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Deactivated
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NPI Number Detailed Information
Provider Information:
Name: | Deactivated |
Gender: | |
Provider License Number If Given: |
NPI Information:
NPI: | 1417952565 |
Entity Type (Individual or Organization): |
0-org |
Enumeration Date: | 1/0/1900 |
Last Update Date: | 1/0/1900 |
Provider Business Mailing Address:
Address: | , |
Phone Number: | |
Fax Number: |
Provider Business Practice Location Address:
Address: | , |
Phone Number: | |
Fax Number: |
Provider Taxonomy:
Primary: | 0 |
Secondary (if any): | |
State: |
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About Deactivated
Deactivated ( DEACTIVATED ) is Provider in , .
The NPI Number for Deactivated is 1417952565.
The current location address for Deactivated is , and the contact number is and fax number is .
The mailing address for Deactivated is , - (mailing address contact number - ).
Provider Business Location on Map
FAQs:
What is the NPI Number for Deactivated ?
Answer: The NPI Number for Deactivated is 1417952565
Where is Deactivated located?
Answer: Deactivated is located at , .
What is the specialty for Deactivated ?
Answer: The Specialty of Deactivated is Provider.
Are there any online reviews for Deactivated ?
Answer: Not yet!
Are there any other health care providers in , ?
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 Deactivated
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 | 205 |
Number of Standardized 30-Day Fills | 205.8 |
Aggregate Cost Paid for All Claims | 3299.53 |
Number of Day's Supply for All Claims | 1733 |
Number of Medicare Beneficiaries | 133 |
Number of Claims, Including Refills, for Beneficiaries Age 65+ | 160 |
Including Refills, for Beneficiaries Age 65+ | 160.8 |
Beneficiaries Age 65+ | 2249.57 |
Number of Day's Supply for All Claims for Beneficaries Age 65+ | 1298 |
Number of Medicare Beneficiaries Age 65+ | 105 |
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst | |
Total Claims of Brand-Name Drugs | 12 |
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst | |
Total Claims of Generic Drugs, Including Refills | 193 |
Aggregate Cost Paid for Generic Drugs | 2129.05 |
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 | 82 |
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans | 1155.17 |
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst | |
Number of Claims for Beneficiaries Covered by Standalone PDP Plans | 123 |
Aggregate Cost Paid for Claims Filled by | 2144.36 |
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst | |
Number of Claims for Beneficiaries Covered by Low-Income Subsidy | 102 |
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy | 1694.37 |
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst | |
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy | 103 |
by Low-Income Subsidy | 1605.16 |
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 | 90 |
Aggregate Cost Paid for Antibiotic Drugs | 1426.65 |
Antibiotic Claims | 85 |
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 | 71.270676692 |
Number of Beneficiaries Age Less Than 65 | 28 |
Number of Beneficiaries Age 65 to 74 | 56 |
Number of Beneficiaries Age 75 to 84 | 31 |
Number of Female Beneficiaries | 79 |
Number of Male Beneficiaries | 54 |
Number of Non-Hispanic White | 128 |
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 | 77 |
Average Hierarchical Condition Category | 1.8253676127 |
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Deactivated in Other Directories
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