2021 Select Directory

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Group Health Cooperative of South Central Wisconsin 2021 Select Directory

Group Health Cooperative of South Central Wisconsin (GHC-SCW) ghcscw.com MK20-88-0(7.20)O NEW MEMBER INFORMATION

Table of Contents About This Provider Directory

This Provider Directory is accurate at the time of WELCOME TO THE GHC SELECT PLAN...... 3 printing. Find the most current information about our wide selection of care providers online. CARE GUIDE...... 4 1) Visit ghcscw.com. Quick Care...... 4 2) Select the “Clinic or Provider” button. 3) Select your network from the drop-down menu. Pharmacy...... 5 4) Select either “Search for a Provider” or GHCMyChartSM...... 6 “Search for a Clinic.”

PRIMARY CARE PROVIDERS AND CLINICS...... 7 Need help selecting a Primary Care Provider (PCP)? Care Teams at GHC-SCW...... 7 Call (608) 828-4853 or toll-free at (800) 605-4327 and request Member Services. GHC-SCW Clinics...... 8-14 For complete details about what is covered under your SPECIALTY AND ANCILLARY SERVICE GHC-SCW Plan, please refer to your Member Benefits Summary, Member Certificate and Plan Amendments, PROVIDERS AT GHC-SCW...... 15 contact your employer or call Member Services. Chiropractic Services...... 16 Clinical Health Education...... 16 Complementary Medicine...... 17-19 Interpreter Services Eye Care...... 20 Interpreter services are provided at no charge to Mental Health...... 21-23 you. GHC-SCW does not discriminate on the basis of disability in the provision of programs, services or Primary Care Behavioral Health...... 23 activities. If you need this printed material interpreted, Dermatology...... 23 in an alternative format or need assistance in using any of our services, please contact Member Services Podiatry...... 23 at (608) 828-4853 or toll-free at (800) 605-4327. Physical Therapy...... 24 Occupational Therapy...... 24 ESPAÑOL Si necesita ayuda para traducir o entender este texto, Sports Medicine...... 24 por favor llame al telefono (608) 828-4853 o, sin cargo, al (800) 605-4327, y solicite hablar con el Departmento de Servicios Miembros. SPECIALTY CARE LOCATIONS...... 25-31 HMOOB COMMON TERMS...... 32-33 Kev Pab Cuam Txhais Lusyuav muaj pab pub dawb rau koj. Xav tau phau txhais ua lwm hom lus los sis kom nkag siab no, thov hu (608) 663-2940.

GHC-SCW complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. If you need this printed material interpreted or in an alternative format, or need assistance in using any of our services, contact GHC-SCW Member Services at (608) 828-4853; TDD (608) 828-4815. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al, (608) 828-4853; TDD (608) 828-4815. Federal Employees: It is important to know that when you enroll in this plan, services are provided through LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj the plan’s Provider Network as described in the plan’s Federal brochure RI 73-061, but the continued kev pab dawb rau koj. Hu rau (608) 828-4853; participation of any one doctor, hospital or other provider cannot be guaranteed. TDD (608) 828-4815.

Group Health Cooperative of South Central Wisconsin 2 2021 Provider Directory Welcome to The GHC Select Plan A remarkable insurance product from Group Health Cooperative of South Central Wisconsin (GHC-SCW).

The GHC Select Plan gives individuals and employer groups of any size access to their choice of our six full-service, high-quality primary care clinics in and around Madison, plus access to specialty care close to home through our world-class specialty partners at UW Hospital and Clinics.

Please use this directory to select your PCP available at any one of our six primary care Best-In-Class clinics below. PRIMARY CARE To select a PCP:

Call: Call your primary care clinic to discuss your options and to + select a PCP. COST SAVINGS Click: Log in to your GHCMyChartSM account and and hover over “Messaging” and select “Message Center.” Click “Ask a Question” and select “Member Services Question.” Under “Regarding,” choose “Change Primary Care Provider” from the drop-down menu.

Capitol Clinic DeForest Clinic East Clinic (608) 257–9700 (608) 846–4787 (608) 222–9777 675 W. Washington Ave., 815 S. Main St., 5249 E. Terrace Dr., Madison 53703 DeForest 53532 Madison 53718

Hatchery Hill Clinic Madison College Community Clinic Sauk Trails Clinic (608) 661–7200 (608) 441-3220 (608) 831–1766 3051 Cahill Main, 1705 Hoffman St., 8202 Excelsior Dr., Fitchburg 53711 Madison 53704 Madison 53717

Visit ghcscw.com and select the “Search for a Clinic or Provider” 3 button for a complete and current listing of providers. CARE GUIDE

Your Primary Care Clinic GHC-SCW Urgent Care Clinic

Your primary care clinic is your first point of contact for all your health Urgent care is for non-life-threatening conditions care needs. Anytime you need medical care (except for emergencies), that need to be treated that same day or after call your primary care clinic for an appointment or to speak with your business hours. These conditions usually cause PCP’s nursing staff. Find the clinic phone number listed next to your unusual discomfort. member number on your GHC-SCW Member ID card. Call your primary care clinic. Examples include: • back pain • migraine headaches • ear pain • sore throats GHC NurseConnect • colds and flu • simple bone fractures • cuts, scrapes (not through skin) GHC-SCW nurses are here 24/7/365 to help you, guide you and get you or bruises • sprains on the path to better health fast. They can even access your medical • eye irritation • skin rashes record and get you scheduled for an appointment if you need one. • fever • urinary burning Call (608) 661-7350 or toll-free at (855) 661-7350. Physical therapy is available for some injuries at the GHC-SCW Urgent Care Clinic. virtuwell Call the GHC-SCW Urgent Care Clinic to schedule an Get care anytime, anywhere with our 24/7 online clinic. Use virtuwell appointment. Appointments are made to better serve to get a diagnosis, treatment plan and prescription for over 60 your same-day access needs. common conditions without ever leaving home. Visit ghcscw.com/virtuwell.

GHC Care OnDemand

With GHC Care OnDemand, you can access a doctor from your home, office, or on-the-go, 24/7, 365. Board-certified doctors can visit with you either by phone or secure video to help treat any non-emergency medical conditions. Visits are free for most members. Members with HSA-eligible plans must reach their deductible before visits are free. Go to ghccareondemand.com.

Emergency Care GHC-SCW Urgent Care Clinic at Capitol Clinic Emergency care is for life-threatening medical conditions (including (608) 442-8100 severe symptoms) that can cause serious danger to your health. 675 W. Washington Ave. Madison, WI 53703 Examples include: Mon – Fri: 8 a.m. – 9 p.m. • alcohol or drug overdose • heart attack/chest pain Sat – Sun: 9 a.m. – 9 p.m. • amputations or severe • knife/gunshot wounds lacerations • loss of consciousness • complex bone fractures • poisoning (through skin) • respiratory problems • complications during • severe burns pregnancy1 • stroke • facial or eye trauma

If it’s not possible to go to your designated hospital, go to the nearest hospital emergency room or call 911.

1 For complications during pregnancy, please go directly to UnityPoint Health – Meriter Hospital.

Group Health Cooperative of South Central Wisconsin 4 2021 Provider Directory GET CARE Pharmacy GHC-SCW • Check your GHC-SCW Benefits Summary to see if prescription drugs pharmacies can are a covered benefit under your health insurance plan. mail most common • Always present your GHC-SCW member ID card and any other prescriptions right prescription coverage card you may have to your pharmacy. to your home! • Navitus Health Solutions administers the pharmacy benefit for participants covered under the GHC-SCW prescription plan. GHC-SCW clinic pharmacies are approved Navitus providers and may be used for your prescription needs. Ask them about mailing your prescription to you!

