23 Miss. Code. R. 204-1.2 - Provider Enrollment
A. Dentists must
comply with all requirements set forth in Miss. Admin. Code Part 200, Chapter
4, Rule 4.8 for all providers in addition to the provider specific requirements
below:
1. National Provider Identifier (NPI),
verification from National Plan and Provider Enumeration System
(NPPES),
2. Copy of current
licensure card or permit, and
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 the verification must match the name noted on the W-9.
Notes
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