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Last Modified: 7/1/2014 Location: FL, PR, USVI Business: Part A, Part B

Provider enrollment mailing address

Q: Where do I mail my provider enrollment application?
A: You may mail your completed paper application to your assigned Medicare administrative contractor (MAC). First Coast Service Options Inc. (First Coast) is the MAC assigned to jurisdiction N (JN), which encompasses Florida, Puerto Rico, and the U.S. Virgin Islands. If you are located within JN, please mail your completed provider enrollment application to the following address:
Provider Enrollment
P.O. Box 44021
Jacksonville, FL 32231-4021
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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.