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As Of July 04, 2020 Trilogy Provider Directory IMPORTANT NOTICE **Please note: The location of the provider you are seeking services with must match what is listed in this directory. If it does not, this provider may not be participating. You are strongly encouraged to contact us to verify the status of the providers involved in your care including, for example, the anesthesiologist, radiologist, pathologist, facility, clinic, or laboratory, when scheduling appointments or elective procedures to determine whether each provider is a participating or nonparticipating provider. Such information may assist in your selection of provider(s) and will likely affect the level of co-payment, deductible and amount of co- insurance applicable to the care you receive. The information contained in this directory may change during your plan year. Please contact 262-432-9140 or 866-429-3241 or our website at www.trilogycares.com to learn more about the participating providers in your network and the implications, including financial, if you decide to receive your care from nonparticipating providers.

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  • As Of July 04, 2020

    Trilogy

    Provider Directory

    IMPORTANT NOTICE

    **Please note: The location of the provider you are seeking services with must match what is listed in this directory. If it does not, this provider may not be participating.

    You are strongly encouraged to contact us to verify the status of the providers involved in your care including, for example, the anesthesiologist, radiologist, pathologist, facility, clinic, or laboratory, when scheduling appointments or elective procedures to determine whether each provider is a participating or nonparticipating provider. Such information may assist in your selection of provider(s) and will likely affect the level of co-payment, deductible and amount of co-insurance applicable to the care you receive. The information contained in this directory may change duri ng your plan year. Please contact 262-432-9140 or 866-429-3241 or our website at www.trilogycares.com to learn more about the participating providers in your network and the implications, including financial, if you decide to receive your care from nonparticipating providers.

  • Table of Contents

    HOSPITALS

    Barron County 24Hospital.........................................................................

    Brown County 24Hospital.........................................................................

    24Behavioral Health Facility.............................................

    Calumet County 24Hospital.........................................................................

    Chippewa County 24Hospital.........................................................................

    Clark County 24Hospital.........................................................................

    Crawford County 24Behavioral Health Facility.............................................

    Dane County 24Hospital.........................................................................

    24Behavioral Health Facility.............................................

    Dodge County 24Hospital.........................................................................

    Door County 24Hospital.........................................................................

    Dunn County 24Hospital.........................................................................

    Eau Claire County 24Hospital.........................................................................

    24Behavioral Health Facility.............................................

    Florence County 24Behavioral Health Facility.............................................

    Fond du Lac County 24Hospital.........................................................................

    24Behavioral Health Facility.............................................

    Green County 24Hospital.........................................................................

    Green Lake County 24Hospital.........................................................................

    Jefferson County 24Hospital.........................................................................

    24Behavioral Health Facility.............................................

    Kenosha County 24Hospital.........................................................................

    24Behavioral Health Facility.............................................

    La Crosse County 24Hospital.........................................................................

    24Behavioral Health Facility.............................................

    Manitowoc County 24Hospital.........................................................................

    Marathon County 24Hospital.........................................................................

    Marinette County 24Hospital.........................................................................

    24Behavioral Health Facility.............................................

    Menominee County 24Behavioral Health Facility.............................................

    Milwaukee County 24Hospital.........................................................................

    25Behavioral Health Facility.............................................

    Monroe County 25Hospital.........................................................................

    Oconto County 25Hospital.........................................................................

    25Behavioral Health Facility.............................................

    Oneida County

    25Hospital.........................................................................

    Outagamie County 25Hospital.........................................................................

    25Behavioral Health Facility.............................................

    Ozaukee County 25Hospital.........................................................................

    25Behavioral Health Facility.............................................

    Portage County 25Hospital.........................................................................

    25Behavioral Health Facility.............................................

    Price County 25Hospital.........................................................................

    Racine County 25Hospital.........................................................................

    25Behavioral Health Facility.............................................

    Rock County 25Hospital.........................................................................

    25Behavioral Health Facility.............................................

    Rusk County 25Hospital.........................................................................

    Shawano County 25Hospital.........................................................................

    25Behavioral Health Facility.............................................

    Sheboygan County 25Hospital.........................................................................

    26Behavioral Health Facility.............................................

    Trempealeau County 26Hospital.........................................................................

    Walworth County 26Hospital.........................................................................

    26Behavioral Health Facility.............................................

    Washington County 26Hospital.........................................................................

    26Behavioral Health Facility.............................................

    Waukesha County 26Hospital.........................................................................

    26Behavioral Health Facility.............................................

    Waupaca County 26Hospital.........................................................................

    Waushara County 26Hospital.........................................................................

    Winnebago County 26Hospital.........................................................................

    26Behavioral Health Facility.............................................

    Wood County 26Hospital.........................................................................

    PROVIDERS

    Adams County 27Family Practice.............................................................

    27Licensed Clinical Social Worker...................................

    27Licensed Mental Health Counselor...............................

    27Psychiatry.....................................................................

    27Skilled Nursing Facility.................................................

    Ashland County 27Chiropractic..................................................................

    27Family Practice.............................................................

    27Licensed Clinical Social Worker...................................

    27Licensed Mental Health Counselor...............................

    27Neurology.....................................................................

    27Optometry.....................................................................

    27Psychology...................................................................

    27Skilled Nursing Facility.................................................

    Barron County

  • Table of Contents

    27Adolescent Medicine....................................................

    27Anesthesiology/Pain Management...............................

    27Autism Treatment Agency.............................................

    27Cardiology....................................................................

    27Cardiothoracic Surgery.................................................

