Ms Karen Ettienne, FNP - Medicare Nurse Practitioner in New York, NY

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Ms Karen Ettienne, FNP is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. Her current practice location is 1 Penn Plz, New York, New York. You can reach out to her office (for appointments etc.) via phone at (612) 708-9969.

Ms Karen Ettienne is licensed to practice in New York (license number 334599) 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 1710108006.

Contact Information

Ms Karen Ettienne, FNP
1 Penn Plz,
New York, NY 10119-4303
(612) 708-9969
Not Available

Map and Direction




Provider's Profile

Full NameMs Karen Ettienne
GenderFemale
SpecialityNurse Practitioner - Family
Location1 Penn Plz, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710108006
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022039411
  • Enrollment ID: I20051213000604

Medical Identifiers

Medical identifiers for Ms Karen Ettienne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710108006NPI-NPPES
F33459901OtherNYNYS LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 510595 (New York)Secondary
363LF0000XNurse Practitioner - Family 334599 (New York)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. Ms Karen Ettienne allows following entities to bill medicare on her behalf.
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468
Entity NameMjhs Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013208602
PECOS PAC ID: 8325219009
Enrollment ID: O20110929000498
Entity NameOptum Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285975797
PECOS PAC ID: 8628299518
Enrollment ID: O20141017000598

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. Ms Karen Ettienne 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
Ms Karen Ettienne, FNP
1 Penn Plz,
New York, NY 10119-0002

Ph: (612) 708-9969		Ms Karen Ettienne, FNP
1 Penn Plz,
New York, NY 10119-4303

Ph: (612) 708-9969

Reviews and Comments


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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).

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