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					     LISTING OF SUPPLIERS FOR MASTECTOMY
                   PRODUCTS

                                         Southeast Pennsylvania
The Patient Services Department of the American Cancer Society compiles this listing of Mastectomy Product Suppliers in Bucks, Chester,
Delaware, Montgomery, and Philadelphia Counties. These resources are provided for information only and do not imply endorsement by the
American Cancer Society. We have included all resources that we know of at the time of publication, however, information and resources are
subject to change. Please call 215.985.5332 to let us know of additions or changes.

We recommend that interested individuals call the phone numbers provided to confirm location, services, pricing details and insurance coverage.

A prescription is always required when you are submitting for insurance coverage. We suggest that you call suppliers to verify which insurance
providers are accepted. We also suggest that you contact your insurance company to inquire if you need to be fitted by a specific supplier to
receive coverage. Please be aware that you may need to pay out of pocket expenses for your supplies prior to receiving reimbursement.
Financial assistance may be available through the American Cancer Society. Lastly, note that some Insurances such as Health Partners, Senior
Partners and Keystone Mercy may allow only two bras per year.


                                                          American Cancer Society
                                                         Patient Services Department
                                                  1626 Locust Street, Philadelphia, PA 19103
                                                            Phone: 215.985.5332
                                                              Fax: 215.735.5040
                                                            January to June 2011
  For more information or to request services, call the American Cancer Society 1.800.ACS.2345
                       Service is available 24 hours a day, 7 days a week
                               Visit our website at www.cancer.org

Patient Services and Programs:

Information and Referral: The American Cancer Society can help people affected by cancer understand and manage the impact of
the illness throughout their experience by providing information about community resources, support groups, educational programs,
and help with practical needs such as transportation.

I Can Cope: An educational series for cancer patients and their families taught by healthcare professionals and held at various area
hospitals.

Look Good…Feel Better: Workshops in which trained, licensed cosmetologists teach women how to cope with changes in
appearance due to cancer treatment, such as hair loss and skin care.

Man To Man: Self-help, community-based meetings for men with prostate cancer and their partners that provide education and the
opportunity to network with others who have the same diagnosis.

Reach To Recovery: A breast cancer support program that provides information, practical tips and encouragement for women with
breast cancer before, during and after cancer treatment through visits and phone calls by trained ACS volunteers who are breast
cancer survivors.

Road To Recovery: A transportation program in which rides are provided by volunteer drivers to help patients get to cancer-related
treatments and doctor appointments.

Specific Assistance Programs: Limited financial assistance is available to assist with cancer related medications, medical
equipment and supplies, homemaker help and other needs, based on financial eligibility.

Survivorship Activities: An annual conference is held which features workshops on practical issues confronting people with cancer
during and after treatment. Family and other support persons are welcome. Survivorship activities are also featured at Relay For
Life events held every Spring.

Childhood Cancer Programs: Limited financial assistance.




                                                *Will Bill the American Cancer Society Directly                                                 2
                   The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                    Please contact us at 215.985.5332 with any corrections or additions
                        LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                       BUCKS COUNTY, PA
Name, Address, Phone, Hours                            Prostheses                               Mastectomy Bras                                   Services
*Comfort and Care Medical                                                                                                            An Accredited Facility specializing
2816 Street Road                                         Airway                                      Almost You                      in Breast Prostheses, Mastectomy
Bensalem, PA 19020-2651                                Almost You                                     Amoena                         Bras, and Accessories.
Phone: 215.244.9130                                     Amoena                                         Camp
Fax: 215.244.9133                                         Camp                                         Jodee                         Will measure for Custom
Hours: Monday to Friday,                                Classique                                                                    Garments.
9:00 AM – 4:00 PM
                                                                                                                                     Specializes in Lymphedema
Contact: Mary Pat Smith                                                                                                              Sleeves, Gloves, and
                                                                                                                                     Compression Stockings.
Appointment Preferred to
assure availability of Fitter                                                                                                        Will provide patient with
                                                                                                                                     information regarding Mastectomy
                                                                                                                                     Swimwear.

                                                                                                                                     $75.00 fee for Home Fittings.

                                                                                                                                     NO Partial Prostheses in stock,
                                                                                                                                     but will special order for
                                                                                                                                     patient.

                                                                                                                                     In Network Provider for: Medicare,
                                                                                                                                     AmeriHealth Administrators,
                                                                                                                                     Keystone Health Plan East,
                                                                                                                                     Keystone 65 and Personal
                                                                                                                                     Choice.

                                                                                                                                     DOES NOT accept the following
                                                                                                                                     Insurances: Keystone Mercy or
                                                                                                                                     Health Partners.

                                                                                                                                     Prescription Required for
                                                                                                                                     Insurance Reimbursement.




                                                   *Will Bill the American Cancer Society Directly                                                                     3
                      The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                       Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                     BUCKS COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                    Services
LympheDIVAs LLC                                                                                                                    LympheDIVAs LLC is dedicated to
Phone: 1.866.411.DIVA (3482) or                                                                                                    creating medically correct fashion
215.291.9322                                                                                                                       compression apparel for the savvy
Fax: 267.350.9187                                                                                                                  and stylish Breast Cancer
Hours: Monday to Friday,                                                                                                           Survivor with Lymphedema,
9:00 AM – 5:00 PM (Eastern                                                                                                         which will inspire her to feel
Standard Time)                                                                                                                     beautiful, strong and confident.

More information available at                                                                                                      Products are available online and
www.lymphedivas.com                                                                                                                also can be ordered over the
                                                                                                                                   phone.
Email: info@lymphedivas.com
                                                                                                                                   Check website for local
                                                                                                                                   Retail Locations.




                                                 *Will Bill the American Cancer Society Directly                                                                       4
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                     BUCKS COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                   Services
The Bra Lady                                                                                                                       Specializes in Mastectomy Bras,
Frances Hellmann                             NO Breast Prostheses                                   Carnival                       and Regular Bras.
2185 West Street Road                                                                               Fantasie
Warrington, PA 18976-2336                                                                           Goddess                        Alterations; call for details.
Phone: 215.343.0274
Hours: Monday, Tuesday,                                                                                                            NO Breast Prostheses.
Thursday, Friday                                                                                                                   NO Lymphedema Products.
10:30 AM – 7:30 PM
                                                                                                                                   NO Medical Plans accepted.
By Appointment Only

More information available at:
www.TheBra-Lady.com

*The Profile Shop                                                                                                                  An Accredited Facility specializing
Rothman Specialty Hospital                           Airway                                        Airway                          in Breast Prostheses, Mastectomy
3300 Tillman Drive                            American Breast Care                              Almost You                         Bras, Partial Breast Prostheses,
Bensalem, PA 19020-2030                             Amoena                                  American Breast Care                   Mastectomy Swimwear,
Phone: 215.633.3461 or                               Camp                                         Amoena                           Lymphedema Sleeves, and
1.888.840.1001                                                                                      Anita                          Compression Stockings.
Fax: 215.633.3567                                                                                  Camp
Hours: Monday to Thursday,                                                                       Classique                         NO Regular Bras.
10:00 AM – 4:00 PM                                                                                 Jodee
                                                                                                                                   Certified Fitters.
Contact: Heather or Diane
                                                                                                                                   Home Fittings available; By
Appointment Recommended                                                                                                            Appointment Only.

More information available at                                                                                                      Accepts Medicare, Aetna,
www.Theprofileshop.com                                                                                                             AmeriHealth, Cigna, Keystone,
                                                                                                                                   Keystone 65, Personal Choice,
                                                                                                                                   and Personal Choice 65.

                                                                                                                                   Prescription Required.




                                                 *Will Bill the American Cancer Society Directly                                                                     5
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                        LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                       BUCKS COUNTY, PA
Name, Address, Phone, Hours                            Prostheses                               Mastectomy Bras                                   Services
*Yorke Pharmacy                                                                                                                      An Accredited Facility specializing
5524 New Falls Road                                      Airway                                        Airway                        in Breast Prostheses, Partial
Levittown, PA 19056-3102                                Classique                                     Classique                      Breast Prostheses, Mastectomy
Phone: 215.945.5700                                      Trulife                                       Trulife                       Bras, Accessories, and
Fax: 215.946.4801                                                                                                                    Lymphedema Sleeves.
Hours: Monday to Friday,
9:00 AM – 9:00 PM                                                                                                                    Certified Fitter will do Home
Saturday 9:00 AM – 5:00 PM                                                                                                           Fittings at NO charge; call for
                                                                                                                                     details.
Contact: Marion
                                                                                                                                     NO Regular Bras.
Call for Appointment                                                                                                                 NO Mastectomy Swimwear.

