NPI: 1699792986 · NEW MILFORD, CT 06776 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/16/2006
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 07/16/2006 |
Other providers sharing the same authorized official: CANONIC, KIMBERLY
| Provider | City | State | Total Paid |
|---|---|---|---|
| WALMART INC. | INDEPENDENCE | IA | $7K |
| WALMART INC. | ANKENY | IA | $3K |
| WALMART INC. | WINDSOR HEIGHTS | IA | $2K |
| WALMART INC. | IOWA CITY | IA | $2K |
| WALMART INC. | CENTERVILLE | IA | $2K |
| WALMART INC. | DENISON | IA | $2K |
| WALMART INC. | WEST BURLINGTON | IA | $1K |
| WALMART INC. | MONTICELLO | AR | $1K |
| WALMART INC. | MASON CITY | IA | $919.50 |
| WAL-MART STORES EAST LP | KENDALL | FL | $301.97 |
| WALMART INC. | WASECA | MN | $242.86 |
| WAL-MART STORES EAST LP | HIALEAH | FL | $160.00 |
| WALMART INC. | BROOKLYN PARK | MN | $81.46 |
| WAL-MART STORES EAST LP | EVANSVILLE | IN | $74.87 |
| WALMART INC. | PINE CITY | MN | $63.44 |
| WALMART INC. | ANAMOSA | IA | $41.46 |
| WAL-MART STORES EAST LP | JACKSONVILLE | FL | $28.39 |
| WALMART INC. | SHENANDOAH | IA | $22.95 |
| WAL-MART STORES EAST LP | OCALA | FL | $1.12 |
| WALMART INC. | FAYETTEVILLE | AR | $0.07 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 40 | $2K |
| 2019 | 87 | $5K |
| 2020 | 131 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 258 | 249 | $15K |