Medicare

How to Get Credentialed with Palmetto GBA (Jurisdiction J/M) in Tennessee

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Tennessee-Specific Requirements

Palmetto GBA (MAC Jurisdiction J/M) processes all Medicare Part A/B claims for Tennessee. Providers must enroll via PECOS using CMS-855I (individual) or CMS-855B (group). Tennessee has major provider concentrations in Nashville (a national healthcare hub), Memphis, and Knoxville. CMS standard screening applies, with enhanced screening for high-risk categories. Providers should note that Nashville's healthcare industry infrastructure can be helpful for credentialing support services. A valid NPI is required, and revalidation is every 5 years. Initial enrollment takes 60–90 days.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Tennessee.

2

Prepare Your Application

Complete Palmetto GBA (Jurisdiction J/M)'s provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Palmetto GBA (Jurisdiction J/M).

4

Track & Follow Up

Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

CV/Resume

DEA License

Conditional

Required if applicable

Malpractice Insurance

Medical License

NPI Certificate

Contact Information

Claims Inquiry

National

1-855-696-0705

Medicare Enrollment

National

Medicare Appeals

National

1-855-696-0705

Quick Links

Palmetto GBA (Jurisdiction J/M) Website Provider Portal

Need Help?

Let PayerReady handle your Palmetto GBA (Jurisdiction J/M) enrollment in Tennessee.

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Palmetto GBA (Jurisdiction J/M) in Other States

Alabama Georgia North Carolina South Carolina Virginia

Other Payers in Tennessee

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare BlueCross BlueShield of Tennessee TennCare UnitedHealthcare Community Plan
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