Directory

Displaying providers from all locations.

Use the fields below to filter providers for a particular country, city, or state. Start by selecting the top most region, the other fields will be automatically updated to show available locations.

Use the Clear Filter button if you want to start over.

Aanderud, Michael J., PA-C

Aanderud, Michael J., PA-C
Network
Clinic/Facility/Location Name

Monument Health Rapid City Clinic, Caregiver Circle

Provider Name
Aanderud, Michael J., PA-C
Specialty
Phone
605-755-6700
Address
1635 Caregiver Circle
Rapid City 57702-8529

Aanenson, Isaac J., CRNA

Aanenson, Isaac J., CRNA
Network
Clinic/Facility/Location Name

Monument Health Rapid City Hospital

Provider Name
Aanenson, Isaac J., CRNA
Specialty
Phone
605 755-1000
Address
353 Fairmont Blvd.
Rapid City 57701-7375

Abourezk, Ilyani, LPC

Abourezk, Ilyani, LPC
Network
Clinic/Facility/Location Name

Abourezk Counseling Servces, LLC

Provider Name
Abourezk, Ilyani, LPC
Specialty
Phone
605-863-2881
Address
2020 W. Omaha Street
Rapid City 57702

Abraham, Prema, MD

Abraham, Prema, MD
Network
Clinic/Facility/Location Name

Black Hills Regional Eye Institute, LLP

Provider Name
Abraham, Prema, MD
Specialty
Phone
605-341-2000
Address
2800 Third St.
Rapid City 57701

Abraham, Prema, MD

Abraham, Prema, MD
Network
Clinic/Facility/Location Name

Black Hills Regional Eye Surgery Center LLC

Provider Name
Abraham, Prema, MD
Specialty
Phone
605-341-2000
Address
2800 Third St.
Rapid City 57701

Ackerman, Riley W., PA-C

Ackerman, Riley W., PA-C
Network
Clinic/Facility/Location Name

Monument Health Rapid City Clinic, 5th Street

Provider Name
Ackerman, Riley W., PA-C
Specialty
Phone
605-755-5700
Address
2805 5th St
Rapid City 57701-7306

Ackerman, Riley W., PA-C

Ackerman, Riley W., PA-C
Network
Clinic/Facility/Location Name

Monument Health General Surgery Clinic

Provider Name
Ackerman, Riley W., PA-C
Specialty
Phone
605-755-5700
Address
353 Fairmont Blvd.
Rapid City 57701-7375

Adams, Kyle, DO

Adams, Kyle, DO
Network
Clinic/Facility/Location Name

Monument Health Custer Hospital

Provider Name
Adams, Kyle, DO
Specialty
Phone
605-673-9400
Address
1220 Montgomery St
Custer 57730-1705

Adams, Kyle, DO

Adams, Kyle, DO
Network
Clinic/Facility/Location Name

Monument Health Famly Medicine Residency Clinic

Provider Name
Adams, Kyle, DO
Specialty
Phone
605-755-4060
Address
502 E Monroe St
Rapid City 57701-1400

Addiction Recovery Center of the Black Hills

Addiction Recovery Center of the Black Hills
Network
Clinic/Facility/Location Name

Addiction Recovery Center of the Black Hills

Provider Name
Addiction Recovery Center of the Black Hills
Specialty
Phone
605-673-2844
Address
14 Mt. Rushmore Road, Suite C
Custer 57730

Addiction Recovery Center of the Black Hills

Addiction Recovery Center of the Black Hills
Network
Clinic/Facility/Location Name

Addiction Recovery Center of the Black Hills

Provider Name
Addiction Recovery Center of the Black Hills
Specialty
Phone
605-716-7841
Address
1520 Haines Avenue, Suite 6
Rapid City 57701

Addiction Recovery Center of the Black Hills

Addiction Recovery Center of the Black Hills
Network
Clinic/Facility/Location Name

Addiction Recovery Center of the Black Hills

Provider Name
Addiction Recovery Center of the Black Hills
Specialty
Phone
605-745-6300
Address
646 Jennings Avenue, Suite 2
Hot Springs 57747

Adkins, Erin CSW

Adkins, Erin CSW
Network
Clinic/Facility/Location Name

Monument Health Lead-Deadwood Clinic

Provider Name
Adkins, Erin CSW
Specialty
Phone
605-717-6431
Address
71 Charles St.
Deadwood 57732-1303

Adkins, Erin CSW

Adkins, Erin CSW
Network
Clinic/Facility/Location Name

Monument Health Lead-Deadwood Hospital

Provider Name
Adkins, Erin CSW
Specialty
Phone
605-717-6000
Address
61 Charles St.
Deadwood 57732-1303

Ahmed, Shakeel, MD

Ahmed, Shakeel, MD
Network
Clinic/Facility/Location Name

Monument Health Rapid City Hospital

Provider Name
Ahmed, Shakeel, MD
Specialty
Phone
605-755-1000
Address
353 Fairmont Blvd.
Rapid City 57701-7375

Akason, Danielle, NP

Akason, Danielle, NP
Network
Clinic/Facility/Location Name

Oyate Health Center

Provider Name
Akason, Danielle, NP
Specialty
Phone
605-355-2350
Address
3200 Canyon Lake Drive
Rapid City 57701

