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R13MSP DOC Cms  Form

R13MSP DOC Cms Form

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[Music] hello and welcome to our video about completing the cms-20134 application for medicare diabetes prevention program mdpp suppliers during this video we will go over completing the cms20134 application for medicare diabetes prevention program mdpp suppliers each section of the cms20134 application will be addressed with some helpful tips in certain sections to prevent delay in your application process let's begin once you've reached ngs ngsmedicare.com select your provider type and state then once you have completed the a test station click on the enrollment mega tab and locate the enrollment forms button on the right hand side of the menu from there you want to select the cms20134 form and download it this paper application can be downloaded and completed online once completed print the application and have the authorized and or delegated official as applicable of the group sign and date the certification statement section and mail the application to national government services

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