MARY REBECCA HEATON PAC
NPI 1902956931
Physician Assistant - Medical in Jamaica Plain, MA

Q: What is Mary Heaton's NPI number?

The NPI number for Mary Heaton is 1902956931. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Mary Heaton'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 Heaton was last updated on January 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 11, 2007PECOS Enrolled

170 MORTON ST, LEMUEL SHATTUCK HOSPITAL, JAMAICA PLAIN, MA 02130(617) 522-8110 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mary Rebecca Heaton Pac NPPES

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

MARY REBECCA HEATON PAC (NPI 1902956931) is an individual medical provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (334) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902956931

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARY REBECCA HEATONCredential: PAC

Location Address170 MORTON ST, LEMUEL SHATTUCK HOSPITALJamaica Plain, MA 02130-3735

Mailing Address170 Morton StJamaica Plain, MA 02130-3735 · (617) 971-3282

Phone(617) 522-8110

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJanuary 7, 2016

✔ NPI 1902956931 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 MA · 334

170 MORTON ST, Jamaica Plain, MA 02130

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Other Identifiers 1

Medicare UPINS41873MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Rebecca Heaton Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.