Forms & Payment
Accepts new patients
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Medical insurance plans and payment options
Beech Street Accelerated Payment Program, Beech Street PPO, Beech Street W/Comp, Fortified Group Health, Fortified W/Comp, Great West Open Access, Great West POS, Great West PPO, Integrated Health Plan Group Health, Integrated Health Plan W/Comp, MultiPlan PPO, PHCS, Schaller / Anderson, Three Rivers, USA Managed Care, USA W/Comp, AZ Foundation EPO, AZ Foundation for Medical Care, AZ Foundation for Medical Care POS, AZ Foundation for Medicare Select, MMSI / Mayo, Blue Choice, Blue Cross of AZ, Blue Cross of AZ PPO, Blue Cross Select, Blue Cross of AZ HMO, GEHA (federal BCBS), Blue Cross Third Party Administrators (TPA), CCN Community Care Network, CCN Non-State Fund W/Comp, CCN State Comp W/Comp, Mailhandlers (under First Health network), Coventry Health and Life Insurance (First Health), HNA, CIGNA HMO, CIGNA Medicare HMO, CIGNA Network, CIGNA Open Access HMO, CIGNA Open Access Network, CIGNA Open Access Plus, CIGNA Open Access POS, CIGNA POS, CIGNA PPO / PPO+ / Indemnity & EPO, Claris Pointe PPO, UnitedHealthcare Benesight, UnitedHealthcare Golden Rule, UnitedHealthcare Empire Plan, UnitedHealthcare Definity, Aetna W/Comp, Banner Employee Health Plan, HealthNet HMO, HealthNet POS, HealthNet PPO, HealthNet Senior HMO, Humana Choice Care PPO, Humana Medicare PPO Network, Humana Gold Choice, Lifewise PPO, Today's Options PPO, Medicare, SCF Preferred Connection Network, BCBS (out of state PRIME), Champus Retired, Evercare with Medicare Prime, Industrial Insurance Carriers, National Association for Letter Carriers, Secure Horizon Direct FFS, Tricare for Life. Please contact office for updated insureance information.
Flexible payment plans are available. Please contact the office for further information.
Office information from Paul R. Gause, MD
HIPAA Patient Consent for Use & Disclosure of PHI Acknowledgment of Receipt of Notice of Privacy Practices Agreement for Controlled Substance Prescription Authorization to Disclose Health Information Back IndexUse if you are being seen for back/leg pain.
Cautions Regarding the Use of Long Term Narcotics Financial Statement Policy Neck Index
Use if you are being seen for neck/arm pain.
Pain/Numbness - Non-spine
For patients being seen for non-spine problems.
Pain/Numbness Diagram - Spine
For patients being seen for spine problems.
Patient Medical History Form Patient Questionnaire Patient Registration Privacy Policy
Contact Information
Other staff in my practice
Alan Rowley, MD
Bill Balogh, PA
Donna Lahey, RN
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