PECOS MAC List

Medicare Fee-for-Service Provider Enrollment Contact List

Medicare operations are managed by independent contractors known as fee-for-service contractors.

The Medicare fee-for-service contractor serving your State or jurisdiction will answer your enrollment questions and process your enrollment application.

A carrier processes enrollment applications submitted by physicians, non-physician practitioners, and the following organizations:

Ambulance Service Supplier Independent Diagnostic Testing Facility Slide Preparation Facility

Ambulatory Surgical Center Mammography Center Voluntary Health/Charitable Agency

Clinics & Group Practices Portable X-ray Supplier

Independent Clinical Laboratory Radiation Therapy Center

Note: If your supplier type is not shown above, contact a the designated carrier before you submit an enrollment application.

A fiscal intermediary processes enrollment applications submitted by the following health care organizations:

Community Mental Health Center Home Health Agency Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services

Comprehensive Outpatient Rehab Facility Hospice Religious Non-Medical Health Care Institution

Critical Access Hospital Hospital Skilled Nursing Facility

End-Stage Renal Disease Facility Indian Health Services Facility

Histocompatibility Laboratory Organ Procurement Organization

Note: If your provider or supplier type is not shown above, contact a the designated fiscal intermediary before you submit an enrollment application.

The National Supplier Clearinghouseprocesses enrollment applications submitted by Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers.

State Medicare Fee-for-Service Contractor Medicare Contractor Name Telephone Number Mailing Address Web Site Address

Alabama Carrier Cahaba GBA 866-539-5598 Provider Enrollment, P.O. Box 830170, Birmingham, AL 35202 http://www.cahabagba.com

Fiscal Intermediary Cahaba GBA 866-539-5598 Provider Audit and Reimbursement, P.O. Box 361930, Birmingham, AL 35236-1930 http://www.cahabagba.com

Regional Home Health Intermediary Palmetto GBA 803-382-6167 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

Federally Qualified Health Center National Government Services, Inc. 414-459-6972 P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

Rural Health Clinic Riverbend Government Benefits Administrator, Inc. 877-296-6189 Provider Enrollment-3C, 730 Chestnut Street, Chattanooga, TN 37402 http://www.rgbagov.com

National Supplier Clearinghouse Palmetto GBA 866-238-9652 P.O. Box 100142, Columbia, South Carolina 29202-3142 http://www.palmettogba.com/nsc

Alaska Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6703, Fargo, ND 58108-6703 http://www.noridianmedicare.com/

Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6720 Fargo, ND 58108-6720 http://www.noridianmedicare.com/

Regional Home Health Intermediary National Government Services, Inc. 513-852-4275 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143 http://www.ngsmedicare.com/

Rural Health Clinic Riverbend Government Benefits Administrator, Inc. 877-296-6189 Provider Enrollment-3C, 730 Chestnut Street, Chattanooga, TN 37402 http://www.rgbagov.com/home/home.do

American Samoa Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1667, Augusta, GA 30903-1667 http://www.palmettogba.com/

Fiscal Intermediary Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508 http://www.palmettogba.com/

Rural Health Clinic Riverbend Government Benefits Administrator, Inc. 877-296-6189 ATTN: Provider Enrollment-3C, 730 Chestnut Street, Chattanooga, TN 37402 http://www.rgbagov.com

Arizona Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6704, Fargo, ND 58108-6704 http://www.noridianmedicare.com/

Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6730, Fargo, ND 58108-6730 http://www.noridianmedicare.com/

Federally Qualified Health Center Noridian Administrative Services 888-608-8816 P.O. Box 6730, Fargo, ND 58108-6730 http://www.noridianmedicare.com/

Rural Health Clinic Noridian Administrative Services 888-608-8816 P.O. Box 6730, Fargo, ND 58108-6730 http://www.noridianmedicare.com/

Arkansas Carrier Pinnacle Business Solutions 866-582-3251 Provider Enrollment, P.O. Box 34260, Little Rock, Arkansas 72203 http://www.pinnaclebsi.com/

