NPI: 1649997198 · ALBUQUERQUE, NM 87109 · Wound Care Registered Nurse · NPI assigned 10/25/2022
| Authorized Official | WIESENFELD, JOSEPH (ADMINISTRATOR) |
| NPI Enumeration Date | 10/25/2022 |
Other providers sharing the same authorized official: WIESENFELD, JOSEPH
| Provider | City | State | Total Paid |
|---|---|---|---|
| RENEW WOUND CARE OF FLORIDA LLC | JACKSONVILLE | FL | $140K |
| RENEW WOUND CARE OF PENNSYLVANIA LLC | WYNCOTE | PA | $130K |
| RENEW WOUND CARE OF MISSOURI LLC | VALLEY PARK | MO | $0.00 |
| RENEW WOUND CARE OF CONNECTICUT PLLC | BRISTOL | CT | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 29 | $496.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 29 | 14 | $496.20 |