PATIENT ACCESS NETWORK FOUNDATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- PATIENT ACCESS NETWORK FOUNDATION (EIN 20-1184743)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-07-15
- IRS object ID
- 201511969349301241
- Schema version
- 2014v5.0
- 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 | 2015-07-15T14:42:36-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 2014-01-01 | 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 | 2015-07-15 | 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 | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | 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 | $1,242,295,849 | 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 | HELPING UNDERINSURED PATIENTS ACCESS NEEDED MEDICAL TREATMENTS THROUGH CO-PAYMENT ASSISTANCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 15 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $313,390,449 | PYContributionsGrantsAmt |
| CY Contributions Grants | $659,128,125 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,529,525 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,065,775 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $320,919,974 | PYTotalRevenueAmt |
| CY Total Revenue | $673,193,900 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $174,340,174 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $496,427,781 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,408,099 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,081,589 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $597,148 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,631,651 | PYOtherExpensesAmt |
| CY Other Expenses | $12,866,965 | CYOtherExpensesAmt |
| PY Total Expenses | $188,379,924 | PYTotalExpensesAmt |
| CY Total Expenses | $511,376,335 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $132,540,050 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $161,817,565 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $387,017,900 | TotalAssetsBOYAmt |
| Total Assets EOY | $586,880,848 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $63,602,221 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $93,515,280 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $323,415,679 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $493,365,568 | 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 150,000 PATIENTS BY GIVING OUT APPROXIMATELY $350 MILLION THROUGH MORE THAN 50 DISEASE CATEGORIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $506,081,457 | ExpenseAmt |
| Grant | $496,427,781 | GrantAmt |
| Desc | IN 2014, PAN FOUNDATION CREATED, SOLICITED, AND DISTRIBUTED FUNDING AND ADMINISTERED GRANTS FOR MORE THAN 60 FUNDS REPRESENTING A SOLID FOOTPRINT IN THE AREAS OF ONCOLOGY, CHRONIC AND RARE DISEASES. PAN FOUNDATION ASSISTED A TOTAL OF 228,750 PATIENTS IN 2014. OF THAT TOTAL, 180,420 WERE PATIENTS SEEKING AND RECEIVING ASSISTANCE FROM THE PAN FOUNDATION FOR THE FIRST TIME. IN THE SAME YEAR, PAN PAID MORE THAN 930,342 CLAIMS RELATED TO PATIENTS' OUT OF POCKET PRESCRIPTION DRUG EXPENSES AND RECEIVED OVER 549,197 PHONE CALLS. PAN'S REACH INCLUDES PARTNERSHIPS WITH OVER 561 SPECIALTY PHARMACIES AND MORE THAN 28,000 PROVIDERS ACROSS THE USA. | Desc |
| Total Program Service Expenses | $506,081,457 | 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 | 2948 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | RICHARD L GOLDSTEIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2023749279 | 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 (18 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 |
|---|---|---|---|---|---|---|---|
| ALLAN GOLDSTEIN | |||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $9,000 | $0 | $0 | ||
| ANITA PLOTINSKY | |||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $9,000 | $0 | $0 | ||
| IAN SPATZ | |||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $9,000 | $0 | $0 | ||
| MICHAEL O'GRADY | |||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $9,000 | $0 | $0 | ||
| FRED SCHNELL | |||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $6,000 | $0 | $0 | ||
| DONALD BARONE | |||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $7,500 | $0 | $0 | ||
| NORRIE THOMAS | |||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $9,000 | $0 | $0 | ||
| DAVID BORENSTEIN | |||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $9,000 | $0 | $0 | ||
| GRANT LAWLESS | |||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $9,000 | $0 | $0 | ||
| CONSTANCE GARCIA | |||||||
| BOARD OF DIRECTORS | 3.00 | Yes (X) | $9,000 | $0 | $0 | ||
| KIM SCHWARTZ | |||||||
| CHAIR OF BOARD OF DIRECTORS | 5.00 | Yes (X) | $12,000 | $0 | $0 | Yes (X) | |
| PATRICK MCKERCHER | |||||||
| PRESIDENT (THRU 11/15/14) | 40.00 | $318,180 | $0 | $34,053 | Yes (X) | ||
| DANIEL KLEIN | |||||||
| PRESIDENT & CEO (START 11/17/14) | 40.00 | $47,533 | $0 | $132 | Yes (X) | ||
| RICHARD GOLDSTEIN | |||||||
| CFO & TREASURER | 40.00 | $190,990 | $0 | $44,134 | Yes (X) | ||
| KORAB ZUKA | |||||||
| VP EXTRNL RELATIONS & OPS | 40.00 | $149,616 | $0 | $15,810 | Yes (X) | ||
| SVETLANA DURKOVIC | |||||||
| DIRECTOR OF OPERATIONS | 40.00 | $142,670 | $0 | $36,444 | Yes (X) | ||
| AMY NILES | |||||||
| DIRECTOR OF ALLIANCE DEVELOP | 40.00 | $172,582 | $0 | $23,010 | Yes (X) | ||
| WILLIAM JOHNSON | |||||||
| DIRECTOR OF PROVIDER RELATNS | 40.00 | $149,833 | $0 | $41,632 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,268,904 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $195,215 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | 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 |
|---|---|---|---|---|---|
| THE LASH GROUP | |||||
| 3735 GLEN LAKE DRIVE | CHARLOTTE | NC | 28208 | PATIENT SERVICES | $11,296,519 |
| MILLIMAN | |||||
| 111 MONUMENT CIRCLE SUITE 601 | INDIANAPOLIS | IN | 46204 | ACTUARIES | $250,500 |
| KING & SPALDING | |||||
| 1700 PENNSYLVANIA AVE NW | WASHINGTON | DC | 20006 | LEGAL | $218,862 |
| AMPLIFY | |||||
| 1750 K STREET NW | WASHINGTON | DC | 20006 | PUBLIC RELATIONS | $181,222 |
| EJC F STREET LLC | |||||
| 23346 NETWORK PLACE | CHICAGO | IL | 60673 | RENT | $161,768 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $659,128,125 | AllOtherContributionsAmt |
| Total Contributions | $659,128,125 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,816,149 | TotalRevenueColumnAmt |
| Exclusion | $11,816,149 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $571,351,575 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $569,101,579 | SecuritiesAmt |
| Other | $370 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,249,996 | SecuritiesAmt |
| Other | -$370 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,249,626 | TotalRevenueColumnAmt |
| Exclusion | $2,249,626 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $673,193,900 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,065,775 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,136,246 | TotalAmt |
| Program Services | $491,136,246 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,291,535 | TotalAmt |
| Program Services | $5,291,535 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $964,940 | TotalAmt |
| Program Services | $250,028 | ProgramServicesAmt |
| Management And General | $583,700 | ManagementAndGeneralAmt |
| Fundraising | $131,212 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $638,419 | TotalAmt |
| Program Services | $33,017 | ProgramServicesAmt |
| Management And General | $329,070 | ManagementAndGeneralAmt |
| Fundraising | $276,332 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,681 | TotalAmt |
| Program Services | $8,945 | ProgramServicesAmt |
| Management And General | $28,277 | ManagementAndGeneralAmt |
| Fundraising | $8,459 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,161 | TotalAmt |
| Program Services | $122,018 | ProgramServicesAmt |
| Management And General | $163,489 | ManagementAndGeneralAmt |
| Fundraising | $48,654 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,388 | TotalAmt |
| Program Services | $18,651 | ProgramServicesAmt |
| Management And General | $50,765 | ManagementAndGeneralAmt |
| Fundraising | $28,972 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,026,238 | TotalAmt |
| Program Services | $7,026,238 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,646 | TotalAmt |
| Program Services | $230,152 | ProgramServicesAmt |
| Management And General | $73,954 | ManagementAndGeneralAmt |
| Fundraising | $540 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,006,396 | TotalAmt |
| Program Services | $831,427 | ProgramServicesAmt |
| Management And General | $169,154 | ManagementAndGeneralAmt |
| Fundraising | $5,815 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,427,407 | TotalAmt |
| Management And General | $1,427,407 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,012,598 | TotalAmt |
| Program Services | $154,653 | ProgramServicesAmt |
| Management And General | $808,108 | ManagementAndGeneralAmt |
| Fundraising | $49,837 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,336 | TotalAmt |
| Program Services | $179,336 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,352 | TotalAmt |
| Management And General | $219,442 | ManagementAndGeneralAmt |
| Fundraising | $11,910 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,220 | TotalAmt |
| Management And General | $40,185 | ManagementAndGeneralAmt |
| Fundraising | $35 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,943 | TotalAmt |
| Management And General | $188,943 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,240 | TotalAmt |
| Management And General | $236,929 | ManagementAndGeneralAmt |
| Fundraising | $32,311 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,531 | TotalAmt |
| Management And General | $69,512 | ManagementAndGeneralAmt |
| Fundraising | $2,019 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,144 | TotalAmt |
| Management And General | $210,144 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,261 | TotalAmt |
| Management And General | $22,261 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,514 | TotalAmt |
| Management And General | $46,462 | ManagementAndGeneralAmt |
| Fundraising | $1,052 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INNOVATION EXPENSES | $547,615 | $547,615 | |
| ACTUARIAL EXPENSES | $251,596 | $251,596 | |
| SYMPOSIUM | $20,451 | $20,451 | |
| SURVEYS | $9,477 | $9,477 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511,376,335 | TotalAmt |
| Program Services | $506,081,457 | ProgramServicesAmt |
| Management And General | $4,697,730 | ManagementAndGeneralAmt |
| Fundraising | $597,148 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,184,741 | BOYAmt |
| EOY | $70,454,531 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,245,000 | BOYAmt |
| EOY | $110,015,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,109 | BOYAmt |
| EOY | $123,173 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $128,394 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $33,085 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,910 | BOYAmt |
| EOY | $95,309 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,400,140 | BOYAmt |
| EOY | $406,192,835 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,017,900 | BOYAmt |
| EOY | $586,880,848 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,305,221 | BOYAmt |
| EOY | $10,586,050 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,297,000 | BOYAmt |
| EOY | $82,929,230 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,602,221 | BOYAmt |
| EOY | $93,515,280 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,109,943 | BOYAmt |
| EOY | $31,979,100 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,305,736 | BOYAmt |
| EOY | $461,386,468 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,415,679 | BOYAmt |
| EOY | $493,365,568 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,017,900 | BOYAmt |
| EOY | $586,880,848 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $161,817,565 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,132,324 | 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 | $35,551,233 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $83,632,322 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $179,458,330 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $313,390,449 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $659,303,125 | CurrentTaxYearAmt |
| Total | $1,271,335,459 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,551,233 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $83,632,322 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $179,458,330 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $313,390,449 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $659,303,125 | CurrentTaxYearAmt |
| Total | $1,271,335,459 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $875,906,711 | SubstantialContributorsTotAmt |
| Public Support Total170 | $395,428,748 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,862,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,798,553 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,656,432 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,150,342 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,816,149 | CurrentTaxYearAmt |
| Total | $30,283,926 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,301,619,385 | TotalSupportAmt |
| Public Support CY170 | 0.30380 | PublicSupportCY170Pct |
| Public Support PY170 | 0.33050 | 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 | $3,081 | OtherCostOrOtherBasisAmt |
| Depreciation | $794 | DepreciationAmt |
| Book Value | $2,287 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $125,313 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,291 | DepreciationAmt |
| Book Value | $93,022 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $95,309 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ETFS AND CLOSED END FUNDS | $200,065,457 | F |
| MUTUAL FUNDS | $113,617,213 | F |
| GOV. & AGENCY SECURITIES | $33,825,397 | F |
| CORPORATE BONDS | $57,524,768 | F |
| COMMON STOCK | $1,160,000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $406,192,835 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CO PAYMENT ASSISTANCE OBLIGATION | Desc |
| Amt | $82,929,230 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $82,929,230 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $679,899,187 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $8,132,324 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $8,132,324 | RevenueNotReportedAmt |
| Revenue Subtotal | $671,766,863 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $1,427,407 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$370 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,427,037 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $673,193,900 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $509,949,298 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $370 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $370 | ExpensesNotReportedAmt |
| Expenses Subtotal | $509,948,928 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,427,407 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $1,427,407 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $511,376,335 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | 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 TAXEXEMPT 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 ENTITYS 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 FOUNDATIONS 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, 2014 AND 2013 AND, ACCORDINGLY, NO LIABILITY HAS BEEN ACCRUED. THE FOUNDATION BELIEVES IT IS NO LONGER SUBJECT TO TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2011. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF FIXED ASSETS SHOWN AS AN EXPENSE ON THE FINANCIALS -370. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF FIXED ASSETS SHOWN AS AN EXPENSE ON THE FINANCIALS 370. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (1561 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| EASTERN MAINE MEDICAL CENTER | |||||||
| 43 WHITING HILL RD | BREWER | ME | 04412 | 010211501 | $9,189 | PATIENT ASSISTANCE | |
| MERCY HOSPITAL | |||||||
| 144 STATE STREET | PORTLAND | ME | 04101 | 010211534 | $11,421 | PATIENT ASSISTANCE | |
| BLUE HILL MEMORIAL HOSPITAL-ONCOLOGY | |||||||
| 43 WHITING HILL RD | BREWER | ME | 04412 | 010227195 | $17,351 | PATIENT ASSISTANCE | |
| ME EYE CARE | |||||||
| 325 A KENNEDY MEMORIAL DR | BENTON | ME | 04901 | 010316462 | $5,544 | PATIENT ASSISTANCE | |
| MAINE EYE CENTER | |||||||
| 15 LOWELL ST | PORTLAND | ME | 04102 | 010329291 | $69,738 | PATIENT ASSISTANCE | |
| MAINE CTR FOR CANCER AND BLOOD DISORDERS | |||||||
| 100 CAMPUS DR 108 | SCARBOROUGH | ME | 04074 | 010357684 | $271,135 | PATIENT ASSISTANCE | |
| EYECARE MEDICAL GROUP | |||||||
| 53 SEWALL STREET | PORTLAND | ME | 04102 | 010358257 | $56,904 | PATIENT ASSISTANCE | |
| PAUL SHAPERO MD | |||||||
| 700 MOUNT HOPE AVE 430 | BANGOR | ME | 04401 | 010409500 | $5,663 | PATIENT ASSISTANCE | |
| MAINE VITREORETINAL CONSULTANTS | |||||||
| PO BOX 4839 | BELFAST | ME | 04915 | 010493014 | $15,196 | PATIENT ASSISTANCE | |
| THE RETINA CTR OF ME | |||||||
| 100 FODEN RD W | SOUTH PORTLAND | ME | 04106 | 010512852 | $15,783 | PATIENT ASSISTANCE | |
| MIDDLE TENNESSEE IMAGING | |||||||
| 75 REMITTANCE DR 6244 | CHICAGO | IL | 60675 | 010570490 | $13,989 | PATIENT ASSISTANCE | |
| RHEUMATOLOGY ASSOC OF BALTIMORE | |||||||
| 1220 B EAST JOPPA RD 310 | TOWSON | MD | 21286 | 010606079 | $19,693 | PATIENT ASSISTANCE | |
| HOUSTON RETINA ASSOC | |||||||
| 7789 SOUTHWEST FREEWAY STE 530 | HOUSTON | TX | 77074 | 010699322 | $16,256 | PATIENT ASSISTANCE | |
| FORT COLLINS NEUROLOGY PC | |||||||
| 2121 E HARMONY RD 270 | FORT COLLINS | CO | 80528 | 010756615 | $9,249 | PATIENT ASSISTANCE | |
| JOHN FOLEY MD | |||||||
| PO BOX 95970 | SO JORDAN | UT | 84095 | 010759642 | $20,209 | PATIENT ASSISTANCE | |
| DESCHUTES RHEUMATOLOGY | |||||||
| PO BOX 490 | BEND | OR | 97709 | 010922194 | $8,511 | PATIENT ASSISTANCE | |
| LAKES REGIONAL GENERAL HOSPITAL | |||||||
| 80 HIGHLAND ST | LACONIA | NH | 03246 | 020222150 | $5,762 | PATIENT ASSISTANCE | |
| NEW HAMPSHIRE ONC HEMA | |||||||
| 200 TECHNOLOGY DR | HOOKSETT | NH | 03106 | 020335060 | $31,531 | PATIENT ASSISTANCE | |
| NASHUA EYE ASSOCIATES | |||||||
| 5 COLISEUM AVE | NASHUA | NH | 03063 | 020427686 | $5,558 | PATIENT ASSISTANCE | |
| FOUNDATION MEDICAL PARTNERS | |||||||
| PO BOX 3677 | NASHUA | NH | 03061 | 020456218 | $8,481 | PATIENT ASSISTANCE | |
| HUNTERDON HEMATOLOGY & ONCOLOGY | |||||||
| 2100 WESCOTT DR | FLEMINGTON | NJ | 08822 | 020543270 | $21,461 | PATIENT ASSISTANCE | |
| OCEAN COUNTY RETINA PC | |||||||
| 780 RT 37 W 200 | TOMS RIVER | NJ | 08755 | 020673668 | $9,644 | PATIENT ASSISTANCE | |
| EYE MDS OF QUICY SC | |||||||
| 709 BROADWAY | QUINCY | IL | 62301 | 020778080 | $27,741 | PATIENT ASSISTANCE | |
| COMMUNITY CANCER CENTER OF N FLORIDA | |||||||
| PO BOX 830941 | BIRMINGHAM | AL | 35283 | 030452526 | $6,145 | PATIENT ASSISTANCE | |
| MOUNTAIN VIEW CANCER ASSOC | |||||||
| PO BOX 643388 | PITTSBURGH | PA | 15264 | 030480551 | $156,018 | PATIENT ASSISTANCE | |
| VA RETINA CONSULTANTS | |||||||
| 600 PETER JEFFERSON PKWY 350 | CHARLOTTESVILLE | VA | 22911 | 030549949 | $7,195 | PATIENT ASSISTANCE | |
| LAWRENCE GENERAL HOSPITAL | |||||||
| 1 GENERAL ST | LAWRENCE | MA | 01842 | 042103586 | $5,392 | PATIENT ASSISTANCE | |
| MOUNT AUBURN HEMONC ASSOCIATES | |||||||
| PO BOX 382388 | CAMBRIDGE | MA | 02238 | 042103606 | $12,941 | PATIENT ASSISTANCE | |
| ANNA JAQUES HOSPITAL | |||||||
| 25 HIGHLAND AVE | NEWBURYPORT | MA | 01950 | 042104338 | $5,791 | PATIENT ASSISTANCE | |
| DANA FARBER CANCER INSTITUTE INC | |||||||
| PO BOX 414744 | BOSTON | MA | 02241 | 042263040 | $5,330 | PATIENT ASSISTANCE | |
| ROBERT A WIZNIA MD | |||||||
| 850 HOWARD AVE | NEW HAVEN | CT | 06519 | 042343389 | $7,345 | PATIENT ASSISTANCE | |
| OPTHALMALIC CONSULTANTS OF BOSTON | |||||||
| PO BOX 414654 | BOSTON | MA | 02241 | 042500346 | $14,132 | PATIENT ASSISTANCE | |
| MASSACHUSETTS GENERAL HOSP | |||||||
| PO BOX 3947 | BOSTON | MA | 02241 | 042697983 | $5,244 | PATIENT ASSISTANCE | |
| MEDICAL CENTER OF THE ROCKIES | |||||||
| PO BOX 20060 | FORT COLLINS | CO | 80522 | 043730045 | $19,633 | PATIENT ASSISTANCE | |
| ATLANTIC RETINA CENTER | |||||||
| 31455 WINTERPLACE PKWY | SALISBURY | MD | 21804 | 043769587 | $43,200 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS INC | |||||||
| 690 EDDY ST | PROVIDENCE | RI | 02903 | 050380297 | $33,854 | PATIENT ASSISTANCE | |
| MEDICAL GROUP OF RI | |||||||
| 1050 WARWICK AVE | WARWICK | RI | 02888 | 050383917 | $9,347 | PATIENT ASSISTANCE | |
| KOCH EYE ASSOCIATES | |||||||
| 566 TOLLGATE RD | WARWICK | RI | 02886 | 050391364 | $6,394 | PATIENT ASSISTANCE | |
| J SCOTT TODER | |||||||
| 1524 ATWOOD AVE 333 | JOHNSTON | RI | 02919 | 050414921 | $5,425 | PATIENT ASSISTANCE | |
| HEMATOLOGY & ONCOLOGY ASSOC OF RI INC | |||||||
| 1220 PONTIAC AVE 101 | CRANSTON | RI | 02920 | 050475195 | $42,284 | PATIENT ASSISTANCE | |
| ACADIANA RETINA CONSULTANT | |||||||
| 1101 S COLLEGE RD | LAFAYETTE | LA | 70503 | 050538463 | $20,475 | PATIENT ASSISTANCE | |
| ADRIANA POP-MOODY MD PA | |||||||
| PO BOX 3806 | CORPUS CHRISTI | TX | 78463 | 050592086 | $16,431 | PATIENT ASSISTANCE | |
| BRISTOL HOSPITAL INCORPORATED | |||||||
| PO BOX 910 | COLORADO SPGS | CO | 80901 | 060646559 | $7,384 | PATIENT ASSISTANCE | |
| DANBURY HOSPITAL | |||||||
| PO BOX 5153 | STAMFORD | CT | 06904 | 060646597 | $6,802 | PATIENT ASSISTANCE | |
| GREENWICH HOSPITAL | |||||||
| PO BOX 8297 | NEW HAVEN | CT | 06530 | 060646659 | $12,324 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS PC | |||||||
| 191 MAIN ST | MANCHESTER | CT | 06041 | 060968937 | $46,014 | PATIENT ASSISTANCE | |
| MIDDLESEX UROLOGY PC | |||||||
| 520 SAYBROOK RD STE 100B | MIDDLETOWN | CT | 06457 | 060990617 | $5,913 | PATIENT ASSISTANCE | |
| CONNECTICUT ONCOLOGY GROUP | |||||||
| 536 SAYBROOK RD | MIDDLETOWN | CT | 06457 | 061008486 | $38,859 | PATIENT ASSISTANCE | |
| MEDICAL ONCOLOGY AND BLOOD DISORDERS LLP | |||||||
| 100 HAYNES ST | MANCHESTER | CT | 06040 | 061021367 | $23,762 | PATIENT ASSISTANCE | |
| RICHARD WEBER MD | |||||||
| 1275 SUMMER ST | STAMFORD | CT | 06905 | 061191494 | $6,783 | PATIENT ASSISTANCE | |
| NEW ENGLAND RETINA ASSOC | |||||||
| 2200 WHITNEY AV STE 300 | HAMDEN | CT | 06518 | 061414890 | $36,629 | PATIENT ASSISTANCE | |
| MT SINAI HOSPITAL | |||||||
| 490 BLUE HILLS AVE | HARTFORD | CT | 06112 | 061422973 | $7,816 | PATIENT ASSISTANCE | |
| PRIMED | |||||||
| 24881 NETWORK PL | CHICAGO | IL | 60673 | 061457427 | $7,967 | PATIENT ASSISTANCE | |
| CONNECTICUT RETINA CONSULTANTS | |||||||
| 46 PRINCE ST SUITE 203 | NEW HAVEN | CT | 06519 | 061569126 | $21,555 | PATIENT ASSISTANCE | |
| CANCER CARE OF N FL | |||||||
| PO BOX 1642 | LAKE CITY | FL | 32056 | 061641228 | $62,752 | PATIENT ASSISTANCE | |
| GULF COAST PODIATRY | |||||||
| 2201 JENKS AVE PANAMA | CITY | FL | 32405 | 061666115 | $6,319 | PATIENT ASSISTANCE | |
| IOWA CANCER SPECIALISTS PC | |||||||
| 1351 W CENTRAL PARK | DAVENPORT | IA | 52804 | 061666841 | $12,060 | PATIENT ASSISTANCE | |
| OCALA CANCER INSTITUTE INC | |||||||
| 2820 SE 3RD CT 2 | OCALA | FL | 34471 | 061720582 | $29,977 | PATIENT ASSISTANCE | |
| VALLEY CANCER ASSOC PA | |||||||
| 1719 TREASURE HILLS BLVD | HARLINGEN | TX | 78550 | 061831543 | $73,620 | PATIENT ASSISTANCE | |
| AUSTIN MA MD | |||||||
| 2100 SOLAR DR 201 | OXNARD | CA | 93036 | 100004227 | $9,159 | PATIENT ASSISTANCE | |
| HUNTINGTON MEDICAL GROUP | |||||||
| PO BOX 10022 | UNIONDALE | NY | 11555 | 112236309 | $30,942 | PATIENT ASSISTANCE | |
| LONG ISLAND JEWISH MED CTR | |||||||
| 270-05 76TH AVE NEW HYDE | PARK | NY | 11040 | 112241326 | $8,358 | PATIENT ASSISTANCE | |
| NORTHSHORE HEMATOLOGY ONCOLOGY ASSOC | |||||||
| PO BOX 5773 | HICKSVILLE | NY | 11802 | 112419534 | $186,334 | PATIENT ASSISTANCE | |
| MEDICAL ONCOLOGY ASSOCIATES | |||||||
| 40 CROSSWAYS PARK DR | WOODBURY | NY | 11797 | 112477852 | $9,545 | PATIENT ASSISTANCE | |
| OPHTHALMIC CONSULTANTS OF LONG ISLAND | |||||||
| 865 MERRICK AVE 80N | WESTBURY | NY | 11590 | 112498332 | $57,916 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY ASSOC W SUFFOLK | |||||||
| 24 E MAIN ST | BAY SHORE | NY | 11706 | 112543318 | $9,113 | PATIENT ASSISTANCE | |
| LONG ISLAND VITREO-RETINAL CONSULTANTS | |||||||
| 600 NORTHERN BLVD STE 216 | GREAT NECK | NY | 11021 | 112566918 | $203,289 | PATIENT ASSISTANCE | |
| JAMES MAISEL MD | |||||||
| 400 S OYSTER BAY RD 305 | HICKSVILLE | NY | 11801 | 112806486 | $16,574 | PATIENT ASSISTANCE | |
| KINGS PARK SLOPE | |||||||
| 357 FLATBUSH AVE | BROOKLYN | NY | 11238 | 112824774 | $36,868 | PATIENT ASSISTANCE | |
| CENTER FOR EYE CARE | |||||||
| 360 MONTAUK HIGHWAY | WEST ISLIP | NY | 11795 | 112942685 | $5,019 | PATIENT ASSISTANCE | |
| NORTH SHORE PULMONARY ASSOCIATES PC | |||||||
| 6 OHIO DR SUITE 201 | LAKE SUCCESS | NY | 11042 | 113088910 | $5,100 | PATIENT ASSISTANCE | |
| LONG ISLAND VITREO RETINAL CONSULTANTS | |||||||
| PO BOX 5496 | PO BOX | ME | 04915 | 113212097 | $8,264 | PATIENT ASSISTANCE | |
| PROHEALTH CARE ASSOCIATES | |||||||
| 2800 MARCUS AVE | LAKE SUCCESS | NY | 11042 | 113355604 | $10,951 | PATIENT ASSISTANCE | |
| ACCREDO HEALTH GRP | |||||||
| 1640 CENTURY CTR STE 110 | MEMPHIS | TN | 38134 | 113358535 | $242,737 | PATIENT ASSISTANCE | |
| PARK SLOPE MEDICINE PC | |||||||
| PO BOX 5450 | NEW YORK | NY | 10087 | 113362663 | $53,619 | PATIENT ASSISTANCE | |
| NORTH SHORE HEMATOLOGY ONCOLOGY | |||||||
| 1201 NORTHERN BLVD | MANHASSET | NY | 11030 | 113472223 | $26,921 | PATIENT ASSISTANCE | |
| PROGRESSIVE ONCOLOGY PC | |||||||
| 180 E MAIN ST 5 | BAY SHORE | NY | 11706 | 113587594 | $7,417 | PATIENT ASSISTANCE | |
| EASTERN LONG ISLAND HEMATOLOGY ONCOLOGY | |||||||
| 1333 E MAIN ST | RIVERHEAD | NY | 11901 | 113601943 | $7,992 | PATIENT ASSISTANCE | |
| MARK R FLECKNER MD PC | |||||||
| 520 FRANKLIN AV STE L6 | GARDEN CITY | NY | 11530 | 113625823 | $11,318 | PATIENT ASSISTANCE | |
| MARYLAND ONCOLOGY AND HEMATOLOGY | |||||||
| PO BOX 75581 | BALTIMORE | MD | 21275 | 113652573 | $96,906 | PATIENT ASSISTANCE | |
| WEST PENN ALLEGHENY ONCOLOGY | |||||||
| 247 MOREWOOD AVE | OAKLAND | PA | 15213 | 113683376 | $34,428 | PATIENT ASSISTANCE | |
| WEILL CORNELL EYE ASSOC | |||||||
| BOX 29530 GPO | NEW YORK | NY | 10087 | 131623978 | $22,042 | PATIENT ASSISTANCE | |
| MOUNT SINAI HOSPITAL | |||||||
| PO BOX 27759 | NEW YORK | NY | 10087 | 131624096 | $5,114 | PATIENT ASSISTANCE | |
| MONTEFIORE MEDICAL CENTER | |||||||
| 111 E 210TH ST | BRONX | NY | 10467 | 131740114 | $68,867 | PATIENT ASSISTANCE | |
| NYACK HOSPITAL | |||||||
| 160 N MIDLAND AVE | NYACK | NY | 10960 | 131740119 | $10,887 | PATIENT ASSISTANCE | |
| NATHANIEL WISCH GRUENSTEIN KLAFTER | |||||||
| 12 E 86TH ST | NEW YORK | NY | 10028 | 132667055 | $6,566 | PATIENT ASSISTANCE | |
| OPHTHALMOLOGY ASSOC OF STATEN ISLAND | |||||||
| 1460 VICTORY BLVD | STATEN ISLAND | NY | 10301 | 132674220 | $26,626 | PATIENT ASSISTANCE | |
| VITREOUS RETINA MACULA CONSULTANTS OF NY | |||||||
| 460 PARK AVE 5TH FLOOR | NEW YORK | NY | 10022 | 132721177 | $44,503 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES OF NEW YORK PC | |||||||
| 140 EAST 80TH ST | NEW YORK | NY | 10021 | 133362125 | $13,699 | PATIENT ASSISTANCE | |
| RETINA CONSULTATIONS | |||||||
| 915 PALMER RD | BRONXVILLE | NY | 10708 | 133384277 | $23,719 | PATIENT ASSISTANCE | |
| DR GEORGE KLEIN | |||||||