    27Cardiovascular Disease................................................

    27Cardiovascular Surgery................................................

    27Chiropractic..................................................................

    27Dialysis Service............................................................

    27Durable Medical Equipment.........................................

    27Endocrinology...............................................................

    27Family Practice.............................................................

    28General Surgery...........................................................

    28Geriatrics......................................................................

    28Hematology/Oncology..................................................

    28Home Infusion Therapy................................................

    28Internal Medicine..........................................................

    28Laboratory Service.......................................................

    28Licensed Clinical Social Worker...................................

    28Licensed Mental Health Counselor...............................

    28Nephrology...................................................................

    28Neurology.....................................................................

    28NeuroPsychology..........................................................

    28Neurosurgery................................................................

    28Nuclear Medicine..........................................................

    28OB/GYN........................................................................

    28Ophthalmology.............................................................

    28Orthopaedic Surgery.....................................................

    28Orthopaedics................................................................

    28Otolaryngology..............................................................

    28Palliative Care..............................................................

    28Pediatrics......................................................................

    28Physical Medicine/Rehab.............................................

    28Podiatrics......................................................................

    28Psychiatry.....................................................................

    28Radiation Oncology......................................................

    28Rheumatology..............................................................

    28Skilled Nursing Facility.................................................

    28Sleep Disorders............................................................

    28Therapy (PT, OT & ST).................................................

    28Urology.........................................................................

    28Vision Center................................................................

    Bayfield County 28Chiropractic..................................................................

    29Family Practice.............................................................

    29Licensed Mental Health Counselor...............................

    29Neurology.....................................................................

    29Psychology...................................................................

    Brown County 29Allergy/Immunology......................................................

    29Ambulatory Surgical Center..........................................

    29Anesthesiology/Pain Management...............................

    29Autism Treatment Agency.............................................

    29Bariatrics.......................................................................

    29Cardiology....................................................................

    30Cardiothoracic Surgery.................................................

    30Cardiovascular Disease................................................

    30Cardiovascular Surgery................................................

    30Chiropractic..................................................................

    31Colorectal Surgery........................................................

    31Convenient Care...........................................................

    31Critical Care..................................................................

    31Critical Care Surgery....................................................

    31Dermatology.................................................................

    31Developmental Pediatrics.............................................

    31Diagnostic Monitoring...................................................

    31Dialysis Service............................................................

    32Durable Medical Equipment.........................................

    32Electrophysiology.........................................................

    32Endocrinology...............................................................

    32Family Practice.............................................................

    34Female Pelvic Medicine/Reconstructive Surgery.........

    34Gastroenterology..........................................................

    35Gastroenterology/Hepatology.......................................

    35General Surgery...........................................................

    35Genetics.......................................................................

    35Geriatrics......................................................................

    35Gynecologic Oncology..................................................

    36Hand Surgery................................................................

    36Head and Neck Surgery...............................................

    36Hearing Services..........................................................

    36Hematology/Oncology..................................................

    36Hepatology...................................................................

    36Home Health Care Service...........................................

    36Home Infusion Therapy................................................

    36Hospice.........................................................................

    36Hospitalist.....................................................................

    36Hyperbaric Medicine.....................................................

    37Imaging Center.............................................................

    37Infectious Disease........................................................

    37Infertility........................................................................

    37Internal Medicine..........................................................

    37Laboratory Service.......................................................

    38Licensed Clinical Social Worker...................................

    38Licensed Mental Health Counselor...............................

    40Maternal/Fetal Medicine...............................................

    40Nephrology...................................................................

    40Neurology.....................................................................

    40NeuroPsychology..........................................................

    40Neurosurgery................................................................

    41Nurse Midwife...............................................................

    41Nurse Practitioner.........................................................

    41OB/GYN........................................................................

    42Occupational/Preventive Medicine...............................

    42Ophthalmology.............................................................

    43Optometry.....................................................................

    43Oral Surgery.................................................................

    43Orthopaedic Surgery.....................................................

    44Orthopaedics................................................................

    44Otolaryngology..............................................................

    44Palliative Care..............................................................

    45Pediatric Cardiology.....................................................

    45Pediatric Critical Care...................................................

    45Pediatric Endocrinology................................................

    45Pediatric Gastroenterology...........................................

    45Pediatric General Surgery............................................

    45Pediatric Hematology/Oncology...................................

    45Pediatric Hospitalist......................................................

    45Pediatric Nephrology....................................................

    45Pediatric Neurology......................................................

    45Pediatric Orthopaedic Surgery.....................................

    45Pediatric Physical Medicine/Rehab..............................

    45Pediatric Plastic Surgery..............................................

    45Pediatric Psychiatry/Psychology...................................

    45Pediatric Pulmonary Medicine......................................

    46Pediatric Rheumatology...............................................

    46Pediatric Thoracic Surgery...........................................

    46Pediatric Urology..........................................................

    46Pediatrics......................................................................

    46Physical Medicine/Rehab.............................................

    46Physician Assistant.......................................................

    47Plastic Surgery.............................................................

    47Podiatrics......................................................................

    47Psychiatry.....................................................................

    47Psychology...................................................................

    47Pulmonary Medicine.....................................................

  • Table of Contents

    48Pulmonary/Cardiac Rehabilitation................................

    48Radiation Oncology......................................................

    48Rheumatology..............................................................

    48Skilled Nursing Facility.................................................

    48Sleep Disorders............................................................

    48Sleep Study Center......................................................

    48Sports Medicine............................................................

    48Surgical Assistant.........................................................

