PDF
Word
Form CMS-20134 Medicare Enrollment Application
What Is Form CMS-20134?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on January 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CMS-20134?A: Form CMS-20134 is the Medicare Enrollment Application.
Q: What is the purpose of Form CMS-20134?A: The purpose of Form CMS-20134 is to apply for Medicare enrollment.
Q: Who can use Form CMS-20134?A: Individuals or organizations who want to enroll in Medicare can use Form CMS-20134.
Q: What information is required on Form CMS-20134?A: Form CMS-20134 requires information such as personal details, contact information, and Medicare coverage choices.
Q: Is there a fee to submit Form CMS-20134?A: No, there is no fee to submit Form CMS-20134.
Q: What should I do after completing Form CMS-20134?A: After completing Form CMS-20134, you should submit it to the appropriate Medicare enrollment processing center.
Q: How long does it take to process Form CMS-20134?A: The processing time for Form CMS-20134 varies, but it can take several weeks to complete.
Form Details:
- Released on January 1, 2018;
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CMS-20134 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.
Download Form CMS-20134 Medicare Enrollment Application
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
