Amy Elizabeth Jackson

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NPI Number Detailed Information

Provider Information:

Name:	Amy Elizabeth Jackson
Gender:	F
Provider License Number If Given:	10000733A

NPI Information:

NPI:	1699772954
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/1/2005
Last Update Date:	3/20/2013

Provider Business Mailing Address:

Address:	1124 MEDICAL PL Seymour, IN 47274
Phone Number:	8125221613
Fax Number:	8125226694

Provider Business Practice Location Address:

Address:	1124 MEDICAL PL Seymour, IN 47274
Phone Number:	8125221613
Fax Number:	8125226694

Provider Taxonomy:

Primary:	363AS0400X
Secondary (if any):
State:	IN

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About Amy Elizabeth Jackson

Amy Elizabeth Jackson ( AMY ELIZABETH JACKSON ) is Definition Physician Assistant Physician in Seymour, IN. The NPI Number for Amy Elizabeth Jackson is 1699772954.

The current location address for Amy Elizabeth Jackson is 1124 MEDICAL PL Seymour, IN 47274 and the contact number is 8125221613 and fax number is 8125226694. The mailing address for Amy Elizabeth Jackson is 1124 MEDICAL PL Seymour, IN 47274- 8125221613 (mailing address contact number - 8125221613).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Amy Elizabeth Jackson ?

Answer: The NPI Number for Amy Elizabeth Jackson is 1699772954

Where is Amy Elizabeth Jackson located?

Answer: Amy Elizabeth Jackson is located at 1124 MEDICAL PL Seymour, IN 47274.

What is the specialty for Amy Elizabeth Jackson ?

Answer: The Specialty of Amy Elizabeth Jackson is Definition Physician Assistant Physician.

Are there any online reviews for Amy Elizabeth Jackson ?

Answer: Not yet!

Are there any other health care providers in Seymour, 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 Amy Elizabeth Jackson

Number of HCPCS	20
Number of Medicare Beneficiaries	161
Number of Services	275
Total Submitted Charge Amount	23733
Total Medicare Allowed Amount	16526.58
Total Medicare Payment Amount	12524.4
Total Medicare Standardized Payment Amount	12986.42
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	72
Number of Beneficiaries Age Less 65	17
Number of Beneficiaries Age 65 to 74	82
Number of Beneficiaries Age 75 to 84	48
Number of Beneficiaries Age Greater 84	14
Number of Female Beneficiaries	109
Number of Male Beneficiaries	52
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	17
Number of Beneficiaries With Medicare Only Entitlement	144
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma	0.08
Percent (%) of Beneficiaries Identified With Cancer	0.09
Percent (%) of Beneficiaries Identified With Heart Failure	0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.26
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.14
Percent (%) of Beneficiaries Identified With Depression	0.25
Percent (%) of Beneficiaries Identified With Diabetes	0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.59
Percent (%) of Beneficiaries Identified With Hypertension	0.64
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.24
Percent (%) of Beneficiaries Identified With Osteoporosis	0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.8916

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	234
Number of Standardized 30-Day Fills	234
Aggregate Cost Paid for All Claims	2397.11
Number of Day's Supply for All Claims	2022
Number of Medicare Beneficiaries	177
Number of Claims, Including Refills, for Beneficiaries Age 65+	201
Including Refills, for Beneficiaries Age 65+	201
Beneficiaries Age 65+	2159.03
Number of Day's Supply for All Claims for Beneficaries Age 65+	1728
Number of Medicare Beneficiaries Age 65+	154
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	13
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	221
Aggregate Cost Paid for Generic Drugs	1716.59
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	119
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	913.03
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	115
Aggregate Cost Paid for Claims Filled by	1484.08
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	40
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	334.67
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	194
by Low-Income Subsidy	2062.44
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	153
Aggregate Cost Paid for Antibiotic Drugs	1359.69
Antibiotic Claims	141
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	71.604519774
Number of Beneficiaries Age Less Than 65	23
Number of Beneficiaries Age 65 to 74	85
Number of Beneficiaries Age 75 to 84	56
Number of Female Beneficiaries	120
Number of Male Beneficiaries	57
Number of Non-Hispanic White	168
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	152
Average Hierarchical Condition Category	0.985373823

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