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Clinics, group practices, and other suppliers can apply for enrollment in the Medicare program or make a change in their enrollment information using either: • The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or • The paper CMS-855B enrollment application. Be sure you are using the most current version.
1 mar 2021 · Medicare Enrollment Application - Clinics/Group Practices and Certain Other Suppliers
Medicare Enrollment Application: Clinics/Group Practices and Other Suppliers (CMS-855B): Group practices and other organizational suppliers, except DMEPOS suppliers, use this form to begin the Medicare enrollment or revalidation process or to change enrollment information.
9 mar 2022 · If you are a provider interested in serving Medicare patients, CMS requires you to be enrolled with Medicare. The links below will provide you with the tools and information needed to quickly and efficiently complete your Medicare enrollment. Important information and instructions for enrollment.
Clinics and group practices can apply for enrollment in the Medicare program or make a change to their existing information using the Clinics/Group Practices and Other Suppliers (CMS-855 B) application.
Clinics and group practices can apply for enrollment in the Medicare program or make a change in their enrollment information using either: •The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or •The paper enrollment application process (e.g., CMS 855B).
This tool provides links to CMS-855 applications. Use the links available in the lower portion of this page to find which application(s) are appropriate for your provider/group type or the type of provider enrollment action you would like to take.
