2022 Provider Directory

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(1)2022 Provider Directory Tiered Choice Plus Network Offered by Quartz Health Benefit Plans Corporation. ©2021 Quartz Health Solutions, Inc. • QA01533 (0721).

(2) Our goal is to help you live your best life through access to affordable, high-quality care. That’s why your Quartz plan features access to top providers who are committed to your health and well-being. Our provider directory has general information that applies to most Quartz members. However, health benefit plans vary. Please read your plan documents to see what’s covered. Note: ⊲ Information may change as providers join or leave the network, move, or retire. ⊲. Before getting care, check that the provider you want to see is in your network and is taking new patients.. ⊲. Quartz does not use specific quality, member experience, or cost-related measures to select providers or hospitals to participate in the network.. For the most up-to-date list of care providers in your Quartz network, visit QuartzBenefits.com/findadoctor. Call Quartz Customer Service if you would like a free, printed copy of our provider directory mailed to you. Questions? Contact us for help finding a provider to meet your needs or with any other questions. We’re here to help. Quartz Champion (866) 895-8143; TTY: 711 QuartzBenefits.com MyChart at QuartzMyChart.com.

(3) Wisconsin Buffalo Jackson Trempealeau. Waushara Monroe. Adams. Marquette Green Lake. Juneau. Minnesota. Fond du Lac. Vernon Columbia. Sauk. Richland. Dodge. Crawford Jefferson. Iowa. Waukesha. Grant. Iowa. Lafayette. Green. Rock. Walworth. Illinois. Tiered Choice Plus Network Service Area YOUR PROVIDER NETWORK Your health insurance includes access to in-network providers. A “network” is a group of doctors and other medical providers who have agreed to provide services to Quartz members. They will bill us for your care. If we do not have a contract with a doctor or provider, they are considered out-of-network. Quartz has several different networks. Yours is listed on your ID card. You can search for providers in your network at QuartzBenefits.com/findadoctor. Simply select the network name that is on your ID card and a list of providers in your network will show in the search results. If a provider is not on the list, they are out-of-network and likely are not covered under your plan. Some Quartz plans, however, do cover services with doctors not in your network. If you are not sure if a provider is in-network or out-of-network, simply call their office to check or call a Quartz Champion for help..

(4) Establishing Primary Care QuartzBenefits.com/findadoctor Quartz members are asked to choose a primary care provider (PCP) or primary care clinic at enrollment. If you don’t, we will assign you to a primary care clinic near your home. You can make a new selection at any time. Family members do not need to have the same provider or clinic. Once you have picked a PCP who best meets your needs, you can update your record via MyChart. WHERE TO GET CARE Choose the right care for the right situation. For all types of care, check to see what your plan covers, especially before being treated by someone other than your PCP. You can see all your benefits in MyChart.. Virtual Visit. Primary Care. Urgent Care. Emergency Care. What is it?. An on-demand appointment with a health care provider via your smartphone, tablet, or computer.. Regular, nonemergency care by appointment. Faceto-face interaction with your provider in their clinic or office.. In-person, walk-in care at designated locations, usually with extended hours.. In-person care 24/7 when help is needed right away to prevent an adverse health outcome.. When should I use it?. For urgent, nonemergency symptoms, like:. For in-clinic services, for instance:. ⊲ Cough. ⊲ Routine checkups. For serious and/or lifethreatening situations, for example:. ⊲ Headaches. ⊲ Annual physicals. For health issues or injuries that need prompt attention, but are not serious enough for emergency care, such as,. ⊲ Nausea. ⊲ Preventive screenings. ⊲ Rashes. ⊲ Vaccinations. ⊲ Sore throat. ⊲ Non-urgent injuries and illness. ⊲ Sprains. ⊲ Cuts, scrapes, and bruises ⊲ Sprains and strains ⊲ Ear pain or infection ⊲ Rashes and insect bites ⊲ Sore or strep throat. How do I get access?. Set up an account ahead of time so you’re prepared to log in if you become sick or injured. Learn more at QuartzBenefits.com/ digitaltools.. Call your primary care provider or clinic to schedule ahead of time.. Call your primary care provider or clinic first, day or night, to check the best course of action. They will advise you if you should go to urgent care.. ⊲ Chest pain or heart attack ⊲ Numbness or weakness on one side or stroke symptoms ⊲ Shortness of breath ⊲ Major illness ⊲ Traumatic injury Call 911 or go to the nearest hospital emergency department for immediate help.. Your Information, Your Control Every Quartz member needs MyChart, your electronic health record. With one-stop access to all things Quartz, MyChart makes working with your health care coverage so easy. Plus, you can link your Quartz MyChart account with other health care organizations to see your health information in one place. Go to QuartzMyChart.com and follow the prompts to create your account.. Get the app!. Search for Quartz MyChart in your app store. Message and data rates may apply..

(5) Prior Authorization Most of the time, you can take care of your medical needs without checking with Quartz. In some situations, you might need our okay first before we cover the costs. This process is called prior authorization. You, your doctor, or nurse will fill out a General Prior Authorization Request Form and send it to Quartz for our review. We will let you and your provider know if the service is covered by your plan (approved) or not covered (denied). If the request is denied, we will tell you how you can appeal the decision. Learn more and download forms at QuartzBenefits.com/priorauth or QuartzBenefits.com/medpriorauth.. Referrals As a Quartz member, you do not need to get a referral from your PCP to see other providers in your network. Note: ⊲ Some specialists may only accept you as a patient if you have been referred by your PCP. ⊲. You may need Quartz’s okay ahead of time to make sure specialty care is covered by your plan.. Pharmacy Benefits Quartz offers many kinds of prescription drug coverage. To learn about your specific plan, log in to MyChart at QuartzMyChart.com. Then, navigate to Pharmacy Benefits to: ⊲. Get drug information. ⊲. Compare prices. ⊲. Find a pharmacy. ⊲. View and print your medication history. ⊲. And more!. Take Notice For questions about your rights or for assistance, contact: Wisconsin Office of the Commissioner of Insurance, (608) 266-3585, P.O. Box 7873, Madison, Wisconsin 53707-7873. Resources We know health insurance is complicated. Check out our resources to help you be a smart health care consumer. Glossary of Insurance and Medical Terms QuartzBenefits.com/glossary Look up the meanings of common insurance and medical words. Health Plans 101 QuartzBenefits.com/healthplan101 Review the basics of how health insurance works in easy-to-understand language. Member Rights and Responsibilities QuartzBenefits.com/memberrights As a Quartz member, you have the right to be treated with respect. In return, we expect you to be involved in your care and communicate with us. Notice of Privacy Practices QuartzBenefits.com/privacypractices Learn how Quartz uses and protects your personal information..

(6) Non-Discrimination & Language Access Quartz is the brand name for a group of companies committed to your health: Quartz Health Benefit Plans Corporation, Quartz Health Insurance Corporation, Quartz Health Plan Corporation, and Quartz Health Plan MN Corporation. These companies are separate legal entities. In this notice, “we” refers to all Quartz companies. For assistance understanding these materials in a language other than English, call (800) 362-3310, and a Customer Service representative will assist you. TTY users should call 711 or (800) 877-8973. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We provide 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) We provide free language services to people whose primary language is not English, such as – ■ Qualified interpreter ■ Information written in other languages If you need these services, contact Customer Service at (800) 362-3310. If you believe we 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 – Kristie Meier, Compliance Officer 840 Carolina Street Sauk City, WI 53583 Phone: (800) 362-3310 TTY: 711 or toll-free (800) 877-8973 Fax: (608) 644-3500 Email: [email protected] You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Kristie Meier, Compliance Officer, 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 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 (800) 368-1019; (800) 537-7697 (TDD) Complaint forms are available at hhs.gov/ocr/office/file/ index.html Quartz is a Qualified Health Plan issuer in the Health Insurance Marketplace in certain states. To learn more, visit the Health Insurance Marketplace at HealthCare.gov.. For help to translate or understand this, please call (800) 362-3310, TTY: 711 / (800) 877-8973. Spanish – Este Aviso contiene información importante. Este aviso contiene información importante acerca de su solicitud o cobertura a través de Quartz. Preste atención a las fechas clave que contiene este aviso. Es posible que deba tomar alguna medida antes de determinadas fechas para mantener su cobertura médica o ayuda con los costos. Usted tiene derecho a recibir esta información y ayuda en su idioma sin costo alguno. Llame al (800) 362-3310. TTY / TDD: 711 / (800) 877-8973. Hmong – Tsab ntawv tshaj xo no muaj cov ntshiab lus tseem ceeb. Tsab ntawv tshaj xo no muaj cov ntsiab lus tseem ceeb txog koj daim ntawv thov kev pab los yog koj qhov kev pab cuam los ntawm Quartz. Saib cov caij nyoog los yog tej hnub tseem ceeb uas sau rau hauv daim ntawv no kom zoo. Tej zaum koj kuj yuav tau ua qee yam uas peb kom koj ua tsis pub dhau cov caij nyoog uas teev tseg rau hauv daim ntawv no mas koj thiaj yuav tau txais kev pab cuam kho mob los yog kev pab them tej nqi kho mob ntawd. Koj muaj cai kom lawv muab cov ntshiab lus no uas tau muab sau ua koj hom lus pub dawb rau koj. Hu rau (800) 362-3310. TTY / TDD: 711 / (800) 877-8973. Vietnamese – Thông báo này cung cấp thông tin quan trọng. Thông báo này có thông tin quan trọng bàn về đơn nộp hoặc hợp đồng bảo hiểm qua chương trình Quartz. Xin xem ngày then chốt trong thông báo này. Quý vị có thể phải thực hiện theo thông báo đúng trong thời hạn để duy trì bảo hiểm sức khỏe hoặc được trợ trúp thêm về chi phí. Quý vị có quyền được biết thông tin này và được trợ giúp bằng ngôn ngữ của mình miễn phí. Xin gọi số (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.. Chinese – 本通知含有重要的訊息本通知對於您透過 Quartz 所提出的申請或保險有重要的訊息請在本通知中查看重要的日期您可能要在特定的截止日期之前採取行動，以保留您的健康保險或有助於省錢您有權利免費以您的母語得到幫助和訊息請致電 (800) 362-3310：711 / (800) 877-8973. Russian – Настоящее уведомление содержит важную информацию. Это уведомление содержит важную информацию о вашем заявлении или страховом покрытии через Quartz. Посмотрите на ключевые даты в настоящем уведомлении. Вам, возможно, потребуется принять меры к определенным предельным срокам для сохранения страхового покрытия или помощи с расходами. Вы имеете право на бесплатное получение этой информации и помощь на вашем языке. Звоните по телефону (800) 362-3310. TTY / TDD: 711 / (800) 877-8973. ີ່ີ ໍສາຄັນ. ້ ມ – ແຈ້ງການສະບັບນ ູ ນທ ີ້ ມ ີ ໍຂ ້ ມ ແຈ ູ ນທ ້ ງການສະບັບນ ີ່ ຽວກັບໃບສະຫມັກ ຫ ີ້ ມ ີ ໍຂ ີີ່ ໍ ສາຄັນກ ຼື ການຄ ້ ມຄອງຂອງທ ີ່ ານຜ ີ່ ານ Quartz. ຊອກຫາວັນທ ີ ໍ ສາຄັນ ໃນຫນັງສ ້ ງການສະບັບນ ີ່ ານອາດຈ ໍ າເປ ັ ນຕ ້ ອງປະຕ ຼື ແຈ ີ ້ .ທ ິ ບັດຕາມເວລາ ີ່ີ ທກ ີ່ ີ່ ໍ ານ ້ ີ ທແນ ີ່ ນອນເພ ້ ການຄ ້ ມຄອງສຂະພາບຂອງທ ີ່ ານ ຼື ອຮັກສາໄວ ົ ດໄວ ີ່ີ ຈະໄດ ຫ ູ ນນ ີ່ ວຍເຫ ້ ານຄ ີ່ າໃຊ ້ ຈ ີ່ າຍ.ທ ີ່ ານມ ້ ຮັບຂ ໍ້ ມ ຼື ຊ ຼື ອດ ີ ິ ສດທ ີ ້ ແລະ Laotian. ຄວາມຊ ີ່ ວຍເຫ ີ່ ານໂດຍບ ໍີ່ ເສຍຄ ີ່ າ. ໂທຫາເບ ີ (800) ຼື ອໃນພາສາຂອງທ 362 3310. TTY / TDD: 711 / (800) 877 8973..