    48Surgical Oncology........................................................

    48Therapy (PT, OT & ST).................................................

    49Thoracic Surgery..........................................................

    49Transplant Surgery.......................................................

    49Trauma Surgery............................................................

    49Urgent Care Center / Walk In Clinic..............................

    49Urology.........................................................................

    49Vascular Surgery..........................................................

    50Vision Center................................................................

    Buffalo County 50Autism Treatment Agency.............................................

    50Durable Medical Equipment.........................................

    50Family Practice.............................................................

    50Geriatrics......................................................................

    50Home Infusion Therapy................................................

    50Laboratory Service.......................................................

    Calumet County 50Anesthesiology/Pain Management...............................

    50Autism Treatment Agency.............................................

    50Cardiology....................................................................

    50Cardiovascular Disease................................................

    50Chiropractic..................................................................

    50Dermatology.................................................................

    50Diagnostic Monitoring...................................................

    50Dialysis Service............................................................

    50Durable Medical Equipment.........................................

    50Family Practice.............................................................

    50Gastroenterology..........................................................

    51General Surgery...........................................................

    51Geriatrics......................................................................

    51Hearing Services..........................................................

    51Home Health Care Service...........................................

    51Home Infusion Therapy................................................

    51Hospice.........................................................................

    51Infectious Disease........................................................

    51Internal Medicine..........................................................

    51Laboratory Service.......................................................

    51Licensed Clinical Social Worker...................................

    51Licensed Mental Health Counselor...............................

    51Neurology.....................................................................

    51NeuroPsychiatry...........................................................

    51Ophthalmology.............................................................

    51Optometry.....................................................................

    51Orthopaedic Surgery.....................................................

    51Otolaryngology..............................................................

    51Physician Assistant.......................................................

    51Podiatrics......................................................................

    51Psychiatry.....................................................................

    51Skilled Nursing Facility.................................................

    51Sports Medicine............................................................

    51Therapy (PT, OT & ST).................................................

    51Urgent Care Center / Walk In Clinic..............................

    Chippewa County 51Adolescent Medicine....................................................

    51Autism Treatment Agency.............................................

    51Cardiology....................................................................

    51Cardiothoracic Surgery.................................................

    51Cardiovascular Disease................................................

    52Chiropractic..................................................................

    52Dermatology.................................................................

    52Developmental Pediatrics.............................................

    52Durable Medical Equipment.........................................

    52Endocrinology...............................................................

    52Family Practice.............................................................

    52General Surgery...........................................................

    52Hand Surgery................................................................

    52Hematology/Oncology..................................................

    52Home Infusion Therapy................................................

    52Internal Medicine..........................................................

    52Laboratory Service.......................................................

    52Licensed Mental Health Counselor...............................

    52Neurology.....................................................................

    52NeuroPsychology..........................................................

    52Nurse Midwife...............................................................

    52Nurse Practitioner.........................................................

    52OB/GYN........................................................................

    52Palliative Care..............................................................

    52Pediatric Cardiology.....................................................

    52Pediatric Gastroenterology...........................................

    52Pediatric Nephrology....................................................

    52Pediatric Neurology......................................................

    52Pediatric Psychiatry/Psychology...................................

    52Pediatrics......................................................................

    53Psychiatry.....................................................................

    53Skilled Nursing Facility.................................................

    53Sleep Disorders............................................................

    53Urgent Care / Walk In...................................................

    53Urology.........................................................................

    53Vision Center................................................................

    Clark County 53Autism Treatment Agency.............................................

    53Cardiology....................................................................

    53Chiropractic..................................................................

    53Durable Medical Equipment.........................................

    53Endocrinology...............................................................

    53Family Practice.............................................................

    53Gastroenterology..........................................................

    53General Surgery...........................................................

    53Geriatrics......................................................................

    53Hematology/Oncology..................................................

    53Home Infusion Therapy................................................

    53Hospitalist.....................................................................

    53Internal Medicine..........................................................

    53Internal Medicine/Pediatrics.........................................

    53Laboratory Service.......................................................

    54Neurology.....................................................................

    54NeuroPsychology..........................................................

    54Nuclear Medicine..........................................................

    54OB/GYN........................................................................

    54Occupational/Preventive Medicine...............................

    54Optometry.....................................................................

    54Orthopaedics................................................................

    54Otolaryngology..............................................................

    54Pediatrics......................................................................

    54Pulmonary Medicine.....................................................

    54Skilled Nursing Facility.................................................

    54Sleep Disorders............................................................

    54Urology.........................................................................

    Columbia County 54Autism Treatment Agency.............................................

    54Cardiovascular Disease................................................

    54Chiropractic..................................................................

    54Durable Medical Equipment.........................................

    54Family Practice.............................................................

    54Gastroenterology/Hepatology.......................................

    54Hematology/Oncology..................................................

    54Home Health Care Service...........................................

  • Table of Contents

    54Home Infusion Therapy................................................

    54Internal Medicine..........................................................

    54Laboratory Service.......................................................

    54Nephrology...................................................................

    54Skilled Nursing Facility.................................................

    54Urology.........................................................................

    Crawford County 54Durable Medical Equipment.........................................

    54Skilled Nursing Facility.................................................

    Dane County 54Adolescent Medicine....................................................

    54Allergy/Immunology......................................................

    55Anesthesiology.............................................................

    55Anesthesiology/Pain Management...............................

    55Autism Services............................................................

    55Autism Treatment Agency.............................................

    55Bariatrics.......................................................................

    55Cardiology....................................................................

