NPI: 1588335798 · SPRINGFIELD, VA 22153 · Driver · NPI assigned 09/27/2021
| Authorized Official | TEFERA, EBISA (OWNER) |
| NPI Enumeration Date | 09/27/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 38 | $650.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0130 | Non-emergency transportation: wheelchair van | 38 | 16 | $650.00 |