Berdiaeffe Etienne, RN, BSN - General Practice in Boston, MA

Berdiaeffe Etienne, RN, BSN is a General Practice physician based in Boston, Massachusetts. Berdiaeffe Etienne is licensed to practice in Massachusetts (license number 20142319) and her current practice location is 632 Blue Hill Ave, Boston, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (617) 825-3400.

NPI number for Berdiaeffe Etienne is 1528717162 and her current mailing address is 148 Hubbard Ave, Brockton, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528717162.

Contact Information

Berdiaeffe Etienne, RN, BSN
632 Blue Hill Ave,
Boston, MA 02121-3213
(617) 825-3400
Not Available



Physician's Profile

Full NameBerdiaeffe Etienne
GenderFemale
SpecialityGeneral Practice
Location632 Blue Hill Ave, Boston, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528717162
  • Provider Enumeration Date: 03/21/2022
  • Last Update Date: 03/21/2022

Medical Identifiers

Medical identifiers for Berdiaeffe Etienne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528717162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 20142319 (Massachusetts)Primary

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. Berdiaeffe Etienne is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Berdiaeffe Etienne, RN, BSN
148 Hubbard Ave,
Brockton, MA 02301-7040

Ph: (857) 928-1989
Berdiaeffe Etienne, RN, BSN
632 Blue Hill Ave,
Boston, MA 02121-3213

Ph: (617) 825-3400

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