23 Miss. Code. R. 200-4.7

Current through January 14, 2025

Rule 23-200-4.7 - Change of Tax ID

A. Providers who change tax identification numbers under circumstances other than those described in Rule 4.3, Change of Ownership and Rule 4.8, Requirements for All Providers must:

1. Request the change and the effective date of change in writing,

2. Submit a signed original W-9 form,

3. Submit verification of the tax identification number on a preprinted document from the Internal_Revenue Service (IRS), and

4. Submit verification of the National Provider Identifier (NPPES confirmation).

B. The provider does not need to submit a Provider Enrollment Change of Ownership application. The provider number is not changed; however, a new taxpayer identification segment will be established.

23 Miss. Code. R. 200-4.7

Miss. Code Ann. § 43-13-121