Payor Credentialing

This web page identifies "On Boarding" forms and contact information for Physicians (including Locum Tenens), Nurse Practitioners, and Physician Assistants. Please complete and submit to Payor Credentialing to begin your on boarding process. All forms and/or documents are provided in Adobe.pdf format. If you experience problems downloading and/or opening these files, you will need to install Adobe Reader®.

Please return all completed forms and requested documents to:  

Payor Credentialing
Ronda Jones
Mercy Medical Associates
1532 Lone Oak Rd., Suite G20
Paducah, KY 42003
TEL: 270-415-3886
FAX: 270-415-3885
Email: rjones@mercy.com 
I am available to assist you with successful completion of required paperwork and tasks. 

Forms:

Important Physician Web sites