Medical Director & Collaborative Physician
Trusted physician oversight for nurse practitioners, physician assistants, and independent clinics — licensed across multiple states and available to keep your practice compliant, protected, and growing.
Fast onboarding
Get credentialed and compliant within 7-14 business days with our streamlined process.
State-compliant agreements
Fully compliant collaborative agreements tailored to your state regulations and practice needs.
Ongoing physician oversight
Continuous support with chart reviews, consultations, and regulatory compliance guidance.
About Dr. Silvestre, MD
Dr. David W. Silvestre is a double board-certified physician with over two decades of clinical experience dating back to 2000. Throughout his career, he has served in a wide range of roles — from direct patient care to clinical leadership — giving him a deep, well-rounded understanding of what independent practitioners and specialty clinics truly need to operate safely and successfully.
Today, Dr. Silvestre dedicates a significant part of his practice to helping nurse practitioners, physician assistants, and clinic operators across the country meet their legal oversight requirements. His goal is simple: to be a reliable, responsive, and knowledgeable physician partner — not just a name on a form.
Whether you’re a newly licensed NP opening your first practice, a PA expanding into a new state, or a medspa operator navigating medical director requirements, Dr. Silvestre brings the experience and multi-state licensure to support you every step of the way.
Do You Need a Physician Partner to Practice Legally?
Many states require nurse practitioners and physician assistants to have a formal agreement with a licensed physician before they can see patients independently. Medspas and wellness clinics often need a credentialed physician on record just to open their doors.
Dr. Silvestre steps into that role — providing the legal oversight structure your practice needs, with real clinical involvement that goes beyond just signing paperwork.
Physician Oversight Services Tailored to Your Practice
Collaborative Agreements for Nurse Practitioners
For NPs in restricted or transitional states who need a supervising or collaborating physician to legally practice. Dr. Silvestre reviews your scope, co-signs protocols, and provides the oversight your state board requires.
Collaborative Agreements for Physician Assistants
PAs in many states are required to have a formal supervisory agreement with a licensed physician. We provide clearly structured, state-specific agreements that keep you protected and in good standing.
Medical Director for Medspas
Operating a medspa, aesthetic clinic, or wellness center? Most states require a licensed physician as your medical director to oversee injectables, lasers, and other procedures. Dr. Silvestre provides that oversight with professionalism and reliability.
Medical Director for Independent Clinics
From urgent care centers to occupational health clinics, many facilities require physician-level oversight to remain operational and insured. We offer flexible arrangements tailored to your clinic’s size and service line.
Regulatory Compliance Support
Not sure if your practice setup is fully compliant? Dr. Silvestre can review your current agreements, protocols, and documentation and flag anything that needs to be corrected before a state board inquiry arises.
Multi-State Coverage
Currently licensed in 11+ active states with an Interstate Medical Licensure Compact (IMLC) credential that extends eligibility to up to 40 states. If you’re expanding into a new state, ask us whether we’re already covered.
The Right Physician Partner — Whatever Your Clinic Needs
Finding a collaborating physician shouldn’t slow down your practice growth. Dr. Silvestre makes the process straightforward — from the first call to a signed, state-compliant agreement — so you can focus on your patients, not the paperwork.
Personalized Protocol Review
Every agreement begins with a review of your clinical protocols to ensure they align with state-specific requirements and your patient population's needs.
Responsive Chart Review & Consultation
Regular chart reviews are part of the package. You'll have access to Dr. Silvestre for clinical questions and consultations, giving you the professional backup that helps you provide better care.
State Board Documentation Support
From attestation letters to DEA registration coordination, we handle the documentation side so you can focus on seeing patients.
Flexible, Renewable Agreements
Our agreements are designed to grow with your practice. Start with the coverage you need now and expand as your team and service offerings grow.
