ContractMedicare Participating Physician or Supplier Agreement • May 26th, 2017
DEPARTMENT OF HEALTH AND HUMAN SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
MEDICARE PARTICIPATING PHYSICIAN OR SUPPLIER AGREEMENTMedicare Participating Physician or Supplier Agreement • November 9th, 2017
*List all names and the NPI under which the participant files claims with the Medicare Administrative Contractor (MAC)/carrier with whom this agreement is being filed.
CMS–460 Medicare Participating Physician or Supplier AgreementMedicare Participating Physician or Supplier Agreement • May 4th, 2022
National Vaccine Program on matters related to the Program’s responsibilities. The Assistant Secretary for Health serves as Director of the National Vaccine Program.
CMS–460 Medicare Participating Physician or Supplier AgreementMedicare Participating Physician or Supplier Agreement • May 4th, 2022
National Vaccine Program on matters related to the Program’s responsibilities. The Assistant Secretary for Health serves as Director of the National Vaccine Program.
MEDICAREMedicare Participating Physician or Supplier Agreement • November 5th, 2015
The above named person or organization, called "the participant," hereby enters into an agreement with the Medicare program to accept assignment of the Medicare Part B payment for all services for which the participant is eligible to accept assignment under the Medicare law and regulations and which are furnished while this agreement is in effect.
