Mr Adlere Michel Etienne, - Physician Assistant in Dacula, GA

Mr Adlere Michel Etienne, is a Physician Assistant - Surgical based in Dacula, Georgia. Mr Adlere Michel Etienne is licensed to practice in Georgia (license number 4096) and his current practice location is 2055 Villa Spring Ct, Dacula, Georgia. He can be reached at his office (for appointments etc.) via phone at (757) 606-4702.

NPI number for Mr Adlere Michel Etienne is 1679814651 and his current mailing address is 2055 Villa Spring Ct, Dacula, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679814651.

Contact Information

Mr Adlere Michel Etienne,
2055 Villa Spring Ct,
Dacula, GA 30019-2275
(757) 606-4702
Not Available

Map and Direction




Provider's Profile

Full NameMr Adlere Michel Etienne
GenderMale
SpecialityPhysician Assistant - Surgical
Location2055 Villa Spring Ct, Dacula, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679814651
  • Provider Enumeration Date: 03/15/2013
  • Last Update Date: 02/08/2018

Medical Identifiers

Medical identifiers for Mr Adlere Michel Etienne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679814651NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 4096 (Georgia)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. Mr Adlere Michel 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
Mr Adlere Michel Etienne,
2055 Villa Spring Ct,
Dacula, GA 30019-2275

Ph: (757) 606-4702
Mr Adlere Michel Etienne,
2055 Villa Spring Ct,
Dacula, GA 30019-2275

Ph: (757) 606-4702

Reviews and Comments


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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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