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To learn more about Partners in Behavioral Health or to become a partner, please call 800-395-7060, e-mail us at partners@rogersbh.org or fax us at 262-303-2063 (Attention: Kat)
Partners in Behavioral Health
Attn: Kat Strieter
34700 Valley Road
Oconomowoc, WI 53066
Provider application process
**Please note that as of January 1st, 2021 our panel will be closed until further notice.
Clinics which are not currently in the PBH Network will be required to complete the Provider Agreement. This contract will need to be signed by the clinic owner/director or sole proprietor.
For billing purposes, each clinic will also need to provide banking information to Health Payment Systems. Note Health Payment Systems Letter and Banking Form. (HPS fax number is provided at the top of the form)
Each provider in a particular clinic will need to complete the Preferred Provider Application Survey as well as provide the required documents for credentialing. The required documents are: proof of insurance, a copy of state license, resume, as well as DEA for all Prescribers.
Credentialing materials can be scanned and emailed to partners@rogersbh.org, faxed to: Attn: Kat Strieter at 262-303-2063 or mailed to the following address:
Partners in Behavioral Health
Attn: Kat Strieter
34700 Valley Road
Oconomowoc, WI 53066