NPI: 1659038123 · VALLEY PARK, MO 63088 · Wound Care Registered Nurse · NPI assigned 11/19/2021
| Authorized Official | WIESENFELD, JOSEPH (ADMINISTRATOR) |
| NPI Enumeration Date | 11/19/2021 |
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 NEW MEXICO LLC | ALBUQUERQUE | NM | $496.20 |
| RENEW WOUND CARE OF CONNECTICUT PLLC | BRISTOL | CT | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 149 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 149 | 55 | $0.00 |