MACKENZIE BOEDICKER
NPI 1114608940
Physician Assistant - Medical in Boston, MA
About Mackenzie Boedicker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE BOEDICKER (NPI 1114608940) is an individual medical provider in Boston, Massachusetts, licensed in Massachusetts (PA101074) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mackenzie Boedicker is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Brigham And Women's Hospital
Acute Care Hospitals · Boston, MAOther Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mackenzie Boedicker's NPI number?
The NPI number for Mackenzie Boedicker is 1114608940. It was assigned to this individual provider in the NPPES registry on July 25, 2023.
Where is Mackenzie Boedicker located?
Mackenzie Boedicker practices at 450 Brookline Avenue, Boston, MA 02215. The listed phone number is (877) 442-3324.
What is Mackenzie Boedicker's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Mackenzie Boedicker enrolled in Medicare?
Yes. Mackenzie Boedicker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Mackenzie Boedicker affiliated with any hospitals?
According to CMS data, Mackenzie Boedicker is affiliated with Brigham And Women's Hospital.
When was this NPI record last updated?
The NPPES record for Mackenzie Boedicker was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mackenzie Boedicker · NPI 1114608940
Medical physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since July 25, 2023.
## Identity
- **NPI:** 1114608940 (Entity type: Individual)
- **Enumerated:** July 25, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA101074 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 BROOKLINE AVENUE, Boston, MA 02215
- **Phone:** (877) 442-3324
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114608940) · Data from the CMS NPPES public registry.