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Last Modified: 7/11/2022 Location: FL, PR, USVI Business: Part A, Part B

Medicare enrolled ambulance suppliers administering the COVID-19 vaccine

Enrolling

Medicare Part B ambulance suppliers who plan on providing the administration of the COVID-19 vaccine must separately enroll external link as a non-institutional provider type, such as a mass immunizer.
Enrolling over the phone is easy and quick — call your MAC-specific enrollment hotline external pdf file and give your valid legal business name (LBN), NPI, TIN, practice location and state license, if applicable.
Note: It is suggested to obtain a new NPI external link for the mass immunizer to simplify the billing process.
When the credentialing process is completed, you will receive a new PTAN for the mass immunizer enrollment. If you applied for a new NPI, that NPI will be associated with billing for the administration of the vaccine and monoclonal antibodies.
Our Claims Processing unit recommends using a one-to-one NPI-PTAN match. If your enrollment dynamics permit the use of one single NPI to one PTAN, then you will diminish the need for us to develop for claim matching and/or avoid possible claim rejections. This will prevent unnecessary claims processing delays and administrative effort by both the MAC and provider:
If a new NPI was not obtained, please follow the guidelines below.

Billing requirements for ambulance transports and mileage claims

Follow the instructions below for additional information that can be reported on the claim to assist the system in making the correct NPI/PTAN match.
Ambulance transports and mileage claims
Report the ambulance taxonomy code in loop 2000A pdf file of the electronic format.
Reporting the taxonomy code may allow the claims system to attach the correct ambulance PTAN to the transport and mileage claim.
Ambulance taxonomy codes Include:
Ambulance Service Provider 341600000X Transportation Services/Ambulance
Ambulance Service Provider 3416L0300X Transportation Services/Ambulance, Land Transport
If the NPI/PTAN is not accurate after appending the taxonomy code, please refer to the article, Multiple PTAN Matches to Single NPI.
Please call the Customer Contact Center for additional assistance
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.