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    This document provides a list of Medicare fee-for-service contractors by state that process enrollment applications for different provider and supplier types. It includes contact information for Part A, Part B, home health and hospice, and DMEPOS suppliers contractors. The contractors listed process applications for providers and suppliers such as hospitals, nursing facilities, physicians, medical equipment suppliers, and more.

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    This document provides a list of Medicare fee-for-service contractors by state that process enrollment applications for different provider and supplier types. It includes contact information for Part A, Part B, home health and hospice, and DMEPOS suppliers contractors. The contractors listed process applications for providers and suppliers such as hospitals, nursing facilities, physicians, medical equipment suppliers, and more.

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    59 views11 pages

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    Uploaded by

    Acelasi Yo
    This document provides a list of Medicare fee-for-service contractors by state that process enrollment applications for different provider and supplier types. It includes contact information for Part A, Part B, home health and hospice, and DMEPOS suppliers contractors. The contractors listed process applications for providers and suppliers such as hospitals, nursing facilities, physicians, medical equipment suppliers, and more.

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    of 11

    02/06/20174:37 PM

    Medicare Fee-for-Service Provider Enrollment Contact List

    Medicare operations are managed by independent contractors known as fee-for-service contractors.

    The Medicare fee-for-service contractor serving your State or jurisdiction will answer your enrollment questions and process your enrollment application.

    An A/B MAC processes enrollment applications submitted by Part B suppliers (physicians, non-physician practitioners, and the following organizations):

    Ambulance Service Supplier Independent Diagnostic Testing Facility

    Ambulatory Surgical Center Mammography Center

    Clinics & Group Practices Portable X-ray Supplier

    Independent Clinical Laboratory Radiation Therapy Center

    Note: If your supplier type is not shown above, contact a the designated carrier before you submit an enrollment application.

    An A/B MAC processes enrollment applications submitted by the following Part A Providers/Organizations:

    Community Mental Health Center Histocompatibility Laboratory Organ Procurement Organization

    Comprehensive Outpatient Rehab Facility Home Health Agency (HHA) Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services

    Critical Access Hospital Hospice Religious Non-Medical Health Care Institution

    End-Stage Renal Disease Facility Hospital Rural Health Center

    Federally Qualified Health Center Indian Health Services Facility Skilled Nursing Facility

    Note: If your provider or supplier type is not shown above, contact a the designated A/B MAC before you submit an enrollment application.

    The National Supplier Clearinghouse processes enrollment applications submitted by Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers.

    Alabama Part A Contractor Cahaba GBA, LLC 877-567-7271 Provider Enrollment - Part A, P.O. Box 6168, Indianapolis, IN 46206-6168 http://www.cahabagba.com

    Part B Contractor Cahaba GBA, LLC 877-567-7271 Provider Enrollment - Part B, P.O. Box 6169, Indianapolis, IN 46206-6168 http://www.cahabagba.com

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Alaska Part A Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6720 Fargo, ND 58108-6720 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6703, Fargo, ND 58108-6703 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc
    02/06/20174:37 PM

    American Samoa Part A Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6773, Fargo, ND 58108-6773 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6777, Fargo, ND 58108-6777 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Arizona Part A Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6730, Fargo, ND 58108-6730 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6704, Fargo, ND 58108-6704 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Arkansas Part A Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    California Part A Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6770, Fargo, ND 58108-6770 https://med.noridianmedicare.com/
    Northern California: Provider Enrollment, PO Box 6774, Fargo, ND 58108-6774
    Part B Contractor Noridian Healthcare Solutions 855-609-9960 Southern California: Provider Enrollment, PO Box 6775, Fargo, ND 58108-6775 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Colorado Part A Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Connecticut Part A Contractor National Government Services, Inc. 855-593-8047 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Part B Contractor National Government Services, Inc. 888 379-3807 Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc
    02/06/20174:37 PM

    District of Columbia Part A Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Delaware Part A Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Florida Part A Contractor First Coast Service Options 877-602-8816 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021 http://www.fcso.com/

    Part B Contractor First Coast Service Options 866-454-9007 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021 http://www.fcso.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Georgia Part A Contractor Cahaba GBA, LLC 877-567-7271 Provider Enrollment - Part A, P.O. Box 6168, Indianapolis, IN 46206-6168 http://www.cahabagba.com

    Part B Contractor Cahaba GBA, LLC 877-567-7271 Provider Enrollment - Part B, P.O. Box 6169, Indianapolis, IN 46206-6168 http://www.cahabagba.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Guam Part A Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6773, Fargo, ND 58108-6773 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6777, Fargo, ND 58108-6777 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Hawaii Part A Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6773, Fargo, ND 58108-6773 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6777, Fargo, ND 58108-6777 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc
    02/06/20174:37 PM

