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 adjustable electric beds

 World's Lowest Price

Call Now 800-233-7382

907 Hollywood Way, Burbank California

Cahuenga Pass, Canoga Park, Chatsworth, Colfax Meadows, Encino, Fallbrook, Granada Hills, Kagel Canyon, Lake View Terrace, Lake Balboa, Mission Hills, NoHo Arts District, North Hills, North Hollywood, Northridge, Olive View, Pacoima, Panorama City, Porter Ranch, Reseda, Shadow Hills, Sherman Oaks, Studio City, Stonehurst, Sun Valley, Sunland-Tujunga, Sylmar, Tarzana, Toluca Lake, Toluca Woods, Valley Glen, Valley Village, Van Nuys, Ventura Business District, Warner Center, West Hills, West Toluca, Winnetka, Woodland Hills

 

Serving all San Fernando Valley area including: 

Cahuenga Pass, Canoga Park, Chatsworth, Colfax Meadows, Encino, Fallbrook, Granada Hills, Kagel Canyon, Lake View Terrace, Lake Balboa, Mission Hills, NoHo Arts District, North Hills, North Hollywood, Northridge, Olive View, Pacoima, Panorama City, Porter Ranch, Reseda, Shadow Hills, Sherman Oaks, Studio City, Stonehurst, Sun Valley, Sunland-Tujunga, Sylmar, Tarzana, Toluca Lake, Toluca Woods, Valley Glen, Valley Village, Van Nuys, Ventura Business District, Warner Center, West Hills, West Toluca, Winnetka, Woodland Hills,

 

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Fastest Delivery & Installation We Save You Money - Guaranteed!


MEDICARE REQUIRED PAPERWORK

"let Jay make it very easy for you!"

For Medical Paperwork and Medicare Questions,

 please call 800.727.1954

Ask for:

Jay Rajendra, Medicare Specialist

Hours: Monday thru Thursday 10 - 6, Sat 10-4

 

SALES

MEDICARE Intake/Delivery

medicare lift chairsSEAT LIFT CHAIRS

Lift Chair Instructions for Reimbursement (pdf)

Certificate of Medical Necessity Medicare Form (pdf)

Advance Beneficiary Notice (pdf)

Medical Prescription

medicare hospital bedsHOSPITAL BEDS FORMS

Medical Prescription

Advance Beneficiary Notice (pdf)

Patient CHART/MEDICAL NOTES from doctor

medicare power wheelchair electric wheel chairPOWER CHAIRS AND SCOOTERSmedicare electric scooters

Advance Beneficiary Notice (pdf)

PERSCRIPTION

Power Chair/ Scooter: What your Doctor needs to know (pdf)

Power Chair/Scooter: Face to Face Meeting (pdf)

Power Chair/Scooter: Letter to Doctor (pdf)

FACE TO FACE REPORT

PATIENT CHART/MEDICAL NOTES

DETAILED PRODUCT DESCRIPTION

Medicare Powerchairs and Medicare Mobility Scooters
can be at $0.00 cost to you if you qualify for Medicare and if you have a secondary.  Please:

 1.  Call Electro-PEDIC at 800.727.1954.  Ask for Jay Rajendra, Medicare Specialist.  He will ask your Name, Date of Birth, Medicare Number, Name and contact information of your Doctor.  He will discuss your Mobility Issues within your Home Environment.  If Jay feels you qualify for Medicare, he will then have our Medicare Biller, Delores Keller, call Medicare to see if you qualify for a Medicare Powerchair or Medicare Scooter.

2.  You are required to have a FACE-TO-FACE Examination with your Doctor concerning the Medical Necessity of your Power Wheel Chair or Mobility Scooter.  Our Medicare Biller, Delores Keller, will notify your Doctor what the Doctor is required to do.  Your Medical Records supporting your Medicare Claim will then be faxed to us:  818-332-1158

3.  After your FACE-TO-FACE Examination, your Doctor's will fax his Prescription for a Powerchair or Mobility Scooter to us:  fax 818-332-1158.

We can then deliver you the Powerchair or Mobility Scooter.  Upon delivery, we will also take an in-home evaluation to make sure you can adequately and safely operate your Power Operated Vehicle.

If you need or desire some upgrades that Medicare does not pay for, you are required to sign an ABM form that lists items that may not covered by Medicare and the charges you are directly responsible for (example, a scooter cover is not paid for by medicare).  example form:  Advance Beneficiary Notice (pdf)

New Los Angeles CA theJAZZYstore serving LA Metro Area with Medicare Power Chairs.  Medicare Wheelchairs are so easy to use, you are going to wonder how you ever waited so long to pamper yourself.  Medicare Motorized Powerchairs allow you to move forward and reverse at the simple touch of your finger, making your day much easier, without fatigue and stress.  Select a New or Used  Electric Wheelchair at 1/2 OFF! for your personal use, and take a health break.

CUSTOMER INFORMATION

26 Supplier Standards (pdf)

HIPAA PRIVACY Manual (pdf)

PATIENT BILL of RIGHTS and RESPONSIBILITIES (pdf)

Falls, Fire and Home Safety (pdf)

Patient Satisfaction Survey (pdf)

 

 

For Medical Paperwork and Medicare Questions,

 please call 800.727.1954

Ask for:

Jay Rajendra, Medicare Specialist

Hours: Monday thru Thursday 10 - 6, Sat 10-4

"let Jay make it very easy for you!"

 

 

 

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