Provider Directory and Member REFERENCE GUIDE...TABLE OF CONTENTS Network Health 1570 Midway Place...

2020 STATE OF WISCONSIN GROUP HEALTH INSURANCE PROGRAM

For the most up-to-date directory listings, visit networkhealth.com/find-a-doctor

Provider Directory and Member REFERENCE GUIDE

FEBRUARY 2020

TABLE OF CONTENTS

Network Health1570 Midway PlaceMenasha, WI 54952

Customer Service844-625-2208 or 920-720-1811

2020 Provider Directory and Member Reference Guide - State of Wisconsin Group Health Insurance Program

Using the Network .................................................................................................................................1

Member Rights & Responsibilities .......................................................................................................6

Notice of Privacy Practices ...................................................................................................................8

Primary Care Practitioners ..................................................................................................................15

Provider by Specialty ..........................................................................................................................77

Specialty Services/Supplies ...............................................................................................................545

Facilities ............................................................................................................................................581

Providers Speaking Additional Languages .......................................................................................595

Alphabetical Index .............................................................................................................................671

Specialty Index ..................................................................................................................................777

Your Network Health

Provider Directory This directory includes a list of health care

providers who may provide you with medical

care. These providers are independent

contractors who are part of Network Health's

provider network.

The information in this directory was current at

the time of printing, however changes occur

frequently. Providers in this directory are

available for the 2020 calendar year unless a

provider contract is ended due to normal

circumstances (death, retirement or move from

the service area) or as a result of a formal

disciplinary action relating to quality of care.

For the most up-to-date list of providers, go to

networkhealth.com/find-a-doctor. You can also call our customer service department at

844-625-2208 (TTY 800-947-3529).

A customer service representative can help you

find providers who are accepting new patients,

those who are new to Network Health and those

who are no longer contracted with Network

Health.

Para asistencia en el idioma Español por favor

contactar el departmento de servicios cliente a

844-625-2208.

Your Member Portal To access your secure member portal, visit login.networkhealth.com. (Note: the first time

you log in, you will need your Network Health

member number from your ID card.) Once

signed in, you’ll find all these features and more.

• One easy place to log in and access all your

information

• Mobile responsive on any device

• Dependent permission functionality

• Personalized dashboard specific to you and

your plan

• Ability to update email address and set

communication preferences (mail vs. email

preferences overall and for EOBs)

• View claims status

• Access to EOBs

• View benefits overview • View year-to-date costs

• Export claims

• View status of prior authorization

• View mobile ID card and reorder an ID

card

• View plan materials

• View and update your personal doctor

• Secure messaging with customer service

• Contact information for our local customer

service team • Submit portal feedback

• FAQ

Your Membership This directory does not describe benefits and should only be used as a tool to help you access

care. If you have questions specific to your

coverage please refer to your ETF It’s Your

Choice material for the benefits that apply to

you or call Network Health’s customer service

department at 844-625-2208 (TTY 800-947-

3529).

Network Health does not discriminate on the

basis of disability in the provision of programs,

services, or activities. If you need this material

printed, interpreted or in an alternative format,

or need assistance in using any of our services,

please contact our customer service department

at 844-625-2208 (TTY 800-947-3529), Monday, Wednesday-Friday from 8 a.m. to 5 p.m. and

Tuesday from 8 a.m. to 4 p.m.

1570 Midway Pl. Menasha, WI 54952

Choose a Personal Doctor A primary care physician (PCP) is your

personal doctor. It’s important that each person

on your plan choose a doctor to coordinate

their care. Your doctor will become familiar with you and can help ensure you get the care

you need. Your doctor will track your overall

health and can recommend the best treatment

for you. All family members do not need to

have the same primary care physician and you

can change your doctor at any time. Remember to check each year that your doctor is still

contracted with Network Health. There are two

ways to choose or verify a primary care

physician.

1. Visit login.networkhealth.com. Once

signed in, select your name in the upper

right corner to view your profile. Click

Change My Personal Doctor and follow the steps that appear to select or

change your doctor.

2. Call our customer service department at

844-625-2208.

You can also search doctors and specific

facilities at any time by going to

networkhealth.com/find-a-doctor.

To receive full coverage when seeing a

contract provider, he or she must provide the

services at a contract facility.

Emergencies When you or a covered family member faces a medical emergency, we want you to get care

fast. An emergency situation is defined as an

injury, a worsening medical condition or

illness, or severe pain, and you or others feel

that your health is in serious danger if you do

not receive help immediately.

In an emergent situation, go to the nearest

emergency facility or call 911 if the service is available in your area. Network Health will

cover the cost of your medical care, excluding

any applicable cost sharing, whether you are at

a contracted facility or not. If you use an out-

of-network provider, all follow-up care must

be performed by a Network Health provider.

If you or a family member is unsure if your

condition is an emergency or may require care after regular office hours, call your personal

doctor's office. You can also visit

networkhealth.com/getting-care-quickly for

the most up-to date list of nurse lines and

information about virtual visits. We are

eliminating Nurseline in 2020. Are the nurse

lines referred to here through provider

systems?

Urgent Care Services If you feel ill during regular office hours,

please contact your personal doctor. If your

illness occurs outside regular office hours, you

can seek urgent care services from a hospital-

based or non-hospital-based urgent care

facility.

If you receive urgent care services from a non-

participating urgent care facility, you will

receive the in-network cost only if one of the

following is true.

• You receive the services in the

emergency department of a hospital or in

a hospital-based urgent care facility • You receive the services in a non-

hospital-based urgent care facility and

you provide us with notification within

48 hours of receiving the service.

To provide notification, please call our care

management department at 800-236-0208

(TTY 800-947-3529). For mental health and

substance abuse services contact Network Health’s care management behavioral health

department at 800-555-3616.

Customer Service If you have any questions about our provider

network, benefits, how to submit a claim or specific services, please call our customer

service department at 844-625-2208 (TTY

800- 947-3529). Representatives can be

reached Monday, Wednesday-Friday from

8 a.m. to 5 p.m. and Tuesday from 8 a.m.

to 4 p.m.

Our customer service department offers

bilingual language assistance or translation

services. If you have questions about a specific

provider listed in this directory, please call his or her office or clinic using the phone number

in this directory. If you are dissatisfied with a

health care provider or a service you received,

call us to help resolve the issue.

You can learn about filing a grievance or

appeal at networkhealth.com.

Department of Employee Trust

Funds (ETF) complaints If you would like to request a rereview of your

claim you may call our customer service

department at 844-625-2208 or 920-720-1811

(TTY line users call 800-947-3529).

If you request a claim rereview, Network

Health will complete a second review your

claim, and will notify you of the decision once

the review is completed.

In addition to the independent review

organization (IRO) process, you have the right

to request a review of your grievance by ETF. You may call or send a letter to ETF and

request a complaint form (ET-2405). The

complaint form must accompany your request

for review by ETF.

Department of Employee Trust Funds

P.O. Box 7931

Madison, WI 53707-7931

877-533-5020

Your written request should be sent to ETF

within 60 days of the date of the denial letter.

Requests must contain all documentation, including the plan’s response to your grievance

and a description of the contract provision(s) at

issue. Your complaint will be referred to the

Ombudsperson (or public advocate appointed

by the government) for review and

investigation.

If you would like more information about how

filing a request for independent review will

affect your rights for a review under ETF, you

should contact the Ombudsperson directly at the number listed above because the IRO

decision is binding.

How to Access Care When

Outside the Network Health

Service Area If you cannot safely travel to receive care from

your personal doctor, you should do the following when seeking emergent medical care

outside the Network Health coverage area.

• Seek help at an emergency room • Seek help at a hospital-based or non-

hospital-based urgent care facility

• Seek help at the college’s medical center (for dependents away at college)

• For out-of-area mental health benefits, please consult your It’s Your Choice

material

• Present your member ID card when admitted to a hospital emergency room

• Notify Network Health within 48 hours if you are admitted to the hospital for

continued observation or as an inpatient

Follow up care must be provided by an in-

network provider. If this is not possible,

follow-up care must be coordinated by your

personal doctor and approved by Network

Health.

Some out-of-area medical facilities may

require payment for care at the time it is given.

You may be responsible for cost sharing,

please consult your It's Your Choice materials

for more information.

Submitting a Claim Most hospitals and doctor offices submit

claims on your behalf. But some out-of-area

medical facilities may require you to pay for

care at the time it’s given. To arrange for reimbursement, you must send itemized bills

and proof of payment within 90 days of the

appointment to Network Health. You can send

these to:

Network Health Attn: Claims Department

P.O. Box 568

Menasha, WI 54952

Please note: Submitting a claim to this address

doesn’t guarantee it will be reimbursed. You

must receive a prior authorization from

Network Health for out-of-area claims to be

reimbursed.

For more information, contact our customer

service department at 844-625-2208.

Getting Care Quickly When you have health care questions day or

night, find the answers you need by visiting

networkhealth.com/getting-care-quickly for the

most up-to date list of nurse lines and

information about accessing MDLIVE®

virtual visits.

Health Management Whether you have a serious health problem, or

just want to get in shape, Network Health

offers the tools you need to be your best. We

provide care management and condition

management services as well as information

about self-management workshops offered

throughout Wisconsin.

Care Management Network Health provides care management

services for individuals who have an illness or

acute medical event that could lead to a high-

risk condition.

Individuals who benefit from care management

services including those who have the

following conditions.

• End stage disease (heart failure, kidney disease, liver disease)

• Catastrophic condition (cancer, premature infancy, high-risk pregnancy,

trauma, spinal cord injury and

individuals scheduled or soon-to-be

scheduled for an organ or bone marrow

transplant)

• Persistent mental health or substance abuse concerns

• Other complicated and/or high-risk conditions identified by the care

management staff.

For more information about care management

or to request help with a health condition visit

networkhealth.com/care-management.

Condition Management

Do you have asthma, chronic obstructive

pulmonary disease (COPD), diabetes, heart

disease, stroke or heart failure? We can help.

Our condition management team empowers

you to take charge of your chronic condition

and be the healthiest you can be. Our skilled

team of registered nurses engages members in

one-on-one health coaching about their

ongoing care, provides educational resources

and helps build connections to community

programs. Condition management is available

at no cost to members, and enrollment in the

program is voluntary. Our condition

management team helps members

• Discover new ways to take care of themselves by identifying and

understanding coexisting conditions

• Join educational workshops and events in the community to manage their condition

with confidence.

