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Physician Assistant

Physician Assistant Contracting Application

You may fill out the contracting application online; however, you must either email or fax it to us. Our contact information appears on the form.

The following table explains how Nurse Practitioners and Physician Assistants contract with us.

If you: Then you can contract as an/a:
Render primary care Have a collaborating or supervising physician who is listed with Blue Cross as a primary care physician Maintain a panel of patients and manage their care Render specialty care

Yes

Yes

Yes

No

NP-PCP (or PA-PCP)

Yes

Yes

No

No

NP-primary care
(or PA-primary care)

No

No

No

Yes

NP-specialty care
(or PA-specialty care)

Multi-specialty groups:  You must apply for a separate group agreement for each specialty:

  • Physicians
  • Nurse Practitioners
  • Physician Assistants
  • Certified Nurse Midwives
  • Psychiatrists and other licensed behavioral health clinicians

In addition, every practice member must submit a request to join the applicable group contract.