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Provider Enrollment
Provider Enrollment Resources:
Enroll, change your Medicare information, and add or delete group members or locations online:
https://pecos.cms.hhs.gov
(print, sign and date the two-page Certification Statement and mail the Certification Statement and all supporting paper documentation to Palmetto GBA within seven days of electronic submission)
Access
CMS-855 forms
(then print, sign and mail to Palmetto GBA)
Palmetto GBA mailing addresses
Access the status of your CMS-855 application
Guidance on which form to complete
Contact the Provider Enrollment Support Line at (866) 308-5439 for additional assistance
Provider Enrollment
855 Application
Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications
09/14/2009
Provider Enrollment Application Finder Help Tool
05/12/2009
Do You Need To Reactivate Your Medicare Number?
03/04/2009
Select the Correct Medicare Provider Application (CMS-855 Form)
02/25/2009
How to Obtain CMS 855 Applications
11/08/2007
CMS-855 Application: Tips for Completion
01/10/2007
General
Provider Enrollment: Revalidation Cycle
11/20/2009
2010 Annual Participation Enrollment Program Extension
11/18/2009
One-Time Mailing of Supplier Responsibilities Letter: Individual Practitioners Only
10/07/2009
Medicare Enrollment: Reporting Changes to Information
08/10/2009
Online Medicare Enrollment: Internet-based PECOS
08/10/2009
Provider Enrollment Applications: Online Status
08/10/2009
Enrollment Terminology
08/07/2009
Guidance on Using Internet-based Provider Enrollment, Chain and Ownership System (PECOS)
08/05/2009
Medicare Billing Privileges: Revisions to Certain Items in CMS Change Request 6310
07/02/2009
Discontinuance of Unique Physician Identification Number (UPIN) Registry
06/03/2009
Requirements for Specialty Codes
05/08/2009
Medicare Participating Physicians Directory (MEDPARD)
04/14/2009
Participation Agreement Form and Instructions
11/07/2008
Payment For Services Provided Under a Contractual Agreement
03/08/2008
Electronic Funds Transfer (EFT)
09/14/2007
New Provider Education Information Packet
03/08/2006
.....
Changes in the Medicare Limiting Charge Monitoring Program
03/08/2006
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CMS Web Site Resources
03/08/2006
.....
E-mail Notifications about the Latest Medicare Part B Information
03/08/2006
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Independent Diagnostic Testing Facilities (IDTFs) CMS 855B Application Changes
03/08/2006
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Limiting Charge Exception Report
03/08/2006
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The Comprehensive Limiting Charge Compliance Program
03/08/2006
.....
We Are Here to Help
03/08/2006
IDTF
Independent Diagnostic Testing Facilities (IDTFs): Revised Instructions for Compliance Standards
02/07/2008
IDTF Diagnostic Tests With Level of Supervision and Technician Qualification Requirements Table
06/27/2007
IDTF Diagnostic Tests: CMS-855 Application
06/27/2007
IDTF Diagnostic Tests: Professional License Requirements
06/27/2007
IDTF Services: CPT Codes 0016T - 0170T
06/27/2007
IDTF Services: CPT Codes 10021 - 19499
06/27/2007
IDTF Services: CPT Codes 20100 - 29999
06/27/2007
IDTF Services: CPT Codes 30000 - 39599
06/27/2007
IDTF Services: CPT Codes 40490 - 49999
06/27/2007
IDTF Services: CPT Codes 50010 - 59899
06/27/2007
IDTF Services: CPT Codes 60000 - 69990
06/27/2007
IDTF Services: CPT Codes 70010 - 79999
06/27/2007
last updated on 11/20/2009