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Wayne Jeffery Jackson

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NPI Number Detailed Information

Provider Information:

Name: Wayne Jeffery Jackson
Gender: M
Provider License Number If Given: 4496

NPI Information:

NPI: 1750387023
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/22/2005

Last Update Date: 3/31/2021

Provider Business Mailing Address:

Address: 50 LEROY ST
Potsdam, NY 13676
Phone Number: 3152653300
Fax Number:

Provider Business Practice Location Address:

Address: 50 LEROY ST
Potsdam, NY 13676
Phone Number: 3152653300
Fax Number:

Provider Taxonomy:

Primary: 363AM0700X
Secondary (if any):
State: NY

Top Doctors in NY

 

About Wayne Jeffery Jackson

Wayne Jeffery Jackson ( WAYNE JEFFERY JACKSON ) is Definition Physician Assistant Physician in Potsdam, NY. The NPI Number for Wayne Jeffery Jackson is 1750387023.
The current location address for Wayne Jeffery Jackson is 50 LEROY ST Potsdam, NY 13676 and the contact number is 3152653300 and fax number is . The mailing address for Wayne Jeffery Jackson is 50 LEROY ST Potsdam, NY 13676- 3152653300 (mailing address contact number - 3152653300).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Wayne Jeffery Jackson ?


Answer: The NPI Number for Wayne Jeffery Jackson is 1750387023

Where is Wayne Jeffery Jackson located?


Answer: Wayne Jeffery Jackson is located at 50 LEROY ST Potsdam, NY 13676.

What is the specialty for Wayne Jeffery Jackson ?


Answer: The Specialty of Wayne Jeffery Jackson is Definition Physician Assistant Physician.

Are there any online reviews for Wayne Jeffery Jackson ?


Answer: Not yet!

Are there any other health care providers in Potsdam, NY?


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 Wayne Jeffery Jackson

Number of HCPCS 13
Number of Medicare Beneficiaries 298
Number of Services 326
Total Submitted Charge Amount 79134
Total Medicare Allowed Amount 31386.79
Total Medicare Payment Amount 26494.28
Total Medicare Standardized Payment Amount 26361.91
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 13
Number of Medicare Beneficiaries With Medical 298
Number of Medical Services 326
Total Medical Submitted Charge Amount 79134
Total Medical Medicare Allowed Amount 31386.79
Total Medical Medicare Payment Amount 26494.28
Total Medical Medicare Standardized Payment Amount 26361.91
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 67
Number of Beneficiaries Age 65 to 74 101
Number of Beneficiaries Age 75 to 84 79
Number of Beneficiaries Age Greater 84 51
Number of Female Beneficiaries 170
Number of Male Beneficiaries 128
Number of Non-Hispanic White Beneficiaries 284
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 0
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 110
Number of Beneficiaries With Medicare Only Entitlement 188
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.13
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.33
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.47
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.28
Percent (%) of Beneficiaries Identified With Depression 0.31
Percent (%) of Beneficiaries Identified With Diabetes 0.39
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.7
Percent (%) of Beneficiaries Identified With Hypertension 0.74
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.42
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.04
Percent (%) of Beneficiaries Identified With Stroke 0.08
Average HCC Risk Score of Beneficiaries 1.6516

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 176
Number of Standardized 30-Day Fills 176
Aggregate Cost Paid for All Claims 1917.76
Number of Day's Supply for All Claims 1467
Number of Medicare Beneficiaries 133
Number of Claims, Including Refills, for Beneficiaries Age 65+ 112
Including Refills, for Beneficiaries Age 65+ 112
Beneficiaries Age 65+ 1452.72
Number of Day's Supply for All Claims for Beneficaries Age 65+ 979
Number of Medicare Beneficiaries Age 65+ 90
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 172
Aggregate Cost Paid for Generic Drugs 1861.08
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 85
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 711.35
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 91
Aggregate Cost Paid for Claims Filled by 1206.41
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 87
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 795.03
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 89
by Low-Income Subsidy 1122.73
Total Claims of Opioid Drugs, Including 30
Aggregate Cost Paid for Opioid Drugs 117.15
Opioid Claims 30
Opioid_Tot_Clms divided by the Tot_Clms 17.045454545
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 0
Total Claims of Antibiotic Drugs, Including 68
Aggregate Cost Paid for Antibiotic Drugs 960.57
Antibiotic Claims 55
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 67.518796992
Number of Beneficiaries Age Less Than 65 43
Number of Beneficiaries Age 65 to 74 48
Number of Beneficiaries Age 75 to 84 28
Number of Female Beneficiaries 67
Number of Male Beneficiaries 66
Number of Non-Hispanic White 125
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 76
Average Hierarchical Condition Category 1.5198815789

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Dr. James Ferriter
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Dr. Brenda J Healey
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Ms. Katherine A Baker
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Address: 50 LEROY ST Potsdam, NY 13676 , Phone: 3152615525
Robert Emanuel Nordberg JR.
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Michael B Whitehead
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Mrs. Heather Anne Pike
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Address: 190 OUTER MAIN ST SUITE 101 Potsdam, NY 13676 , Phone: 3152650394
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Address: 50 LEROY ST Potsdam, NY 13676 , Phone: 3152653300
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Kinney Homecare Equipment And Supplies, Inc.
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Jason Lorenc
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Alexander M Clark JR.
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Dr. Stacey M Howlett
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Dr. Rajiv S Shah
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Address: 50 LEROY ST Potsdam, NY 13676 , Phone: 3152614493
David C Butler
Psychologist
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Address: 30 MAIN ST Potsdam, NY 13676 , Phone: 3152654303
Kph Healthcare Services, Inc.
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NPI Number: 1265549448
Address: 200 MARKET ST Potsdam, NY 13676 , Phone: 3152652770
Connie T Bicknell
Physical Therapist
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Address: 190 MAIN ST Potsdam, NY 13676 , Phone: 3152653990
Dr. Terence Michael Reed
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Health Services Of Northern New York, Inc.
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