RESTORE POC
NPI 1902801244
Prosthetic/Orthotic Supplier in Winston Salem, NC

NPI Status: Active since June 14, 2005

Contact Information

1673 WESTBROOK PLAZA DR STE 230
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-2425
Fax: (336) 765-8370

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Accepts Insurance
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About RESTORE POC

This page provides the complete NPI Profile along with additional information for Restore Poc, a provider established in Winston Salem, North Carolina operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1902801244 assigned on June 2005. The practitioner's primary taxonomy code is 335E00000X with license number NA (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Restore Poc. The authorized official of this NPI record is Janet Woodall (Director, Contracting)

NPI
1902801244
Provider Legal Name
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Other Organization Name
RESTORE POC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1673 WESTBROOK PLAZA DR STE 230 WINSTON SALEM, NC 27103
Location Phone
(336) 765-2425
Location Fax
(336) 765-8370
Mailing Address
2534 EMPIRE DR WINSTON SALEM, NC 27103
Mailing Phone
(336) 397-2165
Mailing Fax
(336) 765-8370
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2005
Last Update Date
05-15-2020
Code Navigator



Restore Poc is a medicare supplier with PTAN 20485403 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: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

Location Map

Secondary Locations

  • 1677 Westbrook Plaza Dr SUITE 190
    Winston Salem, NC 27103
    (336) 765-2425

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
License No.
NA
License State
NC
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Bronze Simple Chronic Care CKM | with Atrium Health - HMO
  • Bronze Simple Diabetes | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with Atrium Health - HMO
  • Silver Classic - HMO
  • Silver Classic | with Atrium Health - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with Atrium Health - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Silver Simple Chronic Care CKM | with Atrium Health - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple Diabetes | with Atrium Health - HMO
  • Silver Simple PCP Saver - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANET WOODALL

Authorized Official Title
DIRECTOR, CONTRACTING
Authorized Official Phone
(336) 397-0993

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
VA010052734MEDICAID (05)VA 
0340WOTHER (01)NCBCBS PROVIDER NUMBER
1902801244MEDICAID (05)NC 
87738OTHER (01)MULTIPLAN
LEVE9603-000OTHER (01)NCLINKIA
7703969MEDICAID (05)NC 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20485403
Accepts Medicare Assignment
NO
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • 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
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902801244, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 1 + 6 + 0 + 2 + 2 + 8 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1902801244.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Prosthetic/Orthotic Supplier
1673 WESTBROOK PLAZA DR STE 230
WINSTON-SALEM, NC 27103
Orthotist
1673 WESTBROOK PLAZA DR STE 230
WINSTON SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902801244, enumerated as an "organization" on June 14, 2005.

The provider is located at 1673 WESTBROOK PLAZA DR STE 230 WINSTON SALEM, NC 27103 and the phone number is (336) 765-2425.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Oscar Health Plan of North Carolina, Inc,. Please consult your insurance carrier or call the provider to verify.