Primary Care Physicians
Transcription
Primary Care Physicians
HMO/POS PROVIDER DIRECTORY PRO-DIR-HA01 / WPS Health Plan, Inc. Arise Health Plan Service Area Michigan Iron Ashland Vilas Florence Oneida Price Forest Marinette Lincoln Langlade Taylor Menominee Oconto Marathon Shawano Clark Portage Wood Waupaca Door Kewaunee Outagamie Brown Jackson Waushara Monroe Adams Manitowoc Calumet Winnebago Marquette Green LakeFond du Lac Sheboygan Richland Sauk Columbia 20 miles Ozaukee Dodge Washington GRP-MAP-0001 02-10 Primary Care Physicians (38)(171) Hospitals & Ambulatory Surgery Centers (37)(5) Acute Care, Critical Care, & Urgent Care (17)(4) Table of Contents Important Phone Numbers ................................................................................................................. 2 Glossary of Abbreviated Directory Terms ........................................................................................ 3 Provider Educational Degrees ........................................................................................................... 5 Hospitals, Surgery Centers, Critical & Urgent Care ......................................................................... 7 Primary Care Physicians ................................................................................................................. 11 Specialty Care Providers .................................................................................................................. 77 Behavioral Health Providers .......................................................................................................... 220 Chiropractic Providers .................................................................................................................... 236 Durable Medical Equipment & Home Health Care ........................................................................ 242 Eye Care Specialists ....................................................................................................................... 250 Hospice & Skilled Nursing Facilities ............................................................................................. 268 Therapy Providers ........................................................................................................................... 271 Alphabetical Index ........................................................................................................................... 292 i Table of Contents Welcome Letter .................................................................................................................................... 1 Dear Member, On behalf of all of us at Arise Health Plan, I would like to thank you for choosing our health benefit plan. We look forward to continuing to be your partner in health coverage for years to come. Through our panel physicians and hospitals as well as easy access member services, we put the focus on providing you the best value possible because ‘We care for Wisconsin’. That is why we have made a variety of resources available to you. This provider directory may be found by visiting our website at www.WeCareForWisconsin.com. The on-line directory has the most up-to-date information and includes search functions to assist you in choosing providers. Please be aware that viewing a provider on the web site or in this directory is not a guarantee of coverage. Providers located through these searches are part of the Arise Health Plan provider panel. However, some providers may specialize in services that are not covered under your specific health insurance plan. Delivering superior service has always been the cornerstone of who we are. Please call our Member Services Department at (920)-490-6900 or toll-free at (888)-711-1444 with any questions, comments, or concerns. You may also e-mail us by visiting our website at www.WeCareForWisconsin.com. It’s the dawn of a new day for health plans. At Arise Health Plan, We care for Wisconsin. Sincerely, Mark R. Minsloff Chief Operating Officer PRO-DIR-LTR1 04/09 WPS Health Plan, Inc. dba Arise Health Plan P.O. Box 11625, Green Bay, Wisconsin 54307-1625 T: (920) 490-6900 T: (888) 711-1444 (toll free) F: (920) 490-6942 www.WeCareForWisconsin.com IMPORTANT PHONE NUMBERS USE THIS PAGE FOR QUICK ACCESS TO YOUR FAMILY’S PRIMARY CARE PHYSICIANS HOSPITAL AUTHORIZATION 490-6900 (local) 1-888-711-1444 (tollfree) ARISE HEALTH PLAN MEMBER SERVICES 490-6900 (local) 1-888-711-1444 (tollfree) MY PRIMARY CARE PHYSICIAN: SPOUSE’S PRIMARY CARE PHYSICIAN: CHILDREN’S PRIMARY CARE PHYSICIAN(S): PHARMACY: HOSPITAL: Page 2 GLOSSARY OF ABBREVIATED DIRECTORY TERMS Accreditation Association for Ambulatory Health Care (AAAHC): The Accreditation Association for Ambulatory Health Care, also known as the Accreditation Association or AAAHC, was formed in 1979 to assist ambulatory health care organizations improve the quality of care provided to patients. The AAAHC is the leader in ambulatory health care accreditation. Accreditation Commission for Health Care (ADHC): The Accreditation Commission for Health Care, Inc. (ACHC) is one of the few standard-setting accrediting bodies for home care and alternate site organizations in the country. Their accrediting programs were developed by providers for providers to reflect criteria conducive to providing quality care. ACHC is a not-for-profit organization that has been a symbol of quality since 1986. American Board (AB): Established in 1933, the American Board of Medical Specialties (ABMS), a not-for-profit organization comprising 24 medical specialty Member Boards, is the pre-eminent entity overseeing the certification of physician specialists in the United States. The primary function of ABMS is to assist its Member Boards in developing and implementing educational and professional standards to evaluate and certify physician specialists. By participating in these initiatives, ABMS also serves as a unique and highly influential voice in the healthcare industry, bringing focus and rigor to issues involving specialization and certification in medicine. ABMS is a designated primary equivalent source of credential information. American Board Internal Medicine (ABIM): The American Board of Medical Specialties (ABMS) has a maintenance-of-certification program, which sets standards and certifies physicians who practice internal medicine and its subspecialties, such as cardiology, endocrinology and geriatrics. American Board of Family Medicine (ABFM): The American Board of Family Medicine (ABFM) is the second largest medical specialty board in the United States. Founded in 1969, it is a voluntary, not-for-profit, private organization whose purposes include: • • • • Improve the quality of medical care available to the public Establish and maintain standards of excellence in the specialty of Family Medicine Improve the standards of medical education for training in Family Medicine Determine by evaluation the fitness of specialists in Family Medicine who apply for and hold certificates American Osteopathic Board (AOB): The Bureau of Osteopathic Specialists of the American Osteopathic Association (AOA) is made up of eighteen different specialty boards who implement the below certification criteria: • • • • • • Define the qualifications required of osteopathic physicians for certification in the specialty or field of practice that may be assigned to the Board. Determine the qualifications of osteopathic physicians for certification in specialty or field of practice that may be assigned to it. Conduct examinations in conformity with the Bylaws of this Board. Issue certificates subject to the approval of the Bureau of Osteopathic Specialists of the AOA, to those osteopathic physicians who are found qualified. Recommend revocation of certificates for cause. Use every means possible to maintain a high standard of practice within the osteopathic profession. Page 3 American Osteopathic Board of Orthopedic Surgery (AOBOS): The American Osteopathic Board of Orthopedic Surgery was established in 1979 and exists primarily for the purpose of assisting newly trained orthopedic surgeons in the certification process. The purpose of certification examination is to provide the public with a dependable mechanism to identify physicians who have met a standard to assure competent performance in the field of orthopedic surgery. Bureau of Quality Assurance, WI DHFS (BQA): The Division of Quality Assurance (DQA) is responsible for assuring the safety, welfare and health of persons using health and community care provider services in Wisconsin. The WI Department of Health & Family Services licenses, certifies, registers and regulates 45 types of health and community care entities. Community Health Accreditation Program (CHAP) Community Health Accreditation Program is an independent and non-profit accrediting body created in 1965. CHAP's goal is for home care to not only prosper, but gain strength in the overall health care industry. CHAP is devoted to providing consultation of the highest caliber, along with a broad network of professional staff resources. Center for Medicare/Medicaid Services (CMS): The Centers for Medicare and Medicaid Services (CMS), formerly the Health Care Financing Administration (HCFA), administers Medicare, Medicaid, related quality assurance programs, and other programs. Commission for Accreditation of Rehab Facilities (CARF): CARF has been a leading, independent, nonprofit accrediting body of human services since 1966. CARF developed standards that are focused on outcomes and the satisfaction of the people served. Council on Accreditation (COA): COA is an international, independent, not-for-profit, child- and family-service and behavioral healthcare accrediting organization. It was founded in 1977 by the Child Welfare League of America and Family Service America (now the Alliance for Children and Families). Originally known as an accrediting body for family and children's agencies, COA currently accredits 38 different service areas and over 60 types of programs. Site Visit (AHP): Arise Health Plan will conduct facility site reviews to evaluate the physical accessibility, physical appearance, adequacy of waiting and examining room space, availability of appointments, adequacy of medical/treatment record keeping, safety sanitary practices, confidentiality safeguards, and HIPAA compliance of the clinical facilities where care is provided by Arise Health Plan in accordance with regulatory and accreditation agencies. The Joint Commission (JC): The Joint Commission evaluates and accredits nearly 15,000 health care organizations and programs in the United States. An independent, not-for-profit organization, The Joint Commission is the nation’s predominant standardssetting and accrediting body in health care. Page 4 Provider Educational Degrees Title & Description CHT Certified Hand Therapist CICSW Certified Independent Clinical Social Worker CMFT Certified Marriage & Family Therapy CNM Certified Nurse Midwife CNS Certified Nutrition Specialist CO Certified Orthotist COTA Certified Occupational Therapy Assistant CPC Certified Professional Counselor CPT Certified Physical Therapist CNS Clinical Nurse Specialist CP Certified Prosthetist CPO Certified Prosthetist & Othotist CRNA Certified Registered Nurse Anesthetist CSAC Clinical Substance Abuse Counselor CSCS Certified Strength & Conditioning Specialist CST Certified Surgical Technician CSW Clinical Social Worker CTRS Certified Therapeutic Recreation Specialist CTS Certified Trauma Specialist AUD D Doctor of Audiology DACNB Diplomat American Chiropractic Neurology Board DC Doctor of Chiropractic DCSW Diplomat in Clinical Social Work DDS Doctor of Dental Surgery DMD Doctor of Dental Medicine DO Doctor of Osteopathy EdD Doctor of Education OD Doctor of Optometry PhD Doctor of Philosophy DPM Doctor of Podiatric Medicine DPT Doctorate Physical Therapy FACEP Fellow of the American College of Emergency Physicians FNP Family Nurse Practitioner FNPC Family Nurse Practioner Certified ICADC Independent Certified Alcohol Drug Counselor ACNP Acute Care Nurse Practioner ACSW Academy of Certified Social Worker ANP Adult Nurse Practioner ANPC Adult Nurse Practioner Certified APN Advanced Practice Nurse APNP Advanced Practice Nurse Practitioner APSW Advanced Practice Social Worker ATC Athletic Trainer Certified ATR Art Therapist Registered ATR-BC Art Therapist Board Certified BA Bachelor of Arts BS Bachelor of Science BSN Bachelor of Science in Nursing BSW Bachelor of Social Work CADC Certified Alcohol & Drug Counselor CADC II Certified Alcohol & Drug Counselor - II CAPSW Certified Advanced Practice Social Worker CCC Certificate of Clinical Competency CCC-A Certificate of Clinical Competence in Audiology CCC-SLP Certificate of Clinical Competence in Speech Therapy CADC III Certified Alcohol & Drug Counselor - III CADC-D Certified Alcohol & Drug Disorder Counselor CCMHC Certified Clinical Mental Health Counselor CCN Certified Clinical Nutritionist CCS Certified Clinical Supervisor CCS II Certified Clinical Supervisor Level II CCS-G Certified Counselor Supervisor Grand Person CDE Certified Diabetes Educator CEAP Certified Employee Assistant Professional CFNP Certified Family Nurse Practitioner CFA Certified First Assistant Page 5 Provider Educational Degrees Title & Description RDCDE Registered Dietician Certified Diabetic Educator RN Registered Nurse RNCDE Registered Nurse Certified Diabetic Educator RNCNS Registered Nurse Clinical Nurse Specialist RPT Registered Physical Therapist RTO Registered Technician Orthotics SLP Speech Language Pathologist SA Surgical Assistant SAC Substance Abuse Counselor SACT Substance Abuse Counselor in Training SLPT Speech Language Physical Therapist ST Speech Therapist ST Surgical Technologist WHNP Women's Health Nurse Practioner ICS Independent Clinic Supervisor ICSW Independent Clinical Social Worker LMFT License Marriage and Family Therapist PSYD Doctor of Psychology LAT Licensed Athletic Trainer LCSW Licensed Clinical Social Worker LICSW Licensed Independent Clinical Social Worker LP Licensed Psychologist LPC Licensed Professional Counselor LPCT Licensed Professional Counselor Training LPN Licensed Practical Nurse LSW Licensed Social Worker MASS Massage Therapist / Body worker MTC Massage Therapy Certificate MEd Master of Education MPS Master of Pastoral Studies MPT Master of Physical Therapy MS Master of Science MSA Master of Science - Audiology MSE Master of Science & Education MSMFT Master of Science in Marital and Family Therapy MSN Master of Science in Nursing MSSW Master of Science & Social Work MSW Master of Social Work MA Masters of Arts MA Medical Assistant MBA Masters of Business MD Medical Doctor MHNP Mental Health Nurse Practioner MT Medical Technologist NA Nurse Aide NCC National Certified Counselor NP Nurse Practitioner OT Occupational Therapy RADCI Registered Alcohol & Drug Counselor - I RCS Registered Cardiac Sonographer RD Registered Dietitian Page 6 Hospitals, Surgery Centers, Critical & Urgent Care Pre-service authorization is required for all inpatient hospital or birthing center stays. Hospital accreditations are validated every 3 years by Arise Health Plan. Appleton, WI Appleton Medical Center, Accreditation: JCAHO Location: Groth Surgery Center 1818 N Meade St Appleton, WI 54911 920-731-4101 Orthopedic & Sports Surgery Center, Accreditation: AAAHC 061109 Location: 2105 E Enterprise Ave STE 101 Appleton, WI 54913 920-560-1100 Pinnacle Cataract & Laser Institute, Accreditation: BQA Location: 4648 W Spencer St Appleton, WI 54914 920-731-7557 Woodland Surgery Center, Accreditation: JC Location: 2325 N Casaloma Dr Appleton, WI 54912 920-225-8040 Fond du Lac, WI Fond du Lac Surgery Center, Accreditation: CMS Location: 421 Camelot Dr Fond du Lac, WI 54935 920-926-5900 Green Bay, WI Bellin Orthopedic Surgery Center, Location: 2223 Lime Kiln Rd Green Bay Surgical Center, LTD, Accreditation: AAAHC Location: 704 S Webster Ave 3rd Floor Green Bay, WI 54301 920-432-7433 Shawano, WI ThedaCare Ambulatory Surgery Center Shawano, Accreditation: CMS Location: 100 Cty Rd B Shawano, WI 54166 Pain Centers of Wisconsin - Green Bay, 715-524-2161 Accreditation: JC Sheboygan, WI Location: 2595 Development Dr STE 150 Green Bay, WI 54311 414-325-4611 Sheboygan Medical Center, Accreditation: JC Neenah, WI Theda Clark Medical Center, Accreditation: JCAHO Location: Aylward Surgery Center 130 Second St Neenah, WI 54956 920-729-3100 Niagara, WI Niagara Health Center, Inc, Location: 1601 Roosevelt Rd Niagara, WI 54151 715-251-1780 Location: 2124 Kohler Memorial Dr Sheboygan, WI 53081 414-325-3725 Accreditation: DQA Location: 501 Doctors Ct Oshkosh, WI 54901 920-236-3550 Bone & Joint Surgery Center, LLC, Location: 5200 Hummingbird Rd STE 300 Wausau, WI 54401 715-359-7592 GastroIntestinal Associates Endoscopy Center, LLC, Accreditation: AAAHC Location: 411 Westwood Dr Wausau, WI 54401 715-847-0443 Pine Ridge Surgery Center, Location: 2500 Pine Ridge Sheboygan Surgery Center, Location: 3141 Saemann Blvd Wausau, WI 54401 Ave Sheboygan, WI 53081 Wausau Surgery Center, 920-783-5000 715-843-1019 Accreditation: JC Location: 2809 Westhill Dr Wausau, WI 54401 Stevens Point, WI Ambulatory Surgical Center of Stevens Point, LLC, 715-842-4490 Wisconsin Rapids, WI Accreditation: CMS Location: 500 Vincent St STE A Stevens Point, WI 54481 715-345-0500 Oshkosh, WI Ambulatory Surgical Center, LLC, Wausau, WI Aspirus Stevens Point Surgery Center, LLC, Surgery Center of Wisconsin Rapids, Accreditation: AAAHC Location: 140 24th St Wisconsin Rapids, WI 54494 715-424-1881 Accreditation: AAAHC Location: 5409 Vern Holmes Dr Stevens Point, WI 54482 715-342-1015 Theda Clark Medical Center, Woodruff, WI Northwoods Surgery Center, LLC, Accreditation: AAAHC Location: 611 Veterans Accreditation: JCAHO Pkwy Woodruff, WI 54568 Location: 2400 Witzel Ave Oshkosh, WI 54904 715-358-8600 920-651-6961 Green Bay, WI 54311 920-445-7210 Page 7 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Hospitals, Surgery Centers, Critical & Urgent Care Ambulatory Surgery Center Hospitals, Surgery Centers, Critical & Urgent Care Hospitals, Surgery Centers, Critical & Urgent Care Pre-service authorization is required for all inpatient hospital or birthing center stays. Hospital accreditations are validated every 3 years by Arise Health Plan. Hospital Antigo, WI Langlade Hospital, Accreditation: JC 07/22/2008 Location: 112 E 5th Ave Antigo, WI 54409 Iron Mountain, MI Dickinson Memorial Hospital, Accreditation: JC New London, WI New London Family Medical Center, Accreditation: JCAHO Accreditation: JCAHO Location: 1818 N Meade St Appleton, WI 54911 920-731-4101 Fond du Lac, WI St Agnes Hospital, Accreditation: JC Location: 430 E Division St Fond du Lac, WI 54935 920-929-2300 Green Bay, WI Bellin Memorial Hospital, Location: 744 S Webster Ave Green Bay, WI 54301 920-433-3500 St Marys Hospital Medical Center, Accreditation: JC Location: 1726 Shawano Ave Green Bay, WI 54303 920-498-4200 St Vincent Hospital, Accreditation: JC Location: 835 S Van Buren St Green Bay, WI 54301 920-433-0111 Accreditation: JC Location: 1405 Mill St Location: 323 S 18th Ave Stephenson Ave Iron Mountain, MI 49801 New London, WI 54961 Sturgeon Bay, WI 54235 920-531-2000 920-743-5566 906-774-1313 Manitowoc, WI Appleton Medical Center, Door County Memorial Hospital, Location: 1721 S 715-623-2331 Appleton, WI Sturgeon Bay, WI Holy Family Memorial Medical Center, Accreditation: JC Location: 2300 Western Ave Oconto, WI Oconto Hospital & Medical Center, Accreditation: CMS Location: 820 Arbutus Oconto, WI 54153 920-320-2011 Bay Area Medical Center, Accreditation: JC Location: 3100 Shore Dr Oconto Falls, WI Community Memorial Hospital, Accreditation: CMS Location: 855 S Main St Oconto Falls, WI 54154 715-735-6621 Memorial Health Center Hospital, Ripon, WI Ripon Medical Center, Location: 933 Newbury St Ripon, WI 54971 920-748-0435 Accreditation: JC Location: 135 S Gibson Street Medford, WI 54451 Shawano, WI 715-748-8100 Shawano Medical Center, Neenah, WI Accreditation: JC Location: 309 N Bartlette St Shawano, WI 54166 715-526-2111 Theda Clark Medical Center, Waupaca, WI 54981 715-258-1000 Waupun, WI Waupun Memorial Hospital, Accreditation: JC Location: 620 W Brown St Waupun, WI 53963 920-324-2300 Wausau, WI Aspirus Wausau Hospital, Accreditation: JC Location: 333 Pine Ridge Blvd Wausau, WI 54401 715-847-2121 Wisconsin Rapids, WI Riverview Hospital, Accreditation: JC 07/11/2008 Location: 410 Dewey St Accreditation: JCAHO Sheboygan, WI Location: 130 Second St Neenah, WI 54956 920-729-3100 Accreditation: JCAHO Location: 800 Riverside Dr 920-846-3444 Marinette, WI 54143 Medford, WI Riverside Medical Center, 920-835-1100 PO Box 1450 Manitowoc, WI 54220 Marinette, WI Waupaca, WI Wisconsin Rapids, WI 54494 715-421-7411 St Nicholas Hospital, Accreditation: JC Location: 3100 Superior Ave Sheboygan, WI 53081 920-459-8300 Page 8 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Hospitals, Surgery Centers, Critical & Urgent Care Pre-service authorization is required for all inpatient hospital or birthing center stays. Hospital accreditations are validated every 3 years by Arise Health Plan. Iron Mountain, MI Antigo, WI Dickinson County Healthcare System - After Hours Clinic, Location: 1721 S Memorial Health Center Hospital, Stephenson Ave Iron Mountain, MI 498013637 S Gibson St Medford, WI 54451 Langlade Hospital, Accreditation: JC 07/22/2008 Location: 112 E 5th Ave Antigo, WI 54409 715-623-2331 Appleton, WI Appleton Medical Center, Accreditation: JCAHO Location: 1818 N Meade St Appleton, WI 54911 Accreditation: JC Location: 1721 S Stephenson Ave Iron Mountain, MI 49801 CareNow, Location: 1650 S 41st ST Manitowoc, WI 54220 Fond du Lac, WI 54935 HFM Family Medicine, Location: 1650 S 41st St Accreditation: Site Visit Location: 2502 S. Ashland Ave Green Bay, WI 54304 920-496-4700 Location: 3021 Voyager Dr Green Bay, WI 54311 920-496-4700 Prevea Health Centers, Accreditation: Site Visit Location: 2502 S. Ashland Ave Green Bay, WI 54304 920-496-4700 Location: 3021 Voyager Dr Green Bay, WI 54311 920-496-4700 920-320-4500 Walk In Care at Harbor Town, Location: 1650 S 41 ST Neenah, WI 54956 Theda Clark Medical Center, Accreditation: JCAHO Location: 130 Second St Neenah, WI 54956 920-729-3100 New London, WI New London Family Medical Center, Accreditation: JCAHO Location: 1405 Mill St New London, WI 54961 920-531-2000 920-320-4500 Bay Area Medical Center, Oconto Falls, WI CMH Primary Care Clinic, Location: 835 S Main St Oconto Falls, WI 54154 920-846-8187 Accreditation: JC Location: 3100 Shore Dr Marinette, WI 54143 715-735-6621 Prevea Plymouth Health Center, Location: 825 Walton Dr Plymouth, WI 53073 920-892-4322 Shawano, WI Shawano Medical Center, Location: 309 N Bartlette St Shawano, WI 54166 715-526-2111 920-727-4946 Manitowoc, WI 54220 Marinette, WI Plymouth, WI Accreditation: JC Premier Health, SC, Location: 1540 Lyon Dr 920-320-4500 Manitowoc, WI 54220 Prevea Health, Neenah, WI 906-774-1313 Agnesian Convenient Care Clinic, Location: 145 N Main St Green Bay, WI 715-748-8100 Dickinson Memorial Hospital, Manitowoc, WI 920-926-8492 Accreditation: JC Location: Walk-In Clinic 135 906-774-1313 920-731-4101 Fond du Lac, WI Medford, WI Community Memorial Hospital, Accreditation: CMS Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 Prevea Health Centers, Accreditation: Site Visit Location: 855 S Main St Sheboygan, WI Marsho Family Medical Group, SC, Location: Express Care 1703 N Taylor Dr Sheboygan, WI 53081 920-457-4438 St Nicholas Hospital, Accreditation: JC Location: 3100 Superior Ave Sheboygan, WI 53081 920-459-8300 Sturgeon Bay, WI Door County Memorial Hospital, Accreditation: JC Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-743-5566 Waupaca, WI Riverside Medical Center, Accreditation: JCAHO Location: 800 Riverside Dr Waupaca, WI 54981 715-258-1000 Oconto Falls, WI 54154 920-846-3444 Page 9 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Hospitals, Surgery Centers, Critical & Urgent Care Urgent Care Hospitals, Surgery Centers, Critical & Urgent Care Hospitals, Surgery Centers, Critical & Urgent Care Pre-service authorization is required for all inpatient hospital or birthing center stays. Hospital accreditations are validated every 3 years by Arise Health Plan. Waupun, WI Waupun Memorial Hospital, Accreditation: JC Location: 620 W Brown St Waupun, WI 53963 920-324-2300 Wausau, WI Aspirus Wausau Hospital, Accreditation: JC Location: 333 Pine Ridge Blvd Wausau, WI 54401 715-847-2121 Weston, WI Aspirus Weston Clinic, Location: 4005 Community Center Dr Weston, WI 54476 715-241-5405 Page 10 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Family Practice North Shore Medical Clinic Location: 815 Jefferson St Gretchen L Tolsma Location: 1111 Langlade Rd Antigo, WI 54409 715-623-3761 Algoma, WI 54201 Algoma, WI Algoma, WI 54201 920-487-3676 Anderson, Robert J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Collar, Kristin M NP Gender: Female Cornelius, Penny S PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center Board Certifications: National Commission on Cert of Phys Assts Kurowski, Kurt MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Mueller-Waigand, Bonnie S PAC Gender: Female Olson, Lisa M PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Rentmeester, Cheryl A FNP Gender: Female Schmidt, Tina M PA Gender: Female Balestrieri, Patti A PAC, RN Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Hobart, Paula L APNP, FNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Door County Memorial Hospital Knipfer, Kathleen A PAC Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Lewis, James M MD Gender: Male Antigo, WI Antigo Medical Building Location: 1111 Langlade Rd Antigo, WI 54409 715-623-3761 Cromer, Robert W MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Aspirus General Clinic Antigo Location: 703 S 5th Ave Antigo, WI 54409 715-623-2351 Bowman, Susan L APNP Gender: Female Board Certifications: American Nurses Credentialing Center Pennington, Andrea L FNP Gender: Female Tolsma, Gretchen K APNP Gender: Female Board Certifications: American Nurses Credentialing Center Langlade Hospital Location: 110 E 5th Ave Antigo, WI 54409 715-623-2351 Corbitt, Sharon L APNP Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: American Academy of Nurse Practitioners Pennington, Andrea L FNP Gender: Female Punke, Jodi A DO Gender: Female Hospital/Medical Affiliations: Langlade Memorial Hospital, Aspirus Wausau Hospital Board Certifications: AB Family Medicine Langlade Hospital Location: 112 E 5th Ave Antigo, WI 54409 715-623-2331 Burt, Glenn B MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Flowers, Kristine E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Qamar, Samina MD Gender: Female Board Certifications: AB Family Medicine Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Langlade Hospital Location: 112 E Fifth Ave Antigo, WI 54409 715-623-2331 Durkes, Shane M MD Gender: Male Martin, Greta APNP Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: American Nurses Credentialing Center Safford, Debra A FNP Gender: Female Board Certifications: American Nurses Credentialing Center Tolsma, Gretchen K APNP Gender: Female Board Certifications: American Nurses Credentialing Center Langlade Hospital Location: General Clinic 110 E 5th Ave Antigo, WI 54409 715-623-2351 Flowers, Kristine E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Heshmati, Nima MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Qamar, Samina MD Gender: Female Board Certifications: AB Family Medicine Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Smith, Renee M MD Gender: Female Page 11 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Bellin Health FMC Algoma Location: 1510 Fremont St 920-487-3496 Smith, Renee M MD Gender: Female Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. LH dba Aspirus General Clinic - Antigo Location: 110 East Fifth Ave Antigo, WI 54409 Primary Care Physicians 715-623-2351 Balthazor, Brenda K PA, PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts McKenna, Patrick A MD Gender: Male Norrbom, Corina J MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Safford, Debra A FNP Gender: Female Board Certifications: American Nurses Credentialing Center LH dba Aspirus General Clinic - Antigo Location: 703 S 5th Ave Antigo, WI 54409 715-623-2351 Balthazor, Brenda K PA, PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Hegranes, Gary M MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Kneeland, Bart R MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Moermond, James O MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Turnbull, James M MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Steve A Weber, DO Location: 112 E 5th Ave Antigo, WI 54409 715-623-3761 Weber, Steve A DO Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AOB Family Physicians Appleton, WI Family Care of the Fox Cities, SC Location: W3124 Van Roy Rd Appleton, WI 54915 920-730-2747 Adorjan, Mark G MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Calumet Medical Center, St Elizabeth Hospital, Mercy Medical Center Additional Languages: Hungarian Board Certifications: AB Family Medicine Lindo-Drusch, Nancy MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Richter, James R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Family Medicine Osteopathic Medicine & Physical Therapy Group of NE WI Location: 1010 S Oneida St Primary Care Associates of Appleton Location: 3916 N Intertech Appleton, WI 54915 Ct Appleton, WI 54913 920-733-7726 920-996-1000 Marotz, James E DO Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AOB Family Physicians Schinschke, Scott R DO Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Osteopathic Medicine & Physical Therapy Group of NE WI Location: 3916 Intertech Ct STE B Appleton, WI 54913 920-733-7726 Marotz, James E DO Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AOB Family Physicians Schinschke, Scott R DO Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Douglas, Aaron S MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Family Medicine Ebben, David M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Fox, Robert S MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Frank, Nichol M PAC Gender: Female Fuller, Stephen C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Hagen, Jonathan E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Hagen, Steven J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Heyerdahl, Dan L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Page 12 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. ThedaCare at Work Location: 2809 N Park Drive Lane Appleton, WI 54915 920-380-4999 Pitsch, Ellen E APNP Gender: Female ThedaCare FastCare Darboy Location: W3208 W VanRoy Rd Appleton, WI 54915 866-705-9710 Madson, Laura PA Gender: Female Spencer, John R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center ThedaCare Fastcare Northland Location: 1000 W Northland Ave Appleton, WI 54914 866-455-8111 Madson, Laura PA Gender: Female Spencer, John R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center ThedaCare Physicians Family Medicine Location: 2500 E Capitol Dr Appleton, WI 54911 920-738-4600 Anderla, David B MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Family Medicine Bartelt, Douglas A APNP Gender: Male Buchholz, Nancy L APNP Gender: Female Accepting Existing Patients Only. Ganser, John E DO Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Garcia, Melissa V MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages: Filipino Heindel, Kelli K MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Hendel, Craig S MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Huenink, Bridget S APNP Gender: Female Board Certifications: American Nurses Credentialing Center Landmann, Elizabeth J PA Gender: Female Newton, Christine A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Rigstad, Eugene C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Family Medicine Rohloff, Melanie J MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Family Medicine Sheldon, Kari J MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Shinkunas, David J DO Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Valiquette, Lisa A APNP Gender: Female Wycoff, Timothy D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Family Medicine ThedaCare Physicians Family Medicine Location: 4480 W Spencer St Appleton, WI 54915 920-738-4800 Brown, Jennifer L DO Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Family Medicine King Flath, Kristi A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Laabs, John E MD Gender: Male Leveille, Leonard L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Page 13 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Johnston, Jessica R MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Family Medicine Jones, Christina L PAC Gender: Female Board Certifications: AB Family Medicine Kroner, Travis L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Makeever, Robert M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine McKee, Charles A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Examiners in Clinical Social Work Meyer, Douglas R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Oetken, Matthew S DO Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Ralston, Deborah H MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Marys Hospital Medical Center Board Certifications: AB Family Medicine Servais, Amy H MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Primary Care Physicians Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. ThedaCare Physicians Family Medicine Location: W5282 Amy Ave ThedaCare Physicians Internal Medicine Location: 2500 E Capitol Dr Appleton, WI 54915 Appleton, WI 54911 920-358-1900 920-731-5811 Farb, Barbara A APNP Gender: Female Laabs, John E MD Gender: Male MacMillan, Catherine M DO Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Moard, Douglas P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Board Certifications: AB Family Medicine Rigstad, Eugene C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Family Medicine Thomsen, Kristen L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Weiland, Jennifer A MD Gender: Female Hospital/Medical Affiliations: Riverview Hospital, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Nickasch, Bonnie L APNP Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Board Certifications: American Nurses Credentialing Center Athens, WI Hope Clinic SC Location: 704 Pine St Athens, WI 54411-0186 715-257-9900 Cameron, Vinoo MD Gender: Male Berlin, WI Ripon Medical Center Location: 165 W. Huron St. Berlin, WI 54923 920-361-3036 Kainer, Jennifer F APNP, FNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner Accepting Existing Patients Only. Birnamwood, WI Langlade Hospital Location: Birnamwood Clinic 400 Railroad Ave Birnamwood, WI 54414 715-449-2539 Flowers, Kristine E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Heshmati, Nima MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Qamar, Samina MD Gender: Female Board Certifications: AB Family Medicine Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Smith, Renee M MD Gender: Female LH dba Aspirus General Clinic - Birnamwood Location: 400 N Railroad St Birnamwood, WI 54414 715-449-2539 Balthazor, Brenda K PA, PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Hegranes, Gary M MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Kneeland, Bart R MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Moermond, James O MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Norrbom, Corina J MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Safford, Debra A FNP Gender: Female Board Certifications: American Nurses Credentialing Center Turnbull, James M MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Black Creek, WI ThedaCare Physicians Family Medicine Location: 400 S Maple Black Creek, WI 54106 920-984-3361 Kimball, Erin B MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Knier, Carol B APNP Gender: Female Page 14 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Bonduel, WI Bellin Health FMC Bonduel Location: 401 W Mill St Bonduel, WI 54107 715-758-2167 Brandon, WI Fond du Lac Regional Clinic Location: 601 E Clark St Brandon, WI 53919 920-346-8300 Newton, Robert D DO Gender: Male Board Certifications: AB Family Medicine Sullivan, Jessica Y APNP Gender: Female Hospital/Medical Affiliations: Waupun Memorial Hospital Board Certifications: American Nurses Credentialing Center Weigand, Andrea A APNP Gender: Female Brillion, WI Bellin Health FMC Brillion Location: 964 W Ryan St STE B Brillion, WI 54110 920-756-2055 Cabral Guevara, Rachael APNP Gender: Female Hospital/Medical Affiliations: Shawano Medical Center, Bellin Memorial Hospital Christensen, Debra A APNP, FNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: ANCC Family Nurse Practitioner Cornelius, Penny S PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center Board Certifications: National Commission on Cert of Phys Assts Dehnel, Mark J PA Gender: Male Pautz, Holly PA Gender: Female Sipple, Christopher J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Thatcher, Jared L PAC Gender: Male Board Certifications: National Commission on Cert of Phys Assts Wurth, Jason T MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Brownsville, WI Fond du Lac Regional Clinic Location: 900 Main St Brownsville, WI 53006 920-583-1300 Bachhuber, Michael W MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: American Nurses Credentialing Center Friess, Mary Kate APNP, FNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Additional Languages: French Board Certifications: AANP Family Nurse Practitioner Wonder, Douglas C DO Gender: Male Board Certifications: AB Family Medicine Campbellsport, WI Fond du Lac Regional Clinic Location: 350 E Sheboygan St Campbellsport, WI 53010 920-533-8361 Fabricius, Thomas J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Hayes, Patricia A PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Page 15 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Ansfield, Stephanie A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Cabral Guevara, Rachael APNP Gender: Female Hospital/Medical Affiliations: Shawano Medical Center, Bellin Memorial Hospital Cornelius, Penny S PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center Board Certifications: National Commission on Cert of Phys Assts Dehnel, Mark J PA Gender: Male McHenry, Michael G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Meyer, Shelli A APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Miaskowski, Tomasz K MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, New London Family Medical Center Board Certifications: AB Family Medicine Thatcher, Jared L PAC Gender: Male Board Certifications: National Commission on Cert of Phys Assts Watson, Jo Ann MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Watters, Teresa J APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: American Nurses Credentialing Center Zollar, Tracey L NP Gender: Female Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Chilton, WI Randy T Theiler, MD Location: 451 E Brooklyn St Landwehr, Chad A PA Gender: Male Board Certifications: National Commission on Cert of Phys Assts NorthReach Healthcare Location: Daggett Medical Crandon, WI Clinic 106 S School Rd PO Box 37 Daggett, MI 49821 Chilton, WI 53014 Primary Care Physicians 920-849-9375 Theiler, Randy T MD Gender: Male Board Certifications: AB Family Medicine Clintonville, WI ThedaCare Physicians Family Medicine Location: 370 S Main St Clintonville, WI 54929 715-535-2115 Baade, Lindsey E APNP Gender: Female Braund, Rita M PA Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Shawano Medical Center, ThedaCare Ambulatory Surgery Center Shawano Delwiche, Patricia E APNP Gender: Female Egan, Cynthia A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center, Shawano Medical Center Fang, Yu-Chin MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Shawano Medical Center Gray, Leslie H MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center, Shawano Medical Center Gruetzmacher, Susan M APNP Gender: Female Forest County Potawatomi Health & Wellness Center Location: 8201 Mish Ko Daggett, MI 906-753-2155 Sanfilippo, Susan A APNP Gender: Female Swen Dr Crandon, WI 54520 715-478-4300 Beimborn, Karen A MD Gender: Female Gartmann, Barbara E APNP Gender: Female Jovellana, Ed A MD Gender: Male Mraz, Frank A MD Gender: Male Crivitz, WI NorthReach Healthcare Location: Crivitz Medical Clinic 218 S Hwy 141 Crivitz, WI 54114 715-854-7477 Ankrum, Laura J DO Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Peterson, Jessica J PA Gender: Female Sanfilippo, Susan A APNP Gender: Female Singh, Pawneet P MD Gender: Male Accepting Existing Patients Only. De Pere, WI Bellin Health FMC De Pere East Location: 555 Redbird Cir De Pere, WI 54115 920-338-6870 Boccheciamp, Harold W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Cornelius, Penny S PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center Board Certifications: National Commission on Cert of Phys Assts Luthar, Anshu MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Novotny, Steven J DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Singh, Sabina W MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Bellin Health FMC De Pere West Location: 1800 Lawrence Dr De Pere, WI 54115 920-983-3220 Hafner, Rance J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Lasecki, Cynthia MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Leiva, Jose Miguel MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Additional Languages: Spanish Leong, Gary MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Meyer, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Millermaier, Janet M MD Gender: Female Van Asten, Taresa B PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Mercy Family Practice Location: 1500 Heritage Rd De Pere, WI 54115 920-884-0731 Sauvey, Mary A MD Gender: Female Page 16 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Prevea Health Centers Location: 1686 Eisenhower Prevea Health Centers Location: 3860 Monroe Rd Rd De Pere, WI 54115 De Pere, WI 54115 920-496-4700 Asma, Stephen M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Family Medicine Franklin, Katherine T MD Gender: Female Gallagher, Tracy L MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Family Medicine Leasum, Ivy E APNP, FNP Gender: Female Board Certifications: AANP Family Nurse Practitioner Lindgren, Kristen A MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Family Medicine Perry, Stephen R DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AOB Family Physicians Roth, Karla J MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Nicholas Hospital, St Vincent Hospital Board Certifications: AB Family Medicine Sherman, Tracy L MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center Accepting Existing Patients Only. Denmark, WI Bellin Health FMC Denmark Location: 595 Cty Trunk R Denmark, WI 54208 920-863-2005 Christensen, Debra A APNP, FNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: ANCC Family Nurse Practitioner Cornelius, Penny S PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center Board Certifications: National Commission on Cert of Phys Assts Degen, Shane J MD Gender: Male Dehnel, Mark J PA Gender: Male Elgersma, Tammy PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Hoffman, Deborah NP Gender: Female Kurowski, Kurt MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Olson, Lisa M PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Rentmeester, Cheryl A FNP Gender: Female Thatcher, Jared L PAC Gender: Male Board Certifications: National Commission on Cert of Phys Assts Watters, Teresa J APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: American Nurses Credentialing Center Wozney, Bradley B MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Eagle River, WI Country Docs LLC Location: 150 Hospital Rd Eagle River, WI 54521 715-479-8887 Moe, Terrance D MD Gender: Male Board Certifications: AB Family Medicine Edgar, WI AWH dba Aspirus Edgar Clinic Location: 103 S 3rd Ave Edgar, WI 54426 715-352-2333 Stoffel, Thomas G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Page 17 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Reynolds, Todd P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Family Medicine Spika, David T MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Family Medicine Spika, Karla J MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Family Medicine Warren, John T MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Family Medicine Weirauch, Cheryl A APNP, FNP Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: American Nurses Credentialing Center 920-496-4700 Steffel, Rhonda S MD Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Board Certifications: AB Family Medicine Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Elcho, WI Felch, MI Langlade Hospital Location: Elcho Clinic Bellin Health Fast Care Location: 2530 1st Ave Nordic Medical Center Location: W 4243 M69 W10618 Clinic St Elcho, WI 54428 North Escanaba, MI 49829 Felch, MI 49831 715-275-4011 Primary Care Physicians Escanaba, MI Flowers, Kristine E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Heshmati, Nima MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Qamar, Samina MD Gender: Female Board Certifications: AB Family Medicine Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Smith, Renee M MD Gender: Female LH dba Aspirus General Clnic - Elcho Location: W10618 Clinic St Elcho, WI 54428 715-275-4011 Balthazor, Brenda K PA, PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Safford, Debra A FNP Gender: Female Board Certifications: American Nurses Credentialing Center 920-445-7226 Stenlund, Kristie L APNP Gender: Female Wozney, Bradley B MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Bellin Health FMC Escanaba Location: 3011 N Lincoln Rd Escanaba, MI 49829 920-445-7226 Dupuis, Tangerine R MD Gender: Female Board Certifications: AB Family Medicine Judy, Alexander MD Gender: Male Kulas, Roger W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Wilson, Elizabeth K DO Gender: Female Board Certifications: AB Family Medicine Bellin Health FMC Escanaba West Location: 3500 Ludington St STE 210 Escanaba, MI 49829 920-445-7226 Gauthier, Kimber M MD Gender: Female Peterson, Gloria L PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital 906-246-3800 Dishaw, Lesley S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Jacobs, Donald J MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Gender: Opsahl, Linda M FNP, APNP Gender: Female Board Certifications: American Nurses Credentialing Center Fish Creek, WI North Shore Medical Clinic Location: 3711 State Highway 42 Fish Creek, WI 54212 920-746-0510 Balestrieri, Patti A PAC, RN Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Hobart, Paula L APNP, FNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Door County Memorial Hospital Michalski, Tomasz J MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Family Medicine Rebhan, J. Joshua MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Family Medicine Swain, Holly A PA Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Templin, Mary A APNP Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: ANCC Family Nurse Practitioner Florence, WI Florence Medical Center Location: 1010 Olive Ave Florence, WI 54121 715-528-4775 Dishaw, Lesley S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Floriano, Kelly R PAC Gender: Female Greene, Charlene M DO Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Page 18 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Fond du Lac, WI Agnesian Convenient Care Clinic Location: 145 N Main St Fond du Lac, WI 54935 920-926-8492 St Fond du Lac, WI 54935 920-926-8700 Anderson, Margaret M APNP, FNP Gender: Female Board Certifications: American Academy of Nurse Practitioners Biddick, Louann L APNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: American Nurses Credentialing Center Block, Janelle M APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Friess, Mary Kate APNP, FNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Additional Languages: French Board Certifications: AANP Family Nurse Practitioner Fond du Lac Regional Clinic Location: 420 E Division St Fond du Lac, WI 54935 920-923-7400 Bachhuber, Michael W MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: American Nurses Credentialing Center Baseley, Theresa J APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Bissell, Jennifer H MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Brusky, Brenda L ANP, APNP Gender: Female Colmenares, Derek I MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Everson, Gina M MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Additional Languages: Spanish Board Certifications: AB Family Medicine Friess, Mary Kate APNP, FNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Additional Languages: French Board Certifications: AANP Family Nurse Practitioner Hay, Darrell E MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Houdek, Julia R WHNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner Kasper, Lynda J MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Maruska, David V MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Miley, Sonia APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Quade, Sandralee S APNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Sabel, Jessica L APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Strong, Jeffrey A MD Gender: Male Board Certifications: AB Family Medicine Swanson, Ann Marie E APNP Gender: Female Weber, Lisa R MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Wonder, Douglas C DO Gender: Male Board Certifications: AB Family Medicine Fond du Lac Regional Clinic Location: 723 Park Ridge Ln Fond du Lac, WI 54937 920-926-8600 Baseley, Theresa J APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Clark, Dwayne C MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Fownes, Douglas R MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Franck, Barbara H MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Fredrickson, Russell J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Gatien Brux, Denise R APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Page 19 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Anderson, Margaret M APNP, FNP Gender: Female Board Certifications: American Academy of Nurse Practitioners Bachhuber, Michael W MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: American Nurses Credentialing Center Block, Janelle M APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Gauthier, Richard J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Lindsey, Michele D MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Mueller, Lisa M APNP Gender: Female Board Certifications: American Nurses Credentialing Center Agnesian EZ Care Clinic Location: 1107 E Johnson Primary Care Physicians Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Mueller, Lisa M APNP Gender: Female Board Certifications: American Nurses Credentialing Center Sabel, Jessica L APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Schmidt, Heather P DO Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Schneider, Julie A APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Udlis, Seth D MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Vande Zande, Deborah A APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Fond du Lac Regional Clinic Location: 912 S Hickory St Fond du Lac, WI 54935 920-929-7490 Schmidt, Heather P DO Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Schneider, Julie A APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Udlis, Seth D MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Vande Zande, Deborah A APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Next Door Health Clinic Location: 377 N Rolling Meadows Dr Fond du Lac, WI 54935 920-907-0453 Anderson, Margaret M APNP, FNP Gender: Female Board Certifications: American Academy of Nurse Practitioners Biddick, Louann L APNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: American Nurses Credentialing Center Block, Janelle M APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Friess, Mary Kate APNP, FNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Additional Languages: French Board Certifications: AANP Family Nurse Practitioner Gagliano, Melissa APNP, FNP Gender: Female Grochowski, Kathleen A APNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: American Nurses Credentialing Center Miljour, Karen DO Gender: Female Silverstein, Juanita M APNP Gender: Female Wallace, James J DO Gender: Male Hospital/Medical Affiliations: Board Certifications: AOB Family Physicians St Agnes Hospital Location: 430 E Division St Fond du Lac, WI 54935 920-929-2300 Clutter, Justin MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Kneeland, Jessica B APNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AANP Family Nurse Practitioner Fox Lake, WI Fond du Lac Regional Clinic Location: 703 W State St Fox Lake, WI 53533 920-928-6300 Hankes, Cindy B APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Gillett, WI CMH Primary Care Clinic Location: 340 N Green Bay Ave Gillett, WI 54124 920-855-2823 Balmadrid, Luz L MD Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Additional Languages: German, Tagalog Board Certifications: AB Family Medicine Gremban, Douglas C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital Maltinski, Genadi MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Additional Languages: German, Hebrew, Italian, Spanish Board Certifications: AB Family Medicine Page 20 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Gilman, WI Memorial Health Center Clinics Location: 320 E Main St PO Box 64 Gilman, WI 54433 715-447-8293 after 8/9/2012) Gender: Female Board Certifications: American Nurses Credentialing Center Green Bay, WI Bellin Cancer Team Location: 1580 Commanche Ave Green Bay, WI 54313 920-435-8326 Marquardt, Patti M APNP Gender: Female Bellin Center for Health and Healing Location: 2020 W Webster Ave Green Bay, WI 54301 920-445-7925 Connelly, Mary A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Bellin Center for Health and Healing Location: 3263 Eaton Rd Green Bay, WI 54311 920-433-6700 Connelly, Mary A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Bellin Health Bariatric Center Location: 3263 Eaton Rd Green Bay, WI 54311 920-433-6700 Wozney, Bradley B MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Bellin Health Clinic Hispana Location: 720 S Van Buren St 1st Floor Green Bay, WI 54301 920-437-3700 Leiva, Jose Miguel MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Additional Languages: Spanish Watson, Christopher MD Gender: Male Watson, Jo Ann MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Bellin Health Fast Care Location: 2318 Lineville Rd Green Bay, WI 54313 920-434-3127 Ansfield, Stephanie A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Bellin Health Fast Care Location: 2430 E Mason St Green Bay, WI 54302 920-445-7377 Ansfield, Stephanie A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Bellin Health Fast Care Location: 301 Bay Park Sq Green Bay, WI 54304 920-445-7377 Ansfield, Stephanie A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Boucher, Barbara L APNP, FNP Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: American Nurses Credentialing Center Reilly, Janet E APNP, FNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Page 21 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Berry, Janice K APNP Gender: Female Board Certifications: American Nurses Credentialing Center Brost, Michelle L APNP Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: American Nurses Credentialing Center Cooper, Ronald J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Family Medicine Dixon, Rachel A PA Gender: Female Board Certifications: National Commission on Cert of Phys Assts Ekwueme, Ngozi Jacqueline MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Flandermeyer, Terrie C MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AOB Family Physicians Frazier, Susan MD Gender: Female Hemer, Kathryn M FNP Gender: Female Board Certifications: American Nurses Credentialing Center Hoogland, Sandra K PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Meier-Davila, Mirko A MD Gender: Male Minks, Naomi E APNP Gender: Female Obermann, Kathy L APNP Gender: Female Reisenberg, Robert D PAC Gender: Male Board Certifications: National Commission on Cert of Phys Assts Reuter, Mark G MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Sova, Laura M FNPC Gender: Female Board Certifications: American Nurses Credentialing Center Taha, Mohammad T MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Whitmore, Durelle T APNP(No longer part of plan Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Bellin Health FMC Ashwaubenon Location: 1630 Commanche Ave Green Bay, WI 54313 Primary Care Physicians 920-430-4700 Cornelius, Penny S PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center Board Certifications: National Commission on Cert of Phys Assts Degen, Shane J MD Gender: Male Ditchen, Izabela J MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Additional Languages: German, Polish, Russian Board Certifications: AB Family Medicine Durant, Tammy M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AB Family Medicine Ebben, James R MD Gender: Male Gast, James W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Hafner, Rance J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Jerzak, James T MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Leiva, Jose Miguel MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Additional Languages: Spanish Lemkuil, Daniel C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Luthar, Anshu MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Mead, Robert MD Gender: Male Meyer, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Miaskowski, Tomasz K MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, New London Family Medical Center Board Certifications: AB Family Medicine Olson, Lisa M PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Phillips, Maureen A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Reynders, William M MD Gender: Male Russell, Elizabeth J MD Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Schacht, Michelle MD Gender: Female Watson, Christopher MD Gender: Male Wurth, Jason T MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Zollar, Tracey L NP Gender: Female Bellin Health FMC Bellevue Location: 3263 Eaton Rd Green Bay, WI 54311 920-445-7222 Bedi, Sabeeha S MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Boyd, Thomas C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Halsey, Steven A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Hoffman, Michael H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine McHenry, Jean M FNP Gender: Female McHenry, Michael G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Scholl, Loren APNP Gender: Female Singh, Sabina W MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Zollar, Tracey L NP Gender: Female Bellin Health FMC Howard Location: 2714 Riverview Dr Green Bay, WI 54303 920-430-4760 Degen, Shane J MD Gender: Male Ditchen, Izabela J MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Additional Languages: German, Polish, Russian Board Certifications: AB Family Medicine Durant, Tammy M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AB Family Medicine Freis, Cathy J FNP Gender: Female Fuglestad, Loren C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Hoffman, Michael H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine Leiva, Jose Miguel MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Additional Languages: Spanish Luthar, Anshu MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital McHenry, Jean M FNP Gender: Female Olson, Lisa M PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Rentmeester, Cheryl A FNP Gender: Female Russell, Elizabeth J MD Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Sanchez, Karen APNP Gender: Female Scholl, Loren APNP Gender: Female Singh, Sabina W MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Wech, Carla J NP Gender: Female Bellin Health FMC Webster Ave Location: 725 S Webster Ave STE 215 Green Bay, WI 54301 920-433-3456 Bedi, Sabeeha S MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Boyd, Thomas C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Christensen, Debra A APNP, FNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: ANCC Family Nurse Practitioner Daughtry, Barry T MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Page 22 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Bellin Occupational Health Whitney Ctr Location: 215 N Webster Ave Green Bay, WI 54301 920-433-3448 Koster, Daniel G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bellin Psychiatric Hospital, St Vincent Hospital Daniel G Koster, MD, SC Location: 744 S Webster Ave 5th Fl Green Bay, WI 54301 920-433-3486 Koster, Daniel G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bellin Psychiatric Hospital, St Vincent Hospital Dousman Clinic, SC Location: 1747 Shawano Ave Green Bay, WI 54303 920-494-9661 Jenson, Mark K MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Additional Languages: Tagalog Board Certifications: AB Family Medicine Magnin, Julie A MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Family Medicine Miller, Thomas P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABFM Geriatric Medicine Accepting Existing Patients Only. Stahl, Teresa M PAC Gender: Female East Side Family Practice, SC Location: 424 S Monroe Ave #106 Green Bay, WI 54301 920-437-4366 Dobson, Joseph R DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bellin Psychiatric Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AOB Family Physicians Green Bay Oncology, LTD Location: St. Vincent's Hospital 835 S Van Buren St Green Bay, WI 54301 920-432-6049 Getzloff, Darcy FNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner Prevea Health Centers Location: 2502 S. Ashland Ave Green Bay, WI 54304 920-496-4700 Bantamoi, Edward J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Additional Languages: Italian, Mende Board Certifications: AB Family Medicine Carels, Gail S MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Family Medicine Gadsby, Alessandra M MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Family Medicine Gbadebo, Bolanle O MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center Board Certifications: AB Family Medicine Prevea Health Centers Location: 2793 Lineville Rd Green Bay, WI 54313 920-496-4700 Kadipi Reddy, Venkata R MD Gender: Male Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AB Family Medicine Laughlin, Tiffany L APNP, FNP Gender: Female Lemke, Blake B DO Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AOB Family Physicians Lippert, J'Aimee A DO Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AOB Family Physicians Schultz, Sandra M APNP, FNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: American Nurses Credentialing Center Scott, Paul A DO Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AOB Family Physicians Page 23 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Hafner, Rance J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Halsey, Steven A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Harkness, Barbara A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Hoffman, Michael H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine Luthar, Anshu MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital McHenry, Jean M FNP Gender: Female McHenry, Michael G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Novotny, Steven J DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Olson, Lisa M PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Singh, Sabina W MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Sipple, Christopher J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Watson, Christopher MD Gender: Male Watson, Jo Ann MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Wozney, Bradley B MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Primary Care Physicians Weirauch, Cheryl A APNP, FNP Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: American Nurses Credentialing Center Prevea Health Centers Location: 3021 Voyager Dr Green Bay, WI 54311 920-496-4700 Frea, Anne M MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Leasum, Ivy E APNP, FNP Gender: Female Board Certifications: AANP Family Nurse Practitioner Villwock, Mark K MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Family Medicine Prevea Health Centers Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Dykes, Kathryn A APNP MSN Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Additional Languages: Spanish Board Certifications: American Nurses Credentialing Center Sommer, Todd C DPM, DO Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Family Medicine Hilbert, WI Iron Mountain, MI Dickinson County Healthcare System Location: 1721 S ThedaCare Physicians Hilbert Location: 308 W Main St Bellin Health FMC Iron Mountain Location: 1711 S Stephenson Ave Iron Mountain, MI 498013637 Hilbert, WI 54129 Stephenson STE 205 Iron Mountain, MI 49801 906-774-1313 920-853-3444 Moard, Douglas P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Board Certifications: AB Family Medicine Schuldes, Scott M APNP Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Iola, WI ThedaCare Physicians Family Medicine Location: 160 S Chet Krause Dr Iola, WI 54945 715-445-2228 Butkiewicz, Russell MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Gruszynski, Heather R APNP Gender: Female Board Certifications: American Nurses Credentialing Center Rademacher, Francis APNP Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Salan, Jerry R MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center 906-774-3505 McMahon, Daniel J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AB Family Medicine Bellin Health FMC Iron Mountain Location: 1711 S Stephenson STE 115 Iron Mountain, MI 49801 906-774-2990 Batti, James A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Larson, Rebecca A NP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Van Laanen, Ellen E DO Gender: Female Bellin Health FMC Iron Mountain 212 Location: 212 East B St Iron Mountain, MI 49801 906-774-2990 Villa, Douglas L MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Buch, Shelly R APNP Gender: Female Board Certifications: AANP Family Nurse Practitioner Dishaw, Lesley S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Getzloff, Darcy FNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner Greene, Charlene M DO Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Hallfrisch, John MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Jacobs, Donald J MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Jakel, Victoria M MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Mitchell, Daniel M MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Opsahl, Linda M FNP, APNP Gender: Female Board Certifications: American Nurses Credentialing Center Page 24 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Dickinson County Healthcare System - After Hours Clinic Location: 1721 S Stephenson Ave Iron Mountain, MI 498013637 906-774-1313 Buch, Shelly R APNP Gender: Female Board Certifications: AANP Family Nurse Practitioner Dishaw, Lesley S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Dickinson Internal Med/ Nephrology Clinic Location: 1711 S Stephenson Ave STE 225 Iron Mountain, MI 49801 906-776-5860 Dishaw, Lesley S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Floriano, Kelly R PAC Gender: Female Frankini, Ann Marie K APNP, FNP Gender: Female Dickinson Pediatric Clinic Location: 1721 S Stephenson Ave STE210 Iron Mountain, MI 49801 906-776-5800 Dishaw, Lesley S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Opsahl, Linda M FNP, APNP Gender: Female Board Certifications: American Nurses Credentialing Center Green Bay Oncology, LTD Location: 1721 S Stephenson Ave Iron Mountain, MI 49801 800-432-6049 Getzloff, Darcy FNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner MI-WI Family Practice Associates, PC Location: 1711 S Stephenson Ave STE 300 Iron Mountain, MI 49801 906-774-1633 Mitchell, Daniel M MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Schroeder, Beth A MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine UP Sleep Disorders Center Location: 1711 S Stephenson Ave Ste 215 Iron Mountain, MI 49801 906-776-5840 Sand, John A DO Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AOB Family Physicians Kaukauna, WI Kaukauna Clinic, SC Location: 305 E 12th St Kaukauna, WI 54130 920-766-4656 Awe, Merici A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Family Medicine Baumgart, Jennifer L APNP, FNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner Culligan, Timothy P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Danz, Bruce R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Deprez King, Lori A APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ANCC Acute Care Nurse Practitioner Graunke, Joseph C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Johnson, Gregory A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Russo, Paul H MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Schoening, Jennifer L MD Gender: Female Additional Languages: Spanish Board Certifications: AB Family Medicine Werner, Michael T MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Kewaunee, WI Bellin Health FMC Kewaunee Location: 575 Fourth St Kewaunee, WI 54216 920-388-4640 Cornelius, Penny S PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center Board Certifications: National Commission on Cert of Phys Assts Fuss, Mark A PA Gender: Male Hafner, Rance J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Page 25 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Saigh, F Michael MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Family Medicine Sailo, Jacklin A APNP, FNP Gender: Female Wuensch, George P PAC Gender: Male Board Certifications: NCCPA National Commission on Certification of Phys Primary Care Physicians Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Kurowski, Kurt MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Mueller-Waigand, Bonnie S PAC Gender: Female Olson, Lisa M PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Rentmeester, Cheryl A FNP Gender: Female Zenner, Thomas M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Kimberly, WI ThedaCare Physicians Family Medicine Location: 520 W Third St Kimberly, WI 54136 920-788-7680 Bauer, Joyce M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Blanc, Carolyn M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Elmer, Montgomery J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Family Medicine Madson, Laura PA Gender: Female Marcoe, Sarah K MD Gender: Female Moard, Douglas P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Board Certifications: AB Family Medicine Kingsford, MI Bellin Health FMC Kingsford Location: 145 Roseland Kingsford, MI 49802 906-774-1944 Atkinson, David E MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Judy, Alexander MD Gender: Male McMahon, Daniel J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AB Family Medicine Van Laanen, Ellen E DO Gender: Female Ziemba, Dennis W DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AOB Family Practice & OMT Dickinson County Healthcare System - OB/ GYN Clinic Location: 1100 S Carpenter Ave Kingsford, MI 49802 906-774-1094 Dickinson Family Practice Center Location: 844 Pyle Dr Kingsford, MI 49802 906-774-6383 Dishaw, Lesley S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Jacobs, Donald J MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Opsahl, Linda M FNP, APNP Gender: Female Board Certifications: American Nurses Credentialing Center Lakewood, WI Northern Health Centers Location: 15397 Hwy 32 Lakewood, WI 54138 715-276-6321 Dailey, Janet M APNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner Moore, M. Scott MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Nyman, Carol J APNP, FNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner Land O Lakes, WI Aspirus Land O' Lakes Clinic Location: 4348 Highway B Unit B Land O Lakes, WI 54540 715-547-6118 Araya, Alberto H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Gustafson, William G MD Gender: Male Board Certifications: AB Family Medicine Hauer, Joan D APNP Gender: Female Board Certifications: American Nurses Credentialing Center Przlomski, Andrew T MD Gender: Male Board Certifications: AB Urgent Care Medicine Raduege, William E MD Gender: Male Board Certifications: AB Family Medicine Dishaw, Lesley S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Accepting Existing Patients Only. Page 26 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Lena, WI CMH Primary Care Clinic Location: 200 S Rosera St PO Box 120 Lena, WI 54139 920-829-6400 Luxemburg, WI Trail Luxemburg, WI 54217 920-845-2351 Keim, Jean L APNP, FNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: American Nurses Credentialing Center Lamack, Angela M PAC Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Lyday, Tamara L DO Gender: Female Powell, Kristen A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Additional Languages: Spanish Board Certifications: AB Family Medicine 920-845-1370 Anderson, Robert J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Kurowski, Kurt MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Olson, Lisa M PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Rentmeester, Cheryl A FNP Gender: Female Bellin Health FMC Manitowoc Location: 3415 Custer St STE D Manitowoc, WI 54220 920-445-7373 Hoffman, Michael H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine Kordiyak, Christopher B MD Gender: Male Krumrie, Megan A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Watson, Jo Ann MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital HFM Family Medicine Location: 1635 S 21st St Manitowoc, WI 54220 Bellin Health FMC Luxemburg Location: 140 School Creek Tr Luxemburg, WI 54217 Manitowoc, WI Manawa, WI ThedaCare Physicians Family Medicine Location: 425 2nd St Manawa, WI 54949 920-596-3435 Bettin, Tina M APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Goedderz, Steve A MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Board Certifications: AB Family Medicine Accepting Existing Patients Only. 920-684-7171 Augustine, David E MD Gender: Male Board Certifications: AB Family Medicine Backus, Barbara J APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Danby, David M MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine Hudzinski, Janeen M MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine James, Heather R PAC Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: National Commission on Cert of Phys Assts Rauschenberger, Thomas R MD Gender: Male Sbar, Evelyn D MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine Schmidt, Gary A MD Gender: Male Board Certifications: AB Family Medicine Verlinden, Larry J MD Gender: Male Board Certifications: AB Family Medicine HFM Family Medicine Location: 1650 S 41st St Manitowoc, WI 54220 920-320-4500 Allen, Jeffrey S MD Gender: Male Augustine, David E MD Gender: Male Board Certifications: AB Family Medicine Backus, Barbara J APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Beck, Brandon R PAC Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: National Commission on Cert of Phys Assts Corrigan, Jeffrey K MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine Page 27 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Cupino, Isaias R MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Family Medicine Gremban, Douglas C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital Richlen, Janet L PAC Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Prevea Health Centers Location: 101 School Creek Primary Care Physicians Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Danby, David M MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine Harmelink, Derek J PAC Gender: Male Hazelberg, Michael D DO Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Hudzinski, Janeen M MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine James, Heather R PAC Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: National Commission on Cert of Phys Assts Meyer, Jessica L PAC Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: National Commission on Cert of Phys Assts Rauschenberger, Thomas R MD Gender: Male Sbar, Evelyn D MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine Schmidt, Gary A MD Gender: Male Board Certifications: AB Family Medicine Verlinden, Larry J MD Gender: Male Board Certifications: AB Family Medicine Xiong, Xa X MD Gender: Male Additional Languages: Hmong HFM Internal Medicine Location: 1900 Woodland Dr Manitowoc, WI 54220 920-320-6212 Beck, Brandon R PAC Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: National Commission on Cert of Phys Assts Kaminsky, Annette M APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Verlinden, Larry J MD Gender: Male Board Certifications: AB Family Medicine HFM Pediatrics Location: 4303 Michigan Ave Manitowoc, WI 54220 920-320-4300 Fuller, Richard E MD Gender: Male Board Certifications: AB Pediatrics HFM Shady Lane Clinic Location: 1235 S 24th ST Manitowoc, WI 54220 920-320-2591 Augustine, David E MD Gender: Male Board Certifications: AB Family Medicine HFM Urology Location: 1818 Memorial Dr Manitowoc, WI 54221 Marathon, WI AWH dba Aspirus Marathon Clinic Location: 670 Community Cir Marathon, WI 54448 715-443-6767 Schuette, Lori A FNPC Gender: Female Board Certifications: American Nurses Credentialing Center Marinette, WI Bellin Health Fast Care Location: 2741 Roosevelt Rd Marinette, WI 54153 715-732-1392 Ansfield, Stephanie A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Wozney, Bradley B MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Bellin Health Fast Care Marinette Location: 2741 Roosevelt Rd Marinette, WI 54153 715-732-1392 Reilly, Janet E APNP, FNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital NorthReach Healthcare Location: 1106 University Avenue Marinette, WI 54143 715-735-5272 Ankrum, Laura J DO Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Cayer-Wirtz, Constance L NP Gender: Female Cook, Lisa R APNP Gender: Female Hospital/Medical Affiliations: Bay Area Medical Center Duffy, Cari L NP Gender: Female Goetzman, Beth A APNP Gender: Female Jabeen, Sarwat MD Gender: Male Nogler, Calvin D MD Gender: Male Opoien, James W MD, PhD Gender: Male Orwig, Carol L APNP Gender: Female Peterson, Jessica J PA Gender: Female Sanfilippo, Susan A APNP Gender: Female Simmons, Jon L MD Gender: Male NorthReach Healthcare Location: 1106 University Dr Marinette, WI 54143 715-735-5272 Sanfilippo, Susan A APNP Gender: Female 920-320-6344 Kaminsky, Annette M APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Accepting Existing Patients Only. Page 28 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. NorthReach Healthcare Location: 2741 Roosevelt NorthReach Healthcare Location: 3123 Shore Dr Rd Marinette, WI 54143 STE 102 Marinette, WI 54143 715-732-1392 715-732-2299 NorthReach Healthcare Location: 2935 Shore Dr Marinette, WI 54143 715-732-9193 Cayer-Wirtz, Constance L NP Gender: Female Jabeen, Sarwat MD Gender: Male Sanfilippo, Susan A APNP Gender: Female Singh, Pawneet P MD Gender: Male NorthReach Healthcare Location: Family Doctors of Marinette 2720 Cahill Rd Marinette, WI 54143 715-732-0330 Cook, Lisa R APNP Gender: Female Hospital/Medical Affiliations: Bay Area Medical Center Sanfilippo, Susan A APNP Gender: Female NorthReach Healthcare Location: FamilyCare Medical Clinic 3123 Shore Dr STE 202 Marinette, WI 54143 715-732-4120 Goetzman, Beth A APNP Gender: Female Opoien, James W MD, PhD Gender: Male Simmons, Jon L MD Gender: Male Prevea Health Centers Location: 1409 Cleveland Ave Marinette, WI 54143 888-277-3832 Powers, Lara M MD Gender: Female Medford, WI Fond du Lac Regional Clinic Location: 1175B N Margaret Memorial Health Center Clinics Location: 135 S Gibson St St Markesan, WI 53946 Medford, WI 54451 920-398-2406 Dickerson, Amanda L APNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: ANCC Family Nurse Practitioner Hankes, Cindy B APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Mayville, WI Fond du Lac Regional Clinic Location: 360 S Mountain Dr Mayville, WI 53050 920-387-7500 715-748-8100 DiPazza, Tara M PAC Gender: Female Obermann, Kathy L APNP Gender: Female Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Taha, Mohammad T MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Whitmore, Durelle T APNP(No longer part of plan after 8/9/2012) Gender: Female Board Certifications: American Nurses Credentialing Center Chambers, Paul R MD Gender: Male Board Certifications: AB Family Medicine Collister, Beth MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Ketterer, Alisha L MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Cayer-Wirtz, Constance L NP Gender: Female Jabeen, Sarwat MD Gender: Male Page 29 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Ansfield, Stephanie A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Cabral Guevara, Rachael APNP Gender: Female Hospital/Medical Affiliations: Shawano Medical Center, Bellin Memorial Hospital Duffy, Cari L NP Gender: Female Hughes, Alethia F PAC Gender: Female Kafer, Kristin J PA Gender: Female Krumrie, Megan A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Miller, Autumn R PAC Gender: Female Thor, Thong P PA Gender: Male Additional Languages: Hmong Van Asten, Taresa B PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Wozney, Bradley B MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Markesan, WI Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Memorial Health Center Clinics Location: 143 S Gibson St Medford, WI 54451 Primary Care Physicians 715-748-2121 Anderson, Diane M APNP Gender: Female Hospital/Medical Affiliations: Memorial Health Center, Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Brost, Michelle L APNP Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: American Nurses Credentialing Center Cooper, Ronald J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Family Medicine Dixon, Rachel A PA Gender: Female Board Certifications: National Commission on Cert of Phys Assts Ekwueme, Ngozi Jacqueline MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Falkenberg, Amy A MD Gender: Female Board Certifications: AB Family Medicine Flandermeyer, Terrie C MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AOB Family Physicians Frazier, Susan MD Gender: Female Hemer, Kathryn M FNP Gender: Female Board Certifications: American Nurses Credentialing Center Hoogland, Sandra K PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Meier-Davila, Mirko A MD Gender: Male Obermann, Kathy L APNP Gender: Female Reisenberg, Robert D PAC Gender: Male Board Certifications: National Commission on Cert of Phys Assts Reuter, Mark G MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Sova, Laura M FNPC Gender: Female Board Certifications: American Nurses Credentialing Center Taha, Mohammad T MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Whitmore, Durelle T APNP(No longer part of plan after 8/9/2012) Gender: Female Board Certifications: American Nurses Credentialing Center Memorial Health Center Hospital Location: 135 S Gibson Street Medford, WI 54451 715-748-8100 Anderson, Diane M APNP Gender: Female Hospital/Medical Affiliations: Memorial Health Center, Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Bovet, Philip M DO Gender: Male Hospital/Medical Affiliations: Memorial Health Center Accepting Existing Patients Only. Memorial Health Center Hospital Location: Walk-In Clinic 135 S Gibson St Medford, WI 54451 715-748-8100 Hauer, Joan D APNP Gender: Female Board Certifications: American Nurses Credentialing Center Menasha, WI ThedaCare Physicians Family Medicine Location: 2005 Midway Rd Menasha, WI 54952 920-832-8500 Bautch, Gregory APNP Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Bloomhuff, Suzanne C MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Buffo, Janine M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Duval, Colleen D APNP Gender: Female Farb, Barbara A APNP Gender: Female Groenewold, Sandra K MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Grunwald, Nathan C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Gunderson, Lisa M APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Helgeson, Gail C APNP Gender: Female Kaleka, Gunmeet K MD Gender: Female Additional Languages: Hindi (Indian) Spencer, John R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center Menominee, MI Northreach Menominee Medical Clinic Location: 1100 Tenth St Menominee, MI 49858 906-863-7867 Crissinger, Harold P MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Board Certifications: AB Family Medicine Haupt, Paul A DO Gender: Male Board Certifications: AB Family Medicine Hultman, William C PAC Gender: Male Hospital/Medical Affiliations: Page 30 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Merrill, WI Mosinee, WI Aspirus Wausau Hospital - Merrill Clinic Location: 3333 E Main St Aspirus Kronenwetter Clinic Location: 1881 County Merrill, WI 54452 Trunk XX Mosinee, WI 54455 715-539-5600 Primary Connection Health Care Location: 401 W Main Street Merrill, WI 54403 715-539-8181 Jaeger, Sarah E PA Gender: Female Board Certifications: National Commission on Cert of Phys Assts Barr, Elizabeth G MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Brown, Kristy J APNP Gender: Female Board Certifications: American Nurses Credentialing Center Gossett, Ryan MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Johnston, William H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Nietert, William C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Schneider, Susan M MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Zimbric, Susan G MD Gender: Female Accepting Existing Patients Only. CMH Primary Care Clinic Location: 14353 Wisconsin Hwy 32/64 Mountain , WI 54149 715-276-1600 Bollenbach, Kathie E PAC Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Gremban, Douglas C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital Mt Calvary, WI Fond du Lac Regional Clinic Location: 100 Evergreen Rd Mt Calvary, WI 53057 920-753-2311 Strong, Jeffrey A MD Gender: Male Board Certifications: AB Family Medicine Neenah, WI ThedaCare Physicians Family Medicine Location: 1380 Tullar Rd Neenah, WI 54956 920-729-6088 Berg, Kimberly A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Bogner, Dallas M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Davis, Scott E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Frank, Jennifer E MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Klamm, Richard D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Neilsen, Kristin A APNP Gender: Female Solis Rohr, Veronica S MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Vanevenhoven, Danielle L APNP Gender: Female Board Certifications: American Nurses Credentialing Center Page 31 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Bartelt, Rhonda K APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Wheat, John M DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine 715-355-4040 Mountain , WI Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. ThedaCare Physicians Family Medicine Location: 1504 S Commercial Neenah, WI 54956 Primary Care Physicians 920-729-6088 Bloomhuff, Kurt M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Klamm, Richard D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Lopez, Michelle A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Ovadal, Kristin PA Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Rudolph, Teresa L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin St Mary, Christine J APNP Gender: Female Vanevenhoven, Danielle L APNP Gender: Female Board Certifications: American Nurses Credentialing Center Nekoosa, WI Riverview Family Clinic Location: Lakes Area Medical Center 1160 Rome Center Dr Nekoosa, WI 54457 715-325-7422 Ferk, Thomas E DO Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Flinders, Craig R DO Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Kniprath, Denise R NP Gender: Female Board Certifications: American Nurses Credentialing Center Martonito, Jayzon MD Gender: Male Merdan, Mary Lou APNP Gender: Female Hospital/Medical Affiliations: Riverview Hospital Board Certifications: American Nurses Credentialing Center Olson, Aaron T MD Gender: Male Accepting Existing Patients Only. Riverview Family Clinic Nekoosa Location: 1015 Angelus Dr New London Family Medical Center Location: 1405 Mill St Nekoosa, WI 54457 New London, WI 54961 715-886-2100 Ferk, Thomas E DO Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Flinders, Craig R DO Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Kniprath, Denise R NP Gender: Female Board Certifications: American Nurses Credentialing Center Martonito, Jayzon MD Gender: Male Reahm, Theodore K DO Gender: Male New London, WI Integrity Medical Group, SC Location: 1370 N Shawano St STE A New London, WI 54961 920-531-1100 Rasor, Timothy B MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine 920-531-2000 Goedderz, Steve A MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Board Certifications: AB Family Medicine Lamb, Joseph R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Family Medicine Peterson, Robert L MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Board Certifications: AB Family Medicine ThedaCare Physicians Family Medicine Location: 1405 Mill St New London, WI 54961 920-531-2400 Bettin, Tina M APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Brown, Kimberly R APNP Gender: Female Hospital/Medical Affiliations: New London Family Medical Center Fetterolf, Michael L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Page 32 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Schuldes, Scott M APNP Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Schuler, Renae S MD Gender: Female Hospital/Medical Affiliations: New London Family Medical Center Shereshevsky, Alexy MD Gender: Male Additional Languages: Russian Weidemann, Mark T APNP Gender: Male Hospital/Medical Affiliations: New London Family Medical Center Niagara, WI John L Loewen, MD, SC Location: 615 Washington Ave Niagara, WI 54151 715-251-3104 Loewen, John L MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Norway, MI Bellin Health FMC Norway Location: 711 E Seventh Ave Norway, MI 49802 Dickinson Family & Geriatric Clinic Location: 500 Main St Norway, MI 49870 906-563-9255 Frankini, Ann Marie K APNP, FNP Gender: Female Hayes, Paul N MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Dickinson Family Practice Center Location: N1667 US Highway 8 Norway, MI 49870 906-563-7323 Jakel, Victoria M MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Superior Family Health Center Location: 411 West US Hwy 2 PO Box 188 Norway, MI 49870 906-563-9600 Saigh, F Michael MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Family Medicine 906-563-7201 Judy, Alexander MD Gender: Male Ziemba, Dennis W DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AOB Family Practice & OMT Accepting Existing Patients Only. Oconto , WI Bellin Health FMC Oconto Location: 203 Smith Ave Oconto , WI 54143 920-834-8833 Allen, Lisa L MD Gender: Female Hospital/Medical Affiliations: Oconto Hospital & Medical Center Additional Languages: Spanish Board Certifications: AB Family Medicine Bivins, Robert A MD Gender: Male Durant, Tammy M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AB Family Medicine Heyka, Charles J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Hoffman, Michael H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine Kordiyak, Christopher B MD Gender: Male Kurowski, Kurt MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital McHenry, Michael G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Mead, Robert MD Gender: Male Watson, Jo Ann MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Page 33 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Fuhrmann, Donn D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Board Certifications: AB Family Medicine Hahn-Peskie, Janice APNP Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Board Certifications: American Nurses Credentialing Center Haroldson, Sarah M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Houlihan, Timothy J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Board Certifications: AB Family Medicine Klimek, Christopher R PA Gender: Male Hospital/Medical Affiliations: New London Family Medical Center Lamb, Joseph R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Family Medicine MacMillan, Catherine M DO Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Rust, Jay T PA Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Appleton Medical Center, Theda Clark Medical Center Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Primary Care Physicians Watters, Teresa J APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: American Nurses Credentialing Center Wentzel, Andrew MD Gender: Male Oconto, WI CMH Primary Care Clinic Location: 103 First St Oconto, WI 54153 920-835-1144 Birk, Robert C PAC Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Bollenbach, Kathie E PAC Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Cornelius, Penny S PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center Board Certifications: National Commission on Cert of Phys Assts Fox, Electa J PA Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Gremban, Douglas C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital Knutson, Thomas J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center Board Certifications: AB Family Medicine Miller, Thomas P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABFM Geriatric Medicine Mullen, Joseph H PAC Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Additional Languages: Spanish Oconto Hospital & Medical Center Location: 820 Arbutus Oconto, WI 54153 920-835-1100 Allen, Lisa L MD Gender: Female Hospital/Medical Affiliations: Oconto Hospital & Medical Center Additional Languages: Spanish Board Certifications: AB Family Medicine Prevea Health Centers Location: 620 Smith Ave Oconto, WI 54153 920-834-4110 Kalk, Grace L PAC Gender: Female Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: National Commission on Cert of Phys Assts Mayer, Heather L APNP, FNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: American Academy of Nurse Practitioners Oconto Falls, WI Bellin Health FMC Oconto Falls Location: 833 S Main St Oconto Falls, WI 54154 920-846-3092 Befay, Tracy W PAC Gender: Female Heyka, Charles J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine CMH Primary Care Clinic Location: 835 S Main St Oconto Falls, WI 54154 920-846-8187 Bollenbach, Kathie E PAC Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Cupino, Isaias R MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Family Medicine Gremban, Douglas C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital Mullen, Joseph H PAC Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Additional Languages: Spanish Perez, Iris Theodora C MD Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Additional Languages: Tagalog Board Certifications: AB Family Medicine CMH Primary Care Clinic Location: 855 S Main St Oconto Falls, WI 54154 920-846-8187 Elkins, Keith W MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Family Medicine Genadi Maltinski, MD Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 Maltinski, Genadi MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Additional Languages: German, Hebrew, Italian, Spanish Board Certifications: AB Family Medicine Prevea Health Centers Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 Boucher, Barbara L APNP, FNP Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: American Nurses Credentialing Center Elkins, Keith W MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Family Medicine Sommer, Todd C DPM, DO Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Family Medicine Zahn, Karen A APNP, FNP Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: American Nurses Credentialing Center Page 34 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Oshkosh, WI Dilip K Tannan, MD Location: 555 S Washburn St Oshkosh, WI 54904 920-231-2555 ThedaCare FastCare Oshkosh Location: 1300 S Koeller St Oshkosh, WI 54902 866-455-8111 Bartelt, Douglas A APNP Gender: Male Spencer, John R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center St Mary, Christine J APNP Gender: Female ThedaCare Physicians Family Medicine Location: 600 N Westhaven Women's Care of Wisconsin, SC Location: 600 N Westhaven Dr 2nd Floor Oshkosh, WI 54903 920-729-7105 Fritz, Tracy K APNP, FNP Gender: Female Dr Oshkosh, WI 54904 920-237-5000 Hedge, Holly A APNP Gender: Female Janusonis, Rimas V MD Gender: Male Board Certifications: AB Family Medicine Kaiser, Daniel J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Family Medicine Phelps, WI Aspirus Phelps Clinic Location: 2383 Hwy 17 Phelps, WI 54554 715-545-2710 Araya, Alberto H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Gustafson, William G MD Gender: Male Board Certifications: AB Family Medicine Hauer, Joan D APNP Gender: Female Board Certifications: American Nurses Credentialing Center Marren, Thomas F MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Przlomski, Andrew T MD Gender: Male Board Certifications: AB Urgent Care Medicine Zelinski, James W MD Gender: Male Peshtigo, WI NorthReach Healthcare Location: Peshtigo Family Medicine 441 French St Peshtigo, WI 54157 715-582-9949 Nogler, Calvin D MD Gender: Male Orwig, Carol L APNP Gender: Female Sanfilippo, Susan A APNP Gender: Female Accepting Existing Patients Only. Phillips, WI Memorial Health Center Clinics Location: 625 Peterson Ave Phillips, WI 54555 715-339-4035 Cooper, Ronald J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Family Medicine Dixon, Rachel A PA Gender: Female Board Certifications: National Commission on Cert of Phys Assts Frazier, Susan MD Gender: Female Meier-Davila, Mirko A MD Gender: Male Minks, Naomi E APNP Gender: Female Morey, Jonathon B MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Obermann, Kathy L APNP Gender: Female Taha, Mohammad T MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Whitmore, Durelle T APNP(No longer part of plan after 8/9/2012) Gender: Female Board Certifications: American Nurses Credentialing Center Plymouth, WI Marsho Family Medical Group, SC Location: 515 E Mill St Plymouth, WI 53073 920-892-4311 Brauer, Warren A MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: ABIM Geriatric Medicine Duenk, Larry L MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Family Medicine Gags, Tammi S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Martella, Michael A DO Gender: Male Page 35 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Tannan, Dilip K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages: Hindi (Indian) Rigstad, Eugene C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Family Medicine Rivers, Julie K PA Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Shereshevsky, Alexy MD Gender: Male Additional Languages: Russian Smiltneek, Eric A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Stephens, Lisa R APNP Gender: Female Primary Care Physicians Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Pawlak, James R MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Additional Languages: Spanish Board Certifications: AB Family Medicine Staehling, Renee A MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Staehling, Steven J MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Family Medicine Stillwell, Scott M MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Family Medicine Waters, Dana M APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Prevea Plymouth Health Center Location: 825 Walton Dr. Plymouth, WI 53073 920-892-4322 Adhikary Sharma, Sarina MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Prentice, WI Memorial Health Center Clinics Location: 1511 Railroad Ave Prentice, WI 54456 715-428-2521 Berry, Janice K APNP Gender: Female Board Certifications: American Nurses Credentialing Center Brost, Michelle L APNP Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: American Nurses Credentialing Center Cooper, Ronald J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Family Medicine Dixon, Rachel A PA Gender: Female Board Certifications: National Commission on Cert of Phys Assts Ekwueme, Ngozi Jacqueline MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Flandermeyer, Terrie C MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AOB Family Physicians Frazier, Susan MD Gender: Female Hemer, Kathryn M FNP Gender: Female Board Certifications: American Nurses Credentialing Center Hoogland, Sandra K PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Meier-Davila, Mirko A MD Gender: Male Minks, Naomi E APNP Gender: Female Morey, Jonathon B MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Obermann, Kathy L APNP Gender: Female Reisenberg, Robert D PAC Gender: Male Board Certifications: National Commission on Cert of Phys Assts Reuter, Mark G MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Sova, Laura M FNPC Gender: Female Board Certifications: American Nurses Credentialing Center Taha, Mohammad T MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Whitmore, Durelle T APNP(No longer part of plan after 8/9/2012) Gender: Female Board Certifications: American Nurses Credentialing Center Pulaski, WI Bellin Health FMC Pulaski Location: 331 W Green Bay St Pulaski, WI 54162 920-822-1100 Degen, Shane J MD Gender: Male Hoffman, Deborah NP Gender: Female McHenry, Michael G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Meyer, Shelli A APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Miaskowski, Tomasz K MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, New London Family Medical Center Board Certifications: AB Family Medicine Miller, Autumn R PAC Gender: Female Pautz, Holly PA Gender: Female Watson, Jo Ann MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Watters, Teresa J APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: American Nurses Credentialing Center Zollar, Tracey L NP Gender: Female Prevea Health Location: 940 S Saint Augustine St Pulaski, WI 54162 920-822-5444 Powers, Lauren K APNP, FNP Gender: Female Page 36 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Prevea Health Centers Location: 940 S Saint Augustine St Pulaski, WI 54162 920-822-5444 Rhinelander, WI Aspirus Rhinelander Clinic Location: 1630 N Chippewa Dr Rhinelander, WI 54501 715-361-5480 Araya, Alberto H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Beede McKinney, Holly L APNP Gender: Female Board Certifications: American Nurses Credentialing Center Ewan, Amy DO Gender: Female Flohr, Nicole L PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Gartmann, Barbara E APNP Gender: Female Rib Lake, WI Memorial Health Center Clinics Location: 1121 Hwy 102 Rib Lake, WI 54470 715-427-5701 Berry, Janice K APNP Gender: Female Board Certifications: American Nurses Credentialing Center Brost, Michelle L APNP Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: American Nurses Credentialing Center Cooper, Ronald J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Family Medicine Dixon, Rachel A PA Gender: Female Board Certifications: National Commission on Cert of Phys Assts Ekwueme, Ngozi Jacqueline MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Flandermeyer, Terrie C MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AOB Family Physicians Frazier, Susan MD Gender: Female Hemer, Kathryn M FNP Gender: Female Board Certifications: American Nurses Credentialing Center Hoogland, Sandra K PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Meier-Davila, Mirko A MD Gender: Male Obermann, Kathy L APNP Gender: Female Reisenberg, Robert D PAC Gender: Male Board Certifications: National Commission on Cert of Phys Assts Reuter, Mark G MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Sova, Laura M FNPC Gender: Female Board Certifications: American Nurses Credentialing Center Taha, Mohammad T MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Family Medicine Whitmore, Durelle T APNP(No longer part of plan after 8/9/2012) Gender: Female Board Certifications: American Nurses Credentialing Center Ripon, WI Fond du Lac Regional Clinic Location: 790 East Gate Dr Ripon, WI 54971 920-745-3180 Gauthier, Richard J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Family Medicine Wallace, James J DO Gender: Male Hospital/Medical Affiliations: Board Certifications: AOB Family Physicians Page 37 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Fergus, Christina P MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Family Medicine Mayer, Heather L APNP, FNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: American Academy of Nurse Practitioners Powers, Lauren K APNP, FNP Gender: Female Gustafson, William G MD Gender: Male Board Certifications: AB Family Medicine Jackson, Daniel B PAC Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Kopplin, Jolene M APNP Gender: Female Hospital/Medical Affiliations: Langlade Memorial Hospital, Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Marren, Thomas F MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Mraz, Frank A MD Gender: Male Reed, Claire H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Fond du Lac Regional Clinic Location: 933 Newbury St Ripon, WI 54971 Primary Care Physicians 920-748-3101 Friess, Mary Kate APNP, FNP Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Additional Languages: French Board Certifications: AANP Family Nurse Practitioner Ripon Medical Center Location: 933 Newbury St Ripon, WI 54971 920-748-0435 Bodary, Renee L APNP, FNP Gender: Female Additional Languages: Spanish Board Certifications: ANCC Family Nurse Practitioner Kainer, Jennifer F APNP, FNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner Van Rooy, Pamela J APNP, FNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner ThedaCare Physicians Family Medicine Location: 1081 W Fond du Lac St Ripon, WI 54971 920-478-3900 Rivers, Julie K PA Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Shereshevsky, Alexy MD Gender: Male Additional Languages: Russian Seymour, WI Bellin Health FMC Seymour Location: 405 Commercial St Seymour, WI 54165 920-833-2318 Collar, Kristin M NP Gender: Female Degen, Shane J MD Gender: Male Kurowski, Kurt MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital McHenry, Michael G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Miaskowski, Tomasz K MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, New London Family Medical Center Board Certifications: AB Family Medicine Olson, Lisa M PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Phillips, Maureen A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Rentmeester, Cheryl A FNP Gender: Female Thatcher, Jared L PAC Gender: Male Board Certifications: National Commission on Cert of Phys Assts Prevea Health Centers Location: 958 Foote St Seymour, WI 54165 920-833-9896 Lyday, Tamara L DO Gender: Female Shawano, WI Bellin Health Fast Care Location: 117 S Main St Shawano, WI 54166 715-524-3331 Ansfield, Stephanie A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Wozney, Bradley B MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Bellin Health Fast Care Shawano Location: 117 S Main St Shawano, WI 54166 715-524-3331 Reilly, Janet E APNP, FNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Shawano Medical Center Location: 309 N Bartlette St Shawano, WI 54166 715-526-2111 Ansfield, Stephanie A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Christensen, Debra A APNP, FNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: ANCC Family Nurse Practitioner Frimodig, Mindy M MD Gender: Female Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AB Family Medicine Phee, Mariruth APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Reilly, Janet E APNP, FNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Ruh, Sharisa M PA Gender: Female Hospital/Medical Affiliations: Shawano Medical Center Sarnwick, Richard D DO Gender: Male Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AOB Family Physicians Schechinger, Jaclyn M PAC Gender: Female Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: NCCPA National Commission on Certification of Phys Thatcher, Jared L PAC Gender: Male Board Certifications: National Commission on Cert of Phys Assts ThedaCare FastCare Shawano Location: 309 N Bartlette St Shawano, WI 54166 920-830-7805 Fang, Yu-Chin MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Shawano Medical Center Koehler, Natasha APNP Gender: Female Page 38 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. ThedaCare Physicians Family Medicine Location: 100 County Rd B Shawano, WI 54166 715-524-2161 Accepting Existing Patients Only. Sheboygan, WI Marsho Family Medical Group, SC Location: 1703 N Taylor Dr Sheboygan, WI 53081 920-457-4438 Brauer, Warren A MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: ABIM Geriatric Medicine Duenk, Larry L MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Family Medicine Fitzgerald, Mary E PAC Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: National Commission on Cert of Phys Assts Gags, Tammi S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Gentine, Mary J MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Family Medicine Krause, Melissa M PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Kunst, Jane A APNP, FNP Gender: Female Board Certifications: National Certification Corporation Mancheski, Dean A MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Family Medicine Marsho, Patrick R MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Family Medicine Miller, J Tim PAC Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: National Commission on Cert of Phys Assts Pawlak, James R MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Additional Languages: Spanish Board Certifications: AB Family Medicine Ruiz, Carmen APNP Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: American Nurses Credentialing Center Staehling, Renee A MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Staehling, Steven J MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Family Medicine Steinbruecker, Lisa J APNP, FNP Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: American Nurses Credentialing Center Stillwell, Scott M MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Family Medicine Prevea Sheboygan Health Center Location: 1411 N Taylor Dr Sheboygan, WI 53081 920-457-4858 Korankye, Charles M MD Gender: Male Board Certifications: AB Family Medicine Smith, Sarah J MD Gender: Female Board Certifications: AB Family Medicine Page 39 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Andrews Fike, Christa M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Cloutier, Vickie M MD Gender: Female Board Certifications: AB Family Medicine Fang, Yu-Chin MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Shawano Medical Center Franke, Susan K PA Gender: Female Frimodig, Mindy M MD Gender: Female Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AB Family Medicine Gillis, Beth L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Shawano Medical Center, ThedaCare Ambulatory Surgery Center Shawano Board Certifications: AB Family Medicine Gruetzmacher, Susan M APNP Gender: Female Jerabek, Rita M APNP Gender: Female Kananen, Lynn A APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Lewis, Tod C MD Gender: Male Hospital/Medical Affiliations: Shawano Medical Center Olsen, Jill D APNP Gender: Female Hospital/Medical Affiliations: Shawano Medical Center Papendorf, Ann M APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: American Academy of Nurse Practitioners Peters, Randall B MD Gender: Male Hospital/Medical Affiliations: Shawano Medical Center, ThedaCare Ambulatory Surgery Center Shawano Qualheim, Kathleen M MD Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Schiller, Lisa F APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Thatcher, Gregory B MD Gender: Male Hospital/Medical Affiliations: Shawano Medical Center, ThedaCare Ambulatory Surgery Center Shawano Williams, Michael D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Sister Bay, WI North Shore Medical Clinic Location: 10560 Applewood Dr Sister Bay, WI 54234 Primary Care Physicians 920-854-5355 Anclam, Keith R DO Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Stephenson, MI Carlson Medical, PC Location: S926 US Hwy 41 Stephenson, MI 49887 906-753-4665 Carlson, Vernette M MD Gender: Female Gottschalk, Sharon K PA Gender: Female Stevens Point, WI Aspirus Sentry Clinic Location: 1800 North Point Dr Stevens Point, WI 54481 715-346-8123 Dilley, Bronwyn L APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Korb, Heidi L APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Neuhoff, Alfred L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Patridge, Tara A APNP Gender: Female Board Certifications: American Academy of Nurse Practitioners Aspirus Stevens Point Clinic Location: 5409 Vern Holmes Dr Stevens Point, WI 54482 715-344-1600 Araya, Alberto H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Baeseman, Zachary J MD Gender: Male Balthazor, Brenda K PA, PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Boettcher, Bradley S MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Bovet, Philip M DO Gender: Male Hospital/Medical Affiliations: Memorial Health Center Couri, Kimberly J DO Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Dickman, Scott E MD Gender: Male Board Certifications: AB Family Medicine Dilley, Bronwyn L APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Eisenhardt, Nicole L DO Gender: Female Federici, Michele R PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Flohr, Nicole L PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Fullington, Ann L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Gruszynski, Heather R APNP Gender: Female Board Certifications: American Nurses Credentialing Center Hahn, Katharina L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Family Medicine Higgins, Amy A APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Jackson, Daniel B PAC Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Jaeger, Sarah E PA Gender: Female Board Certifications: National Commission on Cert of Phys Assts Jockin, Michelle C PA Gender: Female Korb, Heidi L APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Lockwood, Kay L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urgent Care Medicine Mutschlecner, Sarah APNP Gender: Female Neuhoff, Alfred L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Norrbom, Corina J MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Patridge, Tara A APNP Gender: Female Board Certifications: American Academy of Nurse Practitioners Rayburn, Julie A PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Reed, Claire H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Ruth, Donald H MD(No longer part of plan after 9/1/2012) Gender: Male Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Steinlage, John P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin, Aspirus Wausau Hospital Board Certifications: AB Family Medicine Page 40 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. AWH dba Aspirus Family Walk-In Location: 5409 Vern Holmes Dr Stevens Point, WI 54482 715-344-1600 Bateman, Nicole L DO Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AOB Family Physicians Buchl, Andrew C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Reineke, Lisa A DO Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Board Osteopathic Sturgeon Bay, WI Door County Memorial Hospital Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-743-5566 Hayes, Nathan C DO Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Family Medicine Heilman, Barbara L APNP Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: American Nurses Credentialing Center Knipfer, Kathleen A PAC Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Karen L Butler, MD, SC Location: 1009 Egg Harbor Rd #113 Sturgeon Bay, WI 54235 920-746-8480 Butler, Karen L MD Gender: Female Klasinski Clinic, SC Location: 500 Vincent St Stevens Point, WI 54481 715-334-0701 Lietz, Greg A PAC Gender: Male Accepting Existing Patients Only. North Shore Medical Clinic Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-746-0510 Antonio, Maria Chona S MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Additional Languages: Tagalog Arnold, Phillip B DO Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AOB Family Physicians Balestrieri, Patti A PAC, RN Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Beck, John J MD Gender: Male Hobart, Paula L APNP, FNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Door County Memorial Hospital Kurek, Andrzej P MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Martens, Sandra I MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Additional Languages: Danish, French, German, Spanish Board Certifications: AB Family Medicine Michalski, Tomasz J MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Family Medicine Roenning, George H MD Gender: Male Board Certifications: AB Family Medicine Templin, Mary A APNP Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: ANCC Family Nurse Practitioner SAINTS Health Services for Business Location: 133 South 16th Place Sturgeon Bay, WI 54235 920-746-0726 Templin, Mary A APNP Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: ANCC Family Nurse Practitioner Wellness Center of Door County Location: 312 N. 5th Ave Sturgeon Bay, WI 54235 920-746-9444 Derbick, Heidi M APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Geiger-Bronsky, Michele MSN, FNPC, APNP Gender: Female Board Certifications: ANCC Family Nurse Practitioner Page 41 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Tang, Shee-Chang MD Gender: Male Board Certifications: AB Family Medicine Thao, Melee E PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Voelker, Thomas A MD Gender: Male Board Certifications: AB Family Medicine Wallace, William S APNP Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Suring , WI Three Lakes, WI Tigerton, WI Bellin Health FMC Suring Location: 307 Manor Dr Aspirus Three Lakes Clinic Location: 6951 S Michigan ThedaCare Physicians Family Medicine Location: 110 Cedar St PO St Three Lakes, WI 54562 Box 310 Tigerton, WI 54486 Suring , WI 54174 Primary Care Physicians 920-842-2144 Meyer, Shelli A APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Watters, Teresa J APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: American Nurses Credentialing Center Westmoreland, Amanda K PA Gender: Female Suring, WI CMH Primary Care Clinic Location: 913 E Main St Suring, WI 54174 920-842-1147 Zahn, Karen A APNP, FNP Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: American Nurses Credentialing Center 715-546-2543 Araya, Alberto H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Gustafson, William G MD Gender: Male Board Certifications: AB Family Medicine Jackson, Daniel B PAC Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Marren, Thomas F MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Accepting Existing Patients Only. 715-535-2115 Fang, Yu-Chin MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Shawano Medical Center Gruetzmacher, Susan M APNP Gender: Female Hankins, Sarah M APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Shawano Medical Center Board Certifications: American Nurses Credentialing Center Tigerton Family Medicine Location: 110 Cedar St Tigerton, WI 54486 715-535-2115 Gillis, Beth L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Shawano Medical Center, ThedaCare Ambulatory Surgery Center Shawano Board Certifications: AB Family Medicine Hankins, Sarah M APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Shawano Medical Center Board Certifications: American Nurses Credentialing Center Thomas, Thomas J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Shawano Medical Center, ThedaCare Ambulatory Surgery Center Shawano Board Certifications: AB Family Medicine Two Rivers, WI HFM TR Health Center Location: 3310 45th St Two Rivers, WI 54241 920-793-3900 Beck, Brandon R PAC Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: National Commission on Cert of Phys Assts Marx, Colleen A APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Robert A Gahl, MD Location: 1516 Washington St Two Rivers, WI 54241 920-793-4573 Gahl, Robert A MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: ABFM Geriatric Medicine Waupaca, WI Riverside Medical Center Location: 800 Riverside Dr Waupaca, WI 54981 715-258-1000 MacMillan, Catherine M DO Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Page 42 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. ThedaCare Physicians Family Medicine Location: 710 Riverside Dr Waupaca, WI 54981 715-258-1160 Accepting Existing Patients Only. Sletten, Paul W MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Board Certifications: AB Family Medicine Steinhoff, Jennifer E MD Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Strobusch, Alan D MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Sutton, Daniel M MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Wenberg, Ellen T MD Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Board Certifications: AB Family Medicine Waupun, WI Fond du Lac Regional Clinic Location: 608 W Brown St Waupun, WI 53963 920-324-6800 Mueller, Lisa M APNP Gender: Female Board Certifications: American Nurses Credentialing Center Sullivan, Jessica Y APNP Gender: Female Hospital/Medical Affiliations: Waupun Memorial Hospital Board Certifications: American Nurses Credentialing Center Waupun Area Clinic Location: 14 Beaver Dam St Waupun, WI 53963 920-324-6800 Nagle, Robert V DO Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital Board Certifications: AOB Family Physicians Newton, Robert D DO Gender: Male Board Certifications: AB Family Medicine Parish, Richard H PA Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Timmermans, Peter W MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital Board Certifications: AB Family Medicine Waupun Memorial Hospital Location: 620 W Brown St Waupun, WI 53963 920-324-2300 Sullivan, Jessica Y APNP Gender: Female Hospital/Medical Affiliations: Waupun Memorial Hospital Board Certifications: American Nurses Credentialing Center Wausau, WI Aspirus Comfort Care & Hospice Services Location: Aspirus Wausau Hospital 333 Pine Ridge Blvd Wausau, WI 54401 715-847-2505 Gavin, Eileen S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Page 43 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Anderson, Earl MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Bauer, Michael MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Bloedow, Rescha APNP Gender: Female Buck, Wendy G APNP Gender: Female Board Certifications: American Nurses Credentialing Center Burgstede, Gilbert C MD Gender: Male Butkiewicz, Russell MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center DeArmond, Nicole C PA Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Dent, Robert MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Dowsett, Cara L APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Board Certifications: American Nurses Credentialing Center Durst, Sarah C MD Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Edelman, Gary C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Riverside Medical Center, Theda Clark Medical Center Ferguson, Deborah APNP Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Hahn-Peskie, Janice APNP Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Board Certifications: American Nurses Credentialing Center Kile, Patti MD Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Kobiske, Joy APNP Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Board Certifications: American Nurses Credentialing Center Korb, Heidi L APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Peterson, Robert L MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Board Certifications: AB Family Medicine Pucillo, Kelly M MD Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Board Certifications: AB Family Medicine Rademacher, Francis APNP Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Rathjen, Blair M PA Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Rathjen, Charles MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Salan, Jerry R MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Aspirus FastCare Clinic Location: 200 South 18th Aspirus Specialists Inc Location: 425 Wind Ridge Ave Wausau, WI 54401 Dr Wausau, WI 54401 Primary Care Physicians 715-842-3084 Federici, Michele R PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Gruszynski, Heather R APNP Gender: Female Board Certifications: American Nurses Credentialing Center Higgins, Amy A APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Jackson, Daniel B PAC Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Rayburn, Julie A PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Thao, Melee E PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts 715-675-3391 Baker, Vicky A MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Bovet, Philip M DO Gender: Male Hospital/Medical Affiliations: Memorial Health Center Evans, Donald L MD Gender: Male Ewan, Amy DO Gender: Female Gilchrist, Valerie J MD Gender: Female Hospital/Medical Affiliations: University of Wisconsin Hospital Gill, Gregory L MD Gender: Male King, Hollis H DO Gender: Male Krohn-Gill, Kathryn A MD Gender: Female Board Certifications: AB Family Medicine Moore, Jeffrey L MD Gender: Male O'Connell, Kevin J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Penniman, Eric R DO Gender: Male Strick, Thomas J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Suto, Bonnie MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Thao, Melee E PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Thompson, Paul A MD Gender: Male Wheat, John M DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Whitaker, Kristin J MD Gender: Female Aspirus Wausau Hospital Location: 333 Pine Ridge Blvd Wausau, WI 54401 715-847-2121 Mensah, Victor MD Gender: Male Turbett, Timothy J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine AWH dba Aspirus Family Health Location: 2720 Plaza Dr STE 1300 Wausau, WI 54401 715-847-2630 Hanneman, Wendy L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Lange, Ross A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Montgomery, Michele H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Punke, Jodi A DO Gender: Female Hospital/Medical Affiliations: Langlade Memorial Hospital, Aspirus Wausau Hospital Board Certifications: AB Family Medicine Rubino, Frank J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Saeger, Stephen L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Scully, Hilary P MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine AWH dba Aspirus Family Physicians Location: 212 Sturgeon Eddy Wausau, WI 54403 715-842-0491 Kaupie, Robert C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Nichols, Steven D MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Smith, Brian D MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Sonnek, Noel K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Umland, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Page 44 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. AWH dba Aspirus Family Walk-In Location: 2720 Plaza Dr STE 1100 Wausau, WI 54401 715-847-2472 Reineke, Lisa A DO Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Board Osteopathic Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Steinlage, John P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin, Aspirus Wausau Hospital Board Certifications: AB Family Medicine Thao, Melee E PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Wallace, William S APNP Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center AWH dba Aspirus Wound Clinic Location: 333 Pine Ridge Blvd Wausau, WI 54401 715-847-2837 Walsh, Helen A APNP Gender: Female Christian Family Practice, LLC Location: 1500 Merrill Ave STE 201 Wausau, WI 54401 715-675-5371 Burt, Glenn B MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine North Central Health Care - Wausau Location: 1100 Lakeview Dr Wausau, WI 54403 715-848-4600 Hauer, Joan D APNP Gender: Female Board Certifications: American Nurses Credentialing Center Seiser, Barbara V APNP Gender: Female Board Certifications: American Nurses Credentialing Center Primary Connection Health Care Location: 1810 N Second St Wausau, WI 54403 715-848-4884 Aggarwal, Shruti MD Gender: Female Jaeger, Sarah E PA Gender: Female Board Certifications: National Commission on Cert of Phys Assts Javor, Nancy L APNP Gender: Female O'Connell, Kevin J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Suto, Bonnie MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Surgical Associates Location: 2400 Pine Ridge Blvd Wausau, WI 54401 715-847-2022 Walsh, Helen A APNP Gender: Female Page 45 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Araya, Alberto H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Baeseman, Zachary J MD Gender: Male Balthazor, Brenda K PA, PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Bovet, Philip M DO Gender: Male Hospital/Medical Affiliations: Memorial Health Center Buchl, Andrew C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Dilley, Bronwyn L APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Federici, Michele R PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Flohr, Nicole L PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Fuller, Richard E MD Gender: Male Board Certifications: AB Pediatrics Fullington, Ann L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Gavin, Eileen S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Gruszynski, Heather R APNP Gender: Female Board Certifications: American Nurses Credentialing Center Higgins, Amy A APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Jackson, Daniel B PAC Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Jaeger, Sarah E PA Gender: Female Board Certifications: National Commission on Cert of Phys Assts Kucera, Charles MD Gender: Male Norrbom, Corina J MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Patridge, Tara A APNP Gender: Female Board Certifications: American Academy of Nurse Practitioners Przlomski, Andrew T MD Gender: Male Board Certifications: AB Urgent Care Medicine Rayburn, Julie A PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Reed, Claire H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wausaukee, WI Wausaukee Medical Center Location: 536 Kenny Dr Wausaukee, WI 54177 Primary Care Physicians 715-856-6983 Dishaw, Lesley S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Floriano, Kelly R PAC Gender: Female Greene, Charlene M DO Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Family Medicine Hallfrisch, John MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Gender: Wuensch, George P PAC Gender: Male Board Certifications: NCCPA National Commission on Certification of Phys Weston, WI Aspirus Weston Clinic Location: 4005 Community Center Dr Weston, WI 54476 715-241-5405 Araya, Alberto H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Baeseman, Zachary J MD Gender: Male Balthazor, Brenda K PA, PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Bovet, Philip M DO Gender: Male Hospital/Medical Affiliations: Memorial Health Center Buchl, Andrew C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Calonder, Emily M APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Academy of Nurse Practitioners Dilley, Bronwyn L APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Federici, Michele R PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Flohr, Nicole L PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Fullington, Ann L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Gavin, Eileen S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Gruszynski, Heather R APNP Gender: Female Board Certifications: American Nurses Credentialing Center Higgins, Amy A APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Jackson, Daniel B PAC Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Jaeger, Sarah E PA Gender: Female Board Certifications: National Commission on Cert of Phys Assts Norrbom, Corina J MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Patridge, Tara A APNP Gender: Female Board Certifications: American Academy of Nurse Practitioners Rahn, Kristen R MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Rayburn, Julie A PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Reed, Claire H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Reineke, Lisa A DO Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Board Osteopathic Sennholz, Troy D MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Family Medicine Steinlage, John P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin, Aspirus Wausau Hospital Board Certifications: AB Family Medicine Thao, Melee E PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Turbett, Timothy J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Wallace, William S APNP Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Weyauwega, WI ThedaCare Physicians Family Medicine Location: 206 S Mill St Weyauwega, WI 54983-0250 920-867-3141 Buchholz, Roy R MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Hahn-Peskie, Janice APNP Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Board Certifications: American Nurses Credentialing Center Haroldson, Sarah M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Page 46 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Schuldes, Scott M APNP Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Aspirus Clinic Location: 2031 Peach Street Wisconsin Rapids, WI 54402 715-423-0122 Araya, Alberto H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Ashbeck, Jillian M APNP Gender: Female Balthazor, Brenda K PA, PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Boettcher, Bradley S MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Buchl, Andrew C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Chung, Dong Joon MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Couri, Kimberly J DO Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Joosten, Tracy L APNP Gender: Female Board Certifications: American Nurses Credentialing Center Lockwood, Kay L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urgent Care Medicine Olson, Lisa L MD Gender: Female Board Certifications: AB Family Medicine Patridge, Tara A APNP Gender: Female Board Certifications: American Academy of Nurse Practitioners Perryman, Fred A MD Gender: Male Board Certifications: AB Family Medicine Rayburn, Julie A PAC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Reed, Claire H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Reimer, Lindsay B PAC Gender: Female Reineke, Lisa A DO Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Board Osteopathic Roenius, Robert J MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Ruth, Donald H MD(No Steinlage, John P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin, Aspirus Wausau Hospital Board Certifications: AB Family Medicine Tang, Shee-Chang MD Gender: Male Board Certifications: AB Family Medicine Voelker, Thomas A MD Gender: Male Board Certifications: AB Family Medicine Wallace, William S APNP Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Wogahn, Linda S PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Wogahn, Timothy P MD Gender: Male Board Certifications: AB Family Medicine Aspirus Doctors Clinic Location: 2031 Peach St Wisconsin Rapids, WI 54494 715-423-0122 Bovet, Philip M DO Gender: Male Hospital/Medical Affiliations: Memorial Health Center longer part of plan after 9/1/2012) Gender: Male Page 47 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Wisconsin Rapids, WI Crowther, David N MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Dickman, Scott E MD Gender: Male Board Certifications: AB Family Medicine Dilley, Bronwyn L APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Elgersma, Tammy PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Federici, Michele R PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Flohr, Nicole L PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Ghinazzi, Scott P MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Higgins, Amy A APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Huebner, Timothy K MD Gender: Male Board Certifications: AB Family Medicine Jackson, Daniel B PAC Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Jockin, Michelle C PA Gender: Female Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Hospitalist Medicine Physicians Of Wisconsin, PC Location: 410 Dewey Wisconsin Rapids, WI 54494 Primary Care Physicians 715-421-7411 Dickman, Scott E MD Gender: Male Board Certifications: AB Family Medicine Flinders, Craig R DO Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Reahm, Theodore K DO Gender: Male Riverview Family ClinicWisconsin Rapids Location: 420 Dewey St Wisconsin Rapids, WI 54494 715-422-7750 Ferk, Thomas E DO Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Flinders, Craig R DO Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Family Medicine Kniprath, Denise R NP Gender: Female Board Certifications: American Nurses Credentialing Center Martonito, Jayzon MD Gender: Male Natividad, Francis Claire MD Gender: Female Rivera, Vera V MD Gender: Female Riverview Hospital Location: 410 Dewey St Wisconsin Rapids, WI 54494 715-421-7411 Merdan, Mary Lou APNP Gender: Female Hospital/Medical Affiliations: Riverview Hospital Board Certifications: American Nurses Credentialing Center Voelker, Thomas A MD Gender: Male Board Certifications: AB Family Medicine Wittenberg, WI Aspirus Wittenberg Clinic Location: 1660 SueAlan Dr Wittenberg, WI 54499-9800 715-253-2110 Calonder, Emily M APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Academy of Nurse Practitioners Jackson, Daniel B PAC Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Commission on Cert of Phys Assts Woodruff, WI Aspirus Woodruff Clinic Location: 611 Veterans Pkwy Woodruff, WI 54568 715-358-8610 Araya, Alberto H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Cooper, Ronald J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Family Medicine Hauer, Joan D APNP Gender: Female Board Certifications: American Nurses Credentialing Center Przlomski, Andrew T MD Gender: Male Board Certifications: AB Urgent Care Medicine Raduege, William E MD Gender: Male Board Certifications: AB Family Medicine Reed, Claire H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Wrightstown, WI Bellin Health FMC Wrightstown Location: 555 Quality Ct Wrightstown, WI 54180 920-532-6320 Christensen, Debra A APNP, FNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: ANCC Family Nurse Practitioner Cornelius, Penny S PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center Board Certifications: National Commission on Cert of Phys Assts Degen, Shane J MD Gender: Male Dehnel, Mark J PA Gender: Male Elgersma, Tammy PA Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Harkness, Barbara A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Hoffman, Deborah NP Gender: Female Hoffman, Michael H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Family Medicine Thatcher, Jared L PAC Gender: Male Board Certifications: National Commission on Cert of Phys Assts Watters, Teresa J APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: American Nurses Credentialing Center Page 48 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wozney, Bradley B MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Yanke, James PA Gender: Male Internal Medicine Bellin Health FMC Algoma Location: 1510 Fremont St Langlade Hospital Location: General Clinic 110 E 5th Ave Antigo, WI 54409 715-623-2351 Algoma, WI 54201 920-487-3676 Biernat, Bozena MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital North Shore Medical Clinic Location: 815 Jefferson St Algoma, WI 54201 920-487-3496 Nelson, R Bradley DO Gender: Male Board Certifications: AB Internal Medicine Antigo, WI Langlade Hospital Location: 112 E 5th Ave Antigo, WI 54409 715-623-2331 Deep, Lakshmi MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine Deep, Noel N MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine Desai, Chaitanya R MD Gender: Male Deep, Lakshmi MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine Deep, Noel N MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine Murthy, Gowdar S MD Gender: Male Myers, John R MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine LH dba Aspirus General Clinic - Antigo Location: 110 East Fifth Ave Antigo, WI 54409 715-623-2351 Good, Nancy E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Kuehnl, Kenneth L MD Gender: Male Accepting Existing Patients Only. Appleton, WI Appleton Cardiology ThedaCare Location: 1818 N Meade St Appleton, WI 54911 920-731-8900 Huth, Glenn R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Primary Care Associates of Appleton Location: 3916 N Intertech Ct Appleton, WI 54913 920-996-1000 Anderson, Judith M APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Dernlan, Stephen R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Eiben, Sonya R MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Johnson, Michael A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Juntunen, Kristine G MD Gender: Female Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center Board Certifications: AB Internal Medicine ThedaCare Physicians Internal Medicine Location: 2500 E Capitol Dr Appleton, WI 54911 920-731-5811 Anderson, Jack C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Board Certifications: AB Internal Medicine Beaudette, Courtney R APNP Gender: Female Books, Heather A PA Gender: Female Fink, Jacqueline PA Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Ihde, Debra A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Board Certifications: AB Internal Medicine Robbins, Carol J APNP Gender: Female Taleon, Orlando A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Van Ravenstein, Kathryn A APNP Gender: Female Page 49 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Algoma, WI Lang, Thomas M MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine Myers, John R MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Birnamwood, WI Brillion, WI Langlade Hospital Location: Birnamwood Bellin Health FMC Brillion Location: 964 W Ryan St Clinic 400 Railroad Ave Birnamwood, WI 54414 STE B Brillion, WI 54110 Primary Care Physicians 715-449-2539 Deep, Lakshmi MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine Deep, Noel N MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine Myers, John R MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine LH dba Aspirus General Clinic - Birnamwood Location: 400 N Railroad St Birnamwood, WI 54414 715-449-2539 Good, Nancy E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Kuehnl, Kenneth L MD Gender: Male Bonduel, WI Bellin Health FMC Bonduel Location: 401 W Mill St Bonduel, WI 54107 715-758-2167 Meves, Roderick L MD Gender: Male 920-756-2055 Lee, Francis J DO Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Internal Medicine Crandon, WI Forest County Potawatomi Health & Wellness Center Location: 8201 Mish Ko Swen Dr Crandon, WI 54520 715-478-4300 Erdmann, Brian J MD Gender: Male Board Certifications: AB Internal Medicine De Pere, WI Bellin Health FMC De Pere East Location: 555 Redbird Cir De Pere, WI 54115 920-338-6870 Biernat, Bozena MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Meves, Roderick L MD Gender: Male Moe, Ronelle M MD Gender: Female Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Internal Medicine Accepting Existing Patients Only. Mercy Family Practice Location: 1500 Heritage Rd De Pere, WI 54115 920-884-0731 Rosteing, Kevin P MD Gender: Male Prevea Health Location: 3860 Monroe Rd De Pere, WI 54115 920-496-4700 Richards, David G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Prevea Health Centers Location: 3860 Monroe Rd De Pere, WI 54115 920-496-4700 Dzwonkowski, Malena MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Grenfell, Donna M PAC Gender: Female Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: National Commission on Cert of Phys Assts Richards, David G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Elcho, WI Langlade Hospital Location: Elcho Clinic W10618 Clinic St Elcho, WI 54428 715-275-4011 Deep, Lakshmi MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine Deep, Noel N MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine Myers, John R MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Internal Medicine LH dba Aspirus General Clnic - Elcho Location: W10618 Clinic St Elcho, WI 54428 715-275-4011 Good, Nancy E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Kuehnl, Kenneth L MD Gender: Male Page 50 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Fish Creek, WI North Shore Medical Clinic Location: 3711 State Highway 42 Fish Creek, WI 54212 920-868-3511 Fond du Lac, WI Agnesian Convenient Care Clinic Location: 145 N Main St Fond du Lac, WI 54935 920-926-8792 Vasquez, Juan A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Fond du Lac, WI 54935 920-923-7400 Clements, Oliver A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Grass, Brenda J MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Grass, Robert J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Ignacio-Vitug, Maria R MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Additional Languages: Filipino Board Certifications: AB Internal Medicine Johnson, Julie A APNP Gender: Female Karewicz, Adam P MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Kelm, Mary R APNP , FNP Gender: Female Board Certifications: American Nurses Credentialing Center Marik, Joseph P MD Gender: Male Board Certifications: AB Internal Medicine Petrinska, Galina MD Gender: Female Vasquez, Dana Ilea G MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Whitmore, Mark A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Gilman, WI Memorial Health Center Clinics Location: 320 E Main St PO Box 64 Gilman, WI 54433 715-447-8293 Crick, Nicholine F APNP Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: American Nurses Credentialing Center Green Bay, WI Bellevue Total Health, SC Location: 2763 Manitowoc Rd STE B Green Bay, WI 54311-6633 920-468-8288 Green, G Lynn APNP Gender: Female Board Certifications: American Nurses Credentialing Center Leonard, Thomas J MD Gender: Male Board Certifications: AB Internal Medicine Bellin Health FMC Ashwaubenon Location: 1630 Commanche Ave Green Bay, WI 54313 920-430-4700 Biernat, Bozena MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Bongiorno, Edward J DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Hartig, Donald E MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Kleiman, Molly M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Lee, Francis J DO Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Internal Medicine Bellin Health FMC Howard Location: 2714 Riverview Dr Green Bay, WI 54303 920-430-4760 Hartig, Donald E MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Page 51 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Board, Paul S MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Internal Medicine Saperstein, Henry I MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Internal Medicine Fond du Lac Regional Clinic Location: 420 E Division St Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Bellin Health FMC Webster Ave Location: 725 S Webster Ave STE 215 Green Bay, WI 54301 Primary Care Physicians 920-433-3456 Al Khalisy, Mazen MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Biernat, Bozena MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Hartig, Donald E MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Meves, Roderick L MD Gender: Male Bellin Psychiatric Center Location: 301 E St Joseph St Green Bay, WI 54301 920-431-5687 Al Khalisy, Mazen MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Hartig, Donald E MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Hemophilia Outreach Center Location: 2060 Bellevue St Green Bay, WI 54311 920-965-0606 Lacey, James V MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Prevea Health Location: 1715 Dousman St Prevea Health Location: 3021 Voyager Dr Prevea Health Centers Location: 1821 S Webster PO Box 19070 Green Bay, WI 54307-9070 Green Bay, WI 54311 Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Fenster, Bruce P MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Sandmire, Kevin W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Walbrun, Fred H MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Prevea Health Location: 2793 Lineville Rd 920-496-4700 Sias, Patricia E MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Prevea Health Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Walbrun, Fred H MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Prevea Health Centers Location: 1727 Shawano Ave Green Bay, WI 54303 920-496-4700 Green Bay, WI 54313 920-496-4700 Bollom, Steven J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Strungs, Gunar R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Accepting Existing Patients Only. Fergus, Todd S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine 920-496-4700 Abdel-Halim, Olan M MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Green, Jeremy R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Hoppe, Jason W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Shrake, John F MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Prevea Health Centers Location: 2793 Lineville Rd Green Bay, WI 54313 920-496-4700 Bollom, Steven J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Strungs, Gunar R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Page 52 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Prevea Health Centers Location: 3021 Voyager Dr Prevea Health Centers Location: St Mary's Hospital Green Bay, WI 54311 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 920-496-4700 Ai, Quan C MD Gender: Male Fenster, Bruce P MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Lacey, James V MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Rank, John J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Sandmire, Kevin W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Sias, Patricia E MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Vissers, Rebecca M APNP, FNP Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: American Academy of Nurse Practitioners Accepting Existing Patients Only. Prevea Health Centers Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Walbrun, Fred H MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine St Marys Hospital Medical Center Location: 1726 Shawano Ave Green Bay, WI 54303 920-498-4200 Ai, Quan C MD Gender: Male Fenster, Bruce P MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Hoppe, Jason W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Kumar, Sarvadaman J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Richards, David G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Sias, Patricia E MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Strungs, Gunar R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine St Vincent Hospital Green Bay Billing Address Location: PO Box 13508 Green Bay, WI 54307-3508 920-433-8118 Sandmire, Kevin W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Iron Mountain, MI Bellin Health FMC Iron Mountain Location: 1711 S Stephenson STE 205 Iron Mountain, MI 49801 906-774-3505 Leonard, Stephen R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Page 53 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Cullen, Michelle M APNP MSN Gender: Female Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: American Nurses Credentialing Center Hirner, Gwen L APNP, FNP Gender: Female Board Certifications: AANP Family Nurse Practitioner Pritchard, Paul M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Internal Medicine Ripp, Daniel J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Schmitz, Paul J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Walbrun, Fred H MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Dickinson County Healthcare System Location: 1721 S Stephenson Ave Iron Mountain, MI 498013637 Manitowoc, WI HFM Internal Medicine Location: 1235 S 24th St Manitowoc, WI 54220 920-682-8254 Primary Care Physicians 906-774-1313 Leonard, Stephen R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Dickinson Internal Med/ Nephrology Clinic Location: 1711 S Stephenson Ave STE 225 Iron Mountain, MI 49801 906-776-5860 Kaur, Tarundeep MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Additional Languages: INDONESIAN Board Certifications: ABIM Nephrology Land O Lakes, WI Aspirus Land O' Lakes Clinic Location: 4348 Highway B Unit B Land O Lakes, WI 54540 715-547-6118 Erdmann, Brian J MD Gender: Male Board Certifications: AB Internal Medicine Good, Nancy E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Govier, Mary A MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine HFM Internal Medicine Location: 1900 Woodland Dr Manitowoc, WI 54220 920-320-6212 Blaha, Steven C MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Cornwell, Robert R MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Giriyappa, Pradeep MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Govier, Mary A MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Hiebert, Michael E MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Hoftiezer, Michael D MD Gender: Male Board Certifications: AB Internal Medicine Accepting Existing Patients Only. Holy Family Memorial Medical Center Location: 2300 Western Ave PO Box 1450 Manitowoc, WI 54220 920-320-2011 Hoftiezer, Michael D MD Gender: Male Board Certifications: AB Internal Medicine Marinette, WI Bay Area Medical Center Location: 3100 Shore Dr Marinette, WI 54143 715-735-6621 Bal, Naveet S MD Gender: Male Gupta, Sameer MD Gender: Male NorthReach Healthcare Location: 1106 University Avenue Marinette, WI 54143 715-735-5272 Bahde, Lynda J APNP Gender: Female Gatzke, Mary K APNP Gender: Female Hiniker, Nicole A MD Gender: Female Mantei, Elwyn C MD Gender: Male Werner, Linda J MD Gender: Female NorthReach Healthcare Location: 2935 Shore Dr Marinette, WI 54143 715-732-9193 Bahde, Lynda J APNP Gender: Female Hiniker, Nicole A MD Gender: Female Werner, Linda J MD Gender: Female NorthReach Healthcare Location: 3123 Shore Dr STE 101 Marinette, WI 54143 715-732-2299 Gatzke, Mary K APNP Gender: Female Hiniker, Nicole A MD Gender: Female Mantei, Elwyn C MD Gender: Male McGuire, J. Kelly MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Bay Area Medical Center Additional Languages: Spanish Board Certifications: AB Internal Medicine Werner, Linda J MD Gender: Female Prevea Health Centers Location: 1409 Cleveland Ave Marinette, WI 54143 888-277-3832 Fergus, Todd S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Markesan, WI Fond du Lac Regional Clinic Location: 1175B N Margaret St Markesan, WI 53946 920-398-2406 Kumar, Punit MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital Board Certifications: AB Internal Medicine Page 54 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Medford, WI Mosinee, WI Memorial Health Center Clinics Location: 143 S Gibson St Aspirus Kronenwetter Clinic Location: 1881 County Medford, WI 54451 Trunk XX Mosinee, WI 54455 715-748-2121 Menasha, WI ThedaCare Physicians Family Medicine Location: 2005 Midway Rd Menasha, WI 54952 920-832-8500 Schreiber, Ronald T MD Gender: Male 715-355-4040 Dolan, Jane A MSN, APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Memorial Health Center, Riverview Hospital Board Certifications: American Nurses Credentialing Center Montgomery, Jean C MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Tange, David B MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Merrill, WI Aspirus Wausau Hospital - Merrill Clinic Location: 3333 E Main St Merrill, WI 54452 715-539-5600 Good, Nancy E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Lee, Christian E MD Gender: Female Neenah, WI Appleton Cardiology ThedaCare Location: 200 Theda Clark Medical Plaza Ste 320 Neenah, WI 54956 920-722-3341 Huth, Glenn R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Accepting Existing Patients Only. Neenah, WI 54956 920-727-4946 Okundaye, Ifueko B MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages: NigerKordofanian Board Certifications: AB Internal Medicine ThedaCare Physicians Internal Medicine Location: 200 Theda Clark Medical Plz STE 240 Neenah, WI 54956 920-725-2070 Baltz, Curtis C MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center Board Certifications: AB Internal Medicine Duncan, T Keith MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Board Certifications: AB Internal Medicine Knaus, Steven E MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center Board Certifications: AB Internal Medicine Quinones, Nikolo C MD Gender: Male Theyerl, Kay E MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Van Ravenstein, Kathryn A APNP Gender: Female Nekoosa, WI Riverview Family Clinic Location: Lakes Area Medical Center 1160 Rome Center Dr Nekoosa, WI 54457 715-325-7422 De Las Alas, Mercedes A MD Gender: Female Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Internal Medicine Estrada, Deogracias R MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Internal Medicine Riverview Family Clinic Nekoosa Location: 1015 Angelus Dr Nekoosa, WI 54457 715-886-2100 De Las Alas, Mercedes A MD Gender: Female Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Internal Medicine Estrada, Deogracias R MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Internal Medicine Ferreira, Kevin J MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Page 55 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Crick, Nicholine F APNP Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: American Nurses Credentialing Center Hylton, Alecia R MD Gender: Female Premier Health, SC Location: 1540 Lyon Dr Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. New London, WI Integrity Medical Group, SC Location: 1370 N Shawano St STE A New London, WI 54961 Primary Care Physicians 920-531-1100 McGough, Leigh A APNP Gender: Female Hospital/Medical Affiliations: New London Family Medical Center New London Family Medical Center Location: 1405 Mill St New London, WI 54961 920-531-2000 Prevea Health Centers Location: 620 Smith Ave Oconto, WI 54153 920-834-4110 Kumar, Sarvadaman J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Oconto Falls, WI Bellin Health FMC Oconto Falls Location: 833 S Main St Oconto , WI CMH Primary Care Clinic Location: 835 S Main St 920-834-8833 Biernat, Bozena MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Meves, Roderick L MD Gender: Male Oconto, WI Oconto Hospital & Medical Center Location: 820 Arbutus Oconto, WI 54153 920-835-1100 Bongiorno, Edward J DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Kirtida N Ringwala, MD Location: 10 E Irving St STE Bellin Health FMC Pulaski Location: 331 W Green Bay A Oshkosh, WI 54901 St Pulaski, WI 54162 920-236-3214 Ringwala, Kirtida N MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages: Hindi (Indian) Board Certifications: AB Internal Medicine Phelps, WI 920-846-3092 Meves, Roderick L MD Gender: Male Wittman, William J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Oconto , WI 54143 Pulaski, WI Oconto Falls, WI 54154 Hamami, Anwar MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center Bellin Health FMC Oconto Location: 203 Smith Ave Oshkosh, WI Oconto Falls, WI 54154 920-846-8187 Bhatoya, Jagdev R MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Internal Medicine Klemens, Lee J MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, St Vincent Hospital Board Certifications: AB Internal Medicine Aspirus Phelps Clinic Location: 2383 Hwy 17 Phelps, WI 54554 715-545-2710 Erdmann, Brian J MD Gender: Male Board Certifications: AB Internal Medicine Good, Nancy E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Prentice, WI Memorial Health Center Clinics Location: 1511 Railroad Ave Prentice, WI 54456 715-428-2521 Crick, Nicholine F APNP Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: American Nurses Credentialing Center 920-822-1100 Meves, Roderick L MD Gender: Male Rhinelander, WI Aspirus Rhinelander Clinic Location: 1630 N Chippewa Dr Rhinelander, WI 54501 715-361-5480 Erdmann, Brian J MD Gender: Male Board Certifications: AB Internal Medicine Good, Nancy E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Rib Lake, WI Memorial Health Center Clinics Location: 1121 Hwy 102 Rib Lake, WI 54470 715-427-5701 Crick, Nicholine F APNP Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: American Nurses Credentialing Center Page 56 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Seymour, WI Bellin Health FMC Seymour Location: 405 Commercial St Seymour, WI 54165 920-833-2318 Shawano, WI Appleton Cardiology ThedaCare Location: 100 County Rd B Shawano, WI 54166 920-731-8900 Huth, Glenn R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Appleton