Mercycare Senior 2020 W7 Provider Directory
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MercyCare Senior 2020 W7 Provider Directory Live well. We’ll insure you do. Live well. We’ll insure you do. Member Identification Cards MercyCare Health Plans members receive ID cards that have information needed by providers to check a member’s eligibility and benefits, and to submit claims. The ID card features the member name, ID number, group number and MercyCare contact information. 1 INSURED NUMBER: Identification number 2 CO-PAYMENTS 3 GROUP NUMBER: How MercyCare SPECIAL INSTRUCTIONS identifies your benefit package Prior authorization is required for some medical or pharmacy expenses. If you fail to get 4 MEMBER NUMBER: Personal ID number authorization, you will be liable for all charges. You must call Customer Service within 48 hours 5 PCP NAME: Your primary care physician of an emergency admission. See your member policy for a full description of benefits. (family medicine, internal medicine, pediatrician) Customer Service: WI (800) 895-2421 6 PLAN ID: Designates your plan IL (877) 908-6027 MercyCareHealthPlans.com NAME OF PLAN: Type of plan you have Send claims to: MercyCare Claims Department PO Box 550 Janesville, WI 53547-0550 MercyCare HealthLine: (888) 756-6060 MCID2019 To determine which plan you are in, please refer to your ID card. If you have any questions, or are unable to determine your specific plan name and/or plan ID, please call (800) 895-2421. Visit mercycarehealthplans.com to see which providers participate in your plan. 1 Hospitals, Emergency and Urgent Care Hospitals Mercyhealth Hospital Mercyhealth North Javon Bea Hospital–Riverside and Trauma Center 3400 Deerfield Dr. 8201 East Riverside Blvd. Emergency North Janesville, WI Rockford, IL 3400 Deerfield Dr. (608) 314-3605 (815) 971-7000 Janesville, WI Mercyhealth Perryville (608) 314-3605 Javon Bea Hospital–Rockton 3401 N. Perryville Rd. 2400 N. Rockton Ave. Mercyhealth Hospital Rockford, IL Rockford, IL and Trauma Center–Janesville (815) 971-8000 (815) 971-5000 1000 Mineral Point Ave. Mercyhealth Rockton Avenue Janesville, WI 2300 N. Rockton Ave., Bldg. 1 Mercyhealth Hospital and (608) 756-6000 Medical Center–Harvard Rockford, IL 901 Grant St. Mercyhealth Hospital and (815) 971-2572 Harvard, IL Medical Center–Walworth Mercyhealth Roscoe (815) 943-5431 N2950 State Rd. 67 5000 Prairie Rose Dr. Lake Geneva, WI Roscoe, IL Mercyhealth Hospital and (262) 245-2230 Medical Center–Walworth (815) 971-3450 N2950 State Rd. 67 Fort Memorial Hospital Mercyhealth South Lake Geneva, WI 611 Sherman Ave. East 849 Kellogg Ave. (262) 245-2230 Fort Atkinson, WI Janesville, WI (920) 568-5000 Mercyhealth Hospital (608) 755-7960 and Trauma Center–Janesville Watertown Memorial Hospital Mercyhealth Hopsital and 1000 Mineral Point Ave. 125 Hospital Dr. Medical Center–Walworth Janesville, WI Watertown, WI N2950 State Rd. 67 (608) 756-6000 (920) 261-4210 Lake Geneva, WI Fort Memorial Hospital Urgent Care Clinics (262) 245-2230 611 Sherman Ave. East Mercyhealth Beloit Mercyhealth Whitewater Fort Atkinson, WI 2825 Prairie Ave. 507 W. Main St. (920) 568-5000 Beloit, WI Whitewater, WI Watertown Memorial Hospital (608) 363-5500 (262) 473-0401 125 Hospital Dr. Mercyhealth Belvidere Mercyhealth Winnebago Watertown, WI 1747 Henry Luckow Ln. 102 Landmark Dr. (920) 261-4210 Belvidere, IL Winnebago, IL Emergency Care (815) 971-3055 (815) 971-3250 Javon Bea Hospital–Riverside Mercyhealth Byron Mercyhealth Woodstock 8201 East Riverside Blvd. 130 Kysor Dr. 2000 Lake Ave. Rockford, IL Byron, IL Woodstock, IL (815) 971-7000 (815) 971-3099 (815) 337-1544 Javon Bea Hospital–Rockton Mercyhealth East Fort HealthCare Lake Mills 2400 N. Rockton Ave. 3524 E. Milwaukee St. 200 E. Tyranena Park Rd. Rockford, IL Janesville, WI Lake Mills, WI (815) 971-5000 (608) 756-8484 (920) 648-3113 Mercyhealth Hospital and Mercyhealth Mall Fort Memorial Hospital Medical Center–Harvard 1010 N. Washington St. 611 Sherman Ave. East 901 Grant St. Janesville, WI Fort Atkinson, WI Harvard, IL (608) 741-3800 (920) 568-5000 (815) 943-5431 Mercyhealth McHenry Watertown Memorial Hospital 3922 Mercy Dr. 125 Hospital Dr. McHenry, IL Watertown, WI Skip the waiting room! (815) 578-2020 (920) 261-4210 Visit MercyInQuicker.org to reserve your spot at a participating facility. 2 Index by city Algonquin, IL ................... 33 Loves Park, IL .................. 36 Barrington, IL .................. 33 Lake Mills, WI ........... 25, 57 Beloit, WI ..................... 4, 55 Madison, WI .............. 26, 57 Belvidere, IL ............... 34, 60 McHenry, IL ................37, 59 Brodhead, WI ..................... 4 Milton, WI ........................ 26 Brown Deer, WI ............... 55 Milwaukee, WI ................. 57 Byron, IL .................... 