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Jason H Clark & Sandra J Clark

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NPI Number Detailed Information

Provider Information:

Name: Jason H Clark & Sandra J Clark
Gender:
Provider License Number If Given: MRT2279

NPI Information:

NPI: 1912185927
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 2/1/2008

Last Update Date: 12/3/2008

Provider Business Mailing Address:

Address: PO BOX 994
Oxford, MS 38655
Phone Number: 6625145215
Fax Number: 6622340172

Provider Business Practice Location Address:

Address: 139 COUNTY ROAD 379
Water Valley, MS 38965
Phone Number: 6625145215
Fax Number: 6622340172

Provider Taxonomy:

Primary: 335V00000X
Secondary (if any):
State: MS

Top Doctors in MS

 

About Jason H Clark & Sandra J Clark

Jason H Clark & Sandra J Clark ( JASON H CLARK & SANDRA J CLARK ) is A Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Provider in Water Valley, MS. The NPI Number for Jason H Clark & Sandra J Clark is 1912185927.
The current location address for Jason H Clark & Sandra J Clark is 139 COUNTY ROAD 379 Water Valley, MS 38965 and the contact number is 6625145215 and fax number is 6622340172. The mailing address for Jason H Clark & Sandra J Clark is PO BOX 994 Oxford, MS 38655- 6625145215 (mailing address contact number - 6625145215).
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jason H Clark & Sandra J Clark ?


Answer: The NPI Number for Jason H Clark & Sandra J Clark is 1912185927

Where is Jason H Clark & Sandra J Clark located?


Answer: Jason H Clark & Sandra J Clark is located at 139 COUNTY ROAD 379 Water Valley, MS 38965.

What is the specialty for Jason H Clark & Sandra J Clark ?


Answer: The Specialty of Jason H Clark & Sandra J Clark is A Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Provider.

Are there any online reviews for Jason H Clark & Sandra J Clark ?


Answer: Not yet!

Are there any other health care providers in Water Valley, MS?


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 Jason H Clark & Sandra J Clark

Number of HCPCS 28
Number of Medicare Beneficiaries 234
Number of Services 1254
Total Submitted Charge Amount 120325
Total Medicare Allowed Amount 71633.5
Total Medicare Payment Amount 51777.99
Total Medicare Standardized Payment Amount 53604.49
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 28
Number of Medicare Beneficiaries With Medical 234
Number of Medical Services 1254
Total Medical Submitted Charge Amount 120325
Total Medical Medicare Allowed Amount 71633.5
Total Medical Medicare Payment Amount 51777.99
Total Medical Medicare Standardized Payment Amount 53604.49
Average Age of Beneficiaries 80
Number of Beneficiaries Age Less 65 25
Number of Beneficiaries Age 65 to 74 47
Number of Beneficiaries Age 75 to 84 74
Number of Beneficiaries Age Greater 84 88
Number of Female Beneficiaries 148
Number of Male Beneficiaries 86
Number of Non-Hispanic White Beneficiaries 190
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 126
Number of Beneficiaries With Medicare Only Entitlement 108
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.13
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.72
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.09
Percent (%) of Beneficiaries Identified With Heart Failure 0.75
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.59
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.3
Percent (%) of Beneficiaries Identified With Depression 0.57
Percent (%) of Beneficiaries Identified With Diabetes 0.45
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.56
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.55
Percent (%) of Beneficiaries Identified With Osteoporosis 0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.18
Percent (%) of Beneficiaries Identified With Stroke 0.15
Average HCC Risk Score of Beneficiaries 2.6139

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Jason H Clark & Sandra J Clark
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
NPI Number: 1912185927
Address: 139 COUNTY ROAD 379 Water Valley, MS 38965 , Phone: 6625145215
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Address: 604 S MAIN ST Water Valley, MS 38965 , Phone: 6624731311
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Jason H Clark & Sandra J Clark in Other Directories

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