• Coordinate condition education with a caregiver or family member involved in

care or treatment

• Connect with resources to overcome financial, religious, cultural or other

obstacles to care

• Address behavioral health concerns such as depression and anxiety, which often

accompany chronic conditions

Self-Management Workshops

The following workshops are offered

throughout Wisconsin and can teach you how

to manage the most common symptoms of

your condition.

• Living Well with Chronic Conditions • Healthy Living with Diabetes • Stepping On

For more details about these workshops visit

networkhealth.com/member-wellness.

Well Wisconsin Rewards for

Healthy Living The State of Wisconsin Group Health

Insurance Well Wisconsin incentive provides

additional tools to support your health goals.

By participating, members earn rewards for

making a commitment to a healthier life.

To find out how to make the most of Well

Wisconsin and achieve rewards, please visit

[email protected].

If you have any questions, call Well Wisconsin

at 800-821-6591.

Additional Resources You can find information on all the topics

below by visiting networkhealth.com.

Confidentiality – We make sure your

health information remains protected and

confidential.

Inpatient Hospital Care – Prior

authorization information for hospital

observation or inpatient stays.

New technologies – Learn about how we

evaluate new medical technologies on a regular basis.

Privacy practices – See how we protect

our members’ privacy.

Referrals and Authorization –

Information on getting specialty care and

approvals for certain services.

Right to Request an Independent

Review – Have an Independent Review

Organization (IRO) review certain

decisions for care made by Network Health.

Utilization Decisions – Read more about

how Network Health makes utilization

decisions based on appropriateness of care

and service.

If you would like a hard copy of any of the

items listed above, please call our customer

service department at 844-625-2208 (TTY

800-947-3529).

Updated August 2019

MEMBER RIGHTS AND RESPONSIBILITIES As a State of Wisconsin Group Health Insurance Program member of Network Health, you have certain rights and responsibilities. Network Health is committed to providing you with services that respect your rights. Your Certificate of Coverage (found in the It’s Your Choice materials at etf.wi.gov) contains important information regarding your benefits, rights and responsibilities, which include but are not limited to the following. YOU HAVE THE RIGHT TO 1. Receive information about Network Health, its services, its practitioners, providers and

members’ rights and responsibilities. 2. Be treated with respect and recognition of your dignity and right to privacy. 3. To participate with practitioners in decision-making regarding your health care. 4. A candid discussion of appropriate or medically necessary treatment options for your

conditions, regardless of cost or benefit coverage. 5. Voice complaints or appeals about Network Health or the care provided. 6. Select a personal doctor, also known as a primary care physician (PCP), and to change for

any reason. 7. Review your medical records with your PCP. 8. Receive prompt and courteous service from representatives regarding benefit interpretations,

eligibility information, claims inquiries or other related matters when contacting Network Health.

9. Be informed of your diagnosis, treatment and prognosis from your practitioner in terms you understand.

10. Refuse treatment and to be informed of the probable consequences of your actions. 11. Make recommendations regarding Network Health’s members’ rights and responsibilities.

YOU ARE RESPONSIBLE TO 1. Pay premiums according to your monthly agreement in order to maintain coverage through

Network Health. 2. Communicate openly with providers or Network Health personnel. If you have questions

with your treatment plan you have the responsibility to discuss your concerns and make certain you understand the provider’s explanation and instructions.

3. Read and understand your benefits. 4. Follow the established policies and procedures set forth by Network Health as outlined in the

Certificate of Coverage (found in the It’s Your Choice materials at etf.wi.gov). 5. Follow the plans and instructions for care you agreed on with your providers. 6. Treat all participating providers and Network Health personnel respectfully and courteously. 7. Provide, to the extent possible, information that Network Health and its practitioners and

providers need in order to care for you. 8. Immediately notify Network Health and your provider(s) of changes in insurance coverage,

eligibility, address or phone number. 9. Keep scheduled appointments or give adequate notice of delay or cancellation. 10. Constructively express concerns or dissatisfaction regarding Network Health or your health

care provider so that Network Health can rectify the situation. 11. Participate in understanding your health problems and participate in developing mutually

agreed upon treatment goals. 12. Know which providers are in network prior to accessing services. Visit

networkhealth.com/find-a-doctor for the most up-to-date information. 13. Obtain prior authorization from Network Health Utilization Management for any non-

emergency services you wish to obtain from non-participating practitioners or providers. 14. Verify that prior authorization is obtained when receiving services that require prior

authorization.

Commercial

NOTICE OF PRIVACY PRACTICES YOUR INFORMATION. YOUR RIGHTS. OUR RESPONSIBILITIES. Network Health Plan (NHP) and Network Health Insurance Corporation (NHIC) are committed to protecting the privacy of your confidential health information. This includes all oral, written and electronic protected health information across our organization. This Notice of Privacy Practices will be followed by all associates of our workforce, regardless of geographical location. It describes how medical and financial information about you may be used and disclosed and how you can get access to or limit sharing of this information. Please review it carefully.

OUR RESPONSIBILITIES We are required by law to maintain the privacy and security of your protected health

and non-public personal information. We must follow either Federal or State law, whichever is more protective of your

privacy rights.

We will let you know promptly if a breach occurs which may have compromised theprivacy or security of your information.

We must follow the duties and privacy practices described in this notice and give you acopy of it.

We will not use or share your information other than as described here, unless you tellus we can in writing. If you tell us we can, you may change your mind at any time. Letus know in writing if you change your mind.

For more information see https://www.hhs.gov/hipaa/for-individuals/notice-privacy-practices/index.html and https://www.ftc.gov/tips-advice/business-center/privacy-and-security/gramm-leach-bliley-act

YOUR RIGHTS When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you. Get a copy of health and claims records

You can ask to see or get a copy of your health and claims records and other healthinformation we have about you. Ask us how to do this.

1748-01-0718

Commercial

We will provide you with a copy or summary of your health and claims records within30 days of your request. We may charge a reasonable, cost-based fee.

If we need an extension, we will let you know in writing the reason and a date when wewill provide the records.

We may say “no” to your request, but we’ll tell you why in writing within 30 days withadditional information on how you can have the decision reviewed.

Ask us to correct health and claims records You can ask us to correct your health and claims records if you think they are incorrect

or incomplete. Ask us how to do this. We may say “no” to your request, but we’ll tell you why in writing within 60 days and

include information on how you can appeal this decision.Request confidential communications

You can ask us to contact you in a specific way (for example, home or office phone) orto send mail to a different address.

We will consider all reasonable requests, and must say “yes” if you tell us you wouldbe in danger if we do not.

Ask us to limit what health information we use or share You can ask us not to use or share certain health information. Your request must be

made in writing. We are not required to agree to your request, and we may say “no” if it would affect

your care.Get a list of those with whom we’ve shared health information

You can ask for a list showing the times we’ve shared your health information for sixyears prior to the date you ask, who we shared it with and why.

We will include all the disclosures except for those about treatment, payment andhealth care operations, and certain other disclosures (such as any you asked us tomake). We’ll provide one list per year for free, but will charge a reasonable, cost-basedfee if you ask for another one within 12 months.

Get a copy of this privacy notice You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly. You may also print a copy at any time from our website, networkhealth.com. Choose someone to act for you

If you have given someone durable power of attorney or if someone is your legalguardian, that person can exercise your rights and make choices about your healthinformation.

Commercial

We will make sure the person has this authority and can act for you before we take anyaction.

File a complaint if you feel your rights are violated You can complain if you feel we have violated your rights by contacting the Privacy

Manager, at 800-826-0940 (TTY 800-947-3529). Complaints may also be made inwriting to

Network Health Attn: Compliance 1570 Midway Pl. Menasha, WI 54952

You can file a complaint with the U.S. Department of Health and Human ServicesOffice for Civil Rights by sending a letter to 200 Independence Avenue, S.W.,Washington, D.C. 20201, calling 877-696-6775 or visitinghttps://www.hhs.gov/hipaa/filing-a-complaint/what-to-expect/index.html

We will not retaliate against you for filing a complaint.

YOUR CHOICES For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do and we will follow your instructions. In these cases, you have both the right and choice to tell us to:

Share information with your family, close friends or others involved in payment for yourcare

Share information in a disaster relief situationIf you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

WRITTEN AUTHORIZATION State law may prohibit us from using or disclosing information related to certain medical conditions, including but not limited to, HIV/AIDS, mental health, substance abuse and developmental disabilities without written authorization. In these circumstances we will follow the applicable state law. If you give us written authorization, you may revoke it at any time in writing. The revocation will not affect any uses or disclosures permitted while the authorization was in effect.

OUR USES AND DISCLOSURES How do we typically use or share your health information? We typically use or share your health information in the following ways.

Commercial

Help manage the health care treatment you receive We can use your health information and share it with professionals who are treating you.

For example – A doctor sends us information about your diagnosis and treatment plan so we can arrange additional services.

Run our organization We can use and disclose your information to run our organization and contact you when necessary.

For example – We use health information about you to develop better services for you. Pay for your health services We can use and disclose your health information as we pay for your health services.

For example – We may need to disclose your health information with our contracted pharmacy benefit manager to coordinate payment for any prescriptions you may need.

Administer your plan We can disclose your health information to a third party claims payor for enrollment and claims processing.

For example - We contract with a third party vendor to conduct enrollment and claims processing functions. Therefore, we may disclose your health information to conduct necessary functions to process your enrollment and health care claims.

Business Associates We may disclose your health information to persons or organizations which perform a service for us that requires the use or sharing of health information. Such persons or organizations are our contracted business associates, and they are held to the same privacy standards as our organization.

For example – We may need to disclose your health information to a mailing and fulfillment vendor for them to print and mail a letter to you about our diabetes program.

Health-Related Products, Benefits and Services We may contact you to give you information about certain health-related benefits and services which may be of interest to you. We may also contact you to recommend alternative treatments, health care providers or care settings.

For example – If we think you could benefit from an annual health assessment in your home, we may send you a letter with information about it.

