P ilots who take one of four (4) antidepressants-Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride), Zoloft (Sertraline Hydrochloride) may be considered by the FAA on a case by case basis only.
The Tax Identification Number is also known as TIN. Entity Type Code â The type of health care provider that is being assigned an NPI. Codes are as. follows: Entity Type Code 1 (A Person) â Individuals who render health care or furnish health.
Billing On A CMS-1450 (UB-04) Claim Form Box 42 - Appropriate Revenue Code Box 43 - Appropriate CPT/HCPC Code Box 56 - National Provider Identifier (NPI) Box 60 - Member Medicaid or CHIP ID number Box 63 - Authorization Information Box 65 - Other Coverage Information Box 66 - Primary Diagnosis Code 39.