Welcome to the Arkansas Medicare Part A Provider Enrollment web site. This portion of our web site is designed to provide both new and old Medicare Part A Providers with needed information relating to provider enrollment.

Provider Enrollment for Medicare Part A providers is a function of the Provider Audit and Reimbursement Department. Below you will find a link to the CMS web site where you can download the Provider Enrollment 855A form, a CMS web site explaining how a provider enrolls in Medicare, along with other helpful information.

• CMS Provider Enrollment Web Site
  This will link you  to the CMS Provider/Supplier Enrollment web site. This site is designed to provide Medicare enrollment information for Institutional Providers, Physicians, Practitioners and Suppliers of medical and health services.
   
• Provider Enrollment Process Form 855A
  You may download the form and instructions from the CMS web site noted below or you may call Provider Audit and Reimbursement and they will mail the forms to you. Telephone number: 501-918-7462.
  http://www.cms.hhs.gov/MedicareProviderSupEnroll/03_EnrollmentForms.asp
   
• How does a provider/supplier enroll in Medicare?
  http://www.cms.hhs.gov/MedicareProviderSupEnroll
   
•  CMS Definitions Applicable to Provider Enrollment
   
•  Provider-Based Status Definitions
   
• Common Reasons Why An Enrollment Application Is Delayed In Processing
   
• Frequently Asked Questions

Mailing Address

ARKANSAS MEDICARE SERVICES
Part A Provider Enrollment
C/O Provider Audit & Reimbursement
P O Box 1418
Little Rock, AR 72203

Or Call Us At
(888) 733-6820 or (501) 918-7494