Ms. Maryellen Blank

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NPI Number Detailed Information

Provider Information:

Name:	Ms. Maryellen Blank
Gender:	F
Provider License Number If Given:	400620

NPI Information:

NPI:	1609930015
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/20/2006
Last Update Date:	2/10/2022

Provider Business Mailing Address:

Address:	170 DRIFTWOOD DR West Islip, NY 11795
Phone Number:	6314227362
Fax Number:

Provider Business Practice Location Address:

Address:	170 DRIFTWOOD DR West Islip, NY 11795
Phone Number:	6314227362
Fax Number:

Provider Taxonomy:

Primary:	364SP0809X
Secondary (if any):
State:	NY

Top Doctors in NY

About Ms. Maryellen Blank

Ms. Maryellen Blank (MS. MARYELLEN BLANK ) is Definition Clinical Nurse Specialist Physician in West Islip, NY. The NPI Number for Ms. Maryellen Blank is 1609930015.

The current location address for Ms. Maryellen Blank is 170 DRIFTWOOD DR West Islip, NY 11795 and the contact number is 6314227362 and fax number is . The mailing address for Ms. Maryellen Blank is 170 DRIFTWOOD DR West Islip, NY 11795- 6314227362 (mailing address contact number - 6314227362).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Ms. Maryellen Blank ?

Answer: The NPI Number for Ms. Maryellen Blank is 1609930015

Where is Ms. Maryellen Blank located?

Answer: Ms. Maryellen Blank is located at 170 DRIFTWOOD DR West Islip, NY 11795.

What is the specialty for Ms. Maryellen Blank ?

Answer: The Specialty of Ms. Maryellen Blank is Definition Clinical Nurse Specialist Physician.

Are there any online reviews for Ms. Maryellen Blank ?

Answer: Not yet!

Are there any other health care providers in West Islip, NY?

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 Ms. Maryellen Blank

Number of HCPCS	4
Number of Medicare Beneficiaries	19
Number of Services	70
Total Submitted Charge Amount	5162
Total Medicare Allowed Amount	4078.08
Total Medicare Payment Amount	3074.35
Total Medicare Standardized Payment Amount	2513.05
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	4
Number of Medicare Beneficiaries With Medical	19
Number of Medical Services	70
Total Medical Submitted Charge Amount	5162
Total Medical Medicare Allowed Amount	4078.08
Total Medical Medicare Payment Amount	3074.35
Total Medical Medicare Standardized Payment Amount	2513.05
Average Age of Beneficiaries	54
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
Number of Beneficiaries With Medicare Only Entitlement
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	0.75
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension	0.68
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	2.1441

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	344
Number of Standardized 30-Day Fills	372
Aggregate Cost Paid for All Claims	34802.18
Number of Day's Supply for All Claims	10929
Number of Medicare Beneficiaries	50
Number of Claims, Including Refills, for Beneficiaries Age 65+	119
Including Refills, for Beneficiaries Age 65+	145
Beneficiaries Age 65+	7339.72
Number of Day's Supply for All Claims for Beneficaries Age 65+	4327
Number of Medicare Beneficiaries Age 65+	14
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	25
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	319
Aggregate Cost Paid for Generic Drugs	20109.04
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	103
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	5817.05
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	241
Aggregate Cost Paid for Claims Filled by	28985.13
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	163
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	17208.32
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	181
by Low-Income Subsidy	17593.86
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	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+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	54.42
Number of Beneficiaries Age Less Than 65	36
Number of Beneficiaries Age 65 to 74	14
Number of Beneficiaries Age 75 to 84	0
Number of Female Beneficiaries	17
Number of Male Beneficiaries	33
Number of Non-Hispanic White	34
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	27
Average Hierarchical Condition Category	1.2116033333

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