JACQUELINE BERKOVSKY PA
NPI 1902400153
Physician Assistant - Surgical in Boynton Beach, FL
NPI Status: Active since November 29, 2020
Contact Information
9868 S STATE ROAD 7 STE 330
BOYNTON BEACH, FL
ZIP 33472
Phone: (561) 880-8866
- Individual
- Female
- Physician Assistant
- Surgical
- Opted-Out Medicare
About JACQUELINE BERKOVSKY
This page provides the complete NPI Profile along with additional information for Jacqueline Berkovsky, a provider established in Boynton Beach, Florida with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1902400153 assigned on November 2020. The practitioner's primary taxonomy code is 363AS0400X with license number PA9117616 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1902400153
- Provider Name
- JACQUELINE BERKOVSKY PA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9868 S STATE ROAD 7 STE 330 BOYNTON BEACH, FL 33472
- Location Phone
- (561) 880-8866
- Mailing Address
- 9205 MOUNTAIN PINE GRV BOYNTON BEACH, FL 33473
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-29-2020
- Last Update Date
- 12-05-2023
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jacqueline Berkovsky opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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 Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA9117616
- License State
- FL
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
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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 1902400153, 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 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.
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 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902400153, enumerated as an "individual" on November 29, 2020.
The provider is located at 9868 S STATE ROAD 7 STE 330 BOYNTON BEACH, FL 33472 and the phone number is (561) 880-8866.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
