TIER 1 PRACTITIONERS BY SPECIALTY

Provider Directory MERC CY MEDICAL CENTER Preferred Health Choices, LLC 1605 Associatess Drive 52004-5003 Local (563) 556-8070 Toll-Free (800) 747-8900 Health Care Services (563) 584-3275 or (800) 325-7442 24-Hour Help Nurse (563) 556-HELP or (800)) 325-7442 This Directory lists providers that participate in the Health Choices network. At the time of printing, this list is up to date. However, ongoing changes happen as new provider rs are added and other providers end their participation with Health Choices. If you have any questions about the availability of a particular provider, please call the Providers office or Health Choices. Last updatedd on 07/22/ /2016

TIER 1 PRACTITIONERS BY SPECIALTY Disclaimer: The Provider Directory is subject to change at any time. For more current information, please contact Member Services at 1-866-821-1365 or 563-584-4885. ALLERGY Grand River Medical Group, PC 3405 Lake Ridge Drive 52003 (563) 589-4848 Letz, Adrian G., MD Medical Associates - Allergy Dept 52002 (563) 584-4485 Khan, Hyder A., MD McClimon, Brad J., MD Moore, John C., MD Guttenberg, IA Guttenberg Municipal Hospital 200 Main Street, PO Box 550 Guttenberg, IA 52052 (563) 252-1121 Moore, John C., MD Lancaster, WI Grant Regional Health Center Outpatient 507 S. Monroe Street (608) 723-3249 Moore, John C., MD Manchester, IA Regional Medical Center 709 W. Main Street, PO Box 359 Manchester, IA 52057 (563) 927-3232 McClimon, Brad J., MD Maquoketa, IA Jackson County Public Hospital - Outpatient 700 W. Grove Street Maquoketa, IA 52060 (563) 652-4060 McClimon, Brad J., MD Medical Associates - Platteville 1240 Big Jack Road (608) 348-6266 Khan, Hyder A., MD Moore, John C., MD AMBULATORY CARE Grand River Medical Group, PC 1515 Delhi Street, Suite 100 52001 (563) 557-9111 Kueter, Cortney M., PA-C Singsank, Mark J., MD CARDIOLOGY Grand River Medical Group, PC 1515 Delhi Street, Suite 100 52001 (563) 557-9111 Abusin, Salaheldin A., MD Martin, Timothy W., MD Medical Associates Cardiology Dept 52001 (563) 584-3425 Ehlinger, Julie T., ARNP Eltibi, Rami S., MD Johnson, Thomas M., MD Ramabadran, R S, MD Elkader, IA Medical Associates - Elkader 911 Carter Street NW Elkader, IA 52043 (563) 245-1717 Eltibi, Rami S., MD Johnson, Thomas M., MD Ramabadran, R S, MD * Currently NOT accepting new patients F = Female, M = Male 2

TIER 1 PRACTITIONERS BY SPECIALTY Guttenberg, IA Guttenberg Municipal Hospital 200 Main Street, PO Box 550 Guttenberg, IA 52052 (563) 252-1121 Eltibi, Rami S., MD Johnson, Thomas M., MD Ramabadran, R S, MD Lancaster, WI Grant Regional Health Center - Outpatient 507 S. Monroe Street (608) 723-3249 Eltibi, Rami S., MD Johnson, Thomas M., MD Ramabadran, R S, MD Maquoketa, IA Jackson County Public Hospital - Outpatient 700 W. Grove Street Maquoketa, IA 52060 (563) 652-4060 Eltibi, Rami S., MD Johnson, Thomas M., MD Ramabadran, R S, MD Medical Associates - Platteville 1240 Big Jack Road (608) 348-6266 Eltibi, Rami S., MD Johnson, Thomas M., MD Ramabadran, R S, MD CARDIOVASCULAR SURGERY Medical Associates - Cardiovascular Surgery Dept 52001 (563) 584-3445 Bezzina, Lance A., DO Vunnamadala, Kalyan C., MD Wertheimer, Mark, MD DERMATOLOGY Grand River Medical Group, PC 3405 Lake Ridge Drive 52003 (563) 589-4848 Eisel, Megan M., PA-C Schope, Jennifer M., MD Medical Associates - Dermatology Dept 52002 (563) 584-4425 Fitz, Sara R., MD Hoy, Stephen E., MD Larsen, Jessica A., PA-C Tri-State Family Practice 1500 Delhi Street, Suite 4100 52001 (563) 557-5900 Knabel, Mark R., MD Dyersville, IA Dyersville Family Practice 1121 Third Street SW Dyersville, IA 52040 (563) 875-2776 Hoy, Stephen E., MD Medical Associates - Platteville 1240 Big Jack Road (608) 348-6266 Fitz, Sara R., MD DIABETIC EDUCATION Cuba City, WI Medical Associates - Cuba City 117 S. Madison Cuba City, WI 53807 (608) 744-2115 Connolly, Amy S., ARNP * Currently NOT accepting new patients F = Female, M = Male 3

TIER 1 PRACTITIONERS BY SPECIALTY Medical Associates Endocrinology Dept 52001 (563) 584-3310 Connolly, Amy S., ARNP Elkader, IA Central Community Hospital 901 Davidson Street Elkader, IA 52043 (563) 245-7000 Connolly, Amy S., ARNP Medical Associates - Platteville 1240 Big Jack Road (608) 348-6266 Connolly, Amy S., ARNP ENDOCRINOLOGY Grand River Medical Group, PC 1515 Delhi Street, Suite 100 52001 (563) 557-9111 Iverson, Ronald A., MD Putz, Darcy M., MD Medical Associates Endocrinology Dept 52001 (563) 584-3310 Brock, Scott A., MD Manchester, IA Regional Medical Center - Outpatient 709 W. Main Street Manchester, IA 52057 (563) 927-3232 Putz, Darcy M., MD FAMILY MEDICINE Bellevue, IA Medical Associates - Bellevue 208 N. 12th Street Bellevue, IA 52031 (563) 872-4008 Cleary, Ashley C., ARNP Hunter, Jeffrey M., MD Cascade, IA Cascade Family Health Center 805 Johnson Street, SW Cascade, IA 52033 (563) 852-7756 Isaak, Frederick S., MD Kelchen, Sherry L., ARNP Lindblom, Kelly S., ARNP Cuba City, WI Medical Associates - Cuba City 117 S. Madison Cuba City, WI 53807 (608) 744-2115 Bearse, Dianna L., DO Tuthill, Jason M., ARNP Willis, Christianne M., PA-C Advanced Wellness Center, PC 2442 Meinen Court 52002 (563) 556-6292 Schlosser, Nicole M., ARNP Affordable Healthcare, PC 3343 Center Grove Drive, Suite H 52003 (563) 582-1000 McMahon, Kelly S., ARNP Grand River Medical Group, PC 1515 Delhi Street, Suite 100 52001 (563) 557-9111 Kumor, Benjamin B., MD Wolbers, Regan A., MD * Currently NOT accepting new patients F = Female, M = Male 4

