Provider Enrollment Relief Related to COVID-19

In order to support our provider community, we are establishing a Provider Enrollment hotline to help with emergency provider enrollment into Medicare. This is intended for providers or organizations that are in emergency situations that need to be enrolled quickly due to the Coronavirus.

Providers may receive a temporary PTAN for the enrollment with a limited effective date. Once the epidemic has subsided, we will deactivate the COVID-19 issued PTANs when the President declares the disaster is over. If the provider or organization wishes to fully enroll into Medicare, we will need a complete application submitted and those applications are being expedited.

Customer services representatives will be available from 8 a.m.-6 p.m. CDT. The hotline number is 866-575-4067.

In order to make your enrollment quick and easy, please have the following information ready when you call:

Group Member

  1. SSN
  2. First/Last Name/Middle Initial
  3. DOB
  4. Type 1 NPI
  5. State where you are physically located and providing services
  6. Specialty
  7. Medical school and graduation date
  8. State license information
  9. Correspondence Address
  10. Organization PTAN where the provider will be reassigning benefits or:
    1. Organization Legal Business Name
    2. Organization Tax ID Number
    3. Organization NPI

Physician Assistant

  1. SSN
  2. First/Last Name/Middle Initial
  3. DOB
  4. Type 1 NPI
  5. State where you are physically located and providing services
  6. Medical school and graduation date
  7. State license information
  8. Correspondence Address
  9. Organization PTAN where the PA will be establishing employment or:
    1. Organization Legal Business Name
    2. Organization Tax ID Number
    3. Organization NPI

Sole Proprietor

  1. SSN
  2. First/Last Name/Middle Initial
  3. DOB
  4. Type 1 NPI
  5. State where you are physically located and providing services
  6. Specialty
  7. Medical school and graduation date
  8. State license information
  9. Correspondence Address
  10. Practice location and special payments address
  11. EFT information

Organization

  1. TIN
  2. LBN
  3. Type 2 NPI
  4. State where you are physically located and providing the services
  5. Correspondence Address
  6. Practice location and special payments address
  7. Owner and managing employee
  8. EFT information

For more information regarding the Coronavirus, please visit the CMS website.

 

            Last Updated Sat, 18 Apr 2020 13:48:05 +0000