NATALIE GERZANICH
NPI 1568911923
Physician Assistant - Medical in North Miami Beach, FL

NPI Status: Active since September 27, 2016

Contact Information

100 NW 170TH ST
SUITE 301
NORTH MIAMI BEACH, FL
ZIP 33169
Phone: (305) 651-3033
Fax: (305) 655-1153

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  • Individual
  • Female
  • Years of Experience 11
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NATALIE GERZANICH

This page provides the complete NPI Profile along with additional information for Natalie Gerzanich, a primary care provider established in North Miami Beach, Florida with a medical specialization in Physician Assistant, focusing in medical and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1568911923 assigned on September 2016. The practitioner's primary taxonomy code is 363AM0700X with license number PA9109869 (FL). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1568911923
Provider Name
NATALIE GERZANICH
Gender
Female
Entity Type
Individual
Location Address
100 NW 170TH ST SUITE 301 NORTH MIAMI BEACH, FL 33169
Location Phone
(305) 651-3033
Location Fax
(305) 655-1153
Mailing Address
100 NW 170TH ST SUITE 301 NORTH MIAMI BEACH, FL 33169
Mailing Phone
(305) 651-3033
Mailing Fax
(305) 655-1153
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
Yes
Enumeration Date
09-27-2016
Last Update Date
09-27-2016
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A primary care provider (PCP) like Natalie Gerzanich 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.
PA9109869
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential- ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Standard- - HMO
  • UHC Silver Standard+ (Dental + Vision) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Natalie Gerzanich 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.

Natalie Gerzanich 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: 5991075236

    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: I20170719003995

    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. Natalie Gerzanich is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HOLY CROSS HOSPITAL4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
(954) 771-8000Acute Care Hospitals

Reviews for NATALIE GERZANICH

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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 1568911923, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 6 → 12 → 3 9 → 18 → 9 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 8 + 1 + 2 + 9 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1568911923.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
100 NW 170TH ST, SUITE 207
NORTH MIAMI BEACH, FL 33169
Obstetrics & Gynecology (Gynecology)
100 NW 170TH ST, #303
NORTH MIAMI BEACH, FL 33169
Internal Medicine (Gastroenterology)
100 NW 170TH ST, SUITE 410
NORTH MIAMI BEACH, FL 33169
Internal Medicine (Infectious Disease)
100 NW 170TH ST, STE 405
NORTH MIAMI BEACH, FL 33169
Internal Medicine (Pulmonary Disease)
100 NW 170TH ST, SUITE 102
NORTH MIAMI BEACH, FL 33169
Internal Medicine (Rheumatology)
100 NW 170TH ST, SUITE # 410
NORTH MIAMI BEACH, FL 33169
Internal Medicine (Cardiovascular Disease)
100 NW 170TH ST, STE 411
NORTH MIAMI BEACH, FL 33169
Specialist
100 NW 170TH ST, SUITE 302
NORTH MIAMI BEACH, FL 33169
Surgery
100 NW 170TH ST, WOUND CARE CLINIC SUITE 105
NORTH MIAMI BEACH, FL 33169
Family Medicine
100 NW 170TH ST, SUITE 405
NORTH MIAMI BEACH, FL 33169
Internal Medicine (Clinical Cardiac Electrophysiology)
100 NW 170TH ST, SUITE 401
NORTH MIAMI BEACH, FL 33169
Orthopaedic Surgery (Hand Surgery)
100 NW 170TH ST, SUITE 101
NORTH MIAMI BEACH, FL 33169
Internal Medicine (Infectious Disease)
100 NW 170TH ST, SUITE 405
NORTH MIAMI BEACH, FL 33169
Orthopaedic Surgery (Hand Surgery)
100 NW 170TH ST, SUITE 101
NORTH MIAMI BEACH, FL 33169
Non-Pharmacy Dispensing Site
100 NW 170TH ST
NORTH MIAMI BEACH, FL 33169
Family Medicine
100 NW 170TH ST, 301
NORTH MIAMI BEACH, FL 33169
Internal Medicine (Endocrinology, Diabetes & Metabolism)
100 NW 170TH ST, SUITE 101
NORTH MIAMI BEACH, FL 33169
Specialist
100 NW 170TH ST, SUITE 105
NORTH MIAMI BEACH, FL 33169
Physician Assistant (Medical)
100 NW 170TH ST, SUITE 301
NORTH MIAMI BEACH, FL 33169
Physician Assistant (Medical)
100 NW 170TH ST, SUITE 301
NORTH MIAMI BEACH, FL 33169

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568911923, enumerated as an "individual" on September 27, 2016.

The provider is located at 100 NW 170TH ST SUITE 301 NORTH MIAMI BEACH, FL 33169 and the phone number is (305) 651-3033.

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

The provider might be accepting Accepts: AmeriHealth Caritas Next, Oscar Health Maintenance. Please consult your insurance carrier or call the provider to verify.

Natalie Gerzanich is affiliated with: HOLY CROSS HOSPITAL.