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Gail L Shively

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NPI Number Detailed Information

Provider Information:

Name: Gail L Shively
Gender: F
Provider License Number If Given: 71002080A

NPI Information:

NPI: 1699792630
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/16/2006

Last Update Date: 9/30/2020

Provider Business Mailing Address:

Address: 6920 POINTE INVERNESS WAY STE 200
Fort Wayne, IN 46804
Phone Number: 2604793514
Fax Number: 2604793520

Provider Business Practice Location Address:

Address: 7916 W JEFFERSON BLVD
Fort Wayne, IN 46804
Phone Number: 2604322297
Fax Number: 2604792950

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any):
State: IN

Top Doctors in IN

 

About Gail L Shively

Gail L Shively ( GAIL L SHIVELY ) is Definition Nurse Practitioner Physician in Fort Wayne, IN. The NPI Number for Gail L Shively is 1699792630.
The current location address for Gail L Shively is 7916 W JEFFERSON BLVD Fort Wayne, IN 46804 and the contact number is 2604793514 and fax number is 2604793520. The mailing address for Gail L Shively is 6920 POINTE INVERNESS WAY STE 200 Fort Wayne, IN 46804- 2604322297 (mailing address contact number - 2604793514).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Gail L Shively ?


Answer: The NPI Number for Gail L Shively is 1699792630

Where is Gail L Shively located?


Answer: Gail L Shively is located at 7916 W JEFFERSON BLVD Fort Wayne, IN 46804.

What is the specialty for Gail L Shively ?


Answer: The Specialty of Gail L Shively is Definition Nurse Practitioner Physician.

Are there any online reviews for Gail L Shively ?


Answer: Not yet!

Are there any other health care providers in Fort Wayne, 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 Gail L Shively

Number of HCPCS 6
Number of Medicare Beneficiaries 12
Number of Services 23
Total Submitted Charge Amount 2779
Total Medicare Allowed Amount 1187.12
Total Medicare Payment Amount 594.63
Total Medicare Standardized Payment Amount 640.93
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 6
Number of Medicare Beneficiaries With Medical 12
Number of Medical Services 23
Total Medical Submitted Charge Amount 2779
Total Medical Medicare Allowed Amount 1187.12
Total Medical Medicare Payment Amount 594.63
Total Medical Medicare Standardized Payment Amount 640.93
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 0
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 2.4418

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 611
Number of Standardized 30-Day Fills 1409.8
Aggregate Cost Paid for All Claims 176203.47
Number of Day's Supply for All Claims 42139
Number of Medicare Beneficiaries 182
Number of Claims, Including Refills, for Beneficiaries Age 65+ 525
Including Refills, for Beneficiaries Age 65+ 1227.8
Beneficiaries Age 65+ 153435.16
Number of Day's Supply for All Claims for Beneficaries Age 65+ 36679
Number of Medicare Beneficiaries Age 65+ 160
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 420
Aggregate Cost Paid for Generic Drugs 20573.36
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 286
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 77573.33
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 325
Aggregate Cost Paid for Claims Filled by 98630.14
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 76
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 22219.18
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 535
by Low-Income Subsidy 153984.29
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+ 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 73.840659341
Number of Beneficiaries Age Less Than 65 22
Number of Beneficiaries Age 65 to 74 82
Number of Beneficiaries Age 75 to 84 58
Number of Female Beneficiaries 77
Number of Male Beneficiaries 105
Number of Non-Hispanic White 162
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 12
Only Entitlement 155
Average Hierarchical Condition Category 1.4521964286

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