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Provider Enrollment > Portable X-Ray Provider > Freestanding

Provider Enrollment


Freestanding

Enrollment information for Portable X-Ray Freestanding Providers

Freestanding Providers ...

Services provided to QMB's only (Qualified Medicare Beneficiaries). This service is NOT available to all Medicaid beneficiaries or individuals with Medicare Part B.

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

Complete the Enrollment Form below if you are:

Instructions to Complete
Enrollment Form


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This website is provided as a service for providers and the general public, as part of the offerings of the electronic Medicaid system of New York State. You'll be able to find helpful manuals and reference material, and get answers to questions about New York Medicaid. The site is updated regularly to meet the ever-growing needs of the New York State provider community. If you need help finding what you're looking for, please visit our Site Map, use the search above, or you can contact us directly for assistance.

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