Pansy's Post Mastectomy Boutique, Inc.
Durable Medical Equipment & Medical Supplies
100 Redmond Rd Nw, Rome
Georgia, 30165-1536
706-232-6600 706-232-6677
Pansy's Post Mastectomy Boutique, Inc. is a Durable Medical Equipment & Medical Supplies in Rome, Georgia. It is located at 100 Redmond Rd Nw, Rome and it's customer support contact number is 706-232-6600. The authorized person of Pansy's Post Mastectomy Boutique, Inc. is Mr. Kenneth David Goewey who is Billing Manager of this DME and his contact number is 706-232-6600. Active license number of Pansy's Post Mastectomy Boutique, Inc. is 000484 for Durable Medical Equipment & Medical Supplies in Georgia. Pansy's Post Mastectomy Boutique, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pansy's Post Mastectomy Boutique, 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:
Pansy's Post Mastectomy Boutique, 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: | Pansy's Post Mastectomy Boutique, Inc. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 100 Redmond Rd Nw, Rome,
Georgia, 30165-1536 |
| Phone: | 706-232-6600 |
| Fax: | 706-232-6677 |
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. Kenneth David Goewey |
| Position: | Billing Manager |
| Contact Number: | 706-232-6600 |
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: | 1194904540 |
| NPI Enumeration Date: | 01 Nov, 2007 |
| NPI Last Update On: | 12 Sep, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pansy's Post Mastectomy Boutique, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 000484 | Georgia | 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 |
| 585652876B | Medicaid | Georgia | |
Medicare Enrollment:
Pansy's Post Mastectomy Boutique, 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 |
| 7315157914 | O20100930074598 | Pansy's Post Mastectomy Boutique, Inc. | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Pansy's Post Mastectomy Boutique, Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Breast Prostheses & Accessories | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 100 Redmond Rd Nw, Suite D
Rome, Georgia |
| Zip: | 30165-1536 |
| Phone Number: | 706-232-6600 |
| Fax Number: | 706-232-6677 |
Patients can reach Pansy's Post Mastectomy Boutique, Inc. at
100 Redmond Rd Nw, Rome, Georgia or can
call on customer care at 706-232-6600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.