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
- 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
- Code Navigator
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) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician 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. | |||||||||
| 1 | 4 | 2 | 7 | 2 | 2 | 5 | 9 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 4 | 2 | 10 | 9 | 4 | |
| 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 = 9 | 9 | ||||||||
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 |
|---|---|---|---|
| 1285619155 | DR. HERBERT BOERSTLING M.D. Individual | Pediatrics | 333 LONGWOOD AVE CHILDREN'S HOSPITAL BOSTON, MA 02115 (617) 355-8732 |
| 1982680575 | JOHN W GRAEF M.D. Individual | Pediatrics | 333 LONGWOOD AVE BOSTON, MA 02115 (617) 355-8263 |
| 1225001902 | ALISON J LESCHINSKI CCC-A Individual | Audiologist | 333 LONGWOOD AVE FLOOR 3 BOSTON, MA 02115 (617) 355-6461 |
| 1770556458 | DR. ROGER C NUSS MD Individual | Otolaryngology | 333 LONGWOOD AVE FLOOR 3 BOSTON, MA 02115 (617) 355-6460 |
| 1124091806 | DR. MARK S VOLK MD, DMD Individual | Otolaryngology | 333 LONGWOOD AVE FLOOR 3 BOSTON, MA 02115 (617) 355-4556 |
| 1396718078 | DR. LAURIE A OHLMS MD Individual | Otolaryngology | 333 LONGWOOD AVE FLOOR 3 BOSTON, MA 02115 (617) 355-6417 |
| 1780657494 | DR. REZA RAHBAR DMD, MD Individual | Dentist | 333 LONGWOOD AVE FLOOR 3 BOSTON, MA 02115 (617) 355-6417 |
| 1225002637 | LYNN T SCHWARTZ MS, CCC-A Individual | Audiologist | 333 LONGWOOD AVE FLOOR 3 BOSTON, MA 02115 (617) 355-6484 |
| 1699749002 | DR. DENNIS S POE MD Individual | Otolaryngology | 333 LONGWOOD AVE FLOOR 3 BOSTON, MA 02115 (617) 355-6417 |
| 1336113505 | DR. RAHUL K SHAH MD Individual | Otolaryngology | 333 LONGWOOD AVE BOSTON, MA 02115 (617) 355-6462 |
| 1922072685 | JESSICA M MARTIS CCC-SLP Individual | Speech-Language Pathologist | 333 LONGWOOD AVE FLOOR 3 BOSTON, MA 02115 (617) 355-6462 |
| 1255305959 | MARILYN WARREN NEAULT PHD Individual | Audiologist | 333 LONGWOOD AVE FLOOR 3 BOSTON, MA 02115 (617) 355-6476 |
| 1215902903 | LISA M WALKER MA, CCC-A Individual | Audiologist | 333 LONGWOOD AVE 3RD FLOOR BOSTON, MA 02115 (617) 355-6461 |
| 1821063744 | BARBARA BULRISS M.S., CCC-A Individual | Audiologist | 333 LONGWOOD AVE FLOOR 3 BOSTON, MA 02115 (617) 355-6324 |
| 1336115989 | GERRI FEUER SHUBOW MS Individual | Audiologist | 333 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 |
| 1558338921 | MR. GERALD ANTHONY PARROTTA P.T. Individual | Physical Therapist | 333 LONGWOOD AVE 2ND FLOOR BOSTON, MA 02115 (617) 232-4018 |
| 1619946720 | ALLYSON L MARTIN MS Individual | Student in an Organized Health Care Education/Training Program | 333 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.