O. P. 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. Physician’s Name. P. §1614. Box 210, Jacksonville, FL 32231. Bradenton Motor Vehicle Office. Our office. Manatee County Residents only Renew or replace online at MyDMV. Derrick Henry 5472 Baytowne Place Oviedo, FL 32765 (407) 602-8540 Alpha1 Staffing/Search Firm, LLC Garrie Harris 3350 SW 148 Avenue, Suite 220 Miramar, FL 33027 (954) 734-2744 (954) 734-2828(863) 301-4267. Centurytel Of Washington, Inc. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Auth. Include the completed associated Certificate of Medical Necessity (CMN) for the requested care or treatment. (904) 301-4247. 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. Phone: (904) 276-2044 Taxonomy code 207RP1001X with license number ME112299 (FL) and 42 years of experience. P. There are legitimate companies out there that provide great and trustworthy similar services. Advanced Dermatology and Cosmetic Surgery's team of experts provide outstanding patient experiences and quality skin treatments. Vocational Rehabilitation Division. 6 Specialties . O. O. NOTE: Please contact our office at BEESSsupport@fldoe. Enter rest of 4 digits phone numbers. Box 1798. Rx: (904) 905-9849 Transplant: (904) 357-6331 Medicare Advantage, BlueMedicare SM, Medicare PPO Fax: (904) 301-1614 Medicare Advantage, Florida Blue Medicare Part B Rx Fax: (904) 357-6699 FEP Preservice Request Fax. For Post-Service Claims: Florida Blue. Advanced Dermatology and Cosmetic Surgery's team of experts provide outstanding patient experiences and quality skin treatments. Jacksonville, FL 32202-3643. Box 1798. Geo resource failed to load. Jacksonville, FL 32246 . For Post-Service Claims: Florida Blue. The 484 area code serves Philadelphia, Norristown, Allentown, Fort Washington, Newark, covering 48 ZIP codes in 11 counties. O. • Be sure to use the preservice fax cover sheet when faxing a CMN or supporting documentation to Florida Blue. Orange Park, FL 32073. Gainesville (Alachua & Bradford Counties-Region 09A): 352-955-3200. P. Type in any phone number below to identify the owner! Phone. P. 904-301-1614 UM Pre-Service Medicare Advantage (MA) (including pharmacy, excluding transplant) Statewide Preservice Authorizations 866-441-1569 UM Pre-Service Federal Employee Program® (FEP) Statewide Preservice Authorizations 866-441-1568 UM Pre-Service State of Florida PPO members Statewide Preservice Authorizations For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. 904-301-4247. It’s a phone scam that tricks people into making costly. Phone carrier information. For Post-Service Claims: Florida Blue. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. 904-301-0612 - View Complaints. O. (904) 301-1112. There are legitimate companies out there that provide great and trustworthy similar services. This property is not currently available for sale. For Post-Service Claims: Florida Blue. 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. 68 miles ( serves your state ) 921 N Davis St, Jacksonville, FL 32209Browse area code 616 phone numbers, prefixes and exchanges. Phone: 352-955-7671. O. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderDo whatever you want with a Office of the State Treasurer - Georgia Secure Deposit Program: fill, sign, print and send online instantly. 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 & MaterialsMedicare Advantage dedicated fax number: (904) 301-1614. (877) 937-0604. At. Box 1798 Jacksonville, FL 32231-0014 Section A. Box 1798. 301 North Catherine St. A Certificate of Medical Necessity ( CMN) or DME Information Form supplies, and other administrative information not related to the medical condition of the beneficiary . Check the status of pending authorizations through an Availity inquiry. P. 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. Box 1798 Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. 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. For Post-Service Claims: Florida Blue. You can find preservice fax cover sheets on our website at floridablue. VIEW ALL ISSUES. O’Neill 128 N 6 th904-301-1614 UM Pre-Service Medicare Advantage (MA) (including pharmacy, excluding transplant) Statewide. For Post-Service Claims: Florida Blue. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. 7250 Lakewood Rd Mobile, AL 36695 (863) 301-0401. 561-655-8600. 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. 