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NYU FACULTY GROUP PRACTICE PRIVATE CONTRACT WITH MEDICAID BENEFICIARY This agreement is between Dr. (Physician) and patient (Patient), with date of birth who is Medicaid beneficiary seeking services
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How to fill out NYU Faculty Group Practice:

01
Start by visiting the NYU Faculty Group Practice website or contacting their office directly to request the necessary forms. They may have an online portal where you can access the forms and fill them out electronically, or they may provide physical forms that you can fill out by hand.
02
Carefully read through the instructions on each form to ensure that you understand all the information they are asking for. It's important to provide accurate and complete information to ensure a smooth process.
03
Begin with the personal information section, which typically includes your full name, date of birth, contact information, and any relevant identification numbers (such as social security number or student ID).
04
Next, you may be asked to provide information about your current health insurance coverage. This could include details about your insurance provider, policy number, and any required co-pays or deductibles. If you do not have insurance, there may be options available to you for financial assistance or discounted rates.
05
Depending on the nature of your visit or treatment, there may be additional sections to fill out. For example, if you are seeking mental health services, there may be specific questions about your mental health history or current symptoms. If you are visiting a specialty clinic, you may need to provide specific details related to your condition or medical history.
06
Take your time to accurately fill out each section of the forms. Double-check that you have provided all the necessary information and that it is legible. If you have any questions or concerns, do not hesitate to reach out to the NYU Faculty Group Practice office for assistance.

Who needs NYU Faculty Group Practice:

01
Students or faculty members of NYU who require medical or mental health services may utilize the NYU Faculty Group Practice. This includes undergraduate and graduate students, as well as faculty members affiliated with NYU.
02
Community members in the vicinity of NYU may also access the services provided by the NYU Faculty Group Practice. This can be especially beneficial for those who do not have a primary care physician or are seeking specialized care that is available through the practice.
03
NYU Faculty Group Practice also serves as a teaching facility, so individuals who are interested in being treated by medical professionals who are also involved in educating future healthcare providers may choose to utilize their services.
In summary, to fill out the NYU Faculty Group Practice forms, you should start by accessing the necessary forms through their website or office. Carefully read and complete each section, providing accurate and complete information. NYU students, faculty members, community members, and individuals seeking care from teaching professionals can benefit from the services provided by the NYU Faculty Group Practice.
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The NYU Faculty Group Practice is a multi-specialty practice consisting of physicians, nurses, and other healthcare professionals affiliated with New York University.
All healthcare professionals affiliated with the NYU Faculty Group Practice are required to file relevant information.
To fill out the NYU Faculty Group Practice, healthcare professionals need to provide information on their medical practice, patients, procedures, and billing.
The purpose of the NYU Faculty Group Practice is to provide high-quality healthcare services to patients and support the academic mission of New York University.
Information on medical procedures, patient demographics, billing codes, and healthcare outcomes must be reported on the NYU Faculty Group Practice.
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