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1 mar. 2021 · Medicare Enrollment Application - Clinics/Group Practices and Certain Other Suppliers
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Clinics, group practices, and other suppliers can apply for enrollment in the Medicare program or make a change in their enrollment information using either: • The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or • The paper CMS-855B enrollment application. Be sure you are using the most current version.
Session Overview. Examine who should complete the CMS-855B. Provide a comprehensive overview of the CMS-855B application and the PECOS equivalent. Explore the benefits of PECOS vs paper-based application. Analyze Ownership and Managing Control; Organizations and Individuals. Review Medicare enrollment of IDTFs, ASCs, and Ambulance companies.
Clinics and group practices can apply for enrollment in the Medicare program or make a change to their existing information using the Clinics/Group Practices and Other Suppliers (CMS-855 B) application.
This tool provides links to CMS-855 applications. Use the links available in the lower portion of this page to find which application (s) are appropriate for your provider/group type or the type of provider enrollment action you would like to take.