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Alabama Carrier Cahaba GBA, LLC 877-567-7271 Provider Enrollment, P.O. Box 830170, Birmingham, AL 35202

http://www.cahabagba.com
Fiscal Intermediary Cahaba GBA 877-567-7271 Provider Enrollment - Part A, P.O. Box 1537, Birmingham, AL 35201

http://www.cahabagba.com
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
Alaska Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6703, Fargo, ND 58108-6703

http://www.noridianmedicare.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6720 Fargo, ND 58108-6720

http://www.noridianmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143 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
American Samoa Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Fiscal Intermediary Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143 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
Arizona Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6704, Fargo, ND 58108-6704

http://www.noridianmedicare.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6730, Fargo, ND 58108-6730

http://www.noridianmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143

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
Arkansas Carrier Pinnacle Business Solutions 866-582-3251 Provider Enrollment, P.O. Box 34260, Little Rock, Arkansas 72203-4260

http://www.pinnaclebsi.com/
Fiscal Intermediary Pinnacle Business Solutions 888-733-6820 Provider Enrollment, P.O. Box 1418, Little Rock, AR 72203

http://www.pinnaclebsi.com/
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
California Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508 Augusta, GA 30903-1508

http://www.palmettogba.com/
Fiscal Intermediary Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143 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
Colorado Carrier TrailBlazer Health Enterprises, LLC 866-539-5596  Provider Enrollment, P.O. Box 650710, Dallas, TX 75265-0710

http://www.trailblazerhealth.com/
Fiscal Intermediary TrailBlazer Health Enterprises, LLC 866-528-1603 Provider Enrollment, P.O. Box 650458 Dallas, Texas 75265-0458

http://www.trailblazerhealth.com/
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Connecticut Carrier National Government Services, Inc. 888 379-3807 PO Box 6229, Indianapolis, IN 46206-6229

http://www.ngsmedicare.com/
Fiscal Intermediary National Government Services, Inc. 888-855-4356 P.O. Box 6230, Indianapolis, IN 46206-6230

http://www.ngsmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 866-539-5593 P.O. Box 6230, Indianapolis, IN 46206-6230

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
District of Columbia Carrier Highmark Medicare Services 866-488-0549, option 1 Provider Enrollment Services, PO Box 890407, Camp Hill, PA 17089-0407

http://www.highmarkmedicareservices.com/
Fiscal Intermediary Highmark Medicare Services 866-488-0549, option 2 Provider Enrollment Services, P.O. Box 890385 Camp Hill, Pennsylvania 17089-0385

http://www.highmarkmedicareservices.com/
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Delaware Carrier Highmark Medicare Services 866-488-0549, option 1 Provider Enrollment Services, P.O. Box 890408, Camp Hill, PA 17089-0408

http://www.highmarkmedicareservices.com
Fiscal Intermediary Highmark Medicare Services 866-488-0549, option 2 Provider Enrollment Services, P.O. Box 890417, Camp Hill, PA 17089-0417

http://www.highmarkmedicareservices.com
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Florida Carrier First Coast Service Options 866-454-9007 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021

http://www.fcso.com/
Fiscal Intermediary First Coast Service Options 877-602-8816 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021

http://www.fcso.com/
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
Georgia Carrier Cahaba GBA, LLC 877-567-7271 Provider Enrollment, P.O. Box 830170, Birmingham, AL 35202

http://www.cahabagba.com/
Fiscal Intermediary Cahaba GBA 877-567-7271 Provider Enrollment - Part A, P.O. Box 1537, Birmingham, AL 35201

http://www.cahabagba.com
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
Guam Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Fiscal Intermediary Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143

