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PRINTED: 12/22/2020 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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How to fill out provider number 155328
How to fill out provider number 155328
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Access the provider registration form either online or in paper format.
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What is provider number 155328?
Provider number 155328 is a unique identification number assigned to a healthcare provider for billing and administrative purposes.
Who is required to file provider number 155328?
Healthcare providers who offer services covered under the applicable insurance or healthcare program are required to file provider number 155328.
How to fill out provider number 155328?
To fill out provider number 155328, you need to obtain the appropriate forms from the governing agency, provide accurate information related to your practice, and include the provider number where indicated.
What is the purpose of provider number 155328?
The purpose of provider number 155328 is to facilitate the identification and billing of healthcare services, as well as to ensure compliance with healthcare regulations.
What information must be reported on provider number 155328?
Information that must be reported includes the provider's name, address, specialty, services offered, and any relevant identification numbers or certifications.
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