Provider Enrollment Handout - Palmetto GBA

10.07.2015 • Views

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Provider Enrollment Handout - Palmetto GBA

Provider Enrollment Handout - Palmetto GBA

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Reminder: Hit The “Submit” ButtonReminder: Print, Complete andMail Certification Statement13

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Reminder: Hit The “Submit” ButtonReminder: Print, Complete andMail Certification Statement13

Page 1: Provider EnrollmentPalmetto GBA J1
Page 5 and 6: What is Your Business Structure?□
Page 9 and 10: What is PECOS? Provider Enrollment
Page 11: CMS PECOS Webpage PECOS example Enr
Page 16 and 17: Current CMS InitiativesCurrent Init
Page 18 and 19: Eligible to Order/Refer Doctor of M
Page 20 and 21: PE Provisions: BeginningMarch 25, 2
Page 22 and 23: Top Development Reasons Application
Page 24 and 25: □ IRSSupporting Documents□ CP 5
Page 26 and 27: ResourcesResources CMS Web site Res
Page 28: J1 Provider EnrollmentApplication L