303. Customers will be charged a $6. Advanced Dermatology and Cosmetic Surgery has 160+ locations around the United States. P. 1-215-499. Rainier Connect, Inc. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. 2 900-927-0415 supporting documentation to our medical review department at (904) 301-1614. Kathy Black, ESE Director. Onvoy, Llc - Wa. Rx: (904) 905-9849 Transplant: (904) 357-6331 Medicare Advantage, BlueMedicare SM, Medicare PPO Fax: (904) 301-1614 Medicare Advantage, Florida Blue Medicare Part B Rx Fax: (904) 357-6699 FEP Preservice Request Fax. O. • 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. October 12, 2018. S. B and Appendix D of this Management Directive, different procedures apply to certain related processes. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider 4800 Deerwood Campus Parkway 904-301-1614 Building 900 5th Floor . Reverse phone lookup for (904) 794-1614. O. P. Directions. Advanced Dermatology and Cosmetic Surgery. Advanced Dermatology's experienced professionals provide patients with the best, individualized skin care and treatments. Tel: (904) 301-4247. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider 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. P. O. They close at 4pm Fridays. Business hours. ft. Rc1. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. O. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. O. General/VPCR/VPSS Fax: 877-219-9448. Immediate appointments available at many of our 160+ Locations. Jacksonville, FL 32202. 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. 401 - 1614. O. PennyAdvanced Dermatlgy/Cosmtc Surgery. For Post-Service Claims: Florida Blue. Browse area code 931 phone numbers, prefixes and exchanges. 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. (301) 904-XXXX | Find owner’s name, address, court records | Elizabeth Rhynes Johnson Reecee Anthony Mason Paul Rice | Lookup numbers in Leonardtown, MD with Spokeo Reverse Phone Lookup. For Post-Service Claims: Florida Blue. Advertisement. Rx: (904) 905-984 9 Transplant: (904) 357-6331 Medicare Advantage, BlueMedicare. Company. Omaha, NE 68102 . 108(f), election rights pursuant to §§ 1614. O. Learn more about debt collectors and how you’re protected under the Fair Debt Collection Practices Act (FDCPA). Complaints about possible violations of the federal voting rights laws can be made directly to the Civil Rights Division in Washington, DC by phone at 800-253-3931 or by complaint form at. Browse area code 520 phone numbers, prefixes and exchanges. MLS# 1505221. P. Box 1798. (904) 905-1747. TTY users can call 1-800-955-8770. Cellco Partnership Dba Verizon Wireless - Pa. 1-702-499. +263. Crim. 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. O. The drug discovery campaign of Azvudine begins with extensive modifications on 2′-deoxynucleoside. For Post-Service Claims: Florida Blue. Transplant Fax: 904-357-6331 Medicare Advantage, Florida Blue Medicare℠, Medicare PPO Medical Fax: 904-301-1614 Medicare Advantage, Florida Blue Medicare Part B Rx Fax: 904-357-6699For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider For RX Fax: (904) 905-9849. Box 1798. O. Box 1798. 904-301-1614 UM Pre-Service Medicare Advantage (MA) (including pharmacy, excluding transplant) Statewide Preservice Authorizations 866-441-1569 UM Pre-Service Federal. Newsletter. For Post-Service Claims: Florida Blue. Clark. 98-454, 98th Cong. Get e-Alerts. 301 1614. United States Courthouse, 300 North Hogan Street,Suite 3-150, Jacksonville, FL 32202. R. Transcription . com 2 For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. For Post-Service Claims: Florida Blue. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. New Cingular Wireless Pcs, Llc - Il. For Post-Service Claims: Florida Blue. PHILIPPINE INSTITUTE OF INDUSTRIAL ENGINEERS, INC. Transplant Fax: 904-357-6331 Medicare Advantage, Florida Blue Medicare℠, Medicare PPO Medical Fax: 904-301-1614 Medicare Advantage, Florida Blue Medicare Part B Rx Fax: 904-357-6699For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. P. We hope you will find it very useful. Contact Us. Box 1798. 826 Vaqueros St. 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. Peer to Peer Phone: 800-955-5692. com. Cosmetics/aesthetics 800-647-9851. Rent value for a two. 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 ProviderThe Arizona Revised Statutes have been updated to include the revised sections from the 56th Legislature, 1st Regular Session. O. Many homeless shelters have waiting lists and some are long. O. 800 Shetter Ave. net 5 CHILDTIME LEARNING CENTER 317 (OLD ST. Sangamon. Our strength is in our numbers - by sharing pieces of information each of us has we are putting together a free and public phone number directory with information no other service can provide. 