We received the following correction request:  "To:  mxg4797@gmail.com,cbuc@claimsmedinc.com   Subject:  Request for Corrections for Medicare Enrollment Application (Tracking ID: T071620210001167)  Date:   07/21/2021 20:15 PM  This message is in response to your Medicare enrollment application that was submitted from https://pecos.cms.hhs.gov. You are listed as the contact person for this application. Your application is assigned the Tracking Identifier of T071620210001167. The information provided below indicates areas of your application requiring corrections as determined by your fee-for-service contractor.  ----------------------------------------------------------------------------------------------------------------------------------------------------------------------  Application Tracking ID: T071620210001167   NPI ID: 1871132811   Medicare ID:    Name: MONICA GONZALEZ   State: TX  Fee-for-Service Contractor: NOVITAS SOLUTIONS, INC.  ----------------------------------------------------------------------------------------------------------------------------------------------------------------------  Other Comments  Please provide a copy of the master's degree.    Thank you for your cooperation.  After you have resubmitted your corrections through the Internet-based PECOS application, you may electronically sign or upload the certification statement for the corrections or if you prefer, please fax a new signed and dated certification statement(s) to my attention at: 904-361-0614; Fax to Image 877-439-5479.  Once you have submitted the corrections or if you have any questions about this request, please call me at 570-912-8376. JUSTINE GARDNER DCN: 3211970759 Novitas Solutions, Inc. Provider Enrollment Services Please note, we may reject your application if you do not furnish the complete information within 30 days from the date of this letter pursuant to 42 CFR 424.525. "  Corrected.