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Carol Lynn Black

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NPI Number Detailed Information

Provider Information:

Name: Carol Lynn Black
Gender: F
Provider License Number If Given: 67047

NPI Information:

NPI: 1013427129
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 10/3/2017
Last Update Date: 12/19/2022

Provider Business Mailing Address:

Address: 610 E 24TH ST
Tishomingo, OK 73460
Phone Number: 5803712343
Fax Number: 5803713614

Provider Business Practice Location Address:

Address: 107 E POST AVE
Coalgate, OK 74538
Phone Number: 5809272828
Fax Number: 5809279876

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any): 363LF0000X
State: OK

Top Doctors in OK

 

About Carol Lynn Black

Carol Lynn Black ( CAROL LYNN BLACK ) is Definition Nurse Practitioner Physician in Coalgate, OK. The NPI Number for Carol Lynn Black is 1013427129.
The current location address for Carol Lynn Black is 107 E POST AVE Coalgate, OK 74538 and the contact number is 5803712343 and fax number is 5803713614. The mailing address for Carol Lynn Black is 610 E 24TH ST Tishomingo, OK 73460- 5809272828 (mailing address contact number - 5803712343).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Carol Lynn Black ?


Answer: The NPI Number for Carol Lynn Black is 1013427129

Where is Carol Lynn Black located?


Answer: Carol Lynn Black is located at 107 E POST AVE Coalgate, OK 74538.

What is the specialty for Carol Lynn Black ?


Answer: The Specialty of Carol Lynn Black is Definition Nurse Practitioner Physician.

Are there any online reviews for Carol Lynn Black ?


Answer: Not yet!

Are there any other health care providers in Coalgate, OK?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Carol Lynn Black

Number of HCPCS 42
Number of Medicare Beneficiaries 133
Number of Services 337
Total Submitted Charge Amount 16331.16
Total Medicare Allowed Amount 5420.08
Total Medicare Payment Amount 4476.74
Total Medicare Standardized Payment Amount 4835.34
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 67
Number of Beneficiaries Age 75 to 84 35
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 90
Number of Male Beneficiaries 43
Number of Non-Hispanic White Beneficiaries 119
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 41
Number of Beneficiaries With Medicare Only Entitlement 92
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.11
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.29
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.19
Percent (%) of Beneficiaries Identified With Depression 0.3
Percent (%) of Beneficiaries Identified With Diabetes 0.38
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.53
Percent (%) of Beneficiaries Identified With Hypertension 0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.39
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.44
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.0987

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1893
Number of Standardized 30-Day Fills 2943.1333333
Aggregate Cost Paid for All Claims 119924.25
Number of Day's Supply for All Claims 83533
Number of Medicare Beneficiaries 247
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1077
Including Refills, for Beneficiaries Age 65+ 1813
Beneficiaries Age 65+ 39064.66
Number of Day's Supply for All Claims for Beneficaries Age 65+ 51127
Number of Medicare Beneficiaries Age 65+ 180
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst #
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1663
Aggregate Cost Paid for Generic Drugs 27433.02
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 732
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 49925.61
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1161
Aggregate Cost Paid for Claims Filled by 69998.64
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1259
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 99273.38
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 634
by Low-Income Subsidy 20650.87
Total Claims of Opioid Drugs, Including 59
Aggregate Cost Paid for Opioid Drugs 995.4
Opioid Claims 20
Opioid_Tot_Clms divided by the Tot_Clms 3.116745906
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 100
Aggregate Cost Paid for Antibiotic Drugs 1127.54
Antibiotic Claims 84
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 68.777327935
Number of Beneficiaries Age Less Than 65 67
Number of Beneficiaries Age 65 to 74 101
Number of Beneficiaries Age 75 to 84 61
Number of Female Beneficiaries 172
Number of Male Beneficiaries 75
Number of Non-Hispanic White 234
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 122
Average Hierarchical Condition Category 1.2847204504

