Network Health PPO Plans
Network PlatinumPlus Network PlatinumPlus Pharmacy Network PlatinumPremier Network PlatinumPremier Pharmacy Network PlatinumChoice Network PlatinumSelect NetworkCares (PPO SNP) Network Health Medicare Go Network Health Medicare Anywhere 1570 Midway Pl. Menasha, WI 54952 800-378-5234 TTY 800-947-3529 Monday–Friday, 8 a.m. to 8 p.m. networkhealth.com 2019 PPO MEDICARE PROVIDER DIRECTORY Network Health PPO Plans PPO 2019 DIRECTORY OF PROVIDERS For the most up-to-date directory listings, go to networkhealth.com 800- 378- 5234 TT Y 800- 947- 3529 n e tworkhea lt h.c om H5215 1837-01-0818 C
Network PlatinumPlus (PPO) Network PlatinumPremier (PPO) Network PlatinumSelect (PPO) Network PlatinumChoice (PPO) NetworkCares (PPO SNP) Network Health Medicare Go (PPO) Network Health Medicare Anywhere (PPO) Plans Provider Directory This directory is current as of March 29, 2019. This directory provides a list of Network Health Medicare Advantage plans’ current network providers. This directory is a listing for providers contracted in our 21 county service area which includes Brown, Calumet, Dodge, Fond du Lac, Green Lake, Kewaunee, Manitowoc, Marquette, Milwaukee, Oconto, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Washington, Waukesha, Waupaca, Waushara, and Winnebago counties. To access Network Health Medicare Advantage plans’online provider directory, you can visit networkhealth.com. For any questions about the information contained in this directory, please call our customer service department at 800-378-5234 Monday through Friday from 8 a.m. to 8 p.m. From October 1, 2018 through March 31, 2019, we are available every day from 8 a.m. to 8 p.m. TTY users should call 800-947-3529. Network Health Medicare Advantage plans include MSA, HMO and PPO plans with a Medicare contract. NetworkCares is a PPO SNP plan with a Medicare contract and a contract with the Wisconsin Medicaid program. Enrollment in Network Health Medicare Advantage plans depends on contract renewal. This information is available for free in other formats upon request by contacting customer service. H5215 1837-01-0818 C
TABLE OF CONTENTS Introduction .1 Provider by Specialty .2 Specialty Services/Supplies .449 Hospitals .512 Skilled Nursing Facilities (SNF) .515 Providers Speaking Additional Languages .522 Alphabetical Index .616 Specialty Index .704 Please note: If you have enrolled in one of our Medicare Advantage Prescription Drug plans that offers Part D prescription drug coverage, you will receive a separate Pharmacy Directory. Network Health 1570 Midway Place Menasha, WI 54952 Customer Service Department Monday - Friday, 8 a.m. to 8 p.m. 800-378-5234 or 920-720-1345 TTY users should call 800-947-3529
Introduction This directory provides a list of Network Health Medicare Advantage plans’ network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC). You can also use this directory to choose a personal doctor, known as a Primary Care Provider (PCP). Our plans recognize the following specialties as PCPs: Family Practice, General Practice and Internal Medicine. We highly recommend you choose a PCP, because he or she can oversee all your medical care. The role of your PCP is to provide routine, preventive and follow-up care, and to coordinate your care when you need to see a specialist or other provider. You can change your PCP for any reason, at any time. Also, you do not need a referral from your PCP to get services from a specialist. The “network providers” listed in this directory have agreed to provide you with your health care coverage. