FRED MEYER STORES INC
NPI: 1033155577
· BREMERTON, WA 98311
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/22/2006
$4.98
Total Medicaid Paid
Provider Details
| Authorized Official | SEILHAMER, LYSETTE (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/22/2006 |
Related Entities
Other providers sharing the same authorized official: SEILHAMER, LYSETTE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
76 |
$4.98 |
| 2020 |
26 |
$0.00 |
| 2021 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
114 |
113 |
$4.98 |