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Provider Directory

How to use this directory

Welcome Each health care provider in the directory has agreed to participate with Blue Cross Blue Shield of Wyoming for the Kid Care CHIP program. Services must be provided by the health care professionals, hospitals, and surgical centers listed in this directory.

Please remember, should you see a health care provider who is not participating in Kid Care CHIP, services will not be covered by Blue Cross Blue Shield of Wyoming and you will be responsible for all charges.

The status of the network is subject to change and providers listed are not a guarantee of payment for services. Although Blue Cross Blue Shield of Wyoming tries to keep this directory up to date, changes occur due to circumstances beyond our control. You may need to contact a provider directly to be sure they are currently accepting new patients. For specific benefit information, please refer to your Kid Care CHIP Handbook, or you may call member services at 1-800-209-9720.

Using This We encourage you to select a primary care doctor from the Kid Directory Care CHIP network that you feel comfortable with, who knows your child's health history and is the provider you plan to see on an ongoing basis.

This primary care provider can coordinate care with other health care providers. This is the best approach in using your health care benefits, and will provide your child the health care they need. Your child's health is important to all of us.

Finding a The directory is separated into several sections. Within each Medical section the participating providers are listed alphabetically by city. Service These sections were created so that you will be able to quickly find Provider a provider by name and locate specific types of providers within your community.

Table of Contents

Participating Hospitals 1

Participating Inpatient Mental Facilities 3

Participating Freestanding Ambulatory Facilities 4

Participating Professional Providers 5 (This section includes doctors, optometrists and podiatrists)

Participating Dentists 62

Participating Other Providers 63 (This section includes nurse practitioners, physician assistants, audiologists, and physical and occupational therapists)

Participating Chiropractors 104

Participating Behavioral Health Providers 110 (This section includes psychologists, professional counselors, social works, and addiction counselors)

Participating Home Health Agencies 139

Every effort has been made to make this directory as accurate as possible. Blue Cross Blue Shield of Wyoming, however, assumes no liability for errors or omissions. If an error is made in a specific listing, please notify our office so that a correction can be made prior to subsequent director publications.

For additional information about our provider network, please contact our Member Services department at 1-800-442-2376, or in Cheyenne (307) 634-1393. You can also access our on-line provider directory at our website: www.WyomingBlue.com. KID CARE CHIP PARTICIPATING HOSPITALS

Wyoming Wyoming (cont.) Afton Gillette

Star Valley Medical Center Campbell County Memorial Hospital 901 Adams St 501 S Burma Ave (307) 885-5800 (307) 682-8811

Basin Jackson

South Big Horn County Hospital St Johns Hospital 388 Us Hwy 20 S 525 E Broadway (307) 568-3311 (307) 733-3636

Buffalo Kemmerer

Johnson County Memorial Hospital South Lincoln Hospital District 497 W Lott 711 Onyx St (307) 684-5521 (307) 877-4401

Casper Lander

Mountain View Regional Hospital Lander Valley Medical Center 6550 E 2nd St 1320 Bishop Randall Dr (307) 473-8499 (307) 332-4420

Wyoming Medical Center Laramie 1233 E 2nd St (307) 577-7201 Ivinson Memorial Hospital 255 N 30th St (307) 742-2141 Cheyenne

Cheyenne Regional Medical Center Lovell 214 E 23rd St (307) 634-2273 North Big Horn Hospital 1115 Lane 12 (307) 548-5200 Cody

West Park Hospital Lusk 707 Sheridan (307) 527-7501 Niobrara County Hospital District dba Niobrara Health & Life Cntr 921 S Ballancee Douglas (307) 334-4000 Memorial Hospital of Converse County 111 S 5th St Newcastle (307) 358-2122 Weston County Health Services 1124 Washington Blvd Evanston (307) 746-4491 Evanston Regional Hospital 190 Arrowhead Dr (307) 789-3636

Providers are subject to be added or terminated without notice.

1 April 03, 2013 KID CARE CHIP PARTICIPATING HOSPITALS

Wyoming (cont.) Wyoming (cont.) Powell Worland

Powell Valley Health Care dba Powell Valley Washakie Medical Center Hospital 400 S 15th St 777 Ave H (307) 347-3221 (307) 754-2267

Rawlins

Memorial Hospital of Carbon County 2221 W Elm St (307) 324-2221

Riverton

Riverton Memorial Hospital LLC 2100 W Sunset Dr (307) 856-4161

Rock Springs

Memorial Hospital of Sweetwater County 1200 College Dr (307) 362-3711

Sheridan

Memorial Hospital of Sheridan County 1401 W 5th St (307) 672-1000

Sundance

Crook County Memorial Hospital 713 Oak St (307) 283-3501

Thermopolis

Hot Springs County Memorial Hospital 150 E Arapahoe (307) 864-3121

Torrington

Community Hospital 2000 Campbell Dr (307) 532-4181

Wheatland

Platte County Memorial Hospital 201 14th St (307) 322-3636

Providers are subject to be added or terminated without notice.

2 April 03, 2013 KID CARE CHIP PARTICIPATING INPATIENT MENTAL CONDITION FACILITIES

Wy Casper

Wyoming Behavioral Institute 2521 E 15th St (307) 237-7444

Cheyenne

Cheyenne Regional Medical Center 2600 E 18th St (307) 633-7370

Gillette

Campbell County Memorial Hospital 501 S Burma Ave (307) 687-5553

Lander

Lander Valley Medical Center 1320 Bishop Randall Dr (307) 332-4420

Providers are subject to be added or terminated without notice.

3 April 03, 2013 KID CARE CHIP PARTICIPATING FREESTANDING AMBULATORY FACILITIES

Wyoming Wyoming (cont.) Casper Gillette

Casper Surgical Center Center For Surgical Excellence Inc 1201 E 3rd St 1503 Cressett St (307) 577-2950 (307) 682-1911

Wyoming Surgical Center LLC North East Wyoming Surgery Center LLC 4140 Centennial Hl Blvd 1307 W 3rd St Ste C (307) 686-8283 (307) 472-8780 Powder River Surgery Center, LLC Cheyenne 906 W 6th St Ste C (307) 688-8600 Center For Dermatologic Surgery 123 Western Hills Blvd (307) 635-0226 Jackson Teton Outpatient Service Cheyenne Eye Surgery 150 Buffalo Way 1300 E 20th St (307) 733-8677 (307) 632-2020 Laramie Cheyenne Surgical Center, LLC 3235 Sparks Rd Gem City Bone and Joint dba Premier Bone (307) 633-8121 & Joint Centers 1909 Vista Dr (307) 745-8851 Internal Medicine Group Ambulatory Surgery Center 2301 House Ave Ste 300 Gem City Bone and Joint PC ASC (307) 635-4141 1909 Vista Dr (307) 745-8851 Wops Inc 5050 Powderhouse Rd Rock Springs (307) 634-1311 Rock Springs Plastic Surgery 1208 Hilltop Dr Yellowstone Surgery Center Ste 103 2301 House Ave # 200 (307) 362-8211 (307) 635-7070

Sweetwater Surgical Center Cody 2761 Commercial Way (307) 382-6873 Northern Wyoming Surgical Center 732 Lindsay Ln (307) 587-2139 Sheridan

Sheridan Surgical Center LLC Evanston 1524 W 5th St (307) 672-7874 Premier Surgical Center, LLC 195 Overthrust Rd (307) 444-3600

Providers are subject to be added or terminated without notice.

4 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming Wyoming (cont.) Afton Afton (cont.)

Brecheen, Roger M., MD Mountain Valley Imaging (cont.) 110 Hospital Ln Radiology (continued) (307) 885-5852 Lamb, Justin A., DO Obstetrics/Gynecology Brecheen, Roger M., MD Mountain West Ear, Nose & Throat - Head & Neck 110 Hospital Lane Goble Knee Clinic (307) 885-5852 901 Adams (435) 787-8467 Otology, Laryngology, Rhinology Orthopedic Surgery Stock, Curt R., MD Goble, E Marlowe, MD Pocatello Podiatry 110 Hospital Lane High Country Behavioral Health (307) 883-7246 389 Adams St (307) 885-9883 Podiatry, Surgical Chiropody Psychiatry (MD/DO) Howard, Karson K., DPM Fitzpatrick, Elizabeth E., MD Matthews, Adam C., DPM

Medical Imaging Assoc of Idaho Falls, PA Salt River Orthopaedics 901 Adams Street 110 Hospital Ln (208) 552-8761 (307) 885-5870 Radiology Orthopedic Surgery Biddulph, Michael C., MD Tallerico, Brian D., DO Bigler, Dirk E., DO Shrader, David L, MD Edlin, James P., MD 110 Hospital Ln Hansen, David V., MD (307) 885-5852 Harker, Christopher O., MD Pulmonary Diseases Lamb, Justin A., DO Shrader, David L., MD Neeley, James P., MD Penney, Richard M., MD Star Valley Family Physicians Schmutz, James F., MD 110 Hospital Ln Smith, Steven D., MD (307) 885-5852 Strobel, John J., MD Family Practice Taylor, James W., DO Carter, Allen D., MD Vance, Peter L., MD Head, K Paul, MD Wray, Alan B., MD Milleson, Niki M., DO Petersen, Lance R., MD Moser, James E OD Pieper, Michael R., DO 50 E 4th Ave (307) 885-3975 Stibor, Noel B., MD General Surgery Optometrist Bender, David S., MD Moser, James E., OD Dunlap, Wade W., MD Mountain Valley Imaging Oncology 110 Hospital Ln Pierson, Andrew S., MD (307) 885-5800 Ririe, David W., MD Radiology Hansen, David V., MD Kiser, Randall B., MD

Providers are subject to be added or terminated without notice.

5 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Arapahoe Buffalo (cont.)

Indian Health Services Gardner, Ronald S MD Wind River Service Unit 15 Burger Lane #14 Great Plains Rd (307) 684-2228 (307) 856-9281 General Surgery Family Practice Gardner, Ronald S., MD Ebbert, Paul, MD Gilroy, Tabitha M., MD Northern Wyoming Mental Health Center Inc Reber, Garth E., DO 521 W Lott (307) 684-5531 Optometrist Cadman, Shelly, OD Psychiatry (MD/DO) Zolcik, Wojciech J., MD Basin The Vision Center of Johnson County PC Big Horn Clinic 114 W Angus 156 N 6th St (307) 684-5501 (307) 568-2499 Optometrist Family Practice Jons, Christopher L., OD Bomengen, Wade T., MD Mahoney, Kevin R., MD Casper Pettipiece, Kurt R., MD Advanced Anesthesia P.C. Weyer, Jason C., DO 2510 E 15th Street Suite 2 Midway Clinic (307) 234-9657 388 Us Highway 20 S (307) 568-3311 Anesthesiology (MD) Eck, Heather C., MD Family Practice Fitzsimmons, Brendan H., MD All Womens Care Hill, Demar D., MD 940 E 3rd St Ste 211 Willson, Howard T., MD (307) 215-1103 Obstetrics/Gynecology Buffalo Edwards, Cheryl Y., MD Family Medical Center 497 W Lott Allergy and Asthma Clinic of Wyoming LLC (307) 684-2228 2222 E 2nd St (307) 577-5222 Family Practice Darnell, Brian M., DO Allergy Gonzalez, Hermilo, MD Shah, Kamlesh S., MD Gosar, Grace M., MD Anne Kirven, Larry E., MD 940 E 3rd Suite 206 Ludwig, Ryan R., MD (307) 577-0445 Schueler, Mark, MD Rheumatology Tabb, Aubrey D., MD Macguire, Anne M., MD General Surgery Ruby, Blaine J., MD Barahal, David MD Yarlott, Melvin A., MD 1233 E 2nd St (307) 237-5848 Internal Medicine Fehir, Kim M., MD Anesthesiology (MD) Barahal, David, MD

Providers are subject to be added or terminated without notice.

6 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Baxter IV, David A., MD Casper Aesthetics 742 S David 6600 E 2nd Street (307) 234-9657 (307) 234-6554 Anesthesiology (MD) General Surgery Baxter, David A., MD Saydjari, Razi D., MD

Billings, John A MD PC Casper Community Care 742 S David 1522 East A Street (307) 234-9657 (307) 232-6096 Anesthesiology (MD) Psychiatry (MD/DO) Billings, John A., MD Goddik, Steen, MD

Birch, Warren A MD Casper Medical Imaging PC 6550 E 2nd St 419 S Washington St (307) 234-9657 Ste 101 (307) 265-1620 Anesthesiology (MD) Birch, Warren A., MD General Surgery Anderson, James A., MD Brattis Vision Clinic Radiology 400 East First St Bowkley, Charles W., MD Ste 314 (307) 266-2020 Cubin, Frederick W., MD Flaherty, Michael J., MD Optometrist Gonda, Shawn J., MD Brattis, Nick James, OD Horn, Steven R., MD Brattis Vision Clinic Inc PC Karaman, Boris A., MD 204 S Durbin St McGinley, Joseph C., MD (307) 235-2020 Peters, Paul L., MD Optometrist Peterson, David A., MD Brattis, Nick James, OD Sloan, Michael L., MD Smith, Geoffrey G., MD Brown, Stephen L MD Sulser, Daniel F., MD 2417 E 15th St Walker, Michael E., MD (307) 234-3638 Wright, Aaron D., MD Psychiatry (MD/DO) Brown, Stephen L., MD Casper Obstetrical and Gynecological Associates PC Bruce C Bennett MD LLC 150 North Melrose 1020 E 2nd St Ste 100 (307) 234-6988 (307) 265-4343 Obstetrics/Gynecology Psychiatry (MD/DO) Sheridan, Susan M., MD Bennett, Bruce C., MD Casper Orthopaedic Associates PC Bruce M. Hansen, DO Anesthesia PC 4140 Centennial Hls Blvd 6600 E 2nd St Ste A (307) 234-9657 (307) 265-7205 Anesthesiology (MD) Orthopedic Surgery Hansen, Bruce M., DO Allaire, Robert B., MD Bailey, John D., MD Behrens, Jerome A., MD Gorman, Matthew T., MD

Providers are subject to be added or terminated without notice.

7 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Casper Orthopaedic Associates PC (cont.) Central Wyoming Counseling Center (cont.) Orthopedic Surgery (continued) Psychiatry, Neurology Mitchell, Matthew E., MD Martorano, David M., MD Orcutt, Steven A., MD Smith, Craig P., MD Central Wyoming Nephrology 940 E 3rd St Ste 211 Turner, Clayton E., MD (307) 237-5047 Yakel, Demian M., DO Nephrology Casper Pediatrics Cotant, Casey L., MD 1300 East A St #206 Neff, Robert T., MD (307) 265-2400 Pediatrics Central Wyoming Neurology LLC 5820 E 2nd St Soler, Ambrose, MD (307) 234-9037 Casper Pulmonary Neurology 419 S Washington St Santiago, Angelo M., MD Ste 202 (307) 577-0477 Central Wyoming Neurosurgery LLC 6600 E 2nd St Pulmonary Diseases (307) 266-4000 Hussieno, Muhammad A., MD Anesthesiology (MD) Casper Vision Center Beutler, Barry C., MD 543 S David St Hammond, Todd A., MD (307) 237-9494 Internal Medicine Optometrist Thalken, John P., MD Carlson, David R., OD Neurological Surgery Gustafson, Paul L., OD Kopitnik, Thomas A., MD Narotzky, Robert A., MD Casper Women's Care PC 770 E 2nd Street Schubert, Eric B., MD (307) 237-5510 Steele, Debra L., MD Thapar, Kamal, MD Obstetrics/Gynecology Salvino, Cora F., MD Thompson, Todd P., MD

Cedars Health Central Wyoming Optometric Center 428 S Durbin Street 1111 S Mckinley (307) 277-3867 (307) 235-3144 Urgent Care Optometrist Cedars Health Zeitner, Deon K., OD

Central Wyoming Counseling Center Central Wyoming Skin Clinic 1430 Wilkins Cir 2546 E 2nd St Ste 400 (307) 237-9583 (307) 234-0003 Neurological Surgery Dermatology Karandikar, Mahesh, MD Bennion, Scott D., MD Psychiatry (MD/DO) Central Wyoming Urological Associates PC Viray Shanklin, Arlene P., MD 1416 East A St Ste 101 Vuolo, Mark D., MD (307) 577-8600

Providers are subject to be added or terminated without notice.

8 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Central Wyoming Urological Associates PC Community Health Center of Central (cont.) Wyoming (cont.) General Surgery Obstetrics/Gynecology Gottsch, Henry P., MD Harnetty, Paul M., MD Urology Pediatrics Haden, James B., MD Tolliver, Peggy R., MD Hansen, Todd C., MD Jones, John Paul, MD Cummings Family Medicine 940 E 3rd St Ste 209 Presto, Andrew J., MD (307) 472-5196 Children's Advocacy Project Inc Family Practice 350 N Ash St Cummings, Daniel C., MD (307) 232-0159 Family Practice Dr. John K Clements dba Summit Vision Center Robitaille, Beth C., MD 1526 Centennial Court (307) 237-6025 Chynoweth, Matthew D DO 1233 E 2nd St Optometrist (307) 237-5848 Clements, John K., OD Anesthesiology (MD) Edwards, Diane R., MD Chynoweth, Matthew D., DO 915 S David (307) 472-3769 Community Health Center of Central Wyoming Pediatrics 5000 Blackmore Rd Edwards, Diane R., MD (307) 265-3622 Family Practice Ellbogen, David A MD 1720 S Poplar St Ste 1 Janes, Danijela, MD (307) 473-1427 Knierim, Gabriele S., MD Owens, Michael W., MD Pediatrics Ellbogen, David A., MD Internal Medicine Johnson, Jungsook S., MD Emergency Medical Physicians PC Santosa, Ronny, MD 1233 E 2nd St Obstetrics/Gynecology (307) 632-1436 Bell, Patricia A., DO Emergency Medicine Harnetty, Paul M., MD Bruno, Michael R., MD Rygiel, Richard J., MD Buckwalter, David G., DO Pediatrics Carmen, George W., MD Tolliver, Peggy R., MD Clifford, Ryan T., MD Cubin, Jonna W., MD Community Health Center of Central Wyoming Iverson, Ronald D., MD 2546 E 2nd St Ste 600 Realing, Jerry R., MD (307) 265-0910 Varallo, Timothy M., MD Family Practice Washut, Travis P., DO Janes, Danijela, MD Webb, Sherilyn M., MD Internal Medicine Family Practice Santosa, Ronny, MD Beyer, Sean E., MD Binder, Jonathan P., MD Clifford, Ryan T., MD

Providers are subject to be added or terminated without notice.

9 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Emergency Medical Physicians PC (cont.) Gastroenterology Associates PC Family Practice (continued) 1441 Wilkins Cir Duquette, Eugene P., DO (307) 265-1792 Teague, Lonnie A., MD Gastroenterology Webb, Sherilyn M., MD Cloud, Jeffrey W., MD Internal Medicine Joubran, Raoul, MD Carmen, George W., MD Katz, Kent D., MD Krmpotich, Phillip T., MD Engelking, Kerry G MD 1233 E 2nd Street Gastroenterology Associates PC (307) 237-5848 1441 Wilkins Circle (800) 380-1820 Anesthesiology (MD) Engelking, Kerry G., MD Gastroenterology Cloud, Jeffrey W., MD Eye Institute of Wyoming PC Joubran, Raoul, MD 301 S Fenway Ste 102 (307) 235-5384 Katz, Kent D., MD Krmpotich, Phillip T., MD Optometrist Day, Dana L., OD Gem City Bone and Joint dba Premier Bone & Joint Centers Family Vision & Contact Lens Clinic LLC 245 S Fenway 1328 E 12th St (307) 237-0304 (307) 237-8713 Orthopedic Surgery Optometrist Aukerman, Ryan A., MD Edwards, Nathan D., OD Bienz, Thomas A., MD Harris, Mike E., OD Jenkins, Lawrence A., MD Ochiltree, Andrew J., OD Levene, Daniel E., MD McKenna, Mark E., MD First Street Vision Ryzewicz, Mark E., MD 1940 E 1st St (307) 266-9988 Wasser, Michael, MD Physical Medicine and Rehabilitation Optometrist Kaplan, Michael, MD Larsen, Jerrold L., OD Larsen, Ryan P., OD Granum, Michael J MD 940 E 3rd St Ste 205 Foley, Matthew V., MD (307) 577-4260 111 W 2nd St # 415 (307) 577-2123 Pediatrics Granum, Michael J., MD Anesthesiology (MD) Foley, Matthew V., MD Green, Richard D MD 940 E 3rd Ste 102 Frontier Eye Care (307) 577-4280 5880 E 2nd St Ste 100 (307) 472-2020 Pediatrics Green, Richard D., MD Optometrist Hodgson, Douglas J., OD

Providers are subject to be added or terminated without notice.

10 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Hospitalist Services of Wyoming Morse, Kenneth K PC 1233 E 2nd St 485 E 2nd St (307) 577-7201 (307) 265-4324 Family Practice Optometrist Kinner, Amber N., DO Morse, Kenneth K., OD

Intensivist Services of Wyoming Mountain View Regional Hospital 1233 E 2nd St 6550 E 2nd St (307) 577-7201 (307) 995-8100 Internal Medicine Anesthesiology (MD) Weiner, Patrice A., MD Beutler, Barry C., MD Eck, Heather C., MD Jaouen, Richard M., MD Hlava, Nicole B., MD 1129 E 2nd St (307) 472-4300 Maxwell, Mary S., MD Meyer, Eric F., MD Plastic Surgery Family Practice Jaouen, Richard M., MD Radke, H Karl, MD Jensen Eye Care LLC Orthopedic Surgery 3101 S W Wyoming Blvd Bergquist, Peter E., DO (307) 265-7008 North Platte Pathology LLC Optometrist 111 S Jeffererson St Jensen, Clark A., OD Ste 150b (307) 337-1670 Kaigh Jodi MD 1204 East 2nd Pathology (307) 234-7400 Christiansen, Lydia R., MD

Obstetrics/Gynecology Oregon Trail Emergency Physicians Kaigh, Jodi, MD 6550 E 2nd St (307) 995-8100 Li, Curtis K MD PC 1300 E A St Ste 209 Emergency Medicine (307) 234-8877 Cullison, Brian M., MD Ford, Charles D., MD Cardiovascular Disease Li, Curtis K., MD Hill, Douglas M., DO Hosta, Geoffrey M., MD Macguire, Mary E MD Johnson, Frederick, MD 1450 E A St Ste 3 Kapp, Ronald, MD (307) 473-7821 Kearing, David B., MD General Surgery Khawaja, Waseem A., MD Macguire, Mary E., MD Lafemina, Michael J., MD Mosemann, Mark J., MD Morrison, Kerry D MD Sipherd, Ryan A., MD 1233 E 2nd Street (307) 237-5848 Snuggs, Elizabeth A., MD Stieglitz, Jeffrey B., MD Anesthesiology (MD) Walton, Betty D., MD Morrison, Kerry D., MD Young, Murray F., MD Family Practice Clifford, Ryan T., MD Dudo, James E., MD

Providers are subject to be added or terminated without notice.

11 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Oregon Trail Emergency Physicians (cont.) Professional Pathology of Wyoming Inc. PC Family Practice (continued) 1233 E 2nd St Mallory, Patrick L., DO (307) 577-2198 Martin, Francis P., MD Pathology Meyer, Mel R., MD Arya, Shveta, MD Moore, Matthew R., MD Taub, Elizabeth H., MD Neilsen, David J., MD Yost, Linda, MD Ramos, Ricardo, MD Pathology, Anatomy, Clinical Pathology Ross, Dale J., MD Christiansen, Lydia R., MD Shah, Jayesh R., MD Veauthier, Brian M., MD Quality Vision of Wyoming 327 Thelma Dr Young, Murray F., MD (307) 265-3000 General Surgery Saydjari, Razi D., MD Optometrist Richardson, James A., OD Neurological Surgery Narotzky, Robert A., MD Quinn, Michael J MD 940 E 3rd Ste 208 Outpatient Radiology LLC (307) 577-0480 419 S Washington St Ste 101 Pediatrics (307) 265-1620 Quinn, Michael J., MD Radiology Rocky Mountain Family Medicine LLC Smith, Geoffrey G., MD 2241 Farnum St Ste 102 (307) 315-6133 Palmer, Bradley J MD 6550 E 2nd St Family Practice (307) 234-9657 Lawrence, Eric J., DO Anesthesiology (MD) Strand, Jason T., MD Palmer, Bradley J., MD Rocky Mountain Infectious Diseases 1450 East A St Pilot Butte Dermatology Ste# 100 940 E 3rd St Ste 201 (307) 234-8700 (877) 689-0005 Dermatology Infectious Diseases Forsha, Douglass W., MD Dowell, Mark E., MD Ghanem, Ghazi A., MD Planned Parenhood of Th E Rocky Mountains Internal Medicine 1945 Westwood Hill Ghanem, Ghazi A., MD (307) 234-1669 Family Practice Rocky Mountain Oncology Center 6501 E 2nd St Ginde, Savita Y., MD (307) 235-5433 Platte River Anesthesiology PC Internal Medicine 742 S David Fahed, Elie, MD (307) 234-9657 Oncology Anesthesiology (MD) Grosset, Alan B., MD Burton, Ryan M., MD Rosen, Joseph D., MD Radiation Therapy Rocky Mountain Oncology Center

Providers are subject to be added or terminated without notice.

12 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Rocky Mountain Oncology Center (cont.) Susanne S. Levene MD Radiation Therapy (continued) Mountain View Clinic Tobin, Robert L., MD 6600 East 2nd St (307) 234-6554 Radiology Fleckenstein, James L., MD General Surgery Purviance, John D., MD Levene, Susanne S., MD

Roussalis, John L MD PC The Family Clinic LLC 1129 E 2nd St 1315 E A St (307) 234-4585 (307) 235-8552 Plastic Surgery Family Practice Roussalis, John L., MD Ideen, Dana R., MD

Ryan, Keith A., MD PC The Foot Clinic LLC 1233 E 2nd St 1916 E 1st Street (307) 234-9657 (307) 266-4415 Anesthesiology (MD) Podiatry, Surgical Chiropody Ryan, Keith A., MD Dash, Eric M., DPM

Sage Primary Care Tichenor, Rowan E., MD, PC 1020 S Conwell Street 1119 E 3rd St (307) 265-8300 (307) 266-2772 Family Practice Dermatology Lloyd, Jason W., MD Tichenor, Rowan E., MD Strand, Jason T., MD University of Wyoming Family Medicine Voinov, Anca, MD Residency Program Wells, Marjorie L., MD 1522 E A St Willis, Darrell E., MD (307) 234-6161 Internal Medicine Family Practice Casta, Dexter R., MD Deiss, Frederick, MD Erk, David, MD Deiss, Zachory F., MD Karnes, Sharon R., MD Sound Physicians of Wyoming LLC 1233 E 2nd St Kirsch, Caroline F., DO (800) 822-7201 McLain, Jerry L., MD Phipps, Douglas R., MD Family Practice Radosevich, Thomas E., MD Mohr, Michele R., MD Robitaille, Beth C., MD Internal Medicine Sievers, Karlynn D., MD Bagadi, Kavitha, MD Veauthier, Brian M., MD Fars, Roberto, MD Works, Cynthia A., MD Sundance Anesthesia LLC 6550 E Second St Urgent Care (406) 591-3472 2546 E 2nd St Ste 200 (307) 265-1110 Anesthesiology (MD) Wise, Christopher S., MD Urgent Care Urgent Care Now

Providers are subject to be added or terminated without notice.

13 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Urgent Care Now Women's Health Associates of Wyoming LLP 3230 Cy Ave (cont.) (307) 265-3600 Obstetrics/Gynecology (continued) Urgent Care Vigneri, Samuel J., MD Urgent Care Now Wyoming Behavioral Institute 2521 E 15th St Vigneri, Robert A MD Faap (307) 237-7444 940 E 3rd St Ste 203 (307) 577-0465 Family Practice Pediatrics Swedberg, Jay A., MD Vigneri, Robert A., MD Psychiatry (MD/DO) Anderson, Victoria H., MD Weber, Mary B MD Brown, Stephen L., MD 1233 E 2nd Goddik, Steen, MD (307) 234-9657 Prypchan, Lida D., MD Anesthesiology (MD) Psychiatry, Neurology Weber, Mary B., MD Martorano, David M., MD

Western Medical Associates PC Wyoming Brain & Spine Associates 6500 E 2nd St Ste 200 1020 E 2nd St Ste 200 (307) 577-5100 (307) 266-2222 Family Practice Neurological Surgery Day, Robert G., MD Clyde, Brent L., MD Fox, Sherrill, MD Hollis, Robert F., MD Mickelson, Joseph E., MD Sramek, Joseph G., MD Moore, Matthew R., MD Morse, Jeremy C., MD Wyoming Cardiopulmonary Services PC Schoeber, Joe K., MD 1230 E 1st St (307) 266-3174 Swedberg, Jay A., MD Wells, Marjorie L., MD Cardiovascular Disease Eisenhauer, Michael D., MD Wind River Anesthesia PC Fluture, Adrian, MD 1441 Wilkins Cir Hiser, Wesley W., MD (800) 338-5378 Mattern, Allan L., MD Anesthesiology (MD) Novick, Robert A., MD Fowler, Jeffrey B., MD Pickrell, John W., MD Lucero, Joseph W., MD Skaf, Michel W., MD Wicks, Allan B., MD Witzeling, Todd M MD 742 S David Internal Medicine (307) 234-9657 Ivanov, Oleg, MD Anesthesiology (MD) Pulmonary Diseases Witzeling, Todd M., MD Fisher, H Kenneth, MD

Women's Health Associates of Wyoming LLP Wyoming Center For Sight 1125 E 2nd St 1421 Wilkins Cir (307) 577-4225 (307) 237-2511 Obstetrics/Gynecology Ophthalmology Scaling, Sam T., MD Dodds, Matthew T., MD Smothers, Laura, MD

Providers are subject to be added or terminated without notice.

14 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Cheyenne (cont.)

Wyoming Neurologic Associates Advanced Eye Care Clinic PC 1020 E 2nd St Ste 100 2029 Bluegrass Cir (307) 265-4343 (307) 638-2020 Neurology Optometrist Null Clark, Elizabeth A., MD Eldred, David C., OD Wheeler, David B., MD Eldred, Keith C., OD

Wyoming Otolaryngology & Alpine Hearing Advanced Foot Care PC Care 5050 Powder House 6500 E 2nd St Ste 101 (307) 721-0022 (307) 577-4240 Podiatry, Surgical Chiropody Otology, Laryngology, Rhinology Fisher, Timothy, DPM Norcross, David C., MD Podrazik, Eugene P., MD Allergy and Asthma Clinic of Wyoming LLC Vigneri, Joseph M., MD 6252 Yellowstone Rd (307) 778-2015 Wyoming Physiatry Inc % Ryan Swan Allergy 5715 E 2nd St Gondalia, Lakhman L., MD (307) 268-7731 Physical Medicine and Rehabilitation America's Express Urgent Care LLC Swan, Ryan T., MD 7124 Commons Dr Ste C (307) 426-4060 Wyoming Retina Associates, PC Emergency Medicine 307 S Jackson Means, Michael J., MD (307) 237-3937 Family Practice Ophthalmology Fischer, Carol A., MD Holmes, Douglas L., MD Urgent Care America's Express Urgent Care LLC Wyoming Surgical Associates PC 419 S Washington St Ste 102 Amy P Tortorich, DO (307) 577-4220 Crmc 214 East 23rd Street General Surgery (307) 631-4212 Anderson, Brock A., MD Emergency Medicine Anderson, James A., MD Tortorich, Amy P., DO Beckstead, Todd H., MD Ratcliff, Robert C., MD Anapath Diagnostic, Inc Smothers, Lane L., MD 2301 House Ave Ste 108 (307) 634-9238 Cheyenne Pathology Haberman, Phillip, MD A New Concept Optical & Eyecare 2528 Dell Range Blvd Waeckerlin, Ronald W., MD (307) 634-2503 Anesthesiology Consultants of Cheyenne Optometrist 813 E Lincolnway Perala, Daniel R., OD (307) 638-0300 Anesthesiology (MD) Brenchley, Phillip J., MD Dorrough, Michael B., MD Filby, Paul A., MD

Providers are subject to be added or terminated without notice.

15 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Anesthesiology Consultants of Cheyenne Cedars Health (cont.) 4620 Grandview Ave Anesthesiology (MD) (continued) Ste 104 Larsen, Nicholas J., DO (307) 637-6707 Lebeaumont, Ronald, MD Family Practice Milmont, Bruce M., MD Mikesell, Darren L., DO Rodriguez-Morreli, Dante, MD Sandick, Stanley M., MD Cheyenne Cardiology Associates 2301 House Ave Ste 301 Skolnick, David M., DO (307) 637-1600 Smits, Reuben D., MD Stevens, Ronald E., MD Cardiovascular Disease Wallace, Aaron D., MD Al Chekakie, M Obadah, MD Whiteford, Robert A., DO Chapman, James B., MD Young, Georgia, DO Gardner, Geraldine, DO Higginbotham, Michael B., MD Associated Podiatrists PC Khan, Muhammad A., MD 2029 Bluegrass Cir Martini, Wisam, MD Ste 200 Nienaber, William J., MD (307) 778-7666 O'Mara, John E., MD Podiatry, Surgical Chiropody Shamshad, Faisal A., MD More, Michael D., DPM Spaulding, Michael R., MD Internal Medicine Babson and Associates Primary Care PC 1331 Prairie Ave Ste 1 Duncan, Karl A., MD (307) 632-0728 O'Mara, John E., MD Shamshad, Faisal A., MD General Practice Babson, John H., MD Cheyenne Dermatology & Wyoming Laser Center PC Beyond 20 20 2112 Seymour Ave 1401 Airport Pkwy (307) 635-8299 Ste 240 (307) 775-0800 Dermatology Seitz, Gregory W., MD Optometrist Cotton, Jacee R., OD Seitz, Larry E., MD

Brown, Craig S MD Cheyenne Eye Clinic 421 E 17th St 1300 E 20th St (307) 632-9201 (307) 634-2020 General Practice Ophthalmology Brown, Craig S., MD Johnston, Randolph L., MD McKusker, Shauna K., MD Catholic Charities of Wyoming Miller, Anne E., MD 507 E 18 Street Millin, John A., MD (307) 637-7906 Psychiatry (MD/DO) Cheyenne Health and Wellness Center Inc 2508 E Fox Farm Rd # 1a Danczik, Jiri, MD (307) 635-3618 Family Practice Hagemeyer, Matthew A., MD

Providers are subject to be added or terminated without notice.

16 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Cheyenne MRI Ltd Cheyenne Regional Physicians Group LLC 2003 Bluegrass Cir dba Cheyenne Childre (307) 634-7711 2301 House Ave Ste 405 (307) 635-7961 Radiology Hayden, Scott A., MD Pediatrics Howshar, Mark E., MD Dramko, Joseph G., MD Hoyer, Eric R., MD Gravatt, Rayna E., MD Hubbard, James G., MD Horam, W Joseph, MD Kahn, Robert J., MD Leland, Robert W., MD Kellam, D Michael, MD Prentice, Robert R., MD Ketcham, William D., MD Rose, Andrew B., MD Possehn, Daniel L., DO Schiel, Carol J., MD Wright, John W., MD Stampfli, Danae L., MD West, Sadie M., MD Cheyenne Obstetrics and Gynecology Inc PC Zarzycki, Katarzyna M., MD 2301 House Ave Ste 400 (307) 634-5216 Cheyenne Regional Physicians Group LLC dba Cheyenne Oncolog Obstetrics/Gynecology 800 E 20th St Ste 350 Eskam, Sharon K., MD (307) 634-9311 Foley, Mary E., MD Lind, David M., MD Oncology Nelson, Michael R., DO Batezini, Mariestela, MD Randall, Kathryn K., MD El-Tarabily, Mohamed E., MD Van Kirk, Kristine K., MD Lee, Choon-Kee, MD Vigue, Lisa A., MD Cheyenne Regional Physicians Group dba Wagner, Philip L., MD Cheyenne Plaza Primar 800 E 20th St Ste 300 Cheyenne Orthopaedics PC (307) 633-7444 2301 House Ave Ste 505 (307) 632-9261 Endocrinology Wedell, Eric J., MD Orthopedic Surgery Family Practice Basta, Jean D., MD Sarkissian, Angela D., MD Rangitsch, Mark R., MD Internal Medicine Torkelson, Richard E., MD Harrison, William A., MD Cheyenne Radiology Group Sherard, Brent D., MD 2003 Bluegrass Cir (307) 634-7711 Cheyenne Regional Physicians Group LLC 2301 House Ave #207 Radiology (307) 638-6624 Hayden, Scott A., MD Thoracic Surgery Howshar, Mark E., MD Munoz, Eric, MD Hoyer, Eric R., MD Steplock, Albert L., MD Hubbard, James G., MD Kahn, Robert J., MD Cheyenne Regional Physicians Group LLC Kellam, D Michael, MD dba Cheyenne Children Ketcham, William D., MD 2301 House Ave Ste 405 (307) 635-7961 Possehn, Daniel L., DO Wright, John W., MD

Providers are subject to be added or terminated without notice.

17 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Cheyenne Regional Physicians Group LLC Cheyenne Regional Physicians Group LLC dba Cheyenne Children (cont.) dba Pulmonology and I Pediatrics 2301 House Ave Ste 201 Dramko, Joseph G., MD (307) 638-7757 Gravatt, Rayna E., MD Pulmonary Diseases Horam, W Joseph, MD Aggarwal, Manish, MD Leland, Robert W., MD Elendu, Sebastine I., MD Schiel, Carol J., MD Tetenta, Sodienye V., MD Stampfli, Danae L., MD Weiss, Steven M., MD West, Sadie M., MD Zarzycki, Katarzyna M., MD Cheyenne Regional Physicians Group LLC dba Wyoming Neurology 2301 House Ave Ste 203 Cheyenne Regional Physicians Group LLC (307) 432-0335 dba Cheyenne Family 1950 Bluegrass Cir Neurology Ste 200 Emmady, Prabhu D., MD (307) 778-2577 Kanter, Roy A., MD Family Practice Tolge, Celina F., MD Dilmaghanian, Omid G., MD Psychiatry, Neurology Harnish, Amy J., MD Duffy, Kristina E., MD Kisicki, Daniel R., MD Medina, Jonathon D., MD Cheyenne Regional Physicians Group LLC dba Wyoming Orthopedi General Practice 4017 Rawlins St Brown, Craig S., MD (307) 635-2562 Cheyenne Regional Physicians Group LLC Orthopedic Surgery dba Cheyenne Kidney A Molk, Gary I., DO 2301 House Ave Ste 201 Shannon, Michael J., MD (307) 635-9131 Smith, Bruce D., MD Nephrology Winter, Bret R., MD Beaulieu, Andrew J., MD Winter, John E., MD Meares, A John, MD Cheyenne Regional Physicians Group, LLC Cheyenne Regional Physicians Group LLC dba Cheyenne Rheuma dba Family First 2301 House Ave Ste 201 5416 Education Dr (307) 638-7757 (307) 778-3675 Internal Medicine Family Practice Monger, Robert M., MD Gruber, Amy L., MD Rheumatology Schiel, Philip J., MD Monger, Robert M., MD Stampfli, Greg H., MD Winfrey, Ivory D., MD Cheyenne Regional Physicians Group, LLC dba Cheyenne Regi Cheyenne Regional Physicians Group LLC 800 E 20th #100 dba Michael Herber MD (307) 633-6888 421 E 17th St (307) 633-3575 Radiology Cheyenne Regional Outpatient Imaging At Family Practice The Herber, Michael C., MD Hoyer, Eric R., MD

Providers are subject to be added or terminated without notice.

