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Sister Bay Hometown Pharmacy Llc

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NPI Number Detailed Information

Provider Information:

Name: Sister Bay Hometown Pharmacy Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1356800361
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 3/19/2019

Last Update Date: 12/20/2021

Provider Business Mailing Address:

Address: 333 LOWVILLE RD
Rio, WI 53960
Phone Number: 9209926800
Fax Number: 9209926801

Provider Business Practice Location Address:

Address: 10578 COUNTRY WALK DR UNIT 27
Sister Bay, WI 54234
Phone Number: 9206334060
Fax Number: 9206334062

Provider Taxonomy:

Primary: 332B00000X
Secondary (if any): 3336S0011X
State: WI

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About Sister Bay Hometown Pharmacy Llc

Sister Bay Hometown Pharmacy Llc ( SISTER BAY HOMETOWN PHARMACY LLC ) is A Durable Medical Equipment & Medical Supplies Provider in Sister Bay, WI. The NPI Number for Sister Bay Hometown Pharmacy Llc is 1356800361.
The current location address for Sister Bay Hometown Pharmacy Llc is 10578 COUNTRY WALK DR UNIT 27 Sister Bay, WI 54234 and the contact number is 9209926800 and fax number is 9209926801. The mailing address for Sister Bay Hometown Pharmacy Llc is 333 LOWVILLE RD Rio, WI 53960- 9206334060 (mailing address contact number - 9209926800).
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 Sister Bay Hometown Pharmacy Llc ?


Answer: The NPI Number for Sister Bay Hometown Pharmacy Llc is 1356800361

Where is Sister Bay Hometown Pharmacy Llc located?


Answer: Sister Bay Hometown Pharmacy Llc is located at 10578 COUNTRY WALK DR UNIT 27 Sister Bay, WI 54234.

What is the specialty for Sister Bay Hometown Pharmacy Llc ?


Answer: The Specialty of Sister Bay Hometown Pharmacy Llc is A Durable Medical Equipment & Medical Supplies Provider.

Are there any online reviews for Sister Bay Hometown Pharmacy Llc ?


Answer: Not yet!

Are there any other health care providers in Sister Bay, WI?


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 Sister Bay Hometown Pharmacy Llc

Number of HCPCS 5
Number of Medicare Beneficiaries 124
Number of Services 250
Total Submitted Charge Amount 10969.21
Total Medicare Allowed Amount 10276.8
Total Medicare Payment Amount 10276.8
Total Medicare Standardized Payment Amount 10183.52
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 3
Number of Medicare Beneficiaries With Drug Services 124
Number of Drug Services 125
Total Drug Submitted Charge Amount 8253.77
Total Drug Medicare Allowed Amount 8253.77
Total Drug Medicare Payment Amount 8253.77
Total Drug Medicare Standardized Payment Amount 8088.52
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 2
Number of Medicare Beneficiaries With Medical 124
Number of Medical Services 125
Total Medical Submitted Charge Amount 2715.44
Total Medical Medicare Allowed Amount 2023.03
Total Medical Medicare Payment Amount 2023.03
Total Medical Medicare Standardized Payment Amount 2095
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 63
Number of Beneficiaries Age 75 to 84 48
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 63
Number of Male Beneficiaries 61
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
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.09
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.19
Percent (%) of Beneficiaries Identified With Diabetes 0.11
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.5
Percent (%) of Beneficiaries Identified With Hypertension 0.47
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.2
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.49
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 0.7192

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Sister Bay Hometown Pharmacy Llc in Other Directories

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