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Last Modified: 8/21/2018 Location: FL, PR, USVI Business: Part A, Part B

Requesting a copy of certification letter

Q: How do I get a copy of my Medicare certification letter that shows the certification number and effective date?
A: You can submit a request for a copy of your enrollment certification by sending a request for the information on company letterhead to First Coast’s provider enrollment department. The request needs to be signed by either the authorized official (AO), delegated official (DO) or the practitioner as it is listed on your entity’s enrollment record.
Mail your request to:
First Coast JN 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.