Locations, Phone Numbers & Hours

Fill Your Prescription Capitol Clinic (608) 257-9732 Call Your Pharmacy 675 W. Washington Ave. See right for GHC-SCW pharmacies phone numbers and hours. Madison, WI 53703 Mon – Fri: 8 a.m. – 7 p.m. Online Sat – Sun: 9 a.m. – 5 p.m. Log in to your GHCMyChartSM account and select, “Refill Medications” under “Quick Links” to order through Hatchery Hill Clinic GHC-SCW pharmacies. (608) 661-7242 3051 Cahill Main Learn More Fitchburg, WI 53711 Visit ghcscw.com and select “Pharmacy” under the “Health Mon, Wed – Fri: 8 a.m. – 6 p.m. Care” tab at the top of the page to review the GHC-SCW Tue: 8 a.m. – 7 p.m. Formulary, search by zip code for GHC-SCW-participating pharmicies and more. Sauk Trails Clinic (608) 257-4869 8202 Excelsior Dr. Madison, WI 53717 New Member Courtesy Refill Mon: 8 a.m. – 7 p.m. Existing prescriptions may be temporarily honored, which gives you time to Tue – Fri: 8 a.m. – 6 p.m. make an appointment with your Primary Care Provider (PCP). Pharmacy Administration • Bring your prescription bottle to any GHC-SCW clinic pharmacy and we (608) 828-4811 or will contact your existing pharmacy to transfer the prescription. (900) 605-4327, ext. 4811 • If you fill your prescription at a GHC-SCW pharmacy, they can help Mon – Fri: 8 a.m. – 5 p.m. you if you are taking a medication that is not covered by GHC-SCW (non-formulary) by reaching out to GHC-SCW Pharmacy Administration or discussing it with your PCP. Alternatively, you can either contact For more information about our GHC-SCW Pharmacy Administration or discuss it with your PCP on pharmacy services, visit ghcscw.com your own. and select, “Pharmacy” under • For first-time appointments, simply bring a medication list or existing the “Health Care” tab at the top medications to your GHC-SCW appointment. of the page.

Prescription drugs administered during a GHC-SCW-approved hospitalization: coverage will be subject to your plan’s Benefits for Inpatient/Outpatient Hospital Services. Please refer to your GHC-SCW Benefits Summary and Member Certificate for details.

Visit ghcscw.com and select the “Search for a Clinic or Provider” 5 button for a complete and current listing of providers. CARE GUIDE

GHCMyChartSM Manage your health online, 365 days a year!

At GHC-SCW, we believe that you and your provider should collaborate on your health care... before, during and after your visit.

With a GHCMyChartSM account, you and your provider can manage your health online, 365 days a year.

GHCMyChartSM Features1

Message your provider. Activate your Account

Visit ghcscw.com/ghcmychart and select “Sign Up Now.” Schedule appointments online. Enter your Activation Code – or if you don’t have one, select View select test results, “Request a Code Now” to receive an activation code via email. immunization records and health summaries. Complete the form and follow the prompts.

Refill medications. Get the App View appointments, message your provider, get test results and more View and pay your bill. — all from your smartphone. Just search and download the MyChart app at no cost to you.

Connect to your children’s medical and insurance information To use the MyChart app on your smartphone, with GHCFamilyChart. you must first create your online GHCMyChartSM account. Standard data rates from your phone provider apply. And much more!

MyChart is a registered trademark of Epic System Corporation. GHCMyChart is a registered service mark of GHC-SCW. WebMD is a registered trademark of WebMD Health Services Group. Apple and iPhone are registered trademarks of Apple Inc. 1 Features listed are available to members who receive care at Capitol, DeForest, East, Hatchery Hill, Madison College Community and Sauk Trails Clinics. Members who receive care at other clinics may have fewer features available. Members must be at least 18 years old to create an account.

Group Health Cooperative of South Central Wisconsin 6 2021 Provider Directory PRIMARY CARE PROVIDERS & CLINICS

CARE TEAMS AT GHC-SCW Care Teams Work Together for a Better You

When you’re a member at a GHC-SCW primary care clinic, you’re part of a whole team — a care team of expert doctors, nurses and others who spend time connecting with you. Each person on the care team helps coordinate your care so you get the right care, in the right place and at the right time.

Care Team in Action To ensure your needs are met in a timely manner, even if your Primary Care Provider (PCP) is unavailable, others on your care team will: See our PCPs and their care • Respond to phone and GHCMyChartSM messages. teams listed on • Respond to lab test results. pages 8–14. • Respond to medication refills and change requests. • Guide you through the pros and cons of medical treatments and procedures.

Description Role Includes

You The key • Take control of your health. • You decision-maker • Inform the care team about your health care needs. for your health. • Make important and informed health choices.

Primary Care Provider (PCP) An expert advocate • Point-person for all of your care. • Physician (MD/DO) who cares about you. • Provides a range of primary care services. • Certified Physician • Connects you to specialty care. Assistant (PA-C) • Helps educate and empower you for better health. • Advanced Practice Nurse Prescriber (APNP)

Registered Nurse (RN) Coordinator A professional guide • Answers ongoing health-related questions. • Registered Nurse (RN) for your health care. • Provides health education. • Guides you through the health care system (hospitals, specialty clinics, etc.).

Complex Case Manager A helping hand • Helps you with hospitalization needs. • Registered Nurse (RN) during complex times • Organizes care among health care providers. • Clinical Social Worker of need. • Guides follow-up care for complex needs. (CSW)

Care Team Specialist (CTS) A trained, caring • Assists with member communication. • Licensed Practical Nurse professional to serve • Gathers information about your health. (LPN) your needs. • Supports the PCP during a visit. • Certified Medical Assistant (CMA)

Behavioral Health Consultant A collaborative • Improves coping with physical illness and stress. • Clinical Social Worker partner helping your • Helps with anxiety and depression. (LCSW) body, mind and • Provides support with health behaviors. • Psychologist (PhD/PsyD) behavior. • Promotes overall health.

Pharmacist A knowledgeable • Provides medication consultations. • Pharmacists professional for your • Explains medication information. medication needs. • Collaborates with care team to provide medication therapy reviews.

Visit ghcscw.com and select the “Search for a Clinic or Provider” 7 button for a complete and current listing of providers. PRIMARY CARE PROVIDERS & CLINICS

WHERE TO GO FOR CARE... GHC-SCW Primary Care Clinics

Primary Care Primary care services, including lab and radiology, must be received at Capitol Clinic, DeForest Clinic, East Clinic, Hatchery Hill Clinic, Madison College Community Clinic or Sauk Trails Clinic. Specialty and Ancillary Services Services should be received at GHC-SCW-owned clinics for: chiropractic services, clinical health education, complementary medicine, dermatology, eye care, mental at GHC-SCW Clinics health, occupational therapy, physical therapy, podiatry and sports medicine. Specialty Care Outside Prior authorization may be required for these services. Specialty care outside of GHC-SCW-owned clinics must be provided by contracted providers at University of GHC-SCW Clinics Hospital and Clinics or UW Health Clinics (special cases only). Urgent and Emergency Care See pages 8–9. Inpatient Care Care must be received at University Hospital and Clinics or UnityPoint Health - Meriter Hospital. Inpatient Labor & Delivery Care Care must be received at UnityPoint Health - Meriter Hospital.

Capitol Clinic

Primary care services, specialty and ancillary services, urgent care services and pharmacy Phone: (608) 257-9700 Location: 675 W. Washington Ave., Madison, WI 53703 Hours: Mon, Tues, Thu: 8 a.m. – 7 p.m. Wed, Fri: 8 a.m. – 5 p.m.

