Common Contracts
1 similar Nurse Practitioner Agreement contracts
ContractNurse Practitioner Agreement • August 12th, 2019
BlueShield of Northeastern New York Nurse Practitioner Agreement/Acknowledgement I attest that I abide by New York State regulations and BlueShield of Northeastern New York (“BlueShield”) policy and procedure in that I have an agreement between my collaborating physician and myself that clearly delineates the scope of my practice. I have been provided relevant portions of the BlueShield Participating Physician Agreement for the collaborating physician referenced below or the Participating Medical Group Agreement under which he/she is participating with BlueShield (the “Participation Agreement”) and copies of the relevant portions of the Provider Manual (the “Provider Manual”). I agree to adhere to and be bound by the terms of such Participation Agreement and Provider Manual. I understand that, unless I have an affiliation with a new collaborating physician who is participating with BlueShield and have so updated BlueShield, in the event that I no longer am employed by or affiliated wit
