Join Presbyterian as a Contracted Provider
Please fill out this form if you are interested in partnering with Presbyterian as a contracted practitioner. Presbyterian will review your request and notify you within 14 to 21 days of our decision.
Letter of Interest
Dear Healthcare Practitioner:
On behalf of Presbyterian, I would like to take this opportunity to thank you for your interest in partnering with us as a contracted practitioner.
In addition to the information you're submitting online, we will also need a copy of your current CRS-1 form and W-9 form. Please fax these to 505-923-5400.
In order for our Provider Services Network Team to appropriately review your request, we ask that you complete the information, below, and press the "Send my Request" button to reply.
Thank you for expressing an interest in partnering with us to improve the health of individuals, families and communities
* Denotes mandatory field
Presbyterian is working to move as much communication as possible to email in order to redirect administrative funds to patient care. All other things being equal, preference will be given to those practitioners with Internet access and the capability to file claims electronically.
Upon receipt of your letter, Presbyterian will review your request & notify you within 14 to 21 days of Presbyterian's decision. Thank you for expressing an interest in partnering with us to improve the health of individuals, families & communities.