MS. MARY A HALLECK PA
NPI 1174565246
Physician Assistant - Medical in Ocala, FL

Q: What is Mary Halleck's NPI number?

The NPI number for Mary Halleck is 1174565246. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Mary Halleck's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Halleck was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

1714 SW 17TH ST, OCALA, FL 34471(352) 509-9900(844) 388-6186 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Mary A Halleck Pa NPPES

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

MS. MARY A HALLECK PA (NPI 1174565246) is an individual medical provider in Ocala, Florida, licensed in New Hampshire (0229) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1174565246

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. MARY A HALLECKCredential: PA

Location Address1714 SW 17TH STOcala, FL 34471-1227

Mailing Address1714 Sw 17th StOcala, FL 34471-1227 · (352) 509-9900 · Fax (844) 388-6186

Phone(352) 509-9900

Fax(844) 388-6186

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateJune 12, 2006

Last NPPES UpdateAugust 11, 2022

NPPES CertifiedAugust 11, 2022

✔ NPI 1174565246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NH · 0229

1714 SW 17TH ST, Ocala, FL 34471

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Other Identifiers 1

Medicaid30010176NH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mary A Halleck Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335100445

PECOS Enrollment IDI20160328001823

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUPER URGENT CARE LLC

Clinic/Center (Urgent Care)