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PECOS Correct and Resubmit Application Instructions

  • Login to PECOS and select the following:
    •    My Associates
    • View Enrollment for applicable enrollment under Existing Associates
    • Correct and Resubmit for applicable enrollment record
    • Topic View tab
      • Select appropriate  Topic
      • Correct information and/or upload (PDF or TIFF) supporting document(s)
    • Error/Warning Check tab
      • Resolve all errors
      • Verify warnings
    • Begin Submission
    • Signature Method:  Electronic or Upload (PDF or TIFF)
    • Read and agree to Medicare regulations by answering attestation questions
    • Complete Submission button must be clicked to finish application
  • Verify and Mange Signatures after submission by returning to the enrollment box and select Manage Signatures to verify completion

Reviewed 7/27/2024

Helpful Resources

Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee

J6 Mailing Address:

National Government Services, Inc.
P.O. Box 6475
Indianapolis, IN 46206-6475

Interactive Voice Response:

877-908-9499

Contact Enrollment:

877-908-8476

Hours Available:

Monday–Friday
8:00 a.m.–4:00 p.m. CT

Form(s) you'll need:

Enrollment Forms

Helpful Resources

Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee

JK Mailing Address:

National Government Services, Inc.
P.O. Box 7149
Indianapolis, IN 46207-7149

Interactive Voice Response:

877-869-6504

Contact Enrollment:

888-379-3807

Hours Available:

Monday–Friday
8:00 a.m.–4:00 p.m. ET

Form(s) you'll need:

Enrollment Forms