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Mrs. Leslie Polk Van Dyke

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Leslie Polk Van Dyke
Gender: F
Provider License Number If Given: 53-45551-051

NPI Information:

NPI: 1124023916
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/17/2005

Last Update Date: 5/7/2021

Provider Business Mailing Address:

Address: 10512 S 87TH EAST AVE
Tulsa, OK 74133
Phone Number: 9035043376
Fax Number:

Provider Business Practice Location Address:

Address: 1658 W GRANDE BLVD STE 100
Tyler, TX 75703
Phone Number: 9036176239
Fax Number: 9036176249

Provider Taxonomy:

Primary: 163W00000X
Secondary (if any):
State: TX

Top Doctors in TX

 

About Mrs. Leslie Polk Van Dyke

Mrs. Leslie Polk Van Dyke (MRS. LESLIE POLK VAN DYKE ) is (1) Registered Nurse Physician in Tyler, TX. The NPI Number for Mrs. Leslie Polk Van Dyke is 1124023916.
The current location address for Mrs. Leslie Polk Van Dyke is 1658 W GRANDE BLVD STE 100 Tyler, TX 75703 and the contact number is 9035043376 and fax number is . The mailing address for Mrs. Leslie Polk Van Dyke is 10512 S 87TH EAST AVE Tulsa, OK 74133- 9036176239 (mailing address contact number - 9035043376).
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mrs. Leslie Polk Van Dyke ?


Answer: The NPI Number for Mrs. Leslie Polk Van Dyke is 1124023916

Where is Mrs. Leslie Polk Van Dyke located?


Answer: Mrs. Leslie Polk Van Dyke is located at 1658 W GRANDE BLVD STE 100 Tyler, TX 75703.

What is the specialty for Mrs. Leslie Polk Van Dyke ?


Answer: The Specialty of Mrs. Leslie Polk Van Dyke is (1) Registered Nurse Physician.

Are there any online reviews for Mrs. Leslie Polk Van Dyke ?


Answer: Not yet!

Are there any other health care providers in Tyler, TX?


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 Mrs. Leslie Polk Van Dyke

Number of HCPCS 5
Number of Medicare Beneficiaries 15
Number of Services 15
Total Submitted Charge Amount 19585.07
Total Medicare Allowed Amount 2214.73
Total Medicare Payment Amount 1776.89
Total Medicare Standardized Payment Amount 1810.49
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 5
Number of Medicare Beneficiaries With Medical 15
Number of Medical Services 15
Total Medical Submitted Charge Amount 19585.07
Total Medical Medicare Allowed Amount 2214.73
Total Medical Medicare Payment Amount 1776.89
Total Medical Medicare Standardized Payment Amount 1810.49
Average Age of Beneficiaries 75
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
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 0
Number of Beneficiaries With Medicare Only Entitlement 15
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
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 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
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 0
Average HCC Risk Score of Beneficiaries 1.99

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 103
Number of Standardized 30-Day Fills 105.33333333
Aggregate Cost Paid for All Claims 2704.72
Number of Day's Supply for All Claims 2345
Number of Medicare Beneficiaries 53
Number of Claims, Including Refills, for Beneficiaries Age 65+ 82
Including Refills, for Beneficiaries Age 65+ 84.333333333
Beneficiaries Age 65+ 2401.18
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1983
Number of Medicare Beneficiaries Age 65+ 42
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 93
Aggregate Cost Paid for Generic Drugs 1243.19
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst *
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 69
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 2238.31
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 34
Aggregate Cost Paid for Claims Filled by 466.41
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 46
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1487.26
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 57
by Low-Income Subsidy 1217.46
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 20
Aggregate Cost Paid for Antibiotic Drugs 279.89
Antibiotic Claims 18
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 71.867924528
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74 19
Number of Beneficiaries Age 75 to 84 15
Number of Female Beneficiaries 26
Number of Male Beneficiaries 27
Number of Non-Hispanic White 45
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 38
Average Hierarchical Condition Category 1.436672956

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Mrs. Leslie Polk Van Dyke in Other Directories

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