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This document outlines the provider type profile for Physicians Assistants, detailing reimbursement types, categories of service, licensing requirements, and supervision mandates.
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How to fill out provider type profile

How to fill out PROVIDER TYPE PROFILE
01
Gather necessary information about the provider.
02
Identify the appropriate provider type from the list.
03
Fill in the provider's basic details: name, contact information, address.
04
Describe the services offered by the provider clearly.
05
Specify the qualifications and certifications of the provider.
06
Review the filled profile for accuracy and completeness.
07
Submit the profile for approval or save as needed.
Who needs PROVIDER TYPE PROFILE?
01
Healthcare organizations that require provider information.
02
Insurance companies assessing provider credentials.
03
Patients looking for reliable healthcare providers.
04
Regulatory bodies monitoring healthcare provider compliance.
05
Software systems managing healthcare provider data.
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People Also Ask about
What provider type is a PhD?
Doctor. A doctor is a medical professional with an MD, a PhD, or any other doctoral degree that treats patients with medical conditions. A doctor may, for example, be a physician, psychologist, neurologist, surgeon, dentist, or dermatologist.
What is a provider type 77?
Our Provider Services representatives are skilled to provide help to many basic claims questions. To reach Provider Services call (602) 417-7670. Provider Services Operation Hours: Monday-Friday from 8:00 A.M. - 5:00 P.M.
What is provider specialty 076?
076. Peripheral Vascular Diseases - Medical or Surgical (Osteopaths only)
What provider type is a podiatrist?
Yes, podiatrists are doctors. Podiatrists have a doctor of podiatric medicine (DPM) degree and attend a specialized podiatric medical school.
What is a provider type code?
A code describing the type of provider (i.e. doctor or facility) responsible for treating a patient. This represents the attending physician if available. If the state uses state-specific codes, they should map their internal codes to the CMS standard list provided.
What is a provider type?
Examples of AHCCCS provider type in a sentence For the purposes of this policy, a Behavioral Health Outpatient and Integrated Clinic is defined as a facility operating using AHCCCS provider type 77 “Behavioral Health Outpatient Clinic” and IC “Integrated Clinic”.
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What is PROVIDER TYPE PROFILE?
The PROVIDER TYPE PROFILE is a document or form used to categorize and detail the specific characteristics of service providers in a given sector, helping to classify them based on their type and service offerings.
Who is required to file PROVIDER TYPE PROFILE?
Organizations and individuals who provide services within regulated industries, such as healthcare, education, or social services, are typically required to file a PROVIDER TYPE PROFILE to ensure compliance with applicable standards.
How to fill out PROVIDER TYPE PROFILE?
To fill out a PROVIDER TYPE PROFILE, one must gather necessary information about the provider's services, qualifications, operational details, and any relevant certification or licensing, then accurately complete the form according to the guidelines provided.
What is the purpose of PROVIDER TYPE PROFILE?
The purpose of the PROVIDER TYPE PROFILE is to create a standardized approach to evaluate and classify service providers, ensuring transparency, accountability, and compliance with industry regulations.
What information must be reported on PROVIDER TYPE PROFILE?
Information typically required includes the provider's name, contact details, types of services offered, service area, licensing information, qualifications, and any other relevant certifications or compliance records.
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