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Alex Provo

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NPI Number Detailed Information

Provider Information:

Name: Alex Provo
Gender: M
Provider License Number If Given: D13521

NPI Information:

NPI: 1750762555
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/17/2015

Last Update Date: 6/17/2015

Reputation Report:

Provider Business Mailing Address:

Address: 18185 PARK DR
Detroit Lakes, MN 56501
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 200 E MAIN ST
Ada, MN 56510
Phone Number: 2187847119
Fax Number:

Provider Taxonomy:

Primary: 122300000X
Secondary (if any):
State: MN

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About Alex Provo

Alex Provo ( ALEX PROVO ) is A Dentist Physician in Ada, MN. The NPI Number for Alex Provo is 1750762555.
The current location address for Alex Provo is 200 E MAIN ST Ada, MN 56510 and the contact number is and fax number is . The mailing address for Alex Provo is 18185 PARK DR Detroit Lakes, MN 56501- 2187847119 (mailing address contact number - ).
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Provider Business Location on Map

FAQs:

What is the NPI Number for Alex Provo ?


Answer: The NPI Number for Alex Provo is 1750762555

Where is Alex Provo located?


Answer: Alex Provo is located at 200 E MAIN ST Ada, MN 56510.

What is the specialty for Alex Provo ?


Answer: The Specialty of Alex Provo is A Dentist Physician.

Are there any online reviews for Alex Provo ?


Answer: Yes! Check It Now.

Are there any other health care providers in Ada, MN?


Answer: Yes, there are given below...

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 Dentist
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 59
Number of Standardized 30-Day Fills 59.566666667
Aggregate Cost Paid for All Claims 345.02
Number of Day's Supply for All Claims 539
Number of Medicare Beneficiaries 31
Number of Claims, Including Refills, for Beneficiaries Age 65+ 39
Including Refills, for Beneficiaries Age 65+ 39.566666667
Beneficiaries Age 65+ 203.59
Number of Day's Supply for All Claims for Beneficaries Age 65+ 333
Number of Medicare Beneficiaries Age 65+ 20
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 56
Aggregate Cost Paid for Generic Drugs 317.81
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 27
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 163.68
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 32
Aggregate Cost Paid for Claims Filled by 181.34
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 27
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 183.78
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 32
by Low-Income Subsidy 161.24
Total Claims of Opioid Drugs, Including 14
Aggregate Cost Paid for Opioid Drugs 76.17
Opioid Claims 13
Opioid_Tot_Clms divided by the Tot_Clms 23.728813559
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 30
Aggregate Cost Paid for Antibiotic Drugs 153.31
Antibiotic Claims 19
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 64.258064516
Number of Beneficiaries Age Less Than 65 11
Number of Beneficiaries Age 65 to 74 17
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 11
Number of Male Beneficiaries 20
Number of Non-Hispanic White 26
Number of Black or African American 0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 15
Average Hierarchical Condition Category 1.2522522028

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