Fiscal Intermediary Pinnacle Business Solutions 888-733-6820 Provider Enrollment,Provider Audit & Reimbursement, P.O. Box 1418, Little Rock, AR 72203 http://www.pinnaclebsi.com/

Regional Home Health Intermediary Palmetto GBA 803-382-6167 Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

Rural Health Clinic TrailBlazer Heath Enterprises, LLC 866-528-1603 P.O. Box 650458 Dallas, Texas 75265-0458 http://www.trailblazerhealth.com/

California Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1667, Augusta, GA 30903-1667 http://www.palmettogba.com/

Federally Qualified Health Center National Government Services, Inc. 414-459-6972 Provider Enrollment, P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

Colorado Carrier TrailBlazer Health Enterprises, LLC 866-539-5596 Provider Enrollment, P.O. Box 650710, Dallas, TX 75265-0710 http://www.trailblazerhealth.com/

Fiscal Intermediary TrailBlazer Health Enterprises, LLC 866-528-1603 P.O. Box 650458 Dallas, Texas 75265-0458 http://www.trailblazerhealth.com/

Regional Home Health Intermediary Cahaba GBA, LLC877-299-4500 (HHA)866-539-5592 (Hospice) 400 E. Court, Station 27, P.O. Box 14537, Des Moines, IA 50306-3537 http://www.cahabagba.com/

Rural Health Clinic TrailBlazer Health Enterprises, LLC 866-528-1603 P.O. Box 650458, Dallas, Texas 75265-0458 http://www.trailblazerhealth.com/

Connecticut Carrier National Government Services, Inc. 888-855-4356 P.O. Box 4887, Syracuse, New York 13221-4887 http://www.ngsmedicare.com/

Fiscal Intermediary National Government Services, Inc. 888-855-4356 P.O. Box 4846, Syracuse, New York 13221-4846 http://www.ngsmedicare.com/

Regional Home Health Intermediary National Government Services, Inc. 866-539-5593 P.O. Box 4792, Syracuse, NY 13221-4792 http://www.ngsmedicare.com/

Rural Health Clinic Highmark Medicare Services 866-488-0549, option 2 Provider Enrollment Services, P.O. Box 890157, Camp Hill, PA 17089-0157 http://www.highmarkmedicareservices.com

District of Columbia Carrier Highmark Medicare Services 866-488-0549, option 1 Provider Enrollment Services, PO Box 890408, Camp Hill, PA 17089-0408 http://www.highmarkmedicareservices.com/

Fiscal Intermediary Highmark Medicare Services 866-488-0549, option 2 Provider Enrollment Services, P.O. Box 890386 Camp Hill, Pennsylvania 17089-0386 http://www.highmarkmedicareservices.com/

Delaware Carrier Highmark Medicare Services 866-488-0549, option 1 Provider Enrollment Services, PO Box 890408, Camp Hill, PA 17089-0408 http://www.highmarkmedicareservices.com/

Fiscal Intermediary National Government Services, Inc. 888-855-4356 P.O. Box 4846, Syracuse, NY 13221-4846 http://www.ngsmedicare.com/

Florida Carrier First Coast Service Options 866-454-9007 Medicare Provider Enrollment (Florida Part B), P.O. Box 44021, Jacksonville, FL 32231-4021 http://www.fcso.com/

Fiscal Intermediary First Coast Service Options 877-602-8816 Medicare Provider Enrollment (Florida Part A), P.O. Box 45169, Jacksonville, FL 32232-5169 http://www.fcso.com/

Georgia Carrier Cahaba GBA 877-567-7271 Provider Enrollment, P.O. Box 12967, Birmingham, AL 35202 http://www.cahabagba.com/

Fiscal Intermediary Blue Cross Blue Shield of Georgia 877-567-3095Provider Enrollment (PA&R Dept), 2357 Warm Springs Road, Columbus, Georgia 31904 or P.O. Box9048, Columbus, GA 31908-9048 http://www.georgiamedicare.com/enrollment.cfm

