NPI: 1962939041 · PETOSKEY, MI 49770 · Prosthetic/Orthotic Supplier · NPI assigned 05/19/2017
| Authorized Official | DUNCKEL, NANCY (OFFICE MANAGER) |
| NPI Enumeration Date | 05/19/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $5K |
| 2020 | 24 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 48 | 24 | $10K |