Last Modified: 10/9/2011
Location: FL, PR, USVI
Business: Part A, Part B
Provider enrollment application types FAQ
Q: How do I know which provider enrollment application to use?
A: You may either use the Provider Enrollment Chain and Ownership System (PECOS)
to enroll online or mail a paper application form. PECOS supports the Medicare provider and supplier enrollment process by capturing provider/supplier information from the CMS-855 family of forms. The system manages, tracks, and validates enrollment data collected in both paper form and electronically via the Internet. To find out more about PECOS, please refer to the PECOS FAQs
located on the PECOS website.
The direct link for each Medicare provider/supplier enrollment application is shown below: