| Kelly M Montaine, CRNA | |
|
945 N 12th St, Milwaukee, WI 53233-1305 | |
| (414) 219-2000 | |
| Not Available |
| Full Name | Kelly M Montaine |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 945 N 12th St, Milwaukee, 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 |
|---|---|---|---|
| 1174904528 | NPI | - | NPPES |
| 1174904528 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 6402-33 (Wisconsin) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | D188460 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Menomonee Falls Hospital | Menomonee falls, WI | Hospital |
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| Froedtert West Bend Hospital | West bend, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - Anesthesia Pc | 3678897915 | 849 |
| Andisthesia Llc | 8527431154 | 3 |
| Vituity-wisconsin Anesthesia Sc | 2163968819 | 144 |
| The Medical College Of Wisconsin Inc | 2668384371 | 2092 |
| Entity Name | Cep America - Anesthesia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194516146 PECOS PAC ID: 3678897915 Enrollment ID: O20250620000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Montaine, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Kelly M Montaine, CRNA 945 N 12th St, Milwaukee, WI 53233-1305 Ph: (414) 219-2000 |
Kathleen A Waterhouse-skibicki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5951 Fax: 414-777-0044 |
Mary E Rashel, CRNA, APNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000 |
Adrian Hein, APNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 N 92nd St, Milwaukee, WI 53226 Phone: 414-805-3000 |
Dr. William H. Campbell, M.D. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522 |
Kassie L Quinlevan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522 |
Elizabeth Lyvers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-3666 |
Sara Long, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 N 92nd St, Milwaukee, WI 53226 Phone: 414-585-1000 |