Address change notification

If a provider or supplier makes any change in practice or facility location (e.g., opens a new facility, establishes a new location, move existing location, close existing location) address, this change must be reported to the provider or supplier’s MAC no later than 30 days after the “reportable event” occurred. 

Providers and suppliers should utilize the internet-based PECOS to update their Medicare enrollment record. Registered users may use the system for initial enrollment as well as to change, reactivate, or voluntarily terminate an existing enrollment record.

Access the Provider Enrollment Application Assistance Tool for more help in determining the appropriate enrollment form and documentation for submission. For more information about paper-based enrollment applications, please review Provider or supplier enrollment applications.