TIER 1 PRACTITIONERS BY SPECIALTY Grand River Medical Group, PC 320 North Grandview 52001 (563) 583-9300 Ewen, Amy J., MD Haas, Steven G., MD Jacobitz-Kizzier, Sarah M., MD Kutsch, Angie M., ARNP Nelson, Brian J., MD Medical Associates Family Medicine - East 52001 (563) 584-3226 *Loetscher, Sara J., MD * Nachtman, Chadwick J., MD Ruba, Kellie K., ARNP * Stille, Christopher M., MD * Stille, Ryan B., MD Townsend, Heidi E., MD Medical Associates Family Medicine - West 52002 (563) 584-4450 *Freiburger, Jared J., DO *Mohr, Jennifer M., DO *Steffen, Kenneth F., DO Tri-State Family Practice 1500 Delhi Street, Suite 4100 52001 (563) 557-5900 Adkins, Kristina M., MD Hartmann, John J., DO Hutchison, Lawrence R., MD McKenna, Michael D., MD Dyersville, IA Dyersville Family Practice 1121 Third Street SW Dyersville, IA 52040 (563) 875-2776 Miner, Thomas R., DO Snyder, Joseph J., DO Tomas, Robert S., MD Elizabeth, IL Medical Associates - Elizabeth 560 Pleasant St. Elizabeth, IL 61028 (815) 858-2642 Crist, G. Allen, DO Koenigs, Mary C., MD Vandigo, Gregory A., MD Elkader, IA Medical Associates - Elkader 911 Carter Street NW Elkader, IA 52043 (563) 245-1717 Berns, Barbara L., ARNP Embretson, Stacey A., ARNP Lawlor, Donna M., MD Tinker, David P., DO Galena, IL Medical Associates - Galena 10988 Bartell Blvd. Galena, IL 61036 (815) 777-0900 Bernard, Gary O., DO Crist, G. Allen, DO Koenigs, Mary C., MD Vandigo, Gregory A., MD Monona, IA Medical Associates - Monona 107 S. Page Street Monona, IA 52159 (563) 539-4631 Berns, Barbara L., ARNP Embretson, Stacey A., ARNP Lawlor, Donna M., MD Tinker, David P., DO * Currently NOT accepting new patients F = Female, M = Male 5

TIER 1 PRACTITIONERS BY SPECIALTY Medical Associates - Platteville 1240 Big Jack Road (608) 348-6266 * Barraclough, Amy L., PA-C Bearse, Dianna L., DO * Connolly, Michael E., MD Ragatz, Alison E., PA-C Temperly, Candy Jo, PA-C White, Jeffrey L., DO GASTROENTEROLOGY Grand River Medical Group, PC 1515 Delhi Street, Suite 100 52001 (563) 557-9111 Gorrepati, Krishnarao V., MD Koontz, Ian M., MD Lengeling, Randall W., MD Medical Associates - Gastroenterology Dept 52002 (563) 584-4430 Covey, Brian W., MD Ernst, Kari J., ARNP GENERAL SURGERY Medical Associates - Surgery Dept 52001 (563) 584-3450 Fuller, Joseph B., MD Obbink, Bruce A., MD Ott, Jr., Roger A., MD Roling, Benjamin M., MD Dyersville, IA Dyersville Family Practice 1121 Third Street SW Dyersville, IA 52040 (563) 875-2776 Obbink, Bruce A., MD * Currently NOT accepting new patients F = Female, M = Male Medical Associates - Platteville 1240 Big Jack Road (608) 348-6266 Roling, Benjamin M., MD GYNECOLOGY Medical Associates - OB/GYN/Infertility Dept 52002 (563) 584-4435 Neal, Laura, MD INFECTIOUS DISEASES Grand River Medical Group, PC 1515 Delhi Street, Suite 100 52001 (563) 557-9111 Sekar, Poorani, MD Medical Associates Internal Medicine Dept - East 52001 (563) 584-3430 Caceres, Honorio J., MD INTERNAL MEDICINE Grand River Medical Group, PC 1515 Delhi Street, Suite 100 52001 (563) 557-9111 Cao, Zhengjin, MD Casey, Melissa K., PA-C Compton, Joseph M., MD Hubanks, Angela W., PA-C Kelley, Angela D., DO Kirkendall, Matthew J., MD Konz, Cynthia J., MD Liaboe, Mark O., MD Meurer, Allen G., MD Moran, Brian D., MD Moran, Gina M., MD 6

TIER 1 PRACTITIONERS BY SPECIALTY Nelson, Kristin E., MD Powers, Jill M., DO Ridgley, Garrett V., MD Salas, Hillard A., MD Medical Associates Internal Medicine Dept - East 52001 (563) 584-3430 * Caceres, Honorio J., MD Kemp, Amber N., ARNP Reisen, Amy E., ARNP * Sinsky, Christine A., MD * Sinsky, Thomas A., MD * Sullivan, Brian E., MD Wethal, Katy A., ARNP Medical Associates Internal Medicine Dept - West 52002 (563) 584-4430 Ehlers, Kim M., ARNP * Moore, Mark F., MD * Ries, Andrea L., MD Runde, Mark P., MD Weber, Crista N., ARNP NEPHROLOGY Darlington, WI Memorial Hospital of LaFayette County - Outpatient 800 Clay Street Darlington, WI 53530 (608) 776-5763 Whalen, John E., MD Tri-State Dialysis 1500 Delhi Street, Suite 2100 52001 (563) 557-9111 Kramer, Connie L., ARNP Ringold, David M., MD Whalen, John E., MD Manchester, IA Regional Medical Center Outpatient 709 W. Main Street Manchester, IA 52057 (563) 927-3232 Kramer, Connie L., ARNP Ringold, David M., MD Whalen, John E., MD Tri-State Dialysis - Outpatient 1250 E. Highway 151 (608) 348-5064 Kramer, Connie L., ARNP Ringold, David M., MD Whalen, John E., MD NEUROLOGY Medical Associates Neurology Dept 52001 (563) 584-3495 Garms, Laurie A., MD Joseph, Preeti M., MD Thronaum, Leah A., DO OBSTETRICS & GYNECOLOGY Dubuque Obstetrics & Gynecology, PC 1500 Delhi Street, Suite 3100 52001 (563) 557-5959 Anderson, Thaddeus L., MD Eckhart, Teresa A., MD Fautsch, Deborah, CNM Janecek, Torri M., DO LaBeau, Deborah A., MD Lehman, Kathe, CNM Leppellere, Cara R., MD Page, Curtis E., MD Witthoeft, Laura J., MD * Currently NOT accepting new patients F = Female, M = Male 7

TIER 1 PRACTITIONERS BY SPECIALTY Medical Associates - OB/GYN/Infertility Dept 52002 (563) 584-4435 Berger, Joseph P., MD Holste, Tara L., DO Kramer, Lisa A., MD Mehta, Trupti S., MD O'Donnell, Erika R., MD Thronaum, Maggie L., DO ONCOLOGY Grand River Medical Group, PC 1515 Delhi Street, Suite 100 52001 (563) 557-9111 Heiar, Tony N., ARNP Hermann, Mark E., MD Zenk, David W., MD Medical Associates Oncology Dept 52001 (563) 584-3480 Bushman, Susan G., ARNP Engelman, Eric S., DO Holm, Christine M., MD Kukla, Lawrence J., MD Schultheis, Christian P., MD Guttenberg, IA Guttenberg Municipal Hospital 200 Main Street, PO Box 550 Guttenberg, IA 52052 (563) 252-1121 Kukla, Lawrence J., MD Maquoketa, IA Jackson County Public Hospital - Outpatient 700 W. Grove Street Maquoketa, IA 52060 (563) 652-4060 Schultheis, Christian P., MD Medical Associates - Platteville 1240 Big Jack Road (608) 348-6266 Engelman, Eric S., DO OPHTHALMOLOGY Medical Associates - Ophthalmology Dept 52002 (563) 584-4415 Baumann, Kent W., MD Daley, Timothy J., MD Hein, Alethea A., MD Odaibo, Stephen G., MD Scott, Michael H., MD Sleep, Todd E., MD The Fuerste Eye 2140 John F. Kennedy Road 52002 (563) 582-0769 Fuerste, C. Rommel, MD Fuerste, F. Hunter, MD Fuerste, Gretchen, MD Nieto, Juan C., MD Risma, Justin M., MD Dyersville, IA Dyersville Family Practice 1121 Third Street SW Dyersville, IA 52040 (563) 875-2776 Sleep, Todd E., MD Elkader, IA Bruce R. Landis, OD 202 S. Main Street, PO Box 100 Elkader, IA 52043 (563) 245-2304 Daley, Timothy J., MD * Currently NOT accepting new patients F = Female, M = Male 8

