Enroll in Medicare


The first step to becoming a Medicare provider is to complete your enrollment application and receive your Provider Transaction Access Number (PTAN) and National Provider Identifier (NPI). Watch a short video for an overview of the provider enrollment process and then please complete a brief survey.

How Do I Become a Medicare Provider?

Fastest Method

  1. Obtain a National Provider Identifier (NPI). NPIs are a unique health care provider identifier and are issued through the National Plan and Provider Enumeration System (NPPES).

    Apply for an NPI

  2. Complete the Medicare Enrollment Application. You can enroll in Medicare using PECOS, the online Medicare enrollment system.

    Launch PECOSPECOS Enrollment Instructions

You Can Also Enroll by Mail

  1. Download and complete the correct form based on what type of provider you are:

    • Organizations — CMS-855B (PDF, 833 KB)
    • Physicians and nonphysician practitioners — CMS-855I (PDF, 378 KB)
    • Physicians and nonphysician practitioners reassigning Medicare benefits — CMS-855R (PDF, 176 KB)
  2. You will also need to download and complete both of the following forms:

  3. Submit all forms and supporting documentation via one of the following methods:

U.S. Mail and Certified Mail

Palmetto GBA
Mail Code: AG-310
P.O. Box 100306
Columbia, SC 29202-3306

Overnight Courier

Palmetto GBA 2300 Springdale Drive
Building One
Camden, SC 29020-1728

What to Expect

The average processing time of a properly submitted application is 15 days after it is received by Palmetto GBA. You will receive confirmation of your enrollment via email. You can check your enrollment status using the link below.

Check Enrollment Status

Next Steps

Once you have successfully enrolled, your next step is to enroll in electronic claim submission with Electronic Data Interchange (EDI).

Enroll Now!





Last Updated: 03/02/2021