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Peninsula Pulmonary Associates, P.A.

What to Bring to Your Appointment | Payment and Insurance Information
Hospital Affiliations | Patient Forms


What to Bring to Your Appointment

  • Your insurance card
  • Physician referral forms if required by insurance
  • A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency
  • Pertinent information about your medical and surgical history
  • Any recent x-rays or appropriate records you may have

Payment and Insurance Information

Peninsula Pulmonary Associates, P.A., is a provider for Medicare and most major insurance plans. We provide insurance billing, but obtaining referrals and authorization is your responsibility. Patients whose insurance requires referrals who do not have the referral at the time of visit will be asked to reschedule or pay out of pocket until such time as referrals are provided. Please be aware that any costs not covered by insurance are your responsibility.

For services that are not covered by insurance, we request payment at the time of your appointment. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.

If you have any questions regarding which insurance plans we accept or any billing concerns, please call us at the phone number below. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

Patient Forms

You can view and/or print the patient form below by following these easy instructions. In order to view and/or print the form, you must have the Adobe Acrobat Reader, which you probably already have on your computer. If not, you can easily and quickly download a free version of Adobe Acrobat Reader by going to their website Download Reader.

When viewing the form in Adobe Acrobat Reader, the text might appear somewhat fuzzy; this is normal (the form will print out clearly). To print, just click on the printer icon in the Adobe Reader toolbar above the document.

Once you have the Adobe Acrobat Reader installed, click on the link below to view and print the following form:

Hospital Affiliation

Peninsula Pulmonary Associates, P.A., maintains privileges at the following hospital:

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Refer a Friend

Peninsula Pulmonary Associates, P.A.
Consultation by physician referral only

PRMC Station # 379
100 East Carroll Street
Salisbury, MD 21801-5422
Phone: 410.543.7722
Fax: 410.543.7725
click here for a map

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