August 2012
THRiVE
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» NORTHERN COLORADO WELLNESS
REDUCING THE RISKS NCMC is working with electronic medical records to address the concern of overusing CT scans and radiation exposure
Read more on Page 6. » INSIDE: FEW FACE HEALTH CARE TAX PENALTY • MEDICARE COVERAGE Q&A • AUG. HEALTH EVENTS
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July 25, 2012
July 25, 2012
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■■HEALTH CARE TAX
FEW COLORADANS LIKELY TO PAY PENALTY By Ann Imse Colorado Public News
No more than 15 percent of Colorado voters will face a decision about whether to buy health insurance or pay a tax penalty instead in 2014. As few as 1 percent of voters could end up actually paying the penalty. Nailing down precise estimates is tough. Reality may be somewhere in between these figures, when the Affordable Care Act and its mandate to buy insurance takes effect in 18 months. Those rough calculations were made for Colorado Public News by the Colorado Health Institute, the state’s collector of statistics on health care. The numbers are estimated to be so low because the health care law contains numerous exemptions. Also, many people qualify
for subsidies from the federal on his estimates and those government. Some of them made by economist Jonathan are expected to buy insurance, Gruber of the Massachusetts instead of paying the penalty. Institute of Technology in a A family of four with a cur- study for Colorado’s new state rent income of up to $88,000 health insurance exchange. Gruber, who favors the law, qualifies for a subsidy. “There are a lot of moving projected totals for 2016, after parts,” said Jeff Bontrager of the penalty has been in effect the Colorado Health Insti- for two years. Start with 900,000 untute, noting the estimates are based on decisions yet to be insured Coloradans (slightly more than today due to popumade by real human beings. The number of Colorado’s lation growth). First deduct: 3.3 million voters affected is » 130,000 low-income important because the tax penalty is playing as a major Coloradans, who will now get campaign issue in November. free Medicaid insurance. » 152,100 undocumented Republicans are counting on broad voter anger about the people, who are exempt from principle of requiring Ameri- the penalty, as well as benefits cans to purchase health insur- of the law, and who can’t vote. ance. But how many end up paying the penalty may —wellness or may not — make a difference to voters. Here’s how Bontrager reached his figures, based
» 120,900 who have various other exemptions. This includes exemptions for anyone who must pay more than 8 percent of their income to buy insurance; people who earn so little they don’t have to file a tax return; and prisoners. That leaves about half a million Coloradans — or 15 percent — who’ll have to buy insurance or pay a penalty. Next, using rough estimates for the number of uninsured who will choose to purchase policies, deduct: » 160,000 Coloradans who will receive new employer insurance due to subsidies and penalties for employers. » 220,000 who will re-
ceive subsidies and choose to buy insurance. Then deduct those who won’t be casting ballots: » 65,000 legal residents who are not yet citizens and can’t vote. » 10,000 children (20 percent of the remainder) who can’t vote. That leaves approximately 42,000 of the state’s 3.3 million voters left to pay the penalty. Cut that down to the 88 percent of voters who actually cast a ballot, and the number
drops to 36,960, or just over 1 percent who pay. But every one of those numbers is an estimate. There’s also a fair amount of guesswork in deciding the number of people who will take a subsidy and buy insurance. So the reality is: Significantly fewer than 15 percent of Colorado’s voters will pay the penalty. Exactly how many? Ask in 2016 if this estimate was correct.
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July 25, 2012
AUGUST HEALTH EVENTS « Paws & Sneakers 5k Fun
Run: Hearts in Love FurEver, 7:30-11 a.m. Aug. 25 at Twin Rivers Community Park, 1501 65th Ave., Greeley. The Humane Society of Weld County will host the annual Paws & Sneakers 5k Fun Run and activities of Hearts in Love Fur-Ever! Participation in the Fun Run is not required for enjoying Hearts in Love Fur-Ever. Dogs are welcome, but not required for the run. Details: www.bannerhealth. com/ncmcspirit.
« WomenHeart of Weld
County, 6-7:30 p.m. Aug. 15 at North Colorado Medical Center Cardiac Kitchen, 1801 16th St. in Greeley. Know your Numbers: Why blood pressure and cholesterol are important. For more information on WomenHeart of Weld County, call Janea Fowler at (970) 631-6364.
« Aging well, 9-11 a.m. Mon-
days, Aug. 6-Oct. 1 at North Colorado Medical Center, Union Colony Room, Area
C on the ground floor, 1801 16th St. in Greeley. Class: A Matter of Balance. Taught by Weld County Area Agency on Aging. Free, donations are accepted. Call (970) 346-6950, ext. 6117 for more information.
« Blood Tests, 7-8:45 a.m.
Aug. 8 and 22, North Colorado Medical Center, Union Colony Room, Area C on the ground floor, 1801 16th St. in Greeley. Wellness Services offers low-cost blood screenings open to community members. Some immunizations are also available upon request and availability. Participants need to fast for 12 hours before the blood draw. To make an appointment, call (970) 350-6633.
« Body Check Head To Toe,
Aug. 7 and 21 at the Summit View Medical Commons, 2001 70th Ave. in Greeley. Head-to-toe health screenings include blood work, sleep questionnaire, lung function test, body composi-
tion, hip and waist measurements, health education, EKG with results, bone density, peripheral arterial disease screenings, ultrasound of carotid vessels and ultrasound of aorta, $175. To schedule an appointment, call (970) 350-6070.
Greeley. This class is designed for licensed and non-licensed health care providers who need to recertify through the American Heart Association. The certification is valid for two years. Bring a copy of the Course Completion Certificate with you.
« CPR for health care provid- « Cooking Class: Cooking ers, 5-8:30 p.m. Aug. 6 at North Colorado Medical Center, Longs Room, second floor, 1801 16th St., in Greeley. This class is designed for licensed and nonlicensed health care providers. Topics covered include cardiopulmonary resuscitation, airway obstruction and rescue breathing for adult, children and infants. The certification is valid for two years. Cost: $50. To register, call (970) 350-6633.
« CPR for Health Care Providers Skills Check, 3:30-4:30 p.m. Aug. 20 at North Colorado Medical Center, Wellness Conference Room, first floor, 1801 16th St. in
Basics, 6-7:15 p.m. Aug. 20 at North Colorado Medical Center, Cardiac Rehab Kitchen, 1801 16th St. in Greeley. Learn some basic cooking tips to help you cook like a pro. Taught by Mary Branom, R.D. Cost: $10. To register, call (970) 350-6633.
identification of nonmodifiable and modifiable risks, and lifestyle behavior change options. To make an appointment, call (970) 350-6070. Cost: $199.
« PAD Screening (Peripheral
Vascular Disease), 1-3 p.m. Aug. 7 and 21 at Summit View Medical Commons, 2001 70th Ave. in Greeley. Cost: $100.
« Diabetes and Pregnancy
education, Offered weekly at North Colorado Medical Center, 1801 16th St. in Greeley. Cost: $10. Call (970) 392-2344 to schedule an appointment.
« CT Heart Score Screening, 1 « Diabetes Information and 2 p.m. Mondays-Fridays at North Colorado Medical Center, 1801 16th St. in Greeley. This is a noninvasive test that measures the amount of calcified plaque in the arteries. The Heart Score program includes a 10-minute consultation with a wellness specialist, focusing on cardiac risk factor education,
Group, 7-8 p.m. Aug. 14 at North Colorado Medical Center, 1801 16th St., Greeley. For people with diabetes, their family, friends, care givers or anyone with an interest in diabetes. To register, call (970) 392-2344.
« Keep Pace: Lung Disease Management, Education
and Updates, 6:30-7:30 p.m. July 26 or 10-11 a.m. July 27 at North Colorado Medical Center, 1801 16th St. in Greeley.
« Prediabetes class, meets at
North Colorado Medical Center, 1801 16th St., Greeley. Call (970) 392-2344 to sign up for a three-class session. This class will teach the difference between prediabetes and diabetes; what you can do to prevent type 2 diabetes; how to develop a lifelong plan to help keep your blood sugars in the normal range. Cost: $30.
« Cancer Support Group,
5:30-7 p.m. Tuesdays at North Colorado Medical Center, 1801 16th St. in Greeley.
« Breast Cancer Support
Group, 5:30-7 p.m. Aug. 2 at North Colorado Medical Center, 1801 16th St. in Greeley.
« Man-to-Man Prostate
Cancer Support Group, 5:30-7 p.m. Aug. 16 at North Colorado Medical Center, 1801 16th St. in Greeley.
Aug. 1-7 is World Breastfeeding Week Staff reports
Colorado ranks sixth in the U.S. for its number of mothers who breastfeed, according to the Centers for Disease Control and Prevention. Aug. 1-7 is World Breastfeeding Week and this year’s theme is Breastfeeding — Understanding the Past — Planning the Future.
The American Academy of Pediatrics and the World Health Organization recommend that a baby be fed only breast milk for the first six months and that they continue to be breastfed with the addition of appropriate solid food for the first year and beyond. The two organizations say that some of the benefits of breastfeeding include:
» Children receive the most complete mix of nutrients and antibodies; » Less risk of childhood obesity; and » Breastfeeding lowers the mother’s risk of breast and ovarian cancer. “The more our society accepts breastfeeding as the normal, natural way to feed a baby, the
healthier and better off we will be as a nation, state and community,” said Kelly Imus, health education specialist with the Weld County Department of Public Health and Environment, in a news release. “In light of the financial and life-saving benefits of breastfeeding, the entire community must cooperate and support breastfeeding. In the end,
our whole society benefits from having healthier mothers, babies and children when breastfeeding is promoted, protected and supported.” For more information contact the Weld County Department of Public Health and Environment by calling (970) 304-6420, ext. 2325 or send an email to kimus@co.weld.co.us.
July 25, 2012
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■■EATING DISORDERS
BATTLE SHEDS LIGHT, BREAKS STEREOTYPES
By John Keilman
» Common risk factors in males
Chicago Tribune
CHICAGO — Rob hated to run. But
he hated to stop even more. That’s when his disparaging inner voice, the one that had belittled him since seventh grade, would emerge. If he didn’t keep going, it said, he was going to get fat. He would never have the shredded abs that taunted him from every fitness magazine. He would be just a regular guy — not the superman he felt driven to become. So on he ran. And when even six hours a day of exercise weren’t enough to quiet the voice, he started skipping meals too. While anorexia, bulimia and other eating disorders are potentially lethal — up to 5 percent of those suffering from them die from suicide, substance abuse or medical issues, according to a study published in the American Journal of Psychiatry — they have traditionally been viewed as women’s problems. Researchers say only 10 percent of those who are treated for the conditions are male. But a growing body of evidence suggests that number is misleading. A study published last year estimated that males actually make up 40 percent of teens who have eating disorders. An earlier Harvard survey found that men account for 25 percent of adults with anorexia and bulimia. Some therapists say more men and boys are seeking help. Niquie Dworkin, who practices on the North Side, said males have been tormented by the same kind of unattainable body images that have long plagued women and girls. “Action figures used to look normal,” she said. “Now they’re superhuman with really cut abs and really big shoulders. Even little boys are being exposed to images of men that are not realistic.” While eating disorders in men and women appear to have similar roots in genetics, media messages,
MCCLATCHY NEWSPAPERS
Dr. Ted Weltzin, medical director of eating disorder services at Rogers Memorial Hospital, said male eating disorders can go unrecognized for years for one simple reason: Few people expect to encounter one in a man. While much remains unknown about how and why these disorders develop in men and boys, Weltzin said there are a few common risk factors: » Males tend to focus on muscle definition rather than losing weight. “We’re seeing an evolution as to how men are portrayed in print and magazines,” Weltzin said. “It’s going down the same tired path as what happens with women, but it’s an overvaluing of muscularity.” » Men with eating disorders are more likely than women to have been overweight in the past and are more likely to have suffered “weight-based victimization” in their childhoods. » Eating disorders are significantly higher among gay males than heterosexual ones. The reasons for that aren’t clear, but Weltzin said it might be related to the emotional stress of growing up gay or how body image is valued in the gay community. » Athletes who participate in sports in which body weight is a major factor — including everything from wrestling to high-jumping — can be susceptible to eating disorders.
