Teri S Gjerseth, CNM, APNP, FNP-C | |
505 Gopher Dr, Tomah, WI 54660-4513 | |
(608) 372-4111 | |
Not Available |
Full Name | Teri S Gjerseth |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 12 Years |
Location | 505 Gopher Dr, Tomah, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538484407 | NPI | - | NPPES |
1538484407 | Medicaid | WI | |
4404-33 | Other | WI | ADVANCE PRACTICE NURSE PRESCRIBER |
B129556 | Other | IA | ADVANCED REGISTERED NURSE PRACTITIONER |
CNM0142 | Other | AMERICAN MIDWIFERY CERTIFICATION BOARD | |
148848-032 | Other | WI | CERTIFIED NURSE MIDWIFE |
1538484407 | Other | WI | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4404-33 (Wisconsin) | Secondary |
367A00000X | Advanced Practice Midwife | NM148848-032 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gundersen Clinic Ltd | 9638082779 | 325 |
Entity Name | Gundersen Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
Mailing Address | Practice Location Address |
---|---|
Teri S Gjerseth, CNM, APNP, FNP-C 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Teri S Gjerseth, CNM, APNP, FNP-C 505 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-4111 |
Abbey Alice Rose, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5999 | |
Laura M Damrow, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 325 Butts Avenue, Tomah, WI 54660 Phone: 608-372-5951 Fax: 608-372-3436 | |
Emily Ann Rodriguez, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111 |