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10/16/2019PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Provider number 155703 is needed by individuals or organizations who are involved in healthcare services or who require a unique identifier for billing or administrative purposes.
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Provider number 155703 is a unique identifier assigned to a specific healthcare provider for the purposes of billing and reimbursement.
Healthcare providers who are offering services and seeking reimbursement from insurance, Medicare, or Medicaid programs are required to file provider number 155703.
To fill out provider number 155703, you must provide relevant details including the provider's name, address, type of service, and tax identification number on the designated form.
The purpose of provider number 155703 is to uniquely identify healthcare providers in the billing process, ensuring that claims are processed accurately and efficiently.
The information that must be reported includes the provider's identification details, service type, patient encounter information, and relevant financial details as required by the payer.
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