Last Modified: 11/30/2020
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 National Provider Identifier (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 submission of claims -- if the Provider Transaction Access Number (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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