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MEDICARE ENROLLMENT IN PECOS Process. Login to https:// pecos.cms.hhs.gov/pecos/login.do with your existing NPI user name and password Click on my enrollments and start creating online applications for Medicare.
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MEDICARE ENROLLMENT IN PECOS Process Login to https://pecos.cms.hhs.gov/pecos/login.do with your existing NPI user name and password Click on my enrollments and start creating online applications for Medicare.
Cheat Sheet of supporting document or information for Revalidation or new Medicare enrollment (CMS forms 855) • Individual physicians NPI user name and password if you do not know then call NPI enumerator at 1-800-465-3203 and get it. • Group tax id IRS valid forms preferably any CP forms.(example CP575) • Group NPI no ( Type 2) , if you do not have one then apply for it. • DEA no and copy of the certificate • Copy of State license no if Available • State of birth if in USA if not foreign country name and state of the Provider • Copy of provider or signing authority driving license • Copy of your Green card or US passport immigrant status page ( foreigners only) • Medical school information name location and country with passing year • Owner / provider / Managing employee SSN • Owner / provider / Managing employee DOB • Owner / provider / Managing employee home address • EFT Bank information with the copy of voided check, ACH Routing no and bank branch address and managers name with phone no. • Your cell phones no in case we need any more information.
Is it too much for you to handle by yourself ? Contact us • Practiceforces: 727-771-1300 Ex 2 • 2410 Northside Dr, Clearwater FL 33761 • www.practiceforces.com • twitter@practiceforces • sales@practiceforces.com