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PRINTED: 04/08/2024
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 155818
How to fill out provider number 155818
01
Obtain the necessary application form for provider number 155818.
02
Fill out all required personal information including name, contact details, and any credentials related to healthcare or service provided.
03
Provide relevant documentation such as proof of qualifications, certifications, and licenses.
04
Submit the completed application form and supporting documents to the appropriate regulatory body or organization for review and approval.
05
Wait for confirmation of approval and issuance of provider number 155818.
Who needs provider number 155818?
01
Healthcare professionals or service providers who are required to have a unique identifying number for billing, reimbursement, or regulatory purposes may need provider number 155818.
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What is provider number 155818?
Provider number 155818 is a unique identification number assigned to a specific healthcare provider.
Who is required to file provider number 155818?
Healthcare providers, such as doctors, hospitals, and clinics, are required to file provider number 155818.
How to fill out provider number 155818?
Provider number 155818 can be filled out by including all relevant information about the healthcare services provided by the provider.
What is the purpose of provider number 155818?
The purpose of provider number 155818 is to track and identify the services provided by a specific healthcare provider for billing and record-keeping purposes.
What information must be reported on provider number 155818?
Information such as the type of services provided, the dates of service, and the charges for the services must be reported on provider number 155818.
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