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Mountain Lake Pharmacy Llc

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NPI Number Detailed Information

Provider Information:

Name: Mountain Lake Pharmacy Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1689655243
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 11/10/2005

Last Update Date: 1/17/2020

Provider Business Mailing Address:

Address: PO BOX 640
Conrad, IA 50621
Phone Number: 6413663440
Fax Number: 6413663442

Provider Business Practice Location Address:

Address: 1007 3RD AVE
Mountain Lake, MN 56159
Phone Number: 5074272707
Fax Number: 5074272328

Provider Taxonomy:

Primary: 332B00000X
Secondary (if any): 333600000X
State: MN

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About Mountain Lake Pharmacy Llc

Mountain Lake Pharmacy Llc ( MOUNTAIN LAKE PHARMACY LLC ) is A Durable Medical Equipment & Medical Supplies Provider in Mountain Lake, MN. The NPI Number for Mountain Lake Pharmacy Llc is 1689655243.
The current location address for Mountain Lake Pharmacy Llc is 1007 3RD AVE Mountain Lake, MN 56159 and the contact number is 6413663440 and fax number is 6413663442. The mailing address for Mountain Lake Pharmacy Llc is PO BOX 640 Conrad, IA 50621- 5074272707 (mailing address contact number - 6413663440).
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Provider Business Location on Map

FAQs:

What is the NPI Number for Mountain Lake Pharmacy Llc ?


Answer: The NPI Number for Mountain Lake Pharmacy Llc is 1689655243

Where is Mountain Lake Pharmacy Llc located?


Answer: Mountain Lake Pharmacy Llc is located at 1007 3RD AVE Mountain Lake, MN 56159.

What is the specialty for Mountain Lake Pharmacy Llc ?


Answer: The Specialty of Mountain Lake Pharmacy Llc is A Durable Medical Equipment & Medical Supplies Provider.

Are there any online reviews for Mountain Lake Pharmacy Llc ?


Answer: Not yet!

Are there any other health care providers in Mountain Lake, 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 Mountain Lake Pharmacy Llc

Number of HCPCS 15
Number of Medicare Beneficiaries 684
Number of Services 1506
Total Submitted Charge Amount 54422.38
Total Medicare Allowed Amount 48819.35
Total Medicare Payment Amount 48819.35
Total Medicare Standardized Payment Amount 49231.72
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 103
Number of Drug Services 105
Total Drug Submitted Charge Amount 6623.47
Total Drug Medicare Allowed Amount 6623.47
Total Drug Medicare Payment Amount 6623.47
Total Drug Medicare Standardized Payment Amount 6490.86
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 10
Number of Medicare Beneficiaries With Medical 684
Number of Medical Services 1401
Total Medical Submitted Charge Amount 47798.91
Total Medical Medicare Allowed Amount 42195.88
Total Medical Medicare Payment Amount 42195.88
Total Medical Medicare Standardized Payment Amount 42740.86
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 57
Number of Beneficiaries Age 65 to 74 347
Number of Beneficiaries Age 75 to 84 183
Number of Beneficiaries Age Greater 84 97
Number of Female Beneficiaries 359
Number of Male Beneficiaries 325
Number of Non-Hispanic White Beneficiaries 611
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 33
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 27
Number of Beneficiaries With Medicare & Medicaid Entitlement 98
Number of Beneficiaries With Medicare Only Entitlement 586
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.04
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.04
Percent (%) of Beneficiaries Identified With Asthma 0.02
Percent (%) of Beneficiaries Identified With Cancer 0.04
Percent (%) of Beneficiaries Identified With Heart Failure 0.05
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.14
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.03
Percent (%) of Beneficiaries Identified With Depression 0.08
Percent (%) of Beneficiaries Identified With Diabetes 0.13
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.2
Percent (%) of Beneficiaries Identified With Hypertension 0.26
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.12
Percent (%) of Beneficiaries Identified With Osteoporosis 0.04
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.13
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.02
Average HCC Risk Score of Beneficiaries 0.9077

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Mountain Lake Pharmacy Llc
Durable Medical Equipment & Medical Supplies
NPI Number: 1689655243
Address: 1007 3RD AVE Mountain Lake, MN 56159 , Phone: 5074272707

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