DMEPOS Suppliers: Use Revised CMS-855S Beginning January 1, 2017

Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) suppliers must use the revised Medicare enrollment application (CMS-855S) beginning January 1, 2017. The revised application (05/16) will be posted on the CMS Forms List by mid-fall. The National Supplier Clearinghouse Medicare Administrative Contractor will accept both the current (01/13) and revised versions of the CMS-855S through December 31, 2016, at which time any information received on the obsolete form will be returned to the supplier. Visit the Medicare Provider-Supplier Enrollment webpage for more information.

Contact NSC

Email National Supplier Clearinghouse

Contact a specific NSC department

Telephone: 866-238-9652

IVR: 866-238-9652

Address:

National Supplier Clearinghouse

Palmetto GBA, AG-495

P.O. Box 100142

Columbia, SC 29202-3142

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

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