Get the free Form 224 Application for Registration - OMB 1117-0014

APPROVED OMB NO 11170014 FORM DEA224 (0711) Previous editions are obsoleteAPPLICATION FOR REGISTRATIONForm224Under the Controlled Substances Act INSTRUCTIONSX DEA OFFICIAL USE :Save time apply online

How to fill out form 224 application for

How to fill out form 224 application for

1. Read and understand the instructions provided on the form 224 application.
2. Gather all the required information and documents that are necessary to complete the application.
3. Start by providing your personal information such as name, address, contact details, etc. accurately.
4. Fill out the form step by step, following the instructions and providing all the requested information.
5. Double-check all the entered information for accuracy and make sure nothing is missing.
6. Sign and date the completed form.
7. Submit the filled-out form 224 application to the relevant authority or organization as instructed.

Who needs form 224 application for?

1. Individuals or businesses who want to apply for a specific purpose or benefit usually need to fill out form 224 application.
2. People who are applying for licenses, permits, certifications, or registrations may require form 224 application.
3. Any individual or entity that needs to provide specific information or establish a formal request may be required to complete this form.
4. Different industries, such as healthcare, finance, or agriculture, might have specific applications that require form 224 to be filled out.

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What is form 224 application for?

Form 224 is an application used by healthcare providers to enroll in the Medicare program and obtain a Medicare provider number.

Who is required to file form 224 application for?

Healthcare providers who wish to participate in the Medicare program, including physicians, non-physician practitioners, and certain suppliers, are required to file Form 224.

How to fill out form 224 application for?

Form 224 can be filled out by providing required personal, professional, and practice information in the fields specified on the form, which can be done online through the CMS website or by submitting a paper form.

What is the purpose of form 224 application for?

The purpose of Form 224 is to establish a healthcare provider's eligibility to bill Medicare for services rendered and to obtain a unique provider number needed for claim submissions.

What information must be reported on form 224 application for?

Form 224 requires information such as the provider's personal information, medical specialty, practice locations, National Provider Identifier (NPI), and information about ownership and billing.