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medicare enrollment application reassignment of medicare benefits cmsr. see page 1 to determine if you are completing the correct application and for information on where to mail . Medicare has merged the CMSR into the CMSI paper enrollment application. Physicians and non-physician practitioners can reassign your right to bill the Medicare program and . The following forms can be used for initial enrollment, revalidations, changes in status, and voluntary termination: CMSA (PDF) for Institutional Providers; CMSB (PDF) for . The following forms can be used for initial enrollment, revalidations, changes in status, and voluntary termination: CMSA (PDF) for Institutional Providers; CMSB (PDF) for Clinics, Group Practices, and Certain Other Suppliers; CMSI (PDF) for Physicians and Non-Physician Practitioners. Learn how to enroll and report reassignment of Medicare benefits using the consolidated CMSI paper application. Find out what has changed, how to submit, and when to use the new form. Complete this application if you are reassigning your right to bill the Medicare program and receive Medicare payments, or are terminating a reassignment of benefits. Reassigning your Medicare benefits allows an eligible supplier to submit claims and receive payment for Medicare Part B services that you have provided.