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Credentialing

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At CareFirst CHPDC we want to make sure that all of our care providers are credentialed quickly and efficiently. Please complete the Credentialing Inquiry form below and you will be contacted by one of our Credentialing Specialists who will provide you with next steps in the credentialing process.

Additional Credentialing Info

Please fill out the form below and one of our helpful staff will be contacting you.

If you have further questions, please call for asistance at (202) 821-1145.

  • Country*
    0
  • First Name*
    1
  • Middle Initial*
    2
  • Last Name*
    3
  • Primary Specialty*
    4
  • Practice/Group Name*
    5
  • Office Phone #*
    6
  • Primary Contact Person*
    7
  • Address*
    8
  • Address Line 2*
    9
  • City*
    10
  • State*
    11
  • Zip Code*
    12
  • Email*(ex. email@domain.com)
    13
  • Confirm Email*(ex. email@domain.com)
    14
  • NPI*
    15
  • CAQH ID*
    16
  • Comments*
    17
  • 18

CareFirst CHPDC

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Contact Info

Address
1100 New Jersey Ave, SE
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Washington, DC 20003

phone
(855) 326-4831
(202) 821-1100

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