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LOCUM TENENS PHYSICIANS & SURGEONS PROFESSIONAL LIABILITY APPLICATIONHOME OFFICE: 26255 American Drive Southfield, MI 480346112 Tel: (800) 4822726INSURED INFORMATION1. Name:Social Security #:Medical
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Locum tenens refers to temporary healthcare providers who fill in for primary practitioners, and the DEA form is used to authorize these providers to prescribe controlled substances.
Healthcare professionals who are providing temporary services and need to prescribe controlled substances while practicing on behalf of another physician are required to file locum tenens - DEA.
To fill out a locum tenens - DEA, providers must complete the required forms accurately, including information about the primary physician, locum tenens provider details, and the practice setting.
The purpose of locum tenens - DEA is to ensure that temporary healthcare providers can legally prescribe controlled substances while maintaining compliance with federal regulations.
Information required on the locum tenens - DEA includes the names and DEA numbers of both the primary physician and the locum tenens provider, practice location, and duration of the locum tenens arrangement.
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