Nicole Leigh Ertl, MD in Grand Rapids, MI

Nicole Leigh Ertl, MD is a medicare enrolled "Pediatrics" physician in Grand Rapids, Michigan. Her current practice location is 877 Forest Hill Ave Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-9377.

Nicole Leigh Ertl is licensed to practice in Wisconsin (license number 4301096897) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457664385.

Contact Information

	Nicole Leigh Ertl, MD
	877 Forest Hill Ave Se, Grand Rapids, MI 49546-2560
	(616) 391-9377
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole Leigh Ertl
Gender	Female
Speciality	Pediatrics
Location	877 Forest Hill Ave Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457664385
Provider Enumeration Date: 07/20/2010
Last Update Date: 11/14/2013

Medicare PECOS Information:

PECOS PAC ID: 2668766510
Enrollment ID: I20160816000459

Medical Identifiers

Medical identifiers for Nicole Leigh Ertl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457664385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301096897 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Leigh Ertl allows following entities to bill medicare on her behalf.

Entity Name	Associated Physicians, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861412785 PECOS PAC ID: 7719953306 Enrollment ID: O20040903001206

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. Nicole Leigh Ertl is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Leigh Ertl, MD 877 Forest Hill Ave Se, Grand Rapids, MI 49546-2380 Ph: (616) 949-4465	Nicole Leigh Ertl, MD 877 Forest Hill Ave Se, Grand Rapids, MI 49546-2560 Ph: (616) 391-9377

Reviews and Comments

Pediatrics Doctors in Grand Rapids, MI

Phillip Richter Paras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503 Phone: 616-391-8810 Fax: 616-391-8897
Nathan Andrew Patterson, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503 Phone: 616-267-0118
Stephanie-grace Abinoja Raymundo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
William B Stratbucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503 Phone: 616-391-7999
Wesley Hannah Shane, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 866-989-7999
Caroline Buckley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-391-8810
Dr. Susan H Wakefield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-4465 Fax: 616-949-6191

Nicole Leigh Ertl, MD - Medicare Pediatrics in Grand Rapids, MI