Medicare Credentialing – Individual + Group (Dual Enrollment)

The Wonsí Method provides complete Medicare Dual Enrollment for providers and practices that need BOTH the Individual (NPI 1) and Group (NPI 2) Medicare credentialing completed through PECOS.
This service handles all steps of the federal Medicare enrollment process and ensures the provider is properly linked to the practice so billing can begin without delays.

This package is ideal for:
• Nurse Practitioners (NPs)
• Psychiatrists
• Psychologists
• LICSWs, LMFTs, LMHCs (state-dependent)
• Providers opening their own practice (solo group)
• Providers joining an existing Medicare group
• Practices needing accurate provider-to-group reassignment
• Massachusetts clinicians who must enroll in Medicare before MassHealth Medicaid

What’s Included (Done-For-You Dual PECOS Enrollment)

Individual Provider (NPI 1) Enrollment

✔ PECOS provider application
✔ NPI & taxonomy verification
✔ Identity verification & federal screening
✔ CAQH review (if applicable)
✔ Supporting document collection
✔ Direct follow-up until full approval

Group / Practice (NPI 2) Enrollment

✔ Medicare group/practice PECOS application
✔ EIN, W-9 & practice validation
✔ Practice address & billing location verification
✔ EFT/ERA setup for the practice
✔ MAC communication & follow-up

Reassignment — Linking Provider to Group

✔ Complete reassignment form within PECOS
✔ Ensure proper linkage for billing
✔ Verify Medicare recognizes the provider under the group
✔ Final approval confirmation for both provider + group

After Purchase

You will receive your Credentialing Intake Application, where you will submit:
• Provider details (NPI 1)
• Group/practice details (NPI 2)
• License & malpractice documentation
• W-9
• Supporting documents required by CMS

Your Medicare application will be initiated within 48–72 hours after intake submission.

Processing Timeline

Medicare dual enrollment typically takes:
60–120 days, depending on your region’s Medicare Administrative Contractor (MAC).

⭐ Important Note on State Requirements

Some states, including Massachusetts, require clinicians to complete Medicare enrollment before Medicaid. If your state has this requirement, The Wonsí Method will guide you through the correct order to avoid delays or denials.

Let The Wonsí Method handle your Medicare Dual Enrollment accurately, completely, and stress-free — from submission to approval.