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PRINTED: 04/14/2022 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 155198
How to fill out provider number 155198
01
Obtain the application form for provider number 155198 from the relevant authority.
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Who needs provider number 155198?
01
Healthcare providers such as doctors, nurses, therapists, and other medical professionals who want to bill for services rendered to patients through insurance claims or government-funded programs need provider number 155198.
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What is provider number 155198?
Provider number 155198 is a unique identification number assigned to a specific healthcare provider.
Who is required to file provider number 155198?
Any healthcare provider or organization that provides services and bills for those services under provider number 155198 is required to file.
How to fill out provider number 155198?
Provider number 155198 must be filled out with accurate and up-to-date information regarding the healthcare services provided and billed.
What is the purpose of provider number 155198?
The purpose of provider number 155198 is to track and identify healthcare providers and their services for billing and record-keeping purposes.
What information must be reported on provider number 155198?
Provider number 155198 must report detailed information about the healthcare services provided, including dates of service, procedures performed, and patient information.
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