Colorado Choice Health Plans. Medicare Cost Plans Provider Directory

Transcription

1 Colorado Choice Health Plans Medicare Cost Plans Provider Directory This directory provides a list of Colorado Choice Health Plans Medicare network providers. This directory is for: ALAMOSA, BENT, CHAFFEE, CONEJOS, COSTILLA, CROWLEY, CUSTER, FREMONT, HUERFANO, LAS ANIMAS, MINERAL, OTERO, PROWERS, RIO GRANDE, SAGUACHE, and YUMA Counties, CO. This directory is current as of December Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Colorado Choice Health Plans Medicare network providers in your area, you can visit or call our Customer Service Department at or , 8:00 am to 8:00 pm, 7 days a week. TTY users should call Colorado Choice Health Plans is a Cost plan with a Medicare Contract. Enrollment in Colorado Choice s Medicare cost plan depends on contract renewal. This information is available for free in other languages. Please contact our customer service number at / TTY , 8:00 am to 8:00 pm, 7 days a week. Esta información está disponible gratis en otros idiomas. Por favor llame a nuestro número de servicio al cliente al , TTY de 8:00 am a 8:00 pm, los 7 días de la semana. Section 1 Introduction This directory provides a list of Colorado Choice Health Plans Medicare network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Provider (PCP). The term PCP will be used throughout this directory. Generally, you must get your health care coverage from your PCP. Your PCP is a provider who meets state requirements and is trained to give you basic medical care. You will usually see your PCP first for most of your routine health care needs. Your PCP can help arrange or coordinate your covered services for you. This includes x-rays, laboratory tests, therapies, specialists, hospital admissions, and follow-up care. Your PCP also contacts other network providers for updates about your care and/or treatments. When you enroll in Colorado Choice, you will be asked to select a PCP from this directory. If you do not select a PCP, one will be assigned to you. You can change your PCP by calling our Customer Service Department at or , 8:00 am thru 8:00 pm, 7 days a week. TTY users should call H0657_2014 Provider Directory CMS Accepted

2 Colorado Choice Medicare Cost Plan/Health Plans members may use network and non-network providers. However, if you go to a provider outside of Colorado Choice Health Plans Medicare network who accepts Medicare patients, you are covered under Original Medicare and will have to pay the Part A and Part B deductibles and coinsurance. Plan benefits and cost-sharing may change from calendar year to calendar year. The network providers listed in this directory have agreed to provide you with your health care coverage. You may go to any of our network providers listed in this directory; however, some services may require a referral. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers. You do NOT need a referral to go to a network provider who is a PCP or Specialist. Your network provider needs to get approval from us ahead of time (this is called prior authorization ) for certain types of covered services or supplies including outpatient services/procedures and inpatient admissions. For details on covered services that need prior authorization, please refer to your Evidence of Coverage. Remember, you can get care from non-network providers without a prior authorization; however, if you use non-plan providers for care that is not emergent or urgently needed, you will have to pay the Original Medicare Plan cost-sharing amounts (such as deductibles, co-payments, and coinsurance). There may be times when you get a bill from a provider for the full cost of medical care you have received. You should send this bill to us instead of paying for it. We will process the bill and make a determination of your liability, if any. If you have a medical emergency, get medical help as quickly as possible. Call 911 for help or go directly to the nearest emergency room. In any emergency, you never need to contact any plan provider, for either permission ( authorization ) or referral. However, you or someone else should call Colorado Choice at or , 8:00 am thru 8:00 pm, 7 days a week. TTY users should call , about your emergency, usually within 48 hours. Emergency care can always be obtained in or out of the service area from the nearest provider. When in the service area you must use plan providers for urgent care. When out of the service area, but within the United States, urgent care may be obtained from the first available provider. What is the service area for Colorado Choice Health Plans (Cost)? The counties in our service area are listed below. Alamosa, Bent, Chaffee, Costilla, Conejos, Crowley, Custer, Fremont, Huerfano, Las Animas, Mineral, Otero, Prowers, Rio Grande, Saguache and Yuma Counties, CO. How do you find Colorado Choice Health Plans (Cost) providers in your area? You can use this Provider Directory as outlined in Section 2 or you can also visit the Colorado Choice website at

3 If you have questions about Colorado Choice Health Plans (Cost) or require assistance in selecting a PCP, please call our Customer Service Department at or , 8:00 am thru 8:00 pm, 7 days a week. TTY users should call Or, visit Section 2 List of Network Providers The Directory of Plan Providers is divided into 5 categories of Type of Provider as follows: CATEGORY LIST OF TYPE OF PROVIDERS Section 2 Page A. Primary Care Providers (PCPs)(1,236) B. Specialists (3,143) C. Facilities (114) D. Skilled Nursing Facilities (9) E. Outpatient Mental Health Providers (369) Within each Category, the Providers are listed as follows: Type of Provider (Primary Care Providers, Specialists, Facilities, Skilled Nursing Facilities, and Outpatient Mental Health Providers.) Specialty Type (Listed alphabetically) County: (Listed alphabetically) City: (Listed alphabetically) Provider Name (Listed alphabetically) Street Address, City, State, Zip Code Phone Number

4 The following is an Index of the Specialty types that can be found under the PCP and Specialty Type of Providers: INDEX TYPE OF SPECIALTIES A. Primary Care Providers (PCPs) Geriatric Medicine B. Specialists Allergy/Immunology Ambulance/Transportation...58 Audiology Cardiac Surgery Certified Nurse Midwife Dermatology Diagnostic Radiology DME Endocrinology ENT (Otolaryngology) General Practice Gynecologist/Oncologist Hand Surgery Home Health Care Hospice Infectious Disease Nephrology Neurology Neuropsychiatry Neurosurgery Nuclear Medicine Occupational Therapy Opthalmology Optometry

5 Pediatric Pediatric Endocrinology Pediatric Pediatric Hem/Onc Pediatric Neurology Pediatric Opthalmology Pediatric Pediatric Otolaryngology Pediatric Psychiatry Pediatric Pulmonary Disease Pediatric Surgery Perinatal/Maternal Fetal Medicine Physical Med & Rehab Physical Therapy Plastic/Recon Surg Podiatry Pulmonary Disease Radiation Oncology Rheumatology Speech Pathologist Sports Medicine Thoracic Surgery Urgent Care Urology Vascular Surgery C. Facilities Ambulatory Surgical Center Dialysis Center Hospital Nursing Home Psychiatric Hospital Rehabilitation Clinic Urgent Care Facility D. Skilled Nursing Facilities E. Outpatient Mental Health Providers Clinical Psychologist Mental Health-PhD/PsyD Mental Health-Psychiatry

