02/06/20174:37 PM
Medicare Fee-for-Service Provider Enrollment Contact List
Medicare operations are managed by independent contractors known as fee-for-service contractors.
The Medicare fee-for-service contractor serving your State or jurisdiction will answer your enrollment questions and process your enrollment application.
An A/B MAC processes enrollment applications submitted by Part B suppliers (physicians, non-physician practitioners, and the following organizations):
Ambulance Service Supplier
Independent Diagnostic Testing Facility
Ambulatory Surgical Center
Mammography Center
Clinics & Group Practices
Portable X-ray Supplier
Independent Clinical Laboratory
Radiation Therapy Center
Note: If your supplier type is not shown above, contact a the designated carrier before you submit an enrollment application.
An A/B MAC processes enrollment applications submitted by the following Part A Providers/Organizations:
Community Mental Health Center
Histocompatibility Laboratory
Organ Procurement Organization
Comprehensive Outpatient Rehab Facility
Home Health Agency (HHA)
Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services
Critical Access Hospital
Hospice
Religious Non-Medical Health Care Institution
End-Stage Renal Disease Facility
Hospital
Rural Health Center
Federally Qualified Health Center
Indian Health Services Facility
Skilled Nursing Facility
Note: If your provider or supplier type is not shown above, contact a the designated A/B MAC before you submit an enrollment application.
The National Supplier Clearinghouse processes enrollment applications submitted by Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers.
Alabama
Alaska
Part A Contractor
Cahaba GBA, LLC
877-567-7271
Provider Enrollment - Part A, P.O. Box 6168, Indianapolis, IN 46206-6168
http://www.cahabagba.com
Part B Contractor
Cahaba GBA, LLC
877-567-7271
Provider Enrollment - Part B, P.O. Box 6169, Indianapolis, IN 46206-6168
http://www.cahabagba.com
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6720 Fargo, ND 58108-6720
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6703, Fargo, ND 58108-6703
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
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American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Part A Contractor
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6773, Fargo, ND 58108-6773
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6777, Fargo, ND 58108-6777
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6730, Fargo, ND 58108-6730
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6704, Fargo, ND 58108-6704
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
855-609-9960
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6770, Fargo, ND 58108-6770
Northern California: Provider Enrollment, PO Box 6774, Fargo, ND 58108-6774
Southern California: Provider Enrollment, PO Box 6775, Fargo, ND 58108-6775
https://med.noridianmedicare.com/
Part B Contractor
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
National Government Services, Inc.
855-593-8047
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Part B Contractor
National Government Services, Inc.
888 379-3807
Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
https://med.noridianmedicare.com/
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District of Columbia Part A Contractor
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
First Coast Service Options
877-602-8816
Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021
http://www.fcso.com/
Part B Contractor
First Coast Service Options
866-454-9007
Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021
http://www.fcso.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Cahaba GBA, LLC
877-567-7271
Provider Enrollment - Part A, P.O. Box 6168, Indianapolis, IN 46206-6168
http://www.cahabagba.com
Part B Contractor
Cahaba GBA, LLC
877-567-7271
Provider Enrollment - Part B, P.O. Box 6169, Indianapolis, IN 46206-6168
http://www.cahabagba.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6773, Fargo, ND 58108-6773
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6777, Fargo, ND 58108-6777
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6773, Fargo, ND 58108-6773
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6777, Fargo, ND 58108-6777
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Delaware
Florida
Georgia
Guam
Hawaii
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Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Part A Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6726, Fargo, ND 58108-6726
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6701, Fargo, ND 58108-6701
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
Part B Contractor
National Government Services, Inc.
