Common Contracts
1 similar Private Contract With Medicare Beneficiary contracts
PRIVATE CONTRACT WITH MEDICARE BENEFICIARYPrivate Contract With Medicare Beneficiary • July 31st, 2017
and is a Medicare Part B beneficiary seeking Services covered under Medicare Part B pursuant to Section 4507 of the Balanced Budget Act of 1997. Physician has informed Patient that Physician has opted out of the Medicare program effective on _/ _/ for a period of at least two years and is not excluded from participating in Medicare Part B under Sections 1128, 1156, 1892 or any other section of the Social Security Act.
