FOREST LAKE MEDICAL SUPPLY
NPI 1346684289
Durable Medical Equipment & Medical Supplies in Pine City, MN

NPI Status: Active since April 22, 2013

Contact Information

540 MAIN ST S
PINE CITY, MN
ZIP 55063
Phone: (320) 629-1149
Fax: (320) 629-1287

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

About FOREST LAKE MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for Forest Lake Medical Supply, a provider established in Pine City, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1346684289 assigned on April 2013. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Forest Lake Medical Supply. The authorized official of this NPI record is Joel R Erickson (Owner / President)

NPI
1346684289
Provider Legal Name
POWER CHAIRS AND SCOOTER STORE MEDICAL SUPPLY LLC
Other Organization Name
FOREST LAKE MEDICAL SUPPLY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
540 MAIN ST S PINE CITY, MN 55063
Location Phone
(320) 629-1149
Location Fax
(320) 629-1287
Mailing Address
540 MAIN ST S PINE CITY, MN 55063
Mailing Phone
(320) 629-1149
Mailing Fax
(320) 629-1287
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2013
Last Update Date
10-10-2018
Code Navigator



Forest Lake Medical Supply is a medicare supplier with PTAN 26716870 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: Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Hospital Beds (Electric) or Hospital Beds (Manual) or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Ultraviolet Light Devices and/or Supplies or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchairs (Standard Power) or Wheelchairs (Standard Power Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Off-The-Shelf or Ostomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Nebulizer Equipment and/or Supplies or Surgical Dressings or Diabetic Shoes and Inserts 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
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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

JOEL R ERICKSON

Authorized Official Title
OWNER / PRESIDENT
Authorized Official Phone
(651) 982-0002

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1346684289MEDICAID (05)MN 
1447560057MEDICAID (05)MN 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
26716870
Accepts Medicare Assignment
NO
Specialities List
Medical Supply Company Other.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Hospital Beds (Manual) - Fixed height hospital beds, Variable height hospital beds
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Ultraviolet Light Devices and/or Supplies - Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Power Operated Vehicles (Scooters) - Scooters
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Power) - Standard power wheelchairs, Heavy duty standard power wheelchairs
  • Wheelchairs (Standard Power Related Accessories) - Accessories for standard power wheelchairs, heavy duty standard power wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • 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 1346684289, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 4 → 8 6 → 12 → 3 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 1 + 2 + 8 + 8 + 2 + 1 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1346684289.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346684289, enumerated as an "organization" on April 22, 2013.

The provider is located at 540 MAIN ST S PINE CITY, MN 55063 and the phone number is (320) 629-1149.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.