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03/14/2024PRINTED:
DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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What is provider number 155477?
Provider number 155477 is a unique identifier assigned to healthcare providers for billing and compliance purposes within a specific healthcare program or insurance system.
Who is required to file provider number 155477?
Healthcare providers such as physicians, hospitals, and other authorized entities that provide services covered under the specific program associated with provider number 155477 are required to file.
How to fill out provider number 155477?
To fill out provider number 155477, the provider must complete the designated forms accurately, including required details such as tax identification, practice details, and any necessary certifications.
What is the purpose of provider number 155477?
The purpose of provider number 155477 is to streamline the identification and processing of claims submitted by healthcare providers, ensuring compliance with regulations and accuracy in billing.
What information must be reported on provider number 155477?
Information that must be reported includes the provider's name, address, tax identification number, type of services provided, and any relevant licensing or certification details.
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