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  1. 10 wrz 2024 · Learn how to enroll in Medicare in three steps: get an NPI, complete the online PECOS application, and work with your MAC. Find out how to update your information, contact your MAC, and access resources and guides.

  2. Use this form to apply for an initial or subsequent Medicare provider number or a prescriber number, or both. It’s quicker to create Medicare Provider Numbers (MPNs) using Health Professional Online Services (HPOS) if you’re either: an intern. applying for a subsequent provider number.

  3. The following forms can be used for initial enrollment, revalidations, changes in status, and voluntary termination: CMS-855A (PDF) for Institutional Providers. CMS-855B (PDF) for Clinics, Group Practices, and Certain Other Suppliers.

  4. Form Approved. OMB No. 0938-1135 Expires: 05/26. Physicians and eligible professionals can apply to enroll for the sole purpose of ordering or certifying items and/or services to beneficiaries in the Medicare program, or make a change in their ordering/certifying enrollment information using either:

  5. Complete and submit this application if you are an organization/group or other supplier that plans to bill Medicare and you are: Enrolling in the Medicare program for the first time with this Medicare Administrative Contractor (MAC) under this tax identification number. Currently enrolled in Medicare but have a new tax identification number.

  6. PECOS supports the Medicare Provider and Supplier enrollment process by allowing registered users to securely and electronically submit and manage Medicare enrollment information. New to PECOS? View our videos at the bottom of this page.

  7. 21 sie 2020 · Medicare Enrollment Guide for Providers & Suppliers. Use this guide if any of the following apply: You’re a health care provider who wants to bill Medicare for your services and also have the ability to order and certify.

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    powiązane z: medicare provider application form
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