Samuel Etienne, DR, PA - Medicare Physician Assistant in Tempe, AZ

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Samuel Etienne, DR, PA is a medicare enrolled "Physician Assistant - Medical" in Tempe, Arizona. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Triad Chiropractic And Rehabilitation Clinics, Llc and his current practice location is 2145 E Warner Rd Ste 104, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 664-9443.

Samuel Etienne is licensed to practice in Arizona (license number 8319) 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 1134707300.

Contact Information

Samuel Etienne, DR, PA
2145 E Warner Rd Ste 104,
Tempe, AZ 85284-3549
(480) 664-9443
(480) 664-9378

Map and Direction




Provider's Profile

Full NameSamuel Etienne
GenderMale
SpecialityPhysician Assistant
Experience7 Years
Location2145 E Warner Rd Ste 104, Tempe, Arizona
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:
  • Samuel Etienne graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1134707300
  • Provider Enumeration Date: 03/30/2021
  • Last Update Date: 03/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840180451
  • Enrollment ID: I20220916002274

Medical Identifiers

Medical identifiers for Samuel Etienne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134707300NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 8319 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Triad Chiropractic And Rehabilitation Clinics, Llc21635503515

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. Samuel Etienne allows following entities to bill medicare on his behalf.
Entity NameTriad Chiropractic & Rehabilitation Clinics, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326362807
PECOS PAC ID: 2163550351
Enrollment ID: O20100508000147
Entity NameAfc Physical Medicine of Gilbert, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528345881
PECOS PAC ID: 0840450821
Enrollment ID: O20120328000950
Entity NameAfc Physical Medicine of Mesa, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659645679
PECOS PAC ID: 8123280716
Enrollment ID: O20120426000510
Entity NameAfc Physical Medicine of San Tan Valley, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457638603
PECOS PAC ID: 5496917502
Enrollment ID: O20120508000233
Entity NameAfc Physical Medicine of Desert Ridge,pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669731303
PECOS PAC ID: 6507016169
Enrollment ID: O20121017000609
Entity NameTriad Pain Management Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477802536
PECOS PAC ID: 8820242803
Enrollment ID: O20130128000319
Entity NameAfc of Peoria PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154668044
PECOS PAC ID: 1052557337
Enrollment ID: O20130410000427
Entity NameAfc of Phoenix PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619392362
PECOS PAC ID: 9335363100
Enrollment ID: O20140617002463
Entity NameAfc of Tempe PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255879854
PECOS PAC ID: 8729362892
Enrollment ID: O20170309001290
Entity NameAfc of Surprise, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255912721
PECOS PAC ID: 9133522675
Enrollment ID: O20210721003730
Entity NameArizona Clinic PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053188771
PECOS PAC ID: 2961852462
Enrollment ID: O20231226000891

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. Samuel 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
Samuel Etienne, DR, PA
1839 S Alma School Rd Ste 354,
Mesa, AZ 85210-3028

Ph: (480) 726-2287		Samuel Etienne, DR, PA
2145 E Warner Rd Ste 104,
Tempe, AZ 85284-3549

Ph: (480) 664-9443

Reviews and Comments


Physician Assistant Nurses in Tempe, AZ

Elizabeth Marie Patterson, P.A.
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Phone: 480-897-7070    Fax: 480-897-2597
Phillip Veatch, PA-C
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Jennifer Gibler, P.A.-C
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Nicole E Morgan, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2145 E Baseline Rd Ste 104, Tempe, AZ 85283
Phone: 602-349-8117    
Mrs. Dana Roberts Cohen, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1315 W. Southern Ave, Tempe, AZ 85282
Phone: 480-718-1280    Fax: 480-718-1281
Leroy Parker Iv, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2145 E Baseline Rd Ste 101, Tempe, AZ 85283
Phone: 480-704-4411    
Michael Timothy Kelley, M.S. PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6625 S Rural Rd Ste 104, Tempe, AZ 85283
Phone: 480-833-4515    Fax: 480-833-5078

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.