HOW ELSE CAN WE USE OR SHARE YOUR HEALTH INFORMATION? We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information about this visit https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html

Commercial

Help with public health and safety issues We can share health information about you for certain situations such as:

Preventing or controlling disease Helping with product recalls Reporting adverse reactions to medications Reporting suspected abuse, neglect or domestic violence Preventing or reducing a serious threat to anyone’s health or safety

Notification and communication with family and friends We may share health information about you with family members, friends or others you identify as being involved in your health care or payment for your health care. We will disclose only the health information relevant to the person’s involvement. If you are unable or unavailable to agree or object to a disclosure to such a person, we will use our best professional judgment in communicating with your family or friends. Compliance with the law We will share information about you if State or Federal laws require it, including with the Department of Health and Human Services if they want to see that we’re complying with federal privacy law. Your Employer or Organization Sponsoring Your Health (pertains to group health plans only) We may disclose to your employer whether you are enrolled in or have disenrolled from a health plan that your employer sponsors. We may disclose summary health information to your employer to use to obtain premium bids for the health insurance coverage offered under the group health plan in which you participate or to decide whether to modify, amend or terminate that group health plan. We may disclose your health information and the health information of others enrolled in your group health plan to your employer to administer your group health plan. Before we may do that, your employer must amend the plan document for your group health plan to establish the limited uses and disclosures it may make of your health information. Please see your group health plan document to see whether your employer may receive this information and for a full explanation of those limitations. Respond to organ, eye and tissue donation and transplantation requests and work with a medical examiner or funeral director

We can share health information about you with organ, eye and tissue procurementand transplantation organizations.

We can share health information with a coroner, medical examiner or funeral directorwhen an individual dies.

Commercial

Address workers’ compensation, law enforcement and other government requests We can use or share health information about you for the following.

Workers’ compensation claims Law enforcement purposes or with a law enforcement official Health oversight agencies for activities authorized by law, such as audits and

investigations related to the oversight of government benefit programs (like Medicare) Special government functions such as military, national security and presidential

protective servicesRespond to lawsuits and legal actions We can share health information about you in response to a court or administrative order, or in response to a subpoena. Disaster relief We may use or disclose your name and location to a public or private entity authorized by law or by its charter to assist in disaster relief efforts.

CHANGES TO THE TERMS OF THIS NOTICE This notice takes effect August 1, 2018, and it will remain in effect until we replace it. We can change the terms of this notice, and the changes will apply to all information we have about you. Any changes to the notice will be effective for all of your records created or maintained in the past, as well as any records we create or maintain in the future. The new notice will be available upon request, on our website, and we will mail a copy to you. If there are no changes to the notice, you will be notified at least every three years that this notice is available to you.

FINANCIAL INFORMATION PRIVACY Network Health Plan and Network Health Insurance Corporation are committed to maintaining the confidentiality of your personal financial information. We collect personal and financial information about you to perform functions such as premium payment transactions and electronic funds transfers. We do not disclose personal financial information about past, present or future members to any third party, except as required or permitted by law. Access to your personal financial information is restricted only to employees, affiliates and service providers who are involved in administering your health care coverage or providing services to you. We maintain physical, electronic and procedural safeguards that comply with Federal standards to guard your personal financial information. We may disclose personal and financial information to financial institutions which perform services for us, such as electronic fund transfer for payment of premiums.

Commercial

We may begin disclosing this information as soon as you submit an application to become a member of Network Health. Once you’re no longer a member, we may continue to share this information as described in this notice. In limited circumstances, you can ask us to limit sharing of this information by calling customer service department at 800-826-0940 (TTY 800-947-3529), or submitting a written request to: Network Health Attn: Compliance 1570 Midway Pl. Menasha, WI 54952

OTHER INSTRUCTIONS FOR NOTICE If you have questions about any part of this notice or would like to request a copy, you may call the customer service department at 800-826-0940 (TTY 800-947-3529), Monday–Friday, 8 a.m. to 5 p.m.

Primary Care Practitioners(Family Practice, General Practice, Internal Medicine & Pediatrics)

All locations listed in this directory are handicap accessible.


Prim

ary

Ca

re P

rac

tition

ers

Bellin Health831 Parker AveAlgoma,WI 54201(920) 487-3676

Family PracticeAnderson, Robert MD 1477559938Daughtry, Barry MD 1871526012Gerczak, Corina PAC 1821050105Larson, Jaimee PAC 1225419120Mc Comb, Brooke APNP 1124217419Mueller Waigand, Bonnie PAC 1649254384Radocay, Ellen APNP 1538575048Sanchez, Sarah MD 1285051250Schmidt, Tina PAC 1033194261

Internal MedicineBiernat, Bozena MD 1003890864

Door County Medical Center Algoma Clinic815 Jefferson StAlgoma,WI 54201(920) 487-3496

Family PracticeAntonio, Maria Chona MD 1740295237Derbick, Heidi APNP 1144464157Fergus, Mark APNP 1972836633Jordan, Anne MD 1689088825Knipfer, Ellen APNP 1144629114Lux, Beth MD 1447233259Wasie, Edward APNP 1538252572

Alma Clinic204 S Main StAlma,WI 54610(651) 565-5600

Family PracticeDascher, Kayla APNP 1760614630

Munns, Earle DO 1457329211Nelson, Rebecca APNP 1861462418Spano, Dennis MD 1033195656

Ascension St Michaels at Amherst272 Christy StAmherst,WI 54406(715) 824-5151

Family PracticeBloedow, Rescha APNP 1487683637Glodowski, Jodi APNP 1710036330

Advanced Pain Management1616 N Casaloma Dr STE 100Appleton,WI 54913(414) 325-7246

Family PracticeBloedow, Rescha APNP 1487683637Brown, Lisette PAC 1578597035

Affinity Medical Group3329 N Richmond StAppleton,WI 54911(920) 380-2715

Family PracticeColeman, David MD � 1639170301Grammont, Lance DO � 1063459790Slovick, Michal MD � 1285768572Smrecek, James MD � 1063407385Sousek, Reid MD � 1275501041Staszak, Ruth APNP 1518340090

Internal MedicineBurns, James MD � 1225022080Mohr, Mark MD � 1073609244

Ascension Medical Group at 1501 Madison Street1501 S Madison StAppleton,WI 54915(920) 730-4414

Internal MedicineDavis, Laura APNP 1205268398Joseph, Shanthi MD 1417941212Minhas, Meha MD 1700072931Novotny, Rachel APNP 1063935450Stallbohm, Allison APNP 1619223146

Ascension Medical Group at 1531 Madison Street1531 S Madison StAppleton,WI 54915(920) 982-8349

Family PracticeReisner, Terry MD 1295720779

Ascension Medical Group at Richmond Street3329 N Richmond StAppleton,WI 54911(920) 380-2715

Family PracticeAbbas, Ashraf MD 1558723775Bautista Santos, Maria Editha MD 1386638393Dahlke, Lynn APNP 1235324849Johnson, Richard MD 1669466231Kaleka, Gunmeet MD 1285859496Krueger, Michael MD 1477547040Luangla, Mysee APNP 1861749293Miller, Charles DO 1275896946Sargeant, Angela DO 1467710350Siebers, John APNP 1376948638Steinlage, John MD � 1235174657

Algoma

Alma

Amherst

Appleton

Non - Physician Practitioner Accepting Existing Patients Only Part time provider - 20 or fewer hours per week



16 2020 Provider Directory and Member Reference Guide - State of Wisconsin Group Health Insurance Program

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Ascension NE Wisconsin St Elizabeth Campus1506 S Oneida StAppleton,WI 54915(920) 738-2000

Family PracticeBeasley, John MD 1124089420Dupont, Suzanne APNP 1457763898Everson, Megan MD 1659613826Jacobe, Kathryn MD 1841459815Last, Allen MD 1205887049Menzel, Elizabeth MD 1992949416Mikheyev, Konstantin DO 1225320005Russo, Paul MD 1164488458Schroeder, Wendy DO 1487691408Schultz, Deborah MD 1457391666Slovick, Michal MD 1285768572Torres, Iris MD 1558308577

PediatricsBeyer, Elizabeth APNP 1477713022Howe Kasper, Patricia MD 1104811686Kasper, William MD 1093709891

Ascension NE Wisconsin St Elizabeth Campus1506 S Oneida StAppleton,WI 54915(920) 730-4950

PediatricsBayer, Edward MD 1891789657Beyer, Elizabeth APNP 1477713022Birn, Christoffer MD 1790779601Boulos, Mona MD 1669466579Campbell, Sarah MD 1184637795Gardner, Jeremy MD 1811982333Gentile, Kevin MD 1134185861Marquis, Stephen MD 1831183490Nordstrom, Mary MD 1578558391Olson, Emily MD 1437448131Roloff, Peter MD 1023002110

Rusin, Wayne MD 1083608079

Family Care of the Fox CitiesW3124 Van Roy RdAppleton,WI 54915(920) 730-2747

Family PracticeAdorjan, Mark MD 1164430732Falleroni, Julianne DO 1669452280Richter, James MD 1689667891

Fox Valley Family Medicine229 S Morrison StAppleton,WI 54911(920) 997-8409

Family PracticeBoshoven, Alice MD 1063754356Everson, Megan MD 1659613826Jacobe, Kathryn MD 1841459815Last, Allen MD 1205887049Marnocha, Mark PhD 1427082312Menzel, Elizabeth MD 1992949416Schultz, Deborah MD 1457391666Vogel, Lee MD � 1477594166

Fox Valley Surgical Associates1818 N Meade St STE 240WAppleton,WI 54911(920) 731-8131

Family PracticeArendt, Christine APNP 1356378731

Heart Failure Survival Center of America2700 E Enterprise Ave STE BAppleton,WI 54913(920) 939-6058

Internal MedicineSalem, Yasser MD 1033226303

Mosaic Family Health229 S Morrison StAppleton,WI 54911(920) 832-2783

Family PracticeBoshoven, Alice MD 1063754356Dupont, Suzanne APNP 1457763898Everson, Megan MD 1659613826Jacobe, Kathryn MD 1841459815

Last, Allen MD 1205887049Menzel, Elizabeth MD 1992949416Plotkin, Michael DO 1881636819Schultz, Deborah MD 1457391666Vogel, Lee MD 1477594166Waldhart, Jeremy DO 1427476605