18 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Cheyenne Regional Physicians Group, LLC Cheyenne Skin Clinic LLP dba Cheyenne Vascula 123 Western Hills Blvd 2301 House Ave Suite 207 (307) 635-0226 (307) 778-1849 Dermatology General Surgery Cole, Mary O., MD Feuer, David S., MD Neville, Julie A., MD Peripheral Vascular Diseases Or Surgery Surbrugg, Sandra K., MD Feuer, David S., MD Pediatrics Madsen, Kenneth R., MD Thomas, Kathleen A., MD

Cheyenne Regional Physicians Group, LLC Cheyenne Urological, PC dba Consultants In 2301 House Ave Ste 502 5201 Yellowstone Rd (307) 635-4131 (307) 632-1114 Urology General Surgery Bryant, John F., MD Burton, Lisa K., MD Everett, Randy W., MD Fermelia, Richard A., MD Harris, B Douglas, DO Pullos, Take G., MD Lugg, James A., MD Schmitz, G Douglas, MD Cheyenne Vision Clinic Cheyenne Regional Physicians Group, LLC 1200 E Pershing Blvd dba General Surgery (307) 638-6610 800 E 20th Ste 300 (307) 633-7444 Optometrist Albers, Jessica J., OD Family Practice Broomfield, James F., MD Carroll, Martin H., OD Dobson, Joseph C., MD Howell, Garrett K., OD Lahiff, Josh M., OD Cheyenne Regional Physicians Group, LLC Swalla, Ashley L., OD dba Infectious Disea Wells, Mark T., OD 2301 House Ave Ste 201 (307) 635-9131 Cheyenne Women's Clinic 3952 Parkview Dr Infectious Diseases (307) 637-7700 Choo, Hoo F., MD Obstetrics/Gynecology Cheyenne Regional Urgent Care Anderson-Ray, Janet L., MD 433 E 19th St Beveridge, Jacques D., MD (307) 773-8133 Dillon, Leayn J., DO Emergency Medicine Hinkle, Rene R., MD Beck, Bryan K., DO Storey, Jeffrey D., MD Surdam, Daniel E., MD Family Practice College Drive Urgent Care LLP Malm, Ronald L., DO 4136 Laramie St Ste B (307) 637-2800 Yost, Patrick A., MD General Surgery Family Practice Devagupthapu, Sateesh R., MD Azarbehi, Nima, DO Dilmaghanian, Omid G., MD Urgent Care Cheyenne Regional Urgent Care Pull, Joel M., MD

Providers are subject to be added or terminated without notice.

19 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

College Drive Urgent Care LLP (cont.) Frontier Vision Clinic PC Urgent Care 1621 Logan Ave College Drive Urgent Care LLP (307) 635-1073 Optometrist Doc Martins Ear Nose & Throat Peterson, Robyn L., OD 126 Quincy Rd (307) 632-9970 Pexton, Brett A., OD Otology, Laryngology, Rhinology Gem City Bone and Joint dba Premier Bone Martin, Michael P., MD & Joint Centers 1950 Bluegrass Cir Eye Care Clinic and Optical LLC Ste 100 6228 Yellowstone Rd (307) 632-5889 (307) 778-2771 Orthopedic Surgery Optometrist Aukerman, Ryan A., MD Holly, Robert L., OD Carson, Jay G., MD Silver, Tiffany H., OD McKenna, Mark E., MD Wasser, Michael, MD Family Vision Center Physical Medicine and Rehabilitation 400 E 18th St (307) 634-4232 Kaplan, Michael, MD Optometrist Hales, J Sloan MD Albert, Alvin L., OD 1920 Evans Haas, Theresa J., OD (307) 637-5337 Nett, Jeremy T., OD Anesthesiology (MD) Hales, J Sloan, MD Fischer, Carol A MD PC 1331 Prairie Ave Ste 2 Healthreach (307) 778-3121 2030 Bluegrass Cir (307) 635-3500 Family Practice Fischer, Carol A., MD Family Practice Barnes, Layne S., DO Frontier Emergency Physicians LLP Beyer, Sean E., MD 214 E 23rd St (307) 426-4677 Edmonds, Hope J., MD Nevins, Derek Z., MD Emergency Medicine O'Donnell, Theresa, MD Anderson, Michelle L., MD Speer, Christopher, MD Auer, Kathern L., DO Urgent Care Beck, Bryan K., DO Healthreach Castellano, Thomas G., MD Gamet, Jared D., MD Joy, Michael F MD Hughes Kisicki, Jessica F., MD 520 E 18th St Maertens, Steven R., MD (307) 421-4200 Means, Michael J., MD Psychiatry (MD/DO) Phelan, Thayer S., MD Joy, Michael F., MD Stueven, Jeremy A., MD Surdam, Daniel E., MD Kuhn, Pete M MD PC 5307 Yellowstone Rd Tortorich, Amy P., DO (307) 778-0922

Providers are subject to be added or terminated without notice.

20 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Kuhn, Pete M MD PC (cont.) Poudre Valley Medical Group, LLC dba Orthopedic Surgery Cheyenne Medical Specia (cont.) Kuhn, Pete M., MD Internal Medicine Emami, Sarvin, MD Mathisen Optometry LLC Mackey, Charles E., MD 1400 Dell Range Blvd Orahovats, Dimiter A., MD (307) 634-3516 Neurology Optometrist Kerber, Mary L., MD Mathisen, Ronald, OD Schneider, Howard A., MD, PC O'Holleran, Lawrence W MD 1331 Prairie Ave Ste 2 1616 E 19th Ste 8 (307) 632-1957 (307) 637-5600 Internal Medicine General Surgery Schneider, Howard A., MD O'Holleran, Lawrence W., MD Rheumatology Schneider, Howard A., MD Peak Wellness Center 2526 Seymour Ave (307) 634-9653 Smart Sports Medicine 5307 Yellowstone Rd Psychiatry (MD/DO) (307) 632-7677 Hopfensperger, Kathryn A., MD Family Practice Merrell, Arthur N., MD Ross, Vincent J., MD Methner, Steven, MD Robinett, Deborah J., DO Southeast Wyoming Ear, Nose & Throat Clinic, PC Peak Wellness Center 5320 Education Dr 510 W 29th St (307) 632-5589 (307) 632-9362 Otology, Laryngology, Rhinology Psychiatry (MD/DO) Johnson, Paul E., MD Pieczalska, Marta A., MD Romano, John E., MD Silver, Martha H., MD Poudre Valley Foot and Ankle Clinic PC 1950 Bluegrass Circle Southeast Wyoming Radiation Oncology Suite 150 214 E 23rd St (800) 866-4620 (307) 637-5339 Podiatry, Surgical Chiropody Radiation Therapy Anderson, James C., DPM Carlton, Jeffrey C., MD Overman, Jared L., DPM Dickerson, Don R., MD Thomas, Michael I., DPM Specialty Counseling & Consulting LLC Poudre Valley Medical Group, LLC dba 4025 Rawlins St Cheyenne Medical Specia (307) 426-4798 5050 Powderhouse Rd (307) 634-1311 Psychiatry (MD/DO) Ash, Kenneth H., MD Family Practice Stull, Todd W., MD Bursten, Marian S., MD Kassel, Matthew J., DO Popova-Orahovats, Gergana P., MD Gastroenterology Perakos, Peter G., MD

Providers are subject to be added or terminated without notice.

21 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Summit Spine and Neurosurgery Associates Wyatt, William J MD PC 2232 Dell Range Blvd 2301 House Ave Ste 505 Ste 206 (307) 632-9261 (307) 638-8987 Neurological Surgery Hand Surgery Cook, Judson H., MD Wyatt, William J., MD Plastic Surgery University of Wyoming Family Medicine Wyatt, William J., MD Residency Program dba 820 E 17th St (307) 632-2434 Wyoming Spine & Neurosurgery Assoc 1950 Bluegrass Cir #170 Family Practice (307) 778-2860 Brandes, Lisa K., MD Family Practice Broomfield, James F., MD Segal, Radu A., MD Broomfield, Kimberly R., MD Neurological Surgery Cottam, Tamara O., MD Beer, Steven J., MD Healey, John P., MD Neurology Jording, Michael A., MD Fagin, Karen A., MD Malm, Ronald L., DO Medina, Jonathon D., MD Cody Parks, Douglas S., MD Wilkins, Anna, MD Absaroka Orthopaedics PC 424 Yellowstone Ave General Surgery # 140 Schmitz, G Douglas, MD (307) 527-7100 Geriatrics Orthopedic Surgery Stefka, Kristina L., MD Winzenried, Jay A., MD Internal Medicine Stefka, Kristina L., MD Basin Vision Center PC 1531 Bleistein Ave Wile Eyes (307) 587-4206 1217 S Greeley Hwy Ste B (307) 634-3452 Optometrist Bell, James H., OD Optometrist Hartley, Jonathan M., OD Stevens, Rhonda J., OD Beartooth Orthopaedic & Spine Willow Creek Family Medicine PC 720 Lindsay Ln Ste C 4003 Rawlins St (307) 578-1952 (307) 638-8975 Orthopedic Surgery Cardiovascular Disease Emery, Stephen F., MD Hattel, Larry J., MD Big Horn Basin Bone & Joint LLC Winter II, John E., MD PC 720 Lindsay Ln Ste C 2301 House Ave Ste 500 (307) 578-1955 (307) 635-4300 Orthopedic Surgery Orthopedic Surgery Schmidt, Frank H., MD Winter, John E., MD

Providers are subject to be added or terminated without notice.

22 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cody (cont.) Cody (cont.)

Big Horn Basin Childrens Clinic Billings Clinic Cody (cont.) 1220 Sunshine Ave Endocrinology Ste 101 Ferries, Laura M., MD (307) 587-5545 Family Practice Pediatrics Bower, Ryan T., MD Jamieson, Charles E., MD Bowlby, Adair M., MD Hines, Jonie M., MD Big Horn Foot Clinic 424 Yellowstone Ave King, James E., MD Ste 140 McCue, Gregory P., MD (307) 527-9191 Morton, Douglas E., MD Podiatry, Surgical Chiropody Peters, Adam S., MD Beachler, Lael J., DPM Santala, Roger G., MD Fraser, D Hugh, DPM Seger, Clint W., MD Trotter, John C., MD Big Horn Neurology Williamson, Steven E., MD 720 Lindsay Ln Ste C (307) 578-1985 General Practice Kelley, John, MD Anesthesiology (MD) Stewart, Jerome R., DO Low, Bradley L., DO General Surgery Neurology Gregory, John R., MD Gee, Allen L., MD Medlin, Walter S., MD Infectious Diseases Billings Clinic Cody 201 Yellowstone Ave Graham, David M., MD (307) 527-7561 Internal Medicine Andes, Willard A., MD Allergy Davis, Kathleen C., MD Dykstra, Alden H., MD Moore, Laura M., MD Jiji, Ronny S., MD Sweet, James M., MD Knapp, Howard R., MD Louwrens, Neil A., MD Cardiovascular Disease Boschini, Fernando G., MD Merchant, Robert K., MD Degnan, Walter C., MD Misfeldt, Dayton S., MD Dudczak, Barbara S., MD Mock, Gregory P., MD Ford-Mukkamala, Laura L., DO Muslimani, Alaa, MD Kurt, Jacobson M., MD Spain, Robert C., MD Rah, Brian R., MD Nephrology Sample, Scott A., DO Knostman, James D., MD Scott Tillery, Kristin D., MD McGuire, Heather L., MD Thometz, Alan R., MD Trostel, Kendrick A., MD Thometz, Alan R., MD Neurological Surgery Zirpoli, Robert, MD Dolan, Eugen J., MD Morone, Michael A., MD Dermatology Kleman, Gail A., MD Neurology Lund, Jared J., MD Cahill, Patrick J., MD Reynaud, Albert C., MD England, John, MD Wentzell, Joseph M., MD Gaddy, Mary D., MD Williams, Jeffrey M., MD Peterson, Dale M., MD Riggins, Scott A., MD

Providers are subject to be added or terminated without notice.

23 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cody (cont.) Cody (cont.)

Billings Clinic Cody (cont.) Family Vision Clinic Neurology (continued) 1708 Stampede Ave Thai, Don Quyen, MD (307) 587-2404 Obstetrics/Gynecology Optometrist Montville, Christopher P., MD Jones, Richard D., OD Oncology Geller, Robert B., MD Leb Perioperative Medicine LLC 732 Lendsay Ln Nieva, Jorge J., MD (208) 525-2090 Ophthalmology Weaver, Daniel T., MD Anesthesiology (MD) Bracke, Luke E., MD Orthopedic Surgery Fischer, Steven R., MD Leb Perioperative Medicine LLC Schultz, Robert S., MD 707 Sheridan Ave Otology, Laryngology, Rhinology (208) 525-2090 Byorth, Paul J., MD Anesthesiology (MD) Horrell, Robin S., MD Bracke, Luke E., MD Price, Scott D., MD Pathology Lowther, Christopher M MD 802 Gerrans Ave Matthews, Alisa L., MD (307) 587-7000 Pathology, Anatomy, Clinical Pathology Sheiko, Mark C., MD Internal Medicine Lowther, Christopher M., MD Pediatrics Gunville, Fred E., MD Matthew V Hopkins MD Inc Physical Medicine and Rehabilitation 1438 Sheridan Ave Petrisko, John H., MD Ste 104 (307) 586-2324 Pulmonary Diseases Fairfax, Walter R., MD Psychiatry (MD/DO) Mainini, Stephen E., MD Hopkins, Matthew V., MD Radiology Bell, Douglas G., MD Myers, Dale R MD 1613 Stampede Ave Ste A Bland, Zachary M., MD (307) 587-1155 Bruschwein, Dean A., MD Canty, Bryan J., MD Obstetrics/Gynecology Myers, Dale R., MD Darby, Ronald L., MD Goulet, Christopher C., MD Neurology Associates PLLC Herbert, Lawrence L., MD 707 Sheridan Ave Knight, George E., MD (800) 648-6274 Lehnherr, David R., MD Neurology Lindenbaum, Jeffrey O., MD Quenemoen, Lowell R., MD Paulsen, Scott R., MD Pinkerton, Bruce C., MD Northern Rockies Neuro-Spine PC Schallenkamp, John M., MD 424 Yellowstone Ave Ste 140 Sillery, John C., MD (406) 651-8197 Urology Klee, Lawrence, MD Neurological Surgery Rueff, Sarah A., MD Schneider, John H., MD

Providers are subject to be added or terminated without notice.

24 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cody (cont.) Cody (cont.)

Northern Wyoming Ophthalmology Svpn Cody Ob-Gyn (cont.) 424 Yellowstone Ave Obstetrics/Gynecology (continued) Ste 110 Gearhart, David L., MD (307) 587-5538 Tyburski, Claudia J., MD Ophthalmology Welch, Barry P., MD Svpn Cody Radiation 1025 9th St Ortho Montana Psc (307) 587-2955 720 Lyndsey Lane (307) 578-1953 Oncology Christianson, David F., MD Orthopedic Surgery Cobb, Patrick W., MD Costanzo, Ralph M., MD Deigert, Frederick A., MD Fiddler, Troy A., MD Pediatric Cardiology 707 Sheridan Ave Lucas, Martin K., MD (406) 238-6190 Marchello, Benjamin T., MD Pediatrics Radiation Therapy Wiggins, James W., MD Gosline, Sylvia K., MD Radiology Schmidt, Catherine C MD Berger, Paul S., MD 726 Allen Ave Gilroy, Jeffrey S., MD (307) 578-1955 Hafer, Gary A., MD Anesthesiology (MD) Kim, Jin-Chul, MD Schmidt, Catherine C., MD Richard, Belgrad, MD

Svh Neurosurgery Urological Services of Northern Wyoming PC 720 Lindsay Ln 225 W Yellowstone Ave Ste A # 9 (866) 822-1530 (307) 587-5131 Neurological Surgery Urology Goodman, Stuart G., MD Stewart, Gregory S., MD

Svpn Cody Internal Welch, Charles G., MD PC 720 Lindsay Ln Ste A 1613 Stampede Ave Ste A (307) 578-1800 (307) 587-9800 Cardiovascular Disease General Surgery Hai, Hamid A., MD Welch, Charles G., MD Internal Medicine Anderson, Richard D., MD West Park Hospital Urgent Care Clinic 424 Yellowstone Ave Hai, Hamid A., MD Ste 120 Tabrizi, Hassan H., MD (307) 587-7207 White, Robert S., DO Emergency Medicine Obstetrics/Gynecology Tilden, Kyle W., MD Barrett, Mary T., MD Family Practice Svpn Cody Ob-Gyn Fitzsimmons, Brendan H., MD 1728 8th Street Harvey, Lisa E., MD (307) 587-3133 Urgent Care Obstetrics/Gynecology West Park Urgent Care Clinic Bowman, Debra H., MD

Providers are subject to be added or terminated without notice.

25 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cody (cont.) Cody (cont.)

Williams, Lisa B Yellowstone Pathologists PC (cont.) 1443 Beck Ave Pathology, Anatomy, Clinical Pathology (307) 527-7811 (continued) Obstetrics/Gynecology Emerick, Kerrie R., MD Williams, Lisa B., MD Nero, Christopher J., MD Schultz, Duane A., MD Wyoming Pain Medicine, LLC 732 Lindsay Lane Yellowstone Radiology PC (208) 525-2090 707 Sheridan Ave (307) 578-2372 Anesthesiology (MD) Low, Bradley L., DO Radiology Cross, Gregory H., MD Wyoming Perioperative Anesthesia Graham, Travis S., MD Consultants, LLC Murphy, Mary F., MD 732 Lindsay Lane (208) 525-2090 Yellowstone Sports Medicine and Bone & Anesthesiology (MD) Joint Clinic LLC Ajax, Ted J., MD 720 Lindsay Ln Ste B (307) 578-1953 Bracke, Luke E., MD Low, Bradley L., DO Orthopedic Surgery Schmidt, Catherine C., MD Biles Jr, Jimmie G., MD

Wyoming Perioperative Anesthesia Douglas Consultants, LLC 707 Sheridan Ave Chalk Buttes Diagnostic Imaging (208) 525-2090 111 S 5th St (307) 358-2122 Anesthesiology (MD) Ajax, Ted J., MD Radiology Bracke, Luke E., MD Yutani, Dennis S., MD Low, Bradley L., DO Eye Institute of Wyoming PC Schmidt, Catherine C., MD 112 N 2nd St (307) 358-2900 Yellowstone Pathologists PC 1008 Cody Ave Optometrist (406) 238-6360 Day, Dana L., OD

Pathology, Anatomy, Clinical Pathology Gem City Bone and Joint dba Premier Bone Brown, Michael S., MD & Joint Centers Clegg, Pamela P., MD 111 S 5th St Durden, Angela F., MD (307) 358-6200 Emerick, Kerrie R., MD Orthopedic Surgery Nero, Christopher J., MD Jenkins, Lawrence A., MD Schultz, Duane A., MD Hudson, Wayne M OD Yellowstone Pathologists PC 124 N 4th St 707 Sheridan Ave (307) 358-9008 (307) 578-1850 Optometrist Pathology, Anatomy, Clinical Pathology Hudson, Wayne M., OD Brown, Michael S., MD Clegg, Pamela P., MD Durden, Angela F., MD

Providers are subject to be added or terminated without notice.

26 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Douglas (cont.) Dubois

Memorial Hospital of Converse County Dubois Medical Clinic 111 S 5th St 5647 Us Hwy 26 (307) 358-2122 (307) 455-2516 Emergency Medicine Family Practice Sullivan, Thomas E., MD Knierim, Gabriele S., MD Family Practice Morgan, Vaughn M., MD Hinshaw, Vincent W., DO Internal Medicine Johnson-Engle, Deeanne J., MD Santosa, Ronny, MD Monce, Kathryn V., MD Obstetrics/Gynecology Morgan, James F., MD Harnetty, Paul M., MD Nowicki, Edmund J., MD Pediatrics Spencer, Patricia L., MD Tolliver, Peggy R., MD Wortham, Rex E., MD Young, Murray F., MD Dubois Vision Center PC 1203 W Ramshorn General Surgery (307) 455-2125 Grosdidier, Jonathan L., MD White, William L., MD Optometrist Ballard, Brian J., OD Internal Medicine Hoffman, Jeffrey J., MD Evanston Thalken, John P., MD Tobler, Lori P., MD Accurate Eye Care 916 Main St Pediatrics (307) 789-1500 Skuza, Kathryn A., MD Podiatry, Surgical Chiropody Optometrist Marshall, Travis G., DPM Russell, David R., OD

Pilot Butte Dermatology Adams, Michael D MD PC 1954 East Richards #9 75 Yellow Crk Rd Ste 102 (877) 689-0005 (307) 789-8290 Dermatology Family Practice Forsha, Douglass W., MD Adams, Michael D., MD

Solutions For Life Advanced Spine Pain Specialists 1841 Madora Ave 196 Arrowhead Dr (307) 358-2846 (307) 783-8255 Psychiatry (MD/DO) Anesthesiology (MD) Del Real, Frank, MD Garg, Vikas, MD

Thunder Basin Orthopaedics & Sports Apogee Medical Group, Wyoming Medicine 190 Arrowhead Dr 111 S 5th St (307) 789-3636 (307) 358-6200 Family Practice Orthopedic Surgery Macfarlane, Barbara J., MD Allegretto, Joseph F., MD Internal Medicine Croft, Scott T., MD Soth, Layhong, MD Murphy, Mark G., MD

Providers are subject to be added or terminated without notice.

27 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Evanston (cont.) Evanston (cont.)

Artisan Healthcare Clinic Evanston Clinic Corp 196 Arrowhead Dr Ste 8 196 Arrowhead Dr Ste 1 (307) 783-8190 (307) 783-8136 Family Practice Family Practice Wylie, Wesley D., MD Barraclough, Benjamin, DO Podiatry, Surgical Chiropody Levitre, Jason C., DPM Evanston Clinic Corp 196 Arrowhead Dr Ste 4 (307) 783-8143 Atkinson, William F OD 547 Cheyenne Dr Family Practice (307) 789-3937 Broadbent, Daniel W., MD Optometrist Swensen, Eric N., DO Atkinson, William F., OD Evanston Community Health Bear River Urology, LLC 75 Yellow Creek Rd 191 Overthrust Road Ste 102 (307) 789-8721 (307) 789-8290 Urology Family Practice Van Bibber, Michael E., MD Adams, Michael D., MD

Cornerstone Behavioral Health Evanston Family Footcare 195 Featherway Ste 1 1565 Hwy 150 S Ste C (307) 789-0715 (307) 783-8258 Psychiatry (MD/DO) Podiatry, Surgical Chiropody Garcia-Prieto, Carlos E., MD Levitre, Jason C., DPM

Daniels, Paul N DPM Evanston Pediatrics 1101 Center St 195 Featherway Ste 2 (307) 789-8292 (307) 789-1102 Podiatry, Surgical Chiropody Pediatrics Daniels, Paul N., DPM Depalma, Catherine M., MD

Ebrainmd, LLC Hansen, Eric C MD PC 190 Arrowhead Dr 150 Arrowhead Dr Ste 2 (800) 558-1912 (307) 789-8881 Neurological Surgery Obstetrics/Gynecology Clyde, Brent L., MD Hansen, Eric C., MD

Evanston Clinic Corp Intermountain Ear Nose & Throat Specialists 150 Arrowhead Dr # 2 196 Arrowhead Dr Ste 5 (307) 789-8881 (307) 783-8196 Obstetrics/Gynecology Otology, Laryngology, Rhinology Evans, Karen M., MD Bennett, John R., MD

Evanston Clinic Corp Mountain Valley Eye Institute PC 196 Arrowhead Dr Ste 6 196 Arrowhead Dr Ste 5 (307) 783-8398 (877) 423-2020 General Surgery Ophthalmology Kanjo, Tadge, MD Fassio, John B., MD Smith, Stacy R., MD

Providers are subject to be added or terminated without notice.

28 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Evanston (cont.) Evanston (cont.)

Mountain Valley Imaging LLP Uinta General Surgery 190 Arrowhead Dr 196 Arrowhead Dr Ste 4 (801) 621-6671 (307) 789-8721 Radiology General Surgery Birkin, Barry M., MD Barton, Jared B., MD Hale, William Bradley, MD Olson, John C., MD Uinta Urgent Care 75 Yellow Creek Rd Ste 202 Nephrology of Northern Utah, PC (307) 789-6111 196 Arrowhead Dr Ste 5 (801) 479-1117 Urgent Care Internal Medicine Uinta Urgent Care Senekjian, Harry O., MD Wyoming Internal Medicine 196 Arrowhead Dr Ste 2 Olsen, Gordon S DO PC (307) 783-8143 191 Overthrust Road (307) 789-0096 Internal Medicine Orthopedic Surgery Kavanaugh, Carol C., DO Olsen, Gordon S., DO Segarra, David P., MD

Optique 20/20 of Evanston Fort Washakie 701 Front St (307) 789-8820 Indian Health Services / Wind River Health Center Optometrist Wind River Service Unit Bourland, William B., OD Bldg # 29 Black Coal Dr (307) 332-7300 Pediatric and Adolescent Clinic Inc Family Practice 170 Arrowhead Dr Ste 2 (307) 789-6048 Calder, William A., MD Cardinal, Mark S., MD Pediatrics Gilroy, Tabitha M., MD Ching, Rebecca S., MD Klinkenborg, John C., MD Pilot Butte Dermatology Optometrist 196 Arrowhead Dr Whiteplum, Peggy J., OD Suite 5 Pediatrics (877) 689-0005 Nelson, Jacqueline L., MD Dermatology Radiology Forsha, Douglass W., MD Cook, Perry F., MD

South Lincoln Medical Clinic Gillette 75 Yellow Creek Rd # 101 (307) 789-7777 ABC Pediatrics LLC 1300 W 4th St General Surgery (307) 686-4900 Yasuda, Gregory M., MD Pediatrics Southwest Wyoming ENT Inc Ammari, Linda K., MD 196 Arrowhead Dr Ste 4 Glyn, Janene R., MD (307) 789-8721 Pulmonary Diseases Otology, Laryngology, Rhinology Rosario, Elmo J., MD Haack, Jason P., MD

Providers are subject to be added or terminated without notice.

29 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Gillette (cont.) Gillette (cont.)

Andrew, Thomas T MD Campbell County Memorial Hospital (cont.) 201 W Lakeway Ste 300 Psychiatry (MD/DO) (307) 682-4551 Fitzpatrick, Elizabeth E., MD Family Practice Maggiolo, Julie B., MD Andrew, Thomas T., MD Pulmonary Diseases Rosario, Elmo J., MD Associates In Womens Health 1307 W 3rd St Campbell County Memorial Hospital D/B/A (307) 682-4664 Campbell County Clin 501 S Burma Ave Obstetrics/Gynecology (307) 688-3636 Jones, Michael L., MD Parker, Donald W., MD Internal Medicine Fort, Peter L., MD Bagnarello, Adolfo G MD Lp 302 S Douglas Hwy Canfield, Kris A., MD PC (307) 686-2625 1001 Douglas Hwy Ste B5 (307) 682-7500 Internal Medicine Bagnarello, Adolfo G., MD General Surgery Canfield, Kris A., MD Big Horn Pediatrics PC 1308 W 4th St Casper Orthopaedic Associates PC (307) 687-1300 3100 W Lakeway #2 (307) 265-7205 Pediatrics Fall, David R., MD Orthopedic Surgery Fall, Julie S., MD Mitchell, Matthew E., MD Moro, Maria R., MD CCMH dba Campbell County Clinics Peterson, Jennifer M., MD Neurology & Pain 501 S Burma Ave Biggs, Rodney C., MD, PC (307) 688-3500 1414 W 4th St (307) 682-0026 Neurology Mosquera, Romer I., MD General Surgery Biggs, Rodney C., MD CCMH Ob/Gyn Specialists 1414 W 4th St Black Hills Regional Eye Institute/The Eye (307) 686-3855 Specialist 3100 W Lakeway Rd Ste 2 Obstetrics/Gynecology (307) 686-0883 Anderson, Jeffrey J., DO Ophthalmology Biggs, Angela E., MD Khachikian, Stephen S., MD Cohn, Amber R., MD Linden, Jennifer A., MD Campbell County Memorial Hospital 501 S Burma Ave CCMH Urology Clinic (307) 682-8811 501 S Burma Ave Ste 3s-Uro Emergency Medicine (307) 688-3636 Birrer, Bret M., MD Urology Oncology McMahill, Philip C., MD Barabas, Attila T., MD Stamato, John P., MD

Providers are subject to be added or terminated without notice.

30 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Gillette (cont.) Gillette (cont.)

CCMH Walk-In Clinic Gastroenterology Associates PC 407 S Medical Arts Ct 1307 W 3rd St Ste F (800) 380-1820 (307) 688-9255 Gastroenterology Family Practice Cloud, Jeffrey W., MD Blanchard, Sherri L., MD Joubran, Raoul, MD Bohlender, Timothy D., MD Krmpotich, Phillip T., MD

Clements, Otice N OD Gem City Bone and Joint dba Premier Bone 202 Ross Avenue & Joint Centers (307) 682-7337 620 4-J Ct Ste A (307) 682-8899 Optometrist Clements, Otice N., OD Orthopedic Surgery Jenkins, Lawrence A., MD Cottonwood Medical Professionals Ryzewicz, Mark E., MD 501 S Burma Ave (307) 688-3636 Wasser, Michael, MD Physical Medicine and Rehabilitation Internal Medicine Kaplan, Michael, MD Fareed-Farrukh, Sameera, MD Javaid, Farrukh, MD Gillette Internal Medicine Associates PC Meade, Bernadette V., DO 407s Medical Arts Ct Ste D Eye Care Associates of Wyoming PC (307) 682-0400 312 E Lakeway Rd (307) 686-2010 Internal Medicine Patel, Kirtikumar L., MD Optometrist Clark, Daryle L., OD Gillette Medical Imaging Koehn, Sarah L., OD 501 S Burma Ave (307) 682-3078 Family Health Radiology 407 S Medical Arts Ct Lamanna, James R., MD Ste D (307) 686-0308 Lawrence, Joseph J., DO Mitchell, Alan L., MD Family Practice Naramore, James J., MD Gillette Optometric Clinic PC Wilkerson, Billie F., MD 609 4-J Ct (307) 682-2020 Family Medical Care Optometrist 709 W 8th St Ste 4 (307) 682-3333 Fischer, Joseph L., OD Fitzgerald, Randy L., OD Family Practice Jordan, Roger L., OD Anders, Laura A., MD Maycock, Joseph C., OD McCarty, Breck I., MD Mills, Robert L., OD McCarty, Craig W., MD Mills-Fischer, Ashlee E., OD McMillin, Kelly L., MD High Plains Surgical Associates 3100 W Lakeway Rd Ste 1 (307) 682-7555

Providers are subject to be added or terminated without notice.

31 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Gillette (cont.) Gillette (cont.)

High Plains Surgical Associates (cont.) Orthopaedic Specialists of Wyoming General Surgery 501 S Burma Ave Ste 3500 Hartsaw, Sara L., MD (307) 688-3500 Family Practice Hughes Eye Clinic Connally, Patricia A., DO (307) 682-2747 Orthopedic Surgery Optometrist Morman, Monica L., MD Hughes, Michael K., OD Pilot Butte Dermatology Mental Health Services of CCMH 1001 S Douglas Hwy 501 S Burma Ave Ste B5 (307) 688-5000 (877) 689-0005 Psychiatry (MD/DO) Dermatology Fitzpatrick, Elizabeth E., MD Forsha, Douglass W., MD Maggiolo, Julie B., MD Moran, Michelle R., MD Powder River Orthopedics & Spine - A Campbell County Clinic 508 Stocktrail Ste A Neurosurgical and Spinal Surgery Associates (307) 686-1413 PC 407 S Medical Arts Ct Orthopedic Surgery (800) 253-5876 Dunn, John P., MD Neurological Surgery Kioschos, Hans C., MD Watt, Tim J., MD Simpson, Nathan S., MD Neurology Podiatry, Surgical Chiropody Maclachlan, Robert, MD Allen, Daniel S., DPM

Northeast Wyoming Pathology PC Sagebrush ENT 501 S Burma 501 S Burma Ave (307) 688-1244 (307) 688-3636 Pathology Otology, Laryngology, Rhinology Woodward, William B., MD Peshek, Brian A., MD Swift, Ian R., MD Northern Plains Anesthesia Associates PC 3100 W Lakeway Rd Ste 3 Shepard, Shelley M MD PC (307) 687-7246 1206 W 4th Ste 1 (307) 685-0130 Anesthesiology (MD) Amiotte, Lowell R., MD Obstetrics/Gynecology Brown, Darlene K., DO Shepard, Shelley M., MD Caldwell, Julia C., MD Dutter, Tamara L., MD Slingsby & Wright Eye Care LLC 620 4j Court Forman, William J., MD Suite C Frandrup, Christopher J B., MD (605) 718-5123 Johnsrud, Erik P., MD Ophthalmology Little, Patricia L., MD Fromm, Theodore H., MD Mansell, John L., MD Price, James H., DO

Providers are subject to be added or terminated without notice.

32 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Gillette (cont.) Glenrock

The Foot Care Center Glenrock Health Center 1401 W 4th 925 W Birch St (307) 682-3338 (307) 436-9206 Podiatry, Surgical Chiropody Family Practice McLaws, Craig J., DPM Lloyd, Jason W., MD Mickelson, Joseph E., MD The Foot Clinic LLC Schoeber, Joe K., MD 3100 W Lakeway Rd Ste# 1 Swedberg, Jay A., MD (307) 682-4954 Oregon Trail Rural Health Clinic Podiatry, Surgical Chiropody 525 E Birch St Dash, Eric M., DPM (307) 436-8838 Family Practice Thomas, Jennifer, J., MD 1206 W 4th Ste 3 Morgan, James F., MD (307) 685-0222 Podiatry, Surgical Chiropody Capron, Craig, DPM Family Practice Thomas, Jennifer J., MD Green River

W. Michael Crosby M.D. PC Castle Rock Hospital District 1503 Crossett Street 1400 Uinta Dr (208) 525-2090 (307) 872-4500 Anesthesiology (MD) Family Practice Crosby, W Michael, MD Dansie, David R., DO Mosher, Traci L., DO Women's Healthcare PC 1402 W 4th St Pafford, Roger G., MD (307) 682-2233 Summers, Nicole R., DO Obstetrics/Gynecology Pediatrics Beck, David A., MD Fauntleroy, Connie A., MD

Wyoming Interventional Pain Management Desert View Eye Care Lc LLC 520 Wilkes Dr Ste 12 3100 W Lakeway Rd Ste 3 (307) 875-3399 (307) 687-7246 Optometrist Anesthesiology (MD) Wilson, Jeffrey A., OD Caldwell, Julia C., MD Gem City Bone and Joint dba Premier Bone Little, Patricia L., MD & Joint Centers Mansell, John L., MD 1400 Uinta Dr Ste D (307) 875-7576 Zolcik, Wojciech MD PC 2615 Cocklebur Dr # 3b Orthopedic Surgery (307) 688-5029 Aukerman, Ryan A., MD Bienz, Thomas A., MD Psychiatry (MD/DO) Zolcik, Wojciech J., MD Ryzewicz, Mark E., MD Optique 20/20 Inc 175 Riverview Dr (307) 875-4040

Providers are subject to be added or terminated without notice.

33 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Green River (cont.) Hanna

Optique 20/20 Inc (cont.) Energy Basin Clinic Optometrist 1008 Feldspar Ct Byars, James R., OD (307) 325-6596 Emergency Medicine Sweetwater Radiology PC Abels, Duane E., DO 1400 Uinta Dr (307) 872-4541 Johnson, Gregory J., MD Radiology Hulett Child, Douglas D., MD Holtan, Brian A., MD Hulett Clinic 122 Main St (307) 467-5281 Vandervort, Charles R OD 665 Uinta Dr Family Practice (307) 875-4538 Lumnitz, Janice S., MD Optometrist Mitchell, Kirk E., MD Vandervort, Charles R., OD Noback, Keith A., MD

Greybull Jackson

Banner Health Physicians West LLC Anesthesia Services of Jackson Hole 444 Greybull Ave 150 Buffalo Way (307) 765-2233 (208) 525-2090 Family Practice Anesthesiology (MD) Noton, Diane L., MD Payne, Charles L., MD Orthopedic Surgery Frank, Howard W., MD Cowboy Kids Pediatrics LLC 555 E Broadway Ste 216 (307) 734-0242 Waddell, Randy OD 426 Greybull Ave Pediatrics (307) 765-2998 Tomlinson, Ruth Anne S., MD Optometrist Waddell, Randy E., OD Eagle Vision Center 1325 S Us Hwy 89 Ste# 102 Guernsey (307) 733-3936 Register Cliff Rural Health Clinic - Mhcc Optometrist 650 W Whalen Galbraith, Shawn T., OD (307) 836-3009 Family Practice Emerg A Care Bloomberg, Jason M., MD 982 W Broadway (307) 733-8002 Internal Medicine Thalken, John P., MD Family Practice Blue, Brent A., MD Podiatry, Surgical Chiropody Capron, Craig, DPM Internal Medicine Dotson, Gary W., MD Urgent Care Emerg A Care

Providers are subject to be added or terminated without notice.

34 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Jackson (cont.) Jackson (cont.)

Fullmer, Joshua R., MD Hayse, Bruce MD 1325 S Us Hwy 89 269 W Broadway Ste# 102 (307) 733-6700 (307) 733-2304 General Practice Ophthalmology Hayse, Bruce M., MD Fullmer, Joshua R., MD Hole Family Eyecare George E. Linhardt Jr.MD 110 Buffalo Way Ste A 555 E Broadway (307) 733-4905 Ste #218 (307) 201-1696 Optometrist Roberts, Chad L., OD General Surgery Linhardt, George E., MD Jackson Hole Community Counseling Center 640 E Broadway Glacier Anesthesia Services (307) 733-2046 150 Buffalo Way (307) 733-8677 Psychiatry (MD/DO) Brown, Stephen L., MD Anesthesiology (MD) Fredstrom, O'Ann, MD Payne, Charles L., MD Lindenfeld, Etta A., MD

Goetz, Angus, DO, PC Jackson Hole Medical Imaging 945 W Broadway Ste 202 625 E Broadway (307) 734-5999 (307) 739-7281 Orthopedic Surgery Radiology Goetz, Angus G., DO Berlin, Robert C., MD Grand Anesthesiology Services PC Haling, Christopher S., MD 625 E Broadway Ave Heath, Gary W., MD (208) 525-2090 Ofstein, Richard A., MD Anesthesiology (MD) Wilson, Thomas J., MD Domsky, Marc F., DO Jackson Pediatrics PC Nary, Jeffrey C., MD 557 E Broadway Tomlinson, David J., MD (307) 733-4627

Gros Ventre Ob Gyn LLP Pediatrics 555 E Broadway Ste 108 Little, James R., MD (307) 734-1005 Riddell, Travis J., MD Obstetrics/Gynecology Ridgway, Elizabeth W., MD Lofaro, Maura J., MD Wheeler, Keri A., MD Roberts, Shannon C., MD Jh Surgery, LLC 555 E Broadway # 212 Guier, Christian MD (307) 733-3321 269 W Broadway (307) 733-9228 General Surgery Orthopedic Surgery Parker, Alton O., MD Guier, Christian A., MD

Providers are subject to be added or terminated without notice.

