Gayle M Wallace

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NPI Number Detailed Information

Provider Information:

Name:	Gayle M Wallace
Gender:	F
Provider License Number If Given:	B096425

NPI Information:

NPI:	1679552871
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	1/16/2006
Last Update Date:	2/13/2013

Provider Business Mailing Address:

Address:	200 HAWKINS DR Iowa City, IA 52242
Phone Number:	5633552244
Fax Number:	5633446701

Provider Business Practice Location Address:

Address:	3385 DEXTER CT STE 110 Davenport, IA 52807
Phone Number:	5633552244
Fax Number:	5633446701

Provider Taxonomy:

Primary:	363LW0102X
Secondary (if any):
State:	IA

Top Doctors in IA

About Gayle M Wallace

Gayle M Wallace ( GAYLE M WALLACE ) is Definition Nurse Practitioner Physician in Davenport, IA. The NPI Number for Gayle M Wallace is 1679552871.

The current location address for Gayle M Wallace is 3385 DEXTER CT STE 110 Davenport, IA 52807 and the contact number is 5633552244 and fax number is 5633446701. The mailing address for Gayle M Wallace is 200 HAWKINS DR Iowa City, IA 52242- 5633552244 (mailing address contact number - 5633552244).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Gayle M Wallace ?

Answer: The NPI Number for Gayle M Wallace is 1679552871

Where is Gayle M Wallace located?

Answer: Gayle M Wallace is located at 3385 DEXTER CT STE 110 Davenport, IA 52807.

What is the specialty for Gayle M Wallace ?

Answer: The Specialty of Gayle M Wallace is Definition Nurse Practitioner Physician.

Are there any online reviews for Gayle M Wallace ?

Answer: Not yet!

Are there any other health care providers in Davenport, IA?

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 Gayle M Wallace

Number of HCPCS	6
Number of Medicare Beneficiaries	40
Number of Services	46
Total Submitted Charge Amount	6199
Total Medicare Allowed Amount	1824.95
Total Medicare Payment Amount	1642.7
Total Medicare Standardized Payment Amount	1752.91
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	40
Number of Medical Services	46
Total Medical Submitted Charge Amount	6199
Total Medical Medicare Allowed Amount	1824.95
Total Medical Medicare Payment Amount	1642.7
Total Medical Medicare Standardized Payment Amount	1752.91
Average Age of Beneficiaries	72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	28
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	40
Number of Male Beneficiaries	0
Number of Non-Hispanic White Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
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	0.55
Percent (%) of Beneficiaries Identified With Hypertension	0.48
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.33
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke	0
Average HCC Risk Score of Beneficiaries	0.7036

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	Certified Nurse Midwife
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	68
Number of Standardized 30-Day Fills	115.6
Aggregate Cost Paid for All Claims	7017.51
Number of Day's Supply for All Claims	3263
Number of Medicare Beneficiaries	19
Number of Claims, Including Refills, for Beneficiaries Age 65+	46
Including Refills, for Beneficiaries Age 65+	82.466666667
Beneficiaries Age 65+	5911.48
Number of Day's Supply for All Claims for Beneficaries Age 65+	2349
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	59
Aggregate Cost Paid for Generic Drugs	3431.86
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	32
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	1561.77
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	36
Aggregate Cost Paid for Claims Filled by	5455.74
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	31
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	1379.7
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	37
by Low-Income Subsidy	5637.81
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
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	67.105263158
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	19
Number of Male Beneficiaries	0
Number of Non-Hispanic White	19
Number of Black or African American	0
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	0
Only Entitlement
Average Hierarchical Condition Category	1.1172631579

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