Michelle Ann Depa, | |
8901 W Lincoln Ave, West Allis, WI 53227-2409 | |
(414) 328-7200 | |
(414) 328-8158 |
Full Name | Michelle Ann Depa |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 8901 W Lincoln Ave, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356442081 | NPI | - | NPPES |
61045 | Other | WI | DEAN HEALTH INSURANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 127713-030 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
Entity Name | Anesthesia Partners Services Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861810947 PECOS PAC ID: 4082832514 Enrollment ID: O20140826000757 |
Mailing Address | Practice Location Address |
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Michelle Ann Depa, 4025 N 92nd St, Wauwatosa, WI 53222 Ph: (414) 358-5431 | Michelle Ann Depa, 8901 W Lincoln Ave, West Allis, WI 53227-2409 Ph: (414) 328-7200 |
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 | |
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 | |
Christine M Waller, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 |