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Provider of Services Information

Provider of Services Information 2025

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The document outlines the Texas Medicaid enrollment application process for healthcare providers, detailing required forms, eligibility criteria, and compliance regulations. It includes sections on contact information, Medicare enrollment prerequisites, surety bond requirements, application payment details, provider identification, and various forms necessary for enrollment. Additionally, it emphasizes the importance of maintaining accurate records and adhering to state and federal laws regarding Medicaid services. The document also covers specific certifications related to the Healthy Texas Women program and mandates disclosures of ownership and control interests.

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Click ‘Get Form’ to open the Provider of Services Information in our platform.
Begin by filling out the 'Provider Type Specific Information' section. Indicate whether you are a private or public entity and provide necessary details.
Complete the 'Facilities Only' section if applicable, specifying if your facility is freestanding or hospital-based.
In the 'Provider Specialty/Taxonomy Information' section, enter your primary and secondary taxonomy codes as well as any specialties relevant to your services.
Fill in the 'Provider Demographic Information' with your legal name, tax ID number, and contact information. Ensure accuracy for seamless processing.
Review all entries for completeness. If a question does not apply, enter 'N/A'. Use only blue or black ink if printing.
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Versions	Form popularity	Fillable & printable
2021	4.9 Satisfied (25 Votes)
2020	4.3 Satisfied (42 Votes)
2019	4.2 Satisfied (27 Votes)

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What does provider of services mean?

A service provider (SP) is an organization that provides services, such as consulting, legal, real estate, communications, storage, and processing services, to other organizations. Although a service provider can be a sub-unit of the organization that it serves, it is usually a third-party or outsourced supplier.

What is the provider of services POS file?

A dataset that provides information on clinical laboratories including demographics and the type of testing services the facility provides. This dataset is typically updated 4 times a year.

How do you find your provider ID?

In most cases, the Provider ID can be found by searching for the provider on an insurance carriers Find A Provider tool on their website. If the carrier does not show the Provider ID number in their directory, the provider themselves can give their ID number.

What is the Medicare POS data?

The POS file has data on characteristics of hospitals and other types of healthcare facilities, including: Name and address of the facility. Type of Medicare services the facility provides. Other information.

What is a provider example?

Your school is a provider of education, and the pharmacy around the corner is a provider of medication, makeup, and magazines. Its increasingly common to call your main doctor a primary care provider. Provider. Vocabulary.com Dictionary, Vocabulary.com, .

What is provider info?

Provider Information means information respecting the registration and status of members of a health care profession provided to the SPR by a body authorized to regulate that health care profession; Sample 1.

What does provider of information mean?

Information Provider means the persons or corpora- tions that provide the information, prerecorded message, or interactive program for the information-delivery service.

What is the difference between NPI and provider?

An NPI is a 10 digit numerical identifier for providers of health care services. It is national in scope and unique to the provider. Whereas in the past, a provider had a different identification number for each payer, after May 23, 2007, a provider will have a single identifier that will be used across all payers.

Provider of Services Information 2025

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