PATIENT ACCESS NETWORK FOUNDATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PATIENT ACCESS NETWORK FOUNDATION (EIN 20-1184743)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-05-16
- IRS object ID
- 201601379349306305
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T13:46:08-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560574444 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 Metropolitan Ave Ste 1000 | AddressLine1Txt |
| City | Charlotte | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201184743 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Patient Access Network Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PATI | BusinessNameControlTxt |
| Phone | 2023479272 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1331 F STREET No 975 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20004 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL KLEIN | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 2023479272 | PhoneNum |
| Signature | 2016-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLIANNE F BENSON | PreparerPersonNm |
| PTIN | P01345659 | PTIN |
| Phone | 7043771678 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL KLEIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1331 F STREET No 975 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,594,290,611 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.panfoundation.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | DC | LegalDomicileStateCd |
| Activity Or Mission | To help underinsured people with life-threatening, chronic and rare diseases get the medications and treatment they need by paying for their out-of-pocket costs and advocating for improved access and affordability. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 15 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $659,128,125 | PYContributionsGrantsAmt |
| CY Contributions Grants | $801,155,793 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,065,775 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,270,217 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $673,193,900 | PYTotalRevenueAmt |
| CY Total Revenue | $819,426,010 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $496,427,781 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $942,172,470 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,081,589 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,972,248 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,045,538 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,866,965 | PYOtherExpensesAmt |
| CY Other Expenses | $22,783,959 | CYOtherExpensesAmt |
| PY Total Expenses | $511,376,335 | PYTotalExpensesAmt |
| CY Total Expenses | $967,928,677 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $161,817,565 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$148,502,667 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $586,880,848 | TotalAssetsBOYAmt |
| Total Assets EOY | $556,249,581 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $93,515,280 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $233,201,037 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $493,365,568 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $323,048,544 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Patient Access Network (PAN) Foundation offers help and hope to people with chronic or life threatening illnesses who otherwise cannot afford breakthrough medical treatments. The PAN Foundation envisions a society in which every individual can access needed medical care, offering hope for a healthy tomorrow. Since 2004, PAN Foundation has offered financial assistance to over 500,000 patients by giving out approximately $1 billion through more than 50 disease funds. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $961,054,673 | ExpenseAmt |
| Grant | $942,172,470 | GrantAmt |
| Desc | AT THE PAN FOUNDATION, WE ENVISION A NATION IN WHICH EVERYONE CAN GET THE HEALTH CARE THEY NEED. WE WORK TOWARD THIS GOAL BY HELPING UNDERINSURED PEOPLE WITH LIFE-THREATENING, CHRONIC AND RARE DISEASES GET ACCESS TO NECESSARY MEDICATIONS AND TREATMENT. PARTNERING WITH GENEROUS DONORS, HEALTHCARE PROVIDERS AND PHARMACIES, PAN COVERS OUT-OF-POCKET COSTS FOR UNDERINSURED PATIENTS, PROVIDING ACCESS TO THE THERAPIES THEY NEED TO BEST MANAGE THEIR CONDITIONS AND IMPROVE THEIR QUALITY OF LIFE. IN 2015, THE PAN FOUNDATION ASSISTED A TOTAL OF 289,876 PATIENTS. OF THAT TOTAL, 219,461 WERE PATIENTS SEEKING AND RECEIVING ASSISTANCE FROM THE PAN FOUNDATION FOR THE FIRST TIME. IN THE SAME YEAR, PAN PAID MORE THAN 1,500,000 CLAIMS RELATED TO PATIENTS' OUT-OF-POCKET PRESCRIPTION DRUG EXPENSES AND RECEIVED OVER 700,000 PHONE CALLS. PAN'S REACH INCLUDES PARTNERSHIPS WITH OVER 26,000 SPECIALTY PHARMACIES AND MORE THAN 84,000 PROVIDERS ACROSS THE USA. | Desc |
| Total Program Service Expenses | $961,054,673 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 3596 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 15 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | DC | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTT SCHLENOFF | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2026618080 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1331 F STREET NW SUITE 975 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20004 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MARTIN BIEBER | |||||||
| Board of Directors | 3.00 | Yes (X) | $9,000 | $0 | $0 | ||
| KENNETH WELLS | |||||||
| Board of Directors | 3.00 | Yes (X) | $4,000 | $0 | $0 | ||
| Ian Spatz | |||||||
| Board of Directors | 3.00 | Yes (X) | $11,000 | $0 | $0 | ||
| Michael O'Grady | |||||||
| Board of Directors | 3.00 | Yes (X) | $9,500 | $0 | $0 | ||
| Fred Schnell | |||||||
| Board of Directors | 3.00 | Yes (X) | $11,000 | $0 | $0 | ||
| Donald Barone | |||||||
| Board of Directors | 3.00 | Yes (X) | $11,000 | $0 | $0 | ||
| Norrie Thomas | |||||||
| Board of Directors | 3.00 | Yes (X) | $11,000 | $0 | $0 | ||
| David Borenstein | |||||||
| Board of Directors | 3.00 | Yes (X) | $5,000 | $0 | $0 | ||
| Grant Lawless | |||||||
| Board of Directors | 3.00 | Yes (X) | $11,000 | $0 | $0 | ||
| Constance Garcia | |||||||
| Board of Directors | 3.00 | Yes (X) | $11,000 | $0 | $0 | ||
| Kim Schwartz | |||||||
| Chair of Board of Director | 5.00 | Yes (X) | $15,000 | $0 | $0 | Yes (X) | |
| Daniel Klein | |||||||
| President & CEO | 40.00 | $301,212 | $0 | $24,324 | Yes (X) | ||
| Richard Goldstein | |||||||
| CFO & Treasurer (Thru 12/31/15) | 40.00 | $196,400 | $0 | $57,436 | Yes (X) | ||
| SCOTT SCHLENOFF | |||||||
| CFO & Treasurer (START 9/24/15) | 40.00 | $40,341 | $0 | $4,858 | Yes (X) | ||
| JOHN CROUT | |||||||
| COO & GENERAL COUNSEL (start 4.6.15) | 40.00 | $136,648 | $0 | $46,283 | Yes (X) | ||
| Svetlana Durkovic | |||||||
| Director of Operations | 40.00 | $157,570 | $0 | $29,486 | Yes (X) | ||
| Amy Niles | |||||||
| Director of Alliance Development | 40.00 | $154,500 | $0 | $34,530 | Yes (X) | ||
| William Johnson | |||||||
| Director of Provider Relations | 40.00 | $140,000 | $0 | $53,204 | Yes (X) | ||
| DREW SAELENS | |||||||
| VP DEVELOPMENT | 40.00 | $143,500 | $0 | $28,442 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,378,671 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $278,563 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LASH GROUP AMERISOURCE BERGEN CONSULTING | |||||
| 3735 Glen Lake Drive | Charlotte | NC | 28208 | Patient Services | $15,720,100 |
| Milliman | |||||
| 111 Monument Circle Suite 601 | Indianapolis | IN | 46204 | Actuaries | $364,757 |
| EJC F Street LLC | |||||
| 23346 Network Place | Chicago | IL | 60673 | Rent | $183,989 |
| HEALTH ADVANCES LLC | |||||
| 9 RIVERSIDE ROAD | WESTON | MA | 02493 | HEALTHCARE CONSULTANTS | $180,944 |
| INFORMATION CONCEPTS | |||||
| 503 CARLISLE DRIVE | HERNDON | VA | 20170 | IT SERVICES | $177,503 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $801,155,793 | AllOtherContributionsAmt |
| Total Contributions | $801,155,793 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,741,797 | TotalRevenueColumnAmt |
| Exclusion | $11,741,797 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $781,393,021 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $774,864,601 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,528,420 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,528,420 | TotalRevenueColumnAmt |
| Exclusion | $6,528,420 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $819,426,010 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,270,217 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $936,452,745 | TotalAmt |
| Program Services | $936,452,745 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,719,725 | TotalAmt |
| Program Services | $5,719,725 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $639,571 | TotalAmt |
| Program Services | $128,562 | ProgramServicesAmt |
| Management And General | $406,754 | ManagementAndGeneralAmt |
| Fundraising | $104,255 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,803,303 | TotalAmt |
| Program Services | $341,847 | ProgramServicesAmt |
| Management And General | $830,732 | ManagementAndGeneralAmt |
| Fundraising | $630,724 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,253 | TotalAmt |
| Program Services | $9,753 | ProgramServicesAmt |
| Management And General | $25,031 | ManagementAndGeneralAmt |
| Fundraising | $16,469 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,967 | TotalAmt |
| Program Services | $22,208 | ProgramServicesAmt |
| Management And General | $218,935 | ManagementAndGeneralAmt |
| Fundraising | $95,824 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,154 | TotalAmt |
| Program Services | $27,935 | ProgramServicesAmt |
| Management And General | $70,440 | ManagementAndGeneralAmt |
| Fundraising | $42,779 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,552,788 | TotalAmt |
| Program Services | $15,552,788 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,230 | TotalAmt |
| Program Services | $105,009 | ProgramServicesAmt |
| Management And General | $67,046 | ManagementAndGeneralAmt |
| Fundraising | $50,175 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $897,330 | TotalAmt |
| Program Services | $714,503 | ProgramServicesAmt |
| Management And General | $182,827 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,640,460 | TotalAmt |
| Management And General | $1,640,460 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,518,548 | TotalAmt |
| Program Services | $459,768 | ProgramServicesAmt |
| Management And General | $1,035,076 | ManagementAndGeneralAmt |
| Fundraising | $23,704 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,375 | TotalAmt |
| Program Services | $42,375 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,856 | TotalAmt |
| Program Services | $156,570 | ProgramServicesAmt |
| Management And General | $117,404 | ManagementAndGeneralAmt |
| Fundraising | $60,882 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,731 | TotalAmt |
| Program Services | $19,830 | ProgramServicesAmt |
| Management And General | $73,901 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,789 | TotalAmt |
| Management And General | $199,789 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,431 | TotalAmt |
| Program Services | $28,282 | ProgramServicesAmt |
| Management And General | $96,583 | ManagementAndGeneralAmt |
| Fundraising | $19,566 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,234 | TotalAmt |
| Program Services | $6,963 | ProgramServicesAmt |
| Management And General | $33,713 | ManagementAndGeneralAmt |
| Fundraising | -$442 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,504 | TotalAmt |
| Management And General | $716,504 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,651 | TotalAmt |
| Management And General | $28,651 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,785 | TotalAmt |
| Program Services | $899 | ProgramServicesAmt |
| Management And General | $79,284 | ManagementAndGeneralAmt |
| Fundraising | $1,602 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM ENHANCEMENTS | $833,420 | $833,420 | ||
| Actuarial Expenses | $431,697 | $431,491 | $206 | $0 |
| TRAINING | $5,130 | $5,130 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $967,928,677 | TotalAmt |
| Program Services | $961,054,673 | ProgramServicesAmt |
| Management And General | $5,828,466 | ManagementAndGeneralAmt |
| Fundraising | $1,045,538 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,454,531 | BOYAmt |
| EOY | $134,791,856 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,015,000 | BOYAmt |
| EOY | $53,205,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,173 | BOYAmt |
| EOY | $147,977 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $160,874 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $61,736 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,309 | BOYAmt |
| EOY | $99,138 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,192,835 | BOYAmt |
| EOY | $368,005,610 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $586,880,848 | BOYAmt |
| EOY | $556,249,581 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,586,050 | BOYAmt |
| EOY | $16,001,132 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,929,230 | BOYAmt |
| EOY | $217,199,905 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,515,280 | BOYAmt |
| EOY | $233,201,037 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,979,100 | BOYAmt |
| EOY | $17,488,105 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,386,468 | BOYAmt |
| EOY | $305,560,439 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $493,365,568 | BOYAmt |
| EOY | $323,048,544 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $586,880,848 | BOYAmt |
| EOY | $556,249,581 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$148,502,667 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$21,814,357 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,632,322 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $179,458,330 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $313,390,449 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $659,303,125 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $801,155,793 | CurrentTaxYearAmt |
| Total | $2,036,940,019 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,632,322 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $179,458,330 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $313,390,449 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $659,303,125 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $801,155,793 | CurrentTaxYearAmt |
| Total | $2,036,940,019 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,391,281,604 | SubstantialContributorsTotAmt |
| Public Support Total170 | $645,658,415 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,798,553 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,656,432 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,150,342 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,816,149 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,741,797 | CurrentTaxYearAmt |
| Total | $39,163,273 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,076,103,292 | TotalSupportAmt |
| Public Support CY170 | 0.31100 | PublicSupportCY170Pct |
| Public Support PY170 | 0.30380 | PublicSupportPY170Pct |
| Ten Pct Facts Crcmstncs Test CY | Yes (X) | TenPctFactsCrcmstncsTestCYInd |
| Facts And Circumstances Test | PATIENT ACCESS NETWORK FOUNDATION CONTINUES TO QUALIFY AS A PUBLIC CHARITY UNDER THE FACTS AND CIRCUMSTANCES TEST. THE PUBLIC SUPPORT RECEIVED BY THE ORGANIZATION EQUALS AT LEAST 10% OF THE TOTAL SUPPORT RECEIVED BY THE ORGANIZATION. THE ORGANIZATION IS ORGANIZED AND OPERATED TO ATTRACT NEW AND ADDITIONAL PUBLIC SUPPORT ON A CONTINUOUS BASIS AND ISMAINTAINING A PROGRAM TO SOLICIT FUNDS FROM THE GENERAL PUBLIC.IN ADDITION, THE 10% TEST IS SATISFIED BY SUPPORT FROM A NUMBER OF UNRELATED DONORS (AS OPPOSED TO SUPPORT FROM MEMBERS OF A SINGLE FAMILY), THE ORGANIZATION'S GOVERNING BODY REPRESENTS THE BROAD INTERESTS OF THE PUBLIC RATHER THAN THE PERSONAL OR PRIVATE INTERESTS OF A LIMITED NUMBER OF DONORS, THE ORGANIZATION PROVIDES SERVICES DIRECTLY FOR THE BENEFIT OFTHE GENERAL PUBLIC ON A CONTINUOUS BASIS AND THE ORGANIZATION MAINTAINS A DEFINITIVE PROGRAM FOR ACCOMPLISHING ITS CHARITABLE WORK IN THE COMMUNITY. | FactsAndCircumstancesTestTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,375 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,350 | DepreciationAmt |
| Book Value | $10,025 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,499 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,386 | DepreciationAmt |
| Book Value | $89,113 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $99,138 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ETFs and closed end funds | $148,951,471 | F |
| mutual funds | $89,233,015 | F |
| gov. & agency securities | $52,924,040 | F |
| corporate bonds | $76,796,666 | F |
| Common Stock | $100,418 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $368,005,610 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CO PAYMENT ASSISTANCE OBLIGATION | Desc |
| Amt | $217,199,905 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $217,199,905 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $795,971,194 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$21,814,356 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$21,814,356 | RevenueNotReportedAmt |
| Revenue Subtotal | $817,785,550 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $1,640,460 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $1,640,460 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $819,426,010 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $966,288,217 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $966,288,217 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,640,460 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $1,640,460 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $967,928,677 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION IS A NONPROFIT, TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE FOUNDATION CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX EXEMPT ORGANIZATION AND IS NOT SUBJECT TO TAX. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE EFFECT OF FASB GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS BY PRESCRIBING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE FOUNDATION'S POLICY IS TO RECORD A LIABILITY FOR ANY TAX POSITION TAKEN THAT IS BENEFICIAL TO THE FOUNDATION, INCLUDING ANY RELATED INTEREST AND PENALTIES, WHEN IT IS MORE LIKELY THAN NOT THE POSITION TAKEN BY MANAGEMENT WITH RESPECT TO A TRANSACTION OR CLASS OF TRANSACTIONS WILL BE OVERTURNED BY A TAXING AUTHORITY UPON EXAMINATION. MANAGEMENT BELIEVES THERE ARE NO SUCH POSITIONS AS OF DECEMBER 31, 2015 AND 2014 AND, ACCORDINGLY, NO LIABILITY HAS BEEN ACCRUED. THE FOUNDATION BELIEVES IT IS NO LONGER SUBJECT TO TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2011. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2023 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| Alaska Urological Institute | |||||||
| PO Box 241487 | Anchorage | AK | 99524 | 920056608 | $7,417 | Patient Assistance | |
| Geneva Woods Pharmacy Inc | |||||||
| 501 W International Airport Rd | Anchorage | AK | 99518 | 920074555 | $13,171 | Patient Assistance | |
| Alaska Oncology and Hematology LLC | |||||||
| PO Box 196618 | Anchorage | AK | 99519 | 920175249 | $5,137 | Patient Assistance | |
| Community Cancer Center of N FL | |||||||
| PO Box 830941 | Birmingham | AL | 35283 | 030452526 | $5,186 | Patient Assistance | |
| Cancer Ctr of Huntville | |||||||
| 201 Governors Dr | Huntsville | AL | 35801 | 200546686 | $138,867 | Patient Assistance | |
| Retina Associates of Alabama Inc | |||||||
| PO Box 8008 | Dothan | AL | 36304 | 202354132 | $10,126 | Patient Assistance | |
| Montgomery Cancer Center | |||||||
| 4145 Carmichael Rd | Montgomery | AL | 36106 | 203204949 | $74,479 | Patient Assistance | |
| Southern Cancer Center | |||||||
| 29653 Anchor Cross Blvd | Daphne | AL | 36526 | 208097639 | $735,353 | Patient Assistance | |
| Alabama Cance Care | |||||||
| 355 S 2nd St | Gadsden | AL | 35901 | 272458311 | $41,983 | Patient Assistance | |
| Cancer Care Center PC | |||||||
| 1310 14th Ave SE | Decatur | AL | 35601 | 274384748 | $6,527 | Patient Assistance | |
| BHC-Women's Health Care | |||||||
| PO Box 13128 | Birmingham | AL | 35202 | 364629697 | $7,057 | Patient Assistance | |
| Jeffrey J Fuller MD PC | |||||||
| 250 State Farm Pkwy | Birmingham | AL | 35209 | 451222579 | $24,060 | Patient Assistance | |
| Orlando Physician Specialists LLC | |||||||
| PO Box 11984 | Birmingham | AL | 35202 | 452601183 | $14,476 | Patient Assistance | |
| Alabama Providence Healthcare | |||||||
| PO Box 850489 | Mobile | AL | 36685 | 462847744 | $14,932 | Patient Assistance | |
| Dale Brown MD | |||||||
| 250 State Farm Pkwy | Birmingham | AL | 35209 | 463351170 | $25,376 | Patient Assistance | |
| Birmingham Hematology Oncology | |||||||
| 500 Office Park Dr | Birmingham | AL | 35223 | 522170293 | $185,549 | Patient Assistance | |
| Infusion Partners | |||||||
| 2151 Highland Ave | Birmingham | AL | 35205 | 582102954 | $11,140 | Patient Assistance | |
| Conrad Pearson Clinic | |||||||
| PO Box 760 | Montgomery | AL | 38101 | 621634103 | $24,257 | Patient Assistance | |
| West TN Neurology | |||||||
| PO Box 2153 | Birmingham | AL | 35287 | 621634512 | $16,793 | Patient Assistance | |
| Helen Keller Hospital | |||||||
| PO Box 830810 | BIRmingham | AL | 35283 | 630288825 | $13,117 | Patient Assistance | |
| Russell Hospital | |||||||
| PO Box 939 | Alexander City | AL | 35011 | 630385130 | $11,971 | Patient Assistance | |
| Monroe County Hospital | |||||||
| 2016 S Alabama Ave | Monroeville | AL | 36460 | 630438739 | $9,490 | Patient Assistance | |
| University of S AL Medical Ctr | |||||||
| PO Box 40010 | Mobile | AL | 36640 | 630477348 | $8,470 | Patient Assistance | |
| Urology Centers of Alabama | |||||||
| PO Box 59867 | Homewood | AL | 35259 | 630581180 | $42,387 | Patient Assistance | |
| Drs Lawaczeck McKinnon & Gee | |||||||
| 1009 Montgomery Hwy | Birmingham | AL | 35216 | 630581243 | $5,140 | Patient Assistance | |
| Simon Williamson Clinic PC | |||||||
| PO Box 12366 | Birmingham | AL | 35202 | 630693892 | $25,445 | Patient Assistance | |
| Springhill Memorial Hosp | |||||||
| 3719 Dauphin St | Mobile | AL | 36608 | 630784458 | $6,268 | Patient Assistance | |
| Pulmonary Associates of Mobile PC | |||||||
| 100 Memorial Hospital Dr | Mobile | AL | 36608 | 630799312 | $6,049 | Patient Assistance | |
| Huntsville Hospital Dept 1561 | |||||||
| PO Box 11407 | Birmingham | AL | 35246 | 630845288 | $5,205 | Patient Assistance | |
| Clearview Cancer Institute | |||||||
| 3601 Cci Dr | Huntsville | AL | 35805 | 630897317 | $594,853 | Patient Assistance | |
| Rheumatology Assoc of N AL | |||||||
| 201 Sivley Rd | Huntsville | AL | 35802 | 630907980 | $8,892 | Patient Assistance | |
| Dothan Medical Associates PA | |||||||
| 1118 Ross Clark Cir | Dothan | AL | 36301 | 630991466 | $5,196 | Patient Assistance | |
| Neurology Consultants of Montgomery | |||||||
| PO Box 242848 | Montgomery | AL | 36124 | 631002723 | $5,000 | Patient Assistance | |
| Dothan Hematology & Oncology | |||||||
| 4300 W Main St | Dothan | AL | 36305 | 631012171 | $184,295 | Patient Assistance | |
| IMC-Diagnostic & Medical Clinic | |||||||
| PO Box 40677 | Mobile | AL | 36640 | 631012832 | $10,464 | Patient Assistance | |
| NW AL Cancer Ctr | |||||||
| 101 Doctor Wh Blake Jr Dr | Muscle Shoals | AL | 35661 | 631100088 | $14,850 | Patient Assistance | |
| Retina Consultant of AL | |||||||
| PO Box 830740 | Birmingham | AL | 35283 | 631120285 | $126,013 | Patient Assistance | |
| Hematology Oncology Assoc LLC Department 3162 | |||||||
| PO Box 2153 | Birmingham | AL | 35287 | 631137578 | $226,032 | Patient Assistance | |
| Anniston Oncology | |||||||
| 901 Leighton Ave | Anniston | AL | 36207 | 631138001 | $53,642 | Patient Assistance | |
| SE Cancer Network | |||||||
| PO Box 2092 | Birmingham | AL | 35201 | 631171068 | $10,069 | Patient Assistance | |
| Alabama South Family Podiatry | |||||||
| 256 Honeysuckle Rd | Dothan | AL | 36305 | 631197147 | $6,666 | Patient Assistance | |
| North Central Neurology A | |||||||
| PO Box 870 | Cullman | AL | 35056 | 631231749 | $316,849 | Patient Assistance | |
| Eye Ctr | |||||||
| 2800 S Ross Clark Cir | Dothan | AL | 36301 | 631232935 | $15,021 | Patient Assistance | |
| Clinic for Rheumatic Diseases | |||||||
| 100 Towncenter Blvd | Tuscaloosa | AL | 35406 | 631243197 | $12,735 | Patient Assistance | |
| Retinal Specialists of North AL | |||||||
| PO Box 830529 | Birmingham | AL | 35283 | 631248340 | $5,099 | Patient Assistance | |
| Urological Assoc of Dothan | |||||||
| 1118 Ross Clark Cir | Dothan | AL | 36301 | 636004476 | $6,831 | Patient Assistance | |
| University of AL Hospital | |||||||
| PO Box 11407 | Birmingham | AL | 35246 | 636005396 | $27,441 | Patient Assistance | |
| Premier Health Management Inc | |||||||
| 2880 Dauphin St | Mobile | AL | 36606 | 721356450 | $21,710 | Patient Assistance | |
| West Jefferson Medical Center Hmtlgy | |||||||
| PO Box 2153 | Birmingham | AL | 35287 | 726014898 | $6,438 | Patient Assistance | |
| Cullman Oncology | |||||||
| PO Box 2126 | Cullman | AL | 35055 | 760717780 | $7,345 | Patient Assistance | |
| Northwest Arkansas Retina | |||||||
| 601 W Maple Ave | Springdale | AR | 72764 | 262209307 | $139,983 | Patient Assistance | |
| Sparks Regional Medical Center | |||||||
| 1001 Towson Ave | Fort Smith | AR | 72901 | 271013889 | $102,341 | Patient Assistance | |
| St Bernards Healthcare | |||||||
| 225 E Jackson | Jonesboro | AR | 72401 | 710290019 | $121,350 | Patient Assistance | |
| White River Health System | |||||||
| PO Box 2197 | Batesville | AR | 72503 | 710411459 | $11,381 | Patient Assistance | |
| Little Rock Diagnostic Clinic | |||||||
| 10001 Lile Dr | Little Rock | AR | 72205 | 710412630 | $10,768 | Patient Assistance | |
| Hematology Oncology Services of Arkansas | |||||||
| 9101 Kanis Rd | Little Rock | AR | 72205 | 710437657 | $575,557 | Patient Assistance | |
| Cooper Clinic | |||||||
| 6801 Rogers Ave | Fort Smith | AR | 72903 | 710445686 | $44,912 | Patient Assistance | |
| Magie Mabrey Eye Clinic | |||||||
| 924 Main St | Conway | AR | 72032 | 710474074 | $111,959 | Patient Assistance | |
| Central AR Hematology & Oncology | |||||||
| 133 Harmony Park Cir Hot Spgs | National Park | AR | 71913 | 710627544 | $124,894 | Patient Assistance | |
| Arkansas Cancer Institute PA | |||||||
| 7200 S Hazel Street Pne | Bluff | AR | 71603 | 710705436 | $82,159 | Patient Assistance | |
| Twin Lakes Medical Specialists PA | |||||||
| 628 Hospital Dr | Ground Floor Mountain | AR | 72653 | 710706465 | $45,980 | Patient Assistance | |
| Retina Associates PA | |||||||
| 9800 Lile Dr | Little Rock | AR | 72205 | 710706742 | $27,864 | Patient Assistance | |
| Kilgore Vision Center | |||||||
| PO Box 444 | Mountain Home | AR | 72653 | 710718397 | $8,123 | Patient Assistance | |
| Ozark Cancer Clinic | |||||||
| 715 W Sherman Ave | Harrison | AR | 72601 | 710776466 | $33,377 | Patient Assistance | |
| Highlands Oncology Grp | |||||||
| 3232 N North Hills Blvd | Fayetteville | AR | 72703 | 710788742 | $206,538 | Patient Assistance | |
| Conway Hematology Oncology | |||||||
| 2605 College Ave | Conway | AR | 72034 | 710817941 | $62,373 | Patient Assistance | |
| Northeast Arkansas Baptist Clinic | |||||||
| PO Box 7502 | Jonesboro | AR | 72403 | 710850123 | $113,956 | Patient Assistance | |
| MS Clinic of Arkansas | |||||||
| 2215 Wildwood Ave | Sherwood | AR | 72120 | 800198496 | $5,952 | Patient Assistance | |
| Diego Calonje MD | |||||||
| 1951 N Wilmot Rd | Tucson | AZ | 85712 | 200089506 | $5,395 | Patient Assistance | |
| Cochise Oncology | |||||||
| 5151 E Hwy 90 Sierra | Vista | AZ | 85635 | 202022023 | $9,300 | Patient Assistance | |
| Catalina Pointe Arthritis & Rheu Specialist | |||||||
| 7520 N Oracle Rd | Tucson | AZ | 85704 | 202335169 | $29,517 | Patient Assistance | |
| Havasu Regional Medical Center | |||||||
| PO Box 3030 | Lake Havasu | AZ | 86405 | 205220956 | $9,878 | Patient Assistance | |
| Sonoran Hematology & Oncology | |||||||
| PO Box 29338 | Phoenix | AZ | 85038 | 208391890 | $137,291 | Patient Assistance | |
| Arizona Institute of Urology PLLC | |||||||
| 1106 N El Dorado Pl | Tucson | AZ | 85715 | 208551867 | $24,802 | Patient Assistance | |
| Hematology Oncology Associates of N Jersey | |||||||
| 3990 Stockton Hill Rd | Kingman | AZ | 86401 | 223746905 | $13,383 | Patient Assistance | |
| Arizona Urology Specialist Dept Code 902 | |||||||
| PO Box 52004 | Phoenix | AZ | 85072 | 262944556 | $45,292 | Patient Assistance | |
| Banner Good Samaritan Med Ctr | |||||||
| PO Box 2978 | Phoenix | AZ | 85062 | 270036499 | $5,000 | Patient Assistance | |
| The Retina Group Opthamology | |||||||
| 6262 E Broadway Rd | Mesa | AZ | 85206 | 352192294 | $6,048 | Patient Assistance | |
| Barnet Dulaney Perkins Eye Center | |||||||
| 4800 N 22nd St | Phoenix | AZ | 85016 | 562589722 | $32,563 | Patient Assistance | |
| Ironwood Cancer and Research Ctr - Chandler | |||||||
| PO Box 29901 | Phoenix | AZ | 85038 | 731636831 | $1,193,457 | Patient Assistance | |
| New Mexico Oncology Hematology - Albuquerque | |||||||
| PO Box 52163 | Phoenix | AZ | 85072 | 850367056 | $70,776 | Patient Assistance | |
| Yavapai Regional Medical Center | |||||||
| PO Box 53565 | Phoenix | AZ | 85072 | 860098923 | $5,000 | Patient Assistance | |
| Tucson Medical Ctr | |||||||
| PO Box 31267 | Tucson | AZ | 85712 | 860137567 | $10,942 | Patient Assistance | |
| Urological Assoc of Southern Arizona | |||||||
| 6325 E Tanque Verde Rd | Tucson | AZ | 85715 | 860221210 | $10,689 | Patient Assistance | |
| Neurological Physician of AZ | |||||||
| 726 Greenfield Rd | Gilbert | AZ | 85234 | 860265760 | $10,530 | Patient Assistance | |
| Associated Retina Consultants | |||||||
| 7600 N 15th St | Phoenix | AZ | 85020 | 860285158 | $252,889 | Patient Assistance | |
| Palo Verde Hematology Oncology | |||||||
| 5601 W Eugie Ave | Glendale | AZ | 85304 | 860416050 | $615,138 | Patient Assistance | |
| Southwestern Eye Center | |||||||
| PO Box 29856 | Phoenix | AZ | 85038 | 860423068 | $6,312 | Patient Assistance | |
| Carondelet St Marys | |||||||
| PO Box 29657 | Phoenix | AZ | 85038 | 860455920 | $5,534 | Patient Assistance | |
| Retinal Consultants of AZ | |||||||
| PO Box 32530 | Phoenix | AZ | 85064 | 860708606 | $321,251 | Patient Assistance | |
| AZ Arthritis & Rheumatology | |||||||
| 10599 N Tatum Blvd | Paradise Valley | AZ | 85253 | 860765242 | $16,737 | Patient Assistance | |
| Integrated Medical Services Inc | |||||||
| PO Box 9004 | Phoenix | AZ | 85068 | 860783428 | $19,680 | Patient Assistance | |
| RASW PC | |||||||
| 6561 E Carondelet Dr | Tucson | AZ | 85710 | 860891570 | $157,292 | Patient Assistance | |
| Founders Healthcare | |||||||
| PO Box 40700 | Mesa | AZ | 85274 | 860898663 | $6,510 | Patient Assistance | |
| Gordon Grado MD Inc | |||||||
| 2926 N Civic Center Plz | Scottsdale | AZ | 85251 | 860927588 | $20,423 | Patient Assistance | |
| Arizona Ctr for Hemotology Oncology | |||||||
| 5750 W Thunderbird Rd | Glendale | AZ | 85306 | 860930581 | $316,317 | Patient Assistance | |
| Valley Arthritis Care | |||||||
| 13943 N 91st Ave | Peoria | AZ | 85381 | 861010503 | $8,303 | Patient Assistance | |
| Banner Desert Cancer Center | |||||||
| PO Box 2978 | Phoenix | AZ | 85062 | 900054201 | $7,397 | Patient Assistance | |
| Banner Gateway Medical Center | |||||||
| PO Box 2978 | Phoenix | AZ | 85062 | 900220728 | $235,808 | Patient Assistance | |
| Banner Arizona Medical Center | |||||||
| 13640 N Plaza Del Rio Blvd | Peoria | AZ | 85381 | 900730397 | $134,034 | Patient Assistance | |
| Banner UMC | |||||||
| 3838 N Campbell Ave | Tucson | AZ | 85715 | 901074557 | $32,290 | Patient Assistance | |
| Retina Vitreous Consultants | |||||||
| 8920 Wilshire Blvd | Beverly Hills | CA | 90211 | 059449594 | $8,927 | Patient Assistance | |
| Austin J Ma MD | |||||||
| 2100 Solar Dr | Oxnard | CA | 93036 | 100004227 | $6,173 | Patient Assistance | |
| Caremore Medical Grp Inc | |||||||
| PO Box 51238 | Los Angeles | CA | 90051 | 141943214 | $11,780 | Patient Assistance | |
| Denise L Kayser | |||||||
| 3536 Mendocino Ave | Larkfield | CA | 95403 | 185507703 | $15,041 | Patient Assistance | |
| Denise L Kayser | |||||||
| 3536 Mendocino Ave | Larkfield | CA | 95403 | 185507703 | $13,513 | Patient Assistance | |
| Kent W Small MD | |||||||
| 501 N Orange St | Glendale | CA | 91203 | 201561834 | $92,033 | Patient Assistance | |
| Michael P Sherman MD PHD | |||||||
| 500 Lennon Ln | Walnut Creek | CA | 94598 | 202298787 | $45,322 | Patient Assistance | |
| Urology Specialists of Southern CA File | |||||||
| PO BOX 749267 | LOS ANgeles | CA | 90074 | 203177408 | $21,056 | Patient Assistance | |
| Northern California Cancer Specialists | |||||||
| PO Box 537 | Jackson | CA | 95642 | 203774667 | $17,803 | Patient Assistance | |
| Stockton Hematology Oncology Med Grp | |||||||
| 2626 N California St | Stockton | CA | 95204 | 203850829 | $75,712 | Patient Assistance | |
| VMR Institute A Medical Corporation | |||||||
| 7677 Center Ave | Huntingtn Bch | CA | 92647 | 204532718 | $11,835 | Patient Assistance | |
| Community Oncology Associates | |||||||
| 7257 N Fresno St | Fresno | CA | 93720 | 205740728 | $18,695 | Patient Assistance | |
| Shasta Eye Care Center | |||||||
| 3190 Churn Creek Rd | Redding | CA | 96002 | 205756962 | $15,573 | Patient Assistance | |
| Retina Institute of California - Palm Desert | |||||||
| 100 E California Blvd | Pasadena | CA | 91105 | 205944918 | $6,634 | Patient Assistance | |
| Oncology Institute of Hope and Innovation | |||||||
| 101 E Beverly Blvd | Montebello | CA | 90640 | 208366709 | $50,065 | Patient Assistance | |
| California Retina Consultants | |||||||
| 515 E Micheltorena St | Santa Barbara | CA | 93103 | 223697030 | $85,471 | Patient Assistance | |
| Merla Puray MD | |||||||
| 424 E Yosemite Ave | Merced | CA | 95340 | 260630959 | $6,874 | Patient Assistance | |
| Omid S Shaye MD | |||||||
| 7320 Woodlake Ave | West Hills | CA | 91307 | 262750472 | $9,633 | Patient Assistance | |
| Jack F Jacoub MD Inc | |||||||
| 9940 Talbert Ave | Fountain Valley | CA | 92708 | 262878401 | $34,261 | Patient Assistance | |
| Cancer and Blood Specialty Clinic | |||||||
| 1760 Termino Ave | Long Beach | CA | 90804 | 264394436 | $7,631 | Patient Assistance | |
| Community Foundation Medical | |||||||
| PO Box 28949 | Fresno | CA | 93729 | 270271872 | $5,517 | Patient Assistance | |
| Global Oncology | |||||||
| 600 N Garfield Ave | Monterey Park | CA | 91754 | 271426142 | $32,820 | Patient Assistance | |
| Solano Hematology Oncology | |||||||
| 100 Hospital Dr | Vallejo | CA | 94589 | 272776275 | $9,681 | Patient Assistance | |
| First Choice Physician Partners | |||||||
| PO Box 748263 | Los Angeles | CA | 90074 | 273597066 | $7,637 | Patient Assistance | |
| Genesis Healthcare Partners PC | |||||||
| PO Box 33865 | San Diego | CA | 92163 | 274002793 | $16,182 | Patient Assistance | |
