All Medicaid billing entities listing FEDERER, THOMAS (OWNER/ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Kentucky | 1 | $16K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | WELLSPACE PSYCHIATRY LLC | LOUISVILLE, KY | Psychiatric/Mental Health Nurse Practitioner | $16K |