All applications will be screened based on Federal and State guidelines prior to an enrollment decision. Statistics for Medicaid Providers in Pennsylvania on Doctor.com. Search the NPI Registry for any healthcare provider.Search by Group or Individual Name or NPI Number.The Centers for Medicare & Medicaid Services (CMS) has developed the NPPES to assign a unique 10-digit NPI number to all health care providers in accordance to the Health Insurance Portability and Accountability Act (HIPAA) of 1996.Search the NPI Registry by: If you cannot furnish a provider number that matches the BCRC’s database, you will be asked to submit your request in writing. Here, you'll find the pharmacy tools, administrative resources, educational materials and more to give your patients the best possible Gateway Health experience. The phone number to call the Pennsylvania Medicaid office is 800-692-7462. Medicaid Office Phone Number. 23.7% 17.7% 5% 6.2% 6.2% 6.7% 7.6% 15.2% Number of Providers. The online Medicare provider enrollment system allows you to enroll in Medicare, update enrollment information and reassign privileges to an organization.

PA Health & Wellness gives all Pennsylvania Medicaid providers the tools needed to provide comprehensive care to their patients. Apply online to obtain a National Provider Identifier (NPI) using the National Plan & Provider Enumeration System (NPPES).

If you are having difficulty finding the information you need, please Contact DHS. Harrisburg, PA 17105. To view the website for Pennsylvania Medicaid online, click here. Pediatrician (Kids / Children Specialist) Obstetrician / Gynecologist (OBGYN) Cardiologist (Heart Specialist) Orthopedic Surgeon. Third Party Liability Coordination of Benefits. Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed.

You may also update your information on file by accessing the system. Join our network and help us provide the best health coverage around. The Center for Medicaid and CHIP Services (CMCS) is committed to working in close partnership with states, as well as providers, families, and other stakeholders to support effective, innovative, and high quality health coverage programs. Medicaid Online. Search for providers based on your needs Use information to help you better compare providers and understand their differences Get helpful tips to choose providers and plans; Make informed decisions about where you get your health care; You can also find where to get medical supplies and equipment. Provider Type and Specialty Codes and Descriptions. To request a printed copy of our directory listings, or for other help finding a provider, call Member Relations anytime at 1-800-553-0784 or 215-849-9600 (TTY 1-877-454-8477).

To enroll, providers can complete an on-line provider enrollment application and supply any required supporting documentation. Becoming a contracted Pennsylvania Medicaid provider means you will also receive newsletters and alerts on upcoming education opportunities so that you are always providing superior patient care. AAP.org > Advocacy & Policy > AAP Health Initiatives > Healthy Foster Care America > State Medicaid Provider Directories Healthy Foster Care America Currently selected About Your Medicare provider number (UPIN/OSCAR/NSC).

Professional - Medicare HMO Billing Instructions - CMS-1500. Doctor.com can help you find a doctor who accepts Medicaid insurance in Pennsylvania. For more information please refer to NPI: What You Need to Know The NPI Registry Public Search is a free directory of all active National Provider Identifier (NPI) records.

This includes providers who are not billing PA Medicaid or CHIP but provide services to beneficiaries.

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