Last Modified: 6/23/2011
Location: FL, PR, USVI
Business: Part A, Part B
Provider enrollment mailing address FAQ
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. (FCSO) is the MAC assigned to jurisdiction 9 (J9), which encompasses Florida, Puerto Rico, and the U.S. Virgin Islands. If you are located within J9, please mail your completed provider enrollment application to the following address:
Provider Enrollment
P.O. Box 44021
Jacksonville, FL 32231-4021
P.O. Box 44021
Jacksonville, FL 32231-4021