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Nellda C Clark

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NPI Number Detailed Information

Provider Information:

Name: Nellda C Clark
Gender: F
Provider License Number If Given: 1-0473524

NPI Information:

NPI: 1407853880
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/30/2005

Last Update Date: 2/8/2011

Provider Business Mailing Address:

Address: 440 TAYLOR RD 3230
Montgomery, AL 36117
Phone Number: 3342657075
Fax Number: 3342616113

Provider Business Practice Location Address:

Address: 440 TAYLOR RD 3300
Montgomery, AL 36117
Phone Number: 3342657075
Fax Number: 3342616113

Provider Taxonomy:

Primary: 363LA2100X
Secondary (if any):
State: AL

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About Nellda C Clark

Nellda C Clark ( NELLDA C CLARK ) is Definition Nurse Practitioner Physician in Montgomery, AL. The NPI Number for Nellda C Clark is 1407853880.
The current location address for Nellda C Clark is 440 TAYLOR RD 3300 Montgomery, AL 36117 and the contact number is 3342657075 and fax number is 3342616113. The mailing address for Nellda C Clark is 440 TAYLOR RD 3230 Montgomery, AL 36117- 3342657075 (mailing address contact number - 3342657075).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Nellda C Clark ?


Answer: The NPI Number for Nellda C Clark is 1407853880

Where is Nellda C Clark located?


Answer: Nellda C Clark is located at 440 TAYLOR RD 3300 Montgomery, AL 36117.

What is the specialty for Nellda C Clark ?


Answer: The Specialty of Nellda C Clark is Definition Nurse Practitioner Physician.

Are there any online reviews for Nellda C Clark ?


Answer: Not yet!

Are there any other health care providers in Montgomery, AL?


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 Nellda C Clark

Number of HCPCS 10
Number of Medicare Beneficiaries 173
Number of Services 340
Total Submitted Charge Amount 36294
Total Medicare Allowed Amount 17565.43
Total Medicare Payment Amount 13102
Total Medicare Standardized Payment Amount 13491.61
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 10
Number of Medicare Beneficiaries With Medical 173
Number of Medical Services 340
Total Medical Submitted Charge Amount 36294
Total Medical Medicare Allowed Amount 17565.43
Total Medical Medicare Payment Amount 13102
Total Medical Medicare Standardized Payment Amount 13491.61
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65 19
Number of Beneficiaries Age 65 to 74 58
Number of Beneficiaries Age 75 to 84 57
Number of Beneficiaries Age Greater 84 39
Number of Female Beneficiaries 90
Number of Male Beneficiaries 83
Number of Non-Hispanic White Beneficiaries 96
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 22
Number of Beneficiaries With Medicare Only Entitlement 151
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.27
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.19
Percent (%) of Beneficiaries Identified With Asthma 0.07
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.42
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.51
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.2
Percent (%) of Beneficiaries Identified With Depression 0.2
Percent (%) of Beneficiaries Identified With Diabetes 0.5
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.7
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.58
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.692

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 352
Number of Standardized 30-Day Fills 806.8
Aggregate Cost Paid for All Claims 43684.57
Number of Day's Supply for All Claims 23638
Number of Medicare Beneficiaries 127
Number of Claims, Including Refills, for Beneficiaries Age 65+ 266
Including Refills, for Beneficiaries Age 65+ 600.4
Beneficiaries Age 65+ 36969.66
Number of Day's Supply for All Claims for Beneficaries Age 65+ 17544
Number of Medicare Beneficiaries Age 65+ 100
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 77
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 275
Aggregate Cost Paid for Generic Drugs 9704.71
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 301
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 36602.99
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 51
Aggregate Cost Paid for Claims Filled by 7081.58
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 168
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 20030.46
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 184
by Low-Income Subsidy 23654.11
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
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
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 72.31496063
Number of Beneficiaries Age Less Than 65 27
Number of Beneficiaries Age 65 to 74 45
Number of Beneficiaries Age 75 to 84 42
Number of Female Beneficiaries 70
Number of Male Beneficiaries 57
Number of Non-Hispanic White 55
Number of Black or African American 71
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 80
Average Hierarchical Condition Category 1.4619265092

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Nellda C Clark in Other Directories

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