42
2018 Provider Directory for Vision/Dental/Hearing Blue Cross Medicare Advantage (HMO) SM Blue Cross Medicare Advantage (PPO) SM January 1, 2018 – December 31, 2018 Y0096_BEN_MT_ANCDIR18_NM Last updated 0817 351819.0717

2018 Provider Directory - Health Insurance Montana€¦ · 2018 Provider Directory for Vision/Dental/Hearing Blue Cross Medicare ... a Division of Health Care Service Corporation,

Embed Size (px)

Citation preview

2018 Provider Directoryfor Vision/Dental/Hearing

Blue Cross Medicare Advantage (HMO)SM

Blue Cross Medicare Advantage (PPO)SM

January 1, 2018 – December 31, 2018

Y0096_BEN_MT_ANCDIR18_NM

Last updated 0817 351819.0717

i

HMO and PPO plans are provided by Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association. HCSC is a Medicare Advantage organization with a Medicare contract. Enrollment in HCSC’s plans depends on contract renewal.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-877-774-8592 (TTY: 711) We are open between 8:00 a.m. and 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-774-8592 (TTY: 711). Nuestro horario es de 8:00 a.m. a 8:00 p.m., hora local, los 7 días de la semana. Si usted llama del 15 de febrero al 30 de septiembre, durante los fines de semana y feriados, se usarán tecnologías alternas (por ejemplo, correo de voz).

This document is available in other formats such as Braille and large print. For additional information, call us at 1-877-774-8592. (TTY/TDD users should call 711).

This directory is current as of August 19, 2017.

This directory provides a list of Blue Cross Medicare Advantage’sSM current network providers.

This directory is for the entire Blue Cross Medicare Advantage provider network offered to people that are Medicare eligibles and residing in Cascade, Flathead, Gallatin, Lake, Lewis and Clark, Lincoln, Missoula, Ravalli, and Yellowstone counties.

To access Blue Cross Medicare Advantage’s online provider directory, you can visit getbluemt.com/mapd/providers. For any questions about the information contained in this directory (hardcopy or online), please call our Customer Service Department at 1-877-774-8592, 8:00 a.m.- 8:00 p.m., local time, 7 days a week. TTY/TDD users should call: 711.

Blue Cross Medicare Advantage

2018 Provider Directory

ii

Table of Contents

Section 1 – Introduction ....................................................................................................................... iii

What is the service area for Blue Cross Medicare Advantage? ................................................... iii

How do you find Blue Cross Medicare Advantage providers in your area? .................................iv

Section 2 – List of Network Providers .................................................................................................. 1

Dental ............................................................................................................................................ 1

Vision ........................................................................................................................................... 28

Hearing ........................................................................................................................................ 33

iii

Section 1 – IntroductionThis directory provides a list of Blue Cross Medicare Advantage network providers. To get detailed information about your health care services, please see your Evidence of Coverage.

The network providers listed in this directory have agreed to provide you with your dental, vision, and hearing services. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers. If you use providers within the Blue Cross Medicare Advantage network your co-pays and/or co-insurance will be less than going to non-network providers.

You do not need prior authorization to seek medical help in an urgent or emergency situation.

With the exception of emergencies or urgent care, it may cost more to get care from out-of-network providers.

If an out-of-network provider asks you to pay for covered services you receive, please call Customer Service at 1-877-774-8592 (TTY/TDD 711) or send the bill(s) with a note explaining the situation to:

Blue Cross Medicare Advantage (PPO P.O. Box 7982 Helena, MT 59604

You must use network providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers neither Medicare nor Blue Cross Medicare Advantage will be responsible for the costs.

You should never pay any out-of-network provider more than what the provider is allowed by Medicare. Ask the out-of-network provider to bill us first. If you have already paid for the covered services, we will reimburse you for our share of the cost. If you get a bill for the services, you can send the bill to us for payment. We will pay your out-of-network provider for our share of the bill and will let you know the amount, if any, you must pay.

What is the service area for Blue Cross Medicare Advantage?The counties for the State of Montana in our service area are listed below.

• Cascade

• Flathead

• Gallatin

• Lake

• Lewis and Clark

• Lincoln

• Missoula

• Ravalli

• Yellowstone

iv

How do you find Blue Cross Medicare Advantage providers in your area? The directory includes Dental, Vision, and Hearing providers participating in the Blue Cross Medicare Advantage network. Please refer to the provider listings for section names. Each section is organized alphabetically by city.

Within each city, the city and provider names are listed in alphabetical order along with the address and phone number. For the most updated Blue Cross Medicare Advantage provider information, please visit our Provider Finder at getbluemt.com/mapd/providers. Although Blue Cross Medicare Advantage has identified those providers who were offering services at the time this directory was created, the services offered may have changed. For the most current information regarding the services of provider, please contact provider you have selected at the phone number listed in this directory.

If you have questions about Blue Cross Medicare Advantage or require assistance, please call our Customer Service Department at 1-877-774-8592, 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays. TTY/TDD users should call 711. Or, visit www.getbluemt.com/mapd/providers.

v

HOW TO READ THE PROVIDER LISTINGExample:

HELENA (Alphabetical listing of towns and cities)

FAMILY PRACTICE (Specialty)

Smith, John, MD (Physician’s name)

(555)123-4567 (Phone number)

This information changes on a frequent basis. Please refer to the online directory or call Customer Service below for current updates.

Participation by providers in this directory is not guaranteed and may be subject to change. Please ask your provider whether he/she is still participating in the network. If you have questions about Blue Cross Medicare Advantage, please call our Customer Service number at 1-877-774-8592 (TTY/TDD users should call 711). We are open 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays.

Dental Providers

1

Dental Care Providers DILLON – BEAVERHEAD COUNTY

DILLON – BEAVERHEAD COUNTYGENERAL DENTISTCondon, Jacob M35 Johnson AveDillon, MT 59725(406) 655-4210Medical Group: Rubicon Care NetworkDobmeier, Jordan35 Johnson AveDillon, MT 59725(406) 655-4210Medical Group: Rubicon Care NetworkHughes, Spencer M35 Johnson AveDillon, MT 59725(406) 655-4210Medical Group: Rubicon Care NetworkJohnston Jr, George R41 Barrett StDillon, MT 59725(406) 683-4440Medical Group: Dillon Community Health CtrMcCollum, John B110 S Idaho StDillon, MT 59725(406) 683-5125Medical Group: McCollum John BMuir, Joshua C35 Johnson AveDillon, MT 59725(406) 655-4210Medical Group: Rubicon Care Network

Olsen, Scott C115 S Pacific StDillon, MT 59725(406) 683-2671Medical Group: Scott C Olsen DDSPeck, Derrick35 Johnson AveDillon, MT 59725(406) 655-4210Medical Group: Rubicon Care NetworkPollock, Samuel R35 Johnson AveDillon, MT 59725(406) 655-4210Medical Group: Rubicon Care NetworkPulfer, Sheryleen41 Barrett StDillon, MT 59725(406) 683-4440Medical Group: Dillon Community Health CtrReynolds, Kelly A35 Johnson AveDillon, MT 59725(406) 655-4210Medical Group: Rubicon Care NetworkTownsend, Remington M35 Johnson AveDillon, MT 59725(406) 655-4210Medical Group: Rubicon Care NetworkTulett, Jeffrey35 Johnson AveDillon, MT 59725(406) 655-4210Medical Group: Rubicon Care Network

HARDIN – BIG HORN COUNTYGENERAL DENTISTCondon, Jacob M339 3rd St WHardin, MT 59034(406) 655-3300Medical Group: Rubicon Dental Assoc PLLCDobmeier, Jordan339 3rd St WHardin, MT 59034(406) 655-3300Medical Group: Rubicon Dental Assoc PLLCHughes, Spencer M339 3rd St WHardin, MT 59034(406) 655-3300Medical Group: Rubicon Dental Assoc PLLCMuir, Joshua C339 3rd St WHardin, MT 59034(406) 655-3300Medical Group: Rubicon Dental Assoc PLLCPeck, Derrick339 3rd St WHardin, MT 59034(406) 655-3300Medical Group: Rubicon Dental Assoc PLLCPollock, Samuel R339 3rd St WHardin, MT 59034(406) 655-3300Medical Group: Rubicon Dental Assoc PLLC

1

Dental Care Providers HARDIN – BIG HORN COUNTY

Reynolds, Kelly A339 3rd St WHardin, MT 59034(406) 655-3300Medical Group: Rubicon Dental Assoc PLLCTownsend, Remington M339 3rd St WHardin, MT 59034(406) 655-3300Medical Group: Rubicon Dental Assoc PLLCTulett, Jeffrey339 3rd St WHardin, MT 59034(406) 655-3300Medical Group: Rubicon Dental Assoc PLLC

TOWNSEND – BROADWATER COUNTYGENERAL DENTISTWest, Matthew A422 Broadway StTownsend, MT 59644(406) 266-3402Medical Group: Matthew A West DDS PC

RED LODGE – CARBON COUNTYGENERAL DENTISTEvans, David24 South OakesRed Lodge, MT 59068(406) 655-4210Medical Group: Rubicon Dental Associates

GREAT FALLS – CASCADE COUNTYGENERAL DENTISTAmeline, Aimee R613 Park Dr SGreat Falls, MT 59405(406) 761-4288Medical Group: Aimee Ameline DDS PCBuer, Bruce H2300 12th Ave SSte 109Great Falls, MT 59405(406) 761-1837Medical Group: Buer Bruce HDachs, David D115 4th St SGreat Falls, MT 59401(406) 761-9893Medical Group: County of CascadeDachs, David D2523 6th Ave SGreat Falls, MT 59405(406) 761-3131Medical Group: Dachs David DFairhurst, Kevin J900 10th Ave NWGreat Falls, MT 59404(406) 761-1365Medical Group: Westside Family Dental PCHarboway, Don J2800 11th Ave SSte 24Great Falls, MT 59405(406) 453-4346Medical Group: Harboway Family Dentistry PC

