CMS-855S Medicare Enrollment Application: Durable Medical Equipme
Medicare Enrollment Application (Form 855S)
855 PECOS Screen Shots for OSORA (1)
Enrollment of MA Providers, Suppliers, and First-Tier, Downstream, and Related Entities (FDRs) (section 422.222)
OMB: 0938-1056
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1056 can be found here:
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