Olga L Borisovsky, PHD

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-003275 Issued in IL

Practice address

1620 W Harrison Street, Chicago Il
T12438W
Chicago, IL 60612-3841

Phone

(312) 947-3272

NPI assigned

Aug 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Associates in Psychiatric Wellness LPGroup PAC ID 4688777428, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

24.56 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.85

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Philosophy

State licenses

Practice roles

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.

• Associates in Psychiatric Wellness, LP

  • Psychiatry Physician
  • Skokie, IL
  • NPI 1629181243
  Care Compare group
• Rush University Medical Center

  dba University Neurologists

  • Neurology Physician
  • Chicago, IL
  • NPI 1700872355
  NPD (past)

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1619123171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W HARRISON STREET",
            "address_2": "T12438W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-947-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W HARRISON STREET, CHICAGO IL",
            "address_2": "T12438W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-947-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORISOVSKY",
        "first_name": "OLGA",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-003275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "085-003275",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Connor Borick
• Kelcie Boring, ALMFT
• Kathryn Trent Borio, MS CCC SLP
• Abigail Boris, PA-C
• Anna Borisova, MD
• Daniel Borja Cacho, MD
• Jovan Borjan, PHARMD
• Gil Borjas
• Nicole Borjon, RN, BSN
• Jeffrey L. Bork, M.D.

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.