DME National Provider Directory
DME National Provider Directory
DME National Provider Directory
continued
Medicare
PLUS
Group PPO
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE 101
FORT KENT
ME
4743
2078347337
2078347339
MIFFLINBURG
PA
17844
5709669863
PO BOX 266
PINE WOOD
BUSINESS
PARK
HERMON
ME
4401
2078489093
2078489097
DME
UNIT 10
PORTLAND
ME
4103
2077974987
2077973735
DME
72 INDUSTRIAL STREET
PRESQUE ISLE
ME
4769
2077641700
2077643875
DME
DAMARISCOTTA
ME
4543
2075635191
2075633788
DME
ZEPHYRHILLS
FL
335423706 8137838737
8137838679
PO BOX 32730
DETROIT
MI
482320730 5867751111
5865521111
ST CLAIR SHORES
MI
48080
5867751111
5865521111
DME
FL
33903
2399973000
2399971276
DME
AUBURN HILLS
MI
48326
2482761600
FLORENCE
AL
356301554 2567675509
2567675510
DME
30755 BARRINGTON ST
MADISON HEIGHTS
MI
480711833 2485779903
2485779913
DME
EUSTIS
FL
327266577 3525896247
3523573238
DME
TAVARES
FL
32778
3525896247
3523573238
SUITE 304
PO BOX 190
2201 SW COLLEGE RD
SUITE 12
OCALA
FL
344711603 3527324156
3526715332
SUITE 110
JACKSON
MI
492012490 5177846617
5177846619
BAY CITY
MI
487060183 9898399137
9896624906
PO BOX 1183
SUITE 2
MIDLAND
MI
486404996 9898356646
9898356651
SUITE 105
TAMPA
FL
336197871 0
8774267329
SUITE G
PUTNAM
CT
62601548
8609631110
8779687267
SUITE B-3
DILLARD
GA
305372264 7067462715
8779687267
DME
PRO
ORT
DME
DME
continued
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
MIAMI
FL
331866477 3052569446
3052569449
PHILADELPHIA
PA
19114
2154642100
2154640400
TEMPERANCE
MI
48182
7348476788
7348477348
DME
NEW CASTLE
IN
473625235 7655939300
7655939304
DME
SUITE 3
FT MYERS
FL
33912
SUITE C
MT PLEASANT
SC
294644582 8432167000
8432163600
DME
ANCHORAGE
AK
995037429 9075627711
9075621902
DME
155 JEFFERSON
BOULEVARD
WARWICK
RI
2888
4014681332
DME
BOX 200832
PITTSBURGH
PA
152510832 0
PO BOX 470
FALL RIVER
MA
27220470
5086747874
5086727930
17 STAFFORD ROAD
FALL RIVER
MA
2721
5086747874
5086727930
ST LOUIS
MO 63128
3148499599
3148499778
LEOMINSTER
MA
14531912
9788400113
9788400115
NORTH DARTMOUTH
MA
27472513
5089971241
5089977550
FALL RIVER
MA
2720
5086786100
5086787100
WALTHAM
MA
24511105
8003386304
BANGOR
ME
44013500
2079478454
2079478567
WEST SPRINGFIELD
MA
10891310
4137468950
4137469037
4014681300
71 1ST AVE
SUITE 6A
PORTLAND
ME
41031073
2077737896
2077734645
SUITE 12A
PORTSMOUTH
NH
38017145
6036065271
6036065273
SOUTH BURLINGTON
VT
54035703
8026519893
8026519736
WARWICK
RI
28860200
4017323224
4017325142
10 EVERGREEN DRIVE
OAKLAND
ME
49635364
2078722240
2078727471
ROCKY HILL
CT
60673404
7816849250
PO BOX 849098
BOSTON
MA
2284
7812469359
ORLANDO
FL
32822
4074268850
34245 NEIGHBORHOOD
DIABETES INC
JACKSONVILLE
FL
32073
4074268850
34246 NEIGHBORHOOD
DIABETES INC
ORLANDO
FL
32803
4074268850
24930 NEIGHBORHOOD
DIABETES INC
1871759118 NEIGHBORHOOD
DIABETES INC
SUITE 102S
SUITE 300
Medicare PLUS
Group PPO
PRO
ORT
SUITE 104
DME
DME
DME
PRO
ORT
ORT
PRO
ORT
ORT
PRO
ORT
PRO
ORT
ORT
PRO
ORT
continued
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
34247 NEIGHBORHOOD
DIABETES INC
34041 US 19 NORTH
SUITE 10
PALM HARBOR
FL
34685
4074268850
34249 NEIGHBORHOOD
DIABETES INC
1355 37TH ST
SUITE 304
VERO BEACH
FL
32960
4074268850
34248 NEIGHBORHOOD
DIABETES INC
SUITE 200
WINTER PARK
FL
32789
4074268850
34151 NEIGHBORHOOD
DIABETES INC
77 COLLIER ROAD
SUITE 2080
ATLANTA
GA
30309
4074268850
34250 NEIGHBORHOOD
DIABETES INC
SUITE 350
LAKE HEARN
GA
30342
4074268850
34152 NEIGHBORHOOD
DIABETES INC
FALL RIVER
MA
2720
8667845646
78 DRAGON COURT
WOBURN
MA
18011029
8667845646
72 ROUTE 236
KITTERY
ME
3904
8667845646
BROOKLYN
NY
11230
7189727895
PO BOX 845081
BOSTON
MA
2283
NORWOOD
MA
20624643
7815513335
4133320786
DME
1609864990 NEIGHBORHOOD
DIABETES INC
34153 NEIGHBORHOOD
DIABETES INC
1992708283 NEIGHBORHOOD
DIABETES INC
30813 RELIABLE RESPIRATORY
IVT
1502 PROVIDENCE
HIGHWAY
NICEVILLE
FL
325782028 8507292559
8507291350
DME
WEST READING
PA
19611
6109292004
6109398338
DME
PO BOX 6363
WYOMISSING
PA
19610
6109292004
6109398338
TEMPERANCE
MI
481822415 7348500777
7348500606
ERIE
PA
16502
8144524632
8144524636
PRO
ORT
MEADVILLE
PA
16335
8143320024
8143320029
PRO
ORT
543 E WASHINGTON
STREET
JACKSON
MI
49203
5177823528
5177823743
DME
SUITE 2
ANN ARBOR
MI
48108
7343276588
7349964653
DME
SUITE 1B
GRAND BLANC
MI
484397098 8106030885
8106030895
DME
SAGINAW
MI
486031291 9897914425
9897914591
DME
3755 BROADMOOR SE
KENTWOOD
MI
495123964 6169743007
6169741574
DME
BLOOMFIELD HILLS
MI
483020338 2482532493
2482532543
DME
SUITE 106
SUITE A
Medicare PLUS
Group PPO
DME
DME
continued
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
City
ST
ZIP
PO BOX 8888
TOLEDO
OH
436230888 0
HOOKSETT
NH
3106
6034858455
6032101424
1962583294 JL MEDICAL
SCOTTSDALE
AZ
85253
6028520588
6028529150
CRANSTON
RI
2910
4019415155
4019415171
280 BROADWAY
PROVIDENCE
RI
29033007
4013315548
4016218691
PRO
ORT
2 DUDLEY STREET
PROVIDENCE
RI
2905
4014445477
4014444237
PRO
ORT
PRO
ORT
Address 1
Address 2
SUITE 161
Phone
Fax
ORT
DME
ORT
DME
PO BOX 6300
PROVIDENCE
RI
2940
PROVIDENCE
RI
2905
4014378016
4014378923
LINCOLN
RI
28654211
4013359000
4013359078
DME
14 WOODRUFF AVENUE
NARRAGANSETT
RI
28823467
4017831850
4017832082
DME
51 PARK STREET
ATTLEBORO
MA
27032363
5082221972
5082224532
HARRISBURG
PA
171095004 7175411605
7175411607
8028 FRANKFORD
PHILADELPHIA
PA
191362616 2153386611
2153387598
30 HOPE DRIVE
HERSHEY
PA
17033
7175315882
7175315882
20905 GREENFIELD RD
SOUTHFIELD
MI
48075
2484235099
2484235098
DME
PIKEVILLE
KY
415021686 6064326011
6064326085
DME
PO BOX 575
WEST BRIDGEWATER
MA
2379
BRANFORD
CT
6405
2034888588
2034880844
PRO
ORT
SUITE 1-A
SUITE 508
ORT
PRO
ORT
PRO
ORT
SUITE 108
BROOKFIELD
CT
6804
2035980212
2035980214
PRO
ORT
52 FEDERAL ROAD
UNIT 2-F
DANBURY
CT
6810
2037434420
2037900796
PRO
ORT
EAST HARTFORD
CT
6118
8602473209
8602471991
PRO
ORT
SUITE 290
HAMDEN
CT
6518
2034088080
2034078181
PRO
ORT
SUITE 2-C
MIDDLEBURY
CT
6762
2035980212
2035980214
PRO
ORT
NEW LONDON
CT
6320
8604470086
8604470051
PRO
ORT
Medicare PLUS
Group PPO
DME
continued
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
78 HARVARD AVENUE
Address 2
SUITE 202
City
ST
ZIP
Phone
Fax
STAMFORD
CT
6902
2039618118
2039618338
PRO
ORT
WALLINGFORD
CT
6492
2032652663
2032653316
PRO
ORT
PO BOX 575
WEST BRIDGEWATER
MA
2379
WESTWOOD
MA
2090
7813295500
7813290303
PRO
ORT
WORCESTER
MA
1605
5088908808
5088908818
PRO
ORT
GREAT NECK
NY
11021
5168296188
5168291488
PRO
ORT
MOUNT KISCO
NY
10549
9143282200
9143284408
PRO
ORT
NANUET
NY
10954
8456243360
9143284408
PRO
ORT
SUITE 201
NEW YORK
NY
10016
2126829313
2126829318
PRO
ORT
ROCHESTER
NY
14623
5854750970
5854750973
PRO
ORT
WHITE PLAINS
NY
10604
9143282200
9143284408
PRO
ORT
BOCA RATON
FL
33487
5619979390
HAMTRAMCK
MI
482123839 3133659802
3133659804
DME
PEMBROKE
MA
2359
7818299813
7815617225
DME
FL
32168
3864276344
3864276344
30150 TELEGRAPH RD
BINGHAM FARMS
MI
48025
2485940055
2483079557
DME
25 CORPORATE DRIVE
HOLTSVILLE
NY
11742
6314470093
6314470148
DME
1356346068 M H MANDELBAUM
ORTHOTIC & PROSTHETI
PORT JEFFERSON
NY
11777
6314738668
6314738691
PRO
ORT
WOODSIDE
NY
11377
7188987326
7188982160
PRO
ORT
PLAINVIEW
NY
118034314 5163498610
8002911494
IVT
DME
ELMSFORD
NY
10523
5163498610
8002911494
IVT
DME
MARGATE
FL
330635300 9549177533
9549177633
CHICAGO
IL
606895320 0
8008681908
ANN ARBOR
MI
481035890 7346228470
7346228471
SUITE 207
SUITE 2106
SUITE 185
SUITE 300
SUITE 210
Medicare PLUS
Group PPO
DME
continued
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
TUCSON
AZ
857041139 5205750750
5205750745
SUITE 304
NEWARK
DE
197132133 3029946060
3029946099
SUITE 106
FL
334104328 5618047636
5618047501
UNIT 20
ORLANDO
FL
328378807 4078500367
4078566152
FORT WAYNE
IN
468041535 2604362261
2604360092
INDIANAPOLIS
IN
462901028 3178169010
3178169110
361 QUARTERMASTER
COURT
JEFFERSONVILLE
IN
471303670 8122844306
8122844653
NOBLESVILLE
IN
460628528 3172193360
3172193335
SUITE I
KOKOMO
IN
469027318 7653190055
7653190059
SUITE 105
WHITEHALL
OH
432132441 6148618240
6148618260
SUITE H-1
TULSA
OK
741336295 9182963600
9182963611
GEORGETOWN
SC
294403256 8435273600
8435273636
GREENWOOD
SC
29646
8649434855
8642231837
SUITE 2900
SPARTANBURG
SC
293034201 8645293460
8645293461
SUITE 102
GRAHAM
TX
764504020 9405496262
9405496268
IRVING
TX
750632593 2144411670
2144411671
SUITE 100
CARMEL
IN
460322996 3177061080
3177061022
SUITE 3
MUNCIE
IN
473044806 7652827119
7652826456
SUITE 101
HOUMA
LA
703604083 9858765562
9858766396
SUITE C
TUPELO
MS
38804
6626909780
6626909784
SUITE B
DUBLIN
OH
430163241 6147998495
6147998496
WEST CHESTER
OH
450696547 5137559081
5137559125
MANSFIELD
OH
44906
4195256120
4195256113
MARION
IN
469521913 7656621640
7656621660
SUITE 400
SARASOTA
FL
342326201 9413422835
9413422837
10535 MONTGOMERY
ROAD
SUITE 200-B
CINCINNATI
OH
452424448 5138915100
5138915102
TAMPA
FL
336133320 8139714570
8139714571
1407910946 REHABCO
BRONX
NY
10462
7184300914
PO BOX 200911
PITTSBURGH
PA
152510911 8006313031
22381 LANDAUER
METROPOLITAN INC
SUITE 115
SUITE 101
Medicare PLUS
Group PPO
7188293800
DME
continued
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
1134220205 LANDAUER
METROPOLITAN INC
1 BRADFORD ROAD
Address 2
ST
ZIP
Phone
MT VERNON
NY
10553
9146659050
Fax
OKLAHOMA CITY
OK
731276332 4058101600
8887180633
PO BOX 272548
OKLAHOMA CITY
OK
73137
4057027700
8887180633
MILTON
PA
17847
5702465300
5702465310
51 FIFTH STREET
SUITE A
BELLEVILLE
MI
48111
7346976804
7346976804
SUITE 7
MAYFIELD VILLAGE
OH
44143
4404497727
4404497725
1578653085 MANCHESTER
ORTHOPEDIC INC
1 MONTGOMERY STREET
MIDDLETOWN
NY
10940
8453437337
8453431710
PRO
ORT
NEWBURGH
NY
12550
8455691250
8455691291
PRO
ORT
5080 D JONESTOWN RD
HARRISBURG
PA
171124906 7175266999
7175266930
ORT
CAMP HILL
PA
170117200 7177315600
7177319763
ORT
3154634218
SUITE A
City
6103 E MOLLOY RD
EAST SYRACUSE
NY
13057
PO BOX 827471
PHILADELPHIA
PA
191827471 8606134600
3154635217
ELMSFORD
NY
10523
9145921410
DME
DME
DME
IVT
DME
9145926480
DME
DME
PO BOX 827132
PHILADELPHIA
PA
191827132 7168273710
590 PREEMPTION RD
GENEVA
NY
14556
3157811632
3157811725
WEBSTER
NY
145802109 5857870100
5857871506
ALBANY
NY
12205
5184527017
5184526997
PAINTED POST
NY
14870
6079623115
6079621463
IVT
DME
DEPEW
NY
14043
7166812242
7166813167
IVT
DME
MARCY
NY
13403
3157321119
3157320825
DME
ONEONTA
NY
13820
6074327757
6074330323
DME
WATERTOWN
NY
13601
3157883488
3157882964
DME
CHEEKTOWAGA
NY
14225
7168946666
7168941858
PRO
ORT
BATAVIA
NY
14020
5853134557
7168941858
PRO
ORT
JAMESTOWN
NY
14701
7164881001
7166646570
PRO
ORT
ORCHARD PARK
NY
14127
7166750001
7166758082
PRO
ORT
LOCKPORT
NY
14094
7164335700
7164330600
PRO
ORT
354 CAYUGA RD
BUFFALO
NY
14225
7165652110
7165651011
SUITE 4
SUITE 1
Medicare PLUS
Group PPO
IVT
DME
DME
DME
continued
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 325
CLINTON
NY
13323
7165652110
7165651011
3890 RT 5 & 20
CANANDAIGUA
NY
14424
5853949200
5853941485
7506 STATE RT 5
CLINTON
NY
13323
3158531280
3158531285
ROCHESTER
NY
146073606 5854239580
5854239488
ROCHESTER
NY
14624
5853282050
5853282058
SYRACUSE
NY
13211
3154371627
3154373978
ELMIRA
NY
14904
6077347215
6077347750
GENEVA
NY
14456
3157815173
3157816873
PRO
ORT
HORSEHEADS
NY
14845
6077965906
6077965908
PRO
ORT
ITHICA
NY
14850
6072776620
6072772533
PRO
ORT
37 ASSOCIATE DRIVE
ONEONTA
NY
13820
6074312526
6074369498
PRO
ORT
6 RHOADS DRIVE
UTICA
NY
13502
3157330105
3157330106
PRO
ORT
AMHERST
NY
14226
7166355034
7166355035
PRO
ORT
181 INTEREPID
SYRACUSE
NY
13205
3154926608
3154926159
PRO
ORT
65 PENNSYLVANIA AVENUE
BINGHAMTON
NY
13903
6077240181
6077240182
PRO
ORT
ROCHESTER
NY
146184612 5853858609
5853856966
PHILADELPHIA
PA
191827132 0
3037335019
SYRACUSE
NY
13057
3154383121
3154383122
PO BOX 266
MIFFLINBURG
PA
17844
8662279229
SUITE 405
SUITE 207
PO BOX 827132
6838 ELLICOTT DRIVE
SUITE 3
DME
IVT
DME
DME
IVT
DME
DME
DME
15 D SCOTLAND BLVD
BRIDGEWATER
MA
2324
5709669863
PO BOX 266
MIFFLINBURG
PA
17844
8662279229
WOBURN
MA
1801
7819379988
7819370031
SYRACUSE
NY
13205
3154989086
3154989087
CAMILLUS
NY
13031
3154689743
3154989087
WEST SENECA
NY
142243332 7166756500
7166756646
NAPLES
FL
341091905 2395971799
2395974348
1336181767 PRO2CAIR
WATKINS GLEN
NY
148911225 6075358949
7166756646
DME
1336181940 PRO2CAIR
83 MAIN STREET
HORNELL
NY
14843
6072811563
DME
Medicare PLUS
Group PPO
6073240335
DME
DME
DME
continued
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
1225070626 PRO2CAIR
SUITE 4
WARSAW
NY
145639336 5857863198
5857863190
DME
1275579518 PRO2CAIR
4460 BOLIVER RD
WELLSVILLE
NY
14895
5855935020
5855935160
DME
1619919347 PRO2CAIR
7209 ROUTE 54
BATH
NY
148109586 6077769069
6077767528
DME
1730121203 PRO2CAIR
TOWANDA
PA
188481600 5702657417
5702657473
DME
ROCHESTER
NY
144679609 5853340200
5853340515
LAKEWOOD
NY
14750
7164884207
7161884247
SUITE 3
#3A
Phone
Fax
DME
WEST SENECA
NY
142243332 7166756500
7166756646
SUITE 9
FORT MYERS
FL
339661406 2395612424
2395618888
SUITE E
STOCKBRIDGE
GA
302813766 7705076008
7705061152
DME
SUITE 4
SPRINGDALE
AR
727646339 4798728899
4798728811
DME
MONTROSE
CO
81401
9702493700
9704978415
MONTROSE
CO
81401
9702493700
9704978415
RUSSELLVILLE
AR
728012727 4799674511
4799674544
DME
MOUNTAIN HOME
AR
726534615 8704251552
8704251553
DME
MONTICELLO
AR
716555410 8703672655
8703672654
DME
SUITE A
HARRISON
AR
726013628 8707414442
8707417800
DME
SUITE 1
BENTONVILLE
AR
727123205 4794644969
4794640632
DME
SUITE B
HOT SPRINGS
AR
719139645 5015254228
5015254224
DME
SUITE D
JONESBORO
AR
724048466 8703362400
8703362419
DME
MAGNOLIA
AR
717533121 8709010404
8709017444
DME
FORT SMITH
AR
729088673 4796492627
4796492628
DME
SUITE 16
SUITE E
MONTROSE
CO
814013831 9702493700
9704978415
MONTROSE
CO
814013831 9702493700
9704978415
SUITE B 7
LITTLE ROCK
AR
722234258 5018688387
5018688387
DME
2607 CADDO
SUITE 4
ARKADELPHIA
AR
719235307 8702301518
8702301519
DME
MONTROSE
CO
814013831 9702493700
9704978415
CAMDEN
AR
717013713 8708364477
8708364478
DME
SOUTH BEND
IN
466142543 5142998606
5742990538
DME
FARMINGTON
MO 63640
5737564525
DME
Medicare PLUS
Group PPO
5737566421
continued
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
330 N STATE ST
SUITE E
DESLOGE
1107 W LIBERTY
SUITE 1002
FARMINGTON
111 W COMMERCE ST
SHAMOKIN
ZIP
Phone
Fax
MO 63401
5737566421
5734312242
DME
MO 63640
5737562799
5737564525
DME
PA
178725341 5706486393
5706486393
ORT
MOUNTAIN TOP
PA
187071768 5706501111
5704034088
PENNINGTON GAP
VA
24277
2765464977
2765466030
WAYNESBORO
VA
229803560 5409468084
5409468091
DME
ROANOKE
VA
240121200 5403667628
5403667638
DME
MECHANICSVILLE
VA
231113678 8047305342
8047305344
DME
DANVILLE
VA
245401590 4348366996
4348364055
DME
KALAMAZOO
MI
490061439 2695537762
2695537762
DME
CINCINNATI
OH
45275
2695537762
2695537762
WILKES BARRE
PA
187025607 5702706525
5702706527
GRAND RAPIDS
MI
49503
6166851111
6166851122
FORT MYERS
FL
33902
LOC 1021
SUITE 7
SUITE A
PO BOX 75460
SUITE D
PO BOX 2830
DME
DME
IVT
UNITE #5
FORT MYERS
FL
33912
2392753326
2392754899
SUITE 120
KENOSHA
WI
53144
2626544300
2626544305
PRO
ORT
MUSKEGON
MI
49444
2317394414
2317391094
PRO
ORT
2000 BLOOMINGDALE
ROAD
GLENDALE
IL
601392197 8474260202
ESSEXVILLE
MI
487321445 9898945906
9895095950
BOWLING GREEN
KY
42101
2707815171
2708467968
PO BOX 2830
FORT MYERS
FL
33902
8772813326
HUDSON
FL
34667
2392753326
2392754899
INDIANAPOLIS
IN
46268
3172987700
3172997707
CINCINNATI
OH
45275
3172987700
3172997707
FAIRHOPE
AL
365321715 2519904040
2519900594
PRO
ORT
PRO
ORT
LOC 1021
SUITE 205
PO BOX 75460
DME
SUITE M
MOBILE
AL
366061956 2514710071
2514711951
SUITE 503
MEMPHIS
TN
38112
9013243703
9013243350
JAMISON
PA
18929
2676141538
2678979055
Medicare PLUS
Group PPO
DME
DME
DME
DME
PRO
ORT
continued
10
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
215 US 27 SOUTH
SEBRING
FL
338702105 8633850123
8633850121
MADISON HEIGHTS
MI
48071
2487339904
2487339906
PO BOX 811
TROY
MI
48099
2487339904
2487339906
PO BOX 237
HAZLETON
PA
18201
5704557223
5704557672
HAZLETON
PA
182015507 5704557223
5704557672
SUITE A
AUSTELL
GA
301062054 6783980505
6783980550
SUITE B
YUMA
AZ
853646926 9283449301
9287266168
SUITE 300
EAST LANSING
MI
48823
5173333820
5178533769
DME
KALAMAZOO
MI
490481621 2693823715
2693824815
DME
SUITE B
ALLEGAN
MI
490109158 2696735600
2696737337
DME
SUITE 7
MESA
AZ
852012555 4808307700
4808307708
DME
YORK
PA
174028978 7177573338
7177573339
SUITE D
MUNSTER
IN
46321
2198368668
2198368778
SUITE 205
LAKEWOOD
NJ
87015960
7329611301
7329619897
DME
BLISSFIELD
MI
49228
5174862145
5174862456
DME
FENTON
MO 630262301 6363431100
6363431102
DME
NORTH KINGSTOWN
RI
28524238
4016672797
4016672788
DME
SHELBY TOWNSHIP
MI
483165129 5869928300
5869929331
PO BOX 552
WASHINGTON
MI
48094
5869929331
POMPANO BEACH
FL
330694828 0
9549789810
DME
SOUTHFIELD
MI
480754302 2484239886
2484234570
DME
TRENTON
NJ
86091031
6093942770
6093942775
DME
519A S BRUNDIDGE ST
TROY
AL
360813333 3345561002
3345661003
DME
RALEIGH
NC
27605
9198362106
8776113500
DME
DME
SUITE 300
SUITE 10
SUITE 207
5867865900
SHIPSHEWANA
IN
46565
2607684049
2607684111
PO BOX 1081
SHIPSHEWANA
IN
46565
2607684049
2607684111
LOUISVILLE
KY
402183064 5029624704
5029624760
CINCINNATI
OH
45275
5029624760
LOC 1021
PO BOX 75460
Medicare PLUS
Group PPO
5029624704
ORT
DME
DME
ORT
DME
ORT
PRO
ORT
continued
11
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
LOC 1021
PO BOX 75460
CINCINNATI
OH
45275
4192247702
4192247705
SUITE 130
LIMA
OH
458014762 4192247702
4192247705
SUITE 360
CHATTANOOGA
TN
374212678 4238776477
4238779255
DME
FORT OGLETHORPE
GA
30742
7068586771
7068586772
DME
SUITE 7A
SAN JOSE
CA
95035
4089429000
4082511015
DME
SUITE 219
TRENTON
MI
48183
7343628630
7343628631
DME
35538 CARDIOSOM
75 REMITTANCE DRIVE
SUITE 6212
CHICAGO
IL
606756212 9193143080
1942206370 CARDIOSOM
MIDVALE
UT
840475531 8015237533
8015233707
DME
1437155934 CARDIOSOM
CLACKAMAS
OR
970157901 5036520067
5036520068
DME
14725 NORTHLINE
SOUTHGATE
MI
48195
7342818144
7342811258
PRO
ORT
DME
526 N TELEGRAPH
MONROE
MI
481623337 7342424050
7342424090
PRO
ORT
DME
CHICAGO
IL
606860052 8665444933
SKOKIE
IL
60076
8476764138
DECATUR
AL
35603
2563505638
2563505962
DME
DME
SUITE 150
7536 N ST LOUIS
57 N HOWARD ST
CROSWELL
MI
48422
8106793900
8106793911
SHELBY TOWNSHIP
MI
48315
5863238280
PO BOX 2290
GERMANTOWN
MD
208752290 5405641194
HARRISONBURG
VA
22801
5405641194
5405641196
DME
CHARLOTTESVILLE
VA
22901
4349737847
4349738436
DME
PO BOX 2290
GERMANTOWN
MD
20875
7578250110
3109162611
GERMANTOWN
MD
208767005 7578250110
3109162611
DME
9003 YELLOWBRICK RD
BALTIMORE
MD
21237
4103916800
4103916850
DME
ASHLAND
VA
23005
8047984600
8047986263
DME
SUITE 104
STE K
Medicare PLUS
Group PPO
continued
12
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
LYNCHBURG
VA
24501
4348465381
4348466299
DME
NEWPORT NEWS
VA
23606
7575999080
7575993855
DME
7344512413
DME
PLYMOUTH
MI
481702131 7344515009
WESTERVILLE
OH
43082
6149012226
SHELBYVILLE
IN
46176
3173923760
3173923782
DME
SUITE 105
SPRINGFIELD
PA
151441722 7242755890
7242757095
DME
320 CAMERON RD
WASHINGTON
PA
15301
7242284568
7242287090
DME
1144210378 BIOMATRIX
ORTHOPEDICS LLC
WARREN
MI
480891534 5867731400
5867736062
BELLE GLADE
FL
334301767 5619961199
5619967722
FLINT
MI
48532
8108777170
8107331820
SWARTZ CREEK
MI
484731511 8108777170
8107331820
PITTSBURGH
PA
152364353 4126533750
4126533752
MONTROSE
CO
81401
9708710999
9704978410
STEAMBOAT SPRINGS
CO
80487
9708710999
9708710980
SUITE 101
PO BOX 320951
#D
SUITE 200B
IVT
DME
DME
HOUGHTON
MI
499312481 9064879797
9064879380
KINGSFORD
MI
498024529 9067747907
9067745547
ESCANABA
MI
498291390 9067862011
9067862816
1150 W WASHINGTON
MARQUETTE
MI
498554040 9062288380
9062283565
PO BOX 681057
MILWAUKEE
WI
532681057 0
NEW CASTLE
DE
197204186 3023238700
3023223144
MILFORD
DE
199635369 3024242510
3024242514
DME
LAWRENCEVILLE
NJ
86482319
6098440221
6098440251
DME
UNIT 603
ORT
SUITE 1
DME
11 PRINCESS ROAD
ORMOND BEACH
FL
321747541 3866736902
3866736976
DME
238 BELMONT ST
WAYMART
PA
184720398 5704887979
5704887773
DME
SUITE L
Medicare PLUS
Group PPO
ORT
DME
continued
13
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
334366634 5615720305
2609 W WOOLBRIGHT
BOYNTON BEACH
FL
1203-B EAGLECREST
NIXA
MO 65714
4177257539
8858 HWY 65 N
HARRISON
AR
72601
8704265127
MADISON HEIGHTS
MI
480714240 2486586212
UT
84107
FEASTERVILLE
PA
SUITE 260S
Fax
5615720348
PRO
ORT
4177254290
PRO
ORT
PRO
ORT
DME
8665949366
DME
190537848 0
8007847786
DME
8007847786
8017132020
PO BOX 696
OLD BRIDGE
NJ
8857
TROY
PA
169471419 5702972993
5702972693
OAK PARK
MI
482374630 2485845555
2485845666
CAMP HILL
PA
17011
7177740144
7177740144
29508 SOUTHFIELD RD
SOUTHFIELD
MI
48076
2485593111
5869542702
PO BOX 41816
PHILADELPHIA
PA
191011816 7275073609
7275073618
SEBRING
FL
338721986 8634023366
8634023110
SOUTHFIELD
MI
48076
2482993330
2482993332
DME
615 N PIKE RD
CABOT
PA
160232215 7243521100
7243526030
DME
4561 E 9 MILE RD
WARREN
MI
480912591 5867571110
5867571148
DME
N CHARLESTON
SC
294188547 8437673344
8437678844
PO BOX 1314
MONROE
GA
30655
SUITE 105
SUITE 100
ORT
IVT
DME
DME
ORT
DME
SUITE D
MONROE
GA
306558210 7702670946
6783744331
DME
ASPEN BLDG
A-200
GREENSBORO
GA
30655
6783744331
DME
5 MANDEVILLE COURT
SUITE 100
MONTEREY
CA
939405745 8318871313
8886540003
5 MANDEVILLE COURT
SUITE 200
MONTEREY
CA
939405745 8318871313
8886540003
DME
SUNNYVALE
CA
940892226 8318871313
8886540003
DME
CAPITOLA
CA
95010
8886540003
SUITE 303
Medicare PLUS
Group PPO
706999751
8318871313
continued
14
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 2500004
WEST BLOOMFIELD
MI
48325
2488489600
2488489696
NOVI
MI
48375
2488489600
2488489696
ADRIAN
MI
49221
5172666472
5172660294
27901 WOODWARD
AVENUE
SUITE 110
BERKLEY
MI
480720919 2485450100
2485451285
SUITE D
ATHENS
AL
356132602 2562337070
2562338891
PO BOX 827
STANDISH
MI
48658
9898466328
9898466398
WARREN
MI
48093
5865765530
5865765531
1004 W CARO RD
CARO
MI
487239221 9896728700
9896728700
SUITE 3
LANSING
MI
489171133 5173239624
5173239634
SUITE 200
MONROEVILLE
PA
151462504 4123731472
4123731496
DME
SUITE 504
SOUTHFIELD
MI
480754808 2485576100
2485576119
DME
GRAND BLANC
MI
48439
8109530760
8109530833
DME
BAY CITY
MI
48706
9896712200
9896713200
INDIANAPOLIS
IN
462021219 3179254296
3179247168
PRO
ORT
641 S WALKER
BLOOMINGTON
IN
474032154 8123342524
8123340478
PRO
ORT
8402 HARCOURT RD
INDIANAPOLIS
IN
462602074 3178721596
3178725190
PRO
ORT
KOKOMO
IN
469015110 7654574868
7654570199
PRO
ORT
500 E SPRINGHILL DR
#G
TERRE HAUTE
IN
478024445 8122322145
8122321416
PRO
ORT
ROOM OPE
431
INDIANAPOLIS
IN
462022859 3174097974
3176564072
AMHERST
OH
44001
4409844417
4409842728
ORT
SUITE D
MI
497833536 9066323772
9066320309
ORT
SUITE 4
JACKSON
MI
492032576 5177634116
5177834885
SUITE 207
HERMITAGE
TN
370762050 6158835110
6158835450
SUITE 106
Medicare PLUS
Group PPO
ORT
DME
DME
ORT
DME
DME
ORT
DME
IVT
DME
DME
DME
continued
15
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
ROCHESTER HILLS
MI
483093611 5862282398
5865582090
NORRISTOWN
PA
194012007 6102771674
6102773074
1390 ROUTE 37 W
TOMS RIVER
NJ
87554924
7323492990
7322447588
PO BOX 4686
TOMS RIVER
NJ
87544586
7323492990
7322447588
WATCHUNG
NJ
7069
9087572702
9087570744
PRO
ORT
SUITE 303
DME
239 AVENEL ST
AVENEL
NJ
7001
7327509310
7326021087
PRO
ORT
TOMS RIVER
NJ
8753
7322864444
7322864445
PRO
ORT
PO BOX 200898
PITTSBURGH
PA
152510898 0
RUNNEMEDE
NJ
80781127
DME
SEWELL
NJ
8080
8564681000
8564683426
DME
UNION
NJ
7083
9086881818
9087570744
PRO
ORT
POMPTON E
NJ
7444
9738354716
9738310361
PRO
ORT
UNIT 12
PO BOX 37
HAWTHORNE
NJ
75070037
9738354716
9738310361
TRENTON
NJ
86291401
6093934949
6093933009
49 DANA STREET
WILKES BARRE
PA
187024301 5708222851
5703715580
CHERRY HILL
NJ
8003
8566690217
8564248913
CHERRY HILL
NJ
8003
8566690217
8564248913
PO BOX 697
OLD BRIDGE
NJ
8857
7322518000
7322518024
UNION
NJ
7083
7322518000
7322381556
ORT
DME
4470 BORDENTOWN
AVENUE
SAYREVILLE
NJ
8872
7326131440
7322388132
ORT
DME
TRENTON
NJ
86092623
6093935939
6093935924
PRO
ORT
1ST FLOOR
EATSONTOWN
NJ
77243080
7328422047
7328422049
PRO
ORT
1225 WHITEHORSE
MERCERVILLE RD
SUITE 217
HAMILTON
NJ
86193882
6095815250
6095815258
PRO
ORT
1950 RT 27
NORTH BRUNSWICK
NJ
89021300
7329510112
7329511727
PRO
ORT
PHILADELPHIA
PA
191454012 2153343816
2153341998
PRO
ORT
COLOGNE
PA
8213
6099651212
6093935924
PRO
ORT
SOUTH PLAINFIELD
NJ
70805519
9087557696
9087556003
Medicare PLUS
Group PPO
DME
PRO
DME
DME
DME
continued
16
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SEWELL
NJ
8080
8566290400
8566298441
1477508554 CORECARE
TECHNOLOGIES INC
136 HURFFVILLE
CROSSKEYS ROAD
ROSEMONT
PA
190101604 6105253162
6105254009
SUITE 101
FORT LAUDERDALE
FL
333092067 9546771011
9546770922
SUITE 150
CARLSBAD
CA
920091752 7605797208
8005036280
DME
ORT
PO BOX 9041
CARLSBAD
CA
92018
7605797200
7605797299
SAGINAW
MI
48603
9897911950
9897911952
DME
CANTON
MI
481872684 7343544091
7343544092
DME
ALTOONA
PA
166013304 8149417424
8149412118
ALLENTOWN
PA
18102
6104326736
6104333848
PRO
ORT
SUITE 200
BETHLEHEM
PA
180177804 4848953451
4848950350
PRO
ORT
SUITE 300C
WEST CHESTER
PA
19380
6106965650
6106965652
PRO
ORT
SUITE 900
WYOMISSING
PA
19610
6103784833
6103784893
PRO
ORT
EAST PETERSBURG
PA
175201316 7172391570
7172391572
PRO
ORT
WAYNE
PA
190874748 6106876585
6106875123
DME
SUITE 2
POTTSVILLE
PA
17901
5706228713
5706228191
DME
PO BOX 249
GLENSIDE
PA
190380249 2158842990
2158855070
DME
ALLENTOWN
PA
18106
6103957028
6103957048
DME
21 WEST FORNANCE
STREET
NORRISTOWN
PA
194013300 6102773939
6102778299
DME
35 SARHELM ROAD
HARRISBURG
PA
17112
7176572100
7176572176
DME
LANCASTER
PA
17601
7173902700
7173902724
DME
524 GREENBRIAR RD
YORK
PA
17401
7177648300
7177648383
DME
DREXEL
PA
190263104 6102599700
6102599835
ORT
DME
COATESVILLE
PA
193202422 6103847500
6103847584
ORT
DME
BLOOMSBURG
PA
178153135 5703872300
5703871983
28088 CPO2
SUTIE 210
ORT
DME
DME
DME
PO BOX 266
MIFFLINBURG
PA
17844
5709669863
1356311849 CPO2
90 PLAZA LANE
WELLSBORO
PA
16901
5707245509
5707241120
DME
1992775985 CPO2
LANCASTER
PA
176013064 7173972784
7173977492
DME
1225008121 CPO2
MECHANICSVILLE
PA
17050
7177961744
DME
SUITE 3
Medicare PLUS
Group PPO
7177667522
continued
17
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
1831169739 CPO2
28095 ROTECH
Address 1
Address 2
City
ST
ZIP
Phone
Fax
MIFFLINGBURG
PA
178449672 5709663177
5709669863
PO BOX 266
MIFFLINGBURG
PA
17844
5709669863
5709669863
1285604777 ROTECH
2880 POTTSVILLE-MINER
HIGHWAY
MINERSVILLE
PA
179542027 5705446606
5705446507
DME
1720058241 ROTECH
WILKES-BARRE
PA
18706
5708294020
5708292137
DME
1871563866 CPO2
WILLIAMSPORT
PA
177011338 5703274546
5702325819
DME
1124098025 ROTECH
BERWICK
PA
18603
5707591233
5707592851
DME
1396715397 CPO2
93 BRIM BLVD
CHAMBERSBURG
PA
172013342 7172673431
7172670560
DME
1073583977 ROTECH
CLARKS SUMMIT
PA
184111800 5705868969
5705877044
DME
1194795005 CPO2
HERMITAGE
PA
161482722 7243460773
7243460776
DME
DOVER
DE
19901
3026770693
3023687586
PRO
ORT
WILMINGTON
DE
19803
3024273668
3024273682
PRO
ORT
1600 ROCKLAND RD
WILMINGTON
DE
19899
3026514268
3024297683
PRO
ORT
MILLERSBURG
PA
170611334 7176922161
7176922162
DME
DME
SUITE 1
HERNDON
PA
178307439 5707582042
5707585486
MILLERSBURG
PA
170611334 7176922161
7176922162
LANCASTER
PA
17603
7173930511
47 BROOKWOOD AVE
CARLISLE
PA
17015
7172432236
7172436536
47 BROOKWOOD AVE
CARLISLE
PA
17015
7172432236
7172436536
7105 WESTBRANCH
HIGHWAY
LEWISBURG
PA
17837
5705222585
5705222819
LEWISBURG
PA
178379350 5705222585
5705222819
HONESDALE
PA
18431
5702536770
5702516585
ELKINS PARK
PA
19027
2157828760
2156357130
ELKINS PARK
PA
190271421 2157828760
2156357130
PO BOX 26733
SUITE 208
ORT
DME
1176 ENTERPRISE CT
EAST PETERSBURG
PA
17520
7175694667
7175695555
DME
MOOSIC
PA
185071929 5703489442
5703489409
DME
NORTHAMPTON
PA
180671618 6104400265
6104401978
DME
6A PARKSIDE AVENUE
SHILLINGTON
PA
196071124 6107772273
6107774329
DME
Medicare PLUS
Group PPO
continued
18
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE 120
LEMOYNE
PA
170431213 7177379818
7177372815
3 BADEN POWELL DR
SUITE 3
MECHANICSBURG
PA
17055
7177905404
7177905406
1 VALLEY STREET
SUITE 104
CARLISLE
PA
17013
7172412247
7172412249
SUITE F
ETTERS
PA
17319
7179380584
7179321062
HALIFAX
PA
17032
7178968898
7178968785
HANOVER
PA
17331
7176322526
7176322506
HARRISBURG
PA
17112
7179205002
7179205224
HARRISBURG
PA
17112
7179090470
7179090472
HARRISBURG
PA
17109
7176578240
7176576267
LEBANON
PA
17042
7172742298
7172742398
2 KACEY COURT
MECHANICSBURG
PA
17055
7175911807
7175911809
NEWPORT
PA
17074
7175679954
7175679975
YORK
PA
17408
7177790252
7177790512
BROOKHAVEN
PA
190152803 6108766068
6108767754
FOLSOM
PA
19033
6105865613
DME
POTTSTOWN
PA
19464
6103232115
6103234710
DME
SHILLINGTON
PA
19607
6107758885
