PORTLAND PRESCRIPTION SHOP PLLC
Internal Medicine Physician · PORTLAND, TN
Organization Active NPI 1043612880
Medicare payment data Part B · 2023
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2023 | 49 | 124 | $10,153 | $8,489 | $8,489 |
| 2022 | 43 | 98 | $7,880 | $6,501 | $6,501 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | — | — |
| Community/Retail Pharmacy | 3336C0003X | 5451 | TN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.