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Dr. Jim Paul Licandro

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jim Paul Licandro
Gender: M
Provider License Number If Given: 705

NPI Information:

NPI: 1609873538
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/7/2005

Last Update Date: 7/22/2018

Reputation Report:

Provider Business Mailing Address:

Address: 5261 BOULDER DR APT D
West Des Moines, IA 50265
Phone Number: 5633404387
Fax Number: 5634247234

Provider Business Practice Location Address:

Address: 405 WOODLAWN RD
Long Grove, IA 52756
Phone Number: 8324257457
Fax Number: 5632855446

Provider Taxonomy:

Primary: 213E00000X
Secondary (if any):
State: IA

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About Dr. Jim Paul Licandro

Dr. Jim Paul Licandro (DR. JIM PAUL LICANDRO ) is A Podiatrist Physician in Long Grove, IA. The NPI Number for Dr. Jim Paul Licandro is 1609873538.
The current location address for Dr. Jim Paul Licandro is 405 WOODLAWN RD Long Grove, IA 52756 and the contact number is 5633404387 and fax number is 5634247234. The mailing address for Dr. Jim Paul Licandro is 5261 BOULDER DR APT D West Des Moines, IA 50265- 8324257457 (mailing address contact number - 5633404387).
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jim Paul Licandro ?


Answer: The NPI Number for Dr. Jim Paul Licandro is 1609873538

Where is Dr. Jim Paul Licandro located?


Answer: Dr. Jim Paul Licandro is located at 405 WOODLAWN RD Long Grove, IA 52756.

What is the specialty for Dr. Jim Paul Licandro ?


Answer: The Specialty of Dr. Jim Paul Licandro is A Podiatrist Physician.

Are there any online reviews for Dr. Jim Paul Licandro ?


Answer: Yes! Check It Now.

Are there any other health care providers in Long Grove, IA?


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. Jim Paul Licandro

Number of HCPCS 10
Number of Medicare Beneficiaries 1717
Number of Services 5802
Total Submitted Charge Amount 185207.27
Total Medicare Allowed Amount 180788.2
Total Medicare Payment Amount 107963.83
Total Medicare Standardized Payment Amount 118552.2
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 10
Number of Medicare Beneficiaries With Medical 1717
Number of Medical Services 5802
Total Medical Submitted Charge Amount 185207.27
Total Medical Medicare Allowed Amount 180788.2
Total Medical Medicare Payment Amount 107963.83
Total Medical Medicare Standardized Payment Amount 118552.2
Average Age of Beneficiaries 85
Number of Beneficiaries Age Less 65 79
Number of Beneficiaries Age 65 to 74 176
Number of Beneficiaries Age 75 to 84 421
Number of Beneficiaries Age Greater 84 1041
Number of Female Beneficiaries 1198
Number of Male Beneficiaries 519
Number of Non-Hispanic White Beneficiaries 1690
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 14
Number of Beneficiaries With Medicare & Medicaid Entitlement 816
Number of Beneficiaries With Medicare Only Entitlement 901
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.66
Percent (%) of Beneficiaries Identified With Asthma 0.04
Percent (%) of Beneficiaries Identified With Cancer 0.07
Percent (%) of Beneficiaries Identified With Heart Failure 0.34
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.4
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.15
Percent (%) of Beneficiaries Identified With Depression 0.47
Percent (%) of Beneficiaries Identified With Diabetes 0.32
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.45
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.34
Percent (%) of Beneficiaries Identified With Osteoporosis 0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.45
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.1
Percent (%) of Beneficiaries Identified With Stroke 0.09
Average HCC Risk Score of Beneficiaries 1.5884

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