On-Line Request for Registration for Medicare Secondary Payer (MSP) Billing and Other Medicare Billing Issues Seminar

Home Provider Part A Education Seminars

Please enter your registration information below. A confirmation e-mail will be sent to you from WPS Medicare upon receipt of payment.

Registration Information

Name of Company or Provider:*
Company or Provider Specialty:
Company or Provider Address:*
City, State, Zip:
Phone Number:*	( )
Fax Number:	( )
Contact E-mail Address*:
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Your Name or Contact Name:*
Attendee 1:*
Other Attendees:
Provider Number:*

         

By submitting your e-mail address, you are allowing WPS to send this e-mail address information on Medicare rules, regulations, and current seminars. WPS is the only entity that will use this address. If you do not want to receive this information, please follow the disenrollment directions within your first e-mail or let us know within your submission.

Page Last Updated: Tuesday, 29-Dec-2009 13:39:20 CST