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Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
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This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. For the most comprehensive experience, we encourage you to visit or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
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Last Modified: 2/18/2020 Location: FL, PR, USVI Business: Part A, Part B

Where to mail -- Provider enrollment paper applications

Did you know you can save time by enrolling online?

Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) is the preferred method for provider enrollment.
Internet-based PECOS external link 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.
Learn how to enroll online with Internet-based PECOS.

Paper enrollment mailing information

If you cannot submit your information online, you may mail your completed paper application to your assigned Medicare administrative contractor (MAC). First Coast Service Options Inc. (First Coast) is the MAC assigned to Florida, Puerto Rico, and the U.S. Virgin Islands. If you are located within this jurisdiction, please mail the following forms to the address listed below:

Provider enrollment form

Mail to:

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.