Loading
Form preview picture

Get CA DHCS 6202 2013-2024

Ider and Biller Application/Agreement (DHCS 6153, rev. 03/12), available on the Medi-Cal website at www.medi-cal.ca.gov by clicking the ““Forms” link in the “Featured” area, and then selecting the form under the “Billing” category. Provider Enrollment Division Enclosures (01/13) Provider Enrollment Division MS 4704 P.O. Box 997412, Sacramento, CA 95899-7412 (916) 323-1945 Internet Address: www.dhcs.ca.gov/provgovpart/Pages/PED.aspx State of California—Health and Human Servi.

How It Works

NPPES rating
4.9Satisfied
42 votes

Tips on how to fill out, edit and sign SS-4 online

How to fill out and sign 2005 online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Business, tax, legal along with other e-documents demand an advanced level of protection and compliance with the law. Our documents are updated on a regular basis in accordance with the latest legislative changes. Plus, with our service, all of the info you provide in your CA DHCS 6202 is protected against leakage or damage by means of cutting-edge encryption.

The tips below will help you fill in CA DHCS 6202 quickly and easily:

  1. Open the form in the feature-rich online editor by hitting Get form.
  2. Complete the necessary fields which are colored in yellow.
  3. Press the green arrow with the inscription Next to move from field to field.
  4. Use the e-signature tool to e-sign the template.
  5. Add the date.
  6. Check the whole document to be sure that you haven?t skipped anything.
  7. Click Done and save your new document.

Our service allows you to take the entire process of completing legal papers online. As a result, you save hours (if not days or weeks) and eliminate extra costs. From now on, submit CA DHCS 6202 from home, place of work, and even while on the go.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing yyyy

Refer to the instructions in this video guide to get a legally-binding Form. Save your valuable time and expense by using digital samples prepared by experts.

E-Mail FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to CA DHCS 6202

  • prosthetist
  • taxonomy
  • NPPES
  • orthotist
  • yyyy
  • Biller
  • E-Mail
  • llc
  • SS-4
  • seq
  • ies
  • 2005
  • edmund
  • Proprietorship
  • USC
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.