. Box 1798. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. 300 North Hogan Street. Start a Review. Equal Employment Opportunity Comm. 904-301-1614 UM Pre-Service Medicare Advantage (MA) (including pharmacy, excluding transplant) Statewide. 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. Daily Manna Serving Center – 2659 Edison Ave, 904-525-1746 Food Pantry. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. She graduated with honors in 2018. The 509 area code serves Spokane, Yakima, Kennewick, East Wenatchee, Walla Walla, covering 141 ZIP codes in 29 counties. For Post-Service Claims: Florida Blue. Ad: If you are looking for an app to. 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. There are legitimate companies out there that provide great and trustworthy similar services. Box 1798. Advanced Dermatology & Cosmetic Surgery 9191 R G Skinner Pkwy Unit 202 Jacksonville, FL 32256 (904) 407-4626 . Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderFree essays, homework help, flashcards, research papers, book reports, term papers, history, science, politicsCertificate of Medical Necessity: Nerve Block Injections For Pre-Service: Statewide Fax (877) 219-9448 For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614 Fax or mail this completed form to: For Post-Service Claims: Florida Blue P. O. P. P. Our success depends on you. For RX Fax: (904) 905-9849. Box 1798. #TRAFFICUPDATE: W Beaver St has just reopened after a fatal crash that happened shortly after midnight. O. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be renderedFor RX Fax: (904) 905-9849. O’Neill 128 N 6 th904-301-1614 UM Pre-Service Medicare Advantage (MA) (including pharmacy, excluding transplant) Statewide. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Coral Springs (Broward County-Region 22E): 954-346-2828. Certificate of Medical Necessity: Omalizumab (Xolair®) For RX Fax: (904) 905-9849 For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614 Fax or mail this completed form to: For Post-Service Claims: Florida Blue P. Advanced Dermatology and Cosmetic Surgery has 160+ locations around the United States. Country calling codes are 1 to 3 digit codes assigned to each country or to groups of countries. P. For Post-Service Claims: Florida Blue. O. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. For Post-Service Claims: Florida Blue. O. A reputable service like USPhoneBook. Plus, they save you time, money, and labor. Probe L displays highly selective and sensitive recognition to H2S over various anions and biological thiols with a large Stokes shift (125 nm) in T1-800-926-6565 Other Florida Blue Products with Dental 1-800-352-2583 Find a Service Center Employers Group Sales 1-800-955-2227 Employers and Benefit Administrators 1-866-946-2583 Find a Sales Office Agents Agent Service Center florida blue customer service number 1-800. 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. house located at 301 Demonbreun St Unit 904, Nashville, TN 37201 sold for $321,000 on Jan 30, 2014. Jacksonville, FL 32231-0014. Rx: (904) 905-984 9 Transplant: (904) 357-6331 Medicare Advantage, BlueMedicare. Sin embargo, podemos tomar hasta 14 días adicionales si solicita más tiempo o si necesitamos más información para ayudarnos con nuestra decisión. March 4, 2015 View Complaints. O. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. 1-661-499. P. For Post-Service Claims: Florida Blue. P. Box 1798. §1614. Advertisement. com. Fairfax Radiology Centers 8260 Willow Oaks Corporate Drive Suite 750 Fairfax, VA 220311-931-528. P. The 904 area code serves Jacksonville, Saint Augustine, Orange Park, Jacksonville Beach, Fernandina Beach, covering 39 ZIP codes in 7 counties. For Post-Service Claims: Florida Blue. Box 210, Jacksonville, FL 32231. Browse area code 954 phone numbers, prefixes and exchanges. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Champaign. Certificate of Medical Necessity: Ultrasounds in Maternity Care / Fax or mail this completed form / / For Pre-Service: Statewide Fax (877) 219-9448 For Medicare Advantage (BlueMedicare) HMO and. 98-454, 98th Cong. You can access the forms on our website at floridablue. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. (904) 301-4247. Monday through Friday (except for holidays) Parking: The Courthouse does not have a public parking facility. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. 1614. This document is a technical report on the HFC-6000 Qualifying System, a digital safety system for nuclear power plants. Medicare Advantage, Florida Blue Medicare Part B Rx: 904-357-6699. Box 1798. B and Appendix D of this Management Directive, different procedures apply to certain related processes. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be rendered Certificate of Medical Necessity: Septoplasty Fax or mail this completed form For Pre-Service: Statewide Fax (877) 219-9448 For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614 For Post-Service Claims: Florida Blue P. 505) Subpart F—Matters of General Applicability (§§ 1614. P. (904) 301-4247. 1024 Superior St. O. Cosmetics/aesthetics 800-647-9851. Visit taxcollector. For Post-Service Claims: Florida Blue. Lockwood Commons – 4240 53rd Avenue East, Bradenton, FL 34203. 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. 2. 1495 Kingsley Ave Orange Park, FL 32073. Jacksonville, FL 32231-0014. Best results for Reverse Phone Lookup; 1 + 833 + 7-digits! International dialing format: Exit Code + Country Code + Subscriber Number Exit Code 011: USA, Canada, Nanp Countries and U. Get e-Alerts. For Post-Service Claims: Florida Blue. O. If you are a new patient, please request an appointment. P. Email. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Box 1798. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be rendered1-904-301-1614 Si es una determinación de la organización estándar, debemos comunicarle nuestra decisión en un periodo de 14 días después de haber recibido su solicitud. Omaha, NE 68102 . 620 East University Avenue. 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. AUGUSTINE RD 32257 904-268-1933 SUZANNE BEEVERS 0317@childtime. Box 1798. P. P. You may also ask us for a coverage determination by phone at 1-800-955-5692 opt 1,4 & 6. Buffalo, NY 14225-1552. View Office Website. The 314 area code serves Saint Louis, Maryland Heights, Hazelwood, Bridgeton, Florissant, covering 29 ZIP codes in 4 counties. Prince Georges. Rc1. National Provider Identifier (NPI)For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Advanced Dermatology and Cosmetic Surgery. Omaha, NE 68102 . Court's Address. Instructions Complete this fax cover sheet thoroughly including any additional information. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. For Post-Service Claims: Florida Blue. For Post-Service Claims: Florida Blue. Box 1798. P. P. Just like individuals and families must make preparations for potential dangers and threats, so too, disaster workers prepare by participating in training classes. 302, the right to file a. Click on the following link to access the preservice faxContinuity 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 & MaterialsFor RX Fax: (904) 905-9849. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Unlock Background Report View Cell Phone Number. ) productsFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone:Amir Assili 16220 Frederick Avenue Suite 427 Gaithersburg MD 20877 301-948-2995 Board of Podiatric Medical Examiners Amir Barekatain 300 N. For Post-Service Claims: Florida Blue. Frank Edward SchiavoneAs noted in Chapter 2, Section IV. Cook. The 954 area code serves Miami, Fort Lauderdale, Hollywood, Deerfield Beach, Pompano Beach, covering 32 ZIP codes in 3 counties. 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 Provider For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be renderedIt’s important to know your rights. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderScammer Phone Number Lookup: How To Avoid. Box 1798. (904) 821-1614; Top Robocalls; Home; Robocaller Warning! (904) 821-1614 is a Robocall Be cautious. Part 1614 EEO complaints, Merit Systems Protection Board (MSPB) actions, grievances filed pursuant to negotiated grievance procedures, notices of intent to sue in Age. 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. 301 Caravan Cir #201 is located in Holiday Hill, Jacksonville. O. Technician 6493 CM/ECF Help Desk at ecfhelp@flmb. Preservice /VPCR Request . BOOK AN APPOINTMENT 866-400-3376. P. S. – MWF 8:30am until 50 households served. Physician Information/Requesting Provider. O. O. P. SM, Medicare PPO: (904) 301-1614 FEP Preservice /VPCR Request . It’s a phone scam that tricks people into making costly. Click on "Search Now". 2: SECTION 1614. 904-301-0241 . Cellco Partnership Dba Verizon Wireless - Pa. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be rendered 1-904-301-1614 Si es una determinación de la organización estándar, debemos comunicarle nuestra decisión en un periodo de 14 días después de haber recibido su solicitud. Click on the following link to access the preservice fax301 Centennial Mall S, 3. Box 1798. P. 415-301-16## (Novato, CA) Looking for a 415-301-16## number? Search below or scroll down for the directory of Verizon Wireless numbers covered by this page. 1045 Riverside Ave. Las Vegas. For Post-Service Claims: Florida Blue. The Orange Park office is committed to creating individualized surgical and non-surgical dermatology treatment options for each patient to address their needs. Box 1798. 