Walk-ins are Welcome, but                                                                                                            Accepts Medicare, major Medical
Appointment Preferred to                                                                                                             Plans, and all Insurance Plans,
assure availability of Fitter                                                                                                        such as Blue Cross/Blue Shield,
                                                                                                                                     Keystone 65, Keystone Health
                                                                                                                                     Plan East, Keystone Mercy, and
                                                                                                                                     Personal Choice; call for further
                                                                                                                                     information.

                                                                                                                                     Will submit billing for patient, and
                                                                                                                                     payment is NOT expected up
                                                                                                                                     front.

                                                                                                                                     Aetna is currently NOT
                                                                                                                                     ACCEPTED at this time.

                                                                                                                                     Prescription Required.




                                                   *Will Bill the American Cancer Society Directly                                                                          6
                      The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                       Please contact us at 215.985.5332 with any corrections or additions
                    LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                  CHESTER COUNTY, PA
Name, Address, Phone, Hours                        Prostheses                               Mastectomy Bras                                   Services
Bosom Buddies                                                                                                                    A Full Service Accredited Breast
dba: Gie Gie Lingerie                       American Breast Care                          American Breast Care                   Care Boutique specializing in
36 Chestnut Road                                  Amoena                                        Amoena                           Breast Prostheses, Partial Breast
Paoli, PA 19301-1576                               Anita                                         Anita                           Prostheses, Mastectomy Bras,
Phone: 610.296.7626                                Trulife                                       Trulife                         Swim Forms, Activity Forms,
Fax: 610.296.7620                                                                                                                Nipples, Mastectomy Camisoles,
Hours: Monday to Friday,                                                                                                         Bellisse Compression Bras, and
10:00 AM – 6:00 PM                                                                                                               other Compression Garments.
Saturday 10:00 AM – 3:00 PM
                                                                                                                                 Casting for Custom Prostheses
Contact: Gina                                                                                                                    and Custom Nipples available.

No Appointment Necessary                                                                                                         Specializes in Lymphedema
                                                                                                                                 Sleeves, and Gauntlets.

                                                                                                                                 Four Certified Fitters.

                                                                                                                                 Accepts Medicare, Aetna,
                                                                                                                                 Highmark Blue Cross/Blue Shield,
                                                                                                                                 Keystone Health Plan East, and
                                                                                                                                 Personal Choice.

                                                                                                                                 Patient solely responsible for
                                                                                                                                 any co-pay and/or deductible
                                                                                                                                 that pertains to their Insurance
                                                                                                                                 Plan.




                                               *Will Bill the American Cancer Society Directly                                                                       7
                  The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                   Please contact us at 215.985.5332 with any corrections or additions
                       LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                     CHESTER COUNTY, PA
Name, Address, Phone, Hours                         Prostheses                               Mastectomy Bras                                   Services
*Heron Home Health Care                                                                                                           This Accredited Durable Medical
2525 East Lincoln Highway                                                                                                         Equipment/Medical Supplier will
Coatesville, PA 19320-2422                                                                                                        special order Breast Prostheses,
Phone: 610.384.7500                                                                                                               Partial Breast Prostheses,
Fax: 610.384.7584                                                                                                                 Mastectomy Bras and
Hours: Monday to Friday,                                                                                                          Accessories.
9:00 AM – 5:00 PM
                                                                                                                                  For Fittings: please contact
Contact: Darlene                                                                                                                  Heron Home Health Care,
                                                                                                                                  Drexel Hill Location.
Walk-ins are Welcome
                                                                                                                                  Will bill: Medicare, Aetna, Blue
                                                                                                                                  Cross/Blue Shield, Keystone 65,
                                                                                                                                  and Personal Choice.

                                                                                                                                  Prescription, Medical Card, and
                                                                                                                                  Credit Card Required.




                                                *Will Bill the American Cancer Society Directly                                                                      8
                   The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                    Please contact us at 215.985.5332 with any corrections or additions
                       LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                     CHESTER COUNTY, PA
Name, Address, Phone, Hours                           Prostheses                               Mastectomy Bras                                    Services
LympheDIVAs LLC                                                                                                                     LympheDIVAs LLC is dedicated to
Phone: 1.866.411.DIVA (3482) or                                                                                                     creating medically correct fashion
215.291.9322                                                                                                                        compression apparel for the savvy
Fax: 267.350.9187                                                                                                                   and stylish Breast Cancer
Hours: Monday to Friday,                                                                                                            Survivor with Lymphedema,
9:00 AM – 5:00 PM (Eastern                                                                                                          which will inspire her to feel
Standard Time)                                                                                                                      beautiful, strong and confident.

More information available at                                                                                                       Products are available online and
www.lymphedivas.com                                                                                                                 also can be ordered over the
                                                                                                                                    phone.
Email: info@lymphedivas.com
                                                                                                                                    Check website for local
                                                                                                                                    Retail Locations.


*Southern Chester County                                                                                                            This Accredited Facility will special
Pharmacy/Durable Medical                               Amoena                                        Amoena                         order Breast Prostheses (Regular
Equipment                                              Classique                                     Classique                      and Partial), Mastectomy
1011 West Baltimore Pike                                                                                                            Swimwear, Lymphedema Pumps,
Suite 109                                                                                                                           and Sleeves.
West Grove, PA 19390-9404
Phone: 610.869.3200, press                                                                                                          Home Fittings at NO additional
Option #2 for Durable Medical                                                                                                       charge; call for details.
Equipment Department
Hours: Monday to Friday,                                                                                                            Certified Fitter.
9:00 AM – 5:00 PM
                                                                                                                                    Medicare patients MUST PAY
No Appointment Necessary                                                                                                            UP FRONT.

                                                                                                                                    Paperwork will be submitted for
                                                                                                                                    patient to receive reimbursement;
                                                                                                                                    call for details.
                                                                                                                                    Will bill most Insurance Plans.

                                                                                                                                    Prescription Required.




                                                  *Will Bill the American Cancer Society Directly                                                                       9
                     The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                      Please contact us at 215.985.5332 with any corrections or additions
                     LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                   CHESTER COUNTY, PA
Name, Address, Phone, Hours                         Prostheses                               Mastectomy Bras                                   Services
*Yellow Daffodils Wig Salon &                                                                                                     An Accredited Breast Care
Post-Mastectomy Boutique                            Airway                                          Airway                        Boutique specializing in Breast
961 Downingtown Pike                         American Breast Care                                Almost You                       Prostheses, Mastectomy Bras,
(Route 322)                                        Amoena                                 American Breast Care                    Partial Breast Prostheses,
West Chester, PA 19380-1951                          Anita                                        Amoena                          Compression Bras, Mastectomy
Phone: 610.692.7544                             Camp/Trulife                                         Anita                        Swimwear, Lingerie, and Exercise
Fax: 610.696.1126                                   Jodee                                Bellisse Compression Bra                 Clothing.
Hours: Tuesday to Saturday,                  Most styles in stock                               Camp/Trulife
10:00 AM – 4:00 PM                                                                                Classique                       Certified Fitters.
                                                                                                    Jodee
Other Hours available By                                                                         Luisa Luisa                      Accepts and bills the following
Request                                                                                            Still You                      Insurance Companies:
                                                                                           Most styles in stock                   Medicare, Aetna, AmeriHealth,
Appointment Preferred, but                                                                                                        Blue Cross/Blue Shield, Bravo,
Walk-ins are Welcome                                                                                                              Cigna, Coventry Healthcare,
                                                                                                                                  Keystone Health Plan East,
                                                                                                                                  Keystone 65, Personal Choice,
                                                                                                                                  Personal Choice 65, United
                                                                                                                                  Healthcare, and various other
                                                                                                                                  Insurance Plans.




