Mikalia Etienne, PT, DPT in Fayetteville, NC - Medicare Physical Therapist Provider

Mikalia Etienne, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fayetteville, North Carolina. Her current practice location is 501 Executive Pl, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 423-5550.

Mikalia Etienne is licensed to practice in North Carolina (license number P21532) 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 1558083899.

Contact Information

	Mikalia Etienne, PT, DPT
	501 Executive Pl, Fayetteville, NC 28305-5390
	(910) 423-5550
	(910) 423-5552

Map and Direction

Healthcare Provider's Profile

Full Name	Mikalia Etienne
Gender	Female
Speciality	Physical Therapist
Location	501 Executive Pl, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558083899
Provider Enumeration Date: 09/14/2022
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 8224405212
Enrollment ID: I20221103002756

Medical Identifiers

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

Identifier	Type	State	Issuer
1558083899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P21532 (North Carolina)	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. Mikalia Etienne allows following entities to bill medicare on her behalf.

Provider Name	Advanced Physical Therapy Solutions Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467405019 PECOS PAC ID: 8820068133 Enrollment ID: O20040726001160

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. Mikalia 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
Mikalia Etienne, PT, DPT 501 Executive Pl, Fayetteville, NC 28305-5390 Ph: (910) 423-5550	Mikalia Etienne, PT, DPT 501 Executive Pl, Fayetteville, NC 28305-5390 Ph: (910) 423-5550

Reviews and Comments

Physical Therapist in Fayetteville, NC

Miss Roxanne King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Pamalee Drive, Fayetteville, NC 28303 Phone: 910-488-2295
Kristi Wilkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335
Dale Anthony Gallo Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4140 Ferncreek Dr Ste 802, Fayetteville, NC 28314 Phone: 910-484-2171 Fax: 910-484-4568
Michael Andrew Slack, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1712 Owen Dr, Fayetteville, NC 28304 Phone: 910-483-9300 Fax: 910-483-9302
Bridget Maley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7532 Wilkins Dr, Fayetteville, NC 28311 Phone: 910-868-6000
Matthew Gregory Prindle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3401 Village Dr Ste 101, Fayetteville, NC 28304 Phone: 910-483-9300 Fax: 910-483-9302
Casandra Heather Canterbury, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Executive Pl, Fayetteville, NC 28305 Phone: 910-423-5550 Fax: 910-423-5552

Mikalia Etienne, PT, DPT - Medicare Physical Therapist in Fayetteville, NC