Medical Providers

Fee/Reimbursement Schedule

 

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 Screening
Formulario 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:   mwamsley@mt.gov