Stacey Clark

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NPI Number Detailed Information

Provider Information:

Name:	Stacey Clark
Gender:	F
Provider License Number If Given:	2511

NPI Information:

NPI:	1710968763
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	11/8/2005
Last Update Date:	9/30/2022

Provider Business Mailing Address:

Address:	4 CRESCENT ST Penacook, NH 03303
Phone Number:	6037534302
Fax Number:

Provider Business Practice Location Address:

Address:	4 CRESCENT ST. Penacook, NH 03303
Phone Number:	6037534302
Fax Number:	6032277570

Provider Taxonomy:

Primary:	363AM0700X
Secondary (if any):	363A00000X
State:	NH

Top Doctors in NH

About Stacey Clark

Stacey Clark ( STACEY CLARK ) is Definition Physician Assistant Physician in Penacook, NH. The NPI Number for Stacey Clark is 1710968763.

The current location address for Stacey Clark is 4 CRESCENT ST. Penacook, NH 03303 and the contact number is 6037534302 and fax number is . The mailing address for Stacey Clark is 4 CRESCENT ST Penacook, NH 03303- 6037534302 (mailing address contact number - 6037534302).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Stacey Clark ?

Answer: The NPI Number for Stacey Clark is 1710968763

Where is Stacey Clark located?

Answer: Stacey Clark is located at 4 CRESCENT ST. Penacook, NH 03303.

What is the specialty for Stacey Clark ?

Answer: The Specialty of Stacey Clark is Definition Physician Assistant Physician.

Are there any online reviews for Stacey Clark ?

Answer: Not yet!

Are there any other health care providers in Penacook, NH?

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 Stacey Clark

Number of HCPCS	15
Number of Medicare Beneficiaries	158
Number of Services	249
Total Submitted Charge Amount	53028
Total Medicare Allowed Amount	22726.18
Total Medicare Payment Amount	17739.88
Total Medicare Standardized Payment Amount	17026.67
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	15
Number of Medicare Beneficiaries With Medical	158
Number of Medical Services	249
Total Medical Submitted Charge Amount	53028
Total Medical Medicare Allowed Amount	22726.18
Total Medical Medicare Payment Amount	17739.88
Total Medical Medicare Standardized Payment Amount	17026.67
Average Age of Beneficiaries	71
Number of Beneficiaries Age Less 65	24
Number of Beneficiaries Age 65 to 74	81
Number of Beneficiaries Age 75 to 84	40
Number of Beneficiaries Age Greater 84	13
Number of Female Beneficiaries	103
Number of Male Beneficiaries	55
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	20
Number of Beneficiaries With Medicare Only Entitlement	138
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.08
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer	0.1
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.2
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression	0.24
Percent (%) of Beneficiaries Identified With Diabetes	0.22
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.49
Percent (%) of Beneficiaries Identified With Hypertension	0.54
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.24
Percent (%) of Beneficiaries Identified With Osteoporosis	0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.34
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.8343

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	Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	780
Number of Standardized 30-Day Fills	1701.1666667
Aggregate Cost Paid for All Claims	62636.55
Number of Day's Supply for All Claims	47445
Number of Medicare Beneficiaries	184
Number of Claims, Including Refills, for Beneficiaries Age 65+	646
Including Refills, for Beneficiaries Age 65+	1519.6666667
Beneficiaries Age 65+	59274.65
Number of Day's Supply for All Claims for Beneficaries Age 65+	43876
Number of Medicare Beneficiaries Age 65+	165
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	676
Aggregate Cost Paid for Generic Drugs	19849.07
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	122
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	11423.71
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	658
Aggregate Cost Paid for Claims Filled by	51212.84
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	180
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	5469.52
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	600
by Low-Income Subsidy	57167.03
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
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	30
Aggregate Cost Paid for Antibiotic Drugs	517.26
Antibiotic Claims	29
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	70.880434783
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74	107
Number of Beneficiaries Age 75 to 84	49
Number of Female Beneficiaries	130
Number of Male Beneficiaries	54
Number of Non-Hispanic White	176
Number of Black or African American	0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	160
Average Hierarchical Condition Category	0.9969468346