Guam Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1667, Augusta, GA 30903-1667 http://www.palmettogba.com/

Rural Health Clinic Riverbend Government Benefits Administrator, Inc. 877-296-6189 ATTN: Provider Enrollment-3C, 730 Chestnut Street, Chattanooga, TN 37402 http://www.rgbagov.com

Hawaii Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1667, Augusta, GA 30903-1667 http://www.palmettogba.com/

Idaho Carrier CIGNA Government Services 866-520-4007 P.O. Box 25226, Nashville, TN 37202 http://www.cignagovernmentservices.com/

Illinois Carrier Wisconsin Physicians Service 877-908-8476 Medicare Part B Provider Enrollment, P.O. Box 8248, Madison, Wisconsin 53708-8248 http://www.wpsmedicare.com/

Fiscal Intermediary National Government Services, Inc. 317-841-4540 Part A Provider Enrollment, P.O. Box 7078, Indianapolis, IN 46207-7078 http://www.ngsmedicare.com/

Rural Health Clinic Riverbend Government Benefits Administrator, Inc. 423-535-5124 Provider Enrollment-3C, 730 Chestnut St., Chattanooga, TN 37402 http://www.rgbagov.com

Indiana Carrier National Government Services, Inc. 866-250-5665 Medicare Part B Provider Enrollment, P.O. Box 7078, Indianapolis, IN 46207-7078 http://www.ngsmedicare.com/

Iowa Carrier Wisconsin Physicians Service 866-503-7664 Provider Enrollment, P.O.Box 8248, Madison, WI 53708 www.wpsmedicare.com

Fiscal Intermediary Wisconsin Physicians Service 866-503-7664 WPS Provider Enrollment, 3333 Farnam St. Suite 700 Omaha, Nebraska 68101 www.wpsmedicare.com

Kansas Carrier Wisconsin Physicians Service 866-503-7664 Provider Enrollment, P.O.Box 8248, Madison, WI 53708 www.wpsmedicare.com

Fiscal Intermediary Wisconsin Physicians Service 866-734-9444 Provider Enrollment, P.O.Box 8310, Omaha, NE 68108-0310 www.wpsmedicare.com

Regional Home Health Intermediary Cahaba GBA, LLC 877-299-4500 400 E. Court, Station 27, P.O. Box 14537, Des Moines, IA 50306-3537 http://www.cahabagba.com/

Kentucky Carrier National Government Services, Inc. 866-250-5665 Medicare Part B Provider Enrollment, P.O. Box 7158, Indianapolis, IN 46207-7158 http://www.ngsmedicare.com/

Louisiana Carrier Pinnacle Business Solutions 886-794-0466 P.O. Box 83860, Baton Rouge, LA 70884-3860 http://www.pinnaclebsi.com/

Fiscal Intermediary TriSpan Health Services 877-635-7596 P.O. Box 23046 Jackson, MS 39225-3046 http://www.trispan.com/

Rural Health Clinic TrailBlazer Health Enterprises, LLC 866-528-1603 P.O. Box 650458, Dallas, TX 75265-0458 http://www.trailblazerhealth.com/

Maine Carrier NHIC, Corp. 877-258-4442 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044 http://www.medicarenhic.com/

Rural Health Clinic National Government Services, Inc. 866-539-5593 P.O. Box 4792, Syracuse, NY 13221-4792 http://www.ngsmedicare.com/

Maryland Carrier Highmark Medicare Services 866-488-0549, option 1 Provider Enrollment Services, PO Box 890407, Camp Hill, PA 17089-0407 http://www.highmarkmedicareservices.com/

Fiscal Intermediary Highmark Medicare Services 866-488-0549, option 2 Provider Enrollment Services, PO Box 890386, Camp Hill, PA 17089-0386 http://www.highmarkmedicareservices.com/

Massachusetts Carrier NHIC, Corp. 877-527-6594 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044 http://www.medicarenhic.com/

