For Contracted Providers

Female Doctor and ChildThe Palo Alto Medical Foundation (PAMF) is composed of more than 850 physicians and approximately 150,000 insured lives. PAMF serves patients near the Santa Cruz coast over to the South Bay, up the Peninsula and across to the East Bay.

The PAMF Web site for contracted providers includes but is not limited to forms, policies, and updates for providers contracted with PAMF.

Enter the contracted provider area
(password protected)

Forgotten the username/password? Please e-mail us.

If you are not a contracted provider of PAMF, but would like to learn more about becoming a contracted provider please fill in the form below.

Provider Information


Provider Name(s):
Year Practice Est.:
Address:
City, ST Zip:
TaxID:
E-mail:
Website:
Practice Phone #:
FAX #:
Provider Specialty:
Unique Services:

List CPT and/or HCPC Codes and a description of each:



Hospital Privileges (if applicable):

Do you participate in MEDICARE? Yes No
Do you participate in MEDICAL? Yes No
List all HMO plans you are contracted with:
List all PPO plans you are contracted with:


Proposed reimbursement for commercial members:
Proposed reimbursement for senior members:
Please attach a CV if applicable.