Common Contracts
1 similar Medicare Opt-Out Agreement contracts
Medicare Opt-Out AgreementMedicare Opt-Out Agreement • November 17th, 2021
This agreement (“Agreement”) is entered into and by Caitlin Prickett, DO and Associates, PLLC d/b/a Concierge Medicine of Boca Raton, as a Ms.Medicine Affiliate and a Medical Practice owned and operated by Caitlin Prickett, DO (the “Physician”), whose principal medical office is located at 825 Meadows Road Suite 111, Boca Raton Florida 33486 and a beneficiary enrolled in Medicare Part B (“Beneficiary”).
