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Caremark is an independent company that administers prescription drug benefits on behalf of BlueChoice. PHYSICIAN PRIOR AUTHORIZATION REQUEST FORM BlueChoice HealthPlan Patient Information Name Insurance ID Address Birthdate Provider Information Physician s Name Physician DEA Phone Fax Office Address Diagnosis ICD-9 Code When this form is completed please fax back to Caremark at 888-836-0730. Confidential Page 1 of 2 Effective 1/1/2015 condition based on published guidelines or clinical...
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How to fill out physician dea

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How to fill out physician dea

01
Gather all necessary information and documents needed for the application.
02
Visit the Drug Enforcement Administration (DEA) website and access the Electronic Prescriptions for Controlled Substances (EPCS) Application.
03
Create an account or log in to your existing account.
04
Select the option to apply for a new DEA registration.
05
Complete the online application form by providing accurate personal and professional information.
06
Submit the required documents, such as identification, medical license, and any other relevant credentials.
07
Pay the application fee through the provided online payment system.
08
Review the application for any errors or missing information before submitting.
09
Submit the completed application and wait for the DEA to process it.
10
Once approved, you will receive your physician DEA registration number via email or mail.
11
Ensure you keep your DEA registration up to date and comply with all DEA regulations and requirements.

Who needs physician dea?

01
Physicians who prescribe controlled substances for legitimate medical purposes need a physician DEA.
02
Healthcare professionals authorized to handle and dispense controlled substances also require a physician DEA.
03
Physician assistants, nurse practitioners, and other practitioners who have the authority to prescribe controlled substances also need a physician DEA.
04
Hospitals, clinics, and healthcare facilities that handle and dispense controlled substances may need a physician DEA for their authorized personnel.
05
Research institutions or organizations conducting studies involving controlled substances may need a physician DEA for their researchers or principal investigators.
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Physician DEA, or Drug Enforcement Administration number, is a unique identifier assigned to healthcare providers that allows them to prescribe controlled substances.
Physicians and other healthcare providers who prescribe controlled substances are required to obtain and file a DEA number.
To apply for a DEA number, healthcare providers must submit an application online through the DEA website and complete the required forms.
The purpose of the physician DEA number is to regulate the prescribing of controlled substances to ensure they are used safely and appropriately.
The physician DEA number must include basic information about the prescriber, such as name, address, medical specialty, and valid state medical license.
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