Access Prosthetics LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Green Bay, WI
NPI 1720397490 · NPPES record last updated Dec 5, 2016
Key facts
- NPI
- 1720397490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- ACCESS PROSTHETICS LLC
- Practice address
- 2020 Riverside Dr
3Rd Floor
Green Bay, WI 54301-2300 - Phone
- (920) 471-1451
- Fax
- (920) 569-2939
- NPI assigned
- Sep 29, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Brenton M Watzka, CP
- Title
- Owner
- Phone
- (920) 680-0271
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Access Prosthetics, LLC |
Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110303000761 | WI | DME Supplier - Certified Orth/Pros/Pedorthist | 6800078478 | Practice locations: Green Bay, WI |
National Provider Directory
Locations
2020 Riverside Dr
Fl 3
Green Bay, WI 54301
Phone (920) 471-1451
2020 Riverside Dr
Ste 300
Green Bay, WI 54301
Phone (920) 471-1451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
2020 Riverside Dr
3Rd Floor
Green Bay, WI 54301-2300
Mailing address
2020 Riverside Dr
3Rd Floor
Green Bay, WI 54301-2300
Phone (920) 471-1451
Other providers in Green Bay, WI
- Nicolas Fawzi Abujamra
- Abundant Health Chiropractic, LLC
- Abundant Life Chiropractic LLC
- Abundant Life Counseling & Renewal Center LLC
- Academic Maternal-Fetal Medicine Consultants SC
- Luz Minelba Acevedo-Castro
- Active Chiropractic & Rehabilitation SC
- Eric Robert Adams
- Sara E Adams
- Ian N Adamson
All providers in Green Bay, WI · Prosthetic/Orthotic Supplier in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.