Ms. Shannon R Russom

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NPI Number Detailed Information

Provider Information:

Name:	Ms. Shannon R Russom
Gender:	F
Provider License Number If Given:	1010017858

NPI Information:

NPI:	1013948850
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/6/2006
Last Update Date:	7/8/2007

Provider Business Mailing Address:

Address:	87 CARSE RD Huntington, VT 05462
Phone Number:	8024344195
Fax Number:

Provider Business Practice Location Address:

Address:	353 BLAIR PARK RD Williston, VT 05495
Phone Number:	8028471600
Fax Number:	8028477184

Provider Taxonomy:

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

Top Doctors in VT

About Ms. Shannon R Russom

Ms. Shannon R Russom (MS. SHANNON R RUSSOM ) is Definition Nurse Practitioner Physician in Williston, VT. The NPI Number for Ms. Shannon R Russom is 1013948850.

The current location address for Ms. Shannon R Russom is 353 BLAIR PARK RD Williston, VT 05495 and the contact number is 8024344195 and fax number is . The mailing address for Ms. Shannon R Russom is 87 CARSE RD Huntington, VT 05462- 8028471600 (mailing address contact number - 8024344195).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Ms. Shannon R Russom ?

Answer: The NPI Number for Ms. Shannon R Russom is 1013948850

Where is Ms. Shannon R Russom located?

Answer: Ms. Shannon R Russom is located at 353 BLAIR PARK RD Williston, VT 05495.

What is the specialty for Ms. Shannon R Russom ?

Answer: The Specialty of Ms. Shannon R Russom is Definition Nurse Practitioner Physician.

Are there any online reviews for Ms. Shannon R Russom ?

Answer: Not yet!

Are there any other health care providers in Williston, VT?

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 Ms. Shannon R Russom

Number of HCPCS	15
Number of Medicare Beneficiaries	123
Number of Services	182
Total Submitted Charge Amount	9554
Total Medicare Allowed Amount	7024.92
Total Medicare Payment Amount	5481.6
Total Medicare Standardized Payment Amount	5593.58
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	15
Number of Medicare Beneficiaries With Medical	123
Number of Medical Services	182
Total Medical Submitted Charge Amount	9554
Total Medical Medicare Allowed Amount	7024.92
Total Medical Medicare Payment Amount	5481.6
Total Medical Medicare Standardized Payment Amount	5593.58
Average Age of Beneficiaries	66
Number of Beneficiaries Age Less 65	26
Number of Beneficiaries Age 65 to 74	73
Number of Beneficiaries Age 75 to 84	24
Number of Beneficiaries Age Greater 84	0
Number of Female Beneficiaries	123
Number of Male Beneficiaries	0
Number of Non-Hispanic White Beneficiaries
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	23
Number of Beneficiaries With Medicare Only Entitlement	100
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma	0.11
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	0.23
Percent (%) of Beneficiaries Identified With Diabetes	0.1
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.33
Percent (%) of Beneficiaries Identified With Hypertension	0.3
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis	0.14
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.33
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.6228

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	228
Number of Standardized 30-Day Fills	528.96666667
Aggregate Cost Paid for All Claims	36108.61
Number of Day's Supply for All Claims	15041
Number of Medicare Beneficiaries	88
Number of Claims, Including Refills, for Beneficiaries Age 65+	162
Including Refills, for Beneficiaries Age 65+	392.5
Beneficiaries Age 65+	29717.46
Number of Day's Supply for All Claims for Beneficaries Age 65+	11312
Number of Medicare Beneficiaries Age 65+	68
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	44
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	184
Aggregate Cost Paid for Generic Drugs	19931.46
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	52
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	7798.51
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	176
Aggregate Cost Paid for Claims Filled by	28310.1
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	61
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	7686.19
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	167
by Low-Income Subsidy	28422.42
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	65.988636364
Number of Beneficiaries Age Less Than 65	20
Number of Beneficiaries Age 65 to 74	50
Number of Beneficiaries Age 75 to 84	18
Number of Female Beneficiaries	88
Number of Male Beneficiaries	0
Number of Non-Hispanic White	80
Number of Black or African American	0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	68
Average Hierarchical Condition Category	0.7081884512

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