(7) German – Diese Benachrichtigung enthält wichtige Informationen. Diese Benachrichtigung enthält wichtige Informationen bezüglich Ihres Antrags auf Krankenversicherungsschutz durch Quartz. Suchen Sie nach wichtigen Terminen in dieser Benachrichtigung. Sie könnten bis zu bestimmten Stichtagen handeln müssen, um Ihren Krankenversicherungsschutz oder Hilfe mit den Kosten zu behalten. Sie haben das Recht, kostenlose Hilfe und Informationen in Ihrer Sprache zu erhalten. Rufen Sie an unter (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.. Arabic – ‫ يتضمن هذا‬.‫يحتوي هذا اإلشعار على معلومات مهمة‬. ‫ ابحث‬.Quartz ‫اإلشعار معلومات هامة حول طلبك أو تغطيتك عبر‬ ‫ قد تحتاج إلى إجراء تدابير‬.‫عن التواريخ الرئيسية في هذا اإلشعار‬ ‫معيّنة وفقا ً لمواعيد معيّنة من أجل الحفاظ على تغطيتك الصحية أو‬ ‫ ليدك الحق في الحصول على هذه المعلومات‬.‫المساعدة في التكاليف‬ ‫ اتصل على‬.‫وعلى المساعدة في لغتك دون أي تكلفة‬TTY / TDD: 711 / (800) 877-8973 / (800) 362-3310. French – Cet avis a d’importantes informations. Cet avis a d’importantes informations sur votre demande ou la couverture par l’intermédiaire de Quartz. Rechercher les dates clés dans le présent avis. Vous devrez peut-être prendre des mesures par certains délais pour maintenir votre couverture de santé ou d’aide avec les coûts. Vous avez le droit d’obtenir cette information et de l’aide dans votre langue à aucun coût. Appelez (800) 362-3310. TTY / TDD: 711 / (800) 877-8973. Korean – 본 통지서에는 중요한 정보가 들어 있습니다. 즉 이 통지서는 귀하의 신청에 관하여 그리고 Quartz을 통한 커버리지 에 관한 정보를 포함하고 있습니다.본 통지서에서 핵심이 되는 날짜들을 찾으십시오. 귀하는 귀하의 건강 커버리지를 계속유지하거나 비용을 절감하기 위해서 일정한 마감일까지 조치를 취해야 할 필요가 있을 수있습니다. 귀하는 이러한 정보와 도움을 귀하의 언어로 비용 부담없이 얻을 수 있는 권리가있습니다. (800) 362-3310 로 전화하십시오. TTY / TDD: 711 / (800) 877-8973. Tagalog – Ang Paunawa na ito ay naglalaman ng mahalagang impormasyon. Ang paunawa na ito ay naglalaman ng mahalagang impormasyon tungkol sa iyong aplikasyon o pagsakop sa pamamagitan ng Quartz. Tingnan ang mga mahalagang petsa dito sa paunawa. Maaring mangailangan ka na magsagawa ng hakbang sa ilang mga itinakdang panahon upang mapanatili ang iyong pagsakop sa kalusugan o tulong na walang gastos. May karapatan ka na makakuha ng ganitong impormasyon at tulong sa iyong wika ng walang gastos. Tumawag sa (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.. Pennsylvanian Dutch – Die Bekanntmaching gebt wichdichi Auskunft. Die Bekanntmaching gebt wichdichi Auskunft baut dei Application oder Coverage mit Quartz. Geb Acht fer wichdiche Daadem in die Bekanntmachung. Es iss meeglich, ass du ebbes duh muscht, an beschtimmde Deadlines, so ass du dei Health Coverage bhalde kannscht, odder bezaahle helfe kannscht. Du hoscht es Recht fer die Information un Hilf in deinre eegne Schprooch griege, un die Hilf koschtet nix. Kannscht du (800) 362-3310 uffrufe. TTY / TDD: 711 / (800) 877-8973. Polish – To ogłoszenie zawiera ważne informacje. To ogłoszenie zawiera ważne informacje odnośnie Państwa wniosku lub zakresu świadczeń poprzez Quartz.Prosimy zwrócic uwagę na kluczowe daty zawarte w tym ogłoszeniu aby nie przekroczyć terminów w przypadku utrzymania polisy ubezpieczeniowej lub pomocy związanej z kosztami. Macie Państwo prawo do bezpłatnej informacji we własnym języku. Zadzwońcie pod (800) 362-3310. TTY / TDD: 711 / (800) 877-8973. Hindi – इस सूचना में महत्वपर् ू ण जानकारी शाममल है। इस सूचना में. Quartz से जड़ ु े आपके आवेदन या कवरे ज के बारे में महत्वपर् ू ण जानकारी शाममल है। इस सूचना में महत्वपर् ू ण तारीखों को दे खना न भूलें। स्वास््य. कवरे ज जारी रखने या खचे में मदद के मलए आपको कुछ तय तारीखों तक. कारणवाई करनी ज़रूरी है। आपके पास अपनी भाषा में , बबना ककसी शल् ु क के इस जानकारी और सहायता को पाने का अधिकार है। (800) 362‑3310. TTY / TDD: 711 / (800) 877‑8973 पर कॉल करें ।. Albanian – Ky njoftim përmban informacion të rëndësishëm. Ky njoftim përmban informacion të rëndësishëm për aplikimin ose mbulimin tuaj nëpërmjet Quartz. Kontrolloni për data të rëndësishme në këtë njoftim. Mund t’ju duhet të ndërmerrni veprim brenda afatave të caktuara për të mbajtur mbulimin tuaj shëndetësor ose për ndihmën me koston. Keni të drejtë ta merrni këtë informacion dhe ndihmë falas në gjuhën tuaj. Telefononi numrin (800) 362-3310. TTY / TDD: 711 / (800) 877-8973. Somali – FIIRO GAAR AH: Haddii aad ku hadashid af Soomaali, adeegyada caawimada luuqada, ayaa waxaa laguugu siinayaa bilaash, waa laguu heli karaa. 1-800-362-3310 (TTY: 1-800-877-8973) bilbilaa.. Cushite – Oroomiffa XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa (800) 362-3310. TTY / TDD: 711 / (800) 877-8973. Amharic – Karen – Mon-Khmer, Cambodian – Serbocroatian – OBAVJEŠTENJE: Ako govorite srpskohrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite. (800) 362-3310 TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711 / (800) 877-8973.. Thai – เรียน: ถา้ คุณพดู ภาษาไทยคุณสามารถใชบ้ ริการช่วยเหลือทางภาษาไดฟ้ รี โทร (800) 362-3310. TTY / TDD: 711 / (800) 877-8973. Gujarati – Urdu – Italian – ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (800) 362-3310. TTY / TDD: 711 / (800) 877-8973. Greek – ΠΡΟΣΟΧΗ: Αν μιλάτε ελληνικά, στη διάθεσή σας βρίσκονται υπηρεσίες γλωσσικής υποστήριξης, οι οποίες παρέχονται δωρεάν. Καλέστε (800) 362-3310. TTY / TDD: 711 / (800) 877-8973.. QA00172 (0519).

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(9) FACILITY SERVICES DEFINITIONS Health insurance can be complicated. Refer to this handy guide to better understand common types of care facilities and the services they offer. Ambulatory Surgery Center. Outpatient surgery, also known as ambulatory surgery, day surgery, day case surgery, or sameday surgery, is surgery that does not require an overnight hospital stay. . Anesthetists. Anesthesiology is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine.. Anti-Hemophiliac Factor. Factor VIII is an essential blood-clotting protein, also known as anti-hemophilic factor. . Audiology. Audiology is a branch of science that studies hearing, balance, and related disorders. Audiologists treat those with hearing loss and proactively prevent related damage. By employing various testing strategies, audiologists aim to determine whether someone has normal sensitivity to sounds. Autism Treatment. Autism, or autism spectrum disorder (ASD), refers to a broad range of conditions characterized by challenges with social skills, repetitive behaviors, speech and nonverbal communication.. Behavioral Health. Behavioral health is a term that is used to include many aspects of a person’s wellbeing, such as mental health, substance use, harmful behaviors, or overall emotional wellness.. Behavioral Health AODA Residential/ Transitional. A residential treatment center refers to a licensed residential facility that is non-hospital based and provides voluntary, non-acute 24-hour individualized clinical treatment from a multidisciplinary team in a contained, safe, and structured environment. A transitional residential treatment service is a clinically supervised, peer-supported therapeutic environment with clinical involvement. . Behavioral Health Day Treatment. “Day treatment” or “day hospital” means a nonresidential intensive program that provides a mix of psychosocial treatment, education, and recreational activities and follow-up services to alleviate problems related to mental health or substance abuse issues.. Behavioral Health Inpatient. Psychiatric hospitals, also known as mental health units or behavioral health units, are acute care hospitals or hospital units specializing in the treatment of severe mental disorders, such as major depressive disorder, schizophrenia, and bipolar disorder. Care is provided 24 hours a day, 7 days a week by or under the direction of a psychiatrist or psychiatric nurse practitioner.. Birth to Three. The Birth to 3 Program is a federally-mandated Early Intervention program (Part C of the Individuals with Disabilities Education Act—IDEA ) to support families of children with developmental delays or disabilities under the age of three.. QA01597 (0821) Quartz-branded health plans are offered by Quartz Health Benefit Plans Corporation, Quartz Health Plan Corporation, Quartz Health Plan MN Corporation, and Quartz Health Insurance Corporation, which are separate legal entities. ©2021 Quartz Health Solutions, Inc.. QuartzBenefits.com.

