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Reinvents Itself Migration to Webbased interactive environment unlocks new revenue streams across key sectors Cognizant Case Study rf . JOHNSON BABIES CANT WAIT Organization Gender Enumeration Date Last Update Date Deactivation Reason Code Deactivation Date Reactivation Date Employer Identification Number EIN 05022014 05022014 SECTION 2 CONTACT INFORMATION Business Mailing Address TAXONOMY INFORMATION B OTHER PROVIDER IDENTIFIERS WWWHIPAASPACECOM Information provided in the current document is obtained from official source and accuracy of the information provided is the sole responsibility of the healthcare provide All change BIZZARO PAUL M DC Individual Gender Enumeration Date Last Update Date Deactivation Reason Code Deactivation Date Reactivation Date Employer Identification Number EIN Male 05232006 01162013 SECTION 2 CONTACT INFORMATION Business Mailing Address 81 S BLEAKLY NICOLE TERESA MD Individual Gender Enumeration Date Last Update Date Deactivation Reason Code Deactivation Date Reactivation Date Employer Identification Number EIN Female 06122008 09112014 SECTION 2 CONTACT INFORMATION Business Mailing Add Ann Bina. Kay . Marsyla. Gundersen Health System. Disclaimer. Information contained in these materials, including all discussion, is not intended to be legal or business advice. The laws and regulations regarding billing and coding are open to interpretation. It is your responsibility to ensure that coding and billing guidelines are being followed and to . WELCOME TO New PROVIDER Orientation. Congratulations on becoming a patient of the . C. areCentrix family!. Our role in Provider Operations is to be your advocate as you work with . C. areCentrix. Please feel free to contact your Provider Operations team should you have additional questions after reviewing this new provider orientation!. Domain Driven, Purpose-Built Innovation. Scot Asher, Vice President, Sales & Marketing. (480) 368-8555, ext. 125, . sasher@automon.com. . Product Evolution. Ce Connect Suite: Purpose-built, Domain-driven solutions. Shared Living Services. What is Shared Living. Shared . Living provides a home and supports for an adult with intellectual disabilities in the home of a qualified contracted provider. . The home should be a cooperative . An Update on Routine Provider Monitoring NC Health Information Management Association Behavioral Health Conference Mary T. Tripp, Policy Unit Leader Accountability Team June 11, 2014 Division of Mental Health, Developmental Disabilities and Substance Abuse Services with the Bizo Data GETTING STARTED 866.497.5505 | www.bizo.com | Follow us on Twitter: @bizo Page 2 Table of Contents Welcome to the Bizo Data Provider program Data Provider Overview How We x0000x0000August202Novel Coronavirus COVID19 Medicare Provider Enrollment Relief Frequently Asked Questions FAQs Providers and suppliers should only contact the Medicare Provider Enrollment Hotline fo 3RESPIRATORYSSCERTIFYTHATI HAVE PROVIDED THE SERVICES REPORTED ON THIS FORMPROVIDER SIGNATUREDATEATTENDING PHYSICIAN SIGNATUREREQUIRED IN ALLCASESDATEOTHER THAN ATTENDING PHYSICIANS SIGNATUREMISSOURI INDIANA HEALTH COVERAGE PROGRAMSPROVIDER REFERENCE MODULELIBRARY REFERENCE NUMBER PROMOD00015PUBLISHED APRIL 8 2021POLICIES AND PROCEDURES AS OF NOVEMBER 1 2020VERSION 50Copyright 2021Gainwell Technol PROVIDER NAME GROUP NPI ADDRESS PHONE Description of action to appeal MEMBER INFORMATION AND CONSENT I agree to allow the provider listed above to file an appeal on my behalf with Maryland Phy