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CMS855I Form Medicare Enrollment ERA IN E R, 2016Section 4 Practice Location Information (continued)Section 4C: Practice Location Information You will need to complete Section 4C if some services
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What is cms-855i form?
The CMS-855i form is an application form used by healthcare providers who are looking to enroll in or make changes to their Medicare enrollment.
Who is required to file cms-855i form?
Healthcare providers such as physicians, non-physician practitioners, and medical groups are required to file the CMS-855i form.
How to fill out cms-855i form?
The CMS-855i form can be filled out online or by mail, and requires information such as provider details, practice location, and Medicare Identification Number.
What is the purpose of cms-855i form?
The purpose of the CMS-855i form is to enroll or make changes to Medicare provider information in order to receive reimbursements for services provided to Medicare beneficiaries.
What information must be reported on cms-855i form?
Information such as provider details, practice location, and Medicare Identification Number must be reported on the CMS-855i form.
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