| 157 EAST 72ND ST | NEW YORK | NY | 10021 | 133499043 | $19,653 | PATIENT ASSISTANCE | |
| MT KISCO MEDICAL GROUP PC | |||||||
| PO BOX 7247 6822 | PHILADELPHIA | PA | 19170 | 133544120 | $6,755 | PATIENT ASSISTANCE | |
| JEFFREY JOSEF MD | |||||||
| 257 LAFAYETTE AVE ROUTE 59 | AIRMONT | NY | 10901 | 133672356 | $19,929 | PATIENT ASSISTANCE | |
| WESTCHESTER HEMATOLOGY ONCOLOGY | |||||||
| PO BOX 663 | BEDFORD CORNERS | NY | 10549 | 133672555 | $6,417 | PATIENT ASSISTANCE | |
| CRAIG M FERN MD | |||||||
| 34 S BROADWAY SUITE 112 | WHITE PLAINS | NY | 10601 | 134037432 | $8,929 | PATIENT ASSISTANCE | |
| OLIVE OSBORNE MD | |||||||
| 2426 E CHESTER RD 203 | BRONX | NY | 10469 | 134120055 | $5,859 | PATIENT ASSISTANCE | |
| QUEENS MEDICAL ASSOCIATES | |||||||
| 176-60 UNION TPKE 360 | FRESH MEADOWS | NY | 11366 | 134145867 | $82,768 | PATIENT ASSISTANCE | |
| LOUIS MAISEL MD | |||||||
| 20 SQUADRON BLVD 102 | NEW CITY | NY | 10956 | 134168604 | $11,172 | PATIENT ASSISTANCE | |
| MICHAEL NISSEN MD PC | |||||||
| 1317 THIRD AVE GROUND FL | NEW YORK | NY | 10021 | 134174737 | $12,235 | PATIENT ASSISTANCE | |
| GOLDEN TRIANGLE RADIATION ONCOLOGY | |||||||
| DEPT 283 PO BOX 4869 | HOUSTON | TX | 77210 | 134212115 | $62,345 | PATIENT ASSISTANCE | |
| BASSETT HEALTHCARE - REGIONAL CANCER PROGRAM | |||||||
| 178 GRANDVIEW DR | COBLESKILL | NY | 12043 | 135596796 | $13,759 | PATIENT ASSISTANCE | |
| ELIZABETHTOWN COMMUNITY | |||||||
| 75 PARK ST | ELIZABETHTOWN | NY | 12932 | 141364513 | $15,000 | PATIENT ASSISTANCE | |
| PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC | |||||||
| 243 NORTH RD 304 | POUGHKEEPSIE | NY | 12601 | 141536357 | $107,015 | PATIENT ASSISTANCE | |
| MID- HUDSON RETINA CONSULTANTS | |||||||
| 450 GIDNEY AVE | NEWBURGH | NY | 12550 | 141636401 | $26,447 | PATIENT ASSISTANCE | |
| HUDSON VALLEY HEMAONC | |||||||
| 19 BAKER AVE 100 | POUGHKEEPSIE | NY | 12601 | 141645596 | $9,127 | PATIENT ASSISTANCE | |
| DAVID SPERBER CLINIC | |||||||
| 113 S JENSEN RD | VESTAL | NY | 13850 | 141789555 | $25,503 | PATIENT ASSISTANCE | |
| NEW YORK ONCOLOGY HEMATOLOGY PC | |||||||
| 43 NEW SCOTLAND AVE MC7 | ALBANY | NY | 12208 | 141799724 | $55,986 | PATIENT ASSISTANCE | |
| RETINA CARE CONSULTANTS | |||||||
| 223 GREAT OAKS BLVD | ALBANY | NY | 12203 | 141814470 | $19,515 | PATIENT ASSISTANCE | |
| CAREMORE MEDICAL GRP INC | |||||||
| PO BOX 51238 | LOS ANGELES | CA | 90051 | 141943214 | $12,935 | PATIENT ASSISTANCE | |
| BLUEGRASS RETINAL CONSULTANTS | |||||||
| PO BOX 34064 | LEXINGTON | KY | 40588 | 141963036 | $26,330 | PATIENT ASSISTANCE | |
| CLAXTON- HEPBURN MEDICAL CENTER | |||||||
| 214 KING STREET | OGDENSBURG | NY | 13669 | 150559686 | $20,265 | PATIENT ASSISTANCE | |
| TARIQ MAHMOOD MD | |||||||
| 2828 N GLENHAVEN DR | MIDWEST CITY | OK | 73110 | 156741987 | $7,988 | PATIENT ASSISTANCE | |
| FREDERICK FERRIS THOMPSON HOSPITAL | |||||||
| 350 PARRISH STREET | CANANDAIGUA | NY | 14424 | 160743024 | $6,157 | PATIENT ASSISTANCE | |
| ROCHESTER GENERAL HOSPITAL | |||||||
| PO BOX 10758 | ROCHESTER | NY | 14610 | 160743134 | $6,055 | PATIENT ASSISTANCE | |
| UNIVERSITY OF ROCHESTER STRONG MEMORIAL HOSPITAL | |||||||
| 601 ELMWOOD AVE BOX MED | ROCHESTER | NY | 14642 | 160743209 | $6,582 | PATIENT ASSISTANCE | |
| EYE CONSULTANTS OF SYRACUSE | |||||||
| 1101 ERIE BLVD E 100 | SYRACUSE | NY | 13210 | 160988563 | $7,479 | PATIENT ASSISTANCE | |
| RETINA VITREOUS SURGEONS OF CNY PC | |||||||
| 3107 E GENESSE ST | SYRACUSE | NY | 13224 | 160993668 | $366,967 | PATIENT ASSISTANCE | |
| BUFFALO MEDICAL GROUP | |||||||
| PO BOX 8000 DEPT 316 | BUFFALO | NY | 14267 | 161000580 | $40,372 | PATIENT ASSISTANCE | |
| RAMAN SOOD PC | |||||||
| 617 CENTRAL AVE | DUNKIRK | NY | 14048 | 161059338 | $9,663 | PATIENT ASSISTANCE | |
| PETER FORGACH MD | |||||||
| 405 INTERNATIONAL DR | BUFFALO | NY | 14221 | 161149487 | $6,083 | PATIENT ASSISTANCE | |
| UNIVERSITY EYE SPECIALIST | |||||||
| 2469 STATE ROUTE 19 N | WARSAW | NY | 14569 | 161178293 | $40,868 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES OF WESTERN NEW YORK | |||||||
| 160 SAWGRASS DR 200 | ROCHESTER | NY | 14620 | 161182825 | $57,129 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY OF CENTRAL NY | |||||||
| PO BOX 2010 | EAST SYRACUSE | NY | 13057 | 161184100 | $6,128 | PATIENT ASSISTANCE | |
| AAIR PC | |||||||
| 300 MERIDIAN CENTRE 300 | ROCHESTER | NY | 14618 | 161251533 | $8,835 | PATIENT ASSISTANCE | |
| ISOSCELES D GARBES MD | |||||||
| 3612 SENECA ST | BUFFALO | NY | 14224 | 161320291 | $41,608 | PATIENT ASSISTANCE | |
| BUFFALO RHEUMATOLOGY | |||||||
| 3055 SW N BLVD 100 | ORCHARD PARK | NY | 14127 | 161359836 | $50,005 | PATIENT ASSISTANCE | |
| EYE CARE FOR THE ADIRONDACKS | |||||||
| 450 MARGARET ST | PLATTSBURGH | NY | 12901 | 161415081 | $12,493 | PATIENT ASSISTANCE | |
| ANDREW Y SOH MD | |||||||
| 2950 ELMWOOD AVE | KENMORE | NY | 14120 | 161463804 | $6,486 | PATIENT ASSISTANCE | |
| ROME MEMORIAL HOSPITAL-WOUND CARE | |||||||
| 1500 N JAMES ST | ROME | NY | 13440 | 161471634 | $5,742 | PATIENT ASSISTANCE | |
| DEPARTMENT OF MEDICINE | |||||||
| PO BOX 4848 | SYRACUSE | NY | 13221 | 161475278 | $23,051 | PATIENT ASSISTANCE | |
| ATUL BUTALA PHYSICIAN PC | |||||||
| 807 NEWELL ST | UTICA | NY | 13502 | 161482569 | $7,603 | PATIENT ASSISTANCE | |
| UNIVERSITY OPHTHALMOGY SERVICE | |||||||
| PO BOX 3297 | BUFFALO | NY | 14240 | 161492711 | $5,417 | PATIENT ASSISTANCE | |
| INTERLAKES ONCOLOGY AND HEMATOLOGY | |||||||
| 211 WHITE SPRUCE BLVD | ROCHESTER | NY | 14623 | 161495236 | $8,158 | PATIENT ASSISTANCE | |
| EYE PHYSICIANS & SURGEON | |||||||
| 10 HAGEN DR 220 | ROCHESTER | NY | 14625 | 161507908 | $5,332 | PATIENT ASSISTANCE | |
| ROSWELL PARK CANCER INSTITUTE PRACTICE PLAN | |||||||
| PO BOX 8000 DEPT 821 | BUFFALO | NY | 14267 | 161552370 | $73,087 | PATIENT ASSISTANCE | |
| NORTH COUNTRY ONCOLOGY | |||||||
| PO BOX 2002 | EAST SYRACUSE | NY | 13057 | 161555650 | $18,019 | PATIENT ASSISTANCE | |
| BROOME ONCOLOGY | |||||||
| 30 HARRISON ST 100 | JOHNSON CITY | NY | 13790 | 161611703 | $155,495 | PATIENT ASSISTANCE | |
| RETINA HEALTH CTR | |||||||
| 1567 HAYLEY LANE STE 101 | FORT MYERS | FL | 33907 | 161625376 | $85,473 | PATIENT ASSISTANCE | |
| RHEUMATOLOGY ASSOCIATES OF SOUTH TX | |||||||
| PO BOX 823 | SAN ANTONIO | TX | 78293 | 161751617 | $10,691 | PATIENT ASSISTANCE | |
| NEUROLOGY MEDICAL SERVICE GROUP LLP | |||||||
| PO BOX 4738 | SYRACUSE | NY | 13221 | 166066240 | $15,489 | PATIENT ASSISTANCE | |
| MARTIN A BOSCARINO MD | |||||||
| PO BOX 8000 DEPT 327 | BUFFALO | NY | 14267 | 166528607 | $14,279 | PATIENT ASSISTANCE | |
| ELLEN S LATHI MD PA | |||||||
| PO BOX 9132 | BROOKLINE | MA | 02446 | 174449475 | $5,092 | PATIENT ASSISTANCE | |
| DENISE L KAYSER | |||||||
| 3536 MENDOCINO AVE 380 | LARKFIELD | CA | 95403 | 185507703 | $17,329 | PATIENT ASSISTANCE | |
| DR SCOTT BARRON | |||||||
| PO BOX 6137 | MONROE | LA | 71211 | 200079867 | $16,898 | PATIENT ASSISTANCE | |
| CENTRAL FL RETINA INSTITUTE PA | |||||||
| 2202 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 200092126 | $79,188 | PATIENT ASSISTANCE | |
| TRI-STATE REGIONAL CANCER CENTER | |||||||
| PO BOX 200 | EAST LIVERPOOL | OH | 43920 | 200105817 | $19,229 | PATIENT ASSISTANCE | |
| SPRINGFIELD HEMATOLOGY AND ONCOLOGY ASSOCIATES | |||||||
| 148 WEST NORTH ST | SPRINGFIELD | OH | 45504 | 200240117 | $46,284 | PATIENT ASSISTANCE | |
| MULTISPECIALTY GROUP OF TX PA | |||||||
| 1200 BINZ 1130 | HOUSTON | TX | 77004 | 200244683 | $20,904 | PATIENT ASSISTANCE | |
| SEAN M ROONEY MD PHD | |||||||
| 1414 W FAIR AVE 150 | MARQUETTE | MI | 49855 | 200247592 | $5,251 | PATIENT ASSISTANCE | |
| CHRISTOPHER T SOPRENUK MD | |||||||
| 9846 US HWY 441 BLDG 1 | LEESBURG | MO | 64788 | 200302323 | $5,489 | PATIENT ASSISTANCE | |
| SLOCUM - DIXON MEDICAL GROUP PLLC | |||||||
| 1729 BURRSTONE RD | NEW HARTFORD | NY | 13413 | 200362623 | $10,659 | PATIENT ASSISTANCE | |
| ARTHRITIS & RHEUMATOLOGY ASSOC OF PALM BEACH | |||||||
| 1515 N FLAGER DR 620 | WEST PALM BEACH | FL | 33401 | 200468264 | $17,726 | PATIENT ASSISTANCE | |
| ORANGETOWN OPTHALMOLOGY | |||||||
| 2 CROSFIELD AVE 315 | WEST NYACK | NY | 10994 | 200544390 | $9,264 | PATIENT ASSISTANCE | |
| CANCER CTR OF HUNTVILLE | |||||||
| 201 GOVERNORS DR 320 | HUNTSVILLE | AL | 35801 | 200546686 | $69,654 | PATIENT ASSISTANCE | |
| MCBRIDE CLINIC | |||||||
| PO BOX 268981 | OKLAHOMA CITY | OK | 73103 | 200561474 | $9,129 | PATIENT ASSISTANCE | |
| CANCER CENTER INSTITUTE OF CAROLINA | |||||||
| 111 MIRACLE DR | AIKEN | SC | 29801 | 200566725 | $19,336 | PATIENT ASSISTANCE | |
| UROLOGY ASSOCIATES GREEN BAY | |||||||
| 720 S VAN BUREN ST 301 | GREEN BAY | WI | 54301 | 200610936 | $20,614 | PATIENT ASSISTANCE | |
| HIGH COUNTRY MACULAR RETINA VITREOUS | |||||||
| 465 ST MICHAELS DR 205 | SANTA FE | NM | 87505 | 200660971 | $5,922 | PATIENT ASSISTANCE | |
| MONTGOMERY CANCER CTR | |||||||
| 644 MAYSVILLE RD 10 | MOUNT STERLING | KY | 40353 | 200671902 | $7,890 | PATIENT ASSISTANCE | |
| TENNESSEE CANCER SPECIALISTS | |||||||
| PO BOX 10988 | KNOXVILLE | TN | 37939 | 200677400 | $708,903 | PATIENT ASSISTANCE | |
| RETINA MACULA INSTITUTE | |||||||
| 4201 TORRENCE BLVD | TORRANCE | CA | 90503 | 200804641 | $5,041 | PATIENT ASSISTANCE | |
| LOW COUNTRY CANCER CARE | |||||||
| 225 CANDLER DR 201 | SAVANNAH | GA | 31405 | 200815546 | $20,203 | PATIENT ASSISTANCE | |
| ASHEVILLE NEUROLOGY SPECIALISTS PA | |||||||
| 31 DOGWOOD RD | ASHEVILLE | NC | 28806 | 200912649 | $8,672 | PATIENT ASSISTANCE | |
| HARSHI BAINS MD PA | |||||||
| 1519 E FRONT ST | TYLER | TX | 75702 | 200937057 | $37,011 | PATIENT ASSISTANCE | |
| CANCER HLTH TREATMENT CTRS | |||||||
| 8127 MERRILLVILLE RD | MERRILLVILLE | IN | 46410 | 201090689 | $35,320 | PATIENT ASSISTANCE | |
| IDAHO UROLOGIC INST MERIDIAN | |||||||
| 2855 E MAGIC VIEW DR 2ND FL | MERIDIAN | ID | 83642 | 201300128 | $6,957 | PATIENT ASSISTANCE | |
| RETINA AND MACULA CONSULTANTS | |||||||
| 2400 S MCCALL RD STE A | ENGLEWOOD | FL | 34224 | 201327973 | $22,306 | PATIENT ASSISTANCE | |
| OCALA INFECTIOUS DISEASE AND WOUND CTR | |||||||
| 2651 SW 32ND PL | OCALA | FL | 34471 | 201422124 | $6,781 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES OF CORAL SPRINGS PA | |||||||
| 1881 N UNIVERSITY DR 112 | CORAL SPRINGS | FL | 33071 | 201442781 | $18,736 | PATIENT ASSISTANCE | |
| KENT W SMALL MD A MEDICAL CORPORATION | |||||||
| PO BOX 261143 | ENCINO | CA | 91426 | 201561834 | $10,618 | PATIENT ASSISTANCE | |
| NORTH WEST FLA HEM ONC P A | |||||||
| 301 W 26TH ST | LYNN HAVEN | FL | 32444 | 201606423 | $25,605 | PATIENT ASSISTANCE | |
| BARBARA ANN KARMANOS | |||||||
| PO BOX 673352 | DETROIT | MI | 48267 | 201649466 | $25,635 | PATIENT ASSISTANCE | |
| NORTH CYPRESS MED CTR | |||||||
| PO BOX 4100 | HOUSTON | TX | 77210 | 201726203 | $5,774 | PATIENT ASSISTANCE | |
| UROPARTNERS LLC | |||||||
| 3183 PAYSPHERE CIR | CHICAGO | IL | 60674 | 201780406 | $39,411 | PATIENT ASSISTANCE | |
| CENTRAL OHIO UROLOGY GROUP INC | |||||||
| PO BOX 712616 | CINCINNATI | OH | 45271 | 201781799 | $72,104 | PATIENT ASSISTANCE | |
| UNIVERSITY CANCER & BLOOD CENTER | |||||||
| 3320 OLD JEFFERSON RD 700 | ATHENS | GA | 30607 | 201842623 | $73,518 | PATIENT ASSISTANCE | |
| UROLOGY HEALTH SPECIALIST LLC | |||||||
| PO BOX 1287 | BLUE BELL | PA | 19422 | 201982990 | $19,231 | PATIENT ASSISTANCE | |
| FRONT RANGE CANCER SPECIALISTS | |||||||
| 2315 E HARMONY RD 110 | FORT COLLINS | CO | 80528 | 201989197 | $60,460 | PATIENT ASSISTANCE | |
| ROBERT REYNOLDS MD | |||||||
| 13301 N MERIDIAN AVE STE 501 | NICHOLS HILLS | OK | 73120 | 202001573 | $9,032 | PATIENT ASSISTANCE | |
| DR MARTA T BOGNAR MD | |||||||
| 961 A SMOKY MOUNTAIN SPRINGS LN | GAINESVILLE | GA | 30501 | 202052607 | $12,878 | PATIENT ASSISTANCE | |
| VITEREORETINAL CONSULTANTS OF FORT WAYNE PC | |||||||
| NW 6459 PO BOX 1450 | MINNEAPOLIS | MN | 55485 | 202269941 | $7,886 | PATIENT ASSISTANCE | |
| CONTRA COSTA ONCOLOGY | |||||||
| 500 LENNON LN | WALNUT CREEK | CA | 94598 | 202298787 | $21,441 | PATIENT ASSISTANCE | |
| GROUP HEALTH ASSOCIATES | |||||||
| 4600 WESLEY AVE N | CINCINNATI | OH | 45212 | 202305158 | $16,718 | PATIENT ASSISTANCE | |
| CATALINA POINTE ARTHRITIS & RHEU SPECIALIST | |||||||
| 7520 N ORACLE RD | TUCSON | AZ | 85704 | 202335169 | $28,736 | PATIENT ASSISTANCE | |
| ONCOLOGY HEMATOLOGY RADIATION LLC | |||||||
| PO BOX 864381 | ORLANDO | FL | 32886 | 202627516 | $158,890 | PATIENT ASSISTANCE | |
| ARIZONA RAD THER MGMT SERVICES | |||||||
| PO BOX 863571 | REDDICK | FL | 32686 | 202743876 | $7,466 | PATIENT ASSISTANCE | |
| ANIL PONNAMBALAM MD | |||||||
| 40 BEY LEA RD B102 | TOMS RIVER | NJ | 08753 | 202814225 | $13,877 | PATIENT ASSISTANCE | |
| UNIVERSITY RETINA & MACULA ASSOCIATES PC | |||||||
| 6320 159TH ST A | OAK FOREST | IL | 60452 | 202842935 | $19,946 | PATIENT ASSISTANCE | |
| DR SIRUS HAMZAVI | |||||||
| PO BOX 830 | AUBURN | ME | 04212 | 202856367 | $40,370 | PATIENT ASSISTANCE | |
| MEDICAL ONC & HEMATOLOGY PC | |||||||
| 4242 FARNAM ST 590 | OMAHA | NE | 68131 | 202862217 | $7,983 | PATIENT ASSISTANCE | |
| ARTHRITIS AND RHEUMATIC DISEASES OF S FLORIDA | |||||||
| N HIATUS RD STE 105 | HOLLYWOOD | FL | 33026 | 202897801 | $9,928 | PATIENT ASSISTANCE | |
| DANVILLE HEMATOLOGY AND ONCOLOGY | |||||||
| 142 S MAIN ST | DANVILLE | VA | 24541 | 202999870 | $111,142 | PATIENT ASSISTANCE | |
| RICHMOND CANCER AND BLOOD DISORDER PC | |||||||
| 15 OLD FARMERS LN | STATEN ISLAND | NY | 10304 | 203064911 | $6,284 | PATIENT ASSISTANCE | |
| PREMIER FOOT CLINIC | |||||||
| 705 HIGHWAY 80 WEST | CLINTON | MS | 39056 | 203085717 | $11,278 | PATIENT ASSISTANCE | |
| DAYTON PHYSICIANS | |||||||
| PO BOX 635098 | CINCINNATI | OH | 45263 | 203130844 | $255,335 | PATIENT ASSISTANCE | |
| UNIVERSITY OPTIONCARE LLC | |||||||
| 4088 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | 203203588 | $16,348 | PATIENT ASSISTANCE | |
| MONTGOMERY CANCER CENTER | |||||||
| 4145 CARMICHAEL RD A | MONTGOMERY | AL | 36106 | 203204949 | $36,660 | PATIENT ASSISTANCE | |
| PONTCHATRAIN HEMATOLOGY ONCOLOGY | |||||||
| 15752 MEDICAL ARTS PLAZA 101 | HAMMOND | LA | 70403 | 203218016 | $36,439 | PATIENT ASSISTANCE | |
| COLORADO RETINA ASSOCIATES PC | |||||||
| P O BOX 17949 | DENVER | CO | 80217 | 203288374 | $229,432 | PATIENT ASSISTANCE | |
| CANCER CTRS OF SW OK | |||||||
| 104 NW 31ST ST | LAWTON | OK | 73505 | 203315309 | $25,356 | PATIENT ASSISTANCE | |
| MARION HEART CENTER | |||||||
| 1040 SW 2ND AVE | OCALA | FL | 34474 | 203316494 | $14,658 | PATIENT ASSISTANCE | |
| ATLANTIC PODIATRY CENTER | |||||||
| 2209 S 25TH ST | FORT PIERCE | FL | 34947 | 203403892 | $6,212 | PATIENT ASSISTANCE | |
| SAND LAKE CANCER CENTER | |||||||
| 7301 STONEROCK CIR STE 2 | ORLANDO | FL | 32885 | 203546219 | $25,372 | PATIENT ASSISTANCE | |
| UROLOGY GROUP OF NEW JERSEY | |||||||
| PO BOX 11346 | BELFAST | ME | 04915 | 203598247 | $65,102 | PATIENT ASSISTANCE | |
| FAMILY FOOT & ANKLE | |||||||
| 7550 SW 61ST AVE 1 | OCALA | FL | 34476 | 203612404 | $5,741 | PATIENT ASSISTANCE | |
| RONALD S WEISS MD SC | |||||||
| 7120 W CERMAK RD | BERWYN | IL | 60402 | 203639008 | $47,920 | PATIENT ASSISTANCE | |
| OH RETINA ASSOC | |||||||
| 4690 MUNSON ST NW | CANTON | OH | 44718 | 203787354 | $29,000 | PATIENT ASSISTANCE | |
| WA HEMATOLOY ONCOLOGY | |||||||
| PO BOX 996 | HAYDEN | ID | 83835 | 203813320 | $10,427 | PATIENT ASSISTANCE | |
| STOCKTON HEMATOLOGY ONCOLOGY MED GRP | |||||||
| 2626 N CALIFORNIA ST B | STOCKTON | CA | 95204 | 203850829 | $33,926 | PATIENT ASSISTANCE | |
| SEATTLE ARTHRITIS CLINIC | |||||||
| PO BOX 77033 | SEATTLE | WA | 98177 | 203890258 | $5,554 | PATIENT ASSISTANCE | |
| REGIONAL CANCER CARE | |||||||
| 4411 BEN FRANKLIN RD | DURHAM | NC | 27704 | 203911637 | $25,483 | PATIENT ASSISTANCE | |
| ARTHRITIS & RHEUMATOLOGY OF GA | |||||||
| 980 JOHNSON FERRY RD NE 220 | ATLANTA | GA | 30342 | 203926179 | $11,901 | PATIENT ASSISTANCE | |
| SOUTHERN NEW ENGLAND RETINA ASSOC | |||||||
| 1 RANDALL SQUARE STE 206 | PROVIDENCE | RI | 02904 | 203935214 | $32,291 | PATIENT ASSISTANCE | |
| MOUNTAIN RHEUMATOLOGY INFUSION CTR LLC | |||||||
| 4500 E 9TH AVE STE 500S | DENVER | CO | 80220 | 204226014 | $8,225 | PATIENT ASSISTANCE | |
| ANTIETAM ONCOLOGY HEMATOLOGY | |||||||
| 1130 OPAL CT | HAGERSTOWN | MD | 21740 | 204253140 | $10,391 | PATIENT ASSISTANCE | |
| INTEGRATED MEDICAL PROFESSIONALS PLLC | |||||||
| 532 BROADHOLLOW RD 142 | MELVILLE | NY | 11747 | 204483367 | $107,469 | PATIENT ASSISTANCE | |
| EMORY SPECIALTY ASSOC LLC | |||||||
| PO BOX 102398 | ATLANTA | GA | 30368 | 204700877 | $55,487 | PATIENT ASSISTANCE | |
| ROBERT E PARNES MD | |||||||
| 10000 PRESTWICH TERRACE | IJAMSVILLE | MD | 21754 | 204841431 | $34,627 | PATIENT ASSISTANCE | |
| CANCER CTR OF CENTRAL CT | |||||||
| 55 MERIDEN AVE 1A | SOUTHINGTON | CT | 06489 | 204892866 | $8,724 | PATIENT ASSISTANCE | |
| SOUTH TEXAS ARTHRITIS CARE CENTER | |||||||
| PO BOX 34 | SAN ANTONIO | TX | 78291 | 204935811 | $15,291 | PATIENT ASSISTANCE | |
| CAROLINA RETINA INSTITUTE PC | |||||||
| 940 SE CARY PKWY 100 | CARY | NC | 27518 | 204959255 | $5,581 | PATIENT ASSISTANCE | |
| RETINA INSTITUTE OF NC | |||||||
| 2605 BLUERIDGE RD 220 | RALEIGH | NC | 27607 | 205100384 | $32,754 | PATIENT ASSISTANCE | |
| CAPE FEAR RETINAL ASSOCIATES | |||||||
| 1104 MEDICAL CENTER DR | WILMINGTON | NC | 28401 | 205203879 | $10,842 | PATIENT ASSISTANCE | |
| HAVASU REGIONAL MEDICAL CENTER | |||||||
| PO BOX 3030 | LAKE HAVASU CITY | AZ | 86405 | 205220956 | $11,639 | PATIENT ASSISTANCE | |
| OLATHE CANCER CENTER | |||||||
| 20375 W 151ST ST | OLATHE | KS | 66061 | 205243667 | $12,215 | PATIENT ASSISTANCE | |
| FLORIDA MEDICAL SPECIALISTS | |||||||
| PO BOX 850001 | ORLANDO | FL | 32885 | 205283786 | $5,062 | PATIENT ASSISTANCE | |
| ACADEMIC UROLOGY OF PA | |||||||
| PO BOX 95000-3505 | PHILADELPHIA | PA | 19195 | 205328092 | $18,260 | PATIENT ASSISTANCE | |
| CHARLESTON HEMATOLOGY-ONCOLOGY | |||||||
| 2085 HENRY TECKLENBURG BLVD 2ND FL | CHARLESTON | SC | 29414 | 205615148 | $198,459 | PATIENT ASSISTANCE | |
| THE MACULA CENTER OF NC | |||||||
| 630 5TH AVE WEST | HENDERSONVILLE | NC | 28739 | 205724902 | $12,940 | PATIENT ASSISTANCE | |
| TAKE CARE HEALTH SERVICES | |||||||
| 16752 COLLECTION CTR DR | CHICAGO | IL | 60693 | 205737038 | $7,410 | PATIENT ASSISTANCE | |
| WAVERLY HEMATOLOGY ONCOLOGY | |||||||
| PO BOX 601043 | CHARLOTTE | NC | 28260 | 205815295 | $23,973 | PATIENT ASSISTANCE | |
| MARK H NELSON MD | |||||||
| 750 HIGHLAND OAKS DR 100 | WINSTON SALEM | NC | 27103 | 205932901 | $33,010 | PATIENT ASSISTANCE | |
| PORTLAND RHEUMATOLOGY CLINIC LLC | |||||||
| 10230 SW CAPITOL HWY | PORTLAND | OR | 97219 | 205978270 | $20,801 | PATIENT ASSISTANCE | |
| MARK MICHELS MD | |||||||
| 3399 PGA BLVD 220 | PALM BEACH GARDENS | FL | 33410 | 208005671 | $18,549 | PATIENT ASSISTANCE | |
| SOUTHERN CANCER CENTER | |||||||
| 29653 ANCHOR CROSS BLVD | DAPHNE | AL | 36526 | 208097639 | $488,604 | PATIENT ASSISTANCE | |
| MANDELL RETINA CENTER PC | |||||||
| 397 LITTLE NECK RD | VIRGINIA BCH | VA | 23452 | 208242063 | $7,896 | PATIENT ASSISTANCE | |
| RETINA ASSOC OF NJ PA | |||||||
| 628 CEDAR LN | TEANECK | NJ | 07666 | 208346981 | $344,796 | PATIENT ASSISTANCE | |
| ONCOLOGY INSTITUTE OF HOPE & INNOVATION | |||||||
| 101 E BEVERLY BLVD 200 | MONTEBELLO | CA | 90640 | 208346981 | $70,136 | PATIENT ASSISTANCE | |
| SONORAN HEMATOLOGY & ONCOLOGY | |||||||
| PO BOX 29338 DEPT 1009 | PHOENIX | AZ | 85038 | 208391890 | $73,668 | PATIENT ASSISTANCE | |
| PORTER HOSPITAL LLC | |||||||
| 2123 LINCOLNWAY CT | FORT WAYNE | IN | 46819 | 208473972 | $9,816 | PATIENT ASSISTANCE | |
| NORTH GEORGIA CANCER CARE PC | |||||||
| 400 TIMMS RD A | CALHOUN | GA | 30701 | 208497373 | $36,597 | PATIENT ASSISTANCE | |
| SOUTHERN VITREORETINAL ASSOC | |||||||
| 2439 CARE DR | TALLAHASSEE | FL | 32308 | 208515285 | $141,937 | PATIENT ASSISTANCE | |
| ARIZONA INSTITUTE OF UROLOGY PLLC | |||||||
| 1106 N EL DORADO PLACE | TUCSON | AZ | 85715 | 208551867 | $19,352 | PATIENT ASSISTANCE | |
| ATHENS RETINA CENTER | |||||||
| 700 OGLETHORPE AVE STE A2 | ATHENS | GA | 30605 | 208607868 | $76,491 | PATIENT ASSISTANCE | |
| UROLOGY NEVADA CARE CENTER NORTH | |||||||
| 1500 E 2ND ST STE 300 | RENO | NV | 89502 | 208628418 | $34,677 | PATIENT ASSISTANCE | |
| CANCER TREATMENT SERVICES ARIZONA LLC | |||||||
| PO BOX 864965 | ORLANDO | FL | 32886 | 208741316 | $48,033 | PATIENT ASSISTANCE | |
| 21ST CENTURY ONCOLOGY | |||||||
| PO BOX 864373 | ORLANDO | FL | 32886 | 208754308 | $427,027 | PATIENT ASSISTANCE | |
| MACKINAC STRAITS HEALTH SYSTEM | |||||||
| 1140 N STATE STREET | SAINT IGNACE | MI | 49781 | 208756459 | $6,945 | PATIENT ASSISTANCE | |
| UZMA IQBAL MD PA | |||||||
| 11307 FM 1960 W 330 | HOUSTON | TX | 77065 | 208770785 | $12,349 | PATIENT ASSISTANCE | |
| ROBERT H JANIGIAN JR MD LLC | |||||||
| PO BOX 848817 | BOSTON | MA | 02284 | 208836534 | $18,902 | PATIENT ASSISTANCE | |
| ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC | |||||||
| 1226 E WATER ST | SYRACUSE | NY | 13210 | 208928235 | $64,334 | PATIENT ASSISTANCE | |
| LONG ISLAND REG ARTHRITIS AND OSTEOPOROSIS CARE | |||||||
| 500 W MAIN ST 110 | BABYLON | NY | 11702 | 208964140 | $17,360 | PATIENT ASSISTANCE | |
| SOUTHERN EYE PHYSICIANS CENTER | |||||||
| 1420 SOUTH 28TH AVENUE | HATTIESBURG | MS | 39402 | 208990120 | $16,591 | PATIENT ASSISTANCE | |
| RWJUH HAMILTON | |||||||
| PO BOX 48025 | NEWARK | NJ | 07101 | 210634572 | $14,687 | PATIENT ASSISTANCE | |
| THOMAS M OHEARN | |||||||
| 2021 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 215849958 | $5,101 | PATIENT ASSISTANCE | |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL | |||||||
| PO BOX 15450 | NEWARK | NJ | 07192 | 221487243 | $5,857 | PATIENT ASSISTANCE | |
| HACKENSACK UNIVERSITY MED CTR | |||||||
| PO BOX 48027 | NEWARK | NJ | 07101 | 221487576 | $11,373 | PATIENT ASSISTANCE | |
| CENTRASTATE MEDICAL CTR INC | |||||||
| 901 W MAIN ST | FREEHOLD | NJ | 07728 | 221750190 | $6,230 | PATIENT ASSISTANCE | |
| KENNEDY HEALTH SYSTEM | |||||||
| PO BOX 48023 | NEWARK | NJ | 07101 | 221773439 | $11,950 | PATIENT ASSISTANCE | |
| UNIVERSITY HOSPITAL | |||||||
| PO BOX 3009 | NEWARK | NJ | 07107 | 221775306 | $11,590 | PATIENT ASSISTANCE | |
| SOUTH JERSEY EYE PHYSICIANS | |||||||
| 509 S LENOLA RD STE 11 | MOORESTOWN | NJ | 08057 | 222116946 | $22,713 | PATIENT ASSISTANCE | |
| EYE PHYSICIANS OF SUSSEX COUNTY | |||||||
| 183 HIGH ST | NEWTON | NJ | 07860 | 222172159 | $9,081 | PATIENT ASSISTANCE | |
| SOUTHERN HEMOONCO ASSOC | |||||||
| 1027 E CHESTNUT AVE | VINELAND | NJ | 08360 | 222182145 | $5,036 | PATIENT ASSISTANCE | |
| OPTHALMIC PHYSICIANS OF MONMOUTH | |||||||
| 733 N BEERS ST U4 | HOLMDEL | NJ | 07733 | 222229262 | $10,380 | PATIENT ASSISTANCE | |
| SANTA MARIA EYE CENTER | |||||||
| 104 MARKET ST | PERTH AMBOY | NJ | 08861 | 222237946 | $9,619 | PATIENT ASSISTANCE | |
| VITREO RETINAL ASSOC | |||||||
| 36 NEWARK AVE 212 | BELLEVILLE | NJ | 07109 | 222284162 | $10,909 | PATIENT ASSISTANCE | |
| PRINCETON MEDICAL GROUP | |||||||
| 419 N HARRISON ST | PRINCETON | NJ | 08540 | 222306123 | $12,636 | PATIENT ASSISTANCE | |
| RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY | |||||||
| 1415 QUEEN ANN RD | TEANECK | NJ | 07666 | 222322338 | $13,453 | PATIENT ASSISTANCE | |
| REGIONAL CANCER CARE ASSOC | |||||||
| 100 1ST ST 301 | HACKENSACK | NJ | 07601 | 222369793 | $9,786 | PATIENT ASSISTANCE | |
| PHILLIPS EYE CENTER | |||||||
| 619 RIVER RD | ELMWOOD PARK | NJ | 07407 | 222506392 | $8,256 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY OF CENTRAL NJ | |||||||
| 180 WHITE ROAD 101 | LITTLE SILVER | NJ | 07739 | 222538456 | $7,799 | PATIENT ASSISTANCE | |
| MEEA INC | |||||||
| 300 CROWN COLONY DR | QUINCY | MA | 02169 | 222658209 | $6,112 | PATIENT ASSISTANCE | |
| UMBERTO ALBANESE MD | |||||||
| PO BOX 8000 DEPT 327 | BUFFALO | NY | 14267 | 222756862 | $16,196 | PATIENT ASSISTANCE | |
| ALLERGIC DISEASE ASSOC | |||||||
| 205 N BROAD ST STE 300 | PHILA | PA | 19107 | 223040614 | $9,503 | PATIENT ASSISTANCE | |
| REGIONAL CANCER CARE ASSOC | |||||||
| 100 1ST ST 301 | HACKENSACK | NJ | 07601 | 223141761 | $270,637 | PATIENT ASSISTANCE | |
| DELAWARE VALLEY RETINA ASSOCIATES | |||||||
| 4 PRINCESS RD 101 | LAWRENCEVILLE | NJ | 08648 | 223142598 | $21,277 | PATIENT ASSISTANCE | |
| RETINAL & OPHTALMIC CONSULTANTS | |||||||
| 1500 TILTON RD | NORTHFIELD | NJ | 08225 | 223146260 | $55,980 | PATIENT ASSISTANCE | |
| DR RICHARD FEIN & DR DAVID RICHARDS | |||||||
| 75 VERONICA AVE 201 | SOMERSET | NJ | 08873 | 223166581 | $20,199 | PATIENT ASSISTANCE | |
| ST CLARES HOSPITAL | |||||||
| PO BOX 35577 | NEWARK | NJ | 07193 | 223319886 | $5,574 | PATIENT ASSISTANCE | |
| RETINA VITIEOUS | |||||||
| 349 E NORTHFIELD RD | LIVINGSTON | NJ | 07039 | 223393043 | $19,859 | PATIENT ASSISTANCE | |
| NAZHA CANCER CENTER | |||||||
| 411 NEW RD | NORTHFIELD | NJ | 08225 | 223424577 | $5,995 | PATIENT ASSISTANCE | |
| OCEAN MEDICAL CENTER | |||||||
| PO BOX 34019 | NEWARK | NJ | 07189 | 223471515 | $11,406 | PATIENT ASSISTANCE | |
| GREGORY P MANZULLO MD | |||||||
| 100 COMMONS WAY BLD A100 | TOMS RIVER | NJ | 08756 | 223477172 | $41,301 | PATIENT ASSISTANCE | |
| BANNETT EYE CENTERS | |||||||
| 620 N BROAD ST | WOODBURY | NJ | 08096 | 223549309 | $9,974 | PATIENT ASSISTANCE | |
| COMBINED HEMATOLOGYONCOLOGY PRACTICE OF NJ | |||||||
| 210 PALISADES AVE | JERSEY CITY | NJ | 07306 | 223588361 | $6,841 | PATIENT ASSISTANCE | |
| ESSEX HEMATOLOGY ONCOLOGY GROUP PA | |||||||
| 36 NEWARD AVE 304 | BELLEVILLE | NJ | 07109 | 223603490 | $55,858 | PATIENT ASSISTANCE | |
| BURLINGTON COUNTY HEMATOLOGY ONCOLOGY | |||||||
| 101 BURRS RD C | WESTAMPTON | NJ | 08060 | 223669121 | $55,404 | PATIENT ASSISTANCE | |
| CALIFORNIA RETINA CONSULTANTS | |||||||
| 515 E MICHELTORENA ST C | SANTA BARBARA | CA | 93103 | 223697030 | $53,778 | PATIENT ASSISTANCE | |
| NEW JERSEY ASSOCIATES | |||||||
| PO BOX 732 | BRICK | NJ | 08723 | 223741971 | $31,415 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY ASSOCIATES OF N JERSEY | |||||||
| 3990 STOCKTON HILL RD F-368 | KINGMAN | AZ | 86401 | 223746905 | $9,188 | PATIENT ASSISTANCE | |
| ADULT MEDICAL ONCOLOGY HEMATOLOGY GRP | |||||||
| 39 SYCAMORE AVE | LITTLE SILVER | NJ | 07739 | 223763567 | $7,196 | PATIENT ASSISTANCE | |
| FRANKLIN H SPIRN MD PA | |||||||
| 1656 OAK TREE RD | EDISON | NJ | 08820 | 223835696 | $12,644 | PATIENT ASSISTANCE | |
| MCKNIGHT EYE CENTER | |||||||
| 515 N STATE RTE 291 | LIBERTY | MO | 64068 | 223860789 | $6,424 | PATIENT ASSISTANCE | |
| CHESTER CO HEMATOLOGY ONCO | |||||||
| 440 E MARSHALL ST 201 | WEST CHESTER | PA | 19380 | 230469150 | $9,040 | PATIENT ASSISTANCE | |
| ABINGTON MEMORIAL HOSPITAL | |||||||
| PO BOX 786306 | PHILA | PA | 19178 | 231352152 | $23,027 | PATIENT ASSISTANCE | |
| MAIN LINE HEM ONC | |||||||
| PO BOX 85004875 | PHILA | PA | 19178 | 231352160 | $12,779 | PATIENT ASSISTANCE | |
| DOYLESTOWN HOSPITAL | |||||||
| 595 W STATE ST | DOYLESTOWN | PA | 18901 | 231352174 | $5,633 | PATIENT ASSISTANCE | |
| READING HEALTH SYSTEM | |||||||
| 9 ENTIN RD 3RD FL | PARSIPPANY | NJ | 07054 | 231352204 | $6,241 | PATIENT ASSISTANCE | |
| READING HOSPITAL | |||||||
| PO BOX 16051 | READING | PA | 19612 | 231352204 | $25,083 | PATIENT ASSISTANCE | |
| ST JOSEPH MEDICAL CENTER | |||||||
| PO BOX 644171 | PITTSBURGH | PA | 15264 | 231352211 | $19,395 | PATIENT ASSISTANCE | |
| ST LUKE'S HOSPITAL | |||||||
| 801 OSTRUM ST | BETHLEHEM | PA | 18015 | 231352213 | $13,197 | PATIENT ASSISTANCE | |
| GETTYSBURG HOSPITAL | |||||||
| P O BOX 1349 | YORK | PA | 17405 | 231352220 | $10,300 | PATIENT ASSISTANCE | |
| YORK HOSPITAL | |||||||
