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The Centers for Medicare & Medicaid Services (CMS) has implemented an Internet-based Medicare provider enrollment process, known as Internet-based Provider Enrollment, Chain and Ownership System (PECOS). Internet-based PECOS is available to physicians, non-physician practitioners, and provider and supplier organizations in all States and the District of Columbia. Internet-based PECOS will allow physicians, non-physician practitioners, and provider and supplier organizations the option of enrolling, making a change in their Medicare enrollment information, viewing Medicare enrollment information, or tracking the status of their Medicare enrollment applications throughout the Internet submission process. For physicians and non-physician practitioners, there are three basic steps to completing an enrollment action using Internet-based PECOS. Physicians and non-physician practitioners must: 1. Have an NPPES User ID and password to use Internet-based PECOS. For security reasons, physicians and non-physician practitioners should change passwords periodically, at least once a year. Please read the document entitled, "Medicare Physician and Non-Physician Practitioners - Protecting Your Privacy, Protecting Your Medicare Enrollment Record." which is available in the Download section of this page. 2. Go to Internet-based PECOS by clicking on the link found in the section titled, "Related Links Outside CMS" (at the bottom of this page) and complete, review, and submit the electronic enrollment application via Internet-based PECOS. 3. Print, sign and date the 2-page Certification Statement and mail the Certification Statement and all supporting paper documentation to the Medicare contractor within 7 days of electronic submission. Note: A Medicare contractor will not process an Internet enrollment application without the signed and dated Certification Statement. In addition, the effective date of filing an enrollment application is the date the Medicare contractor receives the signed Certification Statement that is associated with the Internet submission. The Certification Statement must be signed by the physician or non-physician practitioner enrolling or making changes to enrollment information. Signatures must be original and in ink (blue ink recommended). Copied or stamped signatures will not be accepted. The physician or non-physician practitioner assumes full and complete liability for new and updated Medicare enrollment information that is transmitted to the enrollment contractor via Internet-based PECOS once the enrollment contractor receives the signed and dated Certification Statement. In addition, the physician or non-physician practitioner is responsible for any unauthorized disclosure of information furnished for the Medicare enrollment process. While CMS encourages physicians and non-physician practitioners to print and retain a copy of the enrollment application for their records, physicians and non-physician practitioners should only mail the 2-page Certification Statement and supporting documentation to the designated Medicare contractor. Note: Internet-based PECOS will not be available to suppliers of durable medical equipment, prosthetics, orthotics, and supplies until a future date. For additional information regarding Internet-based PECOS, go to the download section of this web page.
Page Last Modified: 04/01/2009 9:46:42 AM
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