Cardiology ThedaCare Location: 309 N Bartlette St Shawano, WI 54166 920-731-8900 Huth, Glenn R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Prevea Health Location: 3100 Superior Ave Sheboygan, WI 53081 920-459-8300 Kuplic, James B MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Prevea Health Centers Location: 3100 Superior Ave Sheboygan, WI 53081 920-459-8300 Kuplic, James B MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Prevea Sheboygan Health Center Location: 3100 Superior Ave Sheboygan, WI 53081 920-496-4700 Habeck, Donna J MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Kuplic, James B MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Prevea Sheboygan WorkMed Location: 1621 Taylor Dr Ste 300 Sheboygan, WI 53081 920-459-5176 Habeck, Donna J MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Kuplic, James B MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Sheboygan Physicians Group, SC Location: 2920 Superior Avenue Sheboygan, WI 53081 920-452-6000 Barnes, Nicholas C DO Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Brosnan-Schueler, Theresa C APNP Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: American Nurses Credentialing Center Demuth, Monica J APNP, FNP Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: ANCC Family Nurse Practitioner Hogue, Shana l NP Gender: Female Johnson, Michael D MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Kerpe, Vytas K MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Mulhern, Richard E APNP Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Schleevogt, Charles F MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Winter, Rachel NP Gender: Female Zurich, Elizabeth L DO Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Sister Bay, WI Joan A Traver, MD Location: 275 Smith Dr Sister Bay, WI 54234 920-854-4154 Traver, Joan A MD Gender: Female Board Certifications: AB Internal Medicine Page 57 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Biernat, Bozena MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Sheboygan, WI Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Stevens Point, WI Aspirus Stevens Point Clinic Location: 5409 Vern Holmes Dr Stevens Point, WI 54482 Primary Care Physicians 715-344-1600 Erdmann, Brian J MD Gender: Male Board Certifications: AB Internal Medicine Montgomery, Jean C MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Paulson, John K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Sturgeon Bay, WI Door County Memorial Hospital Location: 323 S 18th Ave North Shore Medical Clinic Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-746-0510 Hogan, Richard A MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Internal Medicine Reitz, Kelton J DO Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Internal Medicine Saperstein, Henry I MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Internal Medicine Ullman-Herlache, Holly A APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Sturgeon Bay, WI 54235 920-743-5566 Heise, James F MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Internal Medicine North Shore Medical Clinic Location: 1300 Egg Harbor Rd STE 108 Sturgeon Bay, WI 54235 920-746-0410 Board, Paul S MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Internal Medicine Three Lakes, WI Aspirus Three Lakes Clinic Location: 6951 S Michigan St Three Lakes, WI 54562 715-546-2543 Waupaca, WI Riverside Medical Center Location: 800 Riverside Dr Waupaca, WI 54981 715-258-1000 Miyares, Francisco J MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Additional Languages: Spanish ThedaCare Physicians Family Medicine Location: 710 Riverside Dr Waupaca, WI 54981 715-258-1160 Schreiber, Ronald T MD Gender: Male Waupun, WI Waupun Area Clinic Location: 14 Beaver Dam St Waupun, WI 53963 920-324-6800 Kumar, Punit MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital Board Certifications: AB Internal Medicine Vasquez, Juan A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Erdman, Kim M MD Gender: Female Board Certifications: AB Internal Medicine Erdmann, Brian J MD Gender: Male Board Certifications: AB Internal Medicine Good, Nancy E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Accepting Existing Patients Only. Wausau, WI Aspirus Freeman Adult Health Location: 425 Pine Ridge Blvd STE 305B Wausau, WI 54401 715-847-2536 Freeman, Mary Jo MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine King, Teresa A MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine AWH dba Aspirus Family Walk-In Location: 2720 Plaza Dr STE 1100 Wausau, WI 54401 715-847-2472 Erdmann, Brian J MD Gender: Male Board Certifications: AB Internal Medicine AWH dba Aspirus Memory Clinic Location: 2720 Plaza Dr Wausau, WI 54402-8004 715-847-2004 Dolan, Jane A MSN, APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Memorial Health Center, Riverview Hospital Board Certifications: American Nurses Credentialing Center Reding, Rick R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Page 58 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. AWH dba Aspirus Wausau Hospital Hospitalists Location: 333 Pine Ridge AWH dba Aspirus Westhill Medical Specialists Location: 2720 Plaza Dr STE Blvd Wausau, WI 54401 1400 Wausau, WI 54401 715-847-2004 Anderson, Erik P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Clark, Matthew L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Dolan, Jane A MSN, APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Memorial Health Center, Riverview Hospital Board Certifications: American Nurses Credentialing Center King, Teresa A MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Reding, Rick R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wausau, WI 54403 715-848-4600 Barani, Riccardo MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine King, Teresa A MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Weston, WI Aspirus Weston Clinic Location: 4005 Community Center Dr Weston, WI 54476 715-241-5405 Erdmann, Brian J MD Gender: Male Board Certifications: AB Internal Medicine Gordon, Laurence R DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Sweet, Amy MD Gender: Female Wisconsin Rapids, WI Aspirus Clinic Location: 2031 Peach Street Wisconsin Rapids, WI 54402 715-423-0122 Barani, Nunila G MD(No longer part of plan after 7/29/2012) Gender: Female Barani, Riccardo MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Clasen, Richard W MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital, Aspirus Wausau Hospital Board Certifications: ABIM Geriatric Medicine Ho, Thomas A MD Gender: Male Board Certifications: AB Internal Medicine Uber, Christine L MD Gender: Female Board Certifications: AB Internal Medicine Hospitalist Medicine Physicians Of Wisconsin, PC Location: 410 Dewey Wisconsin Rapids, WI 54494 715-421-7411 Davis, Kepler A MD Gender: Male Ferreira, Kevin J MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Sherid, Muhammed MD Gender: Male Board Certifications: AB Internal Medicine Wessling, Richard S MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Internal Medicine Page 59 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Desai, Chaitanya R MD Gender: Male Ferreira, Kevin J MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Gordon, Laurence R DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine King, Teresa A MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Zaalook, Khalid A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine North Central Health Care - Wausau Location: 1100 Lakeview Dr Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Kevin Ferreira, MD Location: 410 Dewey St. Wisconsin Rapids, WI 54494 Primary Care Physicians 715-344-1234 Ferreira, Kevin J MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Richard Wessling, MD Location: 410 Dewey St Wittenberg, WI Aspirus Wittenberg Clinic Location: 1660 SueAlan Dr North Shore Medical Clinic Location: 815 Jefferson St Algoma, WI 54201 920-746-0510 Wittenberg, WI 54499-9800 Gordon, Laurence R DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Alzuhn-Hansen, Leslie K MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Woodruff, WI Antigo, WI 715-253-2110 Wisconsin Rapids, WI 54495 715-344-1234 Wessling, Richard S MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Internal Medicine Riverview Family ClinicWisconsin Rapids Location: 420 Dewey St Wisconsin Rapids, WI 54494 715-422-7750 De Las Alas, Mercedes A MD Gender: Female Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Internal Medicine Estrada, Deogracias R MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Internal Medicine Ferreira, Kevin J MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Aspirus Woodruff Clinic Location: 611 Veterans Langlade Hospital Location: 110 E 5th Ave Pkwy Woodruff, WI 54568 Antigo, WI 54409 715-358-8610 Erdmann, Brian J MD Gender: Male Board Certifications: AB Internal Medicine Good, Nancy E MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Obstetrics & Gynecology 715-623-2351 McFadden, Dennis DO Gender: Male Langlade Hospital Location: General Clinic 110 E 5th Ave Antigo, WI 54409 715-623-2351 Kerns, Paul J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology McFadden, Dennis DO Gender: Male Algoma, WI Bellin Health FMC Algoma Location: 1510 Fremont St Algoma, WI 54201 920-487-3676 Cavanaugh, Robert A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Appleton, WI Women's Care of Wisconsin, SC Location: 2501 E Enterprise Ave Appleton, WI 54913 920-729-7105 Danz, Christina D APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Helgerson, Beth A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Koellermeier, Michelle M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Obstetrics & Gynecology Shahbandar, Hassan MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center Board Certifications: AB Obstetrics & Gynecology Sreenarasimhaiah, Sreedevi MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Page 60 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Women's Care of Wisconsin, SC Location: 900 E Grant St STE E110 Appleton, WI 54911 920-729-7105 Women's Health Specialists, SC Location: 1818 N Meade St STE 330 Appleton, WI 54911 920-749-4000 Acosta, Ernesto L MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center, New London Family Medical Center Board Certifications: AB Obstetrics & Gynecology Cherney, Jeffery J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Obstetrics & Gynecology Coenen, Michelle RN Gender: Female Fara, Alice RN Gender: Female Honkamp, Jill T MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Lipschutz, Angela A APNP Gender: Female Board Certifications: National Certification Corporation Bark River, MI De Pere, WI Dickinson Medical Services @ Cedar Hill Location: 2845 US 2 & 41 Bellin Health FMC De Pere West Location: 1800 Lawrence Dr STE 203 Bark River, MI 49807 De Pere, WI 54115 906-466-2650 Hartfiel, David A MD Gender: Male Ryan, Adam P MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Birnamwood, WI Langlade Hospital Location: Birnamwood Clinic 400 Railroad Ave Birnamwood, WI 54414 715-449-2539 McFadden, Dennis DO Gender: Male Crandon, WI Forest County Potawatomi Health & Wellness Center Location: 8201 Mish Ko Swen Dr Crandon, WI 54520 715-478-4300 McFadden, Dennis DO Gender: Male Daggett, MI NorthReach Healthcare Location: Daggett Medical Clinic 106 S School Rd PO Box 37 Daggett, MI 49821 906-753-2155 Fellion, Sharon L WHNP, APNP Gender: Female 920-983-3220 Cavanaugh, Robert A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Prevea Health Centers Location: 3860 Monroe Rd De Pere, WI 54115 920-496-4700 Moyer, Robert D MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Shefchik, Kim M PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: National Commission on Cert of Phys Assts Denmark, WI Bellin Health FMC Denmark Location: 595 Cty Trunk R Denmark, WI 54208 920-863-2005 Cavanaugh, Robert A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Page 61 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Eberts, Eric G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Masak, Connie B WHNP, APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: National Certification Corporation O'Leary, James V MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology O'Neill, Molly RN Gender: Female Pfaffenbach, Elina X MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Ramsey, Tina S MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Savage, Stephen G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Scheibe, Kordi RN Gender: Female Schmidt, Amy E MD Gender: Female Hospital/Medical Affiliations: VanderWyst, Wanda L PAC Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Elcho, WI LH dba Aspirus General Clnic - Elcho Location: W10618 Clinic St Elcho, WI 54428 Primary Care Physicians 715-275-4011 McFadden, Dennis DO Gender: Male Fish Creek, WI North Shore Medical Clinic Location: 3711 State Highway 42 Fish Creek, WI 54212 920-746-0510 Dempster, Dorene E MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Fond du Lac, WI Fond du Lac Regional Clinic Location: 420 E Division St Fond du Lac, WI 54935 920-923-7400 Dennis, Sara J MD Gender: Female Board Certifications: AB Obstetrics & Gynecology McCullough, Brita C MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Meyer, Karen L MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Additional Languages: Spanish Board Certifications: AB Obstetrics & Gynecology Miller, Theodore D MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Obstetrics & Gynecology Ott, Christopher E MD Gender: Male Board Certifications: AB Obstetrics & Gynecology Peschong, Barbara A MD Gender: Female Board Certifications: AB Obstetrics & Gynecology Schultz, Mary M MD Gender: Female Board Certifications: AB Obstetrics & Gynecology Schuster, Robert J MD Gender: Male Board Certifications: AB Obstetrics & Gynecology Green Bay, WI Bellin Health FMC Ashwaubenon Location: 1630 Commanche Ave Green Bay, WI 54313 920-430-4700 Cavanaugh, Robert A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Bellin Health FMC Bellevue Location: 3263 Eaton Rd Green Bay, WI 54311 920-445-7222 Cavanaugh, Robert A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology New Moms of Green Bay, SC Location: 704 S Webster Ave STE 110 Green Bay, WI 54301 920-431-0200 Jazayeri, Mary K APNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital OB-GYN Associates Of Green Bay Location: 704 S Webster Ave Green Bay, WI 54301 920-468-3444 Chun, Yoon W MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology DeMott, Robert K MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Obstetrics & Gynecology Shefchik, Kim M PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: National Commission on Cert of Phys Assts Stevens, Clark W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Wilson-Kulbacki, Lindsey A PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Anderson, Sara L MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Fischer, Deborah S MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Kalcich, Lindsey M PAC Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: National Commission on Cert of Phys Assts Loppnow, Erica R APNP, WHNP Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: National Certification Corporation Metzler, Erich G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Neustifter, Mary Jo DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Page 62 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Reichert, Carol J APNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: National Certification Corporation Prevea Health Centers Location: St Mary's Hospital 920-496-4700 Bailey, Shannon L MD Gender: Female Brace, Marta R CNM, APNP Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: American Midwifery Certification Board Clancy, Lynnette L APNP, FNP Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: American Academy of Nurse Practitioners Kreiman, Frances A APNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: National Certification Corporation Lynch, Melissa L MS APNP Gender: Female Board Certifications: National Certification Corporation Maraka, Abbey J CNM Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center Board Certifications: American Midwifery Certification Board Prevea Health Centers Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Grant, Pamela Jo MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: AB OBGYN Maternal Fetal Medicine St Marys Hospital Medical Center Location: 1726 Shawano Women's Health Care OBGYN, SC Location: 1537 Park Pl STE 200 Green Bay, WI 54304 920-498-8650 Derge, Ann T APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: National Certification Corporation Kusiv, Kathlene A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Peters, June M APNP, RN Gender: Female Board Certifications: National Certification Corporation Plementosh, Nicky MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Ave Green Bay, WI 54303 920-498-4200 Ostrand, Marguerite T NP Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital, Community Memorial Hospital Tammela, Karen R MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Women's Specialty Care Location: 2641 Development Dr Green Bay, WI 54311 920-338-6868 Burr, Karen L WHNP, APNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: National Certification Corporation Coussons, Herbert S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Garland, Laura M PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: National Commission on Cert of Phys Assts Haen, Linda S APNP, FNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: National Certification Corporation Hariharan, Seemanthini MD Gender: Female Jazayeri, Mary K APNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Mbah, Ngozi N MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Niles, Pamela L APNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: National Certification Corporation Page 63 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 Moyer, Robert D MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Tammela, Karen R MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Primary Care Physicians Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. O'Toole, Michael C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Ough, Jory A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Temp, Megan E MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Women's Specialty Care Location: 704 S Webster Ave STE 110 Green Bay, WI 54301 920-338-6868 Burr, Karen L WHNP, APNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: National Certification Corporation Coussons, Herbert S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Garland, Laura M PAC Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: National Commission on Cert of Phys Assts Jazayeri, Mary K APNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Niles, Pamela L APNP Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: National Certification Corporation O'Toole, Michael C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Temp, Megan E MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Iron Mountain, MI Dickinson County Healthcare System Location: 1721 S Stephenson Ave Iron Mountain, MI 498013637 906-774-1313 Merrill, James E DO Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Dickinson County Healthcare System - OB/ GYN Clinic Location: 225 West H St Iron Mountain, MI 49801 906-774-1094 Hartfiel, David A MD Gender: Male Women's Health Location: 1001 S Hemlock Iron Mountain, MI 49801 906-779-1290 Cook, John M MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Kazianka, Robyn L PAC Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: National Commission on Cert of Phys Assts Kewaunee, WI Bellin Health FMC Kewaunee Location: 575 Fourth St Kewaunee, WI 54216 920-388-4640 Cavanaugh, Robert A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology HFM Lakeshore Medical Specialists Location: 1020 Marquette Dr Kewaunee, WI 54216 920-388-2198 Halvorsen, Rodney J MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Obstetrics & Gynecology Kingsford, MI Dickinson County Healthcare System - OB/ GYN Clinic Location: 1100 S Carpenter Ave Kingsford, MI 49802 906-774-1094 Merrill, James E DO Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Ryan, Adam P MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Lakewood, WI Northern Health Centers Location: 15397 Hwy 32 Lakewood, WI 54138 715-276-6321 Granke, Leslee A APNP, WHNP Gender: Female Manitowoc, WI HFM Pediatrics Location: 4303 Michigan Ave Manitowoc, WI 54220 920-320-4300 Koehler, Susan F APNP, FNP Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: American Nurses Credentialing Center Page 64 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. HFM Women's Health Location: 600 York St Manitowoc, WI 54220 920-320-6705 NorthReach Healthcare Location: 1106 University Avenue Marinette, WI 54143 Mayville, WI Fond du Lac Regional Clinic Location: 360 S Mountain Dr Women's Care of Wisconsin, SC Location: 200 Theda Clark Mayville, WI 53050 Medical Plz STE 130 Neenah, WI 54956 715-735-5272 Arnold, J. Michael MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Community Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Briody, John P MD Gender: Male Fellion, Sharon L WHNP, APNP Gender: Female Gupta, Neerajana MD Gender: Female Hospital/Medical Affiliations: Bay Area Medical Center Massee, Michael G MD Gender: Male NorthReach Healthcare Location: Twin Cities OB/ GYN 3130 Shore Dr STE 106 Marinette, WI 54143 920-387-7500 Hansfield, Scott M MD Gender: Male Board Certifications: AB Obstetrics & Gynecology Medford, WI Memorial Health Center Clinics Location: 143 S Gibson St Medford, WI 54451 715-748-2121 Young, Margaret MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center, Riverview Hospital Board Certifications: AB Obstetrics & Gynecology 715-735-0544 Arnold, J. Michael MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Community Memorial Hospital Board Certifications: AB Obstetrics & Gynecology NorthReach Healthcare Location: Women's Specialty Care 3123 Shore Dr STE 201 Marinette, WI 54143 Neenah, WI Merrill, WI Aspirus Wausau Hospital - Merrill Clinic Location: 3333 E Main St Merrill, WI 54452 715-539-5600 Kern, Lynn M CNM Gender: Female Board Certifications: National Certification Corporation 715-735-6263 Briody, John P MD Gender: Male Fellion, Sharon L WHNP, APNP Gender: Female Gupta, Neerajana MD Gender: Female Hospital/Medical Affiliations: Bay Area Medical Center Massee, Michael G MD Gender: Male 920-729-7105 Clark, Kristin L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Obstetrics & Gynecology Danz, Christina D APNP, FNP Gender: Female Board Certifications: American Nurses Credentialing Center Eberts, Eric G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Kahler Thyssen, Becky L CNM, APNP Gender: Female Board Certifications: Certified Nurse Midwife Kaldas, Rami S MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Obstetrics & Gynecology Kercher, Marley L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center Additional Languages: German Board Certifications: AB Obstetrics & Gynecology Page 65 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Halvorsen, Rodney J MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Obstetrics & Gynecology Kiyak, James J MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Additional Languages: Italian Board Certifications: AB Obstetrics & Gynecology Koehler, Susan F APNP, FNP Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: American Nurses Credentialing Center Leach, William C DO Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Paltzer, Jennifer L DO Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Obstetrics & Gynecology Marinette, WI Primary Care Physicians Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Koellermeier, Michelle M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Obstetrics & Gynecology Post, Amber L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Wengeler, Kirsten A APNP, WHNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: National Certification Corporation Women's Health Specialists, SC Location: 200 Theda Clark Medical PL #270 Neenah, WI 54956 920-729-2510 Honkamp, Jill T MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Lipschutz, Angela A APNP Gender: Female Board Certifications: National Certification Corporation O'Leary, James V MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Pfaffenbach, Elina X MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Ramsey, Tina S MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Savage, Stephen G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center New London, WI Women's Care of Wisconsin, SC Location: 1405 S Mill St New London, WI 54961 920-729-7105 Kaldas, Rami S MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Obstetrics & Gynecology Shahbandar, Hassan MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center Board Certifications: AB Obstetrics & Gynecology Oconto , WI Bellin Health FMC Oconto Location: 203 Smith Ave Oconto , WI 54143 920-834-8833 Cavanaugh, Robert A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Oconto Falls, WI Oshkosh, WI CMH Primary Care Clinic Location: 855 S Main St Women's Care of Wisconsin, SC Location: 600 N Westhaven Oconto Falls, WI 54154 920-846-8187 Arnold, J. Michael MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Community Memorial Hospital Board Certifications: AB Obstetrics & Gynecology CMH Primary Care Clinic Location: CMH Center for Women's Care 835 S Main St STE 2 Oconto Falls, WI 54154 920-846-9995 Bowers, Judith E DO Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Paterson, Susan A CNM, APNP Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: American Midwifery Certification Board Dr 2nd Floor Oshkosh, WI 54903 920-729-7105 Kercher, Marley L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center Additional Languages: German Board Certifications: AB Obstetrics & Gynecology Post, Amber L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Northeastern WI Women's Healthcare Assoc, SC Location: 835 S Main St STE 2 Oconto Falls, WI 54154 920-846-0095 Bowers, Judith E DO Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Paterson, Susan A CNM, APNP Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: American Midwifery Certification Board Page 66 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Plymouth, WI Prevea Sheboygan Women's Care Location: 825 Walton Dr. Plymouth, WI 53073 920-892-4322 Shawano, WI Shawano Medical Center Location: 309 N Bartlette St Shawano, WI 54166 715-526-2111 Tousignant, Ann M MD Gender: Female Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AB Obstetrics & Gynecology Chippewa Dr Rhinelander, WI 54501 715-361-5480 Bell, Anthony J DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology Sheboygan, WI 53081 920-458-4419 Anderson, Mary E MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, St Nicholas Hospital Board Certifications: AB Obstetrics & Gynecology ThedaCare Physicians Family Medicine Location: 100 County Rd B Prevea Sheboygan Women's Care Location: 1411 N Taylor Shawano, WI 54166 Sheboygan, WI 53081 715-524-2161 Tousignant, Ann M MD Gender: Female Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AB Obstetrics & Gynecology West, Michael E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Shawano Medical Center Rhinelander, WI Aspirus OB/GYN Associates Location: 1630 North Prevea Sheboygan Health Center Location: 1621 N Taylor St Sheboygan, WI IHC - St Nicholas Emergency Physicians, LLC Location: St Nicholas Hospital 3100 Superior Ave Sheboygan, WI 53081-1999 920-459-8300 Steinhardt, Nicole L APNP, FNP Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: ANCC Family Nurse Practitioner 888-277-3832 Anderson, Mary E MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, St Nicholas Hospital Board Certifications: AB Obstetrics & Gynecology Baarendse, Dawn C FNP, APNP Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: American Nurses Credentialing Center Fischer, Deborah S MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Martin, Clifford G MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Obstetrics & Gynecology Smith, Aubrey M MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital, University of Wisconsin Hospital Board Certifications: AB Obstetrics & Gynecology Page 67 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Anderson, Mary E MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, St Nicholas Hospital Board Certifications: AB Obstetrics & Gynecology Baarendse, Dawn C FNP, APNP Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: American Nurses Credentialing Center Fischer, Deborah S MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Heins, Craig L MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Obstetrics & Gynecology Martin, Clifford G MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Obstetrics & Gynecology Metzler, Erich G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Moyer, Robert D MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Neustifter, Mary Jo DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Obstetrics & Gynecology Smith, Aubrey M MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital, University of Wisconsin Hospital Board Certifications: AB Obstetrics & Gynecology Tammela, Karen R MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Primary Care Physicians Tammela, Karen R MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Prevea Sheboygan Women's Care Location: 1526 N Taylor Dr Sheboygan, WI 53081 920-458-4419 Heins, Craig L MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Obstetrics & Gynecology Sheboygan Physicians Group, SC Location: 2920 Superior Avenue Sheboygan, WI 53081 920-452-6000 Steinhardt, Nicole L APNP, FNP Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: ANCC Family Nurse Practitioner Stevens Point, WI Aspirus Stevens Point Clinic Location: 5409 Vern Holmes Dr Stevens Point, WI 54482 715-344-1600 Bergin, Steven C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Obstetrics & Gynecology Keil, Karen H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology Sturgeon Bay, WI Door County Memorial Hospital Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-743-5566 Ostrand, Marguerite T NP Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital, Community Memorial Hospital Parks, Alan L MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Accepting Existing Patients Only. North Shore Medical Clinic Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-746-0510 Alzuhn-Hansen, Leslie K MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Dempster, Dorene E MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Shapiro, Edward MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Shutt, Charles B MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Waupaca, WI Women's Care of Wisconsin, SC Location: E3277 Appletree Lane Waupaca, WI 54981 920-729-7105 Helgerson, Beth A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Shahbandar, Hassan MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center Board Certifications: AB Obstetrics & Gynecology Women's Health Specialists, SC Location: 800 Riverside Dr Waupaca, WI 54981 715-258-1119 Cherney, Jeffery J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Obstetrics & Gynecology Savage, Stephen G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Page 68 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Waupun, WI Fond du Lac Regional Clinic Location: 608 W Brown St Waupun, WI 53963 920-324-6800 Waupun Area Clinic Location: 14 Beaver Dam St Waupun, WI 53963 920-324-6800 Cohen, Erik N MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Wausau, WI Aspirus General Clinic Antigo Location: 2215 Progress Blvd Wausau, WI 54402 715-623-2351 McFadden, Dennis DO Gender: Male Aspirus Mobile Mammography Location: 333 Pine Ridge Blvd Wausau, WI 54402-4120 715-847-0477 Luks, Julie H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology 2100 Wausau, WI 54401 715-847-2475 Alvarez-Jacinto, Orestes A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology Bell, Anthony J DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology Bublik-Anderson, Anita K MD Gender: Female Hariharan, Seemanthini MD Gender: Female Kern, Lynn M CNM Gender: Female Board Certifications: National Certification Corporation Kerns, Paul J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology Kushner, David M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology Mullen, Jennifer M FNP Gender: Female Board Certifications: American Nurses Credentialing Center Aspirus Wausau Hospital Location: 333 Pine Ridge Blvd. Ste 185 Wausau, WI 54402 715-847-0477 Aspirus Womens Health Location: 333 Pine Ridge Aspirus Weston Clinic Location: 4005 Community Blvd STE 1-844-04 Wausau, WI 54401 Center Dr Weston, WI 54476 715-847-0477 Alvarez-Jacinto, Orestes A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology Ruzga, Pamela M APNP Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Certification Corporation Aspirus Womens Health Location: 333 Pine Ridge Blvd STE 190 Wausau, WI 54402-8004 715-847-0450 Luks, Julie H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology Weston, WI Aspirus OB/GYN Associates - Outreach Location: Aspirus Weston Clinic 4005 Community Center Dr Weston, WI 54476 715-241-5400 Bergin, Steven C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Obstetrics & Gynecology Chumbley, Clyde M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital 715-241-5400 Kerns, Paul J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Obstetrics & Gynecology Wisconsin Rapids, WI Aspirus Clinic Location: 2031 Peach Street Wisconsin Rapids, WI 54402 715-423-0122 Dauenhauer, Floyd L MD Gender: Male Fletcher, Brent J MD Gender: Male Board Certifications: AB Obstetrics & Gynecology Koszczuk, Jeffrey C MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AOB OB & GYN Riverview Family ClinicWisconsin Rapids Location: 420 Dewey St Wisconsin Rapids, WI 54494 715-422-7750 Barnum, Morgan L DO Gender: Female Dovre, Erik J MD Gender: Male McElroy, Jennifer Y DO Gender: Female Renwick, Richard F MD Gender: Male Young, Margaret MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center, Riverview Hospital Board Certifications: AB Obstetrics & Gynecology Page 69 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Hansfield, Scott M MD Gender: Male Board Certifications: AB Obstetrics & Gynecology Ver Beek, Steven A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Obstetrics & Gynecology Aspirus OB/GYN Associates Location: 2720 Plaza Dr STE Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Pediatrics ThedaCare Physicians Family Medicine Location: W5282 Amy Ave ThedaCare Physicians Pediatrics Location: 2701 E Enterprise Appleton, WI 54915 Ave Appleton, WI 54913 920-358-1900 Primary Care Physicians Algoma, WI Bellin Health FMC Algoma Location: 1510 Fremont St Algoma, WI 54201 920-487-3676 Kellner, W Joseph MD Gender: Male Antigo, WI LH dba Aspirus General Clinic - Antigo Location: 110 East Fifth Ave Antigo, WI 54409 715-623-2351 Frankson, Jane L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Groshan, Edward H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Krainik, Andre M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Mattioli, Jennifer APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Rink, Sharon L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Swanson, Suzanne C MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Appleton, WI ThedaCare Physicians Family Medicine Location: 4480 W Spencer St Appleton, WI 54915 920-738-4800 Grasse, Jessie M APNP Gender: Female Accepting Existing Patients Only. 920-954-2551 Barton, Wendy MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Callahan, Patricia M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Day, Kristin M APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Edwards, John A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Henry, Chastity A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center Hunt, Jennifer A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Jakubowski, Michael L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Jones, Ann B MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Korittnig, Melissa A APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Surgicenter of Greater Milwaukee, Theda Clark Medical Center Krainik, Andre M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Neuman, Victoria M APNP Gender: Female Rink, Sharon L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Swanson, Suzanne C MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Tremble, Luke J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Webster, Hilary J MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Page 70 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Birnamwood, WI De Pere, WI LH dba Aspirus General Clinic - Birnamwood Location: 400 N Railroad St Bellin Health FMC De Pere East Location: 555 Redbird Cir Birnamwood, WI 54414 De Pere, WI 54115 715-449-2539 Brandon, WI Fond du Lac Regional Clinic Location: 601 E Clark St Brandon, WI 53919 920-346-8300 Zink, Barbara A MD Gender: Female Board Certifications: AB Pediatrics Crandon, WI Forest County Potawatomi Health & Wellness Center Location: 8201 Mish Ko Swen Dr Crandon, WI 54520 715-478-4300 Frankson, Jane L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Groshan, Edward H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Camilli, Karen MD Gender: Female Danowit, Jane A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Gallistel, Laura J MD Gender: Female Hoyman, Sherri L DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Kellner, W Joseph MD Gender: Male Pravechek, Jennifer L APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Theado, Matthew R MD Gender: Male Board Certifications: AB Pediatrics De Pere, WI 54115 920-496-4700 Handeland, Joan Z MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Harder, Tim G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Rustad, Dale R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Bellin Psychiatric Hospital Board Certifications: AB Pediatrics Elcho, WI LH dba Aspirus General Clnic - Elcho Location: W10618 Clinic St Elcho, WI 54428 715-275-4011 Frankson, Jane L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Groshan, Edward H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Fond du Lac, WI Fond du Lac Regional Clinic Location: 420 E Division St Fond du Lac, WI 54935 920-923-7400 Baynesagn, Woldegabriel MD Gender: Male Additional Languages: English Dhonau, Howard L MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Pediatrics Flores, Amy K MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Pediatrics Grass, Brenda J MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Grass, Robert J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Hagan, Mary A MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Pediatrics Kohlmeier, Lynn B MD Gender: Female Post, Warren M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Pediatrics Santa, Daisy I MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Pediatrics Page 71 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Frankson, Jane L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Groshan, Edward H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics 920-338-6870 Prevea Health Centers Location: 3860 Monroe Rd Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Veit, Kirk A MD Gender: Male Board Certifications: AB Pediatrics Zink, Barbara A MD Gender: Female Board Certifications: AB Pediatrics Green Bay, WI Bellin Health FMC Ashwaubenon Location: 1630 Commanche Ave Green Bay, WI 54313 Primary Care Physicians 920-430-4700 Gilman, WI Memorial Health Center Clinics Location: 320 E Main St PO Box 64 Gilman, WI 54433 715-447-8293 Messerly, Susan O DO Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Reuter, Catherine F MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Wrage, Darla J MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Danowit, Jane A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Karbon, Staci MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Lane, Karen M DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Missbach, Timm S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Bellin Health FMC Webster Ave Location: 725 S Webster Ave STE 215 Green Bay, WI 54301 920-433-3456 Camilli, Karen MD Gender: Female Prevea Health Location: 2793 Lineville Rd Prevea Health Centers Location: 2793 Lineville Rd Green Bay, WI 54313 Green Bay, WI 54313 920-496-4700 Thill, Andrew MD Gender: Male Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Barkow, Kathleen M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Pediatrics French, Andrea B MD Gender: Female Whetmore, George E DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Young, Jeffry J DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Janczakowski, John M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics Neuhaus, Ellen M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Thill, Andrew MD Gender: Male Wells, Susan J MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Bellin Memorial Hospital Location: 744 S Webster Ave Green Bay, WI 54301 920-433-3500 Theado, Matthew R MD Gender: Male Board Certifications: AB Pediatrics Prevea Health Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 French, Andrea B MD Gender: Female Accepting Existing Patients Only. Page 72 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Prevea Health Centers Location: 3021 Voyager Dr Prevea Health Centers Location: St Mary's Hospital Green Bay, WI 54311 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 920-496-4700 Fenster, Diane L MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Pediatrics Haugan, Gordon D MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics Holzwarth, Peter D MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Huffer, Thomas C MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics Prevea Health Centers Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Taylor, John W DO Gender: Male Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: AB Pediatrics Accepting Existing Patients Only. Dickinson County Healthcare System Location: 1721 S Stephenson Ave Iron Mountain, MI 498013637 906-774-1313 Tucker, David R PAC Gender: Male Wolfe, Alexis C MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Pediatrics Dickinson Pediatric Clinic Location: 1721 S Stephenson Ave STE210 Iron Mountain, MI 49801 906-776-5800 Arndt, Daniel H MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Psychiatry & Neurology Child Neurology Borgstrom, Christine A APNP, FNP Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: American Nurses Credentialing Center Lamirand, Tom H MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Pediatrics Tuladhar, Binod MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Additional Languages: HINDUSTANI, Spanish Board Certifications: AB Pediatrics Wolfe, Alexis C MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Pediatrics Tiffany A Darling MD PLC Location: 823 East A St Iron Mountain, MI 49801 906-774-1205 Darling, Tiffany A MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Additional Languages: Spanish Board Certifications: AB Pediatrics UP Sleep Disorders Center Location: 1711 S Stephenson Ave Ste 215 Iron Mountain, MI 49801 906-776-5840 Tucker, David R PAC Gender: Male Wolfe, Alexis C MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Pediatrics Manitowoc, WI HFM Family Medicine Location: 1650 S 41st St Manitowoc, WI 54220 920-320-4500 Moraski, Luann DO Gender: Female Page 73 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Harder, Tim G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Houn, Kristina A MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics Keim, David R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics Iron Mountain, MI Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. HFM Pediatrics Location: 4303 Michigan NorthReach Healthcare Location: 1106 University Ave Manitowoc, WI 54220 Dr Marinette, WI 54143 Primary Care Physicians 920-320-4300 Fuller, Richard E MD Gender: Male Board Certifications: AB Pediatrics Greene, Robert H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Pediatrics Stockhausen, Amy L MD Gender: Female Board Certifications: AB Pediatrics Taleon, Andrea Q MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital, Children's Hospital of Wisconsin Board Certifications: AB Pediatrics Marinette, WI NorthReach Healthcare Location: 1106 University Avenue Marinette, WI 54143 715-735-5272 Hermanson, Audra R APNP Gender: Female MacArthur, Sandra Beyer MD Gender: Female Urban, Jeffrey R MD Gender: Male 715-735-5272 Hermanson, Audra R APNP Gender: Female MacArthur, Sandra Beyer MD Gender: Female Murray, Stacie R PAC Gender: Female Urban, Jeffrey R MD Gender: Male Medford, WI Memorial Health Center Clinics Location: 143 S Gibson St Medford, WI 54451 715-748-2121 Messerly, Susan O DO Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Reuter, Catherine F MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Wrage, Darla J MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Accepting Existing Patients Only. Neenah, WI ThedaCare Physicians Pediatrics Location: 640 Deerwood Ave Neenah, WI 54956 920-727-9982 Branstetter, Kenneth L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Pediatrics DeWitt, Liza C MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Pediatrics Jekot, Eileen C MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Krainik, Andre M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Mattioli, Jennifer APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center McKenzie, Todd MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center Neuman, Victoria M APNP Gender: Female Piwoni, Stephanie APNP Gender: Female Ridlehoover, Annika K MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Rink, Sharon L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Swanson, Suzanne C MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Ullrich, Cari H MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Oconto , WI Bellin Health FMC Oconto Location: 203 Smith Ave Oconto , WI 54143 920-834-8833 Gallistel, Laura J MD Gender: Female Oconto Falls, WI Bellin Health FMC Oconto Falls Location: 833 S Main St Oconto Falls, WI 54154 920-846-3092 Missbach, Timm S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Page 74 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Oshkosh, WI Rhinelander, WI ThedaCare Physicians Family Medicine Location: 600 N Westhaven Aspirus Rhinelander Clinic Location: 1630 N Chippewa ThedaCare Physicians Family Medicine Location: 1081 W Fond du Sheboygan Pediatric Associates, SC Location: 2920 Superior Dr Oshkosh, WI 54904 Dr Rhinelander, WI 54501 Lac St Ripon, WI 54971 Ave Sheboygan, WI 53081 920-237-5000 Prentice, WI Memorial Health Center Clinics Location: 1511 Railroad Ave Prentice, WI 54456 715-428-2521 Messerly, Susan O DO Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Reuter, Catherine F MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Wrage, Darla J MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics 715-361-5480 Henry, Cynthia J DO Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AOB Pediatrics Rib Lake, WI Memorial Health Center Clinics Location: 1121 Hwy 102 Rib Lake, WI 54470 715-427-5701 Messerly, Susan O DO Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Reuter, Catherine F MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Wrage, Darla J MD Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics 920-478-3900 Collins, Andrew J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Pediatrics Shawano, WI ThedaCare Physicians Family Medicine Location: 100 County Rd B Shawano, WI 54166 715-524-2161 Collins, Andrew J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Pediatrics Sheboygan, WI 920-458-3331 Brault, Jenny K MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Pediatrics Roehrborn, Julie A MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Pediatrics Trager, William L MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Pediatrics Stevens Point, WI Aspirus Stevens Point Clinic Location: 5409 Vern Holmes Dr Stevens Point, WI 54482 715-344-1600 Padilla, Rebecca L MD Gender: Female Juan B. Lopez, MD, SC Location: McDill Professional Building 106 McDill Ave Stevens Point, WI 54481 715-344-2004 Lopez, Juan B MD Gender: Male Board Certifications: AB Pediatrics Page 75 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Primary Care Physicians Collins, Andrew J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Pediatrics Ripon, WI Primary Care Physicians Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Sturgeon Bay, WI Door County Memorial Hospital Location: 323 S 18th Ave Sturgeon Bay, WI 54235 Primary Care Physicians 920-743-5566 Fogarty, Amy C MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Swanson, John D MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Pediatrics Wausau, WI Achieve Center, Inc Location: 2600 Stewart Ave Ste 38 Wausau, WI 54401 715-845-4900 Messerly, Susan O DO Gender: Female Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AB Pediatrics Aspirus Pediatrics Clinic Location: 2720 Plaza Dr STE Aspirus Specialists Inc Location: 425 Wind Ridge 2200 Wausau, WI 54401 Dr Wausau, WI 54401 715-847-2311 Frangiskakis, Susan H MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Hackworth, Sarah G MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Healy, Shelbe K MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Henry, Cynthia J DO Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AOB Pediatrics Jacobson, Inger C APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Board Pediatric Nurse Pracitioner Madagame, Elisabeth T MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Ortscheid, Catherine E APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Rabkina, Diana MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Wendling, Mary Jo MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics 715-675-3391 Shabino, Charles L MD Gender: Male Board Certifications: AB Pediatrics Weston, WI Aspirus Weston Clinic Location: 4005 Community Center Dr Weston, WI 54476 715-241-5400 715-847-2472 Gordon, Laurence R DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Sweet, Amy MD Gender: Female Fuller, Richard E MD Gender: Male Board Certifications: AB Pediatrics Wisconsin Rapids, WI AWH dba Aspirus Family Walk-In Location: 2720 Plaza Dr STE 1100 Wausau, WI 54401 AWH dba Aspirus Wausau Hospital Hospitalists Location: 333 Pine Ridge Blvd Wausau, WI 54401 715-847-0067 Gordon, Laurence R DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Primary Connection Health Care Location: 1810 N Second St Wausau, WI 54403 Aspirus Clinic Location: 2031 Peach Street Wisconsin Rapids, WI 54402 715-423-0122 Chamberlin, Regis R MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Board Certifications: AB Pediatrics Leibert, Lawrence G MD Gender: Male Board Certifications: AB Pediatrics Matanguihan, Eva T MD Gender: Female Board Certifications: AB Pediatrics 715-848-4884 Sorenson, Kay B MD Gender: Female Board Certifications: AB Pediatrics Wittenberg, WI Aspirus Wittenberg Clinic Location: 1660 SueAlan Dr Wittenberg, WI 54499-9800 715-253-2110 Gordon, Laurence R DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Page 76 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Air Transport Service Wausau, WI Aspirus MedEvac Location: 333 Pine Ridge Blvd Wausau, WI 54401 602-273-9363 Antigo, WI Ear Nose & Throat Associates, SC Location: Langlade Memorial Hospital 112 E 5th Ave Antigo, WI 54409 715-847-2021 Edmondson, David A DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Medford, WI Allergy & Asthma Associates, SC Location: 436B E Longview Ear Nose & Throat Associates, SC Location: 101 S Gibson St Dr Appleton, WI 54911 Medford, WI 54451 715-847-2021 920-739-5213 Edmondson, David A DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Konz, Karen R DO Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Allergy & Immunology Wendelborn, Daniel F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Allergy & Immunology Neenah, WI Center For Asthma & Allergy, Inc Location: 119 E Bell St Neenah, WI 54956 877-627-6418 Green Bay, WI Center For Asthma & Allergy, Inc Location: 519 S Monroe Ave Green Bay, WI 54301 920-884-6276 Mjaanes, Christopher M MD Gender: Male Warpinski, James R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics James, Alan W MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Warpinski, James R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Oshkosh, WI Oshkosh Allergy Center Location: 296 Ohio St Oshkosh, WI 54902 920-231-8899 Kim, Eun-Young MD Gender: Female Board Certifications: AB Allergy & Immunology Rhinelander, WI Ear Nose & Throat Associates, SC Location: 2 E Ocala Rhinelander, WI 54501 715-847-2021 Edmondson, David A DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Sheboygan, WI Marsho Family Medical Group, SC Location: 1703 N Taylor Dr Sheboygan, WI 53081 920-457-4438 Tucker-Sanfelippo, Elizabeth L MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Allergy & Immunology Lois J Jacobs, MD, PhD, SC Location: 1510 Arboretum Dr Oshkosh, WI 54901 920-231-5313 Jacobs, Lois J MD, PhD Gender: Female Page 77 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Allergy & Immunology Appleton, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Stevens Point, WI Ear Nose & Throat Associates, SC Location: Aspirus Stevens Point Clinic 5409 Vern Holmes Dr Stevens Point, WI 54482 715-847-2021 Specialty Care Providers Edmondson, David A DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Ambulance Wausau, WI Aspirus MedEvac Location: 333 Pine Ridge Waupaca, WI 54981 800-637-0071 Konz, Karen R DO Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Allergy & Immunology Wendelborn, Daniel F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Allergy & Immunology Blvd Wausau, WI 54401 Wausau, WI Ear Nose & Throat Associates, SC Location: 2801 Westhill Dr Wausau, WI 54401 715-847-2021 Edmondson, David A DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Antigo, WI Ear Nose & Throat Specialists of Wisconsin, SC Location: 225 Memorial Dr Memorial Hospital 112 E 5th Ave Antigo, WI 54409 602-273-9363 715-847-2021 Anatomic & Clinical Pathology Brookfield, WI Dermatopathology Of Wisconsin Location: 12805 W Burleigh Dahlke, Michael G AUD D Gender: Male Fisher, Thomas E AUD D Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Jarvis, Cynthia N AUD D Gender: Female Klatt, Nicole M AUD D Gender: Female Rd STE 200 Brookfield, WI 53005-3156 Appleton, WI 262-797-6434 Kelley, Scott W MD Gender: Male Board Certifications: AB Dermatology Dermatopathology Berlin, WI Ear Nose & Throat Associates, SC Location: Langlade Waupaca, WI Allergy & Asthma Associates, SC Location: 800 Riverside Dr Audiology Ear Nose and Throat Surgical Associates, SC Location: 1520 N Meade St Appleton, WI 54911 920-734-7181 Borgen, Kristin K AUD D Gender: Female Gabavics, Beth J AUD D Gender: Female Board Certifications: American Speech Language Hearing Association Jenkins-Werner, Jessica M AUD D, SLP Gender: Female The Jedlicka Group dba LearningRx Location: N474 Eisenhower Dr Appleton, WI 54915 STE 1300 Berlin, WI 54923 800-435-4851 Conradt, Mark W AUD D Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Fond du Lac, WI Fond du Lac Regional Clinic Location: 421 Camelot Dr Fond du Lac, WI 54935 920-926-8460 Auxier, Nicole K AUD D Gender: Female Gorman, Elizabeth A AUD D Gender: Female Katzfey, Angela E AUD D Gender: Female Moser, Leslie R AUD D Gender: Female Green Bay, WI NEW ENT, SC Location: 923 Eliza St Green Bay, WI 54301 920-965-4800 Dorn, Lorie S AUD D Gender: Female Kenney, Susan K AUD D Gender: Female Zaffke, Linda A CCC-A, MS Gender: Female 920-858-2339 Jedlicka, Jody A AUD D Gender: Female Page 78 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Northern Lights Clinic SC Location: 2353 South Ridge Rd Green Bay, WI 54304 920-965-1358 Dodds, Rachel M AUD D Gender: Female Seppi, Sara L AUD D Gender: Female Tobin, Katherine A AUD D Gender: Female Board Certifications: American Speech Language Hearing Association Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Gitter, Kelly J AUD D Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Hallas-Huff, Amanda R AUD D Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center Board Certifications: American Speech Language Hearing Association Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Hallas-Huff, Amanda R AUD D Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center Board Certifications: American Speech Language Hearing Association Hamersky, Daniel J AUD D, SLP Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: American Speech Language Hearing Association Medford, WI HFM Ear Nose & Throat Location: 4303 Michigan Ear Nose & Throat Associates, SC Location: 101 S Gibson St Ave Manitowoc, WI 54220 Medford, WI 54451 920-320-4380 715-847-2021 McCarville-Ciseski, Erin A AUD D Gender: Female Marinette, WI Northern Lights Clinic SC Location: 3200 Shore Dr Marinette, WI 54143-0437 Dahlke, Michael G AUD D Gender: Male Dalhke, Michael D AUD D Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Jarvis, Cynthia N AUD D Gender: Female Klatt, Nicole M AUD D Gender: Female 715-735-3187 Dodds, Rachel M AUD D Gender: Female Malazdrewicz, Edward J AUD D Gender: Male Seppi, Sara L AUD D Gender: Female Tobin, Katherine A AUD D Gender: Female Board Certifications: American Speech Language Hearing Association Location: Bay Area Medical Center 3100 Shore Dr Marinette, WI 54143 715-735-7621 Malazdrewicz, Edward J AUD D Gender: Male Menasha, WI Ear Nose & Throat Specialists of Wisconsin, SC Location: 2005 Midway Rd Menasha, WI 54952 800-435-4851 Krueger, Erin L AUD D Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Rusch Clothier, Holly A AUD D Gender: Female Minocqua, WI Ear Nose & Throat Associates, SC Location: Northern WI Bone & Joint Center 7520 Hwy 51 s Minocqua, WI 54548 715-847-2021 Fisher, Thomas E AUD D Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Klatt, Nicole M AUD D Gender: Female Neenah, WI Ear Nose & Throat Specialists of Wisconsin, SC Location: 130 2nd St STE 198 Neenah, WI 54956-2884 800-435-4851 Conradt, Mark W AUD D Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Krueger, Erin L AUD D Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Roh, Patricia D AUD D Gender: Female OptiVision Location: 240 First St Neenah, WI 54956 920-729-6600 Schwartz, Heather L AUD D Gender: Female Niagara, WI Northern Lights Clinic SC Location: 500 Roosevelt Rd Niagara, WI 54151 715-251-1998 Dodds, Rachel M AUD D Gender: Female Malazdrewicz, Edward J AUD D Gender: Male Seppi, Sara L AUD D Gender: Female Tobin, Katherine A AUD D Gender: Female Board Certifications: American Speech Language Hearing Association Page 79 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Prevea Health Centers Location: 1821 S Webster Manitowoc, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Oconto Falls, WI Northern Lights Clinic SC Location: 855 S Main St ENT Clinic Oconto Falls, WI 54154 Specialty Care Providers 920-846-4296 Malazdrewicz, Edward J AUD D Gender: Male Seppi, Sara L AUD D Gender: Female Tobin, Katherine A AUD D Gender: Female Board Certifications: American Speech Language Hearing Association Location: Community Memorial Hospital 855 S Main St Oconto Falls, WI 54154 920-846-3444 Dodds, Rachel M AUD D Gender: Female Malazdrewicz, Edward J AUD D Gender: Male Oshkosh, WI Ear Nose & Throat Specialists of Wisconsin, SC Location: 2700 W 9th Ave STE 204 Oshkosh, WI 54904 800-435-4851 Dreifuerst, Cathy L AUD D Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: American Speech Language Hearing Association Mischka, Tamara S AUD D Gender: Female Location: 855 N Westhaven Dr STE 200 Oshkosh, WI 54904 920-303-4130 Dreifuerst, Cathy L AUD D Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: American Speech Language Hearing Association Krueger, Erin L AUD D Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Mischka, Tamara S AUD D Gender: Female Roh, Patricia D AUD D Gender: Female OptiVision Location: 1885 W. Pointe Dr. Oshkosh, WI 54902 Schwartz, Heather L AUD D Gender: Female Rhinelander, WI Ear Nose & Throat Associates, SC Location: 2 E Ocala Rhinelander, WI 54501 715-847-2021 Dahlke, Michael G AUD D Gender: Male Fisher, Thomas E AUD D Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Jarvis, Cynthia N AUD D Gender: Female Klatt, Nicole M AUD D Gender: Female Sheboygan, WI Medical Hearing Associates LTD Location: 1442 N 31st St Sheboygan, WI 53081 920-458-3277 Haasch, Kathleen M AUD D Gender: Female Nadler-Strick, Armona R AUD D Gender: Female Prevea Sheboygan Health Center Location: 1411 N Taylor Dr Sheboygan, WI 53081 920-458-4419 Aukerman, Tracey N AUD D Gender: Female Board Certifications: American Speech Language Hearing Association Stevens Point, WI Ear Nose & Throat Associates, SC Location: Aspirus Stevens Point Clinic 5409 Vern Holmes Dr Stevens Point, WI 54482 715-847-2021 Dahlke, Michael G AUD D Gender: Male Jarvis, Cynthia N AUD D Gender: Female Klatt, Nicole M AUD D Gender: Female Sturgeon Bay, WI Prevea Health Centers Location: Door County Memorial / North Shore Medical 323 S 18th Ave Sturgeon Bay, WI 54235 920-496-4700 Hamersky, Daniel J AUD D, SLP Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: American Speech Language Hearing Association Waupaca, WI OptiVision Location: 900 Riverside Dr. Waupaca, WI 54981 Schwartz, Heather L AUD D Gender: Female Wausau, WI Ear Nose & Throat Associates, SC Location: 2801 Westhill Dr Wausau, WI 54401 715-847-2021 Dahlke, Michael G AUD D Gender: Male Dalhke, Michael D AUD D Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Fisher, Thomas E AUD D Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Jarvis, Cynthia N AUD D Gender: Female Klatt, Nicole M AUD D Gender: Female Page 80 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Eye Clinic of Wisconsin, SC Location: 800 N First St Wausau, WI 54403 715-261-8500 Totman, Heather L AUD D Gender: Female Wausau Hearing Aid Center Location: 2801 Westhill Dr Wausau, WI 54401 715-847-2370 Wisconsin Rapids, WI Ear Nose & Throat Associates, SC Location: 2031 Peach St Wisconsin Rapids, WI 54494 715-847-2021 Dahlke, Michael G AUD D Gender: Male Jarvis, Cynthia N AUD D Gender: Female Autism Madison, WI A Sound Mind Location: 428 N Superior St STE 110 De Pere, WI 54115 Madison, WI 53719 920-338-8330 608-288-9040 Kitcher, Paulina D MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Additional Languages:Russian Green Bay, WI American Foundation Of Counseling Services Location: 130 E Walnut St STE 706 Green Bay, WI 54301 Fox Valley Autism Location: 5733 W Grande Market Dr Appleton, WI 54913 920-749-1005 Huai, Nan PhD Gender: Female Perron, Joseph T PhD Gender: Male Pritzl, Tracy R PSYD Gender: Female Sallows, Glen O PhD Gender: Male Sherman, Michelle R APSW Gender: Female Wilkins, Christine M APSW Gender: Female 920-437-8256 Manitowoc, WI Nelson, Christie L PhD Gender: Female HFM Behavioral Health Location: 339 Reed Ave Applied Behavior Analysts, LLC Location: 1640 Main St Manitowoc, WI 54220 920-320-8600 Kohler, Mylan V DO Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Additional Languages:Vietnamese, French Board Certifications: AB Psychiatry & Neurology Child & Adolescent Psych Green Bay, WI 54302 920-857-9041 Lund, Eric J PSYD Gender: Male Innovative Counseling Inc Location: 1499 6th St Green Bay, WI 54304 Appleton, WI Wisconsin Early Autism Project, Inc Location: 6402 Odana Rd 920-497-6161 Connolly, Cynthia J MSW, LCSW Gender: Female Thomas, Cynthia R LCSW Gender: Female Phoenix Behavioral Health Services, LLC Location: 115 E Waldo Blvd Manitowoc, WI 53220 920-682-1131 Eiden, Todd C PhD Gender: Male Eiden, Todd C PhD Gender: Male Klein, Steven P PhD Gender: Male Wausau, WI Achieve Center, Inc Location: 2600 Stewart Ave Ste 38 Wausau, WI 54401 715-845-4900 Wesley, Carol Jean LMFT, LPC, SAC Gender: Female Board Certifications: Wisconsin Certification Bd CADC III Autism - NonIntensive Appleton, WI Psychology Associates Of The Fox Cities Location: 2557-A E Calumet St Appleton, WI 54915 920-738-9999 Cummings, Frank J PhD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Green Bay, WI Cerebral Palsy Inc Location: 2801 S Webster Ave Green Bay, WI 54301 920-337-1122 Innovative Counseling Inc Location: 1499 6th St Green Bay, WI 54304 920-497-6161 Carmody, Linda A LPC Gender: Female Page 81 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Dahlke, Michael G AUD D Gender: Male Fisher, Thomas E AUD D Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital De Pere, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Krawczyk Counseling Services, LLC Location: 2631 S Packerland Dr Ste 104C Green Bay, WI 54313 920-965-7701 Robertson, Bruce J PhD Gender: Male Menasha, WI Specialty Care Providers Beyond Boundaries of Autism Location: 1800 Appleton Rd Menasha, WI 54952 920-795-4183 Hazell, Vivian M LPC Gender: Female Neenah, WI ThedaCare Behavioral Health Location: 130 Second St Neenah, WI 54956 920-729-2150 Cummings, Frank J PhD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Plymouth, WI Nett-Work Family Counseling, LLC Location: 621 E Mill ST Plymouth, WI 53073 920-451-6908 Ottman-Boykin, Tina M LCSW, LPC Gender: Female Prevea Health Centers Location: 1821 S Webster Sheboygan, WI Nett-Work Family Counseling, LLC Location: 2801 Calumet Dr Sheboygan, WI 53083 920-451-6908 Eichenhofer, David J PhD Gender: Male Ottman-Boykin, Tina M LCSW, LPC Gender: Female Wausau, WI Achieve Center, Inc Location: 2600 Stewart Ave Ste 38 Wausau, WI 54401 715-845-4900 Shank, Laura PSYD Gender: Female Bariatric Surgery Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Johnson, Matthew J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, Aspirus Wausau Hospital Board Certifications: AB Surgery General Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Johnson, Matthew J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, Aspirus Wausau Hospital Board Certifications: AB Surgery General Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Green Bay, WI NEW Surgical Associates, SC Location: 670 Cormier Rd Green Bay, WI 54304 920-494-9685 Kemmerling, James M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Additional Languages:Spanish Board Certifications: AB Surgery General Johnson, Matthew J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, Aspirus Wausau Hospital Board Certifications: AB Surgery General Weston, WI Aspirus Weight Management Clinic Location: 3402 Howland Ave STE #100A Weston, WI 54476 715-355-5701 Behavioral Health Antigo, WI Compass Counseling Wausau, LLC Location: 319 Superior St. Antigo, WI 54409 715-845-5493 Waldvogel, Laura A LPC Gender: Female Langlade Hospital Location: General Clinic 110 E 5th Ave Antigo, WI 54409 715-623-2351 Skrzypchak, Melissa R LCSW Gender: Female LH dba Aspirus General Clinic - Antigo Location: 110 East Fifth Ave Antigo, WI 54409 Bariatrics 715-623-2351 Green Bay, WI Hahn, James E LPC, LCSW, LMFT Gender: Male Bellin Behavioral Health Clinic Location: 725 S Webster Ave Green Bay, WI 54301 Page 82 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. North Central Health Care - Antigo Location: 1225 Langlade Rd Christian Family Counseling Location: 1049 N Lynndale Antigo, WI 54409 Dr STE 1B Appleton, WI 54914 715-623-2394 Gustafson, Patricia A LPC Gender: Female Kuhn, Steven P LPC Gender: Male Sliefert, David A LPC Gender: Male Wolf, Keith D LCSW Gender: Male Zaloudek, Tanya LPC Gender: Male Aids Resource Center of Wisconsin Inc Location: 633C W Wisconsin Ave Appleton, WI 54911 800-773-2068 Paulsen, Lisa A LCSW Gender: Female Beth A Young-Verkuilen, MS Location: 424A E Longview Dr Appleton, WI 54911 920-882-9877 Young-Verkuilen, Beth A LCSW, CSAC Gender: Female Catholic Charities Location: 214 E Summer St Appleton, WI 54911 920-734-2601 Garstka, Christine A LPC Gender: Female Hillary, Linda L LPC, MSE Gender: Female Sebora, Thomas P MSW, LMFT, LCSW, SAC Gender: Male Board Certifications: National Certified Gambling Counselor Vang, Nenglee MS Gender: Female Additional Languages:Hmong Rd STE C Appleton , WI 54911 920-731-9798 Demianiuk, Megan J LMFT Gender: Female Jasman, Kathleen M MSE, LPC Gender: Female Manthey, Elsa L LPC, SAC, MS Gender: Female Scherschel, Marc D MA, LPC Gender: Male Siggelkow, Alan H APSW Gender: Male Deanna L Christensen, LLC Location: 424A E Longview Dr Appleton, WI 54911 920-882-9877 Christensen, Deanna L MSW, LCSW Gender: Female Family Counseling Associates Location: 300 N Woods Edge Dr Appleton, WI 54914 920-738-7795 Davis, Kristina S MSW, LCSW Gender: Female Hellman, Jeanne M MSW, LCSW Gender: Female Klatt, Ronald G MS, LPC Gender: Male Wiedenhoeft, James D MSW, LCSW Gender: Male Jennifer H Olkowski, MSE Location: 3301 N. Ballard 920-202-3954 Olkowski, Jennifer H LPC Gender: Female Appleton, WI Medical & Counseling Associates Location: 300 North Woods Edge Dr Appleton, WI 54914 920-636-5234 Schmitt, Megan M MA, LPCT Gender: Female Options Treatment Programs, Inc Location: 4000 W Spencer St Appleton, WI 54914-4015 920-735-9010 Randerson, Lisa J LPC, SAC Gender: Female Randerson, Nichole M MA, SACT Gender: Female Trammell, James W LPC Gender: Male Psychology Associates Of The Fox Cities Location: 2557-A E Calumet St Appleton, WI 54915 920-738-9999 Sherman Consulting, LLC Location: W6144 Aerotech Drive Appleton, WI 54914 920-733-2065 Debban Anderson, Candace L LCSW Gender: Female Henning, Amy L LPC, MSE Gender: Female Jones, Katy L MS, LPC Gender: Female Prey, JoNel M MSE, LPC Gender: Female ThedaCare Behavioral Health Location: 1818 N Meade St Appleton, WI 54911 920-720-2300 Huebner, Jody L MS Gender: Female Location: 2500 E Capitol Dr Appleton, WI 54911 920-720-2300 Mandel, Jean M LCSW, MSSW Gender: Female Location: 2701 E Enterprise Ave Appleton, WI 54913 920-954-2551 Stanaszak, Christopher L MSE, LPC Gender: Male Vanwyk, Linda J MSW, LCSW Gender: Female Location: W5282 Amy Ave Appleton, WI 54915 920-720-2300 Stanaszak, Christopher L MSE, LPC Gender: Male Hoffmann, Judy A MSE, LPC Gender: Female Randerson, Lisa J LPC, SAC Gender: Female Page 83 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Appleton, WI Appleton , WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wellness Counseling Center Location: 103 W College Ave STE 815 Appleton, WI 54911 Specialty Care Providers 920-733-1992 Earl, Elena J LCSW Gender: Female Hines, Barbara B MS, LPC, LMFT Gender: Female Hines, Bedford F MA, LPC, LMFT Gender: Male Keggi, Jane M MSW, LCSW Gender: Female Reich, Mark W MS, LCSW Gender: Male Wizner, Diane M LPC Gender: Female Beaver Dam, WI Psychiatric Associates Location: 200 Front St STE 3D Beaver Dam, WI 53916 920-885-2780 Campbell, Jeffrey J LCSW Gender: Male Narance, Tammy S LPC Gender: Female Chilton, WI BridgePoint Health, LLC Location: 453 E Brooklyn St Chilton, WI 53014 920-849-2539 Huber, Michael G LPC, ICS, CSAC, MA Gender: Male Bonnie M Lee And Associates Location: 2200 Dickenson Crandon, WI Forest County Potawatomi Health & Wellness Center Location: 8201 Mish Ko Rd Unit 4 STE B De Pere, WI 54115 920-347-3500 Hoelscher, Joseph D LCSW, SAC Gender: Male Larson, Jody B LPC, ATRBC Gender: Female Lee, Bonnie M CSAC, ICS, LCSW, LMFT, MSW Gender: Female Swen Dr Crandon, WI 54520 715-478-4300 Warren, Anne M LPC Gender: Female De Pere, WI Building Blocks Family Therapy Center Location: 522 George St Atelier Therapy Studio, LLC Location: 421 George St STE B De Pere, WI 54115 STE 202 De Pere, WI 54115 920-338-2238 920-819-2914 Senogles, Stephanie F MSW, LCSW Gender: Female Ross, Kathleen M LPC, CSAC Gender: Female Bellin Behavioral Health Clinic Location: 1800 Lawrence Dr De Pere, WI 54115 920-983-3220 Huber, Susan A MSW, LCSW Gender: Female Location: 555 Red Bird Cir STE 300 De Pere, WI 54115 920-338-6830 Verlare, Ann Marie MSW, LCSW Gender: Female Harbor Community Psychological Associates, SC Location: 486 Main Ave De Pere, WI 54115 920-347-0533 Cisler, Nana N LCSW, LMFT Gender: Female Fond du Lac, WI Christian Family Counseling Location: 757 S Main St STE 8 Fond du Lac, WI 54935-5739 920-731-9798 Demianiuk, Megan J LMFT Gender: Female Manthey, Elsa L LPC, SAC, MS Gender: Female Doll & Associates Location: 40 Camelot Drive Fond du Lac, WI 54935 920-907-8201 Brunette, Anne C MSW, LCSW Gender: Female Roberts, Stephen H LCSW, CSAC Gender: Male Fond du Lac Regional Clinic Location: 420 E Division St Fond du Lac, WI 54935 920-923-7400 Kartheiser, Edward LPC Gender: Male Living Hope Christian Counseling LLC Location: 2066 Lawrence Dr De Pere, WI 54115 920-338-8699 Paynter, Ronald W LPC Gender: Male Page 84 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. St Agnes Hospital Behavioral Health Services Location: 430 E Division St Fond du Lac, WI 54935 920-926-4200 Germantown, WI Christian Family Counseling Location: W175 N11120 Stonewood Dr. Germantown, WI 53022 262-345-5560 Buege, Eilene S LPC Gender: Female Cabeza, Nimia C LPC Gender: Female Demianiuk, Megan J LMFT Gender: Female Siggelkow, Alan H APSW Gender: Male Memorial Health Center Clinics Location: 320 E Main St PO Box 64 Gilman, WI 54433 715-447-8293 Eldred, Doreen K LCSW Gender: Female Board Certifications: Academy of Certified Social Workers Murphy, Linda LCSW Gender: Female Marohl, Kimberly V LPC Gender: Female Mathias, William J MSW, LCSW Gender: Male Mayer, Katherine A MSE, LPC Gender: Female Schoeni, Elaine A LCSW Gender: Female Vardis, Dawn L LPC Gender: Female Wille, Steven S LPC Gender: Male Board Certifications: National Board Certified Counselors Green Bay, WI Green Bay , WI Aids Resource Center of Wisconsin Inc Location: 445 South Adams Ann Rockhill Counseling Services LLC Location: 1019 Emilie St Green Bay, WI 54301 Green Bay , WI 54301 920-857-3503 800-675-9400 Rockhill, Ann M LCSW, CSAC Gender: Female Hodel, Judith M LCSW Gender: Female Paulsen, Lisa A LCSW Gender: Female Weise, Theresa J LPCT, SACT Gender: Female Green Bay, WI American Foundation Of Counseling Services Location: 130 E Walnut St STE 706 Green Bay, WI 54301 Bay Shore Counseling, Inc Location: 2345 E Mason St Green Bay, WI 54302 920-469-8890 920-437-8256 Bartel, Cindy S MSW, LCSW Gender: Female Blakley, Shawn T MS, LPC, CSAC Gender: Male Brennan, Marilyn S MSW, LCSW Gender: Female Carlson, Kavita LCSW Gender: Female Grasse, Heather A LCSW Gender: Female Johnson, Robert P MSW, LCSW Gender: Male Krejcie, Jill L MA, LMFT Gender: Female Martin, Mari C LPC, MSE, MSW Gender: Female Bellin Behavioral Health Clinic Location: 1630 Commanche Ave Green Bay, WI 54313 920-433-3630 Gohr, Sheila K LPC Gender: Female Hill, Mary L SAC, LCSW, MSW Gender: Female Rasmussen, Donna LCSW Gender: Female Renier, Anthony R MSW, LCSW Gender: Male Location: 301 E St Joseph St Green Bay, WI 54301 920-433-3630 Balzola, Denise M MSW, LCSW Gender: Female Baudhuin, Bliss A LPC Gender: Female Bell, David J MS, SACT, LPC Gender: Male Clough, Pam A LCSW Gender: Female Gibson, Mary L MS Gender: Female Gohr, Sheila K LPC Gender: Female Harris, Lynette M MSW, LCSW Gender: Female Hill, Mary L SAC, LCSW, MSW Gender: Female Huber, Susan A MSW, LCSW Gender: Female Myers, Ruth I MSW, CSAC Gender: Female Rasmussen, Donna LCSW Gender: Female Schultz, Eva M LCSW Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital Verlare, Ann Marie MSW, LCSW Gender: Female Page 85 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arndt, Mary M LPC, MS, CSAC Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Block, Jacquelyn M LCSW Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Brandli, W Drew MSW, LCSW Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Hanson, Colleen M MS, LPCT Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Travis, Judi E MS, LPC Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Zietlow, Colleen M MS, LMFT Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Gilman, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. White, Patsy L MSW, APSW Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Bellin Psychiatric Hospital Location: 3263 Eaton Rd Green Bay, WI 54311 Specialty Care Providers 920-433-3630 Clough, Pam A LCSW Gender: Female Harris, Lynette M MSW, LCSW Gender: Female Sinkler, Maureen L LCSW Gender: Female Verlare, Ann Marie MSW, LCSW Gender: Female Bellin Psychiatric Center Location: 301 E St Joseph St Green Bay, WI 54301 920-431-5687 Bordini, Bradford LCSW, MSW Gender: Male Finley, Felicia G LPC Gender: Female Gohr, Sheila K LPC Gender: Female Harris, Alyssa M LPC Gender: Female Perry, Kimberly K LPC Gender: Female Suchalla, Melissa A LPC Gender: Female Building Blocks Family Therapy Center Location: 770 Fredrick Ct Green Bay, WI 54115 920-338-2238 Senogles, Stephanie F MSW, LCSW Gender: Female Catherine Mackenzie Location: 938 S. Clay Green Bay, WI 54301 920-857-6222 Mackenzie, Catherine S. C. MA, LCSW Gender: Female Catholic Charities Location: 1825 Riverside Dr Green Bay, WI 54305 920-437-7531 Fonseca, Cindy L LCSW Gender: Female Additional Languages:Spanish La Tour, Celia J LPC Gender: Female Vang, Nenglee MS Gender: Female Additional Languages:Hmong Counseling by Schlader, LLC Location: 1808 Treeland Drive Green Bay, WI 54304 920-288-9104 Schlader, Tony LPC, MS Gender: Male Family Services Of Northeast Wisconsin, Inc Location: 300 Crooks St Green Bay, WI 54301 Mischler, Lois L MS, LCSW Gender: Female Pagel, Megan A MA, LPCT Gender: Female Rockhill, Ann M LCSW, CSAC Gender: Female Secor, Willard (Bill) J MSW, LCSW Gender: Male Siebers, Tracy M LPC Gender: Female Titulaer, Andrea D LPC Gender: Female Board Certifications: National Board Certified Counselors Von der Linden, Jayne E MSW, LCSW Gender: Female Warchol, Lori LCSW Gender: Female Woznick, Lisa M LPC Gender: Female Zakrzewski, Thomas J LCSW Gender: Male Location: 626 S Irwin Ave Green Bay, WI 54301 920-433-3372 920-436-6800 Abts, Clayton E MS, LPC Gender: Male Coppens, Vicky L APSW Gender: Female Drake, James V LCSW Gender: Male Etter, Hennah J LPC Gender: Female Gauger, Michelle A MSW Gender: Female Greenwell, Jody M MSW, LCSW Gender: Female Harpt, Dean L MS, LCSW, LPC Gender: Male Harris Forbes, Jennifer A LPC, CSAC Gender: Female Board Certifications: National Board Certified Counselors Herman, Kathryn E LPC Gender: Female Krueger, Lonnie M APSW, SACT Gender: Female Lockwood, Susan M LCSW, MS Gender: Female Coppens, Vicky L APSW Gender: Female GAM Behavioral Health Services Location: 3021 Holmgren Way STE 203A Green Bay, WI 54304 920-339-9307 Holstead, Daniel R MSW, LCSW, SAC Gender: Male LaFountain, Vicki L LCSW Gender: Female Geri Czarnecki Counseling Services Location: 1192 Hansen Rd STE 202 Box 5 Green Bay, WI 54304 920-884-1084 Pagel, Mona E MSW, LCSW Gender: Female Green Bay Wellness & Behavioral Health Location: 125 S Jefferson St STE 306 Green Bay, WI 54301 920-437-7878 Mervilde, Michael J MSW, LCSW Gender: Male Innovative Counseling Inc Location: 1499 6th St Green Bay, WI 54304 920-497-6161 Alward, Jennifer R ATR, MA Gender: Female Balza, James J LCSW Gender: Male Buckman, Christopher A MA Gender: Male Carmody, Linda A LPC Gender: Female Connolly, Cynthia J MSW, LCSW Gender: Female Dey, Brooke M MA Gender: Female Gillis, Torri J APSW Gender: Female Hoelscher, Joseph D LCSW, SAC Gender: Male Meyer, Barbara D MSSW, LCSW Gender: Female Rattray, Kirk A MSW Gender: Male Thomas, Cynthia R LCSW Gender: Female Wilkens, Kara M MA, LPCT Gender: Female Kimberley Welk and Associates Location: 130 E Walnut St STE 604 Green Bay, WI 54301 920-544-3684 Welk, Kimberley M LMFT Gender: Female Page 86 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Krawczyk Counseling Services, LLC Location: 2631 S Packerland Dr Ste 104C Green Bay, WI 54313 920-965-7701 Krawczyk, Gail J MSW, LCSW Gender: Female Laurie Ferguson & Associates, LLC Location: 130 E Walnut St STE 604 Green Bay, WI 54301 920-437-7884 NEW Behavioral Health LLC Location: 926 Willard Dr. STE 246 Green Bay, WI 54304 920-499-2577 Albrecht, Arlie J LMFT, LCSW, MSSW Gender: Male Schwallie, Linda A RN, LMFT, LPC Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital NEW Wellness Associates Location: 2733 S Ridge Rd Green Bay, WI 54304 920-497-6200 Bazett-Jones, Ted A MSE, LCSW, LPC Gender: Male Collier, Carmen LPC, CSAC Gender: Female Kirsch, James T MS, LPC Gender: Male Liechti, Marya A SAC, LPC Gender: Female Manthey-Wanek, Sara A LCSW Gender: Female Moga-Roach, Diane M LPC Gender: Female St Green Bay, WI 54301 920-433-0111 Bekkers, Tom M MSW Gender: Male Palmer Counseling Location: 2631 S Lakewood, WI Northern Health Centers Location: 15397 Hwy 32 Lakewood, WI 54138 