| Ethan Rosenke Schaefer, | |
| 
					9200 W Wisconsin Ave, Milwaukee, WI 53226  | |
| (414) 805-8700 | |
| (414) 259-1522 | 
| Full Name | Ethan Rosenke Schaefer | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiologist Assistant | 
| Location | 9200 W Wisconsin Ave, 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 | 
|---|---|---|---|
| 1093284861 | NPI | - | NPPES | 
| 1093284861 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 129 (Wisconsin) | Primary | 
| Entity Name | The Medical College Of Wisconsin Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259  | 
| Entity Name | Childrens Specialty Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942970405 PECOS PAC ID: 2567813447 Enrollment ID: O20240104002075  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ethan Rosenke Schaefer, 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-8700  | Ethan Rosenke Schaefer, 9200 W Wisconsin Ave, Milwaukee, WI 53226 Ph: (414) 805-8700  | 
Justin Michael Cole, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2901 W Kinnickinnic River Pkwy Ste 305, Milwaukee, WI 53215 Phone: 414-649-6000  | |
Mackenzie Lynn Reid, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522  | |
Aysha T Muhammad, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522  | |
Anjali Rajan Menon, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522  | |
Joseph Shaoul,  Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 945 N 12th St, Milwaukee, WI 53233 Phone: 414-219-2000  | |
Mrs. Lea Van Heule, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 231-288-3155  | |
Sarah Anderson, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000  |