TIER 1 PRACTITIONERS BY SPECIALTY Galena, IL Midwest Medical Center One Medical Center Galena, IL 61036 (815) 777-1340 Risma, Justin, M., MD Guttenberg, IA Guttenberg Municipal Hospital 200 Main Street, PO Box 550 Guttenberg, IA 52052 (563) 252-1121 Daley, Timothy J., MD Nieto, Juan C., MD Lancaster, WI Grant Regional Health Center Outpatient 507 S. Monroe Street (608) 723-3249 Hein, Alethea A., MD Manchester, IA Regional Medical Center Outpatient 709 W. Main Street Manchester, IA 52057 (563) 927-3232 Fuerste, F. Hunter, MD Maquoketa, IA Jackson County Public Hospital - Outpatient 700 W. Grove Street Maquoketa, IA 52060 (563) 652-4060 Fuerste, C. Rommel, MD Medical Associates - Platteville Eye 1240 Big Jack Road (608) 348-6266 Baumann, Kent W., MD OPTOMETRY Medical Associates - Ophthalmology Dept 52002 (563) 584-4415 Arensdorff, Matthew J., OD Vaassen, Samantha R., OD Walker, Marian R., OD Woodland, Joshua A., OD The Fuerste Eye 2140 John F. Kennedy Road 52002 (563) 582-0769 Auer, David B., OD Dyersville, IA Dyersville Family Practice 1121 Third Street SW Dyersville, IA 52040 (563) 875-2776 Arensdorff, Matthew J., OD Galena, IL Medical Associates Eye 10988 Bartell Blvd. Galena, IL 61036 (815) 777-2566 Vaassen, Samantha R., OD Lancaster, WI Grant Regional Health Center Outpatient 507 S. Monroe Street (608) 723-3249 Walker, Marian R., OD Medical Associates - Platteville Eye 1240 Big Jack Road (608) 348-6266 Vaassen, Samantha R., OD * Currently NOT accepting new patients F = Female, M = Male 9

TIER 1 PRACTITIONERS BY SPECIALTY ORTHOPEDICS Medical Associates - Musculoskeletal Center 52002 (563) 584-4460 Armstrong, Daniel W., PA-C Castaneda, Edwin T., MD Chapman, Michael P., MD Davison-Wiese, Shannon E., ARNP Ivanov, Julie C., PA-C Magnus, Robert E., MD Ott, Judson W., MD Rock, Steven M., MD Schemmel, Scott P., MD Schulz, Jason R., PA-C Silvia, Brian A., MD (MD) OTOLARYNGOLOGY Medical Associates - ENT Otolaryngology Dept 52001 (563) 584-3475 Alt, L. Peter, MD King, Timothy A., MD Parker, Charles A., MD Dyersville, IA Dyersville Family Practice 1121 Third Street SW Dyersville, IA 52040 (563) 875-2776 Parker, Charles A., MD Guttenberg, IA Guttenberg Municipal Hospital 200 Main Street, PO Box 550 Guttenberg, IA 52052 (563) 252-1121 Parker, Charles A., MD Lancaster, WI Grant Regional Health Center - Outpatient 507 S. Monroe Street (608) 723-3249 King, Timothy A., MD Medical Associates - Platteville 1240 Big Jack Road (608) 348-6266 King, Timothy A., MD PEDIATRIC PSYCHOLOGY Medical Associates Pediatric Psychology Dept 52001 (563) 584-3441 Gould, Martha E., PhD Huettner, Marion, PhD PEDIATRICS Grand River Medical Group, PC 1500 Delhi Street, Suite 3500 52001 (563) 557-5911 Franzen, Keevin J., MD Ganshirt, Michele A., ARNP Kragenbrink, David E., MD McGill, Amy J., ARNP McGill, Jr., R. Michael, MD Quintana, Jamie J. DO Rausch, Angela M., ARNP * Currently NOT accepting new patients F = Female, M = Male 10

TIER 1 PRACTITIONERS BY SPECIALTY Medical Associates Pediatrics Dept - East 52001 (563) 584-3440 Bonner, Bethann, MD Hanson, Julie F., MD Olberding, Julie A., ARNP Olk, Douglas G., MD Scott, Karen S., MD Thibadeau, Sarah D., ARNP Medical Associates Pediatrics Dept - West 52002 (563) 584-4440 Callahan, Thomas E., DO Meyer, Lisa A., ARNP Mullen, Kevin M., MD Reschak, Gary L., MD Thibadeau, Sarah D., ARNP PEDIATRICS CERTIFIED DIABETIC EDUCATOR Medical Associates Pediatrics Dept - East 52001 (563) 584-3440 Tiernan, Kristin A., ARNP Medical Associates Pediatrics Dept - West 52002 (563) 584-4440 Tiernan, Kristin A., ARNP PHYSICAL MEDICINE/REHABILITATION Medical Associates Physical Medicine/Rehabilitation 52002 (563) 584-4470 Mulderig, Peggy A., MD Spence, Philip M., DO PODIATRY Cascade, IA Cascade Family Health Center 805 Johnson Street, SW Cascade, IA 52033 (563) 852-7756 Keppler, Jason R., DPM Medical Associates - Podiatry Dept 52002 (563) 584-4420 Boyle, Terry L., DPM Brock, Tara L., DPM Hughes, Therea M., DPM Keppler, Jason R., DPM Dyersville, IA Dyersville Family Practice 1121 Third Street SW Dyersville, IA 52040 (563) 875-2776 Brock, Tara L., DPM Medical Associates - Platteville 1240 Big Jack Road (608) 348-6266 Boyle, Terry L., DPM PSYCHIATRY Medical Associates Psychiatry Dept PAP Building, 200 Mercy Drive, Suite 201 52001 (563) 584-3500 Amundsen, Susan M., PA-C Boxleiter, Thomas R., MD Chakunta, Umesh Rao, MD Justmann, Sarah A., ARNP Kassas, Adib, MD Lyons, Brooke N., ARNP * Currently NOT accepting new patients F = Female, M = Male 11

TIER 1 PRACTITIONERS BY SPECIALTY Medical Associates Platteville Psychiatry 1240 Big Jack Road (608) 348-6266 Amundsen, Susan M., PA-C PSYCHOLOGY Medical Associates Psychiatry Dept PAP Building, 200 Mercy Drive, Suite 201 52001 (563) 584-3500 Frommelt, Stephen J., PhD Hamann, Dana, PhD Keedy, Nicole H., PhD McGrath, Christine A., PhD Miller, Amy M., PhD Ottavi, Thomas M., PhD PULMONARY MEDICINE Grand River Medical Group, PC 1515 Delhi Street, Suite 100 52001 (563) 557-9111 Famuyide, Victoria O., DO Schope, Ronald W., MD Medical Associates Internal Medicine Dept - East 52001 (563) 584-3430 Janes, Mark K., MD Medical Associates - Platteville 1240 Big Jack Road (608) 348-6266 Janes, Mark K., MD RHEUMATOLOGY Medical Associates - Musculoskeletal Center 52002 (563) 584-4460 Dewitt, Anna M., ARNP Niemer, Mark W., MD SLEEP MEDICINE Grand River Medical Group, PC 1515 Delhi Street, Suite 100 52001 (563) 557-9111 Huang, Jingtao, MD UROLOGY Medical Associates - Urology Dept 52001 (563) 584-3490 Dolehide, John T., DO * Currently NOT accepting new patients F = Female, M = Male 12

