Get Downloadable Dictionary

This guide provides clear and concise instructions for effectively filling out the Downloadable Dictionary online. Understanding each component of the form is crucial for accurate data entry and utilization.

Follow the steps to successfully complete the Downloadable Dictionary online.

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Review the Provider Identification section carefully. Fill in the NPI field with your unique 10-digit professional ID assigned by NPPES. Next, enter the PAC ID and professional enrollment ID, ensuring they match your records.
3. Input your name in the appropriate fields: last name, first name, middle name, and suffix. Each entry has specified length limits, so verify that you stay within them.
4. For the Medical Credentials section, enter your credentials like MD or DO, and provide your medical school name and graduation year. Make sure each field adheres to the character limits.
5. In the Medical Practice section, provide the organization legal name you are associated with and its PAC ID. Fill in the address fields accurately: line 1 and line 2, city, state, and zip code.
6. If applicable, enter data regarding hospital affiliations. For each hospital, provide the CCN and the legal business name, ensuring to keep track of the character lengths.
7. Complete the Medicare Assignment/Participation section by indicating your participation status for Medicare Assignment, eRx, PQRS, and EHR. Use 'Y' or appropriate values as indicated.
8. After filling out all required fields, review the information for accuracy. Once satisfactory, you can save changes, download, print, or share the completed form.

Complete your documents online today for streamlined management.