NPI: 1770543282 · WESTLAND, MI 48185 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/27/2006
| Authorized Official | LOGAN, ANDREA (PRESIDENT) |
| NPI Enumeration Date | 03/27/2006 |
Other providers sharing the same authorized official: LOGAN, ANDREA
| Provider | City | State | Total Paid |
|---|---|---|---|
| ANDREA LOGAN MD | OCEAN SPRINGS | MS | $358K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 89 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 67 | 43 | $1K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 22 | 12 | $226.14 |