Last Modified: 11/5/2020
Location: FL, PR, USVI
Business: Part A, Part B
Q: I am the sole owner of two practice locations. Do I need to submit a CMS-855I for each location?
A: For practices that operate under the same Tax Identification Number (TIN), you will need to submit only one CMS-855I application; however, you will need to include two Section 4B pages to identify each practice location.
For practices that operate under separate TINs, you will need to submit separate CMS-855I applications for each of the practices.
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