Private ContractPrivate Contract • April 24th, 2018
Contract Type FiledApril 24th, 2018and is a Medicare Part B beneficiary seeking services covered under Medicare Part B pursuant to Section 4507 of the Balanced Budget Act of 1997. The Physician has informed Beneficiary or his/her legal representative that Physician has opted out of the Medicare program effective on April 1, 2016 for a period of at least two years, with automatic renewal on April 1, 2018 for at least another two years. The physician is not excluded from participating in Medicare Part B under Sec.1128, 1156, or 1892 of the Social Security Act.