Kimberly Gwen Mettetal

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NPI Number Detailed Information

Provider Information:

Name:	Kimberly Gwen Mettetal
Gender:	F
Provider License Number If Given:	R850409

NPI Information:

NPI:	1194911453
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/20/2007
Last Update Date:	9/4/2021

Provider Business Mailing Address:

Address:	309 W MAIN ST Senatobia, MS 38668
Phone Number:	6625603101
Fax Number:

Provider Business Practice Location Address:

Address:	309 W MAIN ST Senatobia, MS 38668
Phone Number:	6625603101
Fax Number:

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):	363LP0808X
State:	MS

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About Kimberly Gwen Mettetal

Kimberly Gwen Mettetal ( KIMBERLY GWEN METTETAL ) is Definition Nurse Practitioner Physician in Senatobia, MS. The NPI Number for Kimberly Gwen Mettetal is 1194911453.

The current location address for Kimberly Gwen Mettetal is 309 W MAIN ST Senatobia, MS 38668 and the contact number is 6625603101 and fax number is . The mailing address for Kimberly Gwen Mettetal is 309 W MAIN ST Senatobia, MS 38668- 6625603101 (mailing address contact number - 6625603101).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Kimberly Gwen Mettetal ?

Answer: The NPI Number for Kimberly Gwen Mettetal is 1194911453

Where is Kimberly Gwen Mettetal located?

Answer: Kimberly Gwen Mettetal is located at 309 W MAIN ST Senatobia, MS 38668.

What is the specialty for Kimberly Gwen Mettetal ?

Answer: The Specialty of Kimberly Gwen Mettetal is Definition Nurse Practitioner Physician.

Are there any online reviews for Kimberly Gwen Mettetal ?

Answer: Not yet!

Are there any other health care providers in Senatobia, 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 Kimberly Gwen Mettetal

Number of HCPCS	7
Number of Medicare Beneficiaries	27
Number of Services	28
Total Submitted Charge Amount	8813
Total Medicare Allowed Amount	3019.84
Total Medicare Payment Amount	2204.56
Total Medicare Standardized Payment Amount	2252.36
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	7
Number of Medicare Beneficiaries With Medical	27
Number of Medical Services	28
Total Medical Submitted Charge Amount	8813
Total Medical Medicare Allowed Amount	3019.84
Total Medical Medicare Payment Amount	2204.56
Total Medical Medicare Standardized Payment Amount	2252.36
Average Age of Beneficiaries	55
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	11
Number of Male Beneficiaries	16
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	0.41
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	0.7
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension	0.56
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	0.7
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.5584

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	185
Number of Standardized 30-Day Fills	206
Aggregate Cost Paid for All Claims	67144.4
Number of Day's Supply for All Claims	6045
Number of Medicare Beneficiaries	28
Number of Claims, Including Refills, for Beneficiaries Age 65+	66
Including Refills, for Beneficiaries Age 65+	80
Beneficiaries Age 65+	9976.47
Number of Day's Supply for All Claims for Beneficaries Age 65+	2300
Number of Medicare Beneficiaries Age 65+	13
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	28
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	157
Aggregate Cost Paid for Generic Drugs	6094.9
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	108
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	48945.53
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	77
Aggregate Cost Paid for Claims Filled by	18198.87
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	167
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	66557.43
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	18
by Low-Income Subsidy	586.97
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	0
Aggregate Cost Paid for Antibiotic Drugs	0
Antibiotic Claims	0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	14
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	718.32
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	60.928571429
Number of Beneficiaries Age Less Than 65	15
Number of Beneficiaries Age 65 to 74	11
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White	18
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	1.6906547619

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