Miss Tina Gayle Etayem, LPN - Licensed Practical Nurse in Springfield, OH

Miss Tina Gayle Etayem, LPN is a Licensed Practical Nurse based in Springfield, Ohio. Miss Tina Gayle Etayem is licensed to practice in Ohio (license number PN 074282 MEDS) and her current practice location is 1736 Hillside Ave, Springfield, Ohio. She can be reached at her office (for appointments etc.) via phone at (937) 831-3874.

NPI number for Miss Tina Gayle Etayem is 1013263896 and her current mailing address is 1736 Hillside Ave, Springfield, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013263896.

Contact Information

Miss Tina Gayle Etayem, LPN
1736 Hillside Ave,
Springfield, OH 45503-4508
(937) 831-3874
Not Available

Map and Direction




Provider's Profile

Full NameMiss Tina Gayle Etayem
GenderFemale
SpecialityLicensed Practical Nurse
Location1736 Hillside Ave, Springfield, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013263896
  • Provider Enumeration Date: 07/30/2012
  • Last Update Date: 07/30/2012

Medical Identifiers

Medical identifiers for Miss Tina Gayle Etayem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013263896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN 074282 MEDS (Ohio)Primary

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. Miss Tina Gayle Etayem 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
Miss Tina Gayle Etayem, LPN
1736 Hillside Ave,
Springfield, OH 45503-4508

Ph: (937) 831-3874
Miss Tina Gayle Etayem, LPN
1736 Hillside Ave,
Springfield, OH 45503-4508

Ph: (937) 831-3874

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.

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