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Provider Enrollment




Enrollment information for Service Bureau Providers

Service Bureau Providers ...

An entity which submits claims, and/or verifies patient eligibility for providers enrolled in the Medicaid Program.

Complete the Enrollment Form below if you are:

Instructions to Complete
Enrollment Form


DOH NY

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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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