Last Modified: 8/6/2021
Location: FL, PR, USVI
Business: Part B
Q: Does a physician or non-physician practitioner who has chosen to opt-out of the Medicare program still need to enroll to order/refer items or services for Medicare beneficiaries?
A: A provider that has opted out of the Medicare program is not required to complete a separate application to order or refer items/services for beneficiaries to other Medicare providers. However, the opt-out provider must meet the following qualifications:
• His or her opt-out information must be current.
Note: For more information regarding opt-out requirements, please
click here.
• He or she must be of a specialty type eligible to order/refer items or services for Medicare beneficiaries.
• Physicians (doctor of medicine or osteopathy, doctor of dental medicine, doctor of dental surgery, doctor of podiatric medicine, doctor of optometry, optometrists may only order and certify DMEPOS products/services and laboratory and X-Ray services payable under Medicare Part B)
• Physician Assistants
• Clinical Nurse Specialists
• Clinical Psychologists
• Interns, Residents, and Fellows
• Certified Nurse Midwives
• Clinical Social Workers
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.
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