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2020 W9 - MercyCare...3400 Deerfield Dr. Janesville, WI (608) 314-3605 Mercyhealth Hospital and T...

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  • State of WisconsinProvider Directory2020 W9

    Live well.We’ll insure you do.

    Live well.We’ll insure you do.

  • MercyCare ID Card

    MercyCare ID cards include:

    INSURED NUMBER: Identification number

    GROUP NUMBER: How MercyCare identifies your benefit package

    MEMBER NUMBER: Personal identification number

    PCP NAME: Your primary care physician (family medicine, internal medicine, pediatrician)

    PLAN ID: Designates your plan

    NAME OF PLAN: Type of plan you have

    Customer service department: (800) 895-2421

    Important information to know:

    This provider list is the only paper version you will receive, unless you call our customer service department at (800) 895-2421 for additional copies.

    MercyCare encourages you to visit our website or contact customer service for the most current information regarding your provider network. To ensure accurate provider network listings, the on-line provider directory is continuously updated while the requestable paper directory is updated semi-annually only. Please visit www.mercycarehealthplans.com to see which providers participate in your plan.

    Above is an illustration of a MercyCare HMO membership card. To determine which plan you are in, please refer to your ID card.

    The card(s) you receive states the plan name, as well as the plan ID. Should you have any questions, or if you are unable to determine your specific plan name and/or plan ID, please call our customer service department at (800) 895-2421.

    MercyCare Senior

    Insured Number Effective Date Group Numberxxx-xx-xxxx xxxxxx

    Member Number Last Name PCP Namexxx-xx-xxxx John Doe Dr. Smith

    XX5

    1

    6

    2

    3 4

    1

    5

    6

    2

    3

    4

  • Hospitals

    Javon Bea Hospital–Riverside 8201 East Riverside Blvd. Rockford, IL(815) 971-7000

    Javon Bea Hospital–Rockton 2400 N. Rockton Ave. Rockford, IL (815) 971-5000

    Mercyhealth Hospital and Medical Center–Harvard 901 Grant St. Harvard, IL (815) 943-5431

    Mercyhealth Hospital and Medical Center–Walworth N2950 State Rd. 67 Lake Geneva, WI (262) 245-2230

    Mercyhealth Hospital and Trauma Center–Janesville 1000 Mineral Point Ave. Janesville, WI (608) 756-6000

    Fort Memorial Hospital 611 Sherman Ave. East Fort Atkinson, WI (920) 568-5000

    Watertown Memorial Hospital 125 Hospital Dr. Watertown, WI (920) 261-4210

    Emergency Care

    Javon Bea Hospital–Riverside 8201 East Riverside Blvd. Rockford, IL(815) 971-7000

    Javon Bea Hospital–Rockton 2400 N. Rockton Ave. Rockford, IL (815) 971-5000

    Mercyhealth Hospital and Medical Center–Harvard 901 Grant St. Harvard, IL (815) 943-5431

    Mercyhealth Hospital and Trauma Center Emergency North 3400 Deerfield Dr. Janesville, WI (608) 314-3605

    Mercyhealth Hospital and Trauma Center–Janesville 1000 Mineral Point Ave. Janesville, WI (608) 756-6000

    Mercyhealth Hospital and Medical Center–Walworth N2950 State Rd. 67 Lake Geneva, WI (262) 245-2230

    Fort Memorial Hospital 611 Sherman Ave. East Fort Atkinson, WI (920) 568-5000

    Watertown Memorial Hospital 125 Hospital Dr. Watertown, WI (920) 261-4210

    Urgent Care Clinics

    Mercyhealth Beloit 2825 Prairie Ave. Beloit, WI (608) 363-5500

    Mercyhealth Belvidere 1747 Henry Luckow Ln. Belvidere, IL (815) 971-3055

    Mercyhealth Byron 130 Kysor Dr. Byron, IL (815) 971-3099

    Mercyhealth East 3524 E. Milwaukee St. Janesville, WI (608) 756-8484

    Mercyhealth Mall 1010 N. Washington St. Janesville, WI (608) 741-3800

    Mercyhealth McHenry 3922 Mercy Dr. McHenry, IL (815) 578-2020

    Mercyhealth North 3400 Deerfield Dr. Janesville, WI (608) 314-3605

    Mercyhealth Perryville 3401 N. Perryville Rd. Rockford, IL (815) 971-8000

    Mercyhealth Rockton Avenue 2300 N. Rockton Ave., Bldg. 1 Rockford, IL (815) 971-2572

    Mercyhealth Roscoe 5000 Prairie Rose Dr. Roscoe, IL (815) 971-3450

    Mercyhealth South 849 Kellogg Ave. Janesville, WI (608) 755-7960

    Mercyhealth Hopsital and Medical Center–Walworth N2950 State Rd. 67 Lake Geneva, WI (262) 245-2230

    Mercyhealth Whitewater 507 W. Main St. Whitewater, WI (262) 473-0401

    Mercyhealth Winnebago 102 Landmark Dr. Winnebago, IL (815) 971-3250

    Mercyhealth Woodstock 2000 Lake Ave. Woodstock, IL (815) 337-1544

    Fort HealthCare Lake Mills 200 E. Tyranena Park Rd. Lake Mills, WI (920) 648-3113

    Fort Memorial Hospital 611 Sherman Ave. East Fort Atkinson, WI (920) 568-5000

    Watertown Memorial Hospital 125 Hospital Dr. Watertown, WI (920) 261-4210 Skip the waiting room!

    Visit MercyInQuicker.org to reserve your spot at a participating facility.

    Hospitals, Emergency and Urgent Care

  • Algonquin, IL ................... 37

    Barrington, IL .................. 37

    Beloit, WI ........................... 1

    Belvidere, IL ................ 37-38

    Brodhead, WI .................. 1-2

    Brown Deer, WI ................. 2

    Byron, IL .......................... 39

    Cambridge, WI .................. 2

    Cherry Valley, IL ............... 39

    Clinton, WI ......................... 2

    Crystal Lake, IL ........... 39-40

    Delavan, WI ...................... 2

    Edgerton, WI ................... 2-3

    Elkhorn, WI ....................... 3

    Evansville, WI ................ 3-4

    Fort Atkinson, WI ............ 4-6

    Harvard, IL ................. 40-41

    Ixonia, WI ........................... 7

    Janesville, WI ............... 7-21

    Jefferson, WI ............. 21-22

    Johnson Creek, WI ..... 22-23

    Juneau, WI ....................... 23

    Kenosha, WI ..................... 23

    Lake Geneva, WI ....... 23-27

    Lake Mills, WI ............ 26-27

    Loves Park, IL ............. 41-42

    Madison, WI ............... 27-28

    Machesney Park, IL ......... 43

    McHenry, IL ................ 43-44

    Milton, WI ........................ 28

    Milwaukee, WI ................. 28

    Monona, WI ..................... 28

    Monroe, WI ................. 28-29

    Northbrook, IL ................. 44

    Oconomowoc, WI............ 29

    Racine, WI ........................ 29

    Richmond, IL ................... 44

    Rockford, IL ................ 44-63

    Roscoe, IL ................... 63-64

    Schaumburg, IL ............... 64

    Waterloo, WI ............... 29-30

    Watertown, WI ............ 30-35

    Waukesha, WI .................. 35

    West Allis, WI ................... 35

    West Milwaukee, WI........ 35

    Whitewater, WI ........... 35-36

    Williams Bay, WI ........ 36-37

    Winnebago, IL ................. 64

    Woodstock, IL .................. 65

    Index by City

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Beloit, WI

    Beloit Comprehensive Treatment Center

    2240 Prairie Ave

    (608) 361-7200

    Beloit, WI 53511

    Methadone Clinic Practice Status:

    Beloit Comprehensive Treatment Center, , Open

    Board Certified: Council on Accreditation

    ,

    ,

    Medical School:

    Residency:

    Mercyhealth Behavioral Health Clinic - Beloit

    2825 Prairie Ave

    (608) 756-5555

    Beloit, WI 53511

    Behavioral Health Clinic Practice Status:

    Mercyhealth BH Clinic - Beloit, , Open

    Board Certified: Not Applicable

    ,

    ,

    Medical School:

    Residency:

    Licensed Clinical Social Worker Practice Status:

    DeGarmo-Haakenson, Karla, LCSW Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Whitewater, WI

    ,

    Medical School:

    Residency:

    Mattison, Faith, LCSW Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Madison, WI

    ,

    Medical School:

    Residency:

    Mercyhealth Beloit

    2825 Prairie Ave

    (608) 363-5500

    Beloit, WI 53511

    Advanced Practice Nurse Prescriber Practice Status:

    Huenerberg, Carmen, APNP Open

    Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

    Concordia Univ, Mequon, WI

    ,

    Medical School:

    Residency:

    Parker, Natalie, APRN Open

    Board Certified: National Certification Corporation (Women's Health Care Nurse Practitioner)Univ of Cincinnati, Cincinnati, OH

    ,

    Medical School:

    Residency:

    Family Medicine Practice Status:

    Flood, James, MD Open

    Board Certified: American Board of Family Medicine

    University of Michigan Medical School, AnnArbor, MI

    Loma Linda University Family Practice Residency Program, Loma Linda, CA

    Medical School:

    Residency:

    So, Jason, DO Open

    Board Certified: American Board of Family Medicine

    Des Moines Univ, Des Moines, IA

    Univ of Illinois College of Medicine at Peoria, Peoria, IL

    Medical School:

    Residency:

    Obstetrics and Gynecology Practice Status:

    Kaldor, Katheryn, DO Open

    Board Certified: American Osteopathic Board of Obstetrics and Gynecology

    Kansas City Univ of Medicine, Kansas City, MO

    Philadelphia College of Osteopathic Medicine, Philadelphia, PA

    Medical School:

    Residency:

    Wistrom, Elana, DO Open

    Board Certified: American Osteopathic Board of Obstetrics and Gynecology

    A.T. Still Univ, Kirksvill, MO

    Henry Ford Macomb Hospital, Clinton Twp, MI

    Medical School:

    Residency:

    Pediatrics Practice Status:

    Peete, Emarcia, MD Open

    Board Certified: Not Board Certified

    Medical College of Wisconsin, Milwaukee, WI

    Morehouse School of Medicine, Atlanta, GA

    Medical School:

    Residency:

    Podiatry Practice Status:

    Feuerstein, Catherine, DPM Open

    Board Certified: American Board of Foot and Ankle Surgery

    Scholl College of Podiatric Medicine, North Chicago, IL

    North Port VA Residency, North Port, NY

    Medical School:

    Residency:

    Swanson, Brock, DPM Open

    Board Certified:

    Temple University School of Podiatric Medicine, Philadelphia, PA

    Main Line Health, Bryn Mawr Hospital, Bryn Mawr, PA

    Medical School:

    Residency:

    Mercyhealth Beloit Urgent Care

    2825 Prairie Ave

    (608) 363-5500

    Beloit, WI 53511

    Urgent Care Center Practice Status:

    Mercyhealth Beloit UC, , Open

    Board Certified: Not Applicable

    Not Applicable,

    Not Applicable,

    Medical School:

    Residency:

    The Green Knolls at Beloit Operations LLC

    1905 West Hart Rd

    (608) 365-2554

    Beloit, WI 53115

    Skilled Nursing Facility Practice Status:

    The Green Knolls at Beloit Operations LLC, , Open

    Board Certified:

    ,

    ,

    Medical School:

    Residency:

    Brodhead, WI

    Mercyhealth Brodhead

    2310 First Center Ave

    (608) 897-8664

    Brodhead, WI 53520

    Advanced Practice Nurse Prescriber Practice Status:

    Huenerberg, Carmen, APNP Open

    Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

    Concordia Univ, Mequon, WI

    ,

    Medical School:

    Residency:

    Family Medicine Practice Status:

    Bluemel, Kevin, MD Closed

    Board Certified: American Board of Family Medicine

    Indiana University School of Medicine, Indianapolis, IN

    Mercy Health System Family Practice Residency Program, Janesville, WI

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 1 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Wilke Chiropractic Office, SC

    E101 4th Street

    (608) 897-3010

    Brodhead, WI 53520

    Chiropractic Practice Status:

    Malott, Travis, DC Open

    Board Certified: National Board Chiropractic Examiners

    Palmer College of Chiropractic, Davenport, IA

    ,

    Medical School:

    Residency:

    Brown Deer, WI

    Rogers Memorial Hospital - Brown Deer

    4600 Schroeder Dr

    (800) 767-4411

    Brown Deer, WI 53223

    Child & Adolescent Mental Health

    ProgramPractice Status:

    Rogers Memorial Hospital - Brown Deer, Open

    Board Certified: The Joint Commission

    Not Applicable

    Not Applicable

    Medical School:

    Residency:

    Cambridge, WI

    Fort HealthCare Cambridge Clinic

    704 Katie Ct

    (608) 423-1100

    Cambridge, WI 53523

    Family Medicine Practice Status:

    Nottestad, Stephanie, MD Open

    Board Certified: American Board of Family Medicine

    Univ of Wisconsin School of Medicine, Madison, WI

    University of Wisconsin-Madison Family Medicine Residency Program,

    Madison, WI

    Medical School:

    Residency:

    Licensed Professional Counselor Practice Status:

    Lee, Joshua, LPC Open

    Board Certified:

    Univ of Wi Whitewater, Whitewater, WI

    Medical School:

    Residency:

    Physician Assistant Practice Status:

    Sund, Joni, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    Univ of Nebraska, Lincoln, NE

    Medical School:

    Residency:

    Clinton, WI

    Alden Meadow Park Health Care Center, Inc.

    709 Meadow Park Dr

    (608) 676-2202

    Clinton, WI 53525

    Skilled Nursing Facility Practice Status:

    Alden Meadow Park Health Care Center, Inc., Open

    Board Certified: Not Accredited

    Medical School:

    Residency:

    Delavan, WI

    Mercyhealth Delavan

    1038 E Geneva St

    (262) 728-4301

    Delavan, WI 53115

    Advanced Practice Nurse Prescriber Practice Status:

    Wang, Lisa, APNP Open

    Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

    Univ of Massachusetts, Boston, MA

    ,

    Medical School:

    Residency:

    Family Medicine Practice Status:

    Gronau, Rachel, MD Open

    Board Certified: American Board of Family Medicine

    Medical College of Wisconsin, Milwaukee, WI

    St. Luke's Family Medicine Residency, Milwaukee, WI

    Medical School:

    Residency:

    Terry, Richard, DO Open

    Board Certified: American Osteopathic Board of Family Physicians

    Michigan State Univ College of Osteopathic Medicine, East Lansing, MI

    St. Joseph Family Medicine Residency Program, Milwaukee, WI

    Medical School:

    Residency:

    Obstetrics and Gynecology Practice Status:

    Villegas Van der Linde, Silvia, MD Open

    Board Certified: American Board of Obstetrics and Gynecology

    UNIBE - Universidad Iberoamericana, Santo Domingo, Dominican

    RepublicMount Sinai Hospital, Chicago, IL

    Medical School:

    Residency:

    Walworth County Chiropractic

    1221 E Phoenix St

    (262) 728-8208

    Delavan, WI 53115

    Chiropractic Practice Status:

    Heller, Clark, DC Open

    Board Certified: Not Applicable

    Palmer College of Chiropractic, Davenport, IA

    Medical School:

    Residency:

    Willowfield Nsg & Rehab Center

    905 E Geneva St

    (262) 728-6319

    Delavan, WI 53115

    Skilled Nursing Facility Practice Status:

    Willowfield NH & Rehab, Open

    Board Certified: Not Accredited

    Not Applicable

    Not Applicable

    Medical School:

    Residency:

    Edgerton, WI

    Edgerton Care Center

    313 Stoughton Rd

    (608) 884-1330

    Edgerton, WI 53534

    Skilled Nursing Facility Practice Status:

    Edgerton Care Center Open

    Board Certified: Not Accredited

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 2 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Mercyhealth Edgerton

    217 N Main St

    (608) 884-9431

    Edgerton, WI 53534

    Family Medicine Practice Status:

    Frey, Justin, MD Open

    Board Certified: American Board of Family Medicine

    Univ of Wisconsin School of Medicine & Public Health, Madison, WI

    Mercy Health System, Janesville, WI

    Medical School:

    Residency:

    Rejon, Veronica, MD Open

    Board Certified: American Board of Family Medicine

    Univ of Wisconsin School of Medicine & Public Health, Madison, WI

    Mercy Health System, Janesville, WI

    Medical School:

    Residency:

    Internal Medicine Practice Status:

    Akbar, Muhammad, MD Open

    Board Certified: American Board of Internal Medicine

    Univ of the Punjab - Allama Iqbal Medical College, Lahore, Pakistan

    Monmouth Medical Center, Long Branch, NJ

    Medical School:

    Residency:

    Petry Chiropractic & Wellness, LLC

    75 West Fulton St

    (608) 884-3100

    Edgerton, WI 53534

    Chiropractic Practice Status:

    Eliszewski, Andrew, DC Open

    Board Certified: Not Applicable

    Bannockburn Chiropractice, Bannockburn, IL

    Not Applicable

    Medical School:

    Residency:

    Houfe, Matthew, DC Open

    Board Certified: Not Applicable

    Palmer College of Chiropractic, Davenport, IA

    Medical School:

    Residency:

    Petry, John, DC Open

    Board Certified: National Board of Chiropractic Examiners

    Palmer College of Chiropractic, Davenport, IA

    Not Applicable

    Medical School:

    Residency:

    Elkhorn, WI

    Holton Manor

    645 N Church St

    (262) 723-4963

    Elkhorn, WI 53121

    Skilled Nursing Facility Practice Status:

    Holton Manor Open

    Board Certified: Not Accredited

    Medical School:

    Residency:

    Mercyhealth Elkhorn

    839 N Wisconsin St

    (262) 741-1400

    Elkhorn, WI 53121

    Family Medicine Practice Status:

    Kowalski, Jeffrey, MD Open

    Board Certified: American Board of Family Medicine

    Ross Univ School of Medicine, North Brunswick, NJ

    Medical College of Wisconsin, St. Joseph's, Milwaukee, WI

    Medical School:

    Residency:

    Orthopedic Surgery Practice Status:

    Knavel, James, MD Open

    Board Certified: American Board of Orthopaedic Surgery

    Univ of Iowa College of Medicine, Iowa City, IA

    Medical College of Wisconsin, Milwaukee, WI

    Medical School:

    Residency:

    Evansville, WI

    Evansville Manor

    470 Garfield Ave

    (608) 882-5700

    Evansville, WI 53536

    Skilled Nursing Facility Practice Status:

    Evansville Manor Open

    Board Certified: Not Accredited

    Not Applicable

    Not Applicable

    Medical School:

    Residency:

    Mercyhealth Behavioral Health Clinic - Evansville

    300 Union St

    (608) 756-5555

    Evansville, WI 53536

    Behavioral Health Clinic Practice Status:

    Mercyhealth BH Clinic - Evansville Open

    Board Certified: Not Applicable

    Medical School:

    Residency:

    Licensed Clinical Social Worker Practice Status:

    Otto, Kimberlyn, LCSW Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Madison, WI

    Not Applicable,

    Medical School:

    Residency:

    Licensed Professional Counselor Practice Status:

    Quick, Cassandra, LPC Open

    Board Certified: Not Applicable

    Marquette Univ, Milwaukee, WI

    Medical School:

    Residency:

    Mercyhealth Evansville

    300 Union St

    (608) 882-5613

    Evansville, WI 53536

    Advanced Practice Nurse Prescriber Practice Status:

    Huenerberg, Carmen, APNP Open

    Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

    Concordia Univ, Mequon, WI

    Medical School:

    Residency:

    Family Medicine Practice Status:

    White, Samuel, MD Open

    Board Certified:

    Medical Univ of South Carolina, Charleston, SC

    Spartanburg Regional Family Medicine Residency Program, Spartanburg,

    SC

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 3 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Wilke Chiropractic Office, SC

    503 E Main St

    (608) 882-4146

    Evansville, WI 53536

    Chiropractic Practice Status:

    Scheurell, Megan, DC Open

    Board Certified: American Board of Chiropractic

    Palmer College of Chiro, Davenport,IA

    Medical School:

    Residency:

    Wilke, Peter, DC Open

    Board Certified: Not Applicable

    Palmer College of Chiropractic, Davenport, IA

    Not Applicable

    Medical School:

    Residency:

    Fort Atkinson, WI

    Fort Atkinson Hospital Outpatient Clinic

    611 Sherman Ave East

    (920) 568-5334

    Fort Atkinson, WI 53538

    Family Medicine Practice Status:

    Rutledge, David, MD Open

    Board Certified: American Board of Family Medicine

    Northwestern Univ Medical School, Chicago, IL

    Rockford Med Edu, Rockford, IL

    Medical School:

    Residency:

    Physician Assistant Practice Status:

    Collins, Clark, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    University of Nebraska Medical, Omaha, NE

    ,

    Medical School:

    Residency:

    Fort HealthCare Behavioral Health - Fort

    Atkinson

    500 McMillen St

    (920) 563-9542

    Fort Atkinson, WI 53538

    Behavioral Health Clinic Practice Status:

