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BREADCRUMB

 * 
 * Medicare
 * Enrollment & renewal
 * Providers & suppliers


BECOME A MEDICARE PROVIDER OR SUPPLIER





PAGES IN THIS SECTION

 * * * Providers & suppliers
     * * Provider Enrollment, Chain, & Ownership System (PECOS)
       * CMS national background check
       * Health care provider taxonomy
       * Revalidations
       * Durable Medical Equipment, Prosthetics/Orthotics, & Supplies (DMEPOS)
         enrollment
       * Federally Qualified Health Centers (FQHC) Center
       * Ambulatory Surgical Centers (ASC) Center
       * Clinical Labs Center
       * Critical Access Hospitals Center
       * Hospitals Center
       * Skilled Nursing Facility Center
       * Pharmacist Center
       * Physician Center

Become a Medicare Provider or Supplier


BECOME A MEDICARE PROVIDER OR SUPPLIER

Ready to become a Medicare provider or supplier? This guide will help you enroll
in three steps.

Do not use this guide if…

 * You’re a DMEPOS supplier. DMEPOS suppliers should follow the instructions on
   the Enroll as a DMEPOS Supplier page.
 * You’re an institutional provider. If you’re enrolling a hospital, critical
   care facility, skilled nursing facility, home health agency, hospice, or
   other similar institution, you should use the Medicare Enrollment Guide for
   Institutional Providers.


MEDICARE ENROLLMENT GUIDE FOR PROVIDERS & SUPPLIERS

Use this guide if any of the following apply:

 * You’re a health care provider who wants to bill Medicare for your services
   and also have the ability to order and certify.
 * You don’t want to bill Medicare for your services, but you do want enroll in
   Medicare solely to order and certify.
 * You wish to provide services to beneficiaries but do not want to bill
   Medicare for your services. (In this case, you would need to opt out of
   Medicare.)
 * You want to enroll as a supplier who does not dispense or furnish durable
   medical equipment, prosthetics, orthotics and supplies (DMEPOS). (You can
   still use this guide if you dispense Part B drugs used with DMEPOS, such as
   inhalation drugs.)

1


STEP 1: GET AN NPI

If you already have an NPI, skip this step and proceed to Step 2.

NPIs are issued through the National Plan & Provider Enumeration System (NPPES).
You can apply for an NPI on the NPPES website. Not sure if you have an NPI?
Search the NPI Registry.

2


STEP 2: COMPLETE THE MEDICARE ENROLLMENT APPLICATION

Enroll using PECOS,i the online Medicare enrollment system. PECOS has video and
print tutorials and will walk you through your enrollment to ensure your
information is accurate. Complete the online PECOS application.

3


STEP 3: WORK WITH YOUR MAC

Your Medicare Administrative Contractor (MAC) is specific to the region where
you practice and may have additional requests for information while they process
your application. You can also check in with your MAC regarding your enrollment
status. Contact Your MAC (PDF).


KEEP YOUR INFORMATION CURRENT

It’s important to keep your enrollment information up to date. To avoid having
your Medicare billing privileges revoked, be sure to report the following
changes within 30 days:

 * a change in ownership
 * an adverse legal action
 * a change in practice location

You must report all other changes within 90 days. If you applied online, you can
keep your information up to date in PECOS. If you applied using a paper
application, you’ll need to resubmit your form to update information.


NEED HELP WITH YOUR ENROLLMENT?

Your MAC can help you navigate the enrollment process and answer questions about
your application. Contact your MAC (PDF).

Return to Top
 

i If you’re unable to apply online using PECOS, you can use a paper application
form.


DOWNLOADS

 * MLN Enrollment Webcast Presentation: Multi–Factor Authentication for I&A
   System (PDF)
 * MLN Enrollment Webcast Transcript: Multi-Factor Authentication for I&A System
   (PDF)
 * Medicare Enrollment Contractor Contact List (PDF)
 * Tips to Facilitate the Medicare Enrollment Process (PDF)
 * Medicare Provider-Supplier Enrollment National Education Products (PDF)
 * E-Signature How To Guide (PDF)


RELATED LINKS

 * Center for Program Integrity
 * National Provider Identifier Standard (NPI)
 * DMEPOS Competitive Bidding
 * MLN Enrollment Webcast Audio Transcript: Multi-Factor Authentication for I&A
   System
 * Annual Medicare Participation Announcement


Page Last Modified:
12/15/2023 12:59 PM
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