| Carl K Gjertson, MD | |
|
263 Farmington Ave, Urology, Farmington, CT 06030-6227 | |
| (860) 679-4100 | |
| (860) 679-1390 |
| Full Name | Carl K Gjertson |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063472017 | NPI | - | NPPES |
| 1063472017 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | 045171 (Connecticut) | Secondary |
| 208800000X | Urology | 045171 (Connecticut) | Secondary |
| 208800000X | Urology | 25MA12258300 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shore Medical Center | Somers point, NJ | Hospital |
| Cape Regional Medical Center Inc | Cape may court house, NJ | Hospital |
| John Dempsey Hospital | Farmington, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cape Physicians Associates Pa | 0749333730 | 53 |
| Shore Specialty Consultants | 1951613652 | 40 |
| Jersey Urology Group P. A. | 2264434703 | 13 |
| Entity Name | Jersey Urology Group P. A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225193162 PECOS PAC ID: 2264434703 Enrollment ID: O20070212000660 |
| Entity Name | Cape Physicians Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003805227 PECOS PAC ID: 0749333730 Enrollment ID: O20090928000078 |
| Entity Name | Shore Specialty Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962808519 PECOS PAC ID: 1951613652 Enrollment ID: O20150709001185 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl K Gjertson, MD 331 Newman Springs Road Bldg. 2, Suite 220, Red Bank, NJ 07701 Ph: (732) 807-0877 | Carl K Gjertson, MD 263 Farmington Ave, Urology, Farmington, CT 06030-6227 Ph: (860) 679-4100 |
Seema Sheth, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 499 Farmington Ave, Suite 220, Farmington, CT 06032 Phone: 860-678-7300 | |
Dr. Jane A Suh, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 21 Bradford Walk, Farmington, CT 06032 Phone: 713-870-3933 | |
Jill M Peters-gee, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 499 Farmington Avenue, Suite 220, Farmington, CT 06032 Phone: 860-678-7300 Fax: 860-677-2693 | |
Christian Edward Bartels, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 270 Farmington Ave, Suite 352, Farmington, CT 06032 Phone: 860-679-3467 | |
Brooke Ashley Harnisch, MD Urology Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-4100 Fax: 860-679-1064 | |
Adine F Regan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 499 Farmington Avenue, Ste 220, Farmington, CT 06032 Phone: 860-678-7300 Fax: 860-677-2693 |