Atlantis Health Plan - Contact Us > Member Request for Recruiting Physicians

To request a new PCP, please use the PCP Request Form. Phone or fax 212-747-0877 866-747-8422 (toll free) 212-747-0843 (fax) Mail Atlantis Health Plan, Inc. 45 Broadway Suite 300 New York, NY 10006

Member Request for Recruiting Physicians" width="366" height="20" border="0">

Dear Valued Member:

If after reviewing our directories and Web site, you could not locate your doctor(s), we encourage you to request that we contact your doctor concerning participation in Atlantis Heath Plan.

Please be sure to include:

Doctor #1

Doctor's full name

Address

Phone number

Specialty

Doctor #2

Doctor's full name

Address

Phone number

Specialty

Doctor #3

Doctor's full name

Address

Phone number

Specialty

Your Information

Your name *

Member's group name *

Phone number *

* Required Information

You may call a Provider Relations representative at 866-747-8422 or fax us at 212-747-0843. Please be advised that we will make every effort to meet your Health Care service needs.