877-908-8476
Provider Enrollment, P.O. Box 6475, Indianapolis, IN 46206-6475
http://www.ngsmedicare.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P. O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Wisconsin Physicians Service
866-234-7331
Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248
www.wpsgha.com
Part B Contractor
Wisconsin Physicians Service
866-234-7331
Provider Enrollment, P.O. Box 8248, Madison, Wisconsin 53708-8248
www.wpsgha.com
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Wisconsin Physicians Service
866-518-3285
Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248
www.wpsgha.com
Part B Contractor
Wisconsin Physicians Service
866-518-3285
Provider Enrollment, P.O.Box 8248, Madison, WI 53708-8248
www.wpsgha.com
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Wisconsin Physicians Service
866-518-3285
Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248
www.wpsgha.com
Part B Contractor
Wisconsin Physicians Service
866-518-3285
Provider Enrollment, P.O.Box 8248, Madison, WI 53708-8248
www.wpsgha.com
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
CGS Administrators LLC 866-590-6703
http://www.cgsmedicare.com/
Part B Contractor
CGS Administrators LLC 866-276-9558 P.O. Box 20004, Nashville, TN 37202
J15 - Part B Provider Enrollment CGS Administrators, LLC PO Box 20017 Nashville,
TN 37202
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
http://www.cgsmedicare.com/
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Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Part A Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
National Government Services, Inc.
855-593-8047
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Part B Contractor
National Government Services, Inc.
888-379-3807
Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
National Government Services, Inc.
855-834-5596
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Part B Contractor
National Government Services, Inc.
888-379-3807
Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Wisconsin Physicians Service
866-234-7331
Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248
www.wpsgha.com
Part B Contractor
Wisconsin Physicians Service
866-234-7331
Provider Enrollment, P.O. Box 8248, Madison, Wisconsin 53708-8248
www.wpsgha.com
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46205-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
Part B Contractor
National Government Services, Inc.
877-908-8476
Provider Enrollment, P.O. Box 6475, Indianapolis, IN 46206-6475
http://www.ngsmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
02/06/20174:37 PM
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
Part A Contractor
Wisconsin Physicians Service
866-518-3285
Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248
www.wpsgha.com
Part B Contractor
Wisconsin Physicians Service
866-518-3285
Provider Enrollment, P.O.Box 8248, Madison, WI 53708-8248
www.wpsgha.com
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6732, Fargo, ND 58108-6732
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6735, Fargo, ND 58108-6735
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Wisconsin Physicians Service
866-518-3285
Provider Enrollment Part A P.O. Box 8248 Madison, WI 53708-8248
www.wpsgha.com
Part B Contractor
Wisconsin Physicians Service
866-518-3285
Provider Enrollment, P.O.Box 8248, Madison, WI 53708-8248
www.wpsgha.com
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6772, Fargo ND, 58108-6772
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6776, Fargo ND, 58108-6776
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
National Government Services, Inc.
855-593-8047
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Part B Contractor
National Government Services, Inc.
888-379-3807
Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
02/06/20174:37 PM
New Mexico
New York
North Carolina
North Dakota
Part A Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part B Contractor
National Government Services, Inc.
888-379-3807
Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Part A Contractor
National Government Services, Inc.
855-593-8047
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Palmetto GBA
855-696-0705
Palmetto GBA
855-696-0705
Part A Provider Enrollment, 2300 Springdale Drive, Building One Camden, SC 29020
Part B Provider Enrollment (AG-310)
P.O.Box 100190 Columbia, SC 29202-3190
http://www.palmettogba.com/
Part B Contractor
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6709, Fargo, ND 58108-6709
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6706, Fargo, ND 58108-6706
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
http://www.palmettogba.com
02/06/20174:37 PM
Northern
Part A Contractor
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6773, Fargo, ND 58108-6773
https://med.noridianmedicare.com/
Mariana
Part B Contractor
Noridian Healthcare Solutions
855-609-9960
Provider Enrollment, PO Box 6777, Fargo, ND 58108-6777
https://med.noridianmedicare.com/
Islands
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
CGS Administrators LLC 866-590-6703
http://www.cgsmedicare.com/
Part B Contractor
CGS Administrators LLC 866-276-9558 P.O. Box 20004, Nashville, TN 37202
J15 - Part B Provider Enrollment CGS Administrators, LLC PO Box 20017 Nashville,
TN 37202
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6726, Fargo, ND 58108-6726
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6702, Fargo, ND 58108-6702
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, P.O. Box 3157 Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
First Coast Service Options
877-908-8433
Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021
http://www.fcso.com/
Part B Contractor
First Coast Service Options
877-715-1921
Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021
http://www.fcso.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Http://www.cgsmedicare.com
02/06/20174:37 PM
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Virgin Islands
Utah
Part A Contractor
National Government Services, Inc.