ROB STANDS NEXT TO a self-portrait or a body trace
where one side depicts reality and the other side depicts perception last month in Elgin, Illinois. He made this artwork while at Roger Memorial Hospital where he was being treated for an eating disorder in 2011. perfectionism and low self-esteem, the symptoms are often different. Experts say one big contrast is that men usually focus on muscularity, not thinness, and they tend to manage their weight by working out to incredible extremes. That’s what happened with Rob, 24, a young man from Elgin, Ill., who asked that his last name not be used. Experts said his case was typical of men with eating disorders. His trouble began at age 14, not long after bullying schoolmates mocked him for supposedly being fat. Vowing to gain the same kind of lean, athletic physique one of his tormentors had, he started doing 100 pushups a night. He then moved to the weight room, and when he entered high school, the cross-country team. His parents were delighted. The other runners were laid-back, friendly and supportive, and Rob’s grades improved after he joined the team. He cut junk food from his diet and worked out with a vengeance. Almost imperceptibly, though, his routines grew longer. By the time
he was a senior, he made excuses to leave practice early so he could work out even harder alone. Strange thing, though: Rob didn’t care that much about winning races or setting records. He didn’t really even like running. Thinking about the hours of exercise that awaited him after school filled him with dread. But it was far worse to skip a workout or ease up on its intensity. If he backed down, his inner voice told him, something indefinably bad would happen. So he absorbed the pain, and after noticing an odd relief in hunger, he began skipping meals, too. Mastering his body allowed him to feel as though he could manage a life that had become lonely and socially awkward. Rob’s intense exercise led to stress fractures, and he decided not to join the cross-country team when he went to college in fall 2006. But he didn’t let up on his body. Instead he rose at 6 a.m. for a quick breakfast before heading to the gym for a four-hour workout,
including 90 minutes on an elliptical machine and an hour of weights. In the afternoon, after skipping lunch, he walked for two hours before doing repeats on the library steps. He picked at his dinner before rewarding himself for his suffering with a giant piece of pie. When Rob healed enough to run, his routines grew ever more punishing, his body ever lighter — sometimes dipping below 100 pounds on his 5-foot-7 frame. A photograph taken of him at a swimming pool in July 2009 shows deep hollows beneath his cheekbones. Striated ropes of muscle press through his skin. His arms and legs appear as thin and brittle as sticks. Rob’s family, long in denial, knew he was in trouble. He knew it, too. But even though he had begun to see a therapist, it was easier to follow his compulsions than resist. In November 2011, Rob sustained another leg fracture, the result of what doctors said was a lack of calcium in his bones. Though he was ordered to rest for a month, he became so frenzied from inactivity that he grabbed his crutches and did hobbled laps around his parents’ kitchen table. It turned out to be his moment of clarity. He called the eating disorders
recovery center at Alexian Brothers Behavioral Health Hospital in Hoffman Estates, Ill., and had himself admitted. Therapy and reflection eventually convinced Rob that he needed to change. He yielded to the program and spent a few weeks putting on weight before transferring to Rogers Memorial Hospital near Milwaukee, home to a rare males-only eating disorders program. His task there was to excavate the psychological turmoil that lay beneath his behavior — the desire for control, the need to feel special, even the fear of becoming an adult — and reset his mind and body to healthy habits. In his three months at Rogers, Rob said, he learned to take a more realistic view of himself and gain more control over his eating and exercise habits. He works out cautiously, lifting weights with his father lest he get carried away. On a recent Sunday morning he went for a slow walk around the block, the only form of cardiovascular exercise he allows himself. “Sometimes there’s the urge to hurry up,” he said, strolling past wellwatered lawns and vibrant flower beds. “It’s a little battle. I usually win.”
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July 25, 2012
REDUCING
NCMC uses electro
I
By NATE A. MILLER | nmiller@greeleytribun
f a patient comes to North Colorado Medical Center with comp good bet one of the first things the doctor will do is order a comp The scan, which combines a series of X-rays into a detailed 3find blockages in arteries, bleeding in the brain, tumors and oth scan also exposes patients to radiation. A study published last mont can Medical Association, showed that the use of CT scans and othe patients to radiation has almost tripled since 1996, bringing with it role that radiation from such tests may play in causing cancer. The trends continue, 2 percent of future cancers will be caused by use of
FOR THE TRIBUNE/Erik Stenbakken
THIS IS A PHOTO of a CT scanner in the background in the CardioVascular Institute of North Colorado at North Colorado Medical Center in Greeley.
