Dr Christine Joanne Waller, MD | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Dr Christine Joanne Waller |
---|---|
Gender | Female |
Speciality | Critical Care (intensivists) |
Experience | 16 Years |
Location | 1836 South Ave, La Crosse, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588826705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R-8454 (Iowa) | Secondary |
208600000X | Surgery | 62567 (Wisconsin) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 62567 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
Entity Name | Gundersen Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
Entity Name | Gundersen Lutheran Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
---|---|
Dr Christine Joanne Waller, MD 1711 Madison St, La Crosse, WI 54601-4975 Ph: (217) 971-4934 | Dr Christine Joanne Waller, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Benjamin T Jarman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-775-2331 | |
Jamie Lynn Knuth Prather, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Jeffrey Landercasper, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Jared Richard Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Stephen B Shapiro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
William C Boyd, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467 | |
Arik C. Brye, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 Fax: 608-392-7197 |