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PRINTED: 11/04/2024 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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What is provider number 155825?
Provider number 155825 is a unique identifier assigned to a healthcare provider for billing and identification purposes.
Who is required to file provider number 155825?
Healthcare providers, including doctors, clinics, and hospitals that participate in insurance programs, are required to file provider number 155825.
How to fill out provider number 155825?
To fill out provider number 155825, you need to provide your personal and practice information, including your Tax Identification Number (TIN) and relevant credentials.
What is the purpose of provider number 155825?
The purpose of provider number 155825 is to track and manage healthcare services billed to insurance companies accurately and efficiently.
What information must be reported on provider number 155825?
You must report personal identification information, practice details, billing information, and any relevant certifications or qualifications on provider number 155825.
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