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DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Internet-based PECOS Contact Information PROVIDER SUPPLIER ENROLLMENT FACT SHEET SERIES ICN 903766 May 2014 Please

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What is internet-based pecos contact information?

Internet-based PECOS contact information refers to the method of providing and updating contact information for individuals or entities who have enrolled in the Provider Enrollment, Chain, and Ownership System (PECOS) using an internet-based system.

Who is required to file internet-based pecos contact information?

Healthcare providers and suppliers who are enrolled in PECOS are required to file internet-based PECOS contact information.

How to fill out internet-based pecos contact information?

To fill out internet-based PECOS contact information, providers and suppliers must log in to the PECOS system using their credentials and update their contact details as required.

What is the purpose of internet-based pecos contact information?

The purpose of internet-based PECOS contact information is to ensure that accurate and up-to-date contact information is available for enrolled healthcare providers and suppliers.

What information must be reported on internet-based pecos contact information?

The information that must be reported on internet-based PECOS contact information includes phone numbers, email addresses, and physical addresses of the enrolled providers or suppliers.

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