Gary D Ertl, CRNA - Nurse Anesthetist, Certified Registered in Portage, WI

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Gary D Ertl, CRNA is a Nurse Anesthetist, Certified Registered based in Portage, Wisconsin. Gary D Ertl is licensed to practice in Wisconsin (license number 57794030) and his current practice location is 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (608) 742-4131.

NPI number for Gary D Ertl is 1578547337 and his current mailing address is 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578547337.

Contact Information

Gary D Ertl, CRNA
2817 New Pinery Rd, Divine Savior Healthcare Inc,
Portage, WI 53901-9240
(608) 742-4131
(608) 742-6098

Map and Direction




Provider's Profile

Full NameGary D Ertl
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2817 New Pinery Rd, Portage, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578547337
  • Provider Enumeration Date: 12/05/2005
  • Last Update Date: 10/07/2010

Medical Identifiers

Medical identifiers for Gary D Ertl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578547337NPI-NPPES
43302200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 57794030 (Wisconsin)Primary

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. Gary D Ertl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gary D Ertl, CRNA
2817 New Pinery Rd, Divine Savior Healthcare Inc,
Portage, WI 53901-9240

Ph: (608) 742-4131		Gary D Ertl, CRNA
2817 New Pinery Rd, Divine Savior Healthcare Inc,
Portage, WI 53901-9240

Ph: (608) 742-4131

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Portage, WI

Mr. William S. Rogers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2817 New Pinery Rd, Portage, WI 53901
Phone: 608-742-4131    Fax: 608-742-6098
John Mitchell Hoopes, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2817 New Pinery Rd, Portage, WI 53901
Phone: 608-742-4131    
Mark T Labor, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2817 New Pinery Rd, Portage, WI 53901
Phone: 608-742-4131    Fax: 608-742-6098
Michael Tennier, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2817 New Pinery Rd, Portage, WI 53901
Phone: 608-742-4131    Fax: 608-745-5161

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.