icare Medicare Plan (HMO SNP) PROVIDER/PHARMACY DIRECTORY Shawano Sheboygan Waupaca Waushara Winnebago Manitowoc Marinette Menominee Oconto Outagamie

Transcription

1 2019 icare Medicare Plan (HMO SNP) PROVIDER/PHARMACY DIRECTORY Brown Calumet Door Fond du Lac Kewaunee Manitowoc Marinette Menominee Oconto Outagamie Shawano Sheboygan Waupaca Waushara Winnebago Updated 3/2019

2 icare Medicare Plan (HMO SNP) 2019 Provider Directory This directory is current as of 3/31/2019. This directory provides a list of icare Medicare Plan s network providers. This directory is for Brown, Calumet, Door, Fond du Lac, Kewaunee, Manitowoc, Marinette, Menominee, Oconto, Outagamie, Shawano, Sheboygan, Waupaca, Waushara and Winnebago counties. To access icare Medicare Plan s online provider directory, you can visit For any questions about the information contained in this directory, please call our Customer Service Department at , 24 hours-a-day, 7 days-a-week (office hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.). TTY users should call This information is available in a different format, including large print and Braille. Please call Customer Service at the number listed above if you need plan information in another format or language. icare Medicare Plan (HMO SNP) is a Coordinated Care plan with a Medicare contract and a contract with the State Medicaid program. Enrollment in the icare Medicare Plan depends on contract renewal. The pharmacy network may change at any time. H2237_IC1998_C

3 Notice Informing Individuals About Nondiscrimination and Accessibility Requirements: Discrimination is Against the Law Independent Care Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Independent Care Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Independent Care Health Plan: Provides free aids and services to people with disabilities to communicate effectively with us, such as: o o Qualified sign language interpreters Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not, such as: o o Qualified interpreters Information written in other languages If you need these services, contact Customer Service at (TTY: ), 24 hours a day, 7 days a week (Office hours: Monday Friday, 8:30 a.m. 5:00 p.m.). If you believe that Independent Care Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: QAPI Nurse Ellen Wiesner, 1555 N. RiverCenter Dr., Suite 206, Milwaukee, WI 53212, (TTY: ), , ewiesner@icare-wi.org. You can file a grievance in person or by mail, fax, or . If you need help filing a grievance, QAPI Nurse Ellen Wiesner 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 or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, , (TDD). Complaint forms are available at

4 : ATTENTION: If you speak, language assistance services, free of charge, are available to you. Call (TTY: ). Spanish: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: ). Hmong: LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau (TTY: ). Chinese: 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (TTY: ). German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (TTY: ). Arabic: Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп: ). Korean: 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 (TTY: ) 번으로전화해주십시오. Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: ). Pennsylvania Dutch: Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call (TTY: ). Laotian: ໂປດຊາບ: ຖ າວ າ ທ ານເວ າພາສາ ລາວ, ການບ ລ ການຊ ວຍເຫ ອດ ານພາສາ, ໂດຍບ ເສ ຽຄ າ, ແມ ນມ ພ ອມໃຫ ທ ານ. ໂທຣ (TTY: ). French: ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (ATS: ). Polish: UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer (TTY: ). Hindi: ध य न द : यदद आप ह द ब लत ह त आपक ललए म फ त म भ ष सह यत स व ए उपलब ध ह (TTY: ) पर क ल कर Albanian: KUJDES: Nëse flitni shqip, për ju ka në dispozicion shërbime të asistencës gjuhësore, pa pagesë. Telefononi në (TTY: ). Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (TTY: ).

5 Table of Contents Section 1 Introduction... What is the service area for icare Medicare Plan?... How do you find icare Medicare Plan providers in your area?... Section 2 List of Network Providers... Primary Care... Specialist... Ancillary... Dental... Vision... Behavioral Health Provider or Facility... Facility... Hospital... Urgent Care/ Walk in Clinic... Skilled Nursing Facility... Durable Medical Equipment and Supplies... Home Care Services... Rehabilitation (PT, OT, SLP)... Section 3 Pharmacy Directory... Introduction... Indian Health Service/tribal/urban Indian Health... Long term Care... Mail Order... Pharmacy... Retail... Home Infusion... Alphabetical Index

6 Section 1 Introduction This directory provides a list of icare Medicare Plan s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC). icare Medicare Plan requires you to select a primary care physician (PCP). If you do not select a PCP, one will be assigned to you. A PCP helps you coordinate all of your medical needs. When you have a health concern, call your doctor s office. If you think you need to see another doctor, or a specialist, ask your PCP. Your doctor will help decide if you need to see another physician and will give you a referral, if necessary. Your PCP may be a Family Practice, Internal Medicine or General Practice doctor. This guide lists the doctors and clinics that are part of the icare Medicare Plan provider network. If you already have a doctor, look through the list to see if he or she is part of the icare Medicare Plan provider network. Women may choose a women s health specialist (OB/GYN or nurse midwife) without a referral from your PCP. If you need help choosing a doctor from this directory, please call our Customer Service Department at , 24 hours-a-day, 7 days-a-week. TTY users should call The network providers listed in this directory have agreed to provide you with your health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers. If an out-of-network provider asks you to pay for covered services, please contact Customer Service. It is best to ask an out-of-network provider to bill us first, but if you have already paid for the covered services, we will pay you for our share of the cost. If you get a bill for the services, you may send the bill to us for payment. We will pay the provider for our share of the bill and will let you know what, if anything, we have paid. In most situations, if you are in the plan s service area, we will cover urgently needed care only if you get this care from a network provider. If the circumstances are unusual or extraordinary, and network providers are temporarily unavailable or inaccessible, our plan will cover urgently needed care that you get from an out-ofnetwork provider. Suppose that you are temporarily outside of our plan s service area but still in the United States. If you have an urgent need for care, you probably will not be able to find or get to one of the providers in our plan s network. In this situation (when you are outside of the service area and cannot get care from a network provider), our plan will cover urgently needed care that you get from any provider. Emergency care can always be obtained in or out of the service area from the nearest available provider. In addition, when out of the service area, you can obtain dialysis treatment from any qualified dialysis provider. You must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor icare Medicare Plan will be responsible for the costs. 1

7 What is the service area for icare Medicare Plan? The counties in our service area are listed below: Adams, Brown, Calumet, Columbia, Crawford, Dane, Door, Fond du Lac, Grant, Green, Green Lake, Iowa, Jackson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Manitowoc, Marinette, Menominee, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Racine, Richland, Rock, Sauk, Shawano, Sheboygan, Trempealeau, Vernon, Walworth, Washington, Waukesha, Waupaca, Waushara, and Winnebago. How do you find icare Medicare Plan providers in your area? To find a network provider in your area, please go to the provider directory. If you have questions about icare Medicare Plan please call our Customer Service, at (TTY users, ), 24 hours-aday, 7 days-a-week (office hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.). Or, visit Providers may change at any time. You will receive notice when necessary. 2