TIER 1 FACILITIES AND OTHER SERVICE PROVIDERS DURABLE MEDICAL EQUIPMENT Centerville, IA Mercy Medical Center Centerville - DME One St. Joseph Drive Centerville, IA 52544 (641) 437-4111 Des Moines, IA Mercy Homecare on E. 12th 603 E. 12th Des Moines, IA 50309 (515) 643-0131 Mercy Medical Supply 6 th and University Des Moines, IA 50314 (515) 247-3222 Mercy Caremor Pharmacy 535 Hill Street 52001 (563) 588-4033 Mercy Family Pharmacy 52002 (563) 584-4405 Mercy Home Medical Equipment 250 Mercy Drive 52001 (563) 589-8118 HOSPITAL Centerville, IA Mercy Medical Center Centerville - Acute One St. Joseph Drive Centerville, IA 52544 (641) 437-4111 Des Moines, IA Mercy Medical Center Des Moines 1111 6 th Avenue Des Moines, IA 50314 (515) 247-3121 Mercy University 1190 6 th Avenue Des Moines, IA 50314 (515) 282-6902 Mercy Medical Center - Dubuque 250 Mercy Drive 52001 (563) 589-8000 Dyersville, IA Mercy Medical Center - Dyersville 1111 Third Street SW Dyersville, IA 52040 (563) 875-7101 West Des Moines, IA Mercy Medical Center West Lakes 1755 59 th Place West Des Moines, IA 50266 (515) 358-8000 OTHER PROVIDERS Ankeny, IA Mercy Diagnostic Center - Ankeny 1605 SE Delaware, Ste H Ankeny, IA 50021 (515) 643-6200 Mercy North Diagnostic Center 800 1 st Street, Ste 1100 Ankeny, IA 50021 (515) 643-7676 Centerville, IA Mercy Medical Center Centerville - Dialysis One St. Joseph Drive Centerville, IA 52544 (641) 437-4111 13

TIER 1 FACILITIES AND OTHER SERVICE PROVIDERS Mercy Medical Center Centerville Home Health One St. Joseph Drive Centerville, IA 52544 (641) 437-4111 Mercy Medical Center Centerville - Hospice One St. Joseph Drive Centerville, IA 52544 (641) 437-4111 Mercy Medical Center Centerville MOB One St. Joseph Drive Centerville, IA 52544 (641) 437-3413 Mercy Medical Center Centerville Swing Bed One St. Joseph Drive Centerville, IA 52544 (641) 437-4111 Clive, IA Mercy West Diagnostic Center 1601 NW 114 th Street Clive, IA 50325 (515) 222-7550 Des Moines, IA Franklin Inpatient Psych 1818 48 th Street Des Moines, IA 50310 (515) 271-6300 Mercy al Lab 1111 6 th Avenue Des Moines, IA 50314 (515) 643-8200 Mercy Family Medicine Center 250 Laurel Des Moines, IA 50314 (515) 643-4610 Mercy Home Infusion 603 E. 12th Des Moines, IA 50309 (515) 643-8383 Mercy Homecare 603 E. 12th Des Moines, IA 50309 (515) 643-8383 Mercy Inpatient Rehab 603 E. 12th Des Moines, IA 50309 (515) 247-3450 Mercy Ostomy 603 E. 12th Des Moines, IA 50309 (515) 643-0850 Mercy Skilled Nursing Facility 603 E. 12th Des Moines, IA 50309 (515) 247-4400 Mercy Willis Adult Center 921 6 th Avenue Des Moines, IA 50309 (515) 247-4022 Dubuque Anesthesia Services Mercy Radiologists of Dubuque Dubuque Emergency Physicians Pathology Associates United al Labs Johnston, IA Mercy Hospice 5820 Winnwood Drive Johnston, IA 50131 (515) 643-8400 PHYSICAL THERAPY Bellevue, IA Mercy Rehab Services 200 North Second Street Bellevue, IA 52031 (563) 872-5989 14

TIER 1 FACILITIES AND OTHER SERVICE PROVIDERS Cascade, IA Mercy Rehab Services 24688 Highway 136 Cascade, IA 52033 (563) 852-7871 Mercy Rehab Services 250 Mercy Drive 52001 (563) 589-8000 Dyersville, IA Mercy Rehab Services 1111 3rd Street Southwest Dyersville, IA 52040 (563) 875-2923 URGENT CARE CENTER Centerville, IA Mercy Medical Center Centerville Emergency Care One St. Joseph Drive Centerville, IA 52544 (641) 437-4111 Medical Associates - Acute Care 52001 (563) 584-3455 15

TIER 2 PRACTITIONERS BY SPECIALTY Disclaimer: The Provider Directory is subject to change at any time. For more current information, please contact Member Services at 1-866-821-1365 or 563-584-4885. ALCOHOL AND DRUG COUNSELING Elkader, IA Northeast Iowa Mental Health Center 911 Carter Rd, NW Elkader, IA 52043 (563) 382-3649 Elgers, Lynda, IADC Oelwein, IA Northeast Iowa Mental Health Center 36 South Frederick Avenue Oelwein, IA 50662 (319) 283-5774 Elgers, Lynda, IADC ALLERGY Prairie du Chien, WI Crossing Rivers Health Center for Specialty Care 37822 US Highway 18 Prairie du Chien, WI 53821 (608) 357-2525 Moore, John C., MD CARDIOLOGY Prairie du Chien, WI Crossing Rivers Health Center for Specialty Care 37822 US Highway 18 Prairie du Chien, WI 53821 (608) 357-2525 Eltibi, Rami S., MD Johnson, Thomas M., MD Ramabadran, R S, MD CHIROPRACTIC Cascade, IA Merritt Family Chiropractic 713 1st Ave W, PO Box 366 Cascade, IA 52033 (563) 852-5060 Merritt, Michael J., DC Cuba City, WI Cuba City Chiropractic 218 E. Webster Cuba City, WI 53807 (608) 744-2725 Misky, Stephen C., DC Darlington, WI Darlington Chiropractic 622 East Street Darlington, WI 53530 (608) 776-4325 Shippy, Carrie M., DC Patrick L. Whalen, DC 210 Main Street Darlington, WI 53530 (608) 776-4511 Whalen, Patrick L., DC Dodgeville, WI Wilkinson Family Chiropractic 106 E. Spring Street Dodgeville, WI 53533 (608) 935-5500 Wilkinson, Tammy L., DC Chirocare Plus 2617 University Avenue 52001 (563) 588-8050 Dodds, Richard M., DC Setter, Luke T., DC * Currently NOT accepting new patients F = Female, M = Male 16

TIER 2 PRACTITIONERS BY SPECIALTY Chiropractic Rehab Center 2255 JF Kennedy Road 52002 (563) 582-4357 Lonning, Dale L., DC Spurling, Todd C., DC Dalsing Chiropractic Office 1920 J.F. Kennedy Road 52002 (563) 556-0601 Dalsing, Stephen J., DC Dolezal Chiropractic & Acupuncture 3100 Cedar Crest Ridge, Suite 4 52003 (563) 557-3040 Dolezal, Micaela S., DC Lockhart Noonan Chiropractic Center 1641 Asbury Road 52001 (563) 556-8464 Lockhart, Philip B., DC Noonan, Gene A., DC Sullivan Chiropractic & Wellness Center 2699 J.F. Kennedy Road 52002 (563) 556-8600 Sullivan, James A., DC Sullivan, Samuel J., DC Dyersville, IA City Chiropractic 120 1 st Avenue West Dyersville, IA 52040 (563) 875-9255 Wall, Jason W., DC Meisch Chiropractic and Acupuncture PC 690 Field of Dreams Way Dyersville, IA 52040 (563) 875-9300 Meisch, Robert M., DC East Dubuque, IL Weber Chiropractic Office, SC 289 Sinsinawa Avenue East Dubuque, IL 61025 (815) 747-6548 Weber, David J., DC Epworth, IA Epworth Family Chiropractic 116 W. Main, PO Box 282 Epworth, IA 52045 (563) 876-3231 Kelchen, Mary J., DC Schipper Family Chiropractic, PC 210 Bierman Road, Suite F Epworth, IA 52045 (563) 876-3777 Schipper, Kyle A., DC Farley, IA Farley Chiropractic 103 1st Street NE Farley, IA 52046 (563) 744-4357 Vaughan, Michael, DC Fennimore, WI Birkett Chiropractic 990 Lincoln Avenue, PO Box 68 Fennimore, WI 53809 (608) 822-3260 Birkett, Steven A., DC Galena, IL Galena Chiropractic Center 400 N. Broadway Galena, IL 61036 (815) 777-0042 Newcomer, Mark D., DC Rosenthal Chiropractic 202 Summit Street Galena, IL 61036 (815) 776-0595 Rosenthal, Rebecca A., DC Hazel Green, WI * Currently NOT accepting new patients F = Female, M = Male 17 Gile Chiropractic & Wellness Center, LLC 3715 N Percival Street, Suite A Hazel Green, WI 53811 (608) 854-2884 Gile, Michael J., DC

