NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Find the right agency to contact for commonly asked Medicare related questions. Results shown are organized by topic. You can always contact Medicare directly at... 1-800-MEDICARE (1-800-633-4227)

Claims & billing

Benefits Coordination & Recovery Center (BCRC)


Questions regarding — Claims & billing
Medicare Secondary Payer, and who pays first.
Toll free: (855) 798-2627 TDD: (855) 797-2627

DME MAC -- Durable Medical Equipment Medicare Administrative Contractor

CGS Administrators, LLC
Questions regarding — Claims & billing
Bills for durable medical equipment and a list of approved suppliers of this equipment.
Toll free: (800) 633-4227

Fiscal Intermediary

Cooperativa De Seguros De Vida (COSVI)
Questions regarding — Claims & billing
Part A bills and services, hospital care, skilled nursing care, and fraud.
Toll free: (800) 633-4227

OIG (DHHS) -- Office of the Inspector General (Department of Health and Human Services)

Department of Health and Human Services - Office of Inspector General
Questions regarding — Claims & billing
Reporting fraud.
Toll free: (800) 447-8477 Local: (202) 619-1343

Carrier

First Coast Services Options, Inc.
Questions regarding — Claims & billing
Part B bills and services.
Toll free: (800) 633-4227

RHHI -- Regional Home Health Intermediary

Noridian
Questions regarding — Claims & billing
Home health, hospice care, and fraud.
Toll free: (800) 633-4227

RRB Carrier - Railroad Retirement Board Carrier

Noridian
Questions regarding — Claims & billing
(For Railroad Retirement beneficiaries only) - Part B bills and services.
Toll free: (888) 355-9165 Local: (877) 288-7600

Complaints about my care or services

Accreditation Association for Ambulatory Health Care


Questions regarding — Complaints about my care or services
Finding out if urgent care centers and ambulatory surgical centers are accredited or not.
Local: (847) 853-6060

American Association for Accreditation of Ambulatory Surgical Facilities


Questions regarding — Complaints about my care or services
Finding out if an ambulatory surgical center is accredited or not.
Toll free: (888) 545-5222 Local: (847) 775-1970

American Board of Medical Specialties


Questions regarding — Complaints about my care or services
Finding out if a doctor is board certified.
Toll free: (866) 275-2267 Local: (312) 436-2600

American Hospital Association


Questions regarding — Complaints about my care or services
Finding a voluntary list of patients' rights in a hospital.
Toll free: (800) 424-4301 Local: (312) 422-3000

College of American Pathologists


Questions regarding — Complaints about my care or services
Finding out if the lab where your blood tests are sent is accredited or not.
Toll free: (800) 323-4040 Local: (847) 832-7000

ESRD State Survey Agency

Departamento de Salud
Questions regarding — Complaints about my care or services
Complaints about the quality of care in dialysis facilities.
Toll free: (800) 981-5721 Local: (787) 765-2929

Nursing Home State Survey Agency

Departamento de Salud (formerly - Department of Family Services and Children of Puerto Rico)
Questions regarding — Complaints about my care or services
Where to submit a complaint about the quality of life or quality of care inside a nursing home.
Local: (787) 765-2929

Joint Commission on Accreditation of Healthcare Organizations (JCAHO)


Questions regarding — Complaints about my care or services
Finding out if your health care organization is accredited or not.
Local: (630) 792-5800

QIO û Quality Improvement Organization (Beneficiary and Family Centered Care)

Livanta, LLC
Questions regarding — Complaints about my care or services
Complaints about quality of care, and filing an appeal or complaint.
Toll free: (866) 815-5440

Center for Health Dispute Resolution (CHDR)

MAXIMUS Center for Health Dispute Resolution (CHDR)
Questions regarding — Complaints about my care or services
Requesting external reviews of Medicare managed care denials.
Local: (585) 425-5210

Office for Civil Rights

Office for Civil Rights of New Jersey, New York, Puerto Rico, and Virgin Islands
Questions regarding — Complaints about my care or services
Submitting a complaint about discrimination.
Local: (212) 264-3313 TDD: (212) 264-2355

Ombudsman

Office of the Regional Administrator Region 2
Questions regarding — Complaints about my care or services
Obtaining information on nursing homes or resolving problems between nursing homes and residents or their families.
Local: (787) 294-1681

Medicaid - Report Fraud

Puerto Rico Health Insurance Administration
Questions regarding — Complaints about my care or services
Report Medicaid fraud and abuse.
Toll free: (800) 981-2737 Local: (787) 474-3300

ESRD -- End-Stage Renal Disease Networks

Quality Insights Renal Network 3 - formerly - Trans-Atlantic Renal Council - Network 3
Questions regarding — Complaints about my care or services
Where to submit a complaint about the quality of care I received from my kidney dialysis facility.
Toll free: (888) 877-8400 Local: (609) 490-0310

QIO û Quality Improvement Organization (Quality Innovation Network)

TMF
Questions regarding — Complaints about my care or services
Local and community level projects to improve patient safety, reduce harm, and improve clinical care.
Toll free: (800) 725-9216 Local: (512) 329-6610

General health & health conditions

Agency for Healthcare Research and Quality (AHRQ)


Questions regarding — General health & health conditions
Ordering brochures on "Choosing a Hospital, Choosing Treatments and Choosing a Hospital."
Toll free: (800) 358-9295

