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

NPI Status: Active since October 12, 2007

Contact Information

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

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  • Individual
  • Female
  • Years of Experience 25
  • Physician Assistant
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About TANYA PLETIN

Tanya Pletin is a primary care provider established in Dallas, Texas and her medical specialization is Physician Assistant with more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1003004151 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 4 years ago.

NPI
1003004151
Provider Name
MRS. TANYA MARIE PLETIN PA-C
Gender
Female
Entity Type
Individual
Location Address
5323 HARRY HINES BLVD DALLAS, TX 75390
Location Phone
(214) 648-6400
Location Fax
(214) 648-5461
Mailing Address
PO BOX 845347 DALLAS, TX 75284
Mailing Phone
(469) 291-3369
Mailing Fax
(214) 648-5461
Medical School Name
OTHER
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
10-12-2007
Last Update Date
12-21-2020
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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 registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

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.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA02929
License State
TX
Taxonomy Description
A 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross and Blue Shield of Texas

    • Blue Advantage Bronze HMO℠ 204 - HMO
    • Blue Advantage Bronze HMO℠ 301 - HMO
    • Blue Advantage Bronze HMO℠ 302 - HMO
    • Blue Advantage Bronze HMO℠ 707 - HMO
    • Blue Advantage Gold HMO℠ 206 - HMO
    • Blue Advantage Gold HMO℠ 603 - HMO
    • Blue Advantage Gold HMO℠ 706 - HMO
    • Blue Advantage Plus Bronze℠ 303 - POS
    • Blue Advantage Plus Bronze℠ 305 - POS
    • Blue Advantage Plus Bronze℠ 707 - POS
    • Blue Advantage Plus Gold℠ 203 - POS
    • Blue Advantage Plus Gold℠ 706 - POS
    • Blue Advantage Plus Gold℠ 803 - POS
    • Blue Advantage Plus Silver℠ 202 - POS
    • Blue Advantage Plus Silver℠ 605 - POS
    • Blue Advantage Plus Silver℠ 705 - POS
    • Blue Advantage Security HMO℠ 200 - HMO
    • Blue Advantage Silver HMO℠ 205 - HMO
    • Blue Advantage Silver HMO℠ 705 - HMO
    • Blue Advantage Silver HMO℠ 801 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1658321344

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050131000512

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 75390 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $91.22
  • Minimum New Patient Price $59.43
  • Maximum New Patient Price $179.71
  • Average New Patient Copayment $22.8
  • Minimum New Patient Copayment $14.85
  • Maximum New Patient Copayment $44.92

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.44
  • Minimum Established Patient Price $18.75
  • Maximum Established Patient Price $147.31
  • Average Established Patient Copayment $18.61
  • Minimum Established Patient Copayment $4.68
  • Maximum Established Patient Copayment $36.82

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

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Tanya Pletin is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555Acute Care Hospitals

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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

The NPI number assigned to this healthcare provider is 1003004151, enumerated in the NPI registry as an "individual" on October 12, 2007

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

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 25 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a 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.

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.

The practitioner is affiliated to the following hospital(s): UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record 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.