Medicare printed provider directory request

senior couple biking

Submit this form and we'll send you a printed provider directory.

If you would like a printed provider directory sent to you every year please call the Customer Care Center at 1-877-232-7566 (TTY:711).

First name*

Middle initial*

Last name*

Address*

Address line 2

City*

State*

Zip code*

U.S. phone number*

Please confirm

View our Medicare disclaimer.
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Updated: 1/30/23