HOW TO ENROLL and ORDER SUPPLIES   DIABETES HOME CARE offers top quality, name brand diabetes testing and maintenance supplies under Medicare Part B. If you have Medicare, your testing supplies may be covered at no cost to you.   New Medicare patients can receive a Free Glucose Meter with their first order, like a Medisense Optium glucose meter or another top brand meter at no cost to you.   We Welcome the opportunity to serve you. Enrollment can be completed by phone. Listed below is information we will need to complete enrollment.   CALL 1-800-544-5433   WHAT YOU CAN EXPECT         Free shipping right to your door Order reminders so you never run out of supplies Friendly, knowledgeable staff to answer your questions and help complete your orders (in English and Español) No hassle ordering. We complete all claim forms and submit them to Medicare.  ENROLL BY PHONE   Enrollment is easy. DIABETES HOME CARE will do all the steps necessary in a safe and confidential manner to enroll you in the program. No need to transmit sensitive or confidential information over the Internet. Call 1-800-544-5433 now to begin enrollment.   WHAT WE NEED TO KNOW.   When you call our office we will need to know the same information that is required when you visit your Doctor’s office that is billing Medicare. Please have the following information available when you call to enroll.       Personal Information:   Name _______________________________________   Daytime Phone _______________________________   Cell Phone ___________________________________   Street Address _______________________________-   City _____________________________ State ______   Social Security # ______________________________   Date of Birth _________________________________     Insurance Information:   Primary   _______________________________ Policy# _________________________   Secondary ______________________________Policy# _________________________   Medicare # ______________________________   Physician Information:   Physician’s Name __________________________________________   Street Address _____________________________________________   City __________________________________________ State _______   Phone # __________________________________   Fax # (If Available) _________________________        THE ENROLLMENT PROCESS All Information received is confidential After we receive the following information from you, we will call Medicare and verify your enrollment in the Medicare Program. We then contact your Doctor to confirm your Prescription for Diabetic Supplies. This is normally done by faxing your Doctor's office. When confirmation from your Doctor's office is received, we will contact you and prepare your order for shipping.   WHEN WILL YOU RECEIVE YOUR SUPPLIES Our staff provides fast, courteous service in a strict confidential manner We begin the verification process the same day we receive the information.When confirmation is received, the order for diabetic supplies is shipped by Priority Mail. Customers can expect to receive their supplies within two days.   ENROLLMENT BY FAX OR MAIL If you prefer you may fax the enrollment information to us at 1-800-690-9903, or mail the information to our office at 508 Central Avenue, Crescent City, Florida 32112.   We will call and confirm receipt of this information when it is received.   THANK YOU for choosing DIABETES HOME CARE, Your partner in Diabetes Care.