Thanks to Phoenix-based Banner Health’s electronic medical records system, doctors at NCMC have a new tool to ensure patients don’t receive too many CTs, said Dr. Sheldon G. Stadnyk, chief medical officer for NCMC and regional medical officer for Banner’s western region. “The physicians enter their own orders into the computer,” he said. “As soon as the physician clicks order, up pops the screen that says you need to know this man has had three CT scans within a 90-day period of time.” There is widespread agreement in the medical community that imaging tests are overutilized, particularly CT scans. In April, the American Board of Internal Medicine released a report that asked doctors from numerous medical specialties to list five procedures they felt were used too much. All of the doctors — including cardiologists, oncologists and family physicians — listed CT scans among their top five. CT scans are especially handy in the emergency department. “One of the things that pushes us to use CT scanning is because of the demands of volume placed on the ED,” he said. “Large numbers of people come in. You want to do the right thing for the patient. You want to get the right answer as quick as you can. CT scanners really have been one of
the most expedient ways to evaluate a patient.” RISK AND REWARD
Stadnyk said the CT remains a valuable and important diagnostic tool, and patients shouldn’t fear it. The risk of cancer associated with radiation from diagnostics such as CT scans is minor, especially when compared to the risk of the often lifethreatening ailments a CT scan can diagnose. “A physician is trained to really think carefully about whether the best diagnostic test is a CT scan,” he said. “They’re trained to really stop and say, ‘Is this the single best thing I can use to make this diagnosis?’ When it is, probably, the test should be done.” For other patients, like those who have significant medical problems and have had a number of CT scans, the answer may be different. In some cases, a doctor may choose to use an MRI instead of a CT scan to avoid radiation exposure. The key, Stadnyk said, is for doctors and patients to be aware of the risk and manage it appropriately. “The risk of not doing an indicated test is probably a greater risk than radiation exposure,” he said. The Journal of the American Medical Association study examined data from patients enrolled in six large
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G RADIATION THREATS
onic medical records to tackle CT scan concerns
ne.com
»»For»more
plaints of abdominal pain, it’s a puted tomography, or CT, scan. -D image, allows doctors to her serious conditions, but the nth in the Journal of the Amerier diagnostic tests that expose t increased concerns about the study estimated that if current of these tests. health maintenance organizations and found that doctors ordered CT scans at a rate of 149 tests per 1,000 patients in 2010, nearly triple the rate of 52 scans per 1,000 patients in 1996. MRI use nearly quadrupled during the period, jumping from 17 to 65 tests per 1,000 patients, the results were published in the June 13 edition of the Journal of the American Medical Association. These and other tests have meant that more patients have absorbed more ionizing radiation as part of their medical care. The proportion of patients in the study who had any amount of radiation exposure — driven by the use of CTs — rose from 28.5 percent in 1996 to 36.2 percent in 2010; among them, their average exposure jumped from 4.8 millisieverts to 7.8 millisieverts. At the top end of the spectrum, the proportion of patients in the study who got radiation at high or very high levels rose from 1.8 percent to 3.9 percent. Although MRIs do not use ionizing radiation, CTs do, and that can damage the DNA in cells and lead to mutations that cause cancer. And both kinds of tests are expensive. Advanced imaging adds about $100 billion to U.S. medical bills each year, said study leader Dr. Rebecca SmithBindman, a radiologist and epidemiologist at the University of California,
To see a video of study leader Dr. Rebecca Smith-Bindman discussing the Journal of the American Medical Association, go to http:// jama.jamanetwork.com/multimediaPlayer.aspx?mediaid=3444911
patient within 90 days. Once they receive the warning, doctors have the final say about whether to order the CT. JUST THE BEGINNING
FOR THE TRIBUNE
THIS»SCREENSHOT»FROM»NORTH»Colorado Medical Center shows the warning that doctors see if they try to order more than three CT scans within 90 days. NCMC is using its electronic medical records system to help doctors reduce the amount of radiation patients are exposed to through diagnostic equipment like a CT scan. San Francisco. Researchers already have charted similar growth in advanced imaging in fee-for-service medical systems, where doctors may have a financial incentive to order tests that aren’t really necessary. The JAMA report is the first large study to focus on imaging use in HMOs. The findings suggest that profit-seeking on the part of doctors is not the primary cause of the increase in testing. “In the fee-for-service world, there are enormous incentives to do more testing because it’s a very profitable part of health care,” Smith-Bindman said. “But in these HMOs, the health care system doesn’t really get any direct financial gains from these tests.” She offered other explanations for
the increase in testing, including unrealistic expectations about the ability of CTs and MRIs to show what is wrong with a patient and doctors’ fear that if they don’t order the tests, they will miss something that could lead to a lawsuit. “For many scenarios, deciding to image is an absolute slam dunk,” she said. “But we need to get away from the default approach of, ‘Oh, let’s just image.’ ” Stadnyk said NCMC’s use of electronic medical records to help doctors better decide when to use CT scans is not focused on costs, but rather on improving patient safety. He said the electronic medical records play a key role in helping doctors make the right decision by warning doctors that three CT scans have been done on a
NCMC and Banner, which manages the hospital, have one of the most advanced electronic medical records systems in the nation, Stadnyk said. “We can’t remember to ask every question that somebody else may have asked the patient,” he said. “We may have 20 things in the chart about the patient, but when you’re trying to do a new procedure you may not bring all those things to mind. The computer is constantly on guard.” In addition to helping manage CT usage and monitoring for infections like sepsis, the electronic medical records offer a wide range of ways to improve care, Stadnyk said. “It’s keeping track of information that we have put in and said, ‘This is important,’ ” he said. “I think it’s just the beginning of the real integration of care that the electronic record provides us with. There’s going to be many other things that we can do in the future that we haven’t even started to do.” Stadnyk said the computer has proved valuable when it comes to finding trends in medical data that human’s struggle to spot. For example, if a patient’s temperature is still within the normal range, but has risen steadily over time, the electronic medical records system can detect
that pattern and give early warning to doctors something might be wrong. “I think the computer is just a huge, huge asset in analyzing things we can’t do freehand and reminding us of things we can’t keep track of,” he said. Still, the computer system isn’t perfect. For example, it doesn’t extend beyond the Banner system, which means that if a patient recently got a CT scan at another hospital, the electronic medical record system at NCMC wouldn’t know about it and wouldn’t warn doctors. The Colorado Regional Health Information Organization, of which NCMC is a member, is working to integrate the electronic medical records across the state. “We’re not there yet,” Stadnyk said. “It’s expensive. They don’t know how to do it.” Doctors will, of course, ask patients about their medical history, but patients aren’t always aware of what they had, and don’t always remember to share that information with their doctors. Some day, Stadnyk said, patients may carry around a smart card, like a credit card, that will carry their medical history wherever they go. That, too, isn’t here yet. Even without the technology, he said, patients can play a key role in improving their care, by asking questions and bringing up concerns with their doctor. “We love to have patients more involved with their care,” he said. “We do far better, we have better outcomes when patients are truly pertaining with us.” The Los Angeles Times contributed to this report.
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July 25, 2012
Q&A ON MEDICARE COVERAGE Centers for Medicare and Medicaid Services
eran’s Administration to pay for services you must go to a VA facility or have the VA authorize services in a non-VA facility. However, there may be situations when both the VA and Medicare can pay for different services within the same episode of health care. If the VA authorizes services in a non-VA hospital, but doesn’t pay for all of the services you get during your hospital stay, then Medicare may pay for the Medicare-covered part of the services that the VA doesn’t pay for. For example, let’s say Jim is a veteran and goes to a nonVA hospital for a service that is authorized by the VA. While at the non-VA hospital, Jim gets other non-VA authorized services that the VA refuses to pay. Some of those services are Medicare-covered
UESTION — If a Qperson has veterans’
benefits and also is eligible for Medicare and enrolled in Medicare, what does each insurance pay?