| PO BOX 2767 | YORK | PA | 17405 | 231352222 | $13,111 | PATIENT ASSISTANCE | |
| UNIVERSITY OF PENN MED GROUP | |||||||
| PO BOX 824336 | PHILADELPHIA | PA | 19182 | 231352685 | $6,844 | PATIENT ASSISTANCE | |
| EPHRATA COMMUNITY HOSPITAL | |||||||
| PO BOX 4245 | LANCASTER | PA | 17604 | 231370484 | $5,813 | PATIENT ASSISTANCE | |
| ALBERT EINSTEIN MEDICAL CENTER | |||||||
| PO BOX 8500-7135 | PHILA | PA | 19178 | 231396794 | $26,628 | PATIENT ASSISTANCE | |
| LEHIGH VALLEY HOSP | |||||||
| PO BOX 4120 | ALLENTOWN | PA | 18105 | 231689692 | $8,349 | PATIENT ASSISTANCE | |
| BRYN MAWR MEDICAL SPECIALISTS ASSOC | |||||||
| 933 HAVERFORD RD | BRYN MAWR | PA | 19010 | 231714249 | $9,230 | PATIENT ASSISTANCE | |
| NEVYAS EYE ASSOCIATES | |||||||
| 2 BALA PLAZA 333 E CITY AVE | BALA CYNWYD | PA | 19004 | 231715581 | $19,815 | PATIENT ASSISTANCE | |
| VISTARR LASER & VISION CTR | |||||||
| 845 W CHESTER PIKE | CHESTER | PA | 19382 | 231716852 | $9,276 | PATIENT ASSISTANCE | |
| CARTY EYE ASSOCIATES | |||||||
| 830 OLD LANCASTER RD 100 | BRYN MAWR | PA | 19010 | 231730747 | $6,146 | PATIENT ASSISTANCE | |
| DELTA MEDIX PC | |||||||
| 225 PENN AVE | SCRANTON | PA | 18503 | 231732306 | $12,545 | PATIENT ASSISTANCE | |
| LANCASTER UROLOGY | |||||||
| 2106 HARRISBURG PIKE 200 | LANCASTER | PA | 17604 | 231740524 | $17,316 | PATIENT ASSISTANCE | |
| EYE CONSULTANTS OF PA | |||||||
| 1 GRANITE POINT DR | READING | PA | 19610 | 231876291 | $12,627 | PATIENT ASSISTANCE | |
| BLOOM EYE ASSOCIATES | |||||||
| 525 JAMESTOWN ST SUITE 207 | PHILADELPHIA | PA | 19128 | 231915488 | $10,404 | PATIENT ASSISTANCE | |
| RETINOVITREOUS ASSOC | |||||||
| 4060 BUTLER PIKE STE 200 | PLYMOUTH MEETING | PA | 19462 | 231932869 | $600,895 | PATIENT ASSISTANCE | |
| GEISINGER WYOMING VALLEY MEDICAL CENTER | |||||||
| PO BOX 827713 | PHILA | PA | 19182 | 231996150 | $5,302 | PATIENT ASSISTANCE | |
| LEHIGH VALLEY CENTER FOR SIGHT | |||||||
| 1739 W FAIRMONT ST | ALLENTOWN | PA | 18104 | 232075494 | $6,489 | PATIENT ASSISTANCE | |
| EDWARD DEGLIN MD | |||||||
| 780 PERIWINKLE LN | WYNNEWOOD | PA | 19096 | 232114730 | $77,012 | PATIENT ASSISTANCE | |
| CANCER CARE ASSOC OF YORK | |||||||
| 25 MONUMENT RD 294 | YORK | PA | 17403 | 232122436 | $115,372 | PATIENT ASSISTANCE | |
| ASSOC OF HEMATOLOGY ONCOLOGY | |||||||
| 1 MEDICAL CENTER BLVD STE 341 | CHESTER | PA | 19013 | 232131037 | $14,314 | PATIENT ASSISTANCE | |
| HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NEPA | |||||||
| 1100 MEAD ST | DUNMORE | PA | 18512 | 232137083 | $41,642 | PATIENT ASSISTANCE | |
| PENNSYLVANIA RETINA SPECIALISTS | |||||||
| 220 GRANDVIEW AVE SUITE 200 | CAMP HILL | PA | 17011 | 232152842 | $135,204 | PATIENT ASSISTANCE | |
| MEDICAL ONCOLOGY ASSOC | |||||||
| 382 PIERCE ST | KINGSTON | PA | 18704 | 232170323 | $23,086 | PATIENT ASSISTANCE | |
| LANCASTER CANCER CENTER | |||||||
| PO BOX 10396 | LANCASTER | PA | 17605 | 232174179 | $16,819 | PATIENT ASSISTANCE | |
| ABINGTON HEMO ONCOL ASSOC | |||||||
| 2500 MARYLAND RD 312 | WILLOW GROVE | PA | 19090 | 232188111 | $76,207 | PATIENT ASSISTANCE | |
| MARTIN FOOT AND ANKLE | |||||||
| 2300 PLEASANT VALLEY RD | YORK | PA | 17402 | 232218223 | $6,150 | PATIENT ASSISTANCE | |
| BENJAMIN BLOOM MD | |||||||
| TWO PENN BLVD 117 | PHILA | PA | 19144 | 232236571 | $19,168 | PATIENT ASSISTANCE | |
| SOLL EYE PC OF PA FRANKLIN DIVISION | |||||||
| PO BOX 843317 | BOSTON | MA | 02284 | 232246884 | $37,763 | PATIENT ASSISTANCE | |
| NORTHEASTERN EYE INSTITUTE | |||||||
| 200 MIFFLIN AVE | SCRANTON | PA | 18503 | 232287632 | $20,372 | PATIENT ASSISTANCE | |
| ANDREWS & PATEL ASSOC | |||||||
| 3912 TRINDLE RD | CAMP HILL | PA | 17011 | 232382727 | $119,893 | PATIENT ASSISTANCE | |
| PROGRESSIVE VISION INSTITUTE | |||||||
| 201 E LAUREL BLVD | POTTSVILLE | PA | 17901 | 232413259 | $6,382 | PATIENT ASSISTANCE | |
| EYE CARE SPECIALISTS | |||||||
| 703 RUTTER AVE | KINGSTON | PA | 18704 | 232460617 | $12,076 | PATIENT ASSISTANCE | |
| STOKEN OPHTHALMOLOGY | |||||||
| 338 ALEXANDER SPRING RD | CARLISLE | PA | 17015 | 232471453 | $9,166 | PATIENT ASSISTANCE | |
| MEADOWBROOK NEUROLOGY GRP | |||||||
| 1650 HUNTINGDON PIKE 258 | JENKINTOWN | PA | 19046 | 232529051 | $10,258 | PATIENT ASSISTANCE | |
| RETINA ASSOC OF GREATER PHILA LTD | |||||||
| 124 DEKALB PIKE | NORTH WALES | PA | 19454 | 232546366 | $14,488 | PATIENT ASSISTANCE | |
| GABRIELLE SCHORPPNER MD | |||||||
| 3735 NAZARETH RD STE205 | EASTON | PA | 18045 | 232565428 | $11,724 | PATIENT ASSISTANCE | |
| SATISH A SHAH MDPC | |||||||
| 250 FAME AVE 206B | HANOVER | PA | 17311 | 232586060 | $48,684 | PATIENT ASSISTANCE | |
| CARIM EYE AND RETINA CENTER | |||||||
| 2630 W VIEW DR | READING | PA | 19610 | 232628951 | $8,574 | PATIENT ASSISTANCE | |
| ROY D BROD MD | |||||||
| 2150 HARRISBURG PIKE STE 370 | LANCASTER | PA | 17604 | 232653958 | $12,999 | PATIENT ASSISTANCE | |
| CANCER CARE OF CENTRAL PA | |||||||
| 1575 N OLD TRAIL | SELINSGROVE | PA | 17870 | 232684021 | $45,610 | PATIENT ASSISTANCE | |
| UNVERSITY OF PENN-MEDICAL GROUP | |||||||
| PO BOX 824406 | PHILADELPHIA | PA | 19182 | 232743545 | $39,886 | PATIENT ASSISTANCE | |
| CHESTER COUNTY EYE CARE ASSOC | |||||||
| 915 OLD FERN HILL RD BLDG B 200 | CHESTER | PA | 19380 | 232747926 | $40,877 | PATIENT ASSISTANCE | WEST |
| MOORE EYE INSTITUTE | |||||||
| 100 W SPROUL RD 100 | SPRINGFIELD | PA | 19064 | 232768443 | $29,854 | PATIENT ASSISTANCE | |
| LEHIGH VALLEY EYE CENTER | |||||||
| 400 N 17TH ST 101 | ALLENTOWN | PA | 18104 | 232785660 | $21,771 | PATIENT ASSISTANCE | |
| JEFFERSON UNIVERSITY PHYSICIANS | |||||||
| 146 MONTGOMERY AVE | BALA CYNWYD | PA | 19004 | 232809585 | $23,660 | PATIENT ASSISTANCE | |
| CONSULTANTS IN MEDICAL ONCOLOGY & HEMATOLOGY | |||||||
| 2100 KEYSTONE AVE 502 | DREXEL HILL | PA | 19026 | 232826618 | $12,347 | PATIENT ASSISTANCE | |
| LEHIGH RETINA SPECIALISTS | |||||||
| 1251 S CEDAR CREST BLVD 307 | ALLENTOWN | PA | 18103 | 232847909 | $54,409 | PATIENT ASSISTANCE | |
| UNIVERSITY OF PITTSBURG PHYSICIANS | |||||||
| PO BOX 382053 | PITTSBURGH | PA | 15251 | 232919472 | $18,606 | PATIENT ASSISTANCE | |
| PHYSICIANS ALLIANCE LTD | |||||||
| PO BOX 729 | E PETERSBURG | PA | 17520 | 232960500 | $14,481 | PATIENT ASSISTANCE | |
| REGIONAL HEMATOLOGY ONCOLOGY ASSOC | |||||||
| 240 MIDDLETON BLVD 205 | LANGHORNE | PA | 19047 | 232979889 | $63,891 | PATIENT ASSISTANCE | |
| PAOLI HEMATOLOGY ONCOLOGY ASSOCIATES PC | |||||||
| 209 W LANCASTER AVE 100 | PAOLI | PA | 19301 | 232986317 | $43,929 | PATIENT ASSISTANCE | |
| RITTENHOUSE HEMATOLOGYONCOLOGY | |||||||
| 1840 SOUTH ST | PHILADELPHIA | PA | 19146 | 233004350 | $20,883 | PATIENT ASSISTANCE | |
| BAUSCH AND JONES EYE ASSOCIATES | |||||||
| 1616 W ALLEN ST | ALLENTOWN | PA | 18102 | 233012917 | $5,317 | PATIENT ASSISTANCE | |
| VITREORETINAL ASSOCIATES PC | |||||||
| 800 W 4TH ST 104 | WILLIAMSPORT | PA | 17701 | 233022925 | $34,308 | PATIENT ASSISTANCE | |
| PREMIER VISION LASER CTR | |||||||
| PO BOX 1032 | WILLOW GROVE | PA | 19090 | 233032079 | $8,921 | PATIENT ASSISTANCE | |
| GREENSTEIN NEUROLOGY ASSOC & MS INST | |||||||
| 1341 N DELAWARE AVE 212 | PHILA | PA | 19125 | 233085580 | $28,206 | PATIENT ASSISTANCE | |
| PMA MEDICAL SPECIALIS | |||||||
| PO BOX 525 | PHOENIXVILLE | PA | 19460 | 233092765 | $11,659 | PATIENT ASSISTANCE | |
| GEISINGER MED CENTER | |||||||
| 100 N ACADEMY AVE MC 21-11 | DANVILLE | PA | 17822 | 236291113 | $24,678 | PATIENT ASSISTANCE | |
| MONONGAHELA VALLEY HOSPITAL | |||||||
| 1163 COUNTRY CLUB ROAD | MONONGAHELA | PA | 15063 | 237218917 | $13,838 | PATIENT ASSISTANCE | |
| KALISPELL REGIONAL MEDICAL CENTER | |||||||
| 310 SUNNYVIEW LN | KALISPELL | MT | 59901 | 237293874 | $32,509 | PATIENT ASSISTANCE | |
| LAKE REGIONAL HEALTH SYSTEM | |||||||
| 54 HOSPITAL DR | OSAGE BEACH | MO | 65065 | 237339737 | $7,500 | PATIENT ASSISTANCE | |
| GEISINGER MED CTR | |||||||
| 100 N ACADEMY AVE | DANVILLE | PA | 17822 | 240795959 | $12,842 | PATIENT ASSISTANCE | |
| DIVINE PROVIDENCE HOSPITAL | |||||||
| 1100 GRAMPIAN BLVD | WILLIAMSPORT | PA | 17701 | 240799343 | $44,587 | PATIENT ASSISTANCE | |
| UPMC CANCER CENTER | |||||||
| PO BOX 382007 | PITTSBURGH | PA | 15250 | 250523970 | $5,737 | PATIENT ASSISTANCE | |
| GUTHRIE CLINIC | |||||||
| 130 CENTERWAY | CORNING | NY | 14830 | 250815795 | $32,133 | PATIENT ASSISTANCE | |
| MAGEE- WOMENS HOSPITAL OF UPMC | |||||||
| PO BOX 223239 | PITTSBURGH | PA | 15251 | 250965420 | $76,051 | PATIENT ASSISTANCE | |
| UPMC MCKEESPORT | |||||||
| PO BOX 382007 | PITTSBURGH | PA | 15250 | 250965423 | $19,045 | PATIENT ASSISTANCE | |
| UPMC PASSAVANT | |||||||
| PO BOX 382059 | PITTSBURGH | PA | 15250 | 250965451 | $10,784 | PATIENT ASSISTANCE | |
| UNIVERSITY OF PITTSBURG MEDICAL CENTER | |||||||
| PO BOX 382007 | PITTSBURGH | PA | 15250 | 250965480 | $108,765 | PATIENT ASSISTANCE | |
| THE WASHINGTON HOSPITAL | |||||||
| 155 WILSON AVE | WASHINGTON | PA | 15301 | 250965600 | $13,100 | PATIENT ASSISTANCE | |
| THE WESTERN PENN HOSPITAL | |||||||
| PO BOX 644650 | PITTSBURGH | PA | 15264 | 250969492 | $37,151 | PATIENT ASSISTANCE | |
| SHARON REGIONAL CANCER CARE CTR | |||||||
| 2320 HIGHLAND RD | HERMITAGE | PA | 16148 | 250979377 | $11,152 | PATIENT ASSISTANCE | |
| CORRY MEMORIAL HOSPITAL ASSOC | |||||||
| 956 SHAMROCK LANE | CORRY | PA | 16407 | 250987222 | $7,500 | PATIENT ASSISTANCE | |
| ASSOCIATES IN OPHTHALMOLOGY LTD | |||||||
| PO BOX 644214 | PITTSBURGH | PA | 15264 | 251100359 | $81,979 | PATIENT ASSISTANCE | |
| EYE PHYSICIANS | |||||||
| 1207 N SCOTT ST | WILMINGTON | DE | 19806 | 251207879 | $36,298 | PATIENT ASSISTANCE | |
| BLAIR MEDICAL ASSOC | |||||||
| 1414 9TH AVE ROUNDHOUSE STE | ALTOONA | PA | 16602 | 251219302 | $88,739 | PATIENT ASSISTANCE | |
| JAN C SESKI & ASSOCIATES PC | |||||||
| 3358 FIFTH AVENUE | PITTSBURGH | PA | 15213 | 251236746 | $20,710 | PATIENT ASSISTANCE | |
| EVERETT AND HURITE OPHTHALMIC ASSOC | |||||||
| 1835 FORBES AVE | PITTSBURGH | PA | 15219 | 251253504 | $56,149 | PATIENT ASSISTANCE | |
| REGIONAL CANCER CENTER | |||||||
| 2500 W 12TH ST | ERIE | PA | 16505 | 251385075 | $75,917 | PATIENT ASSISTANCE | |
| RETINA VITREOUS CONSULTANTS | |||||||
| 3501 FORBES AVE 500 | PITTSBURGH | PA | 15213 | 251492985 | $41,594 | PATIENT ASSISTANCE | |
| CONEMAUGH CANCER CARE ASSOC | |||||||
| 1020 FRANKLIN ST | JOHNSTOWN | PA | 15905 | 251658283 | $248,459 | PATIENT ASSISTANCE | |
| CPG RHEUMATOLOGY | |||||||
| 1200 BROOKS LN 160 | JEFFERSON HILLS | PA | 15025 | 251658283 | $5,970 | PATIENT ASSISTANCE | |
| PINNACLE HEALTH MEDICAL OPT UNIT | |||||||
| PO BOX 2353 | HARRISBURG | PA | 17105 | 251778644 | $49,555 | PATIENT ASSISTANCE | |
| HERSHEY MEDICAL CENTER | |||||||
| 500 UNIVERSITY DR HU21 | HERSHEY | PA | 17033 | 251854772 | $10,457 | PATIENT ASSISTANCE | |
| ONCOLOGY HEMATOLOGY ASSOC OF NORTHERN PAPC | |||||||
| PO BOX 447 | DU BOIS | PA | 15801 | 251886123 | $21,713 | PATIENT ASSISTANCE | |
| VENANGO ONCOLOGY HEMATOLOGY ASSOC | |||||||
| PO BOX 18837 | NEWARK | NJ | 07191 | 251896639 | $32,858 | PATIENT ASSISTANCE | |
| SCRANTON HEMATOLOGY ONCOLOGY | |||||||
| 743 JEFFERSON AVE 205 | SCRANTON | PA | 18510 | 260004460 | $8,950 | PATIENT ASSISTANCE | |
| UTAH HEMATOLOGY ONCOLOGY | |||||||
| 4403 HARRISON BLVD 1685 | OGDEN | UT | 84403 | 260043031 | $163,122 | PATIENT ASSISTANCE | |
| HH SERVICES BATES ET AL LLC | |||||||
| PO BOX 77000 DEPT 771412 | DETROIT | MI | 48277 | 260396104 | $12,399 | PATIENT ASSISTANCE | |
| DOUGLAS S MEHR MD PC | |||||||
| 3855 W 7800S 100 | WEST JORDAN | UT | 84088 | 260421988 | $7,533 | PATIENT ASSISTANCE | |
| DANIEL HEXTER MD PA | |||||||
| 122 DEFENSE HIGHWAY 210 | ANNAPOLIS | MD | 21401 | 260760317 | $5,757 | PATIENT ASSISTANCE | |
| CAPITAL REGION RETINA PLLC | |||||||
| 1365 WASHINGTON AVE STE101 | ALBANY | NY | 12206 | 261078622 | $18,455 | PATIENT ASSISTANCE | |
| ASHWIN KASHYAP MD INC | |||||||
| 1240 WESTLAKE BLVD 117 | WESTLAKE VILLAGE | CA | 91361 | 261101624 | $15,445 | PATIENT ASSISTANCE | |
| GREEN BAY ORTHOPEDIC LTV | |||||||
| 2223 LIME KILN RD 1 | GREEN BAY | WI | 54311 | 261132759 | $35,674 | PATIENT ASSISTANCE | |
| SARASOTA RETINA INSTITUTE | |||||||
| 3400 BEE RIDGE RD | PINECRAFT | FL | 34239 | 261431864 | $53,437 | PATIENT ASSISTANCE | |
| CANCER CENTER OF SOUTH FLORIDA | |||||||
| 4801 S CONGRESS AVE 201 | LAKE WORTH | FL | 33461 | 261666272 | $39,936 | PATIENT ASSISTANCE | |
| CHESTER COUNTY RHEUMATOLGY PC | |||||||
| 795 E MARSHALL ST 101 | WEST CHESTER | PA | 19380 | 261724004 | $7,959 | PATIENT ASSISTANCE | |
| WOODLANDS MEDICAL SPECIALISTS PA | |||||||
| 1717 NORTH E STREET 231 | PENSACOLA | FL | 32501 | 261802830 | $91,138 | PATIENT ASSISTANCE | |
| RETINA SPECIALIST OF IDAHO PLLC | |||||||
| 13923 W WAINWRIGHT 301 | BOISE | ID | 83713 | 262050357 | $27,380 | PATIENT ASSISTANCE | |
| NW AR RETINA | |||||||
| 601 W MAPLE AVE 205A | SPRINGDALE | AR | 72764 | 262209307 | $87,875 | PATIENT ASSISTANCE | |
| STEVEN E CALL MD | |||||||
| 3651 N 100 E STE 150 | PROVO | UT | 84604 | 262296552 | $6,861 | PATIENT ASSISTANCE | |
| CENTRAL PLAINS EYE MD | |||||||
| 7717 E 29TH 100 | BEL AIRE | KS | 67226 | 262298905 | $9,349 | PATIENT ASSISTANCE | |
| OMID S SHAYE MD | |||||||
| 7320 WOODLAKE AVE 300 | WEST HILLS | CA | 91307 | 262750472 | $6,746 | PATIENT ASSISTANCE | |
| ILLINOIS RETINA CENTER | |||||||
| 1230 CENTRE WEST DR | SPRINGFIELD | IL | 62704 | 262823489 | $11,295 | PATIENT ASSISTANCE | |
| JACK F JACOUB MD INC | |||||||
| 9940 TALBERT AVE 100 | FOUNTAIN VALLEY | CA | 92708 | 262878401 | $36,072 | PATIENT ASSISTANCE | |
| ARIZONA UROLOGY SPECIALIST | |||||||
| DEPT CODE 902 PO BOX 52004 | PHOENIX | AZ | 85072 | 262944556 | $20,620 | PATIENT ASSISTANCE | |
| RELIANT HEALTHCARE | |||||||
| 1004 N 19TH ST | MONROE | LA | 71201 | 262948838 | $7,156 | PATIENT ASSISTANCE | |
| DEACONESS CLINIC | |||||||
| 421 CHESTNUT ST | EVANSVILLE | IN | 47713 | 263083364 | $56,930 | PATIENT ASSISTANCE | |
| HORIZON ONCOLOGY CTR | |||||||
| 1345 UNITY PL 345 | LAFAYETTE | IN | 47905 | 263162145 | $10,096 | PATIENT ASSISTANCE | |
| ROCKDALE MEDICAL CENTER | |||||||
| PO BOX 742381 | ATLANTA | GA | 30374 | 263202930 | $5,208 | PATIENT ASSISTANCE | |
| RETINA & VITREOUS CONSULTANTS OF VA | |||||||
| 420 WEST JUBAL EARLY DR 203 | WINCHESTER | VA | 22601 | 263300015 | $17,160 | PATIENT ASSISTANCE | |
| RETINA & VITREOUS SURGEONS OF UT | |||||||
| 1055 N 300 W 210 | PROVO | UT | 84604 | 263420389 | $12,806 | PATIENT ASSISTANCE | |
| THE RETINA SPECIALIST OF MI | |||||||
| 2757 LEONARD ST NE STE 200 | GRAND RAPIDS | MI | 49525 | 263453700 | $15,913 | PATIENT ASSISTANCE | |
| BRENT A FLICKINGER MD PC | |||||||
| 961A SMOKY MOUNTAIN SPRINGS LANE | GAINESVILLE | GA | 30501 | 263489935 | $5,161 | PATIENT ASSISTANCE | |
| LONE STAR CANCER ASSOCIATION | |||||||
| PO BOX 781905 | SAN ANTONIO | TX | 78278 | 263747461 | $7,847 | PATIENT ASSISTANCE | |
| HENRY C LEE MD PC | |||||||
| PO BOX 8000 DEPT 327 | BUFFALO | NY | 14267 | 263842661 | $25,180 | PATIENT ASSISTANCE | |
| NORTH HOUSTON CANCER CLINICS | |||||||
| 3115 COLLEG PARK DR 108 | SHENANDOAH | TX | 77384 | 263969669 | $7,938 | PATIENT ASSISTANCE | |
| LUTHERAN MEDICAL GROUP | |||||||
| PO BOX 4852 | BELFAST | ME | 04915 | 264213839 | $8,352 | PATIENT ASSISTANCE | |
| MICHAEL EDWARDS DPM | |||||||
| 800 EAST 7TH ST | ODESSA | TX | 79761 | 264300102 | $6,053 | PATIENT ASSISTANCE | |
| MUSKOGEE CANCER CENTER | |||||||
| PO BOX 8915 | BELFAST | ME | 04915 | 264445694 | $14,852 | PATIENT ASSISTANCE | |
| SAVANNAH NEURO SPEC | |||||||
| PO BOX 116161 | ATLANTA | GA | 30368 | 264598467 | $10,494 | PATIENT ASSISTANCE | |
| PIEDMONT RETINA SPECIALISTS PA | |||||||
| 1132 N CHURCH ST 103 | GREENSBORO | NC | 27401 | 264687965 | $30,699 | PATIENT ASSISTANCE | |
| TWIN TIERS ONCOLOGY | |||||||
| PO BOX 1148 | ELMIRA | NY | 14902 | 264711444 | $9,143 | PATIENT ASSISTANCE | |
| GREENWICH MEDICAL PC | |||||||
| 10099 RIDGEGATE PARKWAY SUITE 365 | LONE TREE | CO | 80124 | 264786329 | $5,440 | PATIENT ASSISTANCE | |
| WESTCHESTER CANCER CARE | |||||||
| 175 MEMORIAL HWY 1-10 | NEW ROCHELLE | NY | 10801 | 264834572 | $6,262 | PATIENT ASSISTANCE | |
| DELAWARE VALLEY UROLOGY - WASHINGTON TWNSHP OFFICE | |||||||
| 3 LINCOLN DR W B | MARLTON | NJ | 08053 | 270110791 | $49,635 | PATIENT ASSISTANCE | |
| RETINA VITREOUS CENTER | |||||||
| PO BOX 2492 | EDMOND | OK | 73083 | 270159123 | $23,997 | PATIENT ASSISTANCE | |
| SOUTH FLORIDA MEDICINE | |||||||
| PO BOX 107 | STUART | FL | 34995 | 270186002 | $14,282 | PATIENT ASSISTANCE | |
| COMMUNITY FOUNDATION MEDICAL | |||||||
| PO BOX 28949 | FRESNO | CA | 93729 | 270271872 | $18,340 | PATIENT ASSISTANCE | |
| NEW VISION EYE CTR | |||||||
| 777 37TH ST D103 | VERO BEACH | FL | 32960 | 270354278 | $20,475 | PATIENT ASSISTANCE | |
| CLEVELAND EYECARE & SURGERY | |||||||
| 24755 CHARGIN BLVD STE 345 | BEACHWOOD | OH | 44122 | 270379599 | $6,513 | PATIENT ASSISTANCE | |
| MOHAMED AHMED MD | |||||||
| 908 NIAGARA FALLS BLVD 208 | TONAWANDA | NY | 14120 | 270437873 | $53,970 | PATIENT ASSISTANCE | |
| GREATER HOUSTON PHYSICIAN MEDICAL ASSOCIATION | |||||||
| 8850 SIX PINES DR 270 | SHENANDOAH | TX | 77380 | 270573017 | $28,149 | PATIENT ASSISTANCE | |
| UAP BONE & JOINT CTR | |||||||
| 1725 N FIFTH ST | TERRE HAUTE | IN | 47804 | 270581401 | $8,342 | PATIENT ASSISTANCE | |
| KRISHNAN HEMATOLOGY ONCOLOGY ASSOC | |||||||
| PO BOX 2595 | ELLICOTT CITY | MD | 21041 | 270597913 | $18,026 | PATIENT ASSISTANCE | |
| MACULA DIABETIC & EYE CENTER | |||||||
| 4916 26TH ST W 200 | BRADENTON | FL | 34207 | 270671710 | $9,805 | PATIENT ASSISTANCE | |
| UNITY HEALTH NETWORK LLC | |||||||
| PO BOX 640 | CUYAHOGA FLS | OH | 44222 | 270815205 | $8,524 | PATIENT ASSISTANCE | |
| MOUNTAIN BLUE CANCER CARE CENTER | |||||||
| 400 INDIANA ST 270 | GOLDEN | CO | 80401 | 270834513 | $5,177 | PATIENT ASSISTANCE | |
| ARKFELD PARSON GOLDSTEIN PC | |||||||
| 16820 FRANCES ST STE 100 | OMAHA | NE | 68130 | 270958867 | $14,760 | PATIENT ASSISTANCE | |
| COMPREHENSIVE CANCER CARE | |||||||
| 16977 COLLECTIONS CTR | CHICAGO | IL | 60693 | 270986997 | $17,746 | PATIENT ASSISTANCE | |
| PATEL RETNA INSTITUTE LLC | |||||||
| 210 N STATE ST | CLARK SUMMIT | PA | 18411 | 271272490 | $26,424 | PATIENT ASSISTANCE | |
| GLOBAL ONCOLOGY | |||||||
| 600 N GARFIELD AVE 210 | MONTEREY PARK | CA | 91754 | 271426142 | $6,638 | PATIENT ASSISTANCE | |
| BOX ARTHRITIS & RHEUMATOLOGY OF THE CAROLINAS | |||||||
| 02 PARK RD 100 | CHARLOTTE | NC | 28210 | 271622318 | $6,003 | PATIENT ASSISTANCE | |
| SOUND RETINA | |||||||
| 22445 S 19TH ST 200 | TACOMA | WA | 98405 | 271727189 | $18,031 | PATIENT ASSISTANCE | |
| TULSA CANCER INSTITUTE | |||||||
| PO BOX 505096 | SAINT LOUIS | MO | 63150 | 271806985 | $66,592 | PATIENT ASSISTANCE | |
| GOLD COAST CANCER CENTER | |||||||
| 431 UNIVERSITY BLVD | JUPITER | FL | 33458 | 272061636 | $6,644 | PATIENT ASSISTANCE | |
| M H ALY MD PC | |||||||
| 2 TRICORNE CT | HOLMDEL | NJ | 07733 | 272077616 | $8,097 | PATIENT ASSISTANCE | |
| REDDING ALLERGY AND ASTHMA | |||||||
| 1505 VICTOR AVENUE | REDDING | CA | 96003 | 272390172 | $9,334 | PATIENT ASSISTANCE | |
| PAN COASTAL HEMATOLOGY ONCOLGY | |||||||
| 2417 JENKS AVE | PANAMA CITY | FL | 32405 | 272442492 | $5,813 | PATIENT ASSISTANCE | |
| ALABAMA CANCE CARE | |||||||
| 355 S 2ND ST | GADSDEN | AL | 35901 | 272458311 | $6,506 | PATIENT ASSISTANCE | |
| SAN ANTONIO ARTHRITIS CARE CENTER | |||||||
| 8527 VILLAGE DR 103 | SAN ANTONIO | TX | 78217 | 272571855 | $8,900 | PATIENT ASSISTANCE | |
| SOUTHERN ONCOLOGY SPECIALIST | |||||||
| 10030 GILEAD RD 344 | HUNTERSVILLE | NC | 28078 | 272598523 | $21,163 | PATIENT ASSISTANCE | |
| PAIN AND SPINE CENTERS OF FL | |||||||
| 2146 VINDALE RD | DEER ISLAND | FL | 32778 | 272618053 | $32,446 | PATIENT ASSISTANCE | |
| SOLANO HEMATOLOGY ONCOLOGY | |||||||
| 100 HOSPITAL DR 110 | VALLEJO | CA | 94589 | 272776275 | $7,127 | PATIENT ASSISTANCE | |
| PREMIER HEALTHCARE LLC | |||||||
| 550 LANDMARK AVE | BLOOMINGTON | IN | 47403 | 272805848 | $8,225 | PATIENT ASSISTANCE | |
| WASHINGTON UROLOGY ASSO PLLC | |||||||
| 11911 NE 132ND ST 200 | KIRKLAND | WA | 98034 | 273331851 | $10,000 | PATIENT ASSISTANCE | |
| THE RETINA CENTER OF NEW JERSEY | |||||||
| 1255 BROAD ST STE 104 | BLOOMFIELD | NJ | 07003 | 273654710 | $33,141 | PATIENT ASSISTANCE | |
| OREGON MEDICAL GROUP | |||||||
| PO BOX 1648 | EUGENE | OR | 97440 | 273674492 | $7,591 | PATIENT ASSISTANCE | |
| CAROLINA UROLOGY PARTNERS | |||||||
| 9735 KINCEY AVE STE 201 | HUNTERSVILLE | NC | 28078 | 273905550 | $69,243 | PATIENT ASSISTANCE | |
| TJ HEALTH PARTNERS LLC | |||||||
| 1330 N RACE ST | GLASGOW | KY | 42141 | 273988456 | $5,370 | PATIENT ASSISTANCE | |
| MIDTOWN ALLERGY & ARTHRITIS CARE PC | |||||||
| 35 E 30TH ST STE 1A | NEW YORK | NY | 10016 | 274032754 | $6,253 | PATIENT ASSISTANCE | |
| MT DIABLO SOLANO ONCOLOGY GROUP | |||||||
| 2571 PARK AVE | CONCORD | CA | 94520 | 274038116 | $64,099 | PATIENT ASSISTANCE | |
| CENTRAL PIEDMONT RETINA PA | |||||||
| 3333 BROOKVIEW HILLS BLVD 201 | WINSTON SALEM | NC | 27103 | 274198445 | $137,403 | PATIENT ASSISTANCE | |
| CANCER CARE CENTER PC | |||||||
| 1310 14TH AVE SE | DECATUR | AL | 35601 | 274384748 | $10,131 | PATIENT ASSISTANCE | |
| UC SAN DIEGO CANCER CTR | |||||||
| PO BOX 749733 | LOS ANGELES | CA | 90074 | 274440873 | $7,592 | PATIENT ASSISTANCE | |
| UPMC EAST | |||||||
| PO BOX 382007 | PITTSBURGH | PA | 15250 | 274814831 | $13,329 | PATIENT ASSISTANCE | |
| UROLOGY OF VIRGINIA PLLC | |||||||
| PO BOX 5308 | BELFAST | ME | 04915 | 274848565 | $17,417 | PATIENT ASSISTANCE | |
| VITREO-RETINAL ASSOCIATES OF WORCESTER PC | |||||||
| 67 BELMONT ST SUITE 302 | WORCESTER | MA | 01605 | 300562576 | $7,827 | PATIENT ASSISTANCE | |
| CENTURY MEDICAL ASSOCIATES | |||||||
| 45 SPINDRIFT DR 100 | WILLIAMSVILLE | NY | 14221 | 300744192 | $48,910 | PATIENT ASSISTANCE | |
| FORT HAMILTON HOSPITAL | |||||||
| PO BOX 634682 | CINCINNATI | OH | 45263 | 310536662 | $6,792 | PATIENT ASSISTANCE | |
| KETTERING MEDICAL CENTER | |||||||
| PO BOX 713086 | COLUMBUS | OH | 43271 | 310621866 | $50,600 | PATIENT ASSISTANCE | |
| SOUTHERN OH MEDICAL CENTER | |||||||
| 1248 KINNEYS LANE | PORTSMOUTH | OH | 45662 | 310678022 | $14,547 | PATIENT ASSISTANCE | |
| GREENE MEMORIAL HOSPITAL | |||||||
| PO BOX 715254 | COLUMBUS | OH | 43271 | 310809436 | $8,694 | PATIENT ASSISTANCE | |
| HEMATOLOGY AND ONCOLOGY | |||||||
| 495 COOPER RD STE 225 | WESTERVILLE | OH | 43081 | 310957876 | $40,225 | PATIENT ASSISTANCE | |
| RETINA PHYSICIANS & SURGEONS INC | |||||||
| 89 SYLVANIA DR | DAYTON | OH | 45440 | 311011691 | $28,572 | PATIENT ASSISTANCE | |
| ONCOLOGY HEMATOLOGY CARE | |||||||
| PO BOX 641174 | CINCINNATI | OH | 45264 | 311106418 | $623,523 | PATIENT ASSISTANCE | |
| MIDWEST RETINA | |||||||
| 6655 POST RD | DUBLIN | OH | 43016 | 311116017 | $32,910 | PATIENT ASSISTANCE | |
| MID OHIO ONCOLOGYHEMATOLOGY | |||||||
| 3100 PLAZA PROPERTIES BLVD | COLUMBUS | OH | 43219 | 311141868 | $14,164 | PATIENT ASSISTANCE | |
| ALLIANCE PHYSICIANS INC | |||||||
| PO BOX 71-1808 | COLUMBUS | OH | 43271 | 311175717 | $58,721 | PATIENT ASSISTANCE | |
| MICHAEL PORDY MD INC | |||||||
| 4760 E GALBRAITH RD 114 | CINCINNATI | OH | 45236 | 311284755 | $12,927 | PATIENT ASSISTANCE | |
| JAMES CANCER HOSP | |||||||
| PO BOX 643662 | PITTSBURGH | PA | 15264 | 311322863 | $13,755 | PATIENT ASSISTANCE | |
| ELAINE A BEED MD INC | |||||||
| 10172 WINDSOR WAY | POWELL | OH | 43065 | 311350566 | $9,285 | PATIENT ASSISTANCE | |
| ONC HEM CONSULTANTS OF SE OH INC | |||||||
| 751 FOREST AVE 201 | ZANESVILLE | OH | 43701 | 311418514 | $21,751 | PATIENT ASSISTANCE | |
| COLUMBUS ARTHRITIS CTR | |||||||
| 1211 DUBLIN RD | COLUMBUS | OH | 43215 | 311425166 | $113,218 | PATIENT ASSISTANCE | |
| FAIRFIELD HEALTHCARE PROFESSIONALS | |||||||
| POBOX 2563 | LANCASTER | OH | 43130 | 311425884 | $26,399 | PATIENT ASSISTANCE | |
| MT CARMEL HEALTH SYSTEM | |||||||
| LOCKBOX 931072 | CLEVELAND | OH | 44193 | 311439334 | $5,950 | PATIENT ASSISTANCE | |
| THE RETINA GROUP INC | |||||||
| PO BOX L 2861 | COLUMBUS | OH | 43260 | 311460051 | $69,611 | PATIENT ASSISTANCE | |
| CINCINNATI EYE INSTITUTE | |||||||
| P O BOX 633854 | CINCINNATI | OH | 45263 | 311473421 | $70,559 | PATIENT ASSISTANCE | |
| GOES PHYSICIANS INC | |||||||
| 2330 E HIGH ST | SPRINGFIELD | OH | 45505 | 311499979 | $7,889 | PATIENT ASSISTANCE | |
| ARVIND B SHAH MD INC | |||||||
| 401 DIVISION ST 100 | CHARLESTON | WV | 25309 | 311547442 | $15,447 | PATIENT ASSISTANCE | |
| UNIV OF TN MEDICAL CTR | |||||||
| PO BOX 440164 | NASHVILLE | TN | 37244 | 311626179 | $151,427 | PATIENT ASSISTANCE | |
| PREMIER HEALTHCARE ASSOCIATES | |||||||
| 7702 E PARHAM RD 101 | RICHMOND | VA | 23294 | 311769212 | $10,376 | PATIENT ASSISTANCE | |
| ADENA HEALTH SYSTEM | |||||||
| 272 HOSPITAL RD | CHILLICOTHE | OH | 45601 | 314379443 | $40,871 | PATIENT ASSISTANCE | |
| MARIETTA MEMORIAL HOSPITAL | |||||||
| 401 MATTHEW ST | MARIETTA | OH | 45750 | 314379509 | $10,843 | PATIENT ASSISTANCE | |
| THE RETINA CENTER | |||||||
| 748 STATE ST | MEDFORD | OR | 97504 | 320020235 | $57,478 | PATIENT ASSISTANCE | |
| NORTHERN MI HEMATOLOGY ONCOLOGY | |||||||
| 416 CONNABLE AVE | PETOSKEY | MI | 49770 | 320020293 | $59,004 | PATIENT ASSISTANCE | |
| CANCER SPECIALISTS OF OK | |||||||
| LOCK BOX 20526 | OKLAHOMA CITY | OK | 73156 | 320044441 | $20,004 | PATIENT ASSISTANCE | |
| MERCY DEFIANCE CLINIC | |||||||
| 1400 E SECOND ST | DEFIANCE | OH | 43512 | 320350047 | $7,927 | PATIENT ASSISTANCE | |
| VALLEY RETINA ASSOCIATES MEDICAL GROUP | |||||||
| 16500 VENTURA BLVD 250 | ENCINO | CA | 91436 | 320364437 | $23,564 | PATIENT ASSISTANCE | |
| CANCER CARE ASSOCIATES | |||||||
| 514 N PROSPECT AVE 4TH FLOOR | REDONDO BEACH | CA | 90277 | 330004735 | $6,542 | PATIENT ASSISTANCE | |
| TORRANCE MEMORIAL PHY NETWORK | |||||||
| 514 N PROSPECT AVE 4TH FL | REDONDO BEACH | CA | 90277 | 330073515 | $18,371 | PATIENT ASSISTANCE | |
| KOUSAY AL-KOURAINY MD | |||||||
| 480 4TH AVE 409 | CHULA VISTA | CA | 91910 | 330108259 | $54,343 | PATIENT ASSISTANCE | |
| ST JUDE MEDICAL GROUP | |||||||
| PO BOX 31001-1920 | PASADENA | CA | 91110 | 330185031 | $97,732 | PATIENT ASSISTANCE | |
| VIR K NANDA MD | |||||||
| 12998 HESPERIA RD 204 | VICTORVILLE | CA | 92395 | 330324608 | $6,482 | PATIENT ASSISTANCE | |
| ORANGE COAST ONCOLOGY HEMATOLOGY | |||||||
| 17500 RED HILL AVE 250 | IRVINE | CA | 92614 | 330451980 | $9,817 | PATIENT ASSISTANCE | |
| SABINA WALLACH MD | |||||||
| 9850 GENESEE AVE 400 | LA JOLLA | CA | 92037 | 330524074 | $11,387 | PATIENT ASSISTANCE | |
| PACIFIC SHORES MEDICAL GROUP | |||||||
| 1043 ELM AVE 104 | LONG BEACH | CA | 90813 | 330553940 | $130,067 | PATIENT ASSISTANCE | |
| CANCER CTR ONCOLOGY MED | |||||||
| 5555 GROSSMONT CTR DR | LA MESA | CA | 91942 | 330565963 | $251,736 | PATIENT ASSISTANCE | |
| RIVERSIDE MEDICAL CLINIC | |||||||
| 3660 ARLINGTON AVE | RIVERSIDE | CA | 92506 | 330587303 | $49,958 | PATIENT ASSISTANCE | |
| PACIFIC CANCER MEDICAL CENTER | |||||||
| 1801 W ROMNEYA 203 | ANAHEIM | CA | 92801 | 330588910 | $13,914 | PATIENT ASSISTANCE | |
| MEDICAL ONCOLOGY ASSOC OF SAN DIEGO | |||||||
| 3075 HEALTH CENTER DR 102 | SAN DIEGO | CA | 92123 | 330590652 | $82,797 | PATIENT ASSISTANCE | |
| SOUTHERN CA DESERT RETINA CONSULTANTS | |||||||
| 340 S FARRELL DR A105 | PALM SPRINGS | CA | 92262 | 330592019 | $6,757 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY CONSULTANTS | |||||||
| 301 N SAN JACINTO ST | HEMET | CA | 92543 | 330643850 | $221,116 | PATIENT ASSISTANCE | |
| BEAVER MEDICAL GROUP | |||||||
| PO BOX 2200 | REDLANDS | CA | 92373 | 330645967 | $25,327 | PATIENT ASSISTANCE | |
| CRESCENT HEALTHCARE INC | |||||||
