Common Contracts
1 similar Medicare Opt Out Agreement contracts
Medicare Opt Out AgreementMedicare Opt Out Agreement • October 15th, 2015
This agreement (“Agreement”) is entered into by and between Empower Family Medicine, LLC, a Georgia professional corporation, owned and operated by Dr. Melissa Black, MD, (the “Physician”), whose principal medical office is located at 209A Swanton Way Suite 101 Decatur, GA 30030, and ,
