Erin F Heiskell, MD
Individual provider Active NPI Family Medicine Physician · Ipswich, MA
NPI 1033115175 · NPPES record last updated Jul 15, 2010
Key facts
- NPI
- 1033115175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 213344 (MA)
- Practice address
- 130 County Rd
Ipswich, MA 01938-2585 - Phone
- (978) 356-1192
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mass General Brigham Medical Group Northern Massachusetts Inc
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
1 Widger Rd
Marblehead, MA 01945-2146
Phone (781) 631-5726
Hospital & facility affiliations
- North Shore Medical Center -
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061127000142 | MA | Practitioner - Family Practice | 7618975830 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213344 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current |
Accepting new patients |
Locations
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
Interoperability endpoints
- heiskell.erin.nsmc@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 213344 | MA | Yes |
Addresses
Primary practice location
130 County Rd
Ipswich, MA 01938-2585
Mailing address
9 Harbor View Ter
Salem, MA 01970-5305
Phone (978) 744-0893
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017334 | Medicaid | MA |
Other providers in Ipswich, MA
- James W Hall
- Lee Harriott
- Charlott Hartley
- Cynthia Lee Hazelton
- Health and Education Services, Inc.
- Taylor Hennessey
- Kathryn Vivian Hertz
- Mary F Higgins
- Nelson Ho
- Sarah Hood
All providers in Ipswich, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.