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MEDICARE PROVIDER/SUPPLIER ENROLLMENT APPLICATIONS (FORM CMS855A) Dear Applicant: The CMS855A is the Medicare Provider/Supplier Enrollment Application for Health Care Providers/Suppliers that will
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Medicare providersupplier enrollment applications are used to enroll in the Medicare program as a healthcare provider or supplier.
Healthcare providers and suppliers who wish to participate in the Medicare program are required to file Medicare providersupplier enrollment applications.
Medicare providersupplier enrollment applications can be filled out online through the Medicare Enrollment Application System.
The purpose of Medicare providersupplier enrollment applications is to ensure that healthcare providers and suppliers meet the necessary requirements to participate in the Medicare program.
The information that must be reported on Medicare providersupplier enrollment applications includes details about the healthcare provider or supplier, their practice location, licensing information, and more.
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