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Pontiac Trail Pharmacy Inc

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NPI Number Detailed Information

Provider Information:

Name: Pontiac Trail Pharmacy Inc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1902914377
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 8/27/2006

Last Update Date: 8/1/2017

Provider Business Mailing Address:

Address: 43155 W. NINE MILE RD.
Novi, MI 48376
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 620 N. PONTIAC TRAIL
Walled Lake, MI 48390
Phone Number: 2486692776
Fax Number: 2486692835

Provider Taxonomy:

Primary: 3336L0003X
Secondary (if any): 261QH0100X
State: MI

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About Pontiac Trail Pharmacy Inc

Pontiac Trail Pharmacy Inc ( PONTIAC TRAIL PHARMACY INC ) is A Pharmacy Provider in Walled Lake, MI. The NPI Number for Pontiac Trail Pharmacy Inc is 1902914377.
The current location address for Pontiac Trail Pharmacy Inc is 620 N. PONTIAC TRAIL Walled Lake, MI 48390 and the contact number is and fax number is . The mailing address for Pontiac Trail Pharmacy Inc is 43155 W. NINE MILE RD. Novi, MI 48376- 2486692776 (mailing address contact number - ).
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Provider Business Location on Map

FAQs:

What is the NPI Number for Pontiac Trail Pharmacy Inc ?


Answer: The NPI Number for Pontiac Trail Pharmacy Inc is 1902914377

Where is Pontiac Trail Pharmacy Inc located?


Answer: Pontiac Trail Pharmacy Inc is located at 620 N. PONTIAC TRAIL Walled Lake, MI 48390.

What is the specialty for Pontiac Trail Pharmacy Inc ?


Answer: The Specialty of Pontiac Trail Pharmacy Inc is A Pharmacy Provider.

Are there any online reviews for Pontiac Trail Pharmacy Inc ?


Answer: Not yet!

Are there any other health care providers in Walled Lake, MI?


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 Pontiac Trail Pharmacy Inc

Number of HCPCS 7
Number of Medicare Beneficiaries 37
Number of Services 75
Total Submitted Charge Amount 3956.56
Total Medicare Allowed Amount 2915.02
Total Medicare Payment Amount 2915.02
Total Medicare Standardized Payment Amount 2904.41
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 3
Number of Medicare Beneficiaries With Drug Services 24
Number of Drug Services 24
Total Drug Submitted Charge Amount 2276.38
Total Drug Medicare Allowed Amount 1473.34
Total Drug Medicare Payment Amount 1473.34
Total Drug Medicare Standardized Payment Amount 1443.77
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 4
Number of Medicare Beneficiaries With Medical 37
Number of Medical Services 51
Total Medical Submitted Charge Amount 1680.18
Total Medical Medicare Allowed Amount 1441.68
Total Medical Medicare Payment Amount 1441.68
Total Medical Medicare Standardized Payment Amount 1460.64
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 19
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 18
Number of Male Beneficiaries 19
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
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
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0
Percent (%) of Beneficiaries Identified With Asthma
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 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.51
Percent (%) of Beneficiaries Identified With Hypertension 0.59
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.35
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 1.186

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Pontiac Trail Pharmacy Inc in Other Directories

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