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Provider Enrollment


Hospital

Enrollment information for a Portable X-Ray Demonstration Providers

Portable X-Ray Demonstration Providers ...

To participate in the Portable X-Ray Demonstration Project which allows you to provide services to beneficiaries with NYS Medicaid coverage only.

NOTE: To provide services to beneficiaries with NYS Medicaid coverage only, complete Options 1 and 2.

Complete the Enrollment Form below if you are:


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