Pediatric Cardiology Associates Tampa Bay
877-537-4787
St. Josephs Hospital- Medical Arts Building
3003 W. Dr Martin Luther King Jr Blvd. 3rd floor Tampa. Florida 33614
St. Josephs Hospital- Medical Arts Building
3003 W. Dr Martin Luther King Jr Blvd. 2nd floor Tampa. Florida 33614
Bayboro Building
625 6th Ave S Suite 120 St. Petersburg, Florida 33701
- Cardiology
- Participating Insurance Plans
- Accountable
- Aetna (Coventry Hlth)
- Aetna Better Health Medicaid Healthy Kids
- Americas Choice
- Amerigroup/Healthy Kids Medicaid HMO
- Avmed
- BCBS of Florida
- Beechstreet
- Better Health Medicaid HMO
- Children's Medical Services (Ped-I-Care and SFCCN) Title 19
- Choice Care PPO
- Cigna (Great West)
- Commercial Plans
- Evolutions
- FedMed
- First Health Coventry National
- Global Health Solutions
- Gulf Coast/Healthcare Sarasota
- HAA Preferred Partners PPO (International Policy)
- Health Management
- Health Options
- Health Smart Payer Organization
- Humana
- Humana Medicaid HMO
- Humana Military
- Magellan Medicaid HMO
- Medicaid
- Medicare
- Molina Medicaid HMO
- Multiplan
- National Care Network
- National Preferred Provider Network
- Private Health Care Systems
- Prestige Medicaid HMO
- Prime Health Services
- Simply Health Care Medicaid HMO
- Sunshine Medicaid HMO/Healthy Kids
- Three Rivers
- Tricare/Prime & Standard
- United Healthcare
- United Medicaid HMO/Healthy Kids
- Wellcare/Staywell/Medicaid HMO/Healthy Kids
Non-Par Insurances, No-Out-Of Network Benefits/Authorization- Ambetter Sunshine Health
- Aetna
- Molina
- Humana X
- UHC Compass and Navigate
New Patient
- Health History Form
- Medical Release Form
- Notice of Privacy Practice
- Notice of Privacy Practice Acknowledgement Form
- Notice of Non-Discrimination Language Assistance Services
- Consent for e-prescribing & medication history
- Authorization to release protected health information to family and friends
Other Languages
- Health History Form - Spanish
- Notice of Privacy Practice - Spanish
- Notice of Privacy Practice Acknowledgement Form - Spanish
- Notice of Non-Discrimination Language Assistance Services - Multi-Language
- Consent for e-prescribing & medication history - Spanish
- Authorization to release protected health information to family and friends - Spanish
General Forms
- Medical Release
- Notice of Privacy Practices
- Notice of Privacy Practices Acknowledgement
- Notice of Non-Discrimination - Language Assistance Services
- Consent for e-prescribing & medication history
- Authorization to release protected health information to family and friends
Other Languages
- Notice of Privacy Practices - Spanish
- Notice of Privacy Practices Acknowledgement - Spanish
- Consent for e-prescribing & medication history - Spanish
- Authorization to release protected health information to family and friends - Spanish
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