NPI Provider Registration FormsParticipating Provider Registration FormsIf you would like to be a participating provider, please submit a Provider Participation Form to start the credentialing process. Nonparticipating Provider Registration FormsNonparticipating providers can register their NPIs with AmeriHealth by selecting the appropriate NPI registration form below, completing the form, and submitting it along with copies of the provider’s NPI confirmation and a completed W-9 form per the instructions provided at the bottom of the form.
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