Mrs. Elisabeth Jackson Gaines I

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NPI Number Detailed Information

Provider Information:

Name:	Mrs. Elisabeth Jackson Gaines I
Gender:	F
Provider License Number If Given:	3791

NPI Information:

NPI:	1194706234
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	11/7/2005
Last Update Date:	12/7/2020

Provider Business Mailing Address:

Address:	1835 SAVOY DR SUITE 300 Atlanta, GA 30341
Phone Number:	7709420457
Fax Number:	7709427699

Provider Business Practice Location Address:

Address:	4586 TIMBER RIDGE DR STE 200 Douglasville, GA 30135
Phone Number:	7709420457
Fax Number:	7709427699

Provider Taxonomy:

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

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About Mrs. Elisabeth Jackson Gaines I

Mrs. Elisabeth Jackson Gaines I(MRS. ELISABETH JACKSON GAINES I) is A Physician Assistant Physician in Douglasville, GA. The NPI Number for Mrs. Elisabeth Jackson Gaines I is 1194706234.

The current location address for Mrs. Elisabeth Jackson Gaines I is 4586 TIMBER RIDGE DR STE 200 Douglasville, GA 30135 and the contact number is 7709420457 and fax number is 7709427699. The mailing address for Mrs. Elisabeth Jackson Gaines I is 1835 SAVOY DR SUITE 300 Atlanta, GA 30341- 7709420457 (mailing address contact number - 7709420457).

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 Mrs. Elisabeth Jackson Gaines I?

Answer: The NPI Number for Mrs. Elisabeth Jackson Gaines I is 1194706234

Where is Mrs. Elisabeth Jackson Gaines I located?

Answer: Mrs. Elisabeth Jackson Gaines I is located at 4586 TIMBER RIDGE DR STE 200 Douglasville, GA 30135.

What is the specialty for Mrs. Elisabeth Jackson Gaines I?

Answer: The Specialty of Mrs. Elisabeth Jackson Gaines I is A Physician Assistant Physician.

Are there any online reviews for Mrs. Elisabeth Jackson Gaines I?

Answer: Not yet!

Are there any other health care providers in Douglasville, GA?

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 Mrs. Elisabeth Jackson Gaines I

Number of HCPCS	11
Number of Medicare Beneficiaries	154
Number of Services	351
Total Submitted Charge Amount	57152
Total Medicare Allowed Amount	15137.39
Total Medicare Payment Amount	10666.56
Total Medicare Standardized Payment Amount	10485.01
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	11
Number of Medicare Beneficiaries With Medical	154
Number of Medical Services	351
Total Medical Submitted Charge Amount	57152
Total Medical Medicare Allowed Amount	15137.39
Total Medical Medicare Payment Amount	10666.56
Total Medical Medicare Standardized Payment Amount	10485.01
Average Age of Beneficiaries	71
Number of Beneficiaries Age Less 65	24
Number of Beneficiaries Age 65 to 74	66
Number of Beneficiaries Age 75 to 84	53
Number of Beneficiaries Age Greater 84	11
Number of Female Beneficiaries	106
Number of Male Beneficiaries	48
Number of Non-Hispanic White Beneficiaries	104
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	19
Number of Beneficiaries With Medicare Only Entitlement	135
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.15
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.16
Percent (%) of Beneficiaries Identified With Asthma	0.09
Percent (%) of Beneficiaries Identified With Cancer	0.4
Percent (%) of Beneficiaries Identified With Heart Failure	0.29
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.49
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.22
Percent (%) of Beneficiaries Identified With Depression	0.23
Percent (%) of Beneficiaries Identified With Diabetes	0.45
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.71
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.38
Percent (%) of Beneficiaries Identified With Osteoporosis	0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.47
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.07
Average HCC Risk Score of Beneficiaries	2.2202

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	66
Number of Standardized 30-Day Fills	75
Aggregate Cost Paid for All Claims	51308.94
Number of Day's Supply for All Claims	1750
Number of Medicare Beneficiaries	23
Number of Claims, Including Refills, for Beneficiaries Age 65+	53
Including Refills, for Beneficiaries Age 65+	62
Beneficiaries Age 65+	51239.12
Number of Day's Supply for All Claims for Beneficaries Age 65+	1597
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	63
Aggregate Cost Paid for Generic Drugs	1461.26
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	35
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	17628.27
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	31
Aggregate Cost Paid for Claims Filled by	33680.67
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	24
Aggregate Cost Paid for Opioid Drugs	212.89
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms	36.363636364
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
Opioid_LA_Tot_Clms divided by the	0
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+	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
Average Age of Beneficiaries	70.956521739
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	12
Number of Male Beneficiaries	11
Number of Non-Hispanic White	18
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	2.4209565217

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