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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15524911/10/2015FORM
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How to fill out provider number 155249
How to fill out provider number 155249
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Obtain the necessary application form for provider number 155249.
02
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Submit the completed application form along with any required documents to the appropriate authority.
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Who needs provider number 155249?
01
Healthcare providers who are required to bill for services or claims using provider number 155249.
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What is provider number 155249?
Provider number 155249 is a unique identifier assigned to a healthcare provider.
Who is required to file provider number 155249?
Healthcare providers who are enrolled in a specific program or network may be required to file provider number 155249.
How to fill out provider number 155249?
Provider number 155249 can be filled out by entering the required information in the designated fields on the form provided by the relevant authority.
What is the purpose of provider number 155249?
The purpose of provider number 155249 is to accurately identify and track healthcare providers within a specific program or network.
What information must be reported on provider number 155249?
Provider number 155249 may require reporting of personal information, contact details, license status, and other relevant details of the healthcare provider.
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