Last Modified: 5/5/2022
Location: FL, PR, USVI
Business: Part B, Part A
Need to reach out? Contact our enrollment team for assistance with enrollment applications, requests, and general provider enrollment information.
Location |
Telephone numbers |
Fax numbers |
Florida, U.S. Virgin Islands, and Puerto Rico |
888-845-8614
888-216-8261 (TTY) |
904-361-0737 (For development response only) |
Format |
Address |
Mailing address for: • Applications and responses • General enrollment |
Provider Enrollment
P.O. Box 3409
Mechanicsburg, PA 17055-1849 |
Special delivery: Overnight mail and/or special courier service |
Provider Enrollment
2020 Technology Parkway
Suite 100
Mechanicsburg PA 17050 |
Area |
Telephone numbers |
Address |
Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) |
System help: 866-484-8049
866-523-4759 (TTY) |
|
Requests: National Provider Identifier (NPI) application |
800-465-3203
800-692-2326 (TTY) |
or NPI Enumerator
P.O. Box 6059
Fargo, ND 58108-6059 |
Part A Provider enrollment reconsideration requests |
N/A |
Centers for Medicare & Medicaid Services
Provider Enrollment & Oversight Group
Attn: Division of Compliance and Appeals
7500 Security Boulevard
Mailstop AR-18-50
Baltimore, MD 21244-1850 |
Part B Provider enrollment reconsideration requests |
N/A |
Note: Address is dependent on provider type Centers for Medicare & Medicaid Services
Provider Enrollment & Oversight Group
Attn: Division of Compliance and Appeals
7500 Security Boulevard
Mailstop AR-18-50
Baltimore, MD 21244-1850 All other provider types (not on the certified list mentioned above) should submit directly to First Coast: First Coast Service Options, Inc.
Medicare Reconsideration Request
P.O. Box 3409
Mechanicsburg, PA 17055-1849 |
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.