                                                *Will Bill the American Cancer Society Directly                                                                     10
                   The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                    Please contact us at 215.985.5332 with any corrections or additions
                     LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                  DELAWARE COUNTY, PA
Name, Address, Phone, Hours                         Prostheses                               Mastectomy Bras                                   Services
*Crozer Regional Cancer Center                                                                                                    An Accredited Facility specializing
Positively You Esthetics                              Amoena                                        Amoena                        in Breast Prostheses, Partial
Rehabilitation Department                              Camp                                          Camp                         Breast Prostheses, Mastectomy
One Medical Center Boulevard                                                                         Jodee                        Bras, Shells, and Accessories.
Upland, PA 19013
Phone: 610.447.2643                                                                                                               Advice on Mastectomy
Fax: 610.447.2666                                                                                                                 Swimwear available.

Contact: Jean Gallagher                                                                                                           Certified Fitter.

Appointment Preferred                                                                                                             Accepts Medicare.

                                                                                                                                  Most Personal Insurance Plans
                                                                                                                                  accepted with Prescription or
                                                                                                                                  Referral.


*Delaware County Regional                                                                                                         An Accredited Facility specializing
Cancer Center                                         Amoena                                        Amoena                        in Breast Prostheses, Partial
Positively You Esthetics                               Camp                                          Camp                         Breast Prostheses, Mastectomy
Rehabilitation Department                                                                            Jodee                        Bras, Shells, and Accessories.
501 North Lansdowne Avenue
Drexel Hill, PA 19026                                                                                                             Advice on Mastectomy
Phone: 610.394.1740                                                                                                               Swimwear available.
Fax: 610.284.8101
                                                                                                                                  Certified Fitter.
Contact: Jean Gallagher
                                                                                                                                  Accepts Medicare.
Appointment Preferred
                                                                                                                                  Most Personal Insurance Plans
                                                                                                                                  accepted with Prescription or
                                                                                                                                  Referral.




                                                *Will Bill the American Cancer Society Directly                                                                   11
                   The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                    Please contact us at 215.985.5332 with any corrections or additions
                       LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                    DELAWARE COUNTY, PA
Name, Address, Phone, Hours                           Prostheses                               Mastectomy Bras                                   Services
Elwyn Pharmacy                                                                                                                      An Accredited Facility specializing
194 South New Middletown Road                         Almost You                                    Almost You                      in Breast Prostheses, Partial
Elwyn, PA 19063-5200                                     Camp                                          Camp                         Breast Prostheses, Mastectomy
Phone: 610.566.2226                                    Classique                                     Classique                      Bras, Accessories, and
Fax: 610.566.6210 or                                    Trulife                                       Trulife                       Lymphedema Products.
610.566.0521
Hours: Monday to Friday,                                                                                                            Certified Fitter.
9:00 AM – 9:00 PM
Saturday 9:00 AM – 6:00 PM                                                                                                          Home Fittings in the area By
Sunday 9:00 AM – 2:00 PM                                                                                                            Appointment Only; there is NO
                                                                                                                                    Charge for this service.
Contact: Christina
                                                                                                                                    Accepts Medicare and will submit
Appointment Preferred, but                                                                                                          paperwork for patient.
Walk-ins are Welcome
                                                                                                                                    Personal Insurance/HMO’s
                                                                                                                                    accepted with authorization and
                                                                                                                                    co-pays often need to be met.

                                                                                                                                    Prescription Required.




                                                  *Will Bill the American Cancer Society Directly                                                                   12
                     The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                      Please contact us at 215.985.5332 with any corrections or additions
                       LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                    DELAWARE COUNTY, PA
Name, Address, Phone, Hours                           Prostheses                               Mastectomy Bras                                   Services
*Heron Home Health Care                                                                                                             This Accredited Medical
691 Burmont Road                                        Camp                                          Camp                          Equipment/Medical Supplier will
Drexel Hill, PA 19026-3104                              Jodee                                         Jodee                         special order Breast Prostheses,
Phone: 610.259.9700                                    Mystique                                      Mystique                       Partial Breast Prostheses,
Fax: 610.394.2044                                                                                                                   Mastectomy Bras, and
Hours: Monday to Friday,                                                                                                            Accessories, including
9:00 AM – 5:00 PM                                                                                                                   Lymphedema Pumps and
                                                                                                                                    Gloves.
Contact: Charlotte
                                                                                                                                    Certified Fitter.
Appointment Requested
                                                                                                                                    Home Fittings available; call for
                                                                                                                                    details.

                                                                                                                                    Accepts Medicare, Aetna,
                                                                                                                                    Blue Cross/Blue Shield,
                                                                                                                                    Keystone 65, and Personal
                                                                                                                                    Choice

                                                                                                                                    Will submit paperwork for patient
                                                                                                                                    Reimbursement.

                                                                                                                                    Prescription, Medical Card,
                                                                                                                                    Photo ID and Credit Card
                                                                                                                                    Required.




                                                  *Will Bill the American Cancer Society Directly                                                                   13
                     The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                      Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                   DELAWARE COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                  Services
Independence Prosthetics                                                                                                           An Accredited Facility specializing
Orthotics, Inc.                                   Almost You                                    Almost You                         in Post-Mastectomy products.
2711 Edgmont Avenue                           American Breast Care                          American Breast Care
Brookhaven, PA 19015-3316                           Amoena                                        Amoena                           Specializes in Lymphedema
Phone: 610.876.4935 or                               Anita                                         Anita                           Sleeves (carries LympheDIVA’s,
Scheduling Center at                               Classique                                     Classique                         Jobst, and Juzo).
1.302.223.6889                                       Jodee                                         Jodee
Fax: 610.876.5940                                  Nearly Me                                     Nearly Me                         Compression Stockings.
                                                     Trulife                                       Trulife
Fittings by Pink Ribbon                                                                                                            Certified Mastectomy Fitter who is
Boutique                                                                                                                           a Breast Cancer Survivor.

Fittings By Appointment Only                                                                                                       Accepts Aetna, AmeriHealth,
                                                                                                                                   Blue Cross/Blue Shield, Coventry,
More information available at:                                                                                                     Delaware Medicaid, Federal Blue
www.pinkribbonde.net                                                                                                               Cross, Medicare, NNPN and HME
                                                                                                                                   National Network, and Tricare.
Also information available at:
www.Independencepo.com                                                                                                             If you would like Pink Ribbon
                                                                                                                                   Boutique to bill your Insurance
                                                                                                                                   Company, the following
                                                                                                                                   documentation is required from
                                                                                                                                   your Physician. Please have your
                                                                                                                                   Physician provide you with a
                                                                                                                                   Prescription including:

                                                                                                                                           Diagnosis Code
                                                                                                                                         Doctor’s NPI Number
                                                                                                                                       Number of Silicone Breast
                                                                                                                                              Prosthesis
                                                                                                                                      Number of Mastectomy Bras
                                                                                                                                      Statement that products are
                                                                                                                                          medically necessary

                                                                                                                                    Physician writing Script must be
                                                                                                                                   registered in the PECOS Registry.




                                                 *Will Bill the American Cancer Society Directly                                                                    14
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                   DELAWARE COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                    Services
LympheDIVAs LLC                                                                                                                    LympheDIVAs LLC is dedicated to
Phone: 1.866.411.DIVA (3482) or                                                                                                    creating medically correct fashion
215.291.9322                                                                                                                       compression apparel for the savvy
Fax: 267.350.9187                                                                                                                  and stylish Breast Cancer
Hours: Monday to Friday,                                                                                                           Survivor with Lymphedema,
9:00 AM – 5:00 PM (Eastern                                                                                                         which will inspire her to feel
Standard Time)                                                                                                                     beautiful, strong and confident.

More information available at                                                                                                      Products are available online and
www.lymphedivas.com                                                                                                                also can be ordered over the
                                                                                                                                   phone.
Email: info@lymphedivas.com
                                                                                                                                   Check website for local
                                                                                                                                   Retail Locations.




                                                 *Will Bill the American Cancer Society Directly                                                                  15
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                   DELAWARE COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                   Services
The Home Health Center At                                                                                                          This Accredited family operated
Aston Pharmacy                               American Breast Care                          American Breast Care                    Medical Supplier and Home
10 Scheivert Avenue                                 Amoena                                        Amoena                           Health Center specializes in a full
Aston, PA 19014-2762                                 Anita                                         Anita                           line of Breast Forms, Mastectomy
Phone: 610.494.1445                       Special orders are available                  Special orders are available               Bras, Mastectomy Swimwear,
Fax: 610.494.7697                                                                                                                  Accessories, Custom
Hours: Monday to Saturday,                                                                                                         Compression Garments,
9:00 AM – 5:00 PM                                                                                                                  Lymphedema Pumps, and
                                                                                                                                   Sleeves.
Contact: Holly, Debra or
Jennifer                                                                                                                           Private Fitting Rooms.

