NPI: 1437101763 · PEKIN, IL 61554 · Oxygen Equipment & Supplies (DME) · NPI assigned 05/16/2006
| Authorized Official | HAYNES, SCOTT (DIRECTOR) |
| NPI Enumeration Date | 05/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $751.85 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 12 | 12 | $751.85 |