6107758905
DME
LANCASTER
PA
176022516 7173990030
7173998128
DME
300 AMERICAN ST
CATASAUQUA
PA
18032
6102645471
6102648774
DME
BALTIMORE
MD
21214
4102540202
4102540821
DME
FELTON
DE
199635702 3024248302
3024248307
DME
GLEN BURNIE
MD
210615547 4107870220
4107878671
DME
1103 N MAIN ST
HONESDALE
PA
18431
5702537361
SUITE 1
SUITE 101
UNIT T
Medicare PLUS
Group PPO
Phone
5702537700
Fax
ORT
IVT
ORT
IVT
DME
continued
19
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
255 WILMINGTON/WEST
CHESTER PIKE
SUITE 2
CHADDS FORD
PA
19317
6105586222
6105586226
DME
PHILADELPHIA
PA
19141
2154244343
2154245692
DME
PO BOX 1135
MOON TOWNSHIP
PA
15108
4125070077
4124720311
PLYMOUTH MEETING
PA
19462
6109414555
6109414557
ELYSBURG
PA
17824
5706724580
5706724581
PO BOX 100
CONCORDVILLE
PA
19331
540
LINDBERGH
DRIVE
PRO
ORT
PRO
ORT
DME
9 LACRUE STREET
SUITE 2
GLEN MILLS
PA
19342
8007580339
SUITE 344-E
BEVERLY
MA
19156136
9789270749
6106214087
DME
ALLENTOWN
PA
181022755 6104338797
6104337972
DME
25 LAUREL MALL
HAZLE TOWNSHIP
PA
182021201 5704557704
5704557704
BIRDSBORO
PA
195081909 6104044900
6104044905
DME
WARMINSTER
PA
189741195 2154435857
2156752714
DME
559 HIGH ST
POTTSTOWN
PA
19464
8009083554
DME
DANVILLE
PA
178211901 5702711902
5702711923
ORT
1815 BLOOM RD
DANVILLE
PA
17821
5702712525
5702711711
ORT
WEST CHESTER
PA
19380
6106927544
MOOSIC
PA
18507
5709610155
5709611802
ORT
PO BOX 219
WEST GROVE
PA
19340
6108693200
6108690643
PO BOX 100
ORT
DME
SUITE 109
WEST GROVE
PA
193909446 6108693200
6108690643
1010 EICHELBERGER
STREET
SUITE 5
HANOVER
PA
17331
7176460440
7176460444
1010 EICHELBERGER
STREET
SUITE 5
HANOVER
PA
17331
7176460440
7176460444
WILKES BARRE
PA
18706
5708190900
5708192375
DME
BETHLEHEM
PA
18020
6102581585
6102585534
DME
160 SCRANTON
CARBONDALE HIGHWAY
EYNON
PA
184031028 5708765252
5708764671
Medicare PLUS
Group PPO
DME
ORT
DME
continued
20
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 2049
WEST CHESTER
PA
19380
6106448990
6106448717
PO BOX 281775
ATLANTA
GA
303841775 6106448990
6106448717
PO BOX 243
SHAMOKIN DAM
PA
17876
5707431414
5707435215
MARION HEIGHTS
PA
17832
5707431414
5707435215
PRO
ORT
SHAMOKIN DAM
PA
17876
5707431414
5707435215
PRO
ORT
PHILADELPHIA
PA
19115
2156767463
2156761110
DME
PHILADELPHIA
PA
19107
2157339902
2156761110
DME
1380 EASTON RD
UNIT 11
WARRINGTON
PA
18976
2154917467
2156761110
DME
1335 W TABOR RD
UNIT 107
PHILADELPHIA
PA
19141
2155487463
2156761110
DME
PHILADELPHIA
PA
19148
2153347463
2156761110
DME
PHILADELPHIA
PA
19124
2157447463
2156761110
DME
HATFIELD
PA
19440
2153938672
BERWICK
PA
18603
5707525532
5707525538
PHILADELPHIA
PA
19115
2154647304
2154647308
PLYMOUTH MEETING
PA
194622324 6102928400
6102920808
HONESDALE
PA
184311085 5702518100
5702518231
VENICE
FL
342924501 9415846154
9415846155
VENICE
FL
34292
9415846154
8415846155
SUITE A
SUITE F
SUITE 5
ORT
DME
DME
ORT
DME
ORT
DME
6210 SCOTT ST
PUNTA GORDA
FL
339503901 9416377330
9416376582
ORT
DME
FORT MYERS
FL
339195191 2394826111
2394826178
ORT
DME
VINELAND
NJ
83604464
8567948050
8567948051
BROOKHAVEN
PA
190152803 6108766068
6108765400
IVT
IVT
SUITE B
4 RAILROAD STREET
ST MARYS
PA
15857
8148342225
8148345383
PO BOX 368
MONESSEN
PA
15062
4123710661
4122424489
PITTSBURGH
PA
156424519 4123710661
4122424489
PO BOX 644574
PITTSBURGH
PA
152644574 4129679145
300 ALPHA DR
PITTSBURGH
PA
152382908 4125991138
4125991130
BUTLER
PA
16001
7242832224
Medicare PLUS
Group PPO
7242832000
PRO
DME
DME
DME
PRO
ORT
continued
21
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
JEFFERSON HILLS
PA
15025
4125991138
4125991130
PRO
ORT
SUITE 205
PITTSBURGH
PA
15205
4127886778
4127886746
PRO
ORT
SUITE 104
PITTSBURGH
PA
15238
4128282830
4128282833
PRO
ORT
SUITE 210
PITTSBURGH
PA
15206
4126651900
4126651903
PRO
ORT
WASHINGTON
PA
15301
7242251221
7242251496
PRO
ORT
MONROEVILLE
PA
15146
4124570500
4124570555
PRO
ORT
BROOKVILLE
PA
15825
4125991138
4125991105
PRO
ORT
PITTSBURGH
PA
152032233 4124310620
4124310754
DME
FORD CITY
PA
162261230 7247638889
7247634284
DME
BUTLER
PA
160014907 7242872518
7242837666
DME
22606 ROUTE 68
CLARION
PA
162144020 8142264260
8142264757
DME
PITTSBURGH
PA
152012709 4122224499
4127810277
DME
NATRONA HEIGHTS
PA
150651135 7242245250
7242245393
DME
WASHINGTON
PA
153016067 7242223984
7242223986
DME
FORD CITY
PA
162260151 0
8002723233
SUITE 118
SUITE 200
SUITE 300
PO BOX 151
DME
PO BOX 263
DUBOIS
PA
15801
8143751100
8143759796
DME
SUITE 2
NEW BETHLEHEM
PA
16242
8142751401
8142751402
DME
7 764 PLAZA
DUNCANSVILLE
PA
16635
8146954140
8146954194
DME
DUBOIS
PA
15801
8143751100
8143759796
PO BOX 263
ELLWOOD CITY
PA
16117
7247588002
7247588014
DME
81 CLARION ROAD
JOHNSONBURG
PA
15845
8149655800
8149655801
DME
SOMERSET
PA
155011153 8144431496
8144455528
DME
SHIPPENSBURG
PA
172571308 7175325812
7175329265
DME
KITTANNING
PA
16201
7245453200
7245432718
DME
COUDERSPORT
PA
169159762 8142747250
8142747427
DME
ERIE
PA
16508
8144548989
SUITE 200
SUITE 400
Medicare PLUS
Group PPO
8144555383
PRO
ORT
continued
22
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
HERMITAGE
PA
16148
8148279691
8148274272
PRO
ORT
TITUSVILLE
PA
16354
8148279691
8148274272
PRO
ORT
EBENSBURG
PA
159311800 8144725591
8144727555
PO BOX 4
EBENSBURG
PA
15931
FREDERICK
MD
217037435 3014186140
3014186141
PO BOX 4
EBENSBURG
PA
15931
JOHNSTOWN
PA
15904
8142544369
8142544372
PRO
ORT
DUNCANSVILLE
PA
16635
8143175041
8143175044
PRO
ORT
PITTSBURGH
PA
152023112 4127618100
4127611944
PRO
ORT
PUNXSUTAWNEY
PA
157672012 8149385901
7242292943
DME
CARROLLTOWN
PA
157220520 8143448994
8143442040
DME
PO BOX 520
CARROLLTOWN
PA
157220520 8143448994
8143442040
SUITE 3
DME
DME
DME
SUITE 2 A
HASTINGS
PA
16646
8142478660
8142478661
DME
SUITE 1
WASHINGTON
PA
153012002 7242292940
7242292943
DME
22 A GEORGETOWN LANE
BEAVER
PA
150092420 7247754292
7247754295
DME
JOHNSTOWN
PA
15905
8142541500
8142541600
DME
BUTLER
PA
160015913 7244770030
7244770070
DME
MONROEVILLE
PA
151462752 4123804360
4123804361
DME
ELLWOOD CITY
PA
161172306 7247527395
7247528191
DME
WINDBER
PA
159631706 8144677395
8144673591
DME
CHARLEROI
PA
150221902 7244835022
7244834014
DME
PO BOX 520
CARROLLTOWN
PA
157220520 8143448994
8143442040
NEW CASTLE
PA
161052053 7244984815
7244984816
PO BOX 641396
PITTSBURGH
PA
15264
ERIE
PA
165012134 8148776121
8144532440
PRO
MEADVILLE
PA
163353207 8143376900
8143376902
PRO
BRADFORD
PA
167015438 8143628141
8143629113
PRO
1ST FLOOR
SUITE 140
SUITE 2
SUITE 104
SUITE 3
Medicare PLUS
Group PPO
ORT
DME
8148776121
IVT
DME
ORT
IVT
DME
ORT
IVT
DME
continued
23
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
City
ST
ZIP
1647 SASSAFRAS ST
ERIE
PA
165021858 8148776121
8144591858
1306877782 RX XPRESS
GROVE CITY
PA
161271531 7244588420
7244584216
ERIE
PA
16507
8144542706
NEW CASTLE
PA
16101
7246543991
7246542447
35 WELBY ROAD
NEW BEDFORD
MA
2745
5089922146
5089992724
TARENTUM
PA
15084
7242249100
7242246108
83 DUTILH ROAD
CRANBERRY TWP
PA
15066
7247760600
7247760601
15734 COLLECTIONS
CENTER DRIVE
CHICAGO
IL
606930157 0
8479139024
MONROEVILLE
PA
151461416 4123723000
4123726400
DME
BOX 7
LATROBE
PA
156501805 7245370202
7245370909
DME
SUITE 10
NEW CASTLE
PA
161051178 7246585139
7246585142
DME
DME
Address 1
Address 2
Phone
Fax
ORT
DME
DME
PRO
ORT
DME
IVT
DME
DME
PO BOX 17639
PITTSBURGH
PA
15235
INDIANA
PA
157013514 7244634500
7244634505
9800A MCKNIGHT RD
PITTSBURGH
PA
15237
4123584523
4123483195
MOUNT PLEASANT
PA
15666
7245474900
7245472704
SUITE 804
PITTSBURGH
PA
15222
4122819913
4122818074
SUITE 620
BETHEL PARK
PA
151021827 4128319515
4128319519
DME
SUITE 420
PITTSBURGH
PA
15232
4126826335
4126826352
DME
ALTOONA
PA
16601
8149449644
8149449352
DME
20421 ROUTE 19
CRANBERRY TOWNSHIP
PA
16066
7247727822
7247727823
DME
HERMITAGE
PA
16148
7249815801
7249815803
DME
322 WARREN ST
JOHNSTOWN
PA
15905
8142555800
8142555803
DME
TARENTUM
PA
15084
7242245120
7242245128
DME
WEST MIFFLIN
PA
15122
4126551130
4126551132
DME
7242392727
DME
SUITE 200
SUITE 101
SUITE 260
1907 LEBANONCHURCH
ROAD
BENTLEYVILLE
PA
153141536 7242394030
13389 RT 30
NORTH HUNTINGDON
PA
15642
7248642210
ALTOONA
PA
16602
8149440187
#110
7244634500
Medicare PLUS
Group PPO
8149421712
ORT
DME
DME
PRO
ORT
PRO
ORT
DME
continued
24
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
DUBOIS
PA
15801
8143718225
8143758425
PRO
ORT
EVERETT
PA
15537
8146239977
8149421712
PRO
ORT
STATE COLLEGE
PA
16803
8142355398
8142356499
PRO
ORT
249 HOSPITAL DR
SUITE 200
PITTSBURGH
PA
152376003 4126309080
4123483195
SUITE 103
HARRISBURG
PA
171103339 7172323188
7172321072
CARLISLE
PA
17013
7172414441
7172416118
SPRING HILL
FL
34606
3526839991
BRIGHTON
MI
481147305 5175483800
5175483808
DME
ALTOONA
WI
547202626 7158327377
7158327031
DME
KENTWOOD
MI
495124117 6165540286
8888793072
DME
SUITE 2
SUITE E
ORT
HIGHLAND
MI
483573843 2488875762
2488873119
SUITE 2
VALPARAISO
IN
46383
2195317479
2195310465
8444 CASTLEWOOD
SUITE 500
INDIANAPOLIS
IN
46250
3177265050
8662712580
1101 D LUDINGTON ST
ESCANABA
MI
48929
9067862724
9067862776
CLINTON TOWNSHIP
MI
480363226 5864642000
5864642004
LOUISVILLE
KY
402073903 5028999771
5028999772
ORT
LOUISVILLE
KY
402073903 5028999771
5028999772
ORT
LA GRANGE
KY
40031
5028999771
5028999772
ORT
SUITE C
PRO
DME
ORT
DME
SALINE
MI
481761196 7344297444
7349442454
18 VILLAGE SQUARE
SMYRNA
DE
19971852
3022236889
3022236890
16 E SHERIDAN
FREMONT
MI
494121621 2319244040
2319244060
DME
SUITE C
MADISON HEIGHTS
MI
480712532 2485842273
2485842910
DME
SUITE G
WARREN
MI
480932544 5865760443
5865760778
DME
WILLIAMSPORT
PA
177013722 5703267600
5703262550
WARREN
MI
480922203 5865740500
5865742694
GREENSBURG
PA
15601
7248368683
Medicare PLUS
Group PPO
7248308650
DME
ORT
DME
continued
25
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
JOHNSTOWN
PA
15905
8145345005
8145343120
GREENSBURG
PA
156012236 7248506910
7248506956
2547 M-139
BENTON HARBOR
MI
490226413 2699278635
2699254167
PO BOX 635945
CINCINNATI
OH
452635945 3303746755
3303769303
TROY
OH
453732329 9373359199
9373359499
CHICAGO
IL
606084585 3122269989
3129979985
DME
DOWAGIAC
MI
490471504 8666425633
8884686341
DME
HAZEL PARK
MI
480302021 9547553299
2486919002
DME
WHITE LAKE
MI
48386
8104949200
8104940942
COMMERCE TOWNSHIP
MI
483822201 2489373895
2489375819
PORTAGE
MI
490244889 2693653677
8664319323
EVART
MI
496319416 2317342551
2317345890
DME
GARDEN CITY
MI
481354001 7344584497
7344584417
DME
SUITE 105-A
WESTLAND
MI
481852046 7344587271
7344583331
DME
SUITE 200 D
PALOS HEIGHTS
IL
604631154 3127311690
3129625724
SAGINAW
MI
486385846 9897993889
9897990798
TX
753122086 6024853485
6237801887
DEPT 2086
SUITE 1252
SUITE 201
DME
DME
PHOENIX
AZ
85027
6237808686
6237801887
DME
SANDY
UT
840702573 8015768888
8775768099
DME
SAN DIEGO
CA
921111309 0
8778807761
DME
CAMP HILL
PA
170117303 7177619124
7177619127
MOOSIC
PA
185071301 7177619124
7177619127
WILLIAMSPORT
PA
17701
5703225500
5703228100
6 E LYNWOOD BLVD
HILLSDALE
MI
492421919 5174374233
5174374976
84 W. CARLETON RD
HILLSDALE
MI
492421202 5173980425
5174374976
SUITE 1
Medicare PLUS
Group PPO
ORT
DME
continued
26
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
HANOVER
PA
173313357 7176331111
7176339111
FARMINGTON
MI
483363201 2484748290
2484748097
MOUNT LAUREL
NJ
80541234
8565332455
8565332419
COMMERCE TOWNSHIP
MI
483903909 2486692416
2486710922
DME
LEWES
DE
199583607 3026458070
3026458870
DME
SUITE 107
FONTANA
CA
923353093 0
9515723745
DME
SUITE 307
INDIANA
PA
157013501 7244652676
7244650193
25 COLONY BLVD
BLAIRSVILLE
PA
15717
7244591770
7244591780
DME
HOMER CITY
PA
157487325 7244792259
7244792280
DME
INDIANA
PA
157013629 7243577068
7243576984
DME
INDIANA
PA
15701
7243492276
7243492297
DME
PO BOX 636300
CINCINNATI
OH
452636300 3303746755
3303769303
COLUMBUS
OH
432306689 6148665520
6148665540
MIDLAND
MI
486406825 9894863668
9894863670
OAKDALE
PA
150719378 7242181051
7242181165
MOUNT CLEMENS
MI
480432186 5864691700
5864691703
EAST GREENWICH
RI
2818
4018237808
HARRISBURG
PA
171112544 7179720391
270751344
ALTOONA
PA
166027305 8149431663
8149435063
SHELBY TOWNSHIP
MI
483152921 5868433642
8665313576
UNIONTOWN
PA
15401
7244301470
7244301472
PRO
ORT
SUITE 100
PAKERSBURG
WV
261013226 3044851645
3044851349
PRO
ORT
SUITE 104
MORGANTOWN
WV
265053330 3042849190
3042849194
PRO
ORT
1015 W MICHIGAN
JACKSON
MI
49202
5177897302
5177844364
325 RAILROAD
SUITE 200
SUITE F
SUITE E
4018210600
DME
DME
IVT
DME
IVT
DME
ORT
SUITE A
HUDSON
MI
492471031 5174487001
5174488980
SUITE 1
LORAIN
OH
440532800 4402461200
4402462275
ORT
SUITE 1
LORAIN
OH
440532800 4402461200
4402462275
ORT
SHELBY TOWNSHIP
MI
48316
5867316131
5861916261
LEXINGTON
KY
405032944 8592770029
8592770112
Medicare PLUS
Group PPO
DME
DME
SUITE 106
DME
DME
DME
DME
continued
27
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
LOC 1021
PO BOX 75460
Fax
CINCINNATI
OH
45275
SOMERSET
KY
425032898 6066794141
6066794173
DME
LEXINGTON
KY
405032917 8592774663
8592771107
DME
LANSING
MI
489123756 5179133855
5179134020
ORT
901 S OAKLAND
ST JOHNS
MI
48879
5179133855
5179134020
ORT
CINCINNATI
OH
45219
5134215653
5137633354
PRO
FAIRFIELD
OH
450143600 5137856120
5137856123
PRO
CINCINNATI
OH
452396419 5139233300
5137415520
DME
LEXINGTON
KY
405043150 8592332356
8592558823
DME
DAYTON
OH
454143434 9372770088
9372770089
DME
100 BUSINESS US 23
LOUISA
KY
41230
6066389303
6066389415
DME
4132 GALLIA ST
NEW BOSTON
OH
45662
743544363
7403531938
DME
GEORGTOWN
OH
45121
9373784499
9373784728
DME
JACKSON
OH
45640
7402866737
7402860261
DME
505 W EMMIT
WAVERLY
OH
45690
7409411110
7409414281
DME
WEST UNION
OH
45693
9375442783
9375448918
DME
HILLSBORO
OH
451331452 9373934423
9373934480
DME
735 US HIGHWAY 68
MAYSVILLE
KY
410561237 6065646821
6065646822
DME
WILMINGTON
OH
45177
9373825694
9373828885
DME
WILMINGTON
OH
45177
9373825694
9373828885
CINCINNATI
OH
45242
5137937335
5139853865
COAL GROVE
OH
456383165 7405340648
7405340649
DME
PO BOX 255
MCDERMOTT
OH
45652
9375873384
WESTERVILLE
OH
43082
6149012226
6149012228
DME
ASHLAND
OH
44805
4192896489
4192896506
DME
SUITE 102
SUITE H
Medicare PLUS
Group PPO
ORT
ORT
DME
continued
28
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
1054 BELLEFONTAINE
AVENUE
SUITE A
LIMA
OH
458042874 4192241135
4192241189
DME
#130
ALLIANCE
OH
44601
3308290565
3308290566
DME
MARION
OH
43302
7403865199
7403865476
DME
SPRINGFIELD
OH
45505
9373270627
9373270625
DME
#A
XENIA
OH
45385
9373743150
9373743160
PO BOX 5484
3734 B
GLENWAY
AVENUE
CINCINNATI
OH
45205
5132441803
5134816887
PO BOX 20068
LOUISVILLE
KY
402500068 5024915243
5024915244
SCOTTSBURG
IN
47170
8127529449
8127528890
DME
SUITE B5
ELIZABETHTOWN
KY
42701
2709825800
2709821171
DME
SUITE 105
LEXINGTON
KY
40503
8592601743
8592601744
DME
LOUISVILLE
KY
40299
5024915243
5024915244
DME
PIKEVILLE
KY
41501
6064375562
6064375527
DME
RICHMOND
KY
40475
8596235028
8596230643
DME
LONDON
KY
407412502 6068780009
6068780101
DME
ALLEN PARK
MI
481013660 3132719000
3139829151
2500 CONSTANT
COMMENT PLACE
LOUISVILLE
KY
402996323 5022660092
5022669736
PO BOX 678589
DALLAS
TX
752678589 5028660092
5022669736
BARDSTOWN
KY
40004
5023490402
5023490412
SUITE 9
SUITE 165
SUITE 101
Phone
Fax
DME
IVT
ORT
IVT
DME
ORT
IVT
DME
SPRINGFIELD
OH
455029503 9373235764
9373232699
DME
ELYRIA
OH
440354208 4409862215
4409862218
DME
ZANESVILLE
OH
437012952 7404546550
7404546020
DME
CHILLICOTHE
OH
456012616 7407725764
7407733046
DME
SPRINGFIELD
OH
455051323 9373980016
9373980018
DME
SUITE 120
DAYTON
OH
45429
9374240524
9374240638
LOC 1021
PO BOX 75460
CINCINNATI
OH
45275
5134697702
5134697707
CINCINNATI
OH
45242
5134697702
5134697707
61314 EBI LP
PO BOX 8500-41335
PHILADELPHIA
PA
19178
32691 EBI LP
TRAVERSE CITY
MI
49684
Medicare PLUS
Group PPO
DME
0
continued
29
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
1366423220 EBI LP
34206 PRO2 RESPIRATORY SERVICES
1609939248 PRO2 RESPIRATORY SERVICES
1154384535 ACCUCARE MEDICAL LLC
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 346
PARSIPPANY
NJ
7054
9732999300
9732990906
LOC 1021
PO BOX 75460
CINCINNATI
OH
45275
TROY
OH
45373
9373397702
9373397705
SHREVEPORT
LA
711066564 3186871444
3186871012
MONTROSE
CO
814013831 9702493700
9704978415
AURORA
MO 656052155 4176781460
4176781462
DME
JEFFERSON CITY
MO 65101
5737615941
5737615947
DME
1808 N ELSON
KIRKSVILLE
MO 635011144 6606655550
6606655553
DME
SUITE G & H
LEBANON
MO 655363361 4175333073
4175338102
DME
SUITE A
NEVADA
MO 64772
4176676224
4176676324
DME
ROLLA
MO 654016793 5734266144
5734266174
DME
TROY
MI
480853780 2485280709
2485281807
PO BOX 496
ANN ARBOR
MI
48106
7342136220
7342136155
ANN ARBOR
MI
481036400 7349291100
7349296460
ANN ARBOR
MI
48106
7342136155
TEMPE
AZ
852823199 0
866642302
DEPARMENT 1735
DENVER
CO
80291
8667284109
BIRMINGHAM
AL
352232523 0
8666422302
TUCSON
AZ
857055924 0
866642302
SPRINGDALE
AR
727642524 0
866642302
SUITE 201
IRVINE
CA
926182127 0
8666422302
SUITE B
SACRAMENTO
CA
958414627 0
8666422302
SUITE 130
DENVER
CO
802114235 0
8666422302
SUITE S
SUITE 102
Medicare PLUS
Group PPO
7342136220
4802812200
ORT
DME
ORT
DME
continued
30
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE S - 4
AVON
CO
81620
8666422302
SUITE 140
GOLDEN
CO
804019541 0
8666422302
SUITE 2
DELRAY BEACH
FL
334452512 0
8666422302
SUITE 321
FORT LAUDERDALE
FL
333125354 0
8666422302
18 RACETRACK ROAD NW
FORT WALTON
FL
325471642 0
8666422302
BUILDING 220
SUITE 153
JACKSONVILLE
FL
322072712 0
8666422302
SUITE 100
ORLANDO
FL
328378811 0
8666422302
SUITE 104
SAINT PETERSBUGH
FL
337022434 0
8666422302
SUITE 100
ATLANTA
GA
303285304 0
8666422302
WESTMONT
IL
605596403 0
8666422302
2723 E 56 STREET
INDIANAPOLIS
IN
462203539 0
8666422302
PO BOX 378
NORTH LIBERTY
IA
523170378 0
8666422302
3963 N WOODLAWN
COURT
SUITE 1
WICHITA
KS
672201994 0
8666422302
COLLEGE PARK
MD
207401141 0
8666422302
NEEDHAM HEIGHTS
MA
24941442
8666422302
FARMINGTON HILLS
MI
483313416 0
8666422302
GRAND RAPIDS
MI
495462426 0
8666422302
MINNEAPOLIS
MN
554474821 0
8666422302
BRIDGETON
MO 630442556 0
8666422302
1414 WYOMING
KANSAS CITY
MO 641021139 0
8666422302
OMAHA
NE
8666422302
SUITE 100
UNIT 10
Medicare PLUS
Group PPO
681271709 0
continued
31
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SOUTH PLAINFIELD
NJ
70801111
8666422302
JERICHO
NY
117531847 0
8666422302
CHARLOTTE
NC
282042826 0
8666422302
COLUMBUS
OH
42317614
8666422302
SUITE B
STOW
OH
442241122 0
8666422302
SUITE 303
TULSA
OK
741367815 0
8666422302
SUITE 230
OKLAHOMA CITY
OK
731044226 0
8666422302
SUITE 129
TIGARD
OR
972238361 0
8666422302
2 BALA PLAZA
333 E CITY
AVENUE
SUITE IL-21
BALA CYNWYD
PA
190041501 0
8666422302
600 N BELL
AVENUE
SUITE 110
CARNEGIE
PA
151064308 0
8666422302
SUITE 320
SPARTANBURG
SC
293071058 0
8666422302
SIOUX FALLS
SD
571041844 0
8666422302
KNOXVILLE
TN
379222113 0
8666422302
NASHVILLE
TN
372143155 0
8666422302
SUITE 232
AMARILLO
TX
791094100 0
8666422302
SUITE D1
CORPUS CHRISTI
TX
784132255 0
8666422302
SUITE 405
GRAND PRAIRIE
TX
750501144 0
8666422302
G108
HOUSTON
TX
770822676 0
8666422302
SUITE 132
SAN ANTONIO
TX
782162809 0
8666422302
SUITE 100
SAN ANTONIO
TX
782403905 0
8666422302
SUITE 100
204
Medicare PLUS
Group PPO
continued
32
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
1348 E 3300 S
SUITE 102
UT
841063492 0
8666422302
SUITE 508
VIRGINIA BEACH
VA
234553651 0
8666422302
STE M-107
KENT
WA
980322111 0
8666422302
SUITE 12
SPOKANE VALLEY
WA
992122760 0
8666422302
WAUKESHA
WI
531865600 0
8666422302
CHICAGO
IL
60677
8159218000
6309416413
IRON MOUNTAIN
MI
498012826 9067791892
9067793790
Phone
Fax
SARASOTA
FL
342408597 9413775458
9413429701
PO BOX 31001-0942
PASADENA
CA
91110
7319279950
7316680048
CHICAGO
IL
60677
8007474661
DME
IVT
DME
DME
CHICAGO
IL
606771007 3178654200
3178654313
KALAMAZOO
MI
490488560 2693420022
2693424134
GRAYLING
MI
497387775 9893449922
9893449955
DME
ANN ARBOR
MI
48108
7349738144
7349737164
DME
GRAND RAPIDS
MI
495125303 6166989119
6166980190
DME
MADISON HEIGHTS
MI
48071
2485881678
2485416930
MIRAMAR
FL
330253901 9544507270
9544507250
CHICAGO
IL
606771009 3178654200
1516 N. MITCHELL
CADILLAC
MI
496011131 2317790813
2317791931
DME
MENOMINEE
MI
498582105 9068634481
9068631144
DME
SAGINAW
MI
486019402 9897520141
9897520780
DME
ESCANABA
MI
498292845 9067891303
9067890982
DME
989 W WASHINGTON
STREET SUITE 105
MARQUETTE
MI
49855
9062282230
9062282623
DME
HOUGHTON
MI
499311923 9064823041
9064829094
DME
PORT HURON
MI
480607478 8109661210
8109664979
DME
PO BOX 676269
DALLAS
TX
75267
HOUSTON
TX
77090
2817654400
2818729930
DME
CHICAGO
IL
606771003 6124041800
9524045479
MINOCQUA
WI
54548
7153561034
Medicare PLUS
Group PPO
7153589440
IVT
DME
DME
IVT
IVT
DME
DME
continued
33
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
INDIANAPOLIS
IN
46237
3178654200
3178654313
CHICAGO
IL
606771003 6124041800
9524045479
ST PAUL
MN
55108
6124041800
9524045479
CHICAGO
IL
60677
7319279950
TAMPA
FL
336345209 8138855568
8138847189
DME
IVT
DME
CAMP HILL
PA
17011
7177614630
7177617120
DME
FRESNO
CA
937224194 5592212251
5592255148
DME
SUITE H
DME
PASADENA
CA
911100999 0
4711 W 135TH ST
CRESTWOOD
IL
60445
7085977079
7082394689
DME
LAKELAND
FL
33801
8666650308
8636655741
DME
BRADLEY
IL
60915
SUITE 150
SAN DIEGO
CA
921264424 8586536800
PO BOX 31001-0984
SUITE 100
PASADENA
CA
911100984 0
PALM DESERT
CA
92211
DME
8586536858
DME
7602002918
7602001469
DME
7074685647
DME
DME
UKIAH
CA
954825551 7074689242
PO BOX 827462
PHILADELPHIA
PA
191827462 0
PORTSMOUTH
NH
38015392
6034300015
6034300016
PO BOX 643303
PITTSBURGH
PA
152643303 4196284498
4196284814
4194710679
BUILDING 2
UNIT B
MAUMEE
OH
435379263 4194711919
PASADENA
CA
911100968 0
GREENSBORO
NC
27410
ROCHESTER
MN
55901
PASADENA
CA
911100685 0
TUCSON
AZ
857065917 5202955980
5202955470
3371 CLEVELAND
SOUTH BEND
IN
466289780 5742474480
5742474490
IVT
DME
SUITE 3
HUDSON
FL
346674241 7278682617
7278698137
IVT
DME
SUITE 280
JACKSONVILLE
FL
322561348 9043633200
9043633500
BOWLING GREEN
KY
42103
NEW BERLIN
WI
53151
2622071590
HARLINGEN
TX
78550
9564284091
BLOOMINGTON
IN
474035141 8123339901
NAPERVILLE
IL
60563
Medicare PLUS
Group PPO
6303692273
DME
DME
IVT
DME
DME
DME
DME
2629385900
IVT
DME
DME
DME
6303695613
DME
continued
34
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
HENDERSON
NV
89014
7027364466
7027364002
3618 E LA SALLE ST
PHOENIX
AZ
85040
8884920010
DME
CLEAR LAKE
CA
954229521 7079941236
7079947965
DME
ORLANDO
FL
328081091 4072970100
4075789924
DME
1501 NORTHWAY DR
ST CLOUD
MN
56303
9524045479
SANTA FE SPRINGS
CA
906706240 5622222245
SAN ANTONIO
TX
78249
SACRAMENTO
CA
958154230 9169211162
9166149043
DME
OCALA
FL
344749476 3523681055
8884920010
DME
CHICAGO
IL
606772005 0
COLLINSVILLE
IL
62234
6183433700
6183454042
DME
9104264000
SUITE 102
DME
DME
FAYETTEVILLE
NC
28306
MELBOURNE
FL
329358625 3212553534
3212553603
GAINESVILLE
GA
30501
7705030164
7316680048
81 W REMINGTON ROAD
SCHAUMBURG
IL
60173
8159218000
FORT WAYNE
IN
46825
3178654200
DULUTH
GA
300969083 6785840153
PEORIA
AZ
853458911 0
8884920010
BEVERLY HILLS
FL
344653548 3526372211
8884920010
PO BOX 31001-0996
PASADENA
CA
911100996 0
KENNEWICK
WA
99336
PASADENA
CA
911100987 0
DME
DME
2104140203
BUILDING H
SUITE 85-89
IVT
5629490162
SUITE 121
IVT
DME
IVT
DME
DME
IVT
DME
3178654313
IVT
DME
7316680048
IVT
DME
8005626505
DME
IVT
DME
IVT
DME
CHICAGO
IL
606771007 0
BLDG 2
SUITE A
MURRELLS INLET
SC
29576
SUITE 100
ATHENS
GA
306071720 7065464477
7316680048
4401 W WILLIANSBURG RD
MUNCIE
IN
47304
7652868017
3178654313
TULLAHOMA
TN
37388
9314559652
7316680048
DME
BETHLEHEM
PA
18017
6102666333
8606329675
DME
711 S REED RD
KOKOMO
IN
46901
3178654200
3178654313
NASHVILLE
TN
37203
6153215874
7316680048
91 DIDION RD
ST PETERS
MO 63376
Medicare PLUS
Group PPO
8435465634
DME
DME
IVT
IVT
DME
DME
DME
DME
continued
35
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
WILLIAMSPORT
PA
17701
8006418812
14 SUNSHINE BLVD
ORMOND BEACH
FL
32174
3866774554
3866734403
DME
CASA GRANDE
AZ
85222
5204263855
8884920010
DME
RIVERSIDE
CA
925072411 9513201100
9513201132
DME
MORRISVILLE
NC
27560
9193801180
DME
SOUTHERN PINES
NC
28387
9109650019
DME
TEMECULA
CA
92591
9516587466
8884920010
SUITE 3 AND 4
FORT MYERS
FL
339137716 2392251294
2392251271
IVT
DME
2150 N TRABAJO DR
SUITE B
OXNARD
CA
93030
SUITE 200
LITTLETON
CO
801273753 7209224600
7209220405
IVT
DME
1631 CUSHMAN DR
LINCOLN
NE
68512
4695 IVEY DR
MACON
GA
312065383 4787578196
WILMINGTON
NC
28403
9103438930
TULSA
OK
74146
9182527082
CHICAGO
IL
606772004 9134922212
CONYERS
GA
30013
7707616706
8884920010
IRVINE
CA
926182501 9495819990
8662281290
DME
LENEXA
KS
66215
9134389393
9134388886
DME
SUITE 3E
SUITE B
SUITE D
DME
DME
0
4024342950
DME
4787579558
DME
IVT
DME
EXCHANGE PLACE 1
4401 MCLEOD NE
ALBUQUERQUE
NM
87109
5058819111
IVT
DME
HATTIESBURG
MS
39401
6045440366
IVT
DME
SUITE 2C
CENTENNIAL
CO
801126766 7209224600
3036492292
DME
BLDG 31
INDIANAPOLIS
IN
46268
3178654200
3178654313
DME
3426 W 99TH
STREET
CHICAGO
IL
60677
RANCHO CUCAMONGA
CA
91730
9094765000
9099870010
DME
2530 JASON CT
OCEANSIDE
CA
920563592 7607249300
7606302384
DME
PHOENIX
AZ
85040
8884920010
DME
3291 SW 42ND ST
GAINESVILLE
FL
326082386 3523744227
3523360032
DME
FL
334096448 5614713030
5614710088
STOCKTON
CA
952105311 2094756860
2094750885
PANAMA CITY
FL
324054220 8507478070
8509130704
OXNARD
CA
930308800 8059830926
8509831756
DME
COLUMBUS
OH
432045023 6143515920
6143515942
DME
SUITE B
Medicare PLUS
Group PPO
IVT
DME
DME
IVT
DME
continued
36
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
TOLEDO
OH
436082603 4192514904
PO BOX 31001-1289
PASADENA
CA
911101289 0
MONROE
LA
712013617 3183229911
3183610987
IVT
DME
LUMBERTON
NC
283583937 9102953175
9109650019
IVT
DME
SPRINGFIELD
OR
974772015 5417472300
5417472306
IVT
DME
DES MOINES
IA
503227905 5152520577
5152520584
IVT
DME
WINSTON-SALEM
NC
27105
3367221256
3367222932
IVT
DME
COLVILLE
WA
991142330 5096844243
5096844289
DME
TEXARKANA
TX
755014404 9037931493
9032429575
DME
KNOXVILLE
TN
379215900 8655885396
8655885317
CONCORD
CA
945201228 9258278800
9256800799
DME
WAUKEGAN
IL
600858213 8474730739
8474731202
DME
PO BOX 827453
PHILADELPHIA
PA
191827453 8606134600
8606329675
BANGOR
ME
44016700
2079425579
2079902127
IVT
DME
CHICAGO
IL
60677
LENEXA
KS
662151281 9134922212
9134924557
IVT
DME
CA
934017944 8057837412
8055432865
MONONA
WI
537164012 6082215480
6082215485
PITTSBURGH
PA
152641887 7248737720
7248737849
MONROEVILLE
PA
151461588 4123731603
4123736597
DME
CHICAGO
IL
60677
SUITE A
#B
SUITE A
SUITE 10-15
PO BOX 641887
610 & 612 BEATTY ROAD
SUITE D
4192510386
DME
IVT
DME
DME
IVT
DME
TOPEKA
KS
666061406 7852325972
7852320452
DME
SUITE 6
LAFAYETTE
IN
479054959 7654489995
7654494987
DME
SUITE 113
SPARKS
NV
894316063 7753527742
7753527762
DME
UNIT B
PENSACOLA
FL
325055227 8504337434
8504387002
SUITE 105 C
BULLHEAD CITY
AZ
864428476 9287637787
9287634301
SUITE D
RICHLAND
MS
39218
6013620523
6019814355
DANVILLE
PA
191820445 5702750909
5702758279
DME
MEDFORD
OR
975017837 5412452400
5412452470
DME
SANTA FE
NM
87505
5059822901
5059891519
DME
7248737860
DME
SUITE D-6
IVT
DME
DME
IVT
DME
SWEICKLEY
PA
151432305 4127496501
PO BOX 643619
PITTSBURGH
PA
152643619 3178654200
MAUMEE
OH
43537
4194711527
4194711159
CHARLOTTE
NC
282172823 7045888556
7048888632
DME
KANSAS CITY
KS
661041304 9137226556
9137226566
DME
SUITE 300
Medicare PLUS
Group PPO
IVT
continued
37
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE 100
DAYTONA BEACH
FL
321175512 3862744809
3862744825
DME
CA
940802012 6505889744
6502446344
DME
HOBBS
NM
882402062 5053920202
5053927014
COOS BAY
OR
490910730 974203599
5412672955
DME
40 SEBETHE DRIVE
CROMWELL
CT
6416
8606134900
8606329685
DME
E. PROVIDENCE
RI
29141218
4014358500
4014314022
3077 CALDER
BEAUMONT
TX
77702
4098326080
4098321650
4740 E SHELBY DR
MEMPHIS
TN
38118
7319279950
7316680048
IVT
DME
68 BULLSBORO DRIVE
NEWNAN
GA
302631435 7702516550
7702510693
IVT
DME
MARSHFIELD
WI
54449
7153840088
7153891406
IVT
DME
PUEBLO
CO
810032315 7195451690
7195444665
DME
SUITE 19
MARIETTA
GA
30062
7709370549
7709809824
DME
SUITE 110
VICTORVILLE
CA
923954236 7602414488
7609621078
DME
PEARL CITY
HI
96782
8088455000
8088471804
DME
DUNCAN
SC
293349117 8644330615
8644331705
DME
CAMDEN
ME
480711533 2072362950
2072301066
CHATTANOOGA
TN
37421
4234990212
4234998693
NITRO
WV
251431067 3047550718
3047551217
DME
231 N PUENTE ST
BREA
CA
928213825 7146266040
7145257186
DME
HOUSTON
TX
770542521 7134408537
884920010
DME
AUSTIN
TX
787586497 5124515599
5124512909
DME
PHOENIX
AZ
85040
DENVER
CO
802392329 3033718749
3033718817
#104
SUITE 310
Phone
Fax
IVT
IVT
DME
DME
DME
DME
IVT
IVT
DME
DME
KEARNEY
NE
688478102 3082366619
3037957407
MINSTER
OH
458651258 4196284496
7316680048
DME
SCOTTSDALE
AZ
852601817 6022821455
6022436525
DME
37 COMMERCE AVENUE
SUITE 2
SOUTH BURLINGTON
VT
54035852
8028657801
8028656947
