Southwest Health 2021 Provider Directory - Quartz Health Solutions, Inc. | QA01167 (0820) - Quartz Benefits

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Southwest Health 2021 Provider Directory - Quartz Health Solutions, Inc. | QA01167 (0820) - Quartz Benefits
2021 Provider Directory
                                                            Southwest Health
©Quartz Health Solutions, Inc. | QA01167 (0820)
Southwest Health 2021 Provider Directory - Quartz Health Solutions, Inc. | QA01167 (0820) - Quartz Benefits
Contact Us                                Contents

             CUSTOMER SERVICE             i.    Welcome to Quartz
             CARE ADVOCATES                     Important Information
             (800) 805-0693                     About Us
             TTY: 711 or (800) 877-8973
                                          ii.   When You Need Care
                                                Prior Authorization
             MYCHART                            Resources
             QuartzMyChart.com

             WEBSITE
             QuartzBenefits.com

             FOLLOW US
             QuartzBenefits.com/blog
Welcome to Quartz
SOUTHWEST HEALTH NETWORK PROVIDER DIRECTORY

QuartzBenefits.com

Our goal is to help you live your best life through access to affordable,
high-quality care. To do this, we partner with an extensive network of providers
who are committed to your health and well-being.

Our provider directory makes it easy to find a primary care provider, nearby clinics
and top-rated specialists to meet your unique health care needs. Plus, we have extra
resources to help you take full advantage of your health plan network.

          WE’RE HERE TO HELP
As always, if you have any questions or need more information, call Customer Service at
(800) 805-0693; TTY: 711 or (800) 877-8973; or send us a message through MyChart at
QuartzMyChart.com.

          IMPORTANT INFORMATION
⊲   At times we update our list of doctors and clinics. We cannot guarantee that any one doctor,
    hospital or other provider is still part of our network.
⊲   For the most up-to-date list of care providers in your Quartz network, visit QuartzBenefits.com/
    findadoctor.
⊲   Providers are independent contractors and are not employees of Quartz.
⊲   Contact us for printed information about a provider’s:
    •   Hospital or medical group affiliations
    •   Board certifications
    •   Hospital accreditation
    •   Gender
    •   Languages spoken

          ABOUT US
Quartz is provider owned by the integrated health care delivery systems of Gundersen Health System,
UW Health and UnityPoint Health.

We are committed to helping our customers live life to the fullest, by supporting them when
they’re sick while aspiring to keep them healthy.

                                                                                                       i
When You Need Care
                    No matter what type of care you need, check to see what your plan covers, especially before being
                    treated by someone other than your PCP. Remember:

                    ⊲   Your benefits may differ from other Quartz members
                    ⊲   You may need a referral or prior authorization before some services will be covered
                    ⊲   You can see all your benefits by logging in to MyChart

                                     MILD PAIN or                                      SEVERE PAIN or
                                     SYMPTOMS                                            SYMPTOMS                        UNBEARABLE
      NO PAIN or                                          MODERATE PAIN or                                               PAIN or
      SYMPTOMS                                              SYMPTOMS                                                     SYMPTOMS

    Primary Care is regular,                        Urgent Care is for health                           Emergency Care is for serious
    nonemergency care. Seek                         issues or minor injuries that                       medical problems such as
    primary care for routine                        need prompt attention, but are                      heart attacks, strokes, and
    checkups or problems like                       not serious enough for                              major injuries.
    the flu, aches, and pains.                      emergency care.

    Call your primary care clinic                   Call your doctor’s office first,                    Call 911 or go to the nearest
    or doctor’s office to make an                   day or night, to check the best                     hospital emergency room for
    appointment.                                    course of action.                                   help right away.

                   Prior Authorization                                                   Resources
                    Most of the time, you can see a doctor,                              We know health insurance is complicated.
                    get prescriptions filled or take care of your                        Check out our resources to help you be a
                   other medical needs without checking with                             smart health care consumer.

                Quartz. However, sometimes you might need            Glossary of Insurance and Medical Terms —
our okay ahead of time before we cover the costs.                    go to QuartzBenefits.com/glossary
                                                                     Look up the meanings of common insurance and
This process is called prior authorization. You, your doctor
                                                                     medical words.
or nurse will fill out either a General Prior Authorization
Request Form or a Medication Prior Authorization Form                Health Plans 101 —
and send it to Quartz for our review. We will let you and            go to QuartzBenefits.com/healthplan101
your provider know if the service is covered by your plan            Review the basics of how health insurance works in easy-to-
(approved) or not covered (denied). If the request is denied,        understand language.
we will tell you how you can appeal the decision.
                                                                     Quartz’s YouTube Channel —
⊲    Learn more about prior authorization and download
                                                                     go to YouTube.com, search for Quartz Health Solutions, Inc.
     forms at QuartzBenefits.com/priorauth and
                                                                     View videos on getting care, understanding health care bills
     QuartzBenefits.com/medpriorauth.
                                                                     and how health insurance works. Plus, meet some of our
                                                                     staff in the Faces of Quartz series.
                                                                                                                                ii
FACILITY SERVICES DEFINITIONS
Health insurance can be complicated. Refer to this handy guide to better understand common types
of care facilities and the services they offer.

  Ambulatory Surgery                    Outpatient surgery, also known as ambulatory surgery, day surgery, day case surgery, or same-
  Center                                day surgery, is surgery that does not require an overnight hospital stay.
  Anesthetists                          Anesthesiology is the medical specialty concerned with the total perioperative care of patients
                                        before, during and after surgery. It encompasses anesthesia, intensive care medicine, critical
                                        emergency medicine, and pain medicine.
  Anti-Hemophiliac                      Factor VIII is an essential blood-clotting protein, also known as anti-hemophilic factor.
  Factor
  Audiology                             Audiology is a branch of science that studies hearing, balance, and related disorders.
                                        Audiologists treat those with hearing loss and proactively prevent related damage. By
                                        employing various testing strategies, audiologists aim to determine whether someone has
                                        normal sensitivity to sounds
  Autism Treatment                      Autism, or autism spectrum disorder (ASD), refers to a broad range of conditions characterized
                                        by challenges with social skills, repetitive behaviors, speech and nonverbal communication.
  Behavioral Health                     Behavioral health is a term that is used to include many aspects of a person’s wellbeing, such
                                        as mental health, substance use, harmful behaviors, or overall emotional wellness.
  Behavioral Health                     A residential treatment center refers to a licensed residential facility that is non-hospital based
  AODA Residential/                     and provides voluntary, non-acute 24-hour individualized clinical treatment from a multi-
  Transitional                          disciplinary team in a contained, safe, and structured environment. A transitional residential
                                        treatment service is a clinically supervised, peer-supported therapeutic environment with
                                        clinical involvement.
  Behavioral Health                     “Day treatment” or “day hospital” means a nonresidential intensive program that provides a
  Day Treatment                         mix of psychosocial treatment, education, and recreational activities and follow-up services to
                                        alleviate problems related to mental health or substance abuse issues.
  Behavioral Health                     Psychiatric hospitals, also known as mental health units or behavioral health units, are acute
  Inpatient                             care hospitals or hospital units specializing in the treatment of severe mental disorders, such
                                        as major depressive disorder, schizophrenia, and bipolar disorder. Care is provided 24 hours a
                                        day, 7 days a week by or under the direction of a psychiatrist or psychiatric nurse practitioner.
  Birth to Three                        The Birth to 3 Program is a federally-mandated Early Intervention program (Part C of the
                                        Individuals with Disabilities Education Act—IDEA ) to support families of children with
                                        developmental delays or disabilities under the age of three.

QA01597 (0821)
Quartz-branded health plans are offered by Quartz Health Benefit Plans Corporation,
Quartz Health Plan Corporation, Quartz Health Plan MN Corporation, and Quartz
Health Insurance Corporation, which are separate legal entities.
©2021 Quartz Health Solutions, Inc.                                                                                       QuartzBenefits.com
Chiropractic          Chiropractic is an alternative medicine that is concerned with the diagnosis and treatment of
                      mechanical disorders of the musculoskeletal system, especially the spine.
Clinics               A clinic is a health facility where people go for medical care or advice.
Clinics - Specialty   Specialty care means advanced medically necessary care and treatment of specific physical,
Care                  mental or behavioral health conditions or those health conditions which may manifest in
                      particular ages or subpopulations, that are provided by a specialist, preferably in coordination
                      with a primary care professional or other health care professional.
Durable Medical       Durable medical equipment is medical equipment ordered by a health care provider for
Equipment             everyday or extended use. Some examples are CPAP devices, crutches, hospital beds,
                      orthotics and wheelchairs.
Durable Medical       Bone growth stimulation is utilized to promote bone healing in difficult to heal fractures or
Equipment - Bone      fusions by applying electrical or ultrasonic current to the fracture/fusion site. An electrical
Growth Stimulator     osteogenesis stimulator is a device that provides electrical stimulation to augment bone repair.
Durable Medical       Insulin pumps are small, computerized devices that mimic the way the human pancreas works
Equipment - Insulin   by delivering small doses of short acting insulin continuously (basal rate).
Pump
Durable Medical       Durable medical equipment (DME) includes the different types of oxygen equipment necessary
Equipment -           in the care of patients with respiratory ailments.
Respiratory
Durable Medical       Negative-pressure wound therapy, also known as a vacuum assisted closure, is a therapeutic
Equipment - Wound     technique using a suction pump, tubing and a dressing to remove excess exudate and promote
Vac                   healing in acute or chronic wounds and second- and third-degree burns.
Eye Clinic            A clinic where specialist care for a patient’s eyes.
Family Planning       Family planning may involve consideration of the number of children a woman wishes to have,
Center                including the choice to have no children and the age at which she wishes to have them. These
                      matters are influenced by external factors such as marital situation, career considerations,
                      financial position, and any disabilities that may affect their ability to have children and raise
                      them. If sexually active, family planning may involve the use of contraception and other
                      techniques to control the timing of reproduction.
Home Health           Home health care is a wide range of health care services that can be given in your home for
                      an illness or injury. Home health care is usually less expensive, more convenient, and just as
                      effective as care you get in a hospital or nursing home (skilled nursing facility).
Home Infusion         Home infusion therapy involves the intravenous or subcutaneous administration of drugs
                      or biologicals to an individual at home. The components needed to perform home infusion
                      include the drug (for example, antivirals, immune globulin), equipment (for example, a pump),
                      and supplies (for example, tubing and catheters).
Hospice               Hospice care focuses on a person’s last six months of life of less. When curative treatment is
                      no longer an option, hospice professionals work to make the patient’s life as comfortable as
                      possible. This means that hospice care includes palliative care because the goal is to make the
                      patient as comfortable as possible for the time that’s left.
Hospital              Hospital, an institution that is built, staffed, and equipped for the diagnosis of disease; for
                      the treatment, both medical and surgical, of the sick and the injured; and for their housing
                      during this process.

