EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
NPI 1659813657
Prosthetic/Orthotic Supplier in Longview, WA
- Organization
- Prosthetic/Orthotic Supplier
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
This page provides the complete NPI Profile along with additional information for Evergreen Prosthetics And Orthotics, Llc, a provider established in Longview, Washington operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1659813657 assigned on November 2016. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Timothy L O'neill Cpo (Owner)
- NPI
- 1659813657 Verify this NPI
- Provider Name
- EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
- Entity Type
- Organization
- Location Address
- 1052 DOUGLAS ST LONGVIEW, WA 98632
- Location Phone
- (360) 232-8525
- Location Fax
- (360) 232-8633
- Mailing Address
- 911 MAIN ST STE 100 OREGON CITY, OR 97045
- Mailing Phone
- (503) 765-5081
- Mailing Fax
- (971) 316-1553
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2016
- Last Update Date
- 11-01-2023
- Code Navigator
Evergreen Prosthetics And Orthotics, Llc is a medicare supplier with PTAN 20331785 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Lymphedema Compression Treatment Items.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- An 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20331785
- Accepts Medicare Assignment
- NO
- Specialities List
- Orthotic Personnel, Prosthetic Personnel.
- Competitive Bidding
- NO
Supplies List
- Lymphedema Compression Treatment Items -
Reviews for EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659813657, enumerated as an "organization" on November 08, 2016.
The provider is located at 1052 DOUGLAS ST LONGVIEW, WA 98632 and the phone number is (360) 232-8525.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
