Session About To Timeout

Welcome to the Palmetto GBA Railroad Medicare PTAN LookUp and Request tool. This tool allows you to access your existing Railroad Medicare Provider Transaction Access Number(PTAN).

If you are new to Railroad Medicare, you can also request a PTAN if you are already enrolled with your local Medicare Administrative Contractor (A/B MAC) and have a Railroad Medicare claim to submit. To start the process, please complete the following required fields :

Local Medicare Administrative Contractor (A/B MAC) PTAN :
Provider NPI :
Last 5 Digits of the Provider's Tax ID :

Contact Information

First Name :			Last Name :
Phone number :	- -		Business Name :
Email Address :			Confirm Email Address :
Group NPI :*			Group MAC PTAN :*

Note: * = These fields are only required if a group member request is being made.

If you previously requested a PTAN and are returning to verify that your PTAN is active, please enter your reference number :

Reference Number :

Confirm you are not a robot. Please validate the following expression by entering the correct numeric value : =