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PRINTED: 10/29/2020 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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To fill out provider number 155519, follow these steps:
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Begin by locating the section on the form where the provider number needs to be entered.
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Provider number 155519 is required by individuals or entities who are registered providers and need to identify themselves using this specific number.
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Provider number 155519 is a unique identifier assigned to healthcare providers for the purpose of billing and insurance claims processing.
Healthcare providers, including doctors, clinics, and hospitals, who participate in certain insurance programs are required to file provider number 155519.
To fill out provider number 155519, providers must complete the specific application form provided by the relevant insurance program, ensuring all required information is accurately entered.
The purpose of provider number 155519 is to streamline billing processes, track claims, and ensure that providers receive appropriate payment for their services.
Providers must report their personal information, practice details, and any other required documentation as requested by the insurance program when filing provider number 155519.
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