    Idaho Part A Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6726, Fargo, ND 58108-6726 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6701, Fargo, ND 58108-6701 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Illinois Part A Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    Part B Contractor National Government Services, Inc. 877-908-8476 Provider Enrollment, P.O. Box 6475, Indianapolis, IN 46206-6475 http://www.ngsmedicare.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P. O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Indiana Part A Contractor Wisconsin Physicians Service 866-234-7331 Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248 www.wpsgha.com

    Part B Contractor Wisconsin Physicians Service 866-234-7331 Provider Enrollment, P.O. Box 8248, Madison, Wisconsin 53708-8248 www.wpsgha.com

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Iowa Part A Contractor Wisconsin Physicians Service 866-518-3285 Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248 www.wpsgha.com

    Part B Contractor Wisconsin Physicians Service 866-518-3285 Provider Enrollment, P.O.Box 8248, Madison, WI 53708-8248 www.wpsgha.com

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Kansas Part A Contractor Wisconsin Physicians Service 866-518-3285 Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248 www.wpsgha.com

    Part B Contractor Wisconsin Physicians Service 866-518-3285 Provider Enrollment, P.O.Box 8248, Madison, WI 53708-8248 www.wpsgha.com

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Kentucky Part A Contractor CGS Administrators LLC    866-590-6703 P.O. Box 20004, Nashville, TN 37202 http://www.cgsmedicare.com/
    J15 - Part B Provider Enrollment CGS Administrators, LLC PO Box 20017 Nashville,
    Part B Contractor CGS Administrators LLC    866-276-9558   TN 37202 http://www.cgsmedicare.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc
    02/06/20174:37 PM

    Louisiana Part A Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Maine Part A Contractor National Government Services, Inc. 855-593-8047 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Part B Contractor National Government Services, Inc. 888-379-3807 Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Maryland Part A Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Massachusetts Part A Contractor National Government Services, Inc. 855-834-5596 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Part B Contractor National Government Services, Inc. 888-379-3807 Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Michigan Part A Contractor Wisconsin Physicians Service 866-234-7331 Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248 www.wpsgha.com

    Part B Contractor Wisconsin Physicians Service 866-234-7331 Provider Enrollment, P.O. Box 8248, Madison, Wisconsin 53708-8248 www.wpsgha.com

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46205-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Minnesota Part A Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    Part B Contractor National Government Services, Inc. 877-908-8476 Provider Enrollment, P.O. Box 6475, Indianapolis, IN 46206-6475 http://www.ngsmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Mississippi Part A Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc
    02/06/20174:37 PM

    Missouri Part A Contractor Wisconsin Physicians Service 866-518-3285 Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248 www.wpsgha.com

    Part B Contractor Wisconsin Physicians Service 866-518-3285 Provider Enrollment, P.O.Box 8248, Madison, WI 53708-8248 www.wpsgha.com

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Montana Part A Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6732, Fargo, ND 58108-6732 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6735, Fargo, ND 58108-6735 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Nebraska Part A Contractor Wisconsin Physicians Service 866-518-3285 Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248 www.wpsgha.com

    Part B Contractor Wisconsin Physicians Service 866-518-3285 Provider Enrollment, P.O.Box 8248, Madison, WI 53708-8248 www.wpsgha.com

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Nevada Part A Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6772, Fargo ND, 58108-6772 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6776, Fargo ND, 58108-6776 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    New Hampshire Part A Contractor National Government Services, Inc. 855-593-8047 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Part B Contractor National Government Services, Inc. 888-379-3807 Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    New Jersey Part A Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc
    02/06/20174:37 PM

    New Mexico Part A Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    New York Part B Contractor National Government Services, Inc. 888-379-3807 Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Part A Contractor National Government Services, Inc. 855-593-8047 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    North Carolina Part A Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment, 2300 Springdale Drive, Building One Camden, SC 29020 http://www.palmettogba.com/
    Part B Provider Enrollment (AG-310)
    Part B Contractor Palmetto GBA 855-696-0705 P.O.Box 100190 Columbia, SC 29202-3190 http://www.palmettogba.com

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    North Dakota Part A Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6709, Fargo, ND 58108-6709 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6706, Fargo, ND 58108-6706 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc
    02/06/20174:37 PM

    Northern Part A Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6773, Fargo, ND 58108-6773 https://med.noridianmedicare.com/

