Financial Agreement and Assignment of BenefitsFinancial Agreement and Assignment of Benefits • October 22nd, 2018
First Name Middle Name Last NameFinancial Agreement and Assignment of Benefits • October 26th, 2017
Edward J. Wladis, MD/Michael I. Rothschild/Dale R. Meyer, MD/Charlotte L. Marous, MD Financial Agreement and Assignment of BenefitsFinancial Agreement and Assignment of Benefits • January 4th, 2023
FINANCIAL AGREEMENT AND ASSIGNMENT OF BENEFITSFinancial Agreement and Assignment of Benefits • June 1st, 2022
Kelly Eye Center (KEC) are privately-owned medical facilities that provide medical services on a fee-for-service basis. KEC relies solely on insurance reimbursement and patient payment(s) for services rendered in good faith. KEC receives no federal, state or other third-party funding; as such, KEC does not have provision for providing on-going indigent care. The following Financial Agreement is developed in accordance with Office of Inspector General (OIG) guidelines as well as all applicable State and Federal reimbursement guidelines.
First Name Middle Name Last NameFinancial Agreement and Assignment of Benefits • October 26th, 2017
FINANCIAL AGREEMENT AND ASSIGNMENT OF BENEFITSFinancial Agreement and Assignment of Benefits • August 30th, 2021
Retina Health Center, P.L. (RHC) are privately-owned medical facilities that provide medical services on a fee-for-service basis. RHC relies solely on insurance reimbursement and patient payment(s) for services rendered in good faith. RHC receives no federal, state or other third-party funding; as such, RHC does not have provision for providing on-going indigent care. The following Financial Agreement is developed in accordance with Office of Inspector General (OIG) guidelines as well as all applicable State and Federal reimbursement guidelines.
FINANCIAL AGREEMENT AND ASSIGNMENT OF BENEFITSFinancial Agreement and Assignment of Benefits • March 31st, 2022
Southwest Florida Eye Care, LLC. (SFEC) are privately-owned medical facilities that provide medical services on a fee-for-service basis. SFEC relies solely on insurance reimbursement and patient payment(s) for services rendered in good faith. SFEC receives no federal, state or other third-party funding; as such, SFEC does not have provision for providing on-going indigent care. The following Financial Agreement is developed in accordance with Office of Inspector General (OIG) guidelines as well as all applicable State and Federal reimbursement guidelines.
First Name Middle Name Last NameFinancial Agreement and Assignment of Benefits • October 26th, 2017
