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While federal law (HIPAA) mandates that all providers have a single unique NPI number to be used in all administrative and financial transactions by providers and health plans, Medicare providers also need a PTAN.
Here are three ways you can find your PTAN number: Reference the notification letter sent by your MAC when your enrollment in Medicare was approved. Log in to the PECOS online portal. Send a signed, written request on company letterhead to your MAC.
The Provider Transaction Access Number (PTAN) is your unique Medicare identification number. This number is assigned to providers once their enrollment has been approved.
Medicare requires that each provider have a unique PTAN for processing claims. Claims are processed within each Medicare Administrative Contractors systems. Because Railroad Medicare is processing outside of your local MACs systems, a unique PTAN is required for Railroad Medicare claims.
A PTAN is a Medicare-only number issued to providers by MACs upon enrollment to Medicare. When a MAC approves enrollment and issues an approval letter, the letter will contain the PTAN assigned to the provider.
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Here are three ways you can find your PTAN number: Reference the notification letter sent by your MAC when your enrollment in Medicare was approved. Log in to the PECOS online portal. Send a signed, written request on company letterhead to your MAC.
The Medicare card of a person with Railroad Medicare is unique, as seen below, with the RRB logo in the upper left corner and Railroad Retirement Board at the bottom.
Upon application to a Medicare Administrative Contractor (MAC), the provider or supplier will also be issued a Provider Transaction Access Number (PTAN). While only the NPI can be submitted on claims, the PTAN is a critical number directly linked to the provider or suppliers NPI.
* If the Railroad Medicare PTAN is linked to multiple NPI numbers, please call our Provider Contact Center at 8883559165 for assistance. Choose option 3 for Provider Enrollment. If you are employed by a clearinghouse or third-party biller, you must contact the provider to obtain the PTAN.

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