#106
GILBERT
AZ
85295
8884920010
ST LOUIS
MO 631144509 3145222600
WESTAMPTON
NJ
80604415
6092652190
6092652087
IVT
DME
14 YARMOUTH JUNCTION
YARMOUTH
ME
40967755
2078468543
2078468510
IVT
DME
UT
841191429 8019725353
8019757453
DME
KENDALL
FL
33186
7862422719
3052560986
DME
SIERRA VISTA
AZ
856352713 5204521382
5204521384
DME
FOLCROFT
PA
190322000 9105837950
8002837364
SUITE C
SUITE 10
UNIT D
Medicare PLUS
Group PPO
DME
IVT
IVT
DME
DME
continued
38
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PORTLAND
OR
972209050 5032582200
5032555899
REDDING
CA
960029003 5302210202
5302266116
COLORADO SPRINGS
CO
80919
7192622600
7198689095
SANTA ROSA
CA
954031027 7075430979
7075435852
6125 W RENO
OKLAHOMA CITY
OK
731276522 4054951919
4054951922
BATON ROUGE
LA
708095129 9854199000
9854198000
DME
FAIRFIELD
CA
945336714 7074229901
7074229905
DME
BELTSVILLE
MD
20705
3012100505
3012107017
IVT
DME
SUITE 100
SALEM
OR
97302
5034801100
5034801200
IVT
DME
SUITE A
LOUISVILLE
CO
800273017 3036042249
3036041468
IVT
DME
SUITE B
TOPEKA
KS
666153827 7852727191
7852720358
IVT
DME
BOARDMAN
OH
44512
3307584652
3307584748
IVT
DME
SHARON HILL
PA
19079
6104615190
6104615204
IVT
DME
SUITE J
BALTIMORE
MD
212374101 4103910300
4105746493
6602 ROYAL ST
#E
PLEASANT VALLEY
MO 640688711 8164071132
8164079395
5705 GENERAL
WASHINGTON
#D
ALEXANDER
VA
223132408 9036423141
7066423148
DME
LEES SUMMIT
MO 640864709 8162465937
8162464616
DME
FORT WORTH
TX
76115
8179271988
8179275492
DME
REDMOND
WA
98052
4258818500
4258815245
DME
3028 ESPLANADE
CHICO
CA
959734924 5308915226
5308915435
DME
RAPID CITY
SD
577018211 6053412273
6053410167
DME
1024 ANDREWS
MIDLAND
TX
79701
4326200883
4326836019
OAK RIDGE
TN
378306723 8654250538
8654259854
DME
RICE LAKE
WI
548683009 7152346961
7152343504
DME
SAN LEANDRO
CA
945774223 5103464000
5103514308
DME
EUREKA
CA
955010704 7074448022
7074421066
DME
DULUTH
MN
558052142 2187237121
2187234078
GREEN BAY
WI
543118300 9204694800
9204697927
SAINT AUGUSTINE
FL
320846223 9048246600
9048293496
EVANSVILLE
IN
477114363 8124710202
8124715502
SUITE 100
SUITE 190
SUITE G
SUITE G
SUITE 9 AND
10
Medicare PLUS
Group PPO
DME
DME
IVT
DME
DME
IVT
DME
DME
IVT
IVT
DME
DME
DME
IVT
DME
DME
IVT
DME
continued
39
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
400 HOBBS RD
SUITE 211
LEAGUE CITY
TX
775733879 2813161685
2813161602
DME
SUITE B
EAU CLAIRE
WI
547031826 7158347517
7158340063
DME
PEORIA
IL
616152064 3096911012
3096911351
DME
MODESTO
CA
953568729 2095484400
2095431212
DME
ROCHESTER
IN
469758945 5742241291
5742241292
DME
DME
CLARKSVILLE
TN
37040
9316489889
9316485331
PASADENA
CA
91110
7319279950
7316680048
10 LANE ROAD
RAYMOND
NH
30771500
6038954203
6038956793
SUITE 301
EGG HARBOR
TOWNSHIP
NJ
82325660
6096418000
6096410652
SUITE 24
LAKEWOOD
NJ
87014548
7329051400
7329053313
1 FRASSETTO WAY
SUITE F
LINCOLN PARK
NJ
70352017
9733050099
9733058780
CLOVIS
NM
881014152 5057630202
5057692899
FARMINGTON
NM
874016865 5053257575
5053258412
LAS CURCES
NM
880056599 5055252494
5055250750
ROSWELL
NM
882017529 5056224747
5056232155
12 PETRA LANE
ALBANY
NY
122054945 5184524951
5184523123
BROOKLYN
NY
112222408 7183612243
7183832891
ELMIRA
NY
149043411 6077325225
6077325221
ENDWELL
NY
137603532 6077543511
6077481891
KINGSTON
NY
124017157 8453363333
8453363346
MIDDLETOWN
NY
10940
8453420799
8453420805
PLAINVIEW
NY
118031741 5165762509
5165762521
ROCHESTER
NY
146245757 5854364910
5854366356
424 NORTHEAST
GREENWOOD AVENUE
BEND
OR
977014608 5413828021
5413851396
GRANTS PASS
OR
975261316 5414763627
5414792875
KLAMATH FALLS
OR
97603
5412735451
5412735469
ALTOONA
PA
166027224 8149424702
8149469386
35617 WASSEROTTS
SUITE 106
Fax
PO BOX 31001-0942
35616 LIFEPLUS
Phone
SUITE E-F
SUITE A
SUITE 80
PASADENA
CA
91110
7319279950
7316680048
PO BOX 31001-0942
669 EAST MAIN STREET
SUITE 300
BRADFORD
PA
16701
8143623235
8143624946
SUITE A
BUTLER
PA
160014924 7242821611
7242820352
Medicare PLUS
Group PPO
continued
40
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
ERIE
PA
165054505 8144545995
8144542788
GREENSBURG
PA
156017190 7248376934
7248532348
HERSHEY
PA
170332359 7175338466
7175331096
SUITE 2
MOUNTVILLE
PA
175541508 7172857805
7172855639
SUITE 9-10
POTTSVILLE
PA
179014203 5706226320
5706224002
WARREN
PA
163652508 5706226320
8177269057
SUITE 102
COLUMBIA
SC
292033852 8037866900
8037544173
SUITE 1-A
GREENVILLE
SC
29605
8642337004
8642339973
JEFFERSON
TN
377602809 8654758953
8654756119
COOKEVILLE
TN
382014609 9315207005
9315207054
SIOUX FALLS
SD
571040851 6053342418
6053346343
FENTON
MO 630262401 3145222600
3145222867
SAINT JOSEPH
MO 645032157 8162332449
8162338641
145 BENCHMARK
INDUSTRIAL
STREATOR
IL
613649485 8156733751
8156726581
CAPE GIRARDEAU
MO 637037607 5733344207
5733348852
IVT
DME
MERRILLVILLE
IN
2197360346
IVT
DME
JOPLIN
MO 64804
CONOVER
1519 BOWMAN RD
124-A COMMERICAL
AVENUE
BOX 207
SUITE B
SUITE 200
SUITE 1
464108104 2197366222
DME
IVT
DME
DME
4177826212
8884920010
NC
286138355 8284660323
8884920010
KINGSPORT
TN
376606637 4232474277
8884920010
FAIRBANKS
AK
997017377 9074588912
9074588914
DME
BIRMINGHAM
AL
352095962 2059424702
8884920010
DME
MOBILE
AL
36619
2516655200
2516659100
DME
LITTLE ROCK
AR
722114228 5012790205
5012279018
DME
LOWELL
AR
727458725 4797700813
8884920010
DME
LOVELAND
CO
805381185 9706630500
9706630500
DME
1510 KUEBEL ST
NEW ORLEANS
LA
701232266 5047340563
PRESCOTT
AZ
86301
9287089411
9287089426
DME
SAFFORD
AZ
855463318 9284287768
5204280094
DME
SHOW LOW
AZ
859017781 9285377330
9285374188
DME
HANOVER TOWNSHIP
PA
18706
5708317400
5708252892
YUMA
AZ
853653623 9287826509
9283418405
SUITE 104
SUITE B
SUITE E-1
Medicare PLUS
Group PPO
DME
continued
41
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
414 19TH ST
BAKERSFIELD
CA
933014908 6613244887
6613240581
DME
BURBANK
CA
91502
8662281290
DME
SAN JUAN
CA
951311753 4083834400
4084329484
DME
630 G STREET
CRESCENT CITY
CA
955313738 7074644242
7074642879
DME
EL CENTRO
CA
922433006 7603536465
7603536495
DME
610 S DOUGLAS
EL SEGUNDO
CA
902454811 3102976986
3102979016
DME
SHINGLE SPRINGS
CA
956827217 9169211162
9166149043
DME
VISALIA
CA
932926910 5597326040
5597321672
DME
YUBA CITY
CA
959938978 5306735513
5306737573
DME
FORT BRAGG
CA
954375101 7079611770
7079611784
DME
GRASS VALLEY
CA
95945
5302737237
5302733457
DME
SUITE A
JACKSON
CA
956422671 2094756860
2094750885
DME
SUITE 201
LANCASTER
CA
935354650 6619493447
6619490247
DME
410 LONGFELLOW CT
#A
LIVERMORE
CA
945517122 9252452485
9252451167
DME
# C-G
MENLO PARK
CA
940251002 6503302420
6503300731
DME
UNIT E
MERCED
CA
953484362 2093847100
2093847329
DME
BLDG 3
SUITE 600
MONTEREY
CA
939405757 8316554090
8316495877
DME
MT SHASTA
CA
96067
5309265902
5309265906
DME
9 PAMARON
NOVATO
CA
94949
4158330496
4158830497
DME
ROME
GA
30165
7062320610
8884920010
ALAMOSA
CO
811013023 7195892551
7195892311
DME
SUITE C
DURANGO
CO
813037901 9702597575
8884920010
DME
SUITE 300
GOLDEN
CO
804031671 7209224600
3032150622
DME
GRAND JUNCTION
CO
815015115 7209224600
9702455432
DME
GREELEY
CO
806315132 9703535355
9703469007
DME
WRAY
CO
807581009 9703323310
9703323312
DME
20 MURPHY ROAD
FRANKLIN
CT
62541805
8606424800
8606423085
DME
MILFORD
CT
64602869
8606134900
2038778150
DME
OXFORD
CT
6478
8606134900
2038883761
DME
NEWARK
DE
197023320 3027377979
3027376719
DME
LAKE CITY
FL
320556123 3867526348
3867529968
TALLAHASSEE
FL
323085459 8503831188
8503831166
SUITE 11
SUITE 100
UNIT 1 SUITE A
AND B
SUITE 150
Medicare PLUS
Group PPO
continued
42
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
City
ST
ZIP
Phone
Fax
HUNTINGTON BEACH
CA
92648
7145969400
7145969500
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
RIVERSIDE
CA
92507
8662119130
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
AIEA
HI
96701
8084845039
PO BOX 9901
CLEARFIELD
UT
840899901 0
PARKER
AZ
85344
9286698285
9286695330
ANAHEIM
CA
92801
7146352650
7146350223
PRO
ORT
18 TECHNOLOGY DR W
#141
IRVINE
CA
92618
9494538221
7146350223
PRO
ORT
720 HIGHWAY 75
IMPERIAL BEACH
CA
919321313 6194248143
6194248652
IVT
DME
LIVONIA
MI
481505729 8884749912
8009992514
IVT
DME
SUITE 107
SOLANA BEACH
CA
920752408 8582598287
8587927178
1397 PIEDMONT
SUITE 300
TROY
MI
48083
2485195075
2485195078
38 TESLA
SUITE 150
IRVINE
CA
926184669 9495794300
8884479057
SUITE G
CATHEDRAL CITY
CA
922347248 7607704620
7603243266
PRO
ORT
DME
SUITE D-2
INDIO
CA
92201
7603428200
7603428266
PRO
ORT
DME
SUITE 101
YUCCA VALLEY
CA
92284
7603656838
7603656202
PRO
ORT
DME
Address 1
Address 2
SUITE E - K
9517888522
8084845039
DME
DME
DME
DME
3738 SEPULVEDA
BOULEVARD
TORRANCE
CA
905052513 3103786235
3103786358
SIGNAL HILL
CA
907551244 0
8888162999
DME
AKRON
OH
443203819 3307538600
4705 N TUSCRAWAS ST
CANTON
OH
44708
3304784100
3307539761
DME
5410 WARNER RD
CLEVELAND
OH
44125
2166421447
2166429795
DME
YOUNGSTOWN
OH
44509
3307437400
3302590340
DME
VAN WERT
OH
45891
4192386300
4192389400
PRO
ORT
LIMA
OH
45802
4192288138
PRO
ORT
PO BOX 63-6890
CINCINNATI
OH
452636890 4192269684
LIMA
OH
44193
PO BOX 569
Medicare PLUS
Group PPO
4192269684
4192269847
ORT
DME
DME
continued
43
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
ORT
PRO
ORT
EUCLID
OH
44119
2165312773
2165315376
WOOSTER
OH
446919786 3302621984
3302634829
ERIE
PA
16505
8148358042
PO BOX 71-4286
COLUMBUS
OH
432714286 2166517788
CLEVELAND
OH
441022295 2166517788
2166514057
PRO
ORT
8148382349
LYNDHURST
OH
44124
4404420454
4404420597
PRO
ORT
NORTH ROYALTON
OH
44133
4405828000
4405820831
PRO
ORT
FAIRLAWN
OH
44333
3306031953
2166514057
PRO
ORT
8180 PEARL RD
STONGSVILLE
OH
44136
4402431085
5027766072
PRO
ORT
SUITE 6
BYRAN
OH
435061681 4196368010
4196362889
15210 INDUSTRAIL
PARKWAY
BILLING ONLY
CLEVELAND
OH
44135
2168983300
CLEVELAND
OH
44111
2168983330
2162514804
PRO
ORT
PRO
ORT
SUITE 50
DME
DME
SUITE F
TOLEDO
OH
43612
4402347691
4194766655
SUITE B
CUYAHOGA FALLS
OH
442231425 3309283720
3309404241
SUITE 140
AKRON
OH
443214218 3308659000
3308659967
1275638439 O E MEYER CO
PO BOX 479
3303 TIFFIN
AVENUE
SANDUSKY
OH
44870
4196251256
4196214188
1194821629 O E MEYER CO
FREMONT
OH
43420
4193326931
4193326044
1871699397 O E MEYER CO
PO BOX 1142
2005 EAST
28TH STREET
LORAIN
OH
44055
4402778922
4402770641
IVT
DME
1033215561 O E MEYER CO
SUITE E
TIFFIN
OH
44883
4194471104
4194473101
IVT
DME
1548366073 O E MEYER CO
TOLEDO
OH
43614
4193821262
4193821404
IVT
DME
EASTLAKE
OH
440954041 4409547709
4409547705
DME
1378 BELLEFONTAINE
AVENUE
LIMA
OH
458043110 4192245410
4192226566
DME
11 JACKSON STREET
TIFFIN
OH
44883
4194484040
4194485312
DME
BUCYRUS
OH
448202218 4195630101
4195631022
DME
TIFFIN
OH
44883
4194558701
DME
UNIT F1
SUITE 107
Medicare PLUS
Group PPO
4194558700
IVT
DME
IVT
DME
ORT
DME
continued
44
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
TOLEDO
OH
436152580 4195366206
4195366211
3030 W EXCHANGE ST
AKRON
OH
443021708 3307626411
3307624110
TWINSBURG
OH
44087
3304059533
3304059539
PO BOX 309
HUDSON
OH
44236
8883443434
8777533033
HUDSON
OH
442365011 3303429555
3303429559
DEPT L1801
COLUMBUS
OH
43260
8003415626
8884276630
38035 SCHOOLCRAFT
ROAD
LIVONIA
MI
481501065 8003415626
8884276630
VAN WERT
OH
45891
4195873349
4195873229
ORT
DME
VAN WERT
OH
45891
4192389828
4192386289
ORT
DME
MEDINA
OH
44256
3307236679
3307227727
PRO
ORT
MIDDLEBURG
OH
441303483 0
PRO
ORT
2261 WARRENSVILLE
CENTER ROAD
UNIVERSITY HEIGHTS
OH
44118
3307227727
PRO
ORT
BROOKFIELD
OH
44403
3306195201
3306195206
IVT
DME
HERMITAGE
PA
16148
7243425260
7243425269
IVT
DME
BROADVIEW HEIGHTS
OH
441473677 4407171984
4407171983
SUITE A
SUITE 503
SUITE C
PRO
ORT
DME
ORT
DME
IVT
IVT
DME
PO BOX 635190
CINCINNATI
OH
452635190 2163321550
2163321555
CLEVELAND
OH
441283150 2163321550
2163321555
DME
MOUNT VERNON
OH
43050
7403974271
7403972167
DME
KENT
OH
442401939 3306739809
3306739815
DME
FINDLAY
OH
458406833 4194239712
4194208105
DME
FREMONT
OH
43420
4193324938
4193323384
DME
BOWLING GREEN
OH
434022671 4193527021
4193527252
DME
MAUMEE
OH
435371863 4198914046
4198914093
DME
855 W MAIN ST
BELLEVUE
OH
448119078 4194833424
4194833476
DME
SUITE 7
Medicare PLUS
Group PPO
continued
45
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
MEDINA
OH
442569072 3307221711
Fax
42 W MAIN STREET
VERSAILLES
OH
453801214 9375263337
9375264118
PO BOX 605
FORT RECOVERY
OH
45846
4193752323
4193754488
IVT
DME
PO BOX 605
110 EAST
BUTLER
STREET
FORT RECOVERY
OH
45846
4193752323
IVT
DME
CINCINNATI
OH
452635546 3303746755
3303769303
BLUE ASH
OH
452423741 5135540222
5135543916
DME
DME
PO BOX 635546
DME
AKRON
OH
443111021 3303746802
3303745606
ANN ARBOR
MI
481085018 7349756668
7349756678
WIXOM
MI
483933022 2484466114
2484466115
NORWALK
OH
44857
4196687651
4196635837
FISHERS
IN
46037
3176214800
3176214811
IVT
DME
KOKOMO
IN
46901
7654545207
7654545209
IVT
DME
KOKOMO
IN
46901
7654545214
7654545215
MARION
IN
469522549 7657330140
7657330141
IVT
DME
2517 N MICHIGAN ST
PLYMOUTH
IN
46563
ELKHART
IN
465141942 5745222273
3219 S FRANKLIN ST
MICHIGAN CITY
IN
46360
SOUTH BEND
IN
466351521 5742736000
INDIANAPOLIS
IN
46202
FORTVILLE
IN
46040
PO BOX 271
WASHINGTON
IN
47501
WASHINGTON
SUITE 232
DME
SUITE A
DME
PRO
DME
PRO
ORT
PRO
ORT
IVT
DME
PRO
ORT
IVT
DME
5742478199
PRO
ORT
3179244444
3179246319
PRO
ORT
7656086143
8888380488
8122578731
8122572592
IN
475014535 8122542497
8122547857
IVT
DME
PAOLI
IN
474549217 8127233907
8127233933
IVT
DME
NEW ALBANY
IN
471504653 8129816600
8129816610
Medicare PLUS
Group PPO
5749414444
ORT
5745224563
2198721000
DME
DME
DME
DME
continued
46
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
3355 DOUGLAS
SOUTH BEND
IN
46635
5742732273
5742735602
PLYMOUTH
IN
465633495 5749354677
5749350270
ORT
IVT
DME
DME
900 I STREET
LA PORTE
IN
46350
2193241775
2193241780
DME
KNOX
IN
46534
5747724458
5747724316
DME
INDIANAPOLIS
IN
462602086 3173388866
3173388948
CHICAGO
IL
606860025 3173388866
3173388948
CARMEL
IN
460321473 3175828080
3175828081
610 N MICHIGAN ST
SUITE 104
SOURTH BEND
IN
46602
2192334221
5742333966
PRO
ORT
SUITE 200
MISHAWAKA
IN
46544
5742569008
5742569016
PRO
ORT
53880 CARMICHAEL DR
SUITE 220
SOURTH BEND
IN
466351567 5742775548
5742775609
PRO
ORT
FORT WAYNE
IN
468254409 2604833516
2604712797
MT CARMEL
IL
628632909 6182622646
6182622647
IVT
DME
ALBION
IL
628061031 6184454907
8667478600
IVT
DME
CARMI
IL
628211389 6183825110
6183845009
IVT
DME
MARION
IL
629591057 6189979385
6189978946
IVT
DME
JASPER
IN
475463122 8124822787
8124824433
IVT
DME
PETERSBURG
IN
475671354 8123549212
8123546762
IVT
DME
EVANSVILLE
IN
477152214 8127596168
8124712927
IVT
DME
GRAYVILLE
IL
628441402 6183752131
6183755029
DME
SUITE T
DME
1115 WEST
MARKET
STREET
LOGANSPORT
IN
46947
5747350082
5747533910
DME
SUITE 200
INDIANAPOLIS
IN
46260
3173336033
3173336034
DME
KALAMAZOO
MI
49007
2692760068
2692760074
PO BOX 50986
1717 SHAFFER STREET
SUITE 107
KALAMAZOO
MI
490481647 2692760068
2692760074
33333 DEQUINDRE
SUITE A
TROY
MI
480834624 2485979004
2485979012
Medicare PLUS
Group PPO
DME
PRO
ORT
DME
continued
47
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE 180
ANDERSON
IN
460164346 7656468366
7656833202
SOUTH BEND
IN
46615
5742873767
5742890882
PRO
ORT
SUITE 101
KALAMAZOO
MI
490092175 2695442919
2695442920
PRO
ORT
SUITE B
ELKHART
IN
466152739 5742873767
5742890882
PRO
ORT
SUITE 200
ST JOSEPH
MI
490859137 2694080129
2694080149
PRO
ORT
3700 W 203RD ST
SUITE 116
OLYMPIA FIELDS
IL
604611181 7024811100
7084811113
PRO
ORT
DME
Phone
Fax
DME
1840 E 71 ST
CHICAGO
IL
60649
7733630400
7733635462
PRO
ORT
DME
6450 COLLEGE DR
PALOS HTS
IL
60463
7083897520
3123635462
PRO
ORT
DME
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
AURORA
IL
60506
6308976444
6308970985
DME
DEKALB
IL
60115
8157879968
8157879995
DME
ROCK ISLAND
IL
61201
3092830880
3092830881
SUITE 1
DAVENPORT
IA
52807
5633554043
5633554063
PRO
ORT
SUITE A
FREEPORT
IL
61032
8152662074
8152662075
PRO
ORT
SUITE 112
PERU
IL
61354
8152231781
8152231787
PRO
ORT
SUITE A
UNIT G
WHEELING
IL
600902608 8475378500
8475379430
DME
BROADVIEW
IL
601554401 7083457400
7084501638
DME
15702 COLLECTIONS
CENTER DRIVE
CHICAGO
IL
60693
8153896057
SYCAMORE
IL
60178
8157588233
8157581578
BOURBONNAIS
IL
60914
8159390878
8159392492
5610 W 95TH ST
OAK LAWN
IL
60453
7084990071
7084994415
DME
ROCKFORD
IL
611088010 8152270202
8152279807
DME
JOLIET
IL
60435
BURR RIDGE
IL
60527
6309200044
6304552242
CHAMPAIGN
IL
61820
2173669287
2173669298
2801 BLACK
ROAD
SUITE 704
Medicare PLUS
Group PPO
continued
48
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
NAPERVILLE
IL
60563
6304208585
6304203175
PEORIA
IL
61615
3096915805
3096911351
CROWN POINT
IN
46307
2199242547
2199241201
PO BOX 1248
BLOOMINGTON
IL
61702
8473826806
CHICAGO
IL
60612
3096647930
3096647931
SUITE 120
BLOOMINGTON
IL
61704
3096647930
3096647931
ROYAL OAK
MI
480671319 2488507057
2489280643
2600 S RANEY
EFFINGHAM
IL
624014219 2173423412
2173473384
KANKAKEE
IL
60901
8159328564
8159328640
JOLIET
IL
60435
8157419700
8157414701
PRO
ORT
111 W JACKSON
MORRIS
IL
60450
8159424000
8157414701
PRO
ORT
18210 S LAGRANGE RD
TINLEY PARK
IL
60477
7083649700
8169328640
PRO
ORT
WATSEKA
IL
60970
8159328564
8159329640
PRO
ORT
CHICAGO
IL
606731245 6108828888
PO BOX 1367
DME
ORT
DME
DME
ORT
DME
BETHLEHEM
PA
180208012 6108828888
6108674057
SUITE J
HATFIELD
PA
194403272 6102603146
6108284972
SUIE 105
ELMHURST
IL
601261043 6305300023
8888001991
DME
SUITE 300
DME
COMMERCE
MI
483904111 2483667000
2483667031
PO BOX 35399
DETROIT
MI
482350399 3135665356
3137312008
DETROIT
MI
482350399 3135665356
3137312008
DME
MATTAWAN
MI
490718788 2696686066
2696689127
DME
SOUTHFIELD
MI
480751830 2485572898
2485572899
DME
1832 VANDALIA
COLLINSVILLE
IL
622344853 6183450649
6183450694
DME
MARION
IL
62959
6189979262
6189979305
DME
WENTZVILLE
MO 633853424 6363270344
6363270345
DME
PO BOX 6209
LAFAYETTE
IN
7654464287
25384 MEDSOURCE
SUITE 120
Medicare PLUS
Group PPO
47903
7654486685
continued
49
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE 38
BELLEVILLE
IL
62223
6183983762
6183983815
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
DME
WHEELING
IL
60090
8479474160
8479474180
DME
DME
MOUNT VERNON
IL
62864
6182444949
6182444980
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
FENTON
MO 63026
6363265640
6363266512
DME
ELDORADO
IL
629301629 6182739019
6182738165
DME
2339 BROADWAY
MT VERNON
IL
628642925 6182428776
6182420424
DME
CHAMPAIGN
IL
618222811 2173552680
2173555538
WEST BRANCH
MI
486618601 9893430300
PRO
ORT
DME
28801 WOODWARD
BERKLEY
MI
48072
2483990030
2483990031
PRO
ORT
DME
GROSSE POINTE
WOODS
MI
48236
3136407750
2485886961
PRO
ORT
DME
WATERFORD
MI
48328
2486749600
2486749603
PRO
ORT
DME
DETROIT
MI
48202
3139162201
3139169491
PRO
ORT
DME
SOUTHFIELD
MI
48075
2483532468
2483534260
19401 HUBBARD
DEARBORN
MI
48126
3139824473
3139824474
DME
DETROIT
MI
48202
3139162927
3139165837
DME
RIVERVIEW
MI
48192
7342836000
7342835710
DME
DETROIT
MI
48235
313537333
3135373737
DME
WARREN
MI
48089
5867570015
5867570047
DME
6777 W. MAPLE
WEST BLOOMFIELD
MI
48322
2486617935
2486617936
DME
STERLING HEIGHTS
MI
48313
5862473953
5862473766
DME
WYANDOTTE
MI
48192
7342468797
7342468799
DME
SOUTHFIELD
MI
480757901 2488273370
2488274436
SUITE B
SUITE 100
1ST FLOOR
MAIN LOBBY
Medicare PLUS
Group PPO
ORT
IVT
DME
IVT
continued
50
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
29200 SCHOOLCRAFT
ROAD
LIVONIA
MI
481502228 7345238644
7345238634
DME
CLINTON TWP
MI
480381158 5862031040
5862031041
DME
MARQUETTE
MI
498552711 9062284325
9062253642
MARQUETTE
MI
498552705 9062257550
9062253499
ESCANABA
MI
498291176 9062254718
9062257926
TROY
MI
48083
2485499715
2487439111
32060 WOODWARD
AVENUE
ROYAL OAK
MI
480730940 2485499778
2485499784
ROYAL OAK
MI
48073
2488985511
2488980138
DME
TROY
MI
48085
2489649177
2489649127
DME
MACOMB
MI
48044
5864165930
5864165931
DME
SAGINAW
MI
486049429 9897936000
9899210971
DME
PO BOX 1259
SAGINAW
MI
48606
9897936000
9899210971
CHICAGO
IL
606860013 2488531888
2488531830
1201 W CHISHOLM
ALPENA
MI
49707
9893562034
9893562603
PRO
ORT
DME
3330 WASHTENAW
ANN ARBOR
MI
48104
7349756800
7349756801
PRO
ORT
DME
BAD AXE
MI
48413
9892697995
9892697815
PRO
ORT
DME
SUITE 204
BATTLE CREEK
MI
49017
2699698816
2699698725
PRO
ORT
DME
SUITE 100
CASS CITY
MI
48726
9898724297
9898722973
PRO
ORT
DME
CLARKSTON
MI
48346
2486202401
2486202404
ORT
DME
DEARBORN
MI
48126
3135840070
3135842716
PRO
ORT
DME
DME
PRO
ORT
DME
IVT
DME
ORT
DME
MADISON HEIGHTS
MI
48071
2486580990
3133683555
PRO
ORT
4201 ST ANTOINE
DETROIT
MI
48201
3138325020
3138326157
PRO
ORT
DETROIT
MI
48201
3137459811
3139938574
PRO
ORT
DME
ESCANABA
MI
49829
9067860538
9067864924
PRO
ORT
DME
FARMINGTON HILLS
MI
48334
2486150041
2486150065
PRO
ORT
DME
23520 WOODWARD
AVENUE
FERNDALE
MI
48220
3133683300
3133683555
PRO
ORT
DME
FLINT
MI
48220
8102346582
8102347789
PRO
ORT
DME
Medicare PLUS
Group PPO
continued
51
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
GAYLORD
MI
49753
9897324521
9897323719
PRO
ORT
DME
WYOMING
MI
49509
6165311340
6165311582
PRO
ORT
DME
PORTAGE
MI
49024
2692262617
2693452431
PRO
ORT
DME
LANSING
MI
48912
5174842624
5174848362
PRO
ORT
DME
LAPEER
MI
48446
8106641101
8106649912
PRO
ORT
DME
LINCOLN PARK
MI
48146
3133863330
3133863590
PRO
ORT
DME
LIVONIA
MI
48150
7344218400
7344213086
PRO
ORT
DME
1175 W WASHINGTON
MARQUETTE
MI
49855
9062286930
9062288757
PRO
ORT
DME
OWOSSO
MI
48867
9897292442
9897299513
PRO
ORT
DME
MI
48059
8103856330
8103856640
PRO
ORT
DME
ROCHESTER HILLS
MI
48309
2488298292
2488538000
PRO
ORT
DME
SAGINAW
MI
48603
9897997360
9897994294
PRO
ORT
DME
SUITE 1
MI
49783
9062532278
9062532317
PRO
ORT
DME
SUITE C
TOLEDO
OH
43613
4194793020
4194793019
PRO
ORT
DME
WARREN
MI
48089
5867564020
5867563424
PRO
ORT
DME
ROCHESTER HILLS
MI
48309
8003434944
2488539102
PRO
ORT
DME
CLINTON TWP
MI
48038
5864688289
5864688725
PRO
ROCHESTER HILLS
MI
48309
8004820222
MADISON HEIGHTS
MI
48071
2486580990
3133683555
DETROIT
MI
48214
3138231972
3138234019
2638 BOND
STREET
ORT
DME
ORT
DME
PRO
ORT
DME
2317757954
PRO
ORT
DME
2483472448
PRO
ORT
DME
5867775409
5867773661
PRO
ORT
DME
6162491807
6162492815
PRO
ORT
DME
WI
541434293 7153305437
7153305471
PRO
ORT
MI
497708524 2316228680
2316228684
PRO
ORT
EAST TAWAS
MI
48730
9893622897
9893622914
PRO
ORT
MICHIGAN CENTER
MI
49254
5177640400
5177640475
MOUNT CLEMENS
MI
480432308 5864681600
5864654085
EAST LANSING
MI
48823
5173243705
5173244589
CHELSEA
MI
481181383 7344753996
7344753984
7633 E JEFFERSON
CADILLAC
MI
49601
2317757961
26750 PROVIDENCE
PARKWAY
SUITE 125
NOVI
MI
48374
2483472365
SUITE 400
MI
48080
SUITE 150
WYOMING
MI
49519
SUITE 101
MARINETTE
2607 CHARLEVOIX
PETOSKEY
1691 NORTH US 23
2638 BOND
STREET
SUITE 180
SUITE 4
Medicare PLUS
Group PPO
DME
IVT
DME
DME
DME
ORT
DME
ORT
DME
continued
52
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
BATTLE CREEK
MI
490155159 2699649467
2699642866
MARQUETTE
MI
498552675 9062251321
9062289371
GRAND RAPIDS
MI
49525
6164858080
6164580062
PRO
ORT
6164597101
6165498425
PRO
ORT
1111 LEFFINGWELL NE
SUITE 200
GRAND RAPIDS
MI
49503
DEPT. 6063
LANSING
MI
489098016 6164597101
TRAVERSE CITY
MI
49684
2319475701
2319471370
PRO
ORT
DME
ALMA
MI
48801
9894630951
9894630312
PRO
ORT
DME
SUITE 190
DME
ORT
DME
255 WARWICK
ALPENA
MI
49707
9893569556
9893560763
PRO
ORT
DME
BIG RAPIDS
MI
49307
2317964403
2317793907
PRO
ORT
DME
CADILLAC
MI
49601
2317798022
2317793907
PRO
ORT
DME
CHEBOYGAN
MI
49721
2315979770
2315978245
PRO
ORT
DME
SUITE 100
FREMONT
MI
49412
2319246301
2319246306
PRO
ORT
DME
SUITE B-1
GRAND RAPIDS
MI
49546
6169494050
6169494051
PRO
ORT
DME
KALAMAZOO
MI
49048
2693494412
2693492776
PRO
ORT
DME
1750 E BELLOWS
MOUNT PLEASANT
MI
48858
9894630951
9894630312
PRO
ORT
DME
MI
49783
PRO
ORT
DME
GAYLORD
MI
49735
9897321400
9897321442
PRO
ORT
DME
HOUGHTON LAKE
MI
48629
9893660698
2319471370
PRO
ORT
DME
MILLTOWN
MEDICAL
BUILDING
GRAYLING
MI
49738
5173486268
PRO
ORT
DME
1 ATKINSON DRIVE
C/O
MEMORIAL
MEDICAL
CENTER
LUDINGTON
MI
49431
2313989430
2313989432
PRO
ORT
DME
SUITE E
SUITE 4
SUITE H
SUITE C
Medicare PLUS
Group PPO
continued
53
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE 2100
MANISTEE
MI
49660
2313989430
2313989432
PRO
ORT
DME
PETOSKEY
MI
49770
2313475410
2313471309
PRO
ORT
DME
SAINT IGNACE
MI
49781
2313471309
PRO
ORT
DME
700 E MICHIGAN
JACKSON
MI
492012403 5177688873
5177803816
STERLING HEIGHTS
MI
483123611 5869790560
5869798766
ORT
STERLING HEIGHTS
MI
483123611 5869790560
5869798766
ORT
STERLING HEIGHTS
MI
483123611 5869790560
5869798766
SUITE 102
FLINT
MI
48532
8107326667
8107329624
SUITE A
HANCOCK
MI
499301571 9064831290
9064831291
ADRIAN
MI
49221
5172637175
CLINTON TWP
MI
48036
5864633600
5864636337
COLDWATER
MI
490361617 5172788646
5172788646
TRAVERSE CITY
MI
496842535 2319474212
2319470301
DME
TRAVERSE CITY
MI
49686
2319478700
2319477885
DME
PO BOX 16190
DULUTH
MN
55816
2187227117
IRON RIVER
MI
499357945 9062655985
9062650032
PO BOX 16190
DULUTH
MN
55816
2187227117
PO BOX 16190
DULUTH
MN
55816
2187227117
CHEBOYGAN
MI
497219074 2316272677
2316279094
DME
MACKINAC
STRAITS
HOSPITAL
SUITE 2
DME
IVT
DME
DME
PRO
ORT
DME
DME
ROCHESTER HILLS
MI
483093706 2488529393
2488521398
DME
12519 STATE ST
ATLANTA
MI
497099622 9897852296
9897855076
DME
GLADWIN
MI
486242065 9894261551
9894262429
DME
40 MCCOLLUM ST
HILLSDALE
MI
492421629 5174372061
5174372103
DME
39201 SCHOOLCRAFT
LIVONIA
MI
481805037 7349534082
7349534172
DME
MENOMINEE
MI
498582762 9068631148
9068635525
DME
256 US 41 EAST
NEGAUNEE
MI
49866
9064750405
DME
Medicare PLUS
Group PPO
9064750401
continued
54
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
City
ST
ZIP
MI
497833704 9066324500
9066328990
DME
WEST BRANCH
MI
486611276 9893451118
9893457430
DME
STOW
OH
44224
3309289359
3309289372
DME
PO BOX 16230
DULUTH
MN
55816
2187227117
MARSHFIELD
WI
54449
7153845999
7153840577
DME
WARREN
MI
480894371 5867561400
5867561650
DME
PO BOX 129
WARREN
MI
48090
5868288400
5862823455
26834 LAWRENCE
CENTERLINE
MI
48015
5867552300
5862823455
PRO
ORT
30475 WOODWARD
ROYAL OAK
MI
48073
2482880440
2482880288
PRO
ORT
18800 EUREKA
SOUTHGATE
MI
48195
7342811800
7342819018
PRO
ORT
TROY
MI
48085
2488288400
2488283455
PRO
ORT
IVT
DME
WINTER PARK
FL
32792
4076792135
PRO
ORT
IVT
DME
ALTAMONTE SPRINGS
FL
327014805 4076913009
4076913021
DME
DEARBORN
MI
481241750 3132772160
3132773079
DME
BAY CITY
MI
487087655 9898967544
9898936944
PRO
ORT
MT PLEASANT
MI
488582936 9897757320
9897758334
PRO
ORT
SAGINAW
MI
48638
9897992116
9897992532
PRO
ORT
BAD AXE
MI
48413
9892699373
9892692101
PRO
ORT
MIDLAND
MI
48640
9898399241
9898390006
PRO
ORT
BAY CITY
MI
487062910 9896672111
9896672116
PRO
ORT
91 DOUGLAS AVENUE
HOLLAND
MI
494228249 6163928878
6163928025
PO BOX 8249
HOLLAND
MI
49422
6163928878
6163928025
2241 ASHMUN ST
23301 MEDWEST
1154301752 MEDWEST
Address 2
SUITE G
SUITE B
Phone
Fax
SUITE 8
SOUTHGATE
MI
48195
7342816320
7342812866
ORT
SUITE 8
SOUTHGATE
MI
48195
7342816320
7342812866
ORT
Group PPO
IVT
DME
DME
DME
Medicare PLUS
DME
continued
55
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
1689693574 M NIKPOUR MD PC
50412 LAWRENCE B RUBIN DPM PC
Address 1
Address 2
SUITE 105
City
ST
ZIP
Phone
Fax
CLINTON TOWNSHIP
MI
480381109 5862287563
5862288377
CENTERLINE
MI
480152319 5867556100
3132735612
ORT
DETROIT
MI
482232319 3132739400
3132735612
ORT
DETROIT
MI
482232319 3132739400
3132735612
ORT
WARREN
MI
480887367 5862859330
5862859370
MI
49783
9066329661
9066322959
HIGHLAND
MI
48356
2488876608
24395 GREENFIELD
SOUTHFIELD
MI
480753118 2485572323
2485573639
BELMONT
MI
493068823 6168638908
6168639105
PO BOX 16190
DULUTH
MN
55816
2187227117
60 DIVISION STREET
MANISTEE
MI
496602720 2317233559
2317238564
DME
2915 N GARFIELD RD
TRAVERSE CITY
MI
496864008 2319418480
2319418508
DME
CARO
MI
487231549 9896738448
9896735199
DME
25367 DEQUINDRE
MADISON HEIGHTS
MI
48071
2485454520
2484147352
DME
BATTLE CREEK
MI
49015
2485454520
2484147352
SAGINAW
MI
49015
2485454520
2484147352
PORT HURON
MI
48060
8109820700
8109820126
GRAND RAPIDS
MI
49525
6163644044
6163644047
DME
FREMONT
MI
49412
2319242223
2319244852
DME
JACKSON
MI
492022182 5177898579
5177680717
DME
JACKSON
MI
492024063 5177898579
5177680717
TROY
MI
480847006 2486555555
2486550000
YPSILANTI
MI
481978634 7347120635
7347120522
ANN ARBOR
MI
48107
7347120660
7347120522
SALINE
MI
481761160 7344291540
7344291543
SUITE A
SUITE 500
SUITE 202
PO BOX 7529
420 WEST RUSSELL STREET
SUITE 109
Medicare PLUS
Group PPO
ORT
DME
DME
PRO
ORT
DME
PRO
DME
DME
ORT
ORT
continued
56
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE 112
BRIGHTON
MI
481149309 8108447557
8108447561
ORT
SUITE 202
YPSILANTI
MI
481978634 7344290208
7344291664
ORT
SUITE 202
YPSILANTI
MI
481978634 7344290208
7344291664
ORT
SUITE 202
YPSILANTI
MI
481978634 7344290208
7344291664
ORT
BATTLE CREEK
MI
490173258 2699696251
2699696283
ORT
