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Form DMS-7708 Practitioner Identification Number Request Form - Arkansas
What Is Form DMS-7708?
This is a legal form that was released by the Arkansas Department of Human Services - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DMS-7708?
A: Form DMS-7708 is the Practitioner Identification Number Request Form for Arkansas.
Q: What is the purpose of Form DMS-7708?
A: The purpose of Form DMS-7708 is to request a Practitioner Identification Number in Arkansas.
Q: Who needs to use Form DMS-7708?
A: Healthcare practitioners who wish to obtain a Practitioner Identification Number in Arkansas need to use Form DMS-7708.
Q: Is there a fee to submit Form DMS-7708?
A: Yes, there is a fee associated with submitting Form DMS-7708. Please refer to the instructions on the form for more information.
Q: What information is required on Form DMS-7708?
A: Form DMS-7708 requires information such as personal details, contact information, professional licenses, and any previous Medicaid provider numbers.
Q: How long does it take to process Form DMS-7708?
A: The processing time for Form DMS-7708 may vary. It is best to check with the Arkansas Department of Human Services for the most up-to-date information.
Q: What happens after submitting Form DMS-7708?
A: After submitting Form DMS-7708, the Arkansas Department of Human Services will review your application and issue a Practitioner Identification Number if approved.
Q: Can I track the status of my Form DMS-7708 application?
A: Yes, you can track the status of your Form DMS-7708 application through the Arkansas Medicaid Provider Portal.
Form Details:
- Released on March 1, 2022;
- The latest edition provided by the Arkansas Department of Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DMS-7708 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Human Services.