Appointment Required                                                                                                               Certified Fitters.

More information available at                                                                                                      Accepts Medicare and most Major
www.Thehomehealthcenter.org                                                                                                        Insurance Companies.

                                                                                                                                   Will submit to Medicare, and will
                                                                                                                                   bill most Insurance Companies.

                                                                                                                                   DOES NOT accept the following
                                                                                                                                   Insurance: Aetna.

                                                                                                                                   Prescription Required.




                                                 *Will Bill the American Cancer Society Directly                                                                    16
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                       LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                   MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                         Prostheses                               Mastectomy Bras                                   Services
Able Medical Equipment                                                                                                            An Accredited Facility specializing
21 West Fornance Street                               Amoena                                        Amoena                        in Breast Prostheses, Mastectomy
Norristown, PA 19401-3300                              Trulife                                       Trulife                      Bras, Lymphedema Pumps and
Phone: 610.277.3939                                                                                                               Supplies, Compression Sleeves
Fax: 610.277.8299                                                                                                                 and Stockings.
Hours: Monday to Friday,
8:00 AM – 5:00 PM                                                                                                                 Will special order Partial Breast
                                                                                                                                  Prostheses.
Contact: Crystal Robb or Jerry
                                                                                                                                  Certified Fitter.
Walk-ins are Welcome
                                                                                                                                  Home Fittings available; call for
                                                                                                                                  details.

                                                                                                                                  Accepts Medicare and most
                                                                                                                                  Personal Insurance Plans,
                                                                                                                                  including: Aetna, AmeriHealth,
                                                                                                                                  Blue Cross/Blue Shield, Horizon
                                                                                                                                  Blue Cross, Keystone Health Plan
                                                                                                                                  East, Keystone Mercy, Keystone
                                                                                                                                  65, and Personal Choice.

                                                                                                                                  Prescription Required for
                                                                                                                                  Insurance Reimbursement.




                                                *Will Bill the American Cancer Society Directly                                                                       17
                   The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                    Please contact us at 215.985.5332 with any corrections or additions
                       LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                   MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                         Prostheses                               Mastectomy Bras                                   Services
*Aesbar Medical                                                                                                                   An Accredited Facility Specializing
777 Schwab Road                              American Breast Care                          American Breast Care                   in Breast Prostheses, Partial
Suite U                                            Amoena                                        Amoena                           Breast Prostheses, Mastectomy
Hatfield, PA 19440-3273                             Camp                                          Camp                            Bras, Tank Tops, Shells, Lingerie
Phone: 1.877.799.6863                               Jodee                                         Jodee                           and Mastectomy Swimwear.
Fax: 1.866.799.6863
Hours: Monday to Friday,                                                                                                          Specializes in Lymphedema
8:00 AM – 5:00 PM                                                                                                                 Sleeves, Pumps, Bandages and
                                                                                                                                  Compression Stockings.
Walk-ins are Welcome
                                                                                                                                  Home Fittings at NO charge.
Will accommodate patient with
Evening and Weekend Hours                                                                                                         Certified Fitters.
By Appointment Only
                                                                                                                                  Accepts Medicare, Aetna,
                                                                                                                                  AmeriHealth, Keystone, Personal
                                                                                                                                  Choice, and most Major Insurance
                                                                                                                                  Plans.

                                                                                                                                  Will submit paperwork for patient
                                                                                                                                  reimbursement.

                                                                                                                                  DOES NOT accept any of the
                                                                                                                                  Mercy Health Plans.

                                                                                                                                  Prescription Required.




                                                *Will Bill the American Cancer Society Directly                                                                   18
                   The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                    Please contact us at 215.985.5332 with any corrections or additions
                        LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                    MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                            Prostheses                               Mastectomy Bras                                   Services
*Faith & Hope Boutique                                                                                                               Faith & Hope Boutique is an
1915 Guernsey Avenue (one                       American Breast Care                          American Breast Care                   Accredited Full Service Shop
block south of Abington Memorial                      Amoena                                        Amoena                           where our BOC Certified Fitters,
Hospital)                                              Anita                                         Anita                           who have first hand knowledge of
Abington, PA 19001-3701                                                                            Classique                         what you are dealing with, are on
Phone: 215.885.1143                                                                                  Trulife                         hand to help you.
Fax: 215.615.3348
Hours: Tuesday to Friday,                                                                                                            Specializes in Full and Partial
10:00 AM – 6:00 PM                                                                                                                   Breast Prostheses, Shells,
Saturday Hours: By Appointment                                                                                                       Nipples, and Foam Forms, as well
Only                                                                                                                                 as Chemo-Care Packs, Swim
                                                                                                                                     Forms, Mastectomy Mates,
Contact: Jeanette or Bonnie                                                                                                          Compression Bras, and
                                                                                                                                     Lymphedema Fashion Sleeves.
Appointment Preferred to
assure availability of Fitter                                                                                                        Also carries a large inventory of
                                                                                                                                     Mastectomy Camisoles, Regular,
Other Hours available By                                                                                                             Sport, and Strapless Bras, all of
Appointment Only                                                                                                                     which are equipped for Breast
                                                                                                                                     Prostheses.
More information available at:
www.FaithandHopeBoutique.com                                                                                                         A full line of skin and scar care
             or                                                                                                                      products is available, as well as
info@faithandhopeboutique.com                                                                                                        the Special Product of the month
                                                                                                                                     (a portion of the proceeds is
                                                                                                                                     donated to charity/organization),
                                                                                                                                     and a free wig exchange program,
                                                                                                                                     as well as new wigs.

                                                                                                                                     Accepts Medicare, Aetna, and
                                                                                                                                     IBX Blue Cross/Blue Shield.

                                                                                                                                     Prescription Required.




                                                   *Will Bill the American Cancer Society Directly                                                                  19
                      The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                       Please contact us at 215.985.5332 with any corrections or additions
                    LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                        Prostheses                               Mastectomy Bras                                    Services
*Homestar Medical Equipment                                                                                                      A Joint Commission Accredited
1200 Welsh Road                                      Amoena                                        Amoena                        Facility specializing in Breast
North Wales, PA 19454-3771                            Trulife                                       Jodee                        Prostheses, Partial Breast
Phone: 610.419.7611                                                                                 Trulife                      Prostheses and Mastectomy Bras.
Toll Free: 1.866.882.2300
Fax: 215.361.8720                                                                                                                Specializes in Lymphedema
Hours: Monday to Friday,                                                                                                         Pumps, Arm Sleeves, Gauntlets
9:00 AM – 4:30 PM                                                                                                                and Gloves.

Contact: Bonnie Mammana                                                                                                          BOC Certified Fitter.
Oncology Service Line Manager
                                                                                                                                 Will bill: Medicare, Medicaid and
Appointment Required                                                                                                             most Insurance Plans; call for
                                                                                                                                 details.

                                                                                                                                 DOES NOT accept the following
                                                                                                                                 Insurances: AmeriHealth Mercy
                                                                                                                                 or Cigna.

                                                                                                                                 Patient should check with their
                                                                                                                                 Insurance Company to see if a
                                                                                                                                 Referral from their Physician is
                                                                                                                                 also required.

                                                                                                                                 Prescription Required.




                                               *Will Bill the American Cancer Society Directly                                                                      20
                  The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                   Please contact us at 215.985.5332 with any corrections or additions
                        LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                    MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                            Prostheses                               Mastectomy Bras                                   Services
Jay Ann Intimates                                                                                                                    Full Service Accredited Shop with
2052 County Line Road                                  Airway                                        Airway                          custom alterations.
The Market Place                                American Breast Care                          American Breast Care
Huntingdon Valley, PA 19006-1739                      Amoena                                        Amoena                           Specializes in Breast Prostheses,
Phone: 215.942.0120                                     Anita                                         Anita                          and Mastectomy Bras.
Fax: 215.942.0130                                      Camp                                          Camp                            Pockets sewn into Swimsuits or
Hours: Monday, Tuesday,                                Trulife                                     Classique                         Bras as desired.
Wednesday, Friday and Saturday,                                                                  Natural Wear
10:00 AM – 5:00 PM                                                                                                                   Board Certified Mastectomy Fitter
Thursday 10:00 AM – 7:00 PM                                                                                                          always available.

