State of Wisconsin - 2017
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State of WisconsinProvider Directory 2017 W9 MERCYCARE HMO INC. Live well. We’ll insure you do. Live well. We’ll insure you do. MercyCare ID Card MercyCare ID cards include: MercyCare Senior 6 1 INSURED NUMBER: Identification number 1 Insured Number Effective Date 2 Group Number xxx-xx-xxxx xxxxxx 2 GROUP NUMBER: How MercyCare identifies your benefit package 3 MEMBER NUMBER: Personal identification number 4 PCP NAME: Your primary care physician 3 Member Number Last Name 4 PCP Name (family medicine, internal medicine, xxx-xx-xxxx John Doe Dr. Smith pediatrician) 5 PLAN ID: Designates your plan 6 NAME OF PLAN: Type of plan you have Customer service department: (800) 895-2421 5 XX 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. Hospitals, Emergency and Urgent Care Clinics Hospitals Mercyhealth Walworth Mercyhealth Whitewater Mercyhealth Hospital Hospital and Medical Center 507 W. Main St., Whitewater and Trauma Center N2950 State Rd. 67, (262) 473-0401 Lake Geneva 1000 Mineral Point Ave., Fort HealthCare Lake Mills Janesville (262) 245-2230 200 E. Tyranena Park Rd., (608) 756-6000 Fort Memorial Hospital Lake Mills Mercyhealth Rockton 611 Sherman Ave. East, (920) 648-3113 Avenue Hospital Fort Atkinson 2400 N. Rockton Ave., Rockford (920) 568-5000 Fort Memorial Hospital (815) 971-5000 Watertown Memorial Hospital 611 Sherman Ave. East, Mercyhealth Walworth 125 Hospital Dr., Watertown Fort Atkinson Hospital and Medical Center (920) 261-4210 (920) 568-5000 N2950 State Rd. 67, Urgent Care Clinics Watertown Memorial Hospital Lake Geneva (262) 245-2230 Mercyhealth McHenry 125 Hospital Dr., Watertown 3922 Mercy Dr., McHenry (920) 261-4210 Mercyhealth Harvard Hospital and Medical Center (815) 578-2020 Mercyhealth Belvidere 901 Grant St., Harvard Mercyhealth Woodstock 1747 Henry Luckow Ln., (815) 943-5431 2000 Lake Ave., Woodstock Belvidere Fort Memorial Hospital (815) 337-1544 (815) 971-3055 611 Sherman Ave. East, Mercyhealth East Mercyhealth Byron Fort Atkinson 3524 E. Milwaukee St., 130 Kysor Dr., Byron (920) 568-5000 Janesville (815) 971-3000 Watertown Memorial Hospital (608) 756-8484 Mercyhealth Cherry Valley 125 Hospital Dr., Watertown Mercyhealth South (920) 261-4210 849 Kellogg Ave., Janesville 6998 Redansa Dr., Rockford Emergency (608) 755-7960 (815) 971-2000 Mercyhealth Hospital Mercyhealth North Mercyhealth Rockton Avenue and Trauma Center 3400 Deerfield Dr., Janesville 2300 N. Rockton Ave., 1000 Mineral Point Ave., (608) 314-3605 Building 1, Rockford Janesville Mercyhealth Mall (815) 971-2572 (608) 756-6000 1010 N. Washington St., Mercyhealth Perryville Mercyhealth Hospital Janesville 3401 N. Perryville Rd., Rockford and Trauma Center (608) 741-3800 Emergency North (815) 971-8000 Mercyhealth Beloit 1000 Mineral Point Ave., Mercyhealth Roscoe Janesville 2825 Prairie Ave., Beloit 5000 Prairie Rose Dr., Roscoe (608) 756-6000 (608) 363-5500 (815) 971-3450 Mercyhealth Rockton Mercyhealth Walworth Avenue Hospital N2950 State Rd. 67, Mercyhealth Winnebago 2400 N. Rockton Ave., Rockford Lake Geneva 102 Landmark Dr., Winnebago (815) 971-5000 (262) 245-2230 (815) 971-3250 Skip the waiting room! Visit MercyInQuicker.org to reserve your spot at a participating facility. Index by city Algonquin, IL ................... 34 Madison, WI .............. 25-26 Barrington, IL .................. 34 McHenry, IL ................ 37-38 Beloit, WI ........................... 1 Milton, WI ................... 27-28 Belvidere, IL ..................... 35 Milwaukee, WI ........... 28, 32 Brodhead, WI ................. 1-2 Monona, WI ..................... 28 Brown Deer, WI ................. 2 Monroe, WI ...................... 28 Byron, IL .......................... 35 Mulford, IL ....................... 38 Cambridge, WI ................. 2 Niles, IL ............................ 39 Clinton, WI ......................... 4 Oconomowoc, WI ........... 28 Crystal Lake, IL ........... 35-36 Richmond, IL ................... 38 Delavan, WI ...................... 2 Racine, WI ........................ 27 Edgerton, WI ..................... 3 Rockford, IL ............... 38-47 Elkhorn, WI ....................... 3 Rockton, IL ....................... 47 Evansville, WI ................... 4 Roscoe, IL ........................ 47 Fort Atkinson, WI ........... 