Mercy Health Services-Iowa Corp
NPI 1639625155ActiveOrganization· Pharmacy· Clear Lake, IA
Pharmacy in Clear Lake, Iowa, registered in NPPES in August 2016. The authorized official on file is Mark Trammel, Assistant Treasurer. Medicare paid $18,133 for services to 76 patients in 2024.
Overview
| NPI | 1639625155 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2016 |
| Last updated in NPPES | Oct 10, 2024 |
| Certified by provider | Oct 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 1579 | IA |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (IA); Part B Supplier - Mass Immunization (Roster Biller Only) (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 202 across 9 procedure codes |
| Paid by Medicare | $18,133 |