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Medicare Provider Enrollment of Individuals (Physicians and Non-Physician Practitioners) October 4, 2007, All individuals (physicians and non-physician practitioners) who will be providing services
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Medicare provider enrollment is the process of providers and suppliers enrolling in the Medicare program.
Healthcare providers and suppliers who want to bill Medicare for services provided.
Providers and suppliers can fill out the medicare provider enrollment online through the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) or by submitting a paper application.
The purpose of medicare provider enrollment is to ensure that only qualified providers and suppliers are allowed to bill Medicare for services rendered.
Providers and suppliers must report information such as their background, ownership information, location, services provided, and any affiliations with other healthcare organizations.
The deadline to file medicare provider enrollment in 2023 is typically 90 days from the effective date of the provider's Medicare billing privileges or when there is a change in ownership or information.
The penalty for late filing of medicare provider enrollment can result in a temporary suspension of Medicare billing privileges or even termination from the program.
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