Dr Kristine M Wake, MD - Pediatrics in Park City, UT

Dr Kristine M Wake, MD is a Pediatrics physician based in Park City, Utah. Dr Kristine M Wake is licensed to practice in Utah (license number 12807093-1205) and her current practice location is 750 Round Valley Dr Ste 102, Park City, Utah. She can be reached at her office (for appointments etc.) via phone at (435) 655-0926.

NPI number for Dr Kristine M Wake is 1932216975 and her current mailing address is 9000 W Wisconsin Ave # Ms 958, Milwaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932216975.

Contact Information

Dr Kristine M Wake, MD
750 Round Valley Dr Ste 102,
Park City, UT 84060-7549
(435) 655-0926
(435) 649-3748



Physician's Profile

Full NameDr Kristine M Wake
GenderFemale
SpecialityPediatrics
Location750 Round Valley Dr Ste 102, Park City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932216975
  • Provider Enumeration Date: 08/24/2006
  • Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Dr Kristine M Wake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932216975NPI-NPPES
1932216975MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 41975 (Wisconsin)Secondary
208000000XPediatrics 12807093-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristine M Wake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kristine M Wake, MD
9000 W Wisconsin Ave # Ms 958,
Milwaukee, WI 53226-4874

Ph: (414) 266-7615
Dr Kristine M Wake, MD
750 Round Valley Dr Ste 102,
Park City, UT 84060-7549

Ph: (435) 655-0926

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› Verified 5 days ago


Pediatrics Doctors in Park City, UT

Dr. Karen Elisabeth Lantz, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1743 Redstone Center Dr, Ste. 115, Park City, UT 84098
Phone: 435-658-9200    Fax: 435-658-9210
Dr. Monica M Schaffer, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 750 Round Valley Dr, Suite 102, Park City, UT 84060
Phone: 435-655-0926    Fax: 435-649-3748
Eileen Gallagher, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1441 Ute Blvd Ste 220, Park City, UT 84098
Phone: 435-602-0187    Fax: 435-355-3734
Katherine Rebecca Lavender, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 750 Round Valley Dr, Suite 102, Park City, UT 84060
Phone: 435-655-0926    Fax: 435-649-3748
Laura Lynn Sells, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4000 Canyons Resort Dr, Park City, UT 84098
Phone: 435-615-2235    Fax: 435-645-7768
Dr. Emil Chuang, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2458 E Westview Trl, Park City, UT 84098
Phone: 760-815-7669    
Dr. Lena Sjoquist Terry, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 750 Round Valley Dr, Suite 102, Park City, UT 84060
Phone: 435-655-0926    Fax: 435-649-3748

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