(10) Chiropractic. Chiropractic is an alternative medicine that is concerned with the diagnosis and treatment of mechanical disorders of the musculoskeletal system, especially the spine.. Clinics. A clinic is a health facility where people go for medical care or advice.. Clinics - Specialty Care. Specialty care means advanced medically necessary care and treatment of specific physical, mental or behavioral health conditions or those health conditions which may manifest in particular ages or subpopulations, that are provided by a specialist, preferably in coordination with a primary care professional or other health care professional.. Durable Medical Equipment. Durable medical equipment is medical equipment ordered by a health care provider for everyday or extended use. Some examples are CPAP devices, crutches, hospital beds, orthotics and wheelchairs.. Durable Medical Equipment - Bone Growth Stimulator. Bone growth stimulation is utilized to promote bone healing in difficult to heal fractures or fusions by applying electrical or ultrasonic current to the fracture/fusion site. An electrical osteogenesis stimulator is a device that provides electrical stimulation to augment bone repair.. Durable Medical Equipment - Insulin Pump. Insulin pumps are small, computerized devices that mimic the way the human pancreas works by delivering small doses of short acting insulin continuously (basal rate).. Durable Medical Equipment Respiratory. Durable medical equipment (DME) includes the different types of oxygen equipment necessary in the care of patients with respiratory ailments. . Durable Medical Equipment - Wound Vac. Negative-pressure wound therapy, also known as a vacuum assisted closure, is a therapeutic technique using a suction pump, tubing and a dressing to remove excess exudate and promote healing in acute or chronic wounds and second- and third-degree burns.. Eye Clinic. A clinic where specialist care for a patient’s eyes.. Family Planning Center. Family planning may involve consideration of the number of children a woman wishes to have, including the choice to have no children and the age at which she wishes to have them. These matters are influenced by external factors such as marital situation, career considerations, financial position, and any disabilities that may affect their ability to have children and raise them. If sexually active, family planning may involve the use of contraception and other techniques to control the timing of reproduction.. Home Health. Home health care is a wide range of health care services that can be given in your home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or nursing home (skilled nursing facility). . Home Infusion. Home infusion therapy involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. The components needed to perform home infusion include the drug (for example, antivirals, immune globulin), equipment (for example, a pump), and supplies (for example, tubing and catheters).. Hospice. Hospice care focuses on a person’s last six months of life of less. When curative treatment is no longer an option, hospice professionals work to make the patient’s life as comfortable as possible. This means that hospice care includes palliative care because the goal is to make the patient as comfortable as possible for the time that’s left.. Hospital. Hospital, an institution that is built, staffed, and equipped for the diagnosis of disease; for the treatment, both medical and surgical, of the sick and the injured; and for their housing during this process. . QuartzBenefits.com.

(11) Infusion Therapy. In medicine, infusion therapy deals with all aspects of fluid and medication infusion, via intravenous or subcutaneous application. A special infusion pump can be used for this purpose. A fenestrated catheter is most frequently inserted into the localized area to be treated.. Inpatient Rehabilitation. An inpatient rehabilitation facility is a free-standing rehabilitation hospital or a rehabilitation unit in an acute care hospital. They provide an intensive rehabilitation program and patients who are admitted must be able to tolerate three hours of intense rehabilitation services per day.. Massage Therapy. The manipulation of the muscles and other soft tissues of the body (as by stroking, kneading, or rubbing with one or both hands or an instrument) by a massage therapist for therapeutic purposes (as to relieve pain, promote healing, or improve physical functioning). Narcotic Treatment Services. NRT is comprehensive treatment with synthetic opiates approved by the United States Food and Drug Administration (FDA) for opiate-addicted patients. Authorized narcotic replacement medications are methadone, buprenorphine, naltrexone, and levo-alpha-acetylmethadol (LAAM). They are available to patients receiving treatment in a licensed Narcotic Treatment Program (NTP).. Nursing Home/ Skilled Nursing Facility (SNF). Nursing homes, also called skilled nursing facilities (SNFs), provide a wide range of health and personal care services. Their services focus on medical care more than most assisted living facilities. These services typically include nursing care, 24-hour supervision, three meals a day, and assistance with everyday activities.. Open MRI. Open MRIs are configured to provide improved patient comfort while taking images inside the body. They have magnets above and below the patient and wide open sides.. Orthopedics. A branch of medicine concerned with the correction or prevention of deformities, disorders, or injuries of the skeleton and associated structures (such as tendons and ligaments). Pharmacies. A store where medicinal drugs are dispensed and sold.. Physical Therapy. The treatment of disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise rather than by drugs or surgery.. Podiatry. The treatment of the feet and their ailments.. Portable X-ray Supplier. Portable x-ray suppliers provide diagnostic imaging services at patients’ locations - most often residences including private homes and group living facilities, such as nursing homes - rather than in a traditional clinical setting, such as a doctor’s office or hospital.. Practice Location w/o eVIPS Facility Type. Practice Location means the health care facility at which a physician spends the largest number of hours per week engaged in patient encounters among all such locations where such physician practices.. Radiology. The science dealing with X-rays and other high-energy radiation, especially the use of such radiation for the diagnosis and treatment of disease.. Renal Dialysis Unit. A ward or part thereof for dialyzing patients with advanced renal disease. Usually outpatients who may stay overnight; less commonly, inpatients who may be awaiting a kidney transplant.. Sports Medicine Clinic. Sports medicine is a branch of medicine that deals with physical fitness and the treatment and prevention of injuries related to sports and exercise. . Urgent Care. Urgent Care Medicine is the provision of immediate medical service offering outpatient care for the treatment of acute and chronic illness and injury.. QuartzBenefits.com.

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(13) Your Search Criteria Complete list of providers. Printed on: Monday, December 13, 2021 Providers as of: Saturday, January 1, 2022. Important Information about the Online Provider Directory This directory was developed to help you easily find health care providers to meet your unique needs. It contains general information that would apply to most Quartz members. However, health benefit plans vary please read your certificate of coverage to determine what services and supplies are covered. Note:    . Information in this directory may change as providers join or leave the network, move or retire. Quartz does not use criteria such as quality measures, member experience measures or cost-related measures to select practitioners for participation in Marketplace silver tier plans. Quartz does not use criteria such as quality measures, member experience measures, patient safety measures or cost-related measures to select hospitals for participation in Marketplace plans. Before getting care, verify the provider you choose is still in Quartz’s network and is accepting new patients.. Questions? Send us a message through MyChart at QuartzMyChart.com or call Quartz Champion at (866) 895-8143..