| Mt Diablo Solano Oncology Group | |||||||
| 2571 Park Ave | Concord | CA | 94520 | 274038116 | $43,555 | Patient Assistance | |
| UC San Diego Cancer Ctr | |||||||
| PO Box 749733 | Los Angeles | CA | 90074 | 274440873 | $9,518 | Patient Assistance | |
| City of Hope Glenora | |||||||
| 1502 Arrow Hwy | La Verne | CA | 91750 | 274803222 | $23,260 | Patient Assistance | |
| Valley Retina Associates Medical Group | |||||||
| 16500 Ventura Blvd | Encino | CA | 91436 | 320364437 | $41,072 | Patient Assistance | |
| Cancer Care Associates | |||||||
| 514 N Prospect Ave | Redondo Beach | CA | 90277 | 330004735 | $50,278 | Patient Assistance | |
| Torrance Memorial Phy Network | |||||||
| 514 N Prospect Ave | Redondo Beach | CA | 90277 | 330073515 | $171,436 | Patient Assistance | |
| Sharp-Rees Stealy Medical Center | |||||||
| PO Box 939087 | San Diego | CA | 92123 | 330106028 | $15,992 | Patient Assistance | |
| Kousay Al-Kourainy MD | |||||||
| 480 4th Ave | Chula Vista | CA | 91910 | 330108259 | $55,656 | Patient Assistance | |
| Kuljinder S Grewal MD | |||||||
| 8881 Fletcher Pkwy | La Mesa | CA | 91942 | 330121267 | $5,985 | Patient Assistance | |
| St Jude Medical Group | |||||||
| PO Box 31001-1920 | Pasadena | CA | 91110 | 330185031 | $120,613 | Patient Assistance | |
| California Eye Professionals | |||||||
| 2390 E Florida Ave | Hemet | CA | 92544 | 330196888 | $48,932 | Patient Assistance | |
| Retina Consultants of Orange Co | |||||||
| 301 W Bastanchury Rd | Fullerton | CA | 92835 | 330200279 | $14,800 | Patient Assistance | |
| Southland Hematology Oncology | |||||||
| 25485 Medical Center Dr | Murrieta | CA | 92562 | 330340291 | $11,150 | Patient Assistance | |
| Pacific Shores Medical Group | |||||||
| 1043 Elm Ave | Long Beach | CA | 90813 | 330553940 | $136,163 | Patient Assistance | |
| Cancer Center Oncology Medical Group | |||||||
| 5555 Grossmont Ctr | La Mesa | CA | 91942 | 330565963 | $203,968 | Patient Assistance | |
| Riverside Medical Clinic | |||||||
| 3660 Arlington Ave | Riverside | CA | 92506 | 330587303 | $98,357 | Patient Assistance | |
| Pacific Cancer Medical Ctr | |||||||
| 1801 W Romneya | Anaheim | CA | 92801 | 330588910 | $29,113 | Patient Assistance | |
| Medical Oncology Assoc of San Diego | |||||||
| 3075 Health Center Dr | San Diego | CA | 92123 | 330590652 | $144,338 | Patient Assistance | |
| Southern CA Desert Retina Consultants | |||||||
| 340 S Farrell Dr | Palm Springs | CA | 92262 | 330592019 | $18,355 | Patient Assistance | |
| Hematology Oncology Consultants | |||||||
| 301 N San Jacinto St | Hemet | CA | 92543 | 330643850 | $233,028 | Patient Assistance | |
| Beaver Medical Group | |||||||
| PO Box 2200 | Redlands | CA | 92373 | 330645967 | $58,048 | Patient Assistance | |
| Orange County Retina | |||||||
| 24022 Calle De La Plata | Laguna Hills | CA | 92653 | 330688181 | $29,968 | Patient Assistance | |
| Atlantis Eyecare | |||||||
| 7777 Edinger Ave | Huntingtn Bch | CA | 92647 | 330877936 | $7,375 | Patient Assistance | |
| Retina Consultants of Southern CA | |||||||
| 6840 Indiana Ave | Riverside | CA | 92506 | 330926562 | $45,350 | Patient Assistance | |
| Minch Fong MD Inc | |||||||
| 24953 Paseo De Valencia 25B | LAGUNa Hills | CA | 92653 | 330942301 | $5,550 | Patient Assistance | |
| Compassionate Cancer Care - Fountain Valley | |||||||
| 18111 Brookhurst St | Fountain Valley | CA | 92708 | 383650060 | $42,281 | Patient Assistance | |
| St Anthony Hospital | |||||||
| PO Box 911400 | Pasadena | CA | 91110 | 383769889 | $6,133 | Patient Assistance | |
| Bakersfields Hematology Oncology | |||||||
| 9800 Brimhall Rd | Bakersfield | CA | 93312 | 421727030 | $23,503 | Patient Assistance | |
| S Co Hematology & Oncology | |||||||
| PO Box 210337 | Chula Vista | CA | 91921 | 431986447 | $86,552 | Patient Assistance | |
| Northern California Cancer Center | |||||||
| 1541 Florida Ave | Modesto | CA | 95350 | 452897904 | $14,352 | Patient Assistance | |
| DCHS Medical Foundation Dept 34931 | |||||||
| PO Box 39000 | San Francisco | CA | 94139 | 453691852 | $28,425 | Patient Assistance | |
| Rheumatology Services Office | |||||||
| 3737 San Dimas St | Bakersfield | CA | 93301 | 460910853 | $12,174 | Patient Assistance | |
| Coachella Valley Retina | |||||||
| 72-301 Country Club Dr | Rancho Mirage | CA | 92270 | 463598712 | $5,213 | Patient Assistance | |
| Arthritis Assoc of Southern California | |||||||
| PO Box 843742 | Los Angeles | CA | 90084 | 465412032 | $10,430 | Patient Assistance | |
| Stephen Meffert | |||||||
| 3536 Mendocino Ave | Larkfield | CA | 95403 | 480844445 | $16,505 | Patient Assistance | |
| Patrick J Caskey MD | |||||||
| 3536 Medocino Ave | Santa Rosa | CA | 95403 | 520584319 | $10,930 | Patient Assistance | |
| Thomas Schlesinger MD | |||||||
| 3536 Mendocino Ave | Santa Rosa | CA | 95403 | 522085054 | $16,156 | Patient Assistance | |
| North Bay Vitreoretinal Consultants | |||||||
| 3536 Mendocino Ave | Santa Rosa | CA | 95403 | 522085054 | $8,056 | Patient Assistance | |
| Edward Wagner MD | |||||||
| 25500 Rancho Niguel Rd | Laguna Niguel | CA | 92677 | 557297661 | $60,476 | Patient Assistance | |
| Valley Podiatry Group | |||||||
| 3031 W March Ln | Stockton | CA | 95219 | 611435771 | $5,365 | Patient Assistance | |
| W Craig Lannin DO | |||||||
| 1950 Court St | Redding | CA | 96001 | 680226927 | $5,678 | Patient Assistance | |
| Nutrishare Inc | |||||||
| 9850 Kent St | Elk Grove | CA | 95624 | 680250542 | $38,834 | Patient Assistance | |
| Sierra Hematology Oncology | |||||||
| 6555 Coyle Ave | Carmichael | CA | 95608 | 680305843 | $140,252 | Patient Assistance | |
| Eye Specialists Medical Group | |||||||
| 800 Trancas St | Napa Valley | CA | 94558 | 680408137 | $9,979 | Patient Assistance | |
| Capital Allergy and Respiratory Disease Cente | |||||||
| 1451 Secret Ravine Pkwy | Roseville | CA | 95661 | 680423032 | $11,420 | Patient Assistance | |
| Diablo Valley Oncology | |||||||
| 400 Taylor Blvd | Pleasant Hill | CA | 94523 | 680462651 | $45,016 | Patient Assistance | |
| Southland Hematology Oncology | |||||||
| 201 N Laursen St | Hemet | CA | 92543 | 680581175 | $9,448 | Patient Assistance | |
| St Josephs Hospital and Medical Center File | |||||||
| PO BOX 55845 | LOS ANgeles | CA | 90074 | 721561134 | $10,594 | Patient Assistance | |
| PMK Medical Group Inc | |||||||
| PO Box 51034 | Los Angeles | CA | 90051 | 770311552 | $58,773 | Patient Assistance | |
| Cancer Care Associates | |||||||
| PO Box 25100 | Fresno | CA | 93729 | 770324589 | $277,814 | Patient Assistance | |
| Physicians Plaza Corporation | |||||||
| PO Box 3628 | Bakersfield | CA | 93385 | 770333077 | $106,885 | Patient Assistance | |
| Ravi Patel MD | |||||||
| 6501 Truxtun Ave | Bakersfield | CA | 93309 | 770356364 | $13,049 | Patient Assistance | |
| David L Palchak | |||||||
| PO Box 579 | Pismo Beach | CA | 93448 | 770368079 | $5,878 | Patient Assistance | |
| San Luis Obispo Eye Associates | |||||||
| PO Box 14038 | San Luis Obispo | CA | 93406 | 770410120 | $9,872 | Patient Assistance | |
| CA Cancer Care Medical Group | |||||||
| 1325 Melrose Ave | Modesto | CA | 95350 | 770417435 | $28,551 | Patient Assistance | |
| Eye Surgical and Medical Assoc | |||||||
| 5021 W Noble Ave | Visalia | CA | 93277 | 770511727 | $35,862 | Patient Assistance | |
| Kenneth S Yamamoto MD | |||||||
| 2645 Ocean Ave | San Francisco | CA | 94132 | 770674251 | $8,254 | Patient Assistance | |
| Sequoia Oncology Medical Assoc | |||||||
| 4945 W Cypress Ave | Visalia | CA | 93277 | 810555508 | $136,254 | Patient Assistance | |
| St Alphonsus Med Ctr Nampa | |||||||
| PO Box 31001-1274 | Pasadena | CA | 91110 | 820200896 | $7,477 | Patient Assistance | |
| Northridge Hospital Medical File | |||||||
| PO BOX 8874 | LOS ANGeles | CA | 90074 | 870692258 | $7,258 | Patient Assistance | |
| University of UT | |||||||
| PO Box 511258 | Los Angeles | CA | 90051 | 876000525 | $39,831 | Patient Assistance | |
| Central Hematology & Oncology Medical Group File | |||||||
| 55737 Los | Angeles | CA | 90074 | 900943683 | $6,099 | Patient Assistance | |
| St Francis Hospital | |||||||
| PO Box 31001 | Pasadena | CA | 91110 | 911267921 | $8,076 | Patient Assistance | |
| St Clare Hospital | |||||||
| PO Box 31001 | Pasadena | CA | 91110 | 911487485 | $9,335 | Patient Assistance | |
| Zeiter Eye Medical Group Inc | |||||||
| 225 E Weber Ave | Stockton | CA | 95202 | 911854979 | $7,011 | Patient Assistance | |
| Oncology Assoc of Oregon | |||||||
| PO Box 79045 | City Industry | CA | 91716 | 930746296 | $118,956 | Patient Assistance | |
| Northwest Cancer Specialists | |||||||
| PO Box 79308 | City of Industry | CA | 91716 | 931280206 | $149,420 | Patient Assistance | |
| CA Pacific Medical Center | |||||||
| PO Box 742412 | Los Angeles | CA | 90074 | 940562680 | $5,682 | Patient Assistance | |
| Palo Alto Medical Foundation | |||||||
| PO Box 742791 | Los Angeles | CA | 90074 | 941156581 | $12,404 | Patient Assistance | |
| St Joseph Hospital | |||||||
| PO Box 3101-1982 | Pasadena | CA | 91110 | 941156596 | $17,994 | Patient Assistance | |
| Sutter Health Sacramento Sierra Region | |||||||
| PO Box 160100 | Sacramento | CA | 95816 | 941156621 | $6,739 | Patient Assistance | |
| Kaiser Foundation Health Plan Inc File | |||||||
| PO BOX 50295 | LOS ANgeles | CA | 90074 | 941340523 | $113,763 | Patient Assistance | |
| Enloe Medical Ctr | |||||||
| PO Box 60000 File 74008 | San Francisco | CA | 94160 | 941603784 | $25,127 | Patient Assistance | |
| Sutter Gould Medical Foundation | |||||||
| PO Box 255458 | Sacramento | CA | 95865 | 941682256 | $10,836 | Patient Assistance | |
| Eye Q Vision Care | |||||||
| 7075 N Sharon | Fresno | CA | 93720 | 941717441 | $70,321 | Patient Assistance | |
| Eye Medical Clinic Of Fresno | |||||||
| 1360 E Herdoin | Fresno | CA | 93650 | 942179577 | $6,804 | Patient Assistance | |
| West Coast Retina Medical Group Inc | |||||||
| 1445 Bush St | San Francisco | CA | 94109 | 942275625 | $135,731 | Patient Assistance | |
| Retinal Consultants Med Grp-Sacramento J St | |||||||
| 3939 J St | Sacramento | CA | 95819 | 942442567 | $501,719 | Patient Assistance | |
| Pacific Hematology Oncology Associates | |||||||
| 2100 Webster St | San Francisco | CA | 94115 | 942547219 | $10,839 | Patient Assistance | |
| Valley Medical Oncology Consultants | |||||||
| 5725 W Las Positas | Pleasanton | CA | 94588 | 942599392 | $15,696 | Patient Assistance | |
| David S Cheng MD | |||||||
| 39275 Mission Blvd | Fremont | CA | 94539 | 942614791 | $6,296 | Patient Assistance | |
| Sutter East Bay Medical Foundation | |||||||
| PO Box 255789 | Sacramento | CA | 95865 | 942690415 | $8,223 | Patient Assistance | |
| Retinal Diagnostic Center | |||||||
| 3395 S Bascom Ave | Campbell | CA | 95008 | 942711267 | $6,731 | Patient Assistance | |
| Northern California Retina Vitreous Ass | |||||||
| 2512 Samaritan Ct | San Jose | CA | 95124 | 942906234 | $40,056 | Patient Assistance | |
| Valley Medical Oncology Consul | |||||||
| 5725 W Las Positas Blvd | Pleasanton | CA | 94588 | 942950378 | $51,115 | Patient Assistance | |
| Bay Area Retina Assoc | |||||||
| 122 La Casa Via | Walnut Creek | CA | 94598 | 943064464 | $76,538 | Patient Assistance | |
| Pacific Rheumatology Assoc | |||||||
| 2100 Webster St | San Francisco | CA | 94115 | 943166656 | $6,840 | Patient Assistance | |
| Pacific Eye Associates | |||||||
| 2100 Webster St | San Francisco | CA | 94115 | 943228329 | $17,023 | Patient Assistance | |
| Monterey Bay Oncology | |||||||
| 5 Harris Ct | Monterey | CA | 93940 | 943246234 | $74,969 | Patient Assistance | |
| East Bay Medical Onc-Hema | |||||||
| 4721 Dallas Ranch Rd | Antioch | CA | 94531 | 943306655 | $132,112 | Patient Assistance | |
| City of Hope Hospital | |||||||
| PO Box 30219 | Los Angeles | CA | 90030 | 951683875 | $8,861 | Patient Assistance | |
| Bakersfield Memorial Hospital File | |||||||
| PO BOX 55653 | LOS ANGeles | CA | 90074 | 951802779 | $49,898 | Patient Assistance | |
| Tri City Medical Center | |||||||
| 3617 Vista Way | Oceanside | CA | 92056 | 952126937 | $56,024 | Patient Assistance | |
| Sharp Chula Vista Hospital File | |||||||
| PO BOX 55453 | Los Angeles | CA | 90074 | 952367304 | $7,275 | Patient Assistance | |
| Saddleback Memorial Medical Ctr | |||||||
| PO Box 21789 | Long Beach | CA | 90801 | 952585792 | $6,390 | Patient Assistance | |
| Hematology Oncology Medical Group of Orange C | |||||||
| 1010 W La Veta Ave | Orange | CA | 92868 | 952665069 | $76,623 | Patient Assistance | |
| Wilshire Oncology Medical Group Inc | |||||||
| 1502 Arrow Hwy | La Verne | CA | 91750 | 952754041 | $7,614 | Patient Assistance | |
| Carson McBeath & Boswell Inc | |||||||
| 4300 Longbeach Blvd | Long Beach | CA | 90807 | 952785489 | $12,796 | Patient Assistance | |
| Onco Hema Consultants | |||||||
| PO Box 2870 | Long Beach | CA | 90801 | 952933071 | $9,833 | Patient Assistance | |
| Shapiro Stafford and Yee MD | |||||||
| 622 W Duarte Rd | Arcadia | CA | 91007 | 953036706 | $30,991 | Patient Assistance | |
| Family Pharmacy | |||||||
| 1400 Atlantic Ave | Long Beach | CA | 90813 | 953051620 | $6,686 | Patient Assistance | |
| North County Oncology Medical Clinic | |||||||
| 3617 Vista Way | Oceanside | CA | 92056 | 953083886 | $53,987 | Patient Assistance | |
| Los Alamitos Hematology Oncology Robert A Minnow Mark Janis and Mario Curt | |||||||
| 3801 Katella Ave | Los Alamitos | CA | 90720 | 953184731 | $8,889 | Patient Assistance | |
| Antelope Valley Cancer Center | |||||||
| 44105 15th St W | Lancaster | CA | 93534 | 953275524 | $11,445 | Patient Assistance | |
| Inland Hematology Oncology Med Grp Inc | |||||||
| 401 C E Highland Ave | San Bernardino | CA | 92404 | 953285720 | $31,500 | Patient Assistance | |
| Desert Hematology Oncology Med Group | |||||||
| 39800 Bob Hope Dr | Rancho Mirage | CA | 92270 | 953300691 | $39,012 | Patient Assistance | |
| San Diego Oncology Medical Clinic | |||||||
| 7930 Frost St | San Diego | CA | 92123 | 953302834 | $7,365 | Patient Assistance | |
| Edward R Alexson MD | |||||||
| 1100 N Tustin Ave | North Tustin | CA | 92705 | 953416703 | $11,712 | Patient Assistance | |
| Pacific Coast Hematology Oncology Med Grp | |||||||
| 18111 Brookhurst St | Fountain Valley | CA | 92708 | 953431486 | $6,701 | Patient Assistance | |
| Retina Consultants of San Diego | |||||||
| 12630 Monte Vista Rd | Poway | CA | 92064 | 953511595 | $67,199 | Patient Assistance | |
| Urology Assoc of San Luis Obispo | |||||||
| 3599 Sueldo St | SAn Luis Obispo | CA | 93401 | 953652616 | $5,419 | Patient Assistance | |
| Encinitas Podiatry Group | |||||||
| 2 501 N El Camoino Real 201 | Encinitas | CA | 92024 | 953674218 | $5,152 | Patient Assistance | |
| Retina Vitreous Medical Group FILE | |||||||
| PO BOX 51006 | LOS ANGEles | CA | 90074 | 953699305 | $39,930 | Patient Assistance | |
| East Valley HematologyOncology | |||||||
| 2601 W Alameda Ave | Burbank | CA | 91505 | 953738680 | $6,582 | Patient Assistance | |
| Sharp Memorial Hosp File | |||||||
| PO BOX 55440 | Los Angeles | CA | 90074 | 953782169 | $12,672 | Patient Assistance | |
| Desert Medical Grp | |||||||
| 275 N El Cielo Rd | Palm Springs | CA | 92262 | 953898275 | $27,526 | Patient Assistance | |
| Hematology Oncology Consultants | |||||||
| 7301 Medical Center Dr | West Hills | CA | 91307 | 954193121 | $11,757 | Patient Assistance | |
| Facey Medical Group File | |||||||
| PO BOX 50670 | LOS ANgeles | CA | 90074 | 954322584 | $76,668 | Patient Assistance | |
| Los Angeles Hematology Oncology Med Group | |||||||
| 1245 Wilshire Blvd | Los Angeles | CA | 90017 | 954332724 | $62,709 | Patient Assistance | |
| UC Regents of Los Angeles File | |||||||
| 55737 | Los Angeles | CA | 90074 | 954373071 | $32,823 | Patient Assistance | |
| California Hematology Oncology Med | |||||||
| 3440 W Lomita Blvd | Torrance | CA | 90505 | 954400055 | $21,657 | Patient Assistance | |
| UCLA Urology Clinic | |||||||
| 200 Medical Plz | Los Angeles | CA | 90024 | 954544776 | $41,981 | Patient Assistance | |
| IV League Inc | |||||||
| 6076 Bristol Pkwy | Culver City | CA | 90230 | 954713173 | $6,014 | Patient Assistance | |
| Santa Monica Hematology Oncology | |||||||
| 2021 Santa Monica Blvd | Santa Monica | CA | 90404 | 954734195 | $21,128 | Patient Assistance | |
| Sansum Clinic | |||||||
| PO Box 62106 | Santa Barbara | CA | 93160 | 956419205 | $34,859 | Patient Assistance | |
| Fort Collins Neurology PC | |||||||
| 2121 E Harmony Rd | Fort Collins | CO | 80528 | 010756615 | $30,059 | Patient Assistance | |
| Medical Center of The Rockies | |||||||
| PO Box 20060 | Fort Collins | CO | 80522 | 043730045 | $17,107 | Patient Assistance | |
| Insight Retina Consultants | |||||||
| 125 Inverness Dr E | Englewood | CO | 80112 | 141891602 | $37,037 | Patient Assistance | |
| Front Range Cancer Specialists | |||||||
| 2315 E Harmony Rd | Fort Collins | CO | 80528 | 201989197 | $35,151 | Patient Assistance | |
| Colorado Retina Associates PC | |||||||
| PO Box 17949 | Denver | CO | 80217 | 203288374 | $556,030 | Patient Assistance | |
| Mountain Blue Cancer Care Center | |||||||
| 400 Indiana St | Golden | CO | 80401 | 270834513 | $7,104 | Patient Assistance | |
| CCCRIC LLC | |||||||
| 799 E Hampden Ave | Englewood | CO | 80113 | 463256586 | $18,520 | Patient Assistance | |
| Denver Neurological Clinic Professional | |||||||
| 950 E Harvard Ave | Denver | CO | 80210 | 593810010 | $5,656 | Patient Assistance | |
| Advanced Neurological of Colorado LLC | |||||||
| 2121 E Harmony Rd | Fort Collins | CO | 80528 | 680562419 | $21,555 | Patient Assistance | |
| National Jewish Health Hospital | |||||||
| PO Box 17379 | Denver | CO | 80217 | 742044647 | $63,136 | Patient Assistance | |
| Omni Eye Specialists | |||||||
| 55 Madison St | Denver | CO | 80206 | 760762560 | $35,017 | Patient Assistance | |
| San Luis Regional Valley Medical Center | |||||||
| 106 Blanca Ave | Alamosa | CO | 81101 | 840255530 | $8,310 | Patient Assistance | |
| St Mary's Hospital & Medical Ctr | |||||||
| PO Box 62 | Grand Jct | CO | 81502 | 840425720 | $7,589 | Patient Assistance | |
| Cypress Hematology & Oncology | |||||||
| 9399 Crown Crest Blvd | Parker | CO | 80138 | 840438224 | $64,305 | Patient Assistance | |
| Kaiser Permanente | |||||||
| 2500 S Havana St | Aurora | CO | 80014 | 840591617 | $110,073 | Patient Assistance | |
| Kaiser Permanente | |||||||
| 1375 E 20th Ave | Denver | CO | 80205 | 840591917 | $25,293 | Patient Assistance | |
| Urological Associates | |||||||
| 75 Printers Pkwy | COLORado Springs | CO | 80910 | 840594105 | $5,277 | Patient Assistance | |
| Colorado Springs Neurology | |||||||
| 2312 N Nevada Ave | Colorado Springs | CO | 80907 | 840595576 | $24,122 | Patient Assistance | |
| Denver Eye Surgeons PC | |||||||
| 13772 Denver W Pkwy | Lakewood | CO | 80401 | 840611079 | $24,315 | Patient Assistance | |
| The Urology Ctr of Colorado | |||||||
| PO Box 172626 | Denver | CO | 80217 | 840611814 | $14,120 | Patient Assistance | |
| Eye Center of N Colorado | |||||||
| 1725 E Prospect Rd | Fort Collins | CO | 80525 | 840675076 | $15,927 | Patient Assistance | |
| Denver Arthritis Clinic | |||||||
| 200 Spruce St | Denver | CO | 80230 | 840717541 | $9,082 | Patient Assistance | |
| McKee Medical Center | |||||||
| PO Box 2148 | Greeley | CO | 80632 | 840826332 | $9,950 | Patient Assistance | |
| Kaiser Foundation Health Plan | |||||||
| PO Box 1603 | Denver | CO | 80271 | 840832336 | $30,263 | Patient Assistance | |
| Colorado West Ophthalmology | |||||||
| 1800 E Pavilion Pl | Montrose | CO | 81401 | 840851676 | $11,046 | Patient Assistance | |
| Southern CO Clinic | |||||||
| PO Box 9000 | Pueblo | CO | 81008 | 841074070 | $9,374 | Patient Assistance | |
| Exempla Lutheren Medical Center Attn Peggy Schmitzer | |||||||
| 8300 W 38th Ave | WHEAT RIDGE | CO | 80033 | 841103606 | $5,377 | Patient Assistance | |
| Front Range Radiation Oncology | |||||||
| 3464 S Willow St | Denver | CO | 80231 | 841110776 | $10,191 | Patient Assistance | |
| Retina Consultants | |||||||
| 2770 N Union Blvd | Colorado Springs | CO | 80909 | 841145709 | $156,566 | Patient Assistance | |
| Kirk Eye Center | |||||||
| 3650 E 15th St | Loveland | CO | 80538 | 841171475 | $7,648 | Patient Assistance | |
| Poudre Valley Hospital | |||||||
| PO Box 20060 | Fort Collins | CO | 80522 | 841262971 | $42,238 | Patient Assistance | |
| Mile-HI Neurology Services PC | |||||||
| 9399 Crown Crescent Blvd | Parker | CO | 80138 | 841301126 | $7,684 | Patient Assistance | |
| Eye Care Center of Northern CO PC | |||||||
| 1400 Dry Creek Dr | Longmont | CO | 80503 | 841355429 | $88,258 | Patient Assistance | |
| James Singleton MD | |||||||
| 206 W County Line Rd | Highlands Ranch | CO | 80129 | 841438179 | $5,238 | Patient Assistance | |
| Four Corners Eye | |||||||
| 4 Corners Eye Clinic 575 Rivergate | Durango | CO | 81122 | 841444226 | $5,491 | Patient Assistance | Ln |
| Presbyterian Hospital | |||||||
| Dept 1570 | Denver | CO | 80291 | 850105601 | $31,574 | Patient Assistance | |
| Robert A Wiznia MD | |||||||
| 850 Howard Ave | New Haven | CT | 06519 | 042343389 | $6,280 | Patient Assistance | |
| Danbury Hospital | |||||||
| PO Box 5153 | Stamford | CT | 06904 | 060646597 | $15,033 | Patient Assistance | |
| Yale New Haven Hospital | |||||||
| PO Box 1403 | New Haven | CT | 06505 | 060646652 | $7,419 | Patient Assistance | |
| Lawrence & Memorial Hospital Cancer Center | |||||||
| PO Box 1471 | New London | CT | 06320 | 060646704 | $5,943 | Patient Assistance | |
| Med Specialist of Fairfield | |||||||
| 425 Post Rd | Fairfield | CT | 06824 | 060867105 | $19,546 | Patient Assistance | |
| Oncology Associates | |||||||
| 300 Hebron Ave | Glastonbury | CT | 06033 | 060876496 | $5,127 | Patient Assistance | |
| Urology Specialists PC | |||||||
| 1579 Straits Turnkpike | Middlebury | CT | 06762 | 060881828 | $11,000 | Patient Assistance | |
| Danbury Eye Physicians and Surgeons PC | |||||||
| 69 Sand Pit Rd | Danbury | CT | 06810 | 060945561 | $10,895 | Patient Assistance | |
| Retina Consultants PC | |||||||
| 191 Main St | Manchester | CT | 06041 | 060968937 | $115,838 | Patient Assistance | |
| Connecticut Oncology Group | |||||||
| 536 Saybrook Rd | Middletown | CT | 06457 | 061008486 | $39,538 | Patient Assistance | |
| Medical Oncology and Blood Disorders | |||||||
| 43 Woodland St | Hartford | CT | 06105 | 061021367 | $21,212 | Patient Assistance | |
| Eye Physicians and Surgeons PC - Milford | |||||||
| 202 Cherry St | Milford | CT | 06460 | 061065050 | $5,883 | Patient Assistance | |
| Richard Weber MD | |||||||
| 1275 Summer St | Stamford | CT | 06905 | 061191494 | $7,314 | Patient Assistance | |
| New England Retina Assoc | |||||||
| 2200 Whitney Ave | Hamden | CT | 06518 | 061414890 | $27,546 | Patient Assistance | |
| Mt Sinai Hospital | |||||||
| 490 Blue Hills Ave | Hartford | CT | 06112 | 061422973 | $6,456 | Patient Assistance | |
| CT Multispecialty Group PC | |||||||
| 100 Retreat Ave | Hartford | CT | 06106 | 061440790 | $53,832 | Patient Assistance | |
| Betty Klein MD PC | |||||||
| 57 North St | Danbury | CT | 06810 | 061550121 | $6,173 | Patient Assistance | |
| Connecticut Retina Consultants | |||||||
| 46 Prince St | New Haven | CT | 06519 | 061569126 | $43,772 | Patient Assistance | |
| Eye Physicians | |||||||
| 1207 N Scott St | Wilmington | DE | 19806 | 251207879 | $113,747 | Patient Assistance | |
| Bayhealth Medical Center | |||||||
| 640 S State St | Dover | DE | 19901 | 510064318 | $11,635 | Patient Assistance | |
| Christiana Care Health Services Inc | |||||||
| PO Box 2653 | Wilmington | DE | 19805 | 510103684 | $8,641 | Patient Assistance | |
| Urology Associates of Dover | |||||||
| 200 Banning St | Dover | DE | 19904 | 510115385 | $8,830 | Patient Assistance | |
| Regional Hematology & Oncology PA | |||||||
| 4701 Ogletown Stanton Rd | Newark | DE | 19713 | 510263837 | $14,001 | Patient Assistance | |
| Delaware Eye Institute | |||||||
| 18791 John J Williams | dewey beach | DE | 19971 | 510324524 | $8,911 | Patient Assistance | |
| CNMRI | |||||||
| 1074 S State St | Dover | DE | 19901 | 510337943 | $11,976 | Patient Assistance | |
| Asthma and Allergy Care of DE | |||||||
| 1941 Limestone Rd | Wilmington | DE | 19808 | 510362371 | $6,115 | Patient Assistance | |
| Advanced Eye Care | |||||||
| 213 Greenhill Ave | Elsmere | DE | 19805 | 510371133 | $7,102 | Patient Assistance | |
| Medical Oncology Hematology Consultants PA | |||||||
| 4701 Ogletown-Stanton Rd | Newark | DE | 19713 | 510384913 | $66,771 | Patient Assistance | |
| Matthew Taub MD | |||||||
| 601 N Flamingo Rd | Hollywood | FL | 33028 | 020673693 | $8,535 | Patient Assistance | |
| Cancer Care of N FL | |||||||
| PO Box 1642 | Lake City | FL | 32056 | 061641228 | $34,157 | Patient Assistance | |
| Ocala Cancer Institute Inc | |||||||
| 2820 SE 3rd Ct | Ocala | FL | 34471 | 061720582 | $22,337 | Patient Assistance | |
| Retina Health Ctr | |||||||
| 1567 Hayley Ln | Fort Myers | FL | 33907 | 161625376 | $201,140 | Patient Assistance | |
| Central FL Retina Institute PA | |||||||
| 2202 Lakeland Hills Blvd | Lakeland | FL | 33805 | 200092126 | $88,220 | Patient Assistance | |
| Arthritis & Rheumatology Assoc of Palm Beach | |||||||
| 1515 N Flager Dr | West Palm Beach | FL | 33401 | 200468264 | $13,056 | Patient Assistance | |
| Retina and Macula Consultants | |||||||
| 2400 S McCall Rd | Englewood | FL | 34224 | 201327973 | $88,063 | Patient Assistance | |
| Ocala Infectious Disease and Wound Ctr | |||||||
| 2651 SW 32nd Pl | Ocala | FL | 34471 | 201422124 | $11,027 | Patient Assistance | |
| Retina Associates of Coral Springs PA | |||||||
| 1881 N University Dr | Coral Springs | FL | 33071 | 201442781 | $43,815 | Patient Assistance | |
| Oncology Hematology Radiation LLC | |||||||
| PO Box 864381 | Orlando | FL | 32886 | 202627516 | $19,320 | Patient Assistance | |
| Arizona Rad Ther Mgmt Services | |||||||
| PO Box 863571 | Reddick | FL | 32686 | 202743876 | $10,844 | Patient Assistance | |
| Marion Heart Center | |||||||
| 1040 SW 2nd Ave | Ocala | FL | 34474 | 203316494 | $20,499 | Patient Assistance | |
| Asthma and Allergy Specialists of N FL- Wests | |||||||
| PO Box 54008 | Jacksonville | FL | 32245 | 203722480 | $5,653 | Patient Assistance | |
| Jay Avashier MD PA | |||||||
| 131 Patterson Rd | Haines City | FL | 33844 | 204268031 | $5,740 | Patient Assistance | |
| Florida Medical Specialists | |||||||
| PO Box 850001 | Orlando | FL | 32885 | 205283786 | $25,874 | Patient Assistance | |
| Retina Care Specialists | |||||||
| 3399 Pga Blvd | Palm Beach Gardens | FL | 33410 | 208005671 | $21,162 | Patient Assistance | |
| Southern Vitreoretinal Assoc | |||||||
| 2439 Care Dr | Tallahassee | FL | 32308 | 208515285 | $482,326 | Patient Assistance | |
| Cancer Treatment Services Arizona LLC | |||||||
| PO Box 864965 | Orlando | FL | 32886 | 208741316 | $47,850 | Patient Assistance | |
| 21st Century Oncology | |||||||
| 3599 University Blvd | Jacksonville | FL | 32216 | 208754308 | $390,586 | Patient Assistance | |
| Urology Specialists of West Florida | |||||||
| 430 Morton Plant St | Clearwater | FL | 33756 | 261087759 | $5,612 | Patient Assistance | |
| Sarasota Retina Institute | |||||||
| 3400 Bee Ridge Rd | Pinecraft | FL | 34239 | 261431864 | $81,978 | Patient Assistance | |
| Cancer Center of S Florida | |||||||
| 4801 S Congress Ave | Lake Worth | FL | 33461 | 261666272 | $70,372 | Patient Assistance | |
| Woodlands Medical Specialists PA | |||||||
| 1717 N E St | Pensacola | FL | 32501 | 261802830 | $89,006 | Patient Assistance | |
| South Florida Medicine | |||||||
| PO Box 107 | Stuart | FL | 34995 | 270186002 | $52,755 | Patient Assistance | |
| New Vision Eye Ctr | |||||||
| 777 37th St D103 | vero beach | FL | 32960 | 270354278 | $28,445 | Patient Assistance | |
| Macula Diabetic & Eye Center | |||||||
| 4916 26th St W | Bradenton | FL | 34207 | 270671710 | $13,374 | Patient Assistance | |
| Pain and Spine Centers of FL | |||||||
| 2146 Vindale Rd | Deer Island | FL | 32778 | 272618053 | $20,127 | Patient Assistance | |
| James Powers DO | |||||||
| 2002 Coffee Pot Blvd NE St | Petersburg | FL | 33704 | 300183763 | $24,140 | Patient Assistance | |
| Capital Eye Consultants | |||||||
| 2280 Wednesday St | Tallahassee | FL | 32308 | 320103477 | $7,287 | Patient Assistance | |
| Fort Lauderdale Eye Institute | |||||||
| PO Box 39209 | Fort Lauderdale | FL | 33339 | 352308681 | $23,221 | Patient Assistance | |
| Oncology Plus Incorporated | |||||||
| 1070 E Brandon Blvd | Brandon | FL | 33511 | 364435924 | $142,235 | Patient Assistance | |
| FL Retina & Vitreous Center | |||||||
| 1170 S Semoran Blvd | Azalea Park | FL | 32807 | 371476323 | $10,739 | Patient Assistance | |
| FL Neurology Grp | |||||||
| 12670 Whitehall Dr | Fort Myers | FL | 33907 | 383665912 | $17,651 | Patient Assistance | |
| Suncoast Retina Consult LLC | |||||||
| 3280 N McMullen Booth Rd | Clearwater | FL | 33761 | 412104585 | $11,560 | Patient Assistance | |
| Central Florida Eye Institute | |||||||
| 3133 SW 32nd Ave | Ocala | FL | 34474 | 421621290 | $30,550 | Patient Assistance | |
| Advanced Care Scripts Dept # 862 | |||||||
| PO Box 850001 | Orlando | FL | 32885 | 432080503 | $7,946 | Patient Assistance | |
| Central Florida Cancer & Blood Ctr | |||||||
| PO Box 1988 | Ocala | FL | 34478 | 453262814 | $12,563 | Patient Assistance | |
| Retna Care Consultants PA | |||||||
| 2401 University Pkwy | Sarasota | FL | 34243 | 454893062 | $10,576 | Patient Assistance | |
| Hematology Oncology Solutions of Tallahassee | |||||||
| 2617 Mitcham Dr | Tallahassee | FL | 32308 | 455170842 | $30,735 | Patient Assistance | |
| Cancer Specialists of Fl St Vincent | |||||||
| 2 Shircliff Way | Jacksonville | FL | 32204 | 455523028 | $480,555 | Patient Assistance | |
| Health First Medical Group LLC | |||||||
| 1223 Gateway Dr | Melbourne | FL | 32901 | 461243081 | $230,216 | Patient Assistance | |
| Miami Hematology and Oncology Associates LLC | |||||||
| 1521 Alton Rd | Miami Beach | FL | 33139 | 461569678 | $32,705 | Patient Assistance | |
| Retina Macula Specialists of Miami | |||||||
| 351 NW 42nd Ave | Miami | FL | 33126 | 461758367 | $96,875 | Patient Assistance | |
| Clermont Cancer Center | |||||||
| PO Box 919470 | Orlando | FL | 32891 | 465180824 | $11,267 | Patient Assistance | |
| Ocala Oncology | |||||||
| 433 SW 10th St | Ocala | FL | 34474 | 470872321 | $278,983 | Patient Assistance | |
| Bethel Blood and Cancer | |||||||
| 3256 S Pine Ave | Ocala | FL | 34471 | 471203467 | $149,199 | Patient Assistance | |
| Mount Sinai Medical Center | |||||||
| PO Box 403429 | Miami | FL | 33140 | 590624424 | $7,077 | Patient Assistance | |
| Sacred Heart Hospital | |||||||
| PO Box 2728 | Pensacola | FL | 32513 | 590634434 | $190,864 | Patient Assistance | |
| Martin Memorial Cancer Center Infusion | |||||||
| 501 E Osceola St 3rd Fl 302 | Stuart | FL | 34994 | 590637874 | $7,298 | Patient Assistance | |
| Watson Clinic | |||||||
| 1550 Lakeland Hills Blvd | Lakeland | FL | 33805 | 590704934 | $166,519 | Patient Assistance | |
| Florida Hospital | |||||||
| PO Box 862304 | Orlando | FL | 32856 | 590724459 | $155,751 | Patient Assistance | |
| Boca Raton Regional Hosp | |||||||
| 801 Meadows Rd | Boca Raton | FL | 33486 | 591006663 | $16,784 | Patient Assistance | |
| St Lukes Cataract & Laser Inst | |||||||
| PO Box 918926 | Orlando | FL | 32891 | 591224512 | $22,595 | Patient Assistance | |
| Gorovoy MD Eye Specialist | |||||||
| 12381 S Cleveland Ave | Fort Myers | FL | 33907 | 591261243 | $10,338 | Patient Assistance | |
| Ocala Eye PA | |||||||
| 1500 SE Magnolia Ext | Ocala | FL | 34471 | 591363248 | $37,785 | Patient Assistance | |
| Eye Associates of Boca Raton | |||||||
| 950 NW 13th St | Boca Raton | FL | 33486 | 591403353 | $13,507 | Patient Assistance | |
| Gessler Clinic | |||||||
| 635 First St N | Winter Haven | FL | 33881 | 591407610 | $6,931 | Patient Assistance | |
| FL Eye Clinic | |||||||
| 160 Boston Ave | Altamonte Springs | FL | 32701 | 591493386 | $11,511 | Patient Assistance | |
| Mallis Pautler CohenBilliris MDs PA | |||||||
| 2705 W Saint Isabel St | Tampa | FL | 33607 | 591501675 | $158,156 | Patient Assistance | |
| Medical Specialists of Ft Lauderdale | |||||||
| 8395 W Oakland Park Blvd | Fort Lauderdale | FL | 33351 | 591593999 | $6,189 | Patient Assistance | |
| Allergy Asthma Associates | |||||||
| 11880 SW 40th St | Olympia Hgts | FL | 33175 | 591632544 | $5,973 | Patient Assistance | |
| Florida Eye Microsurgical Inst | |||||||
| 1717 Woolbright Rd | Boynton Beach | FL | 33426 | 591675396 | $16,833 | Patient Assistance | |
| Orlando Regional Healthcare Syst | |||||||
| PO Box 620000 | Orlando | FL | 32891 | 591726273 | $18,103 | Patient Assistance | |
| Sarasota Arthritis Center | |||||||
| 1945 Versailles St | Sarasota | FL | 34239 | 591842511 | $7,267 | Patient Assistance | |
| Clay Eye Physicians and Surgeons | |||||||
| 2023 Professional Center Dr | Orange Park | FL | 32073 | 591910113 | $5,721 | Patient Assistance | |
| Stuart Oncology Associates | |||||||
| 501 E Osceola St | Stuart | FL | 34994 | 592003116 | $92,898 | Patient Assistance | |
| Florida Retina Institute | |||||||
| 2639 Oak St | Jacksonville | FL | 32204 | 592009089 | $100,916 | Patient Assistance | |
| Mid Florida Hematoloy Oncology Centers PA | |||||||
| 2776 Entereprise Rd | Orange City | FL | 32763 | 592021436 | $6,327 | Patient Assistance | |
| Vitreo & Retina Assoc | |||||||
| 4340 Newberry Rd | Gainesville | FL | 32607 | 592046817 | $71,101 | Patient Assistance | |
| Retina Consultants of SW FL | |||||||
| 6901 International Center Blvd | Fort Myers | FL | 33912 | 592086792 | $154,001 | Patient Assistance | |
| Hematology Oncology Consultants | |||||||
| 2501 N Orange Ave | Orlando | FL | 32804 | 592109057 | $172,832 | Patient Assistance | |
| Roberto Araujo MD | |||||||
| 3000 US Highway 19 | Holiday | FL | 34691 | 592109527 | $50,371 | Patient Assistance | |
| DCI - Shands Jacksonville | |||||||
| PO Box 862385 | Orlando | FL | 32886 | 592142859 | $38,240 | Patient Assistance | |
| W FL Medical Center | |||||||
| 8201 University Pkwy | Pensacola | FL | 32524 | 592193856 | $5,143 | Patient Assistance | |
| Elliot Cooperman | |||||||
| 311 E Evans St | Orlando | FL | 32804 | 592217678 | $7,704 | Patient Assistance | |
| Retina Associates of Sarasota | |||||||
| 3920 Bee Ridge Rd | Sarasota | FL | 34233 | 592248237 | $26,891 | Patient Assistance | |
| The Retina Intstitute | |||||||
| 1955 1st Ave N | Saint Petersburg | FL | 33713 | 592293329 | $15,243 | Patient Assistance | |
| Sarasota Infectious Diseases Associates | |||||||
| 1425 S Oeprey Ave | Sarasota | FL | 34239 | 592319380 | $9,574 | Patient Assistance | |
| Fier Eye Care | |||||||
| 1441 E Ocean Blvd | Stuart | FL | 34996 | 592419893 | $6,729 | Patient Assistance | |
| Monnett Eye Center | |||||||
| 14410 US Highway 1 | Sebastian | FL | 32958 | 592437346 | $6,592 | Patient Assistance | |
| 21st Century Oncology | |||||||
| PO Box 862152 | Orlando | FL | 32886 | 592485899 | $88,553 | Patient Assistance | |
| Florida Eye Institute | |||||||
| 2750 Indian River Blvd | Vero Beach | FL | 32960 | 592511162 | $6,025 | Patient Assistance | |
