23 Miss. Code. R. 210-1.3 - Provider Enrollment Requirements

Ambulatory surgical centers must satisfy all requirements set forth in Part 200, Chapter 4, Rule 4.8 in addition to the following provider type specific requirements listed below:

A. National Provider Identifier (NPI), verification from National Plan and Provider Enumeration System (NPPES),

B. Written confirmation from the IRS confirming the providers tax identification number and legal business name, and

C. Copy of Medicare certification letter:

1. EOMB not acceptable, and

2. Must be from Medicare Intermediary.

Notes

23 Miss. Code. R. 210-1.3

Miss. Code Ann. § 43-13-121; 43-13-117; 43-13-118; 43-13-129; 42 CFR § 416