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4500 E. Cotton Center Blvd. Phoenix, AZ 85040 Phone 6024147630 Fax 6024317499 Toll Free 18665715781 (TTY 711) SECTION 1 All fields in Section 1 are required (unless marked optional) LAST Name: FIRST
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What is h558022017c cms approved enrollment?
h558022017c cms approved enrollment is a form required by the Centers for Medicare & Medicaid Services (CMS) for healthcare providers to enroll in the Medicare program.
Who is required to file h558022017c cms approved enrollment?
Healthcare providers who want to participate in the Medicare program are required to file h558022017c cms approved enrollment.
How to fill out h558022017c cms approved enrollment?
Healthcare providers can fill out h558022017c cms approved enrollment online through the CMS website or by submitting a paper application.
What is the purpose of h558022017c cms approved enrollment?
The purpose of h558022017c cms approved enrollment is to ensure that healthcare providers meet the necessary requirements to participate in the Medicare program.
What information must be reported on h558022017c cms approved enrollment?
h558022017c cms approved enrollment requires information such as provider details, practice location, services offered, and any additional documentation required by CMS.
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