| Cristina Ann Custer, NP | |
|
1040 Division St, Mauston, WI 53948-1931 | |
| (608) 847-5000 | |
| Not Available |
| Full Name | Cristina Ann Custer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 31 Years |
| Location | 1040 Division St, Mauston, 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 |
|---|---|---|---|
| 1548241821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 107628 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 893 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Recover Health Of Wisconsin Inc | Baraboo, WI | Home health agency |
| Agrace Hospicecare | Madison, WI | Hospice |
| Mile Bluff Medical Center | Mauston, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mile Bluff Medical Center Inc | 8527971399 | 74 |
| Entity Name | Mile Bluff Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609912005 PECOS PAC ID: 8527971399 Enrollment ID: O20031205000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Cristina Ann Custer, NP 1040 Division St, Mauston, WI 53948-1931 Ph: () - | Cristina Ann Custer, NP 1040 Division St, Mauston, WI 53948-1931 Ph: (608) 847-5000 |
Mrs. Jacklyn Susan Backhaus, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Jacqueline A Kemp, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
James Dennis Lierman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Kenneth L. Hallwood, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Shawn Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Tonya Wesner, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Division St, Mauston, WI 53948 Phone: 608-847-6161 | |
Kelly Jossart, APNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hickory St, Mauston, WI 53948 Phone: 608-847-2400 Fax: 608-847-9599 |