ROBERTA'S LOVELY LADIES BOUTIQUE
NPI 1174983050
Mastectomy Fitter in Alton, IL
NPI Status: Active since March 04, 2016
Contact Information
603 W. DELMAR
ALTON, IL
ZIP 62002
Phone: (618) 467-0640
- Organization
- Mastectomy Fitter
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About ROBERTA'S LOVELY LADIES BOUTIQUE
This page provides the complete NPI Profile along with additional information for Roberta's Lovely Ladies Boutique, a provider established in Alton, Illinois operating as a Mastectomy Fitter. The healthcare provider is registered in the NPI registry with number 1174983050 assigned on March 2016. The practitioner's primary taxonomy code is 224900000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Carol A Logan (Owner)
- NPI
- 1174983050
- Provider Name
- ROBERTA'S LOVELY LADIES BOUTIQUE
- Entity Type
- Organization
- Location Address
- 603 W. DELMAR ALTON, IL 62002
- Location Phone
- (618) 467-0640
- Mailing Address
- 603 W. DELMAR ALTON, IL 62002
- Mailing Phone
- (618) 467-0640
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2016
- Last Update Date
- 03-04-2016
- Code Navigator
Roberta's Lovely Ladies Boutique is a medicare supplier with PTAN 20477957 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: Breast Prostheses and/or Accessories 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
Mastectomy Fitter
- Taxonomy Code
- 224900000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Catastrophic Pathway (+ Incentives) - EPO
- Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20477957
- Accepts Medicare Assignment
- NO
- Specialities List
- MSC With Orthotic-Prosthetic.
- Competitive Bidding
- NO
Supplies List
- Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
- Lymphedema Compression Treatment Items -
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174983050, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174983050, enumerated as an "organization" on March 04, 2016.
The provider is located at 603 W. DELMAR ALTON, IL 62002 and the phone number is (618) 467-0640.
Mastectomy Fitter with taxonomy code 224900000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
