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Dr. Jacqueline R Sly

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jacqueline R Sly
Gender: F
Provider License Number If Given: RN189769

NPI Information:

NPI: 1912284316
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 11/14/2011

Last Update Date: 12/5/2022

Provider Business Mailing Address:

Address: 110 LIBERTY ST
Brockton, MA 02301
Phone Number: 5088940400
Fax Number: 5088940356

Provider Business Practice Location Address:

Address: 110 LIBERTY ST
Brockton, MA 02301
Phone Number: 5088940400
Fax Number: 5088940356

Provider Taxonomy:

Primary: 364SF0001X
Secondary (if any): 363LF0000X
State: MA

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About Dr. Jacqueline R Sly

Dr. Jacqueline R Sly (DR. JACQUELINE R SLY ) is Definition Clinical Nurse Specialist Physician in Brockton, MA. The NPI Number for Dr. Jacqueline R Sly is 1912284316.
The current location address for Dr. Jacqueline R Sly is 110 LIBERTY ST Brockton, MA 02301 and the contact number is 5088940400 and fax number is 5088940356. The mailing address for Dr. Jacqueline R Sly is 110 LIBERTY ST Brockton, MA 02301- 5088940400 (mailing address contact number - 5088940400).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jacqueline R Sly ?


Answer: The NPI Number for Dr. Jacqueline R Sly is 1912284316

Where is Dr. Jacqueline R Sly located?


Answer: Dr. Jacqueline R Sly is located at 110 LIBERTY ST Brockton, MA 02301.

What is the specialty for Dr. Jacqueline R Sly ?


Answer: The Specialty of Dr. Jacqueline R Sly is Definition Clinical Nurse Specialist Physician.

Are there any online reviews for Dr. Jacqueline R Sly ?


Answer: Not yet!

Are there any other health care providers in Brockton, MA?


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. Jacqueline R Sly

Number of HCPCS 8
Number of Medicare Beneficiaries 111
Number of Services 134
Total Submitted Charge Amount 17285
Total Medicare Allowed Amount 5136.44
Total Medicare Payment Amount 3413.17
Total Medicare Standardized Payment Amount 3257.2
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 8
Number of Medicare Beneficiaries With Medical 111
Number of Medical Services 134
Total Medical Submitted Charge Amount 17285
Total Medical Medicare Allowed Amount 5136.44
Total Medical Medicare Payment Amount 3413.17
Total Medical Medicare Standardized Payment Amount 3257.2
Average Age of Beneficiaries 67
Number of Beneficiaries Age Less 65 37
Number of Beneficiaries Age 65 to 74 41
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 78
Number of Male Beneficiaries 33
Number of Non-Hispanic White Beneficiaries 89
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 46
Number of Beneficiaries With Medicare Only Entitlement 65
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0.13
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.32
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.13
Percent (%) of Beneficiaries Identified With Depression 0.24
Percent (%) of Beneficiaries Identified With Diabetes 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.59
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.18
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.35
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.1017

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 Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 110
Number of Standardized 30-Day Fills 116.56666667
Aggregate Cost Paid for All Claims 2245.92
Number of Day's Supply for All Claims 1619
Number of Medicare Beneficiaries 91
Number of Claims, Including Refills, for Beneficiaries Age 65+ 73
Including Refills, for Beneficiaries Age 65+ 77
Beneficiaries Age 65+ 1542.46
Number of Day's Supply for All Claims for Beneficaries Age 65+ 988
Number of Medicare Beneficiaries Age 65+ 60
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 15
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 95
Aggregate Cost Paid for Generic Drugs 935.39
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 43
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 711.13
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 67
Aggregate Cost Paid for Claims Filled by 1534.79
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 57
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1223.13
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 53
by Low-Income Subsidy 1022.79
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 39
Aggregate Cost Paid for Antibiotic Drugs 246.01
Antibiotic Claims 38
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 67.197802198
Number of Beneficiaries Age Less Than 65 31
Number of Beneficiaries Age 65 to 74 31
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 71
Number of Male Beneficiaries 20
Number of Non-Hispanic White 67
Number of Black or African American 12
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 46
Average Hierarchical Condition Category 1.1159203297

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Dr. Jacqueline R Sly in Other Directories

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