As a manufacturer am I able to enroll as a DMEPOS supplier and bill the Medicare program?

Answer:
42 C.F.R. 424.57 (a) defines a supplier as "an entity or individual, including a physician or a Part A provider, which sells or rents Part B covered items to Medicare beneficiaries and which meets the standards in paragraph (c) of this section."

In most cases a manufacturer does not sell or rent items to a beneficiary, but sells items directly to the facility or physician providing the service. Therefore, the manufacturer would receive payment from the facility or physician and Medicare would in turn pay the facility or physician for the services and items provided.

Since the manufacturer is not providing items directly to beneficiaries, the manufacturer is unable to meet the Medicare definition of a supplier and therefore unable to apply for billing privileges.

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 Bid Program

Jurisdiction J A/B MAC Transition

Jurisdiction J Part A MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

National Supplier Clearinghouse MAC

Anonymous

 


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