Individual ProviderMary E HercPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1945 State Route 33 Fl 4, Neptune, NJ 07753-4859(732) 776-4949(215) 662-8000PECOS EnrollmentThis provider is enrolled in PECOS as MARY HERC.Based on the most recent information from CMS, provider Mary E Herc is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1306321708Provider TypeIndividualFull NameHerc, Mary ECredentialPAGenderFemaleSole ProprietorNoEnumeration Date10/1/2018Last Updated8/21/2025Contact InformationPractice LocationPractice Address1945 State Route 33 Fl 4, Neptune, NJ 07753-4859Phone(732) 776-4949Fax(732) 776-4509Mailing LocationMailing Address51 N 39th St, Philadelphia, PA 19104-2640Phone(215) 662-8000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00943100New JerseyCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA062334PennsylvaniaProvider IdentifiersIDDescriptionIssuerIDC07299DescriptionOtherIssuerLICENSEMaryland