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PHONE: 480-998-5551 / FAX: 480-998-5247

10643 N. Frank Lloyd Wright Blvd, Suite 102, Scottsdale, AZ, 85259

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Doctor's Desk

Healthcare Providers

To order supplies for a patient, please select "Direct Diabetes Supply" on ParachuteHealth.com, fax the CMN below or fill out the form below.
We also listed insurance we contract with & details on their coverage
of products at the bottom of the page.

Printable/Hand Written CMN For Fax Orders

Fillable CMN For Fax Orders

Click Here to Order Through Parachute Health

Order Supplies:

Healthcare Providers: If you don't have Parachute or if you can't fax orders

with the downloadable CMN above, then please fill out this form

Patient's Name

Patient's Date of Birth

Patient's Phone

Patient's Address

Healthcare Provider's Name

Healthcare Provider's Email - This is required in case we have questions

Insurance:

Ameriben

AZ Connected Care

AZ Foundation

Banner University Care Advantage-Medicare Plan

Banner University Family Care - Medicaid/AHCCCS Plan

Beech Street

Bright Health

Commercial BCBS

EMI Health

Gilsbar

Gold Kidney Health Plan

Health Choice Pathways - Medicare Plan

Health Choice Arizona - Medicaid/AHCCCS Plan

Healthcomp

Healthsmart

Humana

Humana-Gold

Humana Gold Plus

Humana-Medicare-HMO

Medicare

Mercy Care Advantage - Medicare Plan

Mercy Care Plan - Medicaid/AHCCCS Plan

Meritain

Molina - Medicaid/AHCCCS Plan

Multiplan PHCS-Commercial

Oscar Health

Southwest Service Administrators

Summit

Needed Supplies:

Blood Glucose Monitor

Insulin Syringes

Pen Needles

Insulin Pump

Insulin Pump Supplies

Medtronic

Tandem

Beta Bionic

CGM

Receivers

Transmitters

Dexcom G6

Dexcom G7

Freestyle Libre

Freestyle Libre 2

Freestyle Libre 2+

Freestyle Libre 3

Freestyle Libre 3+

Medtronic Guardian 3

Medtronic Guardian 4

IV Preps

Skin Barriers

Alcohol Wipes

If the patient's insurance company or needed supplies aren't listed, please type them here and we'll see if we can help.

Thanks for submitting!

Health Insurance

Here is a breakdown of the insurance plans we contract with and their coverage. = Covered = Pre-Auth Required

Please email our Office Manager, Joy, with any questions at: Billing@DirectDiabetes.com.

Direct Diabetes Website Ins List.jpg

Connect With Us!

Check out our social media channels for helpful diabetic news and recipes.

10643 N. Frank Lloyd Wright Blvd, Suite 102

Scottsdale, Arizona, 85259

480-998-5551

1-888-880-8378

Business Hours:
Monday-Friday
8am-4pm

© Direct Diabetes

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