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Enrollment

View Enrollment, Changes, Revalidation, and Related Information available to assist established and new Medicare Part A providers.

Topic Brief Description

Potential Providers

Educational tools and information to help you successfully complete the necessary application(s)

Enroll/Report Changes

Enroll and/or make changes online using PECOS Web, Electronic Funds Transfer (EFT), Reasons for delays

Revalidation

Resources and checklist to ensure providers submit proper documentation to fulfill the requirement for all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria

Forms

CMS Enrollment Application Form links including applications for instutitional and ordering/referring providers as well as the Electronic Funds Transfer (EFT) form

Enrollment Contacts

Contact information including phone numbers, mailing addresses, and fax numbers for your enrollment inquiries

Inquiries and Solutions

Various enrollment related questions and answers

Mammography Certification

This webpage provides information in regards to providers and suppliers that furnish film, digital, or 3-D mammography services and bill Medicare for these services.

 

Last Updated Dec 08, 2016

Enrollment Contacts

Address
Fax
Phone

 

Deadline is coming. Learn More About Cycle 2 Revalidation.