715-276-6321 Marsh, Jodi M LPC Gender: Female Packerland Drive Ste 104A Green Bay, WI 54313 Kaukauna, WI 920-882-2901 NEW Wellness Associates Location: 2420 Crooks Ave Palmer, Jeffery L LCSW, MSW Gender: Male Kaukauna, WI 54130 Prevea Health Location: 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Braaten, Dan J LMFT, SAC, MS Gender: Male Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Schubring, Lisa T LMFT, MS Gender: Female 920-766-5040 Liechti, Marya A SAC, LPC Gender: Female Moga-Roach, Diane M LPC Gender: Female Yanak, Linda C LCSW Gender: Female Kewaunee, WI Bellin Behavioral Health Clinic Location: 575 4th St Kewaunee, WI 54216 920-338-4640 Harris, Lynette M MSW, LCSW Gender: Female Prevea Health Centers Location: 2680 Vernon Dr. Green Bay, WI 54304 920-496-4700 Braaten, Dan J LMFT, SAC, MS Gender: Male Feld, Judith A LCSW Gender: Female Manley, Paula J MS Gender: Female Peterson, Kathryn M LPC Gender: Female Schubring, Lisa T LMFT, MS Gender: Female Stumbras, Jeffery J MSSW, LMFT, LCSW Gender: Male Kewaunee County Dept of Human Services Location: 810 Lincoln St Kewaunee, WI 54216 920-388-7030 Gauthier Burkart, Lisa M MEd, LPC Gender: Female Seifert, Richard J MSW, LCSW Gender: Male Manitowoc, WI Bellin Behavioral Health Clinic Location: 3415 Custer St STE D Manitowoc, WI 54220 920-445-7373 Verlare, Ann Marie MSW, LCSW Gender: Female HFM Behavioral Health Location: 339 Reed Ave Manitowoc, WI 54220 920-320-8600 Boomgarden, Brian L LCSW, SAC Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Dohr, Dawn M LPC Gender: Female Nelson, Rachel M APSW, LCSW, CSAC Gender: Female Peterman, Deborah M MSW, LCSW, CSAC Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital Rylander, Ellen A MSW, LCSW Gender: Female Webers, Marianne E MSW, LCSW Gender: Female Page 87 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Ferguson, Laurie K LCSW, LMFT Gender: Female St Vincent Hospital Location: 835 S Van Buren Pulvermacher, Lois A LCSW Gender: Female Whiting, Debra L LPC Gender: Female Yanak, Linda C LCSW Gender: Female Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Nett-Work Family Counseling, LLC Location: 1011 S 10th St STE 1 Manitowoc, WI 54220 920-684-4114 Pritzl, Thomas J MSW, LCSW, SAC Gender: Male Wentz, Debra J LCSW, CSAC Gender: Female Specialty Care Providers New Tomorrow Counseling Location: 1210 Washington St Manitowoc, WI 54220 920-901-3878 Knitter, Kimberly A LPC Gender: Female Phoenix Behavioral Health Services, LLC Location: 115 E Waldo Blvd Manitowoc, WI 53220 920-682-1131 Sears, Paulette M LPC Gender: Female SMS Counseling Services, Inc Location: 927A S 8th St STE 300 Manitowoc, WI 54220 920-684-6644 Schutz, Susan M MSW, LCSW Gender: Female Catholic Charities Location: 844 Pierce Ave Menasha, WI STE 102 Marinette, WI 54143 Family Services Of Northeast Wisconsin, Inc Location: 1810 Appleton Rd 715-735-7802 Mullen, Debra A MSE, LCSW Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Menasha, WI 54952 920-739-4226 Marshfield, WI Center for Human Development Location: 243 S Central Ave STE 109 Marshfield, WI 54449 715-486-1555 Ongna, Jeffrey P MS, LPC Gender: Male Medford, WI Counseling Connection of Medford, LLC Location: 123 W State St Danke, Kathi L LPC Gender: Female Kirchner, Ann E MS, LCSW, LPC Gender: Female Mitchell, Andrea L LPC Gender: Female Board Certifications: National Board Certified Counselors Siebers, Tracy M LPC Gender: Female Stephenson, Kristine K MS, LPC Gender: Female Yang, Shannon L LPC, SAC Gender: Female Zakrzewski, Thomas J LCSW Gender: Male Judith M Doersch MSW/ CICSW, LLC Location: 1478 Kenwood Dr STE 4 PO Box 453 Medford, WI 54451 Menasha, WI 54952 920-720-5839 715-748-4312 Schultz, Kelly J LPC, SAC Gender: Female Doersch, Judith M MSW, LCSW Gender: Female Memorial Health Center Clinics Location: 143 S Gibson St Medford, WI 54451 715-748-2121 Marinette, WI Bay Shore Counseling, Inc Location: 1712 Dunlap Ave Marinette, WI 54143 Eldred, Doreen K LCSW Gender: Female Board Certifications: Academy of Certified Social Workers Murphy, Linda LCSW Gender: Female 920-469-8890 Martin, Mari C LPC, MSE, MSW Gender: Female The Samaritan Counseling Center of the Fox Valley, Inc Location: 1478 Kenwood Dr STE 1 Menasha, WI 54952 920-886-9319 Berbert, Rosangela B LPC Gender: Female Board Certifications: National Board Certified Counselors Burdick-Grade, Megan J LMFT, ATR-BC Gender: Female Fons, Anne LPC, MA Gender: Female Peterson, John H MSW, LMFT, SAC Gender: Male Savides, Diane M LCSW Gender: Female Wille, Cathleen S MA, MS, LPC Gender: Female Yocius, Judith A LCSW Gender: Female ThedaCare Behavioral Health Location: 1095 Midway Rd Menasha, WI 54952 920-720-2300 Adair, Karen L MS, LPC Gender: Female Alpert, Rochelle L MS, LPC Gender: Female Arias-Flynn, Jeanette T LPC Gender: Female Blume, Gregory P LCSW Gender: Male Bredael, Lisa M LPC, MSE Gender: Female Christensen, Tracy E CSAC, LCSW Gender: Female Cisar, Jill M MSSW Gender: Female Czarnik, Norma LPC Gender: Female Danahy, Sarah E LCSW Gender: Female Downey, Sherill D MSSW Gender: Female Feider, Julie A MSE, LPC Gender: Female Page 88 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Menominee, MI Neenah, WI Concerned Associates Location: 3612 13th St Menominee, MI 49858 906-864-2208 Garcia, Gilbert E MSW, LCSW Gender: Male Reach Counseling Services Location: 1370 S Clark County Community Services Location: 517 Court St Commercial St Neenah, WI 54956 Neillsville, WI 54456 920-722-8150 Beyer, Carolyn B LPC Gender: Female Hlavka, Kimberly A LPC, SAC Gender: Female Nooe, Marikathryn MSE, LPC Gender: Female Board Certifications: National Board Certified Counselors Oosterhous, Beverly S MSE, APSW, LPC Gender: Female Putman, Gerald L LCSW Gender: Male Merrill, WI Central Wisconsin Psychological Services Location: 712 East 2nd Street P O Box 551 Merrill, WI 54452 715-539-8080 Lee, Evelyn T MS, SAC, LPC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Memorial Health Center, Riverview Hospital Woodward, Lawrence LCSW Gender: Male ThedaCare Behavioral Health Location: 130 Second St Neenah, WI 54956 920-725-2070 North Central Health Care - Merrill Location: 604 N Sales St Merrill, WI 54452 715-536-9482 Hinz, Byron L LCSW, SAC Gender: Male Wanserski, Ann K LCSW Gender: Female Neillsville, WI Doughman, Thomas A MA, LCSW, LMFT, SAC Gender: Male Vanwyk, Linda J MSW, LCSW Gender: Female Walker, Tara J MSW Gender: Female Location: 1504 S Commercial Neenah, WI 54956 920-729-6088 Fonstad, Dorothy MSE, LCSW, CSAC Gender: Female Location: 640 Deerwood Ave Neenah, WI 54956 920-727-9982 Lynne, Debra MSW, LCSW Gender: Female Stanaszak, Christopher L MSE, LPC Gender: Male 715-743-5208 Drawz, Erin K LPC Gender: Female Hainz, Heather L LPC Gender: Female Livingston, Lori A LPC Gender: Female Pedretti, Angela M LPC Gender: Female Board Certifications: National Board Certified Counselors Reif, Daniel J LPC Gender: Male Willette, Amy C SAC, LCSW, RN Gender: Female New Holstein, WI Nett-Work Family Counseling, LLC Location: 1403 Milwaukee Dr New Holstein, WI 53061 920-451-6908 Nett, Christine M LCSW Gender: Female Pritzl, Thomas J MSW, LCSW, SAC Gender: Male Severson, Sheri A LPC Gender: Female Board Certifications: National Board Certified Counselors Wentz, Debra J LCSW, CSAC Gender: Female New London, WI Julie A Feider, MSE, LPC Location: 401 W North Water St STE 200 New London, WI 54961 920-982-2289 Feider, Julie A MSE, LPC Gender: Female Page 89 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Fonstad, Dorothy MSE, LCSW, CSAC Gender: Female Gaylord, Ann M MA, LMFT Gender: Female Gurlik, Angela M LPC Gender: Female Huebner, Jody L MS Gender: Female Knudsen, Lindsey M LPC Gender: Female Kraus, Kathleen K LPC Gender: Female Lenhard, Mary J MS, LPC Gender: Female Lynne, Debra MSW, LCSW Gender: Female Mandel, Jean M LCSW, MSSW Gender: Female Matula, Chris J LCSW Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center Mittelsteadt, Sandra L MS, LPCT Gender: Female Board Certifications: National Board Certified Counselors Moldenhauer, Michele K LPC Gender: Female Pilon, John R LPC Gender: Male Pratt, Jane E MSSW, LCSW Gender: Female Reha, Wendy D LPC Gender: Female Stahl, Mark A LPC Gender: Male Stanaszak, Christopher L MSE, LPC Gender: Male Vanwyk, Linda J MSW, LCSW Gender: Female Vonck, Brenna L LCSW Gender: Female Wagner, Deborah A LCSW Gender: Female Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Medical & Counseling Associates Location: 315 Burton Rd Oconto Co Human Services Location: 501 Park Ave Oshkosh Counseling Center, Inc Location: 501 Merritt Ave ThedaCare Behavioral Health Location: 600 N Westhaven New London, WI 54961 Oconto, WI 54153 Oshkosh, WI 54901 Dr Oshkosh, WI 54904 Specialty Care Providers 920-982-3660 920-834-7000 920-231-2858 Davis, Kristina S MSW, LCSW Gender: Female Hellman, Jeanne M MSW, LCSW Gender: Female Klatt, Ronald G MS, LPC Gender: Male Wiedenhoeft, James D MSW, LCSW Gender: Male Pabich, Dawn M MSE, LCSW Gender: Female Reimer, Michael G CSW Gender: Male Retzlaff, Bruce W MSW, LCSW Gender: Male Whitworth, Julie A LCSW, SAC Gender: Female The Samaritan Counseling Center of the Fox Valley, Inc Location: 709 W Pine St Oconto Falls, WI New London, WI 54961 920-982-7863 Berbert, Rosangela B LPC Gender: Female Board Certifications: National Board Certified Counselors Fons, Anne LPC, MA Gender: Female ThedaCare Behavioral Health Location: 1405 S Mill St New London, WI 54961 920-531-2400 Toney, Patricia R MSE, LPC Gender: Female Trantow, Inez K MSE, LPC Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Oconto, WI Bellin Behavioral Health Clinic Location: 820 Arbutus Ave Oconto, WI 54153 Laux, RaChelle J LPC, MS Gender: Female McLaren, Anne k LPC, CSAC Gender: Female Stahl, Mark A LPC Gender: Male Sherman Consulting, LLC Location: 2380 State Rd 44 STE A Oshkosh, WI 54901 920-230-2065 Bellin Behavioral Health Clinic Location: 835 S Main St STE 5 Oconto Falls, WI 54154 920-846-0509 Bell, David J MS, SACT, LPC Gender: Male Boehmke, Jolayne M LPC, ICS, CSAC Gender: Female Renier, Anthony R MSW, LCSW Gender: Male Stefanic, Jayne M MSW, LISW Gender: Female Oshkosh, WI Debban Anderson, Candace L LCSW Gender: Female Mayo, Peter L CSAC, LPC Gender: Male Prey, JoNel M MSE, LPC Gender: Female The Samaritan Counseling Center of the Fox Valley, Inc Location: 110 Church Ave Oshkosh, WI 54901 920-235-1678 Berbert, Rosangela B LPC Gender: Female Board Certifications: National Board Certified Counselors Peterson, John H MSW, LMFT, SAC Gender: Male Wille, Cathleen S MA, MS, LPC Gender: Female Catholic Charities Location: 36 Broad St STE 920-237-5000 Doughman, Thomas A MA, LCSW, LMFT, SAC Gender: Male Knudsen, Lindsey M LPC Gender: Female Mittelsteadt, Sandra L MS, LPCT Gender: Female Board Certifications: National Board Certified Counselors Murry, David D MS, LMFT Gender: Male Peshtigo, WI Bellin Behavioral Health Clinic Location: 441 French St Peshtigo, WI 54157 715-732-2131 Renier, Anthony R MSW, LCSW Gender: Male Stefanic, Jayne M MSW, LISW Gender: Female Phillips, WI Memorial Health Center Clinics Location: 625 Peterson Ave Phillips, WI 54555 715-339-4035 Murphy, Linda LCSW Gender: Female 200 Oshkosh, WI 54901 920-235-6002 Hillary, Linda L LPC, MSE Gender: Female 920-835-5500 Kluth, Elaine C MSWLCSW Gender: Female Page 90 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Plymouth, WI Life Point Counseling, LLC Location: 411 E Mill St STE Memorial Health Center Clinics Location: 1121 Hwy 102 104 Plymouth, WI 53073 Rib Lake, WI 54470 920-892-7606 Hunholz, Kathlyn M MS, LPC Gender: Female Niver, Julie K LPC, CSAC, MS Gender: Female Plymouth, WI 53073 920-451-6908 Nett, Christine M LCSW Gender: Female Ottman-Boykin, Tina M LCSW, LPC Gender: Female Pritzl, Thomas J MSW, LCSW, SAC Gender: Male Severson, Sheri A LPC Gender: Female Board Certifications: National Board Certified Counselors Prentice, WI Memorial Health Center Clinics Location: 1511 Railroad Ave Prentice, WI 54456 715-428-2521 Eldred, Doreen K LCSW Gender: Female Board Certifications: Academy of Certified Social Workers Murphy, Linda LCSW Gender: Female Sheboygan, WI 53083 920-451-6908 715-427-5701 Eldred, Doreen K LCSW Gender: Female Board Certifications: Academy of Certified Social Workers Murphy, Linda LCSW Gender: Female Schofield, WI Aids Resource Center of Wisconsin Inc Location: 1105 Grand Ave STE 1 Schofield, WI 54476 800-551-3311 Paulsen, Lisa A LCSW Gender: Female Stepping Stones Counseling Center, LLC Location: 219 Ross Avenue Burg, Eldon E MS, LCSW, LPC, LMFT, SAC Gender: Male Jenkins, Christine A LPC Gender: Female Knudsen, Lindsay M LPC Gender: Female Nett, Christine M LCSW Gender: Female Ottman-Boykin, Tina M LCSW, LPC Gender: Female Pritzl, Thomas J MSW, LCSW, SAC Gender: Male Schuh, Steven D CSAC Gender: Male Severson, Sheri A LPC Gender: Female Board Certifications: National Board Certified Counselors Wentz, Debra J LCSW, CSAC Gender: Female Stephenson, MI Schofield, WI 54476 715-355-4999 Concerned Associates Location: S926 US 41 Becker, Mark S LCSW Gender: Male London, Diane L MSMFT, LPC Gender: Female Stephenson, MI 49887 906-864-2208 Garcia, Gilbert E MSW, LCSW Gender: Male Sheboygan, WI Stevens Point, WI BridgePoint Health, LLC Location: 3425 Superior Center for Human Development Location: 2607 Post Rd Ave Sheboygan, WI 53081 920-458-5557 Stevens Point, WI 54481 Huber, Michael G LPC, ICS, CSAC, MA Gender: Male 715-342-0586 Buss, Daniel J LMFT Gender: Male Sturgeon Bay, WI Bay Counseling Clinic LLP Location: 50 S Madison Ave STE 3 Sturgeon Bay, WI 54235 920-743-4428 Grahl, Gary A LPC, MSE Gender: Male Board Certifications: National Board Certified Counselors Grahl, Jeanna J LPC Gender: Female Counseling Associates of Door County, LLC Location: 620 N 12th Avenue Sturgeon Bay, WI 54235 920-743-9554 Hickey, Timothy J MS, LPC, CSAC Gender: Male Knitter, Kimberly A LPC Gender: Female Nick, William G MSE, LCSW Gender: Male Palmer, Jamie K LPC Gender: Female Door County Department of Community Programs Location: 421 Nebraska St Sturgeon Bay, WI 54235 920-746-2345 Begrow, Glen P MS, LCSW Gender: Male Bleser, Bobbie Jo L SAC Gender: Female Additional Languages:French Hirn, Pamela J LCSW, LPC Gender: Female Livingston, Jay S MS, LPC Gender: Male Wellness Center of Door County Location: 312 N. 5th Ave Sturgeon Bay, WI 54235 920-746-9444 Baranowski, Brad E LPC Gender: Male Page 91 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Nett-Work Family Counseling, LLC Location: 621 E Mill ST Nett-Work Family Counseling, LLC Location: 2801 Calumet Dr Rib Lake, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Tomahawk, WI Wausau, WI North Central Health Care - Tomahawk Location: 310 W Wisconsin Achieve Center, Inc Location: 2600 Stewart Ave Tomahawk, WI 54487 715-453-5381 Lemke, Judy S ICSW, LPC Gender: Female Waupaca, WI Specialty Care Providers Catholic Charities Location: N2845 Shadow Rd Waupaca, WI 54981 920-680-7450 Sebora, Thomas P MSW, LMFT, LCSW, SAC Gender: Male Board Certifications: National Certified Gambling Counselor ThedaCare Behavioral Health Location: 902 Riverside Dr STE 204 Waupaca, WI 54981 Skyrms, Debra K MSE Gender: Female Toney, Patricia R MSE, LPC Gender: Female Trantow, Inez K MSE, LPC Gender: Female Hospital/Medical Affiliations: Riverside Medical Center Watson Counseling Services Location: 624 Wisconsin St Waupaca, WI 54981 715-281-1847 Watson, Sandra J LPC Gender: Female Ste 38 Wausau, WI 54401 Brueggen, Katie LMFT Gender: Female Thur, John R MSW Gender: Male Wendt, Bruce E LCSW, LPC Gender: Male Wesley, Carol Jean LMFT, LPC, SAC Gender: Female Board Certifications: Wisconsin Certification Bd CADC III Aspirus Behavioral Medicine Clinic Location: 520 N 28th Ave STE 100 Wausau, WI 54401 715-847-0094 Skrzypchak, Melissa R LCSW Gender: Female Aspirus Comfort Care & Hospice Services Location: Aspirus Wausau Hospital 333 Pine Ridge Blvd Wausau, WI 54401 Switek, Sara E LCSW Gender: Female Aspirus Specialists Inc Location: 425 Wind Ridge Dr Wausau, WI 54401 715-675-3391 Statz, Shelly R LCSW Gender: Female Charis Counseling, LLC Location: 2620 W Stewart Wausau, WI 54402-8004 Ave STE 310 Wausau, WI 54401-4162 715-847-2004 715-848-0525 Skrzypchak, Melissa R LCSW Gender: Female 715-845-4900 715-847-2505 AWH dba Aspirus Memory Clinic Location: 2720 Plaza Dr Center for Human Development Location: 631 Forest St Wausau, WI 54401 715-842-0944 Grim, C Suzanne LMFT Gender: Female Hamann, Stephanie J MA, LPC Gender: Female Board Certifications: National Board Certified Counselors Morgan, Erin E LCSW Gender: Female Rasmussen, Michele L MA, LPC Gender: Female Turinetti, Greg J MS, LMFT Gender: Male Webster, Barbara M MS, LCSW Gender: Female Webster, Edmund L MSW, LCSW Gender: Male Board Certifications: National Assoc of Social Workers Centre for Well-Being, Inc Location: 300 N 3rd St STE 302 Wausau, WI 54403 715-848-5022 Muir, Carolyn S LPC Gender: Female Board Certifications: American Counseling Association Muttonen, Sharon L MS, LPC Gender: Female Salzman, Noreen A LCSW Gender: Female Cotrone, Patricia A MA, LPC Gender: Female Jass, Rick A LPC Gender: Male Starkey Munson, Jennifer LMFT Gender: Female Wiese, Georgia M MS, LPC Gender: Female Compass Counseling Wausau, LLC Location: 1202 Callon Street Wausau, WI 54401 715-845-5493 Buechler, Lynne M LCSW, LPC, CSAC, ICS Gender: Female Cameron, Andrew E LPC Gender: Male Cameron, Elizabeth S APSW, RN Gender: Female Krueger, Sandra M APSW Gender: Female MacIntyre, David J LPC Gender: Male Marcott, Amy LPC Gender: Female Maxey, Jill Walter LPC Gender: Female Mixdorf, Mark M ICSW Gender: Male Peterson, Tracy L LPC Gender: Female Dix and Gillette Counseling Services, LLP Location: 1720 Merrill Ave #401 Wausau, WI 54401 715-675-3888 Dix, Michael P CSAC, LMFT Gender: Male Gillette, Patricia J MA Gender: Female Board Certifications: American Counseling Association Page 92 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Elmergreen Associates Location: 114 Grand Ave Wausau, WI 54403 715-845-7175 Family Counseling Services Location: 903 N 2nd St Wausau, WI 54403 715-842-3346 Benedetto, Andrew S LCSW Gender: Male Bolling, Ashley M SAC, LPC Gender: Female Krueger, Sandra M APSW Gender: Female Slavin, Michael J CSAC Gender: Male Wilder-Stieber, Beth D MS, LPC Gender: Female Peaceful Solutions Counseling Location: 1720 Merrill Ave Wausau, WI 54403 STE 404 Wausau, WI 54401 715-848-4600 Altis, Jessica H PA Gender: Female Becker, Mark S LCSW Gender: Male Buechler, Lynne M LCSW, LPC, CSAC, ICS Gender: Female Cameron, Andrew E LPC Gender: Male Cram, Kay LPC Gender: Female Dexter, Barry A LCSW, ICS, CSAC Gender: Male Board Certifications: Wisconsin Certification Bd CADC III Gallenberg, Shelly A LPC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Hemp, Sheryl A LCSW Gender: Female Kresse, Gregory J LCSW, SAC Gender: Male Schultz, Russell L LCSW Gender: Male Seubert, Mary L CSAC, LPC Gender: Female Sigler-Edmundson, Julie A LPC Gender: Female Sliefert, David A LPC Gender: Male North Central Health Care Facility - Psychiatric Center Location: 1100 Lakeview Dr Wausau, WI 54403 715-848-4600 Nikolay, Charity LPC Gender: Female Paisar, Carrie A LPC Gender: Female Schubert, Herman LPC Gender: Male 715-675-3458 Hinner Dowis, Ashleigh L MSE, LPC Gender: Female Nowak, Jolene V LPC Gender: Female Shipway, Michaele MSW, LCSW Gender: Female Turinetti, Greg J MS, LMFT Gender: Male Primary Connection Health Care Location: 1810 N Second St Wausau, WI 54403 715-848-4884 Buechler, Lynne M LCSW, LPC, CSAC, ICS Gender: Female Kessel, Delores LCSW Gender: Female Leonoff, Amie LMFT Gender: Female Wautoma, WI Catholic Charities Location: 474 S Cambridge St Wautoma, WI 54982 920-680-7450 Sebora, Thomas P MSW, LMFT, LCSW, SAC Gender: Male Board Certifications: National Certified Gambling Counselor West Bend, WI Christian Family Counseling Location: 120 N Main St STE 340 West Bend, WI 53095 262-335-9599 Yerges, Sena C LPC Gender: Female Wisconsin Rapids, WI Wood County Unified Services Location: 2611 12th St Wisconsin Rapids, WI 54494 715-421-8840 Goergen, Laura L LPC Gender: Female Hadfield, Richard W LPC Gender: Male Nelson, Connie L CSAC Gender: Female Board Certifications: WI Cert Bd Reg Alcohol & Drug Counselor II Readel, Mary L LPC Gender: Female Schueler-Sheveland, Susan L CSAC, LPC Gender: Female Schvetz, Barbara B LCSW Gender: Female Sullivan, Beth L LPC Gender: Female Options Treatment Programs, Inc Location: All Area Counseling 719 W Main St Wautoma, WI 54982 920-787-7472 Rasmussen, Wade A LPC Gender: Male Page 93 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Becker, Mark S LCSW Gender: Male Elmergreen, Kandace J LCSW Gender: Female George-Bol, Kathleen M LPC Gender: Female Grass, Sandra J LCSW, MS Gender: Female Jashinsky, Donna M LPC Gender: Female Koller, Timothy J LPC Gender: Male Maas, Kelly A LPC Gender: Female Olson, Jerry L ICS, CSAC, LPC Gender: Male Wisnewski, Sue E LCSW Gender: Female North Central Health Care - Wausau Location: 1100 Lakeview Dr Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Cardiac Electrophysiolo gy Appleton, WI Appleton Cardiology ThedaCare Location: 1818 N Meade St Appleton, WI 54911 Specialty Care Providers 920-731-8900 Mariano, D James MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Zhou, Li MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Gilman, WI Memorial Health Center Clinics Location: 320 E Main St PO Box 64 Gilman, WI 54433 715-447-8293 Rist, Kevin MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Location: 835 S VanBuren St Green Bay, WI 54301 Green Bay, WI Appleton Cardiology ThedaCare Location: 1726 Shawano 920-731-8900 Ave Green Bay, WI 54303 920-731-8900 Mariano, D James MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Zhou, Li MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Location: 1821 S Webster Ave Green Bay, WI 54301 920-731-8900 Mariano, D James MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Zhou, Li MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Mariano, D James MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Zhou, Li MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Cardiology Associates of Bellin Health Location: 744 S Webster Ave 2nd Floor Green Bay, WI 54301 920-445-7226 Jazayeri, Mohammad-Reza MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Community Memorial Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Medford, WI Memorial Health Center Clinics Location: 143 S Gibson St Medford, WI 54451 715-748-2121 Rist, Kevin MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Neenah, WI Appleton Cardiology ThedaCare Location: 200 Theda Clark Medical Plaza Ste 320 Neenah, WI 54956 920-722-3341 Mariano, D James MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Zhou, Li MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Page 94 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Phillips, WI Rib Lake, WI Memorial Health Center Clinics Location: 625 Peterson Ave Memorial Health Center Clinics Location: 1121 Hwy 102 Phillips, WI 54555 Rib Lake, WI 54470 715-339-4035 Cardiac Monitoring Cherry HIll, NJ 715-427-5701 Raytel Cardiac Services, Inc Location: Cherry Hill Corp Rist, Kevin MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Prentice, WI Sheboygan, WI Memorial Health Center Clinics Location: 1511 Railroad Ave Coulis Cardiology, SC Location: 1414 N Taylor Dr Prentice, WI 54456 715-428-2521 Rist, Kevin MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Rhinelander, WI Aspirus Cardiovascular Associates Location: 2275 North Shore Dr. Rhinelander, WI 54501 800-441-4013 Rist, Kevin MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Sheboygan, WI 53081 920-458-9800 Horth, Robert M MD Gender: Male Board Certifications: ABIM Clinical Cardiac Electrophysiology Wausau, WI Aspirus Cardiovascular Associates Location: 500 Wind Ridge Dr. Wausau, WI 54401 Center STE 500 535 Route 38 Cherry HIll, NJ 08002 800-242-7137 Raytel Cardiac Services, Inc Location: 7 Waterside Crossing Windsor, CT 06095-0727 800-367-1095 Location: Wisconsin Service Area Telephone 800367-1095 Ext. 254 Fax # 860602-4749 Windsor, CT 06095 Lake Success, NY Cardiology Raytel Cardiac Services, Inc Location: 1979 Marcus Ave Algoma, WI STE C101 Lake Success, NY 11042 800-367-0300 Plymouth, MN Equimed Location: 3300 Fernbrook Ln N STE 175 Plymouth, MN 55447 Bellin Health FMC Algoma Location: 1510 Fremont St Algoma, WI 54201 920-487-3676 Tanke, Timothy E MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Interventional Cardiology 763-557-6814 Equimed, 715-847-2611 Mykytsey, Andrew MD Gender: Male Rist, Kevin MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Waltham, MA Raytel Cardiac Services, Inc Location: 235 Bear Hill Rd STE 200 Waltham, MA 02451-1014 800-955-6363 Page 95 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Rist, Kevin MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Windsor, CT Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Antigo, WI Aspirus Cardiovascular Associates Location: 501 Aurora St Appleton Cardiology ThedaCare Location: 1818 N Meade St Antigo, WI 54409 Appleton, WI 54911 800-441-4013 Specialty Care Providers Appleton, WI Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Luce, Joshua L MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine 920-731-8900 Ackell, Peter H MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Alaswad, Khaldoon MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Additional Languages:Arabic Board Certifications: ABIM Interventional Cardiology Beiser, G David MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Chapman, Carrie B MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Fletcher, William O MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Gitter, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Guttormsen, Brian N MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Interventional Cardiology Lewandowski, Thomas J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Majahalme, Silja K MD, PhD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Additional Languages:Finnish Mannebach, Patrick C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Mariano, D James MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Mielke, Douglas W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Roselaar, Simon E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Wilson, Robert L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Zhou, Li MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Ramamohan V Turlapati, MD Location: 820 E Grant St Appleton, WI 54911 920-739-9550 Turlapati, Ramamohan V MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Page 96 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Brillion, WI Clintonville, WI Eagle River, WI Fond du Lac, WI Cardiology Associates of Bellin Health Location: 964 W Ryan St Appleton Cardiology ThedaCare Location: 370 S Main St Aspirus Cardiovascular Associates Location: 201 Hospital Road Fond du Lac Regional Clinic Location: 420 E Division St STE B Brillion, WI 54110 Clintonville, WI 54929 Eagle River, WI 54521 Fond du Lac, WI 54935 920-433-3640 Chilton, WI Appleton Cardiology ThedaCare Location: 614 Memorial Dr Chilton, WI 53014 920-731-8900 Ackell, Peter H MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease 800-441-4013 Fletcher, William O MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease De Pere, WI Prevea Health Location: 3860 Monroe Rd De Pere, WI 54115 920-496-4700 Wibben, Scott A RN Gender: Male Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine 920-923-7400 Bowman, David R MD Gender: Male Board Certifications: AB Internal Medicine Diaz, Juan F MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Additional Languages:Spanish Board Certifications: ABIM Cardiovasular Disease Mirza, Rubina MD Gender: Female Nadig, Vishwanatha S MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: ABIM Cardiology Roth, James A MD Gender: Female Hospital/Medical Affiliations: Froedtert Memorial Lutheran Hospital, St Agnes Hospital Board Certifications: AB Internal Medicine Santa-Cruz, Richard A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Additional Languages:Spanish Board Certifications: AB Internal Medicine Page 97 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Blake, Donnevan MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Fuchs, Matthias A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Community Memorial Hospital, Bellin Memorial Hospital, Bay Area Medical Center, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine 920-731-8900 Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. St Agnes Hospital Location: 430 E Division St Fond du Lac, WI 54935 Specialty Care Providers 920-929-2300 Diaz, Juan F MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Additional Languages:Spanish Board Certifications: ABIM Cardiovasular Disease Santa-Cruz, Richard A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Additional Languages:Spanish Board Certifications: AB Internal Medicine Gilman, WI Green Bay, WI Memorial Health Center Clinics Location: 320 E Main St PO Appleton Cardiology ThedaCare Location: 1726 Shawano Box 64 Gilman, WI 54433 Ave Green Bay, WI 54303 715-447-8293 Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine 920-731-8900 Mariano, D James MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Zhou, Li MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Location: 1821 S Webster Ave Green Bay, WI 54301 Location: 835 S VanBuren St Green Bay, WI 54301 920-731-8900 Mariano, D James MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Zhou, Li MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology 920-731-8900 Mariano, D James MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Zhou, Li MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Page 98 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Cardiology Associates of Bellin Health Location: 744 S Webster Ave 2nd Floor Green Bay, WI 54301 920-445-7226 Prevea Health Centers Location: 1727 Shawano Ave Green Bay, WI 54303 920-496-8877 Fergus, Peter A MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Fergus, Todd S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Gala, Simil S MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Ai, Zhaowei MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Froedtert Memorial Lutheran Hospital Additional Languages:Chinese Board Certifications: AB Internal Medicine Johnson, Heather A PA Gender: Female Marsh Kates, Kendra MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center Board Certifications: ABIM Cardiovasular Disease Pienkos, Paul S MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Marsh Kates, Kendra MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center Board Certifications: ABIM Cardiovasular Disease Page 99 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Blake, Donnevan MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Fuchs, Matthias A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Community Memorial Hospital, Bellin Memorial Hospital, Bay Area Medical Center, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Hudson, Paul A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Jazayeri, Mohammad-Reza MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Community Memorial Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Munagala, Vijaya K MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bay Area Medical Center, Community Memorial Hospital Board Certifications: AB Internal Medicine Rider, James E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Bellin Psychiatric Hospital Board Certifications: ABIM Cardiovasular Disease Tanke, Timothy E MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Interventional Cardiology Timmons, Richard J MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Community Memorial Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Verma, Rahul MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital Board Certifications: ABIM Cardiovasular Disease Washington, Barbara A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Wolfram, Christopher M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Cardiovasular Disease Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Iron Mountain, MI Lakewood, WI Manitowoc, WI Cardiology Associates of Bellin Health Location: 1721 S Aspirus Cardiovascular Associates Location: N10565 Cardiology Associates of Bellin Health Location: 15397 Hwy 32 The Heart and Vascular Center Location: 2300 Western Ave Stephenson Ave Iron Mountain, MI 49801 Grandview Lane Ironwood, MI 49938 Lakewood, WI 54138 Manitowoc, WI 54220 920-433-3640 Specialty Care Providers Ironwood, MI Fuchs, Matthias A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Community Memorial Hospital, Bellin Memorial Hospital, Bay Area Medical Center, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Dickinson County Healthcare System Location: 1721 S Stephenson Ave Iron Mountain, MI 498013637 906-774-1313 Rayel, Ramon R MD Gender: Male 920-433-3640 715-847-2611 Engelmeier, Richard S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Luce, Joshua L MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Luetmer, Paul A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Verma, Rahul MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital Board Certifications: ABIM Cardiovasular Disease Luxemburg, WI Prevea Health Centers Location: 101 School Creek Trail Luxemburg, WI 54217 920-845-2351 Ai, Zhaowei MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Froedtert Memorial Lutheran Hospital Additional Languages:Chinese Board Certifications: AB Internal Medicine 920-320-3000 Gentile, Matthew K MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Laham, Charles L MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Rosenberg, Michael J MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Swerchowsky, Vladimir N MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Holy Family Memorial Medical Center Page 100 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Marinette, WI Bay Area Medical Center Location: 3100 Shore Dr Marinette, WI 54143 715-735-6621 STE 104 Marinette, WI 54143 Prevea Health Centers Location: 1409 Cleveland Ave Marinette, WI 54143 888-277-3832 920-433-3640 Rider, James E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Bellin Psychiatric Hospital Board Certifications: ABIM Cardiovasular Disease Tanke, Timothy E MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Interventional Cardiology NorthReach Healthcare Location: 1106 University Avenue Marinette, WI 54143 715-735-5272 Gamez, Francisco J MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Additional Languages:Spanish Board Certifications: AB Internal Medicine Location: 3123 Shore Dr STE 102 Marinette, WI 54143 Fergus, Peter A MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Fergus, Todd S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Gala, Simil S MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Marsh Kates, Kendra MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center Board Certifications: ABIM Cardiovasular Disease 715-735-8067 Gamez, Francisco J MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Additional Languages:Spanish Board Certifications: AB Internal Medicine Medford, WI Aspirus Cardiovascular Associates Location: 135 S. Gibson Medford, WI 54451 800-441-4013 Grady, Timothy P DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Logemann, Timothy N MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Langlade Hospital, Riverview Hospital Board Certifications: ABIM Interventional Cardiology Luce, Joshua L MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Luetmer, Paul A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Page 101 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Gamez, Francisco J MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Additional Languages:Spanish Board Certifications: AB Internal Medicine Hudson, Paul A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Massabni, Edgar J MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Board Certifications: ABIM Interventional Cardiology Rider, James E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Bellin Psychiatric Hospital Board Certifications: ABIM Cardiovasular Disease Tanke, Timothy E MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Interventional Cardiology Wolfram, Christopher M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Cardiovasular Disease Cardiology Associates of Bellin Health Location: 3130 Shore Dr Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Memorial Health Center Clinics Location: 143 S Gibson St Medford, WI 54451 Specialty Care Providers 715-748-2121 Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Mountain, WI Neenah, WI Cardiology Associates of Bellin Health Location: 14353 Hwy 32/64 Appleton Cardiology ThedaCare Location: 200 Theda Clark Mountain, WI 54149 Medical Plaza Ste 320 Neenah, WI 54956 920-433-3640 Verma, Rahul MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital Board Certifications: ABIM Cardiovasular Disease 920-722-3341 Ackell, Peter H MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Alaswad, Khaldoon MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Additional Languages:Arabic Board Certifications: ABIM Interventional Cardiology Beiser, G David MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Chapman, Carrie B MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Fletcher, William O MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Gitter, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Guttormsen, Brian N MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Interventional Cardiology Lewandowski, Thomas J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Majahalme, Silja K MD, PhD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Additional Languages:Finnish Mannebach, Patrick C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Mariano, D James MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Mielke, Douglas W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Roselaar, Simon E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Page 102 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wilson, Robert L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Zhou, Li MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, St Vincent Hospital Board Certifications: ABIM Clinical Cardiac Electrophysiology Appleton Cardiology ThedaCare Location: 1405 Mill St New London, WI 54961 920-731-8900 Fletcher, William O MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Oconto, WI Cardiology Associates of Bellin Health Location: 103 First St Oconto, WI 54153 920-433-3640 Oshkosh, WI Phillips, WI Cardiology Associates of Bellin Health Location: 835 S Main St Appleton Cardiology ThedaCare Location: 600 N Westhaven Memorial Health Center Clinics Location: 625 Peterson Ave Oconto Falls, WI 54154 Dr Oshkosh, WI 54904 Phillips, WI 54555 920-433-3640 Blake, Donnevan MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Fuchs, Matthias A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Community Memorial Hospital, Bellin Memorial Hospital, Bay Area Medical Center, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Verma, Rahul MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital Board Certifications: ABIM Cardiovasular Disease 920-731-8900 Lewandowski, Thomas J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Wilson, Robert L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Verma, Rahul MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital Board Certifications: ABIM Cardiovasular Disease 715-339-4035 Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Page 103 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers New London, WI Oconto Falls, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Plymouth, WI Prentice, WI Rhinelander, WI Marsho Family Medical Group, SC Location: 515 E Mill St Memorial Health Center Clinics Location: 1511 Railroad Ave Aspirus Cardiovascular Associates Location: 2275 North Shore Plymouth, WI 53073 Prentice, WI 54456 Dr. Rhinelander, WI 54501 920-892-4311 Specialty Care Providers Feiring, Andrew J MD Gender: Male Hospital/Medical Affiliations: Sacred Heart Rehab Institute, Columbia St Mary's Hospital of Milwaukee Board Certifications: AB Internal Medicine 715-428-2521 Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease 800-441-4013 Engelmeier, Richard S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Aspirus Rhinelander Clinic Location: 1630 N Chippewa Dr Rhinelander, WI 54501 715-361-5480 Weibel, Jennifer S DO Gender: Female Rib Lake, WI Memorial Health Center Clinics Location: 1121 Hwy 102 Rib Lake, WI 54470 715-427-5701 Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Page 104 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Location: 309 N Bartlette St Shawano, WI 54166 Shawano, WI Appleton Cardiology ThedaCare Location: 100 County Rd B Shawano, WI 54166 Ripon, WI Appleton Cardiology ThedaCare Location: 1080 W Fond du Lac St Ripon, WI 54971 920-722-3341 Fond du Lac Regional Clinic Location: 790 East Gate Dr Ripon, WI 54971 920-745-3180 Bowman, David R MD Gender: Male Board Certifications: AB Internal Medicine Santa-Cruz, Richard A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Additional Languages:Spanish Board Certifications: AB Internal Medicine Alaswad, Khaldoon MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Additional Languages:Arabic Board Certifications: ABIM Interventional Cardiology Beiser, G David MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Majahalme, Silja K MD, PhD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Additional Languages:Finnish Alaswad, Khaldoon MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Additional Languages:Arabic Board Certifications: ABIM Interventional Cardiology Beiser, G David MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Majahalme, Silja K MD, PhD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Theda Clark Medical Center Additional Languages:Finnish Sheboygan, WI 53081 920-457-4438 Feiring, Andrew J MD Gender: Male Hospital/Medical Affiliations: Sacred Heart Rehab Institute, Columbia St Mary's Hospital of Milwaukee Board Certifications: AB Internal Medicine Sheboygan, WI Coulis Cardiology, SC Location: 1414 N Taylor Dr Sheboygan, WI 53081 920-458-9800 Coulis, Louie MD Gender: Male Hospital/Medical Affiliations: Columbia St Mary's Hospital of Milwaukee, Froedtert Memorial Lutheran Hospital, St Nicholas Hospital Additional Languages:German Board Certifications: ABIM Cardiovasular Disease Feiring, Andrew J MD Gender: Male Hospital/Medical Affiliations: Sacred Heart Rehab Institute, Columbia St Mary's Hospital of Milwaukee Board Certifications: AB Internal Medicine Page 105 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Mielke, Douglas W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease 920-731-8900 920-731-8900 Marsho Family Medical Group, SC Location: 1703 N Taylor Dr Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Stevens Point, WI Aspirus Cardiovascular Associates Location: 5409 Vern Holmes Dr. Stevens Point, WI 54402 Specialty Care Providers 800-441-4013 Grady, Timothy P DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Logemann, Timothy N MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Langlade Hospital, Riverview Hospital Board Certifications: ABIM Interventional Cardiology Luetmer, Paul A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Waupaca, WI Appleton Cardiology ThedaCare Location: 800 Riverside Dr Waupaca, WI 54981 920-731-8900 Sturgeon Bay, WI Cardiology Associates of Bellin Health Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-433-3640 Blake, Donnevan MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Timmons, Richard J MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Community Memorial Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Prevea Health Centers Location: 342 Louisana St Sturgeon Bay, WI 54235 920-746-7671 Fergus, Peter A MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Gitter, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Guttormsen, Brian N MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Interventional Cardiology Mannebach, Patrick C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Cardiovasular Disease Waupun Area Clinic Location: 14 Beaver Dam St Waupun, WI 53963 920-324-6800 Santa-Cruz, Richard A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Additional Languages:Spanish Board Certifications: AB Internal Medicine Waupun Memorial Hospital Location: 620 W Brown St Waupun, WI 53963 920-324-2300 Diaz, Juan F MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Additional Languages:Spanish Board Certifications: ABIM Cardiovasular Disease Waupun, WI Fond du Lac Regional Clinic Location: 608 W Brown St Waupun, WI 53963 920-324-6800 Santa-Cruz, Richard A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Additional Languages:Spanish Board Certifications: AB Internal Medicine Page 106 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wausau, WI Aspirus Cardiovascular Associates Location: 500 Wind Ridge Dr. Wausau, WI 54401 715-847-2611 Wisconsin Rapids, WI Aspirus Cardiovascular Associates Location: 2031 Peach St Wisconsin Rapids, WI 54494 800-441-4013 Grady, Timothy P DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Logemann, Timothy N MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Langlade Hospital, Riverview Hospital Board Certifications: ABIM Interventional Cardiology Luce, Joshua L MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Luetmer, Paul A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Woodruff, WI Aspirus Cardiovascular Associates Location: 611 Veterans Parkway Woodruff, WI 54568 800-441-4013 Engelmeier, Richard S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Page 107 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Engelmeier, Richard S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Frangiskakis, J Michael MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: AB Internal Medicine Furda, Joel L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Grady, Timothy P DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Haase, Michael A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Riverview Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Jabbour, Samer MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Riverview Hospital, Memorial Health Center Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Logemann, Timothy N MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Langlade Hospital, Riverview Hospital Board Certifications: ABIM Interventional Cardiology Luetmer, Paul A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Cardiothoracic Surgery Appleton, WI Appleton Cardiac Surgery Location: 1818 N Meade St STE N347 Appleton, WI 54911 Specialty Care Providers 920-225-1449 Ferrante, Robert J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Board Certifications: AB Thoracic Surgery Miles, Ronald H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Thoracic Surgery Fond du Lac, WI Fond du Lac Regional Clinic Location: 420 E Division St Fond du Lac, WI 54935 920-923-7400 Gasparri, Mario G MD Gender: Male Hospital/Medical Affiliations: Froedtert Memorial Lutheran Hospital, St Agnes Hospital Board Certifications: AB Thoracic Surgery Lilly, Ronald E MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Thoracic Surgery Nicolosi, Alfred C MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Thoracic Surgery Sursum Corda, SC Location: 900 S Webster Green Bay, WI Green Bay Cardiothoracic & Vascular Location: 720 S Van Buren St STE 303 Green Bay, WI 54301 920-433-9621 Cain, Thomas L MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Thoracic Surgery Gerndt, Steven J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Thoracic Surgery Greer, Kevin A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Thoracic Surgery Ave Green Bay, WI 54301 Cardiovascular Surgery 920-431-3140 Coleman, Edward J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Thoracic Surgery Wausau, WI Aspirus Clinic Location: 425 Pine Ridge Blvd Suite 209 Wausau, WI 54401 715-847-0400 Miles, Ronald H MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Thoracic Surgery Antigo, WI Aspirus Cardiovascular Associates Location: 501 Aurora St Antigo, WI 54409 800-441-4013 Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Prevea Health Centers Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Seccombe, John F MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Thoracic Surgery Suarez, Louis A MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: AB Thoracic Surgery Page 108 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Eagle River, WI Prevea Health Centers Location: St Vincent Gilman, WI Aspirus Cardiovascular Associates Location: 201 Hospital Road Memorial Health Center Clinics Location: 320 E Main St PO Eagle River, WI 54521 Box 64 Gilman, WI 54433 800-441-4013 Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Green Bay, WI Cardiology Associates of Bellin Health Location: 744 S Webster Ave 2nd Floor Green Bay, WI 54301 920-445-7226 Washington, Barbara A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital 920-496-4700 Seccombe, John F MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Thoracic Surgery Ironwood, MI Aspirus Cardiovascular Associates Location: N10565 Grandview Lane Ironwood, MI 49938 715-847-2611 Engelmeier, Richard S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Luetmer, Paul A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Medford, WI Aspirus Cardiovascular Associates Location: 135 S. Gibson Medford, WI 54451 800-441-4013 Grady, Timothy P DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Logemann, Timothy N MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Langlade Hospital, Riverview Hospital Board Certifications: ABIM Interventional Cardiology Luetmer, Paul A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Page 109 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine 715-447-8293 Hospital 835 S Van Buren St Green Bay, WI 54301 Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Memorial Health Center Clinics Location: 143 S Gibson St Medford, WI 54451 Specialty Care Providers 715-748-2121 Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Phillips, WI Prentice, WI Rhinelander, WI Memorial Health Center Clinics Location: 625 Peterson Ave Memorial Health Center Clinics Location: 1511 Railroad Ave Aspirus Cardiovascular Associates Location: 2275 North Shore Phillips, WI 54555 Prentice, WI 54456 Dr. Rhinelander, WI 54501 715-339-4035 715-428-2521 Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease 800-441-4013 Engelmeier, Richard S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Page 110 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Rib Lake, WI Stevens Point, WI Wausau, WI Memorial Health Center Clinics Location: 1121 Hwy 102 Aspirus Cardiovascular Associates Location: 5409 Vern Holmes Aspirus Cardiovascular Associates Location: 500 Wind Ridge Rib Lake, WI 54470 Dr. Stevens Point, WI 54402 Dr. Wausau, WI 54401 715-427-5701 800-441-4013 715-847-2611 Grady, Timothy P DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Logemann, Timothy N MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Langlade Hospital, Riverview Hospital Board Certifications: ABIM Interventional Cardiology Luetmer, Paul A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Engelmeier, Richard S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Frangiskakis, J Michael MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: AB Internal Medicine Furda, Joel L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Grady, Timothy P DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Page 111 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Logemann, Timothy N MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Langlade Hospital, Riverview Hospital Board Certifications: ABIM Interventional Cardiology Luetmer, Paul A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wisconsin Rapids, WI Aspirus Cardiovascular Associates Location: 2031 Peach St Wisconsin Rapids, WI 54494 Specialty Care Providers 800-441-4013 Grady, Timothy P DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Guigauri, Pavel MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Logemann, Timothy N MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Langlade Hospital, Riverview Hospital Board Certifications: ABIM Interventional Cardiology Luetmer, Paul A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Woodruff, WI Green Bay, WI Aspirus Cardiovascular Associates Location: 611 Veterans Anima Family Counseling Location: 2475 University Way STE A Green Bay, WI 54302 Parkway Woodruff, WI 54568 920-469-1201 800-441-4013 Engelmeier, Richard S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Interventional Cardiology Hoffmann, Mark T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Larrain, German MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Cardiovasular Disease Murdock, David K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Child & Adolescent Psychiatry Fullan, Neil P MD Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Child & Adolescent Psych Bellin Behavioral Health Clinic Location: 301 E St Joseph St Green Bay, WI 54301 920-433-3630 Brachmann, Denise A MD Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Child & Adolescent Psych Castillo, Carlos S MD Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Catholic Charities Location: 1825 Riverside Dr Green Bay, WI 54305 920-437-7531 De Pere, WI A Sound Mind Location: 428 N Superior St STE 110 De Pere, WI 54115 Larson, Chris N MD Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Child Psychiatry 920-338-8330 Kitcher, Paulina D MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Additional Languages:Russian Family Services Of Northeast Wisconsin, Inc Location: 300 Crooks St Green Bay, WI 54301 920-436-6800 Davis, Howard W MD Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Child Psychiatry Neenah, WI Psychiatric Consultants, SC Location: 40 Jewelers Park Dr STE 100 Neenah, WI 54956 920-720-9995 Korger, John N MD Gender: Male Plymouth, WI BridgePoint Health, LLC Location: 515 E Mill St Plymouth, WI 53073 920-458-5557 Saul, Jennifer S MD Gender: Female Board Certifications: AB Psychiatry & Neurology Psychiatry Sheboygan, WI BridgePoint Health, LLC Location: 3425 Superior Ave Sheboygan, WI 53081 920-458-5557 Saul, Jennifer S MD Gender: Female Board Certifications: AB Psychiatry & Neurology Psychiatry Page 112 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Colon Rectal Surgery NEW Surgical Associates, SC Location: 670 Cormier Rd Oconto Falls, WI Green Bay, WI 54304 920-494-9685 Appleton, WI Fox Valley Surgical Associates, LTD Location: 1818 N Meade St STE 240W Appleton, WI 54911 920-731-8131 Green Bay, WI Bellin Health System Location: 744 S Webster Ave Green Bay, WI 54305 920-433-3500 Ruggles, Scott L MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Colon & Rectal Surgery Community Memorial Hospital Location: 855 S Main St Dermatology Associates Of Wisconsin, SC Location: 700 Hillcrest Ct Oconto Falls, WI 54154 Beaver Dam, WI 53916 920-846-3444 Dermatology Appleton, WI Dermatology Associates Of Wisconsin, SC Location: 3935 N. Lightning Dr. Appleton, WI 54913 920-968-1790 CT Scan Lewis, Michelle D MD Gender: Female Board Certifications: AB Dermatology Weed, Brent R MD Gender: Male Additional Languages:French Board Certifications: AB Dermatology Dermatopathology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Green Bay, WI Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 St Vincent Hospital Location: 1821 S Webster Ave Green Bay, WI 54302 920-433-0111 Kagen Dermatology Clinic Location: 100 W Lawrence Oconto, WI St STE 409 Appleton, WI 54911 CMH Primary Care Clinic Location: 103 First St Oconto, WI 54153 920-835-1144 920-733-5138 Kagen, Charles N MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages:French Board Certifications: AB Dermatology 920-885-2622 Passow, Tara L MD Gender: Female Bellevue, WI Dermatology Associates Of Wisconsin, SC Location: 2617 Development Dr. Bellevue, WI 54311 920-498-8899 Ballo, Frances S MD Gender: Female Board Certifications: AB Dermatology Hanson, Eric M MD Gender: Male Board Certifications: AB Dermatology Pechman, Kenneth J MD PHD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Dermatology Starling, John MD Gender: Male Board Certifications: AB Dermatology Stover, Paul M MD Gender: Male Board Certifications: AB Dermatology Thaler, Diane MD Gender: Female Board Certifications: AB Dermatology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Page 113 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Klingbeil, Jeffrey K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Colon & Rectal Surgery Falk, Peter M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Colon & Rectal Surgery Ruggles, Scott L MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Colon & Rectal Surgery Beaver Dam, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Zarkhin, Semyon MD Gender: Male Board Certifications: AB Dermatology Chilton, WI Dermatology Associates Of Wisconsin, SC Location: 451E Brooklyn St STE 5 Chilton, WI 53014 Specialty Care Providers 920-683-5278 Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology De Pere, WI Dermatology Associates Of Wisconsin, SC Location: 1400 Scheuring Rd De Pere, WI 54115 920-964-0229 Ballo, Frances S MD Gender: Female Board Certifications: AB Dermatology Bertler, David E MD Gender: Male Board Certifications: AB Dermatology Campbell, Lisa B MD Gender: Female Board Certifications: AB Dermatology Cihla, Michelle L MD Gender: Female Board Certifications: AB Dermatology Hanson, Eric M MD Gender: Male Board Certifications: AB Dermatology Katz, Kenneth H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Dermatology Lin, Paula MD Gender: Female Board Certifications: AB Dermatology Pattee, Sean F MD Gender: Male Board Certifications: AB Dermatology Pechman, Kenneth J MD PHD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Dermatology Starling, John MD Gender: Male Board Certifications: AB Dermatology Stover, Paul M MD Gender: Male Board Certifications: AB Dermatology Thaler, Diane MD Gender: Female Board Certifications: AB Dermatology Weed, Brent R MD Gender: Male Additional Languages:French Board Certifications: AB Dermatology Dermatopathology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Fond du Lac, WI Dermatology Associates Of Wisconsin, SC Location: 111 Wisconsin American Dr Fond du Lac, WI 54937 920-923-0788 Ballo, Frances S MD Gender: Female Board Certifications: AB Dermatology Bertler, David E MD Gender: Male Board Certifications: AB Dermatology Campbell, Lisa B MD Gender: Female Board Certifications: AB Dermatology Cihla, Michelle L MD Gender: Female Board Certifications: AB Dermatology Hanson, Eric M MD Gender: Male Board Certifications: AB Dermatology Katz, Kenneth H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Dermatology Lewis, Kevan G MD Gender: Male Board Certifications: AB Dermatology Lin, Paula MD Gender: Female Board Certifications: AB Dermatology Maggiolino, Giacomo MD Gender: Male Pattee, Sean F MD Gender: Male Board Certifications: AB Dermatology Pechman, Kenneth J MD PHD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Dermatology Pujals, John S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center Board Certifications: AB Dermatology Dermatopathology Stover, Paul M MD Gender: Male Board Certifications: AB Dermatology Thaler, Diane MD Gender: Female Board Certifications: AB Dermatology Weed, Brent R MD Gender: Male Additional Languages:French Board Certifications: AB Dermatology Dermatopathology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Fond du Lac Regional Clinic Location: 145 N Main St Fond du Lac, WI 54935 920-926-8722 Schuster, James E MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Dermatology Steffes, Burt J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Dermatology Tjoelker, Michael L MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Dermatology Page 114 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Grafton, WI Dermatology Associates Of Wisconsin, SC Location: 1245 Cheyenne Ave STE 301 Grafton, WI 53024 920-683-5278 Green Bay, WI Dermatology Associates Of Wisconsin, SC Location: 2806 Riverview Dr Green Bay, WI 54313 920-498-7546 Ballo, Frances S MD Gender: Female Board Certifications: AB Dermatology Bertler, David E MD Gender: Male Board Certifications: AB Dermatology Campbell, Lisa B MD Gender: Female Board Certifications: AB Dermatology Cihla, Michelle L MD Gender: Female Board Certifications: AB Dermatology Hanson, Eric M MD Gender: Male Board Certifications: AB Dermatology Katz, Kenneth H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Dermatology Lin, Paula MD Gender: Female Board Certifications: AB Dermatology Dermatology Clinic, SC Location: 715 Superior Rd STE 120 Green Bay, WI 54311 920-406-9803 Zimmermann, Kolleen L MD Gender: Female Board Certifications: AB Dermatology Michael J Smullen, MD Location: 1239 W Mason St Green Bay, WI 54303 920-499-0696 Smullen, Michael J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center Board Certifications: AB Dermatology Smullen, Paul M MD Gender: Male Iron Mountain, MI Dickinson Dermatology Clinic Location: 1115 S Hemlock St STE 6 Iron Mountain, MI 49801 906-779-0717 Siniakov, Igor MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Dermatology Manitowoc, WI Dermatology Associates Of Wisconsin, SC Location: 1515 Randolph Ct Manitowoc, WI 54220 920-683-5278 Ballo, Frances S MD Gender: Female Board Certifications: AB Dermatology Bertler, David E MD Gender: Male Board Certifications: AB Dermatology Campbell, Lisa B MD Gender: Female Board Certifications: AB Dermatology Cihla, Michelle L MD Gender: Female Board Certifications: AB Dermatology Hanson, Eric M MD Gender: Male Board Certifications: AB Dermatology Katz, Kenneth H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Dermatology Keiler, Susan A MD Gender: Female Lin, Paula MD Gender: Female Board Certifications: AB Dermatology Maggiolino, Giacomo MD Gender: Male Pattee, Sean F MD Gender: Male Board Certifications: AB Dermatology Pechman, Kenneth J MD PHD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Dermatology Stover, Paul M MD Gender: Male Board Certifications: AB Dermatology Thaler, Diane MD Gender: Female Board Certifications: AB Dermatology Weed, Brent R MD Gender: Male Additional Languages:French Board Certifications: AB Dermatology Dermatopathology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Location: 801 York St Manitowoc, WI 54220 920-683-5278 Alexander, Erik C MD Gender: Male Katz, Peter J MD Gender: Male Board Certifications: AB Dermatology Keiler, Susan A MD Gender: Female Knabel, Mark R MD Gender: Male Wernli, Betsy J MD Gender: Female Board Certifications: AB Dermatology Page 115 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Maggiolino, Giacomo MD Gender: Male Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Pattee, Sean F MD Gender: Male Board Certifications: AB Dermatology Pechman, Kenneth J MD PHD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Dermatology Stover, Paul M MD Gender: Male Board Certifications: AB Dermatology Thaler, Diane MD Gender: Female Board Certifications: AB Dermatology Weed, Brent R MD Gender: Male Additional Languages:French Board Certifications: AB Dermatology Dermatopathology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Marinette, WI Dermatology Associates Of Wisconsin, SC Location: 3515 Murray St Marinette, WI 54143 Specialty Care Providers 715-732-0699 Ballo, Frances S MD Gender: Female Board Certifications: AB Dermatology Bertler, David E MD Gender: Male Board Certifications: AB Dermatology Campbell, Lisa B MD Gender: Female Board Certifications: AB Dermatology Cihla, Michelle L MD Gender: Female Board Certifications: AB Dermatology Earles, Rene M MD Gender: Male Board Certifications: AB Dermatology Hanson, Eric M MD Gender: Male Board Certifications: AB Dermatology Katz, Kenneth H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Dermatology Keiler, Susan A MD Gender: Female Lin, Paula MD Gender: Female Board Certifications: AB Dermatology Nietert, Elizabeth A MD Gender: Female Board Certifications: AB Dermatology Pattee, Sean F MD Gender: Male Board Certifications: AB Dermatology Pechman, Kenneth J MD PHD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Dermatology Starling, John MD Gender: Male Board Certifications: AB Dermatology Stover, Paul M MD Gender: Male Board Certifications: AB Dermatology Thaler, Diane MD Gender: Female Board Certifications: AB Dermatology Weed, Brent R MD Gender: Male Additional Languages:French Board Certifications: AB Dermatology Dermatopathology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Neenah, WI Dermatology Associates Of Wisconsin, SC Location: 188 Rockwood Ln STE A Neenah, WI 54956 920-968-1790 Bertler, David E MD Gender: Male Board Certifications: AB Dermatology Campbell, Lisa B MD Gender: Female Board Certifications: AB Dermatology Cihla, Michelle L MD Gender: Female Board Certifications: AB Dermatology Earles, Rene M MD Gender: Male Board Certifications: AB Dermatology Hanson, Eric M MD Gender: Male Board Certifications: AB Dermatology Katz, Kenneth H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Dermatology Keiler, Susan A MD Gender: Female Lewis, Michelle D MD Gender: Female Board Certifications: AB Dermatology Lin, Paula MD Gender: Female Board Certifications: AB Dermatology Maggiolino, Giacomo MD Gender: Male Negrete, Victoria R MD Gender: Female Board Certifications: AB Dermatology Pattee, Sean F MD Gender: Male Board Certifications: AB Dermatology Pechman, Kenneth J MD PHD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Dermatology Pujals, John S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center Board Certifications: AB Dermatology Dermatopathology Starling, John MD Gender: Male Board Certifications: AB Dermatology Stover, Paul M MD Gender: Male Board Certifications: AB Dermatology Thaler, Diane MD Gender: Female Board Certifications: AB Dermatology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Page 116 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. New London, WI Oconto Falls, WI Oshkosh, WI Ripon, WI Dermatology Associates Of Wisconsin, SC Location: 1620 N Shawano Dermatology Associates Of Wisconsin, SC Location: 835 S Main St STE Dermatology Associates Of Wisconsin, SC Location: 2351 State Rd 44 Fond du Lac Regional Clinic Location: 790 East Gate Dr St. New London, WI 54961 1 Oconto Falls, WI 54154 Oshkosh, WI 54904 Ripon, WI 54971 920-982-3870 920-683-5278 Ballo, Frances S MD Gender: Female Board Certifications: AB Dermatology Cihla, Michelle L MD Gender: Female Board Certifications: AB Dermatology Earles, Rene M MD Gender: Male Board Certifications: AB Dermatology Nietert, Elizabeth A MD Gender: Female Board Certifications: AB Dermatology Pechman, Kenneth J MD PHD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Dermatology Stover, Paul M MD Gender: Male Board Certifications: AB Dermatology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Black, Brenda L PAC Gender: Female Earles, Rene M MD Gender: Male Board Certifications: AB Dermatology Lewis, Kevan G MD Gender: Male Board Certifications: AB Dermatology Lin, Paula MD Gender: Female Board Certifications: AB Dermatology Lynott, James V MD Gender: Male Board Certifications: AB Dermatology Maggiolino, Giacomo MD Gender: Male Negrete, Victoria R MD Gender: Female Board Certifications: AB Dermatology Starling, John MD Gender: Male Board Certifications: AB Dermatology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Rhinelander, WI Aylesworth Dermatology SC Location: 550 E Timber Dr 920-745-3180 Tjoelker, Michael L MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Dermatology Shawano, WI Dermatology Associates Of Wisconsin, SC Location: 309 N Bartlette St Shawano, WI 54166 920-756-3156 Ballo, Frances S MD Gender: Female Board Certifications: AB Dermatology Cihla, Michelle L MD Gender: Female Board Certifications: AB Dermatology Pechman, Kenneth J MD PHD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Dermatology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Rhinelander, WI 54501 715-369-4500 Aylesworth, Robert J MD Gender: Male Board Certifications: AB Dermatology Page 117 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Earles, Rene M MD Gender: Male Board Certifications: AB Dermatology Hanson, Eric M MD Gender: Male Board Certifications: AB Dermatology Keiler, Susan A MD Gender: Female Lewis, Michelle D MD Gender: Female Board Certifications: AB Dermatology Negrete, Victoria R MD Gender: Female Board Certifications: AB Dermatology Starling, John MD Gender: Male Board Certifications: AB Dermatology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology 920-651-8855 Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Sheboygan, WI Stevens Point, WI Dermatology Associates Of Wisconsin, SC Location: 1440 N 25th St. Dermatology Associates Of Wisconsin, SC Location: 5501 A Vern Sheboygan, WI 54220 Holmes Dr. Stevens Point, WI 544829791 920-457-9100 Specialty Care Providers Myers, Kevin S MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Dermatology Shoreline Skin Specialists, SC Location: 1414 N Taylor Dr Ste 144 Sheboygan, WI 53081 920-457-3376 Tauscheck, Aloys L MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, St Nicholas Hospital Board Certifications: AB Dermatology Sheboygan Falls, WI Dermatology Associates Of Wisconsin, SC Location: 214 Monroe St Sheboygan Falls, WI 53085 920-208-7630 Keiler, Susan A MD Gender: Female Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology 715-344-0172 Grelck, Kurt W DO Gender: Male Hospital/Medical Affiliations: Riverview Hospital Sturgeon Bay, WI Dermatology Associates Of Wisconsin, SC Location: 33 Green Bay Rd Sturgeon Bay, WI 54235 920-746-4434 Ballo, Frances S MD Gender: Female Board Certifications: AB Dermatology Bertler, David E MD Gender: Male Board Certifications: AB Dermatology Campbell, Lisa B MD Gender: Female Board Certifications: AB Dermatology Cihla, Michelle L MD Gender: Female Board Certifications: AB Dermatology Earles, Rene M MD Gender: Male Board Certifications: AB Dermatology Hanson, Eric M MD Gender: Male Board Certifications: AB Dermatology Katz, Kenneth H MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Dermatology Lin, Paula MD Gender: Female Board Certifications: AB Dermatology Pattee, Sean F MD Gender: Male Board Certifications: AB Dermatology Pechman, Kenneth J MD PHD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Dermatology Starling, John MD Gender: Male Board Certifications: AB Dermatology Stover, Paul M MD Gender: Male Board Certifications: AB Dermatology Thaler, Diane MD Gender: Female Board Certifications: AB Dermatology Weed, Brent R MD Gender: Male Additional Languages:French Board Certifications: AB Dermatology Dermatopathology Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Dermatology Associates Of Wisconsin, SC Location: 510 N 17th Ave STE C Wausau, WI 54401 715-849-5333 Cihla, Michelle L MD Gender: Female Board Certifications: AB Dermatology Earles, Rene M MD Gender: Male Board Certifications: AB Dermatology Ling, Xia MD Gender: Male Yang, Marjorie F MD Gender: Female Additional Languages:Chinese, Tagalog Board Certifications: AB Dermatology Dermatopatholo gy Brookfield, WI Dermatopathology Of Wisconsin Location: 12805 W Burleigh Rd STE 200 Brookfield, WI 53005-3156 262-797-6434 Wausau, WI AWH dba Aspirus Dermatology Clinic Location: 425 Pine Ridge Blvd STE 305A Wausau, WI 54401 Smith, Katrina A MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Dermatology Hinshaw, Molly A MD Gender: Female Board Certifications: AB Dermatology Kelley, Scott W MD Gender: Male Board Certifications: AB Dermatology Dermatopathology Troy, James L MD Gender: Male Board Certifications: AB Dermatology Page 118 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Manitowoc, WI Dermatology Associates Of Wisconsin, SC Location: 1515 Randolph Ct Manitowoc, WI 54220 920-683-5278 Ling, Xia MD Gender: Male Board Certifications: AB Dermatology Dermatopathology Middleton, WI Dialysis NorthReach Healthcare Location: 1106 University Antigo, WI Avenue Marinette, WI 54143 Diabetes Educator 715-735-5272 Antigo, WI 54409 Radich, Roxanne D CDE Gender: Female 715-623-9777 Merrill, WI Appleton, WI Aspirus Diabetes Education Center Location: 3333 E Main St Bio-Medical Applications of Wisconsin, Inc Location: 2701 N Oneida St Merrill, WI 54452 STE E Appleton, WI 54911 715-847-2070 920-997-8600 Rothschild, WI Aspirus Diabetes Education Center Location: 1881 Cty Hwy XX Rothschild, WI 54474 Antigo, WI Aspirus Diabetes Education Center - LH Location: 110 E 5th Ave Antigo, WI 54409 715-847-2070 Manitowoc, WI Nutrition Plus & Diabetes Center Location: Medical Arts Center 600 York St Manitowoc, WI 54220 920-320-6795 715-355-4040 Ashland, WI Aspirus Diabetes Education Center Location: 5409 Vern Holmes Wausau, WI Aspirus Diabetes Education Center Location: 2720 Plaza Dr STE 1400 Wausau, WI 54401 Green Bay, WI Fox River Dialysis & Fox River At Home Location: 1910 Riverside Dr Green Bay, WI 54301 920-436-4910 Green Bay Dialysis Location: 1751 Deckner Ave Green Bay, WI 54302 920-465-0430 St Vincent Renal Dialysis Center Location: 1920 Libal St Green Bay, WI 54301 Ashland, WI 54806 Titletown Dialysis Location: 120 Siegler St 920-433-8448 Green Bay, WI 54303 Stevens Point, WI 715-847-2195 920-923-2333 Bio-Medical Applications of Wisconsin, Inc Location: 1913 Beaser Ave 715-682-4333 Dr Stevens Point, WI 54484 Pioneer Rd Fond du Lac, WI 54935 Langlade Dialysis Center Location: 501 Aurora St Middleton, WI 53562 262-797-6434 Fond du Lac Dialysis Center Location: 101 South 920-327-2120 Beaver Dam, WI Beaver Dam Dialysis Center Location: 110 Monroe St Beaver Dam, WI 53916 920-887-3376 Kaukauna, WI Bio-Medical Applications of Wisconsin, Inc Location: 2259 Progress Way Kaukauna, WI 54130 Fond du Lac, WI Fond du Lac Dialysis Location: 210 Wisconsin American Dr Fond du Lac, WI 54937 920-907-7120 715-847-2070 920-759-4540 Manitowoc, WI Dialysis Center Location: 333 Reed Ave Manitowoc, WI 54220 920-320-8410 Page 119 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Dermatopathology Of Wisconsin Location: 4671 Signature Dr Marinette, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Holy Family Memorial Dialysis Location: 2300 Western Ave Manitowoc, WI 54220 920-320-2011 Manitowoc Dialysis Location: 601 Reed Ave Manitowoc, WI 54220 Neenah, WI Shawano, WI Bio-Medical Applications of Wisconsin, Inc Location: 216 N Commercial Bio-Medical Applications of Wisconsin, Inc Location: 1509 S. Lincoln St Neenah, WI 54956 St. Shawano, WI 54166 920-725-7861 Northwoods Dialysis Location: W7305 Elm Ave Oshkosh, WI Specialty Care Providers Bay Area Medical Center Location: 3100 Shore Dr Marinette, WI 54143 715-735-6621 Marinette Dialysis Location: 4061 Old Peshtigo Rd Marinette, WI 54143 715-732-8010 Shawano, WI 54166 Oshkosh West Dialysis Location: 855 N Westhaven Waupaca, WI Memorial Dr Sheboygan, WI 53081 Bio-Medical Applications of Wisconsin, Inc Location: 102 Grand St Nicholas Hospital Location: 3100 Superior Ave Sheboygan, WI 53081 920-459-8300 715-258-2547 Grand Seasons Dialysis Location: 190 Grand Shorewood, WI Wisconsin Renal Care Group, LLC Location: 1409 E Capitol Dr Shorewood, WI 53211 Ripon , WI 414-962-1625 Bio-Medical Applications of Wisconsin, Inc Location: 933 Newbury St 920-748-0442 Seasons Dr STE 7 Waupaca, WI 54981 Seasons Dr Waupaca, WI 54981 Ste 2 Rhinelander, WI 54501 Merrill, WI Milwaukee, WI Bio-Medical Applications of Wisconsin, Inc Location: 3500 Tower Ave Sheboygan Dialysis Location: 2414 Kohler 920-459-1173 920-456-7860 Ripon , WI 54971 Superior, WI 715-395-2199 Dr Oshkosh, WI 54904 Pine Crest Dialysis Location: 232 s Courtney St Merrill, WI 54452 920-746-7955 Sheboygan, WI 920-223-4990 Marshfield Dialysis Location: 123 Northridge St. Praire River Dialysis Location: 601 S Center Ave Sturgeon Bay, WI 54235 Superior, WI 54880 STE 101A Oshkosh, WI 54904 Rhinelander, WI 715-387-7757 715-526-4310 Bio-Medical Applications of Wisconsin, Inc Location: 2700 W 9th Ave Marshfield, WI Marshfield, WI 54449 Sturgeon Bay Dialysis Location: 108 S 10th Ave 715-524-8038 920-686-5335 Marinette, WI Sturgeon Bay, WI Waupun, WI Waupun Regional Dialysis Center Location: 10 Beaver Dam St Waupun, WI 53963 Stevens Point, WI Stevens Point Dialysis Location: 900 Illinois Ave Stevens Point, WI 54481 Bio-Medical Applications of Wisconsin, Inc Location: 200 W Pleasant St 920-324-6531 Wausau, WI Aspirus Wausau Hospital Kidney Care Location: 3000 Westhill Dr Milwaukee, WI 53212 STE 106 Wausau, WI 54402 414-265-5700 715-847-0019 Page 120 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wausau Dialysis Location: 2600 Stewart Ave Ste 144 Wausau, WI 54401 Libertas Treatment Center Location: Libertas of Green Ears, Nose, Throat Bay 1701 Dousman St Green Bay, WI 54303 920-498-8600 West Allis, WI Wisconsin Renal Care Group, LLC Location: 11340 West Theodore Trecker Way West Allis, WI 53214 414-774-1244 Wisconsin Rapids Dialysis Location: 1041 B Hill St Wisconsin Rapids, WI 54494 Ear Nose & Throat Associates, SC Location: Langlade Manitowoc, WI Holy Family Memorial MH/AODA Unit Location: 2300 Western Ave Northern Star Dialysis Location: 311 Elm St Woodruff, WI 54568 715-847-2021 Manitowoc, WI 54220 920-320-2011 Lipsman, Rocky A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Otolaryngology Sewall, Gregory K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Voss, Mark A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Riverview Hospital Board Certifications: AB Otolaryngology Marinette, WI Libertas Treatment Center Location: Libertas of Marinette 1712 Dunlap Sq Bldg STE 5 Marinette, WI 54143 715-735-0095 Woodruff, WI Memorial Hospital 112 E 5th Ave Antigo, WI 54409 Oshkosh, WI Nova Counseling Services Location: 3240 Jackson St Oshkosh, WI 54901 920-231-0143 Drug and Alcohol Facility Green Bay, WI Jackie Nitschke Center, Inc. Location: 630 Cherry St Green Bay, WI 54301 920-435-2093 Ear Nose and Throat Surgical Associates, SC Location: 1520 N Meade St Appleton, WI 54911 920-734-7181 Bettag, Matthew E MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, St Elizabeth Hospital, LaSalle Surgery Center, New London Family Medical Center Board Certifications: AB Otolaryngology McAvoy, Michael J DO Gender: Male Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Otolaryngology Schaefer, Kent C MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, St Elizabeth Hospital, LaSalle Surgery Center, Riverside Medical Center Board Certifications: AB Otolaryngology Vandenberg, Steven J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Shawano Medical Center Board Certifications: AB Otolaryngology Sheboygan, WI Libertas Treatment Center Location: Libertas of Sheboygan 2108 Kohler Memorial Dr Sheboygan, WI 53081 920-803-0740 Page 121 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Wisconsin Rapids, WI Antigo, WI Appleton, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Berlin, WI Ear Nose & Throat Specialists of Wisconsin, SC Location: 225 Memorial Dr STE 1300 Berlin, WI 54923 Specialty Care Providers 800-435-4851 Keller, Christopher J MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Holy Family Memorial Medical Center, Theda Clark Medical Center Board Certifications: AB Otolaryngology Fond du Lac, WI Fond du Lac Regional Clinic Location: 421 Camelot Dr Fond du Lac, WI 54935 920-926-8460 Hariri, Suhail M MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital, St Agnes Hospital Board Certifications: AB Otolaryngology Nash, John J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Otolaryngology Strigenz, Michael A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Otolaryngology Location: 2353 South Ridge Rd Green Bay, WI 54304 Green Bay, WI NEW ENT, SC Location: 923 Eliza St 920-965-1358 Green Bay, WI 54301 920-965-4800 Lynch, Jennifer B MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Otolaryngology Reinke, Mark K MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Otolaryngology Schmidt, Frederic W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Otolaryngology Northern Lights Clinic SC Location: 2308 Lineville Rd Green Bay, WI 54313 920-965-1358 Gossman, David G MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Hnatuk, Lorrance A MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Sonnenburg, Robert E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Prevea Health Location: 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Wirkus, Jaclyn B APNP Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: American Academy of Nurse Practitioners