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Medical application request
I am looking for an application for:
- A nurse practitioner, physician assistant, nurse midwife, clinical nurse specialist or other practitioner employed by a participating physician, physician group or facility.
This option is for providing demographic information to load into Aetna's provider database and be listed in our directories. Practitioner will not be credentialed and will not be available for selection as a primary care provider (PCP).
AETNA CREDENTIALING IS NOT REQUIRED
- Physician, nurse practitioner, physician assistant or other practitioner who wants to be considered as a primary care provider (PCP) and be available for member selection as a PCP.
For nurse practitioner, physician assistant or other practitioner, this option should only be selected if practitioner practices in a state where regulations allow practitioner to serve as a PCP. Practitioner will be credentialed, will be available for member selection as a PCP and be listed in Aetna directories. Under this scenario, even when employed, credentialing is required.
Or
Physician or health care professional, including but not limited to, nurse practitioner, physician assistant, nurse midwife, clinical nurse specialist or other practitioner who wants to be considered as a specialist.
For nurse practitioner, physician assistant, nurse midwife, clinical nurse specialist or other practitioner, this option should only be selected if practitioner is not employed by physician, physician group or facility, wants to contract directly with Aetna, and practices in a state where regulations allow practitioner to practice independently. Practitioner will be credentialed and be listed in Aetna directories.
AETNA CREDENTIALING IS REQUIRED
Behavioral Health, Dental and Pharmacy application requests
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