| UMDC-Dept of Opthalmology | |||||||
| PO Box 025809 | Miami | FL | 33102 | 592579838 | $22,451 | Patient Assistance | |
| Retinal Eye Care Assoc | |||||||
| 4175 S Congress Ave | Lake Worth | FL | 33461 | 592642150 | $18,497 | Patient Assistance | |
| Allergy Associates | |||||||
| 6294 1st Ave N | Saint Petersburg | FL | 33710 | 592643611 | $9,583 | Patient Assistance | |
| Center for Sight | |||||||
| 1360 E Venice Ave | Venice | FL | 34285 | 592691910 | $32,059 | Patient Assistance | |
| Retina Associates of FL | |||||||
| 602 S Macdill Ave | Tampa | FL | 33609 | 592695288 | $93,158 | Patient Assistance | |
| Ophtalmic Consultants | |||||||
| 1700 S Tuttle Ave | Sarasota | FL | 34239 | 592726035 | $43,310 | Patient Assistance | |
| Cape Coral Eye Ctr | |||||||
| PO Box 101466 | Cape Coral S | FL | 33910 | 592729764 | $12,490 | Patient Assistance | |
| Mid Florida Eye Center | |||||||
| 17560 Highway 441 | Mount Dora | FL | 32757 | 592848302 | $6,312 | Patient Assistance | |
| Emerald Coast Cancer Center | |||||||
| 1024 Mar Walt Dr | Fort Walton Beach | FL | 32547 | 592877531 | $71,820 | Patient Assistance | |
| East Florida Eye Institute | |||||||
| PO Box 896 | Stuart | FL | 34995 | 592936142 | $13,727 | Patient Assistance | |
| Bay Oncology Center | |||||||
| 2614 Jenks Ave | Panama City | FL | 32405 | 592980557 | $9,296 | Patient Assistance | |
| Vitreous and Retina Consultants | |||||||
| 250 Ave K SW | Winter Haven | FL | 33880 | 593028408 | $132,167 | Patient Assistance | |
| Center for Sight Inc | |||||||
| 6190 N Davis Hwy | Pensacola | FL | 32504 | 593037958 | $38,852 | Patient Assistance | |
| Gulf Coast Medical Center | |||||||
| 11528 US Highway 19 | Port Richey | FL | 34668 | 593104080 | $6,592 | Patient Assistance | |
| James H Guildford MD | |||||||
| 1500 N Dixie Hightway | West Palm Beach | FL | 33401 | 593112172 | $15,026 | Patient Assistance | |
| Florida Medical Clinic | |||||||
| 38135 Market Sq | Zephyrhills | FL | 33542 | 593156212 | $28,303 | Patient Assistance | |
| Cancer Care Centers of Brevard | |||||||
| 107 Longwood Ave | Rockledge | FL | 32955 | 593169766 | $199,144 | Patient Assistance | |
| Omni Healthcare | |||||||
| 95 Bulldog Blvd | Melbourne | FL | 32901 | 593169815 | $9,813 | Patient Assistance | |
| Florida Foot and Ankle Group | |||||||
| 522 S Hunt Club Blvd | Apopka | FL | 32703 | 593183245 | $10,862 | Patient Assistance | |
| FL Hospital Medical Group | |||||||
| 894 E Altamonte Dr | Altamonte Springs | FL | 32701 | 593214635 | $132,133 | Patient Assistance | |
| Orlick Berger Kasper MD PA | |||||||
| 5800 49th St N | Saint Petersburg | FL | 33709 | 593219393 | $78,716 | Patient Assistance | |
| Bay Arena Retina Consults | |||||||
| 505 Druid Rd E | Belleair | FL | 33756 | 593223355 | $41,949 | Patient Assistance | |
| Asthma Allergy Specialists | |||||||
| 661 E Altamonte Dr | Altamonte Springs | FL | 32701 | 593228573 | $6,649 | Patient Assistance | |
| H Lee Moffit Cancer Center | |||||||
| 12902 Magnolia Dr | Tampa | FL | 33612 | 593235634 | $6,636 | Patient Assistance | |
| H Lee Moffitt Cancer Ctr | |||||||
| 12902 Magnolia Dr | Tampa | FL | 33613 | 593238634 | $45,274 | Patient Assistance | |
| Cancer Care Center of Brevard | |||||||
| 107 Longwood Ave | Rockledge | FL | 32955 | 593268119 | $185,135 | Patient Assistance | |
| Rakesh Rohatgi MD | |||||||
| 321 SE 29th Pl | Ocala | FL | 34471 | 593329469 | $10,738 | Patient Assistance | |
| Mayo Clinic | |||||||
| 4500 San Pablo Rd | Jacksonville | FL | 32224 | 593337028 | $10,596 | Patient Assistance | |
| Magruder Eye Institute | |||||||
| 1911 N Mills Ave | Orlando | FL | 32803 | 593347759 | $34,287 | Patient Assistance | |
| Medical Associates of Brevard | |||||||
| 2290 W Eau Gallie Blvd | Melbourne | FL | 32935 | 593360315 | $66,648 | Patient Assistance | |
| Pinellas Hematology & Oncology PA | |||||||
| 5000 Park St N | Saint Petersburg | FL | 33709 | 593363610 | $274,856 | Patient Assistance | |
| Space Coast Medical Associates LLC | |||||||
| 490 N Washington Ave | Titusville | FL | 32796 | 593369134 | $189,844 | Patient Assistance | |
| Florida Eye Consultants | |||||||
| 1995 W Nasa Blvd | West Melbourne | FL | 32904 | 593395074 | $86,066 | Patient Assistance | |
| Tampa Eye Clinic | |||||||
| 3000 W Mlk Blvd | Tampa | FL | 33607 | 593395383 | $18,030 | Patient Assistance | |
| The Eye Institute of West Florida | |||||||
| 148 13th St SW | Largo | FL | 33770 | 593400241 | $7,238 | Patient Assistance | |
| Ophthalmic Partners | |||||||
| 111 N Orange Ave Suite 110 | Orlando | FL | 32801 | 593419924 | $28,957 | Patient Assistance | |
| Brandon Eye Associates | |||||||
| 1463 Oakfield Dr | Brandon | FL | 33511 | 593479312 | $11,581 | Patient Assistance | |
| Florida Eye Center | |||||||
| 13602 N 46th St | Tampa | FL | 33613 | 593480874 | $16,703 | Patient Assistance | |
| Retina Specialty Institute | |||||||
| 5150 N Davis Hwy | Pensacola | FL | 32503 | 593482386 | $259,521 | Patient Assistance | |
| West Coast Gynecologic Oncology | |||||||
| 1005 Pinellas St | Clearwater | FL | 33756 | 593581013 | $7,203 | Patient Assistance | |
| Southeast Eye Institute | |||||||
| 9375 66th St N | Pinellas Park | FL | 33782 | 593587472 | $54,463 | Patient Assistance | |
| Frank W Bowden MD | |||||||
| 7205 Bonneveal Rd | Jacksonville | FL | 32256 | 593665608 | $6,105 | Patient Assistance | |
| Hematology Oncology Assoc of Boca Raton | |||||||
| 9980 Central Park Blvd | Boca Raton | FL | 33428 | 593694470 | $17,680 | Patient Assistance | |
| David Dresdner MD PA | |||||||
| 603 7th St S | Saint Petersburg | FL | 33701 | 593695009 | $37,248 | Patient Assistance | |
| Space Coast Rheumatology | |||||||
| 40 Fortenberry Rd | Merritt Island | FL | 32952 | 593720851 | $11,357 | Patient Assistance | |
| Halifax Medical Center | |||||||
| 303 N Clyde Morris Blvd | Daytona Beach | FL | 32114 | 596001217 | $47,994 | Patient Assistance | |
| Sarasota Memorial Hospital | |||||||
| PO Box 863413 | Orlando | FL | 32886 | 596012500 | $6,778 | Patient Assistance | |
| Cleveland Clinic Florida Nonprofit Corp | |||||||
| 2950 Cleveland Clinic Blvd | Weston | FL | 33331 | 650003177 | $47,406 | Patient Assistance | |
| Retina Group of FL | |||||||
| 6333 N Federal Hwy | Ft Lauderdale | FL | 33308 | 650017482 | $526,572 | Patient Assistance | |
| The Eye Associates of Manatee LLP | |||||||
| 6002 Pointe West Blvd | Bradenton | FL | 34209 | 650105559 | $177,982 | Patient Assistance | |
| Jack Daubert MD PA | |||||||
| 1050 SE Monterey Rd | Stuart | FL | 34994 | 650361157 | $10,687 | Patient Assistance | |
| Manatee Sarosota Eye Clinic | |||||||
| 217 Manatee Ave E | Bradenton | FL | 34208 | 650425039 | $28,290 | Patient Assistance | |
| Hematology Oncology Associates | |||||||
| 2300 S Congress Ave | Boynton Beach | FL | 33426 | 650539792 | $114,949 | Patient Assistance | |
| Eye Physicans of Florida | |||||||
| PO Box 39209 | Fort Lauderdale | FL | 33339 | 650560968 | $6,311 | Patient Assistance | |
| South Florida Oncology Hematology Consultants | |||||||
| 7351 W Oakland Park Blvd | Lauderhill | FL | 33313 | 650577436 | $80,059 | Patient Assistance | |
| Medical Specialists of the Palm Beaches | |||||||
| 5700 Lake Worth Rd | Lake Worth | FL | 33463 | 650580501 | $62,155 | Patient Assistance | |
| West Broward Rheumatology Assoc | |||||||
| 7431 N University Dr | Tamanac | FL | 33321 | 650615014 | $23,460 | Patient Assistance | |
| Southeast FL Hematology and Oncology Group | |||||||
| 5700 N Federal Hwy | Fort Lauderdale | FL | 33308 | 650676382 | $115,291 | Patient Assistance | |
| Gregory L Henderson MD FACS PA | |||||||
| 403 Vonderburg Dr | Brandon | FL | 33511 | 650687729 | $22,981 | Patient Assistance | |
| Aran Eye Associates | |||||||
| 951 SW Lejeune Rd | Coral Gables | FL | 33134 | 650692915 | $55,566 | Patient Assistance | |
| Hematology Oncology Assoc | |||||||
| 1871 SE Tiffany Ave | Fort Pierce | FL | 34952 | 650696665 | $304,631 | Patient Assistance | |
| Metcare of Florida - Metcare Oncology | |||||||
| 777 Yamato Rd | Boca Raton | FL | 33431 | 650710916 | $21,698 | Patient Assistance | |
| Oncology & Hematology Assoc of W Broward | |||||||
| 7431 N University Dr | Tamarac | FL | 33321 | 650753936 | $156,448 | Patient Assistance | |
| Arthritis and Rheumatic Care Center | |||||||
| 6141 Sunset Dr | South Miami | FL | 33143 | 650757755 | $8,406 | Patient Assistance | |
| FL Cancer Spec - SBR - Sebring | |||||||
| 4420 Sun Lake Blvd | Sebring | FL | 33872 | 650825133 | $4,362,733 | Patient Assistance | |
| William McGarry | |||||||
| 1460 36th St | Vero Beach | FL | 32960 | 650836306 | $18,086 | Patient Assistance | |
| Metcare of Florida- Metcare Oncology | |||||||
| 777 Yamato Rd | Boca Raton | FL | 33431 | 650879131 | $37,452 | Patient Assistance | |
| Treasure Coast Cancer Care | |||||||
| 1700 SE Hillmoor Dr | Port Saint Lucie | FL | 34952 | 650891840 | $9,182 | Patient Assistance | |
| Charles Khan & Wayne Riskin MD PA | |||||||
| 4700 Sheridan St | Hollywood | FL | 33021 | 650900699 | $36,715 | Patient Assistance | |
| Neurology PA | |||||||
| 4161 Tamiami Trl | Port Charlotte | FL | 33952 | 650933347 | $33,931 | Patient Assistance | |
| Newsom Eye and Guggino Eye Center | |||||||
| 3205 Physicians Way | Sebring | FL | 33870 | 651098324 | $7,778 | Patient Assistance | |
| Oncology & Hemat Assoc of W Broward | |||||||
| 7431 N University Dr | Tamarac | FL | 33321 | 655793600 | $17,663 | Patient Assistance | |
| Palm Beach Eye Center | |||||||
| 5057 S Congress Ave | Palm Springs | FL | 33461 | 710977659 | $9,495 | Patient Assistance | |
| Ocala Oncology Center PL | |||||||
| PO Box 863205 | Orlando | FL | 32886 | 900336929 | $13,089 | Patient Assistance | |
| Pointe West Infection Disease Pl | |||||||
| 6010 Pointe West Blvd | Bradenton | FL | 34209 | 943439188 | $6,491 | Patient Assistance | |
| Portsmouth Regional Hospital | |||||||
| PO Box 409072 | Atlanta | GA | 30384 | 020364103 | $11,348 | Patient Assistance | |
| Good Samaritan Hospital | |||||||
| PO Box 742747 | Atlanta | GA | 30384 | 131740104 | $11,006 | Patient Assistance | |
| Low Country Cancer Care | |||||||
| 225 Candler Dr | Savannah | GA | 31405 | 200815546 | $55,167 | Patient Assistance | |
| Belton Regional Medical Center | |||||||
| PO Box 404200 | Atlanta | GA | 30384 | 200851062 | $8,413 | Patient Assistance | |
| NE GA Cancer Care | |||||||
| 3320 Old Jefferson Rd | Athens | GA | 30607 | 201842623 | $262,227 | Patient Assistance | |
| Dr Marta Bognar | |||||||
| 961 A Smoky Mountain Springs Ln | Gainesville | GA | 30501 | 202052607 | $5,698 | Patient Assistance | |
| Trinity Medical Center | |||||||
| PO Box 403804 | Atlanta | GA | 30384 | 203391873 | $6,635 | Patient Assistance | |
| Arthritis & Rheumatology of GA | |||||||
| 980 Johnson Fry | Atlanta | GA | 30342 | 203926179 | $9,757 | Patient Assistance | |
| Emory Specialty Assoc LLC | |||||||
| PO Box 102398 | Atlanta | GA | 30368 | 204700877 | $29,566 | Patient Assistance | |
| North Georgia Cancer Care PC | |||||||
| 400 Timms Rd | Calhoun | GA | 30701 | 208497373 | $10,794 | Patient Assistance | |
| Athens Retina Center | |||||||
| 700 Oglethorpe Ave | Athens | GA | 30605 | 208607868 | $200,905 | Patient Assistance | |
| Savannah Neuro Spec | |||||||
| PO Box 116161 | Atlanta | GA | 30368 | 264598467 | $24,676 | Patient Assistance | |
| Colorado Plains Medical Center | |||||||
| PO Box 742898 | Atlanta | GA | 30374 | 270113173 | $5,915 | Patient Assistance | |
| Upper Chesapeake Hematology | |||||||
| PO Box 741676 | Atlanta | GA | 30374 | 275156680 | $17,880 | Patient Assistance | |
| GA Eye Institute Of the SE LLC | |||||||
| PO Box 102635 | Atlanta | GA | 30368 | 300489823 | $46,804 | Patient Assistance | |
| Memorial Health University | |||||||
| 4700 Waters Ave | Savannah | GA | 31404 | 311126469 | $14,364 | Patient Assistance | |
| Family Cancer Center Foundation | |||||||
| PO Box 741799 | Atlanta | GA | 30374 | 452842963 | $30,128 | Patient Assistance | |
| NSH Cancer Professional G LLC | |||||||
| 1000 Johnson Ferry Rd | Atlanta | GA | 30342 | 460676654 | $545,290 | Patient Assistance | |
| Athens Area Urology | |||||||
| 2142 W Broad St | Athens | GA | 30606 | 462091392 | $23,200 | Patient Assistance | |
| Cancer Center of Middle Georgia LLC | |||||||
| 206 Hospital Dr | Dublin | GA | 31021 | 462494632 | $56,791 | Patient Assistance | |
| Baptist Health Medical Group Onc | |||||||
| PO Box 743144 | Atlanta | GA | 30374 | 471859521 | $328,108 | Patient Assistance | |
| Dorchester General Memorial Hosp at Easton | |||||||
| PO Box 277715 | Atlanta | GA | 30384 | 520610538 | $19,489 | Patient Assistance | |
| Richmond Community Hospital | |||||||
| PO Box 277179 | Atlanta | GA | 30384 | 540647482 | $5,032 | Patient Assistance | |
| Montgomery Regional Hosp | |||||||
| PO Box 402814 | Atlanta | GA | 30384 | 540889154 | $8,676 | Patient Assistance | |
| The Rector and Visitors | |||||||
| PO Box 403059 | Atlanta | GA | 30384 | 546001796 | $75,090 | Patient Assistance | |
| Ambient Healthcare of Central | |||||||
| PO Box 532877 | Atlanta | GA | 30353 | 550802777 | $6,347 | Patient Assistance | |
| Frye Regional Medical Cener | |||||||
| PO Box 740784 | Atlanta | GA | 30374 | 560852342 | $11,524 | Patient Assistance | |
| Palmetto Infusion Services | |||||||
| PO Box 538476 | Atlanta | GA | 30353 | 571085343 | $167,640 | Patient Assistance | |
| Medical University Hospital Auth | |||||||
| PO Box 931854 | Atlanta | GA | 31193 | 571098556 | $107,827 | Patient Assistance | |
| Emory Crawford Long Hospital | |||||||
| PO Box 406864 | Atlanta | GA | 30384 | 580566200 | $8,481 | Patient Assistance | |
| Candler Hospital | |||||||
| PO Box 11407 | Savannah | GA | 31405 | 580593388 | $28,233 | Patient Assistance | |
| Northeast GA Diagnostic Clinic | |||||||
| 1240 Jesse Jewell Pkwy | Gainesville | GA | 30501 | 580656907 | $77,782 | Patient Assistance | |
| West Georgia Eye Care Center | |||||||
| 2616 Warm Springs Rd | Columbus | GA | 31904 | 581075293 | $46,278 | Patient Assistance | |
| Marietta Eye Clinic PA | |||||||
| PO Box 932706 | Atlanta | GA | 31193 | 581106424 | $125,028 | Patient Assistance | |
| Georgia Urology PA | |||||||
| 1930 Brannan Rd | McDonough | GA | 30253 | 581109444 | $60,278 | Patient Assistance | |
| Eye Consultants of Atlanta PC | |||||||
| 3225 Cumberland Blvd SE | Atlanta | GA | 30339 | 581129515 | $11,651 | Patient Assistance | |
| Summit Cancer Care | |||||||
| 225 Candler Dr | Savannah | GA | 31405 | 581305331 | $120,191 | Patient Assistance | |
| Athens Neurological Assoc | |||||||
| 1086 1/2 Baxter St | Athens | GA | 30606 | 581330744 | $17,132 | Patient Assistance | |
| Eye Physicians and Surgeon | |||||||
| 1457 Scott Blvd | Duluth | GA | 30030 | 581374387 | $20,669 | Patient Assistance | |
| Gordon Hospital | |||||||
| PO Box 932085 | Atlanta | GA | 31193 | 581425000 | $16,738 | Patient Assistance | |
| West Georgia Podiatry Associates | |||||||
| 125 History Dr | Carrollton | GA | 30117 | 581444698 | $10,168 | Patient Assistance | |
| Augusta Oncology Associates | |||||||
| 3696 Wheeler Rd | Augusta | GA | 30909 | 581481590 | $168,169 | Patient Assistance | |
| Georgia Retina-Stockbridge | |||||||
| 155 Medical Way | Riverdale | GA | 30274 | 581519372 | $686,243 | Patient Assistance | |
| Hamilton Medical Center | |||||||
| PO Box 1168 | Dalton | GA | 30722 | 581519911 | $14,062 | Patient Assistance | |
| University Hospital | |||||||
| 1350 Walton Way | Augusta | GA | 30901 | 581581103 | $53,638 | Patient Assistance | |
| The Medical Center | |||||||
| PO Box 1040 | Columbus | GA | 31902 | 581685139 | $13,682 | Patient Assistance | |
| South Atlanta Hematology Oncology | |||||||
| 34 SE Upper Riverdale Rd | Riverdale | GA | 30274 | 581715376 | $30,183 | Patient Assistance | |
| Peachtree Hematology Oncology | |||||||
| 95 Collier Rd NW | Atlanta | GA | 30309 | 581761689 | $227,804 | Patient Assistance | |
| NW Georgia Hematology & Oncology | |||||||
| 1504 N Thornton Ave | Dalton | GA | 30720 | 581793611 | $41,382 | Patient Assistance | |
| Northwest GA Oncology Centers | |||||||
| 1700 Hospital S Dr | Austell | GA | 30106 | 581923818 | $425,793 | Patient Assistance | |
| Phoebe Putney Mem Hosp Inc | |||||||
| PO Box 3770 | Albany | GA | 31706 | 581928247 | $151,450 | Patient Assistance | |
| Center for Sight | |||||||
| 1400 Wellbrook Cir NE | Conyers | GA | 30012 | 581929590 | $15,753 | Patient Assistance | |
| North Georgia Eye Clinic and Laser Center | |||||||
| 535 Jesse Jewell Pkwy | Gainesville | GA | 30501 | 581947436 | $7,364 | Patient Assistance | |
| Northside Hospital | |||||||
| PO Box 101818 | Atlanta | GA | 30392 | 581954432 | $475,277 | Patient Assistance | |
| Dekalb Medical Ctr | |||||||
| PO Box 102204 | Atlanta | GA | 30369 | 581966795 | $10,369 | Patient Assistance | |
| Village Podiatry - Woodstock | |||||||
| 900 Circle 75 Pkwy | Atlanta | GA | 30339 | 581994261 | $45,415 | Patient Assistance | |
| Center for Cancer Care | |||||||
| 1700 Tree Lane Rd | Snellville | GA | 30078 | 582002413 | $172,375 | Patient Assistance | |
| Midtown Urology | |||||||
| 1924 Piedmont Row Rd | Atlanta | GA | 30308 | 582022093 | $18,097 | Patient Assistance | |
| The Emory Clinic Inc | |||||||
| PO Box 102398 | Atlanta | GA | 30368 | 582030692 | $5,343 | Patient Assistance | |
| Meadows Regional Medical | |||||||
| PO Box 407 | Vidalia | GA | 30475 | 582044503 | $16,997 | Patient Assistance | |
| The Longstreet Clinic PC | |||||||
| PO Box 658 | Gainesville | GA | 30503 | 582117020 | $110,332 | Patient Assistance | |
| Thomas Eye Group | |||||||
| 5671 Peachtree Dunwoody Rd | Atlanta | GA | 30342 | 582209517 | $31,287 | Patient Assistance | |
| Retina Consultants PC | |||||||
| 3520 Walton Way Ext | Augusta | GA | 30909 | 582255742 | $26,212 | Patient Assistance | |
| Valdosta Foot And Ankle Clinic | |||||||
| 2800 N Oak St | Valdosta | GA | 31602 | 582375272 | $9,629 | Patient Assistance | |
| Tanner Medical Center | |||||||
| PO Box 277368 | Atlanta | GA | 30384 | 582453303 | $95,359 | Patient Assistance | |
| Central Georgia Cancer Care PC | |||||||
| 1062 Forsyth St | Macon | GA | 31201 | 582537874 | $195,689 | Patient Assistance | |
| Woolfson Eye Institute | |||||||
| 800 Mt Vernon Hwy | Atlanta | GA | 30328 | 582559300 | $28,851 | Patient Assistance | |
| Omni Eye Services of Atlanta | |||||||
| PO Box 406157 | Atlanta | GA | 30384 | 582561240 | $18,788 | Patient Assistance | |
| Suburban Hematology Oncology | |||||||
| 1700 Tree Lane Rd | Snellville | GA | 30078 | 582590501 | $10,741 | Patient Assistance | |
| Holy Cross Hospital | |||||||
| PO Box CS100990 | Atlanta | GA | 30384 | 590791028 | $41,271 | Patient Assistance | |
| University of Miami Department of Neurology | |||||||
| PO Box 405506 | Atlanta | GA | 30304 | 592579826 | $18,510 | Patient Assistance | |
| University of Miami Hospital and Clinic | |||||||
| PO Box 402005 | Atlanta | GA | 30384 | 592616017 | $10,882 | Patient Assistance | |
| North Broward Medical Ctr | |||||||
| PO Box 932540 | Atlanta | GA | 31193 | 596012065 | $10,979 | Patient Assistance | |
| Memorial Regional Hospital | |||||||
| PO Box 538488 | Atlanta | GA | 30353 | 596014973 | $10,756 | Patient Assistance | |
| Vanderbilt University Medical Center | |||||||
| Dept AT 40379 | Atlanta | GA | 31192 | 620476822 | $28,414 | Patient Assistance | |
| Memorial Healthcare System Memorial Hospital | |||||||
| PO Box 102967 | Atlanta | GA | 30368 | 620532345 | $9,510 | Patient Assistance | |
| Campbell Cunningham Taylor | |||||||
| PO Box 102395 | Atlanta | GA | 30368 | 620849027 | $26,707 | Patient Assistance | |
| Skyridge Hperbaric Therapy and Wound Ctr | |||||||
| PO Box 198029 | Atlanta | GA | 30384 | 621281627 | $12,384 | Patient Assistance | |
| QHG of South Carolina | |||||||
| PO Box 277631 | Atlanta | GA | 30384 | 621587267 | $7,411 | Patient Assistance | |
| Lewis-Gale Medical Center | |||||||
| PO Box 402830 | Atlanta | GA | 30384 | 621760148 | $24,351 | Patient Assistance | |
| Advanced Foot Care | |||||||
| 2368 Battlefield Pkwy | Fort Oglethorpe | GA | 30742 | 621765082 | $21,744 | Patient Assistance | |
| Advanced Wound Center - Grand Strand | |||||||
| PO Box 402724 | Atlanta | GA | 30384 | 621768105 | $7,501 | Patient Assistance | |
| Farmacia Doral Inc | |||||||
| Dept 952924 | Atlanta | GA | 31192 | 660616318 | $19,142 | Patient Assistance | |
| Moses Cone Regional Cancer Center | |||||||
| PO Box 405633 | Atlanta | GA | 30384 | 800249057 | $42,383 | Patient Assistance | |
| College Park Family Care Center | |||||||
| PO Box 741331 | Atlanta | GA | 30374 | 800505355 | $26,265 | Patient Assistance | |
| Pacific Retina Care | |||||||
| 94-849 Lumianina St | Waipahu | HI | 96797 | 263877479 | $19,697 | Patient Assistance | |
| Straub Clinic & Hosp | |||||||
| 888 S King St | Honolulu | HI | 96813 | 912151670 | $11,837 | Patient Assistance | |
| OnCare HI | |||||||
| PO Box 30460 | Honolulu | HI | 96820 | 943266406 | $88,713 | Patient Assistance | |
| Ken C Arakawa MD | |||||||
| 1329 Lusitana St | Honolulu | HI | 96813 | 990283928 | $47,668 | Patient Assistance | |
| Retina Consultants of HI | |||||||
| 98-1079 Moanalua Rd | Aiea | HI | 96701 | 990300258 | $39,435 | Patient Assistance | |
| Retina Associates of HI | |||||||
| 1329 Lusitena St | Honolulu | HI | 96813 | 990344479 | $88,905 | Patient Assistance | |
| Iowa Cancer Specialists PC | |||||||
| 1351 W Central Park | Davenport | IA | 52804 | 061666841 | $8,881 | Patient Assistance | |
| Hematology - Oncology Care | |||||||
| 1409 E Kimberly Rd | Davenport | IA | 52807 | 203560860 | $25,992 | Patient Assistance | |
| Trinity Medical Center | |||||||
| PO Box 7265 | Des Moines | IA | 50309 | 362739299 | $11,993 | Patient Assistance | |
| Iowa Lutheran Hospital | |||||||
| PO Box 7044 | Des Moines | IA | 50309 | 420680452 | $9,366 | Patient Assistance | |
| Mercy Medical Center | |||||||
| 701 10th St SE | Cedar Rapids | IA | 52403 | 420698295 | $6,324 | Patient Assistance | |
| Wolfe Eye Clinic | |||||||
| 309 E Church St | Marshalltown | IA | 50158 | 420954581 | $139,342 | Patient Assistance | |
| Urological Assoc PC | |||||||
| 3319 Spring St | Davenport | IA | 52802 | 420987062 | $12,978 | Patient Assistance | |
| McFarland Clinic | |||||||
| PO Box 3014 | Ames | IA | 50010 | 421089512 | $7,698 | Patient Assistance | |
| Eye Surgeons Associates PC | |||||||
| 777 Tanglefoot Ln | Bettendorf | IA | 52722 | 421160748 | $45,463 | Patient Assistance | |
| Medical Oncology & Hematology Assoc | |||||||
| 1221 Pleasant St | Des Moines | IA | 50309 | 421163076 | $31,644 | Patient Assistance | |
| Mauer Eye Center PC | |||||||
| 2515 Cyclone Dr | Waterloo | IA | 50701 | 421339248 | $11,486 | Patient Assistance | |
| Iowa Eye PC | |||||||
| 1650 1st Ave NE Cedar | Rapids | IA | 52402 | 421369804 | $15,100 | Patient Assistance | |
| Iowa Retina Consultants | |||||||
| 1501 50th St | West Des Moines | IA | 50266 | 421377502 | $6,613 | Patient Assistance | |
| Cedar Valley Medical Specialists PC | |||||||
| 4150 Kimball Ave | Waterloo | IA | 50701 | 421417307 | $117,908 | Patient Assistance | |
| Iowa Clinic | |||||||
| 1200 Pleasant St | Des Moines | IA | 50309 | 421420077 | $33,451 | Patient Assistance | |
| Hematology Oncology Associates | |||||||
| 1351 E Kimberly Rd | Bettendorf | IA | 52722 | 421423259 | $7,436 | Patient Assistance | |
| Wadzinski Eye Clinic | |||||||
| 5855 Sunnybrook Dr | Sioux City | IA | 51106 | 421450176 | $7,282 | Patient Assistance | |
| Cancer Care of Iowa City | |||||||
| 613 E Bloomington St | Iowa City | IA | 52245 | 421460774 | $7,627 | Patient Assistance | |
| University of IA Hospitals & Clinics | |||||||
| 200 Hawkins Dr | Iowa City | IA | 52242 | 426004813 | $16,151 | Patient Assistance | |
| The Ghosh Center | |||||||
| 1951 51st St NE Cedar | Rapids | IA | 52402 | 452581371 | $9,244 | Patient Assistance | |
| Idaho Urologic Inst Meridian | |||||||
| 2855 E Magic View Dr | Meridian | ID | 83642 | 201300128 | $19,726 | Patient Assistance | |
| Cancer Institute of Washington | |||||||
| PO Box 996 | Hayden | ID | 83835 | 203813320 | $6,552 | Patient Assistance | |
| Retina Consultants of Idaho | |||||||
| 3715 E Overland Rd | Meridian | ID | 83642 | 208520350 | $5,983 | Patient Assistance | |
| Northwest Specialty Hospital | |||||||
| 1593 E Polston Ave | Post Falls | ID | 83854 | 260002031 | $13,792 | Patient Assistance | |
| Retina Specialist of Idaho PLLC | |||||||
| 13923 W Wainwright | Boise | ID | 83713 | 262050357 | $35,573 | Patient Assistance | |
| St Lukes McCall | |||||||
| 1000 State St | McCall | ID | 83638 | 273311774 | $9,539 | Patient Assistance | |
| St Lukes Magic Valley Reg | |||||||
| PO Box 409 | Twin Falls | ID | 83303 | 562570686 | $5,616 | Patient Assistance | |
| Medical Oncology Associates | |||||||
| PO Box 996 | Hayden | ID | 83835 | 651180332 | $38,807 | Patient Assistance | |
| Coram Alternative | |||||||
| 11660 W Executive Dr | Boise | ID | 83713 | 760215922 | $25,053 | Patient Assistance | |
| St Luke's Regional Medical Center | |||||||
| PO Box 2777 | Boise | ID | 83701 | 820161600 | $64,200 | Patient Assistance | |
| St Joseph Regional Medical Center | |||||||
| 415 6th St | Lewiston | ID | 83501 | 820204264 | $31,554 | Patient Assistance | |
| Bonner General Hospital | |||||||
| PO Box 1343 | Sandpoint | ID | 83864 | 820207116 | $7,000 | Patient Assistance | |
| Kootenai Medical Center | |||||||
| 2003 Lincoln Way | Coeur D Alene | ID | 83814 | 820231746 | $71,341 | Patient Assistance | |
| Idaho Eye Center | |||||||
| 2025 E 17th St Idaho | Falls | ID | 83404 | 820379995 | $13,189 | Patient Assistance | |
| North Idaho Eye Institute | |||||||
| 1814 Lincoln Way | Coeur D Alene | ID | 83814 | 820448111 | $63,501 | Patient Assistance | |
| Intermountain Eye Center | |||||||
| 3090 E Gentry Way | Meridian | ID | 83642 | 820482491 | $11,158 | Patient Assistance | |
| Mountain View Hosp | |||||||
| 2325 Coronado St Idaho | Falls | ID | 83404 | 820516012 | $43,484 | Patient Assistance | |
| Arthritis Specialty Center | |||||||
| 1448 E Center St | Pocatello | ID | 83201 | 870705248 | $6,872 | Patient Assistance | |
| Middle Tennessee Imaging | |||||||
| 75 Remittance Dr | Chicago | IL | 60675 | 010570490 | $10,675 | Patient Assistance | |
| Retina of IL | |||||||
| 475 Brown Blvd | Bourbonnais | IL | 60914 | 010881982 | $9,749 | Patient Assistance | |
| Eye MDS of Quicy SC | |||||||
| 709 Broadway | Quincy | IL | 62301 | 020778080 | $23,233 | Patient Assistance | |
| Sujatha Rao MD | |||||||
| 1008 Candletree Dr | Carbondale | IL | 62901 | 201307515 | $22,275 | Patient Assistance | |
| Uropartners LLC | |||||||
| 3183 Paysphere Cir | Chicago | IL | 60674 | 201780406 | $35,094 | Patient Assistance | |
| Associated Urological Special | |||||||
| PO Box 516 | Bedford Park | IL | 60499 | 202136282 | $34,923 | Patient Assistance | |
| University Retina & Macula Associates PC | |||||||
| 6320 159th St | Oak Forest | IL | 60452 | 202842935 | $43,112 | Patient Assistance | |
| University Optioncare LLC | |||||||
| 4088 Paysphere Cir | Chicago | IL | 60674 | 203203588 | $14,442 | Patient Assistance | |
| Ronald S Weiss MD SC | |||||||
| 7120 W Cermak Rd | Berwyn | IL | 60402 | 203639008 | $77,557 | Patient Assistance | |
| Springfield Eye Consultants | |||||||
| PO Box 21016 | Springfield | IL | 62708 | 204302401 | $6,339 | Patient Assistance | |
| Waukegan Clinic Corp | |||||||
| 202 S Greenleaf St | Gurnee | IL | 60031 | 204872623 | $27,491 | Patient Assistance | |
| Take Care Health Services | |||||||
| 16752 Collection Center Dr | Chicago | IL | 60693 | 205737038 | $27,214 | Patient Assistance | |
| Walgreens Infusion Services | |||||||
| 6880 Paysphere Cir | Chicago | IL | 60674 | 262918561 | $5,356 | Patient Assistance | |
| Comprehensive Cancer Care | |||||||
| 16977 Collections Ctr | Chicago | IL | 60693 | 270986997 | $18,466 | Patient Assistance | |
| Methodist Hospital | |||||||
| 27383 Network Pl | Chicago | IL | 60673 | 350868133 | $6,011 | Patient Assistance | |
| First Urology | |||||||
| 3431 Solution Ctr | Chicago | IL | 60677 | 351488175 | $31,191 | Patient Assistance | |
| Pulmonary Specialists of NW Indiana | |||||||
| PO Box 153 | Bedford Park | IL | 60499 | 351627895 | $27,042 | Patient Assistance | |
| Clarion Health Partners | |||||||
| 2212 Reliable Pkwy | Chicago | IL | 60686 | 351955872 | $14,717 | Patient Assistance | |
| Mt Sinai Hospital Medical Center | |||||||
| 26467 Network Pl | Chicago | IL | 60673 | 361509000 | $8,105 | Patient Assistance | |
| Rush University Med Cntr | |||||||
| Dept 4565 | Carol Stream | IL | 60122 | 362174823 | $9,167 | Patient Assistance | |
| Medical Grp of SwedishAmerican | |||||||
| PO Box 1567 | Rockford | IL | 61110 | 362222696 | $6,252 | Patient Assistance | |
| Dupage Medical Group LTD | |||||||
| 1860 Paysphere Cir | Chicago | IL | 60674 | 362657618 | $65,672 | Patient Assistance | |
| Wheaton Eye Clinic | |||||||
| 2015 N Main St | Wheaton | IL | 60187 | 362709692 | $17,876 | Patient Assistance | |
| Fox Valley Opthamologist | |||||||
| 40 W 330 Lafox Rd | St Charles | IL | 60175 | 362744703 | $13,011 | Patient Assistance | |
| Chicago Eye Institute | |||||||
| 3982 N Milwalkee Ave | Chicago | IL | 60641 | 362842478 | $11,375 | Patient Assistance | |
| Arbor Centers for Eyecare | |||||||
| 2640 183rd St | Homewood | IL | 60430 | 362881052 | $6,684 | Patient Assistance | |
| Geneva Eye Clinic | |||||||
| 1000 Randall Rd | Geneva | IL | 60134 | 362892051 | $31,088 | Patient Assistance | |
| Illinois Retina Assoc | |||||||
| 71 W 156th | Dixmoor | IL | 60426 | 362970624 | $187,365 | Patient Assistance | |
| Advanced Urology Associates - Joliet | |||||||
| 1541 Riverboat Center Dr | Joliet | IL | 60431 | 362985395 | $25,123 | Patient Assistance | |
| Fox Valley Hematology Oncology | |||||||
| 1710 N Randall Rd | Elgin | IL | 60123 | 363138920 | $10,773 | Patient Assistance | |
| Retina Vitreous Associates-Orland Park | |||||||
| Dept 4628 | Carol Stream | IL | 60122 | 363150764 | $6,492 | Patient Assistance | |
| Midwest Retina Consultant SC | |||||||
| 1875 Dempster | Park Ridge | IL | 60068 | 363318169 | $10,040 | Patient Assistance | |
| Retina Consultants LTD | |||||||
| 2454 E Dempster St | Des Plaines | IL | 60016 | 363322419 | $48,889 | Patient Assistance | |
| N Shore Oncology Hematology | |||||||
| 1800 Hollister Dr | Libertyville | IL | 60048 | 363446296 | $16,256 | Patient Assistance | |
| Ashburn Foot & Ankle | |||||||
| 8620 S Pulaski Rd | Chicago | IL | 60652 | 363458210 | $5,744 | Patient Assistance | |
| Retina Associates | |||||||
| 2425 W 22nd St | Oak Brook | IL | 60523 | 363729867 | $63,922 | Patient Assistance | |
| Northern Illinois Retina | |||||||
| 4855 E State St | Rockford | IL | 61108 | 363734974 | $73,278 | Patient Assistance | |
| Kondiles Chicagoland Footcare | |||||||
| 5600 W Addison St | Chicago | IL | 60634 | 363736281 | $8,747 | Patient Assistance | |
| Joliet Oncology Hematology Assoc | |||||||
| 2614 W Jefferson | Joliet | IL | 60435 | 363915732 | $7,897 | Patient Assistance | |
| Metro Infectious Disease Consultants LLC | |||||||
| 901 McClintock Dr | Burr Ridge | IL | 60527 | 363966745 | $92,587 | Patient Assistance | |
| Illinois Cancer Specialists | |||||||
| 3610 Paysphere Cir | Chicago | IL | 60674 | 363980044 | $70,507 | Patient Assistance | |
| James Liang MD | |||||||
| 4429 W 95th St | Oak Lawn | IL | 60453 | 364029001 | $12,511 | Patient Assistance | |
| Center for Vitreo Retinal Disease | |||||||
| 9301 W Golf Rd | Des Plaines | IL | 60016 | 364039194 | $5,491 | Patient Assistance | |
| Gary Finkelstein MD Eye Associates SC | |||||||
| 102 W Elm St | Streator | IL | 61364 | 364091703 | $9,041 | Patient Assistance | |
| Pronger Smith Medical Center | |||||||
| PO Box 789 | Tinley Park | IL | 60477 | 364121705 | $74,401 | Patient Assistance | |
| Lagrange Oncology Associates | |||||||
| 1325 Memorial Dr | Lagrange | IL | 60525 | 364138353 | $7,020 | Patient Assistance | |
| Blake Horio MD Ltd | |||||||
| PO Box 643 | Oak Brook | IL | 60522 | 364166076 | $29,571 | Patient Assistance | |
| Advanced Cancer Clinic | |||||||
| 2222 W Division St | Chicago | IL | 60622 | 364188969 | $23,276 | Patient Assistance | |
| Presence Mercy Medical Ctr | |||||||
| 2667 Momemtum Pl | Chicago | IL | 60689 | 364195126 | $14,219 | Patient Assistance | |
| Valley West Community Hospital | |||||||
| 2827 Momentum Pl | Chicago | IL | 60689 | 364244337 | $13,570 | Patient Assistance | |
| Oncology of North Shore | |||||||
| PO Box 597846 | Chicago | IL | 60659 | 364282819 | $5,349 | Patient Assistance | |
| Chicago Retina Inc | |||||||
| 1182 N Milwaukee Ave | Chicago | IL | 60642 | 364350007 | $69,950 | Patient Assistance | |
| Retina Institute of IL | |||||||
| 1585 N Barrington | Hoffman Est | IL | 60169 | 364362710 | $20,157 | Patient Assistance | |
| Oncology Specialists | |||||||
| 1700 Luther Ln | Park Ridge | IL | 60068 | 364380012 | $18,645 | Patient Assistance | |
| Springfield Clinic | |||||||
| PO Box 19260 | Springfield | IL | 62794 | 370701328 | $60,478 | Patient Assistance | |
| Prairie Eye Center | |||||||
| 2020 W Iles Ave | Springfield | IL | 62704 | 370919357 | $13,057 | Patient Assistance | |
| Gailey Eye Clinic | |||||||
| PO Box 757 | Bloomington | IL | 61702 | 370924192 | $21,590 | Patient Assistance | |
| Marion Eye Center LTD | |||||||
| 1200 W Deyoung St | Marion | IL | 62959 | 371073951 | $10,544 | Patient Assistance | |
| Mid IL Hematology and Oncology Associates | |||||||
| 407 E Vernon Ave | Normal | IL | 61761 | 371096341 | $6,344 | Patient Assistance | |
| JFJ Eyecare LTD | |||||||
| 111 W Lincoln St | Belleville | IL | 62220 | 371099270 | $32,149 | Patient Assistance | |
| Illinois Oncology | |||||||
| 4000 N Illinois Ln | Swansea | IL | 62226 | 371107186 | $23,520 | Patient Assistance | |
| Carle Foundation Hospital | |||||||
| PO Box 6002 | Urbana | IL | 61803 | 371119538 | $14,831 | Patient Assistance | |
| Cancer Care Specialist of Central | |||||||
| 2880 N Monroe St | Decatur | IL | 62526 | 371160364 | $21,052 | Patient Assistance | |
| Illionis Cancer Care PC | |||||||
| 8940 N Wood Sage Rd | Peoria | IL | 61615 | 371331017 | $323,062 | Patient Assistance | |
| University of Illinois at Chicago | |||||||
| 506 S Wright 209 Habmc 339 Urbana | Chicago | IL | 62220 | 376000511 | $8,680 | Patient Assistance | |
| Pontiac Osteopathic Hospital | |||||||
| 8172 Reliable Pkwy | Chicago | IL | 60686 | 381428164 | $24,897 | Patient Assistance | |
| St Joseph Mercy Oakland | |||||||
| 44405 WOODWARD AVE | PALatine | IL | 60055 | 383176536 | $15,507 | Patient Assistance | |
| University Physician Gr | |||||||
| 16606 Collections Center Dr | Chicago | IL | 60693 | 383474766 | $42,952 | Patient Assistance | |
| Sharon Regional Hospital | |||||||
| 8005 Collection Center Dr | Chicago | IL | 60693 | 383920098 | $38,508 | Patient Assistance | |
| Hillsdale Community Health Ctr | |||||||
| 3067 Momentum Pl | Chicago | IL | 60689 | 386005550 | $9,992 | Patient Assistance | |
| St Vincent Hospital | |||||||
| 36540 Treasury Ctr | Chicago | IL | 60694 | 390817529 | $52,935 | Patient Assistance | |
| Dohmen Life Science Services | |||||||
| 75 Remittance Dr | Chicago | IL | 60675 | 391821626 | $54,256 | Patient Assistance | |
| Missouri Cancer Associates | |||||||
