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  • Credentialing Application (PA Standard Application)
    Provider Cedentialing InformationCompleting and/or submitting the Keystone Mercy Credentialing Application does not guarantee participation in the Keystone Mercy provider network
    Note: If you are joining an existing Keystone Mercy participating group or healthcare facility and you would like to become a participating provider, please use the application above. Otherwise, if you would like to become a Keystone Mercy participating provider but are not joining an existing participating group or healthcare facility, please contact Provider Services at 1-800-521-6007 to request a complete Credentialing Application packet, which includes a copy of our Participating Provider Agreement.

Documents & Information

 

 

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