Aspen Care Team Primary Care Providers Apple Care Team Primary Care Providers

Mary McNicholas, CNM, Elizabeth Schaefer, MD Alison Craig, MD Ashley Przybilla, MD APNP Family Medicine with Pediatrics Pediatrics Women’s Heath Obstetrics

Clare Shinners, PA-C Stephanie Skladzien, MD Carolyn Rank, MD Francesca Vash, APNP Family Medicine Family Medicine with Pediatrics Pediatrics Obstetrics

Group Health Cooperative of South Central Wisconsin 8 2021 Provider Directory Capitol Clinic (continued)

Birch Care Team Primary Care Providers

Ellen Evans, PA-C John Perry, PA-C Holly Schmidt, APNP Deborah Williams, MD Internal Medicine Family Medicine Women’s Health Internal Medicine

Cypress Care Team Primary Care Providers

Joshua Bettner, DO Kyoko Felland, PA-C George Leydon, DO Beth Lucht, PA-C Sarah Spolum, PA-C Family Medicine Family Medicine Family Medicine Family Medicine Family Medicine

Juniper Care Team Primary Care Providers

Stefen McVoy, MD Rene Buenzow, APNP Kathryn Ledford, DO David Vogt, APNP Family Medicine with Family Medicine Family Medicine with Family Medicine Obstetrics Obstetrics

Visit ghcscw.com and select the “Search for a Clinic or Provider” 9 button for a complete and current listing of providers. PRIMARY CARE PROVIDERS & CLINICS

Capitol Clinic (continued)

Urgent Care Providers

If you need medical care after hours, call the GHC-SCW urgent care clinic at (608) 442-8100 to schedule an appointment. Our urgent care providers will be there for you in your time of need. Most urgent care providers may not be selected as a primary care provider. Darcy Bedward, APNP Kelly Beier, PA-C Morgan Buchholz, PA-C

Jackie Christianson, APNP Melissa Haack, PA-C Pam Heilman, MD Erin Honig, MD Kaitlin Kamer, PA-C

David Kwon, DO Alexandra Musial, PA-C Sean Penaranda, PA-C Jill Phillips, APNP Daniel Riethmiller, MD

Daniel Shapiro, PA-C Stacy Schmidt, PA-C Elizabeth Schulz, PA-C Bonnie Sommers-Olson, Amy Wagner, PA-C, MPAS APNP

Group Health Cooperative of South Central Wisconsin 10 2021 Provider Directory Madison College Community Clinic

Primary care services and specialty and ancillary services Phone: (608) 441-3220 Location: Madison College Health Education Center - Truax Campus 1705 Hoffman St., Madison, WI 53704 Hours: Mon – Fri: 7:30 a.m. – 5 p.m.

Madison College Community Clinic Care Team Primary Care Providers

Matt Brown, MD, DPT Trenell Darby, APNP Nancy Deaton, MD Holly Schmidt, APNP Marilee Thoresen, PA-C Family Medicine Family Medicine Family Medicine Women’s Health Family Medicine (and Sports Medicine)

DeForest Clinic

Primary care services and ancillary services Phone: (608) 846-4787 Location: 815 S. Main St. DeForest, WI 53532 Hours: Mon – Fri: 8 a.m. – 4:30 p.m.

DeForest Care Team Primary Care Providers

Robert Edwards, MD Lauren Schmick, APNP Julie Vander Werff, PA-C Family Medicine Women’s Health Family Medicine

Visit ghcscw.com and select the “Search for a Clinic or Provider” 11 button for a complete and current listing of providers. PRIMARY CARE PROVIDERS & CLINICS

East Clinic

Primary care services and specialty and ancillary services Phone: (608) 222-9777 Location: 5249 E. Terrace Dr. Madison, WI 53718 Hours: Mon: 8 a.m. – 7 p.m. Tue – Fri: 8 a.m. – 5 p.m.

Cherry Care Team Primary Care Providers

Amanda Bartholomew, MD Amanjeet (Amy) Kaleka, MD Andrew Lewandowski, DO Kristin Millin, MD Lauren Schmick, APNP Family Medicine Family Medicine with Obstetrics Pediatrics Pediatrics Women’s Health

Julie Vander Werff, PA-C Family Medicine

Willow Care Team Primary Care Providers

Marcia Bolles, PA-C Brenda Nishizawa, DO Allison Philipps, APNP Ira Segal, MD Family Medicine Internal Medicine Internal Medicine Family Medicine

Group Health Cooperative of South Central Wisconsin 12 2021 Provider Directory Hatchery Hill Clinic

Primary care services and specialty and ancillary services and pharmacy Phone: (608) 661-7200 Location: 3051 Cahill Main Fitchburg, WI 53711 Hours: Mon, Wed – Fri: 8 a.m. – 5 p.m. Tue: 8 a.m. – 7 p.m.

Oak Care Team Primary Care Providers

Carol Ballweg, APNP Jason Hampton, MD Eric Hilquist, MD Dylan Ledford, DO Stephen Lo, MD Family Medicine Family Medicine Family Medicine with Obstetrics Family Medicine Pediatrics with Obstetrics (and Sports Medicine) with Obstetrics

Katie True, APNP Family Medicine

Maple Care Team Primary Care Providers

Steve Almasi, MD Katelyn Beemon, APNP Annie Dutcher, PA-C Nathan Hayes, DO L. Nisha Rajagopalan, MD Family Medicine Family Medicine Family Medicine Family Medicine Family Medicine (and Sports Medicine)

Renee Schutte, PA-C Rachael Ziska, DO Family Medicine Internal Medicine

Visit ghcscw.com and select the “Search for a Clinic or Provider” 13 button for a complete and current listing of providers. PRIMARY CARE PROVIDERS & CLINICS

Sauk Trails Clinic

Primary care services and specialty and ancillary services and pharmacy Phone: (608) 831-1766 Location: 8202 Excelsior Dr. Madison, WI 53717 Hours: Mon: 8 a.m. – 7 p.m. Tue – Fri: 8 a.m. – 5 p.m.

Magnolia Care Team Primary Care Providers

Brittany Friederick, DNP Claudiu Gherlan, MD Chris Kastman, MD Ann Stein, MD Erin Trost, MD Family Medicine Internal Medicine/Geriatrics Family Medicine Family Medicine Family Medicine

Sassafras Care Team Primary Care Providers

Megan Gendel, APNP Crystal Frohmader, PA-C Kari Gordon, MD Emily Lee, PA-C Robert Luchsinger, DO Family Medicine Family Medicine Pediatrics Family Medicine Family Medicine with Obstetrics

Mary Anne Urtes, MD Family Medicine

Group Health Cooperative of South Central Wisconsin 14 2021 Provider Directory GHC-SCW SPECIALTY CARE PROVIDERS & CLINICS

GET CARE Specialty and Ancillary Services at GHC-SCW

As a GHC-SCW member, you have access to outstanding specialty and ancillary services at our GHC-SCW-owned and operated clinics. That means you can schedule directly for most of the following services.

