Join Now Home /Membership/Join Now Joining MPPG is Absolutely Free! [Your information will be securely sent.] Asterisks denote required information.(If you prefer, you can download the pdf form, fill it out and fax it to 818-332-7058.) Practice Name:*Name of Authorized Doctor:*DEA Number:*Specialty:*Authorized Business Contact:*Street:*City:*State:*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code:*Phone:*Fax:Email:*Please link my practice to the following discounted vaccine contracts: Sanofi-Pasteur Vaccines. ACCT# is:Merck Vaccines. ACCT# is:Merck/Sanofi Pasteur (MSP) Vaxelis. ACCT# is:Pfizer Vaccines. ACCT# is:Moderna (Covid Vaccine). ACCT# is:Seqirus (Flu Vaccine). ACCT# is:AstraZeneca/Flumist (Vaccines): check here Dynavax (Heplisav b Vaccine): check here GlaxoSmithKline check here Please link my practice to the following cost-savings contracts:McKesson medical supplies. ACCT# is:Henry Schein medical supplies. ACCT# is:VaxServe medical supplies. ACCT# is:The Cooperative of American Physicians, Inc. [CAP] (Medical Liability - CA only): check here Jubilant Hollister-Stier Laboratories (Allergy and Immunotherapy Supplies): check here NIOX (FeNO testing for asthma): check here Methapharm check here MedPro Disposal (Medical Waste): check here Office Depot check here Staples Advantage (Office Supplies): check here Please have the following vendor-partners contact me to see if they can improve my practice’s efficiency:ACXSS ( Supply Chain Management Software ) check here Solution Reach (Patient Communications): check here Insperity (HR Services): check here Please have the following vendor-partners contact me to see if they can increase my practice’s revenues:HealthTrust check here GoCheck Kids (Ocular Photo Screening): check here Physician Hearing Network (for patients over 65 years of age): check here Class Action Capital (Class Action Claims and Recovery): check here ProficientRx (In-Office Dispensing): check here Lab IQ (Physician Office Laboratory): check here Primex Clinical Laboratories (Diagnostic Testing Services): check here MPPG Participation Agreement Terms This MPPG Participation Agreement (the “Agreement”) is entered into by the (“Member”) and MPPG on the date of online submission of Member’s authorized representative.