmd 106 Fairfield Drive Nicholasville, KY 40356 (859) 885-0086 Revel Dental, PSC 210 Bellaire Drive Nicholasville, KY 40356 (859) 887-3835 White & Maggard Orthodontics 207 Fairfield Drive Nicholasville, KY 40356 (859) 881-2050

Johnson County Connelley and Higgins Dmd 853 S Mayo Trail Paintsville, KY 41240 (606) 789-7694

Gary D Brown, Dmd 455 Main Street Paintsville, KY 41240 (606) 789-5525 L Keith Woody, Dmd, INC 325 Broadway PO Box 1661 Paintsville, KY 41240 (606) 789-9092

Kenton County Charles L Wuerth Dmd 1900 Madison Avenue Covington, KY 41014 (859) 581-4770 Covington Family Dental, INC 300 W Pike Street Covington, KY 41011 (859) 491-7453 Dr Tracey Butler Ross, Dmd, PLLC 1044 Scott Street Covington, KY 41011 (859) 291-1818 Drs Haas & Wehrman, PSC 220 Thomas More Parkway Crestview Hills, KY 41017 (859) 341-3012 Ft Mitchell Dental Care 2503 Chelsea Drive Fort Mitchell, KY 41017 (859) 426-9666 Healthpoint Family Care, INC 4307 Winston Avenue Latonia, KY 41015 (859) 655-6101 Dentist

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Kentucky Spirit Health Plan Jessica Cooper 16 Windburn Drive Suite 1 Barbourville, KY 40906 (606) 546-8217

Ernest Wayne Parrott, Dmd 307 N Broad Street London, KY 40741 (606) 878-9755

Kids First Dental Care, LLC 119 Pine Street PO Box 787 Barbourville, KY 40906 (606) 546-7410

Jeremy W Allen, Dmd, PLLC 908 W 5 Street Suite 114 London, KY 40741 (606) 330-0330

16 Windburn Drive Suite 1 Barbourville, KY 40906 (606) 546-8217

Laurel Dental Care 1303 S Laurel Road London, KY 40744 (606) 877-2700

Lisa Triplett-Short Dmd, PSC 1970 Highway 160 S Hindman, KY 41822 (606) 785-0600

Knox Family Dentistry, PSC 608 Knox Street Barbourville, KY 40906 (606) 546-6711

London Dental Center 828 S Main Street London, KY 40741 (606) 878-7251

Univ of Kentucky June Buchanan Medical Ctr 59 Cowtown Road Hindman, KY 41822 (606) 785-3175

Mills and Hays Family Dentistry, PLLC 646 Manchester Street Barbourville, KY 40906 (606) 545-6055

Jeffrey R Kaiser, Dmd 2 W Southern Avenue Covington, KY 41015 (859) 431-3863 Stephen R Kees, Dmd 2370 Grandview Drive Fort Mitchell, KY 41017 (859) 331-4449

Knott County Dr Sid Pratt, Dmd 358 Hindman Bypass PO Box 429 Hindman, KY 41822 (606) 785-1111

Knox County Barbourville Family Dental, INC 201 N Allison Avenue Barbourville, KY 40906 (606) 545-7715 Bobby S Smith, Dmd 16 Windburn Drive Barbourville, KY 40906 (606) 546-8217

Robert A Dunaway, Dmd, PSC 240 Cumberland Avenue Barbourville, KY 40906 (606) 546-3660 Robin E Bonnell, Dmd 119 Pine Street Barbourville, KY 40906 (606) 627-0629

Larue County

Devert J Owens Dmd 16 Winburn Avenue Suite 2 Barbourville, KY 40906 (606) 546-8217

Douglas L Baumgardner, Dmd 104 N Walters Avenue Hodgenville, KY 42748 (270) 358-3189

Edwin E Smith, Dmd, PLLC 16 Windburn Drive Barbourville, KY 40906 (606) 546-8217

Laurel County

Gina A Mills-Messer, Dmd, PLLC 96 KY 3439 Barbourville, KY 40906 (606) 546-7633

Dr Kimberly Brown, Dmd 1368 E Highway 192 London, KY 40741 (606) 864-6680

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Modern Dental Solutions 735 Meyers Baker Road London, KY 40741 (606) 864-1441 Premier Dental 39 Waco Drive London, KY 40741 (606) 877-3002 White & Maggard Orthodontics 200 City Hill Drive London, KY 40741 (606) 877-1900 William T Petrey, Dmd 2725 US Highway 25 N East Bernstadt, KY 40729 (606) 843-6476

Lawrence County Brian Wallace, Dmd 102 N Lock Avenue Louisa, KY 41230 (606) 638-9094 L Keith Woody, Dmd, INC 102 N Lock Avenue PO Box 412 Louisa, KY 41230 (606) 638-9094

W L Arrington, Dds 201 Water Street Riverview Professional Building Louisa, KY 41230 (606) 638-4689

Lewis Country Primary Care Center, INC 211 KY 59 Vanceburg, KY 41179 (606) 796-9511

Leslie County

Ronald D Mays, Dmd 76 2 Street PO Box 55 Vanceburg, KY 41179 (606) 796-2328

Andrea L Little, Dmd, PSC 120 Highway 80 Hyden, KY 41749 (606) 672-8800 Darrell H Risner, Dmd 8 Dogwood Street Hyden, KY 41749 (606) 672-3550 Frederick C Ratliff, Dmd 22728 Highway 421 Hyden, KY 41749 (606) 672-3270 Greg R Baker Dental Services, PLLC 130 Kate Ireland Drive Hyden, KY 41749 (606) 672-2901

Letcher County David A Narramore, Dmd, PSC 353 Main Street Whitesburg, KY 41858 (606) 633-5951 Dr Kevin Roark Family Dentistry 172 Parkway Plaza Loop Whitesburg, KY 41858 (606) 633-4251 Sam W Quillen, Jr, Dmd, PSC 861 Highway 317 Suite A Neon, KY 41840 (606) 855-7892

Lewis County John D O'Cull Dentistry, PSC 570 Clarksburg Road Vanceburg, KY 41179 (606) 796-3811

Lincoln County John Shea Lair, Dmd, PLLC 603 Lancaster Street Stanford, KY 40484 (606) 365-7803

Logan County Dale W Clark, Dmd 204 E 4 Street Russellville, KY 42276 (270) 726-7511 Dr Paul N Kerr 64 Shelton Lane Russellville, KY 42276 (270) 726-9595 Michael D Koller, Dmd 288 N Main Street Lewisburg, KY 42256 (270) 755-4899

Lyon County John J Sims, Dmd, PSC 260 Commerce Street Eddyville, KY 42038 (270) 388-9712

Madison County Bluegrass Pediatric Dentistry 120 Meridian Way Suite 2 Richmond, KY 40475 (859) 626-1810 Dentistry for Children 1012 Ival James Boulevard Suite C Richmond, KY 40475 (859) 626-9620

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Kentucky Spirit Health Plan James Murphy Family Dentistry 201 Geri Lane Richmond, KY 40475 (859) 623-8622 Jones Family & Cosmetic Dentistry 201 Pauline Drive Suite H Berea, KY 40403 (859) 985-0201 Madison Dental Associates 1018 Ival James Boulevard Suite C Richmond, KY 40475 (859) 626-9851 308 Highland Park Drive Richmond, KY 40475 (859) 626-9851 Rhonda H Cormney, Dmd, PSC 519 Hampton Way Suite 1 Richmond, KY 40475 (859) 623-7476 Rodney Dean Coleman 2130 Lexington Road Suite J Richmond, KY 40475 (859) 625-5522 Stephen P Mattingly, Dmd 805 E Bypass Suite 4 Richmond, KY 40475 (859) 623-0222 Today's Family Dental, LLC 1007 Ace Drive Berea, KY 40403 (859) 986-5391 White & Maggard Orthodontics 1012 Iral James Boulevard Richmond, KY 40475 (859) 623-0068

White House Clinics 104 Legacy Drive Berea, KY 40403 (859) 986-2323 401 Highland Park Drive Richmond, KY 40475 (859) 626-7700

Magoffin County Connelley and Higgins Dmd 761 Parkway Drive Salyersville, KY 41465 (606) 349-5125 Ratliff & Ratliff Family Dentistry 128 Cardinal Court Salyersville, KY 41465 (606) 349-2812 Tabatha Mann Adams, Dmd, PSC 912 E Mountain Parkway Salyersville, KY 41465 (606) 349-4801

Marion County Lebanon Family Dental Care, PSC 219 S Proctor Knott Avenue Lebanon, KY 40033 (270) 692-4339 Robert H Smith, Dmd 503 N Spalding Avenue Lebanon, KY 40033 (270) 692-3265

Marshall County Richard I Cocke, Jr, PSC 41 Industrial Parkway Calvert City, KY 42029 (270) 395-4349 William N Pasco, Dmd 1317 Main Street Benton, KY 42025 (270) 527-3434

Martin County Dr Sharon Neeley, PSC 144 Rockcastle Road Inez, KY 41224 (606) 298-7758

Mason County Burns & Burns Family Dentistry 1907 Old Main Road Maysville, KY 41056 (606) 759-5401 Frenchs Dental Office 124 W 3 Street Maysville, KY 41056 (606) 564-4024 James E Adams, Dmd, INC 19 E 3rd Street Maysville, KY 41056 (606) 564-9033 Naylor Orthodontics 399 Maple Leaf Road Maysville, KY 41056 (606) 564-9494

McCracken County

Webster Orthodontics, PSC 219 S Proctor Knott Avenue Lebanon, KY 40033 (859) 236-1912

Audubon Dental Center of Paducah 1927 Irvin Cobb Drive Paducah, KY 42003 (270) 442-6617

William P Duley, Dmd 219 W Main Street Lebanon, KY 40033 (270) 692-3314

Beverly A Largent, Dmd 3008 Oregon Street Paducah, KY 42001 (270) 554-5437

1012 Ival James Boulevard Suite A Richmond, KY 40475 (859) 623-0068 † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Bluegrass Orthodontics 2307 Kentucky Avenue Paducah, KY 42003 (270) 443-7405

Dowlen Family Dentistry 507 Joseph Drive Suite 4 Harrodsburg, KY 40330 (859) 734-2338

John D Craft, Dmd 2136 Broadway Paducah, KY 42001 (270) 442-2310

Edward S Ritchie, Dmd, PSC 117 E Lexington Street Harrodsburg, KY 40330 (859) 734-3819

Paducah Pediatric Dentistry, PSC 2850 Lone Oak Road Suite 1 Paducah, KY 42003 (270) 554-3131

Webster Orthodontics, PSC 517 Legion Drive Harrodsburg, KY 40330 (859) 236-1912

McCreary County

Metcalfe County

Associates In Dentistry - Whitley City 54 Medical Lane Whitley City, KY 42653 (606) 376-5055

Mark W Froedge, Dmd 706 W Stockton Street Edmonton, KY 42129 (270) 432-3617

McLean County Ralph Thacker 222 Main Street Livermore, KY 42352 (270) 278-2385

Meade County Brandenburg Family Dentistry 1120 High Street Brandenburg, KY 40108 (270) 422-4921 J Andrew Miller, Dmd 1120 High Street Brandenburg, KY 40108 (270) 422-4921

Mercer County Constance C Huff, Dmd, PSC 135 Collin Drive Harrodsburg, KY 40330 (859) 734-4944 Dennis Alan Hise, PSC 1028 N College Street Harrodsburg, KY 40330 (859) 734-5437

Miller Family Dentistry 108 Elmore Street Edmonton, KY 42129 (270) 432-7211

Monroe County All Smiles Dental Care 449 Capp Harlan Road Tompkinsville, KY 42167 (270) 487-8026 Cynthia Burroughs, Dmd 101 W 4 Street Tompkinsville, KY 42167 (270) 487-5545 Dr John D Page, Dmd 204 W Paige Street Tompkinsville, KY 42167 (270) 487-5196 Gordon W McAlpin, Dmd 110 N Main Street Tompkinsville, KY 42167 (270) 487-6263

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Kentucky Spirit Health Plan Gregory K Crabtree, Dmd 103 East Second Street Tompkinsville, KY 42167 (270) 487-6066 Rebecca Greer, Dmd 42 Executive Drive Tompkinsville, KY 42167 (270) 487-5474

Montgomery County Alaine Baber, Dmd 225 Windsor Drive Mount Sterling, KY 40353 (859) 498-3400 Charles F Rice, Dmd 134 N Maysville Street Mount Sterling, KY 40353 (859) 498-4155 G Scott Caudill, Dmd 508 Maysville Road Mount Sterling, KY 40353 (859) 498-1380 McLaurin, Donald R 25 East High Street Mount Sterling, KY 40353 (859) 498-6204 Mt Sterling Smiles. PSC 105 Brandon Way Suite A Mount Sterling, KY 40353 (859) 497-4444 Peterson, Gilman P 25 East High Street Mount Sterling, KY 40353 (859) 498-6204 R P Fields, Dmd 225 Windsor Drive Mount Sterling, KY 40353 (859) 498-3400

225 Wndsor Drive Mount Sterling, KY 40353 (859) 498-3400 Richard F Henry, Dds 541 Willin Way Mount Sterling, KY 40353 (859) 498-1347 Sterling Family Dental Care, LLC 100 East High Street Mount Sterling, KY 40353 (859) 498-7130

Morgan County Dr Walter Blevins, Jr, Dmd 777 Broadway Street West Liberty, KY 41472 (606) 743-1212 Jeffrey S Bailey, Dmd 629 Main Street West Liberty, KY 41472 (606) 743-3200 Robert L Henderson Dmd, PSC 903 Main S West Liberty, KY 41472 (606) 743-7480

Muhlenberg County Greenville Dental Center 132 E Main Cross Street Greenville, KY 42345 (270) 338-2532 Mary Webb Brown, Dmd, PSC 203 S Cherry Street Greenville, KY 42345 (270) 338-0606

Nelson County Andrea G Haydon, Dmd, PLLC 202 W Stephen Foster Avenue Suite E Bardstown, KY 40004 (502) 348-0908

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Isgrigg Family Dentistry, INC 101 Manor Avenue Suite 103 Bardstown, KY 40004 (502) 348-3119

Oldham County

Pendleton County

Albert Lee Crush, Dmd 7025 W Highway 22 Crestwood, KY 40014 (502) 241-9880

J Patrick Disponett, Dmd 919 Chambers Boulevard Suite A Bardstown, KY 40004 (502) 348-6404

Alfred R Gernert, Dmd, PSC 604 Crystal Place Suite 2a La Grange, KY 40031 (502) 222-6202

Monte G McElfresh, Dmd 8636 Highway 27 N Butler, KY 41006 (859) 472-3395

J Taylor Hazard, Dmd & Associates 1000 E John Rowan Boulevard Suite 101 Bardstown, KY 40004 (502) 348-2589

Engilman Orthodontics Crestwood 6408 W Highway 146 Suite 10 Crestwood, KY 40014 (502) 241-3176

Laura K Escher-Howell, Dmd 115 E Flaget Avenue Bardstown, KY 40004 (502) 348-9400 Michael E Harris, Dds, PSC 218 W John Fitch Avenue Bardstown, KY 40004 (502) 348-9775 Patrick L Keesee, Dmd, Ms 120 W Stephen Foster Avenue Suite 104 Bardstown, KY 40004 (502) 348-5800

Ohio County Barry K Stevens, Dmd 1221 N Main Street Beaver Dam, KY 42320 (270) 274-3379 Joesph S McCarty, Dmd 904 Main Street Hartford, KY 42347 (270) 298-3555 Kenneth D Alford, Dmd 1269 Duvall Road Beaver Dam, KY 42320 (270) 274-4875

Engilman Orthodontics Lagrange 2005 S Highway 53 Suite B La Grange, KY 40031 (502) 222-4613 James R Sparks, Dmd 205 N 1 Street La Grange, KY 40031 (502) 222-7070 Mortenson Family Dental Ctr Crestwood, PLLC 6408 W Highway 146 Unit 10 Crestwood, KY 40014 (502) 243-0123

Owen County Owen Dental Center, PSC 330 W Seminary Street Owenton, KY 40359 (502) 484-0091

Owsley County Booneville Family Dentistry, PSC 706 N Courthouse Square PO Box 1167 Booneville, KY 41314 (606) 593-5100

William J Verax, III, Dmd, PSC 211 W Shelby Street Falmouth, KY 41040 (859) 654-5041

Perry County Dentine Service 305 Main Street Vicco, KY 41773 (606) 476-8333 Dr Daniel R Watkins, Dmd 1480 E Main Street Hazard, KY 41701 (606) 439-3522 Elmer T Gabbard, Jr, Dmd, PSC 446 Main Street Suite M3 Hazard, KY 41702 (606) 439-4263 Greg R Baker Dental Services, PLLC 100 Medical Center Drive Hazard, KY 41701 (606) 439-1331 Hazard Orthodontic Clinic 285 Black Gold Boulevard Hazard, KY 41701 (606) 439-0881 Petrey & Newcomb Orthodontics 260 Village Lane Hazard, KY 41701 (606) 439-3856 39 Morton Road Hazard, KY 41701 (606) 439-3856

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Kentucky Spirit Health Plan Primary Care Centers of Eastern Ky 145 Citizens Lane Hazard, KY 41701 (606) 435-7676 R L Pennington, Dmd 562 Highway 80 W Combs, KY 41729 (606) 439-3740 Samantha S Napier, Dmd, LLC 116 Veterans Drive Hazard, KY 41701 (606) 439-0577 Shanna Couch Holliday 251 Morton Boulevard Hazard, KY 41702 (606) 439-1079 Univ of Kentucky-North Fork Valley 750 Morton Boulevard Hazard, KY 41701 (606) 439-1559

Dr Gary L Hopkins 401 Southside Professional Building South Williamson, KY 41503 (606) 237-0073

William E Collins, Dmd, PSC 126 Trivette Drive Suite 303 Pikeville, KY 41501 (606) 437-9601

Elkhorn Dental, PSC 155 E Main Street Elkhorn City, KY 41522 (606) 754-0155

126 Trivette Drive Suite 303 Pikeville, KY 41501 (606) 437-9601

Family Dentistry 170 Fifth Street PO Box 1156 Elkhorn City, KY 41522 (606) 754-7198

Powell County

Hartsock Orthodontics 161 College Street Suite 3 Pikeville, KY 41501 (606) 432-3603 Larry Lynn Dmd 919 W Russell PO Box 1006 Elkhorn City, KY 41522 (606) 754-4936

Vicco Dental Center, PSC 35 Longfield Circle Vicco, KY 41773 (606) 476-8121

Nick A England, Jr, PSC 534 Central Avenue South Williamson, KY 41503 (606) 237-4750

Pike County

Quentin T Robinette, Dmd 153 Hibbard Street Pikeville, KY 41502 (606) 437-9942

Al Pelphrey, Dmd, PSC 300 N Mayo Trail Suite 1 Pikeville, KY 41501 (606) 437-1461 Carl E Tackett, Dmd 419 Town Mountain Road Suite 105 Pikeville, KY 41501 (606) 432-0346 Downtown Dental 126 Trivette Drive Suite 103 Pikeville, KY 41501 (606) 433-1488

Susan S Altman Dmd, PSC 419 Town Mountain Road Suite 200 Pikeville, KY 41501 (606) 437-4848 The Dentist Office, PSC 1144 S Mayo Trail Suite 101 Pikeville, KY 41501 (606) 433-0033 Tom E Hartsock 161 College Street Suite 3 Pikeville, KY 41501 (606) 432-3603

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Gary M Thompson, Dmd 131 N Main Street Stanton, KY 40380 (606) 663-2133

Pulaski County Associates In Dentistry - Somerset 29 Eury Lane Somerset, KY 42501 (606) 678-8881 Brandi Prather, Dmd, PSC 47 Sarah's Lane Somerset, KY 42503 (606) 679-5437 Cumberland Dental 54 Imaging Drive Somerset, KY 42503 (606) 451-2273 Cumbident, PSC 30 Medical Park Drive Somerset, KY 42503 (606) 679-9322 Darrell Bartley, Jr, Dmd, PSC 341 Bogle Street Suite D Somerset, KY 42503 (606) 677-0238 David Brummett, Dmd 3876 S Highway 27 Somerset, KY 42501 (606) 679-5328 Denny Brummett, Dmd 3876 S Highway 27 Somerset, KY 42501 (606) 679-5328

Henry Dale Coffey, Dmd 313 Langdon Street Somerset, KY 42503 (606) 679-7419 Jeffrey W Fisk, Dmd, PSC 221 E Somerset Church Road Somerset, KY 42503 (606) 451-1448 Katherine King, Dmd 110 N Central Avenue Somerset, KY 42501 (606) 679-1402 Petrey & Newcomb Orthodontics 224 Langdon Street Somerset, KY 42501 (606) 451-0771 Rebekah W Branscum, Dmd, PSC 8536 W Highway 80 PO Box 906 Nancy, KY 42544 (606) 636-4311 Saindon and Saindon Family Dentistry INC 501 College Street Suite A Somerset, KY 42501 (606) 679-9289 Somerset Family Dentistry 125 Barnett Street Somerset, KY 42501 (606) 679-1204

Rockcastle County Associates In Dentistry - Mt Vernon 940 A W Main Street Mount Vernon, KY 40456 (606) 256-0288 Chadwell Family Dentistry 325 Richmond Street Mount Vernon, KY 40456 (606) 256-5812

Rowan County Arnett's Dental Clinic 204 Morehead Plaza Morehead, KY 40351 (606) 784-7033 Commonwealth Family Dentistry 750 W Main Street Morehead, KY 40351 (606) 783-0182 Karen E Shay, Dmd, PSC 165 E Main Street Morehead, KY 40351 (606) 784-4762 Loy Dentistry, PSC 255 Beacon Hill Drive Morehead, KY 40351 (606) 784-6631 Mitchell Patton, Dmd 400 Clinic Drive Morehead, KY 40351 (606) 784-4363

Tawnya L Muse, Dmd, PSC 3810 South Highway 27 Suite 5 Somerset, KY 42501 (606) 678-0978

Morehead Dental Group 309 E Main Street Morehead, KY 40351 (606) 784-6436

Thomas A Tohill, Dmd 101 Sarahs Lane Somerset, KY 42503 (606) 679-4450

Tingle & Settle, Dmd, PSC 255 Beacon Hill Drive Morehead, KY 40351 (606) 784-6631

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Kentucky Spirit Health Plan Russell County Associates In Dentistry - Russell Springs 2289 Lakeway Drive Key Village Shopping Center Russell Springs, KY 42642 (270) 866-8891 Brian Grippe Family Dentistry 458 Main Street Russell Springs, KY 42642 (270) 866-7222 458 N Main Street PO Box 2249 Russell Springs, KY 42642 (270) 866-7222 Howard J Popplewell Dmd 108 Town Square Jamestown, KY 42629 (270) 343-3324 Melanie Loy-Flanagan Dmd 43 Fruit Of The Loom Drive PO Box 27 Jamestown, KY 42629 (270) 343-4422 Smith and Smith Dental 519 Main Street Russell Springs, KY 42642 (270) 866-3560

Lifetime Family Dental Care 240 Blossom Park Drive Suite 1 Georgetown, KY 40324 (502) 570-8778

Dr Werner Dental Spa, LLC 1038 Washington Street Shelbyville, KY 40065 (502) 633-9733

Harold T Wilkerson, Dmd, PSC 227 W Main Street Campbellsville, KY 42718 (270) 465-6204

Paula K Lenox, Dmd 1154 Lexington Road Suite 2 Georgetown, KY 40324 (502) 863-2207

Engilman Orthodontics Shelbyville 1415 Main Street Shelbyville, KY 40065 (502) 633-4613

Pediatric Dentistry of Hamburg @georgetown 208 Bevins Lane Suite A Georgetown, KY 40324 (502) 570-2829

Mortenson Family Dental Center Shelbyville East 502 Mount Eden Road Shelbyville, KY 40065 (502) 633-1538

Peterson, Gilman P 204 Bevins Lane Suite F Georgetown, KY 40324 (502) 863-1402

Mortenson Family Dental Ctr Shelbyville, PLLC 130 Stonecrest Road Suite 101 Shelbyville, KY 40065 (502) 633-1584

Wise Dentistry for Kids, PSC 105 Medical Park Drive Suite 1 Campbellsville, KY 42718 (270) 469-1403

Pediatric Dentistry of Shelbyville 141 Stonecrest Road Shelbyville, KY 40065 (502) 633-4441

Trigg County

Robert T Warring Family Dentistry 120b Edwards Avenue Georgetown, KY 40324 (502) 863-1505 White & Maggard Orthodontics 101 Darby Drive Georgetown, KY 40324 (502) 863-2720

Shelby County

Scott County

Bluegrass Dental Center of Shelbyville, PLLC 6912 Shelbyville Road Simpsonville, KY 40067 (502) 722-0842

Blossom Park Dental Care 240 Blossom Park Drive Suite 2 Georgetown, KY 40324 (502) 570-8841

Bright Smile Dental Care 60 Stonecrest Court Suite 200 Shelbyville, KY 40065 (502) 633-1819

Dentistry for Children 205 Champion Way Suite 9 Georgetown, KY 40324 (502) 868-9300

Dr Lisa Daugherty Family Dentistry, Plc 207 A Alpine Drive Shelbyville, KY 40065 (502) 633-3900

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Simpson County Franklin Family Dentistry 112 Morgantown Road Franklin, KY 42134 (270) 586-0606 Jeffrey T Harvey, Dmd 320 McLendon Road Franklin, KY 42135 (270) 598-0508

Taylor County Akridge Orthodontics 1756 Old Lebanon Road Hearthside Professional Center Campbellsville, KY 42718 (270) 465-6570

Inman Orthodontics, PSC - Campbellsville 105 Medical Park Drive Campbellsville, KY 42718 (270) 789-4542 Ricky L Cox, Dmd, PSC 603 Maple Street Campbellsville, KY 42718 (270) 465-8005

Michael L Gross, Dmd 51 South Road Cadiz, KY 42211 (270) 522-3484

Trimble County Embry & O'Connor, Dmd 25 Agin Way Milton, KY 40045 (502) 268-3192

Union County Dr Kember B Heine, Dmd 1107 N Main Street Sturgis, KY 42459 (270) 333-4030 Rigdon Family Dental, INC 124 S Brady Street Morganfield, KY 42437 (270) 389-2855

Warren County Barren River Dental Clinic 1109 State Street Bowling Green, KY 42101 (270) 781-8039 Benson & Benson Family Dentistry 148 Vincent Street Smiths Grove, KY 42171 (270) 563-4819 Bluegrass Oral Health Center 546 Park Street Suite 400 Bowling Green, KY 42101 (270) 781-6161 Bowling Green Bowling Green, KY 42101 (270) 781-6161 Bluegrass Oral Health of Smiths Grove 141 Main Street Smiths Grove, KY 42171 (270) 451-0059 Bowling Green Family Dentistry 1025 Ashley Street Suite C Bowling Green, KY 42103 (270) 842-0025 Christopher M Hanes 1658 Campbell Lane Bowling Green, KY 42104 (270) 781-4906 Crosswinds Dental Care 1025 Ashley Street Bowling Green, KY 42103 (270) 783-3177

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Kentucky Spirit Health Plan David A Buchanan, Dmd 546 Park Street Suite 100 Bowling Green, KY 42102 (270) 781-3133 Destiny Dental 1720 Destiny Lane Bowling Green, KY 42104 (270) 842-3554 Drs Erin and Randy Elliott 120 Callaway Court Bowling Green, KY 42103 (270) 782-0716 Drs Gary K Walden & Brenda C Walden, Dmd 725 Kenton Street Suite A Bowling Green, KY 42101 (270) 782-0414 Family Dentistry 148 Vincent Street Smiths Grove, KY 42171 (270) 563-4819 J Andrew Craycroft, Dmd, INC 1711 Ashley Circle Suite 3 Bowling Green, KY 42104 (270) 781-4997 J Scott Barbee, Dmd, PSC 1830 Destiny Lane Suite 119 Bowling Green, KY 42104 (270) 393-9925 Julie A Gaskill, Dds 546 Park Street Suite 500 Bowling Green, KY 42101 (270) 843-6891

Michael W Howell, Dmd 952 31 W Bypass Bowling Green, KY 42102 (270) 782-9052 952 31 W By-Pass Bowling Green, KY 42102 (270) 782-9052

Washington County Benjamin R Smith, Dmd 207 Lincoln Park Road Springfield, KY 40069 (859) 336-3330 Don K Flowers, Jr, Dmd 108 Commerical Avenue Springfield, KY 40069 (859) 336-7701 Isaacs & Isaacs, INC 39 Bob-O-Link Drive Springfield, KY 40069 (859) 336-7680

Wayne County Brummett Cosmetic & Family Dentistry 1225 N Main Street Monticello, KY 42633 (606) 340-0740 Gentle Care Family Dentistry 650 N Main Street Monticello, KY 42633 (606) 348-5100

Webster County Paige P Warren, Dmd, PSC 125 E Main Street Providence, KY 42450 (270) 667-7301

Whitley County A Brent Chumbley, PSC 727 W Cumberland Gap Parkway Suite D Corbin, KY 40701 (606) 523-2000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Barnhill Pediatric Dentistry PSC 129 S Highway 1223 Corbin, KY 40701 (606) 526-9636 Corbin-Greer & Greer, PSC 1200 E Master Street Corbin, KY 40701 (606) 523-1961 Cumberland Dental Center, INC 40 Moonbow Plaza Suite 3 Corbin, KY 40701 (606) 528-6104 Elbert Lewis Ballou, Dmd 432 Main Street Williamsburg, KY 40769 (606) 549-1434 John D Mountjoy, Dmd 212 N 4 Street Williamsburg, KY 40769 (606) 549-2344 Keith E Gibson, Dmd / Gibson & Gibson, PSC 213 S Main Street Corbin, KY 40701 (606) 523-1415 L Douglas Couch, Dmd, PLLC 107 Brentwood Place Corbin, KY 40701 (606) 528-5600 Petrey & Newcomb Orthodontics 14659 N US Highway 25 E Suite 15 Corbin, KY 40701 (606) 528-8302 Philip Eugene Henderlight Jr Dmd 1507 S Main Street Corbin, KY 40701 (606) 523-1110

Smith & Brown Family Dentistry 821 S Highway 25 W PO Box 547 Williamsburg, KY 40769 (606) 549-0374 Steven L Haines, Dmd, LLC 1608 Cumberland Falls Highway Corbin, KY 40701 (606) 523-2411

Wolfe County Richard E Capps, Dmd 261 Plummer Street Campton, KY 41301 (606) 668-3504

Woodford County Eric L Quillen, Dds 156 Frankfort Street Versailles, KY 40383 (859) 879-5045 Harry M Watts, Dmd 210 Crossfield Drive Versailles, KY 40383 (859) 873-7101

Arkansas Ralph Thacker 222 Main Street La Grange, AR 72352 (270) 278-2385

Indiana Comfort Dental (Clarksville) 529 E Lewis And Clark Parkway Clarksville, IN 47129 (812) 725-9200 Kool Smiles In-3, PC 400 E Diamond Avenue Evansville, IN 47711 (812) 461-2365

Ohio Hal S Jeter, Dds 804 4 Street E South Point, OH 45680 (740) 377-2020

Small Smiles of Cincinnati, LLC 2830 Colerain Avenue Cincinnati, OH 45225 (513) 591-1400 Small Smiles of Roselawn. LLC 1860 Seymour Avenue Cincinnati, OH 45237 (513) 841-1000

Tennessee Charles W Anders Dmd 1244 5 Street Jellico, TN 37762 (423) 784-3587 Cumberland Gap Orthodontics 119 Westmoreland Street Harrogate, TN 37752 (423) 869-5719

Dialysis Clinic Kentucky Barren County Medical Services INC Dba Glasgow Kidney Center 205 Professional Park Drive Glasgow, KY 42141 (270) 651-7776 Tj Sampson Comm Hosp Kidney Care 1301 N Race Street Glasgow, KY 42141 (270) 651-4444 930 Happy Valley Road Glasgow, KY 42141 (270) 651-7124

Boone County Fmc Boone County 7205 Dixie Highway Florence, KY 41042 (859) 525-1060

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Kentucky Spirit Health Plan Boyd County

Fayette County

Hardin County

Bma Ashland 4321 16th Street Suite A Ashland, KY 41101 (606) 325-5268

Fmc Nalco Home 1591winchester Road Suite 102 Lexington, KY 40505 (859) 299-3379

Fresenius Medical Care Nak Elizabethtown, LLC 1324 Woodland Drive Suite 2 Elizabethtown, KY 42701 (270) 763-0396

Fmc Central Ashland 424 River Hill Drive Ashland, KY 41101 (606) 329-0363

Boyle County Fmc Na Dialysis Services of Danville 975 Hustonville Road Suite 1 Danville, KY 40422 (859) 236-2214

Breathitt County Fmc of Jackson 1550 US Highway 15 South Suite 110 Jackson, KY 41339 (606) 693-4770

Bullitt County Fresenuis Medical Care Nak Shepherdsville Pkwy 421 Adam Shepherd Parkway Shepherdsvlle, KY 40165 (502) 921-0977

Kentucky Renal Care Group, LLC 1101 Winchester Road Suite 100 Lexington, KY 40505 (859) 225-4922 1610 Leestown Road Lexington, KY 40511 (859) 254-0671

Floyd County

Hopkins County

Bma Prestonsburg 61 Dewey Street Prestonsburg, KY 41653 (606) 886-3893

Fmc Madisonville 1020 Waterfall Court Madisonville, KY 42431 (270) 825-3792

Franklin County

Jefferson County

Fmc Frankfort 608 Chamberlin Avenue Frankfort, KY 40601 (502) 607-0731

Bma Bishop Lane-Audubon 2355 Poplar Level Road Suite G2 10 Louisville, KY 40217 (502) 637-1771

Rcg Murray 609 S 12th Street Murray, KY 42071 (270) 759-3080

Rcg Mayfield 1029 Medical Center Circle Suite 301 Mayfield, KY 42066 (270) 247-7291

Clark County

Harrison County Fmc of Cynthiana 994 US Highway 27s Suite 6 Cynthiana, KY 41031 (859) 235-0542

Graves County

Fmc of Grayson 286 State Highway 1947 Grayson, KY 41143 (606) 474-0475

Fmc Harlan 136 Village Center Road Harlan, KY 40831 (606) 574-0005

Rcg University Division INC 171 North Eagle Creek Drive Suite 110 Lexington, KY 40509 (859) 264-7775

Calloway County

Carter County

Harlan County

Greenup County Bma of Greenup 965 Townhill Plaza Greenup, KY 41144 (606) 473-0410

Fmc Winchester 1145 Lexington Avenue 1st Floor Winchester, KY 40391 (859) 744-0750

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Bma East Louisville 5620 Bardstown Road Louisville, KY 40291 (502) 239-8221 Bma Louisville 720 E Broadway Louisville, KY 40202 (502) 584-3021 Bma South Louisville 1512 Crums Lane Louisville, KY 40216 (502) 449-1892

Bma West Louisville 2600 W Broadway Suite 112 Louisville, KY 40211 (502) 772-7363 Fmc Louisville Northeast 3701 Chamberlain Lane Louisville, KY 40241 (502) 327-1144 Fmc Masonic Home 3701 Frankfort Avenue Louisville, KY 40207 (502) 721-1083 3501 Moyers Circle Suite 200 Masonic Home, KY 40041 (502) 721-1083 Fmc Rockford Lane 9616 Dixie Highway Louisville, KY 40272 (502) 448-9700 Fmc South Central Louisville 8319 Preston Highway Suite C Louisville, KY 40219 (502) 968-2225

Jessamine County Fmc Nicholasville 115 Orchard Place Drive Nicholasville, KY 40356 (859) 881-0332

Johnson County Fmc Paintsville 620 Jefferson Avenue Paintsville, KY 41240 (606) 789-2278

Lyon County Rcg Kuttawa 95 Lakeshore Drive Kuttawa, KY 42055 (270) 388-0078

Madison County Bma Central Richmond 793 Eastern Bypass Building 3 Suite G04 Richmond, KY 40475 (859) 626-5566

Marion County Fresenius Medical Care Nak Lebanon, LLC 703 East Main Street Suite 2 Lebanon, KY 40033 (270) 692-1558

McCracken County Rcg Paducah 1532 Lone Oak Road Suite G 15 Paducah, KY 42003 (270) 443-0217 Rcg Paducah South 1061 Husband Road Paducah, KY 42003 (270) 442-5020

Montgomery County Fmc Mount Sterling 75 Sterling Way Mount Sterling, KY 40353 (859) 499-0630

Muhlenberg County Home Dialysis of Muhlenberg County, INC 222 Philip Stone Way Central Cty, KY 42330 (270) 754-4404

Oldham County Fmc Oldham County 2100 Button Lane Lagrange, KY 40031 (502) 225-6223

Bma Suburban 3991 Dutchmans Lane Suite G2 Louisville, KY 40207 (502) 895-2217 Dialysis Clinic

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Kentucky Spirit Health Plan Perry County

Warren County

Anderson County

Bell County

Bma Hazard 516 Village Lane Hazard, KY 41701 (606) 439-3478

Bowling Green Dialysis Center INC 1834 Lyda Avenue Bowling Green, KY 42104 (270) 782-1318

Lawrenceburg Medical Supply INC 753 West Broadway Lawrenceburg, KY 40342 (502) 839-4557

American Homepatient INC 1632 1/2 Cumberland Avenue Suite 6 Middlesboro, KY 40965 (606) 337-6680

Bma Pike County 146 Adams Lane Pikeville, KY 41501 (606) 432-1707

DME Supplier

Barren County

Kentucky

170 Town Mountain Road Suite 2 Pikeville, KY 41501 (606) 432-1707

Certacare INC 937 Campbellsville Road Suite 907 Columbia, KY 42728 (270) 385-9139

Ely Drugs INC 415 Happy Valley Lamb, KY 42141 (270) 651-9856

112 W Kentucky Avenue Pineville, KY 40977 (800) 928-9474

Pike County

Pulaski County Bma Somerset 119 Tradepark Drive Somerset, KY 42503 (606) 678-9811

Rowan County Bma Morehead 250 Norman Wells Lane Morehead, KY 40351 (606) 780-9701

Shelby County Bma Shelbyville 1900 Midland Trail Shelbyville, KY 40065 (502) 633-6333

Taylor County Fresenius Medical Care Nak Campbellsville, LLC 107 Medical Park Drive Campbellsvlle, KY 42718 (270) 469-0923

Trigg County Fmc Trigg County 2484 Main Street Cadiz, KY 42211 (270) 522-0170

Adair County

Columbia Medical Equipment INC 2991 Campbellsville Road Columbia, KY 42728 (270) 384-5143 Community Medical Services INC 801 Burkesville Street Columbia, KY 42728 (270) 384-0750 Mls 1116 INC 375 Office Park Drive Columbia, KY 42728 (270) 384-0076

Allen County Carpenter Dent Drugs, INC 117 E Public Square Scottsville, KY 42164 (270) 237-4446 Medequip 466 Burnley Road Scottsville, KY 42164 (270) 780-2655 T & K Home Medical 1137 Old Glasgow Road Scottsville, KY 42164 (270) 237-9700

Glasgow Prescription Center-3261 615 S L Roger Wells Boulevard Glasgow, KY 42141 (270) 651-8889 Hatchett Home Medical Equipment 131 Park Avenue Glasgow, KY 42141 (270) 651-9551 Lincare INC 952 Happy Valley Road Glasgow, KY 42141 (270) 651-3753 Parkland Drugs 209 N Dixie Cave City, KY 42127 (270) 773-3152 Pharmacy Express 415 S L Rogers Wells Boulevard Glasgow, KY 42141 (270) 651-7948 Tj Samson Home Medical Equipment 1301 N Race Street Glasgow, KY 42141 (270) 651-4430 Vann Healthcare Services 1220 N Race Street Glasgow, KY 42141 (270) 651-7627 Vann Homecare INC 1004 Happy Valley Road Glasgow, KY 42141 (270) 678-2350

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lincare INC 517 North 15th Street Middlesboro, KY 40965 (606) 242-2377 200 West Park Avenue Pineville, KY 40977 (606) 337-2402 Medi Home Care 123 N 19th Street Middlesboro, KY 40965 (803) 957-0500 Pineville Pharmacy 114 Pine Sreet Pineville, KY 40977 (606) 523-5670 Rx Discount Pharmacy 7 1841 N 25th Street Middlesboro, KY 40965 (606) 248-9330 Southern Orthocare 705 N 12th Street Suite 250 Middlesboro, KY 40965 (606) 302-4002

Boone County Advanced Technologies INC 7570 US Highway 42 Florence, KY 41042 (859) 578-4822 Burlington Pharmacy Health Care 5555 North Bend Road Burlington, KY 41005 (678) 243-1800

Lincare INC 11 Spiral Drive Suite 6 Florence, KY 41042 (859) 525-0202

Boyd County Ashland Prosthetic & Orthotic Services 2816 Carter Avenue Ashland, KY 41101 (606) 324-5786 Hanger Prosthetics & Orthotics INC 336 29th Street Suite 203 Ashland, KY 41101 (606) 324-5461 John David Rogers-Kinetic Health Care 3313 13th Street Ashland, KY 41102 (606) 327-6990 Option Care Ent. INC Dba Walgreens Infusion Servic 4380 13th Street Ashland, KY 41102 (606) 324-4427 Walgreens Infusion Pharmacy 4380 13th Street Ashland, KY 41102 (606) 324-4427 2628 Crawford Street Westwood, KY 41101 (800) 879-6137 Wecare Medical LLC 2826 Holt Street Ashland, KY 41101 (606) 325-9222

Boyle County James Medical Equipment Ltd 455 South Fourth Street Danville, KY 40422 (270) 465-8220 McDowell Medsource 150 S 3rd Street Danville, KY 40422 (859) 239-1691 Dialysis Clinic

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Kentucky Spirit Health Plan Breathitt County Breathitt Prescription Center 1112 Main Street Jackson, KY 41339 (606) 666-7574 Jackson Apothecary 842 Highway 15 North PO Box 931 Jackson, KY 41339 (606) 666-7060 Lincare INC 66 Jetts Drive Jackson, KY 41339 (606) 666-4455 Medi Home Care 726 Highway 15 North Jackson Plaza Jackson, KY 41339 (606) 666-4062

Breckinridge County Taylor Pharmacy 109 Fairgrounds Road Hardinsburg, KY 40143 (270) 756-5222 Towne and Country Pharmacy 675 East Highway 60 Hardinsburg, KY 40143 (270) 756-2151

Bullitt County Medline Industries INC 1065 Conestoga Parkway Shepherdsvlle, KY 40165 (800) 678-7852

Butler County King Home Care 255 W Gl Smith Street Morgantown, KY 42261 (270) 526-6960 Morgantown Pres Ctr INC 211 South Main Street Morgantown, KY 42261 (270) 526-3332

214 S Main Street Morgantown, KY 42261 (270) 526-3332

Caldwell County Corner Homecare-Princeton 108 E Washington Street Princeton, KY 42445 (270) 365-3903

Casey County James Medical Equipment Ltd 140 Liberty Sqare Liberty, KY 42539 (606) 787-5061 Lincare INC 120 Trammel Street Liberty, KY 42539 (727) 431-8442

Calloway County

Christian County

Holland Medical Services INC Lafayette 905 Arcadia Circle Murray, KY 42071 (023) 597-0003

Advanced Home Medical 2212 Fort Campbell Boulevard Hopkinsville, KY 42240 (270) 886-2544

Legacy Oxygen & Home Care Equip 924 S 12th Street Murray, KY 42071 (270) 753-2001

King Home Care 1610 S Mian Street Hopkinsville, KY 42240 (270) 526-6980

Medical Arts Home Medical 300 S 8th Street Suite 104e Murray, KY 42071 (270) 762-2011 Pharmacy INCorporated 82 Spruce Street Murray, KY 42071 (866) 456-0040

Campbell County Alexandria Chiropractic Center 7579 Alexandria Pike Alexandria, KY 41001 (859) 635-6666 National Prosthetics and Orthotics, INC 4200 Alexandria Pike Suite C Cold Spring, KY 41076 (859) 442-0400

Carter County Medi Home Care 118 South Hord Street Grayson, KY 41143 (999) 999-9999

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Pennyrile Home Medical 3127 Canton Street Hopkinsville, KY 42240 (800) 445-8002 Pennyrile Home Medical INC 217 Burley Avenue Hopkinsville, KY 42240 (270) 885-2500 Western Kentucky Pulmonary Clinic PSC 1724 Kenton Street Hopkinsville, KY 42240 (270) 886-8840

Clark County Corner Drug Winchester, INC 4 N Highland Street Suite B Winchester, KY 40391 (859) 744-6844 Heartland Medical Solutions Dba New Moon Medical 1210 W Lexington Suite B Winchester, KY 40391 (859) 737-5154

Home Convalescent Aids, INC 1113 West Lexington Avenue Winchester, KY 40391 (859) 745-4445

Clay County Burning Springs Clinic Pharmacy 11901 Highway 421 N Manchester, KY 40962 (606) 599-8891 Clay Discount Pharmacy 2734 S Highway 421 Manchester, KY 40962 (606) 598-0330 L A Medical Supply INC 459 Memorial Drive Manchester, KY 40962 (606) 599-9140

Clinton County Columbia Medical Equipment 258 Burkesville Road Albany, KY 42602 (270) 384-5143 Columbia Medical Equipment INC 258 Burkesville Road Albany, KY 42602 (606) 387-6994 Shearer Drug 127 Foothills Avenue Suite 2 Albany, KY 42602 (606) 387-6616

Crittenden County Holland Medical Services - Marion, Ky 252 Sturgis Road Marion, KY 42064 (270) 965-5805 Thrifty Home Medical-Marion Ky 210 S Main Marion, KY 42064 (270) 965-0089

Daviess County Corner Homecare-Owensboro 5010 Backsquare Drive Owensboro, KY 42301 (270) 686-7000 Danhauer Drugs, Dme 330 Frederica Street Owensboro, KY 42301 (270) 684-2341 Happy Feet 510 E Parrish Avenue Owensboro, KY 42303 (270) 688-5888 King Drug and Home Care 1156 Carter Road Owensboro, KY 42301 (270) 683-7010 Lincare INC 3645 Edna Court Owensboro, KY 42301 (270) 683-3900 507 East Parrish Avenue Owensboro, KY 42303 (800) 844-3910 Medi Home Care 1202 Triplett Street Owensboro, KY 42303 (270) 683-3830 Poole's Pharmacy Care, INC 2200 East Parrish Avenue Suite 102 Owensboro, KY 42303 (270) 926-6260 Quality Supply LLC 1126 Triplett Street Suite 103 Owensboro, KY 42303 (270) 852-4343 Reisz Rx Solutions, INC 2315 Mayfair Drive Suite 18 Owensboro, KY 42301 (270) 688-0100 Shaws Prosthetics Plus 1019 Old Hartford Road Owensboro, KY 42303 (270) 684-7672 DME Supplier

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Kentucky Spirit Health Plan Shoe Stop INC 4650 Frederica Street Owensboro, KY 42301 (270) 686-7429 Tom Watson Prosthetic & Orthotic Lab 2819 W 4th Street Owensboro, KY 42301 (270) 684-6128

Estill County Respiratory Express INC 171 Broadway Street Irvine, KY 40336 (606) 723-2955 Spencer Drugs, LLC Dba Irvine Health Mart 905 Richmond Road Irvine, KY 40336 (606) 723-5446

Fayette County Apria Healthcare INC 2456 Fortune Drive Suite 130 Lexington, KY 40509 (859) 276-0663 Associates In Health Care, INC 841 Corporate Drive Suite 107 Lexington, KY 40503 (859) 373-8127 Bluegrass Bracing INC 1389 W Main Street Lexington, KY 40508 (859) 266-5500 Bluegrass Oxygen, INC 399 Walter Avenue Suite 110 Lexington, KY 40504 (859) 277-2583 1032 Majaun Road Lexington, KY 40511 (859) 277-2583 Cardinal Hill Medical Equipment 2050 Versailles Road Lexington, KY 40504 (859) 254-5701

Central Baptist Home Infusion Therapy 1740 Nicholasville Road Lexington, KY 40503 (859) 260-6100

Josephines Fayette INC 814 Euclid Avenue Lexington, KY 40502 (859) 269-6222

Central Brace and Prosthetics INC 3295 Eagle View Lane Lexington, KY 40509 (859) 263-7712

Kenny Orthopedics, LLC 449 Lewis Hargett Circle Suite 110 Lexington, KY 40503 (859) 373-0208

Extreme Mobility, INC 2551 Regency Road Suite 105 Lexington, KY 40503 (859) 277-0105

Lincare INC 2514 Regency Road Suite 101 Lexington, KY 40503 (859) 276-0202

Greene Respiratory Services, INC 921 Beasley Street Suite 110 Lexington, KY 40509 (859) 294-0231

Lovejoy Medical INC 132 Venture Court Suite 12 13 Lexington, KY 40511 (859) 268-7225

Grogans INC 1016 S Broadway Lexington, KY 40504 (859) 254-6661

Medi Home Care 198 Moore Drive Suite 104 Lexington, KY 40503 (859) 277-6266

Hanger Prosthetics & Orthotics INC 2025 Leestown Road Suite Q Lexington, KY 40511 (859) 255-3301

National Seating and Mobility INC 2025 Leestown Road Unit L Lexington, KY 40511 (999) 999-9999

Health Foot Center 312 South Ashland Avenue Lexington, KY 40502 (859) 266-0420

Orthopaedic Specialties, INC 2909 Richmond Road Suite 30 Lexington, KY 40509 (859) 268-2525

Hi-Tech Artificial Limbs INC 1641 Nicholasville Road Lexington, KY 40503 (859) 278-2389 Home Care Medical 112 Dennis Drive Lexington, KY 40503 (859) 277-4663 Infusion Partners of Lexington 2025 Regency Road Lexington, KY 40503 (859) 277-2013

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Patient Aids INC 242 Southland Drive Lexington, KY 40503 (859) 388-9002 Premier Home Care, INC 2647 Regency Road Suite 105 Lexington, KY 40503 (859) 260-1743

Pro2 Respiratory Services 198 Moore Drive Suite 106 Lexington, KY 40503 (859) 277-0029

Kentucky Pain Physicians Dme 286 US Highway 23 North Prestonsburg, KY 41653 (606) 874-0032

United Seating and Mobility, LLC. 1050 Enterprise Drive Suite 125 Lexington, KY 40510 (859) 225-3624

McDowell Professional Pharmacy INC 9549 KY Route 122 Mc Dowell, KY 41647 (606) 377-1088

Viclen INC Dba Nr Respiratory & Hme 607 S Broadway Lexington, KY 40508 (859) 253-6611

Fleming County Fleming Pharmacist Group, INC 209 South Main Cross Flemingsburg, KY 41041 (606) 845-2101 Total Care Pharmacy 2 118 Clark Street Flemingsburg, KY 41041 (606) 845-3421

Floyd County Bluegrass Oxygen, INC 1372 North Lake Drive Prestonsburg, KY 41653 (606) 886-0072 Cooley Medical Equipment 1152 Riverside Drive Prestonsburg, KY 41653 (999) 999-9999 1184 S Lake Drive Prestonsburg, KY 41653 (606) 886-9267 Hanger Prosthetics & Orthotics INC 132 South Lake Drive Prestonsburg, KY 41653 (606) 886-0854 J T Medical INC Junction US 23 And 460 Allen, KY 41601 (606) 874-1114

Medi Home Care 69 KY Route 306 Bypro, KY 41612 (606) 452-2624 1900 Kentucky Route 321 Prestonsburg, KY 41653 (606) 886-8306 Medzone Pharmacy 5291 Kentucky Route 321 Prestonsburg, KY 41653 (606) 889-9003 Oxygen Plus, INC 9350 US Highway 23 S Box 205 Stanville, KY 41659 (606) 478-6653

Franklin County Capital Pharmacy and Medical Equipment 662 East Main Street Frankfort, KY 40601 (502) 223-2827 Lincare INC 617 Chamberlin Avenue Suite 1 Frankfort, KY 40601 (502) 226-2202 Lovejoy Medical INC 106 Diagnostic Drive Suite 8 Frankfort, KY 40601 (502) 227-9006

Fulton County Evans Total Care LLC 208 Lake Street Fulton, KY 42041 (270) 472-2984 DME Supplier

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Kentucky Spirit Health Plan Garrard County Modern Therapy and Gas LLC 401 Danville Street Lancaster, KY 40444 (859) 792-1757

Grant County Bluegrass Orthotics, LLC 1116 North Main Street Williamstown, KY 41097 (859) 824-1000

Graves County Gibsons Pharmacy Homecare 715 E Broadway Mayfield, KY 42066 (270) 247-7300 Stones Drug Store 414 S 9th Street Mayfield, KY 42066 (270) 247-3232

Grayson County Embry Medical Supply 10 Industial Drive Caneyville, KY 42721 (270) 879-9287 Medi Home Care 2337 Elizabethtown Road Leitchfield, KY 42754 (270) 259-6347

Greenup County Wright Care Home Medical Supplies 74 Biggs Lane South Shore, KY 41175 (606) 932-9205

Hardin County Independent Mobility Plus 910 N Dixie Suite 103 Elizabethtown, KY 42701 (270) 360-0486

Lincare INC 536 W Dixie Avenue Suite 103 Elizabethtown, KY 42701 (270) 737-2900 Medi Home Care 2408 Ring Road Elizabethtown, KY 42701 (270) 737-4280 Premier Home Care, INC 1020 North Dixie Highway Elizabethtown, KY 42701 (270) 982-5800 Resp-A-Care INC 2628 Ring Road Suite 105 Elizabethtown, KY 42701 (270) 769-1051

Harlan County Cumberland Drug 1803 East Main Street Cumberland, KY 40823 (606) 589-0003 Donnells Pharmacy 40 W Highway 72 Suite B Baxter, KY 40806 (606) 573-4550 Harlan Medical Center Pharmacy 132 Village Center Harlan, KY 40831 (606) 573-2004 Medi Home Care 46 Judy Drive Harlan, KY 40831 (606) 573-2445

Harrison County Clinic Pharmacy LLC 1210 KY Highway 36 E Suite G6 Cynthiana, KY 41031 (859) 234-2777

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Cynthiana Home Medical Equipment INC 660 US Highway 27 South Cynthiana, KY 41031 (859) 234-2090 Sorrell Home Medical Equipment, LLC 208 West Pleasant Street Suite 3 Cynthiana, KY 41031 (859) 234-4441 Your Pharmacy, LLC 208 West Pleasant Street Suite 2 Cynthiana, KY 41031 (859) 234-5400

Hart County Clark Drugs INC 232 Main Street Munfordville, KY 42765 (270) 524-3669 Hart County Respiratory Care INC 1370 S Dixie Highway Horse Cave, KY 42749 (270) 786-2997

Hopkins County Americas Number 1 Health Store 728 S Main Street Madisonville, KY 42431 (270) 821-8500 Bluegrass Home Medical 1128 N Main Street Suite 2 Madisonville, KY 42431 (270) 825-9661 Bluegrass Pharmacy 1128 North Main Street Suite 1 Madisonville, KY 42431 (270) 825-2775 Holland Medical Services - Madisonville 215 Clinic Drive Madisonville, KY 42431 (270) 825-0891

King Drug and Home Care 44 McCoy Avenue Box 7 Suite 136 Madisonville, KY 42431 (270) 825-8833 444 S Main Street Madisonville, KY 42431 (270) 821-4999 Thrifty Home Medical 200 East Arch Street Madisonville, KY 42431 (270) 821-0662 Thrifty Home Medical - Madisonville, Ky 200 E Arch Street Madisonville, KY 42431 (270) 821-0662

Jackson County Annville Clinic Pharmacy 78 KY Highway 3444 Suite 2 Annville, KY 40402 (606) 364-3113 Medi Home Care 125 Second Street Hisle, KY 40447 (606) 287-3796

Jefferson County

10500 Bluegrass Parkway Louisville, KY 40299 (502) 499-9099 Bluegrass Oxygen, INC 842 S 2nd Street Louisville, KY 40203 (502) 625-2222 Center for Orthotic and Prosthetic Care 982 Eastern Parkway Louisville, KY 40217 (502) 637-7717 Custom Healthcare LLC Dba Pps Orthotic & Prostheti 806 Ulrich Avenue Louisville, KY 40219 (502) 966-0823 Diabetic and Medical Resources 3999 Dutchmans N 3f Louisville, KY 40207 (502) 376-3979 Edwards Healthcare Services INC 2700 Stanley Gault Parkway Suite 129 Louisville, KY 40223 (502) 412-3253

All Amercian Oxygen 7901 3rd Street Road Louisville, KY 40214 (502) 367-4360

Falls City Limb and Brace Company Dba Louisville P 742 E Broadway Louisville, KY 40202 (502) 584-2959

Alliance Medical Solutions 6009 Brownsboro Park Boulevard Suite A Louisville, KY 40207 (502) 253-6881

Gould's Discount Medical 3901 Dutchmans Lane Louisville, KY 40207 (502) 491-2000

American Home Patient - Louisville 4820 Popular Place Drive Suite 100 Louisville, KY 40213 (502) 968-7151 Apria Healthcare INC 1805 Taylor Avenue Louisville, KY 40213 (502) 454-3550

6802 Dixie Highway Louisville, KY 40258 (502) 491-2000 Hanger Prosthetics & Orthotics East INC 1023 East Broadway Louisville, KY 40204 (503) 653-9772

DME Supplier

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Kentucky Spirit Health Plan Hanger Prosthetics & Orthotics INC 100 Executive Park Louisville, KY 40207 (502) 899-3770 Kentucky Prosthetics INC 339 S Preston Street Louisville, KY 40202 (502) 585-4228 Lincare INC 3224 A Commerce Center Louisville, KY 40211 (502) 775-5345 11501 Plantside Drive Louisville, KY 40299 (502) 240-0571 Med E Care Dba Scm Life Oxygen 7955 National Turnpike Unit 100 Louisville, KY 40214 (502) 368-0000 Medi Home Care 1981 Nelson Miller Parkway Louisville, KY 40223 (678) 243-1800 1981 Nelson Miller Parkway Suite B Louisville, KY 40223 (502) 253-2966 National Seating & Mobility, INC 11003 Bluegrass Parkway Suite 550 Louisville, KY 40299 (502) 266-5213 Option Care Ent. INC Dba Walgreens Infusion Svcs-L 11403 Bluegrass Parkway Suite 400 Louisville, KY 40299 (502) 266-0123 Point Health Centers of America 339 S Preston Street Louisville, KY 40202 (502) 585-4228

Pro2 Louisville LLC 4201 Produce Road Louisville, KY 40218 (502) 962-4770 Rehab Medical of Louisville, INC. 10821 Plantside Drive Suite 105 Louisville, KY 40299 (502) 216-5592

Johnson County Medi Home Care 912 Broadway Street Paintsville, KY 41240 (606) 789-5453 Medicine Cabinet Pharmacy 515 Broadway Avenue Paintsville, KY 41240 (606) 789-9988

Renaissance Medical LLC 3865 Produce Road Suite 207 Louisville, KY 40218 (502) 961-8560

Skyline Medical Equipment LLC 818 South Mayo Trail Paintsville, KY 41240 (606) 789-7730

Resp-A-Care INC 6919 A Enterprise Drive Louisville, KY 40214 (502) 363-1157

V H Medical Mobility INC 813 Ridgeway Drive Paintsville, KY 41240 (606) 789-1700

Rx Delivery Now LLC 1850 Taylor Avenue 3b Louisville, KY 40213 (502) 458-4280 United Seating & Mobility LLC 11700 Commonwealth Drive Suite 900 Louisville, KY 40299 (502) 266-9061 United Seating and Mobility, LLC. 11700 Commonwealth Drive Suite 900 Louisville, KY 40299 (502) 266-9061 Walgreens Infusion Pharmacy 11403 Bluegrass Parkway Louisville, KY 40299 (502) 266-0123

Jessamine County Nicholasville Pharmacy Services, INC 930 S Main Street Nicholasville, KY 40356 (859) 887-2841

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kenton County Durrett's O & P Services Edgewood 20 Medical Village Drive Suite 100 Edgewood, KY 41017 (859) 341-7688 Nies Pharmacy INC 11745 Madison Pike Independence, KY 41051 (859) 356-3941 Pulmonary Partners, LLC 4300 Boron Drive Suite B Covington, KY 41015 (859) 655-2400 Remke Medical, LLC 20 Medical Village Drive Suite 103 Edgewood, KY 41017 (859) 341-3456 Rsvp Equipment of Greater Cincinnati 4300 Boron Drive Covington, KY 41015 (859) 727-7600

The Brace Shop & Prosthetic Services INC 375 Thomas More Parkway Crestview Hills, KY 41017 (513) 421-5653

Knox County Knox Professional Pharmacy, INC 511 Knox Stret Barbourville, KY 40906 (606) 546-3171 Medi Home Care 604 Knox Street Barbourville, KY 40906 (606) 545-0586

Laurel County American Homepatient 194 London Shopping Center London, KY 40741 (999) 999-9999 Bluegrass Regional Foot and Ankle 1105 W 5th Street Suite 3 London, KY 40741 (606) 862-9900 Elite Medical Supply LLC 1826 River Road London, KY 40744 (606) 330-0570 James Medical Equipment Ltd 749 North Laurel Road London, KY 40741 (606) 862-2611 Kenny Orthopedics of London, LLC 148 London Mountain View Drive Suite 2 London, KY 40741 (606) 862-9000

Premier Home Care, INC 100 Enterprise Lane London, KY 40741 (606) 878-0009 Thompson Drug Saddlebrook 575 W Laurel Road London, KY 40741 (606) 862-6261

Lawrence County James Medical Equipment Ltd. 207 East Madison Street Louisa, KY 41230 (606) 638-4040 Medi Home Care 102 E Franklin Street Louisa, KY 41230 (606) 638-9482 Rite Value Pharmacy LLC 2673 Highway 644 Suite 1 Louisa, KY 41230 (606) 638-9628

Lee County Jordan Medical LLC 1075 Highway 11 N Beattyville, KY 41311 (606) 464-3901 Owsley Prescription Center Highway 11 North PO Box 549 Beattyville, KY 41311 (606) 593-6306 Stufflebean Pharmacy 1031 Grand Avenue Beattyville, KY 41311 (606) 464-3396 Village Apothecary 111 River Drive Beattyville, KY 41311 (606) 464-3656

Plaza Drug 707 North Laurel Road London, KY 40741 (999) 999-9999 DME Supplier

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Kentucky Spirit Health Plan Letcher County Isom Community Pharmacy 93 Isom Plaza Isom, KY 41824 (606) 633-9238 Lincare INC 301 Kentucky Highway 119 N PO Box 1055 Whitesburg, KY 41858 (606) 633-2861 McHc Home Medical 110 Medical Plaza Lane Whitesburg, KY 41858 (606) 632-2800 Medi Home Care 3367 Highway 119 N Mayking Mall Suite C Whitesburg, KY 41858 (606) 633-4800 Medicorp, INC 2354 Highway 15 Whitesburg, KY 41858 (606) 633-4435 Mountain Medical Equipment, INC 1181 Highway 119 North Whitesburg, KY 41858 (606) 632-3553 Powers Pharmacy INC 9448 Highway 805 Suite 1 Jenkins, KY 41537 (606) 832-0042

Logan County Gower Drug Store 328 N Main Street Lewisburg, KY 42256 (270) 755-4831

Resp-Aire INC 432 B Hopkinsville Road Russellville, KY 42276 (270) 726-6188 Riley White Drugs 153 Park Square Nw Russellville, KY 42276 (270) 726-7626 Riley White INC 153 Park Square Nw Russellville, KY 42276 (270) 736-7636

Lyon County Lyon Drug Store, INC. 201 Main Street Eddyville, KY 42038 (270) 388-2236

Madison County All Amercian Oxygen 427 Chestnut Street Berea, KY 40403 (502) 367-4360 Dba Perfectly You Post-Mastectomy 2008 Merchant Drive Richmond, KY 40475 (859) 624-9825 Medi Home Care 2006 Corporate Drive Suite 4 Richmond, KY 40475 (803) 957-0500 Premier Home Care, INC 192 Glades Road Berea, KY 40403 (502) 491-5243 1060 Center Drive Richmond, KY 40475 (859) 623-5028

King Home Care 1405 Nahsville Street Suite A Russellville, KY 42276 (270) 725-9027

Resp-A-Care 956 Commercial Drive Richmond, KY 40475 (859) 632-2202

597 E 4th Street Russellville, KY 42276 (270) 725-9027

Resp-A-Care INC 956 Commercial Drive Richmond, KY 40475 (502) 363-1157

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Magoffin County Blair Medical Supplies 723 Parkway Drive Salyersville, KY 41465 (606) 349-5157 Clinic Pharmacy 789 Parkway Drive Salyersville, KY 41465 (606) 349-1700

Marion County Pat's Pharmacy 498 W Main Street Lebanon, KY 40033 (270) 692-3957

Marshall County At Home Medical 837 US Highway 68 W Suite A Benton, KY 42025 (270) 252-0897 Benton Pharmacy 2602 Main Street Benton, KY 42025 (270) 527-1522

Martin County Fields Medical Supplies 2138 Blacklog Road Inez, KY 41224 (606) 298-3674

Mason County Homeside Healthcare, INC 1315 US 68 Maysville, KY 41056 (606) 563-9400

McCracken County American Home Patient - Paducah 3520 Park Plaza Road Paducah, KY 42001 (270) 443-8727 Corner Homecare-Paducah 546 Lone Oak Road Paducah, KY 42003 (270) 443-3311

Enterprise Medical INC 1115 Hc Mathis Drive Paducah, KY 42001 (800) 988-5097 Hanger Prosthetics & Orthotics INC 4655 Alben Drive Paducah, KY 42001 (270) 554-0100 Holland Medical Services INC 1914 Broadway Street Paducah, KY 42001 (270) 442-6311 Legacy Oxygen & Home Care Equipment 126 Lone Oak Road Paducah, KY 42001 (270) 442-7887 Lincare INC 326-328 Harrison Street Paducah, KY 42001 (270) 443-0957 Marilyn's Medical Freedom INC 4860 Old Mayfield Road Paducah, KY 42003 (270) 534-9713 Medcare Home Medical 2800 Clark Street Suite C Paducah, KY 42001 (270) 655-6151 Not Alone Too Fitting Boutique 220 Tyree Road Paducah, KY 42003 (270) 898-1819 Option Care Ent. INC Dba Walgreens Infusion Servic 3487 Park Avenue Paducah, KY 42001 (270) 534-4244 Orr Medical LLC 3434 Lovelaceville Road Paducah, KY 42001 (270) 554-7311

Pennyrile Home Medical 3551 Park Avenue Suite B Paducah, KY 42001 (370) 575-0550 Pennyrile Home Medical INC 2975 Lone Oak Road Paducah, KY 42003 (270) 554-0830 Rick's Pharmacy 2700 H C Mathis Drive Paducah, KY 42001 (270) 444-2022 3001 Schneidman Road Paducah, KY 42003 (270) 443-7200 Walgreens Infusion Pharmacy 3487 Park Avenue Paducah, KY 42001 (270) 534-4244

McCreary County Bluegrass Oxygen, INC. 25 Medical Lane Whitley City, KY 42653 (606) 376-2455 Daugherty's Drugstore, INC 4160 S Highway 27 Pine Knot, KY 42635 (606) 354-2222

McLean County Poole's Pharmacy Care, INC 311 Henton Street Livermore, KY 42352 (270) 278-5537

Metcalfe County Kentucky Medical Supply INC 102 Castle Ridge Edmonton, KY 42129 (270) 432-0957 Metcalfe Drugs 115 E Stockton Street Edmonton, KY 42129 (270) 432-3051 DME Supplier

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Kentucky Spirit Health Plan Monroe County King Home Care 115 N Main Street Tompkinsville, KY 42167 (270) 487-5127 Monroe Medical Equipment Company LLC 801 North Main Street Tompkinsville, KY 42167 (270) 407-5060

Montgomery County Kenny Orthopedics of Mt. Sterling 250 Foxglove Srive Suite 7 Mount Sterling, KY 40353 (859) 498-1888 Ross Surgical Supply 125 Foxglove Drive Suite 2 Mount Sterling, KY 40353 (859) 498-9711 Wecare Medical LLC 627 Maysville Road Mount Sterling, KY 40353 (859) 499-4220 Whitaker Pharmacare, INC 644 N Maysville Street Suite 2 Mt Sterling, KY 40353 (859) 498-3141

Muhlenberg County Community Oxygen & Medical Equipment, INC 603 West Everly Brothers Central Cty, KY 42330 (270) 754-3187

King Home Care 2227 W Everly Brothers Powderly, KY 42367 (270) 338-7738

Rx Pharmacy INC 500 Morton Boulevard Hazard, KY 41701 (606) 436-2891

Poole's Pharmacy Care, INC 102 West Broad Street Central Cty, KY 42330 (270) 754-1545

Pike County

Ohio County King Drug and Home Care 312 Main Street Hartford, KY 42347 (270) 298-3278 Rice Drugs 1209 N Main Street Beaver Dam, KY 42320 (270) 274-3318 Senior Mobility, INC. 100 N Main Street Hartford, KY 42347 (270) 298-0046

Oldham County Evercare Medical Solutions, INC 2102 Button Lane Suite 104 Lagrange, KY 40031 (502) 222-9222

Advocate Medical Services INC 5157 N Mayo Trail Pikeville, KY 41501 (877) 968-7267 Holland Drug Company 5425 North Mayo Trail Suite 102 Pikeville, KY 41501 (606) 437-0701 Lincare INC 763 Chloe Road Pikeville, KY 41501 (606) 432-0102 Lovejoy Medical INC 1424 S Mayo Trail Pikeville, KY 41501 (606) 437-0608 Medi Home Care 180 Town Mountain Road Suite 114 Pikeville, KY 41501 (606) 437-9992

Owen County

1049 Central Avenue S Williamson, KY 41503 (606) 237-1007

North Park Pharmacy INC 327 N Main Street Owenton, KY 40359 (502) 484-3113

Nichols Apothecary INC 220 Elkhorn Street Elkhorn City, KY 41522 (606) 754-5076

Perry County

Nova Pharmacy 1330 S Mayo Trail Suite 102 Pikeville, KY 41501 (606) 432-2274

Lovejoy Medical INC 110 Corporate Drive Suite 101 Hazard, KY 41701 (606) 436-2683 Medi Home Care 304 Morton Boulevard Suite B Hazard, KY 41701 (606) 436-5546

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Pikeville Med Ctr Home Medical Equipment 1370 S Mayo Trail Pikeville, KY 41501 (606) 218-4570

Pikeville Medical Equipment and Supplies, INC 626 Bypass Road Pikeville, KY 41501 (606) 432-6011 Premier Home Care, INC 404 South Mayo Trail Suite 9 Pikeville, KY 41501 (606) 437-5562 Professional Home Medical Supplies 336 Town Mountain Road Pikeville, KY 41502 (606) 433-0203 Respiratory Plus Healthcare INC. 533 Hambley Suite 3a Pikeville, KY 41501 (606) 437-0207 Saving Grace LLC 300 North Mayo Trail Suite 7 Pikeville, KY 41501 (606) 433-9997

Powell County Powell Prescription Center 4644 Highway 15 West PO Box 610 Clay City, KY 40312 (606) 663-3481 Stanton Drugs, INC 638 East College Avenue Stanton, KY 40380 (606) 663-8990

Pulaski County Bellas 310 Langdon Street Suite 3 Somerset, KY 42503 (606) 678-0033 Blaze Valley Corporation Dba Blaze Valley Medical 974 Piney Grove Road Somerset, KY 42501 (606) 274-0156

Bluegrass Oxygen, INC. 112 Hardin Lane Somerset, KY 42503 (606) 679-2454 Columbia Medical Equipment 216 Poplar Avenue Suite 100 Somerset, KY 42503 (270) 384-5143 Columbia Medical Equipment INC 216 Poplar Avenue Suite 100 Somerset, KY 42503 (606) 676-0505 Hanger Prosthetics & Orthotics INC 143 Bogle Office Park Suite B Somerset, KY 42503 (606) 451-8678 Home Medical Equipment LLC 286 Bogle Street Suite 4 Somerset, KY 42503 (606) 679-4141 Lincare INC 2835 S Highway 27 Suite 360 Somerset, KY 42501 (606) 451-1102 Lovejoy Medical INC 311 Langdon Street Somerset, KY 42503 (606) 677-9797 Professional Medical Supply LLC 342 Bogle Street Suite 1 Somerset, KY 42503 (606) 451-0216 Walgreens Infusion Pharmacy 83 Bogle Office Park Drive Somerset, KY 42503 (606) 676-9916

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Kentucky Spirit Health Plan Rockcastle County Collins Respirtory Care INC 35 W Main Street Brodhead, KY 40409 (606) 758-9333 Main Street Pharmacy 150 Main Street Mount Vernon, KY 40456 (606) 256-0475 Southern Pharmaceutical Corporation 75 Newcomb Avenue Mount Vernon, KY 40456 (606) 256-0814

Rowan County Lincare INC 1019 West Main Street Suite 3 Morehead, KY 40351 (606) 780-0002 Morehead Clinic Pharmacy 234 Medical Circle Morehead, KY 40351 (606) 784-6696 Spurlock Spine Centre 1350 Flemingsburg Road Morehead, KY 40351 (606) 784-1115 St Claire Home Medical Equipment 244 Kroger Center Morehead, KY 40351 (606) 784-6747

Russell County Columbia Medical Equipment 92 J T Petty Drive Suite 700 Russell Spgs, KY 42642 (678) 243-1800

Columbia Medical Equipment INC 92 Joe T Petty Drive Russell Spgs, KY 42642 (270) 866-6994 Grider Drug LLC 2431 B Lakeway Drive Russell Spgs, KY 42642 (270) 866-7541

Taylor County

Warren County

American Mobility Products INC 124 Old US 68 Campbellsvlle, KY 42718 (270) 469-1391

American Home Patient - Bowling Green 2475 Scottsville Road Suite 105 Bowling Green, KY 42104 (270) 781-8167

Jamestown Pharmacy 1417 N Main Street Suite A Jamestown, KY 42629 (270) 343-4443

Columbia Medical Equipment 111 Wildflower Lane Suite B Campbellsvlle, KY 42718 (270) 465-0695

Russell Springs Pharmacy 92 Joe T Pettey Drive Russell Springs, KY 42642 (270) 866-2778

Diabetic Dme Supplies LLC 1306 East Broadway Campbellsvlle, KY 42718 (270) 789-9869

Scott County Central Kentucky Orthopaedics Plc 101 Windsor Path Georgetown, KY 40324 (502) 868-6106

James Medical Equipment Ltd. 1545 Campbellsville Bypas Campbellsvlle, KY 42718 (270) 384-1141

J & L Home Medical Equipement 705 S Broadway Street Georgetown, KY 40324 (502) 863-6774

950 Campbellsville Bypass Campbellsvlle, KY 42718 (270) 465-8220

Shelby County

Mobile Prosthetics of Kentucky 610 W Main Street Suite E Campbellsvlle, KY 42718 (270) 465-8522

Pediatric Products, LLC 1016 Mount Vernon Drive Suite 1 Shelbyville, KY 40065 (502) 633-2006

Simpson County Franklin Simpson Home Care 133 Memorial Drive Franklin, KY 42134 (270) 598-8205

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Trigg County Pennyrile Home Medical 307 E Main Street Cadiz, KY 42211 (270) 522-8002

Union County Clements Drug 225 N Morgan Street Morganfield, KY 42437 (270) 389-2440

Apria Healthcare INC 1051 Bryant Way Suite 207 Bowling Green, KY 42103 (270) 781-2787 Crts INC Dba Home Oxygen Medical Equipment 901 Lehman Avenue Bowling Green, KY 42101 (270) 843-4901 4863 Scottsville Road Bowling Green, KY 42104 (270) 843-4901 First Choice Home Medical 1945 Scottsville Road Bowling Green, KY 42102 (270) 393-9393 First Step Prosthetics LLC 1136 US 31w Bypass Bowling Green, KY 42101 (270) 904-6130 Hanger Prosthetics and Orthotics East INC 1810 Destiny Lane Bowling Green, KY 42104 (270) 781-7418 Houchens Express Pharmacy LLC Dba Sheldons Express 760 Campbell Lane Bowling Green, KY 42104 (270) 782-6337

Houchens Express Pharmacy, LLC Dba Sheldons Expres 843 Fairview Avenue Bowling Green, KY 42101 (270) 842-4515 760 Campbell Lane Suite 121 Bowling Green, KY 42104 (270) 782-6337 King Home Care 1203 Ashley Circle Bowling Green, KY 42104 (270) 843-8111 Lincare INC 111 Vanderbilt Court Unit A Bowling Green, KY 42103 (270) 793-9611 Medequip 825 2nd Avenue E Suite A2 Bowling Green, KY 42101 (270) 780-2655 Medicine Arts Pharmacy LLC 818 US 31 W Bypass Bowling Green, KY 42101 (270) 843-3202 Priority One Medical 330 US 31 W Bypass Suite 401 Bowling Green, KY 42101 (270) 746-5745 Riley White INC Dba Clinic Pharmacy 201 Park Street Bowling Green, KY 42101 (270) 781-3095 R-W Vital Care Ii 201 Park Street Bowling Green, KY 42101 (270) 781-3095 DME Supplier

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Kentucky Spirit Health Plan Tomorrow's Woman 2362 Russellville Road Bowling Green, KY 42101 (270) 781-5171

Lovejoy Medical INC 1707 Cumberland Falls Highway Suite Unit 8 Corbin, KY 40701 (606) 523-9777

United Seating and Mobility, LLC. 1017 Shive Lane Suite E Bowling Green, KY 42103 (270) 904-4937

Medi Home Care 1603 S Main Street Corbin, KY 40701 (678) 243-1800

Wayne County James Medical Equipment Ltd. 1215 North Main Street Suite 1 Monticello, KY 42633 (606) 340-8138

Webster County Thrifty Home Medical 116 Wallace Street Providence, KY 42450 (270) 667-0940

Whitley County Cloud Medical Supply 208 N Main Street Corbin, KY 40701 (606) 258-8600 Creech & Gibbs Pharmacy 13369 N US Highway 25e Corbin, KY 40701 (606) 523-1911 Drive In Pharmacy INC 688 S Highway 25 W Williamsburg, KY 40769 (606) 549-0888 Falls Road Pharmacy 40 Moonbow Plaza Corbin, KY 40701 (606) 258-0000 Hanger Prosthetics and Orthotics East INC 900 South Kentucky Street Corbin, KY 40701 (606) 528-7150

Advanced Home Medical 1727 Floradale Avenue South El Monte, CA 91733 (626) 453-0900 312 Paseo Tesoro Walnut, CA 91789 (909) 444-2991

688 S Highway 25 W Suite 4 Williamsburg, KY 40769 (606) 549-1776

Djo LLC 1430 Decision Street Vista, CA 92081 (800) 328-2536

Savrite Homecare INC 1275 Master Street Corbin, KY 40701 (606) 528-2515

Pacific Pulmonary Services 88 Roland Way Suite 300 Novato, CA 94945 (661) 396-3720

Southeastern Medical Supply INC 116 E Center Street Corbin, KY 40701 (606) 258-0001

Wolfe County Campton Discount Drugs 33 Main Street Suite 2 Campton, KY 41301 (606) 668-3153 Wolfe Prescription Center 237 Mountain Pwky Spur PO Box 249 Campton, KY 41301 (606) 668-3900

Arizona Discount Diabetic, LLC 15255 N 40th Street Phoenix, AZ 85032 (800) 714-0490

Arkansas Comprehensive Decubitus Therapy 7003 Valley Ranch Drive Little Rock, AR 72223 (501) 217-9900

California

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Connecticut Atg Connecticut INC 65 Inwood Road Suite 102 Rocky Hill, CT 6067 (860) 761-0700

Florida Allmed Discount Supply INC 6800 E Rogers Circle Boca Raton, FL 33487 (561) 999-3838 Carefree Health Service, INC 115 Avenue L Delray Beach, FL 33483 (800) 266-9910 Comfort Medical Supply LLC 615 S Yonge Street Ormond Beach, FL 32174 (386) 573-8902 Hoveround Corporation1 2151 Whitfield Industrial Sarasota, FL 34243 (800) 701-5781

Total E-Medical INC 3111 Sw 10th Street Pompano Beach, FL 33069 (877) 750-5252 United States Medical Supply INC 8260 Nw 27 Street 401 Miami, FL 33122 (800) 787-6331

Georgia Proline Medical Consultants, INC 102 White Park Drive Unit 300a Dallas, GA 30132 (770) 505-9133 Uromed INC 7340 McGinnis Ferry Road Suwanee, GA 30024 (770) 232-5900

Illinois

Indiana Ace Medical Supply, INC 6155 Stoney Creek Drive Fort Wayne, IN 46825 (260) 483-3516 Admiral Medical Supply INC 8415 E 56th Street Suite B Indianapolis, IN 46216 (317) 452-8283 Bioscrip Pharmacy 9002 North Meridian Suite 213 Indianapolis, IN 46260 (317) 926-7828 Cork Medical LLC 8444 Castlewood Drive Suite 500 Indianapolis, IN 46250 (317) 849-2675

Accent Health Care 552 W Orange Street Hoopeston, IL 60942 (217) 283-4090

Indiana Sleep and Respiratory Care, INC 635 Green Road Madison, IN 47250 (812) 273-2201

Djo LLC 3434 Solutions Center Chicago, IL 60677 (888) 888-8888

Lincare INC 3020 N Shun Pike Madison, IN 47250 (812) 265-4377

Medline Industries INC 1 Medline Place Mundelein, IL 60060 (866) 356-1997

Medi Home Care 313 Federal Drive Nw Suite 030 Corydon, IN 47112 (812) 738-3097

Medsource LLC 3002 Gill Street Bloomington, IL 61704 (209) 664-7930 National Wound Care LLC 2906 W Clark Road Champaign, IL 61822 (217) 355-2680 Thrifty Home Medical-Olney, Il 226 E Main Olney, IL 62450 (618) 395-4505

107 Highway 66 East Tell City, IN 47586 (812) 547-5846 Orbit Medical of Indiana, INC. 9402 Uptown Drive Suite 800 Indianapolis, IN 46256 (317) 813-0205 Rotherts Hospital Equipment INC 103 Barnes Road Suite I La Fayette, IN 47903 (859) 824-0004 DME Supplier

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Kentucky Spirit Health Plan Louisiana United Medical Providers INC 4826 Magazine Street New Orleans, LA 70115 (504) 520-8372

Minnesota Empi INC 599 Cardigan Road Saint Paul, MN 55126 (800) 328-2536 Respiratory Technologies INC 2896 Centre Pointe Drive Saint Paul, MN 55113 (578) 243-1800

Mississippi Lifeline Diabetic 201 3rd Avenue North Suite 1 Amory, MS 38821 (866) 558-8557 Rx Delivery Now LLC 700 Highway 90 Suite B2 Waveland, MS 39576 (228) 467-7755

Missouri Diabetic Experts of Amer 10800 North Congress Avenue Suite C Kansas City, MO 64153 (816) 801-7500 Foundation Care LLC 4010 Wedgeway Court Earth City, MO 63045 (877) 291-1122 Lincare INC 10800 N Congress Avenue Suite A Kansas City, MO 64153 (816) 801-7400 St Louis Medical 1664 Larkin Williams Drive Fenton, MO 63026 (314) 821-7355

Therapeutic Specialties INC 14374 S Outer 40 Road Chesterfield, MO 63017 (314) 291-9900 United Seating and Mobility LLC 13300 Lakefront Drive Earth City, MO 63045 (314) 699-9500

New Jersey Ebi LLC* 100 Interpace Parkway Parsippany, NJ 7054 (800) 526-5279 Us Healthcare Supply LLC 14 Bridge Street Milford, NJ 8848 (800) 408-1480

North Carolina Aeroflow Healthcare 3165 Sweeten Creek Road Asheville, NC 28803 (828) 277-1400 Prism Medical Products, LLC 112 Church Street Suite 101 Elkin, NC 28621 (888) 244-6421 Wilmington Medical Supply 2309 S 17th Street Wilmington, NC 28401 (910) 392-5553

Ohio A 1 Medical Equipment INC 6749 Gilmore Road Suite B Hamilton, OH 45011 (513) 887-1200 Ablecare Medical 7798 Reading Road Cincinnati, OH 45237 (513) 761-2273

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Amerimed, INC. 9031 Meridian Way West Chester, OH 45069 (513) 942-3670 9961 Cincinnati-Dayton Road West Chester, OH 45069 (813) 942-3670 Apria Healthcare INC 2327 Crowne Point Drive Sharonville, OH 45241 (513) 772-1907 Bioscrip Pharmacy Services 2787 Charter Street Columbus, OH 43228 (877) 842-5097 Bluegrass Oxygen, INC. 344 Gest Street Suite E Cincinnati, OH 45203 (513) 221-0202 Care Medical INC 8340 Reading Road Cincinnati, OH 45237 (513) 821-7272 Cincinnati Childrens Hosp Dme 615 Elsinore Place Cincinnati, OH 45202 (513) 636-4225 Cornerstone Medical Services Midwest LLC 4460 W Lake Forest Drive Suite 232 Blue Ash, OH 45242 (513) 554-0222 Edgepark Medical Supplies 1810 Summit Commerce Park Twinsburg, OH 44087 (800) 321-0591 Infusion Partners 4623 Westley Avenue Suite H Cincinnati, OH 45212 (513) 396-6060

Kempf Surgical Appliances INC 10567 Mongomery Road Cincinnati, OH 45242 (513) 984-5758 Leading Respiratory Services INC Peebles 75 S Main Street Peebles, OH 45660 (937) 587-3384 Lincare INC Ky 1107 Gallia Street Portsmouth, OH 45662 (740) 351-0200 M E D Supplies, INC 4005 Bach Buxton Road Amelia, OH 45102 (513) 965-0999 Mlk Associates INC. 3622 Vineyard Ridge Cincinnati, OH 45241 (513) 742-9698 Orbit Medical of Cincinnati, INC 350 Gest Street Cincinnati, OH 45203 (317) 813-0205 Pro2 Respiratory Services 5800 Creek Road Cincinnati, OH 45242 (513) 469-7702 Responsive Home Health Care INC 603 A Broolyn Avenue Milford, OH 45150 (513) 965-8511 Rocco Prosthetic Orthotic Center INC 2375 Florence Avenue Cincinnati, OH 45206 (513) 281-2800

Oklahoma 180 Medical INC 5324 West Reno Suite A Oklahoma City, OK 73127 (877) 688-2729

Kelley Medical Equipment & Supply 117 Market Square Durant, OK 74701 (580) 920-2300

Pennsylvania Cashflow Solutions, INC 9 La Crue Street Suite 2 Glen Mills, PA 19342 (800) 734-0422 National Rehab Equipment INC. 540 Lindbergh Drive Moon Twp, PA 15108 (800) 451-6510

South Carolina Langley Drug Company 2820 Augusta Road Langley, SC 29834 (877) 645-3506

Tennessee A Step Ahead 718 Thompson Lane 115 Nashville, TN 37204 (615) 383-0048 Air Affiliates INC 290 N Main Street Jellico, TN 37762 (423) 784-0988 American Oxygen Home Care 2687 Highway 25 East Tazewell, TN 37879 (423) 526-0670 Care 1st Medical Solutions, INC 2600 Walker Road Suite 130 Chattanooga, TN 37421 (866) 440-1350 Choice Medical INC 400 Erin Drive Knoxville, TN 37919 (865) 588-1643

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Kentucky Spirit Health Plan Clarksville Limb & Brace 1816 Memorial Circle Clarksville, TN 37043 (931) 648-2155 Cook's Orthopedics INC - Nashville 1807 B Church Street Nashville, TN 37203 (615) 327-2505 Cutter Cares LLC 953 Main Street Suite 108 Nashville, TN 37206 (615) 262-1123 Family Respiratory Services 411 Blue Top Road Suite 3 Tazewell, TN 37879 (423) 626-6451 Holland Medical Equipment INC 947 Woodland Street Nashville, TN 37206 (615) 650-8000 Infusion Partners 1410 Donelson Pike Suite B 10 Nashville, TN 37217 (615) 846-0381 Infusion Partners Dba Speci 220 E College Street E Suite D Fayetteville, TN 37334 (877) 438-1614 Lincare INC 1330 College Street Suite U Clarksville, TN 37040 (931) 647-8602 30 Crossland Avenue Suite 201 Clarksville, TN 37040 (931) 648-2331 219 North Avenue Suite 101 La Follette, TN 37766 (423) 562-7999

740 Freeland Station Road Nashville, TN 37228 (615) 244-0140

Orthofix, INC. 3451 Plano Parkway Lewisville, TX 75056 (214) 937-2054

All Med LLC-Logan 211 Cole Street Logan, WV 25601 (866) 752-2809

230 Memorial Drive Paris, TN 38242 (731) 641-0213

Virginia

All Med LLC-Princeton 116 Morrison Drive Princeton, WV 24740 (877) 425-0775

Linde-Rss, LLC 104b West Court Square Livingston, TN 38570 (931) 823-3702 Medical Direct Club LLC 521 8th Avenue South Suite 204 Nashville, TN 37203 (800) 945-0066 Medical Electro-Therapeutics INC 912 Twin Elms Court Nashville, TN 37210 (615) 742-3984 Medical Mobility INC 316 Blue Bird Drive Goodlettsvlle, TN 37072 (615) 851-1400

Care Point Medical 4860 Cox Road Suite 300 Glen Allen, VA 23060 (804) 747-8900 Medi Home Care 17447 Riverside Drive Vansant, VA 24656 (276) 935-8873

Washington Cascade Prosthetics and Orthotics, INC 1360 Sunset City Avenue Ferndale, WA 98248 (800) 848-7332 Rs Medical 14001 Se First Street Vancouver, WA 98687 (800) 683-0353

West Virginia

Southern Orthocare 2102 E Andrew Johnson H Morristown, TN 37814 (423) 307-1890

All Med LLC-Beckley 1107 Johnstown Road Beckley, WV 25801 (877) 567-0775

Theratech INC 1109 Myatt Boulevard Madison, TN 37115 (615) 865-4000

All Med LLC-Bridgeport Route 2 Box 27 Bridgeport, WV 26330 (888) 325-0775

Weaver Mobility 116 Concord Road Knoxville, TN 37934 (865) 777-6888 Wound Care Resources 4 Newbern Highway Suite A Yorkville, TN 38389 (731) 643-6660

Texas

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

All Med LLC-Charleston 406 New Goff Mountain Road Charleston, WV 25313 (866) 721-0775 All Med LLC-Huntington 410 7th Avenue Huntington, WV 25702 (866) 525-0775

All Med LLC-Summersville 602 Appalachian Drive Summersville, WV 26651 (304) 872-0771 The Brace Shoppe INC 4535 US Route 60 E Huntington, WV 25705 (304) 733-2245

EPSDT Special Services Kentucky Washington County Personal Family Care PLLC 79 Bobolink Drive Springfield, KY 40069 (859) 336-3365

Health Departments Kentucky Allen County Allen County Health Department 207 East Locust Street Scottsville, KY 42164 (270) 237-4423 Allen County Intermediate Center 720 Oliver Street Scottsville, KY 42164 (270) 237-4423 Allen County Primary Center 721 New Gallatin Road Scottsville, KY 42164 (270) 237-4423

Allen County Scottville High School 1545 Bowling Green Road Scottsville, KY 42164 (270) 237-4423

Anderson County Turner Elementary School Highway 62 Fox Creek Road Lawrenceburg, KY 40342 (502) 839-4551

Boyd County Hatcher Elementary School 1820 Hickman Street Ashland, KY 41101 (606) 327-2732

Clark County Central Elementary 330 Mount Sterling Road Winchester, KY 40391 (859) 744-4482 Clark Middle 1 Educational Plaza Winchester, KY 40391 (859) 744-4482 Conkwright Middle School 360 Mount Sterling Road Winchester, KY 40391 (859) 744-4482 George Rogers Clark High School 620 Boone Avenue Winchester, KY 40391 (859) 744-6111

Crittenden County Crittenden County Elementary Star Clinic 120 Autumn Lane Marion, KY 42064 (270) 965-5215

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Kentucky Spirit Health Plan Elliott County Elliott County School Clinic Main Street Sandy Hook, KY 41171 (606) 738-8470

Estill County Estill Springs Elementary 314 Main Street Irvine, KY 40336 (606) 723-5181 South Irvine Elementary 100 S Irvine Road Irvine, KY 40336 (606) 723-5181 West Irvine Elementary 155 River View Road Irvine, KY 40336 (606) 723-5181

Fayette County

Liberty Elementary 2585 Liberty Road Lexington, KY 40509 (859) 288-2311 Project Aim and Rebound 710 East Main Street Lexington, KY 40502 (859) 381-4100 Sandersville Elementary 3025 Sandersville Road Lexington, KY 40511 (859) 288-2311 Tates Creek Middle School 1105 Centre Parkway Lexington, KY 40517 (859) 381-3052 Winburn Middle School 1060 Winburn Drive Lexington, KY 40507 (606) 252-2371

Ashland Elementary 195 N Ashland Avenue Lexington, KY 40502 (859) 288-2311

Yates Elementary 695 E New Circle Road Lexington, KY 40505 (859) 381-3613

Athens Chilesburg Elementary 930 Jouette Creek Drive Lexington, KY 40509 (859) 381-4955

Lincoln County

Beaumont Middle School 2080 Georgian Way Lexington, KY 40504 (859) 381-3094 Deep Springs Elementary 1919 Brynell Drive Lexington, KY 40505 (859) 381-3069 Lafayette High 401 Reed Lane Lexington, KY 40503 (859) 381-3474

Lincoln County High School Health Office 60 Education Way Stanford, KY 40484 (606) 365-9111

Livingston County North Livingston County Mid-Elem Cardinal Clinic 1370 US 60 East Burna, KY 42028 (270) 988-2394

Madison County Kit Carson Elementary School - Madison 450 Tates Creek Road Richmond, KY 40475 (859) 624-4525

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Perry County Buckhorn Elementary School - Perry County 18392 KY Highway 28 Buckhorn, KY 41721 (606) 439-2361

Pike County Pike County H D Belfry 25320 US Highway 119 N Belfry, KY 41514 (606) 353-7210

Personal Touch Home Care of KY INC 705 Wright Drive Columbia, KY 42728 (270) 384-6800

Allen County Lifeline Home Health Care of Bowling Green, LLC 353 Old Gallatin Road Scottsville, KY 42164 (270) 237-3352

Barren County

Boyle County Amedisys Home Health 104 Smoky Way Suite 200 Danville, KY 40422 (859) 236-4381 Amedisys Home Health of Kentucky 2670 Chancellor Drive Suite 200 Danville, KY 40422 (859) 441-7999 Caretenders Vs of Central KY LLC 116 East Main Street Suite 4 Danville, KY 40422 (859) 236-8956

Pike County Health Department 119 River Drive Pikeville, KY 41501 (606) 437-5500

Amedisys Home Health 1216c North Race Street Glasgow, KY 42141 (270) 651-7640

Simpson County

Bell County

Franklin Simpson Middle 322 South College Street Franklin, KY 42134 (270) 586-4401

Amedisys Home Health Care 123 N 19th Street Suite 5 Middlesboro, KY 40965 (606) 248-1062

Gentiva Certified Healthcare Corp Dba Gentiva Heal 105 Citation Drive Suite B Danville, KY 40422 (859) 236-2193

Pineville Comm Hosp HHA 121 Virginia Avenue Pineville, KY 40977 (606) 377-7205

McDowell Home Health Agency 131 Daniel Drive Danville, KY 40422 (859) 236-8946

Boone County

Breathitt County

St Elizabeth Anc Home Care 7627 Ewing Boulevard Florence, KY 41042 (859) 283-1500

Breathitt County Home Health Agency 955 Highway 30 West Jackson, KY 41339 (606) 666-8052

Bourbon County

Breckinridge County

Whitley County Lynn Camo High School 100 North KY 830 Corbin, KY 40701 (606) 456-3486

Home Health Kentucky Adair County Amedisys Home Health 937 Campbellsville Road Suite 903 Columbia, KY 42728 (270) 384-6411 Intrepid Usa Healthcare Services 220 Office Park Drive Columbia, KY 42728 (270) 384-6413

Amedisys Home Health 2022 Alverson Drive Paris, KY 40361 (859) 987-4559

Breckinridge Home Health Agency 1011 Old Highway 60 Hardinsburg, KY 40143 (270) 756-2662

Boyd County Amedisys Home Health 1212 Bath Avenue Suite 306 Ashland, KY 41101 (606) 324-2491 Health Departments

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Kentucky Spirit Health Plan Bullitt County Amedisys Home Health Care 1707 Cedar Grove Road Suite 9 Shepherdsvlle, KY 40165 (502) 543-2371 Caretenders Vs of Louisvile, LLC 1553 Highway 44 East Suite 1 Shepherdsvlle, KY 40165 (502) 543-2433

Butler County Lifeline Home Health Care of Bowling Green, LLC 101 Ashley Plaza Circle Morgantown, KY 42261 (270) 526-3495

Calloway County Home Health Plus, INC 1900 N 12th Street Suite G Murray, KY 42071 (859) 219-3940 Intrepid Usa Healthcare Services 1616 Highway 121 N Suite C Murray, KY 42071 (270) 753-1434

Campbell County Personal Touch Home Care of Kentucky, INC 20 North Grand Road Fort Thomas, KY 41075 (859) 441-0200 Personal Touch Home Care of KY INC 118 South Main Street Fort Thomas, KY 41075 (859) 824-7168 20 North Grand Avenue Fort Thomas, KY 41075 (859) 441-0200

Visiting Nurse Association of Greater Cincinnati & 601 Washington Avenue Newport, KY 41071 (999) 999-9999

Casey County

Clinton County Amedisys Home Health 124 Foothills Avenue Static, KY 42602 (606) 387-6661

Amedisys Home Health 84 Hustonville Street Liberty, KY 42539 (606) 787-8066

Intrepid Usa Healthcare Services 723 Burkesville Road Suite 110 Albany, KY 42602 (606) 387-6954

Lifeline Homecare of Somerset, LLC 394 North Wallace Liberty, KY 42539 (606) 787-0007

Lifeline Homecare of Somerset, LLC 96 Foothills Avenue Albany, KY 42602 (606) 387-8131

Christian County

Crittenden County

Gentiva Certified Healthcare Corp Dba Gentiva Heal 540 Noel Avenue Hopkinsville, KY 42240 (270) 885-7887

Marion Home Health Agency Highway 60 W Marion, KY 42064 (270) 965-2550

Clark County Clark County Health Agency 273 Shoppers Drive Winchester, KY 40391 (859) 744-1488

Clay County Cumberland Valley District Home Health 470 Manchester Square Shopping Center Manchester, KY 40962 (606) 598-5564 472 Manchester Square Suite 200 Manchester, KY 40962 (606) 598-5564 Memorial Home Health 250 Richmond Road Manchester, KY 40962 (606) 598-1969

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Cumberland County Amedisys Home Health 360 Keen Street Suite 400 Burkesville, KY 42717 (270) 864-4196 Lifeline Homecare of Somerset, LLC 349 Keen Street Burkesville, KY 42717 (270) 864-3348

Daviess County Amedisys Home Health 2200 East Parrish Avenue Building C Suite Ll 105 Owensboro, KY 42303 (270) 852-4811 Caretenders Vs of Western KY, LLC 5000 Back Square Drive D Owensboro, KY 42301 (270) 685-3876

Community Health Services INC 726 Harvard Drive Owensboro, KY 42301 (270) 685-4663 Green River District Home Health 1600 Breackenridge Street Owensboro, KY 42303 (270) 686-7747 Lifeline Home Health Care of Bowling Green, LLC 810 Princeton Parkway Suite A Owensboro, KY 42301 (270) 685-5764 Owensboro Medical Health Systems HHA 2211 Mayfair Drive Owensboro, KY 42301 (502) 688-2182

Community Health Services INC 1635a Triplett Street Suite 605 Lexington, KY 40503 (270) 685-4663 Gentiva Certified Healthcare Corp Dba Gentiva Heal 2020 Liberty Road Suite 115 Lexington, KY 40505 (859) 252-4206 Lifeline Home Health Care of Lexington, LLC 161 N Eagle Creek Drive Suite 200 Lexington, KY 40509 (859) 272-9787

Fayette County

Nurses Registry and Home Health 101 Venture Court Suite 1a Lexington, KY 40511 (606) 255-4411

Amedisys Home Health Care Services 230 Lexington Green Circle Suite 100 Lexington, KY 40503 (859) 271-0611

St Joseph Anc Home Care 2464 Fortune Drive Suite 11 Lexington, KY 40509 (859) 277-5111

Cardinal Hill Home Care 2050 Versailles Road Lexington, KY 40504 (859) 254-5701 Caretenders Vs of Central KY LLC 2432 Regency Road Suite 150 Lexington, KY 40503 (859) 276-5369 Central Baptist Hosp HHA 1740 Nicholasville Road Lexington, KY 40503 (859) 260-6100

Floyd County Highlands Home Health INC 188 Collins Circle Drive Prestonsburg, KY 41653 (606) 889-9967

Franklin County Caretenders Vs of Central KY LLC 101 Medical Heights Drive Suite O Frankfort, KY 40601 (502) 226-3537

Fulton County Lifeline Home Care of Fulton 424 Lake Street Fulton, KY 42041 (270) 472-2294

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Kentucky Spirit Health Plan Regional Home Care Parkway 2002 Holiday Lane Suite 600 Fulton, KY 42041 (270) 472-0070

Intrepid Usa Healthcare Services 2411 Ring Road Suite 106 E Town, KY 42701 (270) 763-9242

Graves County

Lifeline Home Health Care of Bowling Green, LLC 2600 Ring Road Elizabethtown, KY 42701 (270) 766-1353

Intrepid Usa Healthcare Services 1025 Paducah Road Mayfield, KY 42066 (270) 251-0972 Stone's Vital Care 414 S 9th Mayfield, KY 42066 (270) 247-3232

Grayson County Intrepid Usa Healthcare Services 1609 Elizabeth Road Leitchfield, KY 42754 (270) 259-2994 Twin Lakes Home Health Agency, LLC 810 Wallace Avenue Leitchfield, KY 42754 (270) 230-0272

Green County Amedisys Home Health 102 South Main Street Greensburg, KY 42743 (270) 932-7791 Lifeline Homecare of Somerset, LLC 702 Columbia Highway Greensburg, KY 42743 (270) 932-7813

Hardin County Caretenders Vs of Lincoln Trail, LLC 1105 Juliana Court Suite 3 Elizabethtown, KY 42701 (270) 234-2273

Lincoln Trail Home Health Agency 108 New Glendale Road PO Box 2609 Elizabethtown, KY 42702 (270) 769-2562

Hart County

Hopkins County

Johnson County

Caretenders Vs of Western KY, LLC 325 East Center Street Madisonville, KY 42431 (270) 326-5222

Johnson Magoffin Home Health Agency 630 James Trimble Boulevard Paintsville, KY 41240 (606) 789-2596

Regional Medical Center Home Health Agency 435 N Kentucky Avenue Madisonville, KY 42431 (502) 825-5237

Jefferson County Amedisys Home Health Care 13101 Magisterial Drive Suite 101 Louisville, KY 40223 (502) 244-5441

Amedisys Home Health 729 South Dixie Street Horse Cave, KY 42749 (270) 786-1395

Baptist Hospital East Home Health Agency 6420 Dutchmans Parkway Suite 360 Louisville, KY 40205 (502) 454-5650

Lifeline Home Health Care of Bowling Green, LLC 200 Interstate Plaza Munfordville, KY 42765 (270) 524-0744

Caretenders Vs of Louisvile, LLC 1169 Eastern Parkway 3323 Louisville, KY 40217 (502) 855-4400

Henderson County Caretenders Vs of Western KY, LLC 1630 Second Street Henderson, KY 42420 (270) 827-3005 Intrepid Usa Healthcare Srvcs 201 Klutey Park Plaza Henderson, KY 42420 (270) 827-4842 Kentucky Homecare of Henderson, LLC 110 2nd Street Henderson, KY 42420 (270) 869-1997

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

4545 Bishop Lane Suite 200 Louisville, KY 40218 (502) 238-5150 9702 Stonestreet Road Louisville, KY 40272 (502) 933-2785 Gentiva Certified Healthcare Corp Dba Gentiva Heal 710 Executive Park Louisville, KY 40207 (502) 895-4213

Kenton County Gentiva Certified Healthcare Corp Dba Gentiva Heal 2114 Chamber Center Drive Fort Mitchell, KY 41017 (859) 331-5800 Interim Healthcare of Northern Ky 3005 Dixie Highway Suite 130 Edgewood, KY 41017 (859) 578-9191

Knox County Knox County Home Health Agency 261 Hospital Drive Barbourville, KY 40906 (606) 546-5919

Laurel County Professional Home Health 4934 South Laurel Road London, KY 40744 (606) 523-0432

Lawrence County Three Rivers Home Care 505 West Madison Street Louisa, KY 41230 (999) 999-9999

Lincoln County Gentiva Certified Healthcare Corp Dba Gentiva Heal 132 Frontier Boulevard Suite 106 Stanford, KY 40484 (606) 365-4944

Lifeline Homecare of Somerset, LLC 107 Metker Trail Suite B Stanford, KY 40484 (606) 365-9223

Livingston County Livingston Hospital and Healthcare Services 131 Hospital Drive Salem, KY 42078 (270) 988-2299

Logan County Lifeline Home Health Care of Russellville, LLC 60 Shelton Lane Russellville, KY 42276 (270) 726-2408

Madison County Amedisys Home Health 370 Highland Park Drive Suite 3 Richmond, KY 40475 (859) 625-1966 Caretenders Vs of Central KY LLC 5008 Atwood Drive Suite 1 Richmond, KY 40475 (859) 625-9874 Mepco Home Health Agency 216 Boggs Lane Richmond, KY 40475 (859) 626-4509

Magoffin County Johnson Magoffin Home Health Agency 282 West Maple Street Salyersville, KY 41465 (606) 789-2596

Marion County Intrepid Usa Healthcare Services 259 West Walnut Street Lebanon, KY 40033 (270) 692-0550 Home Health

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Kentucky Spirit Health Plan Three Rivers Disrtict Health Department 510 South Main Street Owenton, KY 40359 (502) 484-3412

Option Care Ent. INC Dba Walgreens Infusion Svcs-S 83 Bogle Office Park Drive Somerset, KY 42503 (606) 676-9916

Gentiva Certified Healthcare Corp Dba Gentiva Heal 140 Stonecrest Road Suite 203 Shelbyville, KY 40065 (502) 647-1025

Perry County

Rockcastle County

Simpson County

Kentucky River Health Dept HHA 441 Gorman Hollow Road Walkertown, KY 41701 (606) 439-2361

Lifeline Rockcastle Home Health LLC 145 Lewis Street Mount Vernon, KY 40456 (800) 489-1307

Lifeline Home Health Care of Bowling Green, LLC 1004 Brookhaven Drive Franklin, KY 42134 (270) 586-0141

Pike County

Rowan County

Taylor County

Home Care Health Services INC 1414 South Mayo Trail Pikeville, KY 41501 (606) 432-2111

St Claire Homecare 135 N Hargis Morehead, KY 40351 (606) 783-8403

Amedisys Home Health 175 West Bear Track Road Campbellsvlle, KY 42718 (270) 465-4978

Marshall County

Monroe County

Owen County

Intrepid Usa Healthcare Services 315 West 5th Street Suite C Benton, KY 42025 (270) 527-3144

Monroe County Med Ctr Home Health 529 Capp Harlan Road Tompkinsville, KY 42167 (270) 487-9231

Lhcg Xxiii, LLC 501 George McClain Drive Benton, KY 42025 (270) 527-8084

Montgomery County

Martin County Martin County Home Health 1054 E Main Street Route 40 East Inez, KY 41224 (606) 298-7748

Mason County Hayswood Health Services, INC 1 West McDonald Parkway Suite 3c Maysville, KY 41056 (606) 564-9481 Personal Touch Home Care of KY INC 124 Market Street Maysville, KY 41056 (606) 564-8921

McCracken County Lourdes Homecare 2855 Jackson Street Suite 5 Paducah, KY 42002 (270) 444-2262

McCreary County Lifeline Homecare of Somerset, LLC 560 Medical Lane Whitley City, KY 42653 (606) 376-5400

Meade County Caretenders Vs of Lincoln Trail, LLC 1270 Old Ekron Road C Brandenburg, KY 40108 (270) 422-1271

Amedisys Home Health Care Services 101 Bruce Professional Pz Mount Sterling, KY 40353 (859) 498-5199

Nelson County Caretenders Vs of Lincoln Trail, LLC 935a Chambers Boulevard Bardstown, KY 40004 (502) 849-0050 Intrepid Usa Healthcare Services 700 Portland Avenue Suite C Bardstown, KY 40004 (502) 349-1944

Ohio County Caretenders Vs of Western KY, LLC 112 East McMurty Avenue 2 Hartford, KY 42347 (270) 298-0066 Pro-Care Home Health - Ohio County 122 W Union Street Hartford, KY 42347 (270) 298-3112

Oldham County Caretenders Vs of Louisvile, LLC 2206 Commerce Parkway Suite A Lagrange, KY 40031 (502) 225-5838

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Pikeville Med Ctr Home Health Agency 1370 S Mayo Trail Pikeville, KY 41501 (606) 218-4570

Pulaski County Amedisys Home Health 40 Turpen Court Suite B Somerset, KY 42503 (606) 679-8555 Intrepid Usa Healthcare Services 1406 S Highway 27 Suite B Somerset, KY 42501 (606) 679-7439 110 Hardin Lane Suite 4 Somerset, KY 42503 (606) 679-7439 Lifeline Homecare of Somerset, LLC 600 Half Clifty Street Suite 2 And 3 Somerset, KY 42503 (606) 679-9245

Russell County Lifeline Homecare of Somerset, LLC 124 Dowell Road Medical Arts Building Suite 105 Russell Spgs, KY 42642 (270) 866-4100

Lifeline Homecare of Somerset, LLC 200 Nancy Cox Drive Campbellsvlle, KY 42718 (270) 465-2266

Scott County

Union County

Amedisys Home Health 201 Champion Way Suite 2 Georgetown, KY 40324 (502) 867-7422

Intrepid Usa Healthcare Srvcs 1381 US Highway 60 West Morganfield, KY 42437 (270) 389-4551

Shelby County

Warren County

Amedisys Home Health 77 Mack Walters Road Suite 101 Shelbyville, KY 40065 (502) 633-3007

Amedisys Home Health 1724 Rockingham Avenue Suite 300 Bowling Green, KY 42104 (270) 842-4500

Caretenders Vs of Louisvile, LLC 197 Alpine Drive Shelbyville, KY 40065 (502) 647-0450

Lifeline Home Health Care of Bowling Green, LLC 165 Natchez Trace Avenue Suite 206 Bowling Green, KY 42103 (270) 781-0702 Home Health

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Kentucky Spirit Health Plan The Medical Center At Bg Home Care 1953 Scottsville Road Suite 200 Bowling Green, KY 42104 (270) 745-1006

Wayne County Lifeline Homecare of Somerset, LLC 1 Southcreek Drive Suite 118 Monticello, KY 42633 (606) 348-6000

Whitley County Amedisys Home Health Care 14 Moonbow Plaza Suite 101 Corbin, KY 40701 (606) 528-2183 Whitley County Home Health Agency 114 N 2nd Street Williamsburg, KY 40769 (606) 549-3380

Ohio Alere Womens and Childrens Health LLC 250 West Old Wilson Bridge Road Suite 360 Worthington, OH 43085 (800) 999-2415 Bellefonte Home Health Care Agency 207 57th Street Ironton, OH 45638 (740) 533-9010 Cincinnati Childrens Hospital Home Health Care 615 Elsinore Place Cincinnati, OH 45202 (513) 636-4663 Visiting Nurse Association of Greater Cincinnati & 2400 Reading Road Cincinnati, OH 45202 (513) 345-8000

