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Posting Date: 04/08/2021
Report Changes to your Enrollment Records
Report Changes to your Enrollment Records You must report changes of information in your Medicare enrollment records within 30 days for: Change(s) in ownership or control, including changes in authorized officials(s) Change(s) in practice [...]
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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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Posting Date: 12/11/2019
Participating Status on Provider Enrollment Approval Letters
Participating Status on Provider Enrollment Approval Letters If the Medicare Participating Physician or Supplier Agreement (CMS-460) is not submitted during initial enrollment or during the annual participation open enrollment period, the [...]
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Posting Date: 02/01/2021
Instructions for Unfinished PECOS Enrollment Application(s)
Instructions for Unfinished PECOS Enrollment Application(s) Table of Contents Instructions for Unfinished PECOS Enrollment Application(s) Instructions For Unfinished PECOS Applications Instructions For Application Status “Pending [...]
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Posting Date: 06/03/2021
PECOS Correct and Resubmit Application Instructions
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 [...]
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