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MRS. GENA PLAIN PA-C
NPI 1164478756
Physician Assistant in Madison, FL

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
235 SW DADE ST, MADISON, FL 32340(850) 973-8851(850) 973-8851 Get Directions Write a Review

NPPES record last updated: July 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Gena Plain Pa-c NPPES

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

MRS. GENA PLAIN PA-C (NPI 1164478756) is an individual physician assistant in Madison, Florida, licensed in Florida (PA9101319) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Madison County Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1164478756
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. GENA PLAINCredential: PA-C
Location Address235 SW DADE STMadison, FL 32340-2363
Mailing Address235 Sw Dade StMadison, FL 32340-2363 · (850) 973-8851 · Fax (850) 973-8851
Phone(850) 973-8851
Fax(850) 973-8851
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 21, 2009
✔ NPI 1164478756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9101319
Definition
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.
235 SW DADE ST, Madison, FL 32340
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Other Identifiers 1

Medicaid292290800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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

Mrs. Gena Plain Pa-c 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 ID1052312519
PECOS Enrollment IDI20070125000406
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
186 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
96 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
78 services62 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
55 services50 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
54 services48 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services43 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Madison County Memorial Hospital

Critical Access Hospitals · Madison, FL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number101311
Location224 NW Crane AveMadison, FL 32340 · Madison County
Emergency services

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$100.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

KATTRINA GONZALEZ LMFT
Marriage & Family Therapist
235 SW DADE ST
MADISON, FL 32340
Madison County (850) 973-7871
MADISON OSTEOPATHIC MEDICINE
Clinic/Center
235 SW DADE ST, SUITE
MADISON, FL 32340
Madison County (850) 253-8000
ORTHODOX CATHOLIC HEALTHCARE SERVICES INC
Chiropractor (Nutrition)
235 SW DADE ST
MADISON, FL 32340
Madison County (850) 673-8338
MADISON COUNTY HOSPITAL HEALTH SYSTEMS INC
Clinic/Center (Rural Health)
235 SW DADE ST
MADISON, FL 32340
Madison County (850) 973-8851

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 Gena Plain's NPI number?

The NPI number for Gena Plain is 1164478756. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Gena Plain located?

Gena Plain practices at 235 SW Dade St, Madison, FL 32340. The listed phone number is (850) 973-8851.

What is Gena Plain's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gena Plain enrolled in Medicare?

Yes. Gena Plain 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 Gena Plain accept?

Health plans from Ambetter Health and Ambetter of Alabama list Gena Plain 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.

Is Gena Plain affiliated with any hospitals?

According to CMS data, Gena Plain is affiliated with Madison County Memorial Hospital and Sgmc Health.

When was this NPI record last updated?

The NPPES record for Gena Plain was last updated on July 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.