Electronic Funds Transfer (EFT) Form Requests from the NPE

If you are currently not receiving Medicare payments via electronic funds transfer (EFT) and you received a letter from one of the National Provider Enrollment (NPE) contractors requesting submission of a CMS-588 EFT form, please make certain you follow all instructions within the letter and submit to the NPE within the timeframe provided to avoid deactivation of billing privileges. If you have any questions about the letter, please reach out to the proper NPE contractor. The DME MACs are not able to answer questions about this matter.

Send CMS-588 Electronic Funds Transfer (EFT) Authorization Agreements to the applicable National Provider Enrollment (NPE) contractor for the supplier’s physical location.

NPE Contact Information:

NPE East Contractor (NPEAST): Novitas Solutions, Inc.

  • PO Box 3704
    Mechanicsburg PA 17055-1863
  • Telephone 866-520-5193 9 a.m. to 5 p.m. ET

NPE West Contractor (NPWEST): Palmetto GBA

  • PO Box 100142
    Columbia SC 29202-3142
  • Telephone 866-238-9652 10 a.m. until 6 p.m. ET
Last Updated Jul 23 , 2024