CMS-855-S Medicare Enrollment Application: Durable Medical Equipme

Medicare Enrollment Application (Form 855S)

CMS- 855S - DMEPOS Supplier PECOS Screen Shots - Word - 508

Revalidation of enrollment information

OMB: 0938-1056

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PECOS Screen Shots for PRA package for CMS 855S - Medicare Enrollment Application - Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers.

PECOS Screen Shots for PRA package for CMS 855S - Medicare Enrollment Application - Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers.
Larger screen shot so that the text is readable.

You may also access these screens at https://pecos.cms.hhs.gov.

PECOS Screen Shots for PRA package for CMS 855S - Medicare Enrollment Application - Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers.

PECOS Screen Shots for PRA package for CMS 855S - Medicare Enrollment Application - Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers.

PECOS Screen Shots for PRA package for CMS 855S - Medicare Enrollment Application - Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers.

PECOS Screen Shots for PRA package for CMS 855S - Medicare Enrollment Application - Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers.

PECOS Screen Shots for PRA package for CMS 855S - Medicare Enrollment Application - Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers.

PECOS Screen Shots for PRA package for CMS 855S - Medicare Enrollment Application - Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers.

PECOS Screen Shots for PRA package for CMS 855S - Medicare Enrollment Application - Durable
Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers.


File Typeapplication/pdf
File Title855S DMEPOS Supplier PECOS Screen Shots - 04092015
AuthorCMS
File Modified2015-12-04
File Created2015-12-04

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