| Gaertner Psychiatric Pc | |
|
603 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-4436 | |
| (540) 372-2028 | |
| (540) 373-0945 |
| Full Name | Gaertner Psychiatric Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 603 Jefferson Davis Hwy, Fredericksburg, Virginia |
| Authorized Official Name and Position | W Ronald Gaertner (OWNER) |
| Authorized Official Contact | 5403722028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaertner Psychiatric Pc 603 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-4436 Ph: (540) 372-2028 | Gaertner Psychiatric Pc 603 Jefferson Davis Hwy Suite 101 Fredericksburg VA 22401-4436 Ph: (540) 372-2028 |
| NPI Number | 1437572435 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 12/03/2014 |
| Medicare PECOS PAC ID | 6709108343 |
|---|---|
| Medicare Enrollment ID | O20141209002136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437572435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101035045 (Virginia) | Primary |
| Provider Name | William R Gaertner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649267188 PECOS PAC ID: 3971560061 Enrollment ID: I20041209001024 |
| Provider Name | Elizabeth Wheatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457591596 PECOS PAC ID: 3072670009 Enrollment ID: I20090319000044 |
| Provider Name | Victoria M Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376795898 PECOS PAC ID: 6507906187 Enrollment ID: I20091211000268 |
| Provider Name | Partam Manalai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649598244 PECOS PAC ID: 2961680913 Enrollment ID: I20110622000635 |
| Provider Name | Yeganeh Jalaeian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578957726 PECOS PAC ID: 2769701127 Enrollment ID: I20150616000720 |
| Provider Name | Emily Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821643081 PECOS PAC ID: 2062844582 Enrollment ID: I20191120003348 |
| Provider Name | Angela Rose Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295302602 PECOS PAC ID: 5193128601 Enrollment ID: I20210721002507 |
| Provider Name | Jamie Lynn Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447905856 PECOS PAC ID: 8628459435 Enrollment ID: I20220725001878 |
| Provider Name | Lesley Grzybowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184375164 PECOS PAC ID: 9537542048 Enrollment ID: I20220816003435 |
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