A
NSWER — If you
have or can get both Medicare and veterans’ benefits, you can get treatment under either program. When you get health care, you must choose which benefits you are going to use. You must make this choice each time you see a doctor or get health care. Medicare can’t pay for the same service that was covered by veterans’ benefits and your veterans’ benefits can’t pay for the same service that was covered by Medicare. However, to get the Vet-
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services. Medicare may pay for some of the nonVA authorized services that Jim got. Jim will have to pay for services not covered by Medicare or the VA. Sometimes Medicare may help pay the VA copayment. The VA copayment is your share of the cost of your treatment and is based on income. Medicare may be able to pay all or part of your copayment if you are billed for VA-authorized care by a doctor or hospital that isn’t part of the VA. — What is QaUESTION VA Fee – Basis Iden-
tification card, and who pays first in this situation, Medicare or the VA?
A
NSWER — Veteran’s
Affairs gives “fee-basis ID cards” to certain veterans. You may be given a fee-basis ID card if the following conditions apply: » You have a serviceconnected disability. » You will need medical services for an extended period of time. » There are no VA hospitals in your area. If you have a fee-basis ID card, you may choose any doctor who is listed on your card to treat you. If the doctor accepts you as a patient and bills the VA for services, the doctor must accept the VA’s payment as payment in full. The doctor can’t bill either you or Medicare for these services. If your doctor doesn’t accept the fee-basis ID card, you will need
to file a claim with the VA yourself. The VA will pay the approved amount to either you or your doctor. UESTION — What Qabout VA’s prescrip-
tion drug benefit and Medicare’s prescription drug benefit, Part D; can a veteran have both of these benefits?
A
NSWER — These two
benefits don’t work together. A Medicare beneficiary can use their VA prescription drug benefit as creditable coverage and he or she does not have to enroll in Medicare Part D. However, they can enroll in Medicare’s prescription drug benefit by enrolling in a Part D plan during any valid enrollment period and when purchasing their prescriptions decide to use their VA coverage or their Part D coverage, but they can’t use them both at the same time. Some veterans choose to have both prescription drug coverages in case the VA doesn’t cover a drug that Medicare Part D might. Medicare’s open enrollment time period is Oct. 15-Dec. 7 every year, and new plan choices go into effect Jan. 1.
UESTION — Who Qshould one call if they
need more information?
A
NSWER — You can
get more information on veterans’ benefits by calling your local VA office or the national VA
information number at 1-800-827-1000. TTY users should call 1-800-8294833. You can also visit www.va.gov on the web. UESTION — What is QTRICARE?
A
NSWER — TRICARE
is a health care program for active-duty and retired uniform services members and their families. TRICARE includes the following: » TRICARE Prime » TRICARE Extra » TRICARE Standard » TRICARE for Life TRICARE for Life was created to provide expanded medical coverage to Medicare-eligible uniformed services retirees age 65 or older, their eligible family members and survivors, and certain former spouses. To get Tricare for Life benefits, you must have Medicare Part A and Part B.
UESTION — Can I Qhave both Medicare
and TRICARE?
A
NSWER — The
following groups of people can have both Medicare and other types of TRICARE: » Dependents of activeduty service members who are entitled to Medicare for any reason. » People under age 65 who are entitled to Medicare Part A because of a disability or End-Stage Renal Disease (ESRD) and enrolled in Medicare
Part B. » People age 65 or older who are entitled to Medicare Part A and are enrolled in Medicare Part B. UESTION — So, who Qpays first Medicare or
TRICARE?
A
NSWER — In general,
Medicare pays first for Medicare-covered services. TRICARE will pay the Medicare deductible and coinsurance amounts and for any service not covered by Medicare that TRICARE covers. You will have to pay the costs of services that Medicare or TRICARE doesn’t cover.
UESTION — Who Qpays for services from
a military hospital?
A
NSWER — If you get
services from a military hospital or any other federal provider, TRICARE will pay the bills. Medicare doesn’t usually pay for services you get from a federal provider or other federal agency.
UESTION — Who Qshould one call if
they have questions about TRICARE?
A
NSWER — You can
get more information on TRICARE by calling the health benefits adviser at a military hospital or clinic. You can also call 1-888-363-5433, or visit www.TRICARE.osd.mil on the web.
July 25, 2012
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TRiBUNE MEDiCAL DiRECTORY ACUPUNCTURE
PHYLLIS HAMAR, L.A.C.
