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Mrs. Willie Mary Bolden

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Willie Mary Bolden
Gender: F
Provider License Number If Given: 903205

NPI Information:

NPI: 1518428283
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/26/2019

Last Update Date: 3/26/2019

Provider Business Mailing Address:

Address: 112 W PEELER AVE
Shaw, MS 38773
Phone Number: 6627543301
Fax Number:

Provider Business Practice Location Address:

Address: 112 W PEELER AVE
Shaw, MS 38773
Phone Number: 6627456638
Fax Number:

Provider Taxonomy:

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

Top Doctors in MS

 

About Mrs. Willie Mary Bolden

Mrs. Willie Mary Bolden (MRS. WILLIE MARY BOLDEN ) is Definition Nurse Practitioner Physician in Shaw, MS. The NPI Number for Mrs. Willie Mary Bolden is 1518428283.
The current location address for Mrs. Willie Mary Bolden is 112 W PEELER AVE Shaw, MS 38773 and the contact number is 6627543301 and fax number is . The mailing address for Mrs. Willie Mary Bolden is 112 W PEELER AVE Shaw, MS 38773- 6627456638 (mailing address contact number - 6627543301).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mrs. Willie Mary Bolden ?


Answer: The NPI Number for Mrs. Willie Mary Bolden is 1518428283

Where is Mrs. Willie Mary Bolden located?


Answer: Mrs. Willie Mary Bolden is located at 112 W PEELER AVE Shaw, MS 38773.

What is the specialty for Mrs. Willie Mary Bolden ?


Answer: The Specialty of Mrs. Willie Mary Bolden is Definition Nurse Practitioner Physician.

Are there any online reviews for Mrs. Willie Mary Bolden ?


Answer: Not yet!

Are there any other health care providers in Shaw, MS?


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. Willie Mary Bolden

Number of HCPCS 17
Number of Medicare Beneficiaries 100
Number of Services 303
Total Submitted Charge Amount 63067
Total Medicare Allowed Amount 14843.54
Total Medicare Payment Amount 13144
Total Medicare Standardized Payment Amount 13772.68
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 23
Number of Drug Services 112
Total Drug Submitted Charge Amount 404
Total Drug Medicare Allowed Amount 97.49
Total Drug Medicare Payment Amount 87.7
Total Drug Medicare Standardized Payment Amount 85.92
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 13
Number of Medicare Beneficiaries With Medical 100
Number of Medical Services 191
Total Medical Submitted Charge Amount 62663
Total Medical Medicare Allowed Amount 14746.05
Total Medical Medicare Payment Amount 13056.3
Total Medical Medicare Standardized Payment Amount 13686.76
Average Age of Beneficiaries 65
Number of Beneficiaries Age Less 65 35
Number of Beneficiaries Age 65 to 74 43
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 71
Number of Male Beneficiaries 29
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries 62
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 38
Number of Beneficiaries With Medicare Only Entitlement 62
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 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.18
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.33
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.15
Percent (%) of Beneficiaries Identified With Diabetes 0.44
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.54
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.27
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.2712

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 361
Number of Standardized 30-Day Fills 458.36666667
Aggregate Cost Paid for All Claims 22116.85
Number of Day's Supply for All Claims 9760
Number of Medicare Beneficiaries 131
Number of Claims, Including Refills, for Beneficiaries Age 65+ 181
Including Refills, for Beneficiaries Age 65+ 215
Beneficiaries Age 65+ 5645.8
Number of Day's Supply for All Claims for Beneficaries Age 65+ 4618
Number of Medicare Beneficiaries Age 65+ 75
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 313
Aggregate Cost Paid for Generic Drugs 4614.38
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 163
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 11931.3
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 198
Aggregate Cost Paid for Claims Filled by 10185.55
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 258
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 21046.45
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 103
by Low-Income Subsidy 1070.4
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 75
Aggregate Cost Paid for Antibiotic Drugs 658.33
Antibiotic Claims 72
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 63.625954198
Number of Beneficiaries Age Less Than 65 56
Number of Beneficiaries Age 65 to 74 51
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 89
Number of Male Beneficiaries 42
Number of Non-Hispanic White 27
Number of Black or African American 103
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 50
Average Hierarchical Condition Category 1.2122796109

More Providers in Shaw , MS

Shaw Community Care Clinic
Clinic/Center
NPI Number: 1659471894
Address: 112 PEELER AVE Shaw, MS 38773 , Phone: 6623328848
Mr. Ronnie Lane Poe
Pharmacist
NPI Number: 1629124516
Address: 118 E PEELER AVE Shaw, MS 38773 , Phone: 6627542241
Shaw Community Care Clinic
Family Medicine Physician
NPI Number: 1194854208
Address: 112 PEELER AVE Shaw, MS 38773 , Phone: 6627542060
Mr. Bradley Alan Cooper
Occupational Therapist
NPI Number: 1174744932
Address: 12 CARMELITA CV Shaw, MS 38773 , Phone: 6628467228
Nora Cecelia Gough-Davis
Family Nurse Practitioner
NPI Number: 1740410661
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Shaw Family Medical, Llc
Clinic/Center
NPI Number: 1750642633
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Forever Youthful Adult Educational And Recreational Center
Adult Day Care Clinic/Center
NPI Number: 1871936716
Address: 149 EAST PEELER AVE Shaw, MS 38733 , Phone: 6627543114
Preservers Of Life Hospice
Community Based Hospice Care Agency
NPI Number: 1053751529
Address: 210 A HWY 61 SOUTH Shaw, MS 38773 , Phone: 6625884026
Dr. Joseph Glenn Peeler JR.
Family Medicine Physician
NPI Number: 1255768362
Address: 311 DEAN BLVD. Shaw, MS 38773 , Phone: 6627546151
Mrs. Victoria Curry
Homemaker
NPI Number: 1942616446
Address: 221 BAYOU STREET Shaw, MS 38773 , Phone: 6625887742
Teresa Wilson
Adult Health Nurse Practitioner
NPI Number: 1023507456
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Making Moves In The Community, Incorporated
Family Medicine Physician
NPI Number: 1851884266
Address: 112 EAST PEELER AVE Shaw, MS 38773 , Phone: 6624021138
Clifton Dewayne Reed
Family Nurse Practitioner
NPI Number: 1912480328
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543304
Mrs. Willie Mary Bolden
Family Nurse Practitioner
NPI Number: 1518428283
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627456638
Maximum Care After Hours Clinic, Llc
Clinic/Center
NPI Number: 1669018008
Address: 212 HIGHWAY 61 Shaw, MS 38773 , Phone: 6625888009
Mrs. Regina Jonelle Evans
Family Nurse Practitioner
NPI Number: 1609416544
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Naala Latrice Davis
Family Nurse Practitioner
NPI Number: 1982218566
Address: 415 HIGHWAY 61 Shaw, MS 38773 , Phone: 6627542226
Tiffany Sherell Newell
Family Nurse Practitioner
NPI Number: 1538774310
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Mrs. Kimberly Drake
Community/Behavioral Health Agency
NPI Number: 1386214484
Address: 500 CAANAN STREET Shaw, MS 38773 , Phone: 6627198467
Ms. Carmaleta L. Shaw
School Counselor
NPI Number: 1548935380
Address: 103 SCOTT STREET Shaw, MS 38773 , Phone: 6623749794
Key Behavior Solutions Consulting Group (Kbs)
Mental Health Counselor
NPI Number: 1134899107
Address: 103 SCOTT STREET Shaw, MS 38773 , Phone: 6623749794
Kim Davis
Family Medicine Physician
NPI Number: 1861150401
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627543301
Angela M Campbell
Psychiatric/Mental Health Nurse Practitioner
NPI Number: 1144965898
Address: 112 W PEELER AVE Shaw, MS 38773 , Phone: 6627197457
Shekendra Patty Bryant
Student in an Organized Health Care Education/Training Program
NPI Number: 1295454866
Address: 138 E PEELER SUITE277 -277 Shaw, MS 38773 , Phone: 6625881584
Delta Drugs Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1508841917
Address: 118 PEELER AVE Shaw, MS 38773 , Phone: 6627542241

Mrs. Willie Mary Bolden in Other Directories

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