Linstroth, Lisa3920 3rd Ave SGreat Falls, MT 59405(406) 452-5361Medical Group: Maltby Levi C DMDMaltby, Levi C3920 3rd Ave SGreat Falls, MT 59405(406) 452-5361Medical Group: Maltby Levi C DMDNeil, Robin910 1st Ave NGreat Falls, MT 59401(406) 454-1512Medical Group: Robin NeilNelson, James E114 13th St SGreat Falls, MT 59401(406) 454-3711Medical Group: James E Nelson DDSNieset, Michelle R115 4th St SGreat Falls, MT 59401(406) 761-9893Medical Group: County of CascadeNieset, Michelle R2523 6th Ave SGreat Falls, MT 59405(406) 761-3131Medical Group: Huhn Adam J DDSPence, Daniel A2605 16th Ave SGreat Falls, MT 59405(406) 727-9889Medical Group: Pence Daniel ASedlack, Janet3920 3rd Ave SGreat Falls, MT 59405(406) 452-5361Medical Group: Maltby Levi C DMD

2

Dental Care Providers BIG SANDY – CHOUTEAU COUNTY

BIG SANDY – CHOUTEAU COUNTYGENERAL DENTISTBuer, Bruce H166 Montana Ave EBig Sandy, MT 59520(406) 761-1837Medical Group: Buer Bruce H

FORT BENTON – CHOUTEAU COUNTYGENERAL DENTISTLabrel, Robert J1220 Main StFort Benton, MT 59442(406) 622-3651Medical Group: Robert J Labrel DDS

MILES CITY – CUSTER COUNTYGENERAL DENTISTMcFarland, Garret C520 Main StMiles City, MT 59301(406) 874-9637Medical Group: McFarland Garret CYerger, Chase J2200 Box Elder StSte 121Miles City, MT 59301(406) 232-2214Medical Group: Yerger Family Dental

ORAL SURGEONGriffeth, Rod M2600 Wilson StMiles City, MT 59301(406) 259-7438Medical Group: Oral & Maxillofacial SurgLudwig, Brian R2600 Wilson StMiles City, MT 59301(406) 259-7438Medical Group: Oral & Maxillofacial SurgWinterholler, Bert2600 Wilson StMiles City, MT 59301(406) 259-7438Medical Group: Oral & Maxillofacial Surg

ANACONDA – DEER LODGE COUNTYGENERAL DENTISTBartoletti, Edward215 Hickory StAnaconda, MT 59711(406) 563-5450Medical Group: Ed A Bartoletti DMDCromwell, Andrew C315 Oak StAnaconda, MT 59711(406) 563-3025Medical Group: Cromwell Andrew CLowe, Amy K116 W 3rd StAnaconda, MT 59711(406) 563-7666Medical Group: Lowe Amy K

Slocum, Katherine S307 E Park AveSte 308Anaconda, MT 59711(406) 563-3473Medical Group: Katherine S Slocum DDS

COLUMBIA FALLS – FLATHEAD COUNTYGENERAL DENTISTAshe, Jeffrey M105 Nucleus AveColumbia Falls, MT 59912(406) 892-2104Medical Group: C Falls Family Dental CtrBuffington, Neal J604 1st Ave WColumbia Falls, MT 59912(406) 892-4296Medical Group: Buffington Neal JCalderwood, Dean W105 Nucleus AveColumbia Falls, MT 59912(406) 892-2104Medical Group: C Falls Family Dental CtrMiller, John F105 Nucleus AveColumbia Falls, MT 59912(406) 892-2104Medical Group: C Falls Family Dental Ctr

3

Dental Care Providers KALISPELL – FLATHEAD COUNTY

KALISPELL – FLATHEAD COUNTYGENERAL DENTISTBlandon, Michael J2165 Us Highway 2 ESte DKalispell, MT 59901(406) 890-7040Medical Group: Flathead Valley DentalBooth, Joel115 Commons WaySte 102Kalispell, MT 59901(406) 892-2104Medical Group: Smile Montana Urgent DentalErekson, Joshua2165 Us Highway 2 ESte DKalispell, MT 59901(406) 890-7040Medical Group: Flathead Valley DentalFontana, Sarah3 Sunset PlazaSte 100Kalispell, MT 59901(406) 752-1166Medical Group: Montana Dental WorksHammer, William N1035 1st Ave WKalispell, MT 59901(406) 751-8113Medical Group: Flathead Community HealthHammer, William N140 5th St WKalispell, MT 59901(406) 755-6680Medical Group: Hammer William Neil

Johnson, Stephen P3 Sunset PlazaSte 100Kalispell, MT 59901(406) 752-1166Medical Group: Montana Dental WorksKozik, James M720 2nd St EKalispell, MT 59901(406) 755-4766Medical Group: Kalispell Family Dental PLLCMcAllister, Daniel J3 Sunset PlazaSte 100Kalispell, MT 59901(406) 752-1166Medical Group: Montana Dental WorksMiller, John F115 Commons WaySte 102Kalispell, MT 59901(406) 892-2104Medical Group: Smile Montana Urgent DentalNickisch, Wendy1035 1st Ave WKalispell, MT 59901(406) 751-8113Medical Group: Flathead Community HealthPotthoff, Ronald B195 Commons LoopSte AKalispell, MT 59901(406) 755-5280Medical Group: Ronald B Potthoff DDS

Robinson, Katerina2165 Us Highway 2 ESte DKalispell, MT 59901(406) 890-7040Medical Group: Flathead Valley DentalSemrau, David D221 Parkway DrKalispell, MT 59901(406) 752-2372Medical Group: Semrau David D

ORAL SURGEONWeber, David M115 Commons WaySte 101Kalispell, MT 59901(406) 755-6014Medical Group: David M Weber DDS MD PC

WHITEFISH – FLATHEAD COUNTYGENERAL DENTISTBax, Dale A3000 Hospital WayWhitefish, MT 59937(406) 862-3839Medical Group: Alpenglow DentalBooth, Joel3000 Hospital WayWhitefish, MT 59937(406) 862-3839Medical Group: Alpenglow DentalLarson, Robert A3000 Hospital WayWhitefish, MT 59937(406) 862-3839Medical Group: Alpenglow Dental

4

Dental Care Providers WHITEFISH – FLATHEAD COUNTY

Raddatz, Laura3000 Hospital WayWhitefish, MT 59937(406) 862-3839Medical Group: Alpenglow Dental

BELGRADE – GALLATIN COUNTYGENERAL DENTISTAndersen, Robert J103 W Jefferson AveSte ABelgrade, MT 59714(406) 388-3005Medical Group: Belgrade Family DentalGarson, Matthew L227 Spooner RdBelgrade, MT 59714(406) 388-0550Medical Group: Matthew L Garson DDSSager, Cory D103 W Jefferson AveSte ABelgrade, MT 59714(406) 388-3005Medical Group: Belgrade Family DentalSedlack, Janet103 W Jefferson AveSte ABelgrade, MT 59714(406) 388-3005Medical Group: Belgrade Family Dental

BOZEMAN – GALLATIN COUNTYGENERAL DENTISTAndersen, Robert J120 N 19th AveSte HBozeman, MT 59718(406) 585-8701Medical Group: Community Health Partners IncAndersen, Robert J380 Ice Center LnSte BBozeman, MT 59718(406) 586-9871Medical Group: Sager Dental GroupBowen, David A120 N 19th AveSte HBozeman, MT 59718(406) 585-8701Medical Group: Community Health Partners IncHansen, Gordon K2050 W Dickerson StSte ABozeman, MT 59718(406) 582-1790Medical Group: G Kristian Hansen DDS MS PCMartin, Rachel M120 N 19th AveSte HBozeman, MT 59718(406) 585-8701Medical Group: Community Health Partners Inc

Moos, William R1716 W Main StSte 8DBozeman, MT 59715(406) 586-4961Medical Group: William R Moos DDS PCMortenson, Dean C2018 Stadium DrBozeman, MT 59715(406) 586-9621Medical Group: Mortenson Dean CPulfer, Sheryleen120 N 19th AveSte HBozeman, MT 59718(406) 585-8701Medical Group: Community Health Partners IncSager, Cory D380 Ice Center LnSte BBozeman, MT 59718(406) 586-9871Medical Group: Sager Dental GroupSager, Cory D380 Ice Center LnSte BBozeman, MT 59718(406) 586-9871Medical Group: Schmieding Dental Group

PEDIATRIC DENTISTAleagha, Nasim108 N 11th AveSte 3Bozeman, MT 59715(406) 587-5437Medical Group: Bridger Childrens Dentistry

5

Dental Care Providers GALLATIN GATEWY – GALLATIN COUNTY

GALLATIN GATEWY – GALLATIN COUNTYGENERAL DENTISTSchmieding, Peter J47520 Gallatin RdSte 1BGallatin Gatewy, MT 59730(406) 586-9871Medical Group: Schmieding Dental Group

MANHATTAN – GALLATIN COUNTYGENERAL DENTISTBlanchard, Jonathan W118 S 4th StManhattan, MT 59741(406) 284-3251Medical Group: Jonathan W Blanchard DDS

THREE FORKS – GALLATIN COUNTYGENERAL DENTISTRussell, Chad D123 Main StSte 1Three Forks, MT 59752(406) 285-5234Medical Group: Russell Chad D

W YELLOWSTONE – GALLATIN COUNTYGENERAL DENTISTSmith, Douglas J317 N Canyon StW Yellowstone, MT 59758(406) 646-7766Medical Group: West Yellowstone Dental

Smith, Ryan D317 N Canyon StW Yellowstone, MT 59758(406) 646-7766Medical Group: West Yellowstone Dental

