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What qualifications must a healthcare provider have in order to be eligible to furnish services to Medicare beneficiaries who are enrolled in a PFFS plan?

April 26, 2017beneficiaries eligible Enrolled furnish Healthcare medicare Provider qualifications Services

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What qualifications must a healthcare provider have in order to be eligible to furnish services to Medicare beneficiaries who are enrolled in a PFFS plan?

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To be eligible to furnish care to a PFFS, enrolled physicians must be state licensed and have a Medicare billing number or be eligible to obtain one. Institutional providers treating PFFS members, such as hospitals and skilled nursing facilities, must be certified to treat Medicare beneficiaries.