8 Section 2 List of Network Providers All providers in this provider directory accept both Medicare and Medicaid. 3

9 ADULT CARE NURSE PRACTITIONER Brown County CONLIN, RACHEL NP MOEN, KRISTEN NP OLSON, CHRISTINA NP Door County CRAANEN, HANNAH APNP PATZA, ANDREA NP Fond Du Lac County CAIRNS, JAMMI APNP DALZELL, MARY APNP DELI, MARY MS,NP,, APNP DIENER, MEGAN APNP MICHELS, LISA APNP MILLER, KATHRYN APNP RUSCH, JEAN APNP RUSCH, JEAN APNP STRAUSS, ROBIN APNP BROTZMAN, JOLINE NP Primary Care 1364 Providers AURORA GREENBRIER RD GREEN BAY AURORA BAYCARE MEDICAL 2845 GREENBRIER RD GREEN BAY AURORA 2890 LINEVILLE RD GREEN BAY ,french,italian DOOR COUNTY MEDICAL S 18TH AVE STURGEON BAY AURORA 1910 ALABAMA ST STURGEON BAY ST AGNES HOSPITAL E DIVISION ST FOND DU LAC FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC APM FOND DU LAC CLINIC 210 WISCONSIN AMERICAN FOND DU LAC DR FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC AGNESIAN CANCER 480 E DIVISION ST FOND DU LAC ST AGNES HOSPITAL 430 E DIVISION ST FOND DU LAC AGNESIAN PLASTIC SURGERY & 1088 S MAIN ST FOND DU LAC COSMETIC SERVICES FOND DU LAC REGIONAL 608 W BROWN ST FOND DU LAC CLINIC - WAUPUN FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC AURORA 700 PARK RIDGE LN NORTH FOND DU LAC

10 RUSCH, JEAN APNP Manitowoc County CONLIN, RACHEL NP Marinette County GAVARAS, ELAINE APNP Oconto County PAGE, PAMELA NULL Outagamie County DELI, MARY MS,NP,, APNP KASUBOSKI, PAULA NP MEIERS, SARA NP Sheboygan County CONLIN, RACHEL NP DELI, MARY MS,NP,, APNP Winnebago County MEIERS, SARA NP CONLIN, RACHEL NP FAMILY MEDICINE Brown County CHATURVEDI, MANISHA MD COLASSACCO, LAWRENCE MD Primary Care FOND DU LAC REGIONAL 420 E DIVISION ST RIPON CLINIC - RIPON Providers AURORA 5000 MEMORIAL DR TWO RIVERS AURORA BAYCARE MEDICAL 3003 UNIVERSITY DR MARINETTE OCONTO COUNTY HUMAN 501 PARK AVE OCONTO SERVICES PAIN S OF WISCONSIN - APPLETON CASALOMA DRIVE APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON AURORA N 7TH ST SHEBOYGAN APM SHEBOYGAN CLINIC 2124 KOHLER MEMORIAL DR SHEBOYGAN THEDACARE BEHAVIORAL N GREEN BAY RD NEENAH AURORA 855 N WESTHAVEN DR OSHKOSH AURORA CHICAGO ST,hindi DE PERE AURORA 1881 CHICAGO ST DE PERE

11 CRUZ, STEPHEN MD HODULIK, MICHAEL MD HUNTER, KELLY DO KIEFFER, LESLEY DO LASECKI, CYNTHIA MD NOVOTNY, STEVEN DO WOZNEY, BRADLEY MD BEDI, SABEEHA MD CONNELLY, MARY MD DAUGHTRY, BARRY MD DEGEN, SHANE MD DITCHEN, IZABELA MD DURANT, TAMMY MD EBBEN, JAMES MD EBBEN, JAMES MD FAGRE, TIMOTHY MD FUGLESTAD, LOREN MD GAST, JAMES MD Primary Care Providers FMC WEST DEPERE LAWRENCE DR DE PERE FMC WEST DEPERE 1800 LAWRENCE DR DE PERE FMC WEST DEPERE 1800 LAWRENCE DR DE PERE FMC WEST DEPERE 1800 LAWRENCE DR DE PERE FMC WEST DEPERE 1800 LAWRENCE DR DE PERE FMC EAST DEPERE 555 REDBIRD CIR STE 300 DE PERE FMC DENMARK 595 COUNTY ROAD R DENMARK FMC BELLEVUE 3263 EATON RD GREEN BAY THE CANCER TEAM AT BELLIN 1580 COMMANCHE AVE GREEN BAY CLINICA HISPANA 704 S WEBSTER AVE STE GREEN BAY BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST FMC HOWARD 2714 RIVERVIEW DR GREEN BAY FMC HOWARD 2714 RIVERVIEW DR GREEN BAY BELLIN SPORTS 1970 S RIDGE RD GREEN BAY MEDICINE & ORTHOPEDICS - TITLETOWN BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST AURORA 1565 ALLOUEZ AVE GREEN BAY FMC HOWARD 2714 RIVERVIEW DR GREEN BAY BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST

12 GOOLSBY, PHILIP MD GUO, DANQING MD HARKNESS, BARBARA MD HIDDE, MELISSA MD JERZAK, JAMES MD KOSTER, DANIEL MD LEMKUIL, DANIEL MD LEMKUIL, DANIEL MD LIM, CHARLOTTE MD MAGNIN, JULIE MD MAQBOUL, AHMAD MD MCHENRY, MICHAEL MD MEAD, ROBERT MD MEYER, MICHAEL MD MEYER, MICHAEL MD MINIKEL, MICHELLE MD MOHR, STACY MD Primary Care 1364 Providers AURORA ALLOUEZ AVE GREEN BAY BAYCARE CLINIC, LLP 2401 HOLMGREN WAY GREEN BAY ,chinese,mandarin BELLIN WOUND 744 S WEBSTER AVE FL 5 GREEN BAY HEALING BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST DANIEL G KOSTER MD SC 704 S WEBSTER AVE STE 1C GREEN BAY BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST BELLIN PSYCHIATRIC 301 E SAINT JOSEPH ST GREEN BAY AURORA 2845 GREENBRIER RD GREEN BAY ,chinese,malay,mandarin AURORA 2253 W MASON ST STE 200 GREEN BAY AURORA 1160 KEPLER DR GREEN BAY FMC BELLEVUE 3263 EATON RD GREEN BAY BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST FMC BELLEVUE 3263 EATON RD GREEN BAY GREEN BAY EMERGENCY 744 S WEBSTER AVE GREEN BAY MEDICINE SERVICES FMC WEBSTER 704 S WEBSTER AVE STE GREEN BAY BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST

13 PHILLIPS, MAUREEN MD REYNDERS, WILLIAM MD SHERRILL, PIERCE DO SINGH, SABINA MD TRAWITZKI, ALYSSA MD VANDENLANGENBERG, RACHAEL DO KROLL, MARK DO QUIDZINSKI, ERICH DO MALTINSKI, GENADI MD Calumet County SIPPLE, CHRISTOPHER MD Door County JOHNSON, RORY MD REBHAN, JOSEPH MD MAES, PAUL DO ALEKSANDROWICZ, MICHAEL MD ARNOLD, PHILLIP DO GREENLAW, PAUL MD Primary Care 1364 Providers BELLIN SPORTS MEDICINE WEST COMMANCHE AVE GREEN BAY BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST AURORA BAYCARE 3237 VOYAGER DR GREEN BAY ,spanish FMC BELLEVUE 3263 EATON RD GREEN BAY FMC HOWARD 2714 RIVERVIEW DR GREEN BAY FMC BELLEVUE 3263 EATON RD GREEN BAY AURORA 4070 EQUESTRIAN LN NEW FRANKEN AURORA 4070 EQUESTRIAN LN NEW FRANKEN FMC PULASKI 723 S WISCONSIN ST PULASKI FMC BRILLION 964 W RYAN ST STE B BRILLION DOOR COUNTY MEDICAL FISH CREEK CLINIC STATE HIGHWAY 42 FISH CREEK DOOR COUNTY MEDICAL 3711 STATE HIGHWAY 42 FISH CREEK FISH CREEK CLINIC AURORA S BAY SHORE DR SISTER BAY SISTER BAY ,dutch AURORA 1910 ALABAMA ST STURGEON BAY DOOR COUNTY MEDICAL 323 S 18TH AVE STURGEON BAY ,spanish FMC STURGEON BAY 311 N 3RD AVE STURGEON BAY

