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Dr. Michael B. Jackson

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NPI Number Detailed Information

Provider Information:

Name: Dr. Michael B. Jackson
Gender: M
Provider License Number If Given: 25MA08023100

NPI Information:

NPI: 1073600896
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/5/2006

Last Update Date: 9/10/2019

Reputation Report:

Provider Business Mailing Address:

Address: 112 CHURCHILL RD
Tenafly, NJ 07670
Phone Number: 2015889475
Fax Number:

Provider Business Practice Location Address:

Address: 80 RIVER ST 3D
Hoboken, NJ 07030
Phone Number: 2012447799
Fax Number:

Provider Taxonomy:

Primary: 2084F0202X
Secondary (if any): 2084P0800X
State: NJ

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About Dr. Michael B. Jackson

Dr. Michael B. Jackson (DR. MICHAEL B. JACKSON ) is Forensic Psychiatry & Neurology Physician in Hoboken, NJ. The NPI Number for Dr. Michael B. Jackson is 1073600896.
The current location address for Dr. Michael B. Jackson is 80 RIVER ST 3D Hoboken, NJ 07030 and the contact number is 2015889475 and fax number is . The mailing address for Dr. Michael B. Jackson is 112 CHURCHILL RD Tenafly, NJ 07670- 2012447799 (mailing address contact number - 2015889475).
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Michael B. Jackson ?


Answer: The NPI Number for Dr. Michael B. Jackson is 1073600896

Where is Dr. Michael B. Jackson located?


Answer: Dr. Michael B. Jackson is located at 80 RIVER ST 3D Hoboken, NJ 07030.

What is the specialty for Dr. Michael B. Jackson ?


Answer: The Specialty of Dr. Michael B. Jackson is Forensic Psychiatry & Neurology Physician.

Are there any online reviews for Dr. Michael B. Jackson ?


Answer: Yes! Check It Now.

Are there any other health care providers in Hoboken, NJ?


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. Michael B. Jackson

Number of HCPCS 8
Number of Medicare Beneficiaries 96
Number of Services 433
Total Submitted Charge Amount 72125.8
Total Medicare Allowed Amount 25293.57
Total Medicare Payment Amount 19556.9
Total Medicare Standardized Payment Amount 16334.9
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 96
Number of Medical Services 433
Total Medical Submitted Charge Amount 72125.8
Total Medical Medicare Allowed Amount 25293.57
Total Medical Medicare Payment Amount 19556.9
Total Medical Medicare Standardized Payment Amount 16334.9
Average Age of Beneficiaries 56
Number of Beneficiaries Age Less 65 62
Number of Beneficiaries Age 65 to 74 18
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 44
Number of Male Beneficiaries 52
Number of Non-Hispanic White Beneficiaries 64
Number of Black or African American Beneficiaries 16
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 74
Number of Beneficiaries With Medicare Only Entitlement 22
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.29
Percent (%) of Beneficiaries Identified With Asthma 0.2
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.16
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.27
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.27
Percent (%) of Beneficiaries Identified With Depression 0.68
Percent (%) of Beneficiaries Identified With Diabetes 0.43
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.5
Percent (%) of Beneficiaries Identified With Hypertension 0.59
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.27
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.27
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.74
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.9365

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 Psychiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 237
Number of Standardized 30-Day Fills 238.2
Aggregate Cost Paid for All Claims 14419.2
Number of Day's Supply for All Claims 6825
Number of Medicare Beneficiaries 37
Number of Claims, Including Refills, for Beneficiaries Age 65+ 121
Including Refills, for Beneficiaries Age 65+ 121
Beneficiaries Age 65+ 5208.09
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3580
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 11
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 226
Aggregate Cost Paid for Generic Drugs 8109.22
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 3953.49
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 194
Aggregate Cost Paid for Claims Filled by 10465.71
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 129
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 10226.22
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 108
by Low-Income Subsidy 4192.98
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
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
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 18
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 2929.9
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 52.567567568
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 14
Number of Male Beneficiaries 23
Number of Non-Hispanic White 19
Number of Black or African American
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
Average Hierarchical Condition Category 1.5020353336

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