The Credentialing and Provider Enrollment department has the following functions within the UF Health system:
- Assures the Medical Staff at UF Health meets its responsibilities as delineated in the policies of the hospital, the Bylaws, Rules & Regulations of the Medical Staff, and other requirements as designated through state and federal legislation, and licensure and accreditation standards.
- Assures credentialing verification for all credentialed providers throughout the UF Health system that meets accreditation and statutory requirements and managed care delegated credentialing agreements, as appropriate.
- Assures enrollment of all Faculty Group Practice providers with federal and state payers.
Governing Documents
- UF Health Shands Medical Staff Bylaws
- Medical Staff Committee Manual
- UF Health Shands Hospital Allied Health Professional Policy on Clinical Privileges
Contacts
UF Health Shands Medical Staff AdministrationPO Box 100371
Gainesville, FL 32610-0371
Telephone: (352) 265-0301
Fax: (352) 265-0627
Ameen Baker, Director, Medical Staff Administration
Christine Robateaw-Linan, Manager, Medical Staff Administration
Mikel Sprawling-Holmes
Provider Enrollment Supervisor
- Oversees the provider enrollment function
- Assist with Managed Care audit process
Patty Fought
Provider Enrollment Analyst
- Provides information regarding housestaff registration with Medicare as ordering and referring providers
- Processes provider enrollment applications for federal and state payers
Credentialing/Provider Enrollment Analyst
- Processes initial credentialing applications
- Processes provider enrollment applications for federal and state payers
- Coordinates credentialing reappointments
Melody Grzych
Medical Staff Operations Analyst
- Reviews credentialing applications
- Manages reports and MSOW processes
- Department liaison
Credentialing/Provider Enrollment Analyst
- Processes initial credentialing applications
- Processes provider enrollment applications for federal and state payers
Heather Lawton
Credentialing/Provider Enrollment Analyst
- Coordinates credentialing reappointments
Michele Miller
Credentialing/Provider Enrollment Analyst
- Processes initial credentialing applications
- Processes provider enrollment applications for federal and state payers
Hemaxi ‘Hena’ Patel
Credentialing/Provider Enrollment Analyst
- Processes initial credentialing applications
- Processes provider enrollment applications for federal and state payers
Barbara Perez Rodriguez
Medical Staff Administrative Assistant
- Provides Administrative support
- Oversight of expirable process
Colleen Rutledge
Credentialing/Provider Enrollment Analyst
- Coordinates OPPE and FPPE process
- Coordinates Status Change process