Common Contracts
2 similar Medicare Private Contract contracts
MEDICARE PRIVATE CONTRACTMedicare Private Contract • January 26th, 2018
This contract is entered into by and between Wallace Taylor MD "physician", whose principal medical office is located at 3006 Bee Cave Rd, Suite A300; Austin, Texas and the Medicare beneficiary whose name appears on the accompanying signature page and shall become effective on the date of the signature sheet and shall expire on the 30th day of September, 2016 (the "opt out period"), unless otherwise renewed in accordance with the 42 U.S.C.
MEDICARE PRIVATE CONTRACTMedicare Private Contract • January 26th, 2018
This contract is entered into by and between Megan Miller NP "physician", whose principal medical office is located at 3006 Bee Cave Rd, Suite A300; Austin, Texas and the Medicare beneficiary whose name appears on the accompanying signature page and shall become effective on the date of the signature sheet and shall expire on the 30th day of September, 2016 (the "opt out period"), unless otherwise renewed in accordance with the 42 U.S.C.
