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Physician Order with Prescription (Medicare)

Name: Physician Order with Prescription (Medicare)
SKU: 25979878
Availability: InStock

₹100.00

1. Log into portal

2. Upload prescription

3. Place order

Physician Order with Prescription (Medicare) quantity

Category: Uncategorized

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Physician Order Self Pay
₹120.00



Reimbursable by Medicare

*Up to 80% reimbursement when ordered with a prescription in licensed states. Only eligible if Medicare has not covered a cane, walker, or wheelchair for you in the past 5 years. Secondary insurance may cover an additional 10%.

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Patient First Name*

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Patient Middle Name*

Date of Birth*

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Gender*

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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

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Max. file size: 10 MB, Max. files: 3.

Physician - NPI

Diagnosis Code

Walker ordered

Prescription from the doctor

Max. file size: 50 MB.

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Physician Order with Prescription (Medicare)

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Physician Order Self Pay