14 KUREK, ANDRZEJ MD MAES, PAUL DO MARTENS, SANDRA MD* MICHALSKI, TOMASZ MD O'CONNOR, BRITAIN MD LUX, BETH MD Fond Du Lac County BERGAN, TIMOTHY DO COLMENARES, DEREK MD* DIAS, JOSE MD EL-SHAHAT, TAHA MD FABRICIUS, THOMAS MD JESSEN, KEVIN MD KASPER, LYNDA MD* NAGLE, BRE ANNA MD NAGLE, ROBERT DO NEWTON, ROBERT DO Primary Care Providers DOOR COUNTY MEDICAL S 18TH AVE STURGEON BAY AURORA 1910 ALABAMA ST STURGEON BAY ,dutch DOOR COUNTY MEDICAL 323 S 18TH AVE STURGEON BAY ,german DOOR COUNTY MEMORIAL 323 S 18TH AVE STURGEON BAY AURORA 1910 ALABAMA ST STURGEON BAY DOOR COUNTY MEDICAL 910 MAIN RD WASHINGTON WASHINGTON ISLAND ISLAND CLINIC AURORA 210 WISCONSIN AMERICAN DR FOND DU LAC FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC AGNESIAN CONVENIENT CARE 145 N MAIN ST FOND DU LAC CLINIC ,portuguese FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC AURORA 210 WISCONSIN AMERICAN FOND DU LAC DR FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC FOND DU LAC REGIONAL 608 W BROWN ST FOND DU LAC CLINIC - WAUPUN FOND DU LAC REGIONAL 608 W BROWN ST FOND DU LAC CLINIC - WAUPUN FOND DU LAC REGIONAL 608 W BROWN ST FOND DU LAC CLINIC - WAUPUN

15 PAJARILLO, RAMON MD SCHMIDT, HEATHER DO* SHARDA, MANISH DO TIMMERMANS, PETER MD UDLIS, SETH MD STRONG, JEFFREY MD FRANCK, BARBARA MD LYDAY, TAMARA DO SREENIVASARAO, KANDIPATI DO STRITTMATTER, ELIZABETH DO FENSKE, DANIELLE DO GAUTHIER, RICHARD MD GLOD, STEPHANIE DO JESSEN, KEVIN MD LONGO, JOSEPH DO PASZKIEWICZ, EWA MD Primary Care 1364 Providers AURORA 210 WISCONSIN AMERICAN DR FOND DU LAC ,tagalog FOND DU LAC REGIONAL 912 S HICKORY ST FOND DU LAC CLINIC - WEST FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC ,hindi,punjabi,urdu FOND DU LAC REGIONAL 608 W BROWN ST FOND DU LAC CLINIC - WAUPUN FOND DU LAC REGIONAL 912 S HICKORY ST FOND DU LAC CLINIC - WEST FOND DU LAC REGIONAL 100 EVERGREEN RD MOUNT CALVARY CLINIC - MT CALVARY FOND DU LAC REGIONAL CLINIC 723 PARK RIDGE LN NORTH FOND NORTH FOND DU LAC DU LAC AURORA 700 PARK RIDGE LN NORTH FOND DU LAC FOND DU LAC REGIONAL CLINIC 723 PARK RIDGE LN NORTH FOND NORTH FOND DU LAC DU LAC &,english,telugu FOND DU LAC REGIONAL CLINIC 723 PARK RIDGE LN NORTH FOND NORTH FOND DU LAC DU LAC RIPON MEDICAL 835 PARKSIDE ST RIPON RIPON MEDICAL 835 PARKSIDE ST RIPON RIPON MEDICAL 835 PARKSIDE ST RIPON AURORA 1242 W FOND DU LAC ST RIPON THEDACARE MEDICAL 1080 W FOND DU LAC ST RIPON BERLIN INC REHABILITATION SERVICES RIPON MEDICAL 835 PARKSIDE ST RIPON

16 WEBER, LISA MD Kewaunee County ANDERSON, ROBERT MD SANCHEZ, SARAH MD OLSON, ALLAN MD Manitowoc County DEUBLER, DAVID MD JAMMALI, EMAN MD ACCESS COMMUNITY S ALLEN, JEFFREY MD AUGUSTINE, DAVID MD CORRIGAN, JEFFREY MD DELO, MARJORIE MD HOFFMAN, MICHAEL MD HUDZINSKI, JANEEN MD JOHNSON, SHELLY MD KORDIYAK, CHRISTOPHER MD KVIDERA, AMY MD LEIKNES, BRETT MD LINBOOM, ELMER MD MULHERON, BRYAN DO Primary Care 11 FOND DU LAC REGIONAL 420 E DIVISION ST RIPON CLINIC - RIPON Providers BELLIN ALGOMA PARKER AVE ALGOMA BELLIN ALGOMA 831 PARKER AVE ALGOMA FMC KEWAUNEE 575 4TH ST KEWAUNEE AURORA SHEBOYGAN CLINIC SERVICE RD KIEL AURORA SHEBOYGAN CLINIC 1001 SERVICE RD KIEL ,arabic 1318 S 25TH ST MANITOWOC HFM CLINIC AT FELICIAN 1635 S 21ST ST MANITOWOC VILLAGE HFM FAMILY MEDICINE 1650 S 41ST ST MANITOWOC HFM FAMILY MEDICINE 1650 S 41ST ST MANITOWOC LAKESHORE ORTHOPEDICS 1650 S 41ST ST MANITOWOC FMC MANITOWOC 3415 CUSTER ST STE D MANITOWOC HFM FAMILY MEDICINE 1650 S 41ST ST MANITOWOC AURORA URGENT CARE 3509 DEWEY ST MANITOWOC FMC MANITOWOC 3415 CUSTER ST STE D MANITOWOC HFM FAMILY MEDICINE 1650 S 41ST ST MANITOWOC AURORA 4100 DEWEY ST MANITOWOC AURORA 4100 DEWEY ST MANITOWOC AURORA 4100 DEWEY ST MANITOWOC

17 Primary Care 1364 Providers PITRE, CHERYL-LYNN MD HFM CLINIC AT SHADY LANE 1235 S 24TH ST MANITOWOC POULSON-PORT, ANDREA MD AURORA 4100 DEWEY ST MANITOWOC SHERRILL, PIERCE DO AURORA 4100 DEWEY ST MANITOWOC ,spanish BENSI, DEBORA MD AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS ,italian,spanish HESTER-DIAZ, JULIA MD AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS KROISS, JANNA DO AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS LIM, CHARLOTTE MD AURORA 5000 MEMORIAL DR TWO RIVERS ,chinese,malay,mandarin LINBOOM, ELMER MD AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS MULHERON, BRYAN DO AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS POULSON-PORT, ANDREA MD AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS SHERMAN, TRACY MD AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS SMITH, GLENN MD AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS Marinette County CURIO, PETER MD ELSHAIER, AMEL NP MAINHARDT, MARIANNE NP SINGH, PAWNEET MD ABIKOYE, TOLULOPE MD BENSI, DEBORA MD HEART FAILURE SURVIVAL OF AMERICA SC N US HIGHWAY 141 CRIVITZ HEART FAILURE SURVIVAL 515 N US HIGHWAY 141 CRIVITZ OF AMERICA SC AURORA BAY AREA MEDICAL 112 N US HIGHWAY 141 CRIVITZ GROUP BELLIN CRIVITZ 218 S US HIGHWAY 141 CRIVITZ AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE ,italian,spanish 12

18 BROWN, CHRISTY NP BROWN, CHRISTY NP CHALTRY, RACHEL DO CHOUDHURY, MRIDANI MD CLOUTIER, VICKIE MARIE MD CURIO, PETER MD ELSHAIER, AMEL NP HAUPT, PAUL DO JOHNSON, SHELLY MD MACK, THOMAS MD MAINHARDT, MARIANNE NP MOCHIZUKI-TAMAYO, HUMBERTO MD OPOIEN, JAMES MD SIMMONS, JON MD SINGH, PAWNEET MD SOBECK, MICHELE NP Primary Care Providers AURORA BAY AREA OLD PESHTIGO RD MARINETTE AURORA BAY AREA MEDICAL 3003 UNIVERSITY DR MARINETTE GROUP AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE HEART FAILURE SURVIVAL 1281 MARINETTE AVE MARINETTE OF AMERICA SC HEART FAILURE SURVIVAL 1281 MARINETTE AVE MARINETTE OF AMERICA SC BELLIN MARINETTE 2820 ROOSEVELT RD MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE AURORA BAY AREA MEDICAL 1510 UNIVERSITY DR MARINETTE GROUP AURORA BAY AREA MEDICAL 3003 UNIVERSITY DR MARINETTE GROUP BELLIN MARINETTE 2820 ROOSEVELT RD MARINETTE BELLIN MARINETTE 2820 ROOSEVELT RD MARINETTE BELLIN MARINETTE 2820 ROOSEVELT RD MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE

19 SOBECK, MICHELE NP VACHON, IVY MD WALOWAY, JENNIFER NP BROWN, CHRISTY NP NOGLER, CALVIN MD SOBECK, MICHELE NP Oconto County BALMADRID, LUZ MD CANADAY, LUCY MD SCOTT, PAUL DO Outagamie County GROTH SURGERY TCP IMAGING ECH TCP LAB ENCIRCLE THEDACARE BEHAVIORAL THEDACARE FASTCARE DARBOY THEDACARE FASTCARE NORTHLAND BAUER, JOYCE MD* BLANC, CAROLYN MD* Primary Care Providers AURORA BAY AREA MEDICAL GROUP UNIVERSITY DR MARINETTE BELLIN MARINETTE 2820 ROOSEVELT RD MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE AURORA BAY AREA MEDICAL 603 FRENCH ST PESHTIGO GROUP BELLIN PESHTIGO 441 FRENCH ST PESHTIGO CLINIC AURORA BAY AREA MEDICAL 603 FRENCH ST PESHTIGO GROUP FMC OCONTO FALLS E HIGHLAND DR OCONTO FALLS FMC OCONTO FALLS 107 E HIGHLAND DR OCONTO FALLS FMC OCONTO FALLS 107 E HIGHLAND DR OCONTO FALLS N MEADE ST APPLETON E CAPITOL DR APPLETON E CAPITOL DR APPLETON E CAPITOL DR APPLETON W3208 VAN ROY RD APPLETON W NORTHLAND AVE APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON ,french,spanish

20 BLOCK, JOSHUA MD BLOOMHUFF, SUZANNE MD* BOGNER, DALLAS MD* BUFFO, JANINE MD* ELMER, MONTGOMERY MD* GANSER, JOHN DO GARCIA, MELISSA MD GILLING, TRICIA DO GROENEWOLD, SANDRA MD* GRUNWALD, NATHAN MD* HAJHOSSEINI, LACHIN MD HEINDEL, KELLI MD HENDEL, CRAIG MD KLAMM, RICHARD MD* Primary Care 1364 Providers THEDACARE BEHAVIORAL E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON ,spanish THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON ,filipino THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON ,farsi,turkish THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON

21 Primary Care 1364 Providers MARCOE, SARAH MD* THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON MOARD, DOUGLAS MD* THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON NEWTON, CHRISTINE MD THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON OLSON, ADAM MD THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON ROHLOFF, MELANIE MD THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON SCHACHT, MICHELLE MD THEDACARE BEHAVIORAL E CAPITOL DR APPLETON SCHRAUFNAGEL, TIFFANY DO THEDACARE BEHAVIORAL E CAPITOL DR APPLETON SHELDON, KARI MD THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON SHINKUNAS, DAVID DO THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON SPENCER, JOHN MD* THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON WYCOFF, TIMOTHY MD THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON ,portuguese,spanish CARLSON, JON MD* AURORA 1750 LILY OF THE VALLEY GREENVILLE RD CHULSKI, THOMAS MD AURORA 1750 LILY OF THE VALLEY GREENVILLE RD FISCHER, MATTHEW MD AURORA 1750 LILY OF THE VALLEY RD GREENVILLE

22 GOLDSHLACK, BRIAN MD RASOR, TIMOTHY MD RASOR, TIMOTHY MD COULTHARD-ATWATER, AMY DO SCHIMKE, ANDREA MD THEDACARE PHYSICIANS MENASHA THEDACARE BEHAVIORAL THEDACARE PHYSICIANS OSHKOSH Shawano County GROTH SURGERY TCP IMAGING ECH TCP LAB ENCIRCLE THEDACARE BEHAVIORAL THEDACARE FASTCARE DARBOY THEDACARE FASTCARE NORTHLAND BONNIN, JULIE MD THEDACARE PHYSICIANS MENASHA THEDACARE BEHAVIORAL THEDACARE PHYSICIANS OSHKOSH LEWIS, TOD MD Primary Care Providers AURORA 1750 LILY OF THE VALLEY RD GREENVILLE AURORA 1750 LILY OF THE VALLEY GREENVILLE RD AURORA N1750 LILY OF THE VALLEY GREENVILLE DR AURORA 2700 CROOKS AVE KAUKAUNA AURORA 2700 CROOKS AVE KAUKAUNA ,german 2005 MIDWAY RD MENASHA N WESTHAVEN DR OSHKOSH N WESTHAVEN DR OSHKOSH N MEADE ST APPLETON E CAPITOL DR APPLETON E CAPITOL DR APPLETON E CAPITOL DR APPLETON W3208 VAN ROY RD APPLETON W NORTHLAND AVE APPLETON AURORA 101 EXPRESS WAY BONDUEL MIDWAY RD MENASHA N WESTHAVEN DR OSHKOSH N WESTHAVEN DR OSHKOSH AURORA 1346 E GREEN BAY ST SHAWANO

