Donna Lachelle Jackson

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NPI Number Detailed Information

Provider Information:

Name:	Donna Lachelle Jackson
Gender:	F
Provider License Number If Given:	676887

NPI Information:

NPI:	1114531217
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/4/2020
Last Update Date:	10/5/2022

Provider Business Mailing Address:

Address:	523 S FANNIN AVE Tyler, TX 75702
Phone Number:	9035359041
Fax Number:

Provider Business Practice Location Address:

Address:	2990 N BROADWAY AVE Tyler, TX 75702
Phone Number:	9035359041
Fax Number:

Provider Taxonomy:

Primary:	163WC1600X
Secondary (if any):	363L00000X
State:	TX

Top Doctors in TX

About Donna Lachelle Jackson

Donna Lachelle Jackson ( DONNA LACHELLE JACKSON ) is Definition Registered Nurse Physician in Tyler, TX. The NPI Number for Donna Lachelle Jackson is 1114531217.

The current location address for Donna Lachelle Jackson is 2990 N BROADWAY AVE Tyler, TX 75702 and the contact number is 9035359041 and fax number is . The mailing address for Donna Lachelle Jackson is 523 S FANNIN AVE Tyler, TX 75702- 9035359041 (mailing address contact number - 9035359041).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Donna Lachelle Jackson ?

Answer: The NPI Number for Donna Lachelle Jackson is 1114531217

Where is Donna Lachelle Jackson located?

Answer: Donna Lachelle Jackson is located at 2990 N BROADWAY AVE Tyler, TX 75702.

What is the specialty for Donna Lachelle Jackson ?

Answer: The Specialty of Donna Lachelle Jackson is Definition Registered Nurse Physician.

Are there any online reviews for Donna Lachelle Jackson ?

Answer: Not yet!

Are there any other health care providers in Tyler, TX?

Answer: Yes, there are given below...

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	755
Number of Standardized 30-Day Fills	1396.1
Aggregate Cost Paid for All Claims	51263.01
Number of Day's Supply for All Claims	38178
Number of Medicare Beneficiaries	205
Number of Claims, Including Refills, for Beneficiaries Age 65+	523
Including Refills, for Beneficiaries Age 65+	988.7
Beneficiaries Age 65+	42542.44
Number of Day's Supply for All Claims for Beneficaries Age 65+	27298
Number of Medicare Beneficiaries Age 65+	147
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	90
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	652
Aggregate Cost Paid for Generic Drugs	12182.36
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	13
Aggregate Cost Paid for Other Drugs	687.99
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	575
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	29487.39
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	180
Aggregate Cost Paid for Claims Filled by	21775.62
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	456
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	36834.03
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	299
by Low-Income Subsidy	14428.98
Total Claims of Opioid Drugs, Including	49
Aggregate Cost Paid for Opioid Drugs	439.8
Opioid Claims	26
Opioid_Tot_Clms divided by the Tot_Clms	6.4900662252
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	0
Total Claims of Antibiotic Drugs, Including	47
Aggregate Cost Paid for Antibiotic Drugs	384.15
Antibiotic Claims	39
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	68.32195122
Number of Beneficiaries Age Less Than 65	58
Number of Beneficiaries Age 65 to 74	96
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	132
Number of Male Beneficiaries	73
Number of Non-Hispanic White	31
Number of Black or African American	125
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	48
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	121
Average Hierarchical Condition Category	1.4518819593

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