Dr Mary E Hine, MD is a
General Practice physician based in Lemon Grove, California. Dr Mary E Hine is licensed to practice in California (license number G53481) and her current practice location is 7967 Broadway, Lemon Grove, California. She can be reached at her office (for appointments etc.) via phone at
(619) 741-7423.
NPI number for Dr Mary E Hine is 1962621599 and her current mailing address is 4060 Fairmount Ave, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962621599.
Physician's Profile
| Full Name | Dr Mary E Hine |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | 7967 Broadway, Lemon Grove, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962621599
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 01/04/2012
Medical Identifiers
Medical identifiers for Dr Mary E Hine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962621599 | NPI | - | NPPES |
| G53481 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | G53481 (California) | Secondary |
| 208D00000X | General Practice | G53481 (California) | 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. Dr Mary E Hine 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 Mary E Hine, MD
4060 Fairmount Ave,
San Diego, CA 92105-1608
Ph: (619) 280-4213 | Dr Mary E Hine, MD
7967 Broadway,
Lemon Grove, CA 91945-1809
Ph: (619) 741-7423 |
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