Appointment Required to                                                                                                              In-Network Provider with:
assure availability of Fitter                                                                                                        Medicare, Aetna, AmeriHealth,
                                                                                                                                     Blue Cross/Blue Shield, Cigna,
More information available at:                                                                                                       Erickson, Highmark, Inc., Horizon,
www.JayAnnIntimates.com                                                                                                              Humana, Keystone, Keystone 65,
                                                                                                                                     Personal Choice, Personal Choice
                                                                                                                                     65 and Tricare.

                                                                                                                                     Also accepts all out of area
                                                                                                                                     Blue Cross/Blue Shield members.

                                                                                                                                     Patient solely responsible for
                                                                                                                                     any co-pay and/or deductible
                                                                                                                                     that pertains to their Insurance
                                                                                                                                     Plan.

                                                                                                                                     Prescription Required.




                                                   *Will Bill the American Cancer Society Directly                                                                  21
                      The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                       Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                  MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                   Services
Jean’s Lingerie & Apparel                                                                                                          Specializes in Breast Prostheses,
27 North Hanover Street                               Nearly Me                                     Nearly Me                      and Mastectomy Bras; also carries
Pottstown, PA 19464-5485                                                                                                           Regular Bras.
Phone: 610.323.5465
Hours:                                                                                                                             Will special order Partial Breast
Wednesday Noon – 5:00 PM                                                                                                           Prostheses.
Thursday Noon – 5:00 PM
Friday 11:00 AM – 5:00 PM                                                                                                          Certified Fitter.
Saturday 11:00 AM – 4:00 PM
                                                                                                                                   NO Insurance Plans accepted.
Appointment Required
                                                                                                                                   Will provide patient with receipt to
                                                                                                                                   submit for reimbursement by their
                                                                                                                                   Insurance Company.

                                                                                                                                   Accepts only cash, or checks with
                                                                                                                                   identification. NO Credit Cards
                                                                                                                                   accepted.

                                                                                                                                   Prescription Required.

LympheDIVAs LLC                                                                                                                    LympheDIVAs LLC is dedicated to
Phone: 1.866.411.DIVA (3482) or                                                                                                    creating medically correct fashion
215.291.9322                                                                                                                       compression apparel for the savvy
Fax: 267.350.9187                                                                                                                  and stylish Breast Cancer
Hours: Monday to Friday,                                                                                                           Survivor with Lymphedema,
9:00 AM – 5:00 PM (Eastern                                                                                                         which will inspire her to feel
Standard Time)                                                                                                                     beautiful, strong and confident.

More information available at                                                                                                      Products are available online and
www.lymphedivas.com                                                                                                                also can be ordered over the
                                                                                                                                   phone.
Email: info@lymphedivas.com
                                                                                                                                   Check website for local
                                                                                                                                   Retail Locations.




                                                 *Will Bill the American Cancer Society Directly                                                                       22
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                  MONTGOMERY COUNTY, PA
Name, Address, Phone Hours                           Prostheses                               Mastectomy Bras                                   Services
*Mi-Lady Corset Shop                                                                                                               An Accredited Facility specializing
Bras & Shapewear                                       Airway                                        Airway                        in Breast Prostheses, Lightweight
Baederwood Shopping Center                            Amoena                                        Amoena                         Breast Prostheses, Mastectomy
1625 The Fairway                                        Anita                                         Anita                        Bras.
Jenkintown, PA 19046-1425                            Classique                                     Classique
Phone: 215.885.2727                                  Coloplast                                     Coloplast                       Alterations expertly done on
Fax: 215.885.4401                                   Harmony Silk                                   Discrene                        premises.
Hours: Monday to Friday,                            Natural Wear                                  Natural Wear
10:00 AM – 6:00 PM                                   Nearly Me                                       Trulife                       Certified Expert Fitters.
Saturday 9:30 AM – 5:30 PM                             So Lite
                                                      Soft Lite                                                                    If interested in Home Fitting;
Contact: Marcy Druker                                Tri Basics                                                                    please call for details.
                                                       Tri Lite
No Appointment Necessary                              Tri Varia                                                                    Mi-Lady Corset Shop will bill:
                                                      Tri Wing                                                                     Medicare, and Blue Cross/Blue
More information available at                          Trulife                                                                     Shield; patient is reimbursed
www.Mi-LadyCorset.com                                                                                                              directly.

                                                                                                                                   Medical Necessity Form given to
                                                                                                                                   patient for doctor to complete for
                                                                                                                                   Insurance purposes.

                                                                                                                                   Patient must make payment at
                                                                                                                                   time of purchase.




                                                 *Will Bill the American Cancer Society Directly                                                                    23
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                        LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                    MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                            Prostheses                               Mastectomy Bras                                   Services
Myoderm Medical Supply                                                                                                               An Accredited Facility Specializing
328 DeKalb Street                               American Breast Care                          American Breast Care                   in Breast Prostheses, Partial
Norristown, PA 19401-4906                             Amoena                                        Amoena                           Breast Prostheses, Mastectomy
Phone: 610.272.8660                                    Anita                                         Anita                           Bras, Camisoles, and Mastectomy
Fax: 610.272.4604                                      Trulife                                       Trulife                         Swimwear.
Hours: Monday to Friday,
9:00 AM – 5:30 PM                                                                                                                    Specializes in Lymphedema
                                                                                                                                     Sleeves, Gauntlets, Non-custom
Contact: Barbara Kershner                                                                                                            Stockings, and Gloves.

Appointment Required to                                                                                                              Certified Fitter.
assure availability of Fitter
                                                                                                                                     Free Home Fittings available;
                                                                                                                                     call for details.

                                                                                                                                     Certified Fitter trained in the
                                                                                                                                     Radiant Impressions Custom
                                                                                                                                     Breast Prostheses.

                                                                                                                                     Accepts Medicare and Aetna.

                                                                                                                                     Will submit paperwork for patient
                                                                                                                                     reimbursement.

                                                                                                                                     Prescription Required.




                                                   *Will Bill the American Cancer Society Directly                                                                     24
                      The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                       Please contact us at 215.985.5332 with any corrections or additions
                     LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                 MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                         Prostheses                               Mastectomy Bras                                   Services
Nordstrom Department Store                                                                                                        Specializes in Breast Forms (light
190 North Gulph Road                                  Amoena                                        Amoena                        color), Swim Forms, Leisure
King of Prussia, PA 19406-2932                                                                                                    Forms, and Mastectomy Bras.
Phone: 610.265.6111
Hours: Monday to Saturday,                                                                                                        Certified Fitters on staff.
10:00 AM – 9:30 PM
Sunday 11:00 AM – 7:00 PM                                                                                                         Specializes in Non-Mastectomy
                                                                                                                                  Bras, and will add pocket for NO
Ask for Lingerie Department                                                                                                       charge if purchased at
                                                                                                                                  Nordstrom. If purchased
Appointment Required                                                                                                              elsewhere, charge to add
                                                                                                                                  pocket is $20.00

                                                                                                                                  Accepts Medicare, Aetna, and
                                                                                                                                  Cigna.

                                                                                                                                  Prescription Required.

*Professional Pharmacy                                                                                                            An Accredited Facility specializing
920 North Charlotte Street                         Camp/Trulife                                  Camp/Trulife                     in Breast Prostheses, Partial
Pottstown, PA 19464-3959                                                                                                          Breast Prostheses, Mastectomy
Phone: 610.327.4900                                                                                                               Bras, Ladies First Camisoles, and
Fax: 610.323.4710                                                                                                                 Lymphedema Arm Sleeves.
Hours: Monday, Tuesday,
Wednesday and Friday,                                                                                                             Certified Fitters.
8:00 AM – 6:00 PM
Thursday, 8:00 AM – 8:00 PM                                                                                                       Accepts Medicare and some
Saturday 9:00 AM – 5:00 PM                                                                                                        HMO’s including Blue Cross/Blue
Sunday 9:00 AM – 3:00 PM                                                                                                          Shield, Keystone, and some
                                                                                                                                  Aetna.
Contact: Megan or Gina
                                                                                                                                  Co-pays may apply and are the
Appointment Required                                                                                                              responsibility of patient, unless
                                                                                                                                  otherwise directed, call for
                                                                                                                                  details.

