Prosthetic Center Of Excellence, A Nevada Corporation
Prosthetic/orthotic Supplier
2047 W Charleston Blvd Ste 100, Las Vegas
Nevada, 89102-2251
702-384-1410 702-384-0479
Prosthetic Center Of Excellence, A Nevada Corporation is a Prosthetic/orthotic Supplier in Las Vegas, Nevada. This organization is also known as sub part of Hanger Inc. It is located at 2047 W Charleston Blvd Ste 100, Las Vegas and it's customer support contact number is 702-384-1410. The authorized person of Prosthetic Center Of Excellence, A Nevada Corporation is Grace Angeline who is Provider Contract Analyst Iii of this DME and his contact number is 714-961-2102. Prosthetic Center Of Excellence, A Nevada Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Prosthetic Center Of Excellence, A Nevada Corporation 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:
Prosthetic Center Of Excellence, A Nevada Corporation 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: | Prosthetic Center Of Excellence, A Nevada Corporation |
| Type: | Prosthetic/orthotic Supplier |
| Location: | 2047 W Charleston Blvd Ste 100, Las Vegas,
Nevada, 89102-2251 |
| Phone: | 702-384-1410 |
| Fax: | 702-384-0479 |
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: | Grace Angeline |
| Position: | Provider Contract Analyst Iii |
| Contact Number: | 714-961-2102 |
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: | 1457348823 |
| Parent Organization: | Hanger Inc |
| NPI Enumeration Date: | 30 Sep, 2005 |
| NPI Last Update On: | 14 Nov, 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 Prosthetic Center Of Excellence, A Nevada Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
| 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 |
| 003302169 | Medicaid | Nevada | |
Medicare Enrollment:
Prosthetic Center Of Excellence, A Nevada Corporation 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 |
| 1658492186 | O20100930040977 | Prosthetic Center Of Excellence, A Nevada Corporation | DME SUPPLIER - ORTHOTIC PERSONNEL |
Products Available:
Prosthetic Center Of Excellence, A Nevada Corporation 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: | Po Box 650846,
Dallas, Texas |
| Zip: | 75265-0846 |
| Phone Number: | -- |
Patients can reach Prosthetic Center Of Excellence, A Nevada Corporation at
2047 W Charleston Blvd Ste 100, Las Vegas, Nevada or can
call on customer care at 702-384-1410.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.