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers. Our plan will cover services from either network providers or non-network providers, as long as the services are covered benefits that are medically necessary. However, if you use a non-network provider, your share of the costs for your covered services may be higher. If you do receive services from an out-of-network provider and they in turn bill you directly, please do not pay this bill. Instead, send it to Network Health for processing and determination of enrollee liability. If you have a medical emergency, go to the nearest emergency room, hospital or urgent care center. You may get covered emergency medical care whenever you need it, anywhere in the United States. Emergency services are also covered when you are traveling outside of the United States or its territories. See your Evidence of Coverage for more information about this coverage. After the emergency is over, you are entitled to follow-up care to be sure your condition remains stable. If your emergency care is provided by non-network providers, we will try to arrange for network providers to take over your care as soon as your medical condition and circumstances allow. With the exception of emergencies or urgent care, it may cost more to get care from nonnetwork providers. What is the service area for Network Health Medicare Advantage plans? The counties in our service area are listed below: Brown, Calumet, Dodge, Fond du Lac, Green Lake, Kewaunee, Manitowoc, Marquette, Milwaukee, Oconto, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Washington, Waukesha, Waupaca, Waushara and Winnebago How do you find Network Health Medicare Advantage Plan providers in your area? Providers in this directory are listed both by specialty and alphabetically. Each provider is listed with the address where their services are provided. The entire, most up-to-date list of providers is available online at networkhealth.com. Providers are updated daily and can be searched for by specialty, provider name and zip code. The zip code search offers the option of searching within 10 to 250 miles of the zip code that’s entered. If you have questions about Network Health Medicare Advantage plans, please call our customer service department at 800-378-5234, Monday through Friday, 8 a.m. to 8 p.m. From October 1, 2018 through March 31, 2019, we are available every day from 8 a.m. to 8 p.m. TTY users should call 800-947-3529. Or, visit networkhealth.com. 1
Provider by Specialty Providers by Specialty Network Health Medicare Advantage Plans recognizes the following specialties as Primary Care Providers: Family Practice, General Practice and Internal Medicine A referral is not required to see a Specialist, however, an Authorization for services may be required. All providers in this directory are handicap accessible. Addiction Medicine MILWAUKEE MILWAUKEE 53210 BROWN GREEN BAY 54301 Bellin Psychiatric Center 301 E St Joseph St Green Bay, WI 54301 (920) 433-3630 Baranczyk, Pamela LCSW DOOR STURGEON BAY 54235 Door County Medical Center Sturgeon Bay Clinic 323 S 18th Ave Sturgeon Bay, WI 54235 (920) 746-0510 Board, Paul MD Sullivan Medical Clinic LLC 6040 W Lisbon Ave STE 200 Milwaukee, WI 53210 (414) 447-9890 Sullivan, Gerald MD MILWAUKEE 53212 Career Youth Development Inc 2601 N Martin Luther King Dr Milwaukee, WI 53212 (414) 263-8352 Sullivan, Gerald MD Cleanslate Medical Group of Wisconsin 575 W River Woods Pkwy STE 201 Milwaukee, WI 53212 (414) 323-6880 Kaftan, Gregory MD Lebaron, Ann PAC Weiss, Bruce MD 2 Fokus Family Services LLC 2821 N 4th St STE 139 Milwaukee, WI 53212 (414) 264-4217 Sullivan, Gerald MD MILWAUKEE 53216 Paradigm Enrichment Services 6110 W Capitol Dr Milwaukee, WI 53216 (414) 393-0295 Sullivan, Gerald MD MILWAUKEE 53221 Milwaukee Internal Medicine Associates Inc 2500 W Layton Ave STE 230 Milwaukee, WI 53221 (414) 837-6300 Pandey, Krishna MD WAUWATOSA 53222 Milwaukee Internal Medicine Associates Inc 7733 W Burleigh St Wauwatosa, WI 53222 (414) 837-6300 Pandey, Krishna MD RACINE RACINE - 53403 Wheaton Franciscan Healthcare All Saints Inc 1320 Wisconsin Ave Racine, WI 53403 (262) 687-2222 Galbis Reig, David MD WAUKESHA WAUKESHA 53186 Cleanslate Medical Group of Wisconsin 20611 Watertown Rd STE E Waukesha, WI 53186 (262) 901-4450 Vignieri, Viet PAC Zellmer, Laura APNP Network Health Medicare Advantage Plans Provider Directory Part Time Provider - 20 or fewer hours per week Provider cannot be selected as a PCP Non-Physician Practitioner Accepting existing patients only Provider accepts Medicaid
