Medicare Reimbursement for SureFit Shoes and inserts requires an active DME (durable medical equipment) supplier number.

To apply for a new DME Supplier number, download the form from the CMS link below, fill out and submit as noted on the form.

http://www.cms.hhs.gov/cmsforms/downloads/cms855s.pdf

Please note the form changes often. Please feel free to utilize the link above to download as often as needed.

NEED ASSISTANCE -- SureFit can walk you through the process in about 15 minutes. Please call 800.298.6050 ext 1 to request assistance. Alternatively, send us an email by selecting “Request Assistance - DME” below . One of our Customer Service Specialists will then contact you to schedule a time of your convenience.