35 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Jackson (cont.) Jackson (cont.)

Karin L Klee MD Pockat, Thomas J MD 555 E Broadway 555 E Broadway Ste 202 Ste 216 (307) 733-6520 (307) 734-0242 Pediatrics Pediatrics Pockat, Thomas J., MD Klee, Karin L., MD Poore, P George MD Mazzola Dascomb P.C. 555 E Broadway Ste 212 625 East Broadway (307) 739-4662 (307) 739-7531 General Surgery Internal Medicine Poore, George, MD Mazzola, Robert L., MD Spine Care of Jackson Hole Orthopaedic Associates Imaging LLC 945 W Broadway 945 W Broadway (307) 734-5999 (307) 734-5999 Orthopedic Surgery Orthopedic Surgery Neal, Mary C., MD Neal, Mary C., MD Neal, William C., MD St John's Physician Services 1415 S Hwy 89 Orthopaedic Associates of Jackson Hole (307) 739-8999 945 W Broadway (307) 734-5999 Family Practice Little, James R., MD Orthopedic Surgery North, April M., MD Neal, William C., MD Internal Medicine Stearn, Martha G., MD Orthopaedics of Jackson Hole PC dba Teton Orthopaedics 555 E Broadway St John's Physician Services Ear, Nose & (307) 733-3900 Throat 555 E Broadway Ste 224 Orthopedic Surgery (307) 739-7665 Beck, Joshua D., MD Otology, Laryngology, Rhinology Bullington, Andrew B., MD Trott, Martin S., MD Jost, Heidi, MD Khoury, David J., MD St John's Physician Services ENT and Williams, Rafael M., MD Audiology 555 E Broadway Ste 224 Physical Medicine and Rehabilitation (307) 739-7665 Skene, Geoffrey K., DO Otology, Laryngology, Rhinology Plastic Surgery of Jackson Hole Trott, Martin S., MD 555 E Broadway Ste 211 (307) 733-8070 St John's Physician Services Family Health & Urgent Care Plastic Surgery 1415 S Hwy 89 Payne, John C., DO (307) 739-8999

Pocatello Podiatry Family Practice 1415 S Hwy 89 Little, James R., MD (307) 833-7246 Podiatry, Surgical Chiropody Matthews, Adam C., DPM

Providers are subject to be added or terminated without notice.

36 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Jackson (cont.) Jackson (cont.)

St John's Physician Services Internal Teton Oral & Maxillofacial Surgery Medicine 1160 Alpine Ln Ste 1d 555 E Broadway Ste 201 (307) 739-8611 (307) 733-7222 Oral Surgery Internal Medicine Stern, Michael, DMD Butcher, Dennis L., MD Meyers, Ellen B., MD Teton Psychiatry 610 W Broadway Ste L02 St Johns Surgical Group (307) 734-8800 557 E Broadway (307) 733-0422 Psychiatry (MD/DO) Fredstrom, O'Ann, MD General Surgery Rosenberg, Michael W., MD The Vision Center of Jackson Waterhouse, George, MD 520 S Hwy 89 (307) 733-1441 Suburban Urology Network PLLC Optometrist 557 E Broadway Kovacs, Bonnie C., OD (307) 734-1525 Urology Tryka, A Francine, MD PC Finkelstein, Lisa, DO 625 E Broadway (307) 733-6418 Sugarman, Stuart R MD Pathology 555 E Broadway Ste 220 Tryka, Anna Francine, MD (307) 734-8800 Psychiatry (MD/DO) Urology Associates Medical Group PC Sugarman, Stuart R., MD 555 E Broadway Ste 207 (307) 733-7460 Teton Cardiology, PC Urology 320 E Braodway Ste 1c Lowe, Phillip, MD (208) 524-3278 Internal Medicine Womens Health Center and Family Care Carter, Andrew J., DO Clinic LLC 555 E Broadway Ste 108 (307) 734-1313 Teton Dermatology, Inc 555 E Broadway Ste 229 Family Practice (307) 734-1800 Noyes, Kathryn M., MD Dermatology Vignaroli, Laura, MD Baker, Brittany W., MD Obstetrics/Gynecology Baker, Jonathan G., MD Anthony, Giovannina M., MD George, S Douglas, MD Teton Eye Clinic 555 E Broadway Ste 214 Kemmerer (307) 733-1051 Ophthalmology Accurate Eye Care dba Vision Source 816 Klondyke Street Ramsay, William J., MD (307) 877-9250 Optometrist Russell, David R., OD

Providers are subject to be added or terminated without notice.

37 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Kemmerer (cont.) Lander (cont.)

Mountain West Ear Nose & Throat Cory J Lamblin MD, PC 711 Onyx St 815 E Main (307) 877-4496 (307) 332-9720 Otology, Laryngology, Rhinology Orthopedic Surgery Skedros, Demetrios G., MD Lamblin, Cory J., MD

South Lincoln Medical Clinic Crane, Peter MD 711 Onyx 105 Wyoming St (307) 877-4496 (307) 332-5886 Family Practice Neurology Krell, George C., MD Crane, Peter, MD Seiler, Chad W., MD Starr, Jeremy C., DO Fremont County Pediatric Clinic 115 Wyoming St General Surgery (307) 332-2185 Yasuda, Gregory M., MD Pediatrics Obstetrics/Gynecology Barnes, Mary L., DO George, S Douglas, MD Barnes, Richard E., MD Podiatry, Surgical Chiropody Fallin, Cheryl P., MD Daniels, Paul N., DPM Firth, Ryan G., MD Lander Stamps, Thomas S., MD

Ajax, Ted J MD Fremont Ear Nose and Throat LLC 1320 Bishop Randall Dr 8185 Hwy 789 (208) 525-2090 (307) 335-7555 Anesthesiology (MD) Otology, Laryngology, Rhinology Ajax, Ted J., MD Merritt, W Davis, MD

Britt, Cornelius L MD PC Fremont Orthopaedic Associates PC 815 E Main St 815 E Main (307) 332-9720 (307) 332-9720 Orthopedic Surgery Orthopedic Surgery Britt, Cornelius L., MD Whipp, John A., MD

Clifford, Gregory P MD PC Gannett Peak Physical Medicine LLC 1320 Bishop Randall Dr 745 Buena Vista (307) 335-6213 (307) 335-4104 Emergency Medicine Physical Medicine and Rehabilitation Clifford, Gregory P., MD Campbell, Robert A., MD Clifford, Ryan T., MD Gee, Brian D., MD Hickner, Stephen A., MD LLC 8160 Hwy 789 Jarrard, Jerry S., MD (307) 332-5420 Meyer, Mel R., MD Mosemann, Mark J., MD Obstetrics/Gynecology Hickner, Stephen A., MD Rangitsch, Thomas R., MD Family Practice Meyer, Mel R., MD

Providers are subject to be added or terminated without notice.

38 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Lander (cont.) Lander (cont.)

Jones, Troy R MD PC Lander Valley Physician Practices LLC (cont.) 125 Wyoming St Internal Medicine (307) 332-0910 Bainter, Todd M., DO Family Practice Hopkin, Justin L., MD Jones, Troy R., MD Scheer, Gentian A., MD Psychiatry (MD/DO) Lagreca Eye Clinic PC Wheeler, Frank R., MD 1150 Main St (800) 228-7874 Lander Valley Physicians Practices LLC Ophthalmology 1320 Bishop Randall Dr Lagreca, Brian A., MD (307) 335-6509 Internal Medicine Lander Family Medicine PC Bainter, Todd M., DO 8195 Hwy 789 (307) 332-1551 Hopkin, Justin L., MD Scheer, Gentian A., MD Family Practice Pearson, Susan M., MD Lander Vision Center PC 556 Main St Lander Medical Clinic PC (307) 332-2020 745 Buena Vista Dr (307) 332-2941 Optometrist Weideman, Mikel R., OD Family Practice Gallo, Kacie M., MD Lowham Surgery and Endoscopy PC Phipps, Douglas R., MD 195 Capitol St (307) 332-6222 Internal Medicine Bainter, Todd M., DO General Surgery Hopkin, Justin L., MD Lowham, Anthony S., MD Scheer, Gentian A., MD Obstetrics/Gynecology Owl Creek Vision Care 278 Main St Siebersma, Jan K., MD (307) 332-7284 Otology, Laryngology, Rhinology Fischer, Robert L., MD Optometrist Rodgers, David W., OD Lander Valley Family Practice 930 Buena Vista Dr Popo Agie Womens Clinic Inc (307) 332-3050 1460 Main St (307) 332-2223 Family Practice Miller, Malachi, MD Obstetrics/Gynecology Dunaway, Thomas E., MD Lander Valley Medical Center Hospitalists 1320 Bishop Randall Dr Portwood, Cheryl C MD (307) 857-5280 315 Main St Ste 6-12 (307) 332-4515 Internal Medicine Nabi, Anissa A., MD Psychiatry (MD/DO) Portwood, Cheryl C., MD Lander Valley Physician Practices LLC 830 Lincoln St (307) 332-9577

Providers are subject to be added or terminated without notice.

39 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Lander (cont.) Lander (cont.)

Rocky Mountain Oncology Center LLC Wind River Radiology PC 15 Shrine Club Rd Lander Regional Hospital (307) 332-0324 Buena Vists Drive (307) 335-6451 Oncology Rosen, Joseph D., MD Radiology Radiation Therapy Blinn, Lawrence A., MD Tobin, Robert L., MD Cook, Perry F., MD Radiology Hediger, Roy G., MD Purviance, John D., MD Woodard, Mark Downing, MD PC 1320 Bishop Randall Dr Rocky Mountain Retina Consultants (307) 438-2729 1150 Main St (888) 496-4400 Pathology Ophthalmology Woodard, Mark D., MD Faber, David W., MD Wyoming Urology, P.C. Goff, Mitchell J., MD 1510 West Main St Hurlbut-Miller, Peter R., MD (307) 332-2271

Stevens, Cynthia B., MD, PC Urology 172 Rosewood Ave McManus, Michael C., MD (307) 332-2417 Laramie Psychiatry (MD/DO) Stevens, Cynthia B., MD Advanced Foot Care PC 1303 East Grand Ave Vogle, Victoria S DO (307) 721-0022 1320 Bishop Randall Dr (307) 332-4420 Podiatry, Surgical Chiropody Baker, Caleb R., DPM Anesthesiology (MD) Fisher, Timothy, DPM Vogle, Victoria S., DO Advanced Medical Imaging Consultants Wind River Anesthesia Consultants 255 N 30th St 1320 Bishop Randall Dr (970) 484-4757 (307) 332-4420 Radiology Anesthesiology (MD) Berkowitz, Bruce A., MD Birch, Warren A., MD Bodenhamer, John R., MD Cavaliere, Guy S., MD Brooks, Gregory N., MD Cohen, Harry B., MD Contreras, Jaime H., MD Crosby, W Michael, MD Craven, Winfield M., MD Frink, Edward J., MD Desruisseau, Richard P., MD Herholdt, Jan A., MD Dunphy, Thomas R., MD Lucero, Joseph W., MD Esola, Christine C., MD Mondorf, Pamela E., MD Fleener, Christopher M., MD Patton, John W., MD Fuller, Samuel E., MD Petersen, James H., MD Geis, John R., MD Walker-Vamos, Colleen E., DO Geraghty, Michael J., MD Gunderson, Deborah Z., MD Hayes, Amy S., MD Hennemann, Jeanne M., MD Jess, Sarah J., MD

Providers are subject to be added or terminated without notice.

40 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Laramie (cont.) Laramie (cont.)

Advanced Medical Imaging Consultants Cheyenne Regional Physician Group dba (cont.) Performance Medicine Radiology (continued) 406 S 2nd Street Johnson, Paul W., MD (307) 742-0900 Koplyay, Peter D., MD Family Practice Limbaugh, Kevin J., MD Iams, Helen D., MD Markel, Curtis L., MD Mills, Andrew D., MD Cheyenne Vision Clinic 408 S 2nd Street Pacini, Richard J., MD (307) 721-3937 Paquelet, Jean R., MD Peck, Steven H., MD Optometrist Peet, Gary J., MD Albers, Jessica J., OD Reese, Mark, MD Carroll, Martin H., OD Singer, Charles J., MD Howell, Garrett K., OD Weinstein, Stanley W., MD Lahiff, Josh M., OD Weissmann, Jeffrey R., MD Wells, Mark T., OD

Albany Eye Care LLC Dermatology & Laser Center 418 S 5th St 3116 Willett Dr (307) 745-8554 (307) 742-3380 Optometrist Dermatology Hollon, James D., OD Kornfeld, Bruce W., MD King, Everett L., OD Ear, Nose & Throat Associates of Northern Pieper, Brian A., OD Colorado 1252 N 22nd St Allergy and Asthma Clinic of Wyoming (866) 885-6373 3116 Willett Dr (307) 742-5515 Otology, Laryngology, Rhinology Smith, Bruce M., MD Allergy Gondalia, Lakhman L., MD Emergency Physicians of Laramie 255 N 30th Anesthesia Associates of Laramie (307) 745-3169 255 N 30th St (307) 745-6065 Emergency Medicine Ballard, Charles D., MD Anesthesiology (MD) Cantway, Donald L., MD Coffey, Charles R., MD Cubin, Jonna W., MD Crecca, John David, MD Deluca, Steven J., MD Jones, Harry A., MD Pearson, Gary S., MD Martin, Randall L., MD Pedersen, Tyler C., MD Proctor, Lance A., MD Family Practice Cheyenne Cardiology Associates Pearson, Gary S., MD 3116 Willett Dr Scandrett, John M., MD (307) 637-1600 Tufts, Patrick W., MD Cardiovascular Disease Family Physicians of Laramie LLC Gardner, Geraldine, DO 2710 Harney St Ste 202 Higginbotham, Michael B., MD (307) 742-3242

Providers are subject to be added or terminated without notice.

41 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Laramie (cont.) Laramie (cont.)

Family Physicians of Laramie LLC (cont.) Laramie Internal Medicine Family Practice 1174 N 22nd St Gempis, Marie C., DO (307) 745-3536 Haeberle, John G., MD Internal Medicine Mikesell, Darren L., DO Seamon, Robert H., MD Pediatrics Flock, William MD McLanahan, Andrew G., MD 2606 Grand Ave (307) 745-8988 Laramie Pediatrics Urology 1252 N 22nd St Ste B Flock, William, MD (307) 745-3704 Pediatrics Gem City Bone and Joint dba Premier Bone Kleppinger, Kent M., MD & Joint Centers 1909 Vista Dr (307) 745-8851 Laramie Physicians For Women & Children PC Orthopedic Surgery 2710 E Harney St Ste 100 Aukerman, Ryan A., MD (307) 745-8991 Bienz, Thomas A., MD Obstetrics/Gynecology Carson, Jay G., MD Bragg, John D., MD Jenkins, Lawrence A., MD Cloyd, David G., MD Levene, Daniel E., MD Higgins, Joel E., MD McKenna, Mark E., MD Hoffmann, Mark F., MD Ryzewicz, Mark E., MD Johnson, Amanda M., MD Wasser, Michael, MD Klingler, Travis D., MD Physical Medicine and Rehabilitation Kaplan, Michael, MD Laramie Physicians For Women & Children PC Children's Clinic 2710 E Harney St Ste 100 Intermountain Internal Medicine (307) 721-3118 3116 Willett Dr (307) 745-8999 Pediatrics Internal Medicine Anderson, Debra M., MD Comly, William M., MD Horst, Brian P., MD Wuerslin, Elizabeth A., MD Ivinson Memorial Hospital Meredith & Jeanie Ray Cancer Cente Nachtigal, Tom A MD Facs PC 255 N 30th St 3125 E Grand Ste B (307) 742-7586 (307) 745-8442 Oncology General Surgery El-Tarabily, Mohamed E., MD Nachtigal, Tom A., MD

Ivinson Memorial Hospital Snowy Range Pathways Inc Surgical Specialties 1465 N 4th St # 119 2710 Harney St # 204 (307) 721-0700 (307) 460-2055 Psychiatry (MD/DO) General Surgery Moreno, Mary D., MD Ullrich, John A., MD Otology, Laryngology, Rhinology Portilla, William, MD

Providers are subject to be added or terminated without notice.

42 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Laramie (cont.) Laramie (cont.)

Peak Wellness Center Wyoming Pathology Inc 1263 N 15th St 255 N 30th St (307) 745-8915 (307) 742-2141 Psychiatry (MD/DO) Pathology Schaaf, Joseph G., MD Eliason, Nathan B., MD Holland, Michael S., MD Poudre Valley Medical Group Heart Center of Martinchick, James F., MD The Rockies 3116 Willet Dr (307) 742-9411 Wyoming Spine & Neurosurgery Assoc 807 S 3rd St Cardiovascular Disease (800) 450-4729 Green, Charles P., MD Neurological Surgery Miller, William E., MD Beer, Steven J., MD

Shafer, Shaun S MD PC Lovell 204 Mccollum Dr Ste 201 (307) 742-2131 Big Horn Foot Clinic, PC 1115 Lane 12 Ophthalmology (307) 754-9191 Shafer, Shaun S., MD Podiatry, Surgical Chiropody Snowy Range Vision Center Beachler, Lael J., DPM 405 S 30th St (307) 742-2020 Family Vision Clinic 426 Nevada Ave Optometrist (307) 548-7450 Boucher, James A., OD Lowe, Sue E., OD Optometrist Poteet, Gary M., OD Jones, Richard D., OD

Urgent Care of Laramie Hoffman Snyder Tlc, LLC dba Hoffman 3810 Grand Ave Snyder Tlc (307) 721-1794 229 E Main Street (307) 548-9123 Emergency Medicine Bean, Lawrence A., MD General Practice Caldera-Nieves, Javier R., MD Hoffman, David E., MD Gicheru, Eugene K., MD North Big Horn Hospital Clinic Surdam, Daniel E., MD 1115 Lane 12 Family Practice (307) 548-5201 Johnson, Cara L., DO Family Practice Mittal, Shilpi, MD Brackett, Deborah S., MD Urgent Care Caldwell, Troy J., MD Care United Medical Center of Laramie Gilbert, Derek H., MD LLC Db Waddell, Randy E OD Urology Clinic PC 202 E Main 2710 Harney St Ste 200 (307) 548-2668 (307) 745-3097 Optometrist Urology Waddell, Randy E., OD Pierce, H Lyle, MD

Providers are subject to be added or terminated without notice.

43 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Lusk Medicine Bow

Rawhide Rural Health Clinic Medicine Bow Health Center 921 S Ballancee Ave 514 Idaho Dr (307) 334-4000 (307) 379-2222 Family Practice Family Practice Dilmaghanian, Omid G., MD Couch, Marvin W., MD Hoskins, Thomas H., MD Morgan, James F., MD Meeteetse

Sandrock Vision LLC Banner Health Physicians West LLC 802 S Main St 2103 State Street (307) 340-0700 (307) 347-2555 Optometrist Family Practice Shoults, Carla D., OD Noton, Diane L., MD Moorcroft Lyman

Bridger Valley Family Practice Moorcroft Clinic 107 N Main St 208 N Big Horn (307) 787-3313 (307) 756-3414 Family Practice Family Practice Noe, Gary R., MD Lumnitz, Janice S., MD Mitchell, Kirk E., MD Valley Vision Center Noback, Keith A., MD 106 So Main Street Rogers, Erin L., MD (307) 787-6123 Optometrist Mountain View Shelton, Travis J., OD Mountain View Medical Clinic 531 Parkway Dr Wortham Vision and Hearing (307) 782-7560 106 S Main (307) 787-6123 Family Practice Noe, Gary R., MD Optometrist Wortham, Ross C., OD Newcastle

Marbleton Black Hills Orthopedic & Spine Center PC 1124 Washington Marbleton-Big Piney Clinic (800) 446-9556 103 W 3rd St (307) 276-3306 Orthopedic Surgery Eckrich, Stephen G., MD Emergency Medicine Wallace, Stephen W., MD Cedar Hills Family Clinic PC Family Practice 1121 Washington Blvd Albritton Mcdonald, Carolyn E., MD (307) 746-3582 Burnett, W David, MD Family Practice Demetriou, James P., MD Franklin, Duane C., MD Evans, Shannon D., DO Jagelski, Aaron T., MD Gosar, Grace M., MD Jording, Michael A., MD Kappenman, David P., MD Reimer, Lanny B., MD Quirk, James H., MD

Providers are subject to be added or terminated without notice.

44 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Newcastle (cont.) Pinedale (cont.)

Newcastle Vision Clinic Pinedale Medical Clinic (cont.) 101 S Railway Ave Family Practice (continued) (307) 347-6141 Kappenman, David P., MD Optometrist Quirk, James H., MD Cottrell, Carl C., OD Robinson, Timothy M., OD Powell

Northern Wyoming Mental Health Center Inc Absaroka Orthopaedics PC 420 Deanne Ave 450 Mountain View Bldg D (307) 746-4456 (307) 754-7257 Psychiatry (MD/DO) Orthopedic Surgery Zolcik, Wojciech J., MD Winzenried, Jay A., MD Big Horn Eye Care Pine Bluffs 401 S Bent Ste B (307) 754-7254 Family Vision Center 212 Main St Optometrist (307) 245-3612 Kienlen, Kent H., OD Optometrist Haas, Theresa J., OD Big Horn Foot Clinic, PC 777 Avenue H (307) 754-9191 Tri County Medical Center 117 E 4th St Podiatry, Surgical Chiropody (307) 245-3666 Beachler, Lael J., DPM Family Practice Fraser, D Hugh, DPM Brandes, Lisa K., MD Broomfield, Kimberly R., MD Cardiovascular Consultants of Montana 450 Mountain View St Healey, John P., MD Bldg B Malm, Ronald L., DO (406) 325-5555 Parks, Douglas S., MD Cardiovascular Disease Pinedale Apostol, Joseph C., MD

Gros Ventre Ob Gyn LLP Ear, Nose & Throat Associates 625 E Hennick St 777 Ave H Bldg #B (307) 734-1005 (406) 238-6161 Obstetrics/Gynecology Otology, Laryngology, Rhinology Roberts, Shannon C., MD Pelczar, Brian T., MD

Pinedale Medical Clinic Frontier Cancer Center and Blood Institute 625 E Hennick St 777 Ave H (307) 367-4133 (406) 238-6290 Emergency Medicine Oncology Wallace, Stephen W., MD Marchello, Benjamin T., MD Family Practice Haberland, Lyle F MD Albritton Mcdonald, Carolyn E., MD 808 E Fifth St Burnett, W David, MD (307) 754-4262 Demetriou, James P., MD General Practice Evans, Shannon D., DO Haberland, Lyle, MD Gosar, Grace M., MD

Providers are subject to be added or terminated without notice.

45 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Powell (cont.) Powell (cont.)

Heart Mountain Eyecare Group Powell Valley Clinic (cont.) 255 W 3rd General Surgery (continued) (307) 754-7151 Smith, Paul E., MD Optometrist Internal Medicine Toland, J Greg, OD Dickerson, Robert M., MD Tracy, Michael D., MD Neurology Associates PLLC 777 Ave H Obstetrics/Gynecology (307) 754-2267 Ellis, Robert F., MD Wagner, Karla, MD Neurology Orthopedic Surgery Quenemoen, Lowell R., MD Hansen, Jeffrey N., MD Northern Rockies Neuromonitoring Radiology 424 Yellowstone Ave Dirksen, Lawrence J., MD Ste 140 (406) 651-8197 Powell Vision Clinic 106 S Absaroka Neurological Surgery (307) 754-2020 Schneider, John H., MD Orthopedic Surgery Optometrist Emery, Stephen F., MD McDowell, Kimberly A., OD Schmidt, Frank H., MD Radiology Interpretation Services Inc 777 Ave H Powell Valley Clinic (307) 754-7257 450 Mountain View St (307) 754-7257 Radiology Zuckerman, Jeffrey A., MD Cardiovascular Disease Laveau, Paul J., MD Tallman, Philip MD PC Emergency Medicine 777 Ave H Gwin, Lisa P., DO (866) 988-3376 Orbin, Ronald E., DO Dermatology Sobko, Bruce A., MD Tallman, Philip G., MD Thorne, Richard C., MD Family Practice Rawlins Bohlman, Michael K., MD Cedars Health Chandler, Robert L., MD 519 8th Street Christensen, Kelly E., MD (307) 324-2294 Durney, Sarah, MD Family Practice Haskell, Jeffrey C., MD Mikesell, Darren L., DO Horton, Lynn S., MD Lengfelder, Valerie J., MD Cesko Family Medicine PC Lotstein, Robert J., MD 819 W Maple St Preston, Clinton E., MD (307) 324-3667 Reisner, Terry R., MD Family Practice Spomer, Elizabeth L., MD Cesko, David R., MD Webb, Sherilyn M., MD Wurzel, Mark S., MD General Surgery Morris, Nicholas W., MD Orbin, Ronald E., DO

Providers are subject to be added or terminated without notice.

46 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Rawlins (cont.) Rawlins (cont.)

Cheyenne Cardiology Associates Scott C Neuman OD dba Rawlins Eye Care 2221 Elm St 819 W Maple (307) 637-1600 (307) 324-2219 Cardiovascular Disease Optometrist Gardner, Geraldine, DO Neuman, Scott C., OD Higginbotham, Michael B., MD Sridharan, Palur V MD PC Gastroenterology Associates PC 519 8th St 606 23rd St (307) 324-2705 (800) 380-1820 General Surgery Gastroenterology Sridharan, Palur V., MD Cloud, Jeffrey W., MD Joubran, Raoul, MD Wagon Circle Family Practice Clinic 2012 W Elm St Katz, Kent D., MD (307) 324-6022 Krmpotich, Phillip T., MD Family Practice Gem City Bone and Joint dba Premier Bone Trent, James A., MD & Joint Centers 606 23rd St Wagon Circle Orthopedic Clinic (307) 324-2104 2012 W Elm St (307) 324-6022 Orthopedic Surgery Carson, Jay G., MD Orthopedic Surgery McKenna, Mark E., MD Schulze, Kenneth W., MD

Mhcc Group Practice Riverton 1812 Daley St (307) 324-6711 Allison, Brooks MD PC 2100 W Sunset Dr General Practice (307) 857-3590 Young, Charles C., MD Pathology Nott, Beverly OD PC Allison, Archie B., MD 2101 E Cedar St (307) 324-2601 Booth, Dwayne DPM 238 Railway Plaza Optometrist (307) 856-3610 Nott, Beverly K., OD Podiatry, Surgical Chiropody Rawlins Family Medical PC Booth, Dwayne, DPM 606 23rd St (307) 324-6002 Community Health Center of Central Wyoming Family Practice 511 N 12th St East Couch, Marvin W., MD (307) 463-7160 Family Practice Rawlins Urgent Care Inc 606 23rd St Knierim, Gabriele S., MD (307) 324-6603 Internal Medicine Santosa, Ronny, MD Family Practice Couch, Marvin W., MD Obstetrics/Gynecology Harnetty, Paul M., MD Urgent Care Rawlins Urgent Care Pediatrics Tolliver, Peggy R., MD

Providers are subject to be added or terminated without notice.

47 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Riverton (cont.) Riverton (cont.)

Fremont Anesthesia Associates PLLC Fremont Radiology (cont.) 2100 W Sunset Dr Radiology (continued) (307) 856-4161 Kessler, Larry S., MD Anesthesiology (MD) Khan, Toseef M., MD Crosby, W Michael, MD Kiser, Randall B., MD Narvaez, Gil M., MD Fremont County Emergency Physicians PC Nicell, Donald T., MD 2100 W Sunset Dr (307) 856-4161 Parkey, Joe E., MD Paul, Marc H., MD Emergency Medicine Reimbert, Frank M., MD Billin, Aaron R., MD Rossin, Richard D., MD Jarrard, Jerry S., MD Shah, Samir S., MD Kenworthy, Amy T., MD Simmons, Karen W., MD Murphy, James T., MD Sonken, Ronald S., MD North, Bradley J., DO Tague, David F., MD Taylor, James R., MD Fremont Pathology 2100 W Sunset Dr Theoharis, Jennifer A., MD (307) 857-3488 Tran, Ann A., MD Pathology Tyler, Ira M., MD Karn, Cielette M., MD Wong, William J., MD

Fremont Radiology Fremont Vision Clinic 1001 W Main St 704 E Fremont Ave (307) 856-6530 (307) 856-9000 Internal Medicine Optometrist Strong, Benjamin W., MD Ammann, Tracy L., OD Radiology Gem City Bone and Joint dba Premier Bone Alexander, John E., MD & Joint Centers Bak, Benjamin H., MD 2002 W Sunset Dr # 1 Bolkhovets, Dmitry, MD (307) 856-4053 Brown, Jason E., MD Orthopedic Surgery Bulczak, Dariusz P., MD Bienz, Thomas A., MD Burgoyne, Brian, MD Carson, Jay G., MD Caldemeyer, Karen S., MD Calhoun, Shannon P., DO Kister Eyecare PC Carter, Courtney C., MD 400 E Adams Ave (307) 856-6531 Chang, John K., MD Clarke, Delphia M., MD Optometrist Davis, Mark C., MD Kister, Benjamin J., OD Doyle, Kate T., MD Morledge Family Eye Foundation PLLC Eggleston, Ben E., MD 2100 W Sunset Dr Goni, Michelle, MD (406) 294-1994 Grubb, Kristen R., MD Ophthalmology Gutstein, Laurie L., MD Morledge-Hampton, Scott J., MD Hotchkiss, Laura A., MD Hughes, Douglas E., MD Hunter, David L., MD Jacobson, Leslie S., MD

Providers are subject to be added or terminated without notice.

48 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Riverton (cont.) Riverton (cont.)

Northwest Emergency Physicians, Inc. Riverton Physician Practices LLC dba Wind 2100 W Sunset River Oncology (307) 856-4161 2002 W Sunset Dr Ste 2 Emergency Medicine (307) 856-6600 Beasley, Benjamin E., MD Birrer, Bret M., MD Oncology Dillard, Faith A., MD Roberts, Gayle A., MD Dockham, Daniel R., MD Riverton Vision Center PC Dreifuss, Bradley A., MD 300 N Broadway Ave Jarrard, Jerry S., MD (307) 856-9451 Kenworthy, Amy T., MD Optometrist Kramer, Michael J., MD Ballard, Brian J., OD North, Bradley J., DO Frazier, Christopher C., OD Oram, Alan H., DO Hinkle, James M., OD Stieglitz, Jeffrey B., MD Wang, Neil P., DO Rocky Mountain Ob/Gyn 1035 Rose Ln Ste B Family Practice (307) 856-0382 Billin, Aaron R., MD Haskell, Jeffrey C., MD Obstetrics/Gynecology O'Connell, Ethan T., MD Mercer, John W., MD Schiller, Philip J., MD Pilot Butte Dermatology 511 N 12th St #Eb Western Family Care (877) 689-0005 1620 Riverview Rd (307) 856-6591 Dermatology Forsha, Douglass W., MD Family Practice Magruder, Joy L., MD Rendezvous Medical Miller, Michael W., MD 1035 Rose Lane Ridgway, Eric M., MD (307) 856-0382 Stockton, Kent D., MD Obstetrics/Gynecology Waheed, Mona H., MD Frost, Janet D., MD Mercer, John W., MD White, James R DO PC 1005 College View Dr Pediatrics (307) 857-3488 Mercer, Tara L., MD General Surgery Riverton Family Medical White, James R., DO 716 College View Dr # A (307) 857-4969 Wind River Clinic 1005 College View Dr Internal Medicine (307) 857-3488 Lovell, Jason D., DO Internal Medicine Riverton Physician Practices - Hospitalists Caldwell, Nicole L., MD 2100 W Sunset Dr Jones, Richard L., MD (307) 857-5280 Reckling, John F., MD Internal Medicine Sorenson, Richard R., MD Polson, Aida R., MD Wallace, Joyce I., MD

Providers are subject to be added or terminated without notice.

49 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Riverton (cont.) Rock Springs (cont.)

Wind River Neurology Advanced Practice Psychiatric Services LLC 2002 W Sunset Dr Ste 2 1363 Dewar Dr (307) 856-6600 (307) 382-3388 Neurology Psychiatry (MD/DO) Williamson, Anthony P., MD Garcia-Prieto, Carlos E., MD

Wind River Obstetrics and Gynecology LLC Bitter Creek Inpatient Services 2300 Gasser Rd 1200 College Dr (307) 856-4232 (307) 362-3711 Obstetrics/Gynecology Family Practice Bennett, Charles W., MD Mansouri, Mehrdad A., MD Hannaney, Maryanne A., MD Roberts, Andrew L., DO Internal Medicine Wind River Orthopedics Bell, Kimberly A., MD 1005 College View Dr Ste 9 Caldwell, Nicole L., MD (307) 857-3488 Fars, Roberto, MD Hai, Hamid A., MD Orthopedic Surgery Siggard, Kipley J., MD Litwak, Joseph M., MD Lux, Marcia L., MD Wind River Pediatrics LLC McKevitt, Dennis, MD 1005 College View Dr Mondal, Kamalendra N., MD (307) 857-5280 Mulcaire-Jones, Mark J., MD Pediatrics Mwinyimvua-Mohamed, Mohamed, MD Fisher, Michael R., MD Peterson, Lars E., MD Snyder, Christopher M., DO Wind River Podiatric Medicine and Surgery Soth, Layhong, MD PC 213 West Main St Ste A Pediatrics (307) 856-6170 Lewis, Mechelle D., MD

Podiatry, Surgical Chiropody Cedars Health Donaldson, Aaron D., DPM 1453a Dewar Drive (307) 382-2466 Rock Springs Family Practice Aaron III, John W DPM Mikesell, Darren L., DO 1471 Dewar Drive Ste 127 (307) 382-3257 College Hill Womens Health Center 3000 College Dr Ste A Podiatry, Surgical Chiropody (307) 362-1861 Aaron III, John W., DPM Anesthesiology (MD) Advanced Medical Imaging LLC Boese, Edmund C., MD 1200 College Dr Family Practice (307) 352-8577 Rice, Vanessa M., DO Radiology Obstetrics/Gynecology Brooks, Gregory N., MD Allyn, Peter G., MD Clark, Richard D., MD Etman, Amr E., MD Matti, Frederick L., MD Kattan, Samer E., MD Murphy, Mary F., MD Wheeler, Jeffery D., MD Nguyen, Kim N., MD Tusek, Zdenek A., MD

Providers are subject to be added or terminated without notice.

50 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Rock Springs (cont.) Rock Springs (cont.)

Donaldson Medical Clinic Iliya, John A MD 1577 Dewar Dr Ste# 8 1208 Hilltop Dr Ste 105 (307) 362-0707 (307) 382-8644 Internal Medicine General Surgery Donaldson, Terry R., MD Iliya, John A., MD

Dowd, Eugene A OD Internal Med-Cardiology Ep-Dept of 435 Broadway St University Of Utah (307) 362-3541 2760 Commercial Way (307) 362-6070 Optometrist Dowd, Eugene A., OD Cardiovascular Disease Bader, Feras M., MD Family Vision Clinic Bray, Bruce E., MD 544 Broadway Gilbert, Edward M., MD (307) 382-3937 Hong, Helen E., MD Optometrist Tandar, Anwar, MD Canestrini, Richard P., OD Walker, Jerry D., MD Kim, Helen, OD Whitehead, Kevin J., MD Sholey, Todd E., OD Wilson, Brent D., MD Internal Medicine Gastroenterology Associates PC 2761 Commercial Way Barry, William H., MD (800) 380-1820 Freedman, Roger A., MD McGann, Christopher J., MD Gastroenterology Morshedzadeh, Jack H., MD Cloud, Jeffrey W., MD Joubran, Raoul, MD Kroner III, Ludwig F MD Krmpotich, Phillip T., MD 1204 Hilltop Dr Ste 102 (307) 382-5646 Gem City Bone and Joint dba Premier Bone & Joint Centers Orthopedic Surgery 2950 College Dr Kroner, Ludwig F., MD (307) 382-5112 Mackin, James S MD Orthopedic Surgery 2761 Commercial Way Aukerman, Ryan A., MD (801) 993-9527 Bienz, Thomas A., MD Anesthesiology (MD) Carson, Jay G., MD Mackin, James S., MD Jenkins, Lawrence A., MD Levene, Daniel E., MD Meyer, Eric F MD PC McKenna, Mark E., MD 2761 Commercial Way Ryzewicz, Mark E., MD (307) 382-6873 Wasser, Michael, MD Anesthesiology (MD) Physical Medicine and Rehabilitation Meyer, Eric F., MD Kaplan, Michael, MD New Frontier Imaging LLC Hunter Family Medical Clinic 2620 Commercial Way 2751 Commercial Way Ste 10 (307) 382-7414 (307) 382-4282 Family Practice Radiology Hunter, Kurt L., MD Child, Douglas D., MD Goralnik, Cynthia H., MD

Providers are subject to be added or terminated without notice.

51 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Rock Springs (cont.) Rock Springs (cont.)

New Frontier Imaging LLC (cont.) Pegasus Emergency Group Wyoming LLC Radiology (continued) (cont.) Goralnik, Gary N., MD Emergency Medicine (continued) Holtan, Brian A., MD Raju-Swami, Rathna, MD Roddy, Jonathan R., MD Optique 20/20 Inc Rosenberg, Jeffrey V., DO 2001 Dewar Dr Ste 160 Schamban, Neil E., MD (307) 362-2020 Sherman, John A., MD Optometrist Stephens, Michael S., MD Byars, James R., OD Wallace, Stephen W., MD Family Practice Orthopaedics of Jackson Hole, PC dba Teton Orthopaedics Beyer, Sean E., MD 2624 Commercial Way Jacobson, Michael T., MD (800) 659-1335 Lotstein, Robert J., MD Orthopedic Surgery Walsh, Thomas L., MD Beck, Joshua D., MD Pilot Butte Dermatology 430 S Broadway Pain Care Center (877) 689-0005 Pca Pain Care Center 1575 Dewar Drive Ste 430 Dermatology (307) 212-6270 Forsha, Douglass W., MD Anesthesiology (MD) Shay, Jed, MD Ramsey Eye Care Center PC 2624 Commercial Way Ste B Peak Vision Eye Surgery PC (307) 382-3753 1208 Hilltop Dr Ste 200 (307) 382-4114 Optometrist Ophthalmology Ramsey, Coby S., OD Jensen, Peter M., DO Reveley, Christopher G., MD 2761 Commercial Way Pegasus Emergency Group Wyoming LLC (801) 993-9527 1200 College Dr (307) 362-3711 Anesthesiology (MD) Emergency Medicine Reveley, Christopher G., MD Bathurst, Robert M., MD Rock Springs Family Practice Beasley, Benjamin E., MD 1208 Hilltop Dr Ste 102 Bender, Sean P., MD (307) 362-0083 Cullison, Brian M., MD Family Practice Dillard, Faith A., MD Poyer, Melinda J., DO Dreifuss, Bradley A., MD Grossman, Lauren S., MD Southwest Counseling Service Hill, Douglas M., DO 1124 College Dr Kairam, Vijay, MD (307) 352-6680 Keitz, John D., DO Psychiatry (MD/DO) Khawaja, Waseem A., MD Methner, Steven, MD Kramer, Michael J., MD Rindflesh, Mark A., MD Ledges, Matthew G., MD Robinett, James Kevin, DO Linscott, Melville S., MD Prescott, Stacy L., MD

Providers are subject to be added or terminated without notice.

