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Get and Sign Pa Credentialing Application 2006-2022 Form

Get and Sign Pa Credentialing Application 2006-2022 Form

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This video explains the Medicare enrollment process and how to use the provider enrollment chain and ownership system or Pecos the online system to submit a Medicare enrollment application before you begin the application in Pecos gather the following information active national provider identifier or NPI number if you do not already have an active NPI number you can register for one through the national plan and provider enumeration system or n Pen their website is napes CMS HHS gov personally identifying information including your legal name date of birth and social security number on file with the Social Security Administration educational information including the name of your medical or professional school and graduation year medical specialty information including specialty type for example dentist or nurse practitioner professional license certification and/or drug enforcement agency or DEA registration numbers be sure you have the original effective dates renewal dates and the

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