MRS. TANYA MARIE PLETIN PA-C NPI 1003004151
Physician Assistant in Dallas, TX
About TANYA PLETIN
Tanya Pletin is a primary care provider established in Dallas, Texas and her medical specialization is physician assistant with more than 22 years of experience. The NPI number of Tanya Pletin 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 one year ago.
A primary care provider (PCP) like Mrs. Tanya Marie Pletin Pa-c 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 healthcare 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.
| NPI | 1003004151 |
| Provider Name | MRS. TANYA MARIE PLETIN PA-C |
| Provider Location Address | 5323 HARRY HINES BLVD DALLAS, TX 75390 |
| Provider Mailing Address | PO BOX 845347 DALLAS, TX 75284 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 10-12-2007 |
| Last Update Date | 12-21-2020 |
Primary Taxonomy
| Taxonomy Code | 363A00000X |
| Classification | Physician Assistant |
| 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. |
Business Address
MRS. TANYA MARIE PLETIN PA-C
5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 648-6400
Fax: (214) 648-5461
Mailing Address
MRS. TANYA MARIE PLETIN PA-C
PO BOX 845347
DALLAS, TX
ZIP 75284
Phone: (469) 291-3369
Fax: (214) 645-0078
Medicare Participation
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 ID | 1658321344 |
| PECOS Enrollment ID | I20050131000512 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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 | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. | 6201 HARRY HINES BLVD DALLAS, TX 75390 | (214) 633-5555 | Acute Care Hospitals | 450044 |
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 | Anesthesiology | 5323 HARRY HINES BLVD DALLAS, TX 75390 (214) 648-7833 |
| 1700873627 | DR. JOSEPH K VAUGHAN JR. M.D. Individual | Psychiatry & Neurology (Neurology) | 5323 HARRY HINES BLVD DALLAS, TX 75390 (903) 714-9044 |
| 1265423560 | DR. 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 |
| 1578541967 | MS. PIA BANERJI M.S., C.G.C Individual | Genetic Counselor, MS | 5323 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 |
| 1679545164 | DR. IMRAN R. KHAWAJA MD Individual | Internal Medicine | 5323 HARRY HINES BLVD DALLAS, TX 75390 (214) 645-5777 |
| 1649244302 | DR. SARA ANTOINETTE MONAGHAN MD Individual | Pathology (Hematology) | 5323 HARRY HINES BLVD DALLAS, TX 75390 (214) 645-6312 |
| 1972578755 | DR. ALLEN FRANK MOREY MD Individual | Urology | 5323 HARRY HINES BLVD DALLAS, TX 75390 (214) 645-8765 |
| 1093782781 | DR. MICHAEL F ZIDE DMD Individual | Dentist | 5323 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 Medicine | 5323 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 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.