Alex Etienne, MD in Providence, RI - Medicare Internal Medicine

Alex Etienne, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Providence, Rhode Island. He went to Warren Alpert Medical School Of Brown University and graduated in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prospect Chartercare Rwmc, Llc and his current practice location is 825 Chalkstone Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 456-2363.

Alex Etienne is licensed to practice in Rhode Island (license number MD11719) 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 1447221866.

Contact Information

	Alex Etienne, MD
	825 Chalkstone Ave, Providence, RI 02908-4728
	(401) 456-2363
	(401) 456-6744

Map and Direction

Physician's Profile

Full Name	Alex Etienne
Gender	Male
Speciality	Internal Medicine
Experience	28 Years
Location	825 Chalkstone Ave, Providence, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alex Etienne attended and graduated from Warren Alpert Medical School Of Brown University in 1996

NPI Data:

NPI Number: 1447221866
Provider Enumeration Date: 02/01/2006
Last Update Date: 03/13/2012

Medicare PECOS Information:

PECOS PAC ID: 4385662436
Enrollment ID: I20051107000859

Medical Identifiers

Medical identifiers for Alex Etienne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447221866	NPI	-	NPPES
7058051	Medicaid	RI
412896	Other	RI	BLUE CHIP OF RI
29918	Other	RI	BLUE CROSS OF RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD11719 (Rhode Island)	Secondary
207RA0401X	Internal Medicine - Addiction Medicine	MD11719 (Rhode Island)	Primary
208M00000X	Hospitalist	MD11719 (Rhode Island)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Roger Williams Medical Center	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prospect Chartercare Rwmc, Llc	0547492696	50

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. Alex Etienne allows following entities to bill medicare on his behalf.

Entity Name	Prospect Chartercare Rwmc, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285059287 PECOS PAC ID: 0547492696 Enrollment ID: O20140728001672

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. Alex 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 Address	Practice Location Address
Alex Etienne, MD 825 Chalkstone Ave, Providence, RI 02908-4728 Ph: (401) 456-2363	Alex Etienne, MD 825 Chalkstone Ave, Providence, RI 02908-4728 Ph: (401) 456-2363

Reviews and Comments

Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597
Martha Catherine Trimbur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Chapman St Ste 300, Providence, RI 02905 Phone: 401-444-4741 Fax: 401-444-4445
Karl Herman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Muhammad Baig, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Gary M Katzman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904 Phone: 401-793-7191 Fax: 401-793-7200
Thomas Fairweather Crain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630
James Atkinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500

Alex Etienne, MD - Medicare Internal Medicine in Providence, RI