Audrey Ertel, | |
85 N Grand Ave, Fort Thomas, KY 41075 | |
(859) 781-2628 | |
(859) 572-4403 |
Full Name | Audrey Ertel |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 12 Years |
Location | 85 N Grand Ave, Fort Thomas, Kentucky |
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 |
---|---|---|---|
1417213547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 52529 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
St Elizabeth Edgewood | Edgewood, KY | Hospital |
St Elizabeth Florence | Florence, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Audrey Ertel, Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 781-2628 | Audrey Ertel, 85 N Grand Ave, Fort Thomas, KY 41075 Ph: (859) 781-2628 |
Heidi C Murley, MD Surgery Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075 Phone: 859-781-2628 Fax: 859-572-4403 | |
Susan M Yelich, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075 Phone: 859-781-2628 Fax: 859-572-4403 | |
Jeffrey W Russell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075 Phone: 859-781-2628 Fax: 859-572-4403 |