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Provider Enrollment

All providers who serve Medicare patients are required to enroll with Medicare.  Providers and Suppliers interested in the most efficient process to enroll or make updates to their enrollment records should do so by submitting their information on-line via the Internet Based PECOS system available at https://pecos.cms.hhs.gov.  Please consider electronically signing your application and uploading supporting documents to avoid potential delays and shorten processing times.  If providers prefer to use the paper application to enroll or make changes to their Medicare application, please consider accessing the Provider Enrollment Interactive Help Tool to facilitate the application process.  Additional helpful information is available through the links listed below.  We look forward to assisting you and welcome to CGS Medicare Provider Enrollment!


Provider Enrollment Processes

 

Revalidation

 

Contact Us


Tools,
Tracking
& Resources

 

PECOS

 

FAQ's

 

Application
and Forms

   

 

 

Provider Enrollment Processes

What Type of Provider Am I?
Part B Providers Part A Providers
Physicians/NPPs/Suppliers Clinics/Group Practices &
Certain Other Suppliers
Institutional

Anesthesiology Assistants
Audiologists
Certified Nurse-Midwives
Certified Registered Nurse Anesthetists
Clinical Nurse Specialists
Clinical Psychologists
Clinical Social Workers
Mass Immunization Roster Billers, individuals
Nurse Practitioners
Physical/Occupational Therapists in private practice
Physicians (Doctors of Medicine or Osteopathy,
Doctors of Dental Medicine; Dental Surgery;
Podiatric Medicine; or Optometry)
Physician Assistants
Psychologists practicing independently
Registered Dietitians or Nutrition Professionals
Speech-Language Pathologists

Ambulance Service Suppliers
Ambulatory Surgical
Centers (ASCs)
Clinics/Group Practices
Independent Clinical
Laboratories
Independent Diagnostic
Testing Facilities (IDTFs)
Intensive Cardiac
Rehabilitation Suppliers
Mammography Centers
Mass Immunization Roster
Billers, entities
Physical/Occupational
Therapy Group in Private
Practice
Portable X-ray Suppliers
Radiation Therapy Centers

Community Mental Health Centers (CMHCs)
Comprehensive Outpatient Rehabilitation Facilities (CORFs)
Critical Access Hospitals (CAHs)
End-Stage Renal Disease (ESRD) Facilities
Federally Qualified Health Centers (FQHCs)
Histocompatibility Laboratories
Home Health Agencies (HHAs)
Hospice Organizations
Hospitals
Indian Health Service (IHS) Facilities
Organ Procurement Organizations
Outpatient Physical Therapy/Occupational Therapy/Speech-Language Pathology Services
Religious Non-Medical Health Care Institutions
Rural Health Clinics (RHCs)
Skilled Nursing Facilities (SNFs)

 

Part A Provider Enrollment Processes

 

Tips to Facilitate the Medicare Enrollment Processes

 

 

Contact Us

Customer Service

Phone: 866.276.9558

  • Option 1: Claims
  • Option 2: Electronic Data Interchange (EDI)
  • Option 3: Provider Enrollment (PE)
  • Option 4: Overpayment Recovery (OPR)
  • Option 9: General Inquiries

 

8:00 a.m. – 5:00 p.m. (EST)

Before you call, make sure you have:

  • Your National Provider Identifier (NPI);
  • Your Provider Transaction Access Number (PTAN);
  • The last 5 digits of the provider Tax Identification Number (TIN); and
  • Beneficiary’s Medicare Health Insurance Claim (HIC) number, first name, last name and date of birth.
CTI User GuidePDF
Steps in Using the CTI SystemPDF
2017 Customer Service Holiday / Training SchedulePDF
Telecommunications Devices for the Deaf (TTD/TTY)

Phone: 855.294.9889

 
Interactive Voice Response (IVR)

Phone: 866.289.6501

You will need your facility’s NPI, PTAN and the last 5 digits of the provider TIN.
IVR User GuidePDF
IVR Beneficiary Name to Number Converter
Development Request (Corrections)

Link: https://www.cgsmedicare.com/partb
/pubs/news/2016/10/cope717.html

Email Address: J15.PROVIDER.ENROLLMENT@cgsadmin.com
Fax: 615.664.5935

If your application requires additional information, you will receive Provider Enrollment correspondence regarding your application, from J15.PROVIDER.ENROLLMENT@cgsadmin.com. We encourage you to respond to the development requests using email. When replying, please reply ALL and do not forward.   This email account automated and is only monitored for corrections to applications in process. Any emails received that are confirming receipt of your email or general inquiries cannot be addressed.  
Standard Mailing Address

J15-Part A Provider Enrollment
CGS Administrators, LLC                               
P.O. Box 20004                                                      Nashville, TN 37202

 
Overnight Mailing Address

J15-Part A Provider Enrollment
CGS Administrators, LLC                             
26 Century Blvd STE ST610                                                       Nashville, TN 37214-3685

 
Congressional Inquiries

Fax: 615.664.5923

 
Online Help Center

Link:
https://www.cgsmedicare.com/partb/
cs/online_help.html

Looking for Part B Contact Information?   This inquiry tool is designed for Medicare providers.  Please complete the form and submit the inquiry.
Customer Service Toll Free Number and Option

Link:              https://www.cgsmedicare.com/partb/
cs/contactinfo.html#customerservice

This will help us direct you to the correct department quickly. 
     

 

Helpful Links:

Updated: 07.03.17

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