Mary Herbert, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

119 Tradewynd Dr Ste a
Lynchburg, VA 24502-5288

Phone

(434) 237-3376

NPI assigned

Sep 11, 2018

Last updated

Sep 11, 2018By the provider in NPPES

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 names 1

• Katy Herbert Other name

Medicare fee-for-service enrollment

Enrolled in VA

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seven Hills Dermatology, LLCGroup PAC ID 6406138585, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Seven Hills Dermatology, LLC

  • Dermatology Physician
  • Lynchburg, VA
  • NPI 1336697093
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1235612649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MILLSPRING DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512328",
            "telephone_number": "434-426-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TRADEWYND DR STE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025288",
            "telephone_number": "434-237-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "MARY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "HERBERT",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Russell Hengerer, M.D.
• Joshua Aaron Hennessy, PA-C
• Ethan Daniel Henry
• Mark R Henry, PT
• Emily Nicole Herbert
• Heritage United Home Health & Staffing Agency
• Shannan M Hermann, APRN, PMHNP-BC
• Sarah Craver Herrington, M.A.,CCC-SLP
• Amanda Herron
• Quinn Stewart Hershberger

• Medical Physician Assistant in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.