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Get Revalidation Letter Sample

Es with your User ID/Password and are unable to log into Internetbased PECOS, please contact the External User Services (EUS) Help Desk at 1-866-4848049 / TTY: 1-866-523-4759. (2) Paper Application Form To revalidate by paper, download the appropriate and current CMS-855 Medicare Enrollment application from the CMS Web site at https://www.cms.gov/MedicareProviderSupEnroll/ . Mail your completed application and all required supporting documentation to the insert contractor name , at the address.

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