Common Contracts

Medicare Private Contract for the patients of

Medicare Private Contract • April 14th, 2015

• Contract Type
  Medicare Private Contract
• Filed
  April 14th, 2015

This Medicare Private Contract (“Agreement”) dated as of , (“Effective Date”) is made by and between Michael G. McNamara M.D. LLC and any providers employed by the same (“Provider”), whose principal medical office is located at 4015 Lake Otis Parkway, Suite 201, Anchorage, AK 99508, and _ , (“patient”) a Beneficiary enrolled in Medicare Part A and B who resides at