| Philip H Rohde, CRNA, APNP | |
|
855 S Main St, Oconto Falls, WI 54154-1241 | |
| (920) 846-3444 | |
| (920) 846-0250 |
| Full Name | Philip H Rohde |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 855 S Main St, Oconto Falls, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285718668 | NPI | - | NPPES |
| 44322000 | Medicaid | WI | |
| 1851477913 | Other | CMH NPI | |
| 11014110 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 130478-030 (Wisconsin) | Primary |
| 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 | St Clare Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip H Rohde, CRNA, APNP 855 S Main St, Oconto Falls, WI 54154-1241 Ph: (920) 846-3444 | Philip H Rohde, CRNA, APNP 855 S Main St, Oconto Falls, WI 54154-1241 Ph: (920) 846-3444 |
Tricia A Rocole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 S Main St, Oconto Falls, WI 54154 Phone: 920-846-3444 Fax: 920-846-0250 |
Dawn Fifarek, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 855 S Main St, Oconto Falls, WI 54154 Phone: 920-846-3444 |