| Dr Christopher Canitz, MD | |
|
17000 W North Ave, Suite 200e, Brookfield, WI 53005-4423 | |
| (262) 782-4270 | |
| (262) 784-9319 |
| Full Name | Dr Christopher Canitz |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 17000 W North Ave, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699742049 | NPI | - | NPPES |
| 32330900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35733 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Center - Summit | Summit, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| 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 | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Canitz, MD 17000 W North Ave, Suite 200e, Brookfield, WI 53005-4423 Ph: (262) 782-4270 | Dr Christopher Canitz, MD 17000 W North Ave, Suite 200e, Brookfield, WI 53005-4423 Ph: (262) 782-4270 |
Anthony Christopher Illing, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1905 N Calhoun Rd, Brookfield, WI 53005 Phone: 262-754-8000 Fax: 262-780-3396 | |
Susan C Minikel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 15905 Heather Hill Dr, Brookfield, WI 53005 Phone: 262-781-6965 Fax: 262-781-6965 | |
Stuart E Blacher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 414-447-2221 Fax: 262-641-6880 | |
Laura Field, MD Radiology Medicare: Medicare Enrolled Practice Location: 1905 N Calhoun Rd, Brookfield, WI 53005 Phone: 262-754-8000 Fax: 262-780-3396 | |
Shannon Offerman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 262-780-4100 | |
William Stuart Goell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 19095 Blue Ridge Ct, Brookfield, WI 53045 Phone: 262-790-8988 |