MRS. TANYA MARIE PLETIN PA-C NPI 1003004151
Physician Assistant in Dallas, TX

About MRS. TANYA MARIE PLETIN PA-C

Tanya Pletin is a primary care provider established in Dallas, Texas and her medical specialization is Physician Assistant with more than 23 years of experience. The NPI number of this provider is 1003004151 and was assigned on October 2007. The practitioner's primary taxonomy code is 363A00000X with license number PA02929 (TX). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1003004151
Provider NameMRS. TANYA MARIE PLETIN PA-C
Location Address5323 HARRY HINES BLVD DALLAS, TX 75390
Location Phone(214) 648-6400
Mailing AddressPO BOX 845347 DALLAS, TX 75284
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2000
Is Sole Proprietor?No
Enumeration Date10-12-2007
Last Update Date12-21-2020

A primary care provider (PCP) like Tanya Pletin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Tanya Pletin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Tanya Pletin is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Ut Southwestern University Hospital - William P. Clements Jr..

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.8 for a new patient copayment and $18.61 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA02929
License StateTX
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 648-6400
Fax: (214) 648-5461

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Mailing Address

PO BOX 845347
DALLAS, TX
ZIP 75284
Phone: (469) 291-3369
Fax: (214) 645-0078


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1658321344
PECOS Enrollment IDI20050131000512
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 75390 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$59.43 $179.71 $91.22
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.85 $44.92 $22.8
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.75 $147.31 $74.44
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.68 $36.82 $18.61

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003004151
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003008110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 8 + 1 + 1 + 0 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1003004151 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104813088 KEVIN GINGRICH M.D.
Individual
Anesthesiology5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-7833
1265423560DR. BRUCE A MEYER M.D.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-9794
1063497378 GREGORY A MILLNAMOW MD
Individual
Radiology (Diagnostic Radiology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-8018
1598742223 SUNATI SAHOO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 590-8607
1578541967MS. PIA BANERJI M.S., C.G.C
Individual
Genetic Counselor, MS5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-1998
1659342616 YISHENG V FANG MD
Individual
Pathology (Immunopathology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 590-8651
1679545164DR. IMRAN R. KHAWAJA MD
Individual
Internal Medicine5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-5777
1649244302DR. SARA ANTOINETTE MONAGHAN MD
Individual
Pathology (Hematology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-6312
1972578755DR. ALLEN FRANK MOREY MD
Individual
Urology5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8765
1093782781DR. MICHAEL F ZIDE DMD
Individual
Dentist5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-3034
1619946191 ORSON W MOE MD
Individual
Internal Medicine (Nephrology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1528037009 WILLIS CROCKER MADDREY MD
Individual
Internal Medicine (Hepatology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-0624
1245209725 ROBERT DANIEL TOTO MD
Individual
Internal Medicine (Nephrology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-2888
1154390631 CYNTHIA JEAN RUTHERFORD MD
Individual
Internal Medicine (Hematology & Oncology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1326017807 JOSEPH ERRICK RAVENELL MD
Individual
Internal Medicine5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-2888
1134198617 JOHN DOUGLAS RUTHERFORD MD
Individual
Internal Medicine (Cardiovascular Disease)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8000
1497724983 JONATHAN EDWARDS DOWELL MD
Individual
Internal Medicine (Hematology & Oncology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1518936087 BARBARA JEAN HALEY MD
Individual
Internal Medicine (Hematology & Oncology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1487623963 CHRISTOPHER YU-HUA LU MD
Individual
Internal Medicine (Nephrology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-3959
1023087517 REBECCA SUE GRUCHALLA MD PHD
Individual
Internal Medicine (Allergy & Immunology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-2866

Frequently Asked Questions

What is Mrs. Tanya Pletin PA-C NPI number?

The NPI number assigned to this healthcare provider is 1003004151, registered as an "individual" on October 12, 2007

Where is Mrs. Tanya Pletin PA-C located?

The provider is located at 5323 Harry Hines Blvd Dallas, Tx 75390 and the phone number is (214) 648-6400

Which is Mrs. Tanya Pletin PA-C specialty?

The provider's speciality is Physician Assistant

How many years of experience does Mrs. Tanya Pletin PA-C have?

The provider has more than 23 years of experience.

Is Mrs. Tanya Pletin PA-C registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Mrs. Tanya Pletin PA-C?

Medicare beneficiaries should expect a typical cost of $91.22 with an average copayment of $22.8 for new patient appointments. Established patients should expect a typical charge of $74.44 and an average copayment of 18.61. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Mrs. Tanya Pletin PA-C was last updated on October 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]