23 SARNWICK, RICHARD DO SHEIKH, SHOAIB MD Sheboygan County DEMASTER, BRIAN MD BEST, CATHERINE MD* REMINGTON, ROBERT MD* SAFRANSKI, ABBY DO ARENBERG, MARY MD BARRY, MICHAEL MD BOEHMER, ERIC MD DUENK, LARRY MD GAVIN, ANDREA MD* GENTINE, MARY MD HOLLINGSWORTH, SONYA MD KRYSTOWIAK, KATELIN MD MANCHESKI, DEAN MD Primary Care 1364 Providers AURORA E GREEN BAY ST,german SHAWANO THEDACARE MEDICAL 100 COUNTY ROAD B SHAWANO SHAWANO INC AURORA SHEBOYGAN CLINIC S MAIN ST CEDAR GROVE AURORA SHEBOYGAN CLINIC 620 S WISCONSIN DR HOWARDS GROVE AURORA SHEBOYGAN CLINIC 620 S WISCONSIN DR HOWARDS GROVE AURORA SHEBOYGAN CLINIC 620 S WISCONSIN DR HOWARDS GROVE PLYMOUTH FAMILY PHYSICIANS 1000 EASTERN AVE PLYMOUTH AURORA 2600 KILEY WAY PLYMOUTH MARSHO FAMILY MEDICAL 515 E MILL ST PLYMOUTH GROUP - PLYMOUTH MARSHO FAMILY MEDICAL 515 E MILL ST PLYMOUTH GROUP - PLYMOUTH ,spanish AURORA 2600 KILEY WAY PLYMOUTH MARSHO FAMILY MEDICAL 515 E MILL ST PLYMOUTH GROUP - PLYMOUTH MARSHO FAMILY MEDICAL 515 E MILL ST PLYMOUTH GROUP - PLYMOUTH MARSHO FAMILY MEDICAL 515 E MILL ST PLYMOUTH GROUP - PLYMOUTH MARSHO FAMILY MEDICAL 515 E MILL ST PLYMOUTH GROUP - PLYMOUTH

24 MARTELLA, MICHAEL DO MURTHY, DHARMESH MD PAWLAK, JAMES MD SCHROEDER, GEORGE MD SHARON, MARK MD STAEHLING, STEVEN MD ALBOUSHI, HANI MD BEIERSDORF, RIECK MD* BEST, CATHERINE MD BOEHMER, ERIC MD CHOI, TAE HO MD DEMASTER, JACOB DO DUENK, LARRY MD GENTINE, MARY MD HOLLINGSWORTH, SONYA MD JOHNSON, KHALYNE MD Primary Care 1364 Providers MARSHO FAMILY MEDICAL GROUP - PLYMOUTH E MILL ST PLYMOUTH AURORA 2600 KILEY WAY PLYMOUTH MARSHO FAMILY MEDICAL 515 E MILL ST PLYMOUTH GROUP - PLYMOUTH ,spanish PLYMOUTH FAMILY PHYSICIANS 1000 EASTERN AVE PLYMOUTH AURORA 2600 KILEY WAY PLYMOUTH MARSHO FAMILY MEDICAL 515 E MILL ST PLYMOUTH GROUP - PLYMOUTH AURORA SHEBOYGAN CLINIC 2414 KOHLER MEMORIAL DR SHEBOYGAN ,arabic AURORA SHEBOYGAN CLINIC 2414 KOHLER MEMORIAL DR SHEBOYGAN AURORA BEHAVIORAL 1221 N 26TH ST SHEBOYGAN - A DEPARTMANT OF AURORA SHEBOYGAN MEMORIAL MEDICAL MARSHO FAMILY MEDICAL 1703 N TAYLOR DR SHEBOYGAN GROUP - SHEBOYGAN AURORA SHEBOYGAN CLINIC 2414 KOHLER MEMORIAL DR SHEBOYGAN ,korean AURORA SHEBOYGAN CLINIC 1813 ASHLAND AVE SHEBOYGAN MARSHO FAMILY MEDICAL 1703 N TAYLOR DR SHEBOYGAN GROUP - SHEBOYGAN ,spanish MARSHO FAMILY MEDICAL 1703 N TAYLOR DR SHEBOYGAN GROUP - SHEBOYGAN MARSHO FAMILY MEDICAL 1703 N TAYLOR DR SHEBOYGAN GROUP - SHEBOYGAN AURORA SHEBOYGAN CLINIC 1813 ASHLAND AVE SHEBOYGAN

25 KANIKUNNEL, MANJU MD KRYSTOWIAK, KATELIN MD LEE, CHA MD LIM, CHARLOTTE MD MANCHESKI, DEAN MD MARTELLA, MICHAEL DO NORTHUP, CYNTHIA MD* PAWLAK, JAMES MD PHELPS, BRANDON DO STAEHLING, STEVEN MD SUTHAR, SANJAY MD VERMA, NATASHA MD WENBERG, ROBERT DO LYNDS, JEFFREY MD* REJMAN, MICHELLE MD Waupaca County GROTH SURGERY Primary Care 1364 Providers AURORA SHEBOYGAN CLINIC KOHLER MEMORIAL DR SHEBOYGAN,hindi,malayalam MARSHO FAMILY MEDICAL 1703 N TAYLOR DR SHEBOYGAN GROUP - SHEBOYGAN INDEPENDENT PHYSICIANS OF 501 SUPERIOR AVE SHEBOYGAN WISCONSIN LLC AURORA 2629 N 7TH ST SHEBOYGAN ,chinese,malay,mandarin MARSHO FAMILY MEDICAL 1703 N TAYLOR DR SHEBOYGAN GROUP - SHEBOYGAN MARSHO FAMILY MEDICAL 1703 N TAYLOR DR SHEBOYGAN GROUP - SHEBOYGAN AURORA SHEBOYGAN CLINIC 2414 KOHLER MEMORIAL DR SHEBOYGAN MARSHO FAMILY MEDICAL 1703 N TAYLOR DR SHEBOYGAN GROUP - SHEBOYGAN ,spanish AURORA SHEBOYGAN CLINIC 1813 ASHLAND AVE SHEBOYGAN MARSHO FAMILY MEDICAL 1703 N TAYLOR DR SHEBOYGAN GROUP - SHEBOYGAN AURORA SHEBOYGAN CLINIC 2414 KOHLER MEMORIAL DR SHEBOYGAN ,gujarati AURORA SHEBOYGAN CLINIC 2414 KOHLER MEMORIAL DR SHEBOYGAN ,hindi,punjabi LAKESHORE COMMUNITY 1721 SAEMANN AVE SHEBOYGAN AURORA SHEBOYGAN CLINIC 1146 PLANKVIEW GREEN SHEBOYGAN BLVD FALLS AURORA SHEBOYGAN CLINIC 1146 PLANKVIEW GREEN SHEBOYGAN BLVD FALLS N MEADE ST APPLETON