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
Hawaii Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Fiscal Intermediary Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143 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
Idaho Carrier CIGNA Government Services 866.824.8593 P.O. Box 25226, Nashville, TN 37202

http://www.cignagovernmentservices.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6726, Fargo, ND 58108-6726

http://www.noridianmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143 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
Illinois Carrier Wisconsin Physicians Service 877-908-8476 Medicare Part B Provider Enrollment, P.O. Box 8248, Madison, Wisconsin 53708-8248

http://www.wpsmedicare.com/
Fiscal Intermediary National Government Services, Inc. 866-702-0990 Part A Provider Enrollment, P.O. Box 7078, Indianapolis, IN 46207-7078

http://www.ngsmedicare.com/
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
Indiana Carrier National Government Services, Inc. 866-389-1375 Medicare Part B Provider Enrollment, P.O. Box 7078, Indianapolis, IN 46207-7078

http://www.ngsmedicare.com/
Fiscal Intermediary National Government Services, Inc. 866-758-3856 Part A Provider Enrollment, P.O. Box 7078, Indianapolis, IN 46207-7078

http://www.ngsmedicare.com/
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
Iowa Carrier Wisconsin Physicians Service 866-503-7664 Provider Enrollment, P.O.Box 8248, Madison, WI 53708

www.wpsmedicare.com
Fiscal Intermediary Wisconsin Physicians Service 866-734-9444 Provider Enrollment, P.O. Box 8610, Omaha, NE 68108-0310 www.wpsmedicare.com
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Kansas Carrier Wisconsin Physicians Service 866-503-7664 Provider Enrollment, P.O.Box 8248, Madison, WI 53708

www.wpsmedicare.com
Fiscal Intermediary Wisconsin Physicians Service 866-734-9444 Provider Enrollment, P.O.Box 8310, Omaha, NE 68108-0310

www.wpsmedicare.com
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Kentucky Carrier National Government Services, Inc. 866-389-1375 Medicare Part B Provider Enrollment, P.O. Box 7158, Indianapolis, IN 46207-7158

http://www.ngsmedicare.com/
Fiscal Intermediary National Government Services, Inc. 866-590-6703 Part A Provider Enrollment, P.O. Box 7141, Indianapolis, IN 46207-7141

http://www.ngsmedicare.com/
Regional Home Health Intermediary Palmetto GBA 877-272-5786 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
Louisiana Carrier Pinnacle Business Solutions 886-794-0466 P.O. Box 34260, Little Rock, AR 72203-4260

http://www.pinnaclebsi.com/
Fiscal Intermediary Pinnacle Business Solutions 877-635-7596 P.O. Box 1418, Little Rock, AR 72203

http://www.pinnaclebsi.com
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
Maine Carrier NHIC, Corp. 877-258-4442 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044

http://www.medicarenhic.com/
Fiscal Intermediary NHIC, Corp. 877-757-7783 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044

http://www.medicarenhic.com/
Regional Home Health Intermediary National Government Services, Inc. 866-539-5593 P.O. Box 4792, Syracuse, NY 13221-4792

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
Maryland Carrier Highmark Medicare Services 866-488-0549, option 1 Provider Enrollment Services, PO Box 890406, Camp Hill, PA 17089-0406

http://www.highmarkmedicareservices.com/
Fiscal Intermediary Highmark Medicare Services 866-488-0549, option 2 Provider Enrollment Services, PO Box 890385, Camp Hill, PA 17089-0385

http://www.highmarkmedicareservices.com/
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Massachusetts Carrier NHIC, Corp. 877-258-4442 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044

http://www.medicarenhic.com/
Fiscal Intermediary NHIC, Corp. 877-757-7783 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044

http://www.medicarenhic.com/
Regional Home Health Intermediary National Government Services, Inc. 866-539-5593 P.O. Box 4792, Syracuse, NY 13221-4792 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
Michigan Carrier Wisconsin Physicians Service 877-908-8476 Medicare Part B Provider Enrollment, P.O. Box 8248, Madison, Wisconsin 53708-8248

http://www.wpsmedicare.com/
Fiscal Intermediary National Government Services, Inc. 866-758-3856 P.O. Box 7149, Indianapolis, IN 46207-7149

