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Medicare Part D Enrollment

Specific instructions for completing the Medicare Part D ordering/referring provider enrollment form are found here. Please follow carefully. As of June 2018, the system is experiencing difficulties so you will need to print this form, complete, and mail according to instructions.

On or after your start date, you can access the VUMC Institutional DEA # plus your identifying suffix in the House Staff Portal. Enroll using this DEA # if you do not have your own DEA # or if you do not have a full active Tennessee Medical License. If you have both, use your personal DEA# to enroll.