Fiscal Year

2021

Case Number

A-21013-41869

Case Status

Certified

Received Date

2021-03-11

Decision Date

2021-08-04

Refile

N

Original File Date

2021-01-01 09:55:55

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PREVEA CLINIC

Employer Name Slug

prevea-clinic

Employer Address 1

2710 EXECUTIVE DRIVE

Employer Address 2

Employer City

GREEN BAY

Employer City Slug

green-bay

Employer State

WISCONSIN

Employer State Slug

wisconsin

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

54304

Employer Phone

9204964700

Employer Number of Employees

2276

Employer Year Commenced Business

1996

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Ashok Rai

Employer Contact Address 1

2710 Executive Drive

Employer Contact Address 2

Employer Contact City

Green Bay

Employer Contact State/Province

WISCONSIN

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

54304

Employer Contact Phone

9204051460

Employer Contact Email

Ashok.Rai@prevea.com

Agent Attorney Name

Geoffrey A Lacy

Agent Attorney Firm Name

Strang, Patteson, Renning, Lewis Lacy, s.c.

Agent Attorney Phone

8448330824

Agent Attorney Address 1

205 DOTY STREET

Agent Attorney Address 2

SUITE 201

Agent Attorney City

Green Bay

Agent Attorney State/Province

WISCONSIN

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

54301

Agent Attorney Email

glacy@strangpatteson.com

PW Track Number

P10020219754428

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-01-13

PW Expiration Date

2021-06-30

Wage Offer From

210000.00

Wage Offer To

250000.00

Average Salary

230000.00

Wage Unit of Pay

Year

Worksite Address 1

1715 Dousman Street

Worksite Address 2

Worksite City

Green Bay

Worksite City Slug

green-bay

Worksite State

WISCONSIN

Worksite Postal Code

54303

Job Title

Outpatient Internal Medicine Physician

Job Title Slug

outpatient-internal-medicine-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

PARTICIPATION IN INTERNAL MEDICINE RESIDENCY PROGRAM LEADING TO ELIGIBILITY FOR CERTIFICATION IN INTERNAL MEDICINE BY THE AMERICAN BOARD OF INTERNAL MEDICINE; MUST HAVE OR BE ELIGIBLE TO OBTAIN A LICENSE TO PRACTICE MEDICINE AND SURGERY IN THE STATE OF WISCONSIN. ELIGIBILITY FOR WISCONSIN LICENSURE REQUIRES COMPLETION OF AT LEAST 12 MONTHS OF MEDICAL RESIDENCY. DEGREE REQUIREMENT ALSO SATISFIED BY D.O. OR FOREIGN EQUIVALENT MBBS.br br PREVEA CLINIC, INC. PROVIDES PHYSICIAN SERVICES IN NUMEROUS HOSPITAL AND CLINIC SITES THROUGHOUT NORTHEASTERN AND NORTHWESTERN WISCONSIN. THE COMPANYS HEADQUARTERS IS LOCATED IN GREEN BAY, BROWN COUNTY, WISCONSIN AND THE PREVAILING WAGE APPLICATION REFLECTS THAT LOCATION AS WELL AS THE CURRENT, PRIMARY WORKSITE LOCATED IN GREEN BAY, BROWN COUNTY, WISCONSIN. THIS APPLICATION ALSO INCLUDES OTHER PREVEA HOSPITAL AND CLINIC SITES CURRENTLY LOCATED IN THE FOLLOWING COUNTIES BARRON, BUFFALO, CHIPPEWA, DOOR, DUNN, EAU CLAIRE, KEWAUNEE, MARINETTE, MANITOWOC, OCONTO, OUTAGAMIE, RUSK, SHAWANO, AND SHEBOYGAN. THERE IS NO REGULAR OR FREQUENT TRAVEL; HOWEVER, THE POSITION MAY REQUIRE INTERMITTENT DOMESTIC TRAVEL TO PERFORM MEDICAL SERVICES FOR PATIENTS AT OTHER HOSPITAL ANDOR CLINIC SITES AS WELL AS POTENTIAL FUTURE PREVEA CLINIC LOCATIONS.br br ALIEN COMPLETED HER THREEYEAR INTERNAL MEDICINE RESIDENCY AT MERCY HOSPITAL AND MEDICAL CENTER IN CHICAGO, ILLINOIS IN 2016. SHE IS CERTIFIED BY THE AMERICAN BOARD OF INTERNAL MEDICINE CERTIFICATE NO. 369345 AND IS LICENSED TO PRACTICE MEDICINE AND SURGERY IN THE STATE OF WISCONSIN LICENSE #7231920

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2020-09-13

SWA Job Order End Date

2020-10-13

Sunday Edition Newspaper

Y

First Newspaper Name

Green Bay PressGazette

First Advertisement Start Date

2020-09-20

Second Newspaper Ad Name

Green Bay PressGazette

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-09-27

Employer Website From Date

2020-09-14

Employer Website To Date

2020-09-30

Professional Organization Ad From Date

2021-01-01 09:55:55

Professional Organization Advertisement To Date

2021-01-01 09:55:55

Job Search Website From Date

2020-09-15

Job Search Website To Date

2020-09-30

Employee Referral Program From Date

2021-01-01 09:55:55

Employee Referral Program To Date

2021-01-01 09:55:55

Local Ethnic Paper From Date

2021-01-01 09:55:55

Local Ethnic Paper To Date

2021-01-01 09:55:55

Radio/TV Ad From Date

2021-01-01 09:55:55

Radio/TV Ad To Date

2021-01-01 09:55:55

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

WEST BENGAL UNIVERSITY OF HEALTH SCIENCES

Foreign Worker Education Institution Address 1

DD 36, 2ND AVENUE, DD BLOCK, SECTOR 1

Foreign Worker Education Institution Address 2

BIDHANNAGAR

Foreign Worker Education Institution City

KOLKATA

Foreign Worker Education Institution State/Province

WEST BENGAL STATE

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

700064

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

GEOFFREY A LACY

Preparer Title

ATTORNEY

Preparer Email

glacy@strangpatteson.com

Employer Information Declaration Name

ASHOK RAI

Employer Information Declaration Title

PRESIDENT CEO