Participating providers are required to notify Phoebe Health Partners in writing of any change in practice location, telephone number, billing address, Tax Identification Number (TIN) or Employer Identification Number (EIN) within ten (10) days of the occurrence. Click here to print the form to report any changes and forward all required documentation via fax to 229-312-8068.

If a provider decides to terminate participation with Phoebe Health Partners, written notification signed by the provider must be submitted to us. You may fax the correspondence to 229-312-8068.

Please include a signed W9 if this is a change of address or tax id. You can download the W9 Form here.