Enrollment
Opting out of Medicare and current opt-out listing
As provided in §4507 of the Balanced Budget Act of 1997, a "private contract" is a contract between a Medicare beneficiary an eligible practitioner who has "opted out" of Medicare. Read this article…
New Medicare enrollment: Which forms do I need to complete?
New to Medicare? Enrollment forms must be completed by all providers of services and suppliers of medical and other health services for enrollment in the Medicare program. Find out what form is…
New Medicare enrollment: Which forms do I need to complete?
New to Medicare? Enrollment forms must be completed by all providers of services and suppliers of medical and other health services for enrollment in the Medicare program. Find out what form is…
Reporting requirements for a legal business name (LBN) change
When an individual practitioner or a group/organization experience a change to their legal name or LBN, this change should be reported to the Medicare contractor within 90 days. Review this article…
Reporting requirements for a legal business name (LBN) change
When an individual practitioner or a group/organization experience a change to their legal name or LBN, this change should be reported to the Medicare contractor within 90 days. Review this article…
How do I voluntarily terminate or deactivate my Medicare enrollment?
Submit the applicable CMS-855 application to voluntarily terminate your Medicare enrollment or to deactivate your reassignment. Review this article to learn more.
How do I voluntarily terminate or deactivate my Medicare enrollment?
Submit the applicable CMS-855 application to voluntarily terminate your Medicare enrollment or to deactivate your reassignment. Review this article to learn more.
How to change or add a practice mailing address
All changes of practice addresses are reported on the applicable CMS-855 form. Find out what form is right for you.
How to change or add a practice mailing address
All changes of practice addresses are reported on the applicable CMS-855 form. Find out what form is right for you.
Submit provider enrollment applications electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…