Master of Science, Traditional Chinese Medicine NCCAOM Board Certified 710 11th Ave., Ste. 106 Greeley, CO 80631 970-539-0324
WESTLAKE FAMILY PHYSICIANS, PC 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Richard Budensiek, DO; Janis McCall, MD; Frank Morgan, MD; Jacqueline Bearden, MD; Angela Mill, MD Website: www.bannerhealth.com
ALZHEIMER’S/SKILLED CARE
AUDIOLOGY
ALPINE ALL ABOUT HEARING
1124 E. Elizabeth Street, #E-101 Fort Collins, CO 80524 Phone: (970)221-3372 Fax: (970)493-9237 3820 N. Grant Avenue Loveland, CO 80538 Phone: (970)461-0225 Fax: (970)593-0670 Web Site: www.allabouthearing.com Professionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-A Cheryl Hadlock, M. S., CCC-A
UNC AUDIOLOGY CLINIC
5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Web Site: www.meadowviewofgreeley.com
ASSISTED LIVING
BONELL GOOD SAMARITAN 708 22nd Street Greeley, CO 80631 Phone: (970) 352-6082 Fax: (970) 356-7970 www.good-sam.com
GRACE POINTE
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com
MEADOWVIEW OF GREELEY
5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Web Site: www.meadowviewofgreeley.com
THE BRIDGE ASSISTED LIVING 4750 25th Street Greeley, CO 80634 Phone: (970)339-0022
Gunter Hall, Room 0330 Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 Web Site: www.unco.edu/NHS/asls/clinic.htm Professionals: Diane Erdbruegger, Au.D., CCC-A; Sonie Harris, M.A., CCC-A Jennifer Weber, Au.D., CCC-A
BALANCE
LIFE CARE CENTER OF GREELEY- ASCENT 4800 25th Street Greeley, CO 80634 Phone: (970)330-6400 Professionals: Cozette Seaver, PT; Leslie Vail, PT
CARDIAC VASCULAR SURGERY
DENTISTRY - HYGENE
AABSOLUTELY SMILES
1135 N. Lincoln Avenue, Suite 4 Loveland, CO 80537 Phone: (970)622-0970 Fax: (970)622-0971 www.aabsolutelysmiles.com
DENTISTRY - PEDIATRIC
PEDIATRIC DENTAL GROUP
2003 46th Avenue Greeley, CO 80634 Phone: (970)330-4600 www.pediatricdentalspecialties.com Professionals: David Strange, DDS, MS Malcolm Strange, DDS, MS Courtney College, DDS, MS Justin Cathers, DDS, MS Gary Belanger, DDS
ENDOCRINOLOGY
MIRACLE-EAR
GRACE POINTE
MEADOWVIEW OF GREELEY
CARDIOLOGY
2528 16th Street Greeley, CO Phone: (970)352-2881 Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A
708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 Web Site: www.good-sam.com
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com
1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4391 Professionals: Lyons, Maurice I. Jr. DO Richards, Kenneth M. MD Tullis, Gene E. MD
AUDIOLOGY ASSOCIATES
2404 17th Street Greeley, CO 80634 Phone: (970)351-6620 749 S. Lemay Avenue, Suite A1 Fort Collins, CO 80524 (970)221-5225
BONELL GOOD SAMARITAN
CARDIAC, THORACIC & VASCULAR SURGERY (NCMC)
ENDOCRINOLOGY CLINIC (NCMC) 1801 15th Street, Ste 200 Greeley, CO 80631 Phone: (970)378-4676 Fax: (970)-378-4315 www.bannerhealth.com Professionals: Nirmala Kumar, MD
FAMILY PRACTICE MEDICINE
CARDIOVASCULAR INSTITUTE (NCMC) 1800 15th Street, #310 Greeley, CO 80631 Phone: (970) 392-0900 Professionals: James H. Beckmann, MD; Harold L. Chapel, MD; John Drury, MD; Lin-Wang Dong, MD; Cynthia L. Gryboski, MD; Cecilia Hirsch, MD; Paul G. Hurst, MD; Brian Lyle, MD; Randall C. Marsh, MD; Arnold Pfahnl, MD; James E. Quillen, MD; Gary A. Rath, MD; Ahmad Shihabi, MD;
DENTISTRY
ASCENT FAMILY DENTAL Scott Williams, DMD 3535 W. 12th Street, Suite B Greeley, CO 80634 Phone: (970)351-6095 www.dentalgreeley.com
GREELEY DENTAL HEALTH 1600 23rd Avenue Greeley, CO 80634 Phone: (970)353-4329 www.greeleydentalhealth.com Professionals: Randy C. Hatch, DDS Charles W. Johnson, DDS
JULIE KAVANAUGH, D.D.S. 3400 W. 16th Street, Suite 8-E Greeley, CO 80634 Phone: (970)351-0400 www.drjuliekav.com
FAMILY PHYSICIANS OF GREELEY, LLP-CENTRAL 2520 W. 16th St. Greeley ,CO Phone: (970) 356-2520 Professionals: Joanna H. Branum, M.D.; Ann T. Colgan, M.D.; Jennifer D. Dawson, D.O.; Douglas A. Magnuson, M.D.; Lori A. Ripley, M.D.; Andrew P. Stoddard, M.D.; D. Craig Wilson, M.D.
FAMILY PHYSICIANS OF GREELEY, LLP-COTTONWOOD 2420 W. 16th Street Greeley ,CO 80634 Phone: (970) 353-7668 Professionals: Christopher T. Kennedy, M.D.; Daniel P. Pflieger, M.D.; Mark D. Young, M.D.; Stacey L. Garber, M.D. Amy E. Mattox, M.D.
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2012 FAMILY PHYSICIANS OF GREELEY, LLP-WEST 6801 W. 20th Street, Suite 101 Greeley ,CO Phone: (970) 378-8000 Professionals: Daniel R. Clang, D.O.; Tamara S. Clang, D.O.; R. Scott Haskins, M.D.; Mathew L. Martinez, M.D.; Chima C. Nwizu, M.D.; Michelle K. Paczosa, D.O.; Jeffery E. Peterson, M.D.; Kyle B. Waugh, M.D.; Charles I. Zucker, M.D.
KENNETH M. OLDS
6801 W. 20th Street, Suite 208 Greeley ,CO 80634 Phone: (970)330-9061
MEDICAL ARTS PRACTICE
1300 Main Street Loveland, CO 80550 Phone: (970)686-5646 Fax: (970)686-5118 Professionals: Lance Barker, DO Jonathan Kary, MD Trina Kessinger, MD Pharmacy on site - open to the public.
WESTLAKE FAMILY PHYSICIANS, PC 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Richard Budensiek, D.O.; Jacqueline Bearden, MD; Janis McCall, MD; Angela Mills, MD Frank Morgan, MD; David Pols, D.O. www.bannerhealth.com
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TRiBUNE MEDiCALDiRECTORY DiRECTORY TRiBUNE MEDiCAL FUNERAL SERVICES
ALLNUTT & RESTHAVEN FUNERAL SERVICES 702 13th Street, Greeley, CO Phone: (970) 352-3366 650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-3208 8426 S. College Avenue, Ft. Collins, CO Phone: (970) 667-0202 2100 N. Lincoln, Loveland, CO Phone: (970) 667-1121 1302 Graves Avenue, Estes Park, CO Phone: (970) 586-3101
GASTROENTEROLOGY
HEALTH AND FITNESS
INDEPENDENT ASSISTED LIVING W/SERVICES
BANNER HOME MEDICAL EQUIPMENT (NCMC)
WORK OUT WEST
Health & Recreation Campus 5701 W. 20th Street Greeley, CO 80634 Phone: 970-330-9691 www.workoutwest.com
Phone: (970)506-6420
MENTAL HEALTH SERVICES
NCMC - BEHAVIORAL HEALTH
928 12th Street Greeley, CO 80631 Professionals: Cheryl Giambrone, LPC Elise Pugh, LPC Shawn Crawford, LPC Laura Grotenhuis, LPC Tia Lewis, LPC Renée Rogers, LMFT Cleopatra Songa, LCSW, CACIII Susan Goodrich, LCSW Dr Michael Fuller, Adult Psychiatry Dr. Amy Laurent, Adult Psychiatry Dr Nicholle Peralta, Adult Psychiatry Dr Patricia Al-Adsani, Child and Adolescent Psychiatry Jose Vasquez, Psychiatric Nurse Practitioner
HOME HEALTH CARE
CARING HEARTS HOME HEALTHCARE 6801 W. 20th Street, Suite 207 Greeley, CO 80634 Phone: (970)378-1409
REHABILITATION AND VISITING NURSE ASSOCIATION 2105 Clubhouse Drive Greeley, CO 80634 Phone: (970) 330-5655 Fax: (970) 330-7146 Web Site: www.rvna.info Professionals: Crystal Day, CEO
MIDWIFERY CARE
HOSPICE
HOSPICE OF NORTHERN COLORADO Administration Office 2726 W. 11th Street Road Greeley, CO 80634 Phone: (970)352-8487 Fax: (970)475-0037
PATHWAYS HOSPICE
305 Carpenter Road Ft. Collins, CO 80550 Phone: (970)663-3500 Fax: (970)292-1085 Web Site: www.pathways-care.org
INDEPENDENT ASSISTED LIVING
DOWGIN, THOMAS A., MD. CENTERS FOR GASTROENTEROLOGY 7251 W. 20th St., Bldg J Greeley, CO Phone: (970)207-9773 3702 Timberline Ft. Collins, CO Phone: (970)207-9773 2555 E. 13th Street, Suite 220 Loveland, CO Phone: (970)669-5432 Website: www.digestive-health.net
NORTH COLORADO GASTROENTEROLOGY (NCMC) 2010 16th Street, Ste. A Greeley, CO 80631 Phone: (970)378-4475 Fax: (970)378-4429 Professionals: Mark Rosenblatt, MD Ahmed M. Sherif, MD Yazan Abu Qwaider, MD
GRACE POINTE
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 Website: www.gracepointegreeley.com
MEADOWVIEW OF GREELEY
5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Website: www.meadowviewofgreeley.com
MEDICAL EQUIPMENT & SUPPLIES
BONELL GOOD SAMARITAN 708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 Web Site: www.good-sam.com
CENTER FOR WOMEN’S HEALTH 1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professionals: Marie Foose, CNM; Krista O’Leary, CNM Karen Vorderberg, CNM
FOX RUN SENIOR LIVING 1720 60th Avenue Greeley, CO 80634 Phone: (970)353-7773 Fax: (970)330-9708 Web Site: www.good-sam.com
INFECTIOUS DISEASE
BREEN, JOHN F., MD (NCMC) 1801 16th Street Greeley, CO 80631 Phone: (970)350-6071 Fax: (970)350-6702
INTERNAL MEDICINE
BANNER HEALTH CLINIC 2010 16th Street Greeley, CO 80631 Phone: (970)350-5660 www.bannerhealth.com Professionals: Giovanna Garcia, MD Steven Kalt, MD
MASSAGE THERAPY
HEALING TOUCH MASSAGE @ CENTER FOR WOMEN’S HEALTH
1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professional: Becci Payne, Certified Massage Therapist
NEPHROLOGY
GREELEY MEDICAL CLINIC 1900 16th Street Greeley, CO 80631 Phone: (970) 350-2438 Professionals: Donal Rademacher, MD
NEUROLOGY
July 25, 2012
2010 2012 CENTENNIAL NEUROLOGY Dr. David Ewing 7251 W. 20th Street, Unit C Greeley, CO 80634 Phone: (970) 356-3876
NCMC NEUROLOGY CLINIC
1800 15th Street, Suite 100B Greeley, CO 80631 Phone: (970) 350-5612 Fax: (970) 350-5619 Professionals: Siegel, Jeffery, MD Shaffer, William, MD; Hayes, Todd DO
NURSING HOME REHABILITATION
CENTENNIAL HEALTH CARE CENTER 1637 29th Ave. Place Greeley, CO 80634 Phone: (970) 356-8181 Fax: (970) 356-3278
OBSTETRICS & GYNECOLOGY
CENTER FOR WOMEN’S HEALTH 1715 61st Ave. Greeley, CO Phone: (970)336-1500 Professionals: Stewart Abbot, MD; Michael Plotnick, MD; Marie Foose, CNM; Krista O’Leary, CNM; Karen Vorderberg, CNM; Bea Bachenberg, WHCNP; Kecia Doll, Licensed Esthetician;
WESTLAKE FAMILY PHYSICIANS, PC 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Jacqueline Bearden, MD; Richard Budensiek, D.O.; Janis McCall, MD; Angela Mills, MD Frank Morgan, MD; David Pols, D.O. www.bannerhealth.com
ONCOLOGY & HEMALOLOGY
CANCER INSTITUTE (NCMC) 1800 15th Street, Greeley, CO 80631 Phone: (970) 350-6680 Toll Free: (866) 357-9276 Fax: (970)350-6610 Professionals: Elizabeth Ceilley, MD Brian Fuller, MD
July 25, 2012
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TRiBUNE MEDiCAL DiRECTORY ORTHODONTICS
GREELEY ORTHODONTIC CENTER 2021 Clubhouse Dr., Suite 110 Greeley, CO 80634 Phone: (970) 330-2500 Fax: (970) 330-2548 E-Mail: gocpc@doctork.com Website: www.doctork.com Professionals: Dr. Gary J. Kloberdanz
ORTHODONTIC ASSOCIATES OF GREELEY, PC
3400 W. 16thSt., Bldg 4-V Greeley, CO 80634 Phone: (970) 356-5900 Website: www.dredgren.com Professionals: Burdett R. Edgren, DDS, MS; Bradford N. Edgren, DDS, MS
ORTHOPEDICS
MOUNTAIN VISTA ORTHOPAEDICS
5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 Web Site: www.bannerhealth.com Professionals: Randy M. Bussey, MD Daniel Heaston, MD Thomas Pazik, MD Shelly Remley, PA-C Kelly R. Sanderford, MD Steven Sides, MD Linda Young, MD
PEDIATRICS
BANNER HEALTH CLINIC 6801 W. 20th Street, Suite 201 Greeley, CO 80634 Phone: (970)350-5828 www.bannerhealth.com Professionals: Amanda Harding, MD James Sando, MD
PEDIATRIC REHABILITATION
BANNER REHABILITATION CENTER 1801 16th Street Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858
PERSONAL RESPONSE SERVICE
BANNER LIFE LINE (NCMC) 2010 16th Street, Suite C Greeley, CO 80631 Phone: 1-877-493-8109 (970) 378-4743
PHYSICAL THERAPY
HOPE THERAPY CENTER (Formerly North Colorado Therapy Center) 2780 28th Avenue Greeley, CO 80634 Phone: (970)339-0011 Website: www.GCIinc.org Professionals: Chris Denham, PT; Kryste Haas, OT; Kathie Hertzke, PTA; Moni Kohlhoff, PT; Alex Luksik, PTA; Jeanne Rabe, PT; Howard Belon, PhD, Clinical Psychologist
PODIATRY
FOOT & ANKLE CENTER OF NORTHERN COLORADO P.C. 1931 65th Ave., Suite A Greeley, CO 80634 Phone: (970) 351-0900 Fax: (970) 351-0940
4401 Union Street Johnstown, CO 80534 Phone: (970) 443-0925 Web Site: www.footandanklecolorado.com Professionals: Daniel J. Hatch, D.P.M. Mike D. Vaardahl, D.P.M.
REHABILITATION
ASCENT AT LIFE CARE CENTER 4800 25th Street Greeley, CO 80634 Phone: (970)330-6400 Website: www.lcca.com Professionals: Annie Bennett Leslie Vail
BANNER REHABILITATION Phone: (970)350-6160
PEAKVIEW MEDICAL CENTER 5881 W. 16th St. Greeley, CO 80634 Phone: (970)313-2775 Fax: (970)313-2777
SKIN CARE
KECIAS SKIN CARE @ CENTER FOR WOMEN’S HEALTH 1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professinal: Kecia Doll, Licensed Esthetician
SKILLED CARE/REHAB
NORTH COLORADO PULMONARY (NCMC)
MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 Web Site: www.bannerhealth.com Professionals: Randy M. Bussey, MD Daniel Heaston, MD Thomas Pazik, MD Shelly Remley, PA-C Kelly R. Sanderford, MD Steven Sides, MD Linda Young, MD
NORTH COLORADO SPORTS MEDICINE
BANNER REHABILITATION CENTER 1801 16th Street Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858
SURGERY GENERAL & TRAUMA
2012 BARIATRIC SURGERY (NCMC) 1800 15th Street, Suite 200 Greeley, CO 80631 Phone: (970)378-4433 866-569-5926 Fax: (970)378-4440 Professionals: Michael W. Johnell, MD
SURGERY WESTERN STATES BURN CENTER (NCMC) 1801 16th Street Greeley, CO 80631 Phone: (970)350-6607 Fax: (970)350-6306 Professionals: Gail Cockrell, MD Cleon W. Goodwin, MD BURN
SURGICAL ASSOCIATES OF GREELEY PC (NCMC) 1800 15th St. Suite 210 Greeley, CO Phone: (970)352-8216 Toll Free: 1-888-842-4141 Professionals: Lisa Burton, M.D.; Michael Harkabus, M.D.; Jason Ogren, M.D.; Samuel Saltz, D.O.; Robert Vickerman, M.D.
URGENT CARE
SUMMITVIEW URGENT CARE 2001 70th Avenue Greeley, CO 80634 Phone: (970)378-4155 Fax: (970)378-4151 www.bannerhealth.com Professionals: Thomas Harms, MD Amy E. Shenkenberg, MD Linda Young, MD
UROLOGY
PROSTHETICS & ORTHOTICS
MOUNTAIN VISTA UROLOGY
CERTIFIED PROSTHETICS & ORTHOTICS, LLC (GREELEY LOCATION)
5890 W. 13th Street, Suite 106 Greeley, CO 80634 Professionals: James Wolach, MD Curtis Crylen, MD www.bannerhealth.com
1620 25th Avenue, Suite A Greeley, CO 80634 Phone: 970-356-2123 Fax: 970-352-4943
CERTIFIED REHAB SERVICES, INC. (FT COLLINS LOCATION)
7251 West 20th Street, Building M Greeley, CO 80634 Phone: (970)330-9449 Fax: (970)330-4217 2500 Rocky Mountain Avenue, Suite 2100 North Medical Office Building Loveland CO 80538 Phone: (970) 619-6585 Fax (970) 619-6591 Website: www.hanger.com Professinal: Ben Struzenberg, CPO Michelle West, Mastectomy Fitter
SPORTS MEDICINE
SPEECH LANGUAGE PATHOLOGY
2010 16th Street, Ste A Greeley, CO 80631 Phone: (970)392-2026 Fax: (970)392-2028 Professionals: David Fitzgerald, DO Kelli R. Janata, DO Robert J. Janata, DO
HANGER PROSTHETICS & ORTHOTICS
Gunter Hall, Room 0330 Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 Web Site: www.unco.edu/NHS/asls/clinic.htm Professionals: Lynne Jackowiak, M.S., CCC-SLP Julie Hanks, Ed.D Patty Walton, M.A., CCC-SLP Mark Guiberson, Ph.D., CCC-SLP
1801 16th Street Greeley, CO Phone: (970)392-2496
PULMONARY/CRITICAL CARE
1709 Heath Parkway Fort Collins, CO 80524 Phone: 970-482-7116 Fax: 970-498-9529
SPEECH AND LANGUAGE
UNC SPEECH LANGUAGE PATHOLOGY CLINIC
VEINS
BONELL GOOD SAMARITAN 708 22nd Street Greeley, CO 80631 Phone: (970)352- 6082 Fax: (970)356-7970 Website: www.good-sam.com
GRACE POINTE
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 Website: www.gracepointegreeley.com
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VEIN CLINIC (NCMC)
1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4591 Professionals: Maurice I. Lyons Jr., DO Kenneth M. Richards, MD Gene E. Tullis, MD
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July 25, 2012