Get the free SISSELMAN MEDICAL GROUP, PC

FISHERMAN MEDICAL GROUP, PC 627 Broadway, Suite 1 Tel: (516) 3084040 Massapequa, NY 11758 Fax: (516) 80463862171 Jericho Turnpike, Suite 304 Cormack, NY 11725Tel: (631) 6706525 Fax: (631) 6706526Patient

How to fill out sisselman medical group pc

How to fill out sisselman medical group pc

1. Obtain the Sisselman Medical Group PC form from the office or website.
2. Fill in your personal information, including your name, address, phone number, and date of birth.
3. Provide your insurance information, including the name of your insurance company and your policy number.
4. Indicate any pre-existing medical conditions or allergies that may be relevant.
5. Fill out the medical history section, including any previous surgeries, hospitalizations, or chronic conditions.
6. Make sure to include a list of current medications you are taking, including dosage information.
7. Sign and date the form to certify that the information provided is accurate.
8. Return the completed form to the Sisselman Medical Group PC office.

Who needs sisselman medical group pc?

1. Anyone who wishes to become a patient at Sisselman Medical Group PC needs to fill out the form.
2. This includes both new patients and existing patients who need to update their information.
3. The form helps the medical group gather essential information about the patient's medical history, insurance, and contact details.

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What is sisselman medical group pc?

Sisselman Medical Group PC is a medical practice organization that provides various healthcare services and may be involved in billing and insurance processes.

Who is required to file sisselman medical group pc?

Typically, healthcare providers, medical practices, or entities associated with Sisselman Medical Group PC are required to file relevant documents for billing and compliance purposes.

How to fill out sisselman medical group pc?

To fill out Sisselman Medical Group PC forms, one should gather necessary patient information, services rendered, and insurance details, then complete the specified forms according to the organization's guidelines.

What is the purpose of sisselman medical group pc?

The purpose of Sisselman Medical Group PC is to provide medical services to patients and handle associated administrative tasks such as billing and documentation.

What information must be reported on sisselman medical group pc?

The information that must be reported typically includes patient demographics, treatment details, insurance information, and billing codes pertinent to the services provided.