                                                                                                                                  Prescription Required.


                                                *Will Bill the American Cancer Society Directly                                                                   25
                   The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                    Please contact us at 215.985.5332 with any corrections or additions
                    LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                        Prostheses                               Mastectomy Bras                                   Services
*Professional Pharmacy                                                                                                           An Accredited Facility specializing
931 Main Street                                   Camp/Trulife                                  Camp/Trulife                     in Breast Prostheses, Partial
Pennsburg, PA 18073-1603                                                                                                         Breast Prostheses, Mastectomy
Phone: 215.679.4946                                                                                                              Bras, and Ladies First Camisoles.
Fax: 215.679.7086
Hours: Monday to Friday,                                                                                                         Specializes in Lymphedema Arm
9:00 AM – 5:00 PM                                                                                                                Sleeves.

Contact: Megan M. Moyer                                                                                                          Certified Fitter.

Appointment Necessary                                                                                                            Accepts Medicare and some
                                                                                                                                 HMO's including Blue Cross
                                                                                                                                 Blue/Shield, Keystone Health Plan
                                                                                                                                 East, and some Aetna.

                                                                                                                                 Co-pays may apply and are the
                                                                                                                                 responsibility of patient, unless
                                                                                                                                 otherwise directed, call for
                                                                                                                                 details.

                                                                                                                                 Prescription Required.




                                               *Will Bill the American Cancer Society Directly                                                                   26
                  The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                   Please contact us at 215.985.5332 with any corrections or additions
                     LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                 MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                         Prostheses                               Mastectomy Bras                                   Services
Suburban Industrial Medical                                                                                                       An Accredited Facility specializing
Equipment                                             Amoena                                        Amoena                        in Breast Prostheses, Mastectomy
c/o Able Medical Equipment                             Trulife                                       Trulife                      Bras, Lymphedema Pumps and
21 West Fornance Street                                                                                                           Supplies, Compression Sleeves
Norristown, PA 19401-3300                                                                                                         and Stockings.
Phone: 610.277.4851 or
610.277.3939                                                                                                                      Will special order Partial Breast
Fax: 610.277.8299                                                                                                                 Prostheses.
Hours: Monday to Friday,
8:00 AM – 5:00 PM                                                                                                                 Certified Fitters.

Contact: Crystal Robb or Jerry                                                                                                    Home Fittings available; call for
                                                                                                                                  details.
No Appointment Necessary
                                                                                                                                  Accepts Medicare and most
                                                                                                                                  Personal Insurance Plans,
                                                                                                                                  including Aetna, AmeriHealth,
                                                                                                                                  Blue Cross/Blue Shield, Horizon
                                                                                                                                  Blue Cross, Keystone 65,
                                                                                                                                  Keystone Health Plan East,
                                                                                                                                  Keystone Mercy, and Personal
                                                                                                                                  Choice.

                                                                                                                                  Prescription Required for
                                                                                                                                  Insurance Reimbursement.




                                                *Will Bill the American Cancer Society Directly                                                                       27
                   The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                    Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                  MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                    Services
*The Profile Shop                                                                                                                  An Accredited Facility specializing
617 West Main Street                                 Airway                                        Airway                          in Breast Prostheses, Mastectomy
Lansdale, PA 19446-2011                       American Breast Care                              Almost You                         Bras, Partial Breast Prostheses,
Phone: 215.855.4321 or                              Amoena                                  American Breast Care                   Mastectomy Swimwear,
1.888.840.1001                                        Anita                                       Amoena                           Lymphedema Sleeves, and
Fax: 215.855.4872                                    Camp                                           Anita                          Compression Stockings.
Hours: Monday to Friday,                                                                           Camp
10:00 AM – 4:00 PM                                                                               Classique                         NO Regular Bras.
                                                                                                   Jodee
Contact: Heather or Diane                                                                                                          Certified Fitters.

Appointment Recommended                                                                                                            Home Fittings available; By
                                                                                                                                   Appointment Only.
More information available at
www.Theprofileshop.com                                                                                                             Accepts Medicare, Aetna,
                                                                                                                                   AmeriHealth, Cigna, Keystone,
                                                                                                                                   Keystone 65, Personal Choice,
                                                                                                                                   and Personal Choice 65.

                                                                                                                                   Prescription Required.




                                                 *Will Bill the American Cancer Society Directly                                                                   28
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                        LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                    MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                            Prostheses                               Mastectomy Bras                                   Services
Tulips Lingerie                                                                                                                      A fine Lingerie Shop whose goal is
419 Old York Road                                      Airway                                        Airway                          to make women feel whole again,
Jenkintown, PA 19046                            American Breast Care                          American Breast Care                   specializes in Breast Prostheses,
Phone: 215.887.6363                                   Amoena                                        Amoena                           Partial Breast Prostheses,
Fax: 215.887.0493                                      Trulife                                       Trulife                         Mastectomy Bras, and Swim
Hours: Monday to Saturday,                                                                                                           Prostheses.
10:00 AM – 5:00 PM
                                                                                                                                     BOC Certified Facility with two
Appointment Preferred to                                                                                                             Certified Mastectomy Fitters on
assure availability of Fitter                                                                                                        Staff.

Other Hours available By                                                                                                             Handicapped Accessible.
Appointment Only
                                                                                                                                     Also carries Regular Bras and
                                                                                                                                     Lingerie.
                                                                                                                                     Seamstress on staff will customize
                                                                                                                                     Regular Bras (or your favorite
                                                                                                                                     bra), and Bathing Suits with
                                                                                                                                     pockets for Breast Prostheses.

                                                                                                                                     NO Home Fittings.

                                                                                                                                     In-Network Provider for: Medicare,
                                                                                                                                     Independence Blues Network and
                                                                                                                                     Affiliates, and Aetna.

                                                                                                                                     We minimize your out of pocket
                                                                                                                                     expenses.

                                                                                                                                     Prescription Required.




                                                   *Will Bill the American Cancer Society Directly                                                                     29
                      The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                       Please contact us at 215.985.5332 with any corrections or additions
                        LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                    MONTGOMERY COUNTY, PA
Name, Address, Phone, Hours                            Prostheses                               Mastectomy Bras                                   Services
Wesley Pharmacy                                                                                                                      An Accredited Facility specializing
108 South Easton Road                                    Airway                                        Airway                        in Breast Prostheses, Mastectomy
Glenside, PA 19038-4001                                 Amoena                                        Amoena                         Bras, and Lymphedema Sleeves.
Phone: 215.887.4577                                   Natural Wear                                  Natural Wear
Fax: 215.887.4505                                                                                                                    Will special order Partial Breast
Hours: Monday to Friday,                                                                                                             Prostheses.
8:30 AM – 6:30 PM
Saturday 8:30 AM – 3:30 PM                                                                                                           NO Home Fittings.

Contact: Carmen Hill                                                                                                                 Certified Fitter.

Appointment Preferred to                                                                                                             Accepts Medicare, and some
assure availability of Fitter                                                                                                        Private Insurance Plans.

                                                                                                                                     Prescription Required.




                                                   *Will Bill the American Cancer Society Directly                                                                       30
                      The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                       Please contact us at 215.985.5332 with any corrections or additions
                        LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                    PHILADELPHIA COUNTY, PA
Name, Address, Phone, Hours                            Prostheses                               Mastectomy Bras                                    Services
Accu-Care Medical Supply                                                                                                             BOC Certified Facility specializing
Company                                                 Airway                                        Airway                         in Breast Prostheses, Mastectomy
1325 Snyder Avenue                                       Anita                                         Anita                         Bras, Partial Breast Prostheses,
Philadelphia, PA 19148-5514                             Camp                                          Camp                           Mastectomy Swimwear,
Phone: 215.389.9999                               Surgical Appliance                            Surgical Appliance                   Lymphedema Pumps, and
Fax: 215.551.7633                                                                                                                    Sleeves.
Hours: Monday to Friday,
9:00 AM – 5:00 PM                                                                                                                    Home Fittings available at NO
                                                                                                                                     charge.
Contact: Marisol
                                                                                                                                     Certified Fitters.
Appointment Preferred to
assure availability of Fitter                                                                                                        Accepts Medicare, Medicaid,
                                                                                                                                     AmeriHealth, Blue Cross/Blue
Walk-ins are Welcome                                                                                                                 Shield, Elder Health, Keystone
                                                                                                                                     Health Plan East, Keystone 65,
                                                                                                                                     Personal Choice, Personal Choice
                                                                                                                                     65 and United Healthcare
                                                                                                                                     Community Plan of Philadelphia
                                                                                                                                     (this is a plan offered through
                                                                                                                                     AmeriChoice).

