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As Of July 04, 2020 Legacy 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

    Legacy

    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 23Hospital.........................................................................

    Brown County 23Hospital.........................................................................

    23Behavioral Health Facility.............................................

    Calumet County 23Hospital.........................................................................

    Chippewa County 23Hospital.........................................................................

    Clark County 23Hospital.........................................................................

    Crawford County 23Behavioral Health Facility.............................................

    Dane County 23Hospital.........................................................................

    23Behavioral Health Facility.............................................

    Dodge County 23Hospital.........................................................................

    Door County 23Hospital.........................................................................

    Dunn County 23Hospital.........................................................................

    Eau Claire County 23Hospital.........................................................................

    23Behavioral Health Facility.............................................

    Florence County 23Behavioral Health Facility.............................................

    Fond du Lac County 23Hospital.........................................................................

    23Behavioral Health Facility.............................................

    Green County 23Hospital.........................................................................

    Green Lake County 23Hospital.........................................................................

    Jefferson County 23Hospital.........................................................................

    23Behavioral Health Facility.............................................

    Kenosha County 23Hospital.........................................................................

    23Behavioral Health Facility.............................................

    La Crosse County 23Hospital.........................................................................

    23Behavioral Health Facility.............................................

    Manitowoc County 23Hospital.........................................................................

    Marathon County 23Hospital.........................................................................

    Marinette County 23Behavioral Health Facility.............................................

    Menominee County 23Behavioral Health Facility.............................................

    Milwaukee County 23Hospital.........................................................................

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

    Monroe County 24Hospital.........................................................................

    Oconto County 24Hospital.........................................................................

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

    Oneida County 24Hospital.........................................................................

    Outagamie County 24Hospital.........................................................................

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

    Ozaukee County 24Hospital.........................................................................

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

    Portage County 24Hospital.........................................................................

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

    Price County 24Hospital.........................................................................

    Racine County 24Hospital.........................................................................

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

    Rock County 24Hospital.........................................................................

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

    Rusk County 24Hospital.........................................................................

    Shawano County 24Hospital.........................................................................

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

    Sheboygan County 24Hospital.........................................................................

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

    Trempealeau County 24Hospital.........................................................................

    Walworth County 24Hospital.........................................................................

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

    Washington County 24Hospital.........................................................................

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

    Waukesha County 24Hospital.........................................................................

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

    Waupaca County 25Hospital.........................................................................

    Waushara County 25Hospital.........................................................................

    Winnebago County 25Hospital.........................................................................

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

    Wood County 25Hospital.........................................................................

    PROVIDERS

    Adams County 26Family Practice.............................................................

    26Licensed Clinical Social Worker...................................

    26Licensed Mental Health Counselor...............................

    26Psychiatry.....................................................................

    26Skilled Nursing Facility.................................................

    Ashland County 26Chiropractic..................................................................

    26Family Practice.............................................................

    26Licensed Clinical Social Worker...................................

    26Licensed Mental Health Counselor...............................

    26Neurology.....................................................................

    26Optometry.....................................................................

    26Psychology...................................................................

    26Skilled Nursing Facility.................................................

    Barron County 26Adolescent Medicine....................................................

  • Table of Contents

    26Anesthesiology/Pain Management...............................

    26Autism Treatment Agency.............................................

    26Cardiology....................................................................

    26Cardiothoracic Surgery.................................................

    26Cardiovascular Disease................................................

    26Cardiovascular Surgery................................................

    26Chiropractic..................................................................

    26Dialysis Service............................................................

    26Durable Medical Equipment.........................................

    26Endocrinology...............................................................

    26Family Practice.............................................................

    27General Surgery...........................................................

    27Geriatrics......................................................................

    27Hematology/Oncology..................................................

    27Home Infusion Therapy................................................

    27Internal Medicine..........................................................

    27Laboratory Service.......................................................

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

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

    27Nephrology...................................................................

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

    27NeuroPsychology..........................................................

    27Neurosurgery................................................................

    27Nuclear Medicine..........................................................

    27OB/GYN........................................................................

    27Ophthalmology.............................................................

    27Orthopaedic Surgery.....................................................

    27Orthopaedics................................................................

    27Otolaryngology..............................................................

    27Palliative Care..............................................................

    27Pediatrics......................................................................

    27Physical Medicine/Rehab.............................................

    27Podiatrics......................................................................

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

    27Radiation Oncology......................................................

    27Rheumatology..............................................................

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

    27Sleep Disorders............................................................

    27Therapy (PT, OT & ST).................................................

    27Urology.........................................................................

    27Vision Center................................................................

    Bayfield County 27Chiropractic..................................................................

    28Family Practice.............................................................

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

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

    28Psychology...................................................................

    Brown County 28Allergy/Immunology......................................................

    28Ambulatory Surgical Center..........................................

