We Bill Medicare Geri Medical, Inc. Houston, TX (877) 363-7867

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We Bill Medicare

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Geri Medical, Inc. is a licensed Durable Medical Equipment Prosthetics, Orthotics Supplier (DMEPOS) by the Centers for Medicare and Medicaid Services (CMS).

Please complete the following information if you would like us to bill Medicare for your products. We will contact you and let you know what additional documentation may be required.

Patient's Information First Name * Last Name * Address * Address 2 City * State/Province * Zip/Postal Code * Gender D.O.B. Phone * E-mail * Height Weight Medical Name/Insurance * Primary Insurance Secondary Insurance Other I'd like more information on these products

Doctor's Information Doctor's Name * Address * Address 2 City * State/Province * Zip/Postal Code * Phone Fax Do you have a prescription? Diagnosis

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We Bill Medicare

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