52 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Rock Springs (cont.) Rock Springs (cont.)

Southwest Pain Management, Inc. Sweetwater Medical Group 1200 College Drive 1204 Hilltop Dr Ste 107 (307) 352-8289 (307) 352-8193 Anesthesiology (MD) Pediatrics Mack, Brandon V., MD Vicencio, Rachelle, MD

Stachon, Jean A., MD Sweetwater Medical Group 1208 Hilltop Dr Ste 105 1204 Hilltop Dr Ste 100 (307) 382-8644 (307) 352-8125 Family Practice Internal Medicine Stachon, Jean A., MD Muthuri, Leah W., MD

Sulentich, Scott M., MD PC Sweetwater Pediatrics PC 1208 Hilltop Dr Ste 103 1204 Hilltop Dr Ste 106 (307) 362-8211 (307) 362-5500 Plastic Surgery Pediatrics Sulentich, Scott M., MD Yeshlur, Chandrashekar P., MD

Sweetwater Foot Care Sweetwater Urology 2631 Foothill Blvd Ste C 1208 Hilltop Dr Ste 204 (307) 362-9545 (307) 362-4200 Podiatry, Surgical Chiropody Urology Duckwitz, David A., DPM Sutphin, Michael D., MD

Sweetwater Medical Group Tatum-Mere Health and Community Services, 1204 Hilltop Dr Ste 108 Inc (307) 352-8125 1200 College Dr (307) 352-8289 Family Practice Babcock, Steven W., DO Anesthesiology (MD) McInnis, Michael J., MD Mack, Brandon V., MD Internal Medicine Tatum-Mere Health and Community Services, Neupane, Pritam, MD Inc. dba Southwest Wakim, Jad J., MD 1200 College Dr Psychiatry (MD/DO) (307) 352-8289 Fontanilla, Ryan Karl C., MD Anesthesiology (MD) Mack, Brandon V., MD Sweetwater Medical Group 1204 Hilltop Dr Ste 109 (307) 352-8192 Teton Oral & Maxillofacial Surgery 2441 Foothill Blvd General Surgery (307) 382-5909 Crofts, Brianne M., MD Oral Surgery Franks, Chad K., MD Stern, Michael, DMD Jamias, Augusto G., MD Otology, Laryngology, Rhinology The Eye Institute, PC Duck, Sigsbee W., MD 2631 Foothill Blvd Ste A (307) 362-4202 Optometrist Fuja, Randy L., OD

Providers are subject to be added or terminated without notice.

53 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Rock Springs (cont.) Sheridan

University of Utah Cardiology Division Bennett, Michele MD PC 2760 Commercial Way 248 W Works (307) 362-6070 (307) 673-6100 Cardiovascular Disease Family Practice Bader, Feras M., MD Bennett, Michele L., MD Barry, William H., MD Bray, Bruce E., MD Big Horn Health Network LLC dba Big Horn Endocrinology Freedman, Roger A., MD 1050 Mydland Rd Gilbert, Edward M., MD (307) 673-0124 Hong, Helen E., MD Endocrinology Tandar, Anwar, MD Ferries, Laura M., MD Walker, Jerry D., MD Whitehead, Kevin J., MD Big Horn Health Network LLC dba Big Horn Wilson, Brent D., MD Surgical 1333 W 5th St Ste 200 Internal Medicine (307) 673-3181 Green, Larry S., MD McGann, Christopher J., MD General Surgery Morshedzadeh, Jack H., MD Jost, Corey J., MD Mangus, Barry E., MD Wyoming Range Medical PC Smith, Sara C., MD 2761 Commerical Way (307) 382-3064 Big Horn Health Network, LLC dba Big Horn Ear, Nose & Throat Family Practice Big Horn Ent Turner, Darcy W., MD 1416 W 5th Street (307) 675-4646 Wyoming Vision Center 2820 Foothill Blvd Ophthalmology, Otology, Laryngology, (307) 382-4444 Rhinology Varner, Cheryl L., MD Optometrist Arrants, Alison A., OD Big Horn Health Network, LLC dba Soldier Creek Medical Saratoga 1262 W 5th Street (307) 674-6166 Nott, Beverly OD PC 1210 River St Internal Medicine (307) 326-8714 Batty, Hugh K., MD Optometrist Big Horn Heart Center Nott, Beverly K., OD 1333 W 5th St Ste 206 (307) 675-4610 Platte Valley Medical Clinic PC 1208 S River St Cardiovascular Disease (307) 326-8381 Brennan, Michael W., MD Family Practice Internal Medicine Bartholomew, Dean W., MD Garcia, Joseph R., MD

Big Horn Mountain Medicine 1435 Burton St (307) 675-2650

Providers are subject to be added or terminated without notice.

54 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Sheridan (cont.) Sheridan (cont.)

Big Horn Mountain Medicine (cont.) Eye Care of The Big Horns LLC Family Practice 1033 Coffeen Ave Gilbert, Derek H., MD (307) 674-0444 General Practice Optometrist Strahan, Michael J., MD Bilyeu, Brandi N., OD Internal Medicine Dehn, Kathryn S., OD Hunter, Ian J., MD Ferries, Laura M MD Nephrology 1050 Mydland Rd Sharp, Cindy K., MD (307) 674-2012 Big Horn Radiology Endocrinology 1401 W 5th St Ferries, Laura M., MD (307) 672-1046 Internal Medicine Radiology Ferries, Laura M., MD Alzheimer, Daniel R., MD Dunn, Garry K., MD Gastroenterology Associates PC 1524 W 5th St White, Jason M., MD (800) 380-1820 Big Horn Urology PC Gastroenterology 340 W Dow Cloud, Jeffrey W., MD (307) 672-1806 Joubran, Raoul, MD Urology Katz, Kent D., MD Holst, Stephen W., MD Vaughan, Edwin D., MD Goose Creek Pediatrics 1701 W 5th St Ste A (307) 672-7700 Brown, Christopher C., PC 1458 W 5th St Pediatrics (307) 674-4633 Bowers, Mary I., MD Internal Medicine Brown, Christopher C., MD Groshart Eye Clinic 25 Grinnell Plaza (307) 674-7611 Cedars Health 813 Highland Avenue Optometrist (307) 673-5501 Groshart, Matthew E., OD Family Practice Mikesell, Darren L., DO Hall, Andrew F MD dba Eye Clinic of Northern Wyoming 350 S Brooks St Cloud Peak Sleep Specialists LLC (307) 674-4449 1050 Mydland Rd (307) 673-6300 Ophthalmology Neurology Hall, Andrew F., MD Mayer, Thomas O., MD Hanebrink, Brad G DO 1401 W 5th St Coffeen Clinic (307) 234-9657 304 Coffeen Ave (307) 672-0773 Anesthesiology (MD) Family Practice Hanebrink, Bradley G., DO Wilson, Edward A., DO

Providers are subject to be added or terminated without notice.

55 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Sheridan (cont.) Sheridan (cont.)

Hanna, Robert S MD PC Roberts Family Medicine 340 W Dow 1842 Sugarland Drive (307) 673-1704 Suite 101 (307) 673-4960 Ophthalmology Hanna, Robert S., MD Family Practice Roberts, Susan K., MD Normative Services Inc 5 Lane Ln Scott N Bateman, MD dba Sheridan Ear, (307) 673-0128 Nose Throat 330 W Dow Internal Medicine (307) 672-0290 Williams, William M., MD Otology, Laryngology, Rhinology Northeast Wyoming Pediatric Associates PC Bateman, Scott N., MD 916 Jackson Ave (307) 675-5555 Sheridan Anesthesia Associates LLC 1401 W 5th St Pediatrics (307) 674-5123 Oss, Suzanne E., MD Wohl, Barry M., MD Anesthesiology (MD) Hanebrink, Bradley G., DO Northern Wyoming Mental Health Center Inc Rains, Garry E., MD 1221 W 5th Schultz, David M., MD (307) 674-4405 Tobi, Patricia L., MD Psychiatry (MD/DO) Zolcik, Wojciech J., MD Sheridan Eyecare Center 116 S Main St (307) 675-2020 Northern Wyoming Mental Health Center Inc 1701 W 5th St Ste C Optometrist (307) 674-5534 Fehlauer, Timothy J., OD Psychiatry (MD/DO) Hoffman, Samuel K., OD Zolcik, Wojciech J., MD Miller, Jill M., OD

Nowcap Sheridan Neurology PC 1435 Burton Street 1050 Mydland Rd (307) 347-9009 (307) 673-6300 Internal Medicine Neurology Fars, Roberto, MD Mayer, Thomas O., MD Hunter, Ian J., MD Niethammer, Thomas H., MD Sheridan Ortho Associates PC 1050 Mydland Rd (307) 674-7469 Robbins Dermatology PC 206 N Brooks St Orthopedic Surgery (307) 672-8941 Ferries, James S., MD Dermatology Laman, Brian D., MD Robbins, Amber C., MD Milner, Brenton F., MD Quinn, Anthony B., MD Ritterbusch, John F., MD Smith, Christopher T., MD Ulibarri, James A., MD Zebroski, Jeremy P., MD

Providers are subject to be added or terminated without notice.

56 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Sheridan (cont.) Sheridan (cont.)

Sheridan Ortho Associates PC (cont.) Swan, Davis M MD Podiatry, Surgical Chiropody 1401 W 5th St Rabon, Steve E., DPM (307) 674-5123 Anesthesiology (MD) Sheridan Pathology Associates PC Swan, Davis M., MD 1401 W 5th St (307) 674-5123 The Foot Care Center LLC Pathology 132 N Gould St Doughty, William, MD (307) 672-3457 Schreffler, Dennis D., MD Podiatry, Surgical Chiropody McLaws, Craig J., DPM Sheridan Radiology LLC 1333 W 5th St Urgent Care Clinic of Sheridan (307) 672-1045 1842 Sugarland Dr Ste 103 Radiology (307) 673-5586 Alzheimer, Daniel R., MD Dunn, Garry K., MD Family Practice White, Jason M., MD Finley, John W., MD Urgent Care Sheridan Women's Clinic South Sheridan Medical Clinic dba Urgent 1333 W 5th St Ste 203 Car (307) 672-2522 Obstetrics/Gynecology Wild Rose Women's Clinic 1333 W 5th St Ste 203 Gill, Lawrence G., MD (307) 672-2522 McAdoo, Gregg L., MD Obstetrics/Gynecology Sidhu, Anup S MD Scott, Timothy J., MD 1456 W 5th St (307) 673-4389 Wyoming Radiology & MRI 1458 W 5th Psychiatry (MD/DO) (307) 673-9729 Sidhu, Anup S., MD Radiology Smith Jr, Alan E MD PC Stears, Robert L., MD 1401 W 5th St (307) 674-5123 Wyovision Associates Inc 1450 Sugarland Dr Anesthesiology (MD) (307) 673-5177 Smith, Alan E., MD Optometrist Strahan and Associates, PC Katschke, Joseph V., OD 1333 W 5th St Ste 103 Smith, Walton F., OD (307) 672-8921 Internal Medicine Sundance Strahan, Michael J., MD Sundance Clinic 713 Oak St Svh Neurosurgery (307) 283-2476 1401 W 5th St (866) 822-1530 Family Practice Lumnitz, Janice S., MD Neurological Surgery Replogle, Robert E., MD Mitchell, Kirk E., MD Noback, Keith A., MD Rogers, Erin L., MD

Providers are subject to be added or terminated without notice.

57 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Thayne Thermopolis (cont.)

Gros Ventre Ob Gyn LLP Red Rock Family Practice PC (cont.) 122 Petersen Pkwy Ste 4 Radiology (307) 734-1005 Taylor, James R., MD Obstetrics/Gynecology Lofaro, Maura J., MD Thermopolis Eyecare LLC 110 N 5th St Roberts, Shannon C., MD (307) 864-2324 Lower Valley Vision Clinic Optometrist 491 N Main Suite A McDermott, Dana M., OD (307) 883-4678 Optometrist Torrington Brog, Luke D., OD Banner Health Physicians West LLC 625 Albany Ave Pocatello Podiatry (307) 532-2107 118 S Main Suite 400 (307) 833-7246 Family Practice Berry, Millard T., MD Podiatry, Surgical Chiropody Howard, Karson K., DPM Cantu, Norma S., MD Matthews, Adam C., DPM Fluckiger, Ezdan A., MD Karimou, Issifi, MD Star Valley Family Physicians Lopez, Jose L., MD 122 Petersen Pkwy Ste 4 Randolph, Bonnie, MD (307) 883-4437 Smith, Marion N., MD Family Practice Wilkins, Anna, MD Hageman, Martha S., MD General Practice Kirk, Donald J., MD Smith, Kayo, MD

Thermopolis Buchanan, Kay M MD 2000 Campbell Dr Forgey, R. L. OD (307) 532-8758 316 Broadway (307) 864-3411 Obstetrics/Gynecology Buchanan, Kay M., MD Optometrist Forgey, Ron L., OD Cheyenne Cardiovascular Consultants LLC dba Cheyenne Cardiol Miller, Vernon W MD PC 2000 Campbell Dr 112 E Arapahoe St (307) 637-1600 (307) 864-2141 Cardiovascular Disease General Surgery Gardner, Geraldine, DO Miller, Vernon W., MD Higginbotham, Michael B., MD

Red Rock Family Practice PC Gem City Bone and Joint dba Premier Bone 120 North C Ave & Joint Centers (307) 864-2351 2000 Campbell Dr (307) 532-2001 Family Practice Bomengen, Wade T., MD Orthopedic Surgery Mahoney, Kevin R., MD Levene, Daniel E., MD Pettipiece, Kurt R., MD McKenna, Mark E., MD Rice, Jennifer A., MD Ryzewicz, Mark E., MD Weyer, Jason C., DO

Providers are subject to be added or terminated without notice.

58 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Torrington (cont.) Upton

Oregon Trail Eye Center Cedar Hills Family Clinic PC 2000 Campbell Dr 717 Pine St (800) 383-3351 (307) 468-2302 Ophthalmology Family Practice Collier, Shawna R., MD Franklin, Duane C., MD Lawler, James F., MD Jagelski, Aaron T., MD Jording, Michael A., MD Peak Wellness Center Reimer, Lanny B., MD 501 Albany Ave (307) 532-4091 Wheatland Psychiatry (MD/DO) Pieczalska, Marta A., MD Cheyenne Cardiology Associates 201 14th St Robinett, James Kevin, DO (307) 637-1600 Regional West Physicians Clinic Cardiovascular Disease 2000 Campbell Dr Gardner, Geraldine, DO (308) 635-3155 Higginbotham, Michael B., MD Otology, Laryngology, Rhinology Beck, Gwendolyn J., MD Gastroenterology Associates PC 1356 Shiek St (800) 380-1820 Scottsbluff Vision Clinic dba Eastern Wyoming Eye Clinic Gastroenterology 520 College Dr Cloud, Jeffrey W., MD (307) 532-2060 Joubran, Raoul, MD Optometrist Katz, Kent D., MD Adams, Terry L., OD Krmpotich, Phillip T., MD Colburn, Paul B., OD Jenkins, Natasha K., OD Gem City Bone and Joint dba Premier Bone Mahoney, John Todd, OD & Joint Centers 201 14th St (307) 322-3636 St Joseph's Children'S Home 1419 Main St Orthopedic Surgery (307) 532-4197 Bienz, Thomas A., MD Psychiatry (MD/DO) Ryzewicz, Mark E., MD Danczik, Jiri, MD Mud Springs Vision Clinic Inc Torrington Vision Clinic 404 9th Street 1418 E M St (307) 322-9747 (307) 532-4114 Optometrist Optometrist Halsey, David J., OD Jones, Grant W., OD Hazen, Jaime A., OD Jones, Lynda L., OD Regional West Physicians Clinic Wyoming Spine & Neurosurgery Assoc 201 14th St 2000 Campbell Dr (308) 635-3155 (800) 450-4729 Otology, Laryngology, Rhinology Neurological Surgery Massey, James D., MD Beer, Steven J., MD

Providers are subject to be added or terminated without notice.

59 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Wheatland (cont.) Worland (cont.)

Wheatland Medical Clinic Big Horn Family Medicine LLC 1551 Brice St 316 N 10th St (307) 322-3861 (307) 347-8885 Family Practice Family Practice Cecil, Jeffrey A., MD Zimmerman, Edward D., MD Palmer, Lauri A., MD Peasley, Steven P., MD Billings Clinic -Worland 1106 Big Horn Ave Obstetrics/Gynecology (307) 347-8801 Woods, Willard M., MD Allergy Pediatrics Sweet, James M., MD Schultz, Pennie, MD Casper Orthopaedic Associates Wyoming Spine & Neurosurgery Assoc 401 S 15th St 1356 Shiek St (307) 265-7205 (800) 450-4729 Orthopedic Surgery Neurological Surgery Yakel, Demian M., DO Beer, Steven J., MD Clear Image Vision Care PC Wilson 610 S 12th St (307) 347-4151 Menolascino, Michael J., MD 5235 Hhr Ranch Rd Optometrist (307) 733-2855 Curtis, Alden L., OD Internal Medicine Sholey, Thorman E., OD Menolascino, Michael J., MD Treat, Kirby T., OD Turner, Christine H., MD Cloud Peak Counseling Center Snake River Orthopedics PC 401 So 23rd Street 5235 Hhr Ranch Rd (307) 347-6165 (307) 733-5676 Psychiatry (MD/DO) Orthopedic Surgery Anderson, Victoria H., MD Williams, Rafael M., MD David Bounghkong Vansomphone MD Ltd Worland 400 S 15th Street (307) 347-3221 Banner Health Physicians West LLC Internal Medicine 1405 Howell Ave (307) 347-2555 Vansomphone, Bounghkong D., MD Family Practice Johnson Medical Plc Flinner, Mark A., MD 400 South 15th St Noton, Diane L., MD (307) 347-3221 Wilde, Benjamin B., DO Internal Medicine Johnson, Caroline M., MD Banner Health Physicians West LLC 400 S 15th Street Ratesh Khillan MD (307) 347-2555 400 S 15 Street (307) 347-3221 Orthopedic Surgery Frank, Howard W., MD Oncology Khillan, Ratesh, MD

Providers are subject to be added or terminated without notice.

60 April 03, 2013 KID CARE CHIP PARTICIPATING PROFESSIONAL PROVIDERS

Wyoming (cont.) Wyoming (cont.) Worland (cont.) Worland (cont.)

Red Rock Family Practice - Worland Yellowstone Urology PLLC 1125 Charles Ave 400 S 15th (307) 347-2449 (800) 648-6274 Family Practice Urology Bomengen, Wade T., MD Schreiber, Christopher K., MD Mahoney, Kevin R., MD Pettipiece, Kurt R., MD Wright Rice, Jennifer A., MD Wright Clinic Weyer, Jason C., DO 500 Latigo Dr (307) 464-0413 S Pannu Inc 400 S 15th Street Family Practice (307) 347-3221 Russell, Laine C., DO Internal Medicine Pannu, Sukhbir S., MD

Sandeep S Kochar MD 400 S 15th Street (307) 347-3221 Infectious Diseases Kochar, Sandeep S., MD

Tallman, Philip G MD PC 1106 Big Horn Ave (866) 988-3376 Dermatology Tallman, Philip G., MD

Thurston Medical Clinic PC 401 S 15th St (307) 347-2525 Family Practice Thurston, John E., MD

Worland Surgery Clinic 1511 Charles Ave (307) 347-2405 General Surgery Weaver, Gerald E., MD

Worland Vision Clinic 820 Coburn Ave (307) 746-2371 Optometrist Cottrell, Carl C., OD

Providers are subject to be added or terminated without notice.

61 April 03, 2013 KID CARE CHIP PARTICIPATING DENTISTS

Wyoming Casper

Community Health Center of Central Wyoming 5000 Blackmore Rd (307) 265-3622 Naiman, Cory, DMD

Providers are subject to be added or terminated without notice.

62 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

California Wyoming (cont.) Northridge Afton

Minimed Distribution Corp Apria Healthcare Inc 18000 Devonshire St 350 S Washington (800) 646-4633 (307) 885-3190 Home Medical Equipment Home Medical Equipment Minimed Distribution Corp Apria Healthcare Inc

Idaho Aspen Physical Therapy 121 N Washington Rexburg (307) 885-4278 Lincare Inc Physical Therapy 2685 S 2000 West Allred, Kevin L., PT (800) 288-8027 Beus, Michael H., PT Home Medical Equipment Burton, Greg R., PT Lincare Inc Erickson, Chet A., PT

New York High Country Behavioral Health Hauppauge 389 Adams St (307) 885-9883 Better Living Now Inc. 185 Oser Avenue Psychiatric Nurse (631) 348-0032 Bennett, Jamie J., CNS

Home Medical Equipment Salt River Orthopaedics Better Living Now, Inc. 110 Hospital Ln (307) 885-5870 Ohio Physician Assistant Twinsburg Hirschi, Kyle M., PA Rgh Enterprises Inc dba Edgepark Medical Supplies Star Valley Family Physicians 1810 Summit Commerce Park 110 Hospital Ln (800) 321-0591 (307) 885-5852 Home Medical Equipment Physical Therapy Rgh Enterprises Inc dba Edgepark Medical Brown, Clancy C., PT Sup Jeske, Daniel D., PT Johnson, David M., PT Pennsylvania Wheeler, Jim D., PT West Chester Star Valley Medical Center Animas Diabetes Care LLC 901 Adams St 200 Lawrence Dr (307) 885-5800 (484) 356-7546 Physical Therapy Home Medical Equipment Johnson, David M., PT Animas Diabetes Care LLC Star Valley Medical Supply LLC Wyoming 472 Washington (307) 413-6691 Home Medical Equipment Star Valley Medical Supply LLC

Providers are subject to be added or terminated without notice.

63 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Alpine Basin (cont.)

Star Valley Family Physicians Gottsche Therapy Clinic 230 Elk Run 890 Hwy 20 S (307) 654-7138 (307) 568-9399 Nurse Practitioner Occupational Therapy Horsley, Anne, FNP Basko, Grant A., OT Taylor, Ruthanne, FNP Burns, Sharnon G., OT Cline, Gayle F., OT Arapahoe Morgan, Joan L., OT Indian Health Services Physical Therapy Wind River Service Unit Abbott, Susan D., PT #14 Great Plains Rd Bennett, Tonya L., PT (307) 856-9281 Black-Farber, Jeri, PT Nurse Practitioner Dalton, Brian E., PT Hampton, Jenaneta S., FNP Johnnidis, Adam K., PT King, Nancy L., FNP Johnsey, Beth A., PT Lewis, Sandee K., FNP Kattenhorn, Kerry A., PT Physician Assistant Kolstad, Kelsey L., PT Badger, Brian, PA Lancaster, Denver, PT Miller, Rachel E., PT Basin Rodeman, Kenneth K., PT Williams, Ryan J., PT Big Horn Basin Counseling Services Inc 116 S 3rd St Wittwer, Welton S., PT (307) 568-2020 Midway Clinic Psychiatric Nurse 388 Us Highway 20 S Franko-Lane, Deborah A., CNS (307) 568-3311 Titus, Jenny A., CNS Physician Assistant Sanders, Heather, PA Big Horn Clinic 156 N 6th St (307) 568-2499 Big Piney Physician Assistant Lincare Inc Argeris, Brett J., PA 545 Budd Ave Bonnel-Phillips, Kristi L., PA (307) 276-5744 Rasmussen, Nicholas K., PA Home Medical Equipment Lincare - Big Piney Children's Resource Center 115 S 4th St Buffalo (307) 568-2914 Bidonde Family Practice, LLC Occupational Therapy 107 W Hesse Carver, Anita C., OT (307) 684-1444 Physical Therapy Stephens, Lisa A., PT Nurse Practitioner Ham, Sandra K., FNP Speech Therapy Crist, Debbie L., ST Buffalo Physical Therapy 164 W Hart St (307) 684-8623

Providers are subject to be added or terminated without notice.

64 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Buffalo (cont.) Casper (cont.)

Buffalo Physical Therapy (cont.) Anew Therapy, LLC Occupational Therapy 107 N Washington St Siojo-Allen, Angelita B., OT (307) 315-6184 Physical Therapy Occupational Therapy Allred, Brian C., PT Herbig, Genae E., OT Baltz, Haley K., PT Barkell, Jamie A., PT Apria Healthcare Inc 1700 West 1st #3 Glassock, Angela L., PT (307) 577-0696 Green, Dagan A., PT Lausen, Krista L., PT Home Medical Equipment Patterson, Heather A., PT Apria Healthcare Sherwood, Kent, PT Atg Rehab Tvedt, Noelle K., PT 601 W Collins Dr Zowada, Bret E., PT (800) 525-8586 Speech Therapy Home Medical Equipment Sherwood, Kress T., ST Atg Colorado Inc dba Atg Rehab

Family Medical Center Berens, Cathy, PC 497 W Lott 940 E 3rd St Ste 107 (307) 684-2228 (307) 265-1500 Nurse Practitioner Nurse Practitioner Lash, Layne E., FNP Berens, Cathy L., CNP Physician Assistant Darnell, Traci D., PA Body N Motion Knutson, Angela L., PA 1941 E A St (307) 337-1624 Mountain Home Consulting Inc Physical Therapy 372 Us Hwy 16 E Daugherity, Mark S., PT (307) 684-5654 Lafferty, Maureen L., PT Speech Therapy Loghry, Nicki, PT Kenik, Beverly G., ST Brown, Stephen L MD Northern Wyoming Mental Health Center Inc 2417 E 15th St 521 W Lott (307) 234-3638 (307) 684-5531 Physician Assistant Nurse Practitioner Kline, Lynnette K., PA Phinney, Cheyrl L., FNP Psychiatric Nurse Caretrust IV Bailey, Cheryl L., CNS 1030 N Poplar St (888) 727-2273 Casper Home Infusion Lincare Inc dba Caretrust IV Allpaps Respiratory Services Inc 401 E Collins Dr (307) 577-8796 Casper Medical Imaging PC 419 S Washington St Home Medical Equipment Ste 101 Allpaps Respiratory Services Inc (307) 265-1620 Physician Assistant Ficken, Shawn W., PA

Providers are subject to be added or terminated without notice.

65 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Casper Orthopaedic Associates PC Central Wyoming Neurology LLC 4140 Centennial Hls Blvd 5820 E 2nd St Ste A (307) 234-9037 (307) 265-7205 Nurse Practitioner Occupational Therapy Hamilton, Andrew P., FNP Hoppe, Sandra J., OT Nickerson, Cheryl A., OT Central Wyoming Neurosurgery LLC 6600 E 2nd St Physical Therapy (307) 266-4000 Buelt, Jennifer A., PT Frontiero, Jennifer K., PT Audiology Mohr, Martin D., PT Parkinson, Jeffrey D., AUD Robertson, Nancy, PT Nurse Practitioner Wanbaugh, Michael S., PT D'Huyvetter, Jolene L., CNP Physician Assistant McVay, Cody E., FNP Bartlett Rone, Starrla R., PA Physician Assistant Fedore, Daniel W., PA Duel, Gina M., PA Glennon II, Timothy C., PA Hale, Matthew S., PA Haack, Ann M., PA Kidd, Justin L., PA Linn, Martha J., PA Casper Pulmonary Ramsey, Joann, PA 419 S Washington St Ste 202 Central Wyoming Skin Clinic (307) 577-0477 2546 E 2nd St Ste 400 Nurse Practitioner (307) 234-0003 Smith, Donna J., FNP Dermatology Reese, Jessica S., PA Casper Women's Care PC 770 E 2nd Street Central Wyoming Therapy (307) 237-5510 201 E 2nd St Ste 18 (307) 472-3327 Nurse Practitioner Monhollen, Catherine L., FNP Occupational Therapy Adams, Cynthia A., OT Cedars Health Keffeler, Cheryl A., OT 428 S Durbin Street (307) 277-3867 Physical Therapy Aksamit, Christina, PT Urgent Care Speech Therapy Cedars Health Kasler, Diane K., ST Central Wyoming Counseling Center Linam, Amy E., ST 1430 Wilkins Cir (307) 237-9583 Central Wyoming Urological Associates PC 1416 East A St Ste 101 Psychiatric Nurse (307) 577-8600 Decastro, Robin M., PNU Nurse Practitioner Central Wyoming Nephrology Williams, Mary E., FNP 940 E 3rd St Ste 211 Physician Assistant (307) 237-5047 Sundquist, Chad E., PA Nurse Practitioner Fleming, Jane T., FNP

Providers are subject to be added or terminated without notice.

66 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Children's Advocacy Project Inc Gastroenterology Associates PC 350 N Ash St 1441 Wilkins Cir (307) 232-0159 (307) 265-1792 Nurse Practitioner Nurse Practitioner Reed, Lorraine, CNP Amadio, Tracy L., FNP Knopp, Anna M., FNP Community Health Center of Central Physician Assistant Wyoming 5000 Blackmore Rd Bright, Charla W., PA (307) 265-3622 Maggi, Kristine R., PA Rosics, Jennifer L., PA Nurse Practitioner Fleming, Jane T., FNP Gastroenterology Associates PC Hamilton, Andrew P., FNP 1441 Wilkins Circle Mosher, Brenda S., FNP (800) 380-1820 Neff, Angela L., CNP Nurse Practitioner Physician Assistant Amadio, Tracy L., FNP Keeney, Stephanie M., PA Knopp, Anna M., FNP Kramer, Wyatt, PA Physician Assistant Ottersbach, Gary M., PA Bright, Charla W., PA Scoresby, Travis J., PA Maggi, Kristine R., PA Whinnery, Amy B., PA Rosics, Jennifer L., PA

Community Health Center of Central Grace Family Practice LLC Wyoming 1300 East A St Ste 201 2546 E 2nd St Ste 600 (307) 235-3333 (307) 265-0910 Nurse Practitioner Nurse Practitioner Murphy, Peggy L., CNP Cady, Teresa R., FNP Fleming, Jane T., FNP Indulge PLLC Physician Assistant 3955 E 12th Street Kramer, Wyatt, PA (970) 556-3835 Occupational Therapy Community Home Oxygen Hoff, Cassady A., OT 5860 E 2nd St Ste 100 (307) 237-7350 Wright, Stephanie R., OT Home Medical Equipment Lincare Inc Community Home Oxygen 2401 E 12th St (307) 237-8000 Emergency Medical Physicians PC Home Medical Equipment 1233 E 2nd St (307) 632-1436 Lincare Inc Casper Nurse Practitioner Murtagh, Leslie A., APRN BC Hedges, Larae S., FNP 907 N Poplar Ste 183 (307) 472-9890 Physician Assistant Webb, Eric, PA Psychiatric Nurse Murtagh, Leslie A., CNS

Providers are subject to be added or terminated without notice.

67 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

North Platte Pathology LLC Pilot Butte Dermatology 111 S Jeffererson St 940 E 3rd St Ste 201 Ste 150b (877) 689-0005 (307) 337-1670 Nurse Practitioner Independent Laboratory Tubbs, Virginia L., FNP North Platte Pathology LLC Planned Parenhood of Th E Rocky Mountains North Platte Physical Therapy Services 1945 Westwood Hill 311 Thelma (307) 234-1669 (307) 234-2662 Nurse Practitioner Home Medical Equipment Carlson, Susan L., FNP North Platte Physical Therapy Occupational Therapy Platte River Family Practice LLC McWilliams, Jessica J., OT 1900 E 1st St (307) 577-7737 Scott, Reagan J., OT Physical Therapy Nurse Practitioner Bieber, Jeremy E., PT Cremona, Gillian L., CNP Boulter, Michael R., PT Gruwell, Amy M., FNP Cottenoir, Deidra N., PT Hager, Mary S., FNP Mandros, Jennifer, PT Hiser, Velvet M., CNP Royse, Robert A., PT Mosher, Dorothy, FNP Staffileno, Arianne E., FNP North Platte Physical Therapy Services Tubbs, Virginia L., FNP 3831 Denis Dr Ste 200 (307) 234-9067 Reed, Kelly, Otr 3245 Whitcomb Rd Occupational Therapy (307) 258-8028 Holwegner, Abby L., OT Physical Therapy Occupational Therapy Davidson, Dustin A., PT Reed, Kelly A., OT

Nurss, Donna, APRN Regional West Laboratory Services 1300 East A St Ste 201 940 E 3rd St (307) 235-3333 Ste 103 (307) 237-3596 Psychiatric Nurse Nurss, Donna M., CNS Independent Laboratory Regional West Medical Center dba Regional We Oregon Trail Emergency Physicians 6550 E 2nd St (307) 995-8100 Regional West Laboratory Services 6500 E 2nd St Physician Assistant Ste 201 Linn, Martha J., PA (307) 234-3800 Independent Laboratory Outpatient Radiology LLC Regioanl West Medical Center dba 419 S Washington St Regioanl We Ste 101 (307) 265-1620 Independent Physiological Labs Outpatient Radiology LLC

Providers are subject to be added or terminated without notice.

68 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Rocky Mountain Family Medicine LLC Sound Physicians of Wyoming LLC (cont.) 2241 Farnum St Ste 102 Nurse Practitioner (continued) (307) 315-6133 Smith, Donna J., FNP Physician Assistant Strand, Matthew T., PA Therapy Solutions 6631 E 2nd St (307) 268-9904 Rocky Mountain Oncology Center 6501 E 2nd St Occupational Therapy (307) 235-5433 Grigg, Heather A., OT Nurse Practitioner Plessman, Mark S., OT Enyert, Gail E., CNP Physical Therapy Physical Therapy Avery, Bryan J., PT Fehringer, Reim F., PT Bernd, Michael J., PT Physician Assistant Hawkins, Kacey M., PT Patik, Toni S., PA McMillan, Connie J., PT Ramsey, Joann, PA Tichenor, Rowan E., MD, PC Rocky Mountain Therapy LLC 1119 E 3rd St 2546 E 2nd St # 500 (307) 266-2772 (307) 577-5204 Nurse Practitioner Occupational Therapy Brown, Nancy E., CNP Holder, Katherine L., OT Pickard, Lanae D., OT University of Wyoming Family Medicine Residency Program Physical Therapy 1522 E A St Woods, Trisha B., PT (307) 234-6161 Speech Therapy Physician Assistant Bummer, Michelle L., ST Goen, Valerie K., PA Downes, Sharon S., ST Noffsinger, John L., PA Whelan, Kelly J., ST Umphlett, Brooke N., PA

Sage Primary Care Urgent Care Now 1020 S Conwell Street 2546 E 2nd St Ste 200 (307) 265-8300 (307) 265-1110 Physician Assistant Urgent Care Strand, Matthew T., PA Urgent Care Now

Shriver Therapy Group Inc Urgent Care Now 800 Werner Ct Ste 300 3230 Cy Ave (307) 237-4477 (307) 265-3600 Occupational Therapy Urgent Care McCarthy, Mary M., OT Urgent Care Now Speech Therapy Shriver, Carla, ST Western Medical Associates PC 6500 E 2nd St Ste 200 Sound Physicians of Wyoming LLC (307) 577-5100 1233 E 2nd St (800) 822-7201 Nurse Practitioner Hartley, Brehan A., FNP Nurse Practitioner Novick, Julie A., FNP

Providers are subject to be added or terminated without notice.

69 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Western Medical Associates PC (cont.) Wyoming Cardiopulmonary Services PC Physician Assistant 1230 E 1st St Hepp, Stefanie R., PA (307) 266-3174 Reliford, Karri K., PA Nurse Practitioner Staffileno, Arianne E., FNP Westside Womens Clinic Physician Assistant 1655 E 2nd St (307) 265-5400 Adsit, Sarah M., PA Cassel, Jane H., PA Nurse Practitioner Behrens, Mary L., FNP Wyoming Imaging Center Potter, Nancy J., CNP 231 S Washington (307) 577-1003 Wind City Physical Therapy Independent Physiological Labs 1347 S Wisconsin St (307) 235-3910 Wyoming Imaging Center Physical Therapy Wyoming Neurologic Associates Blair, Kathy J., PT 1020 E 2nd St Ste 100 Davidson, Dustin A., PT (307) 265-4343 Elste, Kari, PT Occupational Therapy Fehringer, Reim F., PT Mussen, Nicole E., OT Foucrier, Jeffrey P., PT Physician Assistant Maiers, Julie, PT Shughart, William R., PA Schlagenhaufer, Jessica A., PT Wyoming Otolaryngology & Alpine Hearing Wyoming Behavioral Institute Care 2521 E 15th St 6500 E 2nd St Ste 101 (307) 237-7444 (307) 577-4240 Nurse Practitioner Audiology Miller, Brandon N., CNP Drost, Cheryl D., AUD Reed, Lorraine, CNP Hunsaker, Shane L., AUD Occupational Therapy Wyoming Surgical Associates PC Wonser, Marla, OT 419 S Washington St Physician Assistant Ste 102 Garcia, Lisa M., PA (307) 577-4220 Johnson, Laurie G., PA Nurse Practitioner Reliford, Karri K., PA Robinson, Brynn B., FNP Umphlett, Brooke N., PA Physician Assistant Psychiatric Nurse Deitchler, Vitoria C., PA Graves, Karen L., CNS Green, Damon S., PA Johnson, Ray B., PA Wyoming Brain & Spine Associates 1020 E 2nd St Ste 200 Walker, Debra L., PA (307) 266-2222 Zaharas, Philip N., PA

Physician Assistant Wyoming Wound Care Center Griffin, Robert J., PA 630 E 1st St (307) 266-4600 Physical Therapy Reed, Michael C., PT

Providers are subject to be added or terminated without notice.

70 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne Cheyenne (cont.)