    28Anesthesiology/Pain Management...............................

    28Autism Treatment Agency.............................................

    28Bariatrics.......................................................................

    28Cardiology....................................................................

    29Cardiothoracic Surgery.................................................

    29Cardiovascular Disease................................................

    29Chiropractic..................................................................

    29Colorectal Surgery........................................................

    29Convenient Care...........................................................

    30Critical Care..................................................................

    30Dermatology.................................................................

    30Developmental Pediatrics.............................................

    30Diagnostic Monitoring...................................................

    30Dialysis Service............................................................

    30Durable Medical Equipment.........................................

    30Electrophysiology.........................................................

    31Endocrinology...............................................................

    31Family Practice.............................................................

    32Gastroenterology..........................................................

    33Gastroenterology/Hepatology.......................................

    33General Surgery...........................................................

    33Geriatrics......................................................................

    33Gynecologic Oncology..................................................

    34Hand Surgery................................................................

    34Head and Neck Surgery...............................................

    34Hearing Services..........................................................

    34Hematology/Oncology..................................................

    34Home Health Care Service...........................................

    34Home Infusion Therapy................................................

    34Hospice.........................................................................

    34Hospitalist.....................................................................

    34Hyperbaric Medicine.....................................................

    34Imaging Center.............................................................

    34Infectious Disease........................................................

    35Internal Medicine..........................................................

    35Laboratory Service.......................................................

    35Licensed Clinical Social Worker...................................

    36Licensed Mental Health Counselor...............................

    37Maternal/Fetal Medicine...............................................

    37Nephrology...................................................................

    37Neurology.....................................................................

    38NeuroPsychology..........................................................

    38Neurosurgery................................................................

    38Nurse Midwife...............................................................

    38Nurse Practitioner.........................................................

    39OB/GYN........................................................................

    39Occupational/Preventive Medicine...............................

    39Ophthalmology.............................................................

    40Optometry.....................................................................

    40Oral Surgery.................................................................

    40Orthopaedic Surgery.....................................................

    41Orthopaedics................................................................

    41Otolaryngology..............................................................

    41Palliative Care..............................................................

    41Pediatric Cardiology.....................................................

    42Pediatric Critical Care...................................................

    42Pediatric Endocrinology................................................

    42Pediatric Gastroenterology...........................................

    42Pediatric General Surgery............................................

    42Pediatric Hematology/Oncology...................................

    42Pediatric Hospitalist......................................................

    42Pediatric Neurology......................................................

    42Pediatric Orthopaedic Surgery.....................................

    42Pediatric Physical Medicine/Rehab..............................

    42Pediatric Psychiatry/Psychology...................................

    42Pediatric Pulmonary Medicine......................................

    42Pediatric Rheumatology...............................................

    42Pediatric Thoracic Surgery...........................................

    42Pediatric Urology..........................................................

    42Pediatrics......................................................................

    43Physical Medicine/Rehab.............................................

    43Physician Assistant.......................................................

    43Plastic Surgery.............................................................

    43Podiatrics......................................................................

    43Psychiatry.....................................................................

    44Psychology...................................................................

    44Pulmonary Medicine.....................................................

    44Radiation Oncology......................................................

    44Rheumatology..............................................................

    45Skilled Nursing Facility.................................................

    45Sleep Disorders............................................................

    45Sleep Study Center......................................................

    45Sports Medicine............................................................

    45Surgical Assistant.........................................................

    45Therapy (PT, OT & ST).................................................

    45Thoracic Surgery..........................................................

  • Table of Contents

    45Transplant Surgery.......................................................

    45Trauma Surgery............................................................

    45Urgent Care Center / Walk In Clinic..............................

    45Urology.........................................................................

    46Vascular Surgery..........................................................

    46Vision Center................................................................

    Buffalo County 46Autism Treatment Agency.............................................

    46Durable Medical Equipment.........................................

    46Family Practice.............................................................

    46Geriatrics......................................................................

    46Home Infusion Therapy................................................

    46Laboratory Service.......................................................

    Calumet County 46Anesthesiology/Pain Management...............................

    46Autism Treatment Agency.............................................

    46Cardiology....................................................................

    46Cardiovascular Disease................................................

    46Chiropractic..................................................................

    46Dermatology.................................................................

    46Diagnostic Monitoring...................................................

    46Dialysis Service............................................................

    46Durable Medical Equipment.........................................

    47Family Practice.............................................................

    47Gastroenterology..........................................................

    47General Surgery...........................................................

    47Geriatrics......................................................................

    47Hearing Services..........................................................

    47Home Health Care Service...........................................

    47Home Infusion Therapy................................................

    47Hospice.........................................................................

    47Infectious Disease........................................................

    47Internal Medicine..........................................................

    47Laboratory Service.......................................................

    47Licensed Clinical Social Worker...................................

