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Log In to Your Re-Enrollment Application

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Log In to Your Re-Enrollment Application

  
  • Please enter your Application Tracking Number (ATN) found on your re-enrollment notification letter or contact the Provider Assistance Center at 1-800-842-8440 for assistance in obtaining your ATN.
ATN*
   ATN: Required input must be between 1 And 9.    ATN: Only numeric Values are allowed.
NPI/Non medical provider identifier (AVRS ID)*
   NPI/Non medical provider identifier (AVRS ID): Required input must be between 9 And 10.    NPI/Non medical provider identifier (AVRS ID): Only numeric Values are allowed.
  
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