Green Prosthetics & Orthotics, Llc
Prosthetic/orthotic Supplier
2241 Peninsula Dr, Erie
Pennsylvania, 16506-2954
814-833-2311 814-833-5202
Green Prosthetics & Orthotics, Llc is a Prosthetic/orthotic Supplier in Erie, Pennsylvania. It is located at 2241 Peninsula Dr, Erie and it's customer support contact number is 814-833-2311. The authorized person of Green Prosthetics & Orthotics, Llc is Mr. Rakesh Jain who is Ceo of this DME and his contact number is 201-774-1085. Active license number of Green Prosthetics & Orthotics, Llc is 6000005987 for Prosthetic/orthotic Supplier in Pennsylvania. Green Prosthetics & Orthotics, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Green Prosthetics & Orthotics, Llc is 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.
DME Supplier Details:
Green Prosthetics & Orthotics, Llc 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: | Green Prosthetics & Orthotics, Llc |
| Type: | Prosthetic/orthotic Supplier |
| Location: | 2241 Peninsula Dr, Erie,
Pennsylvania, 16506-2954 |
| Phone: | 814-833-2311 |
| Fax: | 814-833-5202 |
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. Rakesh Jain |
| Position: | Ceo |
| Contact Number: | 201-774-1085 |
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: | 1871586883 |
| NPI Enumeration Date: | 24 Aug, 2005 |
| NPI Last Update On: | 26 Apr, 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 Green Prosthetics & Orthotics, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | 6000005987 | Pennsylvania | Primary | |
| Customized Equipment | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
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 |
| 02254635 | Other | New York | Ny |
| 0322029 | Other | Ohio | Oh |
| 1007721900001 | Medicaid | Pennsylvania | |
Medicare Enrollment:
Green Prosthetics & Orthotics, Llc 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 |
| 1254544331 | O20100930069003 | Green Prosthetics & Orthotics Llc | DME SUPPLIER - ORTHOTIC PERSONNEL |
Products Available:
Green Prosthetics & Orthotics, Llc has following products available for sale under medicare.
| Products: |
|---|
| • Breast Prostheses & Accessories | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Limb Prostheses |
| • Orthoses: Custom Fabricated | • Orthoses: Off-the-shelf |
| • Orthoses: Prefabricated | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2241 Peninsula Dr,
Erie, Pennsylvania |
| Zip: | 16506-2954 |
| Phone Number: | 814-833-2311 |
| Fax Number: | 814-833-5202 |
Patients can reach Green Prosthetics & Orthotics, Llc at
2241 Peninsula Dr, Erie, Pennsylvania or can
call on customer care at 814-833-2311.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.