SUITE 202
YPSILANTI
MI
481978634 7344290208
7344291664
ORT
SUITE 202
YPSILANTI
MI
481978634 7344290208
7344291664
ORT
TRAVERSE CITY
MI
496848153 2319350816
2319350845
DME
GAYLORD
MI
497351524 2319350824
2319350845
DME
PO BOX 153039
GRAND RAPIDS
MI
49515
9897327576
Phone
Fax
SUITE 101
MUSKEGON
MI
49442
2317285711
2317285897
DME
SUITE 350
GRAND RAPIDS
MI
49503
6166855335
6166855325
DME
SUITE 1100
MUSKEGON
MI
49444
2317285711
2317285897
DME
44555 WOODWARD
AVENUE
SUITE 407
PONTAIC
MI
48341
2483340524
2488583887
LIVONIA
MI
48150
7345228531
7345226846
GAYLORD
MI
49735
9897327070
9897322358
IVT
DME
PETOSKEY
MI
49770
2314390875
9897322358
IVT
DME
CHEBOYGAN
MI
497212265 0
9897322358
IVT
DME
761 LAFAYETE ST
CHEBOYGAN
MI
497212117 2316277157
2316271652
27159 GREENFIELD
SOUTHFIELD
MI
48076
2485578840
2485699576
TAWAS CITY
MI
48763
9893628591
OSCODA
MI
48750
9897391147
9897391577
DME
STERLING HEIGHTS
MI
48313
5867372323
5867372345
DME
EAST POINTE
MI
48021
5867797770
5867797936
DME
PO BOX 129
WARREN
MI
48090
5868288400
5862823455
Medicare PLUS
Group PPO
ORT
DME
DME
DME
ORT
DME
continued
57
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
LANSING
MI
48910
5173727007
5173720261
BELMONT
MI
49306
6168660044
6168669684
DME
MUSKEGON
MI
49442
2317393436
2317393367
DME
BIG RAPIDS
MI
49307
2315920922
2315920021
DME
KALAMAZOO
MI
49009
2693824337
2693824345
DME
2605 S. CLEVELAND
SAINT JOSEPH
MI
49085
2694295900
6164290092
DME
1511 E. CHICAGO
STURGIS
MI
49091
2696513266
6166516924
DME
HILLSDALE
MI
49250
5179167235
5178499163
DME
PORT HURON
MI
48060
8109858006
FARMINGTON HILLS
MI
483342934 0
8666438552
SOUTHFIELD
MI
480761594 2482589966
2482582668
ALLEN PARK
MI
48101
3132718120
3132710276
DME
WARREN
MI
480894920 5867782500
5865634500
DME
SUITE E
WALLED LAKE
MI
483904135 2483637575
8002330933
DME
SUITE 3A-3B
PORT HURON
MI
48060
8109825378
8109825875
SUITE D
BAY CITIY
MI
48706
9896713441
9896713440
CLINTON TOWNSHIP
MI
48035
5867926843
5867926850
FLINT
MI
48504
8107328305
8107328306
KALAMAZOO
MI
49001
2693442620
2693442491
WYOMING
MI
49548
6164528481
6164528491
118 ROSEHILL
JACKSON
MI
49202
5177809931
5177800846
LANSING
MI
48910
5173940514
5173940554
SUITE C
SUITE 4
SUITE F
SUITE 200
SUITE D
SUITE 2
Medicare PLUS
Group PPO
PRO
ORT
DME
IVT
DME
DME
continued
58
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
360 E SANILAC
SANDUSKY
MI
48471
8106484810
8106484181
GLADWIN
MI
48624
9894267866
9894267878
WYANDOTTE
MI
48504
7342848845
7342848849
PO BOX 249
WEST BRANCH
MI
486610296 9893458842
9893457987
MIO
MI
486471060 9898268989
9898263939
PO BOX 38
ST HELEN
MI
48656
9893897252
9893897232
PO BOX 547
ROSCOMMON
MI
48653
9892755600
9892754707
WEST BRANCH
MI
486619343 9893455610
9893457987
ST HELEN
MI
486569209 9893897252
9893897232
PO BOX 1060
MIO
MI
48647
9898268989
9898263939
ROSCOMMON
MI
486539329 9892755600
9892754707
HUDSON
MI
492471031 5174483111
5174485892
SUITE 1
TRAVERSE CITY
MI
496847351 2319476921
2319474579
SUITE A
TRAVERSE CITY
MI
49684
2319476921
2319474579
PO BOX 16190
DULUTH
MN
55816
2187227117
MIDLAND
MI
486406463 9896317990
9896310179
ST CLAIR SHORES
MI
480801241 5867780400
5867785263
MT PLEASANT
MI
48858
9897734879
9897735233
MORENCI
MI
492561420 5174582261
5174587758
50680 CORPORATE DR
SHELBY TWP
MI
48315
5863238280
5863238289
50680 CORPORATE DR
SHELBY TWP
MI
48315
5863238280
5863238289
LANSE
MI
49946
9065247156
1580 LEONARD NW
GRAND RAPIDS
MI
49504
6164537820
6164537830
DME
38415 SCHOOLCRAFT
ROAD
LIVONIA
MI
48150
7345228400
7345229380
DME
Medicare PLUS
Group PPO
DME
DME
IVT
DME
IVT
DME
DME
DME
continued
59
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
35 N WALNUT STREET
MOUNT CLEMENS
MI
480435610 5864680597
5864686732
DME
CANTON
MI
481873303 7349813900
7349817570
DME
24100 MEADWOBROOK
ROAD
NOVI
MI
483753457 2484783000
2484789843
DME
BLOOMFIELD HILLS
MI
483013011 2486262525
2486265183
GRAND HAVEN
MI
49417
6168475504
6168475676
NOVI
MI
483752141 2484771443
2484771409
2640 NORTH M 33
ROSE CITY
MI
486540448 9896852141
9896853172
PO BOX 448
ROSE CITY
MI
486540448 9896852141
9896853172
25190 H CARE
FLINT
MI
48507
8107330280
8107203835
1962505982 H CARE
DAVISON
MI
48423
8106539188
8106582742
DME
1578666574 H CARE
FLINT
MI
48504
8102351981
8102357937
DME
1568565729 H CARE
FLINT
MI
48507
8107330280
8107330270
1114020161 H CARE
SAGINAW
MI
48604
9897919490
9897919141
CENTERLINE
MI
48015
5867552496
5864979364
IVT
IVT
IVT
PRO
PRO
ORT
ORT
DME
ORT
DME
ORT
PRO
IVT
ORT
DME
DME
FLINT
MI
48507
8107330280
8107330270
PO BOX 510
WARREN
MI
48090
8107330280
8107330270
PO BOX 813
SAINT JOSEPH
MI
49085
2694282798
211 HILLTOP RD
ST JOSEPH
MI
49085
2699854422
2699854405
HOWELL
MI
48843
5175481443
5175481588
DME
FOWLERVILLE
MI
48836
5172238243
5175488538
DME
HOWELL
MI
48843
5175451902
5175450190
DME
SUITE 106
BRIGHTON
MI
48116
8102257701
8102258062
SUITE 1106
ANN ARBOR
MI
48197
7345282522
7345282312
SUITE 1
GAYLORD
MI
497351686 9897324879
9897310707
AUBURN HILLS
MI
483262368 2483770033
2483770035
ORT
DME
AUBURN HILLS
MI
483262368 2483770033
2483770035
ORT
DME
Medicare PLUS
Group PPO
IVT
ORT
DME
DME
IVT
continued
60
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
ALLEN PARK
MI
481012034 3133867920
3132827896
ALLEN PARK
MI
481012034 3133867920
3132827896
HOLLAND
MI
43528
HARBOR BEACH
MI
484411201 9894793241
9894793242
DME
BUCHANAN
MI
49107
2696951315
2696954388
DME
WASHINGTON
MI
48095
5867522475
5867522485
DME
HONOR
MI
496409761 2319430600
2319430698
TRAVERSE CITY
MI
49684
2319430600
2319430698
PO BOX 850
SUITE A
ORT
4198659712
DME
DETROIT
MI
48236
3138850566
3138852166
DME
SAGINAW
MI
48609
8109891375
5177816354
DME
21 W SANILAC AVENUE
SANDUSKY
MI
48471
8109891385
8106483115
DME
BAD AXE
MI
48413
8003866469
5172698121
DME
MARYSVILLE
MI
48040
8103643222
8103649747
CARO
MI
48723
8003774216
5176724602
MT PLEASANT
MI
48858
5177730300
MARLETTE
MI
48453
8109891375
5172698121
DME
HOUGHTON LAKE
MI
48629
8663032221
DME
SUITE 115
WEST BLOOMFIELD
MI
483224415 2486267180
2486267175
ORT
SUITE 115
WEST BLOOMFIELD
MI
483224415 2486267180
2486267175
ORT
SUITE 115
WEST BLOOMFIELD
MI
483224415 2486267180
2486267175
ORT
SUITE 115
2486267175
ORT
SUITE B
WEST BLOOMFIELD
MI
483224415 2486267180
TRAVERSE CITY
MI
49686
2319225982
PO BOX 1402
JACKSON
MI
49204
5175367350
JACKSON
MI
49204
5175367350
5175360671
2301 E MICHIGAN
HARPER WOODS
MI
482251915 3133715300
3133716144
MUSKEGON
MI
494441802 6167397158
2317398024
ST CLAIR SHORES
MI
48080
5867767513
Medicare PLUS
Group PPO
DME
DME
5867767429
DME
DME
2615 HAMMOND
HIGHLANDS DR
SUITE 212
ORT
DME
ORT
DME
continued
61
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
25219
DEQUINDRE
City
ST
ZIP
Phone
Fax
TRAVERSE CITY
MI
496862938 2319229100
2319229101
MADISON HEIGHTS
MI
480714211 2485897755
2485892644
IVT
IVT
ORT
DME
WYOMING
MI
49509
6165311340
6165311582
SHELBY TWP
MI
483152121 5868735252
5867814538
DME
807 S BROWN ST
JACKSON
MI
49203
5177876910
5177828502
DME
FARMINGTON HILLS
MI
48335
2484768811
2484766664
PO BOX 250843
WEST BLOOMFIELD
MI
48325
MI
48236
3133478811
3133478815
DME
CLINTON TWP
MI
48036
5867838922
5867838944
DME
BATTLE CREEK
MI
49015
2699639696
2699637099
PRO
ORT
PORTAGE
MI
49002
2693734000
2693734535
PRO
ORT
92 W CHICAGO STREET
COLDWATER
MI
49036
5172787204
5172781981
PRO
ORT
MUSKEGON
MI
49444
2316724886
2316726904
PRO
ORT
ORT
DME
DME
15819 SHCOOLCRAFT
DETROIT
MI
48227
3134934900
3134934904
OWOSSO
MI
48867
9897238927
9897255732
8906 E LANSING RD
DURAND
MI
484291064 9892884609
DME
1115 W BROAD ST
CHESANING
MI
48616
9898458927
DME
SOUTHFIELD
MI
48076
2485935821
2485935876
TRAVERSE CITY
MI
496848965 2319350900
2319350308
900 COOPER ST
JACKSON
MI
492023398 5177687600
5177809700
DME
1912904715 RT SPECIALIST
CLARKSTON
MI
483462076 2486359400
2486255343
DME
FARMINGTON HILLS
MI
483342164 2486263100
2486263113
LAMBERTVILLE
MI
481449576 7348547864
7348542418
TRAVERSE CITY
MI
496863587 2319331200
2319334402
SUITE 135
SUITE 130
Medicare PLUS
Group PPO
DME
ORT
DME
IVT
PRO
ORT
DME
DME
ORT
DME
continued
62
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
MARQUETTE
MI
49855
9062251135
9062255035
DME
2250 W M-32
GAYLORD
MI
497359282 9897052111
9897052122
DME
ZEELAND
MI
494648745 6167729358
6167729368
MONROE
MI
48161
7342435656
7344570037
ORT
43700 WOODWARD
AVENUE
SUITE 106
BLOOMFIELD HILLS
MI
483025058 2483352000
2483352002
ORT
DME
SUITE 108
NOVI
MI
483752947 2488886800
2488881234
ORT
DME
MONROE
MI
48162
7342417875
7342417469
LANSING
MI
48912
5173642115
5173711227
ORT
SAINT JOHNS
MI
48879
9892246730
9892243245
ORT
ALMA
MI
48801
9894632384
9894638402
IONIA
MI
488469816 6165220515
6165220517
ORT
DME
MT PLEASANT
MI
48858
9897727244
9897728920
ORT
DME
30856 B GROESBECK
HIGHWAY
ROSEVILLE
MI
480661580 5865739385
5865820165
23247 PINEWOOD ST
WARREN
MI
480914754 5865011062
8002920677
PRO
4790 S HAGADORN
SUITE 128
EAST LANSING
MI
48823
5173323294
5173323295
PRO
LIVONIA
MI
48150
7345138205
7345138219
PRO
ORT
MIDLAND
MI
48640
9896339500
9896339525
PRO
ORT
3375 CARVER
SAGINAW
MI
48603
9897919377
9897919378
PRO
ORT
EASTPOINTE
MI
48021
5868886000
5868886006
PRO
ORT
SOUTHGATE
MI
48195
7345300101
7345300102
PRO
ORT
G1213 N. BALLENGER
FLINT
MI
48504
8102397475
8102397477
PRO
ORT
SUITE 60
SUITE C-4
Medicare PLUS
Group PPO
IVT
DME
DME
IVT
DME
DME
DME
IVT
DME
DME
continued
63
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE 200
SOUTHFIELD
MI
26850 PROVIDENCE
PARKWAY
SUITE 430
NOVI
DEPT 771470
PO BOX 77000
Phone
Fax
480761528 2487235452
2487235495
PRO
ORT
MI
48374
2487354444
2487354440
PRO
ORT
DETROIT
MI
482771470 7345138205
7345138219
WIXOM
MI
483932027 2483609977
2489607986
LEESBURG
FL
347884355 3522532454
3522532455
5711 SCHAEFER
DEARBORN
MI
48126
3135812424
3135812193
STERLING HEIGHTS
MI
483104290 5862684100
5862684746
DETROIT
MI
482093420 3138433006
MUSKEGON
MI
494451112 2317397074
2317447120
MUSKEGON
MI
494442708 2317397074
2317447120
PRO
MUSKEGON
MI
494442708 2317397074
2317447120
PRO
WEST BRANCH
MI
48661
9893457813
9893451575
CENTERLINE
MI
48015
5867557798
5867555775
DME
166 E GOODALE
BATTLE CREEK
MI
49017
2696603600
2696603650
DME
BATTLE CREEK
MI
49015
2699698797
2699698733
DME
JACKSON
MI
492023517 5177841142
5177841143
PRO
ORT
770 RIVERSIDE
ADRIAN
MI
49221
5172633310
5177841143
PRO
ORT
DETROIT
MI
482212122 3138619006
3138610042
BATTLE CREEK
MI
490152891 2699662000
2699669019
PO BOX 602
NOVI
MI
483760602 2484498055
2484498057
WIXOM
MI
483934729 2484498055
2484498057
ROCHESTER HILLS
MI
483093353 2488524100
2488524200
GRAND HAVEN
MI
494172472 6168460360
6168466643
P.O. BOX 69
SUITE 101
SUITE E-18
1555 W HAMLIN RD
1310 WISCONSIN
WARREN
MI
48091
5867568500
5867565412
MARQUETTE
MI
49855
9062253902
9062262661
SUITE 100
Medicare PLUS
Group PPO
DME
IVT
DME
DME
ORT
DME
ORT
DME
DME
DME
ORT
DME
DME
IVT
DME
continued
64
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
500 S HAMILTON
SAGINAW
MI
486021511 9897996020
9897978907
600 COOPER
SAGINAW
MI
486025383 9895836017
9895836087
DME
600 N MAIN ST
FRANKENMUTH
MI
487341152 9896521506
9895836087
DME
MT PLEASANT
MI
488582360 9897735544
9897757622
DME
GRANDVILLE
MI
49418
6162492273
6165320825
DME
HASTINGS
MI
49058
2699451686
2699452056
5750 W US 10
LUDINGTON
MI
49421
2318431063
2318437082
DME
COLDWATER
MI
49036
5172799999
5172794808
DME
REED CITY
MI
49677
2318324565
2318322836
DME
MANISTEE
MI
49660
2317235897
2317238262
DME
KALAMAZOO
MI
49002
2693420141
2693420216
DME
HILLSDALE
MI
49242
5174373226
5174373928
DME
BIG RAPIDS
MI
49307
2317966623
2317967408
DME
1717 E MICHIGAN
LANSING
MI
48912
5174859588
5174848226
DME
919 W WASHINGTON
GREENVILLE
MI
48838
6167543497
6167548724
ORT
89 54TH STREET SW
GRAND RAPIDS
MI
49548
6162492273
6162499123
ORT
CADILLAC
MI
49601
2317757143
2317757486
ORT
DME
JACKSON
MI
49201
5177899257
ORT
DME
HOLLAND
MI
494242062 6163922033
6163921687
ORT
DME
WEST BRANCH
MI
486611461 9893457090
9893457192
54 2ND STREET
LAURIUM
MI
49913
9063376557
9063376510
BIRCH RUN
MI
484158758 9896247230
9896247231
PO BOX 21
BIRCH RUN
MI
48415
9896247230
9896247231
WATERFORD
MI
483271503 2486668807
2486667709
SUITE 140
BUILDING 1
SUITE 2
Medicare PLUS
Group PPO
ORT
DME
ORT
DME
DME
IVT
DME
DME
ORT
DME
DME
ORT
continued
65
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
WATERFORD
MI
483271503 2486668807
2486667709
37650 GARFIELD
CLINTON TWP
MI
480362055 5867914048
5867239455
31093 SCHOOLCRAFT ST
LIVONIA
MI
48150
7344669850
7344669600
25219 DEQUINDRE
SAGINAW
MI
48603
9897994360
9897994740
25219 DEQUINDRE
MADISON HEIGHTS
MI
480714211 2485897755
KENTWOOD
MI
495084625 6162810666
6162810752
ORT
DME
5175 PLAINFIELD NE
GRAND RAPIDS
MI
495251048 6163639833
6163639701
ORT
DME
MUSKEGON
MI
494441871 2317397606
2318309896
ORT
DME
GRAND RAPIDS
MI
49534
6164538277
6164532002
ORT
DME
KENTWOOD
MI
495084625 6162810666
6162810752
PLYMOUTH
MI
481702093 7344553669
7344553797
ORT
DME
PLYMOUTH
MI
481702093 7344553669
7344553797
ORT
DME
12885 NORTHLINE
SOUTHGATE
MI
48195
7342833777
7343242598
ORT
DME
ROCHESTER HILLS
MI
48307
2486504560
2486504562
PRO
ORT
DME
LAKE ORION
MI
48360
2486935384
2486935796
PRO
ORT
DME
8306 E 12 MILE RD
WARREN
MI
480932759 5865734880
5865732684
ORT
8306 E 12 MILE RD
WARREN
MI
480932759 5865734880
5865732684
ORT
WESTLAND
MI
481852013 7347290300
7347293466
ORT
PORTAGE
MI
49002
2693736223
2693734720
PO BOX 430
PETOSKEY
MI
497708895 2313484005
2313488113
PO BOX 430
PETOSKEY
MI
497708895 2313484005
2313488113
SUITE 2500
1120 N MAIN ST
THREE RIVERS
MI
490932379 2692735500
2692736300
6372 CANTERWOOD DR
RICHLAND
MI
49083
2692735500
2692736300
3408 MILLER RD
KALAMAZOO
MI
49001
2692735500
2692736300
LIVONIA
MI
48150
7347629324
MOUNT CLEMENS
MI
48043
5864684600
Medicare PLUS
Group PPO
5864689508
ORT
IVT
DME
IVT
ORT
PRO
DME
ORT
continued
66
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
8773959047
TALLMADGE
OH
44278
25219 DEQUINDRE
MADISON HEIGHTS
MI
480714211 0
DEPT CH 17894
PALATINE
IL
600557894 8668972961
LANSING
MI
489115744 5173464777
5173464770
DME
ESSEXVILLE
MI
487322112 9898954500
9898954501
DME
DAVISON
MI
484239016 8104968585
8104968825
FLINT
MI
485033446 8102334900
8102337307
DME
LAPEER
MI
484461343 8106647242
8106640661
DME
BAY CITY
MI
487068820 9896676292
9896676205
DME
BAY CITY
MI
48706
9896672324
9896672325
DME
1621 E M21
OWOSSO
MI
488679053 9897297001
9897297608
DME
CLIO
MI
48420
8106870341
8106870347
DME
FORT GRATIOT
MI
480593407 8103855898
8103855967
DME
FLINT
MI
485329976 8103422880
8103422882
DME
2727 S PENNSYLVANIA
LANSING
MI
489103488 5173778516
5173744569
DME
DME
SUITE 151
IVT
IVT
DME
SUITE 105
CLARKSTON
MI
483463163 2489226850
2489226855
PO BOX 67000
DEPARTMENT
184101
DETROIT
MI
482671841 0
5862284533
SUITE 2-B
WARREN
MI
480883730 5865524499
5865524878
1701 NORTHFIELD DR
ROCHESTER HILLS
MI
48309
2482932400
WEST BRANCH
MI
48661
9893430999
FRUITPORT
MI
49415
2318656545
2318656212
PO BOX 19244
DETROIT
MI
48219
3138370071
3138373323
DETROIT
MI
482351961 3138370071
3138373323
DME
WESTLAND
MI
481864363 7347220200
7347220224
DME
IMLAY CITY
MI
48444
8107246554
8107246551
DME
YPSILANTI
MI
48197
7344770203
7345720281
3430 WASHTENAW
ANN ARBOR
MI
48104
7344770202
7344770203
DME
BRIGHTON
MI
48116
8102299200
8102299260
DME
FREMONT
OH
481971638 7345720203
ALPENA
MI
497071394 9893569333
Medicare PLUS
Group PPO
ORT
DME
PRO
ORT
DME
DME
9893560804
DME
continued
67
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
#1538
ANN ARBOR
MI
48106
7347127745
7347125465
SOUTHFIELD
MI
48076
2483520000
2485829778
MI
480801231 5865633300
5865633313
WASHINGTON
MI
48094
5866776651
5863369257
ROMEO
MI
48065
5863369068
5863369257
SOUTHFIELD
MI
48034
2483545200
2483549638
PO BOX 4115
SOUTHFIELD
MI
48034
2483545200
2483549638
INTERLOCHEN
MI
496439650 2312751345
2312751346
WARREN
MI
480924242 5867518680
5865739661
DME
TECUMSEH
MI
49286
5174233250
5174232022
DME
CLINTON
MI
49236
5174567766
5174566257
DME
LIVONIA
MI
481504133 7344255637
7344255713
DME
REDFORD
MI
482409612 7344255637
7344255713
LIVONIA
MI
481501850 7344252550
7344252620
7157324202
DME
DME
PO BOX 401612
31555 INDUSTRIAL RD
SUITE 200
11 OGDEN STREET
MARINETTE
WI
54143
MI
497832334 9062531721
906251722
PO BOX 642
MARINETTE
MI
541420642 7157327030
7157324202
906251722
7157327030
ORT
DME
IVT
PO BOX 832
MI
497830832 9062531721
PETOSKEY
MI
49770
2314870998
TRAVERSE CITY
MI
49684
2319328702
2319328762
273 MANUFACTURERS
DRIVE
WESTLAND
MI
481864038 7347214821
7347219866
DME
MANISTIQUE
MI
498541425 9063411116
9063411118
DME
LIVONIA
MI
481545083 7349432701
7344640404
DME
PRO
ORT
PRO
ORT
DME
GARDEN CITY
MI
481352370 7347625003
7347625004
DME
DEARBORN
MI
48126
3136248100
DME
Medicare PLUS
Group PPO
3136248000
continued
68
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
City
ST
ZIP
ALPENA
MI
497072431 9893569275
9893563062
DME
ATLANTA
MI
49709
9897855360
9897855771
DME
OSCODA
MI
48750
9897393214
9897393591
DME
ALPENA
MI
497071401 9893567390
9893560804
DME
ALPENA
MI
497071394 9893567390
9893560804
HILLSDALE
MI
492429812 5174378371
5174378296
Address 1
Address 2
SUITE 250
Phone
PO BOX 9950
WYOMING
MI
49509
6162473900
2955 CLYDON SW
WYOMING
MI
49509
6162473900
2935 MADISON SE
GRAND RAPIDS
MI
495180190 6162473900
LANSING
MI
48906
CADILLAC
MI
KALAMAZOO
MI
49048
831 S WASHINGTON
HOLLAND
1450 W M43
Fax
ORT
DME
DME
IVT
DME
6162470776
IVT
DME
5173222818
5173222865
IVT
DME
496011140 2317752443
2317756521
IVT
DME
2693722444
6163729868
IVT
DME
MI
494237134 8002845882
6163729868
IVT
DME
MUSKEGON
MI
49442
2317679825
IVT
DME
BENTON HARBOR
MI
49022
2699276115
IVT
DME
BATTLE CREEK
MI
49017
2699629541
IVT
DME
HASTINGS
MI
49058
2699456267
IVT
DME
MT PLEASANT
MI
48858
9897729885
IVT
DME
TRAVERSE CITY
MI
49686
2319220851
IVT
DME
330 W MITCHELL ST
PETOSKEY
MI
49770
2313488343
IVT
DME
49 W CHICAGO STREET
COLDWATER
MI
49036
5172791415
IVT
DME
1804 E CENTER ST
WARSAW
IN
46580
5742680042
5742680084
IVT
DME
3940 E WASHINGTON RD
SAGINAW
MI
48601
9897538357
9897539182
IVT
DME
MILWAUKEE
WI
532223310 4147784500
4142599465
PRO
ORT
MADISON
WI
537191124 6088339660
6088334733
PRO
ORT
KENOSHA
WI
53142
2626971160
2626971652
PRO
ORT
5665 S WESTRIDGE DR
SUITE 100
NEW BERLIN
WI
53151
2627869870
2627869878
PRO
ORT
IVT
DME
MILWAUKEE
WI
53220
PRO
ORT
IVT
DME
SUITE 7
Medicare PLUS
Group PPO
9897729890
2313488368
continued
69
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
SUITE 110
City
ST
ZIP
Phone
WEST ALLIS
WI
532143806 4142825451
4142825467
WOODBURY
MN
551252262 6517359192
6517350011
69538 REHABILICARE
****USE PROV 60122*****
EFF
8/1/06**********************
TAMPA
FL
336303244 8003430488
110108 REHABILICARE
****USE PROV 60122*****
EFF
8/1/06**********************
TAMPA
FL
33619
8003430488
PO BOX 71519
CHICAGO
IL
60694
6124159000
Fax
DME
ST PAUL
MN
551264099 8004459833
PO BOX 16230
DULUTH
MN
558160230 0
2187227117
DULUTH
MN
558052147 2187222222
2187273503
PO BOX 16230
DULUTH
MN
55816
2187227117
BAXTER
MN
56425
2188284710
2188289281
DME
DME
SUITE 100
DME
SAINT PAUL
MN
551141536 6516449770
6516440602
FISHERS
IN
46037
8888100758
MINNEAPOLIS
MN
554862207 0
FL
346522136 7278480019
7278480006
3055 BAY RD
SAGINAW
MI
48603
9897535090
9897534090
SUITE 2
3175705100
FENTON
MI
48430
8107144343
8107144388
CENTERLINE
MI
48015
8107144343
8107144388
PO BOX 16230
DULUTH
MN
558160230 0
2187227117
FAIRMONT
MN
560314062 5072356999
5072358366
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
HIAWATHA
IA
52233
3193930566
3193930566
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
OELWEIN
IA
50662
3192831737
3192833293
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
FORT DODGE
IA
50501
5159557091
DME
8002726458
SUITE A
SUITE C
Medicare PLUS
Group PPO
5159558899
DME
IVT
DME
ORT
DME
DME
DME
DME
DME
DME
continued
70
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
MARSHALLTOWN
IA
501581930 6417539551
6417530810
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
5635571026
DUBUQUE
IA
52002
PO BOX 915033
DALLAS
TX
753915033 0
8662191620
CLINTON TOWNSHIP
MI
480353100 5867461032
8888793072
DME
CENTER LINE
MI
48015
5862986161
8665937841
DME
WARREN
MI
480932589 5869331880
5862640477
ROSEVILLE
MI
480661505 5864987900
TOLEDO
OH
CAMP HILL
PA
PO BOX 6209
LAFAYETTE
IN
TRENTON
MO 64683
6603594407
6603594831
DME
POPLAR BLUFF
MO 639014833 5736863720
5736862929
DME
POPLAR BLUFF
MO 639014833 5736863720
5736862929
DME
ST LOUIS
MO 63119
WEST PLAINS
MO 657752007 4172568199
4172568199
DME
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
SPRINGFIELD
MO 658075902 4178812830
4178812807
SUITE 302
SUITE E
SUITE A-100
5635571004
Fax
SUITE 4
Phone
ORT
DME
8772184462
ORT
DME
436171509 4197201051
4197201052
ORT
170114444 7177631222
7177632072
ORT
479036209 7654486685
7654464287
20 EAST SPRINGFIELD
ROAD
SULLIVAN
MO 63080
5734686688
5738612120
20 EAST SPRINGFIELD
ROAD
SULLIVAN
MO 63080
5734686688
5738602120
13483 CHESTERFIELD
SHOPPING PLAZA
CHESTERFIELD
MO 630173001 3148784144
3148789146
OFALLON
IL
62269
6186248010
6186248031
WENTZVILLE
MO 63385
6363326700
6363326811
POPLAR BLUFF
MO 63901
5736865510
PO BOX 771260
ST LOUIS
MO 63177
3149618500
Medicare PLUS
Group PPO
PRO
3149688555
SUITE 400
DME
DME
DME
3149636802
continued
71
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
Phone
Fax
SUITE 106
FESTUS
MO 63028
O FALLON
6369319440
6369319441
DME
MO 633683620 6366954644
6366954645
DME
POPLAR BLUFF
MO 63901
5736861589
5736861629
DME
ST LOUIS
MO 63119
WASHINGTON
3149618500
3149636802
DME
MO 630904624 6363904200
6363904246
DME
CAPE GIRARDEAU
MO 637018419 5736516521
5736514093
DME
JEFFERSON CITY
MO 651099245 5736340048
5736340037
DME
BELLEVILLE
IL
622235014 6182228800
6182228838
DME
LENEXA
KS
662151357 9134924548
9134924273
DME
CRESTVIEW HILLS
KY
41017
8593446000
8593446000
5667 PEACHTREE
DUNWOODY
ATLANTA
GA
30342
4042529064
4042521541
BOSTON
MA
2215
6175666772
6175665088
MONTGOMERY
OH
45242
5139613144
5139615070
ROLLA
MO 65401
5733648480
5736598108
PO BOX 444
BALLWIN
MO 63022
3145355359
3145355488
CHESTERFIELD
MO 63017
3145355359
SAINT LOUIS
MO 63110
3145355359
PO BOX 790051
ST LOUIS
MO 631790051 8007415245
NEW HUDSON
MI
481659713 2484463040
2484463042
DME
SUITE B
MAUMEE
OH
435378796 4198875770
4198875774
DME
SUITE A7
ALBUQUERQUE
NM
871094371 5053386100
5053419245
DME
SUITE 26
TUCSON
AZ
857125303 5203234496
5203230387
DME
PHOENIX
AZ
850062518 6024524320
6022522547
DME
UNIT M
SHERIDAN
CO
801108610 3038060811
3038060831
DME
SUITE A
LOVELAND
CO
80537
9702030051
9702030058
DME
SUITE 120
COLORADO SPRINGS
CO
80907
7195205577
7195200033
DME
3613-3615 CLEARVIEW
PLACE
ATLANTA
GA
303402114 6783924202
6783924212
DME
SUITE 5
Medicare PLUS
Group PPO
ZIP
PRO
ORT
3145355488
PRO
ORT
3145355488
PRO
ORT
continued
72
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
ATLANTA
GA
30309
6783924202
4045932934
DME
EVANS
GA
308098011 7067220276
7067220279
DME
INDIANAPOLIS
IN
462683132 3173349460
3173349462
DME
EARTH CITY
MO 630451513 3146999500
3142910766
DME
COLUMBIA
MO 652014427 5734432212
5734432412
DME
KIRKSVILLE
MO 63501
6606652899
6606653477
DME
KANSAS CITY
MO 641113634 8167612526
8167612599
DME
SAINT JOSEPH
MO 64506
8167612526
8167612599
DME
SPRINGFIELD
MO 658041751 4178832125
4178835939
DME
GREENSBORO
NC
274098931 3363158762
3363158764
DME
BROOKLYN HEIGHTS
OH
441311867 2165395792
2165395799
DME
COLUMBUS
OH
432291047 6145152156
6145152165
DME
SUITE M
SUITE B-6
CENTRAL POINT
OR
975023287 5417721771
5417728197
DME
EUGENE
OR
974025410 5416869706
5416861467
DME
SUITE A
SUITE M
SUITE 3
REDMOND
OR
97402
5416869706
5416861467
DME
SUITE C
WILSONVILLE
OR
97070
5035821955
5035821139
DME
SUITE 11-12
SEWICKLEY
PA
151432459 4127494600
4127417531
DME
MONTROSE
CO
81401
9702493700
9704978415
#5
BELLEFONTE
PA
168239124 8143537700
8143530764
DME
SUITE 2
BERWICK
PA
186031145 5707599986
5707599266
DME
DUNMORE
PA
185122403 5703445900
5703446600
DME
LEMOYNE
PA
170431540 7177310523
7177310523
DME
MCCONNELLSBURG
PA
172331425 7179873113
7179873182
DME
2880 POTTSVILLE
MINERSVILLE HWY
MINERSVILLE
PA
199542027 5705444700
5705446211
Medicare PLUS
Group PPO
continued
73
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE #119A
YORK
PA
17403
7177184114
7177184167
DME
20 SW 2ND STREET
SUITE 139
ROCHESTER
MN
559023016 5072525728
5072525751
DME
2187227117
PO BOX 16230
DULUTH
MN
55816
PO BOX 6209
LAFAYETTE
IN
47903
FREMONT
NE
68025
4027278687
4027276136
DME
ABERDEEN
SD
57401
6052293462
6052262615
DME
PIERRE
SD
57501
6052246260
6052249678
DME
RAPID CITY
SD
57702
6053489380
6053484239
DME
508 W 23RD ST
YANKTON
SD
57078
6056653359
6056689630
DME
PO BOX 9901
CLEARFIELD
UT
84089
3076861102
3076862789
500 O R DRVIE
SUITE 7
GILLETTE
WY
82718
3076861102
3076862789
DME
SUITE 253
BLOOMINGTON
MN
554312543 9529248884
9527035852
DME
DETROIT LAKES
MN
565013605 2188472837
2188474283
DME
FERGUS FALLS
MN
565372134 2187393602
2187395503
DME
SAUK RAPIDS
MN
563791271 3206549966
3206540916
DME
8646 F STREET
OMAHA
NE
681271639 4023315472
4023315883
DME
2187227117
SUITE 104
PO BOX 16190
DULUTH
MN
55816
SIOUX FALLS
SD
571055661 6053361005
6053363133
KNOXVILLE
TN
379196209 8655881643
8565884355
HAVERTOWN
PA
19083
6108531985
6108536998
PO BOX 6209
LAFAYETTE
IN
47903
LIBERAL
KS
67901
6206266245
6206266225
DME
PRATT
KS
67124
6206726429
6206723888
DME
WICHITA
KS
672084507 3166855400
3166842116
DME
DME
MANHATTAN
KS
66502
7855397005
7855392455
SUITE C
SUITE 80
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
OVERLAND PARK
KS
66204
9136491851
9136494715
22251 LEWES
GEORGETOWN HIGHWAY
GEORGETOWN
DE
19947
3029457580
3029454688
NEWARK
DE
19713
3023683686
3023683476
4701 OGLETOWN
STANTSON ROAD
ROOM 1203
Medicare PLUS
Group PPO
DME
PRO
ORT
DME
DME
DME
continued
74
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
INDEPENDENCE
MALL
WILMINGTON
DE
19803
3026522911
3026523408
TEXARKANA
TX
755033560 9037944386
9037944390
DME
ORANGE BEACH
AL
365615838 2519802027
2519802028
DME
19144 W WARREN
DETROIT
MI
48228
FARMINGTON HILLS
MI
483342984 2485388429
2485388362
CHARLESTON
WV
25301
8884975337
8604803349
SUITE 4
SUITE 160
3132713292
DME
DME
405 CAPITOL ST
SUITE 301
ERIE
PA
16501
8884975337
8604803349
15 KENNY ROBERTS
MEMORIAL DR
UNIT 2
SUFFIELD
CT
60782500
8884975337
8604803349
32 WEST ROAD
SUITE 120
TOWSON
MD
212042304 4103216844
4103216833
ELKTON
MD
21921
4103984383
4103986903
CAMP HILL
PA
17011
7177376122
7177376472
DME
DANVILLE
PA
17821
5702754320
5702759061
DME
PITTSBURGH
PA
152392910 7247331333
7247332024
DME
PO BOX 64048
BALTIMORE
MD
21264
7247331333
7247332024
NEWARK
DE
19711
3022666234
3022666232
DME
CUMBERLAND
MD
21502
3017220770
3017220725
DME
SALISBURY
MD
21801
4107491065
4107491067
DME
CHARLOTTE
NC
282694245 7045661955
7045661554
DME
75 UTLEY DRIVE
CAMP HILL
PA
17011
7177311658
DME
99 A SHARON AVENUE
COLLINGDALE
PA
19023
6105839680
DME
BALTIMORE
MD
21244
4102981642
4102984555
DME
ELLICOTT CITY
MD
21042
4104614675
4104615713
SUITE 104
Medicare PLUS
Group PPO
PRO
ORT
ORT
ORT
DME
DME
continued
75
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
LAFOLLETTE
TN
37766
4235628111
4235620098
DME
MORRISTOWN
TN
378132283 4233181996
4233188224
DME
TAZEWELL
TN
378793848 4235260670
4235260670
DME
PO BOX 2080
TEXARKANA
TX
75504
9037925395
ALAMOGORDO
NM
88310
5054370202
5054375744
PO BOX 519
SHERRILLS FORD
NC
28673
7044005460
8889029897
DENVER
NC
28037
7044005460
7044890098
VISTA
CA
920818553 7607344742
8883678367
SUITE 230
CHICAGO
IL
606773004 0
8883678367
WAYNESBURG
PA
15370
7246274600
7246274660
PITTSBURGH
PA
15203
4123814883
4123815241
1053521088 BELLAS
HAZARD
KY
41701
6064360033
6064360810
1497790158 BELLAS
SOMERSET
KY
42503
6066780033
6066780056
SUITE 400
SUTIE 3
DME
ORT
PRO
ORT
PRO
ORT
DME
PO BOX 890412
CHARLOTTE
NC
282890412 8039570500
ANDERSON
SC
296210412 8642246070
8642246909
BYPRO
KY
416129706 6064522624
6064524512
1016 W EHRINGHAUS ST
SUITE A
ELIZABETH CITY
NC
27909
2523351600
SUITE 1
PIKEVILLE
KY
41501
6064379992
6064379470
DME
SUITE B
SENECA
SC
296784706 8648821366
8648821368
DME
404 LINVILLE ST
NEWLAND
NC
386578029 8287333663
8287333635
1113 S MAIN ST
COLUMBIA
TN
384013733 9313884944
9313884689
BEAUFORT
SC
299025605 8435256994
8435250127
DME
1508866807 MEDXPRESS
LEXINGTON
SC
290723904 8037314246
8037315378
DME
5616499636
DME
SUITE J
IVT
PRO
ORT
DME
DME
LAKE WORTH
FL
33461
CHARLOTTE
NC
282890408 8039570500
RALEIGH
NC
276161880 8039570500
9198731110
TAMPA
FL
336192661 8136232068
8136204198
DME
SAVANNAH
GA
314056015 9128198909
9128198905
DME
MYRTLE BEACH
SC
295776693 8432932122
8432934009
LEBANON
TN
370872221 6155470751
6155470781
SUITE 470
SUITE B
Medicare PLUS
Group PPO
5616492500
DME
PO BOX 890408
SUITE 101
DME
PRO
ORT
DME
IVT
DME
DME
continued
76
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
1000 N PINE ST
SUITE 39
SPARTANBURG
SC
293033151 8649480006
8649481909
DME
72 S MAIN STREET