6 PLEASE NOTE: Colorado Choice works hard to keep this information on its providers updated and accurate, however due to changes throughout the Colorado provider community we cannot guarantee the accuracy of this directory. For the most current information regarding Colorado Choice Medicare Cost Plans plan providers please call our Customer Service Department at or , 8:00 am thru 8:00 pm, TTY users should call or, visit our website at

7 Section 2 - List of Plan Providers: Primary Care Providers County: Adams City: Aurora De Gruy III, Frank V 1635 N Ursula St (303) Kelly, Barbara E Montview Lindrooth, Miriam W 1635 N Ursula St (720) Montgomery, Linda Wiliams Family Med Ctr 4 White, Marla L 1635 N Ursula St #3501 (720) City: Brighton Dhar, Pradeep 1860 Egbert St Brighton, CO (303) Drickey, Robert 1860 Egbert St Brighton, CO (303) Farley, Audrey 1860 Egbert St Brighton, CO (303) Fontenot, John C 1860 Egbert St Brighton, CO (303) Khan, Farah 1860 Egbert St Brighton, CO (303) Lee, Stefano H 1860 Egbert St Brighton, CO (303) Licona, Virgilio 1860 Egbert St Brighton, CO (303) Virostko, Amelia 1860 Egbert St Brighton, CO (303) City: Commerce City Bracy, Layne 6225 N Quebec Pkwy Commerce City, CO (303) Cowie, Kathleen 6225 N Quebec Pkwy Commerce City, CO (303) Dominguez, Ann 6225 N Quebec Pkwy Commerce City, CO (303) Heine, Jason 6225 N Quebec Pkwy Commerce City, CO (303) Osbourn-Roberts, Tamaan 6225 N Quebec Pkwy Commerce City, CO (303) City: Thornton Achuthan, Hemamalini 3814 E 120th Ave Thornton, CO (303) Dion, Mary E Colorado Blvd #106 Thornton, CO (303) Mullin, Julie Washington St Thornton, CO (303) Schreiber, Kent W 3814 E 120th Ave Thornton, CO (303) Segall, Neil C 3814 E 120th Ave Thornton, CO (303) Primary Care Providers This information is subject to change Section 2: Page 1

8 Section 2 - List of Plan Providers: Primary Care Providers Thorndike, Lori L 3814 E 120th Ave Thornton, CO (303) City: Westminster Eliassen, Megan W 2551 W 84th Ave Westminster, CO (303) Engel, Bernard E 8461 Turnpike Dr #200 Westminster, CO (303) County: Alamosa City: Alamosa Gregg, Tammy 1710 First St (719) Gruber, Michael 106 Blanca Ave #300 (719) Hurley, Grant 1560 W 12th St #7 (719) Kinney, Elizabeth 1560 W 12th St #7 (719) Lykke, Megan 1710 First St (719) Mcalpine, Sarah 2115 Stuart St (719) Quintana, Joseph C 106 Blanca Ave #300 (719) Silva, Roberto P 106 Blanca #300 (719) Sowards, Martin W 77 Adcock Dr (719) Steinberg, Kristina 1560 W 12th St #7 (719) Steinberg, Kristina A 1710 First St (719) Thompson, Patrick 2115 Stuart St (719) Velasquez, Ricardo S 106 Blanca Ave #300 (719) Williams, Brian K 2115 Stuart St (719) County: Arapahoe City: Aurora Walker, Brett J 6240 S Main St #255 Aurora, CO (303) County: Baca City: Walsh Troup, William R 137 Kansas St Walsh, CO (719) County: Bent City: Las Animas Abrahamson, Heather L 245 Vine Ave Las Animas, CO (719) County: Boulder City: Boulder Granston, Laurence A 350 Broadway St #130 Boulder, CO (303) Primary Care Providers This information is subject to change Section 2: Page 2

9 Section 2 - List of Plan Providers: Primary Care Providers Sperry, Corydon S 350 Broadway St #130 Boulder, CO (303) City: Longmont Allen, Michael 220 E Rogers Rd Longmont, CO (303) Brett, Matthew 220 E Rogers Rd Longmont, CO (303) Elzinga, Hans 220 E Rogers Rd Longmont, CO (303) Hand, Mikyong 220 E Rogers Rd Longmont, CO (303) Jaramillo, Gregory 220 E Rogers Rd Longmont, CO (303) Lu, Jean 220 E Rogers Rd Longmont, CO (303) Mlodinow, Steven G 220 E Rogers Rd Longmont, CO (303) Zorrilla, Ruben 220 E Rogers Rd Longmont, CO (303) City: Louisville Daarud, Richard S 90 Health Park Dr #320A Louisville, CO (303) City: Superior Liebentritt, Matthew 500 Discovery Pkwy #100 Superior, CO (303) County: Broomfield City: Broomfield Conway, Kieara A EPN Stapleton FOM Broomfield, CO (303) Nordin, John R 4750 W 120th Ave #100 Broomfield, CO (303) County: Chaffee City: Buena Vista Gibb, Eric N 36 Oak St Buena Vista, CO (719) Haas, Angela CR 317 Buena Vista, CO (719) Haas, Angela 836 US Hwy 24 S Buena Vista, CO (719) Loftin, Theresa CR 317 Buena Vista, CO (719) Lofton, Teresa CR 317 Buena Vista, CO (719) Maher, Steven F 836 US Hwy 24 S Buena Vista, CO (719) Sadler, Malin CR 317 Buena Vista, CO (719) Varble, Amy W 36 Oak St Buena Vista, CO (719) White, Thomas E 36 Oak St Buena Vista, CO (719) City: Salida Burkley, Matthew D 910 Rush Dr Salida, CO (719) Primary Care Providers This information is subject to change Section 2: Page 3

10 Section 2 - List of Plan Providers: Primary Care Providers Earhart, Stephanie R 320 E 1st St Salida, CO (719) Grant-Nierman, Meggan 910 Rush Dr Salida, CO (719) O'Hara, Ashley L 320E 1st Street Salida, CO (719) Reeves, Mary A 910 Rush Dr Salida, CO (719) Schaler, Joel E 910 Rush Dr Salida, CO (719) Wigington, James G 320 E 1st St Salida, CO (719) County: Conejos City: Antonito Rankin, Rachel 10th St And Dahlia Antonito, CO (719) City: Bountiful Kinney, Elizabeth State Hwy 285 Bountiful, CO (719) Pilapitiya, Leshitha Nuwan State Hwy 285 Bountiful, CO (719) Tailleur, Daniel 509 Main St Bountiful, CO (719) City: La Jara Celada, Marco 509 Main St La Jara, CO (719) Jackson, Vaughn D 416 Main La Jara, CO (719) County: Costilla City: San Luis Glaser Carpenter, Amy N Hwy 159 San Luis, CO (719) County: Custer City: Westcliffe Aschenbrener, Pam 704 Edwards St Westcliffe, CO (719) Bliss, Robert S 704 Edwards St Westcliffe, CO (719) Mohr, Gary A 704 Edwards Ave Westcliffe, CO (716) County: Denver City: Denver Buisker, Elizabeth 2803 Roslyn St Denver, CO (303) Burke, Daniel J 3055 Roslyn St #100 Denver, CO (720) Cain, Jeffrey J 3055 Roslyn St #100 Denver, CO (720) Conry, Colleen M 3055 Roslyn St #100 Denver, CO (720) Deffenbacher, Brandy R 3055 Roslyn #100 Denver, CO Deutchman, Mark E 3055 Roslyn St #100 Denver, CO (720) Primary Care Providers This information is subject to change Section 2: Page 4

11 Section 2 - List of Plan Providers: Primary Care Providers Dickinson, W Perry 5250 Leetsdale Dr #302 Denver, CO (303) Dodson, William H 4231 W 16th Ave Denver, CO (303) Gaspar, David L 5250 Leetsdale Dr #302 Denver, CO (303) Green, Larry A 5250 Leetsdale Dr #302 Denver, CO (303) Laubach, Sherri J 4231 W 16th Ave Denver, CO (303) Leopold, Lori A 300 S Jackson St #340 Denver, CO (303) Meeuwsen, Annamarie 7155 E 38th Ave Denver, CO (303) Miller, John L 4231 W 16th Ave Denver, CO (303) Nowels, David 5250 Leetsdale Dr #302 Denver, CO (303) Scanlan, Amy 360 S Garfield St #500 Denver, CO (303) Walsh, Kristine E 3401 Quebec St #1015 Denver, CO (303) Wilson, Calvin 5250 Leetsdale Dr #302 Denver, CO (303) County: Douglas City: Lone Tree Bislip, Debra 8080 E Park Meadows Dr Lone Tree, CO Leiszler, Matthew S 8080 E Park Meadows Dr Lone Tree, CO Svircev, Anna 8080 E Park Meadows Dr Lone Tree, CO County: El Paso City: Colorado Springs Adler, Jay 2020 W Colorado Ave Colorado Springs, CO (719) Aragon, Mario 5265 N Academy #1800 Colorado Springs, CO (719) Astor, Elaine T 2685 Dublin Blvd Colorado Springs, CO (719) Ayers, Tracy E 4760 Flintridge Dr #200 Colorado Springs, CO (719) Baldauf, Caryn 2405 Research Pkwy (719) Ballard, Phillip 2610 Thenderfoot Hill Ln Colorado Springs, CO (719) Baluja, Viveck 2020 W Colorado Ave Colorado Springs, CO (719) Baptist, Robert 1633 Medical Ctr Pt #233 (719) Primary Care Providers This information is subject to change Section 2: Page 5

12 Section 2 - List of Plan Providers: Primary Care Providers Baron, Lisa L 2685 Dublin Blvd Colorado Springs, CO (719) Barrick, Steven J 104 Pro Rodeo Dr Colorado Springs, CO (719) Barry, Frank J 2130 Hollowbrook Dr #100 Colorado Springs, CO (719) Bartlett, Thomas 6011 E Woodmen Rd Colorado Springs, CO (303) Bird, C David 2960 N Cir Dr #200 (719) Bodman, Mark E 9480 Briar Village Point #200 (719) Bower, Reeves E 2685 Dublin Blvd Colorado Springs, CO (719) Brady, Julie M 2020 W Colorado Ave Colorado Springs, CO (719) Brassfield, T Scott 3220 N Academy Bvld #5 Colorado Springs, CO (303) Brewner, Eric A 2610 Tenderfoot Hill #103 Colorado Springs, CO (719) Brodie, Steven 2610 Tenderfoot Hill #103 Colorado Springs, CO (719) Case, Linda M 3958 N Academy Blvd #108 Colorado Springs, CO (719) Christoff, Anthony J 715 N Cascase Ave Colorado Springs, CO (719) Clark, Douglas 6140 Tutt Blvd #200 Colorado Springs, CO (719) Clothier, Peter J 2685 Dublin Blvd Colorado Springs, CO (719) Constantinides, Alexios C 5265 N Academy #1800 Colorado Springs, CO (719) Davis-Trujillo, Rebecca S 1715 N Weber St #200 (719) Devalon, Melissa L 2405 Research Pkwy (719) Dlugos, Thomas P 309 E Espanola St (719) Dumbacher, Perri L 8890 N Union Blvd #200 (719) Evans, Richard O 2610 Tenderfoot Hill #103 Colorado Springs, CO (719) Farkas, Stephen 6340 Barnes Rd Colorado Springs, CO (719) Fellhauer, Daniel R 4760 Flintridge Dr #200 Colorado Springs, CO (719) Foss, Megan 5265 N Academy #1800 Colorado Springs, CO (719) Primary Care Providers This information is subject to change Section 2: Page 6

13 Section 2 - List of Plan Providers: Primary Care Providers Fraley, Mark 2141 N Academy Cr (719) Gadeliya, Albina E 3910 S Carefree Cir #C Colorado Springs, CO (719) Ginde, Savita 3958 N Academy Blvd #108 Colorado Springs, CO (719) Grunow, David A 6340 Barnes Rd Colorado Springs, CO (719) Halby, Lauren J 8890 N Union Blvd #200 (719) Harrall, Jarrod 6140 Tutt Blvd #200 Colorado Springs, CO (719) Hemsworth, Michael J 2610 Tenderfoot Hill #103 Colorado Springs, CO (719) Henley, Daniel R 9480 Briar Village Point #200 (719) Higgins, Charles P 1304 N Academy #208 (719) Huffman, Sarah L 8890 U Union Blvd #200 (719) Hurst, Derrick 3470 Centennial Blvd #205 (719) Jewell, Gary S 3910 S Carefree Cir #C Colorado Springs, CO (719) Jewell, Mary E 3910 S Carefree Cir #C Colorado Springs, CO (719) Jordon, Cynthia K 629 N Nevada Ave #110 Colorado Springs, CO (719) Kennedy, Jamieson D 2020 W Colorado Ave #203 Colorado Springs, CO (719) Kent, Jeffrey R 9480 Briar Village Point #200 (719) Klein, Gary J 2960 N Circle Dr #100 (303) Kurish, John B 5265 N Academy #1800 Colorado Springs, CO (719) Lawson, Theodore S 4760 Flintridge Dr #200 Colorado Springs, CO (719) Lesh, Kurt W 2960 N Cir Dr #200 (719) Malabre, William 2020 W Colorado Ave Colorado Springs, CO (719) Mallon, Victoria 3470 Centennial Blvd #205 (719) McCarthy, Shane E 2685 Dublin Blvd Colorado Springs, CO (719) McConnaughy, Richard A 2610 Tenderfoot Hill #103 Colorado Springs, CO (719) Primary Care Providers This information is subject to change Section 2: Page 7