Hospice

Henderson County

Perry County

Kentucky

Kentucky

St Anthonys Hospice 2410 South Green Street Henderson, KY 42420 (270) 826-2326

Mountain Community Hospice 57 Dennis Sandlin Hazard, KY 41701 (606) 439-2111

Adair County

Boone County Hospice of Northern Kentucky 7388 Turfway Road Florence, KY 41042 (859) 441-6332

Boyd County Community Hospice INC 1480 Carter Avenue Ashland, KY 41101 (606) 329-1890

Jefferson County Hosparus INC 3532 Ephraim McDowell Drive Louisville, KY 40205 (502) 456-6200

Johnson County

1538 Central Avenue Ashland, KY 41101 (606) 329-1890

Appalachian Hospice Care INC 1520 KY Route 1428 Hagerhill, KY 41222 (606) 789-3841

Boyle County

Laurel County

Heritage Hospice INC 120 Enterprise Drive Danville, KY 40423 (859) 236-2425

Tri County Hospice 740 East Laurel Road London, KY 40741 (513) 576-0262

Christian County

Madison County

Pennyroyal Hospice INC 220 Burley Avenue Hopkinsville, KY 42240 (270) 885-6428

Hospice Care Plus INC 208 Kidd Drive Berea, KY 40403 (859) 986-1500

Mason County

Pike County Appalachian Hospice Care INC 1414 S Mayo Trail Pikeville, KY 41501 (606) 432-2112

Pulaski County Hospice of Lake Cumberland 100 Parkway Drive Somerset, KY 42503 (606) 679-4389

Rowan County St Claire Medical Homecare-Hospice 201 Lyons Avenue Morehead, KY 40351 (606) 783-6812 222 Medical Circle Morehead, KY 40351 (606) 784-6086

Warren County

Hospice East INC 401 Shoppers Drive Winchester, KY 40391 (859) 744-9866

Hospice of Hope INC 909 Kenton Station Drive Maysville, KY 41056 (606) 759-4050

Hospice of Southern Kentucky INC 5872 Scottsville Road Bowling Green, KY 42101 (270) 782-3402

Daviess County

McCracken County

Ohio

Hospice & Palliative Care of Ohio Valley INC 3419 Wathens Crossing Owensboro, KY 42301 (270) 926-7565

Lourdes Hospice 2855 Jackson Street Suite 5 Paducah, KY 42003 (270) 415-3606

St Elizabeth Medical Center INC 483 South Loop Road Cincinnati, OH 45263 (555) 555-5555

Fayette County

Nelson County

Tennessee

Hospice of The Bluegrass INC 2312 Alexandria Lexington, KY 40504 (859) 276-5344

Hospice of Nelson County 111 North Third Street Bardstown, KY 40004 (502) 350-5570

Professional Healing Solutions 2497 S Roane Street Harriman, TN 37748 (877) 949-6863

Clark County

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Nexus Lab 2.0 INC 1463 Campbellsville Road Columbia, KY 42728 (502) 226-3858

Barren County Nexus Lab 2.0 INC 400 North Dixie Cave City, KY 42127 (502) 226-3858 Southern Medical Lab 1407 N Race Street Suite 3 Glasgow, KY 42141 (270) 651-2989

Bell County Nexus Lab 2.0 INC. 1814 Cumberland Avenue Middlesboro, KY 40965 (865) 386-8454

Boyle County Laboratory and Biodiagnostics Labdx 105 Ponder Court Danville, KY 40422 (859) 936-6920 Nexus Lab 2.0 INC 128 Daniel Drive Danville, KY 40422 (502) 226-3858

Daviess County Mayfair Laboratory LLC 2315 Mayfair Drive Owensboro, KY 42301 (270) 684-6242 The Springs Medical Laboratory LLC 2200 E Parrish Avenue Building H Suite 102 Owensboro, KY 42303 (270) 683-7991

Laboratory Home Health

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Kentucky Spirit Health Plan Tristate Medical Lab 2754 Veach Road Owensboro, KY 42303 (270) 852-7771

Fayette County Alliance Labs INC 1055 Wellington Way Suite 170 Lexington, KY 40513 (859) 554-5502 Labcorp Corporation of America 1401 Harrodsburg Road Suite 8195 Lexington, KY 40504 (999) 999-9999 Laboratory and Biodiagnostics Labdx 2620 Willhite Drive Lexington, KY 40503 (859) 276-0352 2277 Thunderstick Drive Lexington, KY 40505 (859) 368-8838 Laboratory Corporation of America 2201 Regency Road Suite 506507 Lexington, KY 40503 (859) 277-5341 UK Oral Pathology 802 Rose Street D-104 Lexington, KY 40536 (859) 323-5515 803 Rose Street D-104 Lexington, KY 40536 (859) 323-5515

Graves County Mayfield Pathology Services PSC 1099 Medical Center Circle Suite 405 Mayfield, KY 42066 (270) 251-4520

Harrison County

Marshall County

Woodford County

Combined Physicians Lab 469 West Pleasant Cynthiana, KY 41031 (859) 234-6706

Laboratory Corporation of America 83 Wellness Way Lane Benton, KY 42025 (999) 999-9999

Laboratory and Biodiagnostics Labdx 206 Crossfield Drive Versailles, KY 40383 (859) 256-0180

Jefferson County Clinical Associates 2307 Greene Way Louisville, KY 40220 (502) 897-9594 Lab Corp of America 11751 Interchange Drive Louisville, KY 40229 (502) 456-4700 Laboratory Corporation of America 310 E Broadway Louisville, KY 40202 (502) 584-2070 Pharmacogenetics Diagnostic Laboratory LLC 201 E Jefferson Street Suite 309 Louisville, KY 40202 (502) 569-0318

Laurel County Nexus Lab 2.0 INC. 148 London Mount View Drive Suite 4 London, KY 40741 (606) 878-1181

Madison County Laboratory and Biodiagnostics Labdx 1054 Center Drive Richmond, KY 40475 (859) 626-1818 Medical Arts Laboratory, INC 1110 Lancaster Road Suite 1 Richmond, KY 40475 (859) 623-3956

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Monroe County Monroe Co Med Ctr 529 Capp Harlan Road Tompkinsville, KY 42167 (270) 487-9231

Pike County Laboratory Corporation of America 287 Town Mountain Road Suite 203 Pikeville, KY 41502 (606) 432-1266

Russell County Premiertox 2.0 INC 2431 Lakeway Drive Suite 17 A-1 Russell Springs, KY 42642 (270) 866-8854 Premiertox INC 2431 Lakeway Drive Suite A1 Russell Springs, KY 42642 (270) 866-3144 Rx Drug Monitoring Lab LLC 600 Lakeway Drive Suite A Russell Springs, KY 42642 (270) 858-3515

Wayne County Monticello Medical Assoc Laboratory 1 S Creek Drive Suite 102 Monticello, KY 42633 (606) 348-3365

Alabama Aperian Laboratory Solutions LLC 121 North 20th Street Building 17 Opelika, AL 36801 (334) 529-8900 Diatherix Laboratories INC 601 Genome Way Suite 4208 Huntsville, AL 35806 (866) 979-4242

Forensic Laboratories 4895 Joiliet Street Suite 7g Denver, CO 80239 (303) 469-8042

Florida Nationwide Laboratory Services INC 2030 W McNab Road Ft Lauderdale, FL 33309 (999) 999-9999

Georgia Castle Medical LLC 1100 Wilson Way Suite 100 Smyrna, GA 30082 (855) 822-7853

Illinois

Laboratory Corporation of America Holdings 1801 First Avenue South Birmingham, AL 35233 (205) 581-3500

Dominion Diagnostics LLC 799 Roosevelt Road Building 6 Suite D Glen Ellyn, IL 60137 (401) 667-0800

Arizona

Indiana

Dominion Diagnostics LLC 6718 West Greenway Road Suite 106 Glendale, AZ 85306 (401) 667-0330

American Institute of Toxicology INC 2265 Executive Drive Suite A Indianapolis, IN 46241 (317) 243-3894

California

Anatomic Laboratory of The Tristate LLC 3700 Bellemeade Avenue Suite 102 Evansville, IN 47714 (812) 471-1591

Millenium Laboratories of California INC 16981 Via Tazon San Diego, CA 92127 (877) 451-3535 Sequenom Center for Molecular Med 3595 John Hopkins Court San Diego, CA 92121 (858) 202-9380

Colorado

Lab Corp of America Holdings 9550 N Zionsville Road Indianapolis, IN 46268 (800) 377-9364

Kansas Quest Diagnostics 10101 Renner Boulevard Lenexa, KS 66219 (913) 895-2400 Laboratory

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Kentucky Spirit Health Plan Massachusetts Calloway Laboratories INC 34 Commerce Way Woburn, MA 1801 (781) 224-9899

Michigan Lab Corp of America 100013760 32355 Capitol Street Livonia, MI 48150 (800) 473-9702

Laboratory Corporation of America 69 First Avenue Raritan, NJ 8869 (908) 526-2400

New Mexico Clinical Testing Laboratories INC 3655 Research Drive Genesis Center A Las Cruces, NM 88003 (866) 363-0203

Laboratory Corporation of America 32355 Capitol Street Livonia, MI 48150 (800) 473-9702

Labcorp of America 2000 Vivigen Way Santa Fe, NM 87505 (505) 438-1111

Quest Diagnostics INCorporated 4444 Giddings Road Auburn Hills, MI 48326 (248) 373-9120

Laboratory Corporation of America - La 1912 Alexander Drive Durham, NC 27711 (919) 361-7700

Minnesota Medtox Laboratories, INC 402 W County Road Saint Paul, MN 55112 (866) 434-5931 Viro-Med Laboratories INC 6101 Blue Circle Drive Minnetnka Mls, MN 55343 (999) 999-9999 Viro-Med Laboratories INC* 6101 Blue Circle Drive Minnetonka, MN 55343 (800) 222-7566

New Jersey Bioreference Laboratories INC 1 481 Edward H Ross Drive Elmwood Park, NJ 7407 (201) 791-2600

North Carolina

Laboratory Corporation of America Holdings 1447 York Court Burlington, NC 27215 (800) 762-4344 2039 Willow Springs Lane Burlington, NC 27215 (800) 222-7566 3600 A Woodpark Boulevard Charlotte, NC 28206 (700) 598-6042 Solstas Lab Partners Group LLC 5040 Airport Center Parkw Charlotte, NC 28208 (800) 653-2205 4380 Federal Drive Suite 100 Greensboro, NC 27410 (888) 664-7601

Ohio † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lab Corp of America 6370 Wilcox Road Dublin, OH 43016 (800) 331-2843 Laboratory Corporation of America Holdings 1737 Tennessee Avenue Cincinnati, OH 45229 (513) 242-6800 Quest Diagnostics INC 6700 Steger Drive Cincinnati, OH 45237 (800) 488-8890

Pennsylvania Associated Clinical Laboratories Lp-Quest Diag INC 1526 Peach Street Erie, PA 16501 (814) 461-2400 Drug Scan INC 1119 Mearns Road Warminster, PA 18974 (866) 363-0203 Quest Diagnostics of Pennsylvania INC 875 Greentree Road Pittsburgh, PA 15220 (800) 837-3177 Quest Diagnostics Venture LLC 975 Greentree Road Pittsburgh, PA 15220 (800) 837-3177

Rhode Island Dominion Diagnostics LLC 211 N Circuit Drive North Kingstown, RI 2852 (802) 651-4060

Tennessee Aegis Sciences Corporation 345 Hill Avenue Nashville, TN 37210 (615) 255-2400

515 Great Circle Road Nashville, TN 37228 (615) 225-2400 American Esoteric Laboraties 1701 Century Center Cove Memphis, TN 38134 (901) 405-8200 850 West Third North Street Morristown, TN 37814 (423) 586-3240 2521 Perimeter Place Drive Nashville, TN 37214 (615) 208-1956

Solstas Lab Partners Group LLC 501 20th Street Suite G3 Knoxville, TN 37916 (540) 855-9550

Texas Capital Toxicology LLC 9417 Brodie Lane Austin, TX 78748 (512) 610-9955 Center for Disease Detection 11603 Crosswinds Way Suite 100 San Antonio, TX 78233 (210) 590-3033

Dominion Diagnostics LLC 215 East Moody Avenue Knoxville, TN 37920 (401) 667-0800

Dominion Diagnostics LLC 2001 North Mays Suite 3 Round Rock, TX 78664 (401) 667-0800

Genetics Associates INC 1916 Patterson Street Suite 400 Nashville, TN 37203 (615) 327-4532

In-Vitro Diagnostics INC 7100 Old McGregor Road Suite A Waco, TX 76712 (512) 246-9000

Laboratory Corporation of America 1501 Riverside Drive Chattanooga, TN 37404 (423) 624-0533

Lab Corp of America 6603 First Park Ten Boulevard San Antonio, TX 78213 (210) 735-9461

Laboratory Corporation of America-Knoxville 1924 Alcoa Highway Knoxville, TN 37920 (999) 999-9999 Molecular Pathology Laboratory Network INC 250 East Broadway Avenue Maryville, TN 37804 (800) 600-1274 Pathgroup Labs LLC 658 Grassmere Park Drive Nashville, TN 37211 (615) 221-4400

Medicus Laboratories LLC 13601 Preston Road Suite 201 A Dallas, TX 75240 (972) 386-6399

Vermont Dominion Diagnostics LLC 225 South Main Street Rutland, VT 5701 (401) 667-0800 1191 South Brownell Road Suite 30 Williston, VT 5495 (401) 667-0800

Virginia Laboratory

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Kentucky Spirit Health Plan Commonwealth Medical Laboratories INC 4228 Aiken Drive PO Box 861648 Warrenton, VA 20187 (800) 222-5775 Solstas Lab Partners Group LLC 913 S Jefferson Bellview At Jefferson Roanoke, VA 24011 (540) 855-9550

Washington Natural Molecular Testing Corporation 223 Sw 41st Street Renton, WA 98057 (888) 442-8881

Davis, Jonathan 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

Wall, Roland 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

Caudle, Jeffrey N 210 S Second Street Danville, KY 40422 (859) 236-4008

Dickinson, Amy 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

Weickel, Bruce 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

217 S Third Street Danville, KY 40422 (859) 236-4008

Dickinson, Jonathan 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

Yarbrough (Concepcion), Clarizel 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

Herman, Sherri 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

West Virginia

Humm, Brad 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

Lab Corp of America 120 Hills Plaza Charleston, WV 25312 (304) 348-2100

Korgan, Bryan 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

Laboratory Corporation of America Holdings 501 Locust Avenue Fairmont, WV 26554 (304) 366-0291

Monroe, Barry 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

Tri-State Cytology LLC 403 10th Street Kenova, WV 25530 (304) 521-4991

Nurse Anesthetist Kentucky Allen County Alessio, Stacy 456 Burnley Road Scottsville, KY 42164 (270) 622-2800 Brown, Leeann 456 Burnley Road Scottsville, KY 42164 (270) 622-2800 Chaney, Ladonna 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

Moss, Larry 456 Burnley Road Scottsville, KY 42164 (270) 622-2800 Norman, Robert 456 Burnley Road Scottsville, KY 42164 (270) 622-2800 Rabold, Lisa 456 Burnley Road Scottsville, KY 42164 (270) 622-2800 Ritter, Mark 456 Burnley Road Scottsville, KY 42164 (270) 622-2800 Sturgill, Wesley 456 Burnley Road Scottsville, KY 42164 (270) 622-2800

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Barren County Jenkins, Gary L 1507 Bravo Boulevard Glasgow, KY 42141 (270) 651-2181 Roberts, Jane L 1507 Bravo Boulevard Glasgow, KY 42141 (270) 651-2181 Wright, Robert L 1507 Bravo Boulevard Glasgow, KY 42141 (270) 651-2181

Boyd County Blair, Vickie 2201 Lexington Avenue Ashland, KY 41101 (606) 408-7142 Dressell, Joseph 2201 Lexington Avenue Ashland, KY 41101 (606) 408-7142

Boyle County Camp, Dale C 210 S Second Street Danville, KY 40422 (859) 236-4008 217 S Third Street Danville, KY 40422 (859) 236-4008 Carpenter, Crystal 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726

Crafton, Robert 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726 Delahousay, Joan 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726 Fusco, Melanie 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726 Gosser, Eric 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726

Lemp, Mary 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726 Paul, Jennifer 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726 Priest, Gerald 212 S 2nd Street Danville, KY 40422 (999) 999-9999 Roehm, Mary Ethel 210 S Second Street Danville, KY 40422 (859) 236-4008 217 S Third Street Danville, KY 40422 (859) 236-4008 Yaste, Amelia 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726

Breathitt County

Higgins, Tammy 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726

Buckingham, Larry G 540 Jett Drive Jackson, KY 41339 (606) 666-6479

Klappholz, David L 210 S Second Street Danville, KY 40422 (859) 236-4008

Holloway, Matthew 540 Jett Drive Jackson, KY 41339 (606) 666-6479

217 S Third Street Danville, KY 40422 (859) 236-4008

Smith, William 540 Jett Drive Jackson, KY 41339 (606) 666-6479

Laswell, Roland 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726 Lawson, Lonnie 230 W Main Street Suite 200 Danville, KY 40423 (859) 236-3726

Caldwell County Roberts, Jane L 101 Hospital Drive Princeton, KY 42445 (270) 365-0300 Wright, Robert L 101 Hospital Drive Princeton, KY 42445 (270) 365-0300

Laboratory

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Kentucky Spirit Health Plan Calloway County

Christian County

Anderson, Betty D 803 Poplar Street Murray, KY 42071 (270) 762-1100

Arrington, Mark 320 W 18th Street Hopkinsville, KY 42240 (931) 551-1795

Ayo, Ernest 803 Poplar Street Murray, KY 42071 (270) 762-1100

Baker, Sharen 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795

Bazzell, Laressa 803 Poplar Street Murray, KY 42071 (999) 999-9999

Bunt, Rebecca Ryan 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795

Colson, Maria 632 N 12th Street Suite 230 Murray, KY 42071 (859) 948-8389

Chalker, Brian 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795

803 Poplar Street Murray, KY 42071 (270) 762-1100 David, Adam 632 N 12th Street Suite 230 Murray, KY 42071 (859) 948-8389

Crafton, Robert 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795 Hall, Tamera 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795

803 Poplar Street Murray, KY 42071 (999) 999-9999

Jurgensmeyer, Chris 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795

Fishman, Donald 803 Poplar Street Murray, KY 42071 (270) 762-1100

Krisak, Debra 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795

Green, Jennifer 803 Poplar Street Murray, KY 42071 (270) 762-1100

Maloney, Joseph 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795

Hohlbein, Leonard 803 Poplar Street Murray, KY 42071 (270) 762-1100

May, George 320 W 18th Street Hopkinsville, KY 42240 (931) 551-1795

McNiel, Deborah 803 Poplar Street Murray, KY 42071 (270) 762-1100

Meekins, Alan 320 W 18th Street Hopkinsville, KY 42240 (931) 551-1795 Robinson, Katherine 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Williams, Keenan 320 W 18th Street Hopkinsville, KY 42240 (931) 551-1795

Clay County Digello, Robert 210 Marie Langdon Drive Manchester, KY 40962 (606) 598-5104

Daviess County Almes, Christopher 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005

Hammons, Jeffrey 210 Marie Langdon Drive Manchester, KY 40962 (606) 598-5104

Atherton, Carla 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005

Puckett, Terry E 210 Marie Langdon Drive Manchester, KY 40962 (606) 598-5104

815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005

Stewart, Jerl David 210 Marie Langdon Drive Manchester, KY 40962 (606) 598-5104 Wilson, Jason E 210 Marie Langdon Drive Manchester, KY 40962 (606) 598-5104

Clinton County Ihrke, Steven 723 Burkesville Highway Albany, KY 42602 (865) 777-0909 Levin, Glenda 723 Burkesville Road Albany, KY 42602 (606) 387-6421

Binkley, Kelly 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Boone, William 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005

Crittenden County

Britt, Amy C 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005

Durham, Terry D 520 W Gum Street Marion, KY 42064 (270) 965-1040

815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005

Cary, Jamie B 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Corn, Larry D 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Corn, Tammie D 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Edwards, Emily 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Foster, James 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 683-2751 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Gaither, John 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005

Nurse Anesthetist

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Kentucky Spirit Health Plan Hagerman, Michael R 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Hoff, Terry 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Keller, John 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Lovell, Meredith T 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Morris, Haley 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Morris, Jeremy 815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 Moser, Beth L 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005

815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005

Caltrider, Randall 800 Rose Street Lexington, KY 40536 (859) 257-6596

Stelmach, Sarah L 1412 Frederica Street Owensboro, KY 42301 (270) 684-5005

Campbell, Robert 800 Rose Street Lexington, KY 40536 (859) 257-6596

1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 684-5005

Centimole, Zohn 800 Rose Street Lexington, KY 40536 (859) 257-6596

815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005

Ely, Brian 800 Rose Street Lexington, KY 40536 (859) 257-6596

Sweatt, Terry L 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 683-2751

English, Robert J 800 Rose Street Lexington, KY 40536 (859) 323-9729

815 E Parrish Avenue Suite 460 Owensboro, KY 42303 (270) 684-5005 West, Candace 1000 Breckenridge Street Suite 100 Owensboro, KY 42303 (270) 683-2751

Fayette County Albrich, Michael Liam 800 Rose Street Lexington, KY 40536 (859) 257-6596 Anderson, Lori Therese 800 Rose Street Lexington, KY 40536 (859) 257-6596 Arkle, Christina Lynne 800 Rose Street Lexington, KY 40536 (859) 257-6596 Buckler, Gregory 800 Rose Street Lexington, KY 40536 (859) 257-6596

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Federspiel, Allison 800 Rose Street Lexington, KY 40536 (859) 323-9729 Fletcher, Charles 800 Rose Street Lexington, KY 40536 (859) 257-6596 Gabehart, Hilbert 800 Rose Street Lexington, KY 40536 (859) 257-6596 Gambrel, John R 800 Rose Street Lexington, KY 40536 (859) 323-9977 Gibson, Vicki 800 Rose Street Lexington, KY 40536 (859) 257-6596 Hall, William 800 Rose Street Lexington, KY 40536 (859) 257-6596 Languages: Spanish Harper, Irene 800 Rose Street Lexington, KY 40536 (859) 257-6596

Hennessy, Maureen 800 Rose Street Lexington, KY 40536 (859) 257-6596 Languages: French Howard, Karen Sue 800 Rose Street Lexington, KY 40536 (859) 257-6596 Hsieh, Kai-Yi 800 Rose Street Lexington, KY 40536 (859) 257-6596 Languages: Chinese, Spanish Hubbuch, Robin 240 Fountain Court Lexington, KY 40509 (859) 278-1460 Kraus, Teresa G 240 Fountain Court Lexington, KY 40509 (859) 278-1460 Lawson, Lonnie 800 Rose Street Lexington, KY 40536 (859) 257-6596 Lesser, Joseph 800 Rose Street Lexington, KY 40536 (859) 257-6596 Nelson-Oakley, Cathy 800 Rose Street Lexington, KY 40536 (859) 257-6596 Parks, Jennifer 800 Rose Street Lexington, KY 40536 (859) 257-6596 Pennell, Heather W 800 Rose Street Lexington, KY 40536 (859) 257-6596 Reymann, Brenda 800 Rose Street Lexington, KY 40536 (859) 257-6596

Schertz, Jessica 800 Rose Street Lexington, KY 40536 (859) 257-6596 Smith, Joe M 240 Fountain Court Lexington, KY 40509 (859) 278-1460 Tabor, Jessica 800 Rose Street Lexington, KY 40536 (859) 257-6596 Toohey, Eric M 800 Rose Street Lexington, KY 40536 (859) 323-9729 Vital, Everett 800 Rose Street Lexington, KY 40536 (859) 257-6596 Yongbang, Albert 800 Rose Street Lexington, KY 40536 (859) 323-9729

Graves County Collier, Barbara 1099 Medical Center Circle Mayfield, KY 42066 (270) 251-4100 David, Adam 3451 State Route 94e Sedalia, KY 42079 (270) 382-3112 David, Bruce 3451 State Route 94e Sedalia, KY 42079 (270) 382-3112 Deguire, Daryl 3451 State Route 94e Sedalia, KY 42079 (270) 382-3112 Jenkins, Jeffrey K 3451 State Route 94e Sedalia, KY 42079 (270) 382-3112

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Kentucky Spirit Health Plan Kesler, Michael 3451 State Route 94e Sedalia, KY 42079 (270) 382-3112

Lovell, Michael 1305 N Elm Street Henderson, KY 42420 (270) 827-7700

Cates, Ladonna 800 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Pate, Tammy 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Patty, Clarence 1099 Medical Center Drive Mayfield, KY 42066 (270) 744-9600

Melton, John 1305 N Elm Street Henderson, KY 42420 (270) 827-7700

Crider, Michael 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Patrick, Stephanie 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Strawn, David 1305 N Elm Street Henderson, KY 42420 (270) 827-7700

Edwards, Emily 800 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Ramsey, Davlina 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

West, Candace 110 3rd Street Suite 220 Henderson, KY 42420 (952) 442-3614

Ellegood, Phillip 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Riley, Linda 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Henry County

Gamble, Kristie 800 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Robertson, Heith 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Jones, Darlena 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Scott, Susan C 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Keller, John 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Small, Susanne 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Krisak, Debra 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Springer, Lorrie 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Lovell, Michael 800 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Vincent, Gregory 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Booth, Stephen J 3999 Dutchmans Lane Suite 4a Louisville, KY 40207 (502) 893-7744

Mills, Christy 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Waldron, Ginger 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Boyd, Kevin 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Nesbitt, Afusat 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

West, Candace 44 McCoy Avenue Suite 303 Madisonville, KY 42431 (952) 442-3614

Brangers, Sandra 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Patty, Teena 1099 Medical Center Drive Mayfield, KY 42066 (270) 744-9600 Sampson, Christopher 3451 State Route 94e Sedalia, KY 42079 (270) 382-3112 Wright, Robert L 3451 State Route 94e Sedalia, KY 42079 (270) 382-3112

Riddle, Chad 3999 Dutchmans Lane Bethlehem, KY 40007 (502) 793-7744

Green County

Hopkins County

Durham, Ann 202-206 Milby Street Greensburg, KY 42743 (270) 932-4211

Addington, Michelle 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Wimmer, Carl 202-206 Milby Street Greensburg, KY 42743 (270) 932-4211

Anderson, Betty D 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Hart County Jenkins, Gary L 1501 S Dixie Horse Cave, KY 42749 (270) 786-2191 Roberts, Jane L 1501 S Dixie Horse Cave, KY 42749 (270) 786-2191 Wright, Robert L 1501 S Dixie Horse Cave, KY 42749 (270) 786-2191

Henderson County Lovell, Meredith T 1305 N Elm Street Henderson, KY 42420 (270) 827-7700

Arbuckle, Kristen 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100 Borders, Myrna 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100 Bowen, Christopher P 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100 Bradshaw, Robinel 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Parrish, Dana 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Wilson, Ronald 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Jefferson County Baker, Sherry 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Barber, Debra A 444 S First Street Suite 202 Louisville, KY 40202 (513) 672-3300 Barrow, Lara A 444 S First Street Suite 202 Louisville, KY 40202 (513) 672-3300 Bergstrom, Stephani 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880 Berry, Brandie 530 S Jackson Street Louisville, KY 40202 (502) 852-5851 530 South Jackson Street Louisville, KY 40202 (502) 852-8266 Biernesser, Joy 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Breeding, Richard 444 S First Street Suite 202 Louisville, KY 40202 (513) 672-3300

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Kentucky Spirit Health Plan Burchett, Gregory B 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Burchett-Rhodes, Tabitha 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Chilton, Mary 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Coke, James 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Costabell, Charles 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Crowder, David 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Desilets, Vicki 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Dockins, Saundra 225 Abraham Flexner Way Louisville, KY 40202 (502) 587-4799 Doyon, Kenneth 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880 Dugan, Pamela 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Edwards, Jo 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Fazio, Valerie 225 Abraham Flexner Way Louisville, KY 40202 (502) 587-4799 Feathers, Anita 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Fletcher, Mary Beth 601 S Floyd Street Suite 407 Louisville, KY 40202 (502) 629-2880 Givens, Chelsey 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880 Givens, Darci 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Goldsmith, Kyle 225 Abraham Flexner Way Louisville, KY 40202 (502) 587-4799 Gulley (Brown), Kristin 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Hampton, Deborah 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Hart, Michael 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Heavrin, Samantha 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Hettinger, Alisha 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Kraus, Teresa G 444 S First Street Suite 202 Louisville, KY 40202 (513) 672-3300

Higgs, David Michael 444 S First Street Suite 202 Louisville, KY 40202 (513) 672-3300

Lewis, Bradley 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Hoover, Kimberly 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880 Hurles, Richard 601 S Floyd Street Suite 407 Louisville, KY 40202 (502) 629-2880 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880 Johanboeke, Jaclyn 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880 Jones, Carla 225 Abraham Flexner Way Louisville, KY 40202 (502) 587-4799 Kapadia, Yasmin 225 Abraham Flexner Way 2nd Floor Louisville, KY 40202 (502) 587-4799 Kaufman, Deborah A 444 S First Street Suite 202 Louisville, KY 40202 (513) 672-3300 Klockmann, Darilynne 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Kraemer, Mark 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Lockhart, Andrew 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Lowe-Dennison, Jennifer 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880 Magidson, Paul 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Martin, Cara 2020 Newburg Road Louisville, KY 40205 (502) 479-4433 1850 Bluegrass Avenue Louisville, KY 40215 (502) 367-3360 Martin, David 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 McKenchnie, Sara 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880 Metzger, Tammy 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Morris, Roy 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880

Murphy, Elias 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880 Norris, Tonia 200 Abraham Flexner Way 2nd Floor Louisville, KY 40202 (502) 561-3753 Pennell, Heather W 444 S First Street Suite 202 Louisville, KY 40202 (513) 672-3300 Perry (Gooch), Susan 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Perry, Meeheh 530 S Jackson Street Louisville, KY 40202 (502) 852-5851 530 South Jackson Street Louisville, KY 40202 (502) 852-8266 Powers, Patricia 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Rafferty, Stephen 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Riddle, Chad 3999 Dutchmans Lane Suite 4a Louisville, KY 40207 (502) 893-7744 Rzepka (Pike), Leslie 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Salansky, Linda 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

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Kentucky Spirit Health Plan Sanders, Sarah 1850 Bluegrass Avenue Louisville, KY 40215 (502) 367-3360

Strother, Marilyn 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Schwiers, Robert 4001 Dutchmans Lane Louisville, KY 40207 (502) 629-2880

Thompson, Natasha 1850 Bluegrass Avenue Louisville, KY 40215 (502) 367-3360

Seuling, Heidi 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Walters, Brian 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Sherman, William 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Wells, Artis A 530 S Jackson Street Louisville, KY 40202 (502) 852-5851

Smalley, Saundra 2020 Newburg Road Louisville, KY 40205 (502) 479-4433

530 South Jackson Street Louisville, KY 40202 (502) 852-8266

1850 Bluegrass Avenue Louisville, KY 40215 (502) 367-3360

Wheeless, Carson 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Smith, Charlotte 220 Abraham Flexner Way Louisville, KY 40202 (502) 582-7654 Spaulding, Mary 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203 Steinrock, Karen 225 Abraham Flexner Way Louisville, KY 40202 (502) 587-4799 Stone, Dyshera 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Streif, Sharon 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Laurel County Baker, Nevin 1001 Saint Joseph Lane London, KY 40741 (606) 330-6000 Hargens, Tammy 310 E 9th Street London, KY 40741 (606) 878-6520 Hoffner, Edward 310 E 9th Street London, KY 40741 (606) 878-6520 Minga, David 310 E 9th Street London, KY 40741 (606) 878-6520

Lawrence County Hyden, Diana C 2483 Highway 644 Suite 105 Louisa, KY 41230 (606) 638-7488

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Roof (Horn), Denise 2673 Highway 644 3 Rivers Plaza Louisa, KY 41230 (606) 638-3323

Lincoln County Verhoff (Schulz), Barbara 110 Metker Trail Stanford, KY 40484 (606) 365-4600

Livingston County David, Bruce 131 Hospital Drive Salem, KY 42078 (270) 988-2299 Deguire, Daryl 131 Hospital Drive Salem, KY 42078 (270) 988-2299 Durham, Terry D 131 Hospital Drive Salem, KY 42078 (270) 988-2299 Geary, Shana W 131 Hospital Drive Salem, KY 42078 (270) 988-2299

Ayo, Ernest 2831 Lone Oak Road Paducah, KY 42003 (270) 442-9491

Logan County Glass, Jessica 1625 Nashville Street Russellville, KY 42276 (270) 725-4515

Baker, Paul 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Jones, Frank 1625 Nashville Street Russellville, KY 42276 (270) 725-4515

Banderman, Mark 225 Medical Center Drive Suite 308 Paducah, KY 42003 (270) 441-4750

Jurgensmeyer, Chris 1625 Nashville Street Russellville, KY 42276 (270) 725-4515 Meekins, Alan 1625 Nashville Street Russellville, KY 42276 (270) 725-4515

Beck, Kristen 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Petrusch, Edward 1625 Nashville Street Russellville, KY 42276 (270) 725-4515

Brown, Steven 2507 Broadway Paducah, KY 42001 (270) 442-8228

Madison County

Canella, Michael 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Levin, Glenda 305 Estill Street Berea, KY 40403 (606) 526-7874

Marshall County

Hettler, Thelma 131 Hospital Drive Salem, KY 42078 (270) 988-2299

David, Bruce 615 Old Symsonia Road Benton, KY 42025 (270) 527-4800

Jenkins, Gary L 131 Hospital Drive Salem, KY 42078 (270) 988-2299

Martin County

Kesler, Michael 131 Hospital Drive Salem, KY 42078 (270) 988-2299 Patty, Clarence 131 Hospital Drive Salem, KY 42078 (270) 988-2299 Patty, Teena 131 Hospital Drive Salem, KY 42078 (270) 988-2299

Fairchild, Donna 6121 Route 645 Inez, KY 41224 (999) 999-9999

McCracken County Anderson, Betty D 225 Medical Center Drive Paducah, KY 42003 (270) 441-4125 Aydt, Matthew 2507 Broadway Paducah, KY 42001 (270) 442-8228

Canestrini, Dean 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750 Carper, Dianna 2507 Broadway Paducah, KY 42001 (270) 442-8228 Cartwright, Phillip 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750 Clark, Lisa 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750 Cole, James Thomas 1530 Lone Oak Road Paducah, KY 42003 (270) 441-4750

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Kentucky Spirit Health Plan Stewart, Julie 2507 Broadway Paducah, KY 42001 (270) 442-8228

Dailey, Elizabeth S 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Miller, Gary 100 Medical Center Drive Paducah, KY 42003 (270) 509-5323

Dillard, Francis 2507 Broadway Paducah, KY 42001 (270) 442-8228

O'Neill, Brian 2507 Broadway Paducah, KY 42001 (270) 442-8228

Stewart, Richard 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Freeman, Wendy 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Peterson, Jeffry L 2605 Kentucky Avenue Building 3 Suite 103 Paducah, KY 42003 (270) 442-9461

Thurman, Pamela 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Gay, Julie 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Ray, Arjana 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Vincent, Gregory 225 Medical Center Drive Paducah, KY 42003 (270) 441-4125

Hedges, Calvin 2507 Broadway Paducah, KY 42001 (270) 442-8228

Reedy, Laura 2507 Broadway Paducah, KY 42001 (270) 442-8228

Hettler, Thelma 225 Medical Center Drive Paducah, KY 42003 (270) 441-4125

Roof (Horn), Denise 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Whitman, Steven 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Kollenberg, John 2507 Broadway Paducah, KY 42001 (270) 442-8228

Sasseen, Michael Allen 2507 Broadway Paducah, KY 42001 (270) 442-8228

Loines, Cynthia 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Sherman, Charlotte 2507 Broadway Paducah, KY 42001 (270) 442-8228

Masse, Robert P 2605 Kentucky Avenue Building 3 Suite 103 Paducah, KY 42003 (270) 442-9461 Meekins, Alan 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750

Shockley, Joyce 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750 Smiley, Daniel 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750 Sorrells, Karla 2507 Broadway Paducah, KY 42001 (270) 442-8228

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Williamson, Jana 225 Medical Center Drive Suite 405 Paducah, KY 42003 (270) 441-4750 Wooten, Steven C 2507 Broadway Paducah, KY 42001 (270) 442-8228

Muhlenberg County Dukes, Stephen 440 Hopkinsville Street Greenville, KY 42345 (270) 338-8000 1008 Medical Center Drive Muhlenberg Surgery Center Powderly, KY 42367 (270) 338-9929 Weller, Dan 440 Hopkinsville Street Greenville, KY 42345 (270) 338-8000

1008 Medical Center Drive Muhlenberg Surgery Center Powderly, KY 42367 (270) 338-9929

Nelson County Baker, Nevin 4305 New Shepherdsville Road Bardstown, KY 40004 (502) 350-5000 Collins, Ginger 4305 New Shepherdsville Road Bardstown, KY 40004 (502) 350-5000 Ellison, David S 4305 New Shepherdsville Road Bardstown, KY 40004 (502) 350-5000 Wesley, Darrel 4305 New Shepherdsville Road Bardstown, KY 40004 (502) 350-5000 Wesley, Michael 4305 New Shepherdsville Road Bardstown, KY 40004 (502) 350-5000

Ohio County Durham, Terry D 1020 N Main Street Beaver Dam, KY 42320 (270) 274-0480 Gaither, John 1211 Old Main Street Hartford, KY 42347 (270) 274-0480 Gamble, Kristie 1020 N Main Street Beaver Dam, KY 42320 (270) 274-0480 Hardesty, Kevin 1020 N Main Street Beaver Dam, KY 42320 (270) 274-0480

Jenkins, Gary L 1211 Old Main Street Hartford, KY 42347 (270) 274-0480 Jenkins, Jeffrey K 1020 N Main Street Beaver Dam, KY 42320 (270) 274-0480 Kesler, Michael 1020 N Main Street Beaver Dam, KY 42320 (270) 274-0480 Roberts, Jane L 1020 N Main Street Beaver Dam, KY 42320 (270) 274-0480 1211 Old Main Street Hartford, KY 42347 (270) 274-0480 Sweatt, Terry L 1211 Old Main Street Hartford, KY 42347 (270) 274-0480 Wright, Robert L 1020 N Main Street Beaver Dam, KY 42320 (270) 274-0480

Pike County Jones, Lindsey B 911 Bypass Road Pikeville, KY 41501 (999) 999-9999 Slone, Ray 911 Bypass Road Pikeville, KY 41501 (999) 999-9999

Shelby County Bailey, Jana 727 Hospital Drive Shelbyville, KY 40065 (502) 647-4085 Leonard, Lawrence 727 Hospital Drive Shelbyville, KY 40065 (502) 647-4085

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Kentucky Spirit Health Plan Smith, William 727 Hospital Drive Shelbyville, KY 40065 (502) 647-4085

Norman, Robert 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832

Simpson County

Rabold, Lisa 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832

Alessio, Stacy 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Brown, Leeann 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Chaney, Ladonna 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Davis, Jonathan 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Dickinson, Amy 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Dickinson, Jonathan 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Herman, Sherri 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Humm, Brad 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Korgan, Bryan 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Monroe, Barry 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Moss, Larry 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832

Ritter, Mark 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Sturgill, Wesley 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Wall, Roland 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Weickel, Bruce 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832 Yarbrough (Concepcion), Clarizel 1100 Brookhaven Road Franklin, KY 42134 (270) 598-4832

Dunlap, Michael 1700 Old Lebanon Road Campbellsville, KY 42718 (270) 932-2264

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

Olson, Nicole Marie 1700 Old Lebanon Road Campbellsville, KY 42718 (270) 932-2264

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

Rigot, James E 1700 Old Lebanon Road Campbellsville, KY 42718 (270) 932-2264

Chaney, Ladonna 201 Park Street Bowling Green, KY 42101 (270) 393-1912

Davis, Jonathan 201 Park Street Bowling Green, KY 42101 (270) 393-1912

Thomas, Aubrey D 1700 Old Lebanon Road Campbellsville, KY 42718 (270) 932-2264

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

Childress, Heather 201 Park Street Bowling Green, KY 42101 (270) 393-1912

Dickinson, Amy 201 Park Street Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

Coates, Vicki 201 Park Street Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

Warren County Alessio, Stacy 201 Park Street Bowling Green, KY 42101 (270) 393-1912

Taylor County

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

Ashby, Jeffrey 1700 Old Lebanon Road Campbellsville, KY 42718 (270) 932-2264

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

Ashby, Kirsten 1700 Old Lebanon Road Campbellsville, KY 42718 (270) 932-2264

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

Carney, Leigh 1700 Old Lebanon Road Campbellsville, KY 42718 (270) 932-2264

Brown, Leeann 201 Park Street Bowling Green, KY 42101 (270) 393-1912

Carney, Michael 1700 Old Lebanon Road Campbellsville, KY 42718 (270) 932-2264

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

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Kentucky Spirit Health Plan Dickinson, Jonathan 201 Park Street Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

Kranz, Christian 201 Park Street Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

Jackson, Mark 201 Park Street Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

Neyland, David 1801 Ashley Circle Bowling Green, KY 42104 (270) 782-9994

Rainey (Boyle), Jennifer 201 Park Street Bowling Green, KY 42101 (270) 393-1912

Estes, Megan 350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

Lynn, Jonathan 350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

Norman, Robert 201 Park Street Bowling Green, KY 42101 (270) 393-1912

Herman, Sherri 201 Park Street Bowling Green, KY 42101 (270) 393-1912 350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912 Humm, Brad 201 Park Street Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912 Korgan, Bryan 201 Park Street Bowling Green, KY 42101 (270) 393-1912 350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Monroe, Barry 201 Park Street Bowling Green, KY 42101 (270) 393-1912 350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912 Moss, Larry 201 Park Street Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912 Rabold, Lisa 201 Park Street Bowling Green, KY 42101 (270) 393-1912 350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

Rainey, Michael 201 Park Street Bowling Green, KY 42101 (270) 393-1912 350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

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Kentucky Spirit Health Plan Ritter, Mark 201 Park Street Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

Wall, Roland 201 Park Street Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

Yarbrough (Concepcion), Clarizel 201 Park Street Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

Smith, Annette S 1801 Ashley Circle Bowling Green, KY 42104 (270) 782-9994

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

Sturgill, Wesley 201 Park Street Bowling Green, KY 42101 (270) 393-1912

Weickel, Bruce 201 Park Street Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

Weickel, Stacie 201 Park Street Bowling Green, KY 42101 (270) 393-1912

Thomas, Adam 350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

350 Park Street Suite 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Avenue Suite 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Suite 205 Bowling Green, KY 42103 (270) 393-1912

Whitley County Adams, Timothy J 801 Master Street Suite 5 Corbin, KY 40701 (606) 528-7200 Albritton, Jeffrey 275 Highway 770 Corbin, KY 40701 (606) 526-7874 Zalewski, Kenneth 275 Highway 770 Corbin, KY 40701 (606) 526-7874

Indiana Jenkins, Gary L 520 W 1st Street New Albany, IN 47150 (270) 256-4063 1 Hospital Road Tell City, IN 47586 (270) 274-0480

111 Highway 70 E Dickson, TN 37055 (931) 551-1795

Wright, Robert L 520 W 1st Street New Albany, IN 47150 (270) 256-4063

545 Stonecrest Parkway Smyrna, TN 37167 (931) 551-1795

1 Hospital Road Tell City, IN 47586 (270) 274-0480

Chalker, Brian 5002 Crossing Circle Suite 110 Mount Juliet, TN 37122 (931) 551-1795

Tennessee Adcock, Timothy 141 Chesapeake Lane Suite 300 Clarksville, TN 37040 (931) 551-1795

Chamberlain, Donald E 716 Brookhaven Circle Memphis, TN 38117 (901) 844-1590

651 Dunlop Lane Clarksville, TN 37040 (931) 551-1795

Chivington, Neil 188 Hospital Lane Jellico, TN 37762 (423) 784-1200

121 Hillcrest Drive Clarksville, TN 37043 (931) 551-1795

Demaree, Edward M 716 Brookhaven Circle Memphis, TN 38117 (901) 844-1590

793 Weatherly Drive Clarksville, TN 37043 (931) 551-1795 111 Highway 70 E Dickson, TN 37055 (931) 551-1795 545 Stonecrest Parkway Smyrna, TN 37167 (931) 551-1795

Glass, Jessica 3024 Business Park Circle Goodlettsville, TN 37072 (615) 851-6033

Arrington, Mark 5002 Crossing Circle Suite 110 Mount Juliet, TN 37122 (931) 551-1795

Hall, Tamera 5002 Crossing Circle Suite 110 Mount Juliet, TN 37122 (931) 551-1795

Bonner, Paul 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Hayes, Charles R 188 Hospital Lane Jellico, TN 37762 (423) 784-1200

Bryant, Jacqueline 313 N Main Street Ashland City, TN 37015 (931) 551-1795 651 Dunlop Lane Clarksville, TN 37040 (931) 551-1795 121 Hillcrest Drive Clarksville, TN 37043 (931) 551-1795

Jurgensmeyer, Chris 5002 Crossing Circle Suite 110 Mount Juliet, TN 37122 (931) 551-1795 Krisak, Debra 5002 Crossing Circle Suite 110 Mount Juliet, TN 37122 (931) 551-1795

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Kentucky Spirit Health Plan Loines, Cynthia 12752 Kingston Pike Suite E202 Knoxville, TN 37934 (865) 777-0909 301 Tyson Avenue Paris, TN 38242 (865) 777-0909 Lynn, Connie G 716 Brookhaven Circle Memphis, TN 38117 (901) 844-1590 Maloney, Joseph 5002 Crossing Circle Suite 110 Mount Juliet, TN 37122 (931) 551-1795 May, George 5002 Crossing Circle Suite 110 Mount Juliet, TN 37122 (931) 551-1795

Smith, James M 188 Hospital Lane Jellico, TN 37762 (423) 784-1200

2001 Winchester Avenue Ashland, KY 41101 (606) 324-7351

Tucker, Rhonda 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Hunter, Tracy L 617 23rd Street Suite 415 Ashland, KY 41101 (606) 325-6888

Williams, Keenan 5002 Crossing Circle Suite 110 Mount Juliet, TN 37122 (931) 551-1795

Bullitt County

Williams, Robert W 716 Brookhaven Circle Memphis, TN 38117 (901) 844-1590

Nurse Midwife Kentucky Barren County

Meekins, Alan 651 Dunlop Lane Clarksville, TN 37040 (931) 551-1795

Bell, Nellie 1411 N Race Street Glasgow, KY 42141 (270) 651-9755

121 Hillcrest Drive Clarksville, TN 37043 (931) 551-1795

Boone County

793 Weatherly Drive Clarksville, TN 37043 (931) 551-1795 111 Highway 70 E Dickson, TN 37055 (931) 551-1795 545 Stonecrest Parkway Smyrna, TN 37167 (931) 551-1795 Olsen, Annette 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Robinson, Katherine 5002 Crossing Circle Suite 110 Mount Juliet, TN 37122 (931) 551-1795

Centner, Robin 4900 Houston Road Florence, KY 41042 (859) 212-5125 Kramer, Mary K 1 Medical Village Drive Florence, KY 41042 (859) 301-7383 Morelli, Paula A 4900 Houston Road Florence, KY 41042 (859) 212-7700 Willmarth, Melissa 7380 Turfway Road Florence, KY 41042 (859) 212-5200

Boyd County Burchett, Karen Rene 1101 Saint Christopher Drive Suite 280 Ashland, KY 41101 (877) 214-4267

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Jenkins, Damara L 1905 W Hebron Lane Suite 205 Shepherdsville, KY 40165 (877) 349-1411

Campbell County Centner, Robin 140 Plaza Drive Cold Spring, KY 41076 (859) 844-5555 Erdman, Elisabeth E 140 Plaza Drive Cold Spring, KY 41076 (859) 844-5555 Morelli, Paula A 85 N Grand Avenue Fort Thomas, KY 41075 (859) 781-2210 Willmarth, Melissa 85 N Grand Avenue Fort Thomas, KY 41075 (859) 572-3232 Zerhusen, Shauna M 140 Plaza Drive Cold Spring, KY 41076 (859) 844-5555

Clark County Miller, Joanna 1122 McCann Drive Winchester, KY 40391 (859) 744-2623

Fayette County Courtney, Melissa H 121 Prosperous Place Suite 10 Lexington, KY 40509 (859) 338-8268

Isaac, Kathleen 2801 Palumbo Drive Suite 200 Lexington, KY 40509 (859) 278-8772

Morelli, Paula A 520 Violet Road Crittenden, KY 41030 (859) 428-1610 Willmarth, Melissa 520 Violet Road Crittenden, KY 41030 (859) 428-4600

1055 Wellington Wa Suite 125 Lexington, KY 40513 (859) 219-2844

Hopkins County

1055 Wellington Way Suite 125 Lexington, KY 40513 (859) 219-2844

Almon, Sarah 200 Clinic Drive Madisonville, KY 42431 (270) 825-7200

Juett, Noel 3213 Summit Square Place Suite 200 Lexington, KY 40509 (859) 381-1066

Fischels, Susan A 900 Hospital Drive Madisonville, KY 42431 (270) 825-5100

Morgan, Alicia 1720 Nicholasville Road Suite 702 Lexington, KY 40503 (859) 264-8811 Schadler, Laure 1720 Nicholasville Road Suite 702 Lexington, KY 40503 (859) 264-8811 Shirey, Nancy 3213 Summit Square Place Suite 200 Lexington, KY 40509 (859) 381-1066 Willmarth, Melissa 1720 Nicholasville Road Suite 702 Lexington, KY 40503 (859) 264-8811

Franklin County Isaac, Kathleen 279 Kings Daughters Drive Suite 301 Frankfort, KY 40601 (502) 875-9122

Grant County Centner, Robin 520 Violet Road Crittenden, KY 41030 (859) 212-5125

Jefferson County Ward, Dorothy Sheila 401 East Chestnut Street Suite 410 Louisville, KY 40202 (502) 271-5999

Madison County Foster, Deborah A 311 Radio Park Drive Suite A Richmond, KY 40475 (859) 624-2010 Green, Nancy L 311 Radio Park Drive Suite A Richmond, KY 40475 (859) 624-2010 Higgins, Roberta 795 Eastern Bypass Building 2 Suite 5 Richmond, KY 40475 (859) 624-2229

Nelson County Alexander, Brenda 4359 New Shepherdsville Road Bardstown, KY 40004 (502) 350-5800

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Kentucky Spirit Health Plan Jenkins, Damara L 919 B Chambers Boulevard Bardstown, KY 40004 (502) 349-1411

Taylor County Wolfe, Karen 1698 Old Lebanon Road Suite 2b Campbellsville, KY 42718 (270) 465-3568

Warren County Lindsey, Leigh K 350 Park Street Suite 203 Bowling Green, KY 42101 (999) 999-9999 825 4th Avenue Bowling Green, KY 42101 (270) 783-3573 Lindsey, Leigh K * 350 Park Street Suite 203 Bowling Green, KY 42101 (270) 781-0075 Maxfield, Courtney 1805 Scottsville Road Bowling Green, KY 42104 (270) 781-3415

Webster County Fischels, Susan A 9086 State Route 132 West Clay, KY 42404 (270) 664-2526

Whitley County Hungerbuhler, Jennifer 1 Trillium Way Suite 200 Corbin, KY 40701 (606) 528-5527

Woodford County Isaac, Kathleen 159 Frankfort Street Versailles, KY 40383 (859) 879-6440 360 Amsden Avenue Suite 401 Versailles, KY 40383 (502) 875-9122

Indiana Jenkins, Damara L 301 Gordan Guttman Boulevard Jeffersonville, IN 47130 (812) 282-6114

Ohio Wells-Harris, Tiffany 1729 27th Street Building G Portsmouth, OH 45662 (740) 354-1434

Tennessee Drees, Lauren 2611 West End Avenue Suite 280 Nashville, TN 37203 (615) 936-5858

Long, Angela 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000 Smieja, Leilani 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Breckinridge County

Bell County

Emmick, Rosemary 1115 E Old Highway 60 Hardinsburg, KY 40143 (270) 756-6202

Virostko, Catherine 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Boyd County

Caldwell County

Leadingham, John 1330 Carter Avenue Ashland, KY 41101 (606) 325-9659

Talley, Daniel 101 E Shepherdson Street Princeton, KY 42445 (270) 365-6627

Wilson-Liverman, Angela 719 Thompson Lane Nashville, TN 37204 (615) 936-3606

Optometrist Kentucky Adair County

Holley, Sharon 2611 West End Avenue Suite 280 Nashville, TN 37203 (615) 936-5858

Allen County

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Ward, Stephen D 1407 N Race Street Glasgow, KY 42141 (270) 651-6652

Sanford-Howard, Lisa 1403 Cumberland Avenue Suite A Middlesboro, KY 40965 (606) 248-2549

Downey, Max 301 Burkesville Street Columbia, KY 42728 (270) 384-6043

Leezer, Claire 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Lawrence, Stephen 224 Highway 15 S Jackson, KY 41339 (606) 666-4585

Tennyson, Joanne 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Graham, Adelicia 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Keller, Nicole 3601 The Vanderbilt Clinic Nashville, TN 37232 (615) 322-3000

Rooney, George 108 Bravo Boulevard Glasgow, KY 42141 (270) 651-2181

Languages: Spanish

Breiwa, John 390 Old Gallatin Road Scottsville, KY 42164 (270) 237-5434

Boyle County Dobbins, Denise 100 Walton Avenue Danville, KY 40422 (859) 236-8093 Kowalik, Barry 100 Walton Avenue Danville, KY 40422 (859) 236-8093 Mayes, Steven 100 Walton Avenue Danville, KY 40422 (859) 236-8093 Smith, Kimberly 104 Smoky Way Suite 100 Danville, KY 40422 (859) 236-8644

Jeskie, John 390 Old Gallatin Road Scottsville, KY 42164 (270) 237-5434

Smith, Michael 1560 Hustonville Road Suite 205 Danville, KY 40422 (859) 236-8644

Barren County

Breathitt County

Price, William 108 Bravo Boulevard Glasgow, KY 42141 (270) 651-2181

Ellen, Louis 540 Jett Drive Jackson, KY 41339 (606) 666-9399

Sanders, Vaughn G 1115 E Old Highway 60 Hardinsburg, KY 40143 (270) 756-6202

Calloway County Adams, Kevin 308 S 12th Street Murray, KY 42071 (270) 759-2500 Hall, Benjamin 809 N 12th Street Murray, KY 42071 (270) 767-9300 Jarvis, Reed 1208 Johnson Boulevard Murray, KY 42071 (270) 759-1429

Carter County Nickell, Joel 187 Railroad Street Olive Hill, KY 41164 (606) 286-6010

Christian County Bastin, Robert 1016 S Main Street Hopkinsville, KY 42240 (270) 886-2293 Languages: Spanish

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Kentucky Spirit Health Plan Coats, Adam 2840 Bastogne Avenue Fort Campbell, KY 42223 (270) 640-4699

Seavers, Amy 5000 Frederica Street Suite 35 Sears Optical Owensboro, KY 42301 (270) 688-0786

Heltsley, John 1620 S Main Street Hopkinsville, KY 42241 (270) 886-6316

Shields, Michael S 221 Allen Street Owensboro, KY 42303 (270) 685-4966

Shafer, Patrick 300 Clinic Drive Hopkinsville, KY 42240 (270) 889-9006

Terry, Joseph W 3151 Leitchfield Road Owensboro, KY 42303 (270) 689-1901

Clay County

Edmonson County

Hunsaker, James S 231 White Street Manchester, KY 40962 (606) 598-2219

Coats, Adam 100 Park Place Suite 4 Brownsville, KY 42210 (270) 968-0203

Languages: Spanish

Crittenden County Porter, Adria 713 S Main Street Marion, KY 42064 (270) 965-5280 Talley, Daniel 713 S Main Street Marion, KY 42064 (270) 965-5280

Cumberland County Downey, Max 360 Keen Street Suite 300 Burkesville, KY 42717 (270) 864-2390 Languages: Spanish

Daviess County Adams, J 2672 Frederica Street Owensboro, KY 42301 (270) 683-2020 Jones, Roger I 411 Park Plaza Drive Owensboro, KY 42301 (270) 686-1937

Jackson, Jennifer 100 Park Place Suite 4 Brownsville, KY 42210 (270) 968-0203 Soderling, John 100 Park Place Suite 4 Brownsville, KY 42210 (270) 968-0203

Estill County Reynolds, William T 4235 Richmond Road Irvine, KY 40336 (606) 726-9321

Fayette County Callihan, Regina 120 N Eagle Creek Drive Suite 500 Lexington, KY 40509 (859) 263-3900 Crockett, Jason 2350 Regency Road Lexington, KY 40503 (859) 373-0300 2720 Old Rosebud Road Suite 110 Lexington, KY 40509 (859) 373-0300

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Findley, Howell 2353 Alexandria Drive Suite 350 Lexington, KY 40504 (859) 224-2655 Languages: French, German, Greek Guadalupe, Mejia 2459 Nicholasville Road Lexington, KY 40503 (859) 278-9486 Karpecki, Paul M 120 N Eagle Creek Drste 431 Lexington, KY 40509 (859) 263-4631 Mattson, Clay S 4051 Nicholasville Road Lexington, KY 40503 (859) 272-1422 500 W New Circle Road Lexington, KY 40511 (859) 225-4657 Overley, Alison 1401 Harrodsburg Road Suite B 75 Lexington, KY 40504 (859) 278-9393 Reynolds, William T 114 E Reynolds Road Lexington, KY 40517 (859) 272-2449

Franklin County Munson, Karoline L 643 Comanche Trail Frankfort, KY 40601 (502) 227-4508 Languages: Spanish

Graves County Byars, Robert 107 W Broadway Street Mayfield, KY 42066 (270) 247-5532

Grayson County Abney, Larry 31 Bobby Bland Way Leitchfield, KY 42754 (270) 230-0500

Hancock County Emmick, Rosemary 123 Eastwind Court Hawesville, KY 42348 (270) 756-6202

Hart County Andrews, Billy 1483 S Dixie Street Horse Cave, KY 42749 (270) 786-2085

Henderson County Schertzinger, John M 1195 Barrett Boulevard Henderson, KY 42420 (270) 685-4966

Novotny, Patrick 4801 Outer Loop Road Suite D648 Louisville, KY 40219 (502) 968-6860 7900 Shelbyville Road Suite A15 Louisville, KY 40222 (502) 327-8568 Parker, Carol 1536 Story Avenue Louisville, KY 40206 (502) 589-1500

Hopkins County

Snipes, Kevin 4801 Outer Loop Road Suite D648 Louisville, KY 40219 (502) 968-6860

French, Charles 1350 S Main Street Madisonville, KY 42431 (270) 821-6241

7900 Shelbyville Road Suite A15 Louisville, KY 40222 (502) 327-8568

Schertzinger, John M 1756 E Center Street Madisonville, KY 42431 (270) 821-6870

Stroud, Christopher 4004 Dupont Circle Louisville, KY 40207 (502) 897-1604

Jackson County

Languages: Hebrew, Spanish, Russian

Reynolds, William T Us 421 Mc Kee, KY 40447 (606) 287-8477

Jefferson County Grady, Susan 4801 Outer Loop Road Suite D648 Louisville, KY 40219 (502) 968-6860 7900 Shelbyville Road Suite A15 Louisville, KY 40222 (502) 327-8568 Lawrence, Stephen 1947 S Hurstbourne Parkway Louisville, KY 40220 (502) 499-2020

Jessamine County Ditto, David 104 Fairfield Drive Nicholasville, KY 40356 (859) 887-2441 Kroggel, Stacey 104 Fairfield Drive Nicholasville, KY 40356 (859) 887-2441 Mattson, Clay S 1024 N Main Street Nicholasville, KY 40356 (859) 881-5444

Johnson County Conley, Joe R 341 Court Street Paintsville, KY 41240 (606) 789-4675

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Kentucky Spirit Health Plan Costa, Angela F 327 Mayo Plaza Paintsville, KY 41240 (606) 789-2020 Languages: Spanish

Knox County Vickers, William H 215 N Allison Barbourville, KY 40906 (606) 546-4166

Laurel County Ball, Melissa R 356 McWhorter Street Suite 1 London, KY 40741 (606) 877-6585 Overley, Alison 975 S Laurel Road Suite B London, KY 40744 (606) 878-2020

Lee County Reynolds, William T 1073 Broadway Beattyville, KY 41311 (606) 464-8148

Lincoln County Brown-Murray, Tamela 713 E Main Street Stanford, KY 40484 (606) 365-3220 Nichols, Joshua 713 E Main Street Stanford, KY 40484 (606) 365-3220

Maloney, Chad M 2115 Lantern Ridge Drive Richmond, KY 40475 (859) 625-1004 Reynolds, Joseph 2115 Lantern Ridge Drive Richmond, KY 40475 (859) 625-1004 Reynolds, William T 201 Glades Road Berea, KY 40403 (859) 986-1060 1020 Gibsin Bay Drive Richmond, KY 40475 (859) 623-3358 205 Geri Lane Richmond, KY 40475 (849) 623-6643

Marshall County Hayes, Michael 310 W 5th Street Benton, KY 42025 (270) 527-9983

Mason County Gregory, Harold C 1360 Medical Park Drive Maysville, KY 41056 (606) 759-5341 Languages: Spanish, Armenian

McCracken County

Madison County

Sears Optical 5101 Hinkleville Road Paducah, KY 42001 (270) 442-3121

Anders, Michelle Paige 920 Barnes Mill Road Richmond, KY 40475 (859) 257-9787

Soderling, John 5101 Hinkleville Road Paducah, KY 42001 (270) 442-3121

Klutts, Fred 2115 Lantern Ridge Drive Richmond, KY 40475 (859) 625-1004

Monroe County Birge, Steven K 22 Executive Drive Tompkinsville, KY 42167 (270) 487-5741

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Morgan County

Perry County

Nickell, Joel 587 Main Street West Liberty, KY 41472 (606) 743-4111

Avery, Dwight 941 N Main Street Hazard, KY 41701 (606) 439-4010

Muhlenberg County

Vickers, William H 120 Daniel Boone Plaza Hazard, KY 41701 (606) 487-8949

Soderling, John 1601 W Everly Brothers Boulevard Central City, KY 42330 (270) 754-4515 Tarter, Larry 224 Hopkinsville Street Greenville, KY 42345 (270) 338-2400

Nelson County Cecil, Leslie 115 S 5th Street Bardstown, KY 40004 (502) 348-5125 Habash, Tessa 115 S 5th Street Bardstown, KY 40004 (502) 348-5125 McClellan, Robert 115 S 5th Street Bardstown, KY 40004 (502) 348-5125 Languages: Tagalog Patrick, Cristina 115 S 5th Street Bardstown, KY 40004 (502) 348-5125 Languages: Tagalog Patrick, Darren 115 S 5th Street Bardstown, KY 40004 (502) 348-5125 Languages: Tagalog

Ohio County Roberts, Mallory 1303 Main Street Beaver Dam, KY 42320 (270) 274-3294 Languages: Spanish

Pike County McCoy, Ronald G 419 Town Mountain Road Pikeville, KY 41501 (606) 432-5543

Pulaski County Brown-Murray, Tamela 2835 S Highway 27 Suite 196 Somerset, KY 42501 (606) 677-0377 Nichols, Joshua 2835 S Highway 27 Suite 196 Somerset, KY 42501 (606) 677-0377

Rowan County Mayo, Anthony J 129 W Main Street Morehead, KY 40351 (606) 784-5355

Scott County Guadalupe, Mejia 100 Vikram Path Georgetown, KY 40324 (502) 863-1782 Reynolds, William T 201 Champion Way Suite 03 Georgetown, KY 40324 (502) 863-2020

Simpson County Bray, Rhonda 1550 Nashville Road Franklin, KY 42134 (270) 598-8755

Price, William 1300 Bluegrass Road Franklin, KY 42135 (270) 651-2181 Rooney, George 1300 Bluegrass Road Franklin, KY 42135 (270) 651-2181

Taylor County Crockett, Jason 1800 Old Lebanon Road Campbellsville, KY 42718 (270) 789-2023

Todd County Murray, Paula P 81 Public Square Elkton, KY 42220 (270) 265-9036

Trigg County Sutherland, Scott 304 Main Street Cadiz, KY 42211 (270) 522-3263

Warren County Avery, Dwight 738 Chestnut Street Bowling Green, KY 42102 (270) 781-6366 Coats, Chad 952 Fairview Avenue Bowling Green, KY 42101 (270) 781-2220 Heltsley, Russell 2425 Scottsville Road Suite 114 Bowling Green, KY 42104 (270) 846-2500 Jeskie, John 811 Fairview Avenue Bowling Green, KY 42101 (270) 842-0383

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Kentucky Spirit Health Plan Price, William 1403 Andrea Circle Bowling Green, KY 42103 (270) 781-4909 Raley, James 150 Walton Avenue Bowling Green, KY 42104 (270) 781-1923

Indiana Seavers, Amy 201 W Iowa Street Evansville, IN 47710 (812) 424-2020

Pharmacy Kentucky Adair County

Rooney, George 1403 Andrea Circle Bowling Green, KY 42103 (270) 781-4909

Certacare INC 937 Campbellsville Road Columbia, KY 42728 (270) 385-9139

Wilkins, Justin 2625 Scottsville Road Suite 324 Bowling Green, KY 42104 (270) 846-0131

Columbia Pharmacy 803 Burkesville Street Columbia, KY 42728 (270) 384-2117

Washington County Cecconi, John W 108 Commercial Avenue Springfield, KY 40069 (859) 336-9388 Languages: Spanish, French, Greek,German

Wayne County Hesse, Matthew 258 Cumberland Crossing Monticello, KY 42633 (606) 348-3355 Sawyer, James 150 N Main Street Monticello, KY 42633 (606) 348-9392

Whitley County Corbin, Cynthia 60 S Steward Road Corbin, KY 40701 (606) 528-5434 Mackey, Robert E 281 N Commonwealth Avenue Corbin, KY 40701 (606) 528-1143

James Medical Pharmacy 1545 Campbellsville Road Columbia, KY 42728 (270) 385-9600 Nations Medicines 706 Jamestown Street Columbia, KY 42728 (270) 384-5874 Prescription Shoppe Pharmacy 808 Jamestown Street Columbia, KY 42728 (270) 384-2132

Rite Aid Pharmacy 01060 385 Old Gallatin Road Scottsville, KY 42164 (270) 237-3738 Stovalls Prescription Shop INC 202 S Court Street Scottsville, KY 42164 (270) 237-5402

Anderson County Kroger Pharmacy 1300 Anderson Crossing Drive Lawrenceburg, KY 40342 (502) 859-1772 Medstop Medical Pharmacy 753 W Broadway Lawrenceburg, KY 40342 (502) 839-3418 Rite Aid Pharmacy 03566 1000 Bypass South Lawrenceburg, KY 40342 (502) 839-3403

Ballard County

Allen County

Medcare Pharmacy & Home Medical 409 Court Street Wickliffe, KY 42087 (270) 335-3172

Carpenter Dent Drugs 117 E Public Square Scottsville, KY 42164 (270) 237-4446

Sutton Drugs 234 Broadway La Center, KY 42056 (270) 665-5192

Medical Center At Scottsville 456 Burnley Road Scottsville, KY 42164 (270) 622-2846

Barren County

Pharmacy Arts 31 Burnley Road Scottsville, KY 42164 (270) 618-4444

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Ely Drugs 415 Happy Valley Road Glasgow, KY 42141 (270) 651-8359 Fred's Pharmacy 502 E Happy Valley Street Cave City, KY 42127 (270) 773-2101

Glasgow Prescription Center 615 S L Rogers Wells Boulevard Glasgow, KY 42141 (270) 651-8889

Walgreens #7712 1001 W Main Street Glasgow, KY 42141 (270) 659-0146

Highland Pharmacy 301 Rogers Road Glasgow, KY 42141 (270) 629-4300

Bath Hometown Pharmacy INC 19 Miller Drive Owingsville, KY 40360 (606) 674-2423

Kmart Pharmacy3822 230 L Roger Wells Road Glasgow, KY 42141 (270) 651-7693 Med Care Pharmacy LLC Glasgow 110 Physicians Boulevard Glasgow, KY 42141 (270) 651-2796 Medical Arts Pharmacy 1220 N Race Street Glasgow, KY 42141 (270) 651-7030 Park Avenue Pharmacy 131 Park Avenue Glasgow, KY 42141 (270) 651-5156

Bath County

Family Discount Drugs 60 Slate Avenue Owingsville, KY 40360 (606) 674-6979 Owingsville Drug Store 33 Miller Shopping Plaza Owingsville, KY 40360 (606) 674-6334

Bell County Food City Pharmacy 102 N 12th Street Middlesboro, KY 40965 (606) 248-7689 Jeffs Pharmacy 120 Lothbury Avenue Middlesboro, KY 40965 (606) 248-0171

Parkland Drugs 209 N Dixie Highway Cave City, KY 42127 (270) 773-3152

Kroger Pharmacy 515 N 12th Street Middlesboro, KY 40965 (606) 248-2093

Pharmacy Express 415 S L Rogers Wells Boulevard Glasgow, KY 42141 (270) 651-7948

Middlesboro ARH Pharmacy 3600 W Cumberland Avenue Middlesboro, KY 40965 (606) 242-1366

Pharmerica 301 Industrial Drive Glasgow, KY 42141 (270) 659-0424 Rite Aid Pharmacy 04006 704 Happy Valley Road Glasgow, KY 42141 (270) 629-6337

Mikels Pharmacy 1928 Cumberland Avenue Middlesboro, KY 40965 (606) 248-1052 Peoples Choice Pharmacy 3004 Cumberland Avenue Suite 101 Middlesboro, KY 40965 (606) 246-2001 Optometrist

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Kentucky Spirit Health Plan Pineville Hospital Out-Pat Pharmacy 850 Riverview Avenue Pineville, KY 40977 (606) 337-4240 Pineville Pharmacy 114 Pine Sreet Pineville, KY 40977 (606) 523-5670 Rite Aid Pharmacy 01657 116 N Pine Street Pineville, KY 40977 (606) 337-6548 Rx Discount Pharmacy #7 1841 N 25th Street Extension Middlesboro, KY 40965 (606) 248-9330 Todds Ltc Pharmacy PLLC 120 Lothbury Avenue Middlesboro, KY 40965 (606) 248-0171 Walgreens #13034 528 W Tennessee Avenue Pineville, KY 40977 (606) 337-1444

Boone County Burlington Pharmacy Health Care 5555 N Bend Road Burlington, KY 41005 (859) 586-6700 CVS Pharmacy 8453 US Highway 42 Florence, KY 41042 (859) 283-5362 Kroger Limited Partnership I 635 Chestnut Drive Walton, KY 41094 (859) 669-1620 Kroger Pharmacy 1751 Patrick Drive Burlington, KY 41005 (859) 586-4692

7747 Mall Road Florence, KY 41042 (859) 525-0391 9950 Berberich Drive Florence, KY 41042 (859) 372-3490 3105 N Bend Road Hebron, KY 41048 (859) 962-4920 8825 US Route 42 Union, KY 41091 (859) 384-7936 Med Care Pharmacy LLC 350 Aristocrat Drive Florence, KY 41042 (859) 689-7130 Meijer Pharmacy #151 4990 Houston Road Florence, KY 41042 (859) 746-6310 Remke Pharmacy 6920 Burlington Pike Sr 18 Florence, KY 41042 (859) 283-2730 Remke Pharmacy #11 1952 N Bend Road Hebron, KY 41048 (859) 689-6416 Ruwe Family Pharmacy Florence 7220 Burlington Pike Florence, KY 41042 (859) 746-2880 7220 Burlington Pikee Florence, KY 41042 (859) 746-2800 Sams Pharmacy 4949 Houston Road Florence, KY 41042 (859) 283-5510 Target Pharmacy 1100 Hansel Avenue Florence, KY 41042 (859) 371-2245

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Walgreens #5763 8193 Mall Road Florence, KY 41042 (859) 525-6220

Gallaher's Pharmacy 2914 Blackburn Avenue Ashland, KY 41101 (606) 329-2122

Walgreens #6642 1747 Patrick Drive S Burlington, KY 41005 (859) 586-5700

Healthy Way Pharmacy Cedarknoll 1410 Eagle Drive Ashland, KY 41102 (606) 928-1001

Walgreens #9162 6617 Dixie Highway Florence, KY 41042 (859) 342-6122 Walgreens #9360 8820 US 42 Florence, KY 41042 (859) 488-0881 Walton Pharmacy 305 Mary Grubbs Highway Walton, KY 41094 (859) 485-7733

Bourbon County Medicine Stop Pharmacy 1339 S Main Street Paris, KY 40361 (859) 987-4023 Rite Aid Pharmacy 03914 103 Ash Drive Paris, KY 40361 (859) 987-1210 Wilson Drug INC 2015b S Main Street Paris, KY 40361 (859) 987-5255

Boyd County Ashland Bellefonte Cancer Center 122 Saint Christopher Drive Ashland, KY 41101 (606) 836-0202 Boyd County Pharmacy 12544 US Route 60 Ashland, KY 41102 (606) 929-5301

Kroger Pharmacy 370 Diedrich Boulevard Ashland, KY 41101 (606) 325-0611

Boyle County Bluegrass Drug Store 104 Ponder Court Suites E And F Danville, KY 40422 (859) 236-3535 Ephraim McDowell Regional Medical Center 217 S 3rd Street Danville, KY 40422 (859) 239-1706

711 Martin Luther King Jr Boulevard Ashland, KY 41101 (606) 324-7119

Good Neighbor Pharmacy 60 Cassady Avenue Danville, KY 40422 (859) 936-1222

McMeans Pharmacy 2920 Carter Avenue Ashland, KY 41101 (606) 325-8400

Kroger Pharmacy 200 Skywatch Drive Danville, KY 40422 (859) 236-0408

Med Care Pharmacy LLC 12270 Kevin Drive Ashland, KY 41102 (606) 929-9633

Medicine Shoppe 900 Hustonville Road Danville, KY 40422 (859) 238-0002

Medical Plaza Pharmacy 700 Saint Christopher Drive Ashland, KY 41101 (606) 833-3510 Rite Aid Pharmacy 00962 1203 13th Street Ashland, KY 41101 (606) 324-7149 Rite Aid Pharmacy 01737 Us 23 At 35th Street Catlettsburg, KY 41129 (606) 739-4432 Rite Aid Pharmacy 01755 933 Blackburn Avenue Ashland, KY 41101 (606) 324-0372

Bracken County Deans Pharmacy INC 109 Locust Street Brooksville, KY 41004 (606) 735-2322 Reynolds Pharmacy 216 Main Street Augusta, KY 41002 (606) 756-2204

Breathitt County Breathitt Prescription Center 1112 Main Street Jackson, KY 41339 (606) 666-7574 Family Pharmacy of Jackson 265 Highway 15 S Jackson, KY 41339 (606) 666-5519

Wal-Mart Pharmacy 12504 US Route 60 Ashland, KY 41102 (606) 929-9360 Pharmacy

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Kentucky Spirit Health Plan Hometown Pharmacy 95 Jackson Heights Drive Jackson, KY 41339 (606) 666-5500

Medica Pharmacy 181 Highway 44 East Shepherdsville, KY 40165 (502) 543-2423

Jackson Apothecary 842 Highway 15 North Jackson, KY 41339 (606) 666-7060

Rite Aid Pharmacy 01047 634 N Bardstown Road Mt Washington, KY 40047 (502) 538-8275

Rite Aid Pharmacy 03216 59 Highway 15 North Jackson, KY 41339 (606) 666-2883

Breckinridge County Save Rite Drugs INC 14020 E Highway 60 Irvington, KY 40146 (270) 547-2855 Taylor Pharmacy 109 Fairgrounds Road Hardinsburg, KY 40143 (270) 756-5222 Towne and Country Pharmacy INC 675 E Highway 60 Hardinsburg, KY 40143 (270) 756-2151

Bullitt County Beelers Drug Store 11715 S Preston Highway Lebanon Junction, KY 40150 (502) 833-4831 Kroger Pharmacy 234 Eastbrooke Drive Mt Washington, KY 40047 (502) 538-1241 185 Adam Shepherd Parkway Shepherdsville, KY 40165 (502) 543-7247

Rite Aid Pharmacy 04645 445 Highway 44 East Shepherdsville, KY 40165 (502) 543-2355 Valumarket Pharmacy 205 Oakbrooke Drive Mt Washington, KY 40047 (502) 538-6649 Walgreens #10207 152 N Buckman Street Shepherdsville, KY 40165 (502) 543-2202 Walgreens #9225 11099 Highway 44 E Mount Washington, KY 40047 (502) 538-3190

Butler County King Drug and Home Care 255 W Gl Smith Street Morgantown, KY 42261 (270) 526-6980 Morgantown Prescription Center INC 211 S Main Street Morgantown, KY 42261 (270) 526-3332 Rite Aid Pharmacy 03208 205 W G L Smith Street Morgantown, KY 42261 (270) 526-5615

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Caldwell County Corner Homecare Ltc 700 Cassidy Avenue Fredonia, KY 42411 (270) 545-3413 Princeton Drug 103 W Main Street Princeton, KY 42445 (270) 365-5585

Calloway County Express Pharmacy 2800 Radio Road Almo, KY 42020 (270) 753-3634 Freds Pharmacy 928 S 12th Street Murray, KY 42071 (270) 753-1272 Kroger Pharmacy 808 N 12th Street Murray, KY 42071 (270) 759-1288 Medical Arts Pharmacy 300 S 8th Street Murray, KY 42071 (270) 753-2011 Murray Calloway Cnty Hosp Phcy 803 Poplar Street Murray, KY 42071 (270) 762-1394 Pharmacy INCorporated 82 Spruce Street Murray, KY 42071 (270) 762-0602 Pulmo Dose Pharmacy 104 Max Hurt Drive Murray, KY 42071 (270) 759-8889 Rite Aid Pharmacy 03562 1200 Main Street Murray, KY 42071 (270) 753-8304

Walter's Family Pharmacy 604 S 12th Street Murray, KY 42071 (270) 753-7688

Campbell County Alexandria Drugs 7857 US Highway 27 Alexandria, KY 41001 (859) 635-2171 Avenue Pharmacy 118 6th Avenue Dayton, KY 41074 (859) 491-1700 Good Health Pharmacy 100 Crossing Drive Wilder, KY 41076 (859) 442-0900

Target Pharmacy 160 Pavilion Parkway Newport, KY 41071 (859) 814-0141 Walgreens #11495 1 Viewpoint Drive Alexandria, KY 41001 (859) 263-0570 Walgreens #4284 2840 Alexandria Pike Highland Heights, KY 41076 (859) 781-0566 Walgreens #7346 1601 Monmouth Street Newport, KY 41071 (859) 291-8114

Carlisle County

Kroger Pharmacy 53 Donnermeyer Drive Bellevue, KY 41073 (859) 431-5413

Bardwell Pharmacy 178 US Highway 51 N Bardwell, KY 42023 (270) 628-5445

70 Martha Layne Collins Cold Spring, KY 41076 (859) 781-6372

Medcare Pharmacy & Home Medical Us Highway 51 Arlington, KY 42021 (270) 655-6151

Meijer Pharmacy #168 5400 Alexandria Pike Cold Spring, KY 41076 (859) 448-4210 Newport Drug Center 948 York Street Newport, KY 41071 (859) 291-2578 Remke Pharmacy #9 82 Carothers Road Newport, KY 41071 (859) 655-2241 Ruwe Family Pharmacy Bellevue 103 Landmark Drive Bellevue, KY 41073 (859) 291-8665 Ruwe Family Pharmacy-Paul J Ruwe, INC-Bellevue 103 Landmark Drive Bellevue, KY 41073 (859) 291-8665

Carroll County Kroger Pharmacy 2549 Highway 227 Carrollton, KY 41008 (502) 732-5008 Rite Aid Pharmacy 03936 204 Park Avenue Carrollton, KY 41008 (502) 732-4392 Wal-Mart Pharmacy 200 Floyd Drive Carrollton, KY 41008 (502) 732-0378 Webster Drug INC 99 Park Lane Shopping Center Carrollton, KY 41008 (502) 732-4331

Pharmacy

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Kentucky Spirit Health Plan Carter County Carter Family Pharmacy 136 Jessica Lane Olive Hill, KY 41164 (606) 286-2029

Wesley Drug Company INC 535 Middleburg Street Liberty, KY 42539 (606) 787-5689

Walgreens #6104 2901 Fort Campbell Boulevard Hopkinsville, KY 42240 (270) 886-9418

Family Drug Center 110 Manchester Shopping Center Manchester, KY 40962 (606) 598-8831

Christian County

Wal-Mart Pharmacy 14800 Fort Campbell Boulevard Oak Grove, KY 42262 (270) 640-5848

H and N Drug INC 515 Memorial Drive Suite 2 Manchester, KY 40962 (606) 598-5025

Clark County

Pharmacare of Kentucky INC 1668 Highway 421 S Manchester, KY 40962 (606) 598-2432

Grayson Family Drug 131 S Carol Malone Boulevard Grayson, KY 41143 (606) 475-0232

Cayce's Eagle Way Pharmacy 211 Burley Avenue Hopkinsville, KY 42240 (270) 885-1220

Horton Brothers and Brown Pharmacy 128 E Main Street Grayson, KY 41143 (606) 474-5655

Cayces Pharmacy 1112 W 7th Street Hopkinsville, KY 42240 (270) 886-4466

Kmart Pharmacy7229 600 Cw Stevens Boulevard Grayson, KY 41143 (606) 474-8859 Medicine Cabinet Pharmacy 230 State Highway 2 Olive Hill, KY 41164 (606) 286-2035 Rite Aid Pharmacy 01743 100 S Carol Malone Boulevard Grayson, KY 41143 (606) 474-4470 Rite Aid Pharmacy 01812 410 W Tom T Hall Boulevard Olive Hill, KY 41164 (606) 286-2322

Casey County Hill Pharmacy INC 33 Trammel Street Liberty, KY 42539 (606) 787-8321 Rite Aid Pharmacy 02762 343 N Wallace Wilkinson Boulevard Liberty, KY 42539 (606) 787-5574

Crofton Pharmacy 110 E Main Street Crofton, KY 42217 (270) 424-8965 Jennie Stuart Mem Ctr Phcy 320 W 18th Street Hopkinsville, KY 42240 (270) 887-0191 Kroger Pharmacy 1213 Skyline Drive Hopkinsville, KY 42240 (270) 886-4594 Rite Aid Pharmacy 07890 2626 Fort Campbell Boulevard Hopkinsville, KY 42240 (270) 885-6025 Save More Drugs 2208 Fort Campbell Boulevard Hopkinsville, KY 42240 (270) 885-5515 Toms Family Pharmacy 815 Country Club Lane Hopkinsville, KY 42240 (270) 885-1524 Towne and Country Discount Drugs 3217 Lafayette Road Hopkinsville, KY 42240 (270) 885-6131

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Clark County Pharmacy 1520-B Boonesboro Road Winchester, KY 40391 (859) 744-3350 Home Convalescent Aids 1113 W Lexington Winchester, KY 40391 (859) 745-4445 Kroger Pharmacy 1661 Bypass 1958 Winchester, KY 40391 (859) 745-0802 Rite Aid Pharmacy 07920 104 Pedro Way Winchester, KY 40391 (859) 745-7870 Walgreens #10889 2045 Bypass Road Winchester, KY 40391 (859) 744-1377

Rite Aid Pharmacy 03916 560 Manchester Square Manchester, KY 40962 (606) 598-0414

Clinton County Central Kentucky Apothecary Dyer Drug Co 100 E Cumberland Street Albany, KY 42602 (606) 387-6444 Dyer Drug 100 E Cumberland Street Albany, KY 42602 (606) 387-6444

Clay County

Fred's Pharmacy 800 N Cross Street Albany, KY 42602 (606) 387-0320

Burning Springs Pharmacy 11901 N Highway 421 Manchester, KY 40962 (606) 599-8891

Shearer Drug 127 Foothills Avenue Suite 2 Albany, KY 42602 (606) 387-6616

Clay Discount Pharmacy 2734 S Highway 421 Manchester, KY 40962 (606) 598-0330

Crittenden County Glenns Apothecary 520 W Gum Marion, KY 42064 (270) 965-4101

Kb Pharmacy 320 S Main Street Marion, KY 42064 (270) 967-9007

Cumberland County Capps Pharmacy 331 Keen Street Burkesville, KY 42717 (270) 864-1606 Morgans Medicine PLLC 360 Keen Street Burkesville, KY 42717 (270) 864-2222

Daviess County Danhauer Drugs Co 330 Frederica Street Owensboro, KY 42301 (270) 684-2341 Don and Daisys Pharmacy Plus 720 W Byers Avenue Owensboro, KY 42303 (270) 683-2400 Emory Centre Pharmacy 527 Emory Drive Suite 7 Owensboro, KY 42301 (270) 684-0649 King Drug and Home Care 1156 Carter Road Owensboro, KY 42301 (270) 683-7010 Kroger Pharmacy 1670 Starlight Drive Owensboro, KY 42301 (270) 926-2340 2630 Frederica Street Owensboro, KY 42301 (270) 926-4977 2308 E 4th Street Owensboro, KY 42303 (502) 926-7751 Lincoln Pharmacy INC 2816 Veach Road Owensboro, KY 42301 (270) 684-7278 Pharmacy

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Kentucky Spirit Health Plan Nations Medicines 415 Carter Road Owensboro, KY 42301 (270) 685-0557 3000 Alvey Park Drive Owensboro, KY 42303 (270) 926-4080 3030 Burlew Boulevard Suite B Owensboro, KY 42303 (270) 685-4931 Pooles Pharmacy Care 2200 E Parrish Avenue Owensboro, KY 42303 (270) 926-6260 Rite Aid Pharmacy 02471 1921 W Parrish Avenue Owensboro, KY 42301 (270) 683-0223

Whitesville Drug Store INC 10053 Main Street Whitesville, KY 42378 (270) 233-4166

Rite Aid Pharmacy 03943 110 Richmond Road Irvine, KY 40336 (606) 723-2146

Genoa Healthcare 1351 Newtown Pike Building 5 Lexington, KY 40511 (859) 554-4187

Edmonson County

River Drive Pharmacy 223 River Drive Irvine, KY 40336 (859) 624-0898

Hubbard and Curry Pharmacy 2387 Professional Heights Drive Lexington, KY 40503 (859) 278-8408

Alford's Pharmacy 210 S Main Street Brownsville, KY 42210 (270) 597-1044 Edmonson Drugs 432 S Main Street Brownsville, KY 42210 (270) 597-2386 Prescription Shop 1571 Highway 259 N Brownsville, KY 42210 (270) 597-2181

Elliott County

Rite Aid Pharmacy 02655 1735 Scherm Road Owensboro, KY 42301 (270) 685-3143

Discount Drug Mart INC 121 S KY 7 Sandy Hook, KY 41171 (606) 738-5111

Rite Aid Pharmacy 02708 3026 E 4th Street Owensboro, KY 42303 (270) 684-9261

Healthy Way Pharmacy Route 7 Main Street Sandy Hook, KY 41171 (606) 738-4041

Rite Aid Pharmacy 03401 2440 New Hartford Road Owensboro, KY 42303 (270) 684-0205

Estill County

Target Pharmacy 5151 Frederica Street Owensboro, KY 42301 (270) 684-4362 Walgreens #11198 3312 KY 54 Owensboro, KY 42303 (270) 683-6422 Walgreens #7657 2318 Frederica Street Owensboro, KY 42301 (270) 686-7866

Estill Clinic Pharmacy 275 N Court Street Irvine, KY 40336 (606) 723-0044 Irvine Healthmart Pharmacy 905 Richmond Road Irvine, KY 40336 (606) 723-5446 Irvine White House Clinic Pharmacy 30 Stacy Lane Irvine, KY 40336 (606) 723-0665 Plaza Pharmacy 1220 Richmond Road Irvine, KY 40336 (606) 723-5315

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Fayette County Bluegrass Pharmacy 395 Elaine Drive Suite 110 Lexington, KY 40504 (859) 233-0731

Infusion Partners 2025 Regency Road Lexington, KY 40503 (859) 277-2013

Bondurants Pharmacy 1465 Village Drive Lexington, KY 40504 (859) 254-8852

Kentucky Clinic Pharmacy 740 S Limestone Street Lexington, KY 40536 (859) 323-5855

C & C Pharmacy 3122 Mapleleaf Drive Lexington, KY 40509 (859) 263-1220

Kmart Pharmacy4232 2520 Nicholasville Road Lexington, KY 40503 (859) 278-6029

Central Baptist Home Infusion 2100 Nicholasville Road Lexington, KY 40503 (800) 286-6197

Kroger Pharmacy 1060 Chinoe Road Suite 190 Lexington, KY 40502 (859) 335-2380

Commonwealth Eye Surgery Center 2353 Alexandria Suite 350 Lexington, KY 40504 (859) 224-2655

704 Euclid Avenue Lexington, KY 40502 (859) 266-3331

Corner Pharmacy LLC 1701 Alexandria Drive Suite C Lexington, KY 40504 (859) 309-1230

150 W Lowry Lane Suite 190 Lexington, KY 40503 (859) 276-2119 1808 Alexandria Drive Lexington, KY 40504 (859) 277-0767

CVS Pharmacy 3097 Todds Road Lexington, KY 40509 (859) 266-3202

1650 Bryan Station Road Suite 170 Lexington, KY 40505 (859) 293-6476

D and R Pharmacare Lexington 921 Beasley Street Suite 130 Lexington, KY 40509 (859) 299-2161

3101 Richmond Road Lexington, KY 40509 (859) 269-4637 1600 Leestown Road Suite 150 Lexington, KY 40511 (859) 259-0965

3175 Beaumont Centre Circle Lexington, KY 40513 (859) 219-1842 3650 Boston Road Lexington, KY 40514 (859) 223-0959 4750 Hartland Parkway Lexington, KY 40515 (859) 245-5855 4101 Tates Creek Lexington, KY 40517 (859) 272-2575 Lexington Clinic East Phcy 100 N Eagle Creek Drive Lexington, KY 40509 (859) 258-5562 Lexington Clinic Pharmacy 1221 S Broadway Street Lexington, KY 40504 (859) 258-4794 Lexington Fayette County Health Pharmacy 650 Newtown Pike Lexington, KY 40508 (859) 288-2478 Lincare Home Infusion Therapy 2514 Regency Road Suite 103 Lexington, KY 40503 (859) 278-7700 Medicine Cabinet Pharmacy 698 E New Circle Road Lexington, KY 40505 (859) 225-3784 Meijer Pharmacy #161 2155 Paul Jones Way Suite 100 Lexington, KY 40509 (859) 264-3010 Meijer Pharmacy #184 351 Meijer Way Suite 100 Lexington, KY 40503 (859) 219-3764

Pharmacy

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Kentucky Spirit Health Plan Office Park Pharmacy 1401 Harrodsburg Road Lexington, KY 40504 (859) 276-3905 Pasadena Pharmacy 280 Pasadena Drive Lexington, KY 40503 (859) 260-2469 Professional Pharmacy 3050 Harrodsburg Road Lexington, KY 40503 (859) 278-6449 Rite Aid Pharmacy 01015 3101 Clays Mill Road Lexington, KY 40503 (859) 223-9202 Rite Aid Pharmacy 02573 3735 Palomar Centre Drive Suite 80 Lexington, KY 40513 (859) 223-0701 Rite Aid Pharmacy 03347 130 W Louden Avenue Lexington, KY 40508 (859) 281-9660 Rite Aid Pharmacy 03910 878 E High Street Lexington, KY 40502 (859) 266-1171 Rite Aid Pharmacy 03912 1307 Winchester Road Lexington, KY 40505 (859) 254-4471 Rite Aid Pharmacy 03913 2284 Versailles Road Lexington, KY 40504 (859) 278-3471 Rite Aid Pharmacy 03921 3349 Tates Creek Road Lexington, KY 40502 (859) 266-0413

Rite Aid Pharmacy 03931 2700 Richmond Road Lexington, KY 40509 (859) 269-5396 Rite Aid Pharmacy 03947 1335 S Broadway Lexington, KY 40504 (859) 254-7777 Rite Aid Pharmacy 03949 3120 Pimlico Highway Lexington, KY 40517 (859) 273-7963 Rite Aid Pharmacy 03954 4101 Tates Creek Centre Drive Lexington, KY 40517 (859) 273-0222 Rite Aid Pharmacy 04041 2296 Executive Drive Lexington, KY 40505 (859) 294-4202 Rite Aid Pharmacy 07782 3813 Dylan Place Lexington, KY 40514 (859) 219-0102 Rite Aid Pharmacy 07842 6401 Polo Club Lane Lexington, KY 40509 (859) 294-0510 Rite Aid Pharmacy 07892 100 Malabu Drive Lexington, KY 40503 (859) 278-2087 Sams Pharmacy 1063 New Circle Road Ne Lexington, KY 40505 (859) 281-6615 The Pharmacy Shop 455 A Southland Drive Lexington, KY 40503 (859) 278-7282

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Thomas G Abell MD PSC 2720 Old Rosebud Road 110 Lexington, KY 40509 (859) 373-0300

Wheeler Pharmacy 336 Romany Road Lexington, KY 40502 (859) 266-1131

Walgreens #10206 2290 Nicholasville Road Lexington, KY 40503 (859) 276-1553

Flemingsburg Family Health Center Pharma 520 Elizaville Road Flemingsburg, KY 41041 (606) 845-0402

Walgreens #10776 2209 Richmond Road Lexington, KY 40502 (859) 269-8832 Walgreens #10801 2285 Versailles Road Lexington, KY 40504 (859) 254-0237 Walgreens #4892 2181 Harrodsburg Road Lexington, KY 40504 (859) 278-5461 Walgreens #5574 260 New Circle Road Ne Lexington, KY 40505 (859) 225-3418 Walgreens #7093 3001 Pink Pigeon Parkway Lexington, KY 40509 (859) 543-8228 Walgreens #9631 101 E Reynolds Road Lexington, KY 40517 (859) 272-0476 Walgreens #9857 110 Town Center Drive Lexington, KY 40511 (859) 288-2172 Wal-Mart Pharmacy 4051 Nicholasville Road Lexington, KY 40503 (859) 971-0583 500 W New Circle Road Lexington, KY 40511 (859) 381-1530 4230 Saron Drive Lexington, KY 40515 (589) 272-1201

Fleming County

Total Care Pharmacy 209 S Main Cross Street Flemingsburg, KY 41041 (606) 845-2101 Total Care Pharmacy #2 118 Clark Street Flemingsburg, KY 41041 (606) 845-3421

Floyd County Archer Clinic Pharmacy 400 University Drive Prestonsburg, KY 41653 (606) 886-1202 Betsy Layne Pharmacy 111 Hays Complex Highway 23 Betsy Layne, KY 41605 (606) 478-9474 Cme Iv 1152 Riverside Drive Prestonsburg, KY 41653 (606) 886-0333 Cooley Apothecary INC 128 N Lake Drive Prestonsburg, KY 41653 (606) 886-8106 Downtown Drug INC 90 Triangle Street Martin, KY 41649 (606) 285-0786 East Kentucky Drug 160 Conn Street Suite 2 Ivel, KY 41642 (606) 478-3784

Family Drug of Wheelwright 107 KY Route 306 Bypro, KY 41612 (606) 452-4134 Food City Pharmacy 429 University Drive Prestonsburg, KY 41653 (606) 889-9572 Harold Clinic Pharmacy 24 Pinhook Road Harold, KY 41635 (606) 478-1600 Lackey Pharmacy Route 550 At Millard Allen Drive Lackey, KY 41643 (606) 358-2661 McDowell Professional Pharmacy 9549 KY Highway 122 Mc Dowell, KY 41647 (606) 377-1088 Med Express Pharmacy 487 University Drive Prestonsburg, KY 41653 (606) 886-9320 Medical Center Pharmacy 5000 KY Route 321 Prestonsburg, KY 41653 (606) 886-8511 Medicine Market Pharmacy 10870 Main Street Martin, KY 41649 (606) 285-3400 Medzone Pharmacy 5291 Kentucky Route 321 Prestonsburg, KY 41653 (606) 889-9003 Mud Creek Clinic Pharmacy 7629 KY Route 979 Grethel, KY 41631 (606) 587-2232

Pharmacy

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Kentucky Spirit Health Plan Neighborhood Pharmacy 5230 KY Route 321 Suite 5 Prestonsburg, KY 41653 (606) 889-8570

Rite Aid Pharmacy 03939 101 Eastwood Shopping Center Frankfort, KY 40601 (502) 695-5626

Parkview Pharmacy 8274 KY Route 122 Minnie, KY 41651 (606) 377-2117

Rite Aid Pharmacy 04655 1303 US 127 S Suite 106 Frankfort, KY 40601 (502) 875-3425

Rite Aid Pharmacy 01607 103 Glynnview Plaza Prestonsburg, KY 41653 (606) 886-1255 Rite Aid Pharmacy 02290 152 Collins Circle Prestonsburg, KY 41653 (606) 886-3884 Rite Aid Pharmacy 02459 262 KY Route 122 Martin, KY 41649 (606) 285-9908 Value Med Pharmacy 334 N Lake Drive Prestonsburg, KY 41653 (606) 886-3030

Franklin County Capital Pharmacy and Medical Equipment 662 E Main Street Frankfort, KY 40601 (502) 223-2827 Kmart Pharmacy9503 1300 US 127 South Frankfort, KY 40601 (502) 875-5997 Kroger Pharmacy 1309 Suite H US Highway 127 South Frankfort, KY 40601 (502) 875-0127 302 Brighton Park Boulevard S C Frankfort, KY 40601 (502) 695-0918

Walgreens #9855 1300 US Highway 127 S Suite E Frankfort, KY 40601 (502) 233-3728 Walgreens #9856 385 Versailles Road Frankfort, KY 40601 (502) 695-7364 Waynes Pharmacy 1230 US 127 S Frankfort, KY 40601 (502) 875-2550

Fulton County Evans Drug Company 214 Lake Street Fulton, KY 42041 (270) 472-2421

Gallatin County

Grant County Grant County Drugs North 375 A Violet Road Crittenden, KY 41030 (859) 428-3784 Grant County Drugs INC 24 S Main Street Dry Ridge, KY 41035 (859) 823-5271 Grant County Drugs Williamstown 302 Barnes Road Williamstown, KY 41097 (859) 824-4239 Total Care Pharmacy 105 Spears Lane Crittenden, KY 41030 (859) 428-0900 40 Broadway Dry Ridge, KY 41035 (859) 823-0200

Graves County Apothecary Shoppe INC 1520 Cuba Road Mayfield, KY 42066 (270) 247-3111

Beringer Drug Store INC 102 W Main Street Suite A Warsaw, KY 41095 (859) 567-4601

Duncan Clinic Pharmacy 1111 Medical Center Circle Mayfield, KY 42066 (270) 247-7000

Garrard County

Duncan Prescription Center 315 W Broadway Street Mayfield, KY 42066 (270) 247-3345

Rite Aid Pharmacy 00151 154 Pleasant Retreat Drive Lancaster, KY 40444 (859) 792-4013 Sutton Pharmacy 330 W Maple Avenue Lancaster, KY 40444 (859) 792-4703

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Gibsons Discount Pharmacy 715 E Broadway Street Mayfield, KY 42066 (270) 247-7300 Stones Drug INC 414 S 9th Street Mayfield, KY 42066 (270) 247-3232

Walgreens #12090 635 S 6th Street Mayfield, KY 42066 (270) 247-2272

Grayson County Clarkson Drug Store 201 Millerstown Street Clarkson, KY 42726 (270) 242-3811 Midway Pharmacy 9847 Elizabethtown Big Clifty, KY 42712 (270) 242-4344 408 E Maple Street Caneyville, KY 42721 (270) 879-6355 627 W Main Street Clarkson, KY 42726 (270) 242-2331 908 Wallace Avenue Leitchfield, KY 42754 (270) 259-8400 Rite Aid Pharmacy 00494 515 S Main Street Leitchfield, KY 42754 (270) 259-5720 Walgreens 311 N Main Street Leitchfield, KY 42754 (270) 259-2474

Green County Eastridge-Phelps Pharmacy Greensburg 1915 Campbellsville Road Greensburg, KY 42743 (270) 299-2333 Health First Pharmacy 407 D Columbia Highway Greensburg, KY 42743 (270) 299-2467 Rite Aid Pharmacy 02457 603 Columbia Highway Greensburg, KY 42743 (270) 932-4518

Greenup County McDonald Pharmacy 437 James Hannah Drive South Shore, KY 41175 (606) 932-3614 Rite Aid Pharmacy 03567 1900 Argillite Road Flatwoods, KY 41139 (606) 836-2498 Stultz Pharmacy 2420 Argillite Road Suite A Flatwoods, KY 41139 (606) 834-1052 1615 Ashland Road Greenup, KY 41144 (606) 473-7346 The Wright Pharmacy INC 82 Biggs Lane South Shore, KY 41175 (606) 932-2202

Hardin County Adio Pharmacy 150 Raleigh Drive Elizabethtown, KY 42701 (270) 234-8111 Apothecare Pharmacy II At Cardinal 908 Woodland Drive Elizabethtown, KY 42701 (270) 982-0303 Apothecare Pharmacy Iii 189 E Lincoln Trail Boulevard Radcliff, KY 40160 (270) 352-0303 Apothecare Phcy of Elizabethtown 1239 Woodland Drive Elizabethtown, KY 42701 (270) 739-0303

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Kentucky Spirit Health Plan Etown Infusion Pharmacy LLC 914 N Dixie Avenue Suite 101 Elizabethtown, KY 42701 (270) 506-2463 Etown Pharmacy 914 N Dixie Avenue Suite 103 Elizabethtown, KY 42701 (270) 900-1583 Jeffs Prescription Shop 2415 Ring Road Elizabethtown, KY 42701 (270) 765-2157 Kmart Pharmacy4753 1809 N Dixie Avenue Elizabethtown, KY 42701 (270) 737-4014 Kroger Pharmacy 111 Towne Drive Elizabethtown, KY 42701 (270) 737-1710 3040 Dolphin Drive Elizabethtown, KY 42701 (270) 737-4578 Nations Medicine 790 N Dixie Avenue Elizabethtown, KY 42701 (270) 737-7880 Rite Aid Pharmacy 02657 508 W Dixie Avenue Elizabethtown, KY 42701 (270) 769-3367 Sam's Pharmacy 1500 Ring Road Elizabethtown, KY 42701 (270) 763-0755

Save-Rite Drugs Radcliff 990 S Dixie Boulevard Suite 6 Radcliff, KY 40160 (270) 351-3784 Walgreens 550 W Dixie Avenue Elizabethtown, KY 42701 (270) 982-3088 Walgreens #2225 1008 N Mulberry Street Elizabethtown, KY 42701 (270) 769-0753

Harlan Medical Center Pharmacy 132 Village Center Harlan, KY 40831 (606) 573-2004 Rite Aid Pharmacy 01377 2307 E Main Street Cumberland, KY 40823 (606) 589-2234 Tri Cities ARH Clinic Pharmacy 18880 N US 119 Cumberland, KY 40823 (606) 589-2602

Harrison County

Walgreens #4123 1602 N Dixie Highway Elizabethtown, KY 42701 (270) 737-3716

Clinic Pharmacy LLC 1210 KY Highway 36 E Cynthiana, KY 41031 (859) 234-2777

Wal-Mart Pharmacy 1165 Wal-Mart Way Radcliff, KY 40160 (270) 352-2730

Eastside Pharmacy of Cynthiana INC 430 E Pleasant Street Cynthiana, KY 41031 (859) 234-6800

Harlan County Clover Fork Clinic Pharmacy 101 Chad Street Evarts, KY 40828 (606) 837-2100 Cumberland Drug Co 1803 E Main Street Cumberland, KY 40823 (606) 589-0003 Donells Pharmacy 40 W Highway 72 Baxter, KY 40806 (606) 573-4550 Food City Pharmacy 2478 Woodland Plaza Harlan, KY 40831 (606) 573-7200 Harlan ARH Pharmacy 81 Ball Park Road Harlan, KY 40831 (606) 574-8017

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Hometown Pharmacy of Cynthiana 1134 US Highway 27 S Cynthiana, KY 41031 (859) 234-5600 Rite Aid Pharmacy 03938 629 US Highway 27 South Cynthiana, KY 41031 (859) 234-6111 Your Pharmacy 208 W Pleasant Street Cynthiana, KY 41031 (859) 234-5400

Hart County Branstetter Pharmacy 141 E Main Street Horse Cave, KY 42749 (270) 786-2466 Clark Drugs 232 Main Street Munfordville, KY 42765 (270) 524-3669

Fred's Pharmacy 1181 Main Street Munfordville, KY 42765 (270) 524-0020

Walgreens #7925 402 2nd Street Henderson, KY 42420 (270) 869-1746

Rite Aid Pharmacy 02679 394 N Dixie Street Horse Cave, KY 42749 (270) 786-1147

Henry County

Rite Aid Pharmacy 03350 600 N Main Street Munfordville, KY 42765 (270) 524-3081

Henderson County Barrys Pharmacy INC 700 N Green Street Henderson, KY 42420 (270) 826-3957 Dunaways Imperial Phcy 110 Third Street Henderson, KY 42420 (270) 826-6565 Kmart Pharmacy3688 2606 Zion Road Henderson, KY 42420 (270) 827-4151 Omnicare of Henderson Kentucky 1900 US Highway 41 North Henderson, KY 42420 (270) 826-6790 Rite Aid Pharmacy 03559 1355 Second Street Henderson, KY 42420 (270) 827-9857 Rite Aid Pharmacy 03926 517 N Green Street Henderson, KY 42420 (270) 827-1897 T and T Drugs INC 1331 Clay Street Henderson, KY 42420 (270) 827-3503

Cooks Pharmacy 8154 Main Street Campbellsburg, KY 40011 (502) 532-7388 16 S Main Street New Castle, KY 40050 (502) 845-2803 Cooks Pharmacy INC 42 S Penn Avenue Eminence, KY 40019 (502) 845-4216

Hickman County Perkins Pharmacy 119 E Clay Street Clinton, KY 42031 (270) 653-5361

Hopkins County Bluegrass Ltc Pharmacy 1128 N Main Street Suite 3 Madisonville, KY 42431 (270) 821-7335 Bluegrass Pharmacy 1128 N Main Street Madisonville, KY 42431 (270) 825-2775 Don Peeler Pharmacy 127 E N Street Madisonville, KY 42431 (270) 821-5440 Hanson Pharmacy and Wellness Center 7455 Hanson Road Hanson, KY 42413 (270) 322-1234 Hometown Rx 728 S Main Madisonville, KY 42431 (270) 821-8500

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Kentucky Spirit Health Plan King Drug and Home Care 444 S Main Street Madisonville, KY 42431 (270) 821-4999 Kroger Pharmacy 545 Island Ford Road Madisonville, KY 42431 (270) 821-0692 Madisonville Pharmacy INC 200 Clinic Drive Madisonville, KY 42431 (270) 824-2264 Rite Aid Pharmacy 03560 86 Madison Square Madisonville, KY 42431 (270) 821-5811 Walgreens #11394 1801 N Main Street Madisonville, KY 42431 (270) 821-0377

White House Clinic Pharmacy 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104

Jefferson County Audubon Pharmacy 2355 Poplar Level Road Louisville, KY 40217 (502) 371-1002 Commons Community Pharmacy 9407 Norton Commons Boulevard Prospect, KY 40059 (502) 614-7325 Compound Care Pharmacy 12121 Shelbyville Road Suite 107 Louisville, KY 40243 (502) 244-6500

6400 Dutchmans Parkway Suite 140 Louisville, KY 40205 (502) 259-5050

2710 W Broadway Street Louisville, KY 40211 (502) 778-3348

Family Health Center Pharmacy 2215 Portland Avenue Louisville, KY 40212 (502) 774-8631

520 N 35th Street Louisville, KY 40212 (502) 776-3765

Hctc Pharmacy 1009a N Dupont Square Louisville, KY 40207 (502) 894-9951 Kentuckiana Pain Specialists 2831 S Hurstbourne Parkway Louisville, KY 40220 (502) 995-4004 Kmart Pharmacy3057 4025 Poplar Level Road Louisville, KY 40213 (502) 458-3274

Walgreens #12587 679 S Main Street Madisonville, KY 42431 (270) 825-1541

Cox Drug Store 5005 Preston Highway Suite 104 Louisville, KY 40213 (502) 969-2341

Woodburn Pharmacy 400 E Arcadia Avenue Dawson Springs, KY 42408 (270) 797-2761

Coxs Variety and Pharmacy 4934 Manslick Road Louisville, KY 40216 (502) 364-0901

Jackson County

9843 3rd Street Road Louisville, KY 40272 (502) 933-8444

Kmart Pharmacy7288 191 Outer Loop Louisville, KY 40214 (502) 361-2501

CVS Pharmacy 2410 Bardstown Road Louisville, KY 40205 (502) 459-6563

Kroger Pharmacy 924 S Second Street Louisville, KY 40203 (502) 589-9394

D and R Pharmacare Louisville 4400 Ole Brickyard Circle Louisville, KY 40218 (502) 454-0803

2440 Bardstown Road Louisville, KY 40205 (502) 459-3248

Annville Pharmacy 78 Highway 3444 Suite 2 Annville, KY 40402 (606) 364-3113 Hometown Pharmacy of McKee INC 581 Main Street N Mc Kee, KY 40447 (606) 287-4719 Rite Aid Pharmacy 03270 551 Main Street North Mc Kee, KY 40447 (606) 287-7187

Efillrx 100 E Liberty Street Suite 700 Louisville, KY 40202 (502) 568-8830

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kmart Pharmacy4006 3911 Taylorsville Road Louisville, KY 40220 (502) 454-4668 Kmart Pharmacy4180 4915 Dixie Highway Louisville, KY 40216 (502) 448-9726

2200 Brownsboro Road Louisville, KY 40206 (502) 894-8759 3165 S 2nd Street Louisville, KY 40208 (502) 368-6153

4009 Poplar Level Road Louisville, KY 40213 (502) 454-4106 4211 S 3rd Street Louisville, KY 40214 (502) 363-3111 5533 New Cut Road Louisville, KY 40214 (502) 361-7238 3917 S 7th Street Road Louisville, KY 40216 (502) 447-3393 5244 Dixie Highway Louisville, KY 40216 (502) 448-8247 1265 Goss Avenue Louisville, KY 40217 (502) 634-0649 3616 Buechel Bypass Louisville, KY 40218 (502) 458-9511 4501 Outer Loop Louisville, KY 40219 (502) 969-2836 3039 Breckinridge Lane Louisville, KY 40220 (502) 454-6138 2219 Holiday Manor Louisville, KY 40222 (502) 394-9483 9812 Linn Station Road Louisville, KY 40223 (502) 327-0456 5001 Mud Lane Louisville, KY 40229 (502) 962-8022 9440 Old Brownsboro Road Louisville, KY 40241 (502) 425-8407

9501 Westport Road Louisville, KY 40241 (502) 425-5221 12450 Lagrange Road Louisville, KY 40245 (502) 241-6770 7509 Terry Road Louisville, KY 40258 (502) 935-5531 10645 Dixie Highway Louisville, KY 40272 (502) 937-0303 6900 Bardstown Road Louisville, KY 40291 (502) 239-2322 12611 Taylorsville Road Louisville, KY 40299 (502) 261-7042 9080 Taylorsville Road Louisville, KY 40299 (502) 499-7044 12501 Shelbyville Road Middletown, KY 40243 (502) 244-7960 5929 Timber Ridge Drive Prospect, KY 40059 (502) 292-2471 Lincare Home Infusion Therapy Pharmacy 5694 Shepherdsville Road Louisville, KY 40228 (502) 515-3500 Louisville Dermatology Clinic 13802 Lake Point Circle Suite 102 Louisville, KY 40223 (502) 245-4450 Louisville Orthopaedic Clinic 4130 Dutchmans Lane Louisville, KY 40207 (502) 897-1794 Med Care Pharmacy 11420 Watterson Court Louisville, KY 40299 (502) 297-8802