                                                                                                                                     Will submit paperwork for patient
                                                                                                                                     reimbursement.

                                                                                                                                     Prescription Required.




                                                   *Will Bill the American Cancer Society Directly                                                                   31
                      The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                       Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                  PHILADELPHIA COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                   Services
Associated Medical Supply                                                                                                          An Accredited Facility specializing
8848 Frankford Avenue                                Airway                                        Airway                          in Breast Prostheses, Mastectomy
Philadelphia, PA 19136-1313                   American Breast Care                          American Breast Care                   Bras, Lymphedema Sleeves,
Phone: 215.331.1819                                Nearly Me                                     Nearly Me                         Gauntlets, and Compression
Fax: 215.331.3402                                   Thamert                                       Thamert                          Stockings.
Hours: Monday to Friday,
8:30 AM – 5:00 PM                                                                                                                  NO Mastectomy Swimwear in
Saturday 9:00 AM – 3:00 PM                                                                                                         stock, but will special order for
                                                                                                                                   patient.
No Appointment Necessary
                                                                                                                                   NO Home Fittings.
For Saturday Hours, please call
to assure availability of Fitter                                                                                                   Accepts Medicare, Blue
                                                                                                                                   Cross/Blue Shield, Health
                                                                                                                                   Partners, Keystone Health Plan
                                                                                                                                   East, Keystone 65, and most
                                                                                                                                   Major Insurance Plans, but DOES
                                                                                                                                   NOT accept *Cigna or Keystone
                                                                                                                                   Mercy.

                                                                                                                                   *If it is a PPO, they are in
                                                                                                                                   Network with Cigna.

                                                                                                                                   Will submit paperwork for patient
                                                                                                                                   reimbursement.

                                                                                                                                   Patient solely responsible for
                                                                                                                                   any co-pay and/or deductible
                                                                                                                                   that pertains to their Insurance
                                                                                                                                   Plan.

                                                                                                                                   Prescription and Chart Notes
                                                                                                                                   Required.




                                                 *Will Bill the American Cancer Society Directly                                                                   32
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                  PHILADELPHIA COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                  Services
*Faith & Hope Boutique                                                                                                             Faith & Hope Boutique is an
Hospital of The University of                          Amoena                               American Breast Care                   Accredited Full Service Shop
Pennsylvania                                            Anita                                     Amoena                           where our BOC Certified Fitters,
Perelman Center                                         Trulife                                    Anita                           who have first hand knowledge of
   th
34 & Civic Center Boulevard                                                                      Classique                         what you are dealing with, are on
First Floor                                                                                        Trulife                         hand to help you.
Suite 1680 West Pavilion
Philadelphia, PA 19104                                                                                                             Specializes in Full and Partial
Phone: 215.615.3321                                                                                                                Breast Prostheses, Shells,
Fax: 215.615.3348                                                                                                                  Nipples, and Foam Forms, as well
Hours: Monday to Friday,                                                                                                           as Chemo-Care Packs, Swim
10:00 AM – 4:00 PM                                                                                                                 Forms, Mastectomy Mates,
                                                                                                                                   Compression Bras, and
Contact: Jeanette or Bonnie                                                                                                        Lymphedema Fashion Sleeves.

Appointment Recommended                                                                                                            Also carries a large inventory of
                                                                                                                                   Mastectomy Camisoles, Regular,
More information available at:                                                                                                     Sport, and Strapless Bras, all of
www.FaithandHopeBoutique.com                                                                                                       which are equipped for Breast
             or                                                                                                                    Prostheses.
info@faithandhopeboutique.com
                                                                                                                                   A full line of skin and scar care
                                                                                                                                   products is available, as well as
                                                                                                                                   the Special Product of the month
                                                                                                                                   (a portion of the proceeds is
                                                                                                                                   donated to charity/organization),
                                                                                                                                   and new Wigs.

                                                                                                                                   Accepts Medicare, Aetna and IBX.

                                                                                                                                   Prescription Required.




                                                 *Will Bill the American Cancer Society Directly                                                                   33
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                     LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                 PHILADELPHIA COUNTY, PA
Name, Address, Phone, Hours                         Prostheses                               Mastectomy Bras                                   Services
*G&G Health Care Services, Ltd.                                                                                                   An Accredited Facility specializing
536 West Girard Avenue                              Airway                                        Airway                          in Breast Prostheses (Regular or
Haussemann’s Pharmacy (corner                American Breast Care                          American Breast Care                   Light Weight), Partial Breast
    th
of 6 & Girard)                                     Amoena                                        Amoena                           Prostheses for Lumpectomy,
Philadelphia, PA 19123-1492                          Anita                                         Anita                          Mastectomy Bras, Mastectomy
Phone: 215.629.4939                                 Trulife                                     Classique                         Swimwear (including Prostheses
Fax: 215.629.4149                                                                                 Jodee                           for Swimwear), and Lymphedema
Hours: Monday to Friday,                                                                          Trulife                         Sleeves.
9:00 AM – 5:00 PM
                                                                                                                                  Certified Fitters.
Contact: Lyzette Almodovar or
Mildred Rios                                                                                                                      Home Fittings available; call for
                                                                                                                                  details.
By Appointment Only, but
Walk-ins are Welcome                                                                                                              Free Consultation.

                                                                                                                                  Accepts Medicare, Medicaid and
                                                                                                                                  various Third Party Health Care
                                                                                                                                  Insurance Plans and HMO’s,
                                                                                                                                  including: Aetna, AmeriHealth, all
                                                                                                                                  Blue Cross/Blue Shield Plans,
                                                                                                                                  Bravo, Cigna, Health Partners,
                                                                                                                                  Keystone Health Plan East,
                                                                                                                                  Keystone Mercy, Keystone 65,
                                                                                                                                  Medicaid Access, Personal
                                                                                                                                  Choice, Personal Choice 65, and
                                                                                                                                  United Healthcare, Aetna Better
                                                                                                                                  Health.

                                                                                                                                  Will submit paperwork for patient
                                                                                                                                  reimbursement.

                                                                                                                                  Prescription Required.




                                                *Will Bill the American Cancer Society Directly                                                                   34
                   The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                    Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                  PHILADELPHIA COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                   Services
*Harriet’s Innerwear                                                                                                               A Fully Accredited Facility by ABC
1725 East Passyunk Avenue                            Airway                                        Airway                          specializes in Breast Prostheses,
Philadelphia, PA 19148-1517                   American Breast Care                          American Breast Care                   Mastectomy Bras, Partial Breast
Phone: 215.468.5100                                 Amoena                                          Anita                          Prostheses, Shells, Mastectomy
Fax: 215.468.2804                                     Anita                                      Classique                         Camisoles, Swim/Exercise Forms,
Hours: Tuesday, Thursday,                        Bosom Buddy                                       Jodee                           and Mastectomy Swimwear.
Friday, Saturday,                                    Camp
10:30 AM – 5:30 PM                                 Classique                                                                       Specializes in a large inventory of
Wednesday 10:30 AM – 6:30 PM                         Jodee                                                                         Regular Bras, both soft and
                                                                                                                                   under-wire that can be tailored
Please call for our Winter Store                                                                                                   with custom pockets for
Hours.                                                                                                                             Prostheses.

Contact: Barbara, CFM/Owner                                                                                                        Accepts Medicare, and the
                                                                                                                                   Blue Cross/Blue Shield Network,
Appointment Required                                                                                                               AmeriHealth, Keystone Health
                                                                                                                                   Plan East, Keystone 65, Personal
More information available at:                                                                                                     Choice, and Personal Choice 65.
www.harrietsinnerwear.com
                                                                                                                                   Will submit paperwork for patient
                                                                                                                                   reimbursement.

                                                                                                                                   Patient solely responsible for
                                                                                                                                   any co-pay and/or deductible
                                                                                                                                   that pertains to their Insurance
                                                                                                                                   Plan.

                                                                                                                                   Prescription Required.