14 Section 2 - List of Plan Providers: Primary Care Providers Michael, Joyce E 8890 N Union Blvd #220 (719) Murray, Kathryn K 6011 E Woodmen Rd Colorado Springs, CO (303) Nevarez, Max A 6340 Barnes Rd Colorado Springs, CO (719) Nitcher, Kathleen G 2405 Research Pkwy (719) O'Donnell, Sean 629 N Nevada Ave #110 Colorado Springs, CO (719) Olivier, Brian D 2405 Research Pkwy (719) Owen, Amy J 6140 Tutt Blvd #200 Colorado Springs, CO (719) Pennington, Phillip A 6340 Barnes Rd Colorado Springs, CO (719) Prendes, Carlos 4760 Flintridge Dr #200 Colorado Springs, CO (719) Rand, Patricia J 3100 N Academy Blvd #211 Colorado Springs, CO (719) Ravin, Sheldon 2960 N Circle Dr #200 (719) Reed, Michelle 6615 Delmonico Dr Colorado Springs, CO (719) Reedy, Brad J 3260 E Woodmen Rd #210 (719) Roberson, Kent G 6140 Tutt Blvd #110 Colorado Springs, CO (719) Roberts, Dawn 4760 Flintridge Dr #200 Colorado Springs, CO (719) Rodriguez, Sebastian J 1428 N Circle Dr # 2 (719) Rubick, Vernon M 8540 Scarborough Dr #100 (719) Rudderow, Shireen 1633 Medical Ctr Pt #233 (719) Ryan, Christopher J 2222 N Nevada Ave (719) Ryan, Steven E 6011 E Woodmen Rd #300 Colorado Springs, CO (719) Scally, Katherine M 2960 N Circle Dr #100 (303) Segal, Scott 2222 N Nevada Ave (719) Seufer, Sonia A 6340 Barnes Rd Colorado Springs, CO (719) Seymour, Karen 9480 Briar Village Point #200 (719) Primary Care Providers This information is subject to change Section 2: Page 8

15 Section 2 - List of Plan Providers: Primary Care Providers Silveira, Linda 6025 Delmonico Dr Colorado Springs, CO (719) Stampher, Keith W 2855 Dublin Blvd Colorado Springs, CO (719) Stewart, Connie 9480 Briar Village Point #200 (719) Strode, Lloyd L 6615 Delmonico Dr Colorado Springs, CO (719) Swanson, Douglas G 3245 International Cr Colorado Springs, CO (719) Tarshis, Gary 2141 N Academy (719) Tewes, L Brad 6340 Barnes Rd Colorado Springs, CO (719) Thomas, Richard S 209 S Nevada Ave Colorado Springs, CO (719) Thorndike, Lori L 3958 N Academy Blvd #108 Colorado Springs, CO (719) Vanderwel, Brenda 9480 Briar Village Point #200 (719) Walton, Mark 2141 N Academy Cr (719) Walton, Mark W 2141 N Academy Cir #102 (719) Weber, Terri 6140 Tutt Blvd #200 Colorado Springs, CO (719) Whittington, Brien J 5333 N Union Blvd #200 Colorado Springs, CO (719) Woody, Scott 2164 Hollow Brook Dr Colorado Springs, CO (719) Wyse, Timothy W 2610 Tenderfoot Hill #103 Colorado Springs, CO (719) Wyse, Timothy W 4050 Briargate Pkwy (719) Yoesel, Michael A 8890 N Union Blvd #220 (719) Zbylski, David T 9480 Briar Village Point #200 (719) Zirkle, David H 2685 Dublin Blvd Colorado Springs, CO (719) City: Fountain Miller, Richard A 5115 Fontaine Blvd Fountain, CO (719) Veselka, Deanne L 5115 Fontaine Blvd Fountain, CO (719) City: Monument Jaeger, Warren 550 Highway 105 Monument, CO (719) Shahan, Patrick 550 Highway 105 Monument, CO (719) Primary Care Providers This information is subject to change Section 2: Page 9

16 Section 2 - List of Plan Providers: Primary Care Providers Voth, John W 1770 Deer Creek Rd Monument, CO (719) City: Peyton Raper, Kenneth S 7475 McLaughlin Rd Peyton, CO (719) County: Fremont City: Canon City Arnold, Robert 109 Latigo Ln #C Canon City, CO (719) Belanger, Sheryl C 614 Yale Place Canon City, CO (719) Bennett, Robert J 602 Yale Place Canon City, CO (719) Button, Marcus A 715 S Ninth St Canon City, CO (719) Dillon, Robert R 1227 S 9th St Canon City, CO (719) Hill, Brian D 1338 Phay Ave Canon City, CO (719) Mohr, Gary A 730 Macon Ave Canon City, CO (719) Ritchie, Darvin R 602 Yale Place Canon City, CO (719) Rivera, Richard 127 Justice Ctr Rd #J Canon City, CO (719) Shamis, Mason C 614 Yale Place Canon City, CO (719) City: Penrose Jacobs, Madeleine 91 Illinois Ave Penrose, CO (719) County: Garfield City: Glenwood Springs Faught, Jamie Hwy 6 Glenwood Springs, CO (970) County: Grand City: Granby Anderson, Robert C T 480 E Agate Granby, CO (970) Bohlender, Timothy 480 E Agate Granby, CO (970) France, Michael 480 E Agate Granby, CO (970) Lipke, Jeffrey 480 E Agate Granby, CO (970) Smiley, Justin 480 E Agate Granby, CO (970) Stuerman, Jason 480 E Agate Granby, CO (970) City: Winter Park Anderson, Robert C T 145 Parseen Rd Winter Park, CO (970) Primary Care Providers This information is subject to change Section 2: Page 10