    Mariana Part B Contractor Noridian Healthcare Solutions 855-609-9960 Provider Enrollment, PO Box 6777, Fargo, ND 58108-6777 https://med.noridianmedicare.com/

    Islands Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Ohio Part A Contractor CGS Administrators LLC    866-590-6703 P.O. Box 20004, Nashville, TN 37202 http://www.cgsmedicare.com/
    J15 - Part B Provider Enrollment CGS Administrators, LLC PO Box 20017 Nashville,
    Part B Contractor CGS Administrators LLC    866-276-9558   TN  37202 Http://www.cgsmedicare.com

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Oklahoma Part A Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Oregon Part A Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6726, Fargo, ND 58108-6726 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6702, Fargo, ND 58108-6702 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Pennsylvania Part A Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Puerto Rico Part A Contractor First Coast Service Options 877-908-8433 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021 http://www.fcso.com/

    Part B Contractor First Coast Service Options 877-715-1921 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021 http://www.fcso.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc
    02/06/20174:37 PM

    Rhode Island Part A Contractor National Government Services, Inc. 855-593-8047 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Part B Contractor National Government Services, Inc. 888-379-3807 Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    South Carolina Part A Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    Part B Contractor Palmetto GBA 855-696-0705 Part B Provider Enrollment (AG-310), P.O. Box 100190, Columbia, SC 29202-3190 http://www.palmettogba.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    South Dakota Part A Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6733, Fargo, ND 58108-6733 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6707, Fargo, ND 58108-6707 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Tennessee Part A Contractor Cahaba GBA 877-567-7271 Provider Enrollment - Part A, P.O. Box 6168, Indianapolis, IN 46206-6168 http://www.cahabagba.com

    Part B Contractor Cahaba GBA 877-567-7271 Provider Enrollment - Part B, P.O. Box 6169, Indianapolis, IN 46206-6168 http://www.cignamedicare.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Texas Part A Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Part B Contractor Novitas Solutions 855-252-8782, Option 4 JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor Palmetto GBA 855-696-0705 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    U.S. Virgin Islands Part A Contractor First Coast Service Options 877-908-8433 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021 http://www.fcso.com/

    Part B Contractor First Coast Service Options 877-715-1921 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021 http://www.fcso.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Utah Part A Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6724, Fargo, ND 58108-6724 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6725, Fargo, ND 58108-6725 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc
    02/06/20174:37 PM

    Vermont Part A Contractor National Government Services, Inc. 855-593-8047 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Part B Contractor National Government Services, Inc. 888-379-3807 Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Part A Provider Enrollment (AG-331)


    Virginia Part A Contractor Palmetto GBA 855-696-0705 P.O.Box 100144 Columbia, SC 29202-3144 http://www.palmettogba.com
    Part B Provider Enrollment (AG-310)
    Part B Contractor Palmetto GBA 855-696-0705 P.O.Box 100190 Columbia, SC 29202-3190 http://www.palmettogba.com

    Virginia (counties of
    Arlington and Fairfax
    and City of Alexandria) Part B Contractor Novitas Solutions, Inc. 877-235-8073, Option 4 Provider Enrollment Services, PO Box 3157, Mechanicsburg, PA 17055-1836 http://www.novitas-solutions.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Washington Part A Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6720, Fargo, ND 58108-6720 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6700, Fargo, ND 58108-6700 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Part A Provider Enrollment (AG-331)


    West Virginia Part A Contractor Palmetto GBA 855-696-0705 P.O.Box 100144 Columbia, SC 29202-3144 http://www.palmettogba.com
    Part B Provider Enrollment (AG-310)
    Part B Contractor Palmetto GBA 855-696-0705 P.O.Box 100190 Columbia, SC 29202-3190 http://www.palmettogba.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 P.O. Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

    Wisconsin Part A Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    Part B Contractor National Government Services, Inc. 877-908-8476 Provider Enrollment, P.O. Box 6475, Indianapolis, IN 46206-6475 http://www.ngsmedicare.com/

    Home Health and Hospice Contractor National Government Services, Inc. 855-834-5596 Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474 http://www.ngsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc
    02/06/20174:37 PM

    Wyoming Part A Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6734, Fargo, ND 58108-6734 https://med.noridianmedicare.com/

    Part B Contractor Noridian Healthcare Solutions 877-908-8431 Provider Enrollment, P.O. Box 6708, Fargo, ND 58108-6708 https://med.noridianmedicare.com/

    Home Health and Hospice Contractor CGS Administrators LLC    877-299-4500 PO Box 20016, Nashville, TN 37202 http://www.cgsmedicare.com/

    National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

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