Become a Provider

Have questions about becoming a provider?

View our Frequently Asked Questions for Providers.

Ready to join our network? Fill out the forms below and send them back to us:

• Network Partner Agreement
• Provider Demographic Form

Please email or mail completed form to Prime Care Coordination

Email: PrimeNetwork@primecareny.org

Mail:
Jane Stamler
Attn: Prime Care Coordination
860 Hard Rd. Webster, NY 14580