Last Modified: 12/30/2017
Location: PR
Business: Part A
Provider enrollment: Contact information -- Puerto Rico, Part A
Focus |
Telephone numbers |
Addresses |
|---|---|---|
Applications/general information about provider enrollment |
888-845-8614 888-216-8261 (TTY) |
Provider Enrollment P.O. Box 44021 Jacksonville, FL 32231-4021 |
Change of address notification |
N/A |
Provider Enrollment P.O. Box 44021 Jacksonville, FL 32231-4021 |
Electronic funds transfer (EFT) agreements (CMS-588)/check return assistance |
877-908-8433 888-216-8261 (TTY) |
Provider Enrollment P.O. Box 44021 Jacksonville, FL 32231-4021 |
866-484-8049 866-523-4759 (TTY) |
||
Provider Enrollment, Chain, and Ownership System (PECOS): Registration |
N/A |
|
Internet-based PECOS: System help |
866-484-8049 866-523-4759 (TTY) |
|
Provider enrollment: Reconsideration requests |
N/A |
Department of Health and Human Services Sam Nunn Atlanta Federal Center CMS, Region IV Division of Survey and Certification 61 Forsyth St. S.W. Suite 4T20 Atlanta, Georgia 30303-8909 |
Requests: National Provider Identifier (NPI) application |
800-465-3203 800-692-2326 (TTY) |
or |
Requests: Profiles and fee schedules |
N/A |
Provider Enrollment P.O. Box 44021 Jacksonville, FL 32231-4021 |
Requests: Provider transaction access number (PTAN) |
N/A |
Medicare Provider Enrollment PTAN request P.O. Box 44021 Jacksonville, FL 32231-4021 |
Special delivery: Overnight mail and/or special courier service |
N/A |
First Coast Service Options Inc. 532 Riverside Avenue Jacksonville, FL 32202-4914 |
For additional information regarding this area, please click here.
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