| Dr Andrew Ertl, MD | |
|
260 26th St, Prairie Du Sac, WI 53578-2203 | |
| (608) 643-2471 | |
| (608) 643-4788 |
| Full Name | Dr Andrew Ertl |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 15 Years |
| Location | 260 26th St, Prairie Du Sac, Wisconsin |
| 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 |
|---|---|---|---|
| 1679894943 | NPI | - | NPPES |
| 000495 | Other | PTAN | |
| 100058595 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 66056 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
| Reedsburg Area Medical Center | Reedsburg, WI | Hospital |
| Divine Savior Healthcare | Portage, WI | Hospital |
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| The Monroe Clinic | Monroe, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sauk Prairie Healthcare Inc | 8224948054 | 93 |
| Entity Name | Sauk Prairie Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861466153 PECOS PAC ID: 8224948054 Enrollment ID: O20031208000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Ertl, MD 260 26th St, Prairie Du Sac, WI 53578-2203 Ph: (608) 643-2471 | Dr Andrew Ertl, MD 260 26th St, Prairie Du Sac, WI 53578-2203 Ph: (608) 643-2471 |
Dr. Arnold N. Rosenthal, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-2471 Fax: 608-643-4788 | |
Dr. Michael D. C. Lamson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-2471 Fax: 608-643-4788 | |
Benjamin John Cooper, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-3311 | |
Mr. Willi R Niedermeier, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 26th St, Suite 150, Prairie Du Sac, WI 53578 Phone: 608-643-2471 Fax: 608-643-4788 | |
Dr. Matthew M Hebert, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-643-2471 Fax: 608-643-4788 |