Aetna MedicareSM Plan (HMO) (PPO)

Aetna MedicareSM Plan (HMO) (PPO) Aetna MedicareSM Plan (HMO) (PPO)

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Home Health Care Agency - NATIONAL Other Participating Providers Coram, Inc. (800) 423-1411 Neighborcare/Omnicare (703) 802-1300 or (703) 914-1968 or (800) 552-3673 Option Care, Inc (800) 400-8274 HOME INFUSION THERAPY - NATIONAL Heartland Home Health Care & Hospice (800) 884-0662 PSA Healthcare (850) 478-5059 HOSPICE Capital Hospice 2900 Telestar Court Falls Church, VA 22042 (703) 531-6239 or 4401 Connecticut Avenue Northwest Suite 700 Washington, DC 20008 (202) 244-8300 or 10530 Linden Lake Plaza Suite 200 Manassas, VA 20109 (703) 392-6707 or Hospice Center 4715 North 15th Street Arlington, VA 22205 (703) 525-7070 or 209 Gibson Street Northwest Suite 202 Leesburg, VA 20176 (703) 777-7866 Community Hospice of Washington 3720 Upton Street Northwest Washington, DC 20016 (202) 895-0152 Evercare Hospice Inc 8245 Boone Blvd. Suite 401 Vienna, VA 22182 (703) 762-1600 Mary Washington Hospice 5012 Southpoint Pkwy. Fredericksburg, VA 22407 (540) 741-1667 Vitas Healthcare Corporation Atlantic Tyson’s Pond II 1604 Spring Hill Road Suite 450 Vienna, VA 22182 (800) 938-4827 VITAS Innovative Hospice Care Columbia Square 555 13th Street Northwest Washington, DC 20004 (800) 938-4827 HOSPICE-NATIONAL Odyssey Healthcare Operating B, LP (804) 504-0031 or (757) 461-0600 or (703) 821-9200 or (804) 290-4300 Vitas Healthcare Corporation (202) 638-2450 or (800) 938-4827 or (703) 270-4300 HYPERBARIC MEDICINE Mary Washington Hospital Rappahannock Wound Healing Center 10401 Spotsylvania Avenue Suite 201 Fredericksburg, VA 22408 (540) 741-3770 INDEPENDENT DURABLE MED EQUIPMENT Amoena USA Corporation Specialized Items (Breast Prosthetics) 1701 Barrett Lakes Boulevard Suite 410 Kennesaw, GA 30144 (800) 926-6362 Apria Healthcare 12400 Kiln Court Beltsville, MD 20705 (866) 221-1075 Miscellaneous DME, Enteral Formula and Supplies, Oxygen, Soft Goods/Disposable Supplies, Wheelchairs and Accessories or 919 Sweeney Drive Hagerstown, MD 21740 (866) 221-1075 Miscellaneous DME, Enteral Formula and Supplies, Oxygen, Soft Goods/Disposable Supplies, Wheelchairs and Accessories or 407 Winfield Avenue Salisbury, MD 21801 (866) 221-1075 Miscellaneous DME, Enteral Formula and Supplies, Oxygen, Soft Goods/Disposable Supplies, Wheelchairs and Accessories or 9321-I Philadelphia Road Baltimore, MD 21237 (866) 221-1075 Miscellaneous DME, Enteral Formula and Supplies, Oxygen, Soft Goods/Disposable Supplies, Wheelchairs and Accessories or 219 Marlboro Road Easton, MD 21601 (866) 221-1075 Miscellaneous DME, Enteral Formula and Supplies, Oxygen, Soft Goods/Disposable Supplies, Wheelchairs and Accessories or 29301 Information Way Easton, MD 21601 (866) 221-1075 Miscellaneous DME, Enteral Formula and Supplies, Oxygen, Soft Goods/Disposable Supplies, Wheelchairs and Accessories Byram Healthcare Centers, Inc. 3010 Woodcreek Drive Suite A Downers Grove, IL 60515 (630) 271-9041 or 3131 South Willow Drive Suite 103 Fresno, CA 93725 (559) 256-7988 354

Other Participating Providers Independent Lab or 185 Plains Road Suite 107E Milford, CT 06461 (203) 701-0390 or 220 North Cobb Pkwy. Suite 200 Marietta, GA 30062 (770) 422-5516 or 500 Apgar Drive Suite 2 Somerset, NJ 08873 (732) 302-1600 or 216 Aquarius Drive Suite 305 Birmingham, AL 35209 (205) 945-7582 or 4135 Meghan Beeler Court Suite 2 South Bend, IN 46628 (574) 243-2510 or 120 Bloomingdale Road Suite 301 White Plains, NY 10605 (914) 286-2000 or 1111 West Evans Avenue Suite A Denver, CO 80223 (303) 762-1263 or 2202 East Burnside Street Portland, OR 97214 (503) 233-2201 or 15110 Northeast 95th Street Suite 101 Redmond, WA 98052 (800) 394-5685 or 11400 47th Street Suite A Clearwater, FL 33762 (727) 540-0221 or 1214 East Sprague Avenue Spokane, WA 99202 (509) 534-4123 or 239 Mill Street Suite A Worcester, MA 01602 (508) 756-8300 or 1625 West Mockingbird Lane Suite 308 Dallas, TX 75235 (214) 638-1056 Home Healthcare Services Specialized Items (Home Infusion Therapy and DME) Home Health Care Services 301 Third Street Elkins, WV 26241 (800) 536-3690 or Home Health Care Services 1216 Hal Green Blvd. Huntington, WV 25701 (800) 536-3690 or Home Health Care Services Route 1 P.O. Box 780 Clarksburg, WV 26301 (800) 536-3690 or Home Health Care Services 5740 Robert C. Byrd Drive Mt. Hope, WV 25880 (800) 536-3690 or Home Health Care Services 219 South Duncan Road Marlinton, WV 24954 (800) 536-3690 or Home Health Care Services 113 Maplewood Avenue Ronceverte, WV 24970 (800) 536-3690 or Home Health Care Services 29 North Locust Street Buckhannon, WV 26201 (800) 536-3690 or Home Health Care Services Northside Plaza Suite 20 Summersville, WV 26651 (800) 536-3690 or 1416 MacCorkie Avenue Southwest Charleston, WV 25303 (800) 536-3690 Zoll Lifecor Corporation Specialized Items (Automatic External Defibrillator) 121 Freeport Road Pittsburgh, PA 15238 (412) 826-9300 or Quest Diagnostics Incorporated 14201 Laurel Park Drive Suite 107 Laurel, MD 20707 (301) 490-9444 Quest Requisition form is needed. For the nearest Quest Patient Service Center please call 1-800- 377-7220 or Quest Diagnostics Incorporated 9055 Chevrolet Drive Suite 101 Ellicott City, MD 21042 (410) 750-6485 Quest Requisition form is needed. For the nearest Quest Patient Service Center please call 1-800- 377-7220 or Quest Diagnostics Incorporated 9131 Piscataway Road Suite 180 Clinton, MD 20735 (301) 868-7107 Quest Requisition form is needed. For the nearest Quest Patient Service Center please call 1-800- 377-7220 or Quest Diagnostics Incorporated 344 University Blvd. West Suite 212 Silver Spring, MD 20901 (301) 681-1666 Quest Requisition form is needed. For the nearest Quest Patient Service Center please call 1-800- 377-7220 INDEPENDENT LAB American Esoteric Laboratory 8160 Walnut Hill Lane Suite 315 Dallas, TX 75231 (214) 363-0064 Quest Diagnostics Incorporated Quest Diagnostics Incorporated 15225 Shady Grove Road Suite 207 Rockville, MD 20850 (301) 948-4527 Quest Requisition form is needed. For the nearest Quest Patient Service Center please call 1-800- 377-7220 Other Providers 355

