Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Renal Disease Network of the Upper Midwest, Inc. - Network 11 (Midwest Kidney Network) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Renal Disease Network of the Upper Midwest, Inc. - Network 11 (Midwest Kidney Network) fax number
(651) 644-9853
Network Administration / ESRD Network 11
Used for: Submitting ESRD-related data and medical documentation (e.g., CMS 2728 submissions) and receiving related confirmations/communications from Network 11.
Fax destination details
- Department
- Network Administration / ESRD Network 11
- Purpose
- Submitting ESRD-related data and medical documentation (e.g., CMS 2728 submissions) and receiving related confirmations/communications from Network 11.
- Form
- CMS 2728 Form — ESRD Medical Evidence Report Medicare Entitlement and/or Patient Registration (CMS-2728)
- Address
- 1360 Energy Park Drive, Suite 320, St. Paul, MN 55108
- Voice phone
- (651) 644-9877
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Special Instructions: Contact your local Social Security office for copies of this form. The CMS 2728 form documents ESRD medical evidence and patient entitlement/registration.
Review official form instructionsSources and verification
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