http://www.ngsmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 877-702-0990 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
Minnesota Carrier Wisconsin Physicians Service 866-564-0315 8120 Penn Avenue South, Suite 200, Bloomington, MN 55431-1394

http://www.wpsmedicare.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6714 Fargo, ND 58108-6714

http://www.noridianmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 877-702-0990 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
Mississippi Carrier Cahaba GBA 866-419-9454 Provider Enrollment, P.O. Box 548, Birmingham, AL 35202

http://www.cahabagba.com/
Fiscal Intermediary Pinnacle Business Solutions 877-635-7596 P.O. Box 1418, Little Rock, AR 72203

http://www.pinnaclebsi.com
Regional Home Health Intermediary Palmetto GBA 877-272-5786 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
Missouri Carrier Wisconsin Physicians Service 866-503-7664 Provider Enrollment, P.O.Box 8248, Madison, WI 53708

www.wpsmedicare.com
Fiscal Intermediary Wisconsin Physicians Service 866-734-9444 Provider Enrollment, P.O. Box 8610, Omaha, NE 68108-0310 www.wpsmedicare.com
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Montana Carrier Noridian Administrative Services 888-608-8816 Medicare Part B, P.O. Box 6735, Fargo, ND 58108-6735

http://www.noridianmedicare.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 Medicare Part A, P.O. Box 6732, Fargo, ND 58108-6732

http://www.noridianmedicare.com/
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Nebraska Carrier Wisconsin Physicians Service 866-503-7664 Provider Enrollment, P.O.Box 8248, Madison, WI 53708

www.wpsmedicare.com
Fiscal Intermediary Wisconsin Physicians Service 866-734-9444 Provider Enrollment, P.O.Box 8310, Omaha, NE 68108-0310

www.wpsmedicare.com
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Nevada Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Fiscal Intermediary Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143 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
New Hampshire Carrier NHIC, Corp. 877-258-4442 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044

http://www.medicarenhic.com/
Fiscal Intermediary NHIC, Corp. 877-757-7783 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044

http://www.medicarenhic.com/
Regional Home Health Intermediary National Government Services, Inc. 866-539-5593 P.O. Box 4792, Syracuse, NY 13221-4792

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
New Jersey Carrier Highmark Medicare Services 866-488-0549, option 1 Provider Enrollment Services, P.O. Box 8900036, Camp Hill, PA 17089-0036

http://www.highmarkmedicareservices.com
Fiscal Intermediary Highmark Medicare Services 866-488-0549, option 2 Provider Enrollment Services, P.O. Box 890385, Camp Hill, PA 17089-0385

http://www.highmarkmedicareservices.com
Regional Home Health Intermediary National Government Services, Inc. 877-702-0990 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
New Mexico Carrier TrailBlazer Health Enterprises, LLC 866-539-5596  Provider Enrollment, P.O. Box 650709, Dallas, TX 75265-0709

http://www.trailblazerhealth.com/
Fiscal Intermediary TrailBlazer Health Enterprises, LLC 866-528-1603  Provider Enrollment, P.O. Box 650458, Dallas, TX 75265-0458

http://www.trailblazerhealth.com/
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
New York (Upstate) Carrier National Government Services, Inc. 888 379-3807 PO Box 6230, Indianapolis, IN 46206-6230

http://www.ngsmedicare.com/
Fiscal Intermediary National Government Services, Inc. 888-855-4356 P.O. Box 6230, Indianapolis, IN 46206-6230

http://www.ngsmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 877-702-0990 P.O. Box 6230, Indianapolis, IN 46206-6230