| 2372 Paysphere Cir | Chicago | IL | 60674 | 431763016 | $37,041 | Patient Assistance | |
| Pepose Vision Institute | |||||||
| 7530 Solution Ctr | Chicago | IL | 60677 | 431834309 | $16,794 | Patient Assistance | |
| Saint Vincent Anderson Regional Hospital | |||||||
| 1142 Reliable Pkwy | Chicago | IL | 60686 | 460877261 | $5,593 | Patient Assistance | |
| St Frances Medical Cancer Center | |||||||
| 3549 Solutions Ctr | Chicago | IL | 60677 | 470376601 | $6,511 | Patient Assistance | |
| St Elizabeith RMC | |||||||
| 3528 Solutions Ctr | Chicago | IL | 60677 | 470379836 | $43,579 | Patient Assistance | |
| Kosciusko Community Hosp | |||||||
| 13683 Collection Center Dr | Chicago | IL | 60693 | 621764613 | $15,783 | Patient Assistance | |
| Option Care | |||||||
| 1252 Paysphere Cir | Chicago | IL | 60674 | 680208702 | $48,987 | Patient Assistance | |
| Alpha Medical Physicians Grp | |||||||
| PO Box 3191 | Carol Stream | IL | 60132 | 800239468 | $20,769 | Patient Assistance | |
| St Vincent Heathcare | |||||||
| Dept CH 14287 | Palatine | IL | 60055 | 810232124 | $21,577 | Patient Assistance | |
| Cancer Health Treatment Centers | |||||||
| 8127 Merrillville Rd | Merrillville | IN | 46410 | 201090689 | $62,628 | Patient Assistance | |
| Porter Hospital LLC | |||||||
| 2123 Lincolnway Ct | Fort Wayne | IN | 46819 | 208473972 | $20,851 | Patient Assistance | |
| Deaconess Clinic | |||||||
| 421 Chestnut St | Evansville | IN | 47713 | 263083364 | $68,244 | Patient Assistance | |
| Clarian Arnett Cancer Care | |||||||
| PO Box 5545 | Lafayette | IN | 47903 | 263162145 | $19,544 | Patient Assistance | |
| UAP Bone and Joint Center | |||||||
| 1725 N Fifth St | Terre Haute | IN | 47804 | 270581401 | $6,193 | Patient Assistance | |
| Northwest Oncology PC | |||||||
| 10110 Donald Powers Dr | Munster | IN | 46321 | 300200047 | $5,692 | Patient Assistance | |
| Deaconess Hospital | |||||||
| 421 Chestnut St | Evansville | IN | 47713 | 350593390 | $9,126 | Patient Assistance | |
| Reid Hospital & Health Care Serv | |||||||
| 1401 Chester Blvd | Richmond | IN | 47374 | 350892672 | $16,355 | Patient Assistance | |
| Community Regional Cancer Care | |||||||
| 1500 N Ritter Ave | Indianapolis | IN | 46219 | 350983617 | $47,108 | Patient Assistance | |
| Columbus Regional Hosp Cancer Ctr | |||||||
| 2400 E 17th St | Columbus | IN | 47201 | 351129669 | $29,472 | Patient Assistance | |
| Fort Wayne Medical Oncology Hematology | |||||||
| 11143 Parkview Plaza Dr | Fort Wayne | IN | 46845 | 351400631 | $536,086 | Patient Assistance | |
| Therapy Associates | |||||||
| PO Box 2368 | Indianapolis | IN | 46206 | 351415104 | $17,814 | Patient Assistance | |
| Northern IN Neurological Inst | |||||||
| 521 E 86th Ave | Merrillville | IN | 46410 | 351458053 | $16,936 | Patient Assistance | |
| Tri-State Opthalmology | |||||||
| 350 W Columbia St | Evansville | IN | 47710 | 351462413 | $43,873 | Patient Assistance | |
| James A Fountain MD | |||||||
| 8704 N Meridian St | Indianapolis | IN | 46260 | 351497551 | $33,520 | Patient Assistance | |
| Suniti Medical Corportation | |||||||
| 200 E 89th Ave | Merrillville | IN | 46410 | 351529228 | $122,776 | Patient Assistance | |
| Hematology - Oncology of IN | |||||||
| 8301 Harcourt Rd | Indianapolis | IN | 46260 | 351536125 | $51,917 | Patient Assistance | |
| John T Minturn MD | |||||||
| 200 W 103rd St | Indianapolis | IN | 46290 | 351675251 | $6,155 | Patient Assistance | |
| Michiana Hematology Oncology | |||||||
| PO Box 448 | South Bend | IN | 46624 | 351686054 | $333,582 | Patient Assistance | |
| Retina Associates | |||||||
| 8679 Connecticut Ave | Merrillville | IN | 46410 | 351723470 | $13,494 | Patient Assistance | |
| Podiatry Assoc of Indiana PC | |||||||
| 5471 Georgetown Rd | Indianapolis | IN | 46254 | 351806031 | $6,620 | Patient Assistance | |
| The Retinal Institute | |||||||
| PO Box 549 | Wabash | IN | 46992 | 351845786 | $39,825 | Patient Assistance | |
| Joseph Wallack Munshower Neurology PC | |||||||
| PO Box 2152 | Indianapolis | IN | 46206 | 351898297 | $57,983 | Patient Assistance | |
| John Keyon Eye Institute | |||||||
| 519 State St | New Albany | IN | 47150 | 351907389 | $7,486 | Patient Assistance | |
| Elkhart Clinic LLC | |||||||
| PO Box 2968 | Elkhart | IN | 46515 | 351911857 | $131,912 | Patient Assistance | |
| Oncology Hematology of SW IN | |||||||
| PO Box 3089 | Evansville | IN | 47730 | 351925136 | $54,979 | Patient Assistance | |
| Lutheran Hospital of IN | |||||||
| PO Box 11729 | Fort Wayne | IN | 46860 | 351963748 | $35,591 | Patient Assistance | |
| Allen County Retinal Surgeons PC | |||||||
| 7900 W Jefferson | Fort Wayne | IN | 46804 | 351971489 | $23,572 | Patient Assistance | |
| Retina Institute PC | |||||||
| 9002 N Meridian St | Indianapolis | IN | 46260 | 351992680 | $12,131 | Patient Assistance | |
| Urology of Indiana LLC | |||||||
| PO Box 6069 | Indianapolis | IN | 46206 | 351998209 | $22,623 | Patient Assistance | |
| Eye Surgeons of Indiana PC | |||||||
| 8103 Clearvista Pkwy | Indianapolis | IN | 46256 | 352020403 | $55,048 | Patient Assistance | |
| Franciscan St Elizabeth LE | |||||||
| PO Box 660550 | Indianapolis | IN | 46266 | 352056396 | $5,164 | Patient Assistance | |
| Raj Maturi MD | |||||||
| PO Box 7232 | Indianapolis | IN | 46207 | 352076654 | $6,830 | Patient Assistance | |
| American Health Network | |||||||
| 15397 Stony Creek Way | Noblesville | IN | 46060 | 352108729 | $160,125 | Patient Assistance | |
| Fort Wayne Retina PC | |||||||
| 7305 W Jefferson Blvd | Fort Wayne | IN | 46804 | 352115519 | $30,872 | Patient Assistance | |
| Margaret Mary Comm Hospital | |||||||
| PO Box 226 | Batesville | IN | 47006 | 356067049 | $18,859 | Patient Assistance | |
| Midwest Eye Institute | |||||||
| 201 Pennsylvania Pkwy | Indianapolis | IN | 46280 | 383642669 | $18,322 | Patient Assistance | |
| Arthritis Care of Michiana | |||||||
| 100 Navarre Pl | South Bend | IN | 46601 | 383650151 | $20,961 | Patient Assistance | |
| Midwest Eye Retina PC | |||||||
| PO Box 6458 | Indianapolis | IN | 46206 | 451872257 | $16,667 | Patient Assistance | |
| Horizon Bioadvance | |||||||
| PO Box 4699 | La Fayette | IN | 47903 | 461776803 | $17,127 | Patient Assistance | |
| Neurology Specialists | |||||||
| 10111 E 21st St N | Wichita | KS | 67206 | 261588469 | $5,000 | Patient Assistance | |
| Central Plains Eye MDs LLC | |||||||
| 7717 E 29th | Bel Aire | KS | 67226 | 262298905 | $27,650 | Patient Assistance | |
| Heartland Eye Care LLC | |||||||
| 619 SW Corporate Vw | Topeka | KS | 66615 | 473305745 | $5,403 | Patient Assistance | |
| Stormont Vail HealthCare Inc | |||||||
| 1500 SW 10th Ave | Topeka | KS | 66604 | 480543789 | $16,663 | Patient Assistance | |
| Hays Medical Center | |||||||
| PO Box 8110 | Hays | KS | 67601 | 480559088 | $5,000 | Patient Assistance | |
| Goodland Regional Medical Center | |||||||
| 220 W 2nd | Goodland | KS | 67735 | 480725111 | $6,345 | Patient Assistance | |
| Hutchinson Clinic PA | |||||||
| 2101 N Waldron | Hutchinson | KS | 67502 | 480734011 | $38,963 | Patient Assistance | |
| Vitreo Retinal Consultants Surgeons PA | |||||||
| 530 N Lorraine | Wichita | KS | 67214 | 480817150 | $220,773 | Patient Assistance | |
| Central Care PA | |||||||
| PO Box 256 | Salina | KS | 67402 | 481125116 | $330,078 | Patient Assistance | |
| Salina Regional Health Center | |||||||
| 501 S Santa Fe | Salina | KS | 67401 | 481169103 | $67,673 | Patient Assistance | |
| Cancer Center of KS PA | |||||||
| PO Box 1458 | Wichita | KS | 67201 | 481181579 | $675,740 | Patient Assistance | |
| Wichita Urology Group | |||||||
| 2626 N Webb Rd | Wichita | KS | 67226 | 481253013 | $28,636 | Patient Assistance | |
| Bluegrass Retinal Consultants | |||||||
| 3290 Blazer Pkwy | Lexington | KY | 40509 | 141963036 | $120,233 | Patient Assistance | |
| Montgomery Cancer Ctr | |||||||
| 644 Maysville Rd | Mount Sterling | KY | 40353 | 200671902 | $24,755 | Patient Assistance | |
| LC Hematology & Oncology Center | |||||||
| PO Box 719 | Somerset | KY | 42502 | 208016687 | $37,536 | Patient Assistance | |
| Marianne Cowley MD Dept 5105 | |||||||
| PO Box 740041 | Louisville | KY | 40201 | 320046550 | $7,328 | Patient Assistance | |
| Highlands Cancer Center | |||||||
| 122 St Christopher Dr | Ashland | KY | 41101 | 550667743 | $33,274 | Patient Assistance | |
| Baptist Health - Corbin | |||||||
| 1 Trillum Way | Corbin | KY | 40701 | 610444700 | $10,583 | Patient Assistance | |
| Baptist Healthcare Systems | |||||||
| PO Box 32860 | Louisville | KY | 40232 | 610444707 | $92,153 | Patient Assistance | |
| Pikeville Medical Center | |||||||
| PO Box 2917 | Pikeville | KY | 41502 | 610458376 | $11,290 | Patient Assistance | |
| Ephraim McDowell Regional Med Ctr | |||||||
| PO Box 1108 | Danville | KY | 40423 | 610492356 | $15,360 | Patient Assistance | |
| Murray Calloway Co Hosp | |||||||
| 803 Poplar St | Murray | KY | 42071 | 610620567 | $8,423 | Patient Assistance | |
| Graves Gilbert Clinic | |||||||
| PO Box 90007 | Bowling Green | KY | 42101 | 610700826 | $45,565 | Patient Assistance | |
| Louisville Oncology Dept 86156 | |||||||
| PO Box 9501854 | Louisville | KY | 40295 | 610703799 | $89,964 | Patient Assistance | |
| The Ophthalmology Group | |||||||
| 1903 Broadway | Paducah | KY | 42001 | 610706763 | $61,005 | Patient Assistance | |
| Retina & Vitreous Assoc of KY | |||||||
| 120 N Eagle Creek Dr | Lexington | KY | 40509 | 610918053 | $731,777 | Patient Assistance | |
| West KY Hematology & Oncology | |||||||
| 225 Medical Center Dr | Paducah | KY | 42003 | 610989749 | $17,460 | Patient Assistance | |
| Rheumatology Associates | |||||||
| 3430 Newburg Rd | Louisville | KY | 40218 | 611183441 | $6,496 | Patient Assistance | |
| Eye Centers of Louisville | |||||||
| 4010 Dupont Cir | Louisville | KY | 40270 | 611212775 | $21,069 | Patient Assistance | |
| Baptist Heath LA Grange | |||||||
| PO Box 32870 | Louisville | KY | 40232 | 611226399 | $6,743 | Patient Assistance | |
| Oncology Assoc of W KY | |||||||
| PO Box 8449 | Paducah | KY | 42002 | 611235019 | $12,718 | Patient Assistance | |
| New Lexington Clinic | |||||||
| PO Box 11790 | Lexington | KY | 40578 | 611262927 | $54,619 | Patient Assistance | |
| Elizabethtown HemoOnco | |||||||
| 1107 Woodland Dr | Elizabethtown | KY | 42701 | 611273759 | $13,074 | Patient Assistance | |
| Commonwealth Cancer Center | |||||||
| 110 Diagnostic Dr | Frankfort | KY | 40601 | 611277847 | $45,910 | Patient Assistance | |
| Owensboro Medical Health System | |||||||
| PO Box 22600 | Owensboro | KY | 42304 | 611286361 | $10,828 | Patient Assistance | |
| James Graham Brown Cancer Center | |||||||
| 529 S Jackson St | Louisville | KY | 40202 | 611293786 | $110,104 | Patient Assistance | |
| Woodland Medical Specialists | |||||||
| 1240 Woodland Dr | Elizabethtown | KY | 42701 | 611313612 | $17,483 | Patient Assistance | |
| St Joseph Healthcare | |||||||
| 1 St Joseph Dr | Lexington | KY | 40504 | 611334601 | $7,685 | Patient Assistance | |
| Gajera and Patel PLLC | |||||||
| 1717 High St | Hopkinsville | KY | 42240 | 611459460 | $24,067 | Patient Assistance | |
| Lake Cumberland Regional Hospital LLC | |||||||
| PO Box 620 | Somerset | KY | 42502 | 621757920 | $14,311 | Patient Assistance | |
| Acadiana Retina Consultant | |||||||
| 1101 S College Rd | Lafayette | LA | 70503 | 050538463 | $73,649 | Patient Assistance | |
| Dr Coy W Gammage Jr APMC | |||||||
| PO Box 6137 | Monroe | LA | 71211 | 200079854 | $12,050 | Patient Assistance | |
| Dr Scott Barron | |||||||
| PO Box 6137 | Monroe | LA | 71211 | 200079867 | $10,076 | Patient Assistance | |
| Southern Eye Institute | |||||||
| 446 Corporate Dr | Houma | LA | 70360 | 200793772 | $12,297 | Patient Assistance | |
| Pontchatrain Hematology Oncology | |||||||
| 15752 Medical Arts Plz | Hammond | LA | 70403 | 203218016 | $99,603 | Patient Assistance | |
| Tiger Vison LCC | |||||||
| 10423 Old Hammond Hwy | Baton Rouge | LA | 70816 | 205751061 | $17,087 | Patient Assistance | |
| Mobile Medical Consultants | |||||||
| PO Box 1536 | Mandeville | LA | 70470 | 453913774 | $30,963 | Patient Assistance | |
| Acadia General Hospital Inc | |||||||
| 1305 Crowley Rayne Hwy | Crowley | LA | 70526 | 464958152 | $9,924 | Patient Assistance | |
| Biomedical Research Foundation | |||||||
| PO Box 38050 | Shreveport | LA | 71133 | 581711612 | $24,898 | Patient Assistance | |
| Ochsner Clinic | |||||||
| 9001 Summa Ave | Baton Rouge | LA | 70809 | 720276883 | $16,555 | Patient Assistance | |
| Freedman Clinic of Internal Medicine | |||||||
| PO Box 13030 | Alexandria | LA | 71315 | 720399647 | $26,247 | Patient Assistance | |
| Acadia General Hospital | |||||||
| 1305 Crowley Rayne Hwy | Crowley | LA | 70526 | 720417281 | $10,264 | Patient Assistance | |
| Our Lady of the Lake Reg Med Ctr | |||||||
| PO Box 14790 | Baton Rouge | LA | 70898 | 720423651 | $5,578 | Patient Assistance | |
| Touro Infirmary | |||||||
| 1401 Foucher St | New Orleans | LA | 70115 | 720423659 | $6,630 | Patient Assistance | |
| Oschsner Clinic | |||||||
| 1514 Jefferson Hwy | New Orleans | LA | 70123 | 720502505 | $18,042 | Patient Assistance | |
| Eye Medical Center | |||||||
| 7777 Hennessey Blvd | Baton Rouge | LA | 70808 | 720695620 | $12,351 | Patient Assistance | |
| The Eye Clinic of Monroe | |||||||
| 3101 Mercedes Dr | Monroe | LA | 71201 | 720767582 | $25,521 | Patient Assistance | |
| Retina Associates | |||||||
| 3525 Prytania St | New Orleans | LA | 70175 | 720789130 | $11,594 | Patient Assistance | |
| Lance Turkish MD | |||||||
| 3434 Prytania St | New Orleans | LA | 70115 | 720911758 | $7,201 | Patient Assistance | |
| Eye Associates of NE LA | |||||||
| 1804 N 7th St W | Monroe | LA | 71291 | 720975592 | $80,498 | Patient Assistance | |
| HematologyOncology Clinic | |||||||
| 8595 Picardy Ave | Baton Rouge | LA | 70809 | 721015780 | $230,124 | Patient Assistance | |
| Larry K Broadwell MD | |||||||
| 820 Jordan St | Shreveport | LA | 71101 | 721304829 | $5,348 | Patient Assistance | |
| Northlake Hematology Oncology | |||||||
| 1120 Robert Blvd | Slidell | LA | 70458 | 721314506 | $10,335 | Patient Assistance | |
| Regional Urology Shreveport | |||||||
| 255 Bert Kouns | Forbing | LA | 71106 | 721324701 | $83,547 | Patient Assistance | |
| Advanced Eye Institute | |||||||
| 1101 Audubon Ave | Thibodaux | LA | 70301 | 721396401 | $10,501 | Patient Assistance | |
| Retina Vitreous of LA | |||||||
| 7777 Hennesy Blvd | Baton Rouge | LA | 70808 | 721449539 | $98,443 | Patient Assistance | |
| Eye Surgery Center of LA | |||||||
| 3900 Veterans Blvd | Metairie | LA | 70002 | 721476463 | $99,614 | Patient Assistance | |
| Hematology Oncology Life Ctr | |||||||
| 605 B Medical Center Dr | Alexandria | LA | 71301 | 721506854 | $20,495 | Patient Assistance | |
| Acadiana Oncolocy | |||||||
| 602 N Lewis | New Iberia | LA | 70563 | 721512320 | $6,829 | Patient Assistance | |
| Slidell Memorial Hospital | |||||||
| PO Box 54710 | New Orleans | LA | 70154 | 726014895 | $44,944 | Patient Assistance | |
| Savoy Medical Center | |||||||
| 801 Poinciana Ave | Mamou | LA | 70554 | 800202027 | $16,889 | Patient Assistance | |
| Wilson Baber MD LLC | |||||||
| PO Box 44309 | Shreveport | LA | 71134 | 810587840 | $19,796 | Patient Assistance | |
| Eyecare Providers | |||||||
| 4324 Veterans Memorial Blvd | Metairie | LA | 70006 | 820560088 | $6,199 | Patient Assistance | |
| Harrington Cancer Center | |||||||
| 100 South St | Southbridge | MA | 01550 | 042103577 | $6,490 | Patient Assistance | |
| MA Eye & Ear Infirmary | |||||||
| 243 Charles St | Boston | MA | 02114 | 042103591 | $11,042 | Patient Assistance | |
| Opthalmalic Consultants of Boston | |||||||
| PO Box 414654 | Boston | MA | 02241 | 042500346 | $34,346 | Patient Assistance | |
| Center for Sight Inc | |||||||
| 1565 N Main St | Fall River | MA | 02720 | 042566046 | $5,949 | Patient Assistance | |
| Lahey Hospital & Medical Center | |||||||
| PO Box 981001 | Boston | MA | 02298 | 042704686 | $16,192 | Patient Assistance | |
| Rheumatology and Internal Medicine | |||||||
| 64C Concord St | Wilmington | MA | 01887 | 043480187 | $5,000 | Patient Assistance | |
| Sam Farah MD | |||||||
| PO Box 848929 | Boston | MA | 02284 | 061742447 | $6,716 | Patient Assistance | |
| Joshua D Katz MD PA | |||||||
| PO Box 9132 | Brookline | MA | 02446 | 096547598 | $5,000 | Patient Assistance | |
| Long Island Jewish Medical Center | |||||||
| PO Box 415969 | Boston | MA | 02241 | 112241326 | $18,720 | Patient Assistance | |
| Westchester Medical Group | |||||||
| PO Box 417414 | Boston | MA | 02241 | 133884168 | $6,945 | Patient Assistance | |
| NYU Hospital Center | |||||||
| PO Box 415011 | Boston | MA | 02241 | 133971298 | $5,716 | Patient Assistance | |
| Ellen S Lathi MD PA | |||||||
| PO Box 9132 | Brookline | MA | 02446 | 174449475 | $63,131 | Patient Assistance | |
| New England Retina Consultants PC | |||||||
| 3640 Main St | Springfield | MA | 01107 | 202549471 | $8,390 | Patient Assistance | |
| Robert H Janigian Jr MD LLC | |||||||
| PO Box 848817 | Boston | MA | 02284 | 208836534 | $45,482 | Patient Assistance | |
| MEEA Inc | |||||||
| 300 Crown Colony Dr | Quincy | MA | 02169 | 222658209 | $51,360 | Patient Assistance | |
| Soll Eye PC of PA Franklin Division | |||||||
| PO Box 843317 | Boston | MA | 02284 | 232246884 | $27,952 | Patient Assistance | |
| Vitreo-Retinal Associates of Worcester PC | |||||||
| 67 Belmont St | Worcester | MA | 01605 | 300562576 | $19,923 | Patient Assistance | |
| Dana Farber Cancer Care Network Inc | |||||||
| 10 Willard St | Quincy | MA | 02169 | 465138314 | $15,942 | Patient Assistance | |
| John Hopkins Hosp | |||||||
| PO Box 418243 | Boston | MA | 02241 | 520591656 | $7,923 | Patient Assistance | |
| Upper Chesapeake Medical Ctr | |||||||
| PO Box 418670 | Boston | MA | 02241 | 521253920 | $10,099 | Patient Assistance | |
| Eye Consultants of MD | |||||||
| PO Box 418011 | Boston | MA | 02241 | 521828318 | $11,123 | Patient Assistance | |
| Greater Baltimore Medical Center | |||||||
| PO Box 418271 | Boston | MA | 02241 | 526049658 | $10,355 | Patient Assistance | |
| Harbin Clinic | |||||||
| PO Box 848290 | Boston | MA | 02284 | 582234927 | $112,033 | Patient Assistance | |
| Maryland Pain and Spine Center LLC | |||||||
| PO Box 15109 | Springfield | MA | 01105 | 770666042 | $5,105 | Patient Assistance | |
| Rheumatology Assoc of Baltimore | |||||||
| 1220 B East Joppa Rd | Towson | MD | 21286 | 010606079 | $11,723 | Patient Assistance | |
| Atlantic Retina Center | |||||||
| 31455 Winterplace Pkwy | Salisbury | MD | 21804 | 043769587 | $84,035 | Patient Assistance | |
| Maryland Oncology and Hematology | |||||||
| PO Box 75581 | Baltimore | MD | 21275 | 113652573 | $123,404 | Patient Assistance | |
| Antietam Oncology Hematology | |||||||
| 1130 Opal Ct | Hagerstown | MD | 21740 | 204253140 | $25,012 | Patient Assistance | |
| Mid Atlantic Retina | |||||||
| 10000 Prestwich Ter | Ijamsville | MD | 21754 | 204841431 | $38,647 | Patient Assistance | |
| Annapolis Neurology Associates | |||||||
| 122 Defense Hwy | Annapolis | MD | 21401 | 260760317 | $5,900 | Patient Assistance | |
| Krishnan Hematology Oncology Assoc | |||||||
| PO Box 2595 | Ellicott City | MD | 21041 | 270597913 | $24,898 | Patient Assistance | |
| Frederick Memorial Hospiatal | |||||||
| 400 W Seventh St | Frederick | MD | 21701 | 520591612 | $28,989 | Patient Assistance | |
| John Hopkins Unversity | |||||||
| PO Box 64474 | Baltimore | MD | 21264 | 520595110 | $30,754 | Patient Assistance | |
| Anne Arundel Urology | |||||||
| 600 Ridgely Ave | Annapolis | MD | 21401 | 520914207 | $20,993 | Patient Assistance | |
| Omni Eye Specialists | |||||||
| 2925 Lord Baltimore Dr | Baltimore | MD | 21244 | 521417115 | $21,321 | Patient Assistance | |
| Chesapeake Oncology & Hematology Associates | |||||||
| 3001 S Hanover St | Baltimore | MD | 21225 | 521480363 | $80,766 | Patient Assistance | |
| Retina Group of Washington PC | |||||||
| 7501 Greenway Center Dr | Greenbelt | MD | 20770 | 521570295 | $30,910 | Patient Assistance | |
| Baltimore Washington Professional Services | |||||||
| PO Box 64584 | Baltimore | MD | 21264 | 521655640 | $5,889 | Patient Assistance | |
| Elman Retina Group PA | |||||||
| 9114 Philadelphia Rd | Rosedale | MD | 21237 | 521803322 | $106,023 | Patient Assistance | |
| Center for Cancer and Blood Disorders | |||||||
| 6420 Rockledge Dr | Bethesda | MD | 20817 | 521840949 | $6,534 | Patient Assistance | |
| Klein & Associates | |||||||
| 346 Mill St | Hagerstown | MD | 21740 | 521850319 | $8,252 | Patient Assistance | |
| Retina Consultants of Delmarva | |||||||
| 1415 Wesley Dr | Salisbury | MD | 21801 | 521862392 | $154,407 | Patient Assistance | |
| Bay Hematology Oncology PA | |||||||
| 8221 Teal Dr | Easton | MD | 21601 | 521934955 | $10,422 | Patient Assistance | |
| Cumberland Valley Retina Consultants | |||||||
| 1150 Opal Ct | Hagerstown | MD | 21740 | 521946106 | $170,186 | Patient Assistance | |
| Retina Specialists | |||||||
| 6569 N Charles St | Baltimore | MD | 21204 | 521998865 | $33,689 | Patient Assistance | |
| Katzen Eye Group | |||||||
| 1209 York Rd | Lutherville | MD | 21093 | 522000021 | $15,884 | Patient Assistance | |
| Edward J Goldman MD PA | |||||||
| 25 Crossroads Dr | Owings Mills | MD | 21117 | 522007600 | $28,256 | Patient Assistance | |
| Shah Associates of MD | |||||||
| PO Box 640 | Hollywood | MD | 20636 | 522031757 | $14,548 | Patient Assistance | |
| Frederick Oncology Hematology | |||||||
| 46 B Thomas Johnson Dr | Frederick | MD | 21702 | 522074387 | $25,120 | Patient Assistance | |
| The Retina Care Center | |||||||
| 6115 Falls Rd | Baltimore | MD | 21209 | 522117156 | $126,684 | Patient Assistance | |
| Chesapeake Eye Surgery Ctr | |||||||
| 2002 Medical Pkwy | Annapolis | MD | 21401 | 522124249 | $6,800 | Patient Assistance | |
| Chesapeake Urology | |||||||
| 25 Crossroads Dr | Owings Mills | MD | 21117 | 522146172 | $222,576 | Patient Assistance | |
| Medical Faculty Assoc | |||||||
| PO Box 37056 | Baltimore | MD | 21297 | 522220700 | $6,343 | Patient Assistance | |
| Center for Retinal Diseases and Surgery LLC | |||||||
| 6420 Rockledge Dr | Bethesda | MD | 20817 | 522268427 | $22,882 | Patient Assistance | |
| Greater Washington Oncology | |||||||
| PO Box 640 | Hollywood | MD | 20636 | 522286097 | $22,538 | Patient Assistance | |
| Auerbach Hematology Oncology | |||||||
| 9110 Philadelphia Rd | Baltimore | MD | 21237 | 522343901 | $5,071 | Patient Assistance | |
| Centra Health Inc | |||||||
| PO Box 791325 | Baltimore | MD | 21279 | 540715569 | $37,869 | Patient Assistance | |
| Virginia Urology Ctr PC | |||||||
| PO Box 79437 | Baltimore | MD | 21279 | 541203530 | $13,272 | Patient Assistance | |
| Sentara Norfolk General Hospital | |||||||
| PO Box 79603 | Baltimore | MD | 21279 | 541547408 | $18,962 | Patient Assistance | |
| Eastern Maine Medical Center | |||||||
| 43 Whiting Hill Rd | Brewer | ME | 04412 | 010211501 | $12,544 | Patient Assistance | |
| Franklin Memorial Hospital | |||||||
| 111 Franklin Health | Chesterville | ME | 04938 | 010211503 | $5,206 | Patient Assistance | |
| Mercy Hospital | |||||||
| 144 State St | Portland | ME | 04101 | 010211534 | $9,685 | Patient Assistance | |
| ME Eye Care | |||||||
| 325 A Kennedy Memorial Dr | Benton | ME | 04901 | 010316462 | $38,647 | Patient Assistance | |
| Maine Eye Center | |||||||
| 15 Lowell St | Portland | ME | 04102 | 010329291 | $133,381 | Patient Assistance | |
| Maine Center for Cancer Medicine | |||||||
| 100 Campus Dr | Scarborough | ME | 04074 | 010357684 | $307,400 | Patient Assistance | |
| Eyecare Medical Group | |||||||
| 53 Sewall St | Portland | ME | 04102 | 010358257 | $90,649 | Patient Assistance | |
| The Aroostook Medical Center | |||||||
| 140 Academy St | Presque Isle | ME | 04769 | 010372148 | $9,924 | Patient Assistance | |
| Maine Vitreoretinal Consultants | |||||||
| PO Box 4839 | Belfast | ME | 04915 | 010493014 | $20,865 | Patient Assistance | |
| Northeast Retina Associates | |||||||
| 272 Cottage St | Sanford | ME | 04073 | 010501479 | $12,158 | Patient Assistance | |
| The Retina Ctr of ME | |||||||
| 100 Foden Rd W | South Portland | ME | 04106 | 010512852 | $18,608 | Patient Assistance | |
| Central Maine Eye Care | |||||||
| 181 Russell St | Lewiston | ME | 04243 | 010535047 | $5,917 | Patient Assistance | |
| Long Island Vitreo Retinal Consultants | |||||||
| PO Box 5496 | Belfast | ME | 04915 | 113212097 | $16,084 | Patient Assistance | |
| Dr Sirus Hamzavi | |||||||
| PO Box 830 | Auburn | ME | 04212 | 202856367 | $90,971 | Patient Assistance | |
| Lake University Ireland Cancer Ctr | |||||||
| PO Box 13419 | Belfast | ME | 04915 | 202873927 | $30,582 | Patient Assistance | |
| Urology Group of New Jersey | |||||||
| PO Box 11346 | Belfast | ME | 04915 | 203598247 | $17,855 | Patient Assistance | |
| Eye Foundation of Utah | |||||||
| PO Box 5542 | Belfast | ME | 04915 | 204171933 | $5,272 | Patient Assistance | |
| Community Retina Group PA | |||||||
| PO Box 12627 | Belfast | ME | 04915 | 205914460 | $5,904 | Patient Assistance | |
| Lutheran Medical Group | |||||||
| PO Box 4852 | Belfast | ME | 04915 | 264213839 | $11,919 | Patient Assistance | |
| Urology of Virginia PLLC | |||||||
| PO Box 5308 | Belfast | ME | 04915 | 274848565 | $36,208 | Patient Assistance | |
| Suncoast Medical Clinic LLC | |||||||
| PO Box 5157 | Belfast | ME | 04915 | 274951265 | $6,287 | Patient Assistance | |
| Promdedica Central Physicians | |||||||
| PO Box 11043 | Belfast | ME | 04915 | 341881137 | $17,067 | Patient Assistance | |
| Advanced Urology Inst | |||||||
| PO Box 13067 | Belfast | ME | 04915 | 462439971 | $8,870 | Patient Assistance | |
| North Carolina Eye Ear Nose and Throat | |||||||
| PO Box 5659 | Belefast | ME | 04915 | 561288767 | $56,664 | Patient Assistance | |
| Regional Employee Assistance Program Inc | |||||||
| PO Box 8691 | Belfast | ME | 04915 | 760423386 | $6,640 | Patient Assistance | |
| Venkatasiva R Peram MD PC | |||||||
| 2222 S Lyndon Rd | Flint | MI | 48532 | 161727756 | $9,116 | Patient Assistance | |
| Sean M Rooney MD PhD | |||||||
| 1414 W Fair Ave | Marquette | MI | 49855 | 200247592 | $11,738 | Patient Assistance | |
| Barbara Ann Karmanos | |||||||
| PO Box 673352 | Detroit | MI | 48267 | 201649466 | $14,956 | Patient Assistance | |
| HH Services Bates ET AL LLC | |||||||
| PO Box 77000 | Detroit | MI | 48277 | 260396104 | $18,340 | Patient Assistance | |
| The Retina Specialist of MI | |||||||
| 2757 Leonard St NE | Grand Rapids | MI | 49525 | 263453700 | $94,736 | Patient Assistance | |
| Northern MI Hematology Oncology | |||||||
| 416 Connable Ave | Petoskey | MI | 49770 | 320020293 | $26,204 | Patient Assistance | |
| EMH Regional Medical Center Dept 781680 | |||||||
| PO Box 78000 | Detroit | MI | 48278 | 340714612 | $5,046 | Patient Assistance | |
| Elkhart General Hospital Department 78908 | |||||||
| PO Box 78000 | Detroit | MI | 48278 | 350877574 | $5,746 | Patient Assistance | |
| West Shore Medical Center | |||||||
| 1465 E Parkdale Ave | Manistee | MI | 49660 | 380350304 | $6,423 | Patient Assistance | |
| Metropolitan Hospital | |||||||
| PO Box 159 | Grand Rapids | MI | 49501 | 380593405 | $19,068 | Patient Assistance | |
| Mid Michigan Medical Ctr | |||||||
| 4005 Orchard Dr | Midland | MI | 48670 | 380833014 | $31,571 | Patient Assistance | |
| Henry Ford Hospital | |||||||
| PO Box 670884 | Detroit | MI | 48267 | 381357020 | $15,730 | Patient Assistance | |
| Memorial Healthcare | |||||||
| PO Box 1630 | Owosso | MI | 48867 | 381358208 | $17,673 | Patient Assistance | |
| StJohn Great Lake Cancer | |||||||
| PO Box 64000 | Detroit | MI | 48264 | 381359063 | $63,217 | Patient Assistance | |
| Allegan General Hospital | |||||||
| 555 Linn St | Allegan | MI | 49010 | 381359180 | $5,923 | Patient Assistance | |
| Munson Medical Ctr | |||||||
| PO Box 1131 | Traverse City | MI | 49685 | 381362830 | $87,076 | Patient Assistance | |
| Oakwood Healthcare System Dept 214101 | |||||||
| PO Box 67000 | Detroit | MI | 48267 | 381405141 | $6,097 | Patient Assistance | |
| Ingham Regional Medical Center | |||||||
| 401 W Greenlawn Ave | Lansing | MI | 48910 | 381434090 | $23,002 | Patient Assistance | |
| William Beaumont Hospital | |||||||
| PO Box 5042 | Troy | MI | 48007 | 381459362 | $34,669 | Patient Assistance | |
| Lansing Ophthalmology Pc | |||||||
| 2001 Coolidge Rd E | Lansing | MI | 48823 | 381818892 | $26,271 | Patient Assistance | |
| Glendale Neurological Associates PC | |||||||
| 28595 Orchard Lake Rd | Farmingtn Hls | MI | 48334 | 381889896 | $48,724 | Patient Assistance | |
| Wilkinson Eye Center | |||||||
| 44555 Woodward Ave | Pontiac | MI | 48341 | 381903789 | $27,167 | Patient Assistance | |
| Associated Retinal Consultants | |||||||
| 39650 Orchard Hill Pl | Novi | MI | 48375 | 381946761 | $5,193 | Patient Assistance | |
| Associated Retinal Consultants | |||||||
| 39650 Orchard Hill Pl | Novi | MI | 48375 | 381946761 | $1,254,925 | Patient Assistance | |
| Michigan Institute of Urology | |||||||
| 20952 12 Mile Rd | St Clair Shores | MI | 48081 | 381962231 | $59,074 | Patient Assistance | |
| Bay Regional Medical Ctr | |||||||
| PO Box 68 | Bay City | MI | 48707 | 381976271 | $5,121 | Patient Assistance | |
| John G Kublin MD PC | |||||||
| 1414 E Fair Ave | Marquette | MI | 49855 | 382025989 | $5,348 | Patient Assistance | |
| Allegiance Health Dept 64787 | |||||||
| PO Box 64000 | Detroit | MI | 48264 | 382027689 | $21,296 | Patient Assistance | |
| McLaren Norhern MI | |||||||
| 560 W Mitchell St | Petoskey | MI | 49770 | 382146751 | $10,207 | Patient Assistance | |
| Coburn-Kleinfeldt Eye Clinic | |||||||
| 33400 W 6 Mile Rd | Livonia | MI | 48152 | 382155439 | $5,485 | Patient Assistance | |
| Lakeland Hospitals | |||||||
| PO Box 410 | St Joseph | MI | 49085 | 382156872 | $5,033 | Patient Assistance | |
| Singh Arora Oncology Hematology | |||||||
| 4100 Beecher Rd | Flint | MI | 48532 | 382199193 | $30,044 | Patient Assistance | |
| Genesee Hematology Oncology | |||||||
| 302 Kensington Ave | Flint | MI | 48503 | 382278871 | $129,438 | Patient Assistance | |
| Urologic Consultants PC | |||||||
| 25 Michigan St NE | Grand Rapids | MI | 49503 | 382285194 | $21,412 | Patient Assistance | |
| Grand Rapids Ophthalmology | |||||||
| 750 E Beltline Grand | Rapids | MI | 49525 | 382394920 | $13,870 | Patient Assistance | |
| Ghaleb F Hatem MD | |||||||
| 4655 Telegraph Rd | Dearborn Heights | MI | 48125 | 382412879 | $5,464 | Patient Assistance | |
| Retina Consultants of Michigan PLC | |||||||
| 29201 Telegraph Rd | Southfield | MI | 48034 | 382470694 | $5,900 | Patient Assistance | |
| Alan W Solway MD | |||||||
| 32410 Five Mile Rd | Livonia | MI | 48154 | 382626708 | $10,353 | Patient Assistance | |
| Great Lakes Eye Care | |||||||
| 2848 Niles Rd | St Joseph | MI | 49085 | 382723375 | $19,946 | Patient Assistance | |
| Spectrum Health Reed City Hosp | |||||||
| PO Box K | Grand Rapids | MI | 49501 | 382770076 | $9,411 | Patient Assistance | |
| Cancer and Hematology Center of Western Michi | |||||||
| PO Box 30516 | Lansing | MI | 48909 | 382777354 | $37,950 | Patient Assistance | |
| Dickinson County Healthcare | |||||||
| PO Box 2098 | Kingsford | MI | 49802 | 382780429 | $51,058 | Patient Assistance | |
| Allergy & Asthma Associates of Michigan | |||||||
| 3600 W 13 Mile Rd | Royal Oak | MI | 48073 | 382904386 | $50,283 | Patient Assistance | |
| Grand View Health System | |||||||
| N10561 Grand View Ln | Ironwood | MI | 49938 | 382908586 | $10,151 | Patient Assistance | |
| Bay Eye Care Ctr | |||||||
| 116 N Tuscola Rd | Bay City | MI | 48708 | 382949609 | $7,480 | Patient Assistance | |
| Vitreo Retinal Associates PC | |||||||
| 2505 E Paris Ave | Grand Rapids | MI | 49546 | 382967858 | $157,597 | Patient Assistance | |
| Asthma Allergy & Immunology | |||||||
| 8359 Office Park Dr | Grand Blanc | MI | 48439 | 383109748 | $9,038 | Patient Assistance | |
| MI Retina Vitreous Institute | |||||||
| 1290 S Linder Rd | Flint | MI | 48532 | 383118502 | $17,185 | Patient Assistance | |
| Andrew S Riemer DO PC | |||||||
| 5959 Lawndate St | Ludington | MI | 49431 | 383156438 | $17,398 | Patient Assistance | |
| TLC Eye Care and Laser Centers | |||||||
| 2723 S State St | Ann Arbor | MI | 48104 | 383160340 | $227,359 | Patient Assistance | |
| Anderson Eye Associates | |||||||
| PO Box 5649 | Saginaw | MI | 48603 | 383221412 | $166,734 | Patient Assistance | |
| Huron Medical Ctr | |||||||
| 1214 Richardson St | Port Huron | MI | 48060 | 383236461 | $7,365 | Patient Assistance | |
| Shoreline Opthalmology | |||||||
| 1266 E Sherman Blvd | Muskegon | MI | 49444 | 383245641 | $28,661 | Patient Assistance | |
| MI Neurology Assoc | |||||||
| 34025 Harper Clinton | Township | MI | 48035 | 383258019 | $6,715 | Patient Assistance | |
| Mid MI Physicians | |||||||
| 1717 E Michigan Ave | Lansing | MI | 48912 | 383267121 | $7,805 | Patient Assistance | |
| Genesee Cancer & Blood Diseases | |||||||
| 302 Kensington Ave | Flint | MI | 48503 | 383285515 | $42,662 | Patient Assistance | |
| St Clair Pulmonary & Critical Care | |||||||
| 1210 Tenth Ave | Port Huron | MI | 48060 | 383493385 | $20,840 | Patient Assistance | |
| Infusion Associates | |||||||
| 3230 Eagle Park | Grand Rapids | MI | 49525 | 383515680 | $5,702 | Patient Assistance | |
| Oncology Hematology Ass of Saginaw Valley PC | |||||||
| 5400 Mackinaw | Saginaw | MI | 48604 | 383553403 | $74,891 | Patient Assistance | |
| Alaa Owainati MD | |||||||
| 43700 Woodward Ave | Bloomfield Hills | MI | 48302 | 383561543 | $13,666 | Patient Assistance | |
| Alpena Cancer Center | |||||||
| 1501 W Chisholm | Alpena | MI | 49707 | 386000029 | $9,522 | Patient Assistance | |
| Michigan Healthcare Professional PC | |||||||
| 27301 Dequindre | Madison Heights | MI | 48071 | 451674932 | $89,904 | Patient Assistance | |
| Vitreoretinal Specialists PLC | |||||||
| 9400 S Saginaw Rd | Grand Blanc | MI | 48439 | 455263774 | $7,081 | Patient Assistance | |
| Marquette General HemOnc Assoc | |||||||
| 1414 W Fair Ave | Marquette | MI | 49855 | 800835058 | $53,511 | Patient Assistance | |
| Genesse Infectious Diseases PLC | |||||||
| 6060 Torrey Rd | Flint | MI | 48507 | 830428704 | $16,658 | Patient Assistance | |
| Critical Care Systems | |||||||
| PO Box 1450 | Minneapolis | MN | 55485 | 043115329 | $8,816 | Patient Assistance | |
| Vitereoretinal Consultants of Fort Wayne PC NW 6459 | |||||||
| PO Box 1450 | Minneapolis | MN | 55485 | 202269941 | $12,138 | Patient Assistance | |
| Edina Retina Consultants | |||||||
| 651 Nicollet Mall | Minneapolis | MN | 55402 | 203644190 | $16,776 | Patient Assistance | |
| Essentia Health Cancer Center (Fargo) | |||||||
| PO Box 1450 | Minneapolis | MN | 55485 | 261175213 | $6,833 | Patient Assistance | |
| St Francis Hospital | |||||||
| PO Box 860007 | Minneapolis | MN | 55486 | 390907740 | $22,934 | Patient Assistance | |
| Mayo Clinic Health System Eau Clair Clinic | |||||||
| PO Box 860087 | Minneapolis | MN | 55486 | 391735831 | $5,010 | Patient Assistance | |
| Essentia Health | |||||||
| PO Box 1450 | Minneapolis | MN | 55485 | 410695602 | $18,462 | Patient Assistance | |
| North Memorial Med Center | |||||||
