Effective date of npi number: free download. On-line document store on 5y1.org

[DOCX File]Johns Hopkins Medicine, based in Baltimore, Maryland
https://info.5y1.org/effective-date-of-npi-number_1_b14a33.html
CURRENT DATE. NPI Enumerator. P.O. Box 6059. Fargo, ND 58108-6059 RE: REQUEST FOR NPI NUMBER FOR PHYSICAN WITHOUT SSN [NAME OF INTERNATIONAL MEDICAL GRADUATE] Dear NPI Enumerator: I am requesting an NPI number and my completed CMS10114 application is attached with all supporting documents.
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[DOC File]ENROLLMENT/CHANGE REQUEST
https://info.5y1.org/effective-date-of-npi-number_1_5748ea.html
The effective date of coverage under the individual health benefits plan in this instance will be January 1 of the calendar year following the October Open Enrollment Period. You SHOULD NOT terminate current coverage until the new coverage is effective.
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[DOCX File]FQHC and RHC Initial Rate Setting Application Package
https://info.5y1.org/effective-date-of-npi-number_1_2f98ba.html
For example, a new FQHC/RHC with an effective date of 10/1/03 whose fiscal year end is 12/31/03 will need to submit an actual cost report for 12/31/04 to establish a PPS rate. This would be the first complete fiscal year [12 months] subsequent to the FQHC/RHC effective date.
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[DOCX File]New Mexico Medicaid Portal
https://info.5y1.org/effective-date-of-npi-number_1_969800.html
Number: Enter the billing provider’s 10 digit National Provider Identifier. Effective Date: Enter the effective date of your NPI. Comment: Enter reason for change. Please note: You must provide a print out from NPPES with new NPI and. Tax Information and Business Type. Tax ID (EIN or SSN): Enter the billing provider’s 9 digit tax number ...
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[DOCX File]Washington State Health Care Authority
https://info.5y1.org/effective-date-of-npi-number_1_8dcbeb.html
Organization NPI number Business location (city, state) Contact name Contact phone number Contact email address ... Date of requested effective date change for billing group/facility provider ...
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[DOCX File]Effective date change request form
https://info.5y1.org/effective-date-of-npi-number_1_4b3779.html
Organization NPI number Business location (city, state) Contact name Contact phone number Contact email address ... Date of requested effective date change for billing group/facility provider ...
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[DOC File]Alliance Health
https://info.5y1.org/effective-date-of-npi-number_1_a284fb.html
The rationale for the service removal, the impact on members and the discharge/continuation of service plan, the impact on staff, records management plan and your plan for attending to other obligations detailed in your network contract with Alliance Health.
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HOS-1-1220
The effective date for hospice services may not be earlier than the date that the member or the member’s representative signs the form, except for those who have pending MassHealth enrollment applications. ... Nursing Facility NPI Number (if applicable)Address of Nursing Facility (if applicable) Section B: Member Information (Required)
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[DOC File]Missouri Medicaid Audit & Compliance » MMAC
https://info.5y1.org/effective-date-of-npi-number_1_3fb7f9.html
The NPI is the standard, unique health identifier for health care providers and is assigned by the National Plan and Provider Enumeration System (NPPES). The NPI must be for an individual physician or non-physician practitioner (not an organizational NPI). ... License Number Issuing State Effective Date End Date Section 3 – Medical ...
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[DOC File]Case Management Enrollment Form
https://info.5y1.org/effective-date-of-npi-number_1_b2b720.html
case manager signature date case management agency group tpi number group npi number ()- ()- provider phone number provider fax number e-mail note: original pan will be adjusted to the number of visits already completed. the original pan will end the day before the effective date of …
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Effective date of npi number