Allergy and Sinus Conditions
Allergy and Sinus Conditions learn more
reconstructive facial surgery
facial surgery
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Sleep Disorders
Sleep Disorders
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Hearing Center
Hearing Center
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Karen VanBortel – Billing and Coding Manager

Karen has been with Finger Lakes Otolaryngology for 25 years. Through her tenure with the company she has worn many hats and has served in every facet of the business. She currently serves as the company's Billing and Coding Manager and is a Certified Billing and Coding Specialist.

Karen has many hobbies: bowling, travel, reading, baking and cooking when she has time.

She lives in Shortsville, New York with her two cats; Hannah and Sis.

Merna Dangle – Part-time Billing and Collections Specialist

Merna Dangle

Merna M. Dangle has 34 years experience in healthcare which includes 27 years in physcian billing, 6 years hospital billing as well as administrative management and physician practice services. Merna was instrumental in forming the backbone of Mid-Lakes Management before her retirement. Merna has a degree in Business Management with a secondary degree in accounting.

Merna was born in Williamsport PA and moved to the Finger Lakes in 1969. She has one daughter and 2 grandchildren. Her hobbies are reading, knitting, quilting and camping. She enjoys spending time with her family.

Merna currently handles our collections, patient payments as well all billing for allergy and office visits for the practice.

Julie Gilbert – Part-time Accounts Payable

Julie Gilbert

Julie is an employee of Tette & Ingersoll CPA. She has been with the company for fifteen years. Julie is a certified accountant and spends two days a week working out of the Newark office preparing payables, payroll and bookkeeping for Finger Lakes Otolaryngology. Julie lives in Newark, NY with her daughter and husband. She enjoys golfing and spending time outdoors in the summer.

Nancy Trezza – Office Manager

Nancy Trezza

Nancy Trezza recently joined our team in April of 2017. She has worked as a Practice Manager for more than 15 years in multiple disciplines and brings with her a wealth of knowledge in operation management, Human Resources and team building with the goal of fostering a pleasant work environment and helping to establish Finger Lakes Otolaryngology (ENT) as the premier ENT practice in the Newark, Canandaigua and Geneseo areas. She has lived in the South Bristol, New York area for the last 16 years and is originally from Long Island, NY. She enjoys spending time with her husband, Nick and their Australian Shephard, Sadie. She spends her free time hiking the fantastic trails and lakes of the Finger Lakes, reading and painting.