    55Cardiothoracic Surgery.................................................

    55Cardiovascular Disease................................................

    56Chiropractic..................................................................

    56Critical Care..................................................................

    57Dermatology.................................................................

    57Developmental Pediatrics.............................................

    57Durable Medical Equipment.........................................

    57Electrophysiology.........................................................

    57Endocrinology...............................................................

    58Family Practice.............................................................

    59Gastroenterology..........................................................

    59Gastroenterology/Hepatology.......................................

    59General Surgery...........................................................

    60Genetics.......................................................................

    60Geriatrics......................................................................

    61Gynecology...................................................................

    61Hand Surgery................................................................

    61Head and Neck Surgery...............................................

    61Hearing Services..........................................................

    61Hematology/Oncology..................................................

    62Home Health Care Service...........................................

    62Home Infusion Therapy................................................

    62Hospice.........................................................................

    62Hospitalist.....................................................................

    62Infectious Disease........................................................

    62Infertility........................................................................

    62Internal Medicine..........................................................

    64Internal Medicine/Pediatrics.........................................

    64Laboratory Service.......................................................

    64Licensed Clinical Social Worker...................................

    64Licensed Mental Health Counselor...............................

    64Maternal/Fetal Medicine...............................................

    64Neonatology.................................................................

    64Nephrology...................................................................

    65Neurology.....................................................................

    65NeuroPsychology..........................................................

    65Neurosurgery................................................................

    66Nurse Midwife...............................................................

    66Nurse Practitioner.........................................................

    66OB/GYN........................................................................

    66Ophthalmology.............................................................

    67Optometry.....................................................................

    67Orthopaedic Surgery.....................................................

    68Orthopaedics................................................................

    68Otolaryngology..............................................................

    69Palliative Care..............................................................

    69Pediatric Allergy/Immunology.......................................

    69Pediatric Cardiology.....................................................

    69Pediatric Cardiothoracic Surgery..................................

    69Pediatric Cardiovascular Surgery.................................

    69Pediatric Critical Care...................................................

    69Pediatric Dermatology..................................................

    69Pediatric Endocrinology................................................

    69Pediatric Gastroenterology...........................................

    69Pediatric General Surgery............................................

    70Pediatric Hematology/Oncology...................................

    70Pediatric Hospitalist......................................................

    70Pediatric Infectious Disease.........................................

    70Pediatric Nephrology....................................................

    70Pediatric Neurology......................................................

    70Pediatric Neuropsychology...........................................

    70Pediatric Neurosurgery.................................................

    70Pediatric Ophthalmology..............................................

    70Pediatric Orthopaedic Surgery.....................................

    71Pediatric Otolaryngology...............................................

    71Pediatric Palliative Care...............................................

    71Pediatric Pathology.......................................................

    71Pediatric Physical Medicine/Rehab..............................

    71Pediatric Plastic Surgery..............................................

    71Pediatric Psychiatry/Psychology...................................

    71Pediatric Pulmonary Medicine......................................

    71Pediatric Rheumatology...............................................

    71Pediatric Urology..........................................................

    71Pediatrics......................................................................

    72Perinatology..................................................................

    72Physical Medicine/Rehab.............................................

    72Plastic Surgery.............................................................

    72Psychiatry.....................................................................

    73Psychology...................................................................

    73Pulmonary Medicine.....................................................

    74Radiation Oncology......................................................

    74Reconstructive Surgery................................................

    74Rheumatology..............................................................

    74Skilled Nursing Facility.................................................

    74Sleep Disorders............................................................

    74Sports Medicine............................................................

    74Surgical Oncology........................................................

    75Therapy (PT, OT & ST).................................................

    75Thoracic Surgery..........................................................

    75Transplant Surgery.......................................................

    75Urgent Care / Walk In...................................................

    75Urology.........................................................................

    76Vascular Surgery..........................................................

    76Vision Center................................................................

    Dodge County 76Allergy/Immunology......................................................

    76Ambulatory Surgical Center..........................................

    76Anesthesiology/Pain Management...............................

    76Autism Treatment Agency.............................................

    76Cardiology....................................................................

    76Cardiovascular Disease................................................

    76Chiropractic..................................................................

    77Critical Care..................................................................

    77Dermatology.................................................................

    77Diagnostic Monitoring...................................................

    77Dialysis Service............................................................

    77Durable Medical Equipment.........................................

    77Emergency Medicine....................................................

    77Endocrinology...............................................................

    77Family Practice.............................................................

    78General Surgery...........................................................

    78Hearing Services..........................................................

    78Hematology/Oncology..................................................

    78Home Health Care Service...........................................

    78Home Infusion Therapy................................................

    78Hospice.........................................................................

    78Hospitalist.....................................................................

    78Internal Medicine..........................................................

  • Table of Contents

    78Internal Medicine/Pediatrics.........................................

    78Laboratory Service.......................................................

    79Licensed Clinical Social Worker...................................

    79Licensed Mental Health Counselor...............................

    79Nephrology...................................................................

    79Neurology.....................................................................

    79NeuroPsychiatry...........................................................

    79Neurosurgery................................................................

    79Nurse Practitioner.........................................................

    79OB/GYN........................................................................

    79Ophthalmology.............................................................

    79Optometry.....................................................................

    79Orthopaedic Surgery.....................................................

    79Orthopaedics................................................................

    80Otolaryngology..............................................................

    80Pediatric Allergy/Immunology.......................................

    80Pediatrics......................................................................

    80Physician Assistant.......................................................

    80Plastic Surgery.............................................................

