Frequently Asked Questions
Everything NPs, PAs, and clinic operators need to know about collaborative agreements and medical director services.
Q: What states do you provide collaborative agreements in? A: Dr. Silvestre is actively licensed in Florida, Pennsylvania, Ohio, North Carolina, Tennessee, Maryland, Arizona, New Jersey, Virginia, Oklahoma, Arkansas, and Louisiana. With his IMLC credential, he may also be eligible to practice in up to 40 states total. Contact us to check your state.
Q: What is the difference between a collaborative agreement and a medical director agreement? A: A collaborative (or supervisory) agreement is specifically between a physician and an NP or PA, defining the scope of their clinical practice. A medical director agreement is between a physician and a business entity (like a medspa or clinic), establishing oversight of all medical services offered at that facility.
Q: Do I need a collaborative physician if I’m in a full practice authority state? A: It depends on your state and circumstances. Some full practice authority states still require a transitional supervision period for newly licensed NPs. Even in states without a legal requirement, having a collaborating physician can strengthen your credibility with insurers and patients.
Q: How long does onboarding take? A: Most agreements are completed within 7–14 business days from initial inquiry. We’ll walk you through every step.
Q: What does the oversight actually look like day-to-day? A: Dr. Silvestre provides chart reviews on a regular schedule, is available for clinical consultations, and co-signs any documentation required by your state board. The level of involvement is tailored to what your state and agreement type require.
Q: Can I use Dr. Silvestre as my medical director AND collaborating physician? A: Yes. If your business operates a clinic staffed by NPs or PAs and also requires a medical director, Dr. Silvestre can fulfill both roles depending on state regulations.