Carol H Wallace

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NPI Number Detailed Information

Provider Information:

Name:	Carol H Wallace
Gender:
Provider License Number If Given:

NPI Information:

NPI:	1962581702
Entity Type (Individual or Organization):	2-org
Enumeration Date:	11/3/2006
Last Update Date:	10/31/2016

Provider Business Mailing Address:

Address:	PO BOX 70 1201 DINAH SHORE BOULEVARD Winchester, TN 37398
Phone Number:	9319672777
Fax Number:	9319671264

Provider Business Practice Location Address:

Address:	1201 DINAH SHORE BOULEVARD Winchester, TN 37398
Phone Number:	9319672777
Fax Number:	9319671264

Provider Taxonomy:

Primary:	3336L0003X
Secondary (if any):	332B00000X
State:	TN

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About Carol H Wallace

Carol H Wallace ( CAROL H WALLACE ) is A Pharmacy Provider in Winchester, TN. The NPI Number for Carol H Wallace is 1962581702.

The current location address for Carol H Wallace is 1201 DINAH SHORE BOULEVARD Winchester, TN 37398 and the contact number is 9319672777 and fax number is 9319671264. The mailing address for Carol H Wallace is PO BOX 70 1201 DINAH SHORE BOULEVARD Winchester, TN 37398- 9319672777 (mailing address contact number - 9319672777).

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Provider Business Location on Map

FAQs:

What is the NPI Number for Carol H Wallace ?

Answer: The NPI Number for Carol H Wallace is 1962581702

Where is Carol H Wallace located?

Answer: Carol H Wallace is located at 1201 DINAH SHORE BOULEVARD Winchester, TN 37398.

What is the specialty for Carol H Wallace ?

Answer: The Specialty of Carol H Wallace is A Pharmacy Provider.

Are there any online reviews for Carol H Wallace ?

Answer: Not yet!

Are there any other health care providers in Winchester, TN?

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 Carol H Wallace

Number of HCPCS	10
Number of Medicare Beneficiaries	1182
Number of Services	2597
Total Submitted Charge Amount	126945.07
Total Medicare Allowed Amount	86062.92
Total Medicare Payment Amount	86062.92
Total Medicare Standardized Payment Amount	90873.3
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	4
Number of Medicare Beneficiaries With Drug Services	154
Number of Drug Services	164
Total Drug Submitted Charge Amount	10780.43
Total Drug Medicare Allowed Amount	10780.43
Total Drug Medicare Payment Amount	10780.43
Total Drug Medicare Standardized Payment Amount	10564.3
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	6
Number of Medicare Beneficiaries With Medical	1182
Number of Medical Services	2433
Total Medical Submitted Charge Amount	116164.64
Total Medical Medicare Allowed Amount	75282.49
Total Medical Medicare Payment Amount	75282.49
Total Medical Medicare Standardized Payment Amount	80309
Average Age of Beneficiaries	73
Number of Beneficiaries Age Less 65	147
Number of Beneficiaries Age 65 to 74	580
Number of Beneficiaries Age 75 to 84	351
Number of Beneficiaries Age Greater 84	104
Number of Female Beneficiaries	674
Number of Male Beneficiaries	508
Number of Non-Hispanic White Beneficiaries	1031
Number of Black or African American Beneficiaries	127
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	11
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	238
Number of Beneficiaries With Medicare Only Entitlement	944
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.06
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.05
Percent (%) of Beneficiaries Identified With Asthma	0.02
Percent (%) of Beneficiaries Identified With Cancer	0.06
Percent (%) of Beneficiaries Identified With Heart Failure	0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.24
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.07
Percent (%) of Beneficiaries Identified With Depression	0.11
Percent (%) of Beneficiaries Identified With Diabetes	0.25
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.33
Percent (%) of Beneficiaries Identified With Hypertension	0.42
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.21
Percent (%) of Beneficiaries Identified With Osteoporosis	0.05
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.24
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.02
Percent (%) of Beneficiaries Identified With Stroke	0.01
Average HCC Risk Score of Beneficiaries	1.1256

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