| Karlee Fahey, | |
|
115 E Trillium Ct, Mequon, WI 53092-6100 | |
| (262) 358-1024 | |
| Not Available |
| Full Name | Karlee Fahey |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 115 E Trillium Ct, Mequon, 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 |
|---|---|---|---|
| 1013381185 | NPI | - | NPPES |
| 100064337 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 168636 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 6794 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wisconsin Spine And Pain Sc | 0345665469 | 14 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| 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 | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073832218 PECOS PAC ID: 5890604722 Enrollment ID: O20101101000597 |
| Entity Name | Anesthesia Partners Services Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861810947 PECOS PAC ID: 4082832514 Enrollment ID: O20140826000757 |
| Entity Name | Orthopaedic Hospital Of Wisconsin, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669584983 PECOS PAC ID: 4981741709 Enrollment ID: O20160106001182 |
| Entity Name | Wisconsin Spine And Pain Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790309276 PECOS PAC ID: 0345665469 Enrollment ID: O20200806002745 |
| Mailing Address | Practice Location Address |
|---|---|
| Karlee Fahey, 115 E Trillium Ct, Mequon, WI 53092-6100 Ph: (262) 358-1024 | Karlee Fahey, 115 E Trillium Ct, Mequon, WI 53092-6100 Ph: (262) 358-1024 |
Mrs. Elizabeth Shepler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097 Phone: 262-243-7408 | |
Mrs. Kelly Marie Blonien, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11845 N. Sandhill Circle, Mequon, WI 53092 Phone: 414-805-8700 Fax: 414-259-1522 |