Medicare Opt Out AgreementMedicare Opt Out Agreement • December 14th, 2022
Contract Type FiledDecember 14th, 2022This agreement (“Agreement”) is entered into by and between Cannon Dermatology LLC, a Maryland limited liability corporation, owned and operated by Sarah C. Cannon, MD (the “Physician”), whose principal medical office is located at 2012 S. Tollgate Road, Suite 206, Bel Air, MD 21015 and