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Directory Results for Regence BlueShield of Idaho - North Medicare Advantage Plans (PPO) Enrollment Request . Regence BlueShield of Idaho - North Medicare Advantage Plans (PPO) Enrollment Request Form to Regence BlueShield of Idaho 1602 21st Avenue PO Box 1106 Lewiston, Idaho 83501 Group Master Application - For Group Size 2-99 Please complete and submit this application to our office no later than 15 days prior to the effective date or