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Kentucky Spirit Health Plan Medical Towers Pharmacy 234 E Gray Street Suite Suite 140 Louisville, KY 40202 (502) 583-6777 Meijer Pharmacy #160 4500 S Hurstbourne Parkway Louisville, KY 40299 (502) 493-4910 Meijer Pharmacy #162 9905 Dixie Highway Louisville, KY 40272 (502) 995-2110 Meijer Pharmacy #164 4100 Towne Center Road Louisville, KY 40241 (502) 326-5210 Meijer Pharmacy #166 9500 Preston Highway Louisville, KY 40229 (502) 962-3710 Metco Pain Associates 4121 Dutchmans Lane Suite 606 Louisville, KY 40207 (502) 896-9877 Norton Cancer Institute Pharmacy Service 2355 Poplar Level Road Suite 302 Louisville, KY 40217 (502) 636-8088 Pca Pharmacy Corrections 2701 Chestnut Station Court Louisville, KY 40299 (502) 964-5359 Pharmacy Alternatives 1620 Eastpoint Parkway Louisville, KY 40223 (502) 245-4239 Pharmacy Plus 220 Abraham Flexner Way Louisville, KY 40202 (502) 561-3905

1850 Bluegrass Avenue Louisville, KY 40215 (502) 581-8713 Pharmerica 12100 Plantside Drive Louisville, KY 40299 (502) 266-0811 Qol Meds 2225 W Broadway Street Louisville, KY 40211 (502) 774-8299 2105 Crums Lane Louisville, KY 40216 (502) 448-2007 Rite Aid Pharmacy 04627 7500 Terry Road Louisville, KY 40258 (502) 935-6230 Rite Aid Pharmacy 04629 409 W Oak Street Louisville, KY 40203 (502) 585-4254

Rite Aid Pharmacy 04638 5601 Bardstown Road Louisville, KY 40291 (502) 239-6160 Rite Aid Pharmacy 04639 4149 Taylor Boulevard Louisville, KY 40215 (502) 375-9977 Rite Aid Pharmacy 04642 4721 Dixie Highway Shively, KY 40216 (502) 447-6550 Rite Aid Pharmacy 04644 701 Valley College Drive Louisville, KY 40272 (502) 933-3766 Rite Aid Pharmacy 04646 9459 Westport Road Louisville, KY 40241 (502) 425-8573

Rite Aid Pharmacy 04633 3012 Bardstown Road Louisville, KY 40205 (502) 458-2647

Rite Aid Pharmacy 04647 7700 Shepherdsville Road Louisville, KY 40219 (502) 968-7777

Rite Aid Pharmacy 04634 3805 Brownsboro Road Louisville, KY 40207 (502) 895-5411

Rite Aid Pharmacy 04648 8651 Preston Highway Louisville, KY 40219 (502) 969-1309

Rite Aid Pharmacy 04635 4000 Taylorsville Road Louisville, KY 40220 (502) 458-2611

Rite Aid Pharmacy 04849 4838 Poplar Level Road Louisville, KY 40213 (502) 969-1695

Rite Aid Pharmacy 04636 4315 Cane Run Road Louisville, KY 40216 (502) 447-1998

Rite Aid Pharmacy 07870 8014 Bardstown Road Louisville, KY 40291 (502) 239-1256

Rite Aid Pharmacy 04637 7118 Southside Drive Louisville, KY 40214 (502) 364-8054

Rx Crossroads 4500 Progress Boulevard Louisville, KY 40218 (502) 454-9013

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Sams Pharmacy 6622 Preston Highway Louisville, KY 40219 (502) 964-0342 1401 Alliant Avenue Louisville, KY 40299 (502) 267-4367 Simon's Prospect Apothecary 9217 US Highway 42 Prospect, KY 40059 (502) 228-4161 State Pharm 825 S 6th Street Louisville, KY 40203 (502) 583-5636 Target Pharmacy 3600 Mall Road Louisville, KY 40218 (502) 456-1441 7311 Jefferson Boulevard Louisville, KY 40219 (502) 968-9256 4640 Taylorsville Road Louisville, KY 40220 (502) 493-2732 4101 Towne Center Drive Louisville, KY 40241 (502) 412-2440 12975 Shelbyville Road Suite 100 Middletown, KY 40243 (502) 992-1238 4174 Westport Road St Matthews, KY 40207 (502) 992-1040 The Skin Group Dispensary 444 S 1st Street Suite 100 Louisville, KY 40202 (502) 814-1970 The Village Pharmacy 1100 E Market Street Louisville, KY 40206 (502) 596-1232

U of L Hlth Sciences Ctr 401 E Chestnut Street Unit 110 Louisville, KY 40202 (502) 852-6446 U of L Hlth Srvcs Belknap Campus Campus Health Services Belcamp Campus Louisville, KY 40292 (502) 852-6479 University of Louisville Hospital Facult 401 E Chestnut Street Louisville, KY 40202 (502) 587-2320 University of Louisville Hosptial Acb Ph 530 S Jackson Street Louisville, KY 40202 (502) 562-3571 Valu Market Pharmacy 7519 Outer Loop Louisville, KY 40228 (502) 231-2424 Valumarket Pharmacy 315 Whittington Parkway Louisville, KY 40222 (502) 327-8840 Vna Nazareth Home Care 5000 Commerce Crossing Drive Louisville, KY 40229 (502) 585-7677 Wagner Pharmacy INC 3113 S 4th Street Louisville, KY 40214 (502) 375-3800 Walgreens #10151 3700 Frankfort Avenue Louisville, KY 40207 (502) 899-9353 Walgreens #10560 6620 Bardstown Road Louisville, KY 40291 (502) 231-1310

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Kentucky Spirit Health Plan Walgreens #11664 4926 Cane Run Road Louisville, KY 40216 (502) 449-5168

Walgreens #3777 4240 Shelbyville Road Louisville, KY 40207 (502) 893-0457

Walgreens #6437 520 Lyndon Lane Lyndon, KY 40222 (502) 426-1048

Wishs Drugs #1 9615 Whipps Mill Road Lyndon, KY 40242 (502) 425-1146

Walgreens #11665 4310 Outer Loop Okolona, KY 40219 (502) 962-2876

Walgreens #4163 7338 Dixie Highway Louisville, KY 40258 (502) 937-6566

Walgreens #6443 990 Baxter Avenue Louisville, KY 40204 (502) 583-6089

Jessamine County

Food City Pharmacy 330 N Mayo Trail Paintsville, KY 41240 (606) 789-7116

Walgreens #12321 700 Algonquin Parkway Louisville, KY 40208 (502) 636-3441

Walgreens #4194 2021 Hikes Lane Louisville, KY 40218 (502) 451-0527

Walgreens #7064 9409 Shelbyville Road Louisville, KY 40222 (502) 426-5502

Drug Mart 104 Edgewood Plaza Drive Nicholasville, KY 40356 (859) 885-6056

Highlands Medical Office Phcy 713 Broadway Suite 101 Paintsville, KY 41240 (606) 789-3670

Walgreens #12322 810 Eastern Parkway Louisville, KY 40217 (502) 637-1249

Walgreens #4216 5201 S Third Street Louisville, KY 40214 (502) 367-6128

Kmart Pharmacy4827 334 N Mayo Trail Paintsville, KY 41240 (606) 789-3738

Walgreens #2538 3421 W Broadway Street Louisville, KY 40211 (502) 776-2512

Walgreens #4586 7914 Fegenbush Lane Louisville, KY 40228 (502) 231-1573

Walgreens #7315 13807 English Villa Drive Louisville, KY 40245 (502) 254-2343

Kroger Pharmacy 170 Bellerive Boulevard Nicholasville, KY 40356 (859) 219-2148 200 E Brannon Road Nicholasville, KY 40356 (859) 971-4303

Medicine Cabinet Pharmacy 515 Broadway Avenue Paintsville, KY 41240 (606) 789-9988

Walgreens #2924 2368 Frankfort Avenue Louisville, KY 40206 (502) 896-0781 Walgreens #3601 3800 Poplar Level Road Louisville, KY 40213 (502) 459-7226 Walgreens #3618 2800 S Hurstbourne Parkway Louisville, KY 40220 (502) 493-0832 Walgreens #3631 2420 Lime Kiln Lane Louisville, KY 40222 (502) 425-5760 Walgreens #3677 12101 Shelbyville Road Middletown, KY 40243 (502) 244-7035 Walgreens #3756 3980 Dixie Highway Louisville, KY 40216 (502) 447-8565 Walgreens #3776 1475 Dixie Highway Louisville, KY 40210 (502) 776-5184

Walgreens #4814 4800 Bardstown Road Louisville, KY 40291 (502) 491-5122 Walgreens #5001 2490 Bardstown Road Louisville, KY 40205 (502) 454-8084 Walgreens #5172 5400 New Cut Road Louisville, KY 40214 (502) 375-4255 Walgreens #5436 4025 Taylorsville Road Louisville, KY 40220 (502) 451-0100 Walgreens #5449 3600 Fern Valley Road Louisville, KY 40219 (502) 964-0906 Walgreens #5813 11930 Standiford Plaza Drive Louisville, KY 40229 (502) 961-5840 Walgreens #6171 5900 Timber Ridge Drive Prospect, KY 40059 (502) 228-3762

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Walgreens #7643 9801 Brownsboro Road Louisville, KY 40241 (502) 327-0376

995 S Main Street Nicholasville, KY 40356 (859) 881-9086

Walgreens #9005 200 Broadway E Louisville, KY 40202 (502) 568-4571

Rite Aid Pharmacy 02659 951 S Main Street Nicholasville, KY 40356 (859) 885-6094

Walgreens #9412 5100 Dixie Highway Louisville, KY 40216 (502) 447-3347 Walgreens #9524 10201 Dixie Highway Louisville, KY 40272 (502) 933-4001 Wal-Mart Pharmacy 3109 Poplar Level Road Louisville, KY 40213 (502) 636-0124 175 Outer Loop Louisville, KY 40214 (502) 361-8299 3706 Diann Marie Road Louisville, KY 40241 (502) 326-0805 Whitehead Drug Store 1502 S 7th Street Louisville, KY 40208 (502) 637-1489

Rite Aid Pharmacy 07856 1401 Keene Road Nicholasville, KY 40356 (859) 881-8922 Sams Pharmacy 140 Kohls Drive Nicholasville, KY 40356 (859) 881-1647 Sims Drug 319 E Main Street Wilmore, KY 40390 (859) 858-2453

Johnson County

Mountain Apothecary 834 S Mayo Trail Paintsville, KY 41240 (606) 789-6150 Rite Aid Pharmacy 03360 308 S Mayo Trail Paintsville, KY 41240 (606) 789-4950 Value Med Pharmacy 209 B N Mayo Trail Paintsville, KY 41240 (606) 789-5995

Kenton County Blank's Pharmacy 272 Pike Street Covington, KY 41011 (859) 261-1313

The Prescription Pad 465 Keene Centre Drive Nicholasville, KY 40356 (859) 887-2841

Cherokee Drug Shoppe 6439 Taylor Mill Road Independence, KY 41051 (859) 356-3121

Walgreens #9712 901 N Main Street Nicholasville, KY 40356 (859) 881-8203

Crestville Drugs 2446 Anderson Road Crescent Spgs, KY 41017 (859) 341-1660

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Kentucky Spirit Health Plan Ft Mitchell Drug Shoppe 2515 Dixie Highway Ft Mitchell, KY 41017 (859) 341-2000

Ruwe Family Pharmacy Latonia 3712 Winston Avenue Covington, KY 41015 (859) 261-0605

UK June Buchanan Pharmacy 59 Cowtown Road Hindman, KY 41822 (606) 785-3175

Kmart Pharmacy3029 3071 Dixie Highway Edgewood, KY 41017 (859) 331-6800

Save Discount Drugs 716 Madison Avenue Covington, KY 41011 (859) 431-2857

Knox County

Kroger Pharmacy 1525 Madison Avenue Covington, KY 41011 (859) 431-5566

Semc Medical Village Pharmacy 20 Medical Village Drive Edgewood, KY 41017 (859) 301-9025

4303 Winston Avenue Covington, KY 41015 (859) 655-0720 3158 Dixie Highway Erlanger, KY 41018 (859) 344-0434 2150 Dixie Highway Ft Mitchell, KY 41017 (859) 331-0078 1800 Declaration Drive Independence, KY 41051 (859) 363-9020 Ludlow Pharmacy 130 Elm Street Ludlow, KY 41016 (859) 261-2210 Nie's Pharmacy and Welness Center 11745 Madison Pike Independence, KY 41051 (859) 356-3941 Remke Pharmacy #4 5016 Old Taylor Mill Road Taylor Mill, KY 41015 (859) 655-3901 Ruwe Family Pharmacy Covington-Paul J Ruwe INC 434 Scott Street Covington, KY 41011 (859) 431-3304

Walgreens #10315 2005 Centennial Boulevard Independence, KY 41051 (859) 363-3605 Walgreens #13055 4299 Winston Avenue Covington, KY 41015 (859) 291-4722 Walgreens #2991 1026 Madison Avenue Covington, KY 41011 (859) 491-9840 Walgreens #3418 1975 Dixie Highway Ft Wright, KY 41011 (859) 331-5520 Walgreens #5548 3104 Dixie Highway Erlanger, KY 41018 (859) 426-0310

Knott County Napier Family Drug 47 W Main Street Hindman, KY 41822 (606) 785-3143 Rite Aid Pharmacy 01436 100 Holly Hills Mall Hindman, KY 41822 (606) 785-4960

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Bowling Family Pharmacy 315 Hospital Drive Suite 6 Barbourville, KY 40906 (606) 546-2210 Hinkle Hometown Drug Store INC 590 Old 25e Barbourville, KY 40906 (606) 546-8860 Knox Professional Pharmacy 511 Knox Street Barbourville, KY 40906 (606) 546-3171 Parkway Pharmacy 726 S US Highway 25 E Barbourville, KY 40906 (606) 546-3464 Rite Aid Pharmacy 03919 297 Terrell Lane Barbourville, KY 40906 (606) 546-9241 Wal-Mart Pharmacy 301 Parkway Plaza Barbourville, KY 40906 (606) 546-5477

Larue County Lincoln Parkway Pharmacy 117 Lincoln Drive Hodgenville, KY 42748 (270) 358-2117 Rite Aid Pharmacy 01344 415 N Lincoln Boulevard Hodgenville, KY 42748 (270) 358-3186

Smith Drug Company INC 104 N Lincoln Boulevard Hodgenville, KY 42748 (270) 358-3306

Laurel County Kmart Pharmacy7354 1710 W Highway 192 London, KY 40741 (606) 878-5532

Thompson Drug Downtown 803 Meyers Baker Road London, KY 40741 (606) 877-1008 Thompson Drug East Bernstadt 1088 Highway 490 East Bernstadt, KY 40729 (606) 843-2211

Kroger Pharmacy 1730 W Highway 192 London, KY 40741 (606) 878-1568

Thompson Drug Saddlebrook 575 W Laurel Road London, KY 40741 (606) 862-6261

Laurel Heights Nursing Home Phcy 208 W 12th Street London, KY 40741 (606) 864-4155

Thompson Drug South 975 S Laurel Road London, KY 40744 (606) 864-6324

Med-Mart Pharmacy 87 C V B Drive London, KY 40741 (606) 878-1200

Ulrich Medical Clinic 1655 E Highway 3094 East Bernstadt, KY 40729 (606) 843-2339

Plaza Drug 707 N Laurel Road London, KY 40741 (606) 864-2600

Walgreens #12152 1775 Highway 192 W London, KY 40741 (606) 877-2727

Plaza Drug Specialty Care 707 N Laurel Road Suite B London, KY 40741 (606) 877-2810

Louisa Drug Store 408 N Lock Avenue Louisa, KY 41230 (606) 638-4155

Rite Aid Pharmacy 03932 839 S Main Street London, KY 40741 (606) 864-7368

Rite Aid Pharmacy 00295 4311 Highway 2565 Louisa, KY 41230 (606) 638-3110

Stokes Family Medical Center 2880 Highway 30 Byp London, KY 40741 (606) 843-9440

Rite Value Pharmacy 2673 Highway 644 Suite 1 Louisa, KY 41230 (606) 638-9627

Thompson Discount Drug 810 E 4th Street London, KY 40741 (606) 878-7713

Riverview Pharmacy 201 S Water Street Louisa, KY 41230 (606) 638-9218

Lawrence County

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Kentucky Spirit Health Plan Lee County Omnicare of Beattyville 1071 Highway 11 N Beattyville, KY 41311 (606) 464-0941 Rite Aid Pharmacy 02777 31 Big Hill Drive Beattyville, KY 41311 (606) 464-2581 Stufflebean Pharmacy 1031 Grand Avenue Beattyville, KY 41311 (606) 464-3396 Village Apothecary 111 River Drive Beattyville, KY 41311 (606) 464-3656

Leslie County Hometown Pharmacy 130 Highway 80 Hyden, KY 41749 (606) 672-3084 Medicine Shoppe 22044 Main Street Hyden, KY 41749 (606) 672-8705 Rite Aid Pharmacy 02439 21287 Highway 421 Hyden, KY 41749 (606) 672-3811

Letcher County Family Drug of Neon 972 Highway 317 Neon, KY 41840 (606) 855-4428 Isom Community Pharmacy 93 Isom Plaza Isom, KY 41824 (606) 633-9238 Kyva Pharmacy 109 E Main Street Whitesburg, KY 41858 (606) 633-4488

Parkway Pharmacy 2354 Highway 15 Whitesburg, KY 41858 (606) 633-4435 Rite Aid Pharmacy 01540 2300 Highway 15 Whitesburg, KY 41858 (606) 632-1936 Rite Aid Pharmacy 02575 9485 Highway 805 Jenkins, KY 41537 (606) 832-2084 Superior Drug 251 C Medical Plaza Whitesburg, KY 41858 (606) 633-0197 Walmart Pharmacy 350 Whitesburg Plaza Whitesburg, KY 41858 (606) 633-0152 Whitesburg ARH Pharmacy 240 Hospital Road Whitesburg, KY 41858 (606) 633-3503 Whitesburg Pharmacy 246 Medical Plaza Lane Whitesburg, KY 41858 (606) 633-1335

Lewis County Lewis County Primary Care Cntr Phcy 211 KY 59 Vanceburg, KY 41179 (606) 796-2686 Noble's Pharmacy 162 Garrison Lane Garrison, KY 41141 (606) 757-3535 Osman Pharmacy 89 2nd Street Vanceburg, KY 41179 (606) 796-2932

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Professional Care Pharmacy 207 Plummers Lane Suite A Vanceburg, KY 41179 (606) 796-6100 Tollesboro Clinic Pharmacy 17521 W KY 9 Tollesboro, KY 41189 (606) 798-2072

Lincoln County Colemans Drug Store 105 W Main Street Stanford, KY 40484 (606) 365-2164 Rite Aid Pharmacy 03260 1261 N Highway 27 Stanford, KY 40484 (606) 365-9191 Stanford Drug INC 107 Metker Trail Suite D Stanford, KY 40484 (606) 365-2100

Livingston County Clinic Pharmacy of Ky 141 Hospital Drive Salem, KY 42078 (270) 988-3230 Glenns Prescription Center 119 E Main Street Salem, KY 42078 (270) 988-3226 Salem Clinic Pharmacy INC 141 Hospital Drive Salem, KY 42078 (270) 988-3230 Smithland Drugs 203 E Adair Street Smithland, KY 42081 (270) 928-2552

Logan County Gower Drug Store 328 N Main Street Lewisburg, KY 42256 (270) 755-4831

King Drug and Home Care 1405 Nashville Street Russellville, KY 42276 (270) 725-9027 Nations Medicine 432 Hopkinsville Road Russellville, KY 42276 (270) 726-8451

Kroger Pharmacy 890 Richmond Plaza Richmond, KY 40475 (859) 624-1093 Madison Drug 110 Big Hill Avenue Richmond, KY 40475 (859) 624-1565

Riley White Drugs 153 Nw Park Square Russellville, KY 42276 (270) 726-7626

Madison South Pharmacy 405 Richmond Road Berea, KY 40403 (859) 228-0010

Whitleys Pharmacy 501 N Main Russellville, KY 42276 (270) 726-9592

Medicine Shoppe 238 E Main Street Richmond, KY 40475 (859) 623-8900

Lyon County

Meijer Pharmacy #258 2013 Lantern Ridge Drive Richmond, KY 40475 (859) 575-5033

Lyon Drug Store 201 Main Street Eddyville, KY 42038 (270) 388-2236 McConnell's Drug Store 86 Cedar Street Kuttawa, KY 42055 (270) 388-7371

Madison County Berea Drug 402 Richmond Road Berea, KY 40403 (859) 986-4521 Berea Whitehouse Clinic Pharmacy 104 Legacy Drive Berea, KY 40403 (859) 986-2323 Bluegrass Family Pharmacy 2187 Lexington Road Richmond, KY 40475 (859) 624-9797 Knights Pharmacy 191 Glades Road Berea, KY 40403 (859) 986-0500

Professional Center Pharmacy 793 Eastern Bypass Richmond, KY 40475 (859) 623-8065 Richmond White House Clinic Phcy 401 Highland Park Richmond, KY 40475 (859) 626-7700 Rite Aid Pharmacy 03918 1115 Kim Kent Drive Richmond, KY 40475 (859) 623-5812 Rite Aid Pharmacy 03922 654 University Shopping Center Richmond, KY 40475 (859) 623-7326 Rite Aid Pharmacy 03935 310 Glades Road Berea, KY 40403 (859) 986-3103

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Kentucky Spirit Health Plan Magoffin County Clinic Pharmacy 789 Parkway Drive Salyersville, KY 41465 (606) 349-1700 Frazier's Prater Drug 200 Church Street Salyersville, KY 41465 (606) 349-3135 Garrys Pharmacy 441 Parkway Drive Salyersville, KY 41465 (606) 349-6135 Hope Family Pharmacy 835 Parkway Drive Salyersville, KY 41465 (606) 349-5124 Parkway Pharmacy 100 Brenna Boulevard Suite 100 Salyersville, KY 41465 (606) 349-4400 Rite Aid Pharmacy 01212 308 Parkway Drive Salyersville, KY 41465 (606) 349-1044

Marion County Adams Pharmacy 125 W Main Street Lebanon, KY 40033 (270) 692-9115 Kroger Pharmacy 705 E Main Street Lebanon, KY 40033 (270) 692-2123 Pats Pharmacy INC 498 W Main Street Lebanon, KY 40033 (270) 692-4950 Southall Pharmacy 325 W Walnut Street Lebanon, KY 40033 (270) 692-3111

Wal-Mart Pharmacy 180 Lebanon Trade Center Lebanon, KY 40033 (270) 692-1795

Marshall County Benton Pharmacy 2602 Main Street Benton, KY 42025 (270) 527-1409 Calvert City Pharmacy 888 E 5th Avenue Calvert City, KY 42029 (270) 395-4350 Draffenville Pharmacy 153 US Highway 68e Benton, KY 42025 (270) 527-1404 J & R Pharmacy 504 E 9th Street Benton, KY 42025 (270) 527-9374

Martin County Hometown Pharmacy Route 40 E Inez, KY 41224 (606) 298-7283 Inez Drug Store INC 6 Old Middle Fork Road Inez, KY 41224 (606) 298-3800 Rite Aid Pharmacy 00982 200 Rockcastle Road Inez, KY 41224 (606) 298-4215 Rite Aid Pharmacy 02430 9145 Beauty Road Warfield, KY 41267 (606) 395-0522 Warfield Prescription Center 1708 Beauty Road Warfield, KY 41267 (606) 395-6477

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Mason County Kmart Pharmacy9684 1581 US 68 South Maysville, KY 41056 (606) 759-5012 Kroger Pharmacy 381 Market Square Drive Maysville, KY 41056 (859) 759-7973 Mason Family Drug 912 Kenton Station Drive Maysville, KY 41056 (606) 759-0700 Maysville Ob Gyn Family Health Center Ph 927 Kenton Station Drive Maysville, KY 41056 (606) 759-1189 Medical Arts Pharmacy of Maysville KY In 1 W McDonald Parkway Maysville, KY 41056 (606) 564-5485 Rite Aid Pharmacy 03920 1160 US Highway 68 Maysville, KY 41056 (606) 564-4044

McCracken County CVS Pharmacy 538 Lone Oak Road Paducah, KY 42003 (270) 443-8855 Davis Drugs 250 Lone Oak Road Paducah, KY 42001 (270) 443-1442 Davis Drugs Lone Oak 2855 Lone Oak Road Paducah, KY 42001 (270) 554-5099 Four Rivers Pharmacy 415 Broadway Paducah, KY 42001 (270) 538-0772

G and O Pharmacy 2338 Broadway Street Paducah, KY 42001 (270) 442-3571 Kmart Pharmacy 2440 Lone Oak Road Paducah, KY 42003 (270) 554-9600 Kroger Pharmacy 3141 Park Avenue Paducah, KY 42002 (270) 443-9459 Lone Oak Pharmacy 3535 Lone Oak Road Paducah, KY 42001 (270) 554-7944 Nps Pharmacy At Heartland Cares 619 N 30th Street Paducah, KY 42001 (270) 933-1960 Oncology Associates of Western Kentucky 2603 Kentucky Avenue Paducah, KY 42003 (270) 444-3930 Oncology Hematology Consultants PSC 100 Kiana Court Paducah, KY 42001 (270) 554-0011 Paducah Pharmacy 225 Medical Center Drive Paducah, KY 42003 (270) 441-4390 Reidland Pharmacy 5433 Reidland Road Paducah, KY 42003 (270) 898-7313 Ricks Pharmacy 2700 H C Mathis Drive Paducah, KY 42001 (270) 444-2022 3001 Schneidman Road Paducah, KY 42003 (270) 443-7200

Strawberry Hills Pharmacy 2700 New Holt Road Paducah, KY 42001 (270) 444-7070 Walgreens #6429 521 Lone Oak Road Paducah, KY 42003 (270) 442-1171 Walgreens #9253 3360 Irvin Cobb Drive Paducah, KY 42003 (270) 444-6686 West Towne Pharmacy 2755 W Park Drive Paducah, KY 42001 (270) 443-0909

McCreary County Burgess Drug Store 19 Medical Loop Whitley City, KY 42653 (606) 376-5043 Daughertys Drug Store INC 4180 S Highway 27 Pine Knot, KY 42635 (606) 354-2222 Hometown Pharmacy 1187 N Highway 27 Whitley City, KY 42653 (606) 376-3300 Rite Aid Pharmacy 02420 500 N Highway 27 Whitley City, KY 42653 (606) 376-3307 Wynn Express Pharmacy 43 Medical Lane Whitley City, KY 42653 (606) 376-1535

McLean County Pooles Pharmacy Care 311 Henton Street Livermore, KY 42352 (270) 278-5537

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Kentucky Spirit Health Plan Rite Aid Pharmacy 03439 115 State Route 81 North Calhoun, KY 42327 (270) 273-5202

Meade County Brandenburg Pharmacy Care 455 D Bypass Road Brandenburg, KY 40108 (270) 422-2422 Kroger Pharmacy 568 River Ridge Plaza Brandenburg, KY 40108 (270) 422-3532 Rite Aid Pharmacy 02558 610 River Ridge Plaza Brandenburg, KY 40108 (270) 422-5300

Menifee County Frenchburg Pharmacy INC 732 Highway 36 Frenchburg, KY 40322 (606) 768-6610 Menifee County Pharmacy 70 Main Street Frenchburg, KY 40322 (606) 768-2161

Metcalfe County Metcalfe Drug 115 E Stockton Street Edmonton, KY 42129 (270) 432-3051 Nunn Drugs INC 1704 W Stockton Street Edmonton, KY 42129 (270) 432-3111 Rite Aid Pharmacy 03272 612 W Stockton Street Edmonton, KY 42129 (270) 432-2725

Monroe County Harrison Pharmacy 606 N Main Street Tompkinsville, KY 42167 (270) 487-6408 Tompkinsville Drug Co LLC 200 N Crawford Street Tompkinsville, KY 42167 (270) 487-6155 Wal-Mart Pharmacy 1650 Edmonton Road Tompkinsville, KY 42167 (270) 487-0791

Mercer County

Montgomery County

James B Haggin Mem Hosp Phcy 464 Linden Avenue Harrodsburg, KY 40330 (859) 733-4827

Carrington Drug 506 N Maysville Road Mt Sterling, KY 40353 (859) 498-3464

Kroger Pharmacy Us 127 Cardinal Drive Harrodsburg, KY 40330 (859) 734-0081 The Medicine Shoppe #586 636 S College Street Harrodsburg, KY 40330 (859) 734-4314

Kroger Pharmacy 810 Indian Mound Drive Mt Sterling, KY 40353 (859) 497-9696 Northview Pharmacy 638 Northview Drive Mount Sterling, KY 40353 (859) 498-7700

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Ross Drug 125 Foxglove Drive Mt Sterling, KY 40353 (859) 498-0564 Whitaker Pharmacy 644 N Maysville Street Mt Sterling, KY 40353 (859) 498-3141

Morgan County Clinic Pharmacy 412 Liberty Road West Liberty, KY 41472 (606) 743-4957 Morgan County ARH Pharmacy 476 Liberty Road West Liberty, KY 41472 (606) 743-7730 Peytons Pharmacy INC 414 Main Street West Liberty, KY 41472 (606) 743-3163 Rite Aid Pharmacy 01770 275 Prestonsburg Street West Liberty, KY 41472 (606) 743-3425

Muhlenberg County Central City Clinic Pharmacy 203 N 2nd Street Central City, KY 42330 (270) 754-4300 Clinic Pharmacy South 3959 US Highway 431 S Beechmont, KY 42323 (270) 476-3600 Greenville Pharmacy 117 N Main Street Greenville, KY 42345 (270) 338-3800 Medical Center Pharmacy 1010 Medical Center Drive Powderly, KY 42367 (270) 338-9993

Muhlenberg Comm Hosp Phcy 440 Hopkinsville Street Greenville, KY 42345 (270) 338-8406 Pooles Pharmacy Care 102 W Broad Street Central City, KY 42330 (270) 754-1545 Rite Aid Pharmacy 02643 201 S Main Street Greenville, KY 42345 (270) 338-4241

Nelson County Crume Drug Store 111 W Flaget Street Bardstown, KY 40004 (502) 348-3938 Hurst Discount Drug 102 N 3rd Street Bardstown, KY 40004 (502) 348-9261 Kroger Pharmacy 102 W John Rowan Boulevard Bardstown, KY 40004 (502) 348-3062 Medica Pharmacy & Wellness Center 202 W Stephen Foster Avenue Bardstown, KY 40004 (502) 348-6623 Snider Drug Store 101 Taylorsville Road Bloomfield, KY 40008 (502) 252-8242

Nicholas County Carlisle Drug Company 126 E Main Street Carlisle, KY 40311 (859) 289-2528 Sopers Family Drug 102 S Broadway Carlisle, KY 40311 (859) 289-8501

Ohio County King Drug and Home Care 312 S Main Street Hartford, KY 42347 (270) 298-3278 Rice Drugs 1209 N Main Street Beaver Dam, KY 42320 (270) 274-3318 Rice's Pharmacy 44 W Main Street Fordsville, KY 42343 (270) 276-3150

Oldham County Kroger Pharmacy 2034 S Highway 53 La Grange, KY 40031 (502) 222-2028 Paige Primary Care 1023 New Moody Lane Suite 201 La Grange, KY 40031 (502) 225-4480 Rite Aid Pharmacy 04641 408 Oldham Plaza La Grange, KY 40031 (502) 222-0322 Walgreens #10507 807 S Highway 53 La Grange, KY 40031 (502) 222-6550

Owen County North Park Pharmacy 327 N Main Street Owenton, KY 40359 (502) 484-3113

Owsley County Booneville Discount Drugs 478 KY 11 N Booneville, KY 41314 (606) 593-0382 Owsley Prescription Center Highway 11 North Booneville, KY 41314 (606) 593-6306 Pharmacy

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Kentucky Spirit Health Plan Pendleton County Total Care Pharmacy 1100 W Shelby Street Falmouth, KY 41040 (859) 654-3232

Perry County ARH Community Pharmacy 210 Black Gold Boulevard Suite 104 Hazard, KY 41701 (606) 487-7380 Complete Care Pharmacy 572 Morton Boulevard Hazard, KY 41701 (606) 487-1910 East Main Pharmacy LLC 279 E Main Street Hazard, KY 41701 (606) 487-0107 Family Pharmacy 747 Morton Boulevard Hazard, KY 41701 (606) 487-1150 Food City Pharmacy Morton Boulevard And KY Highway 15 Hazard, KY 41701 (606) 435-2355 Hazard ARH Reg Med Ctr Clinic Phcy 200 Medical Center Drive Hazard, KY 41701 (606) 439-6776 King Pharmacy INC 900 Morton Boulevard Hazard, KY 41701 (606) 435-1067 L B Clinic Pharmacy 464 Route 699 Cornettsville, KY 41731 (606) 476-2863 Professional Phcy of Hazard PLLC 124 Grand Vue Plaza Hazard, KY 41701 (606) 435-0168

Rite Aid Pharmacy 03564 426 Village Lane Hazard, KY 41701 (606) 436-2117

Economy Drug Company INC 180 Town Mount Road Pikeville, KY 41501 (606) 437-7333

Rx Discount Pharmacy #1 500 Morton Boulevard Hazard, KY 41701 (606) 436-2891

Elkhorn Drug 105 E Main Street Elkhorn City, KY 41522 (606) 754-0221

The Medicine Shoppe Pharmacy 145 Citizens Lane Hazard, KY 41701 (606) 435-2020 UK North Fork Valley Community Health Ce 750 Morton Boulevard Hazard, KY 41701 (606) 435-0469 Vicco Prescription Center 10897 S Highway 15 Scuddy, KY 41760 (606) 476-2333

Pike County ARH Prescription Division Pharmacy 306 Hospital Drive S Williamson, KY 41503 (606) 237-1735 Care More Pharmacy 151 Dorton Jenkins Highway Dorton, KY 41520 (606) 639-2273 Cedar Trace Pharmacy 95 Weddington Branch Road Pikeville, KY 41501 (606) 432-2424 Citizens Drug 13380 Phelps 632 Road Phelps, KY 41553 (606) 456-3446 Commonwealth Pharmacy 5425 N Mayo Trail Pikeville, KY 41501 (606) 437-0701

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Marrowbone Hometown Pharmacy 9613 Millard Highway Suite 2 Pikeville, KY 41501 (606) 754-4633 Nichols Apothecary 220 Elkhorn Street Elkhorn City, KY 41522 (606) 754-5076

Total Pharmacy Care 533 Hambley Boulevard Pikeville, KY 41501 (606) 433-0555 Total Pharmacy Care of Belfry 20 State Highway 319 Belfry, KY 41514 (606) 237-0555

Nova Pharmacy 1330 S Mayo Trail Pikeville, KY 41501 (606) 432-2274

Upper Levisa Clinic Pharmacy 137 N Levisa Road Mouthcard, KY 41548 (606) 835-4991

Family Drug Center 284 Town Mountain Road Pikeville, KY 41501 (606) 432-5588

Parker Professional Pharmacy 8857 Meta Highway Pikeville, KY 41501 (606) 631-9999

Valley Disount Pharmacy 6758 US Highway 23 S Pikeville, KY 41501 (606) 639-2415

Family Pharmacy 412 Central Avenue S Williamson, KY 41503 (606) 237-7430

Pikeville Discount Drugs 1098 S Mayo Trail Pikeville, KY 41501 (606) 432-0018

Wal-Mart Pharmacy 254 Cassidy Boulevard Pikeville, KY 41501 (606) 432-6180

Faith Pharmacy 140 Adams Lane Suite 500 Pikeville, KY 41501 (606) 509-6337

Food City Pharmacy 2138 S Mayo Trail Pikeville, KY 41501 (606) 432-2044 215 Cassidy Boulevard Pikeville, KY 41502 (606) 437-9209 28093 Thompson Plaza Highway 119 S Williamson, KY 41503 (606) 237-1175

Pikeville United Methodist Hosp Op 911 S Bypass Road Pikeville, KY 41501 (606) 437-3576 Rite Aid Pharmacy 01357 4209 N Mayo Trail Pikeville, KY 41501 (606) 432-0331

Johns Creek Drug Center 6162 Zebulon Highway Pikeville, KY 41501 (606) 631-9137

Rite Aid Pharmacy 02259 11349 State Highway 1056 Mc Carr, KY 41544 (606) 427-9007

Kentucky Healthcare LLC 51 Upper Johns Creek Kimper, KY 41539 (606) 631-3327

Rite Aid Pharmacy 03345 5571 Collins Highway Pikeville, KY 41502 (606) 639-4588

Kmart Pharmacy7174 3889 N Mayo Trail Pikeville, KY 41501 (606) 437-0899

Shelby Valley Clinic Pharmacy 178 Douglas Highway Pikeville, KY 41501 (606) 639-9045

28402 US Highway 119 North South Williamson, KY 41503 (606) 237-4443

Powell County Billings Drugs 163 E College Avenue Stanton, KY 40380 (606) 663-2848 Kroger Pharmacy 179 W College Avenue Stanton, KY 40380 (606) 663-2663 Powell Prescription Center 4644 Highway 15 West Clay City, KY 40312 (606) 663-3481 Rite Aid Pharmacy 01781 125 N Main Street Stanton, KY 40380 (606) 663-2521

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Kentucky Spirit Health Plan Professional Pharmacy of Somerset 342 Bogle Street Somerset, KY 42503 (606) 679-1169

Total Care Pharmacy #6 234 Medical Circle Morehead, KY 40351 (606) 784-6696

Kmart Pharmacy7255 420 E Highway 80 Somerset, KY 42501 (606) 679-1121

Rite Aid Pharmacy 03915 1250 S Highway 27 Somerset, KY 42501 (606) 676-0485

Russell County

Kroger Pharmacy 181 S Highway 27 Somerset, KY 42501 (606) 451-4341

Science Hill Drug 5775 N Highway 27 Science Hill, KY 42553 (606) 423-9959

2835 S Highway 27 Suite 92 Somerset, KY 42501 (606) 678-4012

Somerset Pharmacy 101 S Main Street Somerset, KY 42501 (606) 679-1571

Stanton Drugs 638 E College Avenue Stanton, KY 40380 (606) 663-8990

Pulaski County

Lakeshore Pharmacy 51 W Lakeshore Drive Burnside, KY 42519 (606) 561-7104 Lincare INC Home Infusion Therapy Pharmacy 30 Jaxson Cove Somerset, KY 42503 (606) 679-0171 Medicine Shoppe Long Term Care 900 E Mount Vernon Street Unit B Somerset, KY 42501 (606) 679-9227 Medicine Shoppe Pharmacy 900 E Mount Vernon Street Somerset, KY 42501 (606) 679-9227

West Somerset Pharmacy INC 647 W Highway 80 Somerset, KY 42503 (606) 677-1922

Rockcastle County Brodhead Pharmacy 54 W Main Street Brodhead, KY 40409 (606) 758-4373

Rowan County Cave Run Pharmacy INC 425 Clinic Drive Morehead, KY 40351 (606) 783-1511 Holbrook Drug 208 E Main Street Morehead, KY 40351 (606) 784-4784

Nations Medicines 875 S Highway 27 Somerset, KY 42501 (606) 677-0073

Kroger Pharmacy 300 Kroger Center Morehead, KY 40351 (606) 783-1476

Oakwood Pharmacy 2441 S Highway 27 Somerset, KY 42501 (606) 677-4068

Rite Aid Pharmacy 03555 380 W Main Street Morehead, KY 40351 (606) 783-1581

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Jamestown Pharmacy 1417 N Main Street Suite A Jamestown, KY 42629 (270) 343-4443 Kmart Pharmacy3941 301 S Highway 127 Russell Springs, KY 42642 (270) 866-7166 Kroger Pharmacy 181 S Highway 127 Russell Springs, KY 42642 (270) 866-3223 Lake Cumberland Pharmacy 2431 C Lakeway Drive Russell Springs, KY 42642 (270) 858-6400 Rite Aid Pharmacy 01387 183 S Highway 127 Russell Springs, KY 42642 (270) 866-2226 Russell Springs Pharmacy 92 Joe T Pettey Drive Russell Springs, KY 42642 (270) 866-2778

Scott County Bakers Pharmacy 3399 Main Street Stamping Ground, KY 40379 (502) 535-4466 Hometown Pharmacy 1502 Oxford Drive Suite 150 Georgetown, KY 40324 (502) 863-3784

J and L Pharmacy 705 S Broadway Street Georgetown, KY 40324 (502) 863-9823 Kmart Pharmacy 1501 Paris Pike Georgetown, KY 40324 (502) 868-0599 Kroger Pharmacy 1002 S Broadway Georgetown, KY 40324 (502) 863-4814 Toyota Family Pharmacy 1001 Cherry Blossom Way Georgetown, KY 40324 (502) 570-6337 Walgreens #12075 926 S Broadway Street Georgetown, KY 40324 (502) 868-6027

Shelby County Kroger Pharmacy 311 Boone Station Road Shelbyville, KY 40065 (502) 633-5331 Rite Aid Pharmacy 03908 1605 Midland Trail Shelbyville, KY 40065 (502) 633-2606 Walgreens #9443 2188 Midland Trail Shelbyville, KY 40065 (502) 633-0741 Wal-Mart Pharmacy 500 Taylorsville Road Shelbyville, KY 40065 (502) 633-2592

Simpson County Rite Aid Pharmacy 03565 224 S Main Street Franklin, KY 42134 (270) 586-7131

Sheldons Express Pharmacy 212 S Main Street Franklin, KY 42134 (270) 586-4471 The Drugstore of Franklin 420 N Main Street Franklin, KY 42134 (270) 586-9591

Spencer County W T Froman Drug Co 847 Taylorsville Road Taylorsville, KY 40071 (502) 477-2267 Your Hometown Pharmacy 913 Taylorsville Road Taylorsville, KY 40071 (502) 477-1973

Taylor County Central Drug Center 102 Central Shopping Center Campbellsville, KY 42718 (270) 465-4137 Eastridge-Phelps Pharmacy 101 Winston Way Campbellsville, KY 42718 (270) 789-0577 Kroger Pharmacy 1509 E Broadway Campbellsville, KY 42718 (502) 465-0501 399 Campbellsville Byp Suite 100 Campbellsville, KY 42718 (270) 465-5782 Medicine Centre Pharmacy 325 E Broadway Campbellsville, KY 42718 (270) 465-3784

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Kentucky Spirit Health Plan Nations Medicines 1608 Old Lebanon Road Campbellsville, KY 42718 (270) 789-4734 Thomas G Abell MD PSC 1800 Old Lebanon Road Campbellsville, KY 42718 (270) 789-2023

Todd County Weathers Drugs 44 Public Square Elkton, KY 42220 (270) 265-2155

Trigg County Hospital Street Hm Pharmacy 11 Hospital Street Cadiz, KY 42211 (270) 522-3441 Save-On Drugs 266 E Main Street Cadiz, KY 42211 (270) 522-3211

Trimble County Bluegrass Drug Center 325 Highway 42 East Bedford, KY 40006 (502) 255-3540

Sturgis Pharmacy 523 N Adams Street Sturgis, KY 42459 (270) 333-4672

2945 Scottsville Road Bowling Green, KY 42104 (270) 780-9328

Warren County

711 Campbell Lane Bowling Green, KY 42104 (270) 843-2383

Cds #10 Pharmacy 1308 Ashley Circle Bowling Green, KY 42104 (270) 781-5661 Clinic Pharmacy 201 Park Street Bowling Green, KY 42101 (270) 781-3095 Ely Drug of Bowling Green 4863 Scottsville Road Bowling Green, KY 42104 (270) 467-5225 Hines Pharmacy 1340 Kentucky Highway 185 Bowling Green, KY 42101 (270) 842-4341 165 Natchez Trace Avenue Bowling Green, KY 42104 (270) 796-1818

Clements Drug 225 N Morgan Street Morganfield, KY 42437 (270) 389-2440

Infusion Partners of Bowling Green 1711 Ashley Cr Bowling Green, KY 42104 (270) 843-4655

Corner Drug Store of Sturgis 424 N Adams Sturgis, KY 42459 (270) 333-5344

Kmart Pharmacy3646 2945 Scottsville Road Bowling Green, KY 42101 (270) 782-1461

Rite Aid Pharmacy 03561 408 N Morgan Street Morganfield, KY 42437 (270) 389-4556

Kroger Pharmacy 350 W 31w Bypass Bowling Green, KY 42101 (270) 796-6067

Union County

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Local Home Infusion 4863 A Scottsville Road Bowling Green, KY 42104 (270) 467-5220 Medicine Arts Pharmacy 818 US 31w Byp Bowling Green, KY 42101 (270) 843-3202 Nation's Medicines 2435 Nashville Road Suite 10 Bowling Green, KY 42101 (270) 783-8834 Northgate Pharmacy 3158 Louisville Road Bowling Green, KY 42101 (270) 842-6161

Sheldon's Express Pharmacy 843 Fairview Avenue Bowling Green, KY 42101 (270) 842-4515 760 Campbell Lane Bowling Green, KY 42104 (270) 782-6337 Smiths Grove Rx Shop 124 N Main Street Smiths Grove, KY 42171 (270) 563-2180 Springhill Pharmacy 2305 Russellville Road Bowling Green, KY 42101 (270) 796-3909 Walgreens 2824 Scottsville Road Bowling Green, KY 42104 (270) 393-2115 Walgreens #4448 1145 US 31 W Bypass Bowling Green, KY 42104 (270) 842-3933

Washington County

Rite Aid Pharmacy 02656 2380 Nashville Road Bowling Green, KY 42101 (270) 842-6301

Care 4 U Pharmacy 100 W Depot Street Springfield, KY 40069 (859) 336-7071

Riverside Pharmacy 825 Second Avenue East Bowling Green, KY 42101 (270) 780-2650

Rite Aid Pharmacy 01965 805 Bardstown Road Springfield, KY 40069 (859) 336-9004

Sams Pharmacy 3200 Ken Bale Boulevard Bowling Green, KY 42103 (270) 781-7727

Wayne County Crowley's Pharmacy 45 Park Avenue Monticello, KY 42633 (606) 340-3000 Kroger Pharmacy 255 Cumberland Crossing Monticello, KY 42633 (606) 348-8773

Kwik Script Pharmacy 1316 Columbia Avenue Monticello, KY 42633 (606) 348-4455 Rite Aid Pharmacy 04780 978 N Main Street Monticello, KY 42633 (606) 348-8478 South Creek Drug 1 S Creek Drive Monticello, KY 42633 (606) 348-1800

Webster County Bells Drugs 7107 State Route 56 East Sebree, KY 42455 (270) 835-7544 Clay Drug Store 9055 Street Route 132 W Clay, KY 42404 (270) 664-2270 Thrifty Pharmacy 127 E Main Street Providence, KY 42450 (270) 667-2049

Whitley County Baptist Regional Apothecary 1 Trillium Way Corbin, KY 40701 (606) 526-8335 Brentwood Pharmacy 108 Brentwood Place Corbin, KY 40701 (606) 258-9110 Corbin Pharmacy 60 Bryan Boulevard Corbin, KY 40701 (606) 523-5585 Corner Prescription Shoppe INC 401 Sycamore Street Williamsburg, KY 40769 (606) 549-0884

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Kentucky Spirit Health Plan Creech and Gibbs Drug 13369 N US Highway 25e Corbin, KY 40701 (606) 523-1911 Dr's Park Apothecary 121 Bishop Street Corbin, KY 40701 (606) 528-1932 Falls Road Pharmacy 40 Moonbow Plaza Corbin, KY 40701 (606) 258-0000 Forcht Pharmacy 108 E 6th Street Corbin, KY 40701 (606) 528-4380 Kims Hometown Pharmacy 865 US Hiwy 25 W Williamsburg, KY 40769 (606) 549-8700 Kmart Pharmacy9513 14662 N US 25 East Corbin, KY 40701 (606) 528-1625 Kroger Pharmacy 1019 Cumberland Falls Highway Corbin, KY 40701 (606) 526-0755 14889 North US Highway 25e Suite A Corbin, KY 40701 (606) 528-7211 Maiden Drug Company 327 Main Street Williamsburg, KY 40769 (606) 549-0449 Mortons Discount Drug 10 Dempsey Lane Corbin, KY 40701 (606) 528-2121 Prescription Shoppe 200 W Gordon Street Corbin, KY 40701 (606) 528-9305

Rite Aid Pharmacy 01656 1320 Cumberland Falls Highway Corbin, KY 40701 (606) 528-8270 Walgreens #12110 1802 S Main Street Corbin, KY 40701 (606) 258-1509 Walgreens #12111 990 E Cumberland Gap Parkway Corbin, KY 40701 (606) 258-7980 Whitley Pharmacy 475 N Highway 25w Williamsburg, KY 40769 (606) 549-4300 Windham Drug 1605 S Highway 25w Williamsburg, KY 40769 (606) 549-3636

Wolfe County Campton Discount Drugs 33 Main Street Suite 2 Campton, KY 41301 (606) 668-3153 Wolfe Family Pharmacy 797 KY 15 S Campton, KY 41301 (606) 668-7237 Wolfe Prescription Center 217 Mountain Parkway Spur Campton, KY 41301 (606) 668-3900

Woodford County Cornerstone Pharmacy 100 S Main Street Versailles, KY 40383 (859) 873-3007 Kmart Pharmacy3850 501 Marsailles Road Versailles, KY 40383 (859) 873-4617

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kroger Pharmacy 525 Marsailles Road Versailles, KY 40383 (859) 873-1324 Railroad Drug and Old Time Soda Fountain 115 E Main Street Midway, KY 40347 (859) 846-4146

Carepoint Partners of West Virginia LLCdba Carepoi 4401 Maccorkie Avenue Se Charleston, WV 25304 (304) 414-3660

Podiatrist Kentucky

Illinois

Barren County

Childrens Hosp Med Cnt-Hm Hlth IV Therapy Pharmacy 3337 Solutions Center Drive Chicago, IL 60677 (214) 692-4459

Risen, Mark 211 Professional Park Drive Glasgow, KY 42141 (270) 659-0013

Mississippi

Gardner, Timothy 123 N 19th Street Middlesboro, KY 40965 (606) 248-2739

Advanced Infusion Solutions 132 Fairmont Street Suite B Clinton, MS 39056 (614) 543-8800

Ohio Coram Specialty Infusion Services 4305 Mulhauser Road Suite 1 Fairfield, OH 45014 (513) 874-1161

Tennessee Accredo Health Group 201 Great Circle Road Nashville, TN 37228 (877) 772-2001

West Virginia Carepoint Partners of West Virginia LLC Dbacarepoi 9503 Middletown Mall Fairmont, WV 26554 (304) 534-7080

Bell County

Boone County Enzweiler, Matthew G 7210 Turfway Road Florence, KY 41042 (859) 525-9950 Ginney, Patrick J 7210 Turfway Road Florence, KY 41042 (859) 525-9950 Mielech, Stephen 1125 Boone Aire Road Florence, KY 41042 (859) 371-4020 Neltner, Garry 7711 Ewing Boulevard Suite 300 Florence, KY 41022 (513) 563-6228 Nielson, William 1125 Boone Aire Road Florence, KY 41042 (859) 371-4020 Worley, Gregory 1125 Boone Aire Road Florence, KY 41042 (859) 371-4020

Boyd County Bailey, Brian K 500 14th Street Ashland, KY 41101 (606) 324-3668 Dowdy, Phillip Ray 1000 Ashland Drive Suite 105 Ashland, KY 41101 (606) 833-6260 Triplett-Schweickart, Lauren 1101 Saint Christopher Drive Suite 350 Ashland, KY 41101 (606) 836-3055

Boyle County Bryant, Chris Nelson 1077 East Lexington Avenue Danville, KY 40422 (859) 236-3142 Skurka, Joseph Edmund 478 Whirlaway Drive Danville, KY 40422 (859) 236-3208 Tull, Carie 217 S Third Street Danville, KY 40422 (859) 239-1475 Zimmerman, Charles 105 Citation Drive Suite D Danville, KY 40422 (859) 236-5140

Breathitt County Yen, Chih J 424 Jetts Drive Jackson, KY 41339 (606) 693-0531 540 Jetts Drive Jackson, KY 41339 (606) 693-0531

Calloway County Lampkin, Roger 908 B South 12th Street Murray, KY 42071 (270) 753-0666 Pharmacy

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Kentucky Spirit Health Plan Naulty, Stuart 908 B South 12th Street Murray, KY 42071 (270) 753-0666

Campbell County Connolly, Matthew J 525 Alexandria Pike Suite 200 Southgate, KY 41071 (859) 341-6440 Languages: Spanish, Spanish Enzweiler, Matthew G 525 Alexandria Pike Sre 230 Southgate, KY 41071 (859) 441-4334

Christian County Edmunds, Mark 1610 S Main Street Suite 9 Hopkinsville, KY 42240 (270) 885-1203

Clark County Farrer, Ann K 172 Pedra Way Winchester, KY 40391 (859) 745-7890 Kincaid, Crystal L 172 Pedra Way Winchester, KY 40391 (859) 745-7890

Daviess County

Mielech, Stephen 525 Alexandria Pike Sre 230 Southgate, KY 41071 (859) 441-4334

Ballard, Anna L 1200 Breckenridge Street Owensboro, KY 42303 (270) 683-7553

Porter, Roger D 7579 Alexandria Pike Alexandria, KY 41001 (859) 635-6666

Block, Stephen 2816 Veach Road Owensboro, KY 42303 (270) 684-5252

Sugarman, Charles 525 Alexandria Pike Sre 230 Southgate, KY 41071 (859) 441-4334

Doll, Peter 922 Triplett Street Owensboro, KY 42303 (270) 684-7773

Tirone, Charles M 525 Alexandria Pike Suite 200 Southgate, KY 41071 (859) 341-9900

Carroll County Mauser, Alan K 309 11th Street Carrollton, KY 41008 (502) 458-8989 Voelkel, Sarah 309 11th Street Carrollton, KY 41008 (502) 458-8989

Goldstein, Lee 509 E 18th Street Owensboro, KY 42303 (270) 684-1660 Simon, Sheldon 1915 W Parrish Avenue Suite 300 Owensboro, KY 42301 (270) 683-4844

Fayette County Allen, Michael 1401 Harrodsburg Road Suite C115 Lexington, KY 40504 (859) 278-8855 Bolton, Mary Elizabeth 1401 Harrodsburg Road Suite C115 Lexington, KY 40504 (859) 278-8855

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Bryant, Chris Nelson 2130 Nicholasville Road Suite 1 Lexington, KY 40503 (859) 278-7313 Fine, Bradford 1401 Harrodsburg Road Suite C115 Lexington, KY 40504 (859) 278-8855 Freels, Nicole 216 Fountain Court Suite 160 Lexington, KY 40509 (859) 264-1141 King, Thomas E 2130 Nicholasville Road Suite 1 Lexington, KY 40503 (859) 278-7313 Morrill, Michael Justin 2692 Richmond Road Suite 100 Lexington, KY 40509 (859) 268-2190 Outsa, Judy N 1401 Harrodsburg Road Suite C115 Lexington, KY 40504 (859) 278-8855

Floyd County Miller, Robert R Riverview Building 5230 KY Route 321 Prestonsburg, KY 41653 (606) 889-0095 Webb, Timothy A Riverview Building 5230 KY Route 321 Prestonsburg, KY 41653 (606) 889-0095

Franklin County Allen, Michael 103 Diagnostic Drive Frankfort, KY 40601 (859) 278-8855

Fricker, Irma Leticia 5 Physicians Park Suite 3 Frankfort, KY 40601 (502) 223-5641

Whitney, Daniel 1239 Woodland Drive Elizabethtown, KY 42701 (270) 737-3338

Grant County

Henderson County

Tirone, Charles M 238 Barnes Road Williamstown, KY 41097 (859) 341-9900

Anderson, Edward 411 Letcher Street Henderson, KY 42420 (270) 830-6522

Graves County Richardson, Jeff S 1029 Medical Center Circle Suite 401 Mayfield, KY 42066 (270) 251-4141

Grayson County Holland, Christopher 910 Wallace Avenue Leitchfield, KY 42754 (270) 259-9506

Hancock County Ballard, Anna L 185 State Route 271 S Lewisport, KY 42351 (270) 927-9991

Hardin County

Doll, Peter 323 8th Street Henderson, KY 42420 (270) 827-2548

Hopkins County Henning, Glenn 200 Clinic Drive Madisonville, KY 42431 (270) 825-7200

Jefferson County Brown, William 4402 Churchman Avenue Suite 40 Louisville, KY 40215 (502) 361-2222 9110 Leesgate Road Louisville, KY 40222 (502) 426-7222

Chou, Jeffrey 1360 Rogersville Road Radcliff, KY 40160 (866) 874-3338

Chou, Jeffrey 117 S Hubbards Lane Suite 102 Louisville, KY 40207 (502) 895-3840

Khader, Syed A 1239 Woodland Drive Suite 101 Elizabethtown, KY 42701 (502) 637-4579

Ford, Timothy 550 South Jackson Street 1st Floor Louisville, KY 40202 (502) 562-6501

Languages: Telugu

Goldstein, Lee 8062 New La Grange Road Louisville, KY 40222 (502) 339-1200

McKinley, Russell 708 Westport Road Suite 102 Elizabethtown, KY 42701 (270) 769-1303

Hicks, Adam B 550 South Jackson Street 2nd Floor Louisville, KY 40202 (502) 562-6511

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Kentucky Spirit Health Plan Hubbard, Christopher 4402 Churchman Avenue Suite 40 Louisville, KY 40215 (502) 361-2222

Patel, Vipul 3920 Dutchmans Lane Suite 302 Louisville, KY 40207 (502) 459-3338

9110 Leesgate Road Louisville, KY 40222 (502) 426-7222

1915 Bishop Lane Louisville, KY 40218 (502) 459-3338

Jackson, Jessica 15014 Bircham Road Louisville, KY 40245 (502) 558-0194

Pedersen, Jasen Thomas 1915 Bishop Lane Louisville, KY 40218 (502) 459-3338

Jenkins, Daryl 2200 Stone Brook Drive Louisville, KY 40220 (800) 317-0711 Kovatch, Luke 401 East Chestnut Street Suite 710 Louisville, KY 40202 (502) 583-8303

Pinski, Ann 4402 Churchman Avenue Suite 40 Louisville, KY 40215 (502) 361-2222 9110 Leesgate Road Louisville, KY 40222 (502) 426-7222

Voelkel, Sarah 2525 Bardstown Road Louisville, KY 40205 (502) 458-8989

Tirone, Charles M 1500 James Simp Jr Way Covington, KY 41011 (859) 341-9900

4001 Dutchmans Lane Louisville, KY 40207 (502) 458-8989

Worley, Gregory 4327 Winston Avenue Covington, KY 41015 (859) 261-8608

2500 W Market Street Louisville, KY 40212 (502) 458-8989 Whitney, Daniel 4612 Outer Loop Louisville, KY 40219 (502) 968-2233 170 Drive Arla Way Suite 101 Louisville, KY 40229 (502) 968-2233

Kenton County Connolly, Matthew J 560 S Loop Road Edgewood, KY 41017 (859) 301-2663

Levine, Robert 4402 Churchman Avenue Suite 40 Louisville, KY 40215 (502) 361-2222

Przystawski, Brian 4119 Browns Lane Building 2a Louisville, KY 40220 (502) 454-4187

9110 Leesgate Road Louisville, KY 40222 (502) 426-7222

Pyatak-Hugar, Kathleen 142 Chenoweth Lane Louisville, KY 40207 (502) 897-1616

Dilulio, Darren 238 Barnes Road Crestview Hills, KY 41017 (859) 341-9900

Schaffer, Benjamin 3920 Dutchmans Lane Suite 302 Louisville, KY 40207 (502) 459-3338

2865 Chancellor Drive Suite 205 Crestview Hills, KY 41017 (859) 341-9900

Mauser, Alan K 2525 Bardstown Road Louisville, KY 40205 (502) 458-8989 4001 Dutchmans Lane Louisville, KY 40207 (502) 458-8989 2500 W Market Street Louisville, KY 40212 (502) 458-8989 Michels, Dawn M 4119 Browns Lane Building 2a Louisville, KY 40220 (502) 454-4187 Myrick, Keith 6400 Dutchmans Parkway Suite 215 Louisville, KY 40205 (502) 721-8288

1915 Bishop Lane Louisville, KY 40218 (502) 459-3338 Ulfe, Gerardo 317 B Guthrie Green Louisville, KY 40202 (502) 585-3668 Languages: Spanish 317-B Guthrie Street Louisville, KY 40202 (502) 585-3668 Languages: Spanish

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Languages: Spanish, Spanish

Fallis, Bryan V 2300 Chambers Center Drive Suite 100 Ft Mitchell, KY 41017 (859) 331-2440 Grant, Michael J 6 Greenbriar Avenue Fort Mitchell, KY 41017 (859) 341-7666 Mielech, Stephen 4327 Winston Avenue Covington, KY 41015 (859) 261-8608

Laurel County Ball, Collin 160 London Mountain View Drive London, KY 40741 (606) 864-0770 Krestik, Paul 1105 W 5th Street Suite 3 London, KY 40741 (606) 862-9900

Lawrence County

Hall, Randall 322 Highland Park Drive Richmond, KY 40475 (859) 623-3550

Marshall County Lampkin, Roger 815 Birch Street Benton, KY 42025 (270) 527-7014 Naulty, Stuart 815 Birch Street Benton, KY 42025 (270) 527-7014

McCracken County Adams, William R 2605 Kentucky Avenue Building 3 Suite 103 Paducah, KY 42003 (270) 442-9461

Murray, Michelle Ann 2483 Highway 644 Trmp Suite 203 Louisa, KY 41230 (606) 638-9305

Slatick, Ronald S 131 Nahm Street Suite 2 Paducah, KY 42001 (270) 443-1170

Lincoln County

McCreary County

Skurka, Joseph Edmund 110 Metker Trail Stanford, KY 40484 (606) 365-4512

Brennan, Nate Aaron 17 Medical Lane Whitley City, KY 42653 (606) 376-7212

Logan County

Montgomery County

Benge, Jennifer 1405 Nashville Street Russellville, KY 42276 (270) 725-9300 Young, Richard R 1623 Nashville Street Suite 104 Russellville, KY 42276 (270) 725-9300

Madison County

Languages: , Spanish

Lause, Federico V 112 West High Street Mount Sterling, KY 40353 (859) 498-5151

Owen County Outsa, Judy N 120 Progress Way Owenton, KY 40359 (502) 484-9905

Demaria, Anthony 322 Highland Park Drive Richmond, KY 40475 (859) 623-3550

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Kentucky Spirit Health Plan Pendleton County

Rowan County

Woodford County

Connolly, Matthew J 211 W Shelby Street Falmouth, KY 41040 (859) 301-2663

Clayton, Clarence G 1028 E Main Street Morehead, KY 40351 (606) 783-6866

Bryant, Chris Nelson 195 South Main Street Versailles, KY 40383 (859) 278-7313

Languages: Spanish, Spanish

Scott County

Indiana

Rodes, Vivian 1156 Lexington Road Georgetown, KY 40324 (502) 867-0244

Ahmed, Syed 1425 State Street Suite 200 New Albany, IN 47150 (812) 725-7542

Pike County Avery, Kenneth B 28531 US Highway 119 Suite 202 South Williamson, KY 41503 (606) 237-5000 Chaney, Bradwell 126 Trivette Drive Suite 101 Pikeville, KY 41501 (606) 432-0003 Gstalder, Sheryl 126 Trivette Drive Suite 101 Pikeville, KY 41501 (606) 432-0003

Pulaski County Jensen-Stanley, Pamela 117 Trade Park Drive Somerset, KY 42503 (606) 679-2773 Miller, Christopher 117 Trade Park Drive Somerset, KY 42503 (606) 679-2773 Languages: Spanish Moore, Jonathan 117 Trade Park Drive Somerset, KY 42503 (606) 679-2773 Settles-Carter, Jamie 117 Trade Park Drive Somerset, KY 42503 (606) 679-2773 Skurka, Joseph Edmund 117 Trade Park Drive Somerset, KY 42503 (606) 679-2773

Shelby County Adams, Heiko B 1701 Midland Trail Shelbyville, KY 40065 (502) 633-3338 Hord, Jacob 1701 Midland Trail Shelbyville, KY 40065 (502) 633-3338

Simpson County Benge, Jennifer 1030 Brookhaven Road Franklin, KY 42134 (270) 598-4910 Young, Richard R 1030 Brookhaven Road Franklin, KY 42134 (270) 598-4910

Taylor County Risen, Mark 1003 Old Greensburg Road Campbellsville, KY 42718 (270) 789-4342

Warren County Holland, Christopher 843 Fairview Avenue Suite B5 Bowling Green, KY 42101 (270) 846-1900 Young, Richard R 1830 Desntiny Lane Suite 110 Bowling Green, KY 42104 (270) 846-3338

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Languages: Telugu Khader, Syed A 1425 State Street Suite 200 New Albany, IN 47150 (812) 725-7542 Languages: Telugu Mauser, Alan K 200 Missouri Avenue Building 18 Suite A Jeffersonville, IN 47130 (502) 458-8989 Michels, Dawn M 3020 Charlestown Crossing New Albany, IN 47150 (812) 948-0211 Przystawski, Brian 3020 Charlestown Crossing New Albany, IN 47150 (812) 948-0211

Miller, Cynthia 111 Wellington Place Cincinnati, OH 45219 (513) 729-4455 7344 Hamilton Avenue Cincinnati, OH 45231 (513) 729-4455 2859 Boudinot Avenue Suite 205 Cincinnati, OH 45238 (513) 729-4455 10475 Reading Road Suite 404 Cincinnati, OH 45241 (513) 729-4455 4130 Dry Ridge Road Cincinnati, OH 45252 (513) 729-4455 25 North F Street Hamilton, OH 45013 (513) 729-4455 Titko, Kristin K 7344 Hamilton Avenue Cincinnati, OH 45231 (513) 729-4455

Tennessee Brennan, Nate Aaron 433 West Central Avenue Jamestown, TN 38556 (423) 286-7850

Ohio

20463 Alberta Street Oneida, TN 37841 (423) 286-7850

Brarens, Robert 8221 Cornell Road Suite 410 Cincinnati, OH 45249 (513) 489-2400

Burns, Lawrence 4230 Harding Road Plaza W Suite G12 Nashville, TN 37205 (615) 301-7054

Languages: , Korean

Brown, Kevin D 2828 1st Avenue Suite 400 Huntington, WV 25702 (304) 525-6905

Cwikla, Paul 1605 East 11th Street Portsmouth, OH 45662 (999) 999-9999

Deeter, Kirby 324 Cool Springs Boulevard Franklin, TN 37067 (615) 771-7265

Fallis, Bryan V 1380 Compton Road Cincinnati, OH 45231 (513) 931-0083

Gardner, Timothy 138 Division Road Oak Ridge, TN 37830 (865) 481-1000

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WellCare of Kentucky Ambulatory Surgical Centers Kentucky Barren County McPeak Surgery Center LLC 108 Bravo Blvd Glasgow, KY 42141 (270) 651-2181

Fayette County Lexington Surgery Center Ltd 1401 Harrodsburg Rd Lexington, KY 40504 (859) 276-2525 Medical Heights Surgery Center INC Dba K 240 Fountain Ct Lexington, KY 40509 (859) 278-1460 New Lexington Clinic Ambulatory Surgery 1225 S Broadway Ste A Lexington, KY 40504 (859) 258-4000 The Pain Treatment Center INC 280 Pasadena Dr Lexington, KY 40503 (270) 866-9799

Hardin County Healthsouth Surgical Center of Elizabeth 108 Financial Pl Elizabethtown, KY 42701 (270) 737-5200

Jefferson County Dupont Surgery Center 4004 Dupont Cir Louisville, KY 40207 (502) 896-6428

Kosair Childrens Medical Center Brownsb 4910 Chamberlain Ln Louisville, KY 40241 (502) 446-5000 Louisville Surgery Center 444 S 1st St Ste 201 Louisville, KY 40202 (502) 238-2888

Kenton County St Elizabeth Physicians Endoscopy Center 340 Thomas More Pkwy Ste 160b Crestview Hills, KY 41017 (859) 331-6466

Laurel County Cumberland Valley Surgical Center LLC 275 Highway 770 Corbin, KY 40701 (606) 526-7874

Muhlenberg County Muhlenberg Surgery Center LLC 1008 Medical Center Dr Ste B Powderly, KY 42367 (270) 338-9929

Pulaski County Lake Cumberland Surgery Center 301 Langdon St Somerset, KY 42503 (606) 678-9688 Somerset Surgery Center Healthsouth Some 30 Medical Park Dr Somerset, KY 42503 (606) 679-9322

Indiana

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Eyecare Consultants Surgery Center LLC 101 Nw 1st St Ste 104 Evansville, IN 47708 (812) 435-2372

Tennessee Knoxville Eye Surgery Ctr 140 Capital Dr Ste 2 Knoxville, TN 37922 (865) 251-0338 The Cookeville Surgery Center 100 W 4th St Ste 100 Cookeville, TN 35801 (931) 526-8115

Audiologist Kentucky Bourbon County Frazier Deanna 24 Clinic Drive Suite B Paris, KY 40361 (859) 353-0477 High Stacey 24 Clinic Drive Suite B Paris, KY 40361 (859) 353-0477

Christian County Ison Pamela 1717 High Street #2c Hopkinsville, KY 42240 (270) 886-8468

Fayette County Denley Sara 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545 Miller Jeanette 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545 Oliver Amy 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545

Quinn Tara 350 Henry Clay Blvd Lexington, KY 40502 (859) 268-4545

Franklin County Frazier Deanna 5 Physician Park Drive Frankfort, KY 40601 (859) 353-0477 High Stacey 5 Physician Park Drive Frankfort, KY 40601 (859) 353-0477

Harrison County Frazier Deanna 1210 KY Highway 36 E #1 Cynthiana, KY 41031 (859) 353-0477 High Stacey 1210 KY Highway 36 E #1 Cynthiana, KY 41031 (859) 353-0477

Kenton County Luhn Kathleen 463 Erlanger Road Erlanger, KY 41018 (859) 342-5846

Madison County Frazier Deanna 1036 Amberly Way Suite A Richmond, KY 40475 (859) 623-4458 High Stacey 1036 Amberly Way Suite A Richmond, KY 40475 (859) 623-4458

Montgomery County Frazier Deanna 50 Sterling Avenue Mount Sterling, KY 40353 (859) 353-0477

High Stacey 50 Sterling Avenue Mount Sterling, KY 40353 (859) 353-0477

Taylor County Lawless Kim 105 Greenbriar Dr # A Campbellsville, KY 42718 (270) 465-3595

Whitley County Morris Angela 1707 Cumberland Falls Hwy Corbin, KY 40701 (606) 528-9993

Chiropractor Kentucky Adair County Cooper Victor H 117 Merchant St Columbia, KY 42728 (270) 384-5772 Grant Anthony 908 Russell Rd Columbia, KY 42728 (270) 384-3271

Allen County Watkins Grant G 1598 Old Gallatin Rd Scottsville, KY 42164 (270) 237-3304

Anderson County Bierly Kevin J 236 E Woodford St Lawrenceburg, KY 40342 (502) 859-9075

Barren County Boggs Jeffrey A 102 W Cherry St Glasgow, KY 42141 (270) 651-7552

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WellCare of Kentucky Jones John J 209 E Main St Glasgow, KY 42141 (270) 651-7465

Tomar Vincent M 8178 Mall Rd Florence, KY 41042 (859) 746-2222

Toon Stephen M 434 W Walnut St Danville, KY 40422 (859) 239-0022

Rogers Adam P 725 S Main St Ste 1 Morgantown, KY 42261 (270) 526-6206

Oldenkamp Derek L 205 Columbia Ave Glasgow, KY 42141 (270) 651-8340

Bourbon County

True Vance 100 Brenda Ave Danville, KY 40422 (859) 236-6994

Vincent Larry D 105 N Tyler St Morgantown, KY 42261 (270) 526-4613

Breathitt County

Calloway County

Howard Steven R 1550 Highway 15 S Ste 24 Jackson, KY 41339 (606) 666-0009

Etherton Bambi 1103 Chestnut St Murray, KY 42071 (270) 759-0030

Pelham Robert F 205 Columbia Ave Glasgow, KY 42141 (270) 651-8340 Tank Thomas J 215 N L Rogers Wells Blvd Glasgow, KY 42141 (270) 651-2203

Bell County Taylor James L 2403 Cumberland Ave Middlesboro, KY 40965 (606) 248-1388 Taylor Jason S 2403 Cumberland Avenue Middlesboro, KY 40965 (606) 248-1388

Boone County Broeg Richard A 1029 Burlington Pike Florence, KY 41042 (859) 525-2020 Didio Casey A 4971 Houston Rd Florence, KY 41042 (859) 283-0500 Koesler Brett M 7346 Highway 42 Florence, KY 41042 (859) 746-1511 Lang John P 8459 US Highway 42 Florence, KY 41042 (859) 283-5070 Mikkelson Lawrence R 7560 Burlington Pike Florence, KY 41042 (859) 525-7117

Brooks Jennifer A 2001 Alverson Dr Ste 106 Paris, KY 40361 (859) 987-2828 Gast Christopher L 4 E 4th St Ste B Paris, KY 40361 (859) 987-0743 Keding David J 416 Millersburg Rd Paris, KY 40361 (859) 987-6058

Boyd County Porter Dwain P 717 Wheatley Rd Ashland, KY 41101 (606) 324-1148 Razak Muhummad A 155 W Central Ave Ashland, KY 41101 (606) 326-1132 Scott Mark K 1317 Montgomery Ave Ashland, KY 41101 (606) 329-9311 Shelton Charlie G 1317 Montgomery Ave Ashland, KY 41101 (606) 329-9311

Boyle County Arnold Craig S 1420 Hustonville Rd Danville, KY 40422 (859) 236-5562 Mackey Craig 642 E Lexington Ave Danville, KY 40423 (859) 238-9300 Short Dennis R 434 W Walnut St Danville, KY 40422 (859) 239-0022

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Breckinridge County Cesarz Stefan 112 Bank St Hardinsburg, KY 40143 (270) 756-1700 Ruskowski Kent R 143a Old US HWY 60e Hardinsburg, KY 40143 (270) 756-5368

Bullitt County Flynn Ronald F 1451 Highway 44e Shepherdsville, KY 40165 (502) 955-5328 Knopp Russell H 1451 Highway 44e Shepherdsville, KY 40165 (502) 955-5328 Wolford Jason R 138 Eastbrooke Ct Ste 130 Mount Washington, KY 40047 (502) 538-0222

Butler County Lease Vicky A 725 S Main St Ste 1 Morgantown, KY 42261 (270) 526-6206

Foster Brian S 1710 D HWY 121 N Northpointe Office Park Murray, KY 42071 (270) 753-6100 Heskett Dennis L 1703 HWY 121 N Byp Murray, KY 42071 (270) 759-1116 Phillips Joseph 903 Sycamore St Murray, KY 42071 (270) 753-9030 Thornton Patrick W 408 S 12th St Murray, KY 42071 (270) 293-5266

Campbell County Crowley Kevin E 7579 Alexandria Pike Alexandria, KY 41001 (859) 635-6666 Ehn Timothy D 1697 Monmouth St Ste A Newport, KY 41071 (859) 292-0123 Gearhart Kendall 8333 Alexandria Pike Alexandria, KY 41001 (859) 449-0900 Squicciarini John J 4 Hidden Valley Dr Ste F Highland Heights, KY 41076 (859) 441-8181

Casey County Cundiff Kerry D 256 N Wallace Wilkinson Blvd Liberty, KY 42539 (606) 787-7900 Hayes Breece W 417 Middleburg St Liberty, KY 42539 (606) 787-7261 Medina David A 69 Hustonville St Liberty, KY 42539 (606) 787-2800 Montgomery-Turner Erica L 69 Hustonville St Liberty, KY 42539 (606) 787-2800 Turner Michael L 69 Hustonville St Liberty, KY 42539 (606) 787-2800

Christian County Johnson Mark R 1600 S Virginia St Hopkinsville, KY 42240 (270) 885-5988 Landrum John B 130 Hammond Dr Hopkinsville, KY 42240 (270) 348-1307 Pound Robert J 1202 Skyline Dr Hopkinsville, KY 42240 (270) 881-1005 Putty Eric 260 Burley Ave Hopkinsville, KY 42240 (270) 886-0068

Clark County Dotson Steve 1145 W Lexington Ave Ste B Winchester, KY 40391 (859) 745-6834

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WellCare of Kentucky Williams Perry N 124 Professional Ave Winchester, KY 40391 (859) 737-5800

Martin Eric L 2756 Veach Rd Owensboro, KY 42303 (270) 688-0234

Fields Joseph R 4250 Saron Dr Ste 175 Lexington, KY 40515 (859) 273-0310

Salyers II Charles R 91 Oak Ridge Ct Prestonsburg, KY 41653 (606) 889-9222

Clinton County

Simone Robert E 3180 W Parrish Ave Owensboro, KY 42301 (270) 683-1188

Gallentine Heath D 131 Prosperous Pl Ste 15 Lexington, KY 40509 (859) 264-1140

Slone Zacharry F 1938 KY Rt 321 Prestonsburg, KY 41653 (606) 886-1416

Osborne Michael D 701 Burkesville Rd Albany, KY 42602 (606) 387-5793 True Matthew M 701 Burkesville Rd Albany, KY 42602 (606) 387-5793

Sovar Scott R 2816 Veach Rd Owensboro, KY 42303 (270) 684-4101

Cumberland County

Stallings Brett G 820 Chuck Gray Ct Owensboro, KY 42303 (270) 685-5100

Cooper-Henson Jaclyn K 121 E Church St Burkesville, KY 42717

Tinius Brian W 1300 Tamarack Rd Owensboro, KY 42301 (270) 926-0941

Flannagan Joseph A 404 Courthouse Sq Burkesville, KY 42717 (270) 864-1774

Daviess County Clark Aaron P 507 E Parrish Ave Owensboro, KY 42303 (270) 852-9355 10015 Main St Ste B Whitesville, KY 42378 (270) 233-9355 Edelen Amy L 507 E Parrish Ave Owensboro, KY 42303 (270) 852-9355 10015 Main St Ste B Whitesville, KY 42378 (270) 233-9355 Lamar Blakeley G 1605 Scherm Rd Owensboro, KY 42301 (270) 316-6347 Liebenhauer Kara 820 Chuck Gray Ct Owensboro, KY 42303 (270) 685-5100

Yates Andrew 507 E Parrish Ave Owensboro, KY 42303 (270) 852-9355 10015 Main St Ste B Whitesville, KY 42378 (270) 233-9355

Estill County Allen John C 149 Richmond Rd Irvine, KY 40336 (606) 723-2225

Fayette County Bailey Francis L 80 Codell Dr Lexington, KY 40509 (859) 537-1026 Clare Kenneth J 1165 E New Circle Rd Lexington, KY 40505 (859) 246-0001 Dawson Brent G 1301 Winchester Rd Ste 149 Lexington, KY 40505 (859) 255-3777

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lynch Kevin H 2505 Larkin Rd Ste 202 Lexington, KY 40503 (859) 266-1999 Millen Jennifer S 1795 Alysheba Way Ste 6103 Lexington, KY 40509 (859) 335-0419 Nemastil Michael D 148 W Tiverton Way Ste 140 Lexington, KY 40503 (859) 271-5433 Rosevear Christian 989 Governors Ln Ste 280 Lexington, KY 40513 (859) 219-1011 Shirar George 1057 S Broadway Lexington, KY 40504 (859) 254-5001 Smith Collin P 3160 Beaumont Ctr Cir Ste 130 Lexington, KY 40513 (859) 351-8081

Floyd County Burgett Robert B 90 Triangle St Martin, KY 41649 (606) 285-2639 Hackney Gregory T 781 S Lake Dr Ste 2 Prestonsburg, KY 41653 (606) 886-6555 Hensley Johanna L 781 South Lake Dt Ste 2 Prestonsburg, KY 41653 (606) 886-6555

Franklin County Bell Kelley A 103 Twin Oaks Cir Ste 2 Frankfort, KY 40601 (502) 875-3200 Cremeans Todd S 73 C Michael Davenport Blvd Ste 2 Frankfort, KY 40601 (502) 223-2424 Luking Jason 103 Twins Oaks Cir #2 Frankfort, KY 40601 (502) 875-3200 Neukam Suzanne 103 Twins Oaks Cir #2 Frankfort, KY 40601 (502) 875-3200 Schulz Brian 103 Twin Oaks Cir #2 Frankfort, KY 40601 (502) 875-3200

Garrard County Cundiff Robert S 230 Lexington St Ste C Lancaster, KY 40444 (859) 792-1845

Grant County Fennell Craig 68 S Main St Dry Ridge, KY 41035 (859) 823-0884 Post Tessa M 1212 N Main St Williamstown, KY 41097 (859) 824-6700

Graves County Farr Daniel 339 Charles Dr Mayfield, KY 42066 (270) 251-0908

Grayson County Cheney Craig M 508 William Thomason Byway Leitchfield, KY 42754 (270) 259-9199 Walker Michael L 113 W Main St Leitchfield, KY 42754 (270) 259-9890

Green County Slinker Jason W 863 Campbellsville Rd Greensburg, KY 42743 (270) 932-2030

Hancock County Brockman Nicholas A 135 Main Cross St Hawesville, KY 42348 (270) 927-1000

Hardin County Eriksen Paul W 1007 N Dixie Hwy Elizabethtown, KY 42701 (270) 735-9090 Miller Vaughn S 2900 Ring Rd Elizabethtown, KY 42701 (270) 737-0591 Nohr Adrian D 1506 N Dixie Hwy Elizabethtown, KY 42701 (270) 765-2244 Owsley Michael 585 Westport Rd Ste B Elizabethtown, KY 42701 (270) 982-9440

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WellCare of Kentucky Henderson County Ferguson James D 724b Barrett Blvd Henderson, KY 42420 (270) 844-8162 Sciortino Michael A 2869 US HWY 41n Ste B Henderson, KY 42420 (270) 844-8100

Henry County Hines Mark E 8172 Main St P O Box 293 Campbellsburg, KY 40011 (502) 532-0099

Hopkins County Britt James E 320 E Arcadia Ave Dawson Springs, KY 42408 (270) 797-8461 Cranor Robert C 446 E Center St Madisonville, KY 42431 (270) 821-7001 Kington James M 258 S Main St Madisonville, KY 42431 (270) 825-4100 McCay Marina K 38 Ridgewood Professional Ct Madisonville, KY 42431 (270) 821-9020 Seibert Michael R 38 Ridgewood Professional Ct Madisonville, KY 42431 (270) 821-9020 Stachurski John T 2720 N Main St Madisonville, KY 42431 (270) 825-3995

Jackson County Huser Taylor Brenda J 35 Highway 290 Mc Kee, KY 40447 (859) 985-0606

Lapoint Cory W 35 Highway 290 PO Box 425 Mc Kee, KY 40447 (606) 287-2225

Jefferson County Aros Sara M 3318 Bardstown Rd Louisville, KY 40218 (502) 456-5353 10012 Dixie Hwy Louisville, KY 40272 (502) 937-7000 Bianco Massimo 7611a Preston Hwy Louisville, KY 40219 (502) 962-2277 Constante Paul J 3707 Chamberlain Ln Louisville, KY 40241 (502) 426-9200 Crosby Bing G 4508 Outer Loop Louisville, KY 40219 (502) 969-3121

Yadon William R 3707 Chamberlain Ln Louisville, KY 40241 (502) 426-9200

Kocan Klaude 2182 Dixie Hwy Ft Mitchell, KY 41017 (859) 344-6001

Patel Pinkesh 302 Falls St Ste A London, KY 40741 (606) 878-9300

Jessamine County

Reeves Robert M 3631 Decoursey Ave Covington, KY 41015 (859) 431-2273

Smith Larry R 1106 S Main St Ste A London, KY 40741 (606) 864-2011

Restaino John G 1671 Park Rd Ste 21 Ft Wright, KY 41011 (859) 578-8778

Lawrence County

Dawson Brent G 197 E Brannon Rd Nicholasville, KY 40356 (859) 971-0370 Evans Dwayne B 934 S Main St Nicholasville, KY 40356 (859) 881-4325 Languages: Spanish Jeffries Joseph M 127 Orchard Dr Nicholasville, KY 40356 (859) 887-4900 Ruda Travis S 206 Orchard Dr Ste A Nicholasville, KY 40356 (859) 885-4797

Languages: Spanish

Smith Collin P 104 W Oak St Nicholasville, KY 40356 (859) 887-3679

Goben Kevin L 700 Gagel Ave Louisville, KY 40216 (502) 366-7386

Thoroughman Terry C 702 South Main St Nicholasville, KY 40356 (859) 885-2225

Hapka Justin J 3707 Chamberlain Ln Louisville, KY 40241 (502) 426-9200

Johnson County

Hoyos Beatriz E 332 W Broadway Ste 1204 Louisville, KY 40202 (502) 581-8151 Languages: Spanish Kenitzer Keith W 700 Gagel Ave Louisville, KY 40216 (502) 366-7386 Raley Thomas W 1265 Goss Ave Louisville, KY 40217 (502) 635-6191

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Dewire Brian C 705 Broadway St Paintsville, KY 41240 (606) 788-0015

Kenton County Cawley Mark K 926 Donaldson Hwy Erlanger, KY 41018 (859) 525-2222 Hutchison Tonnie 4444 Dixie Hwy Erlanger, KY 41018 (859) 341-3337 King Molly 1510 Dixie Hwy Park Hills, KY 41011 (859) 261-4858

Robison Dierdra K 2144 Declaration Dr Independence, KY 41051 (859) 815-9371 Skinner Dean D 1922 Walton Nicholson Pike Independence, KY 41051 (859) 363-1000

Knott County Laferty Amanda N 792 Highway 160 S Hindman, KY 41822 (606) 785-5300

Knox County Decarlo Anthony A 225 Parkway Plz Barbourville, KY 40906 (606) 864-3595 Patel Pinkesh 14 Knox Plz Barbourville, KY 40906 (606) 878-9300

Larue County Eriksen Paul W 631 Tanner Rd Hodgenville, KY 42748 (270) 358-7070

Laurel County Decarlo Anthony A 164 London Shopping Ctr London, KY 40741 (606) 864-3595

Taylor Chiropractic Health Center 307 W Madison St Louisa, KY 41230 (606) 638-9898

Lincoln County Skipper Sterling L 109 Lily St Stanford, KY 40484 (606) 365-0203

Logan County Poe David A 909 W 9th St Ste A Russellville, KY 42276 (270) 726-4600 Languages: Spanish

Madison County Campbell Patrick S 5008 Atwood Dr Ste 4 Richmond, KY 40475 (859) 626-8833 McCaslin Danny M 966 Commercial Dr Richmond, KY 40475 (859) 625-9791 Price Stephanie S 1048 Ace Dr Berea, KY 40403 (859) 985-0606 Sipple John C 502 Richmond Rd N Ste A Berea, KY 40403 (859) 986-0007 Van Winkle James R 2161 Lexington Rd Ste 3 Richmond, KY 40475 (859) 624-1815

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WellCare of Kentucky Marion County Coxon Roderick D 116 Lebanon Trade Ctr Lebanon, KY 40033 (270) 699-2323 Roberts Jeffrey A 496 W Main St Lebanon, KY 40033 (270) 692-6555

Marshall County Adams Joshua A 112 E 5th St Benton, KY 42025 (270) 252-5840 Barrett James R 3002 US Highway 641 N Benton, KY 42025 (270) 527-7033 Epstein Charles 5131 US Highway 62 Calvert City, KY 42029 (270) 395-8447 Leible Zachary 112 E 5th St Benton, KY 42025 (270) 252-5840 Tack Bradley A 5131 US Highway 62 Calvert City, KY 42029 (270) 395-8447

Mason County Goldman Rita R 1335 Southgate Plz Maysville, KY 41056 (606) 564-4213 Lyles Jerry J 1335 Southgate Plz Maysville, KY 41056 (606) 564-4213

McCracken County Canter Jamie S 5164 Hinkleville Rd Paducah, KY 42001 (270) 442-0110

Hoying Shane C 2769 W Park Dr Paducah, KY 42001 (270) 575-1000 Kahre Travis 3333 Irvin Cobb Dr Ste 104 Paducah, KY 42003 (270) 442-2211 Schipp Heath D 3240 Lone Oak Rd Ste C Paducah, KY 42003 (270) 554-7661 Sparks Rodney L 657 Lone Oak Rd Ste 6 Paducah, KY 42003 (270) 442-4054 True Matthew M 1111 W HWY 80 Ste B Kevil, KY 42053 (606) 676-0040 Winters Michael A 2830 Lone Oak Rd Ste 4 Paducah, KY 42003 (270) 554-2141

McCreary County West Timothy W 242 S Main St Whitley City, KY 42653 (606) 376-2123

Mercer County Aldridge Kristi L 507 Joseph Dr Ste 4 Harrodsburg, KY 40330 (859) 734-2800 Garrisonshort Callie J 507 Joseph Dr Ste 4 Harrodsburg, KY 40330 (859) 239-0022

Metcalfe County

Ohio County

McMurtrey Kelly N 106 West Stockton St Edmonton, KY 42129 (270) 432-5656

Embry Eddie L 1211 N Main St Beaver Dam, KY 42320 (270) 274-0888

Monroe County

Owen County

Keith Collin G 907 N Main St Tompkinsville, KY 42167 (270) 487-8283

Schwartz Erin A 106 N Main St Owenton, KY 40359 (502) 484-2319

Poynter Nicholas D 200 E 4th St Ste C Tompkinsville, KY 42167 (270) 487-6254

Montgomery County Baker Beverly G 601 Doe Run Dr Ste 5 Mount Sterling, KY 40353 (859) 498-5540 Knepper Kevin L 601 Doe Run Dr Ste 5 Mount Sterling, KY 40353 (859) 498-5540 Linton Robert J 107 Brandon Way Mount Sterling, KY 40353 (859) 499-1009

Muhlenberg County

Languages: Spanish

Joines Gerald W 1731 W Everly Brothers Blvd Central City, KY 42330 (270) 754-1335

Wentz Brian W 584 N College St Harrodsburg, KY 40330 (859) 734-9992

Vincent Larry D 302 Medical Plz Greenville, KY 42345 (270) 338-3348

Heisner Monty 5649 Benton Rd Paducah, KY 42003 (270) 898-3052 † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Perry County

2070 S HWY 27 Ste D Somerset, KY 42501 (606) 676-0040 Bramble Todd A 110 Richie Ln Ste B Somerset, KY 42503 (606) 679-1433 Casada Rodney W 1056 S Highway 27 Ste 5 Somerset, KY 42501 (606) 679-6385

Burns Lee W 850 Morton Blve Hazard, KY 41701 (606) 487-8585

Cooper Ronald O 1005 W Columbia St Somerset, KY 42503 (606) 679-1166

Fugate Fairlena K 3123 N KY Highway 15 Ste 1 Hazard, KY 41701 (606) 439-3399

Henderson Chad C 1056 S Highway 27 Ste 5 Somerset, KY 42501 (606) 679-6385

Williams Alan D 148 Taylor Ridge Rd Hazard, KY 41701 (606) 487-8255

True Matthew M 2070 S HWY 70 Ste D Somerset, KY 42501 (606) 676-0040

Pike County Akers Adam C 171 Hibbard St Pikeville, KY 41501 (606) 432-8395

Wilson Angie A 4044 Sarah's Ln Somerset, KY 42503 (606) 451-0564

Rowan County

Hackney Gregory T 153 Weddington Branch Rd Pikeville, KY 41501 (606) 432-2225

Ginter Christopher T 259 Old Flemingsburg Road Morehead, KY 40351 (606) 783-0233

Harrison Steven M 50 Village St Pikeville, KY 41501 (606) 432-0386

O'Brien Timothy W 547a W Main St Morehead, KY 40351 (606) 780-7400

Hensley Johanna L 153 Weddington Branch Rd Pikeville, KY 41501 (606) 432-2225

Spurlock William M 1350 Flemingsburg Rd Morehead, KY 40351 (606) 784-1115

Pulaski County Belcher Jonathan A 112 Southport Dr Somerset, KY 42501 (606) 676-0022

Whitt Matthew K 259 Old Flemingsburg Rd Morehead, KY 40351 (606) 783-0233

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WellCare of Kentucky Russell County

Simpson County

Cooper Victor H 350 Lakeway Dr Russell Springs, KY 42642 (270) 866-3543

Crnkic Sanda 607 S Main St Franklin, KY 42134 (270) 586-8740

True Matthew M 262 E Steve Wariner Dr Russell Springs, KY 42642 (270) 866-7246

Scott County Bell Kelley A 107 Frazier Ct Ste 1b Georgetown, KY 40324 (502) 867-0807 Goldman Rita R 100 Eastside Dr Georgetown, KY 40324 (502) 868-0097 Luking Jason 107 Frazier Ct Ste 1b Georgetown, KY 40324 (502) 867-0807 Lyles Jerry J 100 Eastside Dr Georgetown, KY 40324 (502) 868-0097 Neukam Suzanne 107 Frazier Ct Ste 1b Georgetown, KY 40324 (502) 867-0807 Schulz Brian 107 Frazier Ct Ste 1b Georgetown, KY 40324 (502) 867-0807

Heinze Dane D 1248 Nashville Rd Franklin, KY 42134 (270) 586-6900

Taylor County Gresham Janna L 100 Greenbriar Dr Campbellsville, KY 42718 (270) 465-5200 Richerson James K 1997 Old Lebanon Rd Campbellsville, KY 42718 (270) 469-9308 Roberts Raymond A 108 Lebanon Ave Campbellsville, KY 42718 (270) 789-0060 Shaw Stephen W 1900 Greensburg Rd Campbellsville, KY 42718 (270) 465-5651 Yoder Samuel L 108 Lebanon Ave Campbellsville, KY 42718 (270) 789-0060

Trigg County

Tran Paul S 205 Champion Way Ste 8 Georgetown, KY 40324 (502) 867-7478

Pound Sheila R 308 Main St Cadiz, KY 42211 (270) 522-1800

Shelby County

Baity Leon P 1043 Pedigo Way Ste 9 Bowling Green, KY 42103 (270) 781-6216

Stapleton James P 1713 Midland Trl Shelbyville, KY 40065 (502) 633-1073

Warren County

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Clark Amie C 351 Pascoe Blvd Ste 106 Bowling Green, KY 42104 (270) 843-1930 Crnkic Sanda 165 Natchez Trace Ave Ste 201 Bowling Green, KY 42103 (270) 746-9400

Whitley County

Boyd County

Bingham Sheri F 1707 Cumberlnd Fls HWY Ste L6 Corbin, KY 40701 (606) 526-8856

Pathways INC Po Box 790 Ashland, KY 41105 (606) 329-8588

Brock D P 1015 Master St Corbin, KY 40701 (606) 528-8659

Folk Chad A 1143 Fairway St Ste 103 Bowling Green, KY 42103 (270) 783-4500

Christopher Elizabeth R 412 Sycamore St Williamsburg, KY 40769 (606) 549-4811

Languages: Spanish

Christopher Terry M 410 Sycamore St Williamsburg, KY 40769 (606) 549-4811

Ghayoumi Abdol 1074 Pedigo Way Ste 200 Bowling Green, KY 42103 (270) 782-0267 Languages: Turkish Hawley Bryan K 165 Natchez Trace Ave Ste 201 Bowling Green, KY 42103 (270) 746-9400 Owsley Kyle M 1847 Scottsville Rd Bowling Green, KY 42104 (270) 846-0505 Rogers Adam P 165 Natchez Trace Ave Ste 201 Bowling Green, KY 42103 (270) 746-9400 Woodward Mark 1048 31 W Byp Bowling Green, KY 42101 (270) 781-5644

Wayne County Catron Kendra R 470 N Main St Monticello, KY 42633 (606) 340-1784

Languages: Spanish Ho Kenneth K 841 S Highway 25 W Ste 5 Williamsburg, KY 40769 (606) 549-0123

Woodford County Gladdis Scott M 260 Crossfield Dr Versailles, KY 40383 (859) 879-0024

Indiana Brockman Nicholas A 7145 E Virginia St Evansville, IN 47715 (812) 477-7111 Sovar Scott R 882 Sycamore St Ste C Rockport, IN 47635 (812) 649-4926

Tennessee West Timothy W 18895 Alberta St Oneida, TN 37841 (423) 569-2225

Breathitt County Kentucky River Community Care INC 178 Community Way Jackson, KY 41339 (606) 666-9006

Caldwell County Pennyroyal Healthcare Services 1350 US Highway 62 W Princeton, KY 42445 (270) 821-8874

Christian County Pennyroyal Healthcare Services 735 North Dr Hopkinsville, KY 42240 (270) 821-8874

Daviess County Rivervalley Behavioral Health 1100 Walnut St PO Box 1637 Owensboro, KY 42301 (270) 689-6500

Fayette County Bluegrass Regional MHMR Board INC 1351 Newtown Pike Bldg 1 Lexington, KY 40511 (859) 253-1686

Floyd County Mountain Comprehensive Care 104 S Front Ave Prestonsburg, KY 41653 (606) 886-8572

Community Mental Health Kentucky Chiropractor

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WellCare of Kentucky Hopkins County

Pulaski County

Pennyroyal Healthcare Services 1303 W Noel Ave Madisonville, KY 42431 (270) 821-8874

The Adanta Group 259 Parkers Mill Rd Somerset, KY 42501 (606) 679-4782

436 N Main St Madisonville, KY 42431 (270) 821-0632

Jefferson County Seven Counties 101 W Muhammad Ali Blvd Louisville, KY 40202 (502) 589-8600

Kenton County Northkey Community Care 503 Farrell Dr Covington, KY 41011 (859) 578-3200

Laurel County Cumberland River Regional Mental Health 610 American Greeting Card Rd Corbin, KY 40701 (606) 528-7010

Mason County Comprehend INC 611 Forest Ave Maysville, KY 41056 (606) 564-4016

McCracken County Four Rivers Behavioral Health 425 Broadway St Paducah, KY 42001 (270) 442-8039

Muhlenberg County Pennyroyal Healthcare Services 506 Hopkinsville St Greenville, KY 42345 (270) 821-8874

Warren County Lifeskills INC 380 Suwannee Trail St Bowling Green, KY 42103 (270) 901-5229

Dentist Kentucky Adair County

Inman Gregory 207 Professional Park Dr Glasgow, KY 42141 (270) 651-9386 Myers William M 207 Professional Park Drive Glasgow, KY 42141 (270) 651-3709 Sutton James M 1214 North Race Street Suite A Glasgow, KY 42141 (270) 629-3040

Brown Janella 318 Public Square Columbia, KY 42728 (270) 384-3481

Thompson Thomas M 1214 North Race Street Suite A Glasgow, KY 42141 (270) 629-3040

Anderson County

Bath County

Byers Christopher 1012 Eagle Lake Dr Lawrenceburg, KY 40342 (502) 839-5991

Durbin Douglas 137 Old 36 Highway Owingsville, KY 40360 (859) 223-3939

Barren County Ballou Sheldon A 203 South Dixie Highway Cave City, KY 42127 (270) 773-4675 Clark Jeffrey M 1214 A North Race Glasgow, KY 42141 (270) 629-3040 Coomer Jason R 203 South Dixie Highway Cave City, KY 42127 (270) 773-3943 Greer Brandon 1214 North Race Street Suite A Glasgow, KY 42141 (270) 629-3040

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Garner Thomas C 137 Old 36 Highway Owingsville, KY 40360 (859) 223-3939 Hamlin Larry E 135 Suddith Street Owingsville, KY 40360 (606) 674-6305 Huang John 137 Old 36 Highway Owingsville, KY 40360 (859) 223-3939

Bell County Barnett Richard D 106 South 10th Street Middlesboro, KY 40965 (606) 248-7505 Boster Joseph 2205 Cumberland Avenue Middlesboro, KY 40965 (606) 248-3674

Collier Deborah D 53 Queendale Center Beverly, KY 40913 (606) 598-5135 Dixon Mansfield 121 Virginia Avenue East Pineville, KY 40977 (606) 337-3034 Heckman Benjamin J 121 Virginia Avenue East Pineville, KY 40977 (606) 337-3034 Lancaster Alison D 2004 Cumberland Avenue Suite 333 Middlesboro, KY 40965 (606) 248-1008 Lefevers Kathryn D 850 Riverview Road 3rd Floor Pineville, KY 40977 (606) 337-6297 Maddox James G 1517 Cumberland Avenue Middlesboro, KY 40965 (606) 248-7661 Pursifull Brent B 3604 West Cumberland Avenue Middlesboro, KY 40965 (606) 248-2328 Slusher Daniel K 121 Virginia Avenue East Pineville, KY 40977 (606) 337-3034 Tolliver Cordell W 714 Exeter Avenue Middlesboro, KY 40965 (606) 248-5302 Wilson Bruce T 123 N 19th Street Middlesboro, KY 40965 (606) 248-1808 Woolum Kerry L 121 Virginia Avenue East Pineville, KY 40977 (606) 337-3034

Boone County Bathiany Albert E 7400 US Highway 42 Florence, KY 41042 (859) 525-2100 Moore Martin J 59 Cavalier Blvd Suite 300 Florence, KY 41042 (859) 525-0507 Philbrick James D 8449 US Highway 42 Suite K Florence, KY 41042 (859) 372-6300 Soper Eric M 5495 North Bend Road Burlington, KY 41005 (859) 534-5640 Stigall Rodney 2300 Conner Road Hebron, KY 41048 (859) 586-4825 Wallace Kenneth F 280 Mt Zion Road Suite D Florence, KY 41042 (859) 283-1986 Wong Angelica P 5495 North Bend Road Burlington, KY 41005 (859) 534-5640 Languages: Spanish Zimmerman Curtis R 7033 Burlington Pike Suite 01 Florence, KY 41042 (859) 525-7586

Bourbon County Chambers - Wells Morgan 2115 Rocky Drive Paris, KY 40361 (859) 987-3290 McCauley-Thornberry Amanda M 109 North Middletown Road Paris, KY 40361 (859) 987-7474

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WellCare of Kentucky McFarland Barton C 2020 Alverson Drive Paris, KY 40361 (859) 987-4775 McIlvain Jason 2115 Rocky Drive Paris, KY 40361 (859) 987-3290 Meade Jewell R 2115 Rocky Drive Paris, KY 40361 (859) 987-3290 Newman Anna E 436 Main Street Paris, KY 40361 (856) 987-5550 Wilson Rachel G 2115 Rocky Drive Paris, KY 40361 (859) 987-3290

Boyd County Beadle Ralph 16005 US 23 South Catlettsburg, KY 41129 (606) 739-0403 Languages: Spanish Frazier Joseph W 708 13th Street Ashland, KY 41101 (606) 325-4231 Johnson Edward L 928 State Route 716 Ashland, KY 41102 (606) 928-3866 Jordan-Webb Christina 4330 13th Street Ashland, KY 41102 (606) 326-1234 Mayer Jerry A 400 Saint Christopher Drive Ashland, KY 41101 (606) 833-0303 Montague Charles E 1330 Central Avenue Ashland, KY 41101 (606) 329-0919

Mussetter Nancy 1000 Saint Christopher Boulevard Ashland, KY 41101 (606) 833-4069 2000 Carter Avenue Ashland, KY 41101 (606) 329-1440 2201 Lexington Avenue Ashland, KY 41101 (606) 327-4000 Schneider Marc 1800 Carter Avenue Ashland, KY 41101 (606) 324-3552 Shelton Ronnie 441 21 St Ashland, KY 41101 (606) 324-8366 Smith Earl 441 21 Street Ashland, KY 41101 (606) 324-8366 Spradlin Glenn D 1000 Saint Christopher Boulevard Ashland, KY 41101 (606) 833-4069 2000 Carter Avenue Ashland, KY 41101 (606) 329-1440 2201 Lexington Avenue Ashland, KY 41101 (606) 327-4000 Stewart David G 1616 Central Ave Ashland, KY 41101 (606) 329-9929 Thorner William R 1800 Carter Avenue Ashland, KY 41101 (606) 324-3552

Boyle County Beto Louis M 400 South Fourth Street Danville, KY 40422 (859) 236-1130

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Bogardus Amy 400 South Fourth Street Danville, KY 40422 (859) 236-1130

White James G 126 Daniel Drive Suite B Danville, KY 40422 (859) 936-9937

Deaton Kelley C 359 C South 4th Street Danville, KY 40422 (859) 236-5703

Bracken County

Hankla John W 1000 E Lexington Avenue Suite 35 Danville, KY 40422 (859) 236-2243 Iqbal Sarah 132 North Second Street Danville, KY 40422 (859) 236-2488 Johnson Jeffrey T 126 Daniel Dr Suite A Danville, KY 40422 (859) 236-6900 Lowdenback Clifford J 126 Daniel Drive Suite B Danville, KY 40422 (859) 936-9937 Maggard Michael B 126 Daniel Drive Suite B Danville, KY 40422 (859) 936-9937

Jefferson Tara L 224 Frankfort Street Brooksville, KY 41004 (606) 735-3114 McCord Gary L 224 Frankfort Street Brooksville, KY 41004 (606) 735-3114

Breathitt County Campbell Roger D 221 Highway 15 South Jackson, KY 41339 (606) 666-4020 Griffith Rodney 1462 Highway 15 North Jackson, KY 41339 (606) 666-2966 Rodriguez Carla M 726 Highway 15 North Jackson, KY 41339 (606) 666-2262

Breckinridge County

Moody Carolyn 303 South 4th Street Suite 200 Danville, KY 40422 (859) 236-8448

Driskell-McCoy Rebecca 122 West 3rd Street Hardinsburg, KY 40143 (270) 756-7950

Neal Lisa M 132 North 2nd Street Danville, KY 40422 (606) 236-2488

Higginson Joseph H 124 East 3rd Street Hardinsburg, KY 40143 (270) 756-5589

Popplewell Jessica L 132 North Second Street Danville, KY 40422 (859) 236-2488

Owen Virginia 113 East 2nd Street Hardinsburg, KY 40143 (270) 756-5792

Webster Robert 359- B South Fourth Danville, KY 40422 (859) 236-1912 517 Legion Drive Danville, KY 40422 (859) 236-1912

Bullitt County Allen William R 209 High Point Court Suite 100 Mount Washington, KY 40047 (502) 957-1250

Babcock Christopher 209 High Point Court Suite 100 Mount Washington, KY 40047 (502) 957-1250 Beard Carl 1746 Highway 44 East Shepherdsville, KY 40165 (502) 955-7102 Isgrigg Nita 110 Village Lane Mount Washington, KY 40047 (502) 538-3434 Languages: Spanish Mills Geoffrey 209 High Point Court Suite 100 Mount Washington, KY 40047 (502) 957-1250 Mitchell Matthew 211 High Point Court Suite 500 Mount Washington, KY 40047 (502) 538-2400 Noonan Christopher 209 High Point Court Suite 100 Mount Washington, KY 40047 (502) 297-1250 Redman Owens Jera 1746 Highway 44 East Shepherdsville, KY 40165 (502) 955-7102 Thurman Thomas 1746 Highway 44 East Shepherdsville, KY 40165 (502) 543-2278 Walters Nathan 209 High Point Court Suite 100 Mount Washington, KY 40047 (502) 957-1250

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WellCare of Kentucky Warren Jamie 209 High Point Court Suite 100 Mount Washington, KY 40047 (502) 957-1250

Butler County Birkenhauer Meghan T 304 West Ohio Street Morgantown, KY 42261 (270) 526-3346 Burt Andrew M 304 West Ohio Street Morgantown, KY 42261 (270) 526-3346 Campbell Leslie S 304 West Ohio Street Morgantown, KY 42261 (270) 526-3346 Williams Tarin T 222 West Porter Street Morgantown, KY 42261 (270) 526-8500

Caldwell County Sitton Lora D 400 West Washington Princeton, KY 42445 (270) 365-6174

Calloway County Fitch Robert G 1304 Johnson Blvd Murray, KY 42071 (270) 753-1691 Pasco William N 1653 Calloway Avenue Murray, KY 42071 (270) 753-1914 Pickens James B 706 Main St Murray, KY 42071 (270) 753-5052 Robertson Charles 1710 A State Route 121 North Murray, KY 42071 (270) 753-9479

Wells James 1712 E State Route 121 N Murray, KY 42071 (270) 753-1572 West Jackie D 1711 121 North Bypass Murray, KY 42071 (270) 759-4242 Young Burton 111 South 13th Street Murray, KY 42071 (270) 753-1206

Campbell County Bathiany Albert E 18 North Ft Thomas Avenue Fort Thomas, KY 41075 (859) 781-4100 Damron Stafford R 335 York Street Newport, KY 41071 (859) 261-6116 Hill Buford R 625 6th Avenue Dayton, KY 41074 (859) 261-0101 Jain Chandana 1809 Alexandria Pike Highland Heights, KY 41076 (859) 781-1500

1809 Alexandria Pike Highland Heights, KY 41076 (859) 781-1500 Tignor William 103 Landmark Drive Bellevue, KY 41073 (859) 655-6100 Tomelin Thomas E 103 Landmark Drive Bellevue, KY 41073 (859) 655-6100 Wall Kevin S 625 6th Avenue Dayton, KY 41074 (859) 261-0101

Carlisle County Boyd John A 268 Highway 62 Bardwell, KY 42023 (270) 628-3512

Casey County Beeler Michele 650 Whipp Ave Liberty, KY 42539 (606) 787-5222 Neal Lisa M 44 Liberty Sqaure Liberty, KY 42539 (606) 787-2443 Popplewell Jessica L 44 Liberty Sqaure Liberty, KY 42539 (606) 787-2443

Christian County Allen Richard C 520 Noel Avenue Hopkinsville, KY 42240 (270) 885-4156

Carroll County

Gamble Marty 115 East Mill Street Crofton, KY 42217 (270) 424-5999

Degeorge Victor 430 Main Street Carrollton, KY 41008 (502) 732-9026

Miller Mark D 320 Cool Water Court Hopkinsville, KY 42240 (270) 885-0165

Renslow Danielle 2482 Highway 227 Carrollton, KY 41008 (502) 732-0333

White Tresa C 440 East 18th Street Hopkinsville, KY 42240 (270) 886-0581

Carter County

Clark County

Lake Debra 103 Landmark Drive Bellevue, KY 41073 (859) 655-6100

Baker Randall L 131 Jessica Lane Suite D Olive Hill, KY 41164 (606) 286-5980

Peavie Racheal 103 Landmark Drive Bellevue, KY 41073 (859) 655-6100

Howard Charles D 500 North Carol Malone Blvd Grayson, KY 41143 (606) 474-6655

Cramer John R 1303 West Lexinton Avenue Winchester, KY 40391 (859) 744-0677

Pfeiffer Mark A 20 North Grand Ave Suite 10 Fort Thomas, KY 41075 (859) 441-1900 Rider David M 85 North Grand Avenue Fort Thomas, KY 41075 (859) 781-1500

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Jordan Kevin R 154 Scott Street Olive Hill, KY 41164 (606) 286-4121

Crisp Timothy F 11 Canary Lane Winchester, KY 40391 (859) 744-7031 Durbin Douglas 505 Shoppers Drive Suite 4 Winchester, KY 40391 (859) 223-3939

Garner Thomas C 505 Shoppers Drive Suite 4 Winchester, KY 40391 (859) 223-3939 Gray Anita A 1303 West Lexington Avenue Winchester, KY 40391 (859) 745-4455 Gray John I 1303 West Lexinton Avenue Winchester, KY 40391 (859) 744-0677 Huang John 505 Shoppers Drive Suite 4 Winchester, KY 40391 (859) 223-3939 McCord Tammy P 122 Professional Avenue Winchester, KY 40391 (859) 744-0238 McLaurin Donald R 1303 West Lexinton Avenue Winchester, KY 40391 (859) 744-0677 Meek Donna S 2560 Bypass Road Suite 2 Winchester, KY 40391 (859) 737-1000 Peterson Gilman P 1303 West Lexinton Avenue Winchester, KY 40391 (859) 744-0677 Pratt Michael M 244 Redwing Drive Winchester, KY 40391 (859) 355-5140 Tolle Alisa F 244 West Lexington Avenue Winchester, KY 40391 (859) 745-4867

