Dr. Jeremy R Clark

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Jeremy R Clark
Gender:	M
Provider License Number If Given:	IL038-009768

NPI Information:

NPI:	1710018395
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	3/8/2007
Last Update Date:	6/3/2011

Provider Business Mailing Address:

Address:	100 N KENNEDY BLVD Vandalia, IL 62471
Phone Number:	6185311141
Fax Number:

Provider Business Practice Location Address:

Address:	100 N KENNEDY BLVD Vandalia, IL 62471
Phone Number:	6185311141
Fax Number:

Provider Taxonomy:

Primary:	111N00000X
Secondary (if any):
State:	IL

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About Dr. Jeremy R Clark

Dr. Jeremy R Clark (DR. JEREMY R CLARK ) is A Chiropractor Physician in Vandalia, IL. The NPI Number for Dr. Jeremy R Clark is 1710018395.

The current location address for Dr. Jeremy R Clark is 100 N KENNEDY BLVD Vandalia, IL 62471 and the contact number is 6185311141 and fax number is . The mailing address for Dr. Jeremy R Clark is 100 N KENNEDY BLVD Vandalia, IL 62471- 6185311141 (mailing address contact number - 6185311141).

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jeremy R Clark ?

Answer: The NPI Number for Dr. Jeremy R Clark is 1710018395

Where is Dr. Jeremy R Clark located?

Answer: Dr. Jeremy R Clark is located at 100 N KENNEDY BLVD Vandalia, IL 62471.

What is the specialty for Dr. Jeremy R Clark ?

Answer: The Specialty of Dr. Jeremy R Clark is A Chiropractor Physician.

Are there any online reviews for Dr. Jeremy R Clark ?

Answer: Not yet!

Are there any other health care providers in Vandalia, 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. Jeremy R Clark

Number of HCPCS	1
Number of Medicare Beneficiaries	38
Number of Services	238
Total Submitted Charge Amount	17850
Total Medicare Allowed Amount	9328.48
Total Medicare Payment Amount	7389.25
Total Medicare Standardized Payment Amount	7480.66
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	1
Number of Medicare Beneficiaries With Medical	38
Number of Medical Services	238
Total Medical Submitted Charge Amount	17850
Total Medical Medicare Allowed Amount	9328.48
Total Medical Medicare Payment Amount	7389.25
Total Medical Medicare Standardized Payment Amount	7480.66
Average Age of Beneficiaries	69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	24
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	20
Number of Male Beneficiaries	18
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
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.29
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.61
Percent (%) of Beneficiaries Identified With Hypertension	0.55
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke	0
Average HCC Risk Score of Beneficiaries	0.9569

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