PO BOX 182
SPARTA
NC
286759643 3363724028
3363728609
DME
OWENSBORO
KY
42302
2706833830
2706833937
DME
CHARLESTON
SC
294074932 8433291981
8433291980
DME
BLACKSBURG
VA
24060
5409511786
5409531116
DME
TELL CITY
IN
47586
8125475846
8125477565
DME
MAN
WV
25635
3045838092
3045838895
SUITE 107
AUGUSTA
GA
309099632 8039570500
7064474323
DME
SUITE 3
JOHNSON CITY
TN
376045127 8039570500
8883426190
DME
UNIT B
RIDGELAND
SC
299363112 8439870772
8439870774
DME
POMPANO BEACH
FL
330642116 9549752170
9549759612
DME
MIDDLESBORO
KY
409652865 6062486264
6062483828
BARBOURVILLE
KY
409061304 6065450586
6065454810
IVT
DME
WARSAW
VA
225724232 8043334646
8043330338
IVT
DME
APPOMATTOX
VA
24522
4343522933
4343522935
IVT
DME
BEDFORD
VA
245234101 5405869679
5402976145
IVT
DME
MONETA
VA
241212545 5407192572
5407192574
IVT
DME
MCKEE
KY
40447
6062873796
6062873792
IVT
DME
912 BROADWAY
PAINTSVILLE
KY
41240
6067895453
6067890094
IVT
DME
PRESTONSBURG
KY
41653
6068668306
6068663064
IVT
DME
S WILLIAMSON
KY
41503
6062371007
6062376677
IVT
DME
WHITESBURG
KY
41858
6066334800
6066337775
IVT
DME
WILLIAMSBURG
KY
40769
6065491776
6065491776
IVT
DME
OWINGS MILLS
MD
21117
4103562206
4103561516
IVT
DME
HICKORY
NC
28602
8283044466
8283044465
IVT
DME
MOUNT AIRY
NC
27030
3367860080
3367860044
IVT
DME
N WILKESBORO
NC
28659
3366670922
3366674839
IVT
DME
NAG HEAD
NC
27959
2524411604
2524412165
IVT
DME
STATESVILLE
NC
28677
7048733202
7048786657
IVT
DME
LAKEWOOD
PROFESSIONAL
CENTER
SUITE C
SUITE 100
UNIT 10
Medicare PLUS
Group PPO
Phone
Fax
ORT
IVT
DME
DME
continued
77
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
WHITEVILLE
NC
28472
9106401097
9106402221
IVT
DME
PO BOX 987
GALLIPOLIS
OH
45631
7404463880
7404411979
IVT
DME
PO BOX 748
MARIETTA
OH
45750
7403749974
7403744017
IVT
DME
MARTINS FERRY
OH
43935
7406335142
7406331902
IVT
DME
WINTERSVILLE
OH
43953
7402663974
7402663978
IVT
DME
PO BOX 890412
CHARLOTTE
NC
282890412 0
ARDMORE
OK
73401
5802265380
5802265382
IVT
DME
BLAIRSVILLE
PA
15717
7244590696
7244590766
IVT
DME
BROOKVILLE
PA
15825
8148498278
8148494517
CARAOPOLIS
PA
15108
4122995546
4122995548
IVT
DME
SUITE C
MCKEESPORT
PA
15132
4123850060
4123850064
IVT
DME
SUITE 4
CAMDEN
SC
290202070 8034325793
8034325799
IVT
DME
COLUMBIA
SC
29210
8037314246
8037315378
IVT
DME
FLORENCE
SC
29505
8436670906
8436670918
IVT
DME
GREENVILLE
SC
29607
8649870148
8649870157
IVT
DME
SC
29582
8433291981
8433291980
IVT
DME
NEWBERRY
SC
29108
8033210334
8033210335
IVT
DME
SUITE 9
DME
ORANGEBURG
SC
29118
8035399616
8035399618
IVT
DME
SUITE 107
ROCK HILL
SC
29732
8033273900
8033274527
IVT
DME
SUITE 2
ROGERSVILLE
TN
37857
4239218888
8008927342
IVT
DME
PO BOX 322
SNEEDVILLE
TN
37869
4237331684
4237331689
IVT
DME
15896 POTTERFIELD
HIGHWAY
ABINGDON
VA
24210
2764753247
2764753137
IVT
DME
106 WESTWOOD
COMMONS
BLUEFIELD
VA
24605
2763222602
2763222675
IVT
DME
CHESAPEAKE
VA
23320
7573820054
7573820155
IVT
DME
COEBURN
VA
24230
2763959314
2763953285
IVT
DME
VANSANT
VA
24656
2769358873
2769356343
IVT
DME
SUITE A
MARTINSVILLE
VA
24112
2766669800
2766669861
IVT
DME
SUITE 103
PENNINGTON GAP
VA
24277
2765460177
2765460179
IVT
DME
ROANOKE
VA
24014
5403423459
5403456043
IVT
DME
BECKLEY
WV
25801
3042566422
3042560507
IVT
DME
SUITE 106
Medicare PLUS
Group PPO
continued
78
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
City
ST
ZIP
Phone
Fax
CHAPMANVILLE
WV
25508
3048554011
3048557028
SAVANNAH
GA
31405
9123519023
9126927408
DME
SPENCER
WV
25276
304927511
3049275100
DME
JACKSON
KY
41339
6066664062
6066665334
PENSACOLA
FL
325048269 8504779384
8504746383
HINESVILLE
GA
31313
9128777431
9128777468
DME
TOCCOA
GA
30577
7068861118
7068861114
DME
CORYDON
IN
471122078 8127383097
8127384981
LOUISVILLE
KY
402232177 5022532966
5022532968
DME
CORBIN
KY
40702
6065230195
6065284085
DME
ELIZABETHTOWN
KY
42701
2707374280
2707370582
DME
GRAYSON
KY
41143
6064746684
6064747655
DME
46 JUDY DRIVE
HARLAN
KY
40831
6065732445
6065732928
DME
HAZARD
KY
41701
6064365545
6064364793
DME
2337 ELIZABETHTOWN
ROAD
LEITCHFIELD
KY
42754
2702596347
2702594541
DME
LOUISA
KY
41320
6066389482
6066389483
DME
RICHMOND
KY
40475
8596260864
8596260865
IVT
DME
CHARLESTON
WV
25302
3043430000
3043430375
IVT
DME
ROANOKE
WV
240141008 5403447419
5403456043
IVT
DME
PEARISBURG
VA
24134
5409211250
5409212059
IVT
DME
GREENWOOD
SC
29649
8649432203
8033210335
IVT
DME
MADILL
OK
73446
5802265380
5802265382
IVT
DME
NEW BERN
NC
28562
2526375567
2526372144
IVT
DME
SUITE 123
SUITE B
UNIT 7-D
SUITE 4
IVT
CHARLOTTESVILLE
VA
229028744 4342440890
4342440132
LEXINGTON
SC
29071
8037315378
807 MERCER ST
PRINCETON
WV
247402907 3044250286
ROANOKE
VA
240132205 5409820205
5409826905
PRO
ORT
JOHNSON CITY
TN
37604
5409826905
PRO
ORT
SUITE 1
Medicare PLUS
Group PPO
8037314246
4239289027
DME
DME
IVT
PO BOX 1928
Address 2
DME
DME
DME
continued
79
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
ABINGDON
VA
24210
2766230255
2766230255
PRO
ORT
DANVILLE
VA
24541
4347971191
4347971183
PRO
ORT
LYNCHBURG
VA
24501
4345283695
4345283697
PRO
ORT
BLUEFIELD
WC
24701
3043232278
3043232846
PRO
ORT
PO BOX 2410
WISE
VA
24293
2763282500
2765466680
DME
PENNINGTON GAP
VA
24277
2765461659
2765466680
DME
6 EAST 19TH ST
VA
24219
2765236000
2765234302
DME
ABINGDON
VA
24210
2766284554
2766284570
DME
PO BOX 128
TAZEWELL
VA
24651
2769887911
2769884942
DME
330 COMMONWEALTH
DRIVE
SUITE 7
WYTHEVILLE
VA
24282
2762286941
2762286967
DME
PO BOX 2475
US ROUTE 460
E TOOKLAND
GRUNDY
VA
24614
2769356060
2769354837
DME
CHESAPEAKE
VA
23320
7575478188
7575475936
DME
RICHLANDS
VA
24641
2769647448
2769633549
PO BOX 532540
ATLANTA
GA
30353
SALEM
VA
24153
5403753152
5403753853
SUITE B
FARMVILLE
VA
239013058 4343921853
4343929568
SUITE B-3
RICHMOND
VA
232363043 8047940651
8047942381
RADFORD
VA
24141
5406394202
5406394034
DME
SUITE N
CHESAPEAKE
VA
233204445 7574962030
7574960604
DME
SUITE C
SUITE 1
119 WEST
MAIN STREET
WOODBRIDGE
VA
221923037 7034970333
7034970377
WOODBRIDGE
VA
22192
7034970377
CHULA VISTA
CA
91914
7034970377
GLENDORA
CA
91741
7034970377
SACRAMENTO
CA
95822
7034970377
SAN DIEGO
CA
92111
7034970377
SAN DIEGO
CA
92117
7034970377
Medicare PLUS
Group PPO
ORT
DME
DME
DME
IVT
DME
continued
80
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SAN GABRIEL
CA
91775
7034970377
COLORADO SPRINGS
CO
80922
7034970377
BRANDON
FL
33511
7034970377
TAMPA
FL
33626
7034970377
CANTON
GA
30114
7034970377
NORMAL
IL
61761
7034970377
ROCKFORD
IL
61114
7034970377
INDIANAPOLIS
IN
46237
7034970377
1675 SHILOH RD
COVINGTON
TN
38019
7034970377
418 COLUMBIA SE
ALBEQUERQUE
NM
87105
7034970377
SEATTLE
WA
98116
7034970377
WILLIAMSPORT
IN
47993
7034970377
O FALLON
MO 63366
7034970377
ST ANNE
IL
60964
7034970377
HULL
MA
2045
7034970377
CARY
NC
27511
7034970377
5 BASSETT COURT
SICKLERVILLE
NJ
8081
7034970377
LAS VEGAS
NV
89103
7034970377
2548 DAUER CT
POWELL
OH
43065
7034970377
TOLEDO
OH
43614
7034970377
WESTCHESTER
OH
45069
7034970377
MCMURRY
PA
15317
7034970377
ALMOND
WI
54909
7034970377
CONCORD
NC
28027
7034970377
3671 GARDNER RD SW
HARSELLE
AL
35640
7034970377
PHOENIX
AZ
85044
7034970377
SUN CITY
AZ
85351
7034970377
640 N FRESNO ST
CHANDLER
AZ
85225
7034970377
CHINO HILLS
CA
91709
7034970377
43 CICCIO RD
SOUTHINTON
CT
6489
7034970377
85 RIDGEVIEW PLACE
CHESHIRE
CT
6410
7034970377
MADISON
CT
6443
7034970377
TALLAHASSEE
FL
32309
7034970377
SUITE 222
Medicare PLUS
Group PPO
continued
81
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
FT LAUDERDALE
FL
33312
7034970377
17611 SW 4 CT
PEMBROKE PINES
FL
33029
7034970377
BRADENTON
FL
34203
7034970377
NAVARRE
FL
32566
7034970377
PALM BAY
FL
32907
7034970377
ENGLEWOOD
FL
34223
7034970377
DORAVILLE
GA
30340
7034970377
JACKSONVILLE
FL
32223
7034970377
THOMASTON
GA
30286
7034970377
ALTOONA
IA
50009
7034970377
CEDAR RAPIDS
IA
83815
7034970377
DALTON GARDENS
ID
83815
7034970377
PEORIA
IL
61614
7034970377
NAPERVILLE
IL
60565
7034970377
407 OAKWOOD LN
CARTERVILLE
IL
62918
7034970377
1008 LULU
AUGUSTA
KA
62918
7034970377
DANVILLE
KY
40422
7034970377
5701 PARKAIRE DR
METAIRIE
LA
70003
7034970377
WINSTON-SALEM
NC
27106
7034970377
ASHEVILLE
NC
28806
7034970377
12391 HUNINGTON
GULFPORT
MS
39503
7034970377
1513 W NICHOLS
SPRINGFIELD
MO 65802
7034970377
HIGH RIDGE
MO 63049
7034970377
5104 W VANCE CT
COLUMBIA
MO 65203
7034970377
13055 RIVERDALE DR
COON RAPIDS
MN
55448
7034970377
MINNEAPOLIS
MN
55424
7034970377
FT WASHINGTON
MD
20744
7034970377
41 CHESTNUT ST
W SPRINGFIELD
MA
1089
7034970377
BOSSIER CITY
LA
71112
7034970377
RUSTON
LA
71270
7034970377
HENDERSON
NV
89015
7034970377
623 UTICA ST
ORISKANY
NY
13424
7034970377
MT VERNON
NY
10550
7034970377
NORTH CANTON
OH
44720
7034970377
Medicare PLUS
Group PPO
continued
82
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
4120 BOARDMAN
CANFIELD
CANFIELD
OH
44406
7034970377
4405 GLENDALE
TOLEDO
OH
43614
7034970377
DUNCAN
OK
73533
7034970377
EDMOND
OK
73003
7034970377
BROKEN ARROW
OK
74014
7034970377
KINGFISHER
OK
73750
7034970377
2559 CUBIT ST
EUGENE
OR
97402
7034970377
210 DIVISION ST
KINGSTON
PA
18704
7034970377
39 FOREST DR
LEWISBURG
PA
17837
7034970377
3 RIVERWOOD CIRCLE
GREENVILLE
SC
29617
7034970377
895 MELROSE DR
CHARLESTON
SC
29414
7034970377
TULLAHOMA
TN
37388
7034970377
MEMPHIS
TN
38119
7034970377
SAN ANTONIO
TX
78247
7034970377
627 LAUREL ST
LA MARQUE
TX
77568
7034970377
18971 PR 5102
FARMERSVILLE
TX
75442
7034970377
FAIRFAX
VA
22033
7034970377
WILLIAMSBURG
VA
23188
7034970377
ROANOKE
VA
24018
7034970377
GLEN ALLEN
VA
23059
7034970377
CLARKSVILLE
VA
23927
7034970377
3420 PUMP RD
RICHMOND
VA
23233
7034970377
EDMONDS
WA
98026
7034970377
SEATTLE
WA
98116
7034970377
SEATTLE
WA
98117
7034970377
8043 COUNTRY RD D
ALMOND
WI
54909
7034970377
WAUWATOSA
WI
53226
7034970377
HUNTINGTON
WV
25704
7034970377
JANELEW
WV
26378
7034970377
TYLER
TX
75701
7034970377
PLANO
TX
75074
7034970377
7034970377
#171
806 S WILLOW
BRADY
TX
76825
STATE COLLEGE
PA
168018301 8144668736
8144666399
DME
BOWLING GREEN
KY
421045855 2703939393
2703939383
DME
SUITE A-3
Medicare PLUS
Group PPO
continued
83
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE A
ELKVIEW
WV
25071
3049658006
3049658007
PO BOX 266
311 E
CHESTNUT
STREET
MIFFLINBURG
PA
17844
5709669863
PARKERSBURG
WV
26104
3044246363
3044227396
DME
MORGANTOWN
WV
26505
3042852700
3042852704
DME
MIFFLINBURG
PA
17844
5709669863
BECKLEY
WV
25801
3042529600
3042529601
DME
MAN
WV
25635
3045839600
3045839690
DME
PO BOX 266
EAST
CHESTNUT
STREET
UNIONTOWN
PA
154012648 7244380830
7244381076
DME
76 SIXTEENTH STREET
WHEELING
WV
26003
3042773727
3042773190
DME
MIFFLINBURG
PA
17844
5709669863
PO BOX 266
PO BOX 485
311 E
CHESTNUT
STREET
PARKERSBURG
WV
26101
3044224545
3044224559
DME
15 26TH STREET
HUNTINGTON
WV
257031241 3045253030
3045252993
DME
MIFFLINBURG
PA
17844
5709669863
PO BOX 266
311 E
CHESTNUT
STREET
FUITLAND PARK
FL
347314478 3523652055
3523302748
DME
HOLLY SPRINGS
NC
275409372 9195776458
9195776459
DME
PO BOX 248
HOLLY SPRINGS
NC
275409372 9195776458
9195776459
MONTROSE
CO
814013831 9702520212
9702498421
DME
DENVER
CO
802161836 3033410202
3033439522
DME
PUEBLO
CO
810033237 7195449984
7195449985
DME
ALAMOSA
CO
811013004 7195892199
7195892194
DME
BURLINGTON
CO
808071607 7193467356
7193467378
DME
3245 HWY 50
CANON CITY
CO
812129342 7192762579
7195449985
DME
COLORADO SPRINGS
CO
809073514 7192600821
7192782250
DME
CORTEZ
CO
814163077 9705653666
9705658072
DME
DELTA
CO
814161819 9708741268
9708741263
DME
UNIT 40
SUITES C AND
D
#6
Medicare PLUS
Group PPO
continued
84
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
GRAND JUNCTION
CO
815063963 9702412202
9702413559
GREELEY
CO
806345374 9703563131
9703566150
DME
500 W HEY 50
GUNNISON
CO
812303900 9706411828
9706411878
DME
LAFAYETTE
CO
800262983 3039269066
3039269067
DME
LAMAR
CO
801523820 7193363304
7193363169
DME
LOVELAND
CO
805383128 9704612796
9704618650
DME
MEEKER
CO
816413419 9708785883
9708784736
DME
NUCLA
CO
81424
9708647902
9708647903
DME
328 BONAVENTURE
TRINIDAD
CO
810822086 7198451986
7198451987
DME
SALIDA
CO
812012912 7195393406
7195392857
DME
27 WEST INDEPENDENCE
STREET
SHAMOKIN
PA
178725313 5706449840
5706449841
DME
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
CHARLOTTE
NC
28208
7043943511
ORLANDO
FL
328536576 0
4076482319
GASTONIA
NC
28056
7048244834
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
HENDERSON
NC
27536
2524387321
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
CANTON
NC
28328
9105922835
9105922243
PO BOX 39
LYNN
NC
287500039 8288945700
8288945772
COLUMBUS
NC
287229411 8288945700
8288945772
HICKORY
NC
28602
8283278741
DME
PO BOX 532599
ATLANTA
GA
303532599 0
LENOIR
NC
28645
8287575100
8283278741
DME
MAIDEN
NC
28650
8284289932
8284280637
DME
1407802036 ARCADIA H O M E
46 BOONE TRAIL
NORTH WILKESBORO
NC
28659
3369030111
3369030555
DME
ORLANDO
FL
32811
4072060040
4072060010
MOUNT AIRY
NC
27030
3367861410
3367861472
32489 ARCADIA H O M E
1073569679 ARCADIA H O M E
# 103
SUITE 3
SUITE F
PO BOX 536576
914 MOOSE STREET
SUITE A
Medicare PLUS
Group PPO
7043942121
7048245144
2524394360
8283244504
DME
DME
DME
DME
ORT
DME
DME
continued
85
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
1295781938 ARCADIA H O M E
1508828955 VMS HOME OXYGEN INC
35287 VMS HOME OXYGEN INC
Address 1
Address 2
City
ST
ZIP
Phone
Fax
ELKIN
NC
28621
3365274302
3365274386
DME
DUNN
NC
283344923 9108929286
9108921767
DME
DUNN
NC
283343538 9108929286
9108921767
SUITE 400
MAUMEE
OH
435374207 4197202005
4197202006
SUITE 103
FAYETTEVILLE
NC
283044442 9104834897
9104845496
DME
ROYAL OAK
MI
48073
2482801818
2487865362
DME
CHARLESTON
NC
294011514 8435779577
8435779574
AIKEN
SC
298010005 8036491726
8036417917
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
ORANGEBURG
SC
29118
8035346236
8035318121
PO BOX 7487
FLORENCE
SC
29501
8436654051
8436654786
2213 DW PLAMETTO
STREET
FLORENCE
SC
295013909 8436654051
8436654786
PO BOX 532549
ATLANTA
GA
303532549 8143426000
8143428356
CONWAY
SC
295268445 8433470711
8433470833
8438391699
DME
SUITE C
IVT
DME
DME
IVT
DME
IVT
DME
MYRTLE BEACH
SC
29526
ATLANTA
GA
303532565 0
UNION
SC
29379
8644298880
8644293040
DME
MADISON
FL
323402340 8509732830
8509734127
DME
TRENTON
FL
326932769 3524636575
3524636424
DME
ORLANDO
FL
32811
4072060040
4072060010
OCALA
FL
344765748 3528612337
3528610843
DME
CRAWFORDVILLE
FL
323272316 8509266911
8509266923
DME
BONIFAY
FL
324253047 8505472273
8505472204
DME
SUITE A
SUITE A
8438391613
ORT
PO BOX 532565
PRO
19 SHADEVILLE ROAD
AUGUSTA
GA
309045848 7067377371
7067377372
AIKEN
SC
29801
8036416047
SUITE A
Medicare PLUS
Group PPO
8036416007
PRO
ORT
continued
86
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
1013045848 MOPRO
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SYRACUSE
NY
132042741 3154720707
3154728088
PO BOX 160
VALDOSTA
GA
316030160 0
9122450703
ALBANY
GA
31707
2296390033
2296390337
TIFTON
GA
31794
2293919114
VALDOSTA
GA
31601
WAYCROSS
GA
CORDELE
PO BOX 160
IVT
DME
2293919265
IVT
DME
2292456001
2292456005
IVT
DME
31501
9122849191
9122854567
IVT
DME
GA
31015
2292732939
2292733398
IVT
DME
VALDOSTA
GA
316030160 0
9122450703
PO BOX 160
VALDOSTA
GA
316030160 0
9122450703
PO BOX 160
VALDOSTA
GA
316030160 0
9122450703
PO BOX 160
VALDOSTA
GA
316030160 0
9122450703
DALTON
GA
307202504 7062782336
7062783557
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
MARIETTA
GA
30060
7704285445
7704224889
ATLANTA
GA
30313
4045251533
4045259819
PRO
ORT
AUGUSTA
GA
30901
7068499998
7704997930
PRO
ORT
CONYERS
GA
30094
7707613267
7706024316
PRO
ORT
329 MARIETTA ST NW
1021 15TH ST
SUITE A
BIOTECH
OFFICE PARK
SUITE 8
ORT
DME
DME
SUITE D
DUBLIN
GA
31201
4782759444
4782751089
PRO
ORT
SUITE 402
FAYETTEVILLE
GA
30214
7707193110
7707193109
PRO
ORT
130 COLLEGE ST
MACON
GA
31201
4787424331
4787380521
PRO
ORT
472 SESSIONS ST NW
MARIETTA
GA
30060
7704991940
7704997930
PRO
ORT
STOCKBRIDGE
GA
30281
6782892211
6782892233
PRO
ORT
3550 LAWRENCEVILLE
SUWANEE
SUWANEE
GA
30024
7702717540
7702715553
PRO
ORT
WARNER ROBINS
GA
31088
4783286633
4783280062
PRO
ORT
SUITE 21
Medicare PLUS
Group PPO
continued
87
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
City
ST
ZIP
PO BOX 676463
DALLAS
TX
752676463 5015372323
LITTLE ROCK
AR
722042322 5012212244
5012213126
DME
HEBER SPRINGS
AR
72543
5015372323
5012060272
DME
BENTON
AR
72015
5017780443
5017785722
DME
N LITTLE ROCK
AR
72117
5019453289
5019453638
DME
ATLANTA
GA
30358
0
0
Address 1
Address 2
SUITE F
#290
PO BOX 76850
Phone
Fax
**WAREHOUSE
ONLY**
LARGO
FL
33773
SUITE D
ROSWELL
GA
300761505 7703997335
7703924771
DME
SUITE E
DAPHNE
AL
36526
7703997343
DME
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
LAGRANGE
GA
30240
7068840386
7068128122
MACON
GA
31201
4787438997
4787423559
IVT
DME
EASTMAN
GA
31023
4783746662
4783746663
IVT
DME
PO BOX 615
RINGGOLD
GA
30736
7069654430
7069650403
2516608337
DME
DME
SUITE 4-C
TUSCALOOSA
AL
35405
2052480284
2052480286
DME
SUITE 15-A
ATHENS
GA
30606
7065493777
7065499443
DME
CARTERSVILLE
GA
30121
7706075292
7706073620
DME
COLUMBUS
GA
31909
7065684450
7065636692
DME
PEACHTREE CITY
GA
30269
7704867577
7704867556
DME
RINGGOLD
GA
30736
7069656131
7069654850
DME
BUILDING 3
SAVANNAH
GA
31419
9129619555
9129619594
DME
6050 WEDEKING
SUITE 1
EVANSVILLE
IN
47715
8124798870
8124798871
DME
90 ALEXANDRIA PIKE
SUITE 10
FORT THOMAS
KY
41075
8594425191
8594425473
DME
LEXINGTON
KY
40515
8595439089
8595439069
DME
LOUISVILLE
KY
402191846 5029660823
5029660824
DME
SUITE 316
ANTIOCH
TN
37013
6157170202
6157170303
DME
SUITE 11
JOHNSON CITY
TN
37604
4234679922
4234679944
DME
SUITE 1000
KNOXVILLE
TN
37932
8659664452
8659664457
DME
NORCROSS
GA
300932924 7704496785
7704490648
DME
SUITE C-2
Medicare PLUS
Group PPO
continued
88
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
MARIETTA
GA
300607253 7707920030
7707929150
PO BOX 723008
ATLANTA
GA
31139
7704607864
SUITE B-7
ATHENS
GA
30606
7066137114
7066137186
DME
SUITE 1
FAYETTEVILLE
GA
302144542 7704607744
7704607864
DME
ROME
GA
301651419 7062901330
7062901332
DME
GULFPORT
MS
395073805 0
8884677756
DME
GAINESVILLE
GA
30501
7705367670
7705367640
DME
11 SOUTH COMMERCE
DRIVE
RINGGOLD
GA
30736
7068611766
7068613110
DME
SODDY DAISY
TN
37379
4234510515
4234510516
DME
8282321110
8282321140
DME
SUITE A
ASHEVILLE
NC
28806
PO BOX 532588
ATLANTA
GA
303532588 0
SPRUCE PINE
NC
28777
8287655731
8287658111
IVT
DME
2 MEDICAL PARK DR
BREVARD
NC
28712
8288848584
8288848594
IVT
DME
SUITE 11
MARION
NC
28752
8286591111
8286591013
IVT
DME
412 PINEOLA ST
OFFICE 248
NEWLAND
NC
28657
8287335727
8287339921
IVT
DME
PO BOX 160
VALDOSTA
GA
31603
2292456001
9122450703
GAINESVILLE
FL
32606
3523737010
3523713845
IVT
DME
AUBURN HILLS
MI
483264312 2483719322
2483719328
IVT
MONTROSE
CO
81401
4072060040
4072060010
28379 AEROCARE
1710905245 ARCADIA H O M E
WINSTON SALEM
NC
27103
3366490090
3366599935
ORLANDO
FL
32811
4072060040
4072060010
1902827538 AEROCARE
GAINESVILLE
GA
30501
7705351995
7705351715
DME
1467478578 ARCADIA H O M E
HUNTERSVILLE
NC
28070
7049478864
7049478842
DME
GAINESVILLE
GA
305078492 7705339404
7705339029
DME
SUITE 109
ATLANTA
GA
30340
6785470619
6785470673
DME
SUITE 8
ATHENS
GA
30507
7064330715
7064330720
DME
SUITE H
FOREST PARK
GA
302976140 7709914417
7709914406
ORT
MELBOURNE
FL
32901
3219522306
ORT
28972 ARCADIA H O M E
SUITE 100
SUITE 170
Medicare PLUS
Group PPO
3217256320
DME
DME
IVT
DME
continued
89
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE M-1
ORLANDO
FL
328117489 4076509585
4076500367
ORLANDO
FL
328536576 0
4076482319
LEESBURG
FL
347484669 3527282033
3527872001
DME
PO BOX 536576
Fax
1003896747 MEDAIDS
SARASOTA
FL
342343066 9413513535
9413512206
DME
STUART
FL
349977200 7722231208
7722231210
DME
FL
334095253 5616863133
5616860663
DME
RT 1 BOX 780
CLARKSBURG
WV
263019770 3046241750
3046241751
DME
MELBOURNE
FL
329347213 3217521100
3217526070
DME
TAMPA
FL
336074916 8138760330
8138765320
DME
CRYSTAL RIVER
FL
344297931 3527950696
3527263052
DME
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
JACKSONVILLE
FL
322568229 9044485353
9044483195
DME
DME
SUITE 4
Phone
SUITE 300
SUITE 137
FT MYERS
FL
339661386 2395617775
2395617778
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
PORT RICHEY
FL
346686641 7278486602
7278486486
DME
SUITE 5A
8300 US HIGHWAY 19
SUITE A
PERRY
FL
32347
8505846611
8505848267
DME
PALATKA
FL
321774159 3863256675
3863259034
DME
OCALA
FL
344742038 3522911070
3522911077
DME
ST PETERSBURG
FL
337164210 7275767893
7175767721
DME
DELAND
FL
327202560 3867369666
3867364188
DME
ORLANDO
FL
32809
4078552296
4078552364
DME
NAPLES
FL
341046127 2394359950
2394359951
DME
LAKELAND
FL
328536576 8636889135
8636889264
DME
SUITE 100
SUITE 300
Medicare PLUS
Group PPO
continued
90
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
City
ST
ZIP
MARIANNA
FL
324463404 8504827468
8504826924
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
RENSACOLA
FL
325047160 8504776989
8504778365
DME
PLANTATION
FL
33313
9547922595
954792595
DME
ORLANDO
FL
32853
4072461226
4076482319
34105 MEDAIDS
1588644264 ROTECH OXYGEN AND
MEDICAL EQUIPMENT
Address 1
Address 2
SUITE 5
PO BOX 536576
Phone
Fax
SUITE B
TRENTON
FL
326933306 3524637079
3524637517
PO BOX 266
311 E
CHESTNUT
STREET
MIFFLINBERG
PA
17844
5709669863
SUITE 102
WELCH
WV
248012426 3044368372
3044368374
DME
ZEPHYRHILLS
FL
335427529 8137887646
8137829327
DME
ST PETERSBURG
FL
337013626 7273450030
7278946182
DME
BRADENTON
FL
342072858 9417587768
9417589881
DME
LAKELAND
FL
33805
8636821040
WINTER HAVEN
FL
33880
8632913000
DME
PRO
ORT
8632937004
PRO
ORT
B14
BOCA RATION
FL
33434
9547721299
5617721495
PRO
ORT
SUITE 105
DELRAY BEACH
FL
33484
9547721495
PRO
ORT
SUITE A
OAKLAND PARK
FL
33334
9547721299
9547721495
PRO
ORT
SUITE 101
FORT LAUDERDALE
FL
333093060 9543510511
9543510411
SARASOTA
FL
34239
9413657588
9413668513
DAYTONA BEACH
FL
32117
3862580401
ORANGE CITY
FL
327638305 3867751266
ST PETERSBURG
FL
33713
JACKSONVILLE
FL
Medicare PLUS
Group PPO
ORT
PRO
ORT
PRO
ORT
3867751285
PRO
ORT
7273273332
7273277304
PRO
ORT
322055367 9043874481
9043870158
DME
continued
91
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
ORMOND BEACH
FL
321745003 3866729530
3866772072
DME
VERO BEACH
FL
329602403 7725693797
7725671567
DME
5150-6 TIMUQUANA RD
JACKSONVILLE
FL
32210
8774434932
DME
SPRING HILL
FL
346061011 3525962257
3525960180
PRO
ORT
ZEPHYRHILLS
FL
33541
8137886879
8137831477
PRO
ORT
10800 N CONGRESS
AVENUE
KANSAS CITY
MO 641531228 8168017400
8168017300
10800 N CONGRESS
AVENUE
KANSAS CITY
MO 64153
8887924456
PO BOX 4749
SPOKANE
WA
99220
5098931953
4665 BROADMOORE
AVENUE SE
GRAND RAPIDS
MI
49512
6166561458
6166562682
DME
DME
DME
PO BOX 5087
CLEARWATER
FL
33758
8004445674
STUART
FL
34997
8773308683
DME
FORT LAUDERDALE
FL
33309
8004445674
DME
TOLEDO
OH
43617
4198417711
4198410711
DME
MUSKEGON
MI
494414000 2317981700
2317998409
DME
PLYMOUTH
MI
481704694 7344592468
7344592519
DME
5582 WEST US 10
LUDINGTON
MI
494312456 2318439780
2318437106
DME
55941 GRATIOT
CHESTERFIELD
MI
48051
5867497811
5867497875
DME
HOLLAND
MI
49424
6163921281
6163926627
DME
1780742437 PULMOCARE
FREELAND
MI
48623
9896922273
9896922279
DME
LAWRENCE
KS
66044
8668308102
9896922279
KALAMAZOO
MI
49001
2693452011
2693495781
DME
3050 BOARDWALK
SAGINAW
MI
48603
9897920301
9897928024
DME
SUITE G & H
DELRAY BEACH
FL
334457336 5612661011
5612431717
DME
SUITE 4
NAPLES
FL
34110
9415662600
9415931155
DME
SUITE A
COLDWATER
MI
49036
5172792409
5172789662
DME
HOLT
MI
48842
8773780202
DME
PORT CHARLOTTE
FL
33953
9416250202
DME
CHARLEVOIX
MI
49720
2312376000
740 COMMERCE DR
VENICE
FL
34292
9414846656
KANSAS CITY
KS
66103
8008839848
2485886961
DME
BIG RAPIDS
MI
49307
2317966538
2317960074
DME
SUITE 10
SUITE B
UNIT A
SUITE G
Medicare PLUS
Group PPO
2312370411
DME
DME
continued
92
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 23078
OKLAHOMA CITY
OK
73123
BELEN
NM
87002
5058642202
5058647067
DME
LARGO
FL
33777
7275453717
7275459829
DME
JACKSONVILLE
FL
32256
9042888188
9042888115
DME
CHICO
CA
95926
5308958414
5308958490
DME
BRADENTON
FL
34208
9417463339
SARASOTA
FL
34240
9413781553
9413782269
DME
HOUGHTON
MI
486298234 9893660100
9893660181
DME
JOPLIN
MO 648043017 4177825959
4177826130
DME
DME
PO BOX 9250
TEXARKANA
TX
75505
9037941702
9037923172
SPRINGHILL
FL
34606
3525965400
3525971584
DME
INVERNESS
FL
34450
3527266400
9047267174
DME
FL
33758
5618422333
5618441350
DME
KLAMATH FALLS
OR
97603
5418822325
5418848346
DME
SPOKANE
WA
99220
5094670362
5094673405
WINTER HAVEN
FL
338803910 8632913113
8632916366
ENGLEWOOD
FL
34224
DME
SEBRING
FL
33870
DME
PO BOX 3187
4141 US 27 NORTH
SUITE 107
SUITE 11 & 12
SUITE 15
DME
WINTER PARK
FL
32789
PO BOX 9521
AMHERST
NY
14226
7165642081
FAIRFIELD
ME
4937
UNITE A-3
TRAVERSE CITY
MI
49684
2319325000
2319327106
DME
SUITE 6
TUCSON
AZ
857185671 5208879777
5208879779
DME
WHITESBURG
KY
41858
8008398485
PO BOX 996
BLUE SPRINGS
MO 64013
8008398485
PO BOX 230
ODESSA
MO 64076
8886333002
954 S WESTWOOD
POPULAR BLUFF
MO 63901
5737766896
PO BOX 22950
TUCSON
AZ
857342950 0
CASA GRANDE
AZ
85222
5208891278
DME
PIKEVILLE
KY
41501
DME
FORT MYERS
FL
33913
DME
PORT RICHEY
FL
34668
DME
PO BOX 3490
BRANDON
FL
33509
BRANDON
FL
33511
8136514425
Medicare PLUS
Group PPO
DME
7165642702
DME
DME
6625637089
DME
0
DME
continued
93
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
2485440805
OAK PARK
MI
48237
2485448400
PO BOX 764
SHARON
PA
16146
BUTLER
PA
16001
PO BOX 17306
CLEARWATER
FL
33762
50 COMMERCE STREET
BREVARD
NC
287124691 8288852224
PO BOX 6768
COLUMBIA
SC
29260
8884613116
723 SEABOARD ST
MYRTLE BEAXCH
SC
29577
8434459997
DME
4620 S ARVILLE
LAS VEGAS
NV
89103
7028789200
DME
1581 HFWY 98 W
CARRABELLE
FL
32322
8004445674
DME
FRUITLAND PARK
FL
34732
3523150566
LEESBURG
FL
34748
8004445674
BATESVILLE
MS
386062347 6625637095
6625637089
DME
APOLLO BEACH
FL
335722689 8136459172
8136459340
DME
HENDERSONVILLE
TN
37075
8005524586
DME
CLERMONT
FL
33509
8003861658
DME
DEBARY
FL
32713
8003861658
DME
GAITHERSBURG
MD
20877
8774674418
DME
GAINESVILLE
FL
32601
8004445674
DME
PO BOX 687
FOREST
VA
24551
8882584378
BEDFORD
VA
24523
8882584378
PO BOX 217
WYNNE
AR
72396
8702387368
LITTLE ROCK
AR
722041448 5012270900
PHOENIX
AZ
85040
PO BOX 770
LOCUST GROVE
GA
302480770 0
AKRON
OH
443137980 3309280884
8008143405
DME
8659864172
DME
3036041223
DME
SUITE 513
SUITE 103-104
SUITE B
3523150575
2771 HIGHWAY 11 E
LENOIR CITY
TN
37772
8659860735
DME
DME
DME
DME
5012270900
5208891278
SUITE 2
8288852252
DME
DME
PO BOX 3907
SPOKANE
WA
99220
5094442911
LOUISVILLE
CO
80027
3036041222
CANON CITY
CO
81212
800
ZEPHYRHILLS
FL
335422513 8137807155
BLASDELL
NY
14219
8774674434
DME
IL
60007
8473571010
DME
BLOOMINGTON
IL
61704
3096617349
3096614385
DME
VINCENNES
IN
47591
8002838061
3177845339
DME
1701 HOWARD ST
SUITE 214
SUITE C
Medicare PLUS
Group PPO
DME
8137881652
DME
continued
94
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
FORT WAYNE
IN
46825
8002838061
3177845339
HOLLY HILL
FL
32117
3862552898
PO BOX 3387
SPOKANE
WA
99220
5094670362
1928 RUDKIN RD
UNION GAP
WA
98903
8002888072
DME
CASSELBERRY
FL
32707
8003861658
DME
OWENSBORO
KY
42303
8008398485
DME
CHARLOTTE
NC
28213
8002309203
DME
MOUNT AIRY
NC
27030
3367862596
DME
576 UPWARD RD
FLAT ROCK
NC
28731
8009036491
DME
2514 REGENCY RD
LEXINGTON
KY
40503
8008398485
DME
HENDERSONVILLE
NC
28792
DME
2902 NE 23RD ST
OCALA
FL
34470
3526298880
DME
NORCROSS
GA
30071
8772402003
DME
DME
PO BOX 25456
OKLAHOMA CITY
OK
731250456 8004953134
1414 S FRAZIER
CONROE
TX
77301
8006276552
DME
66 JETTS DR
JACKSON
KY
41339
8008398485
DME
SUN CITY
AZ
85351
8003220728
DME
1669 LUCERNE
MINDEN
NV
89423
8003220728
DME
PINE BLUFF
AR
71603
8005524586
DME
PO BOX 6768
COLUMBIA
SC
29260
8039261302
CARY
NC
27513
9194813690
WESTOVER
WV
265014291 3042967209
4059480336
DME
3042963543
ROCK HILL
SC
29732
8039261302
PO BOX 4809
SPOKANE
WA
99220
5094670362
DME
REDMOND
WA
98052
4258698911
DME
2085244211
DME
2265 DESOTO
IDAHO FALLS
ID
83404
PO BOX 8888
TOLEDO
OH
436230888 8008757176
AMHERST
OH
44001
4409887707
TERRE HAUTE
IN
47802
8122320651
4122320142
DME
2460 M-139
BENTON HARBOR
MI
49022
2699258267
2699256050
DME
MORRISTOWN
TN
37813
4235870632
DME
ALBANY
OR
97322
8774242240
DME
36425 BANKSIDE DR
CATHEDRAL CITY
CA
92234
8003220728
DME
11922 WARFIELD ST
SAN ANTONIO
TX
78216
2103487236
DME
PUNTA GORDA
FL
33950
8004445674
DME
SUITE C
Medicare PLUS
Group PPO
DME
continued
95
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
11501 PLANTSIDE DR
LOUISVILLE
KY
40299
8008398485
DME
PANAMA CITY
FL
32405
8004445674
DME
PENSACOLA
FL
32503
8004445674
DME
WORTHINGTON
OH
43085
DME
JEFFERSON CITY
MO 65109
8886333002
DME
SALINA
KS
67401
8006369751
DME
PO BOX 279
MILLS
WY
82644
8884785151
LAKE FOREST
CA
92630
8884785151
DME
MONROE
NC
28112
8002309203
DME
201 S SOLANO
LAS CRUCES
NM
88001
DME
