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Provider Directory 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.,
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