Get Starkeypro

Starkeypro is an essential online form designed for users involved in the Starkey Hearing Benefits provider network. This guide provides clear, step-by-step instructions on how to complete this form effectively, ensuring that all required information is submitted accurately and promptly.

Follow the steps to successfully complete the Starkeypro form.

1. Press the ‘Get Form’ button to access the Starkeypro form and open it in your editing tool.
2. Begin by providing your primary billing office information. Fill in the legal business name as reported to the IRS, doing business as, and business type. Ensure to indicate whether you are an individual, partnership, corporation, or other.
3. Complete the address section with your office location details including city, county, state, and zip code. Additionally, provide your facility NPI and TIN/SSN/EIN number.
4. Input the owner's name, along with the corresponding phone number, fax number, and email address.
5. Fill in the alternate contact name and title, as well as their phone number and email.
6. Indicate if all locations operate under the same Tax ID by checking 'Yes' or 'No'.
7. Enter your current Starkey Hearing Technologies account number and primary brand, and specify your preferred Starkey Hearing Technologies brand to work with SHB.
8. Repeat the above steps for each dispensing facility, ensuring to include business type, address, contact information, and license numbers.
9. Complete the Business Owner Attestation and Disclosure Questionnaire, answering each question truthfully and thoroughly. Ensure this section is signed by the business owner.
10. Submit each hearing professional credentialing application, with individual details for each hearing professional provided.
11. After filling out all sections, review the completed form. Save your changes and proceed to download, print, or share your form as necessary.

Complete your Starkeypro documents online today to streamline your credentialing process.