Make Necessary Changes to the Existing Enrollment In PECOS

Instructions for accessing and submitting existing enrollment information in PECOS:

Login to PECOS
Select My Associates
Scroll down under Existing Associates
Select “View Enrollment” for applicable enrollment
Select applicable enrollment record under Existing Enrollments
Select More Options
Select change of information and answer questionnaire(s)
Confirm reason for application
Select “Start Application”
Review and update appropriate “Topic View” section(s), which may include the following topics:
- Mailing Address
- Business/Physical Location and Special Payment Address
- Organizational or Individual Control
- Contact Person
- Electronic Funds Transfer
Upload supporting documents (if applicable)
Resolve all errors and verify warnings
Select “Begin Submission”
Proceed with the Electronic Signature or Upload Certification Process
Review and agree to Medicare regulations (Read and answer Attestation questions, if applicable)
Verify National Government Services as your contractor
Complete Submission button must be clicked to finish application
Print and/or save your submission confirmation and tracking number

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