For primary care + family medicine practices · Arizona
Primary care DME referrals in Arizona
One referral for diabetic, urological, wound, nebulizer & more. Arizona is our home market — we're live with Medicare and AHCCCS (Arizona Medicaid), with same-day setup available in metro Phoenix.
You see everything, so we take everything: diabetic and CGM supplies, catheters, wound dressings, nebulizer supplies, ostomy, and more — one referral, one fax line, one team that verifies benefits and ships to your patient. Send the order; we map it to the right Medicare benefit.
What we take from primary care
- Diabetic supplies + CGM
- Urological / catheter supplies
- Nebulizer supplies
- Wound dressings, ostomy, compression & more
What Medicare needs
- •The diagnosis supporting the item.
- •A standard written order — item, quantity, your signature and date.
- •A face-to-face note within the last 6 months.
- •That's it — we map the rest to the Medicare LCD for the specific item.
HCPCS: A4253 · A4259 · A4239 · E2103. Send the order — we assemble the rest and chase missing signatures.
Refer a patient
Submit a primary care referral
Pre-filled for primary care in Arizona. Add the patient and your NPI and you're done — we verify benefits and take it from there. No login required.
Three ways to send a referral
Online form
Use the pre-filled form above — about 60 seconds. You get a reference number on submit.
Fax to 855-365-3159
Fax the order + face sheet to our referral line. It lands in our intake queue automatically — no portal.
e-Prescribe / EHR
Send DME orders electronically through your EHR's DME workflow. Ask us to set up the connection.
Benefits verified first
We run the eligibility check before anything ships — no surprise denials sent back to your office.
Documentation handled
We assemble the Medicare-required documentation chain and chase missing signatures so your staff doesn't.
Shipped + resupplied
We deliver to the patient and manage compliant recurring resupply — you refer once.
For referring providers
Primary care referrals in Arizona — common questions
Can I send different product types on one referral?+
Yes. Use the form or fax one order and note the items; we route each to the right intake specialist internally so your office submits once.
Do you chase the patient for the missing pieces?+
We do. After you refer, we contact the patient to confirm details and set up delivery — your staff is out of the loop after the order.
Do you accept primary care DME referrals in Arizona?+
Yes. Affinity Medical Services is an enrolled Medicare DMEPOS supplier and we take primary care referrals across Arizona. Arizona is our home market — we're live with Medicare and AHCCCS (Arizona Medicaid), with same-day setup available in metro Phoenix. Submit the order above or fax it to 855-365-3159 and we verify benefits before anything ships.
More referral options
Same intake team, same coverage check, every specialty and state.
Have a question?
Three fields, real payer data, plain-English answer. Or talk to a person — we're fast.