CUT BANK – GLACIER COUNTYGENERAL DENTISTReasch, Randall B140 S Central AveCut Bank, MT 59427(406) 873-5222Medical Group: Glacier Community Health CtrVan Wagoner, Jennifer140 S Central AveCut Bank, MT 59427(406) 873-5222Medical Group: Glacier Community Health Ctr

PHILISBURG – GRANITE COUNTYGENERAL DENTISTChristensen, Gregory310 Sansome StPhilisburg, MT 59858(406) 859-3271Medical Group: Granite County Medical CntrMesser, Mark S310 Sansome StPhilisburg, MT 59858(406) 859-3271Medical Group: Granite County Medical Cntr

HAVRE – HILL COUNTYGENERAL DENTISTFriedman, Jonathan521 4th StHavre, MT 59501(406) 395-4305Medical Group: Bullhook Community Health CtrHarris, Alyssa521 4th StHavre, MT 59501(406) 395-4305Medical Group: Bullhook Community Health CtrKozik, James M337 4th AveHavre, MT 59501(406) 265-2500Medical Group: Kozik James MRamberg, Zachary C521 4th StHavre, MT 59501(406) 395-4305Medical Group: Bullhook Community Health CtrTilgner, Ronald R521 4th StHavre, MT 59501(406) 395-4305Medical Group: Bullhook Community Health Ctr

BOULDER – JEFFERSON COUNTYGENERAL DENTISTMartin, Charissa M211 N Main StBoulder, MT 59632(406) 225-4222Medical Group: Elkhorn Family Dental LLC

6

Dental Care Providers CLANCY – JEFFERSON COUNTY

CLANCY – JEFFERSON COUNTYGENERAL DENTISTLavoie, Joel M2 Market StClancy, MT 59634(406) 443-5130Medical Group: Montana City Dental Clinic PCLavoie, Shailini K2 Market StClancy, MT 59634(406) 443-5130Medical Group: Montana City Dental Clinic PC

WHITEHALL – JEFFERSON COUNTYGENERAL DENTISTSacry, Dennis108 W 1st StWhitehall, MT 59759(406) 287-3026Medical Group: Dennis K Sacry DDS PC

POLSON – LAKE COUNTYGENERAL DENTISTBird, Jeffrey S2 6th Ave EPolson, MT 59860(406) 883-6269Medical Group: Bird Family Dentistry

RONAN – LAKE COUNTYGENERAL DENTISTBagnell, Timothy H63355 Us Highway 93Ronan, MT 59864(406) 676-8880Medical Group: Western Montana Family DentistBeard, Jonathan63355 Us Highway 93Ronan, MT 59864(406) 676-8880Medical Group: Western Montana Family Dentist

EAST HELENA – LEWIS AND CLARK COUNTYGENERAL DENTISTSheahan, Brandon6 West Main StEast Helena, MT 59635(406) 227-5886Medical Group: Brandon Sheahan DDS

HELENA – LEWIS AND CLARK COUNTYGENERAL DENTISTAhlers, Nathan L227 W Lyndale AveHelena, MT 59601(406) 443-6464Medical Group: Ahlers Family Dentistry

Browne, Heidi C1930 9th AveHelena, MT 59601(406) 457-8971Medical Group: Pureview Hlth Ctr DentalChamberlain, Dale R64 Medical Park DrHelena, MT 59601(406) 443-3747Medical Group: Chamberlain Dale RClaeys, Christian L2600 Winne AveSte CHelena, MT 59601(406) 443-8000Medical Group: Claeys Family Dentistry PCDitchey, Thomas K740 Helena AveHelena, MT 59601(406) 442-7980Medical Group: Walsh April S DMDElder, Travis907 Helena AveHelena, MT 59601(406) 442-4990Medical Group: Elder TravisFife, Michael2619 Colonial DrSte BHelena, MT 59601(406) 442-7831Medical Group: Nielsen Dental PCFriedman, Jonathan1930 9th AveHelena, MT 59601(406) 457-8971Medical Group: Pureview Hlth Ctr Dental

7

Dental Care Providers HELENA – LEWIS AND CLARK COUNTY

Harrington, Daniel P1930 9th AveHelena, MT 59601(406) 457-8971Medical Group: Pureview Hlth Ctr DentalHicks, James R1300 N Montana AveHelena, MT 59601(406) 449-1300Medical Group: Hicks James RKeppler Jr, Leonard W1930 9th AveHelena, MT 59601(406) 457-8971Medical Group: Pureview Hlth Ctr DentalLoomis, Christopher B1930 9th AveHelena, MT 59601(406) 457-8971Medical Group: Pureview Hlth Ctr DentalLoomis, Christopher B227 W Lyndale AveHelena, MT 59601(406) 443-6464Medical Group: Ahlers Family DentistryMiller, Kevin E505 N Sanders StHelena, MT 59601(406) 442-1130Medical Group: Miller Kevin EMongelli, Jessica E1093 Helena AveHelena, MT 59601(406) 442-5930Medical Group: Mongelli Jessica E

Mui, Denise2619 Colonial DrSte BHelena, MT 59601(406) 442-7831Medical Group: Nielsen Dental PCNielsen, Paul K2619 Colonial DrSte BHelena, MT 59601(406) 442-7831Medical Group: Nielsen Dental PCSchauer, William J740 Helena AveHelena, MT 59601(406) 442-7980Medical Group: Walsh April S DMDSpiger, Benjamin R3003 Cabernet DrHelena, MT 59601(406) 442-8062Medical Group: Spiger Benjamin RWalsh, April S740 Helena AveHelena, MT 59601(406) 442-7980Medical Group: Walsh April S DMDWordal, Daniel J1930 9th AveHelena, MT 59601(406) 457-8971Medical Group: Pureview Hlth Ctr Dental

ORAL SURGEONFleischmann, Jason H65 Medical Park DrSte IHelena, MT 59601(406) 443-3334Medical Group: Montana Oral Surg Dnt Impl Ctr

EUREKA – LINCOLN COUNTYGENERAL DENTISTDaniels, Eric744 Us Highway 93 NEureka, MT 59917(406) 297-2461Medical Group: Daniels Eric

LIBBY – LINCOLN COUNTYGENERAL DENTISTBurke, Brandon J320 E 2nd StLibby, MT 59923(406) 293-3755Medical Group: Lincoln County Cmty Hlth CtrKarsakow, Carla K320 E 2nd StLibby, MT 59923(406) 293-3755Medical Group: Lincoln County Cmty Hlth CtrMendenhall, Ronald E204 E 6th StLibby, MT 59923(406) 293-4116Medical Group: Kootenai Family Dentistry

8

Dental Care Providers ENNIS – MADISON COUNTY

ENNIS – MADISON COUNTYGENERAL DENTISTSager, Cory D5 Sunrise LoopSte CEnnis, MT 59729(406) 682-3310Medical Group: Schmieding Dental GroupSchmieding, Peter J5 Sunrise LoopSte CEnnis, MT 59729(406) 682-3310Medical Group: Schmieding Dental Group

SUPERIOR – MINERAL COUNTYGENERAL DENTISTBoswell, Ryan B405 Brooklyn StSuperior, MT 59872(406) 822-4841Medical Group: Partnership Health CenterByington, Joseph D405 Brooklyn StSuperior, MT 59872(406) 822-4841Medical Group: Partnership Health CenterMesser, Mark S405 Brooklyn StSuperior, MT 59872(406) 822-4841Medical Group: Partnership Health Center

Nelson, Jazmin S405 Brooklyn StSuperior, MT 59872(406) 822-4841Medical Group: Partnership Health Center

FRENCHTOWN – MISSOULA COUNTYGENERAL DENTISTBagnell, Timothy H15276 Belker LaneFrenchtown, MT 59834(406) 626-5520Medical Group: Bagnell Dental ClinicTrujillo, Joseph J15276 Belker LaneFrenchtown, MT 59834(406) 626-5520Medical Group: Bagnell Dental Clinic

MISSOULA – MISSOULA COUNTYGENERAL DENTISTBoswell, Ryan B1150 Sherwood StMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health Center IncBoswell, Ryan B401 Railroad St WMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health Center

Byington, Joseph D1150 Sherwood StMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health Center IncByington, Joseph D401 Railroad St WMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health CenterMcKenna, Sarin401 Railroad St WMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health CenterMesser, Mark S1150 Sherwood StMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health Center IncMesser, Mark S401 Railroad St WMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health CenterNelson, Jazmin S1150 Sherwood StMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health Center IncNelson, Jazmin S401 Railroad St WMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health Center

9

Dental Care Providers MISSOULA – MISSOULA COUNTY

Stringer, Scott M401 Railroad St WMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health CenterWalker, Peggy S401 Railroad St WMissoula, MT 59802(406) 258-4789Medical Group: Partnership Health Center

ORAL SURGEONHoltzen III, Richard F805 S Reserve StMissoula, MT 59801(406) 549-6600Medical Group: Fac Plastic Reconstructive Sur

SEELEY LAKE – MISSOULA COUNTYGENERAL DENTISTBoswell, Ryan B3050 Highway 83 NorthSeeley Lake, MT 59868(406) 258-4789Medical Group: Partners Health Center IncByington, Joseph D3050 Highway 83 NorthSeeley Lake, MT 59868(406) 258-4789Medical Group: Partners Health Center IncMesser, Mark S3050 Highway 83 NorthSeeley Lake, MT 59868(406) 258-4789Medical Group: Partners Health Center Inc

Nelson, Jazmin S3050 Highway 83 NorthSeeley Lake, MT 59868(406) 258-4789Medical Group: Partners Health Center IncWalker, Peggy S3050 Highway 83 NorthSeeley Lake, MT 59868(406) 258-4789Medical Group: Partners Health Center Inc

ROUNDUP – MUSSELSHELL COUNTYGENERAL DENTISTRosebush, Mark S239 Main StRoundup, MT 59072(406) 323-1234Medical Group: Whiteley Joshua L DDS

