Author Topic: How Many "Numbers" Can One Professional Have?  (Read 2341 times)

dc006

  • Newbie
  • *
  • Posts: 18
How Many "Numbers" Can One Professional Have?
« on: September 04, 2009, 09:48:32 AM »
Hi:

Can any one tell me, if an individual doctor pulls away from a large group and had a NPI number that was never used, supposedly under the group, should they/can they use the never used NPI number given to them by the large group, or should they start all over with new NPI number, Medicare number, etc.?  Of course, I believe it is true that they can have only one tax ID number?  Is that correct?

They are thinking of developing a small group of their own after they have completely pulled away from the large group, i.e., doctor, NP, PA.

Please help.

Thank you.

Denise

PMRNC

  • Hero Member
  • *****
  • Posts: 4254
    • One Stop Resources & Networking for Medical Billers
Re: How Many "Numbers" Can One Professional Have?
« Reply #1 on: September 04, 2009, 09:57:04 AM »
The NPI MUST match the TAX ID data.. EXACTLY. So if the group will be using another TAX ID, the NPI will need to match
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

sherry27

  • Newbie
  • *
  • Posts: 31
Re: How Many "Numbers" Can One Professional Have?
« Reply #2 on: September 04, 2009, 10:20:48 AM »
The doctor has their own individual npi # that is linked to only the provider. That npi number will stay with him forever. Then, the group has their own npi #s also. For Ky Medicare, when the provider switches to a different group he will get a new Medicare PTAN.(medicare #).

When you set him up for a brand new group. You will get a tax id for the group, then obtain an NPI for the new group practice. Then, just link the providers individual npi# with the new group npi# and tax Id#. ;D

dc006

  • Newbie
  • *
  • Posts: 18
Re: How Many "Numbers" Can One Professional Have?
« Reply #3 on: September 04, 2009, 10:23:04 AM »
Linda:

Thank you for your response.  Are you also saying that the Medicare/Medicaid numbers must always match the Tax ID as well, if anything changes?

Thank you.

Denise

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4770
    • Solutions Medical Billing
Re: How Many "Numbers" Can One Professional Have?
« Reply #4 on: September 04, 2009, 02:03:42 PM »
It sounds like they will be forming a new group, so they will have to credential the new group with Medicare/Medicaid and then link themselves to the newly formed group.

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

dc006

  • Newbie
  • *
  • Posts: 18
Re: How Many "Numbers" Can One Professional Have?
« Reply #5 on: September 04, 2009, 02:19:23 PM »
Sherry:

Your reply has been very helpful as well. You have clarified many questions for me that I did not
even ask.

Thank you.

Denise

dc006

  • Newbie
  • *
  • Posts: 18
Re: How Many "Numbers" Can One Professional Have?
« Reply #6 on: September 04, 2009, 08:42:07 PM »
Hello Michele:

Thank you too, for your response.  Every one has helped me.  I truly appreciate the answers.

Denise