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Jacksonville, FL 32231-0014 Section A Physician Information/ Requesting ProviderFor Medicare Advantage (BlueMedicare) HMO and PPO Plans: Fax (904) 301-1614. city with the name "Syracuse", and the fifth most populous city in the state. We are improving this service every day by expanding our search horizon and improving some features within the website. 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. Box 1798. Fax: (866) 441-15 69 S. Comcast Phone Of Washington Oregon, Llc - Wa. In case of a life-threatening emergency, please call 911 immediately. This request form and any applicable medical documentation should be sent via secured fax to:. 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