1380 GREG ST
SPARKS
NV
89431
DME
GARLAND
TX
75041
8006276552
DME
MOBILE
AL
366932526 2516654361
84057
SUITE 201
2516654364
DME
OREM
UT
DME
SPRINGFIELD
MO 65807
8005524586
DME
JACKSON
TN
38305
DME
ARCADIA
FL
34266
8004445674
FRANKLIN
NC
287347392 8283493151
MELBOURNE
FL
32935
DME
8050 EL RIO
HOUSTON
TX
77054
8006276552
DME
CONWAY
NH
3818
DME
301 POMONA DR
GREENSBORO
NC
274071667 3362181156
CLEARWATER
FL
33765
8004445674
DME
BARTLETT
TN
38133
9013773010
DME
ASHEVILLE
NC
28804
DME
CAPE CORAL
FL
33909
DME
DME
8283693888
DME
3362181160
DME
PO BOX 2908
SPOKANE
WA
992202908 0
ESTES PARK
CO
80517
DME
TAMPA
FL
33617
8003861658
DME
DEMING
NM
88030
1257 LEONARD ST
GRAND RAPIDS
MI
495055510 6164560774
LOMBARD
IL
60148
8002838061
DME
AUSTIN
TX
78754
5128361703
DME
Medicare PLUS
Group PPO
DME
6164569513
IVT
DME
continued
96
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
MESQUITE
NV
890273908 7023462122
SENECA
SC
29678
8648888811
Fax
LITTLE ROCK
AR
72204
5012211123
6012 AVENUE T
GALVESTON
TX
77551
8006276552
DME
UT
84104
8014870202
DME
MEDFORD
OR
97504
5417732211
ROME
GA
30165
8773249658
ANDERSON
IN
46013
7657780854
7657781486
DME
JEFFERSON CITY
MO 65109
5736346001
5736342816
DME
COLUMBIA
MO 65201
5734490206
5738758868
DME
16725 MIDDLEBELT RD
LIVONIA
MI
48154
7345240718
DME
BLOOMINGTON
IN
474033220 8123395579
8123329791
DME
1114F SOUTHVIEW DR
LIBERTY
MO 64068
8167814962
8167814682
DME
TULSA
OK
74135
9186227895
9186631532
DME
WAXAHACHIE
TX
75165
9729374189
GASTONIA
NC
280547413 7048684424
7048689196
DME
JOHNSON CITY
TN
376045338 4239280202
4234344967
DME
CROMWELL
CT
64161037
8606130792
8606131074
DME
GALESBURG
IL
614014514 3093432776
3093432743
DME
SUITE C
SHOW LOW
AZ
859015232 9285320066
9285320002
DME
SUITE H
SUN CITY
CA
925862240 9098902699
9098902609
DME
GRANTS PASS
OR
975261318 5414793743
5414791614
SUITE A
SUITE J
BLUE SPRINGS
MO 64015
8167951900
PO BOX 2828
SPOKANE
WA
99220
BOZEMAN
MT
7 ABJ DRIVE
GARDINER
DE QUEEN
SUITE 102
SUITE 250
SUITE 9
7023464248
5012211203
5417737103
DME
DME
DME
DME
8167951804
DME
597186096 4065855582
4065821949
DME
ME
43456057
2075882522
2075882406
DME
AR
718322004 8706424411
8706424410
DME
NORTH CHARLESTON
SC
294069811 8435693160
8435693190
DME
SPRINGFIELD
OR
974786087 5417418330
5417461136
DME
BRADLEY
IL
609151277 8159321392
8159321486
DME
OKEECHOBEE
FL
349722961 8637637337
8637635191
DME
SEVIERVILLE
TN
378625923 8654294421
8654298327
DME
GLASGOW
KY
421411541 2706513753
2706512170
DME
Medicare PLUS
Group PPO
continued
97
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
LAKELAND
FL
338011919 8636887717
8636824782
PO BOX 9515
AMHERST
NY
14226
7165640986
7166919738
WAKEFIELD
MA
8801617
7812464100
7812464101
DME
LAS VEGAS
NV
891206261 7028550014
7028550016
DME
MCHENRY
IL
600507054 8153445600
8153445655
DME
SUITE D
NEW ALBANY
IN
471502578 8125421365
8125421368
DME
SUITE 106
SMYRNA
GA
300806525 7704350000
7704359951
DME
1500-D AIRPORT RD
SUMTER
SC
291538204 8037730387
8037733065
MCALLEN
TX
785014357 9566820911
9566820919
LORTON
VA
220791422 7033392884
7033395850
COTTONWOOD
AZ
863265283 9286390980
9286340365
DME
UNIT 4
SAINT AUGUSTINE
FL
320844130 9048250022
9048250033
DME
SUITE 6D
STRATFORD
CT
66157153
2033723429
2033739325
DME
SUITE A
PEARL
MS
392085527 6014205900
6014205999
DME
ABERDEEN
WA
985204133 3605325287
3605325483
DME
LAKELAND
FL
338011919 8636888999
8636836300
DME
SUITE 5
ARKADELPHIA
AR
719234358 8702467616
8702467858
SUITE 4
ALLENDALE
NJ
74011526
2013278105
2013278195
DME
MANSFIELD
OH
449038113 4197749595
4197749720
DME
KERRVILLE
TX
780284250 8308954450
8308954447
DME
5207460903
DME
TUCSON
AZ
857143309 5207958161
SPOKANE
WA
99220
PORT ANGELES
WA
983629029 3604524724
3604573263
DME
SUITE 100
FREDERICKSBURG
VA
224013126 5408995521
5408993665
DME
SUITE 7
TITUSVILLE
FL
327964302 3212699998
3212699889
DME
SUITE C
LITTLE ROCK
AR
722113788 5012211088
5012284603
32 LEXINGTON DRIVE
UNIT 7
HERMON
ME
44011128
2078485920
2078480780
DME
SUITE B
NEWPORT
TN
378213414 4236233230
4236237324
DME
KISSIMMEE
FL
34744
4078464144
4078468303
DME
0
DME
SUITE 110
DME
PO BOX 4809
DME
5094670362
PO BOX 4598
CASPER
WY
82604
PARKER
AZ
853445119 9286692444
9286692150
LYNCHBURG
VA
24502
4342373712
4342374136
MOUNT DORA
FL
32757
3527354465
3527355466
DME
COLLINSVILLE
VA
240781784 2766477536
2766477596
DME
Medicare PLUS
Group PPO
continued
98
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
EARTH CITY
MO 63045
3145066100
3145062797
SUITE 1
MOUNTAIN HOME
AR
726533274 8704259466
8704259482
SUITE D
SAVANNAH
GA
314051493 9126444577
9126444570
DME
SUITE C
GREENVILLE
NC
278340058 2527586532
2527584634
DME
FL
325484779 8508634630
8508634648
DME
VICTORIA
TX
779014133 3615720051
3615731046
DME
INDIANAPOLIS
IN
462416452 3178568841
3178561077
DME
PO BOX 770
DME
LOCUST GROVE
GA
30248
UNIT C-1
SIERRA VISTA
AZ
856352826 5204591671
5204592784
DME
SUITE B
AZ
864035890 9286801855
9286809114
DME
SUITE 114
CA
93401
8055432665
8055430598
DME
LUBBOCK
TX
794102311 8067962555
8067961836
DME
PINEVILLE
KY
409771728 6063372402
6063372433
DME
FALLON
NV
894062902 7754231925
7754231907
DME
HENDERSON
NC
275362500 2524338801
2524310422
DME
NEW BERN
NC
285606704 2526343355
2526353350
DME
SILVER CITY
NM
880614400 5755341747
5755341748
DME
SAINT LOUIS
MO 631464119 3149953779
3149957065
DME
1733 NORTH
KINGSHIGHWAY
CAPE GIRARDE
MO 637012121 5733320020
5733320060
DME
MOBERLY
MO 65270
6602631939
6602631939
DME
3831 HIGHWAY MM
HANNIBAL
MO 634016942 5732213685
5732214297
DME
CHILLICOTHE
MO 646012551 6606469991
6606469655
DME
SACRAMENTO
CA
95834
9169289350
9169280308
DME
BROOK PARK
OH
441421340 4408263104
4408261116
DME
REDLANDS
CA
923736276 9097930802
9097930765
DME
MISHAWAKA
IN
465458824 5742570232
5742570722
DME
MIDDLESBORO
KY
409651125 6062422377
6062422373
10720 MAKRO DR
CINCINNATI
OH
452417514 3177867909
5132725467
DME
FORT MOHAVE
AZ
864269392 9287049033
9287049254
DME
TOPEKA
KS
666061650 7853541000
7853541065
DME
MADISON HEIGHTS
VA
245725363 4348474711
4348475009
DME
RIVERTON
WY
825014930 3078567562
3078560936
DME
PELHAM
AL
351242214 2054027301
2054027315
DME
SUITE 16
SUITE A
Medicare PLUS
Group PPO
continued
99
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
2890 N FRANKLIN ST
SUITE B
CHRISTIANSBURG
VA
240736522 5403819270
5403819273
DME
LIMA
OH
458012406 4192285632
4192288536
DME
FIFE
WA
984242659 2539223137
2539223050
DME
LYNCHBURG
VA
245011415 4348478663
4348476846
DME
PRESCOTT
AZ
863057124 9287080202
9287080222
DME
SUITES 5 & 7
BENTONVILLE
AR
727123996 4792731890
4792710335
SUITE F
SUITE 5
Phone
Fax
SPRINGDALE
AR
727642524 4799270618
4799270621
PO BOX 2908
SPOKANE
WA
992202908 0
COLORADO SPRINGS
CO
809076315 7196300202
7196300315
DME
WILMINGTON
NC
284126130 9103929208
9103929131
DME
BRUNSWICK
GA
315202936 9122650262
9122650266
DME
MONTGOMERY
AL
361174900 0
3342600103
DME
SAINT GEORGE
UT
84790
4356744477
4356564751
DME
CEDAR RAPIDS
IA
524023226 3193625544
3193781988
DME
FORT COLLINS
CO
805243913 9704828114
9704821611
DME
DENVER
CO
802163464 3033775800
3033772828
DME
ROANOKE
AL
362747332 0
3348635538
DME
EPHRAIM
UT
846271118 4352830091
4352830092
DME
VIRGINIA BEACH
VA
234626548 7576711802
7576711802
DME
RICHMOND
IN
473742666 7659623424
7659666395
DME
WACO
TX
254399992 8006276552
2543999110
DME
LAKEWOOD
CO
802352056 3037881512
3037881305
DME
GOLDEN VALLE
MN
554224919 6516468430
7635451591
DME
MN
567012037 2186818214
2186818219
DME
35715 HIGHWAY 40
EVERGREEN
CO
804399678 3036583030
3036580303
DME
KNOXVILLE
TN
379121251 8655121090
8655121099
DME
MUNCIE
IN
473044720 7657470477
7652880959
DME
CHAMPAIGN
IL
618229674 2173988191
2173988075
DME
DAYTON
OH
454391619 9372991141
9372994696
EL DORADO
AR
717304543 870863009
8708639707
DME
GLENWOOD SPRINGS
CO
816014403 9709451450
9709450309
DME
SCOTTSDALE
AZ
852601784 4806078177
4806074962
DME
SUITE 104
SUITE 3
SUITE D-106
SUITE A
Medicare PLUS
Group PPO
continued
100
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
NORMAN
OK
730723393 4053078505
4053079106
11 SPIRAL DRIVE
FLORENCE
KY
410424845 8595250202
8593723582
CARLSBAD
NM
882205733 5058854116
5058873679
HOT SPRINGS
AR
719136411 5016231006
5016235161
WAITE PARK
MN
563871528 3206541747
3206540795
ANNISTON
AL
36207
2562407215
2562407216
AR
719099799 5019846035
5019846005
DME
DECATUR
AL
356014926 2563558334
2563558375
DME
LEBANON
VA
242663400 5408893108
5408893119
DME
8 CHESTNUT DRIVE
BEDFORD
NH
31105520
6034719162
6034719104
DME
ALBUQUERQUE
NM
871094402 5053446760
5053446559
DME
PO BOX 98
WYNNE
AR
723960098 0
JONESBORO
AR
72401
8709354663
8709721525
DME
HODGKINS
IL
605253216 7085790923
7085792178
DME
BELTON
TX
765131901 2549333838
2549332122
DME
MURPHYSBORO
IL
629663950 6166879229
6186871052
DME
LAKE ORION
MI
483592232 2483936634
8008597127
DME
1262 25TH ST PL SE
HICKORY
NC
286029657 8283044441
8283044799
DME
JACKSON
WY
830010346 3077339737
3077321151
DME
TOOELE
UT
840742154 0
SAINT JOSEPH
MO 645060230 8162339777
5095 NATIONAL RD
TRIADELPHIA
WV
260592017 3045475714
3045475790
DME
1924 GREENGARDEN RD
ERIE
PA
165022131 8144567108
8144592683
DME
OSAGE BEACH
MO 650653048 5733489393
5733489299
DME
SUITE 106
IRVING
TX
750624489 9722525696
9722522348
DME
28350 CR 317
SUITE 7
BUENA VISTA
CO
81211
7193952535
PITTSBURGH
PA
15216
4123881400
201 W PALESTINE
PALESTINE
TX
75801
9037270863
MARYVILLE
TN
37801
8653799990
RUSSELLVILLE
AR
728029603 4799670505
4799685381
DME
77 KREIGER LANE
SUITE 804
GLASTONBURY
CT
60332370
8606573033
8606594786
DME
UNIT 101
LANCASTER
CA
93534
6619490015
6619408383
DME
BUILDING A
SUSANVILLE
CA
96130
5302577513
5302577528
DME
SUITE A
SUITE 14 & 15
SUITE 1
SUITE A
SUITE 22
SUITE A
Medicare PLUS
Group PPO
DME
DME
DME
DME
4123881080
DME
DME
DME
continued
101
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
1801958624 RESPRACARE
Address 1
Address 2
City
ST
ZIP
Phone
Fax
2038490400
2038462172
NORWALK
CT
68513709
PO BOX 1737
LAWRENCE
KS
660448737 0
TWIN FALLS
ID
833016211 2087370809
2087370810
DME
GREENSBURG
PA
156011487 7248380691
7248380697
DME
RAPID CITY
SD
577012703 6053423890
6053420360
DME
LAWRENCEBURG
TN
384642688 9317621984
9317623289
DME
DANVILLE
VA
245401646 4348360979
4348369409
DME
ELKINS
WV
262413356 3046350386
3046350318
DME
ABERDEEN
NC
283158616 9109442120
9109442157
DME
DANVILLE
IL
618324574 2174311488
2174311524
DME
TEXARKANA
TX
755033133 9037937776
9037925836
DME
HOUSTON
TX
770603551 2819992727
2819991192
DME
CORVALLIS
OR
97333
5414521000
5414520015
DME
SALEM
OR
973017499 5035668763
5035666724
DME
DOTHAN
AL
363014117 3346992630
3346992639
DME
CLEARWATER
FL
33762
8007691003
NEWNAN
GA
302651089 7702528980
7702529180
DME
HUNTSVILLE
AL
358022849 2568822122
2568822214
DME
SUITE 950
SUITE 36
SUITE 130
PO BOX 17306
2 MASCOMA STREET
SUITE 3
LEBANON
NH
37661375
6034486618
6034487104
DME
SUITE A
WINSTON SALEM
NC
271036798 3366599021
3366576430
DME
CASPER
WY
826092807 3072378000
3072348453
DME
HAMBURG
NY
140757421 7166483100
7166485567
DME
PO BOX 189
WYNNE
AR
72396
8702387368
8702389134
SUITE 105
DME
SUITE S
LAWRENCEVILLE
GA
300463302 6789853300
6789953890
DME
MERIDIAN
ID
836427996 2083236050
2083236052
DME
MADISON
IN
472507429 8122654377
8122654388
DME
104 W MAPLE ST
FAYETTEVILLE
TN
373343332 9314339719
9314337373
DME
SEATTLE
WA
981061165 2063256276
2063255227
DME
SUITE 600
CUMMING
GA
300410206 7708898120
7708898608
DME
SUITE 102
BRANSON
MO 656164011 4173348655
4173348670
DME
Medicare PLUS
Group PPO
continued
102
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
WINCHESTER
VA
226013636 5406622266
5406629262
DME
VERO BEACH
FL
329600629 7725670822
7725627992
DME
ASHEVILLE
NC
288064613 8282529999
8282544201
DME
BATESVILLE
AR
725017309 8706125832
8706125063
CONWAY
AR
720328580 5013369700
5013369982
FORT SMITH
AR
729036908 4796467720
4796465860
MONTICELLO
AR
716554638 8703672525
8703672149
NEWPORT
AR
721123634 8705232772
8705238026
SUITE D
AR
721136792 5012270229
5012275402
SUITE 1C
RUSSELLVILLE
AR
728013751 4799682327
4799681255
SEARCY
AR
721434734 5012682115
5012689861
STUTTGART
AR
721604354 8706731060
8706734769
WHITE HALL
AR
716023023 8702474872
8702477692
SUITE 1
WYNNE
AR
723964028 8702380200
8702382465
AURORA
MO 656052133 4176786513
4176784169
HOLLISTER
MO 656725773 4173378861
4173378633
BROOKHAVEN
MS
396013367 6018339374
6018333878
HIGHWAY 8 EAST
CLEVELAND
MS
38732
6628430202
6628430218
GREENVILLE
MS
387018337 6623356103
6623357068
KOSCIUSKO
MS
390903206 6622899487
6622899493
PO BOX 121119
DALLAS
TX
753121119 4099516320
AUBURNDALE
FL
338233944 4098327013
PO BOX 536576
ORLANDO
FL
328536576 4072461226
4076482297
WINTER HAVEN
FL
33881
8639670164
8639672941
DME
SEBRING
FL
338722131 8633824777
8633823033
DME
PO BOX 536576
ORLANDO
FL
328536576 4072461226
4076482297
PO BOX 536576
ORLANDO
FL
32853
4076482319
CLEVELAND
MS
38732
6628432504
6628432580
ORLANDO
FL
328536576 0
SUITE 3
UNIT K & F
UNIT 2
SUITE B
Medicare PLUS
Group PPO
DME
DME
4076482319
continued
103
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
934 BROADWAY
SUITE 20
HATTIESBURG
MS
394017540 6015453007
6015453062
PO BOX 266
MIFFINBURG
PA
17844
5709669863
DANVILE
VA
24541
4347975141
4347974639
DME
CHRISTIANSBURG
VA
240731412 5403820049
5403821837
DME
1308 PLANTATION RD NE
ROANOKE
VA
240125713 5403442184
5403442965
DME
STAUNTON
VA
24401
5408867289
5408867314
DME
PEARISBURG
VA
241341629 5409212357
5409213578
DME
PO BOX 266
MIFFLINBURG
PA
17844
5709669863
SUITE 102
Phone
Fax
GRUNDY
VA
246149433 2769352137
2769357000
PO BOX 536576
ORLANDO
FL
32853
4076482319
GRENADA
MS
38901
6622271503
6622290203
DME
HOUSTON
MS
38851
6624569147
6624569908
DME
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
AMORY
MS
388213420 6622569181
6622569114
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
BRUNSWICK
GA
31525
9122658749
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
9122651977
TUPELO
MS
38801
6628443924
6628442437
PO BOX 2080
TEXARKANA
TX
75504
9037925395
SAN ANTIONIO
TX
78247
2104969770
2104961405
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
50 STANLEY ST
CROSSVILLE
TN
385554430 9314568484
9314568458
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
JOHNSON CITY
TN
37601
4232834364
4232834714
LAFAYETTE
IN
47903
7654486685
7654464287
SUITE 3
Medicare PLUS
Group PPO
DME
DME
DME
DME
DME
DME
DME
continued
104
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
City
ST
ZIP
Phone
Fax
CLARKSVILLE
TN
37040
9315524887
9315527261
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
JACKSON
TN
38305
7314238777
7314231511
DME
MURFREESBORO
TN
37129
6158965304
6158966456
DME
NASHVILLE
TN
37210
6157423984
6157423945
DME
TAMPA
FL
33619
8136217799
8136204881
DME
Address 1
Address 2
SUITE 106
SUITE 340
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
MARYVILLE
TN
37801
8656811831
125 E CHAPMAN RD
LUTZ
FL
335498106 8139626100
PO BOX 9901
CLEARFIELD
UT
84089
ELKO
NV
89801
7757780507
7757780987
DME
DME
PRO
ORT
WINNEMUCCA
NV
89445
7756232168
7756231665
DME
SUITE A
FALLON
NV
89406
7754281997
7754281988
DME
SUITE 162
CARSON CITY
NV
897067985 7758884040
7758884059
DME
SPARKS
NV
894316093 7758292224
7758297286
DME
STATELINE
NV
89449
7755861730
7755861830
DME
TEXARKANA
TX
755031822 9037920966
9037937331
DME
PO BOX 2048
TEXARKANA
TX
75504
9037930966
9037937331
34626 CAREMED
PO BOX 536576
ORLANDO
FL
32853
4076482319
SOUTHAVEN
MS
386715834 6623499291
6623498608
PO BOX 2048
TEXARKANA
TX
75504
9037925395
LONGVIEW
TX
756051472 9032364040
9032363256
DME
BOSSIER CITY
LA
71111
3187522344
DME
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
NATCHITOCHES
LA
71457
3183578547
1427028240 CAREMED
34776 LONGVIEW HOME MEDICAL
EQUIPMENT
SUITE 517
8659830444
SUITE 11
Medicare PLUS
Group PPO
3187522112
3183571266
DME
DME
continued
105
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
RUSTON
LA
71270
3182518300
3182512941
DME
SHREVEPORT
LA
71118
3186884080
3186884082
DME
1225018963 CAREMED
GULFPORT
MS
39503
2288971834
2288971956
DME
ATLANTA
TX
75551
9037968251
9037960262
DME
ORLANDO
FL
328536576 4072461226
4076482297
MOORESVILLE
NC
281178090 7046641183
7046606968
DME
PO BOX 536576
HENDERSONVILLE
NC
38792
8286972002
8286979148
DME
MURRELLS INLET
SC
295769333 8433571691
8433578808
DME
PO BOX 536576
ORLANDO
FL
32853
4076482319
CARTERSVILLE
GA
30121
7703868004
7703861725
DME
DME
SUITE 6A
CEDARTOWN
GA
30125
7707480806
7707483730
PO BOX 536576
ORLANDO
FL
32853
JASPER
GA
30143
7066922104
PO BOX 536576
ORLANDO
FL
32853
4076482319
STATESBORO
GA
30458
9127646878
9127649672
PO BOX 536576
ORLANDO
FL
32853
4072461226
4076482297
CONOVER
NC
286312419 8284650083
8284654336
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
ADEL
GA
316201500 2298962435
2298964905
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
ALBANY
GA
317011443 2298891853
2298891810
ORLANDO
FL
328536576 0
4076482319
ORLANDO
FL
328536576 0
4076482319
LAWRENCEVILLE
GA
300435898 7703385911
7703389125
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
ROME
GA
301652604 7062911550
7062911322
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
301 10TH ST NW
SUITE 63
SUITE C-E
SUITE D-104
SUITE C
PO BOX 536576
SUITE G
Medicare PLUS
Group PPO
DME
DME
DME
DME
DME
DME
DME
continued
106
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
THOMSON
GA
308242017 7065956488
7065951689
DME
TIFTON
GA
317944159 2293869226
7065951689
DME
FAYETTEVILLE
NC
283035451 9104332180
9104332850
DME
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
JACKSONVILLE
NC
285405149 9104553499
9104558234
DME
LINCOLNTON
NC
280954416 7047321185
7047320964
DME
SUITE 202
PO BOX 536576
ORLANDO
FL
328536576 0
7042965342
MONROE
NC
281125160 7042899479
7042965342
DME
MORRISVILLE
NC
27560
9193807050
DME
SUITE 900
9193807999
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
ROANOKE RAPIDS
NC
278705107 2525352211
2525355684
DME
ROCKY MOUNT
NC
278046014 2529372266
2529376746
DME
WHITEVILLE
NC
284724521 9106425798
9106420583
DME
ORLANDO
FL
328536576 0
4076482319
COLUMBIA
SC
29229
8034191505
8038651048
DME
FLORENCE
SC
295016939 8436624799
8436655396
DME
GREENVILLE
SC
29607
8642979960
DME
PO BOX 536576
1881664746 ROTECH
SUITE C
UNIT H19
8642979939
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
LANCASTER
SC
297202200 8032866655
8032868316
DME
SUITE 101
N CHARLESTON
SC
29418
8437602099
8437602390
DME
8305 CHEROKEE
BOULEVARD
SUITE D
DOUGLASVILLE
GA
301348547 7709495934
7709492445
DME
SUITE 145
HIGH POINT
NC
272627092 3368840497
3368845642
DME
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
BLYTHEVILLE
AR
72315
8707621151
8707630894
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
705 INDEPENDENCE
AVENUE
KENNETT
MO 63857
5738884514
5738886226
PO BOX 2481
WINTER PARK
FL
Medicare PLUS
Group PPO
327902481 4073805005
DME
DME
407380802
continued
107
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
City
ST
ZIP
ORLANDO
FL
328253242 4073805005
407380802
PO BOX 4607
WINTER PARK
FL
32793
4076570629
4076570742
ORLANDO
FL
32822
3213972188
3213972189
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
MURRAY
KY
420711601 2707531465
2707533185
DME
MARION
IL
62959
6189931422
6189935798
DME
MADISONVILLE
KY
42431
2708250891
2708218179
MARION
KY
42064
2709655808
2709655809
1914 BROADWAY
PADUCAH
KY
42001
2704426311
2704438433
1914 BROADWAY
PADUCAH
KY
42001
2704426311
2704438433
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
PO BOX 16190
DULUTH
MN
558160190 2187231830
2187227117
CAMBRIDGE
OH
437252962 7404392225
7404322009
PO BOX 16190
DULUTH
MN
55816
2187231830
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
Address 1
Fax
DME
PRO
ORT
DME
PRO
ORT
DME
DME
JACKSONVILLE
IL
62650
2172459100
2174790003
LAFAYETTE
IN
47903
7654486685
7654464287
QUINCY
IL
62301
2172230035
2172225215
DME
MISHAWAKA
IN
465441950 7654486685
5742580530
DME
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
BRIDGEVIEW
IL
604552430 7085993825
7085994819
DME
PEORIA
IL
616141203 3096932911
3096932925
DME
SPRINGFIELD
IL
627119416 2177268546
2717269043
DME
SUITE 16
Phone
PO BOX 6209
Address 2
SUITE B
Medicare PLUS
Group PPO
DME
continued
108
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
COLUMBUS
IN
472014478 8123767883
8123760745
DME
EVANSVILLE
IN
477103622 8124222365
8124223021
DME
FORT WAYNE
IN
468041527 2604323321
2604323286
DME
KOKOMO
IN
469026049 7654528245
7654525765
DME
LAFAYETTE
IN
479042800 7654486585
7654494573
DME
MERRILLVILLE
IN
464107153 2197691065
2197369912
DME
#17 SOUTHLAND
SHOPPING CENTER
TERRE HAUTE
IN
478023943 8122341359
8122341359
DME
PO BOX 16190
DULUTH
MN
55816
2187227117
SUITE 16
ENGLEWOOD
OH
453221898 9378362141
9378367596
DME
SUITE N
GAHANNA
OH
432303502 6148645823
6148645558
DME
PO BOX 16190
DULUTH
MN
55816
2187227117
MIDDLETOWN
OH
450449313 5137278779
5137278789
DME
MILFORD
OH
451501376 5139658511
5139658555
DME
PO BOX 16190
DULUTH
MN
55816
2187227117
NEW PHILADELPHIA
OH
446639569 3303397744
3303393348
DME
SPRINGFIELD
OH
455044015 9373220281
9373226686
DME
WASHINGTON COURT
HOU
OH
431601664 7406360202
7406360203
DME
INDIANAPOLIS
IN
46203
3177840226
3177865951
DME
MUNCIE
IN
473031307 7652894041
7652849267
DME
SPRINGDALE
AR
727620731 4798721488
4797516630
DME
SEARCY
AR
72143
5012687102
5012685334
DME
JONESBORO
AR
724013048 8709310707
8709310707
DME
SUITE A
SUITE G
Medicare PLUS
Group PPO
continued
109
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
City
ST
ZIP
ORLANDO
FL
328536576 0
4076482319
MOUNTAIN HOME
AR
726533026 8704255848
8704243279
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
ARKANDELPHIA
AR
71923
8702465303
8702467450
PO BOX 536576
ORLANDO
FL
32853
4076482319
HOPE
AR
71801
8707222210
8707222938
DME
MAGNOLIA
AR
71753
8702347434
8702347060
DME
PO BOX 536576
ORLANDO
FL
32853
4076482319
POCAHONTAS
AR
72455
8708929064
8702480090
PO BOX 2080
TEXARKANA
TX
75504
9037925395
Address 1
Address 2
PO BOX 536576
333 HIGHWAY 5 NORTH
SUITE 3
Phone
Fax
DME
DME
DME
DUNCAN
OK
73533
5802484422
5802485841
PO BOX 2080
TEXARKANA
TX
75504
9037925395
PO BOX 2080
TEXARKANA
TX
75504
9037925395
MCALESTER
OK
74501
9184264748
PO BOX 2080
TEXARKANA
TX
75504
9037925395
PURCELL
OK
73080
4055275500
4055271811
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
CAMDEN
AR
717014644 8708364681
8708364180
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
CLARKSVILLE
AR
728304330 4797542426
4797542580
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
CONWAY
AR
328536576 5013290855
5014509373
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
FT SMITH
AR
729088863 4796460001
4796465671
DME
SUITE C
DME
DME
DME
DME
DME
DME
ARDMORE
OK
734013914 5802236188
5802235350
DME
ELK CITY
OK
736445113 5802258844
5802250785
DME
Medicare PLUS
Group PPO
continued
110
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE B
ENID
OK
737015541 5802335426
5802235407
PO BOX 2080
TEXARKANA
TX
75504
9037925395
TULSA
OK
741043906 9186224444
9186226744
PO BOX 536576
ORLANDO
FL
32853
4076482319
PUNTA GORDA
FL
339503928 9416391357
9415754728
DME
CLEARWATER
FL
337651311 7274670606
7274473899
DME
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
CAPE GIRARDEAU
MO 63703
5733340781
5733349271
DME
SIKESTON
MO 63801
5734715831
5734724530
DME
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
DOTHAN
AL
36301
3347941692
PO BOX 536576
ORLANDO
FL
328536576 472461226
4076482297
WAYNESVILLE
NC
28785
8284568782
8284564595
DME
Phone
3346913914
Fax
DME
DME
FRANKLIN
NC
287349566 8283692191
8283493309
DME
BLAIRSVILLE
GA
30512
7067455598
7067451838
DME
BLUE RIDGE
GA
30513
7066323689
7066328492
DME
SYLVA
NC
28779
8285863683
8285860859
DME
4332 EAST US 64
MURPHY
NC
289066847 8288379536
8288372364
DME
CYNTHIANA
KY
41031
8592342090
8592349867
DME
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
CHARLES CITY
IA
50616
6412287537
6412282415
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
KIRKSVILLE
MO 635012404 6606657708
6606656811
DME
LEES SUMMIT
MO 64086
8162466625
DME
1804 N BALTIMORE ST
BUILDING D
STE 109
PO BOX 747
Medicare PLUS
Group PPO
8165543314
DME
continued
111
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
City
ST
ZIP
Phone
Fax
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
MARSHALL
MO 653409689 6608866558
6608869118
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
BATON ROUGE
LA
70809
2259263734
2259263740
DME
BROUSSARD
LA
70518
3378371277
3378375797
DME
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
DERIDDER
LA
70634
3374622191
3374622163
DME
OAKDALE
LA
71463
3183353329
3183352469
DME
LAKE CHARLES
LA
70607
3374791079
3374791365
DME
PO BOX 2047
TEXARKANA
TX
75504
9037925395
BEAUMONT
TX
77702
4098389173
4098384702
DME
TYLER
TX
75701
9035358245
9035359566
DME
PO BOX 266
MIFFLINBURG
PA
17844
8662279229
PO BOX 266
MIFFLINBURG
PA
17844
5709669863
1081 GREENTREE RD
PITTSBURGH
PA
15220
4123444000
4123443312
DME
ALTOONA
PA
166024141 8149420545
8149425743
DME
ERIE
PA
165093656 8148666695
8148647190
DME
UNIONTOWN
PA
154012338 7244300880
7244308086
DME
PIKEVILLE
KY
415012206 6064370608
6064370996
DME
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
Address 1
Address 2
LAFAYETTE
PARISH
SUITE A
DME
SUITE U8 AND
U9
CORBIN
KY
40701
6065239777
6065239543
DME
SUITE B
FRANKFORT
KY
40601
5022279006
5022279009
DME
SUITE 101
HAZARD
KY
41701
6064362683
6064360057
DME
SUITE 12 AND
13
LEXINGTON
KY
40511
8592687225
8592680776
DME
81 W HIGHWAY 80
SUITE D
SOMERSET
KY
42503
6066779797
6064510900
DME
LAFAYETTE
IN
47903
7654486685
7654464287
PO BOX 6209
Medicare PLUS
Group PPO
continued
112
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
City
ST
ZIP
Phone
Fax
WILLIAMSTOWN
KY
41097
859240004
DME
COVINGTON
KY
410141188 8594315900
8594311439
DME
ORLANDO
FL
32835
4074224526
4074524556
DME
ORLANDO
FL
32853
4076482319
DEMOPOLIS
AL
367323114 3342891888
3342891889
DME
ALEXANDER CITY
AL
35010
2562340873
2563290517
DME
PO BOX 536576
ORLANDO
FL
32853
4076482319
3342724331
3342731167
Address 2
SUITE A & B
SUITE 2
MONTGOMERY
AL
36109
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
TROY
AL
36081
3345662882
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
6043 HIGHWAY 63
3345667313
DME
DME
MERIDIAN
MS
39301
6016932403
6014838080
DME
UNIT 2
MOSS POINT
MS
39563
2284747741
2284747142
DME
SUITE 6
CLEARWATER
FL
34616
7274478650
7273276985
PRO
ORT
SUITE B
ST PETERSBURG
FL
33713
7273220401
7273276985
PRO
ORT
DULUTH
MN
55816
2187227117
HAMILTON
OH
450115391 5138871200
5138638746
LAFAYETTE
IN
47903
7654486685
7654464287
MIFFLINBURG
PA
17844
5709669863
MARTINSBURG
WV
25401
3042631597
DME
PRINCE FREDERICK
MD
206783922 4105355039
4105355094
DME
DME
31767 A 1 HEALTHCARE
1124098348 A 1 HEALTHCARE
PO BOX 16190
6749 GILMORE ROAD
PO BOX 6209
30505 CPO2
SUITE B
PO BOX 266
1134109721 CPO2
BALTIMORE
MD
212202866 4103440281
4103440287
PO BOX 266
MIFFLINBURG
PA
17844
5709669863
PO BOX 2080
TEXARKANA
TX
75504
9037925395
BIG SPRING
TX
79720
4322636652
4322646290
PO BOX 2080
TEXARKANA
TX
75504
9037925395
VENUS
TX
76084
8174534387
8174539063
WELLINGTON
FL
33414
5617959806
5617924010
UNIT B
Medicare PLUS
Group PPO
DME
DME
DME
continued
113
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE 145
INDIANA
PA
157013359 7243492868
7243492865
SUITE 108
ORMOND BEACH
FL
321767142 3866771002
3866739421
PO BOX 2080
TEXARKANA
TX
75504
9037930966
9037925395
ROUND ROCK
TX
78665
5122482888
5122482999
DME
AUSTIN
TX
787511073 5124519999
5124515413
DME
1218 HIGHWAY 12
SAN MARCOS
TX
786667730 5123963372
5123963479
DME
SUITE 7
KINGSLAND
TX
78639
3253883588
3253884652
DME
SUITE E
ROCKDALE
TX
76567
5124462533
5124460291
DME
SUITE D
CORPUS CHRISTI
TX
784082252 3612992293
3612891127
DME
MCALLEN
TX
785035441 9566311153
9566312091
DME
TEXARKANA
TX
75504
9037925395
SUITE B103
PO BOX 2080
Phone
Fax
SUITE 500
WICHITA FALLS
TX
76310
9407612292
9407612295
DME
SUITE 102
HARKER HEIGHTS
TX
76548
2545547585
2546608009
DME
TEXARKANA
TX
75504
9037925395
TEXARKANA
TX
75504
9037925395
WACO
TX
76712
2543998626
2543996498
PO BOX 2080
PO BOX 2080
SUITE E
PO BOX 536576
ORLANDO
FL
32853
DME
PO BOX 536576
ORLANDO
FL
32853
MOULTRIE
GA
31768
2298902404
MILLEDGEVILLE
GA
31061
4784522900
PO BOX 266
MIFFLINBURG
PA
17844
8662279229
PO BOX 266
MIFFLINBURG
PA
17844
PITTSBURGH
PA
152382912 4129671592
4129670482
PO BOX 266
MIFFLINBURG
PA
17844
6697 US HIGHWAY 11
POTSDAM
NY
13676
3152680459
3152681467
DME
14 TINKER AVENUE
LONDONDERRY
NH
3053
6036228650
6036226385
DME
Medicare PLUS
Group PPO
4076482319
DME
4784521363
DME
5709669863
DME
continued
114
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE 10
AMHERST
NY
142282213 7166919300
7166910450
DME
E SYRACUSE
NY
130571141 3154321321
3154320813
DME
PO BOX 266
MIFFLINBURG
PA
17844
5709669863
Fax
JAMESTOWN
NY
14701
7166645775
7164833528
DME
31 WESTERN INDUSTRIAL
DR
CRANSTON
RI
2921
4019421805
4019422891
DME
