I have a Medicare supplier number and have sold the assets of my company to someone else. What is my responsibility?
As the seller, you are required to ensure the NSC has been notified of the sale within 30 days of the date of sale. Please complete the CMS 855S form as a ‘Voluntary Termination’ of your supplier number. To complete the CMS 855S form as a ‘Voluntary Termination’, please complete the following sections: Section 1.