THRiVEnc» NORTHERN COLORADO WELLNESS

August 2012

» INSIDE: FEW FACE HEALTH CARE TAX PENALTY • MEDICARE COVERAGE Q&A • AUG. HEALTH EVENTS

REDUCING THE RISKSNCMC is working with electronic medical records to address the concern of overusing CT scans and radiation exposure

Read more on Page 6.

n July 25, 20122 n HEALTH

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July 25, 2012 n 3

No more than 15 percent of Colorado voters will face a de-cision about whether to buy health insurance or pay a tax penalty instead in 2014.

As few as 1 percent of vot-ers could end up actually pay-ing the penalty.

Nailing down precise esti-mates 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 estimat-ed to be so low because the health care law contains nu-merous exemptions.

Also, many people qualify

for subsidies from the federal government. Some of them are expected to buy insurance, instead of paying the penalty. A family of four with a cur-rent income of up to $88,000 qualifies for a subsidy.

“There are a lot of moving parts,” said Jeff Bontrager of the Colorado Health Insti-tute, noting the estimates are based on decisions yet to be made by real human beings.

The number of Colorado’s 3.3 million voters affected is important because the tax penalty is playing as a major campaign issue in November. Republicans are counting on broad voter anger about the principle of requiring Ameri-cans to purchase health insur-ance. But how many end up paying the penalty may — or may not — make a difference to voters.

Here’s how Bontrager reached his figures, based

on his estimates and those made by economist Jonathan Gruber of the Massachusetts Institute of Technology in a study for Colorado’s new state health insurance exchange. Gruber, who favors the law, projected totals for 2016, after the penalty has been in effect for two years.

Start with 900,000 un-insured Coloradans (slightly more than today due to popu-lation growth).

First deduct:» 130,000 low-income

Coloradans, who will now get free Medicaid insurance.

» 152,100 undocumented people, who are exempt from the penalty, as well as benefits of the law, and who can’t vote.

» 120,900 who have vari-ous other exemptions. This includes exemptions for any-one 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 pris-oners.

That leaves about half a million Coloradans — or 15 percent — who’ll have to buy insurance or pay a penalty.

Next, using rough esti-mates for the number of un-insured who will choose to purchase policies, deduct:

» 160,000 Coloradans who will receive new employ-er 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 per-cent of the remainder) who can’t vote.

That leaves approximately 42,000 of the state’s 3.3 mil-lion voters left to pay the pen-alty. 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 insur-ance.

So the reality is: Signifi-cantly fewer than 15 percent of Colorado’s voters will pay the penalty. Exactly how many?

Ask in 2016 if this estimate was correct.

FEW COLORADANS LIKELY TO PAY PENALTYBy Ann ImseColorado Public News

■■ HEALTH CARE TAX

HEALTH ■HEALTH n

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n July 25, 20124

«Paws & Sneakers 5k Fun Run: Hearts in Love Fur-Ever, 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 informa-tion 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 Colo-rado Medical Center, Union Colony Room, Area C on the ground floor, 1801 16th St. in Greeley. Wellness Services offers low-cost blood screen-ings open to community members. Some immuniza-tions are also available upon request and availability. Par-ticipants 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 screen-ings include blood work, sleep questionnaire, lung function test, body composi-

tion, hip and waist measure-ments, health education, EKG with results, bone density, peripheral arterial disease screenings, ultra-sound of carotid vessels and ultrasound of aorta, $175. To schedule an appointment, call (970) 350-6070.

«CPR for health care provid-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 cardiopul-monary 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 Provid-ers Skills Check, 3:30-4:30 p.m. Aug. 20 at North Colorado Medical Center, Wellness Conference Room, first floor, 1801 16th St. in

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 Certifi-cate with you.

«Cooking Class: Cooking Basics, 6-7:15 p.m. Aug. 20 at North Colorado Medical Cen-ter, 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.

