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Tax ID #s and NPI #

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carnilent:
Hi Michelle;

I just contracted my second client.     This Dr. shares the office with three others ( family medicine ),
I am only doing billing for the one Dr.  wouldn't I need both her Tax ID and NPI #?   would this Dr. then be considered an Individual not a part of a  group?

Thanks for your help.

 Carnilent

PMRNC:
If the doctor is not a part of the group you would need ALL his own individual data including NPI.

Michele:
You will need both her NPI and her tax ID.  As far as if she is considered an individual or a group, that would depend upon how she is set up with the insurance carriers.  Are all 3 docs billing under the same tax ID and group NPI?  If yes, then she is part of a group, if not, then she is an individual.

She may be a group, but she is the only provider in the group.  If she bills under a tax ID, group name, and group NPI, but she is the only doc using that tax ID & group NPI then she is a group, but a 1 doc group.  That is actually quite common. 

You need to ask if all 3 docs bill under the same tax ID & group name & NPI, or do they each have their own tax ID's, etc.

Michele

PMRNC:
I took it to mean they were just "sharing" the office.

carnilent:
Thank you very much!     ;D



  Carnilent

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