Add Provider / Physician

Provider Identity

First Name

Last Name

M.I.

Preferred Name

Date of Birth

Gender Female Male Non-binary Prefer not to say

NPI Number

Upload Photo

Provider Type Physician Nurse Practitioner Physician Assistant Therapist Specialist

Primary Specialty Cardiology Family Medicine Dermatology Psychiatry Orthopedics

Provider Status

Active

Professional Credentials

License Number

License State California New York Texas Florida

DEA Number

Board Certification

Years of Experience

Credential Documents

Medical License.pdf

Uploaded 2 days ago • 2.4 MB

Verified

Board Certification.pdf

Click to upload

Specialties & Services

Clinical Specialties

Cardiology Interventional Cardiology Echocardiography Nuclear Cardiology

Services Offered

In-person visits Telehealth visits Emergency consults Procedures Follow-ups Preventive care

Clinic Association

Healeo Downtown Medical Center

123 Main St, Los Angeles, CA

Attending Physician Medical Director Consulting Physician

Healeo West Clinic

456 West Ave, Santa Monica, CA

Attending Physician Consulting Physician

Add Clinic Location

Schedule & Availability

Clear All Copy Previous Week

Buffer Time (min) 0 15 30 45

Max Daily Appointments

Default Visit Duration 15 min 30 min 45 min 60 min

Telehealth Settings

Enable Telehealth

Allow virtual consultations for this provider

Video Platform Healeo Telehealth Zoom Healthcare Microsoft Teams Doxy.me

Virtual Waiting Room

Enable virtual waiting room

Telehealth Appointment Types

Consultation Follow-up + Urgent Care

Clinical Permissions

Load Preset... Full Physician Access Limited Provider Access Telehealth Only

View patient charts Edit clinical notes Prescribe medications Order lab tests View lab results Access imaging Approve prescriptions Sign clinical notes

Billing & Insurance Enrollment

Provider Billing ID

Taxonomy Code

Billing Role Rendering Provider Supervising Provider Referring Provider

Insurance Networks

Aetna Blue Cross United Healthcare + Add Network

Medicare Enrolled Medicaid Enrolled

Notifications & Preferences

New Appointment Alerts

Notify when new appointments are scheduled

Telehealth Reminders

15-min reminders before virtual sessions

Prescription Approvals

Urgent alerts for pending prescriptions

Security & Access

Email (Login)

Username

Temporary Password Generate New

Provider must change password on first login

Two-Factor Authentication

Require 2FA for all logins

Single Sign-On (SSO)

Enable enterprise SSO integration