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Dr. W. Kent Smith
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NPI Number: 1144266594
Address: 4 CRESCENT ST Penacook, NH 03303 , Phone: 6037534302

Dr. Soheila F Degieux
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Dr. Mathew M Sawyer
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Optivan Of Newhampshire Inc
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Address: 105 COMMUNITY DR Penacook, NH 03303 , Phone: 6037536561

Soheila Degieux Dds Inc
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NPI Number: 1487868972
Address: 345 VILLAGE ST Penacook, NH 03303 , Phone: 6037536371

Dr. Michael I Kramer
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Address: 345 VILLAGE ST Penacook, NH 03303 , Phone: 6037536371

Venord Saint-Val
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Mr. Peter Allen Dalpra
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Fisherville Pharmacy Llc
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Address: 219 FISHERVILLE RD Penacook, NH 03303 , Phone: 6035650210

Tad P Lanagan
Family Medicine Physician
NPI Number: 1386962819
Address: 4 CRESCENT ST Penacook, NH 03303 , Phone: 6037534302

Mark P. Herron
Physician Assistant
NPI Number: 1255605069
Address: 4 CRESCENT ST Penacook, NH 03303 , Phone: 6037534302

Dr. Jennifer Lynn Toy
Dentist
NPI Number: 1679823165
Address: 27 VILLAGE ST Penacook, NH 03303 , Phone: 6037536687

Mrs. Meghan C Baron
Medical Physician Assistant
NPI Number: 1528318565
Address: 4 CRESCENT ST Penacook, NH 03303 , Phone: 6037534302

Stephen Kavadias
Pharmacist
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Address: 219 FISHERVILLE RD Penacook, NH 03303 , Phone: 6035650210

Isabelle Waddell
Family Nurse Practitioner
NPI Number: 1245668094
Address: 4 CRESCENT ST Penacook, NH 03303 , Phone: 6037534302

Jaime Murphy
Dental Hygienist
NPI Number: 1144623885
Address: 67 ALICE DR Penacook, NH 03303 , Phone: 6037311164

Insha Haque
Family Medicine Physician
NPI Number: 1396126454
Address: 4 CRESCENT ST. Penacook, NH 03303 , Phone: 6037534302

Stephanie Pierce
Family Nurse Practitioner
NPI Number: 1811367469
Address: 4 CRESCENT ST Penacook, NH 03303 , Phone: 6037534302

Shannon Gile
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Address: 14 HULLBAKERS PL Penacook, NH 03303 , Phone: 6034962716

Amy E Rust
General Practice Dentistry
NPI Number: 1386174464
Address: 345 VILLAGE ST Penacook, NH 03303 , Phone: 6037536371

Ms. Virginia Field
Pharmacist
NPI Number: 1881100642
Address: 219 FISHERVILLE RD Penacook, NH 03303 , Phone: 6035650210

Sherri Walden
Family Nurse Practitioner
NPI Number: 1013400985
Address: 4 CRESCENT ST Penacook, NH 03303 , Phone: 6037534302

Mrs. Heather Lee Pothier
Family Nurse Practitioner
NPI Number: 1386104388
Address: 4 CRESCENT ST Penacook, NH 03303 , Phone: 6037534302

Galina Pavlencheva
Student in an Organized Health Care Education/Training Program
NPI Number: 1487213187
Address: 4 CRESCENT ST. Penacook, NH 03303 , Phone: 6037534302

Catherine Elizabeth Mullen
Speech-Language Pathologist
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Sandra J Gordon
Speech-Language Pathologist
NPI Number: 1093328106
Address: 25 TY LN Penacook, NH 03303 , Phone: 6037178324

Stacey Clark
Medical Physician Assistant
NPI Number: 1710968763
Address: 4 CRESCENT ST. Penacook, NH 03303 , Phone: 6037534302

Margarita Shugol
Family Medicine Physician
NPI Number: 1588639215
Address: 4 CRESCENT ST. Penacook, NH 03303 , Phone: 6037534302

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