MEDICARE BENEFICIARY PRIVATE CONTRACTMedicare Beneficiary Private Contract • February 23rd, 2012
Contract Type FiledFebruary 23rd, 2012This Medicare Beneficiary Private Contract (“Agreement”) is by and between Simone L. Norris , M.D., 18720 Stone Oak Parkway, Suite 201, San Antonio, Texas, 78258 (“Physician”) and the following Patient, who is a Medicare beneficiary: