Individual provider Active NPI

Margaret R Boerio IV, DO

  • Psychiatry Physician
  • Ligonier, PA
National Provider Identifier
1336184035
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS006033L Issued in PA
Practice address
117 Juniper LN
Ligonier, PA 15658-9727
Phone
(724) 238-0355
Fax
(724) 238-0352
NPI assigned
Jun 17, 2006
Last updated
Aug 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS006033L PA Primary

Addresses

Primary practice location

117 Juniper LN
Ligonier, PA 15658-9727

Mailing address

117 Juniper LN
Ligonier, PA 15658-9727
Phone (724) 238-0355

Other identifiers 1

IdentifierTypeStateIssuer
013978805MedicaidPA

Other names 1

  • Margaret R Androkites Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930000953 PA Practitioner - Psychiatry 8123447844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forge Medical Group, LLCGroup PAC ID 5597163949, 35 clinicians

Practice addresses (Care Compare)

40 Huff Ave Ext
Greensburg, PA 15601-5484
Phone (724) 836-3960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Medical Group, LLC Psychiatry CurrentSince May 17, 2023 Accepting new patients
Forge Medical Group, LLC Psychiatry CurrentSince May 17, 2023 Accepting new patients

Locations

10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312

40 Huff Avenue Ext
Greensburg, PA 15601
Phone (724) 836-3960

Interoperability endpoints

  • Direct secure messaging: mboerio@direct.excelahealth.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1336184035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 JUNIPER LN",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156589727",
            "telephone_number": "724-238-0355",
            "fax_number": "724-238-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 JUNIPER LN",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156589727",
            "telephone_number": "724-238-0355",
            "fax_number": "724-238-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERIO",
        "first_name": "MARGARET",
        "middle_name": "R",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS006033L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013978805",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "ANDROKITES",
            "middle_name": "R",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ligonier, PA

Sources for this page

Verify at the official NPI Registry.