Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
necessary to apply or make a change in their Medicare
enrollment record. Physicians and NPPs will no longer see
questions that are not applicable for their supplier-type.
While we will encourage all physicians, NPPs,
physicians and NPP organizations and other providers and
suppliers to utilize Internet-based PECOS when it is made
available for their provider/supplier type and their State,
all providers and suppliers will continue to have the
option of submitting an enrollment application by paper.
In order to use Internet-based PECOS to enroll or make
a change in an enrollment record, physicians and NPPs will
be required to use the User Id and user password obtained
when applying for or updating their National Provider
Identifier (NPI) with the National Plan and Provider
Enumeration System (NPPES). Accordingly, physicians and
NPPs will need to know their NPPES User ID/password
information before trying to enroll or change their
enrollment record with Medicare via Internet-based PECOS.
To ensure privacy and security for these individual
practitioners, we encourage that physicians and NPPs to
reset their user password prior to initiating their first
enrollment action via Internet-based PECOS, reset their
user password at least once a year thereafter, and that
physicians and NPPs not share their NPPES UserID/password
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