NPI: 1215472089 · GREEN BAY, WI 54303 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/03/2017
| Authorized Official | BEAUCH, JASON (VP OF PHARMACY MERCHANDISING) |
| NPI Enumeration Date | 01/03/2017 |
Other providers sharing the same authorized official: BEAUCH, JASON
| Provider | City | State | Total Paid |
|---|---|---|---|
| MEIJER INC | MUSKEGON | MI | $462.55 |
| MEIJER INC | BIG RAPIDS | MI | $277.42 |
| MEIJER INC | CADILLAC | MI | $207.35 |
| MEIJER INC | LANSING | MI | $51.59 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $385.20 |
| 2020 | 40 | $942.45 |
| 2021 | 1,046 | $18K |
| 2022 | 220 | $5K |
| 2023 | 75 | $5K |