MARY BETHUNE PA
NPI 1124157078
Physician Assistant - Medical in Gig Harbor, WA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
5216 POINT FOSDICK DR # 102, GIG HARBOR, WA 98335(253) 530-6900(253) 530-6901 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Bethune Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BETHUNE PA (NPI 1124157078) is an individual medical provider in Gig Harbor, Washington, licensed in Washington (PA10003333) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1124157078
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY BETHUNECredential: PA
Location Address5216 POINT FOSDICK DR # 102Gig Harbor, WA 98335-0037
Mailing Address5216 Point Fosdick Dr # 102Gig Harbor, WA 98335-0037 · (253) 530-6900 · Fax (253) 530-6901
Fax(253) 530-6901
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 5, 2007
Last NPPES UpdateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
NPI 1124157078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA10003333
5216 POINT FOSDICK DR # 102, Gig Harbor, WA 98335

Other Identifiers 1

Medicaid8432239WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Bethune Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355338963
PECOS Enrollment IDI20040427000543
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
5216 POINT FOSDICK DR # 102
GIG HARBOR, WA 98335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Bethune's NPI number?

The NPI number for Mary Bethune is 1124157078. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Mary Bethune located?

Mary Bethune practices at 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335. The listed phone number is (253) 530-6900.

What is Mary Bethune's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Bethune enrolled in Medicare?

Yes. Mary Bethune is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Bethune accept?

Health plans from PacificSource Health Plans list Mary Bethune as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Bethune was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.