MS. MIKI BERNAL MA, OT/L, CHT
NPI 1558443572
Occupational Therapist - Hand in San Clemente, CA
NPI Status: Active since October 19, 2006
Contact Information
1 CORTE ESTANTE
SAN CLEMENTE, CA
ZIP 92673
Phone: (949) 338-9131
Fax: (949) 498-9131
- Individual
- Female
- Years of Experience 51
- Occupational Therapist
- Hand
- May Accept Medicare Approved Payment
About MIKI BERNAL
This page provides the complete NPI Profile along with additional information for Miki Bernal, a provider established in San Clemente, California with a medical specialization in Occupational Therapist, focusing in hand and more than 51 years of experience. The healthcare provider is registered in the NPI registry with number 1558443572 assigned on October 2006. The practitioner's primary taxonomy code is 225XH1200X with license number O.T. 6267 (CA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1558443572
- Provider Name
- MS. MIKI BERNAL MA, OT/L, CHT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 CORTE ESTANTE SAN CLEMENTE, CA 92673
- Location Phone
- (949) 338-9131
- Location Fax
- (949) 498-9131
- Mailing Address
- 1 CORTE ESTANTE SAN CLEMENTE, CA 93673
- Mailing Phone
- (949) 338-9131
- Mailing Fax
- (949) 498-9131
- Medical School Name
- OTHER
- Graduation Year
- 1976
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-19-2006
- Last Update Date
- 04-22-2010
- Code Navigator
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
Occupational Therapist Hand
- Taxonomy Code
- 225XH1200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- O.T. 6267
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| N213942 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA |
Medicare Participation & PECOS Enrollment Status
Miki Bernal is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
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.
PECOS PAC ID: 9335219021
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: I20080606000712
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? Maybe
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.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
Re-evaluation for occupational therapy, typically 30 minutes
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
Therapy procedure using functional activities
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
This service was performed 103 times for 17 patientsA re-evaluation for occupational therapy is a 30-minute session where your therapist assesses your progress and updates your treatment plan. It's crucial to ensure the therapy continues to meet your needs and help improve your daily living skills.
This service was performed 20 times for 13 patientsThis therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
This service was performed 313 times for 18 patientsA therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
This service was performed 302 times for 18 patientsReviews for MS. MIKI BERNAL MA, OT/L, CHT
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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 1558443572, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558443572, enumerated as an "individual" on October 19, 2006.
The provider is located at 1 CORTE ESTANTE SAN CLEMENTE, CA 92673 and the phone number is (949) 338-9131.
Occupational Therapist with taxonomy code 225XH1200X and a focus in Hand.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.