MEIJER GREAT LAKES LIMITED PARTNERSHIP
NPI: 1578759163
· LEXINGTON, KY 40503
· Durable Medical Equipment & Medical Supplies
· NPI assigned 09/18/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BEAUCH, JASON (DIRECTOR OF PHARMACY MANAGED CARE) |
| NPI Enumeration Date | 09/18/2007 |
Related Entities
Other providers sharing the same authorized official: BEAUCH, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
31 |
$0.00 |
| 2024 |
31 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90661 |
|
14 |
14 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
33 |
$0.00 |