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Physician Online Directory Update
Dear Physician and Office Managers
For your convenience, we now offer an easy way to request changes be made to your entry in the St. Mary Online Physician Directory. Please enter changes to enhance the information posted for your entry. Please be sure to include contact information (email and phone number) to allow us to verify this information. Please note email and cell phone numbers will not be displayed with website information.
There is a field to supply a website and email contact for your practice.
* Indicates required information
Physician name
*
Contact Email Address for verification
*
Practice Name
Type of practice
*
Solo
Group
Address corrections requested
Phone number correction requested
Additional Practice address and phone
Office Hours
Weekend or Evening office hours
Board Certifications
Additional Certifications and Training
Specific Clinical Areas of Interest
Medical School
Internship
Residency
Fellowship
Gender
*
Male
Female
Practice Web Address
Practice email (public)
Awards and Speaking Engagements
Practice Philosophy
Years in Practice
Languages spoken
Is office handicapped accessible
*
Yes
No
Do you accept Medical Assistance
*
Yes
No
Do you accept Medicaid
*
Yes
No
Do you accept Medicare
*
Yes
No
Insurances Accepted
Aetna HMO
Aetna PPO
Americhoice
Ameriheath Personal Choice
Amerihealth HMO
Auto
Blue Cross
Blue Cross Personal Choice
Champus Active
Champus Retired
Cigna Health HMO
Cigna Health PPO
Ethix Health
Horizon
Health Partners
Intergroup
Keycare
Keystone Health East
Keystone Mercy
Major Medical
Medicare
Medicaid
Oaktree
Oxford Health
Private Health Care
Self Pay
United Healthcare
Workers Compensation
Other
None
If Other, please specify:
Other comments
Name of person submitting information
*
Contact inf. for person submitting information
*
Authentication
*
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