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WellCare of Kentucky Varanasi Gayatri 1303 West Lexington Avenue Winchester, KY 40391 (859) 745-4455

Clay County Bryant Terry L 1 Fayette Properties Manchester, KY 40962 (606) 599-8856 Hensley Benny H 269 White Street Manchester, KY 40962 (606) 598-4094 Rice James C 936 N HWY 421 Manchester, KY 40962 (606) 598-5611

Clinton County Allen Dawn R 1107 Cross Street Albany, KY 42602 (606) 387-6427 Brummett Daniel J 108 Plaza Drive Albany, KY 42602 (606) 557-1023 Riley Terry R 105 Foothills Ave Albany, KY 42602 (606) 387-8372 Tallent Steven M 108 Plaza Drive Albany, KY 42602 (606) 557-1023

Cumberland County Allen Dawn R 360 Keen Street Burkesville, KY 42717 (270) 864-2889 Hughes Shana G Po Box 1080 Burkesville, KY 42717 (270) 864-1472

Stephenson John G 405 North Main Street Burkesville, KY 42717 (270) 864-3465

Johnson James M 722 Harvard Drive Owensboro, KY 42301 (270) 685-5242

Daviess County

Johnson Matthew L 722 Harvard Drive Owensboro, KY 42301 (220) 685-5242

Alley - Newton Teri 610 Carlton Drive Owensboro, KY 42303 (270) 683-6623 Ashby Suzanna 2315 Mayfield Drive Suite 32 Owensboro, KY 42301 (270) 691-6205 Braun Carol J 2816 Veach Road Suite 201 Owensboro, KY 42303 (270) 683-7114 Brey - Sanford Misty M 2817 Veach Road Owensboro, KY 42303 (270) 684-2463 Crews James P 2200 East Parrish Suite 202 Owensboro, KY 42303 (270) 683-7447 Frey Vicki L 3164 Alvey Park Drive East Owensboro, KY 42303 (270) 683-0620 Higdon Katherine T 2816 Veach Road Suite 201 Owensboro, KY 42303 (270) 683-7114 Higginson Joseph H 2868 Farrell Crescent Owensboro, KY 42303 (270) 684-0822 Jackson Robert A 2816 Veach Road Unit 305 Owensboro, KY 42303 (270) 683-5344

Pendley Jason 4921 Goetz Dr Owensboro, KY 42301 (270) 926-0190 Pickrell Holly M 2817 Veach Road Owensboro, KY 42303 (270) 684-2463 Reynolds Daniel A 2816 Veach Road Bldg 2 Owensboro, KY 42303 (270) 926-0548 Shaw Kin 920 Frederica Street Suite 301 Owensboro, KY 42301 (270) 926-7272 Taylor Brandon W 2315 Mayfield Drive Suite 32 Owensboro, KY 42301 (270) 691-6205 Thompson David C 3164 Alvey Park Drive East Owensboro, KY 42303 (270) 683-0620 Young Phillip R 2315 Mayfield Drive Suite 32 Owensboro, KY 42301 (270) 691-6205

Edmonson County Stice Brently H 1427 Highway 259 North Brownsville, KY 42210 (270) 597-3711

Elliott County Buckner Kimberly A Highway 7 & 32 Sandy Hook, KY 41171 (606) 738-5545 Oliver Garry L 437 South Kentucky Route 706 Isonville, KY 41149 (606) 738-6904

Estill County Asgari Sara 161 Richmond Road Irvine, KY 40336 (606) 723-4112 Canter Dennis G 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665 Gay Jason 10 River Drive Irvine, KY 40336 (606) 723-1000 Johnson Jimmie L 87 Wildwood Place Irvine, KY 40336 (606) 723-3213 Jordan Jane 161 Richmond Road Irvine, KY 40336 (606) 723-4112 Knopp Tina A 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665 Monson David T 10 River Drive Irvine, KY 40336 (606) 723-1000 Parsons John H 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665 Parsons Lindsey A 30 Stacy Ln Rd Irvine, KY 40336 (606) 723-0665 Languages: Spanish

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Senters Sherry 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665 Stephens Mark C 30 Stacy Ln Rd Irvine, KY 40336 (606) 723-0665 Vose Charles 30 Stacy Lane Road Irvine, KY 40336 (606) 723-0665

Fayette County Abadi Behruz J 800 Rose Street Lexington, KY 40536 (859) 323-8098 Adkins Robert S 2505 Larkin Road Lexington, KY 40503 (859) 278-9575 Al-Sabbagh Mohanad 800 Rose Street Lexington, KY 40536 (859) 323-8098 Arnold Kelly A 2393 Alumni Drive Suite 102 Lexington, KY 40517 (859) 268-8770 Baldwin Aaron 4097 Nichols Park Dr Suite 108 Lexington, KY 40503 (859) 971-9298 216 Fountain Court Suite 110 Lexington, KY 40509 (859) 264-1898 800 Rose Street Lexington, KY 40536 (859) 323-1345 Languages: Spanish Banahan Jackie L 3141 Beaumont Centre Circle Suite 100 Lexington, KY 40513 (859) 223-4888

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WellCare of Kentucky Beeman Cynthia S 800 Rose Street Lexington, KY 40536 (859) 323-9707 Languages: Spanish Benton Nardos 3475 Richmond Road Suite 100 Lexington, KY 40509 (859) 543-0505 Bertoli Elizangela 800 Rose Street Lexington, KY 40536 (859) 323-8098 Bimstein Enrique G 1135 Red Mile Place Lexington, KY 40504 (859) 218-2273 740 South Limestone Kentucky Clinic Building Lexington, KY 40536 (859) 323-9707 Bishop Susan S 800 Rose Street Lexington, KY 40536 (859) 323-1345 Languages: Spanish Boehnlein Polly 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679 Languages: Spanish Bogardus Amy 800 Rose Street Lexington, KY 40536 (859) 323-8098

Languages: Spanish

Languages: Spanish

Chance Kenneth 800 Rose Street Lexington, KY 40536 (859) 323-8098

Crum - Stevens Sandra 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Braun Molly 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Chandler James A 1640 Nicholasville Road B103 Lexington, KY 40503 (859) 277-8633

Cunningham Larry 800 Rose Street Lexington, KY 40536 (859) 323-8098

Durbin Douglas 860 Corporate Drive Suite 201 Lexington, KY 40503 (859) 223-3939

Damm Douglas D 800 Rose Street Lexington, KY 40536 (859) 323-1345

Edens Gregory M 1750 Alexandria Drive Lexington, KY 40504 (859) 277-1189

Branson Shellie A 740 South Limestone Lexington, KY 40536 (859) 323-9707

Languages: Spanish Buchart Michael P 540 East Main Street Lexington, KY 40508 (859) 233-1431 698 Perimeter Drive Suite 200 Lexington, KY 40517 (859) 269-2757 Burress Shanna 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Caskey Paula 800 Rose Street Lexington, KY 40536 (859) 323-1345

Child Michael E 2134 Nicholsville Road Suite 13 Lexington, KY 40503 (859) 276-4449 Clark Robert S 2533 Larkin Road Suite 101 Lexington, KY 40503 (859) 278-9376 One Saint Joseph Drive Lexington, KY 40504 (859) 277-1579

Burt John 740 South Limestone Lexington, KY 40536 (859) 323-9707

3141 Beaumont Center Circle Suite 103 Lexington, KY 40513 (859) 278-9376

Languages: Spanish

Clemens Justin C 800 Rose Street Lexington, KY 40536 (859) 323-1345

Burton Susan L 431 South Broadway Suite 112 Lexington, KY 40508 (859) 255-6161

Bondra Kenneth J 2533 Larkin Road Suite 101 Lexington, KY 40503 (859) 278-9376

Byron Raymond 800 Rose Street Lexington, KY 40536 (859) 323-1345

One Saint Joseph Drive Lexington, KY 40504 (859) 277-1579

Cash Clark D 535 Wellington Way Suite 180 Lexington, KY 40503 (859) 219-2344

3141 Beaumont Center Circle Suite 103 Lexington, KY 40513 (859) 219-1913

Dillow Morgan C 2517 Sir Barton Way Lexington, KY 40509 (859) 543-2456

Cramer John R 1640 Nicholasville Road B103 Lexington, KY 40503 (859) 277-5759

Bowen Jeffrey 800 Rose Street Lexington, KY 40536 (859) 323-8098

Languages: Spanish

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Clements John H 800 Rose Street Lexington, KY 40536 (859) 323-1345 Cobetto Gregory 800 Rose Street Lexington, KY 40536 (859) 323-8098 Corder Christopher 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Languages: Spanish Davis Christopher S 1750 Alexandria Drive Lexington, KY 40504 (859) 277-1189 Dawson Dolphus 800 Rose Street Lexington, KY 40536 (859) 323-9707 Day Ronald M 2517 Sir Barton Way Lexington, KY 40509 (859) 543-2456 Dean Lisa R 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Demann Eric 217 Elm Tree Lane Lexington, KY 40507 (859) 257-8801 740 South Limestone Lexington, KY 40536 (859) 323-9707 Languages: Spanish Dembo Jeffrey 800 Rose Street Lexington, KY 40536 (859) 323-8098

Dingrando Kelly 800 Rose Street Lexington, KY 40536 (859) 323-9707

Edmonds Valerie R 4097 Nichols Park Drive Suite 112 Lexington, KY 40503 (859) 971-9238 Edwards Jeffrey L 2134 Nicholasville Road Suite #15 Lexington, KY 40503 (859) 230-2174 Emecen Huja Pinar 800 Rose Street Lexington, KY 40536 (859) 323-1345 Languages: Spanish Fehr Xia Y 1500 Leestown Road Suite 100 Lexington, KY 40511 (859) 243-0332 Ferrin John D 800 Rose Street Lexington, KY 40536 (859) 257-1494 Flener Candace 2333 Alexandria Drive Lexington, KY 40504 (577) 227-9892 650 Newtown Pike Lexington, KY 40508 (859) 252-2371

Languages: Spanish

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WellCare of Kentucky Ford Jason 2533 Larkin Road Suite 101 Lexington, KY 40503 (859) 278-9376

Greene Kathrine B 1081 Dove Run Road Suite 106 Lexington, KY 40502 (859) 269-7135

Helton Tonda 4097 Nichols Park Dr Suite 108 Lexington, KY 40503 (859) 971-9298

740 South Limestone St Room A-219 Lexington, KY 40536 (859) 323-9707 Languages: Spanish

Kinchen Gretchen 989 Governors Ln Suite 120 Lexington, KY 40513 (859) 296-0296

3141 Beaumont Center Circle Suite 103 Lexington, KY 40513 (859) 219-1913

Hancock-Jones Laura 800 Rose Street Lexington, KY 40536 (859) 323-9707

1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Ford Kara D 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 258-2552

Haney Charlotte 740 South Limestone Lexington, KY 40536 (869) 323-6261

Jackson Megan 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

King Jeffrey W 4071 Tates Creek Center Drive Suite 210 Lexington, KY 40517 (859) 273-3139

Languages: Spanish

Kissinger Phillip 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Languages: Spanish Fowler Craig B 800 Rose Street Lexington, KY 40536 (859) 323-5515 Languages: Spanish Fraley Christian S 2400 Greatstone Pointe Lexington, KY 40536 (859) 323-9707 Frazer Robert Q 800 Rose Street Lexington, KY 40536 (859) 323-1345 Languages: Spanish Fuentealba Hidalgo Rodrigo E 800 Rose Street Lexington, KY 40536 (859) 323-1345 Garner Thomas C 860 Corporate Drive Suite 201 Lexington, KY 40503 (859) 223-3939 Gibson Marcus A 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Gravil Ronald A 3111 Wall Street Lexington, KY 40513 (859) 223-1833

Languages: Spanish Harrison Ershal 800 Rose Street Lexington, KY 40536 (859) 323-8098 Hartsfield Jr James 800 Rose Street Lexington, KY 40536 (859) 323-8098 Haskell Bruce S 800 Rose Street Lexington, KY 40536 (859) 323-8098 Haubenreich James E 800 Rose Street Lexington, KY 40536 (859) 257-1494 Haynes Kathryn D 1135 Red Mile Place Lexington, KY 40504 (606) 439-1559 217 Elm Tree Lane Lexington, KY 40507 (606) 439-1559 Hayward Theresa 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Head Marylou S 3225 Summit Square Place Suite 150 Lexington, KY 40509 (859) 269-5386

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Languages: Spanish Hendricks Don Michael 1025 Dove Run Road Suite 208 Lexington, KY 40502 (859) 368-8618 Herman Larry M 228 North Upper Street Lexington, KY 40507 (859) 233-1112 Hishmeh Fahed 2558 Larkin Road Lexington, KY 40503 (859) 277-1151 Hollingsworth Cherice M 1517 Nicholasville Road Suite 301 Lexington, KY 40503 (859) 278-9977 Huang Betty 216 Fountain Court Suite 150 Lexington, KY 40509 (859) 543-2242 Huang John 860 Corporate Drive Suite 201 Lexington, KY 40503 (859) 223-3939 Huja Sarandeep S 800 Rose Street Lexington, KY 40536 (859) 323-1345 Languages: Spanish Humphrey Wendy 2201 Regency Road Suite 503 Lexington, KY 40503 (859) 277-5437

Jackson Rodney A 2517 Sir Barton Way Lexington, KY 40509 (859) 543-2456 800 Rose Street Lexington, KY 40536 (859) 323-8098

Kluemper George 800 Rose Street Lexington, KY 40536 (859) 323-8098

Jasper Samuel J 800 Rose Street Lexington, KY 40536 (859) 323-1345

Knight Judson M 800 Rose Street Lexington, KY 40536 (859) 323-1345

Languages: Spanish

Languages: Spanish

Jenkins William S 216 Fountain Court Suite 110 Lexington, KY 40509 (859) 264-1898

Kochis Lisa A 4071 Tates Creek Centre Drive Suite 306 Lexington, KY 40517 (859) 971-1137

Johanneman Shaunna R 650 Newtown Pike Lexington, KY 40508 (859) 252-2371

Kovarik Robert E 800 Rose Street Lexington, KY 40536 (859) 323-1345

Johnson Jimmie L 650 Newtown Pike Lexington, KY 40508 (859) 288-2425

Kutkut Ahmad 800 Rose Street Lexington, KY 40536 (859) 323-1345

Jordan Jane 800 Rose Street Lexington, KY 40536 (859) 323-8098

Landis John 650 Newtown Pike Lexington, KY 40508 (859) 252-2371

Kantor Mel L 800 Rose Street Lexington, KY 40536 (859) 323-1345

Larkin Linda A 624 North Broadway Lexington, KY 40508 (859) 253-0711

Khader Ruba 800 Rose Street Lexington, KY 40536 (859) 323-8098

Larkin Thomas J 800 Rose Street Lexington, KY 40536 (859) 323-1345

Languages: Spanish

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WellCare of Kentucky Laswell Harold R 800 Rose Street Lexington, KY 40536 (859) 323-1345 Leslie Louis 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Max Donald P 2533 Larkin Road Suite 101 Lexington, KY 40503 (859) 278-9376 One Saint Joseph Drive Lexington, KY 40504 (859) 277-1579

740 South Limestone Lexington, KY 40536 (859) 323-9707 800 Rose Street Lexington, KY 40536 (859) 323-6261 Languages: Spanish Nelson Aprille R 556 North Broadway Lexington, KY 40508 (859) 253-3242

Lester Harold 800 Rose Street Lexington, KY 40536 (859) 323-8098

3141 Beaumont Center Circle Suite 103 Lexington, KY 40513 (859) 278-9376

Lindroth John E 800 Rose Street Lexington, KY 40536 (859) 323-8098

McConnell Thomas 800 Rose Street Lexington, KY 40536 (859) 323-8098

Nicol Bruce 2533 Larkin Road Suite 101 Lexington, KY 40503 (859) 278-9376

Lowdenback Clifford J 2443 Sir Barton Way Suite 225 Lexington, KY 40509 (859) 543-9200

Miller Craig S 800 Rose Street Lexington, KY 40536 (859) 257-1494

One Saint Joseph Drive Lexington, KY 40504 (859) 277-1579

3141 Beaumont Centre Circle Suite 200 Lexington, KY 40513 (859) 296-4846

Morris Robert 1640 Nicholasville Road B103 Lexington, KY 40503 (859) 277-5759

Lungu Virgil R 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 258-2552

Languages: Spanish

Languages: Spanish

Morrow Nick S 216 Fountain Court Suite 110 Lexington, KY 40509 (859) 264-1898

Maddox Raymond 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Munoz Cindy 428 East New Circle Road Lexington, KY 40505 (859) 225-5281

Languages: Spanish

Murphy Michael 800 Rose Street Lexington, KY 40536 (859) 323-1345

Maggard Michael B 2443 Sir Barton Way Suite 225 Lexington, KY 40509 (859) 543-9200 3141 Beaumont Centre Circle Suite 200 Lexington, KY 40513 (859) 296-4846

Languages: Spanish

Languages: Spanish

Pepper Kristy A 800 Rose Street Lexington, KY 40536 (859) 323-8098

Rector Jaimie 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Perez Pacheco Cristina V 1135 Red Mile Place Lexington, KY 40504 (859) 288-4040 Languages: Spanish 740 South Limestone Lexington, KY 40536 (859) 323-9707 Languages: Spanish Peterson Gilman P 800 Rose Street Lexington, KY 40536 (859) 323-9707

Nihill Patricia 800 Rose Street Lexington, KY 40536 (859) 323-8098

Phillips Britney N 1301 Winchester Road Suite 225 Lexington, KY 40505 (770) 916-9000

Nusbacher Kenneth 740 South Limestone Lexington, KY 40536 (859) 323-1345 Languages: Spanish 800 Rose Street Lexington, KY 40536 (859) 323-1345 Languages: Spanish

Languages: Spanish Murray Melissa 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892

Owens Devert J 131 Cherrybark Drive Lexington, KY 40503 (859) 277-6678

Nash David 1135 Red Mile Place Lexington, KY 40504 (859) 288-4040

Parkinson Joseph W 800 Rose Street Suite D-104 Lexington, KY 40536 (859) 323-9707

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Raybould Ted 740 South Limestone Lexington, KY 40536 (859) 323-9707

3141 Beaumont Center Circle Suite 103 Lexington, KY 40513 (859) 219-1913

Okeson Jeffrey 800 Rose Street Lexington, KY 40536 (859) 323-8098

Languages: Spanish

Parlanti Sherry M 800 Rose Street Lexington, KY 40536 (859) 323-1345

Phillips Hayden R 216 Fountain Court Suite 150 Lexington, KY 40509 (859) 543-2242 Pinto Sinai Gitanjali 800 Rose Street Lexington, KY 40536 (859) 323-1345 Languages: Spanish Ray Andrew 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679 Languages: Spanish Ray Deborah 800 Rose Street Lexington, KY 40536 (859) 323-8098

Languages: Spanish Riley Tiffany 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Robinette Catherine D 216 Fountain Court Suite 150 Lexington, KY 40509 (859) 543-2242 Rodriguez Carla M 800 Rose Street Lexington, KY 40536 (859) 323-8098 Romond Kelli 800 Rose Street Lexington, KY 40536 (859) 323-8098 Rubeling Richard R 200 East Reynolds Road Lexington, KY 40517 (859) 272-8912 Rubino Thomas G 800 Rose Street Lexington, KY 40536 (859) 323-1345 Sadler William M 800 Rose Street Lexington, KY 40536 (859) 323-9707 Languages: Spanish Scott Michael L 624 North Broadway Lexington, KY 40508 (859) 253-0711

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WellCare of Kentucky Sharp Larry B 740 South Limestone Street Lexington, KY 40536 (859) 323-9707 Languages: Spanish Stambaugh James R 1750 Alexandria Drive Lexington, KY 40504 (859) 277-1189

Thacker James N 800 Rose Street Lexington, KY 40536 (859) 323-1345 Languages: Spanish Theiss Barbara L 800 Rose Street Lexington, KY 40536 (859) 323-9707 Languages: Spanish

Stein Pamela S 800 Rose Street Lexington, KY 40536 (859) 323-1345

Thornton David R 800 Rose Street Lexington, KY 40536 (859) 323-1345

Stigers Jenny I 800 Rose Street Lexington, KY 40536 (859) 257-1494

Languages: Spanish

Stone Daria 1135 Red Mile Place Lexington, KY 40504 (606) 439-1559 217 Elm Tree Lane Lexington, KY 40507 (606) 439-1559 Stowe Adam 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Sturgeon Michael 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Timmons James H 800 Rose Street Lexington, KY 40536 (859) 323-1345

Wix Solitaire 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Languages: Spanish

Languages: Spanish

Wahle John P 800 Rose Street Lexington, KY 40536 (859) 323-9707

Wright Allison W 800 Rose Street Lexington, KY 40536 (859) 257-1494

Languages: Spanish

Languages: Spanish

Clark Edford L 415 North Lake Drive Suite 201 Prestonsburg, KY 41653 (606) 886-4260

Wehrman Paul T 800 Rose Street Lexington, KY 40536 (859) 323-1345

Yepes Juan 1135 Red Mile Place Lexington, KY 40504 (859) 218-2273

Clark Misty 83 Oak Ridge Ct Prestonsburg, KY 41653 (606) 886-0300

740 South Limestone Lexington, KY 40536 (859) 323-9707

Crum - Stevens Sandra 6363 Kentucky Route 1428 Allen, KY 41601 (606) 949-6971

Languages: Spanish

Languages: Spanish

White Dean K 800 Rose Street Lexington, KY 40536 (859) 323-8098

Trombetti Sara 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

White James G 2443 Sir Barton Way Suite 225 Lexington, KY 40509 (859) 543-9200

Languages: Spanish

3285 Blazer Parkway Lexington, KY 40509 (859) 543-9200

Tummala Leela 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 258-2552

Languages: Spanish

Turner Sharon P 800 Rose Street Lexington, KY 40536 (859) 323-8098

Syndergaard Benjamin D 800 Rose Street Lexington, KY 40536 (859) 323-9707

Ufomata Dickson P 1600 Leestown Road Suite 138 Lexington, KY 40511 (859) 232-8883

Languages: Spanish

Van Sickels Joseph E 800 Rose Street Lexington, KY 40536 (859) 323-6357

Taylor Robert C 800 Rose Street Lexington, KY 40536 (859) 323-1345

Victorino Sharlette 1301 Winchester Road Suite 225 Lexington, KY 40505 (859) 226-0679

Languages: Spanish

Languages: Spanish

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

3141 Beaumont Centre Circle Suite 200 Lexington, KY 40513 (859) 296-4846 White Keith L 800 Rose Street Lexington, KY 40536 (859) 323-9707 Wiemann Alfred H 800 Rose Street Lexington, KY 40536 (859) 323-1345

Languages: Spanish Young Nelson E 650 Newtown Pike Lexington, KY 40508 (859) 252-2371 Zakharia Rana M 2505 Larkin Road Lexington, KY 40503 (859) 278-9575 2333 Alexandria Drive Lexington, KY 40504 (877) 227-9892 Zhang Jing-Jing 650 Newtown Pike Lexington, KY 40508 (859) 288-2425 Languages: Spanish

Fleming County

Languages: Spanish

Kalb Kent W 813 Elizaville Avenue Flemingsburg, KY 41041 (606) 845-3010

Wilkinson Alan D 800 Rose Street Lexington, KY 40536 (859) 323-5831

Perkins Thomas S 708 Elizaville Avenue Flemingsburg, KY 41041 (606) 849-2151 Price Jill S 46 Ashbrook Drive Flemingsburg, KY 41041 (606) 849-1999

Floyd County Clark Brent G Us Highway 23 South Hayes Complex Betsy Layne, KY 41605 (606) 478-9290

Damron Mark 7629 KY Route 979 Grethel, KY 41631 (606) 587-2800 Elliott II Olin 196 KY Highway 3188 Langley, KY 41645 (606) 285-9317 Francis Bill R 781 South Lake Drive Suite 1 Prestonsburg, KY 41653 (606) 886-2676 Hayes Stanley 292 Highway 550 Box 200 Eastern, KY 41622 (606) 358-4157 Herrick Robert B 274 South Lake Drive Prestonsburg, KY 41653 (606) 886-1095 Hyden Alan S 38 Grace Drive Prestonsburg, KY 41653 (606) 886-6565

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WellCare of Kentucky Leslie Robert K 400 University Drive Suite 110 Prestonsburg, KY 41653 (606) 886-2010 McKinney Michael K Route 680 Highway 122 Minnie, KY 41651 (606) 377-0170

Franklin County Baluyut Arlene 630 Comanche Trail Suite A Frankfort, KY 40601 (502) 226-1900 Languages: Spanish, Tagalog

Moore Kevin B 95 Stone Coal Road Garrett, KY 41630 (606) 358-9135

Barrington Michael 1230 US Highway 127 South Suite 3 Frankfort, KY 40601 (502) 352-2512

Moore-Martin Stacie 27 Turkey Creek Langley, KY 41645 (606) 285-9444

Bondra Kenneth J 105 Diagnostic Drive Frankfort, KY 40601 (502) 875-4608

Sahasi Preeti 7629 KY Route 979 Grethel, KY 41631 (606) 886-8546

Cash Clark D 635 Comanche Trail Frankfort, KY 40601 (502) 227-1931

1709 Kentucky Route 321 Suite 3 Prestonsburg, KY 41653 (606) 886-8546

Clark Robert S 105 Diagnostic Drive Frankfort, KY 40601 (502) 875-4608

Tackett Denver D 9759 Kentucky Route 122 McDowell, KY 41647 (606) 377-2801

Daniel Harold 103 C Michael Davenport Boulevard Suite 3 Frankfort, KY 40601 (502) 352-2510

Wallace Brian D 781 South Lake Drive Suite 1 Prestonsburg, KY 41653 (606) 886-2676 Whitt Heather P 7629 KY Route 979 Grethel, KY 41631 (606) 587-2800 1709 Kentucky Route 321 Suite 3 Prestonsburg, KY 41653 (606) 886-8546

Deaton Brian 630 Comanche Trail Suite A Frankfort, KY 40601 (502) 226-1900 Languages: Spanish, Tagalog

Garner Thomas C 193 Versailles Road Suite 37 Frankfort, KY 40601 (859) 223-3939 Huang John 193 Versailles Road Suite 37 Frankfort, KY 40601 (859) 223-3939 Max Donald P 105 Diagnostic Drive Frankfort, KY 40601 (502) 875-4608 Mortenson Brent 103 C Michael Davenport Boulevard Suite 3 Frankfort, KY 40601 (502) 352-2510 Nicol Bruce 105 Diagnostic Drive Frankfort, KY 40601 (502) 875-4608 Skaff David 110 Diagnostic Drive Frankfort, KY 40601 (502) 223-7186

Thomas Thad F 118 South Main Street Suite 5 Dry Ridge, KY 41035 (859) 824-5454

Graves County Dunker Deborah B 822 Paris Road Mayfield, KY 42066 (270) 247-0751 Poat Salena 315 South 6th St Mayfield, KY 42066 (270) 247-2552

Grayson County Nichols Jay 2471 Elizabethtown Road Leitchfield, KY 42754 (270) 259-4008

Green County Bobrowski Garth 125 Healthy Way Greensburg, KY 42743 (270) 932-3666

Greenup County

Smith Darryl V 571 East Main Street Frankfort, KY 40601 (502) 227-2740

Baker Robert L 1121 Seaton Avenue Greenup, KY 41144 (606) 473-5252

Grant County

Callihan R Brooks 219 Main Street Greenup, KY 41144 (606) 473-6322

Ison David E 111 Humes Ridge Road Williamstown, KY 41097 (859) 823-1811

Durbin Douglas 193 Versailles Road Suite 37 Frankfort, KY 40601 (859) 223-3939

McMahon Timothy 300 Arbor Drive Suite 5 Dry Ridge, KY 41035 (859) 823-0111

Ford Jason 105 Diagnostic Drive Frankfort, KY 40601 (502) 875-4608

Rich William K 139 South Main Street Dry Ridge, KY 41035 (859) 824-7133

Dean Lisa R 1592 Diederich Boulevard Russell, KY 41169 (606) 836-9962 Hughes Jennifer 972 Diederich Boulevard Russell, KY 41169 (606) 833-5437

Hancock County Allen Walton 140 Main Cross Street Hawesville, KY 42348 (270) 927-6045 Badgett Choctaw 8340 US 60 West Lewisport, KY 42351 (270) 926-1229 Baldwin Dan W 8631 Kentucky 69 Hawesville, KY 42348 (270) 927-6762 100 State Route 271 S Lewisport, KY 42351 (270) 927-6712 330 Frank Luttrell Road Lewisport, KY 42351 (270) 295-6330 80 State Route 271 S Lewisport, KY 42351 (270) 927-6593 Burress Shanna 8631 Kentucky 69 Hawesville, KY 42348 (270) 927-6762 100 State Route 271 S Lewisport, KY 42351 (270) 927-6712 330 Frank Luttrell Road Lewisport, KY 42351 (270) 295-6330 80 State Route 271 S Lewisport, KY 42351 (270) 927-6593 Eades William B 8631 Kentucky 69 Hawesville, KY 42348 (270) 927-6762 100 State Route 271 S Lewisport, KY 42351 (270) 927-6712 330 Frank Luttrell Road Lewisport, KY 42351 (270) 295-6330 80 State Route 271 S Lewisport, KY 42351 (270) 927-6953

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

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WellCare of Kentucky Higginson Joseph H 140 Main Cross Street Hawesville, KY 42348 (270) 927-9000 Jefferson Tara L 8631 Kentucky 69 Hawesville, KY 42348 (270) 927-6762 100 State Route 271 S Lewisport, KY 42351 (270) 927-6712 330 Frank Luttrell Road Lewisport, KY 42351 (270) 927-6762 80 State Route 271 S Lewisport, KY 42351 (270) 927-6953

Hardin County Abang Roderick 1107 Crown Point Business Center Suite 210 Elizabethtown, KY 42701 (270) 769-3858 Aburob Sana 2900 Ring Road Elizabethtown, KY 42701 (270) 737-6453 Languages: Arabic 60 Stonecrest Court Suite 200 Shelbyville, KY 40065 (502) 633-1819 Baldwin Dan W 100 Country Club Road Vine Grove, KY 40175 (270) 877-2135 309 1st Street Vine Grove, KY 40175 (270) 877-0500 Baldwin Thomas 520 North Miles Street Elizabethtown, KY 42701 (270) 769-1349

Boehnlein Polly 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Fritz John F 2900 Ring Road Elizabethtown, KY 42701 (270) 737-6453

Braun Molly 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Graves David 501 West Poplar St Elizabethtown, KY 42701 (270) 765-6156

Burress Shanna 10471 Leitchfield Road Cecilia, KY 42724 (270) 877-0500

Helton Tonda 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

100 Country Club Road Vine Grove, KY 40175 (270) 877-2135 309 1st Street Vine Grove, KY 40175 (270) 877-0500 Corder Christopher 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Languages: Spanish Duplessis Jr John 2401 Ring Road Heartland Professional Building Elizabethtown, KY 42701 (270) 765-6502 Eades William B 100 Country Club Road Vine Grove, KY 40175 (270) 877-2135 309 1st Street Vine Grove, KY 40175 (270) 877-0500 Ford Kara D 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Languages: Spanish

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Inman Gregory 520 North Miles Street Elizabethtown, KY 42701 (270) 769-1349 Jackson Megan 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Jefferson Tara L 100 Country Club Road Vine Grove, KY 40175 (270) 877-2135 309 1st Street Vine Grove, KY 40175 (270) 877-0500 Luckett Ann 2900 Ring Rd Elizabethtown, KY 42701 (270) 737-6453 Languages: Arabic Maple Jennifer 60 Stonecrest Court Suite 200 Shelbyville, KY 40065 (502) 633-1819

Murphy Nicholas 1107 Crown Point Business Center Suite 210 Elizabethtown, KY 42701 (270) 769-3858

Wix Solitaire 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Phillips Britney N 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Blair Clyde E 1620 East Main St Cumberland, KY 40823 (606) 589-6113

Ray Andrew 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Rector Jaimie 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947 Rogers Sara 2407 Ring Road Suite 137 Elizabethtown, KY 42701 (270) 360-0480 Sheroan Marianne 1107 Crown Point Business Center Suite 210 Elizabethtown, KY 42701 (270) 769-3858 Sturgeon Michael 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Languages: Arabic

Trombetti Sara 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Morgan Matthew 2407 Ring Road Elizabethtown, KY 42701 (502) 360-0480

Victorino Sharlette 201 Towne Drive Elizabethtown, KY 42701 (800) 920-9947

Harlan County

Bryson Stephen C 110 Professional Lane Suite 201 Harlan, KY 40831 (606) 573-6007 Guy Newton S 303 Mound Street Harlan, KY 40831 (606) 573-4707 Howard H Fred 301 East Central Street Harlan, KY 40831 (606) 664-2193 McQueen Clint B 118 South 1st Street Harlan, KY 40831 (606) 574-9000 Nunez Matthew G 106 Railroad Street Suite 103 Harlan, KY 40831 (606) 573-9944 Risner Darrell H 110 Meyers Street Cumberland, KY 40823 (606) 589-5112 807 East Main Street Cumberland, KY 40823 (606) 589-5112 Sellars Mia R 101 Chad Street P O Box 39 Evarts, KY 40828 (606) 837-2108 Watts Derek G 106 Railroad Street Harlan, KY 40831 (606) 573-7441

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WellCare of Kentucky Harrison County Cash Clark D 109 South Walnut Street Cynthiana, KY 41031 (502) 227-1931 Chambers - Wells Morgan 111 Kentucky Highway 32 West Suite 2 Cynthiana, KY 41031 (859) 234-9944 McIlvain Jason 111 Kentucky Highway 32 West Suite 2 Cynthiana, KY 41031 (859) 234-9944 Meade Jewell R 111 Kentucky Highway 32 West Suite 2 Cynthiana, KY 41031 (859) 234-9944 Peterson Gilman P 1210 KY Highway 36 East Harrison Mem Hospital - Outpatient Clini Cynthiana, KY 41031 (859) 235-3562 Rush Neil C 216 South Main Street Cynthiana, KY 41031 (859) 234-1473 Stephens Kevin C 1606 US Highway 27 North Cynthiana, KY 41031 (859) 234-4323

Hart County Forster Karl 309 Caldwell Street Munfordville, KY 42765 (270) 524-3008 Neville Les 311 South Dixie Street Horse Cave, KY 42749 (270) 786-2547

Shelton Alan 865 South Dixie Highway Munfordville, KY 42765 (270) 524-5580

Burress Shanna 11215 US Highway 60 West Corydon, KY 42406 (270) 831-1760

Smith Jason R 663 Main Street Munfordville, KY 42765 (270) 524-5422

10694 US 41a Henderson, KY 42420 (270) 533-6473

Henderson County Baldwin Dan W 11215 US Highway 60 West Corydon, KY 42406 (855) 497-6453 10694 US 41a Henderson, KY 42420 (855) 497-6453 1199 Madison Street Henderson, KY 42420 (855) 497-6453 13043 Kentucky 136 Henderson, KY 42420 (270) 831-5142 1707 Second Sreet Henderson, KY 42420 (270) 831-5060 1776 Adams Lane Henderson, KY 42420 (270) 831-5070 2424 Zion Road Henderson, KY 42420 (270) 831-8800 315 Jackson Street Henderson, KY 42420 (855) 497-6453 800 South Alves Street Henderson, KY 42420 (270) 831-5050 9190 US Highway 60 E Henderson, KY 42420 (270) 831-5136 920 Bend Gate Road Henderson, KY 42420 (270) 831-5040

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

1199 Madison Street Henderson, KY 42420 (270) 831-5081 13043 Kentucky 136 Henderson, KY 42420 (270) 831-5142 1707 Second Sreet Henderson, KY 42420 (270) 831-5060 1776 Adams Lane Henderson, KY 42420 (270) 831-5070 2424 Zion Road Henderson, KY 42420 (270) 831-8800 315 Jackson Street Henderson, KY 42420 (270) 831-5070 800 South Alves Street Henderson, KY 42420 (270) 831-5050 9190 US Highway 60 E Henderson, KY 42420 (270) 831-5136 920 Bend Gate Road Henderson, KY 42420 (270) 831-5040 Eades William B 11215 US Highway 60 West Corydon, KY 42406 (270) 831-1760

13043 Kentucky 136 Henderson, KY 42420 (270) 831-5142

1707 Second Sreet Henderson, KY 42420 (270) 831-5060

1707 Second Sreet Henderson, KY 42420 (270) 831-5060

1776 Adams Lane Henderson, KY 42420 (270) 831-5070

1776 Adams Lane Henderson, KY 42420 (270) 831-5070

2424 Zion Road Henderson, KY 42420 (270) 831-8800

2424 Zion Road Henderson, KY 42420 (270) 831-8800

315 Jackson Street Henderson, KY 42420 (270) 831-5090

315 Jackson Street Henderson, KY 42420 (270) 831-5090

800 South Alves Street Henderson, KY 42420 (270) 831-5050

800 South Alves Street Henderson, KY 42420 (270) 831-5050

9190 US Highway 60 E Henderson, KY 42420 (270) 831-5136

9190 US Highway 60 E Henderson, KY 42420 (270) 831-5136

920 Bend Gate Road Henderson, KY 42420 (270) 831-5040

920 Bend Gate Road Henderson, KY 42420 (270) 831-5040

Simmons Lauren T 700 A Barret Blvd Henderson, KY 42420 (270) 827-5522

Ellis James 801 N Elm St Henderson, KY 42420 (270) 827-2555 Fulkerson Brad 700 A Barret Blvd Henderson, KY 42420 (270) 827-5522 Jefferson Tara L 11215 US Highway 60 West Corydon, KY 42406 (270) 831-1760 10694 US 41a Henderson, KY 42420 (270) 533-6473

10694 US 41a Henderson, KY 42420 (270) 533-6473

1199 Madison Street Henderson, KY 42420 (270) 831-5081

1199 Madison Street Henderson, KY 42420 (270) 831-5081

13043 Kentucky 136 Henderson, KY 42420 (270) 831-5142

Wagoner Robert G 801 North Elm Street Henderson, KY 42420 (270) 212-0330 Wilson Steven K 716 Second Street Henderson, KY 42420 (270) 826-2092

Hopkins County Agent Stephen L 308 East Arcadia Avenue Dawson Springs, KY 42408 (270) 797-3319 Brown Terry E 77 E North St Madisonville, KY 42431 (270) 821-2468 Brummer Vaughn E 1400 Pride Ave Madisonville, KY 42431 (270) 821-7386

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WellCare of Kentucky Crist Richard T 1340 South Main Street Madisonville, KY 42431 (270) 825-0696

Vose Charles 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104

Hill Kimberly K 344 East Arch Street Madisonville, KY 42431 (270) 821-8172

Jefferson County

Littlepage Randall 77 East North Street Madisonville, KY 42431 (270) 825-4030 Roy John A 1410 C Pride Avenue Madisonville, KY 42431 (270) 821-3423 Sanders Tammy R 122 South Lee Trover Todd Jr Highway Earlington, KY 42410 (270) 383-5511 Travis Randolph 1400 Pride Avenue Madisonville, KY 42431 (270) 821-7386 Winfrey Jeffrey L 115 West Munn Street Dawson Springs, KY 42408 (270) 797-4171

Jackson County Canter Dennis G 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104

Abang Roderick 2301 Meadow Drive Louisville, KY 40218 (502) 451-8900 Abrams Melanie 5100 Outer Loop Suite B Louisville, KY 40219 (502) 969-9264 Ackerman Regan W 911 Palatka Road Louisville, KY 40214 (502) 366-2448 10640 Dixie Highway Louisville, KY 40272 (502) 933-4427 Acord Korie 1100 East Market Street Louisville, KY 40206 (502) 596-1090 2120 High Wickham Place Suite 103 Louisville, KY 40245 (502) 254-6097 Akers-Wilson Erin 4825 South 3rd Street Louisville, KY 40214 (502) 366-6362 Languages: Spanish, Vietnamese

Knopp Tina A 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104

Akridge Matt 165 Outer Loop Suite 121 Louisville, KY 40214 (502) 367-1595

Parsons John H 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104

12405 Old Shelbyville Road Louisville, KY 40243 (502) 244-0204

Senters Sherry 1010 Main Street South Mc Kee, KY 40447 (606) 287-7104

Alford Kenneth D 4801 Outer Loop Suite A204 Louisville, KY 40219 (502) 966-8638

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Allen Stephanie 1504 South Seventh Street Louisville, KY 40208 (502) 636-5492 Languages: Spanish Allen William R 225 Abraham Flexner Way Suite 302 Louisville, KY 40202 (502) 587-7874 9488 Brownsboro Road Louisville, KY 40241 (502) 326-0606 Alpert Brian 401 East Chestnut Street Suite 550 Louisville, KY 40202 (502) 852-5401 Asseff Pamela 3046 Breckenridge Lane Suite 101 Louisville, KY 40220 (502) 493-4154 Babcock Christopher 225 Abraham Flexner Way Suite 302 Louisville, KY 40202 (502) 587-7874 9488 Brownsboro Road Louisville, KY 40241 (502) 326-0606 Bachali Sarath 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442 Languages: Spanish Baluyut Arlene 4642 Chamberlain Ln Suite 252 Lyndon, KY 40241 (502) 326-1800 Languages: Spanish, Tagalog Baumann Donald 4007 Valley View Drive Louisville, KY 40216 (502) 448-3044

Becht Michael 107 North Watterson Trail Suite 103 Middletown, KY 40243 (502) 245-2175

Bult Craig 4602 Southern Parkway Suite 2 E Louisville, KY 40214 (502) 361-1232

Bennett Beth 1039 East Burnett Avenue Louisville, KY 40217 (502) 634-9005

Carman Michelle 1504 South Seventh Street Louisville, KY 40208 (502) 636-5492

Bingham Monica 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442 Languages: Spanish Boehnlein Polly 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 Languages: Burnese, French, Spanish

Languages: Spanish Chandiramani Sunita 501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103 Clark Stephen 401 East Chestnut Street Suite 550 Louisville, KY 40202 (502) 852-5401

3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103

Boling Winnie 1100 East Market Street Louisville, KY 40206 (502) 596-1090

Cooper Robert E 111 Fairfax Avenue Louisville, KY 40207 (502) 895-1171

Bond Priscilla 1100 East Market Street Louisville, KY 40206 (502) 596-1090

Corder Christopher 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Braun Molly 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 Languages: Burnese, French, Spanish 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Brown Blair 5222 Dixie Highway Louisville, KY 40216 (502) 449-7995 Languages: Spanish

Languages: Burnese, French, Spanish 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351 Deaton Brian 4642 Chamberlain Ln Suite 252 Lyndon, KY 40241 (502) 326-1800 Languages: Spanish, Tagalog Degeorge Victor 8013 New La Grange Road Suite 3 Louisville, KY 40222 (502) 426-4868 Dentist

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WellCare of Kentucky Dezarn Allison 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972 2215 Portland Avenue Louisville, KY 40212 (502) 772-8139 Dunaway Juliet 501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103 550 South Jackson Street Louisville, KY 40202 (502) 852-7660 Durbin Douglas 2813 North Hurstbourne Parkway Suite 106 Louisville, KY 40223 (502) 326-0011 Languages: Chinese Elias James 10031 Forest Green Boulevard Louisville, KY 40223 (502) 412-7587

Garner Thomas C 2813 North Hurstbourne Parkway Suite 106 Louisville, KY 40223 (502) 326-0011

Hood Henry 1800 Bluegrass Avenue Suite A Louisville, KY 40215 (502) 368-2348

Gerlach Harold 210 West Woodlawn Avenue Louisville, KY 40214 (502) 368-5529

Huang John 2813 North Hurstbourne Parkway Suite 106 Louisville, KY 40223 (502) 326-0011

Greenwell Ann 501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103 Hansford Kimberly 130 North Evergreen Road Suite 100 Louisville, KY 40243 (502) 410-1710 Hardin Courtney 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972 2215 Portland Avenue Louisville, KY 40212 (502) 772-8139

Engilman William 134 North Evergreen Road Suite 100 Louisville, KY 40243 (502) 253-2201

Hayward Theresa 1018 South 4 St Suite 250 Louisville, KY 40203 (502) 585-4320

Feeney Donald E 1169 Eastern Parkway Suite 1152 Louisville, KY 40217 (502) 458-1251

Helton Tonda 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Ford Kara D 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Languages: Spanish 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

Holwager Linel 1800 Bluegrass Avenue Suite A Louisville, KY 40215 (502) 368-2348

Languages: Spanish

Languages: Spanish

Languages: Spanish

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Languages: Spanish

Languages: Chinese Jayaweera Nandaka A 4133 Taylor Boulevard Louisville, KY 40215 (502) 368-8400 Languages: Spanish Jensen Jean-Anne 10640 Dixie Highway Louisville, KY 40272 (502) 933-4454 Johnson William 4007 Valley View Drive Louisville, KY 40216 (502) 448-0678 Keesee Patrick 2301 Meadow Drive Louisville, KY 40218 (502) 451-8900 Kemper William 9610 Taylorsville Road Louisville, KY 40299 (502) 267-6419 Key Clarence S 9413 Smyrna Road Louisville, KY 40229 (502) 968-6615 Khan Zafrulla 529 South Jackson Street Suite 125 Louisville, KY 40202 (502) 852-5747 Kidd Brent D 1100 East Market Street Louisville, KY 40206 (502) 596-1090

Klein Jeffrey M 156 Thierman Lane Louisville, KY 40207 (502) 896-2822 Kuhn Jodi 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442 Languages: Spanish Kushner George 401 East Chestnut Street Suite 550 Louisville, KY 40202 (502) 852-5401 550 South Jackson Street Louisville, KY 40202 (502) 852-7660 Labordeaux Herbert W 222 Amy Avenue Louisville, KY 40212 (502) 774-2400 Lungu Virgil R 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 3510 Bardstown Road Louisville, KY 40218 (800) 920-9947 Lyvers Joseph 3448 Taylor Boulevard Louisville, KY 40215 (502) 366-6821 Languages: Spanish Maddox Raymond 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Marshall Mary Patricia A 1100 East Market Street Louisville, KY 40206 (502) 596-1090 Martin Mitisha 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442 Languages: Spanish Mason John 1504 South Seventh Street Louisville, KY 40208 (502) 636-5492 Languages: Spanish Mayfield Theresa 501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5103 McLemore Aaron E 4215 Hillview Avenue Louisville, KY 40216 (502) 447-7313 Meeks Jr Garry 911 Palatka Road Louisville, KY 40214 (502) 366-2448 Mills Geoffrey 225 Abraham Flexner Way Suite 302 Louisville, KY 40202 (502) 587-7874 9488 Brownsboro Road Louisville, KY 40241 (502) 326-0606 Mitchell Gerald 4825 South 3rd Street Louisville, KY 40214 (502) 366-6362

Languages: French, Spanish

Languages: Spanish, Vietnamese

3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

Mitchell Matthew 2301 Meadow Drive Louisville, KY 40218 (502) 451-8900

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WellCare of Kentucky Mohan Maneesh 5100 Outer Loop Suite B Louisville, KY 40219 (502) 966-8660 Mortenson Brent 134 North Evergreen Road Suite 103 Louisville, KY 40243 (502) 410-1702 Mortenson Mark 4801 Outer Loop Suite A204 Louisville, KY 40219 (502) 966-8638 Languages: Spanish 11708 Main Street Louisville, KY 40243 (502) 245-8627 Mortenson Matthew 5222 Dixie Highway Louisville, KY 40216 (502) 449-7995 Languages: Spanish Muth Carol 4515 Churchman Avenue Louisville, KY 40215 (502) 361-0637 Nguyen Ngoc An 4825 South 3rd Street Louisville, KY 40214 (502) 366-6362 Languages: Spanish, Vietnamese Noonan Christopher 225 Abraham Flexner Way Suite 302 Louisville, KY 40202 (502) 587-7874 9488 Brownsboro Road Louisville, KY 40241 (502) 326-0606 Ochs George 5349 Mitscher Avenue Louisville, KY 40214 (502) 368-6852

Owen Kimberly 5201 Commerce Crossings Drive Louisville, KY 40229 (502) 966-8160 Pavon Hugo 1813 West Broadway Louisville, KY 40203 (502) 772-0296 465 North 26th Street Louisville, KY 40212 (502) 778-0999 Languages: Spanish Peace Daren 1100 East Market Street Louisville, KY 40206 (502) 596-1090 Perrero Tyson 2105 Weber Road Louisville, KY 40205 (502) 473-2011 4311 Bardstown Road Suite 102 Louisville, KY 40218 (502) 491-0283 Phillips William 1001 Dupont Square North Louisville, KY 40207 (502) 897-0625 Poynter Stephanie 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972 2215 Portland Avenue Louisville, KY 40212 (502) 772-8139 Ray Andrew 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 Languages: Burnese, French, Spanish 3600 Bardstown Road Louisville, KY 40218 (800) 920-9947

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Rector Jaimie 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Sturgeon Michael 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Victorino Sharlette 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

Languages: Burnese, French, Spanish

Languages: Burnese, French, Spanish

Languages: Burnese, French, Spanish

3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

Schatz Ronda 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972

Talis Rachel 8517 Preston Highway Louisville, KY 40219 (502) 966-4367

Vivian Thomas R 1813 West Broadway Louisville, KY 40203 (502) 772-0296

Thurman Thomas 911 Palatka Road Louisville, KY 40214 (502) 366-2448

465 North 26th Street Louisville, KY 40212 (502) 778-0999

2215 Portland Avenue Louisville, KY 40212 (502) 772-8139 Schuler Elizabeth 3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442 Languages: Spanish Schulte David A 4515 Churchman Avenue Louisville, KY 40215 (502) 361-0637

Trombetti Sara 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 Languages: Burnese, French, Spanish 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

Shumway Brian 401 East Chestnut Street Suite 550 Louisville, KY 40202 (502) 852-5401

Tummala Leela 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276

501 South Preston Street Suite 122 Louisville, KY 40202 (502) 852-5096

3438 Taylor Blvd Louisville, KY 40215 (502) 366-4442

Skinner John 4919 Dixie Highway Suite J Louisville, KY 40216 (502) 449-3400

3510 Bardstown Road Louisville, KY 40218 (800) 920-9947

Smith Amy L 4814 Preston Highway Suite 1 Louisville, KY 40213 (502) 969-4206

Languages: Spanish

Underwood Kelly 130 North Evergreen Road Suite 100 Louisville, KY 40243 (502) 410-1710

10515 Meeting Street Suite 104 Prospect, KY 40059 (502) 420-2480 Vonnahme Gwinn 8711 Old Bardstown Road Louisville, KY 40291 (502) 254-8501 Walker Heather 10031 Forest Green Boulevard Louisville, KY 40223 (502) 412-7587 10640 Dixie Highway Louisville, KY 40272 (502) 933-4427 8711 Old Bardstown Road Louisville, KY 40291 (502) 231-4633 Walters Nathan 225 Abraham Flexner Way Suite 302 Louisville, KY 40202 (502) 587-7874 9488 Brownsboro Road Louisville, KY 40241 (502) 326-0606

Snyder Adam 1100 East Market Street Louisville, KY 40206 (502) 596-1090 Dentist

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WellCare of Kentucky Warren Jamie 225 Abraham Flexner Way Suite 302 Louisville, KY 40202 (502) 587-7874

Durbin Douglas 100 John Sutherland Drive Suite 5 Nicholasville, KY 40356 (859) 223-3939

Skaff David 105 Edgewood Plaza Suite D Nicholasville, KY 40356 (859) 887-2431

9488 Brownsboro Road Louisville, KY 40241 (502) 326-0606

Ford Jason 203 Fairfield Drive Nicholasville, KY 40356 (859) 278-9376

Smith David E 938 South Main Street Nicholasville, KY 40356 (859) 887-4008

Garner Thomas C 100 John Sutherland Drive Suite 5 Nicholasville, KY 40356 (859) 223-3939

Watkins Daniel R 704 North Main Street Nicholasville, KY 40356 (859) 881-4633

Watson Lauren 712 East Muhammad Ali Blvd Louisville, KY 40202 (502) 568-6972 2215 Portland Avenue Louisville, KY 40212 (502) 772-8139 Waugh David 1480 Dixie Hwy Louisville, KY 40210 (502) 778-7414 Wix Solitaire 1211 West Broadway Suite 106 Louisville, KY 40203 (502) 778-1276 Languages: Burnese, French, Spanish 3510 Bardstown Road Louisville, KY 40218 (502) 379-4351

Jessamine County Bondra Kenneth J 203 Fairfield Drive Nicholasville, KY 40356 (859) 885-9139 Clark Robert S 203 Fairfield Drive Nicholasville, KY 40356 (859) 278-9376 Cox Brandi 230 North Plaza Drive Suite 230 Nicholasville, KY 40356 (859) 881-9398 Dowlen Jason S 230 North Plaza Drive Suite 230 Nicholasville, KY 40356 (859) 881-9398

Huang John 100 John Sutherland Drive Suite 5 Nicholasville, KY 40356 (859) 223-3939 Huffman Eric F 611 North Main Street Nicholasville, KY 40356 (859) 887-1110 Lowdenback Clifford J 207 Fairfield Drive Nicholasville, KY 40356 (859) 881-2050

Wheeler Rebecca 106 Fairfield Dr Nicholasville, KY 40356 (859) 885-0086 White James G 207 Fairfield Drive Nicholasville, KY 40356 (859) 881-2050 Wilson Carol A 108 Fairfield Drive Nicholasville, KY 40356 (859) 881-8632

Johnson County

Maggard Michael B 207 Fairfield Drive Nicholasville, KY 40356 (859) 881-2050

Brown Gary D 455 Main St Paintsville, KY 41240 (606) 789-5525

Max Donald P 203 Fairfield Drive Nicholasville, KY 40356 (859) 278-9376

Castle James 140 Main St Paintsville, KY 41240 (606) 789-6385

Murphy David A 113 East Main Street Wilmore, KY 40390 (859) 858-3335

Coleman Gregory D 816 Fm Stafford Avenue Paintsville, KY 41240 (606) 789-1845

Nicol Bruce 203 Fairfield Drive Nicholasville, KY 40356 (859) 885-9139

Connelley Richard 853 South Mayo Trail Paintsville, KY 41240 (606) 349-5125

Revel Pamela A 210 Bellaire Drive Nicholasville, KY 40356 (859) 887-3835

Higgins Howard L 853 South Mayo Trail Paintsville, KY 41240 (606) 789-7694

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Minix Martin R 253 Hager Branch East Point, KY 41216 (606) 886-0808

Kees Stephen R 2370 Grandview Drive Ft Mitchell, KY 41017 (859) 331-4449

Woody Lloyd K 325 Broadway Paintsville, KY 41240 (606) 789-9092

Neely Steven W 801 Scott Street Covington, KY 41011 (859) 431-8800

Kenton County

610 Medical Villiage Drive Edgewood, KY 41017 (859) 341-4264

Beck Michele 640 Scott Street Covington, KY 41011 (859) 261-5852 610 Medical Villiage Drive Edgewood, KY 41017 (859) 341-4264 Butler Ross Tracey 1044 Scott Street Covington, KY 41011 (859) 291-1818 Collins Danny L 300 West Pike Street Covington, KY 41011 (859) 491-7453 Damron Stafford R 610 Medical Villiage Drive Edgewood, KY 41017 (859) 341-4264 Duval - Austin Sophie 2765 Chapel Place Drive Suite 250 Crestview Hills, KY 41017 (859) 344-6200 Goeke Thomas F 610 Medical Villiage Drive Edgewood, KY 41017 (859) 341-4264 Haas Martin A 220 Thomas More Park Crestview Hills, KY 41017 (859) 341-3012

Peavie Racheal 4307 Winston Avenue Latonia, KY 41015 (859) 655-6100 Rich Jonathan W 610 Medical Villiage Drive Edgewood, KY 41017 (859) 341-4264 2388 Grandview Drive Fort Mitchell, KY 41017 (859) 341-4264 Schulte John M 2078 Dixie Highway Fort Mitchell, KY 41011 (859) 331-0763 Sexton Suzanne V 610 Medical Villiage Drive Edgewood, KY 41017 (859) 341-4264 Struckhoff Janice A 610 Medical Villiage Drive Edgewood, KY 41017 (859) 341-4264 Tignor William 4307 Winston Avenue Latonia, KY 41015 (859) 655-6100 Tomelin Thomas E 4307 Winston Avenue Latonia, KY 41015 (859) 655-6100

Kaiser Jeffrey 2 W Southern Avenue Covington, KY 41015 (859) 431-3863 Dentist

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WellCare of Kentucky Wall Kevin S 610 Medical Villiage Drive Edgewood, KY 41017 (859) 341-4264 Wehrman Mark M 220 Thomas More Park Crestview Hills, KY 41017 (859) 341-3012

Knott County Haynes Kathryn D 8343 Highway 550 West Emmalena, KY 41740 (606) 439-1559

Prattt Sid 358 Hindman Bypass Hindman, KY 41822 (606) 785-1111 Rollins David 388 Highway 80 Hindman, KY 41822 (606) 785-3559 Stone Daria 8343 Highway 550 West Emmalena, KY 41740 (606) 439-1559 8343 West Highway 550 Emmalena, KY 41740 (606) 439-1559

8343 West Highway 550 Emmalena, KY 41740 (606) 439-1559

238 Highway 160 S Hindman, KY 41822 (606) 439-1559

238 Highway 160 S Hindman, KY 41822 (606) 439-1559

59 Cowtown Road Hindman, KY 41822 (606) 439-1559

59 Cowtown Road Hindman, KY 41822 (606) 439-1559

875 West Main Street Hindman, KY 41822 (606) 439-1559

875 West Main Street Hindman, KY 41822 (606) 439-1559

8596 South Highway 160 Littcarr, KY 41834 (606) 439-1559

8596 South Highway 160 Littcarr, KY 41834 (606) 439-1559 9795 Highway 550 East Mousie, KY 41839 (606) 439-1559 6776 Highway 895 Pippa Passes Pippa Passes, KY 41844 (606) 439-1559 165 Carr Creek Hill Road Redfox, KY 41847 (606) 439-1559 8000 Highway 7 South Topmost, KY 41862 (606) 439-1559

9795 Highway 550 East Mousie, KY 41839 (606) 439-1559 6776 Highway 895 Pippa Passes Pippa Passes, KY 41844 (606) 439-1559 165 Carr Creek Hill Road Redfox, KY 41847 (606) 439-1559 8000 Highway 7 South Topmost, KY 41862 (606) 439-1559 8022 South Highway 7 Topmost, KY 41862 (606) 439-1559

8022 South Highway 7 Topmost, KY 41862 (606) 439-1559

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Triplett - Short Lisa 1970 Highway 160 South Hindman, KY 41822 (606) 785-0600

Knox County Bonnell Robin 119 Pine Street Mobile Barbourville, KY 40906 (606) 627-0629 39 Cumberland Gap Plaza Gray, KY 40734 (606) 627-0629 Bryant Terry L 16 Winburn Drive Barbourville, KY 40906 (606) 546-8217 Cooper Jessica B 119 Pine Street Mobile Barbourville, KY 40906 (606) 546-7410 16 Windburn Drive Suite 1 Barbourville, KY 40906 (606) 546-8217 Dunaway Robert A 240 Cumberland Ave Barbourville, KY 40906 (606) 546-3660 Hays Henry S 646 Manchester Street Barbourville, KY 40906 (606) 545-6045 McDonald Brent C 608 Knox St Barbourville, KY 40906 (606) 546-6711 Mills Brook 646 Manchester Street Barbourville, KY 40906 (606) 545-6055 Mills Messer Gina A 96 Kentucky 3439 PO Box 504 Barbourville, KY 40906 (606) 546-7633

Murray Melissa 119 Pine Street Mobile Barbourville, KY 40906 (606) 546-7410

Anderson Steven A 1675 South Main London, KY 40741 (606) 878-6126

16 Windburn Drive Suite 1 Barbourville, KY 40906 (606) 546-7410

Baldwin Aaron 200 City Hill Drive Suite 102 London, KY 40741 (859) 264-1898

39 Cumberland Gap Plaza Gray, KY 40734 (606) 627-0629 Owens Devert J 16 Winburn Drive Suite 2 Barbourville, KY 40906 (606) 546-8217

Bingham Barry V 1303 South Laurel Road London, KY 40744 (606) 877-2700 Brown Kimberly A 1368 East Highway 192 London, KY 40741 (606) 864-6680

Smith A J 201 N Allison Avenue Barbourville, KY 40906 (606) 545-7715

Brown Terri 39 Waco Dr London, KY 40741 (606) 877-8671

Smith Bobby 119 Pine Street Barbourville, KY 40906 (606) 546-7410

Collier Deborah D 2725 US HWY 25 North East Bernstadt, KY 40729 (606) 843-6476

16 Windburn Drive Suite 1 Barbourville, KY 40906 (606) 546-8217 Smith Edwin 119 Pine Street Mobile Barbourville, KY 40906 (606) 546-7410 16 Windburn Drive Suite 1 Barbourville, KY 40906 (606) 546-8217 39 Cumberland Gap Plaza Gray, KY 40734 (606) 627-0629

Laurel County Allen Jeremy 908 West 5th Street Suite 114 London, KY 40741 (606) 330-0330

Couch Cynthia A 735 Meyers Baker Road London, KY 40741 (606) 864-1441 Herren Michael C 1221 West 5th Street London, KY 40741 (606) 864-4744 Jenkins William S 200 City Hill Drive Suite 102 London, KY 40741 (606) 877-8811 Lowdenback Clifford J 200 City Hill Drive London, KY 40741 (606) 877-1900 Maggard Michael B 200 City Hill Drive London, KY 40741 (606) 877-1900

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WellCare of Kentucky Mayes Jerry G 828 South Main Street London, KY 40741 (606) 878-7251 McGeorge Tina R 828 South Main Street London, KY 40741 (606) 878-7251 Morrow Nick S 200 City Hill Drive Suite 102 London, KY 40741 (859) 264-1898 Parrott Ernest W 307 North Broad Street London, KY 40741 (606) 878-9755 Petrey William 2725 US HWY 25 North East Bernstadt, KY 40729 (606) 843-6476 Powell Gregory A 828 South Main Street London, KY 40741 (606) 878-7251 White James G 200 City Hill Drive London, KY 40741 (606) 877-1900 Wood Michael W 828 South Main Street London, KY 40741 (606) 878-7251

Lawrence County Arrington Walter L 203 Water Street Louisa, KY 41230 (606) 638-4689 Wallace Brian D 102 North Lock Avenue Louisa, KY 41230 (606) 638-9094 Woody Lloyd K 102 North Lock Avenue Louisa, KY 41230 (606) 638-9094

Lee County Adkins Robert S 60 Center Street Beattyville, KY 41311 (606) 464-2447 Daniel Harold 60 Center Street Beattyville, KY 41311 (606) 464-2447 Knight Judson M 60 Center Street Beattyville, KY 41311 (606) 464-2447 Zakharia Rana M 60 Center Street Beattyville, KY 41311 (606) 464-2447

Leslie County Asher-Little Andrea 120 Highway 80 Hyden, KY 41749 (606) 672-8800 Baker Jr Gregory 130 Kate Ireland Drive Hyden, KY 41749 (606) 672-2901 Haynes Kathryn D 12975 Highway 421 Hoskinston, KY 40844 (606) 439-1559 106 Maple Street Hyden, KY 41749 (606) 439-1559 160 Maple Street Hyden, KY 41749 (606) 439-1559 140 Pirate Drive Wooton, KY 41776 (606) 439-1559 142 Pirate Drive Wooton, KY 41776 (606) 439-1559 10130 Cutshin Road Yeaddiss, KY 41777 (606) 279-4121 10130 Cutshin Rod Yeaddiss, KY 41777 (606) 439-1559

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Ratliff Frederick C 22728 Highway 421 Box 1606 Hyden, KY 41749 (606) 672-3270 Risner Darrell H 8 Dogwood Street Hyden, KY 41749 (606) 672-3550 Stone Daria 12975 Highway 421 Hoskinston, KY 40844 (606) 439-1559 106 Maple Street Hyden, KY 41749 (606) 439-1559 160 Maple Street Hyden, KY 41749 (606) 439-1559 140 Pirate Drive Wooton, KY 41776 (606) 439-1559 142 Pirate Drive Wooton, KY 41776 (606) 439-1559 10130 Cutshin Road Yeaddiss, KY 41777 (606) 439-1559 10130 Cutshin Rod Yeaddiss, KY 41777 (606) 439-1559

Letcher County Cook Rebecca L 226 Medical Plaza Lane Whitesburg, KY 41858 (606) 633-4871 Haynes Kathryn D 13315 Highway 588 Blackey, KY 41804 (606) 439-1559 571 Dairy Hollow Road Jenkins, KY 41537 (606) 439-1559 5 Highway 3410 Mayking, KY 41837 (606) 439-1559

150 Colson School Road Whitesburg, KY 41858 (606) 439-1559 356 Circle Drive Whitesburg, KY 41858 (606) 439-1559

Lewis County Arnett Sheila 211 KY 59 Vanceburg, KY 41179 (606) 796-9511

81 Sturgill Branch Whitesburg, KY 41858 (606) 439-1559

Mays Ronald D 76 Second Street Vanceburg, KY 41179 (606) 796-2328

Narramore David A 353 Main Street Whitesburg, KY 41858 (606) 633-4854

Ocull John D 570 Clarksburg Road Vanceburg, KY 41179 (606) 796-3811

Quillen Sam W 861 Highway 317 Suite A Neon, KY 41840 (606) 855-7892

Lincoln County

Ratliff Todd 226 Medical Plaza Lane Whitesburg, KY 41858 (606) 633-4871 Roark Kevin O 172 Parkway Plaza Loop Whitesburg, KY 41858 (606) 633-4251 Stone Daria 13315 Highway 588 Blackey, KY 41804 (606) 439-1559 571 Dairy Hollow Road Jenkins, KY 41537 (606) 439-1559

Lair John S 603 Landcaster Street Stanford, KY 40484 (606) 365-7803

Logan County Clark Dale W 204 East 4th Street Russellville, KY 42276 (270) 726-7511 Kerr Paul N 64 Shelton Lane Russellville, KY 42276 (270) 726-9595 Koller Michael D 288 North Main Street Lewisburg, KY 42256 (270) 755-4899

Lyon County

5 Highway 3410 Mayking, KY 41837 (606) 439-1559

Sims John J 260 Commerce Street Eddyville, KY 42038 (270) 388-9712

150 Colson School Road Whitesburg, KY 41858 (606) 439-1559

Madison County

356 Circle Drive Whitesburg, KY 41858 (606) 439-1559 81 Sturgill Branch Whitesburg, KY 41858 (606) 439-1559

Baechtold Leslie L 2006 Merchant Drive Richmond, KY 40475 (859) 626-7977 Bondra Kenneth J 4097 Atwood Drive Richmond, KY 40475 (859) 623-7711

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WellCare of Kentucky Bowen Jeffrey 120 Meridan Way Suite 2 Richmond, KY 40475 (859) 626-1810

Huang Betty 1012 Ival James Blvd Suite C Richmond, KY 40475 (859) 626-9620

Canter Dennis G 104 Legacy Drive Berea, KY 40403 (859) 986-2323

Huang John 2130 Lexington Road Suite D Richmond, KY 40475 (859) 223-3939

401 Highland Park Drive Richmond, KY 40475 (859) 626-7710 Clark Robert S 4097 Atwood Drive Richmond, KY 40475 (859) 278-9376 Coleman Rodney D 1208 West Main Street Richmond, KY 40475 (859) 625-5522 Cormney Rhonda H 519 Hampton Way Suite 1 Richmond, KY 40475 (859) 623-7476 Durbin Douglas 2130 Lexington Road Suite D Richmond, KY 40475 (859) 223-3939

Knopp Tina A 104 Legacy Drive Berea, KY 40403 (859) 986-2323 401 Highland Park Drive Richmond, KY 40475 (859) 626-7710 Lowdenback Clifford J 1012 Ival James Boulevard Richmond, KY 40475 (859) 623-0068 Maggard Michael B 1012 Ival James Boulevard Richmond, KY 40475 (859) 623-0068

Parikh Daksha 1007 Ace Drive Berea, KY 40403 (859) 986-5391

401 Highland Park Drive Richmond, KY 40475 (859) 626-7710

Parsons John H 104 Legacy Drive Berea, KY 40403 (859) 986-2323

White James G 1012 Ival James Boulevard Richmond, KY 40475 (859) 623-0068

401 Highland Park Drive Richmond, KY 40475 (859) 626-7710 Parsons Lindsey A 104 Legacy Drive Berea, KY 40403 (859) 986-2323 Languages: Spanish 401 Highland Park Drive Richmond, KY 40475 (859) 626-7700 Languages: Spanish Phillips Hayden R 1012 Ival James Blvd Suite C Richmond, KY 40475 (859) 626-9620

Mattingly Stephen 805 Eastern By Pass #4 Richmond, KY 40475 (859) 623-0222

Robinette Catherine D 1012 Ival James Blvd Suite C Richmond, KY 40475 (859) 626-9620

Max Donald P 4097 Atwood Drive Richmond, KY 40475 (859) 278-9376

Senters Sherry 104 Legacy Drive Berea, KY 40403 (859) 986-2323

Murphy James C 201 Geri Lane Richmond, KY 40475 (859) 623-8622

401 Highland Park Drive Richmond, KY 40475 (859) 626-7710

308 Highland Park Drive Richmond, KY 40475 (859) 626-9851

Ney Marshall J 527 West Main Street Richmond, KY 40475 (859) 623-3761

Garner Thomas C 2130 Lexington Road Suite D Richmond, KY 40475 (859) 223-3939

Nicol Bruce 4097 Atwood Drive Richmond, KY 40475 (859) 623-7711

Thobaben John 120 Meridan Way Suite 2 Richmond, KY 40475 (859) 626-1810

Ford Jason 4097 Atwood Drive Richmond, KY 40475 (859) 623-7711 Gambrel Jason O 1018 Ival James Boulevard Suite C Richmond, KY 40475 (859) 626-9851

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Vose Charles 104 Legacy Drive Berea, KY 40403 (859) 986-2323

Magoffin County Adams Tabatha M 912 East Mountain Parkway Salyersville, KY 41465 (606) 349-4801 Connelley Richard 761 Parkway Drive Salyersville, KY 41465 (606) 349-5125 Damron Mark 835 Parkway Drive Salyersville, KY 41465 (606) 349-5126 Higgins Howard L 761 Parkway Drive Salyersville, KY 41465 (606) 349-5125

Marshall County Pasco William N 1317 Main Street Benton, KY 42025 (270) 527-3434

Martin County Neeley Sharon N 144 Rockcastle Road Inez, KY 41224 (606) 298-7758 Sword Charles D 154 Rockcastle Road Suite 100 Inez, KY 41224 (606) 298-3283

Mason County Burns John T 1907 Old Main Street Maysville, KY 41056 (606) 759-5401 Cramer John R 399 Maple Leaf Road West Maysville, KY 41056 (606) 564-9495

Ratliff Beth A 128 Cardinal Court Salyersville, KY 41465 (606) 349-2812

Naylor Rachel H 399 Maple Leaf Road West Maysville, KY 41056 (606) 564-9494

Sahasi Preeti 835 Parkway Drive Salyersville, KY 41465 (606) 349-5126

Pope-Burns Sally A 1907 Old Main Street Maysville, KY 41056 (606) 759-5401

Stambaugh James R 835 Parkway Drive Salyersville, KY 41465 (606) 349-5126

Smith Ballard C 399 Mapleleaf Road Maysville, KY 41056 (606) 564-9495

Whitt Heather P 835 Parkway Drive Salyersville, KY 41465 (606) 349-5126

McCracken County

Marion County Webster Robert 219 South Proctor Knott Lebanon, KY 40033 (859) 236-1912

Abell Francis D 4975 Alben Barkley Drive Suite 3 Paducah, KY 42001 (270) 554-3031 Bohle Jr Charles J 1836 Broadway Street Paducah, KY 42001 (270) 442-0256

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WellCare of Kentucky Colgan John A 3008 Oregon Street Paducah, KY 42001 (270) 554-5437

Millay Robert 54 Medical Lane Whitley City, KY 42653 (606) 376-5055

Reynolds Kyle W 507 Joseph Drive Suite 3 Harrodsburg, KY 40330 (859) 734-2338

Craft John D 2136 Broadway Paducah, KY 42001 (270) 442-2310

Stewart Kyle 54 Medical Lane Whitley City, KY 42653 (606) 376-5055

Johnston James D 2850 Lone Oak Road Suite 1 Paducah, KY 42003 (270) 554-3131

McLean County

Ritchie Edward S 117 East Lexington Street Harrodsburg, KY 40330 (859) 734-3819

Largent Beverly A 3008 Oregon Street Paducah, KY 42001 (270) 554-5437 Mahan Jonathan D 1836 Broadway Street Paducah, KY 42001 (270) 442-0256 Rice Michael S 2850 Lone Oak Road Suite 2 Paducah, KY 42003 (270) 534-1991 Woods James M 2307 Kentucky Ave Paducah, KY 42003 (270) 443-7405

McCreary County Bates Gwenna 54 Medical Lane Whitley City, KY 42653 (606) 376-5055 Hamm Jessica 54 Medical Lane Whitley City, KY 42653 (606) 376-5055 Lose Kenneth 54 Medical Lane Whitley City, KY 42653 (606) 376-5055 Maynard Harold 54 Medical Lane Whitley City, KY 42653 (606) 376-5055

Thacker Ralph W 222 Main Street Livermore, KY 42352 (270) 278-2385

Meade County Denton William P 1120 High Street Brandenburg, KY 40108 (270) 422-4921 Duplessis Jr John 618 River Ridge Plaza Brandenburg, KY 40108 (270) 422-5437

Menifee County Graham David L 732 Highway 36 Frenchburg, KY 40322 (606) 783-7689

Mercer County Cox Brandi 507 Joseph Drive Suite 3 Harrodsburg, KY 40330 (859) 734-2238 Dowlen Jason S 507 Joseph Dr # 3 Harrodsburg, KY 40330 (859) 734-2338 Hise Dennis A 1028 North College Street Harrodsburg, KY 40330 (859) 734-5437 Huff Constance C 135 Collin Drive Harrodsburg, KY 40330 (859) 734-4944

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Metcalfe County Froedge Mark 706 W Stockton St Edmonton, KY 42129 (270) 432-3617 Miller John W 108 Elmore Street Edmonton, KY 42129 (270) 432-7211

Monroe County Burroughs Cynthia 101 West 4th Street Tompkinsville, KY 42167 (270) 487-5545 Crabtree Gregory K 103 East 2nd Street Tompkinsville, KY 42167 (270) 487-6066 Greer Rebecca L 42 Executive Drive Tompkinsville, KY 42167 (270) 487-5474

Montgomery County Baber Katherine A 225 Windsor Drive Mount Sterling, KY 40353 (859) 498-3400 Carty Krisy 105 Brandon Way Suite A Mount Sterling, KY 40353 (859) 497-4444 Caudill G 508 N Maysville Rd Mount Sterling, KY 40353 (859) 498-1380 Cramer John R 25 East High Street Mount Sterling, KY 40353 (859) 498-6204 Durbin Douglas 105 Bruce Professional Plaza Mount Sterling, KY 40353 (859) 223-3939 Fields Rickey P 225 Windsor Drive Mount Sterling, KY 40353 (859) 498-3400

Hagan Crystal 449 Capp Harlan Rd Tompkinsville, KY 42167 (270) 487-8026

Garner Thomas C 105 Bruce Professional Plaza Mount Sterling, KY 40353 (859) 223-3939

McAlpin Gordon W 110 North Main Street Tompkinsville, KY 42167 (270) 487-6263

Gray John I 25 East High Street Mount Sterling, KY 40353 (859) 498-6204

Page John D 204 W Paige St Tompkinsville, KY 42167 (270) 487-5196

Henry Richard 541 Willin Way Mount Sterling, KY 40353 (859) 498-1347 Languages: Spanish

Huang John 105 Bruce Professional Plaza Mount Sterling, KY 40353 (859) 223-3939 Johnson Jon K 100 East High St Mount Sterling, KY 40353 (859) 498-7130 McLaurin Donald R 25 East High Street Mount Sterling, KY 40353 (859) 498-6204 Peterson Gilman P 25 East High Street Mount Sterling, KY 40353 (859) 498-6204 Tackitt Alisha D 1107 Indian Mound Road Suite C Mount Sterling, KY 40353 (859) 498-2356

Morgan County Blevins Walter 777 Broadway Street West Liberty, KY 41472 (606) 743-1212 Gunnell Leigh A 903 Main Street West Liberty, KY 41472 (606) 743-7480 Henderson Robert L 903 Main Street West Liberty, KY 41472 (606) 743-7480

Muhlenberg County Eades William B 132 East Main Cross Greenville, KY 42345 (270) 338-2532 Fritsch Timothy S 132 East Main Cross Greenville, KY 42345 (270) 338-2532 Dentist

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WellCare of Kentucky Morehead David S 300 West Broad Street Central City, KY 42330 (270) 754-1888 Webb-Brown Mary 203 South Cherry Street Greenville, KY 42345 (270) 338-0606

Nelson County Disponett John 919 Chambers Boulevard Suite A Bardstown, KY 40004 (502) 348-6404 Harris Michael 218 West John Fitch Bardstown, KY 40004 (502) 348-9775 Haydon Andrea 202 West Stephen Foster Avenue Suite E Bardstown, KY 40004 (502) 348-0908 Isgrigg Nita 101 Manor Avenue Suite 103 Bardstown, KY 40004 (502) 348-3119 Keesee Patrick 120 West Stephen Foster Avenue Suite 104 Bardstown, KY 40004 (502) 348-5800

Ohio County Alford Kenneth D 1269 Duvall Road Beaver Dam, KY 42320 (270) 274-4875 McCarty Joseph S 904 Main Street Hartford, KY 42347 (270) 298-3555 Stevens Barry K 1221 North Main Street Beaver Dam, KY 42320 (270) 274-3379

Oldham County Bednar Eric 6408 West Highway 146 Unit 10 Crestwood, KY 40014 (502) 243-0123 2005 South Highway 53 Suite B Lagrange, KY 40031 (502) 222-4613 Combs Anastasia 6408 West Highway 146 Unit 10 Crestwood, KY 40014 (502) 243-0123 Sparks James 205 North 1st Street La Grange, KY 40031 (502) 222-7070 Thurman Thomas 6408 West Highway 146 Unit 10 Crestwood, KY 40014 (502) 243-0123

Owen County Ward Brock R 330 West Seminary St Owenton, KY 40359 (502) 484-0091

Owsley County Gay Jason 706 Courthouse Square Booneville, KY 41314 (606) 593-5100

Pendleton County Verax William J 211 W Shelby Street Falmouth, KY 41040 (859) 654-5041

Perry County Baker Jr Gregory 100 Medical Center Drive Hazard, KY 41701 (606) 439-1331

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

145 Citizens Lane Suite B Hazard, KY 41702 (606) 435-7676 Browning Anthony S 35 Longfield Circle Vicco, KY 41773 (606) 476-8121 Campbell Mary 145 Citizen Ln Suite B Hazard, KY 41701 (606) 435-7676 Collier Deborah D 755 Morton Boulevard Hazard, KY 41701 (606) 436-0845 Couch-Holliday Shanna 251 Morton Boulevard Hazard, KY 41701 (606) 439-1079 Farmer Andrew B 305 Morton Boulevard Hazard, KY 41701 (606) 672-3569 Gabbard Jr Elmer 145 Citizens Lane Suite B Hazard, KY 41702 (606) 435-7676 Gibson William B 200 Medical Center Drive Suite 2-0 Hazard, KY 41701 (606) 487-0088 Haynes Kathryn D 3311 Pigeon Roost Road Ary, KY 41712 (606) 439-1559 47 Big Creek Road Avawam, KY 41713 (606) 439-1559 6050 Lotts Cre Browns Fork, KY 41701 (606) 439-1559 18392 KY Highway 28 Buckhorn, KY 41721 (606) 439-1559

625 Big Willard Road Busy, KY 41723 (606) 439-1559 8551 KY Highway 451 Busy, KY 41723 (606) 439-1559 641 Highway 80 W Combs, KY 41729 (606) 439-1559 9165 Highway 15 Happy, KY 41746 (606) 439-1559 151 Miss Edna Lane Hazard, KY 41701 (606) 439-1559 277 Roy Campbell Drive Hazard, KY 41701 (606) 439-1559 3134 Sixteen Mile Creek Road Hazard, KY 41701 (606) 439-1559 41 Runway Avenue Hazard, KY 41701 (606) 439-1559 601 Broadway Street Hazard, KY 41701 (606) 439-1559 750 Morton Avenue Hazard, KY 41701 (606) 439-1559 1824 North Main Street Suite 100 Hazard, KY 41702 (606) 439-1559 250 Chavies School Road Hazard, KY 41727 (606) 439-1559

Jolly James 1724 1/2 North Main St Hazard, KY 41701 (606) 439-4581 Napier Samantha 116 Veterans Drive Hazard, KY 41701 (606) 439-0577 Newcomb John 39 Morton Boulevard Hazard, KY 41701 (606) 439-3856 Pennington Robin L 562 Highway 80 West Combs, KY 41729 (606) 439-3740 Petrey Joseph 39 Morton Boulevard Hazard, KY 41701 (606) 439-3856 Stone Daria 3311 Pigeon Roost Road Ary, KY 41712 (606) 439-1559 47 Big Creek Road Avawam, KY 41713 (606) 439-1559 6050 Lotts Cre Browns Fork, KY 41701 (606) 439-1559 625 Big Willard Road Busy, KY 41723 (606) 439-1559 8551 KY Highway 451 Busy, KY 41723 (606) 439-1559 641 Highway 80 W Combs, KY 41729 (606) 439-1559

7777 Highway 699 Leatherwood, KY 41731 (606) 439-1559

9165 Highway 15 Happy, KY 41746 (606) 439-1559

20 Eddington Lane Viper, KY 41774 (606) 439-1559

151 Miss Edna Lane Hazard, KY 41701 (606) 439-1559

Johnson Shannon 611 West Poplar Street Browns Fork, KY 41701 (502) 854-0407

277 Roy Campbell Drive Hazard, KY 41701 (606) 439-1559

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WellCare of Kentucky 3134 Sixteen Mile Creek Road Hazard, KY 41701 (606) 439-1559 41 Runway Avenue Hazard, KY 41701 (606) 439-1559 601 Broadway Street Hazard, KY 41701 (606) 439-1559 750 Morton Avenue Hazard, KY 41701 (606) 439-1559 1824 North Main Street Suite 100 Hazard, KY 41702 (606) 439-1559 250 Chavies School Road Hazard, KY 41727 (606) 439-1559 7777 Highway 699 Leatherwood, KY 41731 (606) 439-1559 20 Eddington Lane Viper, KY 41774 (606) 439-1559 Watkins Daniel R 1480 East Main Street Hazard, KY 41701 (606) 439-3522 Watts Derek G 285 Black Gold Blvd Hazard, KY 41701 (606) 439-0881

Pike County Altman Susan 419 Town Mountain Rd Suite 200 Pikeville, KY 41501 (606) 437-4848 Anderson Rebecca J 170 Fifth Street Elkhorn City, KY 41522 (606) 754-7198 Coleman Bobbi D 184 N Levisa Road Mouthcard, KY 41548 (606) 835-2167

Collins William E 126 Trivette Drive Suite 303 Pikeville, KY 41501 (606) 437-9601

Leonard Joshua S 8857 Meta Highway Suite 3 Pikeville, KY 41501 (606) 631-4377

Damron Mark 119 River Dr Pikeville, KY 41501 (606) 437-5500

Lynn Larry W 919 West Russell Elkhorn City, KY 41522 (606) 754-4536

Duncan Tiffany T 79 Mall Road Suite B South Williamson, KY 41503 (606) 237-0073

Pelphrey Alfred 300 North Mayo Trail Suite 1 Pikeville, KY 41501 (606) 437-1461

Bates Gwenna 29 Eury Lane Somerset, KY 42501 (606) 678-8881

England Nick A 534 Central Avenue South Williamson, KY 41503 (606) 237-4750

Robinette Quentin T 153 Hibbard Street Pikeville, KY 41501 (606) 437-9942

Binder Gregory D 54 Imaging Drive Somerset, KY 42503 (606) 451-2273

Sahasi Preeti 119 River Dr Pikeville, KY 41501 (606) 587-2800

Branscum Rebekah W 8536 West Highway 80 Nancy, KY 42544 (606) 636-4311

Street Chad 129 Loraine Street Pikeville, KY 41501 (606) 432-9639

Brummett David 3876 South HWY 27 Somerset, KY 42501 (606) 679-5328

Tackett Carl E 419 Town Mountain Rd Suite 105 Pikeville, KY 41501 (606) 432-0346

Coffey Henry D 313 Langdon Street Somerset, KY 42503 (606) 679-7419

Harris -Whitfield Chonda L 1144 South Mayo Tr Suite 101 Pikeville, KY 41501 (606) 433-0033 Hartsock Tom 161 College Street Suite 3 Pikeville, KY 41501 (606) 432-3603 Hensley Jonathan S 126 Trivette Drive Suite 103 Pikeville, KY 41501 (606) 433-1488 Justice James D 155 East Main Street Elkhorn City, KY 41522 (606) 754-0155 Keaton Andy P 118 Caroline Avenue Suite 1 Pikeville, KY 41501 (606) 432-8165 Keaton Jill E 118 Caroline Avenue Suite 1 Pikeville, KY 41501 (606) 437-7609

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Whitfield Ben A 1144 South Mayo Tr Suite 101 Pikeville, KY 41501 (606) 433-0033 Whitt Heather P 119 River Dr Pikeville, KY 41501 (606) 437-5500

Powell County Thompson Gary 131 North Main Street Stanton, KY 40380 (606) 663-2133

Pulaski County Alderdice Bennie 100 Hardin Lane Suite B Somerset, KY 42503 (606) 679-8568 Bartley Darrell G 341 Bogle Street Suite D Somerset, KY 42503 (606) 677-0238

Grippe Robert Brian B 54 Imaging Drive Somerset, KY 42503 (606) 451-2273 Hamm Jessica 29 Eury Lane Somerset, KY 42501 (606) 678-8881 Hieronymus Charles S 125 Barnett Street Somerset, KY 42501 (606) 679-1204 Jayme Annelee 30 Med Park Drive Somerset, KY 42503 (606) 451-2273 54 Imaging Drive Somerset, KY 42503 (606) 451-2273

Lose Kenneth 29 Eury Lane Somerset, KY 42501 (606) 678-8881 Maynard Harold 29 Eury Lane Somerset, KY 42501 (606) 678-8881 Millay Robert 29 Eury Lane Somerset, KY 42501 (606) 678-8881 30 Med Park Drive Somerset, KY 42503 (606) 679-9322 Newcomb John 224 Langdon Street Somerset, KY 42501 (606) 451-0771 Petrey Joseph 224 Langdon Street Somerset, KY 42501 (606) 451-0771 Prather Brandi A 47 Sarah's Lane Somerset, KY 42503 (606) 679-5437 Saindon Gina V 501 College Street Suite A Somerset, KY 42501 (606) 679-9289 Stewart Kyle 29 Eury Lane Somerset, KY 42501 (606) 678-8881 Stroud John M 44 Office Park Drive Somerset, KY 42501 (604) 677-1459 54 Imaging Drive Somerset, KY 42503 (606) 451-2273 Tohill Thomas A 101 Sarah's Lane Somerset, KY 42503 (606) 679-4450

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WellCare of Kentucky Rockcastle County Bates Gwenna 940a West Main Street Mount Vernon, KY 40456 (606) 256-0288 Chadwell Jennifer 325 Richmond Mount Vernon, KY 40456 (606) 256-5812 Hamm Jessica 940a West Main Street Mount Vernon, KY 40456 (606) 256-0288 Lose Kenneth 940a West Main Street Mount Vernon, KY 40456 (606) 256-0288 Maynard Harold 940a West Main Street Mount Vernon, KY 40456 (606) 256-0288 Millay Robert 940a West Main Street Mount Vernon, KY 40456 (606) 256-0288 Stewart Kyle 940a West Main Street Mount Vernon, KY 40456 (606) 256-0288

Rowan County Arnett Larry N 204 Morehead Plaza Morehead, KY 40351 (606) 784-7033 Cox Brandi 750 West Main Street Morehead, KY 40351 (606) 783-0182 Cramer John R 709 West Main Street Morehead, KY 40351 (606) 784-8983

Dowlen Jason S 750 West Main Street Morehead, KY 40351 (606) 783-0182 Frederick Angela S 309 East Main Street Morehead, KY 40351 (606) 784-6436 Hughes Emily R 255 Beacon Hill Dr Morehead, KY 40351 (606) 784-6631 Loy Carroll R 255 Beacon Hill Dr Morehead, KY 40351 (606) 784-6631 McLoney Douglas W 309 East Main Street Morehead, KY 40351 (606) 784-6436 Patton Mitchell 400 Clinic Morehead, KY 40351 (606) 784-4363 Settle Emily 255 Beacon Hill Dr Morehead, KY 40351 (606) 784-6631 Shay Karen E 165 East Main Street Morehead, KY 40351 (606) 784-4762 Smith Ballard C 709 West Main Street Morehead, KY 40351 (606) 784-8983 Tingle Charles W 255 Beacon Hill Dr Morehead, KY 40351 (606) 784-6631

Russell County Bates Gwenna 2289 Lakeway Drive Russell Springs, KY 42642 (270) 866-8891

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Grippe Robert Brian B 458 Main Street Russell Springs, KY 42642 (270) 866-7222 Hamm Jessica 2289 Lakeway Drive Russell Springs, KY 42642 (270) 866-8891 Hughes Shana G 24 Caden Way Suite 3 Russell Springs, KY 42642 (270) 866-4101 Lose Kenneth 2289 Lakeway Drive Russell Springs, KY 42642 (270) 866-8891 Loy Flanagan Melanie K 43 Fruit Of Loom Drive PO Box 27 Jamestown, KY 42629 (270) 343-4422 Maynard Harold 2289 Lakeway Drive Russell Springs, KY 42642 (270) 866-8891 Millay Robert 2289 Lakeway Drive Russell Springs, KY 42642 (270) 866-8891 Popplewell Howard J 108 Town Square Jamestown, KY 42629 (270) 343-3324 Smith Henry S 519 Main Street Russell Springs, KY 42642 (270) 866-3560 Stewart Kyle 2289 Lakeway Drive Russell Springs, KY 42642 (270) 866-8891

Scott County Baldwin Aaron 240 Blossom Park Drive Suite 2 Georgetown, KY 40324 (502) 570-8841 Day Ronald M 208 Bevins Lane Georgetown, KY 40324 (502) 570-2829 Dillow Morgan C 208 Bevins Lane Georgetown, KY 40324 (502) 570-2829 Gray John I 204 Bevins Lane Suite F Georgetown, KY 40324 (502) 869-1402 Henderson Robert W 101 Darby Drive Suite 101 Georgetown, KY 40324 (502) 863-5858 Hollen Joanne 240 Blossom Park Drive Suite 2 Georgetown, KY 40324 (502) 570-8841 Huang Betty 205 Champion Way Suite 9 Georgetown, KY 40324 (502) 868-9300 Jackson Rodney A 208 Bevins Lane Georgetown, KY 40324 (502) 570-2829 Lenox Paula K 1154 Lexington Road Suite 2 Georgetown, KY 40324 (502) 863-2207 Lowdenback Clifford J 101 Darby Drive Georgetown, KY 40324 (502) 863-2720

McLaurin Donald R 204 Bevins Lane Suite F Georgetown, KY 40324 (502) 863-1402 Peterson Gilman P 204 Bevins Lane Suite F Georgetown, KY 40324 (502) 863-1402 Phillips Hayden R 205 Champion Way Suite 9 Georgetown, KY 40324 (502) 868-9300 Robinette Catherine D 205 Champion Way Suite 9 Georgetown, KY 40324 (502) 868-9300 Warring Robert T 120b Edwards Avenue Georgetown, KY 40324 (502) 863-1505 White James G 101 Darby Drive Georgetown, KY 40324 (502) 863-2720

Shelby County Daugherty Lisa L 207 Alpine Drive Suite A Shelbyville, KY 40065 (502) 633-3900 Engilman William 1415 Main Street Shelbyville, KY 40065 (502) 633-4613 Eugenio Jessica 130 Stonecrest Drive Suite 101 Shelbyville, KY 40065 (502) 633-1584 502 Mount Eden Road Shelbyville, KY 40065 (502) 633-1538 137 Buck Creek Road Simpsonville, KY 40067 (502) 496-0002

Maggard Michael B 101 Darby Drive Georgetown, KY 40324 (502) 863-2720 Dentist

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WellCare of Kentucky Fritz John F 60 Stonecrest Court Suite 200 Shelbyville, KY 40065 (502) 633-1819 Hoetker Kirby 141 Stonecrest Road Shelbyville, KY 40065 (502) 633-4441 Jackson Amanda 130 Stonecrest Drive Suite 101 Shelbyville, KY 40065 (502) 633-1584 502 Mount Eden Road Shelbyville, KY 40065 (502) 633-1538 Jensen Jean-Anne 1415 Main Street Shelbyville, KY 40065 (502) 633-4613

Simpson County Clark Jeffrey M 1300 Bluegrass Road Unit 7 Franklin, KY 42134 (270) 586-5445 Fowler James D 112 Morgantown Road Franklin, KY 42134 (270) 586-0606 Greer Brandon 1300 Bluegrass Road Unit 7 Franklin, KY 42134 (270) 586-5445 Harvey Jeffrey T 320 McClendon Road Franklin, KY 42134 (270) 598-0508 McAlpin Roger 927 Brookhaven Road Franklin, KY 42134 (270) 586-9444 Sutton James M 1300 Bluegrass Road Unit 7 Franklin, KY 42134 (270) 586-5445

Thompson Thomas M 1300 Bluegrass Road Unit 7 Franklin, KY 42134 (270) 586-5446

Taylor County Akridge Matt 1756 Old Lebanon Road Campbellsville, KY 42718 (270) 465-6570 Graves David 501 Medical Park Drive Campbellsvlle, KY 42718 (270) 789-4540 Hastings Robert L 1870 Old Lebanon Rd Campbellsvlle, KY 42718 (270) 465-5379 Inman Gregory 105 Medical Park Drive Suit #1 Campbellsvlle, KY 42718 (270) 789-4542 Wilkerson Harold 227 West Main Street Campbellsvlle, KY 42718 (270) 465-6204 Wise Heather 105 Medical Park Drive Suit #1 Campbellsvlle, KY 42718 (270) 469-1403

Trigg County Gross Michael L 51 South Road Cadiz, KY 42211 (270) 522-3484 Rose Scarlett D 104 Commerce Street Cadiz, KY 42211 (270) 522-7867

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Union County Heine Kember B 1107 North Main Street Sturgis, KY 42459 (270) 333-4030 Rigdon Nancy E 124 S Brady St Morganfield, KY 42437 (270) 389-2855

Warren County Bachali Sarath 1025 Ashley Street Suite C Bowling Green, KY 42103 (270) 783-3177 Baldwin Dan W 559 Morgantown Road Bowling Green, KY 42101 (270) 781-2401 6151 Louisville Road Bowling Green, KY 42101 (270) 842-1960 7597 Russellville Road Bowling Green, KY 42101 (270) 843-8437 704 Cypress Wood Lane Bowling Green, KY 42104 (270) 843-0165 Ballou Sheldon A 1109 State Street Bowling Green, KY 42101 (270) 781-8039 Barbee Jeffrey S 1830 Destiny Lane Suite 119 Bowling Green, KY 42104 (270) 393-9925 Benson Charles D 148 Vincent Street Smiths Grove, KY 42171 (270) 563-4706

Birkenhauer Meghan T 546 Park Street Suite 400 Bowling Green, KY 42101 (270) 781-6161 141 Main Street Smiths Grove, KY 42171 (270) 451-0071 Birkenhauer Thomas J 546 Park Street Suite 400 Bowling Green, KY 42101 (270) 781-6161 141 Main Street Smiths Grove, KY 42171 (270) 451-0059 Buchanan John 546 Park Street Suite 100 Bowling Green, KY 42101 (270) 781-3133 Burress Shanna 1109 State Street Bowling Green, KY 42101 (270) 781-8039 Languages: Spanish 559 Morgantown Road Bowling Green, KY 42101 (270) 781-2401 6151 Louisville Road Bowling Green, KY 42101 (270) 842-1960 7597 Russellville Road Bowling Green, KY 42101 (270) 843-8437 704 Cypress Wood Lane Bowling Green, KY 42104 (270) 843-0165

Burt Andrew M 546 Park Street Suite 400 Bowling Green, KY 42101 (270) 781-6161 141 Main Street Smiths Grove, KY 42171 (270) 451-0059 Campbell Leslie S 1109 State Street Bowling Green, KY 42101 (270) 781-8039 546 Park Street Suite 400 Bowling Green, KY 42101 (270) 781-6161 141 Main Street Smiths Grove, KY 42171 (270) 451-0059 Carter Daniel 1109 State Street Bowling Green, KY 42101 (270) 781-8039 Clark Jeffrey M 1938 Lyda Avenue Bowling Green, KY 42104 (270) 783-0064 Cohron Jerry E 948 Elm St Bowling Green, KY 42101 (270) 745-0698 Coomer Jason R 1109 State Street Bowling Green, KY 42101 (270) 781-8039 Craycroft James A 1711 Ashley Circle Suite 3 Bowling Green, KY 42104 (270) 781-4997

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WellCare of Kentucky Davis Gina R 1720 Destiny Lane Bowling Green, KY 42104 (270) 842-3554

Howell Michael W 952 31 West Bypass Bowling Green, KY 42102 (270) 782-9052

Smith Jason R 1109 State Street Bowling Green, KY 42101 (270) 781-8039

Eades William B 559 Morgantown Road Bowling Green, KY 42101 (270) 781-2401

Hubbard Michael W 740 East Tenth Street Bowling Green, KY 42101 (270) 781-9687

Stice Brently H 1109 State Street Bowling Green, KY 42101 (270) 781-8039

7597 Russellville Road Bowling Green, KY 42101 (270) 843-8437

Jefferson Tara L 559 Morgantown Road Bowling Green, KY 42101 (270) 781-2401

Sturgill Edyee M 895 Wilkinson Trace Suite B Bowling Green, KY 42103 (270) 745-9001

704 Cypress Wood Lane Bowling Green, KY 42104 (270) 843-0165 Elliott Randall H 120 Callaway Ct Bowling Green, KY 42103 (270) 782-0716 Froedge Mark 1109 State Street Bowling Green, KY 42101 (270) 781-8039

6151 Louisville Road Bowling Green, KY 42101 (270) 842-1960 7597 Russellville Road Bowling Green, KY 42101 (270) 843-8437 704 Cypress Wood Lane Bowling Green, KY 42104 (270) 843-0165

Gaskill Julie 546 Park St Suite 500 Bowling Green, KY 42101 (270) 843-6891

McAlpin Roger 996 Wilkinson Trace Suite B 6 Bowling Green, KY 42103 (270) 782-1128

Greer Brandon 1938 Lyda Avenue Bowling Green, KY 42104 (270) 783-0064

Neville Les 1109 State Street Bowling Green, KY 42101 (270) 781-8039

Greer Staci N 148 Vincent Street Smiths Grove, KY 42171 (270) 563-4706

Nuckols Charles 627 Eastwood Avenue Bowling Green, KY 42103 (270) 843-4341

Hanes Christopher M 1658 Campbell Lane Bowling Green, KY 42104 (270) 781-4906

Salyer Lorna R 1025 Ashley Street Suite C Bowling Green, KY 42103 (270) 842-0025

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Sutton James M 250 Park Street Bowling Green, KY 42101 (270) 745-1000 1938 Lyda Avenue Bowling Green, KY 42104 (270) 783-0064 Thompson Thomas M 1938 Lyda Avenue Bowling Green, KY 42104 (270) 783-0064 Vonnahme Ryan M 1025 Ashley Street Suite C Bowling Green, KY 42103 (270) 842-0025 Walden Brenda C 725-A Kenton Street Bowling Green, KY 42101 (270) 782-0414 Whiteside William C 1109 State Street Bowling Green, KY 42101 (270) 781-8039

Washington County Flowers Jr Don 108 Commercial Avenue Springfield, KY 40069 (859) 336-7701

Wayne County Breeding William G 1500 North Main Street Suite 162 Monticello, KY 42633 (606) 348-6038 Brummett Daniel J 1225 North Main Street Monticello, KY 42633 (606) 340-0740 Hardin Philip A 169 Cumberland Crossing Monticello, KY 42633 (606) 340-8027 Hishmeh Fahed 650 North Main Street Monticello, KY 42633 (606) 348-5100 Kochis Lisa A 1225 North Main Street Monticello, KY 42633 (606) 340-0740 Tallent Steven M 1225 North Main Street Monticello, KY 42633 (606) 340-0740 Languages: Spanish

Webster County Warren Paige P 125 East Main Street Providence, KY 42450 (270) 667-7301

Whitley County Barnhill Suzanne L 129 South Highway 1223 Corbin, KY 40701 (606) 526-9536

Brown Caroline F 821 South Highway 25 West Williamsburg, KY 40769 (606) 549-0374 Chumbley Alvin B 727 West Cumberland Gap Pkwy Suite D Corbin, KY 40701 (606) 523-2000 Couch Leroy D 107 Brentwood Place Corbin, KY 40701 (606) 528-5600 Gibson Keith E 213 S Main Street Corbin, KY 40701 (606) 523-1415 Greer James R 1200 Master Street Suite 1 Corbin, KY 40701 (606) 523-1961 Haines Steven 1608 Cumberland Falls Highway Corbin, KY 40701 (606) 523-2411 Haynes Kathryn D 3380 Highway 28 Woodbine, KY 40701 (606) 439-1559 Henderlight Philip E 1507 South Main St Corbin, KY 40701 (606) 523-1110 Jeffries John A 317 Main Street Williamsburg, KY 40769 (606) 549-5300 Johnson Jeffrey T 129 South Highway 1223 Corbin, KY 40701 (606) 526-9636 Martin Jeanne E 406 Master Street Corbin, KY 40701 (606) 528-3540

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WellCare of Kentucky Mountjoy John 212 North 4th Street Williamsburg, KY 40769 (606) 549-2344 Murphy Michael 1400 Cumberland Falls Highway Suite B Corbin, KY 40701 (606) 528-9402 Newcomb John 83 Park Hill Road Corbin, KY 40701 (606) 528-8302 Oaks James E 40 Moonbow Plaza Suite 3 Corbin, KY 40701 (606) 528-6104

Indiana Boehnlein Polly 400 East Diamond Avenue Evansville, IN 47711 (812) 461-2365 Fulkerson Brad 2345 West Franklin Street Evansville, IN 47712 (812) 401-4373

Quillen Eric L 156 Frankfort Street Versailles, KY 40383 (859) 879-5045 Watts Harry M 210 Crossfield Drive Versailles, KY 40383 (859) 873-7101

Languages: French, Japanese, Spanish

Cleary III James 2830 Colerain Avenue Cincinnati, OH 45225 (513) 591-1400

1860 Seymour Avenue Cincinnati, OH 45237 (513) 841-1000

Child Michael E 426 Lexington Road Versailles, KY 40383 (859) 276-4449

1860 Seymour Avenue Cincinnati, OH 45237 (513) 841-1000

Ohio

Smith Michael R 821 South Highway 25 West Williamsburg, KY 40769 (606) 549-0374

Woodford County

7777 Yankee Road Cincinnati Children's Liberty Campus Liberty Township, OH 45044 (513) 803-9600

9560 Children's Drive Cincinnati Children's Mason Campus Mason, OH 45040 (513) 636-6800

Amin Niket 2830 Colerain Avenue Cincinnati, OH 45225 (513) 591-1400

Thobaben John 129 South Highway 1223 Corbin, KY 40701 (606) 526-9636

Geier Elizabeth 2830 Colerain Avenue Cincinnati, OH 45225 (513) 591-1400

Lungu Virgil R 400 East Diamond Avenue Evansville, IN 47711 (812) 461-2365

Petrey Joseph 83 Park Hill Road Corbin, KY 40701 (606) 528-8302

Stone Daria 3380 Highway 28 Woodbine, KY 40701 (606) 439-1559

3050 Mack Road Outpatient Fairfield Fairfield, OH 45014 (513) 636-0021

2100 Morse Road Suite 4655 Columbus, OH 43229 (614) 470-9840 Burgess Myeasha 2830 Colerain Ave Cincinnati, OH 45225 (513) 591-1400 1860 Seymour Avenue Cincinnati, OH 45237 (513) 841-1000 Languages: Spanish Campbell Richard 3333 Burnet Avenue Dentistry Ml 2006 Cincinnati, OH 45229 (513) 636-4641 7495 State Road Suite 355 Outpatient Anderson Cincinnati, OH 45255 (513) 636-6100

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

1860 Seymour Avenue Cincinnati, OH 45237 (513) 841-1000

Greenhill William 3333 Burnet Avenue Dentistry Ml 2006 Cincinnati, OH 45229 (513) 636-4641 7495 State Road Suite 355 Outpatient Anderson Cincinnati, OH 45255 (513) 636-6100 3050 Mack Road Outpatient Fairfield Fairfield, OH 45014 (513) 636-6400 Languages: French, Japanese, Spanish

Dock Murray 3333 Burnet Avenue Dentistry Ml 2006 Cincinnati, OH 45229 (513) 636-4641

7777 Yankee Road Cincinnati Children's Liberty Campus Liberty Township, OH 45044 (513) 803-9600

7495 State Road Suite 355 Outpatient Anderson Cincinnati, OH 45255 (513) 636-6100

9560 Children's Drive Cincinnati Children's Mason Campus Mason, OH 45040 (513) 636-6800

3050 Mack Road Outpatient Fairfield Fairfield, OH 45014 (513) 636-6400

Jain Chandana 4157 Hunt Road Cincinnati, OH 45236 (513) 791-6154

7777 Yankee Road Cincinnati Children's Liberty Campus Liberty Township, OH 45044 (513) 803-9600

Kamp Anthony A 3333 Burnet Avenue Dentistry Ml 2006 Cincinnati, OH 45229 (513) 636-4641

9560 Children's Drive Cincinnati Children's Mason Campus Mason, OH 45040 (513) 636-6800

Languages: French, Spanish 7495 State Road Suite 355 Outpatient Anderson Cincinnati, OH 45255 (513) 636-6100

3050 Mack Road Outpatient Fairfield Fairfield, OH 45014 (513) 636-6400 Languages: French, Spanish 7777 Yankee Road Cincinnati Children's Liberty Campus Liberty Township, OH 45044 (513) 803-9600 Languages: French, Spanish 9560 Children's Drive Cincinnati Children's Mason Campus Mason, OH 45040 (513) 636-6800 Languages: French, Spanish Kuhn Jodi 2830 Colerain Avenue Cincinnati, OH 45225 (513) 591-1400 1860 Seymour Avenue Cincinnati, OH 45237 (513) 841-1000 Matusak Annmarie 3333 Burnet Avenue Dentistry Ml 2006 Cincinnati, OH 45229 (513) 636-4641 7495 State Road Suite 355 Outpatient Anderson Cincinnati, OH 45255 (513) 636-6100 3050 Mack Road Outpatient Fairfield Fairfield, OH 45014 (513) 636-6400 7777 Yankee Road Cincinnati Children's Liberty Campus Liberty Township, OH 45044 (513) 803-9600

Languages: French, Spanish Dentist

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WellCare of Kentucky 9560 Children's Drive Cincinnati Children's Mason Campus Mason, OH 45040 (513) 636-6800

Wilson Stephen 3333 Burnet Avenue Dentistry Ml 2006 Cincinnati, OH 45229 (513) 636-4641

50 Remick Boulevard Springboro, OH 45066 (937) 885-2222

Languages: French, Spanish

Rider David M 4157 Hunt Road Cincinnati, OH 45236 (513) 791-6154 Scott Michael L 2200 Auburn Avenue Cincinnati, OH 45219 (513) 784-1518 Turner Erwin 3333 Burnet Avenue Dentistry Ml 2006 Cincinnati, OH 45229 (513) 636-4641 7495 State Road Suite 355 Outpatient Anderson Cincinnati, OH 45255 (513) 636-6100 3050 Mack Road Outpatient Fairfield Fairfield, OH 45014 (513) 636-6400 7777 Yankee Road Cincinnati Children's Liberty Campus Liberty Township, OH 45044 (513) 803-9600 9560 Children's Drive Cincinnati Children's Mason Campus Mason, OH 45040 (513) 636-6800

7495 State Road Suite 355 Outpatient Anderson Cincinnati, OH 45255 (513) 636-6100 Languages: French, Spanish 3050 Mack Road Outpatient Fairfield Fairfield, OH 45014 (513) 636-6400 Languages: French, Spanish 7777 Yankee Road Cincinnati Children's Liberty Campus Liberty Township, OH 45044 (513) 803-9600 Languages: French, Spanish

Tennessee Douglass Jesse B 119 Westmoreland St Harrogate, TN 37752 (423) 869-5719

West Virginia Beckett Charles S 408 Alexander Street Cedar Grove, WV 25039 (304) 595-3283 71 Wayne Street Fort Gay, WV 25514 (304) 753-7495

Wegehoft David 2830 Colerain Avenue Cincinnati, OH 45225 (513) 841-1000

15167 Huntington Road Gallipolis Ferry, WV 25515 (304) 697-1396

1860 Seymour Avenue Cincinnati, OH 45237 (513) 591-1400

22 Fleming Drive Harts, WV 25524 (304) 855-4595

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

1 Highlander Way Huntington, WV 25701 (304) 528-6445

723 Ninth Avenue Huntington, WV 25701 (304) 529-0646

930 2nd Street Huntington, WV 25701 (304) 528-2070

627 4th Avenue Huntington, WV 25701 (304) 523-2764

930 2nd Street Huntington, WV 25701 (304) 528-2070

930 Second Street Huntington, WV 25701 (304) 528-2070

930 2nd Street Huntington, WV 25701 (304) 528-2070

930 Second Street Huntington, WV 25701 (304) 528-2070

2908 Auburn Road Huntington, WV 25704 (304) 781-5800

930 Second Street Huntington, WV 25701 (304) 528-2070

2908 Auburn Road Huntington, WV 25704 (304) 781-5800

1 Timberlake Drive Huntington, WV 25705 (304) 429-1699

2908 Auburn Road Huntington, WV 25704 (304) 781-5800

1 Timberlake Drive Huntington, WV 25705 (304) 429-1699

3377 Route 60e Huntington, WV 25705 (304) 697-1396

1 Timberlake Drive Huntington, WV 25705 (304) 429-1699

3377 Route 60e Huntington, WV 25705 (304) 697-1396

2300 US Route 60 East Ona, WV 25545 (304) 743-7495

3377 Route 60e Huntington, WV 25705 (304) 697-1396

2300 US Route 60 East Ona, WV 25545 (304) 743-7495

100 Pioneer Road Wayne, WV 25570 (304) 272-3783

2300 US Route 60 East Ona, WV 25545 (304) 743-7495

100 Pioneer Road Wayne, WV 25570 (304) 272-3783

100 Pioneer Road Wayne, WV 25570 (304) 272-3783

Daniel Jennifer T 408 Alexander Street Cedar Grove, WV 25039 (304) 595-3283

Kelly Andrea N 408 Alexander Street Cedar Grove, WV 25039 (304) 595-3283

Brody Daniel 408 Alexander Street Cedar Grove, WV 25039 (304) 595-3283 71 Wayne Street Fort Gay, WV 25514 (304) 648-5544 15167 Huntington Road Gallipolis Ferry, WV 25515 (304) 697-1396

71 Wayne Street Fort Gay, WV 25514 (304) 648-5544 15167 Huntington Road Gallipolis Ferry, WV 25515 (304) 697-1396

71 Wayne Street Fort Gay, WV 25514 (304) 648-5544 15167 Huntington Road Gallipolis Ferry, WV 25515 (304) 697-1396 22 Fleming Drive Harts, WV 25524 (304) 855-4595

22 Fleming Drive Harts, WV 25524 (304) 855-4595

1 Highlander Way Huntington, WV 25701 (304) 528-6445

22 Fleming Drive Harts, WV 25524 (304) 855-4595

1 Highlander Way Huntington, WV 25701 (304) 528-6445

627 4th Avenue Huntington, WV 25701 (304) 523-2764

1 Highlander Way Huntington, WV 25701 (304) 528-6445

627 4th Avenue Huntington, WV 25701 (304) 523-2764

723 Ninth Avenue Huntington, WV 25701 (304) 529-0646

627 4th Avenue Huntington, WV 25701 (304) 523-2764

723 Ninth Avenue Huntington, WV 25701 (304) 529-0646

930 2nd Street Huntington, WV 25701 (304) 528-2070

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WellCare of Kentucky 930 Second Street Huntington, WV 25701 (304) 528-2070

930 2nd Street Huntington, WV 25701 (304) 528-2070

930 Second Street Huntington, WV 25701 (304) 528-2070

2908 Auburn Road Huntington, WV 25704 (304) 781-5800

930 Second Street Huntington, WV 25701 (304) 528-2070

2908 Auburn Road Huntington, WV 25704 (304) 781-5800

1 Timberlake Drive Huntington, WV 25705 (304) 429-1699

2908 Auburn Road Huntington, WV 25704 (304) 781-5800

1 Timberlake Drive Huntington, WV 25705 (304) 429-1699

3377 Route 60e Huntington, WV 25705 (304) 697-1396

1 Timberlake Drive Huntington, WV 25705 (304) 429-1699

3377 Route 60e Huntington, WV 25705 (304) 697-1396

2300 US Route 60 East Ona, WV 25545 (304) 743-7495

3377 Route 60e Huntington, WV 25705 (304) 697-1396

2300 US Route 60 East Ona, WV 25545 (304) 743-7495

100 Pioneer Road Wayne, WV 25570 (304) 272-3783

2300 US Route 60 East Ona, WV 25545 (304) 743-7495

100 Pioneer Road Wayne, WV 25570 (304) 272-3783

Khanna Raj K 1600 Medical Center Drive Suite 2500 Huntington, WV 25701 (304) 691-1200

100 Pioneer Road Wayne, WV 25570 (304) 272-3783

Dialysis Clinic

Smith Kara 408 Alexander Street Cedar Grove, WV 25039 (304) 595-3283 71 Wayne Street Fort Gay, WV 25514 (304) 648-5544 15167 Huntington Road Gallipolis Ferry, WV 25515 (304) 697-1396 22 Fleming Drive Harts, WV 25524 (304) 855-4595 1 Highlander Way Huntington, WV 25701 (304) 528-6445 627 4th Avenue Huntington, WV 25701 (304) 523-2764 723 Ninth Avenue Huntington, WV 25701 (304) 529-0646

Spain Lon P 408 Alexander Street Cedar Grove, WV 25039 (304) 595-3283 71 Wayne Street Fort Gay, WV 25514 (304) 648-5544 15167 Huntington Road Gallipolis Ferry, WV 25515 (304) 697-1396 22 Fleming Drive Harts, WV 25524 (304) 855-4595 1 Highlander Way Huntington, WV 25701 (304) 528-6445 627 4th Avenue Huntington, WV 25701 (304) 523-2764 723 Ninth Avenue Huntington, WV 25701 (304) 529-0646 930 2nd Street Huntington, WV 25701 (304) 528-2070

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kentucky Barren County Glasgow Kidney Center 205 Professional Park Dr Glasgow, KY 42141 (270) 651-7776

Boone County Boone County 7205 Dixie Hwy Florence, KY 41042 (859) 525-1060 Turfway Dialysis 11 Spiral Dr Ste 15 Florence, KY 41042 (859) 371-1263

Fmc Central Ashland 424 River Hill Dr Ashland, KY 41101 (606) 329-0363

Hopkinsville Dialysis 1914 S Virginia St Hopkinsville, KY 42240 (270) 885-7750

Boyle County

Clark County

Fmc Dialysis Services of Danville 975 Hustonville Rd Ste 1 Danville, KY 40422 (859) 236-2214

Fmc Winchester 1145 W Lexington Ave 1st Floor Winchester, KY 40391 (859) 744-0750

Bracken County

Fayette County

12th Street Covington Dialysis 1500 James Simpson Jr Way Ste 1100 Germantown, KY 41044 (859) 261-4345

Dialysis Clinic INC. 100 Venture Ct Lexington, KY 40511 (859) 252-7712

Breathitt County Fmc of Jackson 1550 US HWY 15 S Suite 30 Jackson, KY 41339 (606) 693-4770

Campbell County South Hill Dialysis 525 Alexandria Pike Ste 120 Southgate, KY 41071 (859) 442-5539

Carroll County General Butler Dialysis 329 Floyd Dr Carrollton, KY 41008 (502) 732-4713

Carter County

Turfway Pd Training 11 Spiral Dr Ste 15a Florence, KY 41042 (859) 647-2802

Fmc Grayson 286 State HWY 1947 Grayson, KY 41143 (606) 474-0475

Boyd County

Christian County

Bma Ashland 432 16th St Ste A Ashland, KY 41101 (606) 325-5268

Christian County Dialysis 200 Burley Ave Hopkinsville, KY 42240 (270) 707-0701

Floyd County Bma Prestonsburg 61 Dewey St Prestonsburg, KY 41653 (606) 886-3893

Franklin County Dialysis Clinic INC 1038 Burlington Ln Frankfort, KY 40601 (615) 342-0416 Fmc Frankfort 608 Chamberlin Ave Frankfort, KY 40601 (502) 607-0731

Greenup County Fresenius Medical Care Greenup 965 Townhill Plaza Greenup, KY 41144 (606) 473-0410

Hardin County Fmc Hardin County 1324 Woodland Dr Ste B Elizabethtown, KY 42701 (270) 763-0396 Radcliff Dialysis 180 E Lincoln Trail Blvd Radcliff, KY 40160 (270) 352-2252

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WellCare of Kentucky Woodland Dialysis Center 912 Woodland Dr Ste B Elizabethtown, KY 42701 (270) 769-3321

Harlan County Fmc Harlan 136 Village Center Rd Harlan, KY 40831 (606) 574-0005

Harrison County Fresenius Medical Care of Cynthiana 994 US Highway 27 S Ste 6 Cynthiana, KY 41031 (859) 235-0542

Henderson County Gardenside Dialysis 70 N Garden Mile Rd Henderson, KY 42420 (270) 830-0050

Hopkins County Fmc Madisonville 1020 Waterfall Ct Madisonville, KY 42431 (270) 825-3792

Jefferson County Bma Audubon 2355 Poplar Level Rd Ste G2-10 Louisville, KY 40217 (502) 637-1771

Bma Surburban 3991 Dutchmans Ln Ste G-02 Louisville, KY 40207 (502) 895-2217 Bma West Louisville 2600 W Broadway Ste 112 Louisville, KY 40211 (502) 772-7363 Louisville Northeast 3701 Chamberlain Ln Louisville, KY 40241 (502) 327-1144 Meadows East Dialysis 2529 Six Mile Ln Louisville, KY 40220 (502) 499-4384 Shelbyville Road Dialysis 4600 Shelbyville Rd Ste 310 Louisville, KY 40207 (502) 893-4791 South Central Louisville 8319 Preston HWY Ste C, D, E Louisville, KY 40219 (502) 968-2225 West Broadway Dialysis 720 W Broadway Louisville, KY 40202 (502) 584-2059

Jessamine County

Bma East Louisville 5620 Bardstown Rd Louisville, KY 40291 (502) 239-8221

Fmc Nicholasville 115 Orchard Pl Nicholasville, KY 40356 (859) 881-0332

Bma Louisville 720 E Broadway Louisville, KY 40202 (502) 584-3021

Johnson County

Bma S Louisville 1514 Crums Ln Louisville, KY 40216 (502) 361-1914

Fmc Paintsville 620 Jefferson Ave Paintsville, KY 41240 (606) 789-2278

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Madison County

Pike County

Warren County

Bma Central Richmond 793 Eastern Bypass Bldg 3 Ste G04 Richmond, KY 40475 (859) 626-5566

Eastern Kentucky Dialysis 167 Weddington Branch Pikeville, KY 41501 (606) 432-4477

Bowling Green Dialysis Center INC 1834 Lyda Ave Bowling Green, KY 42104 (502) 458-6359

Dialysis Clinic INC 100 Keystone Drive Ste E Richmond, KY 40475

Mason County Maysville Dialysis 489 Tucker Dr Maysville, KY 41056 (606) 759-0923

Montgomery County Fmc Mount Sterling 75 Sterling Way Mount Sterling, KY 40353 (859) 499-0630

Muhlenberg County Ds Central City 222 Philip Stone Way Central City, KY 42330 (270) 754-4404

Nelson County Bardstown Dialysis 210 W John Fitch Ave Bardstown, KY 40004 (502) 350-1130

Oldham County Fmc Oldham County 2100 Button Ln La Grange, KY 40031 (502) 225-6223

Perry County Bma Hazard 516 Village Ln Hazard, KY 41701 (606) 439-3478

Pike County Bma 146 Adams Ln Pikeville, KY 41501 (606) 432-1707 South Williamson Dialysis 204 Appalachian Plaza Pikeville, KY 41501 (606) 237-6221

Pulaski County Bma Somerset 119 Tradepark Dr Somerset, KY 42503 (606) 678-9811

Dialysis of Warren County 391 Suwannee Trail St Bowling Green, KY 42103 (270) 746-5805

Whitley County Dialysis Clinic INC 132 Future Dr Corbin, KY 40701 (615) 342-0416

DME Supplier Kentucky

Rowan County

Adair County

Bma Morehead 250 Norman Wells Ln Morehead, KY 40351 (606) 780-9701

Columbia Medical Equipment INC 2991 Campbellsville Rd Columbia, KY 42728 (270) 384-5143

Shelby County Bma Shelbyville 1900 Midland Trl Shelbyville, KY 40065 (502) 937-2996

Taylor County Fresenius Medical Care Campbellsville 107 Medical Park Dr Campbellsville, KY 42718 (270) 469-0923 Taylor County Dialysis Center 101 Kingswood Dr Campbellsville, KY 42718 (270) 789-4100

James Medical Equipment Ltd 1545 Campbellsville Rd Ste A Columbia, KY 42728 (270) 384-1141 Mls 1116 INC Dba Mls Medical 375 Office Park Dr Columbia, KY 42728 (270) 384-0076 Pyles Pharmacy Dba Nations Medicine 706 Jamestown St Columbia, KY 42728 (270) 384-5874

Allen County Carpenter Dent Drugs INC 117 E Public Sq Scottsville, KY 42164 (270) 237-4446

Dialysis Clinic

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WellCare of Kentucky Medequip 466 Burnley Rd Scottsville, KY 42164 (270) 780-2655 T K Home Medical 1137 Old Glasgow Rd Scottsville, KY 42164 (270) 237-9700

Barren County Cave City Prescription Center INC 101 S Dixie Hwy Cave City, KY 42127 (270) 773-2252 Hatchett Home Medical Equipment 131 Park Ave Glasgow, KY 42141 (270) 651-9551 Lincare-Glasgow 952 Happy Valley Rd Glasgow, KY 42141 (270) 651-3753 Parmet INC Dba Parkland Drugs 209 N Dixie Hwy Cave City, KY 42127 (270) 773-3152 Pharmay Express 415 S L Rogers Wells Blvd Glasgow, KY 42141 (270) 651-7948 Risen Mark A 211 Professional Park Dr Glasgow, KY 42141 (270) 659-0013 Vann Healthcare Services 1220 N Race St Glasgow, KY 42141 (270) 651-7627 Vann Homecare INC 1004 Happy Valley Rd Glasgow, KY 42141 (270) 678-2350

Bell County

Boyd County

Breathitt County

Campbell County

American Home Patient - Middlesboro 1632 1/2 Cumberland Ave Ste 6 Middlesboro, KY 40965 (606) 337-6680

Ashland Prosthetics and Orthotic Service 2816 Carter Ave Ashland, KY 41101 (606) 324-5786

Lincare-Jackson 66 Jetts Dr Jackson, KY 41339 (606) 666-4455

Patient Aids INC 100 Crossing Dr Wilder, KY 41076 (859) 441-8876

Medi Home Care Breathitt 726 HWY 15 N Jackson Plz Jackson, KY 41339 (606) 666-4062

Porter Roger D 7579 Alexandria Pike Alexandria, KY 41001 (859) 635-6666

Medi Home Care-Boyd 726 HWY 15 N North Jackson Plz Jackson, KY 41339 (606) 666-4062

Webster Drugs INC 99 Parklane Shopping Center Carrollton, KY 41008 (502) 732-4331

Breckinridge County

Carter County

Lincare Dba United Medical Middlesboro 202 N 12th St Middlesboro, KY 40965 (606) 242-2377

Bailey Brian K 500 14th St Ashland, KY 41101 (606) 324-3668

517 N 15th St Middlesboro, KY 40965 (606) 242-2377

Hanger Prosthetics & Orthotics INC 336 29th St Ste 203 Ashland, KY 41101 (606) 324-5461

Lincare-Pineville 200 W Park Ave Pineville, KY 40977 (606) 337-2402

Infusion Solutions 200 Mall Rd Ashland, KY 41101 (606) 325-1115

Medi Home Care - Bell 123 N 19th St PO Box 1715 Middlesboro, KY 40965 (606) 248-6264

Kinetic Healthcare 3313 13th St Ashland, KY 41102 (606) 327-6990

Middlesboro ARH Homecare Store 1916 Cumberland Ave Middlesboro, KY 40965 (606) 248-2225 Rx Discount Pharmacy #7 1841 N 25th St Middlesboro, KY 40965 (606) 248-9330

Boone County Advanced Technologies INC 7570 US HWY 42 Florence, KY 41042 (859) 578-4822 Bhsinc 5555 N Bend Rd Burlington, KY 41005 (859) 586-6700

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lincare-Ashland 1514 Greenup Ave Ashland, KY 41101 (606) 329-8089 Love Thomas R 1100 St Christopher Dr Ashland, KY 41101 (606) 836-0921

Boyle County James Medical Equipment Ltd 455 S Fourth St Danville, KY 40422 (859) 238-0003 Lincare INC 444 S 4th St Danville, KY 40422 (859) 936-2063 Terradise Properties Dba The Medicine Sh 900 Hustonville Rd Danville, KY 40422 (859) 238-0002

Taylor Pharmacy 109 Fairgrounds Rd Hardinsburg, KY 40143 (270) 756-5222

Bullitt County Bullitt County Foot and Ankle Center PSC 421 Adam Shepherd Pkwy Ste 100 Shepherdsville, KY 40165 (502) 543-1553 Sewell Michael T 1905 W Hebron Ln Shepherdsville, KY 40165 (502) 955-5008

Butler County King Drug and Homecare Daviess Co 255 W G. L. Smith St Morgantown, KY 42261 (270) 526-6980

Calloway County Medical Arts Home Medical 300 S 8th St Ste 104e Murray, KY 42071 (270) 762-2011

Carroll County

Medi Home Care-Boyd 118 S Hord St Grayson, KY 41143 (606) 474-6684

Casey County James Medical Equipment Ltd 140 Liberty Sq Liberty, KY 42539 (606) 787-5061

Christian County Advanced Home Medical 2212 Fort Campbell Blvd Hopkinsville, KY 42240 (270) 886-2544 Cayces Pharmacy INC 211 Burley Ave Hopkinsville, KY 42240 Po Box 4022 Hopkinsville, KY 42241 King Drug and Homecare Daviess Co 1610 S Main St Hopkinsville, KY 42240 (270) 889-9100 Pennyrile Home Medical 217 Burley Ave Hopkinsville, KY 42240 (270) 885-2500 DME Supplier

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WellCare of Kentucky Clark County

Daviess County

Heartland Medical Solutions Dba New Moon 1210 W Lexinton Ave Ste B Winchester, KY 40391 (859) 737-5154

Cherri Care 1726 Sweeney St Owensboro, KY 42303 (270) 926-2252

Home Convalescent Aids INC 1113 W Lexington Ave Winchester, KY 40391 (859) 745-4445

Clay County Burning Springs Clinic Pharmacy 11901 N Highway 421 Manchester, KY 40962 (606) 599-8891 Clay Discount Pharmacy 2734 S Highway 421 Manchester, KY 40962 (606) 598-0330 L A Medical Supply INC 459 Memorial Dr Manchester, KY 40962 (606) 599-9140

Clinton County Central KY Apothecary Dba Dyer Drug Co 100 E Cumberland St Albany, KY 42602 (606) 387-6444 Columbia Medical Equipment INC 258 Burkesville Rd Albany, KY 42602 (606) 387-6994

Cumberland County Burkesville Medical Supply INC 365 Keen St Burkesville, KY 42717 (270) 864-2230

Corner Homecare 5010 Backsquare Dr Owensboro, KY 42301 (270) 686-7000 Danhauer Drug Co INC 330 Frederica St Owensboro, KY 42301 (270) 684-2341 Happy Feet 510 E Parrish Ave Owensboro, KY 42303 (270) 688-5888 King Drug and Homecare Daviess Co 1156 Carter Rd Owensboro, KY 42301 (270) 683-7010 Lincare Respiratory and Dme-Owensboro 507 E Parrish Ave Owensboro, KY 42303 (270) 683-3900 Medi Home Care Owensboro 1202 Triplett St PO Box 864 Owensboro, KY 42302 (270) 683-3830 Pooles Pharmacy Care INC 2200 E Parrish Ave Ste 102 Owensboro, KY 42303 (270) 926-6260 Shaws Prosthetics Plus 1019 Old Hartford Rd Owensboro, KY 42303 (270) 684-7672 Shoe Stop INC 4650 Frederica St Owensboro, KY 42301 (270) 686-7429

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Simon Sheldon D 1915 W Parrish Ave Ste 300 Owensboro, KY 42301 (270) 683-4844

Extreme Mobility INC 2551 Regency Rd Ste 105 Lexington, KY 40503 (859) 277-0105

National Seating & Mobility 2025 Leestown Rd Ste L Lexington, KY 40511 (859) 381-1440

Tom Watson Prosthetic Orthotic Lab 2819 W 4th St Ste B12 Owensboro, KY 42301 (270) 684-6128

Greene Respiratory Services INC 921 Beasley St Ste 110 Lexington, KY 40509 (859) 294-0231

Orthopaedic Specialties of Lexington 2909 Richmond Rd Ste 30 Lexington, KY 40509 (859) 268-2525

Estill County Respiratoy Express INC 171 Broadway St Irvine, KY 40336 (606) 723-2955 Spencer Drug LLC Dba Irvine Health Mart 905 Richmond Rd Irvine, KY 40336 (606) 723-5446

Fayette County American Homepatient INC 1591 Winchester Rd Ste 100 Lexington, KY 40505 (859) 294-5583 Bluegrass Bracing INC 1389 W Main St Lexington, KY 40508 (859) 266-5500 Bluegrass Oxygen INC 399 Waller Ave Ste 110 Lexington, KY 40504 (859) 277-2583 1032 Majaun Rd Lexington, KY 40511 (859) 277-2583 Central Baptist Home Infusion 1740 Nicholasville Rd Lexington, KY 40503 (859) 260-6100 Cooley Medical Equipment INC 1316 S Broadway Lexington, KY 40504 (859) 281-6044

Grogans 1016 S Broadway Lexington, KY 40504 (859) 254-6661 Hi-Tech Artificial Limbs INC 500 Southland Dr Lexington, KY 40503 (859) 278-2389 Home Medical Equipment LLC Dba Homecare 112 Dennis Dr Lexington, KY 40503 (859) 277-4663 Kenney Orthopedics LLC 449 Lewis Hargett Cir Ste 110 Lexington, KY 40503 (859) 373-0208 Lincare-Lexington 2514 Regency Rd Ste 101 Lexington, KY 40503 (859) 276-0202 2514 Regency Rd Ste 103 Lexington, KY 40503 (859) 278-7700 Medi Home Care-Boyd 198 Moore Dr Ste 104 Lexington, KY 40503 (859) 277-6266 Medi Home Care-Lexington 198 Moore Dr Ste 104 Lexington, KY 40503 (859) 277-6266

Patient Aids INC 242 Southland Dr Lexington, KY 40503 (859) 388-9002 Pedorthic Services LLC Dba The Healthy F 312 S Ashland Ave Lexington, KY 40502 (859) 266-0420 Premier Home Care INC 2647 Regency Rd Ste 105 Lexington, KY 40503 (859) 260-1743 Pro2 Lexington LLC Dba Pro2 Respiratory 198 Moore Dr Ste 106 Lexington, KY 40503 (859) 277-0029 United Seating and Mobility LLC 1050 Enterprise Dr Ste 125 Lexington, KY 40510 (859) 225-3624 Viclen 101 Venture Park Lexington, KY 40511 (859) 253-6611 Zimmermann Charles J 3050 Harrodsburg Rd Ste 201 Lexington, KY 40503 (859) 296-4272

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WellCare of Kentucky Floyd County

Franklin County

Greenup County

Harlan County

Hopkins County

Bluegrass Oxygen INC 1372 N Lake Dr Prestonsburg, KY 41653 (606) 886-0072

Capital Pharmacy and Med Equip 662 E Main St Frankfort, KY 40601 (502) 223-2827

Murray Michelle A 1101 Saint Christopher Dr Ste 280 Ashland, KY 41101 (606) 638-7427

Cooley Medical Equipment INC 24 Woodland Hls Harlan, KY 40831 (606) 573-9793

Bluegrass Home Medical 1128 N Main St Ste 2 Madisonville, KY 42431 (270) 825-9661

Lincare-Frankfort 617 Chamberlin Ave Ste 1 Frankfort, KY 40601 (502) 226-2202

Stultz Pharmacy INC 2420 Argillite Rd Flatwoods, KY 41139

Harlan ARH Homecare Store 106 Railroad St Ste 5 Harlan, KY 40831 (606) 573-8265

King Drug and Homecare Daviess Co 44 McCoy Ave Ste 136 Box 7 Madisonville, KY 42431 (270) 825-8833

Cooley Medical Equipment INC 1152 Riverside Dr Prestonsburg, KY 41653 (606) 886-0333 1184 S Lake Dr Prestonsburg, KY 41653 (606) 886-9267 Hanger Prosthetics & Orthotics INC 132 S Lake Dr Prestonsburg, KY 41653 (606) 886-0854

Fulton County Evans Total Care LLC 208 Lake St Fulton, KY 42041 (270) 472-2984

Grant County

James Medical Equipment Ltd 11577 Main St Martin, KY 41649 (606) 285-1112

Bluegrass Orthotics LLC 1116 N Main St Williamstown, KY 41097 (859) 824-1000

McDowell ARH Homecare Store Ky Rt 122 Mc Dowell, KY 41647 (606) 377-3496

Total Care Pharmacy 3 40 Broadway Dry Ridge, KY 41035 (859) 823-0200

Medi Home Care Floyd 69 Kentucky Route 306 Bypro, KY 41612 (606) 452-2624 Medi Home Care Prestonsburg 1900 Kentucky Route 321 Prestonsburg, KY 41653 (606) 886-8306 Medi Home Care-Boyd 69 KY Route 306 Bypro, KY 41612 (606) 452-2624 1900 KY Route 321 Prestonsburg, KY 41653 (606) 886-8306 Oxygen Plus INC 9350 US Highway 23 S Stanville, KY 41659 (606) 478-6653

Graves County Duncan Prescription Center 315 W Broadway Mayfield, KY 42066 (270) 247-3345 Stones Drug Store 414 S 9th St Mayfield, KY 42066 (270) 247-3232

Grayson County Embry Medical Supply 10 Industrial Dr Caneyville, KY 42721 (270) 879-9287 Medi Home Care Leitchfield 2337 Elizabethtown Rd Leitchfield, KY 42754 (270) 259-6347

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Wright Care Home Medical Supply INC 74 Biggs Ln South Shore, KY 41175 (606) 932-9205

Hardin County Chou Jeffrey V 1360 Rogersville Rd Radcliff, KY 40160 (270) 352-0859 Languages: Chinese Dr Syed A Khader PLLC Dba Kentucky Foot Dr Syed A 1239 Woodland Dr Ste 101 Elizabethtown, KY 42701 (270) 737-3338

Medi Home Care Harlan 46 Judy Dr Harlan, KY 40831 (606) 573-2445

Harrison County Sorrell Home Medical Equipment LLC 208 W Pleasant St Ste 3 Cynthiana, KY 41031 (859) 234-4441 Your Pharmacy LLC 208 W Pleasant St Ste 2 Cynthiana, KY 41031 (859) 234-5400

Hart County

Jackson County Medi Home Care-Boyd 125 2nd St Mc Kee, KY 40447 (606) 287-3796

Jefferson County All American Oxygen 7901 3rd St Rd Louisville, KY 40214 (502) 367-4360 Alliance Medical Solutions Dba Alliance 6009 Brownsboro Park Blvd Ste 1 Louisville, KY 40207 (502) 253-6881

Lincare INC Elizabethtown 536 W Dixie Ave Ste 103 Elizabethtown, KY 42701 (270) 737-2900

Hart County Respiratory Care INC 1370 S Dixie St Horse Cave, KY 42749 (270) 786-2997

Henderson County

American Home Patient - Louisville 4220 Popular Pl Dr Ste 100 Louisville, KY 40213 (502) 968-7151

Medi Home Care-Boyd 2408 Ring Rd Ste 600 Elizabethtown, KY 42701 (270) 737-4280

Barrys Pharmacy 700 N Green St Henderson, KY 42420 (270) 869-9197

Apria Healthcare INC 10500 Bluegrass Pkwy Louisville, KY 40299 (502) 499-9099

T and T Drug Stores INC 1331 Clay St Henderson, KY 42420 (270) 827-3503

Bluegrass Oxygen INC 842 S 2nd St Louisville, KY 40203 (502) 625-2222

Medi Home Care-Elizabethtown 2408 Ring Rd Ste 600 Elizabethtown, KY 42701 (270) 737-4280 Premier Home Care INC 1020 N Dixie Ave Elizabethtown, KY 42701 (270) 982-5800

Wheelchair Resources INC 2701 Saint Patrick Dr Henderson, KY 42420 (270) 826-5440

Center for Orthotic and Prosthetic Care 982 Eastern Pkwy Louisville, KY 40217 (502) 637-7717

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WellCare of Kentucky Chou Jeffrey V 117 S Hubbards Ln Ste 102 Louisville, KY 40207 (502) 895-3840 Languages: Chinese Commonwealth Foot Ankle Center PSC-Dme 1915 Bishop Ln Louisville, KY 40218 (502) 459-3338 Cooley Medical Equipment INC 6413 Dutchmans Pkwy Louisville, KY 40205 (502) 459-4500 Diabetic and Medical Resourses Corp 3999 Dutchmans Ln Ste 3f Louisville, KY 40207 (502) 376-3979 Languages: Polish, Russian, Spanish,Turkish Discount Medical Supply INC 5616 Preston Hwy Louisville, KY 40219 (502) 365-4164 Languages: Arabic, Spanish Edwards Healthcare Services INC 2700 Stanley Gault Pkwy Ste 129 Louisville, KY 40223 (502) 412-3253 Falls City Limb and Brace Co Dba Louisvi 742 E Broadway Louisville, KY 40202 (502) 584-2959 Green Hill Therapy INC 1410 Long Run Rd Louisville, KY 40245 (502) 244-8011

Hanger Prosthetics & Orthotics INC 100 Executive Park Louisville, KY 40207 (502) 899-3770

Pps Orthotic & Prosthetic Services 806 Ulrich Ave Louisville, KY 40219 (502) 966-0823

Kentucky Prosthetics INC 339 S Preston St Louisville, KY 40202 (502) 585-4228

Premier Home Care INC 11530 Electron Dr Louisville, KY 40299 (502) 491-5243

Lincare-Louisville 3224 A Commerce Center Louisville, KY 40211 (502) 775-5345

1831 Plantside Dr Louisville, KY 40299 (502) 491-5243

11501 Planside Dr Louisville, KY 40299 (502) 240-0571 Louisville Podiatry PSC-Dme 2525 Bardstown Rd Louisville, KY 40205 (502) 458-8989 Med E Care Dba Scm Life Oxygen 7955 National Tpke Unit 100 Louisville, KY 40214 (502) 368-0000 Languages: Arabic, Faroese,Spanish Medi Home Care-Boyd 1981 Nelson Miller Pkwy Ste B Louisville, KY 40223 (502) 253-2966 National Seating & Mobility 11003 Bluegrass Pkwy Ste 550 Louisville, KY 40299 (502) 266-5213 Orbit Medical of Louisville INC 10821 Plantside Dr Louisville, KY 40202 (502) 297-0361

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

The Scooter Store Louisville LLC 9826 Bluegrass Pkwy Louisville, KY 40299 (800) 771-5449

Durretts O and P Services 20 Medical Village Dr Ste 100 Edgewood, KY 41017 (859) 341-7688 Fallis Bryan V 830 Thomas More Pkwy Fort Mitchell, KY 41017 (859) 331-2440 Nies Independence Pharmacy 11745 Madison Pike Independence, KY 41051 (859) 356-3941

Jessamine County

Remke Medical LLC 3953 Decker Crane Ln Covington, KY 41017 (859) 341-3456

Mobile Rehab LLC 1060 Elizabeth St Unit 1 Nicholasville, KY 40356 (859) 881-4444

20 Medical Village Dr Ste 103 Edgewood, KY 41017 (859) 341-3456

The Prescription Pad 465 Keene Centre Dr Nicholasville, KY 40356 (859) 887-2841

Johnson County Medi Home Care Johnson 912 Broadway St Paintsville, KY 41240 (606) 789-5453 Skyline Medical Equipment LLC 818 S Mayo Trl Paintsville, KY 41240 (606) 789-7730 Vh Medical Mobility 813 Ridgeway Dr Paintsville, KY 41240 (606) 789-1700

Kenton County Commonwealth Orthopaedic Center PSC 560 S Loop Rd Edgewood, KY 41017 (859) 301-2663

Knox County Knox Professional Pharmacy INC 511 Knox St Barbourville, KY 40906 (606) 546-6169 Medi Home Care Barbourville 606 Knox St Barbourville, KY 40906 (606) 545-0586 Medi Home Care-Boyd 604 Knox St Barbourville, KY 40906 (606) 545-0586 Premier Home Care INC 185 Treuhaft Blvd Ste 3 Barbourville, KY 40906 (606) 545-9087 Savrite Homecare INC 1275 Master St Corbin, KY 40701 (606) 528-2515

Southeastern Medical Supply INC 116 E Center St Corbin, KY 40701 (606) 258-0001

Laurel County American Homepatient INC 194 London Shopping Center Unit 20 London, KY 40741 (931) 552-3152 Elite Medical Supply LLC 1826 River Rd London, KY 40744 (606) 330-0570 James Medical Equipment Ltd 749 N Laurel Rd London, KY 40741 (606) 862-2611 Kenney Orthopedics of London 148 London Mtn View Dr Ste 2 London, KY 40741 (606) 862-9000 Plaza Drugs 707 N Laurel Rd London, KY 40741 (606) 864-2600 Premier Home Care INC 100 Enterprise Ln London, KY 40741 (606) 878-0009 Thompson Drug Saddlebrook 575 W Laurel Rd London, KY 40741 (606) 862-6261

Lawrence County James Medical Equipment Ltd 207 E. Madison St Louisa, KY 41230 (606) 638-4040

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WellCare of Kentucky Medi Home Care Lawrence 102 E Franklin St Louisa, KY 41230 (606) 638-9482 Murray Michelle A 2483 HWY 644 Trmp Ste 203 Louisa, KY 41230 (606) 638-7427 92 Tourchlite Rd Louisa, KY 41230 (606) 673-3300 Town Hill Pharmacy 115 Town Hill Rd Ste 19 Louisa, KY 41230 (606) 638-0370

Lee County Jordan Medical LLC 1075 Highway 11 N Beattyville, KY 41311 (606) 464-3901 Village Apothecary 111 River St Beattyville, KY 41311 (606) 464-3901

Letcher County Lincare-Whitesburg 301 Kentucky HWY 119 N Whitesburg, KY 41858 (606) 633-2861 Mayking ARH Homecare Store 240 Hospital Rd Whitesburg, KY 41858 (606) 633-6227 McHc Home Medical 110 Medical Plaza Ln Whitesburg, KY 41858 (606) 632-2800 Medi Home Care-Boyd 3367 HWY 119 N Ste C Whitesburg, KY 41858 (606) 633-4800

Mountain Medical Equipment INC 1181 Highway 119 N Whitesburg, KY 41858 (606) 632-3553

Lincoln County Colmans Drug Store 105 W Main St Stanford, KY 40484 (606) 365-2164

Logan County King Drug and Homecare Daviess Co 1405 Nashville St Ste A Russellville, KY 42276 (270) 725-9027 Resp-Aire INC 432b Hopkinsville Rd Russellville, KY 42276 (270) 726-6188 Riley White INC 153 Nw Park Sq Russellville, KY 42276 (270) 726-7626

Madison County All American Oxygen 427 Chestnut St Berea, KY 40403 (859) 986-0002 Berea Drug Co INC 402 Richmond Rd Berea, KY 40403 (859) 986-4521 Berea White House Clinic Pharmacy 104 Legacy Dr Berea, KY 40403 (859) 986-2323 Bluegrass Foot and Ankle Care PLLC -Rich 322 Highland Park Dr Ste 9 Richmond, KY 40475 (859) 623-3550

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Bluegrass Foot and Ankle Care PLLC-Berea 305 Estill St Ste B Berea, KY 40403 (859) 623-3550 Medi Home Care-Boyd 2006 Corporate Dr Ste 4 Richmond, KY 40475 (859) 626-0864 Medi Home Care-Richmond 2006 Corporate Dr Ste 4 Richmond, KY 40475 (859) 626-0864 Premier Home Care INC 1060 Center Dr Richmond, KY 40475 (859) 623-5028 2130 Lexington Rd Ste C Richmond, KY 40475 (859) 623-5028

Marion County Pats Pharmacy INC 498 W Main St Lebanon, KY 40033 (270) 692-4950

Marshall County Mid-State Investments LLC Dba At Home Me 837 US HWY 68 W Ste A Benton, KY 42025 (270) 252-0897 Western Kentucky Home Medical Equipment 2602 Main St Benton, KY 42025 (270) 527-1522

Martin County Fields Medical Supply INC 2138 Blacklog Rd Inez, KY 41224 (606) 298-3674

Mason County Homeside Healthcare INC 1315 US 68 Maysville, KY 41056 (606) 563-9400

McCracken County Davis Drugs-Dme 250 Lone Oak Rd Paducah, KY 42001 (270) 443-1442 Hanger Prosthetics & Orthotics INC 4655 Alben Barkley Dr Paducah, KY 42001 (270) 554-0100 Legacy Oxygen Home Care Equipment 126 Lone Oak Rd Paducah, KY 42001 (270) 442-7887 Lincare-Paducah 326 Harrison St Paducah, KY 42001 (270) 443-0957 Marilyns Medical Freedom INC 4860 Old Mayfield Rd Paducah, KY 42003 (270) 534-9713 Medcare Home Medical 2800 Clark St Ste C Paducah, KY 42001 (270) 655-6151 Not Alone Too Fitting Boutique 220 Tyree Rd Paducah, KY 42003 (270) 898-1819 Orr Medical LLC 3434 Lovelaceville Rd Paducah, KY 42001 (270) 554-7311 Pennyrile Home Medical 3551 Park Ave Ste B Paducah, KY 42001 (270) 575-0550

2975 Lone Oak Rd Paducah, KY 42003 (270) 554-0830 Walgreens Infusion Pharmacy INC 3487 Park Ave Paducah, KY 42001 (800) 511-0063

McCreary County Bluegrass Oxygen INC 25 Medical Ln Whitley City, KY 42653 (606) 376-2455 Daughertys Drugstore INC 4160 S Highway 27 Pine Knot, KY 42635 (606) 354-2222

McLean County Pooles Pharmacy Care INC 311 Henton St Livermore, KY 42352 (270) 278-5537

Mercer County Bluegrass Medical Supply Dba The Medicin 636 S College St Harrodsburg, KY 40330 (859) 734-4314

Metcalfe County Kentucky Medical Supply INC 102 Castle Ridge Dr Edmonton, KY 42129 (270) 432-0957 Nunn Drugs INC 1704 W Stockton St Edmonton, KY 42129 (270) 432-3111 Parmet INC Dba Metcalfe Drugs 115 E Stockton St Edmonton, KY 42129 (270) 432-3051

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WellCare of Kentucky Monroe County

Nelson County

Pike County

King Drug and Homecare Daviess Co 1104 N Main St Tompkinsville, KY 42167 (270) 487-5127

Sewell Michael T 875 Pennsylvania Ave Bardstown, KY 40004 (502) 348-5685

Central Brace and Prosthetics INC 151 Hibbard St Ste 3 Pikeville, KY 41501 (606) 528-0612

Montgomery County Kenney Orthopedics Mt Sterling LLC 250 Foxglove Dr Ste 7 Mount Sterling, KY 40353 (859) 498-1888 Sterling Surgical Supply LLC Dba Ross Su 125 Foxglove Dr Ste 2 Mount Sterling, KY 40353 (859) 498-9711 Whitaker Pharmacy 644 N Maysville St Ste 2 Mount Sterling, KY 40353 (606) 668-3153

Morgan County West Liberty ARH Homecare Store 520 Prestonburg St West Liberty, KY 41472 (606) 743-3630

Muhlenberg County King Drug and Homecare Daviess Co 2227 W Everly Bros Blvd Powderly, KY 42367 (270) 338-7738 Pooles Pharmacy Care 102 W Broad St Central City, KY 42330 (270) 754-1545

Ohio County King Drug and Homecare Daviess Co 312 Main St Hartford, KY 42347 (270) 298-3278 Senior Mobility INC 100 N Main St Hartford, KY 42347 (270) 298-0046

Oldham County Evercare Medical Solutions INC 2102 Button Ln Ste 104 La Grange, KY 40031 (502) 222-9222

Perry County ARH Medical Mall Homecare Store 210 Black Gold Blvd Ste 105 Hazard, KY 41701 (606) 487-7333 Cooley Medical Equipment INC 500 Village Ln Hazard, KY 41701 (606) 439-4049 Medi Home Care Hazard 304 Morton Blvd Ste B PO Box 1383 Hazard, KY 41701 (606) 436-5546 Medi Home Care-Boyd 304 Morton Blvd Ste B Hazard, KY 41701 (606) 436-5546 Rx Discount Pharmacy INC Dba Rx Discount 500 Morton Blvd Hazard, KY 41701 (606) 436-2891

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Languages: Chinese, Spanish Cooley Medical Equipment INC 255 Church St Ste 105 Pikeville, KY 41501 (606) 432-0055 Lincare-Pikeville 563 Hambley Blvd Ste 1 Pikeville, KY 41501 (606) 432-0102

Pikeville Medical Equipment and Supplies 626 Bypass Rd Pikeville, KY 41501 (606) 432-6011 Premier Home Care INC 404 S Mayo Trl Ste 9 Pikeville, KY 41501 (606) 437-5562 Respiratory Plus Healthcare INC 533 Hambley Blvd Ste 3a Pikeville, KY 41501 (606) 437-0207

Medi Home Care - Pike 180 Town Mountain Rd Ste 114 Pikeville, KY 41501 (606) 437-9992

Upper Levisa Clinic Pharmacy 137 N Levisa Rd PO Box 117 Mouthcard, KY 41548 (606) 835-4991

Medi Home Care South Williamson 1049 Central Ave South Williamson, KY 41503 (606) 237-1007

Williamson ARH Homecare Store 140 Hospital Dr South Williamson, KY 41503 (606) 237-1670

Medi Home Care-Boyd 180 Town Mountain Rd Ste 114 Pikeville, KY 41501 (606) 437-9992 1049 Central Ave South Williamson, KY 41503 (606) 237-1007 Nichols Apothecary INC 220 E Elkhorn St Elkhorn City, KY 41522 (606) 754-5076 Nova Pharmacy 1330 S Mayo Trl Ste 102 Pikeville, KY 41501 (606) 432-2274

Pulaski County Bellas 705 Correll St Somerset, KY 42503 (606) 678-0033 Bluegrass Oxygen INC 112 Hardin Ln Somerset, KY 42503 (606) 679-2454 Columbia Medical Equipment INC 216 Poplar Ave Ste 100 Somerset, KY 42503 (606) 676-0505 Lincare INC 30 Jaxsons Cove Somerset, KY 42503 (606) 679-0171

Lincare Somerset 2835 S Highway 27 Ste 360 Somerset, KY 42501 (606) 451-1101 Professional Medical Supply 342 Bogle St Ste 1 Somerset, KY 42503 (606) 451-0216 Xtreme Prosthetics and Orthotics LLC 310 Langdon St Ste 2 Somerset, KY 42503 (606) 451-0668

Rockcastle County Collins Respiratory Care 35 W Main St Brodhead, KY 40409 (606) 758-9333 Main Street Pharmacy 150 Main St Mount Vernon, KY 40456 (606) 526-0475

Rowan County Family Health Clinic INC 234 Medical Cir Morehead, KY 40351 (606) 784-6696 Lincare-Morehead 1019 W Main St Ste 3 Morehead, KY 40351 (606) 780-0002

Russell County Columbia Medical Equipment INC 92 Joe T Petty Dr Russell Springs, KY 42642 (270) 866-6994 Grider Drug LLC 2431b Lakeway Dr Russell Springs, KY 42642 (270) 866-7541

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WellCare of Kentucky Scott County J and L Home Medical 705 S Broadway St Georgetown, KY 40324 (502) 863-6774

Shelby County Pediatric Products LLC Dba Xpress Nebs 1016 Mount Vernon Dr Shelbyville, KY 40065 (502) 633-2006

Simpson County Ed Medical INC Dba Franklin Simpson Home 133 Memorial Blvd Franklin, KY 42134 (270) 598-8205 Houchens Express Pharmacy LLC Dba Sheldo 212 S Main St Franklin, KY 42134 (270) 586-4471

Taylor County American Mobility Products INC 124 Old US 68 Campbellsville, KY 42718 (270) 469-1391 Columbia Medical Equipment INC 111 Wildflower Ln Ste B Campbellsville, KY 42718 (270) 465-0695 Diabetic Dme Supplies LLC 610 W Main St Ste C Campbellsville, KY 42718 (270) 789-9869 James Medical Equipment Ltd 950 Campbellsville Byp Campbellsville, KY 42718 (270) 465-8220

Risen Mark A 1003 Old Greensburg Rd Campbellsville, KY 42718 (270) 789-4342 Sewell Michael T 1698 Old Lebanon Rd Ste 3a Campbellsville, KY 42718 (270) 465-0632

Trigg County Pennyrile Home Medical 307 Main St Cadiz, KY 42211 (270) 522-8002

Union County Clements Drug 225 N Morgan St Morganfield, KY 42437 (270) 389-2440

Warren County Cds #10 Pharmacy LLC 1308 Ashley Circle Bowling Green, KY 42104 (270) 781-5661 Cook's Orthopedics INC - Bowling Green 1711 Destiny Lane Ste 121 Bowling Green, KY 42104 (270) 745-9004 First Choice Home Medical 1945 Scottsville Rd Ste A3 Bowling Green, KY 42104 (270) 393-9393 First Step Prosthetics LLC 1136 US 31 W By Pass Bowling Green, KY 42101 (270) 904-6130

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Home Oxygen Medical Equipment 901 Lehman Ave Ste 12b Bowling Green, KY 42101 (270) 843-4901 Languages: Spanish King Drug and Homecare Daviess Co 1203 Ashley Cir Bowling Green, KY 42104 (270) 843-8111 Lincare-Bowling Green (Kentucky Home Car 111 A Vanderbilt Ct Bowling Green, KY 42103 (270) 793-9611 Medicine Arts Pharmacy 818 US 31w Byp Bowling Green, KY 42101 (270) 843-3202 Priority 1 Medical Equipment 330 31 W Bypass Ste 401 Bowling Green, KY 42101 (270) 746-5745 Tomorrows Woman 2362 Russellville Rd Bowling Green, KY 42101 (270) 781-5171

Wayne County James Medical Equipment Ltd 1215 N Main St Ste 1 Monticello, KY 42633 (606) 340-8138

Whitley County Drive In Pharmacy INC 688 S HWY 25 W Williamsburg, KY 40769 (606) 549-0888

Falls Road Pharmacy INC 40 Moonbow Plz Ste 1 Corbin, KY 40701 (606) 258-0000 Medi Home Care Whitley 1603 S Main St PO Box 894 Corbin, KY 40702 (606) 523-0195 Medi Home Care Williamsburg 688 S HWY 25w Ste 4 Williamsburg, KY 40769 (606) 549-1776 Medi Home Care-Boyd 1603 S Main St Corbin, KY 40701 (606) 523-0195 688 S Highway 25 W Ste 4 Williamsburg, KY 40769 (606) 549-1776 Whitley Co 688 S HWY 25w Williamsburg, KY 40769 (606) 549-0888

Wolfe County Campton Discount Drugs 33 Main St Ste 2 Campton, KY 41301 (606) 668-3153

Alabama Lincare INC 401 R Bishop Tuscaloosa, AL 35401 (573) 364-1000

Arizona Djo LLC 668 N 44th St Ste 220e Phoenix, AZ 85008 (800) 863-8010 Languages: Spanish

Arkansas

American Homepatient INC 1200 Southeast 14th St Ste 8 Bentonville, AR 72712 (479) 273-1805 Comprehensive Decubitus Therapy INC 7003 Valy Ranch Dr Little Rock, AR 72223 (866) 217-9900 Languages: Spanish

California Apria Healthcare INC 2150 N. Trabajodr Ste B Oxnard, CA 93030 Djo LLC 1430 Decision St Vista, CA 92081 (800) 328-2536 Languages: Spanish

Colorado Mp Totalcare Services INC Dba Ccs Medic 67 Inverness Dr E Ste 150 Englewood, CO 80112 (800) 690-1255 Languages: French, Spanish

Connecticut Apria Healthcare INC 40 Sebethe Dr Cromwell, CT 6416 (800) 423-1303 20 Murphy Rd N Franklin, CT 6254 (800) 423-1303 5 Hamden Park Dr New Haven, CT 6517 (800) 423-1303

Florida 16550 Scheer Blvd Ste 3 Hudson, FL 34667 1830 W 10th St Jacksonville, FL 32209

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WellCare of Kentucky Total Emedical INC 3111 Sw 10th St Pompano Beach, FL 33069 (877) 750-5252

Georgia

Proline Medical Consultants INC 102 White Park Dr Ste 300a Dallas, GA 30132 (770) 505-8133

Hawaii

American Homepatient INC 2231 Dawson Rd Albany, GA 31707 (229) 432-2027

Apria Healthcare INC 811 Laukapu St Ste A9 Hilo, HI 96720 (808) 969-1211

3681 Atlanta Ave Brunswick, GA 31520 (912) 264-5333

431 Alamaha St Kahului, HI 96732 (808) 871-4267

207 Industrial Blvd Dublin, GA 31021 (478) 275-4495

98-720 Kuahao Pl Pearl City, HI 96782 (808) 485-0178

1221 Plaza Ave Ste A Eastman, GA 31023 (478) 374-6668

Illinois

91 Crye-Leike Dr Fort Oglethorpe, GA 30742 (706) 861-0903 435 Cloud Springs Rd Rossville, GA 30741 (706) 861-0903 2803 N Ashley St Valdosta, GA 31602 (229) 244-2467 2985 Knight Ave Waycross, GA 31503 (912) 353-7400 Apria Healthcare INC 4400 River Green Pkwy 140 Duluth, GA 30096 Djo LLC 352 Battle Wood Trl Nw Marietta, GA 30064 (800) 328-2536 Languages: Spanish Mp Totalcare Medical INC Dba Ccs Medica 3505 Kroger Blvd Ste 200 Duluth, GA 30096 (999) 999-9999

American Homepatient INC 907 N Bluff Rd Collinsville, IL 62234 (618) 346-2196 1724 W Chanute Rd Peoria, IL 61615 (309) 691-7280 2733 E Ash St Springfield, IL 62703 (217) 753-1528 Apria Healthcare INC 1206 W Bradley Champaign, IL 61821 3406 W Foster Garden Apt Chicago, IL 60625 1703 Solutions Ctr Chicago, IL 60677 2508 Solutions Cente Chicago, IL 60677 (314) 522-2600 1605 Eastport Plz Dr Ste 121 Collinsville, IL 62234 1912 W Rendleman Marion, IL 62959 4711 W 135th St Midlothian, IL 60445

16w240 83rd St Willowbrook, IL 60527 Djo LLC 3434 Solutions Center Chicago, IL 60677 Languages: Spanish Lincare INC 1128 Royal Heights Rd Belleville, IL 62226 (618) 235-4458 Rs Medical 4500 Memorial Dr Belleville, IL 62226 Languages: Spanish

Indiana Apria Healthcare INC 4401 W Williamsurg Blvd Muncie, IN 47304 Lincare INC 3030 State St Columbus, IN 47201 4600 Covert Ave Ste C & D Evansville, IN 47714 (812) 471-9499 Medi Home Care - Tell City 107 HWY 66 E Professional Bldg Tell City, IN 47586 (812) 547-5846 Medi Home Care-Boyd 313 Federal Dr Nw Ste 30 Corydon, IN 47112 (812) 738-3097 107 HWY 66 E Professional Bldg Tell City, IN 47586 (812) 547-5846 Medi Home Care-Corydon 313 Federal Dr Nw Ste 30 Corydon, IN 47112 (812) 738-3097

Midwest Orthotic Services LLC 3445 W 96th St Indianapolis, IN 46268 (317) 334-1114

J and B Medical Supply Company INC 50496 W Pontiac Trl Wixom, MI 48393 (800) 737-0045

National Seating & Mobility 500 N Congress Unit C Evansville, IN 47715 (812) 471-4244

Mississippi

Orbit Medical of Indiana INC 9402 Uptown Dr Ste 800 Indianapolis, IN 46256 (317) 813-0205 Premier Home Care INC 720 N Gardner St Scottsburg, IN 47170 (812) 752-9449 329 W Tipton St Seymour, IN 47274 (812) 524-8925 Riverside Prosthetics INC 5921 Vogel Rd Evansville, IN 47715 (812) 479-7577

Louisiana Prism Medical Products LLC 3500 N Causeway Blvd Ste 160 Metairie, LA 70002 (888) 244-6421 Languages: Spanish United Seating and Mobility LLC 1017 Shive Ln Ste E Arcadia, LA 71001 (270) 904-4934 11700 Commonwealth Dr Ste 900 Arcadia, LA 71001 (502) 266-9061

Michigan

Lifeline Diabetic 201 3rd Ave N Ste 1 Amory, MS 38821 (866) 558-8557

Missouri American Homepatient INC 2306 N Truman Blvd Crystal City, MO 63019 (636) 937-7607 1430 E State Rte 72 Rolla, MO 65401 (573) 364-6998 89 Ichord Ave Waynesville, MO 65583 (573) 774-1048 Foundation Care LLC 4010 Wedgeway Ct Earth City, MO 63045 (314) 291-1122 Lincare INC 286 Christine St Cape Girardeau, MO 63703 (573) 332-0020 411 S Kansas Ave Clinton, MO 64735 (660) 885-4416 4250 E Broadway Ste 1079 Columbia, MO 65201 (573) 449-0206 13709 Trl N Earth City, MO 63045 107 Walker Dr Farmington, MO 63640 (573) 756-7747 3831 HWY Mm Ste A Hannibal, MO 63401 (573) 221-3685

Languages: French, Spanish † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

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WellCare of Kentucky 111 Schumate Chapel Rd Jefferson City, MO 65109 305 Main St Pocahontas, MO 63779 (636) 528-1640 2074 Concourse Dr Saint Louis, MO 63146 (314) 995-3779 2102-A W Vista Springfield, MO 65807 (417) 823-9003 1642 E Fifth St Washington, MO 63090 (636) 239-0416

New Jersey 260 W Crescent Ave Allendale, NJ 7401 Us Healthcare Supply LLC 14 Bridge St Milford, NJ 8848 (908) 505-1870

New York Apria Healthcare INC 12 Petra Ln Albany, NY 12205 (518) 452-4951 10905 14th Ave College Point, NY 11356 (718) 358-8854 6103 E Malloy Rd East Syracuse, NY 13057 (315) 463-5217 452 E Water St Elmira, NY 14901 (607) 732-5225 120 Jewel St Elmsford, NY 10523 (718) 361-2224 400 Executive Blvd Elmsford, NY 10523 (914) 592-1410 5 Westchester Plz Elmsford, NY 10523 (914) 592-1410

3116 Watson Blvd Endwell, NY 13760 (607) 754-3511 625 Sawkill Rd Kingston, NY 12401 (845) 336-3333 265 Executive Dr Plainview, NY 11803 (914) 592-1410

Apria Healthcare INC 8073 Leavitt Rd Amherst, OH 44001 (440) 986-2777

Med Supplies INC 4005 Bach Buxton Rd Amelia, OH 45102 (513) 965-0999

Air Affiliates INC 290 N Main St Jellico, TN 37762 (615) 269-4156

3189 W Soth Cleveland, OH 44102

Medi Home Care-Boyd 392 Silver Bridge Plz Ste A Gallipolis, OH 45631 (740) 446-3880

Alliance Medical Solutions Dba Alliance 9736 Dayton Pike Ste A Soddy Daisy, TN 37379 (423) 332-5155

1206 Pike St Marietta, OH 45750 (740) 374-9974

Family Drug Center INC 248 S Main St Jellico, TN 37762 (423) 784-8880

4060 Business Park Dr Columbus, OH 43204

75 Market St Potsdam, NY 13676 (315) 265-1161

1000 Resource Dr Independence, OH 44131 (216) 485-1180

1250 Scottsville Rd Ste 80 Rochester, NY 14624 (585) 436-4910

Bluegrass Oxygen INC 344 Gest St Ste E Cincinnati, OH 45203 (513) 221-0202

309 S Fourth St Martins Ferry, OH 43935 (740) 633-5136

The Scooter Store Dayton LLC Watervliet Shaker Rd Albany, NY 12210

Care Medical INC 8340 Reading Rd Cincinnati, OH 45237 (513) 821-7272

105 Main St Steubenville, OH 43953 (740) 266-3974

North Carolina

Childrens Hos Med Ctr 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-4427

Apria Healthcare INC 2600 Perimeter Park Dr Ste 100 Morrisville, NC 27560 Prism Medical Products LLC 112 Church St Ste 101 Elkin, NC 28621 (888) 244-6421 Languages: Spanish

Ohio Alliance Medical Solutions Dba Alliance 8118 Corporate Way Ste 110 Mason, OH 45040 (513) 229-0872 American Homepatient INC 4828 Business Center Way Cincinnati, OH 45246 (513) 769-7500 Amerimed INC 9961 Cincinatti Dayton Rd West Chester, OH 45069 (513) 942-3670

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Cincinnati Childrens-Home Health Care Dm 615 Elsinore Pl Cincinnati, OH 45202 (513) 636-4663 Fallis Bryan V 1380 Compton Rd Cincinnati, OH 45231 (513) 931-0083 Kempf Surgical Appliances 10567 Montgomery Rd Cincinnati, OH 45242 (513) 984-5758 Languages: Spanish Leading Respiratory Services INC Peebles 75 S Main St Peebles, OH 45660 (937) 587-3384 Lincare INC 1107 Gallia St Portsmouth, OH 45662 (740) 351-0200

Orbit Medical of Cincinnati INC 350 Gest St Cincinnati, OH 45203 (513) 381-3740 Pediatric Products LLC Dba Xpress Nebs 10679 McSwain Dr Cincinnati, OH 45241 (513) 891-4633 The Scooter Store Dayton LLC 6240 Executive Blvd Dayton, OH 45424 8131 Uehling Ln Dayton, OH 45424 (800) 771-5449

Oregon Apria Healthcare INC 1590 Ne 7th St Grants Pass, OR 97526

South Carolina 450 Century Cir Ste B Conway, SC 29526 (843) 234-4404

Tennessee

Family Respiratory Services LLC 411 Blue Top Rd Ste 3 Tazewell, TN 37879 (423) 626-6451 Holland Medical Equipment 3900 Dodds Ave Chattanooga, TN 37407 (423) 757-9400 3716 E Stone Dr Kingsport, TN 37660 (423) 392-9900 947 Woodland St Nashville, TN 37206 (615) 650-8000 Lincare INC 219 N Ave La Follette, TN 37766 (423) 562-7999 572 Foothills Plaza Maryville, TN 37801 Linde Rss LLC 104b W Court Sq Livingston, TN 38570 (931) 823-3702 Medi Home Care-Boyd 2811 W Market St Ste 3 Johnson City, TN 37604 (423) 928-6519 531 W Baddour Pkwy Ste B Lebanon, TN 37087 (615) 547-0751

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WellCare of Kentucky 850 W Main St Ste 2 Rogersville, TN 37857 (423) 921-8888 Medical Direct Club LLC 521 8th Ave S Ste 204 Nashville, TN 37203 (800) 945-0066 Medical Mobility INC 749 W Jackson Cookeville, TN 38501 (931) 520-1260 316 Blue Bird Dr Goodlettsville, TN 37072 (615) 851-1400 211 E Robert Rose Dr Murfreesboro, TN 37129 (615) 895-5224 Nopco of Tennessee INC 1707 State St Nashville, TN 37203 (615) 327-2882 Languages: Spanish Pps Orthotic & Prosthetic Services 3700 Brainerd Rd Chattanooga, TN 37411 (423) 697-0057 Professional Healing Solutions 2497 S Roane St Harriman, TN 37748 (877) 949-6863 The Scooter Store-Knoxville LLC 8705 Unicorn Dr Ste A102 & A104b Knoxville, TN 37923 (800) 771-5449 The Scooter Store-Nashville LLC 1229 Lakeview Dr Ste A Franklin, TN 37067 (800) 771-5449 Theratech INC 1109 Myatt Blvd Madison, TN 37115 (615) 865-4000

Wellness Healthcare Products LLC 1430 Interstate Dr Cookeville, TN 38501 (931) 372-2000

Texas American Homepatient INC 1105 W 41st St Austin, TX 78756 (512) 451-4519

1313 E Jasmine Ave Ste A McAllen, TX 78501 (956) 631-5461 3205 N University Dr Ste J Nacogdoches, TX 75965 (936) 569-2515 3605 Ne Loop 286 Ste 300 Paris, TX 75460 (903) 785-8555

Home Care Delivered INC 4144 Innslake Dr Glen Allen, VA 23060 (800) 565-5644 Languages: Spanish Medi Home Care -Vansant 17447 Riverside Dr Vansant, VA 24656 (276) 935-8873

3353 Knickerbocker Rd San Angelo, TX 76904 (325) 942-6432

Medi Home Care-Boyd 15896 Porterfield Hwy Abingdon, VA 24210 (276) 628-8432

10146 Huebner Rd San Antonio, TX 78240 (210) 614-0110

193 Old Cthouse Rd Appomattox, VA 24522 (434) 352-2933

2611 N Belt Line Rd Sunnyvale, TX 75182 (972) 780-0101

3096 Forest Rd Bedford, VA 24523 (540) 586-9679

2007 E Red River St Victoria, TX 77901 (361) 573-0025

3607 S Main St Blacksburg, VA 24060 (540) 951-1786

2422 E Tyler Ave Ste B Harlingen, TX 78550 (956) 423-8385

7005 Woodway Dr Ste 203 Woodway, TX 76712 (254) 756-3202

106 Westwood Commons Bluefield, VA 24605 (276) 322-2602

7700 Renwick Dr Ste 10b Houston, TX 77081 (713) 661-3373

Apria Healthcare INC 8300 Esters Blvd Ste 920 Irving, TX 75063

4520 E Central Texas Expy Ste 109 Killeen, TX 76543 (254) 616-6598

3619 Woodlawn House San Antonio, TX 78228

1201 Stoney Ridge Rd Ste 2 Charlottesville, VA 22902 (877) 275-9531

4800 Avenue F Bay City, TX 77414 (979) 245-1668 3703 E 28th St Bryan, TX 77802 (979) 846-0081 812 W Dallas St Ste 140 Conroe, TX 77301 (936) 756-6060 226 Enterprise Pkwy Ste 101 Corpus Christi, TX 78405 (361) 289-7177

120 Highway 332 W Ste B18 B Lake Jackson, TX 77566 (979) 297-1823 105 E Loop 281 Ste 8 Longview, TX 75605 (903) 295-0818 1607 W Frank Ave Ste 107 Lufkin, TX 75904 (936) 634-4497

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

The Scooter Store Dayton LLC Po Box 310709 New Braunfels, TX 78131 (800) 723-4535

Utah Apria Healthcare INC 700 Nw Argosy Pkwy Salt Lake City, UT 84150

Virginia

1220 Executive Blvd Ste 106 Chesapeake, VA 23320 (757) 382-0054 501 Front St Coeburn, VA 24230 (276) 395-9314 125 Olde Greenwich Dr Ste 150 Fredericksburg, VA 22408 (540) 322-4900 1109 Brookdale St Ste A Martinsville, VA 24112 (276) 666-9800

400 Scruggs Rd Ste 800 Moneta, VA 24121 (540) 719-2572 312 N Main St Pearisburg, VA 24134 (540) 921-1250 185 Redwood Ave Ste 103 Pennington Gap, VA 24277 (276) 546-0177 9884 Mayland Dr Richmond, VA 23233 (804) 270-2902 2514 Franklin Rd Sw Roanoke, VA 24014 (540) 342-3459 17447 Riverside Dr Vansant, VA 24656 (866) 281-8939

Washington Rs Medical 14001 Se 1st St Vancouver, WA 98684 (800) 929-6809 Languages: Spanish 14001 Se First St Vancouver, WA 98684 (800) 683-0353 Languages: Spanish

West Virginia Medi Home Care-Boyd 198 Carriage Dr Beckley, WV 25801 (304) 256-6422 594 Main St Chapmanville, WV 25508 (304) 855-4011 113 Washington St Charleston, WV 25302 (304) 343-0000 18 Moran Cir Fairmont, WV 26554 (304) 368-9400 222 Main St Man, WV 25635 (304) 583-8092 DME Supplier

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WellCare of Kentucky 1330 Mercer St Princeton, WV 24740 (304) 487-1941 3902 Barrcut Rd Spencer, WV 25276 (304) 927-5100 The Scooter Store West Virginia LLC 5 Fletcher Sq Dunbar, WV 25064 (800) 771-5449

Cumberland Valley District Home Health 306 W Park Ave Pineville, KY 40977 Middlesboro ARH Home Health Agency 1916 Cumberland Ave Middlesboro, KY 40965 (606) 242-1404

EPSDT Special Services

Middlesboro ARH Homecare Store 1916 Cumberland Ave Middlesboro, KY 40965 (606) 248-2225

Kentucky

Boone County

Allen County

Bhsinc 5555 N Bend Rd Burlington, KY 41005 (859) 586-6700

Lifeline Home Health of Bowling Green Ll 353 Old Gallatin Rd Scottsville, KY 42164 (270) 237-3352 Medequip 466 Burnley Rd Scottsville, KY 42164 (270) 780-2655 T K Home Medical 1137 Old Glasgow Rd Scottsville, KY 42164 (270) 237-9700 The Medical Center At Scottsville 456 Burnley Rd Scottsville, KY 42164

Barren County Hatchett Home Medical Equipment 131 Park Ave Glasgow, KY 42141 (270) 651-9551

Bell County American Home Patient - Middlesboro 1632 1/2 Cumberland Ave Ste 6 Middlesboro, KY 40965 (606) 337-6680

St Elizabeth Florence 4900 Houston Rd Florence, KY 41042 (859) 212-5200

Bourbon County Wedco Home Health 525 High St Paris, KY 40361 (859) 987-6242

Boyd County Kings Daughters Home Heal 10730 Midland Trail Ashland, KY 41105 (606) 408-9700

Boyle County Caretenders 116 E Main St Ste 4 Danville, KY 40422 (859) 236-8956 McDowell Home Health 131 Daniel Dr Danville, KY 40422 (859) 236-8946 Terradise Properties Dba The Medicine Sh 900 Hustonville Rd Danville, KY 40422 (859) 238-0002

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Breckinridge County Lincoln Trail Home Health Agency 203b Fairgrounds Rd Hardinsburg, KY 40143 (270) 756-5461 Taylor Pharmacy 109 Fairgrounds Rd Hardinsburg, KY 40143 (270) 756-5222

Bullitt County Caretenders 1553 HWY 44 E Ste 1 Shepherdsville, KY 40165 (502) 543-2433

Butler County Lifeline Home Health of Bowling Green Ll 101 Ashley Plaza Cir Morgantown, KY 42261 (270) 526-3495

Caldwell County Pennyroyal Healthcare Services 1350 US Highway 62 W Princeton, KY 42445 (270) 821-8874

Calloway County Intrepid Usa Healthcare Services 1616 HWY 121 North Suite C Murray, KY 42071 (270) 753-1434

Casey County Lifeline Home Health Care of Somerset Ll 394 N Wallace Wilkinson Blvd Liberty, KY 42539 (606) 787-0007

Christian County Cumberland Hall 270 Walton Way Hopkinsville, KY 42240 (270) 886-1919

Pennyrile Home Medical 217 Burley Ave Hopkinsville, KY 42240 (270) 885-2500 Pennyroyal Healthcare Services 735 North Dr Hopkinsville, KY 42240 (270) 821-8874 Pro-Care Home Health - Ohio County 1610 S Main St Hopkinsville, KY 42240 (270) 552-1211

Clark County Home Convalescent Aids INC 1113 W Lexington Ave Winchester, KY 40391 (859) 745-4445 Kpi Therapy INC 9 Waveland Ave Winchester, KY 40391 (855) 584-5845

Cumberland County Lifeline Home Health Care of Somerset Ll 349 Keen St Burkesville, KY 42717 (270) 864-3348

Daviess County Cherri Care 1726 Sweeney St Owensboro, KY 42303 (270) 926-2252 Corner Homecare 5010 Backsquare Dr Owensboro, KY 42301 (270) 686-7000 Green River District Home Health 1600 Breckenridge St Owensboro, KY 42303 (270) 686-7747

Clay County

Lifeline Home Health of Bowling Green Ll 810 Princeton Pkwy Ste A Owensboro, KY 42301 (270) 685-5764

Cumberland Valley District Home Health 470 Manchester Sq Ste 200 Manchester, KY 40962 (606) 598-5564

Pooles Pharmacy Care INC 2200 E Parrish Ave Ste 102 Owensboro, KY 42303 (270) 926-6260

470 Manchester Sq Ste 212 Manchester, KY 40962

Pro-Care Home Health - Ohio County 1030 Burlew Blvd Owensboro, KY 42303 (270) 885-1211

Languages: Spanish

L A Medical Supply INC 459 Memorial Dr Manchester, KY 40962 (606) 599-9140

Clinton County Lifeline Home Health Care of Somerset Ll 96 Foothills Ave Albany, KY 42602 (606) 387-8131

Wendell Foster's Campus for Developmenta 815 Triplett St Owensboro, KY 42303 (270) 683-4517

Estill County Mepco Home Health Agency 920 Richmond Rd Irvine, KY 40336

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WellCare of Kentucky Fayette County American Homepatient INC 1591 Winchester Rd Ste 100 Lexington, KY 40505 (859) 294-5583 Branch Leslie B 2387 Professional Heights Dr Ste 60 Lexington, KY 40503 (859) 277-1137 135 East Maxwell Street Lexington, KY 40508 (859) 323-5365 Caretenders 2432 Regency Rd Ste 150 Lexington, KY 40503 (859) 276-5369 5008 Atwood Dr Ste 1 Lexington, KY 40575 (859) 625-9874 Cooley Medical Equipment INC 1316 S Broadway Lexington, KY 40504 (859) 281-6044 Home Medical Equipment LLC Dba Homecare 112 Dennis Dr Lexington, KY 40503 (859) 277-4663

National Seating & Mobility 2025 Leestown Rd Ste L Lexington, KY 40511 (859) 381-1440

McDowell ARH Home Health Agency 8535 KY Route 122 Minnie, KY 41651 (606) 377-3429

Nurses Registry and Home Health 1420 N Broadway Lexington, KY 40505 (859) 255-4411

McDowell ARH Homecare Store Ky Rt 122 Mc Dowell, KY 41647 (606) 377-3496

Orthopaedic Specialties of Lexington 2909 Richmond Rd Ste 30 Lexington, KY 40509 (859) 268-2525

Mountain Comprehensive Care 104 S Front Ave Prestonsburg, KY 41653 (606) 886-8572

Ridge Behavorial Health 3050 Rio Dosa Dr Lexington, KY 40509 (859) 269-2325

Capital Pharmacy and Med Equip 662 E Main St Frankfort, KY 40601 (502) 223-2827

St Joseph Anc Home Care Services LLC 2464 Fortune Dr Ste 110 Lexington, KY 40509 (859) 277-5111

Caretenders 101 Medical Heights Dr Ste O Frankfort, KY 40601 (502) 226-3537

United Seating and Mobility LLC 1050 Enterprise Dr Ste 125 Lexington, KY 40510 (859) 225-3624

Floyd County

Hospice of The Bluegrass INC 2312 Alexandria Dr Lexington, KY 40504 (859) 276-5344

Cooley Medical Equipment INC 1152 Riverside Dr Prestonsburg, KY 41653 (606) 886-0333

Karim Farhad 2387 Professional Heights Dr Ste 60 Lexington, KY 40503 (859) 277-1137

1184 S Lake Dr Prestonsburg, KY 41653 (606) 886-9267

Lifeline Home Health Care of Lexington L 161 N Eagle Creek Dr Ste 200 Lexington, KY 40509 (859) 272-9787

Highlands Home Health 188 Collins Cir Prestonsburg, KY 41653 (606) 889-9967

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Franklin County

Pediatric Associates of Frankfort - Aprn 4 Physicians Park Frankfort, KY 40601 (502) 223-8400

Fulton County Evans Total Care LLC 208 Lake St Fulton, KY 42041 (270) 472-2984

Graves County Intrepid Usa Healthcare Services 1025 Paducah Rd Mayfield, KY 42066 (270) 251-2001 Stones Drug Store 414 S 9th St Mayfield, KY 42066 (270) 247-3232

Green County Lifeline Home Health Care of Somerset Ll 702 Columbia Hwy Greensburg, KY 42743 (270) 932-7813

Hardin County Lifeline Home Health of Bowling Green Ll 2600 Ring Rd Elizabethtown, KY 42701 (270) 766-1353 Lincoln Trail Behavior Health System 3909 S Wilson Rd Radcliff, KY 40160 (270) 351-9444 Lincoln Trail Home Health Agency 580d Westport Rd Elizabethtown, KY 42701 (270) 769-6630

364 Oddville Ave Cynthiana, KY 41031 (859) 234-8750

Hart County Lifeline Home Health of Bowling Green Ll 200 Interstate Plaza Rd Munfordville, KY 42765 (270) 524-0744

Henderson County Methodist Hospital Homecare 110 2nd St Henderson, KY 42420 (270) 869-1997 Pro-Care Home Health - Ohio County 812 N Green St Henderson, KY 42420 (270) 827-7777

Harlan County

T and T Drug Stores INC 1331 Clay St Henderson, KY 42420 (270) 827-3503

Cooley Medical Equipment INC 24 Woodland Hls Harlan, KY 40831 (606) 573-9793

Wheelchair Resources INC 2701 Saint Patrick Dr Henderson, KY 42420 (270) 826-5440

Cumberland Valley District Home Health 408 E Clover St Harlan, KY 40831 (606) 573-1545 Harlan Arh 81 Ball Park Rd Harlan, KY 40831 (606) 573-8265 Harlan ARH Homecare Store 106 Railroad St Ste 5 Harlan, KY 40831 (606) 573-8265

Harrison County Wedco Home Health 302 Oddville Ave Cynthiana, KY 41031 (859) 234-8750

Hopkins County Acord Timothy S 200 Clinic Dr 3rd Flr Madisonville, KY 42431 (270) 825-7441 Bluegrass Home Medical 1128 N Main St Ste 2 Madisonville, KY 42431 (270) 825-9661 Pennyroyal Healthcare Services 1303 W Noel Ave Madisonville, KY 42431 (270) 821-8874 436 N Main St Madisonville, KY 42431 (270) 821-0632

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WellCare of Kentucky Pro-Care Home Health - Ohio County 44 McCoy Ave Madisonville, KY 42431 (270) 825-9300 Regional Medical Center Home Health Agen 435 N Kentucky Ave Madisonville, KY 42431 (270) 824-3470 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100

Jackson County Cumberland Valley District Home Health Us HWY 421 S, Lakewood Dr Mc Kee, KY 40447

Jefferson County Acord Timothy S 4515 Churchman Ave Louisville, KY 40215 (502) 361-0134 American Home Patient - Louisville 4220 Popular Pl Dr Ste 100 Louisville, KY 40213 (502) 968-7151 Apria Healthcare INC 10500 Bluegrass Pkwy Louisville, KY 40299 (502) 499-9099 Baptist Hospital East 4000 Kresge Way Louisville, KY 40207 (502) 897-8100 Cardinal Hill Rehabilitation Center 9810 Bluegrass Pkwy Louisville, KY 40299 (502) 584-9781 Caretenders 1169 Eastern Pkwy Ste 3323 Louisville, KY 40217 (502) 855-4400

4545 Bishop Ln Unit 200 Louisville, KY 40218 (502) 238-5150 9702 Stone St Rd Louisville, KY 40272 (502) 933-2785 Center for Orthotic and Prosthetic Care 982 Eastern Pkwy Louisville, KY 40217 (502) 637-7717 Cooley Medical Equipment INC 6413 Dutchmans Pkwy Louisville, KY 40205 (502) 459-4500 National Seating & Mobility 11003 Bluegrass Pkwy Ste 550 Louisville, KY 40299 (502) 266-5213 Our Lady of Peace PRTF Malcolm House 4418 Malcolm Ave Louisville, KY 40215 (502) 363-7918 The Brook Dupont 1405 Browns Ln Louisville, KY 40207 (502) 896-0495 The Brook Hospital KMI 8521 Lagrange Rd Louisville, KY 40242 (502) 426-6380 The Kidz Club 1101 Herr Ln Louisville, KY 40222 (502) 240-2238 Vna Nazareth Home Care 539 S 4th St Louisville, KY 40205 (502) 584-2456

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Jessamine County Lifeline Home Health Care of Lexington L 205 Fairfield Dr Nicholasville, KY 40356 (859) 887-5433 The Prescription Pad 465 Keene Centre Dr Nicholasville, KY 40356 (859) 887-2841

Johnson County Johnson Magoffin County Home Health Agen 630 James Trimble Blvd Paintsville, KY 41240 (606) 789-2596

Kenton County Caretenders Vs of Central KY LLC 168 Barnwood Dr Ste A Edgewood, KY 41017 (859) 578-0022 Interim Healthcare 3005 Dixie HWY Ste 130 Edgewood, KY 41017 (859) 578-9191 New Perceptions INC One Sperti Dr Edgewood, KY 41017 (859) 244-9322

Knott County Kentucky River District HHA 880 W Main St Hindman, KY 41822 (606) 785-3062

Laurel County American Homepatient INC 194 London Shopping Center Unit 20 London, KY 40741 (931) 552-3152

Cumberland River Regional Mental Health 610 American Greeting Card Rd Corbin, KY 40701 (606) 528-7010 Professional Home Health Care Agency 4934 S Laurel Rd London, KY 40744 (606) 864-0724

Lawrence County Three Rivers Home Care 505 W Madison St Ste A Louisa, KY 41230

Lee County Kentucky River District HHA 45 Center St Beattyville, KY 41311 (606) 464-9066 Village Apothecary 111 River St Beattyville, KY 41311 (606) 464-3901

Leslie County

Lincoln County Lifeline Home Health Care of Somerset Ll 107 Metker Trl Ste B Stanford, KY 40484 (606) 365-9223

Logan County Pro-Care Home Health - Ohio County 1405 Nashville Rd Ste B Russellville, KY 42276 (270) 726-3487

Madison County Mepco Home Health Agency 1001 Ace Dr Berea, KY 40403 216 Boggs Ln Richmond, KY 40475 (859) 626-4509

Magoffin County Johnson Magoffin County Home Health Agen 282 W Maple St Salyersville, KY 41465 (606) 789-2596

Marion County

Kentucky River District HHA 78 Maple St Hyden, KY 41749 (606) 672-6172

Letcher County Mayking ARH Homecare Store 240 Hospital Rd Whitesburg, KY 41858 (606) 633-6227 Whitesburg ARH Home Health Agency 240 Hospital Rd Whitesburg, KY 41858 (606) 633-3578

Lincoln Trail Home Health Agency 516 N Spalding Ave Lebanon, KY 40033 (270) 692-9705 Pats Pharmacy INC 498 W Main St Lebanon, KY 40033 (270) 692-4950

Marshall County Mid-State Investments LLC Dba At Home Me 837 US HWY 68 W Ste A Benton, KY 42025 (270) 252-0897

Mason County Comprehend INC 611 Forest Ave Maysville, KY 41056 (606) 564-4016 EPSDT Special Services

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WellCare of Kentucky Hayswood Home Health 1 W McDonald Pkwy Ste 3c Maysville, KY 41056 (606) 564-9481

McCracken County Davis Drugs-Dme 250 Lone Oak Rd Paducah, KY 42001 (270) 443-1442 Easter Seals West Kentucky 801 N 29th St Paducah, KY 42001 (270) 444-9687 Legacy Oxygen Home Care Equipment 126 Lone Oak Rd Paducah, KY 42001 (270) 442-7887 Marilyns Medical Freedom INC 4860 Old Mayfield Rd Paducah, KY 42003 (270) 534-9713 Pennyrile Home Medical 3551 Park Ave Ste B Paducah, KY 42001 (270) 575-0550 2975 Lone Oak Rd Paducah, KY 42003 (270) 554-0830 Walgreens Infusion Pharmacy INC 3487 Park Ave Paducah, KY 42001 (800) 511-0063

McCreary County Lifeline Home Health Care of Somerset Ll 56 Medical Ln Whitley City, KY 42653 (606) 376-5400

Mercer County

Ohio County

Bluegrass Medical Supply Dba The Medicin 636 S College St Harrodsburg, KY 40330 (859) 734-4314

Pro-Care Home Health - Ohio County 122 W Union St Hartford, KY 42347 (270) 298-3112

Metcalfe County Kentucky Medical Supply INC 102 Castle Ridge Dr Edmonton, KY 42129 (270) 432-0957

Monroe County Monroe County Med Ctr Home Health Agency 417 Capp Harlan Rd Tompkinsville, KY 42167 (270) 487-8757

Morgan County Morgan Co ARH Home Health Agency 493 Main St West Liberty, KY 41472 (606) 743-4371 West Liberty ARH Homecare Store 520 Prestonburg St West Liberty, KY 41472 (606) 743-3630

Muhlenberg County Pennyroyal Healthcare Services 506 Hopkinsville St Greenville, KY 42345 (270) 821-8874 Pooles Pharmacy Care 102 W Broad St Central City, KY 42330 (270) 754-1545

Nicholas County Wedco Home Health 2320 Concrete Rd Carlisle, KY 40311 (859) 289-7000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Oldham County Acord Timothy S 6225 W HWY 146 Crestwood, KY 40014 (502) 241-0714 Caretenders 2206 Commerce Pkwy Ste A Lagrange, KY 40031 (502) 225-5838

Owen County Three Rivers District Home Health Agency 501 S Main St Owenton, KY 40359 (502) 484-3412

Owsley County Kentucky River District HHA 501 HWY 28 Booneville, KY 41314 (606) 539-7082

Perry County ARH Medical Mall Homecare Store 210 Black Gold Blvd Ste 105 Hazard, KY 41701 (606) 487-7333 Buckhorn Children and Family Services 116 Buckhorn Ln Buckhorn, KY 41721 (606) 398-7000 Cooley Medical Equipment INC 500 Village Ln Hazard, KY 41701 (606) 439-4049

Hazard ARH Home Health Agency 100 Airport Gardens Rd Hazard, KY 41701 (606) 439-6955

Pike County Cooley Medical Equipment INC 255 Church St Ste 105 Pikeville, KY 41501 (606) 432-0055 Home Care Health Services 1414 S Mayo Trl Pikeville, KY 41501 (606) 432-2111 Pike County ARH Home Health Agency 247 S Mayo Trl Pikeville, KY 41501 (606) 437-0060 260 Hospital Dr South Williamson, KY 41503 (606) 437-0060 Pikeville Medical Center 911 Bypass Rd Pikeville, KY 41501 (606) 218-3500 Williamson Arh 260 Hospital Dr South Williamson, KY 41503 (606) 237-1700 Williamson ARH Homecare Store 140 Hospital Dr South Williamson, KY 41503 (606) 237-1670

Powell County Mepco Home Health Agency 103 Even St Stanton, KY 40380

Pulaski County Lifeline Home Health Care of Somerset Ll 600 1/2 Clifty St Ste 2 & 3 Somerset, KY 42503 (606) 679-9245 Lincare INC 30 Jaxsons Cove Somerset, KY 42503 (606) 679-0171

Rockcastle County Cumberland Valley District Home Health 211 Industrial Park Rd Mount Vernon, KY 40456

Russell County Lifeline Home Health Care of Somerset Ll 124 Dowell Rd Ste 105, Medical Arts Bldg Russell Springs, KY 42642 (270) 866-4100

Scott County J and L Home Medical 705 S Broadway St Georgetown, KY 40324 (502) 863-6774 Wedco Home Health 300 E Washington St Georgetown, KY 40324 (502) 863-9738

Simpson County Lifeline Home Health of Bowling Green Ll 1004 Brookhaven Dr Franklin, KY 42134 (270) 586-0141

Taylor County Lifeline Home Health Care of Somerset Ll 200 Nancy Cox Dr Campbellsville, KY 42718 (270) 465-2266

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WellCare of Kentucky Trigg County

Wayne County

Pennyrile Home Medical 307 Main St Cadiz, KY 42211 (270) 522-8002

Lifeline Home Health Care of Somerset Ll 1 S Creek Dr Ste 118 Monticello, KY 42633 (606) 348-6000

Warren County

Whitley County

First Choice Home Medical 1945 Scottsville Rd Ste A3 Bowling Green, KY 42104 (270) 393-9393

Amedisys Home Health Care-Corbin 14 Moonbow Plaza Ste 101 Corbin, KY 40701

Home Oxygen Medical Equipment 901 Lehman Ave Ste 12b Bowling Green, KY 42101 (270) 843-4901 Languages: Spanish Lifeline Home Health of Bowling Green Ll 165 Natchez Trace Ave Ste 206 Bowling Green, KY 42103 (270) 781-0702 Pro-Care Home Health - Ohio County 1203 Ashley Cir Bowling Green, KY 42104 (270) 846-1555 The Medical Center 250 Park St Bowling Green, KY 42101 The Medical Center Home Care EPSDT 1953 Scottsville Rd Ste 200 Bowling Green, KY 42104 (270) 745-1006

Whitley County Home Health Agency 114 N 2nd St Williamsburg, KY 40769 (606) 549-0886

Wolfe County Kentucky River District HHA 145 Old HWY 15 Campton, KY 41301 (606) 668-3333

Alabama Lincare INC 401 R Bishop Tuscaloosa, AL 35401 (573) 364-1000

Arkansas American Homepatient INC 1200 Southeast 14th St Ste 8 Bentonville, AR 72712 (479) 273-1805

California Apria Healthcare INC 2150 N. Trabajodr Ste B Oxnard, CA 93030

Connecticut 40 Sebethe Dr Cromwell, CT 6416 (800) 423-1303 20 Murphy Rd N Franklin, CT 6254 (800) 423-1303

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

5 Hamden Park Dr New Haven, CT 6517 (800) 423-1303

Florida

Youth Villages INC 4685 Dorsett Shoals Road Douglasville, GA 30135 (770) 852-6300

16550 Scheer Blvd Ste 3 Hudson, FL 34667

Hawaii

1830 W 10th St Jacksonville, FL 32209

Georgia American Homepatient INC 2231 Dawson Rd Albany, GA 31707 (229) 432-2027 3681 Atlanta Ave Brunswick, GA 31520 (912) 264-5333 207 Industrial Blvd Dublin, GA 31021 (478) 275-4495 1221 Plaza Ave Ste A Eastman, GA 31023 (478) 374-6668 91 Crye-Leike Dr Fort Oglethorpe, GA 30742 (706) 861-0903 435 Cloud Springs Rd Rossville, GA 30741 (706) 861-0903 2803 N Ashley St Valdosta, GA 31602 (229) 244-2467 2985 Knight Ave Waycross, GA 31503 (912) 353-7400 Apria Healthcare INC 4400 River Green Pkwy 140 Duluth, GA 30096 Coastal Harbor Treatment 1150 Cornell Ave Savannah, GA 31406 (912) 354-3911

Apria Healthcare INC 811 Laukapu St Ste A9 Hilo, HI 96720 (808) 969-1211 431 Alamaha St Kahului, HI 96732 (808) 871-4267 98-720 Kuahao Pl Pearl City, HI 96782 (808) 485-0178

Illinois American Homepatient INC 907 N Bluff Rd Collinsville, IL 62234 (618) 346-2196 1724 W Chanute Rd Peoria, IL 61615 (309) 691-7280 2733 E Ash St Springfield, IL 62703 (217) 753-1528 Apria Healthcare INC 1206 W Bradley Champaign, IL 61821 3406 W Foster Garden Apt Chicago, IL 60625 1703 Solutions Ctr Chicago, IL 60677

Lincare INC 1128 Royal Heights Rd Belleville, IL 62226 (618) 235-4458

Indiana Apria Healthcare INC 4401 W Williamsurg Blvd Muncie, IN 47304 Lincare INC 3030 State St Columbus, IN 47201 National Seating & Mobility 500 N Congress Unit C Evansville, IN 47715 (812) 471-4244

Louisiana United Seating and Mobility LLC 1017 Shive Ln Ste E Arcadia, LA 71001 (270) 904-4934 11700 Commonwealth Dr Ste 900 Arcadia, LA 71001 (502) 266-9061

Missouri American Homepatient INC 2306 N Truman Blvd Crystal City, MO 63019 (636) 937-7607 1430 E State Rte 72 Rolla, MO 65401 (573) 364-6998

2508 Solutions Cente Chicago, IL 60677 (314) 522-2600

89 Ichord Ave Waynesville, MO 65583 (573) 774-1048

1605 Eastport Plz Dr Ste 121 Collinsville, IL 62234

Lincare INC 286 Christine St Cape Girardeau, MO 63703 (573) 332-0020

1912 W Rendleman Marion, IL 62959 4711 W 135th St Midlothian, IL 60445

411 S Kansas Ave Clinton, MO 64735 (660) 885-4416

16w240 83rd St Willowbrook, IL 60527 EPSDT Special Services

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WellCare of Kentucky 4250 E Broadway Ste 1079 Columbia, MO 65201 (573) 449-0206

120 Jewel St Elmsford, NY 10523 (718) 361-2224

13709 Trl N Earth City, MO 63045

400 Executive Blvd Elmsford, NY 10523 (914) 592-1410

107 Walker Dr Farmington, MO 63640 (573) 756-7747

5 Westchester Plz Elmsford, NY 10523 (914) 592-1410

3831 HWY Mm Ste A Hannibal, MO 63401 (573) 221-3685

3116 Watson Blvd Endwell, NY 13760 (607) 754-3511

111 Schumate Chapel Rd Jefferson City, MO 65109

625 Sawkill Rd Kingston, NY 12401 (845) 336-3333

305 Main St Pocahontas, MO 63779 (636) 528-1640 2074 Concourse Dr Saint Louis, MO 63146 (314) 995-3779 2102-A W Vista Springfield, MO 65807 (417) 823-9003 1642 E Fifth St Washington, MO 63090 (636) 239-0416

New Jersey 260 W Crescent Ave Allendale, NJ 7401

New York Apria Healthcare INC 12 Petra Ln Albany, NY 12205 (518) 452-4951 10905 14th Ave College Point, NY 11356 (718) 358-8854 6103 E Malloy Rd East Syracuse, NY 13057 (315) 463-5217 452 E Water St Elmira, NY 14901 (607) 732-5225

265 Executive Dr Plainview, NY 11803 (914) 592-1410 75 Market St Potsdam, NY 13676 (315) 265-1161 1250 Scottsville Rd Ste 80 Rochester, NY 14624 (585) 436-4910

North Carolina 2600 Perimeter Park Dr Ste 100 Morrisville, NC 27560

Ohio American Homepatient INC 4828 Business Center Way Cincinnati, OH 45246 (513) 769-7500 Apria Healthcare INC 8073 Leavitt Rd Amherst, OH 44001 (440) 986-2777 3189 W Soth Cleveland, OH 44102 4060 Business Park Dr Columbus, OH 43204 1000 Resource Dr Independence, OH 44131 (216) 485-1180

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Care Medical INC 8340 Reading Rd Cincinnati, OH 45237 (513) 821-7272

Medical Mobility INC 749 W Jackson Cookeville, TN 38501 (931) 520-1260

Childrens Hos Med Ctr 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-4427

316 Blue Bird Dr Goodlettsville, TN 37072 (615) 851-1400

Cincinnati Childrens-Home Health Care Dm 615 Elsinore Pl Cincinnati, OH 45202 (513) 636-4663

211 E Robert Rose Dr Murfreesboro, TN 37129 (615) 895-5224

Ena INC 115 Private Rd 977 Pedro, OH 45659 (740) 534-1386 Leading Respiratory Services INC Peebles 75 S Main St Peebles, OH 45660 (937) 587-3384

Texas American Homepatient INC 1105 W 41st St Austin, TX 78756 (512) 451-4519 4800 Avenue F Bay City, TX 77414 (979) 245-1668

Oregon

3703 E 28th St Bryan, TX 77802 (979) 846-0081

Apria Healthcare INC 1590 Ne 7th St Grants Pass, OR 97526

812 W Dallas St Ste 140 Conroe, TX 77301 (936) 756-6060

South Carolina 450 Century Cir Ste B Conway, SC 29526 (843) 234-4404

Tennessee Holland Medical Equipment 3900 Dodds Ave Chattanooga, TN 37407 (423) 757-9400 3716 E Stone Dr Kingsport, TN 37660 (423) 392-9900 947 Woodland St Nashville, TN 37206 (615) 650-8000 Lincare INC 572 Foothills Plaza Maryville, TN 37801

226 Enterprise Pkwy Ste 101 Corpus Christi, TX 78405 (361) 289-7177

105 E Loop 281 Ste 8 Longview, TX 75605 (903) 295-0818 1607 W Frank Ave Ste 107 Lufkin, TX 75904 (936) 634-4497 1313 E Jasmine Ave Ste A McAllen, TX 78501 (956) 631-5461 3205 N University Dr Ste J Nacogdoches, TX 75965 (936) 569-2515 3605 Ne Loop 286 Ste 300 Paris, TX 75460 (903) 785-8555 3353 Knickerbocker Rd San Angelo, TX 76904 (325) 942-6432 10146 Huebner Rd San Antonio, TX 78240 (210) 614-0110 2611 N Belt Line Rd Sunnyvale, TX 75182 (972) 780-0101 2007 E Red River St Victoria, TX 77901 (361) 573-0025

2422 E Tyler Ave Ste B Harlingen, TX 78550 (956) 423-8385

7005 Woodway Dr Ste 203 Woodway, TX 76712 (254) 756-3202

7700 Renwick Dr Ste 10b Houston, TX 77081 (713) 661-3373

Apria Healthcare INC 8300 Esters Blvd Ste 920 Irving, TX 75063

4520 E Central Texas Expy Ste 109 Killeen, TX 76543 (254) 616-6598

3619 Woodlawn House San Antonio, TX 78228

120 Highway 332 W Ste B18 B Lake Jackson, TX 77566 (979) 297-1823

Texas Neurorehab Center 1106 W Dittmar Rd Austin, TX 78745 (512) 383-4487

Utah

EPSDT Special Services

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WellCare of Kentucky Apria Healthcare INC 700 Nw Argosy Pkwy Salt Lake City, UT 84150

Health Departments Kentucky Adair County Adair County Health Center 801 Westlake Drive Columbia, KY 42728 (270) 384-2286

Allen County Allen County Health Department 207 East Locust Street Scottsville, KY 42164 (270) 237-4423

Anderson County Anderson County Health Dept 1180 Glensboro Rd Lawrenceburg, KY 40342 (502) 839-4551

Ballard County Ballard Co Health Department Us HWY 60 La Center, KY 42056 (270) 665-5432

Barren County Barren Co Health Center 318 West Washington St Glasgow, KY 42141 (270) 651-8321

Bath County Bath County Health Center 68 Oberline Street Owingsville, KY 40360 (606) 674-2731

Bell County

Boone County

Butler County

Casey County

Bell County Health Department 111 North 21st Street Middlesboro, KY 40965 (606) 248-2826

Boone County Health Center 7505 Burlington Pike Florence, KY 41042 (859) 363-2060

Butler County Health Center 104 N Warren Street Morgantown, KY 42261 (270) 526-3221

Casey County Health Center 199 Adams Street Liberty, KY 42539 (606) 787-6911

Frakes Elementary School 29 Henderson Settlement Ln Frakes, KY 40940 (606) 248-2862

Bourbon County

Caldwell County

Christian County

Bourbon County Health Dept 341 East Main Street Paris, KY 40361 (859) 987-1915

Caldwell Co Health Center 310 Hawthorne Street Princeton, KY 42445 (270) 965-6571

Christian Co Health Dept 1700 Canton Street Hopkinsville, KY 42240 (270) 887-4160

Lone Jack Elementary 101 Creech Hollow Rd Pineville, KY 40977 (606) 248-2862 Middlesboro High School 4404 W Cumberland Avenue Middlesboro, KY 40965 (606) 248-2862 Middlesboro Intermediate 502 Ashbery Avenue Middlesboro, KY 40965 (606) 248-2862 Middlesboro Middle School 404 West Cumberland Ave Middlesboro, KY 40965 (606) 248-2862 Middlesboro Primary 3400 West Cumberland Avenue Middlesboro, KY 40965 (606) 248-2862 Pineville City School 401 W Virginia Ave Pineville, KY 40977 (606) 248-2862 Yellow Creek School 4840 W Cumberland Ave Middlesboro, KY 40965 (606) 248-2862

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Boyle County

Calloway County

Clark County

Boyle Co Health Dept 448 South Third Street Danville, KY 40423 (859) 236-2053

Calloway County Health Dept 602 Memory Ln Murray, KY 42071 (270) 753-3381

Clark County Health Dept 400 Professional Ave Winchester, KY 40391 (859) 744-4482

Campbell County

Clay County

Campbell County Health Center 12 East Fifth Street Newport, KY 41071 (859) 431-1704

Clay County Health Center 330 Shamrock Road Manchester, KY 40962 (606) 598-2425

Carlisle County

Clinton County

Carlisle Co Health Department 62 John Roberts Drive Bardwell, KY 42023 (502) 628-5431

Clinton County Health Dept 131 Foothills Ave Albany, KY 42602 (606) 387-5711

Carroll County

Crittenden County

Breckinridge Co Health Dept 220 South Hardin Street Hardinsburg, KY 40143 (270) 756-5121

Carroll County Health Center 401 11th Street Carrollton, KY 41008 (502) 732-6641

Crittenden Co Health Center 190 Industrial Drive Marion, KY 42064 (270) 965-5215

Bullitt County

Carter County

Bullitt Co Health Dept 181 Lees Valley Road Shepherdsville, KY 40165 (502) 955-7837

Carter County Health Center Us 60 East Grayson, KY 41143 (606) 282-5588

Cumberland County

Bracken County Bracken Co Health Dept 429 Frankfort Street Brooksville, KY 41004 (606) 735-2157

Breathitt County Breathitt Co Health Dept 955 HWY 30 West Jackson, KY 41339 (606) 666-8052

Breckinridge County

West Carter County Health Center 273 Hitchens Avenue Olive Hill, KY 41164 (606) 282-5588

Cumberland County Health Center 226 Copper Ln Burkesville, KY 42717 (270) 864-2206

EPSDT Special Services

Page 332

WellCare of Kentucky Daviess County

Franklin County

Grayson County

Daviess Co Health Center 1600 Breckenridge St Owensboro, KY 42303 (270) 686-7744

Franklin County Health Dept 100 Glenns Crk Road Frankfort, KY 40601 (502) 564-7647

Grayson County Health Center 124 East White Oak Street Leitchfield, KY 42754 (270) 259-3141

Edmonson County

Fulton County

Edmonson County Health Center 221 Mammoth Cave Road Brownsville, KY 42210 (270) 597-2194

Fulton Co Health Ctr Fulton 350 Browder Street Fulton, KY 42041 (270) 472-1982

Elliott County Elliott County Health Center 109 David Blair Blvd Sandy Hook, KY 41171 (606) 738-5205

Estill County Estill County Health Dept 365 River Drive Irvine, KY 40336 (606) 723-5181

Fayette County Fayette County Health Dept 650 Newtown Pike Lexington, KY 40508 (859) 288-2483 Southside Public Health Clinic 2433 Regency Road Lexington, KY 40503 (859) 288-2483

Fulton Co Health Ctr Hickman 402 Troy Avenue Hickman, KY 42050 (270) 236-2825

Gallatin County Gallatin County Health Center 102 West Pearl Street Warsaw, KY 41095 (859) 567-2844

Green County Green County Health Center 220 Industrial Pk Greensburg, KY 42743 (270) 932-4341

Greenup County Greenup County Health Department 806 Seaton Ave Ste 1 Greenup, KY 41144 (606) 473-9838

Harlan County Health Center 402 East Clover Street Harlan, KY 40831 (606) 589-2135

Harrison County Harrison Co Health Center 364 Oddville Ave Cynthiana, KY 41031 (859) 234-2842

Middletown Health Center 200 Juneau Drive Louisville, KY 40243 (502) 937-7277

Hart County Hart County Health Center 500 A A Whitman Ln Munfordville, KY 42765 (270) 524-2511

Henderson County Henderson County Health Center 472 Klutey Park Plz Henderson, KY 42420 (270) 826-3951

Garrard County

Hancock County

Henry County

Garrard County Health Department 89 Farra Drive Lancaster, KY 40444 (859) 792-2153

Hancock County Health Center 175 Harrison Street Hawesville, KY 42348 (270) 927-8803

Grant County

Hardin County

Henry County Health Center 125 North Property Road New Castle, KY 40050 (502) 845-2882

Grant County Health Center 234 Barnes Road Williamstown, KY 41097 (859) 824-5074

Hardin Co Radcliff Health Cent 1463 N Wilson Rd Radcliff, KY 40160 (270) 765-6196

Fleming County

Graves County

Fleming Co Health Dept 194 Windsor Drive Flemingsburg, KY 41041 (606) 845-6511

Graves County Health Center 416 Central Ave Mayfield, KY 42066 (270) 247-3553

Floyd County Floyd County Health Dept 283 Goble St Prestonsburg, KY 41653 (606) 886-2788 † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Harlan County Harlan Co Hlth Ctr Lynch 1520 East Main Street Cumberland, KY 40823 (606) 589-2135

Jackson County Health Center Hwy 421 Mc Kee, KY 40447 (606) 287-8421

Jefferson County

425 James Hannah Drive Ste 2 South Shore, KY 41175 (606) 473-9838

Hardin County Health Center 580 Westport Road Elizabethtown, KY 42701 (270) 765-6196

Jackson County

Hickman County Hickman Co Health Center 370 S Washington Street Clinton, KY 42031 (270) 653-6110

Hopkins County Hopkins Co Health Dept 412 North Kentucky Avenue Madisonville, KY 42431 (270) 821-5242

Jessamine County Jessamine Co Health Dept 215 East Maple Street Nicholasville, KY 40356 (859) 885-4149

Johnson County Johnson County Health Dept 630 James S Trimble Blvd Paintsville, KY 41240 (606) 789-2590

Kenton County Kenton County Health Center 2002 Madison Avenue Covington, KY 41014 (859) 431-4355

Knott County Knott County Health Center 880 West Main Street Hindman, KY 41822 (606) 785-3144

Knox County Knox Co Health Dept 261 Hospital Drive Barbourville, KY 40906 (606) 546-3486

Larue County Larue County Health Center 215 East Main Street Hodgenville, KY 42748 (270) 358-3844 Health Departments

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WellCare of Kentucky Laurel County

Livingston County

Marshall County

Mercer County

Nicholas County

Laurel County H D 525 Whitley Street London, KY 40741 (606) 878-7754

Livingston Co Health Center 124 State Street Smithland, KY 42081 (270) 928-2193

Marshall County Health Dept 307 East 12th St Benton, KY 42025 (270) 527-1496

Mercer Co Health Department 900 North College Harrodsburg, KY 40330 (859) 734-4522

Nicholas County Health Center 2320 Concrete Road Carlisle, KY 40311 (859) 289-2188

Lawrence County Lawrence Co Health Dept 1080 Meadowbrook Ln Rte # 2 Louisa, KY 41230 (606) 638-4389

Logan County

Martin County

Metcalfe County

Ohio County

Logan County Health Center 151 S Franklin Street Russellville, KY 42276 (270) 726-8341

Martin Co Health Dept 136 Rockcastle Road Inez, KY 41224 (606) 298-7752

Ohio Co Health Center 1336 Clay Street Hartford, KY 42347 (270) 298-3663

Lee County

Lyon County

Metcalfe Co Health Center 615 West Stockton Street Edmonton, KY 42129 (270) 432-3214

Lee County Health Center 45 Center Street Beattyville, KY 41311 (606) 464-2492

Lyon Co Health Center 211 W Fairview Avenue Eddyville, KY 42038 (270) 388-9763

Mason County Health Center 130 East Second Street Maysville, KY 41056 (606) 564-9447

Madison County

McCracken County

Madison Co Health Deptdiabetes Center Of 2005 Corporate Dr Richmond, KY 40475 (859) 623-7312

Paducah-McCracken Co H Cntr 916 Kentucky Ave Paducah, KY 42002 (270) 444-9631

Leslie County Leslie County Health Center 78 Maple Street Hyden, KY 41749 (606) 672-2393

Letcher County Burdine Elementary School 11497 HWY 805 Burdine, KY 41517 (606) 439-2361 Letcher County Health Center 115 East Main Street Whitesburg, KY 41858 (606) 633-2945

Lewis County Lewis Co Health Dept 905 Fairlane Drive Vanceburg, KY 41179 (606) 796-2632

Lincoln County Lincoln Co Health Dept 44 Health Way Stanford, KY 40484 (606) 365-3106

Madison County Health Dept 214 Boggs Ln Richmond, KY 40476 (859) 623-7312 Madison-Berea Co H Dept 1001 Ace Drive Berea, KY 40403 (859) 623-7312

Magoffin County Magoffin County Health Departm 132 E Mountain Pkwy Salyersville, KY 41465 (606) 349-6212

Marion County Marion County Health Center 516 North Spalding Lebanon, KY 40033 (270) 692-3393

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Mason County

McCreary County McCreary County Health Center 119 Medical Ln Whitley City, KY 42653 (606) 376-2412

McLean County McLean County Health Center 200 HWY 81 North Suite 101 Calhoun, KY 42327 (270) 273-3062

Meade County Meade County Health Center 520 Hillcrest Drive Brandenburg, KY 40108 (270) 422-3988

Menifee County Menifee County Health Center 1919 Main Street Frenchburg, KY 40322 (606) 768-2151

Oldham County

Monroe County Monroe County Health Dept 452 East Fourth Street Tompkinsville, KY 42167 (270) 487-6782

Montgomery County Montgomery County Health Dept 117 Civic Center Mount Sterling, KY 40353 (859) 498-3808

Morgan County Morgan County Health Center 493 Riverside Drive West Liberty, KY 41472 (606) 743-3744

Muhlenberg County Muhlenberg Cohealth Depart 105 Legion Drive Central City, KY 42330 (270) 754-4671

Nelson County Nelson County Health Center 325 South 3rd Street Bardstown, KY 40004 (502) 358-3222

Oldham County Health Dept 1786 Commerce Pkwy La Grange, KY 40031 (502) 222-3516

Owen County Owen County Health Center 1005 HWY 22e Owenton, KY 40359 (502) 484-5736

Owsley County Owsley County Health Center Ky HWY 28 Booneville, KY 41314 (606) 593-5181

Pendleton County Pendleton County Health Ctr 329 HWY 330 West Falmouth, KY 41040 (859) 654-6985

Perry County Perry County Health Center 239 Lovern Street Hazard, KY 41701 (606) 439-2361

Pike County Pike County Health Department 119 River Drive Pikeville, KY 41501 (606) 437-5500

Health Departments

Page 334

WellCare of Kentucky Powell County

Shelby County

Warren County

Woodford County

Boyd County

Powell Co Health Dept 376 North Main Street Stanton, KY 40380 (606) 663-4360

Shelby County Health Dept 615 Eleventh St Shelbyville, KY 40065 (502) 633-1231

Warren Co Health Center 1109 State Street Bowling Green, KY 42101 (270) 781-2490

Woodford County Health Dept 229 North Main Street Versailles, KY 40383 (859) 873-4541

Amedisys Home Health Care-Ashland 1212 Bath Ave Ste 306 Ashland, KY 41101 (606) 324-2491

Home Health

Kings Daughters Home Heal 10730 Midland Trail Ashland, KY 41105 (606) 408-9700

Pulaski County Pulaski County Health Center 45 Roberts Street Somerset, KY 42501 (606) 679-4416

Robertson County Robertson County Health Center 107 McDowell Street Mount Olivet, KY 41064 (606) 724-5222

Rockcastle County Rockcastle County Health Cntr 120 Richmond Street Mount Vernon, KY 40456 (606) 256-2242

Rowan County Rowan Co Health Dept Msu Clinic Counshea 112 Allie Young Hall Morehead, KY 40351 (606) 784-5792 730 West Main Street Morehead, KY 40351 (606) 784-5792

Russell County Russell County Health Center 251 Fruit Of Loom Drive Jamestown, KY 42629 (270) 343-2181

Scott County Scott County Health Center 300 East Washington Street Georgetown, KY 40324 (502) 863-3971

Simpson County Simpson County Health Center 1131 S College Franklin, KY 42134 (270) 586-8261

Spencer County Spencer County Health Center Main Street Taylorsville, KY 40071 (502) 477-8146

Taylor County Taylor County Health Center 1880 N By-Pass Rd Campbellsville, KY 42718 (270) 465-4191

Todd County Todd County Health Dept 205 McReynolds Elkton, KY 42220 (270) 265-2362

Trigg County Trigg Co Health Center 196 Main Street Cadiz, KY 42211 (270) 522-8121

Trimble County Trimble County Health Center 138 Millers Ln Bedford, KY 40006 (502) 255-7701

Union County Union County Health Center 218 West McElroy Morganfield, KY 42437 (270) 389-1230

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Washington County Washington Co Health Center 302 East Main Street Springfield, KY 40069 (859) 336-3980

Wayne County Wayne County Health Dept 39 Jim Hill Service Road Monticello, KY 42633 (606) 348-9349

Webster County Webster County Health Center 80 Clayton Ave Dixon, KY 42409 (270) 639-9315

Whitley County Whitley Co Hd - Corbin Cumberland Falls HWY US 25 W & Jct 727 Corbin, KY 40702 (606) 528-5613 Whitley Co Health Dept 114 North Second St Williamsburg, KY 40769 (606) 528-5613

Wolfe County Wolfe County Health Center Hwy 15 West Campton, KY 41301 (606) 439-2361

Kentucky Adair County Intrepid Usa Healthcare Services 220 Office Park Dr Columbia, KY 42728 (270) 384-6413

Boyle County

Personal Touch Home Care of Kentucky 705 Wright Dr Columbia, KY 42728

Allen County Lifeline Home Health of Bowling Green Ll 353 Old Gallatin Rd Scottsville, KY 42164 (270) 237-3352

Bell County Cumberland Valley District Home Health 306 W Park Ave Pineville, KY 40977 Middlesboro ARH Home Health Agency 1916 Cumberland Ave Middlesboro, KY 40965 (606) 242-1404 Pineville Community Hospital Home Health 121 Virginia Ave Pineville, KY 40977 (606) 337-4282

Caretenders 116 E Main St Ste 4 Danville, KY 40422 (859) 236-8956 McDowell Home Health 131 Daniel Dr Danville, KY 40422 (859) 236-8946

Breathitt County Breathitt County Home Health Agency 955 Highway 30 W Jackson, KY 41339 (606) 666-8052

Breckinridge County Breckinridge Home Health Agency 1011 Old Highway 60 Hardinsburg, KY 40143 (270) 756-2662 Lincoln Trail Home Health Agency 203b Fairgrounds Rd Hardinsburg, KY 40143 (270) 756-5461

Bullitt County

Bourbon County Wedco Home Health 525 High St Paris, KY 40361 (859) 987-6242

Caretenders 1553 HWY 44 E Ste 1 Shepherdsville, KY 40165 (502) 543-2433

Health Departments

Page 335

WellCare of Kentucky Butler County

Clay County

Lifeline Home Health of Bowling Green Ll 101 Ashley Plaza Cir Morgantown, KY 42261 (270) 526-3495

Cumberland Valley District Home Health 470 Manchester Sq Ste 200 Manchester, KY 40962 (606) 598-5564

Caldwell County Caldwell County Hospital Home Health Age 101 Hospital Dr Princeton, KY 42445 (270) 365-2011

Calloway County Intrepid Usa Healthcare Services 1616 HWY 121 North Suite C Murray, KY 42071 (270) 753-1434

Campbell County Personal Touch Home Care of Kentucky 20 N Grand Ave Fort Thomas, KY 41075 (859) 441-0200 The Visiting Nurse Associate 601 Washington St Newport, KY 41071 (513) 345-8042

Casey County Lifeline Home Health Care of Somerset Ll 394 N Wallace Wilkinson Blvd Liberty, KY 42539 (606) 787-0007

Christian County Jennie Stuart Home Health 320 W 18th St Hopkinsville, KY 42240 (270) 887-0118 Pro-Care Home Health - Ohio County 1610 S Main St Hopkinsville, KY 42240 (270) 552-1211

470 Manchester Sq Ste 212 Manchester, KY 40962 Memorial Hospital Home Health 250 Richmond Rd Manchester, KY 40962 (606) 598-1969

Clinton County Intrepid Usa Healthcare Services 723 Burkesville Rd Albany, KY 42602 (606) 387-6954 Lifeline Home Health Care of Somerset Ll 96 Foothills Ave Albany, KY 42602 (606) 387-8131

Cumberland County Lifeline Home Health Care of Somerset Ll 349 Keen St Burkesville, KY 42717 (270) 864-3348

Daviess County Community Health Services INC 726 Harvard St Owensboro, KY 42301 (270) 685-4663 Green River District Home Health 1600 Breckenridge St Owensboro, KY 42303 (270) 686-7747 Lifeline Home Health of Bowling Green Ll 810 Princeton Pkwy Ste A Owensboro, KY 42301 (270) 685-5764

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Pro-Care Home Health - Ohio County 1030 Burlew Blvd Owensboro, KY 42303 (270) 885-1211

Estill County Lourdes Home Care 2855 Jackson St Irvine, KY 40336 (270) 444-2444 Mepco Home Health Agency 920 Richmond Rd Irvine, KY 40336

Fayette County Amedisys Home Health Care-Lexington 230 Lexington Grn Cir Ste 100 Lexington, KY 40503 Caretenders 2432 Regency Rd Ste 150 Lexington, KY 40503 (859) 276-5369 5008 Atwood Dr Ste 1 Lexington, KY 40575 (859) 625-9874 Central Baptist Hospital Home Health Age 1740 Nicholasville Rd Lexington, KY 40503 (859) 260-6100 Deaconess Home Care 2025 Regency Rd Lexington, KY 40503 (859) 977-8000 Lifeline Home Health Care of Lexington L 161 N Eagle Creek Dr Ste 200 Lexington, KY 40509 (859) 272-9787 Nurses Registry and Home Health 1420 N Broadway Lexington, KY 40505 (859) 255-4411

St Joseph Anc Home Care Services LLC 2464 Fortune Dr Ste 110 Lexington, KY 40509 (859) 277-5111

