Common Contracts
1 similar Medicare Opt Out Agreement contracts
Appendix 2Medicare Opt Out Agreement • July 14th, 2014
This agreement (“ Agreement” ) is entered into by and between AtlasM D Concierge Family Practice, LLC, a Kansas professional corporation, owned and operated by Dr Josh Umbehr & Dr Doug Nunamaker, MD, (the “ Physician” ), whose principal medical office is located at 10500 E. Berkeley Square Parkway Suite 200, Wichita Kansas, and
