Participating Physician Sample Clauses
Participating Physician. A physician or a member of a Medical Group that has a contract in effect with Contractor to provide Covered Services to Enrollees.
Participating Physician. A physician licensed to practice in Rhode Island who has contracted with or is employed by the Contractor to furnish services covered in this Contract.
Participating Physician. A fully licensed physician or entity authorized to practice medicine who has entered into a Participating Physician Agreement with WellCare directly or indirectly.
Participating Physician. A doctor of medicine that is legally authorized to practice medicine and surgery within the Commonwealth of Puerto Rico and has in effect a contract with the ADMINISTRATION or TPA.
Participating Physician. Duly licensed doctor of medicine, dentistry, psychiatry, osteopathic medicine, doctor of chiropractic or podiatric medicine, each respectively having an unrestricted license to practice in the jurisdiction in which such individual’s services are to be provided, including, if applicable an unrestricted license to prescribe controlled medications, substances and supplies. Each Participating Physician must be credentialed pursuant to Health Plan’s credentialing criteria and have a contract with Health Plan to be considered “participating.”
a) Primary Care Provider (PCP). A Participating Physician who has agreed to provide Covered Services to Members who have selected or have been assigned to that Participating Physician, and who assumes primary responsibility for arranging and coordinating the overall health services of such Members, as applicable. Any Covered Services provided by a PCP as a Specialist shall be compensated as a PCP.
Participating Physician. A physician who has contracted, directly or indirectly, as an independent contractor with AMERICAID to provide certain Covered Services to Covered Persons and who is duly licensed under applicable state law.