    47Licensed Mental Health Counselor...............................

    47Neurology.....................................................................

    47NeuroPsychiatry...........................................................

    47Ophthalmology.............................................................

    47Optometry.....................................................................

    47Orthopaedic Surgery.....................................................

    47Otolaryngology..............................................................

    47Physician Assistant.......................................................

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

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

    47Skilled Nursing Facility.................................................

    47Sports Medicine............................................................

    47Therapy (PT, OT & ST).................................................

    47Urgent Care Center / Walk In Clinic..............................

    Chippewa County 47Adolescent Medicine....................................................

    48Autism Treatment Agency.............................................

    48Cardiology....................................................................

    48Cardiothoracic Surgery.................................................

    48Cardiovascular Disease................................................

    48Chiropractic..................................................................

    48Dermatology.................................................................

    48Developmental Pediatrics.............................................

    48Durable Medical Equipment.........................................

    48Endocrinology...............................................................

    48Family Practice.............................................................

    48General Surgery...........................................................

    48Hand Surgery................................................................

    48Hematology/Oncology..................................................

    48Home Infusion Therapy................................................

    48Internal Medicine..........................................................

    48Laboratory Service.......................................................

    48Licensed Mental Health Counselor...............................

    48Neurology.....................................................................

    48NeuroPsychology..........................................................

    48Nurse Midwife...............................................................

    48Nurse Practitioner.........................................................

    48OB/GYN........................................................................

    48Palliative Care..............................................................

    48Pediatric Cardiology.....................................................

    48Pediatric Gastroenterology...........................................

    48Pediatric Nephrology....................................................

    48Pediatric Neurology......................................................

    49Pediatric Psychiatry/Psychology...................................

    49Pediatrics......................................................................

    49Psychiatry.....................................................................

    49Skilled Nursing Facility.................................................

    49Sleep Disorders............................................................

    49Urgent Care / Walk In...................................................

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

    49Vision Center................................................................

    Clark County 49Autism Treatment Agency.............................................

    49Cardiology....................................................................

    49Chiropractic..................................................................

    49Durable Medical Equipment.........................................

    49Endocrinology...............................................................

    49Family Practice.............................................................

    49Gastroenterology..........................................................

    49General Surgery...........................................................

    49Geriatrics......................................................................

    49Hematology/Oncology..................................................

    49Home Infusion Therapy................................................

    49Hospitalist.....................................................................

    49Internal Medicine..........................................................

    50Internal Medicine/Pediatrics.........................................

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

    50Neurology.....................................................................

    50NeuroPsychology..........................................................

    50Nuclear Medicine..........................................................

    50OB/GYN........................................................................

    50Occupational/Preventive Medicine...............................

    50Optometry.....................................................................

    50Orthopaedics................................................................

    50Otolaryngology..............................................................

    50Pediatrics......................................................................

    50Pulmonary Medicine.....................................................

    50Skilled Nursing Facility.................................................

    50Sleep Disorders............................................................

    50Urology.........................................................................

    Columbia County 50Autism Treatment Agency.............................................

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

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

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

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

    50Gastroenterology/Hepatology.......................................

    50Hematology/Oncology..................................................

    50Home Health Care Service...........................................

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

    50Internal Medicine..........................................................

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

    50Nephrology...................................................................

    50Skilled Nursing Facility.................................................

    50Urology.........................................................................

    Crawford County 50Durable Medical Equipment.........................................

    50Skilled Nursing Facility.................................................

    Dane County

  • Table of Contents

    50Adolescent Medicine....................................................

    51Allergy/Immunology......................................................

    51Anesthesiology.............................................................

    51Anesthesiology/Pain Management...............................

    51Autism Services............................................................

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

    51Bariatrics.......................................................................

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

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

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

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

    52Critical Care..................................................................

    53Dermatology.................................................................

    53Developmental Pediatrics.............................................

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

    53Electrophysiology.........................................................

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

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

    55Gastroenterology..........................................................

    55Gastroenterology/Hepatology.......................................

    55General Surgery...........................................................

    57Genetics.......................................................................

    57Geriatrics......................................................................

    57Gynecology...................................................................

    57Hand Surgery................................................................

    57Head and Neck Surgery...............................................

    57Hearing Services..........................................................

    57Hematology/Oncology..................................................

    58Home Health Care Service...........................................

    58Home Infusion Therapy................................................

    58Hospice.........................................................................

    58Hospitalist.....................................................................

    58Infectious Disease........................................................

    58Infertility........................................................................

    58Internal Medicine..........................................................

    60Internal Medicine/Pediatrics.........................................

    60Laboratory Service.......................................................

    60Licensed Clinical Social Worker...................................

    60Licensed Mental Health Counselor...............................

    60Maternal/Fetal Medicine...............................................

    60Neonatology.................................................................