TIER 2 PRACTITIONERS BY SPECIALTY Lancaster, WI Whitty Chiropractic, SC 9102 Short Cut Road (608) 723-6188 Whitty, David M., DC Wilson, Josh J., DC Manchester, IA Reetz Chiropractic 115 W. Main Street Manchester, IA 52057-1535 (563) 927-2961 Reetz, Mark A., DC Maquoketa, IA Leon Chiropractic Center 606 E Platt Street Maquoketa, IA 52060 (563) 652-5687 Leon, Brent J., DC Leon, Douglas G., DC Waack, Matthew L., DC Timber City Chiropractic 619 S. Main Street Maquoketa, IA 52060 (563) 652-2700 Schwenker, Donald L., DC Mineral Point, WI Guler and Guler Chiropractic, LLC 120 High Street Mineral Point, WI 53565 (608) 987-2012 Guler, Paul E., DC Peosta, IA Peosta Chiropractic 8554 Kapp Drive Peosta, IA 52068 (563) 557-1212 Vaughan, Michael, DC Chiropractic Associates of Platteville, LLC 470 S. Water Street (608) 348-3156 Dreessens, Chase J., DC Millin, Lisa M., DC Randall, Lynn M., DC Wall-Feyen, Tami L., DC Rosemeyer Jones Chiropractic LLC 662 Hwy 151 E., PO Box 421 (608) 348-4500 Bergmann, David T., DC Jones, Daniel J., DC Rosemeyer, Joseph R., DC Prairie du Chien, WI Plaza Chiropractic Center 18 Plaza East, S. Marquette Road Prairie du Chien, WI 53821 (608) 326-8712 Steele, Arnold F., DC Weber Chiropractic 601 E. Blackhawk Avenue Prairie du Chien, WI 53821 (608) 326-2511 Weber, Alan J., DC DERMATOLOGY Darlington, WI Memorial Hospital of Lafayette County 800 Clay Street Darlington, WI 53530 (608) 776-4466 Peterson, Jennifer S., MD Dodgeville, WI Peterson Dermatology 1204 N. Joseph Street Dodgeville, WI 53533 (608) 935-2308 Peterson, Jennifer S., MD * Currently NOT accepting new patients F = Female, M = Male 18

TIER 2 PRACTITIONERS BY SPECIALTY Karen Lynn Maloney, MD 1660 Embassy West, Suite 175 52002 (563) 582-9306 Maloney, Karen L., MD Galena, IL Karen Lynn Maloney, MD 305 N. Main Street Galena, IL 61036 (815) 243-3376 Maloney, Karen L., MD Lancaster, WI Lancaster Family Medical Center 9177 Old Potosi Road, PO Box 271 (608) 723-4300 Peterson, Jennifer S., MD Southwest Health Center 1400 East Side Road (608) 348-2331 Peterson, Jennifer S., MD DIABETIC EDUCATION Prairie du Chien, WI Crossing Rivers Health Center for Specialty Care 37822 US Highway 18 Prairie du Chein, WI 53821 (608) 357-2525 Connolly, Amy S., ARNP FAMILY MEDICINE Argyle, WI Argyle 311 Mill Street Argyle, WI 53504 (608) 543-3392 Cleary, Martin J., MD Solverson, Matthew W., MD Urso, Cheyanne E., PA-C Boscobel, WI Gundersen Boscobel Area Hospital and s 208 Parker Street Boscobel, WI 53805 (608) 375-4144 Fast, William P., MD Griffin, Cynthia D., APNP Lombardi, Lauren E., APNP Peterson, Michelle R., APNP Wilhelm, Kurt, MD Darlington, WI Family Health of Lafayette County 731 Clay Street Darlington, WI 53530 (608) 776-4497 Cleary, Martin J., MD Robiolio, Michael E., MD Solverson, Matthew W., MD Urso, Cheyanne E., PA-C Dodgeville, WI Dodgeville Medical Center 1204 Joseph Street Dodgeville, WI 53533 (608) 935-2308 Fox, Sarah E., MD Gallagher, Debra M., DNP ARNP Grieshaber, Gordon J., MD Grunow, Gary J., MD Kramer, Kent S., MD McGraw, Jodi P., MD Reed, Shannon C., DO Roelli, Michele A., MD Thomas, Melinda J., PA-C Tibbits, Amy L., PA-C * Currently NOT accepting new patients F = Female, M = Male 19

TIER 2 PRACTITIONERS BY SPECIALTY Edgewood, IA Cornerstone Family Practice 101 S. Washington Street Edgewood, IA 52042 (563) 928-6435 Bockenstedt, Kristen J., ARNP Dikkers, Michele L., DO Erion, Arlana L., ARNP Hoffmann, Jeffrey J., DO Shaw, Nathan A., MD Smith, Andrew C., MD Svennungsen, Anna C., ARNP Regional Family Health 702 W. Union Edgewood, IA 52042 (563) 928-7191 Buschmann, Jill L., ARNP Christiansen, Scot R., MD Sauer, Charlene F., ARNP Elizabeth, IL Midwest Health of Elizabeth 117 N. Main Street Elizabeth, IL 61028 (815) 858-2238 Dittmar, Margaret E., ARNP Harmston, Greg T., MD Fennimore, WI Crossing Rivers Health - Fennimore 1800 Bronson Blvd. Fennimore, WI 53809 (608) 822-2940 Griswold, Holly J., FNP McMillan, Susan K., APNP Payne, Terri L., APNP Vincent, Owen D., DO Gundersen Boscobel Area Hospital and s 220 Lincoln Avenue Fennimore, WI 53809 (608) 822-3737 Fast, William P., MD Lombardi, Lauren E., APNP Peterson, Michelle R., APNP Wilhelm, Kurt, MD High Point Family Medicine, LLC 1255 11th Street Fennimore, WI 53809 (608) 822-3363 Martin, Neil T., MD Nemitz, Misty, APNP * Slane, Eric G., MD * Stader, Eric E., MD Varnam, Jessica H., MD Galena, IL Midwest Health One Medical Center Drive Galena, IL 61036 (815) 776-7381 Dittmar, Margaret E., ARNP Gullone, Elizabeth A., MD Gullone, Matthew P., MD Harmston, Greg T., MD Rambousek, Diane M., ARNP Wells, Michael J., MD Garnavillo, IA Cornerstone Family Practice 104 S. Main Garnavillo, IA 52049 (563) 964-2608 Bockenstedt, Kristen J., ARNP Dikkers, Michele L., DO Erion, Arlana L., ARNP Hoffmann, Jeffrey J., DO Shaw, Nathan A., MD Smith, Andrew C., MD Svennungsen, Anna C., ARNP Guttenberg, IA Cornerstone Family Practice 200 Main Street Guttenberg, IA 52052 (563) 252-2141 Bockenstedt, Kristen J., ARNP Dikkers, Michele L., DO Erion, Arlana L., ARNP Hoffmann, Jeffrey J., DO Noonan, Tammi L., DNP ARNP Shaw, Nathan A., MD Smith, Andrew C., MD Svennungsen, Anna C., ARNP * Currently NOT accepting new patients F = Female, M = Male 20

