Mary Ann Wietbrock

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NPI Number Detailed Information

Provider Information:

Name:	Mary Ann Wietbrock
Gender:	F
Provider License Number If Given:	28088637A

NPI Information:

NPI:	1336551175
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/28/2014
Last Update Date:	5/28/2014

Provider Business Mailing Address:

Address:	4108 W 400 S New Palestine, IN 46163
Phone Number:	3174109140
Fax Number:

Provider Business Practice Location Address:

Address:	4108 W 400 S New Palestine, IN 46163
Phone Number:	3174109140
Fax Number:

Provider Taxonomy:

Primary:	364SC1501X
Secondary (if any):
State:	IN

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About Mary Ann Wietbrock

Mary Ann Wietbrock ( MARY ANN WIETBROCK ) is Definition Clinical Nurse Specialist Physician in New Palestine, IN. The NPI Number for Mary Ann Wietbrock is 1336551175.

The current location address for Mary Ann Wietbrock is 4108 W 400 S New Palestine, IN 46163 and the contact number is 3174109140 and fax number is . The mailing address for Mary Ann Wietbrock is 4108 W 400 S New Palestine, IN 46163- 3174109140 (mailing address contact number - 3174109140).

Definition to come...

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FAQs:

What is the NPI Number for Mary Ann Wietbrock ?

Answer: The NPI Number for Mary Ann Wietbrock is 1336551175

Where is Mary Ann Wietbrock located?

Answer: Mary Ann Wietbrock is located at 4108 W 400 S New Palestine, IN 46163.

What is the specialty for Mary Ann Wietbrock ?

Answer: The Specialty of Mary Ann Wietbrock is Definition Clinical Nurse Specialist Physician.

Are there any online reviews for Mary Ann Wietbrock ?

Answer: Not yet!

Are there any other health care providers in New Palestine, IN?

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 Mary Ann Wietbrock

Number of HCPCS	6
Number of Medicare Beneficiaries	15
Number of Services	289
Total Submitted Charge Amount	33075
Total Medicare Allowed Amount	22529.63
Total Medicare Payment Amount	17918.77
Total Medicare Standardized Payment Amount	20108.66
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	6
Number of Medicare Beneficiaries With Medical	15
Number of Medical Services	289
Total Medical Submitted Charge Amount	33075
Total Medical Medicare Allowed Amount	22529.63
Total Medical Medicare Payment Amount	17918.77
Total Medical Medicare Standardized Payment Amount	20108.66
Average Age of Beneficiaries	66
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	0.73
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
Average HCC Risk Score of Beneficiaries	0.9745

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