27 FARMVU DRIVE
VT
50016000
8022956270
8022956273
DME
PO BOX 266
MIFFLINBURG
PA
17844
5709669863
WINDSOR
CT
60951719
8606881118
8606881128
DME
MALONE
NY
129532100 5184838821
5188436326
DME
MELBOURNE
FL
32935
3217524041
3217524085
DME
1992764393 RESPIRACARE
MATTOON
IL
61938
2172586191
2172586348
DME
LAFAYETTE
IN
47903
7654486685
7654464287
URBANA
IL
618026201 2173675930
2173675947
DME
PO BOX 536576
ORLANDO
FL
32853
0
DME
30545 RESPIRACARE
1467411868 RESPIRACARE
30297 WALKERS HOME HEALTH
1245291095 WALKERS HOME HEALTH
34221 HOMETOWN OXYGEN
1598726341 HOMETOWN OXYGEN
30497 MAJOR MEDICAL
SUITE 500
Phone
PO BOX 6209
3109 E TATMAN COURT
SUITE 103
DOUGLAS
GA
31533
9123836671
9123830500
TEXARKANA
TX
75504
9037925395
SILVER CITY
NM
88061
5055341966
505534200
DME
TEXARKANA
TX
75504
8006789796
SUITE C
SANTA FE
NM
87505
5059899504
5059891755
DME
SUITE B
ARTESIA
NM
88210
5057480203
5057482300
DME
4201 YALE NE
SUITE D
ALBUQUERQUE
NM
87107
5053438761
5053438783
DME
SUITE B
CLOVIS
NM
88101
5057625352
5057625368
DME
#A-6
ESPANOLA
NM
87532
5057535817
5057471494
DME
GALLUP
NM
87301
5058635220
5058639925
DME
HOBBS
NM
88240
5053938822
5053930882
DME
PO BOX 2080
TEXARKANA
TX
77504
9037925395
ROSWELL
NM
88203
5056251400
5056251334
PO BOX 2080
TEXARKANA
TX
75504
9037925395
PO BOX 9901
CLEARFIELD
UT
84089
8019261335
CEDAR CITY
UT
84720
4355867666
DME
ST GEORGE
UT
84770
4356736664
4356730651
DME
PO BOX 2080
SUITE 13
Medicare PLUS
Group PPO
DME
continued
115
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 2080
TEXARKANA
TX
75504
9037925395
PAMPA
TX
79065
8066655571
8066658986
DME
AMARILLO
TX
791064130 8063539191
8063539298
DME
PO BOX 266
MIFFLINBURGH
PA
17844
5709669863
FRANKLIN
PA
163231132 8144323548
8144323677
PO BOX 266
MIFFLINBURG
PA
17844
5709669863
PUNXSUTAWNEY
PA
157672609 8149387770
8149388719
MIFFLINBURG
PA
17844
5709669863
TUTUSVILLE
PA
17844
8148274026
8148279829
MIFFLINBURG
PA
17844
5709669863
1464 N MAIN ST
SUITE 3
SUITE A
PO BOX 266
DME
DME
DME
POTTSTOWN
PA
194643814 6109703900
6109706154
MIFFLINBURG
PA
17844
5709669863
BEDFORD
PA
155221268 8146235240
8146233936
DME
SOMERSET
PA
155011640 8144452423
8144453678
DME
PO BOX 16190
DULUTH
MN
55816
2187227117
GALLIPOLIS
OH
456311860 7404467283
7404413072
DME
JACKSON
OH
456402100 7402867484
7402863404
DME
CLEARFIELD
UT
84089
8019261335
CALIENTE
NV
89008
7757263980
7757263981
DME
7023844790
DME
30575 VITALCARE
SUITE 102
PO BOX 266
SUITE 18
PO BOX 9901
1194784413 VITALCARE
1629037916 VITALCARE
SUITE B
LAS VEGAS
NV
891183840 7023842424
PO BOX 9901
CLEARFIELD
UT
84089
8008451378
PO BOX 9901
CLEARFIELD
UT
84089
8019261335
DME
BLGD B #290
SHOW LOW
AZ
85901
9285327719
9285327903
DME
SUITE A
PRESCOTT VALLEY
AZ
863143522 9287752202
9287750843
DME
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
PAYSON
AZ
855415405 9284744202
9284744276
DME
CLEARFIELD
UT
84089
PHOENIX
AZ
850212430 6029431992
6029432054
DME
PO BOX 9901
CLEARFIELD
UT
84089
SAFFORD
AZ
855462629 9283488000
9283488008
DME
TUCSON
AZ
857143291 5206281888
5206281218
DME
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
PO BOX 9901
2430 WEST MISSION LANE
SUITE 5-7
Medicare PLUS
Group PPO
8008451378
8008451378
continued
116
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
NEWTON
KS
671143441 3162834230
3162832325
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
ULYSSES
KS
67880
6203564064
6203562817
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
DME
EMPORIA
KS
668012457 6203426280
6203421175
DME
1760452742 ROTECH
SUITE 408
HUNTINGDON VALLEY
PA
190061720 2153223120
2153223231
DME
1235317090 ROTECH
SUITE 200
LINWOOD
PA
19061
610941691
6104941841
DME
PO BOX 266
MIFFLINBURG
PA
17844
5709668030
5709669863
LEDGEWOOD
NJ
78529731
9735843063
9735843164
28096 ROTECH
PO BOX 266
MIFFLINBURG
PA
17844
5709668030
5709669863
PO BOX 9901
CLEARFIELD
UT
84089
8019261335
GARDENA
CA
90248
3105326065
3105326799
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
SANTA ROSA
CA
95402
7075264675
7075267518
DME
PASADENA
CA
91103
6267963280
6267966847
DME
DME
DME
SUITE F
CENTRAL POINT
OR
97502
5416654018
5416657084
DME
UNIT D
EUGENE
OR
97402
5413930136
5416848814
DME
SUITE E6 AND
E7
PORTLAND
OR
97223
5039685281
5036390969
DME
SUITE 22
FIFE
WA
98424
2539260474
2539260742
DME
SAVANNAH
GA
31404
9123547500
BRADENTON
FL
342071544 9417395596
SUITE F
PO BOX 5087
CLEARWATER
FL
33758
8002309203
CLEARWATER
FL
33762
7275238232
SOUTHAVEN
MS
38671
8002838062
PO BOX 230
ODESSA
MO 640760230 0
PO BOX 901530
KANSAS CITY
MO 641901530 0
PO BOX 8888
TOLEDO
OH
43623088
MOUNT DORA
FL
32757
3525895818
Medicare PLUS
Group PPO
PRO
ORT
9417395717
DME
DME
PRO
ORT
continued
117
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE 3
ORANGE CITY
FL
32703
9042694993
9042694587
PRO
ORT
TAMPA
FL
33613
8136319400
8132509342
PRO
ORT
73 W UNDERWOOD STREET
ORLANDO
FL
32806
4072545011
4072545309
PRO
ORT
HOLLYWOOD
FL
33024
9549624148
9549621122
ORANGE CITY
FL
32763
3867752800
3867758999
7651 SOUTHWEST
HIGHWAY 200
OCALA
FL
344767726 3528730925
3523513267
PRO
ORT
GAINESVILLE
FL
32605
3523313399
3523319927
PRO
ORT
SUITE 205
SUITE 401
OCALA
FL
344719140 3523513207
3523513267
PRO
ORT
SUITE 806
LEESBURG
FL
347485994 3524354500
3524354516
PRO
ORT
LAKE CITY
FL
320555806 3867555774
3523319927
PRO
ORT
8123 RIDGE RD
SUITE 2
PORT RICHEY
FL
34668
SUITE 28
NAPLES
FL
341108406 2395961050
2395962764
DME
4562 MCASHTON ST
UNITS 11 & 12
SARASOTA
FL
342334400 9419268090
9419268059
DME
5935 US 27 N
SUITE 105
SEBRING
FL
33870
8633828464
8633828979
DME
7278455777
ORLANDO
FL
32811
4072060040
4072060010
ORLANDO
FL
32811
4072060040
4072060010
SUITE 101
LAKELAND
FL
33811
8639560715
8639560715
DME
SUITE 426
ST PETERSBURG
FL
337161021 7274498119
7274490784
DME
UNIT 105
NORTH PORT
FL
342899304 9414234664
8668648181
DME
MONTROSE
CO
81401
9702493700
9704978415
MONTROSE
CO
81401
9702493700
9704978415
ORLANDO
FL
32811
DME
EUSTIS
FL
327265550 3525895777
3525894355
DME
Medicare PLUS
Group PPO
continued
118
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE 500
SAINT PETERSBURG
FL
337161022 7275929131
LEESBURG
FL
34749
PO BOX 491558
Phone
Fax
8006758167
DME
3527517265
BUILDING 100
THE VILLAGE
FL
321625604 3527517265
3527514447
PRO
ORT
DME
SUITE A-4
MOUNT DORA
FL
32757
3523830065
3523830073
PRO
ORT
DME
SUITE 3
LEESBURG
FL
347484495 3527870065
3527873663
PRO
ORT
DME
RUSKIN
FL
335736805 8136420322
8136429967
DME
BROOKSVILLE
FL
346134887 3525974546
3525926461
DME
BRADENTON
FL
34205
9417475407
9417474914
23580 ARCADIA H O M E
ORLANDO
FL
32811
4072060040
4072060010
1184640393 ARCADIA H O M E
WALTERBORO
SC
29488
8435499600
8435499607
DME
PO BOX 3406
SPOKANE
WA
99220
0
DME
EUREKA
CA
955036297 7072693000
7072693005
PO BOX 492936
LEESBURG
FL
347492936 3523073511
3523071151
SUMMERFIELD
FL
344918911 3523073511
3523071151
PO BOX 160
VALDOSTA
GA
31603
2292456001
9122450703
PRO
ORT
DME
SUITE 2
ORMOND BEACH
FL
32174
3866769500
3866710071
IVT
DME
85 SW 52ND AVE
UNIT 500
OCALA
FL
34474
3526941200
3526941700
IVT
DME
GAINESVILLE
FL
32606
3523737010
9122450703
IVT
DME
LAKE CITY
FL
32025
3867587976
3867587956
IVT
DME
STARKE
FL
32091
9043680741
9043680751
IVT
DME
JACKSONVILLE
FL
32207
9043011050
8663019067
IVT
DME
IVT
DME
SUITE 102
TALLAHASSEE
FL
32308
8508944480
8508944467
4942 US HIGHWAY 98 W
FL
32459
8503149911
8503149948
FL
32401
8507852480
8507852980
IVT
DME
PERRY
FL
33247
8509739333
850979335
IVT
DME
SUITE 4
Medicare PLUS
Group PPO
DME
continued
119
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
4160 LAFAYETTE
UNIT D
MARIANNA
FL
32446
8508381005
8508381007
CRESTVIEW
FL
325398458 8506830888
8506831688
PENSACOLA
FL
32514
8504765662
8662650533
PENNINGTON GAP
VA
242771810 2765462050
2765466030
DME
CHEROKEE
NC
28719
8284973781
8284979872
DME
ORLANDO
FL
32811
4072060040
4072060010
NORRISTOWN
PA
194032331 0
6103402250
UNIT L
SUITE B
WILKES BARRE
PA
187026928 5708261900
5708261901
SUITE 205B
DME
DME
IVT
DME
DME
LOUISVILLE
KY
40202
5025842959
5025823605
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
RICHMOND
KY
40475
8596232202
8596235430
DME
ELIZABETHTOWN
KY
42701
2707691051
2707639114
DME
79 N GARDNER STREET
SCOTTSBURG
IN
47170
8127516487
8127527788
DME
LOUISVILLE
KY
40214
5023631157
5023633129
DME
CINCINNATI
OH
45237
5138217272
5138217274
DME
2991 CAMPBELLVILLE RD
COLUMBIA
KY
42728
2703845143
2703842003
DME
PO BOX 550
COLUMBIA
KY
42728
2703845143
2703842003
ALBANY
KY
42602
6063876994
6063872060
DME
LIBERTY
KY
42539
6067871874
6067871859
DME
92 J T PETTY DRIVE
RUSSELL SPRINGS
KY
42642
2708666994
2708667011
DME
STANFORD
KY
40484
6063658855
6063658774
DME
SOMERSET
KY
425031764 6066760505
6066760535
DME
SUITE 105
SUITE 100
PRO
DME
PO BOX 607
PRINCETON
KY
42445
2703653903
OWENSBORO
KY
42301
2706867000
2709264448
ORT
VINCENNES
IN
47591
8128866902
8128865473
ORT
PADUCAH
KY
42001
2704427585
2704427710
ORT
Medicare PLUS
Group PPO
DME
IVT
DME
DME
continued
120
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PRINCETON
KY
42445
2703653903
2703655543
SARASOTA
FL
342933213 9413593599
9413588392
LOUISVILE
KY
402074722 5024912000
5027360848
LOUISVILE
KY
402583914 5029351100
5029921812
EDGEWOOD
KY
410175401 8593417688
8593414476
75 NATURE TRAIL
RADCLIFFE
KY
40160
2703510203
2703520069
LOUISVILLE
KY
40217
5026377717
5026379299
PRO
ORT
NEW ALBANY
IN
47150
8129410966
8129410958
PRO
ORT
7 PHYSICIANS PARK
FRANKFORT
KY
40601
5022266611
5026295527
PRO
ORT
LEXINGTON
KY
40502
8592685708
8592685636
PRO
ORT
SUITE 1400
LOUISVILLE
KY
40202
5026298640
5026295527
PRO
ORT
SUITE 100
LOUISVILLE
KY
402074602 5028996350
5028996355
PRO
ORT
LONDON
KY
40741
6068780453
6068782130
DME
CORBIN
KY
40701
6065261107
6065261161
DME
FRANKFORT
KY
40601
5022263506
5022235016
DME
LOUISVILLE
KY
40218
5029618560
5029619807
DME
LOUISVILLE
KY
402201294 5024586277
DME
SUITE 100
IVT
PRO
DME
ORT
DME
ORT
DME
ORT
IVT
DME
82 SPRUCE STREET
MURRAY
KY
420712150 2707620602
2707593614
ORLANDO
FL
328116428 4072060040
4072060010
1315 US 68
MAYSVILLE
KY
410569132 6065639400
6065644144
APACHE JUNCTION
AZ
85219
4809823000
4809823103
CROSSVILLE
TN
38555
9314848076
PIKEVILLE
TN
37367
4234476114
4234476858
DME
FRANKLIN
TN
37067
6155997601
615997603
DME
SUITE 101
LAWRENCEBURG
TN
38464
6157629462
LAWRENCEBURG
TN
38464
9317629462
9317660842
SPRINGFIELD
TN
371723914 6153828829
6153828831
ROGERSVILLE
TN
378573175 4232726408
4232724685
4017 HIGHWAY 66 S
SUITE 7
Medicare PLUS
Group PPO
PRO
DME
DME
IVT
DME
DME
continued
121
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
LAFOLLETTE
TN
377663617 4235624928
KINGSPORT
TN
37663
MEMPHIS
TN
381480511 4233499000
JAMESTOWN
TN
38556
9318799926
9318799926
4235664044
DME
4233499000
DME
PO BOX 1197
COOKEVILLE
TN
38501
9315265545
9315265542
CROSSVILLE
TN
38555
9314849001
9314560416
DME
LOUDON
TN
37774
8654588905
8654588906
DME
LIVINGSTON
TN
38570
9314035050
9314035054
DME
KINGSTON
TN
37763
8653767044
8653767056
DME
HUNTSVILLE
TN
37756
4236634663
4235692702
ORT
DME
COOKEVILLE
TN
38501
9315287573
9315266383
ORT
DME
PO BOX 676645
DALLAS
TX
752676645 5052433993
226 WEST
CENTRAL
AVENUE
SUITE A
DME
ORT
DME
SUITE 107
TEMPE
AZ
85282
6024373330
6024530979
DME
PO BOX 429
622 COLLINS
FESTUS
MO 63028
6369377607
6369370193
DME
SPRINGFIELD
IL
62703
2177537525
2177531528
DME
CHICAGO
IL
606771006 0
PO BOX 827451
PHILADELPHIA
PA
191827451 7168273710
2035968952
DME
5054390633
DME
8136265504
DME
CHESHIRE
CT
6410
PO BOX 532697
ATLANTA
GA
303532697 8772147913
PO BOX 676458
DALLAS
TX
752676458 8887837838
ALAMOGORDO
NM
88310
ATLANTA
GA
303532612 2292570075
TAMPA
FL
336192653 8136264513
PO BOX 676683
DALLAS
TX
752676683 0
COOKEVILLE
TN
38501
9315265514
PO BOX 970592
DALLAS
TX
75397
5015372323
HOT SPRINGS
AR
719137218 5015257500
CHICAGO
IL
606771633 8009848730
SUITE 115
SUITE B
PO BOX 532612
1911 N US HIGHWAY 301
BLDG B1
SUITE 120
SUITE 3
Medicare PLUS
Group PPO
2035968940
5054343778
501525100
5015252100
DME
continued
122
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
KANSAS CITY
MO 64120
8162414141
8162412723
DME
30 COURT SQUARE
ERIN
TN
37061
9312894358
9312894500
DME
AUSTIN
TX
78756
5124514519
5123710528
DME
UNIT 8
FORT MYERS
FL
33912
2399362717
2399362631
DME
208 SCRANTON
CONNECTOR
SUITE 124
BRUNSWICK
GA
31520
9122645333
9122610634
DME
ZANESVILLE
OH
43701
7404553001
7404559260
DME
CHICAGO
IL
606771800 0
HARLINGEN
TX
78550
9564238385
9564259698
DME
SUITE 78550
TREVOSE
PA
19053
2153969009
2153967806
DME
PO BOX 820818
PHILADELPHIA
PA
19182
2153969009
PO BOX 827161
PHILADELPHIA
PA
191827161 0
JOHNSTOWN
PA
15904
8142669955
8142665055
DME
ROUTE 119
SCOTTDALE
PA
15683
7245472080
7245472585
DME
PHILADELPHIA
PA
19182
PO BOX 827555
BUILDING 6
PITTSBURGH
PA
15205
4127881171
4127889089
SUITE 4
STATE COLLEGE
PA
16801
8142349771
8142349610
DALLAS
TX
75267
PO BOX 676655
DURANGO
CO
813016580 9702595106
ATLANTA
GA
303534169 2292570075
PENSACOLA
FL
32504
8504354778
8504358366
IVT
DME
LYNN HAVEN
FL
324445446 8502656565
8502656562
IVT
DME
1850 E MAIN
CORTEZ
CO
813213081 9705653204
9705650136
PO BOX 532591
ATLANTA
GA
303532591 0
DAYTON
TN
37321
ATLANTA
GA
303532623 2292570075
EVANS
GA
30809
PHILADELPHIA
PA
191820928 8438218525
NEWARK
DE
19711
HOLLY HILL
FL
32117
DALLAS
TX
752676594 0
FL
325471550 8508631100
#2
SUITE 9
PO BOX 820928
701 INTERCHANGE
SUITE A5
PO BOX 676594
233 RACETRACK ROAD NW
SUITE A
Medicare PLUS
Group PPO
4237753619
7068680695
9702590801
DME
PO BOX 534169
DME
IVT
4237755510
DME
DME
IVT
DME
7066508094
DME
3024544941
3024541969
DME
3862537979
3892531320
DME
8508632711
IVT
DME
continued
123
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 532695
ATLANTA
GA
303532695 0
ST AUGUSTINE
FL
320866496 9048260400
9048261044
PADUCAH
KY
42001
2704439708
CHICAGO
IL
606771005 0
MCALLEN
TX
78501
9566315461
9566316010
DME
IVT
DME
TALLAHASSEE
FL
323035526 8502221723
8502224325
IVT
DME
1396710273 AMERICAN
HOMEPATIENT INC
CHATTANOOGA
TN
37404
4236229080
IVT
DME
PO BOX 532584
ATLANTA
GA
303532584 0
TAMPA
FL
33619
8136211799
8003137238
ALBANY
GA
31707
2294322027
2294365103
DME
PO BOX 532520
ATLANTA
GA
303532520 0
GREENVILLE
SC
29607
8642991116
DME
PO BOX 827379
PHILADELPHIA
PA
191827379 7169428432
HERMON
ME
4401
2079428432
2079474109
FORT LAUDERDALE
FL
33309
9546771037
9547399432
64370 AMERICAN
HOMEPATIENT INC
SUITE A
2704438727
4236229100
8642990123
DME
1295707842 AMERICAN
HOMEPATIENT INC
3375 NW 55TH ST
SUITE E
PITTSBURG
KS
667626606 0
6202325803
SUITE A
SAVANNAH
GA
314063827 9123537400
9123537560
HARTSVILLE
SC
295505738 8433838485
8433838487
DME
VICTORIA
TX
779015627 3615730025
3615730921
DME
1881664639 AMERICAN
HOMEPATIENT INC
DOVER
DE
19901
3026789736
DME
CHICAGO
IL
606771005 2175352340
JEFFERSON CITY
MO 65101
5736353652
5734430556
DME
7407753544
7407758564
DME
4142818665
DME
SUITE D
1508839069 AMERICAN
HOMEPATIENT INC
1073587531 AMERICAN
HOMEPATIENT INC
CHILLICOTHE
OH
45601
DEPT L1331
COLUMBUS
OH
432601331 2175352340
OAK CREEK
WI
53154
SUITE 105
3026780504
SUITE 121
4142818600
IVT
DME
DME
DME
IVT
DME
PO BOX 534117
ATLANTA
GA
303534117 2292570075
DOTHAN
AL
36301
3347932978
3346711621
DME
LANCASTER
SC
29720
8032856755
8032857036
DME
98 CHURCH STREET #2
DICKSON
TN
37055
6154461010
6154469022
DME
SUITE E
Medicare PLUS
Group PPO
continued
124
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PEORIA
IL
61615
3096917200
3096917280
DME
SUITE A
MT VERNON
IL
62864
6182449922
6182449966
DME
SUITE 5
COLLINSVILLE
IL
62234
6183462058
6183462196
DME
WAYCROSS
GA
31503
9122858355
9122870375
DME
VALDOSTA
GA
31602
2292442467
2292451778
DME
PO BOX 532572
ATLANTA
GA
303532572 0
FT OGLETHORPE
GA
30742
7068610903
7068664667
JACKSONVILLE
FL
32256
9044483899
9044488498
DME
NEW BRITAIN
CT
60512913
8602238325
8602291729
DME
68 BASTILLE DRIVE
PAGOSA SPRINGS
CO
811478447 9707315480
9707319405
DME
GLOBE
AZ
85501
9284255795
9284259012
DME
CHICAGO
IL
60677
8009848730
7 SOUTH MCGREGOR
AVENUE
MOBILE
AL
36608
2513805280
2513805294
PO BOX 532906
ATLANTA
GA
30353
SUITE E
IVT
IVT
DME
DME
SUITE A
FLORENCE
AL
35630
2567601099
2567601599
DME
SUITE 134
BIRMINGHAM
AL
35209
2059429400
2059429629
DME
WAYNESBORO
PA
17268
7177628141
7177654434
FLORENCE
SC
29501
8436642818
8436642821
DME
SUMMERVILLE
SC
29483
8435549785
8437741778
DME
CHICAGO
IL
606771002 0
BOWLING GREEN
KY
42104
2707818167
2707930038
DME
JOHNSON CITY
TN
37601
4232825764
4232820420
DME
SUITE B-1
BLDG 300
IVT
DME
SUITE 205
KINGSPORT
TN
37663
4232474032
4232472774
DME
SUITE 900
TULLAHOMA
TN
37388
9314558131
9314551416
DME
CHICAGO
IL
606771005 0
JACKSON
KY
41339
6066668869
6066664416
DME
7318856060
7318857426
DME
SUITE 105
SUITE 111
UNION CITY
TN
38261
PO BOX 676580
DALLAS
TX
752676580 0
4800 AVENUE F
BAY CITY
TX
77414
9792451668
9792459443
DME
LEXINGTON
KY
40505
8592947993
8592945583
DME
DALLAS
TX
752676552 0
1575 WINCHESTER RD
PO BOX 676552
SUITE 19
Medicare PLUS
Group PPO
0
continued
125
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE 270
CONROE
TX
77304
9367566060
9367566067
DALLAS
TX
75267
CORPUS CHRISTI
TX
78405
3612897177
3612892070
DME
PO BOX 676678
SUITE 125
CHICAGO
IL
606771006 0
SUITE 2
LOUISVILLE
KY
40213
5029681751
5029683395
DME
PO BOX 487
PINEVILLE
KY
40977
6063376680
6063371378
DME
SUITE 418
DALLAS
TX
75246
2148202617
2148202485
DME
9792971823
9792975822
DME
LAKE JACKSON
TX
77566
PO BOX 676537
DALLAS
TX
752676537 0
58 CONGRESS STREET
RUMFORD
ME
4276
2073648616
2073693652
DME
LONGVIEW
TX
75605
9032950818
9032953666
DME
PO BOX 676566
DALLAS
TX
752676566 0
LUBBOCK
TX
79424
8067929844
8067926100
DME
DME
51520 69TH ST
SUITE 103
CAMERON
MO 64429
8166322183
8166325100
CHICAGO
IL
60677
SAN ANGELO
TX
76904
3259426432
3256584867
CHICAGO
IL
60677
HANNIBAL
MO 63401
5732217603
5732212651
DME
DME
KIRKSVILLE
MO 63501
6606271049
6606271354
DME
MOUNTAIN GROVE
MO 65711
4179264000
4179266073
DME
PERRYVILLE
MO 63775
5735472684
5735472834
DME
# 6 PARKWAY CENTER
POTOSI
MO 63664
5734382000
5734382092
1016 KINGSHIGHWAY
STREET
ROLLA
MO 65401
5733640606
5733646998
DME
SPRINGFIELD
MO 65807
4178696708
4178695758
DME
ST LOUIS
MO 63123
3148453200
3148453254
DME
ST PETERS
MO 63376
6363796700
6363796703
DME
WARRENSBURG
MO 64093
6607477135
6607472276
DME
89 ICHORD STREET
WAYNESVILLE
MO 65583
5737741013
5737741048
DME
PO BOX 827563
PHILDEPHIA
PA
19182
0
3366251010
3366251423
DME
UNIT 4
IVT
ASHEBORO
NC
27203
PO BOX 532600
ATLANTA
GA
303532600 0
CHARLOTTE
NC
28217
7045290643
7045219515
DME
SAN ANTONIO
TX
78229
2106140110
2106140007
DME
SUITE 115
Medicare PLUS
Group PPO
continued
126
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
GASTONIA
NC
28056
7048237670
7048239525
DME
SUITE B
MONROE
NC
28112
7042837051
7042837268
DME
BLDG 2 UNIT 1
WILMINGTON
NC
284053651 9103431500
9103431551
DME
7005 WOODWAY
SUITE 203
WOODWAY
TX
76712
2547563202
2547564664
DME
CLOVIS
NM
88101
5057622964
5057622965
DME
SUITE C
FARMINGTON
NM
87401
5053269193
5053251978
DME
151 S WALNUT ST
SUITE A-5
LAS CRUCES
NM
88001
5055238572
5055253911
DME
ROSWELL
NM
88201
5056225612
5056241897
DME
SPRINGFIELD
OH
45504
9373254447
9373254812
DME
PO BOX 676486
DALLAS
TX
75267
LAKEWOOD
WA
98499
2533835783
2533835955
CHICAGO
IL
60677
MARSHFIELD
WI
54449
7153871789
7153849967
IVT
DME
8668 US HIGHWAY 51
MINOCQUA
WI
54548
7153562800
7153582763
IVT
DME
CHAMBERSBURG
PA
17201
7177090048
8143428360
IVT
DME
YAKIMA
WA
98902
5094532989
5094533450
DME
POTTSVILLE
PA
17901
5706225800
5706289684
DME
PO BOX 534456
ATLANTA
GA
303534456 0
8889064355
DME
SUITE 122
RALEIGH
NC
27617
8889064355
311 LANDURN PL
SUITE B500
CLARKSVILLE
TN
37043
9315520722
9315523152
WHEELING
WV
26003
3042425903
3042425910
DME
MARION
OH
44302
7403823050
7403873790
DME
PO BOX 532547
ATLANTA
GA
303532547 0
8602291729
DME
DME
SUITE 103
68 MAIN ST #1
DANBURY
CT
6810
PO BOX 532648
ATLANTA
GA
303532648 0
BRISTOL
VA
24201
2766420463
2764664848
PO BOX 487
CARTHAGE
TN
37030
6157359854
6157353447
WOODBURY
TN
371901045 6155631050
6155632301
DME
LEBANON
TN
370872277 6154449898
6154449808
DME
132 GORDONSVILLE
HIGHWAY
CARTHAGE
TN
370301810 6157359854
6157353447
DME
Medicare PLUS
Group PPO
2037912335
continued
127
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
LAFAYETTE
TN
370831403 6156667387
HENDERSONVILLE
TN
37075
PO BOX 532612
ATLANTA
GA
303532612 0
1335 SOUTH US 1
ROCKLEDGE
FL
329552839 3216323515
CHICAGO
IL
606771007 0
MAUMEE
OH
43537
CHICAGO
IL
606771006 0
SUITE G & F
Fax
6156666787
DME
615822888
4198663767
3216321429
IVT
DME
4198663130
DME
UNIT 20
LONDON
KY
40741
6068771625
6067872892
DME
SUITE 102
LAS VEGAS
NV
89128
7022698088
7028374395
DME
LEESBURG
FL
34748
3527873305
3527873706
DME
COLUMBUS
OH
43229
6148883119
6148424067
DME
2565331613
DME
ATLANTA
GA
303532906 5015372323
SUITE 113
HUNTSVILLE
AL
35805
DRAWER 633
PO BOX 11407
BIRMINGHAM
AL
352460633 0
BLDG C
SUITE 3
MIDDLEBURG HEIGHTS
OH
441307941 4402436100
4402436109
DME
MANSFIELD
OH
44906
4195295454
4195299728
DME
ALTAMONTE SPRINGS
FL
327142547 4078348700
4078318480
DME
BATESVILLE
AR
725017302 8707936567
8707936538
DME
PO BOX 970592
DALLAS
TX
753970592 5015372323
5016716801
DEPT L1331
COLUMBUS
OH
432601331 2175352340
2175354140
DAYTON
OH
45459
9374381909
DME
DME
PO BOX 534117
SUITE 1416
2565364442
9374380388
PO BOX 532576
ATLANTA
GA
303532576 0
1285605048 AMERICAN
HOMEPATIENT INC
LEESBURG
FL
347486631 3527873305
3527873706
ALBUQUERQUE
NM
87107
5052433309
IVT
DME
IVT
DME
SUITE F
5052435664
33467 AMERICAN
HOMEPATIENT INC
PO BOX 676458
DALLAS
TX
752676458 5052433993
PO BOX 827161
PHILADELPHIA
PA
191827161 8143426000
CHICAGO
IL
606771005 3192341705
1528030913 AMERICAN
HOMEPATIENT INC
DUBUQUE
IA
52003
5635568118
5635573136
BRYAN
OH
43506
4196366951
4196366952
ATLANTA
GA
303532631 4783746664
4783746668
EASTMAN
GA
310239007 4783746664
4783746668
PO BOX 532631
1221 PLAZA AVENUE
SUITE A
Medicare PLUS
Group PPO
DME
DME
continued
128
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
PO BOX 676683
DALLAS
TX
752676683 5052433993
GRANTS
NM
87020
PO BOX 827132
PHILADELPHIA
PA
191827132 7168273710
PLEASANT VALLEY
NY
12569
SUITE 3
Phone
5052877244
Fax
5052877010
DME
8454633100
8454632385
DME
DME
1335 US ROUTE 44
15704 MCMULLEN
HIGHWAY SW
CUMBERLAND
MD
21502
2403620004
2403620248
MASON CITY
IA
50401
6414237500
6414232493
IVT
DME
CHICAGO
IL
606771006 2172818600
WATERLOO
IA
50702
3192333270
3192355244
IVT
DME
CLIVE
IA
50325
5152541121
5152541013
IVT
DME
OTTUMWA
IA
52501
6416828555
6416844532
SUITE 5
NORTH LIBERTY
IA
523178402 3193519338
3193515784
SUITE 400
MARSHALLTOWN
IA
50158
6417533200
6417534016
DECORAH
IA
52101
5633828477
5633824648
DUBLIN
GA
31021
4782754495
4782759924
PO BOX 532605
ATLANTA
GA
303532605 0
SUITE 3
DME
IVT
DME
DME
IVT
DME
DME
PO BOX 676499
DALLAS
TX
752676499 0
JONESBORO
AR
72401
8709721580
8709721582
DME
DRAKE MALL
TITUSVILLE
PA
16354
8148274644
8148274079
DME
YORK
PA
17402
7177415353
7177415335
SIOUX FALLS
SD
57106
6053346471
6053346599
DANVILLE
KY
40422
8592387777
8592387715
ROCHESTER
MN
55906
5072814884
5072810559
IVT
DME
DAVENPORT
IA
528061366 5633888270
5633880231
IVT
DME
SIOUX CITY
IA
51103
7122577000
7122336023
IVT
DME
WEST BURLINGTON
IA
52655
3197542173
3197542178
DME
FORT DODGE
IA
50501
5155761937
5155765831
DME
1150 S GREEN
MS
38804
6628421100
6628421456
DME
ATLANTA
GA
303532679 0
CONCORD
NC
28027
7047865600
7047865606
DME
7046338333
7046331399
DME
9106421001
DME
SUITE 1
UNIT E
PO BOX 532679
SALISBURY
NC
28144
PO BOX 532520
ATLANTA
GA
603532520 0
WHITEVILLE
NC
28472
PO BOX 532600
ATLANTA
GA
303532600 0
SUITE 190
Medicare PLUS
Group PPO
9106421000
DME
IVT
DME
DME
continued
129
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE 20
WINSTON SALEM
NC
27106
3367677600
336767112
DME
11444 DEERFIELD RD
SUITE M
CINCINNATI
OH
45242
5137697500
5137697693
DME
HEALTH
OH
43056
7405223905
7405225644
DME
PHILADELPHIA
PA
191827576 3046451058
CHARLOTTESVILLE
VA
22902
4342930734
ATLANTA
GA
303532552 0
PO BOX 827576
1965 & 1967 SNOW POINTE
SUITE A & B
PO BOX 532552
4342938737
DME
CHESAPEAKE
VA
23320
7575235400
7575234243
DME
SUITE 4
HARRISONBURG
VA
22801
5405740259
5405740279
DME
SUITE 160
ONALASKA
WI
54650
6087799900
6087799909
8338 WASHINGTON
AVENUE
SUITE 104
RACINE
WI
53406
2626331111
2626330469
DME
LEWISBURG
WV
24901
3046456351
3046451066
DME
RAINELLE
WV
25962
3044387911
3044387946
DME
TWINSBURG
OH
44087
3304053939
3304251843
DME
9182500449
9182500116
DME
8148491901
DME
TULSA
OK
74146
PO BOX 827161
5727 S GARNETT
SUITE L
PHILADELPHIA
PA
191827161 814342600
62 BARNETT STRETT
BROOKVILLE
PA
15825
8148495353
IVT
DME
PO BOX 676630
DALLAS
TX
752676630 0
ERIE
PA
16509
8148644974
8148641177
DME
# I-109
LEWISTOWN
PA
17044
7172422766
7172422339
DME
SUITE 3
MILL HALL
PA
17751
5707481005
5707481063
DME
PHILIPSBURG
PA
342071544 16866
8143424412
DME
NEWPORT NEWS
VA
23606
7575994627
DME
ATLANTA
GA
303532657 0
BENTONVILLE
AR
72712
4797704000
4797704008
DME
PARAGOULD
AR
72450
8702392101
8702392102
DME
#D1
PO BOX 532657
1659367928 AMERICAN
HOMEPATIENT INC
SUITE 400
NASHVILLE
TN
37211
6155910389
6155910483
SUITE A
SUWANEE
GA
30024
7708147536
8773810533
ATLANTA
GA
303532572 2292570075
DALLAS
TX
752676499 0
LITTLE ROCK
AR
72210
5019071001
5019071003
PO BOX 532572
PO BOX 676499
SUITE B
7575994625
CLARKSVILLE
TN
370434539 9316482155
9316474952
CLARKSVILLE
TN
370434539 9316482155
9316474952
SUITE 4000
Medicare PLUS
Group PPO
IVT
PRO
ORT
DME
continued
130
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
CLARKSVILLE
TN
370434539 9316482155
9316474952
CLARKSVILLE
TN
370434539 9316482155
9316474952
GLASGOW
KY
421419020 2706787290
2706781271
PRO
ORT
DME
BOWLING GREEN
KY
42103
2707800073
2707829962
PRO
ORT
DME
RUSSELLVILLE
KY
422761937 2707261200
2707268644
PRO
ORT
DME
TULLAHOMA
TN
373884385 9314550111
9314554114
PO BOX 532580
ATLANTA
GA
30353
ONEIDA
TN
37841
4235696488
4235692326
KNOXVILLE
TN
37932
8657772802
8659663814
6152783355
SUITE 202
DME
MURFREESBORO
TN
371291522 6158950186
PO BOX 532657
ATLANTA
GA
30553
ROCK HILL
SC
29732
8033666666
8033281287
DME
1649245523 AMERICAN
HOMEPATIENT INC
NASHVILLE
TN
37211
6158320881
6158321205
DME
PO BOX 532697
ATLANTA
GA
303532697 0
JACKSON
TN
38305
7314233646
7314225031
GAINESVILLE
FL
326084716 3522445200
3522445204
PO BOX 534169
ATLANTA
GA
303534169 0
PO BOX 532674
ATLANTA
GA
303532674 0
COLUMBIA
SC
29223
8037146550
PO BOX 532558
ATLANTA
GA
303532558 8438218525
SANFORD
NC
27332
9197742168
DME
DME
SUITE 305
SUITE 506
UNIT 80
8037146544
9197742385
PO BOX 828040
PHILADELPHIA
PA
191828040 0
SALISBURY
MD
218046932 4107423711
4107427443
ONANCOCK
VA
232417
7577873163
7577874179
PO BOX 1845
NEW TAZEWELL
TN
37824
4236263315
4236260515
TAZEWELL
TN
37879
4236263315
4236260515
4235812020
4235812040
MORRISTOWN
TN
37813
CHICAGO
IL
606771005 0
OMAHA
NE
68127
4024450601
Medicare PLUS
Group PPO
4024450600
ORT
DME
DME
IVT
DME
DME
IVT
DME
DME
IVT
PRO
ORT
DME
DME
IVT
DME
continued
131
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE 500
NORFOLK
NE
68701
4023710255
4023710258
DME
LINCOLN
NE
68512
4024207744
4024207046
DME
ATLANTIC
IA
50022
7122435200
7122435205
DME
SUITE H
HASTINGS
NE
68901
4024636268
4024636271
DME
SUITE B
BEATRICE
NE
68310
4022283870
4024207046
DME
PO BOX 827161
PHILADELPHIA
PA
191827161 0
WILKES BARRE
PA
18706
5707062070
5707062076
HUNTSVILLE
AL
358054103 2565348672
2565399755
PRO
OPELIKA
AL
368016062 3347454691
3347452090
PRO
GRANT
AL
35747
2567284217
2567285603
DME
ORT
GRANT
AL
35747
2567284217
2567285603
PO BOX 536576
ORLANDO
FL
328536576 4072461226
4076482297
ANNISTON
AL
362061664 2568207766
2568207778
DME
ROANOKE
AL
36274
3348635998
DME
PO BOX 536576
ORLANDO
FL
328536576 0
4076482319
MUSCLE SHOALS
AL
35661
2563865220
2563865223
DME
FLORENCE
AL
356301747 2567405515
2567405519
DME
FLORENCE
AL
35630
2567640092
2567405503
DME
BIRMINGHAM
AL
35210
2058382434
2058362170
DME
PO BOX 532688
ATLANTA
GA
30353
MONTGOMERY
AL
36117
3346130303
3346130202
DME
SUITE 3B
SUITE 2000
3348635997
DME
PO BOX 10
PICAYUNE
MS
39466
6017984846
6017984825
110 HWY 11 N
PICAYUNE
MS
394663312 6017984846
6017984825
BROOKHAVEN
MS
396012642 6018352555
6018352521
ORT
IVT
DME
MCCOMB
MS
39648
ORT
IVT
DME
CLEVELAND
MS
387328551 6628437007
6628437071
DME
909 DESOTO
CLARKSDALE
MS
386146930 6626277702
6626277889
DME
INDIANOLA
MS
387512236 6628874055
6628840888
DME
SUITE C
BUILDING 27
Medicare PLUS
Group PPO
6016842871
DME
continued
132
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
7290 SW 42 TERRACE
MIAMI
FL
331554532 3052641730
3052647127
PO BOX 9720
TAVERNIER
FL
330709720 3058524393
3058520861
ISLAMORANDA
FL
33036
3058524393
3058520861
FORT MYERS
FL
33919
2399390009
2399395626
PRO
ORT
NAPLES
FL
34102
2396436673
2399395626
PRO
ORT
LAKE WORTH
FL
33461
5614331556
5614335298
PRO
ORT
SUITE A
FL
33418
5616277727
PRO
ORT
SUITE A
FORT MYERS
FL
33907
5616277727
PRO
ORT
UNIT # 1
PORT CHARLOTTE
FL
339525300 9416294000
9416294094
PRO
