Provider Enrollment, Provider Based and Excluded Unit Reviews Contacts

Home Provider Part A Medicare Areas Audit and Reimbursement Provider Enrollment Contacts

Mailing Address

Provider Enrollment

Phone:

Toll Free:
1-866-734-9444 enter 4 digit extension (see below)
Direct Dial:
(402) 351- 4 digit extension (see below)
Fax: (402) 351-2244 or (402) 351-8796

Management Team:

V.P. of Medicare A&R:
Shelly Foxworthy
Extension: 5377
E-mail: Shelly.Foxworthy@wpsic.com

Manager, Tech Support/Appeals/Reopenings:
Bill Lange
Extension: 5386
E-mail: Bill.Lange@wpsic.com

Technical Support:

Handles all provider-based attestations and excluded unit reviews (IRF reviews).

Technical Support Supervisor:
Chris Severson
4759
Chris.Severson@wpsic.com

Provider Enrollment:

Handles all enrollment (855A) applications and change of information requests.

Enrollment Supervisor:
Nic Chesnut
6238
Nic.Chesnut@wpsic.com

PE customer service calls to go through Customer Service Call Center

Our Customer Service Call Center handles many provider inquiries and now can also handle general Provider Enrollment questions.  We are committed to providing the same level of service as shown in the past through our centralized Customer Service Call Center.  When necessary, our Customer Service Call Center will promptly direct your provider enrollment question to the appropriate area. 

Please direct all general provider enrollment questions to the Customer Service Call Center using the Toll-Free number, for the region where your facility is located. 

Southeast Region: AL, FL, GA, KY, MS, NC, SC, TN
1-866-580-5981

Central Region: AR, IA, KS, LA, MO, NE, NM, OK, TX
1-866-580-5984

West Region: AZ, CA, CO, HI, ED, ND, NV, OR, SD, UT, WA
1-866-580-5987        

Northeast Region: CT, DE, DC, IL, IN, MA, MD, MI, MN, NJ, OH, PA, RI, VA, WI, WV
1-866-580-5945

CMS has provided links on their website of all Contractors/Carriers Contact adobe portable format document listing.

Page Last Updated: Wednesday, 29-Oct-2008 15:32:09 CDT