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KPMG LLP CompuMax 255210 ANN & ROBERT H. LURIE CHILDREN\'S HOS Provider CCN: 143300In Lieu of Form CMS255210Period : From: 09/01/2017 To: 08/31/2018Run Date: 01/23/2019 Run Time: 14:11 Version: 2018.12
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Begin by obtaining the Provider CCN 14-3300 form from the appropriate healthcare agency or website.
02
Carefully read the instructions provided with the form to understand each section's requirements.
03
Fill out the provider identification section, including name, address, and contact information.
04
Complete the section on provider type, ensuring you select the correct category.
05
Provide all necessary supporting documents as indicated, such as licenses or certifications.
06
Review all information for accuracy and completeness before submission.
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Submit the form as directed, whether electronically or via mail.

Who needs provider ccn 14-3300?

01
Healthcare providers seeking to enroll or update their information in Medicare or Medicaid systems.
02
Facilities that require a provider number for billing and reimbursement purposes.
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Provider CCN 14-3300 is a specific certification and identification number used in the healthcare system to uniquely identify a healthcare provider, typically for billing and regulatory purposes.
Healthcare providers who participate in Medicare or Medicaid programs are required to file Provider CCN 14-3300.
To fill out Provider CCN 14-3300, providers must complete the form with accurate personal, professional, and institutional information as required by the relevant regulatory authority, ensuring all sections are filled out completely.
The purpose of Provider CCN 14-3300 is to ensure proper identification and tracking of healthcare providers for billing, compliance, and reporting purposes within government healthcare programs.
The information that must be reported includes the provider's name, address, type of services provided, and any relevant credentials or certifications.
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