Gossman, David G MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Hnatuk, Lorrance A MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Sonnenburg, Robert E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Clemens, James R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Otolaryngology Hunt, Scott M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital Board Certifications: AB Otolaryngology Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Clemens, James R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Otolaryngology Hunt, Scott M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital Board Certifications: AB Otolaryngology Page 122 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Iron Mountain, MI Ray H. Cameron MD, PhD Location: 1711 S. Stephenson Ave STE 320 Iron Mountain, MI 49801 906-779-7080 Cameron, Ray H MD, PhD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Otolaryngology HFM Ear Nose & Throat Location: 4303 Michigan Ave Manitowoc, WI 54220 920-320-4380 Butler, Nancy N MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Otolaryngology Marinette, WI Lionel V Kuran, MD, PC Location: Stonehenge Suites 3900 Hall Ave STE 1 PO Box 797 Marinette, WI 54143 715-732-4686 Marinette, WI 54143-0437 715-735-3187 Gossman, David G MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Hnatuk, Lorrance A MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Sonnenburg, Robert E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Location: Bay Area Medical Center 3100 Shore Dr Marinette, WI 54143 Medford, WI Ear Nose & Throat Associates, SC Location: 101 S Gibson St Medford, WI 54451 715-847-2021 Sewall, Gregory K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Voss, Mark A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Riverview Hospital Board Certifications: AB Otolaryngology Weddle, Jessica A DO Gender: Female Menasha, WI 715-735-7621 Hnatuk, Lorrance A MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Sonnenburg, Robert E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Ear Nose & Throat Specialists of Wisconsin, SC Location: 2005 Midway Rd Menasha, WI 54952 800-435-4851 Burton, Larry K MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Additional Languages:German Board Certifications: AB Otolaryngology Neenah, WI Ear Nose & Throat Specialists of Wisconsin, SC Location: 130 2nd St STE 198 Neenah, WI 54956-2884 800-435-4851 Bechard, Robert J MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Otolaryngology Burton, Larry K MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Additional Languages:German Board Certifications: AB Otolaryngology Prehn, Robert B MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Otolaryngology Kuran, Lionel V MD Gender: Male Page 123 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Manitowoc, WI Northern Lights Clinic SC Location: 3200 Shore Dr Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Niagara, WI Northern Lights Clinic SC Location: 500 Roosevelt Rd Niagara, WI 54151 Specialty Care Providers 715-251-1998 Gossman, David G MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Hnatuk, Lorrance A MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Sonnenburg, Robert E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Oconto Falls, WI Community Memorial Hospital Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 Hnatuk, Lorrance A MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology NEW ENT, SC Location: 835 S Main St Oconto Falls, WI 54235 920-965-4800 Lynch, Jennifer B MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Otolaryngology Northern Lights Clinic SC Location: 855 S Main St ENT Clinic Oconto Falls, WI 54154 Oneida, WI NEW ENT, SC Location: 525 Airport Dr PO 920-846-4296 Gossman, David G MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Hnatuk, Lorrance A MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Sonnenburg, Robert E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Location: Community Memorial Hospital 855 S Main St Oconto Falls, WI 54154 920-846-3444 Box 365 Oneida, WI 54155 920-965-4800 Reinke, Mark K MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Otolaryngology Oshkosh, WI Ear Nose & Throat Specialists of Wisconsin, SC Location: 2700 W 9th Ave STE 204 Oshkosh, WI 54904 800-435-4851 Gossman, David G MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Hnatuk, Lorrance A MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Sonnenburg, Robert E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Otolaryngology Bechard, Robert J MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Otolaryngology Keller, Christopher J MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Holy Family Memorial Medical Center, Theda Clark Medical Center Board Certifications: AB Otolaryngology Prehn, Robert B MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Otolaryngology Location: 855 N Westhaven Dr STE 200 Oshkosh, WI 54904 920-303-4130 Bechard, Robert J MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Otolaryngology Burton, Larry K MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Additional Languages:German Board Certifications: AB Otolaryngology Keller, Christopher J MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Holy Family Memorial Medical Center, Theda Clark Medical Center Board Certifications: AB Otolaryngology Prehn, Robert B MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Otolaryngology Page 124 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Rhinelander, WI Ear Nose & Throat Associates, SC Location: 2 E Ocala Rhinelander, WI 54501 715-847-2021 Shawano, WI NEW ENT, SC Location: 117 E Green Bay St Shawano, WI 54166 920-965-4800 Schmidt, Frederic W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Otolaryngology Prevea Health Location: Shawano Medical Center 309 N Bartlett St Shawano, WI 54166 920-496-4700 Shawano, WI 54166 920-496-4700 Clemens, James R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Otolaryngology Sheboygan, WI Prevea Sheboygan Health Center Location: 1411 N Taylor Dr Sheboygan, WI 53081 920-457-4858 Smith, Edward L DO Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Location: 1621 N Taylor St Sheboygan, WI 53081 920-458-4419 Smith, Edward L DO Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Stevens Point, WI Wausau, WI Ear Nose & Throat Associates, SC Location: Aspirus Stevens Ear Nose & Throat Associates, SC Location: 2801 Westhill Dr Point Clinic 5409 Vern Holmes Dr Stevens Point, WI 54482 Wausau, WI 54401 715-847-2021 Sewall, Gregory K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Voss, Mark A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Riverview Hospital Board Certifications: AB Otolaryngology Weddle, Jessica A DO Gender: Female Waupaca, WI Ear Nose and Throat Surgical Associates, SC Location: 800 Riverside Dr Waupaca, WI 54981-1999 715-258-1119 Schaefer, Kent C MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, St Elizabeth Hospital, LaSalle Surgery Center, Riverside Medical Center Board Certifications: AB Otolaryngology 715-847-2021 Lipsman, Rocky A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Otolaryngology Savage, Michael M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Otolaryngology Sewall, Gregory K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Voss, Mark A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Riverview Hospital Board Certifications: AB Otolaryngology Weddle, Jessica A DO Gender: Female Wisconsin Rapids, WI Ear Nose & Throat Associates, SC Location: 2031 Peach St Wisconsin Rapids, WI 54494 715-847-2021 Clemens, James R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Otolaryngology Sewall, Gregory K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Voss, Mark A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Riverview Hospital Board Certifications: AB Otolaryngology Weddle, Jessica A DO Gender: Female Page 125 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Sewall, Gregory K MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Voss, Mark A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Riverview Hospital Board Certifications: AB Otolaryngology Prevea Health Centers Location: 100 Cty Rd B Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Endocrinology Antigo, WI Aspirus Endocrinology Clinic Location: 501 Aurora St Antigo, WI 54409 Specialty Care Providers 715-847-2070 Carroll, John E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Internal Medicine AWH dba Aspirus Westhill Medical Specialists Location: Antigo General Clinic 110 E 5th Ave Antigo, WI 54409 715-623-2351 Carroll, John E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Internal Medicine Appleton, WI ThedaCare Physicians Endocrinology Location: 2500 E Capitol Dr Appleton, WI 54911 920-358-1223 Malik, Iftikhar A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine De Pere, WI Medford, WI Oshkosh, WI Prevea Health Centers Location: 3860 Monroe Rd Aspirus Endocrinology Clinic Location: 143 S. Gibson St ThedaCare Physicians Family Medicine Location: 600 N Westhaven Medford, WI 54451 Dr Oshkosh, WI 54904 De Pere, WI 54115 920-496-4700 Pat, Ileana M MD Gender: Female Additional Languages:Romanian, French Board Certifications: ABIM Endocrinology Green Bay, WI Endocrinology Associates Of Green Bay, SC Location: 704 S Webster Ave 5th Floor Green Bay, WI 54301 715-847-2070 Carroll, John E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Internal Medicine AWH dba Aspirus Westhill Medical Specialists Location: Memorial Health Center 143 S Gibson St Medford, WI 54451 715-748-2121 920-468-9588 Baeten, Pamela C MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Kasdorf, Gayle M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Prevea Health Centers Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Baeten, Pamela C MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Carroll, John E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Internal Medicine Neenah, WI ThedaCare Physicians Internal Medicine Location: 200 Theda Clark Medical Plz STE 240 Neenah, WI 54956 920-725-2070 Malik, Iftikhar A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine 920-237-5000 Malik, Iftikhar A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Sheboygan, WI Prevea Sheboygan Endocrinology Care Location: 3100 Superior Ave Sheboygan, WI 52081 920-458-4419 Mirocha, Sarah J MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine Wausau, WI Aspirus Endocrinology Clinic Location: 425 Pine Rdge Blvd STE 220A Wausau, WI 54401 715-847-2070 Sennett, Jordan A MD Gender: Male Page 126 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. AWH dba Aspirus Westhill Medical Specialists Location: 2720 Plaza Dr STE 1400 Wausau, WI 54401 715-847-2004 Carroll, John E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Internal Medicine Location: Appleton Medical Center 1818 N Meade St Appleton, WI 54912-8031 866-313-0337 Siddiqui, Nadeem MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Suhasini Turlapati, MD Location: 820 E Grant St Appleton, WI 54911 920-739-9550 Aspirus Endocrinology Clinic Location: 611 Veterans Parkway Woodruff, WI 54402 715-847-2070 Sennett, Jordan A MD Gender: Male Gastroenterolo gy Turlapati, Suhasini MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, New London Family Medical Center Board Certifications: AB Internal Medicine Fond du Lac, WI Gastrointestinal Associates, SC Location: Eagle River Fond du Lac Regional Clinic Location: 420 E Division St Memorial Hospital 201 Hospital Rd Eagle River, WI 54521 Fond du Lac, WI 54935 715-847-2558 Hartke, Raymond L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Gastro Otto, Laura M PAC Gender: Female Schlais, James R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Young, Christopher A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Internal Medicine Gastro 920-923-7400 Evans, Jerry C MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Gastro Kailas, Sujatha MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Gastro Slinde, Nathan E MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: ABIM Gastroenterology Appleton, WI Associates in Gastroenterology, SC Location: 2700 E Enterprise Ave Unit C Appleton, WI 54912-8031 866-313-0337 Siddiqui, Nadeem MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Page 127 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Woodruff, WI Eagle River, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Green Bay, WI Gastroenterology Associates Location: 725 S Webster Ave Green Bay, WI 54301 Specialty Care Providers 920-431-5650 Amarnani, Narayan H MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bellin Psychiatric Hospital Board Certifications: AB Internal Medicine Arora, Kanwar MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bay Area Medical Center, Bellin Psychiatric Hospital Board Certifications: ABIM Gastroenterology Chaudhari, Swati MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Theda Clark Medical Center Board Certifications: ABIM Gastroenterology Roarty, Timothy P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bay Area Medical Center Board Certifications: ABIM Gastroenterology Stampfl, David A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bay Area Medical Center Board Certifications: AB Internal Medicine Prevea Health Centers Location: 1727 Shawano Ave Green Bay, WI 54303 920-496-4700 Knuff, David A MD Gender: Male Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Christian, Roland B MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Dzwonkowski, Peter MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Gastroenterology Laukka, Mark A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: ABIM Gastroenterology Stanko, Peter M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine 920-496-4700 Christian, Roland B MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Dzwonkowski, Peter MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Gastroenterology Knuff, David A MD Gender: Male Laukka, Mark A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: ABIM Gastroenterology Stanko, Peter M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Christian, Roland B MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Dzwonkowski, Peter MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Gastroenterology Manitowoc, WI HFM Internal Medicine Location: 1900 Woodland Dr Manitowoc, WI 54220 920-320-6212 Alvarez, William MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Additional Languages:Spanish Board Certifications: ABIM Gastroenterology Hoftiezer, James W MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Shariff, Mansoor MD Gender: Male Board Certifications: AB Internal Medicine Marinette, WI Gastroenterology Associates Location: 3130 Shore Dr Marinette, WI 54143 920-431-5650 Arora, Kanwar MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bay Area Medical Center, Bellin Psychiatric Hospital Board Certifications: ABIM Gastroenterology Roarty, Timothy P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bay Area Medical Center Board Certifications: ABIM Gastroenterology Stampfl, David A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bay Area Medical Center Board Certifications: AB Internal Medicine Page 128 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Merrill, WI Neenah, WI Oshkosh, WI Gastrointestinal Associates, SC Location: 3333 E Main Associates in Gastroenterology, SC Location: Theda Clark Digestive Healthcare Specialists, SC Location: 2700 W 9th Ave Street Merrill, WI 54452 Medical Center 130 Second St Neenah, WI 54956 STE 315A Oshkosh, WI 54981 715-847-2558 866-313-0337 920-236-1630 Siddiqui, Nadeem MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Andreini, Jeffrey P MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center, Theda Clark Medical Center, Appleton Medical Center Board Certifications: AB Internal Medicine Minocqua, WI Oconto Falls, WI Ripon, WI Gastrointestinal Associates, SC Location: Northwoods Bone & Joint 7520 Hwy 51 S Minocqua, WI 54548 715-358-1911 Hartke, Raymond L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Gastro Schlais, James R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Young, Christopher A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Internal Medicine Gastro Ripon Medical Center Location: 933 Newbury St Prevea Health Centers Location: 855 S Main St Ripon, WI 54971 Oconto Falls, WI 54154 920-748-0435 920-846-3444 Christian, Roland B MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Dzwonkowski, Peter MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Gastroenterology Knuff, David A MD Gender: Male Laukka, Mark A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: ABIM Gastroenterology Stanko, Peter M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Franger, Joseph E MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Sheboygan, WI Prevea Health Centers Location: 3100 Superior Ave Sheboygan, WI 53081 920-459-8300 Haller, David L MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: ABIM Gastroenterology Ave Sheboygan, WI 53081 920-496-4700 Haller, David L MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: ABIM Gastroenterology Potter, Jon W DO Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Stevens Point, WI Gastrointestinal Associates, SC Location: Aspirus Stevens Point Clinic 5409 Vern Holmes Dr Stevens Point, WI 54482 715-847-2558 Hartke, Raymond L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Gastro Otto, Laura M PAC Gender: Female Schlais, James R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Young, Christopher A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Internal Medicine Gastro Page 129 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Hartke, Raymond L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Gastro Otto, Laura M PAC Gender: Female Prevea Sheboygan Health Center Location: 3100 Superior Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Waupaca, WI Weston, WI Digestive Healthcare Specialists, SC Location: 800 Riverside Dr Gastrointestinal Associates, SC Location: 4005 Community Gastrointestinal Associates, SC Location: 611 Vetrans Waupaca, WI 54981 Center Dr Weston, WI 54476 Parkway Woodruff, WI 54568 715-258-1119 Specialty Care Providers Andreini, Jeffrey P MD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center, Theda Clark Medical Center, Appleton Medical Center Board Certifications: AB Internal Medicine Wausau, WI Gastrointestinal Associates, SC Location: 411 Westwood Dr Wausau, WI 54401 715-847-2558 Hartke, Raymond L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Gastro Otto, Laura M PAC Gender: Female Schlais, James R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Young, Christopher A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Internal Medicine Gastro Woodruff, WI 715-847-2558 715-847-2558 Hartke, Raymond L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Gastro Otto, Laura M PAC Gender: Female Schlais, James R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Young, Christopher A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Internal Medicine Gastro Wisconsin Rapids, WI Carlson GI Clinic Location: 410 Dewey St #353 Wisconsin Rapids, WI 54495 715-421-1001 Carlson, Joel M MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: ABIM Gastroenterology Otto, Laura M PAC Gender: Female Schlais, James R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine General Surgery Location: General Clinic 110 E 5th Ave Antigo, WI 54409 715-623-2351 Gilbertson, Anna G MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Surgery General Hendrickson, Todd R MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Surgery General LH dba Aspirus General Clinic - Antigo Location: 110 East Fifth Ave Antigo, WI 54409 715-623-2351 Antigo, WI Langlade Hospital Location: 110 E 5th Ave Antigo, WI 54409 715-623-2351 Lee, Lori C DO Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AOB General Surgery Location: 112 E 5th Ave Antigo, WI 54409 715-623-2331 Gilbertson, Anna G MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Surgery General Hendrickson, Todd R MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Surgery General Dachman, Adam F DO Gender: Male Hospital/Medical Affiliations: Langlade Hospital Lu, Chia-Yang J MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Surgery General Napier, Timothy E MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Slominski, Corey L MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Walz, John E MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Page 130 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Antigo , WI Surgical Associates Location: 501 Aurora St Antigo , WI 54409 715-847-2022 Fox Valley Surgical Associates, LTD Location: 1818 N Meade St STE 240W Appleton, WI 54911 920-731-8131 Ballard, Robert B MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Bermas, Honnie R MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Surgery General Black, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Surgery General Cheng, Charles C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages:Chinese Board Certifications: AB Surgery General Duppler, David W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Surgery General Klingbeil, Jeffrey K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Colon & Rectal Surgery Vogt, Philip A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Winek, Thomas G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Surgery Vascular Surgery Location: 2500 E Capitol Dr Appleton, WI 54911 920-749-4000 Ballard, Robert B MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Duppler, David W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Surgery General Vogt, Philip A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Winek, Thomas G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Surgery Vascular Surgery Women's Health Specialists, SC Location: 1818 N Meade St STE 330 Appleton, WI 54911 920-749-4000 Savage, Ellen L MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Birnamwood, WI Langlade Hospital Location: Birnamwood Clinic 400 Railroad Ave Birnamwood, WI 54414 715-449-2539 Gilbertson, Anna G MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Surgery General Hendrickson, Todd R MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Surgery General LH dba Aspirus General Clinic - Birnamwood Location: 400 N Railroad St Birnamwood, WI 54414 715-449-2539 Dachman, Adam F DO Gender: Male Hospital/Medical Affiliations: Langlade Hospital Slominski, Corey L MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Elcho, WI Langlade Hospital Location: Elcho Clinic W10618 Clinic St Elcho, WI 54428 715-275-4011 Gilbertson, Anna G MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Surgery General Hendrickson, Todd R MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Surgery General Page 131 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Alden, Charles R MD Gender: Male Hospital/Medical Affiliations: Aspirus Stevens Point Surgery Center, Aspirus Wausau Hospital Board Certifications: AB Surgery General Asplund, Mark W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Surgery General Binder, James P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Brebrick, Robert T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Vascular Medicine Reising, Christopher A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Weiland, Steven A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Appleton, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. LH dba Aspirus General Clnic - Elcho Location: W10618 Clinic St Elcho, WI 54428 715-275-4011 Dachman, Adam F DO Gender: Male Hospital/Medical Affiliations: Langlade Hospital Slominski, Corey L MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital Specialty Care Providers Fond du Lac, WI Fond du Lac Regional Clinic Location: 420 E Division St Fond du Lac, WI 54935 920-923-7400 Cahee, Steven M MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital, St Agnes Hospital Board Certifications: AB Surgery General Mikkelsen, Robert H MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: AB Surgery General Moen, Jon T MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital, St Agnes Hospital Board Certifications: AB Surgery General Reynolds, Daniel W MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Surgery General Stanley, Toni L MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: AB Surgery General Dousman Clinic, SC Location: 1747 Shawano Gilman, WI Memorial Health Center Clinics Location: 320 E Main St PO Box 64 Gilman, WI 54433 715-447-8293 Branstetter, Erik T DO Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AOB General Surgery Ave Green Bay, WI 54303 920-494-9661 Milson, Bertram I MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Additional Languages:Hebrew, Latin, Spanish Board Certifications: AB Surgery General General & Vascular Surgery of Green Bay Location: 744 S Webster Green Bay, WI Ave Green Bay, WI 54301 Bellin Health System Location: 744 S Webster 920-433-7463 Ave Green Bay, WI 54305 920-433-3500 Ruggles, Scott L MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Colon & Rectal Surgery Gifford, Stewart W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Surgery General Community Memorial Hospital Location: 1726 Shawano Ave Green Bay, WI 54303 NEW Surgical Associates, SC Location: 670 Cormier Rd Green Bay, WI 54304 920-494-9685 Davis, Peter W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery General Falk, Peter M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Colon & Rectal Surgery Kemmerling, James M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Additional Languages:Spanish Board Certifications: AB Surgery General Ruggles, Scott L MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Colon & Rectal Surgery Prevea Health Location: 1715 Dousman St 920-360-3787 Salm-Schmid, Colette A MD Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital, Bellin Memorial Hospital, St Vincent Hospital, Theda Clark Medical Center Board Certifications: AB Surgery General PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Thoms, Carrie A MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery General Page 132 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Thoms, Carrie A MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery General Prevea Health Centers Location: 1727 Shawano Ave Green Bay, WI 54303 Saletta, Charles W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery Vascular Surgery Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Johnson, Matthew J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, Aspirus Wausau Hospital Board Certifications: AB Surgery General Saletta, Charles W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery Vascular Surgery Smith, Seth E MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery General Thoms, Carrie A MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery General 920-496-4700 Collison, Edgar (Ted) K MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery General Johnson, Matthew J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, Aspirus Wausau Hospital Board Certifications: AB Surgery General Smith, Seth E MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery General Thoms, Carrie A MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery General Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Collison, Edgar (Ted) K MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery General Johnson, Matthew J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, Aspirus Wausau Hospital Board Certifications: AB Surgery General McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General Reckard, Paul E MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Surgery General Page 133 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers 920-496-4700 Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Surgery Specialists of Green Bay Location: 3263 Eaton Rd. Green Bay, WI 54301 Specialty Care Providers 920-438-7155 Erickson-Foster, Jennifer L MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Surgery General Geocaris, Cynthia L MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Surgery General Grazziotin, Marcelo U MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Surgery Vascular Surgery Ough, Matthew J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Surgery General Location: 720 S Van Buren St STE 202 Green Bay, WI 54301 920-438-7155 Erickson-Foster, Jennifer L MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Surgery General Geocaris, Cynthia L MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Surgery General Grazziotin, Marcelo U MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Surgery Vascular Surgery Ough, Matthew J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Surgery General Manitowoc, WI HFM General & Vascular Surgery Location: 2300 Western Ave Manitowoc, WI 54220 920-320-3165 Campbell, Matthew L MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Surgery General Sbar, Alan D MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Surgery General Sean T Benham, MD, SC Location: 1765 N 18th St PO Box 997 Manitowoc, WI 54220 920-482-0575 Benham, Sean T MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Surgery General Kewaunee, WI Marinette, WI HFM Lakeshore Medical Specialists Location: 1020 Marquette Dr Bay Area Medical Center Location: 3100 Shore Dr Kewaunee, WI 54216 Marinette, WI 54143 715-735-6621 920-388-2198 Campbell, Matthew L MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Surgery General Sbar, Alan D MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Surgery General Karkkainen, Michael M DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AOB General Surgery Location: 3130 Shore Dr STE 20 Marinette, WI 54143 715-735-8056 Karkkainen, Michael M DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AOB General Surgery Prevea Health Centers Location: 1409 Cleveland Ave Marinette, WI 54143 888-277-3832 McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General Medford, WI Memorial Health Center Clinics Location: 143 S Gibson St Medford, WI 54451 715-748-2121 Branstetter, Erik T DO Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AOB General Surgery Brubaker, Samuel M MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Lee, Lori C DO Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AOB General Surgery Page 134 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Surgical Associates Location: 143 S Gibson Street Medford, WI 54451 715-847-2022 Asplund, Mark W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Surgery General Weiland, Steven A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Neenah, WI Breast Surgery Experts of Northeast Wisconsin, LLC Location: 130 2nd St Neenah, WI 54956-2883 Merrill, WI Street Merrill, WI 54401 715-847-2022 Alden, Charles R MD Gender: Male Hospital/Medical Affiliations: Aspirus Stevens Point Surgery Center, Aspirus Wausau Hospital Board Certifications: AB Surgery General Asplund, Mark W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Surgery General Binder, James P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Brebrick, Robert T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Vascular Medicine Reising, Christopher A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Salm-Schmid, Colette A MD Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital, Bellin Memorial Hospital, St Vincent Hospital, Theda Clark Medical Center Board Certifications: AB Surgery General Community Memorial Hospital Location: 200 Theda Clark Medical Office Plaza STE 210 Neenah, WI 54956 920-360-3787 Salm-Schmid, Colette A MD Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital, Bellin Memorial Hospital, St Vincent Hospital, Theda Clark Medical Center Board Certifications: AB Surgery General Medical Plz STE 400 Neenah, WI 54956 920-725-4527 Brennan, Patrick J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Burkett, Jeffrey S MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Georgen, Raymond F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Schultz, David J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Sekhar, Nikhilesh R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Wasco, Kevin E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Surgery General Oconto, WI Surgery Specialists of Green Bay Location: 820 Arbutus Ave Oconto, WI 54153 920-438-7155 Erickson-Foster, Jennifer L MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Surgery General Geocaris, Cynthia L MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Surgery General Grazziotin, Marcelo U MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Surgery Vascular Surgery Ough, Matthew J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Surgery General Page 135 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Surgical Associates Location: 3333 E Main 920-360-3787 Surgical Associates of Neenah, SC Location: 100 Theda Clark Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Oconto Falls, WI Breast Surgery Experts of Northeast Wisconsin, LLC Location: 835 S Main St STE 2 Oconto Falls, WI 54154 Specialty Care Providers 920-360-3787 Salm-Schmid, Colette A MD Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital, Bellin Memorial Hospital, St Vincent Hospital, Theda Clark Medical Center Board Certifications: AB Surgery General CMH Primary Care Clinic Location: 835 S Main St Oconto Falls, WI 54154 920-846-8187 Liebl, R Scott S MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Shawano Medical Center, St Vincent Hospital Board Certifications: AB Surgery General McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General Community Memorial Hospital Location: 835 South Main St Oconto Falls, WI 54154 920-360-3787 Salm-Schmid, Colette A MD Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital, Bellin Memorial Hospital, St Vincent Hospital, Theda Clark Medical Center Board Certifications: AB Surgery General Location: 855 S Main St Oconto Falls, WI 54154 Prentice, WI Ripon, WI Memorial Health Center Clinics Location: 1511 Railroad Ave Fond du Lac Regional Clinic Location: 790 East Gate Dr Prentice, WI 54456 Ripon, WI 54971 715-428-2521 Branstetter, Erik T DO Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AOB General Surgery Rhinelander, WI 920-433-9621 McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General Prevea Health Centers Location: 855 S Main St Surgical Associates Location: 1630 N Chippewa Drive Rhinelander, WI 54501 715-847-2022 Stroede, Cecelia MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Weiland, Steven A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Oconto Falls, WI 54154 920-846-3444 McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General Rib Lake, WI Memorial Health Center Clinics Location: 1121 Hwy 102 Rib Lake, WI 54470 715-427-5701 Branstetter, Erik T DO Gender: Male Hospital/Medical Affiliations: Memorial Health Center Board Certifications: AOB General Surgery 920-745-3180 Mikkelsen, Robert H MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: AB Surgery General Shawano, WI Shawano Medical Center Location: 309 N Bartlette St Shawano, WI 54166 715-526-2111 Osmer, Robert L MD Gender: Male Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AB Surgery General ThedaCare Physicians Family Medicine Location: 100 County Rd B Shawano, WI 54166 715-524-2161 Johnson, Derek B MD Gender: Male Osmer, Robert L MD Gender: Male Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AB Surgery General Page 136 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Sheboygan, WI Sheboygan Physicians Group, SC Location: 2920 Superior Avenue Sheboygan, WI 53081 920-452-6000 Sturgeon Bay, WI Waupaca, WI Surgical Associates Location: 5409 Vern Holmes Lake Side Surgical Associates Location: 1843 Michigan St ThedaCare Physicians Family Medicine Location: 710 Riverside Dr Sturgeon Bay, WI 54235 Waupaca, WI 54981 Drive Stevens Point, WI 54482 715-847-2022 920-746-1060 Alden, Charles R MD Gender: Male Hospital/Medical Affiliations: Aspirus Stevens Point Surgery Center, Aspirus Wausau Hospital Board Certifications: AB Surgery General Asplund, Mark W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Surgery General Binder, James P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Brebrick, Robert T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Vascular Medicine Reising, Christopher A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Stroede, Cecelia MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Weiland, Steven A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Melarvie, Shaun J MD Gender: Male Hospital/Medical Affiliations: Bay Lake Ambulatory Surgery Center Inc Board Certifications: AB Surgery General Quinn, Kevin MD Gender: Male Hospital/Medical Affiliations: Shawano Medical Center Scheer, Kurtis D MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Surgery General Prevea Health Centers Location: Door County Memorial / North Shore Medical 323 S 18th Ave Sturgeon Bay, WI 54235 920-496-4700 McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General 715-258-1160 Kramer, Carrie L MD Gender: Female Hospital/Medical Affiliations: Riverside Medical Center McCrorey, Thomas MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Waupun, WI Fond du Lac Regional Clinic Location: 608 W Brown St Waupun, WI 53963 920-324-6800 Mikkelsen, Robert H MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: AB Surgery General Reynolds, Karen E MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Surgery General Page 137 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Garces, Christopher A MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Surgery General Heili, Michael J MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Surgery General Werner, Stephen J MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Surgery General Stevens Point, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Waupun Memorial Hospital Location: 620 W Brown St Waupun, WI 53963 Specialty Care Providers 920-324-2300 Cahee, Steven M MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital, St Agnes Hospital Board Certifications: AB Surgery General Moen, Jon T MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital, St Agnes Hospital Board Certifications: AB Surgery General Wausau, WI Surgical Associates Location: 2400 Pine Ridge Blvd Wausau, WI 54401 715-847-2022 Alden, Charles R MD Gender: Male Hospital/Medical Affiliations: Aspirus Stevens Point Surgery Center, Aspirus Wausau Hospital Board Certifications: AB Surgery General Asplund, Mark W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Surgery General Binder, James P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Brebrick, Robert T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Vascular Medicine Costa, Dennis J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Larson, Jennine L MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery Surgical Critical Care Reising, Christopher A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Stroede, Cecelia MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Sweet, Gary T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Weiland, Steven A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Woodruff, WI Surgical Associates Location: 611 Veterans Parkway Woodruff, WI 54568 715-847-2022 Weiland, Steven A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General General X-ray Wisconsin Rapids, WI Aspirus Clinic Location: 2031 Peach Street Wisconsin Rapids, WI 54402 715-423-0122 Cashin, Sean M MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Esser, Michael J MD Gender: Male Board Certifications: AB Surgery General Surgical Associates of Wisconsin Rapids Location: 410 Dewey St Wisconsin Rapids, WI 54495 715-424-4488 Garde, Joseph R MD Gender: Male Board Certifications: AB Surgery General Miller, Marjorie S MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Surgery General Bark River, MI Dickinson Medical Services @ Cedar Hill Location: 2845 US 2 & 41 STE 203 Bark River, MI 49807 906-466-2650 De Pere, WI Prevea Health Location: 1686 Eisenhower Rd De Pere, WI 54115 920-496-4700 Prevea Health Centers Location: 1686 Eisenhower Rd De Pere, WI 54115 920-496-4700 Location: 3860 Monroe Rd De Pere, WI 54115 920-496-4700 Page 138 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Gillett, WI Lena, WI CMH Primary Care Clinic Location: 340 N Green Bay CMH Primary Care Clinic Location: 200 S Rosera St Ave Gillett, WI 54124 PO Box 120 Lena, WI 54139 920-855-2823 Green Bay, WI Oconto Falls, WI Community Memorial Hospital Location: 855 S Main St Oconto Falls, WI 54154 920-829-6400 920-846-3444 Manitowoc, WI Pulaski, WI HFM Family Medicine Location: 1650 S 41st St Prevea Health Centers Location: 940 S Saint PO Box 19070 Green Bay, WI 54307-9070 Manitowoc, WI 54220 Augustine St Pulaski, WI 54162 920-320-4500 920-496-4700 Location: 2793 Lineville Rd Green Bay, WI 54313 920-496-4700 Location: 3021 Voyager Dr Green Bay, WI 54311 920-496-4700 Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Prevea Health Centers Location: 2793 Lineville Rd Green Bay, WI 54313 920-496-4700 Location: 3021 Voyager Dr Green Bay, WI 54311 920-496-4700 Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 920-822-5444 Mountain , WI CMH Primary Care Clinic Location: 14353 Wisconsin Seymour, WI Prevea Health Location: 958 Foote St Hwy 32/64 Mountain , WI 54149 Seymour, WI 54165 715-276-1600 920-833-9896 Appleton, WI Women's Care of Wisconsin, SC Location: 3913 W Prospect Ave Appleton, WI 54914 920-729-7105 Herrmann, Jurgen P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Columbia St Mary's Hospital of Milwaukee, Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Additional Languages:German Board Certifications: AB Medical Genetics Clinical Cytogenetics Green Bay, WI Prevea Health Centers Location: 958 Foote St Oconto, WI Seymour, WI 54165 CMH Primary Care Clinic Location: 103 First St Oconto, WI 54153 920-835-1144 920-833-9896 Great Lakes Genetics, SC Location: St Vincent Hospital 835 S VanBuren St Green Bay, WI 54307 414-475-7400 Herrmann, Jurgen P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Columbia St Mary's Hospital of Milwaukee, Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Additional Languages:German Board Certifications: AB Medical Genetics Clinical Cytogenetics Prevea Health Location: 620 Smith Ave Oconto, WI 54153 920-834-4110 Prevea Health Centers Location: 620 Smith Ave Oconto, WI 54153 920-834-4110 Page 139 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Prevea Health Location: 1715 Dousman St Genetics Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. St Vincent Hospital Location: 835 S Van Buren St Green Bay, WI 54301 Specialty Care Providers 920-433-0111 Herrmann, Jurgen P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Columbia St Mary's Hospital of Milwaukee, Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Additional Languages:German Board Certifications: AB Medical Genetics Clinical Cytogenetics Milwaukee, WI Great Lakes Genetics, SC Location: 11711 W North Neenah, WI Weston, WI Great Lakes Genetics, SC Location: ThedaCare Aspirus Weston Clinic Location: 4005 Community Regional Medical Center 130 2nd St Neenah, WI 54956 Center Dr Weston, WI 54476 414-475-7400 Herrmann, Jurgen P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Columbia St Mary's Hospital of Milwaukee, Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Additional Languages:German Board Certifications: AB Medical Genetics Clinical Cytogenetics Herrmann, Jurgen P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Columbia St Mary's Hospital of Milwaukee, Children's Hospital of Wisconsin, Appleton Medical Center, Theda Clark Medical Center Additional Languages:German Board Certifications: AB Medical Genetics Clinical Cytogenetics Gavin, Eileen S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Wisconsin Rapids, WI Aspirus Clinic Location: 2031 Peach Street Wisconsin Rapids, WI 54402 Geriatrics 715-423-0122 Ave Milwaukee, WI 53226 414-475-7400 715-241-5405 Wausau, WI Aspirus Comfort Care & Hospice Services Location: Aspirus Wausau Clasen, Richard W MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital, Aspirus Wausau Hospital Board Certifications: ABIM Geriatric Medicine Hospital 333 Pine Ridge Blvd Wausau, WI 54401 715-847-2505 Gavin, Eileen S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine AWH dba Aspirus Family Walk-In Location: 2720 Plaza Dr STE Gynecologic Oncology Green Bay, WI St Vincent Hospital Location: 835 S Van Buren St Green Bay, WI 54301 920-433-0111 Falkenberg, Kristin PA Gender: Female Hospital/Medical Affiliations: St Vincent Hospital Kralovec, Martha M PAC Gender: Female Tammela, Jonathan E MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Obstetrics & Gynecology Wausau, WI Aspirus OB/GYN Associates Location: 2720 Plaza Dr STE 2100 Wausau, WI 54401 715-847-2475 Evans, Anthony C MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Rose, Stephen L MD Gender: Male 1100 Wausau, WI 54401 715-847-2472 Gavin, Eileen S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Family Medicine Page 140 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Hematology/ Oncology Langlade Cancer Center Oncology Location: 112 E. Fifth Ave Antigo, WI 54409 715-623-2331 Antigo, WI Aspirus Specialists, Inc Location: UW Cancer Center Langlade Memorial Hospital 112 E 5th Ave Antigo, WI 54406 715-623-9587 Fox Valley Hematology & Oncology Location: 1531 S Madison St STE 250 Appleton, WI 54915 920-730-4429 Bar-Lev, Avi MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Additional Languages:Hebrew, Italian, Polish Board Certifications: ABIM Medical Oncology Conkright, William A MD Gender: Male Goggins, Timothy F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Klinkhammer, Thomas A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Internal Medicine Thirunavu, Meenakshi MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Yao, Xin MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital, Theda Clark Medical Center Board Certifications: AB Internal Medicine Location: Martha Siekman Cancer Center 900 E Grant St Appleton, WI 54911 920-749-1171 Bar-Lev, Avi MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Additional Languages:Hebrew, Italian, Polish Board Certifications: ABIM Medical Oncology Goggins, Timothy F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Guenther, William C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Klinkhammer, Thomas A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Internal Medicine Mortara, Kevin L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Hematology Phillips, Anthony W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Medical Oncology Swanson, John D MD Gender: Male Board Certifications: AB Internal Medicine Page 141 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Peterson, Christopher G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Rezazadeh, Hamied R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center, Aspirus Stevens Point Surgery Center Board Certifications: ABIM Medical Oncology Ahuja, Harish G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital, Langlade Hospital Board Certifications: ABIM Medical Oncology He, Zening MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Internal Medicine Rezazadeh, Hamied R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center, Aspirus Stevens Point Surgery Center Board Certifications: ABIM Medical Oncology Appleton, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Specialty Care Providers Thirunavu, Meenakshi MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Yao, Xin MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital, Theda Clark Medical Center Board Certifications: AB Internal Medicine Berlin, WI Fox Valley Hematology & Oncology Location: 191 Memorial Dr Berlin, WI 54923 920-361-5325 Phillips, Anthony W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Medical Oncology Yao, Xin MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital, Theda Clark Medical Center Board Certifications: AB Internal Medicine Chilton, WI Escanaba, MI Fox Valley Hematology & Oncology Location: 614 Memorial Dr Green Bay Oncology, LTD Location: St Francis Chilton, WI 53014 Hospital 3401 Ludington St Escanaba, MI 49829 920-849-7500 Bar-Lev, Avi MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Additional Languages:Hebrew, Italian, Polish Board Certifications: ABIM Medical Oncology Phillips, Anthony W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Medical Oncology 866-994-3135 Bayer, Gerald K MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Door County Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Blank, Jules H MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Groteluschen, David L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Jaslowski, Anthony J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Ryan, Matthew L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Saphner, Thomas J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Volk, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Additional Languages:German Board Certifications: ABIM Hematology Winkler, Jerry M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Fond du Lac, WI Central Wisconsin Cancer Program Location: 480 E Division St Fond du Lac, WI 54935 920-926-4100 Lambert, Eugene K MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital, St Agnes Hospital Board Certifications: AB Internal Medicine Lundberg, Joel H MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital, St Agnes Hospital Board Certifications: ABIM Hematology Page 142 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Green Bay, WI Bellin Cancer Team Location: 1580 Commanche Ave Green Bay, WI 54313 920-435-8326 Bellin Memorial Hospital Location: 744 S Webster Ave Green Bay, WI 54301 920-433-3500 Parling-Lynch, Kelly J DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AOB Internal Medicine 1726 Shawano Ave Green Bay, WI 54303 920-432-6049 Bayer, Gerald K MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Door County Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Blank, Jules H MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Groteluschen, David L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Jaslowski, Anthony J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Ryan, Matthew L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Saphner, Thomas J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Volk, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Additional Languages:German Board Certifications: ABIM Hematology Warren, Ruth C DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Winkler, Jerry M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Location: St. Vincent's Hospital 835 S Van Buren St Green Bay, WI 54301 920-432-6049 Bayer, Gerald K MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Door County Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Blank, Jules H MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Groteluschen, David L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Jaslowski, Anthony J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Ryan, Matthew L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Page 143 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Lynch, Kelly J DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AOB Oncology Mansky, Patrick J MD Gender: Male Parling-Lynch, Kelly J DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AOB Internal Medicine Tahsildar, Hassan I MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Green Bay Oncology, LTD Location: St Mary's Hospital Specialty Care Providers Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Saphner, Thomas J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Volk, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Additional Languages:German Board Certifications: ABIM Hematology Warren, Ruth C DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Winkler, Jerry M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Hemophilia Outreach Center Location: 2060 Bellevue St Green Bay, WI 54311 920-965-0606 Blank, Jules H MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Jaslowski, Anthony J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Ryan, Matthew L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Volk, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Additional Languages:German Board Certifications: ABIM Hematology Winkler, Jerry M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Iron Mountain, MI Green Bay Oncology, LTD Location: 1721 S Stephenson Ave Iron Mountain, MI 49801 800-432-6049 Bayer, Gerald K MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Door County Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Blank, Jules H MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Groteluschen, David L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Jaslowski, Anthony J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Ryan, Matthew L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Saphner, Thomas J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Volk, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Additional Languages:German Board Certifications: ABIM Hematology Winkler, Jerry M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Page 144 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Location: Newburg Clinic 1721 S Stephenson Ave Iron Mountain, MI 49801 866-884-3135 Manitowoc, WI The Cancer Care Center Location: 2300 Western Ave Manitowoc, WI 54220 920-320-2749 Baatz, Lynn M MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Bayer, Gerald K MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Door County Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Blank, Jules H MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Groteluschen, David L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Jaslowski, Anthony J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Ryan, Matthew L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Saphner, Thomas J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Volk, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Additional Languages:German Board Certifications: ABIM Hematology Warren, Ruth C DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Winkler, Jerry M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Page 145 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Bayer, Gerald K MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Door County Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Blank, Jules H MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Groteluschen, David L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Jaslowski, Anthony J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Ryan, Matthew L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Saphner, Thomas J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Volk, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Additional Languages:German Board Certifications: ABIM Hematology Winkler, Jerry M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Marinette, WI Bay Area Medical Center Location: 3100 Shore Dr Aspirus Specialists, Inc Location: UW Cancer Marinette, WI 54143 Center Memorial Health Center 135 S Gibson St Medford, WI 54451 715-735-6621 Specialty Care Providers Medford, WI Chakrabarti, Sakti MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Board Certifications: AB Internal Medicine Mertens, David R MD Gender: Male Board Certifications: AB Internal Medicine Location: 3123 Shore Dr Marinette, WI 54143 715-732-2299 Chakrabarti, Sakti MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Board Certifications: AB Internal Medicine NorthReach Healthcare Location: 3123 Shore Dr STE 101 Marinette, WI 54143 715-732-2299 Chakrabarti, Sakti MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Board Certifications: AB Internal Medicine Merrill, WI Neenah, WI Aspirus Regional Cancer Center a Dept of Aspirus Wausa Hosp Location: 3333 Main St Fox Valley Hematology & Oncology Location: 200 Theda Clark Merrill, WI 54452 715-748-8846 715-847-2866 Peterson, Christopher G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Rezazadeh, Hamied R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center, Aspirus Stevens Point Surgery Center Board Certifications: ABIM Medical Oncology Memorial Health Center Hospital Location: 135 S Gibson Street Medford, WI 54451 715-748-8100 Ahuja, Harish G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital, Langlade Hospital Board Certifications: ABIM Medical Oncology Rezazadeh, Hamied R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center, Aspirus Stevens Point Surgery Center Board Certifications: ABIM Medical Oncology Aspirus Specialists, Inc Location: UW Cancer Center Aspirus Merrill Clinic 3333 E Main St Merrill, WI 54452 715-847-2866 Peterson, Christopher G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Memorial Health Center Oncology Location: 135 S Gibson St Medford, WI 54451 715-748-8100 Ahuja, Harish G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital, Langlade Hospital Board Certifications: ABIM Medical Oncology Plaza STE 430 Neenah, WI 54956 920-729-5833 Bar-Lev, Avi MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Additional Languages:Hebrew, Italian, Polish Board Certifications: ABIM Medical Oncology Gremminger, Karen M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Guenther, William C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Mortara, Kevin L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: ABIM Hematology Phillips, Anthony W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Medical Oncology Swanson, John D MD Gender: Male Board Certifications: AB Internal Medicine Thirunavu, Meenakshi MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Page 146 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Yao, Xin MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital, Theda Clark Medical Center Board Certifications: AB Internal Medicine New London, WI Fox Valley Hematology & Oncology Location: 1405 Mill St 920-982-8744 Bar-Lev, Avi MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Additional Languages:Hebrew, Italian, Polish Board Certifications: ABIM Medical Oncology Yao, Xin MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital, Theda Clark Medical Center Board Certifications: AB Internal Medicine Oconto, WI Oconto Hospital & Medical Center Location: 820 Arbutus Oconto, WI 54153 920-835-1100 Tahsildar, Hassan I MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital CMH Primary Care Clinic Location: 835 S Main St Green Bay Oncology, LTD Location: 855 S Main St Oconto Falls, WI 54154 920-432-6049 Oconto Falls, WI 54154 920-432-6049 Bayer, Gerald K MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Door County Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Volk, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Additional Languages:German Board Certifications: ABIM Hematology Bayer, Gerald K MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Door County Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Blank, Jules H MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Groteluschen, David L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Jaslowski, Anthony J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Ryan, Matthew L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Saphner, Thomas J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Volk, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Additional Languages:German Board Certifications: ABIM Hematology Winkler, Jerry M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Page 147 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers New London, WI 54961 Oconto Falls, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Oshkosh, WI Ripon, WI Fox Valley Hematology & Oncology Location: Michael D. Fox Valley Hematology & Oncology Location: 933 Newbury St Sheboygan Physicians Group, SC Location: 2920 Superior Door County Cancer Center Location: 323 S 18th Ave Wachtel Cancer Care Center 2700 W 9th Ave STE 11 Oshkosh, WI 54904 Upper Level Ripon, WI 54971 Avenue Sheboygan, WI 53081 Sturgeon Bay, WI 54235 Specialty Care Providers 920-236-1555 Goggins, Timothy F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Gremminger, Karen M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Klinkhammer, Thomas A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Internal Medicine Thirunavu, Meenakshi MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Yao, Xin MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital, Theda Clark Medical Center Board Certifications: AB Internal Medicine Sheboygan, WI 920-748-9100 Sturgeon Bay, WI 920-746-0510 920-452-6000 Gremminger, Karen M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Yao, Xin MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital, Theda Clark Medical Center Board Certifications: AB Internal Medicine Shawano, WI Fox Valley Hematology & Oncology Location: 100 County Rd B Shawano, WI 54166 715-524-8150 Swanson, John D MD Gender: Male Board Certifications: AB Internal Medicine Yao, Xin MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital, Theda Clark Medical Center Board Certifications: AB Internal Medicine Bettag, S Mark MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center, St Nicholas Hospital Board Certifications: ABIM Hematology Jepsen-Hobbs, Corinne C APNP Gender: Female Matthews, H. Marshall MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Internal Medicine McLaughlin, Nancy A APNP Gender: Female Stevens Point, WI Aspirus Regional Cancer Center a Dept of Aspirus Wausa Hosp Location: 5409 Vern Holmes Dr Stevens Point, WI 54482 715-847-2866 Peterson, Christopher G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Rezazadeh, Hamied R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center, Aspirus Stevens Point Surgery Center Board Certifications: ABIM Medical Oncology Page 148 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Green Bay Oncology, LTD Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-432-6049 Waupaca, WI Wausau, WI Fox Valley Hematology & Oncology Location: 800 Riverside Dr Aspirus Regional Cancer Center a Dept of Aspirus Wausa Hosp Location: 215 N 28th Ave Waupaca, WI 54981 715-258-1119 Guenther, William C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Phillips, Anthony W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: ABIM Medical Oncology Yao, Xin MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital, Theda Clark Medical Center Board Certifications: AB Internal Medicine Waupun, WI Waupun Memorial Hospital Location: 620 W Brown St Waupun, WI 53963 920-324-2300 Lundberg, Joel H MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital, St Agnes Hospital Board Certifications: ABIM Hematology Wausau, WI 54401 715-847-2866 Location: 333 Pine Ridge Blvd Wausau, WI 54401 715-847-2866 Ahuja, Harish G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital, Langlade Hospital Board Certifications: ABIM Medical Oncology He, Zening MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Internal Medicine Peterson, Christopher G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Rezazadeh, Hamied R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center, Aspirus Stevens Point Surgery Center Board Certifications: ABIM Medical Oncology Page 149 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Bayer, Gerald K MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Door County Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Blank, Jules H MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Groteluschen, David L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Jaslowski, Anthony J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Ryan, Matthew L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Saphner, Thomas J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Volk, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Dickinson Memorial Hospital Additional Languages:German Board Certifications: ABIM Hematology Winkler, Jerry M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Aspirus Specialists Inc Location: 215 N 28th Ave Aspirus Specialists, Inc Location: UW Cancer Wausau, WI 54401 Center Aspirus Wausau Hospital 215 N 28th Ave Wausau, WI 54401 Specialty Care Providers 715-847-2866 Ahuja, Harish G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital, Langlade Hospital Board Certifications: ABIM Medical Oncology Peterson, Christopher G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Rezazadeh, Hamied R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center, Aspirus Stevens Point Surgery Center Board Certifications: ABIM Medical Oncology Location: 425 Wind Ridge Dr Wausau, WI 54401 715-675-3391 Jenkins, David D MD Gender: Male Board Certifications: AB Internal Medicine Wisconsin Rapids, WI Aspirus Specialists, Inc Location: UW Cancer 715-847-2866 Ahuja, Harish G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital, Langlade Hospital Board Certifications: ABIM Medical Oncology Peterson, Christopher G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Rezazadeh, Hamied R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center, Aspirus Stevens Point Surgery Center Board Certifications: ABIM Medical Oncology North Central Health Care - Wausau Location: 1100 Lakeview Dr Wausau, WI 54403 715-848-4600 Richards, Rebecca K APNP Gender: Female Board Certifications: American Nurses Credentialing Center UW Cancer Center Location: 215 N 28th Ave Center Riverview Hospital 410 Dewey St Wisconsin Rapids, WI 54495 715-421-7411 Peterson, Christopher G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Internal Medicine Rezazadeh, Hamied R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center, Aspirus Stevens Point Surgery Center Board Certifications: ABIM Medical Oncology Riverview Hospital Location: 410 Dewey St Wisconsin Rapids, WI 54494 715-421-7411 Kirschling, Ronnie J MD Gender: Male Board Certifications: ABIM Hematology Hospitalist Antigo, WI Langlade Hospital Location: 112 E 5th Ave Antigo, WI 54409 Bay Area Nephrology, SC Location: 2020 Riverside Dr STE 200 Green Bay, WI 54301 920-433-9920 Lawton, John M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Prevea Health Location: 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Berko, Yaw D MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Riverview Hospital, Appleton Medical Center, Theda Clark Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Board Certifications: AB Internal Medicine Prevea Health Centers Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Louscher, Darelynn M APNP Gender: Male Board Certifications: American Nurses Credentialing Center 715-623-2331 Wausau, WI 54401 715-847-2866 Green Bay, WI Lechtev, Tanya MD Gender: Female Page 150 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Manitowoc, WI Stevens Point, WI Bay Area Nephrology, SC Location: Holy Family Aspirus Stevens Point Clinic Location: 5409 Vern Holmes Memorial Medical Center 2300 Western Ave Manitowoc, WI 54220 Dr Stevens Point, WI 54482 920-433-9920 715-344-1600 Montgomery, Jean C MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Hyperbaric Medicine Trunk XX Mosinee, WI 54455 715-355-4040 Montgomery, Jean C MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Sheboygan, WI Marsho Family Medical Group, SC Location: 1703 N Taylor Dr Sheboygan, WI 53081 920-457-4438 Tucker-Sanfelippo, Elizabeth L MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Allergy & Immunology 920-738-6504 Brooks, David J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center ThedaCare Physicians Infectious Diseases Location: 2500 E Capitol Dr Appleton, WI 54911 920-831-1841 Mosinee, WI Aspirus Kronenwetter Clinic Location: 1881 County STE 3300 Appleton, WI 54911 Green Bay, WI St Vincent Hospital Location: 835 S Van Buren St Green Bay, WI 54301 920-433-0111 Brooks, David J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center ThedaCare Physicians Internal Medicine Location: 2500 E Capitol Dr Appleton, WI 54911 920-731-5811 Infectious Disease Appleton, WI Aids Resource Center of Wisconsin Inc Location: 633C W Wisconsin Ave Appleton, WI 54911 800-773-2068 Adejumo, Adetunji A MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: AB Internal Medicine Siddiqi, Ameera W MD Gender: Female Board Certifications: ABIM Infectious Disease Onunkwo, Chiedu C MD Gender: Male Hospital/Medical Affiliations: Froedtert Memorial Lutheran Hospital Board Certifications: AB Internal Medicine Green Bay, WI Aids Resource Center of Wisconsin Inc Location: 445 South Adams Green Bay, WI 54301 800-675-9400 Adejumo, Adetunji A MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: AB Internal Medicine Siddiqi, Ameera W MD Gender: Female Board Certifications: ABIM Infectious Disease Bellin Health System Location: 744 S Webster Ave Green Bay, WI 54305 920-433-3500 Davis, R Dale MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Bellin Memorial Hospital Location: 744 S Webster Ave Green Bay, WI 54301 920-433-3500 Landrum, Michael L MD Gender: Male Green Bay Chest And Infectious Disease Location: 704 S Webster Ave Green Bay, WI 54301 920-433-7516 Davis, R Dale MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Prevea Health Centers Location: 1727 Shawano Ave Green Bay, WI 54303 920-496-4700 Siddiqi, Ameera W MD Gender: Female Board Certifications: ABIM Infectious Disease St Vincent Hospital Location: 835 S Van Buren St Green Bay, WI 54301 920-433-0111 Page 151 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Lawton, John M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine TCP Woundcare & IV Encircle Location: 2500 E Capitol Dr Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Manitowoc, WI Laboratory Holy Family Memorial Medical Center Location: 2300 Western Ave Appleton, WI PO Box 1450 Manitowoc, WI 54220 920-320-2011 Loomans, Henry J MD Gender: Male Specialty Care Providers Neenah, WI ThedaCare Physicians Infectious Diseases Location: 200 Theda Clark Medical Plaza Neenah, WI 54956 920-831-1841 Brooks, David J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Onunkwo, Chiedu C MD Gender: Male Hospital/Medical Affiliations: Froedtert Memorial Lutheran Hospital Board Certifications: AB Internal Medicine Schofield, WI Aids Resource Center of Wisconsin Inc Location: 1105 Grand Ave STE 1 Schofield, WI 54476 Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Center 3100 Shore Dr Marinette, WI 54143 715-735-7621 Location: 2793 Lineville Rd ThedaCare Physicians Lab Encircle Health Location: 2500 E Capitol Dr Appleton, WI 54911 Green Bay, WI 54313 920-496-4700 Location: 3021 Voyager Dr Green Bay, WI 54311 920-996-3200 920-496-4700 Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 Bark River, MI 920-496-4700 Dickinson Medical Services @ Cedar Hill Location: 2845 US 2 & 41 Prevea Health Centers Location: 1821 S Webster STE 203 Bark River, MI 49807 Ave PO Box 19070 Green Bay, WI 54307-9070 906-466-2650 920-496-4700 Mountain , WI CMH Primary Care Clinic Location: 14353 Wisconsin Hwy 32/64 Mountain , WI 54149 715-276-1600 Niagara, WI Northern Lights Clinic SC Location: 500 Roosevelt Rd Niagara, WI 54151 715-251-1998 Location: 2793 Lineville Rd De Pere, WI Green Bay, WI 54313 Prevea Health Location: 1686 Eisenhower 920-496-4700 Location: 3021 Voyager Dr Green Bay, WI 54311 Rd De Pere, WI 54115 920-496-4700 920-496-4700 Prevea Health Centers Location: 1686 Eisenhower Rd De Pere, WI 54115 Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Oconto, WI Prevea Health Location: 620 Smith Ave Oconto, WI 54153 920-834-4110 Prevea Health Centers Location: 620 Smith Ave Oconto, WI 54153 920-834-4110 920-496-4700 Location: 3860 Monroe Rd De Pere, WI 54115 920-496-4700 Manitowoc, WI HFM Family Medicine Location: 1650 S 41st St 800-551-3311 Adejumo, Adetunji A MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: AB Internal Medicine Siddiqi, Ameera W MD Gender: Female Board Certifications: ABIM Infectious Disease Location: Bay Area Medical Manitowoc, WI 54220 920-320-4500 Green Bay, WI 920-496-4700 Community Memorial Hospital Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 Prevea Health Location: 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 Oconto Falls, WI Marinette, WI Northern Lights Clinic SC Location: 3200 Shore Dr Marinette, WI 54143-0437 715-735-3187 Northern Lights Clinic SC Location: Community Memorial Hospital 855 S Main St Oconto Falls, WI 54154 920-846-3444 Page 152 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Pulaski, WI Green Bay, WI Prevea Health Centers Location: 940 S Saint Bellin Health MRI Center Location: 1630 Commanche Augustine St Pulaski, WI 54162 Ave Green Bay, WI 54313 920-822-5444 Seymour, WI Prevea Health Location: 958 Foote St Seymour, WI 54165 Prevea Health Centers Location: 958 Foote St Seymour, WI 54165 920-833-9896 Magnetic Resonance Imaging Appleton, WI Fox Valley Open MRI Location: 201 W Northland Ave Appleton, WI 54914 920-996-0724 920-498-4200 920-445-7000 Location: 740 S Van Buren St Vincent Hospital Location: 1821 S Webster St Green Bay, WI 54301 Ave Green Bay, WI 54302 920-433-0111 920-433-3411 Bellin Memorial Hospital Location: 744 S Webster Ave Green Bay, WI 54301 St Agnes Hospital Location: 430 E Division St Fond du Lac, WI 54935 920-929-2300 Manitowoc, WI Holy Family Memorial Medical Center Location: 2300 Western Ave 920-433-3500 NEWisconsin MRI Center of Green Bay, LLC Location: 1241 Lombardi PO Box 1450 Manitowoc, WI 54220 920-320-2011 920-431-7120 Mosinee, WI Location: 2141 Lime Kiln Rd Green Bay, WI 54311 920-431-7120 Aspirus Mobile MRI Location: 1881 County Rd XX Mosinee, WI 54455 Orthopedic & Sports Medicine Specialists of Green Bay, SC Location: 2223 Lime Kiln Rd STE 1 Green Bay, WI 54311 715-355-4040 New London, WI New London, WI 54961 920-531-2000 Ave PO Box 19070 Green Bay, WI 54307-9070 Location: St Mary's Hospital 920-496-4700 715-545-2710 Rhinelander, WI Aspirus Mobile MRI Location: 1630 N Chippewa Dr Rhinelander, WI 54501 715-361-5480 Sheboygan, WI St Nicholas Hospital Location: 3100 Superior 920-459-8300 Stevens Point, WI Aspirus Mobile MRI Location: 5409 Vern Holmes 715-344-1600 Sturgeon Bay, WI Door County Memorial Hospital Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-496-4700 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 Phelps, WI 54554 Dr Stevens Point, WI 54482 New London Family Medical Center Location: 1405 Mill St Prevea Health Centers Location: 1821 S Webster Aspirus Mobile MRI Location: 2383 State Hwy 17 Ave Sheboygan, WI 53081 Access Rd Green Bay, WI 54303 920-468-0246 Fond du Lac, WI Ave Green Bay, WI 54303 Phelps, WI Oconto Falls, WI Community Memorial Hospital Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 920-743-5566 Waupaca, WI Riverside Medical Center Location: 800 Riverside Dr Waupaca, WI 54981 715-258-1000 Page 153 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers 920-833-9896 St Marys Hospital Medical Center Location: 1726 Shawano Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Waupun, WI Waupun Memorial Hospital Location: 620 W Brown St Waupun, WI 53963 De Pere, WI Prevea Health Location: 3860 Monroe Rd 920-496-4700 Prevea Health Centers Location: 3860 Monroe Rd De Pere, WI 54115 920-496-4700 Specialty Care Providers 715-847-2550 Woodruff, WI 715-358-8610 Mammography Ave Green Bay, WI 54303 St Vincent Hospital Location: 835 S Van Buren Fond du Lac, WI Fond du Lac Regional Clinic Location: 723 Park Ridge Ln St Green Bay, WI 54301 Dickinson Medical Services @ Cedar Hill Location: 2845 US 2 & 41 Manitowoc, WI Holy Family Memorial Medical Center Location: 2300 Western Ave Green Bay, WI Bellin Memorial Hospital Location: 744 S Webster PO Box 1450 Manitowoc, WI 54220 920-320-2011 Ave Green Bay, WI 54301 STE 203 Bark River, MI 49807 906-466-2650 Crivitz, WI NorthReach Healthcare Location: Crivitz Medical Clinic 218 S Hwy 141 Crivitz, WI 54114 715-854-7477 920-496-4700 Marinette, WI Bay Area Medical Center Location: 3100 Shore Dr Marinette, WI 54143 715-735-6621 Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 Oconto, WI 54153 920-835-1144 Prevea Health Location: 620 Smith Ave Oconto, WI 54153 920-834-4110 Prevea Health Centers Location: 620 Smith Ave Oconto, WI 54153 920-834-4110 CMH Primary Care Clinic Location: 855 S Main St Oconto Falls, WI 54154 920-846-8187 Community Memorial Hospital Location: 855 S Main St Oconto Falls, WI 54154 Prevea Health Location: 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 CMH Primary Care Clinic Location: 103 First St Oconto Falls, WI 920-926-8600 920-433-3500 Bark River, MI Oconto, WI 920-433-0111 Fond du Lac, WI 54937 Aspirus Mobile MRI Location: 611 Veterans Parkway Woodruff, WI 54568 St Marys Hospital Medical Center Location: 1726 Shawano 920-498-4200 Aspirus Imaging Location: 3200 Westhill Dr STE 108 Wausau, WI 54401 920-496-4700 De Pere, WI 54115 920-324-2300 Wausau, WI Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-846-3444 Plymouth, WI Plymouth Medical Plaza Location: 515 Mill St Plymouth, WI 53073 New London, WI New London Family Medical Center Location: 1405 Mill St New London, WI 54961 920-531-2000 920-496-4700 920-892-4322 Sheboygan, WI Marsho Family Medical Group, SC Location: 1703 N Taylor Dr Sheboygan, WI 53081 920-457-4438 Page 154 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. St Nicholas Hospital Location: 3100 Superior Prevea Health Centers Location: St Vincent Neonatology Ave Sheboygan, WI 53081 920-459-8300 Sturgeon Bay, WI Door County Memorial Hospital Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-743-5566 Riverside Medical Center Location: 800 Riverside Dr Waupaca, WI 54981 715-258-1000 Waupun, WI Waupun Memorial Hospital Location: 620 W Brown St Waupun, WI 53963 920-324-2300 920-496-4700 Appleton, WI Fox Valley Neonatology SC Location: 1506 S Oneida St Appleton, WI 54915 920-831-8507 Fakler, Cathy R MD Gender: Female Board Certifications: AB Pediatrics Seeger, Kimberly J MD Gender: Female Board Certifications: AB Pediatrics Neonatal Perinatal Tsai, Nancy Y MD Gender: Female Hospital/Medical Affiliations: Calumet Medical Center, Mercy Medical Center, LaSalle Surgery Center, St Elizabeth Hospital Board Certifications: AB Pediatrics Grant, Pamela Jo MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: AB OBGYN Maternal Fetal Medicine St Marys Hospital Medical Center Location: 1726 Shawano Ave Green Bay, WI 54303 920-498-4200 Ostrand, Marguerite T NP Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital, Community Memorial Hospital Green Bay, WI Neonatal Consultants, SC Location: 835 S Van Buren St Green Bay, WI 54301 Wausau, WI Aspirus Mobile Mammography Location: 333 Pine Ridge Blvd Wausau, WI 54402-4120 715-847-0477 920-433-8360 Bertagnoli, Mark W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Neonatal Perinatal Brand, Joseph M DO Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics Neonatal Perinatal Breen, Kay L MD Gender: Female Board Certifications: AB Pediatrics Neenah, WI Neonatal Associates of Wisconsin, SC Location: 130 Second St Neenah, WI 54956 920-969-7990 Hermes, Deborah M MD Gender: Female Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Pediatrics Liebeskind, Abraham J MD Gender: Male Hospital/Medical Affiliations: Columbia St Mary's Hospital of Milwaukee, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Pediatrics Neonatal Perinatal Myers, Paul R MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Pediatrics Szaniszlo, Katalin MD Gender: Female Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Theda Clark Medical Center Additional Languages:Hungarian, Russian Board Certifications: AB Pediatrics Neonatal Perinatal Sturgeon Bay, WI Door County Memorial Hospital Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-743-5566 Ostrand, Marguerite T NP Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital, Community Memorial Hospital Page 155 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Waupaca, WI Hospital 835 S Van Buren St Green Bay, WI 54301 Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wausau, WI Aspirus Wausau Hospital Location: 333 Pine Ridge Blvd Wausau, WI 54401 Specialty Care Providers 715-847-2121 Modi, Haresh B MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Neonatal Perinatal Torres, Carlos E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Nephrology Antigo, WI Aspirus Nephrology Clinic Location: St. Joseph's Outpatient Center 501 Aurora St Antigo, WI 54409 Beaver Dam, WI Fond du Lac, WI Beaver Dam Dialysis Center Location: 110 Monroe St Fond du Lac Dialysis Center Location: 101 South Beaver Dam, WI 53916 Pioneer Rd Fond du Lac, WI 54935 920-887-3376 Yuan, David D MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: ABIM