- Introducing PECOS 2.0
- Provider Enrollment: Announcement About Medicare Participation for Calendar Year 2024
- Understanding Authorized Official and Delegated Official Roles
- Understanding the Approval Recommendation Process for Certified Providers
- View Existing Medicare ID (PTAN) in PECOS and Effective/End Dates for Reassignment
- Legal Business Name Match
- Participating Status on Provider Enrollment Approval Letters
- Instructions for Unfinished PECOS Enrollment Application(s)
- PECOS Correct and Resubmit Application Instructions
- Provider Enrollment Application Process Timeline
- Accreditation of Advanced Diagnostic Imaging and FDA Mammography Equipment
- Change of Tax ID Instructions and Forms
- How to Determine if the Provider is Active and Get the Provider Enrolled in Medicare Part B
- PECOS Application Status Tool
- Information for Physicians Who Refuse to Enroll, Opt-Out of the Medicare Program, or Submit Claims to Medicare
- Revalidation Application Checklist
- Prevent Revalidation Processing Delays
- Issues with Medicare Beneficiary Submitted Claims - We Need Your Help
- Ordering and Referring Points of Interest
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 E-Signature”
- Submitted Enrollment Application(s) on Behalf of an Individual or Group
Instructions for Unfinished PECOS Enrollment Application(s)
Two acknowledgement notices are sent when submitting an enrollment application via PECOS. The contact person indicated on the PECOS enrollment will receive an email with a tracking number from customerservice-donotreply@cms.hhs.gov, once the application is submitted. An acknowledgement email with a case number from NGS-PE-Communications@elevancehealth.com will be sent when application is placed in workload.
Instructions For Unfinished PECOS Applications
- Enter user ID and password to sign into PECOS
- My Associates
- Scroll down under Existing Associates
- “View Enrollment” for applicable enrollment record
- Scroll down to applicable enrollment record with a tracking number and select “more options”
- “Continue working on application” then “next page”
- Complete unfinished Topics
- “Begin Submission”
- Proceed with the Electronic Signature or Upload (PDF or TIFF) Certification Process
- Review and agree to Medicare regulations (Read and answer Attestation questions)
- Verify National Government Services as your contractor
- “Complete Submission” button must be clicked to finish application
- Print your submission confirmation and tracking number
Instructions For Application Status “Pending E-Signature”
Submit Enrollment Application(s)
- Enter user ID and password to sign into PECOS
- Scroll down under Manage Signatures
- Select “View and Sign”
- Review and agree to Medicare regulations (Read and answer Attestation questions)
- Select “Submit” to complete signature process
Submitted Enrollment Application(s) on Behalf of an Individual or Group
- Follow instructions above for the signee
or
- Look for the email (check spam/junk folder) from customerservice-donotreply@cms.hhs.gov and follow instructions.
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:
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: