Jacqueline Mintz

Home > Jacqueline Mintz

NPI Number Detailed Information

Provider Information:

Name:	Jacqueline Mintz
Gender:	F
Provider License Number If Given:	14-60208-122

NPI Information:

NPI:	1124258967
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/14/2009
Last Update Date:	12/21/2011

Provider Business Mailing Address:

Address:	224 ASHLEY PLACE ROAD Columbia, SC 29229
Phone Number:	7064956612
Fax Number:

Provider Business Practice Location Address:

Address:	524 NELSON AVE Shaw Afb, SC 29152
Phone Number:	7064956612
Fax Number:

Provider Taxonomy:

Primary:	363LC1500X
Secondary (if any):	363LF0000X
State:	SC

Top Doctors in SC

About Jacqueline Mintz

Jacqueline Mintz ( JACQUELINE MINTZ ) is Definition Nurse Practitioner Physician in Shaw Afb, SC. The NPI Number for Jacqueline Mintz is 1124258967.

The current location address for Jacqueline Mintz is 524 NELSON AVE Shaw Afb, SC 29152 and the contact number is 7064956612 and fax number is . The mailing address for Jacqueline Mintz is 224 ASHLEY PLACE ROAD Columbia, SC 29229- 7064956612 (mailing address contact number - 7064956612).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Jacqueline Mintz ?

Answer: The NPI Number for Jacqueline Mintz is 1124258967

Where is Jacqueline Mintz located?

Answer: Jacqueline Mintz is located at 524 NELSON AVE Shaw Afb, SC 29152.

What is the specialty for Jacqueline Mintz ?

Answer: The Specialty of Jacqueline Mintz is Definition Nurse Practitioner Physician.

Are there any online reviews for Jacqueline Mintz ?

Answer: Not yet!

Are there any other health care providers in Shaw Afb, SC?

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 Jacqueline Mintz

Number of HCPCS	4
Number of Medicare Beneficiaries	20
Number of Services	38
Total Submitted Charge Amount	1460.56
Total Medicare Allowed Amount	1297.2
Total Medicare Payment Amount	1013.46
Total Medicare Standardized Payment Amount	1035.61
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	4
Number of Medicare Beneficiaries With Medical	20
Number of Medical Services	38
Total Medical Submitted Charge Amount	1460.56
Total Medical Medicare Allowed Amount	1297.2
Total Medical Medicare Payment Amount	1013.46
Total Medical Medicare Standardized Payment Amount	1035.61
Average Age of Beneficiaries	51
Number of Beneficiaries Age Less 65
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
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	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	0
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes	0.6
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.7
Percent (%) of Beneficiaries Identified With Hypertension	0.7
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis	0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.75
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.5087

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	273
Number of Standardized 30-Day Fills	275
Aggregate Cost Paid for All Claims	7616.97
Number of Day's Supply for All Claims	4517
Number of Medicare Beneficiaries	24
Number of Claims, Including Refills, for Beneficiaries Age 65+	54
Including Refills, for Beneficiaries Age 65+	54
Beneficiaries Age 65+	2150.55
Number of Day's Supply for All Claims for Beneficaries Age 65+	747
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	12
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	261
Aggregate Cost Paid for Generic Drugs	5865.09
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	77
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	1917.13
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	196
Aggregate Cost Paid for Claims Filled by	5699.84
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	224
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	5605.13
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	49
by Low-Income Subsidy	2011.84
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
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+
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	57.166666667
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	12
Number of Non-Hispanic White
Number of Black or African American	15
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	1.82540625

More Providers in Shaw Afb , SC

Ms. Theresa Jean Ulichney
Registered Nurse
NPI Number: 1134155773
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038956812

Ms. Melissa Ann Smith
Athletic Trainer
NPI Number: 1851320428
Address: 438 KILLIAN AVE RM 101 Shaw Afb, SC 29152 , Phone: 8038951867

20Th Medical Group Sgsl
Military/U.S. Coast Guard Pharmacy
NPI Number: 1760581946
Address: 515 EXCHANGE ST BLDG 1448 Shaw Afb, SC 29152 , Phone: 8648951309

20Th Medical Group Sgsl
Military/U.S. Coast Guard Pharmacy
NPI Number: 1851490031
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038956464

Daniel Anthony Blaz
Family Nurse Practitioner
NPI Number: 1881786879
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038857976

Dr. Danielle Joy Cermak
Family Medicine Physician
NPI Number: 1609958164
Address: 431 MEADOWLARK ST BLDG 1048 Shaw Afb, SC 29152 , Phone: 8038957006

Laura M Baugh
Sleep Medicine (Psychiatry & Neurology) Physician
NPI Number: 1851435234
Address: 420 BODIN CIRCLE Shaw Afb, SC 29152 , Phone: 389520068

Mrs. Jodi Ann Memery
Social Worker
NPI Number: 1699809475
Address: 431 MEADOWLARK ST 20TH MEDICAL GROUP MENTAL HEALTH CLINIC Shaw Afb, SC 29152 , Phone: 8038956199

Christine Rennie Giblin
Optometrist
NPI Number: 1770785743
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038956579

