James Pierre D'etienne, MD - Medicare Emergency Medicine in Dallas, TX

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James Pierre D'etienne, MD is a medicare enrolled "Emergency Medicine" physician in Dallas, Texas. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 1996 and has 28 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Integrative Emergency Services Physician Group Pa and his current practice location is 3500 Gaston Ave, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 820-2505.

James Pierre D'etienne is licensed to practice in Texas (license number K6455) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003834714.

Contact Information

James Pierre D'etienne, MD
3500 Gaston Ave,
Dallas, TX 75246-2017
(214) 820-2505
(214) 712-2487

Map and Direction




Physician's Profile

Full NameJames Pierre D'etienne
GenderMale
SpecialityEmergency Medicine
Experience28 Years
Location3500 Gaston Ave, Dallas, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Pierre D'etienne attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1996
  NPI Data:
  • NPI Number: 1003834714
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 09/29/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2264502756
  • Enrollment ID: I20080610000789

Medical Identifiers

Medical identifiers for James Pierre D'etienne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003834714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine K6455 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jps Health NetworkFort worth, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrative Emergency Services Physician Group Pa074944793657

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. James Pierre D'etienne allows following entities to bill medicare on his behalf.
Entity NameIntegrative Emergency Services Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285922542
PECOS PAC ID: 0749447936
Enrollment ID: O20120130000932
Entity NameMydas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508296583
PECOS PAC ID: 6406083617
Enrollment ID: O20131214000233
Entity NameCentury Integrated Partners, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447615711
PECOS PAC ID: 6406151703
Enrollment ID: O20160224002152
Entity NameIes Carrollton Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134769789
PECOS PAC ID: 2961830666
Enrollment ID: O20200311001870

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. James Pierre D'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 AddressPractice Location Address
James Pierre D'etienne, MD
Po Box 41633,
Philadelphia, PA 19101-1633

Ph: (800) 355-0808		James Pierre D'etienne, MD
3500 Gaston Ave,
Dallas, TX 75246-2017

Ph: (214) 820-2505

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.