HARRIS TEETER LLC
NPI: 1306239876
· WINSTON SALEM, NC 27106
· Durable Medical Equipment & Medical Supplies
· NPI assigned 03/09/2015
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WARMAN, JESSIE controls 20+ related entities in our dataset. Read more
$520.00
Total Medicaid Paid
Provider Details
| Authorized Official | WARMAN, JESSIE (MANAGER RX LICENSING) |
| NPI Enumeration Date | 03/09/2015 |
Related Entities
Other providers sharing the same authorized official: WARMAN, JESSIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
33 |
$520.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0012A |
|
33 |
31 |
$520.00 |