Jacqueline Mintz
Community Health Nurse Practitioner
NPI Number: 1124258967
Address: 524 NELSON AVE Shaw Afb, SC 29152 , Phone: 7064956612

Ms. Lauren Carol Allain
Family Nurse Practitioner
NPI Number: 1124250667
Address: 431 MEADOWLARK ST. 20TH MDG/SGHC Shaw Afb, SC 29152 , Phone: 8038956356

Virginia Bulleman
Social Worker
NPI Number: 1104118819
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038956199

Damien C Morgan
Internal Medicine Physician
NPI Number: 1235426776
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038952273

Scott B Wyatt
Independent Duty Medical Technicians
NPI Number: 1720337462
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 3219611447

Dr. Ryan R Landoll
Student in an Organized Health Care Education/Training Program
NPI Number: 1083966824
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038956199

Sidonia Lee Alo
Independent Duty Medical Technicians
NPI Number: 1285068296
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038956527

Logan Parrott
Psychiatry Physician
NPI Number: 1700206992
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038956199

20Th Medical Support Squadron
Military/U.S. Coast Guard Pharmacy
NPI Number: 1881009033
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038951309

Valerie Luisa Villanueva
Physician Assistant
NPI Number: 1104232701
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 389565428

Suzan Beattie
Clinical Social Worker
NPI Number: 1043626492
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038956199

Dr. Ronald P Miller
Physical Therapist
NPI Number: 1568866606
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038956585

Usv Optical Inc.
Eyewear Supplier
NPI Number: 1750778494
Address: 370 RHODES AVE MAIN EXCHANGE Shaw Afb, SC 29152 , Phone: 8036662011

Mrs. Jennifer Dawn Dukette
Pharmacist
NPI Number: 1235515495
Address: 7574B ORCHID DR Shaw Afb, SC 29152 , Phone: 7023363765

Dr. Daphine Lugo
Clinical Psychologist
NPI Number: 1184148553
Address: 411 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038956119

Ana N Chavis
Pharmacist
NPI Number: 1083123020
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038956466

Jared Wesley Baird
Student in an Organized Health Care Education/Training Program
NPI Number: 1124525118
Address: 1042 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038952273

Dr. David Wayne Tindle
Aerospace Medicine Physician
NPI Number: 1679070247
Address: 420 POLIFKA DR BLDG 1042 Shaw Afb, SC 29152 , Phone: 8038956746

Denise D Garvin
Student in an Organized Health Care Education/Training Program
NPI Number: 1396232518
Address: 420 POLIFKA DR BLDG 1042 Shaw Afb, SC 29152 , Phone: 8038952273

Bri Durrans Deamare Ramirez
Family Nurse Practitioner
NPI Number: 1689139727
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8087729388

Charles Bradford Davis
Physician Assistant
NPI Number: 1861957516
Address: 411 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8283616979

Dr. Hanlon Ignatius Maivelett
Pharmacist
NPI Number: 1568005452
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038956466

Marie Nicole Rossillon Rothstein
Physician Assistant
NPI Number: 1851931737
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038956746

Antonia Travisano
Clinical Psychologist
NPI Number: 1376162214
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038956199

Patti E Busser
Social Worker
NPI Number: 1164046520
Address: 420 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8038956095

Jaclyn C Hoffman
Registered Nurse
NPI Number: 1427667765
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038952273

Dr. Alexander William Ortiz
Student in an Organized Health Care Education/Training Program
NPI Number: 1356928014
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038952273

Kacie Rempel
Student in an Organized Health Care Education/Training Program
NPI Number: 1336721844
Address: 420 POLIFKA DR BLDG 1042 Shaw Afb, SC 29152 , Phone: 2105675711

Dr. Kevin John Will
Dentist
NPI Number: 1013681527
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038956988

Rhannieboy Mendoza Espiritu
Independent Duty Medical Technicians
NPI Number: 1568132082
Address: 411 POLIFKA DR Shaw Afb, SC 29152 , Phone: 8504908759

Eric Black
Independent Duty Medical Technicians
NPI Number: 1558025429
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038952273

Dr. Jeffrey A. Schievenin
Family Medicine Physician
NPI Number: 1679567143
Address: 431 MEADOWLARK Shaw Afb, SC 29152 , Phone: 8038952006

Anthony Shawn Bankes
Family Medicine Physician
NPI Number: 1194710780
Address: 411 MEDOWLARK Shaw Afb, SC 29152 , Phone: 8038956745

Bryan J Funke
Occupational Medicine Physician
NPI Number: 1629055298
Address: 420 POLIFKA DR BLDG 1042 Shaw Afb, SC 29152 , Phone: 8038956746

Mr. Scott William Gardner
Athletic Trainer
NPI Number: 1043282916
Address: 438 KILLIAN AVE ATTN: OHWS GROUP Shaw Afb, SC 29152 , Phone: 8038953719

20Th Medical Group Shaw
Military/U.S. Coast Guard Pharmacy
NPI Number: 1336112440
Address: 431 MEADOWLARK ST Shaw Afb, SC 29152 , Phone: 8038956526

Kimberly Marie Shanks
Family Nurse Practitioner
NPI Number: 1366415184
Address: 431 MEADOWLARK RD Shaw Afb, SC 29152 , Phone: 8038956592