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  • About PSSM
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Perkins Spine and
Sports Medicine

Perkins Spine and Sports MedicinePerkins Spine and Sports MedicinePerkins Spine and Sports Medicine
Home
About Us
  • About PSSM
  • Meet the Team
  • Services
  • Location & Contact Us
Patients
  • Patient Information
  • Resources
Patient Portal & Bill Pay
Providers & Interns
  • Providers
  • Interns
More
  • Home
  • About Us
    • About PSSM
    • Meet the Team
    • Services
    • Location & Contact Us
  • Patients
    • Patient Information
    • Resources
  • Patient Portal & Bill Pay
  • Providers & Interns
    • Providers
    • Interns

Perkins Spine and
Sports Medicine

Perkins Spine and Sports MedicinePerkins Spine and Sports MedicinePerkins Spine and Sports Medicine
  • Home
  • About Us
    • About PSSM
    • Meet the Team
    • Services
    • Location & Contact Us
  • Patients
    • Patient Information
    • Resources
  • Patient Portal & Bill Pay
  • Providers & Interns
    • Providers
    • Interns

Forms & authoriazation

FORMS
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AUTHORIZATIONS
Need more information to complete your authorization?

Please see our Referral Form for guidance on the procedure codes we utilize.
PSSM TIN - 93-2014977
PSSM NPI -  1578249157 


Referral Form (docx)

Download

New Patient Paperwork (pdf)

Download

Our Partners

PSSM Ohio

p. 614.591.0020 f. 614.956.7011

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Telehealth Flexibilities extended through Dec 2027

 Medicare patients can receive telehealth services for non-behavioral/mental health care in their home through December 31, 2027 . 

See https://telehealth.hhs.gov/providers/telehealth-policy/telehealth-policy-updates for information on Medicare telehealth allowances.