All Medicaid billing entities listing ACEVEDO, CHARLES (MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $5K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PRESTON PHYSICAL THERAPY LLC | PRESTON, ID | Physical Therapist | $5K |