Private Contract with Medicare BeneficiaryPrivate Contract With Medicare Beneficiary • March 20th, 2014
Contract Type FiledMarch 20th, 2014This agreement is between Colleen A. Blanchfield, M.D. (“physician”), whose principal place of business is 11490 Commerce Park Drive Suite 420 Reston, VA 20191 and the Medicare Part B beneficiary (“beneficiary”), who resides at .