All Medicaid billing entities listing JACK, LISA (PRACTICE MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $0.00 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CAPITAL SURGICAL ASSOCIATES, PA | BOISE, ID | Orthopaedic Surgery Physician | $0.00 |