| 3435 W Broadway | Robbinsdale | MN | 55422 | 410729979 | $12,242 | Patient Assistance | |
| Park Nicollet Clinic - St Louis Park | |||||||
| PO Box 9104 | Minneapolis | MN | 55480 | 410834920 | $17,915 | Patient Assistance | |
| Noran Neurological Clinic | |||||||
| 2828 Chicago Ave S | Minneapolis | MN | 55407 | 410984062 | $7,018 | Patient Assistance | |
| Fairview Health Services | |||||||
| PO Box 147 | Minneapolis | MN | 55440 | 410991680 | $18,547 | Patient Assistance | |
| The Minneapolis Clinic of Neurology | |||||||
| PO Box 86 | Minneapolis | MN | 55486 | 410999094 | $28,232 | Patient Assistance | |
| Associated Eye Care | |||||||
| 1719 Tower Dr | Stillwater | MN | 55082 | 411000647 | $30,412 | Patient Assistance | |
| Minneapolis Radiation | |||||||
| 6950 France Ave S | Bloomington | MN | 55435 | 411411888 | $5,554 | Patient Assistance | |
| The Retina Center PA | |||||||
| 2485 Maplewood Dr N | Maplewood | MN | 55109 | 411535029 | $46,068 | Patient Assistance | |
| Vitreo Retinal Surgery MN Ctr | |||||||
| 7760 France Ave S | Minneapolis | MN | 55435 | 411608615 | $231,757 | Patient Assistance | |
| Arthritis & Rheumatology Consultants | |||||||
| 7250 France Ave S | Edina | MN | 55435 | 411774839 | $5,603 | Patient Assistance | |
| Minnesota Oncology Hematology | |||||||
| 2550 University Ave W | Saint Paul | MN | 55114 | 411793418 | $251,439 | Patient Assistance | |
| Central Minnesota Retina Specialists PLLC | |||||||
| 2330 Troop Dr | Sartell | MN | 56377 | 500010471 | $57,734 | Patient Assistance | |
| Southside Regional Medical Center | |||||||
| PO Box 501128 | Saint Louis | MO | 63150 | 020691413 | $5,636 | Patient Assistance | |
| Tamara Hopkins MD LLC | |||||||
| PO Box 655 | Jefferson City | MO | 65102 | 204100481 | $6,507 | Patient Assistance | |
| Bransons Pulmonology And Sleep | |||||||
| PO Box 219 | Branson | MO | 65616 | 205902190 | $6,861 | Patient Assistance | |
| The | |||||||
| 1176 Town and Country Commons Dr | Chesterfield | MO | 63017 | 270067529 | $11,618 | Patient Assistance | |
| Tulsa Cancer Institute | |||||||
| PO Box 505096 | Saint Louis | MO | 63150 | 271806985 | $177,320 | Patient Assistance | |
| Orthopaedic Center of Southern Illinois | |||||||
| PO Box 503827 | Saint Louis | MO | 63150 | 370981099 | $5,733 | Patient Assistance | |
| Galesburg Cottage Hospital | |||||||
| PO Box 504047 | Saint Louis | MO | 63150 | 371485782 | $8,043 | Patient Assistance | |
| Mercy Hospital St Louis | |||||||
| 615 S New Ballas Rd | St Louis | MO | 63141 | 430653493 | $18,734 | Patient Assistance | |
| Siteman Cancer Cntr West | |||||||
| PO Box 60352 | Saint Louis | MO | 63141 | 430653611 | $158,605 | Patient Assistance | |
| St Louis University Cancer Ctr | |||||||
| PO Box 18535M | Saint Louis | MO | 63195 | 430654872 | $29,334 | Patient Assistance | |
| The Retina Institute | |||||||
| PO Box 60394 | St Louis | MO | 63160 | 430913832 | $259,697 | Patient Assistance | |
| Arthritis Consultants | |||||||
| 522 N New Ballas Rd | Saint Louis | MO | 63141 | 430947490 | $5,205 | Patient Assistance | |
| Jefferson City Medical Group | |||||||
| PO Box 104240 | Jefferson City | MO | 65110 | 430954586 | $18,018 | Patient Assistance | |
| Sabates Eye Center | |||||||
| PO Box 26425 | Kansas City | MO | 64196 | 430955525 | $18,913 | Patient Assistance | |
| Mercy Hospital Washington | |||||||
| PO Box 502385 | Saint Louis | MO | 63150 | 431066883 | $13,401 | Patient Assistance | |
| Oncology Hematology Associates of Springfield | |||||||
| 3850 S National | Springfield | MO | 65807 | 431188342 | $9,758 | Patient Assistance | |
| Columbia Retina Clinic LTD | |||||||
| 500 N Keene St | Columbia | MO | 65201 | 431203315 | $9,285 | Patient Assistance | |
| Retina Consultants | |||||||
| 1034 S Brentwood Blvd | Saint Louis | MO | 63117 | 431203561 | $21,676 | Patient Assistance | |
| County Oncologists | |||||||
| PO Box 78399 | Saint Louis | MO | 63178 | 431210038 | $37,902 | Patient Assistance | |
| St Louis Oncology Associates Inc | |||||||
| 10012 Kennerly Rd | Saint Louis | MO | 63128 | 431240180 | $19,427 | Patient Assistance | |
| Retina Associates of MO | |||||||
| 201 W Broadway | Columbia | MO | 65203 | 431289321 | $187,267 | Patient Assistance | |
| St Louis Cancer Care | |||||||
| PO Box 60450 | Saint Louis | MO | 63160 | 431369550 | $56,116 | Patient Assistance | |
| Cataract & Eye Disease Specs | |||||||
| 3889 Veterans Memorial Pkwy | Saint Peters | MO | 63376 | 431444392 | $13,772 | Patient Assistance | |
| St Johns Physicians & Clinics | |||||||
| PO Box 505164 | Saint Louis | MO | 63150 | 431560263 | $93,283 | Patient Assistance | |
| Jones Eye Center | |||||||
| 1405 Doctors Dr W | Plains | MO | 65775 | 431564100 | $7,786 | Patient Assistance | |
| Ramesh R Shah MD PC | |||||||
| 1703 W 30th St | Joplin | MO | 64804 | 431670663 | $20,193 | Patient Assistance | |
| Siteman Cancer Center | |||||||
| 150 Entrance Way | Saint Peters | MO | 63376 | 431681957 | $5,462 | Patient Assistance | |
| Signature Medical Group Inc | |||||||
| 12639 Old Tesson Rd | Saint Louis | MO | 63128 | 431696710 | $5,271 | Patient Assistance | |
| Freeman Health System | |||||||
| 1102 W 32nd St | Joplin | MO | 64804 | 431704371 | $74,692 | Patient Assistance | |
| DePaul Health Center | |||||||
| PO Box 503596 | Saint Louis | MO | 63150 | 431704972 | $16,874 | Patient Assistance | |
| DePaul Health Center | |||||||
| PO Box 503596 | Saint Louis | MO | 63150 | 431715106 | $10,007 | Patient Assistance | |
| Mercy Hospital Lebanon | |||||||
| 2055 S Fremont | Springfield | MO | 65804 | 431767432 | $5,020 | Patient Assistance | |
| Eye Care Specialists LLC | |||||||
| 360 S Mount Auburn Road Cpe | Girardeau | MO | 63703 | 431804777 | $7,824 | Patient Assistance | |
| Retina Associates of St Louis | |||||||
| 1224 Graham Rd | Florissant | MO | 63031 | 431842211 | $38,081 | Patient Assistance | |
| Retinal Associates | |||||||
| 1265 E Primrose | Springfield | MO | 65804 | 431842769 | $56,867 | Patient Assistance | |
| Clayton Medical | |||||||
| 6400 Clayton Rd | Saint Louis | MO | 63117 | 431907813 | $5,387 | Patient Assistance | |
| Curators of the University of Missouri | |||||||
| PO Box 802728 | Kansas City | MO | 64180 | 436003859 | $7,008 | Patient Assistance | |
| Mosaic Life Care Medical Oncology | |||||||
| 902 N Riverside Rd | Saint Joseph | MO | 64507 | 440545289 | $10,894 | Patient Assistance | |
| Capital Region Medical Center | |||||||
| 1432 Southwest Blvd | Jefferson City | MO | 65109 | 440546366 | $23,123 | Patient Assistance | |
| Mercy Hospital Springfield | |||||||
| PO Box 504274 | Saint Louis | MO | 63150 | 440552485 | $164,532 | Patient Assistance | |
| Lester E Cox Medical Centers Inc | |||||||
| 1423 N Jefferson | Springfield | MO | 65802 | 440577118 | $54,077 | Patient Assistance | |
| Lawrence S Cohen MD | |||||||
| 3483 NE Ralph Powell Rd | Lees Summit | MO | 64064 | 461432420 | $16,925 | Patient Assistance | |
| Olathe Medical Center | |||||||
| PO Box 505254 | Saint Louis | MO | 63150 | 480577664 | $16,956 | Patient Assistance | |
| Mid-America Retina Consultants | |||||||
| PO Box 843330 | Kansas City | MO | 64184 | 481057913 | $12,158 | Patient Assistance | |
| University of Kansas Hospital | |||||||
| 1000 E 101st Ter | Kansas City | MO | 64131 | 481202402 | $23,464 | Patient Assistance | |
| Retina Associates PA | |||||||
| PO Box 414971 | Kansas City | MO | 64141 | 481211774 | $266,382 | Patient Assistance | |
| Kansas City Urology Care PA | |||||||
| PO Box 802257 | Kansas City | MO | 64180 | 481216340 | $9,125 | Patient Assistance | |
| Lawrence Memeorial Hospital | |||||||
| PO Box 802798 | Kansas City | MO | 64180 | 486033703 | $8,622 | Patient Assistance | |
| Rolla Ophthalmology Associates | |||||||
| 720 S Bishop Ave | Rolla | MO | 65401 | 522182878 | $12,806 | Patient Assistance | |
| Rheumatology Consultants Chartered | |||||||
| PO Box 412194 | Kansas City | MO | 64141 | 611452962 | $14,095 | Patient Assistance | |
| Nursing Specialties | |||||||
| 456 N New Ballas | Saint Louis | MO | 63141 | 621832988 | $5,161 | Patient Assistance | |
| Hannibal Clinic | |||||||
| 100 Medical Dr | Hannibal | MO | 63401 | 710893524 | $64,216 | Patient Assistance | |
| Mercy Hospital Oklahoma City | |||||||
| PO Box 504292 | Saint Louis | MO | 63150 | 730579285 | $6,465 | Patient Assistance | |
| Vitreoretinal Eye Center | |||||||
| 962 Tommy Munro Dr | Biloxi | MS | 39532 | 203052472 | $9,053 | Patient Assistance | |
| Premier Foot Clinic | |||||||
| 705 Highway 80 W | Clinton | MS | 39056 | 203085717 | $12,770 | Patient Assistance | |
| Southern Eye Physicians Ctr | |||||||
| 1420 S 28th Ave | Hattiesburg | MS | 39402 | 208990120 | $22,009 | Patient Assistance | |
| Southwest MS Regional Medical Center | |||||||
| PO Box 1307 | McComb | MS | 39649 | 640468873 | $11,822 | Patient Assistance | |
| Hattiesburg Clinic PA | |||||||
| PO Box 2467 | Jackson | MS | 39225 | 640507572 | $52,070 | Patient Assistance | |
| Jackson Oncology & Hematology | |||||||
| 1227 N State St | Jackson | MS | 39202 | 640619700 | $134,519 | Patient Assistance | |
| North Mississippi Medical Center | |||||||
| PO Box 2240 | Tupelo | MS | 38803 | 640662976 | $25,674 | Patient Assistance | |
| Ruth Fredericks | |||||||
| PO Box 22670 | Jackson | MS | 39225 | 640845190 | $5,000 | Patient Assistance | |
| Mississippi Retina Associates PA | |||||||
| PO Box 12401 | Jackson | MS | 39236 | 640860086 | $344,143 | Patient Assistance | |
| Southern Eye Center PA | |||||||
| 1420 S 28th Ave | Hattiesburg | MS | 39402 | 640868999 | $6,196 | Patient Assistance | |
| Natchez Oncology Clinic Inc | |||||||
| 150 Jefferson Daves Blvd | Natchez | MS | 39120 | 640927522 | $24,665 | Patient Assistance | |
| Medical Oncology Greenville | |||||||
| PO Box 1887 | Clarksdale | MS | 38614 | 640930175 | $12,755 | Patient Assistance | |
| Delta Oncology Inc | |||||||
| 333 Highway 82 W | Greenwood | MS | 38930 | 640932526 | $60,536 | Patient Assistance | |
| Singing River Hospital System | |||||||
| 2809 Denny Ave | Pascagoula | MS | 39581 | 646000515 | $19,755 | Patient Assistance | |
| Forrest General Hospital | |||||||
| PO Box 15722 | Hattiesburg | MS | 39404 | 646001587 | $16,184 | Patient Assistance | |
| Memorial Hospital at Gulfport | |||||||
| PO Box 1810 | Gulfport | MS | 39502 | 646010232 | $30,453 | Patient Assistance | |
| Kalispell Regional Medical Center | |||||||
| 310 Sunnyview Ln | Kalispell | MT | 59901 | 237293874 | $20,798 | Patient Assistance | |
| Great Falls Clinic LLP | |||||||
| 1400 29th St S | Great Falls | MT | 59405 | 810141660 | $38,088 | Patient Assistance | |
| Western MT Clinic PC | |||||||
| PO Box 7609 | Missoula | MT | 59807 | 810226415 | $5,072 | Patient Assistance | |
| Billings Clinic | |||||||
| 801 N 29th St | Billings | MT | 59101 | 810231784 | $27,702 | Patient Assistance | |
| Bozeman Deaconess Hospital | |||||||
| 915 Highland Blvd | Bozeman | MT | 59715 | 810232121 | $11,098 | Patient Assistance | |
| Eye Physicians and Surgeons | |||||||
| 1221 N 26th St | Billings | MT | 59101 | 810303360 | $5,401 | Patient Assistance | |
| Medical Eye Specialist | |||||||
| 300 N Wilson | Bozeman | MT | 59715 | 810309952 | $6,745 | Patient Assistance | |
| Rocky Mountain Eye Center PC | |||||||
| 700 W Kent | Missoula | MT | 59801 | 810351370 | $5,883 | Patient Assistance | |
| Glacier Oncology PLLC | |||||||
| 75 Claremont St | Kalispell | MT | 59901 | 810514830 | $8,872 | Patient Assistance | |
| Looking Glass Eye Center | |||||||
| 188 Medical Park Dr | Brevard | NC | 28712 | 020622351 | $7,883 | Patient Assistance | |
| Moore Foot and Ankle Specialists | |||||||
| 136 Mimosa Dr | Asheville | NC | 28806 | 200397108 | $6,259 | Patient Assistance | |
| Asheville Neurology Specialists PA | |||||||
| 31 Dogwood Rd | Asheville | NC | 28806 | 200912649 | $39,667 | Patient Assistance | |
| Coosa Valley Medical Ctr | |||||||
| PO Box 890533 | Charlotte | NC | 28289 | 201282261 | $54,401 | Patient Assistance | |
| Regional Hematology & Oncology | |||||||
| PO Box 60630 | Charlotte | NC | 28260 | 203911637 | $15,626 | Patient Assistance | |
| Retina Institute of NC | |||||||
| 2605 Blueridge Rd | Raleigh | NC | 27607 | 205100384 | $162,925 | Patient Assistance | |
| Cape Fear Retinal Associates | |||||||
| 1104 Medical Center Dr | Wilmington | NC | 28401 | 205203879 | $56,616 | Patient Assistance | |
| The Macula Center of NC | |||||||
| 630 5th Ave W | Hendersonville | NC | 28739 | 205724902 | $16,540 | Patient Assistance | |
| Waverly Hematology Oncology | |||||||
| PO Box 601043 | Charlotte | NC | 28260 | 205815295 | $36,711 | Patient Assistance | |
| Mark H Nelson MD PA | |||||||
| 750 Highland Oaks Dr | Winston Salem | NC | 27103 | 205932901 | $41,659 | Patient Assistance | |
| Wake Forest University Health Sciences | |||||||
| PO Box 344 | Winston Salem | NC | 27102 | 223849199 | $8,458 | Patient Assistance | |
| Susan Andracchi MD | |||||||
| 2512 Delaney Ave | Wilmington | NC | 28403 | 262768233 | $6,446 | Patient Assistance | |
| Piedmont Retina Specialists PA | |||||||
| 1132 N Church St | Greensboro | NC | 27401 | 264687965 | $124,448 | Patient Assistance | |
| Southern Oncology Specialist | |||||||
| 10030 Gilead Rd | Huntersville | NC | 28078 | 272598523 | $78,379 | Patient Assistance | |
| Family Foot and Ankle Physicians | |||||||
| 1432 E Firetower Rd | Greenville | NC | 27858 | 273540235 | $19,068 | Patient Assistance | |
| Carolina Urology Partners | |||||||
| 9735 Kincey Ave | Huntersville | NC | 28078 | 273905550 | $78,413 | Patient Assistance | |
| Central Piedmont Retina PA | |||||||
| 3333 Brookview Hills Blvd | Winston Salem | NC | 27103 | 274198445 | $148,661 | Patient Assistance | |
| Moses Cone Affiliated Physicians | |||||||
| 1204 Maple St | Greensboro | NC | 27405 | 300554775 | $12,227 | Patient Assistance | |
| Regional Med Oncology Ctr | |||||||
| 2624 Ortho Dr | Wilson | NC | 27893 | 455189279 | $21,554 | Patient Assistance | |
| DLP Western Carolina Physician Practices LLC | |||||||
| PO Box 602980 | Charlotte | NC | 28260 | 471049674 | $28,051 | Patient Assistance | |
| Neurology and Pain Consultants PLLC | |||||||
| 152 E Kinderton Way | Advance | NC | 27006 | 471843398 | $56,177 | Patient Assistance | |
| Altantic Urology Clinics LLC | |||||||
| PO Box 602460 | Charlotte | NC | 28260 | 510570029 | $23,194 | Patient Assistance | |
| Virginia Cancer Specialists PC | |||||||
| PO Box 60609 | Charlotte | NC | 28260 | 541795091 | $47,262 | Patient Assistance | |
| Oncology & Hematology Assoc | |||||||
| PO Box 601507 | Charlotte | NC | 28260 | 541922084 | $173,279 | Patient Assistance | |
| Natalie A Doyle MD PA | |||||||
| 2806 B Wooten Blvd | Wilson | NC | 27893 | 542072308 | $11,183 | Patient Assistance | |
| Levine Cancer Institute - Main | |||||||
| 1021 Morehead Medical Dr | Charlotte | NC | 28204 | 560529945 | $110,143 | Patient Assistance | |
| Randolph Hospital | |||||||
| PO Box 1048 | Asheboro | NC | 27204 | 560530234 | $11,132 | Patient Assistance | |
| Mission Hospitals Inc | |||||||
| PO Box 751177 | Charlotte | NC | 28275 | 560532141 | $97,106 | Patient Assistance | |
| High Point Regional Health System | |||||||
| 601 N Elm St | High Point | NC | 27262 | 560532309 | $50,999 | Patient Assistance | |
| Columbus Regional Healthcare | |||||||
| 500 Jefferson St | Whiteville | NC | 28472 | 560538020 | $6,480 | Patient Assistance | |
| Park Ridge Hospital | |||||||
| PO Box 601556 | Charlotte | NC | 28260 | 560543246 | $119,173 | Patient Assistance | |
| Presbyterian Hospital | |||||||
| PO Box 71049 | Charlotte | NC | 28272 | 560554230 | $5,904 | Patient Assistance | |
| New Hanover Reg Med Ctr | |||||||
| 2131 S 17th St | WILMINGTON | NC | 28401 | 560887181 | $5,102 | Patient Assistance | |
| Forsyth Memorial Hospital Inc | |||||||
| PO Box 75216 | Charlotte | NC | 28275 | 560928089 | $78,758 | Patient Assistance | |
| Pinehurst Medical Clinic | |||||||
| PO Box 63283 | Charlotte | NC | 28263 | 560942980 | $23,484 | Patient Assistance | |
| Cabarrus Eye Center | |||||||
| 201 Lephillip Ct NE | Concord | NC | 28025 | 560947951 | $51,421 | Patient Assistance | |
| Graystone Ophthamology | |||||||
| PO Box 3445 | Hickory | NC | 28603 | 560962483 | $67,357 | Patient Assistance | |
| Kinston Medical Specialists | |||||||
| 701 Doctors Dr | Kinston | NC | 28501 | 560986098 | $10,763 | Patient Assistance | |
| Rowan Diagnostic Clinic PA | |||||||
| 611 Mocksville Ave | Salisbury | NC | 28144 | 560988429 | $6,362 | Patient Assistance | |
| Boice-Willis Clinic | |||||||
| PO Box 7200 | Rocky Mount | NC | 27804 | 561025986 | $7,664 | Patient Assistance | |
| Morganton Eye Physicians PA | |||||||
| 335 E Parker Rd | Morganton | NC | 28655 | 561109834 | $37,983 | Patient Assistance | |
| UNC Hospital | |||||||
| PO Box 71060 | Charlotte | NC | 28272 | 561118388 | $50,904 | Patient Assistance | |
| Carolina Eye Associates | |||||||
| 2170 Midland Rd | Southern Pines | NC | 28387 | 561183309 | $182,857 | Patient Assistance | |
| Cape Fear Podiatry Associates PA | |||||||
| 1738 Metromedical Dr | Fayetteville | NC | 28304 | 561245721 | $7,603 | Patient Assistance | |
| Allergy Partners of Central IN | |||||||
| PO Box 2227 | Skyland | NC | 28776 | 561249571 | $24,672 | Patient Assistance | |
| Carolina Oncology Associates | |||||||
| 825 W Henderson St | Salisbury | NC | 28144 | 561279668 | $7,287 | Patient Assistance | |
| Mecklenburg Neurological | |||||||
| 1900 Scott Ave | Charlotte | NC | 28203 | 561295421 | $11,418 | Patient Assistance | |
| Carolina Ophthalmology PA | |||||||
| PO Box 2300 | Hendersonville | NC | 28793 | 561310375 | $55,963 | Patient Assistance | |
| White Eye Associates | |||||||
| 301 Bowman Gray Dr | Greenville | NC | 27834 | 561341154 | $33,656 | Patient Assistance | |
| Pinehurst Neurology | |||||||
| PO Box 1749 | Pinehurst | NC | 28370 | 561390310 | $27,275 | Patient Assistance | |
| Carolinas Medical Ctr | |||||||
| PO Box 32861 | Charlotte | NC | 28232 | 561398929 | $34,079 | Patient Assistance | |
| Mecklenburg Eye Assoc | |||||||
| 2015 Randolph Rd | Charlotte | NC | 28207 | 561464618 | $10,483 | Patient Assistance | |
| Rex Hematolog Oncology Associates | |||||||
| 4420 Lake Boone Trl | Raleigh | NC | 27607 | 561509260 | $177,441 | Patient Assistance | |
| Dr Daniel Eichenbaum MD | |||||||
| PO Box 39 | Murphy | NC | 28906 | 561616316 | $18,119 | Patient Assistance | |
| Southeastern Medical Oncology Center | |||||||
| 203 Cox Blvd | Goldsboro | NC | 27534 | 561711669 | $407,716 | Patient Assistance | |
| Murphy Medical Center | |||||||
| 3990 US Highway 64 E | Murphy | NC | 28906 | 561844262 | $10,000 | Patient Assistance | |
| Biologic Inc | |||||||
| 120 Weston Oaks Ct | Cary | NC | 27513 | 561861614 | $19,343 | Patient Assistance | |
| Gaston Hematology & Oncology | |||||||
| 2610 Aberdeen Blvd | Gastonia | NC | 28054 | 561875764 | $127,002 | Patient Assistance | |
| Charlotte EENT Assoc | |||||||
| 6035 Fairview Rd | Charlotte | NC | 28216 | 561896112 | $247,941 | Patient Assistance | |
| Cornerstone Health Care | |||||||
| PO Box 896050 | Charlotte | NC | 28289 | 561935767 | $57,277 | Patient Assistance | |
| First Health Outpatient Cancr Center | |||||||
| PO Box 8500 | Pinehurst | NC | 28374 | 561936354 | $50,116 | Patient Assistance | |
| Piedmont Healthcare Spec | |||||||
| PO Box 63282 | Charlotte | NC | 28263 | 561965983 | $103,720 | Patient Assistance | |
| Western Carolina Retinal Association | |||||||
| 8 Medical Park Dr | Asheville | NC | 28803 | 561967404 | $135,135 | Patient Assistance | |
| Wilmington Health Assoc | |||||||
| PO Box 600002 | Raleigh | NC | 27675 | 561980160 | $29,016 | Patient Assistance | |
| Raleigh Neuro Assoc PA | |||||||
| 1540 Sunday Dr | Raleigh | NC | 27607 | 562002729 | $139,230 | Patient Assistance | |
| Retina Associates | |||||||
| 4414 Lake Boone Trl | Raleigh | NC | 27607 | 562043271 | $421,401 | Patient Assistance | |
| Onslow Oncology Practice | |||||||
| 3080 Henderson Drive Ext | Jacksonville | NC | 28546 | 562049697 | $18,055 | Patient Assistance | |
| Horizon Eye Care | |||||||
| PO Box 60160 | Charlotte | NC | 28260 | 562052180 | $106,818 | Patient Assistance | |
| Coastal Carolina Health Care | |||||||
| PO Box 12248 | New Bern | NC | 28561 | 562054060 | $155,176 | Patient Assistance | |
| Duke University Medical Center | |||||||
| PO Box 751274 | Charlotte | NC | 28275 | 562070036 | $33,556 | Patient Assistance | |
| Novant Health Oncology Assoc | |||||||
| PO Box 602362 | Charlotte | NC | 28260 | 562084786 | $9,909 | Patient Assistance | |
| Retina of Coastal Carolina | |||||||
| 1801 New Hanover Medical Park Dr | Wilmington | NC | 28403 | 562162061 | $118,829 | Patient Assistance | |
| Oncology Specialists of Charlotte | |||||||
| 2711 Randolph Rd | Charlotte | NC | 28207 | 562179043 | $146,653 | Patient Assistance | |
| Arthritis - Osteoporosis Consultants | |||||||
| PO Box 63235 | Charlotte | NC | 28263 | 562202409 | $19,243 | Patient Assistance | |
| Lake Norman Hematology Oncology Specialists | |||||||
| 170 Medical Park Rd | Mooresville | NC | 28117 | 562216617 | $70,590 | Patient Assistance | |
| Carolina Urological AssocWinSalem | |||||||
| PO Box 25866 | Winston Salem | NC | 27114 | 562227628 | $19,517 | Patient Assistance | |
| Grace Hematology & Oncology | |||||||
| PO Box 38 | Fletcher | NC | 28732 | 562227967 | $5,572 | Patient Assistance | |
| Medical Eye Associates | |||||||
| 1707 Medical Park Dr W | Wilson | NC | 27893 | 562236739 | $21,040 | Patient Assistance | |
| Taylor Retina Center | |||||||
| 1101 Dresser Ct | Raleigh | NC | 27609 | 562261355 | $75,654 | Patient Assistance | |
| Mecklenburg Medical Group - Rheumatology | |||||||
| PO Box 601643 | Charlotte | NC | 28260 | 562274416 | $41,222 | Patient Assistance | |
| Haywood Regional Medical Ctr | |||||||
| PO Box 369 | Clyde | NC | 28721 | 566000535 | $7,747 | Patient Assistance | |
| Lenior Memorial Hospital | |||||||
| PO Box 1678 | Kinston | NC | 28502 | 566000674 | $5,066 | Patient Assistance | |
| University Medical Associates | |||||||
| PO Box 751461 | Charlotte | NC | 28275 | 570935917 | $50,729 | Patient Assistance | |
| Bon Secours St Francis Hospital | |||||||
| PO Box 751874 | Charlotte | NC | 28275 | 571067254 | $8,457 | Patient Assistance | |
| Greenville Hospital System-Univ Med Grp | |||||||
| PO Box 60087 | Charlotte | NC | 28260 | 576007863 | $7,338 | Patient Assistance | |
| Moses H Cone Mem Hosp | |||||||
| PO Box 26580 | Greensboro | NC | 27415 | 581588823 | $30,394 | Patient Assistance | |
| Hawkins County Memorial Hosp | |||||||
| PO Box 904160 | Charlotte | NC | 28290 | 621816368 | $115,555 | Patient Assistance | |
| Radiation Therapy of Western NC | |||||||
| PO Box 60914 | Charlotte | NC | 28260 | 621873675 | $129,093 | Patient Assistance | |
| North Carolina Baptist Hospital | |||||||
| Medical Center Blvd | Winston Salem | NC | 27157 | 560543246 | $119,173 | Patient Assistance | |
| Grube Retina Clinic | |||||||
| 107 3rd Ave NW | Mandan | ND | 58554 | 272711099 | $5,245 | Patient Assistance | |
| Retina Consultants LTD | |||||||
| 2345 25th St S | Fargo | ND | 58103 | 450408552 | $34,319 | Patient Assistance | |
| First Eye Associates | |||||||
| 8111 Dodge St | Omaha | NE | 68114 | 200321728 | $30,747 | Patient Assistance | |
| Medical Onc & Hematology PC | |||||||
| 4242 Farnam St | Omaha | NE | 68131 | 202862217 | $6,365 | Patient Assistance | |
| Arkfeld Parson Goldstein PC | |||||||
| 16820 Frances St | Omaha | NE | 68130 | 270958867 | $6,076 | Patient Assistance | |
| Regional West Physicians Clinic | |||||||
| PO Box 1248 | Scottsbluff | NE | 69363 | 363314159 | $5,182 | Patient Assistance | |
| MS Center of Nebraska | |||||||
| 575 Fallbrook Blvd | Lincoln | NE | 68521 | 461284944 | $5,929 | Patient Assistance | |
| Beatrice Community Hospital Outpatient Depart | |||||||
| PO Box 278 | Beatrice | NE | 68310 | 470379834 | $6,007 | Patient Assistance | |
| Eye Surgical Associates | |||||||
| 1710 S 70th St | Lincoln | NE | 68506 | 470626698 | $118,021 | Patient Assistance | |
| Oncology Assoc PC | |||||||
| 8303 Dodge St | Omaha | NE | 68114 | 470626996 | $13,153 | Patient Assistance | |
| Ira A Priluck MD PC | |||||||
| 7710 Mercy Rd | Omaha | NE | 68124 | 470628387 | $6,804 | Patient Assistance | |
| Brumm Eye & laser Vision Center | |||||||
| 6751 N 72nd St | Omaha | NE | 68122 | 470672950 | $6,338 | Patient Assistance | |
| J C Welch Ophthalmology PC | |||||||
| 2115 N Kansas Ave | Hastings | NE | 68901 | 470717975 | $29,812 | Patient Assistance | |
| Oncology Hematology West PO | |||||||
| PO Box 241578 | Omaha | NE | 68124 | 470754790 | $66,199 | Patient Assistance | |
| Hematology Oncology Consultants | |||||||
| PO Box 641850 | Omaha | NE | 68164 | 470770654 | $65,937 | Patient Assistance | |
| Adult & Pediatric Urology PC | |||||||
| PO Box 8577 | Omaha | NE | 68108 | 470779349 | $21,056 | Patient Assistance | |
| Midwest Eye Care | |||||||
| 4353 Dodge St | Omaha | NE | 68137 | 470805428 | $132,570 | Patient Assistance | |
| Heartland Hematolgy & Oncology | |||||||
| 412 W 42nd St | Kearney | NE | 68845 | 470833506 | $21,482 | Patient Assistance | |
| Omaha Eye & Laser Inst | |||||||
| 11606 Nicholas St | Omaha | NE | 68154 | 470842184 | $27,982 | Patient Assistance | |
| Nebraska Hematology and Oncology PC | |||||||
| 4004 Pioneer Woods Dr | Lincoln | NH | 68506 | 911806105 | $7,733 | Patient Assistance | |
| Nebraska Medical Center | |||||||
| PO Box 3839 | Omaha | NH | 68103 | 911858433 | $32,312 | Patient Assistance | |
| Southeast NE HematologyOncology Consu | |||||||
| 201 S 68th Street Pl | Lincoln | NH | 68510 | 911862785 | $53,582 | Patient Assistance | |
| Lakes Regional General Hospital | |||||||
| 80 Highland St | Laconia | NH | 03246 | 020222150 | $7,382 | Patient Assistance | |
| New Hampshire Onc Hema | |||||||
| 200 Technology Dr | Hooksett | NH | 03106 | 020335060 | $25,192 | Patient Assistance | |
| Eye Center Of Concord | |||||||
| 2 Pillsbury St | Concord | NH | 03301 | 020339119 | $5,118 | Patient Assistance | |
| Nashua Eye Associates | |||||||
| 5 Coliseum Ave | Nashua | NH | 03063 | 020427686 | $33,407 | Patient Assistance | |
| Foundation Medical Partners | |||||||
| PO Box 3677 | Nashua | NH | 03061 | 020456218 | $7,352 | Patient Assistance | |
| Concord Hospital | |||||||
| 250 Pleasant St | Concord | NH | 03301 | 222594672 | $6,533 | Patient Assistance | |
| Retina Vision Center | |||||||
| 107 Riverway Pl | Bedford | NH | 03110 | 743256146 | $13,346 | Patient Assistance | |
| Hunterdon Hematology & Oncology | |||||||
| 2100 Wescott Dr | Flemington | NJ | 08822 | 020543270 | $21,905 | Patient Assistance | |
| Ocean County Retina PC | |||||||
| 780 Route 37 W | Toms River | NJ | 08755 | 020673668 | $26,844 | Patient Assistance | |
| Retina Group of NY | |||||||
| PO Box 30834 | Newark | NJ | 07188 | 133792500 | $5,614 | Patient Assistance | |
| West Side Medical Services PC | |||||||
| PO Box 99 | Palisades Pk | NJ | 07650 | 134113433 | $5,175 | Patient Assistance | |
| Anil Ponnambalam MD | |||||||
| 40 Bey Lea Rd | Toms River | NJ | 08753 | 202814225 | $47,428 | Patient Assistance | |
| Garden State Retina Assoc | |||||||
| 555 Shrewsbury Ave | Shrewsbury | NJ | 07702 | 203631070 | $12,609 | Patient Assistance | |
| Paul Phillips Eye & Surgery Center | |||||||
| 6 B Minneakining Rd | Flemington | NJ | 08822 | 205375981 | $11,328 | Patient Assistance | |
| Retina Assoc Of NJ PA | |||||||
| 628 Cedar Ln | Teaneck | NJ | 07666 | 208346981 | $632,625 | Patient Assistance | |
| RWJUH Hamilton | |||||||
| PO Box 48025 | Newark | NJ | 07101 | 210634572 | $29,570 | Patient Assistance | |
| Cape Regional Medical Center | |||||||
| 2 Stone Harbor Boulevard | cape may court house | NJ | 08210 | 210662542 | $6,341 | Patient Assistance | |
| MidAtlantic Ophthalmology | |||||||
| 70 E Front St | Red Bank | NJ | 07701 | 223204853 | $8,984 | Patient Assistance | |
| Valley Hospital | |||||||
| 223 N Van Dien Ave | Ridgewood | NJ | 07450 | 221487307 | $8,432 | Patient Assistance | |
| Hackensack University Med Ctr | |||||||
| PO Box 48027 | Newark | NJ | 07101 | 221487576 | $6,335 | Patient Assistance | |
| Centrastate Medical Ctr Inc | |||||||
| 901 W Main St | Freehold | NJ | 07728 | 221750190 | $11,861 | Patient Assistance | |
| The Minniti Ctr | |||||||
| 174 Democrat Rd | Mickleton | NJ | 08056 | 221929064 | $27,782 | Patient Assistance | |
| Angioletti Retina Associates | |||||||
| 1617 Palisade Ave | Fort Lee | NJ | 07024 | 222103115 | $9,804 | Patient Assistance | |
| The Eye Center | |||||||
| 65 Mountain Boulevard Ext | Warren | NJ | 07059 | 222116553 | $7,690 | Patient Assistance | |
| South Jersey Eye Physicians | |||||||
| 509 S Lenola Rd | Moorestown | NJ | 08057 | 222116946 | $43,559 | Patient Assistance | |
| Eye Physicians of Sussex County | |||||||
| 183 High St | Newton | NJ | 07860 | 222172159 | $17,067 | Patient Assistance | |
| Southern Hematology Oncology Assoc | |||||||
| 1027 E Chestnut Ave | Vineland | NJ | 08360 | 222182145 | $5,578 | Patient Assistance | |
| Opthalmic Physicians of Monmouth | |||||||
| 733 N Beers St | Holmdel | NJ | 07733 | 222229262 | $6,315 | Patient Assistance | |
| Santa Maria Eye Center | |||||||
| 104 Market St | Perth Amboy | NJ | 08861 | 222237946 | $13,385 | Patient Assistance | |
| Vitreo Retinal Assoc | |||||||
| 36 Newark Ave | Belleville | NJ | 07109 | 222284162 | $44,049 | Patient Assistance | |
| Princeton Medical Group | |||||||
| 419 N Harrison St | Princeton | NJ | 08540 | 222306123 | $14,028 | Patient Assistance | |
| Rheumatology Associates Of North Jersey | |||||||
| 1415 Queen Ann Rd | Teaneck | NJ | 07666 | 222322338 | $12,079 | Patient Assistance | |
| Mercer Bucks HematoloyOncology | |||||||
| 2 Captial Way | Pennington | NJ | 08534 | 222369868 | $6,652 | Patient Assistance | |
| Phillips Eye Center | |||||||
| 619 River Rd | Elmwood Park | NJ | 07407 | 222506392 | $8,574 | Patient Assistance | |
| Hematology Oncology of Central NJ | |||||||
| 180 White Rd | Little Silver | NJ | 07739 | 222538456 | $9,961 | Patient Assistance | |
| Delaware Valley Retina Associates | |||||||
| 4 Princess Rd | Lawrenceville | NJ | 08648 | 223142598 | $73,167 | Patient Assistance | |
| Retinal & Ophtalmic Consultants | |||||||
| 1500 Tilton Rd | Northfield | NJ | 08225 | 223146260 | $101,418 | Patient Assistance | |
| Drs Robert P Fein & David A Richards | |||||||
| 75 Veronica Ave | Somerset | NJ | 08873 | 223166581 | $16,352 | Patient Assistance | |
| Retina Vitreous Consultants | |||||||
| 349 E Northfield Rd | Livingston | NJ | 07039 | 223393043 | $19,145 | Patient Assistance | |
| Nazha Cancer Center | |||||||
| 411 New Rd | Northfield | NJ | 08225 | 223424577 | $18,232 | Patient Assistance | |
| Oncology & Hematology Assoc Central Jersey P | |||||||
| 2177 Oaktree Rd | Edison | NJ | 08820 | 223439054 | $15,175 | Patient Assistance | |
| Adult Medical Oncology Hematology | |||||||
| 39 Sycamore Ave | Little Silver | NJ | 07739 | 223471515 | $11,699 | Patient Assistance | |
| Gregory P Manzullo MD | |||||||
| 100 Commons Way | Toms River | NJ | 08756 | 223477172 | $30,785 | Patient Assistance | |
| Daniel Y Kim MD PA | |||||||
| 540 Bergen Blvd | Palisades Pk | NJ | 07650 | 223500479 | $15,593 | Patient Assistance | |
| Bannett Eye Centers | |||||||
| 620 N Broad St | Woodbury | NJ | 08096 | 223549309 | $15,235 | Patient Assistance | |
| Combined Hematology Oncology Practice of NJ | |||||||
| 210 Palisades Ave | Jersey City | NJ | 07306 | 223588361 | $19,622 | Patient Assistance | |
| Essex Hematology Oncology Group PA | |||||||
| 36 Neward Ave | Belleville | NJ | 07109 | 223603490 | $53,923 | Patient Assistance | |
| M&M Florczyk Corp | |||||||
| 3G Parlin Dr | Parlin | NJ | 08859 | 223628478 | $5,275 | Patient Assistance | |
| Burlington County Hematology Oncology | |||||||
| 101 Burrs Rd | Westampton | NJ | 08060 | 223669121 | $42,807 | Patient Assistance | |
| NJ Hematology Oncology Associates | |||||||
| PO Box 732 | Brick | NJ | 08723 | 223741971 | $68,370 | Patient Assistance | |
| Adult Medical Oncology Hematology Grp | |||||||
| 39 Sycamore Ave | Little Silver | NJ | 07739 | 223763567 | $7,545 | Patient Assistance | |
| John F Kennedy Med Ctr | |||||||
| PO Box 18007 | Newark | NJ | 07191 | 226019101 | $8,137 | Patient Assistance | |
| Venango Oncology Hematology Assoc | |||||||
| PO Box 18837 | Newark | NJ | 07191 | 251896639 | $50,264 | Patient Assistance | |
| Garden State Urology LLC | |||||||
| PO Box 912 | Whippany | NJ | 07981 | 262127659 | $21,086 | Patient Assistance | |
| Loving Care Oncology LLC | |||||||
| 2130 Millburn Ave | Maplewood | NJ | 07040 | 263453170 | $9,550 | Patient Assistance | |
| Hudson Neurologics LLC | |||||||
| 1222 Kennedy Blvd | Bayonne | NJ | 07002 | 263815953 | $27,211 | Patient Assistance | |
| M H Aly MD PC | |||||||
| 2 Tricorne Ct | Holmdel | NJ | 07733 | 272077616 | $12,712 | Patient Assistance | |
| The Retina Center of New Jersey | |||||||
| 1255 Broad St | Bloomfield | NJ | 07003 | 273654710 | $44,365 | Patient Assistance | |
| Biologic Tx LLC | |||||||
| 40 D Commerce Way | Totowa | NJ | 07512 | 275081887 | $7,279 | Patient Assistance | |
| Hudson Hematology | |||||||
| 377 Jersey Ave | Jersey City | NJ | 07306 | 454211891 | $19,148 | Patient Assistance | |
| Crystal Medical Group | |||||||
| 310 Central Ave | East Orange | NJ | 07018 | 454863386 | $16,577 | Patient Assistance | |
| South Nassau Oncology Practice PC | |||||||
| PO Box 11513 | Newark | NJ | 07101 | 462905667 | $9,488 | Patient Assistance | |
| St Marys Hospital | |||||||
| 350 Boulevard | Passaic | NJ | 07055 | 463499370 | $5,903 | Patient Assistance | |
| Comprehensive Cancer & Hematology Specialists | |||||||
| 705 White Horse Rd | Voorhees | NJ | 08043 | 521676914 | $193,278 | Patient Assistance | |
| AHS Hospital Corp | |||||||
| PO Box 10219 | Newark | NJ | 07193 | 521958352 | $34,470 | Patient Assistance | |
| Qualify Eye Center | |||||||
| 6 Samara Cir | Northfield | NJ | 08225 | 562398390 | $21,006 | Patient Assistance | |
| Sarah Easaw | |||||||
| 1255 Route 70 | Lakewood | NJ | 08701 | 861153650 | $18,227 | Patient Assistance | |
| High Country Macular Retina Vitreous | |||||||
| 465 St Michaels Dr | Santa Fe | NM | 87505 | 200660971 | $36,663 | Patient Assistance | |
| ABQ Health Partners LLC | |||||||
| PO Box 27829 | Albuquerque | NM | 87125 | 204043287 | $9,484 | Patient Assistance | |
| Womens Cancer and Surgical Care | |||||||
| 4610 Jefferson Ln NE | Albuquerque | NM | 87109 | 264761633 | $24,010 | Patient Assistance | |
| Masoud Khorsand-Sahbaie MD | |||||||
| PO Box 1574 | Roswell | NM | 88202 | 742823514 | $9,388 | Patient Assistance | |
| Southwest Eyecare Specialists PC | |||||||
| 7110 Wyoming Blvd NE | Albuquerque | NM | 87109 | 742838103 | $107,551 | Patient Assistance | |
| Family Foot Health Specialists PC | |||||||
| 718 Lomas Blvd NW | Albuquerque | NM | 87102 | 800143006 | $8,992 | Patient Assistance | |
| Eye Associates Of New Mexico | |||||||
| PO Box 90550 | Albuquerque | NM | 87199 | 850246856 | $227,653 | Patient Assistance | |
| Lovelace Cancer Care Program | |||||||
| 715 Dr Mlk Jr Ave NE | Albuquerque | NM | 87102 | 850327237 | $20,126 | Patient Assistance | |
| Bishnu Jiban Rauth | |||||||
| 4351 E Lohman | Las Cruces | NM | 88011 | 850395681 | $11,999 | Patient Assistance | |
