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Last Modified: 5/5/2022 Location: FL, PR, USVI Business: Part B, Part A

Provider enrollment: Contact information

Need to reach out? Contact our enrollment team for assistance with enrollment applications, requests, and general provider enrollment information.

Contact enrollment specialists:

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)

By mail:

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

Additional enrollment contact information:

Area
Telephone numbers
Address
Internet-based Provider Enrollment, Chain, and Ownership System (PECOS)
System help:
866-484-8049
866-523-4759 (TTY)
External User Services
P.O. Box 792750
San Antonio, Texas 78279
EUSSupport@cgi.com
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.