Larry Travis Heap, PA-C is a medicare enrolled "Physician Assistant - Medical" in Eagar, Arizona. He graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Active Vital Care Llc, Summit Healthcare Medical Associates and his current practice location is
606 N Main St, Eagar, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 333-5333.
Larry Travis Heap is licensed to practice in Arizona (license number 3048) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366418113.
Provider's Profile
| Full Name | Larry Travis Heap |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 606 N Main St, Eagar, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Larry Travis Heap graduated from nursing school in 2004
NPI Data:
- NPI Number: 1366418113
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 11/21/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991752909
- Enrollment ID: I20050401000473
Medical Identifiers
Medical identifiers for Larry Travis Heap such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366418113 | NPI | - | NPPES |
| 933467 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 3048 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Active Vital Care Llc | 3870942428 | 23 |
| Summit Healthcare Medical Associates | 8729205737 | 66 |
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. Larry Travis Heap is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry Travis Heap, PA-C
Po Box 1610,
Springerville, AZ 85938-1610
Ph: (928) 333-5333 | Larry Travis Heap, PA-C
606 N Main St,
Eagar, AZ 85925-9813
Ph: (928) 333-5333 |
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