Carl K Gjertson, MD | |
263 Farmington Ave, Urology, Farmington, CT 06030-6227 | |
(860) 679-4100 | |
(860) 679-1390 |
Full Name | Carl K Gjertson |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 23 Years |
Location | 263 Farmington Ave, Farmington, Connecticut |
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 |
---|---|---|---|
1063472017 | NPI | - | NPPES |
1063472017 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | 045171 (Connecticut) | Secondary |
208800000X | Urology | 045171 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John Dempsey Hospital | Farmington, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Connecticut Health Center | 3678472016 | 540 |
Entity Name | Trinity Health Of New England Provider Network Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
Entity Name | University Of Connecticut Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
Mailing Address | Practice Location Address |
---|---|
Carl K Gjertson, MD 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | Carl K Gjertson, MD 263 Farmington Ave, Urology, Farmington, CT 06030-6227 Ph: (860) 679-4100 |
Seema Sheth, M.D. Urology Medicare: Medicare Enrolled Practice Location: 499 Farmington Ave, Suite 220, Farmington, CT 06032 Phone: 860-678-7300 | |
Dr. Jane A Suh, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 21 Bradford Walk, Farmington, CT 06032 Phone: 713-870-3933 | |
Jill M Peters-gee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 499 Farmington Avenue, Suite 220, Farmington, CT 06032 Phone: 860-678-7300 Fax: 860-677-2693 | |
Christian Edward Bartels, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 270 Farmington Ave, Suite 352, Farmington, CT 06032 Phone: 860-679-3467 | |
Brooke Ashley Harnisch, MD Urology Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-4100 Fax: 860-679-1064 | |
Adine F Regan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 499 Farmington Avenue, Ste 220, Farmington, CT 06032 Phone: 860-678-7300 Fax: 860-677-2693 |