Common Contracts
1 similar Medicare Opt Out Agreement contracts
Appendix 2 Medicare Opt Out AgreementMedicare Opt Out Agreement • June 1st, 2020
This agreement (“Agreement”) is entered into by and between Quick Medical Clinic, LLC, a Washington State professional corporation, owned and operated by Dr. Paul Williams, MD and the physicians providing the services, Dr. Lisa Neff, DO, Dr. Paul Williams, MD, and Dr. Eric DeMun, MD, (the “Physician”), whose principal medical office is located at 2526 Colonial Dr., Centralia Washington, and the beneficiary who resides in Washington State.