                                                 *Will Bill the American Cancer Society Directly                                                                    35
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                       LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                   PHILADELPHIA COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                    Services
LympheDIVAs LLC                                                                                                                    LympheDIVAs LLC is dedicated to
Phone: 1.866.411.DIVA (3482) or                                                                                                    creating medically correct fashion
215.291.9322                                                                                                                       compression apparel for the savvy
Fax: 267.350.9187                                                                                                                  and stylish Breast Cancer
Hours: Monday to Friday,                                                                                                           Survivor with Lymphedema,
9:00 AM – 5:00 PM (Eastern                                                                                                         which will inspire her to feel
Standard Time)                                                                                                                     beautiful, strong and confident.

More information available at                                                                                                      Products are available online and
www.lymphedivas.com                                                                                                                also can be ordered over the
                                                                                                                                   phone.
Email: info@lymphedivas.com
                                                                                                                                   Check website for local
                                                                                                                                   Retail Locations.

Nezzie’s                                                                                                                           An Accredited Facility specializing
2601 South Mildred Street                            Almost You                                    Almost You                      in discounted Breast Prostheses.
Suite 1                                               Amoena                                        Amoena
Philadelphia, PA 19148-4532                           Classique                                     Classique                      Specializes in Mastectomy Bras,
Phone: 215.389.1376                                    Norvell                                       Norvell                       and Regular Bras.
Fax: 215.389.1965
Hours: Wednesday to Saturday,                                                                                                      Certified Fitter for Amoena, Almost
11:00 AM – 6:00 PM                                                                                                                 You and Norvell.

Contact: Ruth Hugee                                                                                                                Accepts Cash ONLY.

Walk-ins are Welcome                                                                                                               Will provide patient with receipt
                                                                                                                                   to submit to their Insurance
                                                                                                                                   Company for reimbursement.

                                                                                                                                   Prescription Required.




                                                 *Will Bill the American Cancer Society Directly                                                                       36
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                  PHILADELPHIA COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                     Services
*Personal Support Medical                                                                                                          We take pride in offering private
Suppliers                                              Airway                                       Airway                         consultations for all women including
Accredited with: Accreditation                        Nearly Me                                     Jodee                          those who have had Lumpectomy and
Commission for Healthcare                              Trulife                                     Nearly Me                       Reconstruction Surgeries.
Incorporated (ACHC)                                                                                 Trulife                        Specializes in Breast Prostheses,
270 Geiger Road                                                                                    Wear Ease                       Trulife, Radiant Impressions Custom-
Suite C                                                                                                                            Molded Breast Prosthesis,
Philadelphia, PA 19115-1016                                                                                                        Mastectomy Bras, Partial Breast
Phone: 215.464.7304 or                                                                                                             Prostheses, Full-Figured Bras,
1.866.990.7900                                                                                                                     Mastectomy Swimwear, Post-
Fax: 215.464.7308                                                                                                                  Operative Camisoles, Shells, Post-
Hours: Monday to Friday,                                                                                                           Reconstruction Surgery Bras, and any
9:00 AM – 5:00 PM                                                                                                                  Mastectomy products needed by
                                                                                                                                   patient. Specializes in Lymphedema
                                                                                                                                   Pumps, and will fit for custom-made
Contact: Linda Bama, Certified                                                                                                     Lymphedema Arm Sleeves and
Post Mastectomy Fitter or                                                                                                          Gauntlets.
David Hatooka
                                                                                                                                   Certified Fitter provides custom fittings
By Appointment Only                                                                                                                for women, and specializes in support
                                                                                                                                   fittings for full-figured women.
More information available at:
www.pshme.com                                                                                                                      Home Fittings available in the local
                                                                                                                                   area By Appointment Only.

                                                                                                                                   Accepts Medicare.
                                                                                                                                   In-Network Provider for: Blue
                                                                                                                                   Cross/Blue Shield, Personal Choice,
                                                                                                                                   Bravo/Elder Health, Keystone Health
                                                                                                                                   Plan East, Keystone 65, Health
                                                                                                                                   Partners, AmeriHealth and Humana.

                                                                                                                                   Also accepts other Insurance Plans;
                                                                                                                                   call for details.
                                                                                                                                   Will submit paperwork for patient
                                                                                                                                   reimbursement.

                                                                                                                                   *Prescription Required.
                                                                                                                                   *Assistance provided if patient
                                                                                                                                   does not have prescription, call for
                                                                                                                                   further information.


                                                 *Will Bill the American Cancer Society Directly                                                                         37
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                      LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                  PHILADELPHIA COUNTY, PA
Name, Address, Phone, Hours                          Prostheses                               Mastectomy Bras                                     Services
Solutions For Women at                                                                                                             Specializes in Trulife, Radiant
Pennsylvania Hospital                                   Airway                                       Airway                        Impressions Custom-Molded Breast
721 Delancey Street                                     Trulife                                      Jodee                         Prosthesis, Partial Breast Prostheses,
Philadelphia, PA 19107                                                                              Nearly Me                      Mastectomy Bras, Mastectomy
                                                                                                                                   Swimwear, and Post-Operative
Phone: 215.829.5046                                                                                  Trulife                       Camisoles, Post-Reconstruction
Fax: 215.829.3043                                                                                                                  Surgery Bras.
Hours: Monday to Friday,
10:00 AM – 2:00 PM                                                                                                                 Carries the LympheDIVAs LLC brand
                                                                                                                                   of Lymphedema Sleeves and
Appointment Necessary for                                                                                                          Gauntlets.
Mastectomy Fitting
                                                                                                                                   Carries Lindi Skin, a skin care line of
More information available at:                                                                                                     products created to help people with
www.pennhealth.com                                                                                                                 cancer, specifically formulated to
                                                                                                                                   soothe the symptoms that occur
                                                                                                                                   during and after Radiation Therapy
                                                                                                                                   and Chemotherapy.

                                                                                                                                   Accepts Medicare.

                                                                                                                                   In-Network Provider for: Blue
                                                                                                                                   Cross/Blue Shield, Personal Choice,
                                                                                                                                   Bravo/Elder Health, Keystone Health
                                                                                                                                   Plan East, Keystone 65, Health
                                                                                                                                   Partners, AmeriHealth, and Humana.

                                                                                                                                   Also accepts other Insurance Plans;
                                                                                                                                   call for details.

                                                                                                                                   Will submit paperwork for patient
                                                                                                                                   reimbursement.

                                                                                                                                   *Prescription Required.
                                                                                                                                   *Assistance provided if patient
                                                                                                                                   does not have prescription, call for
                                                                                                                                   further information.




                                                 *Will Bill the American Cancer Society Directly                                                                        38
                    The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                     Please contact us at 215.985.5332 with any corrections or additions
                        LISTING OF SUPPLIERS FOR MASTECTOMY PRODUCTS
                                    PHILADELPHIA COUNTY, PA
Name, Address, Phone, Hours                            Prostheses                               Mastectomy Bras                                   Services
*Yellen Medical                                                                                                                      An Accredited Facility specializing
1116 South Street                                      Almost You                                    Almost You                      in Breast Prostheses, Mastectomy
Philadelphia, PA 19147-1915                            Nearly Me                                                                     Bras, and Accessories.
Phone: 215.440.7701
Fax: 215.440.7702                                                                                                                    NO Lymphedema Products.
Hours: Monday to Friday,
9:00 AM – 4:30 PM                                                                                                                    Will special order Partial Breast
                                                                                                                                     Prostheses or Shells.
Contact: Richard
                                                                                                                                     Office or Home Fittings
Appointment Preferred to                                                                                                             available by Certified Fitters.
assure availability of Fitter                                                                                                        There is NO Charge for this
                                                                                                                                     service.
Saturday Hours available By
Appointment Only                                                                                                                     Accepts Aetna, AmeriHealth,
                                                                                                                                     Blue Cross/Blue Shield,
                                                                                                                                     Keystone Health Plan East,
                                                                                                                                     Keystone 65, and Personal
                                                                                                                                     Choice.

                                                                                                                                     Prescription Required for
                                                                                                                                     Insurance Reimbursement.




                                                   *Will Bill the American Cancer Society Directly                                                                       39
                      The information on this list is provided as a public service and does not imply endorsement by the American Cancer Society
                                                       Please contact us at 215.985.5332 with any corrections or additions

				
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