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MORE BREAST PUMP CHOICES 100 COVERED CORPORATE OFFICE Baby Buddha Minuet Bundle Pack Medela Pump in Style with Maxflow 1170 1172 N Knollwood Circle Anaheim CA 92801 800 270 6990 Fax 800 497 8856 NPI 1942392527 ARIZONA BRANCH Spectra S1 Spectra S1 Spectra S9 1050 N Fairway Drive Suite B 106 Avondale AZ 85323 623 248 1630 Fax 623 248 1701 NPI 1366008161 COLORADO BRANCH Elvie Stride Zomee Bundle Zomee Fit UPGRADE OPTIONS HAWAII BRANCH Spectra Synergy Gold Medela Swing Maxi Freestyle Flex Opera Willow 3 0 1039 Elkton Dr Garden of the Gods Colorado Springs CO 80907 719 413 5090 Fax 719 413 5089 NPI 1174137731 Elvie 3049 Ualena Street Unit 101 First Floor Honolulu HI 96819 1942 808 691 9973 Fax 888 286 7412 NPI 1205354321 WASHINGTON BRANCH 5009 Paci c Hwy East Ste 7 Fife WA 98424 253 235 5840 Fax 253 344 1457 NPI 1669040465 Willow Go To qualify through insurance you can order your pump online by visiting us at www MilitaryMedical US com Tax ID 74 3042082 www MilitaryMedical US com BREAST PUMPS MATERNITY SUPPORT LACTATION EDUCATION AND MORE
POSTPARTUM SUPPORT BRACE MATERNITY BRACE PERSONAL BREAST PUMP Military Medical Supplies o ers FREE Virtual Breastfeeding Support You can sign up for Breastfeeding chest and pumping classes Prenatal Consults and Breastfeeding Support Groups which all are conducted by our certi ed Lactation Consultant BENEFIT REQUIREMENTS E0603 BREAST CHEST FEEDING AND PUMPING CLASS This is a great class for expecting parents to prepare for the most important part of caring for their newborn breastfeeding Jodie provides evidence based information with over 20 years of birth and breastfeeding experience This class covers everything breastfeeding including tips for a great start nursing in the rst hours through years of life and navigating a comfortable return to work while pumping PRENATAL LACTATION CONSULTS COMPRESSION MATERNITY PANTYHOSE BY www MilitaryMedical US com Bringing new life into the world is an amazing journey that no parent should experience alone Join our breastfeeding support group for breastfeeding tips to connect with new moms and obtain professional advice that will make your breastfeeding experience the most memorable Topics and Support include breastfeeding latching pumping return to work sleep and well being TO SIGN UP VISIT www MilitaryMedical US com OR SCAN THE QR CODE Date Patient name and date of birth Due date DX Code Physician signature 11 digit DBN number HOSPITAL GRADE BREAST PUMP BENEFIT REQUIREMENTS E0604 RENTAL ONLY Medela Symphony Hospital Grade Breast Pump Rental HOSPITAL RA G BREASTFEEDING SUPPORT GROUP Prescription for double electric breast pump requires the following information DE GRADE B RE A Not interested in a group class or need more privacy Want to discuss medical concerns with a licensed professional Schedule a one on one prenatal lactation consultation 27 weeks gestation P Maternity care items must be deemed medically necessary to be covered and appropriate referral and authorization guidelines must be followed LACTATION EDUCATION BREAST PU M P PUM ST ADDITIONAL TRICARE BENEFITS Medical necessity Postpartum Length of Need PLEASE SEND PRESCRIPTION TO FAX 800 497 8856 EMAIL info militarymedical us com