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CHANGE EXISTING PROVIDER ENROLLMENT INFORMATION

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Make Necessary Changes to the Existing Enrollment In PECOS

Instructions for accessing and submitting existing enrollment information in PECOS:
  • Login to PECOS
  • Select My Associates
  • Scroll down under Existing Enrollment
  • Select “View Enrollment” for applicable enrollment
  • Select applicable enrollment record under Existing Enrollments
  • Select More Options
  • Select change of information and answer questionnaire(s)
  • Confirm reason for application
  • Select “Start Application”
  • Review and update appropriate “Topic View” section(s)
  • Upload supporting documents (if applicable)
  • Resolve all errors and verify warnings
  • Select “Begin Submission”
  • Proceed with the Electronic Signature or Upload Certification Process
  • Review and agree to Medicare regulations (Read and answer Attestation questions, if applicable)
  • Verify National Government Services as your contractor
  • Complete Submission button must be clicked to finish application
  • Print and/or save your submission confirmation and tracking number

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Make Necessary Changes to the Existing Enrollment In PECOS
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