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Thomas Wilks Ellis III

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NPI Number Detailed Information

Provider Information:

Name: Thomas Wilks Ellis III
Gender: M
Provider License Number If Given: 9063

NPI Information:

NPI: 1881632891
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/2/2006

Last Update Date: 9/24/2012

Provider Business Mailing Address:

Address: 2873 233RD LN NW
St Francis, MN 55070
Phone Number: 7637533306
Fax Number:

Provider Business Practice Location Address:

Address: 12000 ELM CREEK BLVD N SUITE 360
Maple Grove, MN 55369
Phone Number: 7633154300
Fax Number: 7633154360

Provider Taxonomy:

Primary: 363A00000X
Secondary (if any):
State: MN

Top Doctors in MN

 

About Thomas Wilks Ellis III

Thomas Wilks Ellis III( THOMAS WILKS ELLIS III) is A Physician Assistant Physician in Maple Grove, MN. The NPI Number for Thomas Wilks Ellis III is 1881632891.
The current location address for Thomas Wilks Ellis III is 12000 ELM CREEK BLVD N SUITE 360 Maple Grove, MN 55369 and the contact number is 7637533306 and fax number is . The mailing address for Thomas Wilks Ellis III is 2873 233RD LN NW St Francis, MN 55070- 7633154300 (mailing address contact number - 7637533306).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Business Location on Map

FAQs:

What is the NPI Number for Thomas Wilks Ellis III?


Answer: The NPI Number for Thomas Wilks Ellis III is 1881632891

Where is Thomas Wilks Ellis III located?


Answer: Thomas Wilks Ellis III is located at 12000 ELM CREEK BLVD N SUITE 360 Maple Grove, MN 55369.

What is the specialty for Thomas Wilks Ellis III?


Answer: The Specialty of Thomas Wilks Ellis III is A Physician Assistant Physician.

Are there any online reviews for Thomas Wilks Ellis III?


Answer: Not yet!

Are there any other health care providers in Maple Grove, MN?


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 Thomas Wilks Ellis III

Number of HCPCS 32
Number of Medicare Beneficiaries 112
Number of Services 271
Total Submitted Charge Amount 47650
Total Medicare Allowed Amount 14828.19
Total Medicare Payment Amount 12324.62
Total Medicare Standardized Payment Amount 11666.28
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 17
Number of Drug Services 74
Total Drug Submitted Charge Amount 1480
Total Drug Medicare Allowed Amount 45.12
Total Drug Medicare Payment Amount 36.08
Total Drug Medicare Standardized Payment Amount 35.37
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 28
Number of Medicare Beneficiaries With Medical 112
Number of Medical Services 197
Total Medical Submitted Charge Amount 46170
Total Medical Medicare Allowed Amount 14783.07
Total Medical Medicare Payment Amount 12288.54
Total Medical Medicare Standardized Payment Amount 11630.91
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 70
Number of Beneficiaries Age 75 to 84 21
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 69
Number of Male Beneficiaries 43
Number of Non-Hispanic White Beneficiaries 69
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 30
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 24
Number of Beneficiaries With Medicare Only Entitlement 88
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0.1
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.22
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.26
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.12
Percent (%) of Beneficiaries Identified With Depression 0.22
Percent (%) of Beneficiaries Identified With Diabetes 0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.67
Percent (%) of Beneficiaries Identified With Hypertension 0.67
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.38
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.46
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.1437

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 18
Number of Standardized 30-Day Fills 18
Aggregate Cost Paid for All Claims 1626.96
Number of Day's Supply for All Claims 214
Number of Medicare Beneficiaries 13
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
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 15
Aggregate Cost Paid for Generic Drugs 343.65
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
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
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
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+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 68.769230769
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
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 0.760631039

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NPI Number: 1881632891
Address: 12000 ELM CREEK BLVD N SUITE 360 Maple Grove, MN 55369 , Phone: 7633154300
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