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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
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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Address: 907 N LINCOLN AVE Urbana, IL 61801 , Phone: 2173678421
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Address: 602 W UNIVERSITY AVE Urbana, IL 61801 , Phone: 2173833311
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Address: 611 W PARK ST Urbana, IL 61801 , Phone: 3096249856
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Address: 602 W UNIVERSITY AVE Urbana, IL 61801 , Phone: 2173833303
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Address: 602 W. UNIVERSITY AVENUE NEPHROLOGY Urbana, IL 61801 , Phone: 2173833605
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Address: 611 W PARK ST Urbana, IL 61801 , Phone: 2173833610
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Address: 611 W PARK ST Urbana, IL 61801 , Phone: 2173833610
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Address: 602 W UNIVERSITY AVE Urbana, IL 61801 , Phone: 2173374111
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Address: 602 W UNIVERSITY AVE Urbana, IL 61801 , Phone: 2173374111
Christopher K Bodine
Cardiovascular Disease Physician
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Address: 602 W. UNIVERSITY AVENUE CARDIOLOGY Urbana, IL 61801 , Phone: 2173833210
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Address: 602 W. UNIVERSITY AVENUE CARDIOLOGY Urbana, IL 61801 , Phone: 2173833210
Michael Colla
Vascular Surgery Physician
NPI Number: 1457382913
Address: 602 W UNIVERSITY AVE Urbana, IL 61801 , Phone: 2173833311
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NPI Number: 1457382913
Address: 602 W UNIVERSITY AVE Urbana, IL 61801 , Phone: 2173833311
Ms. Cindy Renee Sundeen
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NPI Number: 1144252891
Address: 1405 W PARK ST STE A Urbana, IL 61801 , Phone: 2173374310
Psychiatric/Mental Health Nurse Practitioner
NPI Number: 1144252891
Address: 1405 W PARK ST STE A Urbana, IL 61801 , Phone: 2173374310
Dr. Jennifer T Behrens
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Address: 611 W PARK ST Urbana, IL 61801 , Phone: 2173833313
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NPI Number: 1992737563
Address: 611 W PARK ST Urbana, IL 61801 , Phone: 2173833313
Noleen V Kala
Internal Medicine Physician
NPI Number: 1578596276
Address: 1818 E. WINDSOR ROAD ADULT MEDICINE/GERIATRICS Urbana, IL 61802 , Phone: 2172559700
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NPI Number: 1578596276
Address: 1818 E. WINDSOR ROAD ADULT MEDICINE/GERIATRICS Urbana, IL 61802 , Phone: 2172559700
Barbara Kammer
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NPI Number: 1558394155
Address: 602 W UNIVERSITY AVE Urbana, IL 61801 , Phone: 2173833311
Diagnostic Ultrasound Physician
NPI Number: 1558394155
Address: 602 W UNIVERSITY AVE Urbana, IL 61801 , Phone: 2173833311
Delbert Craig Klump
Anesthesiology Physician
NPI Number: 1073546461
Address: 602 W UNIVERSITY AVE Urbana, IL 61801 , Phone: 2173833311
Anesthesiology Physician
NPI Number: 1073546461
Address: 602 W UNIVERSITY AVE Urbana, IL 61801 , Phone: 2173833311
Dr. Ellen Jacobsen in Other Directories
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