Madysen Mattias
NPI 1710719117ActiveIndividual· Pharmacist· Ishpeming, MI
Pharmacist in Ishpeming, Michigan, licensed in MI, with an NPI issued in August 2024. Part D covered 22 prescriptions written in 2024, 0% of them generic.
Overview
| NPI | 1710719117 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 15, 2024 |
| Last updated in NPPES | Aug 15, 2024 |
| Certified by provider | Aug 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 5302416421 | MI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 22 · 22 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $4,739 |
| Generic share | 0% of claims |
Other Pharmacist providers in Ishpeming
- 1558041533
- 1801108477
- 1083491096
- 1366038788
- 1790087088
- 1659299626
- 1326297656
- 1285634410
- 1295324572
- 1962466474
- 1013254614