Charmaine Gail Etienne, - Medicare Nurse Practitioner in Fort Lauderdale, FL

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Charmaine Gail Etienne, is a medicare enrolled "Nurse Practitioner - Family" in Fort Lauderdale, Florida. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Phoenix Emergency Medicine Of Broward Llc, Duval Emergency Group Llc and her current practice location is 6700 N Andrews Ave, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 714-6346.

Charmaine Gail Etienne is licensed to practice in Florida (license number 9242828) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114461902.

Contact Information

Charmaine Gail Etienne,
6700 N Andrews Ave,
Fort Lauderdale, FL 33309-2204
(954) 714-6346
(186) 688-8872

Map and Direction




Provider's Profile

Full NameCharmaine Gail Etienne
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location6700 N Andrews Ave, Fort Lauderdale, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charmaine Gail Etienne graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1114461902
  • Provider Enumeration Date: 12/13/2016
  • Last Update Date: 04/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0648521039
  • Enrollment ID: I20200929000490

Medical Identifiers

Medical identifiers for Charmaine Gail Etienne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114461902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9242828 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phoenix Emergency Medicine Of Broward Llc599179300264
Duval Emergency Group Llc599184637023

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. Charmaine Gail Etienne allows following entities to bill medicare on her behalf.
Entity NameAdventist Health System/sunbelt, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073565610
PECOS PAC ID: 6406849256
Enrollment ID: O20040406001849
Entity NamePhoenix Emergency Medicine Of Broward Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871542969
PECOS PAC ID: 5991793002
Enrollment ID: O20040505001132
Entity NameFlorida Em-i Medical Services, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316764988
PECOS PAC ID: 3971417684
Enrollment ID: O20080530000546
Entity NameDuval Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053645465
PECOS PAC ID: 5991846370
Enrollment ID: O20100107000235
Entity NameUrgent Care Centers Of Brevard County Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295367290
PECOS PAC ID: 6002238714
Enrollment ID: O20200626000122

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. Charmaine Gail 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
Charmaine Gail Etienne,
265 Nw 80th Ave,
Margate, FL 33063-4735

Ph: (954) 290-8752		Charmaine Gail Etienne,
6700 N Andrews Ave,
Fort Lauderdale, FL 33309-2204

Ph: (954) 714-6346

Reviews and Comments


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Roberto Santamaria, APRN
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Samantha Shoshana Petrillo, AGACNP-BC
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Mrs. Stacy Ann Krause, ARNP
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Phone: 614-679-7841    

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.