Michigan Carrier Wisconsin Physicians Service 877-908-8476 Medicare Part B Provider Enrollment, P.O. Box 8248, Madison, Wisconsin 53708-8248 http://www.wpsmedicare.com/

Fiscal Intermediary National Government Services, Inc. 414-459-6972 P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

Regional Home Health Intermediary National Government Services, Inc. 414-459-6972 P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

Minnesota Carrier Wisconsin Physicians Service 866-564-0315 8120 Penn Avenue South, Suite 200, Bloomington, MN 55431-1394 http://www.wpsmedicare.com/

Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6714 Fargo, ND 58108-6714 http://www.noridianmedicare.com/

Mississippi Carrier Cahaba GBA 866-419-9454 Provider Enrollment, P.O. Box 548, Birmingham, AL 35202 http://www.cahabagba.com/

Fiscal Intermediary TriSpan Health Services 877-635-7596 P.O. Box 23046, Jackson, MS 39225-3046 http://www.trispan.com/

Freestanding Federally Qualified Health Centers National Government Services, Inc. 414-459-6972 P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

Rural Health Clinics Riverbend Government Benefits Administrator, Inc. 877-296-6189 Provider Enrollment-3C, 730 Chestnut Street, Chattanooga, TN 37402 http://www.rgbagov.com

Missouri Carrier Wisconsin Physicians Service 866-503-7664 Provider Enrollment, P.O.Box 8248, Madison, WI 53708 www.wpsmedicare.com

Fiscal Intermediary TriSpan Health Services 877-635-7596 P.O. Box 23046, Jackson, MS 39225-3046 http://www.trispan.com/

Montana Carrier Noridian Administrative Services 888-608-8816 Medicare Part B, P.O. Box 6735, Fargo, ND 58108-6735 http://www.noridianmedicare.com/

Fiscal Intermediary Noridian Administrative Services 888-608-8816 Medicare Part A, P.O. Box 6732, Fargo, ND 58108-6732 http://www.noridianmedicare.com/

Federally Qualified Health Center Noridian Administrative Services 888-608-8816 Medicare Part A, P.O. Box 6732, Fargo, ND 58108-6732 http://www.noridianmedicare.com/

Rural Health Clinic Noridian Administrative Services 888-608-8816 Medicare Part A, P.O. Box 6732, Fargo, ND 58108-6732 http://www.noridianmedicare.com/

Nebraska Carrier Wisconsin Physicians Service 866-503-7664 Provider Enrollment, P.O.Box 8248, Madison, WI 53708 www.wpsmedicare.com

Fiscal Intermediary Wisconsin Physicians Service 866-734-9444 Provider Enrollment, P.O.Box 8310, Omaha, NE 68108-0310 www.wpsmedicare.com

Nevada Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1667, Augusta, GA 30903-1667 http://www.palmettogba.com/

New Hampshire Carrier NHIC, Corp. 877-258-4442 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044 http://www.medicarenhic.com/

New Jersey Carrier National Government Services, Inc. 888-855-4346 P.O. Box 69218, Harrisburg , PA 17106-9218 http://www.ngsmedicare.com/

Fiscal Intermediary Riverbend Government Benefits Administrator, Inc. 877-296-6189 Provider Enrollment, 730 Chestnut Street, Chattanooga, TN 37402 http://www.rgbagov.com

New Mexico Carrier TrailBlazer Health Enterprises, LLC 866-539-5596 Provider Enrollment, P.O. Box 650709, Dallas, TX 75265-0709 http://www.trailblazerhealth.com/

Fiscal Intermediary TrailBlazer Health Enterprises, LLC 866-528-1603 Provider Enrollment, P.O. Box 650458, Dallas, TX 75265-0458 http://www.trailblazerhealth.com/

Rural Health Clinic TrailBlazer Health Enterprises, LLC 866-528-1603 Provider Enrollment, P.O. Box 650458, Dallas, TX 75265-0458 http://www.trailblazerhealth.com/

New York (Upstate) Carrier National Government Services, Inc. 877-567-7173 P.O. Box 4893, Syracuse, NY 13221-4893 http://www.ngsmedicare.com/

