Alexandra Cistaro, | |
1000 N 92nd St, Milwaukee, WI 53226-3533 | |
(414) 259-1414 | |
Not Available |
Full Name | Alexandra Cistaro |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1000 N 92nd St, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619640109 | NPI | - | NPPES |
100220870 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 5317-154 (Wisconsin) | Secondary |
235Z00000X | Speech-language Pathologist | 6145 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Provider Name | Lakeshore Medical Clinic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Mailing Address | Practice Location Address |
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Alexandra Cistaro, 1551 N Water St Unit 312, Milwaukee, WI 53202-2612 Ph: (414) 331-4614 | Alexandra Cistaro, 1000 N 92nd St, Milwaukee, WI 53226-3533 Ph: (414) 259-1414 |
Ms. Lisa Naymick, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3023 S 84th St, Milwaukee, WI 53227 Phone: 414-607-4223 | |
Miss Deanna Marie Fuster, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2025 E Newport Ave, Milwaukee, WI 53211 Phone: 414-298-6759 | |
Mrs. Vicki Lynn Holton, MS, CCC-SCP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 316 North Milwaukee St, Suite 208 Heritage Healthcare Gp, Milwaukee, WI 53202 Phone: 414-615-0665 Fax: 888-389-9031 | |
Hannah Rose Hartman, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5790 S 27th St, Milwaukee, WI 53221 Phone: 414-817-3720 Fax: 414-282-4643 | |
Ms. Cheryl L Martens, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2025 E Newport Ave, Milwaukee, WI 53211 Phone: 414-961-4160 | |
Sydney Budelier, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 N 92nd St, Milwaukee, WI 53226 Phone: 414-587-7086 | |
Cindy Marie Hrdi, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2025 E Newport Ave, Milwaukee, WI 53211 Phone: 414-961-4160 |