MEIJER STORES LIMITED PARTNERSHIP
NPI: 1528338332
· MICHIGAN CITY, IN 46360
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/10/2012
$15.95
Total Medicaid Paid
Provider Details
| Authorized Official | BEAUCH, JASON (DIRECTOR OF PHARMACY MANAGED CARE) |
| NPI Enumeration Date | 01/10/2012 |
Related Entities
Other providers sharing the same authorized official: BEAUCH, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
57 |
$15.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
17 |
17 |
$15.95 |
| 0013A |
|
27 |
26 |
$0.00 |
| 0012A |
|
13 |
13 |
$0.00 |