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Get MI BCBS NPI Dissemination Form For BCBSM

O us by completing the chart below and include the NPI, the Medicare legacy number associated with the NPI, the BCBSM PIN that should be linked to the NPI and the Tax ID number. Failure to register your Medicare NPIs with BCBSM will result in Medicare Crossover claims being rejected or payment being delayed. NPI Number Medicare Legacy Number BCBSM Provider PIN Tax ID * Examples of these NPIs could be Type 1 and Type 2 NPIs obtained for incorporated individuals or NPIs obtained for separate.

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