Changing your Billing or Physical Address  for
Medicare of Texas
(Last updated: 07/31/2000)

To change your address, prepare a letter on your letterhead similar to this and mail it to the address below. Medicare Provider Services phone number is 469-372-2609. Wait one week, then call them to make sure your address has been changed.

Medicare Provider Services
PO BOX 833928
RICHARDSON, TX  75083
 

Date: July 31, 2000

RE: Provider # 00JM123

Please note that we have changed our address. Our physical address is now:
 

John Q. Smith, M.D.
1234 Memorial Hwy
Suite 102
Houston, TX  77001


Our billing address is:
 

John Q. Smith, M.D.
PO BOX 711052
Houston, TX  77271-1052
You may contact me at 713-555-1212, extension 1234 for further questions, or you may email me
at jqsmith@advmed.com.

Regards,
 
 

John Q. Smith, M.D.

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