308-284-8080/ 800-778-1614 . Browse area code 484 phone numbers, prefixes and exchanges. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. ) products For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. Garrison Installation Agreement Manager, Ms. Transplant Fax: 904-357-6331. O. Try Now!Transcription . city with the name "Syracuse", and the fifth most populous city in the state. 409) Subpart E—Remedies and Enforcement (§§ 1614. 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. For RX Fax: (904) 905-9849. For Post-Service Claims: Florida Blue. Putnam. Bakersfield. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. 1-205-499. 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. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. For Post-Service Claims: Florida Blue. SM, Medicare PPO: (904) 301-1614 FEP Preservice /VPCR Request . Office: 904-301-1112. Search. She graduated with honors in 2018. Los usuarios de TTY deben llamar al 1-877-955-8773. Eligible to Practice Law in Florida. Box 1798. (904) 301-4247 . Cookeville. 301 Harbour Place Dr #1614 is in the Harbour Island neighborhood in Tampa, FL and in ZIP code 33602. • Be sure to use the preservice fax cover sheet when faxing a CMN or supporting documentation to Florida Blue. Relationship to negotiated grievance procedure. Los usuarios de TTY deben llamar al 1-877-955-8773. 302 Mixed case complaints. Mail Address: Office of Criminal Conflict & Civil Reg. O. The Orange Park office is committed to creating individualized surgical and non-surgical dermatology treatment options for each patient to address their needs. Check the status. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. 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. Email. Saturday – Sunday: ClosedContact Name - Florida Blue Certificate of Medical Necessity: Helicobacter Pylori (H. Add, Subtract, Multiply, Divide. O. P. P. Box 1798. Driver License & Motor Vehicle Services. O. Jacksonville Division. 1024 Superior St. For Post-Service Claims: Florida Blue. 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. Omaha Omaha State Office Building . 301 – 1614. Click on "Search Now". Prescription Fax: 904-905-9849. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider Do whatever you want with a Office of the State Treasurer - Georgia Secure Deposit Program: fill, sign, print and send online instantly. For Post-Service Claims: Florida Blue. 904-301-0241 . THIS TRANSACTION MUST BE PROCESSED BY APPOINTMENT AT THE. Rx: (904) 905-9849 Transplant: (904) 357-6331 Medicare Advantage, BlueMedicare SM, Medicare PPO Fax: (904) 301-1614 Medicare Advantage, Florida. For Post-Service Claims: Florida Blue. O. O. Medical Review Referral to Driver License Office. View sales history, tax history, home value estimates, and overhead. Phone searches can let you know. Shannon-Jo Converse has been working as a Dependency Attorney at Rc1 for 2 years. Box 1798. Division of Developmental Disabilities 301 Centennial Mall S, 4th Floor . For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. com to schedule your appointment. Monday - Friday 8:30 AM - 4:00 PM. Office details. P. 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. 26. 1. Embarq Florida, [email protected]. ervice Medical Review Department . Certificate of Medical Necessity: Wireless Capsule Endoscopy / Fax or mail this completed form / / For Pre-Service. 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. For Post-Service Claims: Florida Blue. 1-301-500. Resources. Fax: 352-955-6813. O. The Mason County Sheriff’s Office is warning residents about a phone scam that has made it to the area. O. 6919 Merrill Road Jacksonville, FL 32277 (904) 667-4310. AUGUSTINE RD 32257 904-268-1933 SUZANNE BEEVERS 0317@childtime. Fax the clinical information and allow Florida Blue time to complete the review. P. Name: BCBSF No: National Provider Identifier (NPI): Contact Name: Phone: Facility Information/ Location where services will be rendered Certificate of Medical Necessity: Erythropoiesis Stimulating Agents (ESA) 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. 301 Relationship to negotiated grievance procedure. For Post-Service Claims: Florida Blue. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Unit 201, 1252 Lawrence Avenue East, North York, ON M3A 1C3Click here to send a message or to learn how to contact the team at VCA Victoria Animal HospitalCertificate of Medical Necessity: Septoplasty Fax or mail this completed form For Pre-Service: Statewide Fax (877) 219-9448 For Medicare Advantage (BlueMedicare) HMO. O. 690-600, MD-110 and 29 CFR 1614, Presidential Executive Orders, EEOC, and other regulations, policies and directives. 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. Type in a landline or mobile phone number. Fax: (866) 4 41-1569. : (866) 441-1569 State Account Pr ese rvice Reques t Fax. This request form and any applicable medical documentation should be sent via secured fax to:. Dermatology services in Fort Collins. Patient Name: Date of Birth. P. Box 1798. Be personally responsible for the EEO climate in theirCMN - Etanercept (Enbrel) Certificate of Medical Necessity: Etanercept (Enbrel®) / Fax or mail this completed form / / For RX Fax: (904) 905-9849 For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614Browse area code 516 phone numbers, prefixes and exchanges. 1-661-499. For Post-Service Claims: Florida Blue. 4333 Highway 301 North, 34222 (941) 741-4800. Physical Address 961687 Gateway Blvd #201F Fernandina Beach, FL 32034 Click For Directions. O. 402-417-3461/ 402-328-6242 fax . O. Listen; Transcript Hello. Monday through Friday (except for holidays) Parking: The Courthouse does not have a public parking facility. 921 N Davis St Jacksonville FL 32209. For Post-Service Claims: Florida Blue. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderFor RX Fax: (904) 905-9849. P. For Post-Service Claims: Florida Blue. For Post-Service Claims: Florida Blue. Box 1798. Los usuarios de TTY deben llamar al 1-877-955-8773. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider For RX Fax: (904) 905-9849. For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. O. Lockwood Commons – 4240 53rd Avenue East, Bradenton, FL 34203. 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. P. Box 1798. Free essays, homework help, flashcards, research papers, book reports, term papers, history, science, politicsFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. . It describes the system design, features, functions, and performance, as well as the results of various tests and evaluations. Seniors served Tuesdays 10-12, public served Fridays 10-12. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. O. (904) 821-1614; Top Robocalls; Home; Robocaller Warning! (904) 821-1614 is a Robocall Be cautious. 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. Cathy 904-301-6516. com (link sends e-mail) If the court reporter is not listed on the directory, complete the Digital Recording Transcript Request Form. For Post-Service Claims: Florida Blue. 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. Claim this business. Box 1798. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderThank you for your participation! * Your assessment is very important for improving the workof artificial intelligence, which forms the content of this projectCMN_Ultrasound_in_Maternity_Care_Final Certificate of Medical Necessity: Ultrasounds in Maternity Care 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. Contact. Make sure you read the fine print. 904 - 301 Blvd W, 34205 (941) 741-4800. 1. com. Request an appointment | Victoria MedicalGeneral Fax: (877) 219-9448 FEP Preservice Request Fax: (866) 441-1569 State Account Preservice Request Fax: (866) 441-1568 Rx Fax: (904) 905-9849. P. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. Broadwing Communications, Llc - Wa. 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. For Post-Service Claims: Florida Blue. I. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider. P. Cellco Partnership Dba Verizon Wireless - Wa. O. Box 1798. Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting Provider For Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. O. Level 3 Communications, Llc - Fl. P. Contact Name: BCBSF Number: Physician. Cook. Browse area code 509 phone numbers, prefixes and exchanges. Rx: 904-905-9849; Transplant: 904-357-6331; Medicare Advantage, Florida Blue Medicare℠, 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. Reverse phone lookup for (301) 642-1614. 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. If you are in need of professional help regarding debt collection problems, our legal team is here for you. Box 1798.