Recover User Name

User Name Recovery

Please provide the following information for verification purposes. Upon verification, your user name will be sent to the email address listed on your account.

* Indicates a required field.

Please select the type of identifier being provided:

Med-QUEST Provider ID (6 numeric characters)
National Provider ID (10 alphanumeric characters).

Please use only letters or numbers for your provider and tax ID numbers, no spaces or dashes. Name fields are case sensitive.

First Name *
Last Name *
Provider Number *
Tax ID *