    80Podiatrics......................................................................

    80Psychiatry.....................................................................

    80Psychology...................................................................

    80Pulmonary Medicine.....................................................

    80Rheumatology..............................................................

    80Skilled Nursing Facility.................................................

    80Sleep Study Center......................................................

    80Sports Medicine............................................................

    80Surgical Assistant.........................................................

    80Therapy (PT, OT & ST).................................................

    80Urology.........................................................................

    80Vascular Surgery..........................................................

    81Vision Center................................................................

    Door County 81Allergy/Immunology......................................................

    81Autism Treatment Agency.............................................

    81Cardiology....................................................................

    81Cardiovascular Disease................................................

    81Chiropractic..................................................................

    81Convenient Care...........................................................

    81Dermatology.................................................................

    81Diagnostic Monitoring...................................................

    81Dialysis Service............................................................

    81Durable Medical Equipment.........................................

    81Endocrinology...............................................................

    81Family Practice.............................................................

    81Gastroenterology..........................................................

    81General Surgery...........................................................

    81Geriatrics......................................................................

    81Hearing Services..........................................................

    82Hematology/Oncology..................................................

    82Home Health Care Service...........................................

    82Home Infusion Therapy................................................

    82Internal Medicine..........................................................

    82Laboratory Service.......................................................

    82Licensed Clinical Social Worker...................................

    82Licensed Mental Health Counselor...............................

    82Nephrology...................................................................

    82Neurology.....................................................................

    82Neurosurgery................................................................

    82Nurse Practitioner.........................................................

    82OB/GYN........................................................................

    82Occupational/Preventive Medicine...............................

    82Ophthalmology.............................................................

    82Optometry.....................................................................

    82Orthopaedic Surgery.....................................................

    82Otolaryngology..............................................................

    82Palliative Care..............................................................

    83Pediatrics......................................................................

    83Podiatrics......................................................................

    83Psychiatry.....................................................................

    83Psychology...................................................................

    83Pulmonary Medicine.....................................................

    83Radiation Oncology......................................................

    83Rheumatology..............................................................

    83Skilled Nursing Facility.................................................

    83Sleep Disorders............................................................

    83Therapy (PT, OT & ST).................................................

    83Urgent Care Center / Walk In Clinic..............................

    83Urology.........................................................................

    83Vascular Surgery..........................................................

    Douglas County 83Chiropractic..................................................................

    83Psychiatry.....................................................................

    83Skilled Nursing Facility.................................................

    Dunn County 83Adolescent Medicine....................................................

    83Anesthesiology/Pain Management...............................

    83Autism Treatment Agency.............................................

    83Cardiology....................................................................

    83Cardiothoracic Surgery.................................................

    83Chiropractic..................................................................

    83Dialysis Service............................................................

    83Durable Medical Equipment.........................................

    83Endocrinology...............................................................

    83Family Practice.............................................................

    83Geriatrics......................................................................

    83Home Infusion Therapy................................................

    83Laboratory Service.......................................................

    83Licensed Mental Health Counselor...............................

    83Neurology.....................................................................

    83Orthopaedic Surgery.....................................................

    83Skilled Nursing Facility.................................................

    84Sleep Disorders............................................................

    84Vision Center................................................................

    Eau Claire County 84Adolescent Medicine....................................................

    84Ambulatory Surgical Center..........................................

    84Anesthesiology/Pain Management...............................

    84Autism Treatment Agency.............................................

    84Cardiology....................................................................

    84Cardiothoracic Surgery.................................................

    84Cardiovascular Disease................................................

    84Cardiovascular Surgery................................................

    84Chiropractic..................................................................

    84Convenient Care...........................................................

    84Critical Care..................................................................

    84Dermatology.................................................................

    84Dialysis Service............................................................

    84Durable Medical Equipment.........................................

    84Electrophysiology.........................................................

    84Endocrinology...............................................................

    85Family Practice.............................................................

    85Gastroenterology..........................................................

    85General Surgery...........................................................

    85Geriatrics......................................................................

    85Hand Surgery................................................................

    85Hematology/Oncology..................................................

    85Home Health Care Service...........................................

    85Home Infusion Therapy................................................

    85Hospice.........................................................................

    85Hospitalist.....................................................................

    85Internal Medicine..........................................................

    85Laboratory Service.......................................................

    85Licensed Clinical Social Worker...................................

    85Licensed Mental Health Counselor...............................

  • Table of Contents

    85Nephrology...................................................................

    86Neurology.....................................................................

    86NeuroPsychology..........................................................

    86Neurosurgery................................................................

    86Nurse Midwife...............................................................

    86OB/GYN........................................................................

    86Occupational/Preventive Medicine...............................

    86Ophthalmology.............................................................

    86Optometry.....................................................................

    86Orthopaedic Surgery.....................................................

    86Orthopaedics................................................................

    86Otolaryngology..............................................................

    86Palliative Care..............................................................

    86Pediatric Cardiology.....................................................

    86Pediatric Dermatology..................................................

    86Pediatric Endocrinology................................................

    86Pediatric Gastroenterology...........................................

    86Pediatric Nephrology....................................................

    86Pediatric Neurology......................................................

    86Pediatric Orthopaedic Surgery.....................................

    86Pediatric Psychiatry/Psychology...................................

    86Pediatrics......................................................................

    86Physical Medicine/Rehab.............................................

    87Plastic Surgery.............................................................

    87Podiatrics......................................................................

    87Psychiatry.....................................................................

    87Psychology...................................................................

    87Pulmonary Medicine.....................................................