«CT Heart Score Screening, 1 and 2 p.m. Mondays-Fridays at North Colorado Medi-cal 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-min-ute consultation with a well-ness specialist, focusing on cardiac risk factor education,

identification of nonmodifi-able and modifiable risks, and lifestyle behavior change options. To make an appoint-ment, 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 Medi-cal Center, 1801 16th St. in Greeley. Cost: $10. Call (970) 392-2344 to schedule an appointment.

«Diabetes Information Group, 7-8 p.m. Aug. 14 at North Colorado Medical Center, 1801 16th St., Greeley. For people with diabetes, their family, friends, care giv-ers 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 Cen-ter, 1801 16th St. in Greeley.

«Prediabetes class, meets at North Colorado Medical Cen-ter, 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 Cen-ter, 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.

AUGUST HEALTH EVENTS

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 — Plan-ning 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 obe-sity; and

» Breastfeeding lowers the mother’s risk of breast and ovar-ian 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 com-munity,” 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 com-munity must cooperate and sup-port breastfeeding. In the end,

our whole society benefits from having healthier mothers, babies and children when breastfeed-ing is promoted, protected and supported.”

For more information contact the Weld County Department of Public Health and Environ-ment by calling (970) 304-6420, ext. 2325 or send an email to ki-mus@co.weld.co.us.

Aug. 1-7 is World Breastfeeding WeekStaff reports

n HEALTH

July 25, 2012 n 5HEALTH n

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 suf-fering 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 mislead-ing. A study published last year esti-mated that males actually make up 40 percent of teens who have eating disorders. An earlier Harvard sur-vey 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 unat-tainable body images that have long plagued women and girls.

“Action figures used to look nor-mal,” she said. “Now they’re super-human 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,

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 man-age 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 typi-cal 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 tor-mentors had, he started doing 100 pushups a night. He then moved to the weight room, and when he en-tered 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. Master-ing his body allowed him to feel as though he could manage a life that had become lonely and socially awk-ward.

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 do-ing repeats on the library steps. He picked at his dinner before reward-ing himself for his suffering with a giant piece of pie.

When Rob healed enough to run, his routines grew ever more punish-ing, his body ever lighter — some-times 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 be-neath 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 sus-tained another leg fracture, the re-sult 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 inactiv-ity 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 Hoff-man Estates, Ill., and had himself admitted.

Therapy and reflection eventu-ally 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 be-neath 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 ex-ercise 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 well-watered lawns and vibrant flower beds. “It’s a little battle. I usually win.”

BATTLE SHEDS LIGHT, BREAKS STEREOTYPESBy John KeilmanChicago Tribune

MCCLATCHY NEWSPAPERS

ROB STANDS NEXT TO a self-portrait or a body trace where one side depicts reality and the other side depicts per-ception 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.

Dr. Ted Weltzin, medical director of eating disorder services at Rogers Me-morial 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 de-velop 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 hetero-sexual 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 suscep-tible to eating disorders.

» Common risk factors in males

■■ EATING DISORDERS

n July 25, 20126

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 re-ceive 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 proce-dures they felt were used too much. All of the doctors — including cardi-ologists, oncologists and family physi-cians — 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 peo-ple 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 REWARDStadnyk 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 life-threatening 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 ra-diation exposure.

The key, Stadnyk said, is for doc-tors 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 ra-diation exposure,” he said.

The Journal of the American Med-ical Association study examined data from patients enrolled in six large

REDUCING RADIATION THREATSBy NATE A. MILLER | nmiller@greeleytribune.com

NCMC uses electronic medical records to tackle CT scan concerns

If a patient comes to North Colorado Medical Center with complaints of abdominal pain, it’s a good bet one of the first things the doctor will do is order a computed tomography, or CT, scan.

