-
Posting Date: 02/01/2021
Acknowledgement Email
Acknowledgement Email Upon receipt of your application submission, the contact person (identified on application) will receive an email confirmation from: CustomerService-DoNotReply@cms.hhs.gov containing the PECOS web tracking number. [...]
Read More -
Posting Date: 04/20/2021
Requests for Additional information
Requests for Additional information While processing the application(s), National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]
Read More -
Posting Date: 08/27/2021
Site Visits
Site Visits Site visits may be required and will be unannounced; the contractor representatives must disclose to the provider appropriate identifying credentials and explain the purpose of the visit. CMS has implemented a site visit [...]
Read More -
Posting Date: 02/02/2021
Requests for Additional Information
Requests for Additional Information While processing the application(s), National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]
Read More -
Posting Date: 02/02/2021
Requests for Additional Information
Requests for Additional Information While processing the application(s), National Government Services may determine additional information is needed. All requested information should be submitted as soon as possible, but no later than 30 days [...]
Read More -
Posting Date: 01/27/2021
Individual Medicare Enrollment Private Practice (Sole Proprietor) via SSN
Individual Medicare Enrollment Private Practice (Sole Proprietor) via SSN Download CMS-855I. Complete sections 1, 2, 3, 4, 6, 8, 12, 13 and 15B. Note: Be sure to complete sections 4, 4A, 4A3, 4B, 4C, 4D and 4E. If reassigning benefits [...]
Read More -
Posting Date: 04/29/2021
Individual Medicare Enrollment Private Practice (Sole Proprietor) via EIN
Individual Medicare Enrollment Private Practice (Sole Proprietor) via EIN Download CMS-855I: Complete sections: 1, 2, 3, 4, 6, 8, 12, 13 and 15B. Notes: Be sure to complete section 4, 4A, 4A3 (enter employer identification number) 4B, [...]
Read More -
Posting Date: 05/07/2019
Individual Medicare Enrollment Sole Owner of a Corporation via Tax ID
Individual Medicare Enrollment Sole Owner of a Corporation via Tax ID Download CMS-855I: Complete sections 1, 2, 3, 4, 6, 8, 12, 13 and 15. Notes: Corporation structures: examples are PA, PC, LLC, PLLC, Inc., etc. Be sure to complete [...]
Read More -
Posting Date: 05/07/2019
Physician Assistant
Physician Assistant Download CMS-855I Complete sections 1, 2, 3, 4, 4F, 12, 13 and 15B Note: Submit the required supporting documents including the NCCPA and diploma. Reviewed 6/13/2024
Read More -
Posting Date: 11/08/2019
Supporting Documents
Supporting Documents Attach required supporting documentation for individuals or organizations. Submit all applicable documents: CMS-588 EFT Authorization Agreement and voided check or bank confirmation letter IRS document confirming your [...]
Read More