Home
Forms Library
Sc credentialing application

Get the up-to-date sc credentialing application 2024 now

sc credentialing application Preview on Page 1

Show details

4.8 out of 5

277 votes

MEDICAL LICENSE/REGISTRATION A. If you are a family practitioner do you offer OB care B. Do you speak any foreign language fluently that you would like added to the directory If yes please specify C. ECFMG Number Current Professional License Number s indicate if not applicable 1. SC Medical License Number NA Issue Date Expiration Date 2. Additional Medical State Licenses and Numbers License Number 3. DEA No* SC Cont. Drug Perm* No* History of Previous Licensure in all Jurisdictions indicate if ...

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to quickly redact Sc credentialing application online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is a perfect editor for updating your forms online. Adhere to this straightforward instruction to redact Sc credentialing application in PDF format online for free:

Register and log in. Register for a free account, set a strong password, and go through email verification to start managing your forms.
Upload a document. Click on New Document and choose the form importing option: add Sc credentialing application from your device, the cloud, or a protected link.
Make adjustments to the template. Utilize the upper and left panel tools to edit Sc credentialing application. Add and customize text, images, and fillable areas, whiteout unnecessary details, highlight the important ones, and comment on your updates.
Get your documentation accomplished. Send the sample to other parties via email, generate a link for faster document sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail included.

Discover all the advantages of our editor right now!

See more sc credentialing application versions

We've got more versions of the sc credentialing application form. Select the right sc credentialing application version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2005	4.8 Satisfied (277 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is SC Medicaid called?

The South Carolina Medicaid program, called Healthy Connections, is administered by the South Carolina Department of Health and Human Services (SCDHHS) and pays medical bills with state and federal tax money.

How do I contact Medicaid in South Carolina?

(888) 549-0820 You can call the Healthy Connections Member Contact Center from 8 a.m. to 6 p.m. Monday through Friday.

How do I check the status of my Medicaid application in SC?

Verifying Eligibility for Enrolled Members Providers can access information online to help determine if an individual is enrolled in Medicaid through the South Carolina Medicaid Web Portal, commonly known as the \u201cweb tool.\u201d To access the web tool, please visit https://portal.scmedicaid.com/login .

How can I get my South Carolina Medicaid number?

(888) 549-0820 You can call the Healthy Connections Member Contact Center from 8 a.m. to 6 p.m. Monday through Friday.

How do I contact SC Medicaid?

You can update your contact information over the phone by contacting the Healthy Connections Medicaid Member Contact Center at (888) 549-0820 from 8 a.m. to 6 p.m. Monday through Friday.

Related forms

be ready to get more