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Medicare DME Credentialing

We assist from start to finish with Medicare DME credentialing.

In order to start the process, please collect the following items:

DME Credentialing Information

I will need the following items BEFORE we start the application process.

1. A copy of IRS EIN form. * See example attached

2. A copy of physician’s state license

3. A certificate of insurance (COI) with National Supplier Clearinghouse as additional insured. This is your “slip & fall” insurance. Your insurance carrier will do this when you call with the address below. *See example attached

If your clinic is located east of the Mississippi River in these states:
AL, CT, DE, FL, GA, IL, IN, KY, ME, MD, MA, MI, NH, NJ, NY, NC, OH, PA, RI, SC, TN, VT, VA, WV, WI, Wash DC, PR, US Virgin Islands

Novitas Solutions, Inc
P.O. Box 3704
Mechanicsburg, PA 17055-1863

If your clinic is located west of the Mississippi River use this address as your COI


Palmetto GBA, AG-495
P.O. Box 100142
Columbia, SC 29202-3142

4. A copy of a voided check for new DME company.

  • This check must be from a financial institution that has no financial interest in your practice.

    • (No loans, credit cards or any debt owed to this bank)

  • The account must be separate and only for new DME.


5. NPI number for organization.


6. NPI number for individual.


7. Need a managing member’s information. (This may be given during the conference call.)

  • Date of birth

  • Place of birth

  • Social Security number

Once we have all the copies of the above items, you can schedule a DME consult call. The doctor MUST be on this call to go over the process.

COI example wAddress.jpg
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