Absolute Respiratory Care Associates In Therapy For Infants and 2017 E 11th Street Children (307) 772-1149 3718 Pioneer Ave (970) 420-2839 Home Medical Equipment Absolute Respiratory Care Occupational Therapy Krahn, Mary J., OT Alpha Family Medicine Inc Nicholas, Sarah C., OT 1202 Cleveland Ave Scheer, Erica D., OT (307) 632-6403 Yocum, Rachel E., OT Nurse Practitioner Physical Therapy Davis, Jennifer E., FNP Fournier, Rebecca R., PT Gates, Kathleen M., CNP Johnson, Lauren E., PT Martino, Kristine M., CNP Kamarad, Kelly M., PT Lam, Carey E., PT America's Express Urgent Care LLC 7124 Commons Dr Ste C Rosenthal, Tori J., PT (307) 426-4060 Audiology Center Inc Nurse Practitioner 423 Cole Shopping Ctr Campbell, Carol A., FNP (307) 432-9601 Carter, William T., FNP Audiology Physician Assistant Pierson, Jan S., AUD Whitesell, Julie C., PA Urgent Care Avenues Therapy Clinic America's Express Urgent Care LLC 4000 Central Ave Ste 3 (307) 634-0298 Anapath Diagnostic, Inc Physical Therapy 2301 House Ave Ste 108 Froelicher, Linda R., PT (307) 634-9238 Kean, Kelsey J., PT Independent Laboratory Nelson, Eric P., PT Anapath Diagnostics Inc Smith, Walynn C., PT

Anesthesiology Consultants of Cheyenne Babson and Associates Primary Care PC 813 E Lincolnway 1331 Prairie Ave Ste 1 (307) 638-0300 (307) 632-0728 Certified Registered Nurse Anesthetist Nurse Practitioner Clapp, Terra J., CRNA Richards, Vickie P., FNP Laber, Beth M., CRNA Schwerin, Kari L., FNP McClellan, Mary M., CRNA Rivers, Cassandra A., CRNA Brant Audiology, LLC Stone, Ludonna K., CRNA 1714 Logan Ave (307) 426-4327 Apria Healthcare Inc Audiology 515 E Carlson Ste 104 Christensen, Brant R., AUD (307) 634-7121 Hicks, Rebekah D., AUD Home Medical Equipment Zubrod, Ruby L., AUD Apria Healthcare

Providers are subject to be added or terminated without notice.

71 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Cedars Health Cheyenne Obstetrics and Gynecology Inc PC 4620 Grandview Ave 2301 House Ave Ste 400 Ste 104 (307) 634-5216 (307) 637-6707 Nurse Midwives Nurse Practitioner Tarr, Phyllis A., CNM Wilson, Catherine M., FNP Nurse Practitioner Physician Assistant Edwards, Jennifer M., FNP Mullikin, Cynthia, PA Cheyenne Regional Physicians Group LLC Cheyenne Cardiology Associates dba Cheyenne Childre 2301 House Ave Ste 301 2301 House Ave Ste 405 (307) 637-1600 (307) 635-7961 Nurse Practitioner Physician Assistant Anderson, Ann M., FNP Pichel, Marissa K., PA Kidner, Maria C., FNP Physician Assistant Cheyenne Regional Physicians Group LLC dba Cheyenne Oncolog Diefenderfer, Amanda C., PA 800 E 20th St Ste 350 (307) 634-9311 Cheyenne Dermatology & Wyoming Laser Center PC Clinical Nurse Specialist 2112 Seymour Ave Van Horn, Jennifer L., CNS (307) 635-8299 Nurse Practitioner Nurse Practitioner Sartz, Denise A., FNP Franklin, Elizabeth G., FNP Cheyenne Regional Physicians Group dba Cheyenne Eye Clinic Cheyenne Plaza Primar 1300 E 20th St 800 E 20th St Ste 300 (307) 634-2020 (307) 633-7444 Certified Registered Nurse Anesthetist Nurse Practitioner Frome, Pauline, CRNA Carlson, Lori L., FNP Cook, Shannon L., FNP Cheyenne Health and Wellness Center Inc 2508 E Fox Farm Rd # 1a Cheyenne Regional Physicians Group LLC (307) 635-3618 dba Cheyenne Children 2301 House Ave Ste 405 Family Practice (307) 635-7961 Williams, Stacy A., PA Physician Assistant Physician Assistant Pichel, Marissa K., PA Davies, Ciara L., PA Cheyenne Regional Physicians Group LLC Cheyenne Hearing Clinic dba Cheyenne Family 1401 Airport Pkwy 1950 Bluegrass Cir Ste 230 Ste 200 (307) 635-0435 (307) 778-2577 Audiology Nurse Practitioner Walter, Arlan, AUD Kaste, Sunflower, FNP

Providers are subject to be added or terminated without notice.

72 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Cheyenne Regional Physicians Group LLC Cheyenne-Laramie County Health dba Wyoming Orthopedi Department Family Planning 4017 Rawlins St 100 Central Ave (307) 635-2562 (307) 633-4040 Physical Therapy Nurse Practitioner Curran, Laura L., PT Carlson, Lori L., FNP Fox, Daniel E., PT Evans, Gerrie L., CNP Scharles, Kyle L., PT Sherard, Patty L., FNP Physician Assistant Thyfault, Linda A., CNP Scott, Michael D., PA Winters, Shannon, CNP Tully, Lindsay N., PA College Drive Urgent Care LLP Cheyenne Regional Urgent Care 4136 Laramie St Ste B 433 E 19th St (307) 637-2800 (307) 773-8133 Physician Assistant Nurse Practitioner Ernst, Corey L., PA Surdam, Amy R., FNP Farrell, Arthur J., PA Physician Assistant Schwartzkopf, Joel W., PA Bourlier-Childress, Joann, PA Scott, Michael D., PA Naomi, Shelley M., PA Urgent Care Page, Corey A., PA College Drive Urgent Care LLP Whaley, Jason, PA Community Home Oxygen Urgent Care 6002 Us Hwy 30 Unit 1 Cheyenne Regional Urgent Care (307) 635-8866 Cheyenne Skin Clinic LLP Home Medical Equipment 123 Western Hills Blvd Community Home Oxygen (307) 635-0226 Copd LLC Nurse Practitioner 2409 E 15th St Cooper, Heather L., FNP (307) 632-4147 Parish, Cathy J., FNP Home Medical Equipment Cheyenne Urological, PC Copd LLC 2301 House Ave Ste 502 (307) 635-4131 Anesthesia of Cheyenne PC 2301 House Ave Ste 300 Physician Assistant (307) 432-3840 Coleman, David R., PA Tardif, Donald B., PA Certified Registered Nurse Anesthetist Fesler, Dalette A., CRNA Cheyenne Women's Clinic Hecker, Carrie T., CRNA 3952 Parkview Dr Patterson, Steven L., CRNA (307) 637-7700 Fischer, Carol A MD PC Nurse Midwives 1331 Prairie Ave Ste 2 Sims, Linda B., CNM (307) 778-3121 Physician Assistant Lucas, Patrick M., PA Struna, Joyce A., PA

Providers are subject to be added or terminated without notice.

73 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Frontier Access and Mobility Systems Inc Healthreach (cont.) 1207 E Pershing Blvd Physician Assistant (307) 637-7663 Houtchens, Laurence A., PA Home Medical Equipment Morgan, Christopher P., PA Frontier Access and Mobility Systems Inc Tardif, Donald B., PA Urgent Care Frontier Emergency Physicians LLP Healthreach 214 E 23rd St (307) 426-4677 Indulge PLLC Nurse Practitioner 4350 E Lincolnway Carter, William T., FNP (970) 556-3835 Deyoung, Christopher M., CNP Occupational Therapy McLaughlin, Susan M., FNP Jiminez, Brian L., OT Mendoza, Maria E., FNP Jordan, Sara, OT Moore, Tracey D., FNP Potts, Andrew M., OT Patterson, Carmen E., FNP Physical Therapy Thompson, Susan J., FNP Chambers, Stephanie J., PT Physician Assistant Bourlier-Childress, Joann, PA Integrative Mental Health PC 1623 Central St Page, Corey A., PA (307) 631-2922 Hands On Physical Therapy Psychiatric Nurse 1331 Prairie Ave Ste 6 Dawson, Lorna Gail, CNS (307) 637-4617 Physical Therapy Lincare Inc 1221 East Pershing Abbott, Kenneth G., PT (307) 637-8267 Benedict, Lewis E., PT Blair, Kathy J., PT Home Medical Equipment Farrell, Tracy A., PT Lincare Inc of Cheyenne Nelson, Eric P., PT Med Mart Pacific Pulmonary Services Rogge, Jeffrey L., PT 909 E Fox Farm Rd Unit 5 Ver Burg, Erin R., PT (307) 635-1176

Hands On Physical Therapy Home Medical Equipment 4016 Laramie St Med Mart Pacific Pulmonary Services (307) 637-4617 Medication Management Services Inc. Physical Therapy 721 E Lincolnway Suite 8 Benedict, Lewis E., PT (307) 778-7550 Rogge, Jeffrey L., PT Nurse Practitioner Fuchs, Timothy, CNP Healthreach 2030 Bluegrass Cir (307) 635-3500 Metwest Inc dba Quest Diagnostics 695 S Broadway Nurse Practitioner (303) 899-6750 Good, Julian D., FNP Independent Laboratory Hedges, Larae S., FNP Quest Diagnostics Meeker, Lisa E., CNP Peete, Stephanie M., CNP Skow-Pucel, Christine S., FNP

Providers are subject to be added or terminated without notice.

74 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Monarch Rehab Therapy, LLC Regional West Laboratory Services 3553 Ridge Rd 1331 Prairie Ave (303) 669-3154 Ste 1 (307) 638-7800 Occupational Therapy Dorsey, Carol J., OT Independent Laboratory Regional West Medical Center dba North Platte Physical Therapy Regional We 453 Vandehei Suite 140 Sensational Kids LLC (307) 514-5834 903 S Greeley Hwy Unit E Physical Therapy (307) 634-2109 Eakins, Nathaniel J., PT Occupational Therapy Peak Wellness Center Yocum, Rachel E., OT 2526 Seymour Ave (307) 634-9653 Smart Sports Medicine 5307 Yellowstone Rd Nurse Practitioner (307) 632-7677 Cox, Mary B., FNP Physical Therapy Psychiatric Nurse Card, Teresa G., PT Degabain, Helen, RN Dunn, Daniel M., PT Peak Wellness Center Farrell, Tracy A., PT 510 W 29th St Ward, Shelly L., PT (307) 632-9362 Southeast Wyoming Ear, Nose & Throat Physician Assistant Clinic, PC Shear, Barbara A., PA 5320 Education Dr (307) 632-5589 Physical Therapy Center of Wyoming 1951 Bluegrass Cir Audiology (307) 773-8533 Ross, Jonathan M., AUD Physical Therapy Summit Spine and Neurosurgery Associates Baron, Jillian G., PT PC Baron, Rebecca A., PT 2301 House Ave Ste 505 Champlin, Sandra L., PT (307) 632-9261 Derner, Jamie C., PT Nurse Practitioner Hearne, Christopher M., PT Anderson, Tracey A., FNP Keefe, Amanda C., PT Physician Assistant Kilty, Taryn L., PT McKee, Kelli R., PA Parris, Jamie S., PT Rossman, Erin G., PT Susan Marie Blaney Valente, Leslie M., PT 507 E 18th Street (307) 637-7906 Poudre Valley Medical Group, LLC dba Psychiatric Nurse Cheyenne Medical Specia Blaney, Susan M., CNS 5050 Powderhouse Rd (307) 634-1311 The Hearing Center Nurse Practitioner 1921 Warren Ave Clews, Richard J., CNP (307) 634-4100 Davis, Carol A., CNP

Providers are subject to be added or terminated without notice.

75 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

The Hearing Center (cont.) Wyoming Physical Therapy PC Audiology 1217 S Greeley Hwy Martin, Carole J., AUD Suite A (307) 772-0955 University of Wyoming Family Medicine Physical Therapy Residency Program dba Wilson, Douglas K., PT 820 E 17th St (307) 632-2434 Wyoming Sleep Disorders Center Nurse Practitioner 4620 Grandview Ave Good, Julian D., FNP Ste 201 (307) 638-4733 Physician Assistant Boyd, Christopher S., PA Independent Physiological Labs Cabrera, Jed E N., PA Wyoming Sleep Disorders Center

Western Sleep Medicine Wyoming Spine & Neurosurgery Assoc 4100 Laramie St 1950 Bluegrass Cir #170 (307) 426-4012 (307) 778-2860 Independent Physiological Labs Physician Assistant Western Sleep Medicine Beguin, Andrew T., PA

Willow Creek Family Medicine PC Cody 4003 Rawlins St (307) 638-8975 Absaroka Orthopaedics PC 424 Yellowstone Ave Nurse Practitioner # 140 Fryman, Jennifer L., FNP (307) 527-7100 Girany, Jill E., FNP Physician Assistant Hattel, Diane E., FNP Clark, Gregory P., PA Resheske, Julie L., CNP Wilhelm, Ellen, CNP Advantage Rehab 1819 Sheridan Ave Windy City Wellness PC (307) 587-9866 2320 Dell Range Blvd Suite# 300 Physical Therapy (307) 634-6095 Brown, Lynda D., PT Hall, Jacqueline L., PT Nurse Practitioner Johnson, Jude T., PT Purifoy, Kimberly S., FNP Williams, Angela M., PT

Winter II, John E., MD PC Beartooth Orthopaedic & Spine 2301 House Ave Ste 500 720 Lindsay Ln Ste C (307) 635-4300 (307) 578-1952 Physician Assistant Physician Assistant Tully, Lindsay N., PA Davis, Laurie E., PA Larson, Boyd E., PA Wyoming Hearing Clinic LLC 5320 Education Dr (307) 632-8224 Big Horn Basin Bone & Joint LLC 720 Lindsay Ln Ste C Audiology (307) 578-1955 Ross, Jonathan M., AUD Physician Assistant Mattingly, Adam R., PA Merritt, Clint E., PA

Providers are subject to be added or terminated without notice.

76 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cody (cont.) Cody (cont.)

Big Horn Basin Bone & Joint LLC (cont.) Children's Resource Center (cont.) Physician Assistant (continued) Physical Therapy Riley, Mark O., PA Smith, Sharon L., PT Vandekieft, David K., PA Speech Therapy Axthelm, Nancy A., ST Big Horn Basin Childrens Clinic Hartley, Brooke S., ST 1220 Sunshine Ave Ste 101 Lewis, Kim M., ST (307) 587-5545 O'Connor, Ryan P., ST

Physician Assistant Ebi Lp Gilroy, Megan C., PA 1232 Meadowlane Ct (800) 526-2579 Big Horn Neurology 720 Lindsay Ln Ste C Home Medical Equipment (307) 578-1985 Ebi Lp

Physician Assistant Gottsche Rehabilation Center and Therapy Wilson, Scott W., PA Clinic 720 Lindsay Ln Billings Clinic Cody (307) 578-1970 201 Yellowstone Ave (307) 527-7561 Occupational Therapy Aaberg, Trista M., OT Licensed Registered Dietitian Basko, Grant A., OT Braet-Thomas, Tina L., LRD Burns, Sharnon G., OT Fabrizio, Elizabeth J., LRD Cline, Gayle F., OT Nurse Practitioner Datteri-Mcmillan, Deborah, OT Brewer, Danielle M., CNP Morgan, Joan L., OT Curtis, Jennifer R., CNP Physical Therapy Physician Assistant Abbott, Susan D., PT Allen, Travis G., PA Black-Farber, Jeri, PT Bower, Kerry C., PA Dalton, Brian E., PT Derousse, Justine M., PA Johnnidis, Adam K., PT Scharfe, Larry, PA Johnsey, Beth A., PT Williams, Jennifer L., PA Kattenhorn, Kerry A., PT Kolstad, Kelsey L., PT Canyon Therapy 1726 Beck Ave Lancaster, Denver, PT (307) 587-9789 Miller, Rachel E., PT Occupational Therapy Rodeman, Kenneth K., PT Tipton, Allison A., OT Williams, Ryan J., PT Wittwer, Welton S., PT Physical Therapy Kolstad, Amanda M., PT Jones Anesthesia Services Inc 707 Sheridan Ave Children's Resource Center (307) 578-1900 808 North St (307) 527-7060 Certified Registered Nurse Anesthetist Jones, Barton E., CRNA Occupational Therapy Carroll, Lisa J., OT Westbrook, Ashli A., OT

Providers are subject to be added or terminated without notice.

77 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cody (cont.) Cody (cont.)

Moving On Therapy PC Vital Air Medical 502 19th St 538 Yellowstone Ave (307) 899-2337 (307) 587-4953 Occupational Therapy Home Medical Equipment Kuchel, Stuart, OT Vital Air Medical

Myers, Dale R MD West Park Hospital Urgent Care Clinic 1613 Stampede Ave Ste A 424 Yellowstone Ave (307) 587-1155 Ste 120 (307) 587-7207 Physician Assistant Whitman, Sally J., PA Physician Assistant Simone, Kelly T., PA Northern Rockies Neuro-Spine PC Urgent Care 424 Yellowstone Ave West Park Urgent Care Clinic Ste 140 (406) 651-8197 Yellowstone Behavioral Health Center Physician Assistant 2538 Big Horn Ave Ste 2 Morrell, Harley G., PA (307) 587-2197 Psychiatric Nurse Progressive Therapy Services, Inc. Lemagie, Colleen A., CNS 502 19th Street (307) 899-3889 Yellowstone Imaging LLC Speech Therapy 720 Lindsay Ln Bond, Karen S., ST (307) 578-1899 Nannenga, Susan K., ST Independent Physiological Labs Yellowstone Imaging LLC Svh Neurosurgery 720 Lindsay Ln Yellowstone Sports Medicine and Bone & Ste A Joint Clinic LLC (866) 822-1530 720 Lindsay Ln Ste B (307) 578-1953 Physician Assistant Graham, Christopher A., PA Nurse Practitioner Phillips, Mary L., FNP Svpn Cody Internal 720 Lindsay Ln Ste A Physician Assistant (307) 578-1800 Bell, Kevin A., PA Chacon, Sheri L., PA Physician Assistant Lafleur, Andrea S., PA Yellowstone Ultrasound 8 Diamondview Rd Svpn Cody Radiation (307) 272-4146 1025 9th St (307) 587-2955 Independent Physiological Labs Yellowstone Ultrasound Physician Assistant Brost, David P., PA Diamondville Vipperman, John R., PA Pro Physical Therapy LLC 20 Adaville Dr Ste 10 (307) 877-1000 Physical Therapy Clark, Dallas L., PT

Providers are subject to be added or terminated without notice.

78 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Douglas Douglas (cont.)

Big Country Rehabilitation Pilot Butte Dermatology 111 S 5th St 1954 East Richards #9 (307) 358-9464 (877) 689-0005 Home Medical Equipment Nurse Practitioner Big Country Rehabilitation Tubbs, Virginia L., FNP Occupational Therapy Larson, Amanda L., OT Thunder Basin Orthopaedics & Sports Medicine McWilliams, Jessica J., OT 111 S 5th St Nelson, Kelsey M., OT (307) 358-6200 Pisacka, Janet S., OT Physician Assistant Richards, Bonnie A., OT Marso, Terri A., PA Scott, Reagan J., OT Nicholls, Dan A., PA Physical Therapy Walker, Debra L., PA Bieber, Jeremy E., PT Boggs, Meghann M., PT Tlc Therapies Inc Cook, Emily J., PT 222 S 5th St Eakins, Nathaniel J., PT (307) 358-4852 Hansen, Kimberly J., PT Occupational Therapy Mangus, Charles R., PT Wonser, Marla, OT Mangus, Jessica M., PT Physical Therapy Metcalf, Melissa J., PT Zwetzig, Lorrina L., PT Wells, Carol A., PT Wyoming Regional Anesthesia LLC Hearing Solutions LLC 111 S 5th St 809 S 9th St (307) 358-5590 (307) 689-3611 Certified Registered Nurse Anesthetist Audiology Higgs, William M., CRNA Long, Alica R., AUD James, David S., CRNA Kohler, Shauna R., CRNA Lincare Inc Thiel, Loren B., CRNA 815 E Richards St Ste 5 (307) 358-5805 Votruba, Troy E., CRNA Woodruff, Charles R., CRNA Home Medical Equipment Lincare - Douglas Dubois

Memorial Hospital of Converse County Dubois Medical Clinic 111 S 5th St 5647 Us Hwy 26 (307) 358-7380 (307) 455-2516 Nurse Practitioner Nurse Practitioner Clausen, Kellie D., CNP Fleming, Jane T., FNP Havener-Carney, Deborah L., CNP Green, Lynda A., FNP Retherford, Jacqueline G., CNP Hamilton, Andrew P., FNP Thalken, Twyla M., FNP Neff, Angela L., CNP Physician Assistant Physician Assistant Keyl, Nasreen D., PA Goodman, Hadden F., PA Willes Owen, Shelly R., PA Scoresby, Travis J., PA Wortham, Lori J., PA Psychiatric Nurse Bell-Milby, Susan A., CNS

Providers are subject to be added or terminated without notice.

79 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Evanston Evanston (cont.)

Bellkins Paps, LLC Olsen, Gordon S DO PC 724 Front St Ste 510 191 Overthrust Road (307) 789-2082 (307) 789-0096 Home Medical Equipment Physician Assistant Bellkins Paps, LLC Hoopes, Derek G., PA

Carver Family Health, LLC Pilot Butte Dermatology 196 Arrowhead Dr #4 196 Arrowhead Dr (307) 789-8721 Suite 5 (877) 689-0005 Nurse Practitioner Carver, Corrie R., FNP Nurse Practitioner Tubbs, Virginia L., FNP Evanston Anesthesia Associates LLC 1101 Center St Pioneer Counseling Services (307) 789-1219 350 City View Dr Ste 302 (307) 789-7915 Certified Registered Nurse Anesthetist Carver, Richard W., CRNA Psychiatric Nurse Dagley, Michael A., CRNA Davidson, Miriam A., CNS Smith, Matthew L., CRNA Uinta Family Practice Williams, Justin D., CRNA 196 Arrowhead Dr Ste 1 Wilson, Mark E., CRNA (307) 783-8123

Evanston Community Health Physician Assistant 75 Yellow Creek Rd Knopf, Karrie L., PA Ste 102 (307) 789-8290 Uinta General Surgery 196 Arrowhead Dr Ste 4 Nurse Practitioner (307) 789-8721 Foster, Melissa L., CNP Physician Assistant Physician Assistant Ballingham, David J., PA Sanders, Mark A., PA

Evanston Emergency Physicians PLLC Uinta Home Sleep Testing 190 Arrowhead Dr 724 Front St Ste 523 (800) 962-3303 (307) 789-2205 Physician Assistant Independent Physiological Labs Hoopes, Derek G., PA Uinta Home Sleep Testing, LLC

High Country Behavioral Health Uinta Physical Therapy Inc 1565 Hwy 150 S 170 Yellow Creek Rd Ste C Ste D (307) 789-4224 (307) 783-8068 Psychiatric Nurse Physical Therapy Davidson, Miriam A., CNS Brinkerhoff, Mark Z., PT Uinta Urgent Care Lincare Inc 75 Yellow Creek Rd 80 Yellow Creek Rd Ste 202 (307) 789-6621 (307) 789-6111 Home Medical Equipment Nurse Practitioner Lincare - Evanston Begalla, Kimberly A., CNP

Providers are subject to be added or terminated without notice.

80 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Evanston (cont.) Gillette (cont.)

Uinta Urgent Care (cont.) Big Horn Pediatrics PC Urgent Care 1308 W 4th St Uinta Urgent Care (307) 687-1300 Physician Assistant Weber Audiology Gilbert, Mindy D., PA 190 Arrowhead Dr (307) 783-8196 Black Rock Advanced Medical Imaging, LLC Audiology 620 4-J Ct Unit D Weber, Larry D., AUD (307) 682-8228 Independent Physiological Labs Wyoming Specialized Physical Therapy Black Rock Advanced Medical Imaging, 620 W Cheyenne Dr LLC (307) 789-8860 Physical Therapy Bone & Joint Radiology LLC Jacketta, Michael G., PT 508 Stocktrail Ste A (307) 686-1413 Redden, Brian D., PT Independent Physiological Labs Fort Washakie Bone & Joint Radiology LLC

Indian Health Services / Wind River Health Camel Country Clinic LLC Center 1206 W 4th St Ste 2 Wind River Service Unit (307) 685-3733 Bldg # 29 Black Coal Dr (307) 332-7300 Nurse Practitioner McKinsey, Lori E., FNP Audiology Komrs, Celesta C., AUD Campbell County Memorial Hospital Osterloh, Ruby K., AUD 501 S Burma Ave Licensed Registered Dietitian (307) 682-8811 Revere, Glen P., LRD Nurse Practitioner Nurse Practitioner Hastreiter, Stacey L., CNP Gookin, Mary A., FNP Hampton, Jenaneta S., FNP CCMH dba Campbell County Clinics Harvey, Susan, FNP Neurology & Pain 501 S Burma Ave Mark, Gilda, FNP (307) 688-3500 Scott, Marilyn, CNP Zoller, Karen L., FNP Physician Assistant Patterson, Mary N., PA Physical Therapy Dahl, Corey S., PT CCMH Home Medical Resources Physician Assistant 901 W 2nd St Badger, Brian, PA (307) 688-6260 Gray, Heather G., PA Home Medical Equipment CCMH Home Medical Resources Gillette CCMH Walk-In Clinic ABC Pediatrics LLC 407 S Medical Arts Ct 1300 W 4th St Ste F (307) 686-4900 (307) 688-9255 Nurse Practitioner Physician Assistant Gardner, Deborah K., FNP Dowie, Linda D., PA Helms, Rachel A., CNP Shull, Patricia L., PA

Providers are subject to be added or terminated without notice.

81 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Gillette (cont.) Gillette (cont.)

Center For Surgical Excellence Inc Lincare Inc 1503 Cressett St 612 N Hwy 1416 Ste G (307) 682-1911 (307) 687-0501 Certified Registered Nurse Anesthetist Home Medical Equipment Jacobson, John H., CRNA Lincare - Gillette

Cottonwood Medical Professionals Medical Arts Laboratory 501 S Burma Ave 407 S Medical Arts Ct (307) 688-3636 Ste E (307) 682-1234 Nurse Practitioner Lepard, Alicia M., CNP Independent Laboratory Medical Arts Laboratory Family Health 407 S Medical Arts Ct Mental Health Services of CCMH Ste D 501 S Burma Ave (307) 686-0308 (307) 688-5000 Nurse Practitioner Nurse Practitioner Even, Tracy A., FNP Walla, Susan P., CNP Physician Assistant Physician Assistant Thompson, William D., PA Nolan, Dawn M., PA Wagner, Chelsi J., PA Neurosurgical and Spinal Surgery Associates Gastroenterology Associates PC PC 1307 W 3rd St 407 S Medical Arts Ct (800) 380-1820 (800) 253-5876 Physician Assistant Physician Assistant Bright, Charla W., PA Godkin, Juanita M., PA Richards, James W., PA Gillette Physical Therapy PC Webb, David R., PA 201 W Lakeway Ste 700 (307) 682-4900 North Platte Physical Therapy Services Inc 620 4-J Ct Ste B Occupational Therapy (307) 686-2569 Clouston, Daniel R., OT Physical Therapy Home Medical Equipment Clouston, Alicia R., PT North Platte Physical Thearapy Clouston, Christine S., PT Occupational Therapy Clouston, Kenneth L., PT Donald, Olivia L., OT Haugen, Myles E., PT Physical Therapy Hite, Randal R., PT Berndt, Carey L., PT Knoll, Sarah M., PT Cochran, Travis J., PT Kraycsir, Stephanie J., PT Cook, Emily J., PT Malkowski, Jordan L., PT Gentzler, Todd L., PT Stirling, Jason A., PT Goehring, Alynna G., PT Herring, Marnie, PT Hearing Solutions LLC Johnson, Brandy M., PT 300 Green Ave Metcalf, Melissa J., PT (307) 689-3611 Woodbury, Matthew E., PT Audiology Long, Alica R., AUD

Providers are subject to be added or terminated without notice.

82 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Gillette (cont.) Gillette (cont.)

Northern Plains Anesthesia Associates PC Sagebrush ENT 3100 W Lakeway Rd Ste 3 501 S Burma Ave (307) 687-7246 (307) 688-3636 Certified Registered Nurse Anesthetist Audiology Austin, Brian E., CRNA Schmidt-Miller, Kathryn J., AUD Bracken, Dallin L., CRNA Groeneweg, Daniel W., CRNA Glenrock Groeneweg, Kelli J., CRNA Big Country Rehabilitation Johnson, Michael R., CRNA 525 E Birch St Phillips, Amanda L., CRNA (307) 436-8597 Reid, Ladawn C., CRNA Physical Therapy Simmons, Theresa L., CRNA Cook, Emily J., PT Thompson, Nancy A., CRNA Mangus, Charles R., PT

Orthopaedic Specialists of Wyoming Glenrock Health Center 501 S Burma Ave Ste 3500 925 W Birch St (307) 688-3500 (307) 436-9206 Physician Assistant Physician Assistant Gunn, Vanessa J., PA Bents, Steven L., PA Reliford, Karri K., PA Pilot Butte Dermatology 1001 S Douglas Hwy Ste B5 Glenrock Health Center (877) 689-0005 925 W Birch St (307) 436-9206 Nurse Practitioner Independent Laboratory Tubbs, Virginia L., FNP Glenrock Health Center Powder River Orthopedics & Spine - A Campbell County Clinic Oregon Trail Rural Health Clinic 508 Stocktrail Ste A 525 E Birch St (307) 686-1413 (307) 436-8838 Independent Physiological Labs Physician Assistant Campbell County Hospital Distric dba Bloem, Carla J., PA Powder Keyl, Nasreen D., PA Physician Assistant Willes Owen, Shelly R., PA Peters, Roxanne L., PA Green River

PSI Health Care Inc Brc Family Hearing Solutions 609 4-J Ct Ste B 140 Uinta Dr (307) 686-1102 (307) 875-1460 Home Medical Equipment Audiology PSI Health Care Price, Rebecca A., AUD

Rehab Solutions Castle Rock Hospital District Unit 4ka 1400 Uinta Dr (307) 686-8177 (307) 872-4500 Physical Therapy Occupational Therapy Hagen, Brittany J., PT Smith, Gerry A., OT Martinson, Dustin D., PT Smith, Michelle M., OT Martinson, Heather J., PT

Providers are subject to be added or terminated without notice.

83 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Green River (cont.) Guernsey (cont.)

Castle Rock Hospital District (cont.) Register Cliff Rural Health Clinic - Mhcc Physical Therapy (cont.) Kombrinck, Jason B., PT Physician Assistant (continued) Physician Assistant Sterkel, Sheila G., PA Amy, Charles J., PA Hanna Robertson, Joel A., PA Sherwin, Kristine F., PA Energy Basin Clinic Wylie, Bryce D., PA 1008 Feldspar Ct (307) 325-6596 Speech Therapy Vandervort, Christa J., ST Physician Assistant Faulkner, Cindy B., PA High Plains Physical Therapy 920 Upland Way Hulett (307) 875-1847 Hulett Clinic Occupational Therapy 122 Main St Wolffing, Craig L., OT (307) 467-5281 Physical Therapy Nelson, Michael E., PT Nurse Practitioner Voll, Patricia J., CNP Peak Performance Sports Medicine Physician Assistant 140 Commerce Dr Cummings, Robert C., PA (307) 875-8492 Davidson, Samantha L., PA Physical Therapy Janicki, Diane, PT Jackson Strauss, Hayley M., PT All Body Therapy Inc Svejcar, Michael R., PT 1116 Maple Way (307) 733-7037 Greybull Occupational Therapy Banner Health Physicians West LLC Evans, Heather D., OT 444 Greybull Ave Physical Therapy (307) 765-2233 Lewis, Andrea L., PT Physician Assistant O'Brien, Diana H., PT Anders, Diana L., PA Sullivan, Jenelle M., PT Argeris, Brett J., PA Weaver, Mark L., PT

Guernsey Anesthesia Services of Jackson Hole 150 Buffalo Way North Platte Physical Therapy Services Inc (208) 525-2090 650 W Whalen (307) 836-2444 Certified Registered Nurse Anesthetist Bateman, Vincen M., CRNA Physical Therapy Breslin, Molly J., CRNA Cook, Emily J., PT Trott, Cynthia A., CRNA Hansen, Kimberly J., PT Wright, Shawn, CRNA

Register Cliff Rural Health Clinic - Mhcc Davis, Sheila Sandubrae, APN, LPC 650 W Whalen 830 Upper Cache Crk Dr (307) 836-3009 (307) 733-5227 Physician Assistant Keyl, Nasreen D., PA

Providers are subject to be added or terminated without notice.

84 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Jackson (cont.) Jackson (cont.)

Davis, Sheila Sandubrae, APN, LPC (cont.) Four Pines Physical Therapy PC (cont.) Psychiatric Nurse Physical Therapy (continued) Davis, Sheila S., CNS Deighton, Laura K., PT Donley, Rebekah R., PT Developmental Physical Therapy Services Schulteis, Mark S., PT LLC 1355 Hoyt Ln Shirley, Jeffrey W., PT (307) 413-4880 Glacier Anesthesia Services Physical Therapy 150 Buffalo Way McDonald, Diana J., PT (307) 733-8677 Certified Registered Nurse Anesthetist East Meets West Healthcare, Inc 70 S Willow Street Bateman, Vincen M., CRNA (307) 733-1777 Breslin, Molly J., CRNA Hague, Robert, CRNA Physical Therapy Jex, Douglas G., CRNA Hawkins, Rebecca, PT Macieski, Dennis C., CRNA Emerg A Care Seedall, Nathan, CRNA 982 W Broadway Taylor, Jeffrey, CRNA (307) 733-8002 Trott, Cynthia A., CRNA Physician Assistant Worman, Karen E., CRNA Harris, Charles F., PA Wright, Shawn, CRNA Urgent Care Emerg A Care Goetz, Angus, DO, PC 945 W Broadway Ste 202 (307) 734-5999 Excel Physical Therapy 120 W Pearl Ave Nurse Practitioner (307) 734-9129 Mason, Martha J., FNP Physical Therapy Mellick, Kimberly A., FNP Bartlett, Francine, PT Brecker, Maria, PT Grand Anesthesiology Services PC 625 E Broadway Ave Dillon, Andrea M., PT (208) 525-2090 Downey, Erin M., PT Hilke, V Hayden W., PT Certified Registered Nurse Anesthetist Casper, Tracy, CRNA Family First Health, PC Cline, Shannan, CRNA 555 E Broadway French, Cynthia, CRNA Ste 218 Hamilton, Jean, CRNA (307) 201-1696 Hamilton, William D., CRNA Nurse Practitioner McElroy, Henry M., CRNA Mason, Martha J., FNP Wright, Shawn, CRNA Mellick, Kimberly A., FNP Grand Steps Therapy PC Four Pines Physical Therapy PC 180 S Cache St 1090 S Hwy 89 (307) 413-8580 (307) 733-5577 Occupational Therapy Home Medical Equipment Johnson, Jessica B., OT Four Pines Physical Therapy Physical Therapy Christensen, V Norene, PT

Providers are subject to be added or terminated without notice.

85 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Jackson (cont.) Jackson (cont.)

Gros Ventre Ob Gyn LLP Orthopaedics of Jackson Hole PC dba Teton 555 E Broadway Ste 108 Orthopaedics (307) 734-1005 555 E Broadway (307) 733-3900 Nurse Midwives Zeer, Jennifer D., CNM Nurse Practitioner Nurse Practitioner Novak, Krista J., CNP Moran, Christina M., FNP Physician Assistant Boschen, Marianne R., PA Jackson Hole Community Counseling Center Grube, Justin P., PA 640 E Broadway Johnson, Lansworth P., PA (307) 733-2046 Psychiatric Nurse Peak Nutrition Bennett, Jamie J., CNS 557 E Broadway (307) 733-5344 Jackson Whole Family Health Licensed Registered Dietitian 1110 Maple Way Metherell, Therese L., LRD (307) 733-7003 Nurse Practitioner Pockat, Thomas J MD Carr, Kerry B., FNP 555 E Broadway Ste 202 (307) 733-6520 Enright, Teresa J., FNP Kearney-Mason, Charlotte R., FNP Nurse Practitioner Mellick, Kimberly A., FNP White, Mary K., FNP Moran, Christina M., FNP Sky Physical Therapy Physician Assistant 970 W Broadway Saurman, David A., PA (307) 733-7173

Lerch, Theresa, CNM, Cfnp, PC Physical Therapy 320 E Broadway Ste 1c Van Hatten, Brian J., PT (307) 733-4585 St John's Physician Services Nurse Practitioner 1415 S Hwy 89 Bowdler, Lori L., FNP (307) 733-7222 Lerch, Theresa, FNP Nurse Practitioner Lincare Inc Larson-Hoyt, Lisa E., CNP 454 S Willow Physician Assistant (307) 733-9737 Thomas, Douglas A., PA Home Medical Equipment St John's Physician Services Audiology Lincare - Jackson 555 E Broadway Ste 224 (307) 739-7671 MRI of Jackson Hole LLC 625 E Broadway St Audiology (307) 739-7234 Petersen, Eliza B., AUD Independent Physiological Labs St John's Physician Services ENT and MRI of Jackson Hole LLC Audiology 555 E Broadway Ste 224 (307) 739-7665 Audiology Petersen, Eliza B., AUD

Providers are subject to be added or terminated without notice.

86 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Jackson (cont.) Lander (cont.)

St John's Physician Services Family Health & Fremont Ear Nose and Throat LLC Urgent Care 8185 Hwy 789 1415 S Hwy 89 (307) 335-7555 (307) 739-8999 Physician Assistant Physician Assistant Brewster, Nancy A., PA Fritch, Jennifer J., PA Mueller, Julie D., PA Fremont Orthopaedic Associates PC Saurman, David A., PA 815 E Main (307) 332-9720 Thomas, Douglas A., PA Physician Assistant St John's Physician Services Internal Erschen, Christopher H., PA Medicine 555 E Broadway Ste 201 Fremont Therapy Group LLC (307) 733-7222 8168 Hwy 789 Nurse Practitioner (307) 332-5240 Larson-Hoyt, Lisa E., CNP Physical Therapy Asbell, Kim K., PT Teton Hand Therapy Hansen, Courtney L., PT 310 E Broadway (307) 734-2877 Johnson, Mitchell T., PT Kaufman, Lorin B., PT Occupational Therapy Kindle, John A., PT Enrico, Amanda C., OT Nelson, Kristopher S., PT Griggs, Cyndie C., OT Phister, Scott E., PT Kennell, Cassandra M., OT Logan, Elizabeth E., OT High Country Audiology PC 125 Main St Kemmerer (307) 332-5088

High Country Behavioral Health Audiology 821 Sage Ave Alley, Michael B., AUD (307) 877-4466 High Mountain Fitness Physical Therapy & Psychiatric Nurse Pilates LLC Davidson, Miriam A., CNS 669 Main St (307) 335-7678 South Lincoln Medical Clinic 711 Onyx Physical Therapy (307) 877-4496 Scott, Kathy L., PT Nurse Practitioner Speech Therapy Keetch, Laurie A., FNP Holzmann, Ellen K., ST Physician Assistant Lander Family Medicine PC Baldwin, Fred A., PA 8195 Hwy 789 (307) 332-1551 Lander Nurse Practitioner Body Works Physical Therapy Petro, Kathleen A., FNP 15 Shrine Club Rd Physician Assistant (219) 851-5270 Platz, Steven J., PA Physical Therapy Eaton, Wendy M., PT

Providers are subject to be added or terminated without notice.

87 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Lander (cont.) Lander (cont.)