Nephrology Zimmerman, Stephen W MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: ABIM Nephrology Chilton, WI Fox Valley Nephrology Partners, SC Location: 614 Memorial Dr Chilton, WI 53014 Yuan, David D MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: ABIM Nephrology Zimmerman, Stephen W MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: ABIM Nephrology Fond du Lac Regional Clinic Location: 420 E Division St Fond du Lac, WI 54935 920-923-7400 Yuan, David D MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: ABIM Nephrology Zimmerman, Stephen W MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: ABIM Nephrology 920-849-7500 715-847-0032 Millican, Robert J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Schneider, Thomas G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology 920-923-2333 Crandon, WI Forest County Potawatomi Health & Wellness Center Location: 8201 Mish Ko Swen Dr Crandon, WI 54520 715-478-4300 Millican, Robert J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Green Bay, WI Bay Area Nephrology, SC Location: 2020 Riverside Dr STE 200 Green Bay, WI 54301 920-433-9920 Lawton, John M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Neu, Steven E MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Palubiak, David J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Internal Medicine Smith, Thomas J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: ABIM Nephrology Verma, Anupama MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Additional Languages:Hindi (Indian), Pun Jabi Page 156 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Prevea Health Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Palubiak, David J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Internal Medicine Prevea Health Centers Location: St Vincent 920-496-4700 Palubiak, David J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Internal Medicine St Marys Hospital Medical Center Location: 1726 Shawano Ave Green Bay, WI 54303 920-498-4200 Palubiak, David J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Internal Medicine Dickinson County Healthcare System Location: 1721 S Manitowoc, WI Bay Area Nephrology, SC Location: Holy Family Memorial Medical Center 2300 Western Ave Manitowoc, WI 54220 Stephenson Ave Iron Mountain, MI 498013637 920-433-9920 906-774-1313 Funtanilla, Marjorie V MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Dickinson Internal Med/ Nephrology Clinic Location: 1711 S Stephenson Ave STE 225 Iron Mountain, MI 49801 906-776-5860 Funtanilla, Marjorie V MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Internal Medicine Lawton, John M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Neu, Steven E MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Internal Medicine Palubiak, David J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Internal Medicine Smith, Thomas J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: ABIM Nephrology Verma, Anupama MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Additional Languages:Hindi (Indian), Pun Jabi Medford, WI Aspirus Nephrology Clinic Location: Medford Clinic 101 S Gibson St Medford, WI 54451 715-847-0032 Millican, Robert J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Schneider, Thomas G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Merrill, WI Aspirus Nephrology Clinic Location: 3333 E Main St Merrill, WI 54452 715-847-0032 Millican, Robert J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Schneider, Thomas G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Page 157 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Hospital 835 S Van Buren St Green Bay, WI 54301 Iron Mountain, MI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Neenah, WI Stevens Point, WI Fox Valley Nephrology Partners, SC Location: 300 N. Aspirus Nephrology Clinic Location: 2275 N Shore Dr Aspirus Nephrology Clinic Location: Aspirus Stevens Commercial St STE 200 Neenah, WI 54956 Rhinelander, WI 54501 Point Clinic 5409 Vern Holmes Dr Stevens Point, WI 54482 920-886-0818 Specialty Care Providers Rhinelander, WI Ahmad, Osaid K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Koeper, David W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Riess-Sagers, Kim R MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine Premier Health, SC Location: 1540 Lyon Dr Neenah, WI 54956 920-727-4946 Okundaye, Ifueko B MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages:NigerKordofanian Board Certifications: AB Internal Medicine 715-847-0032 Millican, Robert J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Schneider, Thomas G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Sheboygan, WI 715-847-0032 Millican, Robert J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Schneider, Thomas G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Waupun, WI Prevea Sheboygan Hospitalists Location: 3100 Superior Fond du Lac Regional Clinic Location: 608 W Brown St Ave Sheboygan, WI 53081 920-459-8300 Waupun, WI 53963 Palubiak, David J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Internal Medicine 920-324-6800 Zimmerman, Stephen W MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: ABIM Nephrology Waupun Regional Dialysis Center Location: 10 Beaver Dam St Waupun, WI 53963 920-324-6531 Yuan, David D MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: ABIM Nephrology Zimmerman, Stephen W MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital, Waupun Memorial Hospital Board Certifications: ABIM Nephrology Wausau, WI Aspirus Nephrology Clinic Location: 3000 Westhill Dr #108 #108 Wausau, WI 54401 715-847-0032 Millican, Robert J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Schneider, Thomas G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Page 158 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Aspirus Wausau Hospital Kidney Care Location: 3000 Westhill Dr STE 106 Wausau, WI 54402 715-847-0019 Wisconsin Rapids, WI Aspirus Clinic Location: 2031 Peach Street Wisconsin Rapids, WI 54402 715-423-0122 Millican, Robert J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Aspirus Nephrology Clinic Location: Riverview Hospital 420 Dewey St Wisconsin Rapids, WI 54495 715-847-0032 Millican, Robert J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Schneider, Thomas G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Fond du Lac, WI 54935 920-929-2300 Antigo, WI Hord, Eugenia Daniela MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Additional Languages:French, Romanian Board Certifications: AB Psychiatry & Neurology Neurology Aspirus General Clinic Antigo Location: 703 S 5th Ave Antigo, WI 54409 715-623-2351 Szmanda, Mark T DO Gender: Male Langlade Hospital Location: 112 E 5th Ave Green Bay, WI Antigo, WI 54409 Neuro Care Team Location: 725 S Webster 715-623-2331 Ave Green Bay, WI 54301 Szmanda, Mark T DO Gender: Male 920-433-7995 Appleton, WI Neurology Associates, LLC Location: 2500 E. Enterprise Dierschke, Brenda J MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Ave. STE E Appleton, WI 54913 920-968-5057 Cardelli, Dominic T MD Gender: Male Board Certifications: AB Psychiatry & Neurology Fond du Lac, WI Center for Pain Care Location: 421 Camelot Dr Fond du Lac, WI 54935 920-926-4939 Hord, Eugenia Daniela MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Additional Languages:French, Romanian Board Certifications: AB Psychiatry & Neurology Neurology Page 159 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Millican, Robert J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology Schneider, Thomas G MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: ABIM Nephrology St Agnes Hospital Location: 430 E Division St Neurology Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Neurology Consultants Of NE WI, LTD Location: 725 S Webster Ave Ste 201 Green Bay, WI 54301 Specialty Care Providers 920-430-7104 Case, Celeste E MD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital Board Certifications: AB Psychiatry & Neurology Neurology Heverly, David N MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Bellin Psychiatric Hospital, Community Memorial Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Psychiatry & Neurology Neurology Kaufman, David K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, Bellin Psychiatric Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center, Shawano Medical Center, St Vincent Hospital Board Certifications: AB Psychiatry & Neurology Neurology Santillan, Concepcion E MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, Holy Family Memorial Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Neurology Stanko, Heather A MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Bhattacharyya, Debasish MD Gender: Male Haffar, Ahmad Y MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, St Agnes Hospital, St Vincent Hospital, Theda Clark Medical Center Board Certifications: AB Psychiatry & Neurology Kanneganti, Prasad V MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Additional Languages:Telagu Board Certifications: AB Internal Medicine Prince, Darryl M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center Board Certifications: AB Psychiatry & Neurology Snyder, Michael D MD Gender: Male Kingsford, MI Dickinson Neurology Associates Location: 1205 Pyle Dr Kingsford, MI 49802 906-779-7100 Peterson, Patti L MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Psychiatry & Neurology Shein, Nilar MD Gender: Female Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Psychiatry & Neurology Neurology Marinette, WI Bay Area Medical Center Location: 3100 Shore Dr Marinette, WI 54143 715-735-6621 Kloub, Mamoun MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center Manitowoc, WI HFM Neuroscience Location: 2300 Western Ave Manitowoc, WI 54220 920-320-3880 Bhatt, Krishna MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital, Holy Family Memorial Medical Center Board Certifications: AB Psychiatry & Neurology Location: 4303 Michigan Ave Manitowoc, WI 54220 920-320-4380 Bhatt, Krishna MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital, Holy Family Memorial Medical Center Board Certifications: AB Psychiatry & Neurology Page 160 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Neurology Consultants Of NE WI, LTD Location: Bay Area Medical Center 3100 Shore Dr Marinette, WI 54143 920-430-7100 New London, WI The Neuroscience Group Of Northeast Wisconsin Location: 1305 W American The Neuroscience Group Of Northeast Wisconsin Location: 1405 Mill St Neurology Consultants Of NE WI, LTD Location: Community Dr Neenah, WI 54956 New London, WI 54961 Memorial Hospital 855 S Main St Oconto Falls, WI 54154 920-725-9373 920-725-9373 Hibbs, Susan G MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Jenkins, Brian D DO Gender: Male Kokontis, Lisa M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Neurological Surgery Larson, Gizell R MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Psychiatry & Neurology Mattio, Thomas G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Psychiatry & Neurology Parnell, Kelley J MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital, Theda Clark Medical Center Board Certifications: AB Psychiatry & Neurology Neurology Price, Steven J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Psychiatry & Neurology Neurology Kokontis, Lisa M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center Board Certifications: AB Neurological Surgery Oconto Falls, WI 920-430-7100 Heverly, David N MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Bellin Psychiatric Hospital, Community Memorial Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Psychiatry & Neurology Neurology Kaufman, David K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, Bellin Psychiatric Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center, Shawano Medical Center, St Vincent Hospital Board Certifications: AB Psychiatry & Neurology Neurology Santillan, Concepcion E MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, Holy Family Memorial Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Neurology Page 161 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Heverly, David N MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Bellin Psychiatric Hospital, Community Memorial Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Psychiatry & Neurology Neurology Kaufman, David K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, Bellin Psychiatric Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center, Shawano Medical Center, St Vincent Hospital Board Certifications: AB Psychiatry & Neurology Neurology Santillan, Concepcion E MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, Holy Family Memorial Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Neurology Neenah, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Shawano, WI Wausau, WI The Neuroscience Group Of Northeast Wisconsin Location: 117 E Green Bay Neurology Consultants Of NE WI, LTD Location: Green Bay Aspirus Spine & Neurosciences institute Location: 3200 Westhill Dr Rd Shawano, WI 54166 Heartcare of Door County 342 Louisiana St Sturgeon Bay, WI 54235 STE 102 Wausau, WI 54401 920-725-9373 Hibbs, Susan G MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Specialty Care Providers Sturgeon Bay, WI Sheboygan, WI Advanced Pain Management, LLC Location: 2124 Kohler Memorial Dr STE 100 Sheboygan, WI 53081 920-452-7246 Bhattacharyya, Debasish MD Gender: Male Thomas J Zweifel, DO, SC Location: 1440 N 25th St Sheboygan, WI 53081 920-457-3737 Zweifel, Thomas J DO Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center, St Marys Hospital Ozaukee, St Nicholas Hospital Board Certifications: AB Psychiatry & Neurology Stevens Point, WI Klasinski Neurocare, SC Location: 500 Vincent St STE B Stevens Point, WI 54481 715-344-0607 Klasinski, Michele M MD Gender: Female Board Certifications: AB Psychiatry & Neurology Neurology 715-847-2019 920-430-7100 Heverly, David N MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Bellin Psychiatric Hospital, Community Memorial Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Psychiatry & Neurology Neurology Kaufman, David K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, Bellin Psychiatric Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center, Shawano Medical Center, St Vincent Hospital Board Certifications: AB Psychiatry & Neurology Neurology Santillan, Concepcion E MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, Holy Family Memorial Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Neurology Adajar, Rowena A MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Psychiatry & Neurology Agner, Celso MD Gender: Male De Carvolho, Carlos A MD Gender: Male Khan, Farrukh S MD Gender: Male Sa, Daniel S MD Gender: Male Shewmake, Karl E MD Gender: Male Location: 425 Pine Ridge Blvd STE 300 Wausau, WI 54401 715-847-2019 Adajar, Rowena A MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Psychiatry & Neurology D'Cruz, Arvind Alex MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Psychiatry & Neurology Neurology De Carvolho, Carlos A MD Gender: Male Khan, Farrukh S MD Gender: Male Sa, Daniel S MD Gender: Male Shewmake, Karl E MD Gender: Male North Central WI Rehab Associates Location: 3200 Westhill Dr STE 101 Wausau, WI 54401 715-847-2019 Passini, Barry T MD Gender: Male Board Certifications: AB Psychiatry & Neurology Neurology Neuropsycholo gy Green Bay, WI Neuropsychology Of Green Bay, LTD Location: 2020 Riverside Dr 1st Floor Green Bay, WI 54301 920-435-1508 Hitch, William B PhD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Smet, Irma C PhD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Manitowoc, WI HFM Behavioral Health Location: 339 Reed Ave Manitowoc, WI 54220 920-320-8600 Reinemann, Dawn H PhD Gender: Female Page 162 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Menasha, WI ThedaCare Behavioral Health Location: 1095 Midway Rd Menasha, WI 54952 920-720-2300 Chinnery, Theresa L PhD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center Antigo, WI Aspirus Spine & Neurosciences institute Location: 110 E Fifth Ave Ave Appleton, WI 54913 800-201-1194 Johnson, Randall R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Neurological Surgery Yazbak, Philip A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Neurological Surgery Antigo, WI 54409 715-847-2019 Beaumont, Andrew MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Appleton, WI NeuroSpine Center of WI, SC Location: 5320 W Michaels Dr Appleton, WI 54913 920-882-8200 Greene, Karl A MD Gender: Male Board Certifications: AB Neurological Surgery Wascher, Thomas M MD Gender: Male Board Certifications: AB Neurological Surgery Brookfield, WI Wisconsin Neurosurgery, SC Location: 17280 W North Ave Brookfield, WI 53045 Green Bay, WI Manitowoc, WI The Neuroscience Group Of Northeast Wisconsin Location: 3263 Eaton Rd Wisconsin Neurosurgery, SC Location: 501 N 10th St Green Bay, WI 54311 Manitowoc, WI 54220 920-725-9373 Bhattacharjee, Sumon MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Children's Hospital of Wisconsin Johnson, Randall R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Neurological Surgery Yazbak, Philip A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Neurological Surgery 262-784-4205 Fuiks, Kimball S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bay Area Medical Center, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Community Memorial Hospital Board Certifications: AB Neurological Surgery 920-684-2011 Fuiks, Kimball S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Bay Area Medical Center, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Community Memorial Hospital Board Certifications: AB Neurological Surgery Medford, WI Aspirus Spine & Neurosciences institute Location: 135 S. Gibson St Medford, WI 54451 715-847-2019 Beaumont, Andrew MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Iron Mountain, MI Dr Barry D Johnson, MD Neurology Location: 1115 S Hemlock St STE 4 Iron Mountain, MI 49801 906-776-1570 Johnson, Barry D MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Psychiatry & Neurology Page 163 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Neurosurgery The Neuroscience Group Of Northeast Wisconsin Location: 2105 E. Enterprise Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Oshkosh, WI The Neuroscience Group Of Northeast Wisconsin Location: 1305 W American The Neuroscience Group Of Northeast Wisconsin Location: 600 Westhaven Dr Dr Neenah, WI 54956 Oshkosh, WI 54901 920-725-9373 Specialty Care Providers Location: 2251 North Shore Neenah, WI Bhattacharjee, Sumon MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Children's Hospital of Wisconsin Johnson, Randall R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Neurological Surgery Lyons, Thomas A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Neurological Surgery Yazbak, Philip A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Neurological Surgery 920-725-9373 Bhattacharjee, Sumon MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Children's Hospital of Wisconsin Valley Neuro Microneurosurgery, SC Location: 2700 W 9th Ave Dr Rhinelander, WI 54501 715-843-1000 MacKay, Christopher I MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Neurological Surgery Stevens Point, WI Spine & Brain Group, SC Location: 824 Illinois Ave Stevens Point, WI 54401 715-843-1000 STE 120 Oshkosh, WI 54904 920-223-0545 Paul, Kamaljit S MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages:Hindi (Indian), Polish Rhinelander, WI MacKay, Christopher I MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Neurological Surgery Waupaca, WI The Neuroscience Group Of Northeast Wisconsin Location: 800 Riverside Dr Waupaca, WI 54981 Aspirus Spine & Neurosciences institute Location: 1630 N Chippewa Dr Rhinelander, WI 54501 715-847-2019 Beaumont, Andrew MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital 920-725-9373 Johnson, Randall R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Bellin Memorial Hospital, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Neurological Surgery Spine & Brain Group, SC Location: 1630 N Chippewa Wausau, WI Aspirus Spine & Neurosciences institute Location: 3200 Westhill Dr STE 102 Wausau, WI 54401 715-847-2019 Beaumont, Andrew MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Hugus, John J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Norelle, Alexis MD Gender: Female Will, Steven F MD Gender: Male Location: 425 Pine Ridge Blvd STE 300 Wausau, WI 54401 715-847-2019 Ajir, Farroukh MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Beaumont, Andrew MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Hugus, John J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Norelle, Alexis MD Gender: Female Will, Steven F MD Gender: Male Dr Rhinelander, WI 54501 715-843-1000 MacKay, Christopher I MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Neurological Surgery Page 164 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Spine & Brain Group, SC Location: 2800 Westhill Dr Green Bay Radiology, SC Location: 835 S Van Buren STE 200 Wausau, WI 54401 St Green Bay, WI 54301 715-843-1000 MacKay, Christopher I MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Neurological Surgery Weston, WI Center Dr Weston, WI 54476 715-847-2019 Beaumont, Andrew MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Hugus, John J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Nuclear Medicine Green Bay, WI Bay Area Nuclear Medicine, SC Location: 835 S Van Buren St Green Bay, WI 54307 920-433-8180 Meredith, Robert L MD Gender: Male Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-964-0480 Green Bay, WI Davison, Robert F MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Nicholas Hospital Bellin Health System Location: 744 S Webster Ave Green Bay, WI 54305 920-433-3500 Plymouth, WI Prevea Plymouth Health Center Radiologists Location: 825 Walton Dr. Plymouth, WI 53073 920-496-4700 Davison, Robert F MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Nicholas Hospital Sheboygan, WI GBR Sheboygan, LLC Location: 3100 Superior Ave Sheboygan, WI 53081 920-459-8300 Davison, Robert F MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Nicholas Hospital TenHaken, Marcia A CNM Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital 920-496-4700 Oconto Falls, WI Community Memorial Hospital Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 Prevea Health Centers Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Brace, Marta R CNM, APNP Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: American Midwifery Certification Board Westphal, Antoinette L CNM, APNP Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center OB/GYN Ultrasound Sheboygan , WI Green Bay, WI Prevea Sheboygan Radiologists Location: 3100 Superior Prevea Health Location: 1821 S Webster Ave Sheboygan , WI 53081 Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 920-496-4700 Davison, Robert F MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Nicholas Hospital Page 165 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Aspirus Spine & Neurosciences institute Location: 4005 Community Nurse Midwife Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Oral & Maxillofacial Surgery Appleton, WI Oral & Maxillofacial Surgery of Fox Cities, SC Location: 5395 W Michaels Dr Appleton, WI 54913 Specialty Care Providers 920-739-1214 Bergstrom, Christopher A DDS Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Oral & Maxillofacial Surgery Casperson, Jeffrey L DDS Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Oral & Maxillofacial Surgery Rydlewicz, John J DDS Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Zuck, Timothy I DDS Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, St Elizabeth Hospital, LaSalle Surgery Center, Mercy Medical Center Board Certifications: AB Oral & Maxillofacial Surgery Location: 2981 Voyager Dr Green Bay, WI Green Bay, WI 54311-8301 Bay Oral & Maxillofacial Surgery, LTD Location: 2353 S Ridge Rd STE 1 Green Bay, WI 54304 920-499-0471 Koch, Bradley S DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery LeMoine, David L DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery LeMoine, Jason L DDS Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital Board Certifications: AB Oral & Maxillofacial Surgery Miskella, Michael J DDS Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Parmar, Vijay S DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital 920-593-2900 Koch, Bradley S DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery LeMoine, David L DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery LeMoine, Jason L DDS Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital Board Certifications: AB Oral & Maxillofacial Surgery Miskella, Michael J DDS Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Parmar, Vijay S DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital BayCare Clinic LLP Location: 2253 W Mason St Green Bay, WI 54303 920-347-0400 Anderson, Courtney A DDS Gender: Female Board Certifications: AB Oral & Maxillofacial Surgery Schuh, Michael J DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Welsh, Gregory W DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Zent, Steve A MD DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Page 166 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Location: 2581 Development Dr Green Bay, WI 54311 920-347-0400 Marinette, WI BayCare Clinic LLP Location: 930 Maritime Dr Manitowoc, WI 54220 920-682-9121 Anderson, Courtney A DDS Gender: Female Board Certifications: AB Oral & Maxillofacial Surgery Schuh, Michael J DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Welsh, Gregory W DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Zent, Steve A MD DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Minocqua, WI Bay Oral & Maxillofacial Surgery, LTD Location: 2007 Marinette David E Krigbaum, DDS, SC Location: 9433 County Rd J Ave Marinette, WI 54143 Unit B Minocqua, WI 54548 715-732-0222 800-356-4679 Koch, Bradley S DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery LeMoine, David L DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery LeMoine, Jason L DDS Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital Board Certifications: AB Oral & Maxillofacial Surgery Miskella, Michael J DDS Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Parmar, Vijay S DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Krigbaum, David E DDS Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Oral & Maxillofacial Surgery New Holstein, WI Sheboygan Oral & Maxillofacial Surgery Assoc, LTD Location: 2017 Main St New Holstein, WI 53061 920-898-4545 Anderson, Theodore M DMD Gender: Male Board Certifications: AB Oral & Maxillofacial Surgery Keller, John J DDS Gender: Male Board Certifications: AB Oral & Maxillofacial Surgery Schultz, Wade T DDS, MD Gender: Male Board Certifications: AB Oral & Maxillofacial Surgery Medford, WI First Impressions Location: 124 S Main St Medford, WI 54501 715-748-5435 Ott, Colin J DDS Gender: Male Page 167 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Anderson, Courtney A DDS Gender: Female Board Certifications: AB Oral & Maxillofacial Surgery Schuh, Michael J DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Welsh, Gregory W DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Zent, Steve A MD DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Manitowoc, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Niagara, WI Bay Oral & Maxillofacial Surgery, LTD Location: 500 Roosevelt Rd Niagara, WI 54220 Specialty Care Providers 715-251-1818 Koch, Bradley S DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery LeMoine, David L DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery LeMoine, Jason L DDS Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital Board Certifications: AB Oral & Maxillofacial Surgery Miskella, Michael J DDS Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Parmar, Vijay S DDS Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Oshkosh, WI Angell Oral Surgery Associates, LTD Location: 2700 W 9th Ave STE 103 Oshkosh, WI 54904 920-236-1680 Angell, David M DDS Gender: Male Port Washington, WI Shawano, WI Sheboygan Oral & Maxillofacial Surgery Assoc, LTD Location: 110 S Wisconsin St STE 5 Port Washington, WI 53074 262-284-1091 Anderson, Theodore M DMD Gender: Male Board Certifications: AB Oral & Maxillofacial Surgery Keller, John J DDS Gender: Male Board Certifications: AB Oral & Maxillofacial Surgery Schultz, Wade T DDS, MD Gender: Male Board Certifications: AB Oral & Maxillofacial Surgery Rhinelander, WI David E Krigbaum, DDS, SC Location: 550 E Timber Dr Rhinelander, WI 54501 800-356-4679 Krigbaum, David E DDS Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Oral & Maxillofacial Surgery First Impressions Location: 780 E Timber Drive Rhinelander, WI 54501 Ott, Colin J DDS Gender: Male BayCare Clinic LLP Location: 920 E 5th St Shawano, WI 54166 715-524-2001 Anderson, Courtney A DDS Gender: Female Board Certifications: AB Oral & Maxillofacial Surgery Schuh, Michael J DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Welsh, Gregory W DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Zent, Steve A MD DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Stevens Point, WI Cosmetic Surgery & Hair Restoration Center Location: 316 Vincent St Stevens Point, WI 54481 715-342-4545 First Impressions Location: 3216 Business Park Drive Stevens Point, WI 54482 715-343-5437 Ott, Colin J DDS Gender: Male Sturgeon Bay, WI BayCare Clinic LLP Location: 30 N 18th Ave Sturgeon Bay, WI 54235 920-743-2001 Anderson, Courtney A DDS Gender: Female Board Certifications: AB Oral & Maxillofacial Surgery Schuh, Michael J DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Welsh, Gregory W DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Zent, Steve A MD DDS Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Oral & Maxillofacial Surgery Houting, Thomas V MD, DDS Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Oral & Maxillofacial Surgery Page 168 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Waupaca, WI Oral & Maxillofacial Surgery of Fox Cities, SC Location: 701 Riverside Dr Waupaca, WI 54981 920-739-1214 Wausau, WI David E Krigbaum, DDS, SC Location: 2620 Stewart Ave STE 218 Wausau, WI 54401 715-842-8811 Krigbaum, David E DDS Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Oral & Maxillofacial Surgery Orthopedic Hand Avenue Wausau, WI 54401 715-842-4649 Appleton, WI Ott, Colin J DDS Gender: Male John W. Stilp, DDS, SC Location: 3000 Westhill Dr STE 301 Wausau, WI 54401 Dr Appleton, WI 54912 715-845-4511 Stilp, John W DDS Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Oral & Maxillofacial Surgery Weston, WI First Impressions Location: 4009 Community Center Drive Weston, WI 54476 715-842-5437 Ott, Colin J DDS Gender: Male Hand and Upper Extremity Center of Northeast Wisconsin Location: 2323 N Casaloma 920-730-8833 Cherney, Jon J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Cullen, Joseph P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Lumsden, Boyd C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Olvey, Scott P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Toivonen, David A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Hand Surgery Van Zeeland, Nathan L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Green Bay, WI Hand and Upper Extremity Center of Northeast Wisconsin Location: 1551 Park Place Green Bay, WI 54304 920-730-8833 Cullen, Joseph P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Lumsden, Boyd C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Olvey, Scott P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Toivonen, David A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Hand Surgery Van Zeeland, Nathan L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Page 169 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Bergstrom, Christopher A DDS Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Oral & Maxillofacial Surgery Casperson, Jeffrey L DDS Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Oral & Maxillofacial Surgery Rydlewicz, John J DDS Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Zuck, Timothy I DDS Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, St Elizabeth Hospital, LaSalle Surgery Center, Mercy Medical Center Board Certifications: AB Oral & Maxillofacial Surgery First Impressions Location: 413 North 17th Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Orthopedic Surgery Algoma, WI North Shore Medical Clinic Location: 815 Jefferson St Algoma, WI 54201 Specialty Care Providers 920-487-3496 Davis, Steven S MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Orthopaedic Surgery Antigo, WI Appleton, WI Orthopaedic Associates of Wausau Location: 112 E. 5th Ave Antigo, WI 54409 715-847-6755 Abuzzahab, Faruk S MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Orthopaedic Surgery Brearley, Wayne A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Seybold, Daniel M MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Sutherland, James P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Tanner, George R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Brian L Lohrbach, MD, SC Location: Orthopedic Clinic of Appleton 2105 E Enterprise Ave STE 112 Appleton, WI 54913 920-731-3111 Lohrbach, Brian L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, St Vincent Hospital, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery David A Eggert, MD, SC Location: Orthopedic Clinic of Appleton 2105 E Enterprise Ave STE 112 Appleton, WI 54913 920-731-3111 Eggert, David A MD Gender: Male Hospital/Medical Affiliations: Orthopedic & Sports Surgery Center, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AOBOS Orthopedic Surgery Hand and Upper Extremity Center of Northeast Wisconsin Location: 2323 N Casaloma Dr Appleton, WI 54912 920-730-8833 Cherney, Jon J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Cullen, Joseph P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Lumsden, Boyd C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Olvey, Scott P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Toivonen, David A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Hand Surgery Van Zeeland, Nathan L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Page 170 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. NeuroSpine Center of WI, SC Location: 5320 W Michaels ThedaCare Orthopedics Plus Appleton Location: 820 E Grant St Valley Orthopedic Clinic, SC Location: 2105 E Enterprise Dr Appleton, WI 54913 Appleton, WI 54911 Ave STE 111 Appleton, WI 54913-7862 920-882-8200 DeWitt, David C MD Gender: Male Board Certifications: AB Orthopaedic Surgery Ullrich, Peter F MD Gender: Male Board Certifications: AB Orthopaedic Surgery of Appleton 2105 E Enterprise Ave STE 112 Appleton, WI 54913 920-731-3111 Hausserman, Robert L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center The Neuroscience Group Of Northeast Wisconsin Location: 2105 E. Enterprise Ave Appleton, WI 54913 800-201-1194 Greene, Andrew R DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery Dietrich, Terry J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, ThedaCare Ambulatory Surgery Center Shawano Erickson, Eric W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, ThedaCare Ambulatory Surgery Center Shawano Kleist, Kenneth D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Smith, Todd B MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, ThedaCare Ambulatory Surgery Center Shawano 920-731-6611 Kuplic, J David MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Orthopedic & Sports Surgery Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Sports Medicine Minorik, Jay M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Orthopedic & Sports Surgery Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Ritzow, David C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center Board Certifications: AB Orthopaedic Sports Medicine Springer, Errol R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center Board Certifications: AB Orthopaedic Surgery Dickinson Medical Services @ Cedar Hill Location: 2845 US 2 & 41 STE 203 Bark River, MI 49807 906-466-2650 Veale, Michael R MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Orthopaedic Surgery De Pere, WI Prevea Health Location: 3860 Monroe Rd De Pere, WI 54115 920-496-4700 Florack, Thomas M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery Prevea Health Centers Location: 3860 Monroe Rd De Pere, WI 54115 920-496-4700 Florack, Thomas M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery Page 171 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Robert L Hausserman, MD, SC Location: Orthopedic Clinic 920-831-5050 Bark River, MI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Eagle River, WI Northern Wisconsin Bone & Joint Center, Ltd Location: 201 Hospital Rd Fond du Lac Regional Clinic Location: 421 Camelot Dr Eagle River, WI 54521 Fond du Lac, WI 54935 715-358-1911 Tadych, Kevin L MD Gender: Male Board Certifications: AB Orthopaedic Surgery Fish Creek, WI Specialty Care Providers Fond du Lac, WI North Shore Medical Clinic Location: 3711 State Highway 42 Fish Creek, WI 54212 920-868-3511 Davis, Steven S MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Orthopaedic Surgery Green Bay, WI Bellin Memorial Hospital Location: 744 S Webster Ave Green Bay, WI 54301 920-926-8616 920-433-3500 Kemp, Glen J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Orthopaedic Surgery Magoline, Steven A MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Orthopaedic Surgery Mannebach, Michael D MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Orthopaedic Surgery Pennau, Karl L MD Gender: Male Board Certifications: AB Orthopaedic Surgery Roetker, Alan W MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Orthopaedic Surgery Searle, Clark P MD Gender: Male Board Certifications: AB Orthopaedic Surgery Location: 912 S Hickory St Fond du Lac, WI 54935 Greene, Andrew R DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery Hand and Upper Extremity Center of Northeast Wisconsin Location: 1551 Park Place Green Bay, WI 54304 920-730-8833 Cullen, Joseph P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Lumsden, Boyd C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Olvey, Scott P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Toivonen, David A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Hand Surgery Van Zeeland, Nathan L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center 920-929-7490 Mannebach, Michael D MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Orthopaedic Surgery Page 172 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Orthopedic & Sports Medicine Specialists of Green Bay, SC Location: 2223 Lime Kiln Rd STE 1 Green Bay, WI 54311 920-468-0246 Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Florack, Thomas M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery Schick, Mark R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery Location: 2502 S. Ashland Ave Green Bay, WI 54304 920-496-4700 Metz, Daniel P MD Gender: Male Hospital/Medical Affiliations: Calumet Medical Center, Mercy Medical Center, St Marys Hospital Medical Center, St Elizabeth Hospital, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery Obma, Padraic R MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Orthopaedic Surgery Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Lulloff, Rolf S MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Orthopaedic Surgery Nelson, Eric R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery O'Reilly, Michael D MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Orthopaedic Surgery Sylvester, Thomas J MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital Board Certifications: AB Orthopaedic Surgery VanSaders, Christopher J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Hinckley, James A MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Orthopaedic Surgery Page 173 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Anderson, Marc H MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery Enright, William J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery Grace, James N MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Orthopaedic Surgery Klein, Jason P MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery Linehan, Daniel J MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Orthopaedic Surgery McKenzie, Patrick J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery Schechinger, Steven J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery Spears, James R MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery Sullivan, Thomas A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery Tressler, Michael A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. St Vincent Hospital Location: 835 S Van Buren St Green Bay, WI 54301 920-433-0111 Specialty Care Providers Balas, Mark S MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Aspirus Wausau Hospital, St Marys Hospital Medical Center Board Certifications: AB Orthopaedic Sports Medicine The Neuroscience Group Of Northeast Wisconsin Location: 2595 Development Dr Green Bay, WI 54311 920-729-7652 Greene, Andrew R DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery Iron Mountain, MI Dickinson County Healthcare System Location: 1721 S Stephenson Ave Iron Mountain, MI 498013637 906-774-1313 Roberts, Gary J MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Orthopaedic Surgery Veale, Michael R MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Orthopaedic Surgery Dickinson County Healthcare System Orthopedics Location: 1005 S Hemlock STE H Iron Mountain, MI 49801 906-774-7647 Roberts, Gary J MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Orthopaedic Surgery Location: 1711S Stephenson Ave STE 100 Iron Mountain, MI 49801 Kaukauna, WI Manitowoc, WI Brian L Lohrbach, MD, SC Location: Kaukauna Clinic Lakeshore Orthopaedics Location: 1650 S 41st St 305 E 12th St Kaukauna, WI 54130 Manitowoc, WI 54220 920-731-3111 Lohrbach, Brian L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, St Vincent Hospital, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery 906-779-9870 Veale, Michael R MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Orthopaedic Surgery Luxemburg, WI Prevea Health Location: 101 School Creek Tr Luxemburg, WI 54217-0099 920-496-4700 Iron River, MI Dickinson County Healthcare System Orthopedics Location: 1400 W Ice Lake Rd Iron River, MI 49935 Schick, Mark R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery Prevea Health Centers Location: 101 School Creek 906-266-6121 Veale, Michael R MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Orthopaedic Surgery Location: 229 W Genesee Iron River, MI 49935 906-265-2165 Veale, Michael R MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Orthopaedic Surgery Trail Luxemburg, WI 54217 920-845-2351 Lulloff, Rolf S MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Orthopaedic Surgery 920-320-5241 Dimitris, Kirk D MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Dopirak, Ryan M MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Jacoby, Jeffrey A MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Mikolyzk, David K MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Rupke, Tracy D MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: Royal College of Physicians & Surgeons Page 174 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Orthopaedic Associates Of Manitowoc Location: 501 N 10th St Manitowoc, WI 54220 920-682-6376 Marinette, WI Bay Area Medical Center Location: 3100 Shore Dr Marinette, WI 54143 715-735-6621 Leow, Thomas E MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Bay Area Medical Center Twin City Orthopedic Clinic Location: 2724 Cahill Rd PO Box 435 Marinette, WI 54143 715-732-4040 Tandias, James MD Gender: Male Merrill, WI Bone & Joint Clinic, SC Location: 724 S 8th St Bone & Joint Clinic, SC Location: 100 Eagle Dr Medford, WI 54451 Merrill, WI 54452 715-748-2663 715-536-7181 Glennon, Pamela E MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Jarvis, William J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Keele, Douglas J DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Priebe, Daniel D DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AOB Orthopedic Surgery Wessels, William E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Glennon, Pamela E MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Jarvis, William J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Keele, Douglas J DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Priebe, Daniel D DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AOB Orthopedic Surgery Wessels, William E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Minocqua, WI Northern Wisconsin Bone & Joint Center, Ltd Location: 7520 Hwy 51 S Minocqua, WI 54548 715-358-1911 Tadych, Kevin L MD Gender: Male Board Certifications: AB Orthopaedic Surgery Neenah, WI Orthopaedic Specialists, SC Location: 1516 S Commerical St Neenah, WI 54956 920-725-0077 Mitchell, James R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Ralston, Jeffrey L MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Appleton Medical Center, Riverside Medical Center Board Certifications: AB Orthopaedic Surgery Schaufelberger, Kenneth L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Sears, Brian R MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Riverside Medical Center, Appleton Medical Center Board Certifications: AB Orthopaedic Surgery Wubben, Robert C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Page 175 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Diraimondo, Carl A MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Kuester, David J MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Olson, Craig L MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Medford, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. The Neuroscience Group Of Northeast Wisconsin Location: 1305 W American ThedaCare Orthopedics Plus New London Location: 1405 Mill St Dr Neenah, WI 54956 New London, WI 54961 920-725-9373 Specialty Care Providers Greene, Andrew R DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Orthopedic Surgery Center Board Certifications: AB Orthopaedic Surgery New London, WI Brian L Lohrbach, MD, SC Location: New London Family Medical Center 1405 Mill St New London, WI 54961 920-731-3111 Lohrbach, Brian L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, St Vincent Hospital, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Robert L Hausserman, MD, SC Location: New London Family Medical Center 1405 Mill St New London, WI 54961 920-731-3111 Hausserman, Robert L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Oconto Falls, WI 920-831-5050 Dietrich, Terry J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, ThedaCare Ambulatory Surgery Center Shawano Lindstrom, John R MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Prevea Health Centers Location: 855 S Main St David A Eggert, MD, SC Location: 933 Newbury St. Oconto Falls, WI 54154 Ripon, WI 54971 920-846-3444 Nelson, Eric R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery O'Reilly, Michael D MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Orthopaedic Surgery Oconto, WI Oshkosh, WI Prevea Health Centers Location: 620 Smith Ave Orthopaedic Specialists, SC Location: 600 N Westhaven Oconto, WI 54153 920-834-4110 O'Reilly, Michael D MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Orthopaedic Surgery Ripon, WI Eggert, David A MD Gender: Male Hospital/Medical Affiliations: Orthopedic & Sports Surgery Center, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AOBOS Orthopedic Surgery Fond du Lac Regional Clinic Location: 790 East Gate Dr Ripon, WI 54971 920-745-3180 Mannebach, Michael D MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Orthopaedic Surgery Oshkosh, WI 54904 920-725-0077 Schaufelberger, Kenneth L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center ThedaCare Physicians Family Medicine Location: 600 N Westhaven Dr Oshkosh, WI 54904 Shawano, WI Shawano Medical Center Location: 309 N Bartlette St Shawano, WI 54166 715-526-2111 Minikel, Jeffrey L MD Gender: Male Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AB Orthopaedic Surgery 920-237-5000 Tsai, Davis C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages:Chinese Board Certifications: AB Orthopaedic Surgery Page 176 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. ThedaCare Orthopedics Plus Shawano Location: 100 County Rd B Valley Orthopedic Clinic, SC Location: 309 N. Bartlett St. Shawano, WI 54166 Shawano, WI 54166 715-526-7840 920-731-6611 ThedaCare Physicians Family Medicine Location: 100 County Rd B Shawano, WI 54166 715-524-2161 Minikel, Jeffrey L MD Gender: Male Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AB Orthopaedic Surgery Kuplic, J David MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Orthopedic & Sports Surgery Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Sports Medicine Minorik, Jay M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Orthopedic & Sports Surgery Center, Shawano Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Ritzow, David C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center Board Certifications: AB Orthopaedic Sports Medicine Lakeshore Orthopaedics Location: 1414 N Taylor Dr STE 205 Sheboygan, WI 53081 800-994-3662 Dimitris, Kirk D MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Dopirak, Ryan M MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Jacoby, Jeffrey A MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Rupke, Tracy D MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: Royal College of Physicians & Surgeons Prevea Sheboygan Health Center Location: 1621 N Taylor St Sheboygan, WI 53081 920-458-4419 Dimitris, Kirk D MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Jacoby, Jeffrey A MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Sheboygan Orthopaedic Associates, SC Location: 2920 Superior Ave Sheboygan, WI 53081 920-458-3791 Gassner, Kevin J MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Orthopaedic Surgery Glaeser, Scott T MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Orthopaedic Sports Medicine Sellinger, D Scott MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Orthopaedic Surgery Van Dommelen, Bruce A MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Orthopaedic Sports Medicine Stevens Point, WI Aspirus Spine & Neurosciences institute Location: 5409 Vern Holmes Dr Stevens Point, WI 54482 715-847-2019 Fairchild, Todd MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Page 177 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Dietrich, Terry J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, ThedaCare Ambulatory Surgery Center Shawano Erickson, Eric W MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, ThedaCare Ambulatory Surgery Center Shawano Minikel, Jeffrey L MD Gender: Male Hospital/Medical Affiliations: Shawano Medical Center Board Certifications: AB Orthopaedic Surgery Smith, Todd B MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, ThedaCare Ambulatory Surgery Center Shawano Sheboygan, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Klasinski Clinic, SC Location: 500 Vincent St Location: 323 S 18th Ave Sturgeon Bay, WI 54235 Stevens Point, WI 54481 920-746-0510 Specialty Care Providers 715-295-9939 Banovetz, James M MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Guse, Thomas R MD Gender: Male Hospital/Medical Affiliations: St Michaels Hospital Board Certifications: AB Orthopaedic Surgery Henneghan, David M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Riordan, Matthew T MD Gender: Male Board Certifications: AB Orthopaedic Surgery Sturgeon Bay, WI North Shore Medical Clinic Location: 1300 Egg Harbor Rd STE 108 Sturgeon Bay, WI 54235 920-746-0410 Davis, Steven S MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Orthopaedic Surgery Davis, Steven S MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Orthopaedic Surgery Tomaszewski, Daniel MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Orthopaedic Surgery Two Rivers, WI HFM TR Health Center Location: 3310 45th St Two Rivers, WI 54241 920-793-3900 Jacoby, Jeffrey A MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Orthopaedic Surgery Waupaca, WI Waupun, WI Orthopaedic Specialists, SC Location: 902 Riverside Dr Waupun Area Clinic Location: 14 Beaver Dam St STE 203 Waupaca, WI 54981 715-258-0242 Mitchell, James R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Ralston, Jeffrey L MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Appleton Medical Center, Riverside Medical Center Board Certifications: AB Orthopaedic Surgery Schaufelberger, Kenneth L MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Sears, Brian R MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Riverside Medical Center, Appleton Medical Center Board Certifications: AB Orthopaedic Surgery Wubben, Robert C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Orthopaedic Surgery Waupun, WI 53963 Grossman, Thomas W MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital Board Certifications: AB Orthopaedic Surgery Waupun Memorial Hospital Location: 620 W Brown St Waupun, WI 53963 920-324-2300 Grossman, Thomas W MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital Board Certifications: AB Orthopaedic Surgery Wausau, WI Aspirus Spine & Neurosciences institute Location: 3200 Westhill Dr STE 102 Wausau, WI 54401 715-847-2019 Fairchild, Todd MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Location: 425 Pine Ridge Blvd STE 300 Wausau, WI 54401 715-847-2019 Fairchild, Todd MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Page 178 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Bone & Joint Clinic, SC Location: 5200 Hummingbird Rd STE 100 Wausau, WI 54401 715-847-0402 Orthopaedic Associates of Wausau Location: 3200 Westhill Dr Hummingbird Rd STE 300 Wausau, WI 54401 STE 201 Wausau, WI 54401 715-359-7592 715-847-2382 Glennon, Pamela E MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Hackett, Benjamin J MD Gender: Male Board Certifications: AB Orthopaedic Surgery Jarvis, William J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Priebe, Daniel D DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AOB Orthopedic Surgery Wessels, William E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Abuzzahab, Faruk S MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Orthopaedic Surgery Brearley, Wayne A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Russell, Jeremy W DO Gender: Male Seybold, Daniel M MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Sutherland, James P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Tanner, George R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Bone & Joint Clinic, SC Location: 4005 Community Center Dr Weston, WI 54476 715-241-5400 Glennon, Pamela E MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Jarvis, William J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Priebe, Daniel D DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AOB Orthopedic Surgery Wessels, William E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Weston, WI Aspirus Spine & Neurosciences institute Location: 4005 Community Center Dr Weston, WI 54476 715-847-2019 Fairchild, Todd MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Page 179 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Glennon, Pamela E MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Hackett, Benjamin J MD Gender: Male Board Certifications: AB Orthopaedic Surgery Jarvis, William J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Keele, Douglas J DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Priebe, Daniel D DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AOB Orthopedic Surgery Thiel, Eric J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Wessels, William E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Bone & Joint Surgery Center, LLC Location: 5200 Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Orthopaedic Associates of Wausau Location: 4005 Community Wisconsin River Orthopaedics, Ltd Location: 140 24th St South Center Dr Weston, WI 54476 Wisconsin Rapids, WI 54495-8005 Specialty Care Providers 715-847-2382 Abuzzahab, Faruk S MD, PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Orthopaedic Surgery Brearley, Wayne A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Seybold, Daniel M MD Gender: Male Hospital/Medical Affiliations: Langlade Hospital, Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Sutherland, James P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Tanner, George R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Orthopaedic Surgery Wisconsin Rapids, WI Riverview Hospital Location: 410 Dewey St Wisconsin Rapids, WI 54494 715-421-7411 Galuk, Douglas P MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Orthopaedic Surgery Orthopedics Back Pain Management Green Bay, WI Appleton, WI Prevea Health Centers Location: St Mary's Hospital Advanced Pain Management, LLC Location: 2700 E Enterprise 715-424-1881 Duellman, Todd J MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Orthopaedic Surgery Galuk, Douglas P MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Orthopaedic Surgery Johnson, James A MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Orthopaedic Surgery Wilkes, James A MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Orthopaedic Surgery 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 VanSaders, Christopher J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Orthopaedic Surgery Sheboygan, WI Sheboygan Orthopaedic Associates, SC Location: 2920 Superior Ave Sheboygan, WI 53081 Woodruff, WI 920-458-3791 Aspirus Spine & Neurosciences institute Location: 1446 First Ave Woodruff, WI 54568 715-847-2019 Fairchild, Todd MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Location: 611 Veterans Parkway Woodruff, WI 54568 Gassner, Kevin J MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Orthopaedic Surgery 715-847-2019 Fairchild, Todd MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Ave Appleton, WI 54913 414-325-7246 Albala, Maurizio Z MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages:Italian, French Board Certifications: AB Anesthesiology Chris M Weinlander, MD, SC Location: 1818 N Meade St Appleton, WI 54911 920-738-0281 Weinlander, Chris M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Orthopedic & Sports Surgery Center, Theda Clark Medical Center Board Certifications: AB Anesthesiology Location: 2105 E Enterprise Ave STE 101 Appleton, WI 54913 920-560-1000 Weinlander, Chris M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Orthopedic & Sports Surgery Center, Theda Clark Medical Center Board Certifications: AB Anesthesiology Page 180 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Location: 2323 N Casaloma Dr Appleton, WI 54913 920-738-0281 Weinlander, Chris M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Orthopedic & Sports Surgery Center, Theda Clark Medical Center Board Certifications: AB Anesthesiology United Anesthesia, SC Location: 315 W Wisconsin Ave Appleton, WI 54911 888-724-6377 920-739-3298 Weinlander, Chris M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Orthopedic & Sports Surgery Center, Theda Clark Medical Center Board Certifications: AB Anesthesiology Wisconsin Michigan Physicians Location: 2105 E Enterprise STE 335 Appleton, WI 54913 Ave Appleton, WI 54913 920-733-7230 888-724-6377 ThedaCare Orthopedics Plus - Encircle Health Location: 2500 E Capitol Dr Appleton, WI 54911 920-831-5050 Correa, Colleen M DO Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Jollu, Chayapathy M MD Gender: Male Board Certifications: AB Physical Medicine & Rehab Liao, Katherine G MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology Alhatem, Fadi MD Gender: Male Hospital/Medical Affiliations: Board Certifications: AB Psychiatry & Neurology Pain Medicine Jollu, Chayapathy M MD Gender: Male Board Certifications: AB Physical Medicine & Rehab Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology Location: 3916 N Intertech Ct STE B Appleton, WI 54915 888-724-6377 Jollu, Chayapathy M MD Gender: Male Board Certifications: AB Physical Medicine & Rehab Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology Page 181 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Comprehensive Pain Managment of the Fox Valley Location: 820 E Grant St Parmentier, Angela M APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Resch, Beth E APNP Gender: Female Hospital/Medical Affiliations: Theda Clark Medical Center, St Elizabeth Hospital, LaSalle Surgery Center, Mercy Medical Center Yakovlev, Alexander E MD Gender: Male Additional Languages:Russian Board Certifications: AB Anesthesiology Pain Management Location: 2500 East Enterprise Ave Ste East Appleton, WI 54913 Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Berlin, WI Escanaba, MI Wisconsin Michigan Physicians Location: 225 Memorial Dr Wisconsin Michigan Physicians Location: 1323 Ludington St Advanced Pain Management, LLC Location: 2595 Berlin, WI 54923 Suite B Escanaba, MI 49829 Development Dr STE 150 Green Bay, WI 54301 Specialty Care Providers 920-361-1313 Jollu, Chayapathy M MD Gender: Male Board Certifications: AB Physical Medicine & Rehab Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology Chilton, WI NEW Anesthesiology SC Location: 614 Memorial Dr Chilton, WI 53014 920-849-2386 Yakovlev, Alexander E MD Gender: Male Additional Languages:Russian Board Certifications: AB Anesthesiology Pain Management Green Bay, WI 906-233-9153 920-338-2120 Alhatem, Fadi MD Gender: Male Hospital/Medical Affiliations: Board Certifications: AB Psychiatry & Neurology Pain Medicine Liao, Katherine G MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology Araujo, Marco A MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital Additional Languages:Portuguese, Spanish Board Certifications: AB Anesthesiology Harvey, Donald J MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Anesthesiology Lindley, David A DO Gender: Male Hospital/Medical Affiliations: St Vincent Hospital More-O'Ferrall, Dermot J MD Gender: Male Hospital/Medical Affiliations: Columbia St Mary's Hospital of Milwaukee Board Certifications: AB Physical Medicine & Rehab Pain Medicine Fond du Lac, WI Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54307 920-433-0111 Araujo, Marco A MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital Additional Languages:Portuguese, Spanish Board Certifications: AB Anesthesiology Harvey, Donald J MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Anesthesiology More-O'Ferrall, Dermot J MD Gender: Male Hospital/Medical Affiliations: Columbia St Mary's Hospital of Milwaukee Board Certifications: AB Physical Medicine & Rehab Pain Medicine Bellin Anesthesia Associates, SC Location: 704 S Webster Ave 2nd Floor Pain Clinic Green Bay, WI 54301 920-433-7995 Yeatman, Amy C DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Anesthesiology Center for Pain Care Location: 421 Camelot Dr Fond du Lac, WI 54935 920-926-4939 Choi, John K MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital, St Agnes Hospital Board Certifications: AB Anesthesiology Page 182 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Location: 744 S Webster Ave Green Bay, WI 54305-3400 920-431-5582 Greenfield, WI Jackson St Green Bay, WI 54301 920-437-6523 Prevea Health Centers Location: 3021 Voyager Dr Green Bay, WI 54311 920-496-4700 Koch, John M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Physical Medicine & Rehab Robinson, Brock L MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bay Area Medical Center Board Certifications: AB Physical Medicine & Rehab Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Travnicek, Katherine D MD Gender: Female Woodside Lutheran Home Location: 1040 Pilgrim Way Green Bay, WI 54304 Accepting Existing Patients Only. 920-499-1481 L'Anse, MI Advanced Pain Management, LLC Location: 4131 W Loomis Wisconsin Michigan Physicians Location: 770 Main Street Rd STE 300 Greenfield, WI 53221 L'Anse, MI 49946 414-325-3770 Johnsen, Christine M APNP Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: American Nurses Credentialing Center Juzenas, Alexa L PAC Gender: Female Hospital/Medical Affiliations: Ishpeming, MI Wisconsin Michigan Physicians Location: 540 East Division St Ishpeming, MI 49849 888-724-6377 Alhatem, Fadi MD Gender: Male Hospital/Medical Affiliations: Board Certifications: AB Psychiatry & Neurology Pain Medicine Liao, Katherine G MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology 906-524-3364 Alhatem, Fadi MD Gender: Male Hospital/Medical Affiliations: Board Certifications: AB Psychiatry & Neurology Pain Medicine Liao, Katherine G MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology Page 183 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Assef, Saied J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Additional Languages:Iranian Board Certifications: AB Anesthesiology Danner, John H MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Anesthesiology Igler, Franz O MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Additional Languages:German Board Certifications: AB Anesthesiology Marshall, Thomas G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Anesthesiology Ratschan, Walter J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Anesthesiology Tschoeke, Richard W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Dermatology Dermatopathology Yeatman, Amy C DO Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Anesthesiology Odd Fellow Rebekah Home Association Inc Location: 1229 South Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Manitowoc, WI Marquette, MI HFM Pain Clinic Location: 2300 Western Ave Wisconsin Michigan Physicians Location: Pain Diagnostics Manitowoc, WI 54220 Specialty Care Providers 920-320-3185 Klatt, Margaret L MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Anesthesiology Szyman, Charles R DO Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Holy Family Memorial Medical Center Location: 2300 Western Ave PO Box 1450 Manitowoc, WI 54220 920-320-2011 Szyman, Charles R DO Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Physician Services - HFM Location: 2300 Western Ave Manitowoc, WI 54220 Associates 1414 W Fair Ave STE 206 Marquette, MI 49855 888-724-6377 Liao, Katherine G MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology Menomonee Falls, WI Wisconsin Rehabilitation Medicine Professionals, SC Location: Community Memorial Hospital W 180N8085 Town Hall Rd Menomonee Falls, WI 53051 262-253-7090 Vasudevan, Sridhar V MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Community Memorial Hospital, St Nicholas Hospital Additional Languages:Hindi (Indian) Board Certifications: AB Physical Medicine & Rehab 920-320-3097 Szyman, Charles R DO Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Menasha, WI Mequon, WI Wisconsin Michigan Physicians Location: 10945 N Port Washington Rd STE 100 Mequon, WI 53092 262-478-0301 Jollu, Chayapathy M MD Gender: Male Board Certifications: AB Physical Medicine & Rehab Liao, Katherine G MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology NEW Anesthesiology SC Location: 1550 Midway Pl Menasha, WI 54952 920-727-8200 Yakovlev, Alexander E MD Gender: Male Additional Languages:Russian Board Certifications: AB Anesthesiology Pain Management Page 184 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Neenah, WI Comprehensive Pain Managment of the Fox Valley Location: 100 Theda Clark Medical Plaza Ste 252 Neenah, WI 54956 920-733-7230 The Neuroscience Group Of Northeast Wisconsin Location: 1305 W American Dr Neenah, WI 54956 920-725-9373 Albino-Rodriguez, Juan A MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Additional Languages:Spanish Board Certifications: AB Physical Medicine & Rehab Location: 1601 Roosevelt Road Niagara, WI 54151 715-251-1780 Neenah, WI 54956 920-729-3015 Correa, Colleen M DO Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin New London, WI New London Family Medical Center Location: 1405 Mill St New London, WI 54961 920-531-2000 Niagara, WI Wisconsin Michigan Physicians Location: 1601 Roosevelt Rd PO Box 6 Niagara, WI 54151 715-257-1780 Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology Alhatem, Fadi MD Gender: Male Hospital/Medical Affiliations: Board Certifications: AB Psychiatry & Neurology Pain Medicine Jollu, Chayapathy M MD Gender: Male Board Certifications: AB Physical Medicine & Rehab Liao, Katherine G MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology Oconto Falls, WI Mary M Rajala, MD, SC Location: Community Memorial Hospital 855 S Main St Oconto Falls, WI 54154 920-846-8187 Rajala, Mary M MD Gender: Female Hospital/Medical Affiliations: Community Memorial Hospital Board Certifications: AB Anesthesiology Wisconsin Michigan Physicians Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 Liao, Katherine G MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Singh, Vijay MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Board Certifications: AB Anesthesiology Oshkosh, WI Pain Management Services of the Fox Valley Location: Pinnacle Cataract and Laser Institute 4648 W Spencer St Oshkosh, WI 54904 920-731-7557 Mc Donald, Donald J MD Gender: Male Board Certifications: AB Anesthesiology Meloy, Nathan C DO Gender: Male Hospital/Medical Affiliations: Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Board Certifications: AB Anesthesiology Pain Management Page 185 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Parmentier, Angela M APNP Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Resch, Beth E APNP Gender: Female Hospital/Medical Affiliations: Theda Clark Medical Center, St Elizabeth Hospital, LaSalle Surgery Center, Mercy Medical Center Yakovlev, Alexander E MD Gender: Male Additional Languages:Russian Board Certifications: AB Anesthesiology Pain Management ThedaCare Orthopedics Plus (Theda Clark) Location: 130 2nd St Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wisconsin Michigan Physicians Location: 3475 Omro Rd STE 200 Oshkosh, WI 54904 Specialty Care Providers 888-724-6377 Jollu, Chayapathy M MD Gender: Male Board Certifications: AB Physical Medicine & Rehab Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Ripon, WI Wisconsin Michigan Physicians Location: 1080 W Fond du Lac Ripon, WI 54971 888-724-6377 Piryani, Chandur P MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Columbia St Mary's Hospital of Milwaukee, Dickinson Memorial Hospital, Niagara Health Center - Ambulatory Surgery Shawano, WI ThedaCare Orthopedics Plus Shawano Location: 100 County Rd B Shawano, WI 54166 715-526-7840 Correa, Colleen M DO Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Sheboygan, WI Wausau, WI Neenah, WI Advanced Pain Management, LLC Location: 2124 Kohler Advanced Pain Management, LLC Location: 333 Pine Ridge Rd Center For Asthma & Allergy, Inc Location: 119 E Bell St Memorial Dr STE 100 Sheboygan, WI 53081 Wausau, WI 54401 Neenah, WI 54956 414-325-7246 920-452-7246 Patel, Nileshkumar MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital Board Certifications: AB Anesthesiology Scarlett, Jeremy A MD Gender: Male Voss, Carrie L APNP Gender: Female Hospital/Medical Affiliations: Wisconsin Rehabilitation Medicine Professionals, SC Location: St Nicholas Albala, Maurizio Z MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages:Italian, French Board Certifications: AB Anesthesiology Aspirus Wausau Hospital - Pain Clinic Location: 425 Pine Ridge Blvd Ste 211 Wausau, WI 54401 715-847-2408 Hospital 1601 N Taylor Dr Sheboygan, WI 53081 Pediatric Allergy/ Immunology 920-459-4642 Vasudevan, Sridhar V MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, Community Memorial Hospital, St Nicholas Hospital Additional Languages:Hindi (Indian) Board Certifications: AB Physical Medicine & Rehab Waupun, WI Waupun Memorial Hospital Location: 620 W Brown St Waupun, WI 53963 920-324-2300 Green Bay, WI Center For Asthma & Allergy, Inc Location: 519 S Monroe Ave Green Bay, WI 54301 877-627-6418 Warpinski, James R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Pediatric Cardiology Green Bay, WI Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Cousineau, Anthony J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics 920-435-6601 Warpinski, James R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Pediatrics Choi, John K MD Gender: Male Hospital/Medical Affiliations: Waupun Memorial Hospital, St Agnes Hospital Board Certifications: AB Anesthesiology Page 186 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Pediatric Gastroenterolo gy Wausau, WI Pediatric General Surgery Gastrointestinal Associates, SC Location: 411 Westwood Dr Wausau, WI 54401 Eagle River, WI Gastrointestinal Associates, SC Location: Eagle River Memorial Hospital 201 Hospital Rd Eagle River, WI 54521 715-847-2558 Green Bay, WI Brown, Christopher W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Pediatric Gastroenterology Weston, WI Gastrointestinal Associates, SC Location: 4005 Community NEW Surgical Associates, SC Location: 670 Cormier Rd Green Bay, WI 54304 920-494-9685 Davis, Peter W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery General Pediatric Hematology/ Oncology Center Dr Weston, WI 54476 715-847-2558 Minocqua, WI Gastrointestinal Associates, SC Location: Northwoods Bone & Joint 7520 Hwy 51 S Minocqua, WI 54548 715-358-1911 Brown, Christopher W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Pediatric Gastroenterology Brown, Christopher W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Pediatric Gastroenterology Green Bay, WI Hemophilia Outreach Center Location: 2060 Bellevue St Green Bay, WI 54311 920-965-0606 Adair, Stuart E MD Gender: Male Board Certifications: AB Pediatrics St Green Bay, WI 54301 920-433-0111 Brandt, Jon M MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Pediatrics Hematology Oncology Hill, John R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics St Vincent Hospital Clinics Location: 835 S. Van Buren St 1st Floor Green Bay, WI 54301 920-433-0111 Brandt, Jon M MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Pediatrics Hematology Oncology Hemker, Bradd G MD Gender: Male Hill, John R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics Page 187 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Brown, Christopher W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Aspirus Stevens Point Surgery Center Board Certifications: AB Pediatric Gastroenterology 715-847-2558 St Vincent Hospital Location: 835 S Van Buren Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Iron Mountain, MI St Vincent Hospital Location: Dickinson County St Vincent Hospital Location: 835 S Van Buren St Green Bay, WI 54301 920-433-0111 Healthcare System 1721 Stephenson St Iron Mountain, MI 49801 Pediatric Neurology Specialty Care Providers 920-496-4700 Brandt, Jon M MD Gender: Male Hospital/Medical Affiliations: Children's Hospital of Wisconsin, St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Pediatrics Hematology Oncology Hill, John R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics Pediatric Intensive Care Brookfield, WI Pediatric Rehabilitation Medicine Associates Location: 3815 N Brookfield Green Bay, WI Rd Ste 104-264 Brookfield, WI 53045 Prevea Health Centers Location: 1821 S Webster 262-527-1998 Ave PO Box 19070 Green Bay, WI 54307-9070 Moberg-Wolff, Elizabeth MD Gender: Male 920-496-4700 Edgar, Terence S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Appleton Medical Center, Theda Clark Medical Center, Holy Family Memorial Medical Center Board Certifications: AB Pediatrics Iron Mountain, MI Green Bay, WI Bellin Memorial Hospital Location: 744 S Webster Ave Green Bay, WI 54301 Dickinson Memorial Hospital Location: 1721 S Stephenson Ave Iron Mountain, MI 49801 Prevea Health Centers Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 Green Bay, WI Prevea Health Centers Location: 3021 Voyager Dr Green Bay, WI 54311 920-496-4700 Keim, David R MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Pediatrics Perinatology Appleton, WI Women's Care of Wisconsin, SC Location: 3913 W Prospect Ave Appleton, WI 54914 920-729-7105 Larmon, Janet E MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Obstetrics & Gynecology Green Bay, WI Neonatal Consultants, SC Location: 835 S Van Buren St Green Bay, WI 54301 920-433-8360 Rock, Robert M MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital New Moms of Green Bay, SC Location: 704 S Webster Ave STE 110 Green Bay, WI 54301 920-431-0200 DeRoos, Steven T MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Dickinson Pediatric Clinic Location: 1721 S Stephenson Ave STE210 Iron Mountain, MI 49801 906-776-5800 920-496-4700 Ament, Joel MD Gender: Male Vardis, Ralph J MD Gender: Male Pediatric Rheumatology 906-774-1313 920-433-3500 Gehringer, Robert E MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Pediatric Physical Medicine/Rehab Jazayeri, Allahyar MD, PhD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Aspirus Wausau Hospital Board Certifications: AB OBGYN Maternal Fetal Medicine Haws, Robert M MD Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Accepting Existing Patients Only. Page 188 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. OB-GYN Associates Of Green Bay Location: 704 S Webster Ave Green Bay, WI 54301 920-468-3444 Steele, C Danae MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB OBGYN Maternal Fetal Medicine Women's Specialty Care Location: 2641 920-338-6868 Jazayeri, Allahyar MD, PhD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Aspirus Wausau Hospital Board Certifications: AB OBGYN Maternal Fetal Medicine Location: 704 S Webster Ave STE 110 Green Bay, WI 54301 920-338-6868 Jazayeri, Allahyar MD, PhD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Aspirus Wausau Hospital Board Certifications: AB OBGYN Maternal Fetal Medicine New Moms of Green Bay, SC Location: 200 Theda Clark Medical PL #270 Neenah, WI 54956 920-729-2510 Jazayeri, Allahyar MD, PhD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Aspirus Wausau Hospital Board Certifications: AB OBGYN Maternal Fetal Medicine Blvd Wausau, WI 54401 715-847-2121 Modi, Haresh B MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics Neonatal Perinatal Torres, Carlos E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Pediatrics 2100 Wausau, WI 54401 Jazayeri, Allahyar MD, PhD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Aspirus Wausau Hospital Board Certifications: AB OBGYN Maternal Fetal Medicine Aspirus Perinatology Clinic Location: Maternal Fetal Medicine 2720 Plaza Dr Ste 2100 Wausau, WI 54401 Ln Appleton, WI 54913 920-738-7200 Kiesnowski, Brian MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Plastic Surgery Fond du Lac, WI Antigo, WI Agnesian Plastic Surgery & Cosmetic Services Location: 1088 S Main St The Plastic Surgery Group SC Location: Langlade Memorial Hospital 112 E 5th Ave Antigo, WI 54409 715-847-2475 Appleton Plastic Surgery Center, SC Location: 5605 Waterford Plastic Surgery Wausau, WI Aspirus OB/GYN Associates Location: 2720 Plaza Dr STE Appleton, WI 715-847-0444 Fond du Lac, WI 54935 920-926-8614 Schaefer, Richard B MD Gender: Male Board Certifications: AB Plastic Surgery Butler, John A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Plastic Surgery Fox, Stephen P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Plastic Surgery 715-847-2475 Page 189 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Development Dr Green Bay, WI 54311 Aspirus Wausau Hospital Location: 333 Pine Ridge Neenah, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Green Bay, WI Medford, WI Oconto Falls, WI Green Bay Plastic Surgical Associates, SC Location: 704 S Webster The Plastic Surgery Group SC Location: Memorial Health Appleton Plastic Surgery Center, SC Location: 855 S Main St Ave STE 401 Green Bay, WI 54301 Center 135 S Gibson St Medford, WI 54451 Oconto Falls, WI 54154 Specialty Care Providers 920-432-7000 Dierberg, William J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Plastic Surgery Lee, James MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center, Bellin Memorial Hospital Board Certifications: AB Plastic Surgery Schmitt, Eugene H MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Green Bay Surgical Center Board Certifications: AB Plastic Surgery Prevea Health Centers Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Janitch, Michael A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Theda Clark Medical Center Additional Languages:Spanish Board Certifications: AB Plastic Surgery 920-738-7200 715-847-0444 Butler, John A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Plastic Surgery Fox, Stephen P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Plastic Surgery Kiesnowski, Brian MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Plastic Surgery Oshkosh, WI Fox Valley Plastic Surgery, SC Location: 2400 Witzel Ave 920-236-1790 The Center For Aesthetics & Plastic Surgery, SC Location: 425 S Commercial St Neenah, WI 54956 920-725-0700 Stachowicz, Pawel P MD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center Board Certifications: AB Plastic Surgery Van Ye, Todd M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Plastic Surgery 920-748-3101 Schaefer, Richard B MD Gender: Male Board Certifications: AB Plastic Surgery Sheboygan, WI Campbell Facial Plastic Surgery Location: 1411 N Taylor Dr Sheboygan, WI 53081 920-457-2100 STE A Oshkosh, WI 54904 Neenah, WI Location: 933 Newbury St Ripon, WI 54971 Doubek, William G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Plastic Surgery Janssen, David A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center Board Certifications: AB Plastic Surgery Ripon, WI Fond du Lac Regional Clinic Location: 790 East Gate Dr Campbell, Andrew C MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Otolaryngology Prevea Sheboygan Health Center Location: 3100 Superior Ave Sheboygan, WI 53081 920-496-4700 Herold, Jeffrey A MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Plastic Surgery Prevea Sheboygan Plastics Location: 1526 N Taylor Dr. Sheboygan, WI 53081 920-803-1598 Herold, Jeffrey A MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Plastic Surgery Ripon, WI 54971 920-745-3180 Schaefer, Richard B MD Gender: Male Board Certifications: AB Plastic Surgery Page 190 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Stevens Point, WI Wausau, WI The Plastic Surgery Group SC Location: 5409 Vern Holmes The Plastic Surgery Group SC Location: 425 Pine Ridge Dr Stevens Point, WI 54482 Blvd STE 205 Wausau, WI 54401 715-847-0444 Butler, John A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Plastic Surgery Fond du Lac Regional Clinic Location: 608 W Brown St Waupun, WI 53963 920-324-6800 Schaefer, Richard B MD Gender: Male Board Certifications: AB Plastic Surgery Waupun Area Clinic Location: 14 Beaver Dam St Waupun, WI 53963 920-324-6800 Schaefer, Richard B MD Gender: Male Board Certifications: AB Plastic Surgery Valley Orthopedic Clinic, SC Location: 2105 E Enterprise KK Appleton, WI 54915 Ave STE 111 Appleton, WI 54913-7862 920-830-2221 715-847-0444 Butler, John A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Plastic Surgery Fox, Stephen P MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Board Certifications: AB Plastic Surgery Podiatry Antigo, WI Mark Aldrich, DPM Location: 737 Dorr Street Antigo, WI 54409-1472 Neal, Toni Jo B DPM Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Podiatric Surgery Derksen, Todd A DPM Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Podiatric Surgery North Shore Foot & Ankle Location: 2005 S Lake Park Berlin, WI Rd Appleton, WI 54915 920-882-9990 Erdman, Barry E DPM Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Podiatric Surgery Renard, John J DPM Gender: Male Board Certifications: AB Podiatric Surgery Northeast Wisconsin Foot & Ankle Associates Location: 1301 E Northland 715-623-4710 Aldrich, Mark A DPM Gender: Male Board Certifications: AB Podiatric Surgery Ave STE B Appleton, WI 54911 920-731-1999 Appleton, WI Family Foot and Ankle Center, SC Location: 436 E Longview Dr Appleton, WI 54911 920-733-5345 Halverson, Dirk S DPM Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Podiatric Surgery 920-731-6611 Ripon Medical Center Location: 165 W. Huron St. Berlin, WI 54923 920-361-3036 DeVries, Glenn F DPM Gender: Male Board Certifications: AB Podiatric Surgery DeVries, Jason G DPM Gender: Male Board Certifications: AB Podiatric Surgery Location: 322 Broadway St. Berlin, WI 54923 920-361-3036 DeVries, Jason G DPM Gender: Male Board Certifications: AB Podiatric Surgery Schinke, Theresa L DPM Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Podiatric Surgery Tougas, Timothy K DPM Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Podiatric Surgery Page 191 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Waupun, WI Neal Diabetic Foot & Ankle Center Location: W2654 County Rd Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Chilton, WI Family Foot Clinic, SC Location: 451 E Brooklyn St Chilton, WI 53014 Specialty Care Providers 920-849-4682 Furness, Ian C DPM Gender: Male Additional Languages:German Board Certifications: AB Podiatric Surgery Sheridan, Thomas M DPM Gender: Male Board Certifications: AB Podiatric Surgery Stroebel, Jonathan K DPM Gender: Male Board Certifications: AB Podiatric Surgery Crandon, WI Comprehensive Foot & Ankle, SC Location: 3163 Hwy 55 Crandon, WI 54520 715-478-5180 Larsen, David C DPM Gender: Male Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Meyer, Shannon S DPM Gender: Female Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Location: 5415 Everybody's Rd PO Box 396 Crandon, WI 54520 715-478-7300 Larsen, David C DPM Gender: Male Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Meyer, Shannon S DPM Gender: Female Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Forest County Potawatomi Health & Wellness Center Location: 8201 Mish Ko De Pere, WI William Nystrom, DPM Location: 832 Bomier St Family Foot Clinic, SC Location: 21 S Marr St De Pere, WI 54115 Fond du Lac, WI 54935 920-336-3291 Nystrom, William K DPM Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Eagle River, WI Comprehensive Foot & Ankle, SC Location: 201 Hospital Rd Eagle River, WI 54521 877-265-5225 Swen Dr Crandon, WI 54520 715-478-4300 Larsen, David C DPM Gender: Male Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Meyer, Shannon S DPM Gender: Female Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Larsen, David C DPM Gender: Male Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Meyer, Shannon S DPM Gender: Female Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Fish Creek, WI North Shore Medical Clinic Location: 3711 State Crivitz, WI Highway 42 Fish Creek, WI 54212 NorthReach Healthcare Location: Crivitz Medical 920-868-3511 Clinic 218 S Hwy 141 Crivitz, WI 54114 715-854-7477 Scharer, Brandon M DPM Gender: Male Fond du Lac, WI Hecker, Richard L DPM Gender: Male Board Certifications: AB Podiatric Surgery 920-921-1669 Furness, Ian C DPM Gender: Male Additional Languages:German Board Certifications: AB Podiatric Surgery Posthuma, Jesika M DPM Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Podiatric Surgery Sheridan, Thomas M DPM Gender: Male Board Certifications: AB Podiatric Surgery Stroebel, Jonathan K DPM Gender: Male Board Certifications: AB Podiatric Surgery Fond du Lac Regional Clinic Location: 421 Camelot Dr Fond du Lac, WI 54935 920-926-8616 DeGere, Michael W DPM Gender: Male Board Certifications: AB Podiatric Surgery Green Bay, WI Allouez Avenue Foot Clinic Location: 1771 Allouez Ave Green Bay, WI 54311 920-469-5522 Van Beek, Edward P DPM Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Podiatric Orthopedics & Primary Podiatric Med Page 192 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Bay Area Foot Clinic Location: 2295 W Mason St Prevea Health Centers Location: 1821 S Webster Green Bay, WI 54303 Ave PO Box 19070 Green Bay, WI 54307-9070 920-498-2226 Komp, Thomas R DPM Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center, Shawano Medical Center Board Certifications: AB Podiatric Surgery Glenn A Hansen, DPM Location: 2331 S Oneida St 920-499-1177 Hansen, Glenn A DPM Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Podiatric Surgery Green Bay Podiatry Associates, SC Location: 2036 S Ridge Rd Green Bay, WI 54304 920-498-0110 Tilkens, Thomas N DPM Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center Prevea Health Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Davis, Donica J PAC Gender: Female 920-496-4700 Borchardt, April C DPM Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Davis, Donica J PAC Gender: Female Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Borchardt, April C DPM Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Davis, Donica J PAC Gender: Female Sommer, Todd C DPM, DO Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Family Medicine Stephen Arbes, DPM Location: 1779 Main St Dickinson County Healthcare System Location: 225 West H Street Iron Mountain, MI 49801 906-776-5940 Anderson, Adina Maria DPM Gender: Female Board Certifications: AB Podiatric Surgery Kewaunee, WI Bradley Burkart DPM dba Peninsula Podiatry, LLC Location: 575 4th St Kewaunee, WI 54216 920-743-6668 Burkart, Bradley G DPM Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital King, WI C Thomas DeRoche Location: N2665 County Rd. QQ King, WI 54946 Green Bay, WI 54302 920-465-0181 715-258-1492 Arbes, Stephen DPM Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Podiatric Surgery DeRoche, C. Thomas DPM Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Board Certifications: AB Podiatric Surgery Kingsford, MI Donald P. Heilala, DPM Location: 844 Pyle Dr Kingsford, MI 49802 906-774-1155 Heilala, Donald P DPM Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AB Podiatric Surgery Lac du Flambeau, WI Comprehensive Foot & Ankle, SC Location: 450 Old Abe Rd Lac du Flambeau, WI 54538 715-588-3371 Larsen, David C DPM Gender: Male Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Meyer, Shannon S DPM Gender: Female Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Luxemburg, WI Bradley Burkart DPM dba Peninsula Podiatry, LLC Location: 101 School Creek Trail Luxemburg, WI 54217 920-743-6668 Burkart, Bradley G DPM Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Page 193 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Green Bay, WI 54304 Iron Mountain, MI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Manitowoc, WI HFM Podiatry Location: 601 Buffalo St Manitowoc, WI 54220 920-320-6720 Specialty Care Providers Neumann, Bruce B DPM Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Podiatric Surgery Marathon, WI Family Foot & Ankle Clinic, LLC Location: 117 Main St Marathon, WI 54448 715-443-3300 Tikalsky, Joel J DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Merrill, WI New London, WI Aspirus Podiatry Associates Location: 3333 East Main C Thomas DeRoche Location: 1405 Mill St Corey Wesner, DPM, SC Location: 2700 W 9th Ave New London, WI 54961-0307 STE 208 Oshkosh, WI 54904 920-531-2044 Street Merrill, WI 54402 715-675-2321 Gelling, W Joseph DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery DeRoche, C. Thomas DPM Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Board Certifications: AB Podiatric Surgery Bone & Joint Clinic, SC Location: 100 Eagle Dr Oconto, WI Merrill, WI 54452 715-536-7181 Staysniak, Thomas G DPM Gender: Male Board Certifications: AB Podiatric Surgery Strobel, Paul T DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Prevea Health Location: 620 Smith Ave Oconto, WI 54153 920-834-4110 Davis, Donica J PAC Gender: Female Prevea Health Centers Location: 620 Smith Ave Oconto, WI 54153 920-834-4110 Marinette, WI Bay Area Medical Center Location: 3117 Shore Dr Marinette, WI 54143 715-732-8200 Scharer, Brandon M DPM Gender: Male Medford, WI Bone & Joint Clinic, SC Location: 724 S 8th St Medford, WI 54451 715-748-2663 Staysniak, Thomas G DPM Gender: Male Board Certifications: AB Podiatric Surgery Strobel, Paul T DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Neenah, WI Davis, Donica J PAC Gender: Female Corey Wesner, DPM, SC Location: 1440 S Commercial St Neenah, WI 54956 920-725-4008 Renard, John J DPM Gender: Male Board Certifications: AB Podiatric Surgery Wesner, Corey W DPM Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Podiatric Surgery Oshkosh, WI Oconto Falls, WI Prevea Health Centers Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 Borchardt, April C DPM Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Sommer, Todd C DPM, DO Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Family Medicine 920-236-1490 Wesner, Corey W DPM Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Podiatric Surgery Rhinelander, WI Aspirus Podiatry Associates Location: 1630 N Chippewa Dr Rhinelander, WI 54501 715-675-2321 Jourdan, Michael E DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Landretti, Thomas G DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Lozon, Shannon I DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Page 194 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Ripon, WI Ripon Medical Center Location: 680 E. Fond du Lac St. Ripon, WI 54971 920-748-3009 920-748-0435 DeVries, Glenn F DPM Gender: Male Board Certifications: AB Podiatric Surgery DeVries, Jason G DPM Gender: Male Board Certifications: AB Podiatric Surgery Shawano, WI ThedaCare Physicians Family Medicine Location: 100 County Rd B Shawano, WI 54166 715-524-2161 Anderson, Dawn DPM Gender: Female Sheboygan, WI Advanced Foot Care, SC Location: 1714 N 8th St Sheboygan, WI 53081 920-457-6104 Wolfington, Steven L DPM Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Podiatric Surgery Sturgeon Bay, WI Waupaca, WI Aspirus Podiatry Associates Location: 5409 Vern Holmes Bradley Burkart DPM dba Peninsula Podiatry, LLC Location: 30 N 18th Ave C Thomas DeRoche Location: 800 Riverside Dr. Dr. Stevens Point, WI 54881 Bldg 4 Sturgeon Bay, WI 54235 715-675-6530 920-743-6668 Gelling, W Joseph DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Jourdan, Michael E DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Landretti, Thomas G DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Burkart, Bradley G DPM Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Door County Memorial Hospital Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-743-5566 Burkart, Bradley G DPM Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital C Thomas DeRoche Location: 508 Vincent St North Shore Medical Clinic Location: 323 S 18th Ave Stevens Point, WI 54481 Sturgeon Bay, WI 54235 715-344-9500 920-746-0510 DeRoche, C. Thomas DPM Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Board Certifications: AB Podiatric Surgery Hecker, Richard L DPM Gender: Male Board Certifications: AB Podiatric Surgery Plaza Podiatry Associates, LLC Location: 140 N Wilshire Dr HFM TR Health Center Location: 3310 45th St Quinn, William B DPM Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center, Riverview Hospital Board Certifications: AB Plastic Surgery 715-258-1119 DeRoche, C. Thomas DPM Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Board Certifications: AB Podiatric Surgery Plaza Podiatry Associates, LLC Location: 1439 Churchill St #202 Waupaca, WI 54981 715-258-5210 Quinn, William B DPM Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center, Riverview Hospital Board Certifications: AB Plastic Surgery Waupun, WI Ripon Medical Center Location: 1001 W. Main St. Waupun, WI 53963 Two Rivers, WI Two Rivers, WI 54241 920-793-3900 Stevens Point, WI 54481 715-341-1266 Waupaca, WI 54981 Neumann, Bruce B DPM Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Podiatric Surgery 920-324-9301 DeVries, Glenn F DPM Gender: Male Board Certifications: AB Podiatric Surgery DeVries, Jason G DPM Gender: Male Board Certifications: AB Podiatric Surgery Page 195 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers DeVries, Glenn F DPM Gender: Male Board Certifications: AB Podiatric Surgery DeVries, Jason G DPM Gender: Male Board Certifications: AB Podiatric Surgery Location: 933 Newbury St Ripon, WI 54971 Stevens Point, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wausau, WI Aspirus Podiatry Associates Location: 1445 Merrill Ave Wausau, WI 54401 Specialty Care Providers 715-675-2321 Gelling, W Joseph DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Jourdan, Michael E DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Landretti, Thomas G DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Lozon, Shannon I DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Bone & Joint Clinic, SC Location: 5200 Hummingbird Rd STE 100 Wausau, WI 54401 715-847-0402 Staysniak, Thomas G DPM Gender: Male Board Certifications: AB Podiatric Surgery Strobel, Paul T DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center Bone & Joint Surgery Center, LLC Location: 5200 Wild Rose, WI C Thomas DeRoche Location: 601 Grove Ave Hummingbird Rd STE 300 Wausau, WI 54401 Wild Rose, WI 54984 715-359-7592 Staysniak, Thomas G DPM Gender: Male Board Certifications: AB Podiatric Surgery Strobel, Paul T DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center 920-622-3257 DeRoche, C. Thomas DPM Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center Board Certifications: AB Podiatric Surgery Wausau Podiatry Center, Ltd Location: 115 West Bridge St Wausau, WI 54401 715-842-4288 Juvonen, Anders V DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Weston, WI Bone & Joint Clinic, SC Location: 4005 Community Center Dr Weston, WI 54476 715-241-5400 Staysniak, Thomas G DPM Gender: Male Board Certifications: AB Podiatric Surgery Family Foot & Ankle Clinic, LLC Location: 2405 Schofield Wisconsin Rapids, WI Aspirus Podiatry Associates Location: 2031 Peach St Wisconsin Rapids, WI 54494 715-675-2321 Gelling, W Joseph DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Jourdan, Michael E DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Podiatric Surgery Rapids Podiatry Clinic Location: 940 Pepper Ave Wisconsin Rapids, WI 54494 715-421-4344 Haddock, Charles H DPM Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Podiatric Orthopedics & Primary Podiatric Med Woodruff, WI Comprehensive Foot & Ankle, SC Location: 311 Elm St Woodruff, WI 54568 715-634-9023 Larsen, David C DPM Gender: Male Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Meyer, Shannon S DPM Gender: Female Hospital/Medical Affiliations: Northwoods Surgery Center LLC Board Certifications: AB Podiatric Surgery Plaza Podiatry Associates, LLC Location: 220 Chestnut St #200 Wisconsin Rapids, WI 54494 715-421-1600 Ave STE 110 Weston, WI 54476 715-241-8100 Tikalsky, Joel J DPM Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Quinn, William B DPM Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Riverside Medical Center, Riverview Hospital Board Certifications: AB Plastic Surgery Page 196 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Pulmonary Medicine Antigo, WI Aspirus Pulmonary & Critical Care Location: 501 Aurora St Antigo, WI 54409 715-847-2480 Fox Valley Pulmonary Medicine S.C. Location: Encircle Health 2500 E Capitol Dr STE 1700 Appleton, WI 54911 920-734-9600 Aristigueta, Maria T MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Bellg, Laurin A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Maguire, Michael F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Bellin Memorial Hospital, Shawano Medical Center Board Certifications: ABIM Sleep Medicine Nonn, Robert A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Novak, Russell A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Whiteside, Jeffrey R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Fond du Lac, WI Fond du Lac Regional Clinic Location: 420 E Division St Fond du Lac, WI 54935 920-923-7400 Hatahet, Yasir MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Additional Languages:Arabic, German Board Certifications: AB Internal Medicine St Agnes Hospital Location: 430 E Division St Fond du Lac, WI 54935 920-929-2300 Bellin Memorial Hospital Location: 744 S Webster Ave Green Bay, WI 54301 920-433-3500 Habib, Isam H MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Board Certifications: AB Internal Medicine Kanwar, Badar A MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Morkevicius, Matas MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital Green Bay Chest And Infectious Disease Location: 704 S Webster Ave Green Bay, WI 54301 920-433-7516 Davis, R Dale MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Hatahet, Yasir MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Additional Languages:Arabic, German Board Certifications: AB Internal Medicine Green Bay, WI Bellin Health System Location: 744 S Webster Ave Green Bay, WI 54305 920-433-3500 Davis, R Dale MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center Board Certifications: AB Internal Medicine Page 197 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Gunther, Sarah DO Gender: Female Lahren, Kris M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wald, Thomas C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wcisel, Gregory J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Appleton, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 Specialty Care Providers 920-496-4700 Alshahrouri, Manar K MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Pulmonary Disease Andrews, John F MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Polfus, Patricia M APNP Gender: Female Potts, Richard G DO Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: ABIM Pulmonary Disease Ironwood, MI Manitowoc, WI Aspirus Pulmonary & Critical Care Location: N10565 Prevea Health Location: Holy Family Memorial Hospital 2300 Western Ave Manitowoc, WI 54221-1450 Grandview Lane Ironwood, MI 49938 715-847-2480 920-496-4700 Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Gunther, Sarah DO Gender: Female Lahren, Kris M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wald, Thomas C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wcisel, Gregory J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Andrews, John F MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Medford, WI Aspirus Pulmonary & Critical Care Location: Medford Clinic 143 S Gibson St Medford, WI 54451 715-847-2480 Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Lahren, Kris M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wald, Thomas C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wcisel, Gregory J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Merrill, WI Aspirus Pulmonary & Critical Care Location: Aspirus Merrill Clinic 3333 E Main St Merrill, WI 54452 715-847-2480 Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Gunther, Sarah DO Gender: Female Lahren, Kris M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wald, Thomas C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wcisel, Gregory J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Page 198 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Neenah, WI Fox Valley Pulmonary Medicine S.C. Location: 200 Theda Clark Medical Plaza STE 480 Neenah, WI 54956 920-729-0608 Oconto Falls, WI Prevea Health Centers Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 Polfus, Patricia M APNP Gender: Female Potts, Richard G DO Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: ABIM Pulmonary Disease Pulaski, WI Prevea Health Location: 940 S Saint Augustine St Pulaski, WI 54162 Polfus, Patricia M APNP Gender: Female Rhinelander, WI Ripon, WI Aspirus Pulmonary & Critical Care Location: 1630 N Chippewa Fond du Lac Regional Clinic Location: 790 East Gate Dr Dr Rhinelander, WI 54501 Ripon, WI 54971 715-847-2480 Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Gunther, Sarah DO Gender: Female Lahren, Kris M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Torgerson, Barbara J PAC Gender: Female Board Certifications: National Commission on Cert of Phys Assts Wald, Thomas C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wcisel, Gregory J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Location: 2275 N Shore Dr Rhinelander, WI 54501 715-847-2480 Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine 920-745-3180 Hatahet, Yasir MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Additional Languages:Arabic, German Board Certifications: AB Internal Medicine Ripon Medical Center Location: 933 Newbury St Ripon, WI 54971 920-748-0435 Lauderdale, Bradley MD Gender: Male Sheboygan, WI Prevea Health Centers Location: 3100 Superior Ave Sheboygan, WI 53081 920-459-8300 Soto, Francisco J MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital, Bellin Memorial Hospital, Community Memorial Hospital Board Certifications: AB Sleep Medicine Sheboygan Lung Specialists, SC Location: 1621 N Taylor Dr Sheboygan, WI 53081 920-458-5864 DeTrana, Philip M MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center, St Nicholas Hospital Board Certifications: AB Internal Medicine Page 199 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Aristigueta, Maria T MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Bellg, Laurin A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Maguire, Michael F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Bellin Memorial Hospital, Shawano Medical Center Board Certifications: ABIM Sleep Medicine Nonn, Robert A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Novak, Russell A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Whiteside, Jeffrey R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Stevens Point, WI Weston, WI Aspirus Pulmonary & Critical Care Location: Aspirus Stevens Aspirus Pulmonary & Critical Care Location: 425 Pine Ridge Aspirus Pulmonary & Critical Care Location: Aspirus Weston Point Clinic 5409 Vern Holmes Dr Stevens Point, WI 54482 Blvd STE 200 Wausau, WI 54401 Clinic 4005 Community Center Dr Weston, WI 54476 715-421-1313 Specialty Care Providers Wausau, WI Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Gunther, Sarah DO Gender: Female Lahren, Kris M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wald, Thomas C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wcisel, Gregory J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine 715-847-2480 Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Gunther, Sarah DO Gender: Female Lahren, Kris M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wald, Thomas C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wcisel, Gregory J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine 715-241-5400 Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Lahren, Kris M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wald, Thomas C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wcisel, Gregory J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wisconsin Rapids, WI Aspirus Clinic Location: 2031 Peach Street Wisconsin Rapids, WI 54402 715-423-0122 Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Aspirus Pulmonary & Critical Care Location: 2301 Peach Street Wisconsin Rapids, WI 54494 715-847-2480 Gunther, Sarah DO Gender: Female Wald, Thomas C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wcisel, Gregory J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Location: Riverview Hospital 420 Dewey St Wisconsin Rapids, WI 54495 715-847-2480 Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Lahren, Kris M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wald, Thomas C MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Wcisel, Gregory J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Internal Medicine Page 200 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Riverview Hospital Location: 410 Dewey St Wisconsin Rapids, WI 54494 715-421-7411 Cygan, James M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Memorial Health Center, Riverview Hospital Board Certifications: AB Internal Medicine Radiation Oncology Langlade Cancer Center Location: 501 Aurora St Antigo, WI 54409 715-623-9587 Barton, Darryl R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Radiology Radiation Oncology Speer, Tod W MD Gender: Male Langlade Cancer Center Oncology Location: 112 E. Fifth Ave Antigo, WI 54409 715-623-2331 Barton, Darryl R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Radiology Radiation Oncology Fond du Lac, WI Radiology Associates of Appleton, SC Location: 1818 N Meade St Central Wisconsin Cancer Program Location: 480 E Division St Appleton, WI 54911-3496 Fond du Lac, WI 54935 920-731-4101 920-926-4100 Krueger, Editha A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Radiation Oncology Munson, Nathan D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Radiation Oncology Pan, Charlie C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Ray, Michael E MD, PhD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Radiation Oncology Korytko, Timothy P MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Radiology Radiation Oncology Vander Kooy, Michael J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Radiology Wang, Hong C MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Radiology Green Bay Oncology, LTD Location: St Mary's Hospital 1726 Shawano Ave Green Bay, WI 54303 920-432-6049 Auchter, Richard M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Radiology Leenstra, James L MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Calumet Medical Center, Mercy Medical Center Board Certifications: AB Internal Medicine Green Bay, WI Bellin Cancer Team Location: 1580 Commanche Ave Green Bay, WI 54313 920-435-8326 Gold, Douglas G MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Appleton Medical Center Page 201 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Antigo, WI Appleton, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Radiation Oncology Specialists, SC Location: 835 S Van Buren St Green Bay, WI 54301 Specialty Care Providers 920-433-8184 Auchter, Richard M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Radiology Cooley, Gregory M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, St Nicholas Hospital, Bay Area Medical Center, Holy Family Memorial Medical Center Board Certifications: AB Radiology Radiation Oncology Davis, Rick D MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Elizabeth Hospital, St Nicholas Hospital, Mercy Medical Center Klein, Kenneth A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bay Area Medical Center, Bellin Memorial Hospital, Calumet Medical Center, Door County Memorial Hospital, Mercy Medical Center, St Elizabeth Hospital Board Certifications: AB Radiology Kohl, Robert R DO Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, St Vincent Hospital, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Board Certifications: AB Radiology Radiation Oncology Krueger, Editha A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Radiation Oncology Leenstra, James L MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Calumet Medical Center, Mercy Medical Center Board Certifications: AB Internal Medicine Munson, Nathan D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Radiation Oncology Ray, Michael E MD, PhD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Radiation Oncology Schlise, Sally M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center Radiology Associates of Appleton, SC Location: 1580 Commanche Ave Green Bay, WI 54313 920-435-8326 Krueger, Editha A MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Radiation Oncology Munson, Nathan D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Radiation Oncology Pan, Charlie C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Ray, Michael E MD, PhD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Radiology Radiation Oncology Manitowoc, WI The Cancer Care Center Location: 2300 Western Ave Manitowoc, WI 54220 920-320-2749 Auchter, Richard M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Radiology Cooley, Gregory M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, St Nicholas Hospital, Bay Area Medical Center, Holy Family Memorial Medical Center Board Certifications: AB Radiology Radiation Oncology Klein, Kenneth A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bay Area Medical Center, Bellin Memorial Hospital, Calumet Medical Center, Door County Memorial Hospital, Mercy Medical Center, St Elizabeth Hospital Board Certifications: AB Radiology Kohl, Robert R DO Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, St Vincent Hospital, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Board Certifications: AB Radiology Radiation Oncology Leenstra, James L MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Calumet Medical Center, Mercy Medical Center Board Certifications: AB Internal Medicine Page 202 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Schlise, Sally M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center Marinette, WI Wisconsin Upper Peninsula Oncology Management Services Location: 3100 Shore Dr Marinette, WI 54143 715-735-6523 Sturgeon Bay, WI Door County Cancer Center Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-746-0510 Auchter, Richard M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Radiology Cooley, Gregory M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, St Nicholas Hospital, Bay Area Medical Center, Holy Family Memorial Medical Center Board Certifications: AB Radiology Radiation Oncology Klein, Kenneth A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bay Area Medical Center, Bellin Memorial Hospital, Calumet Medical Center, Door County Memorial Hospital, Mercy Medical Center, St Elizabeth Hospital Board Certifications: AB Radiology Schlise, Sally M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center Page 203 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Auchter, Richard M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Radiology Cooley, Gregory M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, St Nicholas Hospital, Bay Area Medical Center, Holy Family Memorial Medical Center Board Certifications: AB Radiology Radiation Oncology Davis, Rick D MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Elizabeth Hospital, St Nicholas Hospital, Mercy Medical Center Gemer, Linda S MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, Bellin Memorial Hospital, St Vincent Hospital, St Nicholas Hospital, Bay Area Medical Center, Holy Family Memorial Medical Center, Calumet Medical Center, Door County Memorial Hospital, St Elizabeth Hospital, Mercy Medical Center Board Certifications: AB Radiology Therapeutic Radiology Klein, Kenneth A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bay Area Medical Center, Bellin Memorial Hospital, Calumet Medical Center, Door County Memorial Hospital, Mercy Medical Center, St Elizabeth Hospital Board Certifications: AB Radiology Kohl, Robert R DO Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, St Vincent Hospital, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Board Certifications: AB Radiology Radiation Oncology Leenstra, James L MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Door County Memorial Hospital, Holy Family Memorial Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Calumet Medical Center, Mercy Medical Center Board Certifications: AB Internal Medicine Schlise, Sally M MD Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Door County Memorial Hospital, Holy Family Memorial Medical Center Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wausau, WI Green Bay, WI Aspirus Regional Cancer Center a Dept of Aspirus Wausa Hosp Location: 333 Pine Ridge Bay Area Nuclear Medicine, SC Location: 835 S Van Buren North Shore Medical Clinic Location: 3711 State St Green Bay, WI 54307 Highway 42 Fish Creek, WI 54212 Blvd Wausau, WI 54401 715-847-2866 Specialty Care Providers Barton, Darryl R MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Radiology Radiation Oncology UW Cancer Center Location: 215 N 28th Ave Wausau, WI 54401 715-847-2866 Anderson, Bethany M MD Gender: Female Speer, Tod W MD Gender: Male Wisconsin Rapids, WI UW Cancer Center Riverview Location: 410 Dewey St Fish Creek, WI 920-433-8180 920-868-3511 Meredith, Robert L MD Gender: Male Keller, Sarah J MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Internal Medicine Prevea Health Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 Sladky, James I MD Gender: Male Location: 2502 S. Ashland Ave Green Bay, WI 54304 920-496-4700 Fond du Lac, WI Fond du Lac Regional Clinic Location: 420 E Division St Fond du Lac, WI 54935 920-923-7400 Prevea Health Centers Location: 2502 S. Ashland Ave Green Bay, WI 54304 920-496-4700 Owens, Jeanna L MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Internal Medicine Rheumatology Olson, Anna K MD Gender: Female Board Certifications: AB Radiology Radiation Oncology Radiology Appleton, WI ThedaCare Physicians Imaging Encircle Health Location: 2500 E Capitol Dr Appleton, WI 54911 Orthopedic & Sports Medicine Specialists of Green Bay, SC Location: 2223 Lime Kiln Rd STE 1 Green Bay, WI 54311 920-468-0246 Davis, Mark E DO Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital, St Marys Hospital Medical Center, Bellin Orthopedic Surgery Center Board Certifications: AB Internal Medicine Utrie, Paul C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Regional Medical Center, Bellin Memorial Hospital, Riverside Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Orthopedic Surgery Center Manitowoc, WI HFM Rheumatology Location: 1650 S 41st St Wisconsin Rapids, WI 54495 715-623-9587 Green Bay, WI Manitowoc, WI 54220 Algoma, WI 920-320-4500 North Shore Medical Clinic Location: 815 Jefferson St Algoma, WI 54201 920-487-3496 Keller, Sarah J MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Internal Medicine Soforo, Ekaterina V MD Gender: Female Hospital/Medical Affiliations: Holy Family Memorial Medical Center Additional Languages:Russian Board Certifications: AB Internal Medicine 920-996-3200 Page 204 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Neenah, WI ThedaCare Orthopedics Plus Rheumatology Location: 200 Theda Clark Medical Plaza Ste 350 Neenah, WI 54956 920-729-2710 Grandone, John T MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Internal Medicine North Shore Medical Clinic Location: 323 S 18th Ave Sturgeon Bay, WI 54235 920-746-0510 Keller, Sarah J MD Gender: Female Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Internal Medicine Wausau, WI AWH dba Aspirus Rheumatology Clinic Location: 2720 Plaza Dr #2500A Wausau, WI 54401 715-847-0426 Ciejka, Jan Z MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Dickinson Medical Services @ Cedar Hill Location: 2845 US 2 & 41 Appleton, WI STE 203 Bark River, MI 49807 Fox Valley Pulmonary Medicine S.C. Location: Encircle Health 906-466-2650 2500 E Capitol Dr STE 1700 Appleton, WI 54911 920-734-9600 Aristigueta, Maria T MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Maguire, Michael F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Bellin Memorial Hospital, Shawano Medical Center Board Certifications: ABIM Sleep Medicine Nonn, Robert A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Whiteside, Jeffrey R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Smoot, Carl A DO Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Sleep Medicine Fond du Lac, WI St Agnes Hospital Behavioral Health Services Location: 430 E Division St Fond du Lac, WI 54935 920-926-4200 Phillips, Elliott R MD Gender: Male Board Certifications: AB Psychiatry & Neurology Psychiatry Freedom, WI Dental Expressions, SC Location: N3946 Columbia Ave Freedom, WI 54130 920-788-6291 Heil, Heather M DDS Gender: Female Heil, Robert S DDS Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center Green Bay, WI John E. Patrickus, DDS Location: 2343 E. Mason St. Green Bay, WI 54302 920-468-8144 Patrickus, John E DDS Gender: Male Prevea Health Centers Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Alshahrouri, Manar K MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: ABIM Pulmonary Disease Andrews, John F MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Potts, Richard G DO Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: ABIM Pulmonary Disease St Vincent Hospital Sleep Disorders Center Location: 1821 S Webster Ave Green Bay, WI 54301 920-433-0111 Page 205 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Sturgeon Bay, WI Bark River, MI Sleep Disorders Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Iron Mountain, MI Oconto Falls, WI UP Sleep Disorders Center Location: 1711 S Fox Valley Pulmonary Medicine S.C. Location: 200 Theda Clark Stephenson Ave Ste 215 Iron Mountain, MI 49801 Medical Plaza STE 480 Neenah, WI 54956 906-776-5840 Smoot, Carl A DO Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Board Certifications: AB Sleep Medicine Specialty Care Providers Neenah, WI Manitowoc, WI Prevea Health Location: Holy Family Memorial Hospital 2300 Western Ave Manitowoc, WI 54221-1450 920-496-4700 Andrews, John F MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center Board Certifications: AB Internal Medicine Prevea Health Centers Location: 855 S Main St St Agnes Hospital Location: 430 E Division St Oconto Falls, WI 54154 Fond du Lac, WI 54935 920-846-3444 920-729-0608 Aristigueta, Maria T MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Maguire, Michael F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Bellin Memorial Hospital, Shawano Medical Center Board Certifications: ABIM Sleep Medicine Nonn, Robert A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Whiteside, Jeffrey R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Internal Medicine Fond du Lac, WI Potts, Richard G DO Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: ABIM Pulmonary Disease Sheboygan, WI Sleep Resources, Inc Location: 3424 Superior Ave Sheboygan, WI 53081 920-208-7814 St Nicholas Hospital Location: 3100 Superior Ave Sheboygan, WI 53081 920-459-8300 920-929-2300 Foster, Allen MD Gender: Male Iron Mountain, MI UP Sleep Disorders Center Location: 1711 S Stephenson Ave Ste 215 Iron Mountain, MI 49801 906-776-5840 Sand, John A DO Gender: Male Hospital/Medical Affiliations: Dickinson Memorial Hospital Board Certifications: AOB Family Physicians Marinette, WI Northern Lights Clinic SC Location: 3200 Shore Dr Marinette, WI 54143-0437 Sleep Medicine 715-735-3187 Location: Bay Area Medical Brookfield, WI Center 3100 Shore Dr Marinette, WI 54143 715-735-7621 SleepMed, Inc Location: 4125 N 124 St STE J Brookfield, WI 53005 262-790-4500 Fishers, IN Milwaukee, WI SleepMed Inc Location: 7635 W Oklahoma Ave STE 105 Milwaukee, WI 53219 414-543-0554 Disetronic Medical Systems, Inc Location: 11800 Exit 5 Parkway STE 120 Fishers, IN 46038 800-280-7801 Page 206 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Niagara, WI Northern Lights Clinic SC Location: 500 Roosevelt Rd Niagara, WI 54151 715-251-1998 Sturgeon Bay, WI North Shore Medical Clinic Location: 323 S 18th Ave Appleton, WI Sturgeon Bay, WI 54235 920-746-0510 Oak Creek, WI SleepMed, Inc Location: 8825 S Howell Ave STE 101 Oak Creek, WI 53154 Oconto Falls, WI Northern Lights Clinic SC Location: Community Memorial Hospital 855 S Main St Oconto Falls, WI 54154 920-846-3444 Parsippany, NJ Kurek, Andrzej P MD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Wheeling, IL SNAP Laboratories International, LLC Location: 5210 Capitol Dr Wheeling, IL 60090 800-762-7786 (No longer part of plan after 12/31/2012) Surgical Oncology Appleton, WI EBI, LLC dba Biomet Location: 100 Interpace Fox Valley Surgical Associates, LTD Location: 1818 N Meade St Pkwy Parsippany, NJ 07054 STE 240W Appleton, WI 54911 800-526-2579 St Paul, MN Empi, Inc Location: 599 Cardigan Rd St Paul, MN 55126 651-415-7100 920-731-8131 Cheng, Charles C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages:Chinese Board Certifications: AB Surgery General Appleton Cardiac Surgery Location: 1818 N Meade St STE N347 Appleton, WI 54911 920-225-1449 Ferrante, Robert J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Regional Medical Center Board Certifications: AB Thoracic Surgery Johnkoski, John A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Thoracic Surgery Riveron, Fernando A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Thoracic Surgery Fox Valley Surgical Associates, LTD Location: 1818 N Meade St STE 240W Appleton, WI 54911 920-731-8131 Vogt, Philip A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Location: 2500 E Capitol Dr Appleton, WI 54911 920-749-4000 Vogt, Philip A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Green Bay, WI Green Bay Cardiothoracic & Vascular Location: 720 S Van Buren St STE 303 Green Bay, WI 54301 920-433-9621 Cain, Thomas L MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Thoracic Surgery Gerndt, Steven J MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Thoracic Surgery Greer, Kevin A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Thoracic Surgery Prevea Health Centers Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 Seccombe, John F MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Thoracic Surgery Page 207 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers 414-762-1675 Thoracic Surgery Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Sursum Corda, SC Location: 900 S Webster Ave Green Bay, WI 54301 920-431-3140 Specialty Care Providers Coleman, Edward J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Door County Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Thoracic Surgery Neenah, WI Wausau, WI Surgical Associates of Neenah, SC Location: 100 Theda Clark Medical Plz STE 400 Neenah, WI 54956 Aspirus Clinic Location: 425 Pine Ridge Blvd Suite 209 Wausau, WI 54401 715-847-0400 920-725-4527 Brennan, Patrick J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Burkett, Jeffrey S MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Georgen, Raymond F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Schultz, David J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Sekhar, Nikhilesh R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Wasco, Kevin E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Surgery General Johnkoski, John A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Thoracic Surgery Riveron, Fernando A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Thoracic Surgery Urology Algoma, WI Urology Associates of Green Bay SC Location: 1510 Fremont St Antigo, WI Urology Specialists of WI, SC Location: Langlade Memorial Hospital 112 E 5th Ave Antigo, WI 54409 715-847-2605 Babiarz, Joseph W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Sherrill, Laura E MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Viviano, Carl J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Algoma, WI 54201 920-433-9400 Yap, Wen T MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Bellin Memorial Hospital, Bellin Psychiatric Hospital, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Urology Page 208 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Appleton, WI Wisconsin Institute of Urology Location: 2500 E Capitol Dr STE 2600 Appleton, WI 54911 920-739-3537 Bark River, MI Berlin, WI Urology Associates of Green Bay SC Location: 2848 US 2 & 41 Wisconsin Institute of Urology Location: 225 Memorial Dr STE 202 Bark River, MI 49802 Berlin, WI 54923 906-774-8110 Scott, Kevin C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Urology 920-361-1313 Anderson, Matthew S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center Board Certifications: AB Urology Atassi, Omar MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Urology Chelsky, Mark J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Urology Fors, Tait D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Higgins, Daniel J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Shawano Medical Center, Theda Clark Medical Center Page 209 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Anderson, Matthew S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center Board Certifications: AB Urology Atassi, Omar MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Urology Chelsky, Mark J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Urology Fors, Tait D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Higgins, Daniel J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Shawano Medical Center, Theda Clark Medical Center Kolbeck, Scott C MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Urology Lawatsch, Eric J MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Modder, Joshua K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Riverside Medical Center, Theda Clark Medical Center Murphy, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Vlach, Robert E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Specialty Care Providers Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Kolbeck, Scott C MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Urology Lawatsch, Eric J MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Modder, Joshua K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Riverside Medical Center, Theda Clark Medical Center Murphy, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Vlach, Robert E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Clintonville, WI Wisconsin Institute of Urology Location: 370 S Main St Clintonville, WI 54929 715-823-5161 Anderson, Matthew S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center Board Certifications: AB Urology Atassi, Omar MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Urology Chelsky, Mark J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Urology Fors, Tait D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Higgins, Daniel J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Shawano Medical Center, Theda Clark Medical Center Kolbeck, Scott C MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Urology Lawatsch, Eric J MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Modder, Joshua K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Riverside Medical Center, Theda Clark Medical Center Murphy, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Vlach, Robert E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Eagle River, WI Urology Specialists of WI, SC Location: 930 E Wall St Eagle River, WI 54521 715-477-3000 Sherrill, Laura E MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Viviano, Carl J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Fond du Lac, WI Fond du Lac Regional Clinic Location: 420 E Division St Fond du Lac, WI 54935 920-923-7400 Johnson, Aaron R MD Gender: Male Board Certifications: AB Urology Tuveson, Christopher C MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Urology Wright, James A MD Gender: Male Board Certifications: AB Urology Page 210 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Green Bay, WI Prevea Health Location: 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 920-496-4700 Maki, Michelle APNP Gender: Female Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Schlueter, Thomas R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Community Memorial Hospital, Door County Memorial Hospital, Bay Area Medical Center Board Certifications: AB Urology Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 Ave PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 920-496-4700 Burns, Jennifer A MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bay Area Medical Center, Bellin Memorial Hospital, Bellin Psychiatric Hospital, Community Memorial Hospital, Door County Memorial Hospital Board Certifications: AB Urology DeGroot, Daniel L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Nicholas Hospital Board Certifications: AB Urology Maki, Michelle APNP Gender: Female Schlueter, Thomas R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Community Memorial Hospital, Door County Memorial Hospital, Bay Area Medical Center Board Certifications: AB Urology Burns, Jennifer A MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bay Area Medical Center, Bellin Memorial Hospital, Bellin Psychiatric Hospital, Community Memorial Hospital, Door County Memorial Hospital Board Certifications: AB Urology DeGroot, Daniel L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Nicholas Hospital Board Certifications: AB Urology Schlueter, Thomas R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Community Memorial Hospital, Door County Memorial Hospital, Bay Area Medical Center Board Certifications: AB Urology Urology Associates of Green Bay SC Location: 720 S Van Buren St STE 301 Green Bay, WI 54301 920-433-9400 Mian, Hamayun S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Community Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Urology Scott, Kevin C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Urology Yap, Wen T MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Bellin Memorial Hospital, Bellin Psychiatric Hospital, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Urology Page 211 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Burns, Jennifer A MD Gender: Female Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bay Area Medical Center, Bellin Memorial Hospital, Bellin Psychiatric Hospital, Community Memorial Hospital, Door County Memorial Hospital Board Certifications: AB Urology Location: 1727 Shawano Ave Green Bay, WI 54303 Prevea Health Centers Location: 1821 S Webster Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Iron Mountain, MI Kewaunee, WI Medford, WI Urology Associates of Green Bay SC Location: 1005 S Hemlock HFM Lakeshore Medical Specialists Location: 1020 Marquette Dr Urology Specialists of WI, SC Location: Memorial Health Wisconsin Institute of Urology Location: 100 Theda Clark St Iron Mountain, MI 49801 Kewaunee, WI 54216 Center 135 S Gibson St Medford, WI 54451 Medical Plaza Ste 300 Neenah, WI 54956 Specialty Care Providers 906-774-8110 Mian, Hamayun S MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Community Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Urology Scott, Kevin C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Urology Yap, Wen T MD Gender: Male Hospital/Medical Affiliations: Community Memorial Hospital, Bellin Memorial Hospital, Bellin Psychiatric Hospital, St Vincent Hospital, Dickinson Memorial Hospital Board Certifications: AB Urology Iron River, MI Urology Associates of Green Bay SC Location: 229 W Genesee St Iron River, MI 49935 906-774-8110 Scott, Kevin C MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, Dickinson Memorial Hospital Board Certifications: AB Urology 920-388-2198 715-748-8119 Katz, Giora MD Gender: Male Board Certifications: AB Urology Manitowoc, WI HFM Urology Location: 1818 Memorial Dr Manitowoc, WI 54221 920-320-6344 Katz, Giora MD Gender: Male Board Certifications: AB Urology Marinette, WI Bay Area Medical Center Location: 3100 Shore Dr Marinette, WI 54143 715-735-6621 El Jack, Mohamed S MD Gender: Male Location: 3130 Shore Dr STE 20 Marinette, WI 54143 Merrill, WI 715-735-8064 Urology Specialists of WI, SC Location: Good Samaritan El Jack, Mohamed S MD Gender: Male Health Center 601 S Center Ave Merrill, WI 54452 Mayville, WI 715-539-2177 Fond du Lac Regional Clinic Location: 360 S Mountain Dr Mayville, WI 53050 920-387-7500 Johnson, Aaron R MD Gender: Male Board Certifications: AB Urology Babiarz, Joseph W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Battino, Benjamin S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Urology Bluestein, David L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Urology Brandell, Roy A MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Urology Babiarz, Joseph W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Neenah, WI 920-722-7747 Anderson, Matthew S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center Board Certifications: AB Urology Atassi, Omar MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Urology Chelsky, Mark J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Urology Fors, Tait D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Higgins, Daniel J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Shawano Medical Center, Theda Clark Medical Center Page 212 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. New London, WI Wisconsin Institute of Urology Location: 1405 Mill St New London, WI 54961 920-531-2124 Anderson, Matthew S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center Board Certifications: AB Urology Atassi, Omar MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Urology Chelsky, Mark J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Urology Fors, Tait D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Higgins, Daniel J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Shawano Medical Center, Theda Clark Medical Center Kolbeck, Scott C MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Urology Lawatsch, Eric J MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Modder, Joshua K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Riverside Medical Center, Theda Clark Medical Center Murphy, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Vlach, Robert E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Oconto Falls, WI CMH Primary Care Center Location: 835 S Main St Oconto Falls, WI 54154 920-496-4700 Schlueter, Thomas R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Community Memorial Hospital, Door County Memorial Hospital, Bay Area Medical Center Board Certifications: AB Urology Community Memorial Hospital Location: 855 S Main St Oconto Falls, WI 54154 920-496-4700 Schlueter, Thomas R MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Community Memorial Hospital, Door County Memorial Hospital, Bay Area Medical Center Board Certifications: AB Urology Prevea Health Centers Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 DeGroot, Daniel L MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital, Community Memorial Hospital, Door County Memorial Hospital, St Nicholas Hospital Board Certifications: AB Urology Page 213 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Kolbeck, Scott C MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Urology Lawatsch, Eric J MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Modder, Joshua K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Riverside Medical Center, Theda Clark Medical Center Murphy, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Vlach, Robert E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Oshkosh, WI Wisconsin Institute of Urology Location: 600 N Westhaven Dr Oshkosh, WI 54904 Specialty Care Providers 920-237-5048 Anderson, Matthew S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center Board Certifications: AB Urology Atassi, Omar MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Urology Chelsky, Mark J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Urology Fors, Tait D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Higgins, Daniel J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Shawano Medical Center, Theda Clark Medical Center Kolbeck, Scott C MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Urology Lawatsch, Eric J MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Modder, Joshua K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Riverside Medical Center, Theda Clark Medical Center Murphy, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Vlach, Robert E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Plymouth, WI Ripon, WI Prevea Sheboygan Urology Care Location: 825 Walton Dr. Fond du Lac Regional Clinic Location: 790 East Gate Dr Plymouth, WI 53073 Ripon, WI 54971 920-892-4322 Grose, Gregory S MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Urology 920-745-3180 Wright, James A MD Gender: Male Board Certifications: AB Urology Rhinelander, WI Urology Specialists of WI, SC Location: 2251 N Shore Dr Rhinelander, WI 54501 715-361-4763 Babiarz, Joseph W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Battino, Benjamin S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Urology Bluestein, David L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Urology Sherrill, Laura E MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Viviano, Carl J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Page 214 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wisconsin Institute of Urology Location: 635 W Oshkosh St Ripon, WI 54971 920-745-6900 Shawano, WI Wisconsin Institute of Urology Location: 100 County Rd B Shawano, WI 54166 920-739-3537 Anderson, Matthew S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center Board Certifications: AB Urology Atassi, Omar MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Urology Chelsky, Mark J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Urology Fors, Tait D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Higgins, Daniel J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Shawano Medical Center, Theda Clark Medical Center Kolbeck, Scott C MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Urology Lawatsch, Eric J MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Modder, Joshua K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Riverside Medical Center, Theda Clark Medical Center Murphy, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Vlach, Robert E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Page 215 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Anderson, Matthew S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center Board Certifications: AB Urology Atassi, Omar MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Urology Chelsky, Mark J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Urology Fors, Tait D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Higgins, Daniel J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Shawano Medical Center, Theda Clark Medical Center Kolbeck, Scott C MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Urology Lawatsch, Eric J MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Modder, Joshua K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Riverside Medical Center, Theda Clark Medical Center Murphy, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Vlach, Robert E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Sheboygan, WI Prevea Sheboygan Urology Care Location: 1411 N Taylor Sheboygan, WI 53081 920-457-4858 Specialty Care Providers Grose, Gregory S MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Urology Stevens Point, WI The Urology Clinic, SC Location: 500 Vincent St Stevens Point, WI 54481 715-295-9939 Fuller, John R MD Gender: Male Board Certifications: AB Urology Urology Specialists of WI, SC Location: Aspirus Stevens Point Clinic 5409 Vern Holmes Dr Stevens Point, WI 54482 Babiarz, Joseph W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Battino, Benjamin S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Urology Bluestein, David L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Urology Brandell, Roy A MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Urology Sherrill, Laura E MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Viviano, Carl J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology HFM TR Health Center Location: 3310 45th St Two Rivers, WI 54241 Wisconsin Institute of Urology Location: 800 Riverside Dr Waupaca, WI 54981 888-847-2605 Two Rivers, WI Waupaca, WI 920-739-3537 Anderson, Matthew S MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center Board Certifications: AB Urology Atassi, Omar MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center, New London Family Medical Center Board Certifications: AB Urology Chelsky, Mark J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Urology Fors, Tait D MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Higgins, Daniel J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Shawano Medical Center, Theda Clark Medical Center Kolbeck, Scott C MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, Riverside Medical Center, Shawano Medical Center Board Certifications: AB Urology Lawatsch, Eric J MD Gender: Male Hospital/Medical Affiliations: Theda Clark Regional Medical Center, Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Riverside Medical Center, Shawano Medical Center Modder, Joshua K MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Shawano Medical Center, Riverside Medical Center, Theda Clark Medical Center Murphy, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, New London Family Medical Center, Theda Clark Medical Center Board Certifications: AB Urology Vlach, Robert E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Urology 920-793-3900 Katz, Giora MD Gender: Male Board Certifications: AB Urology Page 216 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Waupun, WI Fond du Lac Regional Clinic Location: 608 W Brown St Waupun, WI 53963 920-324-6800 Tuveson, Christopher C MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Urology Urology Specialists of WI, SC Location: 3300 Westhill Dr Wausau, WI 54401 715-847-2605 Babiarz, Joseph W MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Battino, Benjamin S MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital Board Certifications: AB Urology Bluestein, David L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certifications: AB Urology Sherrill, Laura E MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Viviano, Carl J MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Urology Appleton, WI 54911 920-749-4000 Urology Specialists of WI, SC Location: West Medical Building 400 Dewey St Wisconsin Rapids, WI 54495 715-422-9377 Brandell, Roy A MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Urology Vascular Surgery Appleton, WI Fox Valley Surgical Associates, LTD Location: 1818 N Meade St Ballard, Robert B MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Vogt, Philip A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Winek, Thomas G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Surgery Vascular Surgery STE 240W Appleton, WI 54911 Green Bay, WI 920-731-8131 Ballard, Robert B MD Gender: Male Hospital/Medical Affiliations: New London Family Medical Center, Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Vogt, Philip A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Winek, Thomas G MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Riverside Medical Center Board Certifications: AB Surgery Vascular Surgery General & Vascular Surgery of Green Bay Location: 744 S Webster Ave Green Bay, WI 54301 920-433-7463 Gifford, Stewart W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital Board Certifications: AB Surgery General Green Bay Cardiothoracic & Vascular Location: 720 S Van Buren St STE 303 Green Bay, WI 54301 920-433-9621 Cain, Thomas L MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Bellin Memorial Hospital Board Certifications: AB Thoracic Surgery Greer, Kevin A MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Thoracic Surgery NEW Surgical Associates, SC Location: 670 Cormier Rd Green Bay, WI 54304 920-494-9685 Kemmerling, James M MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Additional Languages:Spanish Board Certifications: AB Surgery General Prevea Health Centers Location: 1727 Shawano Ave Green Bay, WI 54303 920-496-8877 Hutto, John D MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Surgery General Saletta, Charles W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery Vascular Surgery Page 217 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Wausau, WI Location: 2500 E Capitol Dr Wisconsin Rapids, WI Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Location: 1821 S Webster Ave PO Box 19070 Green Bay, WI 54307-9070 Specialty Care Providers 920-496-4700 Hutto, John D MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Surgery General Saletta, Charles W MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Surgery Vascular Surgery Location: St Mary's Hospital 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Hutto, John D MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Surgery General Location: St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 920-496-4700 McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General Manitowoc, WI Neenah, WI HFM General & Vascular Surgery Location: 2300 Western Ave Surgical Associates of Neenah, SC Location: 100 Theda Clark Manitowoc, WI 54220 Medical Plz STE 400 Neenah, WI 54956 920-320-3165 Jordan, Milan MD Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Board Certifications: AB Surgery General Marinette, WI Prevea Health Centers Location: 1409 Cleveland Ave Marinette, WI 54143 888-277-3832 McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General 920-725-4527 Brennan, Patrick J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Burkett, Jeffrey S MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Georgen, Raymond F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Schultz, David J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Sekhar, Nikhilesh R MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Surgery General Wasco, Kevin E MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Board Certifications: AB Surgery General Oconto Falls, WI CMH Primary Care Clinic Location: 835 S Main St Oconto Falls, WI 54154 920-433-9621 McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General Community Memorial Hospital Location: 855 S Main St Oconto Falls, WI 54154 920-433-9621 McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General Prevea Health Centers Location: 855 S Main St Oconto Falls, WI 54154 920-846-3444 McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General Page 218 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Specialty Care Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Sturgeon Bay, WI Prevea Health Centers Location: Door County Memorial / North Shore Medical 323 S 18th Ave Sturgeon Bay, WI 54235 Manitowoc, WI HFM Family Health Shoppe Location: 3310 Calumet Ave Manitowoc, WI 54220 920-320-4400 920-496-4700 Holy Family Memorial Medical Center Location: 2300 Western Ave PO Box 1450 Manitowoc, WI 54220 920-320-2011 Specialty Care Providers McNutt, Richard K MD Gender: Male Hospital/Medical Affiliations: Bay Area Medical Center, Bellin Memorial Hospital, Community Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Holy Family Memorial Medical Center, Shawano Medical Center Board Certifications: AB Surgery General Rehab Plus - Outpatient Therapy Location: 1650 S 41st St Manitowoc, WI 54221-2170 920-320-3100 Wound Care Appleton, WI IHC - Wound Care Services LLC Location: 1506 S Oneida St. Appleton, WI 54915 414-290-6720 Green Bay, WI Sheboygan, WI IHC - Wound Care Services LLC Location: 3100 Superior Ave Sheboygan, WI 53081 414-290-6720 Sturgeon Bay, WI Woodside Lutheran Home Location: 1040 Pilgrim Way Door County Memorial Hospital Location: 323 S 18th Ave Green Bay, WI 54304 Sturgeon Bay, WI 54235 920-499-1481 Kaukauna, WI 920-743-5566 Wausau, WI KCI USA, Inc Location: 1297 Badger Rd Aspirus Wausau Hospital Location: 333 Pine Ridge Kaukauna, WI 54130 Blvd Wausau, WI 54401 888-275-4524 715-847-2837 Page 219 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Alcohol or Drug Abuse Appleton, WI Beth A Young-Verkuilen, MS Location: 424A E Longview Dr Appleton, WI 54911 920-882-9877 Young-Verkuilen, Beth A LCSW, CSAC Gender: Female Catholic Charities Location: 214 E Summer St Appleton, WI 54911 Behavioral Health Providers 920-734-2601 Sebora, Thomas P MSW, LMFT, LCSW, SAC Gender: Male Board Certifications: National Certified Gambling Counselor Christian Family Counseling Location: 1049 N Lynndale Dr STE 1B Appleton, WI 54914 920-731-9798 Manthey, Elsa L LPC, SAC, MS Gender: Female Deanna L Christensen, LLC Location: 424A E Longview Dr Appleton, WI 54911 920-882-9877 Christensen, Deanna L MSW, LCSW Gender: Female Appleton , WI Chilton, WI Jennifer H Olkowski, MSE Location: 3301 N. Ballard BridgePoint Health, LLC Location: 453 E Brooklyn St Rd STE C Appleton , WI 54911 Chilton, WI 53014 920-849-2539 920-202-3954 Huber, Michael G LPC, ICS, CSAC, MA Gender: Male Olkowski, Jennifer H LPC Gender: Female Crandon, WI Appleton, WI Forest County Potawatomi Health & Wellness Center Location: 8201 Mish Ko Options Treatment Programs, Inc Location: 4000 W Spencer St Appleton, WI 54914-4015 Swen Dr Crandon, WI 54520 920-735-9010 715-478-4300 Davis, Bruce W SAC Gender: Male Ksionek, Jeanette CSAC Gender: Female Randerson, Lisa J LPC, SAC Gender: Female Waugh, William B CSAC Gender: Male De Pere, WI Psychology Associates Of The Fox Cities Location: 2557-A E Calumet St Appleton, WI 54915 Bonnie M Lee And Associates Location: 2200 Dickenson Rd Unit 4 STE B De Pere, WI 54115 920-347-3500 920-738-9999 Randerson, Lisa J LPC, SAC Gender: Female Beaver Dam, WI Hoelscher, Joseph D LCSW, SAC Gender: Male Lee, Bonnie M CSAC, ICS, LCSW, LMFT, MSW Gender: Female Psychiatric Associates Location: 200 Front St STE 3D Beaver Dam, WI 53916 920-885-2780 Dougherty, Tamara M CSAC Gender: Female Johannes, Amy S CSAC Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Eagle River, WI Options Counseling Services LLC Location: 722 East Wall St Eagle River, WI 54521 715-477-2875 Knudson, Jeff BS, SACT Gender: Male Kuehn, Scott C SAC Gender: Male Marcus, Roberta L SAC, MS Gender: Female Webb, James A ICS, CSAC Gender: Male Fond du Lac, WI Christian Family Counseling Location: 757 S Main St STE 8 Fond du Lac, WI 54935-5739 920-731-9798 Manthey, Elsa L LPC, SAC, MS Gender: Female St Agnes Hospital Behavioral Health Services Location: 430 E Division St Fond du Lac, WI 54935 920-926-4200 Clark, Paul R LPC Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: National Board Certified Counselors Johannes, Amy S CSAC Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Olig, Lorrie A CSAC Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Page 220 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Green Bay, WI American Foundation Of Counseling Services Location: 130 E Walnut St STE 706 Green Bay, WI 54301 920-437-8256 Blakley, Shawn T MS, LPC, CSAC Gender: Male Green Bay , WI Ann Rockhill Counseling Services LLC Location: 1019 Emilie St Green Bay , WI 54301 920-857-3503 Green Bay, WI Bellin Behavioral Health Clinic Location: 1630 Commanche Ave Green Bay, WI 54313 920-433-3630 Hill, Mary L SAC, LCSW, MSW Gender: Female Bellin Behavioral Health Clinic Location: 301 E St Joseph St Green Bay, WI 54301 920-433-3630 Depner, Paula J BS, CSAC Gender: Female Hill, Mary L SAC, LCSW, MSW Gender: Female Larscheid, Brittany N CSAC, MSW Gender: Female Lavarda, Eric J SAC Gender: Male Green Bay, WI 54301 920-435-2093 Bellin Psychiatric Center Location: 301 E St Joseph St Green Bay, WI 54301 920-431-5687 Vandermause, Patricia L LPC, CSAC Gender: Female Family Services Of Northeast Wisconsin, Inc Location: 300 Crooks St Green Bay, WI 54301 920-436-6800 Harris Forbes, Jennifer A LPC, CSAC Gender: Female Board Certifications: National Board Certified Counselors Rockhill, Ann M LCSW, CSAC Gender: Female GAM Behavioral Health Services Location: 3021 Holmgren Way STE 203A Green Bay, WI 54304 920-339-9307 Holstead, Daniel R MSW, LCSW, SAC Gender: Male Innovative Counseling Inc Location: 1499 6th St Green Bay, WI 54304 920-497-6161 Hoelscher, Joseph D LCSW, SAC Gender: Male Artez, Danilo P SAC Gender: Male Labine, William J MSW, CSAC, ICS Gender: Male Pasterski, Rebecca M CSAC, APSW Gender: Female Salzwedel, Joy A SAC Gender: Female NEW Wellness Associates Location: 2733 S Ridge Rd Green Bay, WI 54304 920-497-6200 Bazett-Jones, Ted A MSE, LCSW, LPC Gender: Male Duncan, Nadine E LPC, CSAC Gender: Female Locy, Thomas J LCSW, CSAC Gender: Male Moga-Roach, Diane M LPC Gender: Female Options Treatment Programs, Inc Location: 331 S Adams St Green Bay, WI 53405 920-448-4431 Novinska, Brigitte R CSAC Gender: Female Prevea Health Location: 1715 Dousman St PO Box 19070 Green Bay, WI 54307-9070 920-496-4700 Braaten, Dan J LMFT, SAC, MS Gender: Male Prevea Health Centers Location: 2680 Vernon Dr. Green Bay, WI 54304 920-496-4700 Braaten, Dan J LMFT, SAC, MS Gender: Male Kaukauna, WI NEW Wellness Associates Location: 2420 Crooks Ave Kaukauna, WI 54130 920-766-5040 Duncan, Nadine E LPC, CSAC Gender: Female Moga-Roach, Diane M LPC Gender: Female Kewaunee, WI Kewaunee County Dept of Human Services Location: 810 Lincoln St Kewaunee, WI 54216 920-388-7030 Gartzke, Scott R CSAC Gender: Male Seidl, Mark C CSAC, ICS Gender: Male Tulachka, Joanne L CSAC Gender: Female Manitowoc, WI HFM Behavioral Health Location: 339 Reed Ave Manitowoc, WI 54220 920-320-8600 Peterman, Deborah M MSW, LCSW, CSAC Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital Page 221 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Rockhill, Ann M LCSW, CSAC Gender: Female Jackie Nitschke Center, Inc. Location: 630 Cherry St McKay, Mary M CSAC Gender: Female Myers, Ruth I MSW, CSAC Gender: Female Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Nett-Work Family Counseling, LLC Location: 1011 S 10th St STE 1 Manitowoc, WI 54220 920-684-4114 Pritzl, Thomas J MSW, LCSW, SAC Gender: Male Wentz, Debra J LCSW, CSAC Gender: Female Menasha, WI Family Services Of Northeast Wisconsin, Inc Location: 1810 Appleton Rd Menasha, WI 54952 Behavioral Health Providers 920-739-4226 Yang, Shannon L LPC, SAC Gender: Female The Samaritan Counseling Center of the Fox Valley, Inc Location: 1478 Kenwood Dr STE 1 Menasha, WI 54952 920-886-9319 Harris-Bruss, Dianna L LPC Gender: Female Hospital/Medical Affiliations: ThedaCare Behavioral Health Location: 1095 Midway Rd Menasha, WI 54952 920-720-2300 Burton, Carrie F CSAC, MSW Gender: Female Cruthers, James C CSAC Gender: Male Czarnik, Norma LPC Gender: Female Fonstad, Dorothy MSE, LCSW, CSAC Gender: Female Hanson, Faithe C SAC Gender: Female VandenHoogen, Shauna SAC Gender: Female Wockenfus, Julie A CSAC Gender: Female Wood, Linda J BS, CSAC Gender: Female Neenah, WI ThedaCare Behavioral Health Location: 130 Second St Nett-Work Family Counseling, LLC Location: 1403 Milwaukee Neenah, WI 54956 Dr New Holstein, WI 53061 920-725-2070 Merrill, WI Doughman, Thomas A MA, LCSW, LMFT, SAC Gender: Male Wockenfus, Julie A CSAC Gender: Female Central Wisconsin Psychological Services Location: 712 East 2nd Street P O Box 551 Merrill, WI 54452 ThedaCare Behavioral Health Location: 1504 S 715-539-8080 New Holstein, WI 920-451-6908 Nett, Christine M LCSW Gender: Female Pritzl, Thomas J MSW, LCSW, SAC Gender: Male Wentz, Debra J LCSW, CSAC Gender: Female Commercial Neenah, WI 54956 Lee, Evelyn T MS, SAC, LPC Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Memorial Health Center, Riverview Hospital 920-729-6088 Fonstad, Dorothy MSE, LCSW, CSAC Gender: Female North Central Health Care - Merrill Location: 604 N Sales St Merrill, WI 54452 715-536-9482 Neillsville, WI Clark County Community Services Location: 517 Court St Neillsville, WI 54456 Galella, Andrea M CSAC Gender: Female Hinz, Byron L LCSW, SAC Gender: Male 715-743-5208 Kramer, James D CSAC, ICS Gender: Male Board Certifications: Wisconsin Certification Bd CADC III Willette, Amy C SAC, LCSW, RN Gender: Female Minocqua, WI Options Counseling Services LLC Location: 9433 Cty Road J Minocqua, WI 54548 715-356-5377 Knudson, Jeff BS, SACT Gender: Male Kuehn, Scott C SAC Gender: Male Marcus, Roberta L SAC, MS Gender: Female Webb, James A ICS, CSAC Gender: Male Webb, Stacy RN, CSAC Gender: Female New London, WI The Samaritan Counseling Center of the Fox Valley, Inc Location: 709 W Pine St New London, WI 54961 920-982-7863 Harris-Bruss, Dianna L LPC Gender: Female Hospital/Medical Affiliations: ThedaCare Behavioral Health Location: 1405 S Mill St New London, WI 54961 920-531-2400 Oconto, WI Oconto Co Human Services Location: 501 Park Ave Oconto, WI 54153 920-834-7000 Whitworth, Julie A LCSW, SAC Gender: Female Page 222 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Oconto Falls, WI Bellin Behavioral Health Clinic Location: 835 S Main St STE 5 Oconto Falls, WI 54154 920-846-0509 Boehmke, Jolayne M LPC, ICS, CSAC Gender: Female Life Point Counseling, LLC Location: 411 E Mill St STE Sheboygan, WI 104 Plymouth, WI 53073 920-892-7606 Niver, Julie K LPC, CSAC, MS Gender: Female Options Treatment Programs, Inc Location: 502 E New York Ave Oshkosh, WI 54901 920-651-1844 ThedaCare Behavioral Health Location: 600 N Westhaven Dr Oshkosh, WI 54904 920-237-5000 Doughman, Thomas A MA, LCSW, LMFT, SAC Gender: Male Plymouth, WI BridgePoint Health, LLC Location: 515 E Mill St Plymouth, WI 53073 920-458-5557 Gretebeck, Rachel J MS, CSAC Gender: Female Ave Sheboygan, WI 53081 Waupaca, WI 54981 920-451-6908 Nett-Work Family Counseling, LLC Location: 2801 Calumet Dr Nett, Christine M LCSW Gender: Female Pritzl, Thomas J MSW, LCSW, SAC Gender: Male Sheboygan, WI 53083 920-451-6908 Burg, Eldon E MS, LCSW, LPC, LMFT, SAC Gender: Male Nett, Christine M LCSW Gender: Female Pritzl, Thomas J MSW, LCSW, SAC Gender: Male Wentz, Debra J LCSW, CSAC Gender: Female Rhinelander, WI Options Counseling Services LLC Location: 1991 Winnebago St Rhinelander, WI 54501 715-362-5745 Options Counseling Services LLC Location: 21A S Brown St Sturgeon Bay, WI Door County Department of Community Programs Location: 421 Nebraska St Rhinelander, WI 54501 715-369-7300 Knudson, Jeff BS, SACT Gender: Male Kuehn, Scott C SAC Gender: Male Marcus, Roberta L SAC, MS Gender: Female Webb, James A ICS, CSAC Gender: Male Sturgeon Bay, WI 54235 920-746-2345 Baeten, Tina M CSAC Gender: Female Bleser, Bobbie Jo L SAC Gender: Female Additional Languages: French