| Dr Christina Lynne Nussbaum, MD | |
|
800 Riverside Dr, Waupaca, WI 54981-1943 | |
| (715) 258-1000 | |
| (715) 258-1042 |
| Full Name | Dr Christina Lynne Nussbaum |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 800 Riverside Dr, Waupaca, 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 |
|---|---|---|---|
| 1518387885 | NPI | - | NPPES |
| 19UA0 | Other | NC | BCBS OF NC |
| NN10190322 | Other | NC | MEDICARE |
| 1518387885 | Medicaid | NC | |
| 207P00000X | Medicaid | NV |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Medical Center - New London | New london, WI | Hospital |
| Vidant Medical Center | Greenville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Carolina University | 0244143246 | 444 |
| Vidant Medical Group Llc | 0345343893 | 847 |
| Entity Name | East Carolina University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
| Entity Name | East Carolina Health-bertie |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578541660 PECOS PAC ID: 1355251661 Enrollment ID: O20041112000143 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christina Lynne Nussbaum, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 830-5900 | Dr Christina Lynne Nussbaum, MD 800 Riverside Dr, Waupaca, WI 54981-1943 Ph: (715) 258-1000 |
Charles D Washington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Dr. Logan Robert Gorges, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1042 | |
Michael Andrew Ward, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Jennifer Marie Bahr, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1153 | |
Dr. Amy T Kenworthy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Dr. Lana L Sanders, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1042 | |
Francesca L Detrana, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1632 |