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First Coast Service Options Inc.
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Provider enrollment applications

Modified: 7/23/2010 Business: Part A, Part B Location: FL, PR, USVI
Providers are required to signup for electronic funds transfer (EFT) using a CMS-588 EFT form upon initial enrollment in the Medicare program when changing enrollment information.
Modified: 4/23/2010 Business: Part A, Part B Location: FL, PR, USVI
Here is where you can determine which CMS-855 forms fit your enrollment needs.
Modified: 4/12/2010 Business: Part A, Part B Location: FL, PR, USVI
Medicare provider/supplier, physician and health care practitioner enrollment applications page on the CMS Web site.
Modified: 4/12/2010 Business: Part A, Part B Location: FL, PR, USVI
Find information about the Provider Enrollment, Chain and Ownership System (PECOS), the Centers for Medicare & Medicaid Services’ online enrollment process.
Modified: 7/20/2009 Business: Part A, Part B Location: FL, PR, USVI
Avoid delays in processing your application - specific documentation must be included with enrollment applications for non-physician practitioners. [Medicare Program Integrity Manual, Chapter 10 - Medicare Provider/Supplier Enrollment, Section 12.4]

First Coast Service Options (FCSO) strives to ensure that the information available on our provider Web site 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.