Confirm eligibility to enroll

Eligible Part B Suppliers

Suppliers who can enroll in Medicare:

  • Ambulance Service Supplier
  • Ambulatory Surgical Centers (ASC)
  • Clinic/Group Practices
  • Hospital Department(s)
  • Home Infusion Therapy (HIT)
  • Independent Clinical Laboratory (CLIA)
  • Independent Diagnostic Testing Facility (IDTF)
  • Intensive Cardiac Rehabilitation (ICR)
  • Mammography Centers
  • Mass Immunization (roster biller only)
  • Medicare Diabetes Prevention Program (MDPP)
  • Opioid Treatment Program (OTP)
  • Pharmacy
  • Physical/Occupational Therapy Group in Private Practice
  • Portable X-ray Suppliers (PXRS)
  • Radiation Therapy Centers

Updated 4/8/2021

Helpful Resources

Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee

JK Mailing Address:

National Government Services, Inc.
P.O. Box 7149
Indianapolis, IN 46207-7149

Interactive Voice Response:

877-869-6504

Contact Enrollment:

888-379-3807

Hours Available:

Monday–Friday
8:00 a.m.–4:00 p.m. ET

Form(s) you'll need:

Enrollment Forms

Helpful Resources

Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee

J6 Mailing Address:

National Government Services, Inc.
P.O. Box 6475
Indianapolis, IN 46206-6475

Interactive Voice Response:

877-908-9499

Contact Enrollment:

877-908-8476

Hours Available:

Monday–Friday
8:00 a.m.–4:00 p.m. CT

Form(s) you'll need:

Enrollment Forms