Last Modified: 10/3/2022
Location: FL, PR, USVI
Business: Part B
Q: A group has three practice locations and two of those practice locations are changing addresses and will have their own Type 2 Organization NPI. What needs to be done to update the enrollment information, and how should claims be submitted that were generated with the old Type 2 Organization NPI?
For enrollment information -- the group would need to provide the new addresses and NPIs for the locations. This can be done via the internet using the PECOS
or via the appropriate paper CMS-855 form
For submission of claims -- if the PTAN is the same for all three locations, then use the appropriate NPI for the location where the services were rendered. Since the PTAN is the same for all three locations, all three of the NPIs, the original one and the two new ones, would be linked to this PTAN.
If the PTAN is different for all three locations, then you must use the current NPI that has been associated with that PTAN. For the new addresses, you would be required to use the new NPIs on all claims once the information has been updated.
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