ORT
1685 NW FEDERAL
HIGHWAY
STUART
FL
349949629 7722329790
7722329640
PRO
ORT
MELBOURNE
FL
32904
3217241877
3217241936
PRO
ORT
BELLE GLADE
FL
33430
5616277779
PRO
ORT
LAKE WORTH
FL
33461
5619675112
5619671186
PRO
ORT
LEHIGH ACRES
FL
33936
2392745555
2372745556
PRO
ORT
PEMBROKE PINES
FL
33024
9544320355
9544322026
PRO
ORT
FORT MYERS
FL
33912
2392759200
2392759440
OCOEE
FL
34761
4076568008
PLANTATION
FL
333172834 9545841954
9545847794
PRO
ORT
FL
334093239 5612270036
5612270039
PRO
ORT
BRADENTON
FL
342094630 9417983558
9417983626
PRO
ORT
FL
33573
8136337232
9417983626
PRO
ORT
PRO
ORT
SUITE 104
SUITE 117
INVERNESS
FL
34452
3527260111
3527265153
5001 NW 72 AVE
MIAMI
FL
331663019 3058835033
3058838373
8260 NW 27 STREET
MIAMI
FL
331221903 3054366033
3054361137
MIAMI
FL
331261610 3054366033
3054361137
1480 NORTHWEST 79
AVENUE
SUITE 401
Medicare PLUS
Group PPO
IVT
DME
DME
DME
SUITE 17
DME
ORT
IVT
DME
DME
continued
133
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
CHICAGO
IL
60674
2395613456
Fax
FORT MYERS
FL
339138852 2395613456
2395614164
PO BOX 60171
FORT MYERS
FL
33906
2399313131
2399313133
FORT MYERS
FL
339071055 2399313131
2399313133
DME
MIAMI
FL
33155
3052672278
3052672279
DME
2870 US HIGHWAY 17
NORTH
WINTER HAVEN
FL
33881
8632936533
8632934722
DME
ZEPHYRHILLS
FL
33542
8137809108
8137820079
DME
NICEVILLE
FL
32578
8507291166
8506789245
DME
FORT LAUDERDALE
FL
333124828 8009162004
8009161982
DME
HALLANDALE BEACH
FL
330095326 9544577433
9544577453
DME
ORLANDO
FL
328116500 4073160010
4073160133
DME
ORLANDO
FL
32811
4072060040
4072060010
PORT CHARLOTTE
FL
33952
9412351840
9412351842
41 ACME ROAD
SUITE 6
BREWER
ME
44121543
2079922660
2079922661
SUITE 105B
AUSTIN
TX
787358720 5125382700
5125382701
SUITE 105
DALLAS
TX
752443200 9722335433
9722335435
CHICAGO
IL
60674
2488481073
2488481343
FARMINGTON HILLS
MI
483315723 2488481073
2488481343
CHICAGO
IL
60674
6169972611
6169972620
COOPERSVILLE
MI
494041344 6169972611
6169972620
SUITE 102
SUITE 100
CHICAGO
IL
60674
4253483600
DALLAS
TX
75520
2142921000
2142921001
CARMEL
IN
460325804 3175757777
3175757788
CONCORD
CA
945207925 9252888890
9252888899
SUITE B
Medicare PLUS
Group PPO
IVT
DME
DME
DME
IVT
IVT
IVT
DME
continued
134
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
City
ST
ZIP
Phone
Fax
ATHENS
AL
35611
2562169100
2562169108
LATROBE
PA
15650
7245321901
DALLAS
TX
752676669 5052433993
DALLAS
TX
752676615 0
TYLER
TX
757018437 9035612344
PO BOX 676482
DALLAS
TX
752676482 0
TEMPLE
TX
76504
PO BOX 970592
DALLAS
TX
753970592 5015372323
MOUNTAIN HOME
AR
72653
PO BOX 676669
PO BOX 676615
Address 2
SUITE 3
SUITE 100
9035612331
DME
2547712259
DME
8704242404
8704242672
DME
2547712257
BRYAN
TX
77802
9798460081
9792682718
DME
FORT SMITH
AR
72902
4796496363
4796496262
DME
EL DORADO
AR
71703
8708637300
8708634266
DME
HARRISON
AR
72601
8707419044
8707419050
DME
MENA
AR
71953
4793946242
4793940118
DME
3014 W 28TH ST
PINE BLUFF
AR
71603
8705368334
8705368336
DME
RUSSELLVILLE
AR
72801
4799686275
4798808345
DME
WARREN
AR
71671
8702267797
8702267969
DME
LUFKIN
TX
75904
9366344497
9366346518
DME
PO BOX 21
DE QUEEN
AR
718320021 8703862144
8663154148
GRANNIS
AR
719449479 8703862144
8663154148
PO BOX 8910
LITTLE ROCK
AR
72219
5018882345
HOT SPRINGS
AR
71913
5015251188
5015259922
DME
SUITE 12
SUITE 107
DME
MABELVALE
AR
72103
5014559999
5014555474
DME
BENTON
AR
72015
5013155587
5013155589
DME
CONWAY
AR
72032
5013280202
8707935837
FORT SMITH
AR
72916
4796481700
4796481707
DME
RUSSELVILLE
AR
72802
4798586111
4799678196
DME
SEARCY
AR
72143
5012684500
DME
SPRINGDALE
AR
72764
4799272777
4799272725
DME
MONTOURSVILLE
PA
17754
5703227276
5703228582
LEWISBURG
PA
17837
5705228060
5705228022
SUITE H
ORT
SUITE B-9
SUITE D
Medicare PLUS
Group PPO
DME
continued
135
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
LOCK HAVEN
PA
17745
5708937550
5708937553
DME
86 MAIN STREET
WELLSBORO
PA
16901
5707241515
5707241654
DME
WILLIAMSPORT
PA
17701
5703266521
5703238310
DME
SUITE 109
SOUTHFIELD
MI
480341540 2484405311
2484405351
4600 HWY 22
SUITE 1
MANDEVILLE
LA
704712891 9856261135
9856261174
TEXARKANA
TX
75504
9037925395
PO BOX 2080
PRO
DME
ORT
OKLAHOMA CITY
OK
73108
4059421405
4059421485
DME
1689660706 ALTERNACARE
MUSKOGEE
OK
74401
9186827773
9186820496
DME
31563 ALTERNACARE
OKLAHOMA CITY
OK
73135
4056729044
DME
31564 ALTERNACARE
SALLISAW
OK
74955
9187754845
DME
DME
1710973854 ALTERNACARE
SUITE C
ORT
TULSA
OK
74145
9186277773
PO BOX 2080
TEXARKANA
TX
75504
9037925395
ADA
OK
74820
5804361102
DME
SHAWNEE
OK
74802
4052731102
4052735086
DME
OKLAHOMA CITY
OK
731122937 4057457878
4058091478
LITTLE ROCK
AR
722234696 5012179900
8662179998
MONTROSE
CO
81401
9702493700
9704978415
32343 AEROCARE
1295773752 AEROCARE
1609814136 AEROCARE
802 AVENUE E
SUITE 1, 2
AND 3
ELY
CO
893011558 7752899933
7752899935
DME
4620 S ARVILLE
SUITE E
DME
LAS VEGAS
NV
891035356 7022572575
7022572579
MONTROSE
CO
81401
9702520212
9704978415
HANOVER
IN
472439440 8128666572
8128666560
DME
BEREA
KY
40403
8599860002
8599860017
DME
LOUISVILLE
KY
402145571 5023674360
5023674257
DME
8 E STOW RD
MARLTON
NJ
80533161
8567971510
8567971520
7322518000
SUITE 200
ORT
DME
PO BOX 694
OLD BRIDGE
NJ
8857
SAN ANTONIO
TX
782167218 2102240726
2103413164
PRO
ORT
NEW BRAUNFELS
TX
78130
8306063829
PRO
ORT
PO BOX 203084
HOUSTON
TX
772163084 0
DME
LVIONIA
MI
48150
DME
Medicare PLUS
Group PPO
8306062716
continued
136
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
0
GRAND BLANC
MI
48439
1975 WALDORF
NORTHWEST
SUITE E
GRAND RAPIDS
MI
495441404 6167351984
SUITE 500
ORLANDO
FL
32819
4078561076
TAMPA
FL
33619
8132418387
PHOENIX
AZ
LITTLE ROCK
KAUKAUNA
5 PEQUIGNOT DRIVE
Fax
DME
DME
DME
850431709 0
DME
AR
722093522 5015623647
DME
WI
541301194 9207669588
DME
PIERCETON
IN
465629081 5742891899
DME
FORT MYERS
FL
339121028 2399362832
DME
SYLVANIA
OH
435609418 0
DME
HARRISBURG
PA
171111344 7175614479
DME
16 HOLLAND DRIVE
NEWINGTON
CT
61115533
SAN BERNARDINO
CA
924082414 9093835041
DME
INDIANAPOLIS
IN
462781349 8124791361
DME
WILMINGTON
NC
284126304 9103927919
SPARTANBURG
SC
293036651 0
DME
SAN JOSE
CA
951121418 0
DME
2000 PEWAUKEE RD
WAUKESHA
WI
531882446 2625248347
DME
ENGLEWOOD
CO
80110
DME
CAPE GIRARDEAU
MO 637017514 5733352182
GAINESVILLE
FL
326080306 0
SUITE B & C
LAS VEGAS
NV
891186813 0
UNIT 3
SEWICKLEY
PA
151432306 4127412089
134 CENTERPOINT
BOULVARD
PITTSTON
PA
186406133 0
DME
VIRGINIA BEACH
VA
23453
DME
NORCORSS
CA
300712340 7704093963
DME
960 INDUSTRIAL DR
ELMHURST
IL
601261119 6308328548
DME
SUITE 20
MEMPHIS
TN
381347438 9093835041
11801 NW 100TH RD
SUITE 3
MEDLEY
FL
331781040 3058050176
DME
TEMPLE
TX
765046950 2547735264
DME
SHREWSBURY
MA
15454051
SUITE 101
SUITE 107
SUITE 750
Medicare PLUS
Group PPO
8606657491
3037895973
DME
DME
DME
5088420183
continued
137
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
LOUISVILLE
KY
402131829 5024850769
DME
SAN ANTONIO
TX
782304726 2104249000
DME
21195 IH 10 WEST
SUITE 1101
SAN ANTONIO
TX
782571675 2106979933
2106978753
DME
SUITE 3
EAGLE PASS
TX
78852
8307574416
8307575550
DME
918 E HIGHWAY 97
PLEASANTON
TX
780642730 8302815360
8302815354
DME
LAREDO
TX
780416837 9567532211
9567532266
DME
1548357056 MEDICARE EQ
SPECIALTIES INC
1401 S AUSTIN
BRENHAM
TX
77833
9798361240
9798366556
1952473142 MEDICARE EQ
SPECIALTIES INC
BRYAN
TX
77802
9797763776
1275605362 MEDICARE EQ
SPECIALTIES INC
888 GRAHAM
TOMBALL
TX
77375
2813570778
2813574300
DALLAS
TX
752676552 0
HOUSTON
TX
77081
7136613392
CHICAGO
IL
606771005 0
MT PLEASANT
TX
75455
9035720366
PO BOX 676615
DALLAS
TX
752676615 0
NACOGDOCHES
TX
75961
9365645929
9365692516
DME
PARIS
TX
75460
9037858555
9037853571
DME
MONTROSE
CO
81401
9702493700
9704978415
SAN ANTONIO
TX
78238
2108040565
2108041475
DALLAS
TX
753915033 0
8662191620
TRAINER
PA
19013
8888793072
SUITE 105
PO BOX 676552
7700 RENWICK DRIVE
SUITE 10-B
SUITE I
#107
PO BOX 915033
9035721010
ORT
DME
DME
2 NEALY BLVD
CRANBERRY TOWNSHIP
PA
160666426 7247729630
8888793072
HANOVER TOWNSHIP
PA
187065448 5708228798
8665041352
PO BOX 915033
DALLAS
TX
753915033 0
8665041352
WEST SENECA
NY
142243332 7167120881
7167120882
ODESSA
TX
797614413 4323323621
4323325946
DME
DEL RIO
TX
78840
8307750442
9037925395
DME
TEXARKANA
TX
75504
9037925395
MIDLAND
TX
797035529 4326990214
4326860681
TEXARKANA
TX
75504
9037925395
SUITE F
PO BOX 2080
4310 W ILLINOIS AVE
PO BOX 2080
SUITE 140
Medicare PLUS
Group PPO
DME
SUITES 5 & 6
7136613373
ORT
ORT
DME
continued
138
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
ST
ZIP
Phone
Fax
MINERAL WELLS
TX
76067
9403252599
9403253918
DME
DALLAS
TX
752676602 0
SUITE 138
SUNNYVALE
TX
751829301 9727800101
9722838178
DME
TOAS
NM
87571
5757512066
5757512074
DME
TEXARKANA
TX
75504
9037925395
PO BOX 676602
City
PO BOX 2080
TX
79936
9157720767
9158571834
PO BOX 2080
TEXARKANA
TX
75504
9037925395
UVALDE
TX
78801
8302788101
8302788163
DME
LAS CRUCES
NM
88005
5055410310
5055274794
DME
TEXARKANA
TX
75504
9037925395
ABILENE
TX
79605
3256927059
3256988235
TEXARKANA
TX
75504
9037925395
SUITE 1
PO BOX 2080
4102 BUFFALO GAP ROAD
SUITE 1
PO BOX 2080
DME
LUBBOCK
TX
794073752 8067971977
8067971999
DME
PLAINVIEW
TX
790729562 8062967665
8062967886
DME
MONTROSE
CO
81401
9702520212
9702498421
ABILENE
TX
796037004 3256723030
3256722030
DME
AMARILLO
TX
791096263 8064679011
8064678978
DME
BIG SPRING
TX
797204323 4322676994
4322676997
DME
BROWNWOOD
TX
768015331 3256412960
3256412939
DME
HIGHWAY 83 N
CHILDRESS
TX
79201
9409373370
9409373735
DME
SUITE B
DELEON
TX
764442739 2548934330
2548934332
DME
#160
EASTLAND
TX
764483050 2546292225
2546292343
DME
SUITE A
GEORGETOWN
TX
78628
5128698900
5128698901
DME
LUBBOCK
TX
794133240 8067921418
8067924569
DME
3516 E UNIVERSITY
ODESSA
TX
797616957 4325506500
4323621186
DME
SAN ANGELO
TX
769046801 3259471983
3259421973
DME
LEWISVILE
TX
75056
9729188401
PO BOX 849806
DALLAS
TX
752849806 0
5133989573
LONGVIEW
TX
756055000 9032360886
9032369786
314 S MORGAN ST
GRANBURY
TX
760481956 8175735539
8175795516
DECATUR
TX
76234
9406275730
SUITE D
DME
C-29
#C
Medicare PLUS
Group PPO
9729188300
9406277974
ORT
DME
continued
139
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE 333
DENTON
TX
762055123 9402439009
9403815227
DME
HOUSTON
TX
770736131 2812090270
2812099568
DME
PO BOX 2080
TEXARKANA
TX
75504
9037930966
HILLSBORO
TX
76645
2544802999
8545825854
DME
CLEBURNE
TX
76033
8175582022
8176456077
DME
SUITE 120
IRVING
TX
750626024 9722562030
9722562065
DME
SUITE 105
DALLAS
TX
752373974 9722838380
8003513767
DME
FORT WORTH
TX
761165939 8172447052
8175604975
DME
GREENVILLE
TX
754027393 9034501313
9034543170
DME
RICHARDSON
TX
750812424 9724370094
9724979658
DME
SUITE L
SHERMAN
TX
750902839 9038929963
9038939224
DME
SUITE 85
WEBSTER
TX
775985346 2813325183
2813324482
DME
4421 19TH ST
LUBBOCK
TX
79410
8067991518
8067995462
PRO
ORT
10 ELDAD RD
FAYETTEVILLE
TN
373347005 9314335001
9314335020
PRO
ORT
LATHRUP VILLAGE
MI
48076
2484247395
2484247397
SUITE A
CAMERON
MO 64429
8166325228
8166325229
ORT
SUITE A
CAMERON
MO 64429
8166325228
8166325229
ORT
Phone
Fax
PO BOX 554
ASHLAND
KY
41105
6063250692
6063250696
ASHLAND
KY
411014009 6063250692
6063250696
PRESCOTT VALLEY
AZ
863142328 9287758282
9287758869
PO BOX 2047
TEXARKANA
TX
75504
9037925395
PARIS
TX
75460
9037850390
9037858601
HOUSTON
TX
77079
2815316582
2815316923
2233 E MAIN ST
MONTROSE
CO
81401
9702493700
9704978415
SUITE C
DME
PRO
ORT
DME
DME
DME
SUITE 200
CONROE
TX
77302
9364412224
9367882225
DME
8850 JAMEEL
SUITE 170B
HOUSTON
TX
770405050 7134620222
7134621888
DME
#176B
HOUSTON
TX
770345365 2814815220
2814815201
DME
75 N PROFESSIONAL BLDG
14 HIGHWAY
75 SOUTH
HUNTSVILLE
TX
773203899 9362910173
9362910198
DME
Medicare PLUS
Group PPO
continued
140
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE 100
HOUSTON
TX
77032
2813590062
2813590064
DME
SUITE E
LAGRANGE
TX
789455153 9799688093
9799688098
DME
SUITE D
LONGVIEW
TX
756016409 9035539858
9035539853
DME
1508 S CHESTNUT
SUITES 4 AND
5
LUFKIN
TX
759013109 9366343683
9366343703
DME
TEXARKANA
TX
755013580 9032239001
9037948666
DME
#7 AND 8
HATTIESBURG
MS
394048551 6012966811
6012969112
DME
1310 WEATHERFORD
HIGHWAY
SUITE 204
GRANDBURY
TX
760484828 8175788970
8175788971
DME
MONTROSE
CO
81401
9702406760
9704978415
DALLAS
TX
752345772 9722478700
9722478784
DME
DENISON
TX
750207807 9034638988
8775409422
DME
FORT WORTH
TX
761401012 8174668499
8174668925
DME
MESQUITE
TX
751501223 2142679000
2142678222
DME
SUITE 101
SANGER
TX
762669613 9404583744
9404583813
DME
SUITE 314
WACO
TX
767126170 2547530700
2547517158
DME
#108
OKLAHOMA CITY
OK
73108
4059432200
4059432208
DME
HOUSTON
TZ
770452005 7134347033
7134347066
DME
ATASCADERO
CA
934223954 3054661296
3054669504
PRO
ORT
310 S HALCYON RD
ARROYO GRANDE
CA
93420
8054819666
8054669504
PRO
ORT
WIXOM
MI
483932318 2484910276
2484910279
1962459537 RESPIRTECH
ROSEVILLE
MN
55113
6513798999
6513798998
ORLANDO
FL
32811
4072060040
4072060010
MARIETTA
GA
300674440 7704264310
7704264349
SUITE 400
# 104
Medicare PLUS
Group PPO
DME
DME
continued
141
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE 4
MOOSIC
PA
18507
5703437883
5703437886
TRAVERSE CITY
MI
496849689 2319460550
2319460559
EL PASO
TX
799353513 9155931500
9155931501
PO BOX 9901
CLEARFIELD
UT
84089
8019261335
CODY
WY
824148445 3075874953
3075277841
SUITE 14-B
DME
DME
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
BILLINGS
MT
59101
4062459792
4062457040
DME
BOZEMAN
MT
59715
4065861262
4065862549
DME
BUTTE
MT
59701
4064946900
4064946906
DME
GLENDIVE
MT
59330
4063655995
4063655329
DME
BLACK EAGLE
MT
594141053 4064520202
4064520462
DME
HARDIN
MT
59034
4066652886
4066653110
DME
HAVRE
MT
59501
4062653273
4062656991
DME
HELENA
MT
59601
4064433716
4064471430
DME
KALISPELL
MT
59901
4067524818
4067569126
DME
15 NORTH 8TH
MILES CITY
MT
59301
4062321321
4062324309
DME
MISSOULA
MT
59801
4067284315
4065422180
DME
58 CENTRAL AVENUE
STANFORD
MT
59479
4065662246
4065662246
DME
RIVERTON
WY
82501
3078569415
3078568616
DME
SHERIDAN
WY
828012745 3076729021
3076728367
DME
WORLAND
WY
824018726 3073476475
3073472126
DME
PO BOX 9901
CLEARFIELD
UT
84089
8019261335
386 WASHINGTON
MONTPELIER
ID
83254
2088473300
2088472612
DME
44 N PINE STREET
BLACKFOOT
ID
832212052 2087850511
2087851064
DME
IDAHO FALLS
ID
834048012 2085232700
2085232720
DME
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
SPOKANE VALLEY
WA
99206
5099274682
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
COEUR ALENE
ID
83814
2087655255
SUITE 115
UNIT F
SUITE 1
Medicare PLUS
Group PPO
5099265640
2087650930
DME
DME
continued
142
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
BREMERTON
WA
98310
3604796769
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
3604798811
Fax
CASPER
WY
82609
3072377353
3074723977
DME
6002 US HWY 30
UNIT 1
CHEYENNE
WY
82001
3076358866
3076355685
DME
SUITE 106
LARAMIE
WY
82070
3077455716
3077457859
DME
SUITE 4
ROCK SPRINGS
WY
82901
3073621419
3073627439
DME
SCOTTSBLUFF
NE
69361
3082200071
3082204036
DME
WHEATLAND
WY
822012914 3073224719
3073223118
DME
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
HOHENWALD
TN
384622054 9317961584
9317965178
PO BOX 189
HOHENWALD
TN
38462
9318408694
9313887878
NASHVILLE
TN
37203
6155153669
6155153649
DME
SUITE B
MURFREESBORO
TN
371290571 6152252180
6152282184
DME
SUITE 330
CHATTANOOGA
TN
374212956 4236489856
8887115775
DME
COLUMBIA
TN
384014806 9318408694
9313887878
DME
17 CHARLES STREET
BINGHAMTON
NY
139052224 6075845560
6075845561
DME
WEST PITTSTON
PA
186432839 5706021069
5706021069
DME
MONTROSE
CO
814013705 9702409556
9702400871
MONTROSE
CO
814013931 9702409556
9702400871
GUNNISON
CO
812302412 9706416036
9706416108
DME
DELTA
CO
814162814 9708742828
9708745137
DME
DME
DME
DURANGO
CO
813017748 9702595333
9702597628
LAFAYETTE
IN
47903
7654486685
7654464287
CRAIG
CO
81625
9708248347
9708242703
DME
FARMINGTON
NM
87401
5053263705
5053263788
DME
27 N HARRISON ST
CORTEZ
CO
813213313 9705657699
9705657861
DME
PO BOX 6209
LAFAYETTE
IN
479036209 7654486685
7654464287
GRAND JUNCTION
CO
815015747 9702459054
9702439028
DME
UNIT 3
DENVER
CO
805242565 9702242828
9702242517
DME
SUITE 8
LAMAR
CO
81052
7193365328
DME
UNIT B-1
IVT
PO BOX 6209
SUITE 1
DME
SUITE B
Medicare PLUS
Group PPO
7193364779
continued
143
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
215 CARSON
ALAMOSA
CO
811012341 7195893889
7195893905
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
SUITE A & B
COLORADO SPRINGS
CO
809164072 7195201414
7196344002
DME
SUITE C
DENVER
CO
802475786 3034810187
3032379034
DME
SUITE 105B
LAFAYETTE
CI
800269554 3036657009
3036657945
DME
SUITE C
PUEBLO
CO
810082088 7195441414
7195431414
DME
MONTROSE
CO
81401
9702493700
9704978415
PHOENIX
AZ
850272127 6235514369
6235514372
PO BOX 6209
LAFAYETTE
IN
47903
9037930966
DELTA
CO
81416
9708744324
9708744377
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
COLORADO SPRINGS
CO
809073558 7195938473
7195221752
SUITE 124
DME
DME
CO
802275027 3037306777
3037383657
SUITE 6
WHEATRIDGE
CO
80033
3034313758
3034314172
LAFAYETTE
IN
479036209 7654486685
9703469081
GREELEY
CO
806348853 9703560210
9703469081
LAFAYETTE
IN
47903
7654486685
7654464287
BRIGHTON
CO
80601
3036551515
3036370195
DME
DME
PO BOX 6209
965 59TH AVENUE
UNIT C
PO BOX 6209
DME
DME
412 E BURLINGTON
AVENUE
FORT MORGAN
CO
80701
9708671137
9708671139
PO BOX 6209
LAFAYETTE
IN
47903
7654486685
7654464287
TRINIDAD
CO
81082
7198468328
7198468278
DME
WALSENBURG
CO
81089
7197383525
7197386675
DME
DALLAS
TX
752676669 5052433993
CENTENNIAL
CO
80111
3037150202
3037335019
DME
BUILDING 2
UNIT A
DME
PO BOX 676669
SUITE 65
ALBUQUERQUE
NM
871131028 5058886500
5058886505
DME
LAS CRUCES
NM
880053112 5755269400
5055264510
DME
EL PASO
TX
799354704 9157816500
9157816501
DME
SUITE E-1
Medicare PLUS
Group PPO
continued
144
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE 3
AZTEC
NM
87410
5053344016
5053341874
SANTA FE
NM
875073130 5058886500
5058886505
PO BOX 9901
CLEARFIELD
UT
84089
8008451378
8008603931
SUITE 3
SUN CITY
AZ
853731672 6239720497
6239722635
#200
PEORIA
AZ
853814256 6239770661
6239720161
PO BOX 9901
CLEARFIELD
UT
84089
8019261335
WINSLOW
AZ
86047
9282895137
9282895746
TUCSON
AZ
857122139 5203239720
5203239972
DME
DME
KINGMAN
AZ
86401
9287537828
9287539655
DME
FLAGSTAFF
AZ
86001
9287790595
9285560709
DME
PO BOX 9901
CLEARFIELD
UT
84089
8019261335
YUMA
AZ
853646912 9283445471
9283440322
ORT
PRESCOTT
AZ
863011913 9287171560
9287172105
ORT
PRESCOTT VALLEY
AZ
863149423 9287756843
9287599216
GILBERT
AZ
85234
4808350909
4808356501
PRO
ORT
1450 S DOBSON
MESA
AZ
85205
4809817393
4809815807
PRO
ORT
23312 PONGRATZ OP
PO BOX 501179
SAINT LOUIS
MO 63150
PHOENIX
AZ
85016
6022223032
6022223506
PRO
ORT
MESA
AZ
85210
6022223032
4806151117
PRO
ORT
TUCSON
AZ
85172
6022223032
6022223506
PRO
ORT
6343 E MAIN ST
MESA
AZ
852058954 4809817393
4809815807
PRO
ORT
PAYSON
AZ
85547
9284746684
PRO
ORT
SUITE C
#B1
PO BOX 1377
SUITE 14
YUMA
AZ
85364
9283140030
9283140040
SUITE 100
MESA
AZ
852065295 4808440100
4807334643
DME
DME
DME
MESA
AZ
85201
4808901442
4804618598
MESA
AZ
85201
4808442777
4808442772
DME
CASA GRANDE
AZ
852224268 5208369300
5204213359
DME
WARREN
PA
163652156 8147231155
8147237744
DME
23917 FORD RD
DEARBORN
MI
481281207 3137300007
3137300005
DME
SUITE 4
Medicare PLUS
Group PPO
continued
145
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
PO BOX 9901
CLEARFIELD
UT
840899901 0
8019261335
VERNAL
UT
84078
4357813011
4357811981
DME
LAYTON
UT
84041
8015448866
8015448859
DME
MIDVALE
UT
84047
8015630202
8015635188
DME
OREM
UT
84058
8012259979
8012256221
DME
OREM
UT
840584911 8013731010
8013732217
OREM
UT
840587639 8013748101
8013748121
DME
SAINT GEORGE
UT
847904491 4356284949
4356286041
DME
SUITE 100
PRICE
UT
84501
4356375886
NAPLES
UT
84078
4357895398
4357812270
BLANDING
UT
845113733 4356782250
4356782247
DME
CORTEZ
CO
813212418 9705654200
9705652786
DME
ROY
UT
840672982 8017283333
8017283340
LAS VEGAS
NV
891190008 7024573200
7024570908
PRO
ORT
PAHRUMP
NV
89048
7757518415
PRO
ORT
RENO
NV
89502
7753336600
7753336601
PRO
ORT
RENO
NV
89502
7753290799
7753299682
DME
LAS VEGAS
NV
89118
7753290799
7753299682
DME
CARSON CITY
NV
897039513 7758414100
7758414170
DME
#734
ELKO
NV
898018313 7757386656
7757385511
DME
SUITE 110
LAS VEGAS
NV
891064355 7023841410
7023840479
30 A FOX CHASE
CARTERSVILLE
GA
301202491 7706069293
7706068113
1093870743 PEDORTHIC
TECHNOLOGIES INC
WARWICK
RI
28863174
4017327623
4017328264
100 BUISNESS US 23
LOUISA
KY
41230
6066389303
6066389415
DME
WENATCHEE
WA
988012069 5096646567
5096646567
DME
PO BOX 9901
CLEARFIELD
UT
840899901 8019261322
8019261335
OAK HARBOR
WA
98277
3606791873
CLEARFIELD
UT
840899901 0
SUITE 3
SUITE 203
SUITE 1
SUITE 1
Medicare PLUS
Group PPO
3606797927
DME
PRO
ORT
ORT
DME
8019261335
continued
146
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
SUITE E
OMAK
WA
98841
5098262331
5098262330
PO BOX 9901
CLEARFIELD
UT
840899901 8019261322
8019261335
PO BOX 872650
VANCOUVER
WA
986872650 3608920339
8009291930
1992791230 RS MEDICAL
VANCOUVER
WA
986843503 0
8009291930
SAN JOSE
CA
95125
4084483000
4084482076
SUITE 800
BAKERSFIELD
CA
93313
6613963720
6618326010
1110 E PENNSYLVANIA
SUITE 6
TUCSON
AZ
85714
5208060202
5208060203
SUITE 110
HENDERSON
NV
89014
7025479855
7025479883
SUITE C115
HOUSTON
TX
770603628 2818212226
2818212228
BLDG 4
TUKWILA
WA
981883404 2065750368
2065750369
#103
SAN MARCOS
CA
92069
7607364284
7607364996
SUITE F & G
ALBUQUERQUE
NM
871071609 5053414999
5053410542
SUITE 3
MARTINEZ
CA
945536533 9253702922
9253702958
MERRILLVILLE
IN
464107177 2197365828
2197365848
SUITE E
IRVINE
CA
926146707 9494763077
9494765037
SUITE 106
TEMPE
AZ
85281
4802810032
4802810033
SUITE J
FLAGSTAFF
AZ
860046016 9287795068
9287795069
SUITE D
MERCED
CA
95340
2097220680
2097220695
SUITE 105
TEMPE
AZ
852841120 4804773085
4804773089
2961 HIGHWAY 32
SUITE 18
CHICO
CA
959737215 5309421000
5303421066
SUITE 106
PUEBLO WEST
CO
810074406 7195431300
7195431222
2929 F STREET
BAKERSFIELD
CA
933011819 6618591003
6616322175
LAS VEGAS
NV
891280259 7023099582
7023094331
SUITE F
Medicare PLUS
Group PPO
DME
continued
147
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE J
NORTHRIDGE
CA
913245143 8187189861
8187189863
1634 SE N STREET
SUITE 5F
GRANTS PASS
OR
975264264 5419559339
5419555933
RIDGECREST
CA
935554368 7603714350
7603714352
SUITE 100
CARROLLTON
TX
750066522 9724841009
9724841040
SUITE 201
CENTENNIAL
CO
701116822 7208751185
7208751231
SUITE 140
FORT WORTH
TX
761196515 8173350030
8173350449
SUITE 106
LONGMONT
CO
805031659 3036825885
3037725333
UNIT 208
EVERGREEN
CO
804395768 3036740600
3036740608
SUITE 3
SHOW LOW
AZ
859015318 9285328564
9285328568
SUITE D
LAS CRUCES
NM
880118250 5025224733
5055224737
SAN LEANDRO
CA
945771109 6105625501
5105625950
SUITE 101
EVERETT
WA
982047301 4257411042
4257411072
SUITE B
SANTA FE
NM
875073484 5054249959
5054249945
SUITE 106
BAKERSFIELD
CA
933086348 6618616160
6618616178
SUITE P AND Q
FAIRFIELD
CA
945344223 7077526170
7077526179
340 W FALLBROOK
FRESNO
CA
937116177 5594497500
5594497509
SUITE 107
HANSFORD
CA
932304738 5595820518
5595822049
INGLEWOOD
CA
903013003 3102153060
3102153090
IRWINDALE
CA
917062065 9093052681
9093052182
MADERA
CA
936373204 5596610121
5596617940
MODESTO
CA
953568710 2095438612
2095438850
SUITE G
SUITE A
Medicare PLUS
Group PPO
Phone
Fax
continued
148
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
37 COMMERCIAL BLVD
SUITE 100
NAVATO
CA
949496112 4158842205
4158842275
88 ROWLAND WAY
NAVATO
CA
949455000 4158931518
4158931522
PALMDALE
CA
935511421 6619452122
6619450151
314 W SEQUOIA
PORTERVILLE
CA
932571691 5597813666
5597818156
REDDING
CA
960037952 5302249334
5302249348
RIVERSIDE
CA
925073469 9512222007
9512222025
SUITE 30
SACRAMENTO
CA
958341978 9167816450
9167816461
PO BOX 1342
1113 HWY 49
#21
SAN ANDREAS
CA
952499583 2097544991
2097544999
GRAND ISLAND
NE
688034311 3083819839
3083819769
SAN DIEGO
CA
921023348 6196969340
6196965193
LENEXA
KS
662191352 9138946542
9134954909
20 S LINDEN AVENUE
SUITE 5B
940806424 4156477544
4156477507
SUITE G
SAN JOSE
CA
951311702 4089541961
4089549634
CA
934017902 8055941332
8055940601
SUITE I
SANTA MARIA
CA
934551114 8053462035
8053462037
#A-9
SANTA ROSA
CA
954078231 7072069179
7072069532
2698 JUNIPERO
SUITE 111
SAGNAL HILLS
CA
907552145 5214513891
5629813851
SUITE A
STOCKTON
CA
952052661 2094631123
2094631988
SUSANVILLE
CA
961304311 5302573321
5302576811
TURLOCK
CA
953808504 2096678662
2096678656
UKIAH
CA
954823086 7074624201
7074624256
SUITE E
SUITE B
Medicare PLUS
Group PPO
Phone
Fax
MG
continued
149
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
12284 INDUSTRIAL
UNITS 6B & 7B
VICTORVILLE
CA
923925830 7602419364
8602419712
SUITE A
VISALIA
CA
932772804 5597391492
5597390570
WATSONVILLE
CA
950764159 8317223001
8317223065
YREKA
CA
960979543 5308412632
5308410384
YUBA CITY
CA
959917595 5306715601
5306715602
SUITE 101
COLORADO SPRINGS
CO
809075261 7194759955
7194759966
#A
DENVER
CO
802212355 3034320202
3034327592
SUITE A
WINDSOR
CO
80550
9702039270
9702039271
4511 N KEDZIE
CHICAGO
IL
606186062 5451078802
7734778805
SUITE H
BRIDGEVIEW
IL
604552452 7085997339
7085997399
SUITE C
ROCKFORD
IL
611096334 8158741314
8158741363
OMAHA
NE
68138
4029640404
4029647301
CARSON CITY
NV
897061674 7758849554
7758849559
FALLON
NV
894062820 7755750505
7755757755
PAHRUMP
NV
890604018 7757519888
7757519891
RENO
NV
895027935 7753313394
7753312251
214 STANLEY ST SW
ARDMORE
OK
734016306 5082249922
5082249811
36 W MEMORIAL RD
SUITE B-8
OKLAHOMA CITY
OK
731142312 2057485850
2057485815
SUITE 22/G
BEAVERTON
OR
970085977 5035743138
5056435349
UNIT A
EUGENE
OR
974022793 5413491473
5413491538
SPACE F
MEDFORD
OR
975044191 541779032
5417790003
SUITE 6
SUITE 15
Medicare PLUS
Group PPO
Phone
Fax
continued
150
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
SUITE 106
ROSEBURG
OR
974704500 5416777310
5416777320
SUITE 101
SALEM
OR
973010458 5037631221
5037631991
8409 LOCHHEED DR
SUTIE 17/18
EL PASO
TX
799251223 9155917577
9155917279
UNIT 105
SHERMAN
TX
750923164 9038938555
9038932112
92 SANTA FE DR
SUITE 109
WEATHERFORD
TX
760865867 8175967222
8175967888
#C-2
BELLINGHAM
WA
982295834 3606719955
3606719919
SUITE 9
FIFE
WA
984242645 8539277740
2539395085
SEQUIM
WA
983822915 3605829950
3605829905
11616 E MONTGOMERY
#54/55
SPOKANE
WA
992066614 5099221017
5099221028
#5
CHEYENNE
WY
820072585 3076351176
3076327949
129 GAITHER DR
SUITE C/D
MOUNT LAUREL
NJ
80541708
8567279119
8567275044
SUITE 102-R
WEXFORD
PA
150908470 7249407711
7249407737
FOLCROFT
PA
190322113 6104612221
6104615101
3500 E TACHEVAH DR
SUITE C
PALM SPRINGS
CA
922625491 7603272896
7603225409
5220 SAWYER CT
SUITE D
GARDEN CITY
ID
837142119 2083766020
2083761966
1170 WALL ST
SUITE 102
JACKSONVILLE
IL
626504055 2172910100
2172910108
2201 W TOWNLINE RD
SUITE F
PEORIA
IL
616151656 3096930375
3096930418
SCHAUMBURG
IL
601934509 8478954834
8478955614
868 HIGHWAY 15 S
JACKSON
KY
413399602 6066668310
6066668312
UT
841196743 8019690165
8019690852
CHICAGO
IL
60693
2485461160
16886 COLLECTIONS
CENTER DRIVE
SUITE A
Medicare PLUS
Group PPO
Phone
8009629656
Fax
IVT
continued
151
DMEnsion Benefit Management Medicare Advantage Durable Medical Equipment National Provider Directory continued
Prov Code
Provider Name
Address 1
Address 2
City
ST
ZIP
Phone
Fax
MADISON HEIGHTS
MI
480714627 8009629656
2485461160
LAKESIDE
AZ
859295189 9285325822
9285325821
ELKGROVE VILLAGE
IL
600072516 8478600240
8477340475
PO BOX 1142
LAWRENCEBURG
TN
384641142 9317666766
9317666986
LAWRENCEBURG
TN
384641142 9317666766
9317666986
DME
MI
48080
5865851540
5865851537
DME
TORRANCE
CA
90503
3107556474
3102122120
DME
OXNARD
CA
93030
8056041332
8056041334
DME
CITY OF INDUSTRY
CA
91744
6268542273
8188542285
DME
SUITE 109
RANCHO CUCAMONGA
CA
91730
9094651800
9094656630
DME
1260 15TH ST
SUITE 1402
SANTA MONICA
CA
90404
3104589648
3104512002
1659455426 CARDIOSOM
SUITE 402
LOS ANGELES
CA
900485702 3237829894
3237820687
DME
1689889735 CARDIOSOM
SUITE 115
OCEANSIDE
CA
920546190 7607219200
7607219201
DME
1013091867 CARDIOSOM
SUITE 104
REDLANDS
CA
923735255 9097939190
9097939770
DME
1568546323 CARDIOSOM
SUITE 101
SAN DIEGO
CA
921212971 8586570550
8586570559
DME
1871708982 CARDIOSOM
SUITE 303-B
WEST COVINA
CA
917903961 6264800033
6264800053
DME
75 REMITTANCE DRIVE
SUITE 6212
CHICAGO
IL
606756212 9193143080
BUILDING 2 E
SUITE 202
PALM SPRINGS
CA
922625750 7604163505
7604163805
13101 COLLECTIONS
CENTER DR
CHICAGO
IL
60693
8008436687
IVT
NORTHRIDGE
CA
913251219 0
8007749801
IVT
35521 CARDIOSOM
1861607905 CARDIOSOM
23771 MINIMED DISTRIBUTION
CORP
1356334577 MINIMED DISTRIBUTION
CORP
SUITE 17
SUITE F
Medicare PLUS
IVT
PRO
ORT
DME
PRO
ORT
DME
Group PPO
WP 11688 JAN 11
104946MEDA
152