Capitol Clinic East Clinic Madison College (608) 257-9700 (608) 222-9777 Community Clinic 675 W. Washington Ave., 5249 E. Terrace Dr., Madison, WI 53718 (608) 441-3220 Madison, WI 53703 Specialty and Ancillary Services: Health Education Center - Truax Campus 1705 Hoffman St., Madison, WI 53704 Specialty and Ancillary Services: • Chiropractic Services • Chiropractic Services • Clinical Health Education Specialty and Ancillary Services: • Clinical Health Education • Complementary Medicine: • Clinical Health Education • Imaging (608) 662-5090 • Imaging • Lab • Imaging • Lab • Occupational Therapy: • Lab • Podiatry (608) 662-5060 • Mental Health: • Physical Therapy: (608) 441-3970 Princeton Club West (608) 662-5060 • Occupational Therapy: PT/OT Clinic • Physical Therapy in (608) 441-3989 (608) 662-5060 Urgent Care Clinic • Physical Therapy: (608) 442-8100 Princeton Club West (608) 441-3989 8054 Watts Rd., Madison, WI 53719 Capitol Regent Hatchery Hill Clinic Specialty and Ancillary Services: Mental Health Clinic (608) 661-7200 • Occupational Therapy • Physical Therapy (608) 441-3290 3051 Cahill Main, Fitchburg, WI 53711 700 Regent St., Suite 302 Specialty and Ancillary Services: Sauk Trails Clinic Madison, WI 53703 • Chiropractic Services (608) 831-1766 Specialty and Ancillary Services: • Clinical Health Education 8202 Excelsior Dr., Madison, WI 53717 • Mental Health • Complementary Medicine: Specialty and Ancillary Services: (608) 662-5090 • Dermatology • Chiropractic Services DeForest Clinic • Eye Care: • Clinical Health Education (608) 846-4787 (608) 257-7328 • Complementary Medicine: 815 South Main St., DeForest, WI 53532 • Imaging and Advanced Imaging (608) 662-5090 Specialty and Ancillary Services: (e.g., CT scans, mammography, • Imaging ultrasound, bone mineral scans) • Imaging • Lab • Lab • Lab • Mental Health: • Mental Health: (608) 828-4824 (608) 661-7227 • Podiatry • Podiatry • Sports Medicine

If you have any questions or need additional help, please call Member Services at (608) 828-4853 or toll-free at (800) 605-4327.

Visit ghcscw.com and select the “Search for a Clinic or Provider” 15 button for a complete and current listing of providers. GHC-SCW SPECIALTY CARE PROVIDERS & CLINICS

Chiropractic Services

Chiropractors

Kelly Andrews, DC Peter Leonhard, DC Dan Olson, DC Michael Wirth, DC

Clinical Health Education

Advanced Diabetes Diabetes Nurse Educators Genetic Lactation Consultant/ Management Counselor Registered Dietitian

Donna Twining, Lisa Carda, RN, CDE Anne Statz, RN Melissa Baraboo, CGC Lisa Hansen, APNP, BC-ADM RD, CD, IBCLC, RLC

Registered Dietitians Respiratory Educator

Julie Crow, Carly DeGrood, Amanda Hesse, Julie McLaughlin, Tim Ballweg, RD, CD RD, CD, CDE RD, CD RD, CD, CDE RRT, CPFT, AE-C

Tobacco Cessation

Please contact your primary care clinic for more information regarding these services.

Group Health Cooperative of South Central Wisconsin 16 2021 Provider Directory GHC-SCW SPECIALTY CARE PROVIDERS & CLINICS Complementary Medicine

Therapeutic Sessions No referral is needed. To schedule, visit ghcscw.com and log in to your GHCMyChartSM account or call (608) 662–5090.

Acupuncture Myofascial Massage is a traditional Chinese therapy that uses releases body tissues to help increase thin needles to help stimulate the body’s functioning after an injury or the onset natural ability to heal. of pain.

Mind/Body Aromatherapy Care Naturopathic Medicine uses light touch, aromatherapy and more to combines herbal medicine, nutrition and promote relaxation and reduce tension or other therapies for natural healing. stress. Oncology Care Craniosacral Therapy works with conventional cancer care by is a gentle touch therapy that helps bring incorporating the healing therapies of balance to the body by releasing pain, stress massage, acupuncture and more. and trauma. Reflexology Infant Massage Therapy uses gentle pressure on the foot to help uses light touch to strengthen the bond relieve pain and other symptoms. between parent and child. Reiki Therapy Manual Lymph Drainage uses light touch to lower stress, enhance Locations a gental technique to assist in boosting relaxation, relieve pain and increase self– the immune system and increase lymph awareness. East Clinic production. 5249 E Terrace Dr. Thai Massage Madison, WI 53718 Massage Therapy involves a practitioner that moves your body promotes relaxation and soothes tension by into comfortable, yoga–like stretches for gently pressing or kneading muscles and total body relaxation. Hatchery Hill Clinic soft tissues. 3051 Cahill Main Fitchburg, WI 53711

Sauk Trails Clinic 8202 Excelsior Dr. Group Classes Madison, WI 53717 Join a class that’s right for you! To register, visit ghcscw.com, select “Wellness,” then click on “Sign Up for Classes,” or call (608) 662–5090.

Belly Dance / Zumba Tai Chi is a timeless style of dance which combines is a slow–moving martial art practice that elegance and passion. While belly dancing, combines mind, breath and action to abdominal muscles are constantly engaged, increase flexibility, strengthen the body, initiating all the body’s movement. It is restore balance and generate peace of rewarding for people of any age or fitness level. mind.

Mindfulness Meditation Yoga can help relax the body and mind, increase classes combine postures, breathing calmness and improve psychological techniques and meditation to improve balance. Techniques taught include your overall health and well–being. Relax, postures, focused attention and an open recharge and restore with any of our yoga attitude toward distractions. class levels.

Visit ghcscw.com and select the “Search for a Clinic or Provider” 17 button for a complete and current listing of providers. GHC-SCW SPECIALTY CARE PROVIDERS & CLINICS

Complementary Medicine

Ghadeer Alafifi Tracy Anderson, LMT Ellen Bass, LMT Elizabeth Bushkofsky, CMT Amanda Casper, LMT Zumba Instructor Infant Massage Massage Therapy Massage Therapy Massage Therapy Massage Therapy Oncology Care Prenatal Massage Myofascial Release Prenatal Massage Yin Yoga Instructor Sports Massage Sports Massage Reiki Therapy

Michael Fafinski, LMT Dan Fox, LMT Noah Fulton, LAc Wendy Grapentine, CMT Casey Greimel, LMT CranioSacral Therapy CrainoSacral Therapy Acupuncture Massage Therapy Massage Therapy Massage Therapy Massage Therapy Mind & Body Sessions Lymphatic Massage Prenatal Massage Oncology Care Myofascial Massage Prenatal Massage Sports Massage Reiki Therapy Reiki Therapy Cupping Sports Massage

Dustin Honguyen, LMT Mary Karls, CMT Maruti Isabel Landau, RYT Jill Lundberg, RYT Miranda Merkes, CMT Massage Therapy Massage Therapy Yoga Instructor Yoga Instructor CrainoSacral Therapy Myofascial Massage Oncology Care Cupping Therapy Reflexology Prenatal Massage Infant Massage Therapy Sports Massage Reflexology Massage Therapy Reiki Therapy

Terri Pellitteri FNU Ruddy, ND Michael Smith Colin Sparks, LMT Anders Totten, CMT Tai Chi Instructor Naturopathic Medicine Mindful Meditation Massage Therapy Massage Therapy Prenatal Massage Myofascial Release Cupping Trigger Point Therapy

Group Health Cooperative of South Central Wisconsin 18 2021 Provider Directory Complementary Medicine

Alicia Wright, RYT Khadija Zayed, CMT, RMT Yoga Instructor Aromatherapy CrainoSacral Therapy Reiki Therapy

Visit ghcscw.com and select the “Search for a Clinic or Provider” 19 button for a complete and current listing of providers. GHC-SCW SPECIALTY CARE PROVIDERS & CLINICS

YOUR EYES DESERVE THE BEST GHC-SCW Eye Care Center

Our Eye Care Center is your one-stop-shop for all of your vision needs, including eye exams, treating vision symptoms, stylish eyewear, sunglasses, contact lenses and more!

Services See Us Today Comprehensive eye exams Stop in the GHC-SCW Eye Care Center to see Skilled doctors whose main concern is your vision all of our eyewear on display, speak with our and eye health. expert staff and take advantage of member discounts. For an eye exam appointment, call Glasses and state-of-the-art lenses (608) 661-7200 and press 1, or schedule through your GHCMyChartSM account. Stylish frames at a competitive price. (608) 661-7200 Sunglasses From sports to safety, find the perfect prescription Hatchery Hill Clinic, and non-prescription sunglasses. Eye Care Center 3051 Cahill Main Contact lenses Fitchburg, WI 53711 Full service fittings for contact lenses that are available for order through your GHCMyChartSM account. Mon – Fri: 7:30 a.m. – 6 p.m.

Eye Care

Doctors of Optometry

Adam Burns, OD Sacha Lundgren, OD Robert Mertz, OD Amy Rindahl, OD, FAAO Timothy Ruder, OD

Chelci Schade, OD Timothy Schwefel, OD, FAAO Thomas Waeltz, OD

Group Health Cooperative of South Central Wisconsin 20 2021 Provider Directory GHC-SCW SPECIALTY CARE PROVIDERS & CLINICS

Behavioral Health GHC-SCW covers a full range of mental health services, addiction services and health behavior interventions for children, teens and adults. Our treatment team of Licensed Clinical Social Workers, Professional Counselors, Marriage and Family Therapists, Psychiatrists, Psychologists, Advanced Practice Nurse Prescribers and Physician Assistants work collaboratively with members to develop individualized assessments and treatments to meet the needs of each member.

Mental Health Services GHC-SCW outpatient mental health services are available at our primary clinic locations. • Capitol Regent Mental Health Clinic (located across the street from the Capitol Clinic at 700 Regent St.) • East Clinic • Hatchery Hill Clinic • Sauk Trails Clinic

Call the GHC-SCW Mental Health Triage Team at (608) 441-3290 to discuss your needs and arrange services.

Substance Use and Addiction Services UW Health Behavioral Health and Recovery Clinic Substance use and addiction services are provided by our UW Health partner, UW Health Behavioral Health and Recovery. GHC-SCW members can contact UW Health Behavioral Health and Recovery, located at 1102 S. Park St., Madison, WI, directly without a referral. UW Health Behavioral Health and Recovery Clinic offers an array of services designed to assess and treat substance use and addiction problems.

Call UW Health Behavioral Health and Recovery Clinic at (608) 282-8270 to discuss your needs and arrange services.

Primary Care Behavioral Health Services If your Primary Care Provider (PCP) is located in the GHC-SCW Capitol, East, Hatchery Hill or Sauk Trails Clinics, you can access integrated behavioral health services directly through your primary care team. Care teams at these clinics include a Behavioral Health Consultant (BHC) who assists the PCPs with clinical care and interventions for the full range of behavioral, mental and health-related needs. BHCs provide both brief and ongoing treatment and support in the primary care setting.

For more information, contact your primary care team at Capitol, East, Hatchery Hill or Sauk Trails Clinics. See pages 12–18 for GHC-SCW clinic phone numbers and hours.

Visit ghcscw.com and select the “Search for a Clinic or Provider” 21 button for a complete and current listing of providers. GHC-SCW SPECIALTY CARE PROVIDERS & CLINICS

Mental Health

Mental Health Providers

Wendy Abel, MSEd, LPC Shelley Aeschliman, Thomas Bartolutti, LPC, SAC Amy Bourne, MD Jennifer Brandt, MSE, LPC CPNP, PMHNP-BC

Amanda Case, Graham Cody, MD Marina DeMenech-Sanderson, Christina Dohm, Shari Eberhardt, APNP LCSW, SAC MSW, LCSW LPC, CSAC

Julie Frederich, LCSW Bethany Fucci, Kathleen Hughes, MD Paul Hulseberg, PA-C, PhD Lisa Hunter, MD MA, LPC

Michael Hussey, Paul Johnson, Athena Lickel, PhD Penny Majors, Sam Mak, LCSW, CSAC LCSW, CSAC MA, LCSW LCSW, CSAC

Sheri Nagel, LPC Andrea Nelson, PhD Carlene Oakley, MD Joshua Olson, Michelle O’Meara, MS, LMFT LCSW, LMFT

Katie Trott, MD Alisha Zuege, LCSW

Group Health Cooperative of South Central Wisconsin 22 2021 Provider Directory Primary Care Behavioral Health

Primary Care Behavioral Health Providers

Jacob Austin, PsyD Katelyn Jones, Amanda Slawter, Sarah Vinson, MSW, LCSW MSW, LCSW MSW, LCSW, SAC

Dermatology Podiatry

Dermatology Providers Podiatrists Dermatologists treat a variety of skin conditions and diseases for people Podiatry is the of all ages. Our dermatology department provides full spectrum dermatology treatment associated care including diagnosis, treatment, skin biopsies and light therapy. In with disorders of the addition, we also treat conditions of the hair, nails and scalp. foot and ankle.

Stephen Bogue, DPM

Kristopher Denby, MD Pichaya (Ann) Ratarasarn, Pam Sprecher-Galka, William Chubb, Stephen Merckx, DPM MD PA-C DPM, FACFAS

Visit ghcscw.com and select the “Search for a Clinic or Provider” 23 button for a complete and current listing of providers. GHC-SCW SPECIALTY CARE PROVIDERS & CLINICS

Physical Therapy

Physical Therapists Physical therapy focuses on relieving of pain, promoting healing, restoring range of motion and strength. This leads to a return of function and pain-free performance of daily activities.

Rama Ahuja, Tyler Allee, DPT Gina Droessler, Ted German, Shannon Jegla, DPT MPT, CIMT LPTA, CSCI, CPI DPT, CIMT, CPRS

Paul Jones, Jacqueline Kimble, Pranali Mhadolkar, Brenda Milbrath, Taylor Mildenhall, DPT, SCS PT, Cert MDT, CSCS MPT, OCS, CIMT PT, OCS, CIMT DPT, OCS

Afton O’Reilly, Wendy Parsons, Chelsea Porst, Marcy Schulz, Jaclyn Spees, DPT, SCS DPT MPT DPT DPT, SCS, ATC

Occupational Therapy

Occupational Therapists Occupational therapy focuses on the development of skills needed for the activities of daily living, including self-care, leisure, independent living Rebekah Steidinger, Scott Theado, Barb Urmann, and work. DPT PT, CIMT PT, MOMT

Sports Medicine

Sports Medicine Providers Sports medicine provides services to benefit athletes as well as many other individuals. Sports medicine should be considered non-operative Heather Crandell, Kaitlin Hellenbrand, musculoskeletal medicine. OTR, CLT OTR, CLT

Matt Brown, MD, DPT Steve Almasi, Eric Hilquist, Jacolyn Hudson, MD MD MOTR/L

Group Health Cooperative of South Central Wisconsin 24 2021 Provider Directory SPECIALTY CARE LOCATIONS

SPECIALTY CARE LOCATIONS

Prior authorization may be required for some specialty care services provided outside of a GHC-SCW-owned clinic. Please refer to your Benefits Summary and Member Certificate or contact Member Services at (608) 828-4853 or toll-free at (800) 605-4327.

Allergy/Asthma

UW Health - 20 South Park 20 S. Park St., Madison (608) 287-2600

UW Health - East Clinic 5249 E. Terrace Dr., Madison (608) 265-1280

UW Health - West Clinic 451 Junction Rd., Madison (608) 263-6180 Cardiovascular

UW Health - 1 South Park 1 S. Park St., Atrium 3, Madison (608) 287-2434 UW Health - American Family Children’s Hospital - Pediatrics 1675 Highland Ave., Madison (608) 263-6420 UW Health - Research Park 621 Science Dr., Madison (608) 263-1530 UW Health - The American Center 4602 Eastpark Blvd., Madison (608) 263-1530 UW Health - University Hospital and Clinics 600 Highland Ave., Madison (608) 263-1530 Chiropractic Care

Visit ghcscw.com and select the “Search for a Clinic or Provider” 25 button for a complete and current listing of providers. SPECIALTY CARE LOCATIONS

SPECIALTY CARE LOCATIONS

Clinical Health Education (Not all services offered at each location.)

