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Dr. Jack Dieterich Clifton

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jack Dieterich Clifton
Gender: M
Provider License Number If Given: 6156

NPI Information:

NPI: 1568597631
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 2/22/2007

Last Update Date: 7/8/2007

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 709
Stevenson, WA 98648
Phone Number: 5094278605
Fax Number: 5094275711

Provider Business Practice Location Address:

Address: 52 NW SECOND STREET
Stevenson, WA 98648
Phone Number: 5094278605
Fax Number: 5094275711

Provider Taxonomy:

Primary: 1223G0001X
Secondary (if any):
State: WA

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About Dr. Jack Dieterich Clifton

Dr. Jack Dieterich Clifton (DR. JACK DIETERICH CLIFTON ) is A Dentist Physician in Stevenson, WA. The NPI Number for Dr. Jack Dieterich Clifton is 1568597631.
The current location address for Dr. Jack Dieterich Clifton is 52 NW SECOND STREET Stevenson, WA 98648 and the contact number is 5094278605 and fax number is 5094275711. The mailing address for Dr. Jack Dieterich Clifton is PO BOX 709 Stevenson, WA 98648- 5094278605 (mailing address contact number - 5094278605).
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs:

What is the NPI Number for Dr. Jack Dieterich Clifton ?


Answer: The NPI Number for Dr. Jack Dieterich Clifton is 1568597631

Where is Dr. Jack Dieterich Clifton located?


Answer: Dr. Jack Dieterich Clifton is located at 52 NW SECOND STREET Stevenson, WA 98648.

What is the specialty for Dr. Jack Dieterich Clifton ?


Answer: The Specialty of Dr. Jack Dieterich Clifton is A Dentist Physician.

Are there any online reviews for Dr. Jack Dieterich Clifton ?


Answer: Yes! Check It Now.

Are there any other health care providers in Stevenson, WA?


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 Dentist
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 35
Number of Standardized 30-Day Fills 35
Aggregate Cost Paid for All Claims 170.26
Number of Day's Supply for All Claims 173
Number of Medicare Beneficiaries 20
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
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 34
Aggregate Cost Paid for Generic Drugs 167.88
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
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst #
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
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
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 23
Aggregate Cost Paid for Antibiotic Drugs 114.97
Antibiotic Claims 15
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 71.55
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 20
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 0.73465

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Dr. Bryce Allen Mccollum
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Dr. Jack Dieterich Clifton
General Practice Dentistry
NPI Number: 1568597631
Address: 52 NW SECOND STREET Stevenson, WA 98648 , Phone: 5094278605
Jack D Clifton, Dds, Ps
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Address: 375 NW GROPPER RD Stevenson, WA 98648 , Phone: 5415810691
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Address: 96 COLUMBIA AVE Stevenson, WA 98648 , Phone: 5094274246
Ms. Connie Ruth Clark
Nurse Practitioner
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Address: 710 SW ROCK CREEK DR Stevenson, WA 98648 , Phone: 5094273850
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Ms. Machelle M Dotson
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Address: 200 VANCOUVER AVE Stevenson, WA 98648 , Phone: 5094277379
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Physical Therapist
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Address: 683 SW ROCK CREEK DRIVE Stevenson, WA 98648 , Phone: 5094277100
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