PRAIRIE MEDICAL LLC
NPI 1588998124
Durable Medical Equipment & Medical Supplies in Meridian, ID

NPI Status: Active since September 30, 2009

Contact Information

1809 N LAKES PL
MERIDIAN, ID
ZIP 83646
Phone: (208) 249-1185
Fax: (208) 938-4235

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Accepts Insurance
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About PRAIRIE MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Prairie Medical Llc, a provider established in Meridian, Idaho operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1588998124 assigned on September 2009. The practitioner's primary taxonomy code is 332B00000X with license number W82971 (ID). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Tina D Newcomb Mba, Cwcms (Director/owner)

NPI
1588998124
Provider Name
PRAIRIE MEDICAL LLC
Entity Type
Organization
Location Address
1809 N LAKES PL MERIDIAN, ID 83646
Location Phone
(208) 249-1185
Location Fax
(208) 938-4235
Mailing Address
4522 W MORGAN CREEK CT EAGLE, ID 83616
Mailing Phone
(208) 249-1185
Mailing Fax
(208) 938-4235
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2009
Last Update Date
04-02-2019
Code Navigator



Prairie Medical Llc is a medicare supplier with PTAN 20468177 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Pneumatic Compression Devices and/or Supplies or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Surgical Dressings or Lymphedema Compression Treatment Items.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
W82971
License State
ID
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. TINA D NEWCOMB MBA, CWCMS

Authorized Official Title
DIRECTOR/OWNER
Authorized Official Phone
(208) 249-1185

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20468177
Accepts Medicare Assignment
NO
Specialities List
Medical Supply Company Other, MSC With Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Pneumatic Compression Devices and/or Supplies - Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Lymphedema Compression Treatment Items -

Reviews for PRAIRIE MEDICAL LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588998124
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681891614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 8 + 9 + 1 + 6 + 1 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1588998124 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588998124, enumerated in the NPI registry as an "organization" on September 30, 2009

The provider is located at 1809 N Lakes Pl Meridian, Id 83646 and the phone number is (208) 249-1185

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Moda Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 30, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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