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Lee Shannon Wagner

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NPI Number Detailed Information

Provider Information:

Name: Lee Shannon Wagner
Gender: F
Provider License Number If Given:

NPI Information:

NPI: 1316442361
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/29/2018

Last Update Date: 7/7/2021

Provider Business Mailing Address:

Address: 2 SHARPE STREET
Kingston, PA 18704
Phone Number: 5705915142
Fax Number: 5705528958

Provider Business Practice Location Address:

Address: 19140 S 3RD ST
Citronelle, AL 36522
Phone Number: 2518660086
Fax Number:

Provider Taxonomy:

Primary: 390200000X
Secondary (if any): 207Q00000X
State: AL

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About Lee Shannon Wagner

Lee Shannon Wagner ( LEE SHANNON WAGNER ) is An Student in an Organized Health Care Education/Training Program Physician in Citronelle, AL. The NPI Number for Lee Shannon Wagner is 1316442361.
The current location address for Lee Shannon Wagner is 19140 S 3RD ST Citronelle, AL 36522 and the contact number is 5705915142 and fax number is 5705528958. The mailing address for Lee Shannon Wagner is 2 SHARPE STREET Kingston, PA 18704- 2518660086 (mailing address contact number - 5705915142).
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Business Location on Map

FAQs:

What is the NPI Number for Lee Shannon Wagner ?


Answer: The NPI Number for Lee Shannon Wagner is 1316442361

Where is Lee Shannon Wagner located?


Answer: Lee Shannon Wagner is located at 19140 S 3RD ST Citronelle, AL 36522.

What is the specialty for Lee Shannon Wagner ?


Answer: The Specialty of Lee Shannon Wagner is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Lee Shannon Wagner ?


Answer: Not yet!

Are there any other health care providers in Citronelle, AL?


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 Lee Shannon Wagner

Number of HCPCS 35
Number of Medicare Beneficiaries 68
Number of Services 567
Total Submitted Charge Amount 24668.15
Total Medicare Allowed Amount 13275.62
Total Medicare Payment Amount 11106.97
Total Medicare Standardized Payment Amount 11463.43
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 3
Number of Medicare Beneficiaries With Drug Services 24
Number of Drug Services 225
Total Drug Submitted Charge Amount 2062.17
Total Drug Medicare Allowed Amount 1303.69
Total Drug Medicare Payment Amount 1302.52
Total Drug Medicare Standardized Payment Amount 1276.39
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 32
Number of Medicare Beneficiaries With Medical 68
Number of Medical Services 342
Total Medical Submitted Charge Amount 22605.98
Total Medical Medicare Allowed Amount 11971.93
Total Medical Medicare Payment Amount 9804.45
Total Medical Medicare Standardized Payment Amount 10187.04
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 25
Number of Beneficiaries Age 75 to 84 23
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 33
Number of Male Beneficiaries 35
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 13
Number of Beneficiaries With Medicare Only Entitlement 55
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
Percent (%) of Beneficiaries Identified With Heart Failure 0.21
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.44
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.16
Percent (%) of Beneficiaries Identified With Depression 0.19
Percent (%) of Beneficiaries Identified With Diabetes 0.46
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.41
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.2144

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 Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 2061
Number of Standardized 30-Day Fills 4116.5333333
Aggregate Cost Paid for All Claims 180902.36
Number of Day's Supply for All Claims 118675
Number of Medicare Beneficiaries 380
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1510
Including Refills, for Beneficiaries Age 65+ 3180.1666667
Beneficiaries Age 65+ 110334.25
Number of Day's Supply for All Claims for Beneficaries Age 65+ 91832
Number of Medicare Beneficiaries Age 65+ 283
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 242
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1802
Aggregate Cost Paid for Generic Drugs 32370.65
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 17
Aggregate Cost Paid for Other Drugs 1051
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1474
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 115467.74
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 587
Aggregate Cost Paid for Claims Filled by 65434.62
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1195
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 125436.21
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 866
by Low-Income Subsidy 55466.15
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 76
Aggregate Cost Paid for Antibiotic Drugs 6436.34
Antibiotic Claims 55
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 69.252631579
Number of Beneficiaries Age Less Than 65 97
Number of Beneficiaries Age 65 to 74 168
Number of Beneficiaries Age 75 to 84 100
Number of Female Beneficiaries 198
Number of Male Beneficiaries 182
Number of Non-Hispanic White 306
Number of Black or African American 65
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 224
Average Hierarchical Condition Category 1.3001171382

