MARY FREE BED BRACE AND CORSET SHOP
NPI 1528096997
Durable Medical Equipment & Medical Supplies - Customized Equipment in Grand Rapids, MI
NPI Status: Active since June 28, 2006
Contact Information
360 LAFAYETTE AVE SE
SUITE 330
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 356-1916
Fax: (616) 356-1868
- Organization
- Durable Medical Equipment & Medical Supp...
- Customized Equipment
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About MARY FREE BED BRACE AND CORSET SHOP
This page provides the complete NPI Profile along with additional information for Mary Free Bed Brace And Corset Shop, a provider established in Grand Rapids, Michigan operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1528096997 assigned on June 2006. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Mary Free Bed Brace And Corset Shop. The authorized official of this NPI record is Mr. Mark A Porth (Chief Compliance Officer)
- NPI
- 1528096997
- Provider Legal Name
- MARY FREE BED ORTHOTICS AND PROSTHETICS
- Other Organization Name
- MARY FREE BED BRACE AND CORSET SHOP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 360 LAFAYETTE AVE SE SUITE 330 GRAND RAPIDS, MI 49503
- Location Phone
- (616) 356-1916
- Location Fax
- (616) 356-1868
- Mailing Address
- 235 WEALTHY ST SE GRAND RAPIDS, MI 49503
- Mailing Phone
- (616) 356-1916
- Mailing Fax
- (616) 356-1868
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-28-2006
- Last Update Date
- 07-21-2022
- Code Navigator
Mary Free Bed Brace And Corset Shop is a medicare supplier with PTAN 20479631 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies Customized Equipment
- Taxonomy Code
- 332BC3200X
- Type
- Suppliers
- License State
- MI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 874438302 | MEDICAID (05) | MI | |
| 530D105100 | OTHER (01) | MI | BLUE CROSS UPIN |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20479631
- Accepts Medicare Assignment
- NO
- Specialities List
- Medical Supply Company Other, MSC With Orthotic-Prosthetic.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
- Lymphedema Compression Treatment Items -
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 0 | 9 | 6 | 9 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 0 | 9 | 12 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 0 + 9 + 1 + 2 + 9 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1528096997 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942756481 | CARLY HEINZ Individual | Speech-Language Pathologist | 360 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503 (616) 486-6870 |
| 1801342340 | CAITLIN LUNDSTEN OT Individual | Occupational Therapist | 360 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503 (616) 486-6870 |
| 1003362542 | SCOTT HOWER SLP Individual | Speech-Language Pathologist | 360 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503 (616) 486-6870 |
| 1669928107 | KATE LAUREN ZVONEK SLP Individual | Speech-Language Pathologist | 360 LAFAYETTE AVE SE SUITE 400 GRAND RAPIDS, MI 49503 (616) 486-6870 |
| 1245268622 | MARY FREE BED ORTHOTICS AND PROSTHETICS Organization | Durable Medical Equipment & Medical Supplies (Customized Equipment) | 360 LAFAYETTE AVE SE SUITE 330 GRAND RAPIDS, MI 49503 (616) 356-1916 |
| 1619929643 | MARY FREE BED ORTHOTICS AND PROSTHETICS Organization | Prosthetic/Orthotic Supplier | 360 LAFAYETTE AVE SE SUITE 320 GRAND RAPIDS, MI 49503 (616) 356-1916 |
| 1275834426 | SPECTRUM HEALTH PRIMARY CARE PARTNERS Organization | Pediatrics | 360 LAFAYETTE AVE SE GRAND RAPIDS, MI 49503 (616) 284-8805 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528096997, enumerated in the NPI registry as an "organization" on June 28, 2006
The provider is located at 360 Lafayette Ave Se Suite 330 Grand Rapids, Mi 49503 and the phone number is (616) 356-1916
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X with a focus in Customized Equipment
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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