Nichole Suzanne Suckow

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NPI Number Detailed Information

Provider Information:

Name:	Nichole Suzanne Suckow
Gender:	F
Provider License Number If Given:	085-002146

NPI Information:

NPI:	1902892318
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/21/2005
Last Update Date:	11/2/2011

Provider Business Mailing Address:

Address:	PO BOX 784 Effingham, IL 62401
Phone Number:	2173423337
Fax Number:	2173423338

Provider Business Practice Location Address:

Address:	912 N HENRIETTA ST Effingham, IL 62401
Phone Number:	2173423337
Fax Number:	2173423338

Provider Taxonomy:

Primary:	363A00000X
Secondary (if any):
State:	IL

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About Nichole Suzanne Suckow

Nichole Suzanne Suckow ( NICHOLE SUZANNE SUCKOW ) is A Physician Assistant Physician in Effingham, IL. The NPI Number for Nichole Suzanne Suckow is 1902892318.

The current location address for Nichole Suzanne Suckow is 912 N HENRIETTA ST Effingham, IL 62401 and the contact number is 2173423337 and fax number is 2173423338. The mailing address for Nichole Suzanne Suckow is PO BOX 784 Effingham, IL 62401- 2173423337 (mailing address contact number - 2173423337).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Business Location on Map

FAQs:

What is the NPI Number for Nichole Suzanne Suckow ?

Answer: The NPI Number for Nichole Suzanne Suckow is 1902892318

Where is Nichole Suzanne Suckow located?

Answer: Nichole Suzanne Suckow is located at 912 N HENRIETTA ST Effingham, IL 62401.

What is the specialty for Nichole Suzanne Suckow ?

Answer: The Specialty of Nichole Suzanne Suckow is A Physician Assistant Physician.

Are there any online reviews for Nichole Suzanne Suckow ?

Answer: Not yet!

Are there any other health care providers in Effingham, IL?

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 Nichole Suzanne Suckow

Number of HCPCS	23
Number of Medicare Beneficiaries	54
Number of Services	81
Total Submitted Charge Amount	76457
Total Medicare Allowed Amount	5572.27
Total Medicare Payment Amount	4392.7
Total Medicare Standardized Payment Amount	3795.58
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	23
Number of Medicare Beneficiaries With Medical	54
Number of Medical Services	81
Total Medical Submitted Charge Amount	76457
Total Medical Medicare Allowed Amount	5572.27
Total Medical Medicare Payment Amount	4392.7
Total Medical Medicare Standardized Payment Amount	3795.58
Average Age of Beneficiaries	68
Number of Beneficiaries Age Less 65	11
Number of Beneficiaries Age 65 to 74	30
Number of Beneficiaries Age 75 to 84	13
Number of Beneficiaries Age Greater 84	0
Number of Female Beneficiaries	54
Number of Male Beneficiaries	0
Number of Non-Hispanic White Beneficiaries	54
Number of Black or African American Beneficiaries	0
Number of Asian Pacific Islander Beneficiaries	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified	0
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	0
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	0.26
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.5
Percent (%) of Beneficiaries Identified With Hypertension	0.57
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis	0.2
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.46
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.7774

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	Physician Assistant
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	89
Number of Standardized 30-Day Fills	164.1
Aggregate Cost Paid for All Claims	3352.51
Number of Day's Supply for All Claims	4199
Number of Medicare Beneficiaries	38
Number of Claims, Including Refills, for Beneficiaries Age 65+	78
Including Refills, for Beneficiaries Age 65+	151.1
Beneficiaries Age 65+	2821.49
Number of Day's Supply for All Claims for Beneficaries Age 65+	3971
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	82
Aggregate Cost Paid for Generic Drugs	2736.36
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	23
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	708.29
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	66
Aggregate Cost Paid for Claims Filled by	2644.22
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	14
Aggregate Cost Paid for Antibiotic Drugs	150.01
Antibiotic Claims	12
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
Average Age of Beneficiaries	66.026315789
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
Number of Male Beneficiaries
Number of Non-Hispanic White	37
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	0.4768157895

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