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PRINTED: 10/22/2020 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 155589
How to fill out provider number 155589
01
Obtain the necessary form to apply for provider number 155589 from the relevant government agency or organization.
02
Fill in all required information accurately and legibly on the form.
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Submit the completed form along with any required documents to the designated office or department for processing.
Who needs provider number 155589?
01
Healthcare providers or healthcare facilities who are seeking to be recognized and authorized by the relevant authorities to provide services and receive payments under provider number 155589.
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What is provider number 155589?
Provider number 155589 is a unique identification number assigned to certain healthcare providers for billing and Medicare purposes.
Who is required to file provider number 155589?
Healthcare providers who offer specific services or products that require Medicare reimbursement are required to file provider number 155589.
How to fill out provider number 155589?
To fill out provider number 155589, one must complete the necessary forms provided by Medicare or the relevant authority, ensuring all required information is accurately entered.
What is the purpose of provider number 155589?
The purpose of provider number 155589 is to uniquely identify healthcare providers for the processing of claims and to facilitate Medicare billing.
What information must be reported on provider number 155589?
The information that must be reported includes the provider's name, address, type of services provided, and tax identification number.
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