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P.O. Box Consolidation Crosswalk (as of 12/21/07)

In our efforts to provide better service to our providers, National Government Services, Inc. is consolidating many of our Post Office Boxes. The following crosswalk represents the changes that have occurred through December 21, 2007. This crosswalk represents an all-inclusive list of NEW addresses for National Government Services. Please note that this crosswalk does not represent a comprehensive list of all National Government Services mailing addresses. It only includes those that have changed due to this consolidation project.

Business Function

Medicare State Contract

Old Addresses

New Address

Part A Claims (i.e., UB04 forms)

CA, MI, WI

P.O. Box 3161
Milwaukee, WI 53201-3161

P.O. Box 3234
Milwaukee, WI 53201-3234

6775 West Washington St.
Milwaukee, WI 53214

P.O. Box 7150
Indianapolis, IN 46207-7150

Part A Claims (i.e., UB04 forms)

ME, MA, NH, NY

2 Gannett Drive
South Portland, ME 04106

P.O. Box 919
Portland, ME 04104-0919

400 South Salina Street
Syracuse, NY 13202

P.O. Box 4846
Syracuse, NY 13221-4846

1515 Hancock Street
Quincy, MA 02169

3000 Goffs Falls Road
Manchester, NH 03111

P.O. Box 4723
Syracuse, NY 13221-4723

Part A Claims (i.e., UB04 forms)

OH

801 A West 8 th Street
Cincinnati, OH 45203-1601

P.O. Box 145482
Cincinnati, OH 45250-5482

P.O. Box 7141
Indianapolis, IN 46207-7141

Part A Claims (i.e., UB04 forms)

IN

P.O. Box 50455
Indianapolis, IN 46250-0455

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 7064
Indianapolis, IN 46207-7064

Part A Claims (i.e., UB04 forms)

IL

P.O. Box 812927
Chicago, IL 60681-2927

P.O. Box 812924
Chicago, IL 60681-2924

225 North Michigan Ave.
Chicago, IL 60601

P.O. Box 7138
Indianapolis, IN 46207-7138

Part A Claims (i.e., UB04 forms)

KY, VA, WV

P.O. Box 23711
Louisville, KY 40223-0711

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7181
Indianapolis, IN 46207-7181

Part B Claims (i.e., CMS-1500 forms)

IN

P.O. Box 6021
Indianapolis, IN 46206-6021

P.O. Box 6026
Indianapolis, IN 46206-6026

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 6160
Indianapolis, IN 46206-6160

Part B Claims (i.e., CMS- 1500 forms)

NY

P.O. Box 100
Yorktown Heights, NY 10598-0100

P.O. Box 355
Crompond, NY 10517-0355

P.O. Box 288
Crompond, NY 10517-0288

2651 Strang Boulevard
Yorktown Heights, NY 10598

P.O. Box 4751
Syracuse, NY 13221-4751

Part B Claims (i.e., CMS- 1500 forms)

KY

P.O. Box 37630
Louisville, KY 40233-7630

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7154
Indianapolis, IN 46207-7154

Part B Beneficiary submitted claims

IN

P.O. Box 6130
Indianapolis, IN 46206-6130

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 7073
Indianapolis, IN 46207-7073

Part B Beneficiary privacy consent forms

NY

P.O. Box 1205
Crompond, NY 10517-1205

2651 Strang Boulevard
Yorktown Heights, NY 10598

P.O. Box 4837
Syracuse, NY 13221-4837

Part A Appeals (i.e., review requests)

CA, MI, VA, WI, WV

P.O. Box 3035
Milwaukee, WI 53201-3035

6775 West Washington St.
Milwaukee, WI 53214

5151B Camino Ruiz, Building G
Camarillo, CA 93012

P.O. Box 9140
Oxnard, CA 93031-9140

P.O. Box 7149
Indianapolis, IN 46207-7149

Part A Appeals (i.e., review requests)

ME, MA, NH, NY

2 Gannett Drive
South Portland, ME 04106

P.O. Box 919
Portland, ME 04104-0919

400 South Salina Street
Syracuse, NY 13202

P.O. Box 4846
Syracuse, NY 13221-4846

1515 Hancock Street
Quincy, MA 02169

3000 Goffs Falls Road
Manchester, NH 03111

P.O. Box 4711
Syracuse, NY 13221-4711

Part A Appeals (i.e., review requests)

OH

801 A West 8 th Street
Cincinnati, OH 45203-1601

P.O. Box 145482
Cincinnati, OH 45250-5482

P.O. Box 7141
Indianapolis, IN 46207-7141

Part A Appeals (i.e., review requests)

IL, IN, KY

P.O. Box 812903
Chicago, IL 60681-2903

225 North Michigan Ave.
Chicago, IL 60601

P.O. Box 7138
Indianapolis, IN 46207-7138

Part B Appeals (i.e., review requests)

IN

P.O. Box 50410
Indianapolis, IN 46250-0410

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 7073
Indianapolis, IN 46207-7073

Part B Appeals (i.e., review requests)

KY

P.O. Box 32700
Louisville, KY 40232-2700

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7155
Indianapolis, IN 46207-7155

Part B Appeals (i.e., review requests)

NY

P.O. Box 2280
Peekskill, NY 10566-2280

P.O. Box 288
Crompond, NY 10517-0288

P.O. Box 1206
Crompond, NY 10517-1206

2651 Strang Boulevard
Yorktown Heights, NY 10598

P.O. Box 4846
Syracuse, NY 13221-4846

Part A EDI Customer Support (i.e., electronic billing forms and inquiries)

CA, MI, VA, WI, WV

P.O. Box 2019
Milwaukee, WI 53201-2019

6775 West Washington St.
Milwaukee, WI 53214

P.O. Box 7149
Indianapolis, IN 46207-7149

Part A EDI Customer Support (i.e., electronic billing forms and inquiries)

ME, MA, NH

2 Gannett Drive
South Portland, ME 04106

1515 Hancock Street
Quincy, MA 02169

3000 Goffs Falls Road
Manchester, NH 03111

P.O. Box 4846
Syracuse, NY 13221-4846

Part A EDI Customer Support (i.e., electronic billing forms and inquiries)

IL, OH, IN, KY

P.O. Box 34490
Louisville, KY 40232-4490

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7165
Indianapolis, IN 46207-7165

Part A EDI Customer Support (i.e., electronic billing forms and inquiries)

NY

400 South Salina Street
Syracuse, NY 13202

P.O. Box 4846
Syracuse, NY 13221-4846

Part B EDI Customer Support (i.e., electronic billing forms and inquiries)

NY

400 South Salina Street
Syracuse, NY 13202

P.O. Box 4846
Syracuse, NY 13221-4846

Part B EDI Customer Support (i.e., electronic billing forms and inquiries)

IN, KY

P.O. Box 34490
Louisville, KY 40232-4490

P.O. Box 37650
Louisville, KY 40232-7650

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7165
Indianapolis, IN 46207-7165

Part A Medical Review documents/medical records and responses to Additional Development Request (ADR) letters

ME, MA, NH, NY

2 Gannett Drive
South Portland, ME 04106

P.O. Box 919
Portland, ME 04104-0919

400 South Salina Street
Syracuse, NY 13202

P.O. Box 4846
Syracuse, NY 13221-4846

1515 Hancock Street
Quincy, MA 02169

3000 Goffs Falls Road
Manchester, NH 03111

P.O. Box 4767
Syracuse, NY 13221-4767

Part A Medical Review documents/medical records and responses to Additional Development Request (ADR) letters

CA

5151B Camino Ruiz, Building G
Camarillo, CA 93012

P.O. Box 9140
Oxnard, CA 93031-9140

P.O. Box 7143
Indianapolis, IN 46207-7143

Part A Medical Review documents/medical records and responses to Additional Development Request (ADR) letters

OH, IL, KY

801 A West 8 th Street
Cincinnati, OH 45203-1601

P.O. Box 145482
Cincinnati, OH 45250-5482

225 North Michigan Ave.
Chicago, IL 60601

P.O. Box 23711
Louisville, KY 40223-0711

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7141
Indianapolis, IN 46207-7141

Part A Medical Review documents/medical records and responses to Additional Development Request (ADR) letters

WI, MI, CA-RHHI

P.O. Box 2005
Milwaukee, WI 53201-2005

P.O. Box 2019
Milwaukee, WI 53201-2019

P.O. Box 3000
Milwaukee, WI 53201-3000

P.O. Box 3112
Milwaukee, WI 53201-3112

6775 West Washington St.
Milwaukee, WI 53214

P.O. Box 7149
Indianapolis, IN 46207-7149

Part B Medical Review documents / medical records and responses to ADS (Automated Development System) requests for additional information

NY

P.O. Box 429
Yorktown Heights, NY 10598-0429

P.O. Box 1203
Crompond, NY 10517-1203

2651 Strang Boulevard
Yorktown Heights, NY 10598

P.O. Box 4767
Syracuse, NY 13221-4767

Part B Medical Review documents/medical records and responses to ADS (Automated Development System) requests for additional information

