The Transition

I was so excited when I graduated from my program..freedom from CDMT and Harrison's.

I couldn't wait to relax and party.......



but the truth is, the end of the road is CLOSE!
Here's a checklist of what's next:

1) PANCE
2) state license
3) NPI
4) DEA
5) Credentials
6) BLS, ACLS


1) PANCE. cost $475
   http://www.nccpa.net/Pance.aspx

2) state license (I only included CA and NV, each state varies!)
  A) California Department of Consumer Affairs. cost $225-274.
        1) Notarization. cost $10-25
        2) LiveScan fingerprint. cost $20-40
http://www.pac.ca.gov/applicants/applicant_faqs.shtml

  B) Nevada. cost $300
       1) registration fee $400
       2) background fee $75
       3) REQUIRES A SUPERVISING PHYSICIAN FOR STATE LICENSE.
       4) REQUIRES EVIDENCE OF MALPRACTICE FOR STATE LICENSE.
       5) Notarization. cost $10-25
http://www.medboard.nv.gov/New_OtherForms.htm

3) National Provider Identification. This is your unique identifier when billing medicare.
  A) requires state license
  B) notarization. cost $10-25
https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistryHome.do

4) DEA. cost $731/3 years
http://www.deadiversion.usdoj.gov/drugreg/reg_apps/onlineforms.htm
  A) controlled substances course (CALIFORNIA ONLY). cost $180-310 (OPTIONAL)
http://www.capanet.org/Conferences/Controlled-Substances-Education-Course/

5) Credentials. If you will be doing any inpatient care, you will have to apply for privileges at that medical center. This is a long process, anywhere from 2-4 months. cost $100-400.
  A) Background check. cost $75-100

6) By know your BLS has expired, and you'll need to renew. Depending on what position you take, ACLS may be required.
  A) BLS/ACLS. cost $85-250.


Total cost...at least $1731.
Being a physician assistant, priceless.


Now this is variable, some providers will help you pay for somethings. You may end up in outpatient and won't need hospital privileges. Others will reimburse after a period of employment....Your mileage will vary
This isn't intended on scaring you, but it's a reminder that you will still have costs when school is out.
Please plan accordingly because there may be a lag-time between getting hired and jumping through all the loops to get all the legal stuff out of the way to practice medicine.