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Mrs. Mary Lou Pine

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Mary Lou Pine
Gender: F
Provider License Number If Given: PA10004660

NPI Information:

NPI: 1649388588
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 8/29/2006
Last Update Date: 9/17/2018

Provider Business Mailing Address:

Address: 203 SW MALIBU DRIVE
Prosser, WA 99350
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 700 S 11TH ST
Sunnyside, WA 98944
Phone Number: 5098396822
Fax Number:

Provider Taxonomy:

Primary: 363A00000X
Secondary (if any):
State: WA

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About Mrs. Mary Lou Pine

Mrs. Mary Lou Pine (MRS. MARY LOU PINE ) is A Physician Assistant Physician in Sunnyside, WA. The NPI Number for Mrs. Mary Lou Pine is 1649388588.
The current location address for Mrs. Mary Lou Pine is 700 S 11TH ST Sunnyside, WA 98944 and the contact number is and fax number is . The mailing address for Mrs. Mary Lou Pine is 203 SW MALIBU DRIVE Prosser, WA 99350- 5098396822 (mailing address contact number - ).
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.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mrs. Mary Lou Pine ?


Answer: The NPI Number for Mrs. Mary Lou Pine is 1649388588

Where is Mrs. Mary Lou Pine located?


Answer: Mrs. Mary Lou Pine is located at 700 S 11TH ST Sunnyside, WA 98944.

What is the specialty for Mrs. Mary Lou Pine ?


Answer: The Specialty of Mrs. Mary Lou Pine is A Physician Assistant Physician.

Are there any online reviews for Mrs. Mary Lou Pine ?


Answer: Not yet!

Are there any other health care providers in Sunnyside, WA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Mrs. Mary Lou Pine

Number of HCPCS 29
Number of Medicare Beneficiaries 222
Number of Services 1488
Total Submitted Charge Amount 109766.59
Total Medicare Allowed Amount 53299.38
Total Medicare Payment Amount 32025.77
Total Medicare Standardized Payment Amount 31619.99
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 7
Number of Medicare Beneficiaries With Drug Services 20
Number of Drug Services 58
Total Drug Submitted Charge Amount 2632.72
Total Drug Medicare Allowed Amount 288.29
Total Drug Medicare Payment Amount 232.54
Total Drug Medicare Standardized Payment Amount 228.25
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 22
Number of Medicare Beneficiaries With Medical 222
Number of Medical Services 1430
Total Medical Submitted Charge Amount 107133.87
Total Medical Medicare Allowed Amount 53011.09
Total Medical Medicare Payment Amount 31793.23
Total Medical Medicare Standardized Payment Amount 31391.74
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65 43
Number of Beneficiaries Age 65 to 74 94
Number of Beneficiaries Age 75 to 84 59
Number of Beneficiaries Age Greater 84 26
Number of Female Beneficiaries 111
Number of Male Beneficiaries 111
Number of Non-Hispanic White Beneficiaries 153
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 64
Number of Beneficiaries With Medicare Only Entitlement 158
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.05
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.06
Percent (%) of Beneficiaries Identified With Heart Failure 0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.35
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.08
Percent (%) of Beneficiaries Identified With Depression 0.15
Percent (%) of Beneficiaries Identified With Diabetes 0.47
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.43
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.17
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.21
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9726