Lander Medical Clinic PC Wind River Home Oxygen 745 Buena Vista Dr 112 Tweed Ln (307) 332-2941 (307) 335-8403 Licensed Registered Dietitian Home Medical Equipment Renner, Carolyn, LRD Wind River Home Oxygen Nurse Practitioner Declue, Patricia L., FNP Laramie Schatza, Shirley, CNP Blair Investments, Inc dba High Country Physician Assistant Physical Therapy Dowie, Edward A., PA 3125 E Grand Ave Hitshew, Amy L., PA (307) 742-3110 Physical Therapy Lander Valley Physician Practices LLC Claude, Jonathan R., PT 830 Lincoln St (307) 332-9577 Sewczak-Claude, Gretchen M., PT Physician Assistant Community Home Oxygen Bowdel, Steven P., PA 1482 Commerce Dr Unit W Hitshew, Amy L., PA (307) 745-5716 Platz, Steven J., PA Home Medical Equipment Community Home Oxygen Lowham Surgery and Endoscopy PC 195 Capitol St Dermatology & Laser Center (307) 332-6222 3116 Willett Dr (307) 742-3380 Physician Assistant Quillen, Carol L., PA Nurse Practitioner Carron, Rebecca C., FNP Popo Agie Womens Clinic Inc 1460 Main St Elite Medical Supplies LLC (307) 332-2223 417 S 2nd St (307) 742-2445 Nurse Midwives Wendt, Karen M., CNM Home Medical Equipment Nurse Practitioner Elite Medical Supplies LLC Hampton, Jenaneta S., FNP Petro, Kathleen A., FNP Emergency Physicians of Laramie 255 N 30th Zebroski, Ruth C., CNP (307) 745-3169 Rocky Mountain Oncology Center LLC Nurse Practitioner 15 Shrine Club Rd Carlson, Lori L., FNP (307) 332-0324 Chew, Michelle K., FNP Nurse Practitioner Deyoung, Christopher M., CNP Enyert, Gail E., CNP Duncan, Julia A., FNP Physician Assistant Patik, Toni S., PA Family Care Clinic LLC 504 E Lyon Ramsey, Joann, PA (307) 745-0085 Nurse Practitioner King, Wendy B., FNP Leinen, Carla J., FNP

Providers are subject to be added or terminated without notice.

88 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Laramie (cont.) Laramie (cont.)

Family Physicians of Laramie LLC Laramie Internal Medicine 2710 Harney St Ste 202 1174 N 22nd St (307) 742-3242 (307) 745-3536 Nurse Practitioner Nurse Practitioner Bartel, Jennifer R., FNP Keating, Fran D., FNP Physician Assistant Gem City Bone and Joint dba Premier Bone Weber, Natalie M., PA & Joint Centers 1909 Vista Dr (307) 745-8851 Laramie Pediatrics 1252 N 22nd St Ste B Physical Therapy (307) 745-3704 Boltz, Birdie, PT Nurse Practitioner Franc, Lori C., PT Henry, Jesse C., FNP Graf, Jessica F., PT Newell, Marcia, CNP Hellevang, Sarah B., PT Kaiser, Stephen B., PT Laramie Physicians For Women & Children Martinez, Martha, PT PC Children's Clinic 2710 E Harney St Ste 100 Zappa, Gary P., PT (307) 721-3118 Physician Assistant Brumbaugh, David R., PA Nurse Practitioner Trenam, Michael A., PA Smith, Elizabeth R., CNP Vasek, Paula S., FNP Homestead Physical Therapy PC 1575 N 4th St Ste 101 Laramie Reproductive Health (307) 745-5434 413 S 21st St (307) 745-5364 Physical Therapy Deacon, Merek C., PT Nurse Midwives Herkstroeter, Luann S., PT Caldwell, Penelope R., CNM Nurse Practitioner Intermountain Internal Medicine Deselms, Anita C., FNP 3116 Willett Dr Forrester, Mary G., FNP (307) 745-8298 Lund, Terese J., FNP Nurse Practitioner Rubio-Wallace, Sherrie, FNP Stoddard, Gloria J., FNP Steiner, Susan H., FNP Stidolph, Candace M., FNP Ivinson Memorial Hospital Meredith & Jeanie Ray Cancer Cente Laramie Respiratory Service LLC 255 N 30th St 255 N 3rd St (307) 742-7586 (307) 755-0765 Nurse Practitioner Home Medical Equipment Halsey, Nancy J., FNP Laramie Respiratory Service LLC

Laramie Behavioral Health Clinic Lincare Inc 407 E Garfield St 1363 N 4th # B (307) 755-6463 (307) 721-4992 Psychiatric Nurse Home Medical Equipment Somlyay, Janet L., CNS Lincare - Laramie

Providers are subject to be added or terminated without notice.

89 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Laramie (cont.) Laramie (cont.)

Pathways Inc Urgent Care of Laramie (cont.) 1465 N 4th St # 119 Physician Assistant (307) 721-0700 Gordon, Courtney N., PA Psychiatric Nurse Morrow, Rachel M., PA Becker, Carol A., CNS Pederson, James P., PA Duncan, Julia A., CNS Urgent Care McGee, Nancy I., CNS Care United Medical Center of Laramie Proctor, J'Laine, CNS LLC Db

Peak Wellness Center Wyomed Laboratory Inc 1263 N 15th St 204 Mccollum Dr Ste 105 (307) 745-8915 (307) 721-5111 Psychiatric Nurse Independent Laboratory Becker, Carol A., CNS Wyomed Laboratory Inc

Pendley & Associates Inc Wyoming Behavioral Institute -Laramie 1277 N 15th Outpatient Clinic (307) 742-6222 504 S 4th Street (307) 742-9700 Psychiatric Nurse Romsa, Beth J., CNS Nurse Practitioner Vasquez, Caitlin P., CNS White, Leah S., FNP

Regional West Laboratory Services Lovell 1174 N 22nd St (307) 745-8022 Big Horn Basin Counseling Services Inc 1114 Lane 12 Independent Laboratory (307) 548-6543 Regioanl West Medical Center dba Psychiatric Nurse Regional We Titus, Jenny A., CNS University of Wyoming Speech and Hearing Clinic Children's Resource Center Dept 3311 435 E 5th St 1000 E University Ave (307) 548-6722 (307) 766-6426 Occupational Therapy Audiology Carroll, Lisa J., OT Garcia, Teresa J., AUD Physical Therapy Weaver, Amy M., AUD Ruth, Cynthia S., PT Speech Therapy Speech Therapy Coyle, Lynda D., ST Jolley, Aimee J., ST Dechert, Christiane, ST Lundberg, Tashie R., ST Jones, David L., ST Regan, Darcy J., ST North Big Horn Hospital Clinic 1115 Lane 12 Ross, Catherine L., ST (307) 548-5201 Seabeck, Diana J., ST Nurse Practitioner Urgent Care of Laramie Freund, Mary, CNP 3810 Grand Ave Physician Assistant (307) 721-1794 Carpenter, Jack W., PA Ferbrache, Kenneth W., PA Larson, Boyd E., PA

Providers are subject to be added or terminated without notice.

90 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Lusk Medicine Bow (cont.)

Big Country Rehabilitation Medicine Bow Health Center (cont.) 521 E 10th Physician Assistant (continued) (307) 334-2272 Martin, Marie B., PA Physical Therapy Mangus, Charles R., PT Moorcroft Mangus, Jessica M., PT Moorcroft Clinic Metcalf, Melissa J., PT 208 N Big Horn (307) 756-3414 Rawhide Rural Health Clinic 921 S Ballancee Ave Family Practice (307) 334-4000 Schwartz, Terrence O., PA Nurse Practitioner Nurse Practitioner Fliris, Cathy L., FNP Voll, Patricia J., CNP Physician Assistant Lyman Davidson, Samantha L., PA

Achieve Sports Medicine and Physical Mountain View Therapy 109 S Main St Ste D Mountain View Medical Clinic (307) 747-4627 531 Parkway Dr (307) 782-7560 Physical Therapy Christopherson, Randall C., PT Physician Assistant Barnes, Amanda M., PA Bridger Valley Family Practice 107 N Main St Newcastle (307) 787-3313 Lincare Inc Physician Assistant 1121 Washington Ste 2 Barnes, Amanda M., PA (307) 746-2281

Wortham Vision and Hearing Home Medical Equipment 106 S Main Lincare - Newcastle (307) 787-6123 North Platte Physical Therapy Services Inc Audiology 360 W Main St Wortham, Billie S., AUD (307) 746-3573

Marbleton Home Medical Equipment North Platte Physical Thearapy Marbleton-Big Piney Clinic Physical Therapy 103 W 3rd St Cochran, Travis J., PT (307) 276-3306 Dacar, Lana M., PT Physician Assistant Kramer, Veronica L., PT Mueller, Julie D., PA Northern Wyoming Mental Health Center Inc Medicine Bow 420 Deanne Ave (307) 746-4456 Medicine Bow Health Center 514 Idaho Dr Nurse Practitioner (307) 379-2222 Phinney, Cheyrl L., FNP Physician Assistant Psychiatric Nurse Bezzant, Matthew R., PA Bailey, Cheryl L., CNS Dickinson, David S., PA

Providers are subject to be added or terminated without notice.

91 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Newcastle (cont.) Pinedale (cont.)

Weston County Children's Center Proactive Physical Therapy PC (cont.) 104 Stampede St Physical Therapy (continued) (307) 746-3541 Thonhoff, Christen E., PT Occupational Therapy Speech Therapy Fessler, Amber K., OT Palmertree, Manda M., ST Messner, Carly D., OT Raney, Jeanne M., ST Norris-Dishman, Dorothy, OT Stenson, Mona A., OT Powell Physical Therapy Absaroka Orthopaedics PC Bifulco, Katherine M., PT 450 Mountain View Bldg D Jordan, Carol A., PT (307) 754-7257 Kramer, Veronica L., PT Physician Assistant Speech Therapy Clark, Gregory P., PA Beck, Jami N., ST Doeksen Gould, Debra J., ST Children's Resource Center Petersen, Mary A., ST 558 E 2nd St (307) 754-2864 Streib, Mary M., ST Occupational Therapy Pinedale Bleak, Laura L., OT Harvey, Adrienne M., OT Gros Ventre Ob Gyn LLP 625 E Hennick St Schilling, Whitney L., OT (307) 734-1005 Physical Therapy Ruth, Cynthia S., PT Nurse Midwives Zeer, Jennifer D., CNM Speech Therapy Hall, Erica C., ST Pine Creek Behavioral Health Harris, Elizabeth H., ST 24 Country Club Ln Jones, Anna S., ST (307) 367-2111 Urbanek, Kathryn A., ST Psychiatric Nurse Bennett, Jamie J., CNS Gottsche Rehabilitation & Therapy Clinic 639 W Coulter (307) 754-9262 Pinedale Medical Clinic 625 E Hennick St Occupational Therapy (307) 367-4133 Basko, Grant A., OT Nurse Practitioner Burns, Sharnon G., OT Rozier, Leslie H., FNP Cline, Gayle F., OT Physician Assistant Morgan, Joan L., OT Mueller, Julie D., PA Physical Therapy Abbott, Susan D., PT Proactive Physical Therapy PC Black-Farber, Jeri, PT 317 N Faler Ave (307) 367-6236 Dalton, Brian E., PT Johnnidis, Adam K., PT Occupational Therapy Johnsey, Beth A., PT Rhyne, Lisa M., OT Kattenhorn, Kerry A., PT Physical Therapy Kolstad, Kelsey L., PT Bruce, S Megan, PT Lancaster, Denver, PT Clifford, Amy, PT Miller, Rachel E., PT Holz, Susan M., PT Rodeman, Kenneth K., PT

Providers are subject to be added or terminated without notice.

92 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Powell (cont.) Rawlins

Gottsche Rehabilitation & Therapy Clinic Cedars Health (cont.) 519 8th Street Physical Therapy (continued) (307) 324-2294 Williams, Ryan J., PT Nurse Practitioner Wittwer, Welton S., PT Wilson, Catherine M., FNP Physician Assistant Move On Physical Therapy Inc 1201 E 7th St Jacquay, Paul J., PA (307) 764-4115 Mullikin, Cynthia, PA

Physical Therapy Gastroenterology Associates PC Rodeman, Kenneth K., PT 606 23rd St (800) 380-1820 Powell Valley Clinic 450 Mountain View St Nurse Practitioner (307) 754-7257 Amadio, Tracy L., FNP Certified Registered Nurse Anesthetist Physician Assistant Barrett, Robert L., CRNA Bright, Charla W., PA Bateman, Vincen M., CRNA Maggi, Kristine R., PA Blum, K Maureen, CRNA Lincare Inc Dudo, James E., CRNA 1408 E Murray St Edstrom, Jeffery W., CRNA (307) 324-2117 Hoellwarth, Chris B., CRNA Home Medical Equipment Johnson, Merton O., CRNA Lincare - Rawlins Mishler, Richard L., CRNA Seedall, Nathan, CRNA Rawlins Urgent Care Inc Thomy, Douglas E., CRNA 606 23rd St (307) 324-6603 Whalen, Sandra E., CRNA Wright, Shawn, CRNA Physician Assistant Nurse Practitioner Haynes, Gerald A., PA Blanchard, Cathy A., CNP Urgent Care Mangum, Bradley D., FNP Rawlins Urgent Care Physician Assistant Gifford, Justin B., PA Riverton Hobby, Lisa L., PA Community Health Center of Central Keeler, Jana L., PA Wyoming Redder, Angela M., PA 511 N 12th St East (307) 463-7160 Sunlight Psychiatry Inc Nurse Practitioner 145 N Bernard Street Fleming, Jane T., FNP (307) 764-4130 Green, Lynda A., FNP Nurse Practitioner Hamilton, Andrew P., FNP Blough, Krista L., CNP Martin, Melanie E., FNP Neff, Angela L., CNP Tallman, Philip MD PC 777 Ave H Zoller, Karen L., FNP (866) 988-3376 Physician Assistant Ottersbach, Gary M., PA Physician Assistant Bulley, Peter B., PA Scoresby, Travis J., PA

Providers are subject to be added or terminated without notice.

93 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Riverton (cont.) Riverton (cont.)

Community Home Oxygen Rendezvous Medical 810 S Federal Blvd 1035 Rose Lane (307) 856-9415 (307) 856-0382 Home Medical Equipment Nurse Practitioner Community Home Oxygen Lewis, Sandee K., FNP

Fremont Anesthesia Associates PLLC Rocky Mountain Ob/Gyn 2100 W Sunset Dr 1035 Rose Ln Ste B (307) 856-4161 (307) 856-0382 Certified Registered Nurse Anesthetist Nurse Practitioner Edstrom, Jeffery W., CRNA Lewis, Sandee K., FNP Mullinix, Matthew A., CRNA Sack, Kari J., CRNA Susan Bell-Milby CNS, BC 902 N 8th St West Shawver, Bonnie L., CRNA (307) 857-3111 Wilcox, Ryan J., CRNA Clinical Nurse Specialist Fremont County Family Planning Bell-Milby, Susan A., CNS 325 W Main #D (307) 856-7212 Sweetwater Therapy LLC 820 W Main St Nurse Midwives (307) 857-7074 Stearns, Heidi, CNM Speech Therapy Fremont Therapy Group LLC Vincent, Jennifer K., ST 2002 W Sunset Dr Ste 1 (307) 856-7021 Teton Therapy PC 820 W Main St Occupational Therapy (307) 857-7074 Lowham, Lisa A., OT Occupational Therapy Physical Therapy Asbell, Kim K., PT Holcomb, Virginia J., OT Francis, Ty N., PT Mazur, Michelle, OT Gomendi-Smith, Whittney K., PT McMenamy, Jeffrey L., OT Hansen, Courtney L., PT Physical Therapy Johnson, Mitchell T., PT Larsen, Benjamin R., PT Kaufman, Lorin B., PT Ross, James T., PT Kindle, John A., PT Zeiss-Raney, Margaret A., PT Nelson, Kristopher S., PT Rock Springs Phister, Scott E., PT Advanced Practice Psychiatric Services LLC Lincare Inc 1363 Dewar Dr 116 N Federal Blvd (307) 382-3388 (307) 856-7562 Psychiatric Nurse Home Medical Equipment Garcia-Prieto, Sherri A., CNS Lincare - Riverton Alliance Physical Therapy Inc Pilot Butte Dermatology 1977 Dewar Dr Ste J 511 N 12th St #Eb (307) 382-3228 (877) 689-0005 Physical Therapy Nurse Practitioner Jack, Alexandra L., PT Tubbs, Virginia L., FNP Long, Maria L., PT

Providers are subject to be added or terminated without notice.

94 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Rock Springs (cont.) Rock Springs (cont.)

Alliance Physical Therapy Inc (cont.) Hunter Family Medical Clinic Physical Therapy (continued) 2751 Commercial Way Martin, Daren L., PT (307) 382-7414 Rice, Craig D., PT Physician Assistant Powell, Dylan T., PA Altitude Analysis Inc Sanders, Mark A., PA 2528 Foothill Blvd Ste A (307) 362-4552 Internal Med-Cardiology Ep-Dept of Independent Laboratory University Of Utah Altitude Analysis Inc 2760 Commercial Way (307) 362-6070 Cedars Health Nurse Practitioner 1453a Dewar Drive Isakson Fish, Brenda Ann, CNP (307) 382-2466 Nurse Practitioner Lincare Inc McLaughlin, Rhonda S., FNP 2734 Commercial Way (307) 382-7703 Wilson, Catherine M., FNP Physician Assistant Home Medical Equipment Mullikin, Cynthia, PA Lincare - Rock Springs Paglia, Michael A., PA Pain Care Center Pca Pain Care Center College Hill Womens Health Center 1575 Dewar Drive Ste 430 3000 College Dr Ste A (307) 212-6270 (307) 362-1861 Certified Registered Nurse Anesthetist Nurse Midwives Frome, Pauline, CRNA Yerkovich, Starla R., CNM Nurse Practitioner Pegasus Emergency Group Wyoming LLC Bradley, Louanna M., CNP 1200 College Dr (307) 362-3711 Community Home Oxygen 1993 Dewar Dr Ste 4 Nurse Practitioner (307) 362-1419 Sanone-Leavitt, Selanie A., FNP Thomas, Seleaina A., CNP Home Medical Equipment Ward, Susan, CNP Community Home Oxygen Washburn, Desiree, CNP Donaldson Medical Clinic White, Rebecca L., FNP 1577 Dewar Dr Ste# 8 Physician Assistant (307) 362-0707 Boehmer, Robyn E., PA Physician Assistant Dolce, Amy M., PA McKenzie, Kerry L., PA Fritch, Jennifer J., PA Garrison, Calvin L., PA High Plains Physical Therapy Goodman, Hadden F., PA 2241 Foothill Blvd Ste 602 Valenti, Amber R., PA (307) 382-7888 Pilot Butte Dermatology Physical Therapy 430 S Broadway Nelson, Michael E., PT (877) 689-0005 Nurse Practitioner Tubbs, Virginia L., FNP

Providers are subject to be added or terminated without notice.

95 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Rock Springs (cont.) Rock Springs (cont.)

Rock Springs Family Practice Sweetwater Foot Care 1208 Hilltop Dr Ste 102 2631 Foothill Blvd Ste C (307) 362-0083 (307) 362-9545 Physician Assistant Home Medical Equipment Potter, Tracy A., PA Sweetwater Foot Care

Rock Springs IV Center Sweetwater Medical Group 400 2nd St Ste A1 1204 Hilltop Dr Ste 108 (307) 382-3544 (307) 352-8125 Home Infusion Nurse Practitioner Rock Springs IV Center Dupree, Stephanie L., CNP Physician Assistant Rocky Mountain Sports Medicine and McKenzie, Kerry L., PA Rehabilitation LLC 1401 Gateway Blvd Ste 2 (307) 352-3626 Sweetwater Medical Group 1204 Hilltop Dr Ste 107 Physical Therapy (307) 352-8193 Bryngelson, Josette L., PT Nurse Practitioner Cook, Michelle E., PT Dupree, Stephanie L., CNP Gay, Juliet A., PT Macdonald, Karen J., PT Tatum-Mere Health and Community Services, Seppie, Cole N., PT Inc. dba Southwest 1200 College Dr Wright, Malena S., PT (307) 352-8289 Southwest Counseling Service Nurse Practitioner 1124 College Dr Erickson, Barry G., FNP (307) 352-6680 White, Rebecca L., FNP Psychiatric Nurse Logan, Kayleen, RN Total Family Health PC 2620 Commercial Way Ste 051 Southwest Counseling Service (307) 382-2080 2706 Ankeny Way (307) 352-6689 Nurse Practitioner Physician Assistant Heitz, Laura J., CNP Haigler, Thomas F., PA University of Utah Cardiology Division 2760 Commercial Way Southwest Pain Management, Inc. (307) 362-6070 1200 College Drive (307) 352-8289 Nurse Practitioner Nurse Practitioner Amoros, Zaruhi U., CNP Erickson, Barry G., FNP Isakson Fish, Brenda Ann, CNP

Sweetwater Audiology Services Wyoming Range Medical PC 514 Broadway 2761 Commerical Way (307) 362-8221 (307) 382-3064 Audiology Nurse Practitioner Harward, Stephen B., AUD Turner, Lorri N., FNP Physician Assistant Anderson, Richard A., PA Said, Jonathan R., PA

Providers are subject to be added or terminated without notice.

96 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Saratoga Sheridan (cont.)

Local Therapy LLC Big Horn Health Network, LLC dba Soldier 1210 S River St Creek Medical (307) 326-8111 1262 W 5th Street (307) 674-6166 Occupational Therapy Bartholomew, Tonya L., OT Nurse Practitioner Physical Therapy McDowell, Judith E., CNP Guy, Jean M., PT Physician Assistant Speech Therapy Sickel, Kenneth W., PA Johnston, Jane A., ST Big Horn Heart Center 1333 W 5th St Ste 206 Platte Valley Medical Clinic PC (307) 675-4610 1208 S River St (307) 326-8381 Physician Assistant Nurse Practitioner Graslie, Jennifer A., PA Oiler, Jennifer C., FNP Big Horn Mountain Medicine Physician Assistant 1435 Burton St Sheils, Edwin K., PA (307) 675-2650

Sheridan Nurse Practitioner Gilbert, Kimberlee D., FNP Beartooth Physical Therapy LLC Martin, Melanie E., FNP 138 S Main St (307) 752-9335 Physician Assistant Barrett, Autumn P., PA Physical Therapy Otto, Jason L., PA Gardner, Misty D., PT Speech Therapy Big Horn Urology PC Treide, Ellen C., ST 340 W Dow (307) 672-1806 Bennett, Michele MD PC Nurse Practitioner 248 W Works Kawulok, Debra A., FNP (307) 673-6100 Nurse Practitioner Big Horn Womens Health Care, LLC Phinney, Cheyrl L., FNP 850 Val Vista Suite A (307) 672-2222 Big Horn Health Network LLC dba Big Horn Nurse Midwives Surgical Gill, Bridgette M., CNM 1333 W 5th St Ste 200 (307) 673-3181 Brown, Christopher C., PC Nurse Practitioner 1458 W 5th St Wood, Wendy J., FNP (307) 674-4633 Physician Assistant Big Horn Health Network, LLC dba Big Horn Johnston, Deborah A., PA Ear, Nose & Throat Big Horn Ent 1416 W 5th Street Cedars Health (307) 675-4646 813 Highland Avenue (307) 673-5501 Nurse Practitioner Nurse Practitioner Green, Christy J., FNP Wilson, Catherine M., FNP

Providers are subject to be added or terminated without notice.

97 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Sheridan (cont.) Sheridan (cont.)

Cedars Health (cont.) Northern Wyoming Mental Health Center Inc Physician Assistant 1221 W 5th Mullikin, Cynthia, PA (307) 674-4405 Nurse Practitioner Community Home Oxygen Phinney, Cheyrl L., FNP 2240 Coffeen Ave Unit F (307) 672-9021 Psychiatric Nurse Bailey, Cheryl L., CNS Home Medical Equipment Community Home Oxygen Northern Wyoming Mental Health Center Inc 1701 W 5th St Ste C Goose Creek Family Practice, PC (307) 674-5534 304 Coffeen Avenue (307) 674-1744 Nurse Practitioner Phinney, Cheyrl L., FNP Nurse Practitioner Psychiatric Nurse Kawulok, Debra A., FNP Bailey, Cheryl L., CNS Goose Creek Pediatrics 1701 W 5th St Ste A Robbins Dermatology PC (307) 672-7700 206 N Brooks St (307) 672-8941 Physician Assistant Physician Assistant Mullinax, Deborah L., PA Herring, Amy N., PA Lincare Inc 655 Broadway Scott N Bateman, MD dba Sheridan Ear, (307) 672-0073 Nose Throat 330 W Dow Home Medical Equipment (307) 672-0290 Lincare - Sheridan Physician Assistant Dahl, Corey B., PA Linda Stone-Soukup dba House Calls 390 Lower Prairie Dog Rd (307) 750-2546 Sensational Kids LLC 918 W Brundage Ln Nurse Practitioner (307) 673-4420 Stone-Soukup, Linda A., FNP Occupational Therapy Szmyd, Michelle A., OT Medicine Bow Anesthesia 1524 W 5th St Physical Therapy (307) 358-1828 Newton, Rebecca M., PT Certified Registered Nurse Anesthetist Physical/Occupational Therapist Green, Jeffrey L., CRNA McPhie, Jennifer W., OT Speech Therapy Northeast Wyoming Pediatric Associates PC Sellar, Barbara G., ST 916 Jackson Ave (307) 675-5555 Sheridan Medical Lab LLC 220 West Dow Street Physician Assistant (307) 672-2095 Horsley, Marilyn K., PA Independent Laboratory Sheridan Medical Lab

Providers are subject to be added or terminated without notice.

98 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Sheridan (cont.) Sheridan (cont.)

Sheridan Ortho Associates PC Urgent Care Clinic of Sheridan 1050 Mydland Rd 1842 Sugarland Dr (307) 674-7469 Ste 103 (307) 673-5586 Physician Assistant Morey, Scott L., PA Nurse Practitioner Stone-Soukup, Linda A., FNP Sheridan Pathology Associates PC Wood, Wendy J., FNP 1401 W 5th St (307) 674-5123 Urgent Care South Sheridan Medical Clinic dba Urgent Independent Laboratory Car Sheridan Pathology Associates PC Wild Rose Women's Clinic Sheridan Physical Therapy 1333 W 5th St Ste 203 50 W 3rd St (307) 672-2522 (307) 672-2092 Nurse Practitioner Occupational Therapy Olson, Becky, CNP Siojo-Allen, Angelita B., OT Physical Therapy Wyoming Audiology and Hearing Center 226 N Brooks Ste 2 Allred, Brian C., PT (307) 672-2821 Baltz, Haley K., PT Barkell, Jamie A., PT Audiology Glassock, Angela L., PT Laya, Thomas C., AUD Green, Dagan A., PT Sundance Lausen, Krista L., PT Patterson, Heather A., PT Bear Lodge Rehabilitation Services LLC Sherwood, Kent, PT 226 S Hwy 585 (307) 283-3516 Tvedt, Noelle K., PT Winnop, Terry C., PT Occupational Therapy Zowada, Bret E., PT Donald, Olivia L., OT Speech Therapy Halder, Elizabeth A., OT Sherwood, Kress T., ST Jones, Tatiana M., OT Physical Therapy Sheridan Women's Clinic Berndt, Carey L., PT 1333 W 5th St Ste 203 Dacar, Lana M., PT (307) 672-2522 Gentzler, Todd L., PT Nurse Practitioner Goehring, Alynna G., PT Miller, Diana, CNP Jordan, Carol A., PT Physician Assistant Kramer, Veronica L., PT Jons, Tracy L., PA Metcalf, Melissa J., PT Woodbury, Matthew E., PT Strahan and Associates, PC 1333 W 5th St Ste 103 (307) 672-8921 Northern Wyoming Mental Health Center Inc 420 1/2 Main St Nurse Practitioner (307) 283-3636 Wood, Wendy J., FNP Nurse Practitioner Physician Assistant Phinney, Cheyrl L., FNP Scherry, Erin A., PA Psychiatric Nurse Bailey, Cheryl L., CNS

Providers are subject to be added or terminated without notice.

99 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Sundance (cont.) Thermopolis

Sundance Clinic Children's Resource Center 713 Oak St 130 Hwy 20 S (307) 283-2476 (307) 864-9227 Family Practice Occupational Therapy Schwartz, Terrence O., PA Nelson, Marcia A., OT Nurse Practitioner Physical Therapy Voll, Patricia J., CNP Dittmer, Sandra B., PT Physician Assistant Speech Therapy Cummings, Robert C., PA Leyba, Karen A., ST Davidson, Samantha L., PA Manning, Jantina A., ST

Thayne Gottsche Rehabilitation Center 148 E Arapahoe Jim Wheeler Physical Therapy (307) 864-2146 124 Petersen Pkwy Ste 1 (307) 883-7878 Occupational Therapy Basko, Grant A., OT Physical Therapy Burns, Sharnon G., OT Brown, Clancy C., PT Cline, Gayle F., OT Jeske, Daniel D., PT Morgan, Joan L., OT Johnson, David M., PT Physical Therapy Wheeler, Jim D., PT Abbott, Susan D., PT Star Valley Family Physicians Black-Farber, Jeri, PT 122 Petersen Pkwy Ste 4 Dalton, Brian E., PT (307) 883-4437 Johnnidis, Adam K., PT Physical Therapy Johnsey, Beth A., PT Brown, Clancy C., PT Kattenhorn, Kerry A., PT Jeske, Daniel D., PT Kolstad, Kelsey L., PT Johnson, David M., PT Lancaster, Denver, PT Wheeler, Jim D., PT Miller, Rachel E., PT Rodeman, Kenneth K., PT Star Valley Medical Williams, Ryan J., PT 180 N Main Wittwer, Welton S., PT (307) 883-3445 Speech Therapy Home Medical Equipment Bernard, Vicki B., ST Star Valley Medical Physical Therapy Clinic PC Therapy Works, LLC 305 Broadway 487 A North Main (307) 864-4141 (307) 883-8877 Physical Therapy Occupational Therapy Porath, Leila, PT Hodges, E Boone, OT Kennington, William H., OT Red Rock Family Practice PC 120 North C Ave (307) 864-2351 Nurse Practitioner Carrell, Keristyn J., FNP Denney, Ginger A., FNP

Providers are subject to be added or terminated without notice.

100 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Thermopolis (cont.) Urie

Red Rock Family Practice PC (cont.) Wyoming Specialized Physical Therapy Physician Assistant 64 Meadow St Hanson, Colleen F., PA (307) 786-4460 Niles, Deanna L., PA Physical Therapy Jacketta, Michael G., PT Torrington Wamsutter Banner Health Physicians West LLC 625 Albany Ave Wamsutter Community Health Center (307) 532-2107 401 Fultz Dr (307) 324-8869 Licensed Registered Dietitian Greenwald, Tami D., LRD Physician Assistant Nurse Practitioner Kinder, Richard G., PA Beck, Natalie, FNP Halley, Laura R., CNP Wheatland Physician Assistant Community Home Oxygen Hunter, Michelle K., PA 604 9th St (307) 322-4719 Lincare Inc 3317 West C St Home Medical Equipment (307) 532-3283 Community Home Oxygen

Home Medical Equipment Daves Home Oxygen Lincare - Torrington 1452 Johnson St (307) 322-3425 North Platte Physical Therapy 1301 East M Street Home Medical Equipment (307) 532-5355 Daves Home Oxygen

Physical Therapy Frontier Audiology Blankertz, Annmarie E., PT 968 Gilchrist Hansen, Kimberly J., PT (307) 322-3332 Herring, Marnie, PT Audiology Archie, Lori L., AUD St Joseph's Children'S Home 1419 Main St (307) 532-4197 Gastroenterology Associates PC 1356 Shiek St Speech Therapy (800) 380-1820 Rosson, Lori A., ST Nurse Practitioner Amadio, Tracy L., FNP Vandel Drugs Inc 2041 Main St Knopp, Anna M., FNP (307) 532-2214 Physician Assistant Bright, Charla W., PA Home Medical Equipment Maggi, Kristine R., PA Vandel Drug Rosics, Jennifer L., PA

North Platte Physical Therapy 953 Walnut St Ste A (307) 322-1878 Home Medical Equipment North Platte Physical Thearapy

Providers are subject to be added or terminated without notice.

101 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Wyoming (cont.) Wheatland (cont.) Wilson (cont.)

North Platte Physical Therapy (cont.) Westside Medical LLC (cont.) Occupational Therapy Nurse Practitioner Cecil, Lisa E., OT Enright, Teresa J., FNP Nelson, Kelsey M., OT Luke, Sally, CNP Pisacka, Janet S., OT Richards, Bonnie A., OT Worland Physical Therapy Banner Health Physicians West LLC Cook, Emily J., PT 1405 Howell Ave James, Melissa K., PT (307) 347-2555 Mangus, Charles R., PT Physician Assistant Mangus, Jessica M., PT Anders, Diana L., PA Sluss, Saundra L., PT Argeris, Brett J., PA Wells, Carol A., PT Banner Health Physicians West LLC Wheatland Medical Clinic 400 S 15th Street 1551 Brice St (307) 347-2555 (307) 322-3861 Physician Assistant Nurse Practitioner Argeris, Brett J., PA Goens, Kris L., CNP Hicks, Tanda E., FNP Big Horn Family Medicine LLC Johnson, Peggy D., CNP 316 N 10th St (307) 347-8885 Schindler, Kimberly A., FNP Woolsey, Mary, FNP Nurse Practitioner Frank, Debra K., CNP Wilson Children's Resource Center Coleman Health LLC 502 North Road 11 5235 Hhr Ranch Rd (307) 347-8677 (307) 413-2050 Occupational Therapy Nurse Practitioner Nelson, Marcia A., OT Schwartz, Anna L., FNP Physical Therapy Stephens, Lisa A., PT Peak Physical Therapy Inc 5237 Hhr Ranch Road Speech Therapy Ste 5 Lentsch, Cynthia K., ST (307) 699-7667 Ryan, Jennifer L., ST Physical Therapy Hilke, V Hayden W., PT Cloud Peak Counseling Center 401 So 23rd Street (307) 347-6165 Snake River Orthopedics PC 5235 Hhr Ranch Rd Nurse Practitioner (307) 733-5676 Neff, Angela L., CNP Physician Assistant Psychiatric Nurse Boschen, Marianne R., PA Dawson, Lorna Gail, CNS Lemagie, Colleen A., CNS Westside Medical LLC Titus, Jenny A., CNS 5235 Hhr Ranch Rd (307) 733-5676

Providers are subject to be added or terminated without notice.

102 April 03, 2013 KID CARE CHIP PARTICIPATING OTHER PROVIDERS

Wyoming (cont.) Worland (cont.)

Gottsche Rehab & Therapy Clinic 1125 Charles St (307) 864-2146 Occupational Therapy Basko, Grant A., OT Burns, Sharnon G., OT Cline, Gayle F., OT Morgan, Joan L., OT Physical Therapy Abbott, Susan D., PT Black-Farber, Jeri, PT Dalton, Brian E., PT Johnnidis, Adam K., PT Johnsey, Beth A., PT Kattenhorn, Kerry A., PT Kolstad, Kelsey L., PT Lancaster, Denver, PT Miller, Rachel E., PT Rodeman, Kenneth K., PT Williams, Ryan J., PT Wittwer, Welton S., PT

Lincare Inc 228 N 10th St (307) 347-2674 Home Medical Equipment Lincare - Worland

Red Rock Family Practice - Worland 1125 Charles Ave (307) 347-2449 Nurse Practitioner Carrell, Keristyn J., FNP Physician Assistant Hanson, Colleen F., PA Niles, Deanna L., PA

Vital Air Medical 460 W Bighorn Ave (307) 347-6475 Home Medical Equipment Vital Air Medical

Providers are subject to be added or terminated without notice.

103 April 03, 2013 KID CARE CHIP PARTICIPATING CHIROPRACTORS

Wyoming Wyoming (cont.) Afton Casper (cont.)

Star Valley Chiropractic PC Popp Chiropractic and Rehabilitation, PC 109 Hospital Ln 300 Landmark Dr Ste F (307) 885-4325 (307) 237-6669 Hale, Van L., DC Popp, Scott D., DC

Buffalo Staight, Daniel R DC 223 S Kenwood Johnson Chiropractic (307) 237-7898 950 Fetterman St (307) 684-8888 Staight, Daniel R., DC Johnson, James L., DC The Back Center 330 S Walsh Ste 201 Loyd Chiropractic Center (307) 473-1551 109 Hesse St (307) 684-2449 Neeff, Lazetta, DC Loyd, James W., DC Cheyenne Loyd, Zoe M., DC Active Care Chiropractic Casper 7124 Commons Drive Ste D Advanced Chiropractic Center LLC (307) 635-6777 330 W Collins Dr Weber, Bruce W., DC (307) 473-5433 Fabiano, Cassandra F., DC Bodybalance 1950 Bluegrass Circle Alpine Chiropractic Suite 110 301 S Fenway Ste 101 (307) 514-5964 (307) 472-4476 Tonso, Tyler J., DC Pike, Daniel L., DC Cheyenne Family Chiropractic Casper Mountain Chiropractic LLC 1439 Stillwater Ave 5850 E 2nd St Ste 200 Suite 5 (307) 473-1000 (307) 634-8011 Copelan, Shane R., DC Smith, Brian C., DC

East Casper Chiropractic Center Chiropractic Sports & Wellness PC 2121 East 2nd Suite 103 1021 E Lincolnway (307) 266-2225 (307) 635-7727 Delgadillo, Marc J., DC Barousse, Joshua D., DC Cassista, Paul R., DC Log Cabin Chiropractic 1905 Cy Ave Dierenfield Chiropractic Health Center (307) 315-6824 1802 Dell Range Blvd Ste 1a Driscoll, Chris W., DC (307) 635-0000 Miller Chiropractic Clinic PC Dierenfield, Steven L., DC 735 English Dr (307) 235-4956 Stout, Madelaine M., DC

Providers are subject to be added or terminated without notice.

104 April 03, 2013 KID CARE CHIP PARTICIPATING CHIROPRACTORS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Fitch Family Chiropractic Optimize Chiropractic 1651 Carey Ave 2220 Dell Range Blvd Suite 2 Ste 102 (307) 426-4321 (307) 638-6588 Fitch, John D., DC Newman, Jerrod M., DC

Frontier Chiropractic Quinn, Mike, DC 207 W 17th Street 1716 Warren Ave (307) 632-1500 (307) 634-5049 Alizadeh, Kahveh J., DC Quinn, Patrick M., DC

Greene Chiropractic PC The Chiropractic Clinic 1507 Stillwater Ave 2809 Evans Ave Ste B (307) 634-0795 (307) 637-7463 Benne, Ryan C., DC Greene, Stuart H., DC Smith, Heather M., DC Walton Holdings Smith, Marley J.B., DC 1651 Carey Ave Ste #2 (307) 426-4321 Hotz Chiropractic Wellness Center Walton, Ryan S., DC 1820 Dillon Ste 200b Cody (307) 426-4085 Hotz, Timothy M., DC Big Horn Basin Chiropractic & Acupuncture Clinic 1620 Beck Ave Kauffman PC (307) 587-8850 1600 Converse Ave (307) 632-5901 Richardson, Marlin D., DC Clark, Ryan P., DC Heart Mountain Chiropractic Gervais, Laura A., DC 1543 Bleistein Ave Kauffman, Heather R., DC (307) 527-5469 Madler, Kayla J., DC Bergamini, Paul W., DC

Laramie County Chiropractic Kalkowski Chiropractic Center 611 E Carlson St Ste 101 1408 17th St (307) 638-0894 (307) 587-5073 Morrow, Jared D., DC Kalkowski, Vincent J., DC

Nielsen Chiropractic PC Shane, Mark R DC 2500 Dell Range Blvd 1708 Stampede Avenue (307) 632-6092 Suite C Nielsen, Michael F., DC (307) 587-5591 Shane, Mark R., DC Northview Chiropractic Company dba Northview Chiropractic 453 Vandehei Ave Yellowstone Chiropractic Clinic Ste #150 720 Lindsay Ln (307) 632-3399 (307) 578-1920 Lorenz, Kyle L., DC Fuller, Ross B., DC Lorenz, Savanna L., DC

Providers are subject to be added or terminated without notice.

