Enroll in Medicare
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?
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).
Complete the Medicare Enrollment Application. You can enroll in Medicare using PECOS, the online Medicare enrollment system.
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.
You Can Also Enroll by Mail
Download and complete the following forms:
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
Home Health and Hospice Provider Enrollment
2300 Springdale Dr. Bldg. One
Camden, SC 29020
- 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.
Once you have successfully enrolled, your next step is to enroll in electronic claim submission with Electronic Data Interchange (EDI).