Kathleen Forti-Gallant

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NPI Number Detailed Information

Provider Information:

Name:	Kathleen Forti-Gallant
Gender:	F
Provider License Number If Given:	CNP81358

NPI Information:

NPI:	1407876279
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/21/2006
Last Update Date:	4/6/2020

Provider Business Mailing Address:

Address:	43 WHITING HILL RD STE 300 Brewer, ME 04412
Phone Number:	2079735035
Fax Number:

Provider Business Practice Location Address:

Address:	925 UNION ST STE 3 Bangor, ME 04401
Phone Number:	2079739980
Fax Number:	2079737515

Provider Taxonomy:

Primary:	364SM0705X
Secondary (if any):	364SM0705X
State:	ME

Top Doctors in ME

About Kathleen Forti-Gallant

Kathleen Forti-Gallant ( KATHLEEN FORTI-GALLANT ) is Definition Clinical Nurse Specialist Physician in Bangor, ME. The NPI Number for Kathleen Forti-Gallant is 1407876279.

The current location address for Kathleen Forti-Gallant is 925 UNION ST STE 3 Bangor, ME 04401 and the contact number is 2079735035 and fax number is . The mailing address for Kathleen Forti-Gallant is 43 WHITING HILL RD STE 300 Brewer, ME 04412- 2079739980 (mailing address contact number - 2079735035).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Kathleen Forti-Gallant ?

Answer: The NPI Number for Kathleen Forti-Gallant is 1407876279

Where is Kathleen Forti-Gallant located?

Answer: Kathleen Forti-Gallant is located at 925 UNION ST STE 3 Bangor, ME 04401.

What is the specialty for Kathleen Forti-Gallant ?

Answer: The Specialty of Kathleen Forti-Gallant is Definition Clinical Nurse Specialist Physician.

Are there any online reviews for Kathleen Forti-Gallant ?

Answer: Not yet!

Are there any other health care providers in Bangor, ME?

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 Kathleen Forti-Gallant

Number of HCPCS	24
Number of Medicare Beneficiaries	169
Number of Services	256
Total Submitted Charge Amount	90374
Total Medicare Allowed Amount	18139.36
Total Medicare Payment Amount	13620.82
Total Medicare Standardized Payment Amount	14222.44
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	24
Number of Medicare Beneficiaries With Medical	169
Number of Medical Services	256
Total Medical Submitted Charge Amount	90374
Total Medical Medicare Allowed Amount	18139.36
Total Medical Medicare Payment Amount	13620.82
Total Medical Medicare Standardized Payment Amount	14222.44
Average Age of Beneficiaries	69
Number of Beneficiaries Age Less 65	51
Number of Beneficiaries Age 65 to 74	60
Number of Beneficiaries Age 75 to 84	40
Number of Beneficiaries Age Greater 84	18
Number of Female Beneficiaries	108
Number of Male Beneficiaries	61
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	72
Number of Beneficiaries With Medicare Only Entitlement	97
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.07
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.11
Percent (%) of Beneficiaries Identified With Asthma	0.09
Percent (%) of Beneficiaries Identified With Cancer	0.07
Percent (%) of Beneficiaries Identified With Heart Failure	0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.38
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.15
Percent (%) of Beneficiaries Identified With Depression	0.4
Percent (%) of Beneficiaries Identified With Diabetes	0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.51
Percent (%) of Beneficiaries Identified With Hypertension	0.66
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.3
Percent (%) of Beneficiaries Identified With Osteoporosis	0.18
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.7
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.15
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.2637

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	325
Number of Standardized 30-Day Fills	335.6
Aggregate Cost Paid for All Claims	2682.97
Number of Day's Supply for All Claims	4346
Number of Medicare Beneficiaries	121
Number of Claims, Including Refills, for Beneficiaries Age 65+	282
Including Refills, for Beneficiaries Age 65+	290.6
Beneficiaries Age 65+	2040.07
Number of Day's Supply for All Claims for Beneficaries Age 65+	3605
Number of Medicare Beneficiaries Age 65+	105
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	317
Aggregate Cost Paid for Generic Drugs	2188.74
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	187
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	1509.3
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	138
Aggregate Cost Paid for Claims Filled by	1173.67
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	101
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	1072.97
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	224
by Low-Income Subsidy	1610
Total Claims of Opioid Drugs, Including	119
Aggregate Cost Paid for Opioid Drugs	754.06
Opioid Claims	69
Opioid_Tot_Clms divided by the Tot_Clms	36.615384615
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	0
Total Claims of Antibiotic Drugs, Including	72
Aggregate Cost Paid for Antibiotic Drugs	233.72
Antibiotic Claims	46
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	71.041322314
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74	71
Number of Beneficiaries Age 75 to 84	27
Number of Female Beneficiaries	78
Number of Male Beneficiaries	43
Number of Non-Hispanic White	119
Number of Black or African American	0
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	80
Average Hierarchical Condition Category	1.0860436547

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