DR. GAIL ETTIENNE MD
NPI 1063172013
Internal Medicine in Brooklyn, NY
About Dr. Gail Ettienne Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GAIL ETTIENNE MD (NPI 1063172013) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (112603-01) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gail Ettienne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Gail Ettienne reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monticello, AR 71655
- Reassigned Medicare billing, Arkansas enrollment
- 126 clinicians in this Medicare group
Camden, AR 71701
- Reassigned Medicare billing, Arkansas enrollment
- 100 clinicians in this Medicare group
El Dorado, AR 71730
- Reassigned Medicare billing, Arkansas enrollment
- 103 clinicians in this Medicare group
Magnolia, AR 71753
- Reassigned Medicare billing, Arkansas enrollment
- 106 clinicians in this Medicare group
Hope, AR 71801
- Reassigned Medicare billing, Arkansas enrollment
- 323 clinicians in this Medicare group
Dallas, TX 75252
- Reassigned Medicare billing, Arkansas enrollment
- 130 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gail Ettienne's NPI number?
The NPI number for Gail Ettienne is 1063172013. It was assigned to this individual provider in the NPPES registry on December 17, 2021.
Where is Gail Ettienne located?
Gail Ettienne practices at 40 Heyward St, Brooklyn, NY 11249. The listed phone number is (718) 858-6200.
What is Gail Ettienne's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Gail Ettienne enrolled in Medicare?
Yes. Gail Ettienne is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Gail Ettienne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gail Ettienne reassigns Medicare benefits to 6 organizations: Monticello Ess LLC (Monticello, AR), Ouachita County Medical Center (Camden, AR), Ess Of El Dorado, LLC (El Dorado, AR), Hcc Of Magnolia LLC (Magnolia, AR), Arkansas Emergency Staffing Solutions, Inc (Hope, AR) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gail Ettienne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gail Ettienne accept?
Health plans from Health Advantage and Octave list Gail Ettienne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gail Ettienne was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Gail Ettienne, MD · NPI 1063172013
Internal Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since December 17, 2021.
## Identity
- **NPI:** 1063172013 (Entity type: Individual)
- **Enumerated:** December 17, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 112603-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 40 HEYWARD ST, Brooklyn, NY 11249-7823
- **Phone:** (718) 858-6200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Monticello Ess LLC (NPI 1184010753, Monticello, AR); Ouachita County Medical Center (NPI 1346354826, Camden, AR); Ess Of El Dorado, LLC (NPI 1861851131, El Dorado, AR); Hcc Of Magnolia LLC (NPI 1831865872, Magnolia, AR); Arkansas Emergency Staffing Solutions, Inc (NPI 1275774630, Hope, AR); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063172013) · Data from the CMS NPPES public registry.