Mary Louanna Heaven, LAC is a
Acupuncturist based in Old Greenwich, Connecticut. Mary Louanna Heaven is licensed to practice in Connecticut (license number 0696) and her current practice location is
3 Heusted Dr, Old Greenwich, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 536-3865.
NPI number for Mary Louanna Heaven is 1073083622 and her current mailing address is 3 Heusted Dr, Old Greenwich, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073083622.
Healthcare Provider's Profile
| Full Name | Mary Louanna Heaven |
|---|
| Gender | Female |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 3 Heusted Dr, Old Greenwich, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073083622
- Provider Enumeration Date: 11/27/2018
- Last Update Date: 11/27/2018
Medical Identifiers
Medical identifiers for Mary Louanna Heaven such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073083622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 171100000X | Acupuncturist | 0696 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Louanna Heaven is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mary Louanna Heaven, LAC 3 Heusted Dr, Old Greenwich, CT 06870-1918 Ph: (203) 536-3865 | Mary Louanna Heaven, LAC 3 Heusted Dr, Old Greenwich, CT 06870-1918 Ph: (203) 536-3865 |
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