| 2995 MCMILLIAN AVE STE 196 | SAN LUIS OBISPO | CA | 93401 | 330726408 | $22,460 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS OF SOUTHERN CA | |||||||
| 6840 INDIANA AVE 120 | RIVERSIDE | CA | 92506 | 330926562 | $15,719 | PATIENT ASSISTANCE | |
| MINCH FONG MD INC | |||||||
| 24953 PASEO DE VALENCIA 25B | LAGUNA HILLS | CA | 92653 | 330942301 | $6,753 | PATIENT ASSISTANCE | |
| ARTHRITIS & OSTEOPROSIS MEDICAL CENTER | |||||||
| 5451 LA PALMA AVE 25 | LA PALMA | CA | 90623 | 330974721 | $14,096 | PATIENT ASSISTANCE | |
| LALITA PANDIT MD | |||||||
| 11160 WARNER AVE 417 | FOUNTAIN VALLEY | CA | 92708 | 331035337 | $17,566 | PATIENT ASSISTANCE | |
| ST JOSEPH HEALTH CENTER | |||||||
| PO BOX 636458 | CINCINNATI | OH | 45263 | 340505560 | $38,109 | PATIENT ASSISTANCE | |
| AKRON GENERAL MEDICAL CTR | |||||||
| PO BOX 715228 | COLUMBUS | OH | 43271 | 340714478 | $17,287 | PATIENT ASSISTANCE | |
| AULTMAN INFUSION SERV | |||||||
| 2821 WOODLAWN AVE NW | CANTON | OH | 44708 | 340714538 | $21,038 | PATIENT ASSISTANCE | |
| CLEVELAND CLINIC | |||||||
| PO BOX 931058 | CLEVELAND | OH | 44193 | 340714585 | $29,404 | PATIENT ASSISTANCE | |
| SUMMA HEALTH SYSTEM | |||||||
| 161 NORTH FORGE STREET 296 | AKRON | OH | 44304 | 340714755 | $7,798 | PATIENT ASSISTANCE | |
| SOUTHWEST GENERAL HEALTH CENTER | |||||||
| 18697 BAGLEY RD SCC | MIDDLEBURG HEIGHTS | OH | 44130 | 340753531 | $74,209 | PATIENT ASSISTANCE | |
| TOLEDO CLINIC INC | |||||||
| 4235 SECOR RD | TOLEDO | OH | 43623 | 340936207 | $50,413 | PATIENT ASSISTANCE | |
| NORTH CANTON MEDICAL FNDTN | |||||||
| PO BOX 74793 | CLEVELAND | OH | 44194 | 341088530 | $89,624 | PATIENT ASSISTANCE | |
| MAHONING VALLEY HEMA ONC | |||||||
| PO BOX 8500-6536 | PHILADELPHIA | PA | 19178 | 341105439 | $182,486 | PATIENT ASSISTANCE | |
| RETINA VITREOUS ASSOC | |||||||
| 2213 CHERRY ST 400 | TOLEDO | OH | 43608 | 341196311 | $386,141 | PATIENT ASSISTANCE | |
| TRI-COUNTY HEMATOLOGY& ONCOLOGY | |||||||
| PO BOX 36660 | CANTON | OH | 44735 | 341294692 | $276,257 | PATIENT ASSISTANCE | |
| FAIRVIEW EYE CENTER | |||||||
| 21375 LORAIN RD | FAIRVIEW PARK | OH | 44126 | 341311807 | $6,135 | PATIENT ASSISTANCE | |
| CLEVELAND UROLOGY ASSOC | |||||||
| PO BOX 643539 | CINCINNATI | OH | 45264 | 341316840 | $5,177 | PATIENT ASSISTANCE | |
| VITREO RETINAL CONSULTANTS INC | |||||||
| 4676 DOUGLAS CIR | CANTON | OH | 44718 | 341390523 | $6,015 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES OF CLEVELAND | |||||||
| 3401 ENTERPRISE PKWY 300 | BEACHWOOD | OH | 44122 | 341411937 | $217,292 | PATIENT ASSISTANCE | |
| SOUTHWEST UROLOGY | |||||||
| 6900 PEARL RD 2ND FLOOR | CLEVELAND | OH | 44130 | 341509612 | $5,052 | PATIENT ASSISTANCE | |
| UNIVERSITY HOSPITALS OF CLEVELAND | |||||||
| PO BOX 94688 | CLEVELAND | OH | 44194 | 341567805 | $5,097 | PATIENT ASSISTANCE | |
| ROBERT M STERN MD INC | |||||||
| 29101 HEALTH CAMPUS DR 340 | WESTLAKE | OH | 44145 | 341570257 | $7,036 | PATIENT ASSISTANCE | |
| BLOOD & CANCER CENTER INC | |||||||
| 3695 A BOARDMAN CANFIELD RD | CANFIELD | OH | 44406 | 341588272 | $171,798 | PATIENT ASSISTANCE | |
| ALLERGY DIAGNOSTIC SYSTEMS | |||||||
| 24400 HIGHPOINT RD 1 | BEACHWOOD | OH | 44122 | 341638209 | $9,810 | PATIENT ASSISTANCE | |
| DRS MUBASHIR MARQUINEZ & REHMAN INC | |||||||
| 224 W EXCHANGE ST | AKRON | OH | 44302 | 341733317 | $19,970 | PATIENT ASSISTANCE | |
| THE RETINA GRP OF NE OHIO INC | |||||||
| 75 ARCH ST 302 | AKRON | OH | 44304 | 341760572 | $128,058 | PATIENT ASSISTANCE | |
| GABRIAL CANCER CENTER | |||||||
| 4875 HIGBEE AVE NW | CANTON | OH | 44718 | 341769608 | $19,840 | PATIENT ASSISTANCE | |
| PREMIER PHYSICIANS CENTER | |||||||
| PO BOX 74692 | CLEVELAND | OH | 44194 | 341783789 | $12,847 | PATIENT ASSISTANCE | |
| HEMATOLOGY & ONCOLOGY ASSOC | |||||||
| 1455 HARRISON AVE NW 105 | CANTON | OH | 44708 | 341806921 | $7,267 | PATIENT ASSISTANCE | |
| WOOSTER CLEVELAND CLINIC | |||||||
| PO BOX 931087 | CLEVELAND | OH | 44193 | 341855775 | $8,025 | PATIENT ASSISTANCE | |
| PROMDEDICA CENTRAL PHYSICIANS | |||||||
| PO BOX 11043 | BELFAST | ME | 04915 | 341881137 | $7,778 | PATIENT ASSISTANCE | |
| MORNINGSTAR HEMONC INC | |||||||
| 2600 6TH ST SW | CANTON | OH | 44710 | 341920787 | $13,072 | PATIENT ASSISTANCE | |
| THE OAK CLINIC | |||||||
| PO BOX 131886 | HOUSTON | TX | 77219 | 341930683 | $21,495 | PATIENT ASSISTANCE | |
| FLOWER HOSPITAL | |||||||
| P O BOX 632280 | CINCINNATI | OH | 45263 | 344428794 | $7,044 | PATIENT ASSISTANCE | |
| WOOSTER COMMUNITY HOSPITAL | |||||||
| PO BOX 714537 | COLUMBUS | OH | 43271 | 346003129 | $12,846 | PATIENT ASSISTANCE | |
| DEACONESS HOSPITAL | |||||||
| 421 CHESTNUT STREET | EVANSVILLE | IL | 47713 | 350593390 | $15,343 | PATIENT ASSISTANCE | |
| UNION HOSPITAL INC | |||||||
| PO BOX 6190 | INDIANAPOLIS | IN | 46206 | 350876396 | $9,273 | PATIENT ASSISTANCE | |
| FAYETTE REGIONAL HEALTH SERVICES | |||||||
| 1941 VIRGINIA AVE | CONNERSVILLE | IN | 47331 | 350900741 | $10,000 | PATIENT ASSISTANCE | |
| MEMORIAL HOSP & HLTH CARE CTR | |||||||
| PO BOX 150 | JASPER | IN | 47547 | 350985964 | $5,674 | PATIENT ASSISTANCE | |
| HANCOCK REGIONAL HOSPITAL | |||||||
| 801 N STATE STREET | GREENFIELD | IN | 46140 | 351092610 | $6,336 | PATIENT ASSISTANCE | |
| COLUMBUS REGIONAL HOSP CANCER CTR | |||||||
| 2400 E 17TH ST | COLUMBUS | IN | 47201 | 351129669 | $37,931 | PATIENT ASSISTANCE | |
| RHEUMATOLOGY ASSOCIATES PC | |||||||
| 8902 N MERIDIAN ST 108 | INDIANAPOLIS | IN | 46260 | 351373436 | $12,134 | PATIENT ASSISTANCE | |
| FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY | |||||||
| 11143 PARKVIEW PLZ DR 100 | FORT WAYNE | IN | 46845 | 351400631 | $580,915 | PATIENT ASSISTANCE | |
| THERAPY ASSOCIATES | |||||||
| PO BOX 2368 | INDIANAPOLIS | IN | 46206 | 351415104 | $10,728 | PATIENT ASSISTANCE | |
| NORTHERN IN NEUROLOGICAL INST | |||||||
| 521 E 86TH AV Z | MERRILLVILLE | IN | 46410 | 351458053 | $6,938 | PATIENT ASSISTANCE | |
| TRI-STATE OPTHALMOLOGY | |||||||
| 350 W COLUMBIA ST 250 | EVANSVILLE | IN | 47710 | 351462413 | $30,708 | PATIENT ASSISTANCE | |
| FIRST UROLOGY | |||||||
| 3431 SOLUTION CENTER | CHICAGO | IL | 60677 | 351488175 | $7,373 | PATIENT ASSISTANCE | |
| JAMES A FOUNTAIN MD | |||||||
| 8704 N MERIDIAN ST | INDIANAPOLIS | IN | 46260 | 351497551 | $12,316 | PATIENT ASSISTANCE | |
| SUNITI MEDICAL CORPORTATION | |||||||
| 200 EAST 89TH AVE 2A | MERRILLVILLE | IN | 46410 | 351529228 | $38,897 | PATIENT ASSISTANCE | |
| HEMATOLOGY - ONCOLOGY OF IN | |||||||
| 8301 HARCOURT RD 200 | INDIANAPOLIS | IN | 46260 | 351536125 | $9,772 | PATIENT ASSISTANCE | |
| PULMONARY SPECIALISTS OF NW INDIANA | |||||||
| PO BOX 153 | BEDFORD PARK | IL | 60499 | 351627895 | $17,951 | PATIENT ASSISTANCE | |
| MICHIANA HEMATOLOGY ONCOLOGY | |||||||
| PO BOX 448 | SOUTH BEND | IN | 46624 | 351686054 | $285,440 | PATIENT ASSISTANCE | |
| RETINAL INSTITUTE | |||||||
| PO BOX 549 | WABASH | IN | 46992 | 351845786 | $28,041 | PATIENT ASSISTANCE | |
| ELKHART CLINIC LLC | |||||||
| P O BOX 2968 | ELKHART | IN | 46515 | 351911857 | $8,585 | PATIENT ASSISTANCE | |
| ONCOLOGY HEMATOLOGY OF SW IN | |||||||
| PO BOX 3089 | EVANSVILLE | IN | 46515 | 351925136 | $42,967 | PATIENT ASSISTANCE | |
| CLARION HEALTH PARTNERS | |||||||
| 2212 RELIABLE PARKWAY | CHICAGO | IL | 60686 | 351955872 | $18,025 | PATIENT ASSISTANCE | |
| LUTHERAN HOSPITAL OF IN | |||||||
| PO BOX 11729 | FORT WAYNE | IN | 46860 | 351963748 | $17,848 | PATIENT ASSISTANCE | |
| ALLEN COUNTY RETINAL SURGEONS PC | |||||||
| 7900 WEST JEFFERSON 300 | FORT WAYNE | IN | 46804 | 351971489 | $11,019 | PATIENT ASSISTANCE | |
| UROLOGY OF INDIANA LLC | |||||||
| PO BOX 6069 DEPT 14 | INDIANAPOLIS | IN | 46206 | 351998209 | $12,436 | PATIENT ASSISTANCE | |
| EYE SURGEONS OF INDIANA PC | |||||||
| 8103 CLEARVISTA PARKWAY | INDIANAPOLIS | IN | 46256 | 352020403 | $11,774 | PATIENT ASSISTANCE | |
| IMA INC | |||||||
| 550 LANDMARK AVE | BLOOMINGTON | IN | 47403 | 352045239 | $8,858 | PATIENT ASSISTANCE | |
| AMERICAN HEALTH NETWORK | |||||||
| 15397 STONY CREEK WAY 101 | NOBLESVILLE | IN | 46060 | 352108729 | $116,580 | PATIENT ASSISTANCE | |
| FORT WAYNE RETINA PC | |||||||
| 7305 W JEFFERSON BLVD | FORT WAYNE | IN | 46804 | 352115519 | $12,784 | PATIENT ASSISTANCE | |
| JOSEPH BOWEN MD LLC | |||||||
| 1075 CHASE PKWY SUITE A | WATERBURY | CT | 06708 | 352191169 | $6,077 | PATIENT ASSISTANCE | |
| THE RETINA GROUP OPTHAMOLOGY | |||||||
| 6262 E BROADWAY RD 106 | MESA | AZ | 85206 | 352192294 | $5,664 | PATIENT ASSISTANCE | |
| CAROLINA BLOOD & CANCER CARE | |||||||
| 1583 HEALTHCARE DR | ROCK HILL | SC | 29732 | 352221941 | $17,914 | PATIENT ASSISTANCE | |
| FORT LAUDERDALE EYE INSTITUTE | |||||||
| PO BOX 39209 | FORT LAUDERDALE | FL | 33339 | 352308681 | $5,995 | PATIENT ASSISTANCE | |
| OREGON RETINA SPECIALIST LLC | |||||||
| 2859 STATE ST 103 | MEDFORD | OR | 97504 | 352323010 | $5,469 | PATIENT ASSISTANCE | |
| DREW MEMORIAL HOSPITAL | |||||||
| 778 SCOGIN DR | MONTICELLO | AR | 71655 | 352414105 | $5,510 | PATIENT ASSISTANCE | |
| MT SINAI HOSPITAL MEDICAL CENTER | |||||||
| 26467 NETWORK PLACE | CHICAGO | IL | 60673 | 361509000 | $33,872 | PATIENT ASSISTANCE | |
| PALOS COMMUNITY HOSPITAL | |||||||
| 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 362169179 | $6,702 | PATIENT ASSISTANCE | |
| MERCY HOSPITAL MEDICAL CENTER ONCOLOGY | |||||||
| PO BOX 97171 | CHICAGO | IL | 60678 | 362170152 | $8,872 | PATIENT ASSISTANCE | |
| DUPAGE MEDICAL GROUP LTD | |||||||
| 1860 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | 362657618 | $27,601 | PATIENT ASSISTANCE | |
| TRINITY MEDICAL CENTER | |||||||
| PO BOX 7265 | DES MOINES | IA | 50309 | 362739299 | $7,783 | PATIENT ASSISTANCE | |
| GENEVA EYE CLINIC | |||||||
| 1000 RANDALL RD 100 | GENEVA | IL | 60134 | 362892051 | $8,883 | PATIENT ASSISTANCE | |
| ILLINOIS RETINA ASSOCIATES | |||||||
| 71 WEST 156TH 400 | DIXMOOR | IL | 60426 | 362970624 | $116,230 | PATIENT ASSISTANCE | |
| KORATHU THOMAS MD | |||||||
| 2222 W DIVISION ST 210 | CHICAGO | IL | 60622 | 363136089 | $8,990 | PATIENT ASSISTANCE | |
| FOX VALLEY HEMATOLOGY ONCOLOGY | |||||||
| 1710 N RANDALL RD 300 | ELGIN | IL | 60123 | 363138920 | $13,508 | PATIENT ASSISTANCE | |
| NORTHWEST ONCOLOGY & HEMATOLOGY | |||||||
| 3701 ALGONQUIN RD 900 | ROLLING MEADOWS | IL | 60008 | 363395596 | $10,469 | PATIENT ASSISTANCE | |
| ASHBURN FOOT & ANKLE | |||||||
| 8620 S PULASKI RD | CHICAGO | IL | 60652 | 363458210 | $5,703 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES | |||||||
| 2425 W 22ND STREET207 | OAK BROOK | IL | 60523 | 363729867 | $6,594 | PATIENT ASSISTANCE | |
| NORTHERN ILLINOIS RETINA | |||||||
| 4855 E STATE ST | ROCKFORD | IL | 61108 | 363734974 | $44,149 | PATIENT ASSISTANCE | |
| METRO INFECTIOUS DISEASE CONSULTANTS LLC | |||||||
| 901 MCCLINTOCK DR 202 | BURR RIDGE | IL | 60527 | 363966745 | $38,876 | PATIENT ASSISTANCE | |
| ILLINOIS CANCER SPECIALISTS | |||||||
| 3610 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | 363980044 | $20,437 | PATIENT ASSISTANCE | |
| GARY FINKELSTEIN MD EYE ASSOCIATES SC | |||||||
| 102 W ELM ST | STREATOR | IL | 61364 | 364091703 | $5,242 | PATIENT ASSISTANCE | |
| PRONGER SMITH | |||||||
| PO BOX 789 | TINLEY PARK | IL | 60477 | 364121705 | $10,383 | PATIENT ASSISTANCE | |
| BLAKE HORIO MD LTD | |||||||
| PO BOX 643 | OAK BROOK | IL | 60522 | 364166076 | $21,000 | PATIENT ASSISTANCE | |
| ADVANCED CANCER CLINIC | |||||||
| 2222 W DIVISION ST 215 | CHICAGO | IL | 60622 | 364188969 | $26,713 | PATIENT ASSISTANCE | |
| JOON KIM MD | |||||||
| 925 HOFFNER DR | GRAYS LAKE | IL | 60030 | 364243383 | $5,174 | PATIENT ASSISTANCE | |
| ONCOLOGY SPECIALISTS-OALMILL MED CTR | |||||||
| 1700 LUTHER LN FLOOR 2 | PARK RIDGE | IL | 60068 | 364380012 | $18,753 | PATIENT ASSISTANCE | |
| ONCOLOGY PLUS INCORPORATED | |||||||
| 1070 EAST BRANDON BLVD | BRANDON | FL | 33511 | 364435924 | $47,077 | PATIENT ASSISTANCE | |
| LEE CANCER CLINIC LLC | |||||||
| 12781 WORLD PLAZA LN 1 | FORT MYERS | FL | 33907 | 364544554 | $8,931 | PATIENT ASSISTANCE | |
| MEMORIAL MED CTR | |||||||
| PO BOX 19287 | SPRINGFIELD | IL | 62794 | 370661220 | $20,000 | PATIENT ASSISTANCE | |
| SPRINGFIELD CLINIC | |||||||
| PO BOX 19260 | SPRINGFIELD | IL | 62794 | 370701328 | $23,556 | PATIENT ASSISTANCE | |
| MUHAMMAD ZAFAR MD | |||||||
| 122 SOUTH MAIN ST | FLANAGAN | IL | 61740 | 371036154 | $8,471 | PATIENT ASSISTANCE | |
| MARION EYE CENTER LTD | |||||||
| 1200 W DEYOUNG ST | MARION | IL | 62959 | 371073951 | $5,909 | PATIENT ASSISTANCE | |
| MID IL HEMATOLOGY AND ONCOLOGY ASSOCIATES | |||||||
| 407 E VERNON AVE 104 | NORMAL | IL | 61761 | 371096341 | $7,138 | PATIENT ASSISTANCE | |
| CARLE FOUNDATION HOSPITAL | |||||||
| PO BOX 6002 | URBANA | IL | 61803 | 371188284 | $5,040 | PATIENT ASSISTANCE | |
| ONCOLOGY-HEMATOLOGY ASSOC OF CENTRAL IL | |||||||
| 8940 N WOOD SAGE RD | PEORIA | IL | 61615 | 371331017 | $233,048 | PATIENT ASSISTANCE | |
| YAGNESH V OZA MD | |||||||
| PO BOX 2067 | MOUNT VERNON | IL | 62864 | 371343746 | $5,481 | PATIENT ASSISTANCE | |
| FLORIDA RETINA & VITREOUS CENTER | |||||||
| 1170 S SEMORAN BLVD C | AZALEA PARK | FL | 32807 | 371476323 | $5,436 | PATIENT ASSISTANCE | |
| UNIVERSITY OF IL AT CHICAGO | |||||||
| 506 S WRIGHT 209 | URBANA | IL | 61801 | 376000511 | $15,874 | PATIENT ASSISTANCE | |
| WEST SHORE MEDICAL CENTER | |||||||
| 1465 E PARKDALE AVE | MANISTEE | MI | 49660 | 380350304 | $15,705 | PATIENT ASSISTANCE | |
| METROPOLITAN HOSPITAL | |||||||
| PO BOX 159 | GRAND RAPIDS | MI | 49501 | 380593405 | $10,884 | PATIENT ASSISTANCE | |
| MID MICHIGAN MEDICAL CTR | |||||||
| 4005 ORCHARD DR | MIDLAND | MI | 48670 | 380833014 | $26,003 | PATIENT ASSISTANCE | |
| HENRY FORD HOSPITAL | |||||||
| PO BOX 670884 | DETROIT | MI | 48267 | 381357020 | $5,981 | PATIENT ASSISTANCE | |
| ST JOHN HOSPITAL HEALTH SYSTEM | |||||||
| 3187 SOLUTION CENTER | CHICAGO | IL | 60677 | 381359063 | $30,199 | PATIENT ASSISTANCE | |
| MUNSON MEDICAL CTR | |||||||
| PO BOX 1131 | TRAVERSE CITY | MI | 49685 | 381362830 | $39,330 | PATIENT ASSISTANCE | |
| PONTIAC OSTEOPATHIC HOSPITAL | |||||||
| 8172 RELIABLE PKWY | CHICAGO | IL | 60686 | 381428164 | $8,599 | PATIENT ASSISTANCE | |
| INGHAM REGIONAL MEDICAL CENTER | |||||||
| 401 W GREENLAWN AVENUE | LANSING | MI | 48910 | 381434090 | $10,216 | PATIENT ASSISTANCE | |
| WILLIAM BEAUMONT HOSPITAL | |||||||
| PO BOX 5042 | TROY | MI | 48007 | 381459362 | $11,225 | PATIENT ASSISTANCE | |
| LANSING OPHTHALMOLOGY | |||||||
| 2001 COOLIDGE RD | EAST LANSING | MI | 48823 | 381818892 | $8,707 | PATIENT ASSISTANCE | |
| MICHIGAN INSTITUTE FOR NEUROLOGICAL DISORDERS | |||||||
| 28595 ORCHARD LAKE RD | FARMINGTON HILLS | MI | 48334 | 381889896 | $11,973 | PATIENT ASSISTANCE | |
| WILKINSON EYE CENTER | |||||||
| 44555 WOODWARD AVE 203 | PONTIAC | MI | 48341 | 381903789 | $13,681 | PATIENT ASSISTANCE | |
| ASSOCIATED RETINAL | |||||||
| 39650 ORCHARD HILL PL200 | NOVI | MI | 48375 | 381946761 | $935,057 | PATIENT ASSISTANCE | |
| MICHIGAN INSTITUTE OF UROLOGY | |||||||
| 20952 12 MILE RD 200 | ST CLR SHORES | MI | 48081 | 381962231 | $9,589 | PATIENT ASSISTANCE | |
| ALLEGIANCE HEALTH | |||||||
| DEPT 64787 DRAWER 64000 | DETROIT | MI | 48264 | 382027689 | $37,503 | PATIENT ASSISTANCE | |
| SINGH & ARORA ONCOLOGY HEMATOLOGY | |||||||
| 4100 BEECHER RD | FLINT | MI | 48532 | 382199193 | $27,943 | PATIENT ASSISTANCE | |
| GENESEE HEMATOLOGY ONCOLOGY | |||||||
| 302 KENSINGTON AVE | FLINT | MI | 48503 | 382278871 | $73,843 | PATIENT ASSISTANCE | |
| UROLOGIC CONSULTANTS PC | |||||||
| 25 MICHIGAN ST NE SITE 3300 | GRAND RAPIDS | MI | 49503 | 382285194 | $16,311 | PATIENT ASSISTANCE | |
| GRAND RAPIDS OPHTHALMOLOGY | |||||||
| 750 E BELTLINE | GRAND RAPIDS | MI | 49525 | 382394920 | $8,713 | PATIENT ASSISTANCE | |
| ALAN W SOLWAY MD | |||||||
| 32410 FIVE MILE RD 102 | LIVONIA | MI | 48154 | 382626708 | $12,194 | PATIENT ASSISTANCE | |
| RED CEDAR ONCOLOGY | |||||||
| 1550 WATERTOWER PL 500 | EAST LANSING | MI | 48823 | 382744171 | $7,308 | PATIENT ASSISTANCE | |
| SPECTRUM HEALTH REED CITY HOSP | |||||||
| PO BOX K | GRAND RAPIDS | MI | 49501 | 382770076 | $8,289 | PATIENT ASSISTANCE | |
| CANCER & HEMATOLOGY CTR OF WESTERN MICHIGAN | |||||||
| PO BOX 30516 DEPT 6052A | LANSING | MI | 48909 | 382777354 | $55,462 | PATIENT ASSISTANCE | |
| DICKINSON COUNTY HEALTHCARE | |||||||
| PO BOX 2098 | KINGSFORD | MI | 49802 | 382780429 | $7,805 | PATIENT ASSISTANCE | |
| ALLERGY & ASTHMA ASSOCIATES OF MICHIGAN | |||||||
| 3600 W 13 MILE RD | ROYAL OAK | MI | 48073 | 382904386 | $18,367 | PATIENT ASSISTANCE | |
| GRAND VIEW HEALTH SYSTEM | |||||||
| N10561 GRAND VIEW LANE | IRONWOOD | MI | 49938 | 382908586 | $6,603 | PATIENT ASSISTANCE | |
| BAY EYE CARE CTR | |||||||
| 116 N TUSCOLA RD | BAY CITY | MI | 48708 | 382949609 | $8,238 | PATIENT ASSISTANCE | |
| VITREO RETINAL ASSOCIATES PC | |||||||
| 2505 EAST PARIS AVE SUITE 100 | GRAND RAPIDS | MI | 49546 | 382967858 | $31,155 | PATIENT ASSISTANCE | |
| SHORES RHEUMATOLOGY | |||||||
| 29200 HARPER AVE | SAINT CLAIR SHORES | MI | 48081 | 383022841 | $6,882 | PATIENT ASSISTANCE | |
| TLC EYE CARE AND LASER CENTERS | |||||||
| 2723 S STATE ST 220 | ANN ARBOR | MI | 48104 | 383160340 | $26,623 | PATIENT ASSISTANCE | |
| ST JOSEPH MERCY OAKLAND | |||||||
| DEPT CH 10479 | PALATINE | IL | 60055 | 383176536 | $9,581 | PATIENT ASSISTANCE | |
| CEDAR RUN EYE CTR | |||||||
| 3830 W FRONT ST | TRAVERSE CITY | MI | 49684 | 383179940 | $6,493 | PATIENT ASSISTANCE | |
| ANDERSON EYE ASSOCIATES | |||||||
| PO BOX 5649 | SAGINAW | MI | 48603 | 383221412 | $158,630 | PATIENT ASSISTANCE | |
| MERCY CANCER CENTER-CADILLAC | |||||||
| 400 HOBART ST | CADILLAC | MI | 49601 | 383229575 | $8,018 | PATIENT ASSISTANCE | |
| SHORELINE OPTHALMOLOGY | |||||||
| 1266 E SHERMAN BLVD | MUSKEGON | MI | 49444 | 383245641 | $12,909 | PATIENT ASSISTANCE | |
| MID MICHIGAN KIDNEY SPECIALISTS | |||||||
| 1717 E MICHIGAN AVE A | LANSING | MI | 48912 | 383267121 | $41,614 | PATIENT ASSISTANCE | |
| GENESEE CANCER & BLOOD DISEASES | |||||||
| 302 KENSINGTON AVE | FLINT | MI | 48503 | 383285515 | $51,715 | PATIENT ASSISTANCE | |
| ARTHRITIS EDUCATION AND TREATMENT CTR | |||||||
| 1155 E PARIS AVE 100 | GRAND RAPIDS | MI | 49546 | 383421145 | $5,512 | PATIENT ASSISTANCE | |
| EAST CENTRAL ONCOLOGY ASSOCIATES | |||||||
| 4011 ORCHARD DR 1000 | MIDLAND | MI | 48640 | 383441275 | $5,565 | PATIENT ASSISTANCE | |
| INFUSION ASSOCIATES | |||||||
| 3230 EAGLE PARK DR NE 101 | GRAND RAPIDS | MI | 49525 | 383515680 | $7,800 | PATIENT ASSISTANCE | |
| ONCOLOGY HEMATOLOGY ASSOCIATES OF SAGINAW VALLEY PC | |||||||
| 5400 MACKINAW 4200 | SAGINAW | MI | 48604 | 383553403 | $35,354 | PATIENT ASSISTANCE | |
| ALAA OWAINATI MD | |||||||
| 43700 WOODWARD AVE 112 | BLOOMFIELD HILLS | MI | 48302 | 383561543 | $9,934 | PATIENT ASSISTANCE | |
| MIDWEST EYE INSTITUTE | |||||||
| 201 PENNSYLVANIA PKWY | INDIANAPOLIS | IN | 46280 | 383642669 | $10,783 | PATIENT ASSISTANCE | |
| COMPASSIONATE CANCER CARE | |||||||
| 18111 BROOKHURST ST 6100 | FOUNTAIN VALLEY | CA | 92708 | 383650060 | $32,450 | PATIENT ASSISTANCE | |
| ARTHRITIS CARE OF MICHIANA | |||||||
| 100 NAVARRE PL 5570 | SOUTH BEND | IN | 46601 | 383650151 | $22,120 | PATIENT ASSISTANCE | |
| ST ANTHONY HOSPITAL | |||||||
| PO BOX 911400 | PASADENA | CA | 91110 | 383769889 | $6,073 | PATIENT ASSISTANCE | |
| SHARON PENNSYLVANIA HOSPITAL | |||||||
| 8005 COLLECTION CENTER DR | CHICAGO | IL | 60693 | 383920098 | $14,761 | PATIENT ASSISTANCE | |
| THE REGENTS OF THE UNIVERSITY OF MICHIGAN | |||||||
| 1500 E MEDICAL CENTER DR BLGD 358 | ANN ARBOR | MI | 48109 | 386006309 | $6,743 | PATIENT ASSISTANCE | |
| MID MICHIGAN MEDICAL CENTER | |||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 386020434 | $15,834 | PATIENT ASSISTANCE | |
| MARSHFIELD CLINIC | |||||||
| 1000 N OAK AVE | MARSHFIELD | WI | 54449 | 390452970 | $40,976 | PATIENT ASSISTANCE | |
| AURORA HEALTH CARE METRO INC | |||||||
| 1055 N MAYFAIR RD 300 | WAUWATOSA | WI | 53226 | 390806181 | $77,818 | PATIENT ASSISTANCE | |
| AURORA LAKELAND MEDICAL CENTER | |||||||
| 1055 N MAYFAIR RD 300 | MILWAUKEE | WI | 53226 | 390806347 | $6,298 | PATIENT ASSISTANCE | |
| HOLY FAMILY MEMORIAL INC | |||||||
| PO BOX 2170 | MANITOWOC | WI | 54221 | 390806395 | $5,899 | PATIENT ASSISTANCE | |
| WESTFIELDS HOSPITAL | |||||||
| 535 HOSPITAL RD | NEW RICHMOND | WI | 54017 | 390808442 | $5,000 | PATIENT ASSISTANCE | |
| ST VINCENT HOSPITAL | |||||||
| 36540 TREASURY CENTER | CHICAGO | IL | 60694 | 390817529 | $5,175 | PATIENT ASSISTANCE | |
| ST FRANCIS HOSPITAL | |||||||
| BOX 860007 | MINNEAPOLIS | MN | 55486 | 390907740 | $20,352 | PATIENT ASSISTANCE | |
| WAUKESHA MEMORIAL HOSP | |||||||
| 725 AMERICAN AVE | VERNON | WI | 53188 | 390910727 | $7,361 | PATIENT ASSISTANCE | |
| AURORA SHEBOYGAN MEM | |||||||
| PO BOX 8940 | GREEN BAY | WI | 54308 | 390930748 | $13,142 | PATIENT ASSISTANCE | |
| EYE CLINIC OF WI | |||||||
| 614 N 1ST ST | WAUSAU | WI | 54402 | 391093716 | $8,386 | PATIENT ASSISTANCE | |
| CHIPPEWA VALLEY EYE CLINIC | |||||||
| 2715 DAMON ST | EAU CLAIR | WI | 54701 | 391138126 | $18,747 | PATIENT ASSISTANCE | |
| ASPIRUS HOSPITAL | |||||||
| PO BOX 1008 | WAUSAU | WI | 54402 | 391138241 | $5,108 | PATIENT ASSISTANCE | |
| GREEN BAY ONCOLOGY | |||||||
| PO BOX 13453 | GREEN BAY | WI | 54307 | 391314853 | $110,511 | PATIENT ASSISTANCE | |
| EYE CARE SPECIALISTS | |||||||
| 735 W WISCONSIN AVE STE 400 | MILWAUKEE | WI | 53233 | 391344972 | $7,604 | PATIENT ASSISTANCE | |
| WEST SUBURBAN CTR FOR ARTHRITIS | |||||||
| 601 N BARKER RD 110 | BROOKFIELD | WI | 53045 | 391418162 | $60,058 | PATIENT ASSISTANCE | |
| RETINA AND VITREOUS CONSULTANTS OF WISCONSIN | |||||||
| 2600 N MAYFAIR RD 901 | MILWAUKEE | WI | 53226 | 391439215 | $51,819 | PATIENT ASSISTANCE | |
| AURORA ADVANCED HEALTHCARE | |||||||
| PO BOX 404 DEPT 4018 | MILWAUKEE | WI | 53201 | 391595302 | $17,098 | PATIENT ASSISTANCE | |
| AURORA MEDICAL GROUP | |||||||
| PO BOX 979 | SHEBOYGAN | WI | 53082 | 391678306 | $16,852 | PATIENT ASSISTANCE | |
| FOX VALLEY HEMATOLOGY & ONCOLOGY | |||||||
| 900 E GRANT ST | APPLETON | WI | 54911 | 391682233 | $25,368 | PATIENT ASSISTANCE | |
| RHEUMATIC DISEASE CENTER | |||||||
| 7080 N PORT WASHINGTON RD | MILWAUKEE | WI | 53217 | 391713075 | $5,762 | PATIENT ASSISTANCE | |
| VALLEY EYE ASSOCIATES | |||||||
| 21 PARK PLACE | APPLETON | WI | 54914 | 391791932 | $8,385 | PATIENT ASSISTANCE | |
| DOHMEN LIFE SCIENCE SERVICES | |||||||
| 75 REMITTANCE DR STE 6687 | CHICAGO | IL | 60675 | 391821626 | $9,217 | PATIENT ASSISTANCE | |
| UW HEALTH EYE CLINIC | |||||||
| DRAWER 78864 | MILWAUKEE | WI | 53278 | 391824445 | $6,303 | PATIENT ASSISTANCE | |
| UNIVERSITY OF WI HOSPITALS & CLINICS | |||||||
| DRAWER 853 | MILWAUKEE | WI | 53278 | 391835630 | $5,475 | PATIENT ASSISTANCE | |
| NORTHEAST WISCONSIN RETINA | |||||||
| 200 THEDA CLARK PLAZA 110 | NEENAH | WI | 54956 | 391842462 | $32,208 | PATIENT ASSISTANCE | |
| BAY CARE GREEN BAY EYE CLINIC | |||||||
| 2253 W MASON ST 100 | GREEN BAY | WI | 54307 | 391943214 | $18,196 | PATIENT ASSISTANCE | |
| MEMPHIS EYE CLINIC | |||||||
| 6029 WALNUT GROVE RD 101 | MEMPHIS | TN | 38120 | 392067210 | $7,000 | PATIENT ASSISTANCE | |
| FROEDTERT MEMORIAL LUTHERAN HOSPITAL | |||||||
| PO BOX 3202 | MILWAUKEE | WI | 53201 | 396105970 | $32,038 | PATIENT ASSISTANCE | |
| ESSENTIA HEALTH | |||||||
| PO BOX 1450 NW 6026 | MINNEAPOLIS | MN | 55485 | 410695602 | $15,832 | PATIENT ASSISTANCE | |
| HUBERT H HUMPHREY CANCER CTR | |||||||
| 3435 W BROADWAY 1135 | ROBBINSDALE | MN | 55422 | 410729979 | $9,384 | PATIENT ASSISTANCE | |
| UNIV MN CTR FAIRVIEW | |||||||
| PO BOX 147 | MINNEAPOLIS | MN | 55440 | 410991680 | $6,540 | PATIENT ASSISTANCE | |
| THE MINNEAPOLIS CLINIC OF NEUROLOGY | |||||||
| PO BOX 86 | MINNEAPOLIS | MN | 55486 | 410999094 | $7,781 | PATIENT ASSISTANCE | |
| ASSOCIATED EYE CARE | |||||||
| 1719 TOWER DR 100 | STILLWATER | MN | 55082 | 411000647 | $9,182 | PATIENT ASSISTANCE | |
| THE RETINA CENTER PA | |||||||
| 2485 MAPLEWOOD DR N SUITE 213 | MAPLEWOOD | MN | 55109 | 411535029 | $16,827 | PATIENT ASSISTANCE | |
| VITREO RETINAL SURGERY MN CENTER | |||||||
| 7760 FRANCE AVE S 310 | MINNEAPOLIS | MN | 55435 | 411608615 | $82,038 | PATIENT ASSISTANCE | |
| ARTHRITIS & RHEUMATOLOGY CONSULTANTS | |||||||
| 7250 FRANCE AVE S 215 | EDINA | MN | 55435 | 411774839 | $6,362 | PATIENT ASSISTANCE | |
| MINNESOTA ONCOLOGY | |||||||
| 2550 UNIVERSITY AVE W 110N | SAINT PAUL | MN | 55114 | 411793418 | $90,924 | PATIENT ASSISTANCE | |
| SUNCOAST RETINA CONSULTANTS | |||||||
| 3280 N MCMULLEN BOOTH RD STE 120 | CLEARWATER | FL | 33761 | 412104585 | $17,752 | PATIENT ASSISTANCE | |
| CANCER SPECIALISTS OF NORTH FL | |||||||
| PO BOX 674377 | DALLAS | TX | 75267 | 412152274 | $97,221 | PATIENT ASSISTANCE | |
| MILLENNIUM EYE CARE | |||||||
| CL4480 PO BOX 95000 | PHILADELPHIA | PA | 19195 | 412257491 | $55,622 | PATIENT ASSISTANCE | |
| MERCY MEDICAL CENTER | |||||||
| 701 10TH ST SE | CEDAR RAPIDS | IA | 52403 | 420698295 | $5,397 | PATIENT ASSISTANCE | |
| WOLFE EYE CLINIC | |||||||
| 309 EAST CHURCH ST | MARSHALLTOWN | IA | 50158 | 420954581 | $123,538 | PATIENT ASSISTANCE | |
| EYE SURGEONS ASSOCIATES PC | |||||||
| 777 TANGLEFOOT LN | BETTENDORF | IA | 52722 | 421160748 | $29,841 | PATIENT ASSISTANCE | |
| MEDICAL ONCOLOGY & HEMATOLOGY | |||||||
| 1221 PLEASANT ST 100 | DES MOINES | IA | 50309 | 421163076 | $58,700 | PATIENT ASSISTANCE | |
| MAUER EYE CENTER PC | |||||||
| 2515 CYCLONE DR | WATERLOO | IA | 50701 | 421339248 | $5,212 | PATIENT ASSISTANCE | |
| IOWA EYE PC | |||||||
| 1650 1ST AVE NE | CEDAR RAPIDS | IA | 52402 | 421369804 | $8,209 | PATIENT ASSISTANCE | |
| IOWA RETINA CONSULTANTS | |||||||
| 1501 50TH ST 133 | WEST DES MOINES | IA | 50266 | 421377502 | $6,570 | PATIENT ASSISTANCE | |
| CEDAR VALLEY MEDICAL SPECIALISTS PC | |||||||
| 4150 KIMBALL AVE | WATERLOO | IA | 50701 | 421417307 | $104,284 | PATIENT ASSISTANCE | |
| WADZINSKI EYE CLINIC | |||||||
| 5855 SUNNYBROOK DR | SIOUX CITY | IA | 51106 | 421450176 | $6,457 | PATIENT ASSISTANCE | |
| HEARTLAND ONCOLOGY & HEMATOLOGY | |||||||
| ONE EDMUNDSON PL | COUNCIL BLUFFS | IA | 51503 | 421493891 | $8,942 | PATIENT ASSISTANCE | |
| CENTRAL FLORIDA EYE INSTITUTE | |||||||
| 3133 SW 32 AVE | OCALA | FL | 34474 | 421621290 | $11,936 | PATIENT ASSISTANCE | |
| HENNEPIN COUNTY MED CTR | |||||||
| PO BOX 1238 | MINNEAPOLIS | MN | 55440 | 421707837 | $8,175 | PATIENT ASSISTANCE | |
| BAKERSFIELDS HEMATOLOGY ONCOLOGY | |||||||
| 9800 BRIMHALL RD | BAKERSFIELD | CA | 93312 | 421727030 | $14,553 | PATIENT ASSISTANCE | |
| ST JOHNS MEDICAL CTR | |||||||
| PO BOX 18057-B | SAINT LOUIS | MO | 63150 | 430653493 | $26,430 | PATIENT ASSISTANCE | |
| SITEMAN CANCER CNTR WEST | |||||||
| PO BOX 504875 | SAINT LOUIS | MO | 63150 | 430653611 | $48,164 | PATIENT ASSISTANCE | |
| ST LOUIS UNIVERSITY CANCER CTR | |||||||
| PO BOX 18535M | SAINT LOUIS | MO | 63195 | 430654872 | $5,973 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS LTD | |||||||
| PO BOX 60394 | ST LOUIS | MO | 63160 | 430913832 | $113,828 | PATIENT ASSISTANCE | |
| ARTHRITIS CONSULTANTS | |||||||
| 522 N NEW BALLAS RD | SAINT LOUIS | MO | 63141 | 430947490 | $6,155 | PATIENT ASSISTANCE | |
| JEFFERSON CITY MEDICAL GROUP | |||||||
| PO BOX 104240 | JEFFERSON CITY | MO | 65110 | 430954586 | $25,995 | PATIENT ASSISTANCE | |
| SABATES EYE CENTER | |||||||
| PO BOX 26425 | KANSAS CITY | MO | 64196 | 430955525 | $5,015 | PATIENT ASSISTANCE | |
| MERCY HOSPITAL WASHINGTON | |||||||
| PO BOX 502385 | SAINT LOUIS | MO | 63150 | 431066883 | $21,969 | PATIENT ASSISTANCE | |
| COUNTY ONCOLOGISTS | |||||||
