Patient Information & Forms
You must bring with you two pieces of photo identification along with all insurance cards for processing.
You will also be asked to provide us with a list of current medications, strength and dosage. Be sure to list ALL medications you are currently taking whether prescribed or over–the-counter.
If you are an existing patient but have had a change in your address, telephone number(s) or insurance plan, please print and complete the appropriate forms to bring with you to your next appointment.
Office Hours & Appointments
We ask that you pay for all office visits at the time of service is rendered. We accept cash, check, MasterCard Discover cards and Visa. If necessary, we are willing to establish a payment program after a credit check. We also will be glad to direct you to state or local assistance programs for which you may qualify.
It is our practice to prescribe medication for our patients.
Patients who have not been seen by one of our doctors or patients who require medications not covered within the scope of our practice will not receive medication or refills. Discomfort medicine is prescribed on a medically necessary basis and refilled accordingly. We prescribe only a small quantity of any narcotic discomfort medicine.
If you are in severe discomfort, please go to the emergency room. BY law, many discomfort medications cannot be called into your pharmacist, and you must have a written prescription. These precautions are to prevent physical dependence on pain medications.
*Patients will be asked to present their insurance cards along with picture identification when they check in for every visit or service to a NASA facility. A photo will be taken and put into your electronic medical record at the first visit to verify identity.
Please remember that your insurance policy is a contract between YOU and your carrier. Our staff can assist you in pre-certification and authorization for any necessary testing being performed within a NASA facility but ultimately, this is the patient responsibility. Please check with your carrier for their individual guidelines and requirements.
Payment & Insurance
Payment is required at the time of service for all office visits.
Participating Insurance Carriers
- Railroad Medicare
- Blue Cross PPO
- Advantage 65
- Traditional PPS(BCBS)
- Network Blue
- Aetna PPO
- Aetna Medicare Advantage PPO
- First Health and CCN (Coventry Care Network)
- Heritage Consultants Inc.
- Global Medical Management (GMMI)
- NPPN (Plan VIsta) National Preferred Network
- Nova Healthcare Administrators Inc.
- Self Insured Plans HRA/HAS
- Seminole Tribe of Florida
- Naples Gold Network
- CCHCC- Contract includes the following groups:
- Collier County Government
- Collier County Sheriff’s
- Collier County Public Schools