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PRINTED: 01/10/2024 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION

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How to fill out provider number 155135

01

Gather all necessary information and documents required to fill out the provider number application.

02

Visit the official website of the issuing authority or contact them directly to obtain the application form.

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Carefully fill out the application form with accurate and up-to-date information.

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Submit the completed application form along with any required documents to the designated address or online portal.

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Wait for the processing of the application and receive the provider number once approved.

Who needs provider number 155135?

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Healthcare providers such as doctors, clinics, hospitals, and other medical professionals who are required to bill for services and procedures they provide to patients.

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What is provider number 155135?

Provider number 155135 is a unique identifier assigned to a healthcare provider for billing and reporting purposes within the healthcare system.

Who is required to file provider number 155135?

Healthcare providers, including doctors, hospitals, and clinics, who participate in specific health programs or insurance networks are required to file provider number 155135.

How to fill out provider number 155135?

To fill out provider number 155135, healthcare providers should follow the specific forms and regulations provided by the overseeing health organization, ensuring that all relevant information is accurately documented.

What is the purpose of provider number 155135?

The purpose of provider number 155135 is to facilitate the identification of healthcare providers in transactions and to ensure compliance with operational and billing standards.

What information must be reported on provider number 155135?

Information such as the provider's name, address, specialty, and billing details must be reported on provider number 155135.

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