17 Section 2 - List of Plan Providers: Primary Care Providers Bortz, Richard A 145 Parseen Rd Winter Park, CO (970) France, Michael 145 Parseen Rd Winter Park, CO (970) Lipke, Jeffrey 145 Parseen Rd Winter Park, CO (970) Smiley, Justin 145 Parseen Rd Winter Park, CO (970) Stuerman, Jason 145 Parseen Rd Winter Park, CO (970) County: Hinsdale City: Lake City Durmon, Beuford T 700 N Henson St Lake City, CO (970) County: Huerfano City: Bear Creek Cluff, William L 908 S Oak St Bear Creek, CO (719) City: Walsenburg Adams, Olixn US Hwy 160 W Walsenburg, CO (719) Boynton, Steve Hwy 160 W Walsenburg, CO (719) Cuccinelli, Kevin US Hwy 160 W Walsenburg, CO (719) Moll, Lori Hwy 160 W Walsenburg, CO (719) Moll, Michael A Hwy 160 W Walsenburg, CO (719) Neece, C David 100 W 4th St Walsenburg, CO (719) Villalon Jr, Solomon 809 Main St #3 Walsenburg, CO (719) County: Jefferson City: Arvada Goldberg, Ellice W 63rd Place Arvada, CO (303) Loyd, Stephen O 7403 Church Ranch Blvd #107 Arvada, CO (303) Mack, Majorie Arvada Arvada, CO (303) McFarland, Bruce D W 63rd Pl Arvada, CO (303) Poddar, Sourav K 7403 Church Ranch Blvd #107 Arvada, CO (303) Tidler, Diana L 7403 Church Ranch Blvd #107 Arvada, CO (303) City: Denver Ellis, Clarence W Alameda 90A Denver, CO (303) Primary Care Providers This information is subject to change Section 2: Page 11

18 Section 2 - List of Plan Providers: Primary Care Providers Hermann, Joseph F 1555 S Wadsworth Blvd #3 Denver, CO (303) Shaver, Kathryn M W 2nd PL Denver, CO (303) City: Evergreen Brekhus, Kit K 1520 Evergreen Pkwy Evergreen, CO (303) Brockman, Anne L 1520 Evergreen Pkwy Evergreen, CO (303) Brockman, Anne L 6851 Hwy 73 Evergreen, CO (303) Hire, Mary Lou 1520 Evergreen Pkwy Evergreen, CO (303) Michael, Robert V 6851 Hwy 73 Evergreen, CO (303) City: Lakewood Beck, Suzanne M W Alameda Pkwy #90A Lakewood, CO (303) Olivares, Rafael J 355 Union Blvd #200 Lakewood, CO (303) City: Littleton Foster, Mark E Bradford Rd #150 Littleton, CO (303) Sims, Robert 6169 S Balsam Way #250 Littleton, CO (303) Walker, Lisa K Bradford Rd #150 Littleton, CO (303) City: Westminster Artist, Ricky L 7625 W 92nd Ave Westminster, CO (303) Clower, Benjamin 7625 W 92nd Ave Westminster, CO (303) City: Wheat Ridge West, Cydney 7777 W 38th Ave Wheat Ridge, CO (303) County: Kit Carson City: Burlington Maes, Elizabeth th St Burlington, CO (719) Pham, Bong T th St Burlington, CO (719) Pimentel, Sacramento th St Burlington, CO (719) City: Stratton Pimentel, Sacramento 500 Nebraska Ave Stratton, CO (719) County: La Plata City: Durango Kovich, Heather 46 Suttle Dr Durango, CO (970) County: Lake City: Leadville Callen, Wayne L 822 W 4th St Leadville, CO (719) Petry, Gary 822 W 4th St Leadville, CO (719) Primary Care Providers This information is subject to change Section 2: Page 12

19 Section 2 - List of Plan Providers: Primary Care Providers County: Larimer City: Berthoud Maly, Timothy J th St Berthoud, CO (970) City: Fort Collins Abrahamson, Bradley 3702 Automation Way #103 Fort Collins, CO (970) Adamson, Carrie 2021-D Battlecreek Dr Fort Collins, CO (970) Adamson, Theran 2021-D Battlecreek Dr Fort Collins, CO (970) Albritton, Eliz 7603 Colland Dr Fort Collins, CO (970) Anderson, Robert 3519 Richmond Dr Fort Collins, CO (970) Archer, Deborah 1635 Blue Spruce Dr Fort Collins, CO (970) Askew, Crystal D 1918 S Lemay Ave #A Fort Collins, CO (970) Bender, John L 4674 Snow Mesa Dr #140 Fort Collins, CO (970) Brewington, Flora 1124 E Elizabeth St Fort Collins, CO (970) Brickl, Ian 1635 Blue Spruce Dr Fort Collins, CO (970) Broman, Steven D 3702 Automation Way #103 Fort Collins, CO (970) Burnham, Linda 4674 Snow Mesa Dr #140 Fort Collins, CO (970) Carroll, Cory 1101 E Elizabeth St Fort Collins, CO (970) Cawley, John 2025 Bighorn Dr Fort Collins, CO (970) Cranor, John David 1124 E Elizabeth St Fort Collins, CO (970) DeYoung, Douglas B 1014 Centre Ave Fort Collins, CO (970) Fritzler, Stace A 2121 E Harmony Rd #370 Fort Collins, CO (970) Ghadimi, Mahkameh 1635 Blue Spruce Dr Fort Collins, CO (970) Gray, April K 1918 S Lemay Ave #A Fort Collins, CO (970) Grossman, Daniel R 2121 E Harmony Rd #370 Fort Collins, CO (970) Henderson, Sandra E 2025 Bighorn Dr Fort Collins, CO (970) Hopkins, Jan 1120 E Elizabeth Bldg G #1 Fort Collins, CO (970) Primary Care Providers This information is subject to change Section 2: Page 13

20 Section 2 - List of Plan Providers: Primary Care Providers Jinich, Daniel B 2001 S Shields St Bldg E #201 Fort Collins, CO (970) Johns, Stacie 1635 Blue Spruce Dr Fort Collins, CO (970) Kauffman, Jeffrey 1124 E Elizabeth St Fort Collins, CO (970) Kesler, James 3519 Richmond Dr Fort Collins, CO (970) Klingner, Susan 2025 Bighorn Dr Fort Collins, CO (970) Kurth, Jay R 608 E Harmony Rd #101 Fort Collins, CO (970) Lockwood, Stephanie 3519 Richmond Dr Fort Collins, CO (970) Lowther, Kelly H 1014 Centre Ave Fort Collins, CO (970) McCarthy, Victoria A 2001 S Shields St Bldg I Fort Collins, CO (970) McCarty, Michael Corey 1006 Robertson St Fort Collins, CO (970) McCreery, Colleen 3519 Richmond Dr Fort Collins, CO (970) Merkel, Lawrence A 2121 E Harmony Rd #370 Fort Collins, CO (970) Miller, Laurie 1635 Blue Spruce Dr Fort Collins, CO (970) Nevrivy, Thomas E 3519 Richmond Dr Fort Collins, CO (970) Orozco-Peterson, Marilu 811 E Elizabeth St Fort Collins, CO (970) Podhajsky, Timothy P 3702 Automation Way #103 Fort Collins, CO (970) Robinson, Anne L 3702 Automation Way #103 Fort Collins, CO (970) Rodriguez, Juan B 4674 Snow Mesa Dr #140 Fort Collins, CO (970) Rubright, Jon S 2001 S Shields St Bldg I Fort Collins, CO (970) Samuelson, Scott 1124 E Elizabeth St Fort Collins, CO (970) Sands, Arthur 1021 Robertson St Fort Collins, CO (970) Schaffer, Scott J 303 Colland Dr Fort Collins, CO (970) Schaffer, Scott J 7603 Colland Dr Fort Collins, CO (970) Schmidt, David 3519 Richmond Dr Fort Collins, CO (970) Primary Care Providers This information is subject to change Section 2: Page 14

