How to Get Credentialed with Palmetto GBA (Jurisdiction J/M) in Virginia
Quick Overview
Timeline
60 - 90 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
Delegated
No
Virginia-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Virginia.
Prepare Your Application
Complete Palmetto GBA (Jurisdiction J/M)'s provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Palmetto GBA (Jurisdiction J/M).
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Palmetto GBA (Jurisdiction J/M)?
Our specialists handle the entire Palmetto GBA (Jurisdiction J/M) enrollment process: applications, follow-ups, and approvals in Virginia.
Required Documents Checklist
CV/Resume
DEA License
ConditionalRequired if applicable
Malpractice Insurance
Medical License
NPI Certificate
Free Tools for Your Palmetto GBA (Jurisdiction J/M) Enrollment
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Key Credentialing Terms
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- CMS-855
- The family of Medicare enrollment application forms used to enroll providers, suppliers, and organizations in the Medica...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- MAC
- A Medicare Administrative Contractor is a private company that CMS contracts with to process Medicare claims and handle...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- PECOS
- The Provider Enrollment, Chain, and Ownership System is the online portal used by healthcare providers to enroll in Medi...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
Credentialing Checklist
Make sure you have everything ready before applying to Palmetto GBA (Jurisdiction J/M).
View Physician Credentialing Checklist →Contact Information
Claims Inquiry
National1-855-696-0705
Medicare Enrollment
National1-866-837-0241
Medicare Appeals
National1-855-696-0705
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Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.