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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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