Credentials and Application for Membership to the Main Line Health Medical Staff
A physician interested in becoming a member of the Main Line Health
Medical Staff (Lankenau, Bryn Mawr, and/or Paoli campuses) may request
an application in writing. The request identifies the applicant’s
specialty and campus/es where the physician will request privileges. The
request is forwarded to the system office of Medical Staff Affairs to
the attention of the President of Main Line Hospitals.
Requests for an application may be faxed to 484.337.3731 or mailed to:
Medical Staff Affairs Office
130 South Bryn Mawr Avenue, A Wing
Bryn Mawr, PA 19010
The application process includes at least:
Completion of a Pre-credentialing Form with required documents
Completion of a MLH Medical Staff Application and Privilege
Forms with attachments (including, if appropriate, a log of
procedures, explanation of claims, etc.)
Completion of clinical evaluations from current and past
Interviews with the MLH Division Chief and Department Chairman
in the applicant's specialty
Interview with the Credentials Committee
Questions regarding the application process may be directed to Marie
VanBuskirk at 484.337.8031.
For more information, call 1.866.CALL.MLH.