MEDICARE: CELESTE D HECKMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD066640L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	H10542	OTHER	PA	HEALTH ASSURANCE
3	7480668	OTHER	PA	AETNA NON-HMO
4	01759202	OTHER	PA	CAPITAL BLUE CROSS
5	P002751	OTHER	PA	GATEWAY HEALTH PLAN
6	342867	OTHER	PA	HIGHMARK BLUE SHIELD
7	1086305	OTHER	PA	AETNA HMO
8	77532 S1QJ	OTHER	PA	GEISINGER HEALTH PLAN

General Provider Information

NPI Number	:	1376519728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELESTE D HECKMAN M.D.

Provider Business Mailing Address
First Line	:	1135 HAMPDEN DR
Second Line	:
City	:	STRASBURG
State	:	PA
Zip	:	17579-1123
Country	:	US
Telephone Number	:	717-687-0313
Fax Number	:	717-687-3604

Provider Business Practice Location Address
First Line	:	1135 HAMPDEN DR
Second Line	:
City	:	STRASBURG
State	:	PA
Zip	:	17579-1123
Country	:	US
Telephone Number	:	717-687-0313
Fax Number	:	717-687-3604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	10/29/2007

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