American Association of Kidney Patients


Questions regarding — General health & health conditions
Educational materials for people with kidney disease.
Toll free: (800) 749-2257 Local: (813) 636-8100

American Cancer Society


Questions regarding — General health & health conditions
Finding information on cancer.
Toll free: (800) 227-2345

American Heart Association


Questions regarding — General health & health conditions
Finding information on heart disease.
Toll free: (800) 242-8721 Local: (214) 570-2000 Español: (800) 242-8721

American Kidney Fund


Questions regarding — General health & health conditions
Financial assistance and educational materials for people with kidney disease.
Toll free: (800) 638-8299 Local: (301) 881-3052 Español: (866) 300-2900

Internal Revenue Service


Questions regarding — General health & health conditions
Obtaining materials/forms for income tax filing and how Medicare Savings Accounts can affect my income taxes.
Toll free: (800) 829-1040

National Cancer Institute's Cancer Information Service


Questions regarding — General health & health conditions
Information on cancer treatments, clinical trails, alternative medicine, coping with side effects, and other cancer related information.
Toll free: (800) 422-6237

National Institute on Aging Information Center


Questions regarding — General health & health conditions
Discussing health concerns, medicines, and other issues important to older people.
Toll free: (800) 222-2225

National Kidney and Urologic Diseases Information


Questions regarding — General health & health conditions
Educational materials for people with kidney disease.
Toll free: (800) 891-5390 Local: (301) 654-4415

National Kidney Foundation, Inc.


Questions regarding — General health & health conditions
Support groups and educational materials for people with kidney disease.
Toll free: (800) 622-9010 Local: (212) 889-2210

Health care facilities & services in your area

American Self-Help Clearinghouse


Questions regarding — Health care facilities & services in your area
Finding specific health support groups in your area.
Toll free: (800) 367-6274 Local: (973) 989-1122

Primary Care Association

Associacion de Salud Primaria de Puerto Rico, Inc.
Questions regarding — Health care facilities & services in your area
Finding a Federally Qualified Health Center (FQHC) closest to me to help me lower my health care costs. FQHCs include community health centers, tribal health clinics, migrant health services, and health centers for the homeless.
Local: (787) 758-3411

Eldercare Location

DC longterm care Ombudsman program
Questions regarding — Health care facilities & services in your area
Finding necessary and convenient services that serve the elderly in their community.
Toll free: (800) 677-1116 Local: (202) 434-2120

State Hospice Organization

Home Health and Hospice Association of Puerto Rico
Questions regarding — Health care facilities & services in your area
To find a hospice program in my area.
Toll free: (800) 981-2364 Local: (787) 758-0168

Help with my Medicare options & issues

CMS RO - Centers for Medicare & Medicaid Services Regional Office

CMS, New York Regional Office
Questions regarding — Help with my Medicare options & issues
Information on local seminars and health fairs on Medicare health plan choices, or to report a complaint directly to CMS.
Toll free: (877) 449-5661 Local: (212) 616-2222

State Department of Insurance

Commissioner of Insurance of Puerto Rico
Questions regarding — Help with my Medicare options & issues
Medigap Policies
Toll free: (888) 722-8686 Local: (787) 304-8686

RRB -- Railroad Retirement Board

Railroad Retirement Board
Questions regarding — Help with my Medicare options & issues
(For Railroad Retirement beneficiaries only) - RRB benefits, lost RRB Medicare card, address change, and enrolling in Medicare.
Toll free: (877) 772-5772 TDD: (312) 751-4701

SSA -- Social Security Administration

Social Security Administration
Questions regarding — Help with my Medicare options & issues
Changing my address, Medicare Part A or Part B, lost Medicare card, and Social Security benefits.
Toll free: (800) 772-1213

SHIP -- State Health Insurance Assistance Program

State Health Insurance Assistance Program (SHIP)
Questions regarding — Help with my Medicare options & issues
Personalized health insurance counseling
Toll free: (877) 725-4300 Local: (787) 721-6121

Other insurance programs

CHIP -- Insure Kids Now

Children's Health Insurance Program
Questions regarding — Other insurance programs
Children's Health Insurance Program
Toll free: (877) 543-7669

Department of Defense


Questions regarding — Other insurance programs
Whether I qualify for military retiree health care benefits.
Local: (703) 571-3343

Department of Veterans Affairs


Questions regarding — Other insurance programs
VA medical benefits.
Toll free: (800) 827-1000

Federal Black Lung Program


Questions regarding — Other insurance programs
Finding out where my doctor should send the bills for the diagnosis and treatment of my black lung disease.
Toll free: (800) 638-7072

State Medical Assistance Office

Medicaid Office of Puerto Rico and Virgin Islands
Questions regarding — Other insurance programs
Medicaid program
Local: (787) 765-2929

Office of Personnel Management


Questions regarding — Other insurance programs
Claims and other issues for retired federal employees and their dependents/survivors.
Toll free: (888) 767-6738 Local: (202) 606-1800 TDD: (202) 606-2532

HUD -- U.S. Department of Housing

U.S. Department of Housing and Urban Development (HUD)
Questions regarding — Other insurance programs
Information and services about homes and communities for citizens and for HUD's current and potential home buyers.
Toll free: (800) 569-4287 Local: (202) 708-1112 TDD: (202) 708-1455
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