    60Nephrology...................................................................

    61Neurology.....................................................................

    61NeuroPsychology..........................................................

    61Neurosurgery................................................................

    62Nurse Midwife...............................................................

    62Nurse Practitioner.........................................................

    62OB/GYN........................................................................

    62Ophthalmology.............................................................

    63Optometry.....................................................................

    63Orthopaedic Surgery.....................................................

    64Orthopaedics................................................................

    64Otolaryngology..............................................................

    65Palliative Care..............................................................

    65Pediatric Allergy/Immunology.......................................

    65Pediatric Cardiology.....................................................

    65Pediatric Cardiothoracic Surgery..................................

    65Pediatric Cardiovascular Surgery.................................

    65Pediatric Critical Care...................................................

    65Pediatric Dermatology..................................................

    65Pediatric Endocrinology................................................

    65Pediatric Gastroenterology...........................................

    66Pediatric General Surgery............................................

    66Pediatric Hematology/Oncology...................................

    66Pediatric Hospitalist......................................................

    66Pediatric Infectious Disease.........................................

    66Pediatric Nephrology....................................................

    66Pediatric Neurology......................................................

    66Pediatric Neuropsychology...........................................

    66Pediatric Neurosurgery.................................................

    66Pediatric Ophthalmology..............................................

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

    67Pediatric Otolaryngology...............................................

    67Pediatric Palliative Care...............................................

    67Pediatric Pathology.......................................................

    67Pediatric Physical Medicine/Rehab..............................

    67Pediatric Plastic Surgery..............................................

    67Pediatric Psychiatry/Psychology...................................

    67Pediatric Pulmonary Medicine......................................

    67Pediatric Rheumatology...............................................

    67Pediatric Urology..........................................................

    68Pediatrics......................................................................

    68Perinatology..................................................................

    68Physical Medicine/Rehab.............................................

    68Plastic Surgery.............................................................

    69Psychiatry.....................................................................

    69Psychology...................................................................

    69Pulmonary Medicine.....................................................

    70Radiation Oncology......................................................

    70Reconstructive Surgery................................................

    70Rheumatology..............................................................

    70Skilled Nursing Facility.................................................

    70Sleep Disorders............................................................

    70Sports Medicine............................................................

    71Surgical Oncology........................................................

    71Therapy (PT, OT & ST).................................................

    71Thoracic Surgery..........................................................

    71Transplant Surgery.......................................................

    71Urgent Care / Walk In...................................................

    71Urology.........................................................................

    72Vascular Surgery..........................................................

    72Vision Center................................................................

    Dodge County 72Allergy/Immunology......................................................

    72Ambulatory Surgical Center..........................................

    72Anesthesiology/Pain Management...............................

    72Autism Treatment Agency.............................................

    73Cardiology....................................................................

    73Cardiovascular Disease................................................

    73Chiropractic..................................................................

    73Critical Care..................................................................

    73Dermatology.................................................................

    73Diagnostic Monitoring...................................................

    73Dialysis Service............................................................

    73Durable Medical Equipment.........................................

    73Emergency Medicine....................................................

    73Endocrinology...............................................................

    73Family Practice.............................................................

    74General Surgery...........................................................

    74Hearing Services..........................................................

    74Hematology/Oncology..................................................

    74Home Health Care Service...........................................

    74Home Infusion Therapy................................................

    74Hospice.........................................................................

    74Hospitalist.....................................................................

    74Internal Medicine..........................................................

    75Internal Medicine/Pediatrics.........................................

    75Laboratory Service.......................................................

    75Licensed Clinical Social Worker...................................

    75Licensed Mental Health Counselor...............................

    75Nephrology...................................................................

    75Neurology.....................................................................

    75NeuroPsychiatry...........................................................

    75Neurosurgery................................................................

    75Nurse Practitioner.........................................................

    75OB/GYN........................................................................

  • Table of Contents

    75Ophthalmology.............................................................

    75Optometry.....................................................................

    75Orthopaedic Surgery.....................................................

    76Orthopaedics................................................................

    76Otolaryngology..............................................................

    76Pediatric Allergy/Immunology.......................................

    76Pediatrics......................................................................

    76Physician Assistant.......................................................

    76Plastic Surgery.............................................................

    76Podiatrics......................................................................

    76Psychiatry.....................................................................

    76Psychology...................................................................

    76Pulmonary Medicine.....................................................

    76Rheumatology..............................................................

    76Skilled Nursing Facility.................................................

    76Sleep Study Center......................................................

    76Sports Medicine............................................................

    76Surgical Assistant.........................................................

    76Therapy (PT, OT & ST).................................................

    77Urology.........................................................................

    77Vascular Surgery..........................................................

    77Vision Center................................................................

    Door County 77Allergy/Immunology......................................................

    77Autism Treatment Agency.............................................

    77Cardiology....................................................................

    77Cardiovascular Disease................................................

    77Chiropractic..................................................................

    77Convenient Care...........................................................

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

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

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

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

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

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

    77General Surgery...........................................................

    77Geriatrics......................................................................

    77Hearing Services..........................................................

    77Hematology/Oncology..................................................

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

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

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

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

    78Licensed Clinical Social Worker...................................

    78Licensed Mental Health Counselor...............................

    78Neurology.....................................................................

    78Neurosurgery................................................................

    78Nurse Practitioner.........................................................

    78OB/GYN........................................................................

    78Occupational/Preventive Medicine...............................

    78Ophthalmology.............................................................

    78Optometry.....................................................................

    78Orthopaedic Surgery.....................................................

    78Otolaryngology..............................................................

    78Palliative Care..............................................................

    78Pediatrics......................................................................

    78Podiatrics......................................................................

    78Psychiatry.....................................................................

    78Psychology...................................................................

    78Pulmonary Medicine.....................................................

    78Radiation Oncology......................................................

    79Rheumatology..............................................................

    79Skilled Nursing Facility.................................................

    79Sleep Disorders............................................................

    79Therapy (PT, OT & ST).................................................

    79Urology.........................................................................

    79Vascular Surgery..........................................................

    Douglas County

    79Chiropractic..................................................................

    79Psychiatry.....................................................................

    79Skilled Nursing Facility.................................................

    Dunn County 79Adolescent Medicine....................................................

    79Anesthesiology/Pain Management...............................

    79Autism Treatment Agency.............................................

    79Cardiology....................................................................

    79Cardiothoracic Surgery.................................................

    79Chiropractic..................................................................

    79Dialysis Service............................................................

    79Durable Medical Equipment.........................................

    79Endocrinology...............................................................

    79Family Practice.............................................................

    79Geriatrics......................................................................

    79Home Infusion Therapy................................................

    79Laboratory Service.......................................................

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

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

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

    79Skilled Nursing Facility.................................................

    79Sleep Disorders............................................................

    79Vision Center................................................................

    Eau Claire County 79Adolescent Medicine....................................................

    79Ambulatory Surgical Center..........................................

    79Anesthesiology/Pain Management...............................

    80Autism Treatment Agency.............................................

    80Cardiology....................................................................

    80Cardiothoracic Surgery.................................................

    80Cardiovascular Disease................................................

    80Cardiovascular Surgery................................................

    80Chiropractic..................................................................

    80Convenient Care...........................................................

    80Critical Care..................................................................

    80Dermatology.................................................................

    80Dialysis Service............................................................

    80Durable Medical Equipment.........................................

    80Electrophysiology.........................................................

    80Endocrinology...............................................................

    80Family Practice.............................................................

    80Gastroenterology..........................................................

    80General Surgery...........................................................

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

    81Hand Surgery................................................................

    81Hematology/Oncology..................................................

    81Home Health Care Service...........................................

    81Home Infusion Therapy................................................

    81Hospice.........................................................................

    81Hospitalist.....................................................................

    81Internal Medicine..........................................................

    81Laboratory Service.......................................................

    81Licensed Clinical Social Worker...................................

    81Licensed Mental Health Counselor...............................

    81Nephrology...................................................................

    81Neurology.....................................................................

    81NeuroPsychology..........................................................

    81Neurosurgery................................................................

    81Nurse Midwife...............................................................

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

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

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

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

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

    82Orthopaedics................................................................

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

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

    82Pediatric Cardiology.....................................................

  • Table of Contents

    82Pediatric Dermatology..................................................

    82Pediatric Endocrinology................................................

    82Pediatric Gastroenterology...........................................

    82Pediatric Nephrology....................................................

    82Pediatric Neurology......................................................

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

    82Pediatric Psychiatry/Psychology...................................

    82Pediatrics......................................................................

    82Physical Medicine/Rehab.............................................

    82Plastic Surgery.............................................................

    82Podiatrics......................................................................

    82Psychiatry.....................................................................

    82Psychology...................................................................

    82Pulmonary Medicine.....................................................

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

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

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

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

    83Sports Medicine............................................................

    83Surgical Oncology........................................................

    83Thoracic Surgery..........................................................

    83Urgent Care / Walk In...................................................

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

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

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

    83Vision Center................................................................

    Florence County 83Skilled Nursing Facility.................................................

    Fond du Lac County 83Allergy/Immunology......................................................

    83Ambulatory Surgical Center..........................................

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

    83Autism Services............................................................

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

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

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

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

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

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

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

    84Dermatopathology........................................................

    84Diagnostic Monitoring...................................................

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

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

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

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

    84Family Practice.............................................................

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

    85Gastroenterology/Hepatology.......................................

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

    85Hearing Services..........................................................

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

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

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

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

    86Infectious Disease........................................................

    86Internal Medicine..........................................................

    86Internal Medicine/Pediatrics.........................................

    86Laboratory Service.......................................................

    86Licensed Clinical Social Worker...................................

    86Licensed Mental Health Counselor...............................

    87Maternal/Fetal Medicine...............................................

    87Nephrology...................................................................

    87Neurology.....................................................................

    87Neurosurgery................................................................

    87OB/GYN........................................................................

    87Ophthalmology.............................................................

    87Optometry.....................................................................

    88Oral Surgery.................................................................

    88Orthopaedic Surgery.....................................................

    88Orthopaedics................................................................

    88Otolaryngology..............................................................

    88Pediatric Cardiology.....................................................

    88Pediatric Optometry......................................................

    88Pediatric Psychiatry/Psychology...................................

    88Pediatrics......................................................................

    88Perinatology..................................................................

    88Physical Medicine/Rehab.............................................

    88Physician Assistant.......................................................

    88Plastic Surgery.............................................................

    88Podiatrics......................................................................

    88Psychiatry.....................................................................

    88Psychology...................................................................

    89Pulmonary Medicine.....................................................

    89Radiation Oncology......................................................

    89Rheumatology..............................................................

    89Skilled Nursing Facility.................................................

    89Sleep Disorders............................................................

    89Sports Medicine............................................................

    89Surgical Assistant.........................................................

    89Therapy (PT, OT & ST).................................................

    89Urgent Care Center / Walk In Clinic..............................

    89Urology.........................................................................

    89Vascular Surgery..........................................................

    89Vision Center................................................................

    Forest County 89Autism Treatment Agency.............................................

    89Chiropractic..................................................................

    89Durable Medical Equipment.........................................

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

    89Home Infusion Therapy................................................

    89Laboratory Service.......................................................

    Grant County 89Chiropractic..................................................................

    89Therapy (PT, OT & ST).................................................

    Green County 89Allergy/Immunology......................................................

    89Autism Treatment Agency.............................................

    90Cardiology....................................................................

    90Chiropractic..................................................................

    90Dermatology.................................................................

    90Durable Medical Equipment.........................................

    90Emergency Medicine....................................................

    90Family Practice.............................................................

    90Gastroenterology..........................................................

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

    91Hematology/Oncology..................................................

    91Home Health Care Service...........................................

    91Home Infusion Therapy................................................

    91Internal Medicine..........................................................

    91Laboratory Service.......................................................

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

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

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

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

    91Neurology.....................................................................

    91OB/GYN........................................................................

    91Ophthalmology.............................................................

    91Optometry.....................................................................

    91Orthopaedics................................................................

    91Otolaryngology..............................................................

    91Palliative Care..............................................................

    91Pediatrics......................................................................

    91Physical Medicine/Rehab.............................................

    91Psychiatry.....................................................................

  • Table of Contents

    91Psychology...................................................................

    91Radiation Oncology......................................................

    91Rheumatology..............................................................

    92Skilled Nursing Facility.................................................

    92Urology.........................................................................

    92Vision Center................................................................

    Green Lake County 92Allergy/Immunology......................................................

    92Anesthesiology/Pain Management...............................

    92Autism Treatment Agency.............................................

    92Cardiology....................................................................

    92Cardiothoracic Surgery.................................................

    92Cardiovascular Disease................................................

    92Chiropractic..................................................................

    92Dermatology.................................................................

    92Diagnostic Monitoring...................................................

    92Dialysis Service............................................................

    92Durable Medical Equipment.........................................

    92Family Practice.............................................................

    93Gastroenterology..........................................................

    93General Surgery...........................................................

    93Head and Neck Surgery...............................................

    93Hematology/Oncology..................................................

    93Home Health Care Service...........................................

    93Home Infusion Therapy................................................

    93Hospice.........................................................................

    93Infectious Disease........................................................

    93Internal Medicine..........................................................

    93Laboratory Service.......................................................

    93Licensed Mental Health Counselor...............................

    93Neurosurgery................................................................

    93Nurse Practitioner.........................................................

    93OB/GYN........................................................................

    93Ophthalmology.............................................................

    93Optometry.....................................................................

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

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

    94Physical Medicine/Rehab.............................................

    94Psychiatry.....................................................................

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

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

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

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

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

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

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

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

    Iowa County 94Allergy/Immunology......................................................

    94Chiropractic..................................................................

    94Pediatric Allergy/Immunology.......................................

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

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

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

    Iron County 94Family Practice.............................................................

    94Internal Medicine..........................................................

    94Licensed Clinical Social Worker...................................

    Jackson County 94Autism Treatment Agency.............................................

    94Chiropractic..................................................................

    94Durable Medical Equipment.........................................

    94Home Infusion Therapy................................................

    94Laboratory Service.......................................................

