Join Now Home  / Membership  / Join Now Joining MPPG is absolutely free! Join today using the online form below. For more information, please read the Participation Agreement by scrolling down to the bottom of this page. [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:* Doctor Name(s):Doctor 1:*Doctor 2:Doctor 3:Doctor 4:Doctor 5:Doctor 6:Specialty:*Tax ID Number:*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 loyalty discounts with: Sanofi-Pasteur Vaccines. My account number is:Merck Vaccines. My account number is: Pfizer Vaccines. My account number is:Henry Schein Medical supplies. My account number is:McKesson Medical supplies. My account number is:VaxServe Medical supplies. My account number is:Merck/Sanofi Pasteur (MSP) Vaxelis. My account number is:Please have the following vendors contact me to see if they can save my practice money:AstraZeneca/Flumist (Vaccines): check here The Cooperative of American Physicians, Inc. [CAP] (Medical Liability - CA only): check here ClearGate (Credit Card Processing): check here Solution Reach (Patient Communications): check here Hollister-Stier Laboratories (Allergy and Immunotherapy Supplies): check here Stallergene Greer (Allergy and Immunotherapy Supplies): check here Circassia/Niox Vero (Niox testing for asthma): check here Insperity (HR Services): check here Max Your Media (Digital Media) check here Class Action Capital (Class Action Claims and Recovery) check here Med Waste Systems (Medical Waste - CA only): check here MedPro Disposal (Medical Waste): check here Lab IQ (Physician Office Laboratory): check here AT&T Cellular (Wireless Services): check here Staples Advantage (Office Supplies): check here Farmer's Insurance (Business & Personal): check here ProficientRx (In-Office Dispensing): check here Jackson & Coker (Physician Recruitment): check here TransactRx (Medicare Processing): check here TAB/Document Imaging Technologies (Record Storage and Disposal) check here MediQuest (Medical Employment Staffing) check here NFP (Healthcare Industry Insurance Services): check here QVH Systems (Revenue Enhancement): check here Medicus Results (Practice Management Billing): check here Clarus (Call Management) check here GoCheck Kids (Ocular Photo Screening) check here NexHealth (Patient Management Platform) check here Merchant Cost Consulting (Merchant Services Fees) check here IFI (Medical Supplies) check here Primex Clinical Laboratories (Diagnostic Testing Services) check here Merck/Sanofi Pasteur (MSP) Vaxelis: check here Name of Authorized Doctor:*DEA Number:* 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.