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Ms. Tracey Ann Odishoo

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NPI Number Detailed Information

Provider Information:

Name: Ms. Tracey Ann Odishoo
Gender: F
Provider License Number If Given: 209003621

NPI Information:

NPI: 1942209622
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/15/2005

Last Update Date: 12/28/2022

Provider Business Mailing Address:

Address: 3701 DOTY RD
Woodstock, IL 60098
Phone Number: 8153386600
Fax Number: 8152061086

Provider Business Practice Location Address:

Address: 3701 DOTY RD
Woodstock, IL 60098
Phone Number: 8153386600
Fax Number: 8152061086

Provider Taxonomy:

Primary: 363L00000X
Secondary (if any): 363LF0000X
State: IL

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About Ms. Tracey Ann Odishoo

Ms. Tracey Ann Odishoo (MS. TRACEY ANN ODISHOO ) is (1) Nurse Practitioner Physician in Woodstock, IL. The NPI Number for Ms. Tracey Ann Odishoo is 1942209622.
The current location address for Ms. Tracey Ann Odishoo is 3701 DOTY RD Woodstock, IL 60098 and the contact number is 8153386600 and fax number is 8152061086. The mailing address for Ms. Tracey Ann Odishoo is 3701 DOTY RD Woodstock, IL 60098- 8153386600 (mailing address contact number - 8153386600).
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Provider Business Location on Map

FAQs:

What is the NPI Number for Ms. Tracey Ann Odishoo ?


Answer: The NPI Number for Ms. Tracey Ann Odishoo is 1942209622

Where is Ms. Tracey Ann Odishoo located?


Answer: Ms. Tracey Ann Odishoo is located at 3701 DOTY RD Woodstock, IL 60098.

What is the specialty for Ms. Tracey Ann Odishoo ?


Answer: The Specialty of Ms. Tracey Ann Odishoo is (1) Nurse Practitioner Physician.

Are there any online reviews for Ms. Tracey Ann Odishoo ?


Answer: Not yet!

Are there any other health care providers in Woodstock, IL?


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 Ms. Tracey Ann Odishoo

Number of HCPCS 15
Number of Medicare Beneficiaries 64
Number of Services 167
Total Submitted Charge Amount 36986
Total Medicare Allowed Amount 16101.21
Total Medicare Payment Amount 11891.17
Total Medicare Standardized Payment Amount 11946.69
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 64
Number of Medical Services 167
Total Medical Submitted Charge Amount 36986
Total Medical Medicare Allowed Amount 16101.21
Total Medical Medicare Payment Amount 11891.17
Total Medical Medicare Standardized Payment Amount 11946.69
Average Age of Beneficiaries 56
Number of Beneficiaries Age Less 65 42
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 39
Number of Male Beneficiaries 25
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 37
Number of Beneficiaries With Medicare Only Entitlement 27
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0.17
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.23
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.2
Percent (%) of Beneficiaries Identified With Depression 0.75
Percent (%) of Beneficiaries Identified With Diabetes 0.28
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.67
Percent (%) of Beneficiaries Identified With Hypertension 0.59
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.23
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.47
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.2155

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 Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 373
Number of Standardized 30-Day Fills 613.13333333
Aggregate Cost Paid for All Claims 52107.47
Number of Day's Supply for All Claims 17906
Number of Medicare Beneficiaries 66
Number of Claims, Including Refills, for Beneficiaries Age 65+ 179
Including Refills, for Beneficiaries Age 65+ 320
Beneficiaries Age 65+ 2383.63
Number of Day's Supply for All Claims for Beneficaries Age 65+ 9457
Number of Medicare Beneficiaries Age 65+ 25
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 361
Aggregate Cost Paid for Generic Drugs 8703.38
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 184
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 24141.04
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 189
Aggregate Cost Paid for Claims Filled by 27966.43
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 197
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 49527.41
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 176
by Low-Income Subsidy 2580.06
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
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
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 24
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 625.57
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 11
Average Age of Beneficiaries 58.5
Number of Beneficiaries Age Less Than 65 41
Number of Beneficiaries Age 65 to 74 16
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 49
Number of Male Beneficiaries 17
Number of Non-Hispanic White 59
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 31
Average Hierarchical Condition Category 1.1330340909

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Soutsada T Rivera I
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Address: 2000 LAKE AVE Woodstock, IL 60098 , Phone: 8153377100
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Ms. Tracey Ann Odishoo in Other Directories

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