provider enrollment credentialing
JK Part A provider enrollment (CMS-855/EFT) mailing address
No phone listed for this route
Published hoursNot published in this record
medicare
Connecticut · Massachusetts · Maine · New Hampshire · New York · Rhode Island · Vermont
Part A enrollment forms (JK)
National Government Services now operates as Wellpoint Federal (rebrand effective April 2026); NGSConnex and the NGS Medicare site continue. Part A CMS-855 and EFT forms, JK states. Overnight: Wellpoint Federal, Inc., Attention: Provider Enrollment, 220 Virginia Ave., Indianapolis, IN 46204.
View source ↗ · Source checked 2026-10-25
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