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Gary Jacobsen

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NPI Number Detailed Information

Provider Information:

Name: Gary Jacobsen
Gender: M
Provider License Number If Given: 076035966N1

NPI Information:

NPI: 1942235718
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/11/2006

Last Update Date: 1/6/2009

Provider Business Mailing Address:

Address: 176 1ST AVE. NORTH PO BOX N
Ilwaco, WA 98624
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 176 1ST AVE. NORTH PO BOX N
Ilwaco, WA 98624
Phone Number: 3606426316
Fax Number:

Provider Taxonomy:

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

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About Gary Jacobsen

Gary Jacobsen ( GARY JACOBSEN ) is Definition Nurse Practitioner Physician in Ilwaco, WA. The NPI Number for Gary Jacobsen is 1942235718.
The current location address for Gary Jacobsen is 176 1ST AVE. NORTH PO BOX N Ilwaco, WA 98624 and the contact number is and fax number is . The mailing address for Gary Jacobsen is 176 1ST AVE. NORTH PO BOX N Ilwaco, WA 98624- 3606426316 (mailing address contact number - ).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Gary Jacobsen ?


Answer: The NPI Number for Gary Jacobsen is 1942235718

Where is Gary Jacobsen located?


Answer: Gary Jacobsen is located at 176 1ST AVE. NORTH PO BOX N Ilwaco, WA 98624.

What is the specialty for Gary Jacobsen ?


Answer: The Specialty of Gary Jacobsen is Definition Nurse Practitioner Physician.

Are there any online reviews for Gary Jacobsen ?


Answer: Not yet!

Are there any other health care providers in Ilwaco, WA?


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 32
Number of Standardized 30-Day Fills 39.166666667
Aggregate Cost Paid for All Claims 489.26
Number of Day's Supply for All Claims 759
Number of Medicare Beneficiaries 18
Number of Claims, Including Refills, for Beneficiaries Age 65+ 32
Including Refills, for Beneficiaries Age 65+ 39.166666667
Beneficiaries Age 65+ 489.26
Number of Day's Supply for All Claims for Beneficaries Age 65+ 759
Number of Medicare Beneficiaries Age 65+ 18
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 31
Aggregate Cost Paid for Generic Drugs 474.14
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 0
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 0
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 32
Aggregate Cost Paid for Claims Filled by 489.26
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 11
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 128.48
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 21
by Low-Income Subsidy 360.78
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 12
Aggregate Cost Paid for Antibiotic Drugs 124.81
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 78.722222222
Number of Beneficiaries Age Less Than 65 0
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 16
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 1.1693333333

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