Providers by Specialty Addiction Psychiatry GREENFIELD 53220 American Behavioral Clinic 7330 W Layton Ave Greenfield, WI 53220 (414) 281-1677 Loiben, Robert MD MILWAUKEE 53226 OZAUKEE RHINELANDER 54501 MEQUON - 53092 Options Counseling Services LLC 158 S Anderson St STE 1 Rhinelander, WI 54501 (715) 369-7300 Saul, Jennifer MD MCW Campus Clinic at Tosa Center 1155 N Mayfair Rd Milwaukee, WI 53226 (414) 955-5990 Kowol, Mary Anne MD MILWAUKEE 53295 VA Medical Center 5000 W National Ave Milwaukee, WI 53295 (414) 805-3666 Kowol, Mary Anne MD RACINE St Marys Hospital 2251 North Shore Dr Rhinelander, WI 54501 (715) 361-2000 Saul, Jennifer MD OUTAGAMIE American Behavioral Clinic 10424 W Bluemound Rd Milwaukee, WI 53226 (414) 774-1794 Loiben, Robert MD American Behavioral Clinic 1240 W Ranchito Ln Mequon, WI 53092 (262) 241-3231 Loiben, Robert MD APPLETON - 54915 Affinity Behavioral Health 1531 S Madison St STE 580 Appleton, WI 54915 (920) 730-4411 Shekar, Chandra MD St Elizabeth Hospital 1506 S Oneida St Appleton, WI 54915 (920) 738-2000 Musunuru, Jagadesswara MD RACINE - 53403 Wheaton Franciscan Healthcare All Saints Inc 1320 Wisconsin Ave Racine, WI 53403 (262) 687-2222 Pierce, David MD SHEBOYGAN KOHLER - 53044 Prevea Kohler Health Center 950 Woodlake Rd Kohler, WI 53044 (920) 783-3150 Reabe, Carolyn MD Allergy and Immunology BROWN GREEN BAY 54301 Bellin Health Center for Asthma and Allergy 519 S Monroe Ave Green Bay, WI 54301 (920) 435-6601 Chastain, Rachel APNP James, Alan MD Mcmeen, Victoria MD Bellin Hospital 744 S Webster Ave Green Bay, WI 54301 (920) 433-3500 Chastain, Rachel APNP James, Alan MD Prevea Clinic 1821 S Webster Ave Green Bay, WI 54301 (920) 496-4700 Locke, Bradley DO Shaw, Jeffrey MD SHEBOYGAN 53081 GREEN BAY 54313 Prevea Sheboygan Behavioral Care 3425 Superior Ave Sheboygan, WI 53081 (920) 458-5557 Reabe, Carolyn MD Prevea Clinic 2793 Lineville Rd Green Bay, WI 54313 (920) 496-4700 Locke, Bradley DO Network Health Medicare Advantage Plans Provider Directory 3 Part Time Provider - 20 or fewer hours per week Provider cannot be selected as a PCP Provider by Specialty MILWAUKEE ONEIDA
Providers by Specialty Provider by Specialty Allergy and Immunology (continued) DOOR STURGEON BAY 54235 Bellin Health Asthma and Allergy 311 N 3rd St Sturgeon Bay, WI 54235 (920) 743-0255 Mcmeen, Victoria MD Bellin Health Sturgeon Bay 311 N 3rd St Sturgeon Bay, WI 54235 (920) 743-0255 James, Alan MD Prevea Clinic 323 S 18th Ave Sturgeon Bay, WI 54235 (920) 496-4700 Locke, Bradley DO GREEN LAKE KENOSHA KENOSHA - 53144 S and A Ringwala SC 4906 39th Ave Kenosha, WI 53144 (262) 657-9390 Ringwala, Sudip DO MANITOWOC MANITOWOC 54220 Holy Family Memorial Otolaryngology 1650 S 41st St Manitowoc, WI 54220 (920) 320-4380 Smith, Edward DO Manitowoc Health Center 4810 Expo Dr Manitowoc, WI 54220 (920) 717-0800 Shaw, Jeffrey MD Smith, Edward DO MARINETTE BERLIN - 54923 Ear Nose and Throat Specialists of Wisconsin SC 225 Memorial Dr Berlin, WI 54923 (920) 969-1768 Mjaanes, Christopher MD MARINETTE 54143 Bellin Health 2820 Roosevelt Rd Marinette, WI 54143 (715) 735-5225 Mcmeen, Victoria MD Bellin Health Marinette 2820 Roosevelt Rd Marinette, WI 54143 (715) 735-5225 James, Alan MD MILWAUKEE GLENDALE - 53217 Allergy Research and Care 350 W Green Tree Rd Glendale, WI 53217 (414) 352-0084 Fisher, Robert MD GREENFIELD 53220 Allergy and Asthma Centers SC 4811 S 76th St STE 400 Greenfield, WI 53220 (414) 281-0404 Basich, John MD Brummund, Walter MD Burnett, Mary MD Cranberg, James MD Provider Terming Effective: 03/31/ 2019 Graves, Terry MD GREENFIELD 53228 Allergy Asthma and Sinus Center SC 8585 W