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(15) PRIMARY CARE PHYSICIANS - WI. PRIMARY CARE PHYSICIANS Nurse Practitioners (ANPs, APNs, APNPs, ARNPs, CNPs, CPNPs, DNPs, FNPs, NPs, and WHNPs) and Physician Assistants (PAs) are licensed, highly qualified professional health care providers who work in partnership with medical doctors. While you may not select a PA as your primary care provider (PCP), they are available for annual exams, urgent/problem visits and follow-up for ongoing health care. (*) PCPs noted with this symbol are only accepting Quartz members who are existing patients. (§) ANPs, APNs, APNPs, ARNPs, CNPs, CPNPs, DNPs, FNPs, NPs, and WHNPs noted with this symbol may not be selected as a PCP. This network has two tiers of providers. Both Tier 1 and Tier 2 providers are contracted with Quartz to provide services to you at a discount. You will pay more to see a Tier 2 provider than a Tier 1 provider. The tier of each location is identified in this Provider Directory. Tier 1 - $: Lowest Cost Tier 2 - $$: Highest Cost (¥) This provider offers Telehealth Visits, which are remote scheduled appointments during clinic hours via telephone or video chat when clinically appropriate.. Adams County FRIENDSHIP Clinics Gundersen Moundview Hospital and Clinics Friendship Tier 1 - $ 402 W Lake St Friendship, WI 53934 (608) 339-6350 Hours Monday thru Friday, 8 am - 6 pm Family Medicine Nurse Practitioner Docherty, Robert E. APNP Hinze, Danielle L. APNP Obernberger, Sheryl J. APNP Geriatrics Nurse Practitioner Charles, Linda A. APNP. Barron County RICE LAKE Clinics Prevea Health - Prevea Rice Lake Health Center Tier 2 - $$ 1051 West Ave Rice Lake, WI 54868 (715) 719-0662 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Helland, David J. MD Family Medicine Nurse Practitioner Moore, Cassandra J. APNP Family Medicine Physician Assistant Wanish, Aaron C. PA Yeager, Bailey PA Pediatrics Smith, Laura A. DO Willow Creek Women's Clinic - Rice Lake Tier 1 - $. 1024 N Main St Rice Lake, WI 54868 (715) 832-9292 Hours Every Other Tuesday, 9 am - 5 pm. Practitioner. Lee, Suzette S. PA. Hazard, Timothy E. NP. Family Medicine Nurse Practitioner. Evolve LLC - DePere Tier 1 - $ 1710 Lawrence Dr DePere, WI 54115 (920) 364-9078 Hours Monday thru Thursday, 7:30 am - 6 pm, Friday, 7:30 am - 3 pm. Aurora Health Center Kepler Drive Tier 1 - $ 1160 Kepler Dr Green Bay, WI 54311 (920) 288-5500 Hours By Appointment. Poirier, Linda APNP ¥. Brown County DE PERE Clinics Aurora Health Center DePere Tier 1 - $ 1881 Chicago St De Pere, WI 54115-3770 (920) 403-8000 Hours Monday thru Friday, 7:30 am 5 pm. DEPERE Clinics - Specialty Care. Schultz, Kristin M. APNP. Family Medicine Physician Assistant. Family Medicine Nurse Practitioner. Soukup, Kaitlyn PA-C. Bernacchi, Danielle M. APNP Jeskewitz, Holly C. NP Klubertanz, Denise C. NP Vandenhouten, Terri L. NP. GREEN BAY Clinics. Family Medicine. Andres-Palines, Jesusa S. MD Aquino, Elaine M. MD Nitke, Jason M. DO. Fagre, Timothy A. MD Goolsby, Philip L. MD. Pediatrics Andhole, Indira P. MD Hoyer, Jennifer L. MD Zahn, Scott G. MD DENMARK Clinics Aurora Health Center Denmark Tier 1 - $ 629 Solvang Way Denmark, WI 54208 (920) 863-2600 Hours Monday thru Wednesday, 8 am - 5 pm, Thursday, 8 am 12 pm, Friday, 8 am - 3 pm Family Medicine Nurse. Family Medicine Aleksandrowicz, Michael S. MD Quidzinski, Erich J. DO. General Internal Medicine. Family Medicine Nurse Practitioner. Family Medicine Nurse Practitioner. Aurora Health Center - New Franken Tier 1 - $ 4070 Equestrian Ln New Franken, WI 54229-9649 (920) 866-6100 Hours Monday thru Friday, 7 am - 5 pm. Prusak, Courtney B. NP Tuszka, Lisa M. NP. Meyer, Shelli A. APNP. Chaturvedi, Manisha MD Colassacco, Lawrence E. MD*. Warpinski, Luke T. MD. Clinics. Adult Medicine Nurse Practitioner. Aurora Health Center Allouez Avenue Tier 1 - $ 1565 Allouez Ave Green Bay, WI 54311-5639 (920) 468-2400 Hours Monday thru Friday, 7:30 am 5 pm. Family Medicine. Family Medicine. NEW FRANKEN. Pediatrics Beno, Donald J. MD Wade Newell, Heather J. MD* Young, Jeffry J. DO Aurora Health Center - West Mason Street Tier 1 - $ 2253 W Mason St Green Bay, WI 54303-4706 (920) 327-7300 Hours Monday thru Friday, 7 am - 5 pm. Family Medicine Nurse Practitioner. Family Medicine. Yakel, Brooke T. NP. Family Medicine Physician Assistant. Aurora Health Center Greenbrier Road Tier 1 - $ 2845 Greenbrier Rd Green Bay, WI 54311-6519 (920) 288-8000 Hours Monday thru Friday, 7 am - 5 pm General Internal Medicine Akashdeep, Kumar MD Mihailescu, Gabriel MD* Nitke, Leah A. DO* General Internal Medicine Physician Assistant. Olson, Clinton B. MD. Baeten, Brianna L. PA Loewe, Allie E. PA General Internal Medicine Heezen, Nicholas J. DO Schoeneich, Marzenna M. MD Sze, David B. MD General Internal Medicine Nurse Practitioner MacGregor, Jennifer L. NP§ Pediatrics Alexander, Andrew K. MD Bradford, Anju I. MD Pacurar, Ines C. MD. Printed on: 12/13/2021, Providers as of: 1/1/2022, Refer to important information at the beginning of this document. PULASKI Clinics Aurora Health Center Pulaski Tier 1 - $ 980 S Saint Augustine St Pulaski, WI 54162-9453 (920) 822-7700 Hours Monday, 8:30 am - 5 pm, Tuesday, 7 am - 3:30 pm, Wednesday, 8:30 am - 6:30 pm, Thursday, 7 am - 3 pm, Friday 8:30 am - 4 pm Family Medicine Nurse Practitioner Witte, Jill M. NP Family Medicine Physician Assistant Jacobs, Amanda J. PA-C SUAMICO Clinics Aurora Health Center Suamico Tier 1 - $ 2890 Lineville Rd Suamico, WI 54313-7202 (920) 662-2100 3.

(16) PRIMARY CARE PHYSICIANS PRIMARY CARE PHYSICIANS - WI. Hours Monday thru Thursday, 7 am 5 pm, Friday, 8 am - 5 pm Family Medicine. Sauter, Lauren R. MD Suilmann, Caitlin W. MD Family Medicine Nurse Practitioner. Herron, James F. MD Pediatrics Kritzberger, Chad J. MD. Columbus Tier 2 - $$ 1515 Park Ave Columbus, WI 53925 (920) 623-1200 Hours Monday thru Friday, 8 am - 5 pm. Family Medicine Nurse Practitioner. General Internal Medicine. DeValk-Holl, Cathy A. NP Johnson, Angela K. NP. Dettbarn, Kyle J. MD Kidess, Anton I. MD. Pediatrics. Pulmonary. Zahn, Scott G. MD. Dettbarn, Kyle J. MD Kidess, Anton I. MD. Sunrise Family Care Clinic, S.C. Tier 2 - $$ 2829 County Hwy I, Ste 2 Chippewa Falls, WI 54729 (715) 726-3096 Hours Monday & Tuesday, 7 am 6:30 pm Wednesday & Friday, 7 am - 4:30 pm & Thursday, 8 am - 1 pm. Sleep Medicine. Family Medicine. Braker, Kristine FNP ¥ Sharkey, Bridget A. APNP. Dettbarn, Kyle J. MD Kidess, Anton I. MD. Landwehr, Mary L. MD. General Internal Medicine. Family Medicine Nurse Practitioner. Kraus, Bruce A. MD ¥. Vaishnav, Dhwani A. MD. Buffalo County MONDOVI Clinics. Butak, Melanie A. APNP Hungerholt, Sara J. APNP§. Prevea Health - Mondovi (Affiliated with Sacred Heart Hospital) Tier 2 - $$ 250 State Rd 37 Mondovi, WI 54755 (715) 926-6230 Hours Monday thru Friday, 8 am - 5 pm. Oakleaf Clinics, SC Oakleaf Pediatrics Lakeland Drive Tier 2 - $$ 855 Lakeland Dr Chippewa Falls, WI 54729 (715) 830-0732 Hours Monday thru Friday, 7 am - 5 pm. Family Medicine. Pediatrics. Brown, Indigo Y. DO Steinmetz, Steven W. MD. Schlimgen, Karla M. MD. Family Medicine Nurse Practitioner Zais, Stacie APNP§ Family Medicine Physician Assistant Scherz, Carly L. PA. Chippewa County CHIPPEWA FALLS Clinics OakLeaf Clinics, Inc - OBGYN - Lakeland Drive Tier 2 - $$ 855 Lakeland Dr Chippewa Falls, WI 54729 (715) 836-9242 Hours By Appointment Obstetrics & Gynecology Crow, Jordan T. MD ¥ Longbella, Chris R. MD ¥ OakLeaf Clinics, SC - Eau Claire Medical Clinic Lakeland Drive Tier 2 - $$ 855 Lakeland Dr Chippewa Falls, WI 54729 (715) 839-9280 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Dickson, Erik J. MD Falkenberg, Amy A. MD Hasenberg, Jill A. DO. Prevea Health - 2449 County Highway I (Affiliated with Sacred Heart Hospital) Tier 2 - $$ 2449 County Hwy I Chippewa Falls, WI 54729-4410 (715) 717-5825 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Nurse Practitioner Burdick, Kristi M. APNP Pediatrics Udenberg, Katie J. DO Prevea Health - Chippewa Falls (Affiliated with Sacred Heart Hospital) Tier 2 - $$ 2509 County Hwy I Chippewa Falls, WI 54729 (715) 723-9138 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Braunsky, Michael G. DO Helmick, Danielle M. MD Steinmetz, Steven W. MD Tomcik, Matthew A. MD Ulgen, Berkin O. MD Family Medicine Nurse Practitioner Burdick, Kristi M. APNP Schilling, Bethany B. APNP General Internal Medicine. Bischel, Ann L. FNP CORNELL. Family Medicine Bryan, Michelle L. MD ¥ Minier, Veronica S. MD ¥ Family Medicine Nurse Practitioner. General Internal Medicine Nurse Practitioner. Columbia County COLUMBUS Clinics MMC - Beaver Dam Columbus Clinic Tier 1 - $ 1580 W James St Columbus, WI 53925-1157 (920) 350-0235 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Nurse Practitioner Graber, Holly A. FNP Grams, Ruth M. APNP Poser Clinic Tier 1 - $ 635 Park Ave PO Box 229 Columbus, WI 53925 (920) 623-5000 Hours Monday thru Thursday, 8 am 5 pm, Friday, 8 am - 3:30 pm General Internal Medicine Poser, Samuel G. MD ¥. Barden, Christi-Jo APNP Charlebois, Diana L. APNP Noonan, Laura L. APNP Schehr, Lindsay K. APNP Swan, James M. APNP ¥ Family Medicine Physician Assistant Grischow, Rachel R. PA PORTAGE Clinics. Family Medicine. Alzuhn-Hansen, Leslie K. MD* Kaldor, Katheryn R. DO. Vande Zande, Victoria L. MD. Family Medicine Nurse Practitioner. Clinics. Prevea Health - Cornell (Affiliated with Sacred Heart Hospital) Tier 2 - $$ 320 N 7th St Cornell, WI 54732 (920) 496-4700 Hours By appointment. General Internal Medicine. Blohm, Brenda A. MD*. LODI. Obstetrics & Gynecology. Meyer, Kelsey L. APNP. Family Medicine. Aspirus Portage Clinic Tier 1 - $ 2817 New Pinery Rd PO Box 387 Portage, WI 53901-0387 (608) 745-4598 Hours Monday thru Friday, 8 am - 5 pm. Faust, Dawn M. APNP. Clinics. Family Medicine Nurse Practitioner. Hours Monday thru Friday, 8 am - 5 pm. Lodi Medical Clinic (Affiliated with Sauk Prairie HealthCare) Tier 1 - $ 160 Valley Dr Lodi, WI 53555 (608) 592-3296 Hours Monday, Wednesday, Thursday, and Friday, 7:30 am - 5 pm, Tuesday, 8 am - 5 pm Family Medicine Krey, David P. DO Podein, Rian J. MD Family Medicine Nurse Practitioner Meng, Karen M. APNP Weiss, Emily M. APNP§ Family Medicine Physician Assistant. Blohm, Brenda A. MD Doherty, Amy DO Faubert, Melissa S. DO Kreckman, Susan H. MD Mironovich, Vasilisa MD Pogorelec, Jill E. DO Wood, Elizabeth M. MD Family Medicine Nurse Practitioner Barden, Christi-Jo APNP Charlebois, Diana L. APNP Holt, Stephanie J. APNP Noonan, Laura L. APNP Padley, Andrew B. APNP Schehr, Lindsay K. APNP Swan, James M. APNP ¥ Family Medicine Physician Assistant Grischow, Rachel R. PA Steinhorst, Darcy L. PA Toijala, Kelly R. PA. Eberdt, David J. PA Kanikula, Agnes M. PA Lord, Deanna C. PA. Pediatrics. Pediatrics. Pediatrics Nurse Practitioner. Chao, Andrea M. MD. Arnold, Amy K. APNP*. Sports Medicine. Women's Health Nurse Practitioner. Krey, David P. DO PARDEEVILLE Clinics Aspirus Pardeeville Clinic Tier 1 - $ 102 Gillette St Pardeeville, WI 53954 (608) 429-2185. Prairie Ridge Health Printed on: 12/13/2021, Providers as of: 1/1/2022, Refer to important information at the beginning of this document. Perez Romano, Lorenzo MD. Schehr, Lindsay K. APNP UW Health - Portage Clinic Tier 1 - $ 2977 County Road Cx Portage, WI 53901 (608) 742-3004 Hours Monday thru Friday, 8 am 4:30 pm 4.

(17) PRIMARY CARE PHYSICIANS Breunig, Anton T. PA Whetston, Thomas J. PA. Deering, Timothy A. MD* Kling, Jamie J. DO* Patel, Hema M. MD*. Geriatrics. Family Medicine Nurse Practitioner. Crossing Rivers Health Clinic - Prairie du Chien Tier 1 - $ 37822 Us Hwy 18 Prairie Du Chien, WI 53821 (608) 357-2500 Hours Monday thru Friday, 8 am - 5 pm. Strook, Brie K. FNP§ Family Medicine Physician Assistant Wangerin, Joseph J. PA WISCONSIN DELLS Clinics Delton Family Medical Center (Affiliated with Mile Bluff) Tier 1 - $ 28 Commerce St Wisconsin Dells, WI 53965 (608) 254-5888 Hours Monday thru Friday, 8 am 4:30 pm Family Medicine. Boisvert, Walter R. MD*. Family Medicine Huber, Kristen A. MD ¥ Record, Maranda M. MD ¥ Valyo, Kenneth A. DO ¥ Family Medicine Nurse Practitioner Hershberger, Holly J. APNP ¥ King, Jennifer L. APNP Mertens Dodgen, Michelle A. APNP ¥ Payne, Terri L. FNP ¥ Snitker, Matthew L. APNP ¥. Myers, Bryan L. MD ¥ Rudy, Paul M. MD ¥ Sabey, Kimberley E. DO ¥ Sebranek, Jenna K. MD ¥. Family Medicine Physician Assistant. Family Medicine Nurse Practitioner. Obstetrics & Gynecology. Dendura, Agnieszka E. APNP Gothard, Margaret E. APNP§ Family Medicine Physician Assistant Olson, Angela M. PA ¥ Van Arx, Brooke M. PA ¥ Obstetrics & Gynecology Pech, Michael L. MD ¥. Crawford County PRAIRIE DU CHIEN Clinics Gundersen Prairie du Chien Clinic Tier 1 - $ 610 E Taylor St Prairie du Chien, WI 53821-2109 (608) 326-6466 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Boisvert, Walter R. MD* Morrison, Jasmin R. MD Olijnyk, Patricia J. MD Family Medicine Nurse Practitioner Neisius, Rochelle L. APNP Plondke, Tammy L. FNP Sandgren, Molly E. APNP. Quick, Brian A. PA ¥ Record, Maranda M. MD ¥ SOLDIERS GROVE Clinics Kickapoo Valley Medical Clinic (Affiliated with Vernon Memorial Hospital) Tier 1 - $ 102 Sunset Ave PO Box 147 Soldiers Grove, WI 54655 (608) 624-5203 Hours Monday thru Thursday, 8 am 5 pm, Friday, Closed Family Medicine Chakoian, David E. MD ¥ Charles, Joel W. MD ¥ Family Medicine Physician Assistant Albrecht, Sarah E. PA Pedretti, Tammy S. PA ¥ Winter, Mitchell J. PA. Dane County BELLEVILLE Clinics UW Health - Belleville Family Medicine Tier 1 - $ 1121 Bellwest Blvd Belleville, WI 53508 (608) 424-3384 Hours Monday thru Friday, 8 am 4:30 pm. Family Medicine Carlson, Jensena M. MD* Gilchrist, Valerie J. MD* Howlett, Bethany M. MD* Landeck, Jillian K. MD* Lochner, Jennifer E. MD* Lubsen, Julia R. MD* Michael, William E. MD Family Medicine Physician Assistant Alioto, Brittany L. PA. Hampton, Jason A. MD ¥ Lowery, Sarah E. MD ¥ Mallory, Dorothy J. MD* ¥ Midelfort, Leila R. MD ¥ Schmitt, Andrew B. MD ¥ Siewert, Lynda A. MD* ¥ Siewert, Steven P. MD ¥ Webster, Bryan J. MD ¥ Family Medicine Physician Assistant Kees Johnson, Susan PA ¥ Knipfer, Kathleen A. PA ¥. CAMBRIDGE. CROSS PLAINS. Clinics. Clinics. Lothe, Angela S. APNP ¥ Rosenberg, Alaine K. APNP ¥ UnityPoint Health - MeriterFitchburg Clinic Tier 1 - $ 2690 Research Park Dr, Ste F Fitchburg, WI 53711-4921 (608) 417-8585 Hours Monday thru Friday, 8 am 4:30 pm Family Medicine Martin-Foster, Cheryl A. MD Shropshire, James H. MD* Family Medicine Physician Assistant. Fort HealthCare Cambridge Clinic Tier 1 - $ 704 Katie Ct Cambridge, WI 53523-9308 (608) 423-1100 Hours Monday thru Wednesday & Friday, 7 am - 5 pm, Thursday, 8 am - 5 pm. UW Health - Cross Plains Clinic Tier 1 - $ 2418 Brewery Rd Cross Plains, WI 53528 (608) 798-3344 Hours Monday thru Friday, 8 am 4:30 pm. Family Medicine Nottestad, Stephanie L. MD ¥. Grelle, Amy R. MD* Olson, Pamela A. MD*. Family Medicine Nurse Practitioner. Family Medicine Nurse Practitioner. UW Health - Fitchburg Clinic Tier 1 - $ 5543 E Cheryl Pkwy Fitchburg, WI 53711 (608) 274-5300 Hours Monday thru Friday, 8 am - 5 pm. Halbersma, Bridget A. APNP ¥ Taylor, Ruthanne R. APNP§ ¥. Erickson, Katelyn APNP§. Family Medicine. Family Medicine Physician Assistant Sund, Joni E. PA ¥ COTTAGE GROVE Clinics UW Health - Cottage Grove Clinic Tier 1 - $ 4590 County Rd N Cottage Grove, WI 53527 (608) 839-3104 Hours Monday thru Friday, 8 am 4:30 pm. Family Medicine. DEFOREST Clinics UnityPoint Health - Meriter - DeForest-Windsor Clinic Tier 1 - $ 4200 Savannah Dr DeForest, WI 53532 (608) 417-3300 Hours Monday thru Thursday, 7 am 7 pm, Friday, 7 am - 5 pm Family Medicine Khan, Farah MD Yee, Mon L. MD Family Medicine Nurse Practitioner. Family Medicine. Shookman, Catrina K. APNP. DeGiovanni, Gina M. MD* Mehta, Ronak MD* Niebler, Anne R. MD* Pittner-Smith, Christa A. MD*. Family Medicine Physician Assistant. Family Medicine Physician Assistant Falligant, Louis A. PA Greuel, Leann E. PA Wildwood Family Clinic, SC - Cottage Grove Tier 1 - $ 251 E Cottage Grove Rd Cottage Grove, WI 53527 (608) 839-3515 Hours Monday thru Friday, 8:30 am 5 pm. Hoffmann, Erika S. PA FITCHBURG Clinics Physicians for Women (Affiliated with Melius, Schurr and Cardwell, LLP) Tier 1 - $ 2955 Triverton Pike Dr Fitchburg, WI 53711-5807 (608) 227-7007 Hours Monday thru Thursday, 8 am 5 pm, Friday, 8 am - 12:30 pm. General Internal Medicine Family Medicine Physician Family Medicine Nurse Practitioner Assistant Printed on: 12/13/2021, Providers as of: 1/1/2022, Refer to important information at the beginning of this document. PRIMARY CARE PHYSICIANS - WI. Family Medicine. Koenen, Janelle R. PA General Internal Medicine Felz, Kenneth MD. Freidel, Robert M. MD McCabe, Mark R. MD McCreary, Katherine A. MD* Perry, Carole E. MD* Weathers, Nicole N. MD* Geriatrics Braus, Ann B. MD* Eastman, Alexis M. MD Przybelski, Robert J. MD* Geriatrics Nurse Practitioner Vandenberg, Krista M. APNP§ Pediatrics Iyer, Lalitha V. MD MADISON Clinics Access Community Health Centers - Joyce and Marshall Erdman Clinic Tier 1 - $ 2202 S Park St Madison, WI 53713 (608) 443-5480 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Epstein, Jody C. MD Fehr, Kevin E. MD Fricke, Jonathan J. MD Loving, Kenneth R. MD* Marchant, Angela M. DO Nolander, Evan T. DO Regner, Caitlin J. MD 5.

(18) PRIMARY CARE PHYSICIANS PRIMARY CARE PHYSICIANS - WI. Family Medicine Nurse Practitioner Coleman, Mary K. APNP Romero Rivera, Misty M. APNP Rowe, Sarah M. APNP General Internal Medicine Doherty, Elizabeth R. MD Pediatrics Kane, Mollie L. MD. Ertl, Nicole L. MD ¥ Marchant, John W. MD ¥ McGee, Jessica P. MD ¥ Riopel, Leslie M. MD ¥ Wilcots, Margaret C. MD ¥. Miran, Sean L. DO. Foss, Megan R. APNP. General Internal Medicine Nurse Practitioner. UnityPoint Health - Meriter - McKee Clinic Tier 1 - $ 3102 Meriter Way Madison, WI 53719-5833 (608) 417-8800 Hours Monday thru Friday, 8 am 4:30 pm. Family Medicine Physician Assistant. Holum, Sarah E. APNP§. Family Medicine Nurse Practitioner. Kelly, Rachel H. PA Pediatrics Jin, Wendy Y. MD. Family Medicine Nurse Practitioner. UW Health - 20 South Park Clinic Tier 1 - $ 20 S Park St Madison, WI 53715 (888) 703-2778 Hours Monday thru Friday, 8 am 4:30 pm. Curran, Kimberly K. APNP. General Internal Medicine. Family Medicine. General Internal Medicine. Epstein, Jody C. MD Hoerz, Parker D. MD Loving, Kenneth R. MD* Marchant, Angela M. DO Nolander, Evan T. DO Poi, Elizabeth A. MD* Regner, Caitlin J. MD Shapiro, Walker B. MD Weiser, Julia M. MD. Casper, N. Thomas MD Mortimore, Wendy R. MD. Amleshi, Parisa MD Boushea, Deborah K. MD* Chang, Tony S. MD* Dambach, Jason A. MD* Davis-Maxwell, Anthony J. MD George, Elizabeth MD* Heidel, Randy S. MD Miller, Kathryn A. MD* Ruchala, Joanna B. MD* Smith, Shannon O. MD* Trowbridge, Elizabeth R. MD* Zimmermann, Philip N. MD*. Access Community Health Centers - William T. Evjue Clinic Tier 1 - $ 3434 E Washington Ave Madison, WI 53704 (608) 443-5480 Hours Monday thru Friday, 8 am - 5 pm. Family Medicine Nurse Practitioner Anderson, Shannon C. APNP Family Medicine Physician Assistant. Family Medicine Golden, Robert A. MD Reed, Karen A. MD Reed, Shannon C. DO. Pediatrics Jin, Wendy Y. MD Johnson, Dana M. MD Mortimore, Wendy R. MD UnityPoint Health - Meriter - Monona Clinic Tier 1 - $ 6408 Copps Ave Madison, WI 53716-3702 (608) 417-3000 Hours Monday thru Friday, 8 am - 5 pm. General Internal Medicine Nurse Practitioner. Smith, Jeremy P. MD* Sosman, James M. MD* Wilson, Rachel K. DO. UW Health - East Clinic Tier 1 - $ 5249 E Terrace Dr Madison, WI 53718 (608) 265-1295 Hours Monday thru Friday, 8 am 4:30 pm General Internal Medicine Cheung, Victoria M. MD* Famouri, Maryam L. MD* Micek, Mark A. MD* Mirkes, Megan K. MD* Seibert, Christine S. MD* Wilson, Siobhan D. MD* Zakowski, Laura J. MD* General Internal Medicine Nurse Practitioner. Kilroy-Sikkema, Craig A. PA. McGuire, Abigail M. PA General Internal Medicine. Pankratz, Gerald T. MD*. Boyle, Robert W. MD* Grant, Lisa M. DO* Haine, James E. MD* Hayner, Paul John MD* Kinda, Hajnal K. MD* Lee, Ernest J. MD* Rees, Kerry S. MD* Schmidt, Ann M. MD*. Geriatrics Nurse Practitioner. Clevidence, Derek E. MD Pribbenow, Bridget A. MD Wendland, Diane L. MD*. Associated Physicians, LLP Tier 1 - $ 4410 Regent St Madison, WI 53705-4901 (608) 233-9746 Hours Monday thru Friday, 7:30 am 5 pm & Saturday, 8 am - 12 pm. Doughty, Leah B. PA Knoche, Lauren C. PA Morgan, Angela B. PA. Family Medicine Nurse Practitioner. Pediatrics. Houser, Laura M. MD* Kleist, Troy J. MD McIntosh, Gwenevere C. MD* Plumb, Amy J. MD* Stockhausen, Amy L. MD*. General Internal Medicine. Pediatrics. Allen, Brittany J. MD* Babal, Jessica C. MD* Bernhardt, David T. MD* Chybowski, Timothy J. MD* Delgadillo, Cristina M. MD* Iyer, Lalitha V. MD Kelley, Catherine MD* Mathur, Madhulika MD* Ruedinger, Emily D. MD. UW Health - Northeast Family Medical Center Tier 1 - $ 3209 Dryden Dr Madison, WI 53704 (608) 241-9020 Hours Monday thru Friday, 8 am - 5 pm. UW Health - Arboretum Internal Medicine Tier 1 - $ 1102 S Park St Madison, WI 53715 (608) 263-7500 Hours Monday thru Friday, 8 am - 5 pm. Family Medicine. Everton, Jennifer L. DO ¥ Ewalt, John E. MD ¥ Fothergill, Amy L. MD ¥ Goldrosen, Michael I. MD ¥ Olson, Robert W. MD ¥ Rammelkamp, Zoe L. MD ¥ Obstetrics & Gynecology Masana, Jill M. MD ¥ Schmehil Micklos, Amanda L. MD ¥ Schwartz, Amanda E. MD ¥ Sharma, Shefaali MD ¥ Pediatrics Buencamino, Amy C. MD ¥ Cahill, Kathryn A. MD ¥. Carimi, Sanford A. MD Grimm, Melissa S. MD Hanson, Carleen L. MD Pediatrics Nurse Practitioner Green, Kathleen R. APNP UnityPoint Health - Meriter - West Washington Clinic Tier 1 - $ 345 W Washington Ave, Ste 100 Madison, WI 53703-2996 (608) 417-8300 Hours Monday thru Friday, 8 am - 5 pm Family Medicine. General Internal Medicine Abraham, Vidthya MD* Galusha, Brittany M. MD* Kaufman, Lisa M. MD* Schnell, Andrea K. MD* Shiffler, Thomas D. MD*. Salow, Samantha J. APNP§. Geriatrics. Pediatrics. General Internal Medicine. Bigham, James B. MD* Gervais, Claire M. MD* Hubbard, Derek R. MD* Huebner, Jeffrey A. MD* Kolan, Anne M. MD* Kunstman, David T. MD* Leasure, Michael P. MD* Malloy, Michele L. MD* Stephens, Preston M. MD Takahashi, Jonathan B. MD* Thompson, Mary G. MD* Wilke, Ashley R. MD. Family Medicine Physician Assistant. General Internal Medicine Physician Assistant. Marshall, Sara K. APNP Treiber, Abbie E. APNP. Family Medicine. General Internal Medicine Physician Assistant. Family Medicine. Omohundro, James E. MD. UW Health - Odana Atrium Clinic Tier 1 - $ 5618 Odana Rd Madison, WI 53719 (608) 828-7611 Hours Monday thru Friday, 8 am 4:30 pm. Family Medicine Nurse Practitioner. Bodden Hoenisch, Jillian M. APNP§. Pediatrics. McNiel, Sarah K. PA Uminski, Joan E. PA. Majcen, Christina M. APNP§ Marten, Susan APNP§ Panther, Kristen L. APNP§. Benedict, Sarah J. APNP§. Dachik, Carey G. PA Henriquez, Kelsey M. PA. Assistant. Dubey, Jared L. DO* Edgoose, Jennifer Y. MD* Hampton, Adrienne R. MD* Hayon, Ronni L. MD* Lemmon, Russell L. DO* Sanner, Louis A. MD* Schrager, Sarina B. MD* Schwab, William E. MD* Yogendran, Lashika D. MD Family Medicine Nurse Practitioner Schmitz, Anne NP§ Family Medicine Physician. Printed on: 12/13/2021, Providers as of: 1/1/2022, Refer to important information at the beginning of this document. General Internal Medicine Nurse Practitioner Bachhuber, Anne R. APNP§ Lewellin, Katie M. APNP§ Simpson, Brittany M. APNP§ General Internal Medicine Physician Assistant Hartmann, Kim L. PA UW Health - Union Corners Clinic Tier 1 - $ 2402 Winnebago St Madison, WI 53704 (608) 242-6865 Hours Monday thru Friday, 8 am - 5 pm General Internal Medicine Anderson, Jonathan S. MD* Jelenc, Briana L. MD* Kleinschmidt, Peter MD* Lavin, Kelly A. MD* Mozena, Marty G. DO* Streyle, Johanna C. MD* General Internal Medicine Nurse Practitioner 6.

(19) Arevalo, Meredith G. APNP§ Knudtson-Manske, Robyn D. APNP§ O'Donnell, Sara E. APNP§ Pediatrics Burns, Deirdre A. MD* Deffner-Valley, Patricia MD Jones, Andrea N. MD* Lemon, Katherine A. MD Neuman, Megan F. MD* Sleeth, Jeffrey S. MD* Vaughan, Jessica L. MD Yanny, Megan E. MD UW Health - University Station Tier 1 - $ 2880 University Ave Madison, WI 53705 (608) 263-9339 Hours Monday thru Friday, 8 am 4:30 pm Geriatrics Przybelski, Robert J. MD* Pediatrics Cody, Paula J. MD* Pediatrics Nurse Practitioner Standiford, Maria C. APNP UW Health - West Clinic Tier 1 - $ 451 Junction Rd Madison, WI 53717 (608) 265-7550 Hours Monday thru Friday, 8 am 4:30 pm General Internal Medicine Bartholomew, Erik C. MD* Belsky, Lorna E. MD* Chheda, Shobhina G. MD* Constantinescu, Daniela C. MD* Davis, Erin M. MD* Fouch, Erin M. MD* Herold, Kelly A. MD* Lewicki, Kristin A. MD* Loomans, Karen M. MD* Nestleroad, Christopher A. MD* Newcomer, Peter D. MD* Quinn, Mariah A. MD* Romer, Laurel L. MD* Ryan, Pamela M. MD* Terras, Mara E. MD* Valmadrid, Cassandra J. MD* Voss, Lindsay H. MD* General Internal Medicine Nurse Practitioner Bartelt, Kristina J. APNP§ Gilbertson, Lauren K. APNP§ Moe, Amanda J. APNP§ Pediatrics Frohna, John G. MD* Hillery, Karen M. MD* Holt, Laura E. MD* Jain, Sanjeev R. MD* Lindell, Allison L. MD. Marten, Kristen A. DO Naidu, Jennifer E. MD Rongstad, Meriel S. MD Schultz, Alexandra M. MD Wright, Robin M. MD Zimmerman, Christine L. MD*. Obstetrics & Gynecology Dickmeyer, Karla MD ¥ Durward, Ashley D. MD ¥ Stoffel, Mary MD ¥ Wiedel, Beth MD ¥ Yanke, Sarah MD ¥. Wildwood Family Clinic, S.C. Tier 1 - $ 4901 Cottage Grove Rd Madison, WI 53716 (608) 221-1501 Hours Monday thru Friday, 8:30 am 5 pm. UnityPoint Health - Meriter Tier 1 - $ 202 S Park St Madison, WI 53715 (608) 417-6000 Hours By Appointment. Family Medicine. Houser, Laura M. MD*. Hook, Christina D. MD ¥ Lentfer, Karen R. MD ¥ Midelfort, Leila R. MD* ¥ Schmitt, Andrew B. MD ¥ Sturm, Anthony J. MD ¥ Family Medicine Physician Assistant Schroeder, Therese E. PA ¥ Wingra Family Medical Center (Affiliated with Access Community Health Centers) Tier 1 - $ 1102 S Park St Madison, WI 53715-1708 (608) 263-3111 Hours Monday thru Friday, 8 am - 5 pm Family Medicine. Pediatrics MARSHALL Clinics Prairie Ridge Health Marshall Tier 2 - $$ 301 W Main St Marshall, WI 53559-9799 (608) 655-8181 Hours Monday, 8 am - 5 pm & Wednesday, 9:30 am - 6:30 pm Family Medicine Minier, Veronica S. MD ¥ Family Medicine Nurse Practitioner Braker, Kristine FNP ¥ MAZOMANIE Clinics. Bruehlman, Alyssa MD Chongsuwat, Tana MD Dalby, Jessica W. MD Dresang, Lee T. MD Duffy, Sean M. MD Hoerz, Parker D. MD Kinsey, William J. MD Lee, Jonas J. MD* Martonffy, Andrea I. MD Regner, Caitlin J. MD Rindfleisch, Kirsten S. MD* Tellez-Giron, Patricia A. MD Temte, Jonathan L. MD*. Wisconsin Heights Clinic (Affiliated with Sauk Prairie HealthCare) Tier 1 - $ 506 Crocker St, Ste 3 Mazomanie, WI 53560-9425 (608) 795-4110 Hours Monday thru Friday, 8 am - 5 pm. Family Medicine Nurse Practitioner. Collins, Jeffrey M. MD Hupp, Janelle K. MD. Leidel, Stacy A. APNP§. Family Medicine Nurse Practitioner. Family Medicine Physician Assistant Terasa, Jennifer A. PA Vitcenda, Angela K. PA Clinics - Specialty Care Madison Women's Health Primary Care Tier 1 - $ 5801 Research Park Blvd, Ste 400 Madison, WI 53719 (608) 729-6300 Hours Monday thru Friday, 8 am 4:45 pm. Family Medicine. Weiss, Emily M. APNP§ Family Medicine Physician Assistant Denu, Maria A. PA Kanikula, Agnes M. PA. 7780 Elmwood Ave, Ste 201 Middleton, WI 53562-5407 (608) 417-3434 Hours Monday thru Friday, 8 am - 5 pm. 1809 Springdale St, Ste 101 Mount Horeb, WI 53572 (608) 437-8033 Hours Monday thru Friday, 8 am - 5 pm. Family Medicine. Family Medicine. Gomez-Goldman, Suzanne E. MD. Berg, Joseph R. DO ¥ McGraw, Jodi MD ¥. Family Medicine Nurse Practitioner. Family Medicine Nurse Practitioner. Huibregtse, Ioana A. APNP. Morrey, Rosette M. APNP ¥. General Internal Medicine. UW Health - Mount Horeb Clinic Tier 1 - $ 600 N 8th St Mount Horeb, WI 53572 (608) 437-3064 Hours Monday thru Friday, 8 am - 5 pm. Felz, Kenneth MD Kraske, Gerhard K. MD Olajos, Arpad S. MD MONONA Clinics UW Health - Yahara Clinic Tier 1 - $ 1050 E Broadway Monona, WI 53716 (608) 222-8779 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Anderson, Mark C. MD* Bauman, Amy L. DO* Counts, Helen E. MD* Ircink, James C. MD Kamnetz, Sandra A. MD* Miller, Alison R. DO* Sharp, Samantha N. MD* Swedlund, Matthew P. MD* Terbrack, Robert E. DO* Vassalli, Jeffrey T. MD Family Medicine Physician Assistant Hand, Kelsey A. PA Lenz, Linda A. PA Pankratz, Paul PA UW Health Yahara Integrative Family Medicine Tier 1 - $ 1050 E Broadway Monona, WI 53716 (608) 287-5899 Hours Monday thru Friday, 8 am 4:30 pm Family Medicine Kuphal, Greta J. MD* Minichiello, Vincent MD* Rakel, David P. MD* Weber, Michael J. MD*. Pediatrics. Family Medicine Physician Assistant. Chao, Andrea M. MD. Brady, Sara M. PA. MIDDLETON. MOUNT HOREB. Clinics. Clinics. Upland Hills Health Clinic UnityPoint Health - Meriter Mount Horeb - Middleton Clinic Tier 1 - $ Tier 1 - $ Printed on: 12/13/2021, Providers as of: 1/1/2022, Refer to important information at the beginning of this document. PRIMARY CARE PHYSICIANS - WI. PRIMARY CARE PHYSICIANS. Family Medicine Drews, Timothy D. MD Miner, Kyle D. MD* Shafer, Jennifer R. MD* OREGON Clinics UW Health - Oregon Clinic Tier 1 - $ 137 S Main St Oregon, WI 53575 (608) 835-5588 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Aurangzeb, Amnah MD* Brooks, Lauren F. DO* Catani, Kristin L. MD Heifner, William R. MD* Family Medicine Physician Assistant Folcik, Beatriz M. PA STOUGHTON Clinics UnityPoint Health - Meriter - Stoughton Clinic Tier 1 - $ 100 Silverado Dr Stoughton, WI 53589-5406 (608) 417-8700 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Quick, Ryan T. MD Family Medicine Nurse Practitioner Moreland, Kimberly A. APNP UW Health - Stoughton Clinic Tier 1 - $ 7.

(20) PRIMARY CARE PHYSICIANS PRIMARY CARE PHYSICIANS - WI. 1001 Nygaard St Stoughton, WI 53589 (608) 877-2660 Hours Monday thru Friday, 8 am - 5 pm General Internal Medicine Berg, Kristin M. MD* Khalid, Ahsan MD* General Internal Medicine Physician Assistant Kluck, Heather L. PA Pediatrics Pletta, Karen H. MD* Raman, Prasanna MD* Strand, Barbara J. MD SUN PRAIRIE Clinics UW Health - Sun Prairie Clinic Tier 1 - $ 2651 Windsor St Sun Prairie, WI 53590 (608) 837-2206 Hours Monday thru Friday, 8 am - 5 pm. Stokes, Heidi PA Wendler, Karen M. PA WINDSOR Clinics UW Health - DeForestWindsor Clinic Tier 1 - $ 4131 Meridian Dr Windsor, WI 53598 (608) 846-3741 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Atluru, Sreevalli MD* Hounshell, Jennie B. MD* Jonuzi, Zinije MD* Milsap, Alexander D. MD* Paretsky, Eve G. MD* Pickhardt, Peter A. MD* Ringdahl, David J. MD* Titel, Robyn MD* Traun, Benjamin D. MD* Family Medicine Physician Assistant Coenen, Katie S. PA Kempfer, Benjamin R. PA Simpson, Lisa PA. Family Medicine. Dodge County. Bryan, Jacob J. MD* Coert, Lesley A. MD* Greenfield, Katharine M. MD* Hawkins, John G. MD* Kuhn, Laurie S. MD* McCormick, Trisha L. DO* Mixtacki, Lauren M. MD* Queoff, David W. MD*. BEAVER DAM. Family Medicine Physician Assistant Armga, Paige PA Westby, Sarah N. PA VERONA Clinics UW Health - Verona Clinic Tier 1 - $ 100 N Nine Mound Rd Verona, WI 53593 (608) 845-9531 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Arndt, Brian G. MD* Atwell, Karina A. MD* Barrett, Bruce P. MD* Beamsley, Mark B. MD* Carr, Kathleen E. MD* Couture, Allison D. DO* Evensen, Ann E. MD* Hahn, Thomas W. MD* Hammer, Erin M. MD* James, Sarah J. DO* Larson, Magnolia J. DO* Wirtz, Mark W. MD* Family Medicine Physician Assistant. Clinics Community Pediatrics, SC Beaver Dam Tier 1 - $ 109 Warren St, Ste 4 Beaver Dam, WI 53916-3082 (920) 885-3305 Hours Monday thru Friday, 8 am - 5 pm Pediatrics Miesfeld, Jay M. MD ¥ Miesfeld, Jessica L . MD ¥ Peterson, Elizabeth M. MD ¥ Pediatrics Nurse Practitioner Lerwick, Laura J. APNP ¥ Pufahl, Kaitlyn N. APNP ¥ Vanden Heuvel, Brittany N. APNP ¥ Marshfield Medical Center Beaver Dam Clinic Tier 1 - $ 705 S University Ave Beaver Dam, WI 53916 (920) 887-7181 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Buswell-Cleary, Lindsey A. DO Deering, Jamie S. MD Family Medicine Nurse Practitioner. Butler, Cheryl L. APNP Chambers, Mary A. FNP Graber, Holly A. FNP Grams, Ruth M. APNP General Internal Medicine Guminski, Andrew MD Pediatrics Guminski, Andrew MD MMC - Beaver Dam Medical Clinic Tier 1 - $ 707 S University Ave Beaver Dam, WI 53916-3027 (920) 219-8000 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Nurse Practitioner Chambers, Mary A. FNP Prairie Ridge Health Beaver Dam Tier 2 - $$ 118 W Maple Ave Beaver Dam, WI 53916-2104 (920) 356-1000 Hours Monday, Tuesday, Thursday & Friday, 8 am - 5 pm, Wednesday, 9:30 am - 6:30 pm & the 2nd Saturday of each month. Family Medicine Nurse Practitioner Braker, Kristine FNP ¥ Sharkey, Bridget A. APNP Obstetrics & Gynecology Kaldor, Katheryn R. DO UW Health - Beaver Dam Clinic Tier 1 - $ 705 S University Ave, Ste 200 Beaver Dam, WI 53916 (920) 887-9272 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Barudin, Seth M. MD* Lambert, John E. DO* Magar, Namrata A. MD McMillan, Paul R. MD* Peterson, Emily J. MD* Family Medicine Physician Assistant Haase, Jill M. PA General Internal Medicine Gladden II, Marc B. DO Miller, Joel D. DO Muchow, Amy J. MD* General Internal Medicine Nurse Practitioner Hajewski, Julie A. APNP§ Piechowski, Dena L. APNP§. Clinics - Specialty Care Fond du Lac Regional Clinic - Beaver Dam Family Medicine Tier 1 - $ 130 Corporate Dr Beaver Dam, WI 53916 (920) 887-3102 Hours Monday thru Friday, 8 am - 5 pm Family Medicine. Tier 1 - $ 610 Washington St Horicon, WI 53032 (920) 643-7170 Hours Monday thru Wednesday 8 am - 4:30 pm, Thursday 6:30 am 3 pm, Friday Closed Family Medicine Nurse Practitioner Butler, Cheryl L. APNP Grams, Ruth M. APNP. Allen, Bradley A. MD Cassidy, Colleen F. MD Lambert, Erin R. DO Nelson, Catherine EM. DO. General Internal Medicine. Family Medicine Nurse Practitioner. Guminski, Andrew MD. Anderson, Holly F. APNP Quade, Jayme K. APNP Scheuers, Danielle J. APNP Family Medicine Physician Assistant Nashold, Brendan J. PA BROWNSVILLE Clinics Fond du Lac Regional Clinic - Brownsville (Affiliated with Agnesian HealthCare) Tier 1 - $ 900 Main St PO Box 187 Brownsville, WI 53006-0187 (920) 926-8375 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Nurse Practitioner Weigand, Andrea A. APNP General Internal Medicine Lisiecki, Ronald S. MD. Guminski, Andrew MD Pediatrics JUNEAU Clinics Watertown Regional Medical Center Juneau Clinic Tier 1 - $ 334 S Western Ave Juneau, WI 53039-1163 (920) 386-0290 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Box, Helen E. MD ¥ Family Medicine Nurse Practitioner Brown, Casey J. FNP§ ¥ Hendriksen, Amber R. APNP§ ¥ Stinnett, Dana M. FNP§ ¥ Family Medicine Physician Assistant Kolkovich, Cheryl PA ¥ Marsden, Gordon R. PA ¥ Suwanabol, Promporn J. PA ¥. FOX LAKE. LOMIRA. Clinics. Clinics - Specialty Care. Fond du Lac Regional Clinic - Fox Lake (Affiliated with Agnesian HealthCare) Tier 1 - $ 703 W State St Fox Lake, WI 53933 (920) 928-6300 Hours Monday thru Friday, 8 am - 5 pm. Aurora Health Center Lomira Tier 1 - $ 375 East Ave Lomira, WI 53048-9202 (920) 269-2060 Hours Monday & Wednesday, 8 am 5 pm, Tuesday & Thursday, 7 am -3 pm, Friday, 7 am - 12 pm. Family Medicine Nagle, Robert V. DO* Family Medicine Nurse Practitioner Mayer, Rebecca A. APNP. Family Medicine Nurse Practitioner Puls, Amy L. NP MAYVILLE. HORICON. Clinics. Clinics. Fond du Lac Regional Clinic - Mayville (Affiliated with Agnesian HealthCare). MMC - Beaver Dam Horicon Clinic Printed on: 12/13/2021, Providers as of: 1/1/2022, Refer to important information at the beginning of this document. 8.

