Resources

• Please mail completed CMS 855 forms to the following addresses:

Indiana Providers:
Medicare Part B Provider Enrollment
PO Box 7078
Indianapolis, IN 46207-7078

Kentucky Providers:
Medicare Part B Provider Enrollment
P.O. Box 37630
Louisville, KY 40233-7630

• For instructions on completing the CMS-855 forms, please contact Provider Assistance 1-866-250-5665
  
  Please refrain from calling for the status of your application when it is still within the CMS approved processing timelines. The Centers for Medicare & Medicaid Services (CMS) requires Medicare contractors to process applications within the following timeframes:
  
       Initial Applications: 60-180 days from the date of receipt at ASF
       Changes or Reassignment Applications: 45-90 days from the date of receipt at ASF
  
  No information regarding the status of your application will be available prior to the timeframes noted above. the Provider Enrollment staff may contact your office if additional information is required. (Refer to the list Serve article "3 Phases of the Enrollment Process" published on July 28, 2006)

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