Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with mdINR LLC (mdINR), a Lincare company before sending sensitive documents. FaxFlow is not affiliated with this organization.

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mdINR LLC (mdINR), a Lincare company fax number

(877) 222-6580

Enrollment

Used for: Patient enrollment in PT/INR at home monitoring service; submission of patient and physician information to receive home INR testing services.

Fax destination details

Department
Enrollment
Purpose
Patient enrollment in PT/INR at home monitoring service; submission of patient and physician information to receive home INR testing services.
Form
010v4 — PATIENT ENROLLMENT FORM FOR PT/INR AT HOME MONITORING SERVICE
Address
59 Windsor Hwy, Suite 240, New Windsor, NY 12553
Voice phone
800-877-4910

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill patient and physician information, insurance details, and physician prescription; select fax options and panic value notifications; have prescribing physician sign; fax to Enrollment Fax 877-222-6580.

Official form instructions are published as a downloadable file on the organization's website.

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