| Christine M Waller, CRNA | |
|
8901 W Lincoln Ave, West Allis, WI 53227-2409 | |
| (414) 328-6000 | |
| Not Available |
| Full Name | Christine M Waller |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 8901 W Lincoln Ave, West Allis, Wisconsin |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720063738 | NPI | - | NPPES |
| 05575 | Other | CRNA RECERTIFICATION CARD | |
| 44331800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 147739-030 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Watertown Memorial Hospital | Watertown, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Services Of The Fox Valley Sc | 1658345228 | 15 |
| Watertown Anesthesia Llc | 2668844572 | 12 |
| Divine Savior Healthcare Inc | 5799684007 | 94 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Entity Name | Anesthesia Services Of The Fox Valley Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750385597 PECOS PAC ID: 1658345228 Enrollment ID: O20040820000728 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Entity Name | Metro Milwaukee Anesthesia Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609130228 PECOS PAC ID: 3577780683 Enrollment ID: O20140814000066 |
| Entity Name | Watertown Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508501495 PECOS PAC ID: 2668844572 Enrollment ID: O20230202000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine M Waller, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Christine M Waller, CRNA 8901 W Lincoln Ave, West Allis, WI 53227-2409 Ph: (414) 328-6000 |
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 | |
Michelle Ann Depa, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7200 Fax: 414-328-8158 | |
Emily M Nieman, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Shelly Schneider Parker, 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 |