Get the free 1619181500 TOLLAND COUNTY PEDIATRICS & ADOLESCENT MEDICINE, LLC. 1619181500 TOLL...

National Provider Identifiers Registry The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique

How to fill out 1619181500 tolland county pediatrics

How to fill out 1619181500 Tolland County Pediatrics:

1. Start by gathering all the necessary information such as your personal details, insurance information, and any medical history or concerns you may have.
2. Visit the Tolland County Pediatrics website or office to obtain the necessary forms. These forms may be available for download or can be picked up in person.
3. Take your time to carefully read and understand each section of the form. Ensure that you provide accurate and up-to-date information.
4. Begin by filling out your personal details, including your full name, date of birth, address, and contact information. Some forms may also require your social security number.
5. Move on to the insurance section and provide the necessary details about your insurance provider, policy number, and any other relevant information.
6. If there is a section for medical history or concerns, provide detailed and accurate information. This may include any allergies, past surgeries, medications you take, or any specific medical conditions you have.
7. Review the completed form to make sure all information is entered correctly and legibly. Double-check for any missing or incomplete sections.
8. Once you are satisfied with the form, sign and date it as required. Some forms may also require a witness or a guardian's signature, depending on your age.
9. Make a copy of the completed form for your records before submitting it.
10. Submit the form to the designated recipient. This may involve mailing it, faxing it, or submitting it in person at the Tolland County Pediatrics office.

Who needs 1619181500 Tolland County Pediatrics:

1. Parents or legal guardians who have children in need of pediatric medical care.
2. Patients seeking specialized medical care for children in Tolland County.
3. Individuals who have been referred to Tolland County Pediatrics by other healthcare professionals for further evaluation or treatment of pediatric conditions.
4. Expectant parents who are looking for a pediatrician to care for their child after birth.
5. Parents who are new to the area and need to establish a primary care provider for their child.

Note: The specific identification number mentioned (1619181500) may be a placeholder and the actual identification number may vary. It is recommended to refer to the official Tolland County Pediatrics website or contact their office for accurate and up-to-date information.

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What is 1619181500 tolland county pediatrics?

1619181500 Tolland County Pediatrics is a unique identification number for a pediatric medical practice located in Tolland County.

Who is required to file 1619181500 tolland county pediatrics?

The pediatric medical practice located in Tolland County is required to file 1619181500 Tolland County Pediatrics.

How to fill out 1619181500 tolland county pediatrics?

To fill out 1619181500 Tolland County Pediatrics, the medical practice needs to provide detailed information about their services, patients, and revenue.

What is the purpose of 1619181500 tolland county pediatrics?

The purpose of 1619181500 Tolland County Pediatrics is to track and monitor the activities and financial status of the pediatric medical practice.

What information must be reported on 1619181500 tolland county pediatrics?

The information that must be reported on 1619181500 Tolland County Pediatrics includes patient visits, treatments provided, revenue generated, and any expenditures.