Ms. Jacqueline Pandolfi

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NPI Number Detailed Information

Provider Information:

Name:	Ms. Jacqueline Pandolfi
Gender:	F
Provider License Number If Given:	388956-1

NPI Information:

NPI:	1225197866
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/8/2006
Last Update Date:	1/14/2021

Provider Business Mailing Address:

Address:	900 MERCHANTS CONCOURSE STE 216 Westbury, NY 11590
Phone Number:	5162268373
Fax Number:	8446328265

Provider Business Practice Location Address:

Address:	12 MEDICAL DR Port Jefferson Station, NY 11776
Phone Number:	6313314400
Fax Number:	6313313190

Provider Taxonomy:

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

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About Ms. Jacqueline Pandolfi

Ms. Jacqueline Pandolfi (MS. JACQUELINE PANDOLFI ) is Definition Nurse Practitioner Physician in Port Jefferson Station, NY. The NPI Number for Ms. Jacqueline Pandolfi is 1225197866.

The current location address for Ms. Jacqueline Pandolfi is 12 MEDICAL DR Port Jefferson Station, NY 11776 and the contact number is 5162268373 and fax number is 8446328265. The mailing address for Ms. Jacqueline Pandolfi is 900 MERCHANTS CONCOURSE STE 216 Westbury, NY 11590- 6313314400 (mailing address contact number - 5162268373).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Ms. Jacqueline Pandolfi ?

Answer: The NPI Number for Ms. Jacqueline Pandolfi is 1225197866

Where is Ms. Jacqueline Pandolfi located?

Answer: Ms. Jacqueline Pandolfi is located at 12 MEDICAL DR Port Jefferson Station, NY 11776.

What is the specialty for Ms. Jacqueline Pandolfi ?

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

Are there any online reviews for Ms. Jacqueline Pandolfi ?

Answer: Not yet!

Are there any other health care providers in Port Jefferson Station, NY?

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 Ms. Jacqueline Pandolfi

Number of HCPCS	9
Number of Medicare Beneficiaries	138
Number of Services	254
Total Submitted Charge Amount	46696
Total Medicare Allowed Amount	14336.42
Total Medicare Payment Amount	12454.52
Total Medicare Standardized Payment Amount	10040.16
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	9
Number of Medicare Beneficiaries With Medical	138
Number of Medical Services	254
Total Medical Submitted Charge Amount	46696
Total Medical Medicare Allowed Amount	14336.42
Total Medical Medicare Payment Amount	12454.52
Total Medical Medicare Standardized Payment Amount	10040.16
Average Age of Beneficiaries	68
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	93
Number of Beneficiaries Age 75 to 84	23
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	138
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	12
Number of Beneficiaries With Medicare Only Entitlement	126
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	0.08
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.15
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression	0.25
Percent (%) of Beneficiaries Identified With Diabetes	0.21
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.65
Percent (%) of Beneficiaries Identified With Hypertension	0.52
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.2
Percent (%) of Beneficiaries Identified With Osteoporosis	0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.38
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.6616

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	210
Number of Standardized 30-Day Fills	331.8
Aggregate Cost Paid for All Claims	21367.58
Number of Day's Supply for All Claims	7798
Number of Medicare Beneficiaries	84
Number of Claims, Including Refills, for Beneficiaries Age 65+	188
Including Refills, for Beneficiaries Age 65+	292.8
Beneficiaries Age 65+	21018.29
Number of Day's Supply for All Claims for Beneficaries Age 65+	6836
Number of Medicare Beneficiaries Age 65+	72
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	47
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	163
Aggregate Cost Paid for Generic Drugs	10070.51
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	29
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	1704.85
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	181
Aggregate Cost Paid for Claims Filled by	19662.73
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	50
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	6380.62
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	160
by Low-Income Subsidy	14986.96
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	28
Aggregate Cost Paid for Antibiotic Drugs	585.36
Antibiotic Claims	23
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	68.892857143
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74	48
Number of Beneficiaries Age 75 to 84	17
Number of Female Beneficiaries	84
Number of Male Beneficiaries	0
Number of Non-Hispanic White	74
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
Only Entitlement	67
Average Hierarchical Condition Category	0.7722390873

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