Provider Enrollment

Hours of operation: 8:00 AM to 6:00 PM Eastern Time, Monday - Friday

Information needed before you call: SSN or FEIN numbers of the enrolling provider, or provider number if they have one.

Provider Enrollment Provides the following information:

• Status of pending enrollment
• Eligibility periods for Enrolled Providers
• Form Requests
• Application Requests
• Changes pertaining to the Providers File
• Fee Schedule Request
• Billing Instructions and Policy Manual Request