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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:15537512/29/2020FORM
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How to fill out provider number 155375
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Obtain the application form for provider number 155375.
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Who needs provider number 155375?
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Healthcare providers who are looking to bill for services under provider number 155375.
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What is provider number 155375?
Provider number 155375 is a unique identification number assigned to a specific healthcare provider for billing and credentialing purposes.
Who is required to file provider number 155375?
Healthcare providers who participate in Medicare or Medicaid programs, or those who provide certain services requiring reimbursement, are required to file using provider number 155375.
How to fill out provider number 155375?
To fill out provider number 155375, providers must compile necessary documentation including their credentials and services provided, and submit it through the appropriate channels, ensuring all required fields are accurately completed.
What is the purpose of provider number 155375?
The purpose of provider number 155375 is to facilitate the identification and processing of claims for healthcare services rendered by the provider within the healthcare system.
What information must be reported on provider number 155375?
Information that must be reported includes the provider's name, address, taxonomy, contact details, and any relevant credentials or certifications.
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