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Legal Business Name Match

Medicare enrollment success starts with you.

It is vital that any time you are asked to supply your LBN or legal name, you indicate the name exactly as it appears at the IRS or the Social Security Administration Office, for groups this includes any suffix like PC, PA, LLC, PLLC, Inc., etc.

Please verify that your legal name matches on the following documents and systems:

  • NPPES registry, where you applied for an NPI number
  • CMS 855 Applications
  • CMS 460 Participating Agreement
  • CMS 588 Electronic Funds Transfer (EFT) Authorization Agreement
  • Void check or bank confirmation letter

Posted: 12/22/2018

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

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