    Fort HealthCare Behavioral Health Open

    Board Certified: Not Applicable

    Medical School:

    Residency:

    Licensed Clinical Professional

    CounselorPractice Status:

    Quast, Courtney, LPC Open

    Board Certified:

    Medical School:

    Residency:

    Licensed Clinical Social Worker Practice Status:

    Shea, Nancy, LCSW Open

    Board Certified:

    University of Wisconsin, Oshkosh, Wi

    Medical School:

    Residency:

    Psychiatry Practice Status:

    Bleak, Jennifer, MD Closed

    Board Certified: American Board of Psychiatry and Neurology

    Univ of Illinois College of Medicine, Chicago, IL

    Univ of Chicago, The Pritzker School of Medicine, Chicago, IL

    Medical School:

    Residency:

    Psychiatry Practice Status:

    Fudala, Stanley, MD Open

    Board Certified: American Board of Psychiatry and Neurology

    Medical Academy of Lubin, Poland

    University of Cincinnati, Cincinnati, OH

    Medical School:

    Residency:

    Fort HealthCare Behavioral Health - Fort

    Atkinson (Madison Ave)

    1520 Madison Ave

    (920) 563-4028

    Fort Atkinson, WI 53538

    Behavioral Health Clinic Practice Status:

    Fort HealthCare Behavioral Health Open

    Board Certified: Not Applicable

    Medical School:

    Residency:

    Fort HealthCare Center for Dermatology

    611 Sherman Ave East, 3rd Floor

    (920) 568-1000

    Fort Atkinson, WI 53538

    Dermatology Practice Status:

    Glinert, Robert, MD Open

    Board Certified: American Board of Dermatology AND American Board of Internal

    Medicine AND American Board of Allergy & ImmunologyRush Medical College, Chicago, IL

    Univ of Rochester Associated Hospitals, Rochester, NY

    Medical School:

    Residency:

    Fort HealthCare Center for Womens Health

    650 McMillen St

    (920) 563-8900

    Fort Atkinson, WI 53538

    Advanced Practice Nurse Prescriber Practice Status:

    Bingham, Fawn, FNP Open

    Board Certified: American Nurses Credentialing Center

    Alverno College, Milwaukee, WI

    ,

    Medical School:

    Residency:

    Dedrick, Joyce, APNP Open

    Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

    Univ of Wisconsin, Madison, WI

    Not Applicable,

    Medical School:

    Residency:

    Obstetrics and Gynecology Practice Status:

    Chuppa, Christine, MD Open

    Board Certified: American Board of Obstetrics and Gynecology

    Univ of WI Medical School, Madison, WI

    Univ of MO, Kansas City, MO

    Medical School:

    Residency:

    Lynk, Elizabeth, MD Open

    Board Certified: Not Board Certified

    Northwestern Univ Feinberg School of Medicine, Chicago, IL

    St Joseph Hospital, Denver, CO

    Medical School:

    Residency:

    Mokhtar, Julie, DO Open

    Board Certified: American Board of Obstetrics and Gynecology

    Univ of Osteopathic Medicine & Health Sciences, Des Moines, IA

    Brooklyn Hospital Center, New York

    Medical School:

    Residency:

    Physician Assistant Practice Status:

    Sund, Joni, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    Univ of Nebraska, Lincoln, NE

    ,

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 4 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Fort HealthCare Ear, Nose and Throat

    Specialists

    512 Wilcox St

    (920) 563-6667

    Fort Atkinson, WI 53538

    Otolaryngology Practice Status:

    Anderson, Michael, MD Open

    Board Certified: American Board of Otolaryngology

    Univ of Wisconsin, Madison, WI

    Indiana University, Indianapolis, IN

    Medical School:

    Residency:

    Hofmann, William, MD Open

    Board Certified: American Board of Otolaryngology

    Univ of Cincinnati College of Medicine, Cincinnati, OH

    Indiana Univ Medical Center, Indianapolis, IN

    Medical School:

    Residency:

    Fort HealthCare Fort Memorial Hospital

    611 Sherman Ave East

    (920) 568-5000

    Fort Atkinson, WI 53538

    Hospital Practice Status:

    Fort HealthCare Fort Memorial Hosp Open

    Board Certified: The Joint Commission

    Not Applicable

    Not Applicable

    Medical School:

    Residency:

    Obstetrics and Gynecology Practice Status:

    Gupta, Vivek, MD Open

    Board Certified:

    St Georges University School, West Indies Grenada

    NYU Hospitals Center, NY, NY

    Medical School:

    Residency:

    Koike, Jun, MD Open

    Board Certified: American Boiard of Obstetrics & Gynecology

    Ross University, School of Medicine, Dominica

    Charleston Area Medical Center, West Virginia

    Medical School:

    Residency:

    Urgent Care Center Practice Status:

    Fort HealthCare Fort Memorial-UC Open

    Board Certified: Not Applicable

    Not Applicable,

    Not Applicable,

    Medical School:

    Residency:

    Fort HealthCare Integrated Family Care Clinic

    1520 Madison Ave

    (920) 563-5500

    Fort Atkinson, WI 53538

    Advanced Practice Nurse Prescriber Practice Status:

    Beck Metzger, Mary, NP Open

    Board Certified: ANCC

    Univ of WI Oshkosh, Oshkosh, WI

    Medical School:

    Residency:

    Ipsen, Susan, APNP Open

    Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

    Graceland College, Lamour, IA

    Medical School:

    Residency:

    Family Medicine Practice Status:

    Beck, Aaron, MD Open

    Board Certified: American Board of Family Medicine

    Medical College of Wisconsin, Milwaukee, WI

    Univ of North Carolina at Chapel Hill School of Medicine, Hendersonville, NC

    Medical School:

    Residency:

    Internal Medicine Practice Status:

    Winter, Jennifer, MD Open

    Board Certified: American Board of Internal Medicine AND American Board of Pediatrics

    Medical College of Wisconsin, Milwaukee, WI

    Univ of Illinois College of Medicine, Peoria, IL

    Medical School:

    Residency:

    Psychology Practice Status:

    Roets, Cheryl, PhD Open

    Board Certified: Not Applicable

    Marquette Univ, Milwaukee, WI

    Psychology,

    Medical School:

    Residency:

    Fort HealthCare Internal Medicine & Pediatrics

    500 McMillen St

    (920) 563-5571

    Fort Atkinson, WI 53538

    Advanced Practice Nurse Prescriber Practice Status:

    Bingham, Fawn, FNP Open

    Board Certified: American Nurses Credentialing Center

    Alverno College, Milwaukee, WI

    Medical School:

    Residency:

    Jennrich, Heidi, APNP Open

    Board Certified: Not Board Certified

    Univ of Virginia School of Nursing,

    Medical School:

    Residency:

    Mayer, Lauren, APNP Open

    Board Certified: Pediatric Nursing Certification Board (Certified Pediatric Nurse Practitioner - Primary Care)Marquette Univ, Milwaukee, WI

    Medical School:

    Residency:

    Internal Medicine Practice Status:

    Cannon, William, MD Open

    Board Certified: Not Board Certified

    Loyola Univ Chicago Stritch School of Medicine, Maywood, IL

    Loyola Univ Medical Center, Maywood, IL

    Medical School:

    Residency:

    Tackman, Thomas, MD Open

    Board Certified: American Board of Internal Medicine

    Medical College of Wisconsin, Milwaukee, WI

    Medical College of Wisconsin Affiliated Hospitals,

    Medical School:

    Residency:

    Licensed Professional Counselor Practice Status:

    Atkinson, Tracey, LCP Open

    Board Certified:

    Univ of WI Platteville, Platteville, Wi

    Medical School:

    Residency:

    Pediatrics Practice Status:

    Dewey, Julia, MD Open

    Board Certified: American Board of Pediatrics

    Pennsylvania State University College of Medicine, Hershey, PA

    University of Wisconsin Medical School, Madison, WI

    Medical School:

    Residency:

    Musete, Monica, MD Open

    Board Certified: American Board of Pediatrics

    Univ of Medicine & Pharmacy, Bucjarest, Romania

    Brooklyn Hospital Center, Brooklyn, NY

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 5 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Pediatrics Practice Status:

    Sweeney, Catherine, MD Open

    Board Certified: American Board of Pediatrics

    Chicago Medical School at Rosalind Franklin, North Chicago, IL

    UT Health San Antonio, San Antonio, Texas

    Medical School:

    Residency:

    Williams, Donald, MD Open

    Board Certified: American Board of Pediatrics AND American Board of Internal Medicine

    Univ of Illinois, Peoria, IL

    Akron Children's Hospital, Akron, OH

    Medical School:

    Residency:

    Fort HealthCare Orthopaedic Associates

    1504 Madison Ave

    (920) 563-7888

    Fort Atkinson, WI 53538

    Orthopedic Surgery Practice Status:

    Schuppner, Paul, DO Open

    Board Certified: Not Board Certified

    Midwestern Univ Chicago College of Osteopathic Medicine, Downers

    Grove, ILMichigan State Univ College of Osteopathic Medicine, Lansing, MI

    Medical School:

    Residency:

    Zambrano, Isidoro, MD Open

    Board Certified: American Board of Orthopaedic Surgery

    Medical College of Wisconsin, Milwaukee, WI

    State Univ of New York College of Medicine Stony Brook Univ Hospital,

    Medical School:

    Residency:

    Physician Assistant Practice Status:

    Degnan, Deborah, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    Marquette Univ, Milwaukee, WI

    Medical School:

    Residency:

    Fort HealthCare Surgical Associates

    212 Milwaukee Ave West

    (920) 563-7900

    Fort Atkinson, WI 53538

    Surgery Practice Status:

    Erickson, Marc, MD Open

    Board Certified: American Board of Surgery

    Medical College of Wisconsin, Milwaukee, WI

    Michigan State Univ, Butterworth Hosp,

    Medical School:

    Residency:

    Kontny, Billie Gerard, MD Open

    Board Certified: American Board of Surgery

    Medical College of Wisconsin, Milwaukee, WI

    Loyola Medical Center,, Maywood, IL

    Medical School:

    Residency:

    McLaughlin, Jonathan, MD Open

    Board Certified: American Board of Surgery

    Univ of Minnesota, Minneapolis, MN

    Butterworth Hospital Michigan State Univ, Grand Rapids, MI

    Medical School:

    Residency:

    Luedtke-Storm-Mackey Chiropractic Clinic

    825 Lexington Blvd, Ste 4

    (920) 563-4970

    Fort Atkinson, WI 53538

    Chiropractic Practice Status:

    Smith, Luke, DC Closed

    Board Certified: Not Applicable

    National Univ of Health Science, Lombard, IL

    Medical School:

