NPI: 1619613445 · PFLUGERVILLE, TX 78660 · Non-emergency Medical Transport (VAN) · NPI assigned 05/05/2022
| Authorized Official | MIHRETIE, BETLHEM (PROVIDER) |
| NPI Enumeration Date | 05/05/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 27 | $992.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0100 | Non-emergency transportation; taxi | 27 | 12 | $992.00 |