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PRINTED: 01/16/2020
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 155583

How to fill out provider number 155583
01
Contact the appropriate governing body or organization that issues provider numbers.
02
Request the necessary forms or access the online portal to fill out the application for provider number 155583.
03
Fill out the application form completely and accurately, providing all required information.
04
Submit any supporting documentation or credentials as needed.
05
Wait for the application to be reviewed and processed by the governing body.
06
Once approved, you will be issued provider number 155583.
Who needs provider number 155583?
01
Healthcare providers such as doctors, nurses, therapists, and other medical professionals who are required to have a unique identifier for billing and reimbursement purposes.
02
Organizations or facilities that provide healthcare services and need to be identified in the healthcare system.
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What is provider number 155583?
Provider number 155583 refers to a unique identification number assigned to a healthcare provider for billing and administrative purposes.
Who is required to file provider number 155583?
Healthcare providers who offer services and wish to receive reimbursements from insurance companies or government programs are required to file provider number 155583.
How to fill out provider number 155583?
To fill out provider number 155583, complete the designated forms provided by the relevant health authority or insurance company, ensuring all required information is accurate and complete.
What is the purpose of provider number 155583?
The purpose of provider number 155583 is to facilitate the identification and verification of healthcare providers for billing and payment processing.
What information must be reported on provider number 155583?
Information that must be reported includes provider name, address, contact details, services offered, and tax identification number.
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