LIVINGSTON – PARK COUNTYGENERAL DENTISTBowen, David A126 S Main StLivingston, MT 59047(406) 222-1111Medical Group: Community Health Partners IncMartin, Rachel M112 W Lewis StSte 3Livingston, MT 59047(406) 922-0881Medical Group: Community Health Partners

Pulfer, Sheryleen126 S Main StLivingston, MT 59047(406) 222-1111Medical Group: Community Health Partners IncWales, Joanna V112 W Lewis StSte 3Livingston, MT 59047(406) 922-0881Medical Group: Community Health Partners

CONRAD – PONDERA COUNTYGENERAL DENTISTBlixrud, Chris417 2nd Ave SWConrad, MT 59425(406) 278-3609Medical Group: Sunset Dental CareVandyke, Schuyler A417 2nd Ave SWConrad, MT 59425(406) 278-3609Medical Group: Sunset Dental Care

DEER LODGE – POWELL COUNTYGENERAL DENTISTRubink, Dustin S712 4th StDeer Lodge, MT 59722(406) 846-1216Medical Group: Rubink Dustin SStarr, Jake S1101 Maryland AveDeer Lodge, MT 59722(406) 846-3532Medical Group: Starr Jake S

10

Dental Care Providers HAMILTON – RAVALLI COUNTY

HAMILTON – RAVALLI COUNTYGENERAL DENTISTKehmeier, Andy B710 S 1st StHamilton, MT 59840(406) 363-5200Medical Group: Kehmeier Andy BSimmons, Justin D710 N 1st StSte AHamilton, MT 59840(406) 375-1192Medical Group: Canyon View Dental PCSimmons, Stacey L710 N 1st StSte AHamilton, MT 59840(406) 375-1192Medical Group: Canyon View Dental PC

SIDNEY – RICHLAND COUNTYGENERAL DENTISTMartineau, Paul R401 N Central AveSidney, MT 59270(406) 482-2423Medical Group: Martineau Paul R

WOLF POINT – ROOSEVELT COUNTYGENERAL DENTISTGreene, Myriam N116 Main StWolf Point, MT 59201(406) 653-2890Medical Group: Wolf Point Dental

FORSYTH – ROSEBUD COUNTYGENERAL DENTISTYoungbauer, Mary R1617 Main StForsyth, MT 59327(406) 346-2131Medical Group: Youngbauer & Youngbauer

THOMPSON FALLS – SANDERS COUNTYGENERAL DENTISTGoertzen, Roland1608 Main St EThompson Falls, MT 59873(406) 827-4681Medical Group: Goertzen Roland

PLENTYWOOD – SHERIDAN COUNTYGENERAL DENTISTStevens, Monte C223 N Main StPlentywood, MT 59254(406) 765-2700Medical Group: Sheridan Dental Clinic

BUTTE – SILVER BOW COUNTYGENERAL DENTISTBartoletti, Maria I445 Centennial AveButte, MT 59701(406) 723-4075Medical Group: Southwest Montana Community

Bartoletti, Mario445 Centennial AveButte, MT 59701(406) 723-4075Medical Group: Southwest Montana CommunityBartoletti, Mike1501 Holmes AveButte, MT 59701(406) 494-5033Medical Group: Mike BartolettiChamberlain, Dale R445 Centennial AveButte, MT 59701(406) 723-4075Medical Group: Southwest Montana CommunityGilbreath, Tara E820 Sampson StButte, MT 59701(406) 494-7080Medical Group: Butte Family Dental PLLCGundersen, Tyson J245 East ParkButte, MT 59701(406) 494-7058Medical Group: Tyson Gundersen DMDJanecke, Dennis E2425 Cornell AveButte, MT 59701(406) 782-2703Medical Group: Dennis E Janeke DDSJohnson, Erik H2823 Lexington AveButte, MT 59701(406) 494-9300Medical Group: Erik H Johnson DMD

11

Dental Care Providers BUTTE – SILVER BOW COUNTY

McIntyre, Kyle S820 Sampson StButte, MT 59701(406) 494-7080Medical Group: Butte Family Dental PLLCPulfer, Sheryleen445 Centennial AveButte, MT 59701(406) 723-4075Medical Group: Southwest Montana CommunityRichards, Toby G1240 Dewey BlvdButte, MT 59701(406) 494-2525Medical Group: Richards Toby GShearman, Aaron M3310 Monroe AveButte, MT 59701(406) 494-1316Medical Group: Shearman Aaron MWalters, Jere P27 Discovery DrButte, MT 59701(406) 782-8719Medical Group: Dr Jere P Walters DDS PLLCWilcox, Robert F2823 LexingtonButte, MT 59701(406) 494-4046Medical Group: Robert F Wilcox DDS

CHOTEAU – TETON COUNTYGENERAL DENTISTMaltby, Samuel S15 1st St NEChoteau, MT 59422(406) 466-5662Medical Group: Maltby Samuel S

Selander, David B23 7th Ave NWChoteau, MT 59422(406) 466-2064Medical Group: David B Selander DDS

FAIRFIELD – TETON COUNTYGENERAL DENTISTFairhurst, Kevin J223 Central AveFairfield, MT 59436(406) 761-1365Medical Group: Westside Family Dental PC

SHELBY – TOOLE COUNTYGENERAL DENTISTHaight, Bryan D865 Oilfield AveShelby, MT 59474(406) 434-3142Medical Group: Marias Healthcare Services IncMoore, John P865 Oilfield AveShelby, MT 59474(406) 434-5146Medical Group: J Patrick Moore DDS

HARLOWTON – WHEATLAND COUNTYGENERAL DENTISTSmith, Tyson C201 Division StHarlowton, MT 59036(406) 632-4511Medical Group: Deer Creek Dental

BILLINGS – YELLOWSTONE COUNTYGENERAL DENTISTAmmondson, Kelsey123 S 27th StBillings, MT 59101(406) 247-3333Medical Group: Yellowstone City County HlthAndrew, Cameron123 S 27th StBillings, MT 59101(406) 247-3333Medical Group: Yellowstone City County HlthBennion, Douglas B152 S 32nd St WSte ABillings, MT 59102(406) 245-4414Medical Group: Lambourne Kevin ChadBennion, Douglas B711 W Wicks LnBillings, MT 59105(406) 245-4414Medical Group: Douglas Bennion DDSBlackburn, Charles L123 S 27th StBillings, MT 59101(406) 247-3333Medical Group: Yellowstone City County HlthChlarson, Clint1690 Rimrock RdSte CBillings, MT 59102(406) 248-3303Medical Group: Rimrock Pediatric Dentistry

12

Dental Care Providers BILLINGS – YELLOWSTONE COUNTY

Condon, Jacob M10 Avanta WaySte 3Billings, MT 59102(406) 446-2814Medical Group: Rubicon Dental Assoc PLLCDobmeier, Jordan10 Avanta WaySte 3Billings, MT 59102(406) 446-2814Medical Group: Rubicon Dental Assoc PLLCDowning, Michael H123 S 27th StBillings, MT 59101(406) 247-3333Medical Group: Yellowstone City County HlthGustafson, Amy K123 S 27th StBillings, MT 59101(406) 247-3333Medical Group: Yellowstone City County HlthHaslam, Cody W3307 Grand AveSte 105Billings, MT 59102(406) 652-7313Medical Group: Haslam Cody WHughes, Spencer M10 Avanta WaySte 3Billings, MT 59102(406) 446-2814Medical Group: Rubicon Dental Assoc PLLCHull, Mackay123 S 27th StBillings, MT 59101(406) 247-3333Medical Group: Yellowstone City County Hlth

Lambourne, Kevin C152 S 32nd St WSte ABillings, MT 59102(406) 245-4414Medical Group: Lambourne Kevin ChadLuderitz, James R2700 Grand AveSte DBillings, MT 59102(406) 248-7172Medical Group: James Luderitz DDS MS PCMcDonald, Ian C730 Main StSte 101Billings, MT 59105(406) 256-2121Medical Group: Benchmark Dental PCMcQueen, Shaun2370 Avenue CBillings, MT 59102(406) 652-3031Medical Group: Shaun McQueen DDSMoritz, Greg K2049 Broadwater AveSte 2Billings, MT 59102(406) 656-9911Medical Group: G K Moritz DDS PCMuir, Joshua C10 Avanta WaySte 3Billings, MT 59102(406) 446-2814Medical Group: Rubicon Dental Assoc PLLC

Olsen, James O123 S 27th StBillings, MT 59101(406) 247-3333Medical Group: Yellowstone City County HlthPatterson, James E1038 Broadwater AveBillings, MT 59102(406) 896-8365Medical Group: Patterson James EPearson, McKay315 South 24th St WUnit 2Billings, MT 59102(406) 652-2600Medical Group: McKay Pearson DMDPeck, Derrick10 Avanta WaySte 3Billings, MT 59102(406) 446-2814Medical Group: Rubicon Dental Assoc PLLCPickens, Andrew W730 Main StSte 101Billings, MT 59105(406) 256-2121Medical Group: Benchmark Dental PCPollock, Samuel R10 Avanta WaySte 3Billings, MT 59102(406) 446-2814Medical Group: Rubicon Dental Assoc PLLCPrill, Christopher M820 N 30th StBillings, MT 59101(406) 252-1533Medical Group: Christopher M Prill DDS

13

Dental Care Providers BILLINGS – YELLOWSTONE COUNTY

Prill, Matthew J820 N 30th StBillings, MT 59101(406) 252-1533Medical Group: Matthew J Prill DDSPrill, Richard D820 N 30th StBillings, MT 59101(406) 252-1533Medical Group: Richard D Prill DDSReynolds, Kelly A10 Avanta WaySte 3Billings, MT 59102(406) 446-2814Medical Group: Rubicon Dental Assoc PLLCRosebush, Mark S2376 Main StSte 812Billings, MT 59105(406) 656-5200Medical Group: Elite Dental CenterSlade, Matthew L1826 Grand AveSte BBillings, MT 59102(406) 839-9245Medical Group: Matthew L Slade DDSSmith, Ronald W2716 7th Ave NBillings, MT 59101(406) 252-1862Medical Group: Smith Ronald WSong, Kirk D14 Avanta WaySte ABillings, MT 59102(406) 655-2162Medical Group: Kirk D Song DDS PC

