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Mrs. Mary Colleen Welles

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Mary Colleen Welles
Gender: F
Provider License Number If Given: 209.002324

NPI Information:

NPI: 1366768764
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/12/2010

Last Update Date: 4/12/2010

Provider Business Mailing Address:

Address: 676 N SAINT CLAIR ST SUITE 2125
Chicago, IL 60611
Phone Number: 3129265400
Fax Number: 3129268885

Provider Business Practice Location Address:

Address: 676 N SAINT CLAIR ST SUITE 2125
Chicago, IL 60611
Phone Number: 3129265400
Fax Number: 3129268885

Provider Taxonomy:

Primary: 364SX0200X
Secondary (if any):
State: IL

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About Mrs. Mary Colleen Welles

Mrs. Mary Colleen Welles (MRS. MARY COLLEEN WELLES ) is Definition Clinical Nurse Specialist Physician in Chicago, IL. The NPI Number for Mrs. Mary Colleen Welles is 1366768764.
The current location address for Mrs. Mary Colleen Welles is 676 N SAINT CLAIR ST SUITE 2125 Chicago, IL 60611 and the contact number is 3129265400 and fax number is 3129268885. The mailing address for Mrs. Mary Colleen Welles is 676 N SAINT CLAIR ST SUITE 2125 Chicago, IL 60611- 3129265400 (mailing address contact number - 3129265400).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mrs. Mary Colleen Welles ?


Answer: The NPI Number for Mrs. Mary Colleen Welles is 1366768764

Where is Mrs. Mary Colleen Welles located?


Answer: Mrs. Mary Colleen Welles is located at 676 N SAINT CLAIR ST SUITE 2125 Chicago, IL 60611.

What is the specialty for Mrs. Mary Colleen Welles ?


Answer: The Specialty of Mrs. Mary Colleen Welles is Definition Clinical Nurse Specialist Physician.

Are there any online reviews for Mrs. Mary Colleen Welles ?


Answer: Not yet!

Are there any other health care providers in Chicago, 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 Mrs. Mary Colleen Welles

Number of HCPCS 4
Number of Medicare Beneficiaries 12
Number of Services 12
Total Submitted Charge Amount 6258
Total Medicare Allowed Amount 1849
Total Medicare Payment Amount 1479.23
Total Medicare Standardized Payment Amount 1363.63
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 4
Number of Medicare Beneficiaries With Medical 12
Number of Medical Services 12
Total Medical Submitted Charge Amount 6258
Total Medical Medicare Allowed Amount 1849
Total Medical Medicare Payment Amount 1479.23
Total Medical Medicare Standardized Payment Amount 1363.63
Average Age of Beneficiaries 63
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0
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
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
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis 0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 2.6933

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Mrs. Mary Colleen Welles in Other Directories

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