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national provider identifier (npi) application/update form - CMS.gov
May 30, 2007 ... Credential (e.g., M.D., D.O.). Other Name Information (If applicable. Use additional sheets of paper if necessary). 1. Prefix (e.g., Mr., Mrs.) 2. First.
cms10114.pdf

National Provider Identifier - UnitedHealthcareOnline.com
The National Provider Identifier (NPI) is a Health Insurance. Portability and .... so immediately. a) AmeriChoice States of (AZ, MD, NE, NJ, NY, PA, TX, and WI).
NPI_FAQs_GovtPrograms.pdf

Important NPI Time Frame Changes - Maryland Medicaid
Apr 16, 2007 ... The Maryland Medicaid Program will not be ready to implement the National ... provider number and their NPI for electronic claim transactions.
NPITimeFramePacket2.pdf

Two, One or None: How Many NPIs Do You Need?
which are required to ensure compliance with NPI regulations. There are two basic types of NPIs available; individual, and organizational. Individual NPIs, also  ...
NPIarticletwooneornone0207.pdf

Physician Name NPI MMIS License - New York State Department of
Oct 30, 2014 ... Eileen Reilly MD. 1871586420 2212779. 219574. Elizabeth Kyger MD. 1548241177 754036. 143470. Elizabeth M Love MD. 1063400521 ...
vap_catholic_med_partners_exception_appeals.pdf

NPI Submission Form - Carefirst, Providers and Physicians
National Provider Identifier (NPI) Submission Form. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group  ...
npi-submission-form-cut0344.pdf

How to Apply for a National Provider Identifier (NPI) - UCSF Fresno
Look under How to Apply for an NPI > Individual Providers (not Healthcare Provider ... receive from NPPES when your NPI is issued. ... Christopher Downer, MD.
NPIInstructions.pdf

Ordering/Referring NPI Requirements - Anthem Blue Cross
status. 2. The ordering/referring NPI must be for an individual physician or ... Medicine (M.D.), Doctor of Osteopathy (D.O.) or Doctor of Podiatric Medicine ( DPM).
pw_e193056.pdf?refer=ahpmedicare

NPI First Name Organization/Last Name 1740584747 - TMHP.com
NPI. First Name. Organization/Last Name. 1740584747 BRIAN. AALBERS. 1043324007 KIMBERLY. AARON .... 1669535357 MD. ALAM. 1225072663 S M  ...
PCP Attestation List.pdf

Physician Directory Kings County Health Professional By License
DOCTOR LAST NAME. DOCTOR FIRST NAME. DEA NUMBER. LICENSE #. NATIONAL PROVIDER ID. Health Professional By License and NPI. Kings County.
providers-kings-county.pdf

VHA Directive 1066 - Department of Veterans Affairs
Nov 7, 2013 ... directive and provide updated references for NPI and Taxonomy Code(s). 3. RELATED ISSUES: ... Robert A. Petzel, M.D.. Under Secretary for ...
ViewPublication.asp?pub_ID=2952

Physician Directory NCB Health Professional By License and NPI
DOCTOR LAST NAME. DOCTOR FIRST NAME. DEA NUMBER. LICENSE #. NATIONAL PROVIDER ID. Health Professional By License and NPI. NCB.
providers-north-central-bronx.pdf

The Neuropsychiatric Inventory Questionnaire:
For inquiries regarding the NPI-Q, contact: Jeffrey L. Cummings, MD. Mary S. Easton Center for Alzheimer's Disease Research. 10911 Weyburn Ave; #200.
A141

Ordering/Referring Physician Checklist for Home - CGS Medicare
Step 2: Home health services must be ordered or referred by a Doctor of Medicine ... of the ordering/referring physician, search the physician's NPI using the ...
ord_ref_phys_checklist_hha.pdf

On premise supervision for non-physician practitioners - Colorado.gov
physician (MD) who is immediately available when services are provided. ... The supervising APN/MD National Provider Number (NPI) must appear on the claim ...
RN Supervision Form.pdf

Physician Disclosure DOCTORS OFFICE ADDRESS NPI
compliance with these laws, please be advised that your doctor has a financial interest ... NPI. Paul Abeyta, MD. 1501 Trousdale Dr., 1st Fl., Burlingame, 94010.
PHSC-9.-Physician-Disclosure.pdf

Maryland Physicians Care Participating Health Provider Agreement
Hospital affiliation: 3. CDS #. PCP Panel Capacity: Ethnicity*. Gender*. 4. TIN#. Languages*. Male. Female 5. NPI #. 2. Name: MD. Other 1. Medicaid #. Age: Yes.
demo and provider request form.pdf

Family Health Plan (FHP) Provider Directory - IlliniCare Health
Syed K Abbas MD. Group: Crusader Clinic. NPI: 1972733103. Gender: M. 1050 Logan Avenue. Belvidere IL 61008. (815) 490-1600. HOURS. Sun: Closed.
ic_FHP Provider Directory_10.7.2016.pdf

how to obtain a federal dea registration and an npi number
A National Provider Identifier (NPI) Number, which may be found at the ... Under “ Select Your Business Category,” choose Form 224 Practitioner (MD, DO, DDS, ...
dea-instructions1.pdf

Privacy and Security of NPI - Office of HIPAA Privacy & Security
Chairs, the SNIP NPI Sub-workgroup and through information exchanged ..... Maryland. Md. Code Ann. art. 27 § 231. Massachusetts. Mass. Gen. Laws ch. 266  ...
WEDI_PrivacySecurityNPI.pdf