TIER 2 PRACTITIONERS BY SPECIALTY Guttenberg Municipal Hospital 200 Main Street, PO Box 550 Guttenberg, IA 52052 (563) 252-1121 Hugo, Chris F., MD Highland, WI Upland Hills Health - Highland 551 N. Main Street, PO Box 266 Highland, WI 53543 (608) 929-4518 Berg, Joseph R., DO Hartline, Rachel H., MD Lehman, John M., DO Hopkinton, IA Regional Family Health 122 First Street SW Hopkinton, IA 52237 (563) 926-2922 Book, Catherine M., PA-C * Cummings, Clinton T., DO Lancaster, WI Grant Regional Community 507 S. Monroe Street (608) 723-2131 Allen, Abby E., PA-C Huebschman, Erin L., MD Laban, Janet M., ARNP LaMantia, Sheirlie A., MD Meighan, Laurie J., APNP Muench, Kelly S., PA-C Schreiber, Thomas J., MD High Point Family Medicine, LLC 507 S. Monroe Street (608) 723-3100 Martin, Neil T., MD Nemitz, Misty, APNP * Slane, Eric G., MD * Stader, Eric E., MD Varnam, Jessica H., MD Lancaster Family Medical Center 9177 Old Potosi Road, PO Box 271 (608) 723-4300 Edge, Renee D., APNP Quick, Brian A., PA-C Reuter, Katherine C., APNP Stader, Robert E., MD Valyo, Kenneth A., DO Manchester, IA * Currently NOT accepting new patients F = Female, M = Male 21 Regional Family Health 709 W. Main Street Manchester, IA 52057 (563) 927-7985 Book, Catherine M., PA-C *Boom, R. Ried, MD Budzine, Janice M., ARNP Buesing, Abigail R., PA-C Buschmann, Jill L., ARNP Christiansen, Scot R., MD *Cummings, Clinton T., DO Divisova, Blanka, MD Fangman, Stephanie E., PA-C Gansen, Katherine T., ARNP *Gerst, Timothy P., MD Hartmann, Sarah J., ARNP Hartnett, Jane A., MD Hennessey, Treesa A., FNP CNM Jensen, Kristen M., ARNP *May, Nikolas S., MD Mead, Ann M., PA-C *Meier Shannon, Stephanie A., ARNP Radloff, Michelle S., ARNP Salow, Nicole M., MD Sauer, Charlene F., ARNP Wilson-Bries, Ann M., ARNP Wulfekuhle, Brittany A., DNP ARNP Maquoketa, IA Maquoketa Family 206 North Arcade Street Maquoketa, IA 52060 (563) 652-6711 Bybee, Jerald W., MD Koppes, Sandra K., ARNP Lakin, Alyssa K., PA-C Patterson, Ann E., ARNP Waller, Roger R., MD

TIER 2 PRACTITIONERS BY SPECIALTY Medical Associates of Maquoketa 918 W. Platt Street #1 Maquoketa, IA 52060 (563) 652-5145 Livesay, Jody L., ARNP Otteman, William H., DO Petersen, Eric S., DO Rickertsen, Brandon B., DO Steines, Tricia M., ARNP Thompson, Kimberly A., DO Mineral Point, WI Mineral Point Medical Center 104 High Street Mineral Point, WI 53565 (608) 987-2346 Fox, Sarah E., MD Gallagher, Debra M., DNP ARNP Grieshaber, Gordon J., MD Grunow, Gary J., MD Kramer, Kent S., MD McGraw, Jodi P., MD Reed, Shannon C., DO Roelli, Michele A., MD Thomas, Melinda J., PA-C Tibbits, Amy L., PA-C Montfort, WI Upland Hills Health - Montfort 202 W US Highway 18, PO Box 155 Montfort, WI 53569 (608) 943-6308 Berg, Joseph R., DO Hartline, Rachel H., MD Lehman, John M., DO Muscoda, WI Gundersen Boscobel Area Hospital and s Muscoda 525 N. Wisconsin Ave Muscoda, WI 53573 (608) 739-3138 Fast, William P., MD Griffin, Cynthia D., APNP Lombardi, Lauren E., APNP Peterson, Michelle R., APNP Wilhelm, Kurt, MD Postville, IA Postville Medical 124 W. Greene St, PO Box 799 Postville, IA 52162 (563) 864-7221 McMullan, Thomas G., MD Prairie du Chien, WI Crossing Rivers Health 37822 US Highway 18 Prairie du Chien, WI 53821 (608) 326-1072 Griswold, Holly J., FNP McMillan, Susan K., APNP Olson, Matthew D., MD Payne, Terri L., APNP Vincent, Owen D., DO Preston, IA Medical Associates of Maquoketa 411 W. White Street Preston, IA 52069 (563) 689-3201 Livesay, Jody L., ARNP Petersen, Eric S., DO Rickertsen, Brandon, B., DO Steines, Tricia M., ARNP Thompson, Kimberly A., DO Shullsburg, WI Shullsburg 104 S. Judgement Street Shullsburg, WI 53586 (608) 965-4475 Cleary, Martin J., MD Robiolio, Michael E., MD Solverson, Matthew W., MD Urso, Cheyanne E., PA-C Strawberry Point, IA Regional Family Health 111 E. Mission Street Strawberry Point, IA 52076 (563) 933-6277 *May, Nikolas S., MD Sauer, Charlene F., ARNP Wessels, Amber M., ARNP * Currently NOT accepting new patients F = Female, M = Male 22

TIER 2 PRACTITIONERS BY SPECIALTY Wyoming, IA Medical Associates of Maquoketa 307 East Webster Street Wyoming, IA 52362 (563) 488-2297 Livesay, Jody L., ARNP Petersen, Eric S., DO Rickertsen, Brandon B., DO GENERAL PRACTICE Drs. Maski & Maski 1250 E. Business Hwy 151, Suite A (608) 348-4677 Maski, Ravikant, MD GENERAL SURGERY Boscobel, WI Gundersen Boscobel Area Hospital and 205 Parker Street Boscobel, WI 53805 (608) 375-4112 Holzer, Tamara L., DO Kramer, Carrie L., MD McLellan, Jennifer A., MD Yurcek, James J., MD Darlington, WI Memorial Hospital of LaFayette County 800 Clay Street Darlington, WI 53530 (608) 776-4466 Dachman, Adam F., DO Ryberg, Patrick C., MD Schmus, Robert E., MD Dodgeville, WI Upland Hills Health Center - Surgery 833 S. Iowa Street, Suite 105 Dodgeville, WI 53533 (608) 935-2018 Dachman, Adam F., DO Ryberg, Patrick C., MD Schmus, Robert E., MD Dubuque Surgery, PC 1515 Delhi Street, Suite 200 52001 (563) 557-7000 Oppert, David C., MD Shaw, Keith A., MD Wagner, Jacob L., MD Tri-State Vein Center 505 Cedar Cross Road - Suite A 52003 (563) 583-8346 Jenkins, Joseph T., MD Galena, IL Midwest Health One Medical Center Drive Galena, IL 61036 (815) 776-7381 Oppert, David C., MD Shaw, Keith A., MD Wagner, Jacob L., MD Guttenberg, IA Guttenberg Municipal Hospital 200 Main Street, PO Box 550 Guttenberg, IA 52052 (563) 252-1121 Holzer, Tamara L., DO Kramer, Carrie L., MD Mansfield, Daniel A., MD McLellan, Jennifer A., MD Lancaster, WI Grant Regional Community 507 S. Monroe Street (608) 723-2131 Schope, Adam W., MD Sunby, Carl R., MD Manchester, IA Regional Family Health 709 W. Main Street Manchester, IA 52057 (563) 557-7000 Unger, Richard J., DO * Currently NOT accepting new patients F = Female, M = Male 23