More Providers in Citronelle , AL

Dr. Michael Clay Garver
Dentist
NPI Number: 1114972130
Address: 19260 N MOBILE ST Citronelle, AL 36522 , Phone: 2518665585
Freds Stores Of Tennessee Inc
Pharmacy
NPI Number: 1457383481
Address: 19580 N 3RD ST Citronelle, AL 36522 , Phone: 2518663774
Alabama Cvs Pharmacy, L.L.C.
Community/Retail Pharmacy
NPI Number: 1225131972
Address: 19215 N 3RD ST Citronelle, AL 36522 , Phone: 2518669605
Mobile County Board Of Health
Federally Qualified Health Center (FQHC)
NPI Number: 1053406280
Address: 19250 N MOBILE ST Citronelle, AL 36522 , Phone: 2518669129
Edmond Charles Henson
Family Medicine Physician
NPI Number: 1306974704
Address: 19280 HOWARD AVE Citronelle, AL 36522 , Phone: 2518669811
Citronelle Drug Co Inc
Pharmacist
NPI Number: 1871622555
Address: 19240 MOBILE ST Citronelle, AL 36522 , Phone: 2518665522
Mr. Frank Stuart Campbell
Physical Therapist
NPI Number: 1801009147
Address: 18575 S 3RD ST Citronelle, AL 36522 , Phone: 2518663261
Providence Healthcare Services
Family Medicine Physician
NPI Number: 1902000102
Address: 19140 S 3RD ST Citronelle, AL 36522 , Phone: 2518660086
Al Citronelle Llc
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NPI Number: 1033379854
Address: 19225 N 4TH ST Citronelle, AL 36522 , Phone: 3348665509
Mrs. Cheri G Ellison
Dental Hygienist
NPI Number: 1275775199
Address: 7052 PATRICK RD Citronelle, AL 36522 , Phone: 2516102455
Mrs. Latanja Shanta Batain
Family Nurse Practitioner
NPI Number: 1780810622
Address: 19250 N MOBILE ST Citronelle, AL 36522 , Phone: 2518667454
Natchez Medical Supply, Llc
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NPI Number: 1023301272
Address: 19095 S 3RD ST SUITE B Citronelle, AL 36522 , Phone: 2518660909
Gmuc Of Citronelle Llc
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NPI Number: 1164794343
Address: 19355 N 3RD ST SUITE 104 Citronelle, AL 36522 , Phone: 2516330123
Brittany Letrelle Barnes
Family Medicine Physician
NPI Number: 1063770550
Address: 19140 S 3RD ST Citronelle, AL 36522 , Phone: 2518660086
Encore Rehabilitation, Inc.
Physical Therapy Clinic/Center
NPI Number: 1164787214
Address: 19195 N 3RD ST Citronelle, AL 36522 , Phone: 2518660464
Alabama Providence Healthcare Services
Internal Medicine Physician
NPI Number: 1700215894
Address: 19140 S 3RD ST Citronelle, AL 36522 , Phone: 2518660086
Corey Reynolds
Occupational Therapist
NPI Number: 1457775934
Address: 19195 N 3RD ST Citronelle, AL 36522 , Phone: 2518660464
Nancy Ursprung
Family Nurse Practitioner
NPI Number: 1992129860
Address: 19250 N MOBILE ST Citronelle, AL 36522 , Phone: 2518667454
Mr. Charles Seth Davis
Pediatric Nurse Practitioner
NPI Number: 1699194522
Address: 19250 N MOBILE ST Citronelle, AL 36522 , Phone: 2518667454
Charles Lipe
Physical Therapist
NPI Number: 1861878431
Address: 19195 N 3RD ST Citronelle, AL 36522 , Phone: 2518660464
Mobile County Board Of Health
State or Local Public Health Clinic/Center
NPI Number: 1578919890
Address: 19260 N MOBILE ST Citronelle, AL 36522 , Phone: 2518665585
Crowne Health Care Of Citronelle, Llc
Skilled Nursing Facility
NPI Number: 1730530130
Address: 19225 N 4TH ST Citronelle, AL 36522 , Phone: 2518665509
Mrs. Jerri Riggins
Driver
NPI Number: 1154830438
Address: 8240 WOODLAND DR S Citronelle, AL 36522 , Phone: 2514219067
Lee Shannon Wagner
Student in an Organized Health Care Education/Training Program
NPI Number: 1316442361
Address: 19140 S 3RD ST Citronelle, AL 36522 , Phone: 2518660086
Francilla Allen
Professional Counselor
NPI Number: 1598324238
Address: 20856 FRAZIER CEMETERY RD Citronelle, AL 36522 , Phone: 4043743525
Thaila Keodouangdy
Family Nurse Practitioner
NPI Number: 1104448919
Address: 19250 N MOBILE ST Citronelle, AL 36522 , Phone: 2518669126
Dr. Hannah L Corley
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
NPI Number: 1558965087
Address: 19215 N 3RD ST Citronelle, AL 36522 , Phone: 2518669605
Dr. Kristin Leresa Smith
Pharmacist
NPI Number: 1326642893
Address: 19215 N 3RD ST Citronelle, AL 36522 , Phone: 2518669605
Mackenzie Brooke Brown
Student in an Organized Health Care Education/Training Program
NPI Number: 1356930242
Address: 16912 BRANNAN FORK RD Citronelle, AL 36522 , Phone: 2514046983
Nursetel
Foot & Ankle Surgery Podiatrist
NPI Number: 1730847013
Address: 8160 REALCO LN Citronelle, AL 36522 , Phone: 2512643009
Nursetel
Home Infusion Agency
NPI Number: 1447900436
Address: 8160 REALCO LN Citronelle, AL 36522 , Phone: 2512643009
Delta Health Group Inc
Skilled Nursing Facility
NPI Number: 1437141355
Address: 19225 N 4TH ST Citronelle, AL 36522 , Phone: 2518665509
Amedisys Home Health Of Alabama, Llc
Home Health Agency
NPI Number: 1790743961
Address: 19375 N 3RD ST SUITE 101 Citronelle, AL 36522 , Phone: 2518663261

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