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Mr. Phillip Wayne Clark

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NPI Number Detailed Information

Provider Information:

Name: Mr. Phillip Wayne Clark
Gender: M
Provider License Number If Given: 2014034806

NPI Information:

NPI: 1629471412
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/7/2014

Last Update Date: 1/19/2015

Provider Business Mailing Address:

Address: 7927 WESTOVER PL
Saint Louis, MO 63130
Phone Number: 4056935612
Fax Number:

Provider Business Practice Location Address:

Address: 150 E. TYSON RD
Quartzsite, AZ 85359
Phone Number: 9289278749
Fax Number: 9289278748

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any): 363LF0000X
State: AZ

Top Doctors in AZ

 

About Mr. Phillip Wayne Clark

Mr. Phillip Wayne Clark (MR. PHILLIP WAYNE CLARK ) is Definition Nurse Practitioner Physician in Quartzsite, AZ. The NPI Number for Mr. Phillip Wayne Clark is 1629471412.
The current location address for Mr. Phillip Wayne Clark is 150 E. TYSON RD Quartzsite, AZ 85359 and the contact number is 4056935612 and fax number is . The mailing address for Mr. Phillip Wayne Clark is 7927 WESTOVER PL Saint Louis, MO 63130- 9289278749 (mailing address contact number - 4056935612).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Phillip Wayne Clark ?


Answer: The NPI Number for Mr. Phillip Wayne Clark is 1629471412

Where is Mr. Phillip Wayne Clark located?


Answer: Mr. Phillip Wayne Clark is located at 150 E. TYSON RD Quartzsite, AZ 85359.

What is the specialty for Mr. Phillip Wayne Clark ?


Answer: The Specialty of Mr. Phillip Wayne Clark is Definition Nurse Practitioner Physician.

Are there any online reviews for Mr. Phillip Wayne Clark ?


Answer: Not yet!

Are there any other health care providers in Quartzsite, AZ?


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 Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 15
Number of Standardized 30-Day Fills 15
Aggregate Cost Paid for All Claims 440.92
Number of Day's Supply for All Claims 441
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+ 15
Including Refills, for Beneficiaries Age 65+ 15
Beneficiaries Age 65+ 440.92
Number of Day's Supply for All Claims for Beneficaries Age 65+ 441
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 11
Aggregate Cost Paid for Generic Drugs 264.3
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 0
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 0
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 15
Aggregate Cost Paid for Claims Filled by 440.92
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 15
by Low-Income Subsidy 440.92
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims
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
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
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
Average Age of Beneficiaries 92
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
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 2.741

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Mr. Phillip Wayne Clark
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NPI Number: 1629471412
Address: 150 E. TYSON RD Quartzsite, AZ 85359 , Phone: 9289278749
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Mr. Phillip Wayne Clark in Other Directories

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