4-7 Sharon, WI ....................... 29 Harvard, IL ................. 36-37 Sheboygan, WI ................ 28 Ixonia, WI ........................... 7 Waterloo, WI ................... 28 Janesville, WI ............... 8-19 Watertown, WI ........... 29-32 Jefferson, WI ............. 19-20 Waukesha, WI ................. 32 Johnson Creek, WI ..... 20-21 West Allis, WI .................. 32 Kenosha, WI .................... 21 Whitewater, WI ........... 32-33 Lake Geneva, WI ....... 21-24 Williams Bay, WI ........ 33-34 Loves Park, IL .................. 37 Winnebago, IL ................. 47 Lake Mills, WI ............ 24-25 Woodstock, IL ............. 47-48 MercyCare Health Plans Provider Directory State of Wisconsin - 2017 Beloit, WI Pediatrics Practice Status: Beloit Comprehensive Treatment (608) 361-7200 Peete, Emarcia, MD Open Center Board Certified: Not Board Certified Medical School: Medical College of Wisconsin, Milwaukee, WI 2240 Prairie Avenue Beloit, WI 53511 Residency: Morehouse School of Medicine, Atlanta, GA Podiatry Methadone Clinic Practice Status: Practice Status: Beloit Comprehensive Treatment Center, , Open Feuerstein, Catherine, DPM Open Board Certified: Council on Accreditation Board Certified: Not Board Certified Medical School: , Medical School: Scholl College of Podiatric Medicine, North Chicago, IL Residency: , Residency: North Port VA Residency, North Port, NY Beloit Health & Rehabilitation Center (608) 365-2554 Mercy Beloit Urgent Care (608) 363-5500 1905 West Hart Road Beloit, WI 53511 2825 Prairie Avenue Beloit, WI 53511 Urgent Care Center Skilled Nursing Facility Practice Status: Practice Status: Beloit Health & Rehabilitation Center, , Open Mercy Beloit Urgent Care, , Board Certified: Not Accredited Board Certified: Not Applicable Medical School: Not Applicable, Medical School: Not Applicable, Residency: Not Applicable, Residency: Not Applicable, First Choice Women's Health Center (608) 313-1305 Mercy Options Behavioral Health (608) 756-5555 Clinic - Beloit 20 Eclipse Center Beloit, WI 53511 2825 Prairie Ave Beloit, WI 53511 Advanced Practice Nurse Prescriber Practice Status: Behavioral Health Clinic Practice Status: Hays, Donna, APNP, RN Open Board Certified: National Certification Corporation Women's Health Care Nurse Mercy Options Behavioral Health Clinic - Beloit, , Medical School: ConcordiaPractitioner University, Mequon, WI Board Certified: Not Applicable Medical School: , Residency: Not Applicable, Residency: , Mercy Beloit Medical Center (608) 363-5500 Licensed Clinical Social Worker Practice Status: 2825 Prairie Ave Beloit, WI 53511 DeGarmo, Karla, LCSW Open Family Medicine Board Certified: Not Applicable Practice Status: Medical School: Univ of Wisconsin, Whitewater, WI So, Jason, DO Open Residency: , Board Certified: American Board of Family Medicine Mattison, Faith, LCSW Open Medical School: Des Moines Univ, Des Moines, IA Board Certified: Not Applicable Residency: Univ of Illinois College of Medicine at Peoria, Peoria, IL Medical School: Univ of Wisconsin, Madison, WI Residency: , Internal Medicine Practice Status: Arayan, Asma, MD Open Licensed Professional Counselor Practice Status: Board Certified: American Board of Internal Medicine Tinder, Holli, LPC, CSAC Open Medical School: Univ of Illinois College of Medicine at Rockford, Rockford, IL Board Certified: Not Applicable Residency: Gundersen Health System, La Crosse, WI Medical School: Northern Illinois Univ, DeKalb, IL Juan, Henry, MD Open Residency: , Board Certified: American Board of Internal Medicine Brodhead, WI Medical School: St. Louis University, Baguio Phillipines Residency: Lutheran General Hospital, Park Ridge, IL Mercy Brodhead Medical Center (608) 897-8664 Obstetrics and Gynecology Practice Status: 2310 First Center Ave Brodhead, WI 53520 Kaldor, Katheryn, DO Open Advanced Practice Nurse Prescriber Practice Status: Board Certified: American Osteopathic Board of Obstetrics and Gynecology Medical School: Kansas City Univ of Medicine, Kansas City, MO Huenerberg, Carmen, APNP Open Residency: Philadelphia College of Osteopathic Medicine, Philadelphia, PA Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner) Open Medical School: Concordia Univ, Mequon, WI Wistrom, Elana, DO Residency: , Board Certified: American Osteopatich Board of Obstetrics and Gynecology Medical School: A.T. Still Univ, Kirksvill,