Fiscal Intermediary National Government Services, Inc. 888-855-4356 P.O. Box 4846, Syracuse , NY 13221-4846 http://www.ngsmedicare.com/

New York (NYC Metroarea, except Queens) Carrier National Government Services, Inc. 866-837-0241 P.O. Box 4792, Syracuse, NY 13221-4792 http://www.ngsmedicare.com/Counties: Bronx, Columbia,Delaware, Dutchess, Greene, Fiscal Intermediary National Government Services, Inc. 888-855-4356 P.O. Box 4846, Syracuse, NY 13221-4846 http://www.ngsmedicare.com/Kings (Brooklyn), Nassau, NewYork (Manhattan), Regional Home Health Intermediary National Government Services, Inc. 414-459-6972 P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/Orange, Putnam, Richmond (StatenIsland), Rockland, Freestanding Federally Qualified Health Centers National Government Services, Inc. 414-459-6972 P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/Suffolk, Sullivan, Ulster,Westchester Rural Health Clinics Highmark Medicare Services 866-488-0549, option 2 Provider Enrollment Services, P.O. Box 890157, Camp Hill, PA 17089-0157 http://www.highmarkmedicareservices.com

New York (Queens) Carrier National Government Services, Inc. 866-837-0241 P.O. Box 4885, Syracuse, NY 13221-4885 http://www.ngsmedicare.com/

North Carolina Carrier CIGNA Government Services 866-520-4007 Provider Enrollment, P.O. Box 25226, Nashville, TN 37202 http://www.cignagovernmentservices.com/

Fiscal Intermediary Palmetto GBA 877-567-9249 Part A Provider Enrollment, 2300 Springdale Drive, Building One Camden, SC 29020 http://www.palmettogba.com/

North Dakota Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6706, Fargo, ND 58108-6706 https://www.noridianmedicare.com/

Fiscal Intermediary Noridian Administrative Services 888-608-8816 P.O. Box 6709, Fargo, ND 58108-6709 https://www.noridianmedicare.com/

Federally Qualified Health Center Noridian Administrative Services 888-608-8816 P.O. Box 6709, Fargo, ND 58108-6709 https://www.noridianmedicare.com/

Rural Health Clinic Noridian Administrative Services 888-608-8816 P.O. Box 6709, Fargo, ND 58108-6709 https://www.noridianmedicare.com/

Northern Carrier Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1667, Augusta, GA 30903-1667 http://www.palmettogba.com/

Mariana Fiscal Intermediary Palmetto GBA 866-931-3901 Provider Enrollment, P.O. Box 1508, Augusta, GA 30903-1508 http://www.palmettogba.com/

Islands Regional Home Health Intermediary National Government Services, Inc. 513-852-4275 Provider Enrollment, P.O. Box 7143, Indianapolis, IN 46207-7143 http://www.ngsmedicare.com/

Ohio Carrier Palmetto GBA 866-308-5439 Part B Provider Enrollment, P.O. Box 182933, Columbus, OH 43218-2933 http://www.palmettogba.com/

Oklahoma Carrier TrailBlazer Health Enterprises, LLC 866-539-5596 Provider Enrollment, P.O. Box 650711, Dallas, TX 75265-0711 http://www.trailblazerhealth.com/

Oregon Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6702, Fargo, ND 58108-6702 http://www.noridianmedicare.com/

Pennsylvania Carrier Highmark Medicare Services 866-488-0549, option 1 Provider Enrollment Services, P.O. Box 890157, Camp Hill, PA 17089-0157 http://www.highmarkmedicareservices.com

Fiscal Intermediary Highmark Medicare Services 866-488-0549, option 2 Provider Enrollment Services, P.O. Box 890157, Camp Hill, PA 17089-0157 http://www.highmarkmedicareservices.com

Puerto Rico Carrier Triple-S, Inc./Medicare 888-889-0325 P.O. Box 71391, San Juan, PR 00936 http://www.triples-med.org