| Hematology Oncology Assoc | |||||||
| 1001 Coal Ave SE | Albuquerque | NM | 87106 | 850460777 | $5,041 | Patient Assistance | |
| Urology Nevada Care Center | |||||||
| 1500 N E 2nd St | Reno | NV | 89502 | 208628418 | $38,554 | Patient Assistance | |
| HealthCare Partners Medical Center - San Mart | |||||||
| PO Box 26237 | Las Vegas | NV | 89126 | 880133767 | $12,703 | Patient Assistance | |
| Alpine Hematology and Oncology | |||||||
| 236 W 6th St | Reno | NV | 89503 | 880152239 | $6,966 | Patient Assistance | |
| HealthCare Partners Medical Group | |||||||
| 8285 W Arby Ave | Las Vegas | NV | 89113 | 880213519 | $370,759 | Patient Assistance | |
| Luis Diaz MD | |||||||
| 3150 N Tenaya Way | Las Vegas | NV | 89128 | 880309662 | $9,073 | Patient Assistance | |
| Reno Oncology Consultants | |||||||
| 85 Kirman Ave | Reno | NV | 89502 | 880315123 | $31,711 | Patient Assistance | |
| Cancer & Blood Specialists of NV | |||||||
| 58 N Pecos Rd | Henderson | NV | 89074 | 880370553 | $286,233 | Patient Assistance | |
| Nevada Retina Assoc | |||||||
| 610 Sierra Rose Dr | Reno | NV | 89511 | 880383202 | $32,997 | Patient Assistance | |
| Osteoporosis and Arthritis Center | |||||||
| 10001 S Eastern Ave | Henderson | NV | 89052 | 880418235 | $7,499 | Patient Assistance | |
| Winthrop University Hospital | |||||||
| PO Box 9562 | Uniondale | NY | 11555 | 111633486 | $22,805 | Patient Assistance | |
| Huntington Medical Group | |||||||
| PO Box 10022 | Uniondale | NY | 11555 | 112236309 | $24,169 | Patient Assistance | |
| Long Island Eye Surgical Care-Brentwood | |||||||
| 601 Suffolk Ave | Brentwood | NY | 11717 | 112355523 | $21,257 | Patient Assistance | |
| Northshore Hematology Oncology Assoc | |||||||
| PO Box 5773 | Hicksville | NY | 11802 | 112419534 | $335,224 | Patient Assistance | |
| Medical Oncology Associates | |||||||
| 40 Crossways Park Dr | Woodbury | NY | 11797 | 112477852 | $15,102 | Patient Assistance | |
| Ken Carnevale MD | |||||||
| 865 Merrick Ave | Westbury | NY | 11590 | 112498332 | $131,525 | Patient Assistance | |
| Hematology Oncology Assoc W Suffolk | |||||||
| 24 E Main St | Bay Shore | NY | 11706 | 112543318 | $7,138 | Patient Assistance | |
| Long Island Vitreo Retinal Consultants - Rive | |||||||
| 600 Northern Blvd | Great Neck | NY | 11021 | 112566918 | $537,766 | Patient Assistance | |
| Delfino Crescenzo MD | |||||||
| 161-50 92nd Howard | Beach | NY | 11414 | 112770663 | $11,993 | Patient Assistance | |
| James Maisel MD | |||||||
| 400 S Oyster Bay Rd | Hicksville | NY | 11801 | 112806486 | $37,395 | Patient Assistance | |
| Kings Park Slope | |||||||
| 357 Flatbush Ave | Brooklyn | NY | 11238 | 112824774 | $7,802 | Patient Assistance | |
| South Shore Neurologic Associates | |||||||
| 712 Main St | Islip | NY | 11751 | 112969525 | $44,870 | Patient Assistance | |
| Radiation Therapist Associates | |||||||
| 506 Sixth St | Brooklyn | NY | 11215 | 113023153 | $7,582 | Patient Assistance | |
| North Shore Pulmonary Associates PC | |||||||
| 6 Ohio Dr | Lake Success | NY | 11042 | 113088910 | $6,318 | Patient Assistance | |
| ProHealth Care Associates | |||||||
| 2800 Marcus Ave | Lake Success | NY | 11042 | 113355604 | $25,716 | Patient Assistance | |
| Park Slope Medicine PC | |||||||
| PO Box 5450 | New York | NY | 10087 | 113362663 | $105,875 | Patient Assistance | |
| Lev Barsky MD | |||||||
| 3069 Wynsum Ave N | Merrick | NY | 11566 | 113434223 | $7,454 | Patient Assistance | |
| Medical & Surgical | |||||||
| 902 49th St | Brooklyn | NY | 11219 | 113437858 | $11,615 | Patient Assistance | |
| North Shore Hematology Oncology | |||||||
| 1201 Northern Blvd | Manhasset | NY | 11030 | 113472223 | $40,852 | Patient Assistance | |
| Hematology Oncology Associates of Brooklyn | |||||||
| 1660 E 14th | Brooklyn | NY | 11229 | 113509474 | $21,175 | Patient Assistance | |
| Progressive Oncology PC | |||||||
| 180 E Main St | Bay Shore | NY | 11706 | 113587594 | $5,134 | Patient Assistance | |
| Eastern Long Island Hematology Oncology | |||||||
| 1333 E Main St | Riverhead | NY | 11901 | 113601943 | $36,173 | Patient Assistance | |
| Mark R Fleckner MD PC | |||||||
| 520 Franklin Ave | Garden City | NY | 11530 | 113625823 | $29,362 | Patient Assistance | |
| Sina Drug Corp DBA | |||||||
| 225 Community Dr | Great Neck | NY | 11201 | 113641000 | $19,048 | Patient Assistance | |
| Weill Cornell Eye Assoc | |||||||
| PO Box 29530 | Gpo New York | NY | 10087 | 131623978 | $21,515 | Patient Assistance | |
| Mount Sinai Hospital | |||||||
| PO Box 27759 | New York | NY | 10087 | 131624096 | $16,322 | Patient Assistance | |
| New York Presbyterian Hosp | |||||||
| PO Box 6154 | New York | NY | 10249 | 131624149 | $7,540 | Patient Assistance | |
| Montefiore Medical Center | |||||||
| 111 E 210th St | Bronx | NY | 10467 | 131740114 | $102,856 | Patient Assistance | |
| Nyack Hospital | |||||||
| 160 N Midland Ave | Nyack | NY | 10960 | 131740119 | $7,655 | Patient Assistance | |
| Hudson Valley Hospital Center | |||||||
| 1980 Compound Rd | Cortlandt Manor | NY | 10567 | 131740120 | $21,472 | Patient Assistance | |
| Central Park Hem and Onc | |||||||
| 12 E 86th St | New York | NY | 10028 | 132667055 | $7,189 | Patient Assistance | |
| Ophthalmology Assoc of Staten Island | |||||||
| 1460 Victory Blvd | Staten Island | NY | 10301 | 132674220 | $76,293 | Patient Assistance | |
| Vitreous Retina Macula Consultants of NY | |||||||
| 460 Park Ave | th Floor New York | NY | 10022 | 132721177 | $116,565 | Patient Assistance | |
| Vincent Giovinazzo MD | |||||||
| 475 Seaview Ave | Staten Island | NY | 10305 | 133246743 | $11,901 | Patient Assistance | |
| Retina Associates of NY | |||||||
| 140 E 80th St | New York | NY | 10021 | 133362125 | $48,560 | Patient Assistance | |
| Retina Consultations | |||||||
| 915 Palmer Rd | Bronxville | NY | 10708 | 133384277 | $36,391 | Patient Assistance | |
| Gary Glickman MD | |||||||
| 30 Park Ave | New York | NY | 10016 | 133542847 | $7,695 | Patient Assistance | |
| Jeffrey Josef MD | |||||||
| 257 Lafayette Avenue Rte | Airmont | NY | 10901 | 133672356 | $52,128 | Patient Assistance | |
| Westchester Hematology Oncology Assoc POP | |||||||
| PO Box 663 | Mount Kisco | NY | 10549 | 133672555 | $12,731 | Patient Assistance | |
| Hudson Retina | |||||||
| 984 N Broadway | Yonkers | NY | 10701 | 133716955 | $7,934 | Patient Assistance | |
| George Thomas Schirripa MD | |||||||
| 970 N Broadway | Yonkers | NY | 10701 | 133747064 | $6,139 | Patient Assistance | |
| Hudson Retina | |||||||
| 94 Pine St | Poughkeepsie | NY | 12601 | 133954402 | $65,847 | Patient Assistance | |
| Craig Fern MD | |||||||
| 105 S Bedford Rd | Mount Kisco | NY | 10549 | 134037432 | $29,198 | Patient Assistance | |
| Queens Medical Associates | |||||||
| 176-60 Union Tpke | Fresh Meadows | NY | 11366 | 134145867 | $111,641 | Patient Assistance | |
| Louis Maisel MD | |||||||
| 20 Squadron Blvd | New City | NY | 10956 | 134168604 | $32,573 | Patient Assistance | |
| Michael Nissen MD PC | |||||||
| 1317 Third Ave | New York | NY | 10021 | 134174737 | $11,996 | Patient Assistance | |
| Bassett Healthcare | |||||||
| 178 Grandview Dr | Cobleskill | NY | 12043 | 135596796 | $12,241 | Patient Assistance | |
| Premier Medical Group of The Hudson Valley PC | |||||||
| 243 North Rd | Poughkeepsie | NY | 12601 | 141536357 | $23,281 | Patient Assistance | |
| Mid- Hudson Retina Consultants | |||||||
| 450 Gidney Ave | Newburgh | NY | 12550 | 141636401 | $59,570 | Patient Assistance | |
| Hudson Valley HemaOnc | |||||||
| 19 Baker Ave | Poughkeepsie | NY | 12601 | 141645596 | $105,658 | Patient Assistance | |
| Community Care Physicians PC | |||||||
| 711 Troy-Schenectady Rd | Latham | NY | 12110 | 141660131 | $12,842 | Patient Assistance | |
| David Sperber Clinic | |||||||
| 113 S Jensen Rd | Vestal | NY | 13850 | 141789555 | $21,733 | Patient Assistance | |
| New York Oncology Hematology PC | |||||||
| 43 New Scotland Ave | Albany | NY | 12208 | 141799724 | $174,096 | Patient Assistance | |
| Retina Care Consultants | |||||||
| 223 Great Oaks Blvd | Albany | NY | 12203 | 141814470 | $194,598 | Patient Assistance | |
| Kennedy Ophthalmology | |||||||
| 1675 Providence Ave | Schenectady | NY | 12309 | 141821767 | $6,612 | Patient Assistance | |
| NYS CFC of the State Comptroller Bureau PO Box 8000 | |||||||
| PO Box 8000 | Buffalo | NY | 14267 | 146013200 | $11,686 | Patient Assistance | |
| Claxton- Hepburn Medical Center | |||||||
| 214 King St | Ogdensburg | NY | 13669 | 150559686 | $26,452 | Patient Assistance | |
| Corning Hospital | |||||||
| 1 Guthrie Dr S | Corning | NY | 14830 | 160393490 | $12,970 | Patient Assistance | |
| Frederick Ferris Thompson Hospital | |||||||
| 350 Parrish St | Canandaigua | NY | 14424 | 160743024 | $6,257 | Patient Assistance | |
| Olean General Hospital | |||||||
| 515 Main St | Olean | NY | 14780 | 160743102 | $14,923 | Patient Assistance | |
| Rochester General Hospital | |||||||
| PO Box 10758 | Rochester | NY | 14610 | 160743134 | $31,216 | Patient Assistance | |
| University of Rochester Strong Memorial Hospi | |||||||
| 601 Elmwood Ave | Rochester | NY | 14642 | 160743209 | $46,565 | Patient Assistance | |
| Olean Medical Group | |||||||
| 535 Main St | Olean | NY | 14760 | 160775812 | $7,830 | Patient Assistance | |
| Mary M Gooley Hemophilia Center | |||||||
| 1415 Portland Ave | Rochester | NY | 14621 | 160836536 | $5,200 | Patient Assistance | |
| Retina Vitreous Surgeons of CNY PC | |||||||
| 3107 E Genesse St | Syracuse | NY | 13224 | 160993668 | $828,725 | Patient Assistance | |
| Buffalo Medical Group | |||||||
| PO Box 8000 | Buffalo | NY | 14267 | 161000580 | $59,513 | Patient Assistance | |
| Canton Potsdam Hospital | |||||||
| 50 Leroy St | Potsdam | NY | 13676 | 161012691 | $11,316 | Patient Assistance | |
| Strong Memorial Hospital | |||||||
| 601 Elmwood Ave | Rochester | NY | 14642 | 161029490 | $9,845 | Patient Assistance | |
| Eye Associates of Utica | |||||||
| 2206 Genesee St | Utica | NY | 13502 | 161056604 | $17,254 | Patient Assistance | |
| Raman Sood PC | |||||||
| 617 Central Ave | Dunkirk | NY | 14048 | 161059338 | $59,978 | Patient Assistance | |
| Peter WM Forgach MD | |||||||
| 405 International Dr | Buffalo | NY | 14221 | 161149487 | $26,897 | Patient Assistance | |
| United Health Services Hospitals Inc | |||||||
| PO Box 5214 | Binghamton | NY | 13902 | 161165049 | $47,540 | Patient Assistance | |
| University Eye Specialist | |||||||
| 2469 State Route 19 N | Warsaw | NY | 14569 | 161178293 | $68,101 | Patient Assistance | |
| Retina Associates of Western New York | |||||||
| 160 Sawgrass Dr | Rochester | NY | 14620 | 161182825 | $220,383 | Patient Assistance | |
| AAIR PC | |||||||
| 300 Meridian Ctr | Rochester | NY | 14618 | 161251533 | $6,586 | Patient Assistance | |
| Isosceles D Garbes MD | |||||||
| 3612 Seneca St | Buffalo | NY | 14224 | 161320291 | $68,350 | Patient Assistance | |
| Buffalo Rheumatology | |||||||
| 3055 SW N Blvd | Orchard Park | NY | 14127 | 161359836 | $23,534 | Patient Assistance | |
| Buffalo Rheumatology | |||||||
| 3055 SW N Blvd | Orchard Park | NY | 14127 | 161359836 | $35,226 | Patient Assistance | |
| Eye Care for the Adirondacks | |||||||
| 450 Margaret St | Plattsburgh | NY | 12901 | 161415081 | $51,339 | Patient Assistance | |
| Mark Comaratta MD | |||||||
| PO Box 8000 | Buffalo | NY | 14267 | 161446078 | $7,700 | Patient Assistance | |
| Micheal Lahood MD PC | |||||||
| PO Box 472 | Van Buren Bay | NY | 14048 | 161446218 | $12,150 | Patient Assistance | |
| Infusacare | |||||||
| 4811 Buckley Rd | Liverpool | NY | 13088 | 161455340 | $22,194 | Patient Assistance | |
| Andrew Y Soh MD | |||||||
| 2950 Elmwood Ave | Kenmore | NY | 14120 | 161463804 | $26,187 | Patient Assistance | |
| Department of Medicine | |||||||
| PO Box 4848 | Syracuse | NY | 13221 | 161475278 | $21,955 | Patient Assistance | |
| Atul Butala Physician PC | |||||||
| 807 Newell St | Utica | NY | 13502 | 161482569 | $25,785 | Patient Assistance | |
| University Ophthalmogy Service | |||||||
| PO Box 3297 | Buffalo | NY | 14240 | 161492711 | $16,647 | Patient Assistance | |
| Wisa Shokri MD | |||||||
| 164 Washington Ave | Batavia | NY | 14020 | 161550420 | $9,072 | Patient Assistance | |
| Roswell Park Cancer Institute Practice Plan | |||||||
| PO Box 8000 | Buffalo | NY | 14267 | 161552370 | $110,987 | Patient Assistance | |
| Broome Oncology | |||||||
| 30 Harrison St | Johnson City | NY | 13790 | 161611703 | $138,517 | Patient Assistance | |
| Neurology Medical Service Group LLP | |||||||
| PO Box 4738 | Syracuse | NY | 13221 | 166066240 | $18,588 | Patient Assistance | |
| Martin A Boscarino MD | |||||||
| PO Box 8000 | Buffalo | NY | 14267 | 166528607 | $18,894 | Patient Assistance | |
| Buffalo Niagra Retina Assoc | |||||||
| PO Box 8000 | Buffalo | NY | 14267 | 166528607 | $20,340 | Patient Assistance | |
| Slocum - Dixon Medical Group PLLC | |||||||
| 1729 Burrstone Rd | New Hartford | NY | 13413 | 200362623 | $13,005 | Patient Assistance | |
| Harshit M Patel MD PC | |||||||
| 120 Bethpage Rd | Hicksville | NY | 11801 | 201246306 | $5,090 | Patient Assistance | |
| Capital Retina Associates | |||||||
| PO Box 129 | Slingerlands | NY | 12159 | 202288916 | $22,006 | Patient Assistance | |
| Richmond Cancer and Blood Disorder PC | |||||||
| 15 Old Farmers Ln | Staten Island | NY | 10304 | 203064911 | $5,545 | Patient Assistance | |
| Alterman Modiand Wolter | |||||||
| 20 Squadron Blvd | New City | NY | 10956 | 203506987 | $6,757 | Patient Assistance | |
| Dr Tarun Wasil MD | |||||||
| 1575 Hillside Ave | New Hyde Park | NY | 11040 | 203706118 | $10,510 | Patient Assistance | |
| Integrated Medical Professionals PLLC | |||||||
| 532 Broadhollow Rd | Melville | NY | 11747 | 204483367 | $115,838 | Patient Assistance | |
| Saratoga Vitreo Retinal | |||||||
| 465 Maple Ave | Saratoga Spgs | NY | 12866 | 208260244 | $9,789 | Patient Assistance | |
| Associated Medical Professionals of NY PLLC | |||||||
| 1226 E Water St | Syracuse | NY | 13210 | 208928235 | $78,253 | Patient Assistance | |
| St Barnabas Cancer Ctr | |||||||
| PO Box 29958 | New York | NY | 10087 | 221494440 | $13,226 | Patient Assistance | |
| Guthrie Clinic | |||||||
| 130 Centerway | Corning | NY | 14830 | 250815795 | $65,672 | Patient Assistance | |
| Capital Region Retina PLLC | |||||||
| 1365 Washington Ave | Albany | NY | 12206 | 261078622 | $111,298 | Patient Assistance | |
| Samaritan Medical Practice PC | |||||||
| PO Box 2002 | East Syracuse | NY | 13057 | 261528342 | $37,183 | Patient Assistance | |
| Albany-Troy Cataract and Laser Asso | |||||||
| 3 Atrium Dr | Albany | NY | 12205 | 263812418 | $83,360 | Patient Assistance | |
| Henry C Lee MD PC | |||||||
| PO Box 8000 | Buffalo | NY | 14267 | 263842661 | $47,554 | Patient Assistance | |
| Kwiat Eye and Laser Surgery | |||||||
| 100 Holland Circle Dr | Amsterdam | NY | 12010 | 264503687 | $14,049 | Patient Assistance | |
| Mohamed Ahmed MD | |||||||
| 908 Niagara Falls Blvd | Tonawanda | NY | 14120 | 270437873 | $98,283 | Patient Assistance | |
| Associated Retina Specialist LLC | |||||||
| 20 W 13th St | New York | NY | 10011 | 270892014 | $7,796 | Patient Assistance | |
| Suffolk Pulmonary Associates | |||||||
| 60 N Country Rd | Port Jefferson Station | NY | 11777 | 271656868 | $6,405 | Patient Assistance | |
| Life Infusion Pharmacy | |||||||
| PO Box 335 | Hewlett | NY | 11557 | 275090580 | $9,309 | Patient Assistance | |
| CCS Oncology | |||||||
| 617 Central Ave | Dunkirk | NY | 14048 | 300744192 | $284,285 | Patient Assistance | |
| Orangetown Opthalmology | |||||||
| 2 Crosfield Ave | West Nyack | NY | 10994 | 464188740 | $18,758 | Patient Assistance | |
| LIRAOC Rheumatology PC | |||||||
| 500 W Main St | Babylon | NY | 11702 | 471419418 | $7,979 | Patient Assistance | |
| Central New York Retinal Associates PC | |||||||
| 1101 Erie Blvd E | Syracuse | NY | 13210 | 471573644 | $8,655 | Patient Assistance | |
| Alpha Neurology | |||||||
| 27 New Dorp Ln | Staten Island | NY | 10306 | 521720823 | $20,303 | Patient Assistance | |
| Retinal Consultants | |||||||
| PO Box 668 | Slingerlands | NY | 12159 | 710870207 | $114,085 | Patient Assistance | |
| Rx Care Providers Corp | |||||||
| 39-50 Crescent St | Astoria | NY | 11101 | 743103518 | $5,444 | Patient Assistance | |
| Tri-state Regional Cancer Center | |||||||
| PO Box 200 | East Liverpool | OH | 43920 | 200105817 | $17,715 | Patient Assistance | |
| Springfield Hematology and Oncology Associate | |||||||
| 148 W North St | Springfield | OH | 45504 | 200240117 | $6,093 | Patient Assistance | |
| Central Ohio Urology Group Inc | |||||||
| PO Box 712616 | Cincinnati | OH | 45271 | 201781799 | $81,108 | Patient Assistance | |
| Dayton Physicians | |||||||
| PO Box 635098 | Cincinnati | OH | 45263 | 203130844 | $527,023 | Patient Assistance | |
| Retina Specialist of Ohio LLC | |||||||
| PO Box 490 | Richfield | OH | 44289 | 203541487 | $8,815 | Patient Assistance | |
| OH Retina Assoc | |||||||
| 4690 Munson St NW | Canton | OH | 44718 | 203787354 | $108,266 | Patient Assistance | |
| Allegheny Ctr for Digestive Health | |||||||
| PO Box 951845 | Cleveland | OH | 44193 | 251838458 | $6,404 | Patient Assistance | |
| Alle-Kiski Medical Center | |||||||
| PO Box 951871 | Cleveland | OH | 44193 | 251875178 | $6,187 | Patient Assistance | |
| Cleveland Eyecare & Surgery | |||||||
| 24755 Chargin Blvd | Beachwood | OH | 44122 | 270379599 | $5,953 | Patient Assistance | |
| Unity Health Network LLC | |||||||
| PO Box 640 | Cuyahoga Fls | OH | 44222 | 270815205 | $53,826 | Patient Assistance | |
| Fort Hamilton Hospital | |||||||
| PO Box 634682 | Cincinnati | OH | 45263 | 310536662 | $6,184 | Patient Assistance | |
| Good Samaritan Hospital | |||||||
| PO Box 633580 | Cincinnati | OH | 45263 | 310537486 | $12,065 | Patient Assistance | |
| Kettering Medical Center | |||||||
| PO Box 713086 | Columbus | OH | 43271 | 310621866 | $6,352 | Patient Assistance | |
| Highland | |||||||
| 1275 N High St | Hillsboro | OH | 45133 | 310653685 | $6,770 | Patient Assistance | |
| Southern OH Medical Center | |||||||
| 1248 Kinneys Ln | Portsmouth | OH | 45662 | 310678022 | $7,334 | Patient Assistance | |
| Dayton Vitreo-Retinal Assoc Inc | |||||||
| 301 W 1st St | Dayton | OH | 45402 | 310891742 | $10,719 | Patient Assistance | |
| Hematology Oncology Consultants | |||||||
| 495 Cooper Rd | Westerville | OH | 43081 | 310957876 | $24,557 | Patient Assistance | |
| Retina Physicians & Surgeons Inc | |||||||
| 89 Sylvania Dr | Dayton | OH | 45440 | 311011691 | $93,611 | Patient Assistance | |
| Oncology Hematology Care | |||||||
| PO Box 641174 | Cincinnati | OH | 45264 | 311106418 | $951,168 | Patient Assistance | |
| Midwest Retina | |||||||
| PO Box 713286 | Cincinnati | OH | 45271 | 311116017 | $38,114 | Patient Assistance | |
| Mid Ohio Oncology Hematology Inc Zangmeister | |||||||
| 3100 Plaza Properties Blvd | Columbus | OH | 43085 | 311141868 | $7,079 | Patient Assistance | Zangmeister Ctr |
| Alliance Physicians Inc | |||||||
| PO Box 71-1808 | Columbus | OH | 43271 | 311175717 | $77,009 | Patient Assistance | |
| Michael Pordy MD Inc | |||||||
| 4760 E Galbraith Rd | Cincinnati | OH | 45236 | 311284755 | $13,513 | Patient Assistance | |
| Dayton Ctr for Neurological Disorders | |||||||
| PO Box 711749 | Cincinnati | OH | 45271 | 311303977 | $18,178 | Patient Assistance | |
| Elaine A Beed MD Inc | |||||||
| 10172 Windsor Way | Powell | OH | 43065 | 311350566 | $9,219 | Patient Assistance | |
| OhioHealth Physician Group | |||||||
| Dept L3652 | Columbus | OH | 43260 | 311351965 | $19,530 | Patient Assistance | |
| Riverhills Healthcare Inc | |||||||
| 111 Wellington Pl | Cincinnati | OH | 45219 | 311412447 | $101,061 | Patient Assistance | |
| Onc Hem Consultants of SE OH Inc | |||||||
| 751 Forest Ave | Zanesville | OH | 43701 | 311418514 | $14,179 | Patient Assistance | |
| Columbus Arthritis Ctr | |||||||
| 1211 Dublin Rd | Columbus | OH | 43215 | 311425166 | $103,535 | Patient Assistance | |
| Fairfield Healthcare Professionals | |||||||
| PO Box 2563 | Lancaster | OH | 43130 | 311425884 | $5,319 | Patient Assistance | |
| The Retina Group Inc | |||||||
| PO Box L2861 | Columbus | OH | 43260 | 311460051 | $171,006 | Patient Assistance | |
| Eye Care Associates of Greater Cincinnatti I | |||||||
| 5535 Fair Ln | Cincinnati | OH | 45227 | 311466305 | $10,304 | Patient Assistance | |
| Cincinnati Eye Institute | |||||||
| PO Box 633854 | Cincinnati | OH | 45263 | 311473421 | $185,237 | Patient Assistance | |
| GOES Physicians Inc | |||||||
| 2330 E High St | Springfield | OH | 45505 | 311499979 | $15,598 | Patient Assistance | |
| Adena Health System | |||||||
| 272 Hospital Rd | Chillicothe | OH | 45601 | 314379443 | $32,336 | Patient Assistance | |
| Marietta Memorial Hospital | |||||||
| 401 Matthew St | Marietta | OH | 45750 | 314379509 | $30,277 | Patient Assistance | |
| Licking Memorial Hospital | |||||||
| 1320 W Main St | Newark | OH | 43055 | 314379519 | $15,786 | Patient Assistance | |
| Memorial Hospital of Union County | |||||||
| PO Box 931316 | Cleveland | OH | 44193 | 316402480 | $14,579 | Patient Assistance | |
| St Elizabeth Health Center | |||||||
| PO Box 636458 | Cincinnati | OH | 45263 | 340505560 | $26,819 | Patient Assistance | |
| Akron General Medical Ctr | |||||||
| PO Box 715228 | Columbus | OH | 43271 | 340714478 | $35,632 | Patient Assistance | |
| Aultman Infusion Hospital | |||||||
| 2821 Woodlawn Ave NW | Canton | OH | 44708 | 340714538 | $20,383 | Patient Assistance | |
| Cleveland Clinic | |||||||
| PO Box 931058 | Cleveland | OH | 44193 | 340714585 | $56,914 | Patient Assistance | |
| Fairview Hospital | |||||||
| 18200 Lorain Ave | Cleveland | OH | 44111 | 340714618 | $20,322 | Patient Assistance | |
| Summa Health System | |||||||
| 161 N Forge St | Akron | OH | 44304 | 340714755 | $39,712 | Patient Assistance | |
| Southwest General Health Center | |||||||
| 18697 Bagley Rd Scc Middleburg | Heights | OH | 44130 | 340753531 | $59,323 | Patient Assistance | |
| Toledo Clinic Inc | |||||||
| 4235 Secor Rd | Toledo | OH | 43623 | 340936207 | $89,944 | Patient Assistance | |
| University of Toledo Medical Center | |||||||
| 3000 Arlington Ave | Toledo | OH | 43614 | 340967014 | $5,620 | Patient Assistance | |
| Midwest Community Health Assoc | |||||||
| 442 W High St | Bryan | OH | 43506 | 341045870 | $15,000 | Patient Assistance | |
| Aultman North Canton Medical Group | |||||||
| 6046 Whipple Ave | Canton | OH | 44720 | 341088530 | $74,237 | Patient Assistance | |
| Blanchard Valley Medical Assoc | |||||||
| 1900 S Main St | Findlay | OH | 45840 | 341148970 | $5,406 | Patient Assistance | |
| Retina Vitreous Assoc | |||||||
| 2213 Cherry St | Toledo | OH | 43608 | 341196311 | $421,541 | Patient Assistance | |
| Tri-County Hematology& Oncology | |||||||
| PO Box 36660 | Canton | OH | 44735 | 341294692 | $494,175 | Patient Assistance | |
| Fairview Eye Center | |||||||
| 21375 Lorain Rd | Fairview Park | OH | 44126 | 341311807 | $15,362 | Patient Assistance | |
| Vitreo Retinal Consultants Inc | |||||||
| 4676 Douglas Cir | Canton | OH | 44718 | 341390523 | $8,510 | Patient Assistance | |
| Retina Associates of Cleveland | |||||||
| 3401 Enterprise Pkwy | Beachwood | OH | 44122 | 341411937 | $326,594 | Patient Assistance | |
| Southwest Urology MiddleburgHt | |||||||
| 6900 Pearl Rd | Cleveland | OH | 44130 | 341509612 | $13,649 | Patient Assistance | |
| University Hospitals of Cleveland | |||||||
| PO Box 94688 | Cleveland | OH | 44194 | 341567805 | $14,876 | Patient Assistance | |
| Robert M Stern MD INC | |||||||
| 29101 Health Campus Dr | Westlake | OH | 44145 | 341570257 | $6,585 | Patient Assistance | |
| Donald Stephens III | |||||||
| 518 West Ave | Tallmadge | OH | 44278 | 341572960 | $6,768 | Patient Assistance | |
| Blood & Cancer Center Inc | |||||||
| 3695 A Boardman Canfield Rd | Canfield | OH | 44406 | 341588272 | $196,981 | Patient Assistance | |
| Drs Mubashir Marquinez Rehman Inc | |||||||
| 224 W Exchange St | Akron | OH | 44302 | 341733317 | $58,238 | Patient Assistance | |
| The Retina Group of NE OH Inc | |||||||
| 75 Arch St | Akron | OH | 44304 | 341760572 | $320,127 | Patient Assistance | |
| Nashat Y Gabrail MD Inc | |||||||
| 4875 Higbee Ave NW | Canton | OH | 44718 | 341769608 | $46,723 | Patient Assistance | |
| Premier Physicians Center | |||||||
| PO Box 74692 | Cleveland | OH | 44194 | 341783789 | $6,719 | Patient Assistance | |
| Hematology & Oncology Assoc | |||||||
| 1455 Harrison Ave NW | Canton | OH | 44708 | 341806921 | $11,066 | Patient Assistance | |
| Cleveland Clinic | |||||||
| PO Box 931087 | Cleveland | OH | 44193 | 341855775 | $6,075 | Patient Assistance | |
| Summa Health System | |||||||
| 525 E Market St | Akron | OH | 44309 | 341887844 | $5,678 | Patient Assistance | |
| Morning Star Hematology Oncology | |||||||
| 2600 6th St SW | Canton | OH | 44646 | 341920787 | $7,200 | Patient Assistance | |
| Flower Hospital | |||||||
| PO Box 632280 | Cincinnati | OH | 45263 | 344428794 | $13,684 | Patient Assistance | |
| Wooster Community Hospital | |||||||
| PO Box 714537 | Columbus | OH | 43271 | 346003129 | $22,546 | Patient Assistance | |
| Wyandot Memorial Hospital | |||||||
| 885 N Sandusky Ave | Sandsky | OH | 43351 | 346408698 | $13,521 | Patient Assistance | |
| The Christ Hospital Medical Specialist 2 | |||||||
| PO Box 637627 | Cincinnati | OH | 45263 | 452681845 | $89,344 | Patient Assistance | |
| Terrence Foley MD Inc | |||||||
| 7527 Fredle Dr | Concord township | OH | 44077 | 454522761 | $9,910 | Patient Assistance | |
| Mid-OH Oncology Hematology Zangmeister Ctr | |||||||
| 3100 Plaza Properties Blvd | Columbus | OH | 43085 | 455395632 | $314,241 | Patient Assistance | Zangmeister Ctr |
| Suber Szu-Pai Huang MD | |||||||
| 1611 S Green Rd | South Euclid | OH | 44121 | 471540004 | $5,584 | Patient Assistance | |
| Lourdes Hospital | |||||||
| PO Box 931290 | Cleveland | OH | 44193 | 610600313 | $12,851 | Patient Assistance | |
| The Urology Group | |||||||
| PO Box L1080 | Cincinnati | OH | 45270 | 611257391 | $176,869 | Patient Assistance | |
| University of KY Hospital | |||||||
| PO Box 951326 | Cleveland | OH | 44193 | 616001218 | $16,693 | Patient Assistance | |
| Robert Reynolds MD | |||||||
| 13301 N Meridian Ave | Nichols Hills | OK | 73120 | 202001573 | $25,425 | Patient Assistance | |
| Cancer Ctrs of SW OK | |||||||
| 104 NW 31st St | Lawton | OK | 73505 | 203315309 | $8,848 | Patient Assistance | |
| Sami S Dahr MD | |||||||
| 3366 NW Expy | Oklahoma City | OK | 73112 | 204783995 | $13,902 | Patient Assistance | |
| Allergy Asthma & Immunology Center | |||||||
| 7307 S Yale Ave | Tulsa | OK | 74136 | 205933043 | $6,048 | Patient Assistance | |
| Oklahoma State University Medcial Center | |||||||
| 744 W 9th St | Tulsa | OK | 74127 | 264331175 | $10,021 | Patient Assistance | |
| Retina Vitreous Center | |||||||
| PO Box 2492 | Edmond | OK | 73083 | 270159123 | $43,923 | Patient Assistance | |
| Darin R Haivala MD PLLC | |||||||
| 12318 St Andrews Dr | Oklahoma City | OK | 73120 | 272472886 | $7,799 | Patient Assistance | |
| Comprehensive Cancer Center of OK | |||||||
| PO Box 20526 | Oklahoma City | OK | 73156 | 320044441 | $44,296 | Patient Assistance | |
| Wagoner Community Hospital | |||||||
| Dept 2403 | Tulsa | OK | 74182 | 352276246 | $8,681 | Patient Assistance | |
| Tulsa Retina Consultants PLLC | |||||||
| 220 W 71st St | Tulsa | OK | 74132 | 463683868 | $5,023 | Patient Assistance | |
| Oklahoma Medical Research Foundation | |||||||
| 825 NE 13th St | Oklahoma City | OK | 73104 | 730580274 | $55,620 | Patient Assistance | |
| Urologic Specialists of OK Dept 294 | |||||||
| PO Box 21568 | Tulsa | OK | 74121 | 730729369 | $29,397 | Patient Assistance | |
| M Derek Smith DPM | |||||||
| 1700 N 5th St | Ponca City | OK | 74601 | 731256528 | $6,001 | Patient Assistance | |
| The Eye Institute | |||||||
| PO Box 21228 | Tulsa | OK | 74121 | 731373096 | $66,470 | Patient Assistance | |
| OU Physicians | |||||||
| 825 NE 10th St | Oklahoma City | OK | 73104 | 731477155 | $99,456 | Patient Assistance | |
| Francisco H Dexeus MD | |||||||
| 825 E Owen Garriott | Enid | OK | 73701 | 731486420 | $64,379 | Patient Assistance | |
| Charles Garrett MD | |||||||
| 6606 S Yale | Tulsa | OK | 74136 | 731493869 | $6,956 | Patient Assistance | |
| Oklahoma Ctr for Arthritis Therapy and Resear | |||||||
| PO Box 21228 | Tulsa | OK | 74121 | 731522819 | $19,299 | Patient Assistance | |
| Comanche County Memorial Hospital | |||||||
| PO Box 129 | Lawton | OK | 73502 | 736061037 | $12,292 | Patient Assistance | |
| Dean McGee Eye Inst | |||||||
| PO Box 26507 | Oklahoma City | OK | 73126 | 736109395 | $37,403 | Patient Assistance | |
| North Texas Infectious Disease | |||||||
| PO Box 26303 | Oklahoma City | OK | 73126 | 751772118 | $11,962 | Patient Assistance | |
| Deschutes Rheumatology | |||||||
| PO Box 490 | Bend | OR | 97709 | 010922194 | $14,620 | Patient Assistance | |
| Portland Rheumatology Clinic LLC | |||||||
| 10230 SW Capitol Hwy | Portland | OR | 97219 | 205978270 | $10,806 | Patient Assistance | |
| Oregon Eye Physicians and Surgeons | |||||||
| 20015 SW Pacific Hwy | Sherwood | OR | 97140 | 260210091 | $7,662 | Patient Assistance | |
| Oregon Medical Group | |||||||
| PO Box 1648 | Eugene | OR | 97440 | 273674492 | $5,466 | Patient Assistance | |
| The Retina Center | |||||||
| 748 State St | Medford | OR | 97504 | 320020235 | $157,285 | Patient Assistance | |
| Oregon Retina Specialist LLC | |||||||
| 2859 State St | Medford | OR | 97504 | 352323010 | $67,059 | Patient Assistance | |
| Providence Holy Family Hospital | |||||||
| PO Box 3177 | Portland | OR | 97208 | 352345508 | $27,910 | Patient Assistance | |
| Oregon Retina | |||||||
| 1550 Oak St | Eugene | OR | 97401 | 455560377 | $41,469 | Patient Assistance | |
| William P Maier MD PC | |||||||
| 633 E 11th Ave | Eugene | OR | 97401 | 460485850 | $10,344 | Patient Assistance | |
| Orion Eye Center | |||||||
| 1775 SW Umatilla Ave | Redmond | OR | 97756 | 461197687 | $13,607 | Patient Assistance | |
| River Valley Rheumatology & Infusion | |||||||
| 960 Liberty St SE | Salem | OR | 97302 | 465517930 | $11,192 | Patient Assistance | |
| Oncology Management of Roseburg PC | |||||||
| 2880 NW Stewart Pkwy | Roseburg | OR | 97471 | 471502011 | $24,561 | Patient Assistance | |
| Bend Memorial Clinic | |||||||
| PO Box 6048 | Bend | OR | 97708 | 680637976 | $33,720 | Patient Assistance | |
| Albany General Hospital | |||||||
| PO Box 1188 | Corvallis | OR | 97339 | 930110095 | $5,756 | Patient Assistance | |
| Providence Medical Center | |||||||
| PO Box 3395 | Portland | OR | 97208 | 930386906 | $19,374 | Patient Assistance | |
| Providence St Vincent Medical Center | |||||||
| PO Box 3396 | Portland | OR | 97208 | 930386929 | $12,779 | Patient Assistance | |
| Salem Hospital | |||||||
| PO Box 2747 | Portland | OR | 97208 | 930579722 | $7,136 | Patient Assistance | |
| North Bend Medical Ctr | |||||||
| 1900 Woodland Dr | Coos Bay | OR | 97420 | 930635514 | $9,307 | Patient Assistance | |
| Oregon Urology Institute PC | |||||||
| 2400 Hartman Ln | Springfield | OR | 97477 | 930636837 | $84,414 | Patient Assistance | |
| Hillsboro Eye Clinic | |||||||
| 512 E Main St | Hillsboro | OR | 97123 | 930721833 | $42,311 | Patient Assistance | |
| Retina Northwest PC | |||||||
| 2525 NW Lovejoy | Portland | OR | 97210 | 930727712 | $162,536 | Patient Assistance | |
| Kaiser Permanente | |||||||
| 5725 NW NE 138th Ave | Portland | OR | 97230 | 930798039 | $124,063 | Patient Assistance | |
| Eye Health NW PO | |||||||
| PO Box 22009 | Milwaukie | OR | 97269 | 931014730 | $48,986 | Patient Assistance | |
| William A Pettit MD | |||||||
| 1404 Gekeler Ln | La Grande | OR | 97850 | 931086169 | $6,422 | Patient Assistance | |
| Northwest Rheumatology Assoc | |||||||
| 9155 SW Barnes Rd | Portland | OR | 97225 | 931100743 | $8,203 | Patient Assistance | |
| Retina and Vitreous Center | |||||||
| 246 Catalina Dr | Ashland | OR | 97520 | 931148483 | $90,735 | Patient Assistance | |
| Retina Consultants | |||||||
| 2450 12th St SE | Salem | OR | 97302 | 931152985 | $170,458 | Patient Assistance | |
| Oregon Health & Science University | |||||||
| PO Box 3595 | Portland | OR | 97208 | 931176109 | $17,658 | Patient Assistance | |
| McMinnville Eye Center | |||||||
| 235 SE Norton Ln | McMinnville | OR | 97128 | 931235600 | $6,048 | Patient Assistance | |
| Hematology Oncology Associates | |||||||
| 2828 E Barnett Rd | Medford | OR | 97504 | 931272455 | $26,915 | Patient Assistance | |
| HematologyOncology of Salem LLP | |||||||
| 875 Oak St SE | Salem | OR | 97301 | 931273254 | $94,222 | Patient Assistance | |
| Oregon Eye Consultants LLC | |||||||
| 1550 Oak St | Eugene | OR | 97401 | 931292903 | $9,859 | Patient Assistance | |
| Ophthalmology Physicians & Surgeons | |||||||
| 331 N York Rd | Hatboro | PA | 19040 | 020697486 | $14,730 | Patient Assistance | |
| Mountain View Cancer AssociationArnold Palme | |||||||
| PO Box 643388 | Pittsburgh | PA | 15264 | 030480551 | $220,700 | Patient Assistance | |
| Neurology and Stroke Associates | |||||||
| 640 E Oregon Rd | Lititz | PA | 17543 | 050533574 | $5,000 | Patient Assistance | |
| Medical Center Clinic | |||||||
| 247 Morewood Ave | Pittsburgh | PA | 15213 | 113683376 | $36,852 | Patient Assistance | |
| Mt Kisco Medical Group PC | |||||||
| PO Box 7247 | Philadelphia | PA | 19170 | 133544120 | $20,603 | Patient Assistance | |
| Saratoga Hospital | |||||||
| PO Box 347332 | Pittsburgh | PA | 15251 | 141338547 | $9,857 | Patient Assistance | |
| Armstrong Colt George Ophthamology - Abington | |||||||
| 345 N York Rd | Hatboro | PA | 19040 | 200201730 | $16,403 | Patient Assistance | |
| TLC Cancer Clinic | |||||||
| 1600 Sixth Ave | York | PA | 17403 | 200381821 | $12,888 | Patient Assistance | |
| Blood and Cancer Ctr | |||||||
| 671 Wilson Ave | Hanover | PA | 17331 | 201862706 | $6,801 | Patient Assistance | |
| Urology Health Specialist LLC | |||||||
| PO Box 1287 | Blue Bell | PA | 19422 | 201982990 | $9,746 | Patient Assistance | |
| Academic Urology of PA | |||||||
| PO Box 95000-3505 | Philadelphia | PA | 19195 | 205328092 | $27,865 | Patient Assistance | |
| Virtua West Jersey Health | |||||||
| PO Box 8500-8032 | Phila | PA | 19178 | 210634532 | $5,447 | Patient Assistance | |
| Hematology Oncology Associates | |||||||
| PO Box 95000-7110 | Philadelphia | PA | 19195 | 222369793 | $21,097 | Patient Assistance | |
| Regional Cancer Care Assoc | |||||||
| PO Box 95000-7110 | Philadelphia | PA | 19195 | 223141761 | $405,859 | Patient Assistance | |
| Gabriel T Tatarian DO | |||||||
| 1015 Chestnut St | Phila | PA | 19107 | 223831887 | $5,040 | Patient Assistance | |
| Chester Co Oncology & Hematology | |||||||
| 440 E Marshall St | West Chester | PA | 19380 | 230469150 | $10,977 | Patient Assistance | |
| Abington Memorial Hospital | |||||||
| PO Box 786306 | Phila | PA | 19178 | 231352152 | $40,795 | Patient Assistance | |
| Main Line Hem Onc | |||||||
| PO Box 85004875 | Phila | PA | 19178 | 231352160 | $43,324 | Patient Assistance | |
| Doylestown Hospital | |||||||
