Things You'll Need:
- Contact Information for a Carrier in Your Area
- National Provider Identification (NPI) Number
- Application
- Drug-Enforcement Administration (DEA) Certificate
- IRS Form W-9
- Medicare Provider Letter
- State Business License
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Step 1
Review the Medicare guidelines. In addition to the federal regulations, each state also has its own regional policies. You should be aware of both.
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Step 2
Learn the differences between the types of Medicare policies. Generally, if you work in a nursing home or hospital, you'll need Part A Medicare, while private doctors and group practices will most likely require Part B Medicare.
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Step 3
Obtain an NPI number. A requirement for any Medicare provider, this 10-digit number ensures Health Insurance Portability and Accountability (HIPAA) compliance.
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Step 4
Contact the Medicare carrier in your area for a Medicare-provider application. As the point of contact for all Medicare issues, your carrier is also useful if you have any questions or concerns about the enrollment process.
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Step 5
Complete the application in its entirety. You'll also need to include a copy of your drug-enforcement administration (DEA) certificate, IRS form W-9, Medicare provider letter and a copy of your state business license.
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Step 6
Review the terms of your Medicare certification. Before you become a provider, you must agree to a non-discrimination standard, maintain a valid business license and comply with all of the program's reimbursement terms.
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Step 7
Mail copies of all your forms to your local Medicare carrier. It can take up to seven weeks to process your application.