26 TCP IMAGING ECH TCP LAB ENCIRCLE THEDACARE BEHAVIORAL THEDACARE FASTCARE DARBOY THEDACARE FASTCARE NORTHLAND RASOR, TIMOTHY MD THEDACARE PHYSICIANS MENASHA THEDACARE BEHAVIORAL THEDACARE PHYSICIANS OSHKOSH HILTGEN, GREGREY MD KLAMM, RICHARD MD* Waushara County ARBOLEDA, REGINALDO MD CAVES, CHANDLER MD CHULSKI, THOMAS MD CROWTHER, DAVID MD ROBERTS, TIMOTHY MD SHATTUCK, P MD Primary Care 1364 Providers 2500 E CAPITOL DR APPLETON E CAPITOL DR APPLETON E CAPITOL DR APPLETON W3208 VAN ROY RD APPLETON W NORTHLAND AVE APPLETON AURORA N430 WOOD DUCK DR FREMONT MIDWAY RD MENASHA N WESTHAVEN DR OSHKOSH N WESTHAVEN DR OSHKOSH THEDACARE MEDICAL 800 RIVERSIDE DR WAUPACA WAUPACA INC THEDACARE CARDIOVASCULAR 800 RIVERSIDE DR WAUPACA CARE WAUPACA THEDACARE PHYSICIANS PLAINFIELD N6493 VALLEY CIRCLE RD PLAINFIELD THEDACARE PHYSICIANS N6493 VALLEY CIRCLE RD PLAINFIELD PLAINFIELD AURORA 900 E DIVISION ST WAUTOMA AURORA 900 E DIVISION ST WAUTOMA THEDACARE MEDICAL N2934 STATE ROAD 22 WAUTOMA BERLIN INC REHAB SERVICES ,spanish THEDACARE MEDICAL N2934 STATE ROAD 22 WAUTOMA BERLIN INC REHAB SERVICES

27 WILLETT, THOMAS DO Winnebago County Primary Care THEDACARE MEDICAL N2934 STATE ROAD 22 BERLIN INC REHAB SERVICES Providers WAUTOMA GROTH SURGERY 1818 N MEADE ST APPLETON TCP IMAGING ECH 2500 E CAPITOL DR APPLETON TCP LAB ENCIRCLE 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE FASTCARE W3208 VAN ROY RD APPLETON DARBOY THEDACARE FASTCARE 1000 W NORTHLAND AVE APPLETON NORTHLAND THEDACARE PHYSICIANS 2005 MIDWAY RD MENASHA MENASHA BERG, KIMBERLY MD* THEDACARE BEHAVIORAL 333 N GREEN BAY RD NEENAH BERGAN, TIMOTHY DO AURORA 1136 WESTOWNE DR NEENAH GOLDSHLACK, BRIAN MD AURORA 1136 WESTOWNE DR NEENAH KOSKI, JACQUELINE DO AURORA 1136 WESTOWNE DR NEENAH ,german LOPEZ, MICHELLE MD* THEDACARE BEHAVIORAL 333 N GREEN BAY RD NEENAH PISCHKE, KRYSTINA DO THEDACARE BEHAVIORAL 333 N GREEN BAY RD NEENAH RUDOLPH, TERESA MD* THEDACARE BEHAVIORAL 333 N GREEN BAY RD NEENAH SOLIS-ROHR, VERONICA MD* THEDACARE BEHAVIORAL 333 N GREEN BAY RD NEENAH ,spanish AURORA QUICKCARE OMRO 1000 N WEBSTER AVE OMRO ELEMENTARY SCHOOL AURORA QUICKCARE OMRO 607 TYLER AVE OMRO PATCH SCHOOL

28 Primary Care 1364 Providers LARSON, ALYSON MD AURORA 1805 HUCKLEBERRY AVE OMRO ,spanish THEDACARE BEHAVIORAL 600 N WESTHAVEN DR OSHKOSH THEDACARE PHYSICIANS 600 N WESTHAVEN DR OSHKOSH OSHKOSH BERGAN, TIMOTHY DO AURORA 855 N WESTHAVEN DR OSHKOSH CARLSON, JON MD* AURORA 855 N WESTHAVEN DR OSHKOSH DEVERMANN, ROBERT MD AURORA 414 DOCTORS CT OSHKOSH DUWELL, ERIC MD* AURORA 414 DOCTORS CT OSHKOSH FISCHER, MATTHEW MD AURORA 855 N WESTHAVEN DR OSHKOSH FORNETTI, WILLA DO AURORA 855 N WESTHAVEN DR OSHKOSH GUPTA, AMIT MD AURORA 414 DOCTORS CT OSHKOSH ,hindi LEE, PHYLLIS MD AURORA 855 N WESTHAVEN DR OSHKOSH LIM, CHARLOTTE MD AURORA 855 N WESTHAVEN DR OSHKOSH ,chinese,malay,mandarin MIRANPURI, GURKIT MD AURORA 855 N WESTHAVEN DR OSHKOSH ,hindi,punjabi MORALES VALDES BROST, AURORA 414 DOCTORS CT OSHKOSH PATRICIA MD ,spanish PANCZYK, ARTHUR MD AURORA 855 N WESTHAVEN DR OSHKOSH ,polish PRAJKA, VALERIE DO AURORA 135 JACKSON ST OSHKOSH SHEEHAN, JULIE DO AURORA 855 N WESTHAVEN DR OSHKOSH KENT, JEFFREY DO AURORA 6085 HARBOUR VIEW DR WINNECONNE FAMILY NURSE PRACTITIONER Brown County BENISHEK, DEBRA MSN INNOVATIVE COUNSELING TH ST GREEN BAY

29 BLOEDOW, RESCHA APNP BOUCHER, JAMEY NP CARRIVEAU, AMBER APNP CARRIVEAU, AMBER APNP CHRISTENSEN, RITA APNP COMP, KELLY NP COOK, CASSANDRA APNP COOK, JANI APNP DEBBOUT, BOBBI APNP ESSER, REBECCA APNP FERRON, PAULA APNP FREIS, CATHY APNP GRASSELL, AMANDA NP GUTCHE, ANGELA NP HAYES, STEPHANIE APNP HESS, AMY APNP Primary Care 1364 Providers APM GREEN BAY CLINIC 2595 DEVELOPMENT DR STE 150 GREEN BAY AURORA 2845 GREENBRIER RD GREEN BAY WOMENS SPECIALTY CARE 704 S WEBSTER AVE SUITE GREEN BAY WOMENS SPECIALTY CARE SC 2641 DEVELOPMENT DR GREEN BAY APM GREEN BAY CLINIC 2595 DEVELOPMENT DR GREEN BAY STE AURORA 2845 GREENBRIER RD GREEN BAY NEUROLOGY CONSULTANTS OF 725 S WEBSTER AVE STE GREEN BAY BELLIN THE CANCER TEAM AT BELLIN 1580 COMMANCHE AVE GREEN BAY CARDIOLOGY ASSOCIATES OF 744 S WEBSTER AVE GREEN BAY BELLIN APM GREEN BAY CLINIC 2595 DEVELOPMENT DR GREEN BAY STE BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST FMC HOWARD 2714 RIVERVIEW DR GREEN BAY AURORA BAYCARE MEDICAL 2845 GREENBRIER RD GREEN BAY AURORA 2890 LINEVILLE RD GREEN BAY THE CANCER TEAM AT BELLIN 1580 COMMANCHE AVE GREEN BAY BELLIN OCCUPATIONAL COMMANCHE AVE GREEN BAY ASHWAUBENON

