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Clinics, group practices, and other suppliers can apply for enrollment in the Medicare program or make a change in their enrollment information using either: The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or The paper CMS-855B enrollment application.
Is the CMS 855R discontinued?
CMS has discontinued the CMS-855R (Reassignment of Medicare Benefits) form and updated its CMS-855I provider enrollment form.
What is the difference between 855I and 855B?
New sole proprietorships or sole owner groups should complete the 855I form to enroll the entity with Medicare. In contrast, partnerships, limited partnerships, LLCs, joint ventures and all types of corporations or government owned entities would complete form 855B.
What is the CMS-855I used for?
All physicians, as well as all eligible professionals as defined in section 1848(k)(3)(B) of the Social Security Act must complete this application to enroll in the Medicare program and receive a Medicare billing number.
What is the difference between Medicare 855B and 855I?
CMS-855B: For organization (all applicable sections). CMS-855I: For reassigning individuals who are new to the Medicare program, or not PECOS enrolled (sections 1, 2, 3, 4B, 13, and 15). CMS-855I: For employed physician assistants (sections 1, 2, 3, 13, and 15).
cms855i
CMS-855RCMS-855BCMS-588cms-855i form pdfcms-855i online applicationcms-855i instructionsCms 855i formCMS-460
Medicare Enrollment Guidelines for Ordering/Referring
Form CMS-855O is the current application used to enroll solely to order/refer. However, if you submitted an abbreviated Form CMS-855I to enroll solely to order/
Medicare Enrollment for Providers Who Solely Order, docHub, or
NOTE: If you submitted an abbreviated Form CMS-855I to enroll solely to order/docHub prior to the implementation of Form CMS-855O, your enrollment is still
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