| PO BOX 78399 | SAINT LOUIS | MO | 63178 | 431210038 | $16,309 | PATIENT ASSISTANCE | |
| ST LOUIS ONCOLOGY ASSOCIATES INC | |||||||
| 10012 KENNERLY RD 100 | SAINT LOUIS | MO | 63128 | 431240180 | $6,335 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES OF MO | |||||||
| 201 W BROADWAY BLDG 5B | COLUMBIA | MO | 65203 | 431289321 | $52,648 | PATIENT ASSISTANCE | |
| ST LOUIS CANCER CARE | |||||||
| PO BOX 60450 | SAINT LOUIS | MO | 63160 | 431369550 | $26,818 | PATIENT ASSISTANCE | |
| CATARACT & EYE DISEASE SPECS | |||||||
| 3889 VETERANS MEMORIAL PKWY | SAINT PETERS | MO | 63376 | 431444392 | $10,709 | PATIENT ASSISTANCE | |
| MERCY CLINIC SPRINGFIELD COMMUNITIES | |||||||
| PO BOX 505164 | SAINT LOUIS | MO | 63150 | 431560263 | $49,648 | PATIENT ASSISTANCE | |
| SITEMAN CANCER CENTER | |||||||
| 150 ENTRANCE WAY | SAINT PETERS | MO | 63376 | 431681957 | $11,923 | PATIENT ASSISTANCE | |
| SIGNATURE MEDICAL GROUP INC | |||||||
| 12639 OLD TESSON RD STE 115 | SAINT LOUIS | MO | 63128 | 431696710 | $16,696 | PATIENT ASSISTANCE | |
| FREEMAN HEALTH SYSTEM | |||||||
| 1102 W 32ND ST | JOPLIN | MO | 64804 | 431704371 | $26,443 | PATIENT ASSISTANCE | |
| SSM DEPAUL HEALTH CENTER | |||||||
| PO BOX 503602 | SAINT LOUIS | MO | 63150 | 431704972 | $13,777 | PATIENT ASSISTANCE | |
| MISSOURI CANCER ASSOCIATES | |||||||
| 2372 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | 431763016 | $20,824 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES OF ST LOUIS | |||||||
| 1224 GRAHAM RD 3011 | FLORISSANT | MO | 63031 | 431842211 | $10,667 | PATIENT ASSISTANCE | |
| RETINAL ASSOCIATES | |||||||
| 1265 E PRIMROSE | SPRINGFIELD | MO | 65804 | 431842769 | $30,248 | PATIENT ASSISTANCE | |
| CLAYTON MEDICAL | |||||||
| 6400 CLAYTON RD SUITE 110 | SAINT LOUIS | MO | 63117 | 431907813 | $7,553 | PATIENT ASSISTANCE | |
| MERCY ARCH HEMATOLOGY ONCOL | |||||||
| 607 S NEW BALLAS RD 3300 | SAINT LOUIS | MO | 63141 | 431927040 | $15,298 | PATIENT ASSISTANCE | |
| S CO HEMATOLOGY & ONCOLOGY | |||||||
| PO BOX 210337 | CHULA VISTA | CA | 91921 | 431986447 | $56,029 | PATIENT ASSISTANCE | |
| ADVANCED CARE SCRIPTS | |||||||
| DEPT 862 PO BOX 850001 | ORLANDO | FL | 32885 | 432080503 | $7,684 | PATIENT ASSISTANCE | |
| CAPITAL REGION MEDICAL CENTER | |||||||
| 1432 SOUTHWEST BLVD | JEFFERSON CITY | MO | 65109 | 440546366 | $38,566 | PATIENT ASSISTANCE | |
| MERCY CANCER AND HEMATOLOGY | |||||||
| PO BOX 504274 | SAINT LOUIS | MO | 63150 | 440552485 | $98,504 | PATIENT ASSISTANCE | |
| L E COX MEDICAL CTRS | |||||||
| 1423 N JEFFERSON | SPRINGFIELD | MO | 65802 | 440577118 | $38,683 | PATIENT ASSISTANCE | |
| OZARKS MEDICAL CTR | |||||||
| PO BOX 1100 | WEST PLAINS | MO | 65775 | 446005758 | $6,916 | PATIENT ASSISTANCE | |
| ROGER MARIS CANCER CENTER | |||||||
| 801 BROADWAY N | FARGO | ND | 58102 | 450226909 | $5,242 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS LTD | |||||||
| 2345 25TH ST SOUTH | FARGO | ND | 58103 | 450408552 | $9,157 | PATIENT ASSISTANCE | |
| CACHE VALLEY CANCER TREATMENT & RESEARCH CLINIC | |||||||
| 1281 N 600 E | LOGAN | UT | 84341 | 450486684 | $26,271 | PATIENT ASSISTANCE | |
| RUBEN A GRIGORIAN MD PC | |||||||
| 250 STATE FARM PARKWAY | BIRMINGHAM | AL | 35209 | 451063367 | $13,874 | PATIENT ASSISTANCE | |
| JEFFREY J FULLER MD PC | |||||||
| 250 STATE FARM PKWY | BIRMINGHAM | AL | 35209 | 451222579 | $15,533 | PATIENT ASSISTANCE | |
| OAKLAND MEDICAL GROUP | |||||||
| 27301 DEQUINDRE 314 | MADISON HEIGHTS | MI | 48071 | 451674932 | $23,261 | PATIENT ASSISTANCE | |
| NORTH OAKS MEDICAL CENTER LLC | |||||||
| PO BOX 1609 | HAMMOND | LA | 70404 | 451834769 | $5,095 | PATIENT ASSISTANCE | |
| SALEM RHEUMATOLOGY LLC | |||||||
| 960 LIBERTY ST SE 200 | SALEM | OR | 97302 | 452137183 | $14,743 | PATIENT ASSISTANCE | |
| BUX MONT ONCOLOGY HEMATOLOGY | |||||||
| 915 LAWN AVE | SELLERSVILLE | PA | 18960 | 452552343 | $817,038 | PATIENT ASSISTANCE | |
| THE GHOSH CENTER | |||||||
| 1951 51ST ST NE | CEDAR RAPIDS | IA | 52402 | 452581371 | $6,646 | PATIENT ASSISTANCE | |
| THE CHRIST HOSPITAL MEDICAL SPECIALIST 2 | |||||||
| PO BOX 637627 | CINCINNATI | OH | 45263 | 452681845 | $50,739 | PATIENT ASSISTANCE | |
| TEXAS HEALTH HUGULEY | |||||||
| PO BOX 951572 | DALLAS | TX | 75395 | 452694620 | $5,150 | PATIENT ASSISTANCE | |
| FAMILY CANCER CENTER FOUNDATION | |||||||
| PO BOX 741799 | ATLANTA | GA | 30374 | 452842963 | $19,188 | PATIENT ASSISTANCE | |
| INTRAVENE LLC | |||||||
| 2215 LANDOVER PLACE | LYNCHBURG | VA | 24501 | 453049735 | $65,643 | PATIENT ASSISTANCE | |
| CENTRAL FLORIDA CANCER & BLOOD CTR | |||||||
| PO BOX 1988 | OCALA | FL | 34478 | 453262814 | $5,978 | PATIENT ASSISTANCE | |
| INTEGRITY ONCOLOGY FOUNDATION INC | |||||||
| PO BOX 5138 | MEMPHIS | TN | 38101 | 453303687 | $28,014 | PATIENT ASSISTANCE | |
| DCHS MEDICAL FOUNDATION | |||||||
| DEPT 34931 PO BOX 39000 | SAN FRANCISCO | CA | 94139 | 453691852 | $18,830 | PATIENT ASSISTANCE | |
| MOBILE MEDICAL CONSULTANTS | |||||||
| PO BOX 1536 | MANDEVILLE | LA | 70470 | 453913774 | $6,035 | PATIENT ASSISTANCE | |
| HUDSON HEMATOLOGY | |||||||
| 377 JERSEY AVE | JERSEY CITY | NJ | 07306 | 454211891 | $19,262 | PATIENT ASSISTANCE | |
| WINTHROP UROLOGY PC | |||||||
| 700 HICKSVILLE RD 204 | BETHPAGE | NY | 11714 | 454440389 | $21,709 | PATIENT ASSISTANCE | |
| TERRENCE FOLEY MD INC | |||||||
| 7527 FREDLE DR | CONCORD TWP | OH | 44077 | 454522761 | $11,619 | PATIENT ASSISTANCE | |
| JAHLNE EYE ASSOCIATES | |||||||
| 210 W CHESTER PIKE STE 310 | HAVERTOWN | PA | 19083 | 454685955 | $11,613 | PATIENT ASSISTANCE | |
| SHENANDOAH ONCOLOGY PC | |||||||
| PO BOX 602754 | CHARLOTTE | NC | 28260 | 454759270 | $19,059 | PATIENT ASSISTANCE | |
| CRYSTAL MEDICAL GROUP | |||||||
| 310 CENTRAL AVE 106 | EAST ORANGE | NJ | 07018 | 454863386 | $7,509 | PATIENT ASSISTANCE | |
| MIDWEST REG ALLERGY ASTHMA ART AND OST CTR | |||||||
| 1027 S MAIN ST 202 | JOPLIN | MO | 64801 | 454901181 | $18,175 | PATIENT ASSISTANCE | |
| ONCOLOGY HEMATOLOGY ASSOCIATES | |||||||
| 327 MEDICAL PARK DRIVE | BRIDGEPORT | WV | 26330 | 454915866 | $6,045 | PATIENT ASSISTANCE | |
| PROGRESSIVE VISION INSTITUTE OF ALLENTOWN | |||||||
| 201 E LAUREL BLVD | POTTSVILLE | PA | 17901 | 455039203 | $5,028 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY SOLUTIONS OF TALLAHASSEE | |||||||
| 2617 MITCHAM DR 101 | TALLAHASSEE | FL | 32308 | 455170842 | $24,369 | PATIENT ASSISTANCE | |
| REGIONAL MED ONCOLOGY CTR | |||||||
| 2624 ORTHO DR | WILSON | NC | 27893 | 455189279 | $41,360 | PATIENT ASSISTANCE | |
| VITREORETINAL SPECIALISTS PLC | |||||||
| 9400 S SAGINAW RD D | GRAND BLANC | MI | 48439 | 455263774 | $5,233 | PATIENT ASSISTANCE | |
| MID OHIO ONCOLOGYHEMATOLOGY | |||||||
| 3100 PLAZA PROPERTIES BLVD | COLUMBUS | OH | 43219 | 455395632 | $170,473 | PATIENT ASSISTANCE | |
| CANCER SPEC OF N FL -BAPTIST DOWNTOWN | |||||||
| 1235 SAN MARCO BLVD 202 | JACKSONVILLE | FL | 32207 | 455523028 | $375,265 | PATIENT ASSISTANCE | |
| ONCOLOGY & HEMATOLOGY OF SOUTH TX | |||||||
| 2344 LAGUNA DEL MAR CT STE 104 | LAREDO | TX | 78041 | 455552111 | $13,918 | PATIENT ASSISTANCE | |
| OREGON RETINA | |||||||
| 1550 OAK ST STE 4 | EUGENE | OR | 97401 | 455560377 | $13,108 | PATIENT ASSISTANCE | |
| RETINA SPECIALISTS NW PLLC | |||||||
| 33915 1ST WAY S 120 | FEDERAL WAY | WA | 98003 | 455618108 | $10,944 | PATIENT ASSISTANCE | |
| AVERA MCKENNAN HOME INFUSION | |||||||
| 1020 SOUTH CLIFF AVE | SIOUX FALLS | SD | 57104 | 460224743 | $14,363 | PATIENT ASSISTANCE | |
| BLACKHILLS REGIONAL EYE INSTITUTE | |||||||
| 2800 3RD ST | RAPID CITY | SD | 57701 | 460461540 | $22,770 | PATIENT ASSISTANCE | |
| SLINGSBY & WRIGHT EYE CARE LLC | |||||||
| 240 MINNESOTA ST | RAPID CITY | SD | 57701 | 460461850 | $5,726 | PATIENT ASSISTANCE | |
| WILLIAM P MAIER PC | |||||||
| 633 E 11TH AVE | EUGENE | OR | 97401 | 460485850 | $10,261 | PATIENT ASSISTANCE | |
| NSH CANCER PROFESSIONAL G LLC | |||||||
| 1000 JOHNSON FERRY RD | ATLANTA | GA | 30342 | 460676654 | $214,068 | PATIENT ASSISTANCE | |
| AUSTIN CANCER CENTERS | |||||||
| PO BOX 2536 | SAN ANTONIO | TX | 78299 | 460829574 | $32,864 | PATIENT ASSISTANCE | |
| RHEUMATOLOGY SERVICES OFFICE | |||||||
| 3737 SAN DIMAS ST 101 | BAKERSFIELD | CA | 93301 | 460910853 | $16,287 | PATIENT ASSISTANCE | |
| ARTHRITIS CLINIC OF CENTRAL TX PLLC | |||||||
| 1340 WONDER WORLD DR BLDG 2 2203 | SAN MARCOS | TX | 78666 | 461051939 | $5,023 | PATIENT ASSISTANCE | |
| HEALTH FIRST MEDICAL GROUP LLC | |||||||
| 1223 GATEWAY DR | MELBOURNE | FL | 32901 | 461243081 | $142,878 | PATIENT ASSISTANCE | |
| MS CENTER OF NEBRASKA | |||||||
| 575 FALLBROOK BLVD | LINCOLN | NE | 68521 | 461284944 | $6,164 | PATIENT ASSISTANCE | |
| RETINA INSTITUTE PLLC | |||||||
| 4300 TALBOT RD S STE 201 | RENTON | WA | 98055 | 461427591 | $19,116 | PATIENT ASSISTANCE | |
| MIAMI HEMATOLOGY AND ONCOLOGY ASSOCIATES LLC | |||||||
| 1521 ALTON RD 900 | MIAMI BEACH | FL | 33139 | 461569678 | $25,837 | PATIENT ASSISTANCE | |
| RETINA MACULA SPECIALISTS OF MIAMI | |||||||
| 351 NW 42ND AVE 501 | MIAMI | FL | 33126 | 461758367 | $20,449 | PATIENT ASSISTANCE | |
| HORIZON BIOADVANCE | |||||||
| PO BOX 4699 | LA FAYETTE | IN | 47903 | 461776803 | $5,805 | PATIENT ASSISTANCE | |
| PINNACLE ONCOLOGY OKLAHOMA | |||||||
| PO BOX 678453 | DALLAS | TX | 75267 | 461820696 | $15,946 | PATIENT ASSISTANCE | |
| ELLISON WALTON & BYRNE | |||||||
| 2142 W BROAD ST | ATHENS | GA | 30606 | 462091392 | $52,713 | PATIENT ASSISTANCE | |
| ADVANCED UROLOGY INST | |||||||
| PO BOX 13067 | BELFAST | ME | 04915 | 462439971 | $21,296 | PATIENT ASSISTANCE | |
| ALABAMA PROVIDENCE HEALTHCARE | |||||||
| PO BOX 850489 | MOBILE | AL | 36685 | 462847744 | $13,003 | PATIENT ASSISTANCE | |
| DALE BROWN | |||||||
| 250 STATE FARM PARKWAY | BIRMINGHAM | AL | 35209 | 463351170 | $8,305 | PATIENT ASSISTANCE | |
| DUNDY COUNTY HOSPITAL INFUSION CENTER | |||||||
| PO BOX 626 | BENKELMAN | NE | 69021 | 470487831 | $11,236 | PATIENT ASSISTANCE | |
| EYE SURGICAL ASSOCIATES | |||||||
| 1710 S 70TH ST | LINCOLN | NE | 68506 | 470626698 | $78,654 | PATIENT ASSISTANCE | |
| ONCOLOGY ASSOCIATES PC | |||||||
| 8303 DODGE ST 225 | OMAHA | NE | 68114 | 470626996 | $21,483 | PATIENT ASSISTANCE | |
| J C WELCH OPHTHALMOLOGY PC | |||||||
| 2115 N KANSAS AVE 104 | HASTINGS | NE | 68901 | 470717975 | $5,410 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY CONSULTANTS | |||||||
| PO BOX 641850 | OMAHA | NE | 68164 | 470770654 | $30,401 | PATIENT ASSISTANCE | |
| MIDWEST EYE CARE | |||||||
| 4353 DODGE ST | OMAHA | NE | 68137 | 470805428 | $35,111 | PATIENT ASSISTANCE | |
| HEARTLAND HEMATOLGY & ONCOLOGY | |||||||
| 412 W 42ND ST | KEARNEY | NE | 68845 | 470833506 | $30,676 | PATIENT ASSISTANCE | |
| OMAHA EYE & LASER INST | |||||||
| 11606 NICHOLAS ST 200 | OMAHA | NE | 68154 | 470842184 | $8,490 | PATIENT ASSISTANCE | |
| OCALA ONCOLOGY | |||||||
| 433 SW 10TH ST | OCALA | FL | 34474 | 470872321 | $52,298 | PATIENT ASSISTANCE | |
| STORMONT VAIL HEALTHCARE INC | |||||||
| 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 480543789 | $19,864 | PATIENT ASSISTANCE | |
| GOODLAND REGIONAL MEDICAL CENTER | |||||||
| 220 W 2ND | GOODLAND | KS | 67735 | 480725111 | $6,417 | PATIENT ASSISTANCE | |
| VITREO RETINAL CONSULTANTS SURGEONS PA | |||||||
| 530 N LORRAINE | WICHITA | KS | 67214 | 480817150 | $117,353 | PATIENT ASSISTANCE | |
| CENTRAL CARE PA | |||||||
| PO BOX 256 | SALINA | KS | 67402 | 481125116 | $234,590 | PATIENT ASSISTANCE | |
| MOWERY CLINIC | |||||||
| PO BOX 260 | SALINA | KS | 67402 | 481145374 | $18,689 | PATIENT ASSISTANCE | |
| SALINA REGIONAL HEALTH CENTER | |||||||
| 501 S SANTA FE | SALINA | KS | 67401 | 481169103 | $22,153 | PATIENT ASSISTANCE | |
| CENTER FOR SIGHT OF NORTHEAST KANSAS PA | |||||||
| 619 SW CORPORATE VIEW | TOPEKA | KS | 66615 | 481179898 | $12,448 | PATIENT ASSISTANCE | |
| CANCER CENTER OF KS PA | |||||||
| PO BOX 1458 | WICHITA | KS | 67201 | 481181579 | $526,404 | PATIENT ASSISTANCE | |
| UNIV OF KS HOSP AUTH | |||||||
| 1000 E 101 ST TERR | KANSAS CITY | MO | 64131 | 481202402 | $14,961 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES PA | |||||||
| PO BOX 414971 | KANSAS CITY | MO | 64141 | 481211774 | $97,924 | PATIENT ASSISTANCE | |
| KANSAS CITY UROLOGY CARE PA | |||||||
| PO BOX 802257 | KANSAS CITY | MO | 64180 | 481216340 | $54,399 | PATIENT ASSISTANCE | |
| WICHITA UROLOGY GROUP | |||||||
| 2626 N WEBB RD | WICHITA | KS | 67226 | 481253013 | $6,821 | PATIENT ASSISTANCE | |
| BIOSCRIPT INFUSION SERVICES | |||||||
| 14478 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | 481283527 | $6,122 | PATIENT ASSISTANCE | |
| BLOOD & CANCER CTR OF TX | |||||||
| 825 MEDICAL DR | TYLER | TX | 75701 | 481285510 | $28,050 | PATIENT ASSISTANCE | |
| CENTRAL MINNESOTA RETINA SPECIALISTS PLLC | |||||||
| 2330 TROOP DR 104 | SARTELL | MN | 56377 | 500010471 | $15,914 | PATIENT ASSISTANCE | |
| TUNNELL CANCER CENTER | |||||||
| BEEBE HEALTHCARE | PHILADELPHIA | PA | 19182 | 510067938 | $11,702 | PATIENT ASSISTANCE | |
| NANTICOKE CANCER CARE | |||||||
| PO BOX 824318 | PHILADELPHIA | PA | 19182 | 510069243 | $10,000 | PATIENT ASSISTANCE | |
| CHRISTIANA CARE HEALTH SERVICES INC | |||||||
| PO BOX 2653 | WILMINGTON | DE | 19805 | 510103684 | $11,454 | PATIENT ASSISTANCE | |
| SHEPARD MS CENTER | |||||||
| PO BOX 102421 | ATLANTA | GA | 30368 | 510141601 | $5,000 | PATIENT ASSISTANCE | |
| COMMUNITY HOSPITAL | |||||||
| PO BOX 1540 | GREELEY | CO | 80632 | 510147309 | $7,835 | PATIENT ASSISTANCE | |
| REGIONAL HEMATOLOGY & ONCOLOGY PA | |||||||
| 4701 OGLETOWN STANTON RD 2400 | NEWARK | DE | 19713 | 510263837 | $8,837 | PATIENT ASSISTANCE | |
| DELAWARE EYE INSTITUTE | |||||||
| 18791 JOHN J WILLIAMS | DEWEY BEACH | DE | 19971 | 510324524 | $9,178 | PATIENT ASSISTANCE | |
| ASTHMA AND ALLERGY CARE OF DE | |||||||
| 1941 LIMESTONE RD | WILMINGTON | DE | 19808 | 510362371 | $5,885 | PATIENT ASSISTANCE | |
| MEDICAL ONCOLOGY HEMATOLOGY CONSULTANTS PA | |||||||
| 4701 OGLETOWN STANTON RD 3400 | NEWARK | DE | 19713 | 510384913 | $18,370 | PATIENT ASSISTANCE | |
| ATLANTIC UROLOGY CLINICS LLC | |||||||
| PO BOX 602460 | CHARLOTTE | NC | 28260 | 510570029 | $50,677 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES OF ORANGE COUNTY | |||||||
| PO BOX 572528 | SALT LAKE CITY | UT | 84157 | 510665933 | $13,554 | PATIENT ASSISTANCE | |
| FREDERICK MEMORIAL HOSPITAL | |||||||
| 400 WEST SEVENTH ST | FREDERICK | MD | 21701 | 520591612 | $10,247 | PATIENT ASSISTANCE | |
| ST AGNES HOSPITAL | |||||||
| PO BOX 24216 | ARBUTUS | MD | 21227 | 520591657 | $6,927 | PATIENT ASSISTANCE | |
| JOHN HOPKINS UNVERSITY | |||||||
| PO BOX 64474 | BALTIMORE | MD | 21264 | 520595110 | $22,523 | PATIENT ASSISTANCE | |
| PENINSULA EYE CENTER PA | |||||||
| 101 MILFORD ST | SALISBURY | MD | 21804 | 520974706 | $7,282 | PATIENT ASSISTANCE | |
| WASHINGTON ONCOLOGYHEMATOLOGY | |||||||
| 2141 K ST NW 707 | WASHINGTON | DC | 20037 | 521229598 | $7,085 | PATIENT ASSISTANCE | |
| MID ATLANTIC RETINA | |||||||
| PO BOX 972 | BRYN MAWR | PA | 19010 | 521249671 | $189,933 | PATIENT ASSISTANCE | |
| UPPER CHESAPEAKE MEDICAL CTR | |||||||
| PO BOX 418670 | BOSTON | MA | 02241 | 521253920 | $6,764 | PATIENT ASSISTANCE | |
| OMNI EYE SPECIALISTS | |||||||
| 2925 LORD BALTIMORE DR | BALTIMORE | MD | 21244 | 521417115 | $11,564 | PATIENT ASSISTANCE | |
| CHESAPEAKE ONCOLOGY HEMATOLOGY ASSOC | |||||||
| 3001 S HANOVER ST | BALTIMORE | MD | 21225 | 521480363 | $45,181 | PATIENT ASSISTANCE | |
| SHADY GROVE ADVENTIST HOSPITAL | |||||||
| PO BOX 62153 | BALTIMORE | MD | 21264 | 521532556 | $15,000 | PATIENT ASSISTANCE | |
| RETINA GROUP OF WASHINGTON PC | |||||||
| 7501 GREENWAY CTR DR 300 | GREENBELT | MD | 20770 | 521570295 | $20,312 | PATIENT ASSISTANCE | |
| BALTIMORE WASHINGTON PROFESSIONAL SERVICES | |||||||
| PO BOX 64584 | BALTIMORE | MD | 21264 | 521655640 | $5,965 | PATIENT ASSISTANCE | |
| COMPREHENSIVE CANCER & HEMATOLOGY SPECIALISTS | |||||||
| 705 WHITE HORSE RD D-105 | VOORHEES | NJ | 08043 | 521676914 | $29,967 | PATIENT ASSISTANCE | |
| ALPHA NEUROLOGY | |||||||
| 27 NEW DORP LN | STATEN ISLAND | NY | 10306 | 521720823 | $9,991 | PATIENT ASSISTANCE | |
| ELMAN RETINA GROUP PA | |||||||
| 9114 PHILADELPHIA RD STE310 | ROSEDALE | MD | 21237 | 521803322 | $26,208 | PATIENT ASSISTANCE | |
| CENTER FOR CANCER & BLOOD DISORDERS | |||||||
| 6420 ROCKLEDGE DR 4100 | BETHESDA | MD | 20817 | 521840949 | $7,189 | PATIENT ASSISTANCE | |
| KLEIN & ASSOCIATES | |||||||
| 346 MILL ST | HAGERSTOWN | MD | 21740 | 521850319 | $5,814 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS OF DELMARVA | |||||||
| 1415 WESLEY DR | SALISBURY | MD | 21801 | 521862392 | $38,263 | PATIENT ASSISTANCE | |
| DAVID H SMITH MD PA | |||||||
| 8221 TEAL DR 301 | EASTON | MD | 21601 | 521934955 | $19,649 | PATIENT ASSISTANCE | |
| CUMBERLAND VALLEY RETINA CONSULTANTS | |||||||
| 1150 OPAL COURT | HAGERSTOWN | MD | 21740 | 521946106 | $86,140 | PATIENT ASSISTANCE | |
| MORRISTOWN MEMORIAL HOSPITAL | |||||||
| PO BOX 10219 | NEWARK | NJ | 07193 | 521958352 | $46,041 | PATIENT ASSISTANCE | |
| RETINA SPECIALISTS | |||||||
| 6569 N CHARLES ST STE 605 | BALTIMORE | MD | 21204 | 521998865 | $10,620 | PATIENT ASSISTANCE | |
| KATZEN EYE GROUP | |||||||
| 1209 YORK ROAD SUITE 200 | LUTHERVILLE | MD | 21093 | 522000021 | $23,767 | PATIENT ASSISTANCE | |
| EDWARD J GOLDMAN MD PA | |||||||
| 25 CROSSROADS DR 412 | OWINGS MILLS | MD | 21117 | 522007600 | $10,438 | PATIENT ASSISTANCE | |
| ISABELLA MARTIRE MD | |||||||
| 8343 CHERRY LN | LAUREL | MD | 20707 | 522007646 | $5,453 | PATIENT ASSISTANCE | |
| THOMAS SCHLESINGER MD | |||||||
| 3536 MENDOCINO AVE 380 | SANTA ROSA | CA | 95403 | 522085054 | $5,638 | PATIENT ASSISTANCE | |
| THE EYE CENTER OF NORTH FLORIDA | |||||||
| 2500 MARTIN LUTHER KING JR BLVD | PANAMA CITY | FL | 32405 | 522107690 | $6,397 | PATIENT ASSISTANCE | |
| SEIDENBERG PROTZKO EYE ASSOCIATES | |||||||
| 2023 PULASKI HWY | HAVRE DE GRACE | MD | 21078 | 522115189 | $14,697 | PATIENT ASSISTANCE | |
| THE RETINA CARE CENTER | |||||||
| 6115 FALLS RD 300 | BALTIMORE | MD | 21209 | 522117156 | $70,498 | PATIENT ASSISTANCE | |
| CHESAPEAKE UROLOGY | |||||||
| 25 CROSSROADS DR STE 306 | OWINGS MILLS | MD | 21117 | 522146172 | $140,288 | PATIENT ASSISTANCE | |
| BIRMINGHAM HEMATOLOGY & ONCOLOGY | |||||||
| 500 OFFICE PARK DR 400 | BIRMINGHAM | AL | 35223 | 522170293 | $117,222 | PATIENT ASSISTANCE | |
| ROLLA OPHTHALMOLOGY ASSOCIATES | |||||||
| 720 SOUTH BISHOP AVE | ROLLA | MO | 65401 | 522182878 | $11,595 | PATIENT ASSISTANCE | |
| THE GEORGE WASH UNIV MFA | |||||||
| PO BOX 37056 | BALTIMORE | MD | 21297 | 522220700 | $14,897 | PATIENT ASSISTANCE | |
| CENTER FOR RETINAL DISEASES AND SURGERY LLC | |||||||
| 6420 ROCKLEDGE DR STE 4900 | BETHESDA | MD | 20817 | 522268427 | $15,135 | PATIENT ASSISTANCE | |
| AUERBACH HEMATOLOGY ONCOLOGY | |||||||
| 9110 PHILADELPHIA RD 314 | BALTIMORE | MD | 21237 | 522343901 | $5,461 | PATIENT ASSISTANCE | |
| MARY WASHINGTON HOSPITAL | |||||||
| 2300 FALL HILL 313 | FREDERICKSBRG | VA | 22401 | 540519577 | $5,083 | PATIENT ASSISTANCE | |
| VISTAR EYE CENTER | |||||||
| PO BOX 1789 | ROANOKE | VA | 24008 | 540853078 | $110,051 | PATIENT ASSISTANCE | |
| URO ASSOCS CHARLOTTESVILLE | |||||||
| 155 RIVERBEND DR | CHARLOTTESVILLE | VA | 22911 | 540892025 | $5,436 | PATIENT ASSISTANCE | |
| VIRGINIA CANCER INSTITUTE | |||||||
| 6605 W BROAD ST C | RICHMOND | VA | 23230 | 541066435 | $258,276 | PATIENT ASSISTANCE | |
| LYNCHBURG HEMATOLOGY ONCOLOGY CLINIC | |||||||
| 1701 THOMSON DR STE 200 | LYNCHBURG | VA | 24501 | 541111445 | $66,714 | PATIENT ASSISTANCE | |
| UNIVERSITY OF VA HEALTH SERVICES FOUNDATION | |||||||
| PO BOX 9007 | CHARLOTTESVILLE | VA | 22906 | 541124769 | $9,440 | PATIENT ASSISTANCE | |
| VIRGINIA EYE CONSULTANTS | |||||||
| 241 CORPORATE BLVD | NORFOLK | VA | 23502 | 541150779 | $26,029 | PATIENT ASSISTANCE | |
| VIRGINIA UROLOGY CTR PC | |||||||
| PO BOX 79437 | BALTIMORE | MD | 21279 | 541203530 | $12,081 | PATIENT ASSISTANCE | |
| ARTHRITIS & RHEUMATIC DISEASES | |||||||
| 329 MCLAWS CIR | WILLIAMSBURG | VA | 23185 | 541374556 | $21,957 | PATIENT ASSISTANCE | |
| RETINA AND VITREOUS CTR PC | |||||||
| 968 COLONIAL RD 105 | VIRGINIA BEACH | VA | 23454 | 541406743 | $31,558 | PATIENT ASSISTANCE | |
| HEM ONC ASSOC OF FREDERICKSBURG | |||||||
| 231 PARK HILL DR | FREDERICKSBURG | VA | 22041 | 541441458 | $23,317 | PATIENT ASSISTANCE | |
| AUGUSTA HEALTH CARE | |||||||
| PO BOX 1000 | FISHERSVILLE | VA | 22939 | 541453954 | $9,781 | PATIENT ASSISTANCE | |
| HAMPTON ROADS EYE ASSOCIATES | |||||||
| 11800 ROCK LANDING DR | NEWPORT NEWS | VA | 23606 | 541519724 | $47,913 | PATIENT ASSISTANCE | |
| SENTARA NORFOLK GENERAL HOSPITAL | |||||||
| PO BOX 79603 | BALTIMORE | MD | 21279 | 541547408 | $5,862 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES | |||||||
| 190 CAMPUS BLVD 320 | WINCHESTER | VA | 22601 | 541628131 | $5,510 | PATIENT ASSISTANCE | |
| AUGUSTA EYE ASSOCIATES PLC | |||||||
| 17 N MEDICAL PARK DR | FISHERSVILLE | VA | 22939 | 541738160 | $33,656 | PATIENT ASSISTANCE | |
| VIRGINIA ONCOLGY ASSOCIATES | |||||||
| 5900 LAKE WRIGHT DR SUITE 300 | NORFOLK | VA | 23502 | 541768662 | $207,855 | PATIENT ASSISTANCE | |
| VIRGINIA CANCER SPECIALISTS PC | |||||||
| PO BOX 60609 | CHARLOTTE | NC | 28260 | 541795091 | $17,692 | PATIENT ASSISTANCE | |
| TIDEWATER EYE CENTER PC | |||||||
| 3235 ACADEMY AVE 200 | PORTSMOUTH | VA | 23703 | 541890466 | $7,137 | PATIENT ASSISTANCE | |
| NEUROLOGY SPECIALISTS | |||||||
| 6161 KEMPSVILLE CIRCLE 315 | NORFOLK | VA | 23502 | 541911947 | $18,586 | PATIENT ASSISTANCE | |
| BLUE RIDGE CANCER CARE - CHRISTIANSBURG | |||||||
| PO BOX 601507 | CHARLOTTE | NC | 28260 | 541922084 | $169,637 | PATIENT ASSISTANCE | |
| RETINA INSTITUTE OF VA | |||||||
| 8700 STONY POINT PKWY 150 | RICHMOND | VA | 23235 | 541950215 | $100,483 | PATIENT ASSISTANCE | |
| SB KONDRAGUNTA LLC | |||||||
| 34 MEDICAL PARK BLVD G | PETERSBURG | VA | 23805 | 541989200 | $21,239 | PATIENT ASSISTANCE | |
| NATALIE A DOYLE MD PA | |||||||
| 2806 B WOOTEN BLVD | WILSON | NC | 27893 | 542072308 | $10,177 | PATIENT ASSISTANCE | |
| PALMETTO UROLOGY PA | |||||||
| 1747 VILLAGE PARK DR | ORANGEBURG | SC | 29118 | 542081076 | $6,767 | PATIENT ASSISTANCE | |
| LEXINGTON ONCOLOGY ASSOC | |||||||
| 2728 SUNSET BLVD 402 | WEST COLUMBIA | SC | 29169 | 542107467 | $7,580 | PATIENT ASSISTANCE | |
| UNIVERSITY OF VIRGINIA HEALTH SCIENCES CENTER | |||||||
| PO BOX 403059 | ATLANTA | GA | 30384 | 546001796 | $60,115 | PATIENT ASSISTANCE | |
| WHEELING HOSPITAL | |||||||
| 1 MEDICAL PARK STE 202 | WHEELING | WV | 26003 | 550357057 | $20,797 | PATIENT ASSISTANCE | |
| CHARLESTON AREA MEDICAL CENTER | |||||||
| PO BOX 3229 | CHARLESTON | WV | 25325 | 550526150 | $6,723 | PATIENT ASSISTANCE | |
| HUNTINGTON INTERNAL MEDICINE GROUP | |||||||
| 5170 US RT 60 E | HUNTINGTON | WV | 25705 | 550578595 | $31,395 | PATIENT ASSISTANCE | |
| WEST VIRGINIA UNIVERSITY HOSPITALS INC | |||||||
| 1 MEDICAL CENTER DR | MORGANTOWN | WV | 26506 | 550643304 | $5,300 | PATIENT ASSISTANCE | |
| SUSHIL MEHROTRA MD INC | |||||||
| 2101 JACOB ST 302 | WHEELING | WV | 26003 | 550646908 | $6,632 | PATIENT ASSISTANCE | |
| HIGHLANDS CANCER CENTER | |||||||
| 122 ST CHRISTOPHER DR | ASHLAND | KY | 41101 | 550667743 | $18,936 | PATIENT ASSISTANCE | |
| CABELL HUNTINGTON HOSPITAL | |||||||
| 1340 HAL GREER BLVD | HUNTINGTON | WV | 25701 | 550675666 | $10,000 | PATIENT ASSISTANCE | |
| BECKLEY ONCOLOGY ASSOCIATES | |||||||
| 275 DRY HILL RD | BECKLEY | WV | 25801 | 550699734 | $57,616 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS | |||||||
| PO BOX 3970 | CHARLESTON | WV | 25339 | 550703678 | $31,609 | PATIENT ASSISTANCE | |
| CRAIG MORGAN MD | |||||||
| 1611 13TH AVE | HUNTINGTON | WV | 25701 | 550726025 | $135,011 | PATIENT ASSISTANCE | |
| REGIONAL EYE ASSOCIATES INC | |||||||
| 1255 PINEVIEW DR | MORGANTOWN | WV | 26505 | 550740986 | $22,113 | PATIENT ASSISTANCE | |
| PRIMARY ONCOLOGY NETWORK | |||||||
| 1325 LOCUST AVE 15 | FAIRMONT | WV | 26554 | 550763359 | $28,375 | PATIENT ASSISTANCE | |
| EDWARD WAGNER MD | |||||||
| 25500 RANCHO NIGUEL RD 240 | LAGUNA NIGUEL | CA | 92677 | 557297661 | $45,515 | PATIENT ASSISTANCE | |
| CHARLOTTE MEDICAL CENTER | |||||||
| PO BOX 602242 | CHARLOTTE | NC | 28260 | 560529945 | $35,839 | PATIENT ASSISTANCE | |
| RANDOLPH HOSPITAL | |||||||
| PO BOX 1048 | ASHEBORO | NC | 27204 | 560530234 | $25,473 | PATIENT ASSISTANCE | |
| MISSION HOSPITALS INC | |||||||
| PO BOX 751177 | CHARLOTTE | NC | 28275 | 560532141 | $10,417 | PATIENT ASSISTANCE | |
| HIGH POINT REGIONAL HEALTH SYSTEM | |||||||
| 601 N ELM ST | HIGH POINT | NC | 27262 | 560532309 | $63,999 | PATIENT ASSISTANCE | |
| PARK RIDGE HOSPITAL | |||||||
| PO BOX 601556 | CHARLOTTE | NC | 28260 | 560543246 | $40,476 | PATIENT ASSISTANCE | |
| NORTH CAROLINA BAPTIST HOSPITAL | |||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 560552787 | $28,437 | PATIENT ASSISTANCE | |
| NHRMC | |||||||
| 2131 S 17TH STREET | WILMINGTON | NC | 28402 | 560887181 | $5,840 | PATIENT ASSISTANCE | |
| FORSYTH MEMORIAL HOSPITAL INC | |||||||
| PO BOX 75216 | CHARLOTTE | NC | 28275 | 560928089 | $70,888 | PATIENT ASSISTANCE | |
| PINEHURST MEDICAL CLINIC | |||||||
| PO BOX 63283 | CHARLOTTE | NC | 28263 | 560942980 | $32,490 | PATIENT ASSISTANCE | |
| SALISBURY UROLOGICAL CLINIC | |||||||
| 911 W HENDERSON ST 110 | SALISBURY | NC | 28144 | 560944809 | $12,582 | PATIENT ASSISTANCE | |
| CABARRUS EYE CENTER | |||||||
| 201 LEPHILLIP COURT NE | CONCORD | NC | 28025 | 560947951 | $19,652 | PATIENT ASSISTANCE | |
| GRAYSTONE OPHTHAMOLOGY | |||||||
| PO BOX 3445 | HICKORY | NC | 28603 | 560962483 | $25,442 | PATIENT ASSISTANCE | |
| KINSTON MEDICAL SPECIALISTS | |||||||
| 701 DOCTORS DRIVE N | KINSTON | NC | 28501 | 560986098 | $10,413 | PATIENT ASSISTANCE | |
| ROWAN DIAGNOSTIC CLINIC PA | |||||||
| 611 MOCKSVILLE AVE | SALISBURY | NC | 28144 | 560988429 | $7,679 | PATIENT ASSISTANCE | |
| DUKE UNIVERSITY MEDICAL CENTER | |||||||
| PO BOX 900002 | RALEIGH | NC | 27675 | 561029437 | $5,041 | PATIENT ASSISTANCE | |
| MORGANTON EYE PHYSICIANS PA | |||||||
| 335 E PARKER RD | MORGANTON | NC | 28655 | 561109834 | $18,472 | PATIENT ASSISTANCE | |
| UNC HOSPITAL | |||||||
| PO BOX 71060 | CHARLOTTE | NC | 28272 | 561118388 | $6,062 | PATIENT ASSISTANCE | |
| CAROLINA EYE ASSOCIATES | |||||||
| 2170 MIDLAND RD | SOUTHERN PINES | NC | 28387 | 561183309 | $109,847 | PATIENT ASSISTANCE | |
| CAPE FEAR PODIATRY ASSOCIATES PA | |||||||
| 1738 METROMEDICAL DR | FAYETTEVILLE | NC | 28304 | 561245721 | $12,478 | PATIENT ASSISTANCE | |
| ALLERGY PARTNERS OF CENTRAL IN | |||||||
| PO BOX 2227 | SKYLAND | NC | 28776 | 561249571 | $11,969 | PATIENT ASSISTANCE | |
| CAROLINA ONCOLOGY ASSOCIATES | |||||||
| 825 W HENDERSON ST | SALISBURY | NC | 28144 | 561279668 | $5,060 | PATIENT ASSISTANCE | |
| NORTH CAROLINA EYE EAR NOSE AND THROAT | |||||||
| PO BOX 5659 | BELEFAST | ME | 04915 | 561288767 | $23,069 | PATIENT ASSISTANCE | |
| MECKLENBURG NEUROLOGICAL | |||||||
| 1900 SCOTT AVE | CHARLOTTE | NC | 28203 | 561295421 | $8,582 | PATIENT ASSISTANCE | |
| CAROLINA OPHTHALMOLOGY PA | |||||||
| PO BOX 2300 | HENDERSONVILLE | NC | 28793 | 561310375 | $34,332 | PATIENT ASSISTANCE | |
| PINEHURST NEUROLOGY | |||||||
| PO BOX 1749 | PINEHURST | NC | 28370 | 561390310 | $7,824 | PATIENT ASSISTANCE | |
| CAROLINAS MEDICAL CTR | |||||||
| PO BOX 32861 | CHARLOTTE | NC | 28232 | 561398929 | $8,486 | PATIENT ASSISTANCE | |
| CAROMONT MEDICAL GRPARTHRITIS & OSTEOPOROSIS CTR | |||||||
| BOX 5168 | BELFAST | ME | 04915 | 561479712 | $31,853 | PATIENT ASSISTANCE | |
| REX HEMATOLOGY & ONCOLOGY ASSOC | |||||||
