MEDICAREMedicare Participating Physician or Supplier Agreement • November 5th, 2015
Contract Type FiledNovember 5th, 2015The above named person or organization, called "the participant," hereby enters into an agreement with the Medicare program to accept assignment of the Medicare Part B payment for all services for which the participant is eligible to accept assignment under the Medicare law and regulations and which are furnished while this agreement is in effect.