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National Government Services, Inc.
 Medicare Monthly Review Part A and B
A Combined Part A and Part B Newsletter
MMR-2007 10A,October 2007

Institutional (Part A) Provider Enrollment

For information regarding provider enrollment, application status, how to complete the form, etc., providers should contact the National Government Services Customer Care Department at (888) 855-4356.

Applicable Uses for the Provider Enrollment Form: CMS-855A Health Care Provider/Supplier Application:

Please visit the National Government Services Web site for additional information.

You may obtain a copy of the CMS-855A Application at the Centers for Medicare & Medicaid Services (CMS) Web site, http://cms.hhs.gov/providers/enrollment/forms/ External Link. All applicants should call their local state agency. There are many conditions for participation in the Medicare program. This includes compliance with the requirements of Article 28 of the Public Health Law, which governs the licensure and operation of medical care facilities in your state.