Capital Area Providers
 Sunday Sep. 5, 2010 - 8:33 PM

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What should be done if you have an address or tax id change?

Send correspondence to CAP  (fax 512/482-4191) with the below information:

  • Physician Name
  • Current office and/or billing address including phone and fax number
  • New office and/or billing address including phone and fax number
  • Current tax identification number
  • New tax identification number
  • Effective date of new address or tax identification number
  • W9
  • Sample HCFA with boxes 25, 31-33 completed

 

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