Medical Billing Forum
NPI Numbers => NPI Numbers => : JVentura1 March 31, 2015, 09:44:32 PM
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Hi Everyone,
I am in the process of Credentialing a new site, two insurance providers required a new NPI which I did apply for. My question is does Medicare Part B Credential for a Clinic - Urgent Care as primary and secondary would be multi specialty. I am on the fence, bill with one NPI or apply for a new one and bill under two different NPI's
Tough question.
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Will you be using the EIN/Tax ID from an existing site? If so you can only have one NPI per EIN/Tax ID#. That may be your deciding factor.
As for Medicare, I'm not quite sure I understand your question. Are you asking if you can credential with Medicare as both a clinic and an urgent care?
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Thank you for your response. Yes, I will be using the existing EIN/TIN for the new site. I would like to credential Medicare Part B as an Clinic - Urgent Care Site and only bill with one NPI. On NPPES the options for the NPI (Taxonomy) are Clinic - Urgent Care which is considered one.
The other option would be to have another new NPI as Multi Specialty, Internal Medicine listed as the Taxonomy when I apply on NPPES and do the Medicare Part B Credential under the existing EIN/TIN.
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You may just need to go in to the NPI you already have and make it a multi specialty group and add any appropriate taxonomy codes for the new location.
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Thank you for your assistance, I will be starting the Medicare Enrollment Application today.