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Pat Quinn, Governor Michelle R.B. Saddler, Secretary 222 South College, 2nd Floor Springfield, IL 62704 EI PAYEE INFORMATIONAL NOTICE TO: Early Intervention Payees DATE: December 30, 2011, SUBJECT:
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Provider Information Notice 5010 is a document used to update the IRS on the information of healthcare providers who received payments through Medicare or Medicaid.
Healthcare providers who received payments through Medicare or Medicaid are required to file provider information notice 5010.
Provider Information Notice 5010 can be filled out electronically or via mail following the instructions provided by the IRS.
The purpose of provider information notice 5010 is to ensure accurate reporting of healthcare providers who received payments through Medicare or Medicaid.
Provider information notice 5010 requires reporting of provider names, addresses, Tax IDs, and payment details received through Medicare or Medicaid.
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