Provider Enrollment
If you are a provider interested in serving Medicare patients, CMS requires you to be enrolled with Medicare. The links below will provide you with the tools and information needed to quickly and efficiently complete your Medicare enrollment.
Important Notice
Palmetto GBA is currently experiencing longer than normal Medicare enrollment application processing times. We are actively working to return to our standard processing times, and we regret any inconvenience this may cause. To monitor the progress of your application, please use the Provider Enrollment Application Status Lookup tool on our website. Thank you for your understanding and patience.
Provider Enrollment Resources
Enroll, change your Medicare information, and add or delete group members or locations using the Medicare Provider Enrollment, Chain, and Ownership System (PECOS) at https://pecos.cms.hhs.gov. Print, sign and date the two-page Certification Statement and mail the Certification Statement and all supporting paper documentation to Palmetto GBA within seven days of electronic submission.
- Provider Enrollment Revalidation
- The CMS file lists providers eligible to order and refer and those with current enrollment records
- Access instructions (PDF) to view your PECOS record
- CMS Medicare Provider Enrollment provides enrollment information for all providers
- CMS-855 forms — Access, print, sign and mail to Palmetto GBA
Palmetto GBA
P.O. Box 100190
Columbia, SC 29202
Provider Enrollment Tools
- Enrollment Application Tool
- Enrollment Application Status Lookup
- Medicare Revalidation Lookup Tool
- CMS-855O Medicare Enrollment Application Module