Sutton, Jeanne644 Grand AveSte 2Billings, MT 59101(406) 252-4415Medical Group: Jeanne Sutton DDSTaylor, Jacob M2700 Grand AveSte EBillings, MT 59102(406) 655-4656Medical Group: Wassmer Kyle BThomas, Joseph P1501 14th St WestSte 215Billings, MT 59102(406) 256-5165Medical Group: Joseph Thomas DDSTownsend, Remington M10 Avanta WaySte 3Billings, MT 59102(406) 446-2814Medical Group: Rubicon Dental Assoc PLLCTracy, Kyle D152 S 32nd St WSte BBillings, MT 59102(406) 655-0170Medical Group: Billings Oral Surgery LLCTulett, Jeffrey10 Avanta WaySte 3Billings, MT 59102(406) 446-2814Medical Group: Rubicon Dental Assoc PLLC

Wassmer, Kyle B2700 Grand AveSte EBillings, MT 59102(406) 655-4656Medical Group: Wassmer Kyle BWhiteley, Joshua L123 S 27th StBillings, MT 59101(406) 247-3333Medical Group: Yellowstone City County HlthWhiteley, Joshua L2376 Main StSte 812Billings, MT 59105(406) 656-5200Medical Group: Elite Dental CenterWinterholler, Cody3737 Grand AveSte 8Billings, MT 59102(406) 652-0505Medical Group: WCW Dental LLCWinterholler, William B3737 Grand AveSte 8Billings, MT 59102(406) 652-0505Medical Group: WCW Dental LLCYates, Joseph S933 Broadwater SqBillings, MT 59101(406) 252-1202Medical Group: Joseph S Yates DMD PC

14

Dental Care Providers BILLINGS – YELLOWSTONE COUNTY

ORAL SURGEONBennion, John W152 S 32nd St WSte BBillings, MT 59102(406) 655-0170Medical Group: Billings Oral Surgery LLCBoyce, Andrew G152 S 32nd St WSte BBillings, MT 59102(406) 655-0170Medical Group: Billings Oral Surgery LLCGriffeth, Rod M2675 Central AveSte L8Billings, MT 59102(406) 259-7438Medical Group: Oral and Maxillofacial SurgeryLudwig, Brian R2675 Central AveSte L8Billings, MT 59102(406) 259-7438Medical Group: Oral and Maxillofacial SurgeryWinterholler, Bert2675 Central AveSte L8Billings, MT 59102(406) 259-7438Medical Group: Oral and Maxillofacial SurgeryWinterholler, Bert3737 Grand AveSte 8Billings, MT 59102(406) 652-0505Medical Group: WCW Dental LLC

ORTHODONTISTKovacs, Thomas E2820 Central AveSte CBillings, MT 59102(406) 655-9300Medical Group: Thomas E Kovacs DDS MSD PCWilliams, Richard B1690 Rimrock RdSte JBillings, MT 59102(406) 252-9555Medical Group: Williams Orthodontics

PEDIATRIC DENTISTBailey, David G1690 Rimrock RdSte CBillings, MT 59102(406) 248-3303Medical Group: Rimrock Pediatric DentistryClement, Christina1690 Rimrock RdSte CBillings, MT 59102(406) 248-3303Medical Group: Rimrock Pediatric DentistryKeller, Brady S1690 Rimrock RdSte CBillings, MT 59102(406) 248-3303Medical Group: Rimrock Pediatric Dentistry

LAUREL – YELLOWSTONE COUNTYGENERAL DENTISTDobmeier, Jordan15 Montana AveLaurel, MT 59044(406) 628-6716Medical Group: Laurel Family DentalHughes, Spencer M15 Montana AveLaurel, MT 59044(406) 628-6716Medical Group: Laurel Family DentalPeck, Derrick15 Montana AveLaurel, MT 59044(406) 628-6716Medical Group: Laurel Family DentalPollock, Samuel R15 Montana AveLaurel, MT 59044(406) 628-6716Medical Group: Laurel Family DentalReynolds, Kelly A15 Montana AveLaurel, MT 59044(406) 628-6716Medical Group: Laurel Family DentalWinterholler, Cody413 SE 4th StSte GLaurel, MT 59044(406) 628-4500Medical Group: Winterholler Dentistry

15

Dental Care Providers LAUREL – YELLOWSTONE COUNTY

Winterholler, William B413 SE 4th StSte GLaurel, MT 59044(406) 628-4500Medical Group: Winterholler Dentistry

RED LOGE – YELLOWSTONE COUNTYGENERAL DENTISTCondon, Jacob M515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLCDobmeier, Jordan515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLCEvans, David515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLCHughes, Spencer M515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLC

Moos, Gregory J515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLCMuir, Joshua C515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLCPeck, Derrick515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLCPollock, Samuel R515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLCReynolds, Kelly A515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLCTownsend, Remington M515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLC

Tulett, Jeffrey515 N BroadwaySte 4Red Loge, MT 59102(406) 655-4210Medical Group: Rubicon Dental Assoc PLLC

