State of Wisconsin Provider Directory 2022 W9 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 (family medicine, internal medicine, 3 Member Number Last Name 4 PCP Name 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 Hospitals Mercyhealth Hospital and Mercyhealth North Javon Bea Hospital–Riverside Medical Center–Harvard 3400 Deerfield Dr. 8201 East Riverside Blvd. 901 Grant St. Janesville, WI Rockford, IL Harvard, IL (608) 314-3605 (815) 971-7000 (815) 943-5431 Mercyhealth Perryville Javon Bea Hospital–Rockton Mercyhealth Hospital 3401 N. Perryville Rd. 2400 N. Rockton Ave. and Trauma Center Rockford, IL Rockford, IL Emergency North (815) 971-8000 (815) 971-5000 3400 Deerfield Dr. Mercyhealth Roscoe Janesville, WI 5000 Prairie Rose Dr. Mercyhealth Hospital and (608) 314-3605 Medical Center–Harvard Roscoe, IL 901 Grant St. Mercyhealth Hospital (815) 971-3450 Harvard, IL and Trauma Center–Janesville Mercyhealth Hopsital and (815) 943-5431 1000 Mineral Point Ave. Medical Center–Walworth Janesville, WI N2950 State Rd. 67 Mercyhealth Hospital and (608) 756-6000 Medical Center–Walworth Lake Geneva, WI N2950 State Rd. 67 Mercyhealth Hospital and (262) 245-2230 Lake Geneva, WI Medical Center–Walworth Mercyhealth Whitewater (262) 245-2230 N2950 State Rd. 67 507 W. Main St. Lake Geneva, WI Whitewater, WI Mercyhealth Hospital (262) 245-2230 and Trauma Center–Janesville (262) 473-0401 1000 Mineral Point Ave. Fort Memorial Hospital Mercyhealth Woodstock Janesville, WI 611 Sherman Ave. East 2000 Lake Ave. (608) 756-6000 Fort Atkinson, WI Woodstock, IL (920) 568-5000 Fort Memorial Hospital (815) 337-1544 611 Sherman Ave. East Watertown Memorial Hospital Fort HealthCare Lake Mills Fort Atkinson, WI 125 Hospital Dr. 200 E. Tyranena Park Rd. (920) 568-5000 Watertown, WI Lake Mills, WI (920) 261-4210 Watertown Memorial Hospital (920) 648-3113 125 Hospital Dr. Urgent Care Clinics Fort Memorial Hospital Watertown, WI Mercyhealth East 611 Sherman Ave. East (920) 261-4210 3524 E. Milwaukee St. Fort Atkinson, WI Emergency Care Janesville, WI (920) 568-5000 (608) 756-8484 Javon Bea Hospital–Riverside Watertown Memorial Hospital 8201 East Riverside Blvd. Mercyhealth McHenry 125 Hospital Dr. Rockford, IL 3922 Mercy Dr. Watertown, WI (815) 971-7000 McHenry, IL (920) 261-4210 (815) 578-2020 Javon Bea Hospital–Rockton 2400 N. Rockton Ave. Rockford, IL (815) 971-5000 Skip the waiting room! Visit MercyInQuicker.org to reserve your spot at a participating facility. Index by City Algonquin, IL.................... 41 Loves Park, IL.............. 45-47 Barrington, IL................... 41 Madison, WI .................... 32 Beloit, WI............................ 1 Machesney Park, IL.......... 47 Belvidere, IL................. 41- 41 McHenry, IL................. 47-48 Brodhead, WI..................... 3 Milton, WI......................... 32 Brown Deer, WI.................. 3 Milwaukee, WI.................. 32 Byron, IL........................... 42 Monona, WI...................... 32 Cambridge, WI ..................3 Monroe, WI....................... 32 Cherry Valley, IL................ 43 Northbrook, IL.................. 48 Clinton, WI..........................3 Oconomowoc, WI............ 33 Crystal Lake, IL................. 43 . Richmond, IL ................... 44 Delavan, WI ....................... 4 . Rockford, IL ................ 49-69 Edgerton, WI....................... 4 . Roscoe, IL ................... 69-71 Elkhorn, WI ........................ 4 . Waterloo, WI.................... 34 Evansville, WI .................... 5 . Watertown, WI............ 34-39 Fort Atkinson, WI............. 5-8 . Waukesha, WI.................. 39 Harvard, IL ....................... 44 . West Allis, WI................... 39 Ixonia, WI............................ 9 . West Milwaukee, WI........ 39 Janesville, WI................ 9-24 Whitewater, WI........... 39-40 Jefferson, WI .............. 24-25 . Williams Bay, WI ............. 