Forest Home Ave STE 200 Greenfield, WI 53228 (414) 529-8500 Bukstein, Don MD Steven, Gary MD MILWAUKEE 53202 Madison Medical Affiliates 788 N Jefferson St STE 300 Milwaukee, WI 53202 (414) 272-8950 Falk, Mary APNP MILWAUKEE 53211 Madison Medical Affiliates 2350 N Lake Dr STE 306 Milwaukee, WI 53211 (414) 298-7105 Falk, Mary APNP Lent, Anne MD MILWAUKEE 53222 Allergy Asthma and Sinus Center SC 8500 W Capitol Dr STE 202 Milwaukee, WI 53222 (414) 393-4002 Bukstein, Don MD Allergy Asthma and Sinus Center SC 8532 W Capital Dr STE L100 Milwaukee, WI 53222 (414) 393-4002 Steven, Gary MD Network Health Medicare Advantage Plans Provider Directory Non-Physician Practitioner Accepting existing patients only Provider accepts Medicaid 4
Providers by Specialty Allergy and Immunology (continued) Allergy and Asthma Centers SC 2500 N Mayfair Rd STE 220 Milwaukee, WI 53226 (414) 475-9101 Basich, John MD Brummund, Walter MD Burnett, Mary MD Cranberg, James MD WAUWATOSA 53226 Allergy Research and Care 2645 N Mayfair Rd STE 200 Wauwatosa, WI 53226 (414) 352-0084 Fisher, Robert MD Provider Terming Effective: 03/31/ 2019 Graves, Terry MD Childrens Hospital Clinics Bldg 9000 W Wisconsin Ave Milwaukee, WI 53226 (414) 266-6840 Lowe, Sara APNP Childrens Hospital of Wisconsin 9000 W Wisconsin Ave Milwaukee, WI 53226 (414) 266-6840 Buelow, Becky MD Tallar, Matthew MD Lowe, Sara APNP OCONTO RACINE OCONTO - 54153 RACINE - 53405 Bellin Oconto Hospital and Medical Center 820 Arbutus Ave Oconto, WI 54153 (920) 835-1100 Mcmeen, Victoria MD Wheaton Franciscan Medical Group 3803 Spring St STE 600 Racine, WI 53405 (262) 687-8354 Lazzaro, Srilatha MD Oconto Hospital and Medical Center 820 Arbutus Ave Oconto, WI 54153 (920) 835-1100 James, Alan MD OUTAGAMIE WEST ALLIS 53214 Gateway Medical Clinic Express Care 801 S 70th St West Allis, WI 53214 (414) 773-6600 Lent, Anne MD WEST ALLIS 53227 Allergic Diseases SC 11121 W Oklahoma Ave West Allis, WI 53227 (414) 545-1111 Cohen, Steven MD APPLETON - 54911 Allergy and Asthma Associates SC 436B E Longview Dr Appleton, WI 54911 (920) 739-5213 Konz, Karen DO Wendelborn, Daniel MD OZAUKEE MEQUON - 53097 Madison Medical Affiliates 13133 N Port Washington Rd STE G18 Mequon, WI 53097 (262) 243-5000 Falk, Mary APNP Lent, Anne MD Schroederus, Kristin MD RACINE - 53406 Forefront Dermatology 1300 S Green Bay Rd STE 100 Racine, WI 53406 (262) 619-4191 Antonneau, Kirsten PAC SHEBOYGAN SHEBOYGAN 53081 Prevea Clinic 1526 N Taylor Dr Sheboygan, WI 53081 (920) 457-2100 Smith, Edward DO WASHINGTON WEST BEND 53095 St Josephs Health Center 3200 Pleasant Valley Rd West Bend, WI 53095 (262) 836-7300 Hambrook, Daniel MD Network Health Medicare Advantage Plans Provider Directory 5 Part Time Provider - 20 or fewer hours per week Provider cannot be selected as a PCP Provider by Specialty MILWAUKEE 53226 Forefront Dermatology 2600 N Mayfair Rd STE 810 Milwaukee, WI 53226 (414) 771-1122 Antonneau, Kirsten PAC
Providers by Specialty Provider by Specialty Allergy and Immunology (continued) West Bend Health Center 1700 W Paradise Dr West Bend, WI 53095 (262) 334-3451 Hambrook, Daniel MD WAUKESHA MENOMONEE FALLS - 53051 Town Hall Health Center W180N8000 Town Hall Rd Menomonee Falls, WI 53051 (262) 255-2500 Hambrook, Daniel MD MUKWONAGO 53149 Allergy Asthma and Sinus Center SC 123 Wolf Run STE 5 Mukwonago, WI 53149 (262) 363-6880 Steven, Gary MD WAUPACA WAUPACA - 54981 Allergy and Asthma Associates SC 800 Riverside Dr Waupaca, WI 54981 (800) 637-0071 Konz, Karen DO Wendelborn, Daniel MD WINNEBAGO MENASHA - 54952 Ear Nose and Throat Specialists of Wisconsin SC 2005 Midway Rd Menasha, WI 54952 (920) 969-1768 Mjaanes, Christopher MD NEENAH - 54956 Childrens Hospital of Wisconsin Fox Valley 130 Second St Neenah, WI 54956 (920) 969-7900 Buelow, Becky MD Ear Nose and Throat Specialists of Wisconsin SC 119 E Bell St Neenah, WI 54956 (920) 969-1768 Mjaanes, Christopher MD OSHKOSH - 54904 Ear Nose and Throat