Loading
Form preview picture

Get Dea Waiver

In these cases the applicant must submit the signed and dated waiver Please complete the information below sign date and fax it to 617-246-3163. You can also scan and e-mail the completed form to Provider-Enrollment bcbsma.com. Important note If you are an NPPCP or a PAPCP and do not have a DEA certificate please contact Network Services at 1-800-316-2583.

How It Works

clinician rating
4.8Satisfied
45 votes

Tips on how to fill out, edit and sign Practitioner online

How to fill out and sign Participating online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

The preparation of legal paperwork can be high-priced and time-consuming. However, with our preconfigured web templates, things get simpler. Now, creating a DEA Waiver Form - Blue Cross Blue Shield Of Massachusetts requires a maximum of 5 minutes. Our state-specific browser-based blanks and clear instructions remove human-prone mistakes.

Comply with our simple steps to get your DEA Waiver Form - Blue Cross Blue Shield Of Massachusetts prepared rapidly:

  1. Pick the template in the library.
  2. Type all required information in the required fillable areas. The user-friendly drag&drop interface allows you to add or move fields.
  3. Ensure everything is filled in properly, without any typos or missing blocks.
  4. Apply your electronic signature to the PDF page.
  5. Click Done to confirm the adjustments.
  6. Save the document or print out your PDF version.
  7. Send instantly towards the recipient.

Make use of the fast search and advanced cloud editor to generate a correct DEA Waiver Form - Blue Cross Blue Shield Of Massachusetts. Remove the routine and produce paperwork on the web!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Prescribing FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to DEA Waiver Form - Blue Cross Blue Shield Of Massachusetts

  • PEP-1529
  • enrollmentbcbsma
  • clinician
  • certifies
  • credentialed
  • practitioners
  • prescribing
  • Applicant
  • Practitioner
  • waiver
  • dispense
  • participating
  • requirement
  • prescribe
  • provider
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.