| 4420 LAKE BOONE TRAIL | RALEIGH | NC | 27607 | 561509260 | $55,162 | PATIENT ASSISTANCE | |
| RUTHERFORD INTERNAL MEDICINE | |||||||
| PO BOX 602148 | CHARLOTTE | NC | 28260 | 561667838 | $15,204 | PATIENT ASSISTANCE | |
| SOUTHEASTERN MEDICAL ONCOLOGY CENTER | |||||||
| 203 COX BLVD | GOLDSBORO | NC | 27534 | 561711669 | $346,276 | PATIENT ASSISTANCE | |
| MURPHY MEDICAL CENTER | |||||||
| 3990 US HWY 64 E ALT | MURPHY | NC | 28906 | 561844262 | $8,396 | PATIENT ASSISTANCE | |
| BIOLOGIC INC | |||||||
| 120 WESTON OAKS CT | CARY | NC | 27513 | 561861614 | $7,982 | PATIENT ASSISTANCE | |
| GASTON HEMATOLOGY & ONCOLOGY | |||||||
| 2610 ABERDEEN BLVD | GASTONIA | NC | 28054 | 561875764 | $92,189 | PATIENT ASSISTANCE | |
| CHARLOTTE EENT ASSOC | |||||||
| 6035 FAIRVIEW RD | CHARLOTTE | NC | 28216 | 561896112 | $85,655 | PATIENT ASSISTANCE | |
| CORNERSTONE HEALTH CARE | |||||||
| PO BOX 896050 | CHARLOTTE | NC | 28289 | 561935767 | $56,055 | PATIENT ASSISTANCE | |
| FIRST HEALTH OUTPATIENT CANCR CENTER | |||||||
| PO BOX 8500 | PINEHURST | NC | 28374 | 561936354 | $10,764 | PATIENT ASSISTANCE | |
| REGIONAL HEMATOLOGY & ONCOLOGY | |||||||
| 4101 MACON POND RD | RALEIGH | NC | 27609 | 561938316 | $157,560 | PATIENT ASSISTANCE | |
| THE BLOOD & CANCER CLINIC | |||||||
| 1565 PURDUE DR 301 | FAYETTEVILLE | NC | 28303 | 561951959 | $12,819 | PATIENT ASSISTANCE | |
| PIEDMONT HEALTHCARE SPEC | |||||||
| 766 HARTNESS RD | STATESVILLE | NC | 28677 | 561965983 | $24,210 | PATIENT ASSISTANCE | |
| WESTERN CAROLINA RETINAL ASSOC | |||||||
| 8 MEDICAL PARK DRIVE | ASHEVILLE | NC | 28803 | 561967404 | $56,256 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES | |||||||
| 4414 LAKE BOONE TRL 302 | RALEIGH | NC | 27607 | 562043271 | $202,417 | PATIENT ASSISTANCE | |
| HORIZON EYE CARE | |||||||
| PO BOX 60160 | CHARLOTTE | NC | 28260 | 562052180 | $51,556 | PATIENT ASSISTANCE | |
| SAAD UPSTATE NEUROLOGY | |||||||
| PO BOX 2716 | COLUMBIA | SC | 29202 | 562053696 | $18,273 | PATIENT ASSISTANCE | |
| COASTAL CAROLINA HEALTH CARE | |||||||
| PO BOX 12248 | NEW BERN | NC | 28561 | 562054060 | $59,677 | PATIENT ASSISTANCE | |
| DUKE UNIVERSITY MEDICAL CENTER | |||||||
| PO BOX 751274 | CHARLOTTE | NC | 28275 | 562070036 | $16,050 | PATIENT ASSISTANCE | |
| URO SPEC OF THE CAROLINAS UNIV | |||||||
| PO BOX 36488 | CHARLOTTE | NC | 28236 | 562107759 | $6,542 | PATIENT ASSISTANCE | |
| ALLIANCE UROLOGY | |||||||
| 509 N ELAM AVE | GREENSBORO | NC | 27403 | 562140200 | $7,271 | PATIENT ASSISTANCE | |
| RETINA OF COASTAL CAROLINA | |||||||
| 1801 NEW HANOVER MEDICAL PARK DR | WILMINGTON | NC | 28403 | 562162061 | $66,898 | PATIENT ASSISTANCE | |
| CAROLINA RHEUMATOLOGY | |||||||
| 8220 NIGELS DR | MYRTLE BEACH | SC | 29572 | 562165138 | $6,053 | PATIENT ASSISTANCE | |
| ONCOLOGY SPECIALISTS OF CHARLOTTE | |||||||
| 2711 RANDOLPH RD 100 | CHARLOTTE | NC | 28207 | 562179043 | $86,221 | PATIENT ASSISTANCE | |
| ARTHRITIS - OSTEOPOROSIS CONSULTANTS | |||||||
| PO BOX 63235 | CHARLOTTE | NC | 28263 | 562202409 | $27,396 | PATIENT ASSISTANCE | |
| LAKE NORMAN HEMATOLOGY ONCOLOGY SPECIALISTS | |||||||
| 170 MEDICAL PARK RD | MOORESVILLE | NC | 28117 | 562216617 | $35,546 | PATIENT ASSISTANCE | |
| CAROLINA UROLOGICAL ASSOCWINSALEM | |||||||
| PO BOX 25866 | WINSTON SALEM | NC | 27114 | 562227628 | $44,234 | PATIENT ASSISTANCE | |
| MEDICAL EYE ASSOCIATES | |||||||
| 1707 MEDICAL PARK DR W 1 | WILSON | NC | 27893 | 562236739 | $21,848 | PATIENT ASSISTANCE | |
| TAYLOR RETINA CENTER | |||||||
| 1101 DRESSER CT | RALEIGH | NC | 27609 | 562261355 | $17,310 | PATIENT ASSISTANCE | |
| MECKLENBURG MEDICAL GROUP | |||||||
| PO BOX 60063 | CHARLOTTE | NC | 28260 | 562274416 | $35,942 | PATIENT ASSISTANCE | |
| SKAGIT VALLEY HOSPITAL REGIONAL CANCER CARE CENTER | |||||||
| BOX 3548 | SEATTLE | WA | 98124 | 562392010 | $9,432 | PATIENT ASSISTANCE | |
| QUALIFY EYE CENTER | |||||||
| 6 SAMARA CIR | NORTHFIELD | NJ | 08225 | 562398390 | $13,064 | PATIENT ASSISTANCE | |
| NORTHEAST RADIATION ONCOLOGY CENTER | |||||||
| 1110 MEADE ST | DUNMORE | PA | 18512 | 562401588 | $5,520 | PATIENT ASSISTANCE | |
| TEXAS ARTHRITIS & RHEMATOLOGY | |||||||
| PO BOX 8325 | TYLER | TX | 75711 | 562579363 | $6,180 | PATIENT ASSISTANCE | |
| BARNET DULANEY PERKINS EYE CENTER | |||||||
| 4800 N 22ND STREET | PHOENIX | AZ | 85016 | 562589722 | $18,043 | PATIENT ASSISTANCE | |
| ARTHRITIS ASSOCIATES PA | |||||||
| 4511 HORIZON HILL BLVD 150 | SAN ANTONIO | TX | 78229 | 562613565 | $11,457 | PATIENT ASSISTANCE | |
| HAYWOOD REGIONAL MEDICAL CTR | |||||||
| PO BOX 369 | CLYDE | NC | 28721 | 566000535 | $20,020 | PATIENT ASSISTANCE | |
| LENIOR MEMORIAL HOSPITAL | |||||||
| PO BOX 1678 | KINSTON | NC | 28502 | 566000674 | $9,318 | PATIENT ASSISTANCE | |
| SELF REGIONAL HEALTHCARE CANCER CTR | |||||||
| 1325 SPRING ST | GREENWOOD | SC | 29646 | 570331865 | $7,334 | PATIENT ASSISTANCE | |
| GEORGETOWN INFUSION CENTER | |||||||
| 2405 N FRASER ST | GEORGETOWN | SC | 29440 | 570341194 | $38,186 | PATIENT ASSISTANCE | |
| MCLEOD REGIONAL MEDICAL | |||||||
| 555 E CHEVES ST | FLORENCE | SC | 29506 | 570370242 | $18,667 | PATIENT ASSISTANCE | |
| CAROLINA MEDICAL AFFILIATES | |||||||
| PO BOX 2288 | SPARTANBURG | SC | 29304 | 570563123 | $22,763 | PATIENT ASSISTANCE | |
| NEUROLOGY ASSOCIATES OF GREENVILLE | |||||||
| 1130 GROVE RD | GREENVILLE | SC | 29605 | 570637705 | $10,407 | PATIENT ASSISTANCE | |
| PIEDMONT ARTHRITIS CLINIC | |||||||
| 3 ST FRANCIS DR 400 | GREENVILLE | SC | 29601 | 570702625 | $18,623 | PATIENT ASSISTANCE | |
| ANDERSON AREA CANCER CTR | |||||||
| 2000 E GREENVILLE ST 5000 | ANDERSON | SC | 29621 | 570749974 | $15,187 | PATIENT ASSISTANCE | |
| ASSOCIATED MEDICAL SPECIALISTS PA | |||||||
| 8121 ROURK ST | MYRTLE BEACH | SC | 29572 | 570777346 | $124,671 | PATIENT ASSISTANCE | |
| SOUTH CAROLINA ONCOLOGY ASSOCIATES | |||||||
| PO BOX 2046 | WEST COLUMBIA | SC | 29171 | 570787600 | $418,746 | PATIENT ASSISTANCE | |
| LEXINGTON MEDICAL SPECIALIST | |||||||
| 110 E MEDICAL LANE 140 | WEST COLUMBIA | SC | 29169 | 570874077 | $70,147 | PATIENT ASSISTANCE | |
| MUSC RHEU BONE & JOINT CENTER | |||||||
| 2125 CHARLIE HALL BLVD | CHARLESTON | SC | 29414 | 570935917 | $22,865 | PATIENT ASSISTANCE | |
| PALMETTO RETINA CENTER | |||||||
| PO BOX 8864 | RICHLAND | SC | 29202 | 570955585 | $126,283 | PATIENT ASSISTANCE | |
| CAROLINA REGIONAL CANCER CTR | |||||||
| 4708 OLEANDER DR | MYRTLE BEACH | SC | 29577 | 570956164 | $15,456 | PATIENT ASSISTANCE | |
| UROLOGY CENTER OF SPARTANBURG | |||||||
| 391 SERPINTINE DRIVE STE 500 | SPARTANBURG | SC | 29303 | 570959374 | $13,839 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS OF CAROLINA | |||||||
| 1126 GROVE RD | GREENVILLE | SC | 29605 | 570991865 | $49,139 | PATIENT ASSISTANCE | |
| INTERNAL MEDICINE OF GREENVILLE | |||||||
| 1025 VERDAE BLVD A | GREENVILLE | SC | 29607 | 571004971 | $28,676 | PATIENT ASSISTANCE | |
| BON SECOURS ST FRANCIS HOSPITAL | |||||||
| PO BOX 751874 | CHARLOTTE | NC | 28275 | 571067254 | $6,000 | PATIENT ASSISTANCE | |
| CHARLESTON CANCER CTR | |||||||
| 2910 TRICOM ST | CHARLESTON | SC | 29406 | 571071425 | $40,309 | PATIENT ASSISTANCE | |
| PALMETTO INFUSION SERVICES | |||||||
| PO BOX 538476 | ATLANTA | GA | 30353 | 571085343 | $27,982 | PATIENT ASSISTANCE | |
| MEDICAL UNIVERSITY HOSPITAL AUTH | |||||||
| PO BOX 931854 | ATLANTA | GA | 31193 | 571098556 | $116,578 | PATIENT ASSISTANCE | |
| SANTEE HEMATOLOGY ONCOLOGY | |||||||
| 1105 N LAFAYETTE DR A | SUMTER | SC | 29150 | 571111938 | $38,125 | PATIENT ASSISTANCE | |
| SPARTANBURG REGIONAL MED CTR | |||||||
| PO BOX 2168 | SPARTANBURG | SC | 29304 | 576000934 | $165,514 | PATIENT ASSISTANCE | |
| GREENVILLE HOSPITAL SYSTEM-UNIV MED GRP | |||||||
| PO BOX 60087 | CHARLOTTE | NC | 28260 | 576007863 | $24,425 | PATIENT ASSISTANCE | |
| EMORY CRAWFORD LONG HOSPITAL | |||||||
| PO BOX 406864 | ATLANTA | GA | 30384 | 580566200 | $17,233 | PATIENT ASSISTANCE | |
| CANDLER HOSPITAL | |||||||
| PO BOX 11407 DEPT 1627 | BIRMINGHAM | AL | 35202 | 580593388 | $25,831 | PATIENT ASSISTANCE | |
| NORTHEAST GA DIAGNOSTIC CLINIC | |||||||
| 1240 JESSE JEWELL PKWY 500 | GAINESVILLE | GA | 30501 | 580656907 | $111,702 | PATIENT ASSISTANCE | |
| WEST GEORGIA EYE CARE CENTER | |||||||
| 2616 WARM SPRINGS RD | COLUMBUS | GA | 31904 | 581075293 | $18,091 | PATIENT ASSISTANCE | |
| MARIETTA EYE CLINIC PA | |||||||
| PO BOX 932706 | ATLANTA | GA | 31193 | 581106424 | $36,302 | PATIENT ASSISTANCE | |
| GEORGIA UROLOGY PA | |||||||
| 1930 BRANNAN RD | MCDONOUGH | GA | 30253 | 581109444 | $23,914 | PATIENT ASSISTANCE | |
| EYE CONSULTANTS OF ATLANTA | |||||||
| 3225 CUMBERLAND BLVD SE STE 900 | ATLANTA | GA | 30339 | 581129515 | $13,796 | PATIENT ASSISTANCE | |
| COLUMBUS FOOT CARE ASSOCIATES | |||||||
| 1900 10TH AVE 120 | COLUMBUS | GA | 31901 | 581302870 | $5,115 | PATIENT ASSISTANCE | |
| SUMMIT CANCER CARE | |||||||
| 225 CANDLER DR | SAVANNAH | GA | 31405 | 581305331 | $40,869 | PATIENT ASSISTANCE | |
| CARROLLTON EYE CLINIC | |||||||
| 158 CLINIC AVE | CARROLLTON | GA | 30117 | 581328687 | $16,018 | PATIENT ASSISTANCE | |
| ATHENS NEUROLOGICAL ASSOC | |||||||
| 1086 1/2 BAXTER ST | ATHENS | GA | 30606 | 581330744 | $15,724 | PATIENT ASSISTANCE | |
| EYE PHYSICIANS AND SURGEON | |||||||
| 3025 BRECKNRIDGE BLVD 120 | DULUTH | GA | 30096 | 581374387 | $13,081 | PATIENT ASSISTANCE | |
| WEST GEORGIA PODIATRY ASSOCIATES | |||||||
| 125 HISTORY DR | CARROLLTON | GA | 30117 | 581444698 | $8,569 | PATIENT ASSISTANCE | |
| AUGUSTA ONCOLOGY ASSOCIATES | |||||||
| 3696 WHEELER RD | AUGUSTA | GA | 30909 | 581481590 | $164,484 | PATIENT ASSISTANCE | |
| GEORGIA RETINA PC | |||||||
| 155 MEDICAL WAY E | RIVERDALE | GA | 30274 | 581519372 | $471,462 | PATIENT ASSISTANCE | |
| HAMILTON MED CTR | |||||||
| PO BOX 1168 | DALTON | GA | 30722 | 581519911 | $5,489 | PATIENT ASSISTANCE | |
| UNIVERSITY HOSPITAL | |||||||
| 1350 WALTON WAY | AUGUSTA | GA | 30901 | 581581103 | $15,126 | PATIENT ASSISTANCE | |
| MOSES H CONE MEM HOSP | |||||||
| PO BOX 26580 | GREENSBORO | NC | 27415 | 581588823 | $8,338 | PATIENT ASSISTANCE | |
| PERIMETER ORTHOPEDICS PC | |||||||
| 5673 PEACHTREE DUNWOODY RD 825 | ATLANTA | GA | 30342 | 581646346 | $6,645 | PATIENT ASSISTANCE | |
| NE GA MEDICAL CENTER INC | |||||||
| 743 SPRING ST NE | GAINESVILLE | GA | 30501 | 581694098 | $12,765 | PATIENT ASSISTANCE | |
| BIOMEDICAL RESEARCH FOUNDATION | |||||||
| PO BOX 38050 | SHREVEPORT | LA | 71133 | 581711612 | $75,346 | PATIENT ASSISTANCE | |
| SOUTH ATLANTA HEMATOLOGY ONCOLOGY | |||||||
| 34 SE UPPER RIVERDALE RD 200 | RIVERDALE | GA | 30274 | 581715376 | $19,935 | PATIENT ASSISTANCE | |
| PEACHTREE HEMATOLOGY ONCOLOGY | |||||||
| 1800 HOWELL MILL RD NW 775 800 | ATLANTA | GA | 30318 | 581761689 | $39,509 | PATIENT ASSISTANCE | |
| TANNER MEDICAL CENTER CARROLLTON | |||||||
| PO BOX 277368 | ATLANTA | GA | 30384 | 581790149 | $5,296 | PATIENT ASSISTANCE | |
| NW GEORGIA HEMATOLOGY & ONCOLOGY | |||||||
| 1504 N THORNTON AVE 102 | DALTON | GA | 30720 | 581793611 | $28,812 | PATIENT ASSISTANCE | |
| NORTHWEST GA ONCOLOGY CENTERS | |||||||
| 1700 HOSPITAL S DR 300 | AUSTELL | GA | 30106 | 581923818 | $297,587 | PATIENT ASSISTANCE | |
| PHOEBE PUTNEY MEM HOSP INC | |||||||
| PO BOX 3770 | ALBANY | GA | 31706 | 581928247 | $20,546 | PATIENT ASSISTANCE | |
| CENTER FOR SIGHT | |||||||
| 1400 WELLBROOK CIR NE 100 | CONYERS | GA | 30012 | 581929590 | $11,208 | PATIENT ASSISTANCE | |
| CORAM HEALTHCARE CORP OF FL | |||||||
| PO BOX 74789 | CHICAGO | IL | 60694 | 581949695 | $5,338 | PATIENT ASSISTANCE | |
| NORTHSIDE HOSPITAL | |||||||
| PO BOX 101818 | ATLANTA | GA | 30392 | 581954432 | $509,573 | PATIENT ASSISTANCE | |
| CORAM HEALTHCARE CORP OF NV INFUSION | |||||||
| PO BOX 74805 | CHICAGO | IL | 60694 | 581972771 | $10,921 | PATIENT ASSISTANCE | |
| VILLAGE PODIATRY - WOODSTOCK | |||||||
| 900 CIRCLE 75 PKWY | ATLANTA | GA | 30339 | 581994261 | $6,311 | PATIENT ASSISTANCE | |
| GWINNETT MEDICAL CENTER | |||||||
| PO BOX 1190 | LAWRENCEVILLE | GA | 30046 | 582002413 | $118,496 | PATIENT ASSISTANCE | |
| MEADOWS REGIONAL MEDICAL | |||||||
| PO BOX 407 | VIDALIA | GA | 30475 | 582044503 | $12,414 | PATIENT ASSISTANCE | |
| INFUSION PARTNERS | |||||||
| 2151 HIGHLAND AVE SUITE 360 | BIRMINGHAM | AL | 35205 | 582102954 | $12,350 | PATIENT ASSISTANCE | |
| THE LONG STREET CLINIC | |||||||
| PO DRAWER 658 | GAINESVILLE | GA | 30503 | 582117020 | $34,906 | PATIENT ASSISTANCE | |
| THOMAS EYE GROUP | |||||||
| 5671 PEACHTREE DUNWOODY RD 400 | ATLANTA | GA | 30342 | 582209517 | $9,695 | PATIENT ASSISTANCE | |
| HARBIN CLINIC | |||||||
| PO BOX 848290 | BOSTON | MA | 02284 | 582234927 | $68,312 | PATIENT ASSISTANCE | |
| SPALDING ONCOLOGY | |||||||
| 230 D WEST COLLEGE ST | GRIFFIN | GA | 30224 | 582295975 | $5,891 | PATIENT ASSISTANCE | |
| TANNER MEDICAL CENTER | |||||||
| PO BOX 277368 | ATLANTA | GA | 30384 | 582453303 | $26,725 | PATIENT ASSISTANCE | |
| PRECISION HEALTHCARE INC | |||||||
| PO BOX 306075 | NASHVILLE | TN | 37214 | 582520108 | $7,739 | PATIENT ASSISTANCE | |
| CENTRAL GEORGIA CANCER CARE PC | |||||||
| 1062 FORSYTH ST 1B | MACON | GA | 31201 | 582537874 | $168,380 | PATIENT ASSISTANCE | |
| WOOLFSON EYE INSTITUTE | |||||||
| 800 MT VERNON HWY STE 125 | ATLANTA | GA | 30328 | 582559300 | $8,794 | PATIENT ASSISTANCE | |
| COLUMBUS MEDICAL ONCOLOGY ASSOCIATES | |||||||
| 2121 WARMSPRINGS RD A | COLUMBUS | GA | 31904 | 582563754 | $12,303 | PATIENT ASSISTANCE | |
| SUBURBAN HEMATOLOGY ONCOLOGY | |||||||
| 1700 TREE LANE RD 490 | SNELLVILLE | GA | 30078 | 582590501 | $6,664 | PATIENT ASSISTANCE | |
| NORTH GEORGIA UROLOGY CENTER | |||||||
| PO BOX 12237 | BELFAST | ME | 04915 | 582650795 | $20,000 | PATIENT ASSISTANCE | |
| SOUTH GEORGIA MED CTR | |||||||
| PO BOX 0070 | VALDOSTA | GA | 31603 | 586004467 | $18,540 | PATIENT ASSISTANCE | |
| SACRED HEART HOSPITAL | |||||||
| PO BOX 2728 | PENSACOLA | FL | 32513 | 590634434 | $182,626 | PATIENT ASSISTANCE | |
| MARTIN MEMORIAL CANCER CENTER INFUSION SUITE | |||||||
| 501 E OSCEOLA ST 3RD FL 302 | STUART | FL | 34994 | 590637874 | $21,379 | PATIENT ASSISTANCE | |
| WATSON CLINIC KIDNEY CTR | |||||||
| 1550 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 590704934 | $81,367 | PATIENT ASSISTANCE | |
| HOLY CROSS HOSPITAL | |||||||
| DRAWER CS100990 | ATLANTA | GA | 30384 | 590791028 | $15,556 | PATIENT ASSISTANCE | |
| MEMORIAL HEALTH SYSTEMS INC | |||||||
| 224 MEMORIAL MEDICAL PKWY | DAYTONA BEACH | FL | 32117 | 590973502 | $36,887 | PATIENT ASSISTANCE | |
| CENTER FOR HEMATOLOGY ONCOLOGY | |||||||
| 801 MEADOWS RD STE 102 | BOCA RATON | FL | 33486 | 591006663 | $17,987 | PATIENT ASSISTANCE | |
| ST LUKES CATARACT & LASER INST | |||||||
| PO BOX 918926 | ORLANDO | FL | 32891 | 591224512 | $20,121 | PATIENT ASSISTANCE | |
| SUNCOAST INTERNAL MEDICINE | |||||||
| 13644 WALSINGHAM RD | LARGO | FL | 33774 | 591273247 | $12,072 | PATIENT ASSISTANCE | |
| OCALA EYE PA | |||||||
| 1500 SE MAGNOLIA EXT 206 | OCALA | FL | 34471 | 591363248 | $12,455 | PATIENT ASSISTANCE | |
| EYE ASSOCIATES OF BOCA RATON | |||||||
| 950 NW 13TH ST | BOCA RATON | FL | 33486 | 591403353 | $7,998 | PATIENT ASSISTANCE | |
| FL EYE CLINIC | |||||||
| 160 BOSTON AVE | ALTAMONTE SPRINGS | FL | 32701 | 591493386 | $6,736 | PATIENT ASSISTANCE | |
| RETINA VITREOUS ASSOCIATES OF FLORIDA | |||||||
| 2705 W SAINT ISABEL ST | TAMPA | FL | 33607 | 591501675 | $79,375 | PATIENT ASSISTANCE | |
| FLORIDA CLINICAL PRACTICE ASSOC | |||||||
| PO BOX 918025 | ORLANDO | FL | 32891 | 591680273 | $7,817 | PATIENT ASSISTANCE | |
| BOND CLINIC PA | |||||||
| 500 E CENTRAL AVE | WINTER HAVEN | FL | 33880 | 591867898 | $8,561 | PATIENT ASSISTANCE | |
| ROBERT BOISSONEAULT ONCOLOGY INST | |||||||
| 2020 SE 17TH ST | OCALA | FL | 34471 | 591901972 | $6,940 | PATIENT ASSISTANCE | |
| STUART ONCOLOGY ASSOCIATES | |||||||
| 501 E OSCEOLA ST 3RD FL 301 | STUART | FL | 34994 | 592003116 | $108,974 | PATIENT ASSISTANCE | |
| FLORIDA RETINA INSTITUTE | |||||||
| 2639 OAK ST | JACKSONVILLE | FL | 32204 | 592009089 | $49,840 | PATIENT ASSISTANCE | |
| MID-FL HEMATOLOY ONCOLOGY PA | |||||||
| 2776 ENTEREPRISE RD 100 | ORANGE CITY | FL | 32763 | 592021436 | $23,879 | PATIENT ASSISTANCE | |
| VITREO & RETINA ASSOC | |||||||
| 4340 NEWBERRY RD 202 | GAINESVILLE | FL | 32607 | 592046817 | $21,576 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS OF SW FL | |||||||
| 6901 INTERNATIONAL CTR BLVD | FORT MYERS | FL | 33912 | 592086792 | $85,117 | PATIENT ASSISTANCE | |
| HEMATOLOGY & ONCOLOGY CONSULTANTS | |||||||
| 2501 N ORANGE AVE 381 | ORLANDO | FL | 32804 | 592109057 | $127,587 | PATIENT ASSISTANCE | |
| ROBERTO ARAUJO MD | |||||||
| 3000 US HWY 19 | HOLIDAY | FL | 34691 | 592109527 | $6,485 | PATIENT ASSISTANCE | |
| WEST FLMEDICAL CENTER CLINIC | |||||||
| PO BOX 11407 LOCK BOX 1328 | BIRMINGHAM | AL | 35246 | 592193856 | $7,756 | PATIENT ASSISTANCE | |
| SARASOTA RETINA INSTITUTE | |||||||
| 3400 BEE RIDGE RD 200 | SARASOTA | FL | 34239 | 592248237 | $10,652 | PATIENT ASSISTANCE | |
| URO-SURG ASSOCIATES | |||||||
| PO BOX 862152 | ORLANDO | FL | 32886 | 592485899 | $22,414 | PATIENT ASSISTANCE | |
| UMDC-DEPT OF OPTHALMOLOGY | |||||||
| PO BOX 025809 | MIAMI | FL | 33102 | 592579838 | $18,131 | PATIENT ASSISTANCE | |
| ORLANDO FOOT & ANKLE CLINIC | |||||||
| PO BOX 140233 | ORLANDO | FL | 32814 | 592580012 | $16,184 | PATIENT ASSISTANCE | |
| RETINAL EYE CARE ASSOC | |||||||
| 4175 S CONGRESS AVE V | LAKE WORTH | FL | 33461 | 592642150 | $9,614 | PATIENT ASSISTANCE | |
| ALLERGY ASSOCIATES | |||||||
| 6294 1ST AVE N | SAINT PETERSBURG | FL | 33710 | 592643611 | $12,479 | PATIENT ASSISTANCE | |
| CENTER FOR SIGHT | |||||||
| 1360 E VENICE AVE | VENICE | FL | 34285 | 592691910 | $19,783 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES OF FL | |||||||
| 602 S MACDILL AVE | TAMPA | FL | 33609 | 592695288 | $68,320 | PATIENT ASSISTANCE | |
| OPHTALMIC CONSULTANTS | |||||||
| 1700 S TUTTLE AVE | SARASOTA | FL | 34239 | 592726035 | $14,216 | PATIENT ASSISTANCE | |
| EMERALD COAST CANCER CENTER | |||||||
| 1024 MAR WALT DR | FORT WALTON BEACH | FL | 32547 | 592877531 | $42,059 | PATIENT ASSISTANCE | |
| EAST FLORIDA EYE INSTITUTE | |||||||
| PO BOX 896 | STUART | FL | 34995 | 592936142 | $8,301 | PATIENT ASSISTANCE | |
| BAY ONCOLOGY CENTER | |||||||
| 2614 JENKS AVE | PANAMA CITY | FL | 32405 | 592980557 | $15,948 | PATIENT ASSISTANCE | |
| VITREOUS AND RETINA CONSULTANTS | |||||||
| 250 AVE K SW 200 | WINTER HAVEN | FL | 33880 | 593028408 | $86,566 | PATIENT ASSISTANCE | |
| JAMES H GUILDFORD MD | |||||||
| 1500 N DIXIE HIGHTWAY 209 | WEST PALM BEACH | FL | 33401 | 593112172 | $5,491 | PATIENT ASSISTANCE | |
| FLORIDA MEDICAL CLINIC | |||||||
| 38135 MARKET SQ | ZEPHYRHILLS | FL | 33542 | 593156212 | $21,089 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY ASSOCIATES OF CENTRAL BREVARD | |||||||
| 107 LONGWOOD AVE | ROCKLEDGE | FL | 32955 | 593169766 | $181,223 | PATIENT ASSISTANCE | |
| OMNI HEALTHCARE | |||||||
| 95 BULLDOG BLVD 100 | MELBOURNE | FL | 32901 | 593169815 | $17,576 | PATIENT ASSISTANCE | |
| CITRUS HEMATOLOGY & ONCOLOGY | |||||||
| 770 SE 5TH TER | CRYSTAL RIVER | FL | 34429 | 593208438 | $9,133 | PATIENT ASSISTANCE | |
| CANCER INSTITUTE OF FL | |||||||
| 894 E ALTAMONTE DR | ALTAMONTE SPRINGS | FL | 32701 | 593214635 | $51,244 | PATIENT ASSISTANCE | |
| ORLICK BERGER KASPER MD PA | |||||||
| 5800 49TH ST N S109 | SAINT PETERSBURG | FL | 33709 | 593219393 | $65,806 | PATIENT ASSISTANCE | |
| H LEE MOFFITT CANCER CENTER | |||||||
| 12902 MAGNOLIA DR | TAMPA | FL | 33612 | 593238634 | $33,594 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY ASSOCIATES OF CENTRAL BRE | |||||||
| 107 LONGWOOD AVE | ROCKLEDGE | FL | 32955 | 593268119 | $11,663 | PATIENT ASSISTANCE | |
| RAKESH ROHATGI MD | |||||||
| 321 SE 29TH PL STE 102 | OCALA | FL | 34471 | 593329469 | $159,348 | PATIENT ASSISTANCE | |
| MAYO CLINIC | |||||||
| 4500 SAN PABLO RD S | JACKSONVILLE | FL | 32224 | 593337028 | $5,262 | PATIENT ASSISTANCE | |
| MAGRUDER EYE INSTITUTE | |||||||
| 1911 N MILLS AVE | ORLANDO | FL | 32803 | 593347759 | $18,794 | PATIENT ASSISTANCE | |
| MEDICAL ASSOC OF BREVARD | |||||||
| 2290 W EAU GALLIE BLVD | MELBOURNE | FL | 32935 | 593360315 | $51,914 | PATIENT ASSISTANCE | |
| PINELLAS HEMATOLOGY AND ONCOLOGY | |||||||
| 5000 PARK ST N 1017 | SAINT PETERSBURG | FL | 33709 | 593363610 | $82,938 | PATIENT ASSISTANCE | |
| SPACECOAST MED ASSOC | |||||||
| 490 N WASHINGTON AVE | TITUSVILLE | FL | 32796 | 593369134 | $114,088 | PATIENT ASSISTANCE | |
| PHYSICIAN SURGICAL NETWORK | |||||||
| 1020 W OAK ST | KISSIMMEE | FL | 34741 | 593370576 | $10,208 | PATIENT ASSISTANCE | |
| FLORIDA EYE CONSULTANTS | |||||||
| 1995 W NASA BLVD STE 2 | WEST MELBOURNE | FL | 32904 | 593395074 | $97,625 | PATIENT ASSISTANCE | |
| TAMPA EYE CLINIC | |||||||
| 3000 W MLK BLVD | TAMPA | FL | 33607 | 593395383 | $17,299 | PATIENT ASSISTANCE | |
| STUART J KAUFMAN MD & ASSOC PA | |||||||
| 6329 GALL BLVD | ZEPHYRHILLS | FL | 33542 | 593397752 | $8,194 | PATIENT ASSISTANCE | |
| THE EYE INSTITUTE OF WEST FLORIDA | |||||||
| 148 13TH ST SW | LARGO | FL | 33770 | 593400241 | $16,679 | PATIENT ASSISTANCE | |
| OPHTHALMIC PARTNERS FL | |||||||
| 111 N ORANGE AVE SUITE 110 | ORLANDO | FL | 32801 | 593419924 | $14,596 | PATIENT ASSISTANCE | |
| ORLANDO ARTHRITIS INSTITUTE | |||||||
| 58 WEST MICHIGAN ST | ORLANDO | FL | 32806 | 593470767 | $5,968 | PATIENT ASSISTANCE | |
| BRANDON EYE ASSOCIATES | |||||||
| 1463 OAKFIELD DR STE 113 | BRANDON | FL | 33511 | 593479312 | $7,525 | PATIENT ASSISTANCE | |
| FLORIDA EYE CENTER | |||||||
| 13602 N 46TH STREET | TAMPA | FL | 33613 | 593480874 | $10,925 | PATIENT ASSISTANCE | |
| RETINA SPECIALTY INSTITUTE | |||||||
| 5150 NORTH DAVIS HWY | PENSACOLA | FL | 32503 | 593482386 | $103,307 | PATIENT ASSISTANCE | |
| ANTHONY SEBBA MD | |||||||
| 36338 US HWY 19 N | PALM HARBOR | FL | 34684 | 593548577 | $5,230 | PATIENT ASSISTANCE | |
| CENTRAL FL CANCER INSTITUTE | |||||||
| PO BOX 90758 | LAKELAND | FL | 33804 | 593569143 | $13,147 | PATIENT ASSISTANCE | |
| SOUTHEAST EYE INSTITUTE | |||||||
| 9375 66TH ST N | PINELLAS PARK | FL | 33782 | 593587472 | $6,558 | PATIENT ASSISTANCE | |
| FERNANDO C MALAMUD MD PA | |||||||
| 2202 STATE AVE 111 | PANAMA CITY | FL | 32405 | 593639869 | $5,513 | PATIENT ASSISTANCE | |
| DAVID DRESDNER MD PA | |||||||
| 603 7TH ST S 560 | SAINT PETERSBURG | FL | 33701 | 593695009 | $65,622 | PATIENT ASSISTANCE | |
| SPACE COAST RHEUMATOLOGY | |||||||
| 40 FORTENBERRY RD | MERRITT ISLAND | FL | 32952 | 593720851 | $8,106 | PATIENT ASSISTANCE | |
| HALIFAX REGIONAL ONCOLOGY CENTER | |||||||
| 303 N CLYDE MORRIS BLVD | DAYTONA BEACH | FL | 32114 | 596001217 | $28,342 | PATIENT ASSISTANCE | |
| MEMORIAL REGIONAL HOSPITAL | |||||||
| PO BOX 538488 | ATLANTA | GA | 30353 | 596014973 | $10,036 | PATIENT ASSISTANCE | |
| BAPTIST HEALTH - CORBIN | |||||||
| 1 TRILLUM WAY | CORBIN | KY | 40701 | 610444700 | $6,428 | PATIENT ASSISTANCE | |
| BAPTIST HEALTHCARE SYSTEMS | |||||||
| PO BOX 32860 | LOUISVILLE | KY | 40232 | 610444707 | $23,690 | PATIENT ASSISTANCE | |
| GRAVES AND GILBERT CLINIC | |||||||
| PO BOX 90007 | BOWLING GREEN | KY | 42101 | 610700826 | $26,959 | PATIENT ASSISTANCE | |
| LOUISVILLE ONCOLOGY | |||||||
| DEPT 86156 PO BOX 9501854 | LOUISVILLE | KY | 40295 | 610703799 | $9,243 | PATIENT ASSISTANCE | |
| PADUCAH RETINA CENTER | |||||||
| 1903 BROADWAY | PADUCAH | KY | 42001 | 610706763 | $24,893 | PATIENT ASSISTANCE | |
| RETINA & VITREOUS ASSOC OF KY | |||||||
| 120 N EAGLE CREEK DR 500 | LEXINGTON | KY | 40509 | 610918053 | $358,744 | PATIENT ASSISTANCE | |
| RHEUMATOLOGY ASSOCIATES | |||||||
| 3430 NEWBURG RD 250 | LOUISVILLE | KY | 40218 | 611183441 | $9,997 | PATIENT ASSISTANCE | |
| EYE CENTERS OF LOUISVILLE | |||||||
| 4010 DUPONT CIRCLE 380 | LOUISVILLE | KY | 40270 | 611212775 | $7,020 | PATIENT ASSISTANCE | |
| BAPTIST HEATH LA GRANGE | |||||||
| PO BOX 32870 | LOUISVILLE | KY | 40232 | 611226399 | $8,110 | PATIENT ASSISTANCE | |
| THE UROLOGY GROUP | |||||||
| PO BOX L1080 | CINCINNATI | OH | 45270 | 611257391 | $118,257 | PATIENT ASSISTANCE | |
| NEW LEXINGTON CLINIC | |||||||
| PO BOX 11790 | LEXINGTON | KY | 40578 | 611262927 | $34,541 | PATIENT ASSISTANCE | |
| ELIZABETHTOWN HEMOONCO | |||||||
| 1107 WOODLAND DR 105 | ELIZABETHTOWN | KY | 42701 | 611273759 | $26,866 | PATIENT ASSISTANCE | |
| COMMONWEALTH CANCER CENTER | |||||||
| 110 DIAGNOSTIC DR SUITE B | FRANKFORT | KY | 40601 | 611277847 | $17,047 | PATIENT ASSISTANCE | |
| OWENSBORO MEDICAL HEALTH SYSTEM | |||||||
| PO BOX 22600 | OWENSBORO | KY | 42304 | 611286361 | $9,297 | PATIENT ASSISTANCE | |
| JAMES GRAHAM BROWN CANCER CENTER | |||||||
| 529 S JACKSON ST | LOUISVILLE | KY | 40202 | 611293786 | $21,793 | PATIENT ASSISTANCE | |
| WOODLAND MEDICAL SPECIALISTS | |||||||
| 1240 WOODLAND DR | ELIZABETHTOWN | KY | 42701 | 611313612 | $6,702 | PATIENT ASSISTANCE | |
| RHEUMATOLOGY CONSULTANTS CHARTERED | |||||||
| PO BOX 412194 | KANSAS CITY | MO | 64141 | 611452962 | $19,719 | PATIENT ASSISTANCE | |
| GAJERA AND PATEL | |||||||
| 1717 HIGH ST STE 1A | HOPKINSVILLE | KY | 42240 | 611459460 | $16,862 | PATIENT ASSISTANCE | |
| RIO GRANDE UROLOGY WESTSIDE | |||||||
| 7420 REMCON CIRCLE BLDG A | EL PASO | TX | 79912 | 611519241 | $25,775 | PATIENT ASSISTANCE | |
| VANDERBILT UNIV MEDICAL CTR | |||||||
| DEPT AT 40379 | ATLANTA | GA | 31192 | 620476822 | $19,246 | PATIENT ASSISTANCE | |
| METHODIST UNIVERSITY HOSPITAL TRANSPLANT INSTITUTE | |||||||
| BOX 75947 | CHARLOTTE | NC | 28275 | 620479367 | $208,163 | PATIENT ASSISTANCE | |
| FORT SANDERS REGIONAL MEDICAL CENTER | |||||||
| DEPT 888001 | KNOXVILLE | TN | 37995 | 620528340 | $26,790 | PATIENT ASSISTANCE | |
| CAMPBELL CUNNINGHAM TAYLOR | |||||||
| PO BOX 102395 | ATLANTA | GA | 30368 | 620849027 | $23,734 | PATIENT ASSISTANCE | |
| ALLERGY ASTHMA & SINUS CTR | |||||||
| PO BOX 51770 | KNOXVILLE | TN | 37950 | 620863368 | $99,781 | PATIENT ASSISTANCE | |
| TENNESSEE RETINA | |||||||
| 345 23RD AVE N 350 | NASHVILLE | TN | 37203 | 621042760 | $957,133 | PATIENT ASSISTANCE | |
| RHEUMATOLOGY CONSULTANTS | |||||||
| 4707 PAPERMILL DR 200 | KNOXVILLE | TN | 37909 | 621064119 | $25,159 | PATIENT ASSISTANCE | |
| SOUTHEASTERN RETINA ASSOCIATES | |||||||
| 7268 JARNIGAN RD 300 | CHATTANOOGA | TN | 37421 | 621094813 | $806,556 | PATIENT ASSISTANCE | |
| FAMILY CANCER CENTER | |||||||
| 6005 PARK AVE 1000 B | MEMPHIS | TN | 38101 | 621113167 | $45,309 | PATIENT ASSISTANCE | |
| JOHNSON CITY EYE CLINIC | |||||||
| 110 MED TECH PARKWAY | JOHNSON CITY | TN | 37604 | 621137305 | $32,097 | PATIENT ASSISTANCE | |
| SKYRIDGE HPERBARIC THERAPY AND WOUND CTR | |||||||
| PO BOX 198029 | ATLANTA | GA | 30384 | 621281627 | $5,086 | PATIENT ASSISTANCE | |
| VRF EYE SPECIALTY GROUP | |||||||
| 825 RIDGE LAKE BLVD | MEMPHIS | TN | 38120 | 621463001 | $16,410 | PATIENT ASSISTANCE | |
| HERITAGE MEDICAL ASSOCIATES | |||||||
| 222 22ND AVE N 100 | NASHVILLE | TN | 37203 | 621483206 | $19,869 | PATIENT ASSISTANCE | |
| ARTHRITIS ASSOCIATES OF KINGSPORT | |||||||
| 3 SHERIDAN SQ | KINGSPORT | TN | 37660 | 621523356 | $48,895 | PATIENT ASSISTANCE | |
| WEST CLINIC | |||||||
| PO BOX 240728 | MEMPHIS | TN | 38124 | 621526296 | $79,359 | PATIENT ASSISTANCE | |
| UROLOGY & UROLOGIC SURGERY PC | |||||||
| PO BOX 888158 | KNOXVILLE | TN | 37995 | 621561221 | $5,395 | PATIENT ASSISTANCE | |
| CONRAD PEARSON CLINIC | |||||||
| PO BOX 760 | MONTGOMERY | AL | 38101 | 621634103 | $22,813 | PATIENT ASSISTANCE | |
| WEST TN NEUROLOGY | |||||||
| PO BOX 2153 DEPT 1931 | BIRMINGHAM | AL | 35287 | 621634512 | $6,940 | PATIENT ASSISTANCE | |
| WELLMONT HEALTH SYSTEM | |||||||
| PO BOX 1089 | BRISTOL | TN | 37621 | 621636465 | $36,115 | PATIENT ASSISTANCE | |
| CHARLES RETINA INSTITUTE | |||||||
| PO BOX 1000 DEPT 290 | MEMPHIS | TN | 38148 | 621641241 | $40,519 | PATIENT ASSISTANCE | |
| TENNESSEE ONCOLOGY | |||||||
| PO BOX 440100 | NASHVILLE | TN | 37244 | 621647259 | $1,346,311 | PATIENT ASSISTANCE | |
| E TN HEMATOLOGY ONCOLOGY | |||||||
| 1406 TUSCULUM BLVD STE 2000 | GREENEVILLE | TN | 37745 | 621663564 | $20,920 | PATIENT ASSISTANCE | |
| UROLOGY ASSOCIATES | |||||||
| 2801 CHARLOTTE AVE | NASHVILLE | TN | 37209 | 621664297 | $28,440 | PATIENT ASSISTANCE | |
| MID SOUTH RETINA ASSO | |||||||
| PO BOX 1000 DEPT 448 | MEMPHIS | TN | 38148 | 621703455 | $12,583 | PATIENT ASSISTANCE | |
| THE JONES CLINIC | |||||||
| PO BOX 1000 DEPT 552 | MEMPHIS | TN | 38148 | 621717770 | $12,669 | PATIENT ASSISTANCE | |
| SANDBERG FOOT HEALTH | |||||||
| 939 E EMERALD AVE 706 | KNOXVILLE | TN | 37917 | 621732005 | $7,194 | PATIENT ASSISTANCE | |
| LAKE CUMBERLAND REGIONAL HOSPITAL LLC | |||||||
| PO BOX 620 | SOMERSET | KY | 42502 | 621757920 | $6,836 | PATIENT ASSISTANCE | |
| LEWIS-GALE MEDICAL CENTER | |||||||
| PO BOX 402830 | ATLANTA | GA | 30384 | 621760148 | $9,622 | PATIENT ASSISTANCE | |
| NASHVILLE ONCOLOGY ASSOC | |||||||
| 2011 CHURCH ST 701 PLAZA 1 | NASHVILLE | TN | 37203 | 621762036 | $19,154 | PATIENT ASSISTANCE | |
| KOSCIUSKO COMMUNITY HOSP | |||||||
| 13683 COLLECTION CENTER DR | CHICAGO | IL | 60693 | 621764613 | $9,490 | PATIENT ASSISTANCE | |
| ADVANCED FOOT CARE | |||||||
| 2368 BATTLEFIELD PKWY | FORT OGLETHORPE | GA | 30742 | 621765082 | $12,186 | PATIENT ASSISTANCE | |
| SOUTHEAST EYE SPECIALIST PLLC | |||||||
| PO BOX 6188 | CHATTANOOGA | TN | 37401 | 621791165 | $55,733 | PATIENT ASSISTANCE | |
| EYE CENTERS OF TENNESSEE | |||||||
| 768 A S WILLOW AVENUE | COOKEVILLE | TN | 38501 | 621813450 | $5,663 | PATIENT ASSISTANCE | |
| HAWKINS COUNTY MEMORIAL HOSPITALHOSP INFUSION CTR | |||||||
| PO BOX 1089 | BRISTOL | TN | 37621 | 621816368 | $58,649 | PATIENT ASSISTANCE | |
| RADIATION THERAPY OF WESTERN NC | |||||||
| PO BOX 60914 | CHARLOTTE | NC | 28260 | 621873675 | $29,967 | PATIENT ASSISTANCE | |
| MAURY REGIONAL HOSPITAL | |||||||
| 1224 TROTWOOD AVE | COLUMBIA | TN | 38401 | 626002623 | $10,062 | PATIENT ASSISTANCE | |
| HENRY COUNTY MEDICAL CENTER | |||||||
| PO BOX 1030 | PARIS | TN | 38242 | 626007078 | $25,432 | PATIENT ASSISTANCE | |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | |||||||
| PO BOX 3855 | JACKSON | TN | 38303 | 626010402 | $39,957 | PATIENT ASSISTANCE | |
| MONROE COUNTY HOSPITAL | |||||||
| 2016 S ALABAMA AVE | MONROEVILLE | AL | 36460 | 630438739 | $7,024 | PATIENT ASSISTANCE | |
| UNIVERSITY OF S AL MEDICAL CTR | |||||||
| PO BOX 40010 | MOBILE | AL | 36640 | 630477348 | $21,675 | PATIENT ASSISTANCE | |
| UROLOGY CENTERS OF ALABAMA | |||||||
| PO BOX 59867 | HOMEWOOD | AL | 35259 | 630581180 | $7,300 | PATIENT ASSISTANCE | |
| SIMON WILLIAMSON CLINIC PC | |||||||
| PO BOX 12366 | BIRMINGHAM | AL | 35202 | 630693892 | $59,310 | PATIENT ASSISTANCE | |
| SPRINGHILL MEMORIAL HOSP | |||||||
| 3719 DAUPHIN ST | MOBILE | AL | 36608 | 630784458 | $5,755 | PATIENT ASSISTANCE | |
| CLEARVIEW CANCER INSTITUTE | |||||||
| 3601 CCI DR | HUNTSVILLE | AL | 35805 | 630897317 | $416,297 | PATIENT ASSISTANCE | |
| RHEUMATOLOGY ASSOCIATES OF N AL | |||||||
| 201 SIVLEY RD SE 600 | HUNTSVILLE | AL | 35801 | 630907980 | $14,951 | PATIENT ASSISTANCE | |
| DOTHAN MEDICAL ASSOCIATES PA | |||||||
| 1118 ROSS CLARK CIR 100B | DOTHAN | AL | 36301 | 630991466 | $7,046 | PATIENT ASSISTANCE | |
| DOTHAN HEMATOLOGY & ONCOLOGY | |||||||
| 4300 WEST MAIN ST 405 | DOTHAN | AL | 36305 | 631012171 | $12,015 | PATIENT ASSISTANCE | |
| DIAGNOSTIC MEDICAL CLINIC | |||||||
| PO BOX 40677 | MOBILE | AL | 36640 | 631012832 | $5,904 | PATIENT ASSISTANCE | |
| RETINA CONSULTANT OF AL | |||||||
| PO BOX 830740 DEPT 4500 | BIRMINGHAM | AL | 35283 | 631120285 | $56,258 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY ASSOC LLC | |||||||
| DEPARTMENT 3162 PO BOX 2153 | BIRMINGHAM | AL | 35287 | 631137578 | $96,306 | PATIENT ASSISTANCE | |
| ANNISTON ONCOLOGY | |||||||
| 901 LEIGHTON AVE 602 | ANNISTON | AL | 36207 | 631138001 | $10,538 | PATIENT ASSISTANCE | |
| ALABAMA SOUTH FAMILY PODIATRY | |||||||
| 256 HONEYSUCKLE ROAD STE 12 | DOTHAN | AL | 36305 | 631197147 | $5,023 | PATIENT ASSISTANCE | |
| NORTH CENTRAL NEUROLOGY ASS | |||||||
| PO BOX 870 | CULLMAN | AL | 35056 | 631231749 | $82,762 | PATIENT ASSISTANCE | |
| EYE CTR SOUTH | |||||||
| 2800 ROSS CLARK CIR | DOTHAN | AL | 36301 | 631232935 | $13,469 | PATIENT ASSISTANCE | |
| WV MEDICAL SERVICE PC | |||||||
| 100 TOWNCENTER BLVD 202 | TUSCALOOSA | AL | 35406 | 631243197 | $10,847 | PATIENT ASSISTANCE | |
| UNIVERSITY OF AL AT BIRMINGHAM | |||||||
| PO BOX 11407 | BIRMINGHAM | AL | 35246 | 636005396 | $25,352 | PATIENT ASSISTANCE | |
| SOUTHWEST MS REGIONAL MEDICAL CENTER | |||||||
| PO BOX 1307 | MCCOMB | MS | 39649 | 640468873 | $16,780 | PATIENT ASSISTANCE | |
| HATTIESBURG CLINIC PA | |||||||
| PO BOX 2467 | JACKSON | MS | 39225 | 640507572 | $40,536 | PATIENT ASSISTANCE | |
| JACKSON ONCOLOGY & HEMATOLOGY | |||||||
| 1227 N STATE ST 101 | JACKSON | MS | 39202 | 640619700 | $17,784 | PATIENT ASSISTANCE | |
| NORTH MISSISSIPPI MEDICAL CENTER | |||||||
| PO BOX 2240 | TUPELO | MS | 38803 | 640662976 | $24,322 | PATIENT ASSISTANCE | |
| BMH DESOTO | |||||||
| PO BOX 415000 MSC 410087 | NASHVILLE | TN | 37241 | 640682111 | $16,596 | PATIENT ASSISTANCE | |
| BAPTIST MEM HOSP N MS INC | |||||||
| 6005 PARK AVE 1000 B | MEMPHIS | TN | 38119 | 640772726 | $22,948 | PATIENT ASSISTANCE | |
| MISSISSIPPI RETINA ASSOCIATES PA | |||||||
| PO BOX 12401 | JACKSON | MS | 39236 | 640860086 | $112,312 | PATIENT ASSISTANCE | |
| SOUTHERN EYE CENTER PA | |||||||
| 1420 S 28TH AVE | HATTIESBURG | MS | 39402 | 640868999 | $5,090 | PATIENT ASSISTANCE | |
| ARTHRITIS & OSTEOPOROSIS TREATMENT & RESEARCH CTR | |||||||
| 0 FLOWOOD DR 300 | FLOWOOD | MS | 39232 | 640891138 | $6,710 | PATIENT ASSISTANCE | |
| NATCHEZ ONCOLOGY CLINIC INC | |||||||
| 150 JEFFERSON DAVES BLVD 120 | NATCHEZ | MS | 39120 | 640927522 | $10,010 | PATIENT ASSISTANCE | |
| DELTA ONCOLOGY | |||||||
| 333 HWY 82 WEST | GREENWOOD | MS | 38930 | 640932526 | $58,055 | PATIENT ASSISTANCE | |
| FORREST GENERAL HOSPITAL | |||||||
| PO BOX 15722 | HATTIESBURG | MS | 39404 | 646001587 | $20,935 | PATIENT ASSISTANCE | |
| MEMORIAL HOSPITAL AT GULFPORT | |||||||
| PO BOX 1810 | GULFPORT | MS | 39502 | 646010232 | $21,100 | PATIENT ASSISTANCE | |
| CLEVELAND CLINIC FLORIDA NONPROFIT CORPORATION | |||||||
| 2950 CLEVELAND CLINIC BLVD | WESTON | FL | 33331 | 650003177 | $9,661 | PATIENT ASSISTANCE | |
| RETINA GROUP OF FL | |||||||
| 6333 N FEDERAL HWY 300 | FT LAUDERDALE | FL | 33308 | 650017482 | $255,304 | PATIENT ASSISTANCE | |
| BROWARD ONCOLOGY ASSOCIATES | |||||||
| 6405 N FEDERAL HWY 300 | FORT LAUDERDALE | FL | 33308 | 650062119 | $8,136 | PATIENT ASSISTANCE | |
| EYE ASSOCIATES OF MANATEE LLP | |||||||
| 6002 POINTE WEST BLVD | BRADENTON | FL | 34209 | 650105559 | $45,699 | PATIENT ASSISTANCE | |
| ONCOLOGY & RADIATION ASSOC | |||||||
| PO BOX 864839 | ORLANDO | FL | 32886 | 650349562 | $16,890 | PATIENT ASSISTANCE | |
| MANATEE SAROSOTA EYE CLINIC | |||||||
| 217 MANATEE AVE E | BRADENTON | FL | 34208 | 650425039 | $9,853 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY ASSOC | |||||||
| 2300 S CONGRESS AVE 103 | BOYNTON BEACH | FL | 33426 | 650539792 | $82,126 | PATIENT ASSISTANCE | |
| EYE PHYSICANS OF FLORIDA | |||||||
| PO BOX 39209 | FORT LAUDERDALE | FL | 33339 | 650560968 | $7,136 | PATIENT ASSISTANCE | |
| SOUTH FL ONCOLOGY HEMATOLOGY CONSULTANTS | |||||||
| 7351 W OAKLAND PARK BLVD 106 | LAUDERHILL | FL | 33313 | 650577436 | $57,940 | PATIENT ASSISTANCE | |
| MEDICAL SPECIALISTS OF THE PALM BEACHES | |||||||
| 5700 LAKE WORTH RD 204 | LAKE WORTH | FL | 33463 | 650580501 | $14,869 | PATIENT ASSISTANCE | |
| WEST BROWARD RHEUMATOLOGY ASSOC | |||||||
| 7431 N UNIVERSITY DR 300 | TAMANAC | FL | 33321 | 650615014 | $27,812 | PATIENT ASSISTANCE | |
| SOUTHEAST FL HEMATOLOGY AND ONCOLOGY GROUP | |||||||
| 5700 N FEDERAL HWY | FORT LAUDERDALE | FL | 33308 | 650676382 | $40,268 | PATIENT ASSISTANCE | |
| GREGORY L HENDERSON MD FACS PA | |||||||
| 403 VONDERBURG DR 101 | BRANDON | FL | 33511 | 650687729 | $19,000 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY ASSOCIATES | |||||||
| 1871 SE TIFFANY AVE 100 | FORT PIERCE | FL | 34952 | 650696665 | $250,023 | PATIENT ASSISTANCE | |
| METCARE OF FLORIDA - METCARE ONCOLOGY | |||||||
| 1200 W GRANADA BLVD 1 | ORMOND BEACH | FL | 32174 | 650710916 | $86,130 | PATIENT ASSISTANCE | |
| ONCOLOGY & HEMATOLOGY ASSOC OF W BROWARD | |||||||
| 7431 N UNIVERSITY DR 110 | TAMARAC | FL | 33321 | 650753936 | $164,295 | PATIENT ASSISTANCE | |
| ARTHRITIS AND RHEUMATIC CARE CENTER | |||||||
| 6141 SUNSET DR 501 | SOUTH MIAMI | FL | 33143 | 650757755 | $11,108 | PATIENT ASSISTANCE | |
| AMIT I SHAH PA | |||||||
| 4420 SUN LAKE BLVD | SEBRING | FL | 33872 | 650825133 | $3,376,693 | PATIENT ASSISTANCE | |
| WILLIAM EARLY MD | |||||||
| 8386 W OAKLAND PARK BLVD | FORT LAUDERDALE | FL | 33351 | 650878586 | $11,045 | PATIENT ASSISTANCE | |
| METCARE OF FLORIDA | |||||||
| 1200 W GRANADA BLVD 1 | ORMOND BEACH | FL | 32174 | 650879131 | $6,569 | PATIENT ASSISTANCE | |
| HEMATOLOGY & ONCOLOGY OF S PALM BEACH | |||||||
| 2623 S SEACREST BLVD STE 216 | BRINY BREEZES | FL | 33435 | 650898771 | $6,409 | PATIENT ASSISTANCE | |
| CHARLES KHAN & WAYNE RISKIN MD PA | |||||||
| 4700 SHERIDAN ST C | HOLLYWOOD | FL | 33021 | 650900699 | $33,213 | PATIENT ASSISTANCE | |
| NEUROLOGY PA | |||||||
| 4161 TAMIAMI TRL 201 | PORT CHARLOTTE | FL | 33952 | 650933347 | $9,511 | PATIENT ASSISTANCE | |
| NORTHWEST ONCOLOGY AND HEMATOLOGY | |||||||
| PO BOX 919046 | ORLANDO | FL | 32891 | 651150093 | $27,214 | PATIENT ASSISTANCE | |
| RETINA SPECIALIST PC | |||||||
| 20 WEST 13TH ST | NEW YORK | NY | 10011 | 651172886 | $12,016 | PATIENT ASSISTANCE | |
| GALLOWAY REGIONAL EYE CENTER | |||||||
| PO BOX 49847 | GREENWOOD | SC | 29649 | 651176165 | $5,664 | PATIENT ASSISTANCE | |
| MEDICAL ONCOLOGY ASSOCIATES | |||||||
| PO BOX 996 | HAYDEN | ID | 83835 | 651180332 | $28,043 | PATIENT ASSISTANCE | |
| HEMATOLOGY AND ONCOLOGY CONSULTANTS OF PA | |||||||
| 3 WALNUT ST 204 | LEMOYNE | PA | 17043 | 651208336 | $40,497 | PATIENT ASSISTANCE | |
| WOMENS ONCOLOGY CARE | |||||||
| 12855 N FORTY DR 325 N TOWER | SAINT LOUIS | MO | 63141 | 651293380 | $10,317 | PATIENT ASSISTANCE | |
| OPTIONCARE ENTERPRISE | |||||||
| 2769 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | 680208702 | $27,705 | PATIENT ASSISTANCE | |
| SUTTER MEDICAL FOUNDATION | |||||||
| 1020 29TH ST 680 | SACRAMENTO | CA | 95816 | 680273974 | $5,938 | PATIENT ASSISTANCE | |
| SIERRA HEMATOLOGY ONCOLOGY | |||||||
| 6555 COYLE AVE 301 | CARMICHAEL | CA | 95608 | 680305843 | $90,871 | PATIENT ASSISTANCE | |
| REDWOOD REGIONAL ONCOLOGY GROUP | |||||||
| PO BOX 1559 | SANTA ROSA | CA | 95402 | 680344865 | $5,394 | PATIENT ASSISTANCE | |
| EYE SPECIALISTS MEDICAL GROUP | |||||||
| 800 TRANCAS ST STE A | NAPA VALLEY | CA | 94558 | 680408137 | $16,914 | PATIENT ASSISTANCE | |
| DIABLO VALLEY ONCOLOGY | |||||||
| 400 TAYLOR BLVD 202 | PLEASANT HILL | CA | 94523 | 680462651 | $16,867 | PATIENT ASSISTANCE | |
| ADVANCED NEUROLOGICAL OF COLORADO LLC | |||||||
| 2121 E HARMONY RD 180 | FORT COLLINS | CO | 80528 | 680562419 | $5,083 | PATIENT ASSISTANCE | |
| BEND MEMORIAL CLINIC | |||||||
| PO BOX 6048 | BEND | OR | 97708 | 680637976 | $14,986 | PATIENT ASSISTANCE | |
| ST BERNARDS HEALTHCARE | |||||||
| 225 E JACKSON | JONESBORO | AR | 72401 | 710290019 | $50,214 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY SERVICES OF AR | |||||||
| 9101 KANIS RD 101 | LITTLE ROCK | AR | 72205 | 710437657 | $519,302 | PATIENT ASSISTANCE | |
| COOPER CLINIC | |||||||
| 6801 ROGERS AVE | FORT SMITH | AR | 72903 | 710445686 | $22,707 | PATIENT ASSISTANCE | |
| MAGIE MABREY EYE CLINIC | |||||||
| 924 MAIN ST | CONWAY | AR | 72032 | 710474074 | $88,373 | PATIENT ASSISTANCE | |
| CENTRAL ARKANSAS HEMATOLOGY ONCOLOGY CLINIC PA | |||||||
| 133 HARMONY PARK CIR | HOT SPRINGS NATIONAL P | AR | 71913 | 710627544 | $99,842 | PATIENT ASSISTANCE | |
| ARKANSAS CANCER INSTITUTE | |||||||
| 7200 SOUTH HAZEL ST | PINE BLUFF | AR | 71603 | 710705436 | $62,655 | PATIENT ASSISTANCE | |
| TWIN LAKES MEDICAL SPECIALISTS PA | |||||||
| 628 HOSPITAL DR A GROUND FLOOR | MOUNTAIN HOME | AR | 72653 | 710706465 | $9,454 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES PA | |||||||
| 9800 LILE DR 200 | LITTLE ROCK | AR | 72205 | 710706742 | $7,656 | PATIENT ASSISTANCE | |
| KILGORE VISION CENTER | |||||||
| PO BOX 444 | MOUNTAIN HOME | AR | 72653 | 710718397 | $5,099 | PATIENT ASSISTANCE | |
| ARKANSAS UROLOGY LITTLE ROCK | |||||||
| PO BOX 51391 | LAFAYETTE | LA | 70505 | 710782429 | $20,976 | PATIENT ASSISTANCE | |
| COGBURN CANCER CLINIC | |||||||
| PO BOX 369 | MOUNTAIN HOME | AR | 72654 | 710785363 | $7,482 | PATIENT ASSISTANCE | |
| HIGHLANDS ONCOLOGY GRP | |||||||
| 3232 N NORTH HILLS BLVD | FAYETTEVILLE | AR | 72703 | 710788742 | $149,113 | PATIENT ASSISTANCE | |
| CONWAY HEMATOLOGY ONCOLOGY | |||||||
| 2605 COLLEGE AVE | CONWAY | AR | 72034 | 710817941 | $11,986 | PATIENT ASSISTANCE | |
| RANDY D ROBERTS MD | |||||||
| 1000 E MATTHEWS AVE C | JONESBORO | AR | 72401 | 710822361 | $9,549 | PATIENT ASSISTANCE | |
| NORTHEAST ARKANSAS BAPTIST CLINIC | |||||||
| PO BOX 7502 | JONESBORO | AR | 72403 | 710833213 | $15,381 | PATIENT ASSISTANCE | |
| NORTHEAST ARKANSAS BAPTIST CLINIC | |||||||
| PO BOX 7502 | JONESBORO | AR | 72403 | 710850123 | $38,774 | PATIENT ASSISTANCE | |
| RETINAL CONSULTANTS | |||||||
| PO BOX 668 | SLINGERLANDS | NY | 12159 | 710870207 | $18,966 | PATIENT ASSISTANCE | |
| BRUCE A HAYTON MD INC | |||||||
| 36450 INLAND VALLEY DR 101 | WILDOMAR | CA | 92595 | 710886357 | $6,038 | PATIENT ASSISTANCE | |
| HANNIBAL CLINIC | |||||||
| 100 MEDICAL DR | HANNIBAL | MO | 63401 | 710893524 | $35,287 | PATIENT ASSISTANCE | |
| OCHSNER CLINIC | |||||||
| 9001 SUMMA AVE | BATON ROUGE | LA | 70809 | 720276883 | $16,915 | PATIENT ASSISTANCE | |
| FREEDMAN CLINIC OF INTERNAL MEDICINE | |||||||
| PO BOX 13030 | ALEXANDRIA | LA | 71315 | 720399647 | $17,787 | PATIENT ASSISTANCE | |
| AMERICAN LEGION HOSPITAL | |||||||
| 1305 CROWLEY RAYNE HWY | CROWLEY | LA | 70526 | 720417281 | $5,775 | PATIENT ASSISTANCE | |
| OSCHSNER CLINIC | |||||||
| 1057 PAUL MAILLARD RD | LULING | LA | 70070 | 720502505 | $5,019 | PATIENT ASSISTANCE | |
| EYE MEDICAL CENTER | |||||||
| 7777 HENNESSEY BLVD 3000 | BATON ROUGE | LA | 70808 | 720695620 | $9,756 | PATIENT ASSISTANCE | |
| HIGHLAND CLINIC | |||||||
| PO BOX 415000 BOX 410604 | NASHVILLE | TN | 37241 | 720703150 | $80,707 | PATIENT ASSISTANCE | |
| RETINA VITREOUS SURGERY | |||||||
| 3525 PRYTANIA ST 320 | NEW ORLEANS | LA | 70175 | 720789130 | $6,614 | PATIENT ASSISTANCE | |
| EYE ASSOCIATES OF NE LA | |||||||
| 1804 N 7TH STREET | WEST MONROE | LA | 71291 | 720975592 | $30,345 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY CLINIC | |||||||
| 8595 PICARDY AVE 400 | BATON ROUGE | LA | 70809 | 721015780 | $141,708 | PATIENT ASSISTANCE | |
| BATON ROUGE GENERAL MEDICAL CENTER | |||||||
| PO BOX 974544 | DALLAS | TX | 75397 | 721025017 | $12,070 | PATIENT ASSISTANCE | |
| LARRY K BROADWELL MD | |||||||
| 820 JORDAN ST 201 | SHREVEPORT | LA | 71101 | 721304829 | $5,051 | PATIENT ASSISTANCE | |
| HCS INFUSION NETWORK | |||||||
| LOCKBOX 891084 PO BOX 121084 | DALLAS | TX | 75312 | 721309805 | $7,874 | PATIENT ASSISTANCE | |
| NORTHLAKE HEMATOLOGY ONCOLOGY | |||||||
| 1120 ROBERT BLVD | SLIDELL | LA | 70458 | 721314506 | $43,278 | PATIENT ASSISTANCE | |
| REGIONAL UROLOGY SHREVEPORT | |||||||
| 255 BERT KOUNS | FORBING | LA | 71106 | 721324701 | $58,001 | PATIENT ASSISTANCE | |
| PREMIER HEALTH MANAGEMENT INC | |||||||
| 2880 DAUPHIN ST | MOBILE | AL | 36606 | 721356450 | $16,881 | PATIENT ASSISTANCE | |
| COLUMBUS HEMATOLOGY AND ONCOLOGY | |||||||
| PO BOX 8489 | COLUMBUS | MS | 39705 | 721377467 | $5,577 | PATIENT ASSISTANCE | |
| RETINA VITREOUS OF LA | |||||||
| 7777 HENNESY BLVD 606 | BATON ROUGE | LA | 70808 | 721449539 | $59,916 | PATIENT ASSISTANCE | |
| EYE SURGERY CENTER OF LA | |||||||
| 3900 VETERANS BLVD 203 | METAIRIE | LA | 70002 | 721476463 | $59,984 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY LIFE CTR | |||||||
| 605 B MEDICAL CENTER DR | ALEXANDRIA | LA | 71301 | 721506854 | $15,609 | PATIENT ASSISTANCE | |
| WEST CALCASIEU CAMERON HOSPITAL | |||||||
| PO BOX 2509 | SULPHUR | LA | 70664 | 726008355 | $6,189 | PATIENT ASSISTANCE | |
| SLIDELL MEMORIAL HOSPITAL | |||||||
| PO BOX 54710 | NEW ORLEANS | LA | 70154 | 726014895 | $6,446 | PATIENT ASSISTANCE | |
| MERCY HOSPITAL OKLAHOMA CITY | |||||||
| PO BOX 504292 | SAINT LOUIS | MO | 63150 | 730579285 | $5,436 | PATIENT ASSISTANCE | |
| OKLAHOMA MEDICAL RESEARCH FOUNDATION | |||||||
| 825 NE 13TH ST 108 | OKLAHOMA CITY | OK | 73104 | 730580274 | $7,958 | PATIENT ASSISTANCE | |
| ST ANTHONY HOSPITAL | |||||||
| PO BOX 269009 | OKLAHOMA CITY | OK | 73126 | 730657693 | $7,571 | PATIENT ASSISTANCE | |
| UROLOGIC SPECIALISTS OF OK | |||||||
| DEPT 294 PO BOX 21568 | TULSA | OK | 74121 | 730729369 | $26,373 | PATIENT ASSISTANCE | |
| THE EYE INSTITUTE | |||||||
| PO BOX 21228 35 | TULSA | OK | 74121 | 731373096 | $43,688 | PATIENT ASSISTANCE | |
| OU PHYSICIANS | |||||||
| 825 NE 10TH ST 4500 | OKLAHOMA CITY | OK | 73104 | 731477155 | $25,962 | PATIENT ASSISTANCE | |
| FRANCISCO H DEXEUS MD INC | |||||||
| 825 E OWEN GARRIOTT | ENID | OK | 73701 | 731486420 | $38,346 | PATIENT ASSISTANCE | |
| CHARLES GARRETT MD | |||||||
| 6606 S YALE 205 | TULSA | OK | 74136 | 731493869 | $5,491 | PATIENT ASSISTANCE | |
| OKLAHOMA CTR FOR ARTHRITIS THERAPY AND RESEARCH | |||||||
| PO BOX 21228 DEPT 176 | TULSA | OK | 74121 | 731522819 | $30,132 | PATIENT ASSISTANCE | |
| IRONWOOD CANCER & RESEARCH CENTERS | |||||||
| PO BOX 29901 DEPT 991 | PHOENIX | AZ | 85038 | 731636831 | $807,822 | PATIENT ASSISTANCE | |
| MIDWEST ONCOLOGY GROUP | |||||||
| PO BOX 205257 | DALLAS | TX | 75320 | 731648179 | $10,588 | PATIENT ASSISTANCE | |
| ROCKY MOUNTAIN ONCOLOGY CTR | |||||||
| 6501 E 2ND | CASPER | WY | 82609 | 731684200 | $21,907 | PATIENT ASSISTANCE | |
| TAHLEQUAH CITY HOSPITAL | |||||||
| PO BOX 1008 | TAHLEQUAH | OK | 74465 | 736045246 | $5,239 | PATIENT ASSISTANCE | |
| COMANCHE COUNTY MEMORIAL HOSPITAL | |||||||
| PO BOX 129 | LAWTON | OK | 73502 | 736061037 | $52,608 | PATIENT ASSISTANCE | |
| DEAN MCGEE EYE INST | |||||||
| PO BOX 26507 | OKLAHOMA CITY | OK | 73126 | 736109395 | $14,495 | PATIENT ASSISTANCE | |
| CHRISTUS SPOHN CANCER CTR | |||||||
| PO BOX 730244 | DALLAS | TX | 75373 | 741109836 | $106,802 | PATIENT ASSISTANCE | |
| THE METHODIST HOSPITAL | |||||||
| PO BOX 4755 | HOUSTON | TX | 77210 | 741180155 | $43,606 | PATIENT ASSISTANCE | |
| ST JOSEPH REG HEALTH | |||||||
| PO BOX 202536 | DALLAS | TX | 75320 | 741282696 | $13,986 | PATIENT ASSISTANCE | |
| GUADALUPE REGIONAL MEDICAL CENTER | |||||||
| 1215 EAST COURT ST | SEGUIN | TX | 78155 | 741386053 | $5,709 | PATIENT ASSISTANCE | |
| CANCER THERAPY & RESEARCH CENTER | |||||||
| 7979 WURZBACH RD U240 | SAN ANTONIO | TX | 78229 | 741586031 | $65,000 | PATIENT ASSISTANCE | |
| BAYLOR COLLEGE OF MEDICINE BC CENTER | |||||||
| PO BOX 4766 | HOUSTON | TX | 77210 | 741613878 | $12,279 | PATIENT ASSISTANCE | |
| AUSTIN DIAGNOSTIC CLINIC | |||||||
| PO BOX 843770 | DALLAS | TX | 75284 | 741625143 | $30,380 | PATIENT ASSISTANCE | |
| CITIZENS MEDICAL CENTER | |||||||
| PO BOX 2024 | VICTORIA | TX | 77902 | 741698143 | $6,454 | PATIENT ASSISTANCE | |
| RHEUMATOLOGY ASSOC | |||||||
| 8144 WALNUT HILL LN 800 | DALLAS | TX | 75231 | 741958530 | $10,532 | PATIENT ASSISTANCE | |
| NATIONAL JEWISH HELP HOSPITAL | |||||||
| PO BOX 17379 | DENVER | CO | 80217 | 742044647 | $23,730 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS OF HOUSTON PA | |||||||
| 6560 FANNIN 750 | HOUSTON | TX | 77030 | 742109903 | $116,411 | PATIENT ASSISTANCE | |
| MEDICAL CENTER OPHTHALMOLOGY ASSOC | |||||||
| PO BOX 1358 | SAN ANTONIO | TX | 78295 | 742143569 | $13,714 | PATIENT ASSISTANCE | |
| W DARRELL WILLERSON JR MD | |||||||
| 303 E QUINCY 100 | SAN ANTONIO | TX | 78215 | 742280885 | $14,160 | PATIENT ASSISTANCE | |
| RADIATION ONCOLOGY SAN ANTONIO | |||||||
| PO BOX 1979 | SAN ANTONIO | TX | 78297 | 742332650 | $429,903 | PATIENT ASSISTANCE | |
| UROLOGY SAN ANTONIO | |||||||
| PO BOX 2952 | SAN ANTONIO | TX | 78299 | 742719352 | $44,546 | PATIENT ASSISTANCE | |
| CANCER SPECIALISTS OF SOUTH TEXAS | |||||||
| 1625 RODD FIELD RD | CORPUS CHRISTI | TX | 78412 | 742722597 | $88,114 | PATIENT ASSISTANCE | |
| BRIAN BERGER MD PA | |||||||
| 3705 MEDICAL PKY 410 | AUSTIN | TX | 78705 | 742740163 | $29,585 | PATIENT ASSISTANCE | |
| PREMIER EYE CARE | |||||||
| 11111 RESEARCH BLVD 170 | AUSTIN | TX | 78759 | 742754960 | $14,560 | PATIENT ASSISTANCE | |
| ALLERGY ASHTMA & IMMUNOLOGY | |||||||
| 2414 BABCOCK RD 109 | SAN ANTONIO | TX | 78229 | 742763430 | $9,567 | PATIENT ASSISTANCE | |
| VALLEY RETINA INSTITUTE | |||||||
| 1309 E RIDGE RD 1 | MCALLEN | TX | 78501 | 742768498 | $215,177 | PATIENT ASSISTANCE | |
| CANCER CARE CENTER OF SOUTH TEXAS | |||||||
| 100 NE LOOP 410 600 | SAN ANTONIO | TX | 78216 | 742782325 | $383,927 | PATIENT ASSISTANCE | |
| KUMUD S TRIPATHY AND ASSOCIATES | |||||||
| 2215 E VILLA MARIA RD 110 | BRYAN | TX | 77802 | 742803009 | $11,652 | PATIENT ASSISTANCE | |
| VICTORIA SURGERY CTR | |||||||
| 105 JAMES COLEMAN DR | VICTORIA | TX | 77904 | 742803100 | $28,296 | PATIENT ASSISTANCE | |
| SOUTH TEXAS INSTITUTE OF CANCER | |||||||
| 1205 S 19TH ST | CORPUS CHRISTI | TX | 78405 | 742815622 | $18,354 | PATIENT ASSISTANCE | |
| SOUTHWEST EYECARE SPECIALISTS PC | |||||||
| 7110 WYOMING BLVD NE | ALBUQUERQUE | NM | 87109 | 742838103 | $63,619 | PATIENT ASSISTANCE | |
| THOMAS SPANN CLINIC PA | |||||||
| PO BOX 6409 | CORPUS CHRISTI | TX | 78466 | 742868847 | $49,334 | PATIENT ASSISTANCE | |
| OPHLTHALMIC CONSULTS OF TX PA | |||||||
| PO BOX 4830 | EDINBURG | TX | 78540 | 742879098 | $26,716 | PATIENT ASSISTANCE | |
| COASTAL BEND CANCER CTR | |||||||
| PO BOX 3069 | CORPUS CHRISTI | TX | 78463 | 742898314 | $128,998 | PATIENT ASSISTANCE | |
| SOUTH TX ONCOLOGY & HEMATOLOGY | |||||||
| PO BOX 268 | SAN ANTONIO | TX | 78291 | 742915297 | $270,618 | PATIENT ASSISTANCE | |
| EDUARDO MIRANDA MD | |||||||
| 2344 LANUNA DEL MAR CT 104 | LAREDO | TX | 78041 | 742921934 | $17,359 | PATIENT ASSISTANCE | |
| SCOTT & WHITE TEMPLE | |||||||
| 2401 S 31ST ST | TEMPLE | TX | 76508 | 742958277 | $12,283 | PATIENT ASSISTANCE | |
| MCALLEN ONCOLOGY | |||||||
| PO BOX 720-878 | MCALLEN | TX | 78504 | 742966092 | $9,985 | PATIENT ASSISTANCE | |
| NOOR MERCHANT MD | |||||||
| 13060 US HIGHWAY 1 SUITE A | SEBASTIAN | FL | 32958 | 743026893 | $31,597 | PATIENT ASSISTANCE | |
| PACIFIC ARTHRITIS CARE CENTER | |||||||
| 5230 PACIFIC CONCOURSE DR 100 | LOS ANGELES | CA | 90045 | 743040915 | $23,463 | PATIENT ASSISTANCE | |
| MOTHER FRANCES HOSPITAL | |||||||
| PO BOX 841656 | DALLAS | TX | 75284 | 750818167 | $14,471 | PATIENT ASSISTANCE | |
| TEXAS HEALTH PRESBYTERIAN HOSP DALLAS | |||||||
| PO BOX 910115 | DALLAS | TX | 75391 | 751047527 | $60,516 | PATIENT ASSISTANCE | |
| CANCER CENTER ASSOCIATES | |||||||
| 4201 MEDICAL CTR DR 180 | MCKINNEY | TX | 75069 | 751312419 | $43,658 | PATIENT ASSISTANCE | |
| TEXAS RETINAL ASSOCIATES | |||||||
| 7150 GREENVILLE AVE 400 | DALLAS | TX | 75231 | 751362336 | $84,500 | PATIENT ASSISTANCE | |
| NORTH TEXAS INFECTIOUS DISEASE | |||||||
| PO BOX 26303 | OKLAHOMA CITY | OK | 73126 | 751772118 | $6,486 | PATIENT ASSISTANCE | |
| TEXAS ONCOLOGY PA | |||||||
| PO BOX 911230 | DALLAS | TX | 75391 | 752131429 | $1,575,646 | PATIENT ASSISTANCE | |
| TYLER HEMATOLOGY ONCOLOGY PA | |||||||
| 721-A CLINIC DR | TYLER | TX | 75701 | 752288596 | $126,139 | PATIENT ASSISTANCE | |
| DANNY R BARTEL | |||||||
| 1722 NINTH ST | WICHITA FALLS | TX | 76301 | 752298758 | $12,249 | PATIENT ASSISTANCE | |
| GREGORY A ECHT MD PA | |||||||
| PO BOX 674004 | DALLAS | TX | 75267 | 752338371 | $17,320 | PATIENT ASSISTANCE | |
| DEHAVEN EYE CLINIC | |||||||
| PO BOX 130639 | TYLER | TX | 75713 | 752341676 | $15,700 | PATIENT ASSISTANCE | |
| ROBERT TORTI MD | |||||||
| PO BOX 730990 | DALLAS | TX | 75373 | 752415520 | $12,102 | PATIENT ASSISTANCE | |
| THE CENTER CANCER AND BLOOD DISORDER | |||||||
| 800 W MAGNOLIA AVE | FORT WORTH | TX | 76104 | 752512142 | $172,737 | PATIENT ASSISTANCE | |
| MEDICAL CLINIC OF NORTH TEXAS PA | |||||||
| PO BOX 99356 | FORT WORTH | TX | 76199 | 752566987 | $30,547 | PATIENT ASSISTANCE | |
| KANE HALL BARRY CLINIC | |||||||
| 1305 AIRPORT FWY 205 | BEDFORD | TX | 76021 | 752600199 | $10,998 | PATIENT ASSISTANCE | |
| EAST TX HEMATOLOGY & ONCOLOGY CLINIC PA | |||||||
| 1202 W FRANK AVE | LUFKIN | TX | 75904 | 752604409 | $68,827 | PATIENT ASSISTANCE | |
| SOUTHWEST HEMATOLOGY ONCOLOGY ASSOC | |||||||
| 4002 21ST ST B | LUBBOCK | TX | 79410 | 752638688 | $26,003 | PATIENT ASSISTANCE | |
| TEXAS NEUROLOGYPA | |||||||
| PO BOX 847758 | DALLAS | TX | 75284 | 752654757 | $10,828 | PATIENT ASSISTANCE | |
| OPHTHALMIC PARTNERS | |||||||
| PO BOX 911791 | DALLAS | TX | 75391 | 752664866 | $85,216 | PATIENT ASSISTANCE | |
| SOUTHWEST RHEUMATLOGY PA | |||||||
| 7777 FOREST LN C 630 | DALLAS | TX | 75230 | 752705667 | $5,515 | PATIENT ASSISTANCE | |
| UROLOGY CLINICS OF NORTH TEXAS PLLC | |||||||
| 7515 GREENVILLE AVE SUITE 900 | DALLAS | TX | 75231 | 752788839 | $36,098 | PATIENT ASSISTANCE | |
| DABAS CANCER INSTITUTE | |||||||
| 12501 JUDSON RD 102 | SAN ANTONIO | TX | 78233 | 753066737 | $7,745 | PATIENT ASSISTANCE | |
| TYSONS THERAPEUTIC PLLC | |||||||
| 8320 OLD COURTHOUSE RD 400 | VIENNA | VA | 22182 | 753226695 | $6,793 | PATIENT ASSISTANCE | |
| TARRANT COUNTY HOSPITAL DISTRICT DBA JPS HEALTH NE | |||||||
| BOX 916046 | FORT WORTH | TX | 76191 | 756000439 | $5,783 | PATIENT ASSISTANCE | |
| UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER | |||||||
| BOX 731911 | DALLAS | TX | 75373 | 756001354 | $9,696 | PATIENT ASSISTANCE | |
| UT SOUTHWESTERN MED CTR | |||||||
| PO BOX 845347 | DALLAS | TX | 75284 | 756002868 | $11,633 | PATIENT ASSISTANCE | |
| CORAM ALTERNATIVE SITE SERVICE | |||||||
| 11660 W EXECUTIVE DR | BOISE | ID | 83713 | 760215922 | $31,160 | PATIENT ASSISTANCE | |
| THE NEUROLOGY CENTER | |||||||
| 7505 S MAIN ST | HOUSTON | TX | 77030 | 760219310 | $9,423 | PATIENT ASSISTANCE | |
| BRAZOSPORT CANCER CTR | |||||||
| 100 B MEDICAL DR | LAKE JACKSON | TX | 77566 | 760326352 | $46,232 | PATIENT ASSISTANCE | |
| KELSEY SEYBOLD CLINIC | |||||||
| PO BOX 840786 | DALLAS | TX | 75284 | 760386391 | $181,322 | PATIENT ASSISTANCE | |
| UNIVERSITY EYE ASSOCIATES | |||||||
| PO BOX 20209 | HOUSTON | TX | 77225 | 760387779 | $6,701 | PATIENT ASSISTANCE | |
| FOOT & ANKLE CENTER OF N HOUSTON | |||||||
| 17215 RED OAK DR 102 | HOUSTON | TX | 77090 | 760403505 | $14,834 | PATIENT ASSISTANCE | |
| LAILA HASSAN | |||||||
| 11914 ASTORIA 330 | HOUSTON | TX | 77089 | 760438451 | $5,991 | PATIENT ASSISTANCE | |
| TEI AND ASSOCIATES | |||||||
| 7710 BEECHNUT 100 | HOUSTON | TX | 77074 | 760469306 | $6,439 | PATIENT ASSISTANCE | |
| HEA CLINIC PA | |||||||
| PO BOX 4958 | HOUSTON | TX | 77210 | 760512625 | $8,413 | PATIENT ASSISTANCE | |
| MILLENNIUM PHYSICIANS ASSOCIATIONS | |||||||
| 22710 PROFESSIONAL DR 106 | KINGWOOD | TX | 77339 | 760528826 | $131,716 | PATIENT ASSISTANCE | |
| RETINA & VITREOUS OF TX PLLC | |||||||
