MOON ORTHOPEDICS NPI 1023299328

Prosthetic/Orthotic Supplier in Gretna, LA

NPI 1023299328 Organization Prosthetic/Orthotic Supplier Medicare Supplier Accepts Medicare Approved Payment

About MOON ORTHOPEDICS

Moon Orthopedics is a provider established in Gretna, Louisiana specializing in prosthetic/orthotic supplier. The NPI number of Moon Orthopedics is 1023299328 and was assigned on November 2007. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mrs. Judy P Richoux (Office Manager)

Moon Orthopedics is a medicare supplier with PTAN 0598250001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Limb Prostheses or Orthoses: Prefabricated (Non-Custom Fabricated) or Traction Equipment or Breast Prostheses and/or Accessories or Diabetic Shoes/Inserts - Custom or Diabetic Shoes and Inserts.

NPI

1023299328

Provider NameMOON ORTHOPEDICS
Provider Location Address139 BELLEMEADE BLVD GRETNA, LA 70056
Provider Mailing Address139 BELLEMEADE BLVD GRETNA, LA 70056
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-15-2007
Last Update Date08-14-2013


Primary Taxonomy

Taxonomy Code335E00000X
ClassificationProsthetic/Orthotic Supplier
TypeSuppliers
License StateLA
Taxonomy DescriptionAn organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Business Address

MOON ORTHOPEDICS
139 BELLEMEADE BLVD
GRETNA, LA
ZIP 70056
Phone: (504) 391-9141
Fax: (504) 391-0124

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Mailing Address

MOON ORTHOPEDICS
139 BELLEMEADE BLVD
GRETNA, LA
ZIP 70056
Phone: (504) 391-9141
Fax: (504) 391-0124



Authorized Official

Authorized Official NameMRS. JUDY P RICHOUX
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(504) 391-9141

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN0598250001
Accepts Medicare AssignmentYES
Specialities ListProsthetic Personnel, Orthotic Personnel.
Supplies List
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
Competitive BiddingNO

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesLANo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0598250001MEDICARE NSC (07)LA
1974323MEDICAID (05)LA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.