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John A. Wallace

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NPI Number Detailed Information

Provider Information:

Name: John A. Wallace
Gender: M
Provider License Number If Given: MD00151900

NPI Information:

NPI: 1861426462
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 7/10/2006
Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 702 W MAPLE AVE
Merchantville, NJ 08109
Phone Number: 8566651180
Fax Number: 8566655537

Provider Business Practice Location Address:

Address: 702 W MAPLE AVE
Merchantville, NJ 08109
Phone Number: 8566651180
Fax Number: 8566655537

Provider Taxonomy:

Primary: 213EP1101X
Secondary (if any):
State: NJ

Top Doctors in NJ

 

About John A. Wallace

John A. Wallace ( JOHN A. WALLACE ) is Definition Podiatrist Physician in Merchantville, NJ. The NPI Number for John A. Wallace is 1861426462.
The current location address for John A. Wallace is 702 W MAPLE AVE Merchantville, NJ 08109 and the contact number is 8566651180 and fax number is 8566655537. The mailing address for John A. Wallace is 702 W MAPLE AVE Merchantville, NJ 08109- 8566651180 (mailing address contact number - 8566651180).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for John A. Wallace ?


Answer: The NPI Number for John A. Wallace is 1861426462

Where is John A. Wallace located?


Answer: John A. Wallace is located at 702 W MAPLE AVE Merchantville, NJ 08109.

What is the specialty for John A. Wallace ?


Answer: The Specialty of John A. Wallace is Definition Podiatrist Physician.

Are there any online reviews for John A. Wallace ?


Answer: Not yet!

Are there any other health care providers in Merchantville, NJ?


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 John A. Wallace

Number of HCPCS 21
Number of Medicare Beneficiaries 289
Number of Services 2241
Total Submitted Charge Amount 207080
Total Medicare Allowed Amount 174416.87
Total Medicare Payment Amount 124894.32
Total Medicare Standardized Payment Amount 133165.22
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 21
Number of Medicare Beneficiaries With Medical 289
Number of Medical Services 2241
Total Medical Submitted Charge Amount 207080
Total Medical Medicare Allowed Amount 174416.87
Total Medical Medicare Payment Amount 124894.32
Total Medical Medicare Standardized Payment Amount 133165.22
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 50
Number of Beneficiaries Age 65 to 74 72
Number of Beneficiaries Age 75 to 84 108
Number of Beneficiaries Age Greater 84 59
Number of Female Beneficiaries 193
Number of Male Beneficiaries 96
Number of Non-Hispanic White Beneficiaries 94
Number of Black or African American Beneficiaries 80
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 104
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 148
Number of Beneficiaries With Medicare Only Entitlement 141
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.14
Percent (%) of Beneficiaries Identified With Asthma 0.13
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.45
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.1
Percent (%) of Beneficiaries Identified With Depression 0.2
Percent (%) of Beneficiaries Identified With Diabetes 0.64
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.74
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.33
Percent (%) of Beneficiaries Identified With Osteoporosis 0.06
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.53
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.05
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 2.0167

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 Podiatry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 484
Number of Standardized 30-Day Fills 498.16666667
Aggregate Cost Paid for All Claims 14644.39
Number of Day's Supply for All Claims 12038
Number of Medicare Beneficiaries 118
Number of Claims, Including Refills, for Beneficiaries Age 65+ 423
Including Refills, for Beneficiaries Age 65+ 437.16666667
Beneficiaries Age 65+ 13521.64
Number of Day's Supply for All Claims for Beneficaries Age 65+ 10719
Number of Medicare Beneficiaries Age 65+ 94
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 437
Aggregate Cost Paid for Generic Drugs 12266.49
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 219
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 8113.16
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 265
Aggregate Cost Paid for Claims Filled by 6531.23
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 352
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 10122.68
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 132
by Low-Income Subsidy 4521.71
Total Claims of Opioid Drugs, Including 52
Aggregate Cost Paid for Opioid Drugs 1117.91
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 10.743801653
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
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 34
Aggregate Cost Paid for Antibiotic Drugs 426.59
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 71.711864407
Number of Beneficiaries Age Less Than 65 24
Number of Beneficiaries Age 65 to 74 41
Number of Beneficiaries Age 75 to 84 42
Number of Female Beneficiaries 64
Number of Male Beneficiaries 54
Number of Non-Hispanic White 27
Number of Black or African American 28
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 62
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 39
Average Hierarchical Condition Category 1.9086340599

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Assoc. Of Maple Podiatry,Pa
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NPI Number: 1972540854
Address: 702 W MAPLE AVE Merchantville, NJ 08109 , Phone: 8566651180
Dr. Matthew George Harrison
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John A. Wallace
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John A. Wallace in Other Directories

Provider don't have other directory link yet.