What information will I need before I begin to complete my enrollment via the Internet based Provider Enrollment, Chain and Ownership System (PECOS)?
Below is a list of the types of information needed to complete an initial enrollment action using Internet-based PECOS. This information is similar to the information needed to complete a paper CMS-855I Medicare enrollment application. • An active National Provider Identifier (NPI). • National Plan and Provider Enumeration System (NPPES) User ID and password. • Personal identifying information. This includes legal name on file with the Social Security Administration, date of birth, Social Security Number. • Professional license and certification information. This includes information regarding the physician’s or non-physician practitioner’s professional license, professional school degrees or certificates. • Practice location information. This information includes information regarding the practitioner’s medical practice location, the legal business name of a solely-owned Professional Association, Professional Corporation, or Limited Liability Company (LLC) on file with the Internal Re
Related Questions
- What should I do if my Social Security Number (SSN) does not verify in the Internet based Provider Enrollment, Chain and Ownership System (PECOS)?
- Why am I experiencing difficulty printing the certification statement from Provider Enrollment, Chain and Ownership System (PECOS)?
- What days and times will the Internet-based Provider Enrollment, Chain and Ownership System (PECOS) be available?
