Important Tax Information - 1099 Forms

You will soon be receiving your 2019 1099 form from Palmetto GBA, LLC, serving as a Medicare contractor for the Centers for Medicare & Medicaid Services (CMS). Please review the document closely and contact us immediately if you notice any discrepancies in your name, tax identification number, or dollar amount reported. Below are the various contact options available:

Phone Inquiries: 888–782–2350

Email Inquiries:  

Mail Inquiries: Palmetto GBA, LLC

Attn: Finance, AG-260
Post Office Box 100217
Columbia, SC  29202–3217

Overnight mail address: 

Palmetto GBA, LLC
Attn: Finance, AG-260
2300 Springdale Drive
Bldg. One
Camden, SC  29020

When contacting us concerning discrepancies please ensure that you use your company letterhead, specify the update required, and include the following items:

  1. Copy of the 2019 1099 form mailed to you
  2. Completed W-9 dated after January 31, 2020
  3. Legacy Medicare Provider Number/Provider Transaction Access Number (PTAN)
  4. National Provider Identifier (NPI)
  5. Contact name with contact number

No fax copies will be accepted. All discrepancy notifications must be received by March 13, 2020, in order to allow us time to make the necessary updates and send a corrected 1099 form to you, if needed. Any requests received after this date will not be processed to ensure that we can meet all Internal Revenue Service (IRS) regulations regarding the issuance of these forms.

Also, please note that corrections made to your 2019 1099 form will not correct future 1099 forms or your Medicare provider file. CMS regulations regarding your Medicare provider number require that you complete the appropriate CMS-855 enrollment application to make the necessary updates to your Medicare provider file.

If you have any questions regarding these requirements or the steps to make a permanent update to your records, please contact the number listed below for your location:

JM MAC: 855–696–0705
Railroad Medicare: 888–355–9165
JJ MAC: 877–567–7271

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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