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Wal-Mart Stores East Lp

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NPI Number Detailed Information

Provider Information:

Name: Wal-Mart Stores East Lp
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1518984681
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 7/16/2006

Last Update Date: 2/15/2017

Provider Business Mailing Address:

Address: 702 SW 8TH ST
Bentonville, AR 72716
Phone Number: 4792048550
Fax Number: 4792774331

Provider Business Practice Location Address:

Address: 4622 MORMON COULEE RD
La Crosse, WI 54601
Phone Number: 6087889146
Fax Number: 6087889144

Provider Taxonomy:

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

Top Doctors in WI

 

About Wal-Mart Stores East Lp

Wal-Mart Stores East Lp ( WAL-MART STORES EAST LP ) is A Durable Medical Equipment & Medical Supplies Provider in La Crosse, WI. The NPI Number for Wal-Mart Stores East Lp is 1518984681.
The current location address for Wal-Mart Stores East Lp is 4622 MORMON COULEE RD La Crosse, WI 54601 and the contact number is 4792048550 and fax number is 4792774331. The mailing address for Wal-Mart Stores East Lp is 702 SW 8TH ST Bentonville, AR 72716- 6087889146 (mailing address contact number - 4792048550).
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 Wal-Mart Stores East Lp ?


Answer: The NPI Number for Wal-Mart Stores East Lp is 1518984681

Where is Wal-Mart Stores East Lp located?


Answer: Wal-Mart Stores East Lp is located at 4622 MORMON COULEE RD La Crosse, WI 54601.

What is the specialty for Wal-Mart Stores East Lp ?


Answer: The Specialty of Wal-Mart Stores East Lp is A Durable Medical Equipment & Medical Supplies Provider.

Are there any online reviews for Wal-Mart Stores East Lp ?


Answer: Not yet!

Are there any other health care providers in La Crosse, 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 Wal-Mart Stores East Lp

Number of HCPCS 15
Number of Medicare Beneficiaries 892
Number of Services 1345
Total Submitted Charge Amount 52323.32
Total Medicare Allowed Amount 50585.61
Total Medicare Payment Amount 50585.61
Total Medicare Standardized Payment Amount 52503.64
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 216
Number of Drug Services 218
Total Drug Submitted Charge Amount 13578.19
Total Drug Medicare Allowed Amount 13487.85
Total Drug Medicare Payment Amount 13487.85
Total Drug Medicare Standardized Payment Amount 13217.16
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 11
Number of Medicare Beneficiaries With Medical 892
Number of Medical Services 1127
Total Medical Submitted Charge Amount 38745.13
Total Medical Medicare Allowed Amount 37097.76
Total Medical Medicare Payment Amount 37097.76
Total Medical Medicare Standardized Payment Amount 39286.48
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 89
Number of Beneficiaries Age 65 to 74 466
Number of Beneficiaries Age 75 to 84 257
Number of Beneficiaries Age Greater 84 80
Number of Female Beneficiaries 512
Number of Male Beneficiaries 380
Number of Non-Hispanic White Beneficiaries 843
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 26
Number of Beneficiaries With Medicare & Medicaid Entitlement 114
Number of Beneficiaries With Medicare Only Entitlement 778
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.03
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.03
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 0.16
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.05
Percent (%) of Beneficiaries Identified With Depression 0.11
Percent (%) of Beneficiaries Identified With Diabetes 0.11
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.21
Percent (%) of Beneficiaries Identified With Hypertension 0.23
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.09
Percent (%) of Beneficiaries Identified With Osteoporosis 0.02
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.14
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.02
Percent (%) of Beneficiaries Identified With Stroke 0.01
Average HCC Risk Score of Beneficiaries 0.9046

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Dr. Mary Jo Crissler Belanger
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Address: 1402 5TH AVE S La Crosse, WI 54601 , Phone: 6087840642
Dr. Frank H Knight
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Address: 1836 SOUTH AVE La Crosse, WI 54601 , Phone: 6087827300
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Leanne J Johnson-Meeter
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