40 Johnson Creek, WI...... 25-26 . Winnebago, IL................. 71 Juneau, WI........................ 26 . Woodstock, IL............. 71-72 Kenosha, WI...................... 27 . Lake Geneva, WI ........ 27-30 Lake Mills, WI .................. 30 MercyCare Health Plans Provider Directory State of Wisconsin - 2022 Beloit, WI Nurse Practitioner Practice Status: Beloit Comprehensive Treatment Center (608) 361-7200 Gonzalez Barrios, Giuliana, APNP Open 2240 Prairie Ave Ste 10 Beloit, WI 53511 Board Certified: Medical School: Edgewood College, Madison, WI Residency: , Psychology Practice Status: Hamid-Scanlin, Farhana, APNP Open Open Peters, Christopher, LCSW Board Certified: ANCC Board Certified: Medical School: Robert Morris Univ, Moon Township, PA Medical School: , Residency: , Residency: , McLeod, Katherine, APNP Open Community Health Systems, Inc. (608) 361-0311 Board Certified: ANCC 74 Eclipse Center Beloit, WI 53511 Medical School: Vanderbilt University School of Med, Nashville, TN Residency: , Alcohol and Other Drug Abuse Practice Status: McNall, Stacy, APNP Open Counselor Board Certified: ANCC Medical School: Maryville University, St Louis, MO Anderson, Lindsey, APSW Open Residency: , Board Certified: Medical School: Aurora University, Williams Bay, WI Psychiatry Practice Status: Residency: , Nestler, Kimberly, MD Open Family Medicine Practice Status: Board Certified: American Board of Psychiatry Medical School: Univ of IL at Urbana-Champaign, Urbana, IL Doetch, Troy, MD Open Residency: , Board Certified: American Board Family Medicine Medical School: University of Illinois at Chicago, Chicago, IL Psychology Practice Status: Residency: University Hospital, Madison, WI Reu, Monica, LCSW Open Licensed Clinical Professional Practice Status: Board Certified: Counselor Medical School: Aurora University, Aurora, IL Residency: , Bechard, Shanleigh, LPC Open Board Certified: Rick, Lauren, APSW Open Medical School: Univ of Wisconsin Whitewater, Whitewater,WI Board Certified: Residency: , Medical School: Aurora University, Williams Bay, WI Residency: , Harris, Marilyn, LPC Open Board Certified: Weidner, Jennifer, LCSW Open Medical School: Univ of WI, Platteville, WI Board Certified: Residency: , Medical School: University of Wisconsin Milwaukee, Milwaukee, Wi Residency: , Knight, Miller, LPC Open Board Certified: Lutheran Social Serivces - Beloit (608) 752-7660 Medical School: , 1850 Cranston Road Beloit, WI 53511 Residency: , Licensed Professional Counselor Practice Status: Psychology Practice Status: Humphrey, Debora, LPC Open Mattingly, Kathryn, LPC,CSAC Open Board Certified: Board Certified: Medical School: Bowie State University, Bowie, MD Medical School: University of Wisconsin, Whitewater, WI Residency: , Residency: , Nurse Practitioner Practice Status: Mercyhealth Behavioral Health Clinic - (608) 756-5555 Beloit Anderson, Laura, APNP Open 2825 Prairie Ave Beloit, WI 53511 Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner) Medical School: Concordia Univ, Mequon, WI Residency: , Behavioral Health Clinic Practice Status: Cruz, Brittany, APNP Open Mercyhealth BH Clinic - Beloit, , Open Board Certified: American Nurses Credentialing Center Board Certified: Medical School: , Medical School: , Residency: , Residency: , 8/4/2021 W9 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 1 of 72 MercyCare Health Plans Provider Directory State of Wisconsin - 2022 Psychiatry Practice Status: Rockford Nephrology Associates (815) 227-8300 1969 W Hart Road Beloit, WI 53511 Khan, Ahadullah, DO Open Board Certified: American Board of Psychiatry & Neurology (Psychiatry) Medical School: Michigan State Univ, East Lansing, MI Nephrology Practice Status: Residency: Ozark center, Joplin MO Robertson, Michael, MD Open Psychology Practice Status: Board Certified: American Board of Internal Medicine (Nephrology) Medical School: Univ of Illinois College of Medicine at Chicago, Chicago, IL Degarmo-Haakenson, Karla, LCSW Open Residency: Univ of Chicago, Chicago, IL Board Certified: Medical School: Univ of Wisconsin, Whitewater, WI Stateline Mental Health Services (608) 368-8087 Residency: , 540