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Form No. 0938-0950 is a Medicare form used for the "Medicare Enrollment Application" for healthcare providers. This form is used when healthcare providers want to enroll in the Medicare program or make changes to their existing Medicare enrollment information.

Form No. 0938 0950 is not a recognized form number. In order to determine who is required to file a specific form, it is necessary to provide the correct form number or a brief description of the form.

Form 0938 0950 is specifically used for "Application for Provider Enrollment and Chain and Ownership System (PECOS)". Here are the steps to fill out this form: 1. Obtain a copy of the form: You can download the form from the Centers for Medicare & Medicaid Services (CMS) website or request a copy by calling the CMS helpline. 2. Read the instructions: Start by reviewing the instructions provided with the form. Familiarize yourself with the requirements and gather all the necessary information and documents before beginning to fill out the form. 3. Personal Information: Begin by entering your personal information, including your name, address, phone number, email, and Social Security Number (SSN) or Employer Identification Number (EIN) in the designated spaces. 4. Provider Information: Fill out the required details about your provider organization, such as the legal business name, National Provider Identifier (NPI), and Taxonomy Code. If you're an individual provider, include your individual NPI. 5. Business Structure: Indicate the business structure type (e.g., Individual/Sole Proprietor, Partnership, Corporation, etc.) of your provider organization. 6. Operational Details: Provide information about the number of locations your organization operates, the date your organization started billing Medicare, and any previous ownership information if applicable. 7. Enrollment Information: Specify the type of Medicare program you are applying for enrollment (e.g., Medicare Part A, Part B, DMEPOS, etc.) and select the appropriate enrollment option from the given choices. 8. Submitting an Initial Enrollment or Revalidation: Indicate whether this application is an initial enrollment or a revalidation. If revalidating, provide the revalidation date. 9. Supporting Documents: You may need to attach additional supporting documents depending on your provider type. Consult the instructions to determine if any additional documentation is required, such as proof of licensure or accreditation. 10. Certification: Read the certification statement carefully and sign and date the form in the designated area. By signing, you are certifying that the information provided is correct and complete to the best of your knowledge. 11. Submission: Once you have completed all the sections of the form, double-check for any errors or omissions. Safely retain a copy for your records before submitting the form to the appropriate Medicare Administrative Contractor (MAC). Remember, accurately completing the form is crucial for your enrollment application to be processed efficiently. If you have any doubts or concerns, seek assistance from CMS or consult a professional familiar with the enrollment process.

Form no 0938 0950 is used by the Centers for Medicare & Medicaid Services (CMS) in the United States. The purpose of this form, titled "Medicare Enrollment Application," is to enroll healthcare providers and suppliers into the Medicare program. The form collects information about the provider or supplier, including identification details, contact information, services offered, and payment details. It ensures that the entity meets the necessary requirements and can participate in the Medicare program, which provides health insurance for eligible individuals aged 65 or older, as well as certain younger individuals with disabilities.

Form No. 0938 0950 is a Medicare Enrollment Application for Physicians and Non-Physician Practitioners. When submitting this form, the following information needs to be reported: 1. Identification Information: This includes the full name, social security number, gender, date of birth, and contact information (address, phone number, email) of the applicant. 2. Business Information: Details about the practice/group, including the legal business name, DBA name (if applicable), tax identification number, billing address, phone number, and NPI (National Provider Identifier) number. 3. Medicare Enrollment Information: The type of enrollment being requested (e.g., initial enrollment, reassignment, change in practice location), date of intended Medicare enrollment, and the reason for submission (e.g., new enrollment, revalidation, etc.). 4. Certification and Signature: The form must be signed and dated by the applicant or authorized representative, certifying the accuracy of the information provided. It is essential to ensure that all required sections are completed accurately, as incomplete or incorrect information may result in delays or rejection of the application.

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