Enrollment

Welcome to the WPS Medicare Provider Enrollment web page.

Provider Enrollment Telephone Numbers
Illinois, Michigan, and Wisconsin   Minnesota
(877) 908-8476
8:00 A.M. - 4:00 P.M. Central Time
Monday - Friday

Fax: (608) 301-2740
  (866) 564-0315
8:00 A..M. - 4:00 P.M. Central Time
Monday - Friday

Fax: (952) 885-2814

Provider Enrollment Addresses
Illinois, Michigan, and Wisconsin  
Wisconsin Physicians Service
Medicare Provider Enrollment
P.O. Box 8248
Madison, WI 53708-8248
  Priority Mailing Address
Wisconsin Physicians Service
Medicare Provider Enrollment
1707 W. Broadway
Madison, WI 53713-1834
Minnesota  
Wisconsin Physicians Service
Medicare Provider Enrollment
8120 Penn Avenue South
Bloomington, MN 55431-1394
   

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 Wisconsin, Illinois, Michigan, and Minnesota

CMS Links

CMS Forms
Information and Education Resources for Medicare Fee-for-Service Health Care Professionals
Internet-based PECOS
Medicare Provider-Supplier Enrollment

WPS Provider Enrollment Information

Appealing Medicare Provider Enrollment Determinations
E-Mail Development Requests on Provider Enrollment CMS-855 Applications
Effective Billing Date Determination
Effective Date of Reactivation
Enrollment Application Status Inquiry (EASI)
Internet-based Medicare Provider Enrollment
Maxillofacial Surgeons
Medicare Denial for Secondary Insurers
Medicare Enrollment of Ordering/Referring Providers
Physicians in Residency and Fellowship Programs
Provider Specialty Codes
Providers Responsible for Knowing Guidelines
Release of Medicare Provider Enrollment Information
Reporting Changes of Information
Return and Development of CMS-855 Enrollment Applications
Revalidation of Medicare Enrollment

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)
New Providers
Opting Out of Medicare

Forms

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

Page Last Updated: Monday, 14-May-2012 13:49:58 CDT