MACKENZIE TARA GOERTZ PHD
NPI 1871273052
Psychologist - Health in Milwaukee, WI

NPI Status: Active since July 21, 2023

Contact Information

9200 W WISCONSIN AVENUE
PSYCHIATRY AND PSYCHOLOGY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-3666
Fax: (414) 955-6285

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  • Individual
  • Female
  • Years of Experience 4
  • Psychologist
  • Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MACKENZIE GOERTZ

This page provides the complete NPI Profile along with additional information for Mackenzie Goertz, a provider established in Milwaukee, Wisconsin with a medical specialization in Psychologist, focusing in health and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1871273052 assigned on July 2023. The practitioner's primary taxonomy code is 103TH0004X with license number 508757 (WI). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1871273052
Provider Name
MACKENZIE TARA GOERTZ PHD
Gender
Female
Entity Type
Individual
Location Address
9200 W WISCONSIN AVENUE PSYCHIATRY AND PSYCHOLOGY MILWAUKEE, WI 53226
Location Phone
(414) 805-3666
Location Fax
(414) 955-6285
Mailing Address
9200 W WISCONSIN AVENUE PSYCHIATRY AND PSYCHOLOGY MILWAUKEE, WI 53226
Mailing Phone
(414) 805-3666
Mailing Fax
(414) 955-6285
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
07-21-2023
Last Update Date
09-05-2023
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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

Psychologist Health

Taxonomy Code
103TH0004X
Type
Behavioral Health & Social Service Providers
License No.
508757
License State
WI
Taxonomy Description
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

Insurance Plans Accepted

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

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 10000 - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catastrophic 10600 with 3 free PCP visits - HMO
  • HMO Gold 2000 - HMO
  • HMO Gold 2700 - HMO
  • HMO HDHP Silver 5900 - HMO
  • HMO Silver 6000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • POS Bronze 8500 - POS
  • POS Silver 6000 - POS
  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Standard - EPO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Silver Share - EPO
  • Essentia Choice Care with Medica Silver Standard - EPO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Prestige Bronze $0 Medical Deductible - HMO
  • Prestige Bronze $0 Medical Deductible + Dental + Vision - HMO
  • Prestige Bronze $0 Medical Deductible + Dental +Vision - HMO
  • Prestige Bronze Essential + 3 Free PCP Visits - HMO
  • Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Bronze Plus - HMO
  • Prestige Gold - HMO
  • Prestige Gold 50 + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit - HMO
  • Prestige Gold Essential + 3Free PCP Visits - HMO
  • Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Silver - HMO
  • Prestige Silver Essential + 3 Free PCP Visits - HMO
  • Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO

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

Medicare Participation & PECOS Enrollment Status

Mackenzie Goertz 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 Goertz 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 and Durable Medical Equipment (DME).

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: 7719331693

    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: I20230926002913

    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): No

  • Eligible to Order or Refer Power Mobility Devices: No

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 Goertz is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
FROEDTERT MEMORIAL LUTHERAN HOSPITAL9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
(414) 805-3000Acute 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 1871273052, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
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 7 → 14 → 5 2 → 4 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 4 + 7 + 6 + 0 + 1 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1871273052.

Other Providers at the Same Location


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

Pharmacist
9200 W WISCONSIN AVENUE
MILWAUKEE, WI 53226
Physical Medicine & Rehabilitation (Spinal Cord Injury Medicine)
9200 W WISCONSIN AVENUE, DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION
MILWAUKEE, WI 53226
Surgery (Surgical Oncology)
9200 W WISCONSIN AVENUE, SURGICAL ONCOLOGY
MILWAUKEE, WI 53226
Plastic Surgery
9200 W WISCONSIN AVENUE, PLASTIC SURGERY
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVENUE
MILWAUKEE, WI 53226
Anesthesiologist Assistant
9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY
MILWAUKEE, WI 53226
Nurse Practitioner (Acute Care)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Anesthesiologist Assistant
9200 W WISCONSIN AVENUE, DEPARTMENT OF ANTHESIOLOGY
MILWAUKEE, WI 53226
Internal Medicine (Infectious Disease)
9200 W WISCONSIN AVENUE, INFECTIOUS DISEASES
MILWAUKEE, WI 53226
Urology
9200 W WISCONSIN AVENUE, DEPARTMENT OF UROLOGY
MILWAUKEE, WI 53226
Anesthesiology
9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY
MILWAUKEE, WI 53226
Anesthesiology
9200 W WISCONSIN AVENUE, DEPT OF ANESTHESIOLOGY
MILWAUKEE, WI 53226
Anesthesiologist Assistant
9200 W WISCONSIN AVENUE, DEPT OF ANTHESIOLOGY
MILWAUKEE, WI 53226
Internal Medicine (Nephrology)
9200 W WISCONSIN AVENUE, DIVISION OF NEPHROLOGY
MILWAUKEE, WI 53226
Anesthesiology
9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY
MILWAUKEE, WI 53226
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Surgery (Surgical Critical Care)
9200 W WISCONSIN AVENUE, TRAUMA SURGERY
MILWAUKEE, WI 53226
Pathology (Anatomic Pathology & Clinical Pathology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF PATHOLOGY
MILWAUKEE, WI 53226
Psychiatry & Neurology (Neurology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF NEUROLOGY
MILWAUKEE, WI 53226
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9200 W WISCONSIN AVENUE, DIVISION OF ENDOCRINOLOGY
MILWAUKEE, WI 53226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871273052, enumerated as an "individual" on July 21, 2023.

The provider is located at 9200 W WISCONSIN AVENUE PSYCHIATRY AND PSYCHOLOGY MILWAUKEE, WI 53226 and the phone number is (414) 805-3666.

Psychologist with taxonomy code 103TH0004X and a focus in Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.

Mackenzie Goertz is affiliated with: FROEDTERT MEMORIAL LUTHERAN HOSPITAL.