Partnership Community Health Center Inc5471 Waterford LnAppleton,WI 54913(920) 731-7445

Family PracticeBeutler, Karen MD 1215921127Goodrich Braun, Brittany MD 1013362631Leiva, Jose Miguel MD 1962496760Raschke, Alecia APNP 1871076273Stephany, Joanne APNP 1558423517Torres, Iris MD 1558308577

PediatricsMcAvoy, Leah DO 1588857841

Pediatric Specialty Clinic1506 S Oneida St 5th FLAppleton,WI 54915(920) 730-2650

PediatricsHerman, Hillary MD 1972951127

Primary Care Associates of Appleton3916 N Intertech CtAppleton,WI 54913(920) 996-1000

Family PracticeCarnes, Christina PAC � 1376616417Delfosse, Jennifer PAC 1720342348Douglas, Aaron MD 1346252442Frerks, Tara MD 1932353315Fuller, Stephen MD � 1003802638Heiks, Samuel MD 1013176312Johnston Rickert, Jessica MD � 1487691119Kroner, Travis MD � 1184689341Meyer, Douglas MD 1245226877Oetken, Matthew DO � 1528097680

Appleton (continued)

Non - Physician Practioner Accepting Existing Patients Only

Primary Care Practitioners

(Family Practice, General Practice, Internal Medicine & Pediatrics)



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Primary Care Associates of Appleton (continued)

Pelger, Alison PAC � 1780116244Radich, Roxanne APNP CNS CDE � 1639165962Rigstad, Eugene MD 1831134352Rockweiler, Rachel PAC � 1003328386Schmidt, Jamie MD 1528334737Servais, Amy MD � 1326033291Szabo, Edward MD 1093700403Werner, Michael MD 1811965494Williamson, Gehrig MD 1326157033Williamson, Michelle MD 1376652990

Internal MedicineDernlan, Stephen MD � 1083646608Eiben, Sonya MD � 1710916812Frank, Nichol PAC � 1952338790Gyorog, Scott MD 1235346586Hubert, Roderick MD � 1942350947Johnson, Michael MD 1467484030Juntunen, Kristine MD � 1790703734Lenz, David MD 1528089034

Primary Care Associates of Appleton95 Park PlAppleton,WI 54914(920) 996-1000

Family PracticeAwe, Merici MD � 1225083488Werner, Michael MD 1811965494

Yuniq Care3329 Express CtAppleton,WI 54915(920) 733-5900

Family PracticeMalkowski, Dianna PAC 1811194699

BDCH Inc Medical Clinics Beaver Dam707 S Univeristy AveBeaver Dam,WI 53916(920) 887-5975

Family PracticeButler, Cheryl APNP 1073010229

Beaver Dam Warren Street Clinic148 Warren StBeaver Dam,WI 53916(920) 887-5975

Family PracticeChambers, Mary Ann APNP 1316941701

Cleanslate Medical Group of Wisconsin SC600 Henry AveBeloit,WI 53511(414) 831-1825

Family PracticeKremer, Jaime APNP 1912413782

Bellin Health401 W Mill StBonduel,WI 54107(715) 758-2167

Family PracticeBerndt, Christine APNP � 1194103853Gast, James MD 1710961529Gerczak, Corina PAC 1821050105Miller, Bradley PAC 1710295670Perez Marquardt, Iris MD 1306825872Zollar, Tracey APNP 1063677557

Internal MedicineMeves, Roderick MD 1346357829

Fond du Lac Regional Clinic601 E Clark StBrandon,WI 53919(920) 346-8300

Family PracticeNewton, Robert Jr DO 1487636692

Bellin Health964 W Ryan St STE BBrillion,WI 54110(920) 756-2055

Family PracticeDaubner, Jon PAC 1174843452Pautz, Holly PAC 1699971978Sipple, Christopher MD 1093799686Warrens, Jacob PAC 1972925790


Ascension Medical Group at Capitol and Lilly13950 W Capitol DrBrookfield,WI 53005(414) 302-5400

Family PracticeHollandsworth, Lauren DO 1760877559

Internal MedicineBoschek, Michael MD 1386657450Carr, Donald MD 1437257045Forward, Daniel MD 1184739492Glen, Christine APNP 1356743892Jest, Timothy MD 1538274022Melvin, Anne PAC 1255644506Michor, Angela APNP 1558676536Saluja, Jyoti MD 1427023902Schwab, John MD 1598872889

Ascension Medical Group at Elmbrook19333 W North AveBrookfield,WI 53045(414) 447-2089

Internal MedicinePershman, Yuliy MD 1083601355

Appleton (continued) Beaver Dam

Beloit

Bonduel

Brandon

Brillion

Brookfield

Accepting Existing Patients Only Non - Physician Practioner




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Ascension Medical Group at Elmbrook Medical Arts Center17000 W North Ave STE 110EBrookfield,WI 53005(262) 786-8199

PediatricsHaworth, Nancy MD 1306803408Peluso, Carl MD 1003873548Staszkiewicz, Mark MD 1417914524

Calhoun Health Center1905 N Calhoun RdBrookfield,WI 53005(262) 754-8000

Internal MedicineMeister, Carla MD 1790001121

PediatricsMeister, Carla MD 1790001121Tatreau, Amanda APNP 1427432277

Child Development Center of CHW13800 W North Ave STE 120Brookfield,WI 53005(262) 432-6600

PediatricsFarhoud, Inshirah APNP 1689628976Quates, Sara APNP 1750513537

Childrens Medical Group Bluemound Pediatrics12635 W Bluemound RdBrookfield,WI 53005(414) 258-0606

PediatricsCarlson, Alisa MD 1912077686Grohman, Wendy APNP 1639120454Huettl, Alecia MD 1750605267Leach, William DO 1124013891Omari, Sadoun MD 1013902121Papp, Louis DO 1629063730Schreiber, Jennifer MD 1932297140Wolff, Yolanda MD 1942332440

Childrens Medical Group Westbrook Pediatrics13950 W Capitol Dr STE 200Brookfield,WI 53005(262) 781-3065

PediatricsCalkins, Barbara MD 1699765594Chevalier, Jennifer MD 1003867409Gradecki, Kathryn MD 1447645452Greulich, Dana MD 1205193000Hatchell, Ryan MD 1275708398Hughes, Laura APNP 1588076152Joerres, Lisa MD 1629240536Kraegel, John MD 1841286044Rusch, Rebecca APNP 1598993925Schulta, Christina APNP 1811949605Vincent, Suzanne MD 1083600506

H2O Health Hydration Oasis LLC17110 W Greenfield Ave STE 6Brookfield,WI 53005(262) 277-1018

Family PracticeHorschak, Marina APNP 1134548274

Oak Medical18740 W Bluemound RdBrookfield,WI 53045(262) 782-0230

Internal MedicineDookeran, Nameeta MD 1437163615Meinhardt, Laura PAC 1518485283

Pediatrics West1305 N Barker Rd STE 1Brookfield,WI 53045(262) 784-3200

PediatricsHambrook, Megan MD 1093789224Manion, Lorelle MD 1336356336

Spectrum Health Medical Clinic LLC19265 W Capitol Dr STE 104Brookfield,WI 53045(262) 202-8312

Internal MedicinePowell, Pamela APNP 1134463862

Springdale Health Center21700 Intertech DrBrookfield,WI 53045(262) 532-8300

Family PracticeUrlakis, Kenneth MD 1265407316

Internal MedicineCada, Michael MD 1356529804Obermyer, Mark MD 1669634820Sawasky, Kathleen MD � 1407809130Woodard, Andrea MD 1558448100

PediatricsCada, Michael MD 1356529804Hallquist, Amanda APNP 1396247789

Sunnyslope Health Center1350 Sunny Slope RdBrookfield,WI 53005(262) 798-8750

Family PracticeAlonge, Meagan APNP � 1194262139Dinusson, Jacquelyn MD � 1649221722Hill, Joanne MD 1639121429Meyers, Rachel APNP 1447228846Norman, Sharniecia MD 1538112289Palmer, Rolonda APNP 1255609178Rogers, Keisha MD 1861835365Thomas, John MD 1124079876

Internal MedicineEapen, Sunu MD 1609819382Luy, Eric MD 1538110382Milott, Joan MD 1528010238Pryba, David MD 1770536534Schaper, Aysha MD 1306899687Unrein, Michaela APNP 1376537548

Towne Centre Medical SC19035 W Capitol Dr STE 101Brookfield,WI 53045(262) 754-1421

Internal MedicineHorner Ibler, Barbara MD � 1225145840

Brookfield (continued)






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Wheaton Franciscan Medical Group13950 W Capitol DrBrookfield,WI 53005(414) 302-5404

Internal MedicineHanson Melzer, Rita MD � 1629135306

Wheaton Franciscan Medical Group17000 W North AveBrookfield,WI 53005(262) 782-4270

Internal MedicineBlankenburg, Russell MD 1104893577Ghanem, Emily APNP 1437630761Hassan, Mushir MD � 1043287436Johnson, Thomas MD 1891762852Roznik, Mark MD 1184698482Schneider, Michael MD 1477520443Spielbauer, Gregory MD 1609843663

Wheaton Franciscan Medical Group19333 W North Ave STE 309Brookfield,WI 53045(262) 785-3010

Internal MedicineColque, Molly MD 1922203819Hassan, Mushir MD � 1043287436

Ascension Medical Group at Brown Deer9252 N Green Bay RdBrown Deer,WI 53209(414) 527-7500

Family PracticeEsbensen, Leif MD 1669544508Hartlaub, Paul MD 1801844253Laczniak, Danielle APNP 1093276040Maehl, Jeffrey MD � 1801847348Muderlak, Shannon MD 1447320510Richards, Kelly APNP 1336433879Richlen, Matthew MD 1528080900

Ronayne, Sean MD 1184730079Walbrandt, Melissa MD � 1841306636

Glendale Clinic Green Bay Road9233 N Green Bay RdBrown Deer,WI 53209(414) 270-8150

