DR. LUCY WARD ERTENBERG M.D.
NPI 1376697649
Family Medicine - Hospice and Palliative Medicine in Tavares, FL

Q: What is Lucy Ertenberg's NPI number?

The NPI number for Lucy Ertenberg is 1376697649. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Lucy Ertenberg's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Q: When was this NPI record last updated?

The NPPES record for Lucy Ertenberg was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2007PECOS Enrolled

2445 LANE PARK RD, TAVARES, FL 32778(352) 742-6813(352) 343-0325 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lucy Ward Ertenberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUCY WARD ERTENBERG M.D. (NPI 1376697649) is an individual hospice and palliative medicine provider in Tavares, Florida, licensed in Florida (ME44448) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376697649

Entity TypeIndividualFemale

Primary Taxonomy207QH0002X

Provider Legal NameDR. LUCY WARD ERTENBERGCredential: M.D.

Location Address2445 LANE PARK RDTavares, FL 32778-9648

Mailing Address2445 Lane Park RdTavares, FL 32778-9648 · (352) 742-6813 · Fax (352) 343-0325

Phone(352) 742-6813

Fax(352) 343-0325

Sole ProprietorYes

Enumeration DateJanuary 23, 2007

Last NPPES UpdateFebruary 9, 2017

✔ NPI 1376697649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QH0002X

License✔ Licensed in FL · ME44448

Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ME44448 (FL)

2445 LANE PARK RD, Tavares, FL 32778

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Other Identifiers 2

Medicare UPIND56669

Medicare PIN53822YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lucy Ward Ertenberg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32778 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH JENSEN-SHORT LMHC

Counselor (Mental Health)