IN

P.O. Box 6067
Indianapolis, IN 46207-6067

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 6160
Indianapolis, IN 46206-6160

Part B Medical Review documents/medical records and responses to ADS (Automated Development System) requests for additional information

KY

P.O. Box 37640
Louisville, KY 40233-7640

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7154
Indianapolis, IN 46207-7154

Part A Medical Policy (i.e., policy/LCD reconsideration requests)

ME

2 Gannett Drive
South Portland, ME 04106

Medical Policy Unit
P.O. Box 4767
Syracuse, NY 13221-4767

Part A Medical Policy (i.e., policy/LCD reconsideration requests)

WI, VA, CA

P.O. Box 2019
Milwaukee, WI 53201-2019

6775 West Washington St.
Milwaukee, WI 53214

Medical Policy Unit
(ATTN: Gina Oliveri, RN)
P.O. Box 7149
Indianapolis, IN 46207-7149

Part B Medical Policy (i.e., policy/LCD reconsideration requests)

IN

8115 Knue Road
Indianapolis, IN 46250

Medical Policy Unit
P.O. Box 7073
Indianapolis, IN 46207-7073

Part A Medical Policy (i.e., policy/LCD reconsideration requests)

IL

225 North Michigan Ave.
22 nd Floor
Chicago, IL 60601

Medical Policy Unit
(Attn: Richard K. Baer, M.D.)
P.O. Box 7138
Indianapolis, IN 46207-7138

Part B Medical Policy (i.e., policy/LCD reconsideration requests)

NY

2651 Strang Boulevard
Yorktown Heights, NY 10598

Medical Policy Unit
P.O. Box 4767
Syracuse , NY 13221-4767

Part A Provider Enrollment (i.e., CMS-855 and EFT forms)

CA

5151B Camino Ruiz, Building G
Camarillo , CA 93012

P.O. Box 9150
Oxnard , CA 93031-9150

P.O. Box 7143
Indianapolis , IN 46207-7143

Part A Provider Enrollment (i.e., CMS-855 and EFT forms)

IL, IN

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 7078
Indianapolis, IN 46207-7078

Part A Provider Enrollment (i.e., CMS-855 and EFT forms)

ME, MA, NH, NY

2 Gannett Drive
South Portland, ME 04106

P.O. Box 919
Portland, ME 04104-0919

400 South Salina Street
Syracuse, NY 13202

P.O. Box 4846
Syracuse, NY 13221-4846

1515 Hancock Street
Quincy, MA 02169

3000 Goffs Falls Road
Manchester, NH 03111

P.O. Box 4792
Syracuse, NY 13221-4792

Part A Provider Enrollment (i.e., CMS-855 and EFT forms)

OH, KY

801 A West 8 th Street
Cincinnati, OH 45203-1601

P.O. Box 145482
Cincinnati, OH 45250-5482

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7141
Indianapolis, IN 46207-7141

Part A Provider Enrollment (i.e., CMS-855 and EFT forms)

WI

P.O. Box 2005
Milwaukee, WI 53201-2005

P.O. Box 2019
Milwaukee, WI 53201-2019

P.O. Box 3000
Milwaukee, WI 53201-3000

P.O. Box 3112
Milwaukee, WI 53201-3112

6775 West Washington St.
Milwaukee, WI 53214

P.O. Box 7149
Indianapolis, IN 46207-7149

Part B Provider Enrollment (i.e., CMS-855 and EFT forms)

NY

P.O. Box 1200
Crompond, NY 10517-1200

2651 Strang Boulevard
Yorktown Heights, NY 10598

P.O. Box 4792
Syracuse, NY 13221-4792

Part B Provider Enrollment (i.e., CMS-855 and EFT forms)

IN

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 7078
Indianapolis, IN 46207-7078

Part B Provider Enrollment (i.e., CMS-855 and EFT forms)

KY

P.O. Box 35270
Louisville, KY 40232-5270

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7158
Indianapolis, IN 46207-7158

Part A Audit & Reimbursement (i.e., cost reports and PRRB Appeals

ME

P.O. Box 919
Portland, ME 04104-0919

2 Gannett Drive
South Portland, ME 04106

P.O. Box 4846
Syracuse, NY 13221-4846

Part A Audit & Reimbursement (i.e., cost reports and PRRB Appeals)

CA

5151B Camino Ruiz, Building G
Camarillo, CA 93012

P.O. Box 9150
Oxnard, CA 93031-9150

P.O. Box 7143
Indianapolis, IN 46207-7143

Part A Audit & Reimbursement (i.e., cost reports and PRRB Appeals)

