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MEDICARE ENROLLMENT APPLICATION PHYSICIANS AND NONPHYSICIAN PRACTITIONERSCMS855I SEE PAGE 1 TO DETERMINE IF YOU ARE COMPLETING THE CORRECT APPLICATION. SEE PAGE 3 FOR INFORMATION ON WHERE TO MAIL

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What is chapter 5 - enrollment?

Chapter 5 - enrollment refers to the specific section in regulatory or legal documentation that outlines the requirements and processes for enrolling individuals or entities into a program, plan, or service.

Who is required to file chapter 5 - enrollment?

Individuals or entities that wish to participate in the program outlined by chapter 5 are required to file for enrollment, typically including those who meet specific eligibility criteria.

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To fill out chapter 5 - enrollment, complete the designated forms with accurate personal or organizational information, ensure all required documentation is included, and submit it according to the outlined procedures.

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The purpose of chapter 5 - enrollment is to establish a formal process for individuals or entities to register for participation in a program, ensuring that all necessary data is collected for eligibility and administrative purposes.

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The information that must be reported typically includes personal details such as name, contact information, eligibility criteria, and any relevant identification numbers or documentation.

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