    Residency:

    Tesch, Todd, DC Open

    Board Certified: Not Applicable

    Palmer College of Chiropractic, Davenport, IA

    Not Applicable

    Medical School:

    Residency:

    Chiropractic Practice Status:

    Weyenberg, Ryan, DC Open

    Board Certified: Not Applicable

    Northwestern College of Chiropractic, Minneapolis, MN

    Medical School:

    Residency:

    PMRis, SC - Fort Atkinson

    611 Sherman Ave East

    (877) 337-6747

    Fort Atkinson, WI 53538

    Physical Medicine & Rehabilitation Practice Status:

    Fowler, William, MD Open

    Board Certified: American Board of Physicial Medicine and Rehabilitation

    Univ of North Dakota School of Medicine, Grand Forks, ND

    Univ of Minnesota Hospital & Clinics, Minneapolis, MN

    Medical School:

    Residency:

    Shopko Optical #4051

    1425 Janesville Ave

    (920) 563-2171

    Fort Atkinson, WI 53538

    Optometry Practice Status:

    Cheek, Amanda, OD Open

    Board Certified: Not Applicable

    Indiana College of Optometry, Bloomington, IN

    Medical School:

    Residency:

    UW Health Ft Atkinson

    1620 Mehta Lane

    (920) 563-5544

    Fort Atkinson, WI 53538

    Family Medicine Practice Status:

    Brantmeier, Scott, DO Closed

    Board Certified: American Board of Family Medicine

    Chicago College of Osteopathic Medicine, Downers Grove, IL

    Medical College of Wisconsin, Milwaukee, WI

    Medical School:

    Residency:

    McGuire, Jeffrey, MD Open

    Board Certified: American Board of Family Medicine

    Univ of Wisconsin Medical School, Madison, WI

    Univ of Wisconsin, Appleton-Fox Valley Family Practice Residency, Appleton, WI

    Medical School:

    Residency:

    Quinn, Rachel, MD Closed

    Board Certified: American Board of Family Medicine

    Univ of Wisconsin, Madison, WI

    UW Family Medicine Residency Program, Madison, WI

    Medical School:

    Residency:

    Family Medicine including Obstetrics Practice Status:

    Meyer, Shauna, MD Closed

    Board Certified: American Board of Family Medicine

    Univ of South Dakota School of Medicine, Sioux Falls, SD

    UW Family Medicine Residency, St. Mary's Hospital, Madison, WI

    Medical School:

    Residency:

    Physician Assistant Practice Status:

    Stelse, Megan, PA-C Open

    Board Certified: NCCPA 1144361

    Marquette University, Milwaukee, WI

    Medical School:

    Residency:

    Urology Practice Status:

    Kozler, Craig, MD Open

    Board Certified: American Board of Urology

    Michigan State University, East Lansing, MI

    University of Michigan, Ann Arbor, MI

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 6 of 65W9

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    State of Wisconsin - 2020Ixonia, WI

    WRMC Ixonia

    W1046 Marietta Ave, Ste 230

    (920) 206-6310

    Ixonia, WI 53036

    Advanced Practice Nurse Prescriber Practice Status:

    Stinnett, Dana, APNP Open

    Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

    Concordia Univ, Mequon, WI

    Medical School:

    Residency:

    Family Medicine Practice Status:

    Box, Helen, MD Open

    Board Certified: American Board of Family Medicine

    Univ of Wisconsin Medical School, Madison, WI

    Gunderson Lutheran, LaCrosse, WI

    Medical School:

    Residency:

    Obstetrics and Gynecology Practice Status:

    DeJong, Julie, MD Open

    Board Certified: American Board of Obstetrics and Gynecology

    Univ of Wisconsin, Madison, WI

    Univ of Iowa Hospital and Clinics, Iowa City, IA

    Medical School:

    Residency:

    Janesville, WI

    Cedar Crest Health Center

    1702 S River Rd

    (608) 756-0344

    Janesville, WI 53546

    Skilled Nursing Facility Practice Status:

    Cedar Crest Health Center Open

    Board Certified: Not Accredited

    Medical School:

    Residency:

    Damrow Chiropractic Office

    3628 Ridge Dr

    (608) 754-3696

    Janesville, WI 53548

    Chiropractic Practice Status:

    Byrnes-Pierce, Tina, DC Open

    Board Certified: Not Applicable

    Palmer College of Chiropractic, Davenport, IA

    Medical School:

    Residency:

    Damrow, James, DC Open

    Board Certified: Not Applicable

    Palmer College of Chiropractic, Davenport, IA

    Not Applicable

    Medical School:

    Residency:

    Keehn Chiropractic Office

    2707 Kennedy Rd, Ste 202

    (608) 755-1035

    Janesville, WI 53545

    Chiropractic Practice Status:

    Hanewold, Lori, DC Open

    Board Certified: National Board of Chiropractic Examiners

    Palmer College of Chiropractic, Davenport, IA

    Not Applicable

    Medical School:

    Residency:

    West, Betsy, DC Open

    Board Certified: National Board of Chiropractic Examiners

    Palmer College of Chiropractic, Davenport, IA

    Not Applicable

    Medical School:

    Residency:

    Mercy Assisted Care, Inc. Home Health

    Care

    901 Mineral Point Ave

    (800) 369-2201

    Janesville, WI 53548

    Home Health Provider Practice Status:

    Mercy Assisted Care HHC Open

    Board Certified: Not Accredited

    Not Applicable

    Not Applicable

    Medical School:

    Residency:

    Mercy Assisted Care, Inc. Hospice Care

    901 Mineral Point Ave

    (800) 369-2201

    Janesville, WI 53548

    Hospice Care Practice Status:

    Mercy Assisted Care Hospice Care Open

    Board Certified: Not Applicable

    Not Applicable

    Not Applicable

    Medical School:

    Residency:

    Mercyhealth Addiction Day Treatment Program

    2600 Humes Rd, Ste 100

    (608) 741-2117

    Janesville, WI 53545

    Advanced Practice Nurse Prescriber Practice Status:

    Bunnell, Ann, APNP Open

    Board Certified: American Nurses Credentialing Center (Child and Adolescent Mental Health)

    Medical School:

    Residency:

    Child & Adolescent Addictions Program Practice Status:

    Mercyhealth Child & Adol TX Open

    Board Certified: The Joint Commission

    Not Applicable

    Not Applicable

    Medical School:

    Residency:

    Licensed Clinical Social Worker Practice Status:

    Schlegel, Courtney, LCSW Open

    Board Certified: Not Applicable

    UW-Madison School of Social Work, Madison, WI

    Medical School:

    Residency:

    Mercyhealth at Home - Medical Equipment - Janesville

    1010 N Washington St

    (608) 755-7989

    Janesville, WI 53548

    Durable Medical Equipment Supplier Practice Status:

    Mercyhealth at Home - DME JVL Open

    Board Certified: Not Applicable

    Not Applicable

    Not Applicable

    Medical School:

    Residency:

    Mercyhealth Autism Program

    580 N Washington St

    (608) 756-5555

    Janesville, WI 53548

    Autism Treatment Practice Status:

    Mercyhealth Autism Program Open

    Board Certified: Not Applicable

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 7 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Licensed Clinical Social Worker Practice Status:

    Schlegel, Courtney, LCSW Open

    Board Certified: Not Applicable

    UW-Madison School of Social Work, Madison, WI

    Medical School:

    Residency:

    Psychology Practice Status:

    Keller, Kathryn, PhD Open

    Board Certified: Not Applicable

    Medical School:

    Residency:

    Speech-Language Pathology Practice Status:

    Haning, Maria, SLP Open

    Board Certified:

    Univ of WI Whitewater, Whitewater, WI

    Medical School:

    Residency:

    Mercyhealth Behavioral Health - Inpatient

    1000 Mineral Point Ave

    (608) 756-6508

    Janesville, WI 53548

    Psychologist Practice Status:

    Sosa, Amy, PsyD Open

    Board Certified:

    Il School of Prof Psych, Chgo, IL

    Medical School:

    Residency:

    Mercyhealth Behavioral Health Clinic - East

    3524 E Milwaukee St

    (608) 756-5555

    Janesville, WI 53546

    Behavioral Health Clinic Practice Status:

    Mercyhealth BH Clinic - East Open

    Board Certified: Not Applicable

    Medical School:

    Residency:

    Licensed Clinical Social Worker Practice Status:

    Kropf, Anita, LCSW Open

    Board Certified: Not Applicable

    George Williams College,

    Not Applicable,

    Medical School:

    Residency:

    Mercyhealth Behavioral Health Clinic - Janesville

    903 Mineral Point Ave

    (608) 756-6530

    Janesville, WI 53548

    Licensed Clinical Social Worker Practice Status:

    Eastman, Laurie, LCSW Open

    Board Certified:

    Loyola Univ Chgo, Chicago, IL

    Medical School:

    Residency:

    Thompson, Lorrie, LCSW Open

    Board Certified:

    Univ of Milwaukee, Milwaukee, WI

    Medical School:

    Residency:

    Social Worker Practice Status:

    Ebben, Danielle, MSW Open

    Board Certified:

    Aurora Univ, Aurora, IL

    Medical School:

    Residency:

    Substance Abuse Counselor Practice Status:

    Grob, Ann, SAC Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Whitewater, WI

    Medical School:

    Residency:

    Mercyhealth Behavioral Health Clinic - Janesville (Henry Palmer Building)

    903 Mineral Point Ave

    (608) 756-5555

    Janesville, WI 53548

    Advanced Practice Nurse Prescriber Practice Status:

    Bonaccorsi, Mary, APNP Open

    Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

    Rush Univ, Chicago, IL

    Medical School:

    Residency:

    Bunnell, Ann, APNP Open

    Board Certified: American Nurses Credentialing Center (Child and Adolescent Mental

    Health)

    Medical School:

    Residency:

    Westmoreland, Danielle, APNP Open

    Board Certified: American Nurses Credentialing Center (Adult Psychiatric & Mental Health Nurse Practitioner)Univ of Wisconsin, Madison, WI

    Medical School:

    Residency:

    Behavioral Health Clinic Practice Status:

    Mercyhealth BH Clinic - Janesville Open

    Board Certified: Not Applicable

    Medical School:

    Residency:

    Clinical Psychologist Practice Status:

    Crull, Ashley, PsyD Open

    Board Certified:

    Midwestern University, Downers Grove, IL

    Medical School:

    Residency:

    Clinical Substance Abuse Counselor Practice Status:

    Hebert, Jaclyn, CSAC; LPC Open

    Board Certified: Not Applicable

    Medical School:

    Residency:

    Johnson, Sally, CSAC, LPC Open

    Board Certified: Not Applicable

    Medical School:

    Residency:

    Wilson, Beverly, CSAC; LPC Open

    Board Certified: Not Applicable

    Not Applicable,

    Not Applicable,

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 8 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Clinical Substance Abuse Counselor Practice Status:

    Winiecki, Adrienne, CSAC Open

    Board Certified: Not Applicable

    Indiana Univ Northwest, Gary, IN

    ,

    Medical School:

    Residency:

    Licensed Clinical Professional

    CounselorPractice Status:

    Legler, Jackie, LCPC Open

    Board Certified: Not Applicable

    ,

    ,

    Medical School:

    Residency:

    VandenAkker, Tricia, LCSW Open

    Board Certified:

    University of Wisconsin, Madison, WI

    ,

    Medical School:

    Residency:

    Licensed Clinical Social Worker Practice Status:

    Barger, Sharon, LCSW Open

    Board Certified:

    University of Wisconsin Madison, Madison, WI

    ,

    Medical School:

    Residency:

    Baumel, Victoria, LCSW Open

    Board Certified: Not Applicable

    Univ of Wisconsin - Milwaukee, Milwuakee, WI

    ,

    Medical School:

    Residency:

    Benash, Jessica, LCSW Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Madison, WI

    ,

    Medical School:

    Residency:

    Kollmansberger, Benno, LPC, LCSW Open

    Board Certified: Not Applicable

    ,

    ,

    Medical School:

    Residency:

    Kropf, Anita, LCSW Open

    Board Certified: Not Applicable

    George Williams College,

    Not Applicable,

    Medical School:

    Residency:

    Mattison, Faith, LCSW Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Madison, WI

    ,

    Medical School:

    Residency:

    Otto, Kimberlyn, LCSW Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Madison, WI

    Not Applicable,

    Medical School:

    Residency:

    Pedretti, Christine, LCSW Open

    Board Certified: Not Applicable

    UW-Milwaukee, Milwaukee WI

    ,

    Medical School:

    Residency:

    Splinter, Sarah, LCSW Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Milwaukee, WI

    ,

    Medical School:

    Residency:

    Licensed Clinical Social Worker Practice Status:

    Stried, Chantel, LCSW Open

    Board Certified: Not Applicable

    George Williams College of Aurora Univ, Aurora, IL

    Not Applicable,

    Medical School:

    Residency:

    Licensed Marriage & Family Therapist Practice Status:

    Janes, Kelly, LMFT Open

    Board Certified:

    Arg University, Chicago, IL

    ,

    Medical School:

    Residency:

    Licensed Professional Counselor Practice Status:

    Chellevold, Jennifer, LPC Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Whitewater

    ,

    Medical School:

    Residency:

    Cisneros, Kamela, LPC Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Whitewater, WI

    ,

    Medical School:

    Residency:

    DeSloover, Dan, LPC Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Whitewater

    ,

    Medical School:

    Residency:

    Hebert, Jaclyn, LPC; CSAC Open

    Board Certified: Not Applicable

    ,

    ,

    Medical School:

    Residency:

    Johnson, Sally, LPC; CSAC Open

    Board Certified: Not Applicable

    ,

    ,

    Medical School:

    Residency:

    Laehn, Larry, LPC, SAC Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Oshkosh, WI

    ,

    Medical School:

    Residency:

    Littig, Karen, LPC Open

    Board Certified: Not Applicable

    ,

    ,

    Medical School:

    Residency:

    Loescher, Bret, LPC, SAC Open

    Board Certified: Not Applicable

    WI School of Professional Psychology, Milwaukee, WI

    ,

    Medical School:

    Residency:

    Mendenhall, Jeanine, LPC Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Whitewater, WI

    ,

    Medical School:

    Residency:

    Oczus, Alicia, LPC Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Whitewater, WI

    ,

    Medical School:

    Residency:

    Quick, Cassandra, LPC Open

    Board Certified: Not Applicable

    Marquette Univ, Milwaukee, WI

    ,

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 9 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Licensed Professional Counselor Practice Status:

    Wilson, Beverly, CSAC; LPC Open

    Board Certified: Not Applicable

    Not Applicable,

    Not Applicable,

    Medical School:

    Residency:

    Zamborsky, Melanie, LPC Open

    Board Certified: Not Applicable

    Seton Hill Univ, Greensburg, PA

    ,

    Medical School:

    Residency:

    Psychiatry Practice Status:

    Callison, (Sue) Ann, MD Open

    Board Certified: American Board of Psychiatry and Neurology (Child & Adolescent Psychiatry)University of Arizona, Tucson, AZ

    Univ. of Arizona, Tucson, AZ

    Medical School:

    Residency:

    Kirmani-Moe, Sobia, MD Open

    Board Certified: American Board of Psychiatry & Neurology

    The Texas A & M Health & Science Center, Byron, TX

    Hennepin County Medical Center, Minneapolis, MN

    Medical School:

    Residency:

    Kosnar, Tina, MD Open

    Board Certified: American Board of Psychiatry and Neurology (Child & Adolescent

    Psychiatry)Creighton Univ School of Medicine, Omaha, NE

    Creighton-Nebraska Combined, Omaha, NE

    Medical School:

    Residency:

    Rahemtulla, Mohammed, DO Open

    Board Certified: American Board of Psychiatry and Neurology

    Des Moines Univ, Des Moines, IA

    Medical College of Wisconsin, Milwaukee, WI

    Medical School:

    Residency:

    Wagner, Richard, MD Open

    Board Certified: American Board of Psychiatry and Neurology

    St. George Univ School of Medicine,

    Texas Tech Univ Health Sciences Center, El Paso, TX

    Medical School:

    Residency:

    Psychology Practice Status:

    Hanson, Christine, PhD Open

    Board Certified: Not Applicable

    Ohio State Univ, Columbus, OH

    ,

    Medical School:

    Residency:

    Rose-Barajas, Michelle, PsyD Open

    Board Certified: Not Applicable

    Illinois School of Professional Psychology, Chicago, IL

    ,

    Medical School:

    Residency:

    Substance Abuse Counselor Practice Status:

    Laehn, Larry, SAC, LPC Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Oshkosh, WI

    ,

    Medical School:

    Residency:

    Mallon, Jocelyn, SAC, LPC Open

    Board Certified: Not Applicable

    Univ of Wisconsin-Whitewater, Whitewater, WI

    Medical School:

    Residency:

    Maly, Sara, SAC Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Whitewater, WI

    ,

    Medical School:

    Residency:

    Mercyhealth Behavioral Health Clinic - Mall

    1010 N Washington St

    (608) 756-5555

    Janesville, WI 53548

    Behavioral Health Clinic Practice Status:

    Mercyhealth BH Clinic - Mercy Mall, , Open

    Board Certified: Not Applicable

    ,

    ,

    Medical School:

    Residency:

    Mercyhealth Behavioral Health Clinic - MercyCare Building

    580 N Washington St

    (608) 756-5555

    Janesville, WI 53548

    Advanced Practice Nurse Prescriber Practice Status:

    Bunnell, Ann, APNP Open

    Board Certified: American Nurses Credentialing Center (Child and Adolescent Mental

    Health),

    ,

    Medical School:

    Residency:

    Mercyhealth Behavioral Health Clinic - North

    3400 Deerfield Dr

    (608) 756-5555

    Janesville, WI 53546

    Behavioral Health Clinic Practice Status:

    Mercyhealth BH Clinic - North, , Open

    Board Certified: Not Applicable

    ,

    ,

    Medical School:

    Residency:

    Licensed Clinical Social Worker Practice Status:

    Kropf, Anita, LCSW Open

    Board Certified: Not Applicable

    George Williams College,

    Not Applicable,

    Medical School:

    Residency:

    Mercyhealth Behavioral Health Clinic -

    West

    1000 Mineral Point Ave

    (608) 756-5555

    Janesville, WI 53548

    Licensed Clinical Social Worker Practice Status:

    Otto, Kimberlyn, LCSW Open

    Board Certified: Not Applicable

    Univ of Wisconsin, Madison, WI

    Not Applicable,

    Medical School:

    Residency:

    Psychiatry Practice Status:

    Curtis, Erin, MD Open

    Board Certified: American Board of Psychiatry & Neurology

    Univ of Pittsburgh, Pittsburgh, PA

    Univ of WI, Madison, WI

    Medical School:

    Residency:

    Wagner, Richard, MD Open

    Board Certified: American Board of Psychiatry and Neurology

    St. George Univ School of Medicine,

    Texas Tech Univ Health Sciences Center, El Paso, TX

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 10 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Mercyhealth Cancer Ctr - Hem/Med

    Oncology

    1000 Mineral Point Ave

    (608) 756-6871

    Janesville, WI 53548

    Advanced Practice Nurse Prescriber Practice Status:

    Disch, Nicole, APRN Open

    Board Certified: American Nurses Credentialing Center (Adult-Gerontology Primary Care

    Nurse)Concordia Univ, Mequon, WI

    ,

    Medical School:

    Residency:

    Medical Oncology Practice Status:

    Robinson, Emily, MD Open

    Board Certified: American Board of Internal Medicine (Medical Oncology)

    Univ of Wisconsin Medical School, Madison, WI

    North Carolina Baptist Hospital, Winston-Salem, NC

    Medical School:

    Residency:

    Shekhani, Shahid, MD Open

    Board Certified: American Board of Internal Medicine (Medical Oncology)(Hospice &

    Palliative Care)Sind Medical College, Karachi, Pakistan

    Prince Georges Hospital Center, Cheverly, MD

    Medical School:

    Residency:

    Mercyhealth Cancer Ctr - Radiation

    Oncology

    1000 Mineral Point Ave

    (608) 756-6500

    Janesville, WI 53548

    Physician Assistant Practice Status:

    Johnson, Amanda, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    Western Michigan Univ, Kalamazoo, MI

    None,

    Medical School:

    Residency:

    Radiation Oncology Practice Status:

    Kozak, Kevin, MD Open

    Board Certified: American Board of Radiology-Radiation Oncology

    Vanderbilt Univ School of Medicine, Nashville, TN

    Harvard Radiation Oncology Program, Boston, MA

    Medical School:

    Residency:

    Mercyhealth Cardiac Rehab Center -

    Janesville

    1000 Mineral Point Ave

    (608) 756-6868

    Janesville, WI 53548

    Advanced Practice Nurse Prescriber Practice Status:

    Martin, Jennifer, APNP Open

    Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

    ,

    ,

    Medical School:

    Residency:

    Rye, Heidi, APNP Open

    Board Certified: American Nurses Credentialing Center (Adult-Gerontology Acute Care

    Nurse Practitioner)Univ of Wisconsin, Madison, WI

    ,

    Medical School:

    Residency:

    Cardiology Practice Status:

