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Celeste Miranda Buchaklian

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2900 W Oklahoma Avenue, St. Lukes Medical Center, Milwaukee, WI 53215

PECOS Enrollment

This provider is enrolled in PECOS as CELESTE BUCHAKLIAN.

Based on the most recent information from CMS, provider Celeste Miranda Buchaklian is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1720363005
Provider Type
Individual
Full Name
Buchaklian, Celeste Miranda
Title
Ms.
Credential
APNP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/18/2011
Last Updated
11/29/2021

Contact Information

Practice Location

2900 W Oklahoma Avenue, St. Lukes Medical Center, Milwaukee, WI 53215

(414) 649-6000

Unlisted Fax

Mailing Location

12901 W Wyndridge Drive, 206, New Berlin, WI 53151-8610

(414) 758-3547

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 4530-33 Wisconsin

Celeste Miranda Buchaklian

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wollner, Tanya

Niederstadt, Jennifer A

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Chojnacki, Carl L

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Cohn, Casey L.