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Forms

(to print and fill out before coming to the Appointment)

Release of Information Form

HIPPA Information

Patient Privacy

Patient Paperwork

Insurance Companies

Charles C. Greene, MD, PhD, PA
6100 Kennerly Rd
Ste 102
Jacksonville, FL 32216
904.419.2054 (p)
904.419.2057 (f)

Dr. Greene participates and is a provider for most insurances - the list is too vast to include every insurance, especially with all the changes which are made daily (additions and deletions of companies). This is a partial list; if patients do not see their insurance company listed they should phone the office and inquire.

Access Health Solutions
Aetna (All Plans)
Beech Street
BCBS (All Plans)
Blue Medicare
CIGNA (All Plans)
First Coast Advantage (Letter of Agreement)
Healthease
Healthy Kids
Humana (All Plans)
HNA- Healthcare Networks of America
Medcom (Alliance)
Medicare
Medicare Advantage
Medicare Railroad
Medicaid
Medipass
Partner Care (old MD Medicare Choice)
Southcare (Coventry)
Tricare (Standard and Prime)
Universal Health Care
United Healthcare
United Medicaid
Vista
Wellcare

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