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Posting Date: 12/05/2016
Eligible Nonphysicians
Eligible Nonphysicians Nonphysician Practitioners who can enroll in Medicare. Below you can find the definition, qualifications and supporting documentation for each specialty. Visit Obtain/Verify State License for assistance with license [...]
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Posting Date: 04/08/2021
Eligible Part B Suppliers
Eligible Part B Suppliers Suppliers who can enroll in Medicare: Ambulance Service Supplier Ambulatory Surgical Centers (ASC) Clinic/Group Practices Hospital Department(s) Home Infusion Therapy (HIT) Independent Clinical Laboratory [...]
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Posting Date: 08/21/2018
State License and Registrations for Individuals and Organizations
State License and Registrations for Individuals and Organizations Prior to submitting a provider enrollment application to Medicare, ensure that all applicable state licensing and/or specialty certification requirements are current. Each state [...]
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Posting Date: 04/14/2022
How to Submit a Hardship Request
How to Submit a Hardship Request To request a hardship consideration, submit with a letter and any supporting documentation describing the hardship and why it justifies the exception for your application. Your hardship request will not be [...]
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Posting Date: 04/27/2021
How to Obtain a Refund
How to Obtain a Refund A refund will only be granted in the following instances: The application fee was not required for the application submitted A hardship request was subsequently approved and a fee was paid An application was [...]
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Posting Date: 04/30/2019
Electronic Funds Transfer
Electronic Funds Transfer EFT allows for claim payments to be electronically transferred to your bank in place of a hard copy check mailed to the facility. Medicare payments due a provider or supplier of services may be sent to a bank (or [...]
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Posting Date: 04/14/2021
Electronic Funds Transfer Form and Instructions
Electronic Funds Transfer Form and Instructions To initiate the EFT process, you will need to complete the Electronic Funds Transfer (EFT) Authorization Agreement (CMS-588). By signing the CMS-588 form, you are certifying the account is in [...]
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Posting Date: 11/08/2022
Verify Bank Account Information
Verify Bank Account Information National Government Services receives numerous electronic funds transfer banking rejections each year due to frozen or closed bank accounts. To prevent interruption in Medicare payment, billing providers verify [...]
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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. [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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 [...]
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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, [...]
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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 [...]
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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
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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 [...]
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Posting Date: 10/07/2010
Medicare Information in Other Languages
Medicare Information in Other Languages Download Medicare & You in Spanish, 中文/Chinese, TIẾNG VIỆT/Vietnamese or 한국어/Korean. Español/Spanish 中文/Chinese 한국어/Korean TIẾNG VIỆT/Vietnamese Reviewed 6/13/2024
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Posting Date: 11/20/2018
Sign and Submit the Application(s)
Sign and Submit the Application(s) In order to send your application, after resolving all errors, you must select “Begin Submission” which is available from any of the tabs (Topic View, Fast Track View, Error/Warning Check). Instructions for [...]
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