When to Notify Medicare of Changes

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 location
  • Final adverse legal action(s)
  • IDTF supplier change(s) in general supervision
  • MDPP supplier change(s) in coach roster

All other changes to your existing Medicare enrollment records must be reported within 90 days.

The request may be submitted no more than 60 days prior to the effective date of the change reported on the application.

Reminder: Terminate reassignments and employment arrangements timely.

Related Content

Revised 7/29/2024

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:

Enrollment Forms

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:

Enrollment Forms