Common Contracts

1 similar Medicare Opt Out Agreement contracts

Appendix 2 Medicare Opt Out Agreement
Medicare Opt Out Agreement • March 18th, 2018

This 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

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