Enroll in Medicare

Published 03/02/2021

The first step to becoming a Medicare provider is to complete your enrollment application and receive your Provider Transaction Access Number (PTAN) and National Provider Identifier (NPI). Watch a short video for an overview of the provider enrollment process and then please complete a brief survey

How Do I Become a Medicare Provider?

Fastest Method

  1. Obtain a National Provider Identifier (NPI). NPIs are a unique health care provider identifier and are issued through the National Plan and Provider Enumeration System (NPPES).

    Apply for an NPI

  2. Complete the Medicare Enrollment Application. You can enroll in Medicare using PECOS, the online Medicare enrollment system.

    Launch PECOSPECOS Enrollment Instructions

  3. Home Health Agencies only

    CMS requires enhanced enrollment screening for HHAs as they are considered a high level of risk. After you have completed your enrollment application you will receive notification from Palmetto GBA with instructions regarding the screening and fingerprinting process, and have 30 days from the date of the notification letter to be fingerprinted.

    Learn More

You Can Also Enroll by Mail

  1. Download and complete the following forms:

  2. Submit all forms and supporting documentation via one of the following methods:

    U.S. Mail and Certified Mail

    HHH Provider Enrollment
    Mail Code: AG-331
    P.O. Box 100144
    Columbia, SC 29202-3144

    Overnight Courier

    Home Health and Hospice Provider Enrollment
    2300 Springdale Dr. Bldg. One
    Camden, SC 29020

  3. Note: Home Health Agencies enrolling by mail are also subject to the enhanced screening mentioned in bullet point "C" above.

What to Expect

The average processing time of a properly submitted application is 15 days after it is received by Palmetto GBA. You will receive confirmation of your enrollment via email. You can check your enrollment status using the link below.

Check Enrollment Status

Next Steps

Once you have successfully enrolled, your next step is to enroll in electronic claim submission with Electronic Data Interchange (EDI).

Enroll Now!

Was this article helpful?