Superior Specialty Pharmacy of Montana LLC

PAC ID

8628279635The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

DME Supplier - Pharmacy, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy

Enrolled in

MT

Enrollments

3

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

4In 2 places

Enrollment records 3

These NPI records belong to the same enrolled organization. Each has its own page.

• Superior Specialty Pharmacy of Montana, LLC

  • General Practice Physician
  • Helena, MT
  • NPI 1285517268
• Superior Specialty Pharmacy of Montana, LLC

  dba Big Sky I.V. Care

  • Home Infusion Therapy Pharmacy
  • Kalispell, MT
  • NPI 1760576714

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

• Caleigh Differding, APRN

  • Family Nurse Practitioner
  • Kalispell, MT
  • NPI 1598554826
• John Frederick Lewison, MD

  • Internal Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1497795678

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.