More Providers in Coalgate , OK

Richard J Helton
Family Medicine Physician
NPI Number: 1972545820
Address: 108 W OHIO Coalgate, OK 74538 , Phone: 5809272334
Ms. Ruth Elaine Fereday
Physician Assistant
NPI Number: 1336253731
Address: 108 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272334
Palace Drug Of Coalgate Llc
Long Term Care Pharmacy
NPI Number: 1780767731
Address: 104 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272064
Coalgate Dental Clinic Pc
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NPI Number: 1972679074
Address: 405 W CLAY Coalgate, OK 74538 , Phone: 5809272331
Coal County General Hospital
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NPI Number: 1750459756
Address: 6 N COVINGTON ST Coalgate, OK 74538 , Phone: 5809272327
Coalgate Public School
Local Education Agency (LEA)
NPI Number: 1578603577
Address: 3 WEST CEDAR Coalgate, OK 74538 , Phone: 5809272338
Mr. Stephen John Penney
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NPI Number: 1609093848
Address: 6 N COVINGTON ST Coalgate, OK 74538 , Phone: 5809272327
Mrs. Tracy Mowdy Penney
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NPI Number: 1447478763
Address: COAL COUNTY GENERAL HOSPITAL, PT DEPT 6 NORTH COVINGTON Coalgate, OK 74538 , Phone: 5809272327
Mrs. Regina Baker
Lodging Provider
NPI Number: 1982825758
Address: 205 W CEDAR Coalgate, OK 74538 , Phone: 5809279946
Dr. Michael Dell Hendrix
Family Medicine Physician
NPI Number: 1447471255
Address: 107 E POST AVE Coalgate, OK 74538 , Phone: 5809272828
Dr. Lena Renee Craig
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NPI Number: 1750584132
Address: 405 W CLAY AVE Coalgate, OK 74538 , Phone: 5809272331
Richard J Helton
Family Medicine Physician
NPI Number: 1700063229
Address: 108 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272334
Helton Rural Health Clinic
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NPI Number: 1720265945
Address: 108 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272334
Coal County General Hospital
Medicare Defined Swing Bed Hospital Unit
NPI Number: 1730357922
Address: 6 N COVINGTON ST Coalgate, OK 74538 , Phone: 5809272327
Richard J Helton
Family Medicine Physician
NPI Number: 1326216839
Address: 108 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272334
Pennington Creek Life House
Community/Behavioral Health Agency
NPI Number: 1922246115
Address: 8 S MICHIGAN ST STE B Coalgate, OK 74538 , Phone: 5803104164
Jackie Leann Horton
Mental Health Counselor
NPI Number: 1407175185
Address: RR 4 BOX 854 Coalgate, OK 74538 , Phone: 5803995398
Family Health Center Of Southern Oklahoma Inc
Federally Qualified Health Center (FQHC)
NPI Number: 1174830665
Address: 107 E POST AVE Coalgate, OK 74538 , Phone: 5809272828
Penney Rehab And Wellness Center, Llc
Physical Therapy Clinic/Center
NPI Number: 1497006456
Address: 1004 S BROADWAY ST Coalgate, OK 74538 , Phone: 5809279121
Carol Yeager Hargis
Rehabilitation Practitioner
NPI Number: 1962746214
Address: RR 4 BOX 1107 Coalgate, OK 74538 , Phone: 9404475732
Quinton Ty Bohannon
Medical Physician Assistant
NPI Number: 1003154725
Address: 108 W OHIO AVE Coalgate, OK 74538 , Phone: 5809272334
Jurean Rena Cook
Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Number: 1194162362
Address: 101 E FAIR BARN RD STE B Coalgate, OK 74538 , Phone: 5809272044
Kevin Milam
Radiography Radiologic Technologist
NPI Number: 1295173698
Address: 806 S HARVEY ST Coalgate, OK 74538 , Phone: 5802588772
New Horizon Homecare, Llc
Home Health Agency
NPI Number: 1104257534
Address: 1 N ARNO ST Coalgate, OK 74538 , Phone: 5809272327
Madisyn Romano
Case Manager/Care Coordinator
NPI Number: 1437579729
Address: 13 LEVY ANX Coalgate, OK 74538 , Phone: 5807752315
Xyz Medical Llc
Clinical Medical Laboratory
NPI Number: 1457769473
Address: 104 W OHIO AVE STE 200 Coalgate, OK 74538 , Phone: 9184237191
Jackie Horton Llc
Mental Health Counselor
NPI Number: 1154702256
Address: RR 4 BOX 854 Coalgate, OK 74538 , Phone: 5803995398
Justin Farris
Counselor
NPI Number: 1063896116
Address: 404 W CEDAR AVE Coalgate, OK 74538 , Phone: 5809270502
Kayley Ybarra
Counselor
NPI Number: 1174986814
Address: 6 E LAFAYETTE AVE Coalgate, OK 74538 , Phone: 5809273168
New Horizons Treatment Services Llc
Case Management Agency
NPI Number: 1881138857
Address: 6 E LAFAYETTE AVE STE A Coalgate, OK 74538 , Phone: 5809273168
Jenna Kennison
Behavior Technician
NPI Number: 1932646353
Address: RR 4 BOX 2000 Coalgate, OK 74538 , Phone: 5805793291
Mrs. Cathy Louise Edwards
Case Manager/Care Coordinator
NPI Number: 1790223584
Address: 6 E LAFAYETTE AVE Coalgate, OK 74538 , Phone: 5802581967
Matt Calvert
Case Manager/Care Coordinator
NPI Number: 1235663279
Address: 16351 US HIGHWAY 75 Coalgate, OK 74538 , Phone: 5809275155
Tabitha Nave
Family Nurse Practitioner
NPI Number: 1376068460
Address: 107 E POST AVE Coalgate, OK 74538 , Phone: 5809272828
Carol Lynn Black
Family Nurse Practitioner
NPI Number: 1013427129
Address: 107 E POST AVE Coalgate, OK 74538 , Phone: 5809272828
Joy Gibson
Counselor
NPI Number: 1275036766
Address: 107 E POST AVE Coalgate, OK 74538 , Phone: 5809272828
Beau Hopkins
Case Manager/Care Coordinator
NPI Number: 1447732003
Address: 5 S BYRD ST Coalgate, OK 74538 , Phone: 6825647297
Jamie Niccole Smith
Case Manager/Care Coordinator
NPI Number: 1609359181
Address: 709 S ARNO ST Coalgate, OK 74538 , Phone: 4053132342
Clayton Ray Griffith
Case Manager/Care Coordinator
NPI Number: 1437724838
Address: 605 S ADA ST Coalgate, OK 74538 , Phone: 5802588373
Tina Hull
Case Manager/Care Coordinator
NPI Number: 1326707324
Address: 303 N NEWELL ST Coalgate, OK 74538 , Phone: 5802972372
Billy Ray Wilson SR.
Case Manager/Care Coordinator
NPI Number: 1215684832
Address: 902 W BLAIR AVE Coalgate, OK 74538 , Phone: 5809275588
Bailey Rose Crites
Case Manager/Care Coordinator
NPI Number: 1174256077
Address: 16493 COUNTY ROAD 3830 Coalgate, OK 74538 , Phone: 5809276620
City Of Coalgate
Basic Emergency Medical Technician
NPI Number: 1730182908
Address: 3 S MAIN ST Coalgate, OK 74538 , Phone: 5809273913
Coal County General Hospital
Critical Access Hospital
NPI Number: 1629077227
Address: 6 N COVINGTON ST Coalgate, OK 74538 , Phone: 5809272327
Coal County Extended Care Incorporated
Skilled Nursing Facility
NPI Number: 1639178130
Address: 7 N COVINGTON ST Coalgate, OK 74538 , Phone: 5809272000

Carol Lynn Black in Other Directories

Provider don't have other directory link yet.