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December 2, 2008

Enrollment applications

Medicare provider/supplier enrollment applications (i.e., CMS-855) can be found at http://www.cms.hhs.gov/CMSForms/CMSForms/list.asp#TopOfPage external link (Note: the provider enrollment Web page contains a link "All CMS Forms" and takes you to the main CMS Forms Web page, but does not link directly to each individual form.).
The direct link for each Medicare provider/supplier enrollment application is shown below:
CMS 855A for Institutional Providers: http://www.cms.hhs.gov/cmsforms/downloads/cms855a.pdf external link to pdf
CMS 855B for Clinics/Group practices and Certain Other Suppliers: http://www.cms.hhs.gov/CMSforms/downloads/cms855b.pdf external link to pdf
CMS 855I for Physicians and Non-Physician Practitioners: http://www.cms.hhs.gov/cmsforms/downloads/cms855i.pdf external link to pdf
CMS 855R for Reassignment of Medicare Benefits: http://www.cms.hhs.gov/cmsforms/downloads/cms855r.pdf external link to pdf
CMS 855S for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers: http://www.cms.hhs.gov/cmsforms/downloads/cms855s.pdf external link to pdf
Source: CMS frequently asked questions ID 3712
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