NPI: 1376999730 · ELLSWORTH, ME 04605 · Customized Equipment (DME) · NPI assigned 05/04/2016
| Authorized Official | CASTLEBERRY, TRAVIS (OWNER) |
| NPI Enumeration Date | 05/04/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $270.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 14 | 13 | $270.00 |