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Dr. Michele Shoshana Bergen

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NPI Number Detailed Information

Provider Information:

Name: Dr. Michele Shoshana Bergen
Gender: F
Provider License Number If Given: 9275

NPI Information:

NPI: 1215929286
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/16/2005

Last Update Date: 8/8/2012

Reputation Report:

Provider Business Mailing Address:

Address: 49 LAKE AVE
Greenwich, CT 06830
Phone Number: 2036614231
Fax Number: 2036610155

Provider Business Practice Location Address:

Address: 49 LAKE AVE
Greenwich, CT 06830
Phone Number: 2036614231
Fax Number: 2036610155

Provider Taxonomy:

Primary: 1223S0112X
Secondary (if any): 204E00000X
State: CT

Top Doctors in CT

 

About Dr. Michele Shoshana Bergen

Dr. Michele Shoshana Bergen (DR. MICHELE SHOSHANA BERGEN ) is The Dentist Physician in Greenwich, CT. The NPI Number for Dr. Michele Shoshana Bergen is 1215929286.
The current location address for Dr. Michele Shoshana Bergen is 49 LAKE AVE Greenwich, CT 06830 and the contact number is 2036614231 and fax number is 2036610155. The mailing address for Dr. Michele Shoshana Bergen is 49 LAKE AVE Greenwich, CT 06830- 2036614231 (mailing address contact number - 2036614231).
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Michele Shoshana Bergen ?


Answer: The NPI Number for Dr. Michele Shoshana Bergen is 1215929286

Where is Dr. Michele Shoshana Bergen located?


Answer: Dr. Michele Shoshana Bergen is located at 49 LAKE AVE Greenwich, CT 06830.

What is the specialty for Dr. Michele Shoshana Bergen ?


Answer: The Specialty of Dr. Michele Shoshana Bergen is The Dentist Physician.

Are there any online reviews for Dr. Michele Shoshana Bergen ?


Answer: Yes! Check It Now.

Are there any other health care providers in Greenwich, CT?


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 Dr. Michele Shoshana Bergen

Number of HCPCS 16
Number of Medicare Beneficiaries 42
Number of Services 106
Total Submitted Charge Amount 15487.14
Total Medicare Allowed Amount 12373.9
Total Medicare Payment Amount 9356.63
Total Medicare Standardized Payment Amount 10501.42
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 16
Number of Medicare Beneficiaries With Medical 42
Number of Medical Services 106
Total Medical Submitted Charge Amount 15487.14
Total Medical Medicare Allowed Amount 12373.9
Total Medical Medicare Payment Amount 9356.63
Total Medical Medicare Standardized Payment Amount 10501.42
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84 25
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 31
Number of Male Beneficiaries 11
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 0
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 0.62
Percent (%) of Beneficiaries Identified With Hypertension 0.55
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis 0.4
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.64
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.1824

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 Maxillofacial Surgery
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 94
Number of Standardized 30-Day Fills 94.666666667
Aggregate Cost Paid for All Claims 1153.74
Number of Day's Supply for All Claims 924
Number of Medicare Beneficiaries 48
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
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 92
Aggregate Cost Paid for Generic Drugs 1150.94
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
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst #
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 14
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 113.24
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 80
by Low-Income Subsidy 1040.5
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 56
Aggregate Cost Paid for Antibiotic Drugs 452.89
Antibiotic Claims 39
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 76.958333333
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 36
Number of Male Beneficiaries 12
Number of Non-Hispanic White 45
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 1.4206282214

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