GREAT LAKES ORTHOTICS & PROSTHETICS INC. - NPI 1720023724 - Prosthetic/Orthotic Supplier in Appleton, WI

Q: What is Great Lakes Orthotics & Prosthetics Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

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About Great Lakes Orthotics & Prosthetics Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES ORTHOTICS & PROSTHETICS INC. (NPI 1720023724) is a healthcare organization registered as a prosthetic/orthotic supplier in Appleton, Wisconsin and active in the NPI registry since June 2006. The organization lists Perry L Alger, President, as its authorized official.

NPPES Registry Identity

NPI1720023724

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameGREAT LAKES ORTHOTICS & PROSTHETICS INC.

Location Address3950 EVERGREEN CT STE AAppleton, WI 54913-8903

Mailing Address3950 Evergreen Ct Ste AAppleton, WI 54913-8903 · (920) 968-2240 · Fax (920) 968-2241

Phone(920) 968-2240

Fax(920) 968-2241

Organization SubpartNo

Authorized OfficialPerry L AlgerPresident · (920) 968-2240

Enumeration DateJune 17, 2006

Last NPPES UpdateJune 9, 20212 updates tracked since enumeration

NPPES CertifiedJune 9, 2021

✔ NPI 1720023724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

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.

3950 EVERGREEN CT STE A, Appleton, WI 54913

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Other Identifiers 1

Medicaid41792000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Great Lakes Orthotics & Prosthetics carries, from the Medicare DMEPOS supplier directory.

Great Lakes Orthotics & Prosthetics

DMEPOS supplier · Appleton, WIOperated by Great Lakes Orthotics & Prosthetics Inc.

✔

Accepts Medicare assignment

Great Lakes Orthotics & Prosthetics agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20573471

Medicare Participant SinceJune 26, 2006

Supplier Location3950 Evergreen Ct Ste AAppleton, WI 54913

Phone(920) 968-2240

Supplier Specialties

Orthotic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated

Custom met pads, Custom heel pads, Custom heel spur pads

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

Diabetic Shoes/Inserts - Custom

Custom fabricated shoes, socks, & insoles

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Orthotics & Prosthetics Inc.'s NPI number?

The NPI number for Great Lakes Orthotics & Prosthetics Inc. is 1720023724. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Great Lakes Orthotics & Prosthetics Inc. located?

Great Lakes Orthotics & Prosthetics Inc. is located at 3950 Evergreen Ct Ste A, Appleton, WI 54913. The listed phone number is (920) 968-2240.

What is Great Lakes Orthotics & Prosthetics Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Great Lakes Orthotics & Prosthetics Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Great Lakes Orthotics & Prosthetics accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Great Lakes Orthotics & Prosthetics Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Security Health Plan and 1 other insurer list Great Lakes Orthotics & Prosthetics Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Orthotics & Prosthetics Inc. was last updated on June 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.