| Lisa Ertle, APRN | |
|
103 Parker Rd Ste B, West Long Branch, NJ 07764-1009 | |
| (732) 222-0307 | |
| (732) 222-0394 |
| Full Name | Lisa Ertle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 103 Parker Rd Ste B, West Long Branch, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891583274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ15263200 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Endocrinology, Llc | 3870834112 | 2 |
| Entity Name | Prime Endocrinology, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306312095 PECOS PAC ID: 3870834112 Enrollment ID: O20190415000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ertle, APRN 687 Ellington Rd, Ridgewood, NJ 07450-5512 Ph: (551) 482-0173 | Lisa Ertle, APRN 103 Parker Rd Ste B, West Long Branch, NJ 07764-1009 Ph: (732) 222-0307 |
Amanda Tormollan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Highway 36 Ste 2k, West Long Branch, NJ 07764 Phone: 732-531-6600 |
Brittany Nicole Piccillo, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 842 Broadway Ste 2, West Long Branch, NJ 07764 Phone: 732-272-1456 |
Ms. Susanne Roberts, R.N., N.P.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1019 Broadway, West Long Branch, NJ 07764 Phone: 732-229-6797 Fax: 732-229-6893 |
Louise Juliette Bosmans, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Cedar Ave, West Long Branch, NJ 07764 Phone: 732-571-3464 Fax: 732-263-5353 |
Laura B. Brooks, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Cedar Ave, West Long Branch, NJ 07764 Phone: 732-571-3464 |
Danielle Marie Donato, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1019 Broadway, West Long Branch, NJ 07764 Phone: 732-229-6797 |
Kaitlyn Ann Reiff, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hwy 36 Ste 1a, West Long Branch, NJ 07764 Phone: 732-229-6200 Fax: 732-229-6201 |