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Medicaid Provider Numbers

  1. Smile Medicaid Provider Numbers
    Exam Training Packages
    Good morning All,
    Does anyone know of a website that contains Medicaid Provider Numbers for referring physicians in the state of Indiana?
    Thanks
    Susie
    IIMC

  2. #2
    Default
    you are supposed to be using NPI numbers, not provider numbers. All the state Medicaid numbers should have been switched. Go to https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do

    Good luck!
    Malama pono,

    Sundae Yomes
    CPC, CPMA, CEMC, CGIC, CGSC, CCS-P

  3. Default
    I think she may be talking about the REF # that is needed to obtain a referral. I am not sure where to find that number either, I was looking for the same thing yesterday but I need the REF #'s in Georgia. If anyone knows where I can find the REF #'s for Georgia Medicaid providers, please let me know.

    Thanks,
    N.W., CPC, CPC-P

  4. Default
    I am not sure if it is different in GA but for AL the ref # is the referring doctor's Medicaid provider number Not NPI or UPIN but their actual Medicaid provider #), and to my understanding you have to get it from the referring doctor. I know Medicare we are part of the same carrier but Medicaid I dont know if the same policies etc apply.



    Quote Originally Posted by nwcpc-cpc-p View Post
    I think she may be talking about the REF # that is needed to obtain a referral. I am not sure where to find that number either, I was looking for the same thing yesterday but I need the REF #'s in Georgia. If anyone knows where I can find the REF #'s for Georgia Medicaid providers, please let me know.

    Thanks,
    N.W., CPC, CPC-P

  5. #5
    Default
    In the state of PA we still have to get the referring doctor's 13 digit MA number in order for our claims to be paid. The only place I know that you can get those from is the referring doctor. To my knowledge there is no website where you can get this information.

  6. Talking
    Yes that is what my question was, many times you cannot get through to the PCP office, and I was wondering if there was a centeral location to find these numbers.
    Thanks to all the responses:

  7. #7
    Default Try the NPI Registry
    We mostly see patients on a referral basis and have the same problem. Use the NPI Registry site at www.nppes.cms.hhs.gov. Go to search NPI registry then click on individual provider. In the search boxes that provides you can put in as little as the doctor's name or fill in all the boxes and hit search. It will bring up a list of doctors with that name along with their address and registered specialty. Click on the one you want and it will list the doctor's name, address, npi #, etc. If you scroll down the page, most doctors will also have listed their previous numbers including UPIN and Medicaid. Also a great way to get those pesky taxonomy codes. I use this method alot! Hope it helps!

    Jennifer, CPC

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