MRS. MARY LANE JACKMIN PA-C
NPI 1427225929
Physician Assistant - Surgical in Boston, MA

NPI Status: Active since May 14, 2008

Contact Information

333 LONGWOOD AVE
3RD FLOOR
BOSTON, MA
ZIP 02115
Phone: (617) 355-0648
Fax: (617) 730-0337

Get Directions Reviews

  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • PECOS Enrolled

About MARY JACKMIN

This page provides the complete NPI Profile along with additional information for Mary Jackmin, a provider established in Boston, Massachusetts with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1427225929 assigned on May 2008. The practitioner's primary taxonomy code is 363AS0400X with license number 2416 (MA). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1427225929
Provider Name
MRS. MARY LANE JACKMIN PA-C
Other Name
MISS MARY HENRIETTE LANE PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
333 LONGWOOD AVE 3RD FLOOR BOSTON, MA 02115
Location Phone
(617) 355-0648
Location Fax
(617) 730-0337
Mailing Address
333 LONGWOOD AVE 3RD FLOOR BOSTON, MA 02115
Mailing Phone
(617) 355-0648
Mailing Fax
(617) 730-0337
Is Sole Proprietor?
No
Enumeration Date
05-14-2008
Last Update Date
05-14-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2416
License State
MA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

2416 (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Mary Jackmin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MRS. MARY LANE JACKMIN PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427225929
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447421094
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 2 + 1 + 0 + 9 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1427225929 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285619155DR. HERBERT BOERSTLING M.D.
Individual
Pediatrics333 LONGWOOD AVE CHILDREN'S HOSPITAL
BOSTON, MA 02115
(617) 355-8732
1982680575 JOHN W GRAEF M.D.
Individual
Pediatrics333 LONGWOOD AVE
BOSTON, MA 02115
(617) 355-8263
1225001902 ALISON J LESCHINSKI CCC-A
Individual
Audiologist333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6461
1770556458DR. ROGER C NUSS MD
Individual
Otolaryngology333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6460
1124091806DR. MARK S VOLK MD, DMD
Individual
Otolaryngology333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-4556
1396718078DR. LAURIE A OHLMS MD
Individual
Otolaryngology333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6417
1780657494DR. REZA RAHBAR DMD, MD
Individual
Dentist333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6417
1225002637 LYNN T SCHWARTZ MS, CCC-A
Individual
Audiologist333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6484
1699749002DR. DENNIS S POE MD
Individual
Otolaryngology333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6417
1336113505DR. RAHUL K SHAH MD
Individual
Otolaryngology333 LONGWOOD AVE
BOSTON, MA 02115
(617) 355-6462
1922072685 JESSICA M MARTIS CCC-SLP
Individual
Speech-Language Pathologist333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6462
1255305959 MARILYN WARREN NEAULT PHD
Individual
Audiologist333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6476
1215902903 LISA M WALKER MA, CCC-A
Individual
Audiologist333 LONGWOOD AVE 3RD FLOOR
BOSTON, MA 02115
(617) 355-6461
1821063744 BARBARA BULRISS M.S., CCC-A
Individual
Audiologist333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6324
1336115989 GERRI FEUER SHUBOW MS
Individual
Audiologist333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6485
1336115690 JOY M KILLGOAR RN
Individual
Registered Nurse (Otorhinolaryngology & Head-Neck)333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-7130
1144296401 SUSAN L BLANCHETTE RN
Individual
Registered Nurse (Pediatrics)333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-8855
1114993466 GAIL M MARTELL RN
Individual
Registered Nurse (Otorhinolaryngology & Head-Neck)333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-8866
1558338921MR. GERALD ANTHONY PARROTTA P.T.
Individual
Physical Therapist333 LONGWOOD AVE 2ND FLOOR
BOSTON, MA 02115
(617) 232-4018
1619946720 ALLYSON L MARTIN MS
Individual
Student in an Organized Health Care Education/Training Program333 LONGWOOD AVE FLOOR 3
BOSTON, MA 02115
(617) 355-6461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427225929, enumerated in the NPI registry as an "individual" on May 14, 2008

The provider is located at 333 Longwood Ave 3rd Floor Boston, Ma 02115 and the phone number is (617) 355-0648

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.