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PRINTED: 09/14/2021 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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What is provider number 155171?
Provider number 155171 is a unique identification number assigned to a healthcare provider for billing and reimbursement purposes.
Who is required to file provider number 155171?
Healthcare providers, including physicians, clinics, and hospitals that render services and seek reimbursement, are required to file with provider number 155171.
How to fill out provider number 155171?
To fill out provider number 155171, obtain the necessary forms, provide accurate personal and practice information, verify the accuracy of codes, and submit by the required deadline.
What is the purpose of provider number 155171?
The purpose of provider number 155171 is to facilitate the identification of healthcare providers for billing and ensure proper reimbursement for services rendered.
What information must be reported on provider number 155171?
Information that must be reported includes the provider's name, practice location, services offered, tax identification number, and possibly patient care metrics.
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