Mackenzie Louise Greisch, | |
835 S Van Buren St, Green Bay, WI 54301-3526 | |
(920) 433-0111 | |
Not Available |
Full Name | Mackenzie Louise Greisch |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 835 S Van Buren St, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104524115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 242562 (Wisconsin) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 144770 (Wisconsin) | Primary |
Entity Name | Green Bay Anesthesia Assoc. Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023065836 PECOS PAC ID: 4486613858 Enrollment ID: O20041011000244 |
Mailing Address | Practice Location Address |
---|---|
Mackenzie Louise Greisch, 2521 S Harmon St, Appleton, WI 54915-2504 Ph: (920) 850-7382 | Mackenzie Louise Greisch, 835 S Van Buren St, Green Bay, WI 54301-3526 Ph: (920) 433-0111 |
Mr. Peter B Michon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54308 Phone: 920-288-3388 Fax: 920-288-3370 | |
Angela L Mathias, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370 | |
Julie A Podlasik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7289 | |
Jeremy J Jerdee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370 | |
Christine M Zasuly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-3388 Fax: 920-288-3370 | |
Joseph A Wenszell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3605 Fax: 920-433-3589 | |
Barbara A. Eland, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111 Fax: 920-431-3071 |