What does it mean to be a participating provider?

Answer:
Having a Medicare Provider Transaction Access Number (PTAN) does not designate you as a participating provider within the Medicare program. A participating provider enters into a separate agreement (by completing CMS form 460) to accept assignment on all Medicare Part B claims. The participant agrees to accept the Medicare-approved amount as full payment for services and supplies covered under Part B. Fee schedules for participating providers are five percent higher than for non-participating providers.

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 


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