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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15581506/14/2016FORM

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How to fill out provider number 155815

01

Gather relevant personal and professional information.

02

Access the provider number application form on the appropriate website.

03

Fill out the required fields with accurate information.

04

Ensure that you input '155815' in the designated provider number field.

05

Review the information for correctness and completeness.

06

Submit the application as per the provided instructions.

07

Wait for confirmation and any further instructions from the relevant authority.

Who needs provider number 155815?

01

Healthcare professionals seeking to bill Medicare or other insurance providers.

02

Practitioners who are part of a healthcare facility or organization that requires enrollment for reimbursement purposes.

03

Providers offering services that necessitate a specific provider number for identification.

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What is provider number 155815?

Provider number 155815 is a unique identification number assigned to a healthcare provider for billing and administrative purposes.

Who is required to file provider number 155815?

Healthcare providers who participate in Medicare or Medicaid programs are required to file provider number 155815.

How to fill out provider number 155815?

To fill out provider number 155815, healthcare providers must provide accurate information related to their practice, including name, address, and services offered.

What is the purpose of provider number 155815?

The purpose of provider number 155815 is to uniquely identify healthcare providers in billing processes and ensure accurate reimbursement for services.

What information must be reported on provider number 155815?

Information that must be reported includes provider name, address, specialty, tax identification number, and services rendered.

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