• SUMMIT BEHAVIORAL HEALTH

    CPAP PRESCRIPTION / LETTER OF MEDICAL NECESSITY
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  • ORDERING PHYSICIAN CONTACT INFORMATION

  • NAME OF PROVIDER:

    Dr. PIYUSH DAS

    NPI: 1265639140

     

    ADDRESS:

    2115 COUNTY RD D EAST, STE C100

    MAPLEWOOD, MN 55109

    PH: 651-358-7020

    FAX: 651-846-9890

    EMAIL: ADMIN@SUMMITBHP.COM

  • PAP EQUIPMENT AND SUPPLIES

    MACHINE TYPE AND CORRESPONDING PRESSURE
  • OTHER SUPPLIES


  • SUPPLIES NECESSARY FOR THE PROPER USE OF PAP EQUIPMENT

    FULL FACE MASK (A7030) HEADGEAR (A7035) ORAL INTERFACE (A7044)
    FULL FACE CUSHION (A7031) CHINSTRAP (A7036) EXHALATION PORT/SWIVEL (A7045)
    NASAL MASK (A7034) TUBING (A7037) HUMIDIFIER CHAMBER(A7046)
    MASK CUSHION (A7032) DISPOSABLE FILTER (A7038) NON-DISPOSABLE FILTER (A7039)
    NASAL PILLOW (A7033) HEATED HUMIDIFIER TUBING WITH HEATED ELEMENT (A4604)  

     

  • DURATION OF USE

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