Great Lakes Orthotics & Medical Supply, Inc.
Durable Medical Equipment & Medical Supplies
1670 Miller Park Way, West Milwaukee
Wisconsin, 53214-3604
414-897-8380 262-436-1711
Great Lakes Orthotics & Medical Supply, Inc. is a Durable Medical Equipment & Medical Supplies in West Milwaukee, Wisconsin. It is located at 1670 Miller Park Way, West Milwaukee and it's customer support contact number is 414-897-8380. The authorized person of Great Lakes Orthotics & Medical Supply, Inc. is Mr. Michael Seamus Buggy who is President of this DME and his contact number is 414-828-9256. Great Lakes Orthotics & Medical Supply, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Great Lakes Orthotics & Medical Supply, Inc. is 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.
DME Supplier Details:
Great Lakes Orthotics & Medical Supply, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Great Lakes Orthotics & Medical Supply, Inc. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1670 Miller Park Way, West Milwaukee,
Wisconsin, 53214-3604 |
| Phone: | 414-897-8380 |
| Fax: | 262-436-1711 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Michael Seamus Buggy |
| Position: | President |
| Contact Number: | 414-828-9256 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1770947897 |
| NPI Enumeration Date: | 06 Apr, 2016 |
| NPI Last Update On: | 25 Mar, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Orthotics & Medical Supply, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100063060 | Medicaid | Wisconsin | |
Medicare Enrollment:
Great Lakes Orthotics & Medical Supply, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3971882028 | O20161114001942 | Great Lakes Orthotics & Medical Supply, Inc. | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH ORTHOTIC-PROSTHETIC |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1670 Miller Park Way,
West Milwaukee, Wisconsin |
| Zip: | 53214-3604 |
| Phone Number: | 414-897-8380 |
| Fax Number: | 262-436-1711 |
Patients can reach Great Lakes Orthotics & Medical Supply, Inc. at
1670 Miller Park Way, West Milwaukee, Wisconsin or can
call on customer care at 414-897-8380.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.