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Richard Edwin Waller

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NPI Number Detailed Information

Provider Information:

Name: Richard Edwin Waller
Gender: M
Provider License Number If Given: 7067

NPI Information:

NPI: 1821001041
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/15/2006

Last Update Date: 3/1/2017

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 289
Marks, MS 38646
Phone Number: 6623263500
Fax Number: 6623267077

Provider Business Practice Location Address:

Address: 1024 MARTIN LUTHER KING DRIVE
Marks, MS 38646
Phone Number: 6623263502
Fax Number: 6623262555

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: MS

Top Doctors in MS

 

About Richard Edwin Waller

Richard Edwin Waller ( RICHARD EDWIN WALLER ) is Family Family Medicine Physician in Marks, MS. The NPI Number for Richard Edwin Waller is 1821001041.
The current location address for Richard Edwin Waller is 1024 MARTIN LUTHER KING DRIVE Marks, MS 38646 and the contact number is 6623263500 and fax number is 6623267077. The mailing address for Richard Edwin Waller is PO BOX 289 Marks, MS 38646- 6623263502 (mailing address contact number - 6623263500).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Richard Edwin Waller ?


Answer: The NPI Number for Richard Edwin Waller is 1821001041

Where is Richard Edwin Waller located?


Answer: Richard Edwin Waller is located at 1024 MARTIN LUTHER KING DRIVE Marks, MS 38646.

What is the specialty for Richard Edwin Waller ?


Answer: The Specialty of Richard Edwin Waller is Family Family Medicine Physician.

Are there any online reviews for Richard Edwin Waller ?


Answer: Yes! Check It Now.

Are there any other health care providers in Marks, MS?


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 Richard Edwin Waller

Number of HCPCS 55
Number of Medicare Beneficiaries 427
Number of Services 1344
Total Submitted Charge Amount 59727.97
Total Medicare Allowed Amount 32393.86
Total Medicare Payment Amount 21440.08
Total Medicare Standardized Payment Amount 24519.65
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 8
Number of Medicare Beneficiaries With Drug Services 55
Number of Drug Services 233
Total Drug Submitted Charge Amount 819
Total Drug Medicare Allowed Amount 361
Total Drug Medicare Payment Amount 250.5
Total Drug Medicare Standardized Payment Amount 274.05
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 47
Number of Medicare Beneficiaries With Medical 426
Number of Medical Services 1111
Total Medical Submitted Charge Amount 58908.97
Total Medical Medicare Allowed Amount 32032.86
Total Medical Medicare Payment Amount 21189.58
Total Medical Medicare Standardized Payment Amount 24245.6
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65 101
Number of Beneficiaries Age 65 to 74 163
Number of Beneficiaries Age 75 to 84 119
Number of Beneficiaries Age Greater 84 44
Number of Female Beneficiaries 233
Number of Male Beneficiaries 194
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries 215
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 197
Number of Beneficiaries With Medicare Only Entitlement 230
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.2
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.31
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.12
Percent (%) of Beneficiaries Identified With Depression 0.1
Percent (%) of Beneficiaries Identified With Diabetes 0.38
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.49
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.35
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.32
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.1877

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 Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 17603
Number of Standardized 30-Day Fills 24413.166667
Aggregate Cost Paid for All Claims 916194.14
Number of Day's Supply for All Claims 652066
Number of Medicare Beneficiaries 1041
Number of Claims, Including Refills, for Beneficiaries Age 65+ 14203
Including Refills, for Beneficiaries Age 65+ 19366.433333
Beneficiaries Age 65+ 687450
Number of Day's Supply for All Claims for Beneficaries Age 65+ 515787
Number of Medicare Beneficiaries Age 65+ 765
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 2151
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 15339
Aggregate Cost Paid for Generic Drugs 289270.62
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 113
Aggregate Cost Paid for Other Drugs 4739.35
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 4250
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 229177
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 13353
Aggregate Cost Paid for Claims Filled by 687017.14
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 14887
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 828007.61
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 2716
by Low-Income Subsidy 88186.53
Total Claims of Opioid Drugs, Including 310
Aggregate Cost Paid for Opioid Drugs 1938.54
Opioid Claims 142
Opioid_Tot_Clms divided by the Tot_Clms 1.7610634551
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 502
Aggregate Cost Paid for Antibiotic Drugs 11576.24
Antibiotic Claims 309
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 354
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 27284.63
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 63
Average Age of Beneficiaries 69.209414025
Number of Beneficiaries Age Less Than 65 276
Number of Beneficiaries Age 65 to 74 423
Number of Beneficiaries Age 75 to 84 232
Number of Female Beneficiaries 612
Number of Male Beneficiaries 429
Number of Non-Hispanic White 354
Number of Black or African American 673
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 304
Average Hierarchical Condition Category 1.3725313493

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Mrs. Cheryl A Green
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Address: 421 1ST ST Marks, MS 38646 , Phone: 6623264445
Mrs. Mary Margaret Chrestman
Counselor
NPI Number: 1467658807
Address: 421 1ST ST Marks, MS 38646 , Phone: 6623263956
Mr. George Edward Farrell
Family Nurse Practitioner
NPI Number: 1114127099
Address: 411 POPLAR STREET Marks, MS 38646 , Phone: 6623269232
Seng P Pang
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Mrs. Patsy Ann Thompson
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Charity Begins At Home Adult Day Service Llc
Adult Day Care Clinic/Center
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Address: 286 E MAIN ST Marks, MS 38646 , Phone: 6623137180
Parental Adult Daycare
PACE Provider Organization
NPI Number: 1225374903
Address: 215 W MAIN ST Marks, MS 38646 , Phone: 6623264477
Healthyland Adult Day Care, Llc
Adult Care Home Facility
NPI Number: 1356765101
Address: 227 PECAN STREET Marks, MS 38646 , Phone: 6623264797
Patricia Wright Hankins
Social Worker
NPI Number: 1609293547
Address: 680 3RD ST Marks, MS 38646 , Phone: 6623268311
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Primary Care Nurse Practitioner
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Address: 1039 MARTIN LUTHER KING DR Marks, MS 38646 , Phone: 6623268609
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