Ms Nicole Autumn Pine, PA-C is a medicare enrolled "Physician Assistant" physician in Olympia, Washington. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Dispatchhealth Washington Pc, King County Public Hospital District No 2 and her current practice location is
3920 Capital Mall Dr Sw, Suite 400, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 705-1259.
Ms Nicole Autumn Pine is licensed to practice in Washington (license number 60993143) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457818239.
Physician's Profile
| Full Name | Ms Nicole Autumn Pine |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 5 Years |
|---|
| Location | 3920 Capital Mall Dr Sw, Olympia, Washington |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ms Nicole Autumn Pine graduated from medical school in 2019
NPI Data:
- NPI Number: 1457818239
- Provider Enumeration Date: 02/27/2019
- Last Update Date: 02/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870823560
- Enrollment ID: I20190923002851
Medical Identifiers
Medical identifiers for Ms Nicole Autumn Pine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457818239 | NPI | - | NPPES |
| 2137050 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 60993143 (Washington) | Secondary |
| 363A00000X | Physician Assistant | 60993143 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dispatchhealth Washington Pc | 2062765423 | 64 |
| King County Public Hospital District No 2 | 7618880097 | 481 |
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. Ms Nicole Autumn Pine is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Nicole Autumn Pine, PA-C
3920 Capital Mall Dr Sw, Suite 400,
Olympia, WA 98502
Ph: (360) 705-1259 | Ms Nicole Autumn Pine, PA-C
3920 Capital Mall Dr Sw, Suite 400,
Olympia, WA 98502
Ph: (360) 705-1259 |
Reviews and Comments