Innovative Prosthetics Llc
Customized Equipment
121b Professional Ln, Pawleys Island
South Carolina, 29585-7878
843-314-3148 843-314-0939
Innovative Prosthetics Llc is a Customized Equipment in Pawleys Island, South Carolina. It is located at 121b Professional Ln, Pawleys Island and it's customer support contact number is 843-314-3148. The authorized person of Innovative Prosthetics Llc is James Wesley Haygood, CP who is Owner of this DME and his contact number is 803-917-5811. Innovative Prosthetics Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Innovative Prosthetics Llc is a medical supplier who supplies 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:
Innovative Prosthetics 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: | Innovative Prosthetics Llc |
| Type: | Customized Equipment |
| Location: | 121b Professional Ln, Pawleys Island,
South Carolina, 29585-7878 |
| Phone: | 843-314-3148 |
| Fax: | 843-314-0939 |
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: | James Wesley Haygood |
| Credentials: | CP |
| Position: | Owner |
| Contact Number: | 803-917-5811 |
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: | 1063127702 |
| NPI Enumeration Date: | 17 Jan, 2023 |
| NPI Last Update On: | 17 Jan, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Innovative Prosthetics Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Innovative Prosthetics 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 |
| 4082079348 | O20230420002898 | Innovative Prosthetics Llc | DME SUPPLIER - CERTIFIED ORTH/PROS/PEDORTHIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 121b Professional Ln,
Pawleys Island, South Carolina |
| Zip: | 29585-7878 |
| Phone Number: | 843-314-3148 |
| Fax Number: | 843-314-0939 |
Patients can reach Innovative Prosthetics Llc at
121b Professional Ln, Pawleys Island, South Carolina or can
call on customer care at 843-314-3148.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.