GHC-SCW - Capitol Clinic 675 W. Washington Ave., Madison (608) 257-9700 GHC-SCW - East Clinic 5249 E. Terrace Dr., Madison (608) 222-9777 GHC-SCW - Hatchery Hill Clinic 3051 Cahill Main, Fitchburg (608) 661-7200 GHC-SCW - Madison College Community Clinic Health Education Center - Truax Campus 1705 Hoffman St., Madison (608) 441-3220 GHC-SCW - Sauk Trails Clinic 8202 Excelsior Dr., Madison (608) 831-1766 Complementary Medicine

GHC-SCW - East Clinic 5249 E. Terrace Dr., Madison (608) 662-5090 GHC-SCW - Hatchery Hill Clinic 3051 Cahill Main, Fitchburg (608) 662-5090 GHC-SCW - Sauk Trails Clinic 8202 Excelsior Dr., Madison (608) 662-5090 Dental Services

Dental Health Associates – American Center Clinic 5002 AmCenter Dr., Madison (608) 467-3000 Dental Health Associates – Downtown Clinic 44 E. Mifflin St., Madison (608) 256–0499 Dental Health Associates – East Clinic 49 N. Walbridge Ave., Madison (608) 246–2555 Orthodontics: (608) 246–3691 Dental Health Associates – South Clinic 2971 Chapel Valley Rd., Fitchburg (608) 661–6400 Orthodontics: (608) 661–6420 Dental Health Associates – University Clinic 2713 Marshall Ct., Madison (608) 442–4400 Dental Health Associates – West Gammon Clinic 7001 Old Sauk Rd., Madison (608) 833–2578 Orthodontics: (608) 833-6112 Dental Health Associates – West Old Sauk Clinic 7017 Old Sauk Rd., Madison (608) 833–1889

Group Health Cooperative of South Central Wisconsin 26 2021 Provider Directory SPECIALTY CARE LOCATIONS

Dermatology Eye Care

GHC-SCW - Hatchery Hill Clinic GHC-SCW - Hatchery Hill Clinic 3051 Cahill Main, Fitchburg (608) 661-7200 3051 Cahill Main, Fitchburg (608) 257-7328 UW Health - 1 South Park Gastroenterology 1 S. Park St., Madison (608) 287-2450 UW Health - 20 South Park UW Health - 20 South Park 20 S. Park St., Madison (608) 890-5000 20 S. Park St., Madison (608) 287-2888 UW Health - American Family UW Health - East Clinic Children’s Hospital - Pediatrics 5249 E. Terrace Dr., Madison (608) 265-1288 1675 Highland Ave., Madison (608) 263-6420 UW Health - West Clinic UW Health - East Clinic 451 Junction Rd., Madison 5249 E. Terrace Dr., Madison 1st Floor: (608) 265-7670 Lower Level: (608) 265-0700 Pediatrics (608) 263-6420 MOHS/Dermatologic Surgery: (608) 263-6226 UW Health - Digestive Health Center Ear, Nose & Throat 750 University Row, Madison (608) 890-5000 General Surgery UW Health - 1 South Park 1 S. Park St., Madison (608) 287-2500 UW Health - 1 South Park UW Health - American Family 1 S. Park St., Madison (608) 287-2100 Children’s Hospital - Pediatrics UW Health - American Center 1675 Highland Ave., Madison (608) 263-6420 4602 Eastpark Blvd., Madison (608) 440-6300 UW Health - University Hospital and Clinics UW Health - American Family 600 Highland Ave., Madison (608) 263-6190 Children’s Hospital - Pediatrics Endocrinology/Diabetes 1675 Highland Ave., Madison (608) 263-6420 UW Health - University Hospital and Clinics GHC-SCW - Capitol Clinic 600 Highland Ave., Madison (608) 263-7502 675 W. Washington Ave., Madison Diabetes Management Only: (608) 257-9700 Hematology UW Health - American Family Children’s Hospital - Pediatrics UW Health - American Family 1675 Highland Ave., Madison (608) 263-6420 Children’s Hospital - Pediatrics 1675 Highland Ave., Madison (608) 263-6420 UW Health - East Clinic 5249 E. Terrace Dr., Madison (608) 265-7406 UW - Carbone Cancer Center Pediatrics: (608) 263-6420 600 Highland Ave., Madison (608) 265-1700 UW Health - West Clinic UW - Carbone Cancer Clinic 451 Junction Rd., Madison 1 S. Park St., Madison (608) 287-2552 Diabetes: (608) 263-7741 Endocrinology: (608) 263-5010 Pediatrics: (608) 263-6420

Visit ghcscw.com and select the “Search for a Clinic or Provider” 27 button for a complete and current listing of providers. SPECIALTY CARE LOCATIONS

SPECIALTY CARE LOCATIONS

Infertility Nephrology

Wisconsin Fertility Institute UW Health - American Family 3146 Deming Way, Middleton (608) 824-0075 Children’s Hospital - Pediatrics 1675 Highland Ave., Madison (608) 263-6420 Generations Fertility Care 2365 Deming Way, Middleton (608) 824-6160 UW Health - East Clinic 5249 E Terrace Dr., Madison (608) 270-5656 Mental Health and Substance Abuse Pediatrics: (608) 263-6420 Autism UW Health - Kidney Clinic 3034 Fish Hatchery Rd., Madison (608) 270-5656 Achieving Collaborative Treatment 200 Enterprise Dr., Madison (608) 497-3230 Wisconsin Dialysis East Clinic 4600 American Pkwy., Madison (608) 243-3003 Caravel Autism Health East Madison Clinic: 4005 Felland Rd., Madison Wisconsin Dialysis Fitchburg Clinic (608) 960-8921 3034 Fish Hatchery Rd., Madison (608) 270-5600 West Madison Clinic: 559 Zor Shrine Pl., Madison (608) 833-0123 Neurology FamilyPath Autism Services UW Health - 20 South Park 575 D’Onofrio Dr. Suite 200, Madison (608) 512-0780 20 S. Park St., Madison (608) 287-2090 Wisconsin Early Autism Project, Inc. UW Health - University Hospital and Clinics 1210 Fourier Dr., Ste. 100, Madison (608) 662-9327 600 Highland Ave., Madison (608) 263-5442 Pediatrics: (608) 890-6500 Mental Health Obstetrics & Gynecology GHC-SCW - Capitol Regent Mental Health Clinic UW Health - 20 South Park 700 Regent St., Suite 302, Madison (608) 441-3290 20 S. Park St., Madison (608) 287-2830 GHC-SCW - East Clinic UW Health - Union Corners Clinic 5249 E. Terrace Dr., Madison (608) 441-3970 2402 Winnebago St., Madison (608) 242-6840 GHC-SCW - Hatchery Hill Clinic UW Health - University Hospital and Clinics 3051 Cahill Main, Fitchburg (608) 661-7227 600 Highland Ave., Madison GHC-SCW - Sauk Trails Clinic Gynecology Only: (608) 263-8151 8202 Excelsior Dr., Madison (608) 831-1766 UW Health - West Clinic Substance Abuse 451 Junction Rd., Madison (608) 265-7601 UW Health - Behavioral Health and Recovery UnityPoint Health - Meriter Monona Clinic - 1102 S. Park St., Madison (608) 282-8270 UW Health Obstetrics & Gynecology 6408 Copps Ave., Monona (608) 417-3000