                                                                                                         QuartzBenefits.com
Infusion Therapy      In medicine, infusion therapy deals with all aspects of fluid and medication infusion, via
                      intravenous or subcutaneous application. A special infusion pump can be used for this
                      purpose. A fenestrated catheter is most frequently inserted into the localized area to be
                      treated.
Inpatient             An inpatient rehabilitation facility is a free-standing rehabilitation hospital or a rehabilitation unit
Rehabilitation        in an acute care hospital. They provide an intensive rehabilitation program and patients who
                      are admitted must be able to tolerate three hours of intense rehabilitation services per day.
Massage Therapy       The manipulation of the muscles and other soft tissues of the body (as by stroking, kneading,
                      or rubbing with one or both hands or an instrument) by a massage therapist for therapeutic
                      purposes (as to relieve pain, promote healing, or improve physical functioning)
Narcotic Treatment    NRT is comprehensive treatment with synthetic opiates approved by the United States Food
Services              and Drug Administration (FDA) for opiate-addicted patients. Authorized narcotic replacement
                      medications are methadone, buprenorphine, naltrexone, and levo-alpha-acetylmethadol
                      (LAAM). They are available to patients receiving treatment in a licensed Narcotic Treatment
                      Program (NTP).
Nursing Home/         Nursing homes, also called skilled nursing facilities (SNFs), provide a wide range of health and
Skilled Nursing       personal care services. Their services focus on medical care more than most assisted living
Facility (SNF)        facilities. These services typically include nursing care, 24-hour supervision, three meals a day,
                      and assistance with everyday activities.
Open MRI              Open MRIs are configured to provide improved patient comfort while taking images inside the
                      body. They have magnets above and below the patient and wide open sides.
Orthopedics           A branch of medicine concerned with the correction or prevention of deformities, disorders, or
                      injuries of the skeleton and associated structures (such as tendons and ligaments)
Pharmacies            A store where medicinal drugs are dispensed and sold.
Physical Therapy      The treatment of disease, injury, or deformity by physical methods such as massage, heat
                      treatment, and exercise rather than by drugs or surgery.
Podiatry              The treatment of the feet and their ailments.
Portable X-ray        Portable x-ray suppliers provide diagnostic imaging services at patients’ locations - most often
Supplier              residences including private homes and group living facilities, such as nursing homes - rather
                      than in a traditional clinical setting, such as a doctor’s office or hospital.
Practice Location     Practice Location means the health care facility at which a physician spends the largest number
w/o eVIPS Facility    of hours per week engaged in patient encounters among all such locations where such
Type                  physician practices.
Radiology             The science dealing with X-rays and other high-energy radiation, especially the use of such
                      radiation for the diagnosis and treatment of disease.
Renal Dialysis Unit   A ward or part thereof for dialyzing patients with advanced renal disease. Usually outpatients
                      who may stay overnight; less commonly, inpatients who may be awaiting a kidney transplant.
Sports Medicine       Sports medicine is a branch of medicine that deals with physical fitness and the treatment and
Clinic                prevention of injuries related to sports and exercise.
Urgent Care           Urgent Care Medicine is the provision of immediate medical service offering outpatient care for
                      the treatment of acute and chronic illness and injury.

                                                                                                           QuartzBenefits.com
Your Search Criteria

                                           Complete list of providers

Printed on: Wednesday, November 17, 2021
Providers as of: Wednesday, November 17, 2021

Important Information about the Online Provider Directory

This directory was developed to help you easily find health care providers to meet your unique needs. It
contains general information that would apply to most Quartz participants. However, health benefit plans vary,
please read your benefit booklet or Plan Document to determine what services and supplies are covered. Note –

      Information in this directory may change as providers join or leave the network, move or retire.
      Before getting care, verify the provider you choose is still in Quartz’s network and is accepting new
       patients.

Important notice to all POS enrollees – Before scheduling appointments, Quartz strongly encourages you
to contact us to verify the status of the providers involved in your care. Such information may influence
your selection of a provider and affect the level of copayment, deductible and coinsurance amounts
applicable to the care you receive. The participating providers in your network may change during your
plan year. Please send a message to Quartz Customer Service through the message center within
MyChart at QuartzMyChart.com or call (800) 805-0693 to learn more about the participating providers
in your network and the financial implications of receiving care from non-participating providers.

Questions? Send us a message through MyChart at QuartzMyChart.com or call Quartz Customer Service at
(800) 805-0693.
PRIMARY CARE PHYSICIANS

                                                                                                                                                                          PRIMARY CARE PHYSICIANS - WI
 Nurse Practitioners (ANPs, APNs, APNPs, ARNPs, CNPs, CPNPs, DNPs, FNPs, NPs, and WHNPs) and Physician Assistants (PAs) are licensed, highly qualified
 professional health care providers who work in partnership with medical doctors. While you may not select a PA as your primary care provider (PCP), they are
 available for annual exams, urgent/problem visits and follow-up for ongoing health care.

 (*) PCPs noted with this symbol are only accepting Quartz members who are existing patients.

 (§) ANPs, APNs, APNPs, ARNPs, CNPs, CPNPs, DNPs, FNPs, NPs, and WHNPs and NPs noted with this symbol may not be selected as a PCP.

 (¥) This provider offers Telehealth Visits, which are remote scheduled appointments during clinic hours via telephone or video chat when clinically appropriate.

      Adams County               Family Medicine                         CROSS PLAINS               Family Medicine Physician         6408 Copps Ave
                                                                                                    Assistant                         Madison, WI 53716-3702
       FRIENDSHIP                Boisvert, Walter R. MD*                      Clinics
                                 Morrison, Jasmin R. MD                                             Koenen, Janelle R. PA             (608) 417-3000
           Clinics               Olijnyk, Patricia J. MD          UW Health - Cross Plains                                            Hours
                                                                  Clinic                            General Internal Medicine         Monday thru Friday, 8 am - 5
Gundersen Moundview              Family Medicine Nurse            2418 Brewery Rd                                                     pm
                                 Practitioner                                                       Felz, Kenneth MD
Hospital and Clinics -                                            Cross Plains, WI 53528
Friendship                                                        (608) 798-3344                    UW Health - Fitchburg             Family Medicine
                                 Neisius, Rochelle L. APNP
402 W Lake St                    Sandgren, Molly E. APNP          Hours                             Clinic                            Clevidence, Derek E. MD
Friendship, WI 53934                                              Monday thru Friday, 8 am -        5543 E Cheryl Pkwy                Pribbenow, Bridget A. MD
(608) 339-6350                   Family Medicine Physician        4:30 pm                           Fitchburg, WI 53711               Wendland, Diane L. MD*
Hours                            Assistant                                                          (608) 274-5300
Monday thru Friday, 8 am - 6                                      Family Medicine                   Hours                             Family Medicine Nurse
                                 Breunig, Anton T. PA                                               Monday thru Friday, 8 am - 5      Practitioner
pm                                                                Grelle, Amy R. MD*
                                        Dane County               Olson, Pamela A. MD*              pm                                Marshall, Sara K. APNP
Family Medicine Nurse
Practitioner                                                      Leaving Network as of             Family Medicine                   Treiber, Abbie E. APNP
                                        BELLEVILLE
Docherty, Robert E. APNP                                          11/26/2021                        Freidel, Robert M. MD             General Internal Medicine
                                             Clinics                                                McCabe, Mark R. MD
Hinze, Danielle L. APNP                                           Brogunier, Michele E. MD*                                           Carimi, Sanford A. MD
Obernberger, Sheryl J. APNP      UW Health - Belleville                                             McCreary, Katherine A. MD*        Grimm, Melissa S. MD
                                 Family Medicine                  Family Medicine Nurse             Perry, Carole E. MD*
Geriatrics Nurse Practitioner                                     Practitioner                      Weathers, Nicole N. MD*           Pediatrics
                                 1121 Bellwest Blvd
Charles, Linda A. APNP           Belleville, WI 53508             Erickson, Katelyn APNP§           Geriatrics                        Hanson, Carleen L. MD
                                 (608) 424-3384
     Columbia County             Hours                                     DEFOREST                 Braus, Ann B. MD*                 Pediatrics Nurse Practitioner
                                 Monday thru Friday, 8 am -                                         Eastman, Alexis M. MD
         PORTAGE                                                              Clinics               Przybelski, Robert J. MD*         Green, Kathleen R. APNP
                                 4:30 pm
           Clinics                                                UnityPoint Health - Meriter       Geriatrics Nurse Practitioner     UnityPoint Health - Meriter
                                 Family Medicine                                                                                      - West Washington Clinic
                                                                  - DeForest-Windsor Clinic
UW Health - Portage Clinic       Carlson, Jensena M. MD*                                            Vandenberg, Krista M.             345 W Washington Ave, Ste
                                                                  4200 Savannah Dr
2977 County Road Cx              Gilchrist, Valerie J. MD*                                          APNP§                             100
                                                                  DeForest, WI 53532
Portage, WI 53901                Howlett, Bethany M. MD                                                                               Madison, WI 53703-2996
                                                                  (608) 417-3300                             MADISON
(608) 742-3004                   Landeck, Jillian K. MD*                                                                              (608) 417-8300
                                                                  Hours
Hours                            Lochner, Jennifer E. MD*                                                        Clinics              Hours
                                                                  Monday thru Thursday, 7 am -
Monday thru Friday, 8 am -       Lubsen, Julia R. MD*                                                                                 Monday thru Friday, 8 am - 5
                                                                  7 pm, Friday, 7 am - 5 pm
4:30 pm                          Michael, William E. MD                                             UnityPoint Health - Meriter       pm
                                                                  Family Medicine                   - McKee Clinic
Family Medicine                  Family Medicine Physician                                                                            Family Medicine
                                                                                                    3102 Meriter Way
                                 Assistant                        Khan, Farah MD
Deering, Timothy A. MD*                                                                             Madison, WI 53719-5833            Miran, Sean L. DO
                                                                  Yee, Mon L. MD
Kling, Jamie J. DO*              Alioto, Brittany L. PA                                             (608) 417-8800
Patel, Hema M. MD*                                                Family Medicine Nurse             Hours                             Family Medicine Nurse
                                     COTTAGE GROVE                Practitioner                      Monday thru Friday, 8 am -        Practitioner
Family Medicine Nurse                                                                               4:30 pm
Practitioner                                 Clinics              Shookman, Catrina K. APNP                                           Foss, Megan R. APNP
                                                                                                    Family Medicine                   Family Medicine Physician
Strook, Brie K. FNP§             UW Health - Cottage Grove        Family Medicine Physician
                                                                  Assistant                         Golden, Robert A. MD              Assistant
Family Medicine Physician        Clinic
                                 4590 County Rd N                                                   Reed, Karen A. MD                 Kelly, Rachel H. PA
Assistant                                                         Hoffmann, Erika S. PA             Reed, Shannon C. DO
                                 Cottage Grove, WI 53527
Wangerin, Joseph J. PA           (608) 839-3104                                                                                       Pediatrics
                                                                          FITCHBURG                 Family Medicine Nurse
                                 Hours                                                              Practitioner                      Jin, Wendy Y. MD
     Crawford County             Monday thru Friday, 8 am -                   Clinics
                                 4:30 pm                                                            Curran, Kimberly K. APNP          UW Health - 20 South Park
   PRAIRIE DU CHIEN                                               UnityPoint Health - Meriter-                                        Clinic
                                 Family Medicine                  Fitchburg Clinic                  General Internal Medicine         20 S Park St
           Clinics                                                2690 Research Park Dr, Ste F
                                 DeGiovanni, Gina M. MD*                                            Casper, N. Thomas MD              Madison, WI 53715
Gundersen Prairie du Chien                                        Fitchburg, WI 53711-4921                                            (888) 703-2778
                                 Mehta, Ronak MD*                 (608) 417-8585                    Mortimore, Wendy R. MD
Clinic                           Niebler, Anne R. MD*                                                                                 Hours
610 E Taylor St                                                   Hours                             Pediatrics                        Monday thru Friday, 8 am -
                                 Pittner-Smith, Christa A. MD*    Monday thru Friday, 8 am -
Prairie du Chien, WI                                                                                Jin, Wendy Y. MD                  4:30 pm
53821-2109                       Family Medicine Physician        4:30 pm
                                                                                                    Johnson, Dana M. MD               General Internal Medicine
(608) 326-6466                   Assistant                        Family Medicine                   Mortimore, Wendy R. MD
Hours                            Falligant, Louis A. PA                                                                               Amleshi, Parisa MD
Monday thru Friday, 8 am - 5                                      Martin-Foster, Cheryl A. MD       UnityPoint Health - Meriter       Boushea, Deborah K. MD*
                                 Greuel, Leann E. PA              Shropshire, James H. MD*
pm                                                                                                  - Monona Clinic                   Chang, Tony S. MD*
Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document                                                 3
PRIMARY CARE PHYSICIANS
                               Dambach, Jason A. MD*                                                                          Hours
PRIMARY CARE PHYSICIANS - WI

