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Dr. Ivy Lynn Brackup

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NPI Number Detailed Information

Provider Information:

Name: Dr. Ivy Lynn Brackup
Gender: F
Provider License Number If Given:

NPI Information:

NPI: 1184691891
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/1/2006

Last Update Date: 9/23/2011

Provider Business Mailing Address:

Address: 372 WASHINGTON ST. MARINO CENTER FOR INTEGRATIVE HEALTH
Wellesley, MA 02481
Phone Number: 7812355200
Fax Number: 6173821101

Provider Business Practice Location Address:

Address: 372 WASHINGTON ST. MARINO CENTER FOR INTEGRATIVE HEALTH
Wellesley, MA 02481
Phone Number: 7812355200
Fax Number: 6173821101

Provider Taxonomy:

Primary: 171W00000X
Secondary (if any):
State: MA

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About Dr. Ivy Lynn Brackup

Dr. Ivy Lynn Brackup (DR. IVY LYNN BRACKUP ) is A Contractor Physician in Wellesley, MA. The NPI Number for Dr. Ivy Lynn Brackup is 1184691891.
The current location address for Dr. Ivy Lynn Brackup is 372 WASHINGTON ST. MARINO CENTER FOR INTEGRATIVE HEALTH Wellesley, MA 02481 and the contact number is 7812355200 and fax number is 6173821101. The mailing address for Dr. Ivy Lynn Brackup is 372 WASHINGTON ST. MARINO CENTER FOR INTEGRATIVE HEALTH Wellesley, MA 02481- 7812355200 (mailing address contact number - 7812355200).
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Ivy Lynn Brackup ?


Answer: The NPI Number for Dr. Ivy Lynn Brackup is 1184691891

Where is Dr. Ivy Lynn Brackup located?


Answer: Dr. Ivy Lynn Brackup is located at 372 WASHINGTON ST. MARINO CENTER FOR INTEGRATIVE HEALTH Wellesley, MA 02481.

What is the specialty for Dr. Ivy Lynn Brackup ?


Answer: The Specialty of Dr. Ivy Lynn Brackup is A Contractor Physician.

Are there any online reviews for Dr. Ivy Lynn Brackup ?


Answer: Not yet!

Are there any other health care providers in Wellesley, MA?


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 Dr. Ivy Lynn Brackup

Number of HCPCS 11
Number of Medicare Beneficiaries 48
Number of Services 156
Total Submitted Charge Amount 13428
Total Medicare Allowed Amount 8894.09
Total Medicare Payment Amount 6187.51
Total Medicare Standardized Payment Amount 6054.25
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 48
Number of Medical Services 156
Total Medical Submitted Charge Amount 13428
Total Medical Medicare Allowed Amount 8894.09
Total Medical Medicare Payment Amount 6187.51
Total Medical Medicare Standardized Payment Amount 6054.25
Average Age of Beneficiaries 62
Number of Beneficiaries Age Less 65 21
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 36
Number of Male Beneficiaries 12
Number of Non-Hispanic White Beneficiaries 16
Number of Black or African American Beneficiaries 13
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
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 0.31
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.5
Percent (%) of Beneficiaries Identified With Diabetes 0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.42
Percent (%) of Beneficiaries Identified With Hypertension 0.5
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.31
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.31
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.2045

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 Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 232
Number of Standardized 30-Day Fills 309.33333333
Aggregate Cost Paid for All Claims 7631.06
Number of Day's Supply for All Claims 7715
Number of Medicare Beneficiaries 90
Number of Claims, Including Refills, for Beneficiaries Age 65+ 185
Including Refills, for Beneficiaries Age 65+ 251
Beneficiaries Age 65+ 6640.44
Number of Day's Supply for All Claims for Beneficaries Age 65+ 6447
Number of Medicare Beneficiaries Age 65+ 67
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 204
Aggregate Cost Paid for Generic Drugs 5576.12
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 194
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 6705.7
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 38
Aggregate Cost Paid for Claims Filled by 925.36
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 216
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 7352.32
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 16
by Low-Income Subsidy 278.74
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 18
Aggregate Cost Paid for Antibiotic Drugs 368.23
Antibiotic Claims 16
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 67.977777778
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 36
Number of Beneficiaries Age 75 to 84 27
Number of Female Beneficiaries 67
Number of Male Beneficiaries 23
Number of Non-Hispanic White 18
Number of Black or African American 16
Number of Asian Pacific Islander 38
Number of Hispanic Beneficiaries 16
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 1.1633814815

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Dr. Ivy Lynn Brackup in Other Directories

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