OH

801 A West 8 th Street
Cincinnati, OH 45203-1601

P.O. Box 145482
Cincinnati, OH 45250-5482

P.O. Box 7141
Indianapolis, IN 46207-7141

Part A Audit & Reimbursement (i.e., cost reports and PRRB Appeals)

IL

P.O. Box 812904
Chicago, IL 60681-2904

225 North Michigan Ave.
Chicago, IL 60601

P.O. Box 7138
Indianapolis, IN 46207-7138

Part A Audit & Reimbursement (i.e., cost reports and PRRB Appeals)

IN

P.O. Box 50451
Indianapolis, IN 46250-0451

P.O. Box 7191
Indianapolis, IN 46207-7191

Part A Audit & Reimbursement (i.e., cost reports and PRRB Appeals)

WI

P.O. Box 2005
Milwaukee, WI 53201-2005

P.O. Box 2019
Milwaukee, WI 53201-2019

P.O. Box 3000
Milwaukee, WI 53201-3000

P.O. Box 3112
Milwaukee, WI 53201-3112

6775 West Washington St.
Milwaukee, WI 53214

P.O. Box 7149
Indianapolis, IN 46207-7149

Part A Audit & Reimbursement (i.e., cost reports and PRRB Appeals)

KY

P.O. Box 35190
Louisville, KY 40232-5190

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7155
Indianapolis, IN 46207-7155

Part A Audit & Reimbursement (i.e., cost reports and PRRB Appeals)

NY

400 South Salina Street
Syracuse, NY 13202

P.O. Box 4846
Syracuse, NY 13221-4846

Part A Provider Written Inquiries

CA, IL, IN, MA, ME, MI, NH, NY, OH, VA, WI

5151B Camino Ruiz, Building G
Camarillo, CA 93012

P.O. Box 9140
Oxnard, CA 93031-9140

P.O. Box 812927
Chicago, IL 60681-2927

P.O. Box 812924
Chicago, IL 60681-2924

225 North Michigan Ave.
Chicago, IL 60601

P.O. Box 50452
Indianapolis, IN 46250-0452

8115 Knue Road
Indianapolis, IN 46250

1515 Hancock Street
Quincy, MA 02169

2 Gannett Drive
South Portland, ME 04106

P.O. Box 919
Portland, ME 04104-0919

3000 Goffs Falls Road
Manchester, NH 03111

400 South Salina Street
Syracuse, NY 13202

P.O. Box 4846
Syracuse, NY 13221-4846

801 A West 8 th Street
Cincinnati, OH 45203-1601

P.O. Box 145482
Cincinnati, OH 45250-5482

P.O. Box 2005
Milwaukee, WI 53201-2005

P.O. Box 2019
Milwaukee, WI 53201-2019

P.O. Box 3000
Milwaukee, WI 53201-3000

P.O. Box 3112
Milwaukee, WI 53201-3112

6775 West Washington St.
Milwaukee, WI 53214

P.O. Box 7191
Indianapolis, IN 46207-7191

Part B Provider Written Inquiries

NY, NJ

P.O. Box 2280
Peekskill, NY 10566-2280

P.O. Box 7052
Indianapolis, IN 46207-7052

Part B Provider Written Inquiries

IN, KY

P.O. Box 50412
Indianapolis, IN 46250-0412

P.O. Box 50413
Indianapolis, IN 46250-0413

P.O. Box 50464
Indianapolis, IN 46250-0464

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 32700
Louisville, KY 40232-2700

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7073
Indianapolis, IN 46207-7073

Part A, Part B, and DME MAC Freedom of Information Act (FOIA) Inquiries

All

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 50454
Indianapolis, IN 46250-0454

Part A Medicare Secondary Payer (MSP) Inquiries/Overpayment Recovery Unit requests* (other than those sent to MSP regional carrier)

OH

801 A West 8 th Street
Cincinnati, OH 45203-1601

P.O. Box 145482
Cincinnati, OH 45250-5482

P.O. Box 7141
Indianapolis, IN 46207-7141

Part A Medicare Secondary Payer (MSP) Inquiries/Overpayment Recovery Unit requests* (other than those sent to MSP regional carrier)

IN

P.O. Box 50453
Indianapolis, IN 46250-0453

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 7191
Indianapolis, IN 46207-7191

Part A Medicare Secondary Payer (MSP) Inquiries/Overpayment Recovery Unit requests* (other than those sent to MSP regional carrier)

