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MEDICARE ENROLLMENT APPLICATION Clinics/Group Practices and Other Suppliers CMS-855B SEE PAGE 1 2 TO DETERMINE IF YOU ARE COMPLETING THE CORRECT APPLICATION. SEE PAGE 3 FOR INFORMATION ON WHERE.

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MEDICARE ENROLLMENT APPLICATION - CMS
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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.

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.

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.

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

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.)

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.

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 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).

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.

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).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
PDF MEDICARE ENROLLMENT APPLICATION - CMS
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