WYANDOT MEMORIAL HOSPITAL
NPI: 1275033011
· SYCAMORE, OH 44882
· Family Medicine Physician
· NPI assigned 02/19/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SHAULL, TY (PRESIDENT & CEO) |
| Parent Organization | WYANDOT MEMORIAL HOSPITAL |
| NPI Enumeration Date | 02/19/2018 |
Related Entities
Other providers sharing the same authorized official: SHAULL, TY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
32 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G8484 |
Influenza immunization was not administered, reason not given |
18 |
18 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |