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Medicare Enrollment Guide for Providers & Suppliers Use this guide if any of the following apply: You’re a health care provider who wants to bill Medicare for your services and also have the ability to order and certify.
PECOS is the online Medicare enrollment management system which allows you to: Enroll as a Medicare provider or supplier; Review information currently on file; Upload your supporting documents; Electronically sign and submit your information online; Because PECOS is paperless, you no longer need to submit anything by mail.
BILLING NUMBER AND NATIONAL PROVIDER IDENTIFIER INFORMATION. The Provider Transaction Access Number (PTAN), often referred to as a Medicare Provider Number or Medicare Billing Number, is a generic term for any number other than the National Provider Identifier (NPI) that is used by a provider to bill the Medicare program.
Physicians & Non-Physician Practitioners: New Medicare Enrollment Application Required November 1 . Medicare has merged the CMS-855R into the CMS-855I paper enrollment application. Read how this will affect provider enrollment in the Consolidated CMS-855I/CMS-855R Enrollment Applications Bulletin (PDF).
Your Medicare provider number (UPIN/OSCAR/NSC) and provider name. If you cannot furnish a provider number that matches the BCRC’s database, you will be asked to submit your request in writing.
your current Medicare enrollment to your tax identification number, you must complete a new application. • Currently enrolled in Medicare and need to enroll in another Medicare Administrative Contractor’s (MAC’s)
You’ll be able to see which MAC is processing your application, your unique application tracking number, and real-time information about your application. PECOS emails the web tracking ID for the submitted application to each address in the Contact Person section of the application.
Physicians and non-physician practitioners can apply for enrollment in the Medicare program or make a change to their enrollment information (including adding or terminating a reassignment of benefits) using either: • The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or • The paper CMS-855I enrollment application.
You’re required to revalidate—or renew—your enrollment record periodically to maintain Medicare billing privileges. In general, providers and suppliers revalidate every five years but DMEPOS suppliers revalidate every three years.
For the most efficient application processing and the fastest receipt of NPIs, use the web-based application process. Simply log onto the National Plan and Provider Enumeration System (NPPES) and apply on line (see ‘Apply Now’ link under the Related Links section below).