30 Primary Care 1364 Providers JANOWSKI, RACHEL NP 2845 GREENBRIER RD GREEN BAY JANOWSKI, RACHEL NP BAYCARE CLINIC, LLP 2401 HOLMGREN WAY GREEN BAY JANOWSKI, RACHEL NP BAYCARE CLINIC, LLP 2845 GREENBRIER RD STE 340 GREEN BAY KAMALI, ESMAEIL APNP NEUROLOGY CONSULTANTS OF 725 S WEBSTER AVE STE GREEN BAY BELLIN KANANEN, LYNN APNP THE CANCER TEAM AT BELLIN 1580 COMMANCHE AVE GREEN BAY LEISTIKO, JENIFER NP AURORA BAYCARE MEDICAL 2845 GREENBRIER RD GREEN BAY MARQUARDT, PATTI APNP THE CANCER TEAM AT BELLIN 1580 COMMANCHE AVE GREEN BAY MCCOMB, BROOKE APNP BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST MCHENRY, JEAN APNP FMC BELLEVUE 3263 EATON RD GREEN BAY MORRIS, KATHLEEN APNP BELLIN SURGICAL 720 S VAN BUREN ST STE GREEN BAY ASSOCIATES PAASCH, MELISSA NP AURORA 2845 GREENBRIER RD GREEN BAY PRAVECHEK, JENNIFER APNP BELLIN SPORTS MEDICINE WEST COMMANCHE AVE GREEN BAY PRUSAK, COURTNEY NP AURORA 1160 KEPLER DR GREEN BAY ROTTIER, KARA APNP BELLIN THERAPY 744 S WEBSTER AVE GREEN BAY SERVICES SASSE, TIFFANY APNP AURORA BAYCARE MEDICAL 2845 GREENBRIER RD GREEN BAY SCHNEIDER, SARAH APNP UROLOGY ASSOCIATES OF GREEN BAY S VAN BUREN ST STE 301 GREEN BAY 25

31 SICKINGER, LAUREL APNP VANDE HEY, KIMBERLY NP WECH, CARLA APNP ZOLLAR, TRACEY APNP ZOLLAR, TRACEY APNP HOFFMAN, DEBORAH APNP Door County PRUSAK, COURTNEY NP FERGUS, MARK APNP* GARDON, KRISTIN APNP GULBRAND, DIANE APNP HOBART, PAULA APNP SCHOLL, LOREN APNP SOHNS, RUTH APNP WASIE, EDWARD APNP Fond Du Lac County HOERTH, REBECCA APNP Primary Care Providers BELLIN EAR NOSE THROAT ELIZA ST GREEN BAY 2845 GREENBRIER RD GREEN BAY FMC HOWARD 2714 RIVERVIEW DR GREEN BAY BELLIN SPORTS 1630 COMMANCHE AVE GREEN BAY MEDICINE WEST FMC ASHWAUBENON INTERNAL 1630 COMMANCHE AVE GREEN BAY MEDICINE & PEDIATRICS FMC WRIGHTSTOWN 555 QUALITY CT WRIGHTSTOWN AURORA CARE S BAY SHORE DR SISTER BAY DOOR COUNTY MEDICAL 323 S 18TH AVE STURGEON BAY DOOR COUNTY MEDICAL 323 S 18TH AVE STURGEON BAY DOOR COUNTY MEDICAL 323 S 18TH AVE STURGEON BAY DOOR COUNTY MEDICAL 323 S 18TH AVE STURGEON BAY FMC STURGEON BAY 311 N 3RD AVE STURGEON BAY DOOR COUNTY MEDICAL 323 S 18TH AVE STURGEON BAY DOOR COUNTY MEDICAL 910 MAIN RD WASHINGTON WASHINGTON ISLAND ISLAND CLINIC FOND DU LAC REGIONAL 350 E SHEBOYGAN ST CAMPBELLSPOR CLINIC - CAMPBELLSPORT T

32 HOERTH, REBECCA APNP BASELEY, THERESA NP BAYLOR, JANNA APNP BERENZ (PIEPER), ELIZABETH APNP BURGESS, JENNIFER APNP BUSHMAN, LAUREN NP FOX, JOANNE APNP HALBACH, JENNIFER NP HALBACH, JENNIFER NP HARDING, JESSICA APNP JESSOGNE, TRACY APNP KOSTAC, GRETA NP LOEHR, JESSICA APNP MELLENTHIN, MARY APNP METZIG, KELSEY DNP OSBORNE, JACKLYN APNP Primary Care 1364 Providers FOND DU LAC REGIONAL CLINIC - CAMPBELLSPORT E DIVISION ST CAMPBELLSPOR T AURORA 210 WISCONSIN AMERICAN FOND DU LAC DR AGNESIAN KIDNEY 420 E DIVISION ST FOND DU LAC TRANSPLANT OUTREACH ST AGNES HOSPITAL 430 E DIVISION ST FOND DU LAC FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC AURORA 210 WISCONSIN AMERICAN FOND DU LAC DR FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC AURORA 210 WISCONSIN AMERICAN FOND DU LAC DR AURORA 210 WISCONSIN AMERICAN FOND DU LAC DR STE FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC FOND DU LAC REGIONAL 421 CAMELOT DR FOND DU LAC CLINIC - SOUTH AURORA 210 WISCONSIN AMERICAN FOND DU LAC DR FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC ST AGNES HOSPITAL 430 E DIVISION ST FOND DU LAC AURORA 210 WISCONSIN AMERICAN FOND DU LAC DR FOND DU LAC REGIONAL 421 CAMELOT DR FOND DU LAC CLINIC - SOUTH

33 Primary Care 1364 Providers PETRIE, STEFANIE APNP ST AGNES HOSPITAL 430 E DIVISION ST FOND DU LAC PIRRUNG, ANGELA NP AURORA 210 WISCONSIN AMERICAN FOND DU LAC DR REMBALSKI, STEVEN APNP AGNESIAN CONVENIENT CARE 145 N MAIN ST FOND DU LAC CLINIC ROSEN, PAMELA APNP FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC SABEL, JESSICA DNP AURORA 210 WISCONSIN AMERICAN FOND DU LAC DR SCHNEIDER, JULIE APNP FOND DU LAC REGIONAL CLINIC - WEST S HICKORY ST FOND DU LAC SCHNEIDER, KATELYNN APNP FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC SMITS, ANDREA APNP FOND DU LAC REGIONAL 608 W BROWN ST FOND DU LAC CLINIC - WAUPUN TATE, MELISSA APNP FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC UDLIS, KIMBERLY APNP FOND DU LAC REGIONAL CLINIC 420 E DIVISION ST FOND DU LAC VANDE ZANDE, DEBORAH APNP FOND DU LAC REGIONAL CLINIC - WEST S HICKORY ST FOND DU LAC CARPENTER, REBECCA APNP FOND DU LAC REGIONAL CLINIC 723 PARK RIDGE LN NORTH FOND NORTH FOND DU LAC DU LAC GATIEN BRUX, DENISE APNP FOND DU LAC REGIONAL CLINIC 723 PARK RIDGE LN NORTH FOND NORTH FOND DU LAC DU LAC FELIX, JULIE APNP THEDACARE MEDICAL 1080 W FOND DU LAC ST RIPON BERLIN INC REHABILITATION SERVICES HIEMSTRA, AMANDA DNP FOND DU LAC REGIONAL 420 E DIVISION ST RIPON CLINIC - RIPON MICELE, COLLEEN DNP AURORA 1242 W FOND DU LAC ST RIPON

