Become a Participating Provider

Thank You for your interest in PHP.

Please complete this Letter of Intent to Participate or submit a Letter of Interest along with a W-9. The letter can either be mailed or faxed to:

Phoenix Health Plan
Attention: Network Management
7878 N. 16th St., Suite 105
Phoenix, AZ 85020
FAX: (602) 674-6670

The Letter of Interest must include at minimum, information regarding the type and location(s) of services provided for the AHCCCS and/or Medicare population, AHCCCS and NPI numbers.

Note: Ancillary providers should include licensing and accreditation information in the letter.

Once the Letter of Interest is received, our Network Services and Medical Services departments will evaluate and compare our membership needs to current network availability. They will compare this along with several other criteria, which include, but are not limited to: board certification, languages spoken, geographic network needs based on Federal and State requirements, existing provider coverage in the targeted area and membership requirements for a particular specialty.

For more information contact us:

Phoenix Health Plan
Network Management

(602) 824-3700 or
(800) 747-7997 (options in order: 3, 7).