Common Contracts
1 similar Private Contract With Medicare Beneficiary contracts
Private Contract with Medicare BeneficiaryPrivate Contract With Medicare Beneficiary • June 15th, 2020
This agreement is between Dr. Susan Schroeder (“Physician”), Perfect Skin Dermatology, P.C. at 1259 Lake Plaza Drive, Ste 270, Colorado Springs, CO 80906, and (“Patient”), who resides at and is a Medicare Part B beneficiary, pursuant to Section 4507 of the Balanced Budget Act of 1997.
