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Attachment A provider physician listing Encompass Health Rehabilitation Hospital of Treasure Coast 1600 37th Street Vero Beach, FL 32960 772.778.2100 ehc.rehab/TreasureCoastFAServices may be provided
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How to fill out attachment aprovider physician listing
01
Step 1: Obtain a copy of the attachment aprovider physician listing form.
02
Step 2: Fill in the required personal information, such as your name, contact information, and medical license number.
03
Step 3: Provide detailed information about your practice, including the name, address, and contact information of the healthcare facility or organization you are affiliated with.
04
Step 4: List the medical services you offer, including any specialized areas of practice or expertise.
05
Step 5: Include any additional documentation or attachments required, such as proof of medical qualifications or certifications.
06
Step 6: Review the completed form for accuracy and completeness.
07
Step 7: Submit the filled-out attachment aprovider physician listing to the designated authority or organization.
Who needs attachment aprovider physician listing?
01
Healthcare providers or physicians who want to be listed or affiliated with a specific healthcare facility or organization.
02
Insurance companies or healthcare networks that require an official listing of healthcare providers for referral purposes.
03
Government agencies or regulatory bodies that need to maintain an up-to-date database of licensed physicians and their practice information.
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