Completing the Medicare CMS-588 enrollment application
View these instructions for the CMS-588 application.
Completing the Medicare enrollment CMS-855I application
View these instructions for the CMS-855I form.
Completing the Medicare CMS-855B enrollment application
View helpful hints for completing the CMS-855B application.
Completing the Medicare CMS-855O enrollment application
View these instructions for the CMS-855O form.
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...
Electronic funds transfer (EFT): Revised Medicare enrollment application required
Read this article for information regarding the new electronic funds transfer (EFT) Authorization Agreement (CMS-588) form.
Special instructions for electronic funds transfer (EFT) accounts and special payment addresses
Read this article for instructions for special payment addresses and EFT.
Submitting a provider enrollment rebuttal
Read this article for instruction to submit a provider enrollment rebuttal.
Part A specialty type: Rural emergency hospital
Read this article for information on the rural emergency hospital (REH) specialty type.