Floyd County Highlands Home Health 188 Collins Cir Prestonsburg, KY 41653 (606) 889-9967 McDowell ARH Home Health Agency 8535 KY Route 122 Minnie, KY 41651 (606) 377-3429

Franklin County Caretenders 101 Medical Heights Dr Ste O Frankfort, KY 40601 (502) 226-3537

Fulton County

Green County Lifeline Home Health Care of Somerset Ll 702 Columbia Hwy Greensburg, KY 42743 (270) 932-7813

Hardin County Caretenders 1105 Julianna Ct Ste 3 Elizabethtown, KY 42701 (502) 849-0050 Intrepid Usa Healthcare Services 2411 Ring Rd Ste 106 Elizabethtown, KY 42701 (270) 763-9242 Lifeline Home Health of Bowling Green Ll 2600 Ring Rd Elizabethtown, KY 42701 (270) 766-1353

Lifeline Home Health Care of Fulton 424 Lake St Fulton, KY 42041 (270) 472-2294

Lincoln Trail Home Health Agency 580d Westport Rd Elizabethtown, KY 42701 (270) 769-6630

Grant County

Harlan County

Personal Touch Home Care of Kentucky 118 S Main St Dry Ridge, KY 41035 (859) 824-7168

Cumberland Valley District Home Health 408 E Clover St Harlan, KY 40831 (606) 573-1545

Graves County

Harlan Arh 81 Ball Park Rd Harlan, KY 40831 (606) 573-8265

Intrepid Usa Healthcare Services 1025 Paducah Rd Mayfield, KY 42066 (270) 251-2001

Grayson County Intrepid Usa Healthcare Services 1609 Elizabethtown Rd Leitchfield, KY 42754 (270) 259-2994

Harrison County Wedco Home Health 302 Oddville Ave Cynthiana, KY 41031 (859) 234-8750 364 Oddville Ave Cynthiana, KY 41031 (859) 234-8750

Home Health

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WellCare of Kentucky Hart County

Jefferson County

Knott County

Madison County

Meade County

Lifeline Home Health of Bowling Green Ll 200 Interstate Plaza Rd Munfordville, KY 42765 (270) 524-0744

Baptist Hospital East Home Health Agency 6420 Dutchmans Pkwy Ste 360 Louisville, KY 40205 (502) 454-5656

Kentucky River District HHA 880 W Main St Hindman, KY 41822 (606) 785-3062

Mepco Home Health Agency 1001 Ace Dr Berea, KY 40403

Caretenders 1270 Oldekron Rd 3c Brandenburg, KY 40108 (270) 422-1271

Henderson County Fc of Kentucky INC Morganfield 201 Klutey Park Plaza Henderson, KY 42420 (270) 827-4842 Methodist Hospital Homecare 110 2nd St Henderson, KY 42420 (270) 869-1997 Pro-Care Home Health - Ohio County 812 N Green St Henderson, KY 42420 (270) 827-7777

Hopkins County Pro-Care Home Health - Ohio County 44 McCoy Ave Madisonville, KY 42431 (270) 825-9300 Regional Medical Center Home Health Agen 435 N Kentucky Ave Madisonville, KY 42431 (270) 824-3470

Caretenders 1169 Eastern Pkwy Ste 3323 Louisville, KY 40217 (502) 855-4400 4545 Bishop Ln Unit 200 Louisville, KY 40218 (502) 238-5150 9702 Stone St Rd Louisville, KY 40272 (502) 933-2785 Vna Nazareth Home Care 539 S 4th St Louisville, KY 40205 (502) 584-2456

Laurel County Professional Home Health Care Agency 4934 S Laurel Rd London, KY 40744 (606) 864-0724

Lawrence County Three Rivers Home Care 505 W Madison St Ste A Louisa, KY 41230

Lee County Kentucky River District HHA 45 Center St Beattyville, KY 41311 (606) 464-9066

Jessamine County

Leslie County

Lifeline Home Health Care of Lexington L 205 Fairfield Dr Nicholasville, KY 40356 (859) 887-5433

Kentucky River District HHA 78 Maple St Hyden, KY 41749 (606) 672-6172

Johnson County

Letcher County

900 Hospital Dr Madisonville, KY 42431 (270) 825-5100

Johnson Magoffin County Home Health Agen 630 James Trimble Blvd Paintsville, KY 41240 (606) 789-2596

Jackson County

Kenton County

Cumberland Valley District Home Health Us HWY 421 S, Lakewood Dr Mc Kee, KY 40447

Caretenders Vs of Central KY LLC 168 Barnwood Dr Ste A Edgewood, KY 41017 (859) 578-0022 Interim Healthcare 3005 Dixie HWY Ste 130 Edgewood, KY 41017 (859) 578-9191

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Whitesburg ARH Home Health Agency 240 Hospital Rd Whitesburg, KY 41858 (606) 633-3578

Lincoln County Lifeline Home Health Care of Somerset Ll 107 Metker Trl Ste B Stanford, KY 40484 (606) 365-9223

Logan County Pro-Care Home Health - Ohio County 1405 Nashville Rd Ste B Russellville, KY 42276 (270) 726-3487

216 Boggs Ln Richmond, KY 40475 (859) 626-4509

Magoffin County Johnson Magoffin County Home Health Agen 282 W Maple St Salyersville, KY 41465 (606) 789-2596

Marion County Intrepid Usa Healthcare Services 259 W Walnut St Lebanon, KY 40033 (270) 692-0550 Lincoln Trail Home Health Agency 516 N Spalding Ave Lebanon, KY 40033 (270) 692-9705

Martin County Martin County Home Health 1054 E Main St Inez, KY 41224 (606) 298-7748

Mason County Hayswood Home Health 1 W McDonald Pkwy Ste 3c Maysville, KY 41056 (606) 564-9481 Personal Touch Home Care of Kentucky 124 Market St Maysville, KY 41056

McCreary County Lifeline Home Health Care of Somerset Ll 56 Medical Ln Whitley City, KY 42653 (606) 376-5400

Monroe County Monroe County Med Ctr Home Health Agency 417 Capp Harlan Rd Tompkinsville, KY 42167 (270) 487-8757

Morgan County Morgan Co ARH Home Health Agency 493 Main St West Liberty, KY 41472 (606) 743-4371

Nelson County Caretenders 935a Chanbers Blvd #3 Bardstown, KY 40004 (270) 234-2273 Intrepid Usa Healthcare Services 700 Portland Ave Ste C Bardstown, KY 40004 (502) 349-1944

Nicholas County Wedco Home Health 2320 Concrete Rd Carlisle, KY 40311 (859) 289-7000

Ohio County Pro-Care Home Health - Ohio County 122 W Union St Hartford, KY 42347 (270) 298-3112

Oldham County Caretenders 2206 Commerce Pkwy Ste A Lagrange, KY 40031 (502) 225-5838

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WellCare of Kentucky Owen County

Pulaski County

Taylor County

Three Rivers District Home Health Agency 501 S Main St Owenton, KY 40359 (502) 484-3412

Intrepid Usa Healthcare Services 1406 S HWY 27 Ste B Somerset, KY 42501 (606) 679-7439

Owsley County

Lifeline Home Health Care of Somerset Ll 600 1/2 Clifty St Ste 2 & 3 Somerset, KY 42503 (606) 679-9245

Lifeline Home Health Care of Somerset Ll 200 Nancy Cox Dr Campbellsville, KY 42718 (270) 465-2266

Kentucky River District HHA 501 HWY 28 Booneville, KY 41314 (606) 539-7082

Perry County Hazard ARH Home Health Agency 100 Airport Gardens Rd Hazard, KY 41701 (606) 439-6955

Pike County Home Care Health Services 1414 S Mayo Trl Pikeville, KY 41501 (606) 432-2111 Pike County ARH Home Health Agency 247 S Mayo Trl Pikeville, KY 41501 (606) 437-0060 260 Hospital Dr South Williamson, KY 41503 (606) 437-0060 Pikeville Medical Center INC 1370 S Mayo Trl Pikeville, KY 41501 (606) 218-4570

Powell County Mepco Home Health Agency 103 Even St Stanton, KY 40380

Rockcastle County Cumberland Valley District Home Health 211 Industrial Park Rd Mount Vernon, KY 40456

Rowan County St Claire Homecare 135 N Hargis Ave Morehead, KY 40351 (606) 783-6815

Russell County Lifeline Home Health Care of Somerset Ll 124 Dowell Rd Ste 105, Medical Arts Bldg Russell Springs, KY 42642 (270) 866-4100

Scott County Wedco Home Health 300 E Washington St Georgetown, KY 40324 (502) 863-9738

Simpson County Lifeline Home Health of Bowling Green Ll 1004 Brookhaven Dr Franklin, KY 42134 (270) 586-0141

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Union County Fc of Kentucky INC Morganfield 1381 US Highway 60 West Morganfield, KY 42437 (270) 389-4551

Warren County Lifeline Home Health of Bowling Green Ll 165 Natchez Trace Ave Ste 206 Bowling Green, KY 42103 (270) 781-0702 Pro-Care Home Health - Ohio County 1203 Ashley Cir Bowling Green, KY 42104 (270) 846-1555 The Medical Center Home Care EPSDT 1953 Scottsville Rd Ste 200 Bowling Green, KY 42104 (270) 745-1006

Wayne County Lifeline Home Health Care of Somerset Ll 1 S Creek Dr Ste 118 Monticello, KY 42633 (606) 348-6000

Whitley County Amedisys Home Health Care-Corbin 14 Moonbow Plaza Ste 101 Corbin, KY 40701

Whitley County Home Health Agency 114 N 2nd St Williamsburg, KY 40769 (606) 549-0886

Wolfe County Kentucky River District HHA 145 Old HWY 15 Campton, KY 41301 (606) 668-3333

Ohio Childrens Hos Med Ctr 3333 Burnet Ave Cincinnati, OH 45229 (513) 636-4427 The Visiting Nurse Associate 2400 Reading Rd Cincinnati, OH 45202 (513) 345-8042

Hospice Kentucky Boyd County Community Hospice INC 1538 Central Ave Ashland, KY 41101 (606) 329-1890

Boyle County Heritage Hospice INC 120 Enterprise Dr Danville, KY 40422 (859) 236-2425

Clark County Hospice East INC 407 Shoppers Dr Winchester, KY 40391 (859) 744-9866

Daviess County Hospice & Palliative Care of Ohio Valley 3419 Wathens Xing Owensboro, KY 42301 (270) 926-7565

Fayette County Hospice of The Bluegrass INC 2312 Alexandria Dr Lexington, KY 40504 (859) 276-5344

Hardin County Hosparus INC 105 Diecks Dr Elizabethtown, KY 42701 (270) 737-6300

Henderson County Lucy Smith King Care Center 1305 N Elm St Henderson, KY 42420 (270) 826-2326

Jefferson County Hosparus INC 315 E Broadway 6th Floor Louisville, KY 40202 (502) 629-3600 3532 Ephraim McDowell Dr Louisville, KY 40205 (502) 456-6200

Johnson County Appalachian Hospice Care INC 1520 KY Route 1428 Hagerhill, KY 41222 (606) 432-2112

Madison County Hospice Care Plus INC 208 Kidd Dr Berea, KY 40403 (859) 986-1500

Mason County Hospice of Hope INC 909 Kenton Station Dr Maysville, KY 41056 (606) 759-4050

Home Health

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WellCare of Kentucky McCracken County

Warren County

Boyle County

Lourdes Hospice 2855 Jackson St Paducah, KY 42003 (270) 415-3636

Hosparus INC 101 Riverwood Ave Ste B Bowling Green, KY 42103 (270) 782-7258

Therapy Outside The Box 461 South Fourth St Danville, KY 40422 (859) 236-6600

Nelson County Hospice of Nelson County 111 N Third St Bardstown, KY 40004 (502) 350-5570

Perry County Mountain Community Hospice 101 Dennis Sandlin Md Cv Hazard, KY 41701

Pike County Appalachian Hospice Care INC 1414 S Mayo Trl Pikeville, KY 41501 (606) 432-2112

Pulaski County Hospice of Lake Cumberland 100 Parkway Dr Somerset, KY 42503 (606) 679-4389

Rowan County St Claire Medical Homecare Hospice 201 Lyons Ave Morehead, KY 40351 (606) 783-6812

Shelby County Hosparus INC 540 Main St Shelbyville, KY 40065 (502) 647-2400

Taylor County Hosparus INC Green River Plaza Ste 5 295 Campbellsville Bypass Campbellsville, KY 42718 (270) 789-4247

Hospice of Southern Kentucky INC 5873 Scottsville Rd Bowling Green, KY 42104 (270) 782-3402

Breathitt County Labcorp of America Holdings 95 Jackson Hts Ste 101 Jackson, KY 41339 (606) 666-8103

Laboratory

Bullitt County

Kentucky

Labcorp of America Holdings 1905 Hebron Ln Ste 102 Jewish Hosp Health Ctr South Shepherdsville, KY 40165 (502) 957-6222

Barren County Southern Medical Laboratories 1407 N Race St Ste 3 Glasgow, KY 42141 (270) 651-2989

Bell County Labcorp of America Holdings 123 N 19th St Middlesboro, KY 40965 (606) 248-4226

Boone County Quest Diagnostics Clinical Lab 7370 Turfway Rd Ste 170 Florence, KY 41042 (859) 283-0692

Bourbon County Quest Diagnostics Clinical Lab 2017 Main St Paris, KY 40361 (859) 987-1665

Boyd County Quest Diagnostics Clinical Lab 1200 Bath Ave Ste 140 Ashland, KY 41101 (606) 326-0260

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Daviess County Labcorp of America Holdings 922 Triplett St Ste 10 Owensboro, KY 42303 (270) 684-2388 Mayfair Laboratory LLC 2315 Mayfair Dr Owensboro, KY 42301 (270) 684-6242

Tristate Medical Lab 2754 Veach Rd Owensboro, KY 42303 (270) 852-7771

Fayette County Labcorp of America Holdings 1401 Harrodsburg Rd Ste B195 Lexington, KY 40504 (859) 276-0432 330 Waller Ave Ste 225 Lexington, KY 40504 (859) 226-0754 120 N Eagle Creek Dr Ste 260 Lexington, KY 40509 (859) 543-4105 1000 Monarch St Ste 180 Lexington, KY 40513 (859) 277-9561 Quest Diagnostics Clinical Lab 141 N Eagle Creek Dr Lexington, KY 40509 (859) 294-0043 989 Governors Ln Ste 140 Lexington, KY 40513 (859) 276-2548

Floyd County

Quest Diagnostics Clinical Lab 2200 E Parrish Ave Bldg A Owensboro, KY 42303 (270) 926-2273

Labcorp of America Holdings 400 University Dr Ste 205 Prestonsburg, KY 41653 (606) 886-6342

2200 E Parrish Ave Ste 102 Owensboro, KY 42303 (270) 683-7991

Franklin County

The Springs Medical Laboratory LLC 2200 E Parrish Ave Ste 102 Owensboro, KY 42303 (270) 683-7991

Labcorp of America Holdings 101 Medical Heights Dr Ste G Frankfort, KY 40601 (502) 223-3060

Hardin County Quest Diagnostics Clinical Lab 2410 Ring Rd Elizabethtown, KY 42701 (270) 737-2273 2412 Ring Rd Elizabethtown, KY 42701 (270) 737-2273

Hopkins County Multicare Laboratory Multicare Specialis 444 S Main St Madisonville, KY 42431 (270) 821-4444

Jefferson County Labcorp of America Holdings 310 E Broadway Louisville, KY 40202 (502) 589-2646 3901 Dutchmans Ln Ste 106 Gould's Louisville, KY 40207 (502) 895-5141 4130 Dutchmans Ln Ste 102 Louisville, KY 40207 (502) 893-1389 215 Central Ave Ste 201 Louisville, KY 40208 (502) 637-1127 4500 Conaem Dr Louisville, KY 40213 5601 S 3rd St Bsmt Louisville, KY 40214 (502) 368-9953 1169 Eastern Pkwy Ste G10 Louisville, KY 40217 (502) 451-1879 3430 Newburg Rd Ste 110 Louisville, KY 40218 (502) 473-8535

Hospice

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WellCare of Kentucky 130 Evergreen Rd Ste 103 Louisville, KY 40243 (502) 244-4833 10216 Taylorsville Rd Ste 750 Louisville, KY 40299 (502) 267-8751 Pca Southeast 4040 Dutchmans Ln Ste A Louisville, KY 40207 (931) 388-0777 Quest Diagnostics Clinical Lab 6400 Dutchmans Pkwy Ste 155 Louisville, KY 40205 (502) 893-7972 3920 Dutchmans Ln Louisville, KY 40207 (502) 259-6200 1169 Eastern Pkwy Ste 2343 Louisville, KY 40217 (502) 452-1561 2401 Terra Crossing Blvd Louisville, KY 40245 (502) 210-4230 6801 Dixie Hwy Louisville, KY 40258 (502) 937-5687 9700 Stonestreet Rd Louisville, KY 40272 (502) 995-2490 University of Louisville Lab 401 E Chestnut St Louisville, KY 40202 (502) 813-6270

Kenton County Labcorp of America Holdings 500 Thomas More Pkwy Ste 8 Fort Mitchell, KY 41017 (859) 331-1373

Quest Diagnostics Clinical Lab 2616 Legends Way Ste B Crestview Hills, KY 41017 (859) 344-1180 1 Medical Village Dr Edgewood, KY 41017 (859) 344-2170

Laurel County Labcorp of America Holdings 202 W 7th St London, KY 40741 (606) 864-9427 803 Meyers Baker Rd Ste 140 London, KY 40741 (606) 330-0498

Logan County Quest Diagnostics Clinical Lab 1625 S Nashville Rd Russellville, KY 42276 (270) 725-4540

Marion County Labcorp of America Holdings 330 Loretto Rd Lebanon, KY 40033 (270) 692-1568

Marshall County Labcorp of America Holdings 83 Wellness Way Ste B Regional Med Assoc Bldg Benton, KY 42025 (270) 527-0442

Mason County Labcorp of America Holdings 910 Kenton Station Dr Maysville, KY 41056 (606) 759-0689

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

McCracken County

Nelson County

Russell County

Labcorp of America Holdings 225 Medical Center Dr Ste 408 Lourdes Medical Pavilion Paducah, KY 42003 (270) 441-7480

Labcorp of America Holdings 703 McDowell Blvd Ste 201 Bardstown, KY 40004 (502) 349-0984

Quest Diagnostics Clinical Lab 153 Dowell Rd Russell Springs, KY 42642 (270) 866-4141

Quest Diagnostics Clinical Lab 118 Patriot Dr Ste 102 Bardstown, KY 40004 (502) 350-1022

Whitley County

2301 Kentucky Ave Paducah, KY 42003 (270) 443-7466

Metcalfe County Quest Diagnostics Clinical Lab 1704 W Stockton St Ste D Edmonton, KY 42129 (270) 432-2161

Monroe County Monroe County Medical Ctr Reference Lab 529 Capp Harlan Rd Tompkinsville, KY 42167 (270) 487-9231

Montgomery County Labcorp of America Holdings 250 Foxglove Dr Ste 4 Mount Sterling, KY 40353 (859) 498-3645 Quest Diagnostics Clinical Lab 805 Alexa Dr Ste B Mount Sterling, KY 40353 (859) 498-6859

Muhlenberg County Quest Diagnostics Clinical Lab 440 Hopkinsville St Greenville, KY 42345 (270) 338-8363

919 Chambers Blvd Ste E Bardstown, KY 40004 (502) 331-9574

Oldham County Quest Diagnostics Clinical Lab 111 E Adams St La Grange, KY 40031 (502) 222-0246

Pike County Labcorp of America Holdings 255 Church St Ste 104 Pikeville, KY 41501 (606) 433-1333 387 Town Mountain Rd Ste 203 Pikeville, KY 41501 (606) 432-1266

Pulaski County Cumberland Medical Laboratories INC 401 Bogle St Ste 205 Somerset, KY 42503 (606) 678-8800 Labcorp of America Holdings 340 Bogle St Ste 103 Somerset, KY 42503 (606) 451-0459

Quest Diagnostics Clinical Lab 1321 Cumberland Falls Hwy Corbin, KY 40701 (606) 526-0032

Alabama Labcorp of America Holdings 1801 1st Ave S Birmingham, AL 35233

Arizona Quest Diagnostics Clinical Lab 1255 W Washington St Tempe, AZ 85281 (602) 685-5000

California 33608 Ortega Hwy Mission Viejo, CA 92690 (800) 642-4657

Connecticut Labcorp of America Holdings 4750 Main St Bridgeport, CT 6606 (203) 371-0674 87 Sand Pit Rd Danbury, CT 6810 (203) 798-1854 2440 Whitney Ave Ste 2 Hamden, CT 6518 (203) 230-8249 12 Case St Ste 302 Norwich, CT 6360 (860) 886-0121 1290 Summer St Ste 5100 Stamford, CT 6905 (203) 325-2826 Laboratory

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WellCare of Kentucky 1068 W Main St Waterbury, CT 6708 (203) 574-1344

299 Seymour Ave Derby, CT 6418 (877) 868-2191

2543 Dixwell Ave Hamden, CT 6514 (877) 868-2191

12 Coogan Blvd Mystic, CT 6355 (877) 868-2191

929 Boston Post Rd Old Saybrook, CT 6475 (877) 868-2191

Quest Diagnostics Clinical Lab 158 Main St Ansonia, CT 6401 (203) 949-1260

477 Connecticut Blvd Ste 213 East Hartford, CT 6108 (877) 868-2191

2200 Whitney Ave Ste 210 Hamden, CT 6518 (203) 949-1260

40 Hart St Bldg C New Britain, CT 6052 (877) 868-2191

37 S Broad St Pawcatuck, CT 6379 (877) 868-2191

190 Main St East Haven, CT 6512 (203) 949-1260

3000 Dixwell Ave Hamden, CT 6518 (203) 949-1260

60 Temple St Temple Medical Bldg New Haven, CT 6510 (203) 949-1260

166 Waterbury Rd Prospect, CT 6712 (877) 868-2191

302 Flanders Rd East Lyme, CT 6333 (877) 868-2191

19 Woodland St Ste 14 Hartford, CT 6105 (877) 868-2191

136 Sherman Ave Ste 02 New Haven, CT 6511 (203) 949-1260

15 Palomba Dr Enfield, CT 6082 (877) 868-2191

100 Retreat Ave Hartford, CT 6106 (877) 868-2191

200 Orchard St New Haven, CT 6511 (203) 949-1260

54 Hazard Ave Enfield, CT 6082 (877) 868-2191

151 Farmington Ave Hartford, CT 6156 (877) 868-2191

2 Church St S Ste 115 New Haven, CT 6519 (203) 949-1260

7 Wildwood Wildwood Medical Bldg Essex, CT 6426 (877) 868-2191

11 Woodland Rd Madison, CT 6443 (877) 868-2191

721 Bank St New London, CT 6320 (877) 868-2191

555 Main St Manchester, CT 6040 (877) 868-2191

120 Park Ln New Milford, CT 6776 (877) 868-2191

135d Storrs Rd Mansfield Center, CT 6250 (877) 868-2191

955 Mains T Newington, CT 6111 (877) 868-2191

54 W Avon Rd Avon, CT 6001 (877) 868-2191 83b Stony Hill Rd Bethel, CT 6801 (877) 868-2191 701 Cottage Grove Rd Bldg B Ste 130 Bloomfield, CT 6002 (877) 868-2191 1008 Main St Branford, CT 6405 (203) 949-1260 144 N Main St Branford, CT 6405 (203) 949-1260 2660 Main St Bridgeport, CT 6606 (877) 868-2191 3180 Main St Beechmont Bldg Bridgeport, CT 6606 (877) 868-2191 4695 Main St Bridgeport, CT 6606 (877) 868-2191 1450 Barnum Ave Bridgeport, CT 6610 (877) 868-2191 935 Farmington Ave Bristol, CT 6010 (877) 868-2191 673 S Main St Cheshire, CT 6410 (877) 868-2191 7 Germantown Rd Danbury, CT 6810 (877) 868-2191 557 Post Rd Darien, CT 6820 (877) 868-2191

1305 Post Rd Ste 101 Fairfield, CT 6824 (877) 868-2191 2150 Black Rock Tpke Fairfield, CT 6825 (877) 868-2191 399 Farmington Ave Farmington, CT 6032 (877) 868-2191 131 New London Tpke Glastonbury, CT 6033 (877) 868-2191 320b Western Blvd Glastonbury, CT 6033 (877) 868-2191 2 1/2 Dearfield Dr Greenwich, CT 6831 (877) 868-2191 85 Poheganut Dr Groton, CT 6340 (877) 868-2191 669 Boston Post Rd Guilford, CT 6437 (877) 868-2191

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

3-5 E Hampton Rd Unit 8 Marlborough, CT 6447 (877) 868-2191 816 Broad St Ste 22 Meriden, CT 6450 (203) 949-1260 1000 Middle St Rm 6 Middletown, CT 6457 (877) 868-2191 400 Saybrook Rd Middletown, CT 6457 (877) 868-2191 2044 Bridgeport Ave Milford, CT 6460 (877) 868-2191 88 Noble Ave Milford, CT 6460 (877) 868-2191

228 S Main St Sandhill Plaza Newtown, CT 6470 (877) 868-2191 12 Village St Ste 103 North Haven, CT 6473 (203) 949-1260 148 East Ave Norwalk, CT 6851 (877) 868-2191 40 Cross St Norwalk, CT 6851 (877) 868-2191 91 East Ave Norwalk, CT 6851 (877) 868-2191 118 New London Tpke Norwich, CT 6360 (877) 868-2191

38a Grove St Ridgefield, CT 6877 (877) 868-2191 1 Far Mill Xing Shelton, CT 6484 (800) 522-8378 515 Bridgeport Ave Shelton, CT 6484 (877) 868-2191 381 Hopmeadow St Simsbury, CT 6070 (877) 868-2191 1735 Ellington Rd South Windsor, CT 6074 (877) 868-2191 385 Main St S Southbury, CT 6488 (877) 868-2191 55 Meriden Ave Ste 1f Southington, CT 6489 (877) 868-2191 80 Mill River St Stamford, CT 6902 (877) 868-2191 1250 Summer St Ste 203 Stamford, CT 6905 (877) 868-2191 30 Buxton Farm Rd Stamford, CT 6905 (877) 868-2191 2890 Main St Stratford, CT 6614 (877) 868-2191 555 Lordship Blvd Stratford, CT 6615 (203) 949-1260 130 S Main St Thomaston, CT 6787 (877) 868-2191 Laboratory

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WellCare of Kentucky 30 Peck Rd Torrington, CT 6790 (877) 868-2191

465 Silas Deane Hwy Wethersfield, CT 6109 (877) 868-2191

115 Technology Dr Trumbull, CT 6611 (877) 868-2191

2 Concorde Way Ste 3a Windsor Locks, CT 6096 (877) 868-2191

5520 Park Ave Trumbull, CT 6611 (877) 868-2191

74 Mack St Windsor, CT 6095 (877) 868-2191

888 White Plains Rd Trumbull, CT 6611 (877) 868-2191

Florida

45 S Main St Unionville, CT 6085 (877) 868-2191 352 Hartford Tpke Vernon Rockville, CT 6066 (877) 868-2191 15 S Elm St Wallingford, CT 6492 (203) 949-1260 850 N Main St Wallingford, CT 6492 (203) 949-1260 2457 E Main St Waterbury, CT 6705 (877) 868-2191 1389 W Main St Ste 125 Waterbury, CT 6708 (877) 868-2191 60 Westwood Ave Waterbury, CT 6708 (877) 868-2191 970 Farmington Ave West Hartford, CT 6107 (877) 868-2191 345 N Main St West Hartford, CT 6117 (877) 868-2191 385 Main St West Haven, CT 6516 (203) 949-1260 687 Campbell Ave West Haven, CT 6516 (203) 949-1260

Labcorp of America Holdings 3411 Bonita Beach Rd Bonita Spgs, FL 34134

9550 Bonita Beach Rd Unit 107 Bonita Springs, FL 34135 (239) 444-1916 2240 Woolbright Rd Ste 404 Boynton Beach, FL 33426 (561) 742-9109 115 Manatee Ave W Bradenton, FL 34205 (941) 748-3392

12700 Westlinks Dr Fort Myers, FL 33913

2010 59th St W Ste 1100 Bradenton, FL 34209 (941) 761-9111

4200 N 29th Ave Hollywood, FL 33020 (954) 925-6100

1946 E HWY Rte 60 Brandon, FL 33511 (813) 651-0838

3001 W Dr Martin Luther King Jr Blvd Tampa, FL 33607

710 Oakfield Dr Ste 120 Brandon, FL 33511 (813) 657-4831

Quest Diagnostics Clinical Lab 139 12th St Apalachicola, FL 32320 (850) 653-2111

2721 Del Prado Blvd Ste 230a Cape Coral, FL 33904 (239) 458-6623

2200 Osprey Blvd Bartow, FL 33831 (863) 519-1470 1201 E Main St Belle Glade, FL 33430 (561) 996-6571 9070 Kimberly Blvd Ste 22 Boca Raton, FL 33434 (561) 241-1898 951 Nw 13th St Ste 4b Boca Raton, FL 33486 (561) 392-5351 24810 Burnt Pine Dr Ste 3 Bonita Springs, FL 34134 (239) 948-1331

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

6199 Gulf To Lake Hwy Crystal River, FL 34429 (352) 795-0020

3660 Central Ave Fort Myers, FL 33901 (239) 936-4855

9030 W Ft Is Trl Bldg 10 Crystal River, FL 34429 (352) 795-0020

15740 New Hampshire Ct Ste A Fort Myers, FL 33908 (239) 267-0716

2217 N Boulevard W Ste B Davenport, FL 33837 (863) 422-0839 1673 Mason Ave Ste 104 Daytona Beach, FL 32117 (386) 274-2797 1806 W Hillsboro Blvd Store 1806-10 Deerfield Beach, FL 33442 (954) 571-6620 121 W Plymouth Ave Ste B Deland, FL 32720 (386) 734-7167 750 W Plymouth Ste B Deland, FL 32720 (386) 734-7167

105 5th St E Carrabelle, FL 32322 (850) 697-4121

16244 Military Trl Ste 750 Delray Beach, FL 33484 (561) 495-1959

409 High St Chattahoochee, FL 32324 (850) 663-5020

346 N Ridgewood Ave Ste B Edgewater, FL 32132 (386) 428-0932

1219 Cleveland St Clearwater, FL 33755 (727) 461-3449

1500 Placida Rd Unit F-1 Englewood, FL 34223 (941) 460-2780

245 Citrus Tower Blvd Ste 203 Clermont, FL 34711 (352) 243-4711

2130 Prevatt St Ste B Eustis, FL 32726 (352) 357-5725

10174 W Sample Rd Coral Springs, FL 33065 (954) 757-1850

720 N Bay St Ste 10 Eustis, FL 32726 (352) 483-1046

550 W Redstone Ave Ste 200 Crestview, FL 32536 (850) 682-6122

1411 S 14th St Ste K Fernandina, FL 32034 (904) 321-1480

13691 Metropolis Ave Fort Myers, FL 33912 (239) 561-0001 1803 S 25th St Ste 5 Fort Pierce, FL 34947 (561) 460-1160 348 Miracle Strip Pkwy Sw Ste 29 Fort Walton Beach, FL 32548 (850) 796-3620 2021 E Commercial Blvd Ste 301 Ft Lauderdale, FL 33308 (954) 267-0618 429 Sw 8th St Gainesville, FL 32601 (352) 372-0609 6628 Nw 9th Blvd # 2 Gainesville, FL 32605 (352) 332-2916 777 E 25th St Ste 200 Hialeah, FL 33013 (305) 691-7856 7100 W 20th Ave Ste 201 Hialeah, FL 33016 (305) 826-2788 3700 Washington St Ste 102 Hollywood, FL 33021 (954) 966-6166 4030a Sheridan St Hollywood, FL 33021 (954) 985-3889 950 N Krome Ave Ste 230 Homestead, FL 33030 (888) 277-8772 7414 Community Ct Hudson, FL 34667 (727) 862-0911 Laboratory

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WellCare of Kentucky 210 S Apopka Ave Inverness, FL 34452 (352) 637-1020 1950 3rd St S Jacksonville Beach, FL 32250 (904) 241-4990 4509-009 St Johns Ave Jacksonville, FL 32210 (904) 388-8404 3636 University Blvd S Jacksonville, FL 32216 (904) 733-0551 6271 Saint Augustine Rd Ste 25 Jacksonville, FL 32217 (904) 730-9129 2255 Dunn Ave Ste 202 Jacksonville, FL 32218 (904) 696-9812 11701 San Jose Blvd Ste 102 Jacksonville, FL 32223 (904) 880-0517 221 S Alabama St Jay, FL 32565 (850) 675-8028 175 Toney Penna Dr Ste 100 Jupiter, FL 33458 (561) 743-3391 4600 N Military Tr Jupiter, FL 33458 (561) 526-9120 403 W Oak St Kissimmee, FL 34741 (407) 933-4600 413 W Oak St Kissimmee, FL 34741 (407) 933-4600 2238 E Irlo Bronson Memorial Hwy Kissimmee, FL 34744 (407) 932-3991 121 Lagrande Blvd Ste C Lady Lake, FL 32159 (352) 750-0090

5950 Berryhill Rd Milton, FL 32570 (850) 626-5952

10125 W Colonial Dr Ste 218 Ocoee, FL 34761 (407) 294-0348

365 S Marion Ave Ste 105 Lake City, FL 32055 (386) 755-0249

1355 S Hickory St Ste 104 Melbourne, FL 32901 (321) 724-4330

2500 W Lake Mary Blvd Ste 210 Lake Mary, FL 32746 (407) 321-5382

1515 Elizabeth St Melbourne, FL 32901 (321) 724-4330

1012 Goodlette Rd N Ste 101 Naples, FL 34102 (941) 643-7707

190 Fortenberry Rd Merritt Island, FL 32952 (321) 453-4794

11181 Health Park Blvd Naples, FL 34110 (239) 592-5620

830 Commed Blvd Ste B Orange City, FL 32763 (386) 774-8035

333 W 41st St Ste 414 Miami Beach, FL 33140 (305) 672-2366

8888 Navarre Pkwy Navarre, FL 32566 (850) 939-4888

2750 W 68th St Ste 225-226 Miami Lakes, FL 33016 (305) 820-9678

6014 US HWY 19 Ste 402 New Port Richey, FL 34652 (727) 848-1073

1680 Eagle Harbor Pkwy Ste B Orange Park, FL 32003 (904) 269-1176

2035 State Road 60 E Lake Wales, FL 33898 (863) 676-2501 1925 E Edgewood Dr Ste 103 Lakeland, FL 33803 (863) 682-7740 3131 Lakeland Hills Blvd Ste 4 Lakeland, FL 33805 (863) 682-4400 2025 Indian Rocks Rd Largo, FL 33774 (727) 586-7158 101 S 11th St Ste 2 Leesburg, FL 34748 (352) 787-5721 801 E Dixie Ave Ste 105a Leesburg, FL 34748 (352) 787-9006 1310 Homestead Rd N Lehigh Acres, FL 33936 (239) 368-0235 1060 W State Road 434 Ste 100 Longwood, FL 32750 (407) 260-5296 210 St Marion St Madison, FL 32340 (850) 973-2271 541 E Horatio Ave Maitland, FL 32751 (407) 647-5500 335 Pineda Ct Ste 105 Malabar, FL 32950 (321) 259-3813 5503 S Congress Ave Ste 202 Manalapan, FL 33462 (561) 433-2399

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

747 Ponce De Leon Blvd Ste 303 Miami, FL 33134 (786) 552-6843 1475 Nw 12th Ave Ste C030 Miami, FL 33136 (305) 545-6398 5761 Sw 40th St Ste C Miami, FL 33155 (305) 668-3601 9200 S Dadeland Blvd Ste 100 Miami, FL 33156 (305) 670-0632 11257 Sw 152nd St Miami, FL 33157 (305) 969-3944 11485 Sw 40th St Unit 70 Miami, FL 33165 (866) 286-7100 10521 N Kendall Dr Ste E105 Miami, FL 33176 (305) 595-6745 11410 N Kendall Dr Ste 107-109 Miami, FL 33176 (305) 412-7324

4554 E HWY 20 Niceville, FL 32578 (850) 897-3672 100 Nw 170th St Ste 204 North Miami Beach, FL 33169 (305) 652-1648 1739 E Commercial Blvd Oakland Park, FL 33334 (954) 771-7083 2910 Se 3rd Ct Ste B Ocala, FL 34471 (352) 351-9244 303 Se 17th St Ste 101a Ocala, FL 34471 (352) 732-3060 303 Se17th St Ste101a Ocala, FL 34471 (352) 732-3060 103rd St Plaza Ste J Ocala, FL 34481 (352) 873-9044 8602 Sw Sr 200 Ocala, FL 34481 (352) 873-9044 8602 Sw State Rd 200 Ste J Ocala, FL 34481 (352) 873-9044

212 Ne 29th Dr Okeechobee, FL 34972 (863) 763-6372

2021 Kingsley Ave Ste 109 Orange Park, FL 32073 (904) 272-3392 1900 N Mills Ave Ste 102 Orlando, FL 32803 (407) 898-3243 324 E Par Ave Ste 100 Orlando, FL 32804 (407) 896-1793 1405 S Orange Ave Ste 102 Orlando, FL 32806 (407) 422-4218 1700 Lucerne Ter Orlando, FL 32806 (407) 425-8873 7520 Commerce Center Dr Orlando, FL 32819 (407) 345-1512 9350 Turkey Lake Rd Ste 200 Orlando, FL 32819 (407) 370-2139 5575 S Semoran Blvd Ste 501 Orlando, FL 32822 (407) 249-2118 2000 N Alafaya Trl Ste 100 Orlando, FL 32826 (407) 249-1032

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WellCare of Kentucky 1603 Hiawassee Rd Ste 120 Orlando, FL 32835 (407) 292-3717

418 E Gregory St Ste 300 Pensacola, FL 32501 (850) 429-1544

14050 Townloop Ctr B1 W Orlando, FL 32837 (407) 854-3304

4700 Bayou Blvd Ste 2c Pensacola, FL 32503 (850) 476-7135

802 Sterthaus Ave Ste B Ormond Beach, FL 32174 (386) 673-5693 1950 W Sr 426 Ste 108 Oviedo, FL 32765 (407) 977-2098 205 Zeagler Dr Ste 201 Palatka, FL 32177 (386) 328-0496 3365 Burns Rd Ste 211 Palm Bch Gdns, FL 33410 (561) 624-9315 3385 Burns Rd Ste 205 Palm Bch Gdns, FL 33410 (561) 691-9995 31846 US Highway 19 N Palm Harbor, FL 34684 (727) 786-7954 1630 S Congress Ave Ste 203 Palm Springs, FL 33461 (561) 439-0176 625 W Baldwin Panama City, FL 32405 (850) 913-0006 12215 Pembroke Rd Pembroke Pines, FL 33025 (954) 443-4312 17900 Nw 5th St Ste 101 Pembroke Pines, FL 33029 (954) 433-7474 1110 Gulf Breeze Pkwy Pensacola Beach, FL 32561 (850) 934-2140

4900 Bayou Blvd Ste 114 Pensacola, FL 32503 (850) 476-7135 1409 Thonotosassa Rd Plant City, FL 33566 (813) 659-8877 7451 Nw 4th St Plantation, FL 33317 (954) 327-1603 100 Nw 82nd Ave Ste 404 Plantation, FL 33324 (954) 236-0484 8130 Roal Palm Blvd Ste 200 Pompano Beach, FL 33065 (954) 757-4983 2484 Caring Way Unit E Port Charlotte, FL 33952 (941) 624-5055 4161 Tamiami Trail Bldg 6 Ste 601 Port Charlotte, FL 33952 (941) 624-0632 851 Dunlawton Ave Ste 102 Port Orange, FL 32127 (386) 760-0500 7515 State Rd 52 Ste 103 Port Richey, FL 34667 (727) 861-1608 204 Monument Ave Port Saint Joe, FL 32456 (850) 227-1030

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

1405 Se Goldtree Dr Ste E Port Saint Lucie, FL 34952 (772) 398-8019 23186 Blue Star Hwy Quincy, FL 32351 (850) 875-1100 10397 Southern Blvd Royal Palm Beach, FL 33411 (561) 753-9534 3824 State Road Ste 674 Ruskin, FL 33573 (813) 633-7603 6800 Gulfport Blvd S Ste 115 S Pasadena, FL 33707 (727) 384-3663 4475 US HWY 1 S Ste 702 Saint Augustine, FL 32086 (904) 797-5250 2900 17th St Ste A Saint Cloud, FL 34769 (407) 891-0341 3501 Cattlemen Rd Ste D Sarasota, FL 34232 (941) 341-9806 1901 Floyd St Ste 303 Sarasota, FL 34239 (941) 365-4474 2650 Bahia Vista St Ste 205 Sarasota, FL 34239 (941) 365-5345 8451 Shade Ave Ste 106 Sarasota, FL 34243 (941) 351-9876 13850 US HWY 1 Sebastian, FL 32958 (772) 581-3366 6801 US HWY 27 N Ste D2 Sebring, FL 33870 (863) 385-5063

7161 Seminole Blvd Seminole, FL 33772 (727) 398-0803

7710 Nw 71st Ct Ste 300 Tamarac, FL 33321 (954) 722-0386

9303 Seminole Blvd Seminole, FL 33772 (727) 398-0803

4150 N Armenia Ave Ste 101 Tampa, FL 33607 (813) 874-9726

1110 E Gibson St Sidell, FL 34266 (863) 494-6222 5425 Commercial Way Spring Hill, FL 34606 (352) 597-5012 1248 Mariner Blvd Spring Hill, FL 34609 (352) 666-7901 600 8th St S # A St Petersburg, FL 33701 (727) 898-2093 601 7th St S St Petersburg, FL 33701 (727) 894-1818 1099 5th Ave N St Petersburg, FL 33705 (727) 820-7458 6006 49th St N Ste 300 St Petersburg, FL 33709 (727) 527-1630 2299 9th Ave N Ste 1b St Petersburg, FL 33713 (727) 322-9364 900 Carillon Pkwy St Petersburg, FL 33716 (727) 561-2418 900 E Ocean Blvd Ste 103a Stuart, FL 34994 (772) 283-7760 17820 Se 109th Ave Ste 106a Summerfield, FL 34491 (352) 307-5813 1605 E Plaza Dr Tallahassee, FL 32308 (850) 877-5171 1898 Buford Blvd Tallahassee, FL 32308 (850) 877-6111

5850 West Cypress St Tampa, FL 33607 (800) 282-6695 2919 W Swann Ave Ste 403 Tampa, FL 33609 (813) 875-6516 508 S Habanna Ave Ste 240a Tampa, FL 33609 (813) 876-7073 12901 Bruce B Downs Blvd Tampa, FL 33612 (813) 974-2207 11511 N Florida Ave Ste 501-503 Tampa, FL 33613 (813) 968-9013 13562 University Plaza St # 301 Tampa, FL 33613 (813) 866-7405 4710 N Habana Ave Ste 102 Tampa, FL 33614 (813) 872-5691 14310 N Dale Mabry Hwy Tampa, FL 33618 (813) 960-2808 14831 N Dale Mabary Hwy Tampa, FL 33618 (813) 961-0745 1081 S Pinellas Ave Ste E-4 & 5 Tarpon Springs, FL 34689 (727) 939-2799 1605 Banning Beach Rd Tavares, FL 32778 (352) 343-2252 Laboratory

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WellCare of Kentucky 500 N Washington Ave Ste 201 Titusville, FL 32796 (321) 267-3109 8823 River Crossing Blvd Trinity, FL 34655 (727) 372-1529 333 S Tamiami Trl Ste 171 Venice, FL 34285 (941) 484-4624 1820 43rd Ave Bldg B Vero Beach, FL 32960 (772) 569-2323

10909 W Linebaugh Ave Westchase, FL 33626 (813) 920-1828 2229 N Commerce Pkwy Ste 200 Weston, FL 33326 (954) 389-0098 2300 N Commerce Pkwy Weston, FL 33326 (954) 217-3316 2950 Cleveland Clinic Blvd 1st Fl Weston, FL 33331 (954) 306-0841

755 Mount Vernon HWY Ste 270 Atlanta, GA 30328 (404) 843-3170

1203 Cleveland Ave Ste 1c East Point, GA 30344 (404) 768-6651

107 Southern Blvd Ste 301 Savannah, GA 31405 (912) 233-5499

1100 Lake Hearn Dr Ne Ste 320 Atlanta, GA 30342 (404) 256-7811

2350 Limestone Pkwy Gainesville, GA 30501 (770) 535-9188

6349 Abercorn St Ste B Savannah, GA 31405 (912) 352-7700

230 W College St Ste A Griffin, GA 30224 (770) 467-8585

3903 S Cobb Dr Se Ste 102 Smyrna, GA 30080 (770) 432-1359

975 Johnson Ferry Rd Ne Ste 320 Atlanta, GA 30342 (404) 497-0236 3636 Wheeler Rd Ste B1 Augusta, GA 30909 (706) 210-8965

777 37th St Ste B105 Vero Beach, FL 32960 (772) 567-2480

2111 Glennwood Dr Ste 103 Winter Park, FL 32792 (407) 645-5440

465 Carlton St Wauchula, FL 33873 (863) 773-0176

6719 Gall Blvd Ste 203 Zephyrhills, FL 33541 (813) 788-4552

2436 Parkwood Dr Brunswick, GA 31520 (912) 267-6110

5425 Commercial Way Weeki Wachee, FL 34606 (352) 597-5012

Georgia

100 Professional Pl Ste 307 Carrollton, GA 30117 (770) 830-2860

7753 Lake Worth Rd Wellington, FL 33467 (561) 641-5714 2051 45th St Ste 106108 West Palm Bch, FL 33407 (561) 863-8228 1411 Flagler Dr Ste 9200 West Palm Beach, FL 33401 (561) 650-1245 1515 N Flagler Dr Ste 140 West Palm Beach, FL 33401 (561) 805-7357 2151 45th St Ste 303-305 West Palm Beach, FL 33407 (561) 863-8228

Labcorp of America Holdings 507 W 3rd Ave Ste 6b Albany, GA 31701 (229) 446-6400 1102 E Lamar St Ste A Americus, GA 31709 (229) 931-9843 1000 Hawthorne Ave Ste D Athens, GA 30606 (706) 546-9822 550 Peachtree St Ne Ste 1650 Atlanta, GA 30308 (404) 523-5722

1680 Mulkey Rd Ste 305 Austell, GA 30106 (770) 941-4249

1920 Warm Springs Rd Columbus, GA 31904 (860) 886-0121 1288 Wellbrook Cir Ne Ste C Conyers, GA 30012 (770) 602-1524 260 Elm St Cumming, GA 30040 (678) 513-6070 2712 N Decatur Rd Decatur, GA 30033 (404) 294-7632

1938 Peachtree Rd Nw Ste 408 Atlanta, GA 30309 (404) 355-6858

4150 Snapfinger Woods Dr Ste 220 Decatur, GA 30035 (404) 288-5962

285 Boulevard Ne Ste 215 285 Bldg Atlanta, GA 30312 (404) 581-9562

3800 Pleasant Hill Rd Ste 1 Duluth, GA 30096 (770) 623-0987

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

303 Smith St Lagrange, GA 30240 (706) 812-4238 575 Professional Dr Ste 285 Lawrenceville, GA 30046 (770) 962-4847 4392 Lawrenceville Rd Ste C Loganville, GA 30052 (770) 554-7584 113 Arkwright Lndg Ste B Macon, GA 31210 (478) 757-1325 55 Whitcher St Ne Ste 120 Marietta, GA 30060 (770) 794-9573 833 Campbell Hill St Nw Ste 200 Marietta, GA 30060 (770) 514-1555 1431 White Cir Marietta, GA 30066 (770) 427-8498 33 Upper Riverdale Rd Sw Ste 17 Riverdale, GA 30274 (770) 994-1597 1295 Hembree Rd Ste 203 Roswell, GA 30076 (770) 410-9586 4445 Highway 40 Ste 501 Saint Marys, GA 31558 (912) 882-5416

1800 Tree Ln Ste 310 Snellville, GA 30078 (770) 982-0841 1129 Hospital Dr Ste E2 Stockbridge, GA 30281 (770) 474-3389 1957 Lakeside Pkwy Ste 542 Tucker, GA 30084 (770) 939-4811 2601 Bemiss Rd Ste Q Valdosta, GA 31602 (229) 242-3388 410 Connell Rd Ste C Valdosta, GA 31602 (229) 671-1207 116 Hospital Dr Warner Robins, GA 31088 (478) 328-1581 1909 Tebeau St Waycross, GA 31501 (912) 287-0965 Quest Diagnostics Clinical Lab 711 N Jefferson St Ste B Albany, GA 31701 (229) 432-6680 960 Northpoint Pkwy Ste 120 Alpharetta, GA 30005 (770) 751-7396 1000 Hawthorne Ave Ste B Athens, GA 30606 (706) 548-8197

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WellCare of Kentucky 550 Peachtree St Ne Ste 1050 Atlanta, GA 30308 (404) 221-0377

5040 Snapfinger Wood Dr Ste 204a Decatur, GA 30035 (770) 593-0855

3925 Johns Creek Ct Ste B Suwanee, GA 30024 (770) 497-0147

22285 Pepper Rd Ste S-107 Barrington, IL 60010 (847) 381-0832

680 N Lake Shore Dr Ste 907 Chicago, IL 60611 (312) 482-9593

315 Boulevard Ne Ste 240 Atlanta, GA 30312 (404) 215-9289

190 Westside Dr Ste E Douglas, GA 31533 (912) 389-1711

1777 Montreal Cir Tucker, GA 30084 (770) 934-9200

27401 W Il Route 22 Barrington, IL 60010 (847) 304-0737

1136 Cleveland Ave Ste 314 East Point, GA 30344 (404) 767-0579

1719 Russell Pkwy Ste 700 Warner Robins, GA 31088 (478) 922-3065

1180 W Wilson St Batavia, IL 60510 (815) 544-6868

8751 S Green Wood Ave Ste 106 Chicago, IL 60619 (773) 375-2949

340 Boulevard Ne Ste 540 Atlanta, GA 30312 (866) 709-0772 5555 Peachtree Dunwoody Rd Ste 120 Atlanta, GA 30342 (404) 843-3010 5673 Peachtree Dunwoody Rd Ne Ste 125 Atlanta, GA 30342 (404) 257-3364 993 Johnsons Ferry Rd Ne Ste C125 Atlanta, GA 30342 (404) 252-7842 1700 Hospital South Dr Ste 408 Austell, GA 30106 (770) 941-0483 303 Andrews Dr Byron, GA 31008 (815) 544-6868 125 Oakside Ct Ste 201 Canton, GA 30114 (770) 479-5884 6298 Veterans Pkwy Ste 3j Columbus, GA 31909 (706) 323-6567 1100 Northside Forsyth Dr Ste 440 Cumming, GA 30041 (678) 947-6566 2801 North Decatur Rd Ste 260 Decatur, GA 30033 (866) 697-8378

658 S 8th St Griffin, GA 30224 (770) 412-9513 575 Professional Dr Ste 200 Lawrenceville, GA 30046 (770) 513-7761 446 Poplar St Ste A Macon, GA 31201 (478) 745-8576 140 Lacy St Nw Ste C Marietta, GA 30060 (770) 424-3431 790 Church St Ne Ste 200 Marietta, GA 30060 (770) 424-2622 83 Upper Riverdale Rd Ste 120 Riverdale, GA 30274 (770) 991-2030 755 Mt Vernon HWY Ste 450 Sandy Springs, GA 30328 (404) 256-1493 6555 Abercorn St Ste 101 Savannah, GA 31405 (912) 354-0664 1790 Presidential Cir Ste D Snellville, GA 30078 (770) 979-8377 135 Eagles Walk Ste 100 Stockbridge, GA 30281 (770) 474-9446

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Illinois Labcorp of America Holdings 312 W Lake St Elmhurst, IL 60126 (630) 993-1500 Quest Diagnostics Clinical Lab 237b E Center Dr Alton, IL 62002 (618) 465-5877 1051 W Rand Rd Arlington Heights, IL 60004 (847) 398-1879 1300 E Central Rd Ste B Arlington Heights, IL 60005 (847) 368-0205 1614 W Central Rd Ste 209 Arlington Heights, IL 60005 (847) 342-0344 2020 Ogden Ave Ste 400 Aurora, IL 60504 (630) 236-1442 2088 Ogden Ave Ste 240 Aurora, IL 60504 (630) 692-1539 2972 Indian Trail Rd Aurora, IL 60504 (630) 585-6859 4255 Westbrook Dr Ste 203 Aurora, IL 60504 (630) 585-7048

2900 Frank Scott Pkwy W Ste 920a Belleville, IL 62223 (618) 234-0501 303 E Army Trail Rd Ste 111 Bloomingdale, IL 60108 (630) 351-0516 471 W Army Trail Rd Ste 101 Bloomingdale, IL 60108 (630) 351-1955 503 N Prospect Rd Ste 309 Bloomington, IL 61704 (309) 663-8823

1431 N Western Ave Ste 502 Chicago, IL 60622 (773) 227-4349 4126 N Milwaukee Ave Chicago, IL 60641 (773) 736-3814 4747 W Peterson Ave Ste 402 Chicago, IL 60646 (773) 777-0154 2800 N Sheridan Rd Ste G1 Chicago, IL 60657 (773) 404-9207 3000 N Halsted Ste 604 Chicago, IL 60657 (773) 477-4783

550 E Boughton Rd Ste 140 Bolingbrook, IL 60440 (630) 783-1897

260 E Congress Pkwy Ste E Crystal Lake, IL 60014 (815) 459-5217

175 E Bethel Dr Bourbonnais, IL 60914 (815) 936-9550

606 W Pershing Rd Decatur, IL 62526 (217) 875-6327

1595 Valencia Ct Calumet City, IL 60409 (708) 868-7050

2151 N Waukegan Rd Ste 170 Deerfield, IL 60015 (847) 267-3147

2107 S Neil St Champaign, IL 61820 (217) 355-9865 111 N Wabash Ave Ste 1514 Chicago, IL 60602 (312) 332-5960 676 N Saint Clair St Ste 2020 Chicago, IL 60611 (312) 337-5362

4041 Mississippi Ave East Saint Louis, IL 62206 (618) 332-2573 373 Summit St Ste 105 Elgin, IL 60120 (847) 695-8982 533 W North Ave Ste 100 Elmhurst, IL 60126 (630) 833-2791

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WellCare of Kentucky 2500 Ridge Ave Ste 211 Evanston, IL 60201 (847) 864-1947

3143 W Jefferson St Joliet, IL 60435 (815) 744-5142

317 Salem Pl Fairview Heights, IL 62208 (618) 628-3975

900 N Westmoreland Rd Ste 123 Lake Forest, IL 60045 (847) 615-8951

19150 S Kedzie Ave Ste 101 Flossmoor, IL 60422 (708) 647-8507

2340 S Highland Ave Ste 330 Lombard, IL 60148 (630) 932-2175

3633 W Lake Ave Ste 201 2nd Floor Glenview, IL 60025 (847) 998-9220

2136 Vadalabene Dr Ste A Maryville, IL 62062 (618) 288-4163

2591 Compass Rd Ste 110 Glenview, IL 60026 (847) 657-0412 2421 Corporate Ctr Granite City, IL 62040 (618) 931-6270 1475 E Belvidere Rd Ste 213 Grayslake, IL 60030 (847) 548-4538 15 Tower Ct Ste 170 Gurnee, IL 60031 (847) 360-7186 15900 Carol Ave Harvey, IL 60426 (708) 339-4815 40 S Clay St Hinsdale, IL 60521 (630) 920-0194 2500 W Higgins Rd Ste 460 Hoffman Estates, IL 60169 (847) 781-0691 273 N Westgate Ave Jacksonville, IL 62650 (217) 245-0544 310 Hammes Ave Ste 102 Joliet, IL 60435 (815) 741-4814

1600 Dempster St Ste 218 Park Ridge, IL 60068 (847) 795-8116 5006 S Becker Dr Peoria, IL 61607 (309) 697-0211 15900 S Frederick Plainfield, IL 60586 (815) 436-6237 7222 W Cermak Rd Ste 718 Riverside, IL 60546 (708) 447-6130

4119 Shamrock Ln McHenry, IL 60050 (815) 578-8828

5701 Strathmoor Dr Ste 5 Rockford, IL 61107 (815) 229-6698

1009 S 42nd St Ste 6 Mount Vernon, IL 62864 (618) 242-0502

640 S Randall Rd Saint Charles, IL 60174 (630) 443-4511

1220 Hobson Rd Ste 220 Naperville, IL 60540 (630) 579-0164

4709 W Golf Rd Ste 806 Skokie, IL 60076 (847) 674-4615

640 S Washington St Ste 140 Naperville, IL 60540 (630) 778-8002

3119 Robbins Rd Springfield, IL 62704 (217) 793-2282

1012 W 95th St Ste 4 Naperville, IL 60563 (630) 355-1284

18210 S Lagrange Park Rd Ste 203 Tinley Park, IL 60477 (708) 479-0904

10838 S Cicero Ave Oak Lawn, IL 60453 (708) 229-8730

870 W End Ct Ste 207 Vernon Hills, IL 60061 (847) 362-5323

4340 W 95th St Oak Lawn, IL 60453 (708) 952-0294

509 Hamacher St Ste 201 Waterloo, IL 62298 (618) 939-1660

610 S Maple Ave Ste 5800 Oak Park, IL 60304 (708) 848-0437 14475 S John Humphrey Dr Ste 100 Orland Park, IL 60462 (708) 873-1897 7800 W College Dr Ste 1w Palos Heights, IL 60463 (708) 361-9494

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

1113 Fairview Ave Westmont, IL 60559 (630) 353-0597 1355 Mittel Blvd Wood Dale, IL 60191 (630) 475-4407 7530 Woodward Ave Woodridge, IL 60517 (630) 910-1142

507 W Kendall Dr Ste 12 Yorkville, IL 60560 (630) 885-6663

1456 Lincolnway East South Bend, IN 46613 (574) 234-2330

Indiana

2102 E Evans Valparaiso, IN 46383 (219) 462-0157

Labcorp of America Holdings 277 E Carmel Dr Carmel, IN 46032 (317) 581-0992 1200 Professional Blvd Evansville, IN 47714 (812) 477-5518 6626 Constitution Dr Fort Wayne, IN 46804 (260) 436-2142 10012 Auburn Pk Dr Fort Wayne, IN 46825 (866) 873-7150 5506 E 16th St Ste B17 Indianapolis, IN 46218 (317) 356-7391 8937 Southpointe Dr Ste B-2 Indianapolis, IN 46227 (317) 889-9861 7430 N Shadeland Ave Ste 225 Indianapolis, IN 46250 (317) 577-5820 6620 Parkdale Pl Ste P Indianapolis, IN 46254 (317) 290-2300 8330 Naab Rd Ste 105 Indianapolis, IN 46260 (317) 872-8755 1025 First Ave Jasper, IN 47546 (812) 482-1981 3554 Promenade Pkwy Ste E Lafayette, IN 47909 (765) 477-5580 8601 Connecticut St Merrillville, IN 46410 (219) 769-4524 825 University Woods Ste 10 New Albany, IN 47150 (812) 941-0182

321 N 2nd St Vincennes, IN 47591 (812) 886-0301 Riverside Cytology Lab 516 Main St Ste B Tell City, IN 47586 (812) 548-0521

Louisiana Labcorp of America Holdings 11441 Industriplex Blvd Baton Rouge, LA 70809 Quest Diagnostics Clinical Lab 8281 Goodwood Blvd Ste D Baton Rouge, LA 70806 (225) 216-1190 5414 Brittany Dr Ste D Baton Rouge, LA 70809 (225) 769-9818 512 S Tyler St Ste C Covington, LA 70433 (985) 875-7560 2600 Belle Chasse HWY Ste 207 Gretna, LA 70056 (504) 394-8922 1445 S Morrison Blvd Hammond, LA 70401 (985) 429-0302 855 Belanger St Ste 105 Houma, LA 70360 (985) 917-0424 200 W Esplanade Ave Ste 309 Kenner, LA 70065 (504) 468-3185 301a Rue De Sante La Place, LA 70068 (985) 652-6828

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WellCare of Kentucky 119 1/2 Arnould Blvd Lafayette, LA 70506 (337) 988-2002

415 Massachusetts Ave Cambridge, MA 2139 (800) 842-1412

4421 Nelson Rd Lake Charles, LA 70605 (337) 480-4195

Mississippi

4244 HWY 22 Mandeville, LA 70471 (985) 727-0004 1008 Ave B Ste 101 Marrero, LA 70072 (504) 340-8996 4648 I-10 Service Rd Metairie, LA 70001 (504) 883-5313

Labcorp of America Holdings 281 Commerce Pl Ste A Ridgeland, MS 39157

Missouri 4320 Wornall Ste 212 Kansas City, MO 64111 (816) 531-2740 1706 N Corrington Ave Kansas City, MO 64120 (816) 483-1177

4648 S Interstate 10 Rd W Metairie, LA 70001 (800) 669-9855

3801 Blue Parkway Kansas City, MO 64130 (816) 923-5800

4770 I-10 Service Rd Metairie, LA 70001 (504) 455-8415

6724 Troost Ste 710 Kansas City, MO 64131 (816) 823-6605

3908 Veterans Memorial Blvd Metairie, LA 70002 (504) 455-1292

5800 Nw Barry Rd Ste 200 Kansas City, MO 64154 (816) 746-4570

424 Dixie Plz Natchitoches, LA 71457 (318) 352-5709

4881 Ne Goodview Cir Lees Summit, MO 64064 (816) 478-2050

3525 Prytania St Ste 406a New Orleans, LA 70115 (504) 897-1444

7345 Watson Rd Saint Louis, MO 63119 (314) 832-9206

6305 Elysian Fields Ave Ste 302 New Orleans, LA 70122 (713) 819-2540 820 Jordan St Ste 102 Shreveport, LA 71101 (318) 221-5060

Quest Diagnostics Clinical Lab 2040 Concourse Dr Saint Louis, MO 63146 (314) 872-7149

New Jersey

736 Gause Blvd Slidell, LA 70458 (985) 643-1680

Labcorp of America Holdings 40 N New York Ave #2 Atlantic City, NJ 8401 (609) 347-8162

370 Gateway Dr Ste B Slidell, LA 70461 (985) 643-7045

209 Lefante Way Bayonne, NJ 7002 (201) 436-0129

Massachusetts

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

40 Morristown Rd Ste 2a Bernardsville, NJ 7924 (908) 766-4804 151 Fries Mill Rd Ste 205-206 Blackwood, NJ 8012 (856) 401-1290 35 Beaverson Blvd Bldg 10 Lions Head Office Park Brick, NJ 8723 (732) 920-0081

34-36 Progress St Ste A4 Edison, NJ 8820 (908) 755-7253 401 S Van Brunt St Englewood, NJ 7631 (201) 894-4780 25-15 Fair Lawn Ave Fair Lawn, NJ 7410 (201) 475-6596 313 South Ave Ste 104 Fanwood, NJ 7023 (908) 889-7334

858 S White Horse Pike Augusta Professional Complex Hammonton, NJ 8037 (609) 561-1250 1 Bethany Rd Bldg 3 Ste 41 Hazlet, NJ 7730 (732) 264-1190 105 Radier Blvd Ste 103 Hillsborough, NJ 8844 (908) 281-0142

1 Wescott Dr Ste 201 Flemington, NJ 8822 (908) 806-8136

47 Kent Rd Unit 3b Village Sq At Howell Howell, NJ 7731 (732) 363-0165

105 Manheim Ave Ste 14 Bridgeton, NJ 8302 (856) 459-1393

2100 Wescott Dr Hunterdon Medical Center 3rd Fl Flemington, NJ 8822 (908) 788-6406

600 Pavonia Ave Grd Level Jersey City, NJ 7306 (201) 656-9024

230 Laurel Heights Dr Bridgeton, NJ 8302 (856) 455-6360

525 Lacey Rd Forked River, NJ 8731 (609) 693-2502

201 Union Ave Rte 28 Bldg 1 Ste E Bridgewater, NJ 8807 (908) 429-8636

301 Bridge Plz N Fort Lee, NJ 7024 (201) 461-0137

1610 Route 88 W Ste 101 Brick, NJ 8724 (732) 840-2165

1139 Main Ave Clifton, NJ 7011 (973) 777-9062 1011 Clifton Ave Ste 2c Clifton, NJ 7013 (973) 365-1186 328 Greenbrook Rd Unit D Dunellen, NJ 8812 (732) 805-0329 1912 Alexander Dr Durham, NJ 27709 (860) 886-0121 620 Cranbury Rd East Brunswick, NJ 8816 (732) 432-0524 1907 Oak Tree Rd Edison, NJ 8820 (732) 635-0426

495 Iron Bridge Rd Ste 5bldg Freehold, NJ 7728 (732) 303-6012 310 Chris Gaupp Dr Ste 100 Galloway, NJ 8205 (609) 748-4265 170 Prospect Ave Ste 201 Excelsior Bldg Hackensack, NJ 7601 (201) 343-0222 254 B Mountain Ave Ste 104 Hackettstown, NJ 7840 (908) 684-3150 500 B Grove St Haddon Heights, NJ 8035 (856) 672-0360 1351 Route 38 Hainesport, NJ 8036 (609) 518-0909

522 Central Ave Jersey City, NJ 7307 (201) 659-0278 814 River Ave Rte 9 Lakewood, NJ 8701 (732) 367-7500 2320 Brunswick Ave Lawrenceville, NJ 8648 (609) 394-3265 1025 W Saint Georges Ave Ste 1 Linden, NJ 7036 (908) 925-8406 1031 McBride Ave Ste 204 W Little Falls, NJ 7424 (973) 812-6320 160 White Rd Little Silver, NJ 7739 (732) 758-0025 22 Old Short Hills Rd Ste 203 Livingston, NJ 7039 (973) 992-4261 464 Valley Brook Ave Ste 2 1st Fl Lyndhurst, NJ 7071 (201) 672-0138

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WellCare of Kentucky 24 Nautilus Dr Ste 6 7 Manahawkin, NJ 8050 (609) 978-1012 83 Bridge Plaza Dr Manalapan, NJ 7726 (732) 617-0249 1707 Atlantic Ave Ste 1 (Rear Of Building) Manasquan, NJ 8736 (732) 528-1720 2040 Millburn Ave Maplewood, NJ 7040 (973) 761-0751 4622 Black Horse Pike Ste 103 Mays Landing, NJ 8330 (609) 625-4344 128 Rte 70 Ste 3 Medford, NJ 8055 (609) 953-1618 5255 Marlton Pike Rte 70 Merchantville, NJ 8109 (856) 665-7016 1601 N High St Millville, NJ 8332 (856) 825-8032 239 Prospect Plains Rd A-102 Monroe Township, NJ 8831 (609) 395-7079 1 Greenwood Ave Ste 102 Montclair, NJ 7042 (973) 783-4470 2839 Route 10 E Morris Plains, NJ 7950 (973) 993-1519 95 Madison Ave A01 Morristown, NJ 7960 (973) 984-0463 150 Century Pkwy Ste 103 Mt Laurel Medical Bldg Mount Laurel, NJ 8054 (856) 802-1285

3520 Highway 33 Maggio Professional Plaza Neptune, NJ 7753 (732) 918-1072 45 Academy St Ste 207 2nd Fl Newark, NJ 7102 (973) 645-5409 41-51 Wilson Ave # 2 Newark, NJ 7105 (973) 491-0838 33 Newton Sparta Rd Newton, NJ 7860 (973) 579-0010 1806 Highway 35 # 1 Oakhurst, NJ 7755 (732) 531-0470 2087 Route 9 Acme Cedar Square Shopping Ctr Ste 13 Ocean View, NJ 8230 (609) 624-8970 345 Henry St Ste 104 Orange, NJ 7050 (973) 414-0530 1 Sears Dr Paramus, NJ 7652 (201) 634-9742 3219 Route 46 Ste 208 Parsippany Commons Parsippany, NJ 7054 (973) 263-2971 9 Carroll Ave Pennsville, NJ 8070 (856) 678-3594 411 Coventry Dr Ste 411dr Bldg 400 Phillipsburg, NJ 8865 (908) 859-1929 211 S Franklin Blvd Pleasantville, NJ 8232 (609) 645-2367 601 Ewing St Ste C4 Princeton, NJ 8540 (609) 688-0543 503 N Franklin Tpke Ramsey, NJ 7446 (201) 760-8967

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

69 1st Ave Raritan, NJ 8869 (860) 886-0121 401 Goffle Rd Ridgewood, NJ 7450 (201) 493-9245 38 Hamburg Tpke Riverdale, NJ 7457 (973) 616-1830 100 Kings Way E Ste B3 Washington Pavillions Sewell, NJ 8080 (856) 582-9469 524 Williamstown New Freedom Rd Sicklerville, NJ 8081 (856) 740-5069 505 Bay Ave Ste 102 Somers Point, NJ 8244 (609) 601-1073 75 Veronica Ave Ste 205 Somerset, NJ 8873 (732) 448-1933 42 E Laurel Rd Ste 1550 Umdnj Bldg Stratford, NJ 8084 (856) 566-7117 66 Towne Ctr Ste 310 Succasunna, NJ 7876 (973) 584-5720 11 Boulder Hills Blvd Sussex, NJ 7461 (973) 702-9850 1086 Teaneck Rd Teaneck, NJ 7666 (203) 837-5912 222 Oak Ave Ste 6 2nd Fl Toms River, NJ 8753 (732) 505-8050

1255 Whitehorse Mercerville Rd Ste 502 Bldg B Trenton, NJ 8619 (609) 581-2664 2320 US HWY 1 Trenton, NJ 8648 (609) 394-3265 240 Mathistown Rd Unit 213 Lenape Sq Tuckerton, NJ 8087 (609) 294-0347 3196 Kennedy Blvd Ste 2 Union City, NJ 7087 (201) 330-3274 Fl 2333 Morris Ave # 2 Ste A- 12 Bldg A Union, NJ 7083 (908) 964-6493 3 Viking Vlg Ste A Vernon, NJ 7462 (973) 827-5309 1550 E Chestnut Ave Bldg 3 Ste D Vineland, NJ 8361 (856) 696-6900 2401 E Evesham Rd Ste C Voorhees, NJ 8043 (856) 424-3116 1680 Route 23 N Ste 120 Wayne, NJ 7470 (973) 694-3689 800 Jessup Rd Ste 801 West Deptford, NJ 8086 (856) 848-4882 215 Old Hook Rd Westwood, NJ 7675 (201) 666-6800

1 Plaza Dr Unit 8 Toms River, NJ 8757 (732) 240-2550

215 Sunset Rd Ste 300 Willingboro, NJ 8046 (609) 835-1453

225 E State St Trenton, NJ 8608 (609) 392-4929

102 East Ave Rte 40 Woodstown, NJ 8098 (856) 769-4696

Quest Diagnostics Clinical Lab 686-692 Broadway 3rd Fl Bayonne, NJ 7002 (201) 823-2095 1 Anderson Rd Bernardsville, NJ 7924 (908) 766-1220 601 W Union Ave Bound Brook, NJ 8805 (732) 563-1450 1608 Route 88 Ste 114 Brick, NJ 8724 (732) 840-4030 1395 Route 23s Unit C-1 Butler, NJ 7405 (973) 838-3462 276 E Main Denville, NJ 7834 (973) 627-4375 477 Route 10 E Ste 203 Dover, NJ 7801 (973) 659-1958 1020 Route 18 Unit 008 - Route 18 Shopping Center East Brunswick, NJ 8816 (732) 967-1920 102 James St Ste 201 Edison, NJ 8820 (732) 603-0251 1199 Amboy Ave Edison, NJ 8837 (732) 494-6380 452 Old Hook Rd Ste 1a Emerson, NJ 7630 (201) 967-0262 464 Hudson Ter Englewood Cliffs, NJ 7632 (201) 227-1856 25 Rockwood Pl Ste 1 Englewood, NJ 7631 (201) 503-1465 46-50 Franklin Ln Ste 202 Englishtown, NJ 7726 (732) 536-3245 Laboratory

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WellCare of Kentucky 33-00 Broadway Ste 305 Fair Lawn, NJ 7410 (201) 796-0800

333 Forsgate Dr Ste 203 Monroe Township, NJ 8831 (732) 656-9651

309 Walter E Foran Blvd Towne Centre Flemington, NJ 8822 (908) 806-0005

49 Claremont Ave Montclair, NJ 7042 (973) 744-5500

260 Mounts Corner Dr Freehold, NJ 7728 (732) 462-9020

101 Madison Ave Ste 101 Morristown, NJ 7960 (973) 644-2669

385 Prospect Ave Hackensack, NJ 7601 (201) 599-0753

1809 Corlies Ave Fl 2 Neptune, NJ 7753 (732) 774-2582

137 Mountain Ave Ste 2 Hackettstown, NJ 7840 (908) 850-5724

77 Church St New Brunswick, NJ 8901 (732) 249-3717

535 High Mountain Rd Haledon, NJ 7508 (973) 777-3200 1 Bethany Rd Building 5 Ste 67 Hazlet, NJ 7730 (732) 335-8035 704 N Beers St Holmdel, NJ 7733 (732) 739-6741 400 Candlewood Commons Bldg 4 Howell, NJ 7731 (732) 961-0031 600 Pavonia Ave Jersey City, NJ 7306 (201) 216-0744 200 White Rd Ste 104 Little Silver Commons Little Silver, NJ 7739 (732) 530-8855 349 E Northfield Rd Ste 203 Livingston, NJ 7039 (973) 597-9002 1322 Route 72 W Ste 202 Corner Of Barnacle Dr Manahawkin, NJ 8050 (609) 489-0666

24 Commerce St Fl 4 Newark, NJ 7102 (973) 824-1490 125 Newton Sparta Rd Ste 1 Newton, NJ 7860 (973) 383-3907 1900 HWY 35 Oakhurst, NJ 7755 (732) 531-3966 275-277 Forest Ave Paramus, NJ 7652 (201) 599-0753 50 Cherry Hill Rd Ste 103 Parsippany, NJ 7054 (973) 335-8700 500 N Franklin Tpke Fl 2 Ramsey, NJ 7446 (201) 934-8514 240 Maple Ave Red Bank, NJ 7701 (732) 530-3787 127 Union St Ridgewood, NJ 7450 (201) 447-9393 711 E 1st Ave Store #17 Roselle, NJ 7203 (908) 245-1382

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

17 Sylvan St Rutherford, NJ 7070 (201) 460-0016 49 Veronica Ave Ste 203 Somerset, NJ 8873 (732) 873-3277 904 Oak Tree Ave Ste K South Plainfield, NJ 7080 (908) 822-1602 179 Cedar Lc Ste E Teaneck, NJ 7666 (201) 287-9021 548 Commons Wy Bldg E Toms River, NJ 8755 (732) 505-1799 600 Mule Rd Unit 24a Toms River, NJ 8755 (732) 818-0575 500 Union Blvd Totowa, NJ 7512 (973) 389-0945 2333 Morris Ave Ste A-121 Union, NJ 7083 (908) 964-8899 440 Chestnut St Unit 102 Union, NJ 7083 (908) 686-6677 37 Mountain Blvd Ste 5 Warren, NJ 7059 (908) 756-5787 401 Hamburg Tpke Ste 203 Wayne, NJ 7470 (973) 904-0350 4914-4922 Kenndedy Blvd Ste 206 West New York, NJ 7093 (201) 974-1725 769 Northfield Ave Ste L13 West Orange, NJ 7052 (973) 669-0353

189 Wlm St Lower Lever Westfield, NJ 7090 (908) 232-1295

New York Labcorp of America Holdings Executive Woods-4 Palisades Dr Albany, NY 12205 (518) 446-0037 1375 Washington Ave Ste 103 Albany, NY 12206 (518) 458-1786

456 5th Ave Ste 2 Brooklyn, NY 11215 (718) 369-4507 43-18 13th Ave Brooklyn, NY 11219 (718) 437-3538 1720 E 14th St Unit M-1 Brooklyn, NY 11229 (718) 376-1595 1915 Ocean Ave # 2 Brooklyn, NY 11230 (718) 758-9330 2035 Ralph Ave A-10 Brooklyn, NY 11234 (718) 763-1045

400 Patroon Creek Blvd Ste 101 Albany, NY 12206 (518) 435-8360

4500 Main St Buffalo, NY 14226 (716) 839-1637

2515 Steinway St Astoria, NY 11103 (718) 932-3158

8881 Rte 97 Callicoon, NY 12723 (845) 887-5530

37 W Garden St Ste 204 Auburn, NY 13021 (315) 252-2332

159 Jefferson Hts Catskill, NY 12414 (518) 943-1386

400 W Main St Ste 200 Babylon, NY 11702 (631) 321-5499

222 Rockaway Tpke Cedarhurst, NY 11516 (516) 239-2457

7980 State Route 12 Barneveld, NY 13304 (315) 896-4226

617a Montauk Hwy Center Moriches, NY 11934 (631) 874-2196

22215 Northern Blvd Ll, Ste D Bayside, NY 11361 (718) 819-0503

952 Rte 146 Clifton Park, NY 12065 (518) 371-5360

1200 Waters Pl M109 Bronx, NY 10461 (718) 829-2795

596 E Main St Cobleskill, NY 12043 (518) 234-1361

3665 E Tremont Ave Bronx, NY 10465 (718) 892-2206

2171 Jericho Tpke Ste 200 Commack, NY 11725 (631) 858-0921

189 Montague St Ste 500 Brooklyn, NY 11201 (718) 852-4879 9920 4th Ave Ste 103 Brooklyn, NY 11209 (718) 921-6068

5719 Route 62 Conewango Valley, NY 14726 (716) 287-2731 2 Normanskill Blvd Ste 203 Delmar, NY 12054 (518) 475-1560 Laboratory

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WellCare of Kentucky Main St Downsville, NY 13755 (607) 363-2517

813 Warren St Hudson, NY 12534 (518) 828-1650

175 Main St Rte 25a East Setauket, NY 11733 (631) 941-3104

775 Park Ave Ste 350 Huntington, NY 11743 (631) 427-0658

4939 Brittonfield Pkwy East Syracuse, NY 13057 (315) 434-9821

845 Route 5 And 20 Irving, NY 14081 (716) 951-7187

200 Westage Business Ctr Dr Ste 133 Fishkill, NY 12524 (845) 896-2453

150 Islip Ave (Rte 111) Ste 8 & 9 Islip, NY 11751 (631) 277-1589

13620 38th Ave Ste 5l Flushing, NY 11354 (718) 321-1359

3354 83rd St Ste G02 Jackson Heights, NY 11372 (718) 803-1529

13 Main St Forestville, NY 14062 (716) 965-9738

105 Marys Ave Kingston, NY 12401 (845) 334-4928

33 Park St Glens Falls, NY 12801 (518) 798-7570

330 Washington Ave Kingston, NY 12401 (845) 331-0578

3 Coates Dr Ste 7 Goshen, NY 10924 (845) 294-1260

368 Broadway Ste 303 Kingston, NY 12401 (845) 331-1482

100 Memorial Dr Gowanda, NY 14070 (716) 532-8703

3 Lear Jet Ln Ste 101 Latham, NY 12110 (518) 783-0025

1000 Northern Blvd Ste 135 Great Neck, NY 11021 (516) 504-0509

3000 Hempstead Tpke 316 Levittown, NY 11756 (516) 520-0927

36 E Front St Hancock, NY 13783 (607) 637-4715

175 W Main St Little Falls, NY 13365 (315) 508-5027

68 Harris-Bushville Rd Harris, NY 12742 (845) 794-3300

5100 W Taft Rd Ste 2l Liverpool, NY 13088 (315) 452-2020

1770 Motor Pkwy Fl 2 Hauppauge, NY 11749 (631) 234-2686

8100 Oswego Rd Ste 100 Liverpool, NY 13090 (315) 622-4824

201 E State St Herkimer, NY 13350 (315) 717-0167 120 Bethpage Rd Ste 205 Hicksville, NY 11801 (516) 931-0537

3100 47th Ave Long Island City, NY 11101 (718) 784-2245

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

6916 Metropolitan Ave Middle Village, NY 11379 (718) 416-1790 594 E Main St Middletown, NY 10940 (945) 342-6092 173 Mineola Blvd Ste 404 Mineola, NY 11501 (516) 877-7242 300 Old Country Rd Ste 91 Mineola, NY 11501 (516) 877-7242 103 S Bedford Rd Ste 202 Mount Kisco, NY 10549 (914) 242-3459 1656 Champlin Ave New Hartford, NY 13413 (315) 624-8247 28 Campion Road New Hartford, NY 13413 (315) 624-5924 95 Genesee St New Hartford, NY 13413 (315) 797-6896 2001 Marcus Ave Ste N215 New Hyde Park, NY 11042 (516) 616-0156 279 Main St Ste 201 New Paltz, NY 12561 (845) 255-1742 110 Lockwood Ave New Rochelle, NY 10801 (914) 636-3789 44 E 12th St Ll Unit A New York, NY 10003 (212) 228-9203 65 Broadway New York, NY 10006 (212) 785-3450

22 W 23rd St New York, NY 10010 (212) 255-6600

1540 Route 202 Ste 6 Pomona, NY 10970 (845) 354-9006

80 Bowery Rm 503 New York, NY 10013 (917) 237-1242

207 Washington St Poughkeepsie, NY 12601 (845) 483-3625

104 E 36th St A New York, NY 10016 (212) 679-3829 330 W 58th St Ste 211 New York, NY 10019 (212) 245-1076 115 57th St Ste 620 New York, NY 10022 (212) 355-8117 210 E 86th St Ste 100 New York, NY 10028 (212) 988-4976 3421 Broadway New York, NY 10031 (212) 281-5853 109 Audobon Ave New York, NY 10032 (917) 521-0590 5 Hdsn Vly Prof Plz Newburgh, NY 12550 (845) 562-3189 311 N Midland Ave Nyack, NY 10960 (845) 353-3147 114 S Shore Rd Old Forge, NY 13420 (315) 369-2402 604 Seneca St Oneida, NY 13421 (315) 361-1334 99 Dutch Hill Rd Orangeburg, NY 10962 (845) 365-0167 475 E Main St Ste 201 Patchogue, NY 11772 (631) 289-7541 201 S James St Ste 110 Peekskill, NY 10566 (914) 788-1301 100 Manetto Hill Rd Plainview, NY 11803 (516) 937-1242

11116 Jamaica Ave Richmond Hill, NY 11418 (718) 846-7401 1149 Old County Rd Ste E2 Riverhead, NY 11901 (631) 369-0390 165 North Village Ave Ste 110 Rockville Centre, NY 11570 (516) 594-1392 1614 N James St Rome, NY 13440 (315) 339-6019 91 Perimeter Rd Rome, NY 13441 (315) 339-2989 6 Care Lane Saratoga Springs, NY 12866 (518) 584-3457 16 W Bridge St Saugerties, NY 12477 (845) 246-1523 4830 Sunrise Hwy Sayville, NY 11782 (631) 563-0586 1336 Union St Schenectady, NY 12308 (518) 346-4900 988 Middle Country Rd Selden, NY 11784 (631) 716-2174 3 Pearl St E Sidney, NY 13838 (607) 563-7114 2 Brooksite Dr Smithtown, NY 11787 (631) 863-2108

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WellCare of Kentucky 2031 Forest Ave Ste 12 And 13 Staten Island, NY 10303 (718) 273-6988 31 New Dorp Ln Staten Island, NY 10306 (718) 979-3892 4434 Amboy Rd Ste 2 Staten Island, NY 10312 (718) 966-0234 2500 Nesconset HWY Ste 29 Bldg 8 Stony Brook, NY 11790 (631) 751-7361 47-01 Queens Blvd Ste 206 & 207 Sunnyside, NY 11104 (718) 361-2548 1200 E Genesee St Syracuse, NY 13210 (315) 472-6180 2001 5th Ave # 1 Troy, NY 12180 (518) 271-0117 51 Charles Lindbergh Blvd Uniondale, NY 11553 (516) 794-4646 1904 Genesee St Utica, NY 13502 (315) 797-1082 1301 River St Rm 103 Valatie, NY 12184 (518) 758-7699 1 Titus Pl Walton, NY 13856 (607) 856-2166 2 Titus Pl Walton, NY 13856 (607) 856-2400 1400 Wantagh Ave Ste 102 Wantagh, NY 11793 (516) 409-0369 400 N Main St Warsaw, NY 14569 (585) 789-8940

408 N Main St Warsaw, NY 14569 (585) 789-8940 161 Clinton St Watertown, NY 13601 (315) 788-2833 218 Stone St Watertown, NY 13601 (315) 779-1537 297 Knollwood Rd Ste 310 White Plains, NY 10607 (800) 745-0233 37 Main St Whitesboro, NY 13492 (315) 798-6115 1034 N Browardway 2nd L Yonkers, NY 10701 (914) 476-7632 Quest Diagnostics Clinical Lab 2 Executive Park Dr Albany, NY 12203 (518) 438-3388 27-47 Crescent St 2nd Fl Ste 205 Astoria, NY 11102 (718) 545-2488

2385 Arthur Ave Ste 201 & 202 Bronx, NY 10458 (718) 367-2907 2015 Williamsbridge Rd Bronx, NY 10461 (718) 430-0546 3250 Westchester Ave St 105 Bronx, NY 10461 (718) 518-8282 120 Atlantic Ave Brooklyn, NY 11201 (718) 330-0543 146 Pierrepont St Brooklyn, NY 11201 (718) 596-9100 7601 4th Ave Brooklyn, NY 11209 (718) 833-2354 101 Broadway Ste 302 Brooklyn, NY 11211 (718) 384-0521 15 Bay 29th St Rm 2b Brooklyn, NY 11214 (718) 946-1934 348 13th St Ste 102 Brooklyn, NY 11215 (718) 965-1319

191 North St Ste 1 Buffalo, NY 14201 (716) 886-1801 3125 Main St Buffalo, NY 14214 (716) 835-3826 975 Hertel Ave Buffalo, NY 14216 (716) 874-1703 1000 Youngs Rd Ste 103 Buffalo, NY 14221 (716) 834-2400

5700 W Genesee St Ste 11 Camillus, NY 13031 (315) 468-0597 222 Rockaway Tpke Ste 5 Cedarhurst, NY 11516 (516) 677-7703

1150 Youngs Rd Buffalo, NY 14221 (716) 688-7149

760-8 Montauk Hwy Center Moriches, NY 11934 (516) 677-7720

18 Limestone Dr Ste 9 Buffalo, NY 14221 (716) 631-0273

9095 Main St Ste A Clarence, NY 14031 (716) 634-1914

2171 Sheridan Dr Buffalo, NY 14223 (716) 875-2677

2171 Jericho Tpke Ste 102 Commack, NY 11725 (516) 677-7721

1076 Union Rd Southgate Plaza Buffalo, NY 14224 (716) 675-1866

6 Euclid Ave Cortland, NY 13045 (607) 756-8203

264 Center Rd Buffalo, NY 14224 (716) 677-6255

785 Delaware Ave Fl 2 Delmar, NY 12054 (518) 439-5451

3050 Orchard Park Rd Buffalo, NY 14224 (716) 677-0829

4845 Transit Rd Depew, NY 14043 (716) 656-0385

539 Cleveland Dr Lower Level Buffalo, NY 14225 (716) 835-9522

5334 Transit Rd Depew, NY 14043 (716) 681-5517

400 Montauk HWY Ste 116 Babylon, NY 11702 (516) 677-7718

5102 13th Ave Brooklyn, NY 11219 (718) 871-6969

8 Saxon Ave Ste D Bay Shore, NY 11706 (516) 677-7719

949 48th St Brooklyn, NY 11219 (718) 437-7253

44-02 Francis Lewis Blvd Ste 1a Bayside, NY 11361 (718) 279-0008

147 Greenpoint Ave 1st Fl Brooklyn, NY 11222 (718) 383-6785

4276 Hempstead Tpke Bethpage, NY 11714 (516) 677-7701

1416 Newkirk Ave Brooklyn, NY 11226 (718) 859-3051

Clock Towe Commons 601 Route 22 Brewster, NY 10509 (845) 279-0658

1660 E 14th St Ste Ll2 Brooklyn, NY 11229 (718) 787-1025

3980 Sheridan Dr Ste 314 Buffalo, NY 14226 (716) 839-0351

2035 Ralph Ave Ste B1 Brooklyn, NY 11234 (718) 209-1678

6000 N Bailey Ave Buffalo, NY 14226 (716) 835-2453

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

3950 E Robinson Rd Ste 103 Buffalo, NY 14228 (716) 691-1744

85 Wehrle Dr Ste 3 Buffalo, NY 14225 (716) 835-6651 350 Alberta Dr 2nd Fl Buffalo, NY 14226 (716) 836-1343

312 Central Ave Dunkirk, NY 14048 (716) 363-7417 9388 Transit Rd East Amherst, NY 14051 (716) 688-0216 268 Main St East Aurora, NY 14052 (716) 652-8606 100-10 S Jersey Ave Heritage Sq Ste 10 East Setauket, NY 11733 (516) 677-7722

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WellCare of Kentucky 23 Technology Dr Ste 2 East Setauket, NY 11733 (516) 677-7723

230 Hilton Ave Rm 220 Hempstead, NY 11550 (516) 677-7709

982 Main St Ste 9 Fishkill, NY 12524 (845) 896-4067

82-29 153rd Ave Lidenwood Village Shopping Center Howard Beach, NY 11414 (718) 323-3687

265 Jericho Tpke Floral Park, NY 11001 (516) 677-7704 136-20 38th Ave Ste 5d Flushing, NY 11354 (718) 886-5984

180 E Pulaski Rd Huntington Station, NY 11746 (516) 677-7726

41-61 Kissena Blvd Ste 25 Flushing, NY 11355 (718) 961-2968

195 E Main St Ste D Huntington, NY 11743 (516) 677-7725

7010 Austin St Forest Hills, NY 11375 (718) 544-0376

7 Pine Woods Rd Ste 6 Hyde Park, NY 12538 (845) 229-0650

101 S Bergen Pl 2nd Fl Freeport, NY 11520 (516) 677-7705

75-35 31st Ave Ste 205 Jackson Heights, NY 11372 (718) 335-3666

520 Franklin Ave Ste 104 Garden City, NY 11530 (516) 677-7706

12614 Merrick Blvd Jamaica, NY 11434 (718) 527-3792

2390 N Forest Rd Ste 2 Getzville, NY 14068 (716) 636-0676 Three Village Square Glen Cove, NY 11542 (516) 677-7707

320 Prather Ave Jamestown, NY 14701 (716) 484-7147 505 Foote Ave Jamestown, NY 14701 (716) 484-7147

2 Irongate Ctr Glens Falls, NY 12801 (818) 793-1888

380 Washington Ave Ste A Kingston, NY 12401 (845) 340-0673

30 Hatfield Ln Goshen, NY 10924 (845) 615-1453

5 Grand St Kingston, NY 12401 (845) 338-3715

287 Northern Blvd Ste 100 Great Neck, NY 11021 (516) 677-7708 3674 Commerce Pl Bldg 2 Ste A Hamburg, NY 14075 (716) 649-9171 490 Wheeler Rd Ste 190 Hauppauge, NY 11788 (516) 677-7724

6000 Brockton Dr Ste 105 Lockport, NY 14094 (716) 433-8944 770 Davison Rd Ste D Lockport, NY 14094 (716) 439-0805 1165 Northern Blvd Ste 404 Manhasset, NY 11030 (516) 677-7711 4900 Merrick Rd Southgate Shopping Cent 2nd Fl Massapequa Park, NY 11762 (516) 677-7736 570 Expressway Dr S Ste 1-J Medford, NY 11763 (516) 677-7727 7121 Eliot Ave Middle Village, NY 11379 (718) 478-3370 156 First St Lower Level Mineola, NY 11501 (516) 677-7712 791 Route 17m Monroe Shopping Center Monroe, NY 10950 (845) 783-3889 83 S Bedford Rd 3rd Fl Mount Kisco, NY 10549 (914) 666-7654 105 Stevens Ave Ste 105 Mount Vernon, NY 10550 (914) 664-3400

582 New Loudon Rd Latham, NY 12110 (518) 785-7765

420 Nanuet Mall S Unit 307 Nanuet, NY 10954 (845) 623-8220

755 Center St Ste 4 Lewiston, NY 14092 (716) 754-1670

151 N Main St Unit 307 New City, NY 10956 (845) 634-2712

4820 W Taft Rd Ste 207 Liverpool, NY 13088 (315) 453-9257

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

2001 Marcus Ave Ste 98w Lobby Level New Hyde Park, NY 11042 (516) 677-7710 246 Main St Cherry Hill Plaza Ste 202 New Paltz, NY 12561 (845) 255-6309 150 Lockwood Ave New Rochelle, NY 10801 (914) 235-2400 275 Seventh Ave, Between 25th & 26th St New York, NY 10001 (646) 336-8031

2 W 86th St Apt 1a New York, NY 10024 (212) 873-8757 115 E 86th St New York, NY 10028 (212) 831-8100 66 E 86th St New York, NY 10028 (212) 988-4774 607 W 168th St New York, NY 10032 (917) 521-0370 235 E 67th St Rm 201 New York, NY 10065 (212) 879-3400

247 Third Ave Rm 303 New York, NY 10010 (212) 353-1200

1651 3rd Ave Fl 2 New York, NY 10128 (212) 348-8757

269 W 16th St Lower Level New York, NY 10011 (212) 989-8200

347 Fullerton Ave Newburgh, NY 12550 (845) 562-2107

41 Mott St Fl 4 New York, NY 10013 (212) 374-2255 119 Greenwich Ave Ste 5 New York, NY 10014 (212) 645-2657 314 W 14th St Lower Level New York, NY 10014 (646) 336-0962 137 E 36th St New York, NY 10016 (212) 251-0018 330 W 58th St Ste 203 New York, NY 10019 (212) 247-3657 65 E 76th St New York, NY 10021 (212) 794-6400 115 E 57th St Ste 1530 New York, NY 10022 (212) 909-8009

1408 Pine Ave Niagara Falls, NY 14301 (716) 285-4619 1089 Kinkead Ave North Tonawanda, NY 14120 (716) 694-9558 3045 Southwestern Blvd Orchard Park, NY 14127 (716) 677-0051 285 Sills Rd Bldg 8 Ste A Brookhaven Professional Park Patchogue, NY 11772 (516) 677-7728 2 Stowe Rd 5th Fl Ste 15 Peekskill, NY 10566 (914) 788-4138 667 Steoneleigh Ave Barns Office Center Bldg N Ste 115 Peekskill, NY 10566 (845) 278-6953

115 E 61st St Ste 1530 New York, NY 10022 (212) 758-5061 Laboratory

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WellCare of Kentucky 146a Maneto Hill Dr Ste 101 Plainview, NY 11803 (516) 677-7713

222 Middle Country Rd Ste 107 Smithtown, NY 11787 (516) 677-7732

175 Jericho Tpke Ste 304 Syosset, NY 11791 (516) 677-7717

174 Marble Ave Ste 1 Pleasantville, NY 10570 (914) 741-5801

325 Meeting House Ln Bldg 1 Lower Level Ste B Southampton, NY 11968 (516) 677-7732

2700 Court St Ste 6 Syracuse, NY 13208 (315) 455-1505

978 Route 45 Ste 202 Pomona, NY 10970 (845) 354-2412 14 Rye Ridge Plz Ste 155 Port Chester, NY 10573 (914) 251-0386 14 Vanderventer Ave Ste 105 Port Washington, NY 11050 (516) 677-7714 205 South Ave Ste 203 Poughkeepsie, NY 12601 (845) 471-0569 695 Dutchess Tpke Ste 102 Poughkeepsie, NY 12603 (845) 452-8405 7385 S Broadway 2nd Fl Red Hook, NY 12571 (845) 758-3088 74 Commerce Dr Ste 2 Riverhead, NY 11901 (516) 677-7730 165 N Village Ave Ste 103 Rockville Centre, NY 11570 (516) 677-7715 330 Route 212 Grand Union Plaza Saugerties, NY 12477 (845) 246-5760 850 Hicksville Rd Ste 114 Seaford, NY 11783 (516) 677-7716 235 Boyle Rd Selden, NY 11784 (516) 677-7731

27 Franklin St Springville, NY 14141 (716) 592-0380 81 Randall Ave Staten Island, NY 10301 (718) 876-4900 1361 Hylan Blvd Staten Island, NY 10305 (718) 979-5481 2627a Hylan Blvd Staten Island, NY 10306 (718) 351-3574 3311 Hylan Blvd Staten Island, NY 10306 (718) 987-5302 7001 Amboy Rd Store A-4 Tottenville Sq Shopping Ctr Staten Island, NY 10307 (718) 227-9961

1000 E Genesee St Ste 600 Hill Medical Syracuse, NY 13210 (315) 471-3627 111 Route 303 Ste 109 Tappan, NY 10983 (845) 398-0453

2269 Cooper Foster Park Rd Amherst, OH 44001 (440) 282-3679

29001 Cedar Rd Cleveland, OH 44124 (440) 684-1765

200 S Broadway Ste 102 Tarrytown, NY 10591 (914) 332-1112

1310 B Claremont Ave Ashland, OH 44805 (419) 281-7100

6009 Landerhavend Dr Ste C1 Cleveland, OH 44124 (440) 684-9267

4041 Delaware Ave Ste 110 Tonawanda, NY 14150 (716) 877-5040

101 Fifth St Ste D Barberton, OH 44203 (330) 848-0597

6789 Ridge Rd Ste 210 Cleveland, OH 44129 (440) 884-1591

3461 Warrensville Ctr Rd Beachwood, OH 44122 (216) 752-0034

55 Caren Ave Ste 170 Columbus, OH 43085 (614) 781-9417

6144 Route 25a Bldg B Ste 8 Wading River, NY 11792 (516) 677-7733 233 Montauk HWY The Bayview Bldg West Sayville, NY 11796 (516) 677-7734

4855 Hylan Blvd Staten Island, NY 10312 (718) 948-2892

280 Dobbs Ferry Rd Sprain Brook Medical Center White Plains, NY 10607 (914) 946-6271

Indian Rock Shopping Center Route 59 & Hemion Rd Suffern, NY 10901 (845) 369-1487

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

906 N Court St Circleville, OH 43113 (740) 477-3596 5 Severance Cir Ste 213 Cleveland, OH 44118 (216) 382-3658

193 E Main St Westfield, NY 14787 (716) 326-7300

78 Todt Hill Rd Ste 109 Staten Island, NY 10314 (718) 816-7782

3610 W Market St Ste 108 Akron, OH 44333 (330) 666-4093

3301 Westbourne Dr Ste 105 Cincinnati, OH 45248 (513) 922-8481

75 Glamorgan Ste 111 Alliance, OH 44601 (330) 821-0129

3733 Richmond Ave Staten Island, NY 10312 (718) 967-6433

651 Willowbrook Rd Ste 101 Staten Island, NY 10314 (719) 494-4660

1 Park W Ste 290 Akron, OH 44320 (330) 865-3624

970 N Broadway Ste 205 Yonkers, NY 10701 (914) 964-9700

North Carolina Labcorp of America Holdings 1447 York Court Burlington, NC 27215

Ohio

4152 Holiday St Nw Canton, OH 44718 (330) 493-1432 263 Delano Ave Ste B Chillicothe, OH 45601 (740) 779-6574 4767 Northbend Rd Cincinnati, OH 45211 (513) 661-9700 2825 Burnet Ave Cincinnati, OH 45219 (614) 889-1061 1737 Tennessee Ave Cincinnati, OH 45229 (513) 242-6800 1095 Nimitzview Dr Ste 102 Cincinnati, OH 45230 (513) 231-6100 9030 Montgomery Rd Cincinnati, OH 45242 (513) 791-1132 140 W Kemper Cincinnati, OH 45246 (614) 889-1061

6100 E Main St Ste 107 Columbus, OH 43213 (614) 864-7359 6495 E Broad St Ste 1 Columbus, OH 43213 (614) 866-3806 4830 Knightsbridge Blvd Ste K Columbus, OH 43214 (614) 451-2350 4998 W Broad St Ste 112 Columbus, OH 43228 (614) 878-1567 1 Elizabeth Pl Ste 250 Dayton, OH 45408 (937) 223-3160 7371 Brandt Pike Dayton, OH 45424 (937) 235-0017 5250 Farhills Ave Ste 110 Dayton, OH 45429 (937) 438-5083

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WellCare of Kentucky 3291 Seajay Ct Dayton, OH 45430 (937) 427-2783

130 N 7th St Marietta, OH 45750 (740) 568-0584

7087 Corporate Way Dayton, OH 45459 (937) 439-0107

721 Reading Rd Mason, OH 45040 (513) 770-0647

454 W Central Ave Delaware, OH 43015 (740) 363-9937

5041 Victor Dr Ste C Medina, OH 44256 (330) 725-1809

5920 F Wilcox Pl Dublin, OH 43016 (614) 889-1061

8300 Tyler Blvd Ste 205 Mentor, OH 44060 (440) 205-1399

6370 Wilcox Rd Dublin, OH 43016 (800) 631-5250

415 Byers Rd Miamisburg, OH 45342 (937) 866-8188

16761 St Clair Ave Ste B East Liverpool, OH 43920 (330) 385-1385

83 Powhatton Dr Milford, OH 45150 (513) 831-6652

418 E Broad St Elyria, OH 44035 (440) 328-3275 16 W Wenger Rd Englewood, OH 45322 (937) 836-4081 26151 Euclid Ave Ste 106 Euclid, OH 44132 (216) 731-6082

95 S Terrace Ave Newark, OH 43055 (740) 522-2034 9976 Brewster Ln Ste 100 Powell, OH 43065 (614) 793-5024 6175 Som Ctr Ste 210 Solon, OH 44139 (440) 542-0187

3006 St Rt 25a N County Rd Troy, OH 45373 (937) 332-6936 1700 E Market St Warren, OH 44483 (330) 399-1465

4403 State Rte 725 Ste E Bellbrook, OH 45305 (937) 848-4270

3921 E Market St Bldg 3 Warren, OH 44484 (330) 856-5594

4260 Glendale Milford Rd Blue Ash, OH 45242 (513) 793-2365

56 Westerview Dr Westerville, OH 43081 (440) 918-6285

7707 Paragon Rd Centerville, OH 45459 (937) 439-9222

27500 Detroit Rd Westlake, OH 44145 (440) 899-8084

7901 Schatz Pointe Dr Centerville, OH 45459 (937) 291-0960

35040 Chardon Rd Ste G-300 Willoughby, OH 44094 (440) 954-9682

13221 Ravenna Rd Ste 10 Chardon, OH 44024 (440) 285-2764

36100 Euclid Ave Ste 190 Willoughby, OH 44094 (440) 946-0105

2123 Auburn Ave Ste 124 Cincinnati, OH 45219 (513) 585-1029

38429 Lakeshore Blvd Willoughby, OH 44094 (440) 918-6285

222 Piedmont Ave Ste 6200 Cincinnati, OH 45219 (513) 475-7988

8170 South Ave Youngstown, OH 44512 (330) 729-9394

780 Milles Rd Ste B Fairfield, OH 45014 (513) 829-3203

1431 Maple Ave South Zanesville, OH 43701 (740) 452-0511

941 E Johnstown Rd Gahanna, OH 43230 (614) 475-7852

78 Remick Blvd Springboro, OH 45066 (937) 885-4307

4159 Kelnor Ave Grove City, OH 43123 (614) 539-0204

1111 N Plum St Ste 2 Springfield, OH 45504 (937) 323-0085

121 E Sixth Ave Lancaster, OH 43130 (740) 654-5416

4476 Darrow Rd Stow, OH 44224 (330) 686-0194

Quest Diagnostics Clinical Lab 676 S Broadway St Ste 100 Akron, OH 44311 (330) 344-4010

967 Bellefontaine Ave Lima, OH 45804 (419) 224-2682

1555 S Byrne Rd Ste 104 Toledo, OH 43614 (419) 381-1300

4125 Medina Rd Ste 202 Akron, OH 44333 (330) 576-6279

564 S Trimble Rd Ste B Mansfield, OH 44906 (419) 774-9333

4041 W Sylvania Ave Ste 001 Toledo, OH 43623 (419) 475-4928

2145 N Fairfield Rd Ste F Beavercreek, OH 45431 (937) 427-8864

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

1244 Meadow Bridge Dr Beavercreek, OH 45434 (937) 429-1846

3298 Stones Throw Rd Youngstown, OH 44514 (614) 793-5024 1570 S Canfield Niles Rd Youngstown, OH 44515 (330) 792-4800

3200 Burnet Ave Level A Cincinnati, OH 45229 (513) 585-6785

10600 Montgomery Rd Ste 302 Cincinnati, OH 45242 (513) 791-0695 9275 Montgomery Rd Ste 250 Cincinnati, OH 45242 (513) 791-6476 9403 Kenwood Rd Sre C100 Cincinnati, OH 45242 (513) 745-9783 11818 Springfield Pike Cincinnati, OH 45246 (513) 671-2793 7981 Beechmont Ave Cincinnati, OH 45255 (513) 388-0180 14100 Cedar Rd Ste 240 Cleveland, OH 44121 (216) 297-2183 20455 Lorain Rd Ste T02 Cleveland, OH 44126 (440) 356-4294 18660 Bagley Rd Ste 104 Cleveland, OH 44130 (440) 234-5666 1151 S High St Ste 101 Columbus, OH 43206 (614) 409-9682

7235 Beechmont Ave Cincinnati, OH 45230 (513) 231-2695

5320 E Main St Ste 200 Columbus, OH 43213 (614) 860-0591

4750 E Galbraith Rd Ste 106 Cincinnati, OH 45236 (513) 686-5910

50 Old Village Dr Ste 101 Columbus, OH 43228 (614) 878-8139

2475 W Galbraith Rd Ste B Cincinnati, OH 45239 (513) 521-4612

600 Portage Tri Cuyahoga Falls, OH 44221 (330) 929-1559

10475 Reading Rd Ste 116 Cincinnati, OH 45241 (513) 585-9672

1222 S Patterson Blvd Dayton, OH 45402 (937) 229-9716 323 Salem Ave Dayton, OH 45406 (937) 224-1660 Laboratory

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WellCare of Kentucky 627 Edwin C Moses Blvd Dayton, OH 45408 (937) 424-1363 1 Wyoming St Dayton, OH 45409 (937) 208-3666 122 Wyoming St Dayton, OH 45409 (937) 223-5717 1520 S Main St Dayton, OH 45409 (937) 223-3779 2600 Far Hills Ave Ste 100 Dayton, OH 45419 (937) 294-2751 1525 E Stroop Rd Dayton, OH 45429 (937) 299-5388 2308 Sandridge Dr Dayton, OH 45439 (937) 297-8305 5130 Bradenton Ave Ste D Dublin, OH 43017 (614) 798-8359 6350 Frantz Rd Ste D Dublin, OH 43017 (614) 799-2003

540 Lincoln Park Dr Ste 170 Kettering, OH 45429 (937) 395-1548

One Sunforest Ct Ste 100 Toledo, OH 43623 (419) 475-6702

1548 Sheridan Dr Ste 100 Lancaster, OH 43130 (740) 654-2365

1888 W Main St Troy, OH 45373 (937) 335-0363

855 West Market St Lima, OH 45805 (419) 222-8800 339 Cline Ave Mansfield, OH 44907 (419) 522-9010 9311 S Mason Montgomery Rd 1st Flr Mason, OH 45040 (513) 584-6735 1679 Lance Pointe Rd Ste B Maumee, OH 43537 (419) 897-0489 9500 Mentor Ave Ste 120 Mentor, OH 44060 (440) 354-8844 62 N Breiel Blvd Middletown, OH 45042 (513) 423-9694

5 W Wenger Rd Englewood, OH 45322 (937) 832-7876

7441 W Ridgewood Dr Ste 100 Parma, OH 44129 (440) 842-8122

5130 Pleasant Ave Fairfield, OH 45014 (513) 737-7160

304 W High St Piqua, OH 45356 (937) 615-0357

3624 W Market St Ste 105 Fairlawn, OH 44333 (330) 665-2563

34501 Aurora Rd Ste 103 Solon, OH 44139 (440) 542-9869

1010 Cereal Ave Ste 101 Hamilton, OH 45013 (513) 867-2486

6 Sycamore Creek Dr Springboro, OH 45066 (937) 748-1956

8638 Old Troy Pike Huber Heights, OH 45424 (937) 235-5654

2105 E High St Springfield, OH 45505 (937) 325-5327

5778 Darrow Rd Hudson, OH 44236 (330) 656-0522

4465 Darrow Rd Stow, OH 44224 (330) 686-7752

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

3479 Massillon Rd Uniontown, OH 44685 (330) 896-3707 65 D N Dixie Dr Vandalia, OH 45377 (937) 898-9284 3915 E Market St Ste 410 Warren, OH 44484 (330) 393-8727 7700 University Ct Ste 1900 West Chester, OH 45069 (513) 475-7460 484 County Line Rd W Ste 210 Westerville, OH 43082 (614) 890-4297 24551 Detroit Rd Ste 4 Westlake, OH 44145 (440) 835-4433 35040 Chardon Rd Ste 101 Willoughby, OH 44094 (440) 285-2764

South Carolina 25 Sherington Dr Ste B Bluffton, SC 29910 (843) 706-2413 460 William Hilton Pkwy Hilton Head Island, SC 29926 (843) 681-4780

Tennessee Aegis Sciences Corporation 515 Great Circle Rd Nashville, TN 37228 (615) 760-2863

American Esoteric Laboratories 1701 Century Center Cove Memphis, TN 38134 (901) 405-8200 5846 Distribution Dr Memphis, TN 38148 (901) 405-8200 850 E Third North St Ste A Morristown, TN 37814 (423) 586-3240 2521 Perimeter Place Dr Nashville, TN 37214 (615) 208-1951 Molecular Pathology Laboratory Network I 250 E Broadway Ave Maryville, TN 37804 (865) 380-9746

14225 Newbrook Dr Chantilly, VA 20151 (703) 802-6900

West Virginia Labcorp of America Holdings 120 Hills Plz Charleston, WV 25387 312 6th Avenue South Charleston, WV 25303

Nurse Anesthetist Kentucky Adair County Wimmer Carl T 901 Westlake Dr Columbia, KY 42728 (270) 384-4753

Allen County

Pathgroup Labs LLC 658 Grassmere Park Dr Nashville, TN 37211 (615) 562-9200

Alessio Stacy D 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800

Pca Southeast 1602 Hatcher Ln Columbia, TN 38401 (931) 388-0777

Brown Leeann 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800

1321 Locust Ave Lawrenceburg, TN 38464 (931) 358-0777

Chaney Ladonna J 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800

1900 Patterson St Ste 102 Nashville, TN 37203 (931) 388-0777

Davis Jonathan M 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800

100 Northcrest Dr Springfield, TN 37172 (931) 388-0777

Dickinson Amy W 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800

Texas Quest Diagnostics Clinical Lab 5850 Rogerdale Rd Houston, TX 77072 (800) 669-6605

Virginia

Monroe Barry K 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800 Moss Larry P 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800

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WellCare of Kentucky Norman Robert K 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800 Rabold Lisa A 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800 Ritter Mark L 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800 Yarbrough Concepcion Clarizel S 456 Burnley Rd Scottsville, KY 42164 (270) 622-2800

Barren County Jackson Delores J 108 Bravo Blvd Glasgow, KY 42141 (270) 651-2181 Jenkins Gary L 108 Bravo Blvd Glasgow, KY 42141 (270) 651-2181 Wright Robert L 108 Bravo Blvd Glasgow, KY 42141 (270) 651-2181

Bell County Keck Rhonda M 850 Riverview Rd Pineville, KY 40977 (606) 337-3051

Boone County Duff James 4900 Houston Rd Florence, KY 41042 (859) 212-5200 Stormer Jeffrey L 4900 Houston Rd Florence, KY 41042 (859) 212-5200

Boyd County Adams Cheryl 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 Ball Chad M 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 Blair Vickie 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 Dressell Joseph M 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 Hardy Richard 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708

