Common Contracts
1 similar Medicare Private Contract contracts
MEDICARE PRIVATE CONTRACTMedicare Private Contract • December 12th, 2019
called “physician”), whose principal medical office is located at 208 West Columbus Avenue, Bellefontaine, OH and (hereinafter called “beneficiary”), who resides at , and shall become effective on this 1st day of January, 2020 and shall expire on the 1st day of January, 2022 (the “opt out period”), unless otherwise renewed in accordance with the 42 U.S.C. 1395a; 42 C.F.R. 405, Subpart D.
