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Attachment C ADDITIONAL PRACTICE INFORMATION for Payment Address (if different from practice location) Practice Name* Address Suite City/State C.it/State Zip Phone No. Phone No. Fax No. Contact Person
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How to fill out primary practice information for

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How to fill out primary practice information for:

01
Start by providing the basic details such as the name and address of the primary practice. This information helps to identify the location and contact details of the practice.
02
Include important contact information, such as phone number and email address, to ensure that patients and other healthcare professionals can easily get in touch with the primary practice.
03
Specify the type of primary practice, whether it is a general practitioner's office, a specialist clinic, or any other relevant categorization. This helps patients to understand the nature of the practice.
04
Mention the operating hours of the primary practice. This information is crucial for patients who need to know when they can schedule appointments or reach out for medical assistance.
05
Provide information about the primary healthcare providers who work at the practice. Include their names, qualifications, and specialties, if applicable. This allows patients to have a better understanding of the expertise available at the practice.
06
Include details about the services offered at the primary practice. This may include specific medical treatments, preventive care, diagnostic services, or any other relevant healthcare services. Patients can then determine if the practice meets their specific needs.
07
Mention any affiliations or partnerships with hospitals, medical institutions, or insurance providers. This information can help patients understand the network and resources available to them through the primary practice.

Who needs primary practice information for:

01
Patients seeking primary healthcare services can benefit from having access to primary practice information. It helps them locate and evaluate different practices based on their specific needs and preferences.
02
Healthcare professionals or medical staff who may need to refer patients to primary practices can utilize this information to make the appropriate recommendations based on the patient's needs.
03
Insurance companies or healthcare organizations may require primary practice information for network listings, provider directories, or referrals. This ensures that patients are directed to appropriate primary practices within their coverage network.
In summary, primary practice information is essential for patients, healthcare professionals, insurance companies, and other stakeholders to ensure proper care coordination and access to primary healthcare services.
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Primary practice information is used to provide details about the main practice or specialty of a healthcare provider.
Healthcare providers who are required to disclose their primary practice information include physicians, nurses, dentists, and other healthcare professionals.
Primary practice information can be filled out by logging into the appropriate healthcare provider database and updating the required fields with accurate information.
The purpose of primary practice information is to help patients and other healthcare professionals identify the main practice focus of a healthcare provider.
The primary practice information should include the specific specialty or practice area of the healthcare provider, such as cardiology, pediatrics, or family medicine.
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