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Mrs. Tia Michelle Gullickson

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Tia Michelle Gullickson
Gender: F
Provider License Number If Given: CNP 3937

NPI Information:

NPI: 1992187868
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/26/2015

Last Update Date: 6/26/2015

Provider Business Mailing Address:

Address: 105 INTERNATIONAL DR STE. 126
Red Lake Falls, MN 56750
Phone Number: 2182534606
Fax Number: 2182534681

Provider Business Practice Location Address:

Address: 105 INTERNATIONAL DR STE. 126
Red Lake Falls, MN 56750
Phone Number: 2182534606
Fax Number: 2182534681

Provider Taxonomy:

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

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About Mrs. Tia Michelle Gullickson

Mrs. Tia Michelle Gullickson (MRS. TIA MICHELLE GULLICKSON ) is Definition Nurse Practitioner Physician in Red Lake Falls, MN. The NPI Number for Mrs. Tia Michelle Gullickson is 1992187868.
The current location address for Mrs. Tia Michelle Gullickson is 105 INTERNATIONAL DR STE. 126 Red Lake Falls, MN 56750 and the contact number is 2182534606 and fax number is 2182534681. The mailing address for Mrs. Tia Michelle Gullickson is 105 INTERNATIONAL DR STE. 126 Red Lake Falls, MN 56750- 2182534606 (mailing address contact number - 2182534606).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mrs. Tia Michelle Gullickson ?


Answer: The NPI Number for Mrs. Tia Michelle Gullickson is 1992187868

Where is Mrs. Tia Michelle Gullickson located?


Answer: Mrs. Tia Michelle Gullickson is located at 105 INTERNATIONAL DR STE. 126 Red Lake Falls, MN 56750.

What is the specialty for Mrs. Tia Michelle Gullickson ?


Answer: The Specialty of Mrs. Tia Michelle Gullickson is Definition Nurse Practitioner Physician.

Are there any online reviews for Mrs. Tia Michelle Gullickson ?


Answer: Not yet!

Are there any other health care providers in Red Lake Falls, MN?


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 Mrs. Tia Michelle Gullickson

Number of HCPCS 8
Number of Medicare Beneficiaries 46
Number of Services 83
Total Submitted Charge Amount 4245.2
Total Medicare Allowed Amount 1822.13
Total Medicare Payment Amount 1760.82
Total Medicare Standardized Payment Amount 1688.69
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 1
Number of Medicare Beneficiaries With Drug Services 15
Number of Drug Services 15
Total Drug Submitted Charge Amount 1455
Total Drug Medicare Allowed Amount 978.9
Total Drug Medicare Payment Amount 978.9
Total Drug Medicare Standardized Payment Amount 959.25
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 7
Number of Medicare Beneficiaries With Medical 44
Number of Medical Services 68
Total Medical Submitted Charge Amount 2790.2
Total Medical Medicare Allowed Amount 843.23
Total Medical Medicare Payment Amount 781.92
Total Medical Medicare Standardized Payment Amount 729.44
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 25
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 18
Number of Male Beneficiaries 28
Number of Non-Hispanic White Beneficiaries 46
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
Percent (%) of Beneficiaries Identified With Asthma 0
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
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension 0.24
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7601

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 403
Number of Standardized 30-Day Fills 887.46666667
Aggregate Cost Paid for All Claims 27664.03
Number of Day's Supply for All Claims 25333
Number of Medicare Beneficiaries 60
Number of Claims, Including Refills, for Beneficiaries Age 65+ 385
Including Refills, for Beneficiaries Age 65+ 863.46666667
Beneficiaries Age 65+ 27430.38
Number of Day's Supply for All Claims for Beneficaries Age 65+ 24800
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 53
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 350
Aggregate Cost Paid for Generic Drugs 7803.11
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 209
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 10371.92
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 194
Aggregate Cost Paid for Claims Filled by 17292.11
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 67
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 6386.08
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 336
by Low-Income Subsidy 21277.95
Total Claims of Opioid Drugs, Including 12
Aggregate Cost Paid for Opioid Drugs 194.83
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 2.9776674938
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 0
Total Claims of Antibiotic Drugs, Including 30
Aggregate Cost Paid for Antibiotic Drugs 258.19
Antibiotic Claims 23
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 71.133333333
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 37
Number of Male Beneficiaries 23
Number of Non-Hispanic White 59
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 49
Average Hierarchical Condition Category 0.8713055556

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Mrs. Tia Michelle Gullickson in Other Directories

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