TIER 2 PRACTITIONERS BY SPECIALTY Maquoketa, IA Jackson County Regional Health Center 700 W. Grove Street Maquoketa, IA 52060 (563) 557-7000 Oppert, David C., MD Shaw, Keith A., MD Wagner, Jacob L., MD Drs. Maski & Maski 1250 E. Business Hwy 151, Suite A (608) 348-4677 Maski, Ravikant, MD Southwest Health Center 1400 East Side Road (608) 348-2331 Yurcek, James J., MD Prairie du Chien, WI Gundersen Prairie du Chien 610 E. Taylor Street Prairie du Chien, WI 53821 (608) 326-6466 Holzer, Tamara L., DO Kramer, Carrie L., MD McLellan, Jennifer A., MD GERIATRIC PSYCHIATRY Roger D. Shafer, MD 1400 University Avenue, Suite A 52001 (563) 583-3392 *Shafer, Roger D., MD INTERNAL MEDICINE Fennimore, WI Crossing Rivers Health - Fennimore 1800 Bronson Blvd. Fennimore, WI 53809 (608) 822-2940 Rybarczyk, Sara J., MD Prairie du Chien, WI Crossing Rivers Health 37822 US Highway 18 Prairie du Chien, WI 53821 (608) 326-1072 Rybarczyk, Sara J., MD MENTAL HEALTH COUNSELOR Darlington, WI Platteville Family Resource Center 15701 County K Darlington, WI 53530 (608) 348-4060 Kemnitzer, Jane E., LCSW Leibfried, Samantha A., LPC Dodgeville, WI Platteville Family Resource Center 214 Grace Street Dodgeville, WI 53533 (608) 348-4060 Zettle-Bruegger, Michelle R., LPC Guttenberg, IA Cindy Olsen, LMHC 222 S. Riverpark Drive, PO Box 550 Guttenberg, IA 52052 (563) 419-8374 Olsen, Cindy, LMHC Lancaster, WI Platteville Family Resource Center 8820 US Highway 61 (608) 348-4060 Wood, Amanda J., LPC Manchester, IA Regional Family Health 709 W. Main Street Manchester, IA 52057 (563) 927-7904 Troester, Mikaela K., LMHC * Currently NOT accepting new patients F = Female, M = Male 24

TIER 2 PRACTITIONERS BY SPECIALTY Oelwein, IA Northeast Iowa Mental Health Center 36 South Frederick Avenue Oelwein, IA 50662 (319) 283-5774 Loven, Rebecca, LMHC Platteville Family Resource Center 1155 N. Elm Street, Suite 120, PO Box 36 (608) 348-4060 Anderson, Sandra L., LPC Kemnitzer, Jane E., LCSW Leibfried, Samantha A., LPC Wood, Amanda J., LPC Zettle-Bruegger, Michelle R., LPC WKM Psychology 6058 S. Chestnut Street #100 (608) 342-4853 Lombardi, Jan C., MA Roum Brue, Marcia C., LPC Schuhmacher, Jennifer B., LCSW NEUROLOGY Dubuque Neurology & Sleep Medicine, P.C. 2140 JFK Road, Suite C 52002 (563) 583-1558 Sims, Ronald S., MD Mark W. Fortson, MD 2255 JFK Road 52002 (563) 582-4357 Fortson, Mark W., MD OBSTETRICS & GYNECOLOGY Darlington, WI Memorial Hospital of Lafayette County 800 Clay Street Darlington, WI 53530 (608) 930-7115 Hostetler, Barbara R, MD Sandgren, Maria E., MD Dodgeville, WI Upland Hills Health Center 800 Compassion Way Dodgeville, WI 53533 (608) 930-7115 Hostetler, Barbara R, MD Raichle, Timothy S., MD Sandgren, Maria E., MD Fennimore, WI * Currently NOT accepting new patients F = Female, M = Male 25 Crossing Rivers Health - Fennimore 1800 Bronson Blvd. Fennimore, WI 53809 (608) 822-2940 Bush, Steven D., MD Prairie du Chien, WI Crossing Rivers Health 37822 US Highway 18 Prairie du Chien, WI 53821 (608) 326-1072 Bush, Steven D., MD Rexroth, Jason, MD OPHTHALMOLOGY Ophthalmology, PC 300 North Grandview 52001 (563) 588-4675 Mahlberg, Paul A., MD Pechous, Bryan P., MD Lancaster, WI Grant Regional Health Center 507 S. Monroe Street (608) 723-2143 Pechous, Bryan P., MD

TIER 2 PRACTITIONERS BY SPECIALTY OPTOMETRY Darlington, WI Eye Care Centre, Ltd. 346 Main Street Darlington, WI 53530 (608) 776-4413 Lueck, Paul C., OD Dyersville, IA The Woodland Eye 1129 11 th Street SE, Suite B Dyersville, IA 52040 (563) 875-0006 Woodland, Joshua A.,, OD Elkader, IA Bruce R. Landis, OD 202 S. Main Street, PO Box 100 Elkader, IA 52043 (563) 245-2304 Landis, Bruce R., OD Guttenberg, IA Bruce R. Landis, OD 606 S. Riverpark Drive Guttenberg, IA 52052 (563) 245-2304 Landis, Bruce R., OD ORTHOPEDICS Dubuque Orthopaedic Surgeons, PC 1500 Delhi Street, Suite 4200 52001 (563) 557-5999 Cloos, Ryan P., DO Pierotti, Stephen E., MD Westside Orthopaedics 4005 Westmark Drive, Suite 200 52002 (563) 582-6202 Field, David S., MD Guttenberg, IA Guttenberg Municipal Hospital 200 Main Street, PO Box 550 Guttenberg, IA 52052 (563) 252-1121 Pierotti, Stephen E., MD Maquoketa, IA * Currently NOT accepting new patients F = Female, M = Male 26 Jackson County Public Hospital - Outpatient 700 W. Grove Street Maquoketa, IA 52060 (563) 652-4060 Cloos, Ryan P., DO Pierotti, Stephen E., MD OTOLARYNGOLOGY Dubuque ENT Head & Neck Surgery, PC 310 North Grandview 52001 (563) 588-0506 Benda, Jr., Thomas J., MD Givens, Daniel J., MD Herther, Craig C., MD White, Gregory J., MD Galena, IL Midwest Medical Center One Medical Center Galena, IL 61036 (815) 777-1340 Givens, Daniel J., MD Manchester, IA Regional Medical Center 709 W. Main Street, PO Box 359 Manchester, IA 52057 (563) 927-3232 White, Gregory J., MD Maquoketa, IA Jackson County Public Hospital - Outpatient 700 W. Grove Street Maquoketa, IA 52060 (563) 652-4060 Benda, Jr., Thomas J., MD

