Cms 1500 Claim Filing Instructions Page 9

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The provider’s name, office street address and/or PO Box, zip
code, and telephone number.
33a
Required
NPI#
NPI number of the billing provider. (Place the entity Type 1 NPI of
the provider who rendered the services in this field).
33b
Not Required
Other ID#
Do not enter a provider ID number in this field.
9

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