Medical Billing Forum

General Category => General Questions => Topic started by: Anand on October 10, 2013, 09:18:47 AM

Title: PTAN
Post by: Anand on October 10, 2013, 09:18:47 AM
I have a questions

For example - There are two locations A & B - and till last month billing happens together with grp taxid

And from this month - both of these locations got different grp taxid, pay to address - billing happens as different entitiy

The question is - does the individual Medicare PTAN vary based on these locations or just the same - we possibly be getting a new grp PTAN but does the individual PTAN is unique??

Title: Re: PTAN
Post by: Anand on October 14, 2013, 08:30:07 AM
20 views and no response..
Title: Re: PTAN
Post by: Merry on October 21, 2013, 08:10:55 PM
This is from the Medicare Learning Network:

Relationship of the NPI to the PTAN
The NPI and the PTAN are related to each other for Medicare purposes. A provider must have one
NPI and will have one, or more, PTAN(s) related to it in the Medicare system, representing the
providerís enrollment. If the provider has relationships with one or more medical groups or practices or with multiple Medicare contractors, separate PTANS are generally assigned.
Together, the NPI and PTAN identify the provider, or supplier in the Medicare program. CMS
maintains both the NPI and PTAN in the Provider Enrollment Chain & Ownership System (PECOS),
the master provider and supplier enrollment system.