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Physician, Healthplan Enrollment

Step 1:
Prior to health plan enrollment each UCSF provider is now required to procure a National Provider Identifier. An NPI is required for health plan enrolment.
    *      Apply online for your NPI here   *Learn more about NPI's*

Step 2:
Complete Physician, Healthplan Enrollment
Email forms using "Submit" button in the electronic application

Step 3:
      Print out & complete signature pages large file allow time for download
      Complete two (2) page Brown & Toland application
      Sign all signature pages where noted in the left hand columns.

Step 4:
Forward everything to your department contact INCLUDING:
    *3 page application and 9 signature pages
      With original signatures and Brown & Toland application completed
      Legible photocopies of your
    *      California Professional License
    *      Curriculum Vitae (CV)
    *      Photo ID (passport, driver’s license)
    *      Printed email confirmation of your NPI

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