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ICN 903764 August 2016 PECOS for Physicians and Non-Physician Practitioners Table of Contents Medicare Enrollment Application Submission Options...................................................... 3 Step 1: Obtain a National Provider Identifier (NPI)............................................................ 5 Step 2: Register in the Identity & Access Management (I&A) System.............................. 6 Step 3: Enter Enrollment Data Into PECOS.

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The CMS-855R application is used by individual physicians and non-physician practitioners (hereafter collectively referred to as “individual practitioners”) who want to reassign their right to receive Medicare payments to another eligible individual or entity (i.e., sole proprietorship/clinic/group practice/other ...

All physicians, as well as all eligible professionals as defined in section 1848(k)(3)(B) of the Social Security Act must complete this application to enroll in the Medicare program and receive a Medicare billing number.

ENROLLMENT FOR ELIGIBLE. ORDERING/CERTIFYING PHYSICIANS AND. OTHER ELIGIBLE PROFESSIONALS. CMS-855O.

What is the 855A? ❖ The Medicare Enrollment Application for Institutional Providers. ❖ This form is also used to submit changes to your enrollment data.

The three Medicare enrollment periods — initial, special and general — are specific time frames when you can enroll in Medicare based on certain circumstances, such as choosing to delay enrollment if you continue working past age 65. As such, you may qualify for more than one at different times in your life.

Ways to sign up: Online (at Social Security) – It's the easiest and fastest way to sign up and get any financial help you may need. ... Call Social Security at 1-800-772-1213. ... Contact your local Social Security office. If you or your spouse worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772.

Page 3 of 12. 1.4 KEY TERMS. Change of Ownership (CHOW): Typically occurs when a Medicare-enrolled provider has been purchased by another organization. The previous owner (or “seller”) and the new owner (or “buyer”) must report these transactions to CMS.

CMS-855I: For employed physician assistants (sections 1, 2, 3, 13, and 15). CMS-855R: Individuals reassigning (entire application). CMS-855O: All eligible physicians and non-physician practitioners (entire application). Same applications are required as those of new enrollees.

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© Copyright 1997-2025
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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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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