CMS Medicare Enrollment Application
| Submitted | March 12, 2018 |
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Communications
From: Evan Anderson
To Whom It May Concern:
This is a request under the Freedom of Information Act. I hereby request the following records:
The most recently completed Medicare Enrollment Application 855a forms (found here: https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/cms855a.pdf) for (1) Castlewood Treatment Center in St. Louis, Missouri, and (2) the Child Guidance Clinic in Springfield, MA.
The requested documents will be made available to the general public, and this request is not being made for commercial purposes.
In the event that there are fees, I would be grateful if you would inform me of the total charges in advance of fulfilling my request. I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not.
Thank you in advance for your anticipated cooperation in this matter. I look forward to receiving your response to this request within 20 business days, as the statute requires.
Sincerely,
Evan Anderson
From: Evan Anderson
Hi there,
Will you kindly acknowledge receipt of this request?
Thank you,
Evan
From: Centers for Medicare and Medicaid Services
Dear Requester:
We have received your inquiry.
Thank you
From: Muckrock Staff
To Whom It May Concern:
I wanted to follow up on the following Freedom of Information Act request, copied below, and originally submitted on March 12, 2018. Please let me know when I can expect to receive a response, or if further clarification is needed.
Thanks for your help, and let me know if further clarification is needed.
From: Muckrock Staff
To Whom It May Concern:
I wanted to follow up on the following Freedom of Information Act request, copied below, and originally submitted on March 12, 2018. Please let me know when I can expect to receive a response, or if further clarification is needed.
Thanks for your help, and let me know if further clarification is needed.
From: Centers for Medicare and Medicaid Services
Good Afternoon,
This request was received and is in process. An acknowledgment letter dated March 14, 2018 was sent to you. The CTRL# is 031420187016 and PIN PPYV. Please, see attached.
Thank You, and Have a Great Day!
-
Evan Anderson Ack. Letter26.pdf.pdf
From: Centers for Medicare and Medicaid Services
A copy of documents responsive to the request.
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