Fiscal Intermediary COSVI 787-758-9733 P.O. Box 45169, Jacksonville, FL 32232-5169 http://www.cosvimedicare.com/

Regional Home Health Intermediary National Government Services, Inc. 414-226-6972 / 6997 P.O. Box 7149, Indianapolis, IN 46207-7149 http://www.ngsmedicare.com/

Rhode Island Carrier Pinnacle Business Solutions 866-582-3251 Provider Enrollment, Post Office Box 34260, Little Rock, Arkansas 72203 http://www.pinnaclebsi.com/

Fiscal Intermediary Pinnacle Business Solutions 888-733-6820 Part A Provider Enrollment, P.O. Box 1418, Little Rock, AR 72203 http://www.pinnaclebsi.com/

South Carolina Carrier Palmetto GBA 866-238-9654 Part B Provider Enrollment (AG-310), P.O. Box 100190, Columbia, SC 29202-3190 http://www.palmettogba.com/

Fiscal Intermediary Palmetto GBA 803-382-6167 Part A Provider Enrollment (AG-331), P.O. Box 100144, Columbia, SC 29202-3144 http://www.palmettogba.com/

South Dakota Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6707, Fargo, ND 58108-6707 http://www.noridianmedicare.com/

Federally Qualified Health Center Noridian Administrative Services 888-608-8816 P.O. Box 6733, Fargo, ND 58108-6733 http://www.noridianmedicare.com/

Rural Health Clinic Noridian Administrative Services 888-608-8816 P.O. Box 6733, Fargo, ND 58108-6733 http://www.noridianmedicare.com/

Tennessee Carrier CIGNA Government Services 866-520-4007 Provider Enrollment, P.O. Box 25226, Nashville, TN 37202 http://www.cignamedicare.com/

Fiscal Intermediary Riverbend Government Benefits Administrator, Inc. 877-296-6189 Provider Enrollment - 3C, 730 Chestnut Street, Chattanooga, TN 37402 http://www.rgbagov.com

Texas Carrier TrailBlazer Health Enterprises, LLC 866-528-1602 Provider Enrollment, P.O. Box 650544, Dallas, TX 75265-0544 http://www.trailblazerhealth.com/

Utah Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6725, Fargo, ND 58108-6725 http://www.noridianmedicare.com/

Vermont Carrier NHIC, Corp. 877-258-4442 Provider Enrollment, P.O. Box 3434, Hingham, MA 02044 http://www.medicarenhic.com/

Virginia Carrier TrailBlazer Health Enterprises 866-697-9670 Provider Enrollment VA, P.O. Box 650707, Dallas, TX 75265-0707 http://www.trailblazerhealth.com/

Virgin Island Carrier Triple-S, Inc./Medicare 888-889-0325 P.O. Box 71391, San Juan, PR 00936 http://www.triples-med.org

Fiscal Intermediary COSVI 787-758-9733 P.O.Box 45169, Jacksonville, FL 22232-5169 http://www.cosvimedicare.com/

Washington Carrier Noridian Administrative Services 888-608-8816 P.O. Box 6700, Fargo, ND 58108-6700 http://www.noridianmedicare.com/

West Virginia Carrier Palmetto GBA 866-308-5439 Palmetto GBA, Part B Provider Enrollment, P.O. Box 182933, Columbus, OH 43218-2933 http://www.palmettogba.com/

Wisconsin Carrier Wisconsin Physicians Service 877-908-8476 WPS-Medicare Provider Enrollment, P.O. Box 8248, Madison, Wisconsin 53708-8248 http://www.wpsmedicare.com/

Wyoming Carrier Noridian Administrative Services 888-608-8816 Medicare Part B, P.O. Box 6708, Fargo, ND 58108-6708 http://www.noridianmedicare.com/

Fiscal Intermediary Noridian Administrative Services 888-608-8816 Medicare Part A, P.O. Box 6734, Fargo, ND 58108-6734 http://www.noridianmedicare.com/

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