16

Other Facilities ALPHABETIC LISTING

Ahlers Family Dentistry227 W Lyndale AveHelena, MT 59601(406) 443-6464

Aimee Ameline DDS PC613 Park Dr SGreat Falls, MT 59405(406) 761-4288

Alpenglow Dental3000 Hospital WayWhitefish, MT 59937(406) 862-3839

Bagnell Dental Clinic15276 Belker LaneFrenchtown, MT 59834(406) 626-5520

Belgrade Family Dental103 W Jefferson AveBelgrade, MT 59714(406) 388-3005

Benchmark Dental PC730 Main StBillings, MT 59105(406) 256-2121

Billings Oral Surgery LLC152 S 32nd St WBillings, MT 59102(406) 655-0170

Bird Family Dentistry2 6th Ave EPolson, MT 59860(406) 883-6269

Brandon Sheahan DDS6 West Main StEast Helena, MT 59635(406) 227-5886

Bridger Childrens Dentistry108 N 11th AveBozeman, MT 59715(406) 587-5437

Buer Bruce H166 Montana Ave EBig Sandy, MT 59520(406) 761-1837

Buer Bruce H2300 12th Ave SGreat Falls, MT 59405(406) 761-1837

Buffington Neal J604 1st Ave WColumbia Falls, MT 59912(406) 892-4296

Bullhook Community Health Ctr521 4th StHavre, MT 59501(406) 395-4305

Butte Family Dental PLLC820 Sampson StButte, MT 59701(406) 494-7080

C Falls Family Dental Ctr105 Nucleus AveColumbia Falls, MT 59912(406) 892-2104

Canyon View Dental PC710 N 1st StHamilton, MT 59840(406) 375-1192

Chamberlain Dale R64 Medical Park DrHelena, MT 59601(406) 443-3747

Christopher M Prill DDS820 N 30th StBillings, MT 59101(406) 252-1533

Claeys Family Dentistry PC2600 Winne AveHelena, MT 59601(406) 443-8000

17

Other Facilities ALPHABETIC LISTING

Community Health Partners Inc120 N 19th AveBozeman, MT 59718(406) 585-8701

Community Health Partners Inc126 S Main StLivingston, MT 59047(406) 222-1111

Community Health Partners112 W Lewis StLivingston, MT 59047(406) 922-0881

County of Cascade115 4th St SGreat Falls, MT 59401(406) 761-9893

Cromwell Andrew C315 Oak StAnaconda, MT 59711(406) 563-3025

Dachs David D2523 6th Ave SGreat Falls, MT 59405(406) 761-3131

Daniels Eric744 Us Highway 93 NEureka, MT 59917(406) 297-2461

David B Selander DDS23 7th Ave NWChoteau, MT 59422(406) 466-2064

David M Weber DDS MD PC115 Commons WayKalispell, MT 59901(406) 755-6014

Deer Creek Dental201 Division StHarlowton, MT 59036(406) 632-4511

Dennis E Janeke DDS2425 Cornell AveButte, MT 59701(406) 782-2703

Dennis K Sacry DDS PC108 W 1st StWhitehall, MT 59759(406) 287-3026

Dillon Community Health Ctr41 Barrett StDillon, MT 59725(406) 683-4440

Douglas Bennion DDS711 W Wicks LNBillings, MT 59105(406) 245-4414

Dr Jere P Walters DDS PLLC27 Discovery DrButte, MT 59701(406) 782-8719

Ed A Bartoletti DMD215 Hickory StAnaconda, MT 59711(406) 563-5450

Elder Travis907 Helena AveHelena, MT 59601(406) 442-4990

Elite Dental Center2376 Main StBillings, MT 59105(406) 656-5200

Elkhorn Family Dental LLC211 N Main StBoulder, MT 59632(406) 225-4222

Erik H Johnson DMD2823 Lexington AveButte, MT 59701(406) 494-9300

18

Other Facilities ALPHABETIC LISTING

Fac Plastic Reconstructive Sur805 S Reserve StMissoula, MT 59801(406) 549-6600

Flathead Community Health1035 1st Ave WKalispell, MT 59901(406) 751-8113

Flathead Valley Dental2165 Us Highway 2 EKalispell, MT 59901(406) 890-7040

G K Moritz DDS PC2049 Broadwater AveBillings, MT 59102(406) 656-9911

G Kristian Hansen DDS MS PC2050 W Dickerson StBozeman, MT 59718(406) 582-1790

Glacier Community Health Ctr140 S Central AveCut Bank, MT 59427(406) 873-5222

Goertzen Roland1608 Main St EThompson Falls, MT 59873(406) 827-4681

Granite County Medical Cntr310 Sansome StPhilisburg, MT 59858(406) 859-3271

Hammer William Neil140 5th St WKalispell, MT 59901(406) 755-6680

Harboway Family Dentistry PC2800 11th Ave SGreat Falls, MT 59405(406) 453-4346

Haslam Cody W3307 Grand AveBillings, MT 59102(406) 652-7313

Hicks James R1300 N Montana AveHelena, MT 59601(406) 449-1300

Huhn Adam J DDS2523 6th Ave SGreat Falls, MT 59405(406) 761-3131

J Patrick Moore DDS865 Oilfield AveShelby, MT 59474(406) 434-5146

James E Nelson DDS114 13th St SGreat Falls, MT 59401(406) 454-3711

James Luderitz DDS MS PC2700 Grand AveBillings, MT 59102(406) 248-7172

Jeanne Sutton DDS644 Grand AveBillings, MT 59101(406) 252-4415

Jonathan W Blanchard DDS118 S 4th StManhattan, MT 59741(406) 284-3251

Joseph S Yates DMD PC933 Broadwater SQBillings, MT 59101(406) 252-1202

Joseph Thomas DDS1501 14th St WestBillings, MT 59102(406) 256-5165

19

Other Facilities ALPHABETIC LISTING

Kalispell Family Dental PLLC720 2nd St EKalispell, MT 59901(406) 755-4766

Katherine S Slocum DDS307 E Park AveAnaconda, MT 59711(406) 563-3473

Kehmeier Andy B710 S 1st StHamilton, MT 59840(406) 363-5200

Kirk D Song DDS PC14 Avanta WayBillings, MT 59102(406) 655-2162

Kootenai Family Dentistry204 E 6th StLibby, MT 59923(406) 293-4116

Kozik James M337 4th AveHavre, MT 59501(406) 265-2500

Lambourne Kevin Chad152 S 32nd St WBillings, MT 59102(406) 245-4414

Laurel Family Dental15 Montana AveLaurel, MT 59044(406) 628-6716

Lincoln County Cmty Hlth Ctr320 E 2nd StLibby, MT 59923(406) 293-3755

Lowe Amy K116 W 3rd StAnaconda, MT 59711(406) 563-7666

Maltby Levi C DMD3920 3rd Ave SGreat Falls, MT 59405(406) 452-5361

Maltby Samuel S15 1st St NeChoteau, MT 59422(406) 466-5662

Marias Healthcare Services Inc865 Oilfield AveShelby, MT 59474(406) 434-3142

Martineau Paul R401 N Central AveSidney, MT 59270(406) 482-2423

Matthew A West DDS PC422 Broadway StTownsend, MT 59644(406) 266-3402

Matthew J Prill DDS820 N 30th StBillings, MT 59101(406) 252-1533

Matthew L Garson DDS227 Spooner RdBelgrade, MT 59714(406) 388-0550

Matthew L Slade DDS1826 Grand AveBillings, MT 59102(406) 839-9245

McCollum John B110 S Idaho StDillon, MT 59725(406) 683-5125

McFarland Garret C520 Main StMiles City, MT 59301(406) 874-9637

20

Other Facilities ALPHABETIC LISTING

McKay Pearson DMD315 South 24th St WBillings, MT 59102(406) 652-2600

Mike Bartoletti1501 Holmes AveButte, MT 59701(406) 494-5033

Miller Kevin E505 N Sanders StHelena, MT 59601(406) 442-1130

Mongelli Jessica E1093 Helena AveHelena, MT 59601(406) 442-5930

Montana City Dental Clinic PC2 Market StClancy, MT 59634(406) 443-5130

Montana Dental Works3 Sunset PlazaKalispell, MT 59901(406) 752-1166

Montana Oral Surg Dnt Impl Ctr65 Medical Park DrHelena, MT 59601(406) 443-3334

Mortenson Dean C2018 Stadium DrBozeman, MT 59715(406) 586-9621

Nielsen Dental PC2619 Colonial DrHelena, MT 59601(406) 442-7831

Oral & Maxillofacial Surg2600 Wilson StMiles City, MT 59301(406) 259-7438

Oral and Maxillofacial Surgery2675 Central AveBillings, MT 59102(406) 259-7438

Partners Health Center Inc3050 Highway 83 NorthSeeley Lake, MT 59868(406) 258-4789