                               Davis-Maxwell, Anthony J.      General Internal Medicine       Family Medicine Physician       Monday thru Friday, 8 am -     General Internal Medicine
                               MD                             Physician Assistant             Assistant                       4:30 pm                        Felz, Kenneth MD
                               George, Elizabeth MD*          Kilroy-Sikkema, Craig A. PA     McGuire, Abigail M. PA                                         Kraske, Gerhard K. MD
                               Heidel, Randy S. MD                                                                            General Internal Medicine
                                                                                                                                                             Olajos, Arpad S. MD
                               Miller, Kathryn A. MD*         Geriatrics                      General Internal Medicine       Bartholomew, Erik C. MD*
                               Ruchala, Joanna B. MD*                                                                         Belsky, Lorna E. MD*                    MONONA
                                                              Pankratz, Gerald T. MD*         Boyle, Robert W. MD*
                               Smith, Shannon O. MD*                                          Grant, Lisa M. DO*              Chheda, Shobhina G. MD*                   Clinics
                               Trowbridge, Elizabeth R.       Geriatrics Nurse Practitioner   Haine, James E. MD*             Constantinescu, Daniela C.
                               MD*                            Bodden Hoenisch, Jillian M.     Hayner, Paul John MD*           MD*                            UW Health - Yahara Clinic
                               Zimmermann, Philip N. MD*      APNP§                           Kinda, Hajnal K. MD*            Davis, Erin M. MD*             1050 E Broadway
                               General Internal Medicine                                      Lee, Ernest J. MD*              Fouch, Erin M. MD*             Monona, WI 53716
                                                              Pediatrics                      Rees, Kerry S. MD*              Herold, Kelly A. MD*           (608) 222-8779
                               Nurse Practitioner
                                                              Houser, Laura M. MD*            Schmidt, Ann M. MD*             Lewicki, Kristin A. MD*        Hours
                               Benedict, Sarah J. APNP§       Kleist, Troy J. MD                                              Loomans, Karen M. MD*          Monday thru Friday, 8 am - 5
                                                                                              General Internal Medicine       Nestleroad, Christopher A.     pm
                               General Internal Medicine      McIntosh, Gwenevere C. MD*      Nurse Practitioner
                                                              Plumb, Amy J. MD*                                               MD*
                               Physician Assistant                                                                            Newcomer, Peter D. MD*         Family Medicine
                                                              Stockhausen, Amy L. MD*         Bachhuber, Anne R. APNP§
                               Doughty, Leah B. PA                                            Lewellin, Katie M. APNP§        Quinn, Mariah A. MD*           Anderson, Mark C. MD*
                               Knoche, Lauren C. PA           UW Health - Northeast           Simpson, Brittany M. APNP§      Romer, Laurel L. MD*           Bauman, Amy L. DO*
                               Morgan, Angela B. PA           Family Medical Center                                           Ryan, Pamela M. MD*            Counts, Helen E. MD*
                                                              3209 Dryden Dr                  UW Health - Union Corners       Terras, Mara E. MD*            Ircink, James C. MD
                               Pediatrics                     Madison, WI 53704               Clinic                          Valmadrid, Cassandra J. MD*    Kamnetz, Sandra A. MD*
                               Allen, Brittany J. MD*         (608) 241-9020                  2402 Winnebago St               Voss, Lindsay H. MD*           Miller, Alison R. DO*
                               Babal, Jessica C. MD*          Hours                           Madison, WI 53704                                              Sharp, Samantha N. MD*
                                                              Monday thru Friday, 8 am - 5    (608) 242-6865                  General Internal Medicine
                               Bernhardt, David T. MD*                                                                        Nurse Practitioner             Swedlund, Matthew P. MD*
                               Chybowski, Timothy J. MD*      pm                              Hours                                                          Terbrack, Robert E. DO*
                               Delgadillo, Cristina M. MD*                                    Monday thru Friday, 8 am - 5    Bartelt, Kristina J. APNP§     Vassalli, Jeffrey T. MD
                                                              Family Medicine                 pm
                               Kelley, Catherine MD*                                                                          Gilbertson, Lauren K. APNP§
                                                              Dubey, Jared L. DO*                                             Moe, Amanda J. APNP§           Family Medicine Physician
                               Mathur, Madhulika MD*                                          General Internal Medicine
                                                              Edgoose, Jennifer Y. MD*                                                                       Assistant
                               Ruedinger, Emily D. MD                                                                         Pediatrics
                                                              Hampton, Adrienne R. MD*        Anderson, Jonathan S. MD*                                      Hand, Kelsey A. PA
                               UW Health - Arboretum          Hayon, Ronni L. MD*             Jelenc, Briana L. MD*           Frohna, John G. MD*            Lenz, Linda A. PA
                               Internal Medicine              Lemmon, Russell L. DO*          Kleinschmidt, Peter MD*         Hillery, Karen M. MD*          Pankratz, Paul PA
                               1102 S Park St                 Sanner, Louis A. MD*            Lavin, Kelly A. MD*             Holt, Laura E. MD*             Rasmussen, Jessica L. PA
                               Madison, WI 53715              Schrager, Sarina B. MD*         Mozena, Marty G. DO*            Jain, Sanjeev R. MD*
                               (608) 263-7500                 Schwab, William E. MD*          Streyle, Johanna C. MD*         Lindell, Allison L. MD         UW Health Yahara
                               Hours                          Yogendran, Lashika D. MD                                        Marten, Kristen A. DO          Integrative Family Medicine
                               Monday thru Friday, 8 am - 5                                   General Internal Medicine                                      1050 E Broadway
                                                              Family Medicine Nurse           Nurse Practitioner              Naidu, Jennifer E. MD
                               pm                                                                                             Rongstad, Meriel S. MD         Monona, WI 53716
                                                              Practitioner                    Arevalo, Meredith G. APNP§                                     (608) 287-5899
                               General Internal Medicine                                                                      Schultz, Alexandra M. MD
                                                              Schmitz, Anne NP§               Knudtson-Manske, Robyn D.       Wright, Robin M. MD*           Hours
                               Abraham, Vidthya MD*                                           APNP§                           Zimmerman, Christine L.        Monday thru Friday, 8 am -
                               Galusha, Brittany M. MD*       Family Medicine Physician       O'Donnell, Sara E. APNP§                                       4:30 pm
                                                                                                                              MD*
                               Kaufman, Lisa M. MD*           Assistant
                                                                                              Pediatrics                         Clinics - Specialty Care    Family Medicine
                               Schnell, Andrea K. MD*         Enzler, Kathryn A. PA
                               Shiffler, Thomas D. MD*        McNiel, Sarah K. PA             Burns, Deirdre A. MD*                                          Kuphal, Greta J. MD*
                               Smith, Jeremy P. MD*                                                                           UnityPoint Health - Meriter    Minichiello, Vincent MD*
                                                              Uminski, Joan E. PA             Deffner-Valley, Patricia MD     202 S Park St
                               Sosman, James M. MD*                                           Jones, Andrea N. MD*                                           Rakel, David P. MD
                               Wilson, Rachel K. DO           UW Health - Odana Atrium                                        Madison, WI 53715              Weber, Michael J. MD*
                                                                                              Lemon, Katherine A. MD          (608) 417-6000
                                                              Clinic                          Neuman, Megan F. MD*
                               General Internal Medicine      5618 Odana Rd                                                   Hours                          Family Medicine Physician
                               Nurse Practitioner                                             Sleeth, Jeffrey S. MD*          By Appointment                 Assistant
                                                              Madison, WI 53719               Vaughan, Jessica L. MD
                               Holum, Sarah E. APNP§          (608) 828-7611                  Yanny, Megan E. MD              Pediatrics                     Brady, Sara M. PA
                                                              Hours
                               UW Health - East Clinic        Monday thru Friday, 8 am -      UW Health - University          Houser, Laura M. MD*                MOUNT HOREB
                               5249 E Terrace Dr              4:30 pm                         Station
                               Madison, WI 53718                                                                                     MIDDLETON                          Clinics
                                                                                              2880 University Ave
                               (608) 265-1295                 Family Medicine                 Madison, WI 53705                            Clinics           UW Health - Mount Horeb
                               Hours                          Bigham, James B. MD*            (608) 263-9339                                                 Clinic
                               Monday thru Friday, 8 am -     Gervais, Claire M. MD*          Hours                           UnityPoint Health - Meriter    600 N 8th St
                               4:30 pm                        Hubbard, Derek R. MD*           Monday thru Friday, 8 am -      - Middleton Clinic             Mount Horeb, WI 53572
                                                              Huebner, Jeffrey A. MD*         4:30 pm                         7780 Elmwood Ave, Ste 201      (608) 437-3064
                               General Internal Medicine
                                                              Kolan, Anne M. MD*                                              Middleton, WI 53562-5407       Hours
                               Cheung, Victoria M. MD*                                        Geriatrics                      (608) 417-3434
                                                              Kunstman, David T. MD*                                                                         Monday thru Friday, 8 am - 5
                               Famouri, Maryam L. MD*         Leasure, Michael P. MD*         Przybelski, Robert J. MD*       Hours                          pm
                               Micek, Mark A. MD*             Malloy, Michele L. MD*                                          Monday thru Friday, 8 am - 5
                               Mirkes, Megan K. MD*                                           Pediatrics                      pm                             Family Medicine
                                                              Stephens, Preston M. MD
                               Seibert, Christine S. MD*      Takahashi, Jonathan B. MD*      Cody, Paula J. MD*              Family Medicine                Drews, Timothy D. MD
                               Wilson, Siobhan D. MD*         Thompson, Mary G. MD*
                                                                                              Pediatrics Nurse Practitioner                                  Miner, Kyle D. MD*
                               Zakowski, Laura J. MD*         Wilke, Ashley R. MD                                             Gomez-Goldman, Suzanne E.      Shafer, Jennifer R. MD*
                                                                                              Standiford, Maria C. APNP       MD
                               General Internal Medicine      Family Medicine Nurse                                                                                   OREGON
                               Nurse Practitioner             Practitioner                     UW Health - West Clinic        Family Medicine Nurse
                                                                                               451 Junction Rd                Practitioner                              Clinics
                               Majcen, Christina M. APNP§     Halbersma, Bridget A. APNP§
                               Marten, Susan APNP§            ¥                                Madison,  WI  53717            Huibregtse, Ioana A. APNP      UW Health - Oregon Clinic
                               Panther, Kristen L. APNP§                                       (608) 265-7550
                               Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document                                        4
PRIMARY CARE PHYSICIANS
137 S Main St                  McCormick, Trisha L. DO*        705 S University Ave, Ste 200    Kueter, Jeffrey D. MD          Hours

                                                                                                                                                                  PRIMARY CARE PHYSICIANS - WI
Oregon, WI 53575               Mixtacki, Lauren M. MD*         Beaver Dam, WI 53916             Lucas, Ann M. MD               Monday thru Friday, 8 am - 5
(608) 835-5588                 Queoff, David W. MD*            (920) 887-9272                   Schmid, Jessica DO             pm
Hours                                                          Hours                            Wells, Christopher L. DO
Monday thru Friday, 8 am - 5   Family Medicine Physician       Monday thru Friday, 8 am - 5                                    Family Medicine
pm                             Assistant                       pm                               Family Medicine Nurse
                                                                                                Practitioner                   Klann, Andrew R. DO
Family Medicine                Armga, Paige PA                 Family Medicine                                                 Svircev, Anna DO
                               Westby, Sarah N. PA                                              Barry, Kori L. FNP
Aurangzeb, Amnah MD*                                           Barudin, Seth M. MD*             Blume, Catherine A. FNP        Family Medicine Nurse
Brooks, Lauren F. DO*                    VERONA                Lambert, John E. DO*             Miller, Laura J. APNP          Practitioner
Catani, Kristin L. MD                     Clinics              Magar, Namrata A. MD             Radtke, Emily M. APNP§         Barry, Kori L. FNP
Heifner, William R. MD*                                        McMillan, Paul R. MD*                                           Miller, Laura J. APNP
                                                               Peterson, Emily J. MD*           Family Medicine Physician
                               UW Health - Verona Clinic
Family Medicine Physician                                                                       Assistant                      Family Medicine Physician
                               100 N Nine Mound Rd
Assistant                                                      Family Medicine Physician                                       Assistant
                               Verona, WI 53593                                                 DeMuth, Chelsea L. PA
                                                               Assistant
Folcik, Beatriz M. PA          (608) 845-9531                                                   Hauser, Michelle R. PA         Hauser, Michelle R. PA
                               Hours                           Haase, Jill M. PA                Ponsler, Katherine J. PA       Ponsler, Katherine J. PA
       STOUGHTON               Monday thru Friday, 8 am - 5
                               pm                              General Internal Medicine        Obstetrics & Gynecology        Southwest Health Center
             Clinics                                                                                                           Clinic - Platteville
                               Family Medicine                 Gladden II, Marc B. DO           Schmid, Jessica DO
UnityPoint Health - Meriter                                    Haase, Sharon L. MD*                                            1450 Eastside Rd
- Stoughton Clinic             Arndt, Brian G. MD*             Miller, Joel D. DO                      FENNIMORE               Platteville, WI 53818-9800
100 Silverado Dr               Atwell, Karina A. MD*           Muchow, Amy J. MD*                                              (608) 348-4330
                                                                                                           Clinics             Hours
Stoughton, WI 53589-5406       Barrett, Bruce P. MD*
(608) 417-8700                 Beamsley, Mark B. MD*           General Internal Medicine                                       Monday thru Friday, 8 am - 5
                                                                                                Gundersen Boscobel
Hours                          Carr, Kathleen E. MD*           Nurse Practitioner                                              pm
                                                                                                Hospital and Clinics -
Monday thru Friday, 8 am - 5   Couture, Allison D. DO*         Hajewski, Julie A. APNP§         Fennimore                      Family Medicine
pm                             Evensen, Ann E. MD*             Piechowski, Dena L. APNP§        220 Lincoln Ave
                               Hahn, Thomas W. MD*                                              Fennimore, WI 53809            Carr, Kevin G. MD
Family Medicine                Hammer, Erin M. MD*                    Grant County                                             Droeszler, Zachary J. MD
                                                                                                (608) 822-3737
Quick, Ryan T. MD              James, Sarah J. DO*                                              Hours                          Klann, Andrew R. DO
                               Larson, Magnolia J. DO*                 BOSCOBEL                                                Kueter, Jeffrey D. MD
                                                                                                Monday thru Friday, 8 am - 5
Family Medicine Nurse          Wirtz, Mark W. MD*                                               pm                             Lucas, Ann M. MD
Practitioner                                                              Clinics                                              Schmid, Jessica DO
                               Family Medicine Physician                                        Family Medicine                Svircev, Anna DO
Moreland, Kimberly A. APNP     Assistant                       Gundersen Boscobel
                                                               Hospital and Clinics -           Wilhelm, Kurt MD               Wells, Christopher L. DO
UW Health - Stoughton          Stokes, Heidi PA                Boscobel
                                                                                                Family Medicine Nurse          Family Medicine Nurse
Clinic                         Wendler, Karen M. PA            208 Parker St
                                                                                                Practitioner                   Practitioner
1001 Nygaard St                                                Boscobel, WI 53805
Stoughton, WI 53589                     WINDSOR                (608) 375-4144                                                  Barry, Kori L. FNP
(608) 877-2660                                                                                  Peterson, Michelle R. FNP
                                                               Hours                                                           Blume, Catherine A. FNP
Hours                                     Clinics
                                                               Monday thru Friday, 8 am - 5     Family Medicine Physician      Miller, Laura J. APNP§
Monday thru Friday, 8 am - 5   UW Health - DeForest-           pm                               Assistant                      Radtke, Emily M. APNP§
pm                             Windsor Clinic
                                                               Family Medicine                  McCullick, Emily M. PA         Family Medicine Physician
General Internal Medicine      4131 Meridian Dr                                                                                Assistant
                               Windsor, WI 53598               McCurry, Colleen L. MD                   MUSCODA
Berg, Kristin M. MD*           (608) 846-3741                  Wilhelm, Kurt MD                                                DeMuth, Chelsea L. PA
Khalid, Ahsan MD*              Hours                                                                       Clinics             Hauser, Michelle R. PA
                               Monday thru Friday, 8 am - 5    Family Medicine Nurse                                           Ponsler, Katherine J. PA
General Internal Medicine                                      Practitioner                     Gundersen Boscobel
Physician Assistant            pm                                                               Hospital and Clinics -         Obstetrics & Gynecology
                               Family Medicine                 Larson, Stacey I APNP            Muscoda
Kluck, Heather L. PA                                           Miess, Christina A. APNP         525 N Wisconsin Ave            Bujewski, Steven J. MD
                               Atluru, Sreevalli MD*           Ruff, Halie M. APNP, ARNP        Muscoda, WI 53573              Carr, Melissa A. MD
Pediatrics
                               Hounshell, Jennie B. MD*        ¥                                (608) 739-3138                 Schmid, Jessica DO
Pletta, Karen H. MD*           Jonuzi, Zinije MD*                                               Hours
Raman, Prasanna MD*                                            Family Medicine Physician                                          Clinics - Specialty Care
                               Milsap, Alexander D. MD*                                         Monday thru Friday, 8 am -
Strand, Barbara J. MD          Paretsky, Eve G. MD*            Assistant
                                                                                                4:30 pm                        Southwest Health Center -
                               Pickhardt, Peter A. MD*         McCullick, Emily M. PA                                          Women's Center
       SUN PRAIRIE                                                                              Family Medicine
                               Ringdahl, David J. MD*                                                                          1450 Eastside Rd
             Clinics           Titel, Robyn MD*                        CUBA CITY                                               Platteville, WI 53818
                                                                                                Wilhelm, Kurt MD
                               Traun, Benjamin D. MD*                                                                          (608) 342-0986
UW Health - Sun Prairie                                                   Clinics               Family Medicine Physician
                               Family Medicine Physician                                                                       Hours
Clinic                                                         Southwest Health Center          Assistant                      Monday thru Thursday, 7:45
2651 Windsor St                Assistant
                                                               Clinic - Cuba City               McCullick, Emily M. PA         am - 5 pm, Friday, 7:45 am -
Sun Prairie, WI 53590          Coenen, Katie S. PA             207 E Skelly St                                                 3 pm
(608) 837-2206                 Simpson, Lisa PA                Cuba City, WI 53807-1453               PLATTEVILLE
Hours                                                                                                                          Obstetrics & Gynecology
                                                               (608) 744-2767
Monday thru Friday, 8 am - 5          Dodge County             Hours                                       Clinics
                                                                                                                               Bujewski, Steven J. MD
pm                                                             Monday, 10 am - 5 pm,                                           Carr, Melissa A. MD
                                      BEAVER DAM                                                Southwest Health Center
Family Medicine                                                Tuesday thru Friday, 7:30 am -   Clinic
                                          Clinics              5 pm                                                                      Hospital
                                                                                                1400 Eastside Rd
Bryan, Jacob J. MD*                                                                             Platteville, WI 53818-9800
Coert, Lesley A. MD*           UW Health - Beaver Dam          Family Medicine                                                 Southwest Health Center
                                                                                                (608) 342-5060                 1400 Eastside Rd
Greenfield, Katharine M. MD*   Clinic                           Carr, Kevin G. MD
Hawkins, John G. MD*                                                                                                           Platteville, WI 53818-9800
                                                                Droeszler, Zachary J. MD                                       (608) 348-2331
Kuhn, Laurie S. MD*                                             Klann, Andrew R. DO
Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document                                         5
PRIMARY CARE PHYSICIANS
                               Hours                          500 N Holmen Dr Ste 502                                                                         Naik, Rajiv M. MD
PRIMARY CARE PHYSICIANS - WI

                                                                                              Gundersen Lutheran              Pediatrics Nurse Practitioner
                               24/7                           Holmen, WI 54636-7301           Medical Center La Crosse
                                                              (608) 399-3091                                                                                  Pediatrics Nurse Practitioner
                               Family Medicine Physician                                      1836 South Ave                  Harwell, Megan E. APNP
                                                              Hours                           La Crosse, WI 54601                                             Balder-Schroeder, Mary B.
                               Assistant                      Monday thru Thursday, 8 am -                                            ONALASKA
                                                                                              (800) 362-9567                                                  APNP
                               DeMuth, Chelsea L. PA          6 pm, Friday, 8 am - 4 pm       Hours                                        Clinics            Harwell, Megan E. APNP
                                                              Family Medicine                 Monday thru Friday, 8 am - 5                                    Johnson, Catherine C. APNP
                               Obstetrics & Gynecology
                                                                                              pm                              Gundersen Lutheran
                               Bujewski, Steven J. MD         Hardy, Kimberly J. MD*          (Please contact individual      Medical Center Onalaska             Marquette County
                                                              Sutton, Daniel M. MD            department directly for         3111 Gundersen Dr                      WESTFIELD
                                    Jefferson County                                          specific hours.)                Onalaska, WI 54650-8447
                                                                      LA CROSSE                                               (800) 362-9567
                                   FORT ATKINSON                                              URGENT CARE: Monday                                                          Clinics
                                                                           Clinics            thru Sunday, 7 am - 11 pm       Hours
                                          Clinics                                                                             Monday thru Friday, 8am -       Gundersen Moundview
                                                              Gundersen Lutheran              Family Medicine                 5pm, Urgent Care Hours:         Hospital and Clinics -
                               UW Health - Fort Atkinson      Medical Center East             Kamps-Schmitt, Kara A. MD       Monday thru Friday, 7am -       Westfield
                               Clinic                         Building                        Landdeck, Daniel S. MD          9pm, Saturday, Sunday &         207 N Pioneer Park Rd
                               1620 Mehta Ln                  724 Denton St                                                   Holidays, 9am - 5pm             Westfield, WI 53964
                               Fort Atkinson, WI 53538        La Crosse, WI 54601-5447        Family Medicine Nurse                                           (608) 296-6350
                               (920) 563-5544                 (800) 362-9567                  Practitioner                    Family Medicine                 Hours
                               Hours                          Hours                                                           Bahr, Kelley A. MD*             Monday, Tuesday, Thursday
                                                                                              McKeeth, Alyssa M. APNP
                               Monday thru Friday, 8 am - 5   Monday thru Friday, 8 am - 5                                    Cheung, Winnie DO               & Friday, 7:45 am - 5:30 pm
                               pm                             pm                              General Internal Medicine       Coyne, Kimberly M. MD*          Family Medicine Nurse
                               Family Medicine                Family Medicine                 Bassing, Mary C. MD             Escher, Scott A. MD*            Practitioner
                                                                                              Baumgart, James R. DO           Gerig, Julie R. MD*
                               Brantmeier, Scott J. DO* ¥     Klas, Paul T. MD*                                               Hoffman, Donna L. MD*           Dilley, Bronwyn L. APNP ¥
                                                                                              Bleidorn, David F. MD
                               McGuire, Jeffrey P. MD* ¥                                      Burnet, Joel A. DO              Marchiando, Laura K. MD*
                               Meyer, Shauna J. MD*           Gundersen Lutheran                                              Strain, Amy L. MD
                                                                                                                                                                    Monroe County
                                                              Medical Center Founders         Cogbill, Elizabeth A. MD*
                                                                                              Conzemius, John J. MD           Thurman, Chad M. MD* ¥                       SPARTA
                                       Juneau County          Building                                                        Wenrich, Devin S. MD
                                                              710 Denton St                   Crissler Belanger, Mary J. MD
                                          ELROY                                               Dolan, Emily C. MD              Werner, Heidi R. MD                          Clinics
                                                              La Crosse, WI 54601-5447
                                                              (800) 362-9567                  Dolan, Michael J. MD*           Family Medicine Nurse           Gundersen Sparta Clinic
                                          Clinics             Hours                           Ecklund, Daniel J. MD*          Practitioner                    1111 W Wisconsin St
                                                              Monday thru Friday, 8 am - 5    Lee, Kyla R. MD*                                                Sparta, WI 54656
                               Gundersen St. Joseph's                                                                         Langer, Jada C. APNP
                                                              pm                              Leece, Thomas C. MD                                             (608) 269-6731
                               Hospital and Clinics - Elroy                                                                   Roepke, Lisa L. FNP
                                                                                              Marinier, Tiffany J. DO                                         Hours
                               1705 Omaha St                  Family Medicine                                                 Stahl, Barry J. APNP
                                                                                              Miller, Christine D. MD                                         Monday thru Friday, 7:30 am -
                               Elroy, WI 53929                                                                                Veldboom, Brea C. FNP
                                                              Allred, Heidi B. MD             Patro, Pragyan MD                                               5 pm
                               (608) 462-4116
                                                              Borge, Robyn A. MD*             Rayhan, Kazi Z. MD              Family Medicine Physician
                               Hours                                                                                                                          Family Medicine
                                                              Brown, Sarah E. MD              Reed, Bryan W. DO               Assistant
                               Monday thru Friday, 8 am -
                                                              Cayasso, Richard A. MD*         Romeyn, Joan P. MD
                               4:30 pm                                                                                        Almonroeder, Sarah R. PA        April, Zachary C. DO
                                                              Hardy, Kimberly J. MD*          Sieck, Sandra A. MD
                                                                                                                                                              Landdeck, Daniel S. MD
                               Family Medicine                Klas, Paul T. MD*               Strosahl, Amanda L. MD*         General Internal Medicine       Tookey, Christopher J. MD
                                                              Lansing, Kimberly M. MD*        Udell, John L. MD ¥
                               O'Rourke, Katherine A. DO                                      Webster, Margaret E. MD*        Herath, John F. MD*             Family Medicine Nurse
                               Shoskey, Richard H. MD         Martis, Teague A. MD
                                                              Strong, Brandi C. MD            Wright, Travis G. DO            King, Teresa A. MD              Practitioner
                               Family Medicine Physician      Thurman, Chad M. MD ¥           Zaky, Mary A. MD                Marinier, Tiffany J. DO
                                                                                                                              Munn, James H. MD*              Revels, Melissa R. NP
                               Assistant                      Waniger, Ricky J. MD*           General Internal Medicine
                                                              Yew, Kenneth S. MD                                              Naik, Sarah S. MD*              Family Medicine Physician
                               Wojtowicz, Travis J. PA                                        Nurse Practitioner              Reed, Bryan W. DO
                                                              Zivney, Aaron J. DO                                                                             Assistant
                                        WONEWOC                                               Horstman, Lisa A. APNP          Solum, Melanie M. MD*
                                                              Family Medicine Nurse           Miller, Michaela A. APNP        Veglahn, Lisa A. MD             Adams, Carmen A. PA
                                          Clinics             Practitioner                    Simon, Mary L. FNP*             Wissink, Stephen C. MD          General Internal Medicine
                               Gundersen St. Joseph's         Sullivan, Wendy K. APNP         General Internal Medicine       General Internal Medicine       Fehrenbacher, Kelly J. MD
                               Hospital and Clinics -         Family Medicine Physician       Physician Assistant             Nurse Practitioner
                               Wonewoc                                                                                                                        Geriatrics
                                                              Assistant                       Drea, Jaklyn K. PA              Germain, Kathleen L. APNP
                               301 Railroad Rd                                                                                Jahnke, Deborah J. NP           Fehrenbacher, Kelly J. MD
                                                              Bluske, Kathryn A. PA           Groves, Amber M. PA
                               Wonewoc, WI 53968                                                                              Wilson, Catherine E. APNP
                                                              McGettigan, Kallie A. PA        Keehner, Rachel B. PA*                                                       TOMAH
                               (608) 464-3575
                               Hours                          Pediatrics                      Geriatrics                      General Internal Medicine
                                                                                                                              Physician Assistant                          Clinics
                               Monday thru Friday, 8 am -
                               4:30 pm                        Castro, Alejandro MD            Romeyn, Joan P. MD
                                                                                                                              Shimshak, Jennifer S. PA*       Gundersen Tomah Clinic
                                                              Gerhard, David G. MD            Obstetrics & Gynecology                                         505 Gopher Dr
                               Family Medicine Nurse          Gutowski, Erin M. MD                                            Spindler, Jessica L. PA
                               Practitioner                                                   Nurse Practitioner                                              Tomah, WI 54660
                                                              Howell, Kelly D. MD                                             Obstetrics & Gynecology         (608) 372-4111
                               Thompson, Jessica A. FNP       Klevan, Judy L. MD              Ribbel, Jeannie W. APNP         Physician Assistant             Hours
                                                              Kleven, Jennifer E. MD*         Obstetrics & Gynecology                                         Monday thru Friday, 7 am -
                                   La Crosse County           Manson, Steven R. MD                                            Hoffmann, Stacie L. PA
                                                                                              Physician Assistant             Peterson, Jaime M. PA ¥         5:30 pm
                                                              Randall, Stephen J. MD
                                         HOLMEN               Weber, Lori S. MD               Kozelka, Katelyn N. PA                                          Family Medicine
                                                                                                                              Pediatrics
                                          Clinics             Wickre, Stephanie A. MD         Nevsimal, Sarah J. PA
                                                                                                                              Grube, Casandra L. DO           Del Olmo, Montserrat S. MD
                                                              Pediatrics Nurse Practitioner   Pediatrics                      Hansen, Elizabeth R. MD         Jacobsen, Christine E. MD
                               Gundersen Holmen Clinic                                                                                                        Kamps-Schmitt, Kara A. MD
                                                              Duga, Linn M. APNP              Jedele, Kerry B. MD             Hilt, Torey L. MD
                                                                                                                              Jackson, Anna J. MD             Kline, Robb E. MD
                                                              Sackman, Emily A. APNP          Knox, Samantha M. MD                                            Lofgren, David J. MD*
                               Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document                                          6
PRIMARY CARE PHYSICIANS
McMullen, Jill P. MD*          Whitehall

                                                                                                                            PRIMARY CARE PHYSICIANS - WI
                               18606 Ervin St
Family Medicine Nurse          Whitehall, WI 54773
Practitioner                   (715) 538-4355
Gilman, Kayla J. APNP          Hours
Robarge, Rachel A. APNP        Monday thru Friday, 8 am -
Tate, Kimberly A. FNP          4:30 pm
General Internal Medicine      Family Medicine
Erdman, Rick A. MD             Breidenbach, Kimberly B. MD
                               Klomps-McClung, Megan M.
Pediatrics                     DO
Hodgson-Kline, Kelly E. MD     Minnaert, Natasha R. DO

   Trempealeau County          Family Medicine Nurse
                               Practitioner
             BLAIR             Boe, Kathy A. APNP
             Clinics           Mudgett, Tanya R. APNP
                               Trim, Vanessa L. APNP
Gundersen Tri-County
                               Family Medicine Physician
Hospital and Clinics - Blair
                               Assistant
420 S Peterson Ave
Blair, WI 54616                House, Angela E. PA
(608) 989-2505
Hours                                Vernon County
Tuesday, 7:45 am - 4:30 pm,
Wednesday thru Friday, 7:45            HILLSBORO
am - 5:30 pm                              Clinics
Family Medicine                Gundersen St. Joseph's
Breidenbach, Kimberly B. MD    Hospital and Clinics -
Klomps-McClung, Megan M.       Hillsboro
DO                             400 Water Ave Po Box 527
Lofgren, David J. MD           Hillsboro, WI 54634
                               (608) 489-8280
Family Medicine Nurse          Hours
Practitioner                   Monday thru Friday, 8 am - 5
Schank, Christina A. APNP      pm, Saturday, 8 am - 12 pm

       GALESVILLE              Family Medicine

             Clinics           Meyer, Zachary S. MD
                               Family Medicine Nurse
Gundersen Galesville Clinic    Practitioner
16812 S Main St
Galesville, WI 54630-7704      Gardner, Michelle L. ARNP
(608) 582-2025                 Hellerude-Borchardt, Susan
Hours                          M. FNP
Monday thru Friday, 8 am -
4:30 pm                                 VIROQUA

Family Medicine Physician                 Clinics
Assistant                      Gundersen Viroqua Clinic
Sorenson, Jennifer E. PA       407 S Main St, Ste 200
                               Viroqua, WI 54665-2100
     INDEPENDENCE              (608) 637-3195
             Clinics           Hours
                               Monday thru Friday, 8 am - 5
Gundersen Tri-County           pm
Hospital and Clinics -         Family Medicine
Independence
35791 Osseo Rd                 Bassett, Rachel M. MD
Independence, WI 54747         Feltes, James R. MD
(715) 985-2351                 Kalinosky, Michael A. DO
Hours                          Long, Richard E. MD
Monday thru Friday, 8 am -     Porter, John C. DO
4:30 pm                        Redmer, Jacqueline S. MD
                               White, Elizabeth V. MD
Family Medicine Physician
Assistant                      Family Medicine Nurse
                               Practitioner
House, Angela E. PA
                               Hoff, Candace E. APNP
       WHITEHALL               Mlsna, Susanne R. APNP ¥
             Clinics
Gundersen Tri-County
Hospital and Clinics -
Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document   7
PRIMARY CARE PHYSICIANS
                                   Allamakee County                   WEST UNION
PRIMARY CARE PHYSICIANS - IA

                                        LANSING                           Clinics

                                          Clinics              Gundersen Palmer Lutheran
                                                               Hospital and Clinics - West
                               Gundersen Lansing Clinic        Union
                               50 N 4th St PO Box 540          110 Jefferson St
                               Lansing, IA 52151-0540          West Union, IA 52175-1022
                               (563) 538-4874                  (563) 422-3817
                               Hours                           Hours
                               Monday thru Thursday, 8 am -    Monday, Wednesday,
                               5 pm                            Thursday & Friday, 8 am - 5
                               Family Medicine                 pm, Tuesday, 8 am - 8 pm

                               Barbee, Nicole L. MD            Family Medicine

                               Family Medicine Nurse           Crookston, Carina J. MD
                               Practitioner                    Zuercher, Geralyn R. MD

                               Krause-Wagner, Erica J. FNP     Family Medicine Nurse
                                                               Practitioner
                                      POSTVILLE
                                                               Begalske, Krista R. ARNP
                                          Clinics              Loban, Jessica A. ARNP

                               Gundersen Palmer Lutheran       Family Medicine Physician
                               Hospital and Clinics -          Assistant
                               Postville                       Connelly, Darcy H. PA*
                               111 S Reynolds St PO Box
                               830                                 Winneshiek County
                               Postville, IA 52162-0830
                               (563) 864-7512                           CALMAR
                               Hours                                      Clinics
                               Monday, Wednesday,
                               Thursday & Friday, 8 am - 5     Gundersen Calmar Clinic
                               pm, Tuesday, 8 am - 8 pm        106 E Main St PO Box 538
                               Family Medicine                 Calmar, IA 52132-7743
                                                               (563) 562-3211
                               Lederman, Mordechai D. DO       Hours
                               Zuercher, Geralyn R. MD         Monday thru Thursday, 8 am -
                                                               5 pm, Friday, 8 am - 4 pm
                                        WAUKON
                                                               Family Medicine Nurse
                                          Clinics              Practitioner
                               Gundersen Waukon Clinic         Cenek, Stephanie L. ARNP
                               120 2nd Ave SE                  Meyer, Melissa M. APNP
                               Waukon, IA 52172-2073
                               (563) 568-3000                           DECORAH
                               Hours                                      Clinics
                               Monday thru Friday, 7:15 am -
                               4:30 pm                         Gundersen Decorah Clinic
                               Family Medicine                 1830 State Hwy 9
                                                               Decorah, IA 52101-7301
                               Barbee, Nicole L. MD            (563) 382-3140
                                                               Hours
                                     Fayette County            Monday thru Thursday, 7:30
                                        FAYETTE                am - 6 pm, Friday, 7:30 am - 5
                                                               pm, Saturday, 8 am - 12 pm
                                          Clinics              Family Medicine
                               Gundersen Palmer Lutheran       Abbas, Elizabeth L. DO
                               Hospital and Clinics -          Coppola, Anthony M. DO
                               Fayette                         Nelson, Catherine A. DO
                               110 King St PO Box 157          Ryan, Janet S. MD
                               Fayette, IA 52142-9735          Schilling, Sherri K. MD
                               (563) 425-3381                  Swanson, Kurt A. DO
                               Hours                           Thompson, Matthew R. DO
                               Monday, Tuesday, Wednesday      Wientzen, Daniel S. DO
                               & Friday, 8 am - 5 pm,
                               Thursday, 8 am - 12 pm          Family Medicine Nurse
                                                               Practitioner
                               Family Medicine
                                                               Bakewell, Danielle J. FNP
                               Zuercher, Geralyn R. MD         Meyer, Melissa M. APNP
                               Family Medicine Nurse
                               Practitioner
                               Zitelman, Chelsey E. FNP

                               Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document   8
PRIMARY CARE PHYSICIANS
     Fillmore County            Tjossem, Gregory N. MD          Rider, Vivian R. MD

                                                                                                                            PRIMARY CARE PHYSICIANS - MN
        HARMONY                 Family Medicine Nurse           Pediatrics Nurse Practitioner
                                Practitioner
                                                                Hebl Garcia, Kelly R. APNP
           Clinics
                                Fuhrmann, Melissa A. FNP
Gundersen Harmony Clinic        Zeien, Joelle C. CNP
805 Main Ave S
                                     Wabasha County             Primary Care Physicians = 570
Harmony, MN 55939-6625
(507) 886-8888                          WABASHA
Hours
Monday thru Friday, 7:30 am -                Clinics
4:30 pm
                                Gundersen St. Elizabeth's
Family Medicine                 Hospital and Clinics
Berg, Randi K. MD               Wabasha
                                1200 Grant Blvd W
     Houston County             Wabasha, MN 55981-1042
                                (651) 565-5600
        HOUSTON                 Hours
                                Monday thru Friday, 8 am - 5
           Clinics              pm
Gundersen Houston Clinic        Family Medicine
511 E Maple St
Houston, MN 55943-9219          Spano, Dennis C. MD ¥
(507) 896-6000                  Family Medicine Nurse
Hours                           Practitioner
Monday thru Friday, 8 am -
4:30 pm                         Dascher, Kayla D. CNP ¥
                                Lindstrom, Angela R. APNP ¥
Family Medicine                 Nelson, Rebecca S. APNP ¥
Gerhard, Carrie L. MD           Staff, Sarah J. APNP ¥
                                Wagner, Matthew P. APNP ¥
Family Medicine Nurse           Xie, Zhonghua APNP ¥
Practitioner
                                Family Medicine Physician
Piper, Anne K. CNP              Assistant
Seekamp, Kessa LM. APNP
                                Spindler-Ebensperger, Lynn T.
      LA CRESCENT               PA ¥
           Clinics              General Internal Medicine
Gundersen La Crescent           Cierzan, John J. MD ¥
Clinic
226 N 2nd St                          Winona County
La Crescent, MN 55947                    WINONA
(507) 895-6610
Hours                              Clinics - Specialty Care
Monday thru Friday, 7:30 am -
4:30 pm                         Gundersen Lutheran
                                Medical Center - Winona
Family Medicine                 Campus
Gerhard, Carrie L. MD           1122 W Hwy 61
Sparks, Victoria A. MD          Winona, MN 55987
                                (507) 615-0600
Family Medicine Nurse           Hours
Practitioner                    Monday thru Friday, 9 am - 5
Meinertz, Rebecca M. APNP       pm
Nutter, Lisa M. FNP             Family Medicine
Seekamp, Kessa LM. APNP
                                Hatanpa, Deborah A. MD
General Internal Medicine       Knight, Jonathan E. DO
Undeland, Duane K. MD           Family Medicine Physician
                                Assistant
     SPRING GROVE
                                Anthony, Katy S. PA
           Clinics
                                General Internal Medicine
Gundersen Spring Grove          Physician Assistant
Clinic
123 5th Ave Southeast           Klaben, Joy M. PA
Spring Grove, MN                Obstetrics & Gynecology
55974-1318                      Physician Assistant
(507) 498-3302
Hours                           Nevsimal, Sarah J. PA
Monday thru Friday, 7:30 am -   Peterson, Jaime M. PA ¥
4:30 pm
                                Pediatrics
Family Medicine
Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document   9
HOSPITALS

                  Non-emergency hospitalizations – Quartz must give okay ahead of time. Your provider needs to submit a prior authorization request to Quartz Medical
                  Management.

                  Please contact Quartz Customer Service at (800) 805-0693 or through MyChart at QuartzMyChart.com if you have questions about prior authorization or your
                  Quartz health plan coverage.

                  Non-emergency Behavioral Health Hospitalizations – Quartz must give okay ahead of time. Your behavioral health provider should contact Quartz Behavioral
                  Health Care Management at (800) 683-2300 for assistance with this prior authorization process.

                  Services from inpatient or residential alcohol and other drug abuse (AODA) and behavioral health facilities and clinics also require Quartz’s okay ahead of time.
                  Contact Behavioral Health Care Management at (800) 683-2300 for prior authorization.

                       Adams County               Hours
                                                  URGENT CARE: Monday
                        FRIENDSHIP                thru Friday, 5 pm - 9 pm,
                                                  Saturday, Sunday & Holidays,
                           Hospital               9 am - 4 pm
                 Gundersen Moundview                    PLATTEVILLE
                 Hospital and Clinics
                 402 W Lake St                               Hospital
                 Friendship, WI 53934
                                                  Southwest Health Center
                 (608) 339-3331
                                                  1400 Eastside Rd
                 Hours
                                                  Platteville, WI 53818-9800
                 24/7
                                                  (608) 348-2331
                        Dane County               Hours
                                                  24/7
                         MADISON
                                                       La Crosse County
                           Hospital
                                                          LA CROSSE
                 UnityPoint Health - Meriter
                 Hospital                                    Hospital
HOSPITALS - WI

                 202 S Park St
                                                  Gundersen Lutheran
                 Madison, WI 53715-1507
                                                  Medical Center, Inc.
                 (608) 417-5695
                                                  1910 South Ave
                 Hours
                                                  La Crosse, WI 54601-5467
                 24/7
                                                  (800) 362-9567
                 UW Health American               Hours
                 Family Children's Hospital       24/7
                 1675 Highland Ave                Lactation Consultant Services
                 Madison, WI 53792                Available
                 (608) 890-5437
                 Hours                               Trempealeau County
                 24/7                                    WHITEHALL
                 UW Health at The American
                                                             Hospital
                 Center
                 4602 Eastpark Blvd               Gundersen Tri-County
                 Madison, WI 53718                Hospital and Clinics
                 (608) 440-6400                   18601 Lincoln St
                 Hours                            Whitehall, WI 54773-0065
                 24/7                             (715) 538-4361
                 UW Health-University             Hours
                 Hospital                         URGENT CARE: Monday
                 600 Highland Ave                 thru Friday, 5 pm - 9 pm,
                 Madison, WI 53792                Saturday & Sunday, 9 am - 5
                 (608) 263-6400                   pm
                 Hours                                  Vernon County
                 24/7
                                                          HILLSBORO
                        Grant County
                                                             Hospital
                         BOSCOBEL
                                                  Gundersen St. Joseph's
                           Hospital               Hospital and Clinics
                 Gundersen Boscobel               400 Water Ave PO Box 527
                 Hospital and Clinics             Hillsboro, WI 54634-0527
                 205 Parker St                    (608) 489-8000
                 Boscobel, WI 53805               Hours
                 (608) 375-4112                   Urgent Care: Monday thru
                                                  Friday, 4 pm - 8 pm, Saturday
                                                  & Sunday, 2 pm - 8 pm

                 Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document                                                10
HOSPITALS
      Fayette County
       WEST UNION
          Hospital
Gundersen Palmer Lutheran
Hospital and Clinics
112 Jefferson St
West Union, IA 52175
(563) 422-3811
Hours
24/7

                                                                                                                             HOSPITALS - IA

Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document   11
HOSPITALS
                      Wabasha County
                         WABASHA
                           Hospital
                 Gundersen St. Elizabeth's
                 Hospital and Clinics
                 1200 Grant Blvd W
                 Wabasha, MN 55981-1042
                 (651) 565-4531
                 Hours
                 24/7

                 Hospitals = 12
HOSPITALS - MN

                 Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document   12
SURGERY CENTER

 Quartz must give okay ahead of time. Your provider needs to submit a prior authorization request to Quartz Medical Management.

 Please contact Quartz Customer Service at (800) 805-0693 or through MyChart at QuartzMyChart.com if you have questions about prior authorization or your
 Quartz health plan coverage.

       Dane County
         MADISON
 Ambulatory Surgery Center
Madison Surgery Center
1 S Park St
Madison, WI 53715
(608) 287-2200
Hours
Monday thru Friday, 6 am -
5:30 pm
       MIDDLETON
 Ambulatory Surgery Center
UW Health Transformations
Surgery Center
2349 Deming Way
Middleton, WI 53562
(608) 836-9990
Hours
Monday & Wednesday, 8 am -
7 pm, Tuesday, Thursday,
Friday, 8 am - 5 pm

Surgery Center = 2

                                                                                                                                                                 SURGERY CENTER - WI

Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document                                       13
URGENT CARE

                    Urgent care is care you need sooner than a routine doctor’s visit, but it is not emergency care.

                    If you go to an out of network Urgent Care or Emergency facility, call Quartz at (800) 805-0693 as soon as you can to tell us what happened.
URGENT CARE - WI

                    Please contact Quartz Customer Service at (800) 805-0693 or through MyChart at QuartzMyChart.com if you have questions about your Quartz health plan
                    coverage.

                         Adams County                                                  Care
                                                              Urgent Care              18601 Lincoln St
                          FRIENDSHIP                                                   Whitehall, WI 54773-0065
                                                    Southwest Health Center
                                                                                       (715) 538-4361
                           Urgent Care              Urgent Care
                                                                                       Hours
                                                    1400 Eastside Rd
                   Gundersen Moundview                                                 Monday thru Friday, 5 pm - 9
                                                    Platteville, WI 53818
                   Hospital and Clinics -                                              pm, Saturday, Sunday &
                                                    (608) 348-2331
                   Emergency and Urgent Care                                           Holidays, 9 am - 5 pm
                                                    Hours
                   402 W Lake St                    Monday thru Friday, 5 pm - 10             Vernon County
                   Friendship, WI 53934             pm, Saturday & Sunday, 8 am
                   (608) 339-3331                   - 10 pm                                    HILLSBORO
                   Hours
                   Monday thru Friday, 5 pm - 9           La Crosse County                       Urgent Care
                   pm, Saturday & Sunday, 9 am
                                                             LA CROSSE                 Gundersen St. Joseph's
                   - 2 pm, Holidays, 9 am - 9
                                                                                       Hospital Urgent Care Clinic
                   pm, when family clinics are                Urgent Care              400 Water Ave
                   closed
                                                                                       Hillsboro, WI 54634-0527
                                                    Gundersen ExpressCare - La
                          Dane County                                                  (608) 489-2211
                                                    Crosse
                                                                                       Hours
                            MADISON                 2500 State Rd # 33
                                                                                       Monday thru Friday, 4 pm - 10
                                                    La Crosse, WI 54601-5098
                                                                                       pm, Saturday, 12 pm - 8 pm,
                           Urgent Care              (608) 775-5858
                                                                                       Sunday, 10 am - 8 pm
                                                    Hours
                   UnityPoint Health - Meriter      Monday thru Friday, 8 am -
                   - After Hours Clinic             6:30 pm, Saturday, 8 am - 4:30
                   202 S Park St 2 Atrium           pm, Sunday, 9 am - 3:30 pm
                   Madison, WI 53715
                   (608) 417-5695                   Gundersen Lutheran
                   Hours                            Medical Center La Crosse
                   Saturday & Sunday, 8:30 am -     Urgent Care
                   4:30 pm                          1910 South Ave
                                                    La Crosse, WI 54601-5467
                   UW Health - Union Corners        (608) 775-2192
                   Urgent Care                      Hours
                   2402 Winnebago St                Monday thru Sunday, 7 am -
                   Madison, WI 53704                11 pm
                   (608) 242-6855
                   Hours                                     ONALASKA
                   Monday thru Friday, 9 am - 9               Urgent Care
                   pm, Saturday & Sunday, 9 am
                   - 5 pm                           Gundersen ExpressCare -
                   UW Health - West Towne           Onalaska
                   Clinic Urgent Care               1260 Crossing Meadows Dr
                   7102 Mineral Point Rd            Onalaska, WI 54650-8666
                   Madison, WI 53717                (608) 775-5858
                   (608) 828-7603                   Hours
                   Hours                            Monday thru Friday, 8 am -
                   Monday thru Friday, 9 am - 9     6:30 pm, Saturday, 8 am - 4:30
                   pm, Saturday & Sunday, 9 am      pm, Sunday, 9 am - 3:30 pm
                   - 5 pm                           Gundersen Lutheran
                                                    Medical Center Onalaska
                          Grant County              Urgent Care
                           BOSCOBEL                 3111 Gundersen Dr
                                                    Onalaska, WI 54650-8447
                           Urgent Care              (608) 775-8650
                                                    Hours
                   Gundersen Boscobel               Monday thru Friday, 7 am - 9
                   Hospital and Clinics Urgent      pm, Weekends & Holidays, 9
                   Care                             am - 5 pm
                   205 Parker St
                   Boscobel, WI 53805                   Trempealeau County
                   (608) 375-4112
                   Hours                                    WHITEHALL
                   Monday thru Friday, 6 am - 8               Urgent Care
                   am & 5 pm - 9 pm, Saturday &
                   Sunday, 9 am - 4 pm            Gundersen Tri-County
                         PLATTEVILLE              Hospital and Clinics Urgent
                   Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document                                   14
URGENT CARE
      Winona County
         WINONA

                                                                                                                             URGENT CARE - MN
        Urgent Care
Gundersen Lutheran
Medical Center Winona
Urgent Care
1122 W Hwy 61
Winona, MN 55987
(507) 615-0600
Hours
Monday thru Friday, 9 am - 5
pm

Urgent Care = 13

Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document   15
NURSING HOMES

                      Quartz must give okay ahead of time. Your provider needs to submit a prior authorization request to Quartz.

                      Please contact Quartz Customer Service at (800) 805-0693 or through MyChart at QuartzMyChart.com if you have questions about prior authorization or your
                      Quartz health plan coverage.

                        Trempealeau County
                            WHITEHALL
                            Nursing Home
                     Gundersen Tri-County Care
                     Center
                     18601 Lincoln St
                     Whitehall, WI 54773
                     (715) 538-4361
                     Hours
                     Monday thru Friday, 8 am -
                     4:30 pm
NURSING HOMES - WI

                     Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document                                       16
NURSING HOMES
     Fillmore County
        HARMONY
       Nursing Home
Gundersen Harmony Care
Center
815 Main Ave S
Harmony, MN 55939
(507) 886-6544
Hours
Monday thru Friday, 8 am -
4:30 pm
     Wabasha County
        WABASHA
       Nursing Home
Gundersen St. Elizabeth's
Care Center
626 Shields Ave
Wabasha, MN 55981
(651) 565-4581
Hours
24/7

Nursing Homes = 3

                                                                                                                             NURSING HOMES - MN

Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document   17
OTHER PLAN PROVIDERS

                             If you have questions about your Quartz health plan coverage or want to know if a service, item or supply requires prior authorization, please contact Quartz
                             Customer Service at (800) 805-0693 or through MyChart at QuartzMyChart.com.

                             Non-emergency Behavioral Health Hospitalizations – Quartz must give okay ahead of time. Your behavioral health provider should contact Quartz Behavioral
                             Health Care Management at (800) 683-2300 for assistance with this prior authorization process.

                             Services from inpatient or residential alcohol and other drug abuse (AODA) and behavioral health facilities and clinics also require Quartz’s okay ahead of time.
                             Contact Behavioral Health Care Management at (800) 683-2300 for prior authorization.

                             Outpatient Behavioral Health
                             Behavioral health services (except for standard outpatient sessions with an in-network provider), for alcohol and other drug abuse (AODA) and behavioral health
                             facilities and clinics require Quartz’s okay ahead of time. Contact Behavioral Health Care Management at (800) 683-2300 for prior authorization.

                                                             1145 W Main Ave, Ste 205          1210 W 4th St, Ste A             Hours                             Hours
                                  Adams County               DePere, WI 54115-1698             Neillsville, WI 54456            24/7                              Monday thru Friday, 8 am - 5
                                   FRIENDSHIP                (920) 336-6455                    (866) 591-5073                                                     pm
                                                             Hours                             Hours                                        Clinics
                                                             Monday thru Friday, 8 am - 5      Monday thru Friday, 8 am - 5                                       Lincare, Inc. - Madison
                            Durable Medical Equipment                                                                           UW Health - West Towne
                                                             pm                                pm                                                                 2217 S Stoughton Rd
                                                                                                                                Clinic                            Madison, WI 53716
                            Phillips Roche-A-Cri
                                                                     GREEN BAY                      Columbia County             7102 Mineral Point Rd             (608) 221-5260
                            Pharmacy, Inc. - Durable
                                                                                                                                Madison, WI 53717                 Hours
                            Medical Equipment
                                                                Clinics - Specialty Care                PORTAGE                 (608) 828-7676                    Monday thru Friday, 8 am - 5
                            402 W Lake St
                                                                                                                                Hours                             pm, Saturday & Sunday On
                            Friendship, WI 53934             UW Health Regional                Durable Medical Equipment        Monday thru Friday, 8 am -        Call
                            (608) 339-9080                   Specialty Services - St.                                           4:30 pm
                            Hours                            Vincent Hospital                  Wilz Drug, Inc.                                                    National Seating And
                            Monday thru Friday 9 am - 1      835 S Van Buren                   140 E Cook St                        Clinics - Specialty Care      Mobility, Inc. - Madison
                            pm & 1:30 pm - 6 pm,             Green Bay, WI 54301               Portage, WI 53901                                                  4493 Robertson Rd
                            Saturday 9 am - 12 pm            (920) 433-8559                    (608) 742-3545                   UnityPoint Health - Meriter
                                                                                                                                - Center for Perinatal Care       Madison, WI 53714
                                                             Hours                             Hours                                                              (800) 213-8994
                                 Ashland County              Monday thru Friday, 8 am - 5      Monday thru Friday, 8 am - 6     202 S Park St
                                                                                                                                Madison, WI 53715-1507            Hours
                                    ASHLAND                  pm                                pm & Saturday, 8 am - 3 pm                                         Monday thru Friday, 7:30 am -
                                                                                                                                (608) 417-6667
                                                              Durable Medical Equipment             Crawford County             Hours                             4 pm
                            Durable Medical Equipment
                                                                                                                                Monday thru Friday, 8 am - 5      NPS Foot Health, LLC -
                            Home Medical Products and        Apria Healthcare, L.L.C. -           PRAIRIE DU CHIEN              pm                                Madison
                            Services - Ashland               Green Bay                                                                                            1334 Applegate Rd Ste 200
                                                             2980 Voyager Dr                        Renal Dialysis Unit         UnityPoint Health - Meriter
                            1601 Beaser Ave                                                                                     - Palliative Care                 Madison, WI 53713
                            Ashland, WI 54806                Green Bay, WI 54311-8300                                                                             (608) 255-3500
                                                                                               Gundersen Lutheran               202 S Park St
                            (715) 682-9500                   (920) 469-4800                                                                                       Hours
                                                                                               Dialysis - Prairie du Chien      Madison, WI 53715
                            Hours                            Hours                                                                                                By Appointment
                                                                                               Memorial                         (608) 417-6667
                            Monday thru Friday, 8 am - 5     Monday thru Friday, 8 am - 5
                                                                                               610 E Taylor St                  Hours
                            pm                               pm                                                                                                   SSM Health at Home
                                                                                               Prairie du Chien, WI             By Appointment                    Medical Equipment -
                                                             Bayside Home Medical -            53821-2109
                                  Barron County                                                                                 UnityPoint Health - Meriter       Madison
                                                             Green Bay                         (608) 326-3325
                                                                                                                                - Palliative Care                 4639 Hammersley Rd
                                    RICE LAKE                2476 Oneida St Ste 120            Hours
                                                                                                                                202 S Park St                     Madison, WI 53711
                                                             Green Bay, WI 54304               Monday, Wednesday &
                                                                                                                                Madison, WI 53715                 (608) 276-3420
                            Durable Medical Equipment        (920) 965-8303                    Friday, 6 am - 4:30 pm
                                                                                                                                (608) 417-6000                    Hours
                                                             Hours                                                                                                Monday thru Friday, 8 am - 5
                            Apria Healthcare, L.L.C -        By Appointment                            Dane County
                            Rice Lake                                                                                           UW Health - University            pm
                            2021 Kern Ave                    Lincare, Inc. - Green Bay                  MADISON                 Hospital - Ambulatory
                                                                                                                                Health Psychology                 University Hospital DME -
                            Rice Lake, WI 54868-3009         975 Parkview Rd, Ste 1                                                                               Highland
                                                                                                Behavioral Health Inpatient     600 Highland Ave
                            (715) 234-6961                   Green Bay, WI 54304                                                                                  600 Highland Ave
                            Hours                            (920) 339-5258                    UnityPoint Health - Meriter      Madison, WI 53792
                                                                                                                                (608) 233-3575                    Madison, WI 53792
                            Monday thru Friday, 8 am - 5     Hours                             - Adult Psychiatry                                                 (608) 263-6400
                            pm                               Monday thru Friday, 8 am - 5      202 S Park St 1 E                Hours
                                                                                                                                By Appointment                    Hours
                                                             pm                                Madison, WI 53715-1507                                             Monday thru Friday, 8 am -
                            Home Medical Products and
                                                                     Home Health               (608) 417-5330                   UW Health Wisconsin               4:30 pm
                            Services - Rice Lake
OTHER PLAN PROVIDERS - WI

                                                                                               Hours                            Institute for Medical
                            1590 Macauley Ave                                                                                                                     UW Health at The American
                                                             Bellin Home Health Agency         24/7                             Research
                            Rice Lake, WI 54868                                                                                                                   Center - Orthotics
                            (715) 234-5000                   1920 Libal St                                                      1111 Highland Ave
                                                                                               UnityPoint Health - Meriter                                        4602 Eastpark Blvd
                            Hours                            Green Bay, WI 54301                                                Madison, WI 53705
                                                                                               - Child & Adolescent                                               Madison, WI 53718
                            Monday thru Friday, 8 am - 5     (920) 432-5434                                                     (608) 265-8231
                                                                                               Psychiatry                                                         (608) 440-6400
                            pm                               Hours                                                              Hours
                                                                                               8102 Wellness Way                                                  Hours
                                                             Monday thru Friday, 8 am - 5                                       Monday thru Friday, 8 am - 5
                                                                                               Madison, WI 53719                                                  Monday thru Friday, 8 am -
                                  Brown County               pm                                                                 pm
                                                                                               (608) 417-8777                                                     4:30 pm
                                     DEPERE                         Clark County               Hours                             Durable Medical Equipment
                                                                                               24/7                                                               UW Health Care Direct -
                                    Home Health                     NEILLSVILLE                                                 Insight Oculars, LLC              DME - East Terrace Drive
                                                                                            University Hospital -               258 Corporate Dr, Ste 213         5249 E Terrace Dr Room 1201
                            Heartland Home Health                    Home Health            Behavioral Health Inpatient         Madison, WI 53714                 Madison, WI 53718
                            Care and Hospice                                                600 Highland Ave                    (608) 630-9200                    (608) 203-2273
                                                           International Quality            Madison, WI 53792
                                                           Homecare - Neillsville           (608) 263-6400
                            Printed on: 11/17/2021, Providers as of: 11/17/2021, Refer to important information at the beginning of this document                                                 18
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