21 Section 2 - List of Plan Providers: Primary Care Providers Seidman, Marc 1635 Blue Spruce Dr Fort Collins, CO (970) Serrano-Toy, Monica T 2121 E Harmony Rd #370 Fort Collins, CO (970) Siple, Anne 2025 Bighorn Dr Fort Collins, CO (970) Stephens, Floyd V 1113 Oak Ridge Dr Fort Collins, CO (970) Taylor, Grant M 608 E Harmony Rd #101 Fort Collins, CO (970) Thieman, William 1006 Robertson St Fort Collins, CO (970) Thorndike, Lori L 825 S Shields St Fort Collins, CO (303) Unger, Mark 3702 Automation Way #103 Fort Collins, CO (970) Van Farowe, Cynthia 3519 Richmond Dr Fort Collins, CO (970) Weiskittel, Deborah A 3702 Automation Way #103 Fort Collins, CO (970) Whitman, Douglas W 1635 Blue Spruce Dr #101 Fort Collins, CO (970) Wideman, J 2001 S Shields St Bldg I Fort Collins, CO (970) Wilson, Fiona A 3702 Automation Way #103 Fort Collins, CO (970) City: Loveland Abrahamson, Lara 1625 Foxtrail Dr #190 Loveland, CO (970) Anderson, Thomas M 2701 Madison Square Dr Loveland, CO (970) Cabrera, Anthony J 914 W 6th St Loveland, CO (970) Danforth, James C 2701 Madison Square Dr Loveland, CO (970) Dillon, Sue C 3880 N Grant Ave #140 Loveland, CO (970) Doft, Anthony A 2701 Madison Square Dr Loveland, CO (970) Flake, Zachary 2701 Madison Square Dr Loveland, CO (970) Flake, Zachary A 2701 Madison Square Dr Loveland, CO (970) Hailey, Mark A 914 W 6th St Loveland, CO (970) Hepp, Heidi N 2701 Madison Square Dr Loveland, CO (970) Hoffmann, Julie A 3880 N Grant Ave #140 Loveland, CO (970) Primary Care Providers This information is subject to change Section 2: Page 15

22 Section 2 - List of Plan Providers: Primary Care Providers Hollos, Lori Ann 2701 Madison Square Dr Loveland, CO (970) Hollos, Lori Ann 2701 Madison Square Dr Loveland, CO (970) Jacob, Prema M 914 W 6th St Loveland, CO (970) Mallory, Patrick L 1548 N Boise Ave Loveland, CO (970) Mercer, Jeannette Y 2555 E 13th St #1 Loveland, CO (970) Milano, William J 2555 E 13th #130 Loveland, CO (970) Milano, William J 3880 N Grant Ave #140 Loveland, CO (970) Reents, William J 914 W 6th St Loveland, CO (970) Rule, Ingrid K 1323 Harlow Ln #1 Loveland, CO (970) Snodgrass, David S 2701 Madison Square Dr Loveland, CO (970) Stansloski, Julie A 914 W 6th St Loveland, CO (970) Tippin, Steven 1625 Foxtrail Dr #190 Loveland, CO (970) Wiggins, Michael P 3880 N Grant Ave #140 Loveland, CO (970) City: Wellington Reichert, Bryan K 8017 First St #C Wellington, CO (970) Weixelman, Janice 8017 First St #C Wellington, CO (970) City: Windsor Lembitz, Deanne D 4630 Royal Vista Dr #7 Windsor, CO (970) Mason, Anthony R 4630 Royal Vista Dr #7 Windsor, CO (970) County: Las Animas City: Trinidad Carter, Thomas J 400 Benedicta Ave #A Trinidad, CO (719) Goodell, Charles 400 Benedicta Ave Trinidad, CO (719) Lopez, Christine M 400 Benedicta Ave #A Trinidad, CO (719) McFarland, Douglas M 1502 E Main St Trinidad, CO (719) Paz, David R 400 Benedicta Ave #A Trinidad, CO (719) Pham, Bongq 400 Benedicta Ave #A Trinidad, CO (719) Porterfield, Stacey D 400 Benedicta Ave #A Trinidad, CO (719) Primary Care Providers This information is subject to change Section 2: Page 16

23 Section 2 - List of Plan Providers: Primary Care Providers Tennery, Paul 412 Benedicta Ave Trinidad, CO (719) County: Lincoln City: Limon Sheeder, Amy 820 1st St PO Box 1120 Limon, CO (719) County: Logan City: Sterling Ahuja, Abhishek 1410 S 7th Ave Sterling, CO (970) Bacon, Jeffrey L 615 Fairhurst St Sterling, CO (970) Clark, Curtis C 1405 S 8th Ave #103 Sterling, CO (970) Gerk, Charles A 1405 S 8th Ave #103 Sterling, CO (970) Nix, Shirley 615 Fairhurst St Sterling, CO (970) Vanschooneveld, Craig 615 Fairhurst St Sterling, CO (970) Walker, Dominique J 615 Fairhurst St Sterling, CO (970) County: Mineral City: Creede Harbert, Jennifer R 802 Rio Grande Ave Creede, CO (719) County: Montezuma City: Mancos Casias, Luke 111 E RailRd Ave Mancos, CO (970) County: Morgan City: Brush Dilley, Lynn R 1224 Edison St #A Brush, CO (970) Johnson, Scott 2400 W Edison St Brush, CO (970) Lehman, Charles H 2400 W Edison St Brush, CO (970) McClure, Ralph E 2400 W Edison St Brush, CO (970) Statz, Lila A 2400 W Edison St Brush, CO (970) Talluri, Jayanth 2400 W Edison St Brush, CO (970) Tripathi, Tejas B 2400 W Edison St Brush, CO (970) City: Fort Morgan Budde, Praveen K 909 E Rail Rd Ave Fort Morgan, CO (970) Cook, Jeffrey S 726 E RailRd Ave Fort Morgan, CO (970) Epps, Samara 102 W 9th Ave Fort Morgan, CO (970) Frantz, Paula 1000 Lincoln St #203 Fort Morgan, CO (970) Primary Care Providers This information is subject to change Section 2: Page 17

