Medicare Provider Enrollment and NPI Toolkit 

— Published on June 26, 2008

1. Background and Overview
   
   
2. Medicare Provider Enrollment Forms
   
   
3. What enrollment form do I use if I am an institutional provider (e.g. hospital) that will furnish Part A services to Medicare beneficiaries?
   
   
4. What Medicare enrollment form do I use if I am a supplier organization (e.g., ambulance company or a physician group practice) that will bill Medicare for Part B services furnished to Medicare beneficiaries?
   
   
5. What Medicare enrollment form do I use if I am a physician? Nurse practitioner? Clinical psychologist?
   
   
6. What Medicare enrollment form do I use if I want to establish a DMEPOS company?
   
   
7. What Medicare form should I use if I want to reassign my benefits to an eligible entity?
   
   
8. What other forms are necessary to send in with the Medicare Provider Enrollment Form?
   
   
9. So what is so hard about completing these forms?
   
   
10. What are the most common problems?
    
    
11. How can I find out which Fiscal Intermediary, Carrier, or Medicare Administrative Contractor (MAC) I should use?
    
    
12. Changes of Ownership
    
    
13. What is the Medicare Certification Packet?
    
    
14. Revalidation
    
    
15. National Provider Identifier
    
    
16. Medicare NPI Crosswalk
    
    
17. Estimated Timeline for 855A Processing and Enrollment
    
    
18. What are the options for new Psychiatric Units, Rehabilitation Units, and Rehabilitation Hospitals to obtain status as excluded from the IPPS?
    
    
19. Charter Contributors to the Medicare Provider Enrollment and NPI Toolkit
    
    Lona J. Depew, Esq., Joy & Young LLP, Austin, TX
    Thuy H. Huynh, Esq., Sullivan Stolier & Resor APLC, Lafayette and New Orleans, LA
    Louise M. Joy, Esq., Joy & Young LLP, Austin, TX
    Karen Smith, Esq., Bricker & Eckler LLP, Columbus, OH
    Hilary H. Young, Esq., Joy & Young LLP, Austin, TX

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Disclaimer: This toolkit compiles information on its topic and is intended to be useful for the practicing lawyer. You should, however, verify the accuracy and completeness of any research you conduct using the toolkit before proceeding.