All Medicaid billing entities listing JETT, STACY (PRACTICE ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Michigan | 1 | $64K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | UROLOGY ASSOCIATES PC OF GRAND RAPIDS | GRAND RAPIDS, MI | Urology Physician | $64K |