Breezetta Lowanet Etienne, PA-C - Physician Assistant in Grand Forks Afb, ND

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Breezetta Lowanet Etienne, PA-C is a Physician Assistant - Medical based in Grand Forks Afb, North Dakota. Breezetta Lowanet Etienne is licensed to practice in North Dakota (license number PAC0333) and her current practice location is 1599 J St, Grand Forks Afb, North Dakota. She can be reached at her office (for appointments etc.) via phone at (701) 747-6687.

NPI number for Breezetta Lowanet Etienne is 1659361244 and her current mailing address is 1600 10th St Se, East Grand Forks, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659361244.

Contact Information

Breezetta Lowanet Etienne, PA-C
1599 J St,
Grand Forks Afb, ND 58205-6306
(701) 747-6687
Not Available

Map and Direction




Provider's Profile

Full NameBreezetta Lowanet Etienne
GenderFemale
SpecialityPhysician Assistant - Medical
Location1599 J St, Grand Forks Afb, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659361244
  • Provider Enumeration Date: 10/25/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Breezetta Lowanet Etienne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659361244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PAC0333 (North Dakota)Primary
363AM0700XPhysician Assistant - Medical 815 (Minnesota)Secondary

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. Breezetta Lowanet Etienne is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Breezetta Lowanet Etienne, PA-C
1600 10th St Se,
East Grand Forks, MN 56721-2252

Ph: (218) 773-1492		Breezetta Lowanet Etienne, PA-C
1599 J St,
Grand Forks Afb, ND 58205-6306

Ph: (701) 747-6687

Reviews and Comments


Physician Assistant Nurses in Grand Forks Afb, ND

Kacie M Brown,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1113 Korina Ave Unit A, Grand Forks Afb, ND 58204
Phone: 614-499-7950    
Colin M Riley, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1599 J St, Grand Forks Afb, ND 58205
Phone: 701-747-5156    

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.