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TRI CARE South Region Provider Data Management P.O. Box 7039 Camden, SC 29021-7039 Fax 803-462-3986 Toll-Free: 1-800-403-3950 www.myTRICARE.com by PBA NPI Request Form DME Suppliers TRI CARE is a
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How to fill out the NPI Form - DME:

01
Start by obtaining the NPI Form - DME. You can download the form from the National Plan and Provider Enumeration System (NPPES) website or request a physical copy from the Centers for Medicare & Medicaid Services (CMS).
02
Fill out the "TYPE 1 - INDIVIDUAL HEALTH CARE PROVIDER" section of the form. Provide your personal information, including your full name, date of birth, social security number, and contact details. You will also need to specify your health care provider type, such as a physician, nurse practitioner, or physical therapist.
03
Complete the "TYPE 2 - ORGANIZATIONAL HEALTH CARE PROVIDER" section if applicable. This section is for organizations or group practices, and it requires information about your organization's name, address, and contact details. You will also need to specify the individual practitioner(s) associated with the organization.
04
Fill out the "TYPE 3 - CORPORATE STRUCTURE" section if applicable. This section is for reporting organizational relationships and affiliations. Provide information about your corporate structure, including any parent organizations, subsidiaries, or branches.
05
Provide your taxonomy code(s) in the "TAXONOMY CODE" section. These codes categorize your specific health care provider type and specialty. You can find the appropriate taxonomy code for your profession on the NPPES website.
06
Review the completed form for accuracy and completeness. Make sure all required fields are filled in and that your information is correct. Any errors or missing information can lead to delays in processing your NPI application.

Who needs the NPI Form - DME:

01
Health care providers: The NPI Form - DME is required for all individual health care providers who are eligible to bill Medicare, Medicaid, or other health insurance programs. This includes physicians, nurses, therapists, and other practitioners.
02
Organizations and group practices: If your health care practice operates as an organization or group, it is also necessary to obtain an NPI. This allows for easier identification and billing purposes.
03
Corporate entities: Corporate entities that own or operate health care provider organizations may also need to complete the NPI Form - DME. This section of the form helps establish and disclose corporate relationships within the health care industry.
Remember to consult the specific guidelines and requirements of your state or country when filling out the NPI Form - DME. It is essential to submit accurate and current information to ensure proper identification and billing processes.
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NPI form - DME stands for National Provider Identifier form for Durable Medical Equipment.
Healthcare providers and organizations that supply Durable Medical Equipment are required to file NPI form - DME.
NPI form - DME can be filled out online on the National Plan and Provider Enumeration System (NPPES) website.
The purpose of NPI form - DME is to obtain a unique identifier for healthcare providers and organizations that supply Durable Medical Equipment.
Information such as provider name, contact information, taxonomy code, and details about the Durable Medical Equipment being supplied must be reported on NPI form - DME.
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