    Ahmed, Imdad, MD Open

    Board Certified: American Board of Internal Medicine (Cardiovascular

    Disease)(Electrophysiology)Gauhati Medical College, Guwahati Assam, India

    Bronx Lebanon Hospital Center, Bronx, NY

    Medical School:

    Residency:

    Cardiology Practice Status:

    Gulliver, Eugene, MD Open

    Board Certified: American Board of Internal Medicine (Cardiovascular

    Disease)(Interventional Cardiology)Medical College of Wisconsin, Milwaukee, WI

    Medical College of Wisconsin, Milwaukee, WI

    Medical School:

    Residency:

    Volkert, Paul, MD Open

    Board Certified: American Board of Internal Medicine (Cardiovascular

    Disease)(Interventional Cardiology)Medical College of Wisconsin, Wauwatosa, WI

    Medical College of WI Affiliated Hospitals, Milwaukee, WI

    Medical School:

    Residency:

    Cardio-Thoracic Surgery Practice Status:

    Goldstein, A. Sandor, MD Open

    Board Certified:

    McGill University, Canada

    University of Toronto, Tononto, Ontario, Canada

    Medical School:

    Residency:

    Wolnak, Kenneth, DO Open

    Board Certified: American Osteopathic Board of Thoracic Cardiovascular Surgery

    Chicago College of Osteopathic Medicine, Downers Grove, IL

    Chicago College of Osteopathic Medicine,

    Medical School:

    Residency:

    Cardiovascular Disease Practice Status:

    Chilukuri, Karuna, MD Open

    Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

    Jawaharlal Institute of Post Graduate Medical Education and Research,

    Pondicherry, IndiaSt. John Hospital and Medical Center, Detroit, MI

    Medical School:

    Residency:

    Stoiber, Thomas, MD Open

    Board Certified: American Board of Internal Medicine (Cardiovascular Disease)

    Univ of Wisconsin Medical School, Madison, WI

    Medical College of Wisconsin, Madison, WI

    Medical School:

    Residency:

    Clinical Cardiac Electrophysiology Practice Status:

    Narra, Leela, MD Open

    Board Certified: American Board of Internal Medicine (Clinical Cardiac Elecrtophysiology)(Cardiovascular Disease)Guntur Medical College, Andhra Pradesh India

    Cook County Hospital, Chicago, IL

    Medical School:

    Residency:

    Clinical Cardiac-Electrophysiology Practice Status:

    Smith, Jeffrey, MD Open

    Board Certified: American Board of Internal Medicine (Clinical Cardiac Electrophysiology)(Cardiovascular Disease)Univ of Illinois College of Medicine, Chicago, IL

    Northwestern Memorial Hospital, Chicago, IL

    Medical School:

    Residency:

    Interventional Cardiology Practice Status:

    Gulliver, Eugene, MD Open

    Board Certified: American Board of Internal Medicine (Cardiovascular

    Disease)(Interventional Cardiology)Medical College of Wisconsin, Milwaukee, WI

    Medical College of Wisconsin, Milwaukee, WI

    Medical School:

    Residency:

    Volkert, Paul, MD Open

    Board Certified: American Board of Internal Medicine (Interventional Cardiology)

    (Cardiovascular Disease )Medical College of Wisconsin, Wauwatosa, WI

    Medical College of WI Affiliated Hospitals, Milwaukee, WI

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 11 of 65W9

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    State of Wisconsin - 2020Pediatric Cardiology Practice Status:

    Kazmouz, Suhaib, MD Open

    Board Certified: American Board of Pediatrics (Pediatric Cardiology)

    Aleppo Univ, Aleppo, Syria

    Crozer Chester Medical Center, Chester, PA

    Medical School:

    Residency:

    Masood, Syed, MD Open

    Board Certified: American Board of Pediatrics

    Dow Medical Univ - Pakistan, Karachi Sindh Pakistan

    Louisiana State Univ Health Science Center, Shreveport, LA

    Medical School:

    Residency:

    Physician Assistant Practice Status:

    Dorshorst, Robert, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    Univ of Wisconsin - Madison, Madison, WI

    ,

    Medical School:

    Residency:

    Streff, Scott, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    Univ of Wisconsin, Madison, WI

    ,

    Medical School:

    Residency:

    Thoracic and Cardiac Surgery Practice Status:

    Snider, John, MD Open

    Board Certified: American Board of Thoracic Surgery (Thoracic and Cardiac Surgery)

    ,

    ,

    Medical School:

    Residency:

    Mercyhealth Child & Adolescent MH Program

    903 Mineral Point Avenue

    (608) 756-5555

    Janesville, WI 53548

    Child & Adolescent Mental Health

    ProgramPractice Status:

    Mercyhealth Child & Adol MHealth Pgm, , Open

    Board Certified: The Joint Commission

    Not Applicable,

    Not Applicable,

    Medical School:

    Residency:

    Mercyhealth Complementary Medicine

    1010 N Washington St

    (608) 741-6799

    Janesville, WI 53548

    Acupuncture Practice Status:

    Warnke, Matthew, Lac Open

    Board Certified: Not Applicable

    Southwest Acupuncture College, Santa Fe, New Mexico

    ,

    Medical School:

    Residency:

    Chiropractic Practice Status:

    Bridge, Karen, DC Open

    Board Certified: Not Applicable

    Palmer College of Chiropractic, Davenport, IA

    Not Applicable,

    Medical School:

    Residency:

    Priske, Scott, DC Open

    Board Certified: Not Applicable

    Palmer College of Chiropractic, Davenport, IA

    Not Applicable,

    Medical School:

    Residency:

    Mercyhealth Comprehensive Inpatient

    Rehab Ctr

    1000 Mineral Point Ave

    (608) 756-6822

    Janesville, WI 53548

    Physical Medicine & Rehabilitation Practice Status:

    Garcia, Ronald Allan M, MD Open

    Board Certified: American Board of Physical Medicine and Rehabilitation

    Univ of the East-Ramon Magsaysay Memorial Med Cntr, Philippines

    Rehabilitation Insititue of Chicago, Northwestern University Medical

    School, Chicago, IL

    Medical School:

    Residency:

    Mercyhealth Diabetes Center

    1010 N Washington St

    (608) 741-2459

    Janesville, WI 53548

    Family Medicine Practice Status:

    Reid, Timothy, MD Open

    Board Certified: American Board of Family Medicine

    Medical College of Ohio, Toledo, OH

    St. Elizabeth Med Cntr-South, Edgewood, KY

    Medical School:

    Residency:

    Mercyhealth Dialysis Center

    903 Mineral Point Ave

    (608) 741-3814

    Janesville, WI 53548

    Nephrology Practice Status:

    Anjum, Ehteshamul, MD Open

    Board Certified: American Board of Internal Medicine (Nephrology)

    Patna Medical College, Patna Bihar, India

    Metropolitan Hospital Center, New York, NY

    Medical School:

    Residency:

    Mercyhealth East

    3524 E Milwaukee St

    (608) 756-7100

    Janesville, WI 53546

    Advanced Practice Nurse Prescriber Practice Status:

    Baird, Susan, APNP Open

    Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

    Carlow Univ, Pittsburgh, PA

    ,

    Medical School:

    Residency:

    Allergy & Immunology Practice Status:

    Ragotzy, Ronald, MD Open

    Board Certified: American Board of Allergy and Immunology

    Wayne State Univ School of Medicine, Detroit, MI

    Southwest MI Area Health Education Center, Kalamazoo, MI

    Medical School:

    Residency:

    Dermatology Practice Status:

    Nelsen, David, MD Open

    Board Certified: American Board of Dermatology

    Univ of Minnesota, Minneapolis, MN

    Marshfield Clinic, Marshfield, WI

    Medical School:

    Residency:

    Endocrinology Practice Status:

    Litonjua, Patrick Paul, MD Open

    Board Certified:

    Univ of the Philippines College of Medicine, Manila, Philippines

    Univ of the Philippines-Philippine General Hospital, Ermita Manila

    Philippines

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 12 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Family Medicine Practice Status:

    Altbuch, Arthur, MD Open

    Board Certified: American Board of Family Medicine (Geriatric Medicine) (Sports Medicine)

    Albany Medical College, Albany, NY

    Bayfront Medical Center, St. Petersburg, FL

    Medical School:

    Residency:

    Bean, Ryne, MD Open

    Board Certified: American Board of Family Medicine

    Windsor Univ School of Medicine, Canyon, St Kitts and Nevis

    Mercyhealth Family Medicine Residency Program, Janesville, WI

    Medical School:

    Residency:

    Ewing, Debra, DO Open

    Board Certified: American Osteopathic Association

    Oklahoma State Univ, Tulsa, OK

    Via Christi Riverside Medical Center, Wichita, KS

    Medical School:

    Residency:

    Hahn, Leanne, MD Open

    Board Certified: American Board of Family Medicine

    Medical College of Wisconsin, Milwaukee, WI

    Mercy Health System Family Practice Residency Program, Janesville, WI

    Medical School:

    Residency:

    Hussli, Jennifer, MD Open

    Board Certified: American Board of Family Medicine

    Univ of Sint Eustatius School of Medicine, Goldenrock, Sint Eustatius, Netherlands, Dutch CaribbeanMercy Health System, Janesville, WI

    Medical School:

    Residency:

    Maldonado, Dennys, MD Open

    Board Certified: American Board of Family Medicine

    Ross University, North Brunswick, NJ

    Mercy Health System, Janesville, WI

    Medical School:

    Residency:

    Poste, Alethea, MD Open

    Board Certified: American Board of Family Medicine

    Univ Autonoma de Guadalajara, Guadalajar, Mexico

    Mercy Health System, Janesville, WI

    Medical School:

    Residency:

    Internal Medicine Practice Status:

    Bautista, Ryndon, MD Open

    Board Certified: American Board of Internal Medicine

    Univ of Philippines College of medicine, Manila, Philippines

    Univ of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL

    Medical School:

    Residency:

    Goelzer, Kristen, MD Closed

    Board Certified: American Board of Internal Medicine AND American Board of Pediatrics

    Medical College of Wisconsin, Milwaukee, WI

    Medical College of Wisconsin, Milwaukee, WI

    Medical School:

    Residency:

    Honarkhah, Nader, MD Open

    Board Certified:

    Medical College of Ohio, Toledo, OH

    Oakwood Hospital & Medical Center, Dearborn, MI

    Medical School:

    Residency:

    Khan, Kauseruzzaman, MD Open

    Board Certified: American Board of Internal Medicine

    Dhaka Medical College, Dhaka, Bangladesh

    Mercy Catholic Medical Center, Darby, PA

    Medical School:

    Residency:

    Ophthalmology Practice Status:

    Altaweel, Michael, MD Open

    Board Certified: American Board of Ophthalmology

    Dalhousie Univ Medical School, Halifax, NS, Canada

    Dalhousie Univ, Halifax, NS, Canada

    Medical School:

    Residency:

    Ophthalmology Practice Status:

    Lovelace, Kimberley, MD Open

    Board Certified: American Board of Ophthalmology

    Univ of Arkansas for Medical Sciences, Little Rock, AR

    Univ of Tennessee Medical, Memphis, TN

    Medical School:

    Residency:

    Optometry Practice Status:

    Rockwell, John, OD Open

    Board Certified: Not Applicable

    Illinois College of Optometry, Chicago, IL

    ,

    Medical School:

    Residency:

    Orthopedic Surgery Practice Status:

    Angeline, Michael, MD Open

    Board Certified: American Board of Orthopaedic Surgery (Orthopaedic Sports Medicine)

    Georgetown Univ School of Medicine, Washington, DC

    Univ of Chicago Medical Center, Chicago, IL

    Medical School:

    Residency:

    Palmer, Douglas, MD Open

    Board Certified: American Board of Orthopaedic Surgery

    Medical College of Wisconsin, Milwaukee, WI

    Univ of Illinois, Chicago, IL

    Medical School:

    Residency:

    Schulman, Sidney, MD Open

    Board Certified: American Board of Orthopaedic Surgery

    University of Toronto Faculty of Medicine, Toronto, ON

    University of Ottawa, Faculty of Medicine, Ottawa, ON

    Medical School:

    Residency:

    Otolaryngology Practice Status:

    Riggs, Landon, MD Open

    Board Certified: American Board of Otolaryngology

    Loyola Univ of Chicago Stritch School of Medicine, Maywood, IL

    Loyola Univ of Chicago, Maywood, IL

    Medical School:

    Residency:

    Yang, Eric, MD Open

    Board Certified: American Board of Otolaryngology

    Univ of Southern California, Keck School of Medicine, Los Angeles, CA

    Univ of Utah, Salt Lake City, UT

    Medical School:

    Residency:

    Pediatric Gastroenterology Practice Status:

    Deutsch, David, MD Open

    Board Certified: American Board of Pediatrics (Pediatric Gastroenterology)

    Univ of Illinois College of Medicine - Rockford, Rockford, IL

    Columbus Children's Hospital/The Ohio State Univ, Columbus, OH

    Medical School:

    Residency:

    Nguyen, Kim-Doan, MD Open

    Board Certified: American Board of Internal Medicine AND American Board of Pediatrics

    (Pediatric Gastroenterology)American Univ of the Caribbean School of Medicine, Coral Gables, FL

    Univ of Missouri-Columbia, Columbia, MO

    Medical School:

    Residency:

    Vortia, Eugene, MD Open

    Board Certified: American Board of Pediatrics (Pediatric Gastroenterology) and American Board of Internal MedicineUniv of Ghana Medical School, Korle Bu, ACCRA Ghanna

    MI State Univ - Kalamazoo Ctr for Medical Studies, Kalamazoo, MI

    Medical School:

    Residency:

    Pediatrics Practice Status:

    Goelzer, Mark, MD Open

    Board Certified: American Board of Pediatrics

    Univ of Wisconsin Medical School, Madison, WI

    University of MI Medical Center, Ann Arbor, MI

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 13 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Pediatrics Practice Status:

    Goelzer, Kristen, MD Closed

    Board Certified: American Board of Pediatrics AND American Board of Internal Medicine

    Medical College of Wisconsin, Milwaukee, WI

    Medical College of Wisconsin, Milwaukee, WI

    Medical School:

    Residency:

    Gordon, Christal, MD Open

    Board Certified: American Board of Pediatrics

    Creighton Univ School of Medicine, Omaha, NE

    Univ of Michigan Hospitals, Ann Arbor, MI

    Medical School:

    Residency:

    Loconto, Elizabeth, DO Open

    Board Certified: American Board of Pediatrics

    A.T. Still Univ, Kirksville College of Osteopathic Medicine, Kirksville, MO

    Children's Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, WI

    Medical School:

    Residency:

    Nowak, Blaine, MD Open

    Board Certified: American Board of Pediatrics

    Medical College of Wisconsin, Milwaukee, WI

    Milwaukee Childrens Hospital, Milwaukee, WI

    Medical School:

    Residency:

    Physician Assistant Practice Status:

    Murphy, Cristina, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    Midwestern Universit, Downers Grove, IL

    ,

    Medical School:

    Residency:

    Pechacek, Jaime, PA-c Open

    Board Certified: NCCPA

    Marquette University, Milwaukee, WI

    ,

    Medical School:

    Residency:

    Schnell, Tina, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    Univ of Colorado Health Science Center, Denver, CO

    Not Applicable,

    Medical School:

    Residency:

    Schulz, Eric, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    Rosalind Franklin Univ of Medicine and Science, North Chicago, IL

    ,

    Medical School:

    Residency:

    Podiatry Practice Status:

    Feuerstein, Catherine, DPM Open

    Board Certified: American Board of Foot and Ankle Surgery

    Scholl College of Podiatric Medicine, North Chicago, IL

    North Port VA Residency, North Port, NY

    Medical School:

    Residency:

    Reinicke, Alan, DPM Open

    Board Certified: American Board of Foot and Ankle Surgery

    Scholl College of Podiatric Medicine, Chicago, IL

    Not Applicable,

    Medical School:

    Residency:

    Rheumatology Practice Status:

    Bolek Berquist, Jilaine, MD Open

    Board Certified: American Board of Internal Medicine (Rheumatology)

    Univ of Illinois Collegeof Medicine, Rockford, IL

    Univ of Wisconsin Hospital & Clinics, Madison, WI

    Medical School:

    Residency:

    Mercyhealth East Urgent Care

    3524 E Milwaukee St

    (608) 756-8484

    Janesville, WI 53546

    Urgent Care Center Practice Status:

    Mercyhealth East Urgent Care, , Open

    Board Certified: Not Applicable

    Not Applicable,

    Not Applicable,

    Medical School:

    Residency:

    Mercyhealth Eye Center - Health Mall

    1010 N Washington St

    (608) 741-6794

    Janesville, WI 53548

    Optometry Practice Status:

    Dunphy, Erin, OD Open

    Board Certified: Not Applicable

    Southern College of Optometry, Memphis, TN

    Not Applicable,

    Medical School:

    Residency:

    McLaughlin, Michelle, OD Open

    Board Certified: Not Applicable

    Illinois College of Optometry, Chicago, IL

    ,

    Medical School:

    Residency:

    Rockwell, John, OD Open

    Board Certified: Not Applicable

    Illinois College of Optometry, Chicago, IL

    ,

    Medical School:

    Residency:

    Mercyhealth Eye Center - Janesville

    3524 E Milwaukee St

    (608) 756-7110

    Janesville, WI 53548

    Ophthalmology Practice Status:

    Bussa, John, MD Open

    Board Certified: American Board of Ophthalmology

    University of Texas Health Science Center, San Antonio, TX

    Walter Reed Army Medical Center, Washington, DC

    Medical School:

    Residency:

    Luellwitz, David, DO Open

    Board Certified: American Osteopathic Board of Ophthalmology

    Western Univ of Health Sciences, Pomona, CA

    Midwestern University, Olympia Fields, IL

    Medical School:

    Residency:

    Thomassen, Thom, MD Open

    Board Certified: American Board of Ophthalmology

    Duke University, Durham, NC

    Walter Reed Army Medical Center, Washington, DC

    Medical School:

    Residency:

    Whitehead, A. Jeffrey, MD Open

    Board Certified:

    Univ of Wisconsin, Madison, WI

    Washington Univ in St. Louis, St. Louis, MO

    Medical School:

    Residency:

    Optometry Practice Status:

    Dunphy, Erin, OD Open

    Board Certified: Not Applicable

    Southern College of Optometry, Memphis, TN

    Not Applicable,

    Medical School:

    Residency:

    McLaughlin, Michelle, OD Open

    Board Certified: Not Applicable

    Illinois College of Optometry, Chicago, IL

    ,

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 14 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Mercyhealth Hand Center

    557 N Washington St

    (608) 741-3812

    Janesville, WI 53548

    Orthopedic Surgery Practice Status:

    Palmer, Douglas, MD Open

    Board Certified: American Board of Orthopaedic Surgery

    Medical College of Wisconsin, Milwaukee, WI

    Univ of Illinois, Chicago, IL

    Medical School:

    Residency:

    Pittenger, David, MD Open

    Board Certified: American Board of Orthopaedic Surgery

    Medical College of Wisconsin, Milwaukee, WI

    Blodgett Memorial Medical Center, Grand Rapids MI

    Medical School:

    Residency:

    Mercyhealth Hospital & Trauma Center -

    Janesville

    1000 Mineral Point Ave

    (608) 756-6000

    Janesville, WI 53548

    Adult Addictions Program Practice Status:

    Mercyhealth Addiction Day Treatment Open

    Board Certified: The Joint Commission

    Not Applicable,

    Not Applicable,

    Medical School:

    Residency:

    Adult Mental Health Program Practice Status:

    Mercyhealth WINGS Program Open

    Board Certified: The Joint Commission

    Not Applicable,

    Not Applicable,

    Medical School:

    Residency:

    Advanced Practice Nurse Practice Status:

    Conway, Diane, NP Open

    Board Certified: ANCC

    Univ of Alabama, Huntsville, AL

    ,

    Medical School:

    Residency:

    Dodson, Dayna, NP Open

    Board Certified: ANCC

    Concordia University, Mequon, WI

    ,

    Medical School:

    Residency:

    Lee, Sandra, RN Open

    Board Certified: American Nurses Credentialing Center (Adult-Gerontology Primary Care

    Nurse Practitioner)Univ of Cincinnati, Cincinnati, OH

    ,

    Medical School:

    Residency:

    Advanced Practice Nurse Prescriber Practice Status:

    Chady, Heather, ACNP Open

    Board Certified: ANCC

    Marquette University, Milwaukee, WI

    ,

    Medical School:

    Residency:

    Jensen, Nichelle, APNP Open

    Board Certified: American Nurses Credentialing Center

    ,

    ,

    Medical School:

    Residency:

    Wallace, Jessica, NP Open

    Board Certified: ANCC

    Walden University, Minneapolis, MN

    ,

    Medical School:

    Residency:

    Family Medicine Practice Status:

    Aziz, Imad, DO Open

    Board Certified: American Board of Family Medicine

    Chgo College of Osteopathic Med, Downers Grove, IL

    Medical College of WI, Milwaukee, WI

    Medical School:

    Residency:

    Kaur, Amandeep, MD Open

    Board Certified:

    Ross University, Roseau

    Mercy Janesville, Janesville, WI

    Medical School:

    Residency:

    Hospital Practice Status:

    Mercyhealth Hospital & Trauma Center - Jvl, , Open

    Board Certified: The Joint Commission

    Not Applicable,

    Not Applicable,

    Medical School:

    Residency:

    Infectious Disease Practice Status:

    Baig, Mirza, MD Open

    Board Certified: American Board of Int Med/Inf Dis

    Dow Medical College, Karachi

    Rosaling Franklin Univ, N Chgo, IL

    Medical School:

    Residency:

    Medical Oncology Practice Status:

    Pauff, James, MD Open

    Board Certified: American Board of Internal medicine

    Ohio State Univ, Columbus, OH

    Vanderbilt Univ Sch of Med, Nashville, TN

    Medical School:

    Residency:

    Neurology Practice Status:

    Levine, Ross, MD Open

    Board Certified: American Board of Psychiatry and Neurology

    UW Medical School, Madison, WI

    UW Health, Madison, WI

    Medical School:

    Residency:

    Physician Assistant Practice Status:

    Dombeck, Nathan, PA Open

    Board Certified: NCCPA

    Marquette Univ, Milwaukee, WI

    ,

    Medical School:

    Residency:

    Rasmussen, Alyssa, Pa-C Open

    Board Certified: NCCPA

    UW Lacrosse, LaCrose, WI

    ,

    Medical School:

    Residency:

    Winkels, Joyce, PA-C Open

    Board Certified: National Commission on Certification of Physician Assistants

    University of Wisconsin at Madison, Madison, WI

    ,

    Medical School:

    Residency:

    Psychiatry Practice Status:

    Khan, Ahadullah, DO Open

    Board Certified: Americna Board of Psychiatry & Neurology

    Michigan State Univ, East Lansing, MI

    Ozark center, Joplin MO

    Medical School:

    Residency:

    Rupert, Loucresie, DO Open

    Board Certified: American Board of Psychiatry & Neurology

    Univ of South Alabama College of Medicine, Mobile, AL

    Univ of S Alabama, Mobile, Al

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 15 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Pulmonary Disease Practice Status:

    Habel, Alfred, MD Open

    Board Certified: American Board of Int Med

    Medical College of WI, Milwaukee, WI

    Hennepin County Med Ctr, Minneapolis, MN

    Medical School:

    Residency:

    Lababidy, Muhammad, MD Open

    Board Certified: American Board of Internal Medicine

    Damascus Univ, Damascus

    Univ of IL, Chgo, IL

    Medical School:

    Residency:

    Radiation Oncology Practice Status:

    Burr, Adam, MD, PhD Open

    Board Certified:

    Univ of Cincinnatti, Cincinnatto, OH

    Univ of Wisconsin, Madison, WI

    Medical School:

    Residency:

    Surgery Practice Status:

    Sauter, Douglas, MD Open

    Board Certified: American Board of Surgery

    University of Illinois, Rockford, IL

    VA Des Moines Med Ctr, Des Moines, IA

    Medical School:

    Residency:

    Mercyhealth Hospital Emergency

    Department -Janesville

    1000 Mineral Point Ave

    (608) 756-6611

    Janesville, WI 53548

    Emergency Department Practice Status:

    Mercyhealth Hospital & Trauma Center - Jvl, , Open

    Board Certified: The Joint Commission

    ,

    ,

    Medical School:

    Residency:

    Mercyhealth HPB Outpatient Palliative Care Clinic

    903 Mineral Point Ave

    (608) 563-7720

    Janesville, WI 53548

    Advanced Practice Nurse Prescriber Practice Status:

    van Veldhuisen, Kathleen, APNP Open

    Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

    Univ of Wisconsin, Madison, WI

    ,

    Medical School:

    Residency:

    Medical Oncology Practice Status:

    Green, Dena, MD Open

    Board Certified: American Board of Internal Medicine (Hospice & Palliative Medicine; and

    Medical Oncology)Medical College of Wisconsin, Milwaukee, WI

    Medical College of Wisconsin, Milwaukee, WI

    Medical School:

    Residency:

    Mercyhealth Lung Center

    903 Mineral Point Ave

    (608) 752-6255

    Janesville, WI 53548

    Pulmonary Disease Practice Status:

    Tuck, Hazen, MD Open

    Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care

    MedicineThe Chicago Medical School (Rosalind Franklin Univ), North Chicago, IL

    Univ of Illinois, Peoria, IL

    Medical School:

    Residency:

    Pulmonary Disease (Critical Care

    Medicine)Practice Status:

    Cook, Robert, MD Open

    Board Certified: American Board of Internal Medicine (Sleep Medicine)

    OH State University College of Medicine, Columbus, OH

    Barnes Hosp, Washington U, St. Louis, MO

    Medical School:

    Residency:

    Mercyhealth Mall

    1010 N Washington St

    (608) 741-2430

    Janesville, WI 53548

    Advanced Practice Nurse Prescriber Practice Status:

    Cleveland, Michelle, NP Open

    Board Certified: AANP

    Marian Univ, Fond du lac, WI

    ,

    Medical School:

    Residency:

    McCarthy, Leaellyn, APNP Open

    Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

    Samford University, Birmingham, AL

    ,

    Medical School:

    Residency:

    Family Medicine Practice Status:

    Perez, Enrique, MD Open

    Board Certified: American Board of Family Medicine

    Medical College of Wisconsin, Milwaukee, WI

    Medical College of Wisconsin/St. Luke's Hospital, Racine, WI

    Medical School:

    Residency:

    Internal Medicine Practice Status:

    Pogorelova, Mariya, MD Open

    Board Certified: American Board of Internal Medicine

    Karaganda State Medical Institute, Varagana, Vazakhstan

    St. Joseph Hospital, Joel, MD

    Medical School:

    Residency:

    Optometry Practice Status:

    Moseman, Kristin, OD Open

    Board Certified: Not Applicable

    Illinois College of Optometry, Chicago, IL

    ,

    Medical School:

    Residency:

    Podiatry Practice Status:

    Zainer, Gregory, DPM Open

    Board Certified: American Board of Podiatric Medicine

    Ohio College of Podiatric Medicine, Cleveland, OH

    Not Applicable,

    Medical School:

    Residency:

    Mercyhealth Michael Berry Building

    1000 Mineral Point Ave

    (608) 756-6588

    Janesville, WI 53548

    Advanced Practice Nurse Practice Status:

    Salter Braun, Nicole, APNP Open

    Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner)

    Univ of Wsconsin - Milwaukee, Milwaukee, WI

    ,

    Medical School:

    Residency:

    Advanced Practice Nurse Prescriber Practice Status:

    Nehls, Teresa, APNP Open

    Board Certified: ANCC

    Marian College of Fond du Lac, Fond Du Lac, WI

    ,

    Medical School:

    Residency:

    8/13/2019 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 16 of 65W9

  • MercyCare Health Plans Provider Directory

    State of Wisconsin - 2020Advanced Practice Nurse Prescriber Practice Status:

    Schlueter, Stephanie, APNP Open

    Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

    Univ of Wisconsin, Madison, WI

    ,

    Medical School:

    Residency:

    Gastroenterology Practice Status:

    Castillo, Rodrigo, MD Open

    Board Certified: American Board of Internal Medicine (Gastroenterology)

    P. Universidad Javeriana, Bogota, Columbia

    Hahnemann Univ Hospital, Philadelphia, PA

    Medical School:

    Residency:

    Khoury, Ramez, MD Open

    Board Certified: American Board of Internal Medicine (Gastroenterology)

    Damascus Univ, Damascus, Syria

    The Graduate Hospital, Philadelphia, PA

    Medical School:

    Residency:

    Hematology and/or Medical Oncology Practice Status:

    Bamrolia, Anshul, MD Open

    Board Certified: American Board of Internal Medicine

    ,

    ,

    Medical School:

    Residency:

    Physician Assistant Practice Status:

    Hughes, Angela, PA-C Closed

    Board Certified: National Commission on Certification of Physician Assistants

    Univ of Texas Medical Branch, Galveston, TX

    ,

    Medical School:

    Residency:

    Mcbride, Karleen, PA Open

    Board Certified: NCCPA

    Marquette University, Milwaukee, Wi

    ,

    Medical School:

    Residency:

    Mercyhealth Neurosurgery Center

    1000 Mineral Point Ave

    (608) 756-6826

    Janesville, WI 53548

    Advanced Practice Nurse Prescriber Practice Status:

    Bestland, Jennifer, APNP Open

    Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner)

    Marquette Univ College of Nursing, Milwaukee, WI

    Not Applicable,

    Medical School:

    Residency:

    Castelein, Courtney, APNP Open

    Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner)

    Chamerlain College, Downers Grove, IL

    ,

    Medical School:

    Residency:

    Hanson, Cynthia, NP Open

    Board Certified: ANCC

    St Anthony College of Nursing, Rockford, IL

    ,

    Medical School:

    Residency:

    Neurological Surgery Practice Status:

    Rust, Merle, MD Open

    Board Certified: American Board of Neurological Surgery

    Univ of Illinois College of Medicine, Peoria, IL

    Univ of Illinois College of Medicine, Peoria, IL

    Medical School:

    Residency:

    Sturm, Christopher, MD Open

    Board Certified: American Board of Neurological Surgery

    St. Louis Univ School of Medicine, St. Louis, MO

    St. Louis Univ School of Medicine, St. Louis, MO

    Medical School:

    Residency:

    Neurology Practice Status:

    Holla, Smitha, MD Open

    Board Certified: American Board of Psychiatry and Neurology

    Bangalore Medical College and Research Institute, Bengaluru, Karnataka, IndiaUniv of Wisconsin Hospital & Clinics, Madison, WI

    Medical School:

    Residency:

    Wallery, Shawn, MD Open

    Board Certified: American Board of Psychiatry and Neurology (Neruomuscular Medicine)

    Ross Univ School of Medicine, Ediston, NJ

    Loyola Medical Center, Maywood, IL

    Medical School:

    Residency:

    Mercyhealth North

    3400 Deerfield Dr

    (608) 314-3600

    Janesville, WI 53546

    Family Medicine Practice Status:

    Dabson, Janet, MD Open

    Board Certified: American Board of Family Medicine

    St. George's Univ, Grenada, West Indies

    Mercy Health System Family Practice Residency Program, Janesville, WI

    Medical School:

    Residency:

    Kramer, Tamara, MD Open

    Board Certified: American Board of Family Medicine

    University of WI- Madison, Madison, WI

    Mercy Family Medicine Residency Program, Janesville, WI

    Medical School:

    Residency:

    Obstetrics and Gynecology Practice Status

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