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This document is intended for service providers to submit their contact information to the New York State Public Service Commission, including details for key personnel and communication preferences.
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How to fill out service provider contact information

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How to fill out Service Provider Contact Information

01
Start by gathering all necessary details about the service provider.
02
Locate the 'Contact Information' section on the form.
03
Fill in the service provider's name accurately.
04
Enter the service provider's phone number including the area code.
05
Provide an email address for electronic communication.
06
Include the physical address of the service provider, specifying street, city, state, and zip code.
07
Verify all information for accuracy before submission.

Who needs Service Provider Contact Information?

01
Service Providers needing to communicate with clients effectively.
02
Clients or consumers who require the service provider's information for inquiries or assistance.
03
Companies or organizations coordinating services with providers.
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Factors Affecting Payment Speed A standard claim about Medicare services will take roughly 30 days to process; however, it varies due to various factors, such as: Accuracy of Claim: Non- or incorrect claims will be delayed because some information needed to accurately process the claim will be asked from the MAC.
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1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.
How long does it take to enroll with Medicare? Medicare typically completes enrollment applications in 60 – 90 days. This varies widely by intermediary (by state).
Talk to someone You can also: Call us at 1-800-MEDICARE (1-800-633-4227). Help from Medicare is available 24 hours a day, 7 days a week, except some federal holidays. TTY users can call 1-877-486-2048.

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Service Provider Contact Information refers to the details and contact information of an entity that provides services, typically including name, address, phone number, and email.
Entities that provide services to clients or customers and are subject to regulatory requirements or government reporting obligations are typically required to file Service Provider Contact Information.
To fill out Service Provider Contact Information, you need to provide accurate details such as the name of the service provider, their physical address, contact number, email address, and any other required information as specified by the reporting entity.
The purpose of Service Provider Contact Information is to ensure transparency and facilitate communication between service providers and regulatory agencies, clients, or stakeholders.
Information that must be reported includes the service provider's name, business address, phone number, email address, and any other specific details required by regulatory guidelines.
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