T2305 Appendix A 5.19.2020.xlsx
XLSX spreadsheet 18 KB Posted
- Solicitation number
- 20DPP00507
- Issued by
- Mercer County, New Jersey
About this file
This document is Appendix A to a bid solicitation (Bid Solicitation #20DPP00507) issued by the New Jersey Division of Pensions and Benefits for Independent Medical Examinations and Support services. The solicitation involves multiple regions (North, Central, South) and requires vendors to provide a listing of various medical specialists by region, including details on their years of practice, primary specialty, and whether they have had any disciplinary actions, license suspensions/revocations, or felony convictions. The contract opportunity covers services for Mercer County and the city of Trenton.
The document does not provide details on pricing, set-asides, incumbents, funding sources, or other financial terms. It focuses solely on the required physician qualifications and staffing details needed to support the independent medical examination services across the different regions in New Jersey.
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Other files
| File | Type | Posted |
|---|---|---|
| T2305 Price Sheet 5.19.2020.xlsx | XLSX spreadsheet | |
| T2305 Optional Pre-Quote Conference 5.19.2020.pptx | PPTX presentation | |
| T2305 Vendor Checklist.pdf | ||
| T2305 SoNJ Third-Party Information Security Questionnaire.pdf | ||
| T2305 Offer and Acceptance Page.pdf | ||
| T2305 Bid Solicitation 07.20.2020.pdf | ||
| T2305 Bid Amendment 1 DRAFT~1.pdf |
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Text version
Appendix A Appendix A: Medical Panel Compilation T2305 Bid Solicitation #20DPP00507 - Independent Medical Examinations and Support, Division of Pensions and Benefits Vendor {Bidder} Name:
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) |
| Required Physicians by Region | Name | Address | # Years in Practice | Primary Specialty | Revoked Hospital Privileges (Y/N) | Disciplinary Action/ Lawsuit (Y/N) | License Suspended/ Revoked (Y/N) | Convicted of Felony (Y/N) |
| NORTH | ||||||||
| Infectious 1 | ||||||||
| Psychiatric 1 | ||||||||
| Psychiatric 2 | ||||||||
| Orthopedic 1 | ||||||||
| Orthopedic 2 | ||||||||
| Orthopedic 3 | ||||||||
| Internal 1 | ||||||||
| Internal 2 | ||||||||
| Internal 3 | ||||||||
| CENTRAL | ||||||||
| Infectious 1 | ||||||||
| Psychiatric 1 | ||||||||
| Psychiatric 2 | ||||||||
| Orthopedic 1 | ||||||||
| Orthopedic 2 | ||||||||
| Orthopedic 3 | ||||||||
| Internal 1 | ||||||||
| Internal 2 | ||||||||
| Internal 3 | ||||||||
| SOUTH | ||||||||
| Infectious 1 | ||||||||
| Psychiatric 1 | ||||||||
| Psychiatric 2 | ||||||||
| Orthopedic 1 | ||||||||
| Orthopedic 2 | ||||||||
| Orthopedic 3 | ||||||||
| Internal 1 | ||||||||
| Internal 2 | ||||||||
| Internal 3 |
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