[Fredslist] Question Re: Medicare NPI

[Katalin Goencz]

Hi Stephanie,
 
I am guessing here from years of experience, but having an NPI although
strongly recommended it is not required, unless that provider is planning to
enroll to be a Medicare provider. 
I have clients whom are receiving services from providers not having an NPI
number and most insurance carriers are making payments. With that said I
strongly recommend that your client apply for a minimum of a
personal/professional NPI number.  Adding a business NPI number will not
hurt either. These numbers are issued free of charge and without much
hassle.  I have done it for a few of my professional clients. 
Getting conflicting information from CMS and any other source is just the
way the entire healthcare industry dysfunctions. 
 
 
Katalin Goencz CIC
Medical Reimbursement Specialist
1127 High Ridge Rd # 261
Stamford, CT 06905
Phone: 203-569-7610 
Cell: 203.570.3904
Fax: 203.973.0367
katalin at medbillsassist.com
http://www.medbillsassist.com/
P Think of the environment  
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From: fredslist-bounces at gothamnetworking.com
[mailto:fredslist-bounces at gothamnetworking.com] On Behalf Of Stephanie Rodin
Sent: Monday, February 24, 2014 5:12 PM
To: fredslist at gothamnetworking.com
Subject: [Fredslist] Question Re: Medicare NPI
 
Hi Gotham - 

I have a client who is a healthcare provider and just recently formed a PLLC
for her practice.  She received conflicting information about whether she is
required to obtain a Type 1 NPI (for individual health care providers) or
Type 2 NPI (for organizations).  I did some research and called up CMS
(centers for medicare and medicaid services) to confirm the requirements and
I received conflicting information as well.

Does anyone along Gotham know if a healthcare professional who is
incorporated is required to apply for a Type 1 NPI, a Type 2 NPI or both?

Thank you in advance!

Stephanie 

Stephanie Rodin, Esq.
Rodin Legal, P.C.
151 Lexington Avenue
Suite 3E
New York, New York 10016
Telephone: (917) 345-8972
Facsimile: (917) 591-4428
www.rodinlegal.com 

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