| Mallory Kay Christ, DNP, CRNA | |
|
1615 Maple Ln, Ashland, WI 54806-3626 | |
| (715) 685-5500 | |
| Not Available |
| Full Name | Mallory Kay Christ |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 1615 Maple Ln, Ashland, 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 |
|---|---|---|---|
| 1871331066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 1104221 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 151986 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Ashland, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Medical Center Inc | 8022000447 | 44 |
| Entity Name | Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20040402000938 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Kay Christ, DNP, CRNA 1615 Maple Ln, Ashland, WI 54806-3626 Ph: (715) 685-5500 | Mallory Kay Christ, DNP, CRNA 1615 Maple Ln, Ashland, WI 54806-3626 Ph: (715) 685-5500 |
Mr. Michael Andrew Peterson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-682-4563 Fax: 715-685-5108 | |
Thomas William Jorgensen, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-685-5500 | |
Gregory Allen Zinke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-685-5500 | |
Ms. Suzanne M Ulmer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Ln, Ashland, WI 54806 Phone: 715-682-4563 | |
Mr. Stephen Charles Cushing, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-682-4563 Fax: 815-685-5108 | |
Mr. Shawn Douglas Brede, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-682-4563 Fax: 715-685-5108 |