Specialists of Wisconsin SC 2700 W 9th Ave STE 204 Oshkosh, WI 54904 (920) 969-1768 Mjaanes, Christopher MD Ear Nose and Throat Specialists of Wisconsin SC 700 N Westhaven Dr Oshkosh, WI 54904 (920) 969-1768 Mjaanes, Christopher MD Anesthesiology BROWN DE PERE - 54115 Integrative Pain Management SC Integrative Pain Management SC 3108 Mid Valley Dr De Pere, WI 54115 (920) 532-9117 GREEN BAY 54301 Bellin Anesthesia Assoc SC Bellin Memorial Hospital 744 S Webster Ave Green Bay, WI 54301 (920) 445-7222 Bellin Memorial Hospital Inc 744 S Webster Ave Green Bay, WI 54301 (920) 433-3500 Urology Associates of Green Bay SC 720 S Van Buren St STE 301 Green Bay, WI 54301 (920) 433-9400 Bellin Health System Bellin Memorial Hospital 744 S Webster Ave Green Bay, WI 54301 (920) 445-7222 Bellin Memorial Hospital Inc 744 S Webster Ave Green Bay, WI 54301 (920) 433-3500 Green Bay Anesthesia Associates SC St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 (920) 433-0111 Oconto Hospital and Medical Center Bellin Memorial Hospital 744 S Webster Ave Green Bay, WI 54301 (920) 445-7222 St Vincent Hospital St Vincent Hospital 835 S Van Buren St Green Bay, WI 54301 (920) 433-0111 GREEN BAY 54303 Green Bay Anesthesia Associates SC St Marys Hospital Medical Center 1726 Shawano Ave Green Bay, WI 54303 (920) 498-4200 Network Health Medicare Advantage Plans Provider Directory Non-Physician Practitioner Accepting existing patients only Provider accepts Medicaid 6
Providers by Specialty Anesthesiology (continued) St Marys Hospital Medical Center 1726 Shawano Ave Green Bay, WI 54303 (920) 498-4200 GREEN BAY 54311 Advanced Pain Management Advanced Pain Management 2595 Development Dr STE 150 Green Bay, WI 54311 (414) 325-7246 Bellin Anesthesia Assoc SC Bellin Orthopedic Surgery Center 2223 Lime Kiln Rd Green Bay, WI 54311 (920) 569-4300 Bellin Orthopedic Surgery Center LLC 2223 Lime Kiln Rd Green Bay, WI 54311 (920) 569-4300 Bellin Health System Bellin Orthopedic Surgery Center LLC 2223 Lime Kiln Rd Green Bay, WI 54311 (920) 569-4300 Pain Center of Wisconsin 2595 Development Dr Green Bay, WI 54311 (920) 338-2120 CALUMET CHILTON - 53014 Ascension Calumet Hospital Inc Ascension Calumet Hospital Inc 614 Memorial Dr Chilton, WI 53014 (920) 849-2386 New Anesthesiology SC Ascension Calumet Hospital Inc 614 Memorial Dr Chilton, WI 53014 (920) 849-2386 CHIPPEWA STANLEY - 54768 Ascension Our Lady of Victory Hospital Our Lady of Victory Hospital 1120 Pine St Stanley, WI 54768 (715) 644-5571 DANE WATERTOWN 53098 MADISON - 53711 Sheridan Healthcare WI Advanced Pain Management Advanced Pain Management 34 Schroeder Ct STE 100 Madison, WI 53711 (414) 325-7246 Brookfield Anesthesiologists SC Advanced Pain Management 34 Schroeder Ct STE 100 Madison, WI 53711 (414) 325-7246 Watertown Regional Medical Center 125 Hospital Dr Watertown, WI 53098 (920) 261-4210 Watertown Regional Medical Center Occupational Health 125 Hospital Dr Watertown, WI 53098 (920) 262-4253 DOOR STURGEON BAY 54235 DODGE Door County Medical Center BEAVER DAM 53916 Door County Medical Center 323 S 18th Ave Sturgeon Bay, WI 54235 (920) 743-5566 IHC Beaver Dam Anesthesia and Pain Management Services LLC Beaver Dam Anesthesia and Pain Management Services LLC 707 S University Ave Beaver Dam, WI 53916 (920) 319-8250 FOND DU LAC FOND DU LAC 54935 Agnesian Medical Group Agnesian Healthcare 430 E Division St Fond du Lac, WI 54935 (920) 929-2300 Network Health Medicare Advantage Plans Provider Directory 7 Part Time Provider - 20 or fewer hours per week Provider cannot be selected as a PCP Provider by Specialty St Marys Hospital Medical Center Green Bay Anesthesia Associates SC
