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PRINTED: 08/05/2024
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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What is provider number 155658?
Provider number 155658 is a unique identifier assigned to a healthcare provider for the purpose of billing and tracking services.
Who is required to file provider number 155658?
Healthcare providers who offer services that require billing to insurance companies or government programs are required to file provider number 155658.
How to fill out provider number 155658?
To fill out provider number 155658, providers should follow the specific guidelines provided by the entity requiring the filing, ensuring all relevant information is included correctly.
What is the purpose of provider number 155658?
The purpose of provider number 155658 is to uniquely identify healthcare providers in order to streamline billing processes and ensure accurate tracking of services provided.
What information must be reported on provider number 155658?
The information that must be reported includes the provider's name, address, specialty, service details, and any other relevant identification information as required by the filing entity.
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