PF SPAM LLC
NPI: 1114000296
· INDEPENDENCE, LA 70443
· Durable Medical Equipment & Medical Supplies
· NPI assigned 10/23/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | GAGNEAUX, AMBER (SUPERVISOR) |
| NPI Enumeration Date | 10/23/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
14 |
$0.00 |
| 2021 |
43 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 0011A |
|
13 |
13 |
$0.00 |
| 0064A |
|
18 |
18 |
$0.00 |
| 0012A |
|
12 |
12 |
$0.00 |