▢ MSA allocation report
▢ CMS approval letter (if applicable)
▢ SS#, phone number, and email (if available) of claimant/applicant
Joe Anderson, Vice President of Business Development
Phone: 415-606-1332
Email: janderson@medivest.com
Matt Cirincione, Sales Support Specialist
Phone: 877.725.2467 x7012
Email: mcirincione@medivest.com
Make checks payable to Medivest Benefit Advisors, Inc. FBO (applicant name).
Send regular and overnight mail to:
Medivest
12226 Corporate Blvd.
Ste 142-322
Orlando, FL 32817
Medivest’s Tax ID number: 77-0445397
Medivest Resource Guide (click to download). Contains the following :
1) MSA Professional Administration Frequently Asked Questions
2) New Member Flyer
3) Medical Custodial Account Flyer
4) Benefits of Professional Administration Explanation
5) Professional Administration New Case Resource Guide