Here's the answer to your question: How can I edit my practice information?
The Display/Edit Practice application, also known as Provider Data Change Form (PDCF) enables you to change, replace or add any of the following practice information:
- General Information
- Office Contacts
- Access/Availability
- Practice Information
- Mailing Address
- Financial Address
- Service Address(es)
- Home Address
- EFT Registration
- Submit W-9 Form Online