Heidi S Gjersoe, MD | |
3304 Cooley Ct, Portage, MI 49024-7430 | |
(269) 349-2266 | |
(269) 349-0792 |
Full Name | Heidi S Gjersoe |
---|---|
Gender | Female |
Speciality | Internal Medicine - Gastroenterology |
Location | 3304 Cooley Ct, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679538581 | NPI | - | NPPES |
1417961137 | Other | MI | BCBSM - BRONSON |
4319176 | Other | MI | AETNA |
0M92920001 | Other | MI | MEDICARE |
1679538581 | Other | MI | NPI |
1679538581 | Medicaid | MI | |
100987 | Other | MI | GREAT LAKES HEALTH PLAN |
1851569958 | Other | MI | NPI 04/25/2008 AND AFTER |
HG060600 | Other | MI | BLUE CROSS BLUE SHIELD |
0P56360004 | Other | MI | MEDICARE 04/25/2008 AND AFTER |
100C910690 | Other | MI | BCBSM |
383309299137 | Other | MI | CARESOURCE MEDICAID |
100C914640 | Other | MI | BCBS 04/25/2008 AND AFTER |
104171768 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | HG060600 (Michigan) | Primary |
Entity Name | Bronson Methodist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
Mailing Address | Practice Location Address |
---|---|
Heidi S Gjersoe, MD 3304 Cooley Ct, Portage, MI 49024-7430 Ph: (269) 349-2266 | Heidi S Gjersoe, MD 3304 Cooley Ct, Portage, MI 49024-7430 Ph: (269) 349-2266 |
William Francis Hanavan, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-349-2266 Fax: 269-349-0792 | |
Dr. Sarah Anne Wasserman, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-349-2266 Fax: 269-349-0792 | |
Priyanka Bikkina, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St Ste 200, Portage, MI 49024 Phone: 269-341-8585 | |
Jeffrey M Coppinger, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2600 W Centre Ave, Portage, MI 49024 Phone: 269-324-4141 Fax: 269-324-2020 | |
Jaroslaw P Siwik, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2600 W Centre Ave, Bronson Internal Medicine Associates, Portage, MI 49024 Phone: 269-324-4141 Fax: 269-324-2020 | |
Dr. Deborah Esteves, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-324-8670 Fax: 269-321-7154 | |
Todd J White, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2600 W Centre Ave, Bronson Internal Medicine Associates, Portage, MI 49024 Phone: 269-324-4141 Fax: 269-324-2020 |