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PRINTED: 02/24/2020
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 15e247

How to fill out provider number 15e247
01
Locate the section on the form labeled 'Provider Number'
02
Write '15e247' in the designated space
Who needs provider number 15e247?
01
Healthcare providers who are authorized to bill for services using the specific provider number 15e247
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What is provider number 15e247?
Provider number 15e247 is a unique identification number assigned to a specific healthcare provider for the purpose of billing and reporting services to insurance companies and government programs.
Who is required to file provider number 15e247?
Healthcare providers who deliver services and wish to receive reimbursement from insurance companies or government programs, such as Medicare or Medicaid, are required to file provider number 15e247.
How to fill out provider number 15e247?
To fill out provider number 15e247, healthcare providers must complete the designated application form by providing their personal and practice information, including their National Provider Identifier (NPI) and relevant certifications.
What is the purpose of provider number 15e247?
The purpose of provider number 15e247 is to identify and validate healthcare providers in the billing process, ensuring accurate and efficient reimbursement for services rendered.
What information must be reported on provider number 15e247?
Information that must be reported on provider number 15e247 includes the provider's name, address, specialty, NPI number, and any other relevant credentials and billing practices.
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