Larry Travis Heap, PA-C - Medicare Physician Assistant in Saint Johns, AZ

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Larry Travis Heap, PA-C is a medicare enrolled "Physician Assistant - Medical" in Saint Johns, Arizona. He graduated from nursing school in 2004 and has 22 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 625 N 13th W, Saint Johns, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 337-3000.

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.

Contact Information

Larry Travis Heap, PA-C
625 N 13th W,
Saint Johns, AZ 85936-4986
(928) 337-3000
(928) 532-3561

Map and Direction




Provider's Profile

Full NameLarry Travis Heap
GenderMale
SpecialityPhysician Assistant
Experience22 Years
Location625 N 13th W, Saint Johns, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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: 09/09/2026
  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.
IdentifierTypeStateIssuer
1366418113NPI-NPPES
933467MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 3048 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Home Health Safford, LlcSafford, AZHome health agency
White Mountain Regional Medical CenterSpringerville, AZHospital
Summit Healthcare Regional Medical CenterShow low, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Active Vital Care Llc387094242819
Summit Healthcare Medical Associates872920573774

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larry Travis Heap allows following entities to bill medicare on his behalf.
Entity NameSummit Healthcare Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467878108
PECOS PAC ID: 8729205737
Enrollment ID: O20140815000931
Entity NameAgave Adult Medical Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861153579
PECOS PAC ID: 0749674117
Enrollment ID: O20220301000266
Entity NameAngels Valley Community Healthcare Center PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689303117
PECOS PAC ID: 8628452927
Enrollment ID: O20220906002813
Entity NameActive Vital Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326825092
PECOS PAC ID: 3870942428
Enrollment ID: O20231208000557

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 AddressPractice Location Address
Larry Travis Heap, PA-C
625 N 13th W,
Saint Johns, AZ 85936-4986

Ph: (928) 337-3000		Larry Travis Heap, PA-C
625 N 13th W,
Saint Johns, AZ 85936-4986

Ph: (928) 337-3000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.