WI

P.O. Box 2019
Milwaukee, WI 53201-2019

6775 West Washington St.
Milwaukee, WI 53214

P.O. Box 7149
Indianapolis, IN 46207-7149

Part A Overpayment Recovery Unit correspondence*

NY

P.O. Box 4846
Syracuse, NY 13221-4846

P.O. Box 4811
Syracuse, NY 13221-4811

Part B Medicare Secondary Payer (MSP) Inquiries/Overpayment Recovery Unit requests * (other than those sent to MSP regional carrier)

IN

P.O. Box 50408
Indianapolis, IN 46250-0408

P.O. Box 7067
Indianapolis, IN 46207-7067

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 7073
Indianapolis, IN 46207-7073

Part B Medicare Secondary Payer (MSP) Inquiries/Overpayment Recovery Unit requests* (other than those sent to MSP regional carrier)

KY

P.O. Box 37660
Louisville, KY 40232-7660

P.O. Box 34720
Louisville, KY 40232-4720

P.O. Box 35110
Louisville, KY 40232-5110

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7155
Indianapolis, IN 46207-7155

Part B HPSA correspondence – with the exception of HPSA Appeals

IN, KY, NY, NJ (all Part B contracts)

Various

P.O. Box 4811
Syracuse, NY 13221-4811

Part A Provider Outreach & Education (Seminar payments and publication orders)

ME, MA, NH, NY

2 Gannett Drive
South Portland, ME 04106

P.O. Box 919
Portland, ME 04104-0919

400 South Salina Street
Syracuse, NY 13202

P.O. Box 4846
Syracuse, NY 13221-4846

1515 Hancock Street
Quincy, MA 02169

3000 Goffs Falls Road
Manchester, NH 03111

P.O. Box 4865
Syracuse, NY 13221-4865

Part A Provider Outreach & Education (Seminar payments and publication orders)

KY

P.O. Box 32610
Louisville, KY 40232-2610

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7182
Indianapolis, IN 46207-7182

Part B Provider Outreach & Education (Seminar payments and publication orders)

NY

P.O. Box 1200
Crompond, NY 10517-1200

2651 Strang Boulevard
Yorktown Heights, NY 10598

P.O. Box 4865
Syracuse, NY 13221-4865

Part B Provider Outreach & Education (Seminar payments and publication orders)

KY

P.O. Box 32900
Louisville, KY 40232-2900

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7155
Indianapolis, IN 46207-7155

DME MAC Claims (including but not limited to: assigned, nonassigned, break in service, oxygen, Medicare Secondary Payer (MSP), and beneficiary submitted claims)

DME MAC Jurisdiction B (IL, IN, KY, MI, MN, OH, WI)

P.O. Box 7061
Indianapolis, IN 46207-7061

P.O. Box 7048
Indianapolis, IN 46207-7048

P.O. Box 6050
Indianapolis, IN 46206-6050

P.O. Box 7031
Indianapolis, IN 46207-7031

P.O. Box 7078
Indianapolis, IN 46207-7078

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 7027
Indianapolis, IN 46207-7027

DME MAC Supplier Written Inquiries

DME MAC Medicare Secondary Payer Inquiries

DME MAC Redeterminations

DME MAC Jurisdiction B (IL, IN, KY, MI, MN, OH, WI)

P.O. Box 240
Indianapolis, IN 46207-0240

P.O. Box 7091
Indianapolis, IN 46207-7091

P.O. Box 50459
Indianapolis, IN 46250-0459

P.O. Box 50403
Indianapolis, IN 46250-0403

8115 Knue Road
Indianapolis, IN 46250

P.O. Box 6036
Indianapolis, IN 46206-6036

DME MAC EDI Customer Support (i.e., electronic billing forms and inquiries)

DME MAC Jurisdiction B (IL, IN, KY, MI, MN, OH, WI)

P.O. Box 34490
Louisville, KY 40232-4490

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7165
Indianapolis, IN 46207-7165

DME MAC Provider Outreach & Education (Seminar payments & publication orders)

DME MAC Jurisdiction B (IL, IN, KY, MI, MN, OH, WI)

P.O. Box 32340
Louisville, KY 40232-2340

9901 Linn Station Road
Louisville, KY 40023

P.O. Box 7155
Indianapolis, IN 46207-7155

* There has been no change to the P.O. Boxes used for remitting payment for Medicare Trust Fund debts. Please refer to addresses found on demand letters and overpayment recovery forms to make payments on debts to the Medicare Trust Fund.

Page last modified: 01/16/2008


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