24 Section 2 - List of Plan Providers: Primary Care Providers Hansen-Guzman, Aline C 726 E RailRd Ave Fort Morgan, CO (970) Hernandez, Elias 726 E RailRd Ave Fort Morgan, CO (970) Kruglet, Donald 102 W 9th Ave Fort Morgan, CO (970) LeBlanc, Jacques Y 726 E RailRd Ave Fort Morgan, CO (970) Lehman, Charles 500 Main St Fort Morgan, CO (970) Lindell, Kevin 1000 Lincoln St #203 Fort Morgan, CO (970) Statz, Lila A 909 E Rail Rd Ave Fort Morgan, CO (970) Thiel, Robert 102 W 9th Ave Fort Morgan, CO (970) Thompson, Francis A 102 W 9th Ave Fort Morgan, CO (970) Wismann, Andrea E 1000 Lincoln St #203 Fort Morgan, CO (970) County: Otero City: La Junta Book, Richard K 2317 San Juan Ave La Junta, CO (719) Dempsey, Leslie 1100 Carson Ave #201 La Junta, CO (719) Fryer, Angela 1100 Carson Ave #201 La Junta, CO (719) Mai, Vui Van 2201 San Juan Ave La Junta, CO (719) Martino, Michael J 1200 Carson Ave #102 La Junta, CO (719) Schmucker, M Lee 2201 San Juan Ave La Junta, CO (719) Sims, Jason R 1100 Carson Ave #203 La Junta, CO (719) Weixelman, Janice 1100 Carson Ave #201 La Junta, CO (719) Welch, Joshua A 1100 Carson Ave #201 La Junta, CO (719) Zickefoose, M Susan 1100 Carson #200 La Junta, CO (719) Zoschke, Merindy 1100 Carson Ave #201 La Junta, CO (719) City: Rocky Ford Dempsey, Bradley 903 S 12th St Rocky Ford, CO (719) Morgenson, Jason 903 S 12th St Rocky Ford, CO (719) Primary Care Providers This information is subject to change Section 2: Page 18

25 Section 2 - List of Plan Providers: Primary Care Providers County: Prowers City: Lamar Ray, Hilton C 403 Kendall Dr #150 Lamar, CO (719) County: Pueblo City: Pueblo Aguirre, Casey M 1315 Fortino Blvd W Pueblo, CO (303) Anderson, Susan F 1600 N Grand Ave #245 Pueblo, CO (719) Arline, Alfred D 1925 E Orman Ave #440 (719) Beauman, John 3676 Parker Blvd Pueblo, CO (719) Borsa, Valerie 300 Colorado Ave (719) Briggs-Mead, Merilee C 3676 Parker Blvd Pueblo, CO (719) Cavalli, Cheryl A 3676 Parker Blvd #260 Pueblo, CO (719) DeRuiter, Scott A 3676 Parker Blvd Pueblo, CO (719) DeRuiter, Scott A 3937 Ivywood Ln Pueblo, CO (719) Dickerman, Joel L 902 Lakeview Ave (719) Dunn, Jan R 1925 E Orman Ave #440 (719) Duran, Michelle S 141 Purcell Blvd #150 Pueblo, CO (719) Elijah, Rochelle Y 3676 Parker Blvd #260 Pueblo, CO (719) Elijah, Rochelle Y 3937 Ivywood Ln Pueblo, CO (719) Felt, Sarah B 902 Lakeview Ave (719) Harris, Kajsa T 3937 Ivywood Ln Pueblo, CO (719) Harris, Kajsa T 902 Lakeview Ave (719) Highfill, John G 916 Indiana Ave #110 (719) Hrabal, Tanya L 1315 Fortino Blvd W Pueblo, CO (303) Hynes, Brian 415 N Grand Ave Pueblo, CO (719) Khosla, Rakesh K 1315 Fortino Blvd W Pueblo, CO (303) Lloyd, Emillia 902 Lakeview Ave (719) Primary Care Providers This information is subject to change Section 2: Page 19

26 Section 2 - List of Plan Providers: Primary Care Providers Martinez, Benjamin 1726 S Prairie Ave Pueblo, CO (719) McCormack, Debra J 1925 E Orman Ave #440 (719) Milligan, Steven L 902 Lakeview Ave (719) Murbach, Candace R 902 Lakeview Ave (719) Murillo Herrera, Sergio A 1008 Minnequa Ave (719) Norton, Jade P 4722 Eagle Ridge Cir Pueblo, CO (719) Ramos, Michael 216 W 13th St Pueblo, CO (719) Raye, Charles H 902 Lakeview Ave (719) Rendler, Michael 401 Michigan St (719) Richmond, Wendy A 902 Lakeview Ave (719) Rivera, Richard 1080 Chinook Ln Pueblo, CO (719) Salvatore, Shirley U 902 Lakeview Ave (719) Schottstaedt, Louise E 1925 E Orman Ave #440 (719) Smith, Bradley W 44 Briargate Terrace Pueblo, CO (719) Smith, Christopher J 517 Colorado Ave (719) Smith, Christopher J 916 Indiana #120 (719) Stein, Laura A 902 Lakeview Ave (719) Strange, Lynn M 902 Lakeview Ave (719) Tyler, John R 1925 E Orman Ave #440 (719) Walker, Spencer D 3676 Parker Blvd Pueblo, CO (719) White, John T 1925 E Orman Ave #440 (719) Wilson, Christopher A 3676 Parker Blvd Pueblo, CO (719) Woods, Phillip H 1925 E Orman Ave A345 (719) Zickefoose, M Susan 3676 Parker Blvd Pueblo, CO (719) Primary Care Providers This information is subject to change Section 2: Page 20

