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Get N.c. Dma: Registration Form For Dme Op Reg Form - Ncdhhs
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How to fill out the N.C. DMA: Registration Form For DME OP Reg Form - Ncdhhs online
Filling out the N.C. DMA: Registration Form For DME OP Reg Form - Ncdhhs is an essential process for those wanting to register for durable medical equipment services. This guide provides a comprehensive overview of each section and field in the form, ensuring a smooth and efficient completion experience.
Follow the steps to successfully complete the registration form.
- Click the ‘Get Form’ button to access the registration form and open it in your browser.
- Fill in the 'Provider Name and Discipline' field with the official name of your organization and specify the discipline involved.
- Enter your Medicaid Provider Number, ensuring it is accurate for processing purposes.
- Input your NPI Number in the designated field, as this is crucial for identification.
- Complete the 'Mailing Address' section by providing the full address, including the city and zip code.
- Indicate your county of operation in the specified field.
- Provide the name of the contact person who will handle inquiries regarding the registration.
- Input the contact person's email address, ensuring it is checked regularly for correspondence.
- Fill in the contact person's telephone number, including the area code.
- Indicate how many attendees will participate in the seminar or webinar by circling '1' or '2' in the provided option.
- Specify whether the attendance will be for a seminar or an online webinar session, and circle your choice.
- Select the date for the seminar or webinar session from the dropdown menu if provided.
- Review all entries for accuracy and completeness before submission.
- Save your changes, then download, print, or share the form as needed.
Complete your registration online today to ensure you secure your spot.
Called "NC Medicaid Managed Care," beneficiaries choose a health plan and get care through a health plan's network of doctors. Some beneficiaries are remaining in traditional Medicaid, which is called NC Medicaid Direct.
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