The Medicare Enrollment Application is a form approved by the Office of Management and Budget. You can apply using one of the two methods given below:
1. Submitting through the Internet
You can submit the application through the Internet. You can enroll using the PECOS. This is more efficient because it takes very less time to process your application. You will only fill the necessary information using this method. It increases the accuracy of the information because there is no need to re-enter the information by the Centers for Medicare & Medicaid Services.
2. Submitting through mail
You can submit the application by mailing it to the National Supplier Clearinghouse in your state or geographical location. For example, if you live in Florida, you can mail your application to P.O. Box 100142, Columbia, South Carolina 29202-3142. This is the address of Palmetto GBA. You can find the National Supplier Clearinghouse for your state in the PDF file “Medicare Fee-for-Service Provider Enrollment Contact List.” First, you have to fill the Medicare Enrollment Application using your computer. This makes sure that there are fewer errors made while enrolling in Medicare, since the operator entering your data on the computer will make fewer mistakes. After filling the form, you can print it out. Then, you can sign it using a pen and mail it to the National Supplier Clearinghouse in your state.
The CMS-855A form is an Enrollment Application for Medicare for the institutional providers. The CMS-855B form is an Enrollment Application for Medicare for clinics, group practices and certain other suppliers. This form is also for physicians and the eligible practitioners.
Now that you know where to mail the Medicare Enrollment Application, you can fill up the form and mail it to the National Supplier Clearinghouse in your state.
Medicare Enrollment is now Open! Apply or Make Changes
Connect with a Medicare Enrollment Representative by phone, call: 1(855) 848-8112
