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- Credentials/Application for Membership to the Main Line Health Medical Staff
 
Medical Affairs
Credentials and Application for Membership to the Main Line Health Medical Staff

  Path: Main Line Health < For Healthcare Professionals < Physician Site < Medical Affairs <

A physician interested in becoming a member of the Main Line Health Medical Staff (Lankenau, Bryn Mawr, and/or Paoli campus/es) may request an application in writing. The request identifies the applicant’s specialty and campus/es where the physician will request privileges. The request is forwarded to the system office of Medical Staff Affairs to the attention of the President of Main Line Hospitals.

Requests for an application may be faxed to (610) 526-3731 or mailed to:

Marie VanBuskirk
Medical Staff Affairs Office
                                   130 South Bryn Mawr Avenue, A Wing
                                                Bryn Mawr, PA 19010

The application process includes at least:

  • Completion of a Pre-credentialing Form with required documents
  • Completion of a MLH Medical Staff Application and Privilege Forms with attachments (including, if appropriate, a log of procedures, explanation of claims, etc.)
  • Completion of clinical evaluations from current and past Department Chairmen
  • Interviews with the MLH Division Chief and Department Chairman in the applicant's specialty
  • Interview with the Credentials Committee

Questions regarding the application process may be directed to Marie VanBuskirk at (610) 526-8031.



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Main Line Health Medical Affairs
130 South Bryn Mawr Ave.
Bryn Mawr, PA 19010
610-645-3015




 
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