34 Primary Care NELSON, VICKI APNP RIPON MEDICAL CLINIC 845 PARKSIDE ST RIPON PASCARELLA, MICHELL APNP RIPON MEDICAL 835 PARKSIDE ST RIPON RIEK, SUSAN APNP RIPON MEDICAL CLINIC 845 PARKSIDE ST RIPON Kewaunee County FERGUS, MARK APNP KNIPFER, ELLEN APNP HAYES, MARCIA APNP Manitowoc County HENNINGS, KIMBERLY NP KLINKNER, SAMANTHA NP KUNST, JANE APNP,MSN,NP METTETAL, LORIJEAN NULL SICKINGER, LAUREL APNP WEIER, JENNIFER APNP LOOSE, MELLISSA NP HOENIG, JENNIFER NP LOOSE, MELLISSA NP BOUCHER, JAMEY NP BUETTNER, ANGEL NP 1364 Providers DOOR COUNTY MEDICAL ALGOMA CLINIC JEFFERSON ST ALGOMA DOOR COUNTY MEDICAL 815 JEFFERSON ST ALGOMA ALGOMA CLINIC FMC KEWAUNEE 575 4TH ST KEWAUNEE AURORA BAYCARE MEDICAL OCCUPATIONAL AND WELLNESS DEWEY ST MANITOWOC AURORA 4100 DEWEY ST MANITOWOC APM MANITOWOC CLINIC 1 E WALDO BLVD MANITOWOC LAKESHORE COMMUNITY 601 BUFFALO ST MANITOWOC LAKESHORE COMMUNITY 601 BUFFALO ST MANITOWOC HFM GASTROENTEROLOGY 2300 WESTERN AVE MANITOWOC AURORA 175 S STATE ST MISHICOT AURORA 106 MILL ST REEDSVILLE AURORA 106 MILL ST REEDSVILLE AURORA 5300 MEMORIAL DR TWO RIVERS AURORA 5000 MEMORIAL DR TWO RIVERS

35 COMP, KELLY NP FRITSCH, FAY NP HARTMAN, TERRA NP HOENIG, JENNIFER NP KAMINSKY, ANNETTE APNP LOOSE, MELLISSA NP LOOSE, MELLISSA NP MARX, COLLEEN APNP MERCADO-SCHOESSOW, ELLIE APNP MICKSCH, PHILIP NP MICKSCH, PHILIP NP SCHMITZ, AMBER NP SIEHR, ADRIANA NP WILLMAN, CAREY NP LADWIG, JENNIFER NP LOOSE, MELLISSA NP MICKSCH, PHILIP NP Marinette County MAINHARDT, MARIANNE NP Primary Care 1364 Providers AURORA MEMORIAL DR TWO RIVERS AURORA MEDICAL 5000 MEMORIAL DR TWO RIVERS MANITOWOC COUNTY AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS HFM LAKEFRONT PRIMARY 800 LAKEFRONT WAY TWO RIVERS CARE AURORA 5300 MEMORIAL DR TWO RIVERS AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS HFM LAKEFRONT PRIMARY 800 LAKEFRONT WAY TWO RIVERS CARE AURORA 5300 MEMORIAL DR TWO RIVERS AURORA 5300 MEMORIAL DR TWO RIVERS MEMORIAL DR STE 303 TWO RIVERS AURORA 5300 MEMORIAL DR TWO RIVERS AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS AURORA TWO RIVERS CLINIC 2219 GARFIELD ST TWO RIVERS AURORA 721 S CALUMET DR VALDERS AURORA 721 S CALUMET DR VALDERS S CALUMET DR VALDERS AURORA BAY AREA MEDICAL 112 N US HIGHWAY 141 CRIVITZ GROUP

36 SUCHOCKI, GINA NP BAHDE, LYNDA APNP BROWN, CHRISTY NP BROWN, CHRISTY NP COOK, LISA APNP FRITSCH, FAY NP HARRIS, SARAH APNP LAGODNY, MARGARET RN LAGODNY, MARGARET RN LEISTIKO, JENIFER NP MAINHARDT, MARIANNE NP SANFILIPPO, SUSAN APNP SLATER, TRACY NP SUCHOCKI, GINA NP WALOWAY, JENNIFER NP BROWN, CHRISTY NP Primary Care 1364 Providers AURORA BAY AREA MEDICAL GROUP US HWY 141 CRIVITZ BELLIN MARINETTE 2820 ROOSEVELT RD MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE AURORA BAY AREA MEDICAL 3003 UNIVERSITY DR MARINETTE GROUP BELLIN MARINETTE 2820 ROOSEVELT RD MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE BELLIN MARINETTE 2820 ROOSEVELT RD MARINETTE AURORA BAY AREA MEDICAL 3003 UNIVERSITY DR MARINETTE GROUP BAY AREA MEDICAL 3003 UNIVERSITY DR MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE AURORA BAY AREA MEDICAL 1510 UNIVERSITY DR MARINETTE GROUP BELLIN MARINETTE 2820 ROOSEVELT RD MARINETTE AURORA BAY AREA MEDICAL 3003 UNIVERSITY DR MARINETTE GROUP AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE AURORA BAY AREA 4061 OLD PESHTIGO RD MARINETTE AURORA BAY AREA MEDICAL 603 FRENCH ST PESHTIGO GROUP

37 ORWIG, CAROL APNP Oconto County Primary Care 1364 Providers BELLIN PESHTIGO 441 FRENCH ST PESHTIGO CLINIC CHRISTIANSON, PEGGY APNP BELLIN LAKEWOOD COMMERCIAL RD STE LAKEWOOD E BAADE, LINDSEY APNP BELLIN OCONTO CLINIC 820 ARBUTUS AVE OCONTO PAGE, PAMELA NULL OCONTO COUNTY HUMAN 501 PARK AVE OCONTO SERVICES ESSER, REBECCA APNP APM OCONTO FALLS CLINIC 853 S MAIN ST STE B-100 OCONTO FALLS Outagamie County BARTHEL, ELIZABETH APNP BLOEDOW, RESCHA APNP BOEHM, DAISY APNP CARRIVEAU, AMBER APNP COOK, JANI APNP CROSS, VICTORIA FNP DEKEYSER, ASHLEY APNP DUVAL, COLLEEN APNP EBBEN, ANDREA APNP THEDACARE BEHAVIORAL E CAPITOL DR APPLETON PAIN S OF WISCONSIN CASALOMA DRIVE APPLETON APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON WOMENS SPECIALTY CARE 1688 N CASALOMA DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON THEDACARE BEHAVIORAL 2500 E CAPITOL DR APPLETON