This video explains the Medicare enrollment process and how
to use the Provider Enrollment, Chain, and Ownership System,
or PECOS, the online system
to submit a Medicare enrollment application.
Before you begin the application in PECOS,
gather the following information:
-Active National Provider Identifier, or NPI, number.
If you do not already have an active NPI number,
you can register for one through the National Plan
and Provider Enumeration System, or NPPES.
Their website is nppes.cms.hhs.gov.
-Personally identifying information,
including your legal name, date of birth
and Social Security Number on file
with the Social Security Administration.
-Educational information, including the name
of your medical or professional school and graduation year.
-Medical specialty information, including specialty type.
For example, dentist or nurse practitioner.
- Professional license,
certification and/or Drug Enforcement Agency,
or DEA, registration numbers.
Be sure you have the original effective dates, renewal dates
and the state or states where the license,
certification and/or DEA registration number was issued.
-Correspondence address
-Information regarding any final adverse legal actions,
for example, probation or suspension of a license,
past revocation from Medicare
or felony conviction. Once you have the information
and the supporting documentation gathered, log in to PECOS
at pecos.cms.hhs.gov with the same User ID and password used
to access the NPPES website
or the Identity & Access Management System.
If you don't know your User ID and/or password,
select the "Forgot Password?"
or "Forgot User ID?"
link. If you don't have an account
or are an authorized surrogate submitting the application
on behalf of a prescriber and need to establish one,
select the "Register for a user account" option.
There are video tutorials available
at nppes.cms.hhs.gov/IAWeb/login.do
with more information on account creation.
After logging in, click "My Enrollments."
Next, click "New Application" to start the application process.
PECOS asks a series of questions
to identify the enrollment action you are attempting
to take and the correct enrollment application.
If you are a provider enrolling for the sole purpose
of prescribing Part D drugs, who will not bill Medicare
for services, select "Yes" when asked
if you are enrolling solely to order
and refer items and services.
CMS is updating the language on the screen
to also reference prescribers.
Note: Prescribing pharmacists do not need to enroll in Medicare
to have their Part D prescriptions covered.
Select the state or territory where you practice.
Next, indicate your specialty.
If none of the options apply to you
or you are a dentist enrolling as a Part D prescriber,
select "Undefined Physician Type" and enter your specialty
in the space provided.
If your specialty is not listed and you are unsure
if you are permitted to enroll,
contact your Medicare Administrative Contractor,
or MAC.
You can find the MAC that serves your location
on the Prescriber Enrollment website
at go.cms.gov/PrescriberEnrollment.
Once you have entered your personal information,
review your entries, and if everything is correct,
click "Start Application."
Record the Enrollment ID, PacID and Web Tracking ID
from the initial enrollment page in case you need to follow up on
or check the application.
You are now ready to complete the enrollment application.
You can navigate through the application using the
"Topic View" to access each topic individually
or the "Fast Track View" to view all topics on a single page.
Required data elements will be marked with a red asterisk.
You will not enter a Medicare ID because one has not
yet been issued to you.
You may select the "Error/Warning Check" button
at any time to see
which required data elements you have not yet completed.
When you have entered all the required application
information, the "My Application Progress" bar at the top
of the page will show "90%"
and you can begin the application submission process.
Select "Begin Submission" at the bottom of the page.
On the "Manage Signatures" page, you should opt
to electronically sign the enrollment application
to expedite the application process.
The final step is to select the MAC responsible
for processing your online application.
Based on the application type and your practice location,
PECOS displays the appropriate MAC in a drop-down box.
When you have selected your MAC and hit apply,
the page will update with the address.
Record this address information.
You will need it for your records and to send hard copies
of any documents or statements if required.
Select "Complete Submission" to send the application
to the MAC for processing.
You may need to wait several moments before the
"Submission Complete" page displays with your submission
and tracking information.
You can return to PECOS at any time
to check the status of your application.
For questions about the enrollment process
or information required, contact your MAC.
You can find their contact information
by visiting go.cms.gov/PrescriberEnrollment.
If you encounter technical issues with PECOS,
contact the External User Services help desk
at EUSSupport@cgi.com or toll free at 866-484-8049,
or for TTY/TDD, use 866-523-4759.
Make sure you are compliant with federal law by reviewing
and updating your NPI information
at nppes.cms.hhs.gov /NPPES/Welcome.do.