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Medicare enrollment applications can be submitted by using paper forms such as the cms 855i for an individual provider the cms 855b for a group supplier and other forms.
How to apply for medicare license. Citizenship or legal residency. Make a copy of the signed form for your records before mailing it to your medicare administrative contractor mac with your supporting documents and eft authorization agreement form. Pecos has video and print tutorials and will walk you through your enrollment to ensure your information is accurate. 5 then submit your application online and view your receipt which explains what additional information may be needed such as marriage license when you are short of 40 quarters and applying under your spouse s medicare benefits or must mail your citizenship papers. Aside from being a requirement you will receive the fundamental training essential for you to understand how health plans work including medicare.
A medicare medicaid license can only be obtained through an authorized government agency. To become a medicare insurance agent you must get a health insurance license in the state you currently live in resident state. Complete the online pecos application. When you ve completed your paper application print it and sign it. The tests are electronic and you will immediately get your exam score upon.
Enroll using pecos i the online medicare enrollment system. Although pecos is designed to be paperless providers can print a copy of the application for their records. When can i enroll in medicare. Depending on the type of business where you re doing business and other specific regulations that may apply there may be multiple government agencies that you must contact in order to get a medicare medicaid license. Providers may also use the online application through the provider enrollment chain and ownership system pecos.
Your signature is required to be handwritten when you submit a paper application. The documents needed to enroll in original medicare parts a and b include a birth certificate driver s license and proof of u s.
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