Provider by Specialty Providers by Specialty Anesthesiology (continued) JEFFERSON Fond du Lac Regional Clinic FORT ATKINSON 53538 Agnesian Healthcare 430 E Division St Fond du Lac, WI 54935 (920) 929-2300 Advanced Pain Management Fond du Lac Regional Clinic 420 E Division St Fond du Lac, WI 54935 (920) 926-8231 Fond du Lac Surgery Center 421 Camelot Dr Fond du Lac, WI 54935 (920) 926-5900 St Agnes Hospital 430 E Division St Fond du Lac, WI 54935 (920) 926-4600 RIPON - 54971 Advanced Pain Management 1604 Madison Ave Fort Atkinson, WI 53538 (414) 325-7246 Brookfield Anesthesiologists SC Advanced Pain Management 1604 Madison Ave Fort Atkinson, WI 53538 (414) 325-7246 KENOSHA Ripon Medical Center 845 Parkside St Ripon, WI 54971 (920) 748-3101 Kenosha Medical Group 2801 14th Pl Kenosha, WI 53140 (262) 359-1652 Waupun Memorial Hospital 620 W Brown St Waupun, WI 53963 (920) 324-5581 Zoomy Care 3203 80th St STE C Kenosha, WI 53142 (844) 612-7505 LINCOLN TOMAHAWK 54487 Ascension St Marys Hospitals Inc Ascension Sacred Heart Hospital 401 W Mohawk Dr Tomahawk, WI 54487 (715) 453-7200 KENOSHA - 53140 Zoomy Care North Zoomy Care South Fond du Lac Regional Clinic Zenith Healthcare SC 6121 Green Bay Rd Kenosha, WI 53142 (262) 359-1652 MANITOWOC Fond du Lac Regional Clinic WAUPUN - 53963 Zoomy Care North Zoomy Care South KENOSHA - 53142 Brookfield Anesthesiologists SC Brookfield Anesthesiology SC 7401 104th Ave STE 100 Kenosha, WI 53142 (262) 697-1006 MANITOWOC 54220 Holy Family Memorial Network Clinics Holy Family Memorial Medical Center 2300 Western Ave Manitowoc, WI 54220 (920) 320-2011 Holy Family Memorial Pain Clinic 2300 Western Ave Manitowoc, WI 54220 (920) 320-3185 MARATHON WAUSAU - 54401 Advanced Pain Management Advanced Pain Management 400 Westwood Dr STE 200 Wausau, WI 54401 (414) 325-7246 WESTON - 54476 Ascension Medical Group Ascension Medical Group at Weston 3301 Cranberry Blvd Weston, WI 54476 (715) 393-3900 St Clares Hospital 3400 Ministry Pkwy Weston, WI 54476 (715) 393-3000 Ascension St Clares Hospital St Clares Hospital 3400 Ministry Pkwy Weston, WI 54476 (715) 393-3000 Ascension St Clares Hospital Inc St Clares Hospital 3400 Ministry Pkwy Weston, WI 54476 (715) 393-3000 Network Health Medicare Advantage Plans Provider Directory Non-Physician Practitioner Accepting existing patients only Provider accepts Medicaid 8
Providers by Specialty Anesthesiology (continued) St Clares Hospital 3400 Ministry Pkwy Weston, WI 54476 (715) 393-3000 MARINETTE MARINETTE 54143 Bellin Health System Bellin Health Marinette 2820 Roosevelt Rd Marinette, WI 54143 (715) 735-5225 Oconto Hospital and Medical Center Bellin Health Marinette 2820 Roosevelt Rd Marinette, WI 54143 (715) 735-5225 Bellin Health Marinette Surgery Center 2820 Roosevelt Rd Marinette, WI 54143 (715) 735-5380 MILWAUKEE FRANKLIN - 53132 Brookfield Anesthesiologists SC Milwaukee Surgical Suites 6495 S 27th St Franklin, WI 53132 (414) 574-0253 Great Lakes Anesthesia and Pain Specialists SC Great Lakes Anesthesia and Pain Specialists SC 10101 S 27th St Franklin, WI 53132 (414) 817-5800 IHC Wheaton Anesthesia LLC Wheaton Franciscan Medical Group Franklin 10101 S 27th St Franklin, WI 53132 (414) 325-5079 GLENDALE - 53212 CSM Anesthesia CSM Anesthesiologists River Woods Outpatient Center 375 W River Woods Pkwy Glendale, WI 53212 (414) 326-1800 CSM Community Physicians CSM Anesthesiologists River Woods Outpatient Center 375 W River Woods Pkwy Glendale, WI 53212 (414) 326-1800 Glendale Anesthesia Associates Orthopaedic Hospital of Wisconsin 475 W River Woods Pkwy Glendale, WI 53212 (414) 961-6800 MILWAUKEE 53210 Center for Pain Management SC GLENDALE - 53217 Center for Pain Management SC 6200 W Center St Milwaukee, WI 53210 (414) 444-8670 Motus Chiropractic and Spine Rehab SC IHC Wheaton Anesthesia LLC Motus Chiropractic and Spine Rehab SC 5261 N Port Washington Rd Glendale, WI 53217 (414) 967-9000 IHC Wheaton Anesthesia LLC 5000 W Chambers St Milwaukee, WI 53210 (414) 290-6720 GREENFIELD 53220 Brookfield Anesthesiologists SC Wisconsin Health Center 4448 W Loomis Rd Greenfield, WI 53220 (414) 281-6980 MILWAUKEE 53132 IHC Wheaton Anesthesia LLC IHC Wheaton Anesthesia LLC 10101 S 27th St Milwaukee, WI 53132 (414) 290-6720 Wheaton Franciscan Hospital St Joseph 5000 W Chambers St Milwaukee, WI 53210 (414) 447-2674 The Medical College of Wisconsin Inc St Joseph Hospital 5000 W Chambers St Milwaukee, WI 53210 (414) 447-2000 St Josephs Hospital 5000 W Chambers St Milwaukee, WI 53210 (414) 805-3666 Wheaton Franciscan St Joseph Hospital 5000 W Chambers St Milwaukee, WI 53210 (414) 447-2000 Wheaton Franciscan St Josephs Hospital 5000 W Chambers St Milwaukee, WI 53210 (414) 266-6820 Network Health Medicare Advantage Plans Provider Directory 9 Part Time Provider - 20 or fewer hours per week Provider cannot be selected as a PCP Provider by Specialty Ascension St Michaels Hospital Rawson Surgery Center 3111 W Rawson Ave STE 100 Franklin, WI 53132 (414) 761-2600
Providers by Specialty Provider by Specialty Anesthesiology (continued) MILWAUKEE 53211 CSM Anesthesia Columbia St Marys Womens Hospital 2323 N Lake Dr Milwaukee, WI 53211 (414) 291-1000 CSM Anesthesiologists 2323 N Lake Dr RM W1094 Milwaukee, WI 53211 (414) 291-1000 Metropolitan Anesthesiologists SC 2323 N Lake Dr Milwaukee, WI 53211 (414) 291-1000 CSM Community Physicians Columbia St Marys Womens Hospital 2323 N Lake Dr Milwaukee, WI 53211 (414) 291-1000 CSM Anesthesiologists 2323 N Lake Dr RM W1094 Milwaukee, WI 53211 (414) 291-1000 MILWAUKEE 53212 CSM Anesthesia Glendale Anesthesia Associates 475 W River Woods Pkwy Milwaukee, WI 53212 (414) 961-6800 Glendale Anesthesia Associates Glendale Anesthesia Associates 475 W River Woods Pkwy Milwaukee, WI 53212 (414) 961-6800 MILWAUKEE 53215 Wheaton Franciscan Hospital St Francis 3237 S 16th St Milwaukee, WI 53215 (414) 447-2674 Integrated Pain and Joint Care SC Integrated Pain and Joint Care SC 3521 W National Ave Milwaukee, WI 53215 (414) 967-9000 Navtej Purewal MD SC Navtej Purewal MD SC 3305 S 20th St STE 160 Milwaukee, WI 53215 (414) 509-8826 MILWAUKEE 53221 Advanced Pain Management Advanced Pain Management 4131 W Loomis Rd STE 300 Milwaukee, WI 53221 (414) 325-7246 MILWAUKEE 53226 Froedtert and MCW Community Physicians Froedtert Hospital 9200 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-8700 Absolute Pain Solutions SC St Francis Hospital 3237 S 16th St Milwaukee, WI 53215 (414) 647-5000 Absolute Pain Solutions SC 2900 W Oklahoma Ave Milwaukee, WI 53215 (414) 385-7451 Wisconsin Surgery Center 3305 S 20th St STE 150 Milwaukee, WI 53215 (414) 384-2100 Steven K Nakata MD SC 201 N Mayfair Rd Milwaukee, WI 53226 (414) 259-7246 MILWAUKEE 53217 The Medical College of Wisconsin Inc Integrated Pain and Joint Care SC Childrens Hospital Clinics Bldg 9000 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-3666 Anesthesia Partners Services SC Anesthesia Partners Services SC 2801 W Kinnickinnic River Pkwy STE 1025 Milwaukee, WI 53215 (414) 908-6600 IHC Wheaton Anesthesia LLC IHC Wheaton Anesthesia LLC 3237 S 16th St Milwaukee, WI 53215 (414) 290-6720 Integrated Pain and Health Center SC 5261 N Port Washington Rd Milwaukee, WI 53217 (414) 332-6001 Steven K Nakata MD SC Childrens Hospital of WI Clinics 9000 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-3666 Network Health Medicare Advantage Plans Provider Directory Non-Physician Practitioner Accepting existing patients only Provider accepts Medicaid 10
Providers by Specialty Anesthesiology (continued) Childrens Hospital of Wisconsin 9000 W Wisconsin Ave Milwaukee, WI 53226 (414) 266-3560 Froedtert and Med College Clinic East 9200 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-3666 Froedtert and Med College Clinic West 9200 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-3666 Froedtert Hospital 9200 W Wisconsin Ave Milwaukee, WI 53226 (414) 259-3000 Froedtert Memorial Hospital Clinic at Childrens Hospital of 9000 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-3000 Froedtert Memorial Lutheran Hospital 9200 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-8700 Froedtert Specialty Clinics 9200 