105 April 03, 2013 KID CARE CHIP PARTICIPATING CHIROPRACTORS

Wyoming (cont.) Wyoming (cont.) Douglas Gillette (cont.)

Ediss Chiropractic Inc McConnell, Rita DC 1330 E Richards 709 West 8th Street 3 (307) 358-3147 (307) 686-5709 Ediss, Stephan P., DC McConnell, Rita E., DC

Evanston Swartz Chiropractic PC 814 E 6th St Evanston Chiropractic Center Inc (307) 682-3013 1425 S Highway 150 Ste 2 (307) 789-4957 Swartz, Gregory W., DC Dillree, Dee C., DC Green River

Hoover Chiropractic Clinic Arnold Family Chiropractic Center 545 E Cheyenne Dr Ste A 198 Uinta Dr (307) 789-0043 (307) 875-1926 Hoover, Todd E., DC Arnold, Thomas L., DC

Gillette Greybull

Active Living Chiropractic Ohman Chiropractic Inc 110 E Lakeway Ste 1000 516 1st Ave N (307) 670-9426 (307) 765-9517 Arnio, Matthew D., DC Ohman, Brett J., DC Latva, Ashley R., DC McIntosh, Robert L., DC Jackson

Atlas Chiropractic, LLC Blumenauer, Peter DC Inc Suite D2 25 S Gros Ventre (307) 686-3734 (307) 734-0222 Pyne, Brad J., DC Blumenauer, Peter G., DC Chiropractic and Sports Injury Center of Chiropractic Wellness Center PC Jackson Hole 404 S Douglas Hwy 215 Scott Ln (307) 682-4000 (307) 733-8088 Maycock, Kirsten K., DC Kearns, Margery S., DC Gillette Chiropractic Center Zendler, John W., DC 1001 4-J Rd (307) 686-2327 Dagmar Wittner 1705 High School Rd#110 Hildebrand, Todd A., DC PO (307) 734-2808 Healthsource of Gillette Inc 110 Lakeway Rd Wittner, Dagmar J., DC Ste 1000 (307) 670-9426 Lander Arnio, Matthew D., DC Genesis Chiropractic Latva, Ashley R., DC 906 Main St McIntosh, Robert L., DC Ste C (307) 332-9362 Thomas, C Missy A., DC

Providers are subject to be added or terminated without notice.

106 April 03, 2013 KID CARE CHIP PARTICIPATING CHIROPRACTORS

Wyoming (cont.) Wyoming (cont.) Lander (cont.) Lovell (cont.)

Lander Valley Chiropractic Inc Yellowstone Chiropractic PC 160 S 4th St 223 E Main St (307) 332-6148 (307) 548-9338 Lehmkuhler, Dean J., DC Fuller, Ross B., DC

Vince C. Irene DC PLLC dba Family Lyman Chiropractic PLLC 8135 Hwy 789 Back To Health Chiropractic (307) 332-4200 120 S Main St (307) 787-6400 Irene, Vince, DC Haycock, Jason R., DC Laramie Mountain View Albany County Chiropractic Center 807 S 3rd St Timberland Chiropractic Inc (307) 742-6840 1050 N Highway 414 (307) 782-3180 Bressler, Darren, DC Guild, Richard T., DC Aspen Family Chiropractic 312 Steele Street Newcastle (307) 760-6863 Elliott Chiropractic Jairell, Mandy J., DC 1 S Seneca Ave Ste A (307) 746-9200 Bondurant, Brent L., DC 212 E Ivinson Ave Elliott, Travis W., DC (307) 742-4332 Bondurant, Brent L., DC Powell Tobin Chiropractic Dini Chiropractic Center 403 E 2nd St 253 N 3rd St (307) 754-3436 (307) 742-9378 Tobin, Jessica L., DC Dini, Terrence J., DC Rawlins Laramie Spinal Care Center 2130 E Grand Ave Davidson Chiropractic Clinic (307) 742-0232 801 W Maple Jones, Jeremy D., DC (307) 324-7000 Brenden, Skylar J., DC Spine & Injury Clinic of Laramie PC Davidson, Michael A., DC 409 S 4th St (307) 742-2082 Favero, Jeffrey R., DC Milam, David M., DC Riverton Milam, Dylan N., DC Better Life Chiropractic Center Lovell 705 E Fremont Ave (307) 856-2346 Lovell Chiropractic Muehler, Jason E., DC 203 Park Ave (307) 548-7020 Mitchell, Oliver H., DC

Providers are subject to be added or terminated without notice.

107 April 03, 2013 KID CARE CHIP PARTICIPATING CHIROPRACTORS

Wyoming (cont.) Wyoming (cont.) Riverton (cont.) Rock Springs (cont.)

Big Country Chiropractic Quickenden Chiropractic 611 E Main St # 7 2632 Foothill Blvd (307) 856-4400 Ste 107 (307) 362-7900 Stanley, Scott, DC Quickenden, Ty C., DC Chiropractic Works Inc 604 West Main Rock Springs Chiropractic Health Center (307) 856-8800 215 Winston Dr (307) 382-3090 Howard, Jason, DC Johnson, Joel W., DC Healing Element Chiropractic LLC Lake, Rebecca D., DC 604 W Main St Steffensmeier, Larry A., DC (307) 856-8800 Faubion, Jonathan L., DC Saratoga

Riverton Chiropractic Clinic Albany County Chiropractic Center - 1221 E Main Saratoga (307) 856-4945 211 N 1st (307) 326-4000 Gray, Jeffrey R., DC Sims, Kendra S., DC Rock Springs Sheridan Arguello, Deborah DC 2001 Dewar Dr Ste 170 Atlas Chiropractic, LLC (307) 362-4980 24 Grinnell Plaza (307) 672-6000 Arguello, Deborah, DC Hardy, Colin E., DC Davenport Chiropractic Clinic LLC 714 Dewar Dr Deines Chiropractic, LLC (307) 382-0667 25 E Alger Street (307) 673-5075 Davenport, Alan J., DC Deines, Nate W., DC Davidson Chiropractic Clinic 2624 Commercial Way Husske, Brian A DC Ste A 1265 Coffeen Ave (307) 382-0600 (307) 674-7433 Davidson, Michael A., DC Husske, Brian A., DC Favero, Jeffrey R., DC Kirsch Chiropractic Clinic 25 E Alger St Hager, Lance R DC (307) 673-5075 2708 Commercial Way (307) 362-3700 Kirsch, Patrick J., DC Hager, Lance R., DC Wyo Family Chiropractic Clinic LLC 1309 Coffeen Ave Ste D Huxford Chiropractic Clinic (307) 674-6655 706 Elk St (307) 362-5352 Ricchio, Jessica S., DC Huxford, Floyd P., DC

Providers are subject to be added or terminated without notice.

108 April 03, 2013 KID CARE CHIP PARTICIPATING CHIROPRACTORS

Wyoming (cont.) Thayne

Dayspring Natural Health Center 383 N Main Street (307) 883-4000 Sessions, Scott, DC

Prater View Chiropractic Inc 118 S Main St Ste 400 (307) 883-7246 Simpson, Darnell, DC Simpson, Devin J., DC

Thermopolis

Thermopolis Chiropractic and Acupuncture Clinic 443 Big Horn (307) 864-4044 Hayes, Bill F., DC

Wilson

Aspen Wellness 5325 Hhr Ranch Rd (208) 787-1199 Lynch, Kate, DC

Pro-Motion Chiropractic and Rehabilitation 4030 N Lake Creek Dr Ste 9 (307) 699-3170 Handschin, Jeremiah P., DC

Worland

Cloud Peak Chiropractic, P.C. 614 S 12th St (307) 347-3500 Hayes, Bill F., DC Radabaugh, Sarah E., DC

Worland Chiropractic Clinic PC 801 Robertson Ave (307) 347-4224 Wilde, Bradley R., DC

Providers are subject to be added or terminated without notice.

109 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming Wyoming (cont.) Afton Basin (cont.)

High Country Behavioral Health Big Horn Basin Counseling Services Inc 389 Adams St (cont.) (307) 885-9883 Psychiatric Nurse Clinical Social Worker Franko-Lane, Deborah A., CNS Black, Leah C., LCSW Titus, Jenny A., CNS Licensed Professional Counselor/Therapist Psychology Dana, Kipp L., LPC Louis, Ralph, PHD Parker, Andrew, LPC Gottsche Therapy Clinic Psychiatric Nurse 890 Hwy 20 S Bennett, Jamie J., CNS (307) 568-9399 Psychiatry (MD/DO) Psychology Fitzpatrick, Elizabeth E., MD Wyssmann, James W., PHD LDS Family Services 246 E 3rd Ave Buffalo (208) 232-7780 Abintra Psychological Associates LLC Clinical Social Worker 175 Pine St Neal, Jared M., LCSW (307) 684-5828 Psychology Arapahoe Cardwell, Jessica L., PSYD Faulkner, Kim K., PHD Indian Health Services Wind River Service Unit Faulkner, Theresa A., PHD #14 Great Plains Rd Sherman, Geoffrey W., PHD (307) 856-9281 Family Medical Center Psychology 497 W Lott Hart, Roland J., PHD (307) 684-2228 Renbarger, Joni D., PSYD Clinical Social Worker Banner Jensen, Kellie J., LCSW

Noecker, Deeann MA LPC Harriet, Rose M, MS, LPC 41 Pompey Creek Rd 140 S Main St (307) 683-2565 (307) 217-2161 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Noecker, Deeann, LPC Harriet, Rose M., LPC

Basin Kellie J. Jensen 729 Fort Street Big Horn Basin Counseling Services Inc (307) 217-1311 116 S 3rd St (307) 568-2020 Clinical Social Worker Jensen, Kellie J., LCSW Clinical Social Worker Casciato, Tonja L., LICSW Lyle, Lori A MA LPC Greek, Brock R., LCSW 334 Western Ave Roper, Bradley M., LCSW (307) 684-5384 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Irvine, Darwin, LPC Lyle, Lori A., LPC Neves, Hali, LPC Oster, Julie A., LPC

Providers are subject to be added or terminated without notice.

110 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Buffalo (cont.) Burlington

Mind Body Connection, LLC McNiven, Matthew LPC-860 238 N Main Ste 3 3928 Rd 9 (307) 684-5117 (307) 272-9224 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist McIntosh, Heather, LPC McNiven, Matthew J., LPC

Money, Rhonda, MSW LLC Casper 182 N Main St (307) 684-9360 Aspen Creek Counseling Associates LLC 800 Werner Ct Ste 235 Clinical Social Worker (307) 233-4210 Money, Rhonda A., LCSW Licensed Professional Counselor/Therapist Northern Wyoming Mental Health Center Inc Brown, George E., LPC 521 W Lott Jorgensen, Joellen, LPC (307) 684-5531 Clinical Social Worker Avia Counseling 2345 E 2nd St Howell, Maya, LICSW (307) 235-3333 Rowe, M., LCSW Verplancke, Jodi M., LCSW Licensed Professional Counselor/Therapist Wilson-Hill, Dana L., LCSW Wentz, Corey, LPC Licensed Professional Counselor/Therapist Bell, Kenneth PhD Elliott, Sheri A., LPC 940 E 3rd Ste 212 Quast, Anne L., LPC (307) 577-3050 Psychiatric Nurse Clinical Social Worker Bailey, Cheryl L., CNS Johnson, James A., LCSW Psychiatry (MD/DO) Licensed Professional Counselor/Therapist Zolcik, Wojciech J., MD Fultz, Dawn R., LPC Holland, Mark E., LPC Straessler, Jamie L.F., LPC 140 S Main St Jozwik, Michele J., LPC (307) 620-1507 Kirkman, Amy M., LPC Psychology Licensed Professional Counselor/Therapist Bell, Kenneth, PHD Straessler, Jamie Lf, LPC Ehrlick, Angela L., PHD Summit Psychological Services LLC Naginey, Judith L., PHD 182 N Main St (307) 684-9360 Brown, Stephen L MD 2417 E 15th St Psychology (307) 234-3638 Blaney, Timothy A., PSYD Clinical Social Worker Wyssmann Psychological & Counseling LLC Lee, Andrea L., LCSW 963 Fort St Ste #4 Lindberg, Carleen M., LCSW (307) 751-3263 Padgett, Carol S., LCSW Psychology Licensed Professional Counselor/Therapist Wyssmann, James W., PHD Alexander, Dana R., LPC Jensen, James A., LPC Laird, Wenda L., LPC Psychiatry (MD/DO) Brown, Stephen L., MD

Providers are subject to be added or terminated without notice.

111 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Bruce C Bennett MD LLC Central Wyoming Counseling Center (cont.) 1020 E 2nd St Ste 100 Licensed Professional Counselor/Therapist (307) 265-4343 (continued) Psychiatry (MD/DO) Done, Sharon R., LPC Bennett, Bruce C., MD Dout, Deray T., LPC England, Kathleen R., LPC Casper Community Care Failes, Kimberly A., LPC 1522 East A Street Hagar, Toby A., LPC (307) 232-6096 Kennedy, Jaron B., LPC Licensed Professional Counselor/Therapist Koffman, John P., LPC Michael, Deborah, LPC Kumetat, Steven L., LPC Psychiatry (MD/DO) Lathem, Regina S., LPC Goddik, Steen, MD Lengkeek, Diana B., LPC Psychology Lippincott, Dee Ann C., LPC Gibson, Carla I., PHD Root, Amanda M., LPC Schuetz, Michelle S., LPC Central Wyoming Counseling Center Sims, Erin M., LPC 1430 Wilkins Cir (307) 237-9583 Wilcher, Debra L., LPC Williams, Sharil L., LPC Clinical Social Worker Witte, Lillian K., LPC Buxton, William A., LCSW Zoeller, James, LPC Cywinski, Catherine A., LCSW Iznerowicz, Alicja K., LCSW Psychiatric Nurse Decastro, Robin M., PNU Jacobs, Mary Ann, LCSW Jacques, Mary S., LCSW Psychiatry (MD/DO) Viray Shanklin, Arlene P., MD King, Carol A., LCSW Vuolo, Mark D., MD Lichliter, Patrice J., LCSW Lujan, Frances L., LCSW Psychology Powell, Charles, PHD Preletz, Kimberly A., LCSW Pucillo, Sharon L., LCSW Child & Family Counseling LLC Shipley, Kelly L., LCSW 1607 Cy Ave Ste 104 Smith, Lisa M., LCSW (307) 265-6420 Volk, Jeremiah R., LCSW Licensed Professional Counselor/Therapist Wohlfeld, Stephen L., LCSW Yelton, Tonya L., LPC Young, Edwin W., LCSW Licensed Addiction Counselor-Chemical Children's Advocacy Project Inc Dependency 350 N Ash St Copas, Randall L., LAC (307) 232-0159 Fast, Donald E., LAC Clinical Social Worker Linville, Patty J., LAC Rothenhoefer, Cari W., LCSW Weaver, Jason D., LAC Licensed Professional Counselor/Therapist Children's Place Counseling & Consultation LLC Allen, Don F., LPC 1300 E A St Ste 201 Ashland, Danny L., LPC (307) 235-3333 Carter, Martha J., LPC Clinical Social Worker Curtis, Kathleen L., LPC Donnini, Kelsey E., LCSW Defry, Trelene D., LPC Donnini, Mike W., LCSW Demple, Paul E., LPC

Providers are subject to be added or terminated without notice.

112 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

Community Health Center of Central Karen Harden MS LPC A Professional Wyoming Corporation 5000 Blackmore Rd 400 E 1st Street (307) 265-3622 Ste 208 (307) 237-6176 Clinical Social Worker Bair, Ryan D., LSW Licensed Professional Counselor/Therapist Fitzpatrick, Amy A., LICSW Harden, Karen, LPC Maurer, William B., LCSW LDS Family Services Psychology 3931 W 45th St Gibson, Carla I., PHD (307) 262-1027 Jenkins, Melissa L., PHD Clinical Social Worker Complete Care Counseling, LLC Black, Leanne S., LCSW 2510 E 15th Suite 11 (307) 797-1726 Leininger, Bruce E PhD 111 W 2nd St Ste 310 Clinical Social Worker (307) 473-7925 Wallace, Codie L., LCSW Psychology Conner, George H MS LPC Leininger, Bruce E., PHD 907 N Poplar St Ste 183 (307) 472-9890 Life Options 3211 Energy Ln # 312 Licensed Professional Counselor/Therapist (307) 267-0331 Conner, George, LPC Clinical Social Worker Defining Moments Inc Lujan, Frances L., LCSW 1961 E A St (307) 259-3849 Linda Butts Counseling 411 S Walsh Dr Ste 135a Licensed Professional Counselor/Therapist (307) 333-2359 Dilts-Harryman, Stacie M., LPC Licensed Professional Counselor/Therapist Ernst, Ann LPC Butts, Linda C., LPC 915 S David (307) 472-3769 Living Well PC 2510 E 15th St Ste 11 Licensed Professional Counselor/Therapist (307) 234-9979 Ernst, Ann, LPC Clinical Social Worker Hamann, Cynthia, MSW, LCSW, PC Meade, Coleen D., LCSW 437 S Spruce St Miller, Tricia R., LCSW Ste B (307) 253-7663 Lori L. Hicks 907 N Poplar Clinical Social Worker Ste 183 Hamann, Cynthia C., LCSW (307) 472-9890

Herter, Jacques P PhD Licensed Professional Counselor/Therapist 535 W Yellowstone Hicks, Lori L., LPC Ste# 200 (307) 235-9004 McConaughey, Susan J LCSW 1032 E 1st St Psychology (307) 234-2704 Herter, Jacques P., PHD

Providers are subject to be added or terminated without notice.

113 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

McConaughey, Susan J LCSW (cont.) Pathways To Change LLC Clinical Social Worker 3211 Energy Ln Ste 206 McConaughey, Susan J., LCSW (307) 265-4000 Licensed Professional Counselor/Therapist McKinzey, Kathy MS LPC Harrison, Stephanie C., LPC 2345 E 2nd St (307) 235-3333 Heenan, Kelly L., LPC Licensed Professional Counselor/Therapist Patton Place Counseling PC McKinzey, M Kathryn, LPC 1300 E A Street Ste 201 (307) 235-3333 Murtagh, Leslie A., APRN BC Licensed Professional Counselor/Therapist 907 N Poplar Ste 183 (307) 472-9890 Patton, Samuel W., LPC Psychiatric Nurse Peace of Mind Counseling LLC Murtagh, Leslie A., CNS 123 W 1st Suite C-90 (307) 337-3129 Nurss, Donna, APRN Licensed Professional Counselor/Therapist 1300 East A St Ste 201 (307) 235-3333 Punteney, Shawnna L., LPC Psychiatric Nurse Positive Perceptions Nurss, Donna M., CNS 115 N Jackson (307) 259-7216 Paintbrush Counseling Licensed Professional Counselor/Therapist 2510 W 15th St Suite 10 Taylor, V Jewell, LPC (307) 265-0304 Powell, Shawn, PhD, LLC Clinical Social Worker 152 N Durbin Ste 308 Doll, Rebecca J., LCSW (307) 232-0155 Psychology Park Ridge Behavioral Healthcare LLC 2435 King Blvd Powell, Shawn D., PHD Suite# 313 (307) 462-4876 Ralph, Barbara J., LPC 330 S Center Street Clinical Social Worker Suite 402 Ridley, Deanna C., LCSW (307) 253-9549 Rosenberger, Nicole M., LCSW Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Ralph, Barbara J., LPC Davis, Katherine V., LPC Holland, Mark E., LPC Sarbach, Anastasia E MS LPC LLC 1032 E 1st St Psychology (307) 234-2704 Bell, Kenneth, PHD Benson, Donald H., PHD Licensed Professional Counselor/Therapist Jenkins, Melissa L., PHD Sarbach, Anastasia E., LPC Naginey, Judith L., PHD Seeds of Change LLC 111 W 2nd St Ste 305 Parrish, Cindy LPC (307) 277-7802 422 S Beech (307) 237-7747 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Shire, Jill C., LPC Parrish, Cindy A., LPC

Providers are subject to be added or terminated without notice.

114 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Casper (cont.) Casper (cont.)

The Healing Place Wyoming Behavioral Institute 5725 Highland Dr 2521 E 15th St (307) 265-3977 (307) 237-7444 Clinical Social Worker Clinical Social Worker Boyer, Patricia A., LCSW Greenup, Jennifer L., LCSW Rothenhoefer, Cari W., LCSW Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Connor, Thomas R., LPC Fox, Julie L., LPC Psychiatric Nurse Neubert, Jeanne M., LPC Graves, Karen L., CNS Poot, Jason D., LPC Psychiatry (MD/DO) Stensaas, Adrianne M., LPC Anderson, Victoria H., MD Brown, Stephen L., MD The Main Tale, LLC Goddik, Steen, MD 855 7 Mile Road (307) 262-4688 Prypchan, Lida D., MD Psychology Licensed Professional Counselor/Therapist Lindberg, Fred H., PHD Feiler, Julie A., LPC Wyoming Institute For Better Living The Prairie Institute 800 Werner Ct Ste 323 1404 S Poplar St (307) 473-8010 (307) 266-2580 Clinical Social Worker Licensed Professional Counselor/Therapist Monson, Don R., LCSW Tavener, Sueann, LPC Wyoming Neurologic Associates Transitions Family Counseling & Mediation 1020 E 2nd St Ste 100 Center (307) 265-4343 336 S Jackson (307) 265-2555 Psychology Bjornson, Michael J., PHD Clinical Social Worker Fernelius, Eric G., LCSW Burr, Robert B., PHD Hicks, Ken W., LCSW Cheyenne Licensed Professional Counselor/Therapist Danford, Robert A., LPC Ann E Walton Ordiway, John D., LPC 4500 Marble Ave (970) 222-0215 Risser Hicks, Joanne E., LPC Clinical Social Worker Travers, Lesley S PhD Walton, Ann E., LICSW 111 W 2nd St Ste 613 (307) 235-2552 Bongo, Caroljean Psyd LLC Licensed Professional Counselor/Therapist 2909 Bent Ave (307) 760-1871 Travers, Lesley, LPC Psychology Winds of Change Therapy LLC Bongo, Caroljean, PSYD 100 N Center St Ste 202 (307) 333-1016 Bongo, Caroljean Psyd LLC Licensed Professional Counselor/Therapist 421 E 17th St (307) 760-1871 Lowe, Doris J., LPC Psychology Bongo, Caroljean, PSYD

Providers are subject to be added or terminated without notice.

115 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Camery, Tammy LCSW Connie Strayer, MSW, LCSW 2909 Bent Ave 1807 Capital Ave (307) 214-8190 Ste 101a (307) 274-2432 Clinical Social Worker Camery, Tammy J., LCSW Clinical Social Worker Strayer, Connie K., LCSW Capitol Counseling and Development LLC 1720 Carey Ave Ste 605 Crossing Counseling Services PC (307) 637-0279 4025 Rawlins Street (970) 214-7045 Licensed Professional Counselor/Therapist Junkin, Charles E., LPC Licensed Professional Counselor/Therapist Bort, Daniel A., LPC Catholic Charities of Wyoming 507 E 18 Street Denny-Collamer, Lori A LCSW (307) 637-7906 520 E 18th St (307) 421-8189 Licensed Professional Counselor/Therapist Buchhammer, Janet L., LPC Clinical Social Worker Psychiatry (MD/DO) Denny-Collamer, Lori A., LCSW Danczik, Jiri, MD Dianne Lowe Carpenter, LCSW Psychology 1620 Central Ave Sternitzke, Mary Ellen, PHD Suite 302 (307) 287-6206 Chamberlain, Willadeen, LPC 1912 Capitol Ave Clinical Social Worker Ste 305 Lowe Carpenter, Dianne, LCSW (307) 631-6527 Drs Marshall & Bougsty Psychologists Inc Licensed Professional Counselor/Therapist 2321 Dunn Ave Chamberlain, Willadeen A., LPC (307) 634-1480

Cheyenne Regional Physicians Group LLC Psychology dba Cheyenne Childre Bougsty, Thomas, PHD 2301 House Ave Ste 405 Marshall, Prudy S., PHD (307) 635-7961 Esprit Et Sante PC Licensed Professional Counselor/Therapist 1001 W 31st St Farstad, Kathleen A., LPC (307) 634-6883 Cheyenne Regional Physicians Group LLC Licensed Professional Counselor/Therapist dba Cheyenne Children Welch, Sherry, LPC 2301 House Ave Ste 405 (307) 635-7961 Fleming Associates 1001 W 31st St Licensed Professional Counselor/Therapist (307) 634-6883 Farstad, Kathleen A., LPC Psychology Choice Counseling PC Fleming, Grant R., PHD 1208 E Pershing Blvd (307) 220-3901 Gardner, Sherry, Psyd 1107 W 6th Ave Licensed Professional Counselor/Therapist (307) 426-4315 Dieters, Jessica L., LPC Dieters, Michael A., LPC Psychology Gardner, Sherry E., PSYD

Providers are subject to be added or terminated without notice.

116 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Hansen and Associates Judge, Daniel J LPC 1914 Thomes Ave 1912 Capitol Avenue (307) 631-9931 Ste 305 (307) 637-0255 Licensed Professional Counselor/Therapist Hansen, Renee L., LPC Licensed Professional Counselor/Therapist McCall, Tanya M., LPC Judge, Daniel J., LPC Mitchell, Valerie S., LPC Klein-Escamilla, Peggy LCSW Ritchie, Mark R., LPC 520 E 18th St Sharif, Zaffer, LPC (307) 638-1228 Smith, Christy L., LPC Clinical Social Worker Haug, Rodney J PhD Klein-Escamilla, Peggy A., LCSW 2321 Dunn Ave (307) 214-2888 Lifeplan Foundation For Excellence 1613 Evans Ave Psychology (307) 221-1133 Haug, Rodney J., PHD Licensed Professional Counselor/Therapist Healing Spirit LLC Smith-Russell, Gwendolyn L., LPC 1001 W 31st Street (307) 634-6883 Living Positively On Purpose Counseling & Lifecoaching Clinical Social Worker 508 E 18th St Nelson, Abigail K., LCSW (307) 287-7847 Licensed Professional Counselor/Therapist Integrative Mental Health PC 1623 Central St Cockreham, Deborah D., LPC (307) 631-2922 Ludwig, Roger MA PC Psychiatric Nurse 2315 Dunn Ave Ste 5 Dawson, Lorna Gail, CNS (307) 637-5004 Licensed Professional Counselor/Therapist Jerry J Post Jr Psyd PC 1401 Airport Pkwy Ludwig, Roger, LPC Ste 120 (307) 632-7771 Magic City Enterprises Inc 1704 Westland Rd Psychology (307) 256-6147 Post, Gerald J., PSYD Psychology Shtulman, Rebecca S., PHD Sink, John R., PHD Johnson, Elizabeth, PhD, LLC 2622 Pioneer Ave Medicine Bow Services (307) 286-2851 2315 Dunn Ave (307) 358-5394 Psychology Licensed Professional Counselor/Therapist Johnson, Elizabeth A., PHD Basden, Randall A., LPC Joy, Michael F MD 520 E 18th St Mind Spa Inc (307) 421-4200 518 E 18th St Ste 1 (307) 426-5010 Psychiatry (MD/DO) Licensed Professional Counselor/Therapist Joy, Michael F., MD Bills, Jodi L., LPC Malm, Linda K., LPC

Providers are subject to be added or terminated without notice.

117 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Mind Spa Inc (cont.) Peak Wellness Center (cont.) Psychology Licensed Addiction Counselor-Chemical Fluellen, Sheri J., PHD Dependency Reynolds, Todd E., LAC Newman, Steven D Psyd Licensed Professional Counselor/Therapist 2321 Dunn Ave Ste 6 Demuth, James, LPC (307) 220-9099 Fairbanks, William D., LPC Psychology Foster, Shelly A., LPC Newman, Steven D., PSYD Goodman, Linda, LPC Kettl, Stephanie M., LPC Northern Star Counseling LLC 508 E 17th St Leavitt, Carolyn A., LPC (307) 421-9314 Miller, Sheryl M., LPC Milligan, Natalie J., LPC Clinical Social Worker Neuda, Aurelia C., LPC Tafoya, Russell J., LCSW Sprenger, Darci L., LPC Licensed Professional Counselor/Therapist Harp, Jennifer E., LPC Psychiatric Nurse Degabain, Helen, RN Pathfinder Psychiatry (MD/DO) 1920 Thomes Ave Ste 320 Hopfensperger, Kathryn A., MD (307) 635-0256 Merrell, Arthur N., MD Licensed Addiction Counselor-Chemical Methner, Steven, MD Dependency Robinett, Deborah J., DO Robinson, Rick L., LAC Licensed Professional Counselor/Therapist Peak Wellness Center Ostrander, Charlie W., LPC 510 W 29th St (307) 632-9362 Peaceful Families PC Clinical Social Worker 507 E 18th St Daum, Dorothy B., LCSW (307) 637-7906 Keck, Krysten R., LCSW Clinical Social Worker Kelly, Mary T., LSW Kietell, Laura L., LCSW McGaffin, Emily D., LCSW Licensed Professional Counselor/Therapist Nielsen, Karen, LCSW Harp, Jennifer E., LPC Sigward, Donna C., LCSW Upchurch, Janet L., LPC Simpson, Jennifer L., LCSW Psychology Licensed Addiction Counselor-Chemical Sternitzke, Mary Ellen, PHD Dependency Meeks, Karla, LAC Peak Wellness Center Licensed Professional Counselor/Therapist 2526 Seymour Ave (307) 634-9653 Corwin, Mitsi, LPC Hilzer-Dickie, Jonna H., LPC Clinical Social Worker Pilcher, Hye Suk, LPC Bartlett, Carolyn S., LCSW Terry, Lea M., LPC Hopper, Theresa M., LCSW Psychiatry (MD/DO) Olson, Julie A., LCSW Pieczalska, Marta A., MD Pellecchia, Michael W., LCSW Psychology Renfro, Elaine D., LCSW Mores, Maria L., PSYD

Providers are subject to be added or terminated without notice.

118 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Peak Wellness Center Powell, Shawn, PhD LLC 604 E 25th St 1914 Thomes Ave (307) 637-3953 (307) 232-0155 Clinical Social Worker Psychology Andresen, Chadel C., LCSW Powell, Shawn D., PHD Long, Gregory A., LCSW Lucas, Donna M., LCSW Price, Frances L PhD PC 5307 Yellowstone Rd Madrid, Joseph A., LCSW (307) 632-7677 Paul, Cynthia, LCSW Ruiz, Danny, LICSW Psychology Price, Frances L., PHD Licensed Professional Counselor/Therapist Johnson, Tamieka L., LPC Quality Mental Health PC McKee, Michael, LPC 4025 Rawlins Street (307) 426-4798 Peak Wellness Center 160 Rosetta Ln Licensed Professional Counselor/Therapist (307) 634-1763 Logan, Robert A., LPC

Licensed Professional Counselor/Therapist Reynolds, John LCSW West, Linda J., LPC 2622 Pioneer Ave (307) 637-0603 Pendley & Associates Inc 2909 Bent Ave Clinical Social Worker (307) 742-6222 Reynolds, John, LCSW

Clinical Social Worker Rich, Greg S PhD Collins, Kerry A., LICSW 518 E 19th St Gill, Denise A., LCSW (307) 637-6146 Harrington, Debra A., LCSW Psychology Rogers, Jamie M., LCSW Rich, Greg S., PHD Licensed Professional Counselor/Therapist Christian, Amy M., LPC Russell, Anna M LCSW Fay, Jeff C., LPC 2909 Bent Ave (307) 634-6594 Psychology Sprinkle, R Leo, PHD Clinical Social Worker Surdam, Joyce C., PHD Russell, Anna M., LCSW

Personal Power Counseling Services Salas, Marti LCSW 108 E 18th St 520 E 18th St (307) 701-0945 (307) 631-6901 Licensed Professional Counselor/Therapist Clinical Social Worker Earnshaw, Debbie A., LPC Salas, Marti R., LCSW

Positive Solutions Schaad, Jan LCSW 1700 Westland Rd 2622 Pioneer Avenue (307) 256-6147 (307) 630-4688 Psychology Clinical Social Worker Sink, John R., PHD Schaad, Janice A., LCSW

Providers are subject to be added or terminated without notice.

119 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cheyenne (cont.) Cheyenne (cont.)

Sherri J Rubeck Todd, Nancy L LCSW LLC 1620 Central Ave# 302 520 E 18th St (307) 221-9791 (307) 631-9945 Licensed Professional Counselor/Therapist Clinical Social Worker Rubeck, Sherri J., LPC Todd, Nancy L., LCSW

Skinner, Charles D., MA, LPC Upchurch, Janet, LPC 2909 Bent Ave 3124 Old Faithful Rd (307) 640-2182 Ste 110 (208) 490-0635 Licensed Professional Counselor/Therapist Skinner, Charles D., LPC Licensed Professional Counselor/Therapist Upchurch, Janet L., LPC Specialty Counseling & Consulting LLC 4025 Rawlins St Wallace, Lisa, MA, LPC (307) 426-4798 1807 Capitol Ave Ste 101a Psychiatry (MD/DO) (307) 630-7875 Ash, Kenneth H., MD Stull, Todd W., MD Licensed Professional Counselor/Therapist Wallace, Lisa M., LPC Psychology Faulkner, Earl H., PHD Wortman, Stephanie E LCSW 2909 Bent Ave Sternitzke, Mary Ellen PhD (307) 421-0100 507 E 18th St (307) 637-7906 Clinical Social Worker Wortman, Stephanie A., LCSW Psychology Sternitzke, Mary Ellen, PHD Zaffer Sharif 117 W 9th Street Strid, Elaine R LPC (307) 634-7232 1912 Capital Ave (307) 637-4846 Licensed Professional Counselor/Therapist Sharif, Zaffer, LPC Licensed Professional Counselor/Therapist Strid, Elaine R., LPC Cody

Susan Marie Blaney Canyon View Counseling 507 E 18th Street 1737 Sheridan Ave (307) 637-7906 Ste 319 (307) 587-8439 Psychiatric Nurse Blaney, Susan M., CNS Clinical Social Worker Dominick, Stephen W., LCSW Timothy Peter Jurkowski 507 E 18th Street Cossaboon, Daniel, Private Practice, LLC (307) 365-0285 1001 14th St (307) 250-7527 Licensed Professional Counselor/Therapist Jurkowski, Tim P., LPC Psychology Cossaboon, Daniel S., PSYD Todd Wahl Psyd LLC 2315 Dunn Ave # 6 (970) 581-9398 Psychology Wahl, Todd M., PSYD

Providers are subject to be added or terminated without notice.

120 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Cody (cont.) Cody (cont.)

Denise Marcz, LCSW, LLC Tassione Psychological Services Inc 82 Canyon Lake Dr 1001 14th Street (307) 250-8191 (307) 250-2988 Clinical Social Worker Psychology Marcz, Denise M., LICSW Tassione, Dina D., PHD

Gottsche Rehabilation Center and Therapy Yellowstone Behavioral Health Center Clinic 2538 Big Horn Ave Ste 2 720 Lindsay Ln (307) 587-2197 (307) 578-1970 Clinical Social Worker Psychology Cote, David T., LCSW Wyssmann, James W., PHD Pernitz, Elizabeth M., LICSW Sween, Kristin S., LCSW Life's Journey Counseling PC 1001 14th St Licensed Professional Counselor/Therapist (307) 587-2785 Esposito, Christine K., LPC Evans-Mcalister, Jacqueline, LPC Licensed Professional Counselor/Therapist Saville, Edith E., LPC Humphries-Wadsworth, Steven E., LPC Thomas, Rebecca L., LPC Matthew V Hopkins MD Inc Zola, Kristi L., LPC 1438 Sheridan Ave Psychiatric Nurse Ste 104 Lemagie, Colleen A., CNS (307) 586-2324 Psychology Psychiatry (MD/DO) Barron, Laci L., PSYD Hopkins, Matthew V., MD Colter Bay Phoenix Rising Counseling PC 1001 14th St Burns, Erica LPC (307) 587-6288 St John'S Hospital 625 East Broadway Licensed Professional Counselor/Therapist (307) 734-5352 Dim, Leyla U., LPC Licensed Professional Counselor/Therapist Riley, Theo A PhD LLC Burns, Erica J., LPC 1001 14th St (307) 587-9503 Douglas

Psychology Jerri Barrett Counseling Riley, Theo A., PHD 261 Brownfield Rd (307) 358-3056 Shawna Chandler, Counseling Services, PC 1517 Rumsey Ave Clinical Social Worker (307) 587-6321 Barrett, Jeraldine, LCSW

Clinical Social Worker Solutions For Life Chandler, Shawna J., LCSW 1841 Madora Ave (307) 358-2846 Soar Counseling Services 1285 Cheridan St Clinical Social Worker Ste 260 Cline, Diana M., LICSW (307) 250-1338 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Butts, Elisabeth A., LPC Kreitzmann, Cheri M., LPC Catus, Gary E., LPC Dillard-Simms, Barbara G., LPC

Providers are subject to be added or terminated without notice.

121 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Douglas (cont.) Evanston (cont.)

