Hi Nick,

Welcome to the Quantum Medical Supply Portal. Come back here anytime to find the status of your order(s), order new products, and find help with your orders. Let’s finish getting you qualified for your medical devices. If you’d like to update and answers from the initial questions, you can do that now.

Edit Prequalifying Questions

Insurance Information

Primary Insurance

Primary Insurance Details
Primary Payer

United Healthcare
Description

Aetna Medicare Choice (HMO - POS)
Insurance Type

Point of Service (POS)
COORDINATION OF BENEFITS

02/01/2020 - Current

Plan Details
In-Network Deductible

$20 Initial
Out-of-Network Deductible

$100 Initial
Co-Insurance

0% In-Network
CO-PAY

0% In-Network

Do you have a Secondary / Supplemental Insurance?

Yes

Shipping Address

Shipping Address
Address

Nick Holroyd 65 Pin Oak Dr Scituate, MA 02066

Shipping Address
Add a different Shipping Address

Physician Information

Please confirm/update your physician information:

Let’s find your physician

Primary Physician
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Name

Edward Alquero, MD | Family Medicine
Phone

(112) 233-4455
Address

1818 S Australian Ave West Palm Beach, FL 33409
NPI

1122334455
Pecos

Pecos Enrolled?

Add New Physician
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Add a Secondary Physician

NPI

First Name

Last Name

Address 1

Address 2

City

State

Zipcode

Phone Number

Fax Number

Your Information

Name
Nick Holroyd
Date of Birth
Nick Holroyd
Email
nick@quantummedicalsupply.com
Phone
512-557-5646