Medicare Provider Number Application Tips
The Medicare Program is a health insurance program of the U.S. Government. U.S. citizens and permanent residents are eligible for Medicare coverage if they (or their spouses) worked 10 years or more in employment covered by Medicare and are at least 65 years old.
Additionally, persons less than 65 years old can be covered by Medicare benefits if they are disabled or have end-stage renal disease requiring either kidney dialysis or a transplant.
Before Medicare patients can be accepted by a health care provider, however, it is necessary for the provider to submit a Medicare application.
Below are some tips for a health care provider to get faster approval of its Medicare application.
Medicare coverage and information is subject to change without notice. Always check with your local Medicare professional for the most recent information.
1. Obtain A National Provider Identifier (NPI) Before Applying
Health providers must supply a valid NPI on the Medicare application.
2. Health Providers and Suppliers Should Submit The Most Recent Version
The Centers for Medicare & Medicaid Services (CMS) revised the CMS-
855 Medicare enrollment applications starting May 1, 2006. Health care providers must complete that version of the form at the time of this writing. The Medicare application version is located in the lower left-hand corner of the form.
3. Health Providers and Suppliers Should Submit The Proper Form Type
The Medicare application form differs for each type of health care provider. For example, a doctor's office, ambulance provider, and mental health care institution would each submit a different version of the form. Each provider's form lists the types of providers that can utilize it.
4. Include All Supporting Documentation
All requested records must accompany the completed Medicare application. These records may include professional and business licenses, identification numbers, and other professional documents.
5. Make Sure Your Application Is Complete
Submitting an incomplete Medicare application requires the agency to either contact you for the missing information, or return the form for completion. Save time by supplying all information the first time.
6. Health Providers and Suppliers Should Submit To The Proper Place
Different contractors process the Medicare application from different parts of the country. Submitting the completed form to the wrong address will delay the enrollment.
7. Include All Application Fees If Required
Certain institutions must include a Medicare application fee. The provider must include all information to pay this fee via electronic transfer.
8. The Responsible Official Must Sign And Date The Form
The Medicare application process for providers can sometimes be difficult, so failure to sign and date the form is a common mistake.
9. Handle Medicare Application Information Requests Promptly
The contractor handling a provider's form may have questions. Prompt responses can keep the application process going.
Most health care providers can get their Medicare application approved faster if they follow a careful and methodical approach to completing the enrollment form.
Filed under: For Medicare Providers
20 Comments Add your own
1.
GEORGE SO | July 12th, 2007 at 3:17 am
I WAS WONDERING IF YOU CAN PROVIDE INFORMATION REGARDING APPLICATION FOR MEDICARE PROVIDER NUMBER FOR NON-PHYSICIAN CONTRACTORS. WHAT ARE THE REQUIREMENTS? CAN YOU DIRECT TO A WEB SITE THAT MAY HAVE THOSE INFORMATION. THANKS IN ADVANCE.
2.
admin | July 12th, 2007 at 1:33 pm
Hi George,
I think you will find your answer at http://www.cms.hhs.gov/MedicareProviderSupEnroll/.
I hope this helps. Good luck.
3.
steve z | July 26th, 2007 at 3:28 pm
can a pharmacy bill medicare for 1 location to another location if the first location does not have it medicare provider number yet
4.
JUAN C. SANCHEZ | August 10th, 2007 at 9:19 pm
I WANT TO CREATE A HOME HEALTH AIDE IN FLORIDA. WHAT I HAVE TO DO TO OBTAING THE PERMIT OR THE LICENSE?
ALSO, I NEED TO KNOW THE REQUIREMENTS TO DO SO.
THANK YOU VERY MUCH
5.
Joan Lee | August 24th, 2007 at 9:17 pm
I have a Medicare provider number through the company i work for. How do I apply for my own provider number?
6.
Regena R. Stith,LPC | September 24th, 2007 at 7:46 pm
I am a behavioral health provider. I have accessed the tips for application. How/where do I get an application to be a Medicare provider?
7.
Ellouise E Williams | September 27th, 2007 at 2:03 pm
Could you provide information on how to file an aoolication to becime a Medicare provider for mental health services? I am a Licensed Clinical Social Worker. thank you.
8.
Virginia McInturff | October 15th, 2008 at 12:21 pm
Does on need to become a Medicaid Provider to receive reimbursement for transporting someone to medical appointments in Virginia? The patient has both Medicaid and Medicare.
9.
Carolyn Kennedy | November 14th, 2008 at 3:23 pm
I am looking to become a medicaid and medicare provider. I take care of the elderly and special need population. I also offer transportation.
Please advise for the correct process and procedures for obtaining this information
Thanks
10.
Gertrude Oster | February 12th, 2009 at 10:23 pm
How do I apply for my own medicare provider number? I have curently a medicare provider number through my employer.
Thank you for your assistance to this matter.
11.
Alexwebmaster | March 3rd, 2009 at 4:49 am
Hello webmaster
I would like to share with you a link to your site
write me here preonrelt@mail.ru
12.
Nora | April 16th, 2009 at 10:53 am
I need the phone number of Medicare and Medicaid.
Thank You
13.
rick | May 1st, 2009 at 5:33 pm
if i have a medicare provider number in one state, and operate a business in another state providing medical supply equipment, do i need another provider number for that state? or can i bill using the provider number from the other state? or is there a national provider number i must obtain?
14.
Michelle Goolsby | May 31st, 2009 at 11:47 am
I want to become a Medicaid Provider for non-emergency transportation in Georgia is there a site I can go to apply? What are the steps?
15.
Liz Mikolajewski | June 8th, 2009 at 9:37 am
If my provider is applying for a new Medicare number since she going from a independant owner to a PLLC, what is the timeline on the new Medicare number?
16.
Jerry Ann John | June 12th, 2009 at 9:44 am
I would like to apply for a provider number. I am opening a group home for adplescents with emotional problems 6-17 years in Pasadena, Tx. I am a Behavior health provider.
17.
Jeff | June 15th, 2009 at 12:12 pm
How do I get the NPI number for application for medicare provider. Thanks.
18.
Tim O'Brien | June 17th, 2009 at 10:34 am
Seeking info on optaining Medicare Provider Number ? Information for an IOP
19.
Kate Rogers ABM, GCFP, | July 6th, 2009 at 12:00 pm
A client wants me to obtain a Medicare provider number.
A) The phone number they supplied me is not for my area. Could you provide me with a contact number for the (734) area code?
B) Do you supply provider numbers to the “alternative health” field. I am a practitioner of the Anat Baniel and the Feldenkrais Methods; two related organizations who train practitioners in movement re-education and neuromuscular re-education.
Thank you, Kate
20.
wayne blevins | July 7th, 2009 at 2:46 pm
I have a medicare number…..I am now working for a new group…my former office is closed and of course void of perosnell. How can I retrive my current number from the medicare center?
Thank you
Leave a Comment
Some HTML allowed:
<a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>
Trackback this post | Subscribe to the comments via RSS Feed