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Paul V Detrisac

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NPI Number Detailed Information

Provider Information:

Name: Paul V Detrisac
Gender: M
Provider License Number If Given: PD043661

NPI Information:

NPI: 1962506527
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2006

Last Update Date: 7/10/2007

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 998
Niles, MI 49120
Phone Number: 2696848356
Fax Number:

Provider Business Practice Location Address:

Address: 24 N ST JOSEPH AVE
Niles, MI 49120
Phone Number: 2696848356
Fax Number:

Provider Taxonomy:

Primary: 207RC0200X
Secondary (if any): 207RC0200X
State: MI

Top Doctors in MI

 

About Paul V Detrisac

Paul V Detrisac ( PAUL V DETRISAC ) is An Internal Medicine Physician in Niles, MI. The NPI Number for Paul V Detrisac is 1962506527.
The current location address for Paul V Detrisac is 24 N ST JOSEPH AVE Niles, MI 49120 and the contact number is 2696848356 and fax number is . The mailing address for Paul V Detrisac is PO BOX 998 Niles, MI 49120- 2696848356 (mailing address contact number - 2696848356).
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Provider Business Location on Map

FAQs:

What is the NPI Number for Paul V Detrisac ?


Answer: The NPI Number for Paul V Detrisac is 1962506527

Where is Paul V Detrisac located?


Answer: Paul V Detrisac is located at 24 N ST JOSEPH AVE Niles, MI 49120.

What is the specialty for Paul V Detrisac ?


Answer: The Specialty of Paul V Detrisac is An Internal Medicine Physician.

Are there any online reviews for Paul V Detrisac ?


Answer: Yes! Check It Now.

Are there any other health care providers in Niles, MI?


Answer: Yes, there are given below...

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 Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 67
Number of Standardized 30-Day Fills 142.66666667
Aggregate Cost Paid for All Claims 11214.67
Number of Day's Supply for All Claims 4224
Number of Medicare Beneficiaries 23
Number of Claims, Including Refills, for Beneficiaries Age 65+ 67
Including Refills, for Beneficiaries Age 65+ 142.66666667
Beneficiaries Age 65+ 11214.67
Number of Day's Supply for All Claims for Beneficaries Age 65+ 4224
Number of Medicare Beneficiaries Age 65+ 23
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 19
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 48
Aggregate Cost Paid for Generic Drugs 455.39
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
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 0
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 0
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 67
by Low-Income Subsidy 11214.67
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 81.086956522
Number of Beneficiaries Age Less Than 65 0
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 11
Number of Male Beneficiaries 12
Number of Non-Hispanic White 22
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 23
Average Hierarchical Condition Category 1.212826087

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Catherine E Mcdonough
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