Dr Miriam Etienne, DNP, FNP-BC - Medicare Nurse Practitioner in Grayson, GA

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Dr Miriam Etienne, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Grayson, Georgia. Her current practice location is 1021 Reddy Farm Rd, Grayson, Georgia. You can reach out to her office (for appointments etc.) via phone at (347) 628-0147.

Dr Miriam Etienne is licensed to practice in Georgia (license number 2019055030) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336761378.

Contact Information

Dr Miriam Etienne, DNP, FNP-BC
1021 Reddy Farm Rd,
Grayson, GA 30017-1754
(347) 628-0147
Not Available

Map and Direction




Provider's Profile

Full NameDr Miriam Etienne
GenderFemale
SpecialityNurse Practitioner - Family
Location1021 Reddy Farm Rd, Grayson, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336761378
  • Provider Enumeration Date: 05/13/2020
  • Last Update Date: 03/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547631574
  • Enrollment ID: I20230130000895

Medical Identifiers

Medical identifiers for Dr Miriam Etienne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336761378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2019055030 (Georgia)Primary

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. Dr Miriam Etienne allows following entities to bill medicare on her behalf.
Entity NameJ M Geiss Do Apc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063825289
PECOS PAC ID: 6103044078
Enrollment ID: O20140919001932
Entity NameCalifornia Phs Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649932781
PECOS PAC ID: 2062808645
Enrollment ID: O20220407001048
Entity NameTranstreme Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003290453
PECOS PAC ID: 9739574039
Enrollment ID: O20221213001097
Entity NameNurse Practitioner Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780121277
PECOS PAC ID: 6002230778
Enrollment ID: O20230310001078

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. Dr Miriam 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
Dr Miriam Etienne, DNP, FNP-BC
1021 Reddy Farm Rd,
Grayson, GA 30017-1754

Ph: (347) 628-0147		Dr Miriam Etienne, DNP, FNP-BC
1021 Reddy Farm Rd,
Grayson, GA 30017-1754

Ph: (347) 628-0147

Reviews and Comments


Nurse Practitioner Nurses in Grayson, GA

Mrs. Larresia Hairston Williamson, RN, MSN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 413 Silvertop Dr, Grayson, GA 30017
Phone: 678-458-1877    
Miss Pamela Amelia Boyd, MS, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2594 Loganville Hwy Ste 101, Grayson, GA 30017
Phone: 678-225-4999    Fax: 678-225-5546
Laqunita Smith,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2126 Leafmore Ct, Grayson, GA 30017
Phone: 770-339-3005    Fax: 770-339-3005
Chidinma Anuliekette, AGACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1098 Winding Down Way, Grayson, GA 30017
Phone: 404-200-3670    
Ancy Bobby,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2530 Wevok Way, Grayson, GA 30017
Phone: 678-237-3220    
Mrs. Ester Teresa Pulliam, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1637 Athens Hwy, Grayson, GA 30017
Phone: 678-344-8268    Fax: 888-627-6444
Deborah K Beyenne,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2594 Loganville Hwy Ste 101, Grayson, GA 30017
Phone: 678-369-2790    

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.