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      • Consumer Website Quoting Tool
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  • Tools & Training
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    • Referral Program
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    • Contact
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Retail Program Location Reservation System

​Please choose a username and password (
*denotes a required field). After you complete this registration form a Medicare & Senior Solutions Sales Manager will contact you to activate your account.

​For assistance with this form, please contact 
Carolyn Portanova
 at 919.794.3179 or 800.928.4998 ext. 8.
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    Please create a username that is between 6-20 alphanumeric characters.
    Please create a password that is between 6-20 alphanumeric characters.
    Look up your NPN via NIPR.

    When signing up for the in-store program, you agreed that SilverScript may communicate with you via text, and the cost of receiving such texts, if any, will be your responsibility. The frequency of text communication is expected to be less than 10 through the duration of the program. The primary purpose of text communication will be related to logistics and compliance. If you wish to opt out of text communication, send an e-mail request to ProducerSalesResource.
Submit

Connect

800.928.4998
919.489.3600
​919.419.0401 (fax)

info@tbrins.com

​
1480 Chapel Ridge Road
Suite 200
​Apex, NC 27502

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Medicare Advantage & Prescription Drug Plans:
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
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