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-3666 MCW Pain Management Center 959 N Mayfair Rd Milwaukee, WI 53226 (414) 955-7601 Medical College Clinics at the Eye Institute 925 N 87th St Milwaukee, WI 53226 (414) 805-3666 Medical College of Wisconsin 8701 W Watertown Plank Rd Milwaukee, WI 53226 (414) 955-8296 Sargeant Health Center 840 N 87th St Milwaukee, WI 53226 (414) 805-5540 The Medical College of Wisconsin Anesthesiology Research 8701 W Watertown Plank Rd Milwaukee, WI 53226 (414) 955-5745 MILWAUKEE 53295 The Medical College of Wisconsin Inc VA Medical Center 5000 W National Ave Milwaukee, WI 53295 (414) 805-3666 OAK CREEK 53154 Froedtert and MCW Community Physicians Drexel Town Square Health Center 7901 S 6th St Oak Creek, WI 53154 (414) 346-8000 Drexel Town Square Surgery Center 7901 S 6th St Oak Creek, WI 53154 (414) 346-8000 The Medical College of Wisconsin Inc Drexel Town Square Health Center 7901 S 6th St Oak Creek, WI 53154 (414) 346-8000 Drexel Town Square Surgery Center 7901 S 6th St Oak Creek, WI 53154 (414) 346-8000 SHOREWOO
Milwaukee, WI 53212 (414) 323-6880 Kaftan, Gregory MD Lebaron, Ann PAC Weiss, Bruce MD Fokus Family Services LLC 2821 N 4th St STE 139 Milwaukee, WI 53212 (414) 264-4217 Sullivan, Gerald MD Paradigm Enrichment Services 6110 W Capitol Dr Milwaukee, WI 53216 (414) 393-0295 Sullivan, Gerald MD Milwaukee Internal Medicine Associates Inc 2500 W .
pharmacy directory or visit us at www.emblemhealth. com. Our customer service number is listed at the end of this introduction. Does my Plan Cover medicare Part b or Part D Drugs? PPO II, PPO III and PPO High Option do cover both Medicare Part B prescription drugs and Medicare Part D prescription drugs. PPO I does cover Medicare Part B
PPO plans – Full PPO Network c PPO Gold 20 500/1500 90/70 PPO Silver 30 1000/3000 80/60 HSA-compatible HDHP plans – Full PPO Network c PPO Bronze Savings 2600/5200 80/20 Section 2 – Subscriber information Note: Social Security numbers are required
Johns Hopkins Advantage MD Primary (PPO), Johns Hopkins Advantage MD (PPO), Johns Hopkins Advantage MD Plus (PPO), and Johns Hopkins Advantage MD Premier (PPO) Phone Numbers: If you are a member of these plans, call toll-free 1-877-293-5325 (TTY: 711). If you are not a member of these plans, call toll-free 1-888-403-7662 (TTY: 711).
Delta Dental Individual and Family - PPO Value for Seniors: Visit www.deltadentalma.com and on the Find a Dentist screen, click the box for Delta Dental PPO, or call customer service at 1-800-872-0500 Delta Dental Individual and Family - PPO Value for Seniors Plan Questions and Answers Q. What is Delta Dental Individual and Family - PPO Value
EmblemHealth’s commercial EPO and PPO plans including our popular EmblemHealth Value EPO plan. EmblemHealth Plan, Inc. (formerly Group Health Incorporated (GHI)) underwrites some of EmblemHealth’s commercial EPO and PPO plans including the PPO plans for New York City employees as well as plans for large employer groups. Chapter 6: 2021 Provider
Primary care physician (PCP) coordinates all care for the member. . - Comprehensive dental coverage - Routine podiatry and chiropractic services . Advantage MD HMO, PPO, PPO Plus, and PPO Premier plans are participating in the CMS Medicare Part D Senior Savings Model Program, which offers reduced copays on select insulins. .
Health Net Violet 1 (PPO), Health Net Violet 2 (PPO), Health Net Violet 3 (PPO), and Health Net Violet 4 (PPO). This document includes a list of the drugs (formulary) for our plan which is current as of 12/01/2021. For an updated formulary, please contact us. Our contact information, along with the date we last
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021 - 12/31/2021 Horizon BCBSNJ: State Health Benefits Program- NJ DIRECT15 (PPO) Coverage for: All Coverage Types Plan Type: PPO (NJ DIRECT (PPO)) /BlueCard 1 of 8 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan.
