Presence Primary Care
Quick Facts
| Membership Price Range | Sustainable Membership: Age 26+: $90/month, Age 25 and under: $75/month (one-time enrollment fee: $100); Accessible Membership: Age 26+: $50/month, Age 25 and under: $35/month (one-time enrollment fee: $25); Equitable Membership: Age 26+: $120/month, Age 25 and under: $100/month (one-time enrollment fee: $100). 5% discount for 12-month prepay. Group discounts: 5% off for 2-3 members, 10% off for 4+ members. |
| Practice Type | Direct Primary Care |
| Location | Milwaukee, South Side of Milwaukee |
| Doctors | Anna Mirer MD, Family Medicine |
| Telehealth Type | Video visits, phone, secure messaging (SigmaMD app) |
| Telehealth Available | Yes |
About
At Presence Primary Care, Dr. Anna Mirer delivers direct primary care on Milwaukee's South Side for patients of all ages, genders, incomes, neurotypes, sexualities, sizes, abilities, and communication styles. She built the practice around a simple conviction: quality primary care should reach everyone, including Milwaukee's 50,000-plus uninsured residents. The practice carries a panel roughly 15 to 25 percent the size of a traditional practice, which makes same-day and next-day appointments routine. Three membership tiers, Sustainable, Accessible, and Equitable, let members cross-subsidize one another so cost stays manageable across the community.
Presence offers a broad clinical scope: family medicine, gender-affirming hormone therapy for adults and adolescents, reproductive health, mental health, opioid use disorder treatment, size-neutral medicine, and care tailored for neurodivergent patients. Dr. Mirer speaks Spanish and holds an OutCare Affirming Provider badge. The clinic runs low-sensory hours from 10 AM to noon and a purple medication pickup locker sits next to the reception desk. Patients reach Dr. Mirer directly by call or text, and the SigmaMD app handles secure messaging and scheduling.
Details
Address
2500 W. Layton Ave, Ste 260, Milwaukee, WI 53221
Phone
(414) 240-2004Website
Visit websiteMembership
$90/monthly
Membership Details
Monthly membership covers virtual and in-person visits and basic office procedures. No copays. No hidden costs. No insurance billing. Three tiers: Sustainable, Accessible, and Equitable. One-time new patient enrollment fee varies by tier ($25 or $100).
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Frequently Asked Questions
Presence Primary Care offers three membership tiers. The Sustainable tier runs $90 per month for adults 26 and up and $75 per month for those 25 and under, with a one-time $100 enrollment fee. The Accessible tier offers reduced rates of $50 or $35 per month with a $25 enrollment fee, available to patients who need it without any income verification. The Equitable tier runs $120 or $100 per month and allows members with more resources to help cover the cost of care for others. Group and annual prepayment discounts are also available.
The monthly membership covers all virtual and in-person visits, basic office procedures, and direct communication with Dr. Mirer. The practice charges no copays and no hidden fees. Members use the SigmaMD app for scheduling and secure messaging, and they can call or text Dr. Mirer directly.
No. Presence Primary Care operates without insurance billing. Membership fees cover the care the practice provides, regardless of whether a patient carries insurance. Uninsured and underinsured patients are explicitly welcome, and the tiered pricing structure helps keep membership affordable.
Yes. Presence Primary Care typically schedules patients the same or next business day. The practice maintains a small panel, which keeps appointment availability consistent and prevents the delays common at larger practices.
Yes. Dr. Mirer offers telehealth visits as part of standard membership. Telehealth is available to patients located in Wisconsin, including those who can travel to Wisconsin for all visits. The SigmaMD app supports secure video and messaging.
Presence Primary Care sees patients of all ages, from children to older adults. In 2025, Dr. Mirer expanded gender-affirming hormone therapy to include adolescents as well as adults.
Due to a recent influx of new patients, Presence Primary Care is temporarily pausing new signups. Prospective patients can join the waitlist and Dr. Mirer will contact them to schedule a Discovery Call when enrollment resumes.
Dr. Mirer offers free Discovery Calls for prospective patients. For gender-affirming care inquiries, she currently holds group Discovery Calls via Google Meet. Patients can sign up for a call through the practice website or contact Dr. Mirer directly through the contact form.
Yes. Dr. Mirer places and removes Nexplanon implants and IUDs. Non-members can access this service for a flat fee of $150, not including the cost of the device. Dr. Mirer helps patients use insurance to cover the device cost or apply for manufacturer patient assistance programs.
Presence Primary Care holds low-sensory clinic hours from 10 AM to noon for patients with sensory sensitivities. The office uses trauma-informed care principles throughout its design and routines. The physical space accommodates larger bodies, and a purple medication pickup locker sits next to the reception desk for convenient, low-contact medication access.
Practice last updated March 24, 2026