Other Participating Providers<br />

Independent Lab<br />

or<br />

185 Plains Road<br />

Suite 107E<br />

Milford, CT 06461<br />

(203) 701-0390<br />

or<br />

220 North Cobb Pkwy.<br />

Suite 200<br />

Marietta, GA 30062<br />

(770) 422-5516<br />

or<br />

500 Apgar Drive<br />

Suite 2<br />

Somerset, NJ 08873<br />

(732) 302-1600<br />

or<br />

216 Aquarius Drive<br />

Suite 305<br />

Birmingham, AL 35209<br />

(205) 945-7582<br />

or<br />

4135 Meghan Beeler<br />

Court<br />

Suite 2<br />

South Bend, IN 46628<br />

(574) 243-2510<br />

or<br />

120 Bloomingdale Road<br />

Suite 301<br />

White Plains, NY 10605<br />

(914) 286-2000<br />

or<br />

1111 West Evans Avenue<br />

Suite A<br />

Denver, CO 80223<br />

(303) 762-1263<br />

or<br />

2202 East Burnside Street<br />

Portland, OR 97214<br />

(503) 233-2201<br />

or<br />

15110 Northeast 95th<br />

Street<br />

Suite 101<br />

Redmond, WA 98052<br />

(800) 394-5685<br />

or<br />

11400 47th Street<br />

Suite A<br />

Clearwater, FL 33762<br />

(727) 540-0221<br />

or<br />

1214 East Sprague Avenue<br />

Spokane, WA 99202<br />

(509) 534-4123<br />

or<br />

239 Mill Street<br />

Suite A<br />

Worcester, MA 01602<br />

(508) 756-8300<br />

or<br />

1625 West Mockingbird<br />

Lane<br />

Suite 308<br />

Dallas, TX 75235<br />

(214) 638-1056<br />

Home Healthcare<br />

Services<br />

Specialized Items (Home<br />

Infusion Therapy and DME)<br />

Home Health Care Services<br />

301 Third Street<br />

Elkins, WV 26241<br />

(800) 536-3690<br />

or<br />

Home Health Care Services<br />

1216 Hal Green Blvd.<br />

Huntington, WV 25701<br />

(800) 536-3690<br />

or<br />

Home Health Care Services<br />

Route 1<br />

P.O. Box 780<br />

Clarksburg, WV 26301<br />

(800) 536-3690<br />

or<br />

Home Health Care Services<br />

5740 Robert C. Byrd Drive<br />

Mt. Hope, WV 25880<br />

(800) 536-3690<br />

or<br />

Home Health Care Services<br />

219 South Duncan Road<br />

Marlinton, WV 24954<br />

(800) 536-3690<br />

or<br />

Home Health Care Services<br />

113 Maplewood Avenue<br />

Ronceverte, WV 24970<br />

(800) 536-3690<br />

or<br />

Home Health Care Services<br />

29 North Locust Street<br />

Buckhannon, WV 26201<br />

(800) 536-3690<br />

or<br />

Home Health Care Services<br />

Northside Plaza<br />

Suite 20<br />

Summersville, WV 26651<br />

(800) 536-3690<br />

or<br />

1416 MacCorkie Avenue<br />

Southwest<br />

Charleston, WV 25303<br />

(800) 536-3690<br />

Zoll Lifecor Corporation<br />

Specialized Items<br />

(Automatic External<br />

Defibrillator)<br />

121 Freeport Road<br />

Pittsburgh, PA 15238<br />

(412) 826-9300<br />

or<br />

Quest Diagnostics<br />

Incorporated<br />

14201 Laurel Park Drive<br />

Suite 107<br />

Laurel, MD 20707<br />

(301) 490-9444<br />

Quest Requisition form is<br />

needed. For the nearest<br />

Quest Patient Service<br />

Center please call 1-800-<br />

377-7220<br />

or<br />

Quest Diagnostics<br />

Incorporated<br />

9055 Chevrolet Drive<br />

Suite 101<br />

Ellicott City, MD 21042<br />

(410) 750-6485<br />

Quest Requisition form is<br />

needed. For the nearest<br />

Quest Patient Service<br />

Center please call 1-800-<br />

377-7220<br />

or<br />

Quest Diagnostics<br />

Incorporated<br />

9131 Piscataway Road<br />

Suite 180<br />

Clinton, MD 20735<br />

(301) 868-7107<br />

Quest Requisition form is<br />

needed. For the nearest<br />

Quest Patient Service<br />

Center please call 1-800-<br />

377-7220<br />

or<br />

Quest Diagnostics<br />

Incorporated<br />

344 University Blvd. West<br />

Suite 212<br />

Silver Spring, MD 20901<br />

(301) 681-1666<br />

Quest Requisition form is<br />

needed. For the nearest<br />

Quest Patient Service<br />

Center please call 1-800-<br />

377-7220<br />

INDEPENDENT LAB<br />

American Esoteric<br />

Laboratory<br />

8160 Walnut Hill Lane<br />

Suite 315<br />

Dallas, TX 75231<br />

(214) 363-0064<br />

Quest Diagnostics<br />

Incorporated<br />

Quest Diagnostics<br />

Incorporated<br />

15225 Shady Grove Road<br />

Suite 207<br />

Rockville, MD 20850<br />

(301) 948-4527<br />

Quest Requisition form is<br />

needed. For the nearest<br />

Quest Patient Service<br />

Center please call 1-800-<br />

377-7220<br />

Other Providers<br />

355

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