The scan, which combines a series of X-rays into a detailed 3-D image, allows doctors to find blockages in arteries, bleeding in the brain, tumors and other serious conditions, but the

scan also exposes patients to radiation. A study published last month in the Journal of the Ameri-can Medical Association, showed that the use of CT scans and other diagnostic tests that expose patients to radiation has almost tripled since 1996, bringing with it increased concerns about the role that radiation from such tests may play in causing cancer. The study estimated that if current trends continue, 2 percent of future cancers will be caused by use of these tests.

n HEALTH

July 25, 2012 n 7

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 Medi-cal 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 — driv-en by the use of CTs — rose from 28.5 percent in 1996 to 36.2 percent in 2010; among them, their average ex-posure jumped from 4.8 millisieverts to 7.8 millisieverts. At the top end of the spectrum, the proportion of pa-tients 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 ion-izing 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 Smith-Bindman, a radiologist and epidemi-ologist at the University of California,

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 re-ally 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 di-rect financial gains from these tests.”

She offered other explanations for

the increase in testing, including un-realistic expectations about the abil-ity 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 elec-tronic 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

patient within 90 days. Once they re-ceive the warning, doctors have the fi-nal say about whether to order the CT.

JUST THE BEGINNINGNCMC and Banner, which man-

ages 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 re-cords 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 integra-tion 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 start-ed 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 ex-ample, 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 in-tegrate 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 pa-tients 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 medi-cal 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 ques-tions and bringing up concerns with their doctor.

“We love to have patients more in-volved 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.

REDUCING RADIATION THREATSBy NATE A. MILLER | nmiller@greeleytribune.com

To see a video of study leader Dr. Rebecca Smith-Bindman discuss-ing the Journal of the American Medical Association, go to http://jama.jamanetwork.com/multime-diaPlayer.aspx?mediaid=3444911

»» For»more

NCMC uses electronic medical records to tackle CT scan concerns

FOR THE TRIBUNE

THIS»SCREENSHOT»FROM»NORTH»Colorado Medical Cen-ter 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 pa-tients are exposed to through diagnostic equipment like a CT scan.

If a patient comes to North Colorado Medical Center with complaints of abdominal pain, it’s a good bet one of the first things the doctor will do is order a computed tomography, or CT, scan.

The scan, which combines a series of X-rays into a detailed 3-D image, allows doctors to find blockages in arteries, bleeding in the brain, tumors and other serious conditions, but the

scan also exposes patients to radiation. A study published last month in the Journal of the Ameri-can Medical Association, showed that the use of CT scans and other diagnostic tests that expose patients to radiation has almost tripled since 1996, bringing with it increased concerns about the role that radiation from such tests may play in causing cancer. The study estimated that if current trends continue, 2 percent of future cancers will be caused by use of these tests.

HEALTH n

n July 25, 20128

QUESTION — If a person has veterans’

benefits and also is eligible for Medicare and enrolled in Medicare, what does each insurance pay?

ANSWER — 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 ser-vice 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-

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. How-ever, there may be situa-tions 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 hos-pital, 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 non-VA hospital for a service that is authorized by the VA. While at the non-VA hospital, Jim gets other non-VA authorized servic-es that the VA refuses to pay. Some of those services are Medicare-covered

services. Medicare may pay for some of the non-VA authorized services that Jim got. Jim will have to pay for services not covered by Medicare or the VA. Sometimes Medi-care 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 co-payment if you are billed for VA-authorized care by a doctor or hospital that isn’t part of the VA.

QUESTION — What is a VA Fee – Basis Iden-

tification card, and who pays first in this situation, Medicare or the VA?

ANSWER — Veteran’s Affairs gives “fee-basis

ID cards” to certain vet-erans. You may be given a fee-basis ID card if the fol-lowing conditions apply:

» You have a service-connected disability.

» You will need medical services for an extended period of time.

» There are no VA hos-pitals 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 pay-ment as payment in full. The doctor can’t bill either you or Medicare for these services. If your doctor doesn’t accept the fee-ba-sis 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.

QUESTION — What about VA’s prescrip-

tion drug benefit and Medicare’s prescription drug benefit, Part D; can a veteran have both of these benefits?

ANSWER — These two benefits don’t work

together. A Medicare ben-eficiary 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 pe-riod 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 enroll-ment time period is Oct. 15-Dec. 7 every year, and new plan choices go into effect Jan. 1.

QUESTION — Who should one call if they

need more information?

