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Michele Theresa Gilsenan

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NPI Number Detailed Information

Provider Information:

Name: Michele Theresa Gilsenan
Gender: F
Provider License Number If Given: MB53933

NPI Information:

NPI: 1821066283
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/10/2006

Last Update Date: 7/24/2019

Reputation Report:

Provider Business Mailing Address:

Address: 67 WALNUT AVE
Clark, NJ 07066
Phone Number: 7323887300
Fax Number: 7323881330

Provider Business Practice Location Address:

Address: 67 WALNUT AVE
Clark, NJ 07066
Phone Number: 7323887300
Fax Number: 7323881330

Provider Taxonomy:

Primary: 207QS0010X
Secondary (if any):
State: NJ

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About Michele Theresa Gilsenan

Michele Theresa Gilsenan ( MICHELE THERESA GILSENAN ) is A Family Medicine Physician in Clark, NJ. The NPI Number for Michele Theresa Gilsenan is 1821066283.
The current location address for Michele Theresa Gilsenan is 67 WALNUT AVE Clark, NJ 07066 and the contact number is 7323887300 and fax number is 7323881330. The mailing address for Michele Theresa Gilsenan is 67 WALNUT AVE Clark, NJ 07066- 7323887300 (mailing address contact number - 7323887300).
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Provider Business Location on Map

FAQs:

What is the NPI Number for Michele Theresa Gilsenan ?


Answer: The NPI Number for Michele Theresa Gilsenan is 1821066283

Where is Michele Theresa Gilsenan located?


Answer: Michele Theresa Gilsenan is located at 67 WALNUT AVE Clark, NJ 07066.

What is the specialty for Michele Theresa Gilsenan ?


Answer: The Specialty of Michele Theresa Gilsenan is A Family Medicine Physician.

Are there any online reviews for Michele Theresa Gilsenan ?


Answer: Yes! Check It Now.

Are there any other health care providers in Clark, NJ?


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 Michele Theresa Gilsenan

Number of HCPCS 53
Number of Medicare Beneficiaries 376
Number of Services 837
Total Submitted Charge Amount 158952.58
Total Medicare Allowed Amount 71119.62
Total Medicare Payment Amount 67138.95
Total Medicare Standardized Payment Amount 60235.51
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 26
Number of Beneficiaries Age 65 to 74 206
Number of Beneficiaries Age 75 to 84 110
Number of Beneficiaries Age Greater 84 34
Number of Female Beneficiaries 210
Number of Male Beneficiaries 166
Number of Non-Hispanic White Beneficiaries 305
Number of Black or African American Beneficiaries 11
Number of Asian Pacific Islander Beneficiaries 15
Number of Hispanic Beneficiaries 26
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified 19
Number of Beneficiaries With Medicare & Medicaid Entitlement 26
Number of Beneficiaries With Medicare Only Entitlement 350
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.12
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.07
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.1
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.22
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.06
Percent (%) of Beneficiaries Identified With Depression 0.19
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.68
Percent (%) of Beneficiaries Identified With Hypertension 0.62
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.34
Percent (%) of Beneficiaries Identified With Osteoporosis 0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.03
Average HCC Risk Score of Beneficiaries 0.9446

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 84
Number of Standardized 30-Day Fills 84
Aggregate Cost Paid for All Claims 984.91
Number of Day's Supply for All Claims 713
Number of Medicare Beneficiaries 73
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 75
Aggregate Cost Paid for Generic Drugs 679.39
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 25
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 305.35
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 59
Aggregate Cost Paid for Claims Filled by 679.56
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
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 39
Aggregate Cost Paid for Antibiotic Drugs 352.15
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 73.123287671
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 44
Number of Male Beneficiaries 29
Number of Non-Hispanic White 57
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 0.9059863014

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