    87Radiation Oncology......................................................

    87Rheumatology..............................................................

    87Skilled Nursing Facility.................................................

    87Sleep Disorders............................................................

    87Sports Medicine............................................................

    87Surgical Oncology........................................................

    87Thoracic Surgery..........................................................

    87Urgent Care / Walk In...................................................

    87Urgent Care Center / Walk In Clinic..............................

    87Urology.........................................................................

    87Vascular Surgery..........................................................

    87Vision Center................................................................

    Florence County 87Skilled Nursing Facility.................................................

    Fond du Lac County 87Allergy/Immunology......................................................

    87Ambulatory Surgical Center..........................................

    87Anesthesiology/Pain Management...............................

    87Autism Services............................................................

    87Autism Treatment Agency.............................................

    88Cardiology....................................................................

    88Cardiothoracic Surgery.................................................

    88Cardiovascular Disease................................................

    88Chiropractic..................................................................

    88Convenient Care...........................................................

    88Critical Care..................................................................

    88Dermatology.................................................................

    88Dermatopathology........................................................

    88Diagnostic Monitoring...................................................

    88Dialysis Service............................................................

    88Durable Medical Equipment.........................................

    89Electrophysiology.........................................................

    89Endocrinology...............................................................

    89Family Practice.............................................................

    89Gastroenterology..........................................................

    90Gastroenterology/Hepatology.......................................

    90General Surgery...........................................................

    90Hand Surgery................................................................

    90Hearing Services..........................................................

    90Hematology/Oncology..................................................

    90Home Health Care Service...........................................

    90Home Infusion Therapy................................................

    90Hospice.........................................................................

    90Infectious Disease........................................................

    90Internal Medicine..........................................................

    90Internal Medicine/Pediatrics.........................................

    90Laboratory Service.......................................................

    91Licensed Clinical Social Worker...................................

    91Licensed Mental Health Counselor...............................

    91Maternal/Fetal Medicine...............................................

    91Nephrology...................................................................

    92Neurology.....................................................................

    92Neurosurgery................................................................

    92Nurse Midwife...............................................................

    92Nurse Practitioner.........................................................

    92OB/GYN........................................................................

    92Occupational/Preventive Medicine...............................

    92Ophthalmology.............................................................

    92Optometry.....................................................................

    93Oral Surgery.................................................................

    93Orthopaedic Surgery.....................................................

    93Orthopaedics................................................................

    93Otolaryngology..............................................................

    93Pediatric Cardiology.....................................................

    93Pediatric Optometry......................................................

    93Pediatric Psychiatry/Psychology...................................

    93Pediatrics......................................................................

    93Perinatology..................................................................

    93Physical Medicine/Rehab.............................................

    93Physician Assistant.......................................................

    93Plastic Surgery.............................................................

    93Podiatrics......................................................................

    93Psychiatry.....................................................................

    94Psychology...................................................................

    94Pulmonary Medicine.....................................................

    94Radiation Oncology......................................................

    94Rheumatology..............................................................

    94Skilled Nursing Facility.................................................

    94Sleep Disorders............................................................

    94Sports Medicine............................................................

    94Surgical Assistant.........................................................

    94Therapy (PT, OT & ST).................................................

    94Urgent Care Center / Walk In Clinic..............................

    94Urology.........................................................................

    94Vascular Surgery..........................................................

    94Vision Center................................................................

    Forest County 95Autism Treatment Agency.............................................

    95Chiropractic..................................................................

    95Durable Medical Equipment.........................................

    95Family Practice.............................................................

    95Home Infusion Therapy................................................

    95Laboratory Service.......................................................

    Grant County 95Chiropractic..................................................................

    95Therapy (PT, OT & ST).................................................

    Green County 95Allergy/Immunology......................................................

    95Autism Treatment Agency.............................................

    95Cardiology....................................................................

    95Chiropractic..................................................................

    95Dermatology.................................................................

    95Durable Medical Equipment.........................................

    95Emergency Medicine....................................................

    95Family Practice.............................................................

    96Gastroenterology..........................................................

    96General Surgery...........................................................

  • Table of Contents

    96Hematology/Oncology..................................................

    96Home Health Care Service...........................................

    96Home Infusion Therapy................................................

    96Internal Medicine..........................................................

    96Laboratory Service.......................................................

    96Licensed Clinical Social Worker...................................

    96Licensed Mental Health Counselor...............................

    96Maternal/Fetal Medicine...............................................

    96Nephrology...................................................................

    96Neurology.....................................................................

    96OB/GYN........................................................................

    96Ophthalmology.............................................................

    96Optometry.....................................................................

    96Orthopaedics................................................................

    96Otolaryngology..............................................................

    96Palliative Care..............................................................

    96Pediatrics......................................................................

    97Physical Medicine/Rehab.............................................

    97Psychiatry.....................................................................

    97Psychology...................................................................

    97Radiation Oncology......................................................

    97Rheumatology..............................................................

    97Skilled Nursing Facility.................................................

    97Urology.........................................................................

    97Vision Center................................................................

    Green Lake County 97Allergy/Immunology......................................................

    97Anesthesiology/Pain Management...............................

    97Autism Treatment Agency.............................................

    97Cardiology....................................................................

    97Cardiothoracic Surgery.................................................

    97Cardiovascular Disease................................................

    97Chiropractic..................................................................

    97Dermatology.................................................................

    97Diagnostic Monitoring...................................................

    97Dialysis Service............................................................

    97Durable Medical Equipment.........................................

