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WA Molina Healthcare Washington Practitioner Application 2018-2025 free printable template

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How to fill out WA Molina Healthcare Washington Practitioner Application

01
Visit the Molina Healthcare website and access the WA Practitioner Application.
02
Gather required documentation such as your medical license, CV, and any certifications.
03
Fill out the personal information section with accurate data.
04
Provide information on your practice location and specialty.
05
List your professional experience and any relevant training.
06
Include references if required, ensuring they are from credible sources.
07
Review your application for completeness and accuracy.
08
Submit the application either online or via the instructed method.

Who needs WA Molina Healthcare Washington Practitioner Application?

01
Healthcare practitioners seeking to join Molina Healthcare's network in Washington.
02
Doctors, nurse practitioners, and other licensed medical professionals looking to provide services to Molina members.
03
Practitioners wanting to accept Molina patients for reimbursement.
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WA Molina Healthcare Washington Practitioner Application is a form used by healthcare practitioners to apply for participation in Molina Healthcare's network in Washington state.
Healthcare practitioners who wish to join the Molina Healthcare provider network in Washington are required to file the WA Molina Healthcare Washington Practitioner Application.
To fill out the WA Molina Healthcare Washington Practitioner Application, ensure that all personal information, credentials, and practice details are accurately completed, then submit the application as instructed by Molina Healthcare.
The purpose of the WA Molina Healthcare Washington Practitioner Application is to assess a healthcare practitioner's qualifications and to facilitate their participation in the Molina Healthcare provider network.
The application requires reporting information such as personal identification details, professional credentials, education, work history, malpractice history, and any disciplinary actions.
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