MARY REBECCA HEATON PAC
NPI 1902956931
Physician Assistant - Medical in Jamaica Plain, MA
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
Specialties & Licenses
Other Identifiers 1
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).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02130
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 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.
Where is Mary Heaton located?
Mary Heaton practices at 170 Morton St Lemuel Shattuck Hospital, Jamaica Plain, MA 02130. The listed phone number is (617) 522-8110.
What is Mary Heaton's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Mary Heaton enrolled in Medicare?
Yes. Mary Heaton is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Heaton was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mary Rebecca Heaton, PAC · NPI 1902956931
Medical physician in Jamaica Plain, Massachusetts. Individual provider, active in the CMS NPPES registry since January 11, 2007.
## Identity
- **NPI:** 1902956931 (Entity type: Individual)
- **Enumerated:** January 11, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 334 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 170 MORTON ST, LEMUEL SHATTUCK HOSPITAL, Jamaica Plain, MA 02130-3735
- **Phone:** (617) 522-8110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 7, 2016
- **Other identifiers:** Medicare UPIN S41873 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902956931) · Data from the CMS NPPES public registry.