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Get Tenncare Recertify Fax Number Form

MR Pr ovider s (Recer tification) Thank you for your continued interest in participating in TennCare, Tennessee s Medicaid program. All providers participating in TennCare are required to have a valid Medicaid ID number. This registration packet contains documents required for continued participation in TennCare. See below for a list of the items necessary to complete your packet. This page should be completed and returned to us with your registration packet. Please note: Incomplete packets wi.

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