| Peter Rotter, CRNA | |
|
2300 Western Ave, Manitowoc, WI 54220-3712 | |
| (920) 320-2249 | |
| (920) 320-3529 |
| Full Name | Peter Rotter |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 2300 Western Ave, Manitowoc, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508979691 | NPI | - | NPPES |
| 43361800 | Medicaid | WI | |
| P00163391 | Other | WI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 275433 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Froedtert Manitowoc Medical Group, Llc | 2365836954 | 137 |
| Entity Name | Brookfield Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942257902 PECOS PAC ID: 5395847529 Enrollment ID: O20070219000542 |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Entity Name | Andisthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881303964 PECOS PAC ID: 8527431154 Enrollment ID: O20230302000943 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Rotter, CRNA Po Box 2290, Manitowoc, WI 54221-2290 Ph: (920) 320-2249 | Peter Rotter, CRNA 2300 Western Ave, Manitowoc, WI 54220-3712 Ph: (920) 320-2249 |
John James Troyer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Hfm Medical Center 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Jon W Buggs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 |