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First Coast Service Options Inc.
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Last Modified: 4/5/2013 Location: FL, PR, USVI Business: Part B

Part B: Provider enrollment FAQs

list item What is PECOS?
list item How do I know which provider enrollment application to use?
list item I used the Internet-based Provider Enrollment Chain and Ownership System (PECOS) to enroll online. When do I need to send my certification statement and supporting documentation to my assigned Medicare contractor?
list item I am a clinical psychologist. Do I need to complete a special Medicare enrollment application?
list item When do I need to complete a new CMS-855?
list item Can I enroll in Medicare or change my enrollment information online?
list item How do I complete a CMS-855 form? How can I be sure that I have everything I need?
list item Where do I mail my provider enrollment application?
list item What happens to my application if it is submitted and is found to be incomplete?
list item What is the purpose of the Medicare Participating Physician or Supplier Agreement (CMS-460)?
list item How do I change my address or update other provider enrollment information (e.g., practice name or change of ownership)?
list item I submitted an application to change my address. What should I do to check the status of my enrollment application?
list item What is the provider’s legal business name that should appear on CMS-855 Medicare enrollment applications?
list item Who should sign the certification statement of the CMS-855 provider enrollment application?
list item May an authorized official delegate their authority to sign CMS 855B applications?
list item What are the differences in completing Section 4 of a CMS 855I application for a sole proprietor versus a sole owner?
list item What information should be in Section 4 of the CMS-855R form?
list item As an established provider with Medicare who receives paper checks, does an EFT Agreement need to be included when I submit a change to my provider enrollment file?
list item What will First Coast provider enrollment accept as a "good standing letter"?
list item If I previously enrolled with Medicare and have an active provider transaction access number (PTAN) but I am unsure what it is, how would I obtain my PTAN from First Coast?
list item A group has three practice locations and two of those practice locations are changing addresses and will have their own Type 2 Organization National Provider Identifier (NPI). What needs to be done to update the enrollment information, and how should claims be submitted that were generated with the old Type 2 Organization NPI?
list item I just received a revalidation request letter from First Coast Service Options Inc. (First Coast). Where can I find more information regarding the provider revalidation process and how to properly respond to a revalidation request?
list item When is the application fee required for processing provider enrollment applications?
list item What does Medicare consider to be “reportable event” (with regard to the provider/supplier’s enrollment record)? How long does a provider/supplier have to notify their Medicare administrative contractor (MAC) of the event?
list item If a provider/supplier establishes a new practice, opens a new facility, or closes/changes the address of an existing practice/facility, how long does the provider/supplier have to inform Medicare of the “reportable event”? How should the change be reported?
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.