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Dr. Patrick L Wallace

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NPI Number Detailed Information

Provider Information:

Name: Dr. Patrick L Wallace
Gender: M
Provider License Number If Given: 4988

NPI Information:

NPI: 1508857053
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 11/3/2005

Last Update Date: 1/13/2014

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 108816
Oklahoma City, OK 73101
Phone Number: 4058487974
Fax Number: 4058480033

Provider Business Practice Location Address:

Address: 1119 WALNUT DR SUITE 2
Ardmore, OK 73401
Phone Number: 5802261727
Fax Number: 5802269413

Provider Taxonomy:

Primary: 1223S0112X
Secondary (if any):
State: OK

Top Doctors in OK

 

About Dr. Patrick L Wallace

Dr. Patrick L Wallace (DR. PATRICK L WALLACE ) is The Dentist Physician in Ardmore, OK. The NPI Number for Dr. Patrick L Wallace is 1508857053.
The current location address for Dr. Patrick L Wallace is 1119 WALNUT DR SUITE 2 Ardmore, OK 73401 and the contact number is 4058487974 and fax number is 4058480033. The mailing address for Dr. Patrick L Wallace is PO BOX 108816 Oklahoma City, OK 73101- 5802261727 (mailing address contact number - 4058487974).
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Patrick L Wallace ?


Answer: The NPI Number for Dr. Patrick L Wallace is 1508857053

Where is Dr. Patrick L Wallace located?


Answer: Dr. Patrick L Wallace is located at 1119 WALNUT DR SUITE 2 Ardmore, OK 73401.

What is the specialty for Dr. Patrick L Wallace ?


Answer: The Specialty of Dr. Patrick L Wallace is The Dentist Physician.

Are there any online reviews for Dr. Patrick L Wallace ?


Answer: Yes! Check It Now.

Are there any other health care providers in Ardmore, OK?


Answer: Yes, there are given below...

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 Oral Surgery (Dentist only)
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 240
Number of Standardized 30-Day Fills 244
Aggregate Cost Paid for All Claims 1918.38
Number of Day's Supply for All Claims 1415
Number of Medicare Beneficiaries 127
Number of Claims, Including Refills, for Beneficiaries Age 65+ 212
Including Refills, for Beneficiaries Age 65+ 212
Beneficiaries Age 65+ 1587.53
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1051
Number of Medicare Beneficiaries Age 65+ 113
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 238
Aggregate Cost Paid for Generic Drugs 1779.04
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 40
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 487.9
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 200
Aggregate Cost Paid for Claims Filled by 1430.48
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 25
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 157.4
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 215
by Low-Income Subsidy 1760.98
Total Claims of Opioid Drugs, Including 99
Aggregate Cost Paid for Opioid Drugs 344.08
Opioid Claims 91
Opioid_Tot_Clms divided by the Tot_Clms 41.25
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 74
Aggregate Cost Paid for Antibiotic Drugs 523.2
Antibiotic Claims 62
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 72.637795276
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 62
Number of Beneficiaries Age 75 to 84 41
Number of Female Beneficiaries 84
Number of Male Beneficiaries 43
Number of Non-Hispanic White 97
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 25
Number of Beneficiaries with Race Not
Only Entitlement 113
Average Hierarchical Condition Category 1.1720896951

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