Last Modified: 6/1/2022
Location: FL, PR, USVI
Business: Part A, Part B
This video is for any healthcare provider that needs to enroll into the Medicare Program for the sole purpose of ordering and referring services for Medicare beneficiaries.
The CMS-855O enrollment form is specifically for providers who never bill the Medicare program for direct reimbursement but must meet requirements as an ordering and referring provider.
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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.