| Patrick Etienne, | |
|
651 E 25th St, Hialeah, FL 33013-3814 | |
| (347) 526-6914 | |
| Not Available |
| Full Name | Patrick Etienne |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 651 E 25th St, Hialeah, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023557469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D185549 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9231049 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hialeah Hospital | Hialeah, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nova Medical Services - Anesthesiology Division Llc | 4284156613 | 46 |
| Physician Affiliate Group Of New York Pc | 4688098833 | 1044 |
| Entity Name | Hialeah Anesthesia Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285942227 PECOS PAC ID: 9032390208 Enrollment ID: O20110405001096 |
| Entity Name | Nova Medical Services - Anesthesiology Division Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245043835 PECOS PAC ID: 4284156613 Enrollment ID: O20250314002159 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Etienne, 5250 Sw 141st Ter, Miramar, FL 33027-5979 Ph: (347) 526-6914 | Patrick Etienne, 651 E 25th St, Hialeah, FL 33013-3814 Ph: (347) 526-6914 |
Steven Colon, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2001 W 68th St, Hialeah, FL 33016 Phone: 305-823-5000 | |
Jamille Nichole Ayala Medina, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2140 W 68th St Ste 102, Hialeah, FL 33016 Phone: 305-822-4107 Fax: 305-822-5086 | |
Josue Raul Ramos-girau, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 651 E 25th St, Hialeah, FL 33013 Phone: 787-403-1153 | |
Shana Valliani Khan, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 651 E 25th St, Hialeah, FL 33013 Phone: 305-693-6100 | |
Dr. Marc C Smith, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2001 W 68th St, Hialeah, FL 33016 Phone: 561-623-2044 | |
Adolfo Haidar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3150 W 78th Pl, Hialeah, FL 33018 Phone: 786-302-8688 |