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Mr. Charles Edward Self

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NPI Number Detailed Information

Provider Information:

Name: Mr. Charles Edward Self
Gender: M
Provider License Number If Given: PA.A10425.RX

NPI Information:

NPI: 1497741995
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/21/2005

Last Update Date: 7/9/2007

Provider Business Mailing Address:

Address: 1611 GERMANTOWN RD
Minden, LA 71055
Phone Number: 3184696331
Fax Number: 3183772324

Provider Business Practice Location Address:

Address: 1111 HOMER RD
Minden, LA 71055
Phone Number: 3183777500
Fax Number: 3183772324

Provider Taxonomy:

Primary: 363AM0700X
Secondary (if any):
State: LA

Top Doctors in LA

 

About Mr. Charles Edward Self

Mr. Charles Edward Self (MR. CHARLES EDWARD SELF ) is Definition Physician Assistant Physician in Minden, LA. The NPI Number for Mr. Charles Edward Self is 1497741995.
The current location address for Mr. Charles Edward Self is 1111 HOMER RD Minden, LA 71055 and the contact number is 3184696331 and fax number is 3183772324. The mailing address for Mr. Charles Edward Self is 1611 GERMANTOWN RD Minden, LA 71055- 3183777500 (mailing address contact number - 3184696331).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Charles Edward Self ?


Answer: The NPI Number for Mr. Charles Edward Self is 1497741995

Where is Mr. Charles Edward Self located?


Answer: Mr. Charles Edward Self is located at 1111 HOMER RD Minden, LA 71055.

What is the specialty for Mr. Charles Edward Self ?


Answer: The Specialty of Mr. Charles Edward Self is Definition Physician Assistant Physician.

Are there any online reviews for Mr. Charles Edward Self ?


Answer: Not yet!

Are there any other health care providers in Minden, LA?


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 Mr. Charles Edward Self

Number of HCPCS 8
Number of Medicare Beneficiaries 17
Number of Services 28
Total Submitted Charge Amount 2170
Total Medicare Allowed Amount 1400.2
Total Medicare Payment Amount 421.42
Total Medicare Standardized Payment Amount 475.64
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 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.65
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.654

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 Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 451
Number of Standardized 30-Day Fills 451
Aggregate Cost Paid for All Claims 4552.25
Number of Day's Supply for All Claims 3264
Number of Medicare Beneficiaries 185
Number of Claims, Including Refills, for Beneficiaries Age 65+ 419
Including Refills, for Beneficiaries Age 65+ 419
Beneficiaries Age 65+ 4297.26
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3039
Number of Medicare Beneficiaries Age 65+ 174
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 443
Aggregate Cost Paid for Generic Drugs 4284.14
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 120
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 1232.16
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 331
Aggregate Cost Paid for Claims Filled by 3320.09
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 48
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 332.42
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 403
by Low-Income Subsidy 4219.83
Total Claims of Opioid Drugs, Including 28
Aggregate Cost Paid for Opioid Drugs 183.29
Opioid Claims 26
Opioid_Tot_Clms divided by the Tot_Clms 6.2084257206
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 147
Aggregate Cost Paid for Antibiotic Drugs 1426.17
Antibiotic Claims 130
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 72.956756757
Number of Beneficiaries Age Less Than 65 11
Number of Beneficiaries Age 65 to 74 105
Number of Beneficiaries Age 75 to 84 50
Number of Female Beneficiaries 118
Number of Male Beneficiaries 67
Number of Non-Hispanic White 162
Number of Black or African American 17
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 169
Average Hierarchical Condition Category 0.9061902188

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Mr. Charles Edward Self in Other Directories

Provider don't have other directory link yet.