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* Provider Name

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* National Provider Identifier (NPI)

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* Primary Office Information

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* Secondary Office Information

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* Are you employed by or serve in an administrative or leadership role at another hospital outside of Beaumont Health?

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* Are you offering telehealth visits for new patients?

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* What age groups are seen in the practice? Please select all that apply.

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* Select insurance plans that are accepted for new patient visits. In the future, please notify PRS of any changes to insurance enrollment.

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* Beaumont Accountable Care Organization

Providers interested in joining PRS must participate in Beaumont Accountable Care Organization (BACO)
  • A physician and Beaumont Health system partnership
  • Positions members to maximize clinical value, payor contracts and incentive opportunities
  • No enrollment cost or annual participation fees
  • The provider network for the Beaumont Employee Health Plan
This beneficial physician-lead organization is one of the nation’s top performing ACOs. Founded on trust, transparency and physician leadership, the ACO offers participation in several value-based programs and offers the ability to contract with all major health plan in Southeast Michigan.

To join, or for more information, please email, ACOProviderRelations@beaumont.org or visit www.beaumont-aco.org

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* Request A Physician Appointment

One feature of the referral service is that patients can submit an online form requesting an appointment with you. Patient self-referrals will be sent through secure email directly into your mailbox within the minute that a patient requests to schedule. As emails are forwarded to your inbox, please respond to patients’ requests within two business days. You can update the email in Beaumont's Physician Preference Guide.

Please enter the email you would like the self-referrals to be sent to.

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* Additional profile enhancement opportunities and contact information
  • Photo
    • schedule an appointment: beaumontprofilescheduling.as.me
  • Video
    • schedule an appointment: beaumontprofilescheduling.as.me
  • Professional Statement and Curriculum Vitae (CV)
    • send completed professional statement or CV to PRS@beaumont.org
  • Practice Website URL
    • send URL to PRS@beaumont.org

Any other questions, please contact PRS@beaumont.org

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