MERCYCARE HMO, INC (NPI# 1598222341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598222341 |
| Entity Type | Organization |
| Organization Name | MERCYCARE HMO, INC |
| Practice Address |
580 N Washington St Janesville WI 53548-2984 |
| Practice Telephone | 6087413345 |
| Mailing Telephone | 6087413345 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | E PATRICK CRANLEY (SENIOR VP) |
| Authorized Official Telephone | 8008952421 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH SYSTEM CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| MercyCare Health Plans Healthy Babies Program | Doing Business As Name - Organization |
| Street Address |
580 N WASHINGTON ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-2984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073579595 | Thomas F Mccoy | Physical Medicine & Rehabilitation | 580 N Washington St, Dean Medical Center, Janesville, WI 53548-2908 | 2006-04-24 |
| 1992342299 | Madelynn J Bamford | Occupational Therapy Assistant | 580 N Washington St, Janesville, WI 53548-2984 | 2019-12-05 |
| 1366088254 | Kari L Krauter | Occupational Therapy Assistant | 580 N Washington St, Janesville, WI 53548-2984 | 2019-11-26 |
| 1831733583 | Beth A. Mehlbaum | Behavioral Analyst | 580 N Washington St, Janesville, WI 53548-2984 | 2019-11-05 |
| 1235793845 | Maria L. Haning | Speech-Language Pathologist | 580 N Washington St, Janesville, WI 53548-2984 | 2019-04-29 |
| 1336536499 | Amber L Becher | Speech-Language Pathologist | 580 N Washington St, Janesville, WI 53548-2984 | 2015-04-16 |
| 1740574391 | Susan C. Stockel | Occupational Therapist | 580 N Washington St, Janesville, WI 53548 | 2011-05-31 |
| 1134440621 | Allison Rae Bradt | Behavioral Analyst | 580 N Washington St, Janesville, WI 53548-2984 | 2010-06-18 |
| 1205167525 | Amie M Burke | Behavioral Analyst | 580 N Washington St, Janesville, WI 53548-2984 | 2010-01-26 |
| 1710173141 | Richard J Kallio | Pharmacist | 580 N Washington St, Suite 300, Janesville, WI 53548-2984 | 2007-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
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| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750417176 | Mercycare Insurance Company | Health Maintenance Organization | 580 N Washington St, Janesville, WI 53548-2984 | 2007-02-27 |
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|---|---|---|---|---|
| 1508341082 | Symphonix Health Insurance, Inc | Health Maintenance Organization | 2725 Mall Dr, Eau Claire, WI 54701-6864 | 2018-10-01 |
| 1093264392 | Nash Home Healthcare | Health Maintenance Organization | 10721 W Capitol Dr # 200, Milwaukee, WI 53222-1210 | 2016-09-27 |
| 1891154704 | Greenspan Home Health Care, LLC | Health Maintenance Organization | 3521 W National Ave, Milwaukee, WI 53215-1024 | 2016-02-19 |
| 1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
| 1144628637 | Kinder Kare Services | Health Maintenance Organization | 5600 W Brown Deer Rd Ste G2, Milwaukee, WI 53223-2346 | 2014-12-15 |
| 1871903989 | Erin Rooney-godin | Health Maintenance Organization | 2724 Northview Rd Unit 41, Waukesha, WI 53188-2035 | 2014-04-29 |
| 1780016287 | Pathway Youth & Family Services | Health Maintenance Organization | 4358 N 20th St, 335 W. Wright Street, Milwaukee, WI 53209-6839 | 2013-08-07 |
| 1275898843 | Security Health Plan of Wisconsin, Inc | Health Maintenance Organization | 1515 N Saint Joseph Avenue, Marshfield, WI 54449-8000 | 2012-07-10 |
| 1033406012 | Mj Care | Health Maintenance Organization | 711 Winford Ave, Green Bay, WI 54303-4023 | 2011-06-29 |
| 1285932582 | Sanford Consulting Services Inc | Health Maintenance Organization | 2027 W Ridge Dr, Eau Claire, WI 54703-1669 | 2011-03-10 |
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| City | JANESVILLE |
| Zip Code | 53548 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.