855-593-8047
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Part B Contractor
National Government Services, Inc.
888-379-3807
Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
Part B Contractor
Palmetto GBA
855-696-0705
Part B Provider Enrollment (AG-310), P.O. Box 100190, Columbia, SC 29202-3190
http://www.palmettogba.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6733, Fargo, ND 58108-6733
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6707, Fargo, ND 58108-6707
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Cahaba GBA
877-567-7271
Provider Enrollment - Part A, P.O. Box 6168, Indianapolis, IN 46206-6168
http://www.cahabagba.com
Part B Contractor
Cahaba GBA
877-567-7271
Provider Enrollment - Part B, P.O. Box 6169, Indianapolis, IN 46206-6168
http://www.cignamedicare.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Part B Contractor
Novitas Solutions
855-252-8782, Option 4
JH Provider Enrollment Services, P.O. Box 3095, Mechanicsburg, PA 17055-1813
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144
http://www.palmettogba.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
First Coast Service Options
877-908-8433
Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021
http://www.fcso.com/
Part B Contractor
First Coast Service Options
877-715-1921
Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021
http://www.fcso.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6724, Fargo, ND 58108-6724
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6725, Fargo, ND 58108-6725
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
02/06/20174:37 PM
Vermont
Virginia
Part A Contractor
National Government Services, Inc.
855-593-8047
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Part B Contractor
National Government Services, Inc.
888-379-3807
Part B Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Part A Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Palmetto GBA
855-696-0705
Part B Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331)
P.O.Box 100144 Columbia, SC 29202-3144
Part B Provider Enrollment (AG-310)
P.O.Box 100190 Columbia, SC 29202-3190
http://www.palmettogba.com
Novitas Solutions, Inc.
877-235-8073, Option 4
Provider Enrollment Services, PO Box 3157, Mechanicsburg, PA 17055-1836
http://www.novitas-solutions.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6720, Fargo, ND 58108-6720
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6700, Fargo, ND 58108-6700
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
Palmetto GBA
855-696-0705
Part B Contractor
Palmetto GBA
855-696-0705
Part A Provider Enrollment (AG-331)
P.O.Box 100144 Columbia, SC 29202-3144
Part B Provider Enrollment (AG-310)
P.O.Box 100190 Columbia, SC 29202-3190
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
P.O. Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Part A Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
Part B Contractor
National Government Services, Inc.
877-908-8476
Provider Enrollment, P.O. Box 6475, Indianapolis, IN 46206-6475
http://www.ngsmedicare.com/
Home Health and Hospice Contractor
National Government Services, Inc.
855-834-5596
Provider Enrollment, P.O. Box 6474, Indianapolis, IN 46206-6474
http://www.ngsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc
Virginia (counties of
Arlington and Fairfax
and City of Alexandria) Part B Contractor
Washington
West Virginia
Wisconsin
http://www.palmettogba.com
http://www.palmettogba.com
http://www.palmettogba.com/
02/06/20174:37 PM
Wyoming
Part A Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6734, Fargo, ND 58108-6734
https://med.noridianmedicare.com/
Part B Contractor
Noridian Healthcare Solutions
877-908-8431
Provider Enrollment, P.O. Box 6708, Fargo, ND 58108-6708
https://med.noridianmedicare.com/
Home Health and Hospice Contractor
CGS Administrators LLC 877-299-4500
PO Box 20016, Nashville, TN 37202
http://www.cgsmedicare.com/
National Supplier Clearinghouse
Palmetto GBA
866-238-9652
P.O. Box 100142, Columbia, South Carolina 29202-3142
http://www.palmettogba.com/nsc