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Enrollment

Enrollment Phone Number

(866) 503-7664
8:00 am to 4:00 pm CT M-F

Enrollment Address

WPS Medicare Part B
Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248

What is Provider Enrollment?

Provider enrollment is a critical function for ensuring that only qualified individuals and entities meeting Centers for Medicare & Medicaid Services (CMS) eligibility criteria are enrolled in the Medicare program and receive reimbursement for services furnished to Medicare beneficiaries.

Physicians, non-physician practitioners, suppliers, and other qualified providers must first enroll in the program in order to submit claims and receive payment for Medicare covered services.

Wisconsin Physicians Service (WPS) is responsible for Medicare Part B provider enrollment for Iowa, Kansas, Missouri, and Nebraska.

CMS Links

CMS Forms
Incorporation of Physician Fee Schedule Regulatory Changes into Chapter 10 of the Program Integrity Manual (PIM) (Revised MM 6310)
Information and Education Resources for Medicare Fee-for-Service Health Care Professionals
Internet-based PECOS
Medicare Provider Enrollment of Individuals (Physicians and Non-Physician Practitioners)
Medicare Provider-Supplier Enrollment
Tips to Facilitate Your Medicare Enrollment

Enrollment Articles

CMS to Review PECOS Enrollment Process
Development Requests on Provider Enrollment CMS 855 Applications
Enrollment Application Status Inquiry (EASI)
Important Notice Regarding Provider Enrollment Hotline Telephone number Hours of Operation
Medicare Denial for Secondary Insurers
Medicare Enrollment of Ordering/Referring Providers
Part B Organizational & Individual Practitioner Supplier Enrollment Revalidation
Revalidation of Medicare Enrollment
Speed up Your Enrollment with PECOS Web
WPS Encourages Use of Internet-Based PECOS

General Information

Effective Billing Date Determination
Effective Date of Reactivation
Providers Responsibility for Knowing
Provider Specialty Codes
Reporting Address Changes and Other Changes of Information

Participation Information

Medicare Participating Physician or Supplier AgreementAdobe Portable Document format
Medicare Participation for Calendar Year 2012
Medicare Participation Program

WPS Medicare Resources

Independent Diagnostic Testing Facilities (IDTF) (Provider Enrollment)
New Providers
Opt Out of Medicare

Frequently Asked Questions (FAQs)

To view the Enrollment FAQs, select Deparmental from the FAQ top navigation drop down menu, then choose "Provider Enrollment", you will then be directed to the FAQ page.

Questions and Answers (Q&As)

Changes to Provider Enrollment Information

Forms

If you are searching for a specific enrollment form, please utilize the "Forms" option within the top navigation bar.

Page Last Updated: Thursday, 12-Jan-2012 14:46:01 CST