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 7982
Number of Standardized 30-Day Fills 13047.7
Aggregate Cost Paid for All Claims 484595.79
Number of Day's Supply for All Claims 377936
Number of Medicare Beneficiaries 287
Number of Claims, Including Refills, for Beneficiaries Age 65+ 5417
Including Refills, for Beneficiaries Age 65+ 9167.7
Beneficiaries Age 65+ 319442.07
Number of Day's Supply for All Claims for Beneficaries Age 65+ 265282
Number of Medicare Beneficiaries Age 65+ 202
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 842
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 7064
Aggregate Cost Paid for Generic Drugs 149741.8
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 76
Aggregate Cost Paid for Other Drugs 3476.84
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 3159
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 197879.58
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 4823
Aggregate Cost Paid for Claims Filled by 286716.21
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 4880
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 321400.56
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 3102
by Low-Income Subsidy 163195.23
Total Claims of Opioid Drugs, Including 900
Aggregate Cost Paid for Opioid Drugs 31973.45
Opioid Claims 102
Opioid_Tot_Clms divided by the Tot_Clms 11.275369582
Total Claims of Long-Acting Opioid Drugs 83
Aggregate Cost Paid for Long-Acting Opioid 4617.87
Number of Day's Supply of All Long-Acting 2441
Long-Acting Opioid Claims 12
Opioid_LA_Tot_Clms divided by the 9.2222222222
Total Claims of Antibiotic Drugs, Including 183
Aggregate Cost Paid for Antibiotic Drugs 1811.58
Antibiotic Claims 87
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 52
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 1827.35
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 68.278745645
Number of Beneficiaries Age Less Than 65 85
Number of Beneficiaries Age 65 to 74 113
Number of Beneficiaries Age 75 to 84 61
Number of Female Beneficiaries 157
Number of Male Beneficiaries 130
Number of Non-Hispanic White 167
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 116
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 153
Average Hierarchical Condition Category 1.1010483241

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Safeway Inc
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Micah L Heeringa
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Dr. Jung Ki Kim X
General Practice Dentistry
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Judith K Harvey
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Douglas C Duggan
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Sunnyside Community Hospital Association
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Address: 803 E LINCOLN AVE Sunnyside, WA 98944 , Phone: 5098377551
Dr. Anne Marguerite Nealen
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NPI Number: 1962414326
Address: 812 MILLER AVE SUITE C Sunnyside, WA 98944 , Phone: 5098377551
Valentin Antoci
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Address: 2925 ALLEN RD Sunnyside, WA 98944 , Phone: 5098371570
Anna Z Madej
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NPI Number: 1194834705
Address: 2925 ALLEN RD Sunnyside, WA 98944 , Phone: 5098374949
Mrs. Mary Lou Pine
Physician Assistant
NPI Number: 1649388588
Address: 700 S 11TH ST Sunnyside, WA 98944 , Phone: 5098396822
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Address: 500 S 11TH ST Sunnyside, WA 98944 , Phone: 5098377722
Dr. Steven Curtis Elerding
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Miss Kimberly Christian Evans
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The Valley Alcohol Council
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Address: 702 FRANKLIN AVE Sunnyside, WA 98944 , Phone: 5098377700
Mr. John A Rogers JR.
Family Nurse Practitioner
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Address: 3920 OUTLOOK RD Sunnyside, WA 98944 , Phone: 5098371676
Dr. Robert A Larson
General Practice Dentistry
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School Dist #201
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Address: 700 S 11TH ST Sunnyside, WA 98944 , Phone: 5098396822
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Miguel Diego Mendoza
Counselor
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Address: 1319 SAUL RD Sunnyside, WA 98944 , Phone: 5098372089
Dr. Douglas William Shearer
Family Medicine Physician
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Address: 803 E LINCOLN AVE Sunnyside, WA 98944 , Phone: 5098376911
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Licensed Practical Nurse
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Address: 1319 SAUL RD Sunnyside, WA 98944 , Phone: 5098372089
Dr. Hugh Shiels
Orthopaedic Surgery Physician
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Address: 1413 E EDISON AVE Sunnyside, WA 98944 , Phone: 5098377202
Fe M Demiar
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Address: 1016 TACOMA AVE Sunnyside, WA 98944 , Phone: 5098371500
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Certified Registered Nurse Anesthetist
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Address: 1016 TACOMA AVE Sunnyside, WA 98944 , Phone: 5098371500
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Dentist
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Address: 1723 E LINCOLN AVE Sunnyside, WA 98944 , Phone: 5098374022
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Address: 1723 E LINCOLN AVE BUILDING B Sunnyside, WA 98944 , Phone: 5098377178
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Mrs. Mary Lou Pine in Other Directories

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