| Ms Stacie L Hertzsch, CNP | |
|
7098 Sierra Ln, Temperance, MI 48182-2319 | |
| (419) 360-2218 | |
| Not Available |
| Full Name | Ms Stacie L Hertzsch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 7098 Sierra Ln, Temperance, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851824916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.020412 (Ohio) | Primary |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Entity Name | Geriatric Psychiatric Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492173 PECOS PAC ID: 6204837388 Enrollment ID: O20101028000065 |
| Entity Name | Wellbe Senior Medical Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497308456 PECOS PAC ID: 7719319896 Enrollment ID: O20191111001502 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stacie L Hertzsch, CNP 7098 Sierra Ln, Temperance, MI 48182-2319 Ph: (419) 360-2218 | Ms Stacie L Hertzsch, CNP 7098 Sierra Ln, Temperance, MI 48182-2319 Ph: (419) 360-2218 |
Amy Altamash, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7443 Jackman Rd, Temperance, MI 48182 Phone: 734-850-0100 Fax: 734-850-0112 | |
Ms. Laurie Ann Fry, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-847-3418 | |
Rebecca Elizabeth Fant, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 Hickory Creek Dr, Temperance, MI 48182 Phone: 734-206-8200 | |
Kathleen V Vanetten, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7443 Jackman Rd, Temperance, MI 48182 Phone: 734-850-0100 Fax: 734-850-0112 | |
Kerri Easton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6785 Rutland Rd, Temperance, MI 48182 Phone: 734-347-8891 | |
Mrs. Teresa Kem Graham, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8765 Lewis Ave, Temperance, MI 48182 Phone: 734-847-3802 Fax: 734-847-3418 | |
Mrs. Jenna Elizabeth Klump, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9050 Lewis Ave, Temperance, MI 48182 Phone: 734-850-8902 |