Physician
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According to 2025 Medicare claims, NPI 1124077631 (NPI: 1124077631) practices physician assistant, with the plurality of this provider's patient population coming from Canada, Foreign Countries.
1124077631's data goes back to 2012 and runs through 2026. For example, in 2023, this provider had 61 traditional Medicare patients, billed 81 HCPCS/CPT codes, and received $4,905 in Medicare payments. Part D data shows 472 prescription claims across 117 beneficiaries totaling $188,172 in drug costs, and DME data shows 133 claims. Open Payments data shows 15 records totaling $303.
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