Faust, Tracy J LPC, MA Gender: Female Hirn, Pamela J LCSW, LPC Gender: Female Livingston, Jay S MS, LPC Gender: Male 920-680-7450 Sebora, Thomas P MSW, LMFT, LCSW, SAC Gender: Male Board Certifications: National Certified Gambling Counselor ThedaCare Behavioral Health Location: 902 Riverside Dr STE 204 Waupaca, WI 54981 715-256-1475 Cruthers, James C CSAC Gender: Male Wausau, WI Achieve Center, Inc Location: 2600 Stewart Ave Ste 38 Wausau, WI 54401 715-845-4900 Wesley, Carol Jean LMFT, LPC, SAC Gender: Female Board Certifications: Wisconsin Certification Bd CADC III Compass Counseling Wausau, LLC Location: 1202 Callon Street Wausau, WI 54401 715-845-5493 Buechler, Lynne M LCSW, LPC, CSAC, ICS Gender: Female Dix and Gillette Counseling Services, LLP Location: 1720 Merrill Ave #401 Wausau, WI 54401 715-675-3888 Dix, Michael P CSAC, LMFT Gender: Male Page 223 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Ehlke, Steve G CSAC Gender: Male Novinska, Brigitte R CSAC Gender: Female Wright-Kuranda, Veronica K SAC Gender: Female Catholic Charities Location: N2845 Shadow Rd Gretebeck, Rachel J MS, CSAC Gender: Female Huber, Michael G LPC, ICS, CSAC, MA Gender: Male Plymouth, WI 53073 Oshkosh, WI BridgePoint Health, LLC Location: 3425 Superior 920-458-5557 Nett-Work Family Counseling, LLC Location: 621 E Mill ST Waupaca, WI Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Elmergreen Associates Location: 114 Grand Ave Wausau, WI 54403 715-845-7175 Fox, Robert R LPC Gender: Male Board Certifications: AB Family Medicine Olson, Jerry L ICS, CSAC, LPC Gender: Male Family Counseling Services Location: 903 N 2nd St Wausau, WI 54403 715-842-3346 Behavioral Health Providers Hines, Laurie A CSAC Gender: Female North Central Health Care - Wausau Location: 1100 Lakeview Dr Wausau, WI 54403 715-848-4600 Buechler, Lynne M LCSW, LPC, CSAC, ICS Gender: Female Dexter, Barry A LCSW, ICS, CSAC Gender: Male Board Certifications: Wisconsin Certification Bd CADC III Kresse, Gregory J LCSW, SAC Gender: Male Seubert, Mary L CSAC, LPC Gender: Female Slattery, Karen M CSAC Gender: Female North Central Health Care Facility - Psychiatric Center Location: 1100 Lakeview Dr Wausau, WI 54403 715-848-4600 Galella, Andrea M CSAC Gender: Female Primary Connection Health Care Location: 1810 N Second St Schueler-Sheveland, Susan L CSAC, LPC Gender: Female Wausau, WI 54403 Autism 715-848-4884 Buechler, Lynne M LCSW, LPC, CSAC, ICS Gender: Female Appleton, WI Fox Valley Autism Location: 5733 W Grande Wautoma, WI Catholic Charities Location: 474 S Cambridge St Wautoma, WI 54982 920-680-7450 Sebora, Thomas P MSW, LMFT, LCSW, SAC Gender: Male Board Certifications: National Certified Gambling Counselor Options Treatment Programs, Inc Location: All Area Market Dr Appleton, WI 54913 920-749-1005 Eiden, Todd C PhD Gender: Male Klein, Steven P PhD Gender: Male De Pere, WI A Sound Mind Location: 428 N Superior St STE 110 De Pere, WI 54115 920-338-8330 Counseling 719 W Main St Wautoma, WI 54982 Kitcher, Paulina D MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Additional Languages: Russian 920-787-7472 Hiley, Bobbie J CSAC Gender: Female Wisconsin Rapids, WI Green Bay, WI American Foundation Of Counseling Services Location: 130 E Walnut St Wood County Unified Services Location: 2611 12th St Wisconsin Rapids, WI 54494 715-421-8840 STE 706 Green Bay, WI 54301 920-437-8256 Ambrosius, Randall J LCSW, CSAC, ICS Gender: Male Board Certifications: Certified Alcohol Drug Counselor III Nelson, Connie L CSAC Gender: Female Board Certifications: WI Cert Bd Reg Alcohol & Drug Counselor II Pufall, LouAnne CSAC Gender: Female Ruehl, Beth A CSAC Gender: Female Nelson, Christie L PhD Gender: Female Applied Behavior Analysts, LLC Location: 1640 Main St Green Bay, WI 54302 Innovative Counseling Inc Location: 1499 6th St Green Bay, WI 54304 920-497-6161 Connolly, Cynthia J MSW, LCSW Gender: Female Thomas, Cynthia R LCSW Gender: Female Madison, WI Wisconsin Early Autism Project, Inc Location: 6402 Odana Rd Madison, WI 53719 608-288-9040 Huai, Nan PhD Gender: Female Perron, Joseph T PhD Gender: Male Pritzl, Tracy R PSYD Gender: Female Sallows, Glen O PhD Gender: Male Sherman, Michelle R APSW Gender: Female Wilkins, Christine M APSW Gender: Female Manitowoc, WI HFM Behavioral Health Location: 339 Reed Ave Manitowoc, WI 54220 920-320-8600 Kohler, Mylan V DO Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Additional Languages: Vietnamese, French Board Certifications: AB Psychiatry & Neurology Child & Adolescent Psych 920-857-9041 Lund, Eric J PSYD Gender: Male Page 224 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Phoenix Behavioral Health Services, LLC Location: 115 E Waldo Blvd Innovative Counseling Inc Location: 1499 6th St Manitowoc, WI 53220 Green Bay, WI 54304 920-682-1131 Eiden, Todd C PhD Gender: Male 920-497-6161 Carmody, Linda A LPC Gender: Female Wausau, WI Krawczyk Counseling Services, LLC Location: 2631 S Achieve Center, Inc Location: 2600 Stewart Ave Packerland Dr Ste 104C Green Bay, WI 54313 Ste 38 Wausau, WI 54401 715-845-4900 Wesley, Carol Jean LMFT, LPC, SAC Gender: Female Board Certifications: Wisconsin Certification Bd CADC III Robertson, Bruce J PhD Gender: Male Menasha, WI Beyond Boundaries of Autism Location: 1800 Appleton Rd St Appleton, WI 54915 920-738-9999 Cummings, Frank J PhD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Green Bay, WI Cerebral Palsy Inc Location: 2801 S Webster Plymouth, WI 53073 920-451-6908 Ottman-Boykin, Tina M LCSW, LPC Gender: Female Sheboygan, WI Nett-Work Family Counseling, LLC Location: 2801 Calumet Dr Hazell, Vivian M LPC Gender: Female Wausau, WI Neenah, WI ThedaCare Behavioral Health Location: 130 Second St Neenah, WI 54956 920-729-2150 Cummings, Frank J PhD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital St Green Bay, WI 54301 920-431-5687 Manitowoc, WI Holy Family Memorial MH/AODA Unit Location: 2300 Western Ave Manitowoc, WI 54220 920-320-2011 920-451-6908 920-795-4183 Menasha, WI 54952 Bellin Psychiatric Center Location: 301 E St Joseph Sheboygan, WI 53083 Eichenhofer, David J PhD Gender: Male Ottman-Boykin, Tina M LCSW, LPC Gender: Female Appleton, WI Psychology Associates Of The Fox Cities Location: 2557-A E Calumet Nett-Work Family Counseling, LLC Location: 621 E Mill ST Green Bay, WI Achieve Center, Inc Location: 2600 Stewart Ave Wausau, WI North Central Health Care Facility - Psychiatric Center Location: 1100 Lakeview Dr Wausau, WI 54403 715-848-4600 Psychiatry Ste 38 Wausau, WI 54401 715-845-4900 Shank, Laura PSYD Gender: Female Psychiatric Hospital Fond du Lac, WI St Agnes Hospital Behavioral Health Services Location: 430 E Division St Antigo, WI Langlade Hospital Location: 112 E 5th Ave Antigo, WI 54409 715-623-2331 Dennison, Sylvia J MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Psychiatry & Neurology Fond du Lac, WI 54935 920-926-4200 Ave Green Bay, WI 54301 920-337-1122 Page 225 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Autism - NonIntensive 920-965-7701 Plymouth, WI Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Langlade Hospital Location: General Clinic 110 E 5th Ave Antigo, WI 54409 715-623-2351 Dennison, Sylvia J MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Psychiatry & Neurology North Central Health Care - Antigo Location: 1225 Langlade Rd Antigo, WI 54409 715-623-2394 Carrigan, Kevin J MD Gender: Male Behavioral Health Providers Appleton, WI Behavioral Health Ballard Location: 3301 N Ballard Rd Ste C Appleton, WI 54911 920-202-3954 Panzer, Michael J MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Additional Languages: French Stafford, Richard B MD Gender: Male Catholic Charities Location: 214 E Summer St Appleton, WI 54911 920-734-2601 Johnson, Edward J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology ThedaCare Behavioral Health Location: 1818 N Meade St Appleton, WI 54911 920-720-2300 Fischer, Peter M MD Gender: Male ThedaCare Behavioral Health Location: 2500 E Capitol Dr Appleton, WI 54911 920-720-2300 Fischer, Peter M MD Gender: Male Wisconsin Michigan Physicians Location: 2500 East Enterprise Ave Ste East Appleton, WI 54913 888-724-6377 Alhatem, Fadi MD Gender: Male Hospital/Medical Affiliations: Board Certifications: AB Psychiatry & Neurology Pain Medicine Beaver Dam, WI Psychiatric Associates Location: 200 Front St STE 3D Beaver Dam, WI 53916 920-885-2780 Christenson, Brian C MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Psychiatry & Neurology Kuhs, Leon S MD Gender: Male Board Certifications: AB Psychiatry & Neurology Narvasa, Maria E MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Psychiatry & Neurology Pandya, Hitesh N MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Additional Languages: Hindi (Indian), Gujarati Board Certifications: AB Psychiatry & Neurology Birnamwood, WI Langlade Hospital Location: Birnamwood Clinic 400 Railroad Ave Birnamwood, WI 54414 715-449-2539 Dennison, Sylvia J MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Psychiatry & Neurology Elcho, WI Langlade Hospital Location: Elcho Clinic W10618 Clinic St Elcho, WI 54428 715-275-4011 Dennison, Sylvia J MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Psychiatry & Neurology Escanaba, MI Wisconsin Michigan Physicians Location: 1323 Ludington St Suite B Escanaba, MI 49829 906-233-9153 Chilton, WI BridgePoint Health, LLC Location: 453 E Brooklyn St Chilton, WI 53014 920-849-2539 Alhatem, Fadi MD Gender: Male Hospital/Medical Affiliations: Board Certifications: AB Psychiatry & Neurology Pain Medicine Baxter, Carolyn J MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry De Pere, WI A Sound Mind Location: 428 N Superior St STE 110 De Pere, WI 54115 920-338-8330 Kitcher, Paulina D MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Additional Languages: Russian Page 226 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Fond du Lac, WI St Agnes Hospital Behavioral Health Services Location: 430 E Division St Fond du Lac, WI 54935 920-926-4200 Green Bay, WI Anima Family Counseling Location: 2475 University Way STE A Green Bay, WI 54302 920-469-1201 Fullan, Neil P MD Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Child & Adolescent Psych STE 180 Green Bay, WI 54301 920-632-7040 Soncrant, George D DO Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Psychiatry & Neurology Psychiatry Bellin Behavioral Health Clinic Location: 1630 Commanche Ave Green Bay, WI 54313 920-433-3630 Rodell, Frank J APNP Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Burney, Paul C MD Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Charles, John C MD Gender: Male Koshy, Bindu P MD Gender: Female Marchlewski, Anthony J MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Psychiatry & Neurology Forensic Psychiatry Rodell, Frank J APNP Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Bellin Behavioral Health Clinic Location: 3263 Eaton Rd Bellin Behavioral Health Clinic Location: 301 E St Joseph Green Bay, WI 54311 920-433-3630 St Green Bay, WI 54301 920-433-3630 Ahmed, Ashraf N MD Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Additional Languages: Arabic Board Certifications: AB Psychiatry & Neurology Psychiatry Ahmed, Jenny APNP Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: American Nurses Credentialing Center Brachmann, Denise A MD Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Child & Adolescent Psych Marchlewski, Anthony J MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Board Certifications: AB Psychiatry & Neurology Forensic Psychiatry Schwartzenbart, Amy Jo APNP Gender: Female Bellin Behavioral Health Clinic Location: 744 S Webster Ave Green Bay, WI 54301 920-433-3630 Brown, Tamara A APNP Gender: Female Hospital/Medical Affiliations: Bellin Memorial Hospital Bellin Psychiatric Center Location: 1580 Commanche Ave Green Bay, WI 54313 920-431-5687 Burney, Paul C MD Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Bellin Psychiatric Center Location: 301 E St Joseph St Green Bay, WI 54301 920-431-5687 Cao, Yan APNP Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital Coplan, Benjamin M DO Gender: Male Schwartzenbart, Amy Jo APNP Gender: Female Vita, Anthony J MD Gender: Male Catholic Charities Location: 1825 Riverside Dr Green Bay, WI 54305 920-437-7531 Larson, Chris N MD Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Child Psychiatry Edward J Johnson, MD & Associates Location: 1922 University Ave Green Bay, WI 54302 920-432-0600 Johnson, Edward J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Page 227 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Christenson, Brian C MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Psychiatry & Neurology Heller, Larry L MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Psychiatry & Neurology Keyes, Michael J MD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Psychiatry & Neurology Kirkwood, Mary V MD Gender: Female Additional Languages: Spanish Board Certifications: AB Psychiatry & Neurology Kuhs, Leon S MD Gender: Male Board Certifications: AB Psychiatry & Neurology Tapp, Cheryl R MD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Board Certifications: AB Psychiatry & Neurology Behavioral Services Location: 3000 Riverside Dr Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Family Services Of Northeast Wisconsin, Inc Location: 300 Crooks St Green Bay, WI 54301 920-436-6800 Boehm Mattia, Shelley K MD Gender: Female Board Certifications: AB Psychiatry & Neurology Davis, Howard W MD Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Child Psychiatry GAM Behavioral Health Services Location: 3021 Holmgren Behavioral Health Providers Way STE 203A Green Bay, WI 54304 920-339-9307 Benishek, Debra L APNP Gender: Female Board Certifications: American Nurses Credentialing Center McConnell, Glenda A APNP, MHNP Gender: Female Board Certifications: ANCC Adult Psychiatric & Mental Health NP Innovative Counseling Inc Location: 1499 6th St Green Bay, WI 54304 920-497-6161 Benishek, Debra L APNP Gender: Female Board Certifications: American Nurses Credentialing Center Pivonka, Diane M APNP Gender: Female Michael J O'Neill, MD Location: 744 S Webster Ave Green Bay, WI 54301 920-433-3500 O'Neill, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Michael J O'Neill, MD Location: 835 S Van Buren Ishpeming, MI Manitowoc, WI Wisconsin Michigan Physicians Location: 540 East Division Bellin Psychiatric Center Location: 3415 Custer St St Ishpeming, MI 49849 888-724-6377 Alhatem, Fadi MD Gender: Male Hospital/Medical Affiliations: Board Certifications: AB Psychiatry & Neurology Pain Medicine St Green Bay, WI 54301 920-433-0111 O'Neill, Michael J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Prevea Health Centers Location: 2680 Vernon Dr. Green Bay, WI 54304 920-496-4700 Gouthro, Robert V MD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Ledvina, Sally Jo APNP Gender: Female Kewaunee, WI Kewaunee County Dept of Human Services Location: 810 Lincoln St Kewaunee, WI 54216 920-388-7030 Fischer, Donald C MD Gender: Male Johnson, Edward J MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Bellin Psychiatric Hospital Board Certifications: AB Psychiatry & Neurology Lyons, Kathleen A APNP Gender: Female Ste D Manitowoc, WI 54220 920-652-9310 Schwartzenbart, Amy Jo APNP Gender: Female HFM Behavioral Health Location: 339 Reed Ave Manitowoc, WI 54220 920-320-8600 Kohler, Mylan V DO Gender: Male Hospital/Medical Affiliations: Holy Family Memorial Medical Center Additional Languages: Vietnamese, French Board Certifications: AB Psychiatry & Neurology Child & Adolescent Psych Mandelbaum, Shmuel (Stuart) MD Gender: Male McConnell, Glenda A APNP, MHNP Gender: Female Board Certifications: ANCC Adult Psychiatric & Mental Health NP HFM Neuroscience Location: 2300 Western Ave Manitowoc, WI 54220 L'Anse, MI Wisconsin Michigan Physicians Location: 770 Main Street L'Anse, MI 49946 906-524-3364 Alhatem, Fadi MD Gender: Male Hospital/Medical Affiliations: Board Certifications: AB Psychiatry & Neurology Pain Medicine 920-320-3880 Bhatt, Krishna MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital, Holy Family Memorial Medical Center Board Certifications: AB Psychiatry & Neurology Page 228 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. HFM Neuroscience Location: 4303 Michigan Ave Manitowoc, WI 54220 920-320-4380 Bhatt, Krishna MD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital, Holy Family Memorial Medical Center Board Certifications: AB Psychiatry & Neurology Medford, WI Memorial Health Center Clinics Location: 143 S Gibson St Medford, WI 54451 715-748-2121 Menasha, WI ThedaCare Behavioral Health Location: 1095 Midway Rd Menasha, WI 54952 920-720-2300 Bayer, Matthew A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Beld, John T MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Farrar, Tasha M MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Fellinger, Joelle J APNP Gender: Female Neenah, WI Psychiatric Consultants, SC Location: 40 Jewelers Park Dr STE 100 Neenah, WI 54956 920-720-9995 Shopbell, Stephen L MD Gender: Male Board Certifications: AB Psychiatry & Neurology Psychiatry Turchan, Steven J MD Gender: Male Vicente, Michael R MD Gender: Male ThedaCare Behavioral Health Location: 130 Second St Neenah, WI 54956 920-720-3700 Neillsville, WI Oshkosh, WI Clark County Community Services Location: 517 Court St ThedaCare Behavioral Health Location: 600 N Westhaven Neillsville, WI 54456 Dr Oshkosh, WI 54904 715-743-5208 Reddy, K Bhaskar MD Gender: Male Board Certifications: AB Psychiatry & Neurology New Holstein, WI Nett-Work Family Counseling, LLC Location: 1403 Milwaukee Dr New Holstein, WI 53061 920-451-6908 Grimm, Suzanne B MD Gender: Female Board Certifications: AB Psychiatry & Neurology Psychiatry Niagara, WI Wisconsin Michigan Physicians Location: 1601 Roosevelt 920-237-5000 Bayer, Matthew A MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Li, Yong MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Plymouth, WI BridgePoint Health, LLC Location: 515 E Mill St Plymouth, WI 53073 920-458-5557 Saul, Jennifer S MD Gender: Female Board Certifications: AB Psychiatry & Neurology Psychiatry Road Niagara, WI 54151 715-251-1780 Alhatem, Fadi MD Gender: Male Hospital/Medical Affiliations: Board Certifications: AB Psychiatry & Neurology Pain Medicine Fischer, Peter M MD Gender: Male Oconto, WI Oconto Co Human Services Location: 501 Park Ave Oconto, WI 54153 920-834-7000 Cruz, Norma P MD Gender: Female Page 229 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Murray, Michael J MD Gender: Male Hospital/Medical Affiliations: Memorial Health Center Li, Yong MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center McEwen, Margaret A APNP Gender: Female Monese, George M MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Moore, Julia T MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certifications: AB Psychiatry & Neurology Child & Adolescent Psych Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Sheboygan, WI BridgePoint Health, LLC Location: 3425 Superior Ave Sheboygan, WI 53081 Behavioral Health Providers 920-458-5557 Baxter, Carolyn J MD Gender: Female Hospital/Medical Affiliations: St Nicholas Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Olsen, John L MD Gender: Male Board Certifications: AB Psychiatry & Neurology Saul, Jennifer S MD Gender: Female Board Certifications: AB Psychiatry & Neurology Psychiatry Nett-Work Family Counseling, LLC Location: 2801 Calumet Dr Sheboygan, WI 53083 920-451-6908 Grimm, Suzanne B MD Gender: Female Board Certifications: AB Psychiatry & Neurology Psychiatry Stevens Point, WI Alliance Health, LLC Location: 2401 Post Road Building A Stevens Point, WI 54481 715-690-1272 Stenovitch, Jude E MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Aspirus Comfort Care & Hospice Services Location: Aspirus Wausau Sturgeon Bay, WI Door County Department of Community Programs Location: 421 Nebraska St Hospital 333 Pine Ridge Blvd Wausau, WI 54401 715-847-2505 Sturgeon Bay, WI 54235 Stremikis, Bernadette A APNP Gender: Female Board Certifications: American Nurses Credentialing Center 920-746-2345 Miller, Anne M MD Gender: Female Board Certifications: AB Psychiatry & Neurology Geriatric Psychiatry Aspirus Wausau Hospital Location: Behavioral Health Wausau, WI Unit 333 Pine Ridge Blvd Wausau, WI 54401 Affiliated Family Psychiatry of Wausau, SC Location: 2600 Stewart Ave 715-847-2205 STE 270 Wausau, WI 54401 715-842-8600 Fernandez, Juan MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Ivey, E Rackley MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Wurst, Paul H MD Gender: Male Board Certifications: AB Psychiatry & Neurology Child & Adolescent Psych North Central Health Care - Wausau Location: 1100 Lakeview Dr Wausau, WI 54403 Aspirus Behavioral Medicine Clinic Location: 520 N 28th Ave 715-848-4600 STE 100 Wausau, WI 54401 715-847-0094 Bashinski, Bernadette K APNP Gender: Female DeGregorio, Christian MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Psychiatry & Neurology Emerson, Margaret R APNP Gender: Female Garvey, Charles A MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Anders, Jeffrey L MD Gender: Male Board Certifications: AB Psychiatry & Neurology Buhmann, Lynn S APNP Gender: Female Board Certifications: American Nurses Credentialing Center DeGregorio, Christian MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Psychiatry & Neurology Fernandez, Juan MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Knapp, Debra A APNP Gender: Female Board Certifications: American Nurses Credentialing Center Schell, Nancy P MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Ticho, Gabriel C MD Gender: Male Board Certifications: AB Psychiatry & Neurology Psychiatry North Central Health Care Facility - Psychiatric Center Location: 1100 Lakeview Dr Wausau, WI 54403 715-848-4600 Dennison, Sylvia J MD Gender: Female Hospital/Medical Affiliations: Langlade Hospital Board Certifications: AB Psychiatry & Neurology Eggener, Brian MD Gender: Male Board Certifications: AB Psychiatry & Neurology Minnihan, Richard L MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Psychiatry & Neurology Psychiatry Tasch, Gail A MD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: AB Psychiatry & Neurology Primary Connection Health Care Location: 1810 N Second St Wausau, WI 54403 715-848-4884 Barker, Ellen C APNP Gender: Female Page 230 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Wautoma, WI Options Treatment Programs, Inc Location: All Area Counseling 719 W Main St Wautoma, WI 54982 920-787-7472 Patel, Sangita A MD Gender: Female Board Certifications: AB Psychiatry & Neurology Roberts, Judith H APNP Gender: Female Additional Languages: Spanish Board Certifications: ANCC Adult Psychiatric & Mental Health NP Wood County Unified Services Location: 2611 12th St Wisconsin Rapids, WI 54494 715-421-8840 Andrews, Steven C MD Gender: Male Hospital/Medical Affiliations: Riverview Hospital Board Certifications: AB Psychiatry & Neurology Psychology Appleton, WI Aids Resource Center of Wisconsin Inc Location: 633C W Wisconsin Ave Appleton, WI 54911 800-773-2068 Roeder, Kevin PhD, LCSW Gender: Male Ballard Road Appleton, WI 54911 920-202-3963 Beaver Dam, WI De Pere, WI Psychiatric Associates Location: 200 Front St STE Bellin Behavioral Health Clinic Location: 555 Red Bird Cir 3D Beaver Dam, WI 53916 Hall, Laurie E PhD Gender: Female 920-885-2780 Psychology Associates Of The Fox Cities Location: 2557-A E Calumet St Appleton, WI 54915 920-738-9999 Cummings, Frank J PhD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Black, Sionag M PhD Gender: Female Campbell, Jennifer A PSYD Gender: Female Greer, Lori A PSYD Gender: Female Kolocek, Ann K PhD Gender: Female Niemeier, James O PhD Gender: Male Philipp, Eugene P PSYD Gender: Male Udulutch, Marie K PSYD Gender: Female Sherman Consulting, LLC Location: W6144 Aerotech Drive Appleton, WI 54914 Chilton, WI BridgePoint Health, LLC Location: 453 E Brooklyn St 920-733-2065 Chilton, WI 53014 Sherman, Hank S PhD Gender: Male 920-849-2539 Woythal, Constance L PSYD Gender: Female ThedaCare Behavioral Health Location: 1818 N Meade St Appleton, WI 54911 920-720-2300 STE 300 De Pere, WI 54115 920-338-6830 Cagle, Brian J PSYD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Harbor Community Psychological Associates, SC Location: 486 Main Ave De Pere, WI 54115 920-347-0533 Nussbaum, Bonnie R PhD Gender: Female Hospital/Medical Affiliations: St Vincent Hospital, St Marys Hospital Medical Center Living Hope Christian Counseling LLC Location: 2066 Lawrence Dr De Pere, WI 54115 920-338-8699 Johnson, John C PhD, LPC Gender: Male Crandon, WI Burke, John M PhD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Groh, Thomas R PhD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Forest County Potawatomi Health & Wellness Center Location: 8201 Mish Ko Swen Dr Crandon, WI 54520 715-478-4300 Elmergreen, Dennis D PSYD Gender: Male Fond du Lac, WI Doll & Associates Location: 40 Camelot Drive Fond du Lac, WI 54935 920-907-8201 Arnold, Sarah J PSYD Gender: Female Davenport, Teresa L PhD Gender: Female Doll, Matthew D PhD Gender: Male Rogers-Doll, Elizabeth S PhD Gender: Female Page 231 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Wisconsin Rapids, WI Laurie Hall, PhD Location: 3301-C North Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. St Agnes Hospital Behavioral Health Services Location: 430 E Division St Fond du Lac, WI 54935 Behavioral Health Providers 920-926-4200 Goranson, Nancy L PhD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Koharchick, Mark A LPC, PhD Gender: Male Hospital/Medical Affiliations: St Agnes Hospital Salasek, James L PhD Gender: Male Schaefer, Evelyn M PSYD Gender: Female Specht, Jennifer L PhD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Stock, Lynn M PhD Gender: Female Upadhyay, Wendy S PSYD Gender: Female Hospital/Medical Affiliations: St Agnes Hospital Green Bay, WI Aids Resource Center of Wisconsin Inc Location: 445 South Adams Green Bay, WI 54301 800-675-9400 Roeder, Kevin PhD, LCSW Gender: Male American Foundation Of Counseling Services Location: 130 E Walnut St STE 706 Green Bay, WI 54301 920-437-8256 Nelson, Christie L PhD Gender: Female Olbinski, Katie L PSYD Gender: Female Applied Behavior Analysts, LLC Location: 1640 Main St Bellin Behavioral Health Clinic Location: 301 E St Joseph Family Services Of Northeast Wisconsin, Inc Location: 300 Crooks St Green Bay, WI 54302 St Green Bay, WI 54301 Green Bay, WI 54301 920-857-9041 920-433-3630 Lund, Eric J PSYD Gender: Male Behavioral Services Location: 3000 Riverside Dr STE 180 Green Bay, WI 54301 920-632-7040 Bohatkiewicz, Marilyn E PhD Gender: Female Bellin Behavioral Health Clinic Location: 1630 Commanche Ave Green Bay, WI 54313 920-433-3630 Lasecki, Kim L PhD Gender: Male Bellin Behavioral Health Clinic Location: 215 N Webster Ave Green Bay, WI 54301 920-433-3630 Cagle, Brian J PSYD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Cagle, Brian J PSYD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Lasecki, Kim L PhD Gender: Male Rider, Richard F PSYD Gender: Male Board Certifications: National Register Health Serv Prov Psychology Bellin Behavioral Health Clinic Location: 744 S Webster Ave Green Bay, WI 54301 920-433-3630 Cagle, Brian J PSYD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Bellin Psychiatric Center Location: 1580 Commanche Ave Green Bay, WI 54313 920-431-5687 Robertson, Tara L PSYD Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital Bellin Psychiatric Center Location: 301 E St Joseph St Green Bay, WI 54301 920-431-5687 Robertson, Tara L PSYD Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital 920-436-6800 Radosevich, Deirdre M PhD Gender: Female Vandenberg, Pauline W PSYD, LPC Gender: Female Geri Czarnecki Counseling Services Location: 1192 Hansen Rd STE 202 Box 5 Green Bay, WI 54304 920-884-1084 Czarnecki, Germaine M LCSW, PhD Gender: Female Krawczyk Counseling Services, LLC Location: 2631 S Packerland Dr Ste 104C Green Bay, WI 54313 920-965-7701 Robertson, Bruce J PhD Gender: Male Prevea Health Centers Location: 2680 Vernon Dr. Green Bay, WI 54304 920-496-4700 Evans, Sarka PhD Gender: Female Hospital/Medical Affiliations: Bellin Psychiatric Hospital Psychological Dimensions Inc Location: 130 E Walnut St STE 410 Green Bay, WI 54301 920-884-3335 Teske, John P PSYD, LPC Gender: Male Hospital/Medical Affiliations: Bellin Psychiatric Hospital Page 232 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Sherman Consulting, LLC Location: 1825 S Webster Ave Bld 2 STE 203 Green Bay, WI 54301 920-544-5294 Labine, Andrea L PhD Gender: Female Sherman, Hank S PhD Gender: Male St Vincent Hospital Location: 835 S Van Buren St Green Bay, WI 54301 920-433-0111 Sayers, Michael P PhD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital STE 113 Green Bay, WI 54304 920-429-0159 Pride, Kenneth R PhD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital Kewaunee, WI Kewaunee County Dept of Human Services Location: 810 Lincoln St Kewaunee, WI 54216 920-388-7030 Jacobson, Monica I PhD Gender: Female HFM Behavioral Health Location: 339 Reed Ave Manitowoc, WI 54220 920-320-8600 Goetz, Cameron A PhD Gender: Male Reinemann, Dawn H PhD Gender: Female Manitowoc , WI HFM Behavioral Health Location: Felician Village 1635 S 21st St Manitowoc , WI 54220 920-684-7171 Goetz, Cameron A PhD Gender: Male William L Camp, PhD Location: 844 Pierce Ave Marinette, WI 54143 715-735-5550 Camp, William L PhD Gender: Male Menasha, WI Family Services Of Northeast Wisconsin, Inc Location: 1810 Appleton Rd Menasha, WI 54952 920-739-4226 Vandenberg, Pauline W PSYD, LPC Gender: Female ThedaCare Behavioral Health Location: 1095 Midway Rd Menasha, WI 54952 Manitowoc, WI HFM Neuroscience Location: 2300 Western Ave Manitowoc, WI 54220 920-320-3880 Goetz, Cameron A PhD Gender: Male Phoenix Behavioral Health Services, LLC Location: 115 E Waldo Blvd Manitowoc, WI 53220 920-682-1131 Hall, Laurie E PhD Gender: Female Marinette, WI Catholic Charities Location: 844 Pierce Ave 920-720-2300 Burke, John M PhD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Groh, Thomas R PhD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Hanson, Casey A PSYD Gender: Female Pecor, Melissa J PSYD Gender: Female Steffen, Linda J PSYD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center STE 102 Marinette, WI 54143 Merrill, WI Central Wisconsin Psychological Services Location: 712 East 2nd Street P O Box 551 Merrill, WI 54452 715-539-8080 Anderson, Eric PhD Gender: Male Neenah, WI ThedaCare Behavioral Health Location: 130 Second St Neenah, WI 54956 920-729-2150 Burke, John M PhD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center, Children's Hospital of Wisconsin Cummings, Frank J PhD Gender: Male Hospital/Medical Affiliations: Theda Clark Medical Center, Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Neillsville, WI Clark County Community Services Location: 517 Court St Neillsville, WI 54456 715-743-5208 Rogers Burrows, Katherine PhD Gender: Female Rooney, Joel P PSYD Gender: Male 715-735-7802 Camp, William L PhD Gender: Male Page 233 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers The ADD Clinic/Kenneth R Pride, PhD Location: 2129 S Oneida St Manitowoc, WI Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Oshkosh, WI Plymouth, WI Sheboygan, WI Allen L Hauer PhD, SC Location: 303 Pearl Ave BridgePoint Health, LLC Location: 515 E Mill St BridgePoint Health, LLC Location: 3425 Superior Oshkosh, WI 54903 Plymouth, WI 53073 920-231-8869 920-458-5557 Ave Sheboygan, WI 53081 Hauer, Allen L PhD Gender: Male EduCare Learning Center Location: 1950 Venture Dr Oshkosh, WI 54902 920-233-6500 Schedgick, Robert J PhD Gender: Male Sherman Consulting, LLC Location: 2380 State Rd 44 STE A Oshkosh, WI 54901 920-458-5557 Woythal, Constance L PSYD Gender: Female Lukach, Brian M PhD Gender: Male Hospital/Medical Affiliations: St Nicholas Hospital Woythal, Constance L PSYD Gender: Female Ripon, WI Allen L Hauer PhD, SC Location: 635 W Oshkosh St Nett-Work Family Counseling, LLC Location: 2801 Calumet Dr Ripon, WI 54971 920-745-6900 Sheboygan, WI 53083 Hauer, Allen L PhD Gender: Male 920-451-6908 Behavioral Health Providers 920-230-2065 Sherman, Hank S PhD Gender: Male ThedaCare Behavioral Health Location: 600 N Westhaven Dr Oshkosh, WI 54904 920-237-5000 Groh, Thomas R PhD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, New London Family Medical Center, Theda Clark Medical Center Steffen, Linda J PSYD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Children's Hospital of Wisconsin, Theda Clark Medical Center Peshtigo, WI Bellin Behavioral Health Clinic Location: 441 French St Peshtigo, WI 54157 715-732-2131 Eichenhofer, David J PhD Gender: Male Mech, Darlene J PhD Gender: Female Schofield, WI Aids Resource Center of Wisconsin Inc Location: 1105 Grand Ave Stevens Point, WI STE 1 Schofield, WI 54476 800-551-3311 Lewis, Angelique W PhD Gender: Female Roeder, Kevin PhD, LCSW Gender: Male Stepping Stones Counseling Center, LLC Location: 219 Ross Avenue Mid-Wisconsin Psychotherapy Location: 100 Bremmer St Stevens Point, WI 54481 715-344-2016 Hurlbut, Richard W PhD Gender: Male Board Certifications: National Registry Health Serv Prov Schofield, WI 54476 715-355-4999 Hamilton Wright, Katherine A PhD Gender: Female Sturgeon Bay, WI Clinical & Consulting Psychology Location: 207 S 4th Ave Sturgeon Bay, WI 54235 Door County Department of Community Programs Location: 421 Nebraska St Sturgeon Bay, WI 54235 920-746-2345 Sayers, Michael P PhD Gender: Male Hospital/Medical Affiliations: St Marys Hospital Medical Center, St Vincent Hospital, Bellin Memorial Hospital Waupaca, WI ThedaCare Behavioral Health Location: 902 Riverside Dr STE 204 Waupaca, WI 54981 715-256-1475 Robinson, David M PhD Gender: Male Hospital/Medical Affiliations: Riverside Medical Center Wausau, WI Achieve Center, Inc Location: 2600 Stewart Ave Ste 38 Wausau, WI 54401 715-845-4900 Mohrland, Michael D PSYD Gender: Male Affiliated Family Psychiatry of Wausau, SC Location: 2600 Stewart Ave STE 270 Wausau, WI 54401 715-842-8600 Hesse, Paul E PhD Gender: Male 920-746-1346 White, Dennis K PhD Gender: Male Hospital/Medical Affiliations: Door County Memorial Hospital Lasecki, Kim L PhD Gender: Male Page 234 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Aspirus Behavioral Medicine Clinic Location: 425 Pine Ridge Connie O'Heron, PhD Clinical & Consulting Location: 333 Pine Ridge Peaceful Solutions Counseling Location: 1720 Merrill Ave Blvd STE 305B Wausau, WI 54401 Blvd Wausau, WI 54401 STE 404 Wausau, WI 54401 715-847-2036 Rothweiler, Jeffrey C PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Aspirus Behavioral Medicine Clinic Location: 520 N 28th Ave STE 100 Wausau, WI 54401 715-847-0094 Catherine A. Bard, PsyD Location: 2620 Stewart Ave #318 Wausau, WI 54401 715-842-9198 Bard, Catherine A PSYD Gender: Female Charis Counseling, LLC Location: 2620 W Stewart Ave STE 310 Wausau, WI 54401-4162 715-848-0525 Holmes, David R PhD Gender: Male Connie O'Heron, PhD Clinical & Consulting Location: 2620 Stewart Ave #318 Wausau, WI 54401 715-843-0803 O'Heron, Connie A PhD Gender: Female 715-675-3458 O'Heron, Connie A PhD Gender: Female Zentner, Thomas R PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Elmergreen Associates Location: 114 Grand Ave Shannon Schaefer, PhD Location: 2620 Stewart Ave Wausau, WI 54403 715-845-7175 STE 318 Wausau, WI 54401 Cybela, Douglas J PhD Gender: Female Elmergreen, Dennis D PSYD Gender: Male Lonsdorf, Barbara J PhD, LMFT Gender: Male 715-842-9500 Schaefer, Shannon C PhD Gender: Female Steven A Benson, PhD LLC Location: 500 Third St STE Evans Counseling LLC Location: 2714 Stewart Ave 319B Wausau, WI 54403 Wausau, WI 54401 715-848-0002 715-849-3988 Benson, Steven A PhD Gender: Male Evans, Kelly C PhD Gender: Male Katherine A Hamilton Wright, PhD Location: 2620 West Wautoma, WI Options Treatment Programs, Inc Location: All Area Stewart Ave STE 318 Wausau, WI 54401 715-845-6949 Counseling 719 W Main St Wautoma, WI 54982 Hamilton Wright, Katherine A PhD Gender: Female 920-787-7472 North Central Health Care Facility - Psychiatric Center Location: 1100 Lakeview Dr Roblee, Kathleen M PhD Gender: Female Weston, WI Wausau, WI 54403 715-848-4600 Matthews, Nanette PhD Gender: Female Aspirus Behavioral Medicine Clinic Location: 4005 Community Center Dr Weston, WI 54476 715-241-5400 Rothweiler, Barbara L PhD Gender: Female Board Certifications: AB Professional Psychology Page 235 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medial center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Behavioral Health Providers Kast, Audrey C PhD Gender: Female Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certifications: National Registry Health Serv Prov Zentner, Thomas R PhD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital 715-847-0450 Chiropractic Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affilliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Chiropractic Gold Medal Motion Location: N2120 County Rd S Antigo, WI 54409 Abbotsford, WI Frank Chiropractic Location: 601 E Spruce St Abbotsford, WI 54405 715-223-6308 Frank, Robin G DC Gender: Male Algoma, WI Mark Sauter, DC Location: 710 Third St Dr Appleton, WI 54913 715-623-6500 920-734-2400 Draeger, Curt J DC Gender: Male Donnermeyer, Bradley P DC Gender: Male Nussbaum Schubbe, Amy J DC Gender: Female Krueger Chiropractic, LLC Location: 436 Superior St Antigo, WI 54409 715-623-4687 Schubbe Family Chiropractic, LTD Location: 2200 S Krueger, Andrew C DC Gender: Male Kensington Dr Appleton, WI 54915 Appleton, WI 920-738-0200 Algoma, WI 54201 920-304-3270 Sauter, Mark J DC Gender: Male Bosma Chiropractic, LLC Location: 1620 S Lawe St STE 4 Appleton, WI 54915 920-532-6450 Antigo, WI AHW / Goldsworthy Chiropractic Location: 941 Century Ave Chiropractic Providers Antigo, WI 54409 715-623-7141 Goldsworthy, Bruce C DC Gender: Male Niedermann, Karl M DC Gender: Male Veselak, Stephen DC Gender: Male Draeger Chiropractic of Weston - Antigo Location: 2327 Neva Rd Antigo, WI 54409 715-623-2123 Draeger, Curt J DC Gender: Male Draeger, Reva R DC Gender: Female Jaworski, Lindsy Dee DC Gender: Female Bosma, Bradley R DC Gender: Male Family & Sports Chiropractic Location: 3000 N Ballard Rd Appleton, WI 54911 Nussbaum Chiropractic, LLC Location: 873 N Casaloma Kemps, Laura M DC Gender: Female Schubbe, John D DC Gender: Male Schubbe, Peter J DC Gender: Male Zachor, Nathan A DC Gender: Male Schubbe Family Chiropractic, LTD Location: 5320 Michaels Dr Appleton, WI 54913 920-882-8200 920-830-2990 Ellefson, Judy F DC Gender: Female Houselog, Kalista A DC Gender: Female Kiger Steffes Chiropractic, SC Location: W6177 Neubert Rd Appleton, WI 54913 Schubbe, John D DC Gender: Male Schubbe, Peter J DC Gender: Male Wagner Family Chiropractic, SC Location: N9654 Cty Rd N STE 3 Appleton, WI 54915 920-757-1600 920-968-0464 Kiger, Brenden T DC Gender: Male Kiger, Sarah E DC Gender: Female Pavlat, Michelle M DC Gender: Female Steffes, Heather C DC Gender: Female Wagner, Jody M DC Gender: Female Wagner, Michael R DC Gender: Male Coleman, WI Coleman Chiropractic Center, LLC Location: 205 N Park Ave Coleman, WI 54112 920-897-4566 Graetz, Jason P DC Gender: Male De Pere, WI Harkins Chiropractic Location: 1251 Scheuring Rd Ste A De Pere, WI 54115 920-336-3353 Harkins, Michael D DC Gender: Male Jakubovsky Chiropractic Location: 2200-3 Dickinson Rd De Pere, WI 54115 920-983-1330 Jakubovsky, Amy S DC Gender: Female Van Drisse Chiropractic Center, LLC Location: 502A George St De Pere, WI 54115 920-337-0103 Hauser, Jaceson L DC Gender: Male Van Drisse, David M DC Gender: Male Denmark, WI Kohnle Chiropractic Office Location: 605 County Rd R Denmark, WI 54208 920-863-5220 Kohnle, Beverly A DC Gender: Female Page 236 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Chiropractic Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affilliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Gillett, WI Heller Chiropractic Location: 208 E Main St Gillett, WI 54124 920-855-2585 Heller, Fred D DC Gender: Male Ashwaubenon Chiropractic Clinic Location: 1071 Cormier Rd Green Bay, WI 54304 Active Chiropractic & Rehabilitation, SC Location: 502 Greene Ave Green Bay, WI 54301 920-965-1155 Gallagher, Matthew J DC Gender: Male Herber, Matthew S DC Gender: Male Advanced Chiropractic Of Green Bay, LLC Location: 2149 Velp Ave STE 300 Green Bay, WI 54303 920-434-7393 920-434-7393 Wautlet, Daniel J DC Gender: Male Fogeltanz, Kay A DC Gender: Female Bay Area Chiropractic SC Location: 1441 Bellevue St 920-468-1963 Rd STE B Green Bay, WI 54311-6633 920-468-8288 Andrea Appleton, DC Location: 1431 W. Mason St Green Bay, WI 54303 920-405-1010 Howard Chiropractic Clinic SC Location: 721 Cardinal Lane 920-434-2221 Chiro Health Care Center Location: 2201 S Oneida St STE 2 Green Bay, WI 54304 920-496-1556 Baranczyk, Ricci J DC Gender: Male STE 105 Green Bay, WI 54303 O'Connor, Maureen P DC Gender: Female STE 100 Green Bay, WI 54313 Kenny, Bradley J DC Gender: Male Nystrom, Gregory J DC Gender: Male Ave Green Bay, WI 54304 Battle, Melissa M DC Gender: Female Metzler, Cheryl A DC Gender: Female Raihala, Carmel J DC Gender: Female 920-490-0200 Bellevue Total Health, SC Location: 2763 Manitowoc Ditty Chiropractic Location: 2170 Velp Ave 920-432-7774 Green Bay, WI 54303 Servais, Robert A DC Gender: Male Advantage Chiropractic Clinic of Green Bay, SC Location: 1804 S Ashland Green Bay Chiropractic Clinic Location: 515 S Military Ave King, Dennis J DC Gender: Male Packard, Grant A DC Gender: Male Tank, Meggan M DC Gender: Female Vollrath Grosam, Jennifer L DC Gender: Female Kenneth Sturgis, DCChiropractic Wellness Center Location: 2420 Finger Rd Green Bay, WI 54302 920-465-6040 920-434-2615 Sturgis, Kenneth C DC Gender: Male Ditty, Marc D DC Gender: Male East Side Chiropractic Location: 1624 E Mason St Green Bay, WI 54302 920-465-0400 Millan, Joseph J DC Gender: Male Urban, Kenneth A DC Gender: Male Mark Sauter, DC Location: 2149 Velp Ave Ste 300 Green Bay, WI 54303 920-434-7393 Sauter, Mark J DC Gender: Male Michael Zoelle, DCChiropractic Wellness Center Location: 2420 Finger Rd Green Bay, WI 54302 920-465-6040 Zoelle, Michael W DC Gender: Male Packerland Chiropractic, Inc Location: 2615 Packerland Dr STE G Green Bay, WI 54313 920-496-8808 Nelson, Joseph A DC Gender: Male Performance Chiropractic, LLC Location: 825 S Huron St STE H Green Bay, WI 54311 920-406-8700 Belleau, Timothy J DC Gender: Male Schlosser Chiropractic Health Care Center Location: 1769 Shawano Ave Green Bay, WI 54303 920-499-6264 Schlosser, Stephen D DC Gender: Male Schneider Chiropractic Office, SC Location: 2696 Noel Dr Green Bay, WI 54311 920-465-9020 Schneider, David K DC Gender: Male Thomas Arbour, DCChiropractic Wellness Center Location: 2420 Finger Rd Green Bay, WI 54302 920-465-6040 Appleton, Andrea M DC Gender: Female Arbour, Thomas R DC Gender: Male Page 237 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Chiropractic Providers Pursel, Kevin J DC Gender: Male STE 300 Green Bay, WI 54303 920-499-0123 Green Bay, WI 54311 Green Bay, WI Essential Chiropractic Location: 2149 Velp Ave Chiropractic Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affilliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Greenville, WI Chiropractic Health & Rehabilitation Center Location: W 6905 Parkview Dr STE B Greenville, WI 54942 Ver Voort Chiropractic Location: N4083 Cty Hwy E STE B Kaukauna, WI 54130 Duda Chiropractic, SC Location: 3110 Gilbert St 920-687-2250 Marinette, WI 54143 Ver Voort, James G DC Gender: Male 715-732-4018 Duda, Charles R DC Gender: Male 920-757-5771 Dorn, Clint R DC Gender: Male Howards Grove, WI Varish Chiropractic Clinic Location: 516 S. Wisconsin Dr. Howards Grove, WI 53083 920-565-3922 Portmann, David J DC Gender: Male Varish, George DC Gender: Male Varish, Wendy LC DC Gender: Female Kewaunee, WI Steele Chiropractic Clinic Location: 1218 Ellis St Kewaunee, WI 54216 920-388-3440 Chapman, Marie H DC Gender: Female Steele, Marcus A DC, CCN Gender: Male Luxemburg, WI Bredael Family Chiropractic, LLC Location: 195 Center Dr STE 102 Luxemburg, WI 54217 920-845-5569 Chiropractic Providers Kaukauna, WI Haanen Zilisch Smith Chiropractic Clinic, LLC Location: 1801 Cooks Ave Kaukauna, WI 54130 920-766-9411 Petersen, Kate E DC Gender: Female Haanen Zilisch Smith Chiropractic Clinic, LLC Location: 1801 Crooks Ave Kaukauna, WI 54130 920-766-9411 Smith, Todd L DC Gender: Male Zilisch, Don R DC Gender: Male Marinette, WI Bredael, William J DC Gender: Male Kirchman Chiropractic, LLC Location: 637 Main St Marshfield, WI AHW / Marshield Branch Location: 503 S Cherry Ave #111 Marshfield, WI 54449 715-389-1262 Kilty, Jonah DC Gender: Male Kolander, Jennifer J DC Gender: Female Lorentz, Donald R DC Gender: Male Dragt Chiropractic Location: 202 E Upham St Marshfield, WI 54449 715-384-9050 Brickley, Mark E DC Gender: Male Dragt, Randall L DC Gender: Male Kirchman, Lance W DC Gender: Male Manitowoc, WI HFM Chiropractic Clinic Location: 1650 S 41st St Manitowoc, WI 54220 920-320-4700 Bown, Derek R DC Gender: Male Szymanski Chiropractic, SC Location: 1981 Midway Rd STE A Menasha, WI 54952 920-832-9133 Szymanski, Theodore D DC Gender: Male Merrill, WI AHW / Silverman Chiropractic Location: 1501 East Main St Merrill, WI 54452 715-536-1444 Silverman, Steven J DC Gender: Male Minocqua, WI AHW / Minocqua Branch Location: 8540 Highway 51 North Minocqua, WI 54548 715-356-1606 Gonzalez, Guillermo E DC Gender: Male Medford, WI Luxemburg, WI 54217 920-845-5654 Menasha, WI AHW / Wildberg Chiropractic Location: 811 W Broadway Medford, WI 54451 715-748-2334 Dreier, Stephen E DC Gender: Male Evans, Michelle K DC Gender: Female Rohde, Jessica DC Gender: Female Wildberg, Bradley D DC Gender: Male Mosinee, WI Heike Chiropractic Location: 107 Maple St Mosinee, WI 54455 715-693-4144 Baars, Brianna DC Gender: Female Heike, Charles N DC Gender: Male Miller, Ryan L DC Gender: Male Page 238 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Chiropractic Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affilliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Neenah, WI Guler Chiropractic Center, SC Location: 333 N Commercial St STE 150 Neenah, WI 54956 920-722-3444 Guler, Daniel J DC Gender: Male Neenah Family Chiropractic, LLC Location: 116 W Columbian Ave Neenah, WI 54956 920-969-1882 Abel, Christopher J DC Gender: Male Richter-Abel, Carrie L DC Gender: Female Schubbe Resch Chiropractic & Physical Therapy Center Location: 1511 S Commercial St Neenah, WI 54956 920-720-0660 The Neuroscience Group Of Northeast Wisconsin Location: 1305 W American Dr Neenah, WI 54956 920-725-9373 Lefler, Rodney K DC Gender: Male Oshkosh, WI AHW / Nekoosa Branch Location: 317 Cedar St Nekoosa, WI 54457 715-886-5330 Steinhafel, Peter M DC Gender: Male Thiel, Derek DC Gender: Male Anderson Chiropractic Wellness Center, SC Location: 420 S Koeller St Stevens Point Chiropractic Location: 1840 Post Road STE 345 Oshkosh, WI 54902 #6 Plover, WI 54467 920-235-7373 Anderson, Brian L DC Gender: Male Gauthier Chiropractic, LLC Location: 1423 S Washburn New London, WI Maiman Chiropractic Center LLC Location: 501 South Pearl St Oshkosh, WI 54904 920-230-2225 St New London, WI 54961 Gauthier, Thomas A DC Gender: Male 920-531-1000 Szymanski Chiropractic, SC Location: 309 N Sawyer St Kading, Ross H DC Gender: Male Maiman, Daniel E DC Gender: Male Oshkosh, WI 54902 920-231-8500 Oconto Falls, WI Heller Chiropractic Location: 517 Caldwell Ave Szymanski, Theodore D DC Gender: Male Park Falls, WI Oconto Falls, WI 54154 920-846-3778 Heller, Fred D DC Gender: Male AHW / Chiropractic Health Services Location: 500 Birch St Park Falls, WI 54552 715-762-2950 Omro, WI Bosquez Chiropractic and Wellness Center Location: 836 Willow St Plover, WI Wakefield, Lorelei DC Gender: Female Wakefield, Timothy DC Gender: Male Omro, WI 54963 715-342-4027 Liazuk, Eric J DC Gender: Male Mathison, Shane M DC Gender: Male Plymouth, WI Plymouth Chiropractic, SC Location: 126 E Mill St Plymouth, WI 53073 920-892-8920 Bush, Sharon L DC Gender: Female Cecka, Jan W DC Gender: Male Pulaski, WI Krumrai Chiropractic Location: 415 S Wisconsin St Hwy 32 Pulaski, WI 54162 920-822-5441 Krumrai, Dale J DC Gender: Male Krumrai, Gloria M DC Gender: Female Rhinelander, WI Barr Chiropractic Clinic Location: 1404 N Stevens St 920-685-3015 Bosquez, Michael L DC Gender: Male Rhinelander, WI 54501 715-362-6505 Barr, David C DC Gender: Male Page 239 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Chiropractic Providers Klein, Lara R DC Gender: Female McRae, James F DC Gender: Male Resch, Christopher D DC Gender: Male Weyenberg, Tony L DC Gender: Male Nekoosa, WI Chiropractic Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affilliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Seymour, WI Seymour Chiropractic SC Location: 126 S Main St Seymour, WI 54165 AHW / Stevens Point Downton Location: 1225 Main St 920-833-7844 Stevens Point, WI 54481 Skogman, Wade D DC Gender: Male Shawano, WI Grieves Chiropractic Pain Relief Clinic Location: Shawano Medical Ctr Rehabilitation Bldg 116 N Main St Shawano, WI 54166 715-524-8722 Grieves, Brian M DC Gender: Male Sheboygan, WI Dirker Chiropractic, LLC Location: 909 S Taylor Dr Sheboygan, WI 53081 920-451-7000 Chiropractic Providers Stevens Point, WI Dirker, Joe A DC Gender: Male Mills, Jennifer L DC Gender: Female Reitz Healing Arts Location: 2217 S Memorial Pl Sheboygan, WI 53081 920-459-8477 Reitz, John M DC Gender: Male Sheboygan Healing Arts Location: 604 Michigan Ave Sheboygan, WI 53081 920-459-8475 Saatkamp, Michael A DC Gender: Male 715-344-2990 Rumsey Chiropractic Location: 417 N 4th St Bautch Chiropractic-East Location: 305 N 6th St Tomahawk, WI 54487 Wausau, WI 54401 715-453-2515 715-842-0818 Rumsey, Buddy M DC Gender: Male Rumsey, Kim L DC Gender: Female Hermel, Natalie DC Gender: Female Pomranke, Natalie DC Gender: Female Throm, Daniel W DC Gender: Male Becker, Joel P DC Gender: Male Schlei, Douglas DC Gender: Male Two Rivers, WI Sturgeon Bay, WI Packerland Chiropractic, Inc of Door County Location: 430 Jefferson St Sturgeon Bay, WI 54235 Lakeshore Chiropractic, SC Location: 3009 Forest Ave Two Rivers, WI 54241-0485 920-793-4498 Simons, Christopher J DC Gender: Male 920-746-8252 Wausau, WI Nelson, Joseph A DC Gender: Male Hansen Chiropractic Location: 3303C Terrace Court Wausau, WI 54401 715-845-1331 Hansen, Scott A DC Gender: Male Lor, George DC Gender: Male Poland Chiropractic Location: 228 N 3rd Ave Wausau, WI 54401 AHW / Aspirus Neurosciences Location: 3200 Westhill Dr Thorp, WI AHW / Thorp Branch Location: 204 W. Prospect St. Thorp, WI 54771 STE 102 Wausau, WI 54401 Johnson, Aaron R DC Gender: Male 715-669-3361 Bautch Chiropractic West Location: 3540 Stewart Ave Rohde, Jessica DC Gender: Female Wildberg, Bradley D DC Gender: Male STE A Wausau, WI 54401 715-842-3999 Tomahawk, WI Barr Chiropractic Clinic Location: 1338 N 4th St Tomahawk, WI 54501 715-453-5365 Barr, James T DC Gender: Male Voermans, Bobbi Joy DC Gender: Female Zuiker, Grace DC Gender: Female Bautch, Scott D DC Gender: Male Becker, Joel P DC Gender: Male Hermel, Natalie DC Gender: Female Hussain, Alia DC Gender: Female Johnson, Aaron R DC Gender: Male Lorentz, Donald R DC Gender: Male Reiser, Rachel R DC Gender: Female 715-845-6722 Poland, H Dale DC Gender: Male Wojtech, Sarah DC Gender: Female Sandquist Chiropractic Location: 1202 Grand Ave Wausau, WI 54403 715-842-7711 Sandquist, Corey M DC Gender: Male Sandquist, Susan M DC Gender: Female Weston, WI Ritzenthaler Chiropractic LLC dba Draeger Chiropractic Location: 2114 Schofield Ave Weston, WI 54476 715-355-4224 Boling, Colleen E DC Gender: Female Draeger, Curt J DC Gender: Male Ritzenthaler, Kevin E DC Gender: Male Page 240 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Chiropractic Providers Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affilliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Shebuski, James S DC Gender: Male Wisconsin Rapids, WI AHW / Wisconsin Rapids Branch Location: 821 Chestnut St Wisconsin Rapids, WI 54494 715-423-6334 Nelson, Thomas H DC Gender: Male Wittenberg, WI AHW / Wittenberg Branch Location: 406 South Howard St Wittenberg, WI 54499 715-848-2526 Cessna, Casey DC Gender: Female Wrightstown, WI Chiropractic Providers Bosma Chiropractic, LLC Location: 450 High St STE 4 Wrightstown, WI 54180 920-532-6450 Bosma, Bradley R DC Gender: Male Page 241 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Durable Medical Equipment & Home Health Care Pre-service authorization is required for durable medical equipment over $500, all durable medical equipment rentals, prosthetics and orthotics over $1000 and all home health care. Medical Accreditations are validated Arrhythmia Monitoring San Francisco, CA Boca Raton, FL LifeWatch Services Inc dba Lifewatch, Inc, Location: One Market Street LifeWatch Services Inc dba Lifewatch, Inc, Location: 4800 T Rex Ave STE 130 Boca Raton, FL 33431 800-522-9690 Spear Tower, 35th Floor, STE 3560 San Francisco, CA 94111 Brookfield, WI 53005 877-694-1476 Life Support Systems, Inc, Location: 2965 Roosevelt Blvd Clearwater, FL 33760 877-694-1476 Durable Medical Equipment & Home Health Care Philadelphia, PA LifeWatch Services Inc dba Lifewatch, Inc, Location: 1900 Market St STE 627 Philadelphia, PA 19103 212-496-0706 877-774-9846 STE J Brookfield, WI 53005 262-790-4500 Clintonville, WI 54929 715-823-2106 Appleton, WI Lincare, Inc, Location: 1750 Prospect Ct Unit 103 Appleton, WI 54914 Reliant Rehab Service & Supply LLC, Location: 920 Westhill Blvd Eau Claire, WI Accreditation: JCAHO Location: 3000 E College Ave Appleton, WI 54915 920-969-0919 Bedford, MA 01730 Accreditation: JC Location: 239 Trowbridge Dr Fond du Lac, WI 54935 920-923-7950 Green Bay, WI Dr Eau Claire, WI 54703 Green Bay, WI 54311 715-552-3711 Fishers, IN Disetronic Medical Systems, Inc, Location: 11800 Exit 5 Parkway STE 120 Fishers, IN 46038 800-280-7801 Bedford, MA Insulet Corporation, Location: 9 Oak Park Dr Home Care, Hospice Hope & Home Medical Equipment, Apria Healthcare Inc, 715-552-3711 ThedaCare at Home, Dr Fond du Lac, WI 54935 Reliant Rehab Service & Supply LLC, Location: 2601 Morningside Appleton, WI 54914 Rosemont, IL International Center II 10255 W Higgins Rd STE 120 Rosemont, IL 60018 Agnesian HealthCare Enterprises, Location: 327 Winnebago Erickson Home Medical Equipment, Location: 8 South Main St Durable Medical Equipment 781-457-5000 LifeWatch Services Inc dba Lifewatch, Inc, Location: O'Hare SleepMed, Inc, Location: 4125 N 124 St Clintonville, WI 415-293-8378 920-735-1261 Clearwater, FL Fond du Lac, WI 920-926-5277 Brookfield, WI Life Support Systems, Inc, Location: 350 Bishops Way Brookfield, WI Folcroft, PA Apria Pharmacy Network, Location: 780 Primos Ave Unit D Folcroft, PA 19032 800-637-9539 Accreditation: JC Location: 2980 Voyager Dr 920-469-4800 Ashwaubenon In-Store Pharmacy & More, Location: 1630 Commanche Ave Green Bay, WI 54313 920-433-6790 Bel-Regional Home Medical, Location: 617 S Roosevelt St Green Bay, WI 54301 920-432-7801 Bellin In-Store Pharmacy and More, Location: 3263 Eaton Rd Green Bay, WI 54311 920-433-6790 Green Bay Home Medical Equipment, Inc, Location: 2020 S Webster Boca Raton, FL American Diabetes Services, Location: 951 Broken Ave Green Bay, WI 54301 920-465-3000 Sound Pkwy Ste 250 Boca Raton, FL 33487 800-933-8085 Page 242 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Durable Medical Equipment & Home Health Care Pre-service authorization is required for durable medical equipment over $500, all durable medical equipment rentals, prosthetics and orthotics over $1000 and all home health care. Medical Accreditations are validated Independent Mobility Plus, Inc, Location: 450 N Military Ave STE 7 Green Bay, WI 54303 920-965-6000 Streu's Pharmacy, Location: 528 N Monroe St Green Bay, WI 54301 920-437-0206 Location: 635 Main St Green Bay, WI 54301 920-437-0206 Iron Mountain, MI Dickinson Home Medical Equipment, Location: 617 N Stephenson Ave Iron Mountain, MI 49801 Lakeshore Pharmacy, Location: 3310 Calumet Ave Middleton, WI Manitowoc, WI 54220 Chartwell Midwest Wisconsin Health Resources, Location: 2241 Pinehurst Dr 920-320-4400 Marinette, WI Middleton, WI 53562 Chartwell Midwest Wisconsin, LLC, Suite B Marinette, WI 54143 Accreditation: JC 715-732-7030 Location: 2241 Pinehurst Dr Middleton, WI 53562 800-730-8555 Marshfield, WI Kaukauna, WI 54130 888-275-4524 SleepMed Inc, Location: 7635 W Oklahoma 715-552-3711 Ave STE 105 Milwaukee, WI 53219 414-543-0554 Madison Heights, MI Park Dr Madison Heights, MI 480714627 800-962-9656 Manitowoc, WI HFM Family Health Shoppe, Location: 3310 Calumet Ave Manitowoc, WI 54220 920-320-4400 Memorial Health Center dba Medical Center Pharmacy, Location: 139 S Gibson St Medford, WI 54451 715-748-8152 Apria Healthcare Inc, Accreditation: JC Location: 2412 Industrial Dr Unit A Neenah, WI 54956 800-583-0400 New London, WI ThedaCare at Home, 800-821-5700 Oshkosh, WI 54904 Oxnard, CA Apria Pharmacy Network, Location: 2150 N Trabajo Dr STE B Oxnard, CA 93030 Parsippany, NJ EBI, LLC dba Biomet, Location: 100 Interpace Pkwy Parsippany, NJ 07054 800-526-2579 Sault Ste Marie, MI Accreditation: JCAHO Location: 1405 Mill St 920-969-0919 Memphis, TN Memphis, TN 38116 Accreditation: JCAHO Location: 2100 Omro Rd Neenah, WI New London, WI 54961 Bioventus, Location: 1450 Brooks Rd ThedaCare at Home, Northridge, CA River Cities Oxygen, Location: 1130 E Easterday Ave Sault Ste Marie, MI 49783 906-253-1721 Shawano, WI Minimed Distribution Corporation, Location: 18000 Devonshire ThedaCare at Home, St Northridge, CA 91325 Location: 100 Cty Rd B 800-933-3322 Accreditation: JCAHO Shawano, WI 54166 715-524-1500 Page 243 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Durable Medical Equipment & Home Health Care InfuSystem, Inc, Location: 31700 Research Medford, WI Oshkosh, WI 800-346-3355 Orthofix, Inc, Location: 1720 Bray Central 800-527-0404 414-762-1675 Milwaukee, WI Marshfield, WI 54449 Dr McKinney, TX 75069 Ave STE 101 Oak Creek, WI 53154 920-969-0919 Reliant Rehab Service & Supply LLC, Location: 1517 N Oak Ave McKinney, TX KCI USA, Inc, Location: 1297 Badger Rd SleepMed, Inc, Location: 8825 S Howell 800-730-8555 River Cities Oxygen, Location: W716 County B 906-779-7820 Kaukauna, WI Oak Creek, WI Durable Medical Equipment & Home Health Care Pre-service authorization is required for durable medical equipment over $500, all durable medical equipment rentals, prosthetics and orthotics over $1000 and all home health care. Medical Accreditations are validated Sheboygan, WI HomeCare Resources, LLC, Location: 1139 N 26th St Sheboygan, WI 53081 Two Rivers, WI DJO, LLC, Location: 599 Cardigan Rd St Paul, MN 55126 SNAP Laboratories International, LLC, (No Two Rivers, WI 54241 longer part of plan after 12/31/2012) Location: 2980 Voyager Dr Location: 5210 Capitol Dr Wheeling, IL 60090 Green Bay, WI 54311 920-793-2226 St Paul, MN 55126 651-415-7100 Stevens Point, WI Ministry Home Care Services, Location: 5009 Coye Ave Stevens Point, WI 54481 715-343-5440 Durable Medical Equipment & Home Health Care Bay Pharmacy, Location: 1300 Egg Harbor Rd STE 112 Sturgeon Bay, WI 54235 920-746-2158 Twinsburg, OH Edgepark Medical Supplies, Location: 1810 Summit Commerce Park Twinsburg, OH 44087 800-321-0591 Wisconsin Rapids, WI RS Medical, Location: 14001 SE First St Vancouver, WA 98684 800-683-0353 Waukesha, WI Rapid Rehab, LLC, Location: 555 W Grand Ave Wisconsin Rapids, WI 54494 715-423-2084 Kinex Medical Company, Location: 1801 Airport Rd Home Health Care STE D Waukesha, WI 53188 800-845-6364 Antigo, WI Waupaca, WI ThedaCare at Home, Accreditation: JCAHO Location: 710 Riverside Dr Sturgeon Bay, WI 800-762-7786 Vancouver, WA 800-328-2536 Empi, Inc, Location: 599 Cardigan Rd Green Bay, WI Wolfe Snyder Drug, Location: 1010 22nd St 920-458-5768 St Paul, MN Wheeling, IL Waupaca, WI 54981 Aspirus VNA Home Health, Inc, Accreditation: CMS Location: 618 5th Ave Antigo, WI 54409 715-623-4663 715-256-2436 Appleton, WI Wausau, WI Aspirus Home Medical Equipment, Location: 425 Pine Ridge Blvd STE 103 Wausau, WI 54401 Accreditation: JCAHO Location: 3000 E College Ave Appleton, WI 54915 920-969-0919 715-847-2545 715-847-2545 Westchester, PA Animas Diabetes Care, LLC, Location: 200 Lawrence Dr Accreditation: JC 920-469-4800 Bellin Home Health, Location: 617 S Roosevelt St Green Bay, WI 54301 920-432-5434 St Vincent Home Health, Location: 1920 Libal St Green Bay, WI 54301 920-448-7000 St Vincent Hospital, Accreditation: JC Location: 835 S Van Buren St Green Bay, WI 54301 920-433-0111 Iron Mountain, MI Dickinson Home Health Services, Accreditation: JC Location: 617 N Stephenson Ave Iron Mountain, MI 49801 906-779-7820 ThedaCare at Home, Manitowoc, WI Holy Family Memorial Home Health, Accreditation: JC Location: 333 Reed Ave Location: 5450 Stewart Ave Wausau, WI 54401 Apria Healthcare Inc, Arbor Vitae, WI Manitowoc, WI 54220 920-320-8441 Ministry Home Care - Dr Kate Hospice, Accreditation: JC Location: 1571 Hwy 51 N STE C PO Box 770 Arbor Vitae, WI 54568 800-234-3542 Westchester, PA 19380 610-644-8990 Page 244 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Durable Medical Equipment & Home Health Care Pre-service authorization is required for durable medical equipment over $500, all durable medical equipment rentals, prosthetics and orthotics over $1000 and all home health care. Medical Accreditations are validated Marshfield, WI Ministry Home Care Marshfield, Accreditation: JC Location: 303 West Upham STE 208 Marshfield, WI 54449 715-387-9685 Medford, WI Aspirus VNA Home Health, Inc, St Nicholas Hospital Home Health & Hospice, New London, WI Accreditation: JC Location: 3100 Superior Ave Sheboygan, WI 53081-2496 ThedaCare at Home, Accreditation: JCAHO Location: 1405 Mill St New London, WI 54961 920-459-8300 920-969-0919 Medford, WI 54451 715-748-3112 Stevens Point, WI Oconto Falls, WI Ministry Home Care Stevens Point, Bellin Home Health, Location: 835 S Main St Accreditation: JC Location: 2501 Main St STE B Stevens Point, WI 54481 Oconto Falls, WI 54154 888-847-3480 715-343-3470 Oshkosh, WI ThedaCare at Home, Neenah, WI Apria Healthcare Inc, Sturgeon Bay, WI Accreditation: JCAHO Location: 2100 Omro Rd Oshkosh, WI 54904 Ministry Home Care Home Health DCMH, 920-969-0919 Accreditation: JC Location: Door County Memorial Home Health 1300 Egg Harbor Rd STE 110 Sturgeon Bay, WI 54235 Accreditation: JC Location: 2412 Industrial Dr Unit A Neenah, WI 54956 800-583-0400 Ministry Home Care dba Affinity Visiting Nurses, Accreditation: JC Location: 816 W Winneconne Ave Neenah, WI 54956 Rhinelander, WI Aspirus VNA Home Health, Inc, Coram Alternate Site Services, Inc, Accreditation: JC Location: 5345 S Moorland Rd STE 101 New Berlin, WI 53151 262-938-5900 715-524-1500 Sheboygan, WI St Nicholas Hospital, Accreditation: JC Location: 3100 Superior Ave Sheboygan, WI 53081 920-459-8300 715-423-4667 Ministry Home Care Wisconsin Rapids, Accreditation: JC 09/17/2008 Location: 220 3rd Ave South STE 102 Wisconsin Rapids, WI 54495 715-423-5590 Home Infusion Appleton, WI ThedaCare at Home, Accreditation: JCAHO Location: 3000 E College Ave Appleton, WI 54915 Waupaca, WI ThedaCare at Home, Accreditation: JCAHO Waupaca, WI 54981 715-256-2436 Chantily, VA Accredo Health Group, Inc, Location: 4125 Lafayette Dr Chantily, VA 20151 800-366-1824 ThedaCare at Home, Accreditation: JCAHO Location: 100 Cty Rd B Shawano, WI 54166 Wisconsin Rapids, WI 54495-0396 Wausau, WI Aspirus VNA Home Health, Inc, Accreditation: CMS Location: 520 N 32nd Ave Wausau, WI 54401 715-847-2600 Chesterfield, MO Accredo Health Group, Inc, Location: 749 Goddard Ave Chesterfield, MO 63005 800-285-7384 Ministry Home Care Wausau, Accreditation: JC 09/17/2008 Location: 404 S 3rd Ave Wausau, WI 54401 715-843-9000 Page 245 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Durable Medical Equipment & Home Health Care Shawano, WI Accreditation: CMS 920-969-0919 Location: 710 Riverside Dr 920-727-2000 New Berlin, WI 800-743-7984 Accreditation: CMS Location: 1630 N Chippewa Dr Rhinelander, WI 54501 715-361-5490 Aspirus VNA Home Health, Inc, Location: 420 Dewey St Accreditation: CMS Location: 109 S Gibson St Wisconsin Rapids, WI Durable Medical Equipment & Home Health Care Pre-service authorization is required for durable medical equipment over $500, all durable medical equipment rentals, prosthetics and orthotics over $1000 and all home health care. Medical Accreditations are validated Corona, CA Accredo Health Group, Inc, Location: 1831 Commerce ST STE 104 Corona, CA 92880 800-622-1820 Ft. Lauderdale, FL Accredo Health Group, Inc, Location: 5249 NW 33rd Ave Eagan, MN STE 109 Eagan, MN 55121 800-955-3121 Elmhurst, IL Accredo Health Group, Inc, Location: 650 W Grand Ave STE 102 Elmhurst, IL 60126 800-753-5554 Englewood, CO Durable Medical Equipment & Home Health Care Accredo Health Group, Inc, Location: 361 Iverness Dr South STE 101 Englewood, CO 80112 800-488-0290 Fishers, IN Disetronic Medical Systems, Inc, Location: 11800 Exit 5 Parkway STE 120 Fishers, IN 46038 800-280-7801 Green Bay, WI Apria Healthcare Inc, Accreditation: JC Location: 2980 Voyager Dr Accredo Health Group, Inc, Location: 505 E Capovilla Iowa City, IA 52240 STE 103 Las Vegas, NV 89119 800-288-3752 800-234-7044 Jacksonville, FL Accredo Health Group, Inc, Location: 6255 Lake Gray Blvd STE 1 Jacksonville, FL 32244 800-443-7756 Green Bay, WI 54311 Ave Green Bay, WI 54301 920-433-3641 Jefferson, LA Accredo Health Group, Inc, Location: 520 Elmwood Park Blvd STE 145 Jefferson, LA 70123 Greensboro, NC Accredo Health Group, Inc, Location: 7866 Thorndike Rd Greensboro, NC 27409 800-866-0566 800-250-5278 Ctr STE 405 Hoover, AL 35244 205-987-0778 Accredo Health Group, Inc, Location: 1660 Riverside Dr STE 101 Los Angeles, CA 90031 Louisville, KY Accredo Health Group, Inc, Location: 2115 Stanley Gault Pkwy #150 Louisville, KY 40223 800-553-8832 Kent, WA Accredo Health Group, Inc, Location: 22623 68th Ave South Kent, WA 98032 Hoover, AL Accredo Health Group, Inc, Location: 2100 Riverchase Los Angeles, CA 323-953-4500 920-469-4800 Bellin Home Infusion, Location: 744 S Webster Las Vegas, NV Accredo Health Group, Inc, Location: 2415 Heinz Rd Bldg 6 Ft. Lauderdale, FL 33309 800-955-5909 Accredo Health Group, Inc, Location: 2915 Waters Rd Iowa City, IA 800-647-2448 Marlborough, MA Accredo Health Group, Inc, Location: 261 Cedar Hill St Bldg C Marlborough, MA 01752 800-343-9813 Knoxville, TN Accredo Health Group, Inc, Location: 6701 Baum Dr STE 222 Knoxville, TN 37919 Houston, TX 865-584-4499 Middleton, WI Chartwell Midwest Wisconsin Health Resources, Location: 2241 Pinehurst Dr Middleton, WI 53562 800-730-8555 Accredo Health Group, Inc, Location: 9307 Kirby Dr Houston, TX 77054 800-878-7690 Page 246 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Durable Medical Equipment & Home Health Care Pre-service authorization is required for durable medical equipment over $500, all durable medical equipment rentals, prosthetics and orthotics over $1000 and all home health care. Medical Accreditations are validated Nashville, TN Novi, MI Phoenix, AZ Warrendale, PA Accredo Health Group, Inc, Location: 201 Great Circle Accredo Health Group, Inc, Location: 39625 Lewis Dr Accredo Health Group, Inc, Location: 10400 N 25th Av Accredo Health Group, Inc, Location: 178 Thorn Hill Rd Rd Nashville, TN 37228 STE 800 Novi, MI 48377 STE 120 Phoenix, AZ 85021 Warrendale, PA 15086-7528 800-800-6606 Neenah, WI Apria Healthcare Inc, Accreditation: JC Location: 2412 Industrial Dr Unit A Neenah, WI 54956 800-583-0400 248-489-0300 Oklahoma City, OK Richmond, CA Accredo Health Group, Inc, Location: 2970 Hilltop Mall Accredo Health Group, Inc, Location: 4901 W Reno Rd Rd STE 101 Richmond, CA 94806 STE 950 Oklahoma City, OK 73127 510-243-9750 800-999-9376 New Berlin, WI Coram Alternate Site Services, Inc, Accreditation: JC Location: 5345 S Moorland Rd STE 101 New Berlin, WI 53151 262-938-5900 New London, WI ThedaCare at Home, Accreditation: JCAHO Location: 1405 Mill St 920-969-0919 Norcross, GA Accredo Health Group, Inc, Location: 5300 Oakbrook Pkwy STE 320 Norcross, GA 30093 800-310-7995 Salt Lake City, UT Omaha, NE Accredo Health Group, Inc, Location: 3488 S Main St Accredo Health Group, Inc, Location: 11329 P St STE Salt Lake City, UT 84115 800-729-5984 118 & 119 Omaha, NE 68137 800-569-5451 Shawano, WI ThedaCare at Home, Oshkosh, WI Accreditation: JCAHO Location: 100 Cty Rd B ThedaCare at Home, Shawano, WI 54166 Accreditation: JCAHO Location: 2100 Omro Rd Oshkosh, WI 54904 715-524-1500 Waupaca, WI ThedaCare at Home, Accreditation: JCAHO Location: 710 Riverside Dr Waupaca, WI 54981 715-256-2436 Wauwatosa, WI Walgreens Home Care, Inc, Location: Walgreens Home Care 1435 N 113th St Wauwatosa, WI 53226 414-256-7234 Mastectomy Products Manitowoc, WI HFM Family Health Shoppe, Location: 3310 Calumet Ave Manitowoc, WI 54220 920-969-0919 Totowa, NJ Accredo Health Group, Inc, Location: 11 A Commerce Overland Park, KS Accredo Health Group, Inc, Location: 12900 Foster STE Way Totowa, NJ 07512 120 Overland Park, KS 66213 800-526-5113 920-320-4400 Prosthetics Antigo, WI Walkabout Orthotics & Prosthetics, Location: 110 E. Fifth Ave Antigo, WI 54409 800-569-5451 715-849-8703 Page 247 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Durable Medical Equipment & Home Health Care New London, WI 54961 866-890-3395 602-944-1199 Durable Medical Equipment & Home Health Care Pre-service authorization is required for durable medical equipment over $500, all durable medical equipment rentals, prosthetics and orthotics over $1000 and all home health care. Medical Accreditations are validated Appleton, WI Great Lakes Orthotics & Prosthetics, Inc, Location: 2105 E Enterprise Ave STE 114 Appleton, WI 54913 920-968-2240 Monroe Biotechnology Inc, Location: 1818 N Meade St MOB-W, STE 205 Appleton, WI 54911 920-738-5355 Bloomington, MN Actra Rehabilitation Associates, Inc, Location: 3601 Minnesota Dr STE 840 Bloomington, MN 554355281 952-831-1500 Fond du Lac, WI Actra Rehabilitation Associates, Inc, Location: 525 E Division St STE 104 Fond du Lac, WI 54935 Durable Medical Equipment & Home Health Care 920-923-6676 Franklin, WI Hanger Prosthetics & Orthotics East, Inc, Location: 7400 W Rawson Ave STE 110 Franklin, WI 53132 414-525-4687 Green Bay, WI Hanger Prosthetics & Orthotics East, Inc, Location: 2984 Voyager Dr Green Bay, WI 54311 920-469-0555 Location: 720 S Van Buren St Green Bay, WI 54301 Madison, WI Actra Rehabilitation Associates, Inc, Location: 6514 Odana Rd Actra Rehabilitation Associates, Inc, Location: 10700 W Burleigh Madison, WI 53719 St Milwaukee, WI 53222-3310 608-833-9660 414-778-4500 920-432-4909 Monroe Biotechnology Inc, Location: 342 S Webster Ave Green Bay, WI 54301 920-435-3002 Wisconsin Prosthetics & Orthotics, Inc, Location: 1525 University Manitowoc, WI Wisconsin Prosthetics & Orthotics, Inc, Location: 4140 Harbor Town Ln STE 450 Manitowoc, WI 54220 Iron Mountain, MI 906-774-1749 Kenosha, WI 262-697-1160 Hanger Prosthetics & Orthotics East, Inc, Location: 3915 30th Ave 414-647-8828 Hanger Prosthetics & Orthotics East, Inc, Location: 2025 W Oklahoma Ave STE 116 Milwaukee, WI 53215 Medford, WI Location: 3727 W Medford, WI 54451 715-849-8703 Menasha, WI Wisconsin Prosthetics & Orthotics, Inc, Location: 1105 Wittman Dr Menasha, WI 54952 920-725-6200 Actra Rehabilitation Associates, Inc, Location: 7201 Green Bay Rd Kenosha, WI 53143 Ave Milwaukee, WI 53215 920-652-0607 Walkabout Orthotics & Prosthetics, Location: 103 S Gibson Dickinson Orthotic/ Prosthetic Services, Location: 1005 S Hemlock STE G Iron Mountain, MI 49801 Location: 2727 W Cleveland 414-383-6430 Ave Green Bay, WI 54302 920-435-3537 Milwaukee, WI Mequon, WI Hanger Prosthetics & Orthotics East, Inc, Location: 10501 N Port Washington Rd Mequon, WI 53092 262-240-0720 STE 106 Kenosha, WI 53144 Wisconsin Ave Milwaukee, WI 53208 414-344-4999 Location: 9000 W Wisconsin Ave Milwaukee, WI 53226 414-266-6990 Oshkosh, WI Actra Rehabilitation Associates, Inc, Location: 1931 S Washburn St Oshkosh, WI 54904 920-426-1231 Parsippany, NJ EBI, LLC dba Biomet, Location: 100 Interpace Pkwy Parsippany, NJ 07054 800-526-2579 262-654-9100 Access Prosthetics, Location: 2633 Development Dr STE 10 Green Bay, WI 54311 920-471-1451 Page 248 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Durable Medical Equipment & Home Health Care Pre-service authorization is required for durable medical equipment over $500, all durable medical equipment rentals, prosthetics and orthotics over $1000 and all home health care. Medical Accreditations are validated Racine, WI Actra Rehabilitation Associates, Inc, Location: 829 S Green Bay Rd Kinzie Office Ctr STE 105 Racine, WI 53406 262-635-0191 Hanger Prosthetics & Orthotics East, Inc, Location: 1532 S Green Bay Rd STE 300 Racine, WI 53406 262-636-9066 Walkabout Orthotics & Prosthetics, Location: 500 Vincent St Green Bay, WI Woodside Lutheran Home, Stevens Point, WI 54481 715-849-8703 Accreditation: DQA Waukesha, WI Green Bay, WI 54304 Sturgeon Bay, WI 54235 Kaukauna, WI KCI USA, Inc, Location: 1297 Badger Rd Kaukauna, WI 54130 Location: 5331 Spring St STE 101 Racine, WI 53406 262-636-9066 Rhinelander, WI Walkabout Orthotics & Prosthetics, Location: 2003 Winnebago Dr Rhinelander, WI 54501 715-849-8703 888-275-4524 Hanger Prosthetics & Orthotics East, Inc, Location: 1414 N Taylor Dr 414-457-0701 Wisconsin Prosthetics & Orthotics, Inc, Location: 1344 N Taylor Dr Prosthetic Orthotic Center, Location: 2600 Stewart Ave Ste 30 Wausau, WI 54401 Stevens Point, WI Prosthetic Orthotic Center, Location: 2926 Post Road Aspirus Wausau Hospital, Accreditation: JC Location: 333 Pine Ridge Manitowoc, WI 715-847-2837 HFM Family Health Shoppe, Location: 3310 Calumet Ave Manitowoc, WI 54220 920-320-4400 Walkabout Orthotics & Prosthetics, Location: 402 N 28th Ave Holy Family Memorial Medical Center, Accreditation: JC Wausau, WI 54401 Location: 2300 Western Ave PO Box 1450 Manitowoc, WI 54220 920-320-2011 Woodruff, WI Prosthetic Orthotic Center, Location: 1446 First Avenue Hwy 47 Woodruff, WI 54568 Wound Care Sheboygan, WI 53081 920-803-9610 Wausau, WI Appleton, WI IHC - Wound Care Services LLC, Location: 1506 S Oneida St. Rehab Plus - Outpatient Therapy, Location: 1650 S 41st St Manitowoc, WI 54221-2170 920-320-3100 Sheboygan, WI IHC - Wound Care Services LLC, Location: 3100 Superior Ave Sheboygan, WI 53081 414-290-6720 Appleton, WI 54915 414-290-6720 Stevens Point, WI 54401 Page 249 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Durable Medical Equipment & Home Health Care STE 220 Sheboygan, WI 53081 920-743-5566 Blvd Wausau, WI 54401 Wausau, WI 715-849-8703 Sheboygan, WI Accreditation: JC Location: 323 S 18th Ave Hanger Prosthetics & Orthotics East, Inc, Location: 721 American Ave 262-521-0202 Door County Memorial Hospital, Location: 1040 Pilgrim Way 920-499-1481 STE 203 Waukesha, WI 53188 Sturgeon Bay, WI Eye Care Specialists Eye Care Specialists Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Corneal & External Eye Disease Oshkosh, WI Green Bay, WI Valley Eye Associates Location: 719 Doctors' Ct Lemke Facial Surgery Location: St Vincent Oshkosh, WI 54901 Hospital 835 S Van Buren St Green Bay, WI 54301 920-235-0066 Appleton, WI Valley Eye Associates Location: 21 Park Pl Appleton, WI 54914 920-739-4361 Vrabec, Michael P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Appleton Medical Center Additional Languages: Spanish Board Certification: AB Ophthalmology Valley Eye Associates Location: 2100 S Kensington Dr Appleton, WI 54915 920-731-3876 Vrabec, Michael P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Appleton Medical Center Additional Languages: Spanish Board Certification: AB Ophthalmology Valley Eye Associates Location: 2500 E Capitol Dr Ste 3500 Appleton, WI 54914 920-739-4361 Vrabec, Michael P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Appleton Medical Center Additional Languages: Spanish Board Certification: AB Ophthalmology Vrabec, Michael P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Appleton Medical Center Additional Languages: Spanish Board Certification: AB Ophthalmology Ophthalmic Plastic & Reconstructive Surgery Green Bay, WI 54304 920-965-1234 Wisconsin Oculoplastics, LTD Location: 2700 E Enterprise 920-380-9890 Dale, Daniel L MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Appleton Medical Center, Theda Clark Medical Center Board Certification: AB Ophthalmology Lemke, Bradley N MD Gender: Male Hospital/Medical Affiliations: Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Board Certification: AB Ophthalmology Wisconsin Oculoplastics, LTD Location: 1525 Park Pl Appleton, WI Ave STE B Appleton, WI 54913 920-236-3550 Dale, Daniel L MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital, Appleton Medical Center, Theda Clark Medical Center Board Certification: AB Ophthalmology Oshkosh, WI Lemke Facial Surgery Location: 503 Doctors Ct Oshkosh, WI 54901 920-236-3550 Lemke, Bradley N MD Gender: Male Hospital/Medical Affiliations: Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Board Certification: AB Ophthalmology Lemke Facial Surgery Location: Mercy Medical Center 500 S Oakwood Rd Oshkosh, WI 54904 920-236-3550 Lemke, Bradley N MD Gender: Male Hospital/Medical Affiliations: Calumet Medical Center, Mercy Medical Center, St Elizabeth Hospital Board Certification: AB Ophthalmology Ophthalmology Antigo, WI Eye Clinic of Wisconsin, SC Location: 109 Hwy 64 Antigo, WI 54409 715-623-6662 Beauchene, Robert N MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Hospital, Memorial Health Center Board Certification: AB Ophthalmology Flaherty, Kevin T MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certification: AB Ophthalmology Galang, L Christoper M MD Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital Board Certification: AOB Opthalmology & Otolaryngology Galang, L. Ferdinand M DO Gender: Male Hospital/Medical Affiliations: Aspirus Wausau Hospital, Langlade Memorial Hospital, Memorial Health Center Board Certification: AB Ophthalmology Page 250 It is the patients' responsibility to verify each provider's participation in Arise Health Plan prior to seeking care. Health care professionals are participating providers only at the locations specified. Out of Network Specialist or Tertiary Care (usually a teaching facility / academic medical center) requires a pre-service authorization from your Primary Care Physician. The authorization must be approved by Arise Health Plan prior to services being rendered. Please contact Member Services: 1-888-711-1444 or (920) 490-6900, or www.WeCareForWisconsin.com Eye Care Specialists Arise Health Plan verifies: Office locations, Specialty, Hospital/Medical Affiliations, & Languages spoken every 3 years. Acceptance of new patients quarterly and Board Certifications upon the expiration date. Appleton, WI Fox Cities Eye Clinic Location: 1195 N Casaloma Dr Appleton, WI 54913 920-734-0400 Harbick, Kara H MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certification: AB Ophthalmology Fox Cities Eye Clinic Location: 1301 E Northland Ave STE A Appleton, WI 54911 920-734-8714 Austin, Mark C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Calumet Medical Center, Mercy Medical Center, LaSalle Surgery Center Board Certification: AB Ophthalmology Harbick, Kara H MD Gender: Female Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certification: AB Ophthalmology James E Memmen, MD, LTD Location: 3232 N Ballard Rd Valley Eye Associates Location: 21 Park Pl Valley Eye Associates Location: 2100 S Appleton, WI 54914 Kensington Dr Appleton, WI 54915 920-739-4361 Appleton, WI 54911 920-380-0100 Memmen, James E MD Gender: Male Hospital/Medical Affiliations: Bellin Memorial Hospital, St Marys Hospital Medical Center, St Vincent Hospital Board Certification: AB Ophthalmology Ophthalmic Surgery of Wisconsin, LTD Location: 223 S Nicolet Road Appleton, WI 54914 920-733-5888 Clarke, Gerald P MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Riverside Medical Center, Theda Clark Medical Center Additional Languages: Spanish Board Certification: AB Ophthalmology The Eye Clinic of the Fox Valley, SC Location: 223 S Nicolet Corbett, Colleen M MD Gender: Female Board Certification: AB Ophthalmology Hall, Marvin L MD Gender: Male Board Certification: AB Ophthalmology Salm, Douglas F MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certification: AB Ophthalmology Syverud, James C MD Gender: Male Hospital/Medical Affiliations: Appleton Medical Center, Theda Clark Medical Center Board Certification: AB Ophthalmology Vrabec, Michael P MD Gender: Male Hospital/Medical Affiliations: St Vincent Hospital, Appleton Medical Center Additional Languages: Spanish Board Certification
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