HEIDI S PUC M.D.
NPI 1013996545
General Practice in Chittenango, NY

Active since January 12, 2006Opted out of Medicare · through Jan 1, 2028
1386 STATE ROUTE 5 STE 203, CHITTENANGO, NY 13037(315) 741-5774(315) 741-5770 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heidi S Puc M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDI S PUC M.D. (NPI 1013996545) is an individual general practice provider in Chittenango, New York, licensed in New York (182847) and active in the NPI registry since January 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013996545
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameHEIDI S PUCCredential: M.D.
Location Address1386 STATE ROUTE 5 STE 203Chittenango, NY 13037-8763
Mailing Address1386 State Route 5 Ste 203Chittenango, NY 13037-8763 · (315) 741-5774 · Fax (315) 741-5770
Fax(315) 741-5770
Sole ProprietorNo
Enumeration DateJanuary 12, 2006
Last NPPES UpdateOctober 1, 2018
NPI 1013996545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NY · 182847
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1386 STATE ROUTE 5 STE 203, Chittenango, NY 13037

Other Identifiers 1

Medicaid01563675NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Heidi S Puc M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidi Puc's NPI number?

The NPI number for Heidi Puc is 1013996545. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Heidi Puc located?

Heidi Puc practices at 1386 State Route 5 Ste 203, Chittenango, NY 13037. The listed phone number is (315) 741-5774.

What is Heidi Puc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Heidi Puc enrolled in Medicare?

No. Heidi Puc has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Heidi Puc was last updated on October 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.