Partnership Health Center Inc1150 Sherwood StMissoula, MT 59802(406) 258-4789

Partnership Health Center401 Railroad St WMissoula, MT 59802(406) 258-4789

Partnership Health Center405 Brooklyn StSuperior, MT 59872(406) 822-4841

Patterson James E1038 Broadwater AveBillings, MT 59102(406) 896-8365

Pence Daniel A2605 16th Ave SGreat Falls, MT 59405(406) 727-9889

Pureview Hlth Ctr Dental1930 9th AveHelena, MT 59601(406) 457-8971

Richard D Prill DDS820 N 30th StBillings, MT 59101(406) 252-1533

Richards Toby G1240 Dewey BlvdButte, MT 59701(406) 494-2525

21

Other Facilities ALPHABETIC LISTING

Rimrock Pediatric Dentistry1690 Rimrock RdBillings, MT 59102(406) 248-3303

Robert F Wilcox DDS2823 LexingtonButte, MT 59701(406) 494-4046

Robert J Labrel DDS1220 Main StFort Benton, MT 59442(406) 622-3651

Robin Neil910 1st Ave NGreat Falls, MT 59401(406) 454-1512

Ronald B Potthoff DDS195 Commons LoopKalispell, MT 59901(406) 755-5280

Rubicon Care Network35 Johnson AveDillon, MT 59725(406) 655-4210

Rubicon Dental Assoc PLLC10 Avanta WayBillings, MT 59102(406) 446-2814

Rubicon Dental Assoc PLLC339 3rd St WHardin, MT 59034(406) 655-3300

Rubicon Dental Assoc PLLC515 N BroadwayRed Loge, MT 59102(406) 655-4210

Rubicon Dental Associates24 South OakesRed Lodge, MT 59068(406) 655-4210

Rubink Dustin S712 4th StDeer Lodge, MT 59722(406) 846-1216

Russell Chad D123 Main StThree Forks, MT 59752(406) 285-5234

Sager Dental Group380 Ice Center LNBozeman, MT 59718(406) 586-9871

Schmieding Dental Group380 Ice Center LNBozeman, MT 59718(406) 586-9871

Schmieding Dental Group5 Sunrise LoopEnnis, MT 59729(406) 682-3310

Schmieding Dental Group47520 Gallatin RdGallatin Gatewy, MT 59730(406) 586-9871

Scott C Olsen DDS115 S Pacific StDillon, MT 59725(406) 683-2671

Semrau David D221 Parkway DrKalispell, MT 59901(406) 752-2372

Shaun McQueen DDS2370 Avenue CBillings, MT 59102(406) 652-3031

Shearman Aaron M3310 Monroe AveButte, MT 59701(406) 494-1316

22

Other Facilities ALPHABETIC LISTING

Sheridan Dental Clinic223 N Main StPlentywood, MT 59254(406) 765-2700

Smile Montana Urgent Dental115 Commons WayKalispell, MT 59901(406) 892-2104

Smith Ronald W2716 7th Ave NBillings, MT 59101(406) 252-1862

Southwest Montana Community445 Centennial AveButte, MT 59701(406) 723-4075

Spiger Benjamin R3003 Cabernet DrHelena, MT 59601(406) 442-8062

Starr Jake S1101 Maryland AveDeer Lodge, MT 59722(406) 846-3532

Sunset Dental Care417 2nd Ave SWConrad, MT 59425(406) 278-3609

Thomas E Kovacs DDS MSD PC2820 Central AveBillings, MT 59102(406) 655-9300

Tyson Gundersen DMD245 East ParkButte, MT 59701(406) 494-7058

Walsh April S DMD740 Helena AveHelena, MT 59601(406) 442-7980

Wassmer Kyle B2700 Grand AveBillings, MT 59102(406) 655-4656

Wcw Dental LLC3737 Grand AveBillings, MT 59102(406) 652-0505

West Yellowstone Dental317 N Canyon StW Yellowstone, MT 59758(406) 646-7766

Western Montana Family Dentist63355 Us Highway 93Ronan, MT 59864(406) 676-8880

Westside Family Dental PC223 Central AveFairfield, MT 59436(406) 761-1365

Westside Family Dental PC900 10th Ave NWGreat Falls, MT 59404(406) 761-1365

Whiteley Joshua L DDS239 Main StRoundup, MT 59072(406) 323-1234

William R Moos DDS PC1716 W Main StBozeman, MT 59715(406) 586-4961

Williams Orthodontics1690 Rimrock RdBillings, MT 59102(406) 252-9555

Winterholler Dentistry413 Se 4th StLaurel, MT 59044(406) 628-4500

23

Other Facilities ALPHABETIC LISTING

Wolf Point Dental116 Main StWolf Point, MT 59201(406) 653-2890

Yellowstone City County Hlth123 S 27th StBillings, MT 59101(406) 247-3333

Yerger Family Dental2200 Box Elder StMiles City, MT 59301(406) 232-2214

Youngbauer & Youngbauer1617 Main StForsyth, MT 59327(406) 346-2131

24

Alphabetical IndexAhlers, Nathan L.............................................................. 7Aleagha, Nasim................................................................ 5Ameline, Aimee R........................................................... 2Ammondson, Kelsey...................................................... 12Andersen, Robert J........................................................... 5Andrew, Cameron.......................................................... 12Ashe, Jeffrey M............................................................... 3Bagnell, Timothy H..................................................... 7, 9Bailey, David G............................................................. 15Bartoletti, Edward............................................................ 3Bartoletti, Maria I.......................................................... 11Bartoletti, Mario............................................................ 11Bartoletti, Mike.............................................................. 11Bax, Dale A..................................................................... 4Beard, Jonathan................................................................ 7Bennion, Douglas B....................................................... 12Bennion, John W........................................................... 15Bird, Jeffrey S.................................................................. 7Blackburn, Charles L..................................................... 12Blanchard, Jonathan W.................................................... 6Blandon, Michael J.......................................................... 4Blixrud, Chris................................................................ 10Booth, Joel....................................................................... 4Boswell, Ryan B........................................................ 9, 10Bowen, David A........................................................ 5, 10Boyce, Andrew G.......................................................... 15Browne, Heidi C.............................................................. 7Buer, Bruce H.............................................................. 2, 3Buffington, Neal J............................................................ 3Burke, Brandon J............................................................. 8Byington, Joseph D.................................................... 9, 10Calderwood, Dean W....................................................... 3Chamberlain, Dale R.................................................. 7, 11Chlarson, Clint............................................................... 12Christensen, Gregory....................................................... 6Claeys, Christian L.......................................................... 7Clement, Christina......................................................... 15Condon, Jacob M................................................. 1, 13, 16Cromwell, Andrew C....................................................... 3Dachs, David D................................................................ 2Daniels, Eric.................................................................... 8Ditchey, Thomas K.......................................................... 7Dobmeier, Jordan........................................... 1, 13, 15, 16Downing, Michael H...................................................... 13Elder, Travis.................................................................... 7Erekson, Joshua............................................................... 4Evans, David.............................................................. 2, 16Fairhurst, Kevin J....................................................... 2, 12Fife, Michael.................................................................... 7Fleischmann, Jason H...................................................... 8Fontana, Sarah................................................................. 4

Friedman, Jonathan...................................................... 6, 7Garson, Matthew L.......................................................... 5Gilbreath, Tara E........................................................... 11Goertzen, Roland........................................................... 11Greene, Myriam N......................................................... 11Griffeth, Rod M......................................................... 3, 15Gundersen, Tyson J........................................................ 11Gustafson, Amy K......................................................... 13Haight, Bryan D............................................................. 12Hammer, William N........................................................ 4Hansen, Gordon K........................................................... 5Harboway, Don J............................................................. 2Harrington, Daniel P........................................................ 8Harris, Alyssa.................................................................. 6Haslam, Cody W............................................................ 13Hicks, James R................................................................ 8Holtzen III, Richard F.................................................... 10Hughes, Spencer M........................................ 1, 13, 15, 16Hull, Mackay................................................................. 13Janecke, Dennis E.......................................................... 11Johnson, Erik H............................................................. 11Johnson, Stephen P.......................................................... 4Johnston Jr, George R...................................................... 1Karsakow, Carla K........................................................... 8Kehmeier, Andy B......................................................... 11Keller, Brady S.............................................................. 15Keppler Jr, Leonard W..................................................... 8Kovacs, Thomas E......................................................... 15Kozik, James M........................................................... 4, 6Labrel, Robert J............................................................... 3Lambourne, Kevin C...................................................... 13Larson, Robert A............................................................. 4Lavoie, Joel M................................................................. 7Lavoie, Shailini K............................................................ 7Linstroth, Lisa.................................................................. 2Loomis, Christopher B..................................................... 8Lowe, Amy K.................................................................. 3Luderitz, James R.......................................................... 13Ludwig, Brian R........................................................ 3, 15Maltby, Levi C................................................................. 2Maltby, Samuel S........................................................... 12Martin, Charissa M.......................................................... 6Martin, Rachel M....................................................... 5, 10Martineau, Paul R.......................................................... 11McAllister, Daniel J......................................................... 4McCollum, John B........................................................... 1McDonald, Ian C........................................................... 13McFarland, Garret C........................................................ 3McIntyre, Kyle S........................................................... 12McKenna, Sarin............................................................... 9McQueen, Shaun............................................................ 13Mendenhall, Ronald E..................................................... 8Messer, Mark S...................................................... 6, 9, 10

25

Miller, John F............................................................... 3, 4Miller, Kevin E................................................................ 8Mongelli, Jessica E.......................................................... 8Moore, John P................................................................ 12Moos, Gregory J............................................................ 16Moos, William R............................................................. 5Moritz, Greg K............................................................... 13Mortenson, Dean C.......................................................... 5Mui, Denise..................................................................... 8Muir, Joshua C..................................................... 1, 13, 16Neil, Robin...................................................................... 2Nelson, James E............................................................... 2Nelson, Jazmin S........................................................ 9, 10Nickisch, Wendy.............................................................. 4Nielsen, Paul K................................................................ 8Nieset, Michelle R........................................................... 2Olsen, James O.............................................................. 13Olsen, Scott C.................................................................. 1Patterson, James E......................................................... 13Pearson, McKay............................................................. 13Peck, Derrick.................................................. 1, 13, 15, 16Pence, Daniel A............................................................... 2Pickens, Andrew W....................................................... 13Pollock, Samuel R.......................................... 1, 13, 15, 16Potthoff, Ronald B........................................................... 4Prill, Christopher M....................................................... 13Prill, Matthew J.............................................................. 14Prill, Richard D.............................................................. 14Pulfer, Sheryleen.............................................. 1, 5, 10, 12Raddatz, Laura................................................................. 5Ramberg, Zachary C........................................................ 6Reasch, Randall B............................................................ 6Reynolds, Kelly A............................................ 1, 2, 14-16Richards, Toby G........................................................... 12Robinson, Katerina.......................................................... 4Rosebush, Mark S.................................................... 10, 14Rubink, Dustin S............................................................ 10Russell, Chad D............................................................... 6Sacry, Dennis................................................................... 7Sager, Cory D.............................................................. 5, 9Schauer, William J........................................................... 8Schmieding, Peter J...................................................... 6, 9Sedlack, Janet.............................................................. 2, 5Selander, David B.......................................................... 12Semrau, David D............................................................. 4Sheahan, Brandon............................................................ 7Shearman, Aaron M....................................................... 12Simmons, Justin D......................................................... 11Simmons, Stacey L........................................................ 11Slade, Matthew L........................................................... 14Slocum, Katherine S........................................................ 3Smith, Douglas J.............................................................. 6Smith, Ronald W........................................................... 14

Smith, Ryan D................................................................. 6Smith, Tyson C.............................................................. 12Song, Kirk D.................................................................. 14Spiger, Benjamin R.......................................................... 8Starr, Jake S................................................................... 10Stevens, Monte C........................................................... 11Stringer, Scott M............................................................ 10Sutton, Jeanne................................................................ 14Taylor, Jacob M............................................................. 14Thomas, Joseph P.......................................................... 14Tilgner, Ronald R............................................................ 6Townsend, Remington M................................. 1, 2, 14, 16Tracy, Kyle D................................................................ 14Trujillo, Joseph J.............................................................. 9Tulett, Jeffrey................................................... 1, 2, 14, 16Van Wagoner, Jennifer.................................................... 6Vandyke, Schuyler A..................................................... 10Wales, Joanna V............................................................ 10Walker, Peggy S............................................................ 10Walsh, April S................................................................. 8Walters, Jere P............................................................... 12Wassmer, Kyle B........................................................... 14Weber, David M.............................................................. 4West, Matthew A............................................................. 2Whiteley, Joshua L........................................................ 14Wilcox, Robert F........................................................... 12Williams, Richard B...................................................... 15Winterholler, Bert...................................................... 3, 15Winterholler, Cody.................................................. 14, 15Winterholler, William B.......................................... 14, 16Wordal, Daniel J.............................................................. 8Yates, Joseph S.............................................................. 14Yerger, Chase J................................................................ 3Youngbauer, Mary R..................................................... 11

26

Vision Providers

28

SELECT NETWORK PROVIDER LOCATIONS

MT

Visit www.eyemed.com for current provider information.

To use your in-network benefits to purchase contact lenses online visit www.contactsdirect.com.

To use your in-network benefits to purchase glasses online visit www.glasses.com.

To locate laser vision correction providers, please call 1-877-5LASER6 or visit www.eyemedlasik.com.

Report Date: 8/2017

Big Horn County

1. HARDIN EYECARE215 W 3RD ST, HARDIN, MT 59034Phone: 4066651204

Blaine County

2. DR LARRY G OBIE419 PENNSYLVANIA ST, CHINOOK, MT 59523Phone: 4063573740

Cascade County

3. CASCADE OPTICIANSTWO FIFTH ST NORTH, GREAT FALLS, MT 59401Phone: 4064535405

4. CENTRAL MONTANA EYECARE PC2012 14TH ST SOUTHWEST, GREAT FALLS, MT 59404Phone: 4064531900

5. COMPLETE EYECARE1012 FIRST AVE NORTH, GREAT FALLS, MT 59401Phone: 4064525322

6. SEARS OPTICAL1200 10TH AVE S, GREAT FALLS, MT 59405Phone: 4067714076

7. SHOPKO EYE CARE CENTER 4062301 NORTHWEST BYPASS, GREAT FALLS, MT 59404Phone: 4067279620

8. TREASURE STATE EYE CARE523 NINTH ST SOUTH, GREAT FALLS, MT 59405Phone: 4067279160

9. MALMSTROM OPTICAL CENTER7200 PERIMETER RD, MALMSTROM A F B, MT 59402Phone: 4064528401

Deer Lodge County

10. AMERICAN EYECARE100 W PARK, ANACONDA, MT 59711Phone: 4065636471

11. MONTANA VALLEY EYE CLINIC401 W PENNSYLVANIA AVE, ANACONDA, MT 59711Phone: 8006060044

Fergus County

12. COMPLETE EYE CTR611 NE MAIN, LEWISTOWN, MT 59457Phone: 4065387703

Flathead County

13. LENSCRAFTERS20 N MAIN ST, KALISPELL, MT 59901Phone: 4067524468

14. SHOPKO EYE CARE CENTER 41281370 HWY 2 EAST, KALISPELL, MT 59901Phone: 4062571281

15. NAOMI G BARNES OD201 2ND ST EAST, WHITEFISH, MT 59937Phone: 4068623346

Gallatin County

16. BOZEMAN CONTACT LENS CENTER815 WEST COLLEGE ST, BOZEMAN, MT 59715Phone: 4065878333

17. GALLATIN VALLEY VISION2825 W MAIN ST, BOZEMAN, MT 59718Phone: 4065877050

18. LENSCRAFTERS2825 W MAIN, BOZEMAN, MT 59718Phone: 4065874214

19. THE VISION CENTER IN WAL-MART1500 N SEVENTH AVE, BOZEMAN, MT 59715Phone: 4065853758

Glacier County

20. MARK R STANCHFIELD OD226 9TH AVE SOUTHEAST, CUT BANK, MT 59427Phone: 4068735623

Hill County

21. EVANS OPTICAL316 3 ST, HAVRE, MT 59501Phone: 4062651276

22. HAVRE OPTOMETRIC CLINIC PLLP416 3RD AVE, HAVRE, MT 59501Phone: 4062651231

Page 1

SELECT NETWORK PROVIDER LOCATIONS

MT

Visit www.eyemed.com for current provider information.