Solutions For Life (cont.) Frontier Psychological Associates Lc Licensed Professional Counselor/Therapist 724 Front St Ste 230 (continued) (307) 789-6773 Johnson, Linda K., LPC Clinical Social Worker Lewis, Steve M., LPC Otter, Cynthia K., LCSW Mix, Beverly J., LPC Licensed Professional Counselor/Therapist Psychiatry (MD/DO) Murray, Julia E., LPC Del Real, Frank, MD Psychology Debarre, Denise M., PHD Stearns, Jane LPC 310 S 4th St Fuller, Pamela R., PHD (307) 358-0638 Jett, Juliet L., PHD Klotzbach, Cora J., PSYD Licensed Professional Counselor/Therapist Stearns, Jane, LPC High Country Behavioral Health 1565 Hwy 150 S Dubois Ste C (307) 789-4224 Dubois Medical Clinic 5647 Us Hwy 26 Clinical Social Worker (307) 455-2516 Arendsee, David, LCSW Psychiatric Nurse Barber, Rebecca L., LCSW Bell-Milby, Susan A., CNS Lewis, Neva P., LCSW Psychology Licensed Professional Counselor/Therapist Jenkins, Melissa L., PHD Nelson, Marty W., LPC Psychiatric Nurse Evanston Davidson, Miriam A., CNS Psychology Cornerstone Behavioral Health 195 Featherway Ste 1 Cook, Stephen B., PHD (307) 789-0715 Jenkins, Melissa L., PHD

Clinical Social Worker Pioneer Counseling Services Schaffer, Brenna M., LCSW 350 City View Dr Ste 302 Siemers, Tina T., LCSW (307) 789-7915 Psychiatry (MD/DO) Licensed Professional Counselor/Therapist Garcia-Prieto, Carlos E., MD Conger, Dorothy R., LPC Psychology Hardman, Stephen J., LPC Bernthaler, Mikaela, PSYD Psychiatric Nurse Clauson, Joshua, PSYD Davidson, Miriam A., CNS Courage, Cora, PSYD Lewis, Patrick J., PSYD Todd Bader Psychotherapy Matzelle, Robert D., PSYD 724 Front St Ste 511 (307) 799-8640 Petren, Suzanne, PHD Schaffer, Brian E., PSYD Licensed Professional Counselor/Therapist Bader, Todd E., LPC Cornerstone Behavioral Health 195 Featherway Ste 1 (307) 789-0715 Clinical Social Worker Taylor, Linford, LCSW

Providers are subject to be added or terminated without notice.

122 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Fort Washakie Gillette (cont.)

Indian Health Services / Wind River Health Clear Creek Counseling LLC Center 801 E 4th St Ste 24 Wind River Service Unit (307) 686-9422 Bldg # 29 Black Coal Dr (307) 332-7300 Licensed Professional Counselor/Therapist Oedekoven, Dale F., LPC Licensed Professional Counselor/Therapist Oedekoven, Virginia K., LPC Day, Connie, LPC Psychology Counseling Connections LLC Delehanty, Sandra G., PHD 707 W 8th St Martin, Thomas E., PHD (307) 685-8255 Rector, Phillip K., PHD Licensed Professional Counselor/Therapist Wheeler, Gregory J., PHD Biegler, Kim, LPC Himes, Michael D., LPC Gillette Hurich, Jamie S., LPC

A Positive Solution Counseling Center LLC Craig D Falkman, MA, LPC 201 W Lakeway Road 400 S Kendrick Ave Ste# 1004 Ste 100 (307) 682-3747 (307) 686-4062 Clinical Social Worker Licensed Professional Counselor/Therapist Morisette, Bonita S., LCSW Falkman, Craig D., LPC

Big Horn Counseling Mental Health Services of CCMH 201 Lakeway Rd Ste 516 501 S Burma Ave (307) 686-6660 (307) 688-5000 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Coleman, Carol Lynn, LPC Bruce, Misty D., LPC Brighter Horizons Counseling LLC Chaviers, Mandy L., LPC 113 S Gillette Ave Denaeyer, Barbara L., LPC Ste 203 Heineke, William F., LPC (307) 685-6982 Himes, Michael D., LPC Clinical Social Worker Petersen, Judeth, LPC Morris, Arlene G., LCSW Purcell, Michael G., LPC West, Eden M., LCSW Wood, Kevin N., LPC Licensed Professional Counselor/Therapist Psychiatry (MD/DO) Lawson, Tina D., LPC Fitzpatrick, Elizabeth E., MD Strawn, Carrie L., LPC Maggiolo, Julie B., MD Moran, Michelle R., MD Campbell County Memorial Hospital Psychology 501 S Burma Ave (307) 682-8811 England, Brooke L., PSYD Psychiatry (MD/DO) Nesbit, Patricia R. Fitzpatrick, Elizabeth E., MD 601 S Gillette Ave Maggiolo, Julie B., MD (307) 685-8182 Licensed Professional Counselor/Therapist Nesbit, Patricia R., LPC

Providers are subject to be added or terminated without notice.

123 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Gillette (cont.) Gillette (cont.)

Personal Frontiers Inc Youth Emergency Services Inc. 310 S Miller Ave Ste G 905 N Gurley Ave (307) 686-1189 (307) 686-0669 Licensed Professional Counselor/Therapist Clinical Social Worker Daigle, Michelle M., LPC Jacobson, Lisa M., LCSW Flanery Wilson, Cynthia A., LPC Licensed Addiction Counselor-Chemical Himes, Michael D., LPC Dependency Phillips, Ann R., LPC Keane, Stephanie A., LAC Licensed Professional Counselor/Therapist Resonance Therapy Smith, Michael L., LPC 601 S Gillette Ave (307) 751-7916 Zolcik, Wojciech MD PC Clinical Social Worker 2615 Cocklebur Dr # 3b (307) 688-5029 Cline, Diana M., LICSW Psychiatry (MD/DO) The Counseling Center, PC Zolcik, Wojciech J., MD 1401 W 2nd St Ste 1 (307) 682-6699 Glenrock Licensed Professional Counselor/Therapist A Step Forward LLC Daigle, Michelle M., LPC 506 W Birch Lozano, Lisa M., LPC (307) 436-8080 Phillips, Ann R., LPC Licensed Professional Counselor/Therapist Thorfinnson, Kristen, LPC Korb, Jennifer, LPC The Wellness Centers, LLC (307) 686-7779 Green River Clinical Social Worker Counseling and Grief Recovery Center Pierson, Elizabeth A., LCSW 145 N 1st East Street (307) 875-1410 Licensed Professional Counselor/Therapist Reedy, Anna L., LPC Licensed Professional Counselor/Therapist Psychology Crider, Cynthia C., LPC Bell, Kenneth, PHD Southwest Counseling Service Fisher, Susan E., PHD 175 River View Dr (307) 872-3205 Transitions Family Counseling & Mediation Center Psychology 801 E 4th St Ste 18 Gibson, Mark T., PHD (307) 682-8617 Clinical Social Worker Greybull Hicks, Ken W., LCSW Hope Counseling 15 S 6th St Wyssmann Psychological & Counseling, LLC (307) 765-2060 1401 W 2nd Ste #5 (307) 751-3263 Licensed Professional Counselor/Therapist Sanford, Heather W., LPC Psychology Wyssmann, James W., PHD

Providers are subject to be added or terminated without notice.

124 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Jackson Jackson (cont.)

Boillot, Amy Pitman LCSW Gale, Courtney A., LCSW 140 E Broadway Ste 25 310a Pearl St (307) 733-3638 (307) 699-5567 Clinical Social Worker Clinical Social Worker Boillot, Amy P., LCSW Gale, Courtney A., LCSW

Cheroutes, Elizabeth A LCSW Herzog, Amy, LCSW 125 E Pearl Ave 125 E Pearl St (307) 690-0484 (307) 690-0639 Clinical Social Worker Clinical Social Worker Cheroutes, Elizabeth A., LCSW Herzog, Amy J., LCSW

Coleman, Pamela, LCSW Jackson Hole Community Counseling Center 100 Middle School Rd 640 E Broadway (307) 413-4158 (307) 733-2046 Clinical Social Worker Clinical Social Worker Coleman, Pamela M., LCSW Dexter, Barclay A., LCSW Hansen, Blake G., LICSW Courtney H Marvin LCSW Miller, Heath P., LCSW 160 N Glennwood Ave (307) 690-7067 Smirl, Lewis A., LCSW Licensed Professional Counselor/Therapist Clinical Social Worker Andrus, Donna J., LPC Marvin, Courtney H., LCSW Assenberg, Ivy E., LPC Curran-Seeley Foundation Bishop, Lauren P., LPC 610 W Broadway Ste L-1 Carter, Jennifer P., LPC (307) 733-3908 Ewing, Elizabeth M., LPC Clinical Social Worker Gilmour, Elizabeth H., LPC Birkemeyer Funk, Trudylynn A., LCSW Kline, Sarah M., LPC Davis, Julie A., LCSW Long, Sarah E., LPC Hale, Charlotte L., LSW Lyons, Amy, LPC Morzov, Brianna C., LCSW Mooney, Jude M., LPC Ryan, Edward P., LCSW Oprea, Luane M., LPC Licensed Addiction Counselor-Chemical Williamson, Larry A., LPC Dependency Psychiatric Nurse Wigg, Edward J., LAC Bennett, Jamie J., CNS Wilks, Dom, LAC Psychiatry (MD/DO) Licensed Professional Counselor/Therapist Brown, Stephen L., MD Decker, Jeffrey W., LPC Fredstrom, O'Ann, MD Demorest, David L., LPC Lindenfeld, Etta A., MD Peterson, Daniela F., LPC Psychology Hochheiser, Rose Margaret, PSYD Davis, Sheila Sandubrae, APN, LPC 830 Upper Cache Crk Dr Kandolin, Jennifer A., LPC (307) 733-5227 420 S Jackson (307) 413-0536 Psychiatric Nurse Davis, Sheila S., CNS Licensed Professional Counselor/Therapist Kandolin, Jennifer, LPC

Providers are subject to be added or terminated without notice.

125 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Jackson (cont.) Jackson (cont.)

Kenneth P Lindsey PhD Sugarman, Stuart R MD 140 E Broadway 555 E Broadway Ste 220 (307) 201-1568 (307) 734-8800 Psychology Psychiatry (MD/DO) Lindsey, Kenneth P., PSYD Sugarman, Stuart R., MD

Kingwill Elizabeth LPC Teton Psychiatry 430 S Jackson St 610 W Broadway Ste L02 (307) 733-5680 (307) 734-8800 Licensed Professional Counselor/Therapist Psychiatry (MD/DO) Kingwill, Elizabeth L., LPC Fredstrom, O'Ann, MD

McKee, Laura Psyd LLC Van Vleck House 610 West Broadway 510 S Cache Suite L02e (307) 733-6440 (208) 201-5230 Licensed Professional Counselor/Therapist Psychology Knight, Lucinda D., LPC McKee, Laura, PSYD Walter, Diana Y LPC Nelson, Steven PhD 4030 W Lake Creek # 12 140 E Broadway Ste 25 (307) 739-0888 (307) 739-9500 Licensed Professional Counselor/Therapist Psychology Walter, Diana Y., LPC Nelson, Steven A., PHD Kemmerer Oliver P Goss, LCSW 140 E Broadway Ste 25 High Country Behavioral Health (307) 699-4330 821 Sage Ave (307) 877-4466 Clinical Social Worker Goss, Oliver P., LCSW Licensed Professional Counselor/Therapist Bader, Todd E., LPC Oprea & Associates Baker, Elizabeth K., LPC 970 W Broadway Erickson, Scott M., LPC (307) 699-4394 Psychiatric Nurse Licensed Professional Counselor/Therapist Davidson, Miriam A., CNS Oprea, Luane M., LPC Kinnear Pondera Counseling LLC 125 E Pearl Street Karen Doolittle Counseling Ste# 209 15 Gabes Rd (307) 690-4179 (307) 856-3351 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Long, Sarah E., LPC Doolittle, Karen I., LPC

Skaggs, Bob, LPC Lander 1115 Maple Way Ste D (307) 732-2466 Campbell, Joyce E., LCSW 315 Main St Ste 6-12 Licensed Professional Counselor/Therapist (307) 332-4515 Skaggs, Bob, LPC

Providers are subject to be added or terminated without notice.

126 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Lander (cont.) Lander (cont.)

Campbell, Joyce E., LCSW (cont.) Portwood, Cheryl C MD Clinical Social Worker 315 Main St Ste 6-12 Campbell, Joyce E., LCSW (307) 332-4515 Psychiatry (MD/DO) Compassionate Counseling LLC Portwood, Cheryl C., MD 316 Main St (307) 332-3326 Rocky Mountain Oncology Center LLC Licensed Professional Counselor/Therapist 15 Shrine Club Rd Koehn, L Jill, LPC (307) 332-0324 Clinical Social Worker Curtis, Gary L LCSW Doll, Rebecca J., LCSW 267 Main St (307) 330-5060 Sorensen, Betty J., LPC Clinical Social Worker 315 Main Rm 6-12 Curtis, Gary L., LCSW (307) 332-4515 Licensed Professional Counselor/Therapist Deirdre Rainer, PhD Sorensen, Betty J., LPC 550 Main Street (307) 332-4305 Stevens, Cynthia B., MD, PC Psychology 172 Rosewood Ave Rainer, Deirdre D., PHD (307) 332-2417 Psychiatry (MD/DO) Fremont Counseling Service Stevens, Cynthia B., MD 748 Main St (307) 332-2231 Laramie Clinical Social Worker Hatch, Emma B., LCSW Alliance For Growth: Counseling & Consulting, LLC Licensed Professional Counselor/Therapist 1050 N 3rd St Ste B-1 Alderson, Germaine M., LPC (307) 742-4769 Bougere, Sydna E., LPC Clinical Social Worker Chodon, Kalsang, LPC Haney, Carolyn D., LCSW Paquin, Marlene C., LPC Licensed Professional Counselor/Therapist Selvig, Ryan M., LPC Cannon, Brenda J., LPC Tinley, John P., LPC Manton, Krista M., LPC Lander Valley Physician Practices LLC Robertson, Karen E., LPC 830 Lincoln St (307) 332-9577 Alpenglow Wellness 121 Grand Ave Ste 216 Clinical Social Worker (307) 760-1998 Lacroix, Catherine E., LCSW Licensed Professional Counselor/Therapist Psychiatry (MD/DO) Lutterman, Maureen K., LPC Wheeler, Frank R., MD Bunn, Anne C., PhD Murray and Associates, Inc 507 S 4th St Ste A 177 N 3rd Street (307) 638-0300 (307) 332-7825 Psychology Licensed Professional Counselor/Therapist Bunn, Anne C., PHD Murray, Eddie L., LPC

Providers are subject to be added or terminated without notice.

127 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Laramie (cont.) Laramie (cont.)

Capstone Counseling & Recovery George W. Doherty 710 E Garfield St 607 1/2 Ste 242 (307) 399-4818 (307) 721-3843 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Doherty, George W., LPC Johnson, Judith R., LPC Hartung, Cynthia M., PhD Cathedral Home For Children 507 S 4th St # A 4989 N 3rd St (307) 460-0119 (307) 745-8997 Psychology Licensed Professional Counselor/Therapist Hartung, Cynthia M., PHD Benson, Brooke L., LPC Homer, Laurie R., LPC Creating Mindful Balance 1050 N 3rd St Ste B1 409 Bradley Suite 1 (307) 460-1687 (307) 321-4863 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Homer, Laurie R., LPC Hall, Wendy B., LPC Jacobs-Castano, Teresa, LCSW Deitrich-Maclean, Gay PhD 504 S 4th St 507 S 4th St Ste B (307) 755-1000 (307) 755-1982 Clinical Social Worker Psychology Jacobs-Castano, Teresa J., LCSW Deitrich-Maclean, Gay, PHD Jamie Snyder Counseling & Consulting, PC Devita, Andrea C., LCSW 1758 Hayford 710 E Garfield St (307) 761-1993 Ste 320 Rm 21 (307) 460-2015 Licensed Professional Counselor/Therapist Snyder, Jamie J., LPC Clinical Social Worker Devita, Andrea C., LCSW Judy Coburn Counseling & Consulting 1251 Apache Dr Dorst, Holly, LPC (307) 745-8335 1050 N 3rd St Ste B2 (307) 755-0929 Licensed Professional Counselor/Therapist Coburn, Judy A., LPC Licensed Professional Counselor/Therapist Dorst, Holly C., LPC Laramie Behavioral Health Clinic 407 E Garfield St Emily Siegel, Psychotherapy (307) 755-6463 507 South 4th St Ste B Psychiatric Nurse (307) 399-4508 Somlyay, Janet L., CNS

Clinical Social Worker Michelle A Worden Professional Counseling Siegel, Gillian Emily C., LCSW LLC 504 S 4th St Gateway Counseling Center (307) 742-9390 425 S 21st St (307) 272-8880 Licensed Professional Counselor/Therapist Worden, Michelle A., LPC Licensed Professional Counselor/Therapist Andrews, Larry, LPC

Providers are subject to be added or terminated without notice.

128 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Laramie (cont.) Laramie (cont.)

Nesslinger, Martha, LPC Peak Wellness Center (cont.) 504 S 4th St Licensed Professional Counselor/Therapist (307) 755-1000 (continued) Licensed Professional Counselor/Therapist Plant, Megan J., LPC Nesslinger, Martha S., LPC Sprabery, Carol A., LPC Stewart, Sharon A., LPC Pathways Inc Stringham, Leslie A., LPC 1465 N 4th St # 119 Wiley, Stephanie R., LPC (307) 721-0700 Psychiatric Nurse Licensed Professional Counselor/Therapist Becker, Carol A., CNS Axtmann, Ellen V., LPC Psychiatry (MD/DO) Benson, Brooke L., LPC Schaaf, Joseph G., MD Bills, Jodi L., LPC Psychology Bress, Carol H., LPC Meeker, Linda A., PHD Farrell, Jennifer L., LPC Glassner, Kimberlee A., LPC Pendley & Associates Inc Hammer, Glenn L., LPC 1277 N 15th (307) 742-6222 Harnden, Christopher L., LPC Hogsett, Sherri D., LPC Clinical Social Worker Moran, Amy M., LPC Bertilson, Susan L., LCSW Reid, Kristin M., LPC Gill, Denise A., LCSW Teini, Stephannie A., LPC Graves, Wayne R., LCSW Psychiatric Nurse Koegen, Carla J., LICSW Becker, Carol A., CNS Licensed Professional Counselor/Therapist Duncan, Julia A., CNS Augustine, Susan K., LPC McGee, Nancy I., CNS Berry, Andrea A., LPC Proctor, J'Laine, CNS Fay, Jeff C., LPC Psychiatry (MD/DO) Hansen, Glenna A., LPC Moreno, Mary D., MD Johnson, Linda D., LPC Psychology Kelly, Kate, LPC Petrino, Kelly, PHD Nash, Kathy A., LPC Pendley, Lynne, LPC Peak Wellness Center Psychiatric Nurse 1263 N 15th St Romsa, Beth J., CNS (307) 745-8915 Vasquez, Caitlin P., CNS Clinical Social Worker Psychology Dean, Alisa M., LCSW Sprinkle, R Leo, PHD Emmett, Colleena R., LCSW Surdam, Joyce C., PHD Engen, Gary, LCSW Gay, Sharon S., LCSW Price, Frances L PhD PC Saltenberger, Jana K., LCSW 1465 N 4th St Ste 101 (307) 745-3668 Licensed Professional Counselor/Therapist Flynn, Patrick, LPC Psychology Gossman, Larry, LPC Price, Frances L., PHD Hansen, Jennifer E., LPC Lee, Tristin C., LPC Martin, Katrina S., LPC Pettis, Ernest H., LPC

Providers are subject to be added or terminated without notice.

129 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Laramie (cont.) Lovell (cont.)

Scambler Douglas J PhD Lift Institute 507 S 4th St Ste A 440 Nevada Ave (307) 460-0120 (307) 272-7588 Psychology Clinical Social Worker Scambler, Douglas J., PHD Croft, Michelle L., LCSW

Snowy Range Consulting LLC Lusk 526 Regency Dr (307) 745-5414 Licking, Tori M PhD 227 S Pine St Ste 3 Psychology (307) 334-2469 Watt, Mark J., PHD Psychology Wings For Pegasus Fka Pegasus Counseling Licking, Victoria M., PHD Service LLC 3 Lakeview Dr Solutions For Life (307) 760-0504 905 S Main St (307) 334-3666 Licensed Professional Counselor/Therapist Jones, Christine A., LPC Licensed Professional Counselor/Therapist Mix, Beverly J., LPC Lingle Lyman Restoring Oaks Counseling 208 Main St LDS Family Services - Centerville (307) 837-2008 208 S Hwy 414 (307) 786-2121 Licensed Professional Counselor/Therapist Winget, Cynthia L., LPC Clinical Social Worker Jaggi, Mark N., LCSW Lovell Newcastle Big Horn Basin Counseling Services Inc 1114 Lane 12 Northern Wyoming Mental Health Center Inc (307) 548-6543 420 Deanne Ave (307) 746-4456 Clinical Social Worker Baker, Dorthy, LCSW Clinical Social Worker Roper, Bradley M., LCSW Howell, Maya, LICSW Licensed Professional Counselor/Therapist Phelon, Hope, LCSW Neves, Hali, LPC Licensed Professional Counselor/Therapist Psychiatric Nurse Elliott, Sheri A., LPC Titus, Jenny A., CNS Olenyik, John R., LPC Psychology Psychiatric Nurse Hedrick, Glenna J., PSYD Bailey, Cheryl L., CNS Psychiatry (MD/DO) Connections Zolcik, Wojciech J., MD 100 W 10th St (307) 272-4972 Psychology Winter, Christine, PHD Licensed Professional Counselor/Therapist Burton, Gerry R., LPC

Providers are subject to be added or terminated without notice.

130 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Newcastle (cont.) Powell (cont.)

Weston County Children's Center Gottsche Rehabilitation & Therapy Clinic 104 Stampede St 639 W Coulter (307) 746-3541 (307) 754-9262 Licensed Professional Counselor/Therapist Psychology Chick, Tina L., LPC Wyssmann, James W., PHD

Pinedale Hassler, Ajakai PhD, PC 1071 Lane 11 1/2 Pine Creek Behavioral Health (877) 223-5070 24 Country Club Ln (307) 367-2111 Licensed Professional Counselor/Therapist Hassler, Ajakai, LPC Clinical Social Worker Hixson, Sarah R., LCSW Positive Progressions LLC Read-Hudson, Dayle, LCSW 125 S Division St Tan, Maike L., LCSW (307) 754-7970 Licensed Addiction Counselor-Chemical Clinical Social Worker Dependency Cook, Nathan N., LCSW Ryan, Katherine M., LAC Kobbe, Brittany A., LICSW Licensed Professional Counselor/Therapist Riker, Marlynn A., LCSW Ensinger, Glen A., LPC Startin, Kristin, LCSW Murphy, Kenneth, LPC Wilkinson, Marsha, LCSW Psychiatric Nurse Bennett, Jamie J., CNS Rawlins

Powell Carbon County Counseling Center 721 W Maple Big Horn Basin Mental Health Group Inc (307) 324-7156 1054 Vali Rd Clinical Social Worker (307) 254-0000 McCloy, Collin D., LCSW Psychology Pearson-Spiker, Tiffani J., LCSW Condie, Gibson B., PHD Licensed Addiction Counselor-Chemical Dependency Borcher, Tina D LPC Babcock, Gary H., LAC 777 Ave H (307) 254-0661 Glenn D Biggs & Associates PC Licensed Professional Counselor/Therapist 1101 W Spruce St Borcher, Tina D., LPC (307) 324-5899 Clinical Social Worker Cg Mental Health Biggs, Glenn D., LCSW 887 E North St (307) 254-1818 Jean Lewis Consulting LLC Clinical Social Worker 916 W Buffalo St Gauger, Christopher D., LCSW (307) 710-6684 Licensed Professional Counselor/Therapist Dutson, Devin, MSW, LCSW Lewis, M Jean, LPC 1061 Morning Glory Lane (307) 254-3407 Clinical Social Worker Dutson, Devin E., LCSW

Providers are subject to be added or terminated without notice.

131 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Rawlins (cont.) Riverton (cont.)

Ls Counseling and Psychoeducational Fremont Counseling Service Services LLC 1110 Major Ave 819 W Spruce St (307) 856-6587 (307) 324-8820 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Conner, Barbara R., LPC Sanderson, Liza D., LPC Hoss, Nicole A., LPC Parker, Rebecca L., LPC Southwestern Comfort Counseling Center 214 W Maple St Psychology (307) 324-4826 Norton, Richard S., PHD

Psychology Gaits of Change Counseling Center Gersing, Wendy S., PSYD 11855 Hwy 26 (307) 856-3028 Uplift Counseling 501 W Buffalo St Licensed Professional Counselor/Therapist (307) 324-5899 Pierce, Deborah G., LPC

Clinical Social Worker Imagine Play and Grow Healing Arts For Lindsey, Ann, LCSW Children And Families 414 S 5th St E Uplift Counseling (605) 670-8126 501 W Buffalo Basement Licensed Professional Counselor/Therapist (307) 324-5899 Alvarez, Donna M., LPC

Clinical Social Worker Mary Jo Jeffres, PhD LLC Skordas, Kari L., LCSW 500 E Fremont Ave (307) 463-0890 Wyoming Healthy Options & Alternatives 214 1/2 Maple St Psychology (307) 324-0092 Jeffres, Mary Jo, PHD

Psychology Murray and Associates, Inc Woods, Medea L., PSYD 2441 Peck Ave (307) 856-5576 Riverton Licensed Professional Counselor/Therapist Blue Sky Counseling Murray, Eddie L., LPC 625 E Madison Ste 6 Wind River Pediatrics LLC (307) 851-3955 1005 College View Dr (307) 857-5280 Clinical Social Worker Heron, Linda M., LCSW Licensed Professional Counselor/Therapist Pierce, Deborah G., LPC Community Health Center of Central Wyoming Wyoming Counseling Services PC 511 N 12th St East 902 N 8th St W (307) 463-7160 (307) 857-3111 Psychology Clinical Social Worker Jenkins, Melissa L., PHD House, Trent L., LCSW Rainer, Deirdre D., PHD Licensed Professional Counselor/Therapist House, Julie, LPC

Providers are subject to be added or terminated without notice.

132 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Rock Springs Rock Springs (cont.)

Advanced Practice Psychiatric Services LLC Southwest Counseling Service (cont.) 1363 Dewar Dr Licensed Professional Counselor/Therapist (307) 382-3388 Cusulos, John, LPC Psychiatric Nurse Entz, Julie, LPC Garcia-Prieto, Sherri A., CNS James, Dinah Jpv, LPC Psychiatry (MD/DO) Stroot, Diane, LPC Garcia-Prieto, Carlos E., MD Psychology Brass, Jamie E., PSYD Better Solutions Counseling Center 2001 Dewar Dr Ste 270 Southwest Counseling Service (307) 382-3058 1124 College Dr (307) 352-6680 Clinical Social Worker Lane, Cynthia L., LCSW Clinical Social Worker Licensed Professional Counselor/Therapist Graham, Kathy, LCSW Lane, Joanne E., LPC Keefe, Elisabeth, LCSW Pitsch, Madeleine J., LPC Sorenson, Steven R., LCSW Zanetti-Love, Michal, LCSW Counseling Associates Licensed Professional Counselor/Therapist 2632 Foothill Blvd Ste 106 Acker, Linda J., LPC (307) 362-8840 Bauer, Michael A., LPC Harswick, Mark A., LPC Psychology Hofeldt, Daphne D., LPC Carlson, Larry J., PHD Little, Ross E., LPC Craft, Bernadine L PhD Murphy, Katherine L., LPC 1209 Hilltop Dr Psychiatric Nurse (307) 382-1607 Logan, Kayleen, RN Licensed Professional Clinical Counselor Psychiatry (MD/DO) Craft, Bernadine L., LPC Methner, Steven, MD Rindflesh, Mark A., MD Family Dynamics Counseling Inc Robinett, James Kevin, DO 4000 Dewar Dr (307) 382-3010 Southwest Counseling Service Licensed Professional Counselor/Therapist 2706 Ankeny Way Clark, Christopher T., LPC (307) 352-6689 Johnson, Jill A., LMT Clinical Social Worker Nicksich, Paul N., LPC Anderson, Helmut J., LCSW Schroeder, Renee A., LPC Licensed Professional Counselor/Therapist Wilcox, Scott D., LPC Southwest Counseling Service 2300 Foothill Blvd Sweetwater Medical Group (307) 352-6677 1204 Hilltop Dr Ste 108 Clinical Social Worker (307) 352-8125 Rounds, Angelene J., LCSW Psychiatry (MD/DO) Schmid Pizzato, Laura, LCSW Fontanilla, Ryan Karl C., MD Licensed Addiction Counselor-Chemical Dependency Grindle, Elaine E., LAC Hodgdon, Charles O., LAC

Providers are subject to be added or terminated without notice.

133 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Rock Springs (cont.) Sheridan (cont.)

Wyoming Behavioral Institute Clay Pot Counseling Inc 79 Winston Ste 121 205 W Loucks St (307) 362-8701 (307) 752-7016 Licensed Professional Counselor/Therapist Clinical Social Worker Laird, Wenda L., LPC Sopron, Dawn E., LCSW

Saratoga Cloud Peak Initiatives 151 W Brundage St Platte Valley Medical Clinic PC (307) 674-1668 1208 S River St (307) 326-8381 Licensed Addiction Counselor-Chemical Dependency Licensed Professional Counselor/Therapist Montagne, Bernadette G., LAC Hoopes, Ronald F., LPC Licensed Professional Counselor/Therapist McGowan, Galin, LPC Whiteeagle Consulting Group 506 Myrtle St (307) 326-3700 Elizabeth M. Martini 45 E Loucks St Licensed Professional Counselor/Therapist Suite 104 Hoopes, Ronald F., LPC (307) 763-0137 Licensed Professional Counselor/Therapist Sheridan Martini, Elizabeth M., LPC Anderson, Judee, LPC 856 Coffeen Ave # 104 Gordon, Lynn E LPC (307) 751-6482 40 S Main (307) 672-6789 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Anderson, Judee C., LPC Gordon, Lynn E., LPC Ashear, Victor, PhD 1262 W 5th St Kelly White Counseling (307) 672-5122 23 N Scott St Ste 21-A (307) 655-9626 Psychology Licensed Professional Counselor/Therapist Ashear, Victor H., PHD White, Kelly L., LPC Big Horn Psychological Services Lc 45 E Loucks St Ste 209 Kross Fire Counseling & Equine Enterprises (307) 675-1805 406 W Loucks (307) 751-3769 Licensed Professional Counselor/Therapist Licensed Professional Counselor/Therapist Tiffany, Kathleen R., LPC Raley, Krystal M., LPC Psychology Clark, Alicia A., PSYD Life Strategy Center, LLC Clark, Jeffrey P., PSYD 1949 Sugarland Dr Ste 218 Carroll, Servio A EDS, NCSP (307) 674-8686 108 S Thurmond St (307) 673-3386 Licensed Professional Counselor/Therapist Conrad, Roxy A., LPC Licensed Professional Counselor/Therapist Shipley, Charles, LPC Carroll, Servio A., LPC

Providers are subject to be added or terminated without notice.

134 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Sheridan (cont.) Sheridan (cont.)

McReynolds, Rae Marie, PhD Northern Wyoming Mental Health Center Inc 1866 S Sheridan Ave (cont.) Ste A Psychology (continued) (307) 674-9697 Watkins, Carol A., PHD Licensed Professional Counselor/Therapist McReynolds, Rae M., LPC Northern Wyoming Mental Health Center Inc 1701 W 5th St Ste C (307) 674-5534 Meggan McBride Garwood 245 Broadway Street Clinical Social Worker (307) 752-7835 Howell, Maya, LICSW Clinical Social Worker Licensed Addiction Counselor-Chemical McBride Garwood, Meggan M., LCSW Dependency Jacob, Brenda L., LAC Mountains Edge Counseling, LLC Licensed Professional Counselor/Therapist 406 W Loucks St Christensen, Pamela R., LPC (307) 673-4647 Elliott, Sheri A., LPC Licensed Addiction Counselor-Chemical Whittington, Constance L., LPC Dependency Psychiatric Nurse Jones-Robinson, Jennifer B., LAC Bailey, Cheryl L., CNS Licensed Professional Counselor/Therapist Psychiatry (MD/DO) Price-Keahey, Carol R., LPC Zolcik, Wojciech J., MD Northern Wyoming Mental Health Center Inc Psychology 1221 W 5th Turlington, Amanda R., PSYD (307) 674-4405 Piedmont Psychological Practice Clinical Social Worker 425 W Loucks Bell, Andi K., LCSW (307) 672-2468 Heitler, Denise J., LCSW Holst, Donna J., LCSW Licensed Professional Counselor/Therapist Noecker, Deeann, LPC Howell, Maya, LICSW Kirchhoff, Maureen G., LCSW Psychology Kurtz, Michael J., PHD Licensed Addiction Counselor-Chemical Dependency Ochoa, Cecilia, PSYD Rice, Linda S., LAC Ziegler, Barbara, PHD Licensed Professional Counselor/Therapist Sheridan Psychiatry Ajayi, Rebecca J., LPC 944 Jackson Ave Boone, Donald E., LPC (307) 675-4630 Elliott, Sheri A., LPC Licensed Professional Counselor/Therapist Fish, Norman W., LPC Pearson, David O., LPC Lansing, Jennifer A., LPC Matteson, Terrill E., LPC Sidhu, Anup S MD Terry, Thomas G., LPC 1456 W 5th St Tiffany, Kathleen R., LPC (307) 673-4389 Psychiatric Nurse Psychiatry (MD/DO) Bailey, Cheryl L., CNS Sidhu, Anup S., MD Psychiatry (MD/DO) Zolcik, Wojciech J., MD Psychology Schnatterbeck, Thomas M., PSYD

Providers are subject to be added or terminated without notice.

135 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Sheridan (cont.) Sundance (cont.)

Steven D. Roth Northern Wyoming Mental Health Center Inc Virginia Manor Apts 420 1/2 Main St 45 E Loucks St Ste 104 (307) 283-3636 (307) 751-5797 Clinical Social Worker Licensed Professional Counselor/Therapist Howell, Maya, LICSW Roth, Steven D., LPC Solyst, Jerry, LCSW Van Norman, Rita L., LCSW Stillwaters Counseling LLC 2175 Littlehorn Dr Licensed Professional Counselor/Therapist (307) 431-1317 Elliott, Sheri A., LPC Clinical Social Worker Psychiatric Nurse Jordan, Lisa L., LCSW Bailey, Cheryl L., CNS

Urgent Care Clinic of Sheridan Thermopolis 1842 Sugarland Dr Ste 103 Gottsche Rehabilitation Center (307) 673-5586 148 E Arapahoe (307) 864-2146 Licensed Professional Counselor/Therapist Psychology Andrews, Bruce L., LPC Wyssmann, James W., PHD West Psychological Services LLC 40 S Main Hot Springs County Counseling Service (307) 672-2799 121 S 4th St (307) 864-3138 Psychology Licensed Professional Counselor/Therapist West, Dennis K., PHD Braaten, Allan P., LPC Wyoming Counseling Inc 323 W Loucks Torrington (307) 674-1520 New Hope Counseling Clinical Social Worker 136 W 21st Ave Adsit, Joan E., LCSW (307) 532-2119 Siler, Sharyn I., LCSW Licensed Professional Counselor/Therapist McCafferty, Michael P., LPC Wyssmann Psychological & Counseling LLC Rodgers, Deborah A., LPC 1949 Sugarland Dr Suite #218 (307) 751-3263 Nicolas Prat 231 Camino Del Rey Licensed Professional Counselor/Therapist (307) 575-2890 Updike Wyssman, Deanne L., LPC Psychology Psychology Prat, Nicolas, PHD Wyssmann, James W., PHD Peak Wellness Center Sundance 501 Albany Ave (307) 532-4091 Mountain Plains Counseling Center 369 W Hwy 14 Clinical Social Worker (307) 283-1634 Burian, Joel R., LCSW Martin, Gerri J., LCSW Licensed Professional Counselor/Therapist Wales, Cheryl, LPC Ochsner, Debbie, LCSW Wolf, Melanie R., LCSW Wood, Rene, LCSW

Providers are subject to be added or terminated without notice.

136 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Wyoming (cont.) Torrington (cont.) Worland

Peak Wellness Center (cont.) Banner Health Physicians West LLC Licensed Professional Counselor/Therapist 1405 Howell Ave Baumgardner, Lynda E., LPC (307) 347-2555 Mitchell, Thomas, LPC Psychology Mylet, Monnie, LPC Bayuk, Robert J., PHD Sorrick, Susan L., LPC Psychiatry (MD/DO) Banner Health Physicians West LLC 1106 Big Horn Ave Pieczalska, Marta A., MD (307) 347-2555 Robinett, James Kevin, DO Psychology St Joseph's Children'S Home Bayuk, Robert J., PHD 1419 Main St (307) 532-4197 Cloud Peak Counseling Center 401 So 23rd Street Clinical Social Worker (307) 347-6165 Callister, Catherine H., LCSW Madrid, Lori L., LCSW Clinical Social Worker Kinzell, Kerri D., LCSW Licensed Professional Counselor/Therapist Luhm, Rebecca, LCSW Anderson, Carolyn M., LPC Russler, Mark C., LCSW Covello, Christin M., LPC Wisehart, Darcie N., LCSW Greene, Nancy J., LPC McDowell, Carol A., LPC Licensed Addiction Counselor-Chemical Dependency Pogue, William J., LPC Gerharter, Lonnie G., LAC Ross, Bruce O., LPC Licensed Professional Counselor/Therapist Saenz, Maria L., LPC Brandt, Linda B., LPC Wielechowski, Laura M., LPC Ferguson, Cynthia L., LPC Psychiatry (MD/DO) Jackson, Steven, LPC Danczik, Jiri, MD Kay, Cathy B., LPC Psychology McCoughlan, Jacqueline, LPC Prat, Nicolas, PHD Walter, Douglas A., LPC Woods, Mary Jane, PHD Warren, Timothy C., LPC Weber, Dale A., LPC Wheatland Psychiatric Nurse Cornerstone Counseling Dawson, Lorna Gail, CNS 971 Gilchrist Suite 1 Lemagie, Colleen A., CNS (307) 331-3291 Titus, Jenny A., CNS Psychology Psychiatry (MD/DO) Denison, Charles W., PSYD Anderson, Victoria H., MD Psychology Peak Wellness Center 1954 W Mariposa Pkwy Reynolds, Wayne R., PHD (307) 322-3190 Family Circle Counseling Inc. Licensed Professional Counselor/Therapist 801 Robertson Ave Harper, M Leanne, LPC (307) 924-2360 Krotz, Kalyn K., LPC Licensed Professional Counselor/Therapist Mincer, Steve, LPC Harman, Janae B., LPC

Providers are subject to be added or terminated without notice.

137 April 03, 2013 KID CARE CHIP PARTICIPATING BEHAVIORAL HEALTH PROVIDERS

Wyoming (cont.) Worland (cont.)

First Step Counseling 718 Big Horn Ave Ste D (307) 431-2712 Clinical Social Worker Greek, Brock R., LCSW

Gottsche Rehab & Therapy Clinic 1125 Charles St (307) 864-2146 Psychology Wyssmann, James W., PHD

Healthy Frontier Counseling 801 Robertson Ave (307) 388-0955 Clinical Social Worker Butterfield, Jeanna M., LCSW

Smith, Kathleen D LPC 1023 N Rd 11 (307) 431-8005 Licensed Professional Counselor/Therapist Smith, Kathleen D., LPC

Wright

Kingan Counseling LLC 7568 Hwy 59 (307) 680-1866 Licensed Professional Counselor/Therapist Kingan, Jean, LPC

Providers are subject to be added or terminated without notice.

138 April 03, 2013 KID CARE CHIP PARTICIPATING HOME HEALTH AGENCY

Wyoming Rawlins

Memorial Hospital of Carbon County Home Health 2221 W Elm St (307) 324-2221

Providers are subject to be added or terminated without notice.

139 April 03, 2013