ANSWER — You can get more informa-

tion on veterans’ benefits by calling your local VA office or the national VA

information number at 1-800-827-1000. TTY us-ers should call 1-800-829-4833. You can also visit www.va.gov on the web.

QUESTION — What is TRICARE?

ANSWER — TRICARE is a health care pro-

gram for active-duty and retired uniform services members and their fami-lies. TRICARE includes the following:

» TRICARE Prime» TRICARE Extra» TRICARE Standard» TRICARE for Life

TRICARE for Life was created to provide ex-panded medical coverage to Medicare-eligible uni-formed services retirees age 65 or older, their eligible family members and survivors, and certain former spouses. To get Tri-care for Life benefits, you must have Medicare Part A and Part B.

QUESTION — Can I have both Medicare

and TRICARE?

ANSWER — The following groups

of people can have both Medicare and other types of TRICARE:

» Dependents of active-duty service members who are entitled to Medicare for any reason.

» People under age 65 who are entitled to Medi-care 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.

QUESTION — So, who pays first Medicare or

TRICARE?

ANSWER — In general, Medicare pays first for

Medicare-covered ser-vices. 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.

QUESTION — Who pays for services from

a military hospital?

ANSWER — If you get services from a mili-

tary hospital or any other federal provider, TRI-CARE will pay the bills. Medicare doesn’t usually pay for services you get from a federal provider or other federal agency.

QUESTION — Who should one call if

they have questions about TRICARE?

ANSWER — 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.

Q&A ON MEDICARE COVERAGECenters for Medicare and Medicaid Services

n HEALTH

Scott R.WILLIAMS

D.M.D.

3535 12th St.970.351.6095

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TRiBUNE MEDiCAL DiRECTORY 2012ACUPUNCTURE

PHYLLIS HAMAR, L.A.C.Master of Science, Traditional Chinese MedicineNCCAOM Board Certified710 11th Ave., Ste. 106Greeley, CO 80631970-539-0324

WESTLAKE FAMILY PHYSICIANS, PC5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Richard Budensiek, DO; Janis McCall, MD; Frank Morgan, MD; Jacqueline Bearden, MD; Angela Mill, MDWebsite: www.bannerhealth.com

ALZHEIMER’S/SKILLED CARE

BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352-6082Fax: (970)356-7970Web Site: www.good-sam.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Web Site: www.meadowviewofgreeley.com

ASSISTED LIVING

BONELL GOOD SAMARITAN708 22nd Street Greeley, CO 80631Phone: (970) 352-6082Fax: (970) 356-7970www.good-sam.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Web Site: www.meadowviewofgreeley.com

THE BRIDGE ASSISTED LIVING4750 25th StreetGreeley, CO 80634Phone: (970)339-0022

AUDIOLOGYALPINE ALL ABOUT HEARING1124 E. Elizabeth Street, #E-101Fort Collins, CO 80524Phone: (970)221-3372Fax: (970)493-92373820 N. Grant AvenueLoveland, CO 80538Phone: (970)461-0225Fax: (970)593-0670Web Site: www.allabouthearing.comProfessionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-ACheryl Hadlock, M. S., CCC-A

AUDIOLOGY ASSOCIATES2528 16th Street Greeley, CO Phone: (970)352-2881Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A

MIRACLE-EAR2404 17th Street Greeley, CO 80634Phone: (970)351-6620

749 S. Lemay Avenue, Suite A1Fort Collins, CO 80524(970)221-5225

UNC AUDIOLOGY CLINICGunter Hall, Room 0330Greeley, CO 80639Phone: (970)351-2012/TTYFax: (970)351-1601Web Site: www.unco.edu/NHS/asls/clinic.htmProfessionals: Diane Erdbruegger, Au.D., CCC-A;Sonie Harris, M.A., CCC-AJennifer Weber, Au.D., CCC-A

BALANCE

LIFE CARE CENTER OF GREELEY- ASCENT4800 25th StreetGreeley, CO 80634Phone: (970)330-6400Professionals: Cozette Seaver, PT;Leslie Vail, PTCARDIAC VASCULAR SURGERY

CARDIAC, THORACIC & VASCULAR SURGERY (NCMC)1800 15th Street, Suite 340Greeley, CO 80631Phone: (970)378-4593Fax: (970)378-4391Professionals: Lyons, Maurice I. Jr. DORichards, Kenneth M. MDTullis, Gene E. MD

CARDIOLOGY

CARDIOVASCULAR INSTITUTE (NCMC)1800 15th Street, #310Greeley, CO 80631Phone: (970) 392-0900Professionals: 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;

DENTISTRYASCENT FAMILY DENTALScott Williams, DMD3535 W. 12th Street, Suite BGreeley, CO 80634Phone: (970)351-6095www.dentalgreeley.com

GREELEY DENTAL HEALTH1600 23rd Avenue Greeley, CO 80634Phone: (970)353-4329www.greeleydentalhealth.comProfessionals:Randy C. Hatch, DDSCharles W. Johnson, DDS

JULIE KAVANAUGH, D.D.S.3400 W. 16th Street, Suite 8-EGreeley, CO 80634Phone: (970)351-0400www.drjuliekav.com

DENTISTRY - HYGENE

AABSOLUTELY SMILES1135 N. Lincoln Avenue, Suite 4 Loveland, CO 80537Phone: (970)622-0970Fax: (970)622-0971www.aabsolutelysmiles.com

DENTISTRY - PEDIATRIC

PEDIATRIC DENTAL GROUP2003 46th Avenue Greeley, CO 80634Phone: (970)330-4600www.pediatricdentalspecialties.comProfessionals: David Strange, DDS, MSMalcolm Strange, DDS, MSCourtney College, DDS, MSJustin Cathers, DDS, MSGary Belanger, DDS

ENDOCRINOLOGY

ENDOCRINOLOGY CLINIC (NCMC)1801 15th Street, Ste 200Greeley, CO 80631Phone: (970)378-4676Fax: (970)-378-4315www.bannerhealth.comProfessionals: Nirmala Kumar, MD

FAMILY PRACTICE MEDICINE

FAMILY PHYSICIANS OF GREELEY,LLP-CENTRAL2520 W. 16th St.Greeley ,CO Phone: (970) 356-2520Professionals: 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-COTTONWOOD2420 W. 16th StreetGreeley ,CO 80634 Phone: (970) 353-7668Professionals: 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.

FAMILY PHYSICIANS OF GREELEY,LLP-WEST6801 W. 20th Street, Suite 101Greeley ,CO Phone: (970) 378-8000Professionals: 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. OLDS6801 W. 20th Street, Suite 208Greeley ,CO 80634Phone: (970)330-9061

MEDICAL ARTS PRACTICE1300 Main StreetLoveland, CO 80550Phone: (970)686-5646Fax: (970)686-5118Professionals: Lance Barker, DOJonathan Kary, MDTrina Kessinger, MDPharmacy on site - open to the public.

WESTLAKE FAMILY PHYSICIANS, PC5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Richard Budensiek, D.O.; Jacqueline Bearden, MD; Janis McCall, MD;Angela Mills, MD Frank Morgan, MD;David Pols, D.O. www.bannerhealth.com

n July 25, 201210 n HEALTH

TRiBUNE MEDiCAL DiRECTORY 2010TRiBUNE MEDiCAL DiRECTORY 2012FUNERAL SERVICES

ALLNUTT & RESTHAVEN FUNERALSERVICES702 13th Street, Greeley, CO Phone: (970) 352-3366650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-3208 8426 S. College Avenue, Ft. Collins, CO Phone: (970) 667-02022100 N. Lincoln, Loveland, CO Phone: (970) 667-11211302 Graves Avenue, Estes Park, CO Phone: (970) 586-3101

GASTROENTEROLOGY

DOWGIN, THOMAS A., MD.CENTERS FOR GASTROENTEROLOGY7251 W. 20th St., Bldg JGreeley, CO Phone: (970)207-97733702 TimberlineFt. Collins, CO Phone: (970)207-97732555 E. 13th Street, Suite 220Loveland, CO Phone: (970)669-5432Website: www.digestive-health.net

