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P: 18552634537 F: 7343912365 www.meijerspecialtypharmacy.com Ship Meds to:Prescriber InformationPatients HomeDermatology (HS) , Ilumya, Odomzo, , , Siliq, , SkyriziPrescribers OfficePrescriber Name:MDOffice
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How to fill out practice name collaborating md

01
Gather all necessary information about the practice and collaborating physician.
02
Fill out the practice name section with the official name of the practice.
03
Fill out the collaborating physician section with the name of the physician collaborating with the practice.
04
Ensure all information is accurate and up to date before submitting the form.

Who needs practice name collaborating md?

01
Healthcare professionals such as medical practices, clinics, hospitals, and other healthcare facilities who are collaborating with other physicians for patient care.
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Practice name collaborating md is a designation used for medical practices that collaborate with multiple physicians or entities to provide comprehensive healthcare services.
Typically, medical practitioners operating under a collaborative practice model or entities formed for providing healthcare services are required to file practice name collaborating md.
To fill out practice name collaborating md, you must provide information such as practice name, addresses, participating physicians, and the nature of collaboration, following the official guidelines provided by the regulatory body.
The purpose of practice name collaborating md is to formally recognize healthcare collaborations and ensure that all entities operating under a collaborative practice are identified and comply with regulatory requirements.
Information that must be reported includes the practice's legal name, operating location, names of collaborating physicians, and details about the collaborative structure and services offered.
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