    98Family Practice.............................................................

    98Gastroenterology..........................................................

    98General Surgery...........................................................

    98Head and Neck Surgery...............................................

    98Hematology/Oncology..................................................

    98Home Health Care Service...........................................

    98Home Infusion Therapy................................................

    98Hospice.........................................................................

    98Infectious Disease........................................................

    98Internal Medicine..........................................................

    98Laboratory Service.......................................................

    98Licensed Mental Health Counselor...............................

    98Neurosurgery................................................................

    98Nurse Practitioner.........................................................

    99OB/GYN........................................................................

    99Ophthalmology.............................................................

    99Optometry.....................................................................

    99Orthopaedic Surgery.....................................................

    99Otolaryngology..............................................................

    99Physical Medicine/Rehab.............................................

    99Psychiatry.....................................................................

    99Psychology...................................................................

    99Pulmonary Medicine.....................................................

    99Radiation Oncology......................................................

    99Skilled Nursing Facility.................................................

    99Therapy (PT, OT & ST).................................................

    99Urgent Care Center / Walk In Clinic..............................

    99Urology.........................................................................

    99Vascular Surgery..........................................................

    Iowa County 99Allergy/Immunology......................................................

    99Chiropractic..................................................................

    99Pediatric Allergy/Immunology.......................................

    99Skilled Nursing Facility.................................................

    99Therapy (PT, OT & ST).................................................

    99Urology.........................................................................

    Iron County 99Family Practice.............................................................

    99Internal Medicine..........................................................

    99Licensed Clinical Social Worker...................................

    Jackson County 99Autism Treatment Agency.............................................

    99Chiropractic..................................................................

    99Durable Medical Equipment.........................................

    99Home Infusion Therapy................................................

    99Laboratory Service.......................................................

    99Licensed Mental Health Counselor...............................

    99Therapy (PT, OT & ST).................................................

    Jefferson County 100Allergy/Immunology......................................................

    100Ambulatory Surgical Center..........................................

    100Anesthesiology/Pain Management...............................

    100Autism Treatment Agency.............................................

    100Cardiology....................................................................

    100Cardiovascular Disease................................................

    100Chiropractic..................................................................

    100Dermatology.................................................................

    100Diagnostic Monitoring...................................................

    100Dialysis Service............................................................

    100Durable Medical Equipment.........................................

    100Family Practice.............................................................

    101General Surgery...........................................................

    101Geriatrics......................................................................

    101Hematology/Oncology..................................................

    101Home Health Care Service...........................................

    101Home Infusion Therapy................................................

    101Hospice.........................................................................

    101Hyperbaric Oxygen Therapy.........................................

    101Imaging Center.............................................................

    101Internal Medicine..........................................................

    101Internal Medicine/Pediatrics.........................................

    101Laboratory Service.......................................................

    102Licensed Clinical Social Worker...................................

    102Licensed Mental Health Counselor...............................

    102Nephrology...................................................................

    102Neurology.....................................................................

    102Neurosurgery................................................................

    102Nurse Practitioner.........................................................

    102OB/GYN........................................................................

    102Occupational/Preventive Medicine...............................

    102Ophthalmology.............................................................

    102Optometry.....................................................................

    102Orthopaedic Surgery.....................................................

    102Orthopaedics................................................................

    103Otolaryngology..............................................................

    103Pediatric Allergy/Immunology.......................................

    103Pediatric Plastic Surgery..............................................

    103Pediatrics......................................................................

    103Physical Medicine/Rehab.............................................

    103Physician Assistant.......................................................

    103Plastic Surgery.............................................................

    103Podiatrics......................................................................

    103Psychiatry.....................................................................

    103Psychology...................................................................

    103Pulmonary Medicine.....................................................

    103Radiation Oncology......................................................

    103Rheumatology..............................................................

    103Skilled Nursing Facility.................................................

  • Table of Contents

    103Sleep Disorders............................................................

    103Sports Medicine............................................................

    103Therapy (PT, OT & ST).................................................

    103Transplant Surgery.......................................................

    103Urgent Care Center / Walk In Clinic..............................

    103Urology.........................................................................

    103Vascular Surgery..........................................................

    103Vision Center................................................................

    Juneau County 103Cardiovascular Disease................................................

    103Chiropractic..................................................................

    103Orthopaedics................................................................

    103Otolaryngology..............................................................

    103Physical Medicine/Rehab.............................................

    104Skilled Nursing Facility.................................................

    104Therapy (PT, OT & ST).................................................

    Kenosha County 104Allergy/Immunology......................................................

    104Ambulance Service.......................................................

    104Ambulatory Surgical Center..........................................

    104Anesthesiology/Pain Management...............................

    104Autism Treatment Agency.............................................

    104Cardiology....................................................................

    104Cardiothoracic Surgery.................................................

    104Cardiovascular Disease................................................

    104Chiropractic..................................................................

    104Critical Care..................................................................

    104Dermatology.................................................................

    105Developmental Pediatrics.............................................

    105Diagnostic Monitoring...................................................

    105Durable Medical Equipment.........................................

    105Electrophysiology.........................................................

    105Endocrinology...............................................................

    105Family Practice.............................................................

    106Gastroenterology..........................................................

    107General Surgery...........................................................

    107Genetics.......................................................................

    107Geriatrics......................................................................

    107Gynecologic Oncology..................................................

    107Hand Surgery................................................................

    107Head and Neck Surgery...............................................

    107Hearing Services..........................................................

    107Hematology/Oncology..................................................

    107Home Health Care Service...........................................

