Please note: Effective Apr. 1, 2012, you need the following three items ready when you contact Provider Enrollment and Data Management:

  • National Provider Identifier (the NPI of the provider related to your question)
  • Tax ID/Social Security number (the last four digits of the provider's Social Security number (for an individual provider) or tax ID (for a group) for any providers currently contracted with the Blues)
  • Primary address and phone number (to verify the provider's primary address and phone number for any provider currently enrolled with BCN or BCBSM)

Enrollment questions for practitioners, provider groups, facilities and hospitals, please contact:

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Fax: 1-866-900-0250

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Mailing address:
Blue Cross Blue Shield of Michigan
Provider Enrollment and Data Management
P.O. BOX 217
Southfield, MI 48034