Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mackenzie Boedicker

Individual provider Medical Physician Assistant · NPI 1114608940

Mackenzie Boedicker is a Physician Assistant in Boston, Massachusetts. Qualified in 2024, 2 years ago. Practices with Dana-Farber Cancer Institute, Inc, a 668-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2023
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Practice location Address checks out

450 Brookline Ave
Boston, MA 02215
Phone: (877) 442-3324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA101074 (MA)

Record details

NPI number1114608940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESOctober 31, 2024
Certification dateOctober 25, 2024
Mailing address450 Brookline Avenue, Boston, MA 02215

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Dana-Farber Cancer Institute, Inc. — 668 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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