| DEPT 4069-1 PO BOX 4069 | HOUSTON | TX | 77210 | 760534711 | $5,696 | PATIENT ASSISTANCE | |
| METHODIST WILLOWBROOK HOSPITAL | |||||||
| PO BOX 4755 | HOUSTON | TX | 77210 | 760545192 | $13,794 | PATIENT ASSISTANCE | |
| AMIRALI POPATIA MD | |||||||
| 1603 MAIN ST 200 | RICHMOND | TX | 77469 | 760599320 | $14,583 | PATIENT ASSISTANCE | |
| ONCOLOGY CONSULTANTS PA | |||||||
| 925 GESSNER RD STE 600 | HOUSTON | TX | 77024 | 760605200 | $566,421 | PATIENT ASSISTANCE | |
| PHILIP WALLER MD | |||||||
| 12553 GULF FREEWAY | HOUSTON | TX | 77034 | 760645491 | $6,343 | PATIENT ASSISTANCE | |
| EYE CENTER OF TX | |||||||
| 6565 W LOOP SOUTH 650 | BELLAIRE | TX | 77401 | 760684453 | $13,990 | PATIENT ASSISTANCE | |
| MADISON STREET PROVIDER NETWORK | |||||||
| 55 MADISON ST 355 | DENVER | CO | 80206 | 760762560 | $5,501 | PATIENT ASSISTANCE | |
| PMK MEDICAL GROUP INC | |||||||
| PO BOX 51034 | LOS ANGELES | CA | 90051 | 770311552 | $53,882 | PATIENT ASSISTANCE | |
| CANCER CARE ASSOCIATES | |||||||
| PO BOX 25100 | FRESNO | CA | 93729 | 770324589 | $202,573 | PATIENT ASSISTANCE | |
| PHYSICIANS PLAZA CORPORATION | |||||||
| PO BOX 3628 | BAKERSFIELD | CA | 93385 | 770333077 | $40,252 | PATIENT ASSISTANCE | |
| COMPREHENSIVE BLOOD & CANCER CENTER | |||||||
| 6501 TRUXTUN AVE | BAKERSFIELD | CA | 93309 | 770356364 | $15,732 | PATIENT ASSISTANCE | |
| SAN LUIS OBISPO EYE ASSOCIATES | |||||||
| P O BOX 14038 | SAN LUIS OBISPO | CA | 93406 | 770410120 | $5,469 | PATIENT ASSISTANCE | |
| ABDOL MOJAB MD | |||||||
| 1524 MCHENRY AVE 120 | MODESTO | CA | 95350 | 770417435 | $5,092 | PATIENT ASSISTANCE | |
| STANFORD HOSPITAL & CLINICS | |||||||
| PO BOX 742136 | LOS ANGELES | CA | 90074 | 770465765 | $5,000 | PATIENT ASSISTANCE | |
| EYE SURGICAL AND MEDICAL ASSOC | |||||||
| 5021 W NOBLE AVE A | VISALIA | CA | 93277 | 770511727 | $45,033 | PATIENT ASSISTANCE | |
| CHARLES BONISKE MD | |||||||
| 5319 W HILLSDALE ST | VISALIA | CA | 93291 | 770542371 | $5,453 | PATIENT ASSISTANCE | |
| THE VIRGINIA RETINA CENTER LLC | |||||||
| 211 GIBSON ST NW 103 | LEESBURG | VA | 20176 | 800101113 | $9,590 | PATIENT ASSISTANCE | |
| MS CLINIC OF ARKANSAS | |||||||
| 2215 WILDWOOD AVE 200 | SHERWOOD | AR | 72120 | 800198496 | $5,859 | PATIENT ASSISTANCE | |
| SAVOY MEDICAL CENTER | |||||||
| 801 POINCIANA AVE | MAMOU | LA | 70554 | 800202027 | $25,587 | PATIENT ASSISTANCE | |
| MOSES CONE REGIONAL CANCER CENTER | |||||||
| PO BOX 405633 | ATLANTA | GA | 30384 | 800249057 | $10,024 | PATIENT ASSISTANCE | |
| MON VALLEY HSP CANCER CENTER | |||||||
| 1163 COUNTRY CLUB RD | MONONGAHELA | PA | 15063 | 800703620 | $9,107 | PATIENT ASSISTANCE | |
| MARQUETTE GENERAL HEMONC ASSOC | |||||||
| 1414 W FAIR AVE 332 | MARQUETTE | MI | 49855 | 800835058 | $87,058 | PATIENT ASSISTANCE | |
| GREAT FALLS CLINIC LLP | |||||||
| 1400 29TH ST S | GREAT FALLS | MT | 59405 | 810141660 | $16,871 | PATIENT ASSISTANCE | |
| COMMUNITY MEDICAL CTR | |||||||
| PO BOX 30777 | BILLINGS | MT | 59101 | 810247705 | $8,038 | PATIENT ASSISTANCE | |
| SEQUOIA ONCOLOGY MEDICAL ASSOC | |||||||
| 4945 W CYPRESS AVE | VISALIA | CA | 93277 | 810555508 | $86,893 | PATIENT ASSISTANCE | |
| WILSON BABER MD LLC | |||||||
| PO BOX 44309 | SHREVEPORT | LA | 71134 | 810587840 | $35,165 | PATIENT ASSISTANCE | |
| ST LUKE'S REGIONAL MEDICAL CENTER | |||||||
| PO BOX 2777 | BOISE | ID | 83701 | 820161600 | $31,013 | PATIENT ASSISTANCE | |
| ST JOSEPH REGIONAL MEDICAL CENTER | |||||||
| 415 6TH ST | LEWISTON | ID | 83501 | 820204264 | $23,521 | PATIENT ASSISTANCE | |
| KOOTENAI MEDICAL CENTER | |||||||
| 2003 LINCOLN WAY | COEUR D ALENE | ID | 83814 | 820231746 | $55,740 | PATIENT ASSISTANCE | |
| NORTH IDAHO EYE INSTITUTE | |||||||
| 1814 LINCOLN WAY | COEUR D ALENE | ID | 83814 | 820448111 | $24,630 | PATIENT ASSISTANCE | |
| INTERMOUNTAIN EYE CLINIC | |||||||
| 3090 E GENTRY WAY STE 140 | MERIDIAN | ID | 83642 | 820482491 | $18,469 | PATIENT ASSISTANCE | |
| MOUNTAIN VIEW HOSP | |||||||
| 2325 CORONADO ST | IDAHO FALLS | ID | 83404 | 820516012 | $43,362 | PATIENT ASSISTANCE | |
| IDAHO ARTHRITIS & OSTEO CENTER | |||||||
| 3277 E LOUISE DR STE350 | MERIDIAN | ID | 83642 | 820536242 | $7,980 | PATIENT ASSISTANCE | |
| BRIAN LEBERTHON MD INC | |||||||
| 1135 S SUNSET AVE 207 | WEST COVINA | CA | 91790 | 830408692 | $8,138 | PATIENT ASSISTANCE | |
| GENESSE INFECTIOUS DISEASES PLC | |||||||
| 6060 TORREY RD 1 | FLINT | MI | 48507 | 830428704 | $8,401 | PATIENT ASSISTANCE | |
| SAN LUIS REGIONAL VALLEY MEDICAL CENTER | |||||||
| 106 BLANCA AVE | ALAMOSA | CO | 81101 | 840255530 | $13,421 | PATIENT ASSISTANCE | |
| CENTURA HOME INFUSION NORTHSTATE | |||||||
| PO BOX 911057 | DENVER | CO | 80291 | 840405257 | $9,645 | PATIENT ASSISTANCE | |
| CYPRESS HEMATOLOGY & ONCOLOGY | |||||||
| 9399 CROWN CREST BLVD 215 | PARKER | CO | 80138 | 840438224 | $67,527 | PATIENT ASSISTANCE | |
| KAISER PERMANENTE | |||||||
| 2500 S HAVANA ST 400 | AURORA | CO | 80014 | 840591617 | $26,286 | PATIENT ASSISTANCE | |
| UROLOGICAL ASSOCIATES | |||||||
| 75 PRINTERS PKWY 200 | COLORADO SPRINGS | CO | 80910 | 840594105 | $5,117 | PATIENT ASSISTANCE | |
| COLORADO SPRINGS NEUROLOGY | |||||||
| 2312 N NEVADA AVE 100 | COLORADO SPRINGS | CO | 80907 | 840595576 | $7,069 | PATIENT ASSISTANCE | |
| DENVER EYE SURGEONS PC | |||||||
| 13772 DENVER W PKWY 55-100 | LAKEWOOD | CO | 80401 | 840611079 | $7,849 | PATIENT ASSISTANCE | |
| THE UROLOGY CTR OF COLORADO | |||||||
| PO BOX 172626 | DENVER | CO | 80217 | 840611814 | $9,194 | PATIENT ASSISTANCE | |
| ADVANCED UROLOGY PARKER | |||||||
| 11960 LIONESS WAY STE 210 | PARKER | CO | 80134 | 840645574 | $10,583 | PATIENT ASSISTANCE | |
| EYE CENTER OF N COLORADO | |||||||
| 1725 E PROSPECT RD | FORT COLLINS | CO | 80525 | 840675076 | $8,495 | PATIENT ASSISTANCE | |
| DENVER ARTHRITIS CLINIC | |||||||
| 200 SPRUCE ST 100 | DENVER | CO | 80230 | 840717541 | $29,750 | PATIENT ASSISTANCE | |
| MCKEE MEDICAL CENTER | |||||||
| PO BOX 2148 | GREELEY | CO | 80632 | 840826332 | $9,603 | PATIENT ASSISTANCE | |
| SOUTHERN CO CLINIC | |||||||
| PO BOX 9000 | PUEBLO | CO | 81008 | 841074070 | $22,088 | PATIENT ASSISTANCE | |
| LUTHEREN MEDICAL CENTER | |||||||
| 8300 W 38TH AVE | WHEAT RIDGE | CO | 80033 | 841103606 | $13,415 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS | |||||||
| 3030 N CIRCLE STE 301 | COLO SPGS | CO | 80909 | 841145709 | $20,395 | PATIENT ASSISTANCE | |
| POUDRE VALLEY HOSPITAL | |||||||
| PO BOX 20060 | FORT COLLINS | CO | 80522 | 841262971 | $7,892 | PATIENT ASSISTANCE | |
| MILE-HI NEUROLOGY SERVICES PC | |||||||
| 9399 CROWN CRESCENT BLVD STE 422 | PARKER | CO | 80138 | 841301126 | $5,691 | PATIENT ASSISTANCE | |
| EYE CARE CENTER OF NORTHERN CO PC | |||||||
| 1400 DRY CREEK DR | LONGMONT | CO | 80503 | 841355429 | $51,573 | PATIENT ASSISTANCE | |
| JAMES SINGLETON MD | |||||||
| 206 W COUNTY LINE RD 310 | HIGHLANDS RANCH | CO | 80129 | 841438179 | $12,982 | PATIENT ASSISTANCE | |
| ROCKY MOUNTAIN CANCER CTRS | |||||||
| PO BOX 911263 | DALLAS | TX | 75391 | 841457488 | $195,261 | PATIENT ASSISTANCE | |
| PRESBYTERIAN HOSPITAL | |||||||
| DEPT 1570 | DENVER | CO | 80291 | 850105601 | $28,449 | PATIENT ASSISTANCE | |
| EYE ASSOCIATES OF NEW MEXICO | |||||||
| PO BOX 90550 | ALBUQUERQUE | NM | 87199 | 850246856 | $49,779 | PATIENT ASSISTANCE | |
| NEW MEXICO ONCOLOGY HEMATOLOGY - ALBUQUERQUE | |||||||
| PO BOX 52163 MSC 609 | PHOENIX | AZ | 85072 | 850367056 | $31,769 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY ASSOC | |||||||
| 1001 COAL AVE SE | ALBUQUERQUE | NM | 87106 | 850460777 | $18,576 | PATIENT ASSISTANCE | |
| UROLOGICAL ASSOC OF SOUTHERN ARIZONA | |||||||
| 6325 E TANQUE VERDE RD | TUCSON | AZ | 85715 | 860221210 | $23,467 | PATIENT ASSISTANCE | |
| ASSOCIATED RETINA CONSULTANTS | |||||||
| 7600 N 15TH ST 155 | PHOENIX | AZ | 85020 | 860285158 | $57,369 | PATIENT ASSISTANCE | |
| PALO VERDE HEMATOLOGY AND ONCOLOGY | |||||||
| 5601 W EUGIE AVE 106 | GLENDALE | AZ | 85304 | 860416050 | $392,965 | PATIENT ASSISTANCE | |
| UNIVERSITY MEDICAL CTR | |||||||
| PO BOX 840334 | DALLAS | TX | 75284 | 860492210 | $5,861 | PATIENT ASSISTANCE | |
| RETINAL CONSULTANTS OF AZ | |||||||
| PO BOX 32530 | PHOENIX | AZ | 85064 | 860708606 | $189,303 | PATIENT ASSISTANCE | |
| ARIZON ARTHRITIS-RHEUMATOLOGY | |||||||
| 10599 N TATUM BLVD F150 | PARADISE VALLEY | AZ | 85253 | 860765242 | $23,539 | PATIENT ASSISTANCE | |
| INTEGRATED MEDICAL SERVICES INC | |||||||
| PO BOX 9004 | PHOENIX | AZ | 85068 | 860783428 | $8,031 | PATIENT ASSISTANCE | |
| MAYO CLINIC SCOTTSDALE | |||||||
| PO BOX 1316 | MINNEAPOLIS | MN | 55480 | 860800150 | $19,084 | PATIENT ASSISTANCE | |
| RASW PC | |||||||
| 6561 E CARONDELET DR | TUCSON | AZ | 85710 | 860891570 | $97,359 | PATIENT ASSISTANCE | |
| GORDON GRADO MD INC | |||||||
| 2926 N CIVIC CENTER PLZ | SCOTTSDALE | AZ | 85251 | 860927588 | $6,628 | PATIENT ASSISTANCE | |
| ARIZONA CTR FOR HEMATOLOGY ONCOLOGY | |||||||
| 5750 W THUNDERBIRD RD C300 | GLENDALE | AZ | 85306 | 860930581 | $214,183 | PATIENT ASSISTANCE | |
| ARIZONA ONCOLOGY ASSOCIATES | |||||||
| PO BOX 910221 | DALLAS | TX | 75391 | 860938204 | $776,611 | PATIENT ASSISTANCE | |
| VALLEY ARTHRITIS CARE | |||||||
| 13943 N 91ST AVE I | PEORIA | AZ | 85381 | 861010503 | $9,067 | PATIENT ASSISTANCE | |
| SARAH EASAW | |||||||
| 1255 RT 70 31 S | LAKEWOOD | NJ | 08701 | 861153650 | $10,219 | PATIENT ASSISTANCE | |
| CENTRAL UT CLINIC | |||||||
| PO BOX 30079 | SALT LAKE CITY | UT | 84130 | 870281028 | $66,320 | PATIENT ASSISTANCE | |
| EXCEL EYE CENTER | |||||||
| 1735 N STATE ST | PROVO | UT | 84604 | 870283576 | $9,274 | PATIENT ASSISTANCE | |
| ROCKY MOUNTIAN RETINA CONSULTANTS | |||||||
| 4400 S 700 E 200 | SALT LAKE CITY | UT | 84107 | 870302621 | $165,808 | PATIENT ASSISTANCE | |
| UNGRICHT EYE ASSOCIATES | |||||||
| 5770 S 250 E 410 | SALT LAKE CITY | UT | 84107 | 870470731 | $5,508 | PATIENT ASSISTANCE | |
| UTAH CANCER CENTER | |||||||
| 1121 E 3900 S STE C240 | HOLLADAY | UT | 84124 | 870519691 | $224,668 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES OF UT | |||||||
| 5169 S COTTONWOOD ST 630 | MURRAY | UT | 84107 | 870525682 | $210,681 | PATIENT ASSISTANCE | |
| UTAH VALLEY PEDIATRICS | |||||||
| 1355 N UNIVERSITY AVE 210 | PROVO | UT | 84604 | 870549057 | $16,896 | PATIENT ASSISTANCE | |
| COUNTRY HILLS EYE CENTER | |||||||
| 875 E COUNTRY HILLS DR | OGDEN | UT | 84403 | 870575989 | $5,572 | PATIENT ASSISTANCE | |
| MT OGDEN EYE CENTER | |||||||
| 4360 WASHINGTON BLVD A | OGDEN | UT | 84403 | 870617733 | $11,229 | PATIENT ASSISTANCE | |
| ARTHRITIS SPECIALTY CTR | |||||||
| 1448 E CENTER ST E | POCATELLO | ID | 83201 | 870705248 | $8,870 | PATIENT ASSISTANCE | |
| SCRIPPS CLINIC | |||||||
| 10666 N TORREY PINES RD MS113 | LA JOLLA | CA | 92037 | 870737749 | $7,609 | PATIENT ASSISTANCE | |
| UNIVERSITY OF UT MORAN EYE CENTER | |||||||
| PO BOX 511258 | LOS ANGELES | CA | 90051 | 876000525 | $25,316 | PATIENT ASSISTANCE | |
| HEALTHCARE PARTNERS MEDICAL GROUP | |||||||
| 8285 W ARBY AVE 100B | LAS VEGAS | NV | 89113 | 880213519 | $117,757 | PATIENT ASSISTANCE | |
| RENO ONCOLOGY CONSULTANTS | |||||||
| 85 KIRMAN AVE 101 | RENO | NV | 89502 | 880315123 | $19,911 | PATIENT ASSISTANCE | |
| COMPREHENSIVE CANCER CENTERS OF NV | |||||||
| PO BOX 911265 | DALLAS | TX | 75391 | 880350180 | $159,043 | PATIENT ASSISTANCE | |
| FAYLONA GOLLARD KAUSHAL NYAMUSWA AND PARK LTD | |||||||
| 58 N PECOS RD | HENDERSON | NV | 89074 | 880370553 | $72,097 | PATIENT ASSISTANCE | |
| OSTEOPOROSIS & ARTHRITIS CENTER | |||||||
| 10001 S EASTERN AVE 306 | HENDERSON | NV | 89052 | 880418235 | $9,354 | PATIENT ASSISTANCE | |
| BANNER DESERT CANCER CENTER | |||||||
| PO BOX 2978 | PHOENIX | AZ | 85062 | 900054201 | $12,866 | PATIENT ASSISTANCE | |
| SAN JOAQUIN HEMATOLOGY | |||||||
| PO BOX 7667 | STOCKTON | CA | 95267 | 900085684 | $14,522 | PATIENT ASSISTANCE | |
| TENNESSEE PLATEAU ONCOLOGY | |||||||
| 49 CLEVELAND ST 270 | CROSSVILLE | TN | 38555 | 900111512 | $11,364 | PATIENT ASSISTANCE | |
| COSTAL BIN RETNA | |||||||
| 5722 ESPLANADE DR 100 | CORPUS CHRISTI | TX | 78414 | 900145614 | $12,855 | PATIENT ASSISTANCE | |
| INNOVATIVE INFUSIONS LLC | |||||||
| 235 NE LOOP 820 STE 310 | HURST | TX | 76053 | 900213778 | $12,534 | PATIENT ASSISTANCE | |
| BANNER GATEWAY MED CTR | |||||||
| PO BOX 2978 | PHOENIX | AZ | 85062 | 900220728 | $95,334 | PATIENT ASSISTANCE | |
| DR MICHAEL O NEIL | |||||||
| PO BOX 1700 | ROSEBURG | OR | 97470 | 900433062 | $36,113 | PATIENT ASSISTANCE | |
| BANNER ARIZONA MED CTR | |||||||
| 13640 N PLAZA DEL RIO BLVD 120 | PEORIA | AZ | 85381 | 900730397 | $152,375 | PATIENT ASSISTANCE | |
| CENTRAL HEMATOLOGY & ONCOLOGY MEDICAL GROUP | |||||||
| FILE 55737 | LOS ANGELES | CA | 90074 | 900943683 | $9,102 | PATIENT ASSISTANCE | |
| THE EVERETT CLINIC | |||||||
| PO BOX 5127 | EVERETT | WA | 98206 | 910214500 | $19,767 | PATIENT ASSISTANCE | |
| GROUP HEALTH COOPERATIVE | |||||||
| PO BOX 34383 | SEATTLE | WA | 98124 | 910511770 | $69,545 | PATIENT ASSISTANCE | |
| ST JOSEPH MEDICAL CTR | |||||||
| PO BOX 34935 DEPT 91 | SEATTLE | WA | 98124 | 910564491 | $8,352 | PATIENT ASSISTANCE | |
| YAKIMA VALLEY MEMORIAL HOSPITAL | |||||||
| 2811 TIETON DR | YAKIMA | WA | 98902 | 910567263 | $51,072 | PATIENT ASSISTANCE | |
| PROVIDENCE REGIONAL CANCER SYSTEM | |||||||
| 2015 COOKS HILL RD STE 200 | CENTRALIA | WA | 98531 | 910573108 | $7,159 | PATIENT ASSISTANCE | |
| THE VANCOUVER CLINIC | |||||||
| PO BOX 873010 | VANCOUVER | WA | 98687 | 910851599 | $41,601 | PATIENT ASSISTANCE | |
| SPOKANE EYE CLINIC | |||||||
| 427 S BERNARD ST | SPOKANE | WA | 99204 | 910852217 | $86,389 | PATIENT ASSISTANCE | |
| CANCER CARE NW | |||||||
| PO BOX 3868 | SPOKANE | WA | 99220 | 911007627 | $16,521 | PATIENT ASSISTANCE | |
| HSUSHI YEH MD | |||||||
| 1311 S UNION AVE 101 | TACOMA | WA | 98405 | 911118320 | $7,935 | PATIENT ASSISTANCE | |
| ROCKWOOD CANCER TREATMENT | |||||||
| 910 W 5TH AVE 700 | SPOKANE | WA | 99204 | 911352993 | $16,869 | PATIENT ASSISTANCE | |
| ST CLARE HOSPITAL | |||||||
| PO BOX 31001 | PASADENA | CA | 91110 | 911487485 | $11,766 | PATIENT ASSISTANCE | |
| PROLIANCE SURGEONS INC | |||||||
| 1750 112TH AVE NE | BELLEVUE | WA | 98004 | 911606533 | $21,218 | PATIENT ASSISTANCE | |
| EVERGREEN EYE CENTER | |||||||
| PO BOX 25020 | FEDERAL WAY | WA | 98093 | 911628032 | $7,586 | PATIENT ASSISTANCE | |
| ALASKA UROLOGY | |||||||
| PO BOX 200754 | ANCHORAGE | AK | 99520 | 911779209 | $20,000 | PATIENT ASSISTANCE | |
| NEBRASKA MEDICAL CENTER | |||||||
| PO BOX 3839 | OMAHA | NE | 68103 | 911858433 | $15,236 | PATIENT ASSISTANCE | |
| SOUTHEAST NE HEMATOLOGYONCOLOGY CONSU | |||||||
| 201 S 68TH ST PL 200 | LINCOLN | NE | 68510 | 911862785 | $24,515 | PATIENT ASSISTANCE | |
| NORTHWEST MEDICAL SPECIALTIES | |||||||
| 1624 S I ST 305 | TACOMA | WA | 98405 | 911867315 | $164,349 | PATIENT ASSISTANCE | |
| HEALTHTEXAS PROVIDER NETWORK | |||||||
| PO BOX 842001 | DALLAS | TX | 75284 | 911947573 | $5,032 | PATIENT ASSISTANCE | |
| NORTHWEST WASHINGTON EYE SPECIALIST | |||||||
| 1724 W MARINE VIEW DR 130 | EVERETT | WA | 98201 | 912047345 | $10,430 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS | |||||||
| 1530 N 115TH ST 105 | SEATTLE | WA | 98133 | 912062004 | $52,015 | PATIENT ASSISTANCE | |
| RETINA CENTER NORTHWEST | |||||||
| 9800 LEVIN RD 203 | SILVERDALE | WA | 98383 | 912086736 | $64,247 | PATIENT ASSISTANCE | |
| STRAUB CLINIC & HOSP | |||||||
| 888 S KING ST | HONOLULU | HI | 96813 | 912151670 | $25,347 | PATIENT ASSISTANCE | |
| ALASKA UROLOGICAL INSTITUTE | |||||||
| PO BOX 241487 | ANCHORAGE | AK | 99524 | 920056608 | $19,626 | PATIENT ASSISTANCE | |
| WILLAMETTE UROLOGY PC | |||||||
| 2973 12TH ST SE | SALEM | OR | 97302 | 930607237 | $9,209 | PATIENT ASSISTANCE | |
| OREGON UROLOGY INSTITUTE PC | |||||||
| 2400 HARTMAN LN 200 | SPRINGFIELD | OR | 97477 | 930636837 | $103,044 | PATIENT ASSISTANCE | |
| HILLSBORO EYE CLINIC | |||||||
| 512 EAST MAIN ST | HILLSBORO | OR | 97123 | 930721833 | $20,249 | PATIENT ASSISTANCE | |
| RETINA NORTHWEST PC | |||||||
| 2525 NW LOVEJOY 100 | PORTLAND | OR | 97210 | 930727712 | $42,355 | PATIENT ASSISTANCE | |
| ONCOLOGY ASSOC OF OREGON | |||||||
| PO BOX 79045 | CITY INDUSTRY | CA | 91716 | 930746296 | $53,640 | PATIENT ASSISTANCE | |
| EYE HEALTH NW | |||||||
| PO BOX 22009 | MILWAUKIE | OR | 97269 | 931014730 | $17,706 | PATIENT ASSISTANCE | |
| NORTHWEST RHEUMATOLOGY ASSOC | |||||||
| 9155 SW BARNES RD 314 | PORTLAND | OR | 97225 | 931100743 | $13,478 | PATIENT ASSISTANCE | |
| RETINA AND VITREOUS CENTER | |||||||
| 246 CATALINA DR | ASHLAND | OR | 97520 | 931148483 | $18,468 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS | |||||||
| 2450 12TH ST SE | SALEM | OR | 97302 | 931152985 | $98,682 | PATIENT ASSISTANCE | |
| OREGON HEALTH & SCIENCE UNIVERSITY | |||||||
| PO BOX 3595 | PORTLAND | OR | 97208 | 931176109 | $10,502 | PATIENT ASSISTANCE | |
| CORVALLIS CLINIC | |||||||
| 3680 NW SAMARITAN DR | CORVALLIS | OR | 97330 | 931221257 | $8,145 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY ASSOCIATES | |||||||
| 2828 E BARNETT RD | MEDFORD | OR | 97504 | 931272455 | $46,250 | PATIENT ASSISTANCE | |
| HEMATOLOGYONCOLOGY OF SALEM LLP | |||||||
| 875 OAK ST SE 4030 | SALEM | OR | 97301 | 931273254 | $56,051 | PATIENT ASSISTANCE | |
| NORTHWEST CANCER SPECIALISTS | |||||||
| PO BOX 79308 | CITY OF INDUSTRY | CA | 91716 | 931280206 | $96,254 | PATIENT ASSISTANCE | |
| PALO ALTO MEDICAL FOUNDATION | |||||||
| PO BOX 742791 | LOS ANGELES | CA | 90074 | 941156581 | $13,084 | PATIENT ASSISTANCE | |
| ST JOSEPH HOSPITAL | |||||||
| PO BOX 3101-1982 | PASADENA | CA | 91110 | 941156596 | $5,316 | PATIENT ASSISTANCE | |
| SUTTER HEALTH SACRAMENTO SIERRA REGION | |||||||
| PO BOX 160100 180 N | SACRAMENTO | CA | 95816 | 941156621 | $6,820 | PATIENT ASSISTANCE | |
| KAISER FOUNDATION HEALTH PLAN INC | |||||||
| FILE 50295 | LOS ANGELES | CA | 90074 | 941340523 | $31,260 | PATIENT ASSISTANCE | |
| ENLOE MEDICAL CTR | |||||||
| PO BOX 60000 FILE 74008 | SAN FRANCISCO | CA | 94160 | 941603784 | $32,325 | PATIENT ASSISTANCE | |
| RADIOLOGICAL ASSOC OF SACRAMENTO MEDCIAL GROUP | |||||||
| BOX 160008 | SACRAMENTO | CA | 95816 | 941694584 | $8,906 | PATIENT ASSISTANCE | |
| VISION CARE CENTER | |||||||
| 7075 N SHARON | FRESNO | CA | 93720 | 941717441 | $38,048 | PATIENT ASSISTANCE | |
| EYE MEDICAL CLINIC OF FRESNO | |||||||
| 1360 E HERDOIN 301 | FRESNO | CA | 93650 | 942179577 | $6,581 | PATIENT ASSISTANCE | |
| WEST COAST RETINA MEDICAL GROUP INC | |||||||
| 1445 BUSH ST | SAN FRANCISCO | CA | 94109 | 942275625 | $77,687 | PATIENT ASSISTANCE | |
| HEMATOLOGY AND ONCOLOGY MEDICAL GROUP OF FRESNO | |||||||
| 7130 N MILLBROOK 100 | FRESNO | CA | 93720 | 942356945 | $59,815 | PATIENT ASSISTANCE | |
| RETINAL CONSULTANTS MEDICAL GROUP | |||||||
| 3939 J ST 104 | SACRAMENTO | CA | 95819 | 942442567 | $81,657 | PATIENT ASSISTANCE | |
| MT DIABLO REGIONAL CANCER CENTER | |||||||
| 2571 PARK AVE | CONCORD | CA | 94520 | 942547883 | $5,425 | PATIENT ASSISTANCE | |
| CENTRAL CALIFORNIA FACULTY MEDICAL GROUP INC | |||||||
| PO BOX 5254 | FRESNO | CA | 93755 | 942613220 | $23,918 | PATIENT ASSISTANCE | |
| DAVID S CHENG MD | |||||||
| 39275 MISSION BLVD 203 | FREMONT | CA | 94539 | 942614791 | $5,384 | PATIENT ASSISTANCE | |
| SUTTER EAST BAY MEDICAL FOUNDATION | |||||||
| PO BOX 255789 | SACRAMENTO | CA | 95865 | 942690415 | $6,838 | PATIENT ASSISTANCE | |
| RETINAL DIAGNOSTIC CENTER | |||||||
| 3395 S BASCOM AVE STE 140 | CAMPBELL | CA | 95008 | 942711267 | $5,291 | PATIENT ASSISTANCE | |
| CALIFORNIA CANCER CARE INC | |||||||
| 218 DE ANZA BLVD | SAN MATEO | CA | 94402 | 942765776 | $5,923 | PATIENT ASSISTANCE | |
| IV THERAPY IHC | |||||||
| 2250 S 1300 W SUITE A | SALT LAKE | UT | 84119 | 942854057 | $61,368 | PATIENT ASSISTANCE | |
| NORTHERN CALIFORNIA RETINA VITREOUS ASS | |||||||
| 50 S SAN MATEO DR 125 | SAN MATEO | CA | 94403 | 942906234 | $33,744 | PATIENT ASSISTANCE | |
| VALLEY MEDICAL ONCOLOGY CONSUL | |||||||
| 5725 W LAS POSITAS BLVD 100 | PLEASANTON | CA | 94588 | 942950378 | $38,569 | PATIENT ASSISTANCE | |
| BAY AREA RETINA ASSOC | |||||||
| 122 LA CASA VIA 223 | WALNUT CREEK | CA | 94598 | 943064464 | $50,022 | PATIENT ASSISTANCE | |
| UNIVERSITY HEALTHCARE ALLIANCE | |||||||
| PO BOX 742244 | LOS ANGELES | CA | 90074 | 943192446 | $6,730 | PATIENT ASSISTANCE | |
| PACIFIC EYE ASSOCIATES | |||||||
| 2100 WEBSTER ST STE 214 | SAN FRANCISCO | CA | 94115 | 943228329 | $12,089 | PATIENT ASSISTANCE | |
| PACIFIC CANCER CARE | |||||||
| 5 HARRIS CT BLDG T 201 | MONTEREY | CA | 93940 | 943246234 | $17,024 | PATIENT ASSISTANCE | |
| ONCARE HI | |||||||
| P O BOX 30460 | HONOLULU | HI | 96820 | 943266406 | $111,799 | PATIENT ASSISTANCE | |
| EPIC CARE | |||||||
| 4721 DALLAS RNCH RD | ANTIOCH | CA | 94531 | 943306655 | $108,775 | PATIENT ASSISTANCE | |
| MATTHEWS HEMATOLOGY ONOCOLOGY ASSOCIATES | |||||||
| 1700 MATTHEWS TOWNSHIP PKWY | MATTHEWS | NC | 28105 | 943416694 | $13,643 | PATIENT ASSISTANCE | |
| BAKERSFIELD MEMORIAL HOSPITAL | |||||||
| FILE 55653 | LOS ANGELES | CA | 90074 | 951802779 | $25,443 | PATIENT ASSISTANCE | |
| EL CENTRO REGIONAL MEDICAL CENTER | |||||||
| 1415 ROSS AVE | EL CENTRO | CA | 92243 | 951915820 | $7,049 | PATIENT ASSISTANCE | |
| TRI CITY MEDICAL CENTER | |||||||
| 3617 VISTA WAY | OCEANSIDE | CA | 92056 | 952126937 | $29,634 | PATIENT ASSISTANCE | |
| MENDOCINO COAST DIST HOSPITAL | |||||||
| 700 RIVER DR | FORT BRAGG | CA | 95437 | 952627981 | $5,275 | PATIENT ASSISTANCE | |
| HEMATOLOGY ONCOLOGY MEDICAL GROUP | |||||||
| 1010 W LA VETA AVE STE 200 | ORANGE | CA | 92868 | 952665069 | $79,628 | PATIENT ASSISTANCE | |
| WILSHIRE ONCOLOGY MEDICAL GRP | |||||||
| 1502 ARROW HWY | LA VERNE | CA | 91750 | 952754041 | $51,301 | PATIENT ASSISTANCE | |
| CARSON MCBEATH & BOSWELL INC | |||||||
| 4300 LONGBEACH BLVD 300 | LONGBEACH | CA | 90807 | 952785489 | $13,008 | PATIENT ASSISTANCE | |
| SHAPIRO STAFFORD AND YEE MD | |||||||
| 622 W DUARTE RD 202 | ARCADIA | CA | 91007 | 953036706 | $51,553 | PATIENT ASSISTANCE | |
| NORTH COUNTY ONCOLOGY MED CLINIC | |||||||
| 3617 VISTA WAY | OCEANSIDE | CA | 92056 | 953083886 | $50,510 | PATIENT ASSISTANCE | |
| LOS ALAMITOS HEMATOLOGY ONCOLOGY | |||||||
| 3801 KATELLA AVE 207 | LOS ALAMITOS | CA | 90720 | 953184731 | $6,058 | PATIENT ASSISTANCE | |
| VALLEY TUMOR MED GRP | |||||||
| 44105 15TH ST W 207 | LANCASTER | CA | 93534 | 953275524 | $18,567 | PATIENT ASSISTANCE | |
| KENNETH M TOKITA MD INC | |||||||
| 16100 SAND CANYON AVE 130 | IRVINE | CA | 92618 | 953282781 | $10,881 | PATIENT ASSISTANCE | |
| INLAND HEMATOLOGY ONCOLOGY MED GRP INC | |||||||
| 401 C E HIGHLAND AVE | SAN BERNARDINO | CA | 92404 | 953285720 | $15,728 | PATIENT ASSISTANCE | |
| EDWARD ALEXSON MD | |||||||
| 1100 N TUSTIN AVE A | SANTA ANA | CA | 92705 | 953416703 | $11,164 | PATIENT ASSISTANCE | |
| PACIFIC COAST HEMATOLOGY ONCOLOGY MED GRP | |||||||
| 9940 TALBERT AVE 100 | FOUNTAIN VALLEY | CA | 92708 | 953431486 | $6,435 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS OF SAN DIEGO | |||||||
| 12630 MONTE VISTA RD SUITE 104 | POWAY | CA | 92064 | 953511595 | $17,158 | PATIENT ASSISTANCE | |
| XAVIER J CARO MD | |||||||
| 18350 ROSCOE BLVD 418 | NORTHRIDGE | CA | 91325 | 953563324 | $11,258 | PATIENT ASSISTANCE | |
| UROLOGY ASSOC OF SAN LUIS OBISPO | |||||||
| 3599 SUELDO ST STE 110 | SN LUIS OBISP | CA | 93401 | 953652616 | $23,334 | PATIENT ASSISTANCE | |
| RETINA VITREOUS MEDICAL GROUP | |||||||
| FILE 51006 | LOS ANGELES | CA | 90074 | 953699305 | $18,660 | PATIENT ASSISTANCE | |
| DESERT MEDICAL GRP | |||||||
| 275 N EL CIELO RD | PALMSPRINGS | CA | 92262 | 953898275 | $12,257 | PATIENT ASSISTANCE | |
| RUDY GREENE MD | |||||||
| PO BOX 1470 | PHOENIX | OR | 97535 | 954112025 | $10,142 | PATIENT ASSISTANCE | |
| FACEY MEDICAL GROUP | |||||||
| FILE 50670 | LOS ANGELES | CA | 90074 | 954322584 | $60,267 | PATIENT ASSISTANCE | |
| LOS ANGELES HEMATOLOGY & ONCOLOGY MED GROUP | |||||||
| 1245 WILSHIRE BLVD 303 | LOS ANGELES | CA | 90017 | 954332724 | $82,677 | PATIENT ASSISTANCE | |
| UNIVERSITY OF CA LA DEPT OF MEDICINE PROFESSIONAL M | |||||||
| FILE 55737 | LOS ANGELES | CA | 90074 | 954373071 | $48,485 | PATIENT ASSISTANCE | |
| CALIFORNIA HEMATOLOGY ONCOLOGY MED | |||||||
| 3440 W LOMITA BLVD 250 | TORRANCE | CA | 90505 | 954400055 | $8,786 | PATIENT ASSISTANCE | |
| HEALTHCARE PARTNERS MEDICAL GROUP | |||||||
| PO BOX 6560 | TORRANCE | CA | 90504 | 954526112 | $6,079 | PATIENT ASSISTANCE | |
| UCLA UROLOGY CLINIC | |||||||
| 200 MEDICAL PLAZA 140 | LOS ANGELES | CA | 90024 | 954544776 | $15,000 | PATIENT ASSISTANCE | |
| ALAA LATIF MD INC | |||||||
| 1910 ROYALTY DR | POMONA | CA | 91767 | 954691628 | $7,811 | PATIENT ASSISTANCE | |
| SANSUM CLINIC | |||||||
| P O BOX 62106 | SANTA BARBARA | CA | 93160 | 956419205 | $46,071 | PATIENT ASSISTANCE | |
| RETINA CONSULTANTS OF HI | |||||||
| 98-1079 MOANALUA RD 470 | AIEA | HI | 96701 | 990300258 | $5,835 | PATIENT ASSISTANCE | |
| RETINA ASSOCIATES OF HI | |||||||
| 1329 LUSITENA ST | HONOLULU | HI | 96813 | 990344479 | $125,382 | PATIENT ASSISTANCE | |
| RETINA CENTER OF HAWAII LLC | |||||||
| 1380 LUSITANA ST 201 | HONOLULU | HI | 96813 | 990345804 | $5,642 | PATIENT ASSISTANCE | |
| (no name) | |||||||
| PATIENT ASSISTANCE | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 1560 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | COPAY ASSISTANCE | GrantTypeTxt |
| Recipient | 4621 | RecipientCnt |
| Cash Grant | $4,447,212 | 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 RANDOM VERIFICATION AGAINST CRITERIA SET BY THE BOARD, A DOCTOR'S ATTESTATION TO VALIDATE THE PATIENT MEDICAL NEED AND AN INSURANCE BENEFITS VERIFICATION, 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 |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICK MCKERCHER | ||||||||||||||
| PRESIDENT (THRU 11/15/14) | $258,180 | $0 | $60,000 | $0 | $0 | $0 | $10,400 | $0 | $23,653 | $0 | $352,233 | $0 | $0 | $0 |
| RICHARD GOLDSTEIN | ||||||||||||||
| CFO & TREASURER | $165,790 | $0 | $25,200 | $0 | $0 | $0 | $7,728 | $0 | $36,406 | $0 | $235,124 | $0 | $0 | $0 |
| KORAB ZUKA | ||||||||||||||
| VP EXTRNL RELATIONS & OPS | $149,616 | $0 | $0 | $0 | $0 | $0 | $6,038 | $0 | $9,772 | $0 | $165,426 | $0 | $0 | $0 |
| SVETLANA DURKOVIC | ||||||||||||||
| DIRECTOR OF OPERATIONS | $123,770 | $0 | $18,900 | $0 | $0 | $0 | $5,796 | $0 | $30,648 | $0 | $179,114 | $0 | $0 | $0 |
| AMY NILES | ||||||||||||||
| DIRECTOR OF ALLIANCE DEVELOP | $140,082 | $0 | $32,500 | $0 | $0 | $0 | $0 | $0 | $23,010 | $0 | $195,592 | $0 | $0 | $0 |
| WILLIAM JOHNSON | ||||||||||||||
| DIRECTOR OF PROVIDER RELATNS | $121,083 | $0 | $28,750 | $0 | $0 | $0 | $6,150 | $0 | $35,482 | $0 | $191,465 | $0 | $0 | $0 |
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 AND A BOARD MEMBER | $168,380 | 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 | $418,746 | 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 (6 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. 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 | A COMPENSATION AND BENEFITS STUDY WAS COMPLETED IN 2013. 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. PERIODICALLY, THE STAFF REVIEWS FORMS 990 OF ORGANIZATIONS WITH SIMILAR MISSIONS TO HELP DETERMINE COMPENSATION. |
| 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 AND FINANCE COMMITTEE'S 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. |
| PAGE 6, SECTION C, DISCLOSURE | THE ORGANIZATION'S BOOKS ARE LOCATED IN WASHINGTON, DC IN CARE OF RICHARD GOLDSTEIN AT PATIENT ACCESS NETWORK FOUNDATION, 1331 F STREET NW, WASHINGTON, DC 20004, 202-347-9271. THE RECORDS ARE LOCATED AS STATED ON PAGE 6, SECTION C. |