Look up the most recent NPI and PECOS records

Mary Clare Higgins-Chen

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as MARY HIGGINS-CHEN.

Based on the most recent information from CMS, provider Mary Clare Higgins-Chen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1104353481
Provider Type
Individual
Full Name
Higgins-Chen, Mary Clare
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/17/2017
Last Updated
12/23/2020

Contact Information

Practice Location

20 York St, New Haven, CT 06510-3220

(203) 688-4242

Unlisted Fax

Mailing Location

400 Columbus Ave, Credentialing Specialist, New Haven, CT 06519-1233

(203) 503-3174

(203) 503-3183

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 65025 Connecticut
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 65025	Description Other	Issuer STATE LICENSE Connecticut

Mary Clare Higgins-Chen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Goheen, Morgan

Patel, Timil

Festa, Natalia K.

Wegner Wippel, Catherine

El Mouhayyar, Christopher

Amankwah, Michelle

Gondal, Maryam

Arora, Anita Shinali

Etaee, Farshid

Moin, Tannaz