Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3
Individual Practitioners Who Enroll Via the Form CMS-
10.2.3 - Individual Practitioners Who Enroll Via the Form CMS-
855I
(Rev. 11020; Issued: 10-01-21; Effective: 10-29-21; Implementation: 10-29-21)
This section provides background information on physicians and non-physician practitioners
(NPPs). While Medicare has established federal standards governing these supplier types, these
practitioners must also comply with all applicable state and local laws as a precondition of
enrollment.
It is important that contractors review Publication (Pub). 100-02, Medicare Benefit Policy
Manual, chapter 15 and Pub. 100-04, Claims Processing Manual, for specific information
regarding the required qualifications of the suppliers listed in this section 10.2.3 et seq.