34, 58 Monona, WI ..................... 57 Cambridge, WI .................. 4 Monroe, WI .................27, 57 Clinton, WI ....................... 55 Richmond, IL ................... 38 Crystal Lake, IL .......... 34, 58 Oconomowoc, WI.......27, 57 Delavan, WI ................ 5, 55 Rockford, IL ............... 38, 59 Edgerton, WI ................ 5, 55 Roscoe, IL .................. 52, 60 Elkhorn, WI ................. 5, 55 Waterloo, WI .................... 27 Evansville, WI ............. 5, 55 Watertown, WI ............27, 58 Fort Atkinson, WI ......... 6, 55 West Allis, WI ................... 58 Harvard, IL ................ 35, 59 Whitewater, WI .......... 32, 58 Ixonia, WI ........................... 9 Williams Bay, WI ....... 33, 58 Janesville, WI .............. 9, 55 Winnebago, IL ........... 53, 60 Jefferson, WI .................. 21 Woodstock, IL ............ 53, 60 Johnson Creek, WI .......... 21 Kenosha, WI ..................... 57 Lake Geneva, WI ............ 57 3 MercyCare Health Plans Mercy Senior Provider Directory Beloit, WI Podiatry Practice Status: Feuerstein, Catherine, DPM Open Mercyhealth Behavioral Health (608) 756-5555 Board Certified: American Board of Foot and Ankle Surgery Beloit, WI 53511 2825Clinic Prairie - Beloit Ave Medical School: Scholl College of Podiatric Medicine, North Chicago, IL Residency: North Port VA Residency, North Port, NY Licensed Clinical Social Worker Practice Status: Swanson, Brock, DPM Open DeGarmo-Haakenson, Karla, LCSW Open Board Certified: Medical School: Temple University School of Podiatric Medicine, Philadelphia, PA Board Certified: Not Applicable Residency: Main Line Health, Bryn Mawr Hospital, Bryn Mawr, PA Medical School: Univ of Wisconsin, Whitewater, WI Residency: , Brodhead, WI Mattison, Faith, LCSW Open Board Certified: Not Applicable Mercy Brodhead Medical Center (608) 897-8664 Medical School: Univ of Wisconsin, Madison, WI 2310 First Center Ave Brodhead, WI 53520 Residency: , Family Medicine Practice Status: Mercyhealth Beloit (608) 363-5500 Cloutier, Vickie Marie, MD Open Beloit, WI 53511 2825 Prairie Ave Board Certified: American Board of Family Medicine Medical School: UW Madison, Madison, WI Advanced Practice Nurse Prescriber Practice Status: Residency: , Huenerberg, Carmen, APNP Open Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner) Mercyhealth Brodhead (608) 897-8664 Medical School: Concordia Univ, Mequon, WI 2310 First Center Ave Brodhead, WI 53520 Residency: , Advanced Practice Nurse Prescriber Practice Status: Parker, Natalie, APRN Open Huenerberg, Carmen, APNP Open Board Certified: National Certification Corporation (Women's Health Care Nurse Practitioner) Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner) Medical School: Univ of Cincinnati, Cincinnati, OH Medical School: Concordia Univ, Mequon, WI Residency: , Residency: , Family Medicine Practice Status: Family Medicine Practice Status: Flood, James, MD Open Bluemel, Kevin, MD Closed Board Certified: American Board of Family Medicine Board Certified: American Board of Family Medicine Medical School: University of Michigan Medical School, AnnArbor, MI Medical School: Indiana University School of Medicine, Indianapolis, IN Residency: Loma Linda University Family Practice Residency Program, Loma Linda, Residency: Mercy Health System Family Practice Residency Program, Janesville, WI CA Wilke Chiropractic Office, SC (608) 897-3010 So, Jason, DO Open E101 4th Street Brodhead, WI 53520 Board Certified: American Board of Family Medicine Medical School: Des Moines Univ, Des Moines, IA Chiropractic Practice Status: Residency: Univ of Illinois College of Medicine at Peoria, Peoria, IL Malott, Travis, DC Open Obstetrics and Gynecology Practice Status: Board Certified: National Board Chiropractic Examiners Kaldor, Katheryn, DO Open Medical School: Palmer College of Chiropractic, Davenport, IA Residency: , Board Certified: American Osteopathic Board of Obstetrics and Gynecology Medical School: Kansas City Univ of Medicine, Kansas City, MO Residency: Philadelphia College of Osteopathic Medicine, Philadelphia, PA Cambridge, WI Wistrom, Elana, DO Open Fort HealthCare Cambridge Clinic (608) 423-1100 704 Katie Ct Cambridge, WI 53523 Board Certified: American Osteopathic Board of Obstetrics and Gynecology Medical School: A.T. Still Univ, Kirksvill, MO Family Medicine Residency: Henry Ford Macomb Hospital, Clinton Twp, MI Practice Status: Nottestad, Stephanie, MD Open Pediatrics Practice Status: Board Certified: American Board of Family Medicine Peete, Emarcia, MD Open Medical School: Univ of Wisconsin School of Medicine, Madison, WI Residency: University of Wisconsin-Madison Family Medicine Residency Program, Board Certified: Not Board Certified Madison, WI Medical School: Medical College of Wisconsin, Milwaukee,