Tardy John S 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708

Crafton Robert J 210 S Second St Danville, KY 40422 (859) 236-4008

Yaste Amelia L 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726

Taylor Mary L 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708

230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726

Caldwell County

Townson Shirley A 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 Wallace Lisa A 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 Whaley Andrew 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708

Boyle County

Duff David P 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726 Fusco Melanie N 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726

212 S 2nd St Danville, KY 40422 (859) 236-3502

803 Poplar St Murray, KY 42071 (859) 948-8389

217 S Third St Danville, KY 40422 (859) 236-4008

Colson Maria D 632 N 12th St Ste 230 Murray, KY 42071 (859) 948-8389

Keyes Arno C 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708

Camp Dale C 210 S Second St Danville, KY 40422 (859) 236-4008

Laswell Roland 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726

Lemons James B 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708

212 S 2nd St Danville, KY 40422 (859) 236-3502

Priest Gerald W 210 S Second St Danville, KY 40422 (859) 236-4008

Moles Joy 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 Monday Joshua M 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708 Pelfrey Steven B 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Carpenter Crystal S 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726

Calloway County Bazzell Laressa F 632 N 12th St Ste 230 Murray, KY 42071 (859) 948-8389

Adams Susan R 230 W Main St Ste 200 Danville, KY 40422 (859) 236-3726

217 S Third St Danville, KY 40422 (859) 236-4008

Wright Robert L 101 Hospital Dr Princeton, KY 42445 (270) 365-0300

Klappholz David L 210 S Second St Danville, KY 40422 (859) 236-4008

Johnson Tawna L 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708

Lusk Anne M 2201 Lexington Ave Ashland, KY 41101 (606) 408-4708

Jenkins Gary L 101 Hospital Dr Princeton, KY 42445 (270) 365-0300

212 S 2nd St Danville, KY 40422 (859) 236-3502 217 S Third St Danville, KY 40422 (859) 236-4008

Caudle Jeffrey N 212 S 2nd St Danville, KY 40422 (859) 236-3502

Roehm Mary E 210 S Second St Danville, KY 40422 (859) 236-4008

217 S Third St Danville, KY 40422 (859) 236-4008

217 S Third St Danville, KY 40422 (859) 236-4008

Daniel Brian T 632 N 12th St Ste 230 Murray, KY 42071 (859) 948-8389 David Adam S 632 N 12th St Ste 230 Murray, KY 42071 (859) 948-8389 803 Poplar St Murray, KY 42071 (859) 948-8389 Green Jennifer A 632 N 12th St Ste 230 Murray, KY 42071 (859) 948-8389 Grimball Margaret L 632 N 12th St Ste 230 Murray, KY 42071 (859) 948-8389 803 Poplar St Murray, KY 42071 (859) 948-8389

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WellCare of Kentucky Lockwood Amy 632 N 12th St Ste 230 Murray, KY 42071 (859) 948-8389

Mwasumbi Michael G 210 Marie Langdon Dr Manchester, KY 40962 (606) 598-5104

815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005

803 Poplar St Murray, KY 42071 (859) 948-8389

Rawson Richard 210 Marie Langdon Dr Manchester, KY 40962 (606) 598-5104

Binkley Kelly 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005

815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

Campbell County Duff James 85 N Grand Ave Fort Thomas, KY 41075 (859) 572-3232 Stormer Jeffrey L 85 N Grand Ave Fort Thomas, KY 41075 (859) 572-3232

Christian County Arrington Mark E 320 W 18th St Hopkinsville, KY 42240 (931) 551-1795 Chalker Brian 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795 Crafton Robert J 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795 Hall Tamera M 8250 Eagle Way Hopkinsville, KY 42240 (931) 557-1795 Meekins Alan E 320 W 18th St Hopkinsville, KY 42240 (931) 551-1795 Williams Keenan C 320 W 18th St Hopkinsville, KY 42240 (931) 551-1795

Clay County Barrett Brent W 210 Marielangdon Dr Manchester, KY 40962 (606) 598-5104

Rudd Bart 210 Marie Langdon Dr Manchester, KY 40962 (606) 598-5104

Clinton County

815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

Gaither John A 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

Morris Jeremy D 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005 Moser Beth L 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005

Beaumont Gary R 723 Burkesville Rd Albany, KY 42602 (606) 387-6421

Boone William F 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005

Coston David B 723 Burkesville Hwy Albany, KY 42602 (865) 777-0909

815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

Hallman Steven K 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 683-2751

Theele Michael G 723 Burkesville Rd Albany, KY 42602 (606) 387-6421

Britt Amy C 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005

Keller John A 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005

815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

Corn Tammie D 815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

Lovell Meredith T 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005

West Candace L 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 683-2751

Edwards Emily B 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 683-2751

815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

Fayette County

Crittenden County Durham Terry D 520 W Gum St Marion, KY 42064 (270) 965-1040 Geary Shana W 520 W Gum St Marion, KY 42064 (270) 965-1026

Daviess County Almes Christopher P 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005 Atherton Carla A 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005 Foster James M 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 683-2751

Morris Haley T 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005 815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005

815 E Parrish Ave Ste 460 Owensboro, KY 42303 (270) 684-5005 Stelmach Desrosiers Sarah L 1412 Frederica St Owensboro, KY 42301 (270) 684-5005 1000 Breckenridge St Ste 100 Owensboro, KY 42303 (270) 684-5005

Albrich Michael L 800 Rose Street Lexington, KY 40536 (859) 323-9977 Anderson Lori T 800 Rose St Lexington, KY 40536 (859) 323-9977 Buckler Gregory L 800 Rose St Lexington, KY 40536 (859) 257-6596

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WellCare of Kentucky Caltrider Randall R 800 Rose St Lexington, KY 40536 (859) 323-9977 Campbell Robert C 800 Rose St Lexington, KY 40536 (859) 323-5956 Ely Brian B 800 Rose St Lexington, KY 40536 (859) 323-5956 English Robert J 800 Rose St Lexington, KY 40536 (859) 257-6596 Fletcher Charles J 800 Rose St Lexington, KY 40536 (859) 323-9977 Gabehart Hilbert L 800 Rose St Lexington, KY 40536 (859) 323-5956 Gambrel John R 800 Rose St Lexington, KY 40536 (859) 323-5956 Gibson Vicki N 800 Rose St Lexington, KY 40536 (859) 323-5479 Hall William R 800 Rose Street Lexington, KY 40536 (859) 323-5956 Languages: Spanish Hazelett Margaret A 800 Rose St Lexington, KY 40536 (859) 323-5956 Howard Karen S 800 Rose St Lexington, KY 40536 (859) 323-9977

Hsieh Kai-Yi 800 Rose St Lexington, KY 40536 (859) 323-5956 Languages: Chinese, Spanish Larimore Arkle Christina L 800 Rose St Lexington, KY 40536 (859) 323-9977 Lawson Lonnie S 800 Rose St Lexington, KY 40536 (859) 323-5956 Lesser Joseph E 800 Rose St Lexington, KY 40536 (859) 323-9977 Parks Jennifer A 800 Rose St Lexington, KY 40536 (859) 257-6596 Tabor Jessica L 800 Rose St Lexington, KY 40536 (859) 323-9977 Toohey Eric M 800 Rose St Lexington, KY 40536 (859) 257-6596 Vital Everett 800 Rose St Lexington, KY 40536 (859) 323-9977 Wooden Heather W 800 Rose St Lexington, KY 40536 (859) 323-9977 Yongbang Albert N 800 Rose St Lexington, KY 40536 (859) 323-5956

Graves County Collier Barbara A 1099 Medical Center Cir Mayfield, KY 42066 (270) 251-4100

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

David Bruce 3451 State Route 94 E Sedalia, KY 42079 (270) 382-3112 Deguire Daryl 3451 State Route 94 E Sedalia, KY 42079 (270) 382-3112 Jenkins Gary L 3451 State Route 94 E Sedalia, KY 42079 (270) 382-3112 Wright Robert L 3451 State Route 94 E Sedalia, KY 42079 (270) 382-3112

Hardin County Bruce Blair 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600 Carroll Barbara 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600 Collins Jane 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600 Crouch Jeremy 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600 Gibson Lanette 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600 Greenwell Angela O 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600

Ohler Scott K 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600 Strickland Robert 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600 Watts-Baker Julie 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600 Wiltrout R S 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600 Wygant Mary E 639 N Mulberry Elizabethtown, KY 42701 (270) 737-4600

Hart County Caverna Memorial Hospital 1501 S Dixie St Horse Cave, KY 42749 (270) 786-2191 Jenkins Gary L 1501 S Dixie St Horse Cave, KY 42749 (270) 786-2191 Wright Robert L 1501 S Dixie St Horse Cave, KY 42749 (270) 786-2191

Henderson County Lovell Michael L 1305 N Elm Henderson, KY 42420 (270) 827-7700 West Candace L 110 3rd St Ste 220 Henderson, KY 42420 (952) 442-3614

Hopkins County Addington Michelle A 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000 Arbuckle Kristen L 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Borders Myrna M 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000 Bowen Christopher P 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Bradshaw Robinel 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000 Cates Ladonna 800 Hospital Dr Madisonville, KY 42431 (270) 825-5100 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000 Crider Michael D 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000 Edwards Emily B 800 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Ellegood Phillip 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000 Evitts Stephanie B 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000 Fishman Mary S 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000

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WellCare of Kentucky Hallman Steven K 800 Hospital Dr Madisonville, KY 42431 (270) 825-5100

Vincent Gregory 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000

900 Hospital Dr Madisonville, KY 42431 (270) 326-5000

Waldron Ginger R 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000

Jones Darlena 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Keller John A 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000 Lovell Michael L 800 Hospital Dr Madisonville, KY 42431 (270) 825-5100 Mills Christy D 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000

West Candace L 44 McCoy Ave Madisonville, KY 42431 (952) 442-3614

Jefferson County Bergstrom Stephani 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Biernesser Joy 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Coke James W 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Fields-Robbins Rachel L 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

6801 Dixie HWY Ste 130 Louisville, KY 40258 (502) 587-4203

Freiberger Carrie 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Costabell Charles M 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404 Crowder David C 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Givens Chelsey 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Delaluz Jason 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Givens Darci K 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

Bowers Ronnie 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Desilets Vicki 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

Boyd Kevin B 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Dorr-Fee Dana 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Brangers Sandra K 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Doyon Kenneth 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Robertson Heith W 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000

Burchett-Rhodes Tabitha 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

Dugan Pamela D 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Small Susanne K 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100

Chiappetta Catherine 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Springer Lorrie E 900 Hospital Dr Madisonville, KY 42431 (270) 825-5100

Coffey Jeanne M 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400

Parrish Dana 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000 Pate Tammy J 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000 Ramsey Davlina M 900 Hospital Dr Madisonville, KY 42431 (270) 326-5000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Gaines Donna 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Edwards Jo E 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Feathers Anita R 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Gulley Kristin L 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Harris Spring P 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Hart Michael D 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404 Hassfurther Jaclyn 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Hestand Philip 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Hettinger Alisha S 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

Higgs David 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Hoover Kimberly 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Hopkins Beverly J 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Humble Bradley 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Klockmann Darilynne J 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404 Kraemer Mark C 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404 Leavell Darla C 530 S Jackson St Louisville, KY 40202 (502) 852-8266 Lewis Bradley W 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Lockhart Andrew L 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Lowe Jennifer 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Martin David S 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

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WellCare of Kentucky McKechnie Sara 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Metzger Tammy G 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Morris Roy A 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880 Norgello Aldis E 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Norris Tonia 200 Abraham Flexner Way Ste 2 Louisville, KY 40202 (502) 561-3753 Perry Meeheh K 530 S Jackson St Louisville, KY 40202 (502) 852-5851 Perry Susan L 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Salansky Linda 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

Walters Brian R 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4203

Sanders Sarah M 1850 Bluegrass Ave Louisville, KY 40215 (502) 361-6617

6801 Dixie Highway Ste 130 Louisville, KY 40258 (502) 587-4203

Seuling Heidi L 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404 Shadburne Jessica D 3101 Breckenridge Ln Ste 1a Louisville, KY 40220 (502) 458-7400 Sherman William W 4000 Kresge Way Louisville, KY 40207 (502) 473-2132 Smalley Saundra L 2020 Newburg Rd Louisville, KY 40205 (502) 479-4433 1850 Bluegrass Ave Louisville, KY 40215 (502) 361-6617

Powers Patricia 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

Smith Charlotte B 220 Abraham Flexner Way Louisville, KY 40202 (502) 582-7654

Rafferty Stephen 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

Stone Dyshera L 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Rothrock Tammy 4001 Dutchmans Ln Louisville, KY 40207 (502) 629-2880

Streif Sharon K 200 Abraham Flexner Way Louisville, KY 40202 (502) 587-4404

Rzepka Leslie A 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

Strother Marilyn J 4000 Kresge Way Louisville, KY 40207 (502) 473-2132

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Davis Paul J 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Lichtenstein Sonya J 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Desch Daniel 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Linnemann Tina 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Wells Artis A 530 S Jackson St Louisville, KY 40202 (502) 852-5851

Duttweiler-Esser Sharon S 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Nacu Bernard F 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Wigginton Brandie D 530 S Jackson St Louisville, KY 40202 (502) 852-5851

Ehlman Barbara 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Johnson County

Farmer Heather 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Hillman David 625 James Trimble Blvd Paintsville, KY 41240 (606) 789-3511

Kenton County Age Verna S 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Ansari Cameron 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Baker Christine A 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Banner Christopher W 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Bridges Kim M 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Cooper Carley G 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Finch Lori E 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Giles Mary R 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Huller Emily 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Jeffrey Jarrell O 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Jones Lori 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Kite Michael K 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Koenig Debra R 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Ousley Kent A 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Parsons Nicholas 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Psikula Stacey 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Rymers Stephen J 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Sebastian Debbie A 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Spafford Tracey D 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Stormer Jeffrey L 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Thompson James C 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666 Williams Carolyn H 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

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WellCare of Kentucky Canella Michael 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750

Goff Lisa 225 Medical Center Dr Ste 105 Paducah, KY 42003 (270) 441-4125

Madison County

Canestrini Dean G 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750

Harris Jennifer B 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750

Backus Paul R 305 Estill St Berea, KY 40403 (865) 777-0909

Carper Dianna K 2507 Broadway St Paducah, KY 42001 (270) 442-8228

Hettler Thelma 225 Medical Center Dr Paducah, KY 42003 (270) 441-4125

Baptist Health Richmond 801 Eastern Bypass Richmond, KY 40475

Cartwright Phillip W 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750

Kollenberg John 2507 Broadway Paducah, KY 42001 (270) 442-8228

Ziegler Suzanne 1 Medical Village Dr Edgewood, KY 41017 (859) 341-2666

Rudd Bart 1001 Saint Joseph Ln London, KY 40741 (606) 330-6000

Jones Frank J 1625 Nashville St Russellville, KY 42276 (270) 725-4515

Laurel County

310 E 9th St London, KY 40741 (606) 878-6520

Petrusch Edward K 1625 Nashville St Russellville, KY 42276 (270) 725-4515

Albritton Jeffrey W 275 Highway 770 Corbin, KY 40701 (606) 526-7874 Backus Paul R 275 Highway 770 Corbin, KY 40701 (606) 526-7874 1001 St Joseph Ln London, KY 40741 (606) 330-6000

Williams Michael D 1001 Saint Joseph Ln London, KY 40741 (606) 330-6000 Zalewski Kenneth 275 Highway 770 Corbin, KY 40701 (606) 526-7874

Lawrence County

Baker Nevin 1001 St Joseph Ln London, KY 40741 (606) 330-6000

Hyden Diana C 2583 HWY 644 Ste 3 Louisa, KY 41230 (606) 638-3813

Banderman Mark D 1001 Saint Joseph Ln London, KY 40741 (606) 330-6000

Roof Denise C 2583 HWY 644 Ste 3 Louisa, KY 41230 (606) 638-3813

Chamberlain Kay R 1001 St Joseph Ln London, KY 40741 (606) 330-6000

Lincoln County

Cunningham-Daniel Linda N 275 Highway 770 Corbin, KY 40701 (606) 526-7874 Hargens Tammy 1001 Saint Joseph Ln London, KY 40741 (606) 330-6000 Minga David S 1001 Saint Joseph Ln London, KY 40741 (606) 330-6000 310 E 9th St London, KY 40741 (606) 878-6520 Mwasumbi Michael G 1001 Saint Joseph Ln London, KY 40741 (606) 330-6000

Verhoff Barbara J 110 Metker Trl Stanford, KY 40484 (606) 365-4600

Livingston County Deguire Daryl 131 Hospital Dr Salem, KY 42078 (270) 988-2299 Durham Terry D 131 Hospital Dr Salem, KY 42078 (270) 988-2299 Hettler Thelma 131 Hospital Dr Salem, KY 42078 (270) 988-2299

Logan County Glass Jessica L 1625 Nashville St Russellville, KY 42276 (270) 725-4515

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Coston David B 305 Estill St Berea, KY 40403 (865) 777-0909 Loyall Mary E 305 Estill St Berea, KY 40403 (865) 777-0909

Marshall County David Bruce 615 Old Symsonia Rd Benton, KY 42025 (270) 527-4800

McCracken County

Dailey Elizabeth S 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Dillard Francis J 2507 Broadway Paducah, KY 42001 (270) 442-8228 Durbin James D 2507 Broadway Paducah, KY 42001 (270) 442-8228

Aydt Matthew J 2507 Broadway Paducah, KY 42001 (270) 442-8228

Edmisson Kenneth W 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750

Ayo Ernest P 225 Medical Center Dr Paducah, KY 42003 (270) 441-4500

Ellegood Phillip 2507 Broadway St Paducah, KY 42001 (270) 442-8228

2831 Lone Oak Rd Paducah, KY 42003 (270) 442-9491

Freeman Wendy G 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750

Brown Steven W 2507 Broadway Paducah, KY 42001 (270) 442-8228

Gay Julie M 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750

Lmp Anesthesia Department 225 Medical Center Dr Paducah, KY 42003 (270) 441-4125 Meals James M 2507 Broadway Paducah, KY 42001 (270) 442-8228 Miller Gary A 100 Medical Center Dr Paducah, KY 42003 (270) 509-5323 Oneill Brain E 2507 Broadway Paducah, KY 42001 (270) 442-8228 Reedy Laura S 2507 Broadway Paducah, KY 42001 (270) 442-8228 Roof Denise C 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Sandlin B D 225 Medical Center Dr Ste 105 Paducah, KY 42003 (270) 441-4125

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WellCare of Kentucky Sasseen Michael A 2507 Broadway Paducah, KY 42001 (270) 442-8228 Sherman Charlotte E 2507 Broadway Paducah, KY 42001 (270) 442-8228 Smiley Daniel J 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Sorrells Karla E 2507 Broadway Paducah, KY 42001 (270) 442-8228 Stewart Julie A 2507 Broadway Paducah, KY 42001 (270) 442-8228 Thurman Pamela L 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Vincent Gregory 225 Medical Center Dr Paducah, KY 42003 (270) 441-4125 West-Covington Kimberly J 225 Medical Center Dr Ste 105 Paducah, KY 42003 (270) 441-4125 Whitman Steven E 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750 Williamson Jana B 225 Medical Center Dr Ste 405 Paducah, KY 42003 (270) 441-4750

Mercer County

Ohio County

Rowan County

James B Haggin Memorial Hospital 464 Linden Ave Harrodsburg, KY 40330 (859) 733-4807

Durham Terry D 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

Cibiras Thomas A 222 Medical Cir Morehead, KY 40351 (606) 783-6500

Gaither John A 1211 Old Main St Hartford, KY 42347 (270) 274-0480

Simpson County

Muhlenberg County Dukes Stephen D 440 Hopkinsville St Muhlenberg Community Hospital Greenville, KY 42345 (270) 338-8000 1008 Medical Center Dr Muhlenberg Surgery Center Powderly, KY 42367 (270) 338-9929 Weller Dan 440 Hopkinsville St Muhlenberg Community Hospital Greenville, KY 42345 (270) 338-8000 1008 Medical Center Dr Muhlenberg Surgery Center Powderly, KY 42367 (270) 338-9929

Nelson County Colbert Roger K 4305 New Shepardsville Rd Bardstown, KY 40004 (502) 350-5000 Kristiansen Stanley 4305 New Shepherdsville Rd Bardstown, KY 40004 (502) 350-5000 Trosclair Shane J 4305 New Shepardsville Rd Bardstown, KY 40004 (502) 350-5000

Wooten Steven C 2507 Broadway Paducah, KY 42001 (270) 442-8228 † Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Gamble Kristie 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480 Hardesty Kevin 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480 Jackson Delores J 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480 Jenkins Gary L 1211 Old Main St Hartford, KY 42347 (270) 274-0480 Jenkins Jeffrey K 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480 Kesler Michael 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480 Morris Jeremy D 1211 Old Main St Hartford, KY 42347 (270) 274-0480 Sampson Christopher L 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480 Wright Robert L 1020 N Main St Beaver Dam, KY 42320 (270) 274-0480

Alessio Stacy D 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832 Brown Leeann 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832 Chaney Ladonna J 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832 Davis Jonathan M 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832 Dickinson Amy W 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832 Monroe Barry K 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832 Moss Larry P 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832 Norman Robert K 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832 Rabold Lisa A 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832 Ritter Mark L 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832

Yarbrough Concepcion Clarizel S 1100 Brookhaven Rd Franklin, KY 42134 (270) 598-4832

Taylor County Ashby Kirsten L 1700 Old Lebanon Rd Campbellsville, KY 42718 (270) 932-2264 Boils Jennifer C 1700 Old Lebanon Rd Campbellsville, KY 42718 (270) 932-2264 Carney Leigh E 1700 Old Lebanon Rd Campbellsville, KY 42718 (270) 932-2264 Dunlap Michael S 1700 Old Lebanon Rd Campbellsville, KY 42718 (270) 932-2264

Warren County Alessio Stacy D 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912

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WellCare of Kentucky Brown Leeann 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912

350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912

Coates Vicki A 201 Park St Bowling Green, KY 42101 (270) 393-1912

720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912

350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912

350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912

Browning Nancy 1725 Ashley Cir Ste 209a Bowling Green, KY 42104 (270) 782-9994 Chaney Ladonna J 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Childress Heather G 201 Park St Bowling Green, KY 42101 (270) 393-1912

720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Davis Jonathan M 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912

Jackson Mark W 201 Park St Bowling Green, KY 42101 (270) 393-1912

Dickinson Amy W 201 Park St Bowling Green, KY 42101 (270) 393-1912

350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Dickinson Jonathan S 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Frost Christa 1725 Ashley Cir Ste 209a Bowling Green, KY 42104 (270) 782-9994

720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 Lux Brandy R 1725 Ashley Cir Ste 209a Bowling Green, KY 42104 (270) 782-9994 Lynn Jonathan L 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 Monroe Barry K 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Moss Larry P 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912

350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Norman Robert K 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Oconnor Matthew A 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912

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WellCare of Kentucky 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Rabold Lisa A 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Rainey Michael S 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Rainey Boyle Jennifer R 201 Park St Bowling Green, KY 42101 (270) 393-1912

350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912 Ritter Mark L 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203b Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 Thomas Adam K 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912 Yarbrough Concepcion Clarizel S 201 Park St Bowling Green, KY 42101 (270) 393-1912 350 Park St Ste 203 Bowling Green, KY 42101 (270) 393-1912 720 2nd Ave Ste 202 Bowling Green, KY 42101 (270) 393-1912

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

165 Natchez Trace Ave Ste 205 Bowling Green, KY 42103 (270) 393-1912

Wayne County Wayne County Hospital INC-Rad 166 Hospital St Monticello, KY 42633 (606) 348-9343

Whitley County Loyall Mary E 275 HWY 770 Corbin, KY 40701 (865) 777-0909 Rudd Bart 275 HWY 770 Corbin, KY 40701 (606) 526-7874 Williams Michael D 275 HWY 770 Corbin, KY 40701 (606) 526-7874

Indiana Hardesty Kevin One Hospital Rd Tell City, IN 47586 (812) 547-7011 Jenkins Gary L 520 W 1st St Novamed Eye Center Of New Albany New Albany, IN 47150 (270) 256-4063 One Hospital Rd Tell City, IN 47586 (812) 547-7011 Wright Robert L 520 W 1st St Novamed Eye Center Of New Al New Albany, IN 47150 (270) 256-4063 One Hospital Rd Tell City, IN 47586 (812) 547-7011

Ohio

Meekins Alan E 651 Dunlop Ln Gateway Surgery Center Clarksville, TN 37040 (931) 551-1795

Liguzinski Theresa F 375 Dixmyth Ave Cincinnati, OH 45220 (513) 862-2432

Tennessee

121 Hillcrest Dr Surgical Care Affiliate Clarksville, TN 37043 (931) 551-1795

Allgood Jonathan K 4230 Harding Rd Ste 435 Nashville, TN 37205 (615) 385-3704

793 Weatherly Dr Clarksville Surgery Center Clarksville, TN 37043 (931) 551-1795

Arrington Mark E 5002 Crossing Cir Ste 110 Mount Juliet, TN 37122 (931) 551-1795

111 HWY 70 E Horizon Medical Dickson, TN 37055 (931) 551-1795

Averett Melissa 4230 Harding Rd Ste 435 Nashville, TN 37205 (615) 385-3704 Beaumont Gary R 12752 Kingston Pike Ste E202 Knoxville, TN 37934 (865) 777-0909 18797 Aberta St Oneida, TN 37841 (423) 563-4161 Chalker Brian 5002 Crossing Cir Ste 110 Mount Juliet, TN 37122 (931) 551-1795 Golden Charles S 4230 Harding Rd Ste 435 Nashville, TN 37205 (615) 385-3704 Hall Tamera M 5002 Crossing Cir Ste 110 Mount Juliet, TN 37122 (931) 551-1795 Lovelace Christopher L 4230 Harding Rd Ste 435 Nashville, TN 37205 (615) 385-3704

545 Stonecrest Pkwy Physicians Pavilion Surgery Center Smyrna, TN 37167 (931) 551-1795 Moran Jason K 4230 Harding Rd Ste 435 Nashville, TN 37205 (615) 385-3704 Sharkey Kimberly A 4230 Harding Rd Ste 435 Nashville, TN 37205 (615) 385-3704 Spencer Mark S 4230 Harding Rd Ste 435 Nashville, TN 37205 (615) 385-3704 Thomason Mark 100 W 4th St Ste 100 Cookeville, TN 38501 (931) 520-7520 Williams Angela L 4230 Harding Rd Ste 435 Nashville, TN 37205 (615) 385-3704

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WellCare of Kentucky Williams Keenan C 5002 Crossing Cir Ste 110 Mount Juliet, TN 37122 (931) 551-1795 Williams Michael D 435 2nd St Newport, TN 37821 (423) 625-2200 301 Tyson Ave Paris, TN 38242 (731) 644-8345 301 Tyson Ave Paris, TN 38242 (865) 777-0909

Optometrist Kentucky Adair County Downey Max M 301 Burkesville St Columbia, KY 42728 (270) 384-6043 Silvers Bob 2988 Burkesville Rd Columbia, KY 42728 (270) 384-0476

Anderson County Smith Darren S 500 West Broadway Lawrenceburg, KY 40342 (502) 839-5113

Barren County Durham Terry 218 South Liberty St Glasgow, KY 42141 (270) 651-3466 Heffron Jamison J 507 S L Rogers Wells Blvd Suite B Glasgow, KY 42141 (270) 629-2015 Mayhew Jarrod A 2345 Happy Valley Road Glasgow, KY 42141 (270) 678-1003 Price William 108 Bravo Blvd Glasgow, KY 42141 (270) 651-2181

Cain Lloyd 2145 US HWY 25e Middlesboro, KY 40965 (606) 248-3582

Kies Philip G 7510 US Route 42 Florence, KY 41042 (859) 525-6215

Keck Sue 2145 US HWY 25 East Middlesboro, KY 40965 (606) 248-6030

Metzger William F 6901 Dixie Highway Florence, KY 41042 (859) 525-1800

McGeorge Todd M 2131 Cumberland Ave Middlesboro, KY 40965 (606) 242-2278

Tabeling Richard T 7625 Doering Dr Florence, KY 41042 (859) 525-6681

Sanford-Howard Lisa A 1403 Cumberland Avenue Suite A Middlesboro, KY 40965 (606) 248-2549

Thon Chris D 8780 US Highway 42 Florence, KY 41042 (859) 384-7058

Boone County Blair David M 1821 Florence Pike Suite 1 Burlington, KY 41005 (859) 586-3937 Craft Katy M 7510 US Route 42 Florence, KY 41042 (859) 525-6215

Jones John A 500 Winchester Ave Suite 810 Ashland, KY 41101 (606) 324-3672 Leadingham John C 1330 Carter Avenue Suite 1 Ashland, KY 41101 (606) 325-9659 1330 Carter Avenue Suite 3 Ashland, KY 41101 (606) 329-8672 Lysandrou Aristotle J 351 River Hill Road Ashland, KY 41101 (606) 329-0012

Bourbon County Creech Jeffery L 330 Main Street Paris, KY 40361 (859) 987-2292

Maloney Chad 500 Winchester Ave Suite 810 Ashland, KY 41101 (606) 324-3672

Hines Brett A 1543 South Main Paris, KY 40361 (859) 987-7077

Maroudis Phillip 1201 13th Street Ashland, KY 41101 (606) 329-1404

Allen County

Rooney George 108 Bravo Blvd Glasgow, KY 42141 (270) 651-2181

Breiwa John N 390 Old Gallatin Rd Scottsville, KY 42164 (270) 237-5434

Wagner Ronald T 115 Columbia Ave Glasgow, KY 42141 (270) 651-8323

Jeskie John 390 Old Gallatin Rd Scottsville, KY 42164 (270) 237-5434

Ward Stephen D 1407 North Race St Glasgow, KY 42141 (270) 651-6652

Hallforth Daniel L 6900 Houston Rd Suite 25 Florence, KY 41042 (859) 283-5055

Ross Mark 330 Franklin Rd PO Box 266 Scottsville, KY 42164 (270) 237-3871

Whitlow Cheryl G 705 N Race St Glasgow, KY 42141 (270) 651-2020

Hudson Kimberly M 6901 Dixie Highway Florence, KY 41042 (859) 525-1800

Bell County

5 North Main Street Walton, KY 41094 (859) 485-3937

Elliott James W 12504 US 60 Ashland, KY 41102 (606) 929-9510

Hughes Glenn H 7510 US Route 42 Florence, KY 41042 (859) 525-6215

Epling Kimberly K 2841 Lexington Avenue Ashland, KY 41101 (606) 324-2451

Tucker Joseph C 390 Old Gallatin Rd Scottsville, KY 42164 (270) 237-5434

Booth Holly R 1502 Cumberland Avenue Middlesboro, KY 40965 (606) 248-0932

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Doerr Molly 6901 Dixie Highway Florence, KY 41042 (859) 525-1800

Marshall Gregory W 305 Letton Drive Paris, KY 40361 (859) 987-4686

Morton John W 1201 13th Street Ashland, KY 41101 (606) 329-1404

Scifres Angela M 1543 South Main Paris, KY 40361 (859) 234-1424

Pearce Ronald L 1517 1/2 Winchester Avenue Ashland, KY 41101 (606) 324-1220

Boyd County Bowling Joseph R 500 Winchester Ave Suite 810 Ashland, KY 41101 (606) 324-3672

Salee Sarah 500 Winchester Ave Suite 810 Ashland, KY 41101 (606) 324-3672 Smith Stephen 500 Winchester Ave Suite 810 Ashland, KY 41101 (606) 324-3672

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WellCare of Kentucky Boyle County

Bullitt County

Dobbins Denise M 100 Walton Ave Danville, KY 40422 (859) 236-8093

Badillo Aida 181 Highway 44 East Suite 4 Shepherdsville, KY 40165 (502) 955-2020

Kowalik Barry M 100 Walton Ave Danville, KY 40422 (859) 236-8093 Langham Joel L 905 Hustonville Road Suite 1 Danville, KY 40422 (859) 238-9448 Mayes Steven C 100 Walton Ave Danville, KY 40422 (859) 236-8093 Smith Kimberly Z 104 Smoky Way Suite 100 Danville, KY 40422 (859) 236-8644 Ward Mark C 359 South 4th Street Danville, KY 40422 (859) 236-3121

Breathitt County Ellen Louis P 540 Jett Drive Jackson, KY 41339 (606) 666-9393 Goodman Terry 224 Highway 15 South Jackson, KY 41339 (606) 666-4585 Jones John A 30 Howell Lane Jackson, KY 41339 (606) 666-2849

Breckinridge County Emmick Rosemary R 500 Ballpark Rd Hardinsburg, KY 40143 (270) 756-6202

Chinn-Shelton Andrea 181 Highway 44 East Suite 4 Shepherdsville, KY 40165 (502) 955-2020 Cotner Daphne 181 Highway 44 East Suite 4 Shepherdsville, KY 40165 (502) 955-2020 Crawford Kevin 181 Highway 44 East Suite 4 Shepherdsville, KY 40165 (502) 955-2020 Hall Kenneth W 181 Highway 44 East Suite 4 Shepherdsville, KY 40165 (502) 955-2020 Hathcoat Gary V 11102 Highway 44 East Mount Washington, KY 40047 (503) 904-9933 Huseman Kimberley M 10731 HWY 44 East Mount Washington, KY 40047 (502) 589-1500 Kelly Michael G 1578 HWY 44 East Suite #7 Shepherdsvlle, KY 40165 (502) 543-0646

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Parker Carol B 10731 HWY 44 East Mount Washington, KY 40047 (502) 589-1500 Roberts Keith 181 Highway 44 East Suite 4 Shepherdsville, KY 40165 (502) 955-2020 Webb Larry E 181 Highway 44 East Suite 4 Shepherdsville, KY 40165 (502) 955-2020 Woodruff Hayley 10731 HWY 44 East Mount Washington, KY 40047 (502) 589-1500

Jaco James D 106 North 6th St Murray, KY 42071 (270) 753-2842

Lameier Kenneth A 6711 Alexandria Pike Alexandria, KY 41001 (859) 635-1848

Jarvis Reed H 1208 Johnson Blvd Murray, KY 42071 (270) 759-1429

Loesch Kevin G 6711 Alexandria Pike Alexandria, KY 41001 (859) 635-8800

Lyles Natasha G 106 North 6th St Murray, KY 42071 (270) 753-2842

Schuck Richard E 92 Alexandria Pike Fort Thomas, KY 41075 (859) 781-2000

Payne Douglas 506 North 12th Street Suite G Murray, KY 42071 (270) 753-5507

Sellers Keith L 59 Carothers Road Newport, KY 41071 (859) 491-1010

Swann Frederick R 809 North 12th St Murray, KY 42071 (270) 753-2195

Butler County

Campbell County

Cohron Wallace T 221 W Gl Smith St Morgantown, KY 42261 (270) 526-6800

Ernst James M 7517 Alexandria Pike Alexandria, KY 41001 (859) 635-7600

Caldwell County

Garbig Douglas J 92 Alexandria Pike Fort Thomas, KY 41075 (859) 441-3400

Parker Sarah C 101 East Shepherdson St Princeton, KY 42445 (270) 365-6627 Talley Daniel A 101 East Shepherdson St Princeton, KY 42445 (270) 365-6627

Calloway County Adams Kevin 308 S 12th St Murray, KY 42071 (270) 759-2500 Hall Benjamin 312 North 12th St Murray, KY 42071 (270) 767-9300

Georgilis George J 92 Alexandria Pike Fort Thomas, KY 41075 (859) 781-2000 Hammer Michael W 960 Highland Avenue Fort Thomas, KY 41075 (859) 572-0660 Herron Julie A 6711 Alexandria Pike Alexandria, KY 41001 (859) 635-8800 Kerestan Kristine A 92 Alexandria Pike Fort Thomas, KY 41075 (859) 441-3400

Young Josiah W 59 Carothers Road Newport, KY 41071 (859) 491-1010

Carroll County Bassett Laura L 2555 Highway 227 Carrollton, KY 41008 (502) 732-5006 Clark Brian M 2555 Highway 227 Carrollton, KY 41008 (502) 732-5006 Dugger Matthew L 2555 Highway 227 Carrollton, KY 41008 (502) 732-5006 Gossom Donald J 2555 Highway 227 Carrollton, KY 41008 (502) 732-5006 Lifferth Austin R 309 Eleventh Street Carrollton, KY 41008 (502) 732-0066 Moats Troy A 2555 Highway 227 Carrollton, KY 41008 (502) 732-5006 Peplinski Lee S 309 Eleventh Street Carrollton, KY 41008 (502) 732-0066 Optometrist

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WellCare of Kentucky Thompson Sharon L 2555 Highway 227 Carrollton, KY 41008 (502) 732-5006

Carter County Fannin Roger D 313 South Carol Malone Blvd Grayson, KY 41143 (606) 474-7833

Norris Rebecca M 14800 Fort Campbell Boulevard Oak Grove, KY 42262 (270) 640-4744 Shafer Patrick V 300 Clinic Dr Hopkinsville, KY 42240 (270) 886-1900

Clark County

Kee Anthony S 166 South Carol Malone Blvd Suite A Grayson, KY 41143 (606) 474-2940

McClanahan Karl 1462 West Lexington Avenue Winchester, KY 40391 (859) 737-5599

McCloud Jason H 107 East Main Street Grayson, KY 41143 (606) 474-5149

Puckett Randall K 1109 McCann Drive Suite 2 Winchester, KY 40391 (859) 744-4429

Languages: Spanish Payton Mary C 313 South Carol Malone Blvd Grayson, KY 41143 (606) 474-7833

Casey County Patterson Paul L 124 Liberty Square Liberty, KY 42539 (606) 787-0555 Smith Kimberly Z 46 Farmers Bank Drive Suite 100 Liberty, KY 42539 (859) 236-8644

Christian County Bastin Robert 1016 South Main St Hopkinsville, KY 42240 (270) 886-2293 Dexter Tracey D 209 West 15th St Hopkinsville, KY 42240 (270) 886-8129 Heltsley John W 1620 South Main Street Hopkinsville, KY 42240 (270) 886-6316

Clinton County Brenner Benjamin D 127 Foothills Ave Suite 3 Albany, KY 42602 (606) 387-5612 Jacobs Mark 127 Foothills Ave Suite 3 Albany, KY 42602 (606) 387-5612 McKinley Lindsay K 127 Foothills Ave Suite 3 Albany, KY 42602 (606) 387-5612 Upchurch Gary W 127 Foothills Ave Suite 3 Albany, KY 42602 (606) 387-5612

Crittenden County Parker Sarah C 713 S Main St Marion, KY 42064 (270) 965-5280

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Porter Adria N 713 S Main St Marion, KY 42064 (270) 965-5280

Gersh Richard 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

3151 Leitchfield Rd St Rte 54 Owensboro, KY 42303 (270) 683-5553

Talley Daniel A 713 S Main St Marion, KY 42064 (270) 965-5280

Glenn Jason 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Lawrence Stephen 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Daviess County

Hamilton Robert 221 Allen Street Owensboro, KY 42303 (270) 685-4966

Love Marcus 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Heck Charles D 1705 Frederica Street Owensboro, KY 42301 (270) 683-2121

Lynn Mark 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Henderson Richard 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Maloney Chad 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Horton Davea 3310 Professional Park Dr Suite 101 Owensboro, KY 42303 (270) 683-2101

Meyer Victor 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Adams John M 411 Park Plaza Drive Owensboro, KY 42301 (270) 683-2020 Bowling Joseph R 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Buckner James 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Burt Kevin 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Chan Andrew K 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Chatham Kaley H 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 233 Williamsburg Square Owensboro, KY 42303 (270) 684-3234 Cora Eduardo 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Edling Marie 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Eger Michael 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Howell Linda 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Minix Larry 1115 Tamarack Rd Suite 100 Owensboro, KY 42301 (270) 926-4933

Jackson Kevin R 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Montalvo Noemi 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Johnson Douglas 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Nagatoshi Raymond 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Jones Roger 411 Park Plaza Dr Owensboro, KY 42301 (270) 683-2020

Omar Rashid 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Klutts Fred 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Pardon Henry R 411 Park Plz Dr Owensboro, KY 42301 (270) 926-3937

Krahwinkel Jodi 5031 Fredrica Street Owensboro, KY 42301 (270) 685-2060

Partain Jeffrey 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

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WellCare of Kentucky Price Martin 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Smith Stephen 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Buckner James 100 Park Pl Suite 4 Brownsville, KY 42210 (270) 259-0500

Pulliam Mark 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Souleyrette Dale 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Coats Adam G 100 Park Pl Suite 4 Brownsville, KY 42210 (270) 259-0500

Reynolds Joseph 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Stanis Carl 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Estill County

Robertson Paul 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Swartzentruber Rebecca 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174

Rubesh Grant 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Salee Sarah 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Sanders Vaughn G 1705 Frederica Street Owensboro, KY 42301 (270) 683-2121 Schat Holly R 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Seavers Amy E 5000 Frederica St Owensboro, KY 42301 (270) 688-0786 Shake Steven H 3310 Professional Park Dr Suite 101 Owensboro, KY 42303 (270) 683-2101 Shields Michael S 221 Allen Street Owensboro, KY 42303 (270) 685-4966 Skillman Jon A 233 Williamsburg Square Owensboro, KY 42303 (270) 684-3234

Tabassi Bita 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Taylor Terri L 5220 Frederica Street Owensboro, KY 42301 (270) 684-1174 Terry Joseph 5031 Fredrica Street Owensboro, KY 42301 (270) 685-2060 3151 Leitchfield Rd St Rte 54 Owensboro, KY 42303 (270) 683-5553 Traylor Marty 3310 Professional Park Dr Suite 101 Owensboro, KY 42303 (270) 683-2101 Ward Homer A 411 Park Plaza Drive Owensboro, KY 42301 (270) 683-2020

Edmonson County Abney Larry B 100 Park Pl Suite 4 Brownsville, KY 42210 (270) 968-0203

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Burchett Dwight M 4235 Richmond Rd Irvine, KY 40336 (606) 726-9321 Harris Anthony C 4235 Richmond Rd Irvine, KY 40336 (606) 726-9321 Lodholz Lauren R 4235 Richmond Rd Irvine, KY 40336 (606) 726-9321 Reynolds William 4235 Richmond Rd Irvine, KY 40336 (606) 726-9321 Santos Karen T 4235 Richmond Rd Irvine, KY 40336 (606) 726-9321

Fayette County Adams Stefanie M 4051 Nicholasville Rd Lexington, KY 40503 (859) 971-0572 500 West New Circle Rd Lexington, KY 40511 (859) 381-9370 Anders Michelle P 740 South Limestone Street Lexington, KY 40536 (859) 323-5867 Arnett Edsel G 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443

2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383

Crutchfield Barbara J 740 South Limestone Street Lexington, KY 40536 (859) 323-5867

Burchett Dwight M 114 East Reynolds Rd Lexington, KY 40517 (859) 272-2449

Eger Michael 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443

Busey Lannie 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443

2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383

2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383

Fleshman Todd 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443

Caudill Cliff M 740 South Limestone Street Lexington, KY 40536 (859) 323-5867

2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383

Chan Andrew K 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443

Frank Danielle 340 Meijer Way Lexington, KY 40503 (859) 278-0055

2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383

4101 Tatescreek Centre #142 Lexington, KY 40517 (859) 245-3332

Colwell Steven R 2465 B Nicholasville Road Lexington, KY 40503 (859) 278-7462 Costa Angela F 138 East Reynolds Road #101 Lexington, KY 40517 (859) 273-2020 Crockett Jason E 2720 Old Rosebud Road Suite 110 Lexington, KY 40509 (859) 373-0300

Gersh Richard 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383 Harris Anthony C 114 East Reynolds Rd Lexington, KY 40517 (859) 272-2449 Henderson Richard 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443

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WellCare of Kentucky 2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383 Klecker Steven 1555 East New Circle Rd Suite 146 Lexington, KY 40509 (859) 269-6921 Labhart Mark 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 Lane Allyson N 4051 Nicholasville Rd Lexington, KY 40503 (859) 971-0572 500 West New Circle Rd Lexington, KY 40511 (859) 225-4657 Lane Ashley B 340 Meijer Way Lexington, KY 40503 (859) 278-0055 4101 Tatescreek Centre #142 Lexington, KY 40517 (859) 245-3332 Long Lance 2353 Alexandria Dr Suite 350 Lexington, KY 40504 (859) 224-2655 Love Marcus 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383 Marshall Gregory W 2350 Grey Lag Way Rd Lexington, KY 40509 (859) 263-0905

Mattson Kari C 4051 Nicholasville Rd Lexington, KY 40503 (859) 273-3551

Rubesh Grant 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443

500 West New Circle Rd Lexington, KY 40511 (859) 225-4657

2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383

McClanahan Karl 340 Meijer Way Lexington, KY 40503 (859) 278-0055 McMillin Karen L 340 Meijer Way Lexington, KY 40503 (859) 278-2020 4101 Tatescreek Centre #142 Lexington, KY 40517 (859) 245-3332 Meyer Victor 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383 Milby Michael A 3180 Richmond Rd Lexington, KY 40509 (859) 268-2001 Nagatoshi Raymond 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 Reynolds William 114 East Reynolds Rd Lexington, KY 40517 (859) 272-2449 Rich Suzannah R 4051 Nicholasville Rd Lexington, KY 40503 (859) 971-0589 Richardson Ted 1757 Alexandria Lexington, KY 40504 (859) 278-4201

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Salee Sarah 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 Santos Karen T 2716 Old Rosebud Road Suite 130 Lexington, KY 40509 (859) 327-3701 114 East Reynolds Rd Lexington, KY 40517 (859) 272-2449 Simpson John F 340 Meijer Way Lexington, KY 40503 (859) 278-0055 4101 Tatescreek Centre #142 Lexington, KY 40517 (859) 245-3332 Smith Stephen 2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383 Snead Kevin 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443 2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383 Spear Steven 3695 Nicholasville Rd Lexington, KY 40503 (859) 273-4443

2312 Sir Bartonway Suite 170, Hamburg Pavilion Lexington, KY 40509 (859) 543-8383 Stocke Kathryn G 1555 East New Circle Rd Suite 146 Lexington, KY 40509 (859) 269-6921 Stratton Dawn C 155 Moore Drive Lexington, KY 40503 (859) 275-2030

Fleming County Bisotti Anthony J 104 North Main Street Flemingsburg, KY 41041 (606) 849-2348 Sherman Keith 104 North Main Street Flemingsburg, KY 41041 (606) 849-2348 Taylor Gregory E 104 North Main Street Flemingsburg, KY 41041 (606) 849-2348

Floyd County Combs Jerald F 386 Kentucky Route 122 Martin, KY 41649 (606) 285-3139 Crum Howard E 212 Glynview Plaza Hippo, KY 41653 (606) 886-3717 Majakey Lee V 338 North Arnold Avenue Prestonsburg, KY 41653 (606) 886-2662 Nordin Kimberly A 929 North Lake Dr Prestonsburg, KY 41653 (606) 886-6774

Salisbury Richard D 11477 Main Street Martin, KY 41649 (606) 285-0005

Franklin County Harlan Aubrey S 93 C Michael Davenport Blvd Suite 2 Frankfort, KY 40601 (502) 875-9860 Keenan Thomas J 1303 US Highway 127s Suite 108 Frankfort, KY 40601 (502) 223-2314 Keplinger Brian L 15 Grandview Drive Suite F Frankfort, KY 40601 (502) 695-1771 Lalonde Thomas 1303 US Highway 127s Suite 108 Frankfort, KY 40601 (502) 223-2314 Long Lance 1303 US Highway 127s Suite 108 Frankfort, KY 40601 (502) 223-2314 Munson Karoline L 643 Comanche Trail Frankfort, KY 40601 (502) 227-4508 Rabaut Kristen 1303 US Highway 127s Suite 108 Frankfort, KY 40601 (502) 875-3050 Smith Jeremy V 102 Diagnostic Drive Frankfort, KY 40601 (502) 223-8258 Stallard Kevin D 1303 US Highway 127s Suite 108 Frankfort, KY 40601 (502) 223-2314

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WellCare of Kentucky Grant County Jacob Kevin S 20 Ferguson Blvd Dry Ridge, KY 41035 (859) 824-1333

Harned Anna 2525 Elizabethtown Road Leitchfield, KY 42754 (270) 259-6329

Jacob Stephanie J 20 Ferguson Blvd Dry Ridge, KY 41035 (859) 824-0575

Matthews John H 1801 Elizabethtown Road Leitchfield, KY 42754 (270) 259-5622

Mercado Jennifer R 1114 Fashion Ridge Road Dry Ridge, KY 41035 (859) 824-4497

Simpson Charles B 2525 Elizabethtown Road Leitchfield, KY 42754 (270) 259-6329

Shewmaker Lynn C 1114 Fashion Ridge Road Dry Ridge, KY 41035 (859) 824-4415 Subler Ryan M 1114 Fashion Ridge Road Dry Ridge, KY 41035 (859) 824-4415

Graves County Bugg Kelly S 107 West Broadway Mayfield, KY 42066 (270) 247-5532 Lyles Natasha G 1400 Commonwealth Dr Mayfield, KY 42066 (270) 247-2417 Sheridan Donise B 1400 Commonwealth Dr Mayfield, KY 42066 (270) 247-2417

Green County Patterson Paul L 212 South Main Street Greensburg, KY 42743 (270) 932-5431

Greenup County Brom James T 2135 Argillite Road Suite 118 Flatwoods, KY 41139 (606) 836-8153 Brooks Robert F 1621 Ashland Road Suite 3 Greenup, KY 41144 (606) 473-5322 Morris Richard B 1621 Ashland Road Suite 3 Greenup, KY 41144 (606) 473-5322

Hancock County

Smith Tony S 1225 Paris Rd Mayfield, KY 42066 (270) 247-0358

Emmick Rosemary R 123 Eastwind Court Hawesville, KY 42348 (270) 756-6202

Grayson County

Hardin County

Abney Larry B 31 Bobby Bland Way Leitchfield, KY 42754 (270) 259-0500

Badillo Aida 1705 North Dixie Highway Elizabethtown, KY 42701 (270) 765-2020

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Chinn-Shelton Andrea 1705 North Dixie Highway Elizabethtown, KY 42701 (270) 765-2020 Cotner Daphne 1705 North Dixie Highway Elizabethtown, KY 42701 (270) 765-2020 Crawford Kevin 1705 North Dixie Highway Elizabethtown, KY 42701 (270) 765-2020 Eger Michael 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372 Fleshman Todd 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372 Gersh Richard 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372 Hall Kenneth W 1705 North Dixie Highway Elizabethtown, KY 42701 (270) 765-2020 Henderson Richard 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372 Johnson John 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Labhart Mark 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372 Lawrence Stephen 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372 Lifferth Austin R 800 Cardinal Drive Suite 102 Elizabethtown, KY 42701 (270) 769-0099

Peplinski Lee S 800 Cardinal Drive Suite 102 Elizabethtown, KY 42701 (270) 769-0099 Pulliam Mark 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372 Reynolds Joseph 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Love Marcus 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Rubesh Grant 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Lynn Mark 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Smith Stephen 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Maloney Chad 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Souleyrette Dale 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Meyer Victor 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Stanis Carl 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Nagatoshi Raymond 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Tabassi Bita 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Omar Rashid 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

Webb Larry E 1705 North Dixie Highway Elizabethtown, KY 42701 (270) 765-2020

Partain Jeffrey 1609 North Dixie Ave Elizabethtown, KY 42701 (270) 765-7372

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WellCare of Kentucky Wise Teresa A 2904 Dolphin Dr Elizabethtown, KY 42701 (270) 769-3708

Harlan County Ball Nola R 117 North Cumberland Avenue Harlan, KY 40831 (606) 573-6928 Durant Michael A 117 North Cumberland Avenue Harlan, KY 40831 (606) 573-6928 Henson Amy 117 North Cumberland Avenue Harlan, KY 40831 (606) 573-6902 Maynard Todd M 117 North Cumberland Avenue Harlan, KY 40831 (606) 573-6928

Harrison County Hines Brett A 202 West Pleasant Street Cynthiana, KY 41031 (859) 234-1424 Scifres Angela M 202 West Pleasant Street Cynthiana, KY 41031 (859) 234-1424

Hart County Andrews Billy W 1483 South Dixie Highway Horse Cave, KY 42749 (270) 786-2085 Seadler Celeste 815 Main Street Munfordville, KY 42765 (270) 524-5444

Simpson Charles B 815 Main Street Munfordville, KY 42765 (270) 524-5444

French Charles L 1350 South Main Street Madisonville, KY 42431 (270) 821-6241

Bassett Laura L 7635 Shelbyville Rd Louisville, KY 40222 (502) 423-8500

Crawford Kevin 10232 Westport Rd Louisville, KY 40241 (502) 339-2042

Henderson County

Schertzinger John M 1756 East Center Street Madisonville, KY 42431 (270) 821-6388

9474 Brownsboro Rd Louisville, KY 40241 (502) 429-3630

10639 Dixie Highway Louisville, KY 40272 (502) 933-9200

6812 Dixie Highway Louisville, KY 40258 (502) 933-7986

6828 Bardstown Road Louisville, KY 40291 (502) 231-2020

Chinn-Shelton Andrea 10639 Dixie Highway Louisville, KY 40272 (502) 933-9200

Dugger Matthew L 7635 Shelbyville Rd Louisville, KY 40222 (502) 423-8500

6828 Bardstown Road Louisville, KY 40291 (502) 231-2020

9474 Brownsboro Rd Louisville, KY 40241 (502) 429-3630 6812 Dixie Highway Louisville, KY 40258 (502) 933-7986

Cottingham Robert 1997 Barret Court Henderson, KY 42420 (270) 826-9966 Fife Sally 300 9th St Henderson, KY 42420 (270) 827-8681 Hagedorn Gregory 1413 North Elm St Henderson, KY 42420 (270) 826-1500

Taddese Andrea 1756 East Center Street Madisonville, KY 42431 (270) 821-6388 Taylor Emily B 344 East Arch Street Madisonville, KY 42431 (270) 821-2862

Jackson County

Heck Charles D 300 9th St Henderson, KY 42420 (270) 827-8681

Burchett Dwight M Us Highway 421 Mc Kee, KY 40447 (606) 287-8477

Clark Brian M 7635 Shelbyville Rd Louisville, KY 40222 (502) 423-8500

Schertzinger John M 1195 Barrett Blvd Henderson, KY 42420 (270) 831-8686

Harris Anthony C Us Highway 421 Mc Kee, KY 40447 (606) 287-8477

9474 Brownsboro Rd Louisville, KY 40241 (502) 429-3630

Taddese Andrea 1195 Barrett Blvd Henderson, KY 42420 (270) 826-6036

Lodholz Lauren R Us Highway 421 Mc Kee, KY 40447 (606) 287-8477

Werkmeister Kristin N 1997 Barret Court Henderson, KY 42420 (270) 826-9966

Reynolds William Us Highway 421 Mc Kee, KY 40447 (606) 287-8477

Henry County Doerr Molly 8282 Main Street Campbellsburg, KY 40011 (502) 532-6332

Hopkins County Brown James M 344 East Arch Street Madisonville, KY 42431 (270) 821-2862 Crist Troy W 44 McCoy Avenue Madisonville, KY 42431 (270) 825-3937

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Santos Karen T Us Highway 421 Mc Kee, KY 40447 (606) 287-8477

Jefferson County Badillo Aida 10232 Westport Rd Louisville, KY 40241 (502) 339-2042 10639 Dixie Highway Louisville, KY 40272 (502) 933-9200 6828 Bardstown Road Louisville, KY 40291 (502) 231-2020

6812 Dixie Highway Louisville, KY 40258 (502) 933-7986 Cora Eduardo 100 West Market St Louisville, KY 40202 (502) 587-8488 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston Highway Louisville, KY 40219 (502) 966-2020 Cotner Daphne 10232 Westport Rd Louisville, KY 40241 (502) 339-2042 10639 Dixie Highway Louisville, KY 40272 (502) 933-9200 6828 Bardstown Road Louisville, KY 40291 (502) 231-2020

Edling Marie 100 West Market St Louisville, KY 40202 (502) 587-8488 1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 13210 Shelbyville Road Suite 101 Louisville, KY 40223 (502) 244-9198 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Eger Michael 100 West Market St Louisville, KY 40202 (502) 587-8488

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WellCare of Kentucky 1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Fleshman Todd 100 West Market St Louisville, KY 40202 (502) 587-8488 1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Gersh Richard 100 West Market St Louisville, KY 40202 (502) 587-8488 1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323

Grady Susan M 4801 Outer Loop Rd Suite D648 Louisville, KY 40219 (502) 968-6860 7900 Shelbyville Rd Suite A15 Louisville, KY 40222 (502) 327-8568

Glenn Jason 100 West Market St Louisville, KY 40202 (502) 587-8488

Hall Kenneth W 10232 Westport Rd Louisville, KY 40241 (502) 339-2042

1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015

10639 Dixie Highway Louisville, KY 40272 (502) 933-9200

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 13210 Shelbyville Road Suite 101 Louisville, KY 40223 (502) 244-9198 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Goodman Terry 1947 South Hurstbourne Pkwy Louisville, KY 40220 (502) 499-2020 Gossom Donald J 7635 Shelbyville Rd Louisville, KY 40222 (502) 423-8500 9474 Brownsboro Rd Louisville, KY 40241 (502) 429-3630 6812 Dixie Highway Louisville, KY 40258 (502) 933-7986

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

6828 Bardstown Road Louisville, KY 40291 (502) 231-2020 Harvey Andrew 4801 Outer Loop Rd Suite D648 Louisville, KY 40219 (502) 968-6860 7900 Shelbyville Rd Suite A15 Louisville, KY 40222 (502) 327-8568 12464 Lagrange Rd Louisville, KY 40245 (502) 243-3733 Hickey Carol 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 Hogan Christopher 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 Hurt James D 1169 Eastern Pkwy Suite 3334 Louisville, KY 40217 (502) 458-9004 Huseman Brian 215 Central Avenue Suite 101 Louisville, KY 40208 (502) 636-5766

10639 Dixie Highway Louisville, KY 40272 (502) 933-9200 Huseman Kimberley M 1536 Story Avenue The Eye Care Institute Building Louisville, KY 40206 (502) 589-1500 Jackson Kevin R 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 Jeskie John 4159 Shelbyville Road Louisville, KY 40207 (502) 896-4497 Jochem-May Julie 4801 Outer Loop Rd Suite D648 Louisville, KY 40219 (502) 968-6860 7900 Shelbyville Rd Suite A15 Louisville, KY 40222 (502) 327-8568 Johnson Douglas 100 West Market St Louisville, KY 40202 (502) 587-8488 1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 13210 Shelbyville Road Suite 101 Louisville, KY 40223 (502) 244-9198

3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Johnson John 100 West Market St Louisville, KY 40202 (502) 587-8488 1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Keenan Thomas J 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 Labhart Mark 100 West Market St Louisville, KY 40202 (502) 587-8488 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 Lalonde Thomas 2110 South Hurstbourne Pkwy Louisville, KY 40220 (502) 491-2232 Lawrence Stephen 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

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WellCare of Kentucky 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 13210 Shelbyville Road Suite 101 Louisville, KY 40223 (502) 244-9198 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Lifferth Austin R 4010 Dupont Circle Suite 380 Louisville, KY 40207 (502) 895-0040 1700 Bluegrass Avenue Suite 200 Louisville, KY 40215 (502) 364-0033 Long Lance 4527 Outer Loop Louisville, KY 40219 (502) 968-2015 Love Marcus 100 West Market St Louisville, KY 40202 (502) 587-8488 1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 13210 Shelbyville Road Suite 101 Louisville, KY 40223 (502) 244-9198

3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Lynn Mark 100 West Market St Louisville, KY 40202 (502) 587-8488 1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323

13210 Shelbyville Road Suite 101 Louisville, KY 40223 (502) 244-9198 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Minton Beth 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 Moats Troy A 7635 Shelbyville Rd Louisville, KY 40222 (502) 423-8500 9474 Brownsboro Rd Louisville, KY 40241 (502) 429-3630 6812 Dixie Highway Louisville, KY 40258 (502) 933-7986 Montalvo Noemi 100 West Market St Louisville, KY 40202 (502) 587-8488

1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015

2355 Poplar Level Road Suite 100, Aududon Medical Plaza West Louisville, KY 40217 (502) 637-3036

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

Partain Jeffrey 100 West Market St Louisville, KY 40202 (502) 587-8488

7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Noblitt Randall L 4040 Dutchmans Lane Suite B Louisville, KY 40207 (502) 895-2910 Novotny Patrick J 4801 Outer Loop Rd Suite D648 Louisville, KY 40219 (502) 968-6860

1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

7900 Shelbyville Rd Suite A15 Louisville, KY 40222 (502) 327-8568

Peplinski Lee S 4010 Dupont Circle Suite 380 Louisville, KY 40207 (502) 895-0040

Meyer Victor 100 West Market St Louisville, KY 40202 (502) 587-8488

7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020

Omar Rashid 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

1700 Bluegrass Avenue Suite 200 Louisville, KY 40215 (502) 364-0033

1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015

3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323

7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020

Pulliam Mark 100 West Market St Louisville, KY 40202 (502) 587-8488

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

Morris Michael J 11901 Standiford Plaza Drive Louisville, KY 40229 (502) 968-2720

3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323

1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015

Parker Carol B 1536 Story Avenue The Eye Care Institute Building Louisville, KY 40206 (502) 589-1500

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

Mejia Guadalupe A 301 East Muhammad Ali Blvd Louisville, KY 40202 (502) 852-7665

7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Nagatoshi Raymond 100 West Market St Louisville, KY 40202 (502) 587-8488

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WellCare of Kentucky 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020

Roberts Keith 6828 Bardstown Road Louisville, KY 40291 (502) 231-2020

13210 Shelbyville Road Suite 101 Louisville, KY 40223 (502) 244-9198

Rubesh Grant 100 West Market St Louisville, KY 40202 (502) 587-8488

3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323

1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015

Rabaut Kristen 2110 South Hurstbourne Pkwy Louisville, KY 40220 (502) 491-2232

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

12911 Shelbyville Rd Louisville, KY 40243 (502) 244-1559 Rallo Rod 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 Reynolds Jennifer 4527 Outer Loop Louisville, KY 40219 (502) 968-2015 Reynolds Joseph 100 West Market St Louisville, KY 40202 (502) 587-8488 1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323

7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Schat Holly R 1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 13210 Shelbyville Road Suite 101 Louisville, KY 40223 (502) 244-9198 3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Smith Stephen 100 West Market St Louisville, KY 40202 (502) 587-8488

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015

1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015

1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080

7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020

7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020

7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020

13210 Shelbyville Road Suite 101 Louisville, KY 40223 (502) 244-9198

3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323

13210 Shelbyville Road Suite 101 Louisville, KY 40223 (502) 244-9198

3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Snipes Kevin M 4801 Outer Loop Rd Suite D648 Louisville, KY 40219 (502) 968-6860

Steller Rob A 1102 Lyndon Lane Suite A Louisville, KY 40222 (502) 426-0307 Stroud Christopher L 4004 Dupont Circle Louisville, KY 40207 (502) 897-1604

7900 Shelbyville Rd Suite A15 Louisville, KY 40222 (502) 327-8568

Stroud Maleah 10639 Dixie Highway Louisville, KY 40272 (502) 933-9200

Souleyrette Dale 100 West Market St Louisville, KY 40202 (502) 587-8488

6828 Bardstown Road Louisville, KY 40291 (502) 231-2020

1001 Breckinridge Lane Breckenridge Shopping Center Louisville, KY 40207 (502) 893-2015 5224 Dixie Hwy Louisville, KY 40216 (502) 449-2080 7815 Preston HWY Okalona Center Louisville, KY 40219 (502) 966-2020 Stanis Carl 100 West Market St Louisville, KY 40202 (502) 587-8488

Summers Seth J 4036 Dutchmans Lane Louisville, KY 40207 (502) 897-1656 4747 1/2 Dixie Highway Louisville, KY 40216 (502) 447-1799 9219 US HWY 42 Suite F Prospect, KY 40059 (502) 897-1656 Tabassi Bita 100 West Market St Louisville, KY 40202 (502) 587-8488

3563 Springhurst Blvd Springhurst Towne Center Louisville, KY 40241 (502) 339-7323 Thompson Sharon L 7635 Shelbyville Rd Louisville, KY 40222 (502) 423-8500 9474 Brownsboro Rd Louisville, KY 40241 (502) 429-3630 6812 Dixie Highway Louisville, KY 40258 (502) 933-7986 Todd Rebekah E 4000 Poplar Level Rd Louisville, KY 40213 (502) 459-2020 4527 Outer Loop Louisville, KY 40219 (502) 968-2015 Webb Larry E 215 Central Avenue Suite 101 Louisville, KY 40208 (502) 636-5766 10232 Westport Rd Louisville, KY 40241 (502) 339-2042 10639 Dixie Highway Louisville, KY 40272 (502) 933-9200

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WellCare of Kentucky 6828 Bardstown Road Louisville, KY 40291 (502) 231-2020 Weinberg Daniel 4414 Shelbyville Road Suite 204 Louisville, KY 40207 (502) 327-8919

Mattson Kari C 1024 North Main Street Nicholasville, KY 40356 (859) 885-3299

Hammer Michael W 630 Viox Drive Erlanger, KY 41018 (859) 727-6700

Schaffield Sharon M 5522 Taylor Mill Road Taylor Mill, KY 41015 (859) 581-7200

Musick John E 104 Fairfield Dr Nicholasville, KY 40356 (859) 887-2404

Herron Julie A 3450 Valley Plaza Parkway Ft Wright, KY 41017 (859) 341-7900

Shewmaker Lynn C 2174 Dixie Highway Fort Mitchell, KY 41017 (859) 341-2566

Hildenbrand Jessica D 580 South Loop Road Suite 200 Edgewood, KY 41017 (859) 331-9000

Shull Emily R 580 South Loop Road Suite 200 Edgewood, KY 41017 (859) 331-9000

Hudson Tyler R 35 Augusta Avenue Ft Wright, KY 41011 (513) 771-7483

Subler Ryan M 2174 Dixie Highway Fort Mitchell, KY 41017 (859) 341-2566

Lameier Kenneth A 3450 Valley Plaza Parkway Ft Wright, KY 41017 (859) 341-7900

Thon Chris D 802 Scott Street Covington, KY 41011 (859) 581-2212

Wilder Derek L 4527 Outer Loop Louisville, KY 40219 (502) 968-2015

Rich Suzannah R 1024 North Main Street Nicholasville, KY 40356 (859) 881-5444

12911 Shelbyville Rd Louisville, KY 40243 (502) 244-1559

Steinhauser Richard P 181 E Brannon Road Nicholasville, KY 40356 (859) 971-2211

Wilson Steven M 4040 Dutchmans Lane Suite B Louisville, KY 40207 (812) 948-0616 Woodruff Hayley 1536 Story Avenue The Eye Care Institute Building Louisville, KY 40206 (502) 589-1500 2355 Poplar Level Road Suite 100, Aududon Medical Plaza West Louisville, KY 40217 (502) 637-3036

Jessamine County Adams Stefanie M 1024 North Main Street Nicholasville, KY 40356 (859) 885-3299 Ditto David P 104 Fairfield Dr Nicholasville, KY 40356 (859) 887-2404 Kroggel Stacey N 104 Fairfield Dr Nicholasville, KY 40356 (859) 887-2404 Mattson Clay S 1024 North Main Street Nicholasville, KY 40356 (859) 881-5444

Johnson County Akers Donnie C 341 Court Street Paintsville, KY 41240 (606) 789-4675 Conley Joe R 341 Court Street Paintsville, KY 41240 (606) 789-4675 Crum Howard E 327 Mayo Plaza Paintsville, KY 41240 (606) 789-2019 Evans Jason M 470 North Mayo Trail Paintsville, KY 41240 (606) 789-8920 Mann Randall 341 Court Street Paintsville, KY 41240 (606) 789-4675 Nordin Kimberly A 917 Broadway St Paintsville, KY 41240 (606) 788-0433

Kenton County Bertram Jamie D 705 Buttermilk Pike Suite 100 Crescent Springs, KY 41017 (859) 341-3937

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Loesch Kevin G 3450 Valley Plaza Parkway Ft Wright, KY 41017 (859) 341-7900 Mercado Jennifer R 2174 Dixie Highway Fort Mitchell, KY 41017 (859) 341-2566 Metzger William F 35 Augusta Avenue Ft Wright, KY 41011 (859) 750-5642 Metzger Aubuchon Julie A 7 West 7th Street Covington, KY 41011 (859) 431-7966 Moore Thomas J 7 West 7th Street Covington, KY 41011 (859) 431-7866 Pennell Craig S 1824 Declaration Drive Independence, KY 41051 (859) 363-3347

Languages: Spanish

Sparkman Timothy A 108 Holly Hills Mini Mall Hindman, KY 41822 (606) 785-3274

Knox County Corbin Cynthia E 112 Allison Avenue Barbourville, KY 40906 (606) 546-3160 Vickers William H 215 North Allison Avenue Barbourville, KY 40906 (606) 546-4166

Larue County Seadler Celeste 109 South Walters Ave Hodgenville, KY 42748 (270) 358-8141

Laurel County

375 Thomas More Parkway Crestview Hills, KY 41017 (859) 341-4525

Ball Melissa R 356 McWhorter St Suite 1 London, KY 40741 (606) 877-6585

Yackey Mary B 465 Centre View Blvd Edgewood, KY 41017 (859) 331-9000

Ball Nola R 130 Thompson Poynter Road Suite 1 London, KY 40741 (606) 878-2012

Knott County Barker David S 108 Holly Hills Mini Mall Hindman, KY 41822 (606) 785-3274 Combs Jerald F 108 Holly Hills Mini Mall Hindman, KY 41822 (606) 785-3274 Sizemore William 108 Holly Hills Mini Mall Hindman, KY 41822 (606) 785-3274

Croley Debra S 130 Thompson Poynter Road Suite 1 London, KY 40741 (606) 878-2012 Hendy Caroline 1370 West 5th Street Suite 2 London, KY 40741 (606) 877-1101 Henson Amy 503 North Main Street London, KY 40741 (606) 877-1877 Magee Henry M 103 Chera-Lyn Lane London, KY 40741 (606) 878-7500 Optometrist

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WellCare of Kentucky Morton Teresa 2647 N US 25 East East Bernstadt, KY 40729 (606) 843-6060

Leslie County Barker David S 21937 Main Street Hyden, KY 41749 (606) 672-2040

Overley Alison A 975 South Laurel Rd Suite B London, KY 40744 (606) 878-2020

Combs Jerald F 21937 Main Street Hyden, KY 41749 (606) 672-2040

Sutton Teshawna B 103 Chera-Lyn Lane London, KY 40741 (606) 878-7500

Sizemore William 21937 Main Street Hyden, KY 41749 (606) 672-2040

Lawrence County

Letcher County

Bowling Joseph R 112 Vinson Blvd Louisa, KY 41230 (606) 638-4731

Barker David S 29 Maple St Whitesburg, KY 41858 (606) 633-5200

Desario Elaine N 112 Vinson Blvd Louisa, KY 41230 (606) 638-4731

Combs Jerald F 29 Maple St Whitesburg, KY 41858 (606) 633-5200

Lambert Don H 203 West Madison Street Louisa, KY 41230 (606) 638-9886

Sizemore William 29 Maple St Whitesburg, KY 41858 (606) 633-5200

Leadingham James C 112 Vinson Blvd Louisa, KY 41230 (606) 638-4731

Lee County Harris Anthony C 1073 Broadway Beattyville, KY 41311 (606) 464-8148 Lodholz Lauren R 1073 Broadway Beattyville, KY 41311 (606) 464-8148 Santos Karen T 1073 Broadway Beattyville, KY 41311 (606) 464-8148

Sparkman Timothy A 29 Maple St Whitesburg, KY 41858 (606) 633-5200 Williams Debbie K 19 Soloman Road Whitesburg, KY 41858 (606) 633-0149

Lewis County Bertram Louis M 185 Commercial Drive Vanceburg, KY 41179 (606) 796-2632

Lincoln County Brown-Murray Tamela M 713 East Main Street Stanford, KY 40484 (606) 365-3220

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

King Eric N 101 US HWY 150 Bypass Suite 117 Stanford, KY 40484 (606) 365-2195

Busey Lannie 2115 Lantern Ridge Dr Suite U500 Richmond, KY 40475 (859) 625-1004

Meyer Victor 2115 Lantern Ridge Dr Suite U500 Richmond, KY 40475 (859) 625-1004

117 Lincoln Plaza Stanford, KY 40484 (606) 365-2195

Coleman David B 523 Leighway Drive Richmond, KY 40475 (859) 623-6812

Reynolds William 1020 Gibson Bay Dr Richmond, KY 40475 (859) 623-3358

Durant Michael A 116 Mini Mall Dr Berea, KY 40403 (859) 985-0078

205 Geri Lane Richmond, KY 40475 (859) 623-6643

Nichols Joshua E 713 East Main Street Stanford, KY 40484 (606) 365-3220 Silvers Bob 713 East Main Street Stanford, KY 40484 (606) 365-3220

Logan County Barrow Darla 709 E 4th St Russellville, KY 42276 (270) 725-8382 Higdon Amanda 709 E 4th St Russellville, KY 42276 (270) 725-8382 Stanley Anna F 120 Sam Walton Drive Russellville, KY 42276 (270) 726-8283 Webb Bill D 603 E 4th St Russellville, KY 42276 (270) 726-2434 Wells Thad D 105 Robins Way Suite 206 Russellville, KY 42276 (270) 726-2022

Madison County Arnett Edsel G 2115 Lantern Ridge Dr Suite U500 Richmond, KY 40475 (859) 625-1004 Burchett Dwight M 1020 Gibson Bay Dr Richmond, KY 40475 (859) 623-3358

Fields Mark J 820 Eastern Bypass Richmond, KY 40475 (859) 624-4330 Frank Reba 116 Mini Mall Dr Berea, KY 40403 (859) 985-0045 Harris Anthony C 1020 Gibson Bay Dr Richmond, KY 40475 (859) 623-3358 205 Geri Lane Richmond, KY 40475 (859) 623-6643 Hendy Caroline 400 Richmond Rd Suite F Berea, KY 40403 (859) 985-0044 King Gary E 109 Boone Street Berea, KY 40403 (859) 986-7027 Lodholz Lauren R 1020 Gibson Bay Dr Richmond, KY 40475 (859) 623-3358 2115 Lantern Ridge Dr Suite U500 Richmond, KY 40475 (859) 625-1004 Love Marcus 2115 Lantern Ridge Dr Suite U500 Richmond, KY 40475 (859) 625-1004

Santos Karen T 1020 Gibson Bay Dr Richmond, KY 40475 (859) 623-3358 Shearer Thea T 5019 Atwood Drive Richmond, KY 40475 (859) 624-2015 Snead Kevin 2115 Lantern Ridge Dr Suite U500 Richmond, KY 40475 (859) 625-1004 Spear Steven 2115 Lantern Ridge Dr Suite U500 Richmond, KY 40475 (859) 625-1004 Steinhauser Richard P 2008 Merchant Dr Suite 3 Richmond, KY 40475 (859) 623-3911 Swartzentruber Rebecca 2115 Lantern Ridge Dr Suite U500 Richmond, KY 40475 (859) 625-1004

Magoffin County Mann Randall 738 Old Burning Fork Rd Salyersville, KY 41465 (606) 349-8628

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WellCare of Kentucky Nordin Kimberly A 910 East Mountain Pkwy Salyersville, KY 41465 (606) 349-2909 Nordin Mark E 910 East Mountain Pkwy Salyersville, KY 41465 (606) 349-2020

Marion County Cotner Daphne 325 W Walnut St Suite 400 Lebanon, KY 40033 (270) 867-8200 Hall Kenneth W 325 W Walnut St Suite 400 Lebanon, KY 40033 (270) 867-8200 Hollingsworth-Cecconi Patricia M 310 West High St Lebanon, KY 40033 (270) 692-1871 Taylor Paul G 310 West High St Lebanon, KY 40033 (270) 692-1871 Webb Larry E 325 W Walnut St Suite 400 Lebanon, KY 40033 (270) 867-8200

Marshall County Ellis Joe E 109 W 5th St Benton, KY 42025 (270) 527-7421 Gibson Wendy Y 1512 Main Street Benton, KY 42025 (270) 527-0951 Hayes Michael L 310 West 5th St Benton, KY 42025 (270) 527-1605

Lyles Aaron J 109 W 5th St Benton, KY 42025 (270) 527-7421 Lyles John 43 Industrial Parkway Calvert City, KY 42029 (270) 395-8331 Van Horn Laurel 109 W 5th St Benton, KY 42025 (270) 527-7421

Martin County Maynard Todd M 64 Route 3 Kirk Plaza Inez, KY 41224 (606) 298-7768

Mason County Awosika Idowu O 240 Wal-Mart Way Maysville, KY 41056 (606) 759-5040 Bisotti Anthony J 15 East 3rd Street Maysville, KY 41056 (606) 564-3650 Gregory Harold C 1360 Medical Park Dr Maysville, KY 41056 (606) 759-5341 Sherman Keith 15 East 3rd Street Maysville, KY 41056 (606) 564-3650 Taylor Gregory E 15 East 3rd Street Maysville, KY 41056 (606) 564-3650

McCracken County Batts Gregory E 1900 Broadway Street Suite 1 Paducah, KY 42001 (270) 443-2020 Beliles Chris 5130 Hinkleville Rd Paducah, KY 42001 (270) 444-0066

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Gamblin Steven D 3215 Irvin Cobb Dr Suite 100 Paducah, KY 42003 (270) 441-7332

Seilheimer August M 3215 Irvin Cobb Drive, Suite 100 Paducah, KY 42003 (270) 575-1919

Hobbs Timothy R 632 Lone Oak Road Paducah, KY 42003 (270) 415-0245

Sheridan Donise B 1748 Broadway Paducah, KY 42001 (270) 443-9955

Howell Linda 3910 Hinkleville Rd Paducah, KY 42001 (270) 443-2090

Tucker David N 1748 Broadway Paducah, KY 42001 (270) 443-9955

Jackson-Gibson Jennifer L 649 Lone Oak Road Paducah, KY 42003 (270) 415-5080

Ward Anita A 2302 Kentucky Ave Paducah, KY 42003 (270) 575-0977

Klutts Fred 3910 Hinkleville Rd Paducah, KY 42001 (270) 443-2090 Lyles Natasha G 632 Lone Oak Road Paducah, KY 42003 (270) 415-0245 Lynn Mark 3910 Hinkleville Rd Paducah, KY 42001 (270) 443-2090 Martin William G 3220 Irving Cobb Dr Paducah, KY 42003 (270) 444-6941 Owens Mark L 1748 Broadway Paducah, KY 42001 (270) 443-9955 Price Martin 3910 Hinkleville Rd Paducah, KY 42001 (270) 443-2090 Robertson Paul 3910 Hinkleville Rd Paducah, KY 42001 (270) 443-2090

McCreary County Brenner Benjamin D 19 Medical Arts Whitley City, KY 42653 (606) 376-5258 Martin Frederick 19 Medical Arts Whitley City, KY 42653 (606) 376-5258

Mercer County Hoskins Tammy G 201 South Main Street Harrodsburg, KY 40330 (859) 734-3155 Klosterman Jeffrey A 101 South Main Street Harrodsburg, KY 40330 (859) 734-3697

Metcalfe County Whitlow Cheryl G 1406 W Stockton Street Edmonton, KY 42129 (270) 432-0123

Monroe County Birge Steven 22 Executive Dr Tompkinsville, KY 42167 (270) 487-5741 Ross Willie 22 Executive Dr Tompkinsville, KY 42167 (270) 487-5741

McKinley Lindsay K 19 Medical Arts Whitley City, KY 42653 (606) 376-5258

Stephens Heather 22 Executive Dr Tompkinsville, KY 42167 (270) 487-5741

Robinson Phillip A 19 Medical Arts Whitley City, KY 42653 (606) 376-5258

Montgomery County

McLean County Roberts Mallory S 255 Main Street Calhoun, KY 42327 (270) 273-3000

Meade County Abney Larry B 664 Bypass Road Brandenburg, KY 40108 (270) 422-7766 Patrick Darren 664 Bypass Road Brandenburg, KY 40108 (270) 422-7766

Crockett Ryan 25 Sterling Way Suite C Mount Sterling, KY 40353 (859) 498-4800 Helderman Wayne A 1 North Maysville Street Mount Sterling, KY 40353 (859) 498-6001 Jacobs Edward T 1 North Maysville Street Mount Sterling, KY 40353 (859) 498-6001

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WellCare of Kentucky Schleter Rebecca A 1 North Maysville Street Mount Sterling, KY 40353 (859) 498-6001 Wolke Ellen M 25 Sterling Way Suite C Mount Sterling, KY 40353 (859) 498-4800

Morgan County Nickell Joel K 905 Main Street West Liberty, KY 41472 (606) 743-4111 Steele Randy 905 Main Street West Liberty, KY 41472 (606) 743-4111

Muhlenberg County Mayes Freddie M 1601 West Everly Bro Blvd Central City, KY 42330 (270) 754-4515 Schertzinger John M 1725 Weverly Brothers Blvd Central City, KY 42330 (270) 754-4512 Soderling John M 136 East Main Cross Street Greenville, KY 42345 (270) 338-9636 Tarter Larry K 224 Hopkinsville Street Greenville, KY 42345 (270) 338-2400 Wood George S 609 West Main Street Powderly, KY 42367 (270) 338-4091

Nelson County Patrick Cristina 115 South 5th Street Bardstown, KY 40004 (502) 348-5125

Sloan-Woody Lisa 311 North 3rd Street Bardstown, KY 40004 (502) 348-8584 Woody David T 311 North 3rd Street Bardstown, KY 40004 (502) 348-8584

Ohio County Cohron Wallace T 112 McMurtry Ave Hartford, KY 42347 (270) 298-7623 Roberts Mallory S 1303 N Main St Beaver Dam, KY 42320 (270) 274-3294 Shrewsbury Jonathan 1303 N Main St Beaver Dam, KY 42320 (270) 274-3294

Owen County Harlan Aubrey S 120 Progress Way Owenton, KY 40359 (502) 875-9860

Perry County Avery Dwight L 941 North Main Street Hazard, KY 41701 (606) 439-4010 Barker David S 161 Citizens Ln Hazard, KY 41701 (606) 436-3313 Combs Jerald F 161 Citizens Ln Hazard, KY 41701 (606) 436-3313

Oldham County

Sizemore William 161 Citizens Ln Hazard, KY 41701 (606) 436-3313

Bassett Laura L 1917 South Highway 53 La Grange, KY 40031 (502) 225-0301

Sparkman Timothy A 161 Citizens Ln Hazard, KY 41701 (606) 436-3313

Clark Brian M 1917 South Highway 53 La Grange, KY 40031 (502) 225-0301

Vickers William H 120 Daniel Boone Plaza Hazard, KY 41701 (606) 487-8949

Dugger Matthew L 1917 South Highway 53 La Grange, KY 40031 (502) 225-0301

Watkins Thomas W 120 Daniel Boone Plaza Hazard, KY 41701 (606) 439-1882

Gossom Donald J 1917 South Highway 53 La Grange, KY 40031 (502) 225-0301

Pike County

Moats Troy A 1917 South Highway 53 La Grange, KY 40031 (502) 225-0301 Thompson Sharon L 1917 South Highway 53 La Grange, KY 40031 (502) 225-0301

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Belcher Mary A 20 Spring Avenue Elkhorn City, KY 41522 (606) 754-5775 Cecil James K 255 Church Street Suite 102 Pikeville, KY 41501 (606) 432-5800 Clark Orville M 237 Second Street Suite 1 Pikeville, KY 41501 (606) 437-4285

28402 US HWY 119 N South Williamson, KY 41503 (606) 237-0477

Jacobs Edward T 325 East College Ave Stanton, KY 40380 (606) 663-9998

Compton Regina C 4219 North Mayo Trail Pikeville, KY 41501 (606) 432-3576

Schleter Rebecca A 325 East College Ave Stanton, KY 40380 (606) 663-9998

Lambert Don H 28531 US Highway 119 South Williamson, KY 41503 (606) 237-7196

Pulaski County

McCoy Ronald G 419 Town Mountain Road Suite 106 Pikeville, KY 41501 (606) 432-5543 Myers Mark R 109 Caroline Ave Pikeville, KY 41501 (606) 437-7587 Osborne Jeffrey S 3469 North Mayo Trail Pikeville, KY 41501 (606) 437-7702 Price Noel B 254 Cassidy Blvd Pikeville, KY 41501 (606) 432-6177 Rose Lisa L 4219 North Mayo Trail Pikeville, KY 41501 (606) 432-3596 Smallwood James 3469 North Mayo Trail Pikeville, KY 41501 (606) 437-7702 Smith Gary T 79 Mall Road Suite A South Williamson, KY 41503 (606) 237-4551

Powell County Helderman Wayne A 325 East College Ave Stanton, KY 40380 (606) 663-9998

Brenner Benjamin D 3810 S HWY 27 Suite 1 Somerset, KY 42501 (606) 678-4551 Brown-Murray Tamela M 165 Parker's Mill Way Somerset, KY 42503 (606) 677-0377 Henson Amy 303 Langdon Street Somerset, KY 42503 (606) 679-7461 Jacobs Mark 3810 S HWY 27 Suite 1 Somerset, KY 42501 (606) 678-4551 Martin Frederick 3810 S HWY 27 Suite 1 Somerset, KY 42501 (606) 678-4551 McKinley Stephen M 3810 S HWY 27 Suite 1 Somerset, KY 42501 (606) 678-4551 Nichols Joshua E 165 Parker's Mill Way Somerset, KY 42503 (606) 677-0377 Richardson Donald L 246 Poplar Avenue Suite 1 Somerset, KY 42503 (606) 679-5588 Robinson Phillip A 3810 S HWY 27 Suite 1 Somerset, KY 42501 (606) 678-4551

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WellCare of Kentucky Robinson William E 709 East Mount Vernon Street Suite A Somerset, KY 42501 (606) 679-5177 Schleter Harvey A 709 East Mount Vernon Street Somerset, KY 42501 (606) 679-5177

Rockcastle County Cain Lloyd 205 Richmond Street Mount Vernon, KY 40456 (606) 256-3937 Keltner Margena L 205 Richmond Street Mount Vernon, KY 40456 (606) 256-3937

Rowan County Mayo Anthony J 129 West Main Street Morehead, KY 40351 (606) 784-5355 McHugh Robert T 137 East First Street Morehead, KY 40351 (606) 783-1575 Muha Kevin M 200 Wal-Mart Way Morehead, KY 40351 (606) 784-2090 Nickell Joel K 333 Beacon Hill Road Suite 200 Morehead, KY 40351 (606) 784-3393 Steele Randy 333 Beacon Hill Road Suite 200 Morehead, KY 40351 (606) 784-3288

Russell County Keltner Margena L 1503 West Steve Wariner Dr Russell Springs, KY 42642 (270) 866-3177 Patterson Paul L 310 Steve Drive Suite 1 Russell Springs, KY 42642 (270) 866-4414 Watkins Terri 1503 West Steve Wariner Dr Russell Springs, KY 42642 (270) 866-3177

Scott County Burchett Dwight M 201 Champion Way Suite 01 Georgetown, KY 40324 (502) 863-2020 Habash Kefah 108 Osborne Way #7 Georgetown, KY 40324 (502) 863-6393 Harris Anthony C 201 Champion Way Suite 01 Georgetown, KY 40324 (502) 863-2020 Keplinger Brian L 200 Bevins Lane Suite C Georgetown, KY 40324 (502) 570-5770 McPeek Christa N 112 Osborne Way Georgetown, KY 40324 (502) 863-9777 Muha Kevin M 112 Osborne Way Georgetown, KY 40324 (502) 867-1224 Reynolds William 201 Champion Way Suite 01 Georgetown, KY 40324 (502) 863-2020

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Santos Karen T 201 Champion Way Suite 01 Georgetown, KY 40324 (502) 863-2020

Rooney George 1300 Bluegrass Road Suite A Franklin, KY 42134 (270) 586-3937

Warren County

Shelby County

Taylor County

Avery Dwight L 738 Chestnut St Bowling Green, KY 42101 (270) 781-6366

Bowersox Daniel M 403 Washington St Shelbyville, KY 40065 (502) 647-3937

Crockett Jason E 1800 Old Lebanon Road Campbellsville, KY 42718 (859) 373-0300

Breiwa John N 335 New Towne Dr Bowling Green, KY 42103 (270) 842-0383

Haley Arthur A 399 Campbellsville Bypass Suite 116 Campbellsville, KY 42718 (270) 469-4393

Buckner James 2608 Scottville Rd Bowling Green, KY 42104 (270) 782-2025

Keenan Thomas J 1627 Midland Trail Shelbyville, KY 40065 (502) 633-2985 Lalonde Thomas 1627 Midland Trail Shelbyville, KY 40065 (502) 633-2985 Rabaut Kristen 1627 Midland Trail Shelbyville, KY 40065 (502) 633-2985 Rallo Rod 1627 Midland Trail Shelbyville, KY 40065 (502) 633-2985 Stallard Kevin D 1627 Midland Trail Shelbyville, KY 40065 (502) 633-2985 Wilder Derek L 1627 Midland Trail Shelbyville, KY 40065 (502) 633-2985

Simpson County Bray Rhonda K 1550 Nashville Rd Franklin, KY 42134 (270) 586-9281 Compton Steven L 403 North College St Franklin, KY 42134 (270) 586-5181 Price William 1300 Bluegrass Road Suite A Franklin, KY 42134 (270) 586-3937

Matthews John H 725 Campbellsville Bypass Campbellsville, KY 42718 (270) 465-3669 Patterson Paul L 295 Campbellsville Bypass Suite 1 Campbellsvlle, KY 42718 (270) 465-4677 Segree Joseph W 725 Campbellsville Bypass Campbellsville, KY 42718 (270) 789-0707

Todd County Murray Brian 81 Public Square Elkton, KY 42220 (270) 265-9036

Trigg County Bostick David B 13 Hospital Street Cadiz, KY 42211 (270) 522-1234 Sutherland Scott B 304 Main Street PO Box 1100 Cadiz, KY 42211 (270) 522-3263

Burt Kevin 2608 Scottville Rd Bowling Green, KY 42104 (270) 782-2025 Coats Adam G 760 Campbell Lane Suite 120 Bowling Green, KY 42104 (270) 781-3937 Coats Chad M 952 Fairview Avenue Bowling Green, KY 42101 (270) 781-2220 Gaskin Whitney L 3200 Ken Bale Blvd Bowling Green, KY 42103 (270) 781-7768 Heltsley Russell K 2425 Scottsville Road #114 Bowling Green, KY 42104 (270) 846-2500 Henderson Richard 2608 Scottville Rd Bowling Green, KY 42104 (270) 782-2025

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WellCare of Kentucky Jackson Kevin R 2608 Scottville Rd Bowling Green, KY 42104 (270) 782-2025 Jeskie John 335 New Towne Dr Bowling Green, KY 42103 (270) 842-0383 Love Tammy 1256 Campbell Lane Suite 106 Bowling Green, KY 42104 (270) 796-6021 Price William 1403 Andrea Circle Bowling Green, KY 42104 (270) 781-4909 Raley James A 150 Walton Avenue Bowling Green, KY 42104 (270) 781-7903 Robertson Paul 2608 Scottville Rd Bowling Green, KY 42104 (270) 782-2025 Rooney George 1403 Andrea Circle Bowling Green, KY 42104 (270) 781-4909 Rubesh Grant 2608 Scottville Rd Bowling Green, KY 42104 (270) 782-2025 Souleyrette Dale 2608 Scottville Rd Bowling Green, KY 42104 (270) 782-2025 Tucker Joseph C 335 New Towne Dr Bowling Green, KY 42103 (270) 842-0383

Warden Trina R 1256 Campbell Lane Suite 106 Bowling Green, KY 42104 (270) 796-6021 Ware Lowell 952 Fairview Avenue Bowling Green, KY 42101 (270) 781-2220 Wilkins Justin C 2625 Scottsville Road Suite 324 Bowling Green, KY 42104 (270) 846-0131

Washington County

Whitley County

Woodford County

Ball Nola R 589 Highway West 92 Williamsburg, KY 40769 (606) 549-4075

Brown Vanhook Jennifer L 105 Crossfield Drive Versailles, KY 40383 (859) 879-3665

Brenner Benjamin D 207 Main St Williamsburg, KY 40769 (606) 549-0464 Chitwood Dana S 60 South Stewart Rd Corbin, KY 40701 (606) 523-1770 Croley Debra S 589 Highway West 92 Williamsburg, KY 40769 (606) 549-4075

Callihan Regina L 105 Crossfield Drive Versailles, KY 40383 (859) 879-3665 Drayer Richard 149 Frankfort Street Versailles, KY 40383 (859) 873-7805 Graebe Richard S 105 Crossfield Drive Versailles, KY 40383 (859) 879-3665

Cecconi John W 108 Commercial Ave Springfield, KY 40069 (859) 336-9388

Karr Byron D 686 South Highway 25 West Suite 1 Williamsburg, KY 40769 (606) 549-2030

Hollingsworth-Cecconi Patricia M 108 Commercial Ave Springfield, KY 40069 (859) 336-9388

Mackey Robert E 281 North Commonwealth Avenue Corbin, KY 40701 (606) 528-1143

Harlan Aubrey S 202 Frankfort St Suite 107 Versailles, KY 40383 (859) 879-0014

Taylor Paul G 108 Commercial Ave Springfield, KY 40069 (859) 336-9388

McKinley Stephen M 207 Main St Williamsburg, KY 40769 (606) 549-0464

Indiana

Wayne County Breeding Robert M 175 Wal-Mart Plaza Dr Monticello, KY 42633 (606) 348-3331 Hesse Matthew J 211 Cumberland Crossing Monticello, KY 42633 (606) 348-3355 Sawyer James 150 North Main St Monticello, KY 42633 (606) 348-9392

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Nicholas Lisa A 1707 Falls Road Plaza Suite U4 Corbin, KY 40701 (606) 528-7336 Overley Eric T 207 Main St Williamsburg, KY 40769 (606) 549-0464 Watkins Thomas W 1707 Falls Road Plaza Suite U-4 Corbin, KY 40701 (606) 528-7336

105 Crossfield Drive Suite B Versailles, KY 40383 (859) 879-0089

Egenmaier Walter H 101 Northwest First Street Suite 112 Evansville, IN 47708 (812) 426-2020 Jochem-May Julie 1001 Walnut St Evansville, IN 47713 (812) 421-2020 6540 Logan Dr Suite 3 Evansville, IN 47715 (812) 402-9620 3903 S 7th St Suite 1c Terre Haute, IN 47802 (812) 478-2020 Labhart Mark 1030 Veterans Parkway Clarksville, IN 47129 (812) 282-2020

Loehr Thomas M 4233 Gateway Blvd Newburgh, IN 47630 (812) 474-7116 Noblitt Randall L 1305 Wall Street Suite 200 Jeffersonvlle, IN 47130 (812) 288-9011 519 State Street New Albany, IN 47150 (812) 948-0616 Languages: Spanish Pelsor Nathaniel P 201 West Iowa Street Evansville, IN 47710 (812) 426-6320 Steller Rob A 302 West 14th St Suite 100a Jeffersonville, IN 47130 (812) 284-0660 1919 State St Suite 140 New Albany, IN 47150 (812) 948-4680 Todd Rebekah E 4326-2 Charlestown Rd New Albany, IN 47150 (812) 945-0023 600 South Main St Salem, IN 47167 (812) 883-2700 Weyer Eric J 421 Chestnut Street Evansville, IN 47713 (812) 426-9483 4233 Gateway Blvd Newburgh, IN 47630 (812) 474-7116 Wilson Steven M 1305 Wall Street Suite 200 Jeffersonvlle, IN 47130 (812) 948-0616 519 State Street New Albany, IN 47150 (812) 948-0616 Languages: Spanish

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WellCare of Kentucky Woods Larry D 421 Chestnut Street Evansville, IN 47713 (812) 426-9483 4233 Gateway Blvd Newburgh, IN 47630 (812) 474-7116

Ohio Bjork Nathan R 1945 Cei Drive Cincinnati, OH 45242 (513) 984-5133 Craft Katy M 4452 Eastgate Boulevard Suite 305 Cincinnati, OH 45245 (513) 752-5700 Hildenbrand Jessica D 222 Piedmont Avenue Suite 1600 Cincinnati, OH 45219 (513) 984-5133 1945 Cei Drive Cincinnati, OH 45242 (513) 984-5133 Houde Barbara 1945 Cei Drive Cincinnati, OH 45242 (513) 984-5133 Hughes Glenn H 6779 Colerain Avenue Cincinnati, OH 45239 (513) 741-1313 4452 Eastgate Boulevard Suite 305 Cincinnati, OH 45245 (513) 752-5700 8760 Union Centre Blvd West Chester, OH 45069 (513) 454-0544 Kies Philip G 4452 Eastgate Boulevard Suite 305 Cincinnati, OH 45245 (513) 752-5700 Kuhlman Brian K 1945 Cei Drive Cincinnati, OH 45242 (513) 984-5133

4701 Central Avenue Middletown, OH 45044 (513) 425-9796 Lameier Kenneth A 1945 Cei Drive Cincinnati, OH 45242 (513) 984-5133 Lyons Michael J 222 Piedmont Avenue Suite 1600 Cincinnati, OH 45219 (513) 984-5133

McKinley Lindsay K 16605 Alberta Road Oneida, TN 37841 (423) 569-9339 McKinley Stephen M 467 Sunset Trail Jellico, TN 37762 (423) 784-2020 16605 Alberta Road Oneida, TN 37841 (423) 569-9339

1945 Cei Drive Cincinnati, OH 45242 (513) 984-5133

Mysliwiec Kevin A 16605 Alberta Road Oneida, TN 37841 (423) 569-9339

Lysandrou Aristotle J 354 Private Dr 288 South Point, OH 45680 (740) 894-3235

Overley Eric T 467 Sunset Trail Jellico, TN 37762 (423) 784-2020

Raies Michael W 1915 Scioto Trail Portsmouth, OH 45662 (740) 354-2821

Rice Charles A 207 West Stateline Road South Fulton, TN 38257 (731) 479-1334

Shull Emily R 1945 Cei Drive Cincinnati, OH 45242 (513) 984-5133

Virginia

Yackey Mary B 1945 Cei Drive Cincinnati, OH 45242 (513) 984-5133 4701 Central Avenue Middletown, OH 45044 (513) 425-9796

Tennessee Brenner Benjamin D 16605 Alberta Road Oneida, TN 37841 (423) 569-9339 Bugg Alan K 1022 South Miles Avenue Union City, TN 38261 (731) 885-1049 Byars William T 300 Broadway Street South Fulton, TN 38257 (731) 479-3697

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Sawyer Robbie D 516 Powell Avenue East Big Stone Gap, VA 24219 (276) 523-2424

Pharmacy Kentucky Adair County Century Medicines 706 Jamestown St Columbia, KY 42728 (270) 384-5874 Certacare INC 937 Campbellsville Road Suite 907 Columbia, KY 42728 (270) 385-9139 Columbia Pharmacy 803 Burkesville St Columbia, KY 42728 (270) 384-2117 CVS Pharmacy 803 Jamestown St Columbia, KY 42728 (270) 384-0539

James Medical Pharmacy 1545 Campbellsville Rd Columbia, KY 42728 (270) 385-9600 Prescription Shoppe Pharmacy 808 Jamestown St Columbia, KY 42728 (270) 384-2132 Wal-Mart Pharmacy 2988 Burkesville Rd Columbia, KY 42728 (270) 384-3913

Allen County Carpenter Dent Drugs 1088 Veterans Memorial Hwy Scottsville, KY 42164 (270) 237-4446 Pharmacy Arts 31 Burnley Rd Scottsville, KY 42164 (270) 618-4444 Rite Aid Pharmacy 01060 385 Old Gallatin Road Scottsville, KY 42164 (270) 237-3738 Stovalls Prescription Shop 202 S Court St Scottsville, KY 42164 (270) 237-5402

Anderson County Kroger Pharmacy 1300 Anderson Crossing Dr Lawrenceburg, KY 40342 (502) 859-1772 Medstop Medical Pharmacy 753 West Broadway Lawrenceburg, KY 40342 (502) 839-3418

Rite Aid Pharmacy 03566 1000 Bypass South Lawrenceburg, KY 40342 (502) 839-3403 Wal-Mart Pharmacy 1000 Bypass North Lawrenceburg, KY 40342 (502) 839-1482

Ballard County Medcare Pharmacy Home Medical 409 Court St Wickliffe, KY 42087 (270) 335-3172

Barren County Cave City Prescription Center INC 101 South Dixie Hwy Cave City, KY 42127 (270) 773-2252 Ely Drugs 415 Happy Valley Rd Glasgow, KY 42141 (270) 651-8359 Freds Pharmacy 502 E Happy Valley St Cave City, KY 42127 (270) 773-2101 Glasgow Prescription Center 615 S L Rogers Wells Blvd Glasgow, KY 42141 (270) 651-8889 Highland Pharmacy 301 Rogers Rd Glasgow, KY 42141 (270) 629-4300 Kmart Pharmacy3822 230 L Roger Wells Road Glasgow, KY 42141 (270) 651-7693 Med Care Pharmacy LLC Glasgow 110 Physicians Blvd Glasgow, KY 42141 (270) 651-2796 Optometrist

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WellCare of Kentucky Medical Arts Pharmacy 1220 N Race St Glasgow, KY 42141 (270) 651-7030 Park Avenue Pharmacy 131 Park Ave Glasgow, KY 42141 (270) 651-5156 Parkland Drugs 209 N Dixie Hwy Cave City, KY 42127 (270) 773-3152 Pharmacy Express 415 South L Rogers Wells Blvd Glasgow, KY 42141 (270) 651-7948 Rite Aid Pharmacy 04006 704 Happy Valley Road Glasgow, KY 42141 (270) 629-6337 Vann Healthcare Services 1220 N Race St Glasgow, KY 42141 (270) 651-7627 Walgreens 7712 1001 W Main St Glasgow, KY 42141 (270) 659-0146 Wal-Mart Pharmacy 2345 Happy Valley Road Glasgow, KY 42141 (270) 678-7350

Bath County Bath Hometown Pharmacy INC 19 Miller Dr Owingsville, KY 40360 (606) 674-2423 Family Discount Drugs 60 Slate Ave Owingsville, KY 40360 (606) 674-6979

Owingsville Drug Store 53 Miller Drive Owingsville, KY 40360 (606) 674-6334

Rite Aid Pharmacy 01657 116 North Pine Street Pineville, KY 40977 (606) 337-6548

Bell County

Rx Discount Pharmacy 7 1841 N 25th St Extension Middlesboro, KY 40965 (606) 248-9330

Family Discount Drugs 3603 Cumberland Ave Middlesboro, KY 40965 (606) 248-8900 Food City Pharmacy 102 N 12th Street Middlesboro, KY 40965 (606) 248-7689 Jeffs Pharmacy 120 Lothbury Ave Middlesboro, KY 40965 (606) 248-0171 Kroger Pharmacy 515 North 12th Street Middlesboro, KY 40965 (606) 248-2093 Middlesboro ARH Pharmacy 3600 W Cumberland Ave Middlesboro, KY 40965 (606) 242-1366 Mikels Pharmacy 1928 Cumberland Avenue Middlesboro, KY 40965 (606) 248-1052 Peoples Choice Pharmacy 3004 Cumberland Ave Ste 101 Middlesboro, KY 40965 (606) 246-2001 Pineville Hospital Out-Pat Pharmacy 850 Riverview Ave Attn Outpatient Pharmacy Pineville, KY 40977 (606) 337-4240 Pineville Pharmacy 114 Pine Sreet Pineville, KY 40977 (606) 523-5670

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Todds Ltc Pharmacy PLLC 120 Lothbury Ave Ste 2 Middlesboro, KY 40965 (606) 248-0171 Value Rx Pharmacy 251 S Pine St Pineville, KY 40977 (606) 337-3784 Walgreens 13034 528 W Tennessee Ave Pineville, KY 40977 (606) 337-1444 Wal-Mart Pharmacy 1255 N 12th St Middlesboro, KY 40965 (606) 248-6288

Boone County Burlington Pharmacy Health Care 5555 North Bend Rd Burlington, KY 41005 (859) 586-6700 CVS Pharmacy 6801 Dixie Highway Florence, KY 41042 (859) 282-6506 8453 US HWY 42 Florence, KY 41042 (859) 283-5362 Kroger Limited Partnership I 635 Chestnut Drive Walton, KY 41094 (859) 669-1620 Kroger Pharmacy 1751 Patrick Drive Burlington, KY 41005 (859) 586-4692

7747 Mall Rd Florence, KY 41042 (859) 525-0391 9950 Berberich Dr Florence, KY 41042 (859) 372-3490 3105 N Bend Rd Hebron, KY 41048 (859) 962-4920 8825 US Route 42 Union, KY 41091 (859) 384-7936 Med Care Pharmacy LLC 350 Aristocrat Drive Suite B Florence, KY 41042 (859) 689-7130 Meijer Pharmacy 151 4990 Houston Rd Florence, KY 41042 (859) 746-6310 Remke Pharmacy 6920 Burlington Pike Sr 18 Florence, KY 41042 (859) 283-2730 Remke Pharmacy 11 1952 North Bend Road Hebron, KY 41048 (859) 689-6416 Ruwe Family Pharmacy Florence 7220 Burlington Pike Florence, KY 41042 (859) 746-2880 Sams Pharmacy 4949 Houston Road Florence, KY 41042 (859) 283-5510 Target Pharmacy 1100 Hansel Avenue Florence, KY 41042 (859) 371-2245

Walgreens 6642 1747 Patrick Drive S Burlington, KY 41005 (859) 586-5700 Walgreens 9162 6617 Dixie Hwy Florence, KY 41042 (859) 342-6122 Walgreens 9360 8820 US 42 Florence, KY 41042 (859) 488-0881 Wal-Mart Pharmacy 7625 Doering Drive Florence, KY 41042 (859) 282-8833 Walton Pharmacy 305 Mary Grubbs Hwy Walton, KY 41094 (859) 485-7733

Bourbon County CVS Pharmacy 101 Lacy Lane Paris, KY 40361 (606) 988-9753 Medicine Stop Pharmacy 1339 S Main St Paris, KY 40361 (859) 987-4023 Rite Aid Pharmacy 03914 103 Ash Drive Paris, KY 40361 (859) 987-1210 Wal-Mart Pharmacy 305 Letton Drive Paris, KY 40361 (859) 987-4213 Wilson Drug INC 2015b South Main Street Paris, KY 40361 (859) 987-5255

Walgreens 5763 8193 Mall Rd Florence, KY 41042 (859) 525-6220

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WellCare of Kentucky Boyd County Boyd County Pharmacy 12544 US Rt 60 Ashland, KY 41102 (606) 929-5301 CVS Pharmacy 1221 Lexington Avenue Ashland, KY 41101 (606) 324-2128

Rite Aid Pharmacy 01737 Us 23 At 35th Street Catlettsburg, KY 41129 (606) 739-4432 Rite Aid Pharmacy 01755 933 Blackburn Avenue Ashland, KY 41101 (606) 324-0372

Gallahers Pharmacy 2914 Blackburn Ave Ashland, KY 41101 (606) 329-2122

Walgreens Infusion Services 4380 13th St Ashland, KY 41102 (606) 324-4427

Healthy Way Pharmacy Cedarknoll 1410 Eagle Dr Ashland, KY 41102 (606) 928-1001

Wal-Mart Pharmacy 351 River Hill Road Ashland, KY 41101 (606) 329-0477

Kroger Pharmacy 370 Diedrich Blvd Ashland, KY 41101 (606) 325-0611 711 Martin Luther King Jr Blvd Ashland, KY 41101 (606) 324-7119 McMeans Pharmacy 2920 Carter Ave Ashland, KY 41101 (606) 325-8400 Med Care Pharmacy LLC 12270 Kevin Dr Ashland, KY 41102 (606) 929-9633 Medical Plaza Pharmacy 700 St Christopher Dr Ashland, KY 41101 (606) 833-3510 Omnicare of Ashland Kentucky 720 Greenup Ave Ashland, KY 41101 (606) 325-1483

Kroger Pharmacy 200 Skywatch Drive Danville, KY 40422 (859) 236-0408 Medicine Shoppe 900 Hustonville Rd Danville, KY 40422 (859) 238-0002 Wal-Mart Pharmacy 100 Walton Ave Danville, KY 40422 (859) 236-2411

Bracken County Deans Pharmacy INC 109 Locust St Brooksville, KY 41004 (606) 735-2322

12504 US Route 60 Ashland, KY 41102 (606) 929-9360

Reynolds Pharmacy 216 Main St Augusta, KY 41002 (606) 756-2204

Boyle County

Breathitt County

Bluegrass Drug Store 104 Ponder Court Suites E&F Danville, KY 40422 (859) 236-3535

Breathitt Prescription Center 1112 Main St Jackson, KY 41339 (606) 666-7574

CVS Pharmacy 231 South Second St Danville, KY 40422 (859) 236-5255

Family Pharmacy of Jackson 265 HWY 15 S Suite 2 Jackson, KY 41339 (606) 666-5519

Danville Drug Company LLC 135 E Main St Ste A Danville, KY 40422 (859) 236-5750 Ephraim McDowell Regional Medical Center-Outpatien 217 S 3rd St Danville, KY 40422 (859) 239-1706 Good Neighbor Pharmacy 60 Cassady Ave Ste 3 Danville, KY 40422 (859) 936-1222

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Hometown Pharmacy 95 Jackson Heights Drive Jackson, KY 41339 (606) 666-5500 Jackson Apothecary 842 Highway 15 North Jackson, KY 41339 (606) 666-7060 Rite Aid Pharmacy 03216 59 Highway 15 North Jackson, KY 41339 (606) 666-2883

Wal-Mart Pharmacy 1589 Kentucky HWY 15 South Jackson, KY 41339 (606) 666-2622

Breckinridge County Save Rite Drugs INC 14020 E HWY 60 Irvington, KY 40146 (270) 547-2855 Taylor Pharmacy 109 Fairgrounds Rd Hardinsburg, KY 40143 (270) 756-5222 Towne and Country Pharmacy INC 675 E HWY 60 Hardinsburg, KY 40143 (270) 756-2151

Bullitt County Beelers Drug Store 11715 S Preston Highway Lebanon Junction, KY 40150 (502) 833-4831 Kroger Pharmacy 185 Adam Shepherd Parkway Shepherdsville, KY 40165 (502) 543-7247 Medica Pharmacy 181 Highway 44 East Suite 5 Shepherdsville, KY 40165 (502) 543-2423 Rite Aid Pharmacy 04645 445 Highway 44 East Shepherdsville, KY 40165 (502) 543-2355 Walgreens 10207 152 N Buckman St Shepherdsville, KY 40165 (502) 543-2202

Walgreens 9225 11099 Highway 44 E Mount Washington, KY 40047 (502) 538-3190

Butler County King Drug and Home Care 255 W Gl Smith St Morgantown, KY 42261 (270) 526-6980 Morgantown Prescription Center INC 211 S Main St Morgantown, KY 42261 (270) 526-3332 Rite Aid Pharmacy 03208 205 West G L Smith Street Morgantown, KY 42261 (270) 526-5615

Caldwell County Corner Homecare 108 E Washington St Princeton, KY 42445 (270) 365-3903 CVS Pharmacy 1021 West Main Street Princeton, KY 42445 (270) 365-4568 Pharmacy Corner 700 Cassidy Ave Fredonia, KY 42411 (270) 545-3413 Princeton Drug 103 W Main St Princeton, KY 42445 (270) 365-5585 Wal-Mart Pharmacy 500 US HWY 62 West Princeton, KY 42445 (270) 365-9122

Calloway County CVS Pharmacy 100 N 12th St Murray, KY 42071 (270) 753-2044 Pharmacy

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WellCare of Kentucky Express Pharmacy 2800 Radio Rd Almo, KY 42020 (270) 753-3634

