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Kelly Wade Smith

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NPI Number Detailed Information

Provider Information:

Name: Kelly Wade Smith
Gender: M
Provider License Number If Given: 3250

NPI Information:

NPI: 1912994476
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/30/2005

Last Update Date: 2/27/2008

Reputation Report:

Provider Business Mailing Address:

Address: 104 W LINCOLN AVE
Fergus Falls, MN 56537
Phone Number: 2187364113
Fax Number: 2189984337

Provider Business Practice Location Address:

Address: 104 W LINCOLN AVE
Fergus Falls, MN 56537
Phone Number: 2187364113
Fax Number: 2189984337

Provider Taxonomy:

Primary: 111N00000X
Secondary (if any):
State: MN

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About Kelly Wade Smith

Kelly Wade Smith ( KELLY WADE SMITH ) is A Chiropractor Physician in Fergus Falls, MN. The NPI Number for Kelly Wade Smith is 1912994476.
The current location address for Kelly Wade Smith is 104 W LINCOLN AVE Fergus Falls, MN 56537 and the contact number is 2187364113 and fax number is 2189984337. The mailing address for Kelly Wade Smith is 104 W LINCOLN AVE Fergus Falls, MN 56537- 2187364113 (mailing address contact number - 2187364113).
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kelly Wade Smith ?


Answer: The NPI Number for Kelly Wade Smith is 1912994476

Where is Kelly Wade Smith located?


Answer: Kelly Wade Smith is located at 104 W LINCOLN AVE Fergus Falls, MN 56537.

What is the specialty for Kelly Wade Smith ?


Answer: The Specialty of Kelly Wade Smith is A Chiropractor Physician.

Are there any online reviews for Kelly Wade Smith ?


Answer: Yes! Check It Now.

Are there any other health care providers in Fergus Falls, MN?


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 Kelly Wade Smith

Number of HCPCS 2
Number of Medicare Beneficiaries 21
Number of Services 124
Total Submitted Charge Amount 7080
Total Medicare Allowed Amount 4318.26
Total Medicare Payment Amount 2717.85
Total Medicare Standardized Payment Amount 3099.96
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 2
Number of Medicare Beneficiaries With Medical 21
Number of Medical Services 124
Total Medical Submitted Charge Amount 7080
Total Medical Medicare Allowed Amount 4318.26
Total Medical Medicare Payment Amount 2717.85
Total Medical Medicare Standardized Payment Amount 3099.96
Average Age of Beneficiaries 65
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 0
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 0
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
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension 0.52
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.8363

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