Medisource Home Medical
Customized Equipment
975 Cobb Place Blvd Nw Ste 113, Kennesaw
Georgia, 30144-6848
770-528-9559 770-528-9309
Medisource Home Medical is a Customized Equipment in Kennesaw, Georgia. It is located at 975 Cobb Place Blvd Nw Ste 113, Kennesaw and it's customer support contact number is 770-528-9559. The authorized person of Medisource Home Medical is Mr. Sergio Silva Sr. who is Owner of this DME and his contact number is 770-528-9559. Medisource Home Medical accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Medisource Home Medical 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:
Medisource Home Medical 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: | Medisource Home Medical |
| Type: | Customized Equipment |
| Location: | 975 Cobb Place Blvd Nw Ste 113, Kennesaw,
Georgia, 30144-6848 |
| Phone: | 770-528-9559 |
| Fax: | 770-528-9309 |
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. Sergio Silva Sr. |
| Position: | Owner |
| Contact Number: | 770-528-9559 |
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: | 1770501736 |
| NPI Enumeration Date: | 18 Jul, 2006 |
| NPI Last Update On: | 13 Oct, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medisource Home Medical are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Oxygen Equipment & 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 |
| 52164995 | Other | Georgia | Bcbs |
| 341310291A | Medicaid | Georgia | |
| 1023735 | Other | Georgia | Uhc |
Medicare Enrollment:
Medisource Home Medical 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 |
| 7113138215 | O20100930061318 | Medisource Home Medical | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Medisource Home Medical has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Cpap, Rads, & Related Supplies & Accessories |
| • Diabetic Shoes & Inserts: Custom Fabricated | • Diabetic Shoes & Inserts: Prefabricated |
| • Heat & Cold Applications | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Oxygen Equipment & Supplies | • Patient Lifts |
| • Power Operated Vehicles (scooters) | • Respiratory Suction Pumps |
| • Seat Lift Mechanisms | • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads |
| • Surgical Dressings | • Traction Equipment |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | • Wheelchairs & Accessories: Standard Power |
| • Wheelchairs (standard Manual) | • Wheelchairs (standard Power) |
Medicare Competitive Bidding Program:
Medisource Home Medical participates in medicare competitive bidding program for DME suppliers which means Medisource Home Medical has been thoroughly screened by medicare to make sure they meet medicare DME supplier requirements such as quality, accreditation standards etc.
| CBSA ID: |
CBSA Name: | State |
| 23090 | Atlanta-Sandy Springs-Roswell, GA | Georgia |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 975 Cobb Place Blvd Nw Ste 113,
Kennesaw, Georgia |
| Zip: | 30144-6848 |
| Phone Number: | 770-528-9559 |
| Fax Number: | 770-528-9309 |
Patients can reach Medisource Home Medical at
975 Cobb Place Blvd Nw Ste 113, Kennesaw, Georgia or can
call on customer care at 770-528-9559.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.