THE PAVILION AT CRESCENT LAKE FOR NURSING AND REHABILITATION, LLC
NPI: 1386229250
· CRESCENT CITY, FL 32112
· Skilled Nursing Facility
· NPI assigned 03/12/2021
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MOERMAN, RAFAEL (MANAGING MEMBER) |
| NPI Enumeration Date | 03/12/2021 |
Related Entities
Other providers sharing the same authorized official: MOERMAN, RAFAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
58 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
29 |
19 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
19 |
$0.00 |