Get PDF MEDICARE ENROLLMENT APPLICATION - CMS

Call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778). If you worked for a railroad, call the RRB at 1-877-772-5772. If you already have Part A and want to sign up for Part B, complete an Application for Enrollment in Part B (CMS-40B).

Start by creating an account on the Social Security Administration's site. You'll need basic information including birth certificate, driver's license, or proof of U.S. citizenship. Decide whether to enroll in Part A only or Parts A and B. Enroll on time or risk a Part B premium surcharge.

Medicare enrollment applications can be submitted by using paper forms such as the CMS-855I for an individual provider, the CMS-855B for a group/supplier, and other forms. Providers may also use the online application through the Provider Enrollment, Chain, and Ownership System (PECOS).

Step 1: Obtain an NPI. Psychologists seeking to become Medicare providers must obtain a National Provider Identifier (NPI) before attempting to enroll in Medicare. ... Step 2: Complete the Medicare Enrollment Application. ... Step 3: Select a Specialty Designation.

Medicare enrollment form By visiting a local Social Security office. By calling Social Security at 1-800-772-1213. TTY users can call 1-800-0778. Representatives are available Monday through Friday, from 7AM to 7PM.

Specifically, if you fail to sign up for Medicare on time, you'll risk a 10 percent surcharge on your Medicare Part B premiums for each year-long period you go without coverage upon being eligible. (Since Medicare Part A is usually free, a late enrollment penalty doesn't apply for most people.)

As of January 2021, a fee of $599.00 is required to process each enrollment application for specific providers and suppliers.

Step 1: Obtain an NPI. Psychologists seeking to become Medicare providers must obtain a National Provider Identifier (NPI) before attempting to enroll in Medicare. ... Step 2: Complete the Medicare Enrollment Application. ... Step 3: Select a Specialty Designation.

On the Social Security website. By visiting a local Social Security office. By calling Social Security at 1-800-772-1213. TTY users can call 1-800-0778. Representatives are available Monday through Friday, from 7AM to 7PM.

Medicare typically completes enrollment applications in 60 90 days. This varies widely by intermediary (by state). We see some applications turnaround in 15 days and others take as long as 3 months. Medicare will set the effective date as the date they receive the application.