Dr Wirt A Hines Iii, MD PHD is a Dermatology - Mohs-micrographic Surgery physician based in Anacortes, Washington. Dr Wirt A Hines Iii is licensed to practice in Washington (license number MD00045767) and his current practice location is 902 28th St, Anacortes, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 399-6036.
NPI number for Dr Wirt A Hines Iii is 1194762898 and his current mailing address is 902 28th St, Anacortes, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194762898.
Does not participate in Medicare Program. He may not accept medicare assignment.
NPI Data:
NPI Number: 1194762898
Provider Enumeration Date: 06/01/2006
Last Update Date: 03/16/2019
Medical Identifiers
Medical identifiers for Dr Wirt A Hines Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1194762898
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
207N00000X
Dermatology
MD00045767 (Washington)
Secondary
207ND0101X
Dermatology - Mohs-micrographic Surgery
MD00045767 (Washington)
Primary
207ND0900X
Dermatology - Dermatopathology
MD00045767 (Washington)
Secondary
207NS0135X
Dermatology - Procedural Dermatology
MD00045767 (Washington)
Secondary
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Wirt A Hines Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Dr Wirt A Hines Iii, MD PHD 902 28th St Anacortes WA 98221-2830 Ph: (360) 399-6036
Dr Wirt A Hines Iii, MD PHD 902 28th St Anacortes WA 98221-2830 Ph: (360) 399-6036