Ms. Taylor Erin D'Etcheverry

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NPI Number Detailed Information

Provider Information:

Name:	Ms. Taylor Erin D'Etcheverry
Gender:	F
Provider License Number If Given:

NPI Information:

NPI:	1669943890
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/16/2018
Last Update Date:	11/4/2019

Provider Business Mailing Address:

Address:	20560 SOUTHPORT LANDING PL Smithfield, VA 23430
Phone Number:	7578701865
Fax Number:

Provider Business Practice Location Address:

Address:	20560 SOUTHPORT LANDING PL Smithfield, VA 23430
Phone Number:	7578701865
Fax Number:

Provider Taxonomy:

Primary:	390200000X
Secondary (if any):	2086S0102X
State:	VA

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About Ms. Taylor Erin D'Etcheverry

Ms. Taylor Erin D'Etcheverry (MS. TAYLOR ERIN D'ETCHEVERRY ) is An Student in an Organized Health Care Education/Training Program Physician in Smithfield, VA. The NPI Number for Ms. Taylor Erin D'Etcheverry is 1669943890.

The current location address for Ms. Taylor Erin D'Etcheverry is 20560 SOUTHPORT LANDING PL Smithfield, VA 23430 and the contact number is 7578701865 and fax number is . The mailing address for Ms. Taylor Erin D'Etcheverry is 20560 SOUTHPORT LANDING PL Smithfield, VA 23430- 7578701865 (mailing address contact number - 7578701865).

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs:

What is the NPI Number for Ms. Taylor Erin D'Etcheverry ?

Answer: The NPI Number for Ms. Taylor Erin D'Etcheverry is 1669943890

Where is Ms. Taylor Erin D'Etcheverry located?

Answer: Ms. Taylor Erin D'Etcheverry is located at 20560 SOUTHPORT LANDING PL Smithfield, VA 23430.

What is the specialty for Ms. Taylor Erin D'Etcheverry ?

Answer: The Specialty of Ms. Taylor Erin D'Etcheverry is An Student in an Organized Health Care Education/Training Program Physician.

Are there any online reviews for Ms. Taylor Erin D'Etcheverry ?

Answer: Not yet!

Are there any other health care providers in Smithfield, VA?

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. Taylor Erin D'Etcheverry

Number of HCPCS	28
Number of Medicare Beneficiaries	41
Number of Services	65
Total Submitted Charge Amount	39779.5
Total Medicare Allowed Amount	8344.36
Total Medicare Payment Amount	6675.51
Total Medicare Standardized Payment Amount	5234.12
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	28
Number of Medicare Beneficiaries With Medical	41
Number of Medical Services	65
Total Medical Submitted Charge Amount	39779.5
Total Medical Medicare Allowed Amount	8344.36
Total Medical Medicare Payment Amount	6675.51
Total Medical Medicare Standardized Payment Amount	5234.12
Average Age of Beneficiaries	68
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	28
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	15
Number of Male Beneficiaries	26
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.41
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.59
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.63
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.39
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes	0.41
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.75
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.75
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.3815

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	39
Number of Standardized 30-Day Fills	67
Aggregate Cost Paid for All Claims	350.88
Number of Day's Supply for All Claims	1787
Number of Medicare Beneficiaries	20
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
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	33
Aggregate Cost Paid for Generic Drugs	336.09
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
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
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	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+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	69.7
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	19
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	1.52245

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