Al-Share, Bayan A., MD

Al-Share, Bayan A., MD
Network
Clinic/Facility/Location Name

Monument Health John T. Vucurevich Cancer Care Institute

Provider Name
Al-Share, Bayan A., MD
Specialty
Phone
605-755-2300
Address
353 Fairmont Blvd
Rapid City 57701-7375

Albers, Jessica PA-C

Albers, Jessica PA-C
Network
Clinic/Facility/Location Name

Monument Health Rapid City Hospital

Provider Name
Albers, Jessica PA-C
Specialty
Phone
605-755-1000
Address
353 Fairmont Blvd.
Rapid City 57701-7375

Albers, Lauren E., CNP

Albers, Lauren E., CNP
Network
Clinic/Facility/Location Name

Colin E. Brown PLLC

Provider Name
Albers, Lauren E., CNP
Specialty
Phone
605-718-5123
Address
240 Minnesota St.
Rapid City 57701

Aldrich, Marc N., MD

Aldrich, Marc N., MD
Network
Clinic/Facility/Location Name

Monument Health Rapid City Clinic, Flormann Street

Provider Name
Aldrich, Marc N., MD
Specialty
Phone
605 755-3300
Address
640 Flormann St.
Rapid City 57701-4679
Next →

Employer Services Offered Through Participation with Western Providers

Employers who opt for self-funding enjoy the following advantages:

• Claims Process and Administrative Services Flexibility
• Plan Cost and Utilization Control
• Improved Cash Flow
• Choice of Service Providers – can limit the size/composition of the panel
• Flexibility in Plan Design
• Elimination of Carrier Profit Margins
• Lower Operating Costs
• No Medical Loss Ratio Requirements
• Uniform Regulations through ERISA

Physician Membership

Physicians (MD and DO) are eligible for membership (ownership)

in Western Providers Physician Organization

  • Membership advantages include:
  • Vote in corporate business
  • Eligibility for Board membership
  • Favorable treatment in certain provider panels
  • Risk/Surplus profit opportunity for some health plans
  • Eligibility for membership is determined by the Board
  • Membership remains with the physician identified, and may be transferred with Board permission if the physician retires, dies or permanently leaves the service area

Western Providers, Inc.’s network serves leading health plans including Aetna, Corvel, Humana, and Monument Health. By joining the Western Providers network, you invest in the future of quality health care that meets the needs of your patients and your practice.

Revenue and Expenses

Western Providers, Inc. obtains its revenue from access fees paid by its clients, the health plans it serves. Expenses include administrative operating costs, insurance and legal fees.

Western Providers, Inc. pays the expenses related to our provider rate setting methodology, known as the “messenger model”, as part of its services for client health plans.
Western Providers Physician Organization is owned by its physician members. WPPO obtains its revenue from membership and contractor fees paid by the panel of providers, as well as fees it provides for certain consultative, risk management and administrative services. Its expenses include administrative operating costs, costs related to credentialing of providers, insurance and legal fees.
 

How We Are Managed

A governing board of 12 directors guides company policy.

The Board consists of...

  • 6 directors of Western Providers Physician Organization
  • 2 administrative officers of Monument Health, Inc.
  • 4 directors selected by Monument Health

A chief executive officer provides strategic planning and oversees operations of the company.

What We Do

Services include...

  • Credentialing, all clinical providers – NCQA Certified in Credentialing
  • Western Providers is delegated for provider credentialing for all clients (payers) – providers submit one credentialing application and Western Providers Credentialing Committee approval satisfies the credentialing requirements for all clients/payers
  • Monthly, on-going quality measures, reports and statistical analyses are used to monitor the quality of the entire Western Providers panel
  • Network Development, on a payer specific basis for
  • ERISA self-insured health plans
  • Insured health plans
  • Preferred Provider Organizations (PPO’s)
  • Web site: Payer specific provider networks
  • Pricing
  • Messenger model (fee-for-service)
  • Shared Savings model
  • Primary Care Capitation model
  • Compensation Models
  • Discounted fee for service
  • Relative Value Scale
  • Inpatient DRG’s
  • Shared Savings
  • Primary care risk model
  • Provider Education
  • Western Providers provides email alerts and updates from specific clients/payers as Western Providers is notified of client/payer process changes
  • Credentialing
  • Credentialing is conducted with the assistance of an independent credential verification organization that performs primary source documentation. Providers must undergo review and approval by the Western Providers Credentialing Committee. The credentialing/re-credentialing process is conducted in a non-discriminatory manner; credentialing decisions are not made on the basis of an applicant’s race, ethnic/national identity, gender, age, sexual orientation, or the type of procedure or patient (e.g., Medicaid) in which the practitioner specializes, but solely on the criteria referenced by this policy and associated procedures. Western Providers reserves the right to limit participation in the WPPO panel to specialties and number of practitioners needed to ensure an appropriate panel and to limit to practitioners willing to adhere to WPPO requirements.
  • Cost Management
  • Messenger Model – For employer self-funded health plans, the provider network is developed through a legally qualified “messenger model”, an independent pricing process designed to obtain competitive provider costs.
  • Risk-based products – For some health plans, both employer self-funded and insured, a Western Providers panel is developed using capitation or other financing approaches that provide incentives for physicians and hospitals to manage costs
  • Population Health Management