Group Health Cooperative of South Central Wisconsin 28 2021 Provider Directory SPECIALTY CARE LOCATIONS

Occupational Therapy Orthopedics

GHC-SCW - Capitol Clinic UW Health - 1 S. Park 675 W. Washington Ave., Madison (608) 662-5060 1 S. Park St., Madison Orthopedic Surgery: (608) 263-7540 GHC-SCW - East Clinic Spine Medicine: (608) 265-3207 5249 E. Terrace Dr., Madison (608) 441-3989 UW Health - American Family GHC-SCW - Princeton Club West PT/OT Clinic Children’s Hospital - Pediatrics 8054 Watts Rd., Madison (608) 662-5060 1675 Highland Ave., Madison (608) 263-6420 Oncology UW Health - The American Center 4602 Eastpark Blvd., Madison UW Health - American Family Orthopedic Surgery: (608) 263-7540 Children’s Hospital - Pediatrics Spine Medicine: (608) 265-3207 1675 Highland Ave., Madison (608) 263-6420 Sports Medicine: (608) 263-8850 UW - Carbone Cancer Clinic UW Health - Research Park 1 S. Park St., Madison (608) 287-2552 621 Science Dr., Madison Orthopedic Surgery: (608) 263-7540 UW - Carbone Cancer Center Spine Medicine: (608) 263-8850 600 Highland Ave., Madison (608) 265-1700 Sports Medicine: (608) 265-3207 Ophthalmology UW Health - University Hospital and Clinics 600 Highland Ave., Madison (608) 263-7540 UW Health - Deming Way 2349 Deming Way, Middleton (608) 824-3937 Pain Management UW Health - East Eye Clinic 5249 E. Terrace Dr., Madison (608) 265-1270 UW Health - Pain Management Clinic 1102 S. Park St., Madison (608) 263-9550 UW Health - Madison Eye Associates 780 Regent St., Madison (608) 257-4286 UW Health - Research Park Clinic (Health Psychology) UW Health - University Station 621 Science Dr., Madison (608) 263-9638 2880 University Ave., Madison Adults: (608) 263-7171, Pediatrics: (608) 263-6414 Oral Surgery

Center For Oral and Maxillofacial Surgery, S.C. 7007 Old Sauk Rd., Madison (608) 819-8760 Center For Oral and Maxillofacial Surgery, S.C. 5302 Buttonwood Dr., Madison (608) 240-0863

Visit ghcscw.com and select the “Search for a Clinic or Provider” 29 button for a complete and current listing of providers. SPECIALTY CARE LOCATIONS

SPECIALTY CARE LOCATIONS

Physical Medicine and Rehabilitation Podiatry

UW Health - The American Center GHC-SCW - Madison College Community Clinic 4602 Eastpark Blvd., Madison (608) 440-6444 Health Education Center, Truax Campus 1705 Hoffman St., Madison (608) 441-3220 UW Health - Rehabilitation Clinic 6630 University Ave., Middleton (608) 263-8412 GHC-SCW - Hatchery Hill Clinic 3051 Cahill Main, Fitchburg (608) 661-7200 UW Health - Research Park 621 Science Dr., Madison GHC-SCW - Sauk Trails Clinic Spine Physical Therapy: (608) 265-3341 8202 Excelsior Dr., Madison (608) 831-1766 Sports Rehabilitation: (608) 263-4765 Pulmonary Medicine UW Health - West Clinic 451 Junction Rd., Madison (608) 265-7700 UnityPoint Health - 202 S. Park 202 S. Park St., Madison (608) 287-0999 UW Health - Yahara Clinic 1050 East Blvd., Monona (608) 890-6110 UW Health - American Family Children’s Hospital - Pediatrics Physical Therapy 1675 Highland Ave., Madison (608) 263-6420 GHC-SCW - Capitol Clinic UW Health - University Hospital and Clinics 675 W. Washington Ave., Madison (608) 662-5060 600 Highland Ave., Madison (608) 263-7203 GHC-SCW - East Clinic Radiation Oncology 5249 E. Terrace Dr., Madison (608) 441-3989 Turville Bay MRI and Radiation Oncology Center GHC-SCW - Princeton Club West PT/OT Clinic 1104 John Nolen Dr., Madison 8054 Watts Rd., Madison (608) 662-5060 Radiation Oncology: (608) 251-6868 Plastic Surgery UW Health - East Clinic 5249 E. Terrace Dr., Madison (608) 263-8500 UW Health - 1 South Park 1 S. Park St., Madison UW Health - Carbone Cancer Center (608) 287-2500 / (608) 287-2100 600 Highland Ave., Madison (608) 263-8500 UW Health - 20 South Park 20 S. Park St., Madison (608) 720-5200 UW Health - The American Center 4602 Eastpark Blvd., Madison (608) 440-6700 UW Health - American Family Children’s Hospital - Pediatrics 1675 Highland Ave., Madison (608) 263-6420 UW Health - University Hospital and Clinics 600 Highland Ave., Madison (608) 263-7502

Group Health Cooperative of South Central Wisconsin 30 2021 Provider Directory SPECIALTY CARE LOCATIONS

Radiology/Imaging Urology

GHC-SCW - Hatchery Hill Clinic UW Health - 1 S. Park 3051 Cahill Main, Fitchburg (608) 661-7200 1 S. Park St., Madison (608) 287-2900 Turville Bay MRI and Radiation Oncology Center UW Health - American Family 1102 John Nolen Dr., Madison (608) 251-6868 Children’s Hospital - Pediatrics 1675 Highland Ave., Madison (608) 263-6420 UnityPoint Health - 202 S. Park 202 S. Park St., Madison (608) 417-6090 UW Health - University Hospital and Clinics 600 Highland Ave., Madison (608) 263-4757 UW Health - 1 S. Park 1 S. Park St., Madison (608) 287-2050 UW Health - Research Park 621 Science Dr., Madison (608) 265-8333 UW Health - The American Center 4602 Eastpark Blvd., Madison (608) 263-8340 UW Health - University Hospital and Clinics 600 Highland Ave., Madison (608) 263-9729 Rheumatology

UW Health - 1 S. Park 1 S. Park St., Madison (608) 287-2800

UW Health - American Family Children’s Hospital - Pediatrics 1675 Highland Ave., Madison (608) 263-6420 UW Health - East Clinic 5249 E. Terrace Dr., Madison (608) 265-1280 UW Health - West Clinic 451 Junction Rd., Madison (608) 263-7577 Sleep Disorders

Wisconsin Sleep 6001 Research Park Blvd., Madison (608) 232-3333 Thoracic Surgery

UW Health - University Hospital and Clinics 600 Highland Ave., Madison Thoracic: (608) 263-7502 Cardiac: (608) 263-1530

Visit ghcscw.com and select the “Search for a Clinic or Provider” 31 button for a complete and current listing of providers. COMMON TERMS

COMMON TERMS

The following terms and explanations are to help guide you. They are not definitions. For definitions, refer to your Member Certificate.

Care Management is a department that is responsible for Clinical Health Education (CHE) helps you learn about your processing, approving and denying prior authorization requests health and how to prevent or manage chronic conditions. CHE for medical and behavioral health services prior to services Providers may help you create an individualized plan to improve being rendered. your health, based on credible and easy-to-understand health information.

Care Teams are a unique and member-focused approach to providing care to members. In GHC-SCW-owned clinics, Complementary Medicine includes many forms of a team of medical experts use their skills and expertise to treatments and therapies that are not considered part of work together to provide exceptional and coordinated care conventional medicine. Complementary medicine focuses that supports members. The care team includes: Primary on the building blocks for health such as prevention and Care Providers (Physicians, Certified Physician Assistants addressing the underlying causes of a disease, rather than and Advanced Practice Nurse Prescribers), Registered Nurse simply treating the external symptoms. Coordinators, Clinical Case Managers, Care Team Specialists, Behavioral Health Consultants and Pharmacists. The goal of Complex Case Management (CCM) is to assist members with multiple, complex or acute life threatening Care Team Specialists are key players on care teams (found conditions so they may get access to appreciate health care within GHC-SCW-owned clinics) who support the Primary services. A Case Manager will assist the member with health Care Provider during a member’s visit. They also gather goals, self-management care plans and prior authorizations information about a member’s health and assist with member to specialty care. Members are accepted into Complex Case communication. A Care Team Specialist can be a Licensed Management by meeting a certain enrollment criteria. Practical Nurse or a Certified Medical Assistant.

Emergency Care is care for a life-threatening medical Case Managers assist Primary Care Providers in coordinating condition that includes severe symptoms, which could cause medical or behavioral health care. If you have a complex serious jeopardy to a person’s health. medical situation or are facing an inpatient visit, you might work with a Case Manager. The Case Manager coordinates the care and services needed, works with medical providers Family Medicine involves broad training and may include to develop a plan of care to meet your needs, answers your expertise in the areas of obstetrics and gynecology, pediatrics questions and helps you with any medical or behavioral or internal medicine. Family medicine concentrates on health health needs. If needed, they help connect you to available care for the entire family, with an emphasis on continuity community resources, provide support to you and your family of care for all ages. Family Medicine Providers are ideal for and help with complex financial concerns. members who have families or anticipate having children.

A Certified Physician Assistant (PA-C) and an Advanced A formulary is a list of covered prescription drugs under a Practice Nurse Prescriber (APNP) are qualified, licensed benefit plan. They have been proven to be safe, effective and health care professionals with extensive academic training and cost-efficient. As a member of GHC-SCW, your prescription clinical experience. They provide a range of services, such drug coverage includes only the drugs listed on the GHC-SCW as routine physical examinations along with evaluation and Formulary, except in certain cases of medical necessity. management of common medical problems. Like the GHC-SCW Primary Care Providers, PA-C and APNP are certified and committed to personalized comprehensive health care for you and your family.

Group Health Cooperative of South Central Wisconsin 32 2021 Provider Directory Internal Medicine specializes in adult medicine and complex Primary Care is the first point of contact for the member health care. The focus is on the interrelated systems of the within the health care system. It includes a broad spectrum body and how they are affected by illness. Older adults often of health care services and preventive care. The aim of prefer Internal Medicine Providers for this reason. An Internal primary care is to provide a foundation for good health and to Medicine Provider may be a good choice if you or your family coordinate the care that the patient receives. members are over the age of 16.

A Primary Care Provider (PCP) is a health care provider In-Plan Primary and Specialty Care is provided by a panel who provides primary care to the member. The PCP also helps of providers under contract with GHC-SCW. Prior authorizations to provide continuity of care and to coordinate services, if for specialty care are limited to this panel of contracted necessary, with recommended Specialty Care Providers. A providers. Specialty medical care provided by a contracted PCP may be a Family Medicine Physician, an Internal Medicine non-GHC-SCW provider is not covered if the service requested Physician, a Pediatrician, a Physician Assistant or a Nurse may be provided by a GHC-SCW specialty provider. Practitioner.

A member is a person who is enrolled with GHC-SCW as Prior Authorization is the process of approving specialty either a subscriber or a dependent of a subscriber. care services and specific procedures or services when needed, based on appropriateness of care and location.

A network may be considered a “path” through the health care system. GHC-SCW offers multiple networks for primary A Registered Nurse (RN) is a professional nurse who has and specialty care. Benefits coverage is only provided to completed a course of study at an approved and accredited members who stay within their chosen network. school of nursing and who has passed the National Council of Licensure Examination. RNs are licensed to practice by individual states. Pediatrics focuses on childhood and adolescent medicine, including preventive health care. A pediatric PCP may be ideal for children and youth ages 19 or younger with special health Specialty Care is care for a specific condition, or care to care needs. Most Family Medicine PCPs also have extensive provide diagnosis and treatment by a provider with training in a pediatric experience. particular field of medicine.

Pharmacists are knowledgeable professionals that help with A Specialty Care Provider is an individual, team or facility medication needs. They provide medication consultations who provides specialty care to the member. Specialty Care and explain medication information. Professional pharmacists Providers specialize in one or more field of medicine and have have completed either a Bachelor of Science in Pharmacy or developed advanced skills in that area. a Doctor of Pharmacy degree program at an approved and accredited College of Pharmacy. They have also passed several licensing examinations. Urgent Care is same-day or after-hours care for non-life- threatening conditions that require immediate attention, or persistent or unusual discomfort associated with an illness. Some examples of urgent care include colds and flu, migraine headaches and minor injuries.

Visit ghcscw.com and select the “Search for a Clinic or Provider” 33 button for a complete and current listing of providers. ghcscw.com Primary Care Clinics

GHC-SCW Clinics Capitol Clinic East Clinic Madison College Community Clinic (608) 257-9700 (608) 222-9777 (608) 441-3220 675 W. Washington Ave., Madison, WI 5249 E. Terrace Dr., Madison, WI 53718 Health Education Center-Truax Campus 53703 Mon: 8 a.m. - 7 p.m. 1705 Hoffman St., Madison, WI 53704 Wed, Fri: 8 a.m. - 5 p.m. Tues - Fri: 8 a.m. - 5 p.m. Mon - Fri: 7:30 a.m. - 5 p.m. Mon, Tues, Thurs: 8 a.m. - 7 p.m. Hatchery Hill Clinic Sauk Trails Clinic DeForest Clinic (608) 661-7200 (608) 831-1766 (608) 846-4787 3051 Cahill Main, Fitchburg, WI 53711 8202 Excelsior Dr., Madison, WI 53717 815 S. Main St., DeForest, WI 53532 Mon, Wed - Fri: 8 a.m. - 5 p.m. Mon: 8 a.m. - 7 p.m. Mon - Fri: 8 a.m. - 4:30 p.m. Tues: 8 a.m. - 7 p.m. Tues - Fri: 8 a.m. - 5 p.m.

GHC-SCW Urgent Care

Anytime you need medical care (except (608) 442-8100 for emergencies), you should first call 675 W. Washington Ave., your primary care clinic for an available Madison, WI 53703 appointment. If you need medical care after normal primary care clinic hours, Mon - Fri: 8 a.m. - 9 p.m. call the GHC-SCW urgent care clinic to Sat - Sun: 9 a.m. - 9 p.m. schedule an appointment: We schedule urgent care appointments to better serve your same-day access needs.

virtuwell® GHC NurseConnect

virtuwell® is your 24/7 online clinic for GHC NurseConnect is your 24-hour a diagnosis, treatment plan and even nurse advice line when you need general a prescription for common medical care advice over the phone. Get the conditions. Get better faster. information you need when you need it.

ghcscw.com Visit ghcscw.com/virtuwell Call (608) 661-7350 or toll-free (855) 661-7350

GHC Care OnDemand*

With GHC Care OnDemand, you can access a doctor from your home, office, or on-the-go, 24/7, 365 to help treat any non-emergency medical conditions.

Visit ghccareondemand.com * Visits are free for most members. Members with HSA-eligible plans must reach their deductible before visits are free.

Please clip and keep as a quick reference.

Group Health Cooperative of South Central Wisconsin (GHC-SCW) MK20-88-0(7.20)O 1265 John Q Hammons Dr. Madison, WI 53717-1962 ghcscw.com