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Billing entities under PHAN, MICKEY
Every Medicaid billing NPI that lists PHAN, MICKEY (owner) as its authorized official in NPPES: 2 entities in 1 state, paid $5K combined.
28Combined paid$5K
33Billing entities2
24GClaims128
States1
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | Variety Care INC | Oklahoma City, OK | Pharmacy | $3K |
| 2 | Variety Care INC | Oklahoma City, OK | Pharmacy | $2K |