Common Contracts

Medicare Opt Out Agreement

Appendix 2 • September 5th, 2018

• Contract Type
  Appendix 2
• Filed
  September 5th, 2018

This agreement (“Agreement”) is entered into by and between New South Family Medicine, LLC, a South Carolina professional corporation, owned and operated by Dr. Jessica Kaiser Mendelsohn (the “Physician”), whose principal medical office is located at 1365 Broadcloth Street, Suite 203 Fort Mill, SC 29715 and