NPI: 1558318766 · MANCHESTER, IA 52057 · Pharmacy · NPI assigned 05/31/2006
| Authorized Official | BREHME, ASHLEY (DR.) |
| NPI Enumeration Date | 05/31/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 16 | $38.99 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 16 | 14 | $38.99 |