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Is there a special enrollment form for a business or group practice?

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Is there a special enrollment form for a business or group practice?

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Yes. In this case you would submit the CMS-855B form. This same form is appropriate for group practices. A copy of the form and instructions are on the same site as the CMS-855i. Remember that you must have an NPI group number in order to submit the 855-B form. Contact your local Medicare contractor for enrollment inquiries. Keep in mind that enrollment of private practice SLPs does not begin until May or June of 2009, so your contractor may not yet have information specific to your practice. For further information, contact reimbursement@asha.org. Note: Links to most of the Web sites identified here are available on ASHA’s Web site.

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