Family PracticeWallace, William APNP 1467429860

MYNP Professionals LLC5050 W Brown Deer RdBrown Deer,WI 53223(414) 874-5000

Family PracticeMcFarland, Rosalyn APNP 1821245028

Internal MedicineLawrence, Clarissa APNP 1194292268

Fond du Lac Regional Clinic900 Main StBrownsville,WI 53006(920) 583-1300

Family PracticeNelezen, Gerald DO 1326015835Weigand, Andrea APNP 1952617144

Internal MedicineLisiecki, Ronald MD 1376858951

Fond du Lac Regional Clinic350 E Sheboygan StCampbellsport,WI 53010(920) 533-8361

Family PracticeHayes, Patricia PAC 1104809839Mayer, Rebecca APNP 1366971681Zangl, Amy PAC 1235685314

Ascension Columbia St Marys Ozaukee at Cedar MillsN143W6515 Pioneer RdCedarburg,WI 53012(262) 377-6933

Internal MedicineBeg, Maria MD 1992974703

Budny, Christopher MD 1598783995Goniu, Kevin MD � 1710910708Hettinger, Daniel MD 1952411514Jablonski, Daniel MD 1083647002Luft, Sarah PAC � 1376701490Plante, Melanie APNP 1386721710Sehnert, Elizabeth PAC 1811050651

PediatricsHagen, Elizabeth MD 1164440574Hagerman, Daniel MD 1699793000Mossberg, Julie MD 1659453488Ramanujam, Jane MD 1235163189

Ascension Columbia St Marys Ozaukee at CedarburgW62N179 Washington AveCedarburg,WI 53012(262) 375-3555

Family PracticeDuffy, Daniel MD 1235191511Kaminski, Cheryl APNP 1215325873Mendoza Lemes, Maria MD 1598843021Moloney, Kathleen MD � 1811956451

Cedarburg Brain Injury Rehabilitation ProgramN27W5707 Lincoln BlvdCedarburg,WI 53012(414) 585-6735

Family PracticeMajeed, Mustansir MD 1689778920

Childrens Medical Group Cedarburg Pediatrics7861 State Rd 60Cedarburg,WI 53012(262) 546-1050

PediatricsCuster, Melanie MD 1053686493Miller, Boyd MD 1548376122

Geiger Medical LLCW63N545 Hanover AveCedarburg,WI 53012(262) 421-5133

Family PracticeDunder, Deanne APNP 1467975383Geiger, Tracy MD � 1255456653

Brookfield (continued)

Brown Deer

Brownsville

Campbellsport

Cedarburg





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Geiger Medical LLC (continued)

Hansen, Marsha APNP � 1841542636Prasch, Courtney PAC � 1215248596Roesler, Rachel APNP 1235793779Washburne, Mary MD 1346330826

Homestead Family Health Center4922 Columbia RdCedarburg,WI 53012(262) 375-1580

Family PracticeShewczyk, Thomas MD 1013007046

Affinity Medical Group614 Memorial DrChilton,WI 53014(920) 849-7500

Family PracticeHendricks, Jessica APNP 1720412299Kaplon, Sharon APNP 1639555311Schabach, Jill APNP 1861826273Tipler, Gene MD 1235123233

Internal MedicineHackbarth, Amanda APNP 1699131482

Ascension Calumet Hospital614 Memorial DrChilton,WI 53014(920) 849-3800

Family PracticeDellaria, Benjamin MD 1942695713Ott, Rebecca APNP 1508369059

Internal MedicineRangbulla, Aditya MD 1659571867

Ascension Calumet Hospital Inc614 Memorial DrChilton,WI 53014(920) 849-2386

Family PracticeSchabach, Lisa APNP 1124086640

Ascension Medical Group614 Memorial DrChilton,WI 53014(920) 849-2386

Family PracticeSchabach, Jill APNP 1861826273Veltus, Carol APNP 1487080446

Internal MedicineHackbarth, Amanda APNP 1699131482

Ascension Medical Group618 Memorial DrChilton,WI 53014(920) 849-3800

Family PracticeDellaria, Benjamin MD 1942695713Hendricks, Jessica APNP 1720412299Hetzner, Michael DO 1942295464Kaplon, Sharon APNP 1639555311Schabach, Jill APNP 1861826273Schabach, Lisa APNP 1124086640Tipler, Gene MD � 1235123233

Prevea Health Chippewa Falls2449 County Hwy IChippewa Falls,WI 54729(715) 723-9138

Family PracticeDuerkop, Sondra APNP 1508341629Merkel, Katrina APNP 1033688056Rubenzer, Kristin APNP 1003124819

Beaver Dam Community Hospital Inc Medical Clinic1580 W James StColumbus,WI 53925(920) 350-0235

Family PracticeButler, Cheryl APNP 1073010229Grams, Ruth APNP 1699244053Newkirk Thompson, Cristin MD 1295066082Posthuma, Jolene APNP 1356725543

Ascension St Marys at Crandon400 W Glen StCrandon,WI 54520(715) 478-6300

Family PracticeDahms, Kristin PAC 1205911831Ferrer, Modesto MD 1134164403Hoertz, Maria DO 1104871607Kuebler, Amy APNP 1235121435Moore, Susan MD 1578670089Raduege, William MD 1114959525Rendlen, Melissa DO 1871572362

Internal MedicineBrooks, Steven MD 1235178898

Bellin Health218 S Hwy 141Crivitz,WI 54114(715) 854-7761

Family PracticeDurant, Tammy MD 1184690448Harris, Sarah APNP 1831639467Singh, Pawneet MD 1174779243

General PracticeOrwig, Carol APNP 1942297387

Internal MedicinePeterson, Jessica PAC 1851388250

Bellin Health Crivitz Specialty Clinic218 S Hwy 141Crivitz,WI 54114(715) 854-7477

Family PracticeChristianson, Peggy APNP 1053608992Zimmermann, Melissa APNP 1417361544

Heart Failure Survival Center of America SC515 N US Highway 141Crivitz,WI 54114(715) 854-7050

Family PracticeElshaier, Amel APNP 1780166819

Cedarburg (continued)

Chilton

Chippewa Falls

Columbus

Crandon

Crivitz


Part time provider - 20 or fewer hours per week





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Ascension Medical Group at Cudahy3501 E Ramsey AveCudahy,WI 53110(414) 769-6600

Family PracticeAdyniec, Kristi APNP 1346767886Nguyen, Nancy MD 1295909497Ogor, Pamela DO 1568578052

Independent Physicians of Wisconsin4580 S Nicholson AveCudahy,WI 53110(414) 326-4800

Family PracticeAllen, Nikki MD 1043235153

Pulmonary and Critical Care Associates SC5900 S Lake DrCudahy,WI 53110(414) 744-4000

Family PracticeSchell, Stephanie APNP 1063840650

Bellin Health1800 Lawrence DrDe Pere,WI 54115(920) 983-3220

Family PracticeCruz, Stephen MD 1043204951Fassbender, Taresa PAC 1093942047Gerczak, Corina PAC 1821050105Hunter, Kelly DO 1427462985Kieffer, Lesley DO 1053638916Lasecki, Cynthia MD 1871577577Meyer, Michael MD 1487639761

Internal MedicineBongiorno, Edward DO 1992789754

PediatricsBongiorno, Edward DO 1992789754

Bellin Health555 Redbird Cir STE 200De Pere,WI 54115(920) 338-6870

Family PracticeMiller, Bart PAC 1093979080

PediatricsGallistel, Laura DO 1013997121Hoyman, Sherri DO 1629052469Theado, Matthew MD 1235149139

Bellin Health555 Redbird Cir STE 300De Pere,WI 54115(920) 338-6870

Family PracticeNovotny, Steven DO 1427032069Sipple, Christopher MD 1093799686

Internal MedicineBiernat, Bozena MD 1003890864Lafond, Kathryn MD 1861411043Meves, Roderick MD 1346357829

PediatricsDanowit, Jane MD 1427032218Ellis, Rachael MD 1558604785

Mercy Family Practice1500 Heritage Rd STE ADe Pere,WI 54115(920) 347-1990

Internal MedicineRosteing, Kevin MD � 1811121023

Prevea Clinic1686 Eisenhower RdDe Pere,WI 54115(920) 496-4700

Family PracticeBleier, Sarah APNP 1629590740Branam, Kayla APNP 1114389087Brashears, Angela PAC 1831424118Kobielak, Tawni APNP 1215466396Niemuth, Kendra APNP 1407384241Nimke, Katherine MD 1528259496Reynolds, Todd MD 1518984186Shahrouri, Michelle APNP 1154740504Spika, David MD 1598790271

Spika, Karla MD 1861427585Weirauch, Cheryl APNP 1770505802Zellner, Ann MD 1902127327

Internal MedicineHoppe, Kaylee PAC 1932672409Plos, Shannon APNP 1477911071Shahrouri, Michelle APNP 1154740504

PediatricsDeuster, Lindsay MD 1205062635Hill, Michelle MD 1457586901Hofman, Samuel MD 1245496801

Prevea Clinic3860 Monroe RdDe Pere,WI 54115(920) 496-4700

Family PracticeAsma, Stephen MD � 1639103187Ball, Elizabeth PAC 1053826107Bleier, Sarah APNP 1629590740Brashears, Angela PAC 1831424118Bruckert, Heidi APNP 1831681402Ford, Edward MD 1821105255Fox, Mary APNP 1003169376Gale, Steven MD 1730528456Gallagher, Tracy MD 1447276316Kobielak, Tawni APNP 1215466396Niemuth, Kendra APNP 1407384241Osborne, Marcia APNP 1023125408Ostrowski, Dale PAC 1083274344Perry, Stephen DO � 1164456455Richter, Esther APNP 1346640778Roth, Karla MD 1508890971Ruh, Sharisa PAC 1952684607Seidl, Carolyn APNP 1659713535Steffel, Rhonda MD 1699856989Zellner, Ann MD 1902127327

Internal MedicineDzwonkowski, Malena MD � 1881627297

Cudahy

De Pere





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Prevea Clinic (continued)

Grenfell, Donna PAC 1700801107Richards, David MD � 1790719201Richter, Esther APNP 1346640778

PediatricsHandeland, Joan MD 1952334245Hofman, Samuel MD 1245496801Rustad, Dale MD 1780617720

Prevea Lawrence Drive Health Center1601 Lawrence Dr STE 100De Pere,WI 54115(920) 496-4700

