Mr Anthonie Ontreay Etienne, LMFT in Puyallup, WA - Medicare Marriage & Family Therapist Provider

Mr Anthonie Ontreay Etienne, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Puyallup, Washington. His current practice location is 3911 9th St Sw Ste 205, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at (760) 881-5559.

Mr Anthonie Ontreay Etienne is licensed to practice in California (license number LMFT138474) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023428117.

Contact Information

	Mr Anthonie Ontreay Etienne, LMFT
	3911 9th St Sw Ste 205, Puyallup, WA 98373-5946
	(760) 881-5559
	(442) 255-1126

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Anthonie Ontreay Etienne
Gender	Male
Speciality	Marriage & Family Therapist
Location	3911 9th St Sw Ste 205, Puyallup, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023428117
Provider Enumeration Date: 04/29/2014
Last Update Date: 04/03/2025

Medicare PECOS Information:

PECOS PAC ID: 6608319199
Enrollment ID: I20240625003048

Medical Identifiers

Medical identifiers for Mr Anthonie Ontreay Etienne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023428117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP1600X	Counselor - Pastoral	(* (Not Available))	Secondary
103K00000X	Behavior Analyst	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	LF61658464 (Washington)	Secondary
106H00000X	Marriage & Family Therapist	LMFT138474 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Anthonie Ontreay Etienne allows following entities to bill medicare on his behalf.

Entity Name	Kaitlin Irene Wiechert
Entity Type	Practitioner - Marriage And Family Therapist
Entity Identifiers	NPI Number: 1669808028 PECOS PAC ID: 2062850316 Enrollment ID: I20240404003377

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Anthonie Ontreay Etienne is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Anthonie Ontreay Etienne, LMFT Po Box 731915, Puyallup, WA 98373-0045 Ph: (442) 348-3822	Mr Anthonie Ontreay Etienne, LMFT 3911 9th St Sw Ste 205, Puyallup, WA 98373-5946 Ph: (760) 881-5559

Reviews and Comments

Marriage & Family Therapist in Puyallup, WA

Denell Reeve, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1011 E Main Ste 103, Puyallup, WA 98372 Phone: 253-306-2314
Mitchell Mclaughlin, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 402 15th Ave Se Ste 100, Puyallup, WA 98372 Phone: 253-697-5200
Sarah Atchison, M.A., M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6726 131st St E, Puyallup, WA 98373 Phone: 253-222-0178
Daniel Zacarias Messiter, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3911 9th St Sw Ste A211, Puyallup, WA 98373 Phone: 800-273-8255
Stacy Carmen Callioux, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11803 101st Ave E, Puyallup, WA 98373 Phone: 253-881-1428
Sherry J Duterrow, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8590
Patricia Louise Harkness, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 325 E Pioneer, Puyallup, WA 98372 Phone: 253-697-8400 Fax: 253-697-8590

Mr Anthonie Ontreay Etienne, LMFT - Medicare Couples Therapy in Puyallup, WA