904-301-1614. If you are a new patient, please request an appointment. 904-301-1614

 
 If you are a new patient, please request an appointment904-301-1614  For Post-Service Claims: Florida Blue

Enter the country code below to find the country your number belongs to. Please note that the next update of this compilation will not take place until after the conclusion of the 56th Legislature, 2nd Regular Session, which convenes in January 2024. - Reduction Mammoplasty s2 Certificate of Medical Necessity: Carotid Angioplasty and Stenting (CAS) / Fax or mail this completed form / / For Pre-Service: Statewide Fax (877) 219-9448 For Medicare Advantage (BlueMedicare) HMO and. 1980s. gov. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. O. The 702 area code serves Las Vegas, North Las Vegas, Henderson, Moapa, Draper, covering 30 ZIP codes in 5 counties. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. We deeply appreciate the service you provide to our members. Jacksonville, Jacksonville Beach, Atlantic Beach, Saint Augustine, Fernandina Beach. Box 1798. (904) 696-5970 Fax: (904) 301-3713 042 - JACKSONVILLE SOUTH 4613 Philips Highway, Suite 221 Jacksonville, Florida 32207-9502 (904) 448-4373Immediate appointments available at many of our 160+ Locations. ID 9043014610,identification 9043014611,real time directory assistance for telephone number 9043014612,CNAM data 9043014613,SS7 query 9043014614,white pages 9043014615,yellow pages 9043014616,directory 9043014617,owner 9043014618,address 9043014619,name and address 9043014620,free info 9043014621,free lookup. Box 1798. Auth. Box 1798. Jacksonville, FL 32202. O. Click here to access our CMN forms. 2 900-927-0415 supporting documentation to our medical review department at (904) 301-1614. ervice Medical Review Department . For Post-Service Claims: Florida Blue. Advanced Dermatology's experienced professionals provide patients with the best, individualized skin care and treatments. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. National Provider Identifier (NPI)For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Advanced Dermatology And Cosmetic Surgery . P. Charles Street, Ste D Baltimore MD 21201 410-685-0002 Maryland State Board of Dental Examiners Amr Hegazi 46B Thomas Johnson Drive Suite 200 Frederick MD 21702 301-695-6777. (904) 321-1614. For Post-Service Claims: Florida Blue. For Post-Service Claims: Florida Blue. For Post-Service Claims: Florida Blue. Medicare Advantage, Florida Blue Medicare℠, Medicare PPO Medical Fax: 904-301-1614. Patient ID number: Start Date of Order: Physician Information. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Resources. Fax or mail this completed form For RX Fax: (904) 905-9849. Certificate of Medical Necessity: Physical Therapy and Occupational Therapy / Fax or mail thisA novel near-infrared fluorescent probe (L) based on a 1,4-diethyl-1,2,3,4-tetrahydro-7H-pyrano[2,3-g]quinoxalin-7-one scaffold has been synthesized and characterized. Box 1798. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider254 904-01-010-1614 flat washer 255 901-03-010-3309 1/4-20 x 5/8" hex soc hd screw 256 902900 handwheel assy 257 1313239 washer 258 902898 knob. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderFor RX Fax: (904) 905-9849. Frank Edward SchiavoneAs noted in Chapter 2, Section IV. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. O. The 516 area code serves Farmingdale, New York, New Hyde Park, Syosset, Westbury, covering 45 ZIP codes in 6 counties. O. uscourts. Coral Springs (Broward County-Region 22E): 954-346-2828. CENTER 1614 LEONID ROAD 32218 904-751-9803 ERIKA LAIDLER chatmansdayca336@bellsouth. Use (916) 383-0488 to contact Richard with caution. 1-215-499. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Having more than 5 years of diverse experiences, especially in PHYSICIAN ASSISTANT, Kristy Marie Schweighardt affiliates with no hospital, cooperates with many other doctors and specialists in medical group Leavitt Medical Associates Of Florida Inc. Box 1798. For Post-Service Claims: Florida Blue. Eligible to Practice Law in Florida. DRIVER LICENSE OFFICE – 904 301 BLVD W, BRADENTON. CMN - Florida Blue1 bed, 1 bath, 865 sq. P. You will receive a response within 24 hours. For Post-Service Claims: Florida Blue. P. Browse area code 301 phone numbers, prefixes and exchanges. P. Orlando. Azvudine effectively suppresses multiple HIV-1 strains by inhibiting HIV-1 reverse transcription and preventing Vif-induced A3G degradation, being the first-in-class dual-acting antiviral agent. Box 1798. P. For Post-Service Claims: Florida Blue. Offices. O. Box 1798. Verizon Maryland, Inc. We hope you will find it very useful. Comcast Phone Of Washington Oregon, Llc - Wa. P. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Metro Pcs, Inc. P. Continuity of Care Request 904-301-1614 This request form and any applicable medical documentation should be sent via secured fax to: 9043011614Conti nuity of Care Request Group or Provider Name: Mizzou Alumni Association - Member Shop &amp; MaterialsFlorida BlueMedicare Advantage, Florida Blue Medicareв„ , Medicare PPO Medical: 904-301-1614; Medicare Advantage, Florida Blue Medicare Part B Rx: 904-357-6699; FEP Preservice/VPCR Request Fax: 866-441-1569; State Account Preservice/VPCR Request Fax: 866-441-1568; Contact Center *Availity Transaction ID or Provider NPI. Securely download your document with other editable templates, any time, with PDFfiller. Rent value for a two. Check. Jacksonville, FL 32231-0014. 4. An agency shall inform everyA mixed case appeal is an appeal filed with the MSPB that alleges that an appealable agency action was effected, in whole or in part, because of discrimination on the basis of race, color, religion, sex, national origin, disability, age, or genetic information. Box 1798. 1-904-301 : Duval : Jacksonville : Bellsouth Telecomm Inc Dba Southern Bell Tel & Tel : 1-904-302 : Duval : Jacksonville : New. Minars Dermatology 4060 Sheridan St Ste C Hollywood, FL 33021 . For Post-Service Claims: Florida Blue. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Medicare Advantage, Florida Blue. Parkwood Square – 9005 US Highway 301 North, Parrish, FL 34219. The 520 area code serves Tucson, Phoenix, Sierra Vista, Tempe, Gilbert, covering 47 ZIP codes in 5 counties. P. 1-661-498. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be renderedFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. §1614. For Post-Service Claims: Florida Blue. For Post-Service Claims: Florida Blue. You can access the forms on our website at floridablue. Howard US District Court Middle District of Florida p: (904) 301-6750 e: Send. BOOK AN APPOINTMENT 866-400-3376. 2 You are not required to use our plan’s Grievance form, but we strongly urge you to do so. com pulls from billions of records to ensure you get the most up-to-date information available—and put a rest to those mystery numbers once and for all. Box 1798. ( b) Election. Click on the following link to access the preservice fax301 Centennial Mall S, 3. Box 1798. También nos puede solicitar una determinación de cobertura por teléfono llamando al 1-800-955-5692 opción 1, 4 & 6. October 12, 2018. Patient Name: Date of Birth. Track one or multiple parcels with UPS Tracking, use your tracking number to track the status of your parcel. Don H. P. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be rendered For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Email this Business. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. A Florida Certificate of Nonviable Birth certificate will. Box 210, Jacksonville, FL 32231. Relationship to negotiated grievance procedure. Check the status. We Know About 304-301-1-- From Athens, West Virginia. Cathy 904-301-6516. First National Collections Bureau is a nationally licensed full service accounts receivable management firm. SARASOTA, Fla. P. O. [email protected] B—Provisions Applicable to Particular Complaints (§§ 1614. Find full name, address, email, and photos for owner of (301) 904-4705 with Spokeo. (WWSB) - The FCC is issuing warnings about a new telemarketing scam with a bit of a twist. com. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderScammer Phone Number Lookup: How To Avoid. Dr. Washington. You may also ask us for a coverage determination by phone at 1-800-955-5692 opt 1,4 & 6. O. +263. Immediate appointments available at many of our 160+ Locations. Box 1798. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. O. This request form and any applicable medical documentation should be sent via secured fax to:. territories. For Post-Service Claims: Florida Blue. 904-301-6490. com. 904 - 301 Blvd. For Post-Service Claims: Florida Blue. Simply enter a number into the phone number search field above to get information about the phone number owner’s name, the owner’s address and other phone numbers, as well as information on any previous owners of that phone number. Thank you for your patience as we work through these issues and strive to return to normal levels of service. : (866) 441-1568 Authorization/Reference Number Ref: Medicare Advantage/BlueMedicare SM/ Medicare PPO: 904-301-1614 Rx: 904-905-9849 State Account Preservice/VPCR: 866-441-1568 Transplant: 904-357-6331 Concurrent Review Federal or State Group Members: 850-479-6686 Commercial Members (South Region): 813-806-1428 Commercial Members (North Region): 407-804-4432 Rx: (904) 905-984 9 Transplant: (904) 357-6331 Medicare Advantage, BlueMedicare. Box 1798. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Baker Work Camp (Male) 20706 US Highway 90 West. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be rendered Simply type in the number into the search box and we'll help you identify the caller and give you the opportunity to report them publicly. P. P. 904-712-2031 14th Circuit: Holmes, Washington, Bay, Jackson, Calhoun, Gulf. 601 - 1614. Cosmetics/aesthetics 800-647-9851. O. W. P. P. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. 1. A reverse phone lookup allows you to search records associated with a landline or cell phone number so that you can gain insight and quickly identify who’s calling or texting you. O. A reputable service like USPhoneBook. Omaha Omaha State Office Building . BOOK AN APPOINTMENT 866-400-3376. house located at 301 Demonbreun St Unit 904, Nashville, TN 37201 sold for $321,000 on Jan 30, 2014. P. city with the name "Syracuse", and the fifth most populous city in the state. For Post-Service Claims: Florida Blue. Sarasota Clerk of the Court Office. O. P. To do a free reverse phone lookup: Go to the Spokeo homepage. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be renderedAROUND THE CLOCK KID CARE AND PRESCHOOL LLC CENTER 8102 BLANDING BLVD SUITE 4 32244 904-301-2115 Sernetra Manuel aroundtheclockkidcare904@gmail. Visit taxcollector. Certificate of Medical Necessity: Blepharoplasty/Brow Surgical Procedures / Fax or mail this completed form / / Voluntary Pre-Service Coverage Review (VPCR):(877) 219-9448 For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614CSR # Last Name First Name Business Name Business Address City State Zip+4 Fax Phone Email Certified Expires Method 6096 Macias Rebecca Rebecca Macias P O Box 972747 El Paso Tx 79997 _ 915-474-5160 04/28/1995 12/31/2015 Machinesupporting documentation to our medical review department at (904) 301-1614. O. User Outbound Call Summary by Number Dialed for Current User Users: Dialed Numbers: Date Time Range: Site ID Range: <All> <All> 10/1/2015 12:00:00 AM - 10/31/2015 11:59:59 PMFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. • Select option 3, option 5 and then option 2 • Note: Do not select the “To receive fast path priority service using an Availity transaction ID” prompt. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be renderedFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. #TRAFFICUPDATE: W Beaver St has just reopened after a fatal crash that happened shortly after midnight. Customers will be charged a $6. Orlando. Box 1798. Box 1798 Jacksonville, FL 32231-0014 Section A. 1313 Farnam St, 3 rd Floor . 1 W Adams St Ste 200, Jacksonville, Florida, 32202, United States. 13. O. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. O. Box 1798. 25 Tax Collector service fee for information and. Lester Clay County Courthouse p: (904) 269-6338 e: Send Mail Board Member Hon. Browse area code 732 phone numbers, prefixes and exchanges. Preservice Authorizations 904-905-9849 UM Pre-Service Pharmacy (excluding MA members) Statewide Concurrent Review 954-714-4109 UM Concurrent Review (CCR) MA Statewide Concurrent Review 888-757-4921 Statewide Discharge. 151, but not both. P. You can find preservice fax cover sheets on our website at floridablue. Graciela Davila 1822 Warringwood DR Orlando, FL 32839 (407) 864-4406 Almond Consulting Group, Inc. Centurytel Of Washington, Inc. O. New Cingular Wireless Pcs, Llc - Il. Ameritech Illinois. For Post-Service Claims: Florida Blue. Include the completed associated Certificate of Medical Necessity (CMN) for the requested care or treatment. 308-284-8080/ 800-778-1614 . Browse area code 217 phone numbers, prefixes and exchanges. Name: BCBSF No: National Provider Identifier (NPI): Contact. Calculate the percent of a number, what percent, or the percent of what. You will receive a response within 24 hours. Office details. Cosmetics/aesthetics 800-647-9851. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider Medicare PPO: 904-301-1614 Rx: 904-905-9849 State Account Preservice/VPCR: 866-441-1568 Transplant: 904-357-6331 Concurrent Review Federal or State Group Members: 850-479-6686 Commercial Members (South Region): 813-806-1428 Commercial Members (North Region): 407-804-4432 General Fax: (877) 219-9448 FEP Preservice Request Fax: (866) 441-1569 State Account Preservice Request Fax: (866) 441-1568 Rx Fax: (904) 905-9849 Transplant Fax: (904) 357-6331 Medicare Advantage, Blue Medicare, Medicare PPO - Medical Fax: (904) 301-1614 SM Medicare Advantage, Blue Medicare, Part B - Rx Fax: (904) 357-6699 SM Preservice. For Post-Service Claims: Florida Blue. How do you suss out a real FBI or police call from a fake one? In a press release about the scam, the FBI warns consumers that “The FBI does not call private citizens threatening arrest or requesting money. To contact your provider’s medical assistant, please fill out the form below. O. Fax number is 1-866-624-8321 (toll free) or 904-301-3696 (local) Mailing address: Bureau of Vital Statistics, P. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be renderedFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. P. Bradenton, FL 34205 Map to location: 941-741-4800: Mon-Fri 9:00am-4:30pm: Full Service Driver License Location – An appointment is required for ALL driver license transactions. O. Visit Website. International subscriber dialling (ISD) or International Direct Dialling (IDD) or simply ISD Code is defined as the country code to call a telephone or mobile subscriber directly from outside of the country and it is initiated by the International Call Prefix for the outgoing. Orange Park, FL 32073. (904) 905-9849 (904) 357-6331 (877) 219-9448 (904) 301-1614 Pre-Service Medical Review Department (800) 955-5692 / Option 3 / Option 6. Fax: (866) 441-1568 . Syracuse is a city in and the county seat of Onondaga County, New York, United States, the largest U. O. The Orange Park office is committed to creating individualized surgical and non-surgical dermatology treatment options for each patient to address their needs. U S Attorneys Office 300 N Hogan St Jacksonville, FL 32202-4204. Box 1798. This request form and any applicable medical documentation should be sent via secured fax to: 904-301-1614 Continuity of Care Request Group or Provider Name: Date: Please. O. Figure out if your international phone number includes the country code. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be renderedFax Cover Sheet for Medical Records | Florida Blue3527 Harlem Rd Ste 9. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Title 5 was last amended 11/14/2023. Box 1798. Click here to access our CMN forms. O. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Preservice Medical Review Department: 800-955-5692 (Use Availity ®1 to enter your authorizations, referrals and inquiries) Medicare Advantage, Florida Blue Medicare℠, Medicare PPO Medical: 904-301-1614. Reverse phone lookup for (301) 642-1614. 409) Subpart E—Remedies and Enforcement (§§ 1614. For Post-Service Claims: Florida Blue. S. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be renderedFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. P. O. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be renderedIt’s important to know your rights. Food Pantry M-F 8:30am – 12:30pm and 2:30pm-4:30pm. Include the completed associated Certificate of Medical Necessity (CMN) for the requested care or treatment. USA reverse area code 1-888 is a Toll-Free Area Code. com is a free service, featuring a Community Blocklist of spam callers, that helps consumers help each other and fight back against spam, scammers and fraud!Contact Us. These are phone numbers starting with Toll-Free 888 which have the lowest Trust Factor ratings and the most negative feedback so please beware! 888-587-9467. At the Manatee County Tax Collector’s Office you may apply for or renew a concealed weapon license. O. An aggrieved person may initially file a mixed case complaint with an. • Be sure to use the preservice fax cover sheet when faxing a CMN or supporting documentation to Florida Blue. - Wa. OVERVIEW; PHYSICIANS AT THIS PRACTICE ; OVERVIEW ; PHYSICIANS AT THIS PRACTICE ; Overview . For Post-Service Claims: Florida Blue. Sponsored. O. P. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be renderedFor RX Fax: (904) 905-9849. Jacksonville (Duval County-. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone:For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Geo resource failed to load. Box 1798. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Certificate of Medical Necessity: Outpatient Pulmonary Rehabilitation / Fax or mail this completed form / / For Pre-Service: Statewide Fax (877) 219-9448 For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614Physician Information/Requesting Provider Certificate of Medical Necessity: Helicobacter Pylori (H. For Post-Service Claims: Florida Blue. § 1614. Montgomery. For routine case issues (i. However, we may take up to 14 additional days if you ask for more time or if we need more information to help us with our decision. ft. I. Immediate appointments available at many of our 160+ Locations. 1-702-499. Box 1798. O. tate Account. Gynecomastia Treatment - UnitedHealthcare Online Gynecomastia Treatment Coverage Determination Guideline (Effective 06/01/2015) Mastectomy or suction lipectomy for treatment of benign gynecomastia for a male patient 19300. Box 1798. 8:00 AM - 5:00 PM. through our new dedicated fax line at (904) 301-1614 for Medicare Advantage BlueMedicare HMO and PPO members. P. Hours: 8:30 a. P. The USA People Search reverse phone lookup even gives you access to info about unlisted and non-published. MLS# 1505221. P. Securely download your document with other editable templates, any time, with PDFfiller. Fax to: General: (877) 219-9448 Rx: (904) 905-9849 Transplant: (904) 357-6331 Voluntary Pre-Service Coverage Review (VPCR): (877) 219-9448 Medicare Advantage, Blue Medicare, Medicare PPO: (904) 301-1614 FEP Preservice: (866)-441-1569 SAO Preservice: (866)-441-1568 Pre-Service Medical Review Department. Zambia. For Post-Service Claims: Florida Blue. We will let you know in writing if we need extra time to make our decision. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. District of Columbia. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be rendered For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Listen; Transcript Hello. Replace only the Fuel Filter Cap-instead of the entire Fuel Filter. Train. O. Box 1798. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Box 1798. Contact Name: BCBSF Number: Physician. Task-Specific Ionic Liquids. There are legitimate companies out there that provide great and trustworthy similar services. CDL Hazmat services available. P. P. For Post-Service Claims: Florida Blue. Box 1798. (904) 301-4247. Suite 3-150. com to schedule your appointment. O. TTY users can call 1-800-955-8770. Browse area code 904 phone numbers, prefixes and exchanges. Omaha, NE 68102 . Free phone carrier lookup check for any phone number, including cell phones, landlines, and VOIP phones. Learn about the fun things our people are working on and our cool new toys. Phone: (800) 955-5692 / O ption 3 / O ption 8 . For Post-Service Claims: Florida Blue. You Might Also Consider. For Post-Service Claims: Florida Blue. 800notes is a FREE REVERSE PHONE NUMBER LOOKUP database built by YOU, its users. The 407 area code serves Orlando, Winter Park, Lake Mary, Maitland, Kissimmee, covering 31 ZIP codes in 4 counties. Dermatology services in Fairfax. Reverse phone lookup for (904) 794-1614. O. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. More Information. Box 1798. 308-284-8083 fax . New Cingular Wireless Pcs, Llc. View Douglas Elliman office listings on Palm Beach Board of REALTORS. The 732 area code serves Somerville, Newark, Rochelle Park, New Brunswick, Wayne, covering 50 ZIP codes in 10 counties. Box 1798. ) products For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. 505) Subpart F—Matters of General Applicability (§§ 1614. (904) 905-1747. 904-301-2400 904-241-6767 613 W. Box 1798. Who May Make a Request: Your prescriber may ask us for a coverage determination on your behalf. 800 Shetter Ave. 1-217-499. AUGUSTINE) CENTER 9950 OLD ST. Insurance plans accepted:. Our office. P. Equal Employment Opportunity Comm. 4 beds, 2 baths, 1830 sq. 301 and 1614. For Post-Service Claims: Florida Blue. For Post-Service Claims: Florida Blue. Be sure to use the preservice fax cover sheet when faxing a Certificate of Medical Necessity or supporting documentation to us. 501 - 1614. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. O. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Visit Website. Petitions to the EEOC from MSPB decisions on mixed case appeals and complaints. taxcollector. net 5 CHILDTIME LEARNING CENTER 317 (OLD ST. Phone: (904) 276-2044 Taxonomy code 207RP1001X with license number ME112299 (FL) and 42 years of experience.