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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:15508603/04/2022FORM
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Fill out all required personal information accurately, including your name, address, contact information, and any relevant professional credentials.
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Who needs provider number 155086?
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What is provider number 155086?
Provider number 155086 refers to a unique identifier assigned to a specific healthcare provider for billing and identification purposes.
Who is required to file provider number 155086?
Healthcare providers who deliver services and wish to claim reimbursements through insurance or government programs are required to file provider number 155086.
How to fill out provider number 155086?
To fill out provider number 155086, one must complete the designated application form, providing accurate information regarding the provider's qualifications, services offered, and personal or business details.
What is the purpose of provider number 155086?
The purpose of provider number 155086 is to ensure that healthcare providers are properly identified and that claims for services rendered can be processed efficiently.
What information must be reported on provider number 155086?
The information that must be reported includes the provider's name, address, type of services provided, and any relevant licensing or certification numbers.
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