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If you are an Individual or Family Member, please register here.

If you are a Medicare Advantage or Medicare Supplement member, please register here.

 

 

The Idaho Practitioner Application must be completed and submitted with all requested documents by

    1) physicians and advanced practice professional nurses who wish to apply for Medicare Advantage or commercial managed care lines of business and

    2) allied health practitioners (except for physician assistants) who wish to apply for Medicare Advantage.

Idaho Practitioner / Credentialing Application