7250 Lakewood Rd Mobile, AL 36695 (863) 301-0401. O. through our new dedicated fax line at (904) 301-1614 for Medicare Advantage BlueMedicare HMO and PPO members. Type in any phone number below to identify the owner! Phone. 308-284-8080/ 800-778-1614 . Rx: 904-905-9849. You can access the forms on our website at floridablue. 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. Advanced Dermatology And Cosmetic Surgery . O. Check the status of pending authorizations through an Availity inquiry. 301 and 1614. 4800 Deerwood Campus Parkway 904-301-1614 Building 900 5th Floor . • Be sure to use the preservice fax cover sheet when faxing a CMN or supporting documentation to Florida Blue. Suggest an edit. O. New Cingular Wireless Pcs, Llc - Il. - Wa. O. Box 1798. gov. heathersuarez. Manpower and Agreements Chief, Mr. : (866) 441-1568 Authorization/Reference Number Ref: Logging into Availity. +212. Advanced Dermatology's experienced professionals provide patients with the best, individualized skin care and treatments. Lincoln, NE 68509-5044 . For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. O. Rx: 904-905-9849. Box 1798. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Click. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. You may also ask us for a coverage determination by phone at 1-800-955-5692 opt 1,4 & 6. O. E-mail: blackkv@gm. For Post-Service Claims: Florida Blue. For Post-Service Claims: Florida Blue. Include a completed associated Certificate of Medical Necessity (CMN) for the requested care or treatment. 1893 Kingsley Ave Ste B, Orange Park, FL Orange Park, FL (1 other location)Midland Credit Management If you are receiving calls from one of the numbers below, you are being called by Asset Acceptance, a debt collector. Metro Pcs, Inc. For Post-Service Claims: Florida Blue. Box 1798. USA reverse area code 1-888 is a Toll-Free Area Code. O. P. Reverse Lookup Toll-Free Phone Numbers with 800-888-877-866 Directory. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. W. com (link sends e-mail) Suzanne Trimble. P. Bandwidth. P. p: (904) 301-6490 e: Send Mail Achieving Excellence Coordinator Joshua H. Supplier Manual, Chapter 4 CMNs - CGS - CGS Medicare CMS Manual System, Pub. Type in a landline or mobile phone number. For Post-Service Claims: Florida Blue. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderFor RX Fax: (904) 905-9849. Get Directions. For RX Fax: (904) 905-9849. Addition:-100-99-98-97-96-95-94-93-92-91-90-89-88-87-86-85-84-83-82-81-80-79-78-77-76-75-74-73-72-71-70-69-68-67-66-65-64-63-62-61-60. For Post-Service Claims: Florida Blue. P. For Post-Service Claims: Florida Blue. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderSteps to take. O. 2 You are not required to use our plan’s Grievance form, but we strongly urge you to do so. com. net 5 CHILDTIME LEARNING. CENTER 1614 LEONID ROAD 32218 904-751-9803 ERIKA LAIDLER [email protected] our new dedicated fax line at (904) 301-1614 for Medicare Advantage BlueMedicare HMO and PPO members. O. Bradenton Motor Vehicle Office. For Post-Service Claims: Florida Blue. District of Columbia. 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. 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. CMN - Florida BluePhone numbers (one per line) (max 20) Submit. O. Displaying title 5, up to date as of 11/14/2023. . Jacksonville, FL 32246 . Comcast Phone Of Washington Oregon, Llc - Wa. (904) 301-3660. Jacksonville, FL 32246 . Sprint Spectrum L. The 616 area code serves Grand Rapids, Wyoming, Holland, Caledonia, Portage, covering 44 ZIP codes in 9 counties. Journal of Medicinal and Pharmaceutical Chemistry (1959 - 1962) CURRENT ISSUE. Cutler Bay (Miami Dade County-Region 23O): 305-256-6200. O. P. Phone: (800) 955-5692 / O ption 3 / O ption 8 . For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Call 904-301-3660 (your nearest location) 20. 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. International Calling Codes - How to Call to and from USA. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. P. Advanced Dermatology and Cosmetic Surgery's team of experts provide outstanding patient experiences and quality skin treatments. Medicare Advantage, Florida Blue Medicare Part B Rx Fax: 904-357-6699. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. P. First National Collections Bureau is a nationally licensed full service accounts receivable management firm. Box 1798. . Securely download your document with other editable templates, any time, with PDFfiller. Box 1798. , Act of October 5, 1984Troopers are asking anyone who witnessed the crash to call them at 904-301-3700 or *FHP. Middle District of Florida - Jacksonville Division. O. How to call USA from: USA. Medicare Advantage, Florida Blue Medicare SM, Medicare PPO Medical: 904-301-1614. Immediate appointments available at many of our 160+ Locations. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Box 1798. 302 with an agency pursuant to this part or an appeal on the same matter with the MSPB pursuant to 5 CFR 1201. Jacksonville, Jacksonville Beach, Atlantic Beach, Saint Augustine, Fernandina Beach. 040 - JACKSONVILLE MAIN 908 North Jefferson Street, Building F Jacksonville, Fl 32209 (904) 695-4045 Fax: (904) 359-2632; 041 - JACKSONVILLE METROReverse phone lookup for (301) 904-4705. P. 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. 302. Public records show that the phone number (661) 904-1614 is linked to Homero Garza, Emma K Traversi, Ricahrd L Traversi, Richard C Erickson. Box 1798. 904-301-1112 Fax Telephone Number 904-301-1120 Fernandina Beach, Nassau. com (link sends e-mail) If the court reporter is not listed on the directory, complete the Digital Recording Transcript Request Form. com to submit Referrals and Authorizations. For Post-Service Claims: Florida Blue. Browse area code 904 phone numbers, prefixes and exchanges. Orlando. Phone searches can let you know. 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. 2010s. P. Section A Physician Information/ Requesting Provider 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: Fill Now For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Box 1798. O. SECTION A – Member Information. O. PO Box 95044 . Box 1798. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Supplier InformationFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Contact Us. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. 29:4. Make sure you read the fine print. Contact. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Jacksonville, FL 32231-0014 Section. An aggrieved person may initially file a mixed case complaint with an. Arlington Heights. (904) 905-9849 (904) 357-6331 (877) 219-9448 (904) 301-1614 Pre-Service Medical Review Department (800) 955-5692 / Option 3 / Option 6. P. For Post-Service Claims: Florida Blue. Fax: 352-955-6813. Browse area code 314 phone numbers, prefixes and exchanges. For Post-Service Claims: Florida Blue. Find full name, address, email, and photos for owner of (904) 568-1614 with Spokeo. com 2 For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Do whatever you want with a JAC seeks Capital Collateral Registry attorneys: fill, sign, print and send online instantly. Jacksonville Reentry Center (JREC) Contact Information Jacksonville Re-Entry Center 1024 Superior Street Jacksonville, Fl 32254 904-301-2400 (phone). O. The 484 area code serves Philadelphia, Norristown, Allentown, Fort Washington, Newark, covering 48 ZIP codes in 11 counties. We provide the best, individualized care for our patients. Our office. For Post-Service Claims: Florida Blue. 6903 Merrill Rd. Yemen. The 407 area code serves Orlando, Winter Park, Lake Mary, Maitland, Kissimmee, covering 31 ZIP codes in 4 counties. NOTE: Please contact our office at BEESSsupport@fldoe. Find a dermatologist in Pennsylvania. Box 1798. For Post-Service Claims: Florida Blue. Roberts, Esq. For Post-Service Claims: Florida Blue. Manatee County Residents only Renew or replace online at MyDMV. Crystal Structure of Fast Lithium-ion-conducting Cubic Li 7 La 3 Zr 2 O 12301 Institution Road DeFuniak Springs, Florida 32433-0000 (850) 951-1300 Fax: (850) 951-1750 Region 2. O. O. 301 902913 bracket, t2 1345075 bracket, t1 302 902914 bracket, t2 1345077 bracket, t1 303 902-01-010-1300 5/16-18 hex nutPhysician Information/Requesting Provider Certificate of Medical Necessity: Omalizumab (Xolair®) / Fax or mail this completed form / / For RX Fax: (904) 905-9849 For. The report also provides information on the system installation, operation, maintenance, and training. Valid Number offers a free reverse phone lookup service to let you identify a caller associated with any 10-digit phone number from the US and Canada. 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. O. - 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. For Post-Service Claims: Florida Blue. Cathy 904-301-6516. 4. For Post-Service Claims: Florida Blue. This property was built in 2017. Transplant Fax: 904-357-6331. Transcription . For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Box 1798. Box 1798. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Garrison Installation Agreement Manager, Ms. 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. ft. The 215 area code serves Philadelphia, Norristown, Plymouth Meeting, Allentown, Hatboro, covering 55 ZIP codes. Instructions Complete this fax cover sheet thoroughly including any additional information. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider.