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Provider Reenrollment

Attention

The following documents are required for provider reenrollment.

Provider Enrollment

    Telephone:
    888 483 0793
    304 348 3360
    304 348 3380 Fax

    Post Office Address:
    PO Box 625
    Charleston, WV 25322-0625

    Email:
    wvmmis@molinahealthcare.com

EDI Helpdesk

    Telephone:
    888 483 0793
    304 348 3360
    304 348 3380 Fax

    Post Office Address:
    PO Box 625
    Charleston, WV 25322-0625

    Email:
    wvmmis@molinahealthcare.com