Dr Michael Lee Ettner, MD is a medicare enrolled "Emergency Medicine" physician in Saint Maries, Idaho. He went to Tulane University School Of Medicine and graduated in 1986 and has 39 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Washington Emergency Physician Partners Pllc, Columbia County Hospital District and his current practice location is
229 S 7th St, Saint Maries, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 245-5551.
Dr Michael Lee Ettner is licensed to practice in Idaho (license number M-6577) 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 1629061940.
Physician's Profile
| Full Name | Dr Michael Lee Ettner |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 39 Years |
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| Location | 229 S 7th St, Saint Maries, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Lee Ettner attended and graduated from Tulane University School Of Medicine in 1986
NPI Data:
- NPI Number: 1629061940
- Provider Enumeration Date: 08/23/2005
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557496080
- Enrollment ID: I20230213001111
Medical Identifiers
Medical identifiers for Dr Michael Lee Ettner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629061940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | M-6577 (Idaho) | Primary |
| 207P00000X | Emergency Medicine | MD61241262 (Washington) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Washington Emergency Physician Partners Pllc | 5092951814 | 10 |
| Columbia County Hospital District | 5597653758 | 44 |
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. Dr Michael Lee Ettner allows following entities to bill medicare on his behalf.
| Entity Name | Columbia County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134128911
PECOS PAC ID: 5597653758
Enrollment ID: O20040309000515 |
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| Entity Name | Washington Emergency Physician Partners Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346586351
PECOS PAC ID: 5092951814
Enrollment ID: O20130424000635 |
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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. Dr Michael Lee Ettner 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 |
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Dr Michael Lee Ettner, MD
229 S 7th St,
Saint Maries, ID 83861-1803
Ph: (208) 245-5551 | Dr Michael Lee Ettner, MD
229 S 7th St,
Saint Maries, ID 83861-1803
Ph: (208) 245-5551 |
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