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Derek Carl Carlson

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NPI Number Detailed Information

Provider Information:

Name: Derek Carl Carlson
Gender: M
Provider License Number If Given: 4301106248

NPI Information:

NPI: 1790775450
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/25/2005

Last Update Date: 11/23/2020

Reputation Report:

Provider Business Mailing Address:

Address: 301 E SAINT JOSEPH ST
Green Bay, WI 54301
Phone Number: 9204333630
Fax Number:

Provider Business Practice Location Address:

Address: 301 E SAINT JOSEPH ST
Green Bay, WI 54301
Phone Number: 9204333630
Fax Number:

Provider Taxonomy:

Primary: 2084P0804X
Secondary (if any): 2084P0804X
State: WI

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About Derek Carl Carlson

Derek Carl Carlson ( DEREK CARL CARLSON ) is Child Psychiatry & Neurology Physician in Green Bay, WI. The NPI Number for Derek Carl Carlson is 1790775450.
The current location address for Derek Carl Carlson is 301 E SAINT JOSEPH ST Green Bay, WI 54301 and the contact number is 9204333630 and fax number is . The mailing address for Derek Carl Carlson is 301 E SAINT JOSEPH ST Green Bay, WI 54301- 9204333630 (mailing address contact number - 9204333630).
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider Business Location on Map

FAQs:

What is the NPI Number for Derek Carl Carlson ?


Answer: The NPI Number for Derek Carl Carlson is 1790775450

Where is Derek Carl Carlson located?


Answer: Derek Carl Carlson is located at 301 E SAINT JOSEPH ST Green Bay, WI 54301.

What is the specialty for Derek Carl Carlson ?


Answer: The Specialty of Derek Carl Carlson is Child Psychiatry & Neurology Physician.

Are there any online reviews for Derek Carl Carlson ?


Answer: Yes! Check It Now.

Are there any other health care providers in Green Bay, WI?


Answer: Yes, there are given below...

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 Psychiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 723
Number of Standardized 30-Day Fills 1051.2666667
Aggregate Cost Paid for All Claims 87613.68
Number of Day's Supply for All Claims 31110
Number of Medicare Beneficiaries 180
Number of Claims, Including Refills, for Beneficiaries Age 65+ 93
Including Refills, for Beneficiaries Age 65+ 173.66666667
Beneficiaries Age 65+ 3884.39
Number of Day's Supply for All Claims for Beneficaries Age 65+ 5107
Number of Medicare Beneficiaries Age 65+ 56
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 90
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 633
Aggregate Cost Paid for Generic Drugs 22919.08
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 363
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 42877.48
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 360
Aggregate Cost Paid for Claims Filled by 44736.2
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 605
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 82765.04
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 118
by Low-Income Subsidy 4848.64
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
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
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
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 54.522222222
Number of Beneficiaries Age Less Than 65 124
Number of Beneficiaries Age 65 to 74 41
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 116
Number of Male Beneficiaries 64
Number of Non-Hispanic White 162
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 74
Average Hierarchical Condition Category 1.3083717593

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