Christine M Waller, CRNA | |
8901 W Lincoln Ave, West Allis, WI 53227-2409 | |
(414) 328-6000 | |
Not Available |
Full Name | Christine M Waller |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 8901 W Lincoln Ave, West Allis, 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 |
---|---|---|---|
1720063738 | NPI | - | NPPES |
05575 | Other | CRNA RECERTIFICATION CARD | |
44331800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 147739-030 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Divine Savior Healthcare | Portage, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Divine Savior Healthcare Inc | 5799684007 | 76 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Divine Savior Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
Entity Name | Froedtert Memorial Lutheran Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255334173 PECOS PAC ID: 1456342682 Enrollment ID: O20040518001180 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
---|---|
Christine M Waller, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Christine M Waller, CRNA 8901 W Lincoln Ave, West Allis, WI 53227-2409 Ph: (414) 328-6000 |
Thomas J Kavanaugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8901 W. Lincoln Ave, Aurora West Allis Medical Center, West Allis, WI 53227 Phone: 414-328-6000 Fax: 414-328-8536 | |
Jessica Lynn Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7200 | |
Jacqueline J Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7200 | |
Michelle Ann Depa, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7200 Fax: 414-328-8158 | |
Emily M Nieman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Tara L Alauf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-283-6000 Fax: 414-649-1328 |