Bethany Lynn Berghoffer, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9104980 Issued in FL

Practice address

2863 Alt 19
Palm Harbor, FL 34683-1926

Phone

(272) 781-5652

Fax

(727) 786-5416

NPI assigned

Mar 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Bethany Lynn Tippett Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edward G Mackay, MD and Associates, LLCGroup PAC ID 5193064467, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.52 of 100Reported as group

Quality

97.35

Promoting interoperability

100

Improvement activities

40

Cost

71.05

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHJACD/Endpoint/BHJACD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward G Mackay, MD and Associates, LLC

  • Vascular Surgery Physician
  • Palm Harbor, FL
  • NPI 1043774003
  Medicare reassignment Care Compare group
• Haven Emergency Physicians

  • Emergency Medicine Physician
  • Spring Hill, FL
  • NPI 1518916469
  NPD (past)
• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393
  NPD (past)
• Mid-Atlantic Critical Care Services,L.L.C.

  • Critical Care Medicine (Internal Medicine) Physician
  • Takoma Park, MD
  • NPI 1164455853
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295702371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831926",
            "telephone_number": "727-781-5652",
            "fax_number": "727-786-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831926",
            "telephone_number": "272-781-5652",
            "fax_number": "727-786-5416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 W Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337701924",
            "country_code": "US",
            "telephone_number": "727-581-8346",
            "fax_number": "727-581-8346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 Dr Martin Luther King Jr St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337025211",
            "country_code": "US",
            "telephone_number": "727-527-2888",
            "fax_number": "727-527-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGHOFFER",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110001819",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "TIPPETT",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PA C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Derrick M Benton, PHARMD
• Shawn David Benton, PTA
• Karen Berg
• Bruce Thomas Bergen, PTA
• Ira F Berger, D.D.S.
• Donald Jay Berglund, DDS
• Elaine Sandra Berman, EDD PSYCHOLOGIST
• Kathryn Carson Bernhardt, PA-C
• Jose Alberto Berrios, M.D.
• Best at Home Care LLC

• Medical Physician Assistant in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.