An official website of the United States government
The Registration Summary page displays the registration information that you have just entered and provides you the opportunity to make changes. Please review it carefully. If you need to change any of the information, click the Edit button under the corresponding section.
Once you click the Edit button next to the proper section you will return to that section. Once all corrections have been made, click Next at the bottom of that page to navigate to the next page in the registration flow. After you have returned to the Registration Summary page, click the Submit Registration button.
Once you have reviewed all information on the Registration Summary page and would like to submit the information, click the Submit Registration button.
Click the Previous button to return to the previous page.
Click the Cancel button to return to the Welcome page.
A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services.
7500 Security Boulevard, Baltimore, MD 21244