27 Section 2 - List of Plan Providers: Primary Care Providers City: Pueblo West Abernethy, Kim 1619 N Greenwood Ave #200 Pueblo West, CO (719) Bennett, Dana 121 Crescent Dr #B Pueblo West, CO (719) Benton, Donald 121 Crescent Dr #B Pueblo West, CO (719) McCreight, Kasey 121 Crescent Dr #A Pueblo West, CO (719) County: Rio Grande City: Del Norte Basinger, Janet 310 CR 14 Del Norte, CO (719) Giampaolo, Angela 310 CR 14 Del Norte, CO (719) Helgeson, Heidi E 310 CR 14 Del Norte, CO (719) Holsworth, Ralph 310 CR 14 Del Norte, CO (719) Howard, Bobby D 310 CR 14 Del Norte, CO (719) Luckow, Toshiko 310 CR 14 Del Norte, CO (719) Peterson, Jon L 310 CR 14 Del Norte, CO (719) City: Monte Vista DeHerrera, Orlando R 103 Chico Court Monte Vista, CO (719) Franco, Melissa N 95A W First Ave Monte Vista, CO (719) Mendoza, Phillip 925 Second Ave Monte Vista, CO (719) ONeill, Eugene 10 Ruppert St Monte Vista, CO (719) County: Saguache City: Center Wheeler, Justin 186 N Hurt St Center, CO (719) City: Saguache Arnett, David M 405 Denver Ave Saguache, CO (719) County: Teller City: Woodland Park Chen, Casie L 41 North Hwy 67 Woodland Park, CO (719) Concelman, Stacy W Highway 24 #200 Woodland Park, CO (719) Hoffman, Randall G 720 W Hwy 24 Woodland Park, CO (719) Snyder, Jeffrey G Hwy 24 # #220 Woodland Park, CO (719) Uusinarkaus, Kari T 41 N Hwy 67 Woodland Park, CO (719) Primary Care Providers This information is subject to change Section 2: Page 21

28 Section 2 - List of Plan Providers: Primary Care Providers Young, Matthew C W Highway 24 #200 Woodland Park, CO (719) County: Washington City: Akron Fillion, Robert 482 Adams Ave Akron, CO (970) Goodyear, Marjorie 482 Adams Ave Akron, CO (970) County: Weld City: Eaton Barker, Lance 100 S Cherry Ave #1 Eaton, CO (970) Lyons, Marianne V 100 S Cherry Ave #1 Eaton, CO (970) Lyons, Marianne V 100 S Cherry Ave Unit 1 Eaton, CO (970) Morgan, Dana 100 S Cherry Ave #1 Eaton, CO (970) Nystrom, Robert R 100 S Cherry Ave Unit 1 Eaton, CO (970) City: Fort Lupton Denegri, Alberto 1115 Second St Fort Lupton, CO (303) Farley, Tillman 1115 Second St Fort Lupton, CO (303) Robinson, Clandra 1115 Second St Fort Lupton, CO (303) Rufner, Katherine L 1115 Second St Fort Lupton, CO (303) City: Frederick Metcalf, Melanie 5995 Iris Pkwy Frederick, CO (303) City: Garden City Coonrod, Rita A th St Garden City, CO (970) City: Greeley Al-Adsani, Wasl th St (970) Bearden, Jacqueline S 5623 W 19th St Greeley, CO (970) Bearden, Jacqueline S 5623 W 19th St Greeley, CO (970) Beck, Susan M th Ave #110 Greeley, CO (970) Branum, Joanna H 2520 W 16th St Greeley, CO (970) Budensiek, Richard L th Ave #110 Greeley, CO (970) Budensiek, Richard L 5623 W 19th St Greeley, CO (970) Campbell, Richard M th St (970) Primary Care Providers This information is subject to change Section 2: Page 22

29 Section 2 - List of Plan Providers: Primary Care Providers Caragol, Jennifer th Ave #110 Greeley, CO (970) Clang, Daniel 2520 W 16th St Greeley, CO (970) Clang, Tamara S 2520 W 16th St Greeley, CO (970) Colgan, Ann T 2520 W 16th St Greeley, CO (970) Cook, Jeffrey S rd Ave Greeley, CO (970) Coonrod, Rita Aline rd Ave Greeley, CO (970) Dallow, Kurt T rd Ave Greeley, CO (970) Dawson, Jennifer D 2520 W 16th St Greeley, CO (970) Dawson, Judd W th St (970) Deutchman, Mark E rd Ave Greeley, CO (970) Fahrenholtz, H. Daniel rd Ave Greeley, CO (970) Finnoff, Gregory J th St (970) Fried, Robert A th St (970) Garber, Stacey L 2520 W 16th St Greeley, CO (970) Hager, Barbara E th St (970) Haskins, R Scott 2520 W 16th St Greeley, CO (970) Hotz, Isaac M th St (970) Jeffers, Wayne S rd Ave Greeley, CO (970) Jeffers, Wayne S th St (970) Jermy, Grover 2918 W 10th St Greeley, CO (970) Kennedy, Christopher T 2520 W 16th St Greeley, CO (970) Leonard, Brian rd Ave Greeley, CO (970) Lobitz, Paul D 2520 W 16th St Greeley, CO (970) Manter, Charles 2918 W 10th St Greeley, CO (970) Primary Care Providers This information is subject to change Section 2: Page 23

30 Section 2 - List of Plan Providers: Primary Care Providers McCall, Janis 5890 W 13th #101 Greeley, CO (970) McCall, Janis R 5623 W 19th St Greeley, CO (970) Morgan, Frank 5623 W 19th St Greeley, CO (970) Morgan, Frank D 5623 W 19th St Greeley, CO (970) Ogden, Samuel C rd Ave Greeley, CO (970) Paczosa, Michelle K 2520 W 16th St Greeley, CO (970) Puls, David 5623 W 19th St Greeley, CO (970) Rommereim-Madden, Daphne K rd Ave Greeley, CO (970) Smith, David B rd Ave Greeley, CO (970) Tucker, Douglas A th St (970) Walker, Justin J th St (970) Wallace, Mark E rd Ave Greeley, CO (970) Zhang, Shu th St (970) City: Johnstown Brown, Cara E 222 Johnstown Ctr Dr Johnstown, CO (970) Brown, John M 222 Johnstown Ctr Dr Johnstown, CO (970) Brown, John M 222 Johnstown Ctr Dr Johnstown, CO (970) Gregory, Joseph E 222 Johnstown Ctr Dr Johnstown, CO (970) Isley, Courtney B 222 Johnstown Ctr Dr Johnstown, CO (970) Kary, Jonathan 222 Johnstown Ctr Dr Johnstown, CO (970) Kenigsberg, Thomas A 222 Johnstown Ctr Dr Johnstown, CO (970) Vinjamuri, Courtney 222 Johnstown Ctr Dr Johnstown, CO (970) City: Keenesburg Brignoni, Hector J 190 S Main/PO Box 559 Keenesburg, CO (303) City: Windsor Bakanauskas, Egle A 1300 Main St Windsor, CO (970) Bradley, Robert C 1300 Main St Windsor, CO (970) Primary Care Providers This information is subject to change Section 2: Page 24