| 595 W State St | Doylestown | PA | 18901 | 231352174 | $11,973 | Patient Assistance | |
| Grand View Hospital | |||||||
| PO Box 902 | Sellersville | PA | 18960 | 231352181 | $7,082 | Patient Assistance | |
| Mercy Philadelphia Hospital | |||||||
| PO Box 828281 | Philadelphia | PA | 19143 | 231352191 | $11,943 | Patient Assistance | |
| Reading Hospital | |||||||
| PO Box 16051 | Reading | PA | 19612 | 231352204 | $148,015 | Patient Assistance | |
| Sacred Heart Hosp | |||||||
| 421 W Chew St | Allentown | PA | 18102 | 231352208 | $10,776 | Patient Assistance | |
| St Joseph Medical Center | |||||||
| PO Box 644171 | Pittsburgh | PA | 15264 | 231352211 | $10,450 | Patient Assistance | |
| St Luke's Hospital | |||||||
| 801 Ostrum St | Bethlehem | PA | 18015 | 231352213 | $8,623 | Patient Assistance | |
| Gettysburg Hospital | |||||||
| PO Box 1349 | York | PA | 17405 | 231352220 | $5,000 | Patient Assistance | |
| York Hospital | |||||||
| PO Box 2767 | York | PA | 17405 | 231352222 | $13,331 | Patient Assistance | |
| Drexel University | |||||||
| PO Box 95000 | Philadelphia | PA | 19195 | 231352630 | $11,516 | Patient Assistance | |
| Hospital Univ of PA | |||||||
| PO Box 824336 | Philadelphia | PA | 19182 | 231352685 | $36,106 | Patient Assistance | |
| Temple Rheumatology Assoc | |||||||
| PO Box 827770 | Philadelphia | PA | 19182 | 231365971 | $13,626 | Patient Assistance | |
| Albert Einstein Medical Center | |||||||
| PO Box 8500-7135 | Philadelphia | PA | 19178 | 231396794 | $30,046 | Patient Assistance | |
| UPMC Bedford Memorial | |||||||
| PO Box 371724 | Pittsburgh | PA | 15251 | 231396795 | $9,541 | Patient Assistance | |
| Lehigh Valley Hosp | |||||||
| PO Box 4120 | Allentown | PA | 18105 | 231689692 | $21,265 | Patient Assistance | |
| Bryn Mawr Medical Specialists Assoc | |||||||
| 933 Haverford Rd | Bryn Mawr | PA | 19010 | 231714249 | $47,016 | Patient Assistance | |
| Nevyas Eye Associates | |||||||
| 2 Bala Plz | Bala Cynwyd | PA | 19004 | 231715581 | $21,472 | Patient Assistance | |
| Ophthalmic Consultants LTD | |||||||
| 845 W Chester Pike W | Chester | PA | 19382 | 231716852 | $22,752 | Patient Assistance | |
| Berks Eye Physicians & Surgeons | |||||||
| 1802 Papermill Rd | Wyomissing | PA | 19610 | 231720360 | $5,446 | Patient Assistance | |
| Carty Eye Associates | |||||||
| 830 Old Lancaster Rd | Bryn Mawr | PA | 19010 | 231730747 | $8,892 | Patient Assistance | |
| Delta Medix PC | |||||||
| 225 Penn Ave | Scranton | PA | 18503 | 231732306 | $7,639 | Patient Assistance | |
| Eye Consultants of PA | |||||||
| 1 Granite Point Dr | Reading | PA | 19610 | 231876291 | $81,679 | Patient Assistance | |
| Rheumatology Associates | |||||||
| 170 W Germantown Pike | Norristown | PA | 19401 | 231882160 | $7,657 | Patient Assistance | |
| Bloom Eye Associates | |||||||
| 525 Jamestown St | Philadelphia | PA | 19128 | 231915488 | $13,893 | Patient Assistance | |
| Retinovitreous Assoc | |||||||
| 4060 Butler Pike | Plymouth Meeting | PA | 19462 | 231932869 | $1,082,056 | Patient Assistance | |
| Geisinger Wyoming Valley Medical Center | |||||||
| PO Box 827713 | Philadelphia | PA | 19182 | 231996150 | $27,968 | Patient Assistance | |
| Lehigh Valley Center for Sight | |||||||
| 1739 W Fairmont St | Allentown | PA | 18104 | 232075494 | $12,779 | Patient Assistance | |
| Betz Opthomology Associates | |||||||
| 3 Hospital Dr | Lewisburg | PA | 17837 | 232076715 | $11,153 | Patient Assistance | |
| Edward Deglin MD | |||||||
| 780 Periwinkle Ln | Wynnewood | PA | 19096 | 232114730 | $53,637 | Patient Assistance | |
| Cancer Care Associates of York | |||||||
| 25 Monument Rd | York | PA | 17403 | 232122436 | $206,636 | Patient Assistance | |
| Associates in Hematology-Oncology | |||||||
| 1 Medical Center Blvd | Chester | PA | 19013 | 232131037 | $35,038 | Patient Assistance | |
| Hematology and Oncology Associates of NEPA | |||||||
| 1100 Mead St | Dunmore | PA | 18512 | 232137083 | $67,441 | Patient Assistance | |
| Kay & Tabas Opthalmology | |||||||
| 601 Walnut St | Philadelphia | PA | 19106 | 232148414 | $9,035 | Patient Assistance | |
| Pennsylvania Retina Specialists | |||||||
| 220 Grandview Ave | Camp Hill | PA | 17011 | 232152842 | $343,206 | Patient Assistance | |
| Medical Oncology Assoc | |||||||
| 382 Pierce St | Kingston | PA | 18704 | 232170323 | $56,484 | Patient Assistance | |
| Lancaster Cancer Center | |||||||
| PO Box 10396 | Lancaster | PA | 17605 | 232174179 | $20,383 | Patient Assistance | |
| Soldiers and Sailors Memorial Hospital | |||||||
| 32-36 Central Ave | Wellsboro | PA | 16901 | 232176963 | $7,413 | Patient Assistance | |
| Abington Hemo Oncol Assoc | |||||||
| 2500 Maryland Rd | Willow Grove | PA | 19090 | 232188111 | $205,419 | Patient Assistance | |
| Eye Center Of Central PA | |||||||
| 66 Enterprise Blvd | Allenwood | PA | 17810 | 232196399 | $26,773 | Patient Assistance | |
| Benjamin Bloom MD | |||||||
| 2 Penn Blvd | Philadelphia | PA | 19144 | 232236571 | $21,565 | Patient Assistance | |
| Northeastern Eye Institute | |||||||
| 200 Mifflin Ave | Scranton | PA | 18503 | 232287632 | $40,725 | Patient Assistance | |
| Main Line Healthcare | |||||||
| PO Box 8538 | Philadelphia | PA | 19171 | 232359401 | $10,646 | Patient Assistance | |
| Andrews & Patel Assoc | |||||||
| 3912 Trindle Road Cp | camp hill | PA | 17011 | 232382727 | $250,516 | Patient Assistance | |
| Progressive Vision Institute | |||||||
| 201 E Laurel Blvd | Pottsville | PA | 17901 | 232413259 | $27,329 | Patient Assistance | |
| Eye Care Specialists | |||||||
| 703 Rutter Ave | Kingston | PA | 18704 | 232460617 | $105,028 | Patient Assistance | |
| Susquehanna Urologic Assoc | |||||||
| 1705 Warren Ave | Williamsport | PA | 17701 | 232461415 | $21,369 | Patient Assistance | |
| Stoken Ophthalmology | |||||||
| 338 Alexander Spring Rd | Carlisle | PA | 17015 | 232471453 | $38,523 | Patient Assistance | |
| Meadowbrook Neurology Grp | |||||||
| 1650 Huntingdon Pike | Jenkintown | PA | 19046 | 232529051 | $18,111 | Patient Assistance | |
| Retina Assoc of Greater Phila LTD | |||||||
| 124 Dekalb Pike N | Wales | PA | 19454 | 232546366 | $26,011 | Patient Assistance | |
| Gabrielle Schorppner MD | |||||||
| 3735 Nazareth Rd | Easton | PA | 18045 | 232565428 | $16,926 | Patient Assistance | |
| Satish A Shah MD PC | |||||||
| 250 Fame Ave | Hanover | PA | 17311 | 232586060 | $87,717 | Patient Assistance | |
| Carim Eye and Retina Center | |||||||
| 2630 W View Dr | Reading | PA | 19610 | 232628951 | $12,585 | Patient Assistance | |
| Roy D Brod MD | |||||||
| 2150 Harrisburg Pike | Lancaster | PA | 17604 | 232653958 | $12,230 | Patient Assistance | |
| D Gary Kolva MD | |||||||
| 301 S 7th Ave | Reading | PA | 19611 | 232655347 | $7,812 | Patient Assistance | |
| Allentown Allergy and Asthma | |||||||
| 1605 N Cedar Crest Blvd | Allentown | PA | 18104 | 232729488 | $5,732 | Patient Assistance | |
| Chester County Eye Care Assoc | |||||||
| 915 Old Fern Hill Rd | West Chester | PA | 19380 | 232747926 | $44,331 | Patient Assistance | |
| Moore Eye Care PC | |||||||
| 100 W Sproul Rd | Springfield | PA | 19064 | 232768443 | $118,662 | Patient Assistance | |
| Lehigh Valley Eye Center | |||||||
| 400 N 17th St | Allentown | PA | 18104 | 232785660 | $39,269 | Patient Assistance | |
| Jefferson University Physicians | |||||||
| 146 Montgomery Ave | Bala Cynwyd | PA | 19004 | 232809585 | $11,343 | Patient Assistance | |
| Consultants in Medical Oncology & Hematology | |||||||
| 2100 Keystone Ave | Drexel Hill | PA | 19026 | 232826618 | $17,355 | Patient Assistance | |
| Lehigh Retina Specialists | |||||||
| 1251 S Cedar Crest Blvd | Allentown | PA | 18103 | 232847909 | $124,712 | Patient Assistance | |
| University of Pittsburg Physicians | |||||||
| PO Box 382053 | Pittsburgh | PA | 15251 | 232919472 | $27,142 | Patient Assistance | |
| Physicians Alliance LTD | |||||||
| PO Box 729E | Petersburg | PA | 17520 | 232960500 | $25,605 | Patient Assistance | |
| Regional Hematology Oncology Assoc | |||||||
| 240 Middleton Blvd | Langhorne | PA | 19047 | 232979889 | $77,693 | Patient Assistance | |
| IC Laser Eyecare | |||||||
| 3046 Knight Rd | Bensalem | PA | 19020 | 232982368 | $7,435 | Patient Assistance | |
| Paoli Hematology Oncology Associates PC | |||||||
| 209 W Lancaster Ave | Paoli | PA | 19301 | 232986317 | $54,301 | Patient Assistance | |
| Main Line Oncology Hematology Assoc | |||||||
| 100 E Lancaster Ave | Wynnewood | PA | 19096 | 233000687 | $32,670 | Patient Assistance | |
| Rittenhouse HematologyOncology | |||||||
| 1840 South St | Philadelphia | PA | 19146 | 233004350 | $6,304 | Patient Assistance | |
| The Retina Group of PA | |||||||
| 800 W 4th St | Williamsport | PA | 17701 | 233022925 | $29,118 | Patient Assistance | |
| Premier Vision Laser Ctr | |||||||
| PO Box 1032 | Willow Grove | PA | 19090 | 233032079 | $7,323 | Patient Assistance | |
| Greenstein Neurology Assoc & MS Inst | |||||||
| 1341 N Delaware Ave | Philadelphia | PA | 19125 | 233085580 | $38,250 | Patient Assistance | |
| PMA Medical Specialis | |||||||
| PO Box 525 | Phoenixville | PA | 19460 | 233092765 | $14,477 | Patient Assistance | |
| Geisinger Med Center | |||||||
| 100 N Academy Ave | Danville | PA | 17822 | 236291113 | $62,313 | Patient Assistance | |
| Monongahela Valley Hospital | |||||||
| 1163 Country Club Rd | Monongahela | PA | 15063 | 237218917 | $8,252 | Patient Assistance | |
| The Robert Packer Hospital | |||||||
| PO Box 900 | Sayre | PA | 18840 | 240795463 | $19,396 | Patient Assistance | |
| Geisinger Med Ctr | |||||||
| 100 N Academy Ave | Danville | PA | 17822 | 240795959 | $66,760 | Patient Assistance | |
| Divine Providence Hospital | |||||||
| 1100 Grampian Blvd | Williamsport | PA | 17701 | 240799343 | $69,784 | Patient Assistance | |
| UPMC NW Cancer Ctr | |||||||
| PO Box 371601 | Pittsburgh | PA | 15251 | 250489010 | $11,333 | Patient Assistance | |
| UPMC Cancer Center | |||||||
| PO Box 382007 | Pittsburgh | PA | 15250 | 250523970 | $11,583 | Patient Assistance | |
| Jameson Hospital - South Campus | |||||||
| 1211 Wilmington Ave | New Castle | PA | 16105 | 250965406 | $5,301 | Patient Assistance | |
| Magee- Womens Hospital of UPMC | |||||||
| PO Box 223239 | Pittsburgh | PA | 15251 | 250965420 | $383,390 | Patient Assistance | |
| UPMC Mckeesport | |||||||
| PO Box 382007 | Pittsburgh | PA | 15250 | 250965423 | $28,811 | Patient Assistance | |
| UPMC Presbyterian | |||||||
| PO Box 382007 | Pittsburgh | PA | 15250 | 250965480 | $19,265 | Patient Assistance | |
| The Western Penn Hospital | |||||||
| PO Box 644650 | Pittsburgh | PA | 15264 | 250969492 | $94,605 | Patient Assistance | |
| Clarion Hospital | |||||||
| 1 Hospital Dr | Clarion | PA | 16214 | 251010039 | $29,450 | Patient Assistance | |
| Associates in Ophthalmology Ltd | |||||||
| PO Box 644214 | Pittsburgh | PA | 15264 | 251100359 | $177,961 | Patient Assistance | |
| Novak Berkowitz and Rosenberg PC | |||||||
| 532 S Aiken Ave | Pittsburgh | PA | 15232 | 251190184 | $13,072 | Patient Assistance | |
| Blair Medical Assoc | |||||||
| 1414 9th Ave | Altoona | PA | 16602 | 251219302 | $52,436 | Patient Assistance | |
| Jan C Seski & Associates PC | |||||||
| 3358 Fifth Ave | Pittsburgh | PA | 15213 | 251236746 | $11,461 | Patient Assistance | |
| Everett and Hurite Ophthalmic Assoc | |||||||
| 1835 Forbes Ave | Pittsburgh | PA | 15219 | 251253504 | $165,363 | Patient Assistance | |
| Assoc in Neurology of Pittsburg | |||||||
| 5750 Centre Ave | Pittsburgh | PA | 15206 | 251313633 | $16,664 | Patient Assistance | |
| Laurel Eye Clinic | |||||||
| 50 Waterford Pike | Brookville | PA | 15825 | 251375158 | $12,020 | Patient Assistance | |
| Regional Cancer Ctr | |||||||
| 2500 W 12th St | Erie | PA | 16505 | 251385075 | $353,137 | Patient Assistance | |
| Retina Vitreous Consultants | |||||||
| 3501 Forbes Ave | Pittsburgh | PA | 15213 | 251492985 | $72,074 | Patient Assistance | |
| Chambersburg Health Svcs | |||||||
| 755 Norland Ave | Chambersburg | PA | 17201 | 251515376 | $12,285 | Patient Assistance | |
| Conemaugh Cancer Care Assoc | |||||||
| 1020 Franklin St | Johnstown | PA | 15905 | 251658283 | $365,953 | Patient Assistance | |
| Gatewary Foot and Ankle | |||||||
| 1200 Brooks Ln | Jefferson Hills | PA | 15025 | 251668205 | $6,955 | Patient Assistance | |
| Oncology Hematology Assoc | |||||||
| PO Box 643042 | Pittsburgh | PA | 15264 | 251762980 | $5,726 | Patient Assistance | |
| Pinnacle Health Medical Opt | |||||||
| Unit PO Box 2353 | Harrisburg | PA | 17105 | 251778644 | $55,419 | Patient Assistance | |
| Hershey Medical Center | |||||||
| 500 University Dr | Hershey | PA | 17033 | 251854772 | $20,722 | Patient Assistance | |
| Oncology Hematology Assoc of Northern PAPC | |||||||
| PO Box 447 | Du Bois | PA | 15801 | 251886123 | $83,824 | Patient Assistance | |
| Scranton Hematology Oncology | |||||||
| 743 Jefferson Ave | Scranton | PA | 18510 | 260004460 | $6,335 | Patient Assistance | |
| Patel Retna Institute LLC | |||||||
| 210 N State St | Clark Summit | PA | 18411 | 271272490 | $86,646 | Patient Assistance | |
| Chestnut Hill Allergy and Asthma Associates | |||||||
| 40 W Evergreen Ave | Philadelphia | PA | 19118 | 271694483 | $11,632 | Patient Assistance | |
| Neurologic Health Assoc PC | |||||||
| 555 2nd Ave | Collegeville | PA | 19426 | 273225216 | $21,059 | Patient Assistance | |
| Lutherrville Hematology Oncology Service LLC | |||||||
| PO Box 824407 | Philadelphia | PA | 19182 | 274697590 | $5,530 | Patient Assistance | |
| UPMC East PO | |||||||
| PO Box 382007 | Pittsburgh | PA | 15250 | 274814831 | $6,004 | Patient Assistance | |
| James Cancer Hosp | |||||||
| PO Box 643662 | Pittsburgh | PA | 15264 | 311322863 | $29,672 | Patient Assistance | |
| Pennsylvania Health System | |||||||
| 230 W Washington Sq | Philadelphia | PA | 19106 | 311538725 | $23,483 | Patient Assistance | |
| Mahoning Valley Hema Onc | |||||||
| PO Box 8500-6536 | Philadelphia | PA | 19178 | 341105439 | $248,912 | Patient Assistance | |
| St Joseph Mercy Hospital | |||||||
| PO Box 223087 | Pittsburgh | PA | 15251 | 383175878 | $5,997 | Patient Assistance | |
| New Jersey Urology LLC CL4480 | |||||||
| PO Box 95000 | Philadelphia | PA | 19195 | 412257491 | $14,215 | Patient Assistance | |
| UPMC Cancer Center | |||||||
| PO Box 371980 | Pittsburgh | PA | 15250 | 421648357 | $8,325 | Patient Assistance | |
| Hematology Oncology Group PC | |||||||
| 1205 Langhorne Newtown | Langhorne | PA | 19047 | 452552343 | $888,555 | Patient Assistance | |
| Jahlne Eye Associates | |||||||
| 210 W Chester Pike | Havertown | PA | 19083 | 454685955 | $26,426 | Patient Assistance | |
| Progressive Vision Institute of Allentown | |||||||
| 201 E Laurel Blvd | Pottsville | PA | 17901 | 455039203 | $7,195 | Patient Assistance | |
| Susquehanna Eye Associates | |||||||
| 930 Bellafonte Ave | Lockhaven | PA | 17745 | 460710616 | $23,676 | Patient Assistance | |
| Union Hospital of Cecil | |||||||
| PO Box 4273 | Lancaster | PA | 17604 | 520607945 | $5,458 | Patient Assistance | |
| Mid Atlantic Retina- Cherry Hill | |||||||
| 910 E Willow Grove Ave | Wyndmoor | PA | 19038 | 521249671 | $311,636 | Patient Assistance | |
| Wheeling Hospital | |||||||
| PO Box 644106 | Pittsburgh | PA | 15264 | 550357057 | $54,271 | Patient Assistance | |
| Hematology and Oncology Consultants of PA | |||||||
| 3 Walnut St | Lemoyne | PA | 17043 | 651208336 | $67,997 | Patient Assistance | |
| The Fox Medical Oncology Center PC | |||||||
| 21 Industrial Blvd | Paoli | PA | 19301 | 753062649 | $36,200 | Patient Assistance | |
| Mon Valley Hsp Cancer Center | |||||||
| 1163 Country Club Rd | Monongahela | PA | 15063 | 800703620 | $24,850 | Patient Assistance | |
| Century Eye Care Ltd | |||||||
| 216 Mill St | Bristol | PA | 19007 | 861072293 | $23,928 | Patient Assistance | |
| Rhode Island Hospital | |||||||
| PO Box 373 | Providence | RI | 02901 | 050258954 | $11,945 | Patient Assistance | |
| Retina Consultants InC | |||||||
| 690 Eddy St | Providence | RI | 02903 | 050380297 | $44,599 | Patient Assistance | |
| Koch Eye Associates | |||||||
| 566 Tollgate Rd | Warwick | RI | 02886 | 050391364 | $20,805 | Patient Assistance | |
| Neurology Foundation | |||||||
| 34 Parsonage St | Providence | RI | 02903 | 050448314 | $14,156 | Patient Assistance | |
| Hematology & Oncology Assoc of RI | |||||||
| 1220 Pontiac Ave | Cranston | RI | 02920 | 050475195 | $100,461 | Patient Assistance | |
| Rhode Island Eye Institute | |||||||
| 150 E Manning St | Providence | RI | 02906 | 050493136 | $49,651 | Patient Assistance | |
| University Urological Associates | |||||||
| 195 Collyer St N | Providence | RI | 02904 | 061470514 | $6,665 | Patient Assistance | |
| Arthritis Center of RI | |||||||
| 132 Old River Rd | Lincoln | RI | 02865 | 201705738 | $8,392 | Patient Assistance | |
| Cancer Center Institute of Carolina | |||||||
| 111 Miracle Dr | Aiken | SC | 29801 | 200566725 | $28,387 | Patient Assistance | |
| East Coast Retina | |||||||
| 8609 Montague Ln | Myrtle Beach | SC | 29588 | 203859386 | $6,641 | Patient Assistance | |
| Charleston Hematology-Oncology | |||||||
| 2085 Henry Tecklenburg Blvd | Charleston | SC | 29414 | 205615148 | $370,363 | Patient Assistance | |
| Carolina Blood & Cancer Care | |||||||
| 1583 Healthcare Dr | Rockhill | SC | 29730 | 352221941 | $40,223 | Patient Assistance | |
| Upstate Podiatry Group PA | |||||||
| 114B Hospital Dr | Simpsonville | SC | 29681 | 462904279 | $8,484 | Patient Assistance | |
| Palmetto Urology PA | |||||||
| 1747 Village Park Dr | Orangeburg | SC | 29118 | 542081076 | $47,383 | Patient Assistance | |
| Saad Upstate Neurology | |||||||
| PO Box 2716 | Columbia | SC | 29202 | 562053696 | $63,062 | Patient Assistance | |
| Self Regional Healthcare | |||||||
| 1325 Spring St | Greenwood | SC | 29646 | 570331865 | $17,594 | Patient Assistance | |
| Georgetown Memorial | |||||||
| 2405 N Fraser St | Georgetown | SC | 29440 | 570341194 | $48,219 | Patient Assistance | |
| McLeod Regional Medical | |||||||
| 555 E Cheves St | Florence | SC | 29506 | 570370242 | $11,801 | Patient Assistance | |
| Stokes Regional Eye Center | |||||||
| 602 E Cheves St | Florence | SC | 29506 | 570523600 | $7,937 | Patient Assistance | |
| Carolina Medical Affiliates | |||||||
| PO Box 2288 | Spartanburg | SC | 29304 | 570563123 | $7,235 | Patient Assistance | |
| Neurology Associates of Greenville | |||||||
| 1130 Grove Rd | Greenville | SC | 29605 | 570637705 | $7,214 | Patient Assistance | |
| Piedmont Arthritis Clinic | |||||||
| 3 St Francis Dr | Greenville | SC | 29601 | 570702625 | $14,022 | Patient Assistance | |
| Anderson Area Cancer Ctr | |||||||
| 2000 E Greenville St | Anderson | SC | 29621 | 570749974 | $9,389 | Patient Assistance | |
| Metrolina Neurological Associates PA | |||||||
| 200 S Herlong Ave | Rock Hill | SC | 29732 | 570753692 | $15,105 | Patient Assistance | |
| Associated Medical Specialists PA | |||||||
| 8121 Rourk St | Myrtle Beach | SC | 29572 | 570777346 | $198,006 | Patient Assistance | |
| South Carolina Oncology Associates | |||||||
| PO Box 2046 | West Columbia | SC | 29171 | 570787600 | $431,389 | Patient Assistance | |
| Lexington Medical Specialist | |||||||
| 110 E Medical Ln | West Columbia | SC | 29169 | 570874077 | $63,402 | Patient Assistance | |
| Palmetto Retina Center | |||||||
| PO Box 8864 | Richland | SC | 29202 | 570955585 | $351,786 | Patient Assistance | |
| Carolina Regional Cancer Ctr | |||||||
| 4708 Oleander Dr | Myrtle Beach | SC | 29577 | 570956164 | $69,694 | Patient Assistance | |
| Urology Center of Spartanburg | |||||||
| 391 Serpintine Dr | Spartanburg | SC | 29303 | 570959374 | $14,692 | Patient Assistance | |
| Retina Consultants of Carolina | |||||||
| 1126 Grove Rd | Greenville | SC | 29605 | 570991865 | $158,545 | Patient Assistance | |
| Internal Medicine Associates | |||||||
| 1025 Verdae Blvd | Greenville | SC | 29607 | 571004971 | $11,850 | Patient Assistance | |
| Charleston Cancer Ctr | |||||||
| 2910 Tricom St | Charleston | SC | 29406 | 571071425 | $43,930 | Patient Assistance | |
| Santee Hematology Oncology | |||||||
| 1105 N Lafayette Dr | Sumter | SC | 29150 | 571111938 | $72,603 | Patient Assistance | |
| Kershaw County Medical Center | |||||||
| PO Box 7003 | Camden | SC | 29020 | 576005963 | $13,044 | Patient Assistance | |
| Carolina Eye Care Physicians | |||||||
| 2861 Tricom St | Charleston | SC | 29406 | 582353352 | $9,810 | Patient Assistance | |
| Horizon Hematology Oncology | |||||||
| 1455 E Main St | Spartanburg | SC | 29307 | 582423840 | $29,365 | Patient Assistance | |
| Galloway Regional Eye Center | |||||||
| PO Box 49847 | Greenwood | SC | 29649 | 651176165 | $6,766 | Patient Assistance | |
| Avera McKennan Home Infusion | |||||||
| 1020 S Cliff Ave | Sioux Falls | SD | 57104 | 460224743 | $12,925 | Patient Assistance | |
| Opthomology Limited | |||||||
| 5601 S Minnesota Ave | Sioux Falls | SD | 57108 | 460311856 | $6,478 | Patient Assistance | |
| Yankton Medical Clinic | |||||||
| 1104 W 8th St | Yankton | SD | 57078 | 460363830 | $20,726 | Patient Assistance | |
| Black Hills Regional Eye Institute | |||||||
| 2800 3rd St | Rapid City | SD | 57701 | 460461540 | $34,144 | Patient Assistance | |
| Slingsby & Wright Eye Care LLC | |||||||
| 240 Minnesota St | Rapid City | SD | 57701 | 460461850 | $12,369 | Patient Assistance | |
| Accredo Health Group | |||||||
| 1640 Century Ctr | Memphis | TN | 38134 | 113358535 | $562,429 | Patient Assistance | |
| East Tennessee Vascular Center | |||||||
| 1125 W 1st North St | Morristown | TN | 37814 | 200382097 | $20,767 | Patient Assistance | |
| Tareck A Kadrie | |||||||
| 721 Glenwood Dr | Chattanooga | TN | 37404 | 200519589 | $5,000 | Patient Assistance | |
| Tennessee Cancer Specialists | |||||||
| PO Box 10988 | Knoxville | TN | 37939 | 200677400 | $1,060,337 | Patient Assistance | |
| Upper Cumberland Cancer Care | |||||||
| PO Box 847 | Crossville | TN | 38557 | 202845809 | $15,593 | Patient Assistance | |
| Chattanooga's Program in Women's Onclogy | |||||||
| 102 Central Ave | Chattanooga | TN | 37403 | 203130701 | $16,089 | Patient Assistance | |
| Williams Foot Center PLLC | |||||||
| 1725 Medical Center Pkwy | Murfreesboro | TN | 37129 | 203661316 | $5,644 | Patient Assistance | |
| Tri-State Neurology PLLC | |||||||
| PO Box 1000 | Dept Memphis | TN | 38148 | 208070565 | $7,687 | Patient Assistance | |
| Chattanooga Neurology Associates | |||||||
| 721 Glenwood Dr | Chattanooga | TN | 37404 | 237137397 | $10,000 | Patient Assistance | |
| Grace Clinic | |||||||
| 405 Tyson Ave | Paris | TN | 38242 | 271591966 | $5,768 | Patient Assistance | |
| Chattanooga Retina | |||||||
| 1949 Gunbarrel Rd | Chattanooga | TN | 37421 | 275008941 | $8,989 | Patient Assistance | |
| Univ of TN Medical Ctr | |||||||
| PO Box 440164 | Nashville | TN | 37244 | 311626179 | $197,752 | Patient Assistance | |
| Memphis Eye Clinic | |||||||
| 6029 Walnut Grove Rd | Memphis | TN | 38120 | 392067210 | $8,061 | Patient Assistance | |
| Sullivan Specialty Pharmacy | |||||||
| 2204 Pavilion Dr | Kingsport | TN | 37660 | 464750517 | $7,561 | Patient Assistance | |
| Johnston Memorial Hospital | |||||||
| PO Box 1100 | Johnson City | TN | 37605 | 540544705 | $10,737 | Patient Assistance | |
| Precision Healthcare Inc | |||||||
| PO Box 306075 | Nashville | TN | 37214 | 582520108 | $33,366 | Patient Assistance | |
| Johnson City Medical | |||||||
| PO Box 1817 | Johnson City | TN | 37605 | 620476282 | $12,738 | Patient Assistance | |
| Fort Sanders Regional Infusion | |||||||
| Dept 888001 | Knoxville | TN | 37995 | 620528340 | $26,562 | Patient Assistance | |
| Semmer Murphy Clinic | |||||||
| PO Box 1000 | Memphis | TN | 38148 | 620642575 | $30,693 | Patient Assistance | |
| Allergy Asthma & Sinus Ctr | |||||||
| PO Box 51770 | Knoxville | TN | 37950 | 620863368 | $67,897 | Patient Assistance | |
| Murfreesboro Medical Clinic | |||||||
| 1272 Garrison Dr | Murfreesboro | TN | 37129 | 620864163 | $8,074 | Patient Assistance | |
| East TN Neurology Clinic PC | |||||||
| 9000 Executive Park Dr | Knoxville | TN | 37923 | 620953187 | $11,284 | Patient Assistance | |
| Retina Vitreous Assoc TN | |||||||
| 345 23rd Ave N | Nashville | TN | 37203 | 621042760 | $1,565,634 | Patient Assistance | |
| Rheumatology Consultants | |||||||
| 4707 Papermill Dr | Knoxville | TN | 37909 | 621064119 | $25,281 | Patient Assistance | |
| SE Retina Associates | |||||||
| 979 E 3rd St | Chattanooga | TN | 37421 | 621094813 | $812,651 | Patient Assistance | |
| Tri State Mountain Neurology | |||||||
| 105 Woodlawn Dr | Johnson City | TN | 37604 | 621105910 | $11,493 | Patient Assistance | |
| BMH Tipton Infusion Center | |||||||
| 6005 Park Ave | Memphis | TN | 38101 | 621113167 | $54,557 | Patient Assistance | |
| Johnson City Eye Clinic | |||||||
| 110 Med Tech Pkwy | Johnson City | TN | 37604 | 621137305 | $38,037 | Patient Assistance | |
| Retina Consultants of Nashville | |||||||
| 3443 Dickerson Park | Nashville | TN | 37207 | 621449857 | $13,224 | Patient Assistance | |
| VRF Eye Specialty Group | |||||||
| 825 Ridge Lake Blvd | Memphis | TN | 38120 | 621463001 | $32,038 | Patient Assistance | |
| W Barney Smith MD | |||||||
| 105 Glen Oak Blvd | Hendersonville | TN | 37075 | 621515293 | $9,727 | Patient Assistance | |
| Arthritis Associates of Kingsport | |||||||
| 3 Sheridan Sq | Kingsport | TN | 37660 | 621523356 | $33,198 | Patient Assistance | |
| West Clinic | |||||||
| PO Box 240728 | Memphis | TN | 38124 | 621526296 | $247,964 | Patient Assistance | |
| Urology & Urologic Surgery Pc | |||||||
| PO Box 888158 | Knoxville | TN | 37995 | 621561221 | $7,484 | Patient Assistance | |
| David A Rankine MD | |||||||
| 979 E Third St | Chattanooga | TN | 37403 | 621601801 | $23,959 | Patient Assistance | |
| Wellmont Health System | |||||||
| PO Box 1089 | Bristol | TN | 37621 | 621636465 | $91,185 | Patient Assistance | |
| Charles Retina Institute | |||||||
| PO Box 1000 | Memphis | TN | 38148 | 621641241 | $57,019 | Patient Assistance | |
| Tennessee Oncology | |||||||
| PO Box 440100 | Nashville | TN | 37244 | 621647259 | $1,840,916 | Patient Assistance | |
| E TN Hematology Oncology | |||||||
| 1406 Tusculum Blvd | Greeneville | TN | 37745 | 621663564 | $18,076 | Patient Assistance | |
| Urology Associates | |||||||
| 2801 Charlotte Ave | Nashville | TN | 37209 | 621664297 | $69,525 | Patient Assistance | |
| Mid South Retina Asso | |||||||
| PO Box 1000 | Memphis | TN | 38148 | 621703455 | $65,408 | Patient Assistance | |
| The Jones Clinic | |||||||
| PO Box 1000 | Memphis | TN | 38148 | 621717770 | $49,935 | Patient Assistance | |
| Sandberg Foot Health Center | |||||||
| 939 E Emerald Ave | Knoxville | TN | 37917 | 621732005 | $8,697 | Patient Assistance | |
| Nashville Oncology Assoc | |||||||
| 2011 Church St | Nashville | TN | 37203 | 621762036 | $40,587 | Patient Assistance | |
| Laughlin Medical Group General Surgery | |||||||
| 1410 Tusculum Blvd | Greeneville | TN | 37745 | 621776681 | $7,000 | Patient Assistance | |
| SouthEast Eye Specialist PLLC | |||||||
| PO Box 6188 | Chattanooga | TN | 37401 | 621791165 | $123,996 | Patient Assistance | |
| Eye Centers of Tennessee | |||||||
| 768 A S Willow Ave | Cookeville | TN | 38501 | 621813450 | $19,846 | Patient Assistance | |
| Knoxville Neurology Specialists | |||||||
| PO Box 415000-MSC | Nashville | TN | 37241 | 621835541 | $19,886 | Patient Assistance | |
| Cookeville Regional Cancer Center | |||||||
| 142 W 5th St | Cookeville | TN | 38501 | 626002166 | $5,126 | Patient Assistance | |
| Maury Regional Hospital | |||||||
| 1224 Trotwood Ave | Columbia | TN | 38401 | 626002623 | $21,647 | Patient Assistance | |
| Henry County Medical Center | |||||||
| PO Box 1030 | Paris | TN | 38242 | 626007078 | $18,431 | Patient Assistance | |
| Jackson-Madison County General Hospital | |||||||
| PO Box 3855 | Jackson | TN | 38303 | 626010402 | $96,696 | Patient Assistance | |
| BMH Desoto | |||||||
| PO Box 415000 | Nashville | TN | 37241 | 640682111 | $9,043 | Patient Assistance | |
| Baptist Mem Hosp N MS Inc | |||||||
| 6005 Park Ave | Memphis | TN | 38119 | 640772726 | $6,187 | Patient Assistance | |
| Highland Clinic | |||||||
| PO Box 415000 | Nashville | TN | 37241 | 720703150 | $235,816 | Patient Assistance | |
| Tennessee Plateau Oncology | |||||||
| 49 Cleveland St | Crossville | TN | 38555 | 900111512 | $73,282 | Patient Assistance | |
| Houston Retina Assoc | |||||||
| 7789 Southwest Fwy | Houston | TX | 77074 | 010699322 | $6,650 | Patient Assistance | |
| Scott Surgical Clinic | |||||||
| 10119 US Highway 59 Rd | Wharton | TX | 77488 | 010791920 | $11,595 | Patient Assistance | |
| Adriana Pop-Moody MD PA | |||||||
| PO Box 3806 | Corpus Christi | TX | 78463 | 050592086 | $30,671 | Patient Assistance | |
| Valley Cancer Assoc PA | |||||||
| 1719 Treasure Hills Blvd | Harlingen | TX | 78550 | 061831543 | $52,372 | Patient Assistance | |
| East Texas Infectious Disease Consultants PL | |||||||
| PO Box 131629 | Tyler | TX | 75713 | 113678481 | $9,162 | Patient Assistance | |
| Golden Triangle Radiation Oncology Dept 283 | |||||||
| PO Box 4869 | Houston | TX | 77210 | 134212115 | $66,649 | Patient Assistance | |
| Rio Bravo Cancer & Blood PA | |||||||
| 1301 Avenue | G Del Rio | TX | 78840 | 200148164 | $7,433 | Patient Assistance | |
| Multispecialty Group of TX PA | |||||||
| 1200 Binz | Houston | TX | 77004 | 200244683 | $36,341 | Patient Assistance | |
| Retina Center PA | |||||||
| 2806 E 29th St | Bryan | TX | 77802 | 200872732 | $19,826 | Patient Assistance | |
| Harshi Bains MD PA | |||||||
| 1519 E Front St | Tyler | TX | 75702 | 200937057 | $90,938 | Patient Assistance | |
| Vincent F Macaluso MD | |||||||
| 1920 N Memorial Way | Houston | TX | 77007 | 201689066 | $15,485 | Patient Assistance | |
| Deaconess Hospital | |||||||
| PO Box 842350 | Dallas | TX | 75824 | 202257411 | $5,060 | Patient Assistance | |
| Retina Institute of South Texas | |||||||
| 137 Primrose Pl | San Antonio | TX | 78209 | 202397444 | $9,690 | Patient Assistance | |
| Houston Metro Urology PA | |||||||
| PO Box 1400 | Houston | TX | 77251 | 204473802 | $33,790 | Patient Assistance | |
| Denton Oncology Center | |||||||
| 2900 N Interstate 35 | Denton | TX | 76201 | 205036142 | $18,200 | Patient Assistance | |
| Uzma Iqbal MD PA | |||||||
| 11307 FM 1960 W | Houston | TX | 77065 | 208770785 | $18,333 | Patient Assistance | |
| Lone Star Cancer Association | |||||||
| PO Box 781905 | San Antonio | TX | 78278 | 263747461 | $10,164 | Patient Assistance | |
| North Houston Cancer Clinics | |||||||
| 3115 Colleg Park Dr | Shenandoah | TX | 77384 | 263969669 | $7,289 | Patient Assistance | |
| Grace Medical Center | |||||||
| 2412 50th St | Lubbock | TX | 79412 | 264021016 | $6,389 | Patient Assistance | |
| Valley Vitreoretinal Consultants | |||||||
| 2103 E Griffin Pkwy | Mission | TX | 78572 | 264472604 | $5,556 | Patient Assistance | |
| Greater Houston Physician Medical Association | |||||||
| 8850 Six Pines Dr | Shenandoah | TX | 77380 | 270573017 | $13,446 | Patient Assistance | |
| Capitol Foot and Ankle | |||||||
| 900 E 30th St | Austin | TX | 78705 | 271664184 | $5,974 | Patient Assistance | |
| Wilson N Jones Regional | |||||||
| PO Box 846044 | Dallas | TX | 75284 | 272025690 | $5,222 | Patient Assistance | |
| Jawad A Qureshi MD | |||||||
| PO Box 975673 | Dallas | TX | 75397 | 273557509 | $6,956 | Patient Assistance | |
| Scott White Hospital College | |||||||
| PO Box 844658 | Dallas | TX | 75284 | 274434451 | $5,000 | Patient Assistance | |
| Baptist St Anthony's Hlth | |||||||
| PO Box 950 | Amarillo | TX | 79105 | 300754305 | $13,532 | Patient Assistance | |
| Baylor College of Medicine BC Center | |||||||
| PO Box 4766 | Houston | TX | 77210 | 300791563 | $5,313 | Patient Assistance | |
| The Oak Clinic | |||||||
| PO Box 131886 | Houston | TX | 77219 | 341930683 | $123,775 | Patient Assistance | |
| Cancer Specialists of North Florida | |||||||
| PO Box 674377 | Dallas | TX | 75267 | 412152274 | $121,742 | Patient Assistance | |
| Mary McWilliams MD | |||||||
| 1920 N Memorial Way | Houston | TX | 77007 | 426827271 | $13,366 | Patient Assistance | |
| Berkeley Eye Institute PA | |||||||
| PO Box 4219 | Houston | TX | 77210 | 432012505 | $10,970 | Patient Assistance | |
| Ophthalmology Specialists of Texas PA | |||||||
| 5441 Health Center Dr | Abilene | TX | 79606 | 450466456 | $26,209 | Patient Assistance | |
| W TX Retina Consultants | |||||||
| 5441 Health Center Dr | Abilene | TX | 79606 | 450468456 | $7,155 | Patient Assistance | |
| VHS Brownsville Hospital | |||||||
| PO Box 731572 | Dallas | TX | 75373 | 452663071 | $6,787 | Patient Assistance | |
| Texoma Health | |||||||
| 5012 S US Highway 75 | Denison | TX | 75020 | 460656951 | $15,239 | Patient Assistance | |
| Memorial Health System | |||||||
| PO Box 732029 | Dallas | TX | 75373 | 460796114 | $11,476 | Patient Assistance | |
| Austin Cancer Centers | |||||||
| 2211 W Braker Ln | Austin | TX | 78758 | 460829574 | $207,182 | Patient Assistance | |
| Pulmonary & Sleep Physicans of Houston PA | |||||||
| 501 Orchard St | Webster | TX | 77598 | 461375202 | $6,495 | Patient Assistance | |
| Oncology San Antonio PA | |||||||
| PO Box 65057 | San Antonio | TX | 78265 | 472050793 | $328,935 | Patient Assistance | |
| Blood & Cancer Ctr of Tx | |||||||
| 825 Medical Dr | Tyler | TX | 75701 | 481285510 | $32,562 | Patient Assistance | |
| Retinal Consultants of San Antonio | |||||||
| 9480 Huebner Rd | San Antonio | TX | 78240 | 510599870 | $49,162 | Patient Assistance | |
| Rio Grande Urology Westside | |||||||
| 7420 Remcon Cir | El Paso | TX | 79912 | 611519241 | $29,193 | Patient Assistance | |
| Arkansas Oncology Associates - Hot Springs | |||||||
| PO Box 910860 | Dallas | TX | 75391 | 710492053 | $5,383 | Patient Assistance | |
| Texas Healthcare | |||||||
| PO Box 961205 | Fort Worth | TX | 76161 | 710892430 | $7,478 | Patient Assistance | |
| Christus ST Patrick | |||||||
| PO Box 846039 | Dallas | TX | 75284 | 720411322 | $5,375 | Patient Assistance | |
| East Jefferson Gen Hospital | |||||||
| PO Box 975479 | Dallas | TX | 75397 | 720692834 | $9,689 | Patient Assistance | |
| Baton Rouge General Medical Center | |||||||
| PO Box 974544 | Dallas | TX | 75397 | 721025017 | $24,066 | Patient Assistance | |
| Midwest Oncology Group | |||||||
| PO Box 205257 | Dallas | TX | 75320 | 731648179 | $6,801 | Patient Assistance | |
| USMD Hospital at Arlington LP | |||||||
| PO Box 732166 | Dallas | TX | 76373 | 731662763 | $11,130 | Patient Assistance | |
| Christus Spohn Cancer Ctr | |||||||
| PO Box 730244 | Dallas | TX | 75373 | 741109836 | $88,287 | Patient Assistance | |
| The Methodist Hospital | |||||||
| PO Box 4755 | Houston | TX | 77210 | 741180155 | $7,875 | Patient Assistance | |
| St Joseph Reg Health | |||||||
| PO Box 202536 | Dallas | TX | 75320 | 741282696 | $10,093 | Patient Assistance | |
| Harris County Hospital District po | |||||||
| PO Box 4835 | Houston | TX | 77210 | 741536936 | $10,000 | Patient Assistance | |
| Charles Thomas MD Radiation Onco | |||||||
| 7979 Wurzbach Rd | San Antonio | TX | 78229 | 741586031 | $50,645 | Patient Assistance | |
| Baylor Clinic | |||||||
