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 24 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 3 years ago.
NPI | 1003004151 |
Provider Name | MRS. TANYA MARIE PLETIN PA-C |
Location Address | 5323 HARRY HINES BLVD DALLAS, TX 75390 |
Location Phone | (214) 648-6400 |
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 |
Enumeration Date | 10-12-2007 |
Last Update Date | 12-21-2020 |
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 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. 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 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.
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
5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 648-6400
Fax: (214) 648-5461
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 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.
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 or refer Durable Medical Equipment (DMEPOS) | Yes |
Eligible order r refer Home Health Agency (HHA) | Yes |
Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount, beneficiaries under these health plans should not be billed for more than the approved deductible and coinsurance amounts. The tables below display 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 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 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 | 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 |
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. | |||||||||
1 | 0 | 0 | 3 | 0 | 0 | 4 | 1 | 5 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 0 | 3 | 0 | 0 | 8 | 1 | 10 | |
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 = 1 | 1 |
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 | Anesthesiology | 5323 HARRY HINES BLVD DALLAS, TX 75390 (214) 648-7833 |
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 |
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, enumerated in the NPI registry as an "individual" on October 12, 2007
Where is the provider located?
The provider is located at 5323 Harry Hines Blvd Dallas, Tx 75390 and the phone number is (214) 648-6400
What is the provider specialty code?
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
How many years of experience does Mrs. Tanya Pletin PA-C have?
The provider has more than 24 years of experience.
Is Mrs. Tanya Pletin PA-C registered in PECOS?
Yes, as of September 14, 2023 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.
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.
Is Mrs. Tanya Pletin PA-C affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: 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.
How do I update my NPI information?
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].
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