Last Modified: 8/28/2018 Location: FL, PR, USVI Business: Part B
Eligibility self-verification FAQ
Q: I am an ordering/referring provider. How do I know whether I am eligible to order/refer items or services for Medicare beneficiaries?
A: An ordering/referring provider can verify if he or she is eligible to order or refer beneficiary services by checking the internet-based Provider Enrollment, Chain and Ownership System (PECOS) to ensure his or her enrollment record is not only current but also includes his or her classification as a specialty or type of provider eligible to refer items or services for a Medicare beneficiary.
The following specialties are eligible to order/refer items or services for Medicare beneficiaries:
• Doctor of medicine or osteopathy
• Dental medicine
• Dental surgery
• Podiatric medicine
• Physician’s assistant
• Certified clinical nurse specialist
• Nurse practitioner
• Clinical psychologist
• Certified nurse midwife
• Clinical social workers
Please use your browser's back button to return to the referring page.
Source: CR 6417
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