| PO Box 4803 | Houston | TX | 77210 | 741613878 | $19,777 | Patient Assistance | |
| Austin Diagnostic Clinic | |||||||
| PO Box 843770 | Dallas | TX | 75284 | 741625143 | $18,620 | Patient Assistance | |
| Opthalmology Associates of San Antonio | |||||||
| 414 Navarro | San Antonio | TX | 78285 | 741665466 | $20,424 | Patient Assistance | |
| Thurmond Eye Associates | |||||||
| 1519 E 6th St | Weslaco | TX | 78596 | 741695861 | $5,793 | Patient Assistance | |
| Citizens Medical Center | |||||||
| PO Box 2024 | Victoria | TX | 77902 | 741698143 | $5,363 | Patient Assistance | |
| Rheumatology Assoc | |||||||
| 8144 Walnut Hill Ln | Dallas | TX | 75231 | 741958530 | $8,630 | Patient Assistance | |
| Southwest Retina Consultants | |||||||
| 1700 Curie | El Paso | TX | 79902 | 741997502 | $7,557 | Patient Assistance | |
| Austin Retina Associates | |||||||
| 801 W 38th St | Austin | TX | 78705 | 742034080 | $17,071 | Patient Assistance | |
| South Texas Therapy Center | |||||||
| 3003 S Loop W | Houston | TX | 77054 | 742066793 | $30,592 | Patient Assistance | |
| Mohamed Haq MD | |||||||
| 3301 Plains Vw | Pasadena | TX | 77504 | 742104565 | $5,054 | Patient Assistance | |
| Retina Consultants of Houston PA | |||||||
| 6560 Fannin | Houston | TX | 77030 | 742109903 | $444,085 | Patient Assistance | |
| Medical Center Ophthalmology Assoc | |||||||
| PO Box 1358 | San Antonio | TX | 78295 | 742143569 | $16,921 | Patient Assistance | |
| Victoria Eye Ctr | |||||||
| 107 James Coleman Dr | Victoria | TX | 77904 | 742208337 | $5,398 | Patient Assistance | |
| W Darrell Willerson Jr MD | |||||||
| 303 E Quincy | San Antonio | TX | 78215 | 742280885 | $34,400 | Patient Assistance | |
| Oncology of San Antonio | |||||||
| PO Box 847265 | Dallas | TX | 75284 | 742332650 | $305,378 | Patient Assistance | |
| Central TX Neurology Consultants | |||||||
| 16040 Park Valley Dr | Round Rock | TX | 78681 | 742710396 | $11,342 | Patient Assistance | |
| Urology San Antonio | |||||||
| PO Box 2952 | San Antonio | TX | 78299 | 742719352 | $57,893 | Patient Assistance | |
| Cancer Specialists of South Texas | |||||||
| 1625 Rodd Field Rd | Corpus Christi | TX | 78412 | 742722597 | $106,724 | Patient Assistance | |
| Brian Berger MD PA | |||||||
| 3705 Medical Pkwy | Austin | TX | 78705 | 742740163 | $57,194 | Patient Assistance | |
| Premier Eye Care | |||||||
| 11111 Research Blvd | Austin | TX | 78759 | 742754960 | $7,501 | Patient Assistance | |
| Allergy Ashtma & Immunology | |||||||
| 2414 Babcock Rd | San Antonio | TX | 78229 | 742763430 | $9,849 | Patient Assistance | |
| Valley Retina Institute | |||||||
| 1309 E Ridge Rd | McAllen | TX | 78501 | 742768498 | $278,978 | Patient Assistance | |
| Cancer Care Center of South Texas | |||||||
| PO Box 911234 | Dallas | TX | 75391 | 742782325 | $609,458 | Patient Assistance | |
| South TX Retina Consultants | |||||||
| 5540 Saratoga | Corpus Christi | TX | 78413 | 742784568 | $18,730 | Patient Assistance | |
| Retina Assoc of S TX | |||||||
| 7940 Floyd Curl Dr | San Antonio | TX | 78229 | 742798760 | $11,129 | Patient Assistance | |
| Kumud S Tripathy and Associates | |||||||
| 2215 E Villa Maria Rd | Bryan | TX | 77802 | 742803009 | $23,568 | Patient Assistance | |
| Victoria Surgery Ctr | |||||||
| 105 James Coleman Dr | Victoria | TX | 77904 | 742803100 | $22,670 | Patient Assistance | |
| Ophlthalmic Consults of TX PA | |||||||
| PO Box 4830 | Edinburg | TX | 78540 | 742879098 | $41,915 | Patient Assistance | |
| Haroutioun Shahinian MD | |||||||
| 7812 Gateway East Blvd | El Paso | TX | 79915 | 742881122 | $9,471 | Patient Assistance | |
| McAllen Surgeons | |||||||
| 1801 S 5th St | McAllen | TX | 78503 | 742890800 | $7,074 | Patient Assistance | |
| Coastal Bend Cancer Ctr | |||||||
| PO Box 3069 | Corpus Christi | TX | 78463 | 742898314 | $193,679 | Patient Assistance | |
| South TX Oncology & Hematology | |||||||
| PO Box 268 | San Antonio | TX | 78291 | 742915297 | $223,234 | Patient Assistance | |
| Eduardo Miranda MD | |||||||
| 2344 Lanuna | Laredo | TX | 78041 | 742921934 | $50,483 | Patient Assistance | |
| McAllen Oncology | |||||||
| PO Box 720-878 | McAllen | TX | 78504 | 742966092 | $8,673 | Patient Assistance | |
| University Transplant Center | |||||||
| 4502 Medical Dr | San Antonio | TX | 78229 | 746002164 | $5,945 | Patient Assistance | |
| Presbyterian Hospital of Dallas | |||||||
| PO Box 910115 | Dallas | TX | 75391 | 751047527 | $83,356 | Patient Assistance | |
| Collum and Carney Clinic | |||||||
| 5002 Cowhorn Creek Rd | Texarkana | TX | 75503 | 751151440 | $23,135 | Patient Assistance | |
| Cancer Center Associates | |||||||
| 4201 Medical Center Dr | McKinney | TX | 75069 | 751312419 | $66,552 | Patient Assistance | |
| Texas Retinal Associates | |||||||
| 7150 Greenville Ave | Dallas | TX | 75231 | 751362336 | $152,664 | Patient Assistance | |
| Lubbock Urology Clinic | |||||||
| 6102 82nd St | Lubbock | TX | 79424 | 751514281 | $21,508 | Patient Assistance | |
| Texoma Neurology Assoc | |||||||
| 321 N Highland Ave | Sherman | TX | 75092 | 751739707 | $9,971 | Patient Assistance | |
| Texas Oncology PA | |||||||
| PO Box 911230 | Dallas | TX | 75391 | 752131429 | $1,773,002 | Patient Assistance | |
| Tyler Hematology Oncology PA | |||||||
| 721A Clinic Dr | Tyler | TX | 75701 | 752288596 | $229,271 | Patient Assistance | |
| Danny R Bartel | |||||||
| 1722 Ninth St | Wichita Falls | TX | 76301 | 752298758 | $37,261 | Patient Assistance | |
| Gregory A Echt MD PA | |||||||
| PO Box 674004 | Dallas | TX | 75267 | 752338371 | $79,109 | Patient Assistance | |
| DeHaven Eye Clinic | |||||||
| PO Box 130639 | Tyler | TX | 75713 | 752341676 | $28,536 | Patient Assistance | |
| Robert Torti MD | |||||||
| PO Box 730990 | Dallas | TX | 75373 | 752415520 | $22,872 | Patient Assistance | |
| North Texas Gynecology & Oncology | |||||||
| 12200 Park Central Dr | Dallas | TX | 75251 | 752511887 | $5,148 | Patient Assistance | |
| Oncology Hematology Consultants PA | |||||||
| 800 W Magnolia Ave | Fort Worth | TX | 76104 | 752512142 | $318,834 | Patient Assistance | |
| Medical Clinic of North Texas PA | |||||||
| PO Box 99356 | Fort Worth | TX | 76199 | 752566987 | $67,409 | Patient Assistance | |
| Kane Hall Barry Clinic | |||||||
| 1305 Airport Fwy | Bedford | TX | 76021 | 752600199 | $45,376 | Patient Assistance | |
| East TX Hematology & Oncology Clinic PA | |||||||
| 1202 W Frank Ave | Lufkin | TX | 75904 | 752604409 | $157,780 | Patient Assistance | |
| AirCareMD | |||||||
| PO Box 203228 | Dallas | TX | 75320 | 752637714 | $7,664 | Patient Assistance | |
| Southwest Hematology Oncology Assoc | |||||||
| 4002 21st St | Lubbock | TX | 79410 | 752638688 | $35,581 | Patient Assistance | |
| RGB Eye Associates | |||||||
| 1625 Highway 75 N | Sherman | TX | 75090 | 752645716 | $10,932 | Patient Assistance | |
| Texas NeurologyPA | |||||||
| PO Box 847758 | Dallas | TX | 75284 | 752654757 | $48,182 | Patient Assistance | |
| Ophthalmic Partners | |||||||
| PO Box 911791 | Dallas | TX | 75391 | 752664866 | $412,751 | Patient Assistance | |
| Panhandle Eye Group LLP | |||||||
| PO Box 50720 | Amarillo | TX | 79159 | 752741195 | $5,489 | Patient Assistance | |
| Urology Clinics of North Texas PLLC | |||||||
| 7515 Greenville Ave | Dallas | TX | 75231 | 752788839 | $29,448 | Patient Assistance | |
| Allergy ART | |||||||
| 6842 S Plum Creek Dr | Amarillo | TX | 79124 | 752848936 | $9,132 | Patient Assistance | |
| UT Southwestern Medical Center | |||||||
| 5939 Harry Hines Blvd | Dallas | TX | 75390 | 753175630 | $16,613 | Patient Assistance | |
| University of Texas Health Science Center at | |||||||
| PO Box 731911 | Dallas | TX | 75373 | 756001354 | $7,505 | Patient Assistance | |
| University of Texas | |||||||
| PO Box 845347 | Dallas | TX | 75284 | 756002868 | $9,454 | Patient Assistance | |
| The Neurology Center | |||||||
| 7505 S Main St | Houston | TX | 77030 | 760219310 | $5,577 | Patient Assistance | |
| Emerardo Falcon Jr MD PA | |||||||
| 100 B Medical Dr | Lake Jackson | TX | 77566 | 760326352 | $54,322 | Patient Assistance | |
| Houston Cancer Institute | |||||||
| 1220 Blalock | Houston | TX | 77055 | 760326673 | $14,539 | Patient Assistance | |
| Memorial Herman Cancer Center | |||||||
| 6400 Fannin St | Houston | TX | 77030 | 760385980 | $16,153 | Patient Assistance | |
| Kelsey Seybold Clinic | |||||||
| 11511 Shadow Creek Pkwy | Pearland | TX | 77584 | 760386391 | $290,077 | Patient Assistance | |
| University Eye Associates | |||||||
| PO Box 20209 | Houston | TX | 77225 | 760387779 | $12,521 | Patient Assistance | |
| Foot & Ankle Center of N Houston | |||||||
| 17215 Red Oak Dr | Houston | TX | 77090 | 760403505 | $25,849 | Patient Assistance | |
| UT Rheumatology Physicians Practice | |||||||
| PO Box 301173 | Dallas | TX | 75303 | 760459500 | $9,310 | Patient Assistance | |
| Coastal Eye Assoc | |||||||
| 3333 Bayshore Blvd | Pasadena | TX | 77504 | 760468441 | $7,426 | Patient Assistance | |
| TEI and Associates | |||||||
| 7710 Beechnut | Houston | TX | 77074 | 760469306 | $48,318 | Patient Assistance | |
| HEA Clinic PA | |||||||
| PO Box 4958 | Houston | TX | 77210 | 760512625 | $57,027 | Patient Assistance | |
| Millennium Physicians Associations | |||||||
| 22710 Professional Dr | Kingwood | TX | 77339 | 760528826 | $84,666 | Patient Assistance | |
| Retina & Vitreous of TX PLLC Dept 4069-1 | |||||||
| PO Box 4069 | Houston | TX | 77210 | 760534711 | $25,352 | Patient Assistance | |
| Amirali Popatia MD | |||||||
| 1603 Main St | Richmond | TX | 77469 | 760599320 | $36,517 | Patient Assistance | |
| Oncology Consultants PA | |||||||
| 925 Gessner Rd | Houston | TX | 77024 | 760605200 | $797,812 | Patient Assistance | |
| Eye Center of TX | |||||||
| 6565 W Loop South | Bellaire | TX | 77401 | 760684453 | $27,478 | Patient Assistance | |
| William L Phelps MD | |||||||
| 10611 Garland Rd | Dallas | TX | 75218 | 800020694 | $6,357 | Patient Assistance | |
| Rocky Mountain Cancer Ctrs | |||||||
| PO Box 911263 | Dallas | TX | 75391 | 841457488 | $486,474 | Patient Assistance | |
| Premier Oncology | |||||||
| 12121 Richmond | Houston | TX | 77082 | 841668631 | $30,400 | Patient Assistance | |
| University Medical Ctr | |||||||
| PO Box 840334 | Dallas | TX | 75284 | 860492210 | $11,717 | Patient Assistance | |
| Arizona Oncology Associates | |||||||
| PO Box 910221 | Dallas | TX | 75391 | 860938204 | $757,254 | Patient Assistance | |
| Comprehensive Cancer Centers of NV | |||||||
| PO Box 911265 | Dallas | TX | 75391 | 880350180 | $318,239 | Patient Assistance | |
| Coastal Bend Retina PA | |||||||
| 5722 Esplanade Dr | Corpus Christi | TX | 78414 | 900145614 | $14,988 | Patient Assistance | |
| Innovative Infusions LLC | |||||||
| 235 NE Loop 820 | Hurst | TX | 76053 | 900213778 | $95,255 | Patient Assistance | |
| HealthTexas Provider Network | |||||||
| PO Box 842001 | Dallas | TX | 75284 | 911947573 | $14,242 | Patient Assistance | |
| Caremark INC | |||||||
| PO Box 840688 | Dallas | TX | 75284 | 953382344 | $74,179 | Patient Assistance | |
| Sierra Med Ctr | |||||||
| PO Box 849770 | Dallas | TX | 75284 | 954537720 | $9,759 | Patient Assistance | |
| John Foley MD | |||||||
| PO Box 95970 | So Jordan | UT | 84095 | 010759642 | $146,097 | Patient Assistance | |
| Utah Hematology Oncology | |||||||
| 4403 Harrison Blvd | Ogden | UT | 84403 | 260043031 | $209,137 | Patient Assistance | |
| Douglas S Mehr MD PC | |||||||
| 3855 W 7800S | West Jordan | UT | 84088 | 260421988 | $12,629 | Patient Assistance | |
| Retina & Vitreous Surgeons of UT | |||||||
| 1055 N 300 W | Provo | UT | 84604 | 263420389 | $44,415 | Patient Assistance | |
| Proctor Community Hospital | |||||||
| PO Box 26708 | Salt Lake City | UT | 84126 | 370681540 | $5,000 | Patient Assistance | |
| Cache Valley Cancer Treatment & Research Clin | |||||||
| 1281 N 600 E | Logan | UT | 84341 | 450486684 | $10,394 | Patient Assistance | |
| Retina Associates of Southern Utah | |||||||
| 230 N 1680 E | St George | UT | 84790 | 454843605 | $5,533 | Patient Assistance | |
| Retina Specialists of Tennessee | |||||||
| PO Box 572528 | Salt Lake City | UT | 84157 | 455025073 | $8,224 | Patient Assistance | |
| Retina Associates of Orange County | |||||||
| PO Box 572528 | Salt Lake City | UT | 84157 | 510665933 | $59,082 | Patient Assistance | |
| Central UT Clinic | |||||||
| PO Box 30079 | Salt Lake City | UT | 84130 | 870281028 | $111,040 | Patient Assistance | |
| Excel Eye Center | |||||||
| 1735 N State St | Provo | UT | 84604 | 870283576 | $16,662 | Patient Assistance | |
| Rocky Mountain Retina Consultants | |||||||
| 4400 S 700 E | Salt Lake City | UT | 84107 | 870302621 | $189,450 | Patient Assistance | |
| Insight Laser and Cataract Eye Specialists | |||||||
| 2255 N 1700 W | Layton | UT | 84041 | 870355879 | $7,398 | Patient Assistance | |
| The Eye Institute of UT | |||||||
| 755 E 3900 South Salt | Lake City | UT | 84107 | 870450251 | $5,991 | Patient Assistance | |
| Utah Cancer Specialists | |||||||
| 1121 E 3900 S | Holladay | UT | 84124 | 870519691 | $414,099 | Patient Assistance | |
| Retina Associates of UT | |||||||
| 5169 S Cottonwood St | Murray | UT | 84107 | 870525682 | $520,397 | Patient Assistance | |
| Mountain View Eye Center | |||||||
| 1580 W Antelope Dr | Layton | UT | 84041 | 870539841 | $11,438 | Patient Assistance | |
| Country Hills Eye Center | |||||||
| 875 E Country Hills Dr | Ogden | UT | 84403 | 870575989 | $11,774 | Patient Assistance | |
| Mt Ogden Eye Center | |||||||
| 4360 Washington Blvd | Ogden | UT | 84403 | 870617733 | $41,291 | Patient Assistance | |
| Richens Eye Center | |||||||
| 161 W 200 N | Saint George | UT | 84770 | 870675814 | $16,564 | Patient Assistance | |
| WNA | |||||||
| 1151 E 3900 South Salt | Lake City | UT | 84124 | 870687383 | $17,937 | Patient Assistance | |
| IV Therapy IHC | |||||||
| 2250 S 1300 W | Salt Lake | UT | 84119 | 942854057 | $101,853 | Patient Assistance | |
| Robert Mccormick | |||||||
| 3344 Emmaus Rd | Harrisonburg | VA | 22801 | 030454223 | $7,510 | Patient Assistance | |
| VA Retina Consultants | |||||||
| 600 Peter Jefferson Pkwy | Charlottesville | VA | 22911 | 030549949 | $24,546 | Patient Assistance | |
| Danville Hematology Oncology | |||||||
| 125 Executive Dr | Danville | VA | 24541 | 202999870 | $66,117 | Patient Assistance | |
| Mandell Retina Center PC | |||||||
| 397 Little Nck | Virginia Bch | VA | 23452 | 208242063 | $26,970 | Patient Assistance | |
| Retina & Vitreous Consultants of VA | |||||||
| 420 W Jubal Early Dr | Winchester | VA | 22601 | 263300015 | $7,341 | Patient Assistance | |
| Intravene LLC | |||||||
| 2215 Landover Pl | Lynchburg | VA | 24501 | 453049735 | $77,089 | Patient Assistance | |
| Shenandoah Oncology PC | |||||||
| 1870 Amherst St | Winchester | VA | 22601 | 454759270 | $76,366 | Patient Assistance | |
| Retina of Virginia PLC | |||||||
| 1951 Evelyn Byrd Ave | Harrisonburg | VA | 22801 | 464092849 | $6,661 | Patient Assistance | |
| Shore Health Services | |||||||
| PO Box 17 | Nassawadox | VA | 23413 | 540560500 | $8,955 | Patient Assistance | |
| Vistar Eye Center | |||||||
| PO Box 1789 | Roanoke | VA | 24008 | 540853078 | $196,678 | Patient Assistance | |
| Winchester Neurology Consultants | |||||||
| 125A Medical Cir | Winchester | VA | 22601 | 540895530 | $5,000 | Patient Assistance | |
| Pulmonary Associates of Richmond Inc | |||||||
| 1000 Boulders Pkwy | Richmond | VA | 23225 | 540965764 | $30,966 | Patient Assistance | |
| Virginia Cancer Institute | |||||||
| 6605 W Broad St | Richmond | VA | 23230 | 541066435 | $386,384 | Patient Assistance | |
| Lynchburg Hematology & Oncology Clinic | |||||||
| 1701 Thomson Dr | Lynchburg | VA | 24501 | 541111445 | $11,781 | Patient Assistance | |
| Piedmont Eye Center Inc | |||||||
| 2402 Atherholt Rd | Lynchburg | VA | 24501 | 541120525 | $26,843 | Patient Assistance | |
| Medical Associates of Central Virginia | |||||||
| 2215 Landover Pl | Lynchburg | VA | 24501 | 541131672 | $9,994 | Patient Assistance | |
| Virginia Eye Consultants | |||||||
| 241 Corporate Blvd | Norfolk | VA | 23502 | 541150779 | $20,411 | Patient Assistance | |
| Neuro Ctr of Fairfax | |||||||
| 3020 Hamaker Ct | Fairfax | VA | 22031 | 541184461 | $5,639 | Patient Assistance | |
| Arthritis & Rheumatic Diseases | |||||||
| 329 McLaws Cir | Williamsburg | VA | 23185 | 541374556 | $22,797 | Patient Assistance | |
| Retina and Vitreous Ctr PC | |||||||
| 968 Colonial Rd | Virginia Bch | VA | 23454 | 541406743 | $70,316 | Patient Assistance | |
| Hematlogy Oncology Assoc of Fredericksburg | |||||||
| 231 Park Hill Dr | Fredericksburg | VA | 22041 | 541441458 | $110,762 | Patient Assistance | |
| Hampton Roads Eye Associates | |||||||
| 11800 Rock Landing Dr | Newport News | VA | 23606 | 541519724 | $7,870 | Patient Assistance | |
| Cancer & Blood Specialist of N VA | |||||||
| 2280 Opitz Blvd | Woodbridge | VA | 22191 | 541566860 | $11,356 | Patient Assistance | |
| Retinal Consultants Inc | |||||||
| 802 Medical Tower | Norfolk | VA | 23507 | 541589493 | $11,178 | Patient Assistance | |
| Medical Oncology & Hematology Assocs of N Vir | |||||||
| 8501 Arlington Blvd | Fairfax | VA | 22031 | 541591462 | $8,581 | Patient Assistance | |
| Retina Associates | |||||||
| 190 Campus Blvd | Winchester | VA | 22601 | 541628131 | $15,739 | Patient Assistance | |
| Augusta Eye Associates PLC | |||||||
| 17 N Medical Park Dr | Fishersville | VA | 22939 | 541738160 | $70,388 | Patient Assistance | |
| Virginia Oncology Assoc - Norfolk | |||||||
| 5900 Lake Wright Dr | Norfolk | VA | 23502 | 541768662 | $252,750 | Patient Assistance | |
| TideWater Eye Center PC | |||||||
| 3235 Academy Ave | Portsmouth | VA | 23703 | 541890466 | $7,338 | Patient Assistance | |
| Neurology Specialists | |||||||
| 6161 Kempsville Cir | Norfolk | VA | 23502 | 541911947 | $55,680 | Patient Assistance | |
| Retina Institute of Virginia | |||||||
| 8700 Stony Point Pkwy | Richmond | VA | 23235 | 541950215 | $186,155 | Patient Assistance | |
| S Butchaiah Kondragunta LLC | |||||||
| 34 Medical Park Blvd | Petersburg | VA | 23805 | 541989200 | $41,747 | Patient Assistance | |
| Independent Associates | |||||||
| 7605 Forea Ave | Richmond | VA | 23229 | 542008646 | $11,187 | Patient Assistance | |
| Hampton Roads Retina Center | |||||||
| PO Box 2430 | Chesapeake | VA | 23320 | 542058080 | $15,592 | Patient Assistance | |
| Integrated Neurology Services | |||||||
| 6355 Walker Ln | Alexandria | VA | 22310 | 651210763 | $9,508 | Patient Assistance | |
| Tysons Therapeutic PLLC | |||||||
| 8320 Old Courthouse Rd | Vienna | VA | 22182 | 753226695 | $30,017 | Patient Assistance | |
| The VA Retina Center | |||||||
| 211 Gibson St NW | Leesburg | VA | 20176 | 800101113 | $45,643 | Patient Assistance | |
| Fletcher Allen Health Care | |||||||
| PO Box 1063 | Burlington | VT | 05402 | 030219309 | $6,545 | Patient Assistance | |
| Retina Center of Vermont | |||||||
| 99 Swift St | South Burlington | VT | 05403 | 203110154 | $15,604 | Patient Assistance | |
| Sound Retina PS | |||||||
| 22445 S 19th St | Tacoma | WA | 98405 | 271727189 | $140,878 | Patient Assistance | |
| Midnight Sun Oncology | |||||||
| PO Box 111288 | Tacoma | WA | 98411 | 371517932 | $12,015 | Patient Assistance | |
| Pacific North West Eye Associates | |||||||
| 3602 S 19th St | Tacoma | WA | 98405 | 453155522 | $18,192 | Patient Assistance | |
| Retina Specialists NW PLLC | |||||||
| 33915 1st Way S | Federal Way | WA | 98003 | 455618108 | $43,690 | Patient Assistance | |
| Retina Institute PLLC | |||||||
| 4300 Talbot Rd S | Renton | WA | 98055 | 461427591 | $29,798 | Patient Assistance | |
| Summit Eye Consultants PLLC | |||||||
| 945 Hildebrand Ln | Bainbridge Island | WA | 98110 | 462634350 | $6,844 | Patient Assistance | |
| Retina & Macular Specialist | |||||||
| 2914 S Alder St | Tacoma | WA | 98409 | 527256590 | $89,689 | Patient Assistance | |
| Northwest Neurology | |||||||
| 11 Bellwether Way | Bellingham | WA | 98225 | 870711928 | $16,445 | Patient Assistance | |
| The Everett Clinic | |||||||
| PO Box 5127 | Everett | WA | 98206 | 910214500 | $33,706 | Patient Assistance | |
| The Polyclinic | |||||||
| PO Box 34490 | Seattle | WA | 98124 | 910369070 | $5,855 | Patient Assistance | |
| Swedish Homecare Services | |||||||
| 5701 6th Ave S | Seattle | WA | 98108 | 910433740 | $11,025 | Patient Assistance | |
| Group Health Cooperative | |||||||
| PO Box 34585 | Seattle | WA | 98124 | 910511770 | $782,235 | Patient Assistance | |
| St Joseph Medical Ctr | |||||||
| PO Box 34935 | Seattle | WA | 98124 | 910564491 | $9,165 | Patient Assistance | |
| Virginia Mason Medical Center | |||||||
| PO Box 91046 | Seattle | WA | 98111 | 910565539 | $13,902 | Patient Assistance | |
| Harrison Health Partners - Bremerton | |||||||
| 2520 Cherry Ave | Bremerton | WA | 98310 | 910565546 | $8,058 | Patient Assistance | |
| Yakima Valley Memorial Hospital | |||||||
| 2811 Tieton Dr | Yakima | WA | 98902 | 910567263 | $54,278 | Patient Assistance | |
| Providence Regional Cancer System | |||||||
| 2015 Cooks Hill Rd | Centralia | WA | 98531 | 910573108 | $18,711 | Patient Assistance | |
| Kadlec Medical Center | |||||||
| 888 Swift Blvd | Richland | WA | 99352 | 910655392 | $5,580 | Patient Assistance | |
| Highline Medical Center | |||||||
| PO Box 66657 | Burien | WA | 98166 | 910712166 | $8,443 | Patient Assistance | |
| Whidbey General Hospital | |||||||
| PO Box 3603 | Seattle | WA | 98124 | 910843135 | $10,971 | Patient Assistance | |
| The Vancouver Clinic | |||||||
| PO Box 873010 | Vancouver | WA | 98687 | 910851599 | $54,159 | Patient Assistance | |
| Spokane Eye Clinic | |||||||
| 427 S Bernard St | Spokane | WA | 99204 | 910852217 | $179,733 | Patient Assistance | |
| Cancer Care Northwest PO | |||||||
| PO Box 3868 | Spokane | WA | 99220 | 911007627 | $15,861 | Patient Assistance | |
| Hsushi Yeh MD | |||||||
| 1311 S Union Ave | Tacoma | WA | 98405 | 911118320 | $9,035 | Patient Assistance | |
| Multicare Health System | |||||||
| PO Box 34779 | Seattle | WA | 98124 | 911352172 | $18,748 | Patient Assistance | |
| Rockwood Cancer Treatment | |||||||
| 910 W 5th Ave | Spokane | WA | 99204 | 911352993 | $41,334 | Patient Assistance | |
| Cascade Eye & Skin Center PC | |||||||
| 1703 S Meridian | Puyallup | WA | 98371 | 911525215 | $15,061 | Patient Assistance | |
| The Doctor's Clinic | |||||||
| 9621 Ridgetop Blvd NW | Silverdale | WA | 98383 | 911538918 | $10,636 | Patient Assistance | |
| Proliance Surgeons Inc PS | |||||||
| 1750 112th Ave NE | Bellevue | WA | 98004 | 911606533 | $60,273 | Patient Assistance | |
| Evergreen Eye Center | |||||||
| PO Box 25020 | Federal Way | WA | 98093 | 911628032 | $16,411 | Patient Assistance | |
| Urology | |||||||
| 6005 NW 244th St | Mountlake Ter | WA | 98043 | 911685391 | $22,774 | Patient Assistance | |
| Seattle Cancer Treatment & Wellness Center | |||||||
| 900 SW 16th St | Renton | WA | 98057 | 911817443 | $9,479 | Patient Assistance | |
| Charles C Sung MD | |||||||
| 317 N Delaware Ave | Kennewick | WA | 99336 | 911920503 | $7,447 | Patient Assistance | |
| Central Washington Podiatry Service | |||||||
| 307 S 12th Ave | Yakima | WA | 98902 | 911940092 | $5,005 | Patient Assistance | |
| Northwest Washington Eye Specialist | |||||||
| 1724 W Marine View Dr | Everett | WA | 98201 | 912047345 | $41,630 | Patient Assistance | |
| Retina Consultants | |||||||
| 1530 N 115th St | Seattle | WA | 98133 | 912062004 | $61,426 | Patient Assistance | |
| Retina Center | |||||||
| 9800 NW Levin Rd | Silverdale | WA | 98383 | 912086736 | $177,599 | Patient Assistance | |
| Arthritis Northwest PLLC | |||||||
| 105 W 8th Ave | Spokane | WA | 99204 | 912152662 | $7,293 | Patient Assistance | |
| University of WA Digestive Dis Ctr | |||||||
| PO Box 24366 | Seattle | WA | 98124 | 916001537 | $21,927 | Patient Assistance | |
| Southwest WA Medical Center | |||||||
| PO Box 1588 | Vancouver | WA | 98668 | 916068143 | $6,941 | Patient Assistance | |
| Swedish Cancer Institute | |||||||
| 21632 Highway 99 | Edmonds | WA | 98026 | 970433740 | $6,100 | Patient Assistance | |
| Verre Young Eye Clinc | |||||||
| N89W16785 Appleton Ave | Menomonee Falls | WI | 53051 | 020572864 | $35,207 | Patient Assistance | |
| Green Bay Orthopedic LTV | |||||||
| 2223 Lime Kiln Rd | Green Bay | WI | 54311 | 261132759 | $26,558 | Patient Assistance | |
| Froedtert Health Med Group | |||||||
| PO Box 78600 | Milwaukee | WI | 53278 | 272042610 | $6,636 | Patient Assistance | |
| Marshfield Clinic | |||||||
| 1000 N Oak Ave | Marshfield | WI | 54449 | 390452970 | $225,840 | Patient Assistance | |
| Aurora Cancer Care - Milwaukee South PO Box 404 | |||||||
| PO Box 404 | Milwaukee | WI | 53201 | 390806181 | $76,312 | Patient Assistance | |
| Aurora Lakeland Medical Center | |||||||
| 1055 N Mayfair Rd | Milwaukee | WI | 53226 | 390806347 | $7,740 | Patient Assistance | |
| Franciscan Health Ctr | |||||||
| 700 W Avenue S | La Crosse | WI | 54601 | 390806374 | $5,000 | Patient Assistance | |
| Holy Family Memorial Inc | |||||||
| PO Box 2170 | Manitowoc | WI | 54221 | 390806395 | $27,051 | Patient Assistance | |
| Fond Du Lac Regional Clinic | |||||||
| 420 E Division St | Fond Du Lac | WI | 54935 | 390807236 | $7,208 | Patient Assistance | |
| Mercy Health System | |||||||
| PO Box 5081 | Janesville | WI | 53547 | 390816848 | $15,809 | Patient Assistance | |
| Wheaton Franciscan Inc | |||||||
| PO Box 68-9510 | Milwaukee | WI | 53268 | 390816857 | $7,015 | Patient Assistance | |
| Bellin Memorial Hosp | |||||||
| PO Box 23400 | Green Bay | WI | 54305 | 390884478 | $19,334 | Patient Assistance | |
| Waukesha Memorial Hosp | |||||||
| 725 American Ave | Vernon | WI | 53188 | 390910727 | $7,584 | Patient Assistance | |
| Aurora Sheboygan Mem | |||||||
| PO Box 8940 | Green Bay | WI | 54308 | 390930748 | $6,769 | Patient Assistance | |
| Aurora Medical Center of Oshkosh | |||||||
| PO Box 8950 | Green Bay | WI | 54308 | 391027676 | $5,109 | Patient Assistance | |
| Eye Clinic of Wisconsin | |||||||
| 614 N 1st St | Wausau | WI | 54402 | 391093716 | $33,470 | Patient Assistance | |
| Eye Physician Associates | |||||||
| PO Box 44370 | Madison | WI | 53744 | 391129753 | $6,749 | Patient Assistance | |
| Chippewa Valley Eye Clinic | |||||||
| 2715 Damon St | Eau Claire | WI | 54701 | 391138126 | $56,204 | Patient Assistance | |
| Green Bay Oncology - St Vincent | |||||||
| PO Box 13453 | Green Bay | WI | 54307 | 391314853 | $79,272 | Patient Assistance | |
| Eye Care Specialists | |||||||
| 735 W Wisconsin Ave | Milwaukee | WI | 53233 | 391344972 | $81,848 | Patient Assistance | |
| West Suburban Center for Arthritis | |||||||
| 601 N Barker Rd | Brookfield | WI | 53045 | 391418162 | $44,651 | Patient Assistance | |
| Retina & Vitreous Consultants of WI LTD | |||||||
| 2600 N Mayfair Rd | Milwaukee | WI | 53226 | 391439215 | $298,890 | Patient Assistance | |
| Aurora Medical Group | |||||||
| PO Box 979 | Sheboygan | WI | 53082 | 391678306 | $13,898 | Patient Assistance | |
| Fox Valley Hematology & Oncology | |||||||
| 900 E Grant St | Appleton | WI | 54911 | 391682233 | $37,796 | Patient Assistance | |
| Neuroscience Group of NE WI | |||||||
| 1305 W American Dr | Neenah | WI | 54956 | 391731465 | $5,438 | Patient Assistance | |
| Eye Physicians and Surgeons | |||||||
| 1311 S Lincoln St | Elkhorn | WI | 53121 | 391742928 | $7,015 | Patient Assistance | |
| Valley Eye Associates | |||||||
| 21 Park Pl | Appleton | WI | 54914 | 391791932 | $21,089 | Patient Assistance | |
| UW Health Eye Clinic | |||||||
| PO Box 78864 | Milwaukee | WI | 53278 | 391824445 | $30,847 | Patient Assistance | |
| University of WI Hospitals & Clinics | |||||||
| PO Box 853 | Milwaukee | WI | 53278 | 391835630 | $5,186 | Patient Assistance | |
| Northeast Wisconsin Retina | |||||||
| 200 Theda Clark Plz | Neenah | WI | 54956 | 391842462 | $51,894 | Patient Assistance | |
| Anderson Shapiro Eye Surgeons | |||||||
| PO Box 44370 | Madison | WI | 53744 | 391924563 | $8,679 | Patient Assistance | |
| Bay Care Clinic Green Bay Eye Clinic | |||||||
| 2253 W Mason St | Green Bay | WI | 54307 | 391943214 | $68,595 | Patient Assistance | |
| Aurora Baycare Med Ctr | |||||||
| PO Box 8920 | Green Bay | WI | 54308 | 391947472 | $10,574 | Patient Assistance | |
| Camden Clark Memorial Hospital | |||||||
| PO Box 11345 | Charleston | WV | 25339 | 311524546 | $7,810 | Patient Assistance | |
| St Mary's Medical Center Inc | |||||||
| PO Box 3108 | Huntington | WV | 25702 | 550357050 | $16,069 | Patient Assistance | |
| City Hospital Inc | |||||||
| PO Box 1418 | Martinsburg | WV | 25402 | 550383321 | $5,897 | Patient Assistance | |
| Princeton Community Hosp | |||||||
| PO Box 1369 | Princeton | WV | 24740 | 550483245 | $8,404 | Patient Assistance | |
| UHC Rheum & Osteo Clinic | |||||||
| PO Box 1680 | Clarksburg | WV | 26302 | 550525724 | $8,525 | Patient Assistance | |
| Ultimate Health Svcs Inc | |||||||
| 5170 US Route 60 E | Huntington | WV | 25705 | 550578595 | $42,181 | Patient Assistance | |
| Ohio Valley Medical Ctr | |||||||
| 2000 Eoff St | Wheeling | WV | 26003 | 550614866 | $19,781 | Patient Assistance | |
| West Virginia University Hospitals INC | |||||||
| 1 Medical Center Dr | Morgantown | WV | 26506 | 550643304 | $14,246 | Patient Assistance | |
| Beckley Oncology Associates | |||||||
| 275 Dry Hill Rd | Beckley | WV | 25801 | 550699734 | $125,984 | Patient Assistance | |
| Retina Consultants | |||||||
| PO Box 3970 | Charleston | WV | 25339 | 550703678 | $179,465 | Patient Assistance | |
| Craig Morgan MD | |||||||
| 1611 13th Ave | Huntington | WV | 25701 | 550726025 | $271,650 | Patient Assistance | |
| Regional Eye Associates Inc | |||||||
| 1255 Pineview Dr | Morgantown | WV | 26505 | 550740986 | $45,168 | Patient Assistance | |
| Primary Oncology Network | |||||||
| 1325 Locust Ave | Fairmont | WV | 26554 | 550763359 | $58,429 | Patient Assistance | |
| Wyoming Retina Associates | |||||||
| PO Box 51800 | Casper | WY | 82605 | 453264999 | $13,125 | Patient Assistance | |
| Rocky Mountain Oncology Ctr | |||||||
| 6501 E 2nd | Casper | WY | 82609 | 731684200 | $23,515 | Patient Assistance | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 2022 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | COPAY ASSISTANCE | GrantTypeTxt |
| Recipient | 6151 | RecipientCnt |
| Cash Grant | $5,719,725 | CashGrantAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | THESE FUNDS REPRESENT GRANTS MADE FOR THE BENEFIT OF PATIENTS. THROUGH AN APPLICATION PROCESS WHICH INCLUDES INCOME ATTESTATION WITH VERIFICATION AGAINST CRITERIA SET BY THE BOARD and A DOCTOR'S ATTESTATION TO VALIDATE THE PATIENT MEDICAL NEED, PAN ENSURES THAT ALL PATIENTS WHO REQUEST OUR SERVICES MEET THE CRITERIA FOR A DISEASE FUND BEFORE ANY FUNDS ARE DISBURSED. THE PATIENT'S GRANT WILL PROVIDE ASSISTANCE FOR THEIR RESPONSIBILITY (DEDUCTIBLE, CO-PAYMENT, OR COINSURANCE) FOR COVERED MEDICATION SERVICES AFTER PAYMENT FROM THE PRIMARY INSURANCE OR THE AMOUNT AVAILABLE TO EACH PATIENT IS LIMITED BY A CAP SET BY THE BOARD. FUNDS ARE DISBURSED TO THE PHARMACY OR PHYSICIAN'S OFFICE WHEN POSSIBLE, SINCE WE WANT TO ENSURE THAT THE PATIENT DOES NOT NEED TO PROVIDE FUNDS OUT-OF-POCKET FOR THEIR MEDICATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Daniel Klein | ||||||||||||||
| President & CEO | $301,212 | $0 | $0 | $0 | $0 | $0 | $10,600 | $0 | $13,724 | $0 | $325,536 | $0 | $0 | $0 |
| Richard Goldstein | ||||||||||||||
| CFO & Treasurer (Thru 12/31/15) | $196,400 | $0 | $0 | $0 | $0 | $0 | $7,856 | $0 | $49,580 | $0 | $253,836 | $0 | $0 | $0 |
| JOHN CROUT | ||||||||||||||
| COO & GENERAL COUNSEL (start 4.6.15) | $136,648 | $0 | $0 | $0 | $0 | $0 | $2,775 | $0 | $43,508 | $0 | $182,931 | $0 | $0 | $0 |
| Svetlana Durkovic | ||||||||||||||
| Director of Operations | $157,570 | $0 | $0 | $0 | $0 | $0 | $3,657 | $0 | $25,829 | $0 | $187,056 | $0 | $0 | $0 |
| Amy Niles | ||||||||||||||
| Director of Alliance Development | $154,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $34,530 | $0 | $189,030 | $0 | $0 | $0 |
| William Johnson | ||||||||||||||
| Director of Provider Relations | $140,000 | $0 | $0 | $0 | $0 | $0 | $5,600 | $0 | $47,604 | $0 | $193,204 | $0 | $0 | $0 |
| DREW SAELENS | ||||||||||||||
| VP DEVELOPMENT | $143,500 | $0 | $0 | $0 | $0 | $0 | $5,740 | $0 | $22,702 | $0 | $171,942 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J LINE 4A | FormAndLineReferenceDesc |
| Explanation | SVETLANA DURKOVIC RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $10,782. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CENTRAL GEORGIA CANCER CENTER PC | |||
| FREDERICK M. SCHNELL, MD, IS THE PRESIDENT OF CGCC AND A BOARD MEMBER | $195,689 | FREDERICK M. SCHNELL, MD, IS A CURRENT BOARD MEMBER OF PATIENT ACCESS NETWORK FOUNDATION ("PANF") AND PRESIDENT OF GEORGIA CANCER SPECIALISTS. PANF PAID CLAIMS SUBMITTED BY GEORGIA CANCER SPECIALISTS IN THE AMOUNT OF $168,380. ALL TRANSACTIONS ARE AT ARM'S LENGTH AND FAIR MARKET VALUE | 0 |
| SOUTH CAROLINA ONCOLOGY ASSOCIATES (SCOA) | |||
| ROBERT E. SMITH, MD, IS A DOCTOR AT SCOA AND A FORMER BOARD MEMBER | $431,389 | ROBERT E. SMITH, MD, IS A FORMER BOARD MEMBER OF PATIENT ACCESS NETWORK FOUNDATION ("PANF") AND A MEDICAL ONCOLOGIST AT SCOA. PANF PAID CLAIMS SUBMItTED BY SCOA IN THE AMOUNT OF $418,746. ALL TRANSACTIONS ARE AT ARM'S LENGTH AND FAIR MARKET VALUE. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | THE 990 IS REVIEWED BY THE FINANCE COMMITTEE. ALL BOARD MEMBERS RECEIVE A COPY OF THE FORM PRIOR TO FILING. |
| Form 990, Part VI, Section B, line 12c | As potential Board members or officers are recruited they are asked about possible conflicts of interest. Upon joining PAN, and at least annually, members read and sign the Conflict of Interest Policy. If any conflicts are noted on the form, more information will be gathered and it will be determined if the issue is material. In addition, that member will abstain from all discussions and vote on the matter. If it is material, we involve legal counsel and a detailed follow up and resolution will occur. |
| Form 990, Part VI, Section B, line 15 | THE INDEPENDENT BOARD DETERMINES THE COMPENSATION FOR THE PRESIDENT/CEO. THE NEW PRESIDENT/CEO STARTED IN NOVEMBER 2014. HIS COMPENSATION WAS DETERMINED WITH THE HELP OF AN OUTSIDE CONSULTANT WHO USED DATA FROM OTHER ORGANIZATIONS' 990S. ALL OTHER EMPLOYEES SALARIES ARE DETERMINED BY THE PRESIDENT/CEO. A STAFF COMPENSATION STUDY WAS COMPLETED IN 2014 AS WELL AS 2016. THE BOARD REVIEWED FINDINGS AND TOOK THEM INTO CONSIDERATION WHEN DETERMINING COMPENSATION LEVELS. IN ADDITION, PERIODICALLY, THE STAFF REVIEWS FORMS 990 OF ORGANIZATIONS WITH SIMILAR MISSIONS TO HELP DETERMINE COMPENSATION. All discussions are documented in the meeting minutes. |
| Form 990, Part VI, Section C, line 19 | THE Form 990s, list of board members, and the annual report ARE POSTED ON THE ORGANIZATION'S WEBSITE. |
| form 990, part xii, line 2c | THE AUDIT, RISK, OVERSIGHT AND COMPLIANCE COMMITTEE'S (AROCC) PURPOSE IS TO ASSIST THE BOARD IN ITS OVERSIGHT OF THE FOUNDATION'S FINANCIAL AFFAIRS, INCLUDING THE AUDIT PROCESS. IT IS THE COMMITTEE'S RESPONSIBILITY TO SELECT AND DISCHARGE INDEPENDENT AUDITORS AND SUPERVISE AND EVALUATE THE PERFORMANCE OF THE AUDITORS. |