Medical Providers
Fee/Reimbursement Schedule
- If you would like to become a provider for the Montana Cancer Control Programs please fill out the following 3 documents.
Please return completed forms to:
Montana Medical Billing – MCCP Unit
PO Box 3230
Columbia Falls, MT 59912
(406) 227-7065 or 1-888-227-7065
Fax #: (406) 227-7425
Forms
Enrollment Form for Breast and Cervical ScreeningFormulario de inscripción para la detección de mama y cervical
Screening Form for Breast and Cervical Screening
Abnormal Form for Breast and Cervical Screening
To request additional information please contact:
Mark F. Wamsley, MBA
Program Manager
Montana Cancer Control Programs
PO Box 202951
1400 Broadway Rm C317
Helena MT 59620-2951
Phone (406) 444.0063
Fax (877) 764.7575
Email:
