Mary A Halleck, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0229 Issued in NH

Practice address

1714 SW 17TH St
Ocala, FL 34471-1227

Phone

(352) 509-9900

Fax

(844) 388-6186

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James E Lemire MD PAGroup PAC ID 1153407481, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.halleck@1091547019411460.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James E Lemire MD PA

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1982884789
  Medicare reassignment Care Compare group NPD
• Florida Medical Associates LLC

  • Primary Care Clinic/Center
  • Lady Lake, FL
  • NPI 1336153709
  Medicare reassignment
• Vizavee Urgent & Primary Care, LLC

  • Family Medicine Physician
  • Wildwood, FL
  • NPI 1821665886
  Medicare reassignment
• Dolphin Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1871542712
  NPD (past)
• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1881643740
  NPD (past)
• Magnolia Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1164471090
  NPD (past)
• Frisbie Health Services

  • Clinic/Center
  • Rochester, NH
  • NPI 1730121138
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1174565246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711227",
            "telephone_number": "352-509-9900",
            "fax_number": "844-388-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711227",
            "telephone_number": "352-509-9900",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLECK",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010176",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hall Supportive Services Inc
• Elizabeth Marie Hall, APRN
• Jeanette M Hall, PHARMD
• Joy Hall, ARNP
• Yvonne Hall
• Martha Halsey-Lyda, APN, CDE
• Randal Joseph Halter, PT
• Angelynn Hambelton
• Michelle Leigh Hamble
• Latif M. Hamed, M.D.

• Medical Physician Assistant in Ocala, FL
• Providers in Ocala, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.