DONNELLSON SNF OPERATOR LLC
NPI: 1639762776
· DONNELLSON, IA 52625
· Skilled Nursing Facility
· NPI assigned 02/19/2021
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WERTHEIM, BRUCE (SOLE MEMBER) |
| NPI Enumeration Date | 02/19/2021 |
Related Entities
Other providers sharing the same authorized official: WERTHEIM, BRUCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
96 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
16 |
16 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
65 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |