Last Modified: 9/11/2022
Location: FL, PR, USVI
Business: Part A, Part B
PECOS - the preferred method for provider enrollment
Internet-based PECOS 
facilitates the Medicare provider enrollment process by furnishing health care providers and suppliers with an easier, faster, and more efficient alternative to paper-based enrollment in the Medicare program. Registered users may use the system for initial enrollment as well as to change, reactivate, revalidate or voluntarily terminate an existing enrollment record. Users may also add, change, or terminate reassignment of Medicare benefits.
This tool can be used for uploading enrollment applications and responses to development requests, requesting a copy of enrollment correspondence sent to you, or to check the status of a previously uploaded application.
If you cannot submit your information online through PECOS or the Enrollment Gateway, you may mail your completed paper application to First Coast, the MAC for jurisdiction N (JN) – Florida, Puerto Rico, and the U.S. Virgin Islands.
Provider Enrollment
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.
