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CHANGE EXISTING PROVIDER ENROLLMENT INFORMATION

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Time Requirements to Notify Medicare of Changes
- Report Changes to your Enrollment Records

Verify NPI with NPPES Registry
- Description of NPI and a Link to NPPES Registry

Obtain/Verify all State License and Registration Requirements

Determine if you Need to Pay an Application Fee and How to Pay

Determine if you will Use PECOS or Paper to Submit your Change

Electronic Funds Transfer
- Electronic Funds Transfer
- Electronic Funds Transfer Form and Instructions

Submit your Change Using PECOS

What to Expect After PECOS Submission

Respond Timely to Requests for Additional Information For PECOS Submissions
- Requests for Additional Information

Submit Your Change Using Paper

What to Expect After Paper Submission

Respond Timely to Requests for Additional Information For Paper Submission
- Request for Additional Information

Track the Status of your Application

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Interactive Voice Response System

You may check the status of your provider enrollment application via the IVR option.

The IVR will request and collect the following information:

- Case number; or
- NPI and TIN combination

CHANGE EXISTING PROVIDER ENROLLMENT INFORMATION

Interactive Voice Response System

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