Transcription of Requirements for Provider Type 31 - Physician
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Requirements for Provider Type 31 - Physician
04/01/2017 1 Requirements for Provider Type 31 - Physician specialty Code and Provider Eligibility Program (PEP) The chart below lists all PT 31 specialties and the PEPs that may be associated with each specialty code. Please select the Provider s specialty from this list and associate it with an appropriate PEP. specialty SUBSPECIALTY Eligible PEPs 220 - Hearing Aid Dispenser Fee-for-Service (FFS) 301 Med and Osteopathic Trainee Enrollment Not Paid only (ENP) 310 Allergy & Immunology FFS, ENP 310 Allergy & Immunology 108 Clinical & Laboratory Immunology FFS, ENP 311 Anesthesiology FFS, ENP 311 Anesthesiology 113 Critical Care Medicine FFS, ENP 311 Anesthesiology 145 Pain Management FFS, ENP 314 Dermatology FFS, ENP 314 Dermatology 115 Dermatological Immunization FFS, ENP 314 Dermatology 116 Dermatopathology FFS, ENP 315 Emergency Medicine FFS, ENP 315 Emergency Medicine 136 Medical Toxicology FFS, ENP 315 Emergency Medicine 148 Pediatric Emergency Medicine FFS, ENP 315 Emergency Medicine 169 Sports Medicine FFS, ENP 316 Family Practice FFS, ENP, Healthy Beginnings + (HBP)
04/01/2017 1 Requirements for Provider Type 31 - Physician Specialty Code and Provider Eligibility Program (PEP) The chart below lists all PT 31 specialties and the PEPs that may be associated with each specialty code.
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