
Get Tx Medicare Provider Enrollment Application 2012-2025
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The CMS Form 855R is filled out by individuals who are authorized to reassign their benefits to another provider or group practice. This typically includes physicians and non-physician practitioners who wish to designate a group or organization to receive payment on their behalf. If you're working on your TX Medicare Provider Enrollment Application, make sure to complete the 855R if necessary for your payment arrangements.
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