To use your in-network benefits to purchase contact lenses online visit www.contactsdirect.com.

To use your in-network benefits to purchase glasses online visit www.glasses.com.

To locate laser vision correction providers, please call 1-877-5LASER6 or visit www.eyemedlasik.com.

Report Date: 8/2017

23. NORTHERN MONTANA HOSPITAL20 13TH STREET WEST, HAVRE, MT 59501Phone: 4062622020

Jefferson County

24. ELKHORN VISION CENTER12 OLD MONTANA STATE HWY, CLANCY, MT 59634Phone: 4064422020

Lake County

25. BIGFORK EYE CLINIC8111 HWY 35, BIGFORK, MT 59911Phone: 4068376883

26. AMERICAN EYECARE11 THIRD AVE WEST, POLSON, MT 59860Phone: 4068834733

27. POLSON FAMILY EYECARE410 1ST STREET EAST, POLSON, MT 59860Phone: 4068834355

Lewis And Clark County

28. CAPITAL OPTOMETRIST1234 CEDAR STREET, HELENA, MT 59601Phone: 4064427130

29. HELENA EYE CLINIC3116 SADDLE DR, HELENA, MT 59601Phone: 4064434040

30. MOUNTAIN VIEW EYECARE PC301 SADDLE DR, HELENA, MT 59601Phone: 4064423937

31. SHOPKO EYE CARE CENTER 41123101 MONTANA AVE, HELENA, MT 59601Phone: 4064438865

Missoula County

32. AMERICAN EYECARE1431 S HIGGIN, MISSOULA, MT 59801Phone: 4065495550

33. ENVISION EYECARE700 SOUTH AVE WEST, MISSOULA, MT 59801Phone: 4065494851

34. LENSCRAFTERS2901 BROOKS ST, MISSOULA, MT 59801Phone: 4065499078

35. MONTANA EYE CARE726 KENSINGTON, MISSOULA, MT 59801Phone: 4065499413

36. MONTANA FAMILY VISION CARE2829 GREAT NORTHERN LOOP, MISSOULA, MT 59808Phone: 4065426382

37. MONTANA VALLEY EYE CLINIC601 W SPRUCE ST, MISSOULA, MT 59802Phone: 4067280044

38. ROCKY MOUNTAIN OPTICAL700 WEST KENT, MISSOULA, MT 59801Phone: 4065413937

39. ROCKY MOUNTAIN OPTICAL700 WEST KENT, MISSOULA, MT 59801Phone: 4065413937

40. SHOPKO EYE CARE CENTER 40752510 S RESERVE ST, MISSOULA, MT 59801Phone: 4067214646

Park County

41. EYECARE PROFESSIONALS & MOUNT305 W PARK ST, LIVINGSTON, MT 59047Phone: 4062220250

Pondera County

42. DRS BONDERUD & STANCHFIELD19 4TH AVE SW, CONRAD, MT 59425Phone: 4062715517

Powell County

43. AMERICAN EYECARE513 MAIN ST, DEER LODGE, MT 59722Phone: 4068462854

Ravalli County

44. ROCKY MOUNTAIN EYE CENTER PC120 S FIFTH ST, HAMILTON, MT 59840Phone: 4063633366

Page 2

SELECT NETWORK PROVIDER LOCATIONS

MT

Visit www.eyemed.com for current provider information.

To use your in-network benefits to purchase contact lenses online visit www.contactsdirect.com.

To use your in-network benefits to purchase glasses online visit www.glasses.com.

To locate laser vision correction providers, please call 1-877-5LASER6 or visit www.eyemedlasik.com.

Report Date: 8/2017

45. ROCKY MOUNTAIN OPTICAL120 S 5TH ST, HAMILTON, MT 59840Phone: 4065413804

Silver Bow County

46. AMERICAN EYECARE1313 HARRISON AVE, BUTTE, MT 59701Phone: 4067822350

47. ROCKY MOUNTAIN OPTICAL3417 BUSCH ST, BUTTE, MT 59701Phone: 4064943145

48. ROCKY MOUNTAIN OPTICAL3417 BUSCH ST, BUTTE, MT 59701Phone: 4064943145

49. SUMMIT EYECARE401 S ALABAMA, BUTTE, MT 59701Phone: 2085225594

Toole County

50. LARRY J BONDERUD OD865 OILFIELD AVE, SHELBY, MT 59474Phone: 4064345196

Yellowstone County

51. BILLINGS FAMILY OPTICAL PLLC1540 LAKE ELMO DR, BILLINGS, MT 59105Phone: 4062452299

52. BILLINGS VISION & CONTACT LENS111 S 24TH ST WEST, BILLINGS, MT 59102Phone: 4066524141

53. KAUTZ OPTOMETRY805 24TH ST WEST, BILLINGS, MT 59102Phone: 4062481676

54. LENSCRAFTERS111 S 24TH ST WEST, BILLINGS, MT 59102Phone: 4066562006

55. MARION OPTICIANS1212 GRAND AVE, BILLINGS, MT 59102Phone: 4062596786

56. SHOPKO EYE CARE CENTER 4106905 S 24TH WEST, BILLINGS, MT 59102Phone: 4066527297

57. VISION OPTICAL1331 24TH ST W, BILLINGS, MT 59102Phone: 4065346848

Page 3

Hearing Providers

33

TruHearing Inc. 2526 Grand Ave Ste 2 Billings, MT 59102 844-207-1685

TruHearing Inc. 111 S 24th st West Ste 7 Billings, MT 59102 844-207-1685

TruHearing Inc. 1211 Grand Ave Ste 2 Billings, MT 59102 844-207-1685

TruHearing Inc. 2600 Wilson St Ste 4 Miles City, MT 59301 844-207-1685

TruHearing Inc. 107 Dilworth St Glendive, MT 59330 844-207-1685

TruHearing Inc. 725 1st Ave N Unit 1 Great Falls, MT 59401 844-207-1685

TruHearing Inc. 1301 11th Ave S Ste 4 Great Falls, MT 59405 844-207-1685

TruHearing Inc. 1102 9th St S Great Falls, MT 59405 844-207-1685

TruHearing Inc. 2646 Winne Ave Helena, MT 59601 844-207-1685

TruHearing Inc. 2716 Billings Ave Helena, MT 59601 844-207-1685

TruHearing Inc. 2339 Cobban St Butte, MT 59701 844-207-1685

TruHearing Inc. 501 E Front St Ste 513 Butte, MT 59701 844-207-1685

TruHearing Inc. 1165 N 14th St Ste 1 Bozeman, MT 59715 844-207-1685

TruHearing Inc. 200 S 23rd Ave Ste E1 Bozeman, MT 59718 844-207-1685

TruHearing Inc. 111 N Higgins Ave Ste 409 Missoula, MT 59802 844-207-1685

TruHearing Inc. 820 N 4th St Hamilton, MT 59840 844-207-1685

TruHearing Inc. 701 1st St E Polson, MT 59860 844-207-1685

Blue Cross and Blue Shield of Montana complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Blue Cross and Blue Shield of Montana does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Blue Cross and Blue Shield of Montana:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:

○ Qualified sign language interpreters

○ Written information in other formats (large print, audio, accessible electronic formats, other formats)

• Provides free language services to people whose primary language is not English, such as:

○ Qualified interpreters

○ Information written in other languages

If you need these services, contact Civil Rights Coordinator

If you believe that Blue Cross and Blue Shield of Montana has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Civil Rights Coordinator, Office of Civil Rights Coordinator, 300 E. Randolph St., 35th floor, Chicago, Illinois 60601, 1-855-664-7270, TTY/TDD: 1-855-661-6965, Fax: 1-855-661-6960, [email protected]. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Civil Rights Coordinator is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue, SW

Room 509F, HHH Building Washington, D.C. 20201

1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

1-877-774-8592 (TTY: 711).

1-877-774-8592 (TTY: 711)

1-877-774-8592

1-877-774-8592 (TTY: 711).

1-877-774-8592 (ATS: 711).

1-877-774-8592

1-877-774-8592

1-877-774-8592 (TTY: 711).

1-877-774-8592 (TTY: 711).

1-877-774-8592 (TTY: 711).

1-877-774-8592 (TTY: 711).

1-877-774-8592 711

1-877-774-8592 (TTY: 711).

711

.(711

711

(TTY: 711)

1-877-774-8592 (TTY: 711).

1-877-774-8592 (TTY: 711).

HMO and PPO plans are provided by Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association. HCSC is a Medicare Advantage organization with a Medicare contract. Enrollment in HCSC’s plans depends on contract renewal.