MEDICARE: HANGER PROSTHETICS & ORTHOTICS EAST INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BC3200X	Customized Equipment (DME)	562182959	NC
3	335E00000X	Prosthetic/Orthotic Supplier

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	32953	OTHER	NC	PARTNERS MEDICARE CHOICE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0487N	OTHER	NC	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4496224	OTHER	NC	NON HMO AETNA NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	2021053	OTHER	NC	HMO AETNA NUMBER
7	A9348	OTHER	NC	MEDCOST
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265420335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANGER PROSTHETICS & ORTHOTICS EAST INC

Provider Business Mailing Address
First Line	:	PO BOX 650846
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1399 WESTGATE CENTER DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-2933
Country	:	US
Telephone Number	:	336-768-1933
Fax Number	:	336-768-4869

Authorized Official
Title or Position	:	REG COMPLIANCE SPECIALIST IV
Name	:	GRACE ANGELINE
Credential	:
Telephone Number	:	714-961-2102

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	03/09/2023

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Directions to “HANGER PROSTHETICS & ORTHOTICS EAST INC ” Practice Location

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