Avenue Pharmacy 118 6th Ave Dayton, KY 41074 (859) 491-1700

Freds Pharmacy 928 South 12th Street Murray, KY 42071 (270) 753-1272

Good Health Pharmacy 100 Crossing Dr Wilder, KY 41076 (859) 442-0900

Kroger Pharmacy 808 North 12th Street Murray, KY 42071 (270) 759-1288

Kroger Limited Partnership I 130 Pavilion Parkway Newport, KY 41071 (859) 292-5680

Medical Arts Pharmacy 300 S 8th St Murray, KY 42071 (270) 753-2011 Murray Calloway Cnty Hosp Phcy 803 Poplar St Murray, KY 42071 (270) 762-1394 Pulmo Dose Pharmacy 104 Max Hurt Drive Murray, KY 42071 (270) 759-8889 Rite Aid Pharmacy 03562 1200 Main Street Murray, KY 42071 (270) 753-8304 Walgreens 9150 1205 Main St Murray, KY 42071 (270) 762-9992 Wal-Mart Pharmacy 809 North 12th Street Murray, KY 42071 (270) 753-0287 Walters Family Pharmacy 604 S 12th St Murray, KY 42071 (270) 753-7688

Campbell County Alexandria Drugs 7857 US HWY 27 Alexandria, KY 41001 (859) 635-2171

Kroger Pharmacy 53 Donnermeyer Dr Bellevue, KY 41073 (859) 431-5413 70 Martha Layne Collins Cold Spring, KY 41076 (859) 781-6372 Meijer Pharmacy 168 5400 Alexandria Pike Cold Spring, KY 41076 (859) 448-4210 Newport Drug Center 39 W10th Street Newport, KY 41071 (859) 291-2578 Remke Pharmacy 9 82 Carothers Rd Newport, KY 41071 (859) 655-2241 Ruwe Family Pharmacy Bellevue 103 Landmark Dr Suite 140 Bellevue, KY 41073 (859) 291-8665 Target Pharmacy 160 Pavilion Pkwy Newport, KY 41071 (859) 814-0141 Walgreens 11495 1 Viewpoint Dr Alexandria, KY 41001 (859) 263-0570

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Walgreens 4284 2840 Alexandria Pike Highland Heights, KY 41076 (859) 781-0566

Grayson Family Drug 131 S Carol Malone Blvd Ste E Grayson, KY 41143 (606) 475-0232

Walgreens 7346 1601 Monmouth St Newport, KY 41071 (859) 291-8114

Horton Brothers and Brown Pharmacy 128 East Main St Grayson, KY 41143 (606) 474-5655

Wal-Mart Pharmacy 6711 Alexandria Pike Alexandria, KY 41001 (859) 635-8822

Carlisle County Bardwell Pharmacy 178 US HWY 51 N Bardwell, KY 42023 (270) 628-5445 Medcare Pharmacy Home Medical Us HWY 51 165 Walnut Arlington, KY 42021 (270) 655-6151

Carroll County Kroger Pharmacy 2549 Highway 227 Carrollton, KY 41008 (502) 732-5008 Rite Aid Pharmacy 03936 204 Park Avenue Carrollton, KY 41008 (502) 732-4392 Wal-Mart Pharmacy 200 Floyd Drive Carrollton, KY 41008 (502) 732-0378 Webster Drug INC 99 Park Ln Shopping Center Carrollton, KY 41008 (502) 732-4331

Carter County Carter Family Pharmacy 136 Jessica Ln Olive Hill, KY 41164 (606) 286-2029

Kmart Pharmacy7229 600 Cw Stevens Blvd Grayson, KY 41143 (606) 474-8859 Medicine Cabinet Pharmacy 230 State Highway 2 Olive Hill, KY 41164 (606) 286-2035 Rite Aid Pharmacy 01743 100 South Carol Malone Boulevard Grayson, KY 41143 (606) 474-4470 Rite Aid Pharmacy 01812 410 West Tom T Hall Boulevard Olive Hill, KY 41164 (606) 286-2322

Casey County Green River Pharmacy 120 Liberty Sq Liberty, KY 42539 (606) 787-2100 Hill Pharmacy INC 33 Trammel St Liberty, KY 42539 (606) 787-8321 Rite Aid Pharmacy 02762 343 North Wallace Wilkinson Boulevard Liberty, KY 42539 (606) 787-5574 Shopko Pharmacy 2718 671 Wolford Ave Liberty, KY 42539 (606) 787-4236

Wesley Drug Company INC 535 Middleburg St Liberty, KY 42539 (606) 787-5689

Christian County Cayces Eagle Way Pharmacy 211 Burley Ave Hopkinsville, KY 42240 (270) 885-1220 Cayces Pharmacy 1112 W 7th St Hopkinsville, KY 42240 (270) 886-4466 Crofton Pharmacy 110 E Main St Crofton, KY 42217 (270) 424-8965 Jennie Stuart Mem Ctr Phcy 320 W 18th St Hopkinsville, KY 42240 (270) 887-0191 Kroger Pharmacy 1213 Skyline Dr Hopkinsville, KY 42240 (270) 886-4594 Rite Aid Pharmacy 07890 2626 Ft Campbell Boulevard Hopkinsville, KY 42240 (270) 885-6025 Save More Drugs 2208 Fort Campbell Blvd Hopkinsville, KY 42240 (270) 885-5515 Toms Family Pharmacy 815 Country Club Ln Hopkinsville, KY 42240 (270) 885-1524 Towne and Country Discount Drugs 3217 Lafayette Rd Hopkinsville, KY 42240 (270) 885-6131

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WellCare of Kentucky Walgreens 6104 2901 Ft Campbell Blvd Hopkinsville, KY 42240 (270) 886-9418

Wal-Mart Pharmacy 1859 Bypass Rd Winchester, KY 40391 (859) 744-6055

Wal-Mart Pharmacy 300 Clinic Drive Hopkinsville, KY 42240 (270) 886-9863

Clay County

14800 Fort Campbell Blvd Oak Grove, KY 42262 (270) 640-5848 Western State Hospital Phcy 2400 Russellville Rd Hopkinsville, KY 42240 (270) 889-6025

Clark County Clark County Pharmacy 1520-B Boonesboro Rd Winchester, KY 40391 (859) 744-3350 Corner Drug Winchester 4 N Highland St Ste B Winchester, KY 40391 (859) 744-6844

Burning Springs Pharmacy 11901 N HWY 421 Manchester, KY 40962 (606) 599-8891 Clay Discount Pharmacy 2734 S HWY 421 Manchester, KY 40962 (606) 598-0330 Community Drug of Manchester 1668 HWY 421 S Manchester, KY 40962 (606) 599-0505 Family Drug Center 110 Manchester Shopping Center Manchester, KY 40962 (606) 598-8831 214 Bridge St Manchester, KY 40962 (606) 598-6737

CVS Pharmacy 31 W Broadway Street Winchester, KY 40391 (859) 744-7701

H and N Drug INC 515 Memorial Dr Ste 2 Manchester, KY 40962 (606) 598-5025

Home Convalescent Aids 1113 W Lexington Winchester, KY 40391 (859) 745-4445

Hometown Pharmacy of Manchester LLC 397 Old US Highway 421 Manchester, KY 40962 (606) 598-6337

Kroger Pharmacy 1661 Bypass 1958 Winchester, KY 40391 (859) 745-0802 Rite Aid Pharmacy 07920 104 Pedro Way Winchester, KY 40391 (859) 745-7870 Walgreens 10889 2045 Bypass Rd Winchester, KY 40391 (859) 744-1377

Medi Center Drugs 509 Memorial Dr Ste 1 Manchester, KY 40962 (606) 598-7933 Rite Aid Pharmacy 03916 560 Manchester Square Manchester, KY 40962 (606) 598-0414

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Clinton County Dyer Drug 100 E Cumberland St Albany, KY 42602 (606) 387-6444 Freds Pharmacy 800 N Cross St Albany, KY 42602 (606) 387-0320 Shearer Drug 127 Foothills Ave Ste 2 Albany, KY 42602 (606) 387-6616

Crittenden County

Danhauer Drugs Co 330 Frederica St Owensboro, KY 42301 (270) 684-2341 Don and Daisys Pharmacy Plus 720 W Byers Avenue Owensboro, KY 42303 (270) 683-2400 Emory Centre Pharmacy 527 Emory Dr Ste 7 Owensboro, KY 42301 (270) 684-0649

CVS Pharmacy 307 Sturgis Road Marion, KY 42064 (270) 965-4114

King Drug and Home Care 1156 Carter Rd Owensboro, KY 42301 (270) 683-7010

Glenns Apothecary 520 W Gum Marion, KY 42064 (270) 965-4101

Kroger Pharmacy 1670 Starlight Dr Owensboro, KY 42301 (270) 926-2340

Kb Pharmacy 320 S Main St Marion, KY 42064 (270) 967-9007

2630 Frederica Street Owensboro, KY 42301 (270) 926-4977

Rite Aid Pharmacy 02471 1921 West Parrish Avenue Owensboro, KY 42301 (270) 683-0223 Rite Aid Pharmacy 02655 1735 Scherm Road Owensboro, KY 42301 (270) 685-3143 Rite Aid Pharmacy 02708 3026 E 4th Street Owensboro, KY 42303 (270) 684-9261 Rite Aid Pharmacy 03401 2440 New Hartford Road Owensboro, KY 42303 (270) 684-0205 Target Pharmacy 5151 Frederica St Owensboro, KY 42301 (270) 684-4362

2308 E 4th Street Owensboro, KY 42303 (502) 926-7751

Walgreens 11198 3312 KY 54 Owensboro, KY 42303 (270) 683-6422

Capps Pharmacy 331 Keen St Burkesville, KY 42717 (270) 864-1606

Lincoln Pharmacy INC 2816 Veach Rd Lincoln Professional Ctr Owensboro, KY 42301 (270) 684-7278

Walgreens 7657 2318 Frederica St Owensboro, KY 42301 (270) 686-7866

Morgans Medicine PLLC 360 Keen St Burkesville, KY 42717 (270) 864-2222

Nations Medicines 415 Carter Rd Owensboro, KY 42301 (270) 685-0557

Daviess County

3000 Alvey Park Dr Owensboro, KY 42303 (270) 926-4080

Cumberland County

CVS Pharmacy 1221 Frederica St Owensboro, KY 42301 (270) 683-5086 3311 Highway 54 And Fairview Road Owensboro, KY 42303 (270) 684-3439

3030 Burlew Blvd Ste B Owensboro, KY 42303 (270) 685-4931 Pooles Pharmacy Care 2200 E Parrish Ave Ste 102 Owensboro, KY 42303 (270) 926-6260

Wal-Mart Pharmacy 5031 Frederica Street Owensboro, KY 42301 (270) 685-0027 3151 State Route 54 Owensboro, KY 42303 (270) 683-4099 Whitesville Drug Store INC 10053 Main St Whitesville, KY 42378 (270) 233-4166

Pharmacy

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WellCare of Kentucky Edmonson County Alfords Pharmacy 210 S Main St Brownsville, KY 42210 (270) 597-1044

River Drive Pharmacy 223 River Dr Irvine, KY 40336 (859) 624-0898

Fayette County

Edmonson Drugs 432 S Main St Brownsville, KY 42210 (270) 597-2386

Bluegrass Pharmacy 395 Elaine Dr Ste 110 Lexington, KY 40504 (859) 233-0731

Prescription Shop 1571 HWY 259 N Brownsville, KY 42210 (270) 597-2181

C C Pharmacy 3122 Mapleleaf Dr Lexington, KY 40509 (859) 263-1220

Elliott County

Central Baptist Home Infusion 2100 Nicholasville Rd Lexington, KY 40503 (800) 286-6197

Discount Drug Mart INC 121 S KY 7 Sandy Hook, KY 41171 (606) 738-5111 Healthy Way Pharmacy Rt 7 Main Street Sandy Hook, KY 41171 (606) 738-4041

Estill County Estill Clinic Pharmacy 275 N Court St Irvine, KY 40336 (606) 723-0044 Irvine Healthmart Pharmacy 905 Richmond Rd Irvine, KY 40336 (606) 723-5446 Irvine White House Clinic Pharmacy 30 Stacy Lane Irvine, KY 40336 (606) 723-0665 Plaza Pharmacy 1220 Richmond Rd Irvine, KY 40336 (606) 723-5315 Rite Aid Pharmacy 03943 110 Richmond Road Irvine, KY 40336 (606) 723-2146

Corner Pharmacy LLC 1701 Alexandria Dr Ste C Lexington, KY 40504 (859) 309-1230 CVS Pharmacy 2000 Harrodsburg Rd Lexington, KY 40503 (859) 276-5493 118 E New Circle Rd Lexington, KY 40505 (859) 254-1325

Hubbard and Curry Pharmacy 2387 Professional Heights Dr Suite 160 Lexington, KY 40503 (859) 278-8408

Lexington Clinic East Phcy 100 N Eagle Creek Dr Lexington, KY 40509 (859) 258-5562

Kmart Pharmacy4232 2520 Nicholasville Rd Lexington, KY 40503 (859) 278-6029

Lexington Clinic Pharmacy 1221 S Broadway St Lexington, KY 40504 (859) 258-4794

Kroger Pharmacy 1060 Chinoe Rd Ste 190 Lexington, KY 40502 (859) 335-2380 704 Euclid Avenue Lexington, KY 40502 (859) 266-3331 150 W Lowry Ln Ste 190 Ste 190 Lexington, KY 40503 (859) 276-2119 1808 Alexandria Dr Lexington, KY 40504 (859) 277-0767 1650 Bryan Station Road Ste 170 Lexington, KY 40505 (859) 293-6476

3605 Walden Drive Lexington, KY 40517 (859) 245-6434

3101 Richmond Rd Lexington, KY 40509 (859) 269-4637

D and R Pharmacare Lexington 921 Beasley St Ste 130 Lexington, KY 40509 (859) 299-2161

1600 Leestown Rd Ste 150 Ste 150 Lexington, KY 40511 (859) 259-0965

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

4101 Tates Creek Lexington, KY 40517 (859) 272-2575

Kentucky Clinic Pharmacy 740 South Limestone St J134 Lexington, KY 40536 (859) 323-5855

3097 Todds Road Lexington, KY 40509 (859) 266-3202

Genoa Healthcare 1351 Newtown Pike Bldg 5 Lexington, KY 40511 (859) 554-4187

4750 Hartland Pkwy Lexington, KY 40515 (859) 245-5855

3175 Beaumont Centre Circle Lexington, KY 40513 (859) 219-1842 3650 Boston Road Lexington, KY 40514 (859) 223-0959

Lexington Fayette County Health Pharmacy 650 Newtown Pike Lexington, KY 40508 (859) 288-2478

Rite Aid Pharmacy 01015 3101 Clays Mill Road Suite 114 Lexington, KY 40503 (859) 223-9202 Rite Aid Pharmacy 02573 3735 Palomar Centre Drive Suite 80 Lexington, KY 40513 (859) 223-0701 Rite Aid Pharmacy 03347 130 West Louden Avenue Lexington, KY 40508 (859) 281-9660 Rite Aid Pharmacy 03910 878 East High Street Lexington, KY 40502 (859) 266-1171

Lincare Infusion Pharmacy 2514 Regency Rd Lexington, KY 40503 (859) 278-7700

Rite Aid Pharmacy 03912 1307 Winchester Road Lexington, KY 40505 (859) 254-4471

Meijer Pharmacy 161 2155 Paul Jones Way Suite 100 Lexington, KY 40509 (859) 264-3010

Rite Aid Pharmacy 03913 2284 Versailles Road Lexington, KY 40504 (859) 278-3471

Meijer Pharmacy 184 351 Meijer Way Suite 100 Lexington, KY 40503 (859) 219-3764

Rite Aid Pharmacy 03921 3349 Tates Creek Road Lexington, KY 40502 (859) 266-0413

Office Park Pharmacy 1401 Harrodsburg Rd Ste B155 Lexington, KY 40504 (859) 276-3905

Rite Aid Pharmacy 03931 2700 Richmond Road Lexington, KY 40509 (859) 269-5396

Pasadena Pharmacy 280 Pasadena Dr Lexington, KY 40503 (859) 260-2469

Rite Aid Pharmacy 03947 1335 South Broadway Lexington, KY 40504 (859) 254-7777

Professional Pharmacy 3050 Harrodsburg Rd Lexington, KY 40503 (859) 278-6449

Pharmacy

Page 387

WellCare of Kentucky Rite Aid Pharmacy 03949 3120 Pimlico Highway Suite 178 Lexington, KY 40517 (859) 273-7963 Rite Aid Pharmacy 03954 4101 Tates Creek Centre Drive Lexington, KY 40517 (859) 273-0222 Rite Aid Pharmacy 04041 2296 Executive Drive Lexington, KY 40505 (859) 294-4202 Rite Aid Pharmacy 07782 3813 Dylan Place Lexington, KY 40514 (859) 219-0102 Rite Aid Pharmacy 07842 6401 Polo Club Lane Lexington, KY 40509 (859) 294-0510 Rite Aid Pharmacy 07892 100 Malabu Drive Lexington, KY 40503 (859) 278-2087 Sams Pharmacy 1063 New Circle Rd Ne Lexington, KY 40505 (859) 281-6615

Walgreens 10801 2285 Versailles Rd Lexington, KY 40504 (859) 254-0237

Wheeler Pharmacy 336 Romany Rd Lexington, KY 40502 (859) 266-1131

Walgreens 4892 2181 Harrodsburg Rd Lexington, KY 40504 (859) 278-5461

Fleming County

Walgreens 5574 260 New Circle Rd Ne Lexington, KY 40505 (859) 225-3418 Walgreens 7093 3001 Pink Pigeon Pkwy Lexington, KY 40509 (859) 543-8228 Walgreens 9631 101 E Reynolds Rd Lexington, KY 40517 (859) 272-0476 Walgreens 9857 110 Town Center Dr Lexington, KY 40511 (859) 288-2172 Wal-Mart Pharmacy 4051 Nicholasville Road Lexington, KY 40503 (859) 971-0583 2350 Grey Lag Way Road Lexington, KY 40509 (859) 263-0526

Flemingsburg Family Health Center Pharmacy 520 Elizaville Road Flemingsburg, KY 41041 (606) 845-0402 Total Care Pharmacy 209 S Main Cross St Flemingsburg, KY 41041 (606) 845-2101 Total Care Pharmacy 2 118 Clark St Flemingsburg, KY 41041 (606) 845-3421

Floyd County Archer Clinic Pharmacy 400 University Dr Ste 100 Prestonsburg, KY 41653 (606) 886-1202 Betsy Layne Pharmacy 111 Hays Complex HWY 23 Betsy Layne, KY 41605 (606) 478-9474

3180 Richmond Road Lexington, KY 40509 (859) 268-1109

Cme Iv 1152 Riverside Dr Prestonsburg, KY 41653 (606) 886-0333

The Pharmacy Shop 455 A Southland Dr Lexington, KY 40503 (859) 278-7282

500 West New Circle Road Lexington, KY 40511 (859) 381-1530

Cooley Apothecary INC 128 N Lake Dr Prestonsburg, KY 41653 (606) 886-8106

Walgreens 10206 2290 Nicholasville Rd Lexington, KY 40503 (859) 276-1553

3735 Palomar Centre Drive Lexington, KY 40513 (859) 224-0495

Downtown Drug INC 90 Triangle Street Martin, KY 41649 (606) 285-0786

Walgreens 10776 2209 Richmond Rd Lexington, KY 40502 (859) 269-8832

4230 Saron Drive Lexington, KY 40515 (589) 272-1201

East Kentucky Drug 160 Conn St Ste 2 Ivel, KY 41642 (606) 478-3784

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Family Drug of Wheelwright 107 KY Rt 306 By Pro Bypro, KY 41612 (606) 452-4134

Mud Creek Clinic Pharmacy 7629 KY Route 979 Grethel, KY 41631 (606) 587-2232

Food City Pharmacy 429 University Drive Prestonsburg, KY 41653 (606) 889-9572

Neighborhood Pharmacy 5230 KY Rt 321 Ste 5 Riverview Prof Build Prestonsburg, KY 41653 (606) 889-8570

Harold Clinic Pharmacy 24 Pinhook Road Harold, KY 41635 (606) 478-1600 Howard Family Pharmacy INC 327 KY Route 550 Eastern, KY 41622 (606) 358-4800 Lackey Pharmacy Rt 550 At Millard Allen Drive Lackey, KY 41643 (606) 358-2661 McDowell Professional Pharmacy 9549 KY HWY 122 McDowell, KY 41647 (606) 377-1088 Med Express Pharmacy 487 University Dr Prestonsburg, KY 41653 (606) 886-9320 Medical Center Pharmacy 5000 KY Rt 321 Prestonsburg, KY 41653 (606) 886-8511 Medicine Market Pharmacy 10870 Main Street Martin, KY 41649 (606) 285-3400 Medzone Pharmacy 5291 Kentucky Route 321 Prestonsburg, KY 41653 (606) 889-9003

Parkview Pharmacy 8274 KY Rt 122 Minnie, KY 41651 (606) 377-2117 Rite Aid Pharmacy 01607 103 Glynnview Plaza Prestonsburg, KY 41653 (606) 886-1255 Rite Aid Pharmacy 02290 152 Collins Circle Prestonsburg, KY 41653 (606) 886-3884 Rite Aid Pharmacy 02459 262 KY Route 122 Martin, KY 41649 (606) 285-9908 Value Med Pharmacy 334 North Lake Drive Prestonsburg, KY 41653 (606) 886-3030 Wal-Mart Pharmacy 477 Village Drive Prestonsburg, KY 41653 (606) 886-1100

Franklin County Capital Pharmacy and Medical Equipment 662 E Main St Frankfort, KY 40601 (502) 223-2827 CVS Pharmacy 709 E Main St Frankfort, KY 40601 (502) 226-7053

Pharmacy

Page 388

WellCare of Kentucky Kmart Pharmacy9503 1300 US 127 South Frankfort, KY 40601 (502) 875-5997 Kroger Pharmacy 1309 Suite H US HWY 127 South Frankfort, KY 40601 (502) 875-0127 302 Brighton Park Blvd SC Frankfort, KY 40601 (502) 695-0918 Rite Aid Pharmacy 03939 101 Eastwood Shopping Center Frankfort, KY 40601 (502) 695-5626 Rite Aid Pharmacy 04655 1303 US 127 South Suite 106 Frankfort, KY 40601 (502) 875-3425 Walgreens 9855 1300 US HWY 127 S Ste E Frankfort, KY 40601 (502) 233-3728 Walgreens 9856 385 Versailles Rd Frankfort, KY 40601 (502) 695-7364 Wal-Mart Pharmacy 301 Leonardwood Drive Frankfort, KY 40601 (502) 875-4020 Waynes Pharmacy 1230 US 127 S Frankfort, KY 40601 (502) 875-2550

Fulton County Evans Drug Company 214 Lake St Fulton, KY 42041 (270) 472-2421

Medcare Pharmacy Home Medical 2009 S 7th St Hickman, KY 42050 (270) 236-2588 Wal-Mart Pharmacy 1405 Middle Road Fulton, KY 42041 (270) 472-9802

Gallatin County Beringer Drug Store INC 102 W Main St Ste A Warsaw, KY 41095 (859) 567-4601

Garrard County Rite Aid Pharmacy 00151 154 Pleasant Retreat Drive Lancaster, KY 40444 (859) 792-4013 Sutton Pharmacy 330 W Maple Ave Lancaster, KY 40444 (859) 792-4703

Grant County Grant County Drugs North 375 A Violet Road Crittenden, KY 41030 (859) 428-3784 Grant County Drugs INC 24 S Main St Dry Ridge, KY 41035 (859) 823-5271 Grant County Drugs Williamstown 302 Barnes Rd Williamstown, KY 41097 (859) 824-4239 Total Care Pharmacy 105 Spears Ln Crittenden, KY 41030 (859) 428-0900

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Wal-Mart Pharmacy 20 Ferguson Blvd Dry Ridge, KY 41035 (859) 824-5091

Graves County Apothecary Shoppe INC 1520 Cuba Rd Mayfield, KY 42066 (270) 247-3111 CVS Pharmacy 100 S 6th St Mayfield, KY 42066 (270) 247-4073 Duncan Clinic Pharmacy 1111 Medical Center Circle Mayfield, KY 42066 (270) 247-7000 Duncan Prescription Center 315 W Broadway St Mayfield, KY 42066 (270) 247-3345 Gibsons Discount Pharmacy 715 E Broadway St Mayfield, KY 42066 (270) 247-7300 Stones Drug INC 414 South 9th St Mayfield, KY 42066 (270) 247-3232 Walgreens 12090 635 S 6th St Mayfield, KY 42066 (270) 247-2272 Wal-Mart Pharmacy 1225 Paris Road Mayfield, KY 42066 (270) 247-2280

Grayson County Clarkson Drug Store 201 Millerstown St Clarkson, KY 42726 (270) 242-3811

Midway Pharmacy 9847 Elizabethtown Ste 102 Big Clifty, KY 42712 (270) 242-4344 408 E Maple St Caneyville, KY 42721 (270) 879-6355 627 W Main St Clarkson, KY 42726 (270) 242-2331 908 Wallace Avenue Suite 105 Leitchfield, KY 42754 (270) 259-8400 Rite Aid Pharmacy 00494 515 South Main Street Leitchfield, KY 42754 (270) 259-5720 Walgreens 311 N Main St Leitchfield, KY 42754 (270) 259-2474 Wal-Mart Pharmacy 1801 Elizabethtown Road Leitchfield, KY 42754 (270) 259-9384

Green County Eastridge-Phelps Pharmacy Greensburg 1915 Campbellsville Rd Greensburg, KY 42743 (270) 299-2333 Freds Pharmacy 265 Industrial Park Rd Greensburg, KY 42743 (270) 932-3100 Health First Pharmacy 407 D Columbia Hwy Greensburg, KY 42743 (270) 299-2467 Rite Aid Pharmacy 02457 603 Columbia Highway Greensburg, KY 42743 (270) 932-4518

Greenup County CVS Pharmacy 2409 Argillite Rd Flatwoods, KY 41139 (606) 833-8027 McDonald Pharmacy 437 James Hannah Dr South Shore, KY 41175 (606) 932-3614 Rite Aid Pharmacy 03567 1900 Argillite Road Flatwoods, KY 41139 (606) 836-2498 Stultz Pharmacy 2420 Argillite Rd Ste A Flatwoods, KY 41139 (606) 834-1052 1615 Ashland Rd Greenup, KY 41144 (606) 473-7346 The Wright Pharmacy INC 82 Biggs Lane South Shore, KY 41175 (606) 932-2202

Hancock County Freds Pharmacy 8525 US 60 W Lewisport, KY 42351 (270) 295-3356

Hardin County Adio Pharmacy 150 Raleigh Dr Elizabethtown, KY 42701 (270) 234-8111 Apothecare Pharmacy II At Cardinal 908 Woodland Dr Elizabethtown, KY 42701 (270) 982-0303 Apothecare Pharmacy Iii 189 E Lincoln Trail Blvd Radcliff, KY 40160 (270) 352-0303

Pharmacy

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WellCare of Kentucky Apothecare Phcy of Elizabethtown 1239 Woodland Dr Suite 102 Elizabethtown, KY 42701 (270) 739-0303 Etown Pharmacy 914 N Dixie Ave Ste 103 Elizabethtown, KY 42701 (270) 900-1583 Jeffs Prescription Shop 2415 Ring Rd Elizabethtown, KY 42701 (270) 765-2157 Kmart Pharmacy4753 1809 North Dixie Avenue Elizabethtown, KY 42701 (270) 737-4014 Kroger Pharmacy 111 Towne Drive Elizabethtown, KY 42701 (270) 737-1710 3040 Dolphin Drive Elizabethtown, KY 42701 (270) 737-4578 Nations Medicine 790 N Dixie Ave Ste 1100 Elizabethtown, KY 42701 (270) 737-7880 Radcliff Pharmacy LLC 800 W Lincoln Trail Blvd Radcliff, KY 40160 (270) 351-7400 Rite Aid Pharmacy 02657 508 West Dixie Avenue Elizabethtown, KY 42701 (270) 769-3367

Sams Pharmacy 1500 Ring Rd Elizabethtown, KY 42701 (270) 763-0755 Save-Rite Drugs Radcliff 990 S Dixie Blvd Ste 6 Radcliff, KY 40160 (270) 351-3784 South Dixie Pharmacy 12134 S Dixie Hwy Sonora, KY 42776 (270) 949-3494 Walgreens 550 W Dixie Ave Elizabethtown, KY 42701 (270) 982-3088 Walgreens 11761 635 Dixie Blvd Radcliff, KY 40160 (270) 352-0880 Walgreens 2225 1008 N Mulberry St Elizabethtown, KY 42701 (270) 769-0753 Walgreens 4123 1602 North Dixie Highway Elizabethtown, KY 42701 (270) 737-3716 Wal-Mart Pharmacy 100 Walmart Drive Elizabethtown, KY 42701 (270) 769-3825 1165 Wal-Mart Way Radcliff, KY 40160 (270) 352-2730

Harlan County Clover Fork Clinic Pharmacy 101 Chad Street Evarts, KY 40828 (606) 837-2100

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Cumberland Drug Co 1803 E Main St Cumberland, KY 40823 (606) 589-0003 CVS Pharmacy 533 Skidmore Drive Harlan, KY 40831 (606) 573-7334 Donells Pharmacy 40 W HWY 72 Baxter, KY 40806 (606) 573-4550 Food City Pharmacy 2478 Woodland Plaza Harlan, KY 40831 (606) 573-7200 Harlan ARH Pharmacy 81 Ball Park Rd Harlan, KY 40831 (606) 574-8017 Harlan Medical Center Pharmacy 132 Village Center Harlan, KY 40831 (606) 573-2004 Rite Aid Pharmacy 01377 2307 East Main Street Cumberland, KY 40823 (606) 589-2234 Tri Cities ARH Clinic Pharmacy 18880 North US 119 Cumberland, KY 40823 (606) 589-2602 Wal-Mart Pharmacy 201 Waldon Road Harlan, KY 40831 (606) 573-9650

Harrison County Clinic Pharmacy LLC 1210 KY HWY 36 E Ste G-6 Cynthiana, KY 41031 (859) 234-2777 Eastside Pharmacy of Cynthiana INC 430 E Pleasant St Suite 2 Cynthiana, KY 41031 (859) 234-6800

Hometown Pharmacy of Cynthiana 1134 US Highway 27 S Cynthiana, KY 41031 (859) 234-5600

Dunaways Imperial Phcy 110 Third Street Henderson, KY 42420 (270) 826-6565

Rite Aid Pharmacy 03938 629 US Highway 27 South Cynthiana, KY 41031 (859) 234-6111

Kmart Pharmacy3688 2606 Zion Rd Henderson, KY 42420 (270) 827-4151

Wal-Mart Pharmacy 805 US 27 South Cynthiana, KY 41031 (859) 234-3533 Your Pharmacy 208 W Pleasant St Ste 2 Cynthiana, KY 41031 (859) 234-5400

Hart County

Omnicare of Henderson Kentucky 1900 US Highway 41 North Ste 4 Henderson, KY 42420 (270) 826-6790 Rite Aid Pharmacy 03559 1355 Second Street Henderson, KY 42420 (270) 827-9857

Branstetter Pharmacy 141 E Main St Horse Cave, KY 42749 (270) 786-2466

Rite Aid Pharmacy 03926 517 North Green Street Henderson, KY 42420 (270) 827-1897

Clark Drugs 232 Main St Munfordville, KY 42765 (270) 524-3669

T and T Drugs INC 1331 Clay St Henderson, KY 42420 (270) 827-3503

Freds Pharmacy 1181 Main St Munfordville, KY 42765 (270) 524-0020

Walgreens 7925 402 2nd St Henderson, KY 42420 (270) 869-1746

Rite Aid Pharmacy 02679 394 North Dixie Street Horse Cave, KY 42749 (270) 786-1147

Wal-Mart Pharmacy 1195 Barrett Blvd Henderson, KY 42420 (270) 826-6926

Rite Aid Pharmacy 03350 600 North Main Street Munfordville, KY 42765 (270) 524-3081

Henderson County Barrys Pharmacy INC 700 N Green St Henderson, KY 42420 (270) 826-3957

Henry County Cooks Pharmacy 8154 Main St Campbellsburg, KY 40011 (502) 532-7388 16 S Main St New Castle, KY 40050 (502) 845-2803 Cooks Pharmacy INC 42 S Penn Ave Eminence, KY 40019 (502) 845-4216 Pharmacy

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WellCare of Kentucky Hickman County Byassee Drug Co 107 E Clay St Clinton, KY 42031 (270) 653-2151 Perkins Pharmacy 119 E Clay St Clinton, KY 42031 (270) 653-5361

Hopkins County Bluegrass Ltc Pharmacy 1128 N Main St Ste 3 Madisonville, KY 42431 (270) 821-7335 Bluegrass Pharmacy 1128 N Main St Madisonville, KY 42431 (270) 825-2775 CVS Pharmacy 920 N Main Street Madisonville, KY 42431 (270) 825-4770 Don Peeler Pharmacy 127 E North St Madisonville, KY 42431 (270) 821-5440 Hanson Pharmacy and Wellness Center 7455 Hanson Rd Hanson, KY 42413 (270) 322-1234 Hometown Rx 728 S Main Madisonville, KY 42431 (270) 821-8500 King Drug and Home Care 444 South Main Street Madisonville, KY 42431 (270) 821-4999 Kroger Pharmacy 545 Island Ford Rd Madisonville, KY 42431 (270) 821-0692

Madisonville Pharmacy INC 200 Clinic Dr Ste 101 Madisonville, KY 42431 (270) 824-2264 Nortonville Pharmacy 102 Greenville Rd Nortonville, KY 42442 (270) 676-8268 Rite Aid Pharmacy 03560 86 Madison Square Madisonville, KY 42431 (270) 821-5811 Walgreens 11394 1801 N Main St Madisonville, KY 42431 (270) 821-0377 Walgreens 12587 679 S Main St Madisonville, KY 42431 (270) 825-1541 Wal-Mart Pharmacy 1756 East Center St Madisonville, KY 42431 (270) 821-4031 Woodburn Pharmacy 400 E Arcadia Ave Dawson Springs, KY 42408 (270) 797-2761

Jackson County Annville Pharmacy 78 Highway 3444 Ste 2 Annville, KY 40402 (606) 364-3113 Rite Aid Pharmacy 03270 551 Main Street North McKee, KY 40447 (606) 287-7187 White House Clinic Pharmacy 1010 Main Street South McKee, KY 40447 (606) 287-7104

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Jefferson County Audubon Pharmacy 2355 Poplar Level Rd Suite 101 Louisville, KY 40217 (502) 371-1002 Commons Community Pharmacy 9407 Norton Commons Blvd Prospect, KY 40059 (502) 614-7325 Compound Care Pharmacy 12121 Shelbyville Rd Ste 107 Louisville, KY 40243 (502) 244-6500 Cox Drug Store 5005 Preston Highway Ste 104 Louisville, KY 40213 (502) 969-2341 Coxs Variety and Pharmacy 4934 Manslick Rd Louisville, KY 40216 (502) 364-0901 9843 3rd Street Rd Louisville, KY 40272 (502) 933-8444 CVS Pharmacy 9575 Taylorsville Road Jeffersontown, KY 40299 (502) 267-5448 432 S 4th St Louisville, KY 40202 (502) 589-1846 2410 Bardstown Road Louisville, KY 40205 (502) 459-6563 2106 Brownsboro Road Louisville, KY 40206 (502) 897-1681 3721 Lexington Road Louisville, KY 40207 (502) 897-0622

3130 Portland Avenue Louisville, KY 40212 (502) 776-1596 3229 Poplar Level Rd Louisville, KY 40213 (502) 634-9197 5300 South 3rd Street Louisville, KY 40214 (502) 367-7554 3997 7th Street Road Louisville, KY 40216 (502) 448-3383 4249 Outer Loop Road Louisville, KY 40219 (502) 968-3618 2311 Lime Kiln Ln Louisville, KY 40222 (502) 425-4044 10490 Shelbyville Road Louisville, KY 40223 (502) 245-8853 5121 Antle Drive Louisville, KY 40229 (502) 966-2742 13900 Shelbyville Rd Louisville, KY 40245 (502) 253-1959 6109 Bardstown Road Louisville, KY 40291 (502) 239-3226 D and R Pharmacare Louisville 4400 Ole Brickyard Cir Louisville, KY 40218 (502) 454-0803

Hctc Pharmacy 1009a N Dupont Sq Ste 203 Louisville, KY 40207 (502) 894-9951 Hume Pharmacy 10216 Taylorsville Rd Jeffersontown, KY 40299 (502) 267-7453 Kmart Pharmacy3057 4025 Poplar Level Rd Louisville, KY 40213 (502) 458-3274 Kmart Pharmacy4006 3911 Taylorsville Rd Louisville, KY 40220 (502) 454-4668 Kmart Pharmacy4180 4915 Dixie Hwy Louisville, KY 40216 (502) 448-9726 Kmart Pharmacy7288 191 Outer Loop Louisville, KY 40214 (502) 361-2501 Kroger Pharmacy 924 S Second St Louisville, KY 40203 (502) 589-9394 2440 Bardstown Rd Louisville, KY 40205 (502) 459-3248 2200 Brownsboro Road Louisville, KY 40206 (502) 894-8759

Efillrx 100 E Liberty St Ste 700 Louisville, KY 40202 (502) 568-8830

291 N Hubbards Ln, Suite 130 Louisville, KY 40207 (502) 895-8337

6400 Dutchmans Parkway Ste 140 Louisville, KY 40205 (502) 259-5050

3165 South 2nd Street Louisville, KY 40208 (502) 368-6153

Family Health Center Pharmacy 2215 Portland Ave Louisville, KY 40212 (502) 774-8631

2710 West Broadway St Louisville, KY 40211 (502) 778-3348 520 N 35th Street Louisville, KY 40212 (502) 776-3765 Pharmacy

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WellCare of Kentucky 4009 Poplar Level Rd Louisville, KY 40213 (502) 454-4106

7509 Terry Road Louisville, KY 40258 (502) 935-5531

4211 S 3rd Street Louisville, KY 40214 (502) 363-3111

10645 Dixie Highway Louisville, KY 40272 (502) 937-0303

5533 New Cut Rd Louisville, KY 40214 (502) 361-7238

6900 Bardstown Road Louisville, KY 40291 (502) 239-2322

3917 South 7th Street Rd Louisville, KY 40216 (502) 447-3393

12611 Taylorsville Road Louisville, KY 40299 (502) 261-7042

5244 Dixie Highway Louisville, KY 40216 (502) 448-8247 1265 Goss Avenue Louisville, KY 40217 (502) 634-0649 3616 Buechel Bypass Louisville, KY 40218 (502) 458-9511 4501 Outer Loop Louisville, KY 40219 (502) 969-2836 3039 Breckinridge Lane Louisville, KY 40220 (502) 454-6138 2219 Holiday Manor Louisville, KY 40222 (502) 394-9483 9812 Linn Station Rd Louisville, KY 40223 (502) 327-0456 5001 Mud Lane Louisville, KY 40229 (502) 962-8022 9440 Old Brownsboro Rd Louisville, KY 40241 (502) 425-8407 9501 Westport Road Louisville, KY 40241 (502) 425-5221 12450 Lagrange Road Louisville, KY 40245 (502) 241-6770

9080 Taylorsville Rd Louisville, KY 40299 (502) 499-7044 12501 Shelbyville Rd Middletown, KY 40243 (502) 244-7960 5929 Timber Ridge Drive Prospect, KY 40059 (502) 292-2471 Lincare INC 5694 Shepherdsville Rd Louisville, KY 40228 (502) 515-3500 Med Care Pharmacy 11420 Watterson Court Suite 600 Louisville, KY 40299 (502) 297-8802 Medical Towers Pharmacy 234 E Gray St Ste Ste 140 Louisville, KY 40202 (502) 583-6777 Meijer Pharmacy 160 4500 S Hurstbourne Pkwy Louisville, KY 40299 (502) 493-4910 Meijer Pharmacy 162 9905 Dixie Highway Louisville, KY 40272 (502) 995-2110

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Meijer Pharmacy 164 4100 Towne Center Road Louisville, KY 40241 (502) 326-5210

Rite Aid Pharmacy 04629 409 West Oak Street Louisville, KY 40203 (502) 585-4254

Rite Aid Pharmacy 04646 9459 Westport Road Louisville, KY 40241 (502) 425-8573

Meijer Pharmacy 166 9500 Preston Highway Louisville, KY 40229 (502) 962-3710

Rite Aid Pharmacy 04633 3012 Bardstown Road Louisville, KY 40205 (502) 458-2647

Rite Aid Pharmacy 04647 7700 Shepherdsville Road Louisville, KY 40219 (502) 968-7777

Norton Cancer Institute Pharmacy Services 2355 Poplar Level Rd Ste 302 Louisville, KY 40217 (502) 636-8088 Pca Pharmacy Corrections 2701 Chestnut Station Court Louisville, KY 40299 (502) 964-5359 Pharmacy Alternatives 1620 Eastpoint Pkwy Louisville, KY 40223 (502) 245-4239 Pharmacy Plus 220 Abraham Flexner Way Louisville, KY 40202 (502) 561-3905 1850 Bluegrass Ave Louisville, KY 40215 (502) 581-8713 Qol Meds 2225 W Broadway St First Floor Louisville, KY 40211 (502) 774-8299 2105 Crums Lane Louisville, KY 40216 (502) 448-2007 Rite Aid Pharmacy 04627 7500 Terry Road Louisville, KY 40258 (502) 935-6230

Rite Aid Pharmacy 04634 3805 Brownsboro Road Louisville, KY 40207 (502) 895-5411 Rite Aid Pharmacy 04635 4000 Taylorsville Road Louisville, KY 40220 (502) 458-2611 Rite Aid Pharmacy 04636 4315 Cane Run Road Louisville, KY 40216 (502) 447-1998 Rite Aid Pharmacy 04637 7118 Southside Drive Louisville, KY 40214 (502) 364-8054

Rite Aid Pharmacy 04648 8651 Preston Highway Louisville, KY 40219 (502) 969-1309 Rite Aid Pharmacy 04849 4838 Poplar Level Road Louisville, KY 40213 (502) 969-1695 Rite Aid Pharmacy 07870 8014 Bardstown Road Louisville, KY 40291 (502) 239-1256 Sams Pharmacy 6622 Preston Highway Louisville, KY 40219 (502) 964-0342

Rite Aid Pharmacy 04638 5601 Bardstown Road Louisville, KY 40291 (502) 239-6160

Simons Prospect Apothecary 9217 US HWY 42 Prospect, KY 40059 (502) 228-4161

Rite Aid Pharmacy 04639 4149 Taylor Boulevard Louisville, KY 40215 (502) 375-9977

Target Pharmacy 3600 Mall Road Louisville, KY 40218 (502) 456-1441

Rite Aid Pharmacy 04642 4721 Dixie Highway Shively, KY 40216 (502) 447-6550 Rite Aid Pharmacy 04644 701 Valley College Drive Louisville, KY 40272 (502) 933-3766

7311 Jefferson Blvd Louisville, KY 40219 (502) 968-9256 4640 Taylorsville Rd Louisville, KY 40220 (502) 493-2732 4101 Towne Center Dr Louisville, KY 40241 (502) 412-2440

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WellCare of Kentucky 12975 Shelbyville Rd Ste 100 Middletown, KY 40243 (502) 992-1238

Walgreens 11665 4310 Outer Loop Okolona, KY 40219 (502) 962-2876

Walgreens 4163 7338 Dixie Highway Louisville, KY 40258 (502) 937-6566

Walgreens 6437 520 Lyndon Lane Lyndon, KY 40222 (502) 426-1048

The Village Pharmacy 1100 E Market St Louisville, KY 40206 (502) 596-1232

Walgreens 12321 700 Algonquin Pkwy Louisville, KY 40208 (502) 636-3441

Walgreens 4194 2021 Hikes Lane Louisville, KY 40218 (502) 451-0527

Walgreens 6443 990 Baxter Ave Louisville, KY 40204 (502) 583-6089

University of Louisville Hospital Faculty Practice 401 East Chestnut Street Ste 180 Louisville, KY 40202 (502) 587-2320

Walgreens 12322 810 Eastern Pkwy Louisville, KY 40217 (502) 637-1249

Walgreens 4216 5201 S Third St Louisville, KY 40214 (502) 367-6128

Walgreens 7064 9409 Shelbyville Rd Louisville, KY 40222 (502) 426-5502

Walgreens 2538 3421 W Broadway St Louisville, KY 40211 (502) 776-2512

Walgreens 4309 9702 Westport Louisville, KY 40241 (502) 425-0114

Walgreens 2924 2368 Frankfort Ave Louisville, KY 40206 (502) 896-0781

Walgreens 4586 7914 Fegenbush Lane Louisville, KY 40228 (502) 231-1573

Walgreens 7315 13807 English Villa Drive Louisville, KY 40245 (502) 254-2343

Us Pharmacy 2 10278 Shelbyville Road Louisville, KY 40223 (502) 365-4655

Walgreens 3601 3800 Poplar Level Road Louisville, KY 40213 (502) 459-7226

Walgreens 4814 4800 Bardstown Rd Louisville, KY 40291 (502) 491-5122

Valu Market Pharmacy 7519 Outer Loop Louisville, KY 40228 (502) 231-2424

Walgreens 3618 2800 S Hurstbourne Pky Louisville, KY 40220 (502) 493-0832

Walgreens 5001 2490 Bardstown Rd Louisville, KY 40205 (502) 454-8084

Valumarket Pharmacy 315 Whittington Pkwy Louisville, KY 40222 (502) 327-8840

Walgreens 3631 2420 Lime Kiln Lane Louisville, KY 40222 (502) 425-5760

Walgreens 5172 5400 New Cut Rd Louisville, KY 40214 (502) 375-4255

Vna Nazareth Home Care 5000 Commerce Crossing Dr Ste 100 A Louisville, KY 40229 (502) 585-7677

Walgreens 3677 12101 Shelbyville Road Middletown, KY 40243 (502) 244-7035

Walgreens 5436 4025 Taylorsville Rd Louisville, KY 40220 (502) 451-0100

Walgreens 3756 3980 Dixie Highway Louisville, KY 40216 (502) 447-8565

Walgreens 5449 3600 Fern Valley Rd Louisville, KY 40219 (502) 964-0906

Walgreens 3776 1475 Dixie Highway Louisville, KY 40210 (502) 776-5184

Walgreens 5813 11930 Standiford Plaza Dr Louisville, KY 40229 (502) 961-5840

University of Louisville Hosptial Acb Pharmacy 530 S Jackson St Louisville, KY 40202 (502) 562-3571

Walgreens 10151 3700 Frankfort Ave Louisville, KY 40207 (502) 899-9353 Walgreens 10560 6620 Bardstown Rd Louisville, KY 40291 (502) 231-1310 Walgreens 11664 4926 Cane Run Rd Louisville, KY 40216 (502) 449-5168

Walgreens 3777 4240 Shelbyville Rd Louisville, KY 40207 (502) 893-0457

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Walgreens 6171 5900 Timber Ridge Dr Prospect, KY 40059 (502) 228-3762

175 Outer Loop Louisville, KY 40214 (502) 361-8299 5360 Dixie Highway Louisville, KY 40216 (502) 447-4745 7100 Raggard Rd Louisville, KY 40216 (502) 447-4556 2020 Bashford Manor Lane Louisville, KY 40218 (502) 451-6822 1915 South Hurstbourne Parkway Louisville, KY 40220 (502) 499-1355

Walgreens 7643 9801 Brownsboro Rd Louisville, KY 40241 (502) 327-0376

11901 Standiford Plaza Dr Louisville, KY 40229 (502) 968-6766

Walgreens 9005 200 Broadway E Louisville, KY 40202 (502) 568-4571

3706 Diann Marie Road Louisville, KY 40241 (502) 326-0805

Walgreens 9412 5100 Dixie Hwy Louisville, KY 40216 (502) 447-3347 Walgreens 9524 10201 Dixie Hwy Louisville, KY 40272 (502) 933-4001 Walgreens Infusion Services 11403 Bluegrass Pkwy Ste 400 Louisville, KY 40299 (502) 266-0123 Wal-Mart Pharmacy 3800 Ruckriegel Parkway Jeffersontown, KY 40299 (502) 266-5022 3109 Poplar Level Rd Louisville, KY 40213 (502) 636-0124

201 Blankenbaker Parkway Louisville, KY 40243 (502) 244-5455 10445 Dixie Highway Louisville, KY 40272 (502) 935-3265 7101 Cedar Springs Blvd Louisville, KY 40291 (502) 231-6867 12981 Shelbyville Road Middletown, KY 40243 (502) 244-2276 Whitehead Drug Store 1502 S 7th St Louisville, KY 40208 (502) 637-1489 Wishs Drugs 1 9615 Whipps Mill Rd Lyndon, KY 40242 (502) 425-1146

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WellCare of Kentucky Jessamine County

Johnson County

CVS Pharmacy 300 N Main Street Nicholasville, KY 40356 (859) 881-0348

Food City Pharmacy 330 N Mayo Trail Paintsville, KY 41240 (606) 789-7116

Drug Mart 104 Edgewood Plaza Dr Nicholasville, KY 40356 (859) 885-6056

Highlands Medical Office Phcy 713 Broadway Ste 101 Paintsville, KY 41240 (606) 789-3670

Kroger Pharmacy 170 Bellerive Blvd Nicholasville, KY 40356 (859) 219-2148 200 E Brannon Rd Nicholasville, KY 40356 (859) 971-4303 995 South Main St Nicholasville, KY 40356 (859) 881-9086 Rite Aid Pharmacy 02659 951 South Main Street Nicholasville, KY 40356 (859) 885-6094 Rite Aid Pharmacy 07856 1401 Keene Road Nicholasville, KY 40356 (859) 881-8922 Sams Pharmacy 140 Kohls Dr Nicholasville, KY 40356 (859) 881-1647 Sims Drug 319 E Main St Wilmore, KY 40390 (859) 858-2453 The Prescription Pad 465 Keene Centre Drive Nicholasville, KY 40356 (859) 887-2841 Walgreens 9712 901 N Main St Nicholasville, KY 40356 (859) 881-8203 Wal-Mart Pharmacy 1024 N Main Street Nicholasville, KY 40356 (859) 885-9490

Kmart Pharmacy4827 334 N Mayo Trail Paintsville, KY 41240 (606) 789-3738 Medicine Cabinet Pharmacy 515 Broadway Ave Paintsville, KY 41240 (606) 789-9988 Mountain Apothecary 834 S Mayo Tr Paintsville, KY 41240 (606) 789-6150 Rite Aid Pharmacy 03360 308 South Mayo Trail Paintsville, KY 41240 (606) 789-4950 Value Med Pharmacy 209 B N Mayo Trail Paintsville, KY 41240 (606) 789-5995 Wal-Mart Pharmacy 470 No Mayo Trail Paintsville, KY 41240 (606) 789-8925

Kenton County Blanks Pharmacy 272 Pike St Covington, KY 41011 (859) 261-1313 Cherokee Drug Shoppe 6439 Taylor Mill Rd Independence, KY 41051 (859) 356-3121

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

CVS Pharmacy 2001 Madison Avenue Covington, KY 41014 (859) 581-0835 3141 Dixie Highway Erlanger, KY 41018 (859) 331-6878 3950 Turkeyfoot Road Erlanger, KY 41018 (859) 647-6211 4305 Winston Avenue Latonia, KY 41015 (859) 491-6300 Kmart Pharmacy3029 3071 Dixie Hwy Edgewood, KY 41017 (859) 331-6800 Kroger Pharmacy 1525 Madison Ave Covington, KY 41011 (859) 431-5566 4303 Winston Ave Covington, KY 41015 (859) 655-0720

Ruwe Family Pharmacy Covington 434 Scott St Covington, KY 41011 (859) 431-3304 Ruwe Family Pharmacy Latonia 3712 Winston Ave Covington, KY 41015 (859) 261-0605 Save Discount Drugs 716 Madison Ave Covington, KY 41011 (859) 431-2857 Semc Medical Village Pharmacy 20 Medical Village Dr Edgewood, KY 41017 (859) 301-9025 Walgreens 10315 2005 Centennial Blvd Independence, KY 41051 (859) 363-3605

3158 Dixie Hwy Erlanger, KY 41018 (859) 344-0434

Walgreens 13055 4299 Winston Ave Covington, KY 41015 (859) 291-4722

1800 Declaration Dr Independence, KY 41051 (859) 363-9020

Walgreens 2991 1026 Madison Avenue Covington, KY 41011 (859) 491-9840

Ludlow Pharmacy 130 Elm St Ludlow, KY 41016 (859) 261-2210

Walgreens 5548 3104 Dixie Hwy Erlanger, KY 41018 (859) 426-0310

Nies Pharmacy and Welness Center 11745 Madison Pike Independence, KY 41051 (859) 356-3941

Wal-Mart Pharmacy 3450 Valley Plaza Parkway Fort Wright, KY 41017 (859) 341-3714

Remke Pharmacy 4 5016 Old Taylor Mill Rd Taylor Mill, KY 41015 (859) 655-3901

Knott County East Kentucky Pharmacy INC 588 HWY 899 Hindman, KY 41822 (606) 785-3784

Knott Prescription Center 59 West HWY 80, Suite 1 Hindman, KY 41822 (606) 785-0889 Napier Family Drug 47 West Main Street PO Box 1128 Hindman, KY 41822 (606) 785-3143 Rite Aid Pharmacy 01436 100 Holly Hills Mall Hindman, KY 41822 (606) 785-4960 UK June Buchanan Pharmacy 59 Cowtown Rd Hindman, KY 41822 (606) 785-3175

Knox County Bowling Family Pharmacy 315 Hospital Dr Ste 6 Barbourville, KY 40906 (606) 546-2210 Hinkle Hometown Drug Store INC 590 Old 25e Barbourville, KY 40906 (606) 546-8860 Knox Professional Pharmacy 511 Knox Street Barbourville, KY 40906 (606) 546-3171 Parkway Pharmacy 726 S US HWY 25 E Barbourville, KY 40906 (606) 546-3464 Rite Aid Pharmacy 03919 297 Terrell Lane Barbourville, KY 40906 (606) 546-9241 Walgreens 11884 1121 S US 25e Barbourville, KY 40906 (606) 545-7314

Pharmacy

Page 394

WellCare of Kentucky Wal-Mart Pharmacy 301 Parkway Plaza Barbourville, KY 40906 (606) 546-5477

Plaza Drug 707 N Laurel Rd London, KY 40741 (606) 864-2600

Larue County

Plaza Drug Specialty Care 707 N Laurel Rd Suite B London, KY 40741 (606) 877-2810

Lincoln Parkway Pharmacy 117 Lincoln Dr Hodgenville, KY 42748 (270) 358-2117 Rite Aid Pharmacy 01344 415 N Lincoln Boulevard Hodgenville, KY 42748 (270) 358-3186 Shopko Pharmacy 2730 657 W Main Connector Hodgenville, KY 42748 (270) 358-4391 Smith Drug Company INC 104 N Lincoln Blvd Hodgenville, KY 42748 (270) 358-3306

Laurel County CVS Pharmacy 1807 N Main Street London, KY 40741 (606) 878-7344

Rite Aid Pharmacy 03932 839 South Main Street London, KY 40741 (606) 864-7368 Thompson Discount Drug 810 East 4th Street London, KY 40741 (606) 878-7713 Thompson Drug Downtown 803 Meyers Baker Rd Ste 110 London, KY 40741 (606) 877-1008 Thompson Drug East Bernstadt 1088 HWY 490 East Bernstadt, KY 40729 (606) 843-2211

Kmart Pharmacy7354 1710 West Highway 192 London, KY 40741 (606) 878-5532

Thompson Drug Saddlebrook 575 W Laurel Rd London, KY 40741 (606) 862-6261

Kroger Pharmacy 1730 W HWY 192 London, KY 40741 (606) 878-1568

Thompson Drug South 975 S Laurel Rd Ste A London, KY 40744 (606) 864-6324

Laurel Heights Nursing Home Phcy 208 W 12th St London, KY 40741 (606) 864-4155

Walgreens 12152 1775 Highway 192 W London, KY 40741 (606) 877-2727

Med-Mart Pharmacy 87 C V B Dr London, KY 40741 (606) 878-1200

Wal-Mart Pharmacy 1851 West HWY 192 London, KY 40741 (606) 878-6143

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lawrence County

Leslie County

Louisa Drug Store 408 N Lock Ave Louisa, KY 41230 (606) 638-4155

Hometown Pharmacy 130 HWY 80 Hyden, KY 41749 (606) 672-3084

Rite Aid Pharmacy 00295 4311 Highway 2565 Louisa, KY 41230 (606) 638-3110

King Pharmacy Hyden 22320 Main St Hyden, KY 41749 (606) 672-2210

Rite Value Pharmacy 2673 Highway 644 Ste 1 Louisa, KY 41230 (606) 638-9627 Riverview Pharmacy 201 S Water St Louisa, KY 41230 (606) 638-9218 Town Hill Pharmacy 115 Town Hill Rd Ste 19 Louisa, KY 41230 (606) 638-0370 Wal-Mart Pharmacy 275 Walton Drive Louisa, KY 41230 (606) 673-4912

Medicine Shoppe 22044 Main Street Hyden, KY 41749 (606) 672-8705 Rite Aid Pharmacy 02439 21287 Highway 421 Hyden, KY 41749 (606) 672-3811

Lewis County Lewis County Primary Care Cntr Phcy 211 KY 59 Vanceburg, KY 41179 (606) 796-2686

Letcher County Boggs Pharmacy 9500 Highway 805 Jenkins, KY 41537 (606) 832-2121

Osman Pharmacy 89 2nd St Vanceburg, KY 41179 (606) 796-2932 Professional Care Pharmacy 207 Plummers Lane Ste A Vanceburg, KY 41179 (606) 796-6100

Lee County Omnicare of Beattyville 1071 Highway 11 N Beattyville, KY 41311 (606) 464-0941

Isom Community Pharmacy 93 Isom Plaza Isom, KY 41824 (606) 633-9238

Rite Aid Pharmacy 02777 31 Big Hill Drive Beattyville, KY 41311 (606) 464-2581

Kyva Pharmacy 109 E Main St Whitesburg, KY 41858 (606) 633-4488

Village Apothecary 111 River Dr Beattyville, KY 41311 (606) 464-3656

Whitesburg Pharmacy 246 Medical Plaza Lane Ste B Whitesburg, KY 41858 (606) 633-1335

Nobles Pharmacy 162 Garrison Ln Garrison, KY 41141 (606) 757-3535

Family Drug of Neon 972 HWY 317 Neon, KY 41840 (606) 855-4428

Stufflebean Pharmacy 1031 Grand Ave Beattyville, KY 41311 (606) 464-3396

Whitesburg ARH Pharmacy 240 Hospital Road Whitesburg, KY 41858 (606) 633-3503

Parkway Pharmacy 2354 HWY 15 Whitesburg, KY 41858 (606) 633-4435 Rite Aid Pharmacy 02575 9485 Highway 805 Jenkins, KY 41537 (606) 832-2084 Superior Drug 251 C Medical Plaza Whitesburg, KY 41858 (606) 633-0197

Tollesboro Clinic Pharmacy 17521 W KY 9 Tollesboro, KY 41189 (606) 798-2072

Lincoln County Colemans Drug Store 105 W Main St Stanford, KY 40484 (606) 365-2164 Rite Aid Pharmacy 03260 1261 North Highway 27 Stanford, KY 40484 (606) 365-9191 Stanford Drug INC 107 Metker Trail Suite D Stanford, KY 40484 (606) 365-2100

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WellCare of Kentucky Wal-Mart Pharmacy 1283 US Highway 27 North Stanford, KY 40484 (606) 365-3535

Livingston County Clinic Pharmacy of Ky 141 Hospital Dr Salem, KY 42078 (270) 988-3230 Glenns Prescription Center 119 E Main St Salem, KY 42078 (270) 988-3226 Smithland Drugs 203 E Adair St Smithland, KY 42081 (270) 928-2552

Logan County Gower Drug Store 328 N Main St Lewisburg, KY 42256 (270) 755-4831 King Drug and Home Care 1405 Nashville Street Suite A Russellville, KY 42276 (270) 725-9027 Nations Medicine 432 Hopkinsville Rd Russellville, KY 42276 (270) 726-8451 Riley White Drugs 153 Nw Park Sq Russellville, KY 42276 (270) 726-7626 Walgreens 11168 485 W 4th St Russellville, KY 42276 (270) 726-1881 Wal-Mart Pharmacy 120 Sam Walton Drive Russellville, KY 42276 (270) 726-2966

Whitleys Pharmacy 501 N Main Russellville, KY 42276 (270) 726-9592

Meijer Pharmacy 258 2013 Lantern Ridge Dr Richmond, KY 40475 (859) 575-5033

Lyon County

Professional Center Pharmacy 793 Eastern Bypass Ste G01 Richmond, KY 40475 (859) 623-8065

Lyon Drug Store 201 Main St Eddyville, KY 42038 (270) 388-2236 McConnells Drug Store 86 Cedar St Kuttawa, KY 42055 (270) 388-7371

Madison County Berea Drug 402 Richmond Rd Ste A Berea, KY 40403 (859) 986-4521 Berea Whitehouse Clinic Pharmacy 104 Legacy Dr Berea, KY 40403 (859) 986-2323 Bluegrass Family Pharmacy 2187 Lexington Rd Ste 1 Richmond, KY 40475 (859) 624-9797 CVS Pharmacy 255 East Main Street Richmond, KY 40475 (859) 623-7481 Knights Pharmacy 191 Glades Rd Berea, KY 40403 (859) 986-0500 Kroger Pharmacy 890 Richmond Plaza Richmond, KY 40475 (859) 624-1093 Madison South Pharmacy 405 Richmond Rd Ste D Berea, KY 40403 (859) 228-0010 Medicine Shoppe 238 E Main St Richmond, KY 40475 (859) 623-8900

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Richmond White House Clinic Phcy 401 Highland Park Richmond, KY 40475 (859) 626-7700 Rite Aid Pharmacy 03918 1115 Kim Kent Drive Richmond, KY 40475 (859) 623-5812 Rite Aid Pharmacy 03922 654 University Shopping Center Richmond, KY 40475 (859) 623-7326 Rite Aid Pharmacy 03935 310 Glades Road Berea, KY 40403 (859) 986-3103 Rx Discount of Berea PLLC 102 Prince Royal Dr Ste 2 Berea, KY 40403 (859) 985-7283 Walgreens 11796 220 Richmond Rd N Berea, KY 40403 (859) 986-1494 Wal-Mart Pharmacy 120 Jill Drive Berea, KY 40403 (859) 986-3113 820 Eastern Bypass Richmond, KY 40475 (859) 623-6802

Magoffin County Clinic Pharmacy 789 Parkway Dr Salyersville, KY 41465 (606) 349-1700 Fraziers Prater Drug 200 Church St Salyersville, KY 41465 (606) 349-3135 Garrys Pharmacy 441 Parkway Dr Salyersville, KY 41465 (606) 349-6135 Hope Family Pharmacy 835 Parkway Dr Salyersville, KY 41465 (606) 349-5124 Parkway Pharmacy 100 Brenna Blvd Suite 100 Salyersville, KY 41465 (606) 349-4400 Rite Aid Pharmacy 01212 308 Parkway Drive Salyersville, KY 41465 (606) 349-1044

Marion County Adams Pharmacy 125 W Main St Lebanon, KY 40033 (270) 692-9115 Kroger Pharmacy 705 East Main Street Lebanon, KY 40033 (270) 692-2123 Pats Pharmacy INC 498 W Main St Lebanon, KY 40033 (270) 692-4950 Southall Pharmacy 325 West Walnut St Suite 500 Lebanon, KY 40033 (270) 692-3111

Walgreens 12076 512 W Main St Lebanon, KY 40033 (270) 692-0471 Wal-Mart Pharmacy 180 Lebanon Trade Center Lebanon, KY 40033 (270) 692-1795

Marshall County Benton Pharmacy 2602 Main St Benton, KY 42025 (270) 527-1409 Calvert City Pharmacy 888 E 5th Ave Calvert City, KY 42029 (270) 395-4350 CVS Pharmacy 405 Main St Benton, KY 42025 (270) 527-8636 Draffenville Pharmacy 153 US HWY 68e Benton, KY 42025 (270) 527-1404 J R Pharmacy 817 Main St Benton, KY 42025 (270) 527-9374 Nelson Pharmacy 1112 Main St Benton, KY 42025 (270) 527-3616 Wal-Mart Pharmacy 310 West 5th Street Benton, KY 42025 (270) 527-3597

Martin County Hometown Pharmacy Rt 40 E Inez, KY 41224 (606) 298-7283 Inez Drug Store INC 6 Old Middle Fork Rd Inez, KY 41224 (606) 298-3800

Pharmacy

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WellCare of Kentucky Medicine Shoppe Route 40 East Inez, KY 41224 (606) 298-7774 Rite Aid Pharmacy 00982 200 Rockcastle Road Inez, KY 41224 (606) 298-4215 Rite Aid Pharmacy 02430 9145 Beauty Road Warfield, KY 41267 (606) 395-0522 Warfield Prescription Center 1708 Beauty Rd Warfield, KY 41267 (606) 395-6477

Mason County Kmart Pharmacy9684 1581 US 68 South Maysville, KY 41056 (606) 759-5012 Kroger Pharmacy 381 Market Square Drive Maysville, KY 41056 (859) 759-7973 Mason Family Drug 912 Kenton Station Drive Maysville, KY 41056 (606) 759-0700 Maysville Ob Gyn Family Health Center Pharmacy 927 Kenton Station Drive Maysville, KY 41056 (606) 759-1189 Medical Arts Pharmacy of Maysville KY INC 1 W McDonald Parkway Maysville, KY 41056 (606) 564-5485

Rite Aid Pharmacy 03920 1160 US Highway 68 Maysville, KY 41056 (606) 564-4044 Wal-Mart Pharmacy 240 Wal-Mart Way Maysville, KY 41056 (606) 759-5050

McCracken County CVS Pharmacy 3001 Lone Oak Rd Paducah, KY 42003 (270) 554-0480 3275 Irvin Cobb Drive Paducah, KY 42003 (270) 443-4885 538 Lone Oak Road Paducah, KY 42003 (270) 443-8855 Davis Drugs 250 Lone Oak Rd Paducah, KY 42001 (270) 443-1442 Davis Drugs Lone Oak 2855 Lone Oak Rd Paducah, KY 42003 (270) 554-5099 Four Rivers Pharmacy 415 Broadway Paducah, KY 42001 (270) 538-0772 G and O Pharmacy 2338 Broadway St Paducah, KY 42001 (270) 442-3571 Katterjohn Drug Store 1100 Caldwell St Paducah, KY 42003 (270) 442-2990 Kmart Pharmacy 2440 Lone Oak Rd Paducah, KY 42003 (270) 554-9600 Kroger Pharmacy 3141 Park Avenue Paducah, KY 42002 (270) 443-9459

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Lone Oak Pharmacy 3535 Lone Oak Rd Paducah, KY 42001 (270) 554-7944

Wal-Mart Pharmacy 5130 Hinkleville Road Paducah, KY 42001 (270) 444-0046

Nps Pharmacy At Heartland Cares 619 N 30th St Paducah, KY 42001 (270) 933-1960

3220 Irving Cobb Drive Paducah, KY 42003 (270) 442-6404

Paducah Pharmacy 225 Medical Center Dr Suite 100 Paducah, KY 42003 (270) 441-4390 Reidland Pharmacy 5433 Reidland Rd Paducah, KY 42003 (270) 898-7313 Ricks Pharmacy 2700 H C Mathis Dr Paducah, KY 42001 (270) 444-2022 3001 Schneidman Rd Paducah, KY 42003 (270) 443-7200 Sams Pharmacy 3550 James Sanders Blvd Paducah, KY 42001 (270) 444-6992 Strawberry Hills Pharmacy 2700 New Holt Rd Paducah, KY 42001 (270) 444-7070 Walgreens 6429 521 Lone Oak Rd Paducah, KY 42003 (270) 442-1171 Walgreens 9253 3360 Irvin Cobb Dr Paducah, KY 42003 (270) 444-6686 Walgreens Infusion Services 3487 Park Ave Paducah, KY 42001 (270) 415-9430

West Towne Pharmacy 2755 West Park Dr Paducah, KY 42001 (270) 443-0909

McCreary County Burgess Drug Store 19 Medical Loop Suite 2 Whitley City, KY 42653 (606) 376-5043 Daughertys Drug Store INC 4180 S HWY 27 Pine Knot, KY 42635 (606) 354-2222 Hometown Pharmacy 1187 N Highway 27 Whitley City, KY 42653 (606) 376-3300 Rite Aid Pharmacy 02420 500 North Highway 27 Whitley City, KY 42653 (606) 376-3307 Wynn Express Pharmacy 43 Medical Ln Whitley City, KY 42653 (606) 376-1535

Sacramento Pharmacy 750 Main Street State Highway 81 Sacramento, KY 42372 (270) 736-2999

Meade County Brandenburg Pharmacy Care 455 D Bypass Rd Brandenburg, KY 40108 (270) 422-2422 Kroger Pharmacy 568 River Ridge Plaza Brandenburg, KY 40108 (270) 422-3532 Rite Aid Pharmacy 02558 610 River Ridge Plaza Brandenburg, KY 40108 (270) 422-5300

Menifee County Frenchburg Pharmacy INC 732 HWY 36 Frenchburg, KY 40322 (606) 768-6610 Menifee County Pharmacy 70 Main St Frenchburg, KY 40322 (606) 768-2161

Mercer County

McLean County

CVS Pharmacy 214 Mooreland Ave Harrodsburg, KY 40330 (859) 734-5476

Pooles Pharmacy Care 311 Henton St Livermore, KY 42352 (270) 278-5537

Kroger Pharmacy 844 S College St Harrodsburg, KY 40330 (859) 734-0081

Rite Aid Pharmacy 03439 115 State Route 81 North Calhoun, KY 42327 (270) 273-5202

The Medicine Shoppe 586 636 S College St Harrodsburg, KY 40330 (859) 734-4314 Wal-Mart Pharmacy 591 Joseph Drive Harrodsburg, KY 40330 (859) 734-3319 Pharmacy

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WellCare of Kentucky Metcalfe County Metcalfe Drug 115 E Stockton St Edmonton, KY 42129 (270) 432-3051 Nunn Drugs INC 1704 W Stockton St Edmonton, KY 42129 (270) 432-3111 Rite Aid Pharmacy 03272 612 West Stockton Street Edmonton, KY 42129 (270) 432-2725

Monroe County Freds Pharmacy 3914 805 N Main Street Tompkinsville, KY 42167 (270) 487-5468 Harrison Pharmacy 606 N Main St Tompkinsville, KY 42167 (270) 487-6408 Tompkinsville Drug Co LLC 200 N Crawford St Tompkinsville, KY 42167 (270) 487-6155 Wal-Mart Pharmacy 1650 Edmonton Road Tompkinsville, KY 42167 (270) 487-0791

Wal-Mart Pharmacy 499 Indian Mound Dr Mount Sterling, KY 40353 (859) 498-1392

Morgan County Clinic Pharmacy 412 Liberty Rd West Liberty, KY 41472 (606) 743-4957 Morgan County ARH Pharmacy 476 Liberty Road West Liberty, KY 41472 (606) 743-7730

Pooles Pharmacy Care 102 W Broad St Central City, KY 42330 (270) 754-1545 Rite Aid Pharmacy 02643 201 South Main Street Greenville, KY 42345 (270) 338-4241 Wal-Mart Pharmacy 1725 West Everely Brothers Blv Central City, KY 42330 (270) 754-3924

Nelson County

Peytons Pharmacy INC 414 Main St West Liberty, KY 41472 (606) 743-3163

Crume Drug Store 111 W Flaget St Bardstown, KY 40004 (502) 348-3938

Rite Aid Pharmacy 01770 275 Prestonsburg Street West Liberty, KY 41472 (606) 743-3425

Hurst Discount Drug 102 N 3rd St Bardstown, KY 40004 (502) 348-9261

Muhlenberg County Central City Clinic Pharmacy 203 North 2nd St Central City, KY 42330 (270) 754-4300 Clinic Pharmacy South 3959 US Highway 431 S Beechmont, KY 42323 (270) 476-3600

Montgomery County

Greenville Pharmacy 117 N Main St Greenville, KY 42345 (270) 338-3800

CVS Pharmacy 1201 Indian Mound Dr Mount Sterling, KY 40353 (859) 498-4320

Medical Center Pharmacy 1010 Medical Center Dr Powderly, KY 42367 (270) 338-9993

Northview Pharmacy 638 Northview Dr Mount Sterling, KY 40353 (859) 498-7700

Muhlenberg Comm Hosp Phcy 440 Hopkinsville St Greenville, KY 42345 (270) 338-8406

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kroger Pharmacy 102 West John Rowan Blvd Bardstown, KY 40004 (502) 348-3062 Medica Pharmacy Wellness Center 202 W Stephen Foster Ave Bardstown, KY 40004 (502) 348-6623 Snider Drug Store 101 Taylorsville Rd Bloomfield, KY 40008 (502) 252-8242 Walgreens 11307 824 N 3rd St Bardstown, KY 40004 (502) 348-2985 Wal-Mart Pharmacy 3795 E John Rowan Blvd Bardstown, KY 40004 (502) 349-6044

Nicholas County Carlisle Drug Company 126 E Main Street Carlisle, KY 40311 (859) 289-2528 Sopers Family Drug 102 S Broadway Carlisle, KY 40311 (859) 289-8501

Ohio County Freds Pharmacy 1102 S Main St Hartford, KY 42347 (270) 298-7688 King Drug and Home Care 1014 S Main St Hartford, KY 42347 (270) 298-3278 Rice Drugs 1209 N Main St Beaver Dam, KY 42320 (270) 274-3318 Rices Pharmacy 44 W Main St Fordsville, KY 42343 (270) 276-3150 Wal-Mart Pharmacy 1701 North Main Beaver Dam, KY 42320 (270) 274-4464

Oldham County CVS Pharmacy 6425 West HWY 146 Crestwood, KY 40014 (502) 243-4094 Kroger Pharmacy 2034 South HWY 53 Lagrange, KY 40031 (502) 222-2028 Rite Aid Pharmacy 04641 408 Oldham Plaza La Grange, KY 40031 (502) 222-0322

Walgreens 11663 6301 Highway 329 Crestwood, KY 40014 (502) 241-5991 Wal-Mart Pharmacy 1015 New Moody Lane La Grange, KY 40031 (502) 222-9797

Owen County North Park Pharmacy 327 N Main St Owenton, KY 40359 (502) 484-3113 Shopko Pharmacy 2517 119 W Seminary St Owenton, KY 40359 (502) 484-3444

Owsley County Booneville Discount Drugs 478 KY 11 N Booneville, KY 41314 (606) 593-0382 Owsley Prescription Center Hwy 11 North Booneville, KY 41314 (606) 593-6306

Pendleton County CVS Pharmacy 1157 Ridgeway Ave Falmouth, KY 41040 (859) 654-3398 Total Care Pharmacy 1100 W Shelby St Falmouth, KY 41040 (859) 654-3232

Perry County ARH Community Pharmacy 210 Black Gold Boulevard Suite 104 Hazard, KY 41701 (606) 487-7380

Walgreens 10507 807 S Highway 53 Lagrange, KY 40031 (502) 222-6550 Pharmacy

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WellCare of Kentucky Complete Care Pharmacy 572 Morton Blvd Hazard, KY 41701 (606) 487-1910

Rx Pharmacy At Food City 50 Morton Blvd Hazard, KY 41701 (606) 435-2355

CVS Pharmacy 30 South Kentucky Highway 15 Hazard, KY 41701 (606) 436-3128

The Medicine Shoppe Pharmacy 145 Citizens Lane Ste A Hazard, KY 41701 (606) 435-2020

East Main Pharmacy LLC 279 E Main St Hazard, KY 41701 (606) 487-0107

UK North Fork Valley Community Health Center Pharm 750 Morton Blvd Hazard, KY 41701 (606) 435-0469

Family Pharmacy 747 Morton Blvd Hazard, KY 41701 (606) 487-1150 Hazard ARH Reg Med Ctr Clinic Phcy 200 Medical Center Dr Hazard, KY 41701 (606) 439-6776 King Pharmacy INC 900 Morton Blvd Hazard, KY 41701 (606) 435-1067 L B Clinic Pharmacy 464 Route 699 Cornettsville, KY 41731 (606) 476-2863 Professional Phcy of Hazard PLLC 124 Grand Vue Plaza Unit 6 Hazard, KY 41701 (606) 435-0168 Rite Aid Pharmacy 03564 426 Village Lane Hazard, KY 41701 (606) 436-2117 Rx Discount Pharmacy 1 500 Morton Blvd Hazard, KY 41701 (606) 436-2891

Vicco Prescription Center 10897 S Highway 15 Scuddy, KY 41760 (606) 476-2333

Economy Drug Company INC 180 Town Mt Road Ste 115 Pikeville, KY 41501 (606) 437-7333 Elkhorn Drug 105 E Main St Elkhorn City, KY 41522 (606) 754-0221 Faith Pharmacy 140 Adams Ln Ste 500 Pikeville, KY 41501 (606) 509-6337 Family Drug Center 284 Town Mtn Rd Pikeville, KY 41501 (606) 432-5588 Food City Pharmacy 2138 S Mayo Trail Pikeville, KY 41501 (606) 432-2044

Nova Pharmacy 1330 S Mayo Trail Ste 102 Pikeville, KY 41501 (606) 432-2274

Upper Levisa Clinic Pharmacy 137 N Levisa Rd Mouthcard, KY 41548 (606) 835-4991

Parker Professional Pharmacy 8857 Meta Highway Pikeville, KY 41501 (606) 631-9999

Valley Disount Pharmacy 6758 US HWY 23 S Suite 7 Pikeville, KY 41501 (606) 639-2415

Pikeville Discount Drugs 1098 S Mayo Trail Ste 105 Pikeville, KY 41501 (606) 432-0018 Pikeville United Methodist Hosp Op 911 S Bypass Rd Pikeville, KY 41501 (606) 437-3576

215 Cassidy Blvd Pikeville, KY 41502 (606) 437-9209

Professional Pharmacy 419 Town Mt Rd Ste 101 Pikeville, KY 41501 (606) 432-0196

Care More Pharmacy 151 Dorton Jenkins Hwy Dorton, KY 41520 (606) 639-2273

Johns Creek Drug Center 6162 Zebulon Hwy Pikeville, KY 41501 (606) 631-9137

Rite Aid Pharmacy 01357 4209 North Mayo Trail Pikeville, KY 41501 (606) 432-0331

Cedar Trace Pharmacy 95 Weddington Branch Rd Pikeville, KY 41501 (606) 432-2424

Kentucky Healthcare LLC 51 Upper Johns Creek Kimper, KY 41539 (606) 631-3327

Rite Aid Pharmacy 03345 5571 Collins Highway Pikeville, KY 41502 (606) 639-4588

Citizens Drug 13380 Phelps 632 Rd Phelps, KY 41553 (606) 456-3446

Kmart Pharmacy7174 3889 North Mayo Trail Pikeville, KY 41501 (606) 437-0899

Commonwealth Pharmacy 5425 North Mayo Trail Ste 102 Pikeville, KY 41501 (606) 437-0701

Marrowbone Hometown Pharmacy 9613 Millard HWY Suite 2 Pikeville, KY 41501 (606) 754-4633

Shelby Valley Clinic Pharmacy 178 Douglas Hwy Pikeville, KY 41501 (606) 639-9045

CVS Pharmacy 197 Appalachian Plaza South Williamson, KY 41503 (606) 237-6230

Nichols Apothecary 220 Elkhorn St Elkhorn City, KY 41522 (606) 754-5076

Wal-Mart Pharmacy 120 Daniel Boone Plaza Hazard, KY 41701 (606) 439-1871

Pike County

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Total Pharmacy Care 533 Hambley Blvd Ste 1 Pikeville, KY 41501 (606) 433-0555 Total Pharmacy Care of Belfry 20 State Highway 319 Belfry, KY 41514 (606) 237-0555

Wal-Mart Pharmacy 254 Cassidy Blvd Pikeville, KY 41501 (606) 432-6180 28402 US HWY 119 No South Williamson, KY 41503 (606) 237-4443

Powell County Billings Drugs 163 E College Ave Stanton, KY 40380 (606) 663-2848 Kroger Pharmacy 179 West College Ave Stanton, KY 40380 (606) 663-2663 Powell Prescription Center 4644 HWY 15 West Clay City, KY 40312 (606) 663-3481 Rite Aid Pharmacy 01781 125 North Main Street Stanton, KY 40380 (606) 663-2521 Stanton Drugs 638 E College Ave Stanton, KY 40380 (606) 663-8990

Pulaski County CVS Pharmacy 144 North HWY 27 Somerset, KY 42503 (606) 679-7395

Pharmacy

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WellCare of Kentucky King Pharmacy Somerset 311 Bogle St Somerset, KY 42503 (606) 451-2112 Kmart Pharmacy7255 420 East Highway 80 Somerset, KY 42501 (606) 679-1121 Kroger Pharmacy 181 South HWY 27 Somerset, KY 42501 (606) 451-4341 2835 S HWY 27 Ste 92 Somerset, KY 42501 (606) 678-4012 Lakeshore Pharmacy 51 W Lakeshore Dr Burnside, KY 42519 (606) 561-7104 Lincare INC 30 Jaxson Cove Somerset, KY 42503 (606) 679-0171 Medicine Shoppe Long Term Care 900 E Mount Vernon St Unit B Somerset, KY 42501 (606) 679-9227 Medicine Shoppe Pharmacy 900 E Mount Vernon St Somerset, KY 42501 (606) 679-9227 Nations Medicines 875 S HWY 27 Somerset, KY 42501 (606) 677-0073 Professional Pharmacy of Somerset 342 Bogle St Somerset, KY 42503 (606) 679-1169 Rite Aid Pharmacy 03915 1250 South Highway 27 Somerset, KY 42501 (606) 676-0485

Science Hill Drug 5775 N HWY 27 Ste 10 Science Hill, KY 42553 (606) 423-9959 Somerset Pharmacy 101 S Main St Somerset, KY 42501 (606) 679-1571 Walgreens 7664 600 S Highway 27 Somerset, KY 42501 (606) 677-0594 Walgreens Infusion Services 83 Bogle Office Park Dr # 400 Somerset, KY 42503 (606) 676-9916 Wal-Mart Pharmacy 177 Washington Drive Somerset, KY 42503 (606) 679-8466 West Somerset Pharmacy INC 647 W HWY 80 Somerset, KY 42503 (606) 677-1922

Rockcastle County Brodhead Pharmacy 54 West Main Street Brodhead, KY 40409 (606) 758-4373

Rowan County Cave Run Pharmacy INC 425 Clinic Dr Morehead, KY 40351 (606) 783-1511 Holbrook Drug 208 E Main St Morehead, KY 40351 (606) 784-4784 Kroger Pharmacy 300 Kroger Center Morehead, KY 40351 (606) 783-1476

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Rite Aid Pharmacy 03555 380 West Main Street Morehead, KY 40351 (606) 783-1581 Total Care Pharmacy 6 234 Medical Circle Morehead, KY 40351 (606) 784-6696

Russell Springs Pharmacy 92 Joe T Pettey Drive Ste 100 Russell Springs, KY 42642 (270) 866-2778

Scott County

Total Care Pharmacy7 206 W Main St Morehead, KY 40351 (606) 784-4491

Bakers Pharmacy 3399 Main St Stamping Ground, KY 40379 (502) 535-4466

Wal-Mart Pharmacy 2233 Flemingsburg Rd Morehead, KY 40351 (606) 784-3266

CVS Pharmacy 101 Wshowalter Drive Georgetown, KY 40324 (502) 868-6101

Russell County

Hometown Pharmacy 1502 Oxford Dr Ste 150 Suite 150 Georgetown, KY 40324 (502) 863-3784

Jamestown Pharmacy 1417 N Main St Ste A Ste A Jamestown, KY 42629 (270) 343-4443 Kmart Pharmacy3941 301 S HWY 127 Russell Springs, KY 42642 (270) 866-7166 Kroger Pharmacy 181 South Highway 127 Russell Springs, KY 42642 (270) 866-3223 Lake Cumberland Pharmacy 2431 C Lakeway Drive Russell Springs, KY 42642 (270) 858-6400 Lake Cumberland Pharmacy 2 124 Dowell Rd Russell Springs, KY 42642 (270) 866-2686 Rite Aid Pharmacy 01387 183 South Highway 127 Russell Springs, KY 42642 (270) 866-2226

J and L Pharmacy 705 S Broadway St Georgetown, KY 40324 (502) 863-9823 Kmart Pharmacy 1501 Paris Pike Georgetown, KY 40324 (502) 868-0599 Kroger Pharmacy 106 Market Place Cir Georgetown, KY 40324 (502) 863-4814 Toyota Family Pharmacy 1001 Cherry Blossom Way Gate 7 Georgetown, KY 40324 (502) 570-6337 Walgreens 12075 926 S Broadway St Georgetown, KY 40324 (502) 868-6027 Wal-Mart Pharmacy 112 Osborne Way Georgetown, KY 40324 (502) 867-1935

Shelby County CVS Pharmacy 10200 16 Village Plaza Shelbyville, KY 40066 (502) 633-2115 Kroger Pharmacy 311 Boone Station Road Shelbyville, KY 40065 (502) 633-5331 Rite Aid Pharmacy 03908 1605 Midland Trail Shelbyville, KY 40065 (502) 633-2606 Walgreens 9443 2188 Midland Trail Shelbyville, KY 40065 (502) 633-0741 Wal-Mart Pharmacy 500 Taylorsville Rd Shelbyville, KY 40065 (502) 633-2592

Simpson County CVS Pharmacy 925 S Main St Franklin, KY 42134 (270) 586-0787 Rite Aid Pharmacy 03565 224 South Main Street Franklin, KY 42134 (270) 586-7131 Sheldons Express Pharmacy 212 South Main Street Franklin, KY 42134 (270) 586-4471 The Drugstore of Franklin 420 N Main St Franklin, KY 42134 (270) 586-9591 Wal-Mart Pharmacy 1550 Nashville Road Franklin, KY 42134 (270) 586-0022

Pharmacy

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WellCare of Kentucky Spencer County W T Froman Drug Co 847 Taylorsville Rd Taylorsville, KY 40071 (502) 477-2267 Your Hometown Pharmacy 913 Taylorsville Rd Taylorsville, KY 40071 (502) 477-1973

Taylor County Central Drug Center 102 Central Shopping Ctr Campbellsville, KY 42718 (270) 465-4137 Century Medicines 1608 Old Lebanon Rd Campbellsville, KY 42718 (270) 789-4734 CVS Pharmacy 101 East Broadway Campbellsville, KY 42718 (270) 465-6661 Eastridge-Phelps Pharmacy 101 Winston Way Suite A Campbellsville, KY 42718 (270) 789-0577 Kroger Pharmacy 1509 East Broadway Campbellsville, KY 42718 (502) 465-0501 399 Campbellsville Byp Ste 100 Campbellsville, KY 42718 (270) 465-5782 Medicine Centre Pharmacy 325 E Broadway Campbellsville, KY 42718 (270) 465-3784

Wal-Mart Pharmacy 725 Campbellsville Bypass Campbellsville, KY 42718 (270) 789-0734

Todd County Weathers Drugs 44 Public Square Elkton, KY 42220 (270) 265-2155

Trigg County Hospital Street Hm Pharmacy 11 Hospital Street Cadiz, KY 42211 (270) 522-3441 Save-On Drugs 266 E Main St Cadiz, KY 42211 (270) 522-3211

Trimble County Bluegrass Drug Center 325 HWY 42 East Bedford, KY 40006 (502) 255-3540

Union County Clements Drug 225 N Morgan St Morganfield, KY 42437 (270) 389-2440 Corner Drug Store of Sturgis 424 N Adams Sturgis, KY 42459 (270) 333-5344 Rite Aid Pharmacy 03561 408 North Morgan Street Morganfield, KY 42437 (270) 389-4556 Sturgis Pharmacy 523 N Adams St Sturgis, KY 42459 (270) 333-4672

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Wal-Mart Pharmacy 901 US HWY 60 East Morganfield, KY 42437 (270) 389-2423

711 Campbell Lane Bowling Green, KY 42104 (270) 843-2383

Smiths Grove Rx Shop 124 N Main Street Smiths Grove, KY 42171 (270) 563-2180

Warren County

Medicine Arts Pharmacy 818 US 31w Byp Bowling Green, KY 42101 (270) 843-3202

Springhill Pharmacy 2305 Russellville Rd Bowling Green, KY 42101 (270) 796-3909

Cds 10 Pharmacy 1308 Ashley Cir Bowling Green, KY 42104 (270) 781-5661 Clinic Pharmacy 201 Park St Bowling Green, KY 42101 (270) 781-3095

Nations Medicines 2435 Nashville Rd Ste 10 Bowling Green, KY 42101 (270) 783-8834

CVS Pharmacy 704 US Highway 31 W Bypass Bowling Green, KY 42101 (270) 842-8111

Northgate Pharmacy 3158 Louisville Rd Bowling Green, KY 42101 (270) 842-6161

1122 Lovers Lane Bowling Green, KY 42103 (270) 842-4844 Hines Pharmacy 1340 Kentucky HWY 185 Bowling Green, KY 42101 (270) 842-4341 165 Natchez Trace Ave Ste 101 Bowling Green, KY 42104 (270) 796-1818 Kmart Pharmacy3646 2945 Scottsville Road Bowling Green, KY 42101 (270) 782-1461 Kroger Pharmacy 350 W 31w Bypass Bowling Green, KY 42101 (270) 796-6067 2945 Scottsville Rd Bowling Green, KY 42104 (270) 780-9328

Rite Aid Pharmacy 02656 2380 Nashville Road Bowling Green, KY 42101 (270) 842-6301 Riverside Pharmacy 825 Second Ave East Suite A1 Bowling Green, KY 42101 (270) 780-2650 Sams Pharmacy 3200 Ken Bale Blvd Bowling Green, KY 42103 (270) 781-7727 Sheldons Express Pharmacy 843 Fairview Ave Bowling Green, KY 42101 (270) 842-4515 760 Campbell Lane Ste 121 Bowling Green, KY 42104 (270) 782-6337

Walgreens 2824 Scottsville Rd Bowling Green, KY 42104 (270) 393-2115 Walgreens 4448 1145 US 31 W Bypass Bowling Green, KY 42104 (270) 842-3933 Walgreens 7685 2385 Nashville Rd Bowling Green, KY 42101 (270) 393-0268 Wal-Mart Pharmacy 1201 Morgantown Road Bowling Green, KY 42101 (270) 780-9331 150 Walton Avenue Bowling Green, KY 42104 (270) 782-9785

Washington County Care 4 U Pharmacy 100 W Depot St Springfield, KY 40069 (859) 336-7071 Rite Aid Pharmacy 01965 805 Bardstown Road Suite 1 Springfield, KY 40069 (859) 336-9004

Wayne County Crowleys Pharmacy 45 Park Ave Monticello, KY 42633 (606) 340-3000 Pharmacy

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WellCare of Kentucky F and H Drugs 200 N Main Monticello, KY 42633 (606) 348-9263 Kroger Pharmacy 255 Cumberland Crossing Monticello, KY 42633 (606) 348-8773 Kwik Script Pharmacy 1316 Columbia Ave Monticello, KY 42633 (606) 348-4455 Rite Aid Pharmacy 04780 978 North Main Street Monticello, KY 42633 (606) 348-8478 South Creek Drug 1 South Creek Drive Suite 122 Monticello, KY 42633 (606) 348-1800 Wal-Mart Pharmacy 175 Walmart Plaza Dr Monticello, KY 42633 (606) 348-3333

Webster County Bells Drugs 7107 State Route 56 East Sebree, KY 42455 (270) 835-7544 Clay Drug Store 9055 St Rt 132 W Clay, KY 42404 (270) 664-2270 CVS Pharmacy Route 1 Providence, KY 42450 (270) 667-7031 Thrifty Pharmacy 127 E Main St Providence, KY 42450 (270) 667-2049

Whitley County Baptist Regional Apothecary 1 Trillium Way Corbin, KY 40701 (606) 526-8335 Brentwood Pharmacy 108 Brentwood Place Corbin, KY 40701 (606) 258-9110 Corbin Pharmacy 60 Bryan Blvd Ste 201 Corbin, KY 40701 (606) 523-5585 Corner Prescription Shoppe INC 401 Sycamore St Williamsburg, KY 40769 (606) 549-0884 Creech and Gibbs Drug 13369 N US HWY 25e Corbin, KY 40701 (606) 523-1911 Drive In Pharmacy INC 688 S HWY 25 W Williamsburg, KY 40769 (606) 549-0888 Drs Park Apothecary 121 Bishop St Suite 1 Corbin, KY 40701 (606) 528-1932 Falls Road Pharmacy 40 Moonbow Plaza Ste 1 Corbin, KY 40701 (606) 258-0000 Forcht Pharmacy 108 E 6th St Corbin, KY 40701 (606) 528-4380 Kims Hometown Pharmacy 865 US Hiwy 25 W Williamsburg, KY 40769 (606) 549-8700 Kmart Pharmacy9513 14662 N US 25 East Corbin, KY 40701 (606) 528-1625

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Kroger Pharmacy 1019 Cumberland Falls Hwy Corbin, KY 40701 (606) 526-0755 14889 No US HWY 25e Ste A Corbin, KY 40701 (606) 528-7211 Maiden Drug Company 327 Main St Williamsburg, KY 40769 (606) 549-0449

589 HWY West 92 Williamsburg, KY 40769 (606) 549-4087 Whitley Pharmacy 475 N HWY 25w Williamsburg, KY 40769 (606) 549-4300 Windham Drug 1605 South HWY 25w Williamsburg, KY 40769 (606) 549-3636

Wolfe County

Mortons Discount Drug 10 Dempsey Ln Corbin, KY 40701 (606) 528-2121

Campton Discount Drugs 33 Main St Ste 2 Ste 2 Campton, KY 41301 (606) 668-3153

Prescription Shoppe 200 W Gordon St Corbin, KY 40701 (606) 528-9305

Wolfe Family Pharmacy 797 KY 15 S Campton, KY 41301 (606) 668-7237

Rite Aid Pharmacy 01656 1320 Cumberland Falls Highway Corbin, KY 40701 (606) 528-8270 Sav-Rite Family Pharmacy 1150 Master St Corbin, KY 40701 (606) 528-7770 Stephanies Down Home Pharmacy INC 1220 Master St Ste 5 Corbin, KY 40701 (606) 261-7877 Walgreens 12110 1802 S Main St Corbin, KY 40701 (606) 258-1509 Walgreens 12111 990 E Cumberland Gap Pkwy Corbin, KY 40701 (606) 258-7980

Wolfe Prescription Center 217 Mountain Pkwy Spur Campton, KY 41301 (606) 668-3900

Woodford County Cornerstone Pharmacy 100 S Main St Versailles, KY 40383 (859) 873-3007 CVS Pharmacy 199 Lexington Street Versailles, KY 40383 (859) 873-5451 Kmart Pharmacy3850 501 Marsailles Road Versailles, KY 40383 (859) 873-4617 Kroger Pharmacy 525 Marsailles Road Versailles, KY 40383 (859) 873-1324

Railroad Drug and Old Time Soda Fountain 115 E Main St Midway, KY 40347 (859) 846-4146

Podiatrist Kentucky Barren County Risen Mark A 211 Professional Park Dr Glasgow, KY 42141 (270) 659-0013

Bell County Gardner Timothy L 123 N 19th St Middlesboro, KY 40965 (606) 248-2739

Boone County Enzweiler Matthew G 7210 Turfway Rd Florence, KY 41042 (859) 525-9960 Ginney Patrick J 7210 Turfway Rd Florence, KY 41042 (859) 525-9960 Mielech Stephen F 1125 Boone Aire Rd Florence, KY 41042 (859) 371-4020 Nielson William M 1125 Boone Aire Rd Florence, KY 41042 (859) 371-4020 Worley Gregory A 1125 Boone Aire Rd Florence, KY 41042 (859) 371-4020

Boyd County Bailey Brian K 500 14th St Ashland, KY 41101 (606) 324-3668

Wal-Mart Pharmacy 60 South Stewart Road Corbin, KY 40701 (606) 523-2206 Pharmacy

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WellCare of Kentucky Dowdy Phillip R 1000 Ashland Dr Ste 105 Ashland, KY 41101 (606) 833-6260

Boyle County Bryant Chris N 1077 E Lexington Ave Danville, KY 40422 (859) 278-7313 Skurka Joseph E 478 Whirlaway Dr Danville, KY 40422 (859) 236-3208 Tull Carie A 217 S Third St Danville, KY 40422 (859) 239-1475

Breathitt County Yen Chih 424 Jett Dr Jackson, KY 41339 (606) 666-5354

Bullitt County Bullitt County Foot and Ankle Center PSC 421 Adam Shepherd Pkwy Ste 100 Shepherdsville, KY 40165 (502) 543-1553 Patel Vipul R 421 Adam Shepherd Pkwy Ste 100 Shepherdsville, KY 40165 (502) 543-1553

Calloway County Lampkin Roger 908b S 12th St Murray, KY 42071 (270) 753-0666 Naulty Stuart A 908b S 12th St Murray, KY 42071 (270) 753-0666

Campbell County Enzweiler Matthew G 525 Alexandria Pike Ste 230 Southgate, KY 41071 (859) 441-4334 Mielech Stephen F 525 Alexandria Pike Ste 230 Southgate, KY 41071 (859) 441-4334

Goldstein Lee H 509 E 18th St Owensboro, KY 42303 (270) 684-1660 Simon Sheldon D 1915 W Parrish Ave Ste 300 Owensboro, KY 42301 (270) 683-4844

Fayette County

Porter Roger D 7579 Alexandria Pike Alexandria, KY 41001 (859) 635-6666

Allen Michael C 1401 Harrodsburg Rd Ste C115 Lexington, KY 40504 (859) 278-8855

Tirone Charles M 525 Alexandria Pike Ste 200 Southgate, KY 41071 (859) 341-9900

Ambroziak Donald L 141 Prosperous Pl Ste 22a Lexington, KY 40509 (859) 263-2230

Christian County

Braudis James 1236 Gainesway Dr Lexington, KY 40517 (859) 576-1524

Edmunds Mark J 1610 S Main St Ste 9 Hopkinsville, KY 42240 (270) 885-1203

Clark County Farrer Ann K 172 Pedro Way Winchester, KY 40391 (859) 737-0904 Kincaid Crystal L 172 Pedro Way Winchester, KY 40391 (859) 737-0904

Daviess County Ballard Anna L 1200 Breckenridge St Ste 201 Owensboro, KY 42303 (270) 685-8230 Block Steven 2816 Veach Rd Owensboro, KY 42303 (270) 684-5252 Doll Peter J 922 Triplett St Owensboro, KY 42303 (270) 684-7773

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Bryant Chris N 2130 Nicholasville Rd Ste 1 Lexington, KY 40503 (859) 278-7313 Fine Bradford M 1401 Harrodsburg Rd Ste C115 Lexington, KY 40504 (859) 278-8855 Mays James S 120 N Eagle Creek Dr Ste 440 Lexington, KY 40509 (859) 258-5900 Outsa Judy N 1401 Harrodsburg Rd Ste C115 Lexington, KY 40504 (859) 278-8855 Rodes Vivian S 3050 Harrodburg Rd Ste 201 Lexington, KY 40503 (859) 296-4272

Rooney Orla M 120 N Eagle Creek Dr Ste 440 Lexington, KY 40509 (859) 258-5900 Whitesel Heather L 740 S Limestone St Lexington, KY 40536 (859) 323-5533 Wieting Christopher B 1401 Harrodsburg Rd Ste B295 Lexington, KY 40504 (859) 276-5349

Grayson County Holland Christopher M 910 Wallace Ave Leitchfield, KY 42754 (270) 259-9506

Greenup County Murray Michelle A 1101 Saint Christopher Dr Ste 280 Ashland, KY 41101 (606) 638-7427

Hancock County

Zimmermann Charles J 3050 Harrodsburg Rd Ste 201 Lexington, KY 40503 (859) 296-4272

Ballard Anna L 185 State Route 271 S Lewisport, KY 42351 (270) 927-9991

Floyd County

Ahmed Syed 1239 Woodland Dr Ste 101 Elizabethtown, KY 42701 (812) 752-7542

Miller Robert R 5322 Kentucky Route 321 Ste 1 Prestonsburg, KY 41653 (606) 889-0095

Franklin County Allen Michael C 103 Diagnostic Dr Frankfort, KY 40601 (859) 278-8855 Altamirano Irma L 5 Physicians Park Ste 3 Frankfort, KY 40601 (502) 227-7569

Grant County Tirone Charles M 238 Barnes Rd Williamstown, KY 41097 (859) 341-9900

Graves County Richardson Jeffrey S 1029 Medical Center Circle Mayfield, KY 42066 (270) 251-4545

Hardin County

Chou Jeffrey V 1360 Rogersville Rd Radcliff, KY 40160 (270) 352-0859 Languages: Chinese Khader Syed A 1239 Woodland Dr Ste 101 Elizabethtown, KY 42701 (812) 752-7542 McKinley Russell L 708 Westport Rd Ste 102 Elizabethtown, KY 42701 (270) 769-1303 Whitney Daniel E 1239 Woodland Dr Elizabethtown, KY 42701 (270) 737-3338

Podiatrist

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WellCare of Kentucky Henderson County Anderson Edward G 411 Letcher St Henderson, KY 42420 (859) 635-6666 Doll Peter J 323 8th St Henderson, KY 42420 (270) 827-2548

Hopkins County Henning Glenn A 200 Clinic Dr Madisonville, KY 42431 (270) 825-7200

Jefferson County Beasley William T 4602 Southern Pkwy Ste 1b Louisville, KY 40214 (502) 366-1479 Brown William 9110 Leesgate Rd Louisville, KY 40222 (502) 426-7222 Childress Thomas W 3 Audubon Plaza Dr Louisville, KY 40217 (502) 893-1844 Chou Jeffrey V 117 S Hubbards Ln Ste 102 Louisville, KY 40207 (502) 895-3840 Languages: Chinese Commonwealth Foot Ankle Center PSC-Dme 1915 Bishop Ln Louisville, KY 40218 (502) 459-3338 Ford Timothy C 550 S Jackson St 1st Fl Louisville, KY 40202 (502) 562-6501 550 S Jackson St 2nd Fl Louisville, KY 40202 (502) 562-6511

142 Chenoweth Ln Louisville, KY 40207 (502) 897-1616 Goldstein Lee H 8062 New La Grange Rd Louisville, KY 40222 (502) 339-1200 Hicks Adam B 401 E Chestnut St Ste 710 Louisville, KY 40202 (502) 762-4245 550 S Jackson St 1st Fl Louisville, KY 40202 (502) 562-6501 550 S Jackson St 2nd Fl Louisville, KY 40202 (502) 562-6511 9110 Leesgate Road Louisville, KY 40222 (502) 426-7222 Hubbard Christopher W 9110 Leesgate Rd Louisville, KY 40222 (502) 426-7222 Jackson Jessica S 15014 Bircham Rd Louisville, KY 40245 (502) 558-0194 Jenkins Daryl K 2200 Stone Brook Dr Louisville, KY 40220 (800) 317-0711 Ketcherside Larry K 9110 Leesgate Rd Louisville, KY 40222 (502) 426-7222 Levine Robert G 4402 Churchman Ave Ste 40 Louisville, KY 40215 (502) 361-2222 9110 Leesgate Rd Louisville, KY 40222 (502) 426-7222

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Mauser Alan K 2525 Bardstown Rd Louisville, KY 40205 (502) 458-8989 Myrick Keith W 6400 Dutchmans Pkwy Ste 215 Louisville, KY 40205 (502) 721-8288 Pedersen Jasen T 1915 Bishop Ln Louisville, KY 40218 (502) 459-3338 Przystawski Brian T 4119 Browns Ln Bldg 2 Louisville, KY 40220 (502) 454-4187 Pyatak-Hugar Kathleen M 142 Chenoweth Ln Louisville, KY 40207 (502) 897-1616 St Matthews Foot and Ankle 117 S Hubbards Ln Ste 103 Louisville, KY 40207 (502) 895-3840

Kenton County Connolly Matthew J 560 S Loop Rd Edgewood, KY 41017 (859) 301-2663 Languages: Spanish Di Iulio Darren P 1500 James Simpson Jr. Way Ste 302 Covington, KY 41011 (859) 341-9900 2865 Chancellor Dr Ste 205 Crestview Hills, KY 41017 (859) 341-9900 238 Barnes Rd Fort Mitchell, KY 41017 (859) 341-9900 Fallis Bryan V 830 Thomas More Pkwy Fort Mitchell, KY 41017 (859) 331-2440 Grant Michael J 6 Greenbriar Ave Fort Mitchell, KY 41017 (859) 341-7666

Worley Gregory A 4327 Winston Ave Covington, KY 41015 (859) 261-8608

Laurel County Ball Collin 160 London Mountain View Dr London, KY 40741 (606) 864-0770

Lawrence County Murray Michelle A 2483 HWY 644 Trmp Ste 203 Louisa, KY 41230 (606) 638-7427 92 Tourchlite Rd Louisa, KY 41230 (606) 673-3300

Lincoln County Jensen-Stanley Pamela M 110 Metker Trl Stanford, KY 40484 (606) 365-4512 Skurka Joseph E 110 Metker Trl Stanford, KY 40484 (606) 365-4512

Ulfe Gerardo M 317 B Guthrie Green Louisville, KY 40202 (502) 585-3668

Mielech Stephen F 4327 Winston Ave Covington, KY 41015 (859) 261-8608

Languages: Spanish

Nielson William M 4327 Winston Ave Covington, KY 41015 (859) 261-8608

Benge Jennifer 1405 Nashville St Russellville, KY 42276 (270) 725-9300

Tirone Charles M 1500 James Simpson Jr Way Ste 302 Covington, KY 41011 (859) 341-9900

Young Richard R 1623 Nashville St Ste 104 Russellville, KY 42276 (270) 725-9300

2865 Chancellor Dr Ste 205 Crestview Hills, KY 41017 (859) 341-9900

Madison County

Voelkel Sarah 2525 Bardstown Rd Louisville, KY 40205 (502) 458-8989 Whitney Daniel E 4612 Outer Loop Louisville, KY 40219 (502) 968-2233 170 Dr Arla Way Ste 101 Louisville, KY 40229 (502) 968-2233 Wieting Christopher B 3991 Dutchmans Ln Ste 303 Louisville, KY 40207 (502) 897-7770

Titko Kristin K 3215 Dixie Hwy Erlanger, KY 41018 (513) 729-4455

Logan County

Ambroziak Donald L 509 Hampton Way Richmond, KY 40475 (859) 623-6157

Podiatrist

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WellCare of Kentucky Bluegrass Foot and Ankle Care PLLC -Rich 322 Highland Park Dr Ste 9 Richmond, KY 40475 (859) 623-3550 Demaria Anthony P 322 Highland Park Dr Richmond, KY 40475 (859) 623-3550 Hall Randall W 305 Estill Street Ste B Berea, KY 40403 (859) 623-3550 322 Highland Park Drive Ste 9 Richmond, KY 40475 (859) 623-3550

Marshall County Lampkin Roger 815 Birch St Benton, KY 42025 (270) 527-7014 Naulty Stuart A 815 Birch St Benton, KY 42025 (270) 527-7014

McCracken County Adams William R 4787 Alben Barkley Rd Paducah, KY 42002 (270) 442-9461

McLean County Ballard Anna L 215 Hill St Livermore, KY 42352 (270) 278-2531

Montgomery County Lause Federico V 112 W High St Mount Sterling, KY 40353 (859) 498-5151

Pike County

Russell County

Illinois

Avery Kenneth B 28531 US Highway 119 Ste 202 South Williamson, KY 41503 (606) 232-5000

Jensen-Stanley Pamela M 92 Joe T Petty Dr Russell Springs, KY 42642 (270) 866-7303

Chaney Bradwell S 126 Trivette Dr Ste 101 Pikeville, KY 41501 (606) 432-0003

Shelby County

Prime Source Healthcare System Podiatry 2100 E Lake Cook Rd Ste 1100 Buffalo Grove, IL 60089 (800) 317-0711

Gstalder Sheryl L 126 Trivette Dr Ste 101 Pikeville, KY 41501 (606) 432-0003

Pulaski County Jensen-Stanley Pamela M 117 Trade Park Dr Somerset, KY 42503 (606) 679-2773 Miller Christopher J 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773 Languages: Spanish Moore Jonathan E 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773 Settles-Carter Jamie N 117 Tradepark Dr Somerset, KY 42503 (606) 679-2773 Skurka Joseph E 117 Trade Park Dr Somerset, KY 42503 (606) 679-2773

Rowan County Clayton Clarence G 1028 E Main St Morehead, KY 40351 (606) 783-6866

Adams Heiko B 1701 Midland Trl Shelbyville, KY 40065 (502) 633-3338 Hord Jacob A 1701 Midland Trl Shelbyville, KY 40065 (502) 633-3338

Simpson County Benge Jennifer 1030 Brookhaven Dr Franklin, KY 42134 (270) 598-4910 Young Richard R 1030 Brookhaven Rd Franklin, KY 42134 (270) 846-3338

Taylor County Risen Mark A 1003 Old Greensburg Rd Campbellsville, KY 42718 (270) 789-4342

Warren County Holland Christopher M 843 Fairview Ave Ste B5 Bowling Green, KY 42101 (270) 846-1900 Young Richard R 1830 Destiny Ln Ste 110 Bowling Green, KY 42104 (270) 846-3338

Woodford County Bryant Chris N 195 S Main St Versailles, KY 40383 (859) 278-7313

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Indiana Ahmed Syed 1425 State St Ste 200 New Albany, IN 47150 (812) 752-7542 Jenkins Daryl K 450 E 96th St Ste 500 Indianapolis, IN 46240 (800) 317-0711 Khader Syed A 1425 State St Ste 200 New Albany, IN 47150 (812) 752-7542 Prime Source Healthcare System Audiology 450 E 96th St Ste 500 Indianapolis, IN 46240 (800) 317-0711

Ohio Fallis Bryan V 1380 Compton Rd Cincinnati, OH 45231 (513) 931-0083 Titko Kristin K 7344 Hamilton Ave Cincinnati, OH 45231 (513) 729-4455

Tennessee Burns Lawrence E 4230 Harding Rd Plaza W Ste G12 Nashville, TN 37205 (615) 301-7054 Gardner Timothy L 138 Division Rd Oak Ridge, TN 37830 (865) 481-1000

Young Richard R 100 Northcrest Dr Ste 224 Springfield, TN 37172 (615) 382-5212

Psychiatric Residential Treatment Facility Kentucky Adair County Spectrum Care Academy - Columbia 4500 Campbellsville Rd Columbia, KY 42728

Barren County Spectrum Care Academy INC Glasgow 6100 Jackson Hwy Cave City, KY 42127

Boyle County PRTF East 1151 Perryville Rd Danville, KY 40422 (859) 936-3645 Woodlawn PRTF Lowe 1151 Perryville Rd Danville, KY 40423 (859) 936-3645

Hardin County Spectrum Care Academy Eliabethtown 399 Fowler Ln Elizabethtown, KY 42701

Jefferson County Academy (Oak Hall & Sycamore Hall) 2125 Goldsmith Ln Louisville, KY 40218 Our Lady of Peace PRTF Lasalle 4419 Lasalle Ave Louisville, KY 40215 (502) 363-7918

Podiatrist

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WellCare of Kentucky Pilots Cottage 2125 Goldsmith Ln Unit 12 Louisville, KY 40218 Susans Cottage 2119 Goldsmith Ln Louisville, KY 40218

Laurel County Spectrum Care Academy INC - London 4551 Lick Fork Rd London, KY 40741

Perry County Buckhorn Children and Family Services 116 Buckhorn Ln Buckhorn, KY 41721 (606) 398-7000

† Indicates a provider has signed a letter of intent to enroll with MCO. t Indicates provider is pending credentialing.

Psychiatric Residential Treatment Facility

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