    94Licensed Mental Health Counselor...............................

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

    Jefferson County

    94Allergy/Immunology......................................................

    94Ambulatory Surgical Center..........................................

    94Anesthesiology/Pain Management...............................

    94Autism Treatment Agency.............................................

    94Cardiology....................................................................

    95Cardiovascular Disease................................................

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

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

    95Diagnostic Monitoring...................................................

    95Dialysis Service............................................................

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

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

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

    96Geriatrics......................................................................

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

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

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

    96Hospice.........................................................................

    96Hyperbaric Oxygen Therapy.........................................

    96Imaging Center.............................................................

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

    96Internal Medicine/Pediatrics.........................................

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

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

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

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

    97Neurology.....................................................................

    97Neurosurgery................................................................

    97Nurse Practitioner.........................................................

    97OB/GYN........................................................................

    97Occupational/Preventive Medicine...............................

    97Ophthalmology.............................................................

    97Optometry.....................................................................

    97Orthopaedic Surgery.....................................................

    97Orthopaedics................................................................

    97Otolaryngology..............................................................

    97Pediatric Allergy/Immunology.......................................

    97Pediatric Plastic Surgery..............................................

    97Pediatrics......................................................................

    98Physical Medicine/Rehab.............................................

    98Physician Assistant.......................................................

    98Plastic Surgery.............................................................

    98Podiatrics......................................................................

    98Psychiatry.....................................................................

    98Psychology...................................................................

    98Pulmonary Medicine.....................................................

    98Radiation Oncology......................................................

    98Rheumatology..............................................................

    98Skilled Nursing Facility.................................................

    98Sleep Disorders............................................................

    98Sports Medicine............................................................

    98Therapy (PT, OT & ST).................................................

    98Transplant Surgery.......................................................

    98Urgent Care Center / Walk In Clinic..............................

    98Urology.........................................................................

    98Vascular Surgery..........................................................

    98Vision Center................................................................

    Juneau County 98Cardiovascular Disease................................................

    98Chiropractic..................................................................

    98Orthopaedics................................................................

    98Otolaryngology..............................................................

    98Physical Medicine/Rehab.............................................

    98Skilled Nursing Facility.................................................

    98Therapy (PT, OT & ST).................................................

    Kenosha County 98Allergy/Immunology......................................................

    98Ambulance Service.......................................................

  • Table of Contents

    98Ambulatory Surgical Center..........................................

    98Anesthesiology/Pain Management...............................

    99Autism Treatment Agency.............................................

    99Cardiology....................................................................

    99Cardiothoracic Surgery.................................................

    99Cardiovascular Disease................................................

    99Chiropractic..................................................................

    99Dermatology.................................................................

    99Developmental Pediatrics.............................................

    99Diagnostic Monitoring...................................................

    99Durable Medical Equipment.........................................

    100Electrophysiology.........................................................

    100Endocrinology...............................................................

    100Family Practice.............................................................

    100Gastroenterology..........................................................

    101General Surgery...........................................................

    101Genetics.......................................................................

    101Hand Surgery................................................................

    101Hearing Services..........................................................

    101Hematology/Oncology..................................................

    101Home Health Care Service...........................................

    101Home Infusion Therapy................................................

    101Hospice.........................................................................

    101Imaging Center.............................................................

    101Infectious Disease........................................................

    101Internal Medicine..........................................................

    101Internal Medicine/Pediatrics.........................................

    101Laboratory Service.......................................................

    101Licensed Clinical Social Worker...................................

    102Licensed Mental Health Counselor...............................

    102Maternal/Fetal Medicine...............................................

    102Nephrology...................................................................

    102Neurology.....................................................................

    102Neurosurgery................................................................

    102Nurse Practitioner.........................................................

    102OB/GYN........................................................................

    102Ophthalmology.............................................................

    102Optometry.....................................................................

    103Orthopaedic Surgery.....................................................

    103Otolaryngology..............................................................

    103Pediatric Allergy/Immunology.......................................

    103Pediatric Cardiology.....................................................

    103Pediatric Dermatology..................................................

    103Pediatric Gastroenterology...........................................

    103Pediatric Neurology......................................................

    103Pediatric Otolaryngology...............................................

    103Pediatric Physical Medicine/Rehab..............................

    103Pediatric Psychiatry/Psychology...................................

    104Pediatric Pulmonary Medicine......................................

    104Pediatric Therapy (PT, OT & ST)..................................

    104Pediatric Urology..........................................................

    104Pediatrics......................................................................

    104Physician Assistant.......................................................

    104Plastic Surgery.............................................................

    104Podiatrics......................................................................

    104Psychiatry.....................................................................

    104Psychology...................................................................

    104Pulmonary Medicine.....................................................

    104Radiation Oncology......................................................

    105Rheumatology..............................................................