Family PracticeZimmermann, Rhonda APNP 1720133895

Childrens Medical Group Delafield Pediatrics3195 Hillside DrDelafield,WI 53018(262) 646-9960

PediatricsGetschow, Denise MD 1245529338Sharma, Anjali MD 1497815757Spahr, Jodi APNP 1407966898Szafir, Renee MD 1699074864Wolff, Yolanda MD 1942332440

Bellin Health595 County Rd RDenmark,WI 54208(920) 863-2005

Family PracticeDehnel, Mark PAC 1578548947Harkness, Barbara MD 1104899657Wozney, Bradley MD 1225013675

Ascension Eagle River Hospital201 Hospital RdEagle River,WI 54521(715) 356-8048

Internal MedicineLundberg, Danny MD 1750337788

Ascension St Marys at Eagle River930 E Wall StEagle River,WI 54521(715) 477-3000

Family PracticeHeuss, Amber APNP 1699971150Hoertz, Maria DO 1104871607Horwath, Elizabeth APNP 1053965822Johnson, Julie APNP 1881620896Kahl, Mary APNP 1326328972Murphy, Robert PAC 1801847926Raduege, William MD 1114959525Shifra, Rebecca APNP 1174859342

Internal MedicineNorden, Leo MD 1881649770

PediatricsGonzalez Cerra, Maria MD 1427099589

Raed Hamed MD LLC11101 N Sherman RdEdgerton,WI 53534(608) 884-1397

Internal MedicineHamed, Raed MD 1740241793

Ascension Medical Group Gateway400 County Rd HElkhorn,WI 53121(262) 687-7030

Family PracticeOuweneel, Jennifer APNP � 1689127086

Child Advocacy Center WalworthW4063 Highway NNElkhorn,WI 53121(262) 741-1440

PediatricsHodges, Kelly MD 1932302668Petska, Hillary MD 1649400383Rabbitt, Angela DO 1891975306Sheets, Lynn MD 1275585085

Oak Medical SC Holton Manor645 N Church StElkhorn,WI 53121(262) 723-4963

Family PracticeBerger, Jennifer APNP 1093181893

North Shore Medical Clinic3711 State Hwy 42Fish Creek,WI 54212(920) 868-3511

Family PracticeJohnson, Rory MD 1669481057Jordan, Anne MD 1689088825Rebhan, Joseph MD 1316957277Swain, Holly PAC 1346357449Wasie, Edward APNP 1538252572

PediatricsFogarty, Amy MD 1528156965

Agnesian Cancer Care480 E Division StFond du Lac,WI 54935(920) 926-4100

Internal MedicineBudwit, Jodi APNP 1225374457

Agnesian Convenient Care Clinic145 N Main StFond du Lac,WI 54935(920) 926-8492

Family PracticeReinke, Carley APNP 1184286411

De Pere (continued)

Delafield

Denmark

Eagle River

Edgerton

Elkhorn

Fish Creek

Fond du Lac






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Agnesian Healthcare430 E Division StFond du Lac,WI 54935(920) 929-2300

Internal MedicineBudwit, Jodi APNP 1225374457

Agnesian Work and Wellness420 E Division StFond du Lac,WI 54935(920) 907-3922

Family PracticeDiener, Megan APNP 1720413651Drummond, Janet PAC 1790177913Liedke, Lisa APNP 1336783042Tate, Melissa APNP 1346667151

Agnesian Work and Wellness430 E Division StFond du Lac,WI 54935(920) 929-4600

Family PracticeCairns, Jammi APNP 1093836751Fox, Joann APNP 1972921104Grochowski, Kathleen APNP 1568602530Guntly, Tanya PAC 1932147857Mellenthin, Mary APNP 1164890596Merz, Nicole PAC 1679926596Petrie, Stefanie APNP 1013247931

Fond du Lac Regional Clinic420 E Division StFond du Lac,WI 54935(920) 926-8200

Family PracticeColmenares, Derek MD � 1831180470Everson, Gina MD � 1124019799Fabricius, Thomas MD � 1861475592Goeden, Terrina APNP 1932740495Grochowski, Kathleen APNP 1568602530Kent, Jeffrey DO 1538276068Kerchefski, Christine APNP 1508112020Kraus, Teegan PAC 1255823316Maruska, David MD � 1508848847

Mayer, Rebecca APNP 1366971681Schuman, Courtney APNP 1801441910Strong, Jeffrey MD � 1801879127

Internal MedicineClements, Oliver III MD 1184615429Karewicz, Adam MD 1114035755Kumar, Punit MD 1144271990Muller, Jay MD 1053305961Pirvanescu, Radu MD 1174631063Raj, Radhika MD 1669467072Svasta, Paula MD 1255311825Zangl, Amy PAC 1235685314

PediatricsDarwich, Jorge MD 1891082087Dhonau, Howard MD 1518958172Flores, Amy MD � 1063456812Santa, Daisy MD 1811979701Schwendel, Nicole MD � 1235363896Taivalmaa, Kristine MD 1043293376

Fond du Lac Regional Clinic912 S Hickory StFond du Lac,WI 54935(920) 929-7490

Family PracticeAmundson, Darcey PAC 1588691398Fownes, Douglas MD 1487645966Hang, Anna PAC 1720575749Schmidt, Heather DO � 1083711071Schneider, Julie APNP 1881791895Udlis, Seth MD � 1891896445Vande Zande, Deborah APNP 1912004953

St Agnes Hospital430 E Division StFond du Lac,WI 54935(920) 929-2300

Family PracticeBiddick, Louann APNP 1770566721

Treffert Center371 E 1st StFond du Lac,WI 54935(920) 907-3967

Family PracticeFabricius, Thomas MD 1861475592

Work and Wellness912 S Hickory StFond du Lac,WI 54935(920) 929-3922

Family PracticeDavis, Sarah APNP 1306480850

Fond du Lac Regional Clinic703 W State StFox Lake,WI 53933(920) 928-6300

Family PracticeMayer, Rebecca APNP 1366971681

Childrens Medical Group Bayshore Pediatrics7950 N Port Washington RdFox Point,WI 53217(414) 228-0099

PediatricsBencik Boudreau, Kristin DO 1588660195Lehman, Patrick MD 1609119668Linsmeier, Michelle MD 1326030693Melbye, David MD 1487640918Miller, Boyd MD 1548376122Nersesian, Matthew MD 1447575105Paley, Sharyl MD 1356334817

Ascension Medical Group at Franklin Medical Office Building9969 S 27th StFranklin,WI 53132(414) 325-4950

Family PracticeDonovan, Daniel DO � 1912926791Grass, Timothy DO 1982719134

Fond du Lac (continued)

Fox Lake

Fox Point

Franklin

Non - Physician Practioner Accepting Existing Patients Only Part time provider - 20 or fewer hours per week




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Ascension Medical Group at Franklin Medical Office Building (continued)

Internal MedicineAman, Saleem MD 1487691556Hussain, Fahmina MD 1083729545Schwab, John MD 1598872889Shah, Vinodkumar MD 1841209400Soni, Nalin MD 1346353885

PediatricsHussain, Fahmina MD 1083729545

Childrens Medical Group Franklin Pediatrics7322 W Rawson AveFranklin,WI 53132(414) 433-9010

PediatricsCronsell, Kimberly MD � 1063535326De Valk, Jessica MD 1528421013Jereb, Steven MD 1578558730Khare, Smriti MD � 1497740658Kotowski, Amanda APNP 1093768871Olson, Stephanie MD 1942594783Strzelecki, Kenneth DO 1851557714Underkofler, Heather MD 1316200215Vincent, Suzanne MD 1083600506

Southeastern Pediatric and Adolescent Medicine10500 W Loomis RdFranklin,WI 53132(414) 529-9261

PediatricsLemke, Kathleen APNP 1609923820Muellerleile, Edward MD 1477694818Nordyke, Gary MD 1053387498

Wheaton Franciscan Medical Group10101 S 27th StFranklin,WI 53132(414) 325-4940

Family PracticeGolden, Patricia DO 1184633562

Wheaton Franciscan Medical Group7400 W Rawson AveFranklin,WI 53132(414) 425-7000

Family PracticeGentile, Jeffrey MD 1699861021Golden, Patricia DO � 1184633562Khan, Saira MD 1780892927Spiering, Patrick MD 1568578094

Internal MedicineScalzitti, Sandra MD 1881700466

PediatricsScalzitti, Sandra MD 1881700466

Wheaton Franciscan Medical Group7400 W Rawson Ave STE 120Franklin,WI 53132(414) 525-5920

Family PracticeKamer, Gary MD 1447266150Sirus, Steven MD 1912097643Stineman, William MD 1659387371

Wheaton Franciscan Medical Group7400 W Rawson Ave STE G30Franklin,WI 53132(414) 425-7000

Family PracticeFerda, Nathan MD 1245625524Hunt, Catherine PAC 1770811069Lepak, Ashley DO 1306106372

Wheaton Franciscan Medical Group9969 S 27th StFranklin,WI 53132(414) 325-4920

Family PracticeDement, Kristin DO 1205220233Wilson, Cory MD 1831137694

PediatricsShukla, Sanjeev MD 1437265394

Zenith Healthcare SC9969 S 27th StFranklin,WI 53132(262) 359-1652

Family PracticeMerritt, William PAC 1033442538

Ascension Columbia St Marys Ozaukee at GermantownN112W15415 Mequon RdGermantown,WI 53022(262) 250-7800

Internal MedicineBernstein, Avi MD 1972643252Peters, Elise APNP 1154816692Steinert, Dirk MD 1033137294

PediatricsSteinert, Dirk MD 1033137294

Dr Turgut Zia SCW173N10915 Bernies WayGermantown,WI 53022(262) 509-3300

Internal MedicineZia, Turgut MD 1699783894

Germantown ClinicW168N11237 Western AveGermantown,WI 53022(262) 253-5060

Family PracticeBraun, Monica APNP 1720339997Conley, Debra PAC 1912126418Ewig, Jessica APNP 1275919417Knoernschild, Andrew MD 1467425454Marx, Douglas DO 1326011321Miller, Amy MD 1689648933Nagy, Jennifer MD 1255573382Nevins, Danielle APNP 1952820771Smith, Christina APNP 1801349261Stickney, Peggy MD 1598759441Urlakis, Kenneth MD 1265407316

Internal MedicineLodes, Mark MD 1265483739

Franklin (continued)

Germantown






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Independent Physicians of WisconsinW178N9912 Rivercrest Dr STE 105Germantown,WI 53022(262) 682-8810

Family PracticeOquinn, Kirsten MD 1841237781

Virginia Highlands dba Germantown Operating COW173N10915 Bernies WayGermantown,WI 53022(262) 509-3300

Family PracticeBerger, Jennifer APNP 1093181893

Internal MedicineMeinhardt, Laura PAC 1518485283Ramnanan, Keshni MD 1952541849Schwabe, Tiffany APNP 1558776823Sidhu, Jaswinder MD 1073628509Sidhu, Mahtab MD 1700866365Sotola, Dina APNP 1316398589

St Clare Memorial Hospital Gillett Health Center340 N Green Bay AveGillett,WI 54124(920) 855-2823

Family PracticeBancroft, Erin APNP 1013455252Charles, Jennifer APNP 1205205424Cupino, Isaias MD 1306835350Degrand, Sara APNP 1164878484Fang, Yu Chin MD 1780616896Gibbons, Jennifer APNP 1588111215Keene, Clayton APNP 1134595051Schaal, Janelle APNP 1528459070Spika, David MD 1598790271Spletzer, Tyler APNP 1992053177Zellmer, Emily PAC 1548616469

Internal MedicineCharles, Jennifer APNP 1205205424

Zellmer, Emily PAC 1548616469

Ascension Columbia St Marys Milwaukee at Glendale6900 N Port Washington RdGlendale,WI 53217(414) 270-8100

Family PracticeFetherston, Michael MD � 1639130040Hadcock, David MD 1861574691Ho, Heather MD 1982846960Johnstone, Michael MD � 1982665394Olmedo Estrada, Francisca MD 1831204338Rowe, Bruce MD 1437197126Speidel, Lisa MD 1255507034Wallace, William APNP 1467429860

Ascension Medical Group at Brown Deer9252 N Green Bay Rd FL 2Glendale,WI 53209(414) 270-8150

Family PracticeFetherston, Michael MD � 1639130040Ho, Heather MD 1982846960Johnstone, Michael MD � 1982665394Kitsis, Robert MD 1336534403Matthews, Gregory MD 1770524746Mossallati, Elise APNP 1841436987Olmedo Estrada, Francisca MD 1831204338Plotkin, Michael DO 1881636819Rowe, Bruce MD 1437197126Speidel, Lisa MD 1255507034Witkowski, Lindsay APNP 1730659343

Childrens Medical Group River Glen Pediatrics4655 N Port Washington Rd STE 200Glendale,WI 53212(414) 247-9530

PediatricsBalija, Rama MD 1881620292Berge, Alexandra DO 1487975322

Cameron, Cheryl MD 1770520983Dzakpasu, Promise MD 1881691418Miller, Boyd MD 1548376122

Independent Physicians of Wisconsin2501 W Silver Springs DrGlendale,WI 53209(414) 461-9250

General PracticePtak, Renata PAC 1902955933

Providence Family Medical Clinic2500 W Silver Spring DrGlendale,WI 53209(414) 800-7171

Family PracticeOkusanya, Adedapo MD 1619932126

Ascension Columbia St Marys Ozaukee at Grafton2061 Cheyenne CtGrafton,WI 53024(262) 376-1934

Family PracticeJohnstone, Michael MD � 1982665394Shewczyk, Mark MD 1609809672

Internal MedicineBurrows, Katherine DO 1942323878Luft, Sarah PAC � 1376701490Reinbold, Shannon MD 1912065855

PediatricsReinbold, Shannon MD 1912065855

Julie Chicks MD SC1990 Wisconsin AveGrafton,WI 53024(262) 377-2900

Internal MedicineChicks, Julie MD 1265482830

Advanced Pain Management2595 Development Dr STE 150Green Bay,WI 54311(414) 325-7246

Family PracticeBloedow, Rescha APNP 1487683637

Germantown (continued)

Gillett

Glendale

Grafton

Green Bay





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Bellin Behavioral Health301 E St Joseph StGreen Bay,WI 54301(920) 433-6073

Family PracticeLemkuil, Daniel MD 1730163437

Bellin Health1630 Commanche AveGreen Bay,WI 54313(920) 430-4700

Family PracticeBabler, Britny APNP 1174089528Bevers, Heather APNP 1225686330Birder, Ashley APNP 1174072656Degen, Shane MD 1336127240Ditchen, Izabela MD 1104800911Durant, Tammy MD 1184690448Fochesato, Heather APNP 1821482795Fredrick, Jenna APNP 1528347762Fuglestad, Loren MD 1669456463Gast, James MD 1710961529Hunter, Kelly DO 1427462985Jerzak, James MD 1760466502Lasecki, Cynthia MD 1871577577Lemkuil, Daniel MD 1730163437Lind, Mitchell PAC 1205219680Mc Comb, Brooke APNP 1124217419Mead, Robert MD 1225013501Meyer, Michael MD 1487639761Mohr, Stacy MD 1770877664Pesola, Barbara APNP 1023125416Phillips, Maureen MD 1568446110Pravechek, Jennifer APNP 1679773915Reynders, William MD 1225012875Russell, Elizabeth MD 1851301253Sanfilippo, Susan APNP 1457591869Schmidt, Tina PAC 1033194261

Scholl, Loren APNP 1932394152Thayse, Cori APNP 1922562164Zehren, Marissa APNP 1811349970Zimmermann, Melissa APNP 1417361544Zollar, Tracey APNP 1063677557

Internal MedicineBongiorno, Edward DO 1992789754Kleiman, Molly MD 1467539684

PediatricsBongiorno, Edward DO 1992789754Danowit, Jane MD 1427032218Flannery, Ashley MD 1760741136Gallistel, Laura DO 1013997121Karbon, Staci MD 1568446300Kleiman, Molly MD 1467539684Missbach, Timm MD 1114950326

Bellin Health1630 Commanche Ave STE 102Green Bay,WI 54313(920) 433-6000

Family PracticeFritsch, Fay APNP 1730311903

Internal MedicineHartig, Donald Jr MD 1073597803

Bellin Health215 N Webster AveGreen Bay,WI 54301(920) 433-3448

Family PracticeZehren, Marissa APNP 1811349970

Bellin Health2714 Riverview DrGreen Bay,WI 54313(920) 430-4760

Family PracticeAdams, Eric PAC 1528445087Degen, Shane MD 1336127240Ditchen, Izabela MD 1104800911Durant, Tammy MD 1184690448Fuglestad, Loren MD 1669456463Hoffman, Michael MD 1013080894McHenry, Jean APNP 1679558878

Russell, Elizabeth MD 1851301253Trawitzki, Alyssa MD 1649569252Warren, Kathryn APNP 1255747325


Bellin Health3100 Ams Blvd STE CGreen Bay,WI 54313(920) 661-4215

Family PracticeHughes, Alethia PAC 1669649919Sorge, Brea APNP 1518480052

Bellin Health3263 Eaton RdGreen Bay,WI 54311(920) 433-6700

Family PracticeAdams, Eric PAC 1528445087Anderson, Robert MD 1477559938Bedi, Sabeeha MD 1982688842Brilliant, Denise APNP 1346314937Greenlaw, Paul MD 1487769584Hall, Ashley APNP 1407405012McHenry, Jean APNP 1679558878Meyer, Michael MD 1487639761Minikel, Michelle MD 1093913113Nash, Lisa APNP 1659783207Novotny, Steven DO 1427032069Pesola, Barbara APNP 1023125416Schmidt, Tina PAC 1033194261Singh, Sabina MD 1104800796Sipple, Christopher MD 1093799686Woulf, Amanda APNP 1427332790Wozney, Bradley MD 1225013675Zehren, Marissa APNP 1811349970Zimmermann, Melissa APNP 1417361544Zollar, Tracey APNP 1063677557


Green Bay (continued)

Non - Physician Practioner

Part time provider - 20 or fewer hours per week





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Bellin Health (continued)

Hartig, Donald Jr MD 1073597803Lafond, Kathryn MD 1861411043Meves, Roderick MD 1346357829

Bellin Health3263 Eaton Rd STE 1Green Bay,WI 54311(920) 433-6000

Family PracticeFritsch, Fay APNP 1730311903


Bellin Health704 S Webster Ave STE 200Green Bay,WI 54301(920) 433-3456

Family PracticeAnderson, Robert MD 1477559938Daughtry, Barry MD 1871526012Degen, Shane MD 1336127240Fassbender, Taresa PAC 1093942047Goecks, Sarah APNP 1740692987Harkness, Barbara MD 1104899657Hoffman, Michael MD 1013080894Miller, Bart PAC 1093979080Minikel, Michelle MD 1093913113Molenaar, Susan APNP 1265986731Novotny, Steven DO 1427032069Sipple, Christopher MD 1093799686

Internal MedicineBiernat, Bozena MD 1003890864Hartig, Donald Jr MD 1073597803Lafond, Kathryn MD 1861411043Meves, Roderick MD 1346357829

Bellin Health704 S Webster Ave STE 201Green Bay,WI 54301(920) 433-3410

Family PracticeDaughtry, Barry MD 1871526012

Miller, Bart PAC 1093979080Minikel, Michelle MD 1093913113

Bellin Health720 S Van Buren St STE 201Green Bay,WI 54301(920) 433-7488

Family PracticeCumicek, Jennifer APNP 1285181818

Bellin Health725 S Webster AveGreen Bay,WI 54301(920) 433-7995

Family PracticeHansen, Nicole APNP 1861824948

Bellin Health744 S Webster AveGreen Bay,WI 54301(920) 433-3500

Family PracticeAnderson, Robert MD 1477559938Connelly, Mary MD 1841274636Ditchen, Izabela MD 1104800911Fuglestad, Loren MD 1669456463Jerzak, James MD 1760466502Kananen, Lynn APNP 1275732331Lasecki, Cynthia MD 1871577577Lemkuil, Daniel MD 1730163437Mead, Robert MD 1225013501Minikel, Michelle MD 1093913113Mohr, Stacy MD 1770877664Phillips, Maureen MD 1568446110Sanfilippo, Susan APNP 1457591869Singh, Sabina MD 1104800796Trawitzki, Alyssa MD 1649569252Woulf, Amanda APNP 1427332790Zollar, Tracey APNP 1063677557

Internal MedicineBongiorno, Edward DO 1992789754Hartig, Donald Jr MD 1073597803Kleiman, Molly MD 1467539684Lafond, Kathryn MD 1861411043

Mohsin, Abdul MD 1265679724

PediatricsBongiorno, Edward DO 1992789754Flannery, Ashley MD 1760741136Gallistel, Laura DO 1013997121Hoyman, Sherri DO 1629052469Karbon, Staci MD 1568446300Kleiman, Molly MD 1467539684Missbach, Timm MD 1114950326Theado, Matthew MD 1235149139

Bellin Health744 S Webster Ave 5th FLGreen Bay,WI 54301(920) 433-7550

Family PracticeHarkness, Barbara MD 1104899657

Bellin Memorial Hospital744 S Webster AveGreen Bay,WI 54301(920) 445-7222

Family PracticeGoecks, Sarah APNP 1740692987

Internal MedicineKlemens, Lee MD 1023092715

PediatricsEllis, Rachael MD 1558604785

Brown County Community Treatment Center3150 Gershwin DrGreen Bay,WI 54311(920) 391-4700

Family PracticeArthus, Antonide APNP 1275028201Walczyk, Brittany APNP 1326525049Welter, Nicole APNP 1891047460

Cleanslate Medical Group of Wisconsin510 E Walnut StGreen Bay,WI 54301(413) 584-2173

Family PracticeAntonissen, Paul APNP 1174096747


Non - Physician Practioner




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Dousman Clinic SC124 Siegler StGreen Bay,WI 54303(920) 494-9661

Family PracticeGajewski, Teresa PAC 1508142001Jenson, Mark MD 1598727000

Holmgren Way Health Center2461 Holmgren WayGreen Bay,WI 54304(920) 496-4700

Family PracticeBleier, Sarah APNP 1629590740Brashears, Angela PAC 1831424118Kobielak, Tawni APNP 1215466396Niemuth, Kendra APNP 1407384241

PediatricsHofman, Samuel MD 1245496801

New Community Clinic622 Bodart StGreen Bay,WI 54301(920) 437-9773

PediatricsMurphy, Lynn APNP 1689839896

Prevea Clinic102 N Washington StGreen Bay,WI 54301(920) 496-4700

Family PracticeBleier, Sarah APNP 1629590740Brashears, Angela PAC 1831424118Kobielak, Tawni APNP 1215466396Larochelle, Shanna PAC 1508352311Niemuth, Kendra APNP 1407384241Ostrowski, Dale PAC 1083274344

Internal MedicineHoppe, Kaylee PAC 1932672409


Prevea Clinic1727 Shawano AveGreen Bay,WI 54303(920) 496-4700

Family PracticeBrashears, Angela PAC 1831424118Perry, Stephen DO 1164456455Zellner, Ann MD 1902127327

Internal MedicinePlos, Shannon APNP 1477911071Walbrun, Fred MD 1306848700

PediatricsNeuhaus, Ellen MD � 1992738108

Prevea Clinic1821 S Webster AveGreen Bay,WI 54301(920) 496-4700

Family PracticeBleier, Sarah APNP 1629590740Brashears, Angela PAC 1831424118Brylski, Zachary PAC 1720507627Clexton, Jessica APNP 1366929309Ellman, Stephanie APNP 1770834459Ford, Edward MD 1821105255Gale, Steven MD 1730528456Kobielak, Tawni APNP 1215466396Larochelle, Shanna PAC 1508352311Lash, Hilary MD 1801839394Niemuth, Kendra APNP 1407384241Osborne, Marcia APNP 1023125408Treml, Kathryn APNP 1194271312Weiland, Jennifer MD 1588682504

Internal MedicineAbdel Halim, Olan MD � 1295751584Hoppe, Jason MD 1508899899Shaikh, Brooke APNP 1952703944Valentine, Dylan APNP 1386146082

PediatricsBarkow, Kathleen MD 1043235351French, Andrea MD 1487815981Hofman, Samuel MD 1245496801

Neuhaus, Ellen MD � 1992738108Whetmore, George DO 1053346601Young, Jeffry DO 1114946712

Prevea Clinic2502 S Ashland AveGreen Bay,WI 54304(920) 496-4700

Family PracticeBantamoi, Edward MD 1457376758Bantes Behmke, Kasey PAC 1194969105Bleier, Sarah APNP 1629590740Brashears, Angela PAC 1831424118Brown, Deann APNP 1760959258Brylski, Zachary PAC 1720507627Capelle, Mary APNP 1407154693Doemel, Kristine APNP 1972925170Ellman, Stephanie APNP 1770834459Fischer, Erin PAC 1023438579Forbes, Caitlyn PAC 1073006185Gadsby, Alessandra MD 1346273620Gale, Steven MD 1730528456Gardon, Kristin APNP 1366933608Hudzinski, Janeen MD 1295841708Kobielak, Tawni APNP 1215466396Lash, Hilary MD 1801839394Metzler, Jeremy MD � 1356388086Niemuth, Kendra APNP 1407384241Osborne, Marcia APNP 1023125408Ostrowski, Dale PAC 1083274344Perry, Stephen DO 1164456455Peters, Crystal APNP 1548738297Ruh, Sharisa PAC 1952684607Seidl, Carolyn APNP 1659713535Thiry, Kimberly APNP 1417334475Thiry, Lori APNP 1588913859Treml, Kathryn APNP 1194271312Weiland, Jennifer MD 1588682504


Non - Physician Practioner Accepting Existing Patients Only Part time provider - 20 or fewer hours per week





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Prevea Clinic (continued)

PediatricsHofman, Samuel MD 1245496801Neuhaus, Ellen MD 1992738108

Prevea Clinic2793 Lineville RdGreen Bay,WI 54313(920) 496-4700

Family PracticeAntonio, Maria Chona MD 1740295237Bantes Behmke, Kasey PAC 1194969105Bleier, Sarah APNP 1629590740Brashears, Angela PAC 1831424118Cseter, Miranda PAC 1275049140Ford, Edward MD 1821105255Golembeski, Amber APNP 1669928495Holloman, Lauren APNP 1588949945Kadipi Reddy, Venkata MD 1528259397Kobielak, Tawni APNP 1215466396Lippert, J Aimee DO 1265465215Niemuth, Kendra APNP 1407384241Ostrowski, Dale PAC 1083274344Richter, Esther APNP 1346640778Romandine Kratz, Amy MD 1023376910Ruh, Sharisa PAC 1952684607Rust, Jenna DO 1326440983Seidl, Carolyn APNP 1659713535Severance, Katrina DO 1952599763Shahrouri, Michelle APNP 1154740504Vissers, Rebecca APNP 1932370855

Internal MedicineBollom, Steven MD � 1467477786Mildenberg, Christopher MD 1154409175Plos, Shannon APNP 1477911071Richter, Esther APNP 1346640778Shahrouri, Michelle APNP 1154740504

Strungs, Gunar MD � 1659390292

PediatricsGibbons, Jennifer APNP 1588111215Hofman, Samuel MD 1245496801Houn, Kristina MD 1053344358Neuhaus, Ellen MD � 1992738108Rankin, Joshua MD 1154563229Wells, Susan MD � 1326067927

Prevea Clinic3021 Voyager DrGreen Bay,WI 54311(920) 496-4700

Family PracticeBenn, William MD 1346275344Bleier, Sarah APNP 1629590740Brashears, Angela PAC 1831424118Capelle, Mary APNP 1407154693Clexton, Jessica APNP 1366929309Fonder, Lisa APNP 1457639486Ford, Edward MD 1821105255Gale, Steven MD 1730528456Gupta, Achal MD 1871729210Kobielak, Tawni APNP 1215466396Niemuth, Kendra APNP 1407384241Osborne, Marcia APNP 1023125408Ostrowski, Dale PAC 1083274344Ruh, Sharisa PAC 1952684607Seidl, Carolyn APNP 1659713535Shahrouri, Michelle APNP 1154740504Treml, Kathryn APNP 1194271312Witt, Jessica APNP 1043686967

Internal MedicineCullen, Michelle APNP 1528083425Hirner, Gwen APNP 1558381343Mcdougal, Kathleen MD 1780671792Pritchard, Paul MD � 1790718922Ripp, Daniel MD 1346267929Schmitz, Paul MD � 1245258581

Shahrouri, Michelle APNP 1154740504Valentine, Dylan APNP 1386146082

PediatricsDeuster, Lindsay MD 1205062635Hofman, Samuel MD 1245496801Houn, Kristina MD 1053344358Keim, David MD 1770509580

Prevea Clinic835 S Van Buren StGreen Bay,WI 54301(920) 496-4700

Family PracticeBleier, Sarah APNP 1629590740Kobielak, Tawni APNP 1215466396Niemuth, Kendra APNP 1407384241Vissers, Rebecca APNP 1932370855Zellner, Ann MD 1902127327

Internal MedicineHoppe, Kaylee PAC 1932672409Plos, Shannon APNP 1477911071Walbrun, Fred MD 1306848700


Prevea Clinic St Marys Health Center1715 Dousman StGreen Bay,WI 54303(920) 496-4700

Family PracticeBleier, Sarah APNP 1629590740Brashears, Angela PAC 1831424118Brusich, Whitney PAC 1013430073Kobielak, Tawni APNP 1215466396Niemuth, Kendra APNP 1407384241Vissers, Rebecca APNP 1932370855Warren, John MD 1407871684Zellner, Ann MD 1902127327

Internal MedicineBranam, Kayla APNP 1114389087Brusich, Whitney PAC 1013430073Gala, Vaishali MD 1457388738


Non - Physician Practioner Accepting Exi

Provider Directory and Member REFERENCE GUIDE...TABLE OF CONTENTS Network Health 1570 Midway Place...

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Transcript of Provider Directory and Member REFERENCE GUIDE...TABLE OF CONTENTS Network Health 1570 Midway Place...