Dr Elena Gertsen, MD, PHD - Medicare Pathology in Johnson City, TN

Dr Elena Gertsen, MD, PHD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Johnson City, Tennessee. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Watauga Pathology Associates Pc, Watauga Pathology Associates Pc and her current practice location is 1725 W Market St, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 431-1310.

Dr Elena Gertsen is licensed to practice in Tennessee (license number 48798) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881858876.

Contact Information

Dr Elena Gertsen, MD, PHD
1725 W Market St,
Johnson City, TN 37604-6020
(423) 431-1310
Not Available

Map and Direction




Physician's Profile

Full NameDr Elena Gertsen
GenderFemale
SpecialityPathology
Experience19 Years
Location1725 W Market St, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Elena Gertsen graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1881858876
  • Provider Enumeration Date: 07/18/2008
  • Last Update Date: 08/09/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5597915488
  • Enrollment ID: I20130715000194

Medical Identifiers

Medical identifiers for Dr Elena Gertsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881858876NPI-NPPES
103I223230OtherTNMEDICARE
ENROLLEDMedicaidMN
ENROLLEDMedicaidIA
Q003153MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 0101251153 (Virginia)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 48798 (Tennessee)Primary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 55622 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnson City Medical CenterJohnson city, TNHospital
Franklin Woods Community HospitalJohnson city, TNHospital
Johnston Memorial HospitalAbingdon, VAHospital
Greeneville Community HospitalGreeneville, TNHospital
Indian Path Community HospitalKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Watauga Pathology Associates Pc418371838011
Watauga Pathology Associates Pc418371838011

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. Dr Elena Gertsen allows following entities to bill medicare on her behalf.
Entity NameWatauga Pathology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720053945
PECOS PAC ID: 4183718380
Enrollment ID: O20070919000360

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. Dr Elena Gertsen 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 AddressPractice Location Address
Dr Elena Gertsen, MD, PHD
1725 W Market St,
Johnson City, TN 37604-6020

Ph: (423) 431-1310
Dr Elena Gertsen, MD, PHD
1725 W Market St,
Johnson City, TN 37604-6020

Ph: (423) 431-1310

Reviews and Comments


Pathology Doctors in Johnson City, TN

Emily R Patterson, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1725 W Market St, Johnson City, TN 37604
Phone: 423-431-1386    
Dr. Thomas M Soike, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-431-1310    Fax: 423-431-6331
Dr. David Richard Soike, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-431-6388    Fax: 423-431-6331
Dr. Julie Elisabeth Robertson, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-431-6389    Fax: 423-431-6331
Theresa F Lura, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 325 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-439-8849    Fax: 423-439-8110
Rowena Velilla, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 2203 Lakeland Dr, Johnson City, TN 37601
Phone: 423-926-1496    Fax: 423-979-3401
Dr. John Chadwick King, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604
Phone: 423-431-6389    Fax: 423-431-6331

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.