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Your NPI information should be accurately structured as shown.
Type I Individual NPI -
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Name & Address (exactly as Medicare has on record, including punctuation)
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Social Security Number
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Medicare PIN
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Medicare UPIN
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Medicare NSC for materials, if applicable (list only if you are NOT a group)
Type II Organization/Group NPI -
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Business Name & Address (exactly as Medicare has on record, including punctuation)
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Tax ID
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Medicare PIN
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Medicare NSC for materials, if applicable
Special Note: If you are enrolled in Medicare as a group, you must have two types of NPIs: one for the group and one for each individual provider within the group. |
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There are too many practices who have not yet addressed this very pertinent issue. Because of the high number of practices that continue to face rejections, we are unable to continue contacting each practice individually. Please accept this formal warning that your claims will be rejected by Medicare if you do not follow the necessary steps to ensure NPI accuracy.
If you have any further questions or have made changes to your NPI, please contact PEN's Medicare Billing Department via email or by calling 800-444-9230 (option #4).
Thank you for your continued business,
Primary Eyecare Network's
Medicare Billing Department |
