BENJAMIN BREKKE
NPI 1023786159
General Practice in San Juan, PR
NPI Status: Active since September 02, 2021
Contact Information
1010 AVE FERNANDEZ JUNCOS APT 8
SAN JUAN, PR
ZIP 00907
Phone: (787) 478-6740
- Individual
- Male
- Years of Experience 4
- General Practice
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BENJAMIN BREKKE
This page provides the complete NPI Profile along with additional information for Benjamin Brekke, a primary care provider established in San Juan, Puerto Rico with a medical specialization in General Practice and more than 4 years of experience. He graduated from San Juan Bautista School Of Medicine in 2022. The healthcare provider is registered in the NPI registry with number 1023786159 assigned on September 2021. The practitioner's primary taxonomy code is 208D00000X with license number 23996 (PR). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1023786159
- Provider Name
- BENJAMIN BREKKE
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1010 AVE FERNANDEZ JUNCOS APT 8 SAN JUAN, PR 00907
- Location Phone
- (787) 478-6740
- Mailing Address
- 220 CALLE MANUEL DOMENECH # 944 SAN JUAN, PR 00918
- Medical School Name
- SAN JUAN BAUTISTA SCHOOL OF MEDICINE
- Graduation Year
- 2022
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-02-2021
- Last Update Date
- 07-13-2024
- Code Navigator
A primary care provider (PCP) like Benjamin Brekke sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 23996
- License State
- PR
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Medicare Participation & PECOS Enrollment Status
Benjamin Brekke is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Benjamin Brekke 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
PECOS PAC ID: 2860929213
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20241223003491
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
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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 | 0 | 2 | 3 | 7 | 8 | 6 | 1 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 14 | 8 | 12 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 4 + 8 + 1 + 2 + 1 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1023786159 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023786159, enumerated as an "individual" on September 02, 2021.
The provider is located at 1010 AVE FERNANDEZ JUNCOS APT 8 SAN JUAN, PR 00907 and the phone number is (787) 478-6740.
General Practice with taxonomy code 208D00000X.
