Palmetto GBA 1099 B Notice Request Form

The Palmetto GBA 1099 B Notice Request Form is now available online. Please

review and complete the form before submission.

http://www.palmettogba.com/palmetto/providers.nsf/ls/Jurisdiction%2011%20Part%20B~8B2Q328780?opendocument&utm_source=J11BL&utm_campaign=J11BLs&utm_medium=email

Applies to:

Jurisdiction 1//J1 Part A: General

Jurisdiction 1//J1 Part B: General

Jurisdiction 11 Part A//General

Jurisdiction 11 Part B//General

Railroad Medicare (RRB)//General - Railroad Medicare

Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that provides comprehensive medical billing services, practice management consulting, coding audits, Medicare compliance, Medicare RAC support and other general medical practice consulting services.

To learn more about Atlantic Financial Consulting you may visit their website at

http://atlanticfinancial.us  or contact Dallas L Alford IV, CPA directly at 1 888-428-2555, Ext. 200.