Railroad Medicare

Individuals who have worked 10 or more years of railroad service receive their Medicare benefits through the Railroad Retirement Board (RRB) instead of the Centers for Medicare and Medicaid Services (CMS).

The Railroad Medicare card has the Railroad Retirement Board logo in the upper left hand corner instead of the HHS logo and “RAILROAD RETIREMENT BOARD” is printed along the bottom of the card in the red border area.

Railroad Medicare is administered by Palmetto GBA nationwide. If you are not already enrolled with Railroad Medicare, you can request a PTAN if you are already enrolled with your local Medicare Administrative Contractor (MAC) and have a claim to submit for a Railroad Medicare patient.

The Provider Transaction Access Number (PTAN) is a Medicare-only number issued to providers by Medicare Administrative Contractors (MACs) upon enrollment in Medicare. The PTAN number does not appear on the insurance claim in either the paper or electronic format.

Click This Link to request a Railroad Medicare PTAN.

Click This Link for the Railroad Medicare Quick Reference Guide.

The payer ID (needed for electronic claims) for Railroad Medicare is: 00882

Claims, appeal requests, general correspondence and inquiries to particular departments should be mailed to:

Palmetto GBA Railroad Medicare
P.O. Box 10066
Augusta, GA 30999-0001


For correspondence related to provider enrollment, please send information to:
Palmetto GBA Railroad Medicare
P.O. Box 10066
Augusta, GA 30999-0001

For check or overpayment returns, please send checks to:
Palmetto GBA Railroad Medicare
P.O. Box 367
Augusta, GA 30999

The street address for information sent certified, overnight or using a private mailing service is the following:
Palmetto GBA Railroad Medicare
2743 Perimeter Pkwy Bldg 200
Augusta, GA 30909

For correspondence related to the Freedom of Information Act (FOIA), please send information to:
Palmetto GBA – Railroad Medicare
FOIA Coordinator
Mail Code AG-840
PO Box 100190
Columbia, SC 29202-3190


For a complete training course on Medicare Click This Link