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 fax, email or mail completed form to Prime Care Coordination

Fax: 844-314-1308 / Email: PrimeNetwork@primecareny.org

Mail: Sharon Marble

Attn: Prime Care Coordination

860 Hard Rd. Webster, NY 14580