Mastectomy Shoppe, Llc
Durable Medical Equipment & Medical Supplies
9700 Redstone Dr Ste 200, Indian Land
South Carolina, 29707-5409
803-548-8627 803-548-8630
Mastectomy Shoppe, Llc is a Durable Medical Equipment & Medical Supplies in Indian Land, South Carolina. It is located at 9700 Redstone Dr Ste 200, Indian Land and it's customer support contact number is 803-548-8627. The authorized person of Mastectomy Shoppe, Llc is Christen E Tese who is Managing Member of this DME and his contact number is 561-573-9596. Mastectomy Shoppe, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mastectomy Shoppe, Llc 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:
Mastectomy Shoppe, 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: | Mastectomy Shoppe, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 9700 Redstone Dr Ste 200, Indian Land,
South Carolina, 29707-5409 |
| Phone: | 803-548-8627 |
| Fax: | 803-548-8630 |
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: | Christen E Tese |
| Position: | Managing Member |
| Contact Number: | 561-573-9596 |
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: | 1922763150 |
| NPI Enumeration Date: | 02 Nov, 2021 |
| NPI Last Update On: | 31 Mar, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mastectomy Shoppe, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Mastectomy Shoppe, 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 |
| 2466846332 | O20220219000075 | Mastectomy Shoppe Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9700 Redstone Dr Ste 200,
Indian Land, South Carolina |
| Zip: | 29707-5409 |
| Phone Number: | 803-548-8627 |
| Fax Number: | 803-548-8630 |
Patients can reach Mastectomy Shoppe, Llc at
9700 Redstone Dr Ste 200, Indian Land, South Carolina or can
call on customer care at 803-548-8627.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.