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
New York (NYC Metro area, except Queens) Carrier National Government Services, Inc. 888 379-3807 PO Box 6230, Indianapolis, IN 46206-6230

http://www.ngsmedicare.com/
Counties: Bronx, Columbia, Delaware, Dutchess, Greene, Fiscal Intermediary National Government Services, Inc. 888-855-4356 PO Box 6230, Indianapolis, IN 46206-6230

http://www.ngsmedicare.com/
Kings (Brooklyn), Nassau, New York (Manhattan), Regional Home Health Intermediary National Government Services, Inc. 877-702-0990 P.O. Box 6230, Indianapolis, IN 46206-6230

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
New York (Queens) Carrier National Government Services, Inc. 888 379-3807 PO Box 6230, Indianapolis, IN 46206-6230

http://www.ngsmedicare.com/
Fiscal Intermediary National Government Services, Inc. 888-855-4356 PO Box 6230, Indianapolis, IN 46206-6230

http://www.ngsmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 877-702-0990 P.O. Box 6230, Indianapolis, IN 46206-6230

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
North Carolina Carrier CIGNA Government Services 866.655.7996 Provider Enrollment, P.O. Box 25226, Nashville, TN 37202

http://www.cignagovernmentservices.com/
Fiscal Intermediary Palmetto GBA 877-567-9249 Part A Provider Enrollment, 2300 Springdale Drive, Building One Camden, SC 29020

http://www.palmettogba.com/
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
North Dakota Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6706, Fargo, ND 58108-6706

https://www.noridianmedicare.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6709, Fargo, ND 58108-6709

https://www.noridianmedicare.com/
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Northern Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Mariana Fiscal Intermediary Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508

http://www.palmettogba.com/
Islands Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143 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 Carrier Palmetto GBA 866-308-5439 Part B Provider Enrollment, P.O. Box 182933, Columbus, OH 43218-2933

http://www.palmettogba.com/
Fiscal Intermediary National Government Services, Inc. 866-590-6703 Part A Provider Enrollment, P.O. Box 7141, Indianapolis, IN 46207-7141

http://www.ngsmedicare.com/
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
Oklahoma Carrier TrailBlazer Health Enterprises, LLC 866-539-5596  Provider Enrollment, P.O. Box 650711, Dallas, TX 75265-0711

http://www.trailblazerhealth.com/
Fiscal Intermediary TrailBlazer Health Enterprises, LLC 866-528-1603  Provider Enrollment, P.O. Box 650458, Dallas, TX 75265-0458

http://www.trailblazerhealth.com/
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
Oregon Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6702, Fargo, ND 58108-6702

http://www.noridianmedicare.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6726, Fargo, ND 58108-6726

http://www.noridianmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143

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
Pennsylvania Carrier Highmark Medicare Services 866-488-0549, option 1 Provider Enrollment Services, P.O. Box 890157, Camp Hill, PA 17089-0157

http://www.highmarkmedicareservices.com
Fiscal Intermediary Highmark Medicare Services 866-488-0549, option 2 Provider Enrollment Services, P.O. Box 890385, Camp Hill, PA 17089-0385

http://www.highmarkmedicareservices.com
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Puerto Rico Carrier First Coast Service Options 877-715-1921 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021

http://www.fcso.com/
Fiscal Intermediary First Coast Service Options 877-908-8433 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021

http://www.fcso.com/
Regional Home Health Intermediary National Government Services, Inc. 877-702-0990 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
Rhode Island Carrier NHIC, Corp. 877-258-4442 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044

http://www.medicarenhic.com/
Fiscal Intermediary NHIC, Corp. 877-757-7783 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044

http://www.medicarenhic.com/
Regional Home Health Intermediary National Government Services, Inc. 866-539-5593 P.O. Box 4792, Syracuse, NY 13221-4792

