| Heather Gjertsen, FNP-BC | |
| 1386 Lakes Rd, Monroe, NY 10950-4223 | |
| (845) 519-9183 | |
| Not Available | 
| Full Name | Heather Gjertsen | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 1386 Lakes Rd, Monroe, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609689793 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F355912-01 (New York) | Primary | 
| Entity Name | Divinity Medical Services Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497159560 PECOS PAC ID: 5193030245 Enrollment ID: O20150818005362 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Heather Gjertsen, FNP-BC 1386 Lakes Rd, Monroe, NY 10950-4223 Ph: (845) 519-9183 | Heather Gjertsen, FNP-BC 1386 Lakes Rd, Monroe, NY 10950-4223 Ph: (845) 519-9183 | 
| Sandra L Tetler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 855 State Route 17m, Monroe, NY 10950 Phone: 845-703-6999 Fax: 845-703-6297 | |
| Lydia Kankam, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Webster Ct, Monroe, NY 10950 Phone: 646-671-6158 | |
| Mrs. Barbara E Kura, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 State Route 208, Suite 13, Monroe, NY 10950 Phone: 845-783-6266 | |
| Caitlin Lakeman,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 State Route 17m, Monroe, NY 10950 Phone: 845-703-6999 Fax: 845-700-3629 | |
| Taisha S Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 855 State Route 17m, Monroe, NY 10950 Phone: 845-703-6999 Fax: 845-703-6297 | |
| Ms. Barbara Ann Monteverde, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 Oakland Ave, Monroe, NY 10950 Phone: 845-213-9142 | |
| Mr. Jason Chiong Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 State Route 208 Ste 13, Monroe, NY 10950 Phone: 845-783-6266 Fax: 845-783-9570 |