Jose R Etienne, PA-C - Medicare Physician Assistant in Spring, TX

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Jose R Etienne, PA-C is a medicare enrolled "Physician Assistant" in Spring, Texas. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Memorial Hermann Urgent Care Pllc, Tmc Provider Group Pllc and his current practice location is 4057 Riley Fuzzel Rd Ste 1100b, Spring, Texas. You can reach out to his office (for appointments etc.) via phone at (281) 907-4863.

Jose R Etienne is licensed to practice in Texas (license number PA10643) 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 1407245558.

Contact Information

Jose R Etienne, PA-C
4057 Riley Fuzzel Rd Ste 1100b,
Spring, TX 77386-4632
(281) 907-4863
Not Available

Map and Direction




Provider's Profile

Full NameJose R Etienne
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location4057 Riley Fuzzel Rd Ste 1100b, Spring, 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:
  • Jose R Etienne graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1407245558
  • Provider Enumeration Date: 01/13/2015
  • Last Update Date: 09/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668792177
  • Enrollment ID: I20170125001437

Medical Identifiers

Medical identifiers for Jose R Etienne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407245558NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 018374 (New York)Secondary
363A00000XPhysician Assistant PA10643 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hermann Urgent Care Pllc4880071679115
Tmc Provider Group Pllc6305149121213

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. Jose R Etienne allows following entities to bill medicare on his behalf.
Entity NameNluc PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518209113
PECOS PAC ID: 3072752302
Enrollment ID: O20130618000619
Entity NameTMC Provider Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053784660
PECOS PAC ID: 6305149121
Enrollment ID: O20160127002626
Entity NameNext Level MV LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013432285
PECOS PAC ID: 5991062085
Enrollment ID: O20171128000837
Entity NameProvidence Physician Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760919880
PECOS PAC ID: 8022354638
Enrollment ID: O20190117002679
Entity NameConroe Doctors Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710493655
PECOS PAC ID: 3072849546
Enrollment ID: O20190723000750
Entity NameDoctors Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356096564
PECOS PAC ID: 2860887569
Enrollment ID: O20220316000825
Entity NameMemorial Hermann Urgent Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730821208
PECOS PAC ID: 4880071679
Enrollment ID: O20220517001605

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. Jose R 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
Jose R Etienne, PA-C
4057 Riley Fuzzel Rd Ste 1100b,
Spring, TX 77386-4632

Ph: (281) 907-4863		Jose R Etienne, PA-C
4057 Riley Fuzzel Rd Ste 1100b,
Spring, TX 77386-4632

Ph: (281) 907-4863

Reviews and Comments


Physician Assistant Nurses in Spring, TX

Mrs. Kristen Victoria Garrett, PA-C
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Safrin R Ali, PA-C
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Phone: 281-586-3888    Fax: 281-440-2020

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.