Mrs Lisa Marie Ertman, CNP in Fairmont, MN - Medicare Nurse Practitioner

Mrs Lisa Marie Ertman, CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Fairmont, Minnesota. Her current practice location is 410 Downtown Plz, Fairmont, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 399-2100.

Mrs Lisa Marie Ertman is licensed to practice in Minnesota (license number 9378) 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 1508573288.

Contact Information

	Mrs Lisa Marie Ertman, CNP
	410 Downtown Plz, Fairmont, MN 56031-1714
	(507) 399-2100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lisa Marie Ertman
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	410 Downtown Plz, Fairmont, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508573288
Provider Enumeration Date: 11/01/2022
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5395114409
Enrollment ID: I20221213000785

Medical Identifiers

Medical identifiers for Mrs Lisa Marie Ertman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508573288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	9378 (Minnesota)	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. Mrs Lisa Marie Ertman allows following entities to bill medicare on her behalf.

Entity Name	Dulcimer Medical Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982779096 PECOS PAC ID: 2769588771 Enrollment ID: O20070509000016

Entity Name	Cornerstone Clinic, Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801575725 PECOS PAC ID: 6204288830 Enrollment ID: O20240119001357

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. Mrs Lisa Marie Ertman 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
Mrs Lisa Marie Ertman, CNP 410 Downtown Plz, Fairmont, MN 56031-1714 Ph: (507) 399-2100	Mrs Lisa Marie Ertman, CNP 410 Downtown Plz, Fairmont, MN 56031-1714 Ph: (507) 399-2100

Reviews and Comments

Nurse Practitioner Nurses in Fairmont, MN

Jauclyn Renee Green, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100
Jonathan E Rohde, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100
April E Poolman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100
Julie M. Rolstad, RN, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 Fax: 507-238-8522
Mrs. Rebekah Jean Boer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1950 Center Creek Dr, Fairmont, MN 56031 Phone: 507-238-4968
Sarah Martinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100
Fidelis Musau Kiungua, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100

Mrs Lisa Marie Ertman, CNP - Medicare Nurse Practitioner in Fairmont, MN