Common Contracts

1 similar Medicare Private Contract contracts

MEDICARE PRIVATE CONTRACT
Medicare Private Contract • April 19th, 2022

This contract is entered into by and between Erin A. Reese, MD and Jill Vilaythong, MD (hereinafter “Physicians”), whose principal medical office is located at 19222 Stonehue, Ste. 103, San Antonio, TX 78258, and , a Medicare Part B beneficiary seeking services covered under Medicare Part B pursuant to Section 4507 of the Balanced Budget Act of 1997 (hereinafter “Beneficiary”), who resides at , and shall become

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