23 Miss. Code. R. 203-3.1 - Provider Enrollment
A. Providers of
anesthesia services must comply with all requirements set forth in Part 200,
Chapter 4, Rule 4.8 for all providers in addition to the specific provider type
requirement below:
1. Obtain National
Provider Identifier (NPI) with verification from National Plan and Provider
Enumeration System (NPPES),
2. Copy
of current licensure card,
3.
Verification of social security number using a social security card, driver's
license if it notes the social security number, military ID or a notarized
statement signed by the provider noting the social security number. The name
noted on verification must match the name noted on the W-9.
4. Copy of approved protocol and practice
setting, if applicable, and
5. Copy
of specialty certificate(s), if applicable.
B. Anesthesiologists must comply with
physician requirements outlined in Part 203, Chapter 1, Rule 1.1.
Notes
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No prior version found.