Christine Green - Office Manager

Our longest tenured staff member, Christine has been working with Dr. Berkowitz for over 6 years! Christine manages the office, and specializes in all legal cases. 

Christine is the mother of three children, a pair of twin boys and a daughter. 


Heather Pennington, CPA - Accountant and HR

Heather Pennington is the company's accountant. She tracks all billing and insurance payments. She tracks account payables and account receivables. Additionally she runs the company's financial reports.  Her favorite part about working with A+ Pain Management is the small business environment.

Heather is the mother of four children and spends her free time with her family and running, and also enjoys the outdoors. 


Tom Fossile - Operations Manager

Tom Fossile oversees all operational aspects of the business, especially those pertaining to medications and urinalysis tests. 

Tom is an ardent Philly sports fan, and enjoys watching the Eagles and the 76ers. 

Paige Nelson - Office Assistant

Paige Nelson is the practice's office assistant. Her main duties include filing, mixing creams, preparing medications, and bagging medicine for patients. She likes working for A+ Pain Management because it keeps her busy and makes time go by quickly. 

In her free time outside of work, Paige enjoys hanging out and spending time with her friends.