Last Modified: 5/14/2020
Location: FL, PR, USVI
Business: Part B
Q: Are interns and residents eligible to order/refer items or services for Medicare beneficiaries?
A: No -- unlicensed interns and residents cannot enroll in Medicare for the sole purpose of ordering or referring items and services for Medicare beneficiaries; therefore, they are ineligible to order or refer beneficiary services.
However, it is permissible for the teaching, admitting, or attending physician’s name and National Provider Identifier (NPI) to be listed on the claim as the ordering/referring provider as long as he or she is of a specialty eligible to refer and has a current enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS).
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Source: SE 1011
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