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MEDICARE ENROLLMENT APPLICATION
All individuals must meet specific licensing, certification, educational and work experience requirements. If you need information concerning the specific
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MEDICARE ENROLLMENT APPLICATION - CMS
Completed Form CMS-460, Medicare Participating Physician or Supplier Agreement. NOTE: The CMS-460 must be submitted for all initial enrollments or
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Medicare - CMS
Form CMS-339) must be completed by all hospitals submitting cost reports to the Medicare contractor under Title XVIII of the Social. Security Act (hereafter
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