    105Skilled Nursing Facility.................................................

    105Sleep Disorders............................................................

    105Sleep Study Center......................................................

    105Sports Medicine............................................................

    105Therapy (PT, OT & ST).................................................

    105Transplant Surgery.......................................................

    105Urgent Care Center / Walk In Clinic..............................

    105Urology.........................................................................

    105Vision Center................................................................

    Kewaunee County 105Autism Treatment Agency.............................................

    105Cardiology....................................................................

    105Cardiovascular Disease................................................

    105Chiropractic..................................................................

    105Diagnostic Monitoring...................................................

    105Durable Medical Equipment.........................................

    105Endocrinology...............................................................

    105Family Practice.............................................................

    106General Surgery...........................................................

    106Home Health Care Service...........................................

    106Home Infusion Therapy................................................

    106Laboratory Service.......................................................

    106Licensed Clinical Social Worker...................................

    106Licensed Mental Health Counselor...............................

    106Nurse Practitioner.........................................................

    106Ophthalmology.............................................................

    106Optometry.....................................................................

    106Orthopaedic Surgery.....................................................

    106Orthopaedics................................................................

    106Physician Assistant.......................................................

    106Psychology...................................................................

    106Sports Medicine............................................................

    106Therapy (PT, OT & ST).................................................

    106Urgent Care Center / Walk In Clinic..............................

    106Urology.........................................................................

    La Crosse County 106Autism Treatment Agency.............................................

    106Cardiology....................................................................

    106Cardiovascular Disease................................................

    106Chiropractic..................................................................

    107Dialysis Service............................................................

    107Durable Medical Equipment.........................................

    107Family Practice.............................................................

    107Home Health Care Service...........................................

    107Home Infusion Therapy................................................

    107Infectious Disease........................................................

    107Internal Medicine..........................................................

    107Laboratory Service.......................................................

    107Licensed Clinical Social Worker...................................

    107Licensed Mental Health Counselor...............................

    107Orthopaedics................................................................

    107Psychiatry.....................................................................

    107Psychology...................................................................

    107Rheumatology..............................................................

    107Skilled Nursing Facility.................................................

    107Vision Center................................................................

    Lafayette County 107Chiropractic..................................................................

    107Family Practice.............................................................

    107Internal Medicine..........................................................

    Langlade County 107Autism Treatment Agency.............................................

    107Chiropractic..................................................................

    107Durable Medical Equipment.........................................

    107Home Infusion Therapy................................................

    107Laboratory Service.......................................................

    107Psychiatry.....................................................................

    107Psychology...................................................................

    Lincoln County 107Allergy/Immunology......................................................

    107Autism Treatment Agency.............................................

    108Cardiology....................................................................

    108Cardiovascular Disease................................................

    108Chiropractic..................................................................

    108Durable Medical Equipment.........................................

  • Table of Contents

    108Endocrinology...............................................................

    108Family Practice.............................................................

    108General Surgery...........................................................

    108Hematology/Oncology..................................................

    108Home Infusion Therapy................................................

    108Internal Medicine..........................................................

    108Laboratory Service.......................................................

    108Nephrology...................................................................

    108Neurology.....................................................................

    108Pediatrics......................................................................

    108Physical Medicine/Rehab.............................................

    108Podiatrics......................................................................

    108Psychiatry.....................................................................

    108Skilled Nursing Facility.................................................

    108Urology.........................................................................

    Manitowoc County 108Allergy/Immunology......................................................

    108Anesthesiology/Pain Management...............................

    108Autism Treatment Agency.............................................

    108Cardiology....................................................................

    108Chiropractic..................................................................

    108Convenient Care...........................................................

    108Dermatology.................................................................

    109Diagnostic Monitoring...................................................

    109Dialysis Service............................................................

    109Durable Medical Equipment.........................................

    109Family Practice.............................................................

    110Gastroenterology..........................................................

    110General Surgery...........................................................

    110Head and Neck Surgery...............................................

    110Hearing Services..........................................................

    110Hematology/Oncology..................................................

    110Home Health Care Service...........................................

    110Home Infusion Therapy................................................

    110Hospice.........................................................................

    110Imaging Center.............................................................

    110Internal Medicine..........................................................

    110Laboratory Service.......................................................

    111Licensed Clinical Social Worker...................................

    111Licensed Mental Health Counselor...............................

    111Neurology.....................................................................

    111Neurosurgery................................................................

    111Nurse Practitioner.........................................................

    111OB/GYN........................................................................

    111Ophthalmology.............................................................

    111Optometry.....................................................................

    111Orthopaedic Surgery.....................................................

    111Orthopaedics................................................................

    111Otolaryngology..............................................................

    112Pediatric Neurology......................................................

    112Pediatrics......................................................................

    112Physical Medicine/Rehab.............................................

    112Physician Assistant.........................