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Dr. Ellen Jacobsen

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NPI Number Detailed Information

Provider Information:

Name: Dr. Ellen Jacobsen
Gender: F
Provider License Number If Given: 36099003

NPI Information:

NPI: 1821092891
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/8/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 407 W SPRINGFIELD AVE
Urbana, IL 61801
Phone Number: 2173677546
Fax Number: 2173672240

Provider Business Practice Location Address:

Address: 407 W SPRINGFIELD AVE
Urbana, IL 61801
Phone Number: 2173677546
Fax Number: 2173672240

Provider Taxonomy:

Primary: 174400000X
Secondary (if any):
State: IL

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About Dr. Ellen Jacobsen

Dr. Ellen Jacobsen (DR. ELLEN JACOBSEN ) is An Specialist Physician in Urbana, IL. The NPI Number for Dr. Ellen Jacobsen is 1821092891.
The current location address for Dr. Ellen Jacobsen is 407 W SPRINGFIELD AVE Urbana, IL 61801 and the contact number is 2173677546 and fax number is 2173672240. The mailing address for Dr. Ellen Jacobsen is 407 W SPRINGFIELD AVE Urbana, IL 61801- 2173677546 (mailing address contact number - 2173677546).
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Ellen Jacobsen ?


Answer: The NPI Number for Dr. Ellen Jacobsen is 1821092891

Where is Dr. Ellen Jacobsen located?


Answer: Dr. Ellen Jacobsen is located at 407 W SPRINGFIELD AVE Urbana, IL 61801.

What is the specialty for Dr. Ellen Jacobsen ?


Answer: The Specialty of Dr. Ellen Jacobsen is An Specialist Physician.

Are there any online reviews for Dr. Ellen Jacobsen ?


Answer: Not yet!

Are there any other health care providers in Urbana, IL?


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 Dr. Ellen Jacobsen

Number of HCPCS 53
Number of Medicare Beneficiaries 267
Number of Services 6105
Total Submitted Charge Amount 173021.14
Total Medicare Allowed Amount 147543.14
Total Medicare Payment Amount 113111.08
Total Medicare Standardized Payment Amount 116683.43
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 2
Number of Medicare Beneficiaries With Drug Services 19
Number of Drug Services 3811
Total Drug Submitted Charge Amount 5863.75
Total Drug Medicare Allowed Amount 5806.97
Total Drug Medicare Payment Amount 4645.56
Total Drug Medicare Standardized Payment Amount 4552.65
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 51
Number of Medicare Beneficiaries With Medical 267
Number of Medical Services 2294
Total Medical Submitted Charge Amount 167157.39
Total Medical Medicare Allowed Amount 141736.17
Total Medical Medicare Payment Amount 108465.52
Total Medical Medicare Standardized Payment Amount 112130.78
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 124
Number of Beneficiaries Age 75 to 84 87
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 179
Number of Male Beneficiaries 88
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 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure 0.14
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.2
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.04
Percent (%) of Beneficiaries Identified With Depression 0.13
Percent (%) of Beneficiaries Identified With Diabetes 0.16
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.64
Percent (%) of Beneficiaries Identified With Hypertension 0.63
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.22
Percent (%) of Beneficiaries Identified With Osteoporosis 0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 0.8676

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 Dermatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 768
Number of Standardized 30-Day Fills 850.66666667
Aggregate Cost Paid for All Claims 29763.71
Number of Day's Supply for All Claims 20071
Number of Medicare Beneficiaries 299
Number of Claims, Including Refills, for Beneficiaries Age 65+ 768
Including Refills, for Beneficiaries Age 65+ 850.66666667
Beneficiaries Age 65+ 29763.71
Number of Day's Supply for All Claims for Beneficaries Age 65+ 20071
Number of Medicare Beneficiaries Age 65+ 299
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 93
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 675
Aggregate Cost Paid for Generic Drugs 20723.21
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 462
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 17121.04
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 306
Aggregate Cost Paid for Claims Filled by 12642.67
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
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 39
Aggregate Cost Paid for Antibiotic Drugs 552.65
Antibiotic Claims 21
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 76.79264214
Number of Beneficiaries Age Less Than 65 0
Number of Beneficiaries Age 65 to 74 135
Number of Beneficiaries Age 75 to 84 106
Number of Female Beneficiaries 199
Number of Male Beneficiaries 100
Number of Non-Hispanic White 284
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 0.8966438353

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Dr. Ellen Jacobsen in Other Directories

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