Summary
CMS offers online enrollment applications for health care providers and suppliers, as well as paper applications.
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Paper applications must be submitted with the CMS-855S form, which must be handwritten and accompanied by supporting documents and an EFT Authorization Agreement form.
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Medicare Administrative Contractors (MACs) process enrollment applications for health care providers and non-DMEPOS suppliers, while the National Provider Enrollment DMEPOS East and West contractors process enrollment applications for DMEPOS suppliers.
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CMS also provides information and resources for providers and suppliers of the Medicare program, including access to PECOS, the Medicare Enrollment System, and the new and improved PECOS 2.0.
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The National Supplier Clearinghouse no longer processes Medicare enrollment applications for DMEPOS suppliers, and the National Provider Enrollment DMEPOS East and West contractors now process all DMEPOS enrollment applications.
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Summary
CMS provides information and resources for providers and suppliers of the Medicare program, including access to PECOS, the Medicare Enrollment System, and the new and improved PECOS 2.0. The National Supplier Clearinghouse no longer processes Medicare enrollment applications for DMEPOS suppliers, and the National Provider Enrollment DMEPOS East and West contractors now process all DMEPOS enrollment applications. Subscribers to CMS on the Federal Register website can stay up to date on statuses, moratoria, and proposed rules concerning the Medicare program.
Provider Enrollment and Certification | CMS - Centers for Medicare ...
cms.gov
Form # CMS 855I. Form Title. Medicare Enrollment Application - Physicians and Non-Physician Practitioners. Revision Date. 2018-12-01. O.M.B. # 0938-1355. O.M.B. Expiration Date. ... A federal government website managed and…
CMS 855I | CMS - Centers for Medicare & Medicaid Services
cms.gov
What’s the form called? Application for Medicare Part A & Part B – Special Enrollment Period (Exception conditions) (CMS-10797) What’s it used for? Signing up for Part A & Part…
Enrollment Forms | Medicare
medicare.gov
The Medicare program uses the same forms (listed below) for new enrollment , revalidations, or changes to your existing enrollment information (practice name, address, etc.) Note: Please make sure to obtain…
Enrollment Forms (CMS-855) - Novitas Solutions
novitas-solutions.com