Appendix 2 Medicare Opt Out AgreementMedicare Opt Out Agreement • March 18th, 2018
Contract Type FiledMarch 18th, 2018This agreement (“Agreement”) is entered into by and between BloomMed, LLC, a Texas professional corporation, owned and operated by Stephanie L. Cudjoe, MD (the “Physician”), whose principal medical office is located at 4510 Medical Center Drive, #303, McKinney, TX 75069 and