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Become a Provider

WellCare is very pleased to announce its presence in Ohio.  As you know, WellCare is a leading provider of government-sponsored health plans, such as Medicare and Medicaid.  Founded in 1985, WellCare has partnered with more than 22,000 physicians to serve members.  From the continual pursuit of quality providers, to cohesive internal operations, to solid financial performance, WellCare shows an uncompromising commitment to its members, providers and their communities.

To become a participating provider, please complete the necessary paper work (credentialing application, W-9 Form and checklist), so that we can include your office as an in-network, contracted provider.  Missing information may delay inclusion as an in-network provider.  We are available to assist you should you have any questions.  Call 1 (800) 951-7719 (TTY/TDD 1-877-247-6272).

 

Contract TypeCredentialing Packet
Primary Care PhysicianWellCare Medical Staff Application
Specialist PhysicianWellCare Medical Staff Application
Specialist - PT-OT-ST-AUDWellCare Allied Health Application
Ancillary/OrganizationWellCare Ancillary Application

Ohio Contract and Credentialing Checklist
W-9 Form

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