NORTH COLORADO GASTROENTEROLOGY (NCMC)2010 16th Street, Ste. AGreeley, CO 80631Phone: (970)378-4475Fax: (970)378-4429Professionals:Mark Rosenblatt, MDAhmed M. Sherif, MDYazan Abu Qwaider, MD

HEALTH AND FITNESS

WORK OUT WESTHealth & Recreation Campus5701 W. 20th StreetGreeley, CO 80634Phone: 970-330-9691www.workoutwest.comHOME HEALTH CARE

CARING HEARTS HOME HEALTHCARE6801 W. 20th Street, Suite 207Greeley, CO 80634Phone: (970)378-1409

REHABILITATION AND VISITING NURSE ASSOCIATION2105 Clubhouse DriveGreeley, CO 80634Phone: (970) 330-5655Fax: (970) 330-7146Web Site: www.rvna.infoProfessionals: Crystal Day, CEO

HOSPICE

HOSPICE OF NORTHERN COLORADOAdministration Office2726 W. 11th Street RoadGreeley, CO 80634Phone: (970)352-8487Fax: (970)475-0037

PATHWAYS HOSPICE305 Carpenter RoadFt. Collins, CO 80550Phone: (970)663-3500Fax: (970)292-1085 Web Site: www.pathways-care.org

INDEPENDENT ASSISTED LIVINGGRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919Website: www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Website: www.meadowviewofgreeley.com

INDEPENDENT ASSISTED LIVING W/SERVICES

 BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352-6082Fax: (970)356-7970Web Site: www.good-sam.com

FOX RUN SENIOR LIVING1720 60th AvenueGreeley, CO 80634Phone: (970)353-7773Fax: (970)330-9708Web Site: www.good-sam.com

INFECTIOUS DISEASEBREEN, JOHN F., MD (NCMC)1801 16th StreetGreeley, CO 80631Phone: (970)350-6071Fax: (970)350-6702

INTERNAL MEDICINEBANNER HEALTH CLINIC2010 16th StreetGreeley, CO 80631Phone: (970)350-5660www.bannerhealth.com Professionals: Giovanna Garcia, MDSteven Kalt, MD

MASSAGE THERAPY

HEALING TOUCH MASSAGE @ CENTER FOR WOMEN’S HEALTH1715 61st AvenueGreeley, CO Phone: (970)336-1500 Professional: Becci Payne, Certified Massage Therapist

MEDICAL EQUIPMENT & SUPPLIESBANNER HOME MEDICAL EQUIPMENT (NCMC)Phone: (970)506-6420

MENTAL HEALTH SERVICES

NCMC - BEHAVIORAL HEALTH928 12th StreetGreeley, CO 80631Professionals: Cheryl Giambrone, LPCElise Pugh, LPCShawn Crawford, LPCLaura Grotenhuis, LPCTia Lewis, LPCRenée Rogers, LMFTCleopatra Songa, LCSW, CACIIISusan Goodrich, LCSWDr Michael Fuller, Adult PsychiatryDr. Amy Laurent, Adult PsychiatryDr Nicholle Peralta, Adult PsychiatryDr Patricia Al-Adsani, Child and Adolescent PsychiatryJose Vasquez, Psychiatric Nurse Practitioner

MIDWIFERY CARECENTER FOR WOMEN’S HEALTH1715 61st AvenueGreeley, CO Phone: (970)336-1500Professionals: Marie Foose, CNM; Krista O’Leary, CNMKaren Vorderberg, CNM

NEPHROLOGYGREELEY MEDICAL CLINIC1900 16th StreetGreeley, CO 80631Phone: (970) 350-2438Professionals: Donal Rademacher, MD

NEUROLOGY

CENTENNIAL NEUROLOGYDr. David Ewing7251 W. 20th Street, Unit CGreeley, CO 80634Phone: (970) 356-3876NCMC NEUROLOGY CLINIC1800 15th Street, Suite 100BGreeley, CO 80631Phone: (970) 350-5612 Fax: (970) 350-5619Professionals: Siegel, Jeffery, MDShaffer, William, MD; Hayes, Todd DO

NURSING HOME REHABILITATIONCENTENNIAL HEALTH CARE CENTER1637 29th Ave. PlaceGreeley, CO 80634Phone: (970) 356-8181Fax: (970) 356-3278

OBSTETRICS & GYNECOLOGYCENTER FOR WOMEN’S HEALTH1715 61st Ave.Greeley, CO Phone: (970)336-1500Professionals: 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, PC5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: 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) 350-6680Toll Free: (866) 357-9276Fax: (970)350-6610Professionals: Elizabeth Ceilley, MDBrian Fuller, MD

July 25, 2012 n 11HEALTH n

TRiBUNE MEDiCAL DiRECTORY 2012ORTHODONTICS

GREELEY ORTHODONTIC CENTER2021 Clubhouse Dr., Suite 110Greeley, CO 80634Phone: (970) 330-2500Fax: (970) 330-2548E-Mail: gocpc@doctork.comWebsite: www.doctork.comProfessionals: Dr. Gary J. Kloberdanz

ORTHODONTIC ASSOCIATES OF GREELEY, PC3400 W. 16thSt., Bldg 4-VGreeley, CO 80634Phone: (970) 356-5900Website: www.dredgren.comProfessionals: Burdett R. Edgren, DDS, MS; Bradford N. Edgren, DDS, MS

ORTHOPEDICS

MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101Greeley, COPhone: (970)348-0020Fax: (970)348-0044Web Site: www.bannerhealth.comProfessionals: Randy M. Bussey, MDDaniel Heaston, MDThomas Pazik, MDShelly Remley, PA-CKelly R. Sanderford, MDSteven Sides, MDLinda Young, MD

PEDIATRICSBANNER HEALTH CLINIC6801 W. 20th Street, Suite 201Greeley, CO 80634Phone: (970)350-5828www.bannerhealth.com Professionals: Amanda Harding, MDJames Sando, MD

PEDIATRIC REHABILITATIONBANNER REHABILITATION CENTER1801 16th StreetGreeley, COPhone: (970)350-6160Fax: (970)378-3858

PERSONAL RESPONSE SERVICE

BANNER LIFE LINE (NCMC)2010 16th Street, Suite CGreeley, CO 80631Phone: 1-877-493-8109(970) 378-4743

PHYSICAL THERAPYHOPE THERAPY CENTER(Formerly North Colorado Therapy Center)2780 28th AvenueGreeley, CO 80634Phone: (970)339-0011Website: www.GCIinc.orgProfessionals: Chris Denham, PT; Kryste Haas, OT;Kathie Hertzke, PTA;Moni Kohlhoff, PT;Alex Luksik, PTA;Jeanne Rabe, PT;Howard Belon, PhD, Clinical Psychologist

PODIATRYFOOT & ANKLE CENTER OF NORTHERN COLORADO P.C.1931 65th Ave., Suite AGreeley, CO 80634Phone: (970) 351-0900Fax: (970) 351-0940

4401 Union StreetJohnstown, CO 80534Phone: (970) 443-0925Web Site: www.footandanklecolorado.comProfessionals: Daniel J. Hatch, D.P.M. Mike D. Vaardahl, D.P.M.

PULMONARY/CRITICAL CARENORTH COLORADOPULMONARY (NCMC)2010 16th Street, Ste AGreeley, CO 80631Phone: (970)392-2026Fax: (970)392-2028Professionals: David Fitzgerald, DOKelli R. Janata, DORobert J. Janata, DO

PROSTHETICS & ORTHOTICS

CERTIFIED PROSTHETICS &ORTHOTICS, LLC (GREELEY LOCATION)1620 25th Avenue, Suite AGreeley, CO 80634Phone: 970-356-2123Fax: 970-352-4943

CERTIFIED REHAB SERVICES, INC.(FT COLLINS LOCATION)1709 Heath ParkwayFort Collins, CO 80524Phone: 970-482-7116Fax: 970-498-9529HANGER PROSTHETICS & ORTHOTICS7251 West 20th Street, Building MGreeley, CO 80634 Phone: (970)330-9449 Fax: (970)330-42172500 Rocky Mountain Avenue, Suite 2100North Medical Office Building Loveland CO 80538 Phone: (970) 619-6585 Fax (970) 619-6591Website: www.hanger.comProfessinal: Ben Struzenberg, CPOMichelle West, Mastectomy Fitter

REHABILITATION

ASCENT AT LIFE CARE CENTER 4800 25th StreetGreeley, CO 80634Phone: (970)330-6400Website: www.lcca.comProfessionals: Annie BennettLeslie Vail

BANNER REHABILITATIONPhone: (970)350-6160

PEAKVIEW MEDICAL CENTER5881 W. 16th St.Greeley, CO 80634Phone: (970)313-2775Fax: (970)313-2777

SKIN CAREKECIAS SKIN CARE @ CENTER FOR WOMEN’S HEALTH1715 61st AvenueGreeley, CO Phone: (970)336-1500 Professinal: Kecia Doll, Licensed Esthetician

SKILLED CARE/REHAB

BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352- 6082Fax: (970)356-7970Website: www.good-sam.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919Website: www.gracepointegreeley.com

SPEECH AND LANGUAGE

UNC SPEECH LANGUAGE PATHOLOGY CLINICGunter Hall, Room 0330 Greeley, CO 80639Phone: (970)351-2012/TTYFax: (970)351-1601Web Site: www.unco.edu/NHS/asls/clinic.htmProfessionals: Lynne Jackowiak, M.S., CCC-SLPJulie Hanks, Ed.DPatty Walton, M.A., CCC-SLPMark Guiberson, Ph.D., CCC-SLP

SPORTS MEDICINE

MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101Greeley, COPhone: (970)348-0020Fax: (970)348-0044Web Site: www.bannerhealth.comProfessionals: Randy M. Bussey, MDDaniel Heaston, MDThomas Pazik, MDShelly Remley, PA-CKelly R. Sanderford, MDSteven Sides, MDLinda Young, MDNORTH COLORADO SPORTS MEDICINE1801 16th StreetGreeley, COPhone: (970)392-2496

SPEECH LANGUAGE PATHOLOGY

BANNER REHABILITATION CENTER1801 16th StreetGreeley, COPhone: (970)350-6160Fax: (970)378-3858

SURGERY GENERAL & TRAUMA

BARIATRIC SURGERY (NCMC)1800 15th Street, Suite 200Greeley, CO 80631Phone: (970)378-4433866-569-5926Fax: (970)378-4440Professionals: Michael W. Johnell, MD

SURGERY WESTERN STATES BURN CENTER (NCMC)1801 16th StreetGreeley, CO 80631Phone: (970)350-6607Fax: (970)350-6306Professionals: Gail Cockrell, MD Cleon W. Goodwin, MD BURN

SURGICAL ASSOCIATES OF GREELEY PC (NCMC)1800 15th St. Suite 210 Greeley, CO Phone: (970)352-8216Toll Free: 1-888-842-4141Professionals: Lisa Burton, M.D.;Michael Harkabus, M.D.; Jason Ogren, M.D.;Samuel Saltz, D.O.; Robert Vickerman, M.D.

URGENT CARE

SUMMITVIEW URGENT CARE2001 70th AvenueGreeley, CO 80634Phone: (970)378-4155Fax: (970)378-4151www.bannerhealth.comProfessionals:Thomas Harms, MDAmy E. Shenkenberg, MDLinda Young, MD

UROLOGY

MOUNTAIN VISTA UROLOGY5890 W. 13th Street, Suite 106Greeley, CO 80634Professionals:James Wolach, MDCurtis Crylen, MDwww.bannerhealth.com

VEINS

VEIN CLINIC (NCMC)1800 15th Street, Suite 340Greeley, CO 80631Phone: (970)378-4593Fax: (970)378-4591Professionals:Maurice I. Lyons Jr., DOKenneth M. Richards, MDGene E. Tullis, MD

n July 25, 201212 n HEALTH

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