TIER 2 PRACTITIONERS BY SPECIALTY Prairie du Chien, WI Crossing Rivers Health Center for Specialty Care 37822 US Highway 18 Prairie du Chien, WI 53821 (608) 357-2525 King, Timothy A., MD PEDIATRICS Drs. Maski & Maski 1250 E. Business Hwy 151, Suite A (608) 348-4677 Maski, Meenakshi, MD PLASTIC SURGERY Plastic Surgery Aesthetics 200 Mercy Drive, Suite 101 52001 (563) 589-9119 Kennedy, Erin M., MD PODIATRY Cascade, IA Jeffrey Klein, DPM 714 1st Avenue East Cascade, IA 52033 (866) 228-1060 Klein, Jeffrey A., DPM Cuba City, WI Steven P. Schuck, DPM 808 S. Washington Street Cuba City, WI 53807 (608) 744-2161 Schuck, Steven P., DPM Dubuque Podiatry, PC 1500 Delhi Street, Suite 2200 52001 (563) 557-5930 Arnz, Michael, DPM Jedlicka, Nicole M., DPM Kelsey, Robert S., DPM Quagliano, Timothy J., DPM Ward, Michael W., DPM Steven P. Schuck, DPM 350 Fisher Building 52001 (563) 582-3557 Schuck, Steven P., DPM Dyersville, IA Dubuque Podiatry, PC 420 First Avenue, East Dyersville, IA 52040 (563) 875-7937 Arnz, Michael, DPM Jedlicka, Nicole M., DPM Kelsey, Robert S., DPM Quagliano, Timothy J., DPM Ward, Michael W., DPM Mercy Medical Center - Dyersville 1111 3rd Street SW Dyersville, IA 52040 (866) 228-1060 Klein, Jeffrey A., DPM Elkader, IA * Currently NOT accepting new patients F = Female, M = Male 27 Central Community Hospital Outpatient 901 Davidson Street Elkader, IA 52043 (866) 228-1060 Klein, Jeffrey A., DPM Galena, IL Midwest Medical Center One Medical Center Drive Galena, IL 63036 (563) 557-5930 Arnz, Michael, DPM Jedlicka, Nicole M., DPM Quagliano, Timothy J., DPM

TIER 2 PRACTITIONERS BY SPECIALTY Guttenberg, IA Guttenberg Municipal Hospital 200 Main Street, PO Box 550 Guttenberg, IA 52052 (563) 252-1121 Arnz, Michael, DPM Jedlicka, Nicole M., DPM Quagliano, Timothy J., DPM Maquoketa, IA Jackson County Regional Health Center 700 W. Grove Street Maquoketa, IA 52060 (563) 557-5930 Kelsey, Robert S., DPM Wagoner Family Foot 515 Rosemere Lane Maquoketa, IA 52060 (563) 652-9777 Wagoner, Wayne L., DPM Drs. Maski & Maski 1250 E. Business Hwy 151, Suite A (608) 348-4677 Schuck, Steven P., DPM Platteville Podiatry 915 East Mineral Street (608) 348-7688 Harrington, Joan M., DPM Kjar, Scott H., DPM PSYCHIATRY Roger D. Shafer, MD 1400 University Avenue, Suite A 52001 (563) 583-3392 Brimeyer, Elizabeth J., ARNP Southwest Health Center Senior Behavioral Services 1185 N. Elm Street (608) 348-3656 Herber, Valerie L., APNP * Norton, Terrence J., MD Sertle, Gerry Lou, APNP PSYCHOLOGY Darlington, WI Platteville Family Resource Center 15701 County K Darlington, WI 53530 (608) 348-4060 Whitney, Aaron T., PhD Lancaster, WI WKM Psychology 131 S. Monroe Street (608) 723-4668 Miller, William K., EdD Platteville Family Resource Center 1155 N. Elm Street, Suite 120, PO Box 36 (608) 348-4060 Whitney, Aaron T., PhD Wruble, Marc K., PhD WKM Psychology 6058 S. Chestnut Street #100 (608) 342-4853 Bolton-Flynn, Candace A., LPC Miller, William K., EdD * Currently NOT accepting new patients F = Female, M = Male 28

TIER 2 PRACTITIONERS BY SPECIALTY RHEUMATOLOGY Dubuque Rheumatology 2140 John F. Kennedy Road 52002 (563) 583-4848 Isaac, George B., MD SLEEP MEDICINE Dubuque Neurology & Sleep Medicine, P.C. 2140 JFK Road, Suite C 52002 (563) 583-1558 Sims, Ronald S., MD SOCIAL WORKER Dodgeville, WI Platteville Family Resource Center 214 Grace Street Dodgeville, WI 53533 (608) 348-4060 VandenHeuval, Tracy L., LCSW Wijas, Paulette M., LCSW Elkader, IA Northeast Iowa Mental Health Center 911 Carter Rd, NW Elkader, IA 52043 (563) 382-3649 Wolfs, Karla J., LISW Lancaster, WI Platteville Family Resource Center 8820 US Highway 61 (608) 348-4060 VandenHeuval, Tracy L., LCSW Manchester, IA Regional Family Health 709 W. Main Street Manchester, IA 52057 (563) 927-7777 Zook, Lee J., LISW Oelwein, IA Northeast Iowa Mental Health Center 36 South Frederick Avenue Oelwein, IA 50662 (319) 283-5774 Baumgartner, Diane L., LMSW Wolfs, Karla J., LISW Platteville Family Resource Center 1155 N. Elm Street, Suite 120, PO Box 36 (608) 348-4060 Beraldi, Joanne M., MSW VandenHeuval, Tracy L., LCSW Wijas, Paulette M., LCSW Southwest Health Center Senior Behavioral Services 1185 N. Elm Street (608) 348-3656 Kass, Jennifer J., LCSW * Currently NOT accepting new patients F = Female, M = Male 29

TIER 2 FACILITIES AND OTHER SERVICE PROVIDERS DURABLE MEDICAL EQUIPMENT American HomePatient 3220 Dodge Street, Suite 109 52003 (563) 556-8118 DuMed Home Healthcare 3250 JFK Circle, #4 52002 (563) 557-1004 Guttenberg, IA Quality Medical Services 807 Highway 52 Guttenberg, IA 52052 (563) 252-3393 Upland Hills Hometown Medical Equipment 490 East Business Highway 151 (608) 348-6250 Prairie du Chien, WI Crossing Rivers Health Medical Center 37868 US Highway 18 Prairie du Chien, WI 53821 (608) 357-2000 HOSPITAL Anamosa, IA Jones Regional Medical Center 1795 Highway 64 E Anamosa, IA 52205 (319) 462-6131 Boscobel, WI Gundersen Boscobel Area Hospital and s 205 Parker Street Boscobel, WI 53805 (608) 375-4112 Darlington, WI Memorial Hospital of LaFayette County 800 Clay Street Darlington, WI 53530 (608) 776-4466 Dodgeville, WI Upland Hills Health 800 Compassion Way Dodgeville, WI 53533-0800 (608) 930-8000 Elkader, IA Central Community Hospital 901 Davidson Street Elkader, IA 52043 (563) 245-7000 Galena, IL Midwest Medical Center One Medical Center Drive Galena, IL 61036 (815) 777-1340 Guttenberg, IA Guttenberg Municipal Hospital 200 Main Street, PO Box 550 Guttenberg, IA 52052 (563) 252-1121 Lancaster, WI Grant Regional Health Center 507 S. Monroe Street (608) 723-2143 Manchester, IA Regional Medical Center 709 W. Main Street, PO Box 359 Manchester, IA 52057 (563) 927-3232 Maquoketa, IA Jackson County Regional Health Center 700 W. Grove Street Maquoketa, IA 52060 (563) 652-2474 30

TIER 2 FACILITIES AND OTHER SERVICE PROVIDERS Southwest Health Center 1400 East Side Road (608) 348-2331 Prairie du Chien, WI Crossing Rivers Health Medical Center 705 E. Taylor Street Prairie du Chien, WI 53821 (608) 357-2000 OTHER PROVIDERS Dubuque Radiological Associates Mississippi Valley Anesthesiology PHYSICAL THERAPY Dubuque Physical Therapy, PC 4005 Westmark Drive, Suite 320 52002 (563) 588-3891 Medical Associates Physical Therapy 52002 (563) 584-4465 Galena, IL Medical Associates Physical Therapy 10988 Bartell Blvd. Galena, IL 61036 (815) 776-0910 Maquoketa, IA Physical & Sports Therapy Services, PC 616 W. Platt Street Maquoketa, IA 52060 (563) 652-4364 Medical Associates Physical Therapy 1240 Big Jack Road (608) 348-2844 SURGICAL CENTER Dubuque Endoscopy Center, LC 1515 Delhi Street, Suite 500 52001 (563) 589-4060 Tri-State Surgery Center 52002 (563) 584-4500 31