Provider Enrollment Contact Information

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Provider Enrollment Contact Information
State	Address	Phone Number
Wisconsin Illinois Michigan	Wisconsin Physicians Service Medicare Part B Provider Enrollment Department P.O. Box 8248 Madison, WI 53708-8248 OR 1707 West Broadway Madison, WI 53713-1834	(877) 908-8476 Fax: 608-301-2740
Minnesota	Wisconsin Physicians Service Medicare Part B Provider Enrollment Department 8120 Penn Avenue South Suite 200 Bloomington, MN 55431-1394	(866) 564-0315 Fax: 952-885-2814

Page Last Updated: Thursday, 18-Mar-2010 05:56:10 CDT