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
South Carolina Carrier Palmetto GBA 888-828-2092 Part B Provider Enrollment (AG-310), P.O. Box 100190, Columbia, SC 29202-3190

http://www.palmettogba.com/
Fiscal Intermediary Palmetto GBA 877-567-9249 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144

http://www.palmettogba.com/
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
South Dakota Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6707, Fargo, ND 58108-6707

http://www.noridianmedicare.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6733, Fargo, ND 58108-6733

http://www.noridianmedicare.com/
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Tennessee Carrier Cahaba GBA 877-567-7271 Provider Enrollment, P.O. Box 830170, Birmingham, AL 35202

http://www.cignamedicare.com/
Fiscal Intermediary Cahaba GBA 877-567-7271 Provider Enrollment - Part A, P.O. Box 1537, Birmingham, AL 35201

http://www.cahabagba.com
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
Texas Carrier TrailBlazer Health Enterprises, LLC 866-539-5596 Provider Enrollment, P.O. Box 650544, Dallas, TX 75265-0544

http://www.trailblazerhealth.com/
Fiscal Intermediary TrailBlazer Health Enterprises, LLC 866-528-1603  Provider Enrollment, P.O. Box 650458, Dallas, TX 75265-0458

http://www.trailblazerhealth.com/
Regional Home Health Intermediary Palmetto GBA 866-801-5301 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
Utah Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6725, Fargo, ND 58108-6725

http://www.noridianmedicare.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6724, Fargo, ND 58108-6724

http://www.noridianmedicare.com/
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Vermont Carrier NHIC, Corp. 877-258-4442 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044

http://www.medicarenhic.com/
Fiscal Intermediary NHIC, Corp. 877-757-7783 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044

http://www.medicarenhic.com/
Regional Home Health Intermediary National Government Services, Inc. 866-539-5593 P.O. Box 4792, Syracuse, NY 13221-4792

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 Carrier TrailBlazer Health Enterprises 866-697-9670 Provider Enrollment VA, P.O. Box 650544, Dallas, TX 75265-0544

http://www.trailblazerhealth.com/
Fiscal Intermediary National Government Services, Inc. 866-808-8091 P.O. Box 7149, Indianapolis, IN 46207-7149

http://www.ngsmedicare.com/
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Virgin Island Carrier First Coast Service Options 877-715-1921 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021

http://www.fcso.com/
Fiscal Intermediary First Coast Service Options 877-908-8433 Provider Enrollment, P.O. Box 44021, Jacksonville, FL 32231-4021

http://www.fcso.com/
Regional Home Health Intermediary National Government Services, Inc. 877-702-0990 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
Washington Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6700, Fargo, ND 58108-6700

http://www.noridianmedicare.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6720, Fargo, ND 58108-6720

http://www.noridianmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 866-590-6724 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143

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
West Virginia Carrier Palmetto GBA 866-308-5439 Palmetto GBA, Part B Provider Enrollment, P.O. Box 182933, Columbus, OH 43218-2933

http://www.palmettogba.com/
Fiscal Intermediary National Government Services, Inc. 866-808-8091 P.O. Box 7149, Indianapolis, IN 46207-7149

http://www.ngsmedicare.com/
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.com/
National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142

http://www.palmettogba.com/nsc
Wisconsin Carrier Wisconsin Physicians Service 877-908-8476 WPS-Medicare Provider Enrollment, P.O. Box 8248, Madison, Wisconsin 53708-8248

http://www.wpsmedicare.com/
Fiscal Intermediary National Government Services, Inc. 877-702-0990 P.O. Box 7149, Indianapolis, IN 46207-7149

http://www.ngsmedicare.com/
Regional Home Health Intermediary National Government Services, Inc. 877-702-0990 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
Wyoming Carrier Noridian Administrative Services 888-608-8816 Medicare Part B, P.O. Box 6708, Fargo, ND 58108-6708

http://www.noridianmedicare.com/
Fiscal Intermediary Noridian Administrative Services 888-608-8816 Medicare Part A, P.O. Box 6734, Fargo, ND 58108-6734

http://www.noridianmedicare.com/
Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 (HHA) 866-539-5592 (Hospice) 400 E. Court, Suite 400-D, P.O. Box 14537, Des Moines, IA 50306-3537

http://www.cahabagba.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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