itemdetail

Details for CMS 855B

Shown below are the details for the item you selected from the list.

Form #	CMS 855B
Form Title	Medicare Enrollment Application - Clinics/Group Practices and Certain Other Suppliers
Revision Date	02/01/2008
O.M.B. #	0938-0685
O.M.B. Expiration Date	02/28/2011
CMS Manual	N/A
Special Instructions	N/A


Downloads
CMS 855B
Related Links Inside CMS
Provider/Supplier Enrollment Overview
Related Links Outside CMS
There are no Related Links Outside CMS