MACKENZIE BOEDICKER
NPI 1114608940
Physician Assistant - Medical in Boston, MA

NPI Status: Active since July 25, 2023

Contact Information

450 BROOKLINE AVENUE
BOSTON, MA
ZIP 02215
Phone: (877) 442-3324

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  • Individual
  • Female
  • Years of Experience 2
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MACKENZIE BOEDICKER

This page provides the complete NPI Profile along with additional information for Mackenzie Boedicker, a primary care provider established in Boston, Massachusetts with a medical specialization in Physician Assistant, focusing in medical and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1114608940 assigned on July 2023. The practitioner's primary taxonomy code is 363AM0700X with license number PA101074 (MA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1114608940
Provider Name
MACKENZIE BOEDICKER
Gender
Female
Entity Type
Individual
Location Address
450 BROOKLINE AVENUE BOSTON, MA 02215
Location Phone
(877) 442-3324
Mailing Address
450 BROOKLINE AVENUE BOSTON, MA 02215
Mailing Phone
(877) 442-3324
Medical School Name
OTHER
Graduation Year
2024
Is Sole Proprietor?
No
Enumeration Date
07-25-2023
Last Update Date
10-31-2024
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A primary care provider (PCP) like Mackenzie Boedicker 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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA101074
License State
MA

Medicare Participation & PECOS Enrollment Status

Mackenzie Boedicker 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.

Mackenzie Boedicker 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: 8921537804

    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: I20250122000821

    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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mackenzie Boedicker is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BRIGHAM AND WOMEN'S HOSPITAL75 FRANCIS STREET
BOSTON, MA 02115
(617) 732-5500Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114608940, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 2 + 0 + 1 + 6 + 9 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1114608940.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVENUE, ROOM 1642
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVENUE, DANA-FARBER CANCER INSTITUTE
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVENUE, DANA-FARBER CANCER INSTITUTE
BOSTON, MA 02215
Internal Medicine (Medical Oncology)
450 BROOKLINE AVENUE, DANA-FARBER CANCER INSTITUTE-EDDC
BOSTON, MA 02215
Nurse Practitioner (Adult Health)
450 BROOKLINE AVENUE, M1B33
BOSTON, MA 02215
Internal Medicine (Medical Oncology)
450 BROOKLINE AVENUE, SUITE YC-1250
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVENUE
BOSTON, MA 02215
Internal Medicine (Medical Oncology)
450 BROOKLINE AVENUE, DANA FARBER CANCER INSTITUTE
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVENUE
BOSTON, MA 02215
Student in an Organized Health Care Education/Training Program
450 BROOKLINE AVENUE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVENUE, DA 1040
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVENUE, DA-10
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVENUE, DANA-3
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVENUE
BOSTON, MA 02215
Internal Medicine (Hematology)
450 BROOKLINE AVENUE
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVENUE
BOSTON, MA 02215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114608940, enumerated as an "individual" on July 25, 2023.

The provider is located at 450 BROOKLINE AVENUE BOSTON, MA 02215 and the phone number is (877) 442-3324.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Mackenzie Boedicker is affiliated with: BRIGHAM AND WOMEN'S HOSPITAL.