| Ensage Virtual Medical Services, Llc | |
|
220 5th Ave New York NY 10001-7708 | |
| (206) 716-5719 | |
| Not Available |
| Full Name | Ensage Virtual Medical Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 220 5th Ave, New York, New York |
| Authorized Official Name and Position | Jeffrey Todd Heckman (PC OWNER) |
| Authorized Official Contact | 2067165719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ensage Virtual Medical Services, Llc 220 5th Ave New York NY 10001-7708 Ph: () - | Ensage Virtual Medical Services, Llc 220 5th Ave New York NY 10001-7708 Ph: (206) 716-5719 |
| NPI Number | 1639876600 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Medicare PECOS PAC ID | 2769847300 |
|---|---|
| Medicare Enrollment ID | O20230503002204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639876600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Heckman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174727804 PECOS PAC ID: 3971635160 Enrollment ID: I20230503002446 |
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