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Provider e-Business Assistance Form

The Provider e-Help Desk is here to assist you with your myPRES questions, password resets, and any assistance you require with regards to Presbyterian's e-business tools.

Please fill in the attached form and click the Send My Request button to submit your request to the Provider e-Help Desk. Fields with asterisks are required.

Provider Name*:
Presbyterian Provider # or Tax ID #*:
National Provider Identifier Number (NPI)*:
(Mandatory field as of January 1, 2007)
Provider Taxonomy Code*:
(Mandatory field as of January 1, 2007)
Contact Name*:
Contact Phone*: -
Email*:

Reason for Inquiry or Assistance*:
Attach Supporting Documentation:
File 1:
File 2: