Gary Don Cline, PAC is a
Physician Assistant - Medical physician based in Renton, Washington. Gary Don Cline is licensed to practice in Washington (license number PA10002668) and his current practice location is 4011 Talbot Rd S, Suite 500, Renton, Washington. He can be reached at his office (for appointments etc.) via phone at
(425) 251-5110.
NPI number for Gary Don Cline is 1659462448 and his current mailing address is 4011 Talbot Rd S, Suite 500, Renton, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659462448.
Physician's Profile
| Full Name | Gary Don Cline |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 4011 Talbot Rd S, Renton, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659462448
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 08/29/2014
Medical Identifiers
Medical identifiers for Gary Don Cline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659462448 | NPI | - | NPPES |
| 8373383 | Medicaid | WA | |
| 000010143887 | Other | | REGENCE BLUE SHIELD OF ID |
| 805004000 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RN0300X | Internal Medicine - Nephrology | PA10002668 (Washington) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | PA506 (Idaho) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA10002668 (Washington) | Primary |
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. Gary Don Cline 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 |
|---|
Gary Don Cline, PAC
4011 Talbot Rd S, Suite 500,
Renton, WA 98055-5773
Ph: (425) 251-5110 | Gary Don Cline, PAC
4011 Talbot Rd S, Suite 500,
Renton, WA 98055-5773
Ph: (425) 251-5110 |
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