    107Home Infusion Therapy................................................

    107Hospice.........................................................................

    107Imaging Center.............................................................

    107Infectious Disease........................................................

    107Infertility........................................................................

    107Internal Medicine..........................................................

    108Internal Medicine/Pediatrics.........................................

    108Laboratory Service.......................................................

    108Licensed Clinical Social Worker...................................

    108Licensed Mental Health Counselor...............................

    108Maternal/Fetal Medicine...............................................

    109Nephrology...................................................................

    109Neurology.....................................................................

    109NeuroPsychology..........................................................

    109Neurosurgery................................................................

    109Nurse Practitioner.........................................................

    109OB/GYN........................................................................

    109Ophthalmology.............................................................

    109Optometry.....................................................................

    109Orthopaedic Surgery.....................................................

    110Otolaryngology..............................................................

    110Palliative Care..............................................................

    110Pediatric Allergy/Immunology.......................................

    110Pediatric Cardiology.....................................................

    110Pediatric Dermatology..................................................

    110Pediatric Gastroenterology...........................................

    110Pediatric Neurology......................................................

    110Pediatric Otolaryngology...............................................

    110Pediatric Physical Medicine/Rehab..............................

    110Pediatric Psychiatry/Psychology...................................

    110Pediatric Pulmonary Medicine......................................

    111Pediatric Therapy (PT, OT & ST)..................................

    111Pediatric Urology..........................................................

    111Pediatrics......................................................................

    111Physician Assistant.......................................................

    111Plastic Surgery.............................................................

    111Podiatrics......................................................................

    111Psychiatry.....................................................................

    111Psychology...................................................................

    111Pulmonary Medicine.....................................................

    112Radiation Oncology......................................................

    112Rheumatology..............................................................

    112Skilled Nursing Facility.................................................

    112Sleep Disorders............................................................

    112Sleep Study Center......................................................

    112Sports Medicine............................................................

    112Therapy (PT, OT & ST).................................................

    112Thoracic Surgery..........................................................

    112Transplant Surgery.......................................................

    112Urgent Care Center / Walk In Clinic..............................

    112Urology.........................................................................

    112Vascular Surgery..........................................................

    112Vision Center................................................................

    Kewaunee County 112Autism Treatment Agency.............................................

    113Cardiology....................................................................

    113Cardiovascular Disease................................................

    113Chiropractic..................................................................

    113Diagnostic Monitoring...................................................

    113Durable Medical Equipment.........................................

    113Endocrinology...............................................................

    113Family Practice.............................................................

    113General Surgery...........................................................

    113Home Health Care Service...........................................

    113Home Infusion Therapy................................................

    113Hospice.........................................................................

    113Laboratory Service.......................................................

    113Licensed Clinical Social Worker...................................

    113Licensed Mental Health Counselor...............................

    114Nurse Practitioner.........................................................

    114Ophthalmology.............................................................

    114Optometry.....................................................................

    114Orthopaedic Surgery.....................................................

    114Orthopaedics................................................................

    114Physician Assistant.......................................................

    114Psychology...................................................................

    114Sports Medicine............................................................

    114Therapy (PT, OT & ST).................................................

    114Urgent Care Center / Walk In Clinic..............................

    114Urology.........................................................................

    La Crosse County 114Autism Treatment Agency.............................................

    114Cardiology....................................................................

    114Cardiovascular Disease................................................

    114Chiropractic..................................................................

    114Dialysis Service............................................................

    114Durable Medical Equipment.........................................

    114Family Practice.............................................................

    114Home Health Care Service...........................................

    114Home Infusion Therapy................................................

    114Infectious Disease........................................................

    114Internal Medicine..........................................................

  • Table of Contents

    114Laboratory Service.......................................................

    114Licensed Clinical Social Worker...................................

    115Licensed Mental Health Counselor...............................

    115Orthopaedics................................................................

    115Psychiatry.....................................................................

    115Psychology...................................................................

    115Rheumatology..............................................................

    115Skilled Nursing Facility.................................................

    115Vision Center................................................................

    Lafayette County 115Chiropractic..................................................................

    115Family Practice.............................................................

    115Internal Medicine..........................................................

    Langlade County 115Autism Treatment Agency.............................................

    115Chiropractic..................................................................

    115Durable Medical Equipment.........................................

    115Home Infusion Therapy................................................

    115Laboratory Service.......................................................

    115Psychiatry.....................................................................

    115Psychology...................................................................

    Lincoln County 115Allergy/Immunology......................................................

    115Autism Treatment Agency.............................................

    115Cardiology....................................................................

    115Cardiovascular Disease................................................

    115Chiropractic..................................................................

    115Durable Medical Equipment.........................................

    115Endocrinology...............................................................

    115Family Practice.............................................................

    115General Surgery...........................................................

    115Hematology/Oncology..................................................

    115Home Infusion Therapy................................................

    116Internal Medicine..........................................................

    116Laboratory Service.......................................................

    116Nephrology...................................................................

    116Neurology.....................................................................

    116Pediatrics......................................................................

    116Physical Medicine/Rehab.............................................

    116Podiatrics......................................................................

    116Psychiatry.....................................................................

    116Skilled Nursing Facility.................................................

    116Urology.........................................................................

    Manitowoc County 116Allergy/Immunology......................................................

    116Ambulatory Surgical Center..........................................

    116Anesthesiology/Pain Management...............................

    116Autism Treatment Agency.............................................

    116Cardiology....................................................................

    116Cardiovascular Disease................................................

    116Chiropractic..................................................................