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Centers For Medicare And Medicaid Services
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Last updated: 6/5/2024
Medicare Enrollment Application Durable Medical Equipment Prosthetics Orthotics And Supplies (DMEPOS) Supplier {CMS-855S}
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Description
CMS-855S - MEDICARE ENROLLMENT APPLICATION Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers. This application must be completed by various types of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers to enroll in Medicare and obtain a Medicare Billing number. Suppliers eligible to complete this application include ambulatory surgical centers, home health agencies, hospitals, pharmacies, and various medical and therapeutic professionals. It should be submitted under several circumstances: initial enrollment, reporting changes to existing information, adding new business locations, revalidating enrollment, reactivating billing numbers, or voluntarily terminating enrollment. www.FormsWorkflow.com
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