(21) PRIMARY CARE PHYSICIANS. Family Medicine Collister, Beth MD* Ketterer, Alisha MD Sreenivasarao, Kandipati DO Obstetrics & Gynecology Hansfield, Scott M. MD RANDOLPH Clinics. Hours Monday thru Friday, 8 am - 5 pm Family Medicine Basarich, John R. MD ¥ Golden, Leslie M. MD ¥ Legrow, Robert S. MD* ¥ Sullivan, Michael E. MD* ¥ Tonelli, Danielle G. DO ¥ Family Medicine Nurse Practitioner DeFouw, Melodie J. APNP Family Medicine Physician Assistant Busalacchi, Rachel M. PA ¥ Pederson, Lauren A. PA ¥. Randolph Community Clinic, S.C. Tier 1 - $ 504 S High St Randolph, WI 53956 (920) 326-5060 Hours Monday thru Friday, 8 am - 5 pm. Watertown Medical Clinic Tier 1 - $ 132 Hospital Dr Watertown, WI 53098-3304 (920) 261-2020 Hours Monday thru Friday, 8 am - 5 pm. Family Medicine. Family Medicine. Lucarelli, Melissa E. MD* ¥. Turke, Terry L. MD ¥. Family Medicine Nurse Practitioner. Family Medicine Physician Assistant. Wiersma, Teresa J. FNP* ¥. Bakke, Karla A. PA ¥. Family Medicine Physician Assistant Mulder, Linda K. PA* ¥ WATERTOWN Clinics Meade Medical Clinic (Affiliated with Watertown Network, LLC) Tier 1 - $ 134 Hospital Dr Watertown, WI 53098-3304 (920) 261-6500 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Meade, James E. MD ¥ Family Medicine Nurse Practitioner Beyer, Jan S. FNP§ ¥. Clinics - Specialty Care Watertown Regional Medical Center - General Surgery Tier 1 - $ 123 Hospital Dr, Ste 2000 Watertown, WI 53098 (920) 206-3042 Hours By Appointment General Internal Medicine Loy, Veronica M. DO ¥ Watertown Regional Medical Center Occupational Health Tier 1 - $ 123 Hospital Dr, Ste 2004 Watertown, WI 53098 (920) 262-4253 Hours Monday thru Friday, 8 am - 5 pm. Pediatrics. Family Medicine Nurse Practitioner. Martin, Scott A. MD ¥ Meade, Jeffrey MD ¥. Hendriksen, Amber R. APNP ¥. Sports Medicine. Family Medicine Physician Assistant. Meade, James E. MD ¥ Watertown Family Practice Tier 1 - $ 127 Hospital Dr Watertown, WI 53098-3300 (920) 261-8500. Bakke, Karla A. PA ¥ Watertown Regional Medical Center Specialty Center Tier 1 - $. 123 Hospital Dr, Ste 2009 Watertown, WI 53098-3320 (920) 262-4560 Hours Monday thru Friday, 8 am - 5 pm. Hours Monday thru Friday, 8 am - 5 pm. General Internal Medicine. Family Medicine Nurse Practitioner. Loy, Veronica M. DO ¥ WAUPUN. Family Medicine Maes, Paul M. DO. Jilot, Melissa L. NP Luthi, Sally A. NP. Clinics. STURGEON BAY. Community Pediatrics, SC Waupun Tier 1 - $ 608 W Brown St, Ste 2 Waupun, WI 53963-1702 (920) 239-2200 Hours Monday thru Friday, 8 am - 5 pm. Clinics - Specialty Care. Pediatrics Miesfeld, Jay M. MD ¥ Miesfeld, Jessica L . MD ¥ Peterson, Elizabeth M. MD ¥ Pediatrics Nurse Practitioner Lerwick, Laura J. APNP ¥ Pufahl, Kaitlyn N. APNP ¥ Vanden Heuvel, Brittany N. APNP ¥ Fond du Lac Regional Clinic - Waupun (Affiliated with Agnesian HealthCare) Tier 1 - $ 608 W Brown St Waupun, WI 53963 (920) 324-6800 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Nagle, Bre Anna M. MD* Nagle, Robert V. DO Riquelme, Jean M. MD Sharda, Manish DO* Family Medicine Nurse Practitioner Felix, Julie E. APNP Sullivan, Jessica Y. APNP Thiede, Samantha L. APNP§ General Internal Medicine Kumar, Punit MD* Obstetrics & Gynecology Hansfield, Scott M. MD. Aurora Health Center Sturgeon Bay Tier 1 - $ 1910 Alabama St Sturgeon Bay, WI 54235-3532 (920) 746-7200 Hours Monday thru Friday, 7 am - 5 pm Family Medicine Aleksandrowicz, Michael S. MD Maes, Paul M. DO O'Connor, Britain A. MD Family Medicine Nurse Practitioner Rockendorf, Laura A. NP. Dunn County MENOMONIE Clinics Prevea Health - Menomonie (Affiliated with Sacred Heart Hospital) Tier 2 - $$ 2919 Stout Rd Menomonie, WI 54751 (920) 496-4700 Hours Monday thru Friday, 8 am - 5 pm Family Medicine Braunsky, Michael G. DO Family Medicine Nurse Practitioner Rubenzer, Kristin L. APNP. Family Medicine Helland, David J. MD Helmick, Danielle M. MD Schroeder, Lindsay B. DO Steinmetz, Charles W. DO Ulgen, Berkin O. MD General Internal Medicine Vande Zande, Victoria L. MD Pediatrics Husain, Naghma MD Sarumi, Oludayo O. MD Udenberg, Katie J. DO Willow Creek Women's Clinic Tier 1 - $ 1470 Rivers Edge Trl Ste 3 Altoona, WI 54720 (715) 832-9292 Hours Monday, Tuesday, Thursday & Friday, 8 am - 5 pm, Wednesday, 8 am - 8 pm Family Medicine Nurse Practitioner Poirier, Linda APNP ¥ Wilson, Allison M. APNP ¥ AUGUSTA Clinics Prevea Health - Augusta (Affiliated with Sacred Heart Hospital) Tier 2 - $$ 207 W Lincoln St Augusta, WI 54722 (715) 286-2270 Hours Monday thru Friday, 8:30 am 4:30 pm Family Medicine Cayley, William E. MD Eddy, Jennifer J. MD Gideonsen, Mark D. MD Hamblin, Joan E. MD Ludwikowski, Amy M. MD Magnusson, Leif E. DO Nixon, Nadine E. MD Weagant, Lance MD EAU CLAIRE. Family Medicine Physician Assistant Ram, Ganesh PA ¥. Door County. Eau Claire County. SISTER BAY. ALTOONA. Clinics. Clinics. Aurora Health Center Sister Bay Tier 1 - $ 2521 S Bay Shore Dr Sister Bay, WI 54234-9158 (920) 854-2347. Hours By Appointment. Prevea Health - Woodman Drive (Affiliated with Sacred Heart Hospital) Tier 2 - $$ 3119 Woodman Dr Altoona, WI 54720 (715) 717-6700. Printed on: 12/13/2021, Providers as of: 1/1/2022, Refer to important information at the beginning of this document. PRIMARY CARE PHYSICIANS - WI. Tier 1 - $ 360 S Mountin Dr Mayville, WI 53050 (920) 387-7500 Hours Monday thru Friday, 8 am - 5 pm. Clinics Confluence Healthcare, SC Tier 2 - $$ 431 E Clairemont Ave Ste D Eau Claire, WI 54701 (715) 828-9060 Hours Monday thru Friday, 8 am - 5 pm General Internal Medicine Kyle, Julia I. MD Pediatrics Kyle, Julia I. MD 9.

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