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Published Date:12/31/2020
Printed Date: 9/22/2015
URL: http://palmgba.com/marlowe/redesign6/article.html
Must be submitted within 20 calendar days from date of the deactivation notice. Any rebuttal submitted after the 20 days will be dismissed.
The requests may be emailed, faxed or mailed to Palmetto GBA.
JJ Part A
JJARebuttalRequest@palmettogba.com
Fax: (803) 870–6044
Palmetto GBA Provider Enrollment P.O. Box 100305 Columbia, SC 29202
JJ Part B
JJRebuttalRequest@palmettogba.com
Fax: (803) 870–6045
Palmetto GBA Provider Enrollment P.O. Box 100306 Columbia, SC 29202
JM Part A
JMARebuttalRequest@palmettogba.com
Fax: (803) 870–6042
Palmetto GBA Provider Enrollment P.O. Box 100144 Columbia, SC 29202
JM Part B
JMRebuttalRequest@palmettogba.com
Fax: (803) 870–6043
Palmetto GBA Provider Enrollment P.O. Box 100190 Columbia, SC 29202
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Last Updated: 12/31/2020
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