| Shelly Christian Gerteisen, FNP | |
|
541a Main St, Rockport, IN 47635-1429 | |
| (812) 618-1128 | |
| (812) 618-3081 |
| Full Name | Shelly Christian Gerteisen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 541a Main St, Rockport, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447894167 | NPI | - | NPPES |
| 300034225 | Medicaid | IN | |
| 7100640130 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71009653A (Indiana) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3013546 (Kentucky) | Secondary |
| Entity Name | Family Health Care Associates Of Barbourville Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659461143 PECOS PAC ID: 2769390079 Enrollment ID: O20031114000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Christian Gerteisen, FNP 541a Main St, Rockport, IN 47635-1429 Ph: (812) 618-1128 | Shelly Christian Gerteisen, FNP 541a Main St, Rockport, IN 47635-1429 Ph: (812) 618-1128 |
Natalie Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3434 W State Road 66, Rockport, IN 47635 Phone: 812-492-5940 Fax: 812-492-5941 | |
Mr. Justin Lee Grose, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 928 Sycamore St, Rockport, IN 47635 Phone: 812-408-3265 Fax: 812-780-2730 | |
Angela D Bunner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 541a Main St, Rockport, IN 47635 Phone: 812-618-1128 Fax: 812-618-3081 |