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Posting Date: 06/10/2019
Terminating (Dissolving) Practice and/or Retiring
Terminating (Dissolving) Practice and/or Retiring Terminating Sole-Owned or Sole-Proprietor Practice and Retiring Download CMS-855I. Complete sections 1A, 2A, 13 and 15B (update addresses in 2D, 2E, 4B, 4C). Terminating Practice ONLY [...]
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Posting Date: 10/24/2019
Ordering and Referring Provider
Ordering and Referring Provider Download CMS-855O. Complete section 1A and follow instructions. Reviewed 7/29/2024
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Posting Date: 04/14/2022
View Existing Medicare ID (PTAN) in PECOS and Effective/End Dates for Reassignment
View Existing Medicare ID (PTAN) in PECOS and Effective/End Dates for Reassignment Important: If you recently submitted an application to request a PTAN, please verify the approval letter was received prior